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Home My WebLink AboutTR-6503 Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hail Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 16, 2011 Mr. Fred Polled 375 Lighthouse Lane P.O. Box 578 Southold, NY 11971 RE: 375 LIGHTHOUSE LANE, SOUTHOLD SCTM#70-6-29.2 Dear Mr. Poller: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., February 16, 2011: RESOLVED, that the Southold Town Board of Trustees APPROVES the Amendment to Wetland Permit #6503 to install a 12' wide ramp through the 10' non-turf buffer landward of the bulkhead and extended 19' landward of the buffer, using non-treated lumber or grated fiberglass decking with 3/8" spacing, and as depicted on the plan received on January 26, 2011 and stamped approved on February 16, 2011. This is not a determination from any other agency. Sincerely, Jill MODoherty, Presider~ Board of Trustees JMD:lms Board of Trustees, Town of Southoid PO Box 1179 Southold, NY 11971 Frederick Polle~ 375 UghthouseLane PO Box 578 Southold, NYl1971 The replacement of the bulkhead at the above premises authorized by Trustee permit ~t6503 dated December 13, 2006 (copy attached) was completed during the spring 2010. The contractor submitted a notice of completion with the NYS DEC but did not know of any form or notification process to the Town. The transition grade of the non turf buffer to the bulkhead and existing dock is steep. The grade drops 1.5 feet over 10 feet resulting in a 9 degree grade. It is somewhat difficult navigate under the best of circumstances. It is nearly impossible for my wife, who is permanently disabled as a result of a car accident, to transit. (She has had a permanent Handicapped parking sticker since 1992). i've tried several solutions to make the transition more manageable. Stepping stones have improved the footing, but if there are any pebbles or sand on the stones, it is like trying to walk on ball bearings. You office staff recommended that I request a modification of the bulkhead permit. I would like to either install a ramp on the non turf buffer or put in several steps to make the grade more manageable. Both options would keep the non-turf buffer intact. I think either solution would improve the safety of transiting the non turf buffer to the bulkhead and dock. Enclosed is a check in the amount of $50 for the permit modification request. Thank you for your attention to this matter. James F. King, President Jill M. Dohe~;y, Vice-President Peggy A. Dickeresn 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 i SoutM~c:d To~n L Board of Pus~ees j APPLICATION FOR AN AMENDMENT TO A ~TLAND ]'.ERMII - - DATE OWNER ADDRESS PHONE AGENT PHONE ADDRESS PROPERTY LOCATION TAX MAP NO. APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics orohibits conflicts of interest on the vart of town officers and emnlovces, The ourcos~ of Ibis form is to omvide information which can alert the town of oossible conflicts of thterest and allow it to take whatever action is nc, ss~ to void sa_me.~.} __ YOUR NAME: (Last name first name ga dd e initial, unless you are applying in the name °f; i ? ! someone else or other entity, such as a company. If so, indicate thc other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Appmval of plat Mooring Exemption from plat or official map Planning Other Of"Other", name the activity.) Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Basines? interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employmcot 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/agenffrepresentative) 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 o~vner of greater than 5% of the shares of the corporate stock of the applicont (when the applicant is a conporstion); __.B) the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); ___C) an officer, director, pm'met, or employee of the applicant; or D) the actual applicant.. DESCRIPTION OF RELATIONSHIP Form TS I Submitted this day of ~ ~ 200~__ Signatu~ ~_ ~g~-~" Print Nap~,'. c, // Board of Trustees Application County of Suffolk State of New York - BEING DULY SWORN ~;~EPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BESTOF 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 TRUSTF~S HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE ~PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLI..(~ATION. ~/ // Signature sWoRN TO BEFORE ME THIS g~z9 DAYOF ,J~]0//~ ~ ,20 /[ Pollert request, installS'steps to make it easier to ease the transition over the non turf buffer to the bulkhead and dock, each step approximately 6 feet wide (width of dock) and 3.35 wide. Step area to be decked with non pressure treated wood per Town requirements, non turf pebbles under stair decking. JAN 2 6 2011 Pollert request, insta~lw~steps to make it easier to ease the transition over the non turf buffer to the bulkhead and dock, each step approximately 6 feet wide (width of dock) and 3.35 wide. Step area to be decked with non pressure treated wood per Town requirements, non turf pebbles under stair decking. Jill M. Dohelly, President Bob ghosio, Jr, Vice-Prcsidmlt P.O. Box I 179 Southold~ NY I 1971 Telephone (631 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report FRED POLLERT requests an Amendment to Wetland Permit #6503 to either install a ramp or steps through the 10' non-turf buffer landward of the bulkhead. Located: 375 Lighthouse Lane, Southold. SCTM#70-6-29.2 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: __Chapt.275 Chapt. 111 other Type of Application: __ Wetland __Coastal Erosion __Amendment ~Ad ministrative__Emergency Pre-Submission Violation Info needed: Modifications: Conditions: ~B, BP, resent ~A~ere: J.King J.Doherty J. Bredemeyer ...G~hosi_~ --D. Dzen-~owski ~ther Form filled out in the field by ~ D. Bergen__ Mailed/Faxed to: Date: 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 SOUTHOLD November 19, 2008 Ms. Jane P. Costello Costello Madne Contracting Corp. P.O. Box 2124 Greenport, NY 11944 RE: FRED POLLERT 375 LIGHTHOUSE LANE, SOUTHOLD SCTM# 70-6-29.2 Dear Ms. Costello: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, November 19, 2008: RESOLVED that the Southoid Town Board of Trustees grants a One-Year Extension to Permit #6503, as issued on December 13, 2006 and Amended on March 21, 2007. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, James F. King President, Board of Trustees JFK:eac COSTELLO MARINE CONTRACTING CORPORATION DOCK BUILDING · JE'I-I'IES · BULKHEADING ° STEEL & WOOD PILING ° FLOATS 423 FIFTH STREET · RO. BOX 2124 · GREENPORT, NEW YORK 11944 · (631) 477-1199 ! 477-1393 / 477-0682 · FAX (631) 477-0005 October 10, 2008 Southold Town Trustees PO Box 1179 Southold, NY 11971 RE: Permit #6503 issued to Fred Pollert - 375 Lighthouse Lane, Southold Dear Trustees: I am requesting an one year extension on the above-referenced permit. The permit will expires 12/13/08 and we don't anticipate completing the work until early next spring. If any additional information is needed, please do not hesitate to contact me. Sincerely, Permit Manager enclosures Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD LETTER OF REQUEST FOR AN AMENDMENT AGENT _/qt'wm~_[ ~3 M&? PROPERTY LOCATION I]We JtlgF{"/t~l~D ,-~ &~/'lID)~]~%u~est an Amendment to Permit #__~ 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 March 21,2007 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD Ms. Jane P. Costello Costello Marine Contracting Corp. P.O. Box 2124 Greenport, NY 11944 RE: FRED POLLERT 375 LIGHTHOUSE LANE, SOUTHOLD SCTM# 70-6-29.2 Dear Ms. Costello: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, March 21, 2007: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit #6503 to install 4 single 8" pilings for mooring dolphins. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, King President, Board of Trustees JFK:eac Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-18q2 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD LETTER OF REQUEST FOR AN AMENDMENT DATE OW~R AGENT _(~5 ~//a ADDPmSS "-P~ ~X ~/~4 PROPERTY LOCATION T~M~NO. l~o~ 7 request an Amendment to Permit #_{~ff__O_~>_ 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 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 Y2 constructed Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 6503 DATE: December 13~ 2006 ISSUED TO: FRED POLLERT PROPERTY ADDRESS: 375 LIGHTHOUSE LANE~ SOUTHOLD SCTM # 70-6-29.2 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 of the Town Code of the Town of Southold and in accordance with the Resolutions of the Board of Trustees adopted at the meeting held on December 13, 2006 and January 