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Home My WebLink AboutTR-6699 Jill M.Doherty,President QF SO!/ry� Town Hall Annex James F.King,Vice-President ,`O �� 54375 Main Road P.O.Box 1179 Dave Bergen J Southold,New York 11971-0959 Bob Ghosio,Jr. G Q John Bredemeyer Telephone(631) 765-1892 COU�m,��' Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE #_0525C Date February 9, 2010 THIS CERTIFIES that the reconstruction of a 1581f. bulkhead using vinyl sheathing, 10' non- turf buffer, existing flagpole and chain link fences At 245 Pine Place, East Marion Suffolk County Tax Map #37-4-13 Conforms to the application for a Trustees Permit heretofore filed in this office dated 7/16/07 pursuant to which Trustees Wetland Permit#6699 dated 8/22/07 was issued and conforms to all of the requirements and conditions of the applicable provisions of law.The project for which this certificate is being issued is for the reconstruction of a 1581f.bulkhead using vinyl sheathing 10' non-turf buffer, existing flagpole and chain link fences. The certificate is issued to DAVID M. WIRTZ owner of the aforesaid property. r Authorized Signature/ David M. Wirtz 60 Sutton Place New York, NY 10022 June 11, 2010 Board of Trustees LJ Town of Southold _ JUN 1 4 2010 l�„/ 53095 Route 25 P. O. Box 1179 soutnold Toren Southold, New York 11971-0959 Board of Trustees _ Re: Application to Repair/Replace Deteriorated Bulkhead 245 Pine Place, East Marion (Spring Pond), New York Dear Sir or Madam: Enclosed please find evidence that we have filed the required Declaration of Covenants with the Suffolk County Clerk. If we are not mistaken, this should complete the permit process related to our bulkhead replacement as far as the Town is concerned. We really appreciate the help and cooperation we have received from your office throughout the process. Thank you very much. Very u ours, rte"' David M. Wirtz Enclosures T S 1111111 IIII 11111 IIIII 11111 IIIII IIIII 11111 IIIII 11111111 111111 IIIII IIIII Illi Illi SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 05/07/2010 Number of Pages : 5 At: 12 :23:28 PM Receipt Number : 10-0054557 LIBER: D00012624 District: Section: Block: PAGE : Lot: 182 1000 037 . 00 04. 00 013 . 000 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For move Instrument Exempt Exempt Page/Filing $25 . 00 NO Handling $20 . 00 NO COE $5 . 00 NO NYS SRCHG $15. 00 NO TP-584 $0 . 00 NO Notation $0 . 00 NO Cert.Copies $6.25 NO RPT $30 . 00 NO Fees Paid $101 .25 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County ECEE-7 14 2010 L.I%' LTG—Utho-IdT70 m Boarrustees_ __----- Filn < Number of pages _ _�El Ij1iv may A1e�_. c• Fhi UDITH A, Pi SCALE This document will be public CLEF.i� Or' record. Please remove all _UFFOL,. '—'—'WT', Social Security Numbers L c000126-24 prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recoding/Filing Stamps 3 FEES Page/Filing Fee cl Mortgage Amt. 1. Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. or EA-52 17 (County) Sub Total Spec./Add. EA-5217 (State) TOT.MTG.TAX R.P.T.S.A. Dual Town Dual County Held for Appointment Comm. of Ed. 5. 00Transfer Tax Mansion Tax Certified Copy � � The property covered by this mortgage is y or will be improved by a one or two NYS Surcharge 15. 00 5 �Sr family dwelling only. Sub Total YES or NO Other /6 ,// r— Grand Total /0 i If NO,see appropriate tax clause on page# of thisinstrumnt./ -\ t (� 4 1 Dist. 1000 03700 0400 013000 5 Community Preservation Fund Real Property P T S Consideration Amount $ Tax Service R VIT A Agency 07-MAY-1 CPF Tax Due $ Verification Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: Vacant Land TD Lk", S Y�� (CO TD Ce c) Z TD Mail to: Judith A. Pascale, Suffolk County Clerk 7 Title Conipan-Y Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Tale# 8 Suffolk CountRecordin & Endorsement Page This page forms part of the attached made by: (SPECIFY TYPE OF INSTRUMENT) k The premises herein is situated in Nl��1� d� SUFFOLK COUNTY,NEW YORK. TO In the TOWN of C � In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 12-0104 10/08kk (over) IMPORTANT NOTICE t , If the document you've just recorded is your SATISFACTION OF MORTGAGE, please be aware of, the following: If a portion of your monthly mortgage payment included your property taxes, *you will now need to contact vour local flown Tax Receiver so that you may be billed directly for all future property tax statements. Local property taxes are payable twice a year: on or before January 101 and on or before May 3181. Failure to make payments in a timely fashion could result in a penalty. Please contact your Ideal Town Tax Receiver with any questions regarding property tax payment. Babylon Town Receiver of Taxes Riverhead Town Receiver ofTaxes 200 East Sunrise Highway 200 Howell Avenue, North Lindenhurst, N.Y. 11757 Riverhead, N.Y. 11901 (631) 957-3004 (631) 727-3200 Brookhaven Town Receiver of Taxes Shelter Island Town Receiver of Taxes One Independence Hill Shelter Island Town Hall Farmingville, N.Y. 11738 Shelter Island, N.Y. 11964 (631) 451-9009 (631) 749-3338 East Hampton Town Receiver of Taxes Smithtown Town Receiver of Taxes 300 Pantigo Place 99 West Main Street East Hampton, N.Y. 11937 Smithtown, N.Y. 11787 (631) 324-2770 (631) 360-7610 Huntington Town Receiver of Taxes Southampton Town Receiver of Taxes 100 Main Street 116 Hampton Road Huntington, N.Y. 11743 Southampton, N.Y. 11968 (631) 351-3217 (631) 283-6514 Islip Town Receiver of Taxes Southold Town Receiver,of Taxes 40 Nassau Avenue 53095 Main Street Islip, N.Y. 11751 Southold, N.Y. 11971 (631) 224-5580 (631) 765-1803 Sincerely, n Judith A. Pascale Suffolk County Clerk 12-0104.06/06kd f DECLARATION OF COVENANTS THIS DECLARATION made this 9th day of March, 2010 by David M. Wirtz and Joann Brancato, residing at 60 Sutton Place South, Apt . 