HomeMy WebLinkAboutTR-6947 BOARD OF SOUTHOLD TOWN TRUSTEES
SOUTHOLD, NEW YORK
PERMIT NO. 6947 DATE: AUGUST 20.2008
ISSUED TO: GARY GUJA
PROPERTY ADDRESS: 372 NORTH DRIVE MATTITUCK
SCTM# 106-6-29
~X~ire
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 Resolution of the Board of Trustees adopted at the meeting held on
Aueust 20, 2008, and in consideration of application fee in the sum of $250.00 paid by Garv Guja 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 a docking facility consisting of a 4'x12' ramp to a
4'x44' catwalk, elevated a minimum of 4' above grade of wetlands, a 3'x15' ramp and a
6'x20' floating dock with two (2) 8" secure piles, with the conditions that there be only
two 8" secure piles, 4"x4" piles are to be used landward of the wetland vegetation and
6" piles are to be used seaward of the wetland vegetation, and as depicted on the site
plan prepared by Philip R. Anderson, last dated August 26, 2008, and received on
September 22, 2008.
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.
~o~g1?FFQ(,~~ -
Jill M. Doherty, President ~pF SDUjy Town Hall Annex
James F. King, Vice-President ~O~ 54375 Main Road
Dave Bergen P.O. Box 1179
Southold, New York 11971-0959
Bob Ghoaio, Jr. d+ ie
John Bredemeyer ~ ~ ~ Telephone (631) 765-1892
~yCO~'~ Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
July 21, 2010
Mr. Gary Guja
372 North Dr.
Mattituck, NY 11952
RE: 372 NORTH DR., MATTITUCK
SCTM#106-6-29
Dear Mr. Guja:
The following action was taken by the Southold Town Board of Trustees at their Regular
Meeting held on Wed., July 21, 2010:
RESOLVED, that the Southold Town Board of Trustees grants aOne-Year Extension to
Wetland Permit #6947, as issued on August 20, 2008.
This is not an approval from any other agency.
Sincerely,
Jill Doherty
Pre dent, Board of Trustees
JMD:Ims
Dear Town Trusties, 7/8/2010
I Gary Guja residing at 372 North Dr., Mattituck N.Y. 11952,
request a One year extension of Dock Permit 6947 issued on
August 20, 2008. I would greatly appreciate this matter be resolved
at the next meeting of the Trusties.
Thank -You
,
~ ~ - ~ CJ'10 _
i
F`, , _ _ _ Gary Guja
-
3~ ~--.,~g~ti ~1,
James F. King, President ~~OF SOUTy~ Town Hall
Jill M. Doherty, Vice-President ,~O ~Q 53095 Route 25
P.O. Box 1179
Peggy A. Dickerson # ~ Southold, New York 11971-0959
Dave Bergen G Q
Bob Ghosio, Sr. %2` ~ Telephone (631) 765-1892
~Iy~DUNTY,~c~ 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 APRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO
SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE
PERMIT.
INSPECTION SCHEDULE
Pre-construction, hay bale line
15i day of construction
'/z constructed
Project complete, compliance inspection.
BOARD OF SOUTHOLD TOWN TRUSTEES
SOUTHOLD, NEW YORK
PERMIT N0.6947 DATE: AUGUST 20.2008
ISSUED TO: GARY GUJA
PROPERTY ADDRESS: 372 NORTH DRIVE. MATTITUCK
SCTM# 106-6-29
AUTHORIZATION
i Pursuant [o the provisions of Chapter 275 and/or Chapter 111 of the Town Code of the Town of
Southold and in accordance with [he Resolution of the Board of Trustees adopted at the meeting held on
'i Aueust 20, 2008, and in consideration of application fee in the sum of $250.00 paid by Garv Guia and subject
to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and
permits the following:
Wetland Permit to construct a docking facility consisting of a 4'x12' ramp to a
4'x44' catwalk, elevated a minimum of 4' above grade of wetlands, a 3'x15' ramp and a
6'x20' floating dock with two (2) 8" secure piles, with the conditions that there be only
two 8" secure piles, 4"x4" piles are to be used landward of the wetland vegetation and
6" piles are to be used seaward of the wetland vegetation, and as depicted on the site
plan prepared by Philip R. Anderson, last dated August 26, 2008, and received on
~ September 22, 2008.
IN WITNESS WHEREOF, the said Boazd of Trustees hereby causes its Corporate Seal to be affixed,
and these presents [o be subscribed by a majority of the said Boazd as of this date.
~O~O$~l'I'Q(R'C
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TERMS AND CONDITIONS
The Permittee Gary Guia residing at 372 North Drive Mattituck, 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 aze 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 pemrit, and the said Pernuttee will, at his or her own
expense, defend any and all such suits initiated by third parties, and the said Pernuttee
assumes full liability with respect thereto, to the complete exclusion of the Boazd 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 umeasonable 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 obstmction to free navigation, the said Permittee will be
required, upon due notice, to remove or alter this work project herein stated without
expenses to [he Town of Southold.
8. That the said Boazd will be notified by the Permittee of the completion of the work
authorized.
9. That the Pemuttee will obtain all other pemrits and consents that may be required
supplemental to this permit, which maybe subject to revoke upon failure to obtain same.
