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HomeMy WebLinkAboutTR-1658Albert 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) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 22,2005 Mr. &Mrs. Louis Formica 2422Westphalia Ave. Mattituck, NY 11952 RE: 2422 WESTPHALIA AVE., MATTITUCK SCTM#114-7-10.6 Dear Mr. & Mrs. Formica: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, June 22, 2005: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit #1658 to replace the existing bulkhead with vinyl sheathing, and as depicted on the plan prepared by Robert Fox dated March 30, 2005. BE IT FURTHER RESOLVED, that the Southold Town Board of Trustees DISAPPROVE the application to reclaim sand (scoured from the bulkhead and migrated toward the float-boat slip areas), as backfill. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, Albert J. Krupski, Jr. President, Board of Trustees AJK:lms Telephone (631) 765-1892 Town Hall 53095 Route 25 P.O, Box 1179 Southold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Tues., June 14, 2005, the following recommendation was made: Moved by Doris McGreevy, seconded by Jennifer Mannino, it was RESOVLED to recommend to the Southold Town Board of Trustees APPROVAL of the application of LOUIS 8, ELIZABETH FORMICA to Amend Permit #1658 to replace the existing bulkhead with vinyl sheathing and to reclaim sand (scoured from the bulkhead and migrated toward the float-boat slip areas) as backfill. Located: 2422 Westphalia Ave., Mattituck. SCTM#114-7-10.6 Vote of Council: Ayes: All Motion Carried 3/22/05 ALW 3:15P.M. Formica Looking from the top of the bluff (West) to the boat float (East) which serves as the slip area. Sand which has been scoured by the weather has migrated to the floats and boat slip. At very low tides, the float at the foot of the ramp now lays on the bottom. 3/17/05 ALW 10:56A.M. Formica Looking from the Southeast to Northwest, scour/ng of the beach-sand away from the bulkhead is shown, resulting in a gradual drop to a depth of 8' + at the juncture of the bulkhead and the dock walkway. 3/17/05 ALW 10:56A.M. Fomfica Looking from East to West, the 20' bluff is shown contained by the bulkhead. 3/17/05 ALW 10:56 A.M. Formica Looking from the Northwest to Southeast, sinkhole with cracking soil is shown at right above resulting from the piles kicking out at the bottom 3/17/05 ALW 10:56A.M. Formica Looking from the Northwest to Southeast, piles shown kicking out from under, resulting from scouting of beach sand originally up to the lower whalers. ,I. 3/22/05 ALW 3:15 P.M. Formica Looking from the float (East) to the bulkhead (West) showing ALW. 3/22/05 AHW 9:00A.M. Formica Looking from the float (East) to the bulkhead (West) showing AHW. 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 Please be advised that your application dated reviewed by this Board at the regular meeting of following action was taken: has been and the ( ~')Application Approved (see below) (__.)Application Denied (see below) (.__.) Application Tabled (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: SIGNED: PRESIDENT, BOARD OF TRUSTEES 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 Januaw 19,2005 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. & Mrs. Louis Formica P.O. Box 1734 Mattituck, NY 11952 RE: 2422 WESTPHALIA AVE., MATTITUCK SCTM#114-7-10.6 Dear Mr. & Mrs. Louis Formica: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wed., January 19, 2005: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Permit #1658 from Robert Patchell to Louis & Elizabeth Formica, to repair the existing bulkhead. If you have any questions, please contact our office at (631) 765-1892. Sincerely, Albert J. Krupski, Jr. President, Board of Trustees AJK:lms ALL :.lOC~.II:llS' D STA~$ MUST DiSP~-',Y Vi L?- I.:O0.%i'.;G IiU,'.ISER$ ALL DCC:~ Ai;D BUILUiEADS MUST DiSFI~'~Y VI$i..