14-J, New York, New York 10022, hereinafter referred to as "DECLARANTS" : WITNESSETH : WHEREAS, DECLARANTS are the owners of certain real property located on 245 Pine Place, East Marion Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section 473889, Block 37 Lot -4-13, which is more particularly bounded and described as set forth in Schedule "A" annexed hereto, hereinafter referred to as the Property; WHEREAS, the Property is situated on lands within the jurisdiction of the Board of Trustees of the Town of Southold (hereinafter the "Trustees") pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted; WHEREAS, the DECLARANT(S) therefore made application to the Trustees for a permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities; and WHEREAS, as a condition of the granting of a Wetlands Permit to undertake such regulated activities, the Trustees required a ten-foot wide "non-turf buffer" adjacent to and landward of the bulkhead on that part of the property facing Spring Pond; NOW, THEREFORE, the DECLARANTS do hereby covenant and agree as follows : 1) Upon the substantial completion of the aforementioned permitted activities there shall be established and subsequently maintained a ten-foot wide non-turf buffer adjacent to and landward of the bulkhead on that part of the property facing Spring Pond as defined by Chapter 275 of the Town Code; and 2) These covenants shall run with the land and shall be binding on the DECLARANT(S) , his/her/their heirs, assigns, purchasers, or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees . IN WITNESS WHEREOF, the rnowwner(s) has/have duly executed this instrument this IL41- V� I day of Ail OWNER' SISIGNATU,RE 1. /rn , OWNER' ` S7TURE STATE OF NEW YORK ) ` SS. : COUNTY OF NEW YORK ) On the 124day of UY'�A in theear 2010 before y me the undersigned, a Notary Public in and for said State, personally appeared David M. Wirtz and Joann Brancato, personally known to me or proved to me on the basis of satisfactory evidence to be the individuals whose names are subscribed to the within instrument and acknowledged to me that they executed the same in their capacity, and that by their signatures on the instrument, the individual or the persons on behalf of which the individuals acted, executed the instrument . of ry Public a �ucHs ogtc fe�d�SVew York Q2FU50736A'York Irk New York'Counfy E p#esFebwc%24 2011 '' )d,X011 ' t , PARCEL 1 ALL THAT CERTAIN PLU'r, i'IECE, OR PARCEL OF LAND, SITUATE, LYING, AND EYEING AT EAST MARION, -roWN OF SOUTHOLD, COUNTY OF SUPPOLK AND 5'rATE: OF NEW YORK WHICH PLOT 19 KNOWN AS AND BY Lar NUMBERS 139 (ONE HUNDRED THIRTY-NINE) , 140 (ONE HUNDRED FORTY) AND 141 (ONE HUNDRED FORTY ONE) AS SHOWN ON A CERTAIN MAP ENTITLED "MAP OF SECTION TWO GARDINER'S BAY ESTATES, SITUATED AT EAST MARION LONG ISLAND", AND FILED IN THE OFFICE OF THE CLERK OF THE COUNTY OF SUFFOLK SEPTEMBER 22ND, 1928 UNDER THE NUMBER 275 FOR INFORMATLON ONLYI DISTRICT 1000 SECTION 037 ,00 611,0CK 01,00 LOT 013.00D ti r• a=„a� Vii'► %- t � i . _ - r lor.'ell, a � y AA 14 s� . i � Y % i ! A K� •ray� .��,. i IIH Is _ � r ems. d a r v ,sNokia - !✓" AMP- LAT N 41-0-7-10Plan View LONG: W 72--20-120-12 SCALE I"= 30' ----7 Serve ed: 11-11-04 SHEET I OF 1 ', _�a T# 1000-3-1-4-13 - Town: Southold N a -3 _ 3 Suffolk Gount , Ny W E ... ....._„ Ide Range: 2 '+/- �4 b Datum: M.S.L. /�� S 0 T# I N 37 "A"may sO F =4O®`i® RS B N0" ',ismil AO 3� Ve i b 1O ® 'i Gdd 9 r, p 35 -41 61� 42 S, - AZcic l ''/ 56 53` O .4.4'"C' -.4 6 8 O b.1 -.45 -3.4 -54 ,,`6 -So/ -.47 -46 �4 .45 4.8------------ :45 1 -.4.7 -.4S �� 'Ar- --------------- Q �� O -_2 `--`4 --------- A 4 - 3.7 -34 ..3.1 -----Z---- ----_-- SW R"cam -bar._ �i --3 _ --BOAR® F TRUSTEES ES lit, i \ `` 23 1 Of OR GrgC-Q d7of 6 i J inn Griffn -- ®®Ar Cross Section P1 i Through Existing Dock -' - I Scale I"= 10' n U 1 1 Pock r ----- r,, "�Xtb Float "•-'��'�� Bulkhead 6' x 20' ------------ -- ---------------- --------------------------- -- ----------------------------- -----------------------MHN .9n] - ---------------- ----------------------------------- ------------------------------ 1-151- ............ SL - - - - --------------------------------------- ----------- - MLN Piles bottom II-II-04 PREPARW BY: SEA LEVEL DEC 2 J 2005 MAPPING ROBBZT H. FOX P.O.BOX 0 538 PLS LIC. 50147 11/29/2004 4.4104PM �►631-722- 340 � G��Mv, w o STATE OF NEW YORK DEPARTMENT OF STATE ONE COMMERCE PLAZA DAVID A. PATERSON 99 WASHINGTON AVENUE LORRAINE A. CORTES-VAZQUEZ GOVERNOR ALBANY, NY 12231-0001 SECRETARY OF STATE MEMORANDUMC E W, E_ TO: Mark Terry, LWRP Coordinator, Town of Sou 1 AUG 2 5 2008 Ii1 ::J CC: Lauren Standish, Southold Town Trustees Southold Town Board of Trustees FROM: Jennifer Street, Coastal Resou s pecialist, onsistency Review Unit, Division of Coastal Resource SC SUBJECT: F-2008-0556 U.S. Army Corps of Engineers/New York District Permit Application David Wirtz, East Marion, R/R (ip) 158 LF of Bulkhead, backfill with 20cy clean Sand. DATE: August 22, 2008 Enclosed is a copy of the Federal Consistency Assessment form and permit application for the above-referenced project for your information and preliminary review for LWRP Consistency. Please contact me, the DOS reviewer assigned to this project, at (518) 474-1737 (e-mail: Jennifer.Street@dos.state.ny.us) to discuss applicable LWRP policies and concerns, and any additional information which may be necessary to assist you in reviewing this project. Any comments you may have will assist the Department in reaching a decision as to the consistency of the proposed action with the approved Town of Southold LWRP. We would appreciate hearing from you on this proposed project within 30 days (September 22, 2008). if we do not hear from you by that date, we will presume that you have no objections to the proposed project. Please call meat(518)47471737(e-mail:Jennifer.Streetgdos.state.ny.us)if you have any questions regarding this matter. When communicating with us regarding this proposal, please refer to Department of State file number F-2008-0556. Encl. /jls cc: COE/New York District: Christopher Eng (COE-NAN-2008-01007-EEN) NYSDEC Region 1: Karen Westerlind (DEC 1-4738-02819/00002) WWW.DOS.STATE.NY.US • E-MAIL:INFO@DOS.STATE.NY.US �ec'd Caastai Resources' JOINT APPLICATION FORM AUG For Permits/Determinations to undertake activities affecting streams, 2008 A:: waterways,waterbodies,wetlands and sources of water supply. New York State Separate Permits/Determinations must be obtained from each involved agency US Army Corps of prior to proceeding with work. Please read all instructions. Engineers (USACE) 1. Check All That Apply: 2. a of Applicant(use full ame l ). Applicant must be (check all that apply): NYS Department of Environ- •JF Owner Operator Lessee mental Conservation Street Address Taxpayer ID (If applicant is NOT an individual): Stream Disturbance � {I 1' 1 1� •� Excavation and Fill in Navigable Waters PCs e City tate Zip Code Telephone (daytime) F]Docks, Moorings or Platforms e) Email M Dams and Impoundment1�� <<• 0� 3. Name of Facility or P erty Owner, if different than Applicant Structures - F]401 Water Quality Certification Street Address E]Freshwater Wetlands Tidal Wetlands ElCoastal Erosion Management Post Office City State