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Home My WebLink AboutTR-6369 . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel 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 YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 ~OURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APP INTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SH LL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PE MIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1 st day of construction Y:z constructed L Project complete, compliance inspection. . . TERMS and CONDfTI()NS 11ie Permittee Robert Peters. ~.t 801 Maple Ave., Southold . "'.. N. V..... ~ the coasidetatioo tor Ihe I""'~ of the PCmut does lI!lCIeatJOd .Ad p<<$Cribe to the foI- l. That the uid .Jloud of TIUStces and the Town of SoutboId ate rdeued ltoal II1Y and ~d';r~ :::'::'(ll~~t,~.:~~~;:~~:S.Ot~ :..~;;::: eod &elY and aIllUCh. sult.....lnltl.~by Ibhd..attics, and the sold I\. ....llle<> a<$>_ falllllbllltr.. reSP<<t thet'CtO,~.tbe : .\.p'''teerdusioo of the Ilaard of Tra$tees of the Town of SoudJ.QId . . . ~i 2. That this fleunlt ~.' ~d lor .. period of 24 : .IDOS. -whLh Is ~ to be the time. required to CXliDplete the 1VOd; IoYOl\'ed, but .sOOald ~ wutaot, request. , 111 -uoo may be tnade to the Poatd at a ~ il4ee. . . . i 3. That this Pennit sOOald be fttalocd lodeflolteIy. or as Ioog as the uid Petlllhtee wishCs to 1....lnt.;n the structure or. pf'!jea Involved, to provide evldeooe CO anyooe CXIfKIerIICd that aatb- ~oa was odgloa11y obaJoed. . I 4. That the _de lovolved will be IUbJea to the lo$pectioo and approval of ihe Jloud ew lu l&&eats, and DOO-<lOlII{'lloft(" with the prcnisioas of the e>JigIMdog appIicacioo, mar be calISe few mlpcation of this Permit by moilltioo of the said Boud. . I 5. That there will be DO W1/:eOsoooble loterfereoee with aulgatioa as a result of the Wotk hefio aUtborlzecI. . : . . I. 6. That there tbaI1 be 110 loterfereooe with the rip of the (lUbUc to pass and R(IUl dClCIf tile! beach between b/sh. and low _ter markJ. . I 7. That if fucure opcndoos of the Town of South.i>Id mplre the. remcm1 -VOl alteradoas iE. IltVt of the 'IlOCk bereloudlllJl'~ or If, 10 the ntMaIoa of6e. Board of 1'.-, die. .sba11 ca_ aomsonabIe obstraalOo to ftee ua~ the sold ~~ will be reqaIred, due noda. to remove or alter chis wodc Ot ptoJea betelo stated ,,1ch..,4 eEpeases to the 1'owll' . of lei. . . . ~ That the aid Board will be notified by the Peaulttte ot the <O"'l'~: of the -'< aatb- , ., . i 9. ~t the .,......1_ will dJtIlo all other peaaits and -" .dJat .. be requited . ~ CO this petmIt ~ mar'be subject to revoIre upoo fa1Iate to dJtIlo _ . " i' ., . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen JOM Holzapfel 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 May 17, 2006 Ms. ~therine Mesiano Cath rine Mesiano, Inc. 12 M II Pond Lane East oriches, NY 11940 RE: ROBERT PETERS 801 MAPLE AVE., SOUTHOLD SCTM#64-1-30.2 Dear IMs. Mesiano: , The ~oard of Town Trustees took the following action during its regular meeting held on May i 7, 2006 regarding the above matter: WHEREAS, Catherine Mesiano on behalf of ROBERT PETERS applied to the Southold Townl 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 April 26, 2006, and : , ; WHE~EAS, said application was referred to the Southold Town Conservation Advisory Counpil and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, ; WHE~EAS' a Public Hearing was held by the Town Trustees with respect to said appli ation on May 17, 2006, at which time all interested persons were given an oppo unity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the prem~ses in question and the surrounding area, and, WHER.EAS, the Board has considered all the testimony and documentation submitted conc~rning 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, NOWTHEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of ROBERT PETERS to construct a 4'X 50' fiberglass grid dock, 2' above grade, with 4" diameter pilings, with the ~ndition the landward edge of the platform