~LE PEPC.!IT tlU,',t~ERS Bo, rd Of Southold Town Trustees SOUTHOLD, N~W YORK J'IOO~.Z'..'.G NO. N/A PER~IT NO...1~,5,8. ................... DATS:A..u~u~I{. ,9,.:..,..,1.983 ISSUED TO Robert Patc_h.e_ll knlhnrizali n Pursuant fo the prov;slcns o~ Chapter 6lB o{ the Laws +he State o~ New Yor~, 1893; and Cha~fer 404 o{ +he Lew~ o{ f'ne State oT New Yor~ 1952: end the So~ihold Town Ordinance rifled "RE~ULATIhlC= AND THE PLACIN(~ OF OBSTRUCTIOHS IN AND ON TOWN WATERS AND PUBLIC LANDS and the RE,k4OYAL OF SAND, C=RAVEL OR OTHER MATERIALS. FROM LANDS UNDER TOWN WATERS;" e.d ~n accordance wlfh the '' Resolution o~ The Board adopted a+ a rneetlng heJE on ..~_u....1..7... ,.5..,, .... 83 ., ,. 19 .......... , and in cons~oerancn o[ the sum c~ $.~.~.:..~5' .. p~d By Bobert Patchell .... :' o[ ...~.k~.~/,~,~ ............................ N. Y. and subiect to the Terms and Cond~Hons l~isted on the reverse side hereof, oJ Soufhold Town Trustees a-thori:es and Dermi~,$ t~ {~1~: Agpl~cation ~ppro~ed to construct' iO0~ head and 23' return, a fixed dock will lead to a 3'x ~5' ramp and 2- 6' x 18' floats (dock is to be 4'X50' and bulkhead is to be kept in line with existing hes~ accordance wlth the detailed s~e¢;{icaiions as p~e~e.~eg ;. ~he or;~inatin9 appllcaflcn, IN WITNESS WHE,~EOF, The said Board o~ Trustees here. 'by causes Hs Corporate Seal to be affixed, and thes; pres~ents to be subscribed by a rnaior;ty o~ the said Board as oF this DEPARTMENT OF THE ARMY CORPS OF ENGINEERS NOTICE OF AUTHORIZATION Aug 2, 1983 A PEIb~ TO construct a 4 foot by 70 foot fixed pier with a 3 foot by 15 foot ramp and 6 foot by 18 foot float secured by two 6 inch piles. A 100 foot timber bulkhead will be constructed above the line of mean high water. In~h~ttituck Creek. AT Mattituck, Suffolk County, New York HAS BEEN ISSUED TO Robert Patchell 125 Raff Avenue ADDRESS O~ PER~ITTEEFloral Park, PERMIT NUMBER 12977 ON Aug 2, 19 83 F. H. Griffis Colonel, Corps of Engineers ~ '~' ~ THIS NOTICE MUST BE CONSPICUOUSLY DISPLAYED AT THE SITE OF WORK. j~l 7O 1 DEPARTMENT O~ ENVIRONMENTAL CONSER~N f PERMIT PERMIT NO. 10-83 -0776 UNDER THE ENVIgONMENTAL CONSERVATION LAW PERMIT iSSUED TO Robert Patchell hy Th,, T.e,-a TT~L~ ^DDR£SS OF P~R~,TTEE 125 ~f~¢lvenue, Flor~ Park, ~ ,~ " °~'E~%~ linear feet of ~th the adjacent b~lkhead ~O easte~ end of the bulkhead. r~p ~d 6'x18' f~oa% between Mattituck COU~V ~r. Suffolk ~m- gt25A Wading B~ver. ,Ifg 11792 CCA %imber bulkhead above mean high wate~f.in line the west, construct a 10' return on the Construct a $'x50' open timber deck the areas of s. alterniflora 1. The permittee shall file in the office of the appropriate Regional Permit Administrator, a notice of intention to commence work at least 48 hours in advance of the time of commencement and shall also notify him promptly in writing of the completion of the work. 2. The permitted work shall be subject to inspection by an authorized representative of the Department of Environmental Conservation who may order the work suspended if the public interest so requires. 3. As a condition of the issuance of this permit, the applicant has ac- cepted expressly, by the execution of the aoplicatlml, the full legal respon- sibility for all damages, direct or indirect, of whatever nature, and by whom- ever suffered, arising out of the project described herein and has agreed to indemnify and save harmless the State from suits, actions, damages and costs of every name and description resultinl frma the said poject. 