HomeMy WebLinkAboutTR-5696
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COSTELLO MARINE CONTRACTING CORPORATION
DOCK BUILDING. JETTIES. BULKHEADING . STEEL & WOOD PILING. FLOATS
423 FIFTH STREET, P.O. BOX 2124 . GREENPORT, NEW YORK 11944' (516) 477-1199/477-1393/477-0682
June 13, 2005
saolS"'l )0 PJe08
UMOl PI041noS
Mr. AI Krupski
Southald Town Trustees
P. O. Box 1179
Southald, NY 11971
RE: Dla May Property
Dear Mr. Krupski:
As per George Costello, Sr.'s instruction, enclosed are photographs showing a 15' buffer
at the May property located at 825 West Lake Drive, Southard.
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TERMS lInd CONDITIONS
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n.. Pamittec DT A Mnv.
950 West Lake Drive, Southold,
~u ~~a
put of cbe CoasideratiOl1 for ebe JW.."(<' of die Permit does ....oo.caod aod paaalbe to che fol-
lowing:
1. Tbat che said Board ol Trustees aod the Town ol Soucbold aft released from UJf aod
aU damages, or dalms for damages, of .... adsiog db:eclly ex iaditec:dy .. a ~ of UJf op<<-
adoa pedocmed panu.nt to tbls permit. aod die said p. .J'to. will, u his ex IIer own elf ......
cIefeod UJf aod aU IUCb IUits .;,.;.1.-1 by chlrd parties, aod cbe said P II'",#, r- faI1liab/1kJ
wich teSpect thereto, to che ~-...IncInn of cbe Boord ol TmsUa ol cbe Towu ol So ...1 ~
2. That tbls Permit is wIicI for a .period of . 31. mos. wfaich is CIOu......oed to be che
ecri-wl time requited 10 complete cbe work invohoed, but ihoaId chaaiistmces warnat, leqaest
for ao cmeasiOll may be made to cbe Board at a ~ cIalle.
3. Tbat tbls Permit sbould be retaiaed iadefioitely, or a loog a cbe said PeaDictee withes
10 ....1_ln cbe structure or project in'fOlved, to provide nideace to ...,..,... coacemed chit 8IJth.
orixatiOl1 was originally obtaioed.
4. That the wodcimol-t will be subject to cbe iaspecti- aod applOftl ol cbe Baud or
Us ageaa, aod lIOG-ClOIIIIpliaace wieb. the provisioos ol cbe oMgi-tI.,g appIicadoa, may be cause fex
rcvocatiOl1 of tbls Permit by resolutiOl1 of die said Board.
5. That tbere will be no unmo~"le lnterfereoce wich na~ as a ~ ol cbe wade
herein autborized.
6. Tbat tbere sbaIl be DO interference wieb the right ol cbe public to pass aod ~ IIoag
che beach bet"eeD high aod low water marks. .
7. Tbat if future operatioas ol the Town of Southold reqaUe die --.l aod/ex Uundoas
in cbe 1ocadoa ol cbe work herein au!M<l.ril, or if. in the oplnlnn ol the Jlaord ol Tmscecs, die.
,.om sbaIl cause unrelIsoo.ble obstrucl1OCl to free naYigadoo. che said r.... .1.._ will be nqaIred,
apoo clue oe>tl<<, to remove or alter tbls work or project herein stated wilboat to.} eA'" to die Town
ol Souchold. .
8. That the said Board will be notified by the Permittee ot 1he .. "'fklloa Of the wad< 8IJth.
orized.
9. That che Permittee will obtain aU ocher peauia aod ov-n'" 6at may be nqulred lap-
p1emeatal to chis permit wbkh may be subject to revoIre upoa faihue to obtain --
..: '
Albert J. Krupski, President
James King, Vice-President
Artie Foster
Ken Poliwoda
\ Peggy A. Dickerson
.
. Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
January 28, 2003
Costello Marine Contracting Corp.
PO Box 2124
Greenport, NY 11944
RE: SCTM#90-2-1&2
Dia Moy
950 West Lake Drive
Southold, NY
Dear Mr. Costello:
The Board of Town Trustees took the following action during a Regular Meeting, held on
January 22, 2003 regarding the above matter.
WHEREAS, Costello Marine Contracting Corp. on behalf of Dia Moy applied to the
Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town
of South old, application dated January 2, 2003.
