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HomeMy WebLinkAboutTR-5932 Glenn Goldsmith, President *Qf SO(/ry Town Hall Annex A.Nicholas Krupski,Vice President ,`Q ��� 54375 Route 25 P.O. Box 1179 John M. Bredemeyer III Southold,New York 11971 Michael J. Domino G Q Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 20, 2021 Douglas & Leslie Hirsch 5028 New Suffolk Avenue Mattituck, NY 11952 RE: 5028 NEW SUFFOLK AVENUE, MATTITUCK SCTM# 1000-115-10-2 Dear Mr. and Mrs. Hirsch: The following action was taken by the Southold Town'Board,of,Trustees at their Regular Meeting held on Wednesday;.May 19, 2021: RESOLVED, that the Southold Town Board of Trustees-APPROVE.the request'for a -Transfer of Wetland Permit#5932 from Geert Martens& Ray.Murray to Douglas & Leslie Hirsch, as issued on May 26, 2004. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please contact our office at (631) 765-1892. — Sincerely, a t Glenn Goldsmith, President Board of Trustees GG/dd Glenn Goldsmit[ esident OS0FF(?1�-C Town Hall Annex Off' "G j A. Nicholas Krupski, Vice-President ��, 54375 Route 25 John M. Bredemeyer, III y a P.O. Box 1179 Michael J. Domino o117 Southold, NY 11971 Greg Williams y ® 2 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: .5/ r/21 .8'`1,5 Completed in field by: DOUGLAS & LESLIE HIRSCH request a Transfer of Wetland Permit#5932 from Geert Martens & Ray Murray, as issued on May 26, 2004. Located: 5028 New Suffolk Avenue, Mattituck. SCTM#: 1000-115-10-2 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Noticeof Hearing Card Posted: Y / N/ Ch. 275 ✓ Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey :5 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino /G. Goldsmith N. Krupski G. Williams Other PIVI',IONS _ ZONE REY__— DF;fRIPITQN — DpfE - APVROVE� A PER DEL UI-PT-114 B DMBER PILE" L' PER 50THOID TOWN Uti-lU-OA D PER SOIITNOID TOWN Ob-03-04 PROPOSED 3'%20'RNP POSED+'%03'FIXED 7IMBCR CATWALK INS TALLA710N ICATVALK TO BE ELEVATED A MIN DE 3 ABOVE VCTLANDS> tSfASWpLI CROK114 a TNC FLOATINL DOGE PROPOSED 6'%20'FLOAT TO MAINTAIN A NMIMUM WATER �\ <SCASDNAU ITCPTN DF 2 FT, ILA 1.� D -225' -2.25' -233'— -20 -238' LANDWARD EDGE Or WETLAND D'�^ —SO 60-0 7D t uRrJvOSl:p 44 4'vp• TRADER PII 1:1 OM END or � IDEPTN DE PENCTRFTIDjY IA•f FLOAT DEPTH IS-30 stcrfoVI View: Y AI ,njX NFW%III Yn 6YF ;rqLr_ ija° r ,,,I�IIY, IY, IIY L_ ,tr,,, ,,, „�-„ 09-17-03 r oU•uSHEET 2 OF 2 NELI �i(INE FIV DC:LRIPII0N fMTC I U'Pf+(14C� A A00ET+STARE LOCATION I 10-}0-OS R E'ER 0EC ( 1IMBEF PILES + UI-}0-04 D PCR SOUTHOLD IQWN I ON-10-04 C PER SOU1H011I TOWN 16-03-04 rIfNF FLEW 6 NLMO A 1r alar 1 � • vpm air arrznzwrc Of SIAM e ) P 62 >1 IL /L TIE LIrL 11LOf aMVN _�PbfF+l— I p} f[.ED II P fal 3 A IIE VLILAN rS rv.lr ID IT rlrva lL 1,a NT.I�i ] abGVC VC II aNplr xw rzzo uw DEEP HOLE CREEK „za�l uF �j rParnvu+, .^o rtpar + ,SCaSbpal+ q rNorlNN.lt^'rintrn -OS IMN a Var 11.OW WEYa((Plr,rP ,Nr'IN U Nfnf T—I[N -ra -la PLAN VIEW: „ ,tn N✓r I nn+ f+J,t t+^ rM1 FEallUuu nfr,Fns, -24 f.,CALE I" - N•,�r..,.a.r -- LAND USE ECOLOGICAL=rrlr�ul +,Err,lmur1r, --zp ;,ERVICES INC rAre JAz ILw e +„ e,,,,rnw,l InNI 1�ou.La, 09-17-05 1000 I{`,+ILI-Oz, ��I�1v01 eHfA lk-rr7 I /rF ;+ , —_,---' — _.—_-- -- —_ -- _.- -----_- _-- REVISIONS —— --'— ZONE REV DESCRIPTION DATE APPROVED A ADDED STAKE LOCATION 10-30-03 B PER DEC 01-19-04 C TIMBER PILES 01-30-04 N/O/F ELMER D RULAND JR. 1 STORY FRAXE _ ��� GARAGE r 1 cz WOOD DECK 1 g70RY FRAME HOUSE z 0 p IXGROUND POOL m F p d \ C � 6•2 P yP m y • • • LIlO1VNtD CDR 6 VCirM���U 1�1. It,l Y, a D/D0/99� �r fl1 1'J_ ' TIE LINE ALONG AHVH 1 PROPOSED 4 % BD'FIXED TIMBER CATWALK INSTALLATION '(CATWALK TO BE ELEVATED A MIN Or 4'ABOVE WEILANDS) STAKE LOCATION PROPOSED 3'X 20'RAMP DEEP HOLE CREEK (SEASONAL) EBB FLOOD PROPOSED 6' %20'FLOAT (SEASONAL) (WILL BE CHOCKED VIDTH OF WATERWAY,1600' MAINTAIN q MINIMUM WATER DEPTH OF 21) w s n 2 C PROPOSED(4) 4•%6' TIMBER PILES I •Iv PROf'cSEu I,O(n fA(tu)r / (DEPTH OF PENETRATION 10'+) •*, I• -LAN VIEW: PiMSLRE(AEA)IONA:1,0011IN'. Af'02D NEW SOFmK AVE r' �• t ,CALE I" = 30' nifL lMi AN li CK N M119',F I'•,L,:l• I.v. �-Y 7 3 a'r� } V cx,-0 / AND USE ECOLOGICAL � d o=ljT/ ;ERVICES INC DATE I TAX MAP p n.r.mu vn•ooL l„+r raven a, 09-17-03 1000-115.10-02 m OF 2 S u..q 1.r.ld�� __.-- — SHEES HEE T I – ----— --- --- ---- ----•---- —----------- –, REVISIONS- ZONE EVISIONSZONE REV DESCRIPTION DATE APPROVED A PER DE.0 01-19-04 B TIMBER PILES 01-30-04 - - T PROPOSED 4'X 83'FIXED TIMBER CATWALK INSTALLATION PROPOSED 3'X 20'RAMP (CATWALK TO BE ELEVATED A MIN OF 4'ABOVE WETLANDS) (SEASONAL CHOKING OF THE FLOATING DOCK PROPOSED 6'%20'FLOAT TO MAINTAIN A MINIMUM WATER (SEASONAL) DEPTH OF 2 FT, -223' I -225' T -2.33' I LANDWARD EDGE OF WETLAND 80 Q 0. 70. i I PROPOSED(4)4'X6'TIMBER PILCS (DEPTH OF PENETRATION 10'.) •IT•r e6 •nP\(•fir•• . �IU1<fk SECTION VIEW: "IR111 RECREANOINAI MOORINF UI SCALE I/8" = I' AT HAfjjtrs.N _KY1LSItt ,,J. /—q U3 5 MAI INEW S N 1 1K AVEAV _AND USE ECOLOGICAL APPLICANT f,EERI MAkIEN. UAT>i /_)S Uy /4aA4/ SERVICES INC. DATE TAX)SAP p .�HU•mMl vnl ArE[�K K,kIVFRYEAN 09-17-03 1000-115-IO-02 Ir - NONE 7100 FAX aSn 10 an95 _ SHEET SHEET 2 OF 2 D UE +��\ 1 I 0 0 SURVEY OF PROPERTY SITUATED AT MATTITUCK TOWN OF SOUTHOLD tl SUFFOLK COUNTY NEW YORK SC TAX N. 100�0'-115-10-02 1 SCALE 1•=30' DECEMBER 23.1999 2 15 5" T. }0 El 11 2b 40 y 11-21 PEBFUNV 25 2W3 C—MED MI IRD 460012.1,8 11 c� ,a,rv.,wsiu[anvvm,a.avur,,,Pw ._` N � I I ;� Ilo � � I It ZE Joseph A. Ingegno Land Surveyor Albert J.Krupski,President ���SUUljy� Town Hall James King,Vice-President ti� l� 53095 Route 25 Artie Foster P.O. Box 1179 Ken Poliwoda CA Southold,New York 11971-0959 Peggy A.Dickerson pe Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0046C Date July 8, 2005 THIS CERTIFIES that the fixed catwalk, ramp, and floating dock At 5028 New Suffolk Ave. , Mattituck Suffolk County Tax Map# 115-10-2 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 3/12/04 pursuant to which Trustees Permit# 5932 - Dated 5/26/04 Was issued, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for a fixed catwalk, ramp, and floating dock The certificate is issued to Geert Martens & Ray Murray owner of the aforesaid property. Authorized Signature i ��- .i;,�a i?`�'<'�•„/ .•'�, '�•',,.�'r�'`;�'i�IC .n���7 � ,S1 t4 l l".:.�, y'_ :c•a �C• it 4 I •.. t t1(,.►� ''1 .l•• 1 / .�'.`(!�. h .\ / .:� .� I h'_::'i•.l `I - 1 •�%' ,fid 1'"_` ,?.r••,. _ ••�' .E" �7 I Y \ r ,, jl I r r r r . I � ',r r r r r r r r �'•'''t.. '!-. �,: _y, r r r 1 I / r r r r 'I r r r r 1'••�4" •.`I••, - .y y,:.��.. I' : • . . . r r r r r r r r r'r r r r . 1-•_.• C�,,a '\� •:� grin...., / ),!�., }T�=.! OWA zi- lu jA 4-5 11111 �w.+i�:``Fr•"`'�+.w✓°'1 �J�,.`vL'...,/..:.r/Iy' .J i.�`Rw�.."�•�\1 f.�\��•Jr.?/� ...`h�';'�a•�'Y-'r.rr•`Iw```—`...t-��w �/�`��'�r.;.�•�v�Y�,/) \ ?'�•• _ �'�r+� •"""' A• 1..A IL�L•.1 TERMS and CONDMONS Geert Martens & Ray Murray ceding at 5028 New Suffolk Ave. , Mattituck N. Y .0 h part of the consideration for die issteanoe of the Permit does oodentand and presa9bc to the fol- lowing; 1. That the said hoard of Trustees and the Town of Southold an released 4rwm any and all datuages, or daka for damages, of sults addggdirectly or iaditecdy as it twlt of any ope& ation domed punttaat-o-ibis .petaii4 and -*a pdd Tetmlt+oee will, at his or her own cgmse, defend any and all such suits-leddated by third 4pattie;and the aid Plertaittee assumes fall liability with respect thecae, to•thaAamplete =dIuslon of dw Board of Trustees of the Taws of mold 2. That this Peftk Is valid for a period of _�___2 rocs. whkh•is o**rsbd to be the admated time'repired to Complete the weir involved,bat shoold wannat, serest, for as argon may be made to the Board at it but date. 3. That this Pennit dKKdd be retained Indefinitely, or as long as the said Peomittee wishes to*malotain the sau mm or project imrolved, to provide evidence to anyoae concerned that aath- odrttion was originally, obtained 4. That the work involved will be abject to the inspection and approval of the Board of its agents, and noneoahpliance with the provisdons of the odgina ft application,may be mase for revoadon of this Permit by resolution of the aid Board. 5. That there will be no unreasonsWe interfetence with navigation as a rauk of the wade herein vAborb*& 6. That there shall be no intedereuee with the right of the public to pass and repass along the beach between high NO low water matici. 7. That if fugue operations of the Town of Saudwld regadm thw removal and/or alterations in the location of the wok fhereln mftdzed, or Us In the opinion of the Board of Thatees,the. wodc.shall cause unreasonable obstnadwa to free mvigatioo, the add Permittee will be reggr4 upon dee notice,to remove or alter this vvodc or project herein ststed vvdthouc szpwsa to the Tows ` • of Sottdhold B. That the said Board will be notified by the Petmittee of the eoanpletlon_of She weir OWIP orized. 9. That the'Pennittee will nbWa all other petmits and cements that obey be required sup- plemental to this permit which may-be object to tero}ce upoa ftdbm to obtain came. -` • x -n—1r, 1729=71, 1715 1 - �, - Albert J.Krupski, President 0�• OG Town Hall James King,Vice-President '1 53095 Route 25 Artie Foster h - P.O.Box 1179 Ken Poliwoda �y • ! Southold,New York 11971-0959 Peggy A. Dickerson �O Telephone t631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 26, 2004 Ms. Kelly Cantara Land Use Ecological Services, Inc. P.O. Box 1060 Riverhead, NY 11901 RE: GEERT MARTENS & RAY MURRAY 5028 NEW SUFFOLK AVE., MATTITUCK SCTM#115-10-2 Dear Ms. Cantara: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, May 26, 2004 regarding the above matter: WHEREAS, Land Use Ecological Services, Inc. on behalf of GEERT MARTENS & RAY MURRAY applied to the Southold Town Trustees for a permit under the provisions of Chapter 97 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated March 12, 2004, 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 May 26, 2004, 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, i 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 GEERT MARTENS & RAY MURRAY to construct a docking facility consisting of a 3'X 83' fixed timber catwalk elevated a min. of 3' above wetlands, a 3'X 20' ramp, and a 6'X 20' floating dock, with the condition that a boat is moored only on the north side of the float, and all as depicted on the plan prepared by Land Use Ecological Services, Inc. last revised June 3, 2004. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $995.00 Very truly yours, le Albert J. Krupski, Jr. President, Board of Trustees AJK/Ims New York State Department of Environmental Conservation Division of Environmental Permits, Region One Am Building 40 -SUNY, Stony Brook, New York 11790-2356 v Phone: (631)444-0365 - FAX: (631)444-0360 Website: www dec.state ny.us Erin M_Crotty Commissioner March 25, 2004 Geert Martens & Ray Murray 119 West 71" St New York NY 10023 Dear Permittee: Re: Martens & Murray Property, 5028 New Suffolk Avenue, Mattituck DEC No. 1-4738-03259/00001 In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621), we are enclosing your permit and approved plans. Please read all permit conditions carefully. If you are unable to comply with any conditions, please contact us at the above address. Also enclosed is a permit sign, which is to be conspicuously posted at the project site and protected from the weather, and the dual Notice of Commencement/Completion of Construction. Please follow all instructions on the latter. Very truly yours, Karen S. Westerlind Environmental Analyst Enclosures: 4 cc: Land Use Ecological Services I 1 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER EFFECTIVE DATE 1-4738-03259/00001 25 March 2004 FACILITY/PROGRAM NUMBER(S) PERMIT EXPIRATION DATE(S) Under the Environmental 31 March 2009 Conservation Law TYPE OF PERMIT■New ❑Renewal ❑Modification Cl Permit to Construct ❑Permit to Operate ❑Article 15,Title 5:Protection of Waters ❑ Article 17,Titles 7,8:SPDES ❑ Article 27,Title 9; 6NYCRR 373: Hazardous Waste Management ❑ Article 15,Title 15-Water Supply ❑ Article 19:Air Pollution Control ❑ Article 34 Coastal Erosion ❑ Article 15.Title 15.Water Transport ❑ Article 23,Title 27;Mined Land Management Reclamation ❑ Article 15,Title 15 Long Island Wells ❑ Article 36• Floodplain Management ❑ Article 24:Freshwater Wetlands ❑ Article 15,Title 27; Wild,Scenic and ❑ Articles 1,3, 17, 19, 27,37;6NYCRR Recreational Rivers ■Article 25:Tidal Wetlands 380 Radiation Control ❑6NYCRR 608:Water Quality Certifica- ❑ Article 27,Title 7; 6NYCRR 360: tion Solid Waste Management PERMIT ISSUED TO TELEPHONE NUMBER Geert Martens&Ray Murray212 963-7446 ADDRESS OF PERMITTEE 119 West 7151 Street,New York,NY 10023 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER Kelly Cantara.Land Use Ecological Services, Inc. (631)727-2400 PO Box 1060,Riverhead,NY 11901 NAME AND ADDRESS OF PROJECT/FACILITY Martens&MurrayProperty,5028 New Suffolk Avenue,Mattituck LOCATION OF PROJECT/FACILITY SCTM:1000-115-10-02 COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southold Deep Hole Creek E:708.9 N:4540.6 DESCRIPTION OF AUTHORIZED ACTIVITY Construct a catwalk 83 feet long by 4 feet wide, a seasonal ramp 20 feet long by 3 feet wide, and a seasonal floating dock 20 feet long by 6 feet wide. Pilings 6 inches in diameter will be used to support the catwalk and anchor the float. All work is to be done in accordance with the attached plans stamped NYSDEC approved. By acceptance of this permit,the permittee agrees that the permit is contingent upon strict compliance with the ECL,all applicable regulations, the General Conditions specified(see page 2&3)and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: (KSW) ADDRESS George W. Hammarth, Region 1 Headquarters Deputy Permit Adminstrator Bldg.#40,SUNY,Stony Brook,NY 11790-2356 AUTHORIZED SIGNATURE DATE Page 1 of 4 NE`,•'.'N ORK STATE DEPARTLIENT OF 'AL CONSERVATION SPECIAL CONDITIONS 1 Any debris or excess material from construction of this project shall be completely removed from the adjacent area (upland)and removed to an approved upland area for disposal. No debris is permitted in tidal wetlands and/or protected buffer areas. 2. The storage of construction equipment and materials shall be confined to upland areas landward of the crest of the bluff or hill_ 3. Dock or timber catwalk shall not exceed 4 feet in width and shall be a minimum of 3%Z feet above grade`over tidal wetland areas (*as measured from ground to bottom of dock sheathing). 4. The use of wood treated with pentachlorophenol in the construction of structures that will be in contact with tidal waters is strictly prohibited. 5. Dock reconstruction or replacement or seasonal installation shall not involve expansion or substantial modification of existing structures or facilities. 6. Floats and ramps may not rest on or be stored in any vegetated tidal wetland. 7. No dredging,excavating or other alteration of shoreline or underwater areas is authorized by this permit,nor shall issuance of this permit be construed to suggest that the Department will issue a permit for such activities in the future. 8. No permanent structures may be installed on dock/catwalk/float without first obtaining written Department approval (permit, modification, or amendment). 9. Docks/catwalks/Floats may not(a)extend laterally beyond property lines, (b)be placed so that docked boats extend over adjacent property line, (c)interfere with navigation, (d)interfere with other landowners riparian rights. 10. The ramp and float shall be installed and removed on a seasonal basis. They shall be installed no earlier than April 1 of each calendar year and removed no later than December 1 of each calendar year. 11. The fixed catwalk seaward of the vegetated tidal wetlands may be removed and installed on a seasonal basis at the permit holders' discretion to prevent damage that may be caused by ice or other adverse weather conditions. 12. The permit holder is responsible for the removal of any debris which has accumulated as a result of the permitted structure being left in place for the winter season. 13_ The permit holder is responsible for the restoration of wetlands which have suffered damage due to the permitted structure being left in place for the winter season. DEC PERMIT NUMBER Geert Martens & Ray Murray PAGE 2 of 4 1-4738-03259100001 l NEW YORK STATE DEPARTMENT OF EN'.'IROr' ;TAL CONSERbATiON NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York,Its representatives,employees,and agents("DEC")for all claims,suits,actions,and damages,to the extent attributable to the permittee's acts or omissions in connection with, or operation and maintenance of,the facility or facilities authorized by the permit whether In compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims,suits,actions,or damages to the extent attributable to DEC's own negligent or intentional acts or omissions,or to any claims,sults,or actions naming the DEC and arising under Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit,Including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits,approvals,lands,easements and rights-of-way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights,title,or interest in real or personal property held or vested in a person not a party to the permit_ GENERAL CONDITIONS General Condition 1: Facility Inspection by the Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation(the Department)to determine whether the permittee is complying with this permit and the ECL, Such representative may order the work suspended pursuant to ECL 71-0301 and SAPA 401(3). The permittee shall provide a person to accompanythe Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit,including all referenced maps,drawings and special conditions,must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. General Condition 2: Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify,supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. General Condition 3: Applications for Permit Renewals or Modifications The permittee must submit a separate written application to the Department for renewal,modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. The permittee must submit a renewal application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System(SPDES),Hazardous Waste Management Facilities (HWMF), major Air Pollution Control (APC) and Solid Waste Management Facilities(SWMF); and b) 30 days before expiration of all other permit types. Submission of applications for permit renewal or modification are to be submitted to. NYSDEC Regional Permit Administrator, Region 1, SUNY Bldg#40, Stony Brook NY 11790-2356 General Condition 4: Permit Modifications,Suspensions and Revocations by the Department The Department reserves the right to modify, suspend or revoke this permit in accordance with 6 NYCRR Part 621. The grounds for modification, suspension or revocation include: a) materially false or inaccurate statements in the permit application or supporting papers; b) failure by the permittee to comply with any terms or conditions of the permit; c) exceeding the scope of the project as described in the permit application; d) newly discovered material information or a material change in environmental conditions,relevant technology or applicable law or regulations since the issuance of the existing permit; e) noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. DEC PERMIT NUMBER Geert Martens & Ray Murray PAGE 3 OF 4 1-4738-03259/00001 I _ NEti"J YORK ST,4TE DEP:+RTMEIJF OF ENV IROt;.-_ ":+L CONSERVA710N ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (TITLE 5), 24, 25, 34 AND 6NYCRR PART 608 ( TIDAL WETLANDS) 1 If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State,or cause loss or destruction of the natural resources of the State,the owner may be ordered by the Department to remove or alter the structural work,obstructions,or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed,the owners,shall,without expense to the State,and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to Its former condition the navigable and Flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 2. The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation,or for other purposes,and no claim or right to compensation shall accrue from any such damage. 3. Granting of this permit does not relieve the applicant of the responsibility of obtaining any other permission, consent or approval from the U.S.Army Corps of Engineers,U S.Coast Guard,New York State Office of General Services or local government which may be required. 4. All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project. 5. Any material dredged in the conduct of the work herein permitted shall be removed evenly,without leaving large refuse piles,ridges across the bed of a waterway or floodplain or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a waterway. 6. There shall be no unreasonable interference with navigation by the work herein authorized. 7. If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall,without expense to the State,and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any,portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. 8. If granted under 6NYCRR Part 608,the NYS Department of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitations or other limitations or standards under Sections 301,302, 303,306 and 307 of the Clean Water Act of 1977(PL 95-217)provided that all of the conditions listed herein are met. 9. At least 48 hours prior to commencement of the project,the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work and, if required, a survey. 