Loading...
HomeMy WebLinkAboutTR-5855Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line Ist day of construction ¼ constructed Project complete, compliance inspection. Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO ~.~'~' ....... D ATE: 'JT..-.a..n.? ~.~ .. ;~?:.,....zO0'~ ISSUED TO ......~..T..T~T.~Z~.~...~.~.~.~:.,....~]4C. .............................................. 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 Seuthold Town Ordinance tiffed ."RE~ULATIN~ AND THE PLACIN~ OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and ihe REMOVAL OF SAND, ~RAVEL OR OTHER IdATERIALS FROM LANDS UNDER TOWN WATERS;~: and in accordance with the Resolution of The I~ard adopted et a meeting hekl on ..~n..:..?.~.: .... .~0q~......, and in consideration of the sum of $...~.l~..~.g.~ ........ paid by Matt-A-Mar Marina, LL, C of ........... .~.~.~..u..5.~ ................................................. N. Y. and subject to the Terms and Coeditlons listed on the reverse side hereof, l~..of ~>~fhold Town Trustees authorizes and permits the following: er~an(~ ~ermit to expand the exis. ti~g boat storage building, relocate the existing office, and replace the sanitary system, as depicted on the site plan .prepared by East End Design Assoc dated November 5, 2003. aN in accc~'dance with the defai~cl specifications as presented in .the originating application. . IN WITNESS WHEREOF, The said Board of Trustees here- by causes ifs Corporate Seal to be affixed, and these.?.res?h to be subscribed by a'maiodty of ~ said Board as of this darn. TERIdS a~:l CONDITIONS 2255 Wickham Ave., Mattituck N. Y~ as ~.~ w~ ~ theteW, to the am~d~e'~do~ et tl~ Bo~d of Trustees ~'d~e Tram ~ S~dm&l. ~-vocation of this Pem~ by teSolu~ o~ the nM ~ 6. That there d~ll be no Interference wkb the ti&bt of the i~4k to lm~a and: eel~m akx~ UlX~ due no,ice, to ~moye oz d~er d~ w~i~ or projec~ beref~ s~ted witbou~ expire tod~e Town plen~*fltal to this pmnlt which may be subject to revoke upen f~b~ to obtt~ san~ Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 21, 2004 Patricia C. Moore, Esq. 51020 Main Rd. Southold, NY 11971 MATT-A-MAR MARINA, LLC 2255 WICKHAM AVE., MATTITUCK SCTM#114-3-1 Dear Ms. Moore: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, January 21, 2004 regarding the above matter: WHEREAS, Patricia C. Moore, Esq. on behalf of MATT-A-MAR MARINA, LLC 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 December 23, 2003, 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 January 21, 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, 2 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 MATT-A-MAR MARINA, LLC to expand the existing boat storage building, relocate the existing office, and replace the sanitary system, as depicted on the site plan prepared by East End Design Associates, LLC dated November 5, 2003. 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 $5.00 per inspection. (See attached schedule.) Fees: $5.00 Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/lms Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Sauthold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application, dated has been reviewed by this Board, at the regular meeting of //~ and the following action was taken: ( ~/ ) Application Approved (__) Application Denied (__) Application Tabled (see below) (see below) (see below) 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. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: ReeelvedFrom Addres~ Dollars 4~98 Albert J. Krupski, President James King, Vice~President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: FROM: DATE: RE: Bruno Semon, Senior Site Plan Reviewer Albert J. Krupski, Jr., President March 31,2004 Matt-A-Mar Marina Expansion With regard to the above-referenced, this is to inform you that a public hearing was held on January 21,2004, at which time the applicant received an approval to expand the existing boat storage building, relocate the existing office, and replace the sanitary system. A copy of the approved site plan is attached. Should you require any additional information, please don't hesitate to contact us. Thank you. PLANNING BOARD MEMBERS ~_~ JERILYN B. WOODHOUSE Chair RICHARD CAGGIANO KENNETH L. EDWARDS MARTIN H. SIDOR MEMORANDUM PLANNING BOARD OFFICE Date: March 22, 2004 TOWN OFSOUTHOLD P.O. Box 1179 Town Hall, 53095 State Route 25 Southold, New York 11971-0959 Telephone (631 ) 765-1938 Fax (631) 765-3136 To; Frcm: Agency Referral Request Southold Town Zoning Board of Appeals Southold Town Building Department Southold Town Board Southold Town Board of Trustees Southold Town Engineer Suffolk County Department of Health Services NYSDEC - Stony Brook U.S. Army Corp of Engineers New York State Department of Transportatibn Suffolk County Water Authority Suffolk County Planning Department Suffolk County Department of Public Works Bruno Semon, Senior Site Plan Reviewer 80ard of lrustees Re: Proposed Site Plan for Matt-A-Mar Marina Expansion 2255 Wickham Avenue, Mattituck Zoning District Mil, Marine II, SCTM: 1000-114-3-1 Dear Reviewer: Status: New Active Site Plan. Required Return Date: ASAP The above listed action and site plan is referred to your agency for review, comments, concerns, permits requirements and jurisdiction. This amended site plan is for new boat storage building of 28,480 sq. ft. and new 2 story office of 6,778 sq. ft. on 8.5 acres parcel in the Mil located approximately 210' north of Freeman Avenue on the west side of Wickham Avenue, known as 2255 Wickham Avenue in Mattituck. SCTM#(s) 1000-114.