WHEREAS, said application was referred to the Southold Town Conservation Advisory Council
for their findings and recommendations, and
WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on
January 22, 2003 at which time all interested persons were given an opportunity to be heard, and,
WHEREAS, the Board members have personally viewed and are familiar with the premises in
question and the surrounding area, and,
WHEREAS, the Board has considered all the testimony and documentation submitted
concerning this application, and,
WHEREAS, the structure complies with the standard set forth in Chapter 97-18 ofthe Southold
Town Code.
WHEREAS, the Board has determined that the project as proposed will not affect the health,
.
2
.
Safety and general welfare of the people of the town.
NOW THEREFORE BE IT,
RESOLVED, that the Board of Trustees approved the application of Dia May for the
Wetland Permit to remove and dispose existing wood bulkhead - construct 294' new bulkhead
with C-Loc Vinyl- sheathing in place of existing - backfill with 20 cubic yards of clean trucked
in sand. With the condition that there be a 15 foot non-turf buffer placed behind the finished
bulkhead as it is constructed. buffer area can be the section between the new bulkhead and the
old with cement curbing.
BE IT FURTHER RESOLVED that this determination should not be considered a determination
made for any other Department or Agency, which may also have an application pending for the
same or similar project.
Fee must be paid, if applicable and permit issued within six months of the date of this
notification.
Ifinspections are required, at a fee of$5.00 per inspection (See attached schedule).
FEES: $5.00
Very truly yours,
~ 9. /~~ fA.
Albert J. Krupski, Jr.
President, Board of Trustees
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25c.. VALLEY RD.
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07042 - 2~5"
( 10:30 W. LAKE OR.)
PROPOSED' REMOVING AI'JD DISPOSING OF E)(ISTING \NOOD
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,""OI'J - TURF e,UFFe.R.
ACCESS'. e,y LAND, U51N6 R.OAD E.QUIPMENT.
PREPARED e,y,
COSTELLO MARINE COt-JTRACTING CORP.
PO. eOl< 2124 GREENf'ORT, NY 11"'4-4-
((,,31) 477-11"'9
APPLI CANT'
DAI ~ 51M MOY
C/o 10c.. MULe.ERRY CORP.
8e MULe.e.RRY &T.
NEW YOR.K, NY IOOI!>
(~50 W.LAK. DR./ 50UTHOLD)
S.C.T.M.IOoo-go.-e-1 ~ 2.
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P.O. e,OX 2.12.+ GREENPORT, NY 11~44
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APPLICANT'
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(20 CU. YD.:5, OF
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COSTELLO MARINE CONTRACTING CORPORATION
DOCK BUILDING. JETTIES. BULKHEADING . STEEL & WOOD PILING. FLOATS
423 FIFTH STREET, P.O. BOX 2124 . GREENPORT, NEW YORK 11944 . (516) 477-1199/477-1393/477-0682
March 31, 2003
Charlotte
Southold Town Trustees
Southold, NY 11971
Re: Oai Moy
Dear Charlotte:
As per your request enclosed is the plan showing 15' wide non-turf buffer.
Please issue permit as soon as possible.
Cc: File
r5) IE eEl \Y1 re ,ff))
lfl1 APR - 4 2003 l!dJ
.......... Town
Solid of Trustees
Albert J. Krupski, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
Telephone (516) 765-1892
Fax (516) 765-1823
,
Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 11971
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
TO: Costello Marine Contracting Corp. on behalf of DIA MOY
I Please be advised that your application, dated January 2, 2003
h~S been reviewed by this Board, at the regular meeting of
anuary 22, 2003 and the following action was taken:
(_1 Application Approved (see below) \E I \'!J ~
(-) Application Denied (see below)
(-) Application Tabled (see below) fE8 -Il !m
SoIllIDIt ~ft_
If your application is approved as noted a ~~ee i
now due. Make check or money order payable e ou 0 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:
One Inspection @$5. 00
i
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CHECK TOTAL: *********$5.00
JObert 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
DIA MOY
~
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
y. constructed
~ Project complete, compliance inspection.
Albert J. Krupski, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
\-...
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.
Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 11971
Telephone (516) 765-1892
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
TO: Costello Marine Contracting Corp. on behalf of DIA MOY
/ Please be advised that your application, dated January 2, 2003
h,s been reviewed by this Board, at the regular meeting of
anuary 22, 2003 and the following action was taken:
(_1 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:
One Inspection @$5. 00
TOTAL FEES DUE: $ 5.00
BY:
tUL.. ~ ~ ,.{{. j?~' 9,
PRESIDENT, BOARD OF TRUSTEES
C~~~..