10. All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or his agent as part of the permit application. Such approved plans were prepared by Land Use Ecological Services and dated 9-17-03. DEC PERMIT NUMBER Geert Martens& Ray Murray PAGE 4 OF 4 1-4738-03259/00001 --T NOTICE OF COMMENCEMENT tDNSTRUCTION RETURN THIS FORM TO- COMPLIANCE OR FAX TO: 631-444-0297 Marine Habitat Protection NYSDEC Building 40-SUNY Stony Brook, NY 11790-2356 t PERMIT NUMBER: - ''' ' ` ISSUED TO; PROJECT LOCATION/ADDRESS: CONTRACTOR NAME: ADDRESS: TELEPHONE: Dear Sir: Pursuant to General Condition#9 of the referenced permit,you are hereby notified that the authorized activity shall commence on . We certify that we have read the referenced permit and approved plans and fully understand the authorized project and all permit conditions.We have inspected the project site and can complete the project as described in the permit and as depicted on the approved plans. We can do so in full compliance with all plan notes and permit conditions.The permit sign,permit and approved plans will be available at the site for inspection in accordance with general Condition No. 1. (Both signatures required) PERMITEE DATE CONTRACTOR DATE THIS NOTICE MUST BE SENT TO THE ABOVE ADDRESS AT LEAST TWO DAYS PRIOR TO COMMENCEMENT OF THE PROJECT AND /OR ANY ASSOCIATED REGULATED ACTIVITIES. FAILURE TO RETURN THIS NOTICE, POST THE PERMIT SIGN, OR HAVE THE PERMIT AND APPROVED PLANS AVAILABLE AT THE WORK S1TE FOR THE DURATION OF THE PROJECT MAY SUBJECT THE PERMITTEE AND/OR CONTRACTOR TO APPLICABLE SANCTIONS AND PENALTIES FOR NON-COMPLIANCE WITH PERMIT CONDITIONS. Cut along this...line� � ........................... ............................. ........................................................................................ NOTICE OF COMPLETION OF CONSTRUCTION Am THIS FORM TO: COMPLIANCE OR FAX TO: 631-444-0297 Am Marine Habitat Protection NYSDEC NEW Building 40-SUNY Stony Brook, NY 11790-2356 PERMIT NUMBER: > ISSUED TO: I PROJECT LOCATIONIADDRESS: CONTRACTOR NAME: —i ADDRESS: TELEPHONE: Dear Sir: Pursuant to General Condition#9 of the referenced permit,you are hereby notified that the authorized activity was completed on .We have fully complied with the terms and conditions of the permit and approved plans.(Both signatures required) PERMITEE DATE CONTRACTOR DATE THIS NOTICE, WITH PHOTOMPLETED SURVEY,AS APPROPRIATE,MUST BE SENT TO THE ABOVE ADDRESS WITHIN 30 DAYS OF COMPLETION OF THE PROJECT. I New York State Department of Environmental Conservation Division of Environmental Permits, Region One AM Building 40 -SUNY, Stony Brook, New York 11790-2356 Phone: (631)444-0365 • FAX: (631)444-0360 Website: www.dec.state.ny.us low Erin h1.Crotty Commissioner AMENDMENT TO PERMIT Date: October 1 2004 To: Geert Martens&Ray Murray 119 West 715'St New York, NY 10023 DEC No.: 1-4738-03259100001 Permit(s); Article 15,Title 5; Protection of Waters 6 NYCRR 608:Water Quality Certification Article 25:Tidal Wetlands Project Location: 5028 New Suffolk Avenue, Mattituck The Department of Environmental Conservation has completed its review of your request to amend the referenced permit_ This permit authorizes the construction of a catwalk and the installation of a seasonal ramp and float. We have determined, pursuant to the Uniform Procedures Act and Tidal Wetlands Land Use Regulations(6NYCRR Parts 621 and 661 respectively) that the requested changes will not exceed the scope of the original permit and can,therefore,be approved. The permit is hereby amended to authorize a decrease in the width of the catwalk from 4 feet to 3 feet and in the height above grade from 3 '/z feet to 3 feet. All features shall conform to the attached site plan prepared by Land Use Ecological Services on 9-17-2003 and last revised 6-3-2004. Special Condition number 3 is modified to read"Dock or timber catwalk shall not exceed 3 feet in width and shall be a minimum of 3 feet above grade'over tidal wetland areas('as measured from the ground to the bottom of the dock or catwalk sheathing). All other terms and conditions remain as written in the original permit. This document is an amendment to the original permit, and, as such, must be available on the project site with the original permit and approved plans whenever authorized work is being conducted. If you have any questions or wish to discuss this determination, please contact your Project Manager, Karen Westerlind, at 631-444-0365. Very truly yours, George W Hammarth Deputy Regional Permit Administrator Enclosure cc Land Use Ecological Services " DEPARTMENT OF THE ARMY NEW YORK DISTRICT,CORPS OF ENGINEERS r 1}` JACOB K.JAVITS FEDERAL BUILDING (•- �� f NEW YORK,N.Y.19278-0090 AUG 2 3 2004 REPLY TO ATTENTION OF Eastern Permits Section SUBJECT: Department of the Army Permit N 9,4'21:, ` Geert Martens & Ray Murray c/o Land Use Ecological Services 'fl � PO Box 1060, Village Dock Riverhead, New York 11901-0703 Dear Sirs : F. We have completed our review of Application Number 2003- 00942-L2 . Pursuant to Section 10 of the Rivers and Harbors Act of 1699 (33 USC 403) , you are hereby authorized by the Secretary of the Army: ACTIVITY: Construct a pier assembly consisting of 4 foot wide by 83 foot long fixed timber pier constructed a minimum of 4 feet above the grade of wetlands as measured from the lower edge of the stringers, a 3 foot wide by 20 foot long seasonal ramp, and 6 foot wide by 20 foot long seasonal float . All work shall be performed in accordance with the attached drawings, subject to Special Conditions A and B, which are hereby made a part of this permit. WATERWAY: Deep Hole Creek a tributary of Great Peconic Bay LOCATION: Village of Mattituck, Town of Southold, Suffolk County, New York The activity authorized herein must be completed within three years of the date of this permit . This authorization is subject to the enclosed conditions . Please find enclosed two forms to be used to submit to this office, as required, the dates of commencement and completion for the authorized activity. Also enclosed for your information is a Notification of Administrative Appeal Options. The authorized activity must be performed in accordance with the enclosed plans. If any material changes in the location or plans of the subject work are found necessary, revised plans should be submitted to the District Engineer. These plans must receive the approval required by law before work begins . r- Notice is hereby given that the permittee should recognize that a possibility exists that the structures permitted herein may be subject to wavewash from passing vessels. The issuance of this permit does not relieve the permittee from taking all proper steps to insure the integrity of the structures permitted herein and the safety of boats moored thereto from damage by wavewash and the permittee shall not hold the United States liable for any such damage. If any questions should arise concerning this matter, please contact Russell C Smith, of my staff, at (212) 264-3912 . S 'ncerely, " AR ANE H' KE ALF OF" Richard J. Polo Jr. Colonel, U.S. Army District Engineer Enclosures 2 NOTIFICATION OF ADMINISTRATIVE APPEAL OPTIONS AND PROCESS AND REQUEST FOR APPEAL Applicants:Geert Martens& Ray Murray File Number: 2003-00942 Date: AUG 2 3 2004 Attached is: See Section Below X INITIAL PROFFERED PERMIT(Standard Permit or Letter of Permission) A PROFFERED PERMIT (Standard Permit or Letter of Permission) B PERMIT DENIAL C APPROVED JURISDICTIONAL DETERMINATION D PRELIMINARY JURISDICTIONAL DETERMINATION E SECTION I -The following identifies your rights and options regarding an administrative appeal of the above decision. Additional information may be found at http://usace.army.miliinct/functions/cw/cecwo/reg or Corps regulations at 33 CFR Part 331. A: INITIAL PROFFERED PERMIT: You may accept or object to the permit. • ACCEPT. If you received a Standard Permit, you may sign the permit document and return it to the New York District Engineer for final authorization. if you received a Letter of Permission(LOP), you may accept the LOP and your work is authorized. Your signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all rights to appeal the permit, including its terms and conditions,and approved jurisdictional determinations(JD) associated with the permit. • OBJECT: If you object to the permit (Standard or LOP) because of certain terms and conditions therein, you may request that the permit be modified accordingly. You must complete Section II of this form and return the form to the New York District Engineer. Your objections must be received by the New York District Engineer within 60 days of the date of this notice, or you will forfeit your right to appeal the permit in the future. Upon receipt of your letter, the New York District Engineer will evaluate your objections and may: (a) modify the permit to address all of your concerns, (b) modify the permit to address some of your objections,or(c) not modify the permit having determined that the permit should be issued as previously written. ,After evaluating your objections, the New York District Engineer will send you a proffered permit for your reconsideration, as indicated in Section B below_ B: PROFFERED PERMIT: You may accept or appeal the permit. • ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the New York District Engineer for final authorization_ If you received a Letter of Permission(LOP), you may accept the LOP and your work is authorized. Your signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all rights to appeal the permit, including its terms and conditions,and approved jurisdictional determinations associated with the permit. • APPEAL: If you choose to decline the proffered permit (Standard or LOP) because of certain terms and conditions therein, you may appeal the declined permit under the Corps of Engineers Administrative Appeal Process by completing Section II of this form and sending the form to the North Atlantic Division Engineer. ATTN: CENAD-ET-O, Fort Hamilton Military Community, Building 301, General Lee Avenue, Brooklyn, NY 11252-6700. This form must be received by the Division Engineer within 60 days of the date of this notice. C: PERMIT DENIAL: You may appeal the denial of a permit under the Corps of Engineers Administrative Appeal Process by completing Section II of this form and sending the form to the North Atlantic Division Engineer, ATTN: CENAD-ET-O, Fort Hamilton Military Community,Building 301, General Lee Avenue,Brooklyn, NY 11252-6700. This forni must be received by the Division Engineer within 60 days of the date of this notice. D. APPROVED JURISDICTIONAL DETERMINATION: You may accept or appeal the approved JD or provide new information. • ACCEPT. You do not need to notify the Corps to accept an approved JD. Failure to notify the Corps within 60 days of the date of this notice, means that you accept the approved JD in its entirety, and waive all rights to appeal the approved JD. • APPEAL: If you disagree with the approved JD,you may appeal the approved JD under the Corps of Engineers Administrative Appeal Process by completing Section II of this form and sending the form to the division engineer. This form must be received by the North Atlantic Division Engineer within 60 days of the date of this notice with a copy furnished to the New York District Engineer. E: PRELIMINARY JURISDICTIONAL DETERMINATION: You do not need to respond to the Corps regarding the preliminary JDA The Preliminary JD is not appealable_ If you wish, you may request an appro%ed JD (which may be appealed), by contacting the Corps district for further instruction. Also you may provide new information for further consideration by the Corps to