Zip Code Telephone (daytime) Email Wild,Scenic and Recreational Rivers 4. Contact/Agent Name Water Supply Company Name Long Island Well Street Address F]Aquatic Vegetation Control Aquatic Insect Control F1 Fish Control Post Office City State Zip Code Telephone(daytime) Email US Army Corps of Engineers S. Project/F cility Na V C 'A Ct � Property Tax Map Section J Block/Lot Number rr Section 404 Clean Water Act � 37 - 13 Section 10 Rivers and Harbors Provide directions and distance to roads, bridges and bodies of waters: Act � t nb ?off Nationwide PermitSPs) -Identify ) L as\" 1V 1 k I Q 3q, 1 'Ar t�j Number(s): Preconstruction Notification - Street Address,if applicable Y / ° N 245. IYS Office of General Services Pt O(fice State CL % Zip Code Telephne if applicable mail oll State Owned Lands Under Water) aS rtQh NY ` I 1 G31 I -q'1� Utility Easement(pipelines, 1 --_ill Town/Vi age/City County �� conduits,cables,etc.) a S��®�� Docks,Moorings or Platforms V � Y$Department of State Name of USGS Quadrangle Map Stream/Water Body N s a , Coastal Consistency Location Coordinates: Enter NYTMs in kilometers,OR Latitude Lon *� / !- de degrees,mi:autes,seconds Concurrence NYTM-E NYTM-N Latitude _ • Longitude • If applicant is not the owner,both must sign the application. I hereby affirm that information provided on this form and all attachments submitted herewith is true to the best of my knowledge and belief. False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the Penal Law. Further,the applicant accepts full responsibility for all damage,direct or indirect,of whatever nature,and by whomever suffered,-arising out of the project described herein and agrees to indemnify and save harmless the State from suits,actions,damages and osts of every name and description resulting from said project. In addition,Federal Law,18 U.S.C.,Section 1001 provides for a fine of not ore th n$10,0000 r impr onment for not more than 5 years,or both where an applicant knowingly and willingly falsifies,conceals,or covers up mat rial ct• n i ly makes or usesalse,fictitious or fraudulent statement. ig tur OTA pit PrintT N e aNtA M. Title Da ignature of Owner i 2► Printed Name Title D to ignature of Agent Printed Name — Title Date se .n. x ' dT APPLICATION FORM 02/08 Application Form Page 1 of 2 JOINT APPLICATION FORM - PAGE Z OF 2 t Submit this completed page as part of your Application. Project Description and Purpose: Provide a complete narrative description of the proposed work and its purpose. Attach'additional pages) if necessary. Include.description of current site conditions and how the site will be modified by the proposed project;structures and fill materials to be installed; type and quantity of materials to be used (i.e.,cubic yds or square ft of fill material below ordinary high water,or of structures below mean high water); area of excavation or dredging,volumes of material to be removed and location of dredged material disposal or use; work methods and type of equipment to be used;pollution control methods and mitigation activities proposed to compensate for resource impacts; and where applicable, the phasing of activities. ep-ski 10dkkc earl, is 66 10AITs o�� d� c�b�� l • ��a.. pvt ou INO& •s Ice lam" �{� �•.t�� Ior«�c -�,c�t `�� lac� vs; v�:h 1 51n ea-t% .dl Ct AV•t k1e s c�+nd OCT • ifvvrr n as �; des jos e.ye_eq+ or 10 itti-no t -t ex bow WK _ V `lI�� IS . �11�►0�� dt yer, slna�rc( s �- a posed Use: Privaten Public E] Commercial Will Project Occupy State or Federal Land? Yes No Work Begun on Project? ❑ Yes Kms, No If Yes, explain. posed Start Date: �q�t Off) Estimated Completion Date: �.a�e"Fal l Z0V _ List Previous Pe it/Application Numbers(if any)and Dates: tRN - 2oag • a� ooh �.�N 7 is a8 .. Will this project require additional Federal, State,or Local P mit est� No If Yes, please list: oG EY,.I�ro�n V\gCVS0+fG%-_ — Rave i r,eov� 6 1.4738-4111 � 1311OTo ' w u r o v't' l ark r fr 1 t d►N'e. o 669111 Identify all Agencies and Offices to which you are making application based on the permit(l)/determination(s)requested and your project location. Check the box(s) corresponding to the Agencies and Offices.This will allow each Agency to be aware of all the application filings you make. For Agency addresses and areas covered, refer to the Agency Contact Information on the Application Instructions-Page 2. NYS Department of Environmental Conservation REGION 1 Stony Brook REGION 5 Ray Brook REGION 7 Syracuse REGION 2 Long Island City REGION 5 Warrensburg Sub-Office REGION 7 Cortland Sub-Office REGION 3 New Paltz Q REGION 6 Watertown REGION 8 Avon REGION 4 Schenectady ® REGION 6 Utica Sub-Office El REGION 9 Buffalo REGION 4 Stamford Sub-Office REGION 9 Allegany Sub-Office US Army Corps of Engineers D§ NYS Department ❑ NYS Office of General DO NY District NY District,Watervliet Buffalo District of State Services .1 9 u MI e - rr APPLICATION FORM 02/08 Application Form Page 2 of 2 Redd Coastal Resources NEW YORK STATE DEPARTMENT OF STATE COASTAL MANAGEMENT PROGRAM AUG ) Federal Consistency Assessment Form An applicant, seeking a permit,license,waiver,certification or similar type of approval from a federal agency which is subject tot e New York State Coastal Management Program(CMP),shall complete this assessment form for any proposed activity that will occur within and/or directly affect the State's Coastal Area. This form is intended to assist an applicant certifying that the proposed activity is consistent with New York State's CMP as required by U.S. Department o Commerce regulations(l 5 CFR 930.57).It should be completed at the time when the federal application is prepared. T ie Department of State will use the completed form and accompanying information in its review of the applicant's certification of consistency. A.APPLICA T (please print) 1.Name: 1 �. 