CLERK, BOARt> . TRUST
SIGNED:
4/98
Albert J. Krupski, President
James King, Vice.President
Artie Foster
Ken Poliwoda
Peggy A. Dickerson
.
.
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
DIA MOY
^
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
Yz constructed
_x Project complete, compliance inspection.
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
,
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.
MOL
INSPECTION SCHEDULE
Pre-construction, hay bale line
1st day of construction
Yo constructed
~Project complete, compliance inspection.
~
.
.
Douglas Ely
1 1303
Field Inspection 1/20/03
.
.
Nlor
Field Inspection 1/20/03
.
.
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,
.
Telephone
(631) 765-1892
Town Hall. 53095 Main Road
P.O. Box 1179
Southald. New York 11971
SOUTHOLD TOWN
CONSERVATION ADVISORY COUNCIL
At the meeting of the Southold Town ConserVation Advisory Council held Wednesday,
January 15, 2003, the following recommendation was made:
DIA MOY to remove and dispose existing wood bulkhead. Construct 293' new
bulkhead with C-Loc vinyl sheathing in-place of existing. Backfill with 20 cy. of clean
trucked sand.
Located: 950 West Lake Dr., Southold. SCTM#90-2-1&2
The CAC did not make an inspection, therefore no recommendation was made.
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Oai Moy
Southold, NY 11971
10/22/02
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South old N/1
10/22/02 1971
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Dai Moy
Southold, NY 11971
10/22/02
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Southold, NY 11971
10/22/02
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Oai Moy
Southold, NY 11971
10/22/02
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ADJACE.NT PROPERTY OWNER5'
CD
PRESTON HARRINGTOr-J
25G> VAL.L.EY RD.
MONTCLAI RJ. NJ
07042 - 2~5"
( 1030 w. LAKE DR.)
PROPOSED'
ACCESS'.
REMOVING AND DISPOSING OF E.>(ISTING VVOOD
e,ULf"',HEAD. CON5TRUCTING 2.~'O' NEW e,ULKHEAD
(w/c-LOC VINYl- 5HE.ATHINC>) Ir-J- PLACE. OF
E)<.15TINC>. EJACKFILLING YVITH '2.0 CU.YD5, OF
CLEAN, TR.UCKE.D IN 'sAND. P~oP05ED 15 WIDE
NON - TURF e,UF'F'cR..
OY LAND, (ROAD EQU'PMENT.
APPLI CANT'
DAI ~ 51M MOY
clo lOG> MULe.ERRY CORP.
8e MUL.e.e.RRY 5T.
NEW YORK, t-.lY 100I!!>
(~50 W. L.AKE OK, 50UTHOLD)
S.C:r.M. \000- 90- 2- I ~ 2
NOV. 2~, 20<:l2
FEe>. ',2003
MAR. 2'" 2005
SHEET \ of :3
PREPARED e,y,
COSTEL-L.O MARINE COr-JTRACTING CORP.
PO. e,OX2.12.4 GREEN PORT, NY 11'34-4-
((,,01) 477-11'30
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DAt ~ 5'M MOY
c/o 10'" MULe>ERRYCORP..
88 MULe:.ERRY 5,.
NEW YORK, NY 10013
(050 VV. LAKE DR., SOUTHOLD)
NOV. 23,2002
FE!:>. I 200.3
MAR. Z9 2003
5HEET '2 OF ?;,
PREP e:,y:
COEoTELLO MARINE CONTRACTING CORP.
PO. f>OX 2.12.4- GREENPORT, NY 11<::>44
(,",31) 477-11"'~
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PREPARED e:,y,
C05TELLO MARINE CONTI<.ACTING CORP.
PO. 60"- :2. I Z4- GREENPORT, N'{ \ leJ44
(Co'3I) 477- 1 leJ~
APPLt CANT'
PAl f, 51M MOY
C/O lOG:> MULe,ERRY CORP
8a MULe,ERRY 5T.
NE\N YORK, NY 100lS
(~SO \N. LAKE DR.,SOUTHOLD')
NOV. ZS, 2002
FEe,. '",eoo3
MAlE:. Z'" zoo~
SHEET ~ OF 3
- Albert J. Krupski, president.
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
..