reevaluate the JD_ SECTION II - REQUEST FOR APPEAL or OBJECTIONS TO AN INITIAL PROFFERED PERMIT REASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons for appealing the decision or your objections to an initial proffered permit in clear concise statements. You may attach additional information to this form to clarify where your reasons or objections are addressed in the administrative record.) ADDITIONAL INFORMATION: The appeal is limited to a review of the administrative record, the Corps memorandum for the record of the appeal conference or meeting,and any supplemental information that the review officer has determined is needed to clarify the administrative record. Neither the appellant nor the Corps may add new information or analyses to the record. However, you may provide additional information to clarify the location of information that is already in the administrative record. POINT OF CONTACT FOR QUESTIONS OR INFORMATION: If you have questions regarding this decision and/or the appeal process If you only have questions regarding the appeal process you may contact: you may also contact: Richard L. Tomer James W. Haggerty, Regulatory Appeals Review Officer U.S. Army Corps of Engineers, New York District North Atlantic Division,U.S. Army Engineer Division Jacob K. Javits Federal Building Fort Hamilton Military Community New York, NY 10278-0090 General Lee Avenue, Building 301 (212) 264-9053 or 3996 Brooklyn,NY 11252-6700 (718) 765-7150 E-mail: James.W.Haggerty@nad02.usacearmy.mil RIGHT OF ENTRY: Your signature below grants the right of entry to Corps of Engineers personnel, and any government consultants. to conduct investigations of the project site during the course of the appeal process. You will be provided a 15 day notice of any site investigation,and will have the opportunity to participate in all site investigations. Date: Telephone number: Signatures of appellants or agent. 2 DEPARTMENT OF THE ARMY NEW YORK DISTRICT,CORPS OF ENGINEERS JACOB K.JAVITS FEDERAL BUILDING NEW YORK,N.Y.10278-0090 REPLY TO ATTENTION OF CENAN-OP-RH IMPORTANT This letter must be completed and mailed to the Harbor Supervision & Compliance Section at the above address prior to commencement of any work authorized under the permit. Permittees: Geert Martens and Ray Murray Permit No. 2003-00942 Date Permit Issued: AUG 2 3 2004 Expiration Date: AUG 2 3 2007 Waterway: Deep Hole Creek, Great Peconic Bay City & State: Village of Mattituck, Town of Southold, Suffolk County, New York Work will commence on or about: Name, Address & Telephone Number of Contractor: Signatures of Permittees Date Fold this form into thirds, with the bottom third facing outward. Tape it together and mail to the address below or FAX to (212) 264-4260. Place Stamp Here Department of the Army New York District Corps of Engineers Jacob K. Javits Federal Building ATTN: CENAN-OP-RH New York, New York 10278-0090 i Douglas and Leslie Hirsch 5028 New Suffolk Avenue Mattituck, N.Y. 11952 Elizabeth Cantrell Senior Office Assistant APR 2 1 2021 Town of Southold Board of Trustees r Soufh�ltl Town Town Hall Annex Board of trustees 54375 Route 25 Southold,NY 11971 Re: Permit Transfer For 5028 New Suffolk,Avenue Dear Sir or Madam; I am the new owner of 5028 New Suffolk Avenue,Mattituck,NY.I am writing to request that the following permits be transferred from the prior owners to me and my wife: 1.Permit No. 5101 dated January 26,2000—wetlands permit to construct a single family dwelling with pool, cabana and garage. 2. Permit No. 5932 dated May 26, 2004—wetlands permit to construct dock 3.Permit No. 9445A dated May 15,2019—hot tub permit Enclosed please find a check in the amount of$150 to cover the application fees for the transfer of the three permits. Should you need anything further, please email me at dhirseho,sadis.com or call me at 516-456-6886. Thank you. Very truly yours, 1 Douglas Hir h Board of Trustees A—li.cation AFFIDAVIT ��^PF z— Sc— 1 SC BEING DULY SWORN E 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 BOARD OF 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, INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL.INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS ` DAY OF L , 20,�L Notary Public 6 N&o6 t�rr`t r,6 -rm'r S a-4L of ff-vhf 0`1 o 16 r'6 3 Aq Fo( K \J/l /� �. APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The numse of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. C ( C C YOUR NAME: I* (Last name,fi t name,.9tiddle initial,unlesil you are applying in the name of someone else or other entity,such as a company.If so,indicate the,other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other'',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"rncans a business, including,a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A}the owner of greater than 5%of the shares of the corporate stock of the applic4nt (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a tion-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted ht day of �� ` 2001 Signature Print Name (9-0 Form TS 1 4 Board Of $outhold 'Town Trustees SOUTHOLD, NEW YORK GEERT MARTENS & RAY MURRAY ISSUED TO ................................................................................................................................. · Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893: and Chapter 404 of the Laws of the State of New York 1952: and the Soufheld Town Ordinance eh- tiffed ."REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, C, RAVEL' OR OTHER MATERIALS. _F-~JDM LANDS .UNDER TOWN WATERS:'..~. and in accordance with the Resolution of The Board adopted afa meeting heJd O~ ...Z~/~.?,~,~ .... ~.~.., and in consideration of the sum of $.......~.~.~..~.9 ... paid by ........ '~ ~.~....~ ~:~:~.~.~....~....~-.~)/....~-.~.~:~. .............................................. ~ ...................... of .......................... ~..~.~ ........................... N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, ~uth~d Town Trudees authorizes and pg. rmlts the following: ~ to eo~-e~ a docking fa~L~ity co~isting o~ a 83' fixed timber catwalk elev. 'a min. of 3' above wetlands; 3'X 2~' ramp, and a 6'X 2~' floating dock, wdth the cond~on a boa~ is moored only on th~ north side of the float, and all in .accor..danca with .the detai~ed specifications as presented in · 'l~e cng|hating application. ~ depicted on the plan prepared Use Ecological Service~ ~ast revis.ed June .3, _200.4. ~ ~)~ causes ~ Corporate Seal to be affixed, and these ~'.esenfs to subsc. Hloed by a 'majorHy of the said Board .as of thls darn. 1T:P~S and CoNDmoNs ' ~ i .~ p~t_~ Geert Martens & Ray Murray 5.028 New Suffolk Ave., Mattituck N. ~ m ' . ' -'~ Alber~ J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route25 P.O. Box 1179 Southold, New York 11971-0959 Telephone(631) 765-1892 Fax¢631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD CERTIFICATE OF COMPLIANCE # 0046C Date July 8, 2005 THIS CERTIFIES that the fixed catwalk, ramp, and floating dock At 5028 New Suffolk Ave., Mattituck Suffolk Count), Tax Map # 115-10-2 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 3/12/04 pursuant to which Trustees Permit# 5932 Dated 5/26/04 is The certificate is issued to Geert Martens & Ray Murray aforesaid property. Was issued, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued for a fixed catwalk, ramp, and floating dock owner of the Authorized Signature Albert J. Krupski, President James King, Vice-President Artie Foster Ken PolRvoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone 1631 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. H INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction ¼ constructed Project complete, compliance inspection. Albert J. Krupski, President James King, Vice-President Artie Foster Ken Po]iwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Te ephone (63111 765-1892 Fax (6311 765-1366 May 26, 2004 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD Ms. Kelly Cantara Land Use Ecological Services, Inc. P.O. Box 1060 Riverhead, NY 11901 RE: GEERT MARTENS & RAY MURRAY 5028 NEW SUFFOLK AVE., MATTITUCK SCTM#115~10-2 Dear Ms. Cantara: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, May 26, 2004 regarding the above matter: WHEREAS, Land Use Ecological Services, Inc. on behalf of GEERT MARTENS & RAY MURRAY applied to the Southold Town Trustees for a permit under the provisions of Chapter 97 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated Mamh 12, 2004, 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 May 26, 2004, 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 GEERT MARTENS & RAY MURRAY to construct a docking facility consisting of a 3'X 83' fixed timber catwalk elevated a min. of 3' above wetlands, a 3'X 20' ramp, and a 6'X 20' floating dock, with the condition that a boat is moored only on the north side of the float, and all as depicted on the plan prepared by Land Use Ecological Services, Inc. last revised June 3, 2004. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees:S995.00 Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/Ims Albert J. Krupski, President James King. Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (6311765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated all ~1©~ reviewed by this Board at the regular meetin§ of ,.5~(~ l oq followin9 action was taken: ( "~)Application Approved (see below) ( )Application Denied (see below) )Application Tabled (see below) has been and the If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in the instruction sheet. The following fee must be paid within 90 days or re-application fees will be necessary. Received From  Address ~ For _ · DUE COMPUTATION OF PERMIT FEES: ,S~u~rd L.~ ~ - -~'~,q xj ('~'tU~OLtK ~ i55' ~3.