4. Any material dredged in the p'osecution of the wc~k herein permitted shall b~ removed evenly, without leaving large refuse piles, ridges across lhe bed of the waterway or flood plain or deep holes that may have a tendency to cause injury to navigable channels or to the banks of the waterway. $. Any material to he deposited or dumped under this permit, either in the waterway or on shore above high-water mark, shall be deposited or dumped Southold IFIA cO~aOHITY HO. I OAk~ NO. LPE R~IT EXP,RATIOH O^'m ~ept. 30, 1984 GENERAL CONDITIONS S. That the State of New York shell in no case be liable for any damage or injury to the structure or work herein authorized which may he caused by or result from future operations undertaken by the Stat~ for the conne~vation or im~ovement of navigation, or for other purposes, and no claim or rignt to compensation shall accrue from any such damage. 9. That If the display of lights ann signals on any work hereby authorized is no[ otherwise provided for by law, such lishts and sigsais as may be pre- scribed by the United States Coast Guard shall be installed ann maintained by ann at the expense of the owner. 10. All wore carried out under this permit shall he performed in accor- dance with established enginaerins practice and in a workmanlike manner. 11. If granted unner Articles 24 or 25, the Department reserves the right to reconsider this aplxoval at any time and after don notice and hearing to continue, rescind or modify Ibis permit In such a manner as may he fonnn to be just and equitable, if upon the expiration or revocation of this pormit, the mnditlcation of the wetland hereby authorized bbs not been completed, the appllcanl shell, without expense to the State, ann to such extent and in such time and manner as the Department of Environmental Conservation may require, remave all or any ppttion of the uncompleted structure or fill and reslore the site to its furmar condltino. No claim shall be made against the State of New at the locality shown on the drawing hereto attached, and, if so p'escribed York on account of any such removal or alteration. thereon, within or behind [ goq~d'a~tfa'gttlntlarbellL'Wead orbntt[~a~; s~t'fl ..........., ,~, . as will prevent escape of the material into the waterway, 12. This permit shell not be constr~nn as conveying to the applicant any 6. There shall be no unreasonable interference with navigation by the work herein authorized. 7. That 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 Envlronmantal Conservation It shall cause unreasonable obstruction to the free navigation of said waters or flood flow~ pr endanger the health, safety or welfare of the people of the 5tare, or loss or destruction of the natural resources of the State, the owner may be ordered by the Depart- merit to remove ur alter the structural work, obstructlnos, or hazards caused thereby without expanse to the State; ann if, upon the expiration or revocation of this pefmi't, the structure, flU, excavation, or other modification of the watercourse hereby authurlzed 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 Envirorm,antal Conservation may require, remove all or any pmtino of the uncompleted structure or fill and restore to Its former condition the navigable and flood capacity of the watercourse. No claim shall he made against the State of New York on account of any such removal or alteration, right to trespass upon the lands or interfere with the riparian rights of others to perform the permitted work or as authorizing the impairment of any fiRMs, title or interest in teal or personal property held or vested in a person not a party to the permit. ,~.,. ~ 13. The permittee is responsible fur obtaining any Other permits, ap- provals, lands, easements ann rignts-of-way which may he required for this project. 14, If granted under Article 36, this permit is granted solely on the basis of the requirements of Article S6 of the Environmental Conservation Law ann Part S00 of 6 NYCRR (Construction in Flood Plain Areas having Special Flood Hazards - Building Permits) ann In no way signifies that the project will be free from flooding. 15. By acceptance of this permit the permittee agrees that the permit is contifl~ont upon strict compliance with the special conditions on the reverse side. 95.