24, 2007 and in consideration of application fee in the sum of $250.00 paid by Fred Pollert and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct 170' of new bulkhead in place of existing bulkhead with vinyl, a~ with 12' of west return, and replace 6" higher in-like and in-place, and install a 10' non-turf buffer with the condition of the placement of a silt fence during construction and all as on the plan prepared by Costello Marine Contracting Corp. revised January 15, 2007 IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. TERMS AND CONDITIONS The Permittee, Fred Pollert, 375 Lighthouse Lane, Southold, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said perrmttee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. That there will be no unreasonable interference with navigation as a result of the work herein authorized. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Department of Real Properties Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Pennittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 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 SOUTHOLD December 13, 2006 Jane Costello Costello Marine Contracting Corp. P.O. Box 2124 Greenport, N.Y. 11944 RE: FRED POLLERT 375 LIGHTHOUSE LANE, SOUTHOLD SCTM# 70-6-29.2 Dear Ms. Costello: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, December 13, 2006 and Wednesday, January 24, 2007 regarding the above matter: WHEREAS, Costello Marine on behalf of FRED POLLERT applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated November 8, 2006, 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, Public Hearings were held by the Town Trustees with respect to said application on December 13, 2006 and January 24, 2007 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 275 of the Southold Town Code, and, WHEREAS, the LWRP Coordinator recommends that the proposal is consistent with the policies of the LWRP, and, WHEREAS, the Board determined that the proposal is Consistent with the policies of the LWRP, and, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of FRED POLLERT to construct 170' of new bulkhead in place of existing bulkhead with vinyl, and with 12' of west return, and replace 6" higher in-like and in-place, and install a 10' non-turf buffer with the condition of the placement of a silt fence during construction and all as depicted on the plan prepared by Costello Marine Contracting Corp. revised January 15, 2007 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, President, Board of Trustees JFK/hkc James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Chosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 TO: BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated reviewed by this Board at the regular meeting of following action was taken: V~) Application Approved (see below) (__.)Application Denied (see below) Il/~]0(~ has been [p_[]~/o6 and the ( )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 Chapter 97 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: ~ ~-0 '~h~ f~ ¢~c--%t~q ~'") TOTAL FEES DUE: BY: James F. King, President Board of Trustees 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 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 ½ constructed Project complete, compliance inspection. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hail 53095 Route 25 P.O. Box 1179 $outhold, New' York 11971-0959 Telephone(621) 765 1892 Fax(631) 765-664~ BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD Southold Town Board of Trustees Field Inspection/Work session Report Date/Time: Costello Marine Contracting Corp. on behalf of FRED POLLERT requests a Wetland Permit to construct 170' of new bulkhead immediately in front of dxisting bulkhead. Replace 12' west return in-place. Fill void between old and new sheathing with approx. 21 cy. of trucked-in sand. Located: 375 Lighthouse Lane, Southold. SCTM#70-6-29.2 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Front Bay Front Distance of proposed work to edge of above: Part of Town Code proposed work falls under: __Chapt.275 Chapt. 