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Home My WebLink AboutTR-6244 . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (63ll 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTH OLD November 14, 2007 Mr. John Costello Costello Marine Contracting Corp. P.O. Box 2124 Greenport, NY 11944 RE: JONATHAN ZANG 370 TAKAPOSHA RD., SOUTHOLD SCTM#87-6-7 Dear Mr. Costello: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., November 14, 2007: RESOLVED that the Southold Town Board of Trustees grants a One-Year Extension to Permit #6244, as issued on November 16, 2005. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, /:;;s :':i~ President, Board of Trustees JFK:lms . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. 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 SOUTH OLD November 14, 2007 Mr. John Costello Costello Marine Contracting Corp. P.O. Box 2124 Greenport, NY 11944 RE: JONATHAN ZANG 370 T AKAPOSHA RD., SOUTHOLD SCTM#87-6-7 Dear Mr. Costello: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., November 14, 2007: WHEREAS, Costello Marine Contracting Corp. on behalf of JONATHAN ZANG applied to the Southold Town Trustees for an Amendment to Wetland Permit #6244 under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated October 29,2007, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 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, . 2 . NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, BE IT FURTHER RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Wetland Permit #6244 to extend existing east 40' bulkhead return 20' for a total length of 60' and existing west 24' bulkhead return 20' for a total length of 44', and provide a 20' wide non-turf planted buffer, with the condition the buffer is planted by June 1 st, and as depicted on the plans prepared by Costello Marine Contracting Corp. last dated January 7,2008. This is not a determination from any other agency. Sincerely, );;: F~~sident Board of Trustees JFK:lms . COSTEllO MARINE CONTRACTING CORPORATION DOCK BUILDING · JETTIES. BULKHEADING · STEEL & WOOD PILING. FLOATS 423 FIFTH STREET. P.O. BOX 2124 . GREEN PORT, NEW YORK 11944 . (631) 477-1199/477-1393/477-0682 . FAX (631) 477-0005 January 7,2008 Southold Town Trustees PO Box 1179 Southold, NY 11971 RE: Jonathan Zang - 370 Takaposha Road, Southold Eve Seber - 3025 Pine Neck Road, Southold Dear Lauren/Elizabeth: Enclosed you will find check #3022 for the amount of $50.00 for Jonathan lang's amendment for a permit extension and check #3021 for the amount of $1,248.00 for Eve Seber's dock construction fees. Also endosed are revised plans for Jonathan Zang showing a 20' buffer. If you have any questions regarding these projects, please do not hesitate to contact me. Sincerely, r.;", re rr 1~.fI-\\fl ie; -;-:-: l ii): IG lto LC; I: \'J [.l, i, " I L~~r-- -- .- -, " If'" ; .1: \:: JAN - 8 2008 I",'" I i.__ I Enclosures i L.__ . !~{,:, \ ;,(,,' I, ',:; . F- "r;" :~-:; , Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Telephone (516) 765-18'12 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES . TOWN OF SOUTHOLD 2 9 2007 i I , DATE 10/"'5/07 \ L----M, ",:',;;;; --~ OwNERJ,YI/1../ha.n ZOf<q PHONE M7/5/0. 629t5 ADDRESS {oP'JAt1lltyscJ1.1 Sfreel- #FolPJ /!305IoVl, ;11A rJJ./14 AGENT .fIdel/o ~vme. ~n-lr(j{h~1 PHONE 1>>,/477. II?? ADDRESsPo &x 02/21; br-eoy::or+, Ny l/q4+ PROPERTY LOCATION 370 -rartJ DOsho.. 1?mr(. 5o.llf,dJ , I TAX MAP NO. /MO -87-(0-7 r---"- j"'<' ,,:',\ II>' :...'eJ,' LETTER OF REQUEST FOR AN AM1If~NT >.] '., I.!' O.,OT it, v' Ii," "--'T[~:T:-'.~ I, \\ 1\1 \ I I \ \ \ IfWe JJYIt'.{flsk11o request an Amendment to Permit # ~244 -In eJ<!IM bPfh fhf.