~0-4 (9/751 16. Ail construction shall conform to See additional conditions A-J the plans submitted. : ."~,*~.. :?.. Jul~ 28, 1983 ~Daniel J. La~k-ln ~, "' ~'"~'~ -~F---U~ACE ' , ---l-~,~ ~UfSDEC Bldg &O SUNY SDony Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-18~2 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 26, 1999 Louis & Elizabeth Formica P.O. Box 1734 Mattituck NY 11952 RE: SCTM #114-7-10.6 Dear Mr. & Mrs. Formica, The following action was taken at the Southold Town Board of Trustees meeting on February 24, 1999: RESOLVED, that the Southold Town Board of Trustees grant the request for an Amendment to Permit #1658 to change the configuration of the dock back to the way it was originally approved for by Trustees, Army Corps of Engineers and the DEC, with condition that float be on the easterly side of dock as approved by the Trustees on survey in file dated 2/24/99. If you have any questions, please call our office at 765-1892. Sincerely, Albert J. Krupski, Jr. President, Board of Trustees AJK/djh ,/ Telephone (516) 765-150! Town Hall, 53095 Main Road P.O. Box 1179 8outhold, New York 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Advisory Conservation Council held Tuesday, February 16, 1999 the following recommendation was made: Moved by Melvyn Morris, seconded by Ken Meskill, it was RESOLVED to recommend to the Southold Town Board of Trustees DISAPPROVAL of the Amendment Request of LOUIS & ELIZABETH FORMICA 114-7-10.6 to change the configuration of the dock back to the way it was originally approved by the Trustees. Amendment to Permit #1658, 2422 Westphalia Rd., Mattituck CAC recommends Disapproval as an Amendment. Application should be resubmitted as a Wetland Permit as it is a new structure. Vote of Council: Ayes: All Motion Carried '~' :':COR!::GS ~ Y*UST ~,~=L: · ViS ~.%~,~ ,._ ~. _ . ~, J.. ~._.'" ~/.' :. SCUIHOL~, ,qcVY YORK PERMIT NO.. Z~.~.~. .............. DATE:A~.~St.. ~ -~,. ISSUED TO ~obe~ p~C~beM Pursuanf fo fha provMcns of Chaplet 615 of fhe Laws Chap,er 404 of fhe Laws of +he Sfafe of New York, i893; and ' * ~ S+afe of New Yerk 1~2; and fhe Soufho]d Town Ordinance en- f~Hed "REGULATING AND TN~ , LAC.~G OF O~.~RUCt OhS , ,.; IN AND ON TOWN WATERS AND PUbLiC LANDS on~ fhe REMOVAL OF SAND, G~AV~_ OR O~ ..... MAT~?JALS }:ROM -~. LANDS UNDER TOWN WATERS;" end in accordance wifh fhe ~'~ '~:'~ 83, '~ .... ., 19 .......... an~ in con:i~er~H~n of fha sum c[ $.1.~.~z..~5' . pa~d by ~.~]. , fi.,. . ........................................ ................................................................. of ....... .~.A~.~.~$.A~A .................................................. N. Y. ~nd subiecf fo fha '.x-~/:-"/; Terms and Con'fi[OhS [isled on fhe reverse side hereof, ' of ~ouzno ~ Town Trusfees aufnor~zes and ~erm~ts fhe ~;... ;,..~ he~d ~n8 33' return, a ~Lxed doe~ witt lead ¢o ~ 1~' F~mp ~d 2- 6' x 18' ~lo~s (do¢~ is to be and bulkhead is to be kept in li~e with existing he~s~ accordance wlfh fhe derailed spec;flea,ions, a~ presented in [:~.~, :. ~7'/ IN WITNESS WH~O,, The sa~a Eoerd of Trusfees here- ~ by causes ~fs Corp~rafe Seal fo be affixed, and fhese pres'enfs be subscribed by ~ mejoHfy o~ fha said Board as ~f ohk . · a'.:: ~'~. ~ ~%,.~.S~:, ~1 ' ~ ................... ~ Board Of $outhold Town Trustees SOUTHOLD, NEW YORK t4OOP, ING NO. N/A .. P:,,M/T NO i[6-58 DATE: ..... Augus{ .9' ISSUED TO Robert Patchell 1983 ,I I, certify that the work as authorized in this permit has been completed and is now ready for your inspec- tion. Also, the number required on this project is clearly, visible. I further understand this permit is not valid until this tear sheet is returned to the Trustees. TERMS and CONDITIONS T~ePer~ee Mr. Robert Patchell , East Legion Ave., Mattituck residing at Mattituck, IN. Y., ~ part of the col:~idera[ion for the issuance of the Permit d~ ~de~d ~d p~ to ~c roi-' lowing: 1. That the