James F. King, President ~QF SQUly Town Hall
Jill M. Doherty, Vice-President ~O~ 53095 Route 25
P.O. Box 1179
Peggy A. Dickerson #f Southold, New York 11971-0959
Dave Bergen en ae
Bob Ghosio, Jr. ~ ~ Telephone (631) 765-1892
Fax (631)765-6641
I~C~U~ i~
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
August 20, 2008
Mr. Philip R. Anderson
25 Oldfield Road -Conscience Point
Southampton, NY 11968
RE: GARY GUJA
372 NORTH DRIVE, MATTITUCK
SCTM# 106-6-29
Dear Mr. Anderson:
The Board of Town Trustees took the following action during its regular meeting held on
Wednesday, August 20, 2008 regarding the above matter:
WHEREAS, Philip R. Anderson on behalf of GARY GUJA 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 April 3, 2008, and,
WHEREAS, said application was referred to the Southold Town Conservation Advisory
Council and to the Local Waterfront Revitalization Program Coordinator for their findings
and recommendations, and,
WHEREAS, the LWRP Coordinator issued a recommendation that the application be
found Consistent with the Local Waterfront Revitalization Program policy standards,
and,
WHEREAS, a Public Hearing was held by the Town Trustees with respect to said
application on August 20, 2008, 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,
2 ~ •
WHEREAS, the Board has considered all the testimony and documentation submitted
concerning this application, and,
WHEREAS, the structure complies with the standards set forth in Chapter 275 of the
Southold Town Code,
WHEREAS, the Board has determined that the project as proposed will not affect the
health, safety and general welfare of the people of the town,
NOW THEREFORE BE IT,
RESOLVED, that the Board of Trustees have found the application to be Consistent
with the Local Waterfront Revitalization Program, and,
RESOLVED, that the Board of Trustees approve the application of GARY GUJA to
construct a docking facility consisting of a 4'x12' ramp to a 4'x44' catwalk, elevated a
minimum of 4' above grade of wetlands, a 3'x15' ramp and a 6'x20' floating dock with
two (2) 8" secure piles, with the conditions that there be only two 8" secure piles, 4"x4"
piles are to be used landward of the wetland vegetation and 6" piles are to be used
seaward of the wetland vegetation, and as depicted on the site plan prepared by Philip
R. Anderson, last dated August 26, 2008, and received on September 22, 2008.
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: $1,109.00
Very truly yours,
James F. King
President, Board of Trustees
JFK/eac
James F. King, President ~~OF SO(/jyO Town Hall
Jill M. Doherty, Vice-President ,~O 53095 Route 25
P.O. Box 1179
Peggy A. Dickerson l~( Southold, New York 11971-0959
Dave Bergen G Q
Bob Ghosio, Jr. ~ i~ Telephone (631) 765-1892
Fax (631) 765-6641
~y~OUNTV,N
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Please be advised that your application dated f7~f i ~ a00~' has
been reviewed by this Board at the regular meeting
of aCC~
and your application has been approved pending the com' etion of the
following items checked off below.
Revised Plans for proposed project
Pre-Construction Hay Bale Line Inspection Fee ($50.00)
151 Day of Construction ($50.00)
'/z Constructed ($50.00)
Final Inspection Fee ($50.00)
V 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:
Ca4-c.~\k N'x 4N` =176sp.t^}, x`~3,uo ~~SaB'`~'
Rcwl 3'~cIS'~NSSy,~-.x$3.u~ =X135.°~
~l~ P-~',6ss,~ppao'~ /o?CJsy~ K~s,~~~ 360
~OIAL FEES~DUE$ IOq 1 o9.u~
BY: James F. King, President
Board of Trustees
• 6 p ~ •
t~ ~di'S,
STATE OF NEW YORK
DEPARTMENT OF STATE
ONE COMMERCE PLAZA
DAVID A. PATERSON J9 WASHINGTON AVENUE RRAINE A. CORTES-VQZOUEZ
GOVERN!)R ALeANV, NY 12231-0001 D ~ ^ ~ EtARVpOpf STATE
July 23, 2008 /l/`Ji° ~ V
Mr. Philip R. Anderson ALG 2 0 2008 D
Project Manager
25 Oldfield Road-conscience Point Boao(thhotd 1ow~
Southampton, New York ] 1952 do~Trustees
Re: F-2008-0331
U.S. Army Corps of EngineersMew York District
Permit Application -Gary Guja
Construct catwalk/dock with 6'x20' float-ramped 4'
above grade.
Mattituck Creek, Town of Southold, Suffolk County
General Concurrence
Dear Mr. Anderson:
The Department of State received your Federal Consistency Assessment Form and consistency
certification and supporting information for this proposal on April 16, 2008.
The Department of State has determined that this proposal meets the Department's general
consistency concurrence criteria. Therefore, further review of the proposed activity by the
Department of State, and the Department's concurrence with an individual consistency
certification for the proposed activity, are not required.
This General Concurrence is without prejudice to and does not obviate the need to obtain all other
applicable licenses, permits, other forms of authorization or approval that may be required
pursuant to existing State statutes.
When communicating with us regarding this matter, please contact us at (518) 474-6000 and refer
to our file #F-2008-0331.
Sincerely,
\
~~;e i
Supervisor of Consistency Review
Division of Coastal Resources
JZ/dc
cc: COE/New York District -Stacey Jensen
DEC1Region ] -George Hammarth
WWW.OOS.STATE.NV.US E-MAIL: IN FO(d~DOS.STATE.NV.US
Philip R. Anderson
Project Manager/Consultant
25 Oldfield Road-Conscience Point
Southampton, New York 11968
Office: 631 /259-2263
E Mail: PRA 123(a~ootonline.net
r ~
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August 18, 2008 , f
~ A;;, , ~ ~
I ill
to: Chairman Mr. J. King ~ ~
& Southold Town Boazd of Trustees m~
53095 Route 25A s0''' or'a,s,=~°~,
P.O. Box 1179
Southold, New York 11971-0959
re: Dock Application of Mr. Gary Guja, 372 North Drive, Mattituck, Southold, Suffolk County,
New York.
SCTM # 1000-106-6-29
Deaz Mr. Chairman King & Members of the Southold Town Trustees:
After my meeting with Chairman Mr, King at the above Guja dock site, and subsequent to my
discussions with Mr. King at the site, enclosed aze 6 sets of revised dock pans that take into
account all of the maritime and other concerns that Mr. King and I had discussed at the site.
These dock plan changes and revisions as shown on the enclosed CAD drawings aze:
1). Relocate dock further south to allow for noninterference with neighboring dock to
north (37 ft north of adjacent site's groin).
(New-revised location staked with blue-ribbon stake at site).
2). Shorten planned dock by 14 ft less catwalk/dock and 3 ft less ramp.