-3-1 Please respond on your agencies position of the above action. Thank you in advance. cc: File *Maps are enclosed for your review PLANNING BOARD MEMBERS BENNETT ORLOWSKI, Chairman I{ICHA~D CAGGL~N 0 WILLIAM J. CREMERS KENNETH L, EDWARDS MARTIN H. S1DOR PLANNING BOARD OFFICE TOWN OF soUTHOLD P,O, Box 1179 Town Hall, 53095 State ~Route 25 Southold, New York 11971-0959 Telephone (631) 765-1938 Fax (631) 765-31:36 D~te R~celved D~te Completed Filing Fee APPLICATION FOR CONSIDERATION OF Asr N . N0U 2 1 ____Change of Use Re-use ' Extension - -Revision of Approved SlOe Plan Name of Business or Site: SCTM #: Location: Address: I~me of Applicant: Address of Applicant: $outhold Towo Telephone: Owner of [arid: Agent or Person responsible for application: A(ldr~$s.,' .: ,.. Telephone: Site pla,ns prepared by: llcer~se No. Address: Telephone: Pbnnlng Board Slim Plan Appllcatk~n TBtal Land Area of Site lacres or square feetl Zoning District £xistlng Use of Site · Proposed Uses on Site, Show all uses proposed and existing, Indicate which building will have which use. If more than one use Is proposed per building, Indicate footage of floor area that will be rescued per use. ._ ~ Gross Floor ~ea o~ E~s~ng S~c~rels) / ~ 2~ ?g (} 0ross Floor Nea ~ Pro.sea Structure(s) { ~ i~ ~A Percent of Lot Coverage by Bulld(ng(s) ~ ,~ ~Pe~ent of Lot for Pa~ng (where applicable) ~Percent of Lot for ~andscapln~ lwhere appllcablel Has applicant been gmn~ed a vadance ancot special exception by Board ~ ~peals - Case ~ & dale Board of T~s~ees -'Case · & da~e ~ ~te Depa~ment of Environmental Consewa~on - Case ~ & date Suffolk CounW Depa~ment Health SewIces - Case · & date Case Number Name of Applicant Date of Decision Expiration Date Other Will any to)dc or hazardous mateMals, as defined by the Suffolk Counb/Board of Health, be stored or handled at ~he sir:e? If so, have proper permits been obtained? Name of Issuing agency Number and date of permit Issued, NO ACllON (EXCAVATION OR CONSTRUC17ON) MAY BE UNDER?AKd~/ UNlll APPROVAL OF S/lE PLAN BY PLANN[NO BOARD, VIOLATORS AJ~E SUBJECT TO PROSECUtiON, Telephone (631) 765-1892 Town Hall 53095 Route 25 p.o. Box 1179 Southold, New Yo~k 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Tuesday, January 13, 2004, the following recommendation was made: Moved by Don Wilder, seconded by Tom Schlichter, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH A CONDITION of the Wetland Permit application of MATT-A-MAR MARINA, LLC to expand the existing boat storage building, relocate existing office, and replace sanitary system. Located: Wickham Ave., Mattituck. SCTM#114-3-1 The CAC recommends Approval of the application with the Condition drywells are installed and hay bales are placed down before construction. Vote of Council: Ayes: All Motion Carried December 23, 2003 Southold Town Trustees P.O.Box 1179 Southold Town Hall Main Road, Southold, NY 11971 RE: Matt-A-Mar Marina, LLC SCTM # 1000-114-03-01 expansion to existing boat Dear President Krupski and Board: PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971 Tel: (631) 765-4330 Fax: (631) 765-4643 Margaret Rutkow~ki DEC 2,3 Storage building Southold Town Enclosed is an application for expansion Boat Storage Building. Also enclosed SEQRA copy of tax map, and 3 prints of proposed site plan. Enclosed is my client,s $250.00 check in the of existing short form, amount of cc: Matt-A-Mar Marina, LLC Very truly yours, Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Seuthold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 1, 2005 TO: Bruno Semon, Senior Site Plan Reviewer RE: Matt-A-Mar Expansion FROM: Heather Tetrault, Environmental Technician The Trustees have reviewed the site plan for the new boat storage building and office. Enclosed is a copy of the permit that the Trustees issued January 21, 2004. The Trustees approve of the drainage plans and other specifications of the site plan. The final plan should specify that only natural rock/gravel be used within 100' of the water and not the re-used asphalt, which contains chemicals, paint, and adhesives. Even though this asphalt is broken up and is a pervious material it