South~ld Trustees Permit must be prominently disotaved on the premises effected thereby during the period of 2] T~a~ ~e ~d B~dof T~t~s ~d ~e Towa of ~u~old a~ ~l~ed fzom ~y ~d WOrk ~ damages, or da~ for d~ag~, of ~ ~ing ~y or ~r~dy ~ a r~t of ~y o~- under defend any ~d ~i su& ~U ~t~t~ by ~d pa~, and ~e ~d Pe~ ~ ~ ~ the wi~ respect ~ereto, to ~e ~mFIe~e ~cl~sion of ~e ~d of T~e~ of ~e Town of ~old~e~m~t 3. That ~ Permit is valid for a period of _OL*~ YE, AR whlck is on.side, red to be sufficient time required to complete the work involved, but should dzcumst;unc~ warrant, :equ~---~ for an ex're,ion may be made to the Boa.rd at a later date. 4. That this Permit should be retained indefinitely, or as long as the said Pe-rmirree w~.h~ to maintain the stnrcmre or project involved, to provide evidence to ;~o)'one cor:cerned_.~hat auth- orlzation wa~ originally obtained. 5. That the work involved will be subject to the inspection and approval of the Board or it~ agents, and non-compliance ~'ith the provisio~ of the ori~natiag application, tony be ,"~,,~e for revocation of this Permit by resolution of the said Board. 6. That there will be no tmrmson=ble interference with navigstlon as a result of the work herein authorked. 7. That there shall be no interference with the Hght of the Fablic to pass and rep:zsa a~ong beach between high and low water marks. 8.. That if future operations of the Town o~ ~%uthold requixe the'removal and/or a.leeratio~ in the location of the work herein authorized, or he, ia the opinion of the Board of Trustee.% the work sholl cause unreasonable obstrucnon to free navigation, the said Permletee will be required, upon due notice, to remove or alter this work nr proiecr herein stated without exFer~e~ to the Town of Sou~olck 9. That the said Board will be notified by the PermJrtee ot the completion of the work a.uth- o~ed. (See tear off sheet.) 10. That the Permir:ee will obtain all other permits and cor~sents that may be reauired sup- plemental to this permk which may be ~abjec'r 'to revoke upon failure to obt.,in.same. b JLA/._5: )": I CRO~S V~EW 50 LE / 3/22/05 ALW 3:15P.M. Formica Looking from the top of the bluff (West) to the boat float (East) which serves as the slip area. Sand which has been scoured by the weather has migrated to the floats and boat slip. At very low tides, the float at the foot of the ramp now lays on the bottom. 3/17/05 ALW 10:56A.M. Formica Looking from the Southeast to Northwest, scouring of the beach-sand away from the bulkhead is shown, resulting in a gradual drop to a depth of 8'_+ at the juncture of the bulkhead and the dock walkway. 3/17/05 ALW 10:56A.M. Formica Looking from East to West, the 20' bluff is shown contained by the bulkhead. 3/17/05 ALW 10:56 A.M. Formica iLooking from the Northwest to Southeast, sinkhole with cracking soil is shown at right above resulting from the piles kicking out at the bottom 3/17/05 ALW 10:56 A.M. Formica Looking from the Northwest to Southeast, piles shown kicking out from under, resulting from scouring of beach sand originally up to the lower whalers. 3/22/05 ALW 3:15 P.M. Formica Looking from the float (East) to the bulkhead (West) showing ALW. 3/22/05 AHW 9:00A.M. Formica Looking from the float (East) to the bulkhead (West) showing AHW. PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair WILLIAM J. CREMERS KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hail Annex 54375 State Route 25 (cot. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD To: Town of Southold Board of Trustees From: Mark Terry, Senior Environmental Planner LWRP Coordinator Date: June 21, 2005 Re: Request for Permit for Louis and Elizabeth Formica SCTM#1000-114-7-10.6 The proposed action involves the replacement of a existing bulkhead with vinyl sheathing and to reclaim sand scoured from the bulkhead and migrated toward the float boat slip areas as backfill. The proposed action is located within REACH 1. The proposed action has been reviewed to Chapter 95, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is generally CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP provided that the following standard best management practices are implemented to further the intent of the LWRP Policies 5, 6, and 11. Prohibit the removal or reclamation of the sand as indicated and described. The area is vegetated and demonstrates the attributes of an evolving marsh ecosystem. All efforts should be employed to minimize impacts to this area during construction. Require that the new vinyl bulkhead be backfilled with clean sand from an off-site location. Require the installation of a floating turbidity screen around the entire project area. The turbidity screen should remain in place a sufficient amount of time post project to minimize turbidity. Pursuant to Chapter 95, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Please contact me at (631) 765-1938 if you have any questions regarding the above. Conservation Advisory Council Heather Tetrault, Environmental Analyst Albert J. Krupski, President James King, Vice-President Attic Foster Ken Poliwoda Peggy A. Dickerson 2005 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall "53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 So,lthol~ Town Beard of Trustees APPLICATION FOR AN AMENDMENT TO A PERMIT ~D~SS AGENT T~NO. I~cO- I~- ~-~,~ I/We ~.~..<t, a~ ~a~b&~r~t~ request an Amendment to Permit NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: YOU ARE HEREBY GIVEN NOTICE: 1. SCTM# lvcv ~ ~tq--'l- Ie~,b That it is the intention of the undersigned to request a Permit from the Board of Tmstces 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as fellows: 3. That the project which is subject to E~vironmental Review under Chapters 32, 37, and/or 97 of the Town Code is open to public comment on: . You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. OWNERS NAME: MAILING ADDRESS: PHONE #: ~Copy of sketch or plan showing proposal for your convenience. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS U.S. Postal Service.~ CERTIFIED MAIL,.,. RECEIPT (Domestic Mail Only: No insurance Coverage Provided) ~ p~ $ 0.3? U~IT ID. Address: ~- .~,e~~ ~w ~~.,.~ ........... I ~l~ ~, ~t~ ' ' set fo~,~n ~o Bo~d of T~t~.Ji~ti~ ~: .... ~. , - ' persons at ~e ad~esscs set op~sitc th~m ~fivc ~cs; ~at ~c ad~ess~ s~ ~sessment m]] of~e To~ ~Sou~oJd; ~at s~d No~ w~e m~l~ at ~e'U~t~ Stat~ ~ost (~fi~) (reCst~) mail. Sworn to hefo~ me ~s ~ ~ Day of~ 20~ Not~P~c Albert J. Yumpski, President James King, Vice-President Artie Foster Ken Poliwoda PegKy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-~1~ ~ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING , residing at Z~-Z2 being duly sworn, depose and say: That on the/g day of 7J~,ae. , 2005~-I personally posted the property known as by placing the Bo~d of Trustees official poster where i~easily be se~n, and that I have checked to be sure the poster has remained in plac~ forays prior to the date of the public hea~ng. Date ofh~ng notea thereon to be he d Dated: Sworn to before me this l~g&day of ~200.5' of Trustees Application County of Suffolk State of New York ~OO'~ ~-~Or~',co~ BEING.DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF sAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS DAY OF ,~ ~y Public ,SALLY BLADOS t~otaP/Public, State of New Yo~ No. 47~55 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the hart of town offieers and emnlovees. The nurpose 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 pecossarv to avoid same. (Last name, first name, gaiddie initial, unless you are applying in ~ 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 (If"Other", name the activity.) Do you personally (or through your company, spouse, sibling, patent, 