- fa-St (p-fu rYl rJ;J Wis.1 r~l-u..rV/ JO', S;,'OO BYfrA7J tt COSTELLO MARINE CONTRACTING CORPORATION DOCK BUILDING. JETTIES. BULKHEADING . STEEL & WOOD PILING. FLOATS 423 FIFTH STREET. P.O. BOX 2124 . GREENPORT, NEW YORK 11944 . (631) 477-1199/477-1393/477-0682 . FAX (631) 477-0005 October 25, 2007 Southold Town Trustees PO Box 1179 Southold, NY 11971 [ !'I'D"~~' [=cc_' fr:l\v,_' Lt,-,-,__", [I, \\// ~~ 1.:;-1 . \0 L_' _ \.I 1.-, t \\;, j __~_' I" 1,[- I If' , Li (Ii OCT 2 9 2007 L.__ sC'~:t;-;r;;'J T~,,\" L--_f';::;.~~:_.~~~L~~.';.0~_".___. RE: lang Property - 370 Takaposha Road, Southold SCTM# 1000-87-6-7 Dear Trustees: I am requesting an amendment to permit #6244 dated 11-16-05 issued to Jonathan lang. Presently this permit allows for the construction of 164' of bulkhead in-place of the existing bulkhead. I request permission to extend the existing 24' west return and 40' east return each by 20' resulting in the west return having an overall length of 44' and the east return having an overall length of 60', I also request that this permit be extended for an additional 24 month period to give Mr. Zang enough time to complete any work outlined in this permit. I have enclosed check #26846 in the amount of $50.00 for the amendment fee, a complete set of plans showing the proposed return extensions, a copy of permit #6244 and photographs for your review. If any additional information is needed, please do not hesitate to contact me. Sincerely, Enclosures j/tJ4Naex .a"", V/C /A//T'1' MAP ~ . ~ ~ ,IIAJAQSIIr v<J r.6#lTY O~4IIltI:S.. 0+@ A/AAM EMTf!!!JIePR./:!Ui!& "NC. o/D...f. "',oc,..l/;1e. . /~.dT'-AN7?C ~VD. "",Pr. &00 K6Y ""..r, F~. 3~o~ ~"":reo.' c..a,. t:IftNI& ~... NftIC JIIloII" LOCA'T /0"-/ MAP ~ co ___n: " _.~--.-'_. -. r ,---- I,'" !:" \\r: Ir:. 1 i'-, ,,' t. \. -/~ ~--_.~- \ \ ,- \\' \" JAN - 8 2008 \ I \ I , i i... , " 1-- -' ;';0 ' 1[:,01' ,. ._..J AMeNO TOJ<JAI Dr.:JoV7'HO~O 'PeRMIT A/~([,24'" ANO ,t./. )I. ST47E" :D .c.c. 'Pe~,., /T IV!!! /-.,. 7 3~ - O!!l51l.7,/ ODOO" TO ~~o <!: )L/.$7IN<:, EAS-;- 40' "3uc.KHEAO -ReTLIRN :2..0' 70 c&O'~D 6,c/ST/NC'7l-Vesr24'.?>VGA:::HB40~e-r~qN :2. 0' TO 44'. 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'7, !2QO,7 ~J'1 '"!- r ~ #_. -. -/"'U~_rC -t;~I.l,'fl.cO T.lI ~O.....,~ 1IT-r,'rl~ MY. ,'''''' (S,M) Jt1?7- II" . St. :T 2 ." 3 E-I-/$TINo, 4t1Z.AlX: V~lI/~ I. ~CIC-FIL'-A~BA N/T'I-I """~..O)C. '22.f$ c:(/.)""'=5 of &G.t!l!A__ T.euc_.~ ~ ~"""'HuL"'IQ.. p/G.I-.Aee6~ ;AHa """".Y-,....~A.<<.sA_ r:zO 'l"!>utcFEtZ.z~ 12~ -pi-A",r I4'lrH- ~l!"""N'611/l.U:'A"'~..~ .!t;'c:,"Ce...AMP f2'~...P -> &>~. '. t=Icr"p"'Scv.:> N.i'Vd'r~A&>* ~II \ \;: 4 ..", .:IL. ...il, ... '"\' s:~~~re~ ". RfI!-MSa. A~ ... pJiJ... r#? t>F NSW "'6u_"'~ 6~. #"7-., ,U~I\A. '" f2>'!<(#'~/foJd->eR. ; ....... / ." , .. / , - 1~/4'rle ___ -.os / L I'tf' f/J "'20' J"'e>R'i!!. . .ve,a.o.-w..w 10"~,P IlG~ <:;"C<,. . .c-ux:." 9tJOO VI""V~ SN64THI"'<'7 .s' ~e>""1h B"'j!lKB~_ ~..04c:t::/AK., p/~ C:;'o.c. ~ .23(/L~J../~L1I:> DEETAIL o (l 4n: - - - - ~ ~.. 4I!ri. A__ r -,,"'" ~~.5 rjl.. -,,~ 1'1 ~.........,.,. ... T - r 'V #II: "","". ,,,,.. u.MJ ~~ 1/" """". U::""...". .JOJJA'T'HAN Z.AHC..., t:;5A_"-S-,..;::$7"....,r "Se. a...,........, ""..... 0.". ..570 r""~~. ....0: S'D1 ,...,~"..,.,y. /In/ S,e.7"oM. /~IHI- 6;;c. t;~7 J~1J. 7,200S OCT. 17.2.007 " -" -iT 3 #IIfW 3 Albert J. Krupski, James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hail 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 1st day of construction ¼ constructed __ Project complete, compliance inspection. .L Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO..'~'~"~( ..... DATE: ....... ISSUED TO JONATHAN ZANG Pursuant to the provisions o{ C{~apfer 615 of the Laws of the. Sta~ of New YorL 1893= and ~apfer ~ of the ~ws of the ' State o~ New York 1952; ~nd the Southold ToWn Ordinance ea- r'led 7~RE~U~TIN~ AND .~E, P~CIN~ OF: OBSTRUC~S IN AND ON TOWN WATERS AND PUBLIC ~NDS REMOVAL OF SAND, GRAVEL O~ OTHER MATERIALS.F~OM ~NDS .UNDER TOWN WA~RS;~.. and in acc~da.