(To allow for compliance with shoreline distances in-line with other
Existing docks).
3). Use 6 inch round piles seawazd of wetland vegetation.
Use 4" x 4" supports landwazd and within azeas of wetland vegetation.
If grate type rampfloat is requested that will also be complied with.
All dock lumber and materials either untreated lumber (non-toxic) or other
Inert materials such as: vinyl, fiberglass, plastic, trex.
4). Omit prior proposed sepazate tie-off pile
We have placed order with the surveyor on this project, Mr. Ken Woychuk, L.S., of Mattituck, to
1
also plot these changes on the survey. I hope to have the survey copies for the upcoming Hearing
of August 20, this Wednesday, But cannot guarantee at this time that we will have the revised
survey that soon, but all efforts aze being made in order to have it for the Board this Wednesday,
August 2Q 2008, at the Public hearing.
Thank you.
T o s,
' ip R. Anderson
(Agent-Project Manager)
cc: G. Guja
(File:guja08tstees9)
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Donald Wilder, Chairman ~ ~ Town Hall, 53095 Main Rd.
Lauren Standish, Secretary W ~ P.O. Box 1179
~ Southold, NY 11971
y'>~ ~~a Telephone (631) 765-1892
1 ~ Fax (631) 765-6641
Conservation Advisory Council
Town of Southold
At the meeting of the Southold Town Conservation Advisory Council held Wed., May 14,
2008, the following recommendation was made:
Moved by Glen McNab, seconded by Don Wilder, it was
RESOLVED to SUPPORT the Wetland Permit application of GARY GUJA to construct a
docking facility consisting of a 4'X 16' ramp to a 4'X 58' catwalk, elevated a min. 4' above
grade of wetlands, a 3'X 15' ramp and a 6'X 20' floating dock with three (3) secure piles
plus one additional 10" round tie-off pile.
Located: 372 North Dr., Mattituck. SCTM#106-6-29
Inspected by: Peter Young, Glen McNab
The CAC Supports the application with the Condition the dock extends no further seaward
than the neighboring docks and open-grate decking is used on the catwalk.
Vote of Council: Ayes: All
Motion Carried
Philip R Anderson
Project Manager/Consultant
25 Oldfield Road-Conscience Point
Southampton, New York 11968
Office: 631/259-2263
E Mail: PRA123~c~optonline.net
~ Flo i~ ~ ~ ~
July 21, 2008
`~I~!~; JUt 2 ~ 208
ro: Southold Town Boazd of Trustees J
53095 Route 25 ~g~;.,;,o~,:i 1c"n
P.O. Box 1179
Southold, NY 1 1 97 1-095 9
re: Gary Guja, Dock Permit Application.
372 North Drive, Mattitiuck, Town of Southold, Suffolk County, New York.
SCTM # 106-6-29.
Dear Respected Members of the Boazd of Trustees (Southold Town)
With respect to the above dock permit application, at the Trustees Public Meetings of June 18,
2008, and upon review of this application, the Boazd, and the Board President Mr. King, requested
that the dock location be further staked as well as the outside corners of the float be staked.
This has been done by the Licensed Land Surveyor, Mr. Kenneth Woychuk, L.S., of Mattituck.
Enclosed aze four photographs of the dock flagging-staking as they aze now in the field, as well as
3 copies of Mr. Woychuk's survey showing the stake locations of the dock.
Please note that in review of the enclosed survey, that also shows the adjacent dock northwest,
that this proposed dock of Mr. G. Guja extends no further seawazd than this adjacent dock.
Also, as the boazd has recommended and requested, the `grate-type' decking will be used on the
floatramp for better flowthru of precipitation and other water and wave actions.
We kindly request approval of this dock as planned at this time.
Please advise me as to when the Boazd of Trustees will again meet on this application.
Thank you.
1
P li dei
f~~gent)
cc: G. Guja
(File:Guja088)
2
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James F. King, President ~ P.O. Box 1179
Jill M. Doherty, Vice-President ~ Southold, NY 11971
Peggy A. Dickerson ~ Telephone (631) 765-1892
Dave Bergen ~ ~ Pax (631) 7656641
Bob Ghosio, Jr.
y,~l ~ tea.
Southold Town Board of Trustees
Field Inspection/V1lorksession Report
DatelTime:.S~y,~J~ 7g 3~
GARY GUJA requests a Wetland Permit to construct a docking facility consisting
of a 4'X 16' ramp to a 4'X 58' catwalk, elevated a min. 4' above grade of
wetlands, a 3'X 15' ramp and a 6'X 20' floating dock with three (3) secure piles
plus one additional 10" round tie-off pile. Located: 372 North Dr., Mattituck.
SCTM#106-6-29
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:
r~hapt.275 _Chapt. 111 -other
Type of Application:Wetland -Coastal Erosion -Amendment
_Administrative_Emergency -Pre-Submission Violation
Info needed:
Modifications:
Conditions:
Present Were: VJ.King ~J.Doherty!~P.DickersonD. Bergen ?B.Ghosio,
D. Dzenkowski -Mark Terry other Scorn itr«~w~
Form filled out in the field by
Mailed/Faxed to:
Date:
Environmental Technician Review-
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Philip R Anderson
Project Manager/Consultant
25 Oldfield Road-Conscience Point
Southampton, New York 11968
Office: 631/259-2263
E Mail: PRA123noptonline.net
September 19, 2008 ~
~ ire
to: Southold Town
Board of Trustees ; !.i ~ S e P 2 < 3
TOWN HALL i
53095 Route 25
P.O. Box 1179 ~ . ,i ~t
Southold, NY 11971-0959 _ _ ----f
ATTN:LAUREN
re: Gary Guja Dock Permit.
372 North Drive, Mattituck, New York (Town of Southold-Suffolk County).
Deaz Lauren
As you had requested enclosed are the revised G. Guja Dock Plans showing, as the Trustees
and Chair J. King have requested:
1). Only two floatpiles
2). Elimination ofscissor-bracing
3). And the 3 plan pages renumbered accordingly
I do not understand why we have had to eliminate the scissor bracing at this time, but are able
to come back to the Trustees for an Amendment request, to include the scissor bracing at a later
time, because the scissor bracing was, and has been shown on the original plans with this
application.