starts 9' landward from the inshore edge of the spartina alterniflora, and as depicted on the plan prepared by Robert H. Fox dated April 10, 2006. perm~t to construct and complete project will expire two years from the date the permit is sig ed. Fees must be paid, if applicable, and permit issued within six months of the date f this notification. Inspeb!ions are required at a fee of $50.00 per inspection. (See attached schedule.) Fees:1 $50.00 Very ~ruly yours, Ja e F. Kinf" ~ Presi ent, Board of Trustees JFKllrlns r . . James F. King, President Jill M. Doherty, Vice. President Peggy A. Dickerson Dave Bergen John Holzapfel Town Han 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 TO:j f)G'oor-\- ~eke (5 I Plea~ be advised that your application dated L{ liJltJlorc revie ed by this Board at the regular meeting of S 1/7 /Of; folio ing action was taken: . has been and the ( Vi) Application Approved (see below) L-j) Application Denied (see below) <--1) Application Tabled (see below) If yoJr application is approved as noted above, a permit fee is now due. Make check or mon~y order payable to the Southold Town Trustees. The fee is computed below accofding to the schedule of rates as set forth in Chapter 97 of the Southold Town Cod~. The .ollowing fee must be paid within 90 days or re-application fees will be necessary. , CO PUTATION OF PERMIT FEES: ~c.-\'i)('\ :'l'e.-B~l - S"O,O/) jOO- rei o-f '\\UJ!'l) ~ lj't4~' (\IX'( ::. IgO' X ~ 3.ro\.s6.H -=-,f' SlfO .DD TOT~L FEES DUE: $--.S:.90. 00 BY: James F. King, President Board of Trustees . . James F. King, Presi(L It Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel 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 Southold Town Board of Trustees Field InspectionIW orksession Report Dtlte/Time: S! (0 [ (; k. Nfune of Applicant: PcQ b<:t- f ~ Nj:une of Agent: C. rv-w, W'o P~operty Location: SCTM# & Street go I ~ Avt J S"u"hvol( i..( 1- :;l- -;). 7 BhefDescription of proposed action: Y - -I- S ~ - (~C,k. Type of area to be impacted: ,J Saltwater Wetland _Freshwater Wetland _Sound Front _Bay Front Distance of proposed work to edge of above: .~ of Town Code proposed work falls under: . Chapt.97 Chapt. 37 other --; - - TJlpe of Application: ,j Wetland _Coastal Erosion _Amendment _Administrative _Emergency Info needed: \ ~ clup\h S . L.:ArJ.Wcul ~n). Q+ Mpdifications: \)0(, k. Sf (). r+1 1 { Q 1..\-(,-,-.n.-0"'- llAI\c{ wv.<. Pf.. s'fc--.,..(...,'\" Cqnditions: Pr~sent Were:J J.King vi."Doherty _P.Dickerson. ~Bergen ~.Holzapfe] Other: M~iledIFaxed to: Date: 0, I L~'Vl~ ~SY""'..j.,,,,, . . 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 t~e meeting of the Southold Town Conservation Advisory Council held Wed., May 10, 200p, the following recommendation was made: Mo ed by Don Wilder, seconded by Jack McGreevy, it was RE OLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Wet and Permit application of ROBERT PETERS to construct a 4'X 50' fiberglass grid doc ,2' above grade, with 4" dia. piles. Loc ted: 801 Maple Ave., Southold. SCTM#64-1-30.2 Vot of Council: Ayes: All Mot on Carried . . l~' ~,y~-- I i' / 1" I I" !Ii I! l , // /j /,p,,/~ , p , / /( fr /, // /f /// j ,./- )! ! /; ! I" 1/ f } " lJ: C 9" ~! ~.~: !;H Vli';j'h .....>-... 0'1 ;::i!i Zo.\': 5d::::' u"5j; & ,j , ~ ~II ~ ~,' .dt ::'iii! ~ ~~~ ~h' I ~! -1111 !! ~II ~~ ~hI :; ij~ h!f!:l i"I'! '"', liil ~ I H !Iii I""" ,I!I iiii ~ ! ! I' Iii dll i61 I I !i !. III !i'iq -r -, 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 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Bpard of Trustees Field Inspection qate Alddress l)ec ~I I Lf I :lc;o $. , ~~, ~ OJ 'fh.o{ ~ Owner S~TM# C,LI-\-)O.'L II}spected by Ffndings QO v-.rA if re - 5vJ.., ~,r;" {'.v-- ?\ da-k po-'s,l.\{ (7 s. \vcx-+ C4- W'ZAI k oV' .f~(y1--\1":j ~OG~ ~~~ ~ J 0 -\), ",-f VJcJ:u...- ~hotos t~ken . beninati associates re~ate November 22, 2005 II i,,'\ ie; , . ~ I ' I",; , ':-, ! ~;:!r~ I I . t i:i ,. NOV 2 8 2005 ',., L. I L_ L . .~, I i'i . , , ;:' ". j Board of Trustees to Box 1179 $outhold, NY 11971 .- ,._____.,.......:._.