2.Address: BOO J I Q,iC� J 41ti� `� S QdZZ 3.Telephone: Area Code 2.6 99 B. PROPOSED ACTIVITY 1.Brief description of activity: ` 0%J8 ' t' rC Ove_ I n ozA apqra>cqnA � SY Y t �� , bu {'� 2.Purpose of a tivity: V k is 106AC�e�er�o�ard 3. Location ofactivity: S��lk Za s�- lY1ar;8>^ 2-4S rR P lace. County City,Town,or Village Street or Site Description 4.Type of fede al permit/license required: 5.Federal appli ation number,if known: 6. If a state pe it/license was issued or is required for the proposed activity,identify the state agency and provide the application or permit number,if,known: �c �� Volo YY1eK �fitYva�'►'o�(,� erm�� I . II C.COASTAL A!SSESSMENT Check either"YES"or"NO"for each of these questions. The numbers following each question refer tq the policies described in the CMP document(see footnote on page 2)which may be affected by the proposed activity. i I 1. Will the pro+ed activity result in any of the following: YES NO a. LargL physical change to a site within the coastal area which will require the preparation of an environmental impact statement? (11,22,25,32,37,38,41,43). . . .. . . . . . . . . . . . _ �C b.Physical alteration of more than two acres of land along the shoreline,land under water or coastal waters? (2, 11, 12,20,28,35,44). . . . .. .. . . . . . . . . . . . . . . . . . . _ c.Revi alization/re4velopment of a deteriorated or underutilized waterfront site? (1). . . . . . _ d.Reduction of existing or potential public access to or along coastal waters? (19,20). . . . . . _ X e.Adv se effect upon the commercial or recreational use of coastal 'fish resources? (9,10). . . f.Sitin of a facility essential to the exploration,development and production of energy resourc s in coastal waters or on the Outer Continental Shelf? (29). . . .. . . . . . . . . . .. . . . _ g. Siting of a facility essential to the generation or transmission of energy? (27) . . . . . . . . . . . — X In.Mining,n excavation,or dredging activities,or the placement of dredged or fill material in coastalwaters? (15,35) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ �G i. Discharge of toxics, hazardous substances or other pollutants into coastal waters? (8, 15,35) _ Zt j. Draining of stormwater runoff or sewer overflows into coastal waters? (33). . . . . . . . . . . . _ X k. Tran port,storage, treatment,or disposal of solid wastes or hazardous materials? (36,39). _ �C 1.Advei se effect upon land or water uses within the State's small harbors? (4) . . . . . . . . . . .. �C 2. Will the propo i 3ed activity affect or be located in,on, or adjacent to any of the following: YES NO a. State designated freshwater or tidal wetland. (44) b. Federally designated flood and/or state designated erosion hazard area? (11, 12, 17,). . . . . _ K c. State designated significant fish and/or wildlife habitat? (7) . . . . . . . . . . . . . . . . . . . . . . . . _ �C d. State Jesignated significant scenic resource or area? (24). . . . . . . . . . . . . . . . . . . . . . . . . . _ e. State esignated important agricultural lands? (26) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f.Beach dune or barrier island? (12). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ g.Majoi ports of Albany,Buffalo,Ogdensburg,Oswego or New York? (3). . . . . . . . . . . . . . . _ h. State,county,or local park? (19,20). .. . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . _ i.Histor c resource listed on the National or State Register of Historic Places? (23). . . . . . . . ZC 3. Will the propo ed activity re uire any of the following: YES NO a. Water Front site? (2,21,22). . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ b.Provision of new public services or infrastructure in undeveloped or sparsely populated sections f the coastal area? (5). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ c.Construction or reconstruction of a flood or erosion control structure? (13, 14, 16). . . . . . . _ tt d. State water quality permit or certification? (30,38,40). . . . .. . . . . . . . _ e.State air quality permit or certification? (41,43). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ 4. Will the proposed activity occur within and/or affect an area covered by a State approved local waterfront revitali ation program? (see policies in local program document) . .. . . . . . . . .. . . _ _h I i D.ADDITIONAL STEPS 1. If all of the questions in Section C are answered"NO",then the applicant or agency shall complete Secti 3n E and submit the documentation required by Section F. 2.If any of the questions in Section C are answered"YES",then the applicant or agent is advised to consult he CMP, or where appropriate,the local waterfront revitalization program document*. The proposed activity must be analyzed in more detail with respect to the applicable state or local coastal policies. On a separate page(s),the applicant or agent shall: (a) identify, by their policy numbers,which coastal policies are affected by the activity, (b)briefly assess the effects of the activity upon the policy; and,(c)state how the activity is consistent with each policy. Foll wing the completion of this written assessment,the applicant or agency shall complete Section E and submit the documentation required by Section F. t E. CERTIFICATION The applicant or agent must certify that the proposed activity is consistent with the State's CMP or the apprc ved local waterfront revitalization program,as appropriate. If this certification cannot be made,the proposed activi shall not be undertaken. If this certification can be made,complete this Section. "The proposed activity complies with New York State's approved Coastal Management Program,or with the plicable approved local waterfront revitalization program,and will be conducted in a manner consistent with such program." Applicant/Agent's Name: ,1'. 'C+ SOW Address: (00 S-A S Qv�� t' J 1V 10GZ2® Telephone: Area Code(0 41) CJ Applicant/Agent's Signature: Date: v4114 a F.SUBMISSION REQUIREMENTS 1.The applicant or agent shall submit the following documents to the New York State Department of State, Division of Coastal Resources, I Commerce Plaza - 10th Floor,Albany,New York 12231. a. Copy of original signed form. b.Copy of the completed federal agency application. c. Other available information which would support the certification of consistency. 2.The applicant or agent shall also submit a copy of this completed form along with his/her application tot ie federal agency. 3. If there are any questions regarding the submission of this form,contact the Department of State at (518) 474-6000. *These state and local documents are available for inspection at the offices of many federal agencies,Department of envi onmental Conservation and Department of State regional offices,and the appropriate regional and county planning agencies. Loc l program documents are also available for inspection at the offices of the appropriate local government. CA0FFICEIWPW1MWPD0CSIfcaf2 (revise 10/15/99) ° 6FA0� Ca e,`° x6" CeA ' WALE CCA "ALF- 61 o•c. to " Cc� L�{t_aC� 9Z° C7ALij.TIS vi X �.4 RP?ARGNI I-atc6H w 6TF- w l� Lr MUD Li m co fl 121 Ccs �Nt4l�CZ tPtLEt 06.C. ^�w��Y ®� U;N444 or, r•sl p�Ylelro�dia�w �' � � �eYl��.f��i°ra OX CROSS e RAm ? 