contains materials that are harmful to the marine environment. Please contact this office if you need any additional information. PLANNING BOARD MEMBERS JERILYN B~ WOODHOUSE Chair WILLIAM J. CREMERS KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON March 15, 2005 PLANNING BOARD OFFICE TOWN OF SOUTHOLD MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 tcor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 Re: Lead Agency Coordination Request Dear Reviewer: The purpose of this request is to determine under Article 8 (State Environmental Quality Review Act-SEQRA)of the Environmental Conservation Law and 6 NYCRR Part 617 the following: 1. Your jurisdiction in the action described below; ~ rr' ,;~ r~ , '",9' % --- 2. Your interest in assuming the responsibilities of lead a_oer~; an~i ................. i!1 ~ I I~! MAR t .' '" 3. Issues of concern which you believe should be evaluate~.-L ' : -~ Enclosed please find a copy of the proposal and a completed Envirp~.~ir~,~a,~¢ Assessment Form (EAF) to assist you in your response. Project Name: Mat-A-Mar Expansion 2255 Wickham Avenue Mattituck, NY Requested Action: The proposed action involves an amended site plan for a new boat storage building of 28,480 sq. ft. and new 2 story office of 6,778 sq. ft. on an 8.5- acre parcel in the M-II Zone located approximately 210' north of Freeman Avenue on the west side of Wickham Avenue, known as 2255 Wickham Avenue in Mattituck. SCTM#1000-114-3-1 SEQRA Classification: ( ) Type I ( x ) Unlisted Contact Person: Bruno Semon, Senior Site Plan Reviewer (631) 765-1938, X 5019 Page 2 Lead Agency Coordination Request The lead agency will determine the need for an environmental impact statement (ELS) on this project. Within thirty (30) days of the date of this letter, please respond in writing whether or not you have an interest in being lead agency. Planning Board Position: (X This agency wishes to assume lead agency status for this action. This agency has no objection to your agency assuming lead agency status for this action. Other (see comments below) Comments: Please feel free to contact this office for further information. Very truly yours, house Chairperson cc: Southold Town Zoning Board of Appeals Southold Town Building Department Southold Town Board Southold Town Board of Trustees -"~Southold Town Engineer Suffolk County Department of Health Services NYSDEC - Stony Brook U.S. Army Corp of Engineers Suffolk County Water Authority Suffolk County Planning Department * Maps are enclosed for your review PLANNING- BOARD MEMBER8 BENNETT OKLOW~KI, JR. Chairman RICHARD CAGGIAN 0 WILLIAM d, CREMERS KlgNNETH L. EDWARDS MARTIN H. SIDER PLANNING BOARD OFFICE TOWN OF SOUTHOLD P.O Box 1179 Town Hall, 53095 State l~oute 25 Sou~hold, New York 11[}71-0959 Telephone (631) 765-1938 Fax (631) 765-3136 Date Received Date Completed Filing Fee New [~"?~ ~'~ ~Change of Use Re-use _Extension Revision of Approved Site Plan Name of Business or Site: SCTM#: Location: Address: APPLICATION FOR CONSIDERAIION OF A Sll NOV 2 I 'wi 1000- II~M - O'S Southold lown Planning B0arrl Name of Applicant: Address of Applicant: Telephone: Owner of Land: Agent or Person responsible for application: Address:' ,:. Telephone: Site plans prepared by: Ucerlse No. Address: Telephone: P~ 2 Plant,Ibc ~o~rd 5it~ Plan Application APPLICAN1'S AFFIDAVIT STATE OF NEW YORK COUNF¢ OF SUFFOLK in the state of New York, and that he is the'owner bf the above properW, or that ne is the (s~ec~fy wh~th~r P~rtn~r~hl~ or Corp.} which is hereby making application; that there are no existing structures or improvements on the land whicl~ are not shown on the Site Plan; that the tirJe to the entire parcel, including all rights-of-way, has been clearly es~bllshed and is shown on said Plan; that no part of [he Plan infringes upon any duly filed plan which has not been abandoned both as to lots and as to roads; that he has examined all rules and regulaQons adopted by the Planning Board for the filing of Site Plans and will comply with same; that the plans submitted, as approved, will not be altered or changed in any manner without the approval of the Planning Board; athd that the actual physical Improvements will be Installed in strict accordance with the plans submitted. -~ signed_ .,45¢"¢~ . _ (Parmer or Cor~te Off,set and Title) ~,w~ to me thls~ ~ . ~ Page 3 ~" Total Land Area of Site (acres or square fleet) __Zoning District Existing Use of Site · Proposed Uses on 5l~e, Show all uses proposed and existing. Indicate which building will have which use. If more than one use Is proposed per building, indicate square fooLage of floor area ~hat will be rese~ed per use. Gross Floor Area of Existing Structure(s) , Oross Roor Area of Proposed Structure(s) Percent of' Lot Coverage by Building(s) Percent ofl Lot for Parking Iwhere applicable) Percent of Lot for Landscapln~ Iwhere applicable) Has applicant been granted a vadance and/or special exception by kJj~, Board of Appeals - Case # & date Board of Trustees - Case # & date NY State Department of Environmental Conservation - Case # & date Suffolk Counb¢ Department Health Services - Case # & date Case Number Name ofl Applicant Date of Decision Expiration Date Other Will any toxic or hazardous materials, as defined Dy the Suffolk County Board of Health, be stored or handled at the site? If so, have proper permits been obtained? Name of Issuing agency Number and date of permit Issued. NO ACtiON (EXCAVATION 0£ CONSTRUCtiON) MAY BE UNDEI?TAK~N UNTIL APP£OVAZ OF SITE PLAN BY PLANNING BOA£D. VIOLATO££ ARE SUBJECT TO PROSECUTION. 