~ wHfl 'the EesoJ~Jon of The Board adopfed at a meei ng held on 20.QS..L, end in conslderMion of the sum of $ ..2.~q,.fiQ .....pMd by ~o~a~han Za~[ .................................................. ......... of ........... ~.g~.~.q~.~ N.Y. and subjecf fo 'the Terms end ~ndiflons lisfed on ~he reveme side ~r~f, wqf ~ufhold Town Tr~ees authorizes and ~ermi~ fh~ fo lowing: e~ana ~e~ t to construct 184 of new bulkhead n p ace us ng C-Loc go00 v ny sheathiflg; backfill area behind bulkhead with approx. 225 cy. of clean tm~ed in granular fill, regrade, and revege~te area, ~th ~e conditions that no CCA lumber be used, a 20' non turf, non fe~lJ~fion buffer planted landward of the bulkhead at the completion of construction ~th beach gross, bay ber~ and other seaside plan~, and all a~ depicted in the plan prepared by Costello Madne Con~acting ~rp. dated ~, 2005. ~. ,. ~ua.~ ~.m ~ne deta~d sp~icalions as pre~nfed .~e odglnafin9 IN WITNESS WHEREOF, The said Board Of Trustees here- ~ causes its Corporate Seal to be a~xed, and these presents fo subsc~'bed by a majority of the sa~d Board .as of this date. .Ar~:~OF&ter . I'ER~S ,,nd GONOIT1ONS Jonathan Z~ng Southold .~'Id~ ~t .... N. ¥~ es . ~. ~c ~ ~ ~.'~d fo~ ~ ~ of 24', ~ ~ ~ ~ ~ ~.. for ~on~y~ m&e~ m · ~ 4. That d~e work involved ~ be sub~cc~ to the iaspcct~ and qTroval of ~he l~trd or h ~g~ts, ~d non-complicate with the pco~L~ons of the o~g q,pLica~oa, m*y be cause foe t'e~ocadon of ~ ~t by ter. olu~ion of tl~ r~i~ ~ Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095Route 25 P.O. Box 1179 Southold, New York11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 16, 2005 Costello Marine Contracting Corp. P.O. Box 2124 Greenport, NY 11944 RE: JONATHAN ZANG 370 TAKAPOSHA ROAD, SOUTHOLD 87 -6-7 Dear Mr. Costello: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, November 16, 2005 regarding the above matter: WHEREAS, Costello Marine Contracting Corp. as agent for JONATHAN ZANG 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 October 11, 2005, and WHEREAS, said application was referred to the Southoid 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 November 16, 2005 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 proposal 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, RESOLVED, that the Board of Trustees approve the application of JONATHAN ZANG to construct 164' of new bulkhead in place using C-Loc 9000 vinyl sheathing; backfill area behind bulkhead with approx. 225 cy. of clean trucked in granular fill, regrade, and revegetate area, with the conditions that no CCA lumber be used, a 20' non turf, non fertilization buffer planted landward of the bulkhead at the completion of construction with beach grass, bay berry and other seaside plants, and all as depicted in the plan Prepared by Costello Marine Contracting Corp. dated Nov ~2, 2005. 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.) This is not a determination from any other agency. Fees: $50.00 Very Truly Yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/hkc 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) 765-6641 TO: Please be advised that your application dated reviewed by this Board at the regular meeting of following action was taken: BOARD OF TOWN TRUSTEES Tow oF sow.oLD ) 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 ~s 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 T~lephone (631) 765-1892 Town Hall 53095 Route 25 P.O. Box i 179 Southold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Wed., November 9, 2005, the following recommendation was made: Moved by Don Wilder, seconded by Jack McGreevy, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Wetland Permit application of ~JONATHAN ZANG to construct 164' of new bulkhead immediately in front of existing bulkhead, in-kind, using C-Loc 9000 vinyl sheathing. Backfill area behind bulkhead with approx. 