Be that as it may, on the enclosed revised plans, the scissor bracing has been eliminated.
you.
'li ers
cc: G. Guja
(File:GujaTrstes0812)
1
OFFICE LOCATION: ~~OF SOUjyO MAILING ADDRESS:
Town Hall Annex ,~O l~ P.O. Box 1179
54375 State Route 25 y ~ Southold, NY 11971
(con Main Rd. & Youngs Ave.)
Southold, NY G Q Telephone: 631 765-1935
• ~O Fas:63171i6-3136
O~y~OUNT'1 N~
LOCAL WATERFRONT REVITALIZATION PROGRAM COORDINATOR
TOWN OF SOUTHOLD
To: Tim King, President
Town of Southold Board of Trustees
From: Scott Hilary, LWRP Coordinator
Planner
Date: May 7, 2008
Re: Chapter 268: Waterfront Consistency Review
Wetland Permit for GARY GUJA
SCTM# 106-6-29
Philip R. Anderson on behalf of GARY GUJA requests a Wetland Permit to construct a docking
facility consisting of a 4'X 16' ramp to a 4'X 58' catwalk, elevated a min. 4' above grade of
wetlands, a 3'X 15' ramp and a 6'X 20' floating dock with three (3) secure piles plus one
additional 10" round tie-off pile. Located: 372 North Dr., Mattituck. SCTM#106-6-29
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 LWRP policy standards and therefore is
CONSISTENT with the LWRP; provided that the proposed action meets all dock standards
pursuant to & 275-11 Construction and operation, specifically dock standards 1, 2 and 3.
Maritime activity in Southold traditionally has been concentrated in the harbors, inlets and
creeks. Developed Coast Policy #1 promotes a continuation of the traditional pattern of
maritime activity, supportine the economic base, maintaining the maritime character of the
Town, and avoidinE disturbance of the remainin¢ natural shoreline and water areas. It also
recognized that Mattituck Inlet and Creek, identified by the state as a regional Maritime
Center.
DEVELOPED COAST POLICY
Policy 1 Foster a pattern of development in the Town of Southold that enhances community
character, preserves open space, makes efficient use of infrastructure, makes beneficial use
of a coastal location, and minimizes adverse effects of development.
The primary components of the desired development pattern are: strenethenin¢ the hamlets
as centers of activity, maintaining a clear sense of separation between hamlet centers and
the copntryside, encouraging water-dependent uses to concentrate in existing locations of
maritime activity, enhancing stable residential areas, and preserving asriculture, open space
and environmentally sensitive coastal resources.
WORKING COAST POLICY
Policy 10 Protect Southold's water-dependent uses and promote siting of new water-
dependentuses in suitable locations.
The intent of Working Coast Policv # 10 policv is to protect existing water-dependent
commercial, industrial, and recreational uses and to enhance the economic viability of
water-dependent uses by ensurine adeouate nravision ofinfrastructure for water-dependent
uses and their efficient operation.
The proposed action is consistent with LWRP Policv 10-protect Southold's water-
dependant uses and further is in compliance with & 275-2 water-dependent uses.
§ 275-2 Definitions; word usage.
WATER-DEPENDENT USES An activity which can only be conducted on, in, over or
adjacent to a water body because such activity requires direct access to that water body, and
which involves, as an integral part of such activity, the use of the water. The uses include, but are
not limited to commercial and recreational fishing and boating facilities, finfish and steel ~h
processing, fish storage and retail and wholesale fish marketing facilities, waterfront dock
facilities, shipyards and boat-building facilities, navigation aides, basins and channels, industrial
uses dependent upon waterborne transportation or requiring large volumes of cooling or
processing water and which cannot reasonably be located or operated at an inland site, and uses
which primarily provide general public access to marine or tidal waters.
Policy 6 Protect and restore the quality and function of the Town of Southold
ecosystem.
6.3 Protect and restore tidal and freshwater wetlands.
A. Comply with statutory and regulatory requirements of the Southold Town Board of
Trustees laws and regulations for all Andros Patent and other lands under their
jurisdiction
1. Comply with Trustee regulations and recommendations as setforth in
Trustee permit conditions.
Furthering LWRP policv 6.3, the applicant proposes to use all untreated materials in
construction and therefore is in compliance with & 275-11.
§ 275-11 Construction and operation standards.
C. In water. The.following standards are required for all in-water operations adjacent to
residential properties. Operations conducted on properties zoned MI or M2 may be given greater
flexibility in these requirements given the water-dependent nature of their use.
(2) Docks.
[3J In order to prevent the release of metals and other contaminants into the
wetlands and waters of Southold, the use of lumber treated with chromated
copper arsenate (also known as "CCA"), commercial copper quat (CCQJ,
creosote, yenta products or homemade wood preservatives is prohibited for use
in sheathing and decking. Similarly, the use of tropical hardwoods is
prohibited unless it is certified by the Forest Stewardship Council or similar
organization. Materials used for structural components shall be determined
at the discretion of the Trustees.
The auulicant must demonstrate that the followine dock standards pursuant to & 275-11
Construction and ooeraHon standards have been met.