111 other Type of Application: __ Info needed: Wetland __Coastal Erosion __Amendment __Administrative __Emergency / Present Were: VJ.King __J.Doherty __P.Dickerson H. Cusack D. Dzenkowski other D. Bergen__ B. Ghosio, Jr Mailed/Faxed to: Environmental Technician Review ~JOrl -~c,~ [,~(c(~x'. l - I¥- Date: Telephone (631) 765-1892 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Wed., December 6, 2006, the following recommendation was made: Moved by James Eckert, seconded by Peter Young, it was RESOLVED to SUPPORT the Wetland Permit application of FRED POLLERT to construct 170' of new bulkhead immediately in front of existing bulkhead. Replace 12' west return in-place. Fill void between old and new sheathing with approx. 21 cy. of trucked-in sand. Located: 375 Lighthouse Lane, Southold. SCTM#70-6-29.2 Inspected by: James Eckert, Peter Young The CAC Supports the application with the Condition of a 20' non-turf buffer. Vote of Council: Ayes: All Motion Carried 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 January 9, 2007 Southold Town Trustees PO Box 1179 Southold, NY 11971 RE: Inspection Fees Dear Lauren/Heather: Enclosed are three checks # 25835, 25836, 25837 to cover the inspection fees for Breezy Shores Communib/, Pollert and Erey. I will be submitting revised plans for Pollert in another day or two. Sincerely, Permit Manager Enclosures JAN l 0 ~007 PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair KENNETH L. EDWARDS MARTIN II. SIDOR GEORGE D. SOLOMON JOSEPII L. TOWNSEND PLANNING BOARD OFFICE TOWN OF SOUTHOLD MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cot. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 Jim King, President Town of Southold Board of Trustees From: Mark Terry, Senior Environmental Planner LWRP Coordinator Date: December l, 2006 Proposed Wetland Permit for Fred Pollert SCTM#1000-70-6-29.2 FRED POLLERT requests a Wetland Permit to construct 170' of new bulkhead immediately in front of existing bulkhead. Replace 12' west return in-place. Fill void between old and new sheathing with approx. 21 cy. of tracked-in sand. Located: 375 Lighthouse Lane, Southold. SCTM#70-6-29.2 The proposed action has been reviewed to Chapter 268, 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 CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. DEC - I 2006 Office Use Only __Coastal Erosion Permit Application ~..~'Wetland Penuit Application Administrative Permit Amendmenffrrans f~r/Extension ~"~-'Rece~-ved Application: __~eceived Fee:$ c~'~ ~.-C-ompleted Application I __Incomplete __SEQRA Classification: Type I Type 1I Unlisted __Coordination:(date sent) ~AC Referral Sent: I ~ ~eDate of Inspeetion: __Receipt of CAC Report: __Lead Agency Determination: Technical Review: ~l~ublic Hearing Held:~ __Resolution: Name of Applicant Address q24 Address: Suffolk County Tax Map Number: 1000- '-'/~ -- Property Location: ._~>'-15 LI 0/,~'~ (provide LILCO Pole #, distance to cr&s streets, and location) (If applicable) - / GENERAL DATA Land Area (in square feet): Previous use of pro.m: Int~ded use of prop~: Prior permits/approvals for site improvements: Agency Date __ 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: Project Description (use attaclma~nts if necessary): ' ti '- -[ ' 1 .... WETLAND/TRUSTEE LANDS APPLICATION DATA Purposeoftheproposedoperations:'~ll'Eit~C~. ~ t~XIS~I~ Area of wetlands on lot: 4~ 0~0 square feet Percent coverage of lot: 9. '7 % Closest distance between nearest existing structure and upland edge of wetlands: /~cl feet Closest distance between nearest proposed st~cture and upland edge of wetlands: ./~ ? feet Does the project involve excavation or filling? No ~ Yes ffyes, how much material will be excavated? I1~0 cubic yards How much material will be filled? /~ cubic yards Depth of which material will be removed or deposited: - 'q Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: 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 a. ppmpriate): . 617.20 'ApPendix C state Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTION$Only PART I - PROJECT INFORMATION (To be C°mp!e~ by A~plicant or Pro~ect Sponsor) 1. APPLICANT/SPONSOR ~2; pROJECT NAME ' 3. PROJECT LOCATION: . Municipality 4. PRECISE LOCATION (SVes{ address and ~oad intersec~n$, prominent landmarks, GTC., o~ provide map) 5. PROPOSF~ AC~ON 7. AMOUNT OF LAN[:) AFFECTED: acres Urdmately ~-/' acme 8. WILL PROPOSED ACTION COMPLY WITH EXlS'~NG ZONING OR OTHER EXISTING LAND USE RES'FRICTIONS? [] Yes [] No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? [-"] OU~r 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDEJ~AL, STATE OR LOCAL)? [~/~es [] No ff yes, list agency(s) name and PeunlVal~oroval*: ODES ANY ^S~ECT OF~E ^C~ON HAVE ^ CURR~m.