3�32- OF -Dfl4,'D ft �►621� PT�LIC6T10N �D ; Ip 473$ GL�Ig/00002. �ULKKcA� R� a,r L_ s �E"��Et`tlE6�T' 'FA�I UT'I IAJ\(tT-Z- a'PmT`� EA sT #�lfl t't i aN Tow o 'o F So ufl4 ot_.:7 TilK 'DIN6RwgM tS FatZ IN;r FAD �� o co, &" X(0" Cc 1..E: eXCAVAT-ED \61 vIK'YL SRF-K i H i&j AREA � � � " CCA Lil;LE (S4ADP-D) to" )e %V cc- P, Pt d e� 3/4 z° CaRL�.TI1� 1�® G ' Q.C. (o It, L�Lo� 4r 1 - .2.4 RP?AQGN H1C,)H C Rp-eSoTe W Vc� Le A?PQQEWi W4 MUD 1.1A1m (0 QI v PLgCaD --�sxsxmsw-;ta-d. 13 32.. A '�mt� p� W-411t� a WIRT?- FITpLtCPT'IDht TD , 'RING Taw o o F So u'Q4 4117 s/3�/os W ITL4 REAM ; V PIR19C C0J4TegMb0 "TIA%s 6iXAYYN k FoK TWE A SEC-T1oty TH?0 is MfiCeKCt Y � fu LATo M 41 9-I® 12 Plan view SHEET IOFI ® BI-II-� SCTO 1 W_ -�a 3.3 -3.6 folk Ic ,+AA Al, No r 5.4 r , , r S cn ®t 1 t ExCMATED 1 of �3---- v 60 49� ra, . rr % :45 .10 3. -------------- iOpp TO q�ec8 of Tr R'OL ATI O P T-D : A P ucR�'I oN DIP 1 473 - 0�$I�0002 �'Ul�i�KcA v czF�n ad'Pr� 9 6 W O'F 2, 3:D : 100/ 7m(6- 'R;WEAT-� 67AsT Mi)aiw TOW O ',-o F So uTw oi_t7 ` S/ao/a 5' �42fluVIJ �3Y �D�xi�o w12�� ►,/ Ca�isuL'C�►�tJ W"T" LAT: N 41-01-10 56AL 1"= 30' LONG: W -12-20-12 Ran View -SHEET I OF"I Svrv® ed: 11-II-0 �9 T# 1000-37-4-1 P! 3 _ Town: Southol, rr _ 3 5vffolk County, N' j a a Id® Ran gqe: 2.50+j W* f E DaEvm: M.S.J_ 1000`3 r# ;V i NQ cy S°F _4o010HIf 1F8 ® �� . 3.7 A Gd 09 4 6 O Cp ' r O 35 Yw ocs� .4-2 4--- All —.56 -53 NO 15 Q�� 1 1 804 � bJ 5 -54 -.4.6 =4.8'-------- -4.5 (J -.4.-1 -.45 --------------------------- t� �� 2 I------------- c®�m.�� SD BY -3.4 ..3.1 4 PPROV 4'Z41_ _2 3 -2�°QA R'D OF TRUSTE.E.S _o¢ -2.4 r e Qnd Ann Go f _ 6 ,n Cross Section k�9 ILI, Through EXlsting Dock Scale I"= 10' n -- hr I; Dock Bulkhead ~"� Float ------------ ------------------------------- -----------------------MHN ---------------- ---------------------------------- --------------------------- - --- MSL ------------------------------------ Piles bottom II-11-04 PREPARED BY: SEA LEVEL DEC 23 , MAPPING P.O.BOX 0 538 RO13E3zT H. FOX PLS LIC0 50147 11/2q/2004 4:41:04PM G�SLMh hs o Jill M.Doherty,President CCOD Town Hall,53095 Main Rd. James F.King,Vice-President P.O.Box 1179 Dave Bergen , Southold,NY 11971 Bob Ghosio,Jr. 'lJ �O�' Telephone(631)765-1892 John Bredemeyer Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF NSPECTION: r - Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1 st day of construction % constructed / Project complete, compliance inspection. INSPECTED BY: COMMENTS: CERTIFICATE OF COMPLIANCE: i 0 Camey James F. King,Presidentti Town Hall,53095 Main Rd. Jill M. Doherty,Vice-President ,�. P.O Box 1179 Peggy A. Dickerson �► `�` Southold,NY 11971 Dave Bergen Telephone(631)765-1892 Bob Ghosio,Jr. y` Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: �'I ,� 0c� Ch. 275 Ch. 111 00&S& W\ft z -- INSPECTION SCHEDULE o�la -S$�, C2b99 Pre-construction, hay bale line/silt boom/silt curtain 1 st day of construction % constructed —2- Project complete, compliance inspection. INSPECTED BY: COMMENTS: Pes�f"�A- \6(f2-r\ CERTIFICATE OF COMPLIANCE: . 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 1 sl day of construction _ y-constructed ~ Project complete, compliance Inspection. . . TERMS AND CONDITIONS The Permittee David M. Wirtz. residing at 245 Pine Place. East Marion. New York, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. 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 Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. 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 at a later date. 3. 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. 4. 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. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. 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. 7. 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. 8. 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. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee 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 August 22, 2007 Mr. David M. Wirtz 60 Sutton Place South, 14J New York, NY 10022 RE: 245 PINE PLACE, EAST MARION SCTM# 37 -4-13 Dear Mr. Wirtz: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, August 22, 2007 regarding the above matter: WHEREAS, DAVID M. WIRTZ 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 July 16, 2007, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, in accordance with Chapter 268, said application was found to be Exempt from the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on August 22, 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, 2 . . WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of DAVID M. WIRTZ to remove 158 linear feet of existing bulkhead and reconstruct in same location using vinyl sheathing, and for the existing previously permitted flagpole and chain link fences, and as depicted on the plan prepared by Sea Level Mapping, dated November 11, 2004 and received on July 16, 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.) Fees: $50.00 Very truly yours, }::;;;,; ~ President, Board of Trustees JFK/eac . . 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 TO: '1h\l'ict 1V1, rAJi'rtv Please be advised that your application dated vi been reviewed by this Board at the regular meeting of and your application has been approved pending the com following items checked off below. has Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1st Day of Construction ($50.00) _ >constructed ($50.00) V Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: ~ TOTAL FEES DUE: $ 00 BY: James F. King, President Board of Trustees . . 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., August 15,2007, the following recommendation was made: Moved by Jack McGreevy, seconded by Don Wilder, it was RESOLVED to SUPPORT the Wetland Permit application of DAVID M. WIRTZ to remove 158 If. of existing bulkhead and reconstruct in same location using vinyl sheathing. Located: 245 Pine Place, East Marion. SCTM#37-4-13 Inspected by: Jack McGreevy, James Eckert The CAC Supports the application with the Condition a drywell is installed to contain the pool backwash. Vote of Council: Ayes: All Motion Carried ~ 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 Southold Town Board of Trustees Field InspectionIWork session Report Date/Time: 'i?/,,/b1 DAVID M. WIRTZ requests a Wetland Permit to remove 158 If. of existing bulkhead and reconstruct in same location using vinyl sheathing. Located: 245 Pine Place, East Marion. SCTM#37-4-13 Type of area to be impacted: _Saltwater Wetland _Freshwater Wetland Sound _Bay Distance of proposed work to edge of above: Part of Town Code proposed work falls under: _Chapt.275 _Chapt. Ill_other Type of Application: _ Wetland _Coastal Erosion _Amendment _Administrative _Emergency _Pre-Submission _Violation Info needed:. 