(d) Review and approval of dock applications. Before issuing a permit for a dock
structure, the Trustees shall consider whether the dock will have any of the
following harmful effects:
[IJ Whether the dock will impair navigation or be located in areas of high vessel
traffic or vessel congestion;
[2J Whether the dock will unduly interfere with the public use of waterways for
swimming, boating, fishing, shellfishing, waterskiing and other water-
dependant activities;
[3J Whether the dock will unduly interfere with transit by the public along the
public beaches or foreshore;
[4J Whether the dock will significantly impair the use or value of waterfront property
adjacent to or near the dock;
[SJ Whether the dock will cause degradation of surface water quality and natural
resources;
[t;J Whether the dock will cause habitat fragmentation and loss of significant coastal
fish and wildlife habitats;
[7J YVhether the dock will result in the destruction of or prevent the growth of
vegetated wetlands, seagrasses including eedgrass (Zostera marina) and widgeon
grass (Ruppia maritima) or shellfish;
[8J Whether the dock will unduly restrict tidal flow or water circulation;
[9J Whether the dock will be safe when constructed;
[IOJ Whether the dock will adversely affect vdews, viewsheds and vistas important to
the community;
[IIJ Whether the cumulative impacts of a residential and commercial dock will
change the waterway or the environment and whether alternate design,
construction, and location of the dock will minimize cumulative impacts; and
[12J Whether adequate facilities are available to boat owners and/or operators for
,fueling, discharge of waste and rubbish, electrical service and water service.
Philip R. Anderson
Project Manager/Consultant
25 Oldfield Road-Conscience Point
Southampton, New York 11968
Office: 631 /259-2263
E Mail: PRA 123~optonline.net
_ _
June 8, 2008 i -N ii c~
~ ~S i
to: Southold Town Boazd of Trustees ~ i 1 1
Town of Southold 'L JUU 1 U 2068 i `y
Town Hall ~ _____t
53095 Route 25 III
Scrtho'.tl Town
P.O. Box 1179 ~ 6oar~ of Tresiees
Southold, New York 11971-0959
Att: Trustees Secretary
re: Dock Application of Gary Guja, 372 North Drive, Mattituck, Southold, Suffolk County, New
York. SCTM # 1000-106-6-29.
Dear Respected Trustees
As you may recall this dock application had been scheduled for the May Public meeting of the
Southold Town Trustees.
The neighbors had been notified via certified, return-receipt mail and the properly was posted in
accordance with the Trustees time requirements for the May public meetings.
However, upon inspection of the site, the Trustees requested that the dock location be more
obviously staked in the field, before June 9, 2008, in order for the application to be heazd at the
June 18, 2008, Trustees public meetings. This has also been done accordingly (staked with two
1" x 1" labeled and ribboned stakes)) on June 6, 2008.
Enclosed aze photographs of the property posting, (Notice is still in-place as of this date), as well
as the required signed, notarized affidavits of property posting and the affidavit, notarized of
neighbor notifications, along with the certified mail receipts.
I will bring with me to the June 18, 2008, Public meeting the `green' return receipts of neighbor
notifications.
Also enclosed aze the photographs of the labeled dock location stakes.
Please put this application on your agenda again for the June 18, 2008, Public meeting, and I will
be present at the hearing, as well as possibly Mr. Gary Guja also.
1
I will be glad to answer any questions any member(s) of the Board may have on this application
at that time.
Thank you for your review and rescheduling of this application.
Truly s,
ili .Anderson
(Agent)
cc: G. Guja
(File:Guja085)
2
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•
James F. King, President o~~,oF soUTyol Town Hall
Jill M. Doherty, Vice-President r~ ~ 53095 Route 25
P.O. Box 1179
Peggy A. Dickerson ~ ~ Southold, New York 11971-0959
Dave Bergen G Q
• ~O Telephone (631) 765-1892
John Holzapfel 0~',COU~'~~ Fax (631) 766-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Office Use Only
_Coastal Erosion Permit Application
X1~Wetland Permit Application Administrative Permit
_Amendment/Transfer/Extension
Received Applicatio7nc g4
iReceived Fee:$_ O$
Completed Application
Incomplete
_SEQRACIassific ron: ~ f~
Type I_Type(Unlisted~ -
Coordination: to sent
_,~;VVRP Consistency Assessment Form ~ APO - 3 2008
2TC Referral Sent: ~}I'1_1J~__
__~ate of Inspection: ~ __I~__ i
Receipt of CAC Report: ~ t- F
Lead Agency Determination: r _ ; f
_Technical Review: ' '
~rl'ilic Hearing Held: 1 O
Resolution:
( W2P ?
Name of Applicant
372 NORTH DRIVE, MATTITUCK, New York 11952
Address
631/298-3277 Phone Number:( )cell # 516/356-2251
Suffolk County Tax Map Number: 1000 -
Property Location: 979~r +1, Tlr• M ++'tuck
Flag Lot fronting on Mattituck Creek
• arraac drives off of NnrYh nriva nnj nn north
(provide LILCO Pole distance to cross streets, and location)
AGENT: PHILIP R. ANDERSON/Project Manager & Consultant
(If applicable) fib'
25 Oldfield Road-Conscience Point
Southampton, New York 11968 ` ~b~l
Address: "l\~
Phone/FAX: 631/259-2263 Phone:
• Board of Trustees Applic~on
GENERAL DATA
Land Area (in square feet): 31 , 989 sq. ft = 0.73 acres
Area Zoning: residential
Previous use of property:GamP_single fami~y residential
Intended use of property: same-single family residential with dock (private)
Covenants and Restrictions: Yes No None to my knowledge
If "Yes", please provide copy.
Prior permits/approvals for site improvements:
Agency Date
nT`.,,o u.. _ ..ii Ce
No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a governmental agency?
XX No Yes
If yes, provide explanation:
ProjectDescniption(eseatta~l}mentsfifnecessar Construct ~ install
new p ivat sma cra t pieas~i as o ows:
(all lumber untreated materials-tropical greenheart)
Q ft. x 1 Fi ft nnramf~t0~ ft rd~ fk eatwal3~ deelf
(min. 9 ft above grade of wetlands (ramped) to 3 ft x 15 ft
floatramp to 6 ft x 20 ft float with 3 secure piles
plus one additional 10" round tie-off pile as shown
on survey and plans attached.
approx. near eet.
• Board of Trustees Appli~on
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations:
Private smallcraft pleasure boat docking.
Area ofwetlands on lot: approx 950 square feet on site
Percent coverage of lot: 2.9% of s~ to
Closest distance between nearest existing structure and upland
edge ofwetlands: 96 ft feet from exist. retaining wall
Closest distance between nearest proposed structure and upland DOCK OVER WETLANDS
edge ofwetlands: over wetf~at]s ramped min. 9 ft above grade of wetlands
Does the project involve excavation or filling?