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
_ <;;9astal Erosion Permit Application
~etland Permit Application ~ajor
_Waiver! Amendment/Changes
~eceived Application~ ;.2..\03
Aeceived Fee:$ ~ro
-,fiompleted Application ) \;f- \Q -,
_Incomplete
_ SEQRA Classification:
Type I_Type II_Unlisted_
Coordination:(date sent)
/CAC Referral Sent: IId-\t).t
../I5ate ofInspection:j] ~O\I:)
_Receipt ofCAC Report:
_Lead Agency Determination:
_Technical Review:
7Public Hearing Held:--U ;/'d.-f:l..3
_Resolution:
::3olLt1wId NY l \q,!
PhoneNumber:() lo?J\ -lla:J - JE509
Suffolk County Tax Map Number: 1000 - ---.50 - d - I ~ ;:)
Wt"?T~Dnve.
I
(provide LlLCO Po!e #, distance to oss streets, and I09ation)
AGENT: ~DSie\\1) Mo..nV\e
(If applicable)
Address:_Y.O ,~)C J\~
Name of APPlicant_\) \0.
Address
--:p.o. Box
Property Location:
Cl50
May
46PJ
Office Use Only
Minor
i,
"
,.
,
l,
If
i
,
JAN - 21a~
t
COhtra('\-i~
OfPP,Vl ~t\f +
Phone: ~"O l
~ard of Trustees ApPlicati~
GENERAL DATA
Land Area (in square feet): &3 ?Jjf)
-I
Area Zoning: :)\~iy fe5,:.\de..l\-hQ [
Previous use of property: priVate W~I'l'\futJ
Intended use of property: ~e...
Prior permits/approvals for site improvements:
Agency
Date
lAA\ 'tM wJVl
_ No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a governmental agency?
+ NO------:-- Yes
If yes, provide explanation:
JAN- 2
Project Description (use attachments if necessary):
~'Mclfe (}W\d 0-1~\",c;e e.~1~V19 \A~IJlrJ.1pnd.
Cn~c...(- dq~ I \IV IA) b..u.LtlIpnd ,Wlt-VI (I,-Lac....
V\'{\y \ 7~i1fl~ 1M' - ~QLQ Dt eX6\-iVl'1~
~ an ~.\A.b( t.,,)avrJ So trt_dpa Vl J.vu(Jod Scot('f
1
~ard of Trustees ApPlicat~
WETLANDrrRUSTEE LANDS APPLlCA nON DATA
.s
Purpose of the proposed operations: ()
~~fd
~tloluld 1l<IA t'J"~~
Area of wetlands on lot:
o
square feet
Percent coverage of lot:
o
%
Closest distance between nearest existing structure and upland
edge of wetlands: 0 feet
Closest distance between nearest proposed structure and upland
edge of wetlands: n feet
Does the project involve excavation or filling?
No
'f<
Yes
If yes, how much material will be excavated? f)~o cubic yards
How much material will be filled? :lArD cubic yards
Depth of which material will be removed or deposited: IL; feet
Proposed slope throughout the area of operations:
Manner in which material will be removed or deposited:
mad t~l.tipMf~}
I.~.
'tJar l VIo
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 ifapp.ropriate):
.dht<e- wilLy; II1D V\e'fhve f'.ffec-l- {JV1 W Wf:ljattdS
O( hchLwaJtV7 tfu L to uv.. V' pm.~
4Ilard of Trustees APPlicati~
County of Suffolk
State of New York
JaMt C~(() V\1~ BEING DUL Y 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 IDS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK
WILL BE DONE IN THE MANNER SET FORTH IN TIDS 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
REPRESENT A TIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE
PREMISES IN CONJUNCTION WITH REVIEW OF T S APPLICATION.
SWORN TO BEFORE ME THIS '-~O DAYOF~ro~ ,200d--
~~/AJaJy~
Notary Public
REBECCA A. VILARDI
NOTARY PUBlIC, STATE OF HJ:.W YORK
auALIRED IN SUFFOLK COUNTY
NO: 01W06039106 OYD ( -
COMMISSION EXPIRES MARCH 'E, _ 'P
.
.
NOTICE TO ADJACENT PROPERTY OWNER
BOARD OF TRUSTEES, TOWN OF SOUTHOLD
In the matter of applicant:
.
l)~i. t S~vY> ~
.
SCTMHOOO- qo ~::l -I ~ Q.
YOU ARE HEREBY GIVEN NOTICE:
1. That it is the intention of the undersigned to request a
Permit from the Board of Trustees to:
~rrov\~ cm6. <!\~"o'\,,",~ c6 €-1-\~"''6. u:::co~ ~\~YI~".