~. = 042352 Telephone (631) 765-1892 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York I 1971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Tuesday, April 13, 2004, the following recommendation was made: Moved by Don Wilder, seconded by William Cook, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH CONDITIONS of the Wetland Permit application of GEERT MARTENS & RAY MURRAY to construct a 4'X 83' fixed timber catwalk, a 3'X 20' ramp and a 6'X 20' float. Located: 5028 New Suffolk Ave., Mattituck. SCTM#115-10-2 The CAC recommends Approval of the application with the Condition the large trees are protected and the existing non-turf buffer is maintained. Vote of Council: Ayes: All Motion Carried Martens/Murrav--Mattitnck Martens/Murray Mattituck Location MaD OREGO EAS1 PS ~YATTITUCK /// COUNTRY Old Cove ¥£ GREA LAND USE ECOLOGICAL SERVICES, INC. PO BOX 1060, VILLAGE DOCK T P E C 0 N I NOR TH B ~ ¥ Taken from Suffolk County Atlas,. Published by Hagstrom, 1995 i x~. lilil °~m~fllllltlllllllllllllllllllllllllllllllllllllll "~-~'¥' I'[i[T~lllllllllllllllllllllllllllllllll Albert 3. Krupeki. Pr~ide~t · - Artie Foster K~n Poliwada Pe~y' A. Dicker~n ~0w= Hall 53095 Route 25 P,O. ]~ox Il?6 -~outhQlcl, New York 119~1-0959 ~houe (631) 765-1892 P~ (631) 765-1966 BOARD OF TOWI~ 3'RUS'~'=IB8 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 SI[ALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1at day of c, onstruotion ½ constructed Project oomplete, c, omplianoe inspection. I'd 99£~S9~:0± ~£2~18I£9 SNO~ 3NIaUN 3dW3SW3S:NO~ d60:~0 S00a-O£-NA£ DEPARTM[NT OF STATE September 25, 2003 Ms. Kelly Cantara Land Use Ecological Sen'ices, Inc. P.O. Box 1060 Riverhead, Nh' ! !90i Re: F- 2003-0698 - Reconfigure floating dock by rotating 90© U.S. Army Corps of Engineers/New York District Permit Application General Concurrence - Modification To Previously Reviewed Activity Dear Ms. Cantara, The Department of State received your proposed modification of the above-referenced activity on Sept 22, 2003. The Department previously reviewed the original proposal and concurred with a consistency certification for it, or otherwise indicated it had no objection to authorization of the proposed activity. The proposed modification involves reconfiguring the proposed floating dock 90©, to be perpendicular to the shoreline. The Department of State has determined that this modification of the activity previously reviewed by this Department would not result in coastal zone effects that would be substantially different than those originally reviewed by the Department, and that the modified proposal meets the Department's general consistency concurrence criteria. Therefore, further Department of State review of this modification to the previously reviewed activity, and the Dcpartmcnt's concurrence evith an individual consistency ce~ificatien, are not required. ~ehe~nF~0~3.u0n~t. ing with us regarding this matter' please c°/hct Gary H1 a?l Coastal Resource Specialist Consistency Revie~v and Analysis 8) 486-3047 and refer to our c: COE/New York District - M. Helman NYSDEC/Region 1 - J. Pavacic Kelly Cantara Land Use Ecological Services. Inc. 2576 Sound Avenue Baiting Holloxx, NY 11933 STATE OF NEW YORE DEPARTM~'NT OF STATE 4 I STATE STREET ALBANY, NY 12231-0001 September 19, 2003 RANDY A. DANIELS Re: F-2003-0698 U.S. Ann), Corps of Engineers.rNew York District Permit Application - Geert Martens & Ray Murray - Construct 4' x 83' fixed timber catwalk, 3' x 20' ramp {seasonal), 6' x 20' float (seasonal) Deep Hole Creek, Tox~qn of Southold, Suffolk County General Concurrence Dear Ms. Cantara: The Department of State received >'our Federal Consistency Assessment Form and consistency certification and supporting information for this proposal on August 27, 2003. The Department of State has determined that this proposal meets the Department's general consistency concurrence criteria. Therefore, further review of the proposed activity by the Department of State, and the Department's concurrence with an individual consistency certification, are not required. When communicating with us regarding this matter, please contact Gary. Haight at (518) our file #F-2003-0698. 6-3047 and refer to Coastal Resource Specialist Consistency Reviev. Unit sm COE/New York D~strict - Marc Helman NYSDEC,'Region 1- John Pavacic New York State Department of Environmental Conservation Division of Environmental Permits, Region One Building 40 - SUNY, Stony Brook, New York 11790-2356 Phone: (631) 444-0365 · FAX: (631) 444-0360 Website: www.dec.state.ny.us Erin M. Crotty Commissioner March 25, 2004 Geert Martens & Ray Murray 119 West 71st St New York NY 10023 Dear Permittee: Re: Martens & Murray Property, 5028 New Suffolk Avenue, Mattituck DEC No. 1-4738-03259/00001 In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621), we are enclosing your permit and approved plans. Please read all permit conditions carefully. If you are unable to comply with any conditions, please contact us at the above address. Also enclosed is a permit sign, which is to be conspicuously posted at the project site and protected from the weather, and the dual Notice of Commencement/Completion of Construction. Please follow all instructions on the latter. Very truly yours, Karen S. Westerlind Environmental Analyst Enclosures: 4 cc: Land Use Ecological Services NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER 1-4738-03259/00001 FACILITY/PROGRAM NUMBER(S) PERMIT Under the Environmental Conservation Law EFFECTIVE DATE 25 March 2004 EXPIRATION DATE(S) 31 March 2009 TYPE OF PERMIT · New [] Renewal [] Modification [] Permit to Construct [] Permit to Operate [] Amcle 15, Title 5: Protection of Waters [] Article 15, Title 15: Water Supply [] Article 15, Title 15: Water Transport [] Ar[icle 15, Title 15: Long Island Wells [] Article 15, Title 27: Wild, Scenic and Recreational Rivers [] 6NYCRR 608: Water Quality Cedifica- tion PERMIT ISSUED TO Geer[ Martens & Ray Murray ADDRESS OF PERMI~rEE 119 West 71st Street, New York, NY 10023 CONTACT PERSON FOR PERMITTED WORK Kelly Cantata, Land Use Ecological Services, Inc. PO Box 1060, Riverhead, NY 11901 NAME AND ADDRESS OF PROJECT/FACILITY Martens & Murray Property, 5028 New Suffolk Avenue, Mattituck LOCATION OF PROJECT/FACILITY SCTM: 1000-115-10-02 COUNTY TOWN Suffolk Southold [] Article 17, Titles 7, 8: SPDES [] Article 19: Air Pollution Control [] Article 23, Title 27: Mined Land Reclamation [] Article 24: Freshwater Wetlands · Article 25: Tidal Wetlands [] Article 27, Title 7; 6NYCRR 360: Solid Waste Management WATERCOURSE Deep Hole Creek [] Article 27, T~tle 9; 6NYCRR 373: Hazardous Waste Management [] Article 34: Coastal Erosion Management Lq Article 36: Floodplain Management [] Articles 1, 3, 17, 19, 27, 37; 6NYCRR 380: Radiation Control TELEPHONE NUMBER (212) 963-7446 TELEPHONE NUMBER (631) 727-2400 NYTM COORDINATES E: 708.9 N: 4540.6 DESCRIPTION OF AUTHORIZED ACTIVITY Construct a catwalk 83 feet long by 4 feet wide, a seasonal ramp 20 feet long by 3 feet wide, and a seasonal floating dock 20 feet long by 6 feet wide. Pilings 6 inches in diameter will be used to support the catwalk and anchor the float. All work is to be done in accordance with the attached plans stamped NYSDEC approved. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: (KSW) George W. Hammarth, Deputy Permit Adminstrator AUTHORIZED SIGNATURE ADDRESS Region 1 Headquarters Bldg. #40, SUNY, Stony Brook, NY 11790-2356 DAT,~///~ Page 1 of 4 SPECIAL CONDITIONS Any debris or excess material from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal. No debris is permitted in tidal wetlands and/or protected buffer areas. The storage of construction equipment and materials shall be confined to upland areas landward of the crest of the bluff or hill. Dock or timber catwalk shall not exceed 4 feet in width and shall be a minimum of 3V2 feet above grade* over tidal wetland areas (* as measured from ground to bottom of dock sheathing). The use of wood treated with pentachlorophenol in the construction of structures that will be in contact with tidal waters is strictly prohibited. Dock reconstruction or replacement or seasonal installation shall not involve expansion or substantial modification of existing structures or facilities. Floats and ramps may not rest on or be stored in any vegetated tidal wetland. No dredging, excavating or other alteration of shoreline or underwater areas is authorized by this permit, nor shall issuance of this permit be construed to suggest that the Department will issue a permit for such activities in the future. 10. 11. 12. 13. No permanent structures may be installed on dock/catwalk/float without first obtaining written Department approval (permit, modification, or amendment). Docks/catwalks/floats may not (a) extend laterally beyond property lines, (b) be placed so that docked boats extend over adjacent property line, (c) interfere with navigation, (d) interfere with other landowners riparian rights. The ramp and float shall be installed and removed on a seasonal basis. They shall be installed no earlier than April 1 of each calendar year and removed no later than December 1 of each calendar year. The fixed catwalk seaward of the vegetated tidal wetlands may be removed and installed on a seasonal basis at the permit holders' discretion to prevent damage that may be caused by ice or other adverse weather conditions. The permit holder is responsible for the removal of any debris which has accumulated as a result of the permitted structure being left in place for the winter season. The permit holder is responsible for the restoration of wetlands which have suffered damage due to the permitted structure being left in place for the winter season. DEC PERMIT NUMBER 1-4738-03259/00001 Geert Martens & Ray Murray PAGE 2 of 4 NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, and agents ("DEC") for all claims, suits, actions, and damages, to the extent attributable to the permittee's acts or omissions in connection with, or operation and maintenance of, the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent or intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns o f their responsibility to comply with this perm it, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of-way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. GENERAL CONDITIONS General Condition 1: Facility Inspection by the Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71-0301 and SAPA 401 (3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. General Condition 2: Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. General Condition 3: Applications for Permit Renewals or Modifications The permittee must submit a separate written application to the Depadment for renewal, modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. The permittee must submit a renewal application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES), Hazardous Waste Management Facilities (HWMF), major Air Pollution Control (APC) and Solid Waste Management Facilities (SWMF); and b) 30 days before expiration of all other permit types. Submission of applications for permit renewal or modification are to be submitted to: NYSDEC Regional Permit Administrator, Region 1, SUNY Bldg #40, Stony Brook NY 11790-2356 General Condition 4: Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to modify, suspend or revoke this permit in accordance with 6 NYCRR Part 621. The grounds for modification, suspension or revocation include: a) materially false or inaccurate statements in the permit application or supporting papers; b) failure by the permittee to comply with any terms or conditions of the permit; c) exceeding the scope of the project as described in the permit application; d) newly discovered material information or a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; e) noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. DECPERMITNUMBER Geert Martens & Ray Murray [ PAGE ;3 OF ~ 1-4738-03259/00001 I ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (TITLE 5), 24, 25, 34 AND 6NYCRR PART 608 ( TIDAL WETLANDS) If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed, the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on eocount of any such removal or alteration. The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. Granting of this permit does not relieve the applicant of the responsibility of obtaining any other permission, consent or approval from the U.S. Army Corps of Engineers, U.S. Coast Guard, New York State Office of General Services or local government which may be required. All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project. Any material dredged in the conduct of the work herein permitted shall be removed evenly, without leaving large refuse piles, ridges across the bed of a waterway or floodplain or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a waterway. 