225 cy. of clean trucked in granular fill, re- grade and re-vegetate area. Located: 370 Takaposha Rd., Southold. SCTM#87-6-7 Vote of Council: Ayes: All Motion Carried ~l~l~l~l~liil ] I ] [ I I I [ J II !LI I I k I i I ! I I L I I I I I I I I I I 1.11 Ill II I I I I I I I I I r I ! I ] f I I I I I I I I I I I I I I I I I f 4111 Ii~ll~ [] I ! [III / ®+® V //91'7/ PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair WILLIAIM J. CREMERS KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON MAILING A P.O. Box Southold, N5 OFFICE LOCA Town Hall An 54375 State Rou (cor. Main Rd. & Youx Southold, NY Telephone: 631 765-. 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: Re: November 15, 2005 Request for Wetland Permit for Jonathan Zang SCTM#87-6-7 JONATHAN ZANG requests a Wetland Permit to construct 164' of new bulkhead immediately in front of existing bulkhead, in-kind, using C-Loc 9000 vinyl sheathing. Backfill area behind bulkhead with approx. 225 cy. of clean trucked in granular fill, re-grade and re-vegetate area. Located: 370 Takaposha Rd., Southold. SCTM#87-6-7 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 the following best management practice is applied; 1. To further suooort the LWRP and the oolicies, assess the feasibilitv of the installation of a silt boom/turbidity screen to be emoloved durim! construction of the rock revetment to minimize turbidity in the water column. 2. No CCA is used in the construction of the dock facility. 3. Require a non turf buffer landward of the new bulkhead. Pursuant to Chapter 95, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Office Use Only Coastal Erosion Permit Application ~5~:etland Permit Application Administrative Permit .~eadment2Trans fer/Extensi~n ~l~eceived Applica6on: ~/ Oil I /O'~ ~R~eceived Fee:$ r~ .~'D3 ~--C~mpleted Application __Incomplete __SEQRA Classification: Type I Type II__Unlisted Coordination:(date sent) ~'TkC Referral Sent: ! ~ ~Oate ofinep¢ction: /! / Y//0t __Receipt of CAC Report: __Lead Agency Determination:__ Technical Review: ~J~ablic Ueaxing Held: __Resolution: OCT ]1 2005 Sou!hold Tcwn Board of Trustees Name of Applicant Address Phone Number:¢..0!~) ~-I0 - 0>o~0 Suffolk County Tax Map Number: 1000 - ~ 7~ Ca -- '7 PropertyLocafion: #370 TS-/~& l~S Acc Roe<!, ...~oo//x~/o/, /Uy 1177/ (provide LILCO Pole #, distance to cross streets, and location) (If applicable) Address: /9,6~. ~)X c~/c~17I) t/~p,,"'ee,9/L~,~'C LlY IlqqV Phone:(~3/) q?7- 11~19 Board of Trustees Application GENERAL DATA Land Area (in square feet): /~ ~/~ Area Zoning: Previous use of property: Intended use of property: Prior permits/approvals for site improvements: Agency Date JNo 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): fffo,-~JA~o,cP /~q; O;tTc't~ ~oard of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed Area of wetlands on lot: bt ~ square feet Percent coverage of lot: ~'~ % Closest distance between nearest existing structure and upland edge of wetlands: C) feet Closest distance between nearest proposed structure and upland edge of wetlands: t~ feet Does the project involve excavation or filling? No X Yes If yes, how much material will be excavated? How much material will be filled? ~.) 3~ 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 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): ~oard 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 GRAN'IED. 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. q NOTARY PUBLIC, STATE OF NEW YORK NO:OIMA6100507 QUALIFIED IN SUFFOLK COUN'I~---~ COMMISSION EXPIRES OCT. 20 ..V..~I 7004 2890 0003 9145 . 