XX No Yes
If yes, how much material will be excavated? 000 cubic yards
How much material will be filled? 000 cubic yards
Depth of which material will be removed or deposited: 000 feet
Proposed slope throughout the area of operations: t o -remain a s i s existing
Manner in which material will be removed or deposited: N/A no f i i i or excavation
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):
Minimal disturbances to wetlands by installation of
dock o;l;nctc c;th wa+ar;a+ recover
and revegetate naturally in a short period of time.
dock being min. 9 ft above wetland grade will therefore
not result in effects on wetland growth needing sunlight.
• Board of Trustees Appli~ion
COASTAL EROSION APPLICATION DATA
Purposes of proposed activity: Provide Small Pleasurecraft docking
Are wetlands present within 100 feet of the proposed activity?
No XXX Yes
Does the project involve excavation or filling?
v~vv No Yes
N/A NO EXCAVATION OR FILLING
If Yes, how much material will be excavated? (cubic yards)
How much material will be filled? N/A (cubic yards)
Manner in which material will be removed or deposited: N/A NO EXCAVATION OR FILLING
Describe the nature and extent of the environmental impacts reasonably anticipated resulting
from implementation of the project as proposed. (Use attachments if necessary)
Rliaht mino d' ~ bances to wetland vegetation
from waterjet piling installation. Wetland vegetation
will recover and revegetate in a short period of time.
Becuase dock will be minimum of 9ft above gra a of wetlands
there will be no effects and no deleterious effects to
al
sunlight, Sunlight will still be"hitting" wetland vegetation
thowrahv nn of Fart anA nn raAnrf+~+.+ in cnnlinhf the
wetland vegetation.
NOTICE TO ADJACENT PROPERTY OWNER
BOARD OF TRUSTEES, TOWN OF SOUTHOLD
In the matter of applicant:
GARY GUJA SCTM#1000-106-6-29
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 and install an overall length of catwalk
and dock of approx. 96 linear feet including one
6 ft x 20 ft float.
2. That the property which is the subject of Environmental Review is located adjacent to
your property and is described as follows:
372 North Drive, Mattituck-Flag lot off North Drive
on north side of North Drive on Mattituck Creek.
3. That the project which is subject to Environmental Review under Chapters 32, 37, and/or
97 of the Town Code is open to public comment on: .You
may contact the Trustees Office at 765-1892 or in writing.
The above-referenced proposal is under review of the Board of Trustees of the Town of Southold
and does not reference any other agency that might have to review same proposal.
OWNERS NAME: Mr . Gary Gu j a
MAILING ADDRESS: 372 North Drive, Mattituck, NY 11952
PHONE -
Enc: Copy of sketch or plan showing proposal for your convenience.
Philip R Anderson
Project Manager/Consultant
25 Oldfield Road-Conscience Point
Southampton, New York 11968
Office: 631/259-2263
E Mail: PRA123(do~tonline.net
February 18, 2008
re: Gary Guja Dock
372 North Drive-Mattituck, Town of Southold.
Suffolk County, New York
AUTHORIZATION LETTER:
I, Mr. Gary Guja, as owner of the above subject site and the applicant and proponent of the
proposed dock application at my above property, do hereby authorize Philip R Anderson to
apply and act of my behalf in the matter of this dock application with all governmental agencies
and boards having jurisdiction over the proposed application.
Mr. Gary Guja Date
(applicant-property owner)
(File:gujaauth081)
Board of Trustees Appli~on
AUTHORIZATION
(where the applicant is not the owner)
I, Gary Guja residing at372 Nort~'Drive
(print owner of property) (mailing address)
Mattituck, NY 11952
do hereby authorize Philip R. Anderson
Project Msnager ~ Consultant (Agent)
to apply for permit(s) from the
Southold Board of Town Trustees on my behalf.
XX
(Owner's signa re)
c~-a(`o~
DATE
8
•
PROJECT ID NUMBER 617"20 SEAR
APPENDIX C
STATE ENVIRONMENTAL QUALITY REVIEW
SHORT ENVIRONMENTAL ASSESSMENT FORM
for UNLISTED ACTIONS Only
PART 1 • PROJECT INFORMATION (To be completed by Applicant or Project Sponsor)
1. APPLICANT/SPONSOR 2. PROJECT NAME
Gary Guja GUJA'S DOCK
3.PROJECT LOCATION:
372 North Drive
MunicipaD4attltuck, NY County SUFFOLK
4. PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks elc - or provide map
372 North Drive, Mattituck, Suffolk, Town of Southold, New York
Flag lot north off North Drive on Mattituck Creek-Location Map
s.ls PROed%E~44~~I~N?~&911$,Pr ~ xpa 5idr1 ~Idh~caCf~fi ne irro~wing
X
6. DESCRIBE PROJECT BRIEFLY:
Construct & Install catwalk, dock, ramp and float approx.
96 linear feet total length-including 6 ft x 20 float.
catwalk and dock ramped minimum 9 ft above grade of wetlands.
all lumber untreated tropical greenheart-ti" round piling
supports-except 1 -10" tie-off pile.
7. AMOUNT OF LAND AFFECTED:
Initially 1~9 acres ultimately 1~q acres
8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS?
X®Yes ? No It no, describe briefly:
9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.)
residential ? Industrial ? Commercial ?Agriculture n Park /Forest /Open Space n Other (describe)
Waterfron residential on Matti~~ack Creek and upl'a[id lots
on bluff.
10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL
AGENCY (Federal, State or Loral)
~es ? No If yes, list agency name and permit /approval:
NYS Dept of Env. Conservation, NYS Dept of State Coastal
11. DOES A C OrF THE ACTION H E A C RRENTLY VA D PERMIT OR APPROVAL?
?Yes ~INo If yes, list agency name and permit /approval:
12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION?