6. There shall be no unreasonable interference with navigation by the work herein authorized. If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. If granted under 6NYCRR Part 608, the NYS Department of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitations or other limitations or standards under Sections 301,302, 303,306 and 307 of the Clean Water Act of 1977 (PL 95-217) provided that all of the conditions listed herein are met. At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work and, if required, a survey. 10. All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or his agent as part of the permit application. Such approved plans were prepared by Land Use Ecoloqical Services and dated 9-17-03. BEC PERMIT NUMBER Geert Martens & Ray Murray PAGE 4 OF 4 1-4738-03259/00001 NOTICE OF COMMENCEMENT OF CONSTRUCTION RETURN THIS FORM TO: PERMIT NUMBER: PROJECT LOCATION/ADDRESS: COMPLIANCE Marine Habitat Protection NYSDEC Building 40 - SUNY Stony Brook, NY 11790-2356 OR FAX TO: 631-444-0297 CONTRACTOR NAME: ADDRESS: TELEPHONE: Dear Sir: Pursuant to General Condition # 9 of the referenced permit, you are hereby notified that the authorized activity shall commence on · We certify that we have road the referonced permit and approved plans and fully understand the authorized project and ali permit conditions. We have inspected the project site and can complete the project as described in the permit and as depicted on the approved plans. We can do so in full compliance with all plan notes and permit conditions. The permit sign, permit and approved plans will be available at the site for inspection in accordance with general Condition No. 1. (Both signatures requirod) PERMITEE DATE CONTRACTOR DATE THIS NOTICE MUST BE SENT TO THE ABOVE ADDRESS A T LEAST TWO DA YS PRIOR TO COMMENCEMENT OF THE PROJECT AND /OR ANY ASSOCIATED REGULATED ACTIVITIES. FAILURE TO RETURN THIS NOTICE, POST THE PERMIT SIGN, OR HAVE THE PERMIT AND APPROVED PLANS AVAILABLE A T THE WORK SITE FOR THE DURA TION OF THE PROJECT MA Y SUBJECT THE PERMITTEE AND/OR CONTF~CTOR TO APPLICABLE SANCTIONS AND PENAL TIES FOR NON-COMPLIANCE WITH PERMIT CONDITIONS. NOTICE OF COMPLETION OF CONSTRUCTION RETURN THIS FORM TO: COMPLIANCE Marine Habitat Protection NYSDEC Building 40 - SUNY Stony Brook, NY 11790-2356 OR FAX TO: 631-444-0297 PERMITNUMBER: /- ~'7 ~' ~.~ ~r~/c~Oc.~d/ ISSUEDTO: PROJECTLOCATION/ADDRESS: ~0~ ~-~? ~',~6~ CONTRACTOR NAME: ,,× ADDRESS: TELEPHONE: Dear Sir: Pursuant to General Condition # 9 of the referenced permit, you are hereby notified that the authorized activity was completed on · We have fully complied with the terms and conditions of the permit and approved plans. (Both signatures required) PERMITEE DATE CONTRACTOR DATE THIS NOTICE, WITH PHOTO(SHA~H~ UP I H~ ~,'(JMI~L~ I t-U FV(.]Hi~ AIVU/i~Id A u~)MPLETED SURVEY, AS APPROPRIATE, MUST BE SENT TO THE ABOVE ADDRESS WITHIN 30 DA YS OF COMPLETION OF THE PROJECT. New York State Department of Environmental Conservation Division of Environmental Permits, Region One Building 40 - SUNY, Stony Brook, New York 11790-2356 Phone: (631) 444-0365 · FAX: (631)444-0360 Web$ite: www.dec.state.ny.us Erin M. Crotty Commissioner AMENDMENT TO PERMIT Date: October 1 2004 To: Geert Martens & Ray Murray 119 West 71s~ St New York, NY 10023 DEC No.: 1-4738-03259/00001 Permit(s): Article 15, Title 5; Protection of Waters 6 NYCRR 608: Water Quality Certification Article 25: Tidal Wetlands Project Location: 5028 New Suffolk Avenue, Mattituck The Department of Environmental Conservation has completed its review of your request to amend the referenced permit. This permit authorizes the construction of a catwalk and the installation of a seasonal ramp and float. We have determined, pursuant to the Uniform Procedures Act and Tidal Wetlands Land Use Regulations (6NYCRR Parts 621 and 661 respectively) that the requested changes will not exceed the scope of the original permit and can, therefore, be approved. The permit is hereby amended to authorize a decrease in the width of the catwalk from 4 feet to 3 feet and in the height above grade from 3 '/2 feet to 3 feet. All features shall conform to the attached site plan prepared by Land Use Ecological Services on 9-17-2003 and last revised 6-3-2004. Special Condition number 3 is modified to read "Dock or timber catwalk shall not exceed 3 feet in width and shall be a minimum of 3 feet above grade* over tidal wetland areas (*as measured from the ground to the bottom of the dock or catwalk sheathing). All other terms and conditions remain as written in the original permit. This document is an amendment to the original permit, and, as such, must be available on the project site with the original permit and approved plans whenever authorized work is being conducted. If you have any questions or wish to discuss this determination, please contact your Project Manager, Karen Westerlind, at 631-444-0365. Very truly yours, George W. Hammarth Deputy Regional Permit Administrator Enclosure cc: Land Use Ecological Services ~LAN VIEW: ,99 I,' c)'5 LandUse October 7, 2004 Town of Southold Board of Town Trustees PO Box 1179 Southold, NY 11971 Sonthnld Town -- floard of Trus ees Martens/Murray--Mattituck Proposed Dock Dear Sir or Madam: Enclosed are the NYSDEC and Army Corps permits modified to 3' width and 3' height over the wetlands, as approved by the Trustees on May 26, 2004. If you have any questions or require further information, please contact this office. Thank you. S~erely, Kelly Cantara Ecologist Eric. PO Bo~ 1060 · Village Dock. Ri:erhead Ne.:., Ybrk · 11901 631-727-2400 · FAX 631-727-2605 REPLY TO A~rENTION OF Eastern Permits Section DEPARTMENT OF THE ARMY NEW YORK DISTRICT, CORPS OF ENGINEERS JACOB K. JAVlTS FEDERAL BUILDING NEW YORK, N.Y. 102784)090 AUG 2 3 2004 SUBJECT: Department of the Army Permit N' Geert Martens & Ray Murray c/o Land Use Ecological Services PO Box 1060, Village Dock Riverhead, New York 11901-0703 Dear Sirs: ~ . We have completed our review of Application Number 2003- 00942-L2. Pursuant to Section 10 of the Rivers and Harbors Act of 1899 (33 USC 403), you are hereby authorized by the Secretary of the Army: ACTIVITY: Construct a pier assembly consisting of 4 foot wide by 83 foot long fixed timber pier constructed a minimum of 4 feet above the grade of wetlands as measured from the lower edge of the stringers, a 3 foot wide by 20 foot long seasonal ramp, and 6 foot wide by 20 foot long seasonal float. All work shall be performed in accordance with the attached drawings, subject to Special Conditions A and B, which are hereby made a part of this permit. WATERWAY: Deep Hole Creek a tributary of Great Peconic Bay LOCATION: Village of Mattituck, Town of Southold, Suffolk County, New York The activity authorized herein must be completed within three years of the date of this permit. This authorization is subject to the enclosed conditions. Please find enclosed two forms to be used to submit to this office, as required, the dates of commencement and completion for the authorized activity. Also enclosed for your information is a Notification of Administrative Appeal Options. The authorized activity must be performed in accordance with the enclosed plans. If any material changes in the location or plans of the subject work are found necessary, revised plans should be submitted to the District Engineer. These plans must receive the approval required by law before work begins. Notice is hereby given that the permittee should recognize that a possibility exists that the structures permitted herein may be subject to wavewash from passing vessels. The issuance of this permit does not relieve the permittee from taking all proper steps to insure the integrity of the structures permitted herein and the safety of boats moored thereto from damage by wavewash and the permittee shall not hold the United States liable for any such damage. If any questions should arise concerning this matter, please contact Russell C Smith, of my staff, at (212) 264-3912. Enclosures S~ncerely[ "FOR AND IN 6~ALF ~±c~ard ~. ?olo ~r. ~olo~e[, U.S. Army District Engineer NOTIFICATION OF ADMINISTRATIVE APPEAL OPTIONS AND PROCESS AND REQUEST FOR APPEAL Applicants: Geert Martens & Ray Murcay ] File Number: 2003-00942 Date: AUG 2 3 2004 Attached is: See Section Below X INITIAL PROFFERED PERMIT (Standard Permit or Letter of Permission) A PROFFERED PERMIT (Standard Permit or Letter of Permission) PERMIT DENIAL B C APPROVED JURISDICTIONAL DETERMINATION D PRELIMINARY JURISDICTIONAL DETERMINATION SECTION I - The following identifies your rights and options regarding an administrative appeal of the above decision. Additional information may be found at http:/tusace.army.milfinet/functions/cw/cecwo/reg or Corps regulations at 33 CFR Part 331. A: INITIAL PROFFERED PERMIT: You may accept or object to the permit. ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the New York Dismct Engineer for final authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all rights to appeal the permit, including its terms and conditions, and approved jurisdictional determinations (JD) associated with the permit. OBJECT: If you object to the permit (Standard or LOP) because of certain terms and conditions therein, you may request that the permit be modified accordingly. You must complete Section II of this form and return the form to the New York District Engineer. Your objections must be received by the New York District Engineer within 60 days of the date of this notice, or you will forfeit your right to appeal the permit in the future. Upon receipt of your letter, the New York District Engineer will evaluate your objections and may: (a) modify the permit to address all of your concerns, (b) modify the permit to address some of your objections, or (c) not modify the permit having determined that the permit should be issued as previously written. After evaluating your objections, the New York District Engineer will send you a proffered permit for your reconsideration, as indicated in Section B below. B: PROFFERED PERMIT: You may accept or appeal the permit. ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the New York District Engineer for final authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all rights to appeal the permit, including its terms and conditions, and approved jurisdictional determinations associated with the permit. APPEAL: If you choose to decline the proffered permit (Standard or LOP) because of certain terms and conditions therein, you may appeal the declined permit under the Corps of Engineers Administrative Appeal Process by completing Section II of this form and sending the form to the North Atlantic Division Engineer. ATTN: CENAD-ET-O, Fort Hamilton Military Community, Building 301, General Lee Avenue, Brooklyn, NY 11252-6700. This form must be received by the Division Engineer within 60 days of the date of this notice. C: PERMIT DENIAL: You may appeal the denial of a permit under the Corps of Engineers Administrative Appeal Process by completing Section II of this form and sending the form to the North Atlantic Division Engineer, ATTN: CENAD-ET-O. Fort Hamilton Military Community, Building 301, General Lee Avenue. Brooklyn, NY 11252-6700. This form must be received by the Division Engineer within 60 days of the date of this notice. D: APPROVED JURISDICTIONAL DETERMINATION: You may accept or appeal the approved JD or provide new information. ACCEPT: You do not need to notify the Corps to accept an approved JD. Failure to notify the Corps within 60 days of the date of this notice, means that you accept the approved JD in its entirety, and waive all rights to appeal the approved JD. APPEAL: If you disagree with the approved JD, you may appeal the approved JD under the Corps of Engineers Adminis~'ative Appeal Process by completing Section II of this form and sending the form to the division engineer. This form must be received by the North Atlantic Division Engineer within 60 days of the date'of this notice with a copy furnished to the New York District Engineer. E: PRELIMINARY JURISDICTIONAL DETERMINATION: You do not need to respond to the Corps regarding the preliminary JD., The Preliminary JD is not appealable. If you wish, you may request an appro~,ed JD (which may be appealed), by contacting the Corps district for fi~rther instruction. Also you may provide new information for further consideration by the Corps to reevaluate the JD. SECTION II - REQUEST FOR APPEAL or OBJECTIONS TO AN INITIAL PROFFERED PERMIT REASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons for appealing the decision or your object~ons to an initial proffered permit in clear concise statements. You may attach additional information to this form to clarify where your reasons or objections are addressed in the administrative record.) ADDITIONAL INFORMATION: The appeal is limited to a review of the administrative record, the Corps memorandum for the record of the appeal conference or meeting, and any supplemental information that the review officer has determined is needed to clarify the administrative record. Neither the appellant nor the Corps may add new information or analyses to the record. However, you may provide additional information to clarify the location of information that is already in the administrative record. POINT OF CONTACT FOR QUESTIONS OR INFORMATION: If you have questions regarding this decision and/or the appeal process you may contact: Richard L. Tomer U.S. Army Corps of Engineers, New York District Jacob K. Javits Federal Building New York, NY 10278-0090 (212) 264-9053 or 3996 If you only have questions regarding the appeal process you may also contact: James W. Haggerty, Regulatory Appeals Review Officer North Atlantic Division, U.S. Army Engineer Division Fort Hamilton Military Community General Lee Avenue, Building 301 Brooklyn, NY 11252-6700 (718) 765-7150 E-mail: James. W.Haggerty~nad02.usace.army.mil RIGHT OF ENTRY: Your signature below grants the fight of entry to Corps of Engineers personnel, and any government consultants, to conduct investigations of the project site during the course of the appeal process. You will be provided a 15 day notice of any site investigation, and will have the opportunity to participate in all site investigations. Date: Telephone number: Signatures of appellants or agent. REPLY TO A~ENT~ON OF DEPARTMENT OF THE ARMY NEW YORK DISTRICT, CORPS OF ENGINEERS JACOB K. JAVlTS FEDERAL BUILDING NEW YORK, N.Y. 10278~)090 CENAN-OP-RH IMPORTANT This letter must be completed and mailed to the Harbor Supervision & Compliance Section at the above address prior to commencement of any work authorized under the permit. Permittees: Geert Martens and Ray Murrav Permit No. 2003-00942 mate Permit Issued: A00 2 3 2004 Expiration mate: AUG 2 $ 2007 Waterway: Deed Hole Creek, Great Peconic Bav City & State: Villaqe of Mattituck, Town of Southold, Suffolk County, New York Work will commence on or about: Name, Address & Telephone Number of Contractor: Signatures of Permittees Date Fold this form into thirds, with the bottom third facing outward. Tape it together and mail to the address below or FAX to (212) 264-4260. Place Stamp Here Department of the Army New York District Corps of Engineers Jacob K. Javits Federal Building ATTN: CENAN-OP-RH New York, New York 10278-0090 REPLY TO ATTENTION OF: DEPARTMENT OF THE ARMY NEW YORK DISTRICT, CORPS OF ENGINEERS JACOB K. JAVITS FEDERAL BUILDING NEW YORK, N.Y. 10278-0090 CENAN-0P- RH IMPORTANT This letter must be completed and mailed to the Harbor Supervision & Compliance Section at the above address following comDletion or cancellation of work authorized under the permit. Permittees: Geert Martens and Rav Murrav Permit No. 2003-00942 Date Permit Issued: AUG 2 3 2004 Expiration Date: AUC 2 3 2007 waterway: Deed Hole Creek, Great Peconic Bav City & State: Villaqe of Matittuck, Town of Southold, Suffolk County, New York Check and complete applicable item(s) listed below: Work was completed on Work will not be performed on the project. Deviation from work authorized in permit is explained below. Other (explain) For dredging projects, list the volume of material dredged, and the amount placed at each disposal location (if more than one). cubic yards placed at cubic yards placed at cubic yards placed at Signatures of Permittees Date Fold this form into thirds, with the bottom third facing outward. Tape it together and mail to the address below or FAX to (212) 264-4260. Place Stamp Here Department of the Army New York District Corps of Engineers Jacob K. Javits Federal Building ATTN: CENAN-OP-RH New York, New York 10278-0090 PERMITTEES: ~eert Martens and Ray Murray PERMIT NO.: 2003-00942 PERMIT CONDITIONS: NOTE: The term "you" and its derivatives, as used in this permit means the permittees or any future transferee(s). The term "this office" refers to the appropriate district or division office of the Corps of Engineers having jurisdiction over the permitted activity or appropriate official of that office acting under the authority of the commanding officer. GENERAL CONDITIONS: 1. The time limit for completing the work authorized ends within three years of the date of this permit. If you find that you need more time to complete the authorized activity, submit your request for a time extension to this office for consideration at least four months before the date is reached. 2. You must maintain the activity authorized by this permit in good condition and in conformance with the terms and conditions of this permit. You are not relieved of this requirement if you abandon the permitted activity, although you may make a good faith transfer to a third party upon written notification to this office. Should you wish to cease to maintain the authorized activity or should you desire to abandon it without a good faith transfer, you must obtain a modification of this permit from this office, which may require restoration of the area. 3. If you discover any previously unknown historic or archeological remains while accomplishing the activity authorized by this permit, you must immediately notify this office of what you have found. We will initiate the Federal and state coordination required to determine if the remains warrant a recovery effort or if the site is eligible for listing in the National Register of Historic Places. 4. You must allow representatives from this office to inspect the authorized activity at any time deemed necessary to ensure that it is being or has been accomplished in accordance with the terms and conditions of your permit. Special Conditions: (A) The permittee understands and agrees that, if future operations by the United States require the removal, relocation, or other alteration, of the structure or work herein authorized, or if, in the opinion of the Secretary of the Army or his authorized representative, said structure or work shall cause unreasonable obstruction to the free navigation of the navigable waters, the permittee will be required, upon due notice from the Corps of Engineers, to remove, relocate, or alter the structural work or obstructions caused thereby, without expense to the United States. No claim shall be made against the United States on account of any such removal or alteration. (B) The float shall be chocked to maintain a minimum of 2 feet of water at all tidal stands. PERMITTEES: Geert Martens and Ray Murray PERMIT NO.: 2003-00942 Further Information: 1. Limits of authorization. a. This permit does not obviate the need to obtain other Federal, state, or local authorizations required by law. b. This permit does not grant any property rights or exclusive privileges. c. This permit does not authorize any injury to the property or rights of others. d. This permit does not authorize interference with any existing or proposed Federal project. 2. Limits to Federal Liability. In issuing this permit, the Federal Government does not assume any liability for the following: a. Damages to the permitted project or uses thereof as a result of other permitted or unpermitted activities or from natural causes. b. Damages to the permitted project or uses thereof as result of current or future activities undertaken by or on behalf of the United States in the public interest. C. Damages to persons, property, or to other permitted or unpermitted activities or structures caused by the activity authorized by this permit. d. Design or construction deficiencies associated with the permitted work. e. Damage claims associated with any future modification, suspension, or revocation of this permit. 3. Reliance on Applicant's Data: The determination of this office that issuance of this permit is not contrary to the public interest was made in reliance on the information you provided. 4. Reevaluation of Permit Decision: This office may reevaluate its decision on this permit at any time the circumstances warrant. Circumstances that could require a reevaluation include, but are not limited to, the following: a. You fail to comply with the terms and conditions of the permit. b. The information provided by you in support of your permit application proves to have been false, incomplete, or inaccurate (See 3 above). c. Significant new information surfaces which this office did not consider in reaching the original public interest decision. 