~ VAL,D P,RM,T OR AP""OV^L? [] Yes' [~.o I If the action is in the Coastel Area, and you are a stete agency, complete the I Coastal Assessment Form before proceeding with this assessment I OVER PART II- IMPACT ASSESSMENT (To be completed by Lead Agenc,/) A. DOES ACTION EXCEED ANY TYPE I THRESHO~ .1~. IN 6 NYC~ pAinT 6i ~.47~ If ~, ooo~ti~a~e ~a mv~ew ~ a~l use ~e FULL EAF. I:]Y- r-]No ; , .... ~ '; ',.: B. WILL ACTION RECEIVE COORDINATED REVIEW/~ Pf~OVIDED FOR UNI-I~I'ED ACTIONS IN 6 NYCRR PART 617.6? If No, a negate dectambon may be mJpemeded by another InvoNed igM~;: ~..~ .;. ~ .., E3Y- E].° .... C. COULD ACTION RESUL'i'~IN ANY ADVERSE EFFEC'F~ A~CIATED WITH THE FOLLOWING: (/Vllwerl may be ~, if legible) Cl. Extst~g air query, ~uKael or g~Jndwat~' qul~'or quantity, nolae tavel~, existing imffi¢ pa~, ~ ~ ~u~ ~ ~1, potential f(x en~k~, drainage (x')l(xxl~g ix~l~ma? E,~lsin ~ i C2. Aes~efic, ag~Jltuml, arct~eological, hlat0~tc, m' other natural or cultural re~Jrces; or ~ommunlty or neighbodxxxl chmac~ef? Ex. p4ain brietiy: C3. Vegela~:~ or fauna, fish, she~'~sh o~ wildlife species, algnlfle, ant habitats, or I~matened or e~angam<l ~poctes? Explain briefly. C4. A com~'n unlly's e~l§ng ptanl <3~ g~la al of~ctalry aclop~l, or · change in [me o~ lntm~tt7 o~ u~e of land or other ~atuml resources? Explain bndflT~ C5. Oro~v~, .u~)ClUent beyek)pment, or relatsc~ ,~ivt~. lAM,/to be Induced I~¥ the pr~oosed ecu(~? E.xpialn bdee/:. C8. Longtenn, shoi'tt]~m, cumulaflve, orothereffec~notlden~if-ledinCl.CS? F_xpldinbrtefly: 07. Othe~ impac~ (k~uding changes in use ~ either qulntlty o~ t~pe of energy)? ~ ~ E. Is T~RE, o. ,s T. ERE L,r. EL~ TO ~E. CO.T.OVEP. S~ ..EU~TE[~ TO ~OTENTLAL ~W.EE ~,.O.~,ENT~ ,~,PACTS? PART III - D,-ic~<~INATION OF 81GNIFICANCE (To be ~ompl~Md by INSTRUCTIONS: F~reach~v~r~eeIfectk~end~e~x)ve~`de~rm~newheIfter~tlssu~tan~arge~imp~rta~r~e~n~nt~ ~ach effect s~ould be as~'~ in connec~on ~ Ita (.) eeiflng (I.e. uYoan or mini); (b) probability ofo~unlng; (c) dural~/t; (d) in'ever~ibil~; (e) geographic scope; and (f) magnitude. If nec~a~/, add alta~hmeflt~ or reference ~uppo~ll~g materials. Ert.~re that explanations contain su~dent detail to ~x)w ~ all relevant adv~rle impect~ have been Id~t~ed and ~luately addressed. If question D of Part II was checked y~s, the tiMe,ruination of ~gnlficance must evaluate the Poll~al Impact of the prop4~ action on the environmental chara cterlstfcs of Iff e CEA. NOT r~lt in any Ilgnllk~nt edvallle el~rofifflelll~ Iil'lpl~l AND pe;~de, o1~ attachmeflts ii ileollla~/, the mllonl luplx~ng Itlla ciete~'minat~on. Name of Lead A~l~y Dal~ P~llt ~- Type Name or ~,~ble Officer in Lead Agllcy ' COSTELLO MARINE CONTRACTING CORPORATION DOCK BUILDING · JETTIES · BULKHEADING · STEEL & WOOD PILING · FLOATS 423 FIFTH STREET · P.O. BOX2124 · GREENPORT, NEWYORK 11944 · (631)477-1199/477-1393/477-0682 · FAX 16311 .... AUTHORIZATION FORM located at -~ 73- .~'.~dtc'~,~'-J,..,x~ ~,,~r~wc= owner of (Business/Property Name) do hereby give Costello Marine Contracting Corp. thc authority to act as agent in my behalf in applying for all the necessmy permits for work to be completed at my above referenced property. Date / Signature James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen 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 BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of ....... .......................... COUNTY OF SUFFOLK) STATE OF NEW YORK) DEQ 13 2OO6 AFFIDAVIT OF POSTiNG ,residing at 1~ (~tl2~--J~_J~ d;~:tl.l?[[~[~( being duly sworn, depose and say: That on the 6 day of ~r~16~ 20(~, I personaJly posted the property known as by placing the Board of Tm~tees of~cial poste~ ~vl~ere k Car~ eas~ily 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 heating. Date of heating noted thereon to be held l/-J,r~-. KTP(', //~ ~71X](~ ~' Dated: S~w~ to ~efore me this I ~tay of'~e '200~ Notary P bb~% ~:~ HEALY Nota~ Public. late Of New York No. 01 HE6059270 Ouat f ed in Suffolk County Commission Expires Ju ~ 23, 7006 0810 0003 6881 8769 STATE OF NEW YORK COUNTY OF SUFFOLK 7006 0810 0003 6881 8776 , residing atq~O (]/6:~t~ :~q¥1[~° ~ [x~¥ [~ _, being duly sworn, deposes and says that on the ~O day of~, 20 ~o, deponent mailed a me copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Townaf Southold; that said Notices were mailed at the United States Post Office at/~tflgl~t~/gl~qdf$c' ) , that said Notices were mailed to each of said persons by (certified~ (reg~tere~t) ~ail. / Sworn.to before me this Day of~tF..