LJres o
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MV KNOWLEDGE
Applicant 1 Sponsor Name Date:
GARY GUJA
Signature
If the action ' a Costal Are ,and you are a state agency,
complete the Coastal Assessment Form before proceeding with this assessment
PART II -IMPACT ASSESS NT (To be com leted b Lead A enc
A. DOES ACTION EXCEED ANY PE I THRESHOLD IN 6 NYCRR, PART 617.4? s, coordinate the review process antl use the FULL EAF.
Yes ~ No
B. WILL ACTION RECEIVE COORDINATED R S PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative
declaration may be superseded by another involved agency.
Yes ~ No
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible)
Ci. Existing air quality, surface or groundwater quality or quantity, noise levels, existing tratfc pattern, solid waste production or disposal,
potential for erosion, drainage or flooding problems? Explain briefly:
C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explainbriefly:
C3. Vegetation or fauna, fish, shellfish or wildlife species, signifcant habitats, or threatened or endangered species? Explain briefly
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:
C6. Growth subsequent development, or related activities likely to be induced by the proposed action? Explain briefly
C6. Long term, short term, cumulative, or other effects not identifed in C1-C6? Explain briefly
C7. Other im acts including changes in use of either uanti or pe of energ ? Ex lain briefl
D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL
ENVIRONMENTAL AREA CEA ? If es, ex lain briefl
Yes ~ No
E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If es ex lain:
Yes ~NO
PART III -DETERMINATION OF SIGNIFICANCE (To be completed by Agency)
INSTRUCTIONS: Foreachadverse effect identifed above,determinewhetherit issubstantial,large,importantor otherwisesignificant.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 magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain
Buff cient detail to show that all relevant adverse impacts have been identifed 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 ofthe CEA.
Check this box if you have identified one or more potentially large or signifcant 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, basetl on the information and analysis above and any supporting documentation, that the proposed actin
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 o esponsi a Icer In Lead gency Title of Responsible Officer
Signature of Responsible Officer in Lead Agency ignature of Preparer (If different from responsible officer)
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
Name: Address:
Agent: Philip R. Anderson Project Manager ~ Consultant
25 Oldfield Road-
Conscience Point
Southampton, NY 11968
_ 631/259-2263
~ ~ ;AN
r ~ 9). Marjorie L. Richards
~ ~ ~ ~ ~ ~ ~ ~ P.O. Box 850
U Aquebogue, NY 11931-0850
'a iiel Deegan
M1 Postage $ so.al 0968
S,
f1J CeNiled Fee u' Q ~J~ * C~'~a \ ~
O
p Retum Receipt Fee 7.
p (Endarsamenl Regwred) t2.1S h~ G ~ Me n g l i d e
~ Realdcled Delivery Fee M ~ ~'1 trtment 1612, New York, NY 10099
O (Endorsement Required) uuoa sd
~ - sa(ayened)soozun5nv'ooee OdW)
~~a.~-zo-o£s~N aneS'~1Ntlltl
oa ~d)aaa~ s1Ul s~ 1dlaoai
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aauM u ti 2 Y
~Ri)nhu!ua fiulHaW ~ , NY 11968
. r )ul sworn, deposes and says that on t e
~ ~ deponent mailed a true copy of the Notice
o,roeoxno.,a.~_~~,,Z- /6/Z._ 3n, directed to each of the above named
M1 Clry, Siete, ZIP+4 ~ ~r
w , a _r~~lY4~ie respective names; that the addresses set
:•r . ___o~cm~mes of said persons are the address of said persons as shown on the current
assessmen oil of the Town of Southold; that said Notices were mailed at the United States Post
Office at IU ,that said Notices we mailed to each of said persons by
(certified) (registered) mail.
Sworn to before me this C~
Day of 20~
_
y'
~~~~~Public _
LINDA L. GILLIAM
"10TARY PUBLIC STATE OF NEW YORK
NO. Ot GI4893370
QUALIF{cD !P. SUFFOLK COUNTY
GODR'„S:S;'.iCri3'F_XE'4RFR MAV 11.20
i
I
II
I
t~
~ James F. King, President ~~Of SOUIyo Town Hall
Jill M. Doherty, Vice-President ~O l~ 53095 Route 25
P.O. Box 1179
Peggy A. Dickerson * ~ Southold, New York 11971-0959
Dave Bergen
G ~ Telephone (631)765-1892
Bob Ghosio, Jr. ~IyC~U~ Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
BOARD OF TRUSTEES: TOWN OF SOUTHOLD
In the Matter of the Application
of
~a,~
~c~a
COUNTY OF SUFFOLK)
STATE OF NEW YORK)
AFFIDAVIT OF POSTING
I, C /}erg=L) ,residing at ~ oL 57~..z1'J ~c.,/4~ ,-haw-32.t ~c~~+-tom
being duly sworn, depose and say:
That on the~~ay of , 20(~I personally ooted the property known as
may C~=1r~ ~a~ ~~K~
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 ~7
~
o~t~`a~T-fo;A~ mz
Dated: ~~~~0
s' to
Swom to before me this
day of 200 ~
U
otary Public
LINDA L. GILLIAM
NOTARY PUBLIC STATE OF NEW YORi.
NO.Ot GI4893370
QUP,UFIED IN SUFFOLK COUNTY
COMtd1?SSION cXPIP,E8 MAy 1 t. 20~_
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Board of Trustees Application
County of Suffolk
State of New York
_ GARY GUJA 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 HIS/I~R 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
HARMEESS 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.
XxX c
nature
SWORN TO BEFORE ME THIS ~ DAY OF ~ ,20
~~~ve~~'
Notary Public
FRANCIS W DEEGAN
Notary Public, State of New York
No.30-5957692
Qualified in Nassau County ~ G
Commission Expires July 31, 20~
Board of Trustees Appli~ion
AUTHORIZATION
(where the applicant is not the owner)
I, r_nuv rtt,Ta residing at 372 .North Drive,
(print owner of property) (mailing address)
Mattituck, Suffolk, New York 11992
do hereby authorize ~
Agent)
Philip R. Anderson
to apply for pe rom the
Southold Board of Town Trustees on my behalf.