C'of'l~"n.),-*~Y""I'" .;!Cj5 neUJ \OOltnen~ C wjc...-loc... \I\'1J1 'b\-eu~(\~\:In-
~e. 06 el'I'5i:.'l!\,. ~c.JcCt\\~""" w~~ ~ c.u. Vd";;,. c6 c\ec.M) ":\.,..ud:.e.d
,'(\ '"tu~. D. 0 I
2. That the property which is the subject of Environmental
Review.-Ls located adjacent to your property and is described as
follows: ~ ~ ~iN"'\ \YJ~ C 'l'5b W .lc..b~. \::>r. ~\d ')
C;o loID (Y)u\'oe..cn.\ ~.
82:> ()')u\bet~ ~\cee...\-
Ne...u ~'t.\ ~ 10013
3. That the project which is subject to Environmental Review
under Chapters 32, 37, or 97 of the Town Code is open to public
comment on: You may contact the Trustees Office at
765-1892 or in writing.
The above referenced proposal is under review of the Board of
Trustees of the Town of Southold and does not reference any
other agency that might have to review same proposal.
OWNERS NAME:
MAILING ADDRESS: <
'" e,\-. t<Jetu
PHONE It:
p
Ene.: Copy of sketch or plan showing proposal for your
convenience.
)1\1\
s
Albert J. Krupski, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
~
. 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
BOARD OF TRUSTEES: TOWN OF SOUTHOLD
-----------------------------------
In the Matter of the Application
~ of
-----~--~-~-------------------
COUNTY OF SUFFOLK)
STATE OF NEW YORK)
I,
AFFIDAVIT OF POSTING
, residing at -=:JlJJO L~S\c.e -ed
~ vd1e ~11P.>rl
being'duly s~orn, depose and say:
That on the L 3 day of Jo...n. , 2003, _I the
property known as if.5o wst-c,,- lV~ th6
by placing the Board of Trustees official poster where it can
easily be seen, and that I have checked to be sure the p~
has remained in place for eight days prior to the date of the ~
~bg~n7 r~j';:,g nnted ,"erenn tn be held yy, )v> ~
Dated:
~w.%n to be
\ ~ day of
Veronica F. Cidone
Notary Public, State of New York
No: 52-4661406
Q~a~ifjed in Suffolk Couo..~ _ ".
Commission Expires Dec.31~
~
.
.
.
D.Moi
Posting Southold
1 1302
- ~-
.
.
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
Name:
Address:
U.S. Postal Scrvl("
CERTIFIED MAIL RECEIPl
(Domestic Mall Only No Insurance C'wer,lql' ;-flJVlded)
.....
-"'
<0
ru
Return Receipt Fee
m (Endorsement Required)
CJ
Cl Restricted Delivery Fee
Cl {Endorsement Required)
"".~ ~
-"'
CJ
Cl Certified Fee
.....
Postmark
"""
CJ
CJ
CJ
.....
~ Total Postage & Fees
-"'
.-"I
STATE OF NEW YORK
COUNTY OF SUFFOLK
c JdMP CO~(SVl
1"'~"~~9 ~tv)~7P,;;)
_____~______ , being duly sworn, deposes and says
that on the ;;)n day of ~c:e.'M.;IIu.t' ,~~, deponent
mailed a true copy of the Notice set forth in the Board of
Trustees Application, directed to each of tne 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 Southoldi that said N~ices Qre mailed at
the United States Post Office at t)Wteli\a:c \\q"'l"t , that
said Notices were mailed to each of saId p rsons (certified)
(registered) mail. ~
, residing at
Sworn t([tefore me this (':)0
day of "'A'r1~' , , ~6;>0Da-
~~//AY)ddY~
Notary Public
REBECCA A. VILARDI
NOTARY PUBUC, STATE OF NEW YORK
QUAUFlED IN SUFFOLK COUNTY
NO: 01 W060391 06
COMMISSION EXPIRES MARCH 27, dYD G
*
95.1S-3 (BlOC,' ~:~
Aew York State
"'-lJnite\l States Army Corps of Engineers
JOINT APPLlCA T.