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" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a coq~oratioo in which the town officer or employee owns moro than 5% of the shares. YES (~ If you answered "YES", complete the balance ofthls form and date and sign where indicated. Name of perann 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 pro~ided. The town officer or employee or his or her spouse, sibling, parent, or child is {cheek nil that apply): __A) tl~ o~vner of greater than 5% of the shares of the corporate stock of the appliclm~ (when the applicant is a corporation); __B) thc legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); __C) an officer, directer, pastnei', or employee of the applicant; or __D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I Submitted this Z.~, ~day of fi2[~ t4 200 ~'~ Signature .~ ~. ~l,v.,.~*.~ -- PrintName ~f,_om~ ~- 'F:~r~x~c~ £ouis ~ formica 2422 ~Vestp~t£ia Jtvenue ~.OZBox 1734 Mattituc , 11952 Board of Town Trustees Town Hall 53095 Route 25 P.O. Box 1179 Southold, NY 11971-0959 Dear Gentlepersons: Please find enclosed six sets of copies of the application items required for An Amendment to Permit # 1658 to replace the bulkhead in a tidal wetland area on Mattituck Creek. The items are as follows: Application For An Amendment To A Permit Notice to Adjacent Property Owners Proof of Mailing Notice with Attached Certified Mail Receipts (notarized) Applicant/Agent/Representative Transactional Disclosure Form Board of Trustees Application (notarized) Site Map, Location Map Hydrographic Survey Plan for a Proposed Bulkhead Replacement (Cross View) Color Photos (Set of 7 photos) I believe these items contain the basic details you require. Thank you for you consideration. Sincerely yo~.~/ , Louis A. Formica Board of Trustees Town of Southold P. O. Box 1179 Southold, N. Y. 11971 £ouis & :E£tzabeth formica ~P. O. Box 1734 2422 3Vestj~tia£ia ~enue attituck, 11952-0905 Dear Board of Trustees: The 100 foot bulkhead on my property is kicking out from under, threatening the erosion of the 20 foot bank it supports into Mattituck Creek. Permits (copies enclosed) for the bulkhead have issued by the: Board of Town Trustees, N.Y.S. Department of Environmental Conservation, and Army Corps of Engineers. However, the permits are in the name of Robert Patchell, a former owner of the property. On visiting the Trustees' office, I was advised to submit a letter to you requesting that the permit(s) be transferred in my name. We purchased the property, built our home, and have resided here since 1996. Your cooperation would be most appreciated so that we may proceed to repair/replace the bulkhead as needed. Thank you. Sincerely yours, Louis A. Formica Albert J. Krupski, President James I, rAng, Vice-President Henry Smith Artie Foster Ken Poliwoda BOARD OF TOWN TRUSTEES ' TOWN OF SOUTHOLD LETTER OF REQUEST FOR AN AMENDMENT Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765o18q2 Fax (516) 765-1823 JAN - 7 ~ TOWN OF AGENT ' '-- PHONE ADDRESS PROPERTY LOCATION TAX MAP NO. ~ooo Stgned By. Louis A. Formica 2422 Westphalia Road P. O. Box 1734 Mattituck, NY 11952 Januat~y 7, 1999 Reasons for the Re~luest. The over-riding reason for the request is to improve environmental quality: 1. by eliminating the stagnant pool created by the floats and including debris, flotsam, boat discharges, and odors which collect against the sides of the floats, and 2. by keeping the creek-bottom free from materials settling on the bottom and so enhance the growth of marine life. In addition, the fixed pier would be in compliance with the approved plans which a previous owner apparently modified unilaterally. It would also provide a stable platform to the boat dock. Town Hail 53095 Main Rosd P.O. Bex 1179 Southold, New York 11971 Telephone (516) 765-18~2 Fax (516) 765-1823 BOAP, D OF TOWN TRUSTEES 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 I, ~%~ A.