7004 2890 0003 9145 -4c STATE OF NEW YORK COUNTY OF SUFFOLK , residing at -T~2~ C{(~?..J? ~C~ , being duly sworn, deposes and says that on the ,20 , deponent mailed a true copy of the Notice SS. worn to,.l~efore me ti:tis ~' P/x of IU O Z*t, 20 CYNTHIA M. MANWARING '~TARY PUBLIC, STATE OF NEW YORK NO:01 MA6100507 QUALIFIED IN SUFFOLK COUNTY 3OMMISSION EXPIFIES OCT. 20 ~ dayof ~a~r~ tx~ set forth in the Board of Trustees Application, directed to each of the above named p~rsons 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 o.f S~oj~thold; that said Notices were mailed at the United States Post Office at C"~ll_~-- [[.q'~f'~ , that said Notices were mailed to each of said persons by (certified) (registered) mail. 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) 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 l, /~t.,~' .~,~'~ , residing at ~ ~//8,,/'].~'~' bei~ du~y sworn, depose ~d say: That on the / day of ~.~/¢¢t. ,200,¢['I personally posted the property -known as 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 eight days prior to the date of the public hearing. Date of hearing noted thereon to be held ~l-Je~C¢. "TI f.~, /~'t dO0,~ ' Dated: ~¢~vo~m to before me t~lJs m //~//1~( ~//~/ 0~4~t~ Veronica F. Cidone ~~~ ~ Nota~l:i~1%~ewYork Qualified in Suffolk Coun~ ~ Commission Expires Dec.31 ,~0~ Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART ! - PROJECT INFORMATION (To be completed by A~plicant or Project Sponsor) 1. APPLiCANT/SPONSOR 12. PROJECT NAME PROJECT LOCATION: 4. PRECISE LOCATION (Sl~eet address and road intemec~ons, prominent lanamarks, etc., or provide map) :~oc,~4,~,~ ~v.y, .#9 ~'/ 5. PROPOSF:;~CTION IS; ~ew [] Expansion [] Modiflnaflon/alte~a~on 6. DESCRIBE PROJECT ERIEFLY: ~'o~I!~"/' /~ t~/~,~,~ 7~ AMOUNT OF L~ND AFFECTED: Ini'dally O' 6' acre~ Ultimately C), ,.~' acres 8. WILL PRO/I~OSED ACTION COMPLY WiTH EXISTING ZONtNGOR OTHER EXISTING LAND USE RESTRICTIONS? [~Yes [] NO If NO, describe briefly 9. WHATr~IS P~ESENT LAND USE IN VICINITY OF PROJECT? Descdbe: 10. 11. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FED~L, STATE OR LOCAL)? ~J No If Yes, list agency(s) name and pem;it/approvats; DOES ANY ASPECT,~OF~E ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes L~No If Yes, list agency(s) name and pefmlt/appmval.~ 12. AS A RESULT OF PROP/Q~D ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? t CERTIFY THAT.~THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE I If the action is in the Coastal Ama, and you are a state agency, complete the I Coastal Assessment Form before proceeding with this assessment I OVER 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, coordinate ~e review process end use ~e FULL EAF S, WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNU~TED ACTIONS IN 6 NYCRR, pART 617.6? If NO, a negat~e destamfion may be superseded by another involved agenoy. r-lYes l--INo C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Antra may be handwlltten, if legible) C1. Existing air quality, surfece or groundwater quality or qcan~, noise levels, exisl~g fi'affic pettam, solid waste pmductJon or disposal, potential for orceion, drainage or flooding proble~1157 Explain blief~ C3. Vegetation or fauna, fish, shelifish or wildlife species, significant habitats, or ~hreateped ~r eed~ngemd spe~s? Exptein bdefly: C4. A community's existing plans or goers as officially adopted, or a change in use or int~sity of use of land or other natural resources? Explain bde~ C5. Growth, sub~,equent devet~ment, or related ~cflvtbe~ Iii{ely to be induced by b'le proposed ac'~on ? Explain briefly: C6. Long term, short term, cumulative, or ob~er effects not identified in C 1-C57 Explain br~ C7. Other impacts (including changes in use of eiti3er quanlA7 or type of enen~y)? E~lain billy: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABUSHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA}? [] Yes [] No ,f E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL iMPACTS? [] Yes [] No If Yes, explain brtefly: PART III - DETERMINATION OF SIGNIFICANCE (1'o be completed by Agency) INSTRUCTIONS; For each adverse effent identified above, deterrnine wbetherit is substantial, large, important or otherwise significant Each effect should be assessed In connec~on.,wlth Ite..