FOR PERMIT
If.iiif.iI
lIiiII
1. Check permttl applied for:
AwI~1e 10 aQen<:ieaand pennltc:.ltegoriN lilted., Item 1. P\MM,.....lnIIl'uc:ticlntonba. AIlIchMiditloMlWotmalkln as~. PIHNprint ~ibty Of lype
NYS Oept of Environmental Con..rvatlon
o
o
o
o
o
o
o
o
o
o
o
o
o
D
Stream Disturbance (Bed and Banks)
Navigable Walers (Excavation and Fill)
Docks, Moorings 0( Platforms
(Constl1Jct Of Place)
Dams and Impoundment Structures
(Construct. Reconstruct or Repair)
Freshwaler Wetlands
Tidal Wetlands
Coastal Erosion Control
Wid. Scenic and Recreational Rivers
401 Water Quality Certitic;ation
Potable Water Supply
Long Island Well.
Aquatic Vegetation Conlro'
Aquatic Insect Control
FiSh ContrOl
NYS Office of General Servle..
(Stale Owned Lands Under Water)
o Leas,e. License, Easement or
Olher Real Property Interest
o Utility Easement (pipelines, conduits,
cables, etc.)
o Docks. Moorings or Platforms
(Construct or Place)
Adirondack Pa,-x Agency
o Freshwater WeUand. Permit
o Wild. Scenic and Recreational RIvera
Lak. G.org. P.rk Commlsalon
o Dod<. (Con.tnJct Of Place)
o Mooring. (Establish) .
US Army Corps of Engln....,
o Section 404 (Watera of the United SIales)
o Section 10 (Rivers and Harbors Act)
o Natiotlwide Permit (I)
Identity Number(l)
For Aoency UN Only.
DEe APPLICATION NUMBER
us ARMY CORPS OF ENGINEERS
4l?B
3. Tlx~)'er 10 (If applicant Is not an IndMdual)
"<.'
8. ame of USGS Quad Map:
4\t> I II ~ 11..0Z.1' 2..0'
NYTM-E
NYTM.N 4
eo Project Deacr1pt1on and Purpoae: (Category of ActivIty e.g. new construction/Installation. maintenance 01
reptac:ement; Type of Structure or ActIvIty e.g. bulkhead, dredging, filling, dam, dock, taking of water, Type 01 Mak";a,~
~utlea; Sl1ucluro and Wor1< Atop Dimension.; Need /Ir Pu"",.. Sorved) ea..d
------~'f~---o.Kt___dl~~C_e_)l.~~\_m~wod\dl-llll1 _
-~~t---~q.o.'----l\tvJ--b~lthetlLCw-fC.-:l~ VW,~ I
- .0~~q) _ _ ~ :-_ -plaCe. _ _ t!f _ _ e.Xl~hi1.q. ,_ _ _ _':Eo.ctftILwtq
- - - W_H1L_.au.. !!lL~l(:. _ Y').,I(dS _ _ of _ _c !e(l,v\,_ tn~d:e d _ ~
...................----..----.--...------...---. ..._----..
Ie:
11. Will Project Occupy 12. Proposed Start
SlalAl Land? 0 DalAl:
V..
13. EstlA'ated Completion
te;.. Z
00
""* Comm.......
14. HiS Wor1l; Begun on Project? (If yea, attach 0
explanation of why wotk was ltarted without pennlL) V..
16. Will thl, Project Require Additional
Federal, Stlte, or Loul Penntta?
~ 11. Uat PAlvloua Pennltl APPI~cauon Numb,,. and Date,:
(JfAny)
o
-.. No
If Yo. -,,, I,/<J....-.:-
Please LIst l"l'-'\XL
Sov.add TOWVL J(\l.skes
17. It applicant lsnotthe owner,both mUltllgntheappUcaUon
J nereDy affirm that lnfonnation provided on tN, form and au luactvnentltubmltted herewith illNe to the bele of my knowledge and belief. Fain statements maoe ner<;11l
are punishable as I CIISI A misdemeanor pun,UIlnt 10 SedIon 210.45 at.. Penal L8w. FUlther."'" applicant aocepcl full raponllblUty for all damage. direct or lnolre.:::
0' whatever nature, and by whomever tun-ertcl, arising out of the project deea1bed ~ and IgrMI to indemnify and..ve harTrH.. the Stale Irom suits. actlons,
damages and COlts of every name and delCliptlon 1'81 from Mkt 1tIon, FedetaJ Law. 18 U.S.C., SecUon 1001 provides for a fine 0' not more than
$10,000 Of Imprisonment for nol more than 5 yeara, or wilUngty falsiftel, conceall, 01" covers up. material fact: or knOWingly ma,,;;~
or uses a Ise. IcticioU5 or fraudulent statement
Signature
Date
Signature
Title
Title
.