---J "e would appreciate if you would please include in your .)ecember 14th pre-submission inspection the following ~ouse: 801 Maple Lane Southold, NY 11971 ~ - - SCTM: 1000-G64-001-fP:2Q a:>.d- ~nclosed please find a copy of the survey and tax map a1nd a check in the amount of $50.00. l1hank you. .incerely, ~ /Lv; -f- . B .lt~. ane enlna I roker J ')$' '(;qyo 53155 Main Road. P.O. Box 1346 . Southold, NY 11971 . Phone 631.765.5333 . Fax 631.765.5225 . . UIPO U:;, ~ It: ~ t ,~ ~p.nlrs~: R.~~~:8~.~ 1l1l175f;5i?Zl> ,..2 D.c.......r 1, 2005 801 "p" Lane, Soulhold i_on .s .,.ntecl for tile T.....te.. to vi.t my rty .t the IocaItion ....v. for the IIUrpo_ of ...... tile vi.b of. dock on tit. .......rQ. I I / ~~ tl3 39\1d NI1HOOd01:l13W 15l:lU 69l6SESl1l1 90:S1 S00l/S0/l1 . ~ ~ ~ ~ } N~ ~~ ll'i · ~ ~ t ~ ~ ... , .'-c;..",.oo"'....,.,..~ j u:=ultlOriad ........,. ........ to tis ....,.............. --....--- ~-- c:apoo.....--..-... ..---.... .................. ...4 .........-... a. ____ ......---- 10.....-,....._._ - .. ... ...........;o:...__~ ..._....~- at A.A._'" _I .. .......1nduIi:IRI.. T _ "iif -. . '0::: " , j ~v.f'Y~.Ra8t5eT~PG7E~ ~.T"""h ~ntIIQ~~F~ /7....,.~?Jj~ t1 ~5M":"',-1 h~~.R~..TH.~nPift#.tj/d1.... ":u,v~~""'Q _ .zz.F8" A-1IIa8""'~ do -'''''''Y W;~-.tP-d/-3t:A ~e O-/A!JM./ ApI . C'~~...4b.c./....-rf"..~I(;t - I . ,(/ ~.v ~o . , ,: , . tJ1 yP ~ ~ ~ ";!# . ::s:. , ~ ~ 8~ /i"! ~ ~ ~~ ,~~ - '~ I ~~~ .,. ~~ 'j ". ..,'\; t..J ~ .~~ 't\ >\I ~J~ 'S *11 w '*'4. He' ~ ; :1/ ~ ~ ')j r 1 L. 1o~,J / , "~~ , I r <f l " /} //" : I " )) ii3 ~ ..iI Jil:; \ { R! ( 1 1 SOUTHOLD. NEW YORK PERMIT NO. S:~ 3J,- DATE: ... :>.ctobe~ 30, ISSUED TO .......F;.15..~.~!E: .<:l.~..~OI:f.~..\\T~~TE?IDJ<:....m.__.. J\ut4nrti!attnu PUl'1uant 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 Southold Town Ordinance en. titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC lANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS:~'. and in accOrdance with the Resolution of The Board adopted at a meeting held on .. ()c:t.~ 2? ~.. 200()... and in consideration of the sum of $. .15.0..,0.0. .. paid by Rudolp.~..f:I.: ...BruEn::. Esq. for John .Whit.e:~~<:i~.m.......mm.. ..... ~. ~ R I. T~;;~ m ~~}~~~~i:i~~~ . 'Ii.t~ . .~~ ..:e. y~v~~ sU~1~ ~r::f. ~ of Southold Town Trustees authorizes and permits the following: ~ Wetland Permit to remove weeds. dead branches and leaves from ~ the tcp of the bank down to the edge of the upland growth. tri~ trees. apply mulch and replant with Rosa Rugo:;a. with the 'I; condition that the ha.y bales be Ie it in placE' at th<! bottom oi the . all in accordance with the detailed specifications as presented in ~ thG originatiri9 application. bank even after it's planted and th~ 1;he at:"<3;l nave mulch or woodchips p...t on the bank to sta.bilize it.~ IN WITNESS WHEREOF, The said Board1of TNstees here- 1 by causes Its <::orporate Seal to be affixed, and, these presents to ." be sub~~~ .bv a.~ majority of the said ~ard e. of this ~at8. , ~ ~/'''f.:;(J ~d-o . ~7:>. '~'I . Henry Smith - Absent ~ATHERI NE MESIANO~N C. 12 MILL POND LANE EAST MORICHES, NY 11940 PHONE/FAX: 631-878-8951 e-mail: cmeslano@optonline.net June 6, 2006 Southold Board of Town Trustees Lauren Standish P.O. Box 1179 Southold, NY 11971 Re: Robert Peters 801 Maple Lane Southold Dear Lauren: Enclosed is a check from Mr. Robert Peters in the amount of $590 for his permit fees as required by the Trustees. Kindly forward the permit to my attention. lthank you for your assistance. v/) trul;.: yoo~ C~ qatherine Mesiano, President i'- ! --~1 - -"n~-\:' it - -ff~- - ff:\l I,' 1_--" :;'1 Einclosures ~ u'~, : \ L.. . .:.., 8~,:i'd ~.; ,; l 1 . . Page 1 of 1 Cusack, Heather From: cmesiano [cmesiano@optonline.net] Sent: Tuesday, May 16,2006 9:43 PM 1"),15 (01"''- OV~r --tl>o \..~ fn ("h,.1e. -t<> To: Terry, Mark; Cusack, Heather r( ~\~ +- /-w F., Subject: LWRP addendum Attachments: LWRP.doc; LWRP.doc; LWRP.doc Per Heather's request, attached please find the addendum to the LWRP assessment forms for the follqwing applications: ~obert Peters 01 Maple Ave, Southold CTM # 1000-47-2-27 i r.j.1aria & Mark Katsigeorgis ~5455 C.R. 48, Southold, NY 11071 pCTM # 1000-44-1-12 ~ohn & JoAnne Gouveia 5405 Route 48, Southold CTM # 1000-44-1-11 Cathy ~esiano , C i Ln.e- M~ I Vl{/. 