617.20 Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a project or action may be significant. The question of whether an action may be significant is not always easy to answer. Frequently, there are aspects of a project that are subjective or unmeasurable, it is also understood that those who determine significance may have little or no formal knowledge of the environment or may not be technically expert in environmental analysis. In addition, many who have knowledge in one particular area may not be aware of the broader concerns affecting the question of significance. The full EAF is intended to provide a method whereby applicants and agencies can be assured that the determination process ,.has been orderly, comprehensive in nature, yet flexible enough to allow in,~rad~c[ion of information to fit a project or action. F 'F Components: The full EAF is comprised of three parts: Part 1: Provides objective data and information about a given project and its site. By identifying basic project data, it assists a r,evie.~r in the analysis that takes place in Parts 2 and 3. Part 2: Focuses'on identifying the range of possible impacts that may occur from a project or action. It provides guidance as to whether an impact is likely to be considered small to moderate or whether it is a potentia(ly-large impact. The form also identifies whether an impact can be mitigated or reduced. Part 3: If any impact in Part 2 is identified as potentially-large, then Part 3 is used to evaluate whether or not the impact actually important. THIS AREA FOR LEAD AGENCY USE ONLY DETERMINATION OF SIGNIFICANCE -- Type I and Unlisted Actions n Identify the Portions of EAF completed for this project: U Part1 U Part 2 ~Part 3 Upon review of the information recorded on this EAF (Parts 1 and 2 and 3 if appropriate), and any other supporting information, and considering both the magnitude and importance of each impact, it is reasonably determined by the lead agency that: F~A. The project will not result in any large and important impact(s) and, therefore, is one which will not have a significant impact on the environment, therefore a negative declaration will be prepared. DB. Although the project could have a significant effect on the environment, there will not be a significant effect for this Unlisted Action because the mitigation measures described in PART 3 have been required, therefore a CONDITIONED negative declaration will be prepared.* The project may result in one or more large and important impacts that may have a significant impact on the environment, therefore a positive declaration will be prepared. *A Conditioned Negative Declaration is only valid for Unlisted Actions Name of Action Name Of Laad Agency Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) website Date Page 1 of 21 PART 1--PROJECT INFORMATION Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be considered as part of the application for approval and may be subject to further verification and public review. Provide any additional information you believe will be needed to complete Parts 2 and 3. It is expected that completion of the full EAF will be dependent on information currently available and will not involve new studies, research or investigation. If information requiring such additional work is unavailable, so indicate and specify each instance. Location of Action (include Street Address, Municipality and County) Name of Applicant/Sponsor Addres., City/PO /~,"~"~,~-t ~..](-.-(~: Business Telephone Zip Code //.?,z Name of Owner (if different) Address City / PO Business Telephone State Zip Code Description of Action: Page 2 of 21 Please Complete Each Question--Indicate N.A, if not applicable A. SITE DESCRIPTION Physical setting of overall project, both developed and undeveloped areas.. 1. Present Land Use: [] Urban [] Industrial ,~ Commercial [] Forest [] Agriculture [] Other Residential (suburban) ~ Rural (non-farm) 2. Total acreage of project area: ~')o~/~ acres. APPROXIMATE ACREAGE Meadow or Brushland (Non-agricultural) Forested Agricultural (Includes orchards, cropland, pasture, etc.) Wetland (Freshwater or tidal as per Articles 24,25 of ECL) Water Surface Area Unvegetated (Rock, earth or fill) Roads, buildings and other paved surfaces Other (Indicate type) PRESENTLY AFTER COMPLETION ..