.'
,....,6-4 (lZ/S17)-q
I"RO..JECT ID HUMBER
117.20
'_C
ITAlI ~ALClUAL/TYIUMEW
. . SHORT ENVIRONMENTAL ASSESSMENT FORM
. '. for UNUmO ACTIONS Only
PART !-PROJECT INFORMATION (To be completed by Appllesnt or ProjeCt Sponlor)
NAME
SEaR
Q50 We~ lct~ b~lV'(.
~H101d ) Ny I\qll
Coun
die.. oncI "",d Into_. _land_. ole., '" pro"'do mop)
S.C.T~.
1000 - 'fo -2- (
..:110 ~' 8" -72.02.7' 20"
I,
.: 2.
5. IS PROPOSEC ACTIOH: 1:> _ . ~
o New a Ex lion 0 Modific.Uonlahetdon K. "'-
6. DESCRIBE PRO..JECT BRIEFLY: .
1<.~M.t\v~ Oxt.d d,:S/>Oe.e e.X\.""h~q wood bu.L~. .ConSTY'l'(.c+ 02Q,3' r'\e.v-J .
bl.lltV\ea4 \Ill I C.-lee. Vl-\oI.yl S~l.,l'\.q IM- ~\.Q..c.{ of: (.Xl,,<>~q . ~Clct.-h.lLt.l11
WI~' 2-0 C-1I..'oiG yo..yds of clea-v\. \-vI.Lc-M SAAC(
7. AMOUNT OF L..AND AFFECTED:
Innio"y 0 -. ~ () -.
8. WILL PROPOSEC ACTIOH COMPLY WITH EXlSl1NO ZONING OR OTHIR IXlITING LAND USE RESTRICTIONS?
~Y" 0 No Ilno._brIotIy
.
8. WHAT IS PRESENT LAND USE IN VICINITY Of I'ROJECn
.)( Ro.idonliol 0 --. O~.. 0 ..........
00_:
o 1'ortcIFaoootIo--.
o Clalot
r=nva.le. re..lck-.hoJ Wa.kr-~On+
10. DOES ACTION INVOLVE A PERMIT APPROVAl.. OR FUNDING. NOW OR UI..1'IMATELY PROM NfY OTHER GOVERNMENTAL AGENCY IFederal. Stale or
L.ocalJ1
-y.Yn
o Ho
tf yea,.... ag.neye.) and pemUII-..__
. '. '.' .
.\O\AJY\ O~ c:;.QI.l..tholdl klY"::>~E:C__
". DOES ANY ~CT OF THE ACTION HAVE A CURRENTLY VAUO PERMIT OR APPROVAL?
o Yes T~O tf yel, lilt agency name and pennttlapproval
. ..
12. AS A RESULl;,%. 0 PROPOSED ACTION WILL EXISTING PlllMlT/APPRDVAL IlEQUIlllMOOIFlCATlON7..
OVe. .,0 ." _-_-
AQphc.nV$pon. r
_IS TRU~ TO THE lIST OF ~Y KNOWlECGilO ) A 1\ ( 6 ~
Do~~
Signalure
If the action I. In the Coa.tal Ar.a, and you are a .tate agency, .
compl.t. the Coa.tIIl A.....m.nt Form before proc..dlng wIth thl. ...essment
OVER
. .
PART II-ENVIRONMENTAL AaaEaaMENT (To be completed by Agency)
A. DOES ACT'ON OT~C , IN I o. t.'7 . .
o v., 0 No ..... --~~"II'Ul.L I!AF. 1
s. W'U ACTION RECEIVE COORDINATIO II umo ACTIONS IN . NYCRIl PAIlT 817.8
o v.. 0 No . no. .......llw~.r"d'dlw__OQ.nev. . _
C. COULD ACTION RESULT 'N ANY ADVEIlIII1I' MIOCIATIO WITH THe POLLOWING, (An.W"~y be ~w= :.':~~:~. POlinO.' lor oro"on
C 1. e..1Sllng au qU~ity. turtlCt or groundwater QUlJIty or q~. noiM Ieve", ....."'SJ traffic panttN, . WUlt pr u . ,
drainage or lloodi,,; prob"m.? Expl&in britfty:
C2_ A.'Sln'tIC. agflculluraJ, arChaeological, hi'lone:, or other naeural or cuttural '..oure..; or communny 01 nlighbomood c;:h.,ac:l,r? e~pl.jn bfl.fly'
C3. V'g'~ljon or t.una. fiih. ihtllfiah or wild"'. apeQel. t6gnlfic:anl ~. or UV.aI" or ~'ed .t;i'.? .Explain btielly:
Col. A eommvniTy., ~'i,ong p'.na ,;, goo'. u OMeloUy odoptod. or. c/IonfI.1n VM 0' Inl.nahy 01 VN of lend 0' olll.r n.Iur., '"ovre..1 E.p'"n ."'''y.