(ll) ~etUng (Les. urban qr ~rel); (b) probability of occarring; (c) duration; (d) irrevemibility; (e) geographic scope; and (f) magnitude. If ne-'~---e~P/, add attachments oi' r~emnce.suppo~ng materials. Er~a~'e that explanations contain sufficient detail to show that all relevant adverse tmpac~ have been identified and adequately addressed. If question D of Part II was checked yes, the determination of significance must evaluate the potential Impac~ of the proposed action on the environmental characteristics of the CEA. Name of Lead Agency Date Print o~ Type Name of Responsibis Offiser in Lead Agorlcy TI¥ of Re--la or,car Signature of Rssponsl~)le ~ in Lead Agency Signature of Preparer (If d.lf~rent fTem responsible officer) COSTELLO MARINE CONTRACTING CORPORATIOI DOCK BUILDING · JETTIES · BULKHEADING · ~r'EEL & WOOD PILING · FLOATS 423 FIFTH STREET · P.O. BOX 2124 ,, GREENPORT, NEW YORK 11944 · (631) 477-1199 / 477-1393 / 477-0682 · FAX (631) 477-00£ AUTHORIZATION FORM located at ~:' "/~. / f</':,~ '~:1~ ~/ ~ ~ ' - ~ ' ' ~ he.by ~v¢ ~o ~ ~n~g Co~. ~e ~fiV m a~ ~ agent in my ~f~ a~l~g for ~1 of~ ~ ~i~ for work to be comple~d at my abow ref~ pro~. APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Sonthold's Code of Ethics prohibits conflicts of interest on the hart of town officers and employees. The purpose of this form is to nrovide information which can alert the town of possthle conflicts of intarest and allow it to take whatever acfton is necessary to avoid same. YOUR NAME: (Last name, fi~st name, middle initial, unless you are app ythg in e name 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 may officer or employee of the Town of Southold? "Relationship" includes by blood, mamage, or business interest. "Business interest" means a business, including a partnership, in which the town officer or employee has even a paxtial ownerstftp 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~repr esentative) 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 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, {[aector, partner, or employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP day of 200 __ Submitted this Signature Print Name Form TS 1 · Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Soulhold agency in making a determination of consistency. *Except minor exempt actions including Building 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 Waterfront Revitalization Program. A proposed action will be evaluated as tc, 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 SCTM# ~7 ~ - '-7 The Application has been submitted to (check appropriate response): Town Board [] Planning Dept. ~-] Building Dept. ~ Board of Trustees 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: Location o f action: ,.J~7~ '~l..,]3~ ~r_. Site acreage: Present land use: ]IV/V'a.' k Present zoning classification: 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: _~t, lr~t~t~r/ (b) Mailing address: ~a~ /4/tffl~O,1 (c) Telephone number: Area Code ( )1'~17 '~ fi, ID -Fa,. )c7 (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. See LWRP Section III - Policies; Page 2 for evaluation criteria. V-~Yes [] No ['--~ Not Applicable Attach 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 Attach 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 Appllcahie 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 III - 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. See Section III - Policies Pages; 34 through 38 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. [] Yes [-~ No ~] 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 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 Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic 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