~ , 200J~ Notary Public, State Of New York No 01 HE6059270 Qualified lr~ Suffolk County ,.~ Commission Expires July 23, 2C~ USE J m Postage Ce~tl~ed Fee Return Receipt Fee (Endo~eme~t Required) $1.~ Restricted D~i~ery Fee (Endorsement Required) Total postage & Fees 11/30/2(X~ NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: Fred Pollert SCTM # 1000-70-6-29.2 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: ~ Construct 170' of new bulkhead ~---~diately in front of existing bulkhead ~ Replace 12' of west return in-place. ~ Backfill voidbetween old and new bulk~ad with approw~m~tely 2 cubic yards of clean trucked in sand. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 375 Lighthouse Lane, Southold, NY 11971 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 Decker 13, 2006 at 6:30pm. 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: Fred Pollert MAILING 7kDDRESS: 24 M udd Road Setauket, NY 11733 Enc.: Copy of sketch or plan showing proposal for your convenience. ._S /7',== a,~aer 5 -,': 5 County of Suffolk State of New York DEPOSES AND AFFIRMs ~-IAT HE/SHE 1~ THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJIJNCTION WITH REVIEW OF THIS APPLICATION. - Signature ~OTARY PUBLIC, STATE OF NEW YORK NO:01 MA6100507 QUALIFIED IN SUFFOLK COUN~-~/ COMMISSION EXPIRES OCT. 20 U--~-' 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 Waterfi'ont Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including 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 Waterfi'ont Revitalization Program. A proposed action wi'Il be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is ans~vered "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 determ~ation 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 LWR? 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 (southoldto,:vn.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 The Application has been submitted to (check appropriate response): To,~n~oa~a ~ elanningDep~. 71 ~uil~gDep,. [~ ~oa~do~Tru~t~e~,~ 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. grantl loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: l Location of action:' ~'7.~ Site acreage:. /. ~ 3 ' Present zoning cl~ssificafion: o~/'~ .~-ir/O/ff_ ,,~'/'/,,/1//./ / If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Nameofapplicant: /~Ij (b) Mailing address: _~/ ~//d~ f'~t~'/3t/ ' (c) Telephone number: Area Code ( ) (d) Application number, if any: Will~the action be directly Undertaken, require funding, or approval by a state or federal agency? No[- Ifyes, which state or fedena agency?,4F't Yes 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 usg of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page'2 for evaluation criteria. [--]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 ~J Not Applicable / Attach additional sheets if~ Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria ~ Yes ~ No ~-~ Not Applicable , Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria ~ Yes ~'~ No~ Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III -Policies Pages 16 through 21 for evaluation criteria V~ 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. [X~ Yes [--] No {--} Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. [-] Yes ~ No Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and l~azardous 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 ~' At~ach 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 '~X~ No [] Not Applicable At~ach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. [-~ Yes [--] No~ Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. Yes [] No~ Not Applicable Created on 5/25/05 11.'20 AM Date: To: Proposal: November 6, Southold Town Trustees and Mark Terry Construct 170' of new bulkhead immediately in front of existing bulkhead. Replace 12' of west return in-place. Fill void between old and new sheathing with clean trucked in sand (approximately 21 cubic yards). DEVELOPED