C5. Growth. lubwqu.nl dlwlopmenl, CI relaled acliYttlt,-Uklty IG be tnct",~ by the Pf'Opoted action? Eaplall] briefly:
, C6. Long 'Inn, 'ho" 18"", eumulatlve. or other ''''_ not ~ In C1oC1? IxpIatn briefty:
-
C7. Othor impoctl line'vdino c/IonfIoaln UN of oIIhor quontlly or typo oI-.gy)1 Exp/ojn britfty:
o. WIU THE PROJECT HAVE AN IMP4CT ON THeINVlllOHiiiHiIol. ~ THAT CAUSID THe ESTABUSHMENT OF A Cf4?
raVe. ONo
E. 'S THERE. OR'S THERE UKELY TO 8E. CONTROVIIlSY 1lUA'IUl TO ADVEIISE ENVIRONMENTAL IMPACTS1
o Ve. 0 No If Y". 'ltplaln briefly
PART II-DETERMINATION OF SIGNIFICANCE (To be compleled by Agency) .
INSTRUCTIONS, For "0" .dvII.. ...ct kl..,Uftld -. -..."", _r k 10 ...-.. Ior;.. Imponont or olllorwiN algnlf/cont. E.e., .n.ct .novld be
UU'''d in connection with t&I (a) IItIIng (....1 urtaan or n.nI)i (b) IN'ObIbQtty of occuntng; (e) duration; (eI) Irr....."'lbllity; (I) geographIc scope
and If) magnltud.. It necelNry, add ~'ohme"" or""",," IUpporting m.a'''''''"Enture thal..plAnallonl conwn sufficient atl.lll (0 ShOw thaI
"" rll.v.nt -.,.. Im_ ""..boon ~ IIId ..rq...loIy -"'Od. ......_ 0 01 Por1 If wu Ohlckld y.a, 'h. dll.om,n..,on .nd "0.
nificane. mUll ,v"ualt the POC'nUIJ Im.-a 01 the Pf'OPOMcI.uon on the tnYtronmemal Chatact'natica of the CEA.
o CnsCk tnrs box it you haveldent/lied one or mOrt pOl8n~aJly large Ind signlflcantldverse Impacts wnicn may Occur. Tnen
procsed direclIy 10 Ihe FUU EAF and/or pr8pare I posl~v. d8clarallon.
o Cneck tnis box if you have determined, baaed on /h'lnlorm8~on and analysis above and any lupponing documentation.
Ihat ths proposed aClion WILL NOT r.lullln any "gnlflcanl Idvert, ,nvfrOnmen18llmpacls AND provide on ansehmen,s
as necessary, tne re..onl lupportlng /hI. delarm/nal/on:
~ of Lood Ag.ney
Pnnt or Type Ham. of RI'POOlibl. Offjclr in Lead Agtioey
. ,
Tille 01 R'lpon'itw, onlc.r
Slgnalur. 01 R.lpon,aitHe Officer in Leao Ag.noy
Signature 0' Prepar.r (II dm.rent from relponlibl. OtlIC.'J
0.1.
-.
.
---
COSTELLO MARINE CONTRACTING CORPORATION
DOCK BUILDING' JETTIES' BULKHEADING . STEEL & WOOD PILING · FLOATS
423 FIFTH STREET . P.O. BOX 2124 . GREENPORT,NEWYORKll944. (631)4n.1199/477-1393/477.0682. FAX (631) 477-0005
.p
""',l
AUTHORIZATION FQRM
I, Y 4-1 <t- S" / ~ tV! 0'1 owner of
BusinesslProperty Name
located at
do hereby give Costello Marine Contracting Corp. the authority to act as agent in my
behalf in applying for all of the necessary permits for work to be completed at my above
Date
~:"f0Ay
~::::L
referenced property.