~' ~-,.~aores o~/-~/' , '~ acres © acres O ecras ?, acres /acres What is predominant soil type(a) on project site? "f¢]~9 a. Soil drainage: DWell drained *~1~% of site ~"]Poorly drained ~ % of site 4. Are there bedrock outcroppings on project site7 ~ Yes a. Whet is depth to bedrock (in feet) 5. Approximate percentage of proposed project site with slopes: 6. Is project substantiall~ontiguous t~.,.~ Historic Places? U Yes ~ 8. 9. 10. O Moderately well drained % of site. If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NYS Land Classification System}' acres (see 1 NYCRR 370). [] No Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? % [] 15% or greater__% contain a building, site, or district, listed on the State or National Registers of No OYes l~No What is the depth of the water table7 J .~3 / (in feet) DYes [~No Is site located over a primary, principal, or sole source aquifer7 [~Yes Do hunting, fishing or shell fishing opportunities presently exist in the project area? Page 3 of 21 1 1. Does project site contain any species of plant or animal life that is identified as threatened or endangered? According to: Identify each species: E~] Yes ~No 12. Are there any unique or unusual land forms on the project site? {i.e., cliffs, dunes, other geological formations? Describe: · 1 3. Is the project site presently used by the community or neighborhood as an open space or recreation area? DYes ~]No If yes, explain: 14. Does the present site include scenic views known to be important to the community? [] Yes 1 5. Streams within or contiguous to project area: a. Name of Stream and name of River to which it is tributary ~No 16. Lakes, ponds, wetland areas within or contiguous to project area: b. Size (in acres): Page 4 of 21 17. Is the site served by existing public utilities? D Yes [] No a. If YES, does sufficient capacity exist to allow connection? []Yes b. If YES, will improvements be necessary to allow connection? E]No r~Yes []No 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? r~Yes' []No a Critical Environmental Area designated pursuant to Article 8 of the ECL, 19. Is the site located in or substantially contiguous to and 6 NYCRI~'6177 []~'es []No 20. Has the site ever been used for the disposal of solid or hazardous wastes? B. r~ Yes ~],No Project Description Physical dimensions and scale of project (fill in dimensions as appropriate). a. Total contiguous acreage owned or controlled by project sponsor: (,~ acres. ~:~4~acr~'s initially; --~' / acres ultimately· b. Project acreage to be developed: ~"~'/'7 · '~"/"~ "~'/"'~ ~'~'""~ c. Project acreage to remain undeveloped: /' acres· d. Length of project, in miles: /V'j,/~ (if appropriate) e. If the project is an expansion, indicate percent of expansion proposed. %-7 ~ ~ f. Number of off-street parking spaces existing ./'~' ; proposed //~7z g. Maximum vehicular trips generated per hour: ~ (upon completion of project)? h. If residential: Number and type of housing units: ~,~/'~ Initially One Family Two Family Multiple Family Condominium Ultimately i. Dimensions (in feet) of largest proposed structure: . height; r j. Linear feet of frontage along a public thoroughfare project will occupy is? How much natural material (i.e. rock, earth, etc.) will be removed from the site? Will disturbed areas be reclaimed []Yes ~],N o ~N/A a. If yes, for what intended purpose is the site being reclaimed? width; /-7~7~> (,'? length. ft. tons/cubic yards· ]No b. Will topsoil be stockpiled for reclamation? [] Yes [] No c. Will upper subsoil be stockpiled for reclamation? []Yes 4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? (~) acres. Page 5 of 21 5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project? C~Yes [~No 6, If single phase proiect: Anticipated period of construction: i ~ months, (including demolition) 7. If multi-phased: a. Total number of phases anticipated __ (number) b. Anticipated date of commencement phase 1: __ month year, (including demolition) c. Approximate completion date of final phase: __ month __ year. d. Is phase 1 functionally dependent on subsequent phases? [] Yes [] No 8. Will blasting occur during construction? [] Yes [] No 9. Number of jobs generated: during construction ~ ' ; after project is complet? 10. Number of jobs eliminated by this project C~ 11. Will project require relocation of any projects or facilities? [] Yes ~ No If yes, explain: 12. Is surface liquid waste disposal involved? ~ Yes ~lNo a. If yes, indicate type of waste (sewage, industrial, otc) and amount b. Name of water body into which effluent will be discharged 13. Is subsurface liquid waste disposal involved ? I~.