Policy I COAST POt/CIES 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. The existing bulkhead on this property is beginning to fail. The owner has made effort to patch certain areas of this structures but a new bulkhead is needed. The owner would like to build a new bulkhead directly in front of the existing bulkhead so that the creosoted preservative is not disturbed and allowed to enter the waterways. It is believe that more damage will be done if the existing bulkhead is remove than to build a new bulkhead directly in front essentially burying the existing bulkhead. Policy 2 Preserve historic resources of the Town of Southold. This property has no significant historic resources. Policy 3 Enhance visual quality and protect scenic resources throughout the Town of Southold. The bulkhead at this location is existing. The present condition of this bulkhead is becoming unstable threatening the integrity of the upland property. As the photos show there are small sump holes which will become larger and more apparent as this bulkhead ages. A new bulkhead is just an attempt of the upland property owner to maintain his property. There is an existing bulkhead so the visual quality and scenic resources will remain the same. NATURAL COAST POL~CZES Policy 4 Minimize loss of life, structures, and natural resources from flooding and erosion. The existing bulkhead is needed to protect the upland property. The new bulkhead will not increase flooding or erosion in this area. Policy 5 Protect and improve water quality and supply in the Town of Southold. This proposal will not have any impact on the water quality and supply of the Town of Southold, Policy 6 Protect and restore the quality and function of the Town of Southold's ecosystem. This proposal will not have any impact on the Town of Southold's ecosystem. Policy 7 Protect and improve air quality in the Town of Southold. This proposal will not have any impact on the air quality of the Town of Southold. Policy 8 Minimize environmental degradation in the Town of Southold from solid waste and hazardous substances and wastes. This proposal will not degrade the environment with solid waste or hazardous substances. PUBLZC COAST POI TCIES Policy 9 Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. Our proposal will not limit public access to the coastal waters or public resources of the Town of Southold. There is a bulkhead presently existing and we are proposing to construct a new bulkhead immediately in front of the existing bulkhead. This structure will extend no more than 18" seaward of the existing bulkhead. Page 2 of 2 LWRP for Fred Pollert WORKING COAST POLICIES Policy 10 Protect the Town of Southold's water-dependent uses and promote siting of new water- dependent uses in suitable locations. Our proposal is to reconstruct a failing bulkhead. The present condition of the bulkhead is poor and is unsafe. This property is used by the upland property owners to engage in water dependent activities such as boating, fishing and swimming. These activities will continue at this site. Policy 11 Promote sustainable use of living marine resources in the Town of Southold, During the initial construction there will be a slight disturbance. Once construction is complete, the area will be allowed to re-establish itself which will take normally one complete season. Our proposal will not impair the marine environment after construction, Policy 12 Protect agricultural lands in the Town of Southold. This proposal has no impact on the agricultural lands in the Town of Southold. Policy 13 Promote appropriate use and development of energy and mineral resources. This proposal has no influence on the development of energy and mineral resources. 0 ~o ZO.L-T. 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 January 16, 2007 Southold Town Trustees Jt~N 7 8 ?007 PO Box 1179 Southold, NY 11971 RE: Pollert Property - 375 Lighthouse Lane, S0uthold ' SCTM# 1000-70-6- 29.2 Dear Trustees: As per your on~site inspection on Monday, January 15, 2007, enclosed are three copies of revised drawings showing the proposed bulkhead 6" higher than original bulkhead and a 10' non-turf buffer. If the any additional information is needed regarding this application, please do not hesitate to contact me, Sincerely, Permit Manager Enclosures