7 "} ''7 Jh,,) 50, (?e-{Q.j, ~#7folf,' fdO! . ~~i - 'f' - o.J, S' ':v '-/' S-I 3' X ID' ::rL6,yf~ t. ";e CM- Modifications: -- Conditions: (' .- \ /Q"D - Present Were: _J.King _J.Doherty _P.Dickerson _D. Bergen-l B. Ghosio, Jr _H. Cusack_ D. Dzenkowski _Mark Terry_other Form filled out in the field by Mailed/Faxed to: Date: Environmental Technician Review ~ cl.vc"- '" :t5 Th.vc.. I<. I'cr_.1- of-. tl-. JIb'" I ~ - j) ~ ~? ' :J::S ~ ~..... ~ I~ -0..... \\:1- t'O^~~ J>....{.fet'2.7 L....".+ eel', In Th., I t5'ta+n-",. * 1'\?~ ('\0" s r ~c.."CQ +-- ~r+ b",+~ -f-.r ~ -f-l~ L-V i rwrf-1 Y"C.. riM oH ~; "~"';~---- _.....;;~., - -- I l "'"'9-- ! --t- 1 -N- c J + ~ SCALE 1'= 30' SHEET 1 OF I LAT. N 41-01-10 LON6. W 12-20-12 N w+e s , , , , Jik... \ -d.<l ~ '.d tl '. ~-- ~ '\\ ~ t k'1~ '*- \\' Jk~l\ :. , . 1 -OA 1000 5c ,# Jl, : :' -37 ' I : '" I.OI7C/ '</'1:< Jk/ i : Ol7cIj Of./ ,Jk" ~te' :,,:: In 'JIl. I , , " , , eLl: ,'- : : , !, L i 4 i 'O:>,q .' 'r. 6. " , ',~clt tl cy Plan View \:.c. 5ury"4ed, 11-11-04 111 1000-91-4-19 To~, 5ovthold Suffo Ik Count4, NY _' Ide RanGle. 25'+/- Dawm, M.5.L. -3.1 '--=~:~QlOHlnCr~.e~O N:V\C:~.1 .' '.b:::11Sn~1 ~O a~';fO'J -4,1 ~':j~~,,~ Gil ^ 0 ~d d'if .35 !!) 1::'1y i~ ~~. #/ '+,"'~ r!j It VJ..f .s "'4----.... P . ,.. . ...... ~o~ / "J ......~.." ~~O' g -.5.3\ l-' "%~ -,4.e '? ' -46 \, 9' -.4.5 , -3.4 .'.5.,0 -.4.1 -.4.6 -,45 -45 : . .' .Ar...--.----..............---' ....1L..:.3:-i--.....~3A APPROVED BY ,-- -~ .,.3.1 _. .6&. .~::.<!... : .::~.~"""'--" -3---- '''''':;'~Q~RD OF TRUSTE ES ..:::::~~.~.~~~.q...........~L~:....<.~:.:.... TOWN~(j)F SOt!JTHOLD ~~~:.:::::~::.:):>..... ....,...... . 'DATI:' 4 7 Iv? I/~ ..........:..;1..... .0.... ((' 1000~-J.# .....::~~..j.-. ~ 67. ~ Gr LOl7d <I'/S.I' /~ GCe Ann of ---'-- '_'___'_... Griffin L -S", .56 .' Cross Section 'Through Existing Doc.k Scal" 1'= 10' Bulkhead :,y- Float 6' x 201 ~f"-~~~ l~~ p .f~rm Uu ;.' .!:'-I L__ _h.J ~ " 8,J"j f r:'~I'...:._ ~'i;)l' -..-- Doc.k .mm m...h. .mh.......m..m..MHY-l ................................... ...--......................... MSL m..............h ......m...... ...... .h..h............... ..h.....MLY-l Piles bot om 11-11-04 PREPARED BY. SEA lEVEL MAPPING P. o. BOX . 5l5& RlVERl-EAD N"( . 631-122-""" O " n" -t-:, '- L ,j ROeBU H. FOX PL5 L1c.t 501<11 11/2<V2004 4,41,04PM c.,\5l.i"N1 ~ 0 OFFICE WCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY ~~\)~ ~.~\ ~.. ;b ~ ~ f) ~~~ . . MAIliNG ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM COORDINATOR TOWN OF SOUTHOLD MEMORANDUM To: James King, President Town of Southold Board of Trustees O fFil rE nl \\11 re' -", r~~-~Y~ u~_,_f r" ~ Ul], I U :! , L From: Mark Terry, Principal Planner ~ L WRP Coordinator '--___ c Date: August 8, 2007 Re: Request for Wetland Permit for David M. Wirtz SCTM# 37-4-13 DAVID M. WIRTZ requests a Wetland Permit to remove 158 If. of existing bulkhead and reconstruct in same location using vinyl sheathing. Located: 245 Pine Place, East Marion. SCTM#37-4-13 The in-place replacement of existing timber bulkhead with a vinyl bulkhead is an exempt Minor Action and not subject to LWRP review pursuant to Chapter 268-3; Items A and B of the Town of South old Town Code. The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of South old 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 exempt from review pursuant to Chapter 268-3, Exempt Minor Actions, item B which states: "Replacement, rehabilitation or reconstruction of a structure or facility, in kind, on the same site, including upgrading buildings to meet building or fire codes, except for structures in areas designated by the Coastal Erosion Hazard Area (CEHA) law where structures may not be replaced, rehabilitated or reconstructed without a permit ". MT /hkc / ',,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 Office Use Only _Coastal Erosion Pennit Application _/\Velland Pennit Application _ Administrative Permit AmendmentlTransferlExtension ---?eceived Application:~ ~eceived Fee:$d.~ 3:j _<;gmpleted Application Ho /,OJ _1ncomplete _SEQRA Classification: Type I_Type II_Unlisted_ _Coordination:(date sent) -6WRP Consistency Assessment Form '1' I !oJ 01 ,,-CAC Referral sent:~()j -=Date ofInspection:S1J.! ') _Receipt ofCAC Report: _Lead Agency Detennination:_ Technical Review: _PJlblic Hearing He~ _Resolution: ~~ ~ IE ~ Wi IE ~ ,. , '-';=:~l I . ~ j SouttlOld Town B030d of Trustees V\J \'r'~ 4.-r PhoneNumber:(}tJ.) ")<63- )...,,~ 3, - -4 - \~ Property Location: d4 ~ Y'N- \>~~ ~'S \-- a.Y\' N (provide LILCO Pole #, distance to cross streets, and I Name of Applicant Address Suffolk County Tax Map Number: 1000- s: ~(\JJ ~C~D) CJ t\~ AGENT: (If applicable) Address: Phone: ~ Board of Trustees APp~ation ~ GENERAL DATA Land Area (in square feet): , ~ I 0 (, C) Area Zoning R l7 S' P 6 ~\\ fTL- Previous use of property (< E" ~ I D G N c..~ Intended use of property: 'R ~ s , 0 12 N c.G: - Prior permits/approvals for site improvements: UtJ KN CuJN 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 attachments if necessary): Kemc.\J~ \S ~ LttJ6A-R ft=~\ 6'f- 1)~'f~~1 \)~t1'\~t> f)(\5\ IN 'I Bu~HG(t V _ ~N~ 'R/;(CltJS\((\r'\ IN S 'f'J~E Lac ATlaN N~vJ 'gIlLK\-t~~D VVlll-\ vll,l'(L SHEET,,> ... Board of Trustees APPltltation WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: R.l~( () I\J S T R \.J <. f 9f: T ~i< l O((.-It 1" E:P '6 V l )( H.f.aD Area of wetlands on lot: square feet Percent coverage oflot: - % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? No v"" Yes rfyes, how much material will be excavated? ~O cubic yards How much material will be filled? "0 cubic yards Depth of which material will be removed or deposited: - feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: ~A-CKf="\LL lSt=-HI ~j) WILL ~ '\3E" I::t<' C~h/ft\€D 1\-'\ 't;N 'RE t?L'A-c E 9 B vUe HEftD ftNi) .tl os 15 Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): 'No Ef'f ~ Cr (1-t\JT"\C\ ?AT6D I PROJECT 10 NUMBER . . 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only (To be completed by Applicant or Project Sponsor) I';J.-d"~~ SEQR PART 1 - PROJECT INFORMATION 1. APPLICANT I SPONSOR :Da."\C~ f{\. \'J;f-T-z.. 3 PROJECT ~~~ mo..