--~. Yes E~No 14. Will surface area of an existing water body increase or decrease by proposal? If yes, explain: 15. Is project or any portion of project located in a 100 year flood plain? RYes 16. Will the project generate solid waste? ~ Yes E~No a. If yes, what is the amount per month? ~o tons b. If yes, will an existing solid waste facility be used? [] Yes [] No d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? E~Yes 12~ No Page 6 of 21 F ' e. If yes, explain: 17. Will the project ir~,~,olve the disposal of solid waste? Yes No a. If yes, v~h~'i~ [R~ anticipated rate of disposal? __ tons/month. 18. Will project use herbicides or pesticides? L--~Yes [~No 19. Will project routinely produce odors (more than one hour per davy)? DYes [~No 20. Will project produce operating noise exceeding the local ambient noise levels? r"~lYes [~No 21. Will project result in an increase in energy use? r~l Yes [] No If yes, indicate type(s) 22. if water supply is from wells, indicate pumping capacity gallons/minute. 23. Total anticipated water usage per day gallons/day. 24. Does project involve Local, State or Federal funding? L-~ Yes [] No If yes, expJain: Page 7 of 21 25. Approvals Required: City, Town, Village Board r~Yes r~No Type Submittal Date City, Town, Village Planning Board City, Town Zoning Board F~Yes r~ No OYes r'~ Not.` City, county Health Department DYes r~ No Other Local Agencies [~Ves Other Regional Agencies ]Yes ~ No State Agencies []Yes [] No Federal Agencies []Yes ~No Zoning and Planning Information Does proposed action involve a planning or zoning decision? r~Yes ~ No If Yes, indicate decision required: [] Zoning amendment [] Zoning variance [] New/revision of master plan ~ Site plan [] Speciat use permit [] Resource management plan C~ Subdivision D Other Page 8 of 21 What is the zoning classification(s) of the site? 3. What ia the maximum potential development of the site if developed as permitted by the present zoning? V~hat i~ the proposed zoning of th~ site? What is the maximum potential development of the site if developed as permitted by the proposed zoning? 6. Is the proposed action consistent with the recommended uses in adopted local land use plans? 7. What are the predominant land use(s) and zoning classifications within a ~ mile radius of proposed action? []Yes E]No 8. Is the proposed action compatible with adjoining/surrounding land't~ses with a Y4 mile? r~Yes / if the proposed action is the subdivision of land, how many lots are proposed? 9. a, What is the minimum lot size proposed? DNo Page 9 of 21 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? [] Yes [] No Will the proposed action create a demand for any community provided services {recreation, education, police, fire protection? []Yes ~No 12. a. If yes, is existing capacity sufficient to handle projected demand? I Will the proposed action result in the generation of traffic significantly above present levels? a. If yes, is the existing road network adequate to handle the additional traffic. informational Details ]Yes [] No r-~ Yes ~ No []Yes DNo Attach any additional information as may be needed to clarify your project. If there are or may be any adverse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them. E. Verification I certify that the information provided above is true to the best of my knowledge. Title If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment. Page 10 of 21 D. INI;ORSIATIONAIJ DETAILS AND WATER SUPPLY NAIU[L~'FIVE REQUEST A~ach any additional information as may be needed to clarify your project. If ther~ are or may be any adverse impacts associated with your proposal please discuss such impacts and the measures which you propose to m tigate or avoid t]~em. 1. Provide explanation of existing site use, occupancy, structures, sanitaw flow, water use; compare to proposed use, occupancy, sinecures, sanita~ flow, water use. 2. Indicate the source~f watei supply, hearest pubhc water mare, h~ares~bhc well held, and adjacent private wells (if ~o~). ~,.,~& ~,~ 3. If publik water supply is proposed, indicate the ability of the water ntili~ to provide water snpply to the project. Provide letter of water availabili~ or detailed explanation of stares of review by water utility. ~ ~X~'~ d~ ~- ~e~ C~*~'6~ 4. If private water supply is proposed, indicate the well specifications, water quali~ based on on-site water quali~ data. Prohde Suffolk Coun~ Depaament of Health Se~ices approval or de~iled explanation ofs~ms of review by agency. ~(~,~ 5~,4¢,~ - ~v~ ~ ~m pc~d 5. ~dicate proposed water conse~ation measles that will mitigate fc: unavoidable adverse impac~ (If any). Consen~afion measures should include, but not be limited to: a. ~H~e use of drought tolerant planB for landscaping. ~' b. ~e pfese~afion of exist~g native vege~tive buffers. c. ~e conse~ahon of existing open space areas. d. ~e implemen~fion of "na~ral" stomwater management practices (~ass swales, filter