12 W pO"r\.d.,- L~ E~ or~ NY 11940 P ~: 631.878.8951 (:_m~$_igno opt_Qn!iJl~.net 5/17/2006 1 . . Cusack, ""eather From: Sent: To: Cc: Subject: Cusack, Heather Friday, May 12, 2006 3:01 PM 'cmesiano@optonline.net' Terry, Mark LWRP form for Robert Peters Ms. Mesiano: The LWRP Ooordinator has requested that there be more information on the LWRP Consistency Assessment Form for Robert Peters, 801 Maple Ave, Southold. He is unable to review it without narrative explaining how the dock furthers the policies of the LWRP. Thank you.- i I Heather CUS~Ck 1 LJtp CONSISTENCY ASSESSMENT~ADDENDUM Re: Application for Wetland Permit Robert Peters 801 Maple Ave, Southold SCTM # 1000-47-2-27 The pertinent sections of the LWPR policy relevant to the above referenced project is NATURAL COAST POLICIES, Policy 5.3 Protect and enhance quality of coastal waters and Policy 6.1 Protect and restore ecological quality throughout the Town of Southold This application is for approval to construct a low profile fixed dock for the purpose of recrdational marine access on Town Creek. Polic!v 5.3B provides that one "Minimize disturbance of streams and creeks including theirlbed and banks in order to prevent erosion of soil, increased turbidity... ....." POIi* 6.1A.2 provides that one "Avoid adverse changes to... ..the Peconic Bay ecos stem that would result from impairment of the ecological quality as indicated by Degr dation of ecological components. , The t' roposed activity will serve to protect the wetlands by providing access to navigable wate s without disturbance or degradation of creek bed and bank, erosion of the bank, incre, sed turbidity or increased siltation. Althtgh not designated a Significant Coastal Fish and Wildlife Habitat, there is a signi Icant amount of wetlands, as the subject site is at the head of Town Creek. There also ppears to be siltation in bed of the creek, most likely as a result of direct or indirect road runoff. The ~roposed activity is consistent with the parameters set forth in the Local Waterfront Revit~lization Program . . Office Use Only Coastal Erosion Permit Application ~etland Permit Application _ Administrative Permit Amendment/Transfer/Ex!'W~,?n. k' "'"Received Application:~ ---;::;,received Fee:$ CI:su / ~ .eompleted Application~ -t-Incomplete jEQRA Classification: T I_Type II_Unlisted_ COOrdinatiOn:(date~ent AC Referral Sent: te oflnspection: I + Receipt of CAC Report: Lead Agency Determination:_ JeChniCal Review: blic Hearing Hew:::!] I t)l \jo Resolution: I Lu~f -- ! APR 2 N~e of Applicant ROBERT PETERS A~dress BOX 1334. SOUTHOLD. NY 11971 i Phone Number: 631-765-8037 S~olk County Tax Map Number: 1000 - 64-1- 30.2 Prpperty Location: 801 MAPLE AVENUE. SOUTH OLD NY (p ovide LILCO Pole #, distance to cross streets, and location) AqJENT: Catherine Mesiano. Inc. A4dress: 12 Mill Pond Lane East Moriches. NY 11940 Phone: 631 878 8951 r~ 'V'(<~,\'A-ll\~ . . Board of Trustees App1,ication GENERAL DATA Land Area (in square feet): +/-50,000. Area Zoning: R-40 Previous !use of property: SINGLE FAMILY DWELLING Intended !use of property: SINGLE FAMILY DWELLING i Prior pe~mits/approvals for site improvements: , Agency ! Date Sout~Old Bldg Dept. Southold Trustees , 6/1977 bldg permit /12/1977 C.O. Updated C.O. 12/2002 10/30/2000 permit #5232 ____No 8rior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? Ix I No Yes If yes, p~ovide explanation: ! Project D~scription: ! CONSTRUqT 4' X 50' FIBERGLASS GRID DOCK @ +2' EL; 4" DIAMETER PILES @ 8' O.C . . Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: +f- 15,000 square feet Percent 40verage of lot: 30 % Closest ~istance between nearest existing structure and upland I approx 40 feet edge of 'fetlands: Closest bistance between nearest proposed structure and upland edge of wetlands:1 nfa feet I Does the Iproject involve excavation or filling? If yes, How much material will be excavated? X -0- No Yes cubic yards How much Imaterial will be filled? 