~\C/\r... Municipality \OuN\ rJ;- Rcl\J CI 4. PRECISE LOCATION: Street Addess and Road .2.4 ~ 1',(\,,- V\o..c.e 2. PROJECT NAME 1>" II-(IneAJ 'Re tlUe~ S u ffi, ~lL Intersections. Prominent landmarks ate - or provide map '5 \'(id \>0""'. County 5. IS PROPOSED ACTION: D New D Expansion ~ Modification / alteration 6. DESCRIBE PROJECT BRIEFLY: 'Re~le..c."'~/~ f~'" 6~ e>c,d'd ck\-er{'o(a:\l~ b\J{Ie.\1~a4 7. AMOUNT OF LAND AFFECTED: Initially 0 (\f,....- acr Ultimately OV\IL acr 6. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ~Yes D No If no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY ~ Residential D Industrial D Commercial OF PROJECT? (Choose as many as apply.) DAgriculture D Park I Forest / Open Space D Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) IX! Ves D No If yes, list agency name and permit I approval: 11. DOES IZI Yes ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID o No If yes, list agency name and permit I approval: PERMIT OR APPROVAL? PROPOSED ACTION WILL EXISTING PERMIT / APPROVAL REQUIRE MODIFICATION? Applicant THE INFORMATION PROVIDED ABOVE M, W\C-\z. IS TRUE TO THE BEST OF MY KNOWLEDGE Date 7/2/01 G\.\f, " Signat re If the action is a tal Area, and you are a state agency. complete the Coastal Assess nt Form before proceeding with this assessment . . PART II - IMPACT ASSESSMENT (To be comoleted by Lead Aaencv) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL EAF. DYes DNO B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLiSTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative declaration may be superseded by another involved agency. DYes DNO C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: I I C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: I I C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: I 'I C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly: I I C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: I I C6. Long term, short term, cumulative, or other effects not identified in C1-C5? Explain briefly: I I C7. Other impacts (including changes in use of either auantitv or type of energv? Explain briefly: I D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLiSHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? (Jf yes, explain briefly: 1 DYes 0 No I E. IS THERE, OR IS THERE LiKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes eXOlain: DYes DNo PART 111- DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FUL EAF and/or prepare a positive declaration. Check this box if you have determined. based on the information and analysis above and any supporting documentation, that the proposed actio WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi determination. Name of Lead Agency Date Print or Type Name of Responsible Officer In Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) . . ~ --- GARDINERS BAY ESTATES HOME OWNER ASSOCIATION, INC. P.O. Box 4, East Marion, New York 11939-0004 July 10, 2007 Mr. David M. Wirtz 60 Sutton Place New York, New Y orlc 10022 Dear David: This letter acknowledges that the Gardiner's Bay Estates Homeowners Association (GBEHOA) has received your request to apply fur permits to replace the bu1khead on your waterfront property. The Association (GBEHOA) gives you permission to apply for the necessary permits to repair/replace the existing bulkhead within the current line in the water. We are requesting that we receive a copy of all paperworlc )correspondence, permits, etc.) submitted by you andlor your contractor. Thank you for keeping us informed and good luck with your project. Cc: Larry Matzen, Cbairman Marine Committee Charles Luscher, Co-Cbairman Marine Committee Ed Birdie Frank Pirozzi Suzanne Hand @! lE ~. ~.t~L~rm In!i ^__ I) U,. ~--' I I L 1_- - _.--.1 __ _8~1r1';~~:;iwsIees . .~ . . David M. Wirtz 60 Sutton Place New York, NY 10022 July 31, 2007 Board of Trustees Town of Southold 53095 Route 25 P. O. Box 1179 Southold, New York 11971-0959 Re: Application to RepairjReplace Deteriorated Bulkhead 245 Pine Place, East Marion (Spring Pond), New York Dear Sir or Madam: In further support of my application, I am enclosing a letter from the Gardiner's Bar Estates Homeowners Association, giving its blessing to my plan to repair/replace my existing bulkhead. I have not yet rec . ed the mailings I am ob!" ated to send to my When I recei those materials, I will iver them immedia y. In the meantim . there is anything further r uired of me at this po' , please contact me at 2) 583-2699 or (917) 363-05 . Thank you very muc r.o\.~ ~JttJU lEij~ 'I <, i' . 1'11......:: ; > Ii ;;! r. r' ,f I' t',," Inn7 Ii , : u ~. c .,/J! \:....-t ! L-._..~ Enclosurel Sc,,:,ccld Town ; p ~ J 'rl ;.~If T rll stees e b. _/~ J f~o cJpO ~ . . David M. Wirtz 60 Sutton Place New York, NY 10022 August 8, 2 Board of Trustees Town of South old 53095 Route 25 P. O. Box 1179 Southold, New York 11971-0959 Re: Application to RepairfReplace Deteriorated Bulkhead 245 Pine Place, East Marion (Spring Pond), New York Dear Sir or Madam: In further support of my application, I am enclosing the affidavit, with receipts, attesting that I mailed the Notice to Adjacent Property Owner form to my two neighbors. I will submit the posting affidavit when the eight days have run. It is my understanding that upon your receipt of that affidavit, I will have submitted everything that is necessary in support of my application. If that is not correct, I would very much appreciate it if you contact me at (212) 583-2699 or (917) 363- 0560. Thank you very much. David M. Wirtz / Enclosures . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, II. . 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 ofthe Application of ______~lir--~------------------------------- COUNTY OF SUFFOLt) STATE OF NEW YORK) IWv~J We('h. , AFFIDAVIT OF POSTING ,residingat d4'; Y",,-<- ~~ f~s~ m",-"",^- being duly sworn, depose and say: That on the?'--day of A., JC.J.- ,2001, I personally posted the property known as by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held U JofP 0 "~. [1J.. OJ ()() ') - 0" VI aODuf ~:tltl fm. Dated: (1~Ul~ \712001- Sworn to before me this i1l- day of 11-t>,.1-200 b<<l if! MARTHA C. KATZEFF Notary Public, State of New Volt No. 5002463 Qualified In Bro~ ~u.n~ ' Commission Expires I dodo I (,) PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAlL RECEIPTS Address: ~Coc.~ ((c\C,<< LAn€- <C A. S. ~ <<10. {I (]V,. \\'\3'1 ~ I ~.. '<l\-~\ -eJ. 1-0 . S- w on c( \JJ it cl.-. lr-Q.Y\9- c\A.,~'i\}c.~:;\ \ts\k A: 3~ Y\'N- ~k ZOJY- ffio.