4 PERM'FTTEES: PERMYT NO.: ~eert Martens and Ray Murray 2003 -00942 Such a reevaluation may result in a determination that it is appropriate to use the suspension, modification, and revocation procedures contained in 33 CFR 325.7 or enforcement procedures such as those contained in 33 CFR 326.4 and 326.5. The referenced enforcement procedures provide for the issuance of an administrative order requiring you to comply with the terms and conditions of your permit and for the initiation of legal action where appropriate. You will be required to pay for any corrective measures ordered by this office, and if you fail to comply with such directive, this office may in certain situations (such as those specified in 33 CFR 209.170) accomplish the corrective measures by contract or Qtherwise and bill you for the cost. 5. Extensions. General condition 1 establishes a time limit for the completion of the activity authorized by this permit. Unless there are circumstances requiring either a prompt completion of the authorized activity or a reevaluation of the public interest decision, the Corps will normally give favorable consideration to a request for an extension of this time limit. Albert J. FLrupski, President James King, Vice-President Henry Smith Artie Foster Ken Peliwoda 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 UseOnly Coastal Erosion Permit Application ."~Vetland Permit Application ~' Major Waiver/Amendmemt/Chan~es _, · .. 7P. eceiv d ree:$ Completed Application Incomplete SEQF~ Classification: Type I_ Type II Unlisted Coordination:(date sent~ CAC se.t: --Date of Inspection: --__~Receipt of CAC ReportJ Lead Agency Determination: Technical Review: Resolution: Minor Name of Applicant Address / [C-~ ~ Phone Number:( ) Suffolk County Tax Map Number: 1000 Property Location: ~ovide LILCO Pole ~, distance to cro~ stre~s, and location) (If applicable) Address: ~ $outh0ld Io~n Trustees Board of Trustees Application GENERAL DATA Land Area (in square feet): 14r~ ~3~,~, · ~,~o Area Zoning: Previous use of property: Intended use of property: Pdor 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? No Yes If yes, provide explanation: Project Description (use attachments if necessary): Martens/Murrav--Mattituck Project Description Applicant proposes to construct a dock facility consisting of the following: · 4' x 83' fixed timber catwalk · 3' x 20' ramp (seasonal) · 6' x 20' float (seasonal) The catwalk will be elevated a minimum of 4' above the wetlands. It is proposed to be supported by twenty-four (24) 4" x 6" timber piles. The seasonal float is proposed to be supported by four (4) 4" x 6" timber piles. All dock piles are proposed to have a penetration of 10'. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ~.~(,~2~_ r'{t¢ ~fe ~, .~'~ ~ . Area of wetlands on lot: ~.(3 ~ ch oo ~'/- square feet Percent coverage of lot: ~U~ %/~ % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: 0 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: Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: cubic yards cubic yards feet ~nl of ~ ~. 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): Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes &proposed activity: ~:C'~_ We~C~o~:~qat t-~ ~_ Are wetlands present within 100 feet of the proposed activity? No ~ Yes 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) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YORK pUNTY OF SUFFOLK .. ~b~*(\-~ h~ , bein.~ duly sworn, deposes and says that on4he '~-*~ day of ~ ,20 %'q, deponent mailed a tree 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 names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessmentj.~ll of the Town Of Southold; that said Notices were mailed at the United States Post Office at r~,\~6dx~ , that said Notices were mailed to each of said persons by (certified) (registered) mail. ~ uu~rlr~'USL/C, STATE OF NEw¥OF~K ~ No. 01AL6080878 ~ 23, 20 0.~ Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, NewYork 11971-0959 Telephone(631) 765-1892 Fsx(631) 765-1366 BOARD OF TOWNT~USTEES TOWN OFSOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING being duly swom, depose and say: A . That on the (3 day of/7~) , 200 , ~[ personally posted ~he,property known as y p ' g ' p ere 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 heating noted thereon to be held ~Ot~:, ~/~ &t~'~. Dated: Swom to '~ /$ r~day o~ :,ofore me this CYNTHIA ALVAREZ NOTARY PUBLIC, STALE OF NEWYORK No. 01AL6080878 QUALIFIED IN SUFFOLK COUNTY MY COMMISSION EXPIRES SEPl123, 20 NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: 2. That the property which is the subject of Environmental Review--is located adjacent to your property and is described follows: 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: 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. MAILING ADDRESS: I ~C~ PHONE #: Enco: Copy of sketch or plan showing proposal for your convenience. Sou'{hold lown Board of Trustees Application County of Suffolk State of New York 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 CONIUNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS ,l~otary Public/ DAY OF c~ $ ,20 &~3 CYNTHIA ALVAREZ NOTARY PUBLIC, STATE OF NEW YORK No. 01AL6080878 QUALIFIED IN SUFFOLK COUNTY MYCOMMISSION EXPIRES SEP'[ 23, 20j~ 08z13,,'03 ~I'ED 10:46 FAX 6.31 ?-~?-~605 LAI~]) USE ECOLOGICAL AUtHOrIZATION (where the applicant is not the owner) ,(print owner o~ pro~rty) / (mailing to apply fo~ permit(s) from the southold Board of Town Trustees om ~ behalf 8 PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1. APPLICANT / SPONSOR Land Use for Geed Madens, Ray Murray 3.PROJECT LOCATION: Mattituck Municipality 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2. PROJECT NAME Martens/Murray-Mattituck Suffolk County 4. PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide mad 5028 New Suffolk Avenue, Mattituck, NY 11952 SCTM # 1000.115.10.02 5.1s PROPOSED ACTION: [] New j'--mExpansio(1 C--mModiflcatJon/alteratior) 6. DESCRIBE PROJECT BRIEFLY: SEQR Please refer to attached project description. 7. AMOUNT OF LAND AFFECTED: Initia(ly <:0.01'{' acres Ultimately <:0.01 ac~es 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ~ Yes LJ No If no, describe bdelty: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) ~']Residential Olndustrial OCommercial OAgbeulture OParklFomstlOpenSpace ~] Older (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, Stateor Local) ]Yes [] No If yes, list agency name and permit / approval: USACOE, NYSDOS, Town of Southold 11. DOES ANV ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? OYes []No If yes, list agency name and permit / approval: . ,, ,~' 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL RE~"~E~p~%~;'~ON? ~' , CERTI THAT THE ,NFOR 'T,O. PROV. DED "OVE ,S T.UE TO ~,i~.t ~ Ke,y Cantara/Land Use ecologica~ Services \'. ~'.". ffthe action is a Costal Area, and you am a state agen~f, ..~.~'/ complete the Coastal Assessment Form before proceeding ~vith [~1;~1~ assessment PART II - IMPACT ASSESSMENT (To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If yes, ccordinate the review process and use the FULL EAF. D. WILL ACTION RECEIVE COORDINATED REVIEW AS 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 ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, sur[ace or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or Ifooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, historic, cr other natural or cultural resources; or community or neighborhood character? Explain briefly: I C4. A community's existing plans cr goals as officially adorned, or a change In use or Intensity of use of land or cthar natural resources? Explain b'left,j: I C5. Growth. subsequent development, or related activities likely to be ilduced by tt~e proposed action? Explain briefly: CO. Long term, shor~ term, cumulative, or other o~-~'~ riel identified in Cl 42;$? Explain I~efly: C7. Other impacts (including changes in use of either quanUty or type of energy? Explain bliefly: I D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? (If yes, explain btiefly: E. IS THERE, OR tS THERE LIKELY TO BE. CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If,/es e~plain: ,' -- I Yes F-~ No PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: F~reachadverceeffectidenti~edab~ve~determthewhetheritissubstan~a~arge'imp~rtant~r~therwisesigniticant. Each effect should be assessed in connection with its (a) setting (i.e. urban or roral); (b) probability of ocsun'ing; (c) duration; (d) irrevereibitity; (e) geographic scope; and (f) magnitude, tf necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been idenUfled and adequately addressed. If question d of part ii was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the C EA. Check this box if you have iden~tted one or more potentially large or significant edverse impacts which MAY occur. Then proceed directly to the FULL FAF and~r prepom a positive declaration. Check this box if you have determined, based on the informatio~ and analysis above and any supporting documentation, ~at the propoe, ed actior WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi.~ determination. Name of Lead Agency Date Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) LanclUse March 8, 2004 Town of Southold Board of Town Trustees PO Box 1179 Southold, NY 11971 Application for Permit Martens/Murray--Mattituck Dear Sir or Madam: Enclosed please find an application package for the above referenced project, which includes the following: · (1) original, (2) copies of the completed application form · (1) original, (2) copies of the Sho~t Environmental Assessment Form · (3) Surveys · (3) Sets of the site plan · (3) Sets of photographs · Application fee of $200.00 If you have any questions or require additional information, please contact this office. Thank you. Kelly Camara Ecologist KIVlC Enc. PO. Boy 1060 · x,,illage Dock. Riverhead Ne,,,, York · 11901 631-727-2400. FA;~' 631 727-2605 Lanc Use March 17, 2004 Town of Southold Board of Town Trustees PO Box 1179 Southold, NY 11971 RE: Application for Permit Martens/Murray--Mattit uck Dear Sir or Madam: Enclosed please find a new check for the application fee for the above referenced project. If you have any questions or require additional information, please contact this office. Thank you. Sincerely, Kelly Cantara Ecologist KMC Enc. IlAR 182004 ~outhoJd PO Bo:, 1060 · Village Dock Ri,erhead Ne.,. "rorl~ · 11901 031-,, ~, -2400 F.~. · -, 2.., 2oOz, W W Z Z J MA~ 1 ~ 2004 SURVEY OF PROPERTY SITUATED AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-115-10-02 SCALE 1"=50' DECEMBER 25, 1999 FEBRUARY 3, 2000 ADDED 50' BUFFER FEBRUARY 11, 2000 ADDED EDGE OF CULTIVATED FARIvl FIELD APRIL 7, 2000 ADDED PROFOSED PROPER% kINE AGREEMENT Lh,lE APRIL 19, 2000 REVISION B'r' WILLIA'v, BIALOSKT', ARCHITECT MAY 5, 2000 REVISION BY WILLIAM BIALOSKY, ARCHITECT JUNE 5, 2000 ADDED PROPER~f' LINE FOR SE TAX LOT 1000-115-10 01 JUNE 19, 2000 REVISED BOUNDAR( LINE AGREEMENT LINES AUGUST 14, 2000 UNDER CONSTRUCTION SURVEY SEPTEMBER B, 2000 ADDED PROPUSED GARAGE OCTOBER 18, 2000 UPDATE SURVEV JULY 12, 2001 FINAL SURVEf JANUARY 29, 2002 REVISED FENCE HEIGHT AUGUST 28, 2002 REVISED PROPOSED GARAGE JAIIUARY 50, 2005 FINAL SURVEY FOR GARAGE FEBRUARY 25, 2005 CORRECTED GARAGE MEASUREMEBT LOT AREA = 46,012.16 sq. fl, 1.056 CERTIFIED TO GEERT MARTENS RAY MURRAY NORTH FORK BANK NO TE 1 FLOOD ZONE INFORMATION TAKEN FROr~' FLOOO INSURANCE RATE MAP No, $6105C0482 G C ~/o/r 78. A0'30" so4o7o" E~ ~ 5.88 N N Joseph A. Ingegno Land Surveyor F~x (651)727-1727 99 779N