0 cubic yards I Depth of !which material will be removed or deposited: nfa Proposed Is lope throughout the area of operations: nfa , Manner i~ which material will be removed or deposited: n~ Statement! of the effect, if any, on the wetlands and tidal waters of the town th~t may result by reason of such proposed operations (use attachmen~s if appropriate): NEGATIVE~MPACT IS NOT ANTICIPATED AS A RESULT OF THE PROPOSED ACTIVITY. THE PLAN PR POSED IS DESIGNED TO ALLOW THE GREATEST DEGREE OF LIGHT PENETRAT ON, THEREBY HAVING NO APPRECIABLE IMPACT ON THE WETLANDS 3 617.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only . . PART I - PR~CT INFORMATION ITo be completed bv Applicant or Project Sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME ROBERT PETERS 801 MAPLE LANE 3. PROJECT LOOATION: Municipality ,SOUTHOLD County SUFFOLK 4. PRECISE LodATION (Street address and road intersections, prominentlandmal1<s, etc., or provide map) 801 MAPLE 'fANE 5. PROPOSED A TIONIS: [f]New o Expansion o Modification/alteration 6. DESCRIBE PF OJECT BRIEFLY: CONSTRUCT ' X 50' FIBERGLASS GRID DOCK@+2' EL; 4" DIAMETER PILES @ 8' O.C , 7. AMOUNT OF "NO AFFECTED: Uftimately +/-1 Initialty -r/-l acres acres 8. WILL PROPel ED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [f] Yes , D No If No, describe briefly ! ! 9. WHAT IS PRE ENT LAND USE IN VICINITY OF PROJECT? o Resid nlial o Industrial o Commercial D Agricufture o ParklForestlOpen Space D other Describe: 10. DOES ACT ON INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR UL TIMATEL Y FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? o Yes I DNO If Yes, list agency(s) name and pennillapprovals: I I NYSDEC, SOUTHOLD TRUSTEES, ACOE , 11. DOES ANY rSPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? D Yes 0 No If Yes, list agency(s) name and pennillapprovals: 12. AS A RESU T OF PROPOSED ACTI~ JLL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? DYes DNO A. ~ERTlFY THAT TH~,INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/span r~ e: CATHERIN MESIAO, INC., AGENT FOR PETERS Date: 4/25/2006 Signature: / A~~A . ,/) 'L_ ...... 1ft! e action is in the Coastal Area, and you are a state ~ncy, complete the Coastal Assessment Form before proceeding with is assessment " OVER 1 . . NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: ROBERT PETERS RE: SCTM # 1000-64-1-30.2 , yoy ARE HEREBY GIVEN NOTICE: Tha~ it is the intention of the undersigned to: I CO~STRUCT 4' X 50' FIBERGLASS GRID DOCK @ +2' EL; 4" DIAMETER PILES @ 8'O.C That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 801 MAPLE LANE, SOUTH OLD That/the project which is subject to Environmental Review under Chapters 32, 37,or 97 of th Town Code is open to public comment on May 17, 2006 You may contact the Trus ees Office at 765-1892 or in writing. , The~. bove referenced proposal is under review of the Board of Trustees of the Town of Sout old and does not reference any other agency that might have to review same prop sa!. OWJER,S NAME: Robert Peters MAI~ING ADDRESS: Box 1334 Southold, NY 11971 OW~ER'S AGENT: Catherine Mesiano, Inc. 12 Mill Pond Lane East Moriches, NY 11940 631-878-8951 Enc.: Copy of sketch or plan showing proposal for your convenience. . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel 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 BO~ OF TRUSTEES: TOWN OF SOUTHOLD -------~~------------------------------------------------------ In theiMatter ofthe Application of ---_~iJl~~$?~------------------------------- COur1<TY OF SUFFOLK) ST A'IjE OF NEW YORK) AFFIDAVIT OF POSTING I,L~II'\e. LAe~reSidingatJ2 Mill Pmd LAne.