~%c-D, residing at being duly sworn, depose and say: That on the l~day of-~_~a~99 , I personally posted the, _,--r-- property known as ]O~0 ~/[l~ 7 /~.& C~'~ %~ll~u~al-k by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for seven days prior to the date of the public hearing. (date of hearing noted thereon to be held ~iIQ~--. ----- Sworn to before me this ~,,~ day of ~-~,b 199~ Notary Public 4606712 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: Mr. Lawrence Blessinger Mr. John Garelle Aha and John Pope P.O. Box 6 Franklin Square NY 11010 Clerbrook C14 20005 US27 N Clermont, FL 34711 10 Valley View Dr. Ramsey NJ 07445 STATE OF NEW YORK COUNTY OF SUFFOLK ~{~-~-,~,~,~g~-~ , bei~ duly sworn, ~d~poses and says that on the t~ day of ~2~l~A~ 19~_, deponent mailed a true copy of the Notice set forth i~ the Bo~d of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that s~id Notices were mailed at the United States Post Office at ~D©~c~o[~ ,that said Notices were mailed to each of said persons by (certified) (registered) mail. Sworn to before me day of~ his/? ,19~-- Notary Public 6 Tow, n of Southold A. INSTRUCTIONS All applicants for permits* including Town of Southold. geneses; ~~te this c'Z~AF for proposed actions that are subject to the Town of Southold W,*~'~0m C6ilgtgtency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including BuiMing Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfl:ont Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCT # logo _ ttt 7 - The Application has been submitted to (check appropriate response): TownBoard [] Planning Dept. [-~ Building Dept. ~'~ BoardofTrustees [] Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant} loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: · If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: (b) Mailing address: (c) Telephone number: Area Code ( (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ~ No [-~ If yes, which state or federal agency? ~), DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. Sec LWRP Section III - Policies; Page 2 for evaluation criteria. ~-~Yes ~-~ No ~-] Not Applicable Atlach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria ~-~ Yes ~ No [~ Not Applicable Atta.ch additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria ~ Yes ~ No [] Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria ~ Yes [-~ No ~ Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III -Policies Pages 16 through 21 for evaluation criteria [~ Yes [--] No ~] Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section II1 - Policies; Pages 22 through 32 for evaluation criteria. Yes ~ No [~ Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. [] Yes ~'~ No ~ Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lauds, and public resources of the Town of Southoid. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. [] Yes ~'] No ~-~ Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. ~ Yes [] No ~ Not Applicable A~ch additional sheets if necessary Policy ?. Protect sad improve ulr quality in the Town of Southold. See LWRP Sectiou III - Policies Pages 32 through 34 for evaluation criteria. F-] Yes ['-] No F~ Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation :in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. [] Yes [] No F-~ Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See L~VRP Section III - Policies; Pages 38 through 46 for evaluation criteria. · F~ Yes ~ No [~ Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section Ill - Policies; Pages 47 through 56 for evaluation criteria. L_l Yes F~ No ,F~ Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peeonie Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. [] Yes No Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. [-~ Yes ~ No [~ Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. [-] Yes ~ No ~] Not Applicable Created on 5/25/05 11.'20 AM