s~ps, created wetlands, etc...). E. VERIFICATION I certify that the information provided above is tree to the best of my knowledge. Date__ Title ~ If the action is in the Coastal Area, and you are a state agency, cmnplete the Coastal Assessment Form before proceeding with this assessment. Albert J. Krupski, President John Holzapfel, Vice President Jim King Martin H. Garrell Peter Wenczel BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765 - 1892 Fax (516) 765-1823 Office Use Only wOaStal Erosion Permit Application etland Permit Application Grandfather Permit Application Waiver/Amendment/Ch~nge~ Received Application: l~/~ 'Received Fee:$ Completed Application Incomplete SEQRA Classification: Type I__.Type II Unlisted Coordination:(date senya) 'CAC Referral Sent: }~/[~-~--,~ 'Date of Inspection: 'Receipt of CAC Reportl:'(- Lead Agency Determination:__ Technical Review: Public Hearing Held: I t 0 Resolution: Southold Town Board of Trustee~ Name of Applicant Address ~ 0 ~c~ Phone Number Suffolk County Tax Map.~uafoer: 1000 - I~- O~ -OI Property Location:~ ~c~-h(~F~ ~/FD~}~_ (provide LILCO Pole AGENT: (If applicable) Address: distance to cross streets, Phone: FAX9: and location) B~ of Trustees Application GENERAL DATA Land Area (in square feet): Area Zoning: ~ -~1_ Previous use of property: Intended use of property: Prior permits/approvals for site improvements: Date Agency No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? No X Yes If yes, provide explanation: Project Description (use attachments if necessary): i B~d of Trustees Applicatio~ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ~z~,~YlvI ~P~-~6( Area of wetlands on lot: ~ ~tCt4~- square feet Percent coverage of lot: ~-~ % Closest distance between nearest existing structure and upland edge of wetlands: '~ feet Closest distance between nearest pro~s~ structure and upland edge of wetlands: '7~ feet Does the project involve excavation or filling? No ~ Yes ~r ~CL%~ ~[ If yes, how much material will be excavated? cubic yards How much material will be filled? 2_6~c~ cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: eci 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): · ~ B~ of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: Are wetlands present within 75 feet of the proposed activity? NO X Yes Does the project involve excavation or filling? No ~ Yes(~ I.~ ~c~ ) If Yes, how much material will be excavated? Z~O: (c~bic yards) How much material will be filled? 2oC~L (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) r:,'nc 8ocL( AUTHORIZATION LETTER New York State Department of Environmental Conservation Building 40-SUNY Stony Brook, New York 11790-2356 Att: Regulatory Permits OWNER: name: address: telephone Matt-A-Mar Marina, LLC by Michael Radnor, Member P.O.Box 952, Mattituck NY 11952 number: c/o Patricia C. Moore 631-765-4330 PROPERTY: Wickham Avenue, Mattituck NY SCTM#: 1000-114-03-01 AGENT: name: Patricia C. Moore Esq. address: 51020 Main Road, Southold NY 11971 telephone number: 631-765-4330 Dear Sir or Madam; I Michael Raynor, member of Matt-A-Mar Marina LLC authorize my attorney, Patricia C. Moore to file any and all applications for a permit or determination of non- jurisdiction to the DEC, Town Trustees, Health Department, and any other regulatory agency. Very truly/~ours, Michael Raynor Matt -A-Mar Marina, LLC 517.21 A~pendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only lOgO - t~,-/-0'5- OI ~. IS PROPOSED ACTION: New ~Exaan$1arl ~ MoOi ffeallonialleradon 5. OESCRIBE PROJECT 3RIEFLY: SEC ~ ~,~n~us:r,al ~,Commercial ~ Agriculture !he action is in Ihe Co,~s;al Area, and )'au are a state ac. eric'/, complete the Coastal Assessment Form before procsecinc¢ with '.his a~s, esament OVE,A ?ART II--~NVI&ONMENT AS ]MENT iTo be comote~eo gy AgencyJ PART III--DETERMINATION OF SIGNIFICANCE (TO be camoleted by Agency) Chec,~ this box if you ~ave idenlified one or more potentially large or significant adverse impacts which MAY occur. Then proceed direcdy to ;~e FULL EAF and/or prebare a positive-declaration. ChecX :his box ff you ~ave de~,ermined, based on Ihe information and analysis above and any supporting documemat~on. ',hat ~he groaosee action WILL NOT result in_~.ny significant adverse environmental impac:s AND prowde on a[tachments as necessary, Ihe reasons supporting [his determination: PROOF OF MKILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS NaJne: Address: subject - 1000-117.00-05.00-029.001 1000-139.00-02,00-005.000 Harold W. Tribble 1000-139.00-03.00-009.000 Richard B. Tandy 1000-139.00-03.00-025.000 Carroll J. Harvey 1000-139o00-03.00-033.001 Jenny T. Skirel P.O. Box 450 Mattituck, NY 11952 P.O. Box 788 Mattituck, NY 11952 P.O, Box 351 Mattituck, NY 11952 P.O. Box 339 Mattituck, NY 11952 STATE OF NEW YORK COUNTY OF SUFFOLK Melissa McGowan , residing at 555 Marlene Lane, Mattituck~ New York , being duly sworn, deposes and says that on the 13th day of January ,~2004 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above na~ed persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at $outhold that said Notices were mailed to each of said persons by (certified ~3~ksk~mm~ mail. Melissa McGowan Sworn to before me this 13th day of January ,x?b~ 2004 Notary Public MARGARET C~. RUTKOW~ Notary Public, State of New No. 4982528 PATRICIA C. MOORE A~torney at Law 51020 Main Road Southold, New York 11971-4616 Tel: (631) 765-4330 Fax: (631) 765-4643 $outhold Town ~0ard of T~ustees January 21, 2004 BY HAND Southold Town Board of Southold Town Hall 53095 Main Road Southold, NY 11971 Trustees Re: Matt-A-Mar Marina Hearing: Wednesday, January 21, 2004 at 7:00 pm Dear Ladies/Gentlemen: Enclosed please find three Return Receipt cards for the above referenced matter. Very :i""×~ yours, ~suly Patricia C. Moore PCM/mr Encls. Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Pegg~ A. Dickerson Town Hall 53095 Route25 P.O. Box 1179 Southold, NewYork 11971-0959 Telephone(631) 765-1892 Fax(631) 765-1366 BOARD oF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, Patricia C. Moore ,reaidingat 370 Terry Lane, Southold, New York being duly sworn, depose and say: That on the t 2 day of January, 200z~, I perso'hally posted the property known as 2255 Wickham Avenue, Mattituck, New York by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in plac~pr eight days prior to the date of the public hearing. Date ofhearing noted thereon to be held ~.~ ~.~,j ~}._/, '~'/'V ff'~ ~ ~O-v.,/~ Dated:January 12, 2004 . ' -' ~-' '(siguattlre) Patricia C. Moore Sworn to before me this 12th day of Jan.2004 Notary Public MELISSA McGOWAN N~3ta~/Pubtic, State of New No. 4995913 Oualified in Suffolk County Commission Expires May 4. 2b'''~- PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971 Tel: (631) 765-4330 Fax: (631) 765-4643 Margaret Rutkowski Secretary January 12, 2004 BY CERTIFIED MAIL RETURN RECEIPT REQUESTED Neighbors Re: Matt A Mar Marina, LLC 2255 Wickham Avenue Mattituck, NY SCTM~ 1000-117-5-29.1 Dear Neighbor: I represent Matt A Mar Marina, LLC with regard to the property located at 2255 Wickham Avenue, Mattituck, NY. They are seeking a wetland permit to expand the existing boat storage building, relocate the existing office and replace the existing sanitary system. Enclosed is the Notice of Hearing and the applicable portion of the preliminary site plan. The hearing on this matter has been scheduled for Wednesday, January 21, 2004 on or about 7:00 p.m. at Southold Town Hall. If you have any questions, or you wish to support this application, please do not hesitate to contact me. Very truSy yours, Patricia C. Moore PCM/mm Enclosures Z ~ 0 0 0 0 0 O. 0 0 PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, NewYork 11971 Tel: (631) 765-4330 Fax:: (631) 765-4643 January 13 Board of Trustees Town of Southold P.O. Box 1179 Southold, NY 11971 RE: Matt-A-Mar Marina LLC Premises: 2255 Wickham Avenue, Mattituck SCTM: 1000-117.00-05.00-029.001 4AN 16 20O4 $out~old T~wa ~d ~ Tcest. e~ NY Dear Sir or Madam: Enclosed please find the Affidavit of Mailing, Affidavit Posting and four (4) Certified Mail Receipts for the above referenced matter. of We will forward the signed Return Receipt Cards to you upon our receipt of same. Very truly yours, Patricia C. Moore By: Melissa McGowan, Secretary /mm Enclosures APPLICANT/AGENTfREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics l>rohibits conflicts of interest on the part of town officers and employees. The purpose of this form is to ~rovide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. (Last name, first name, middle/'hitial, unles~ 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.) Variance Change of Zone Approval of plat Exemption fi.om plat or official 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, marnage, or business interest. "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of(or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO ~X/ lfyou 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 ofg~eater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); __B) the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); __C) an officer, director, partner, or employee of the applicant; or __D) the actual applicant. DESCRIPTION OF RELATIONSHIP Submittedfi~i~ /~--- dayof ~,~4~rt~l/ 2~00 V/ '~r:?~ ~ PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971-4616 Tel: (631) 765-4330 Fax: (631 ) 765-4643 January 12, 2004 Southold Board of Town Trustees Southold Town Hall 53095 Main Road P.O. Box 1179 Southold, NY 11971 RE: Matt-A-Mar Marina, LLC Dear Ladies/Gentlemen: Enclosed please find the Disclosure Form for the referenced matter. Thank you for your courtesy. Very truly yours, Patricia C. Moore PCM/mr Enc. above