- East M Of'\( h~, i N~ being (fuly sworn, depose and say: That o~ the 1 day 0 V\C\. ~ , ZOO&, I ersonally poste the property known as 'i?O Ie U bl d j0 by pia ing the Board of Trustees official poster where it can easily be seen, and that I have checMd 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 U 101:1 ) '-T1YY..J! If). llCfY" - On CY1a6Qli ~:ao pm. Dated:' ~~~ (signature) Swomlto before me this I 7 da~ Ofm:r:;r (b i~ ~ Public N~Alo: 6fMDl/ifo / bl.8' 6'>'~: &jtr,,/O(P . . AFFADAVIT OF MAILING State of New York) ) ss: County of Suffolk) q'v'ichele Clifford being duly sworn says, I am over 18 years of age and reside at 136 Cranford Blvd. Mastic, NY. OnJAcw Lj I 2006 I served the Notice of Public Hearing, a copy of which is attached hereto, upon the persons listed b~low, constituting all contiguous and adjacent owners of property within 200 ft. of the perimeter of the property that is the subject of this application by depositing ~true copy thereof enclosed in a post-paid wrapper, in an official depository u der the exclusive custody of the U.S. Postal Service. Said notices were sent rtified mail, return receipt requested. S~E ATTACHED LIST y of fM..t ( ,2006. . .",\LERIE A. GILDARD Nc.:.:. Y PUblIC, State of New YOlk NO.01GI6120692 . Q~alified in Suffolk County CommiSSIon Expires December 27, 2008 I o ;dJ-AA , I , ~)~. # Ullysses Gallanos P.O. Box 506 Southold, NY 11971 Mr. & Mrs. Dollia!d E. Brennan 7 Brookview Ct. Ho-Ho-Kus, NJ 07423 Elizabeth Todd Trust 15913 Hutchins Mill Rd. Monkton, MD 21111 Richard & Joan Beckman 765 Hobart Road Southold, NY 11971 . Cornelia & Nicholas Theoharides 803 Maple Lane P.O. Box 1202 Southold, NY 11971 Vera E. Smith 1380 Hobart Rd. Southold, NY 11971 . . County of c:uf.Co\fL State of New York ~bert Peters BEING DULY SWORN DEPOSES AND A FIRMS THAT HE! SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PItRMIT AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO T E BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK ILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS M Y BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES . T E APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE T WN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES A D CLAIMS ARRISING UNDER OR BY VIRTUE OF SAID PERMIT{S), IF G NTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE T E TRUSTEES, THEIR AGENT{S) OR REPRESENTATIVE{S) , TO ENTER o TO MY PROPERTY. 0 INSPECT THE PREMISES IN CONJUNCTION TH REVIEW OF THIS PLICATION. , ,-/(;4.7 ~*~~ !O B~~~~~~ ,200~ .,.;...-.....,. ,~7~- iik1tary Public , GAIL L ASSETTO Notary PL'I)!;c, &"te of New York No. mj.:>~~2.~:~:~9 Qurl:-::,-,d ~I t:';:':'{..l 10 CO,"l1mlsslonlY.f,:j __' '0'-_.~_. . . AUTHORIZATION I, Robert Peters residing at 801 MaDle Lane Southold. NY 11971 do hereby authorize Catherine Mesiano, Inc. to apply for permits from S~uthold Board of Town ~stees and New York State Department of E~vironm~al Conservation on my behalf. I~ (L.E ( nens) I sI.om 10 "11"',",:;' ,;/ 3 ;J day of (1'1 ~ ,2006. ~'/~ I . Nptary Public , ~.....o..,. +. ~$~~ ",e. II.\. .;13 I .J~ 200'. ;,0" (4 - (:i.~ 0 I .~i~ / N". +.rw If ? v\)I \ 'c. GAIL l. ASSETTO Not,ry PL""C, &ate 01 New Vorl< ~,. tn' ;:":"'?2E'~9 ;:",":;\;:c:.',<:::{~U!ltL ID C.;,:'... ,J\u .,._;,LII l..l'20_ '-'''Il' ^':~~ETTO v-l, 1.;:,;", -' r..... t t N9\'J ,01" "~0~, \'V ~1', ";:~~, ~,t~':?J.,.st:~. .. 0 (L"Jd~. / .~" ;3,..0_ \,.;, . . APPLICANT TRANSACTIONAL DISCLOSURE FORM T~e Town of Southold's Code of Ethics orohibits conflicts of interest on the Dart of town officers a~d emolovees. The ouroose of this form is to orovide information which can alert t~e town of oOssible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: Robert Peters NATURE OF APPLICATION: (Check all that apply.) T~x grievance ~riance C ange of zone proval of plat E emption from plat or official map Olher (If "Other," name the activity) Wetlands Permit Of you personally (or through your company, spouse, sibling, parent, or child) have a relationship w' h any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interesf' means a business, including a partnership, in which the toj,vn officer or employee has even a partial ownership of (or employment by) a corporation in w~ich the town officer or employee owns more )Ilan 5% of the shares. YES NO V If you answered "YES," complete