>/\'ol" f'4 \ ''1 3'1 M \ 5 0 'lY\~\-ed~ IS- f\V\~~ ~oo& trta llo'(()ok ~ \\74-\ 19 at 6)4"3 7 ~ 'VI o.u--- duly sworn, deposes and says that on the .. .' deponent mailed a true copy of the Notice ion, directed to each of the above named respective names; that the addresses set address of said persons as shown on the current assessme~t[ol1 of the Town of South old; that said Notices were mailed at the United States Post Office at ~ (j<nk. ,~ , that said Notic were mailed to ach of said persons by (certified) (registered) mail. Name: \<'~V\J' tJ~N\~ $\-c~ m U1 .-'l f'- U.S. Postal Service"" CERTIFIED MAIL" RECEIPT (Domestic Mail Or/y; No Insurance Coverage Provided) m U1 t:J U1 Postage Certified Fee .-'l C'J Return Receipt Fee t:J (Endorsement Required) t:J Restricted Delivery Fee Cl (Endorsement Required) ru ru t:J Total Postage & Fees $ ent 0 f'- t:J t:J f'- Ken & Nancy Stein 2665 Cedar Lane East Marion, NY 11939 'StrEief..A;iClilo:.;.... or PO Box No. ciiy,siaie;z(P+;lU PS Form 3800 August 2006 See Reverse IO! InstructIons .... . c.;.t} Sworn to before me this ()---' Dayof ~ 1J.d , 20~ MARTHA Notary Publ/ C, KArzEFF N C, Slale of N Co"'...,_~~a/lfledoi05g02483 ew Yort ""-00 r::~_,' rOOle ~U% -tJ rea /:1 . . . . r"~ /);'() ~ Board of Trustees APp~ation County of Suffolk State of New York ~ J m, vJ IV-b- BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF IDS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN TmS 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 0 Y PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH VIE F TIDS APP TION. Signature SWORN TO BEFORE ME THIS q~ DAYOF ~ 20D1 '- ~~ Notary Public MAUREEN WILLETT Notary Public, State of New Vork No. 4874655 Qualified in Nassau County ,.... Commission Expires October 2.7. 2.0 J.lo,Oo . . ys APPLICANT/AGENTIREPRESENT ATIVE TRANSACTIONAL DISCLOSURE FORM The ~own of S:uth~d'S C~e of Ethics orohibits conflicts of interest on the Dart of town officers and emolovees. The oucoose of this Ci nn is to rovi e info alien which can alert the town of DOssible conflicts of interest and allow it to take whatever action is necessarY to avoid same. / YOUR NAME: \'c J)~\f ~ (Last name, first nam ,-!piddle initial, unless you are applying in the name of someone e1se or other entity, such as a company. Ifso, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Variance Change of Zone Approval of plat Exemption from plat or official map Other (If "Other", name the activity.) Building Trustee Coastal Erosion Mooring Planning )(l 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. "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a 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 fonn and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself (the applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) andlor describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): _A) the owner of greater than 5% ofthe shares of the corporate stock of the applicant (when the applicant is a corporation); _B) the legal or beneficial own~r of any interest in a non-corporate entity (when the applicant is not a corporation); _C) an officer, director, partner, or employee of the applicant; or _D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I 200 1:- Town of South old . . 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. 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. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the L WRP policy standards and conditions contained in the consistency review law. Thus. each answer must be explained in detail. listine both supportine and non- supportine facts. If an action cannot be certified as consistent with the L WRP policy standards and conditions, it shall not be undertaken. A copy of the L WRP is available in the following places: online at the Town of Southold ' s website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 3'7 -4 \3. 1S.J\k head- ~~~\(.(<:e\fY\ev"'- The Application has been submitted to (check appropriate response): Town Board D Planning Board D Building Dept. D Board of Trustees D PROJECT NAME 1. 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) D D (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: D Nature and extent of action: Rc.~ \ ~ I('e.~ \ '(' e)O\'..t!('...l 'oJU~h-ecd. G . Location of action: JA- ~ \> 1'f\lL ~ \o..c e- . tu.!, \-- 'lYh~\~ ($'\'(0 ?d'Nl) Site acreage: OWl- 'Re<;,'de'A-h~ Present land use: Present zoning classification: (b) Mailing address: If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: VG>:V,c{ M, !Nift-L Coo So~ ~b ~~ Ji{lt \4 . ::r N~ tOO2-2-- 2_ (a) Name of applicant: (c) Telephone number: Area Code litl)" S-~3 - J-I;, (l~ (d) Application number, ifany: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes D No~ If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of South old that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See L WRP Section III - Policies; Page 2 for evaluation criteria. DYes D No IKl Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See L WRP Section III - Policies Pages 3 through 6 for evaluation criteria DYes D No ~ Not Applicable . . 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 DYes D No 181 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 I2?J Yes D No D Not Applicable f' 'Re~;Y IA/;U assure-,no e('(,lHo'h <rom (Tllr ,?NfHb W\t<- SYC'd fo\'\4 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 [81 Yes ~NO DNotApplicable ~.~X(\;vo~~~~ ~e~ 0::; ~(C~~ Sff'2) 1>GNl ~r yt-",. \ 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. D D ~ Yes No N~PPlicable . 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. DYes D Nog Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. DYes D 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. DYeD No!Zf Not Applicable Attach additional sheets if necessary WORKING COAST POlIES . 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. DYes D 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. I3Yes D NoD Not Applicable K~l"i.... W; l\ "V\e\\, reted- 5' ~('''O -Vc..-J. Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See L WRP Section III - Policies; Pages 62 through 65 for evaluation criteria. DYes D No.l8f 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. DYes D No gJ' Not Applicable PREPARED BY 'D~ \4-: &. W,'f "- TITLE OW>'\-e.v DATE 7/;..A1 LITTLER ~DELSON @ from thAkof David ~irtz 212.583.2699 dwirtz@littler.com A I'ROfFSSIONAL CORI'ORATI()]\; J1 \0/ ;(O()7 ~ts \1o~~ ~ ~) ~b 'fM~~ ~ su~~{\l rf, :J ~~,^1fW> "1fl~~, ().,~C' Su [J'lc ~cvJ-. ~ IS '0 tl DA 0<<\(5 ~ 6UI\- 1-<\ -\-t V\~ err- \AA~ Oft"ot Jo tt ~-"''< <v,/ '(\' ~ 1- (;vA ~J \\-C-~ oJ . ~ (dIV\ ~ Ovl--- ct q) 3~~ -- ~bO . \ S . ~~ 885 Third Av N enue, ew York, NY 10022.4834