the balance of this form and date and sign where indicated. N.me of person employed by the Town of Southold Tille or position of that person Describe the relationship between yourself (th applicant) and the town officer or employee. Either check the appropriate line A) throug ) and/or describe in the space provided. Trie town officer or employee or his 0 er spouse, sibling, parent or child is (check all that apply): -4-A) the owner of grea than 5% of the shares of the corporate stock of the applicant (whe e applicant is a corporation); the legal or neficial owner of any interest in a noncorporate entity (w n the applicant is not a corporation); an 0 r, director, partner, or employee of the applicant; or the tual applicant. -4-B) -+-C) , D) -+- D~SCRIPTlON OF RELATIONSHIP t /1 l t a1,r,t~- /~.'.- Submitted this Signature Print name J/fi/rf'.. 2006 , GAlLL. ASSETfO Notery Pt'b'ic, StMe of New York N~-" iH t.?::0225~9 c< " .:t~~~-'D I Town of Soudtold . . LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS I. 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. lIDs 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 Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. llefore answering the questions in Section C, the preparer of this form should review the exempt lninor action list, policies and explanations of each policy contained in the Town of Southold Local f,vaterfront 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). 3. jIf any question in Section C on this form is answered "yes", then the proposed action may affect the iachievement of the LWRP policy standards and conditions contained in the consistency review law. jThus, the action should be analyzed in more detail and, if necessary, modified prior to making a jdeterrnination that it is consistent to the maximum extent practicable with the LWRP policy jstandards and conditions. If an action cannot be certified as consistent with the L WRP policy i 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. DESqRIPTION OF SITE AND PROPOSED ACTION SCTM# ~- - 30. '2.. The Applica*on has been submitted to (check appropriate response): Town Board ca Planning Dept. ca Building Dept. ca Board of Trustees .e3 I. Categ~ry of Town of South old agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) ca ca (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: ca , Nature an~e 'ent of action: _w....cl .h. ,,~,l. ~o~v . ~90s.. 2".c, \ouol"'~ ~... ~J 4' l< 50' (?P ....:J' ~~ . . Site acreage: t ~o \ JV\/l pll' I. J A. ~/";jJ~ ~.Jy R- 4-0 La. S 0 (J 'Mot 0 '-J) Location of action: Present land use: dlU/::.J Present zoning classification: 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) NliUlle of applicant: R 0 bf'A'-f P", f-etes (b) ~lingaddress: ~ol 1354- S 0 CJ~ " i> AI Y I I ~ 71 (c) T~lephone number: Area Code ( ) (, 31 ~ ?" .5 - f> ().3 7 (d) A~plication number, ifany: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes~ NoD If yes, which state or federal agency? NYS biTC-.., AC.DE DEVELOP$ COAST POLICY Policy 1. Foter a pattern of development in the Town of Southold that enhances community character, preserves op n space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes a . verse effects of development. See L WRP Section III - Policies; Page 2 for evaluation criteria. ' DYes 01 No 1ft Not Applicable Attach additioru/1 sheets if necessary Policy 2. PI10tect and preserve historic and archaeological resources of the Town of Southold. L WRP Sectil)D III - Policies Pages 3 through 6 for evaluation criteria c:a Yes [fJ No ~ Not Applicable See Attach additional sheets if necessary . . Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See L WRP Section III - Policies Pages 6 through 7 for evaluation criteria G Yes G No ~ Not Applicable Attach addition~l sheets if necessary NATURAL COAST POLICIES , Policy 4. M~'mize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria G Yes: No ~ Not Applicable I Attach addition11 sheets if necessary Policy 5. ....ptect and improve water quality and supply in the Town of Southold. See L WRP Section III - Policies Pa~es 16 through 21 for evaluation criteria G Yes qa No ~NotAPplicable Attach addition~1 sheets if necessary Policy 6. l' otect and restore the quality and function of the Town of Southold ecosystems including Significant oastal Fish and Wildlife Habitats and wetlands. See L WRP Section III - Policies; Pages 22 through 32 ~ r evaluation criteria. G Yes $3 No ~ Not Applicable . . Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 tbl1'ougb 34 for evaluation criteria. G Yes GNO~ Not Applicable , Attach additio,*1 sheets if necessary Policy 8. ~e environmental degradation in Town of Southold from solid waste and hazardous substances +d wastes. See L WRP Section III - Policies; Pages 34 tbrough 38 for evaluation criteria. G Yes q No qt:Not Applicable i PUBLIC CqAST POLICIES , Policy 9. P~vide for public access to, and recreational use of, coastal waters, public lands, and public resources of ~e Town of Southold. See L WRP Section III - Policies; Pages 38 tbrough 46 for evaluation criteria. G yeIJl NO~NotAPPlicable Attach additional sheets if necessary WORKING <<bOAST POLlcms , Policy 10. pJtect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locat,ons. See L WRP Section III - Policies; Pages 47 tbrougb 56 for evaluation criteria. G Yes 0 No ~ Not Applicable . . Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See L WRP Section III - Policies; Pages 57 through 62 for evaluation criteria. G Yes D No ~ Not Applicable I Attach additio~1 sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See L WRP Section III - Policies; Pages 62 through ~5 for evaluation criteria. G Yes q No C$l Not Applicable , , Attach addition~1 sheets if necessary Policy 13. fromote appropriate use and development of energy and mineral resources. See L WRP Section III -IPolicies; Pages 65 through 68 for evaluation criteria. G Yes DI No ~ Not Applicable I Created on 545/05 11:20 AM . . CATHERINE MESIANO, INC. 12 MILL POND LANE EAST MORICHES, NY 11940 PHONE/FAX: 631-878-8951 e-mail: cmesianoOoptonline.net April 25, 2006 Jim King, President Southold Board of Town Trustees Box 1179 ~outhold, NY 11971 RE: Robert Peters 801 Maple Ave, Southold SCTM # 1000-47-2-27 qear Mr. King: APR 2 iJ"" ^~ ", iULb i I tm the agent for the above referenced applicant, who is requesting a wetlands p rmit to construct 4' x 50' fiberglass grid dock @ +2' el; 4" diameter piles @ 8' OC., as illustrated on the attached plan. Erclosed please find the following: , 1. Application 2. Short EAF 3. Transactional disclosure 4. Release 5. Authorization 6. Survey prepared by Sea Level Mapping last dated 412412006 7. LWRP form A;' 0 enclosed is Mr. Peters' check in the amount of $250 for the application fee. PI ase note that I would like to meet the Trustees at the field inspection. Kindly c nfirm. " T~ank you for your consideration. YYO"",_ ~ erine Mesiano, President ~ /-//pf) w,,~f) ~ ~,J () () F C!~T"'~L.IC:: ' 11 fAJ,JDW/fIi..P "f: INS HDlZr.. Ei>fr.F- ,pF- 51!fIiTl ~ff -1Tt.r~f( ~/r'-O~ Plan Vliew Prepared for; Robert Peters Surveyed: 04-10-06 SCT# 100<J-64-1-30.2 Town: Southold Suffolk County, NY Datum: Low Water Tide Range: 2.5' +/- I ~----1 1" = 50' APfI ~ /J / :&1/,<,rf'. ;' / ; f / / // ~,fJ"'tJ / <f-t"/ 'Y -!.~~ ';'./1' 'fJll l.r I!"'! Jf'" >- d) o w > o eX 0.. 0.. <( .." U-I U-I I- .." ~ ~ I- u.. o o ~ <( o c:o U-I ~ o Section 1" 20' Proposed Dock 4' x 50' (2' abv. gr.) 2" fiberglass grid QS'to OPPOSite shOreline Hetland ~ R. Fox April '06 4"dia. piles 8' o.c. exist. bttm. W*E 5 \ ~ A , .~ , J, , , , ,k , , ~ , ,k , , ,k 0 \ ~ " .~ , " <5 , , A J. , <;:> , , ..., , " , , .Ik << , , , ~..c ~ .Ik .Ik 00: ,,- , ~ 5=: ,Ii, t d3 L, . .~ (L, <(I .Ik \\.Ik " x ' Co 511L ~ .Ik ~ ~o! . -' .Ik "~<5' .Ik ~\.), ;.:> LW " " ~ ,k ~ .. ~ <;i " ci , 0- 9 Ul 9' ~ 0- r ci , ~ '" 9' .. <;i c: ~ '" 9' Ul "'" 9' r '" ~ IT '" <;i ~ IT U <;i -,- o I-- All wns!ruGtlon Materials from ~oved Ust HI'! L.H SEA LEVEL MAPPING 631-722-3380 P.O. Box # S38 RiveIf1ead, NY 11901 ROBERT H. FOX NYS PI.S# 50197 4/2412006 B,51,SOPM G, \5L e:t""5040b 0