XXX
(Owner's signat e)
8
•
APPLICANT/AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of Sou[hold's Code of Ethics prohibits conflicts of interest on the Hart of town otticers and employees. The purpose of
this forth is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is
necessarvtoavoidsame, philip R. Anderson
YOUR NAME: Gary Guja, Mrs. Guja
(Last name, first name,tniddle initial, unless you are applying in the name of
someone else or other entity, such as a company. If so, indicate the other
person's or company's name J
NAME OF APPLICATION: (Check all that apply.) _
Tax grievance Building
Variance Trustee xx~xx
Change of Zone Coastal Erosion
Approval of plat Mooring
Exemption from plat or official map Planning
Other
(If"Other",nametheac[ivity.) Wetlands Permit
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, rtlarriage, 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 XXXX
If you answered "YES", complete the balance of this form and date and sign where indicated.
Name of person employed by [he Town of Southold
Title or position of that person
Describe [he relationship between yourself (the applicanUagenUrepresen[a[ive) 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) [he owner of greater than 5% of the shares of the corporate stock of the applicant .
(when the applicant is a corporation);
B) the legal or beneficial owner of any interest in anon-corporate entity (when the
applicant is not a corporation);
C) an officer, director, partner, or employee of [he applicant; or
D) the actual applicant.
DESCRIPTION OF RELATIONSHIP
Submitted this day 1 d1-i"C ~ 200
Signature
Print Name ~ /V
FormTSl ~ Philip R. Anderson
Mr. & Mrs. Gary Guja
Towp of Southold •
LWRP CONSISTENCY ASSESSMENT FORM
A. INSTRUCTIONS
1. 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 prepazer 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 pronosed action will be evaluated as to its sienificant
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 LWRP policy standazds and conditions contained in the consistency
review law. Thus, each answer must be explained in detail IistinQ both supportive and non-
supportine facts. If an action cannot be certified as consistent with the LWRP policy standazds and
conditions, it shall not be undertaken.
A copy of the LWRP is available in the following places: online at the Town of Southold's
website (southoldtown.northfork.net), the Boazd of Trustees Office, the Planning Department, all
local libraries and the Town Clerk's office.
B. DESCRIPTION OF SITE AND PROPOSED ACTION
SCTM# 1000 - 106 - 6 29
PROJECT NAME Gary Guja's Dock
The Application has been submitted to (check appropriate response):
Town Board ? Planning Board ? Building Dept. ? Board of Trustees L^J^
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) ?
(b) Financial assistance (e.g. grant, loan, subsidy)
(c) Permit, approval, license, certification: X~7X X
Nature and extent of action:
Construct and install small pleasurecraft catwalk and
oc o a approx. in ee inc u ing x
float (horizontal to shoreline). All lumber materials
catwalk & dock min. 4 ft above grade of wetlands (ramped)
Location ofac6on: 372 North Drive (Flag lot) on Mattituck Creek
31.984 sq ft = 0.73 acres
Site acreage:
Present land use: single family residential
Present zoning classification: r e s i d e n t i a l
2. If an application for the proposed action has been filed with the Town of Southold agency, the following
information shall be provided:
(a) Name of applicant: Gu j a ' s Dock
(b) Mailing address:
ew or
C/0 Philip R. Anderson-Project Manager/ Consultant
~s O~d~i-®~d-~2sad-CeasEienee }ze'nt
Southampton, NY 11968
(c) Telephone number: Area Code ( g i/~ g g_ 3 2 7 7 G G u j a
631/259-2263: P. Anderson (agent)
(d) Application number, if any:
Will the action be directly undertaken, require funding, or approval by a state or federal agency?
Ye$? No ? If yes, which state or federal agency? New York State Dep' t Env. Con:
ew York State Dept of State-
Coastal Resources
C. Evaluate the project to the following policies by analyzing }tow ~e p~ojec~~~l ~urtlEer
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 Southold that enhances community character,
preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and
minimizes adverse effects of development. See LWRP Section III -Policies; Page 2 for evaluation
criteria.
~es ? No ? Not Applicable
Project is within community development standards in
minimizing eng of catwalk and dock and alleviating
us y using un rea e
er env#renment= e€
the Town of Routhnl AV
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
0 Yes ? No ? Not Applicable
There are no known archaeological or historic resources
at this site or within proximity to a sa e a won
o erwise posse y e vi -
Attach ad ihona s eets , n cessary
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
~XYes ? No ? NotApplicable
NO erosion or flooding should occur at all- as a result of the
construction and placement of the proposeds dock-NONE-no flooding
or erosion will result-project does not create any increase in
nonpervious or nonpermea a sur aces an wi
o cans
Attach additional sheets if necessary
Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III
-_"Po~~licies Pages 16 through 21 for evaluation criteria
inn Yes ? No ? Not Applicable
...~+o ~,;+y y a , + ins-fa~~-: _s .,.,r - o ote
Pn rl,a ~ may ALL LUMBER NATURAL WOOD-tropical greenheart-
no toxic dischar es and no permanent changes in sedimentation
will occur-also by float for docking being in min. ft
depth at low wa er any prop re gang a may o ed
Attach addi}i8ha ~ a
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~x ? ?
_ _
Yes No Not Applicable •
I~~C ~USe othP* AQL'l~a exi ct immac3i ataly adjacent each aide t0 the
project site there will be NO significant chanties in any wildlife 6i s:t.~
disaturbances as a result of the proponent making use of
the completed dock project. The fiush of Mattituck Creek wi
not be affecte y t is oc ins a a ion-excep ~ n
Attach additiona s eets i 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
. ~,.~....b „y}i::,.... n;g nxn BM~SS~EI£iS NE1t1E irher€ese NO~mparrt
e;a a ~ ~q u-a-l~t y
Attach additional sheets if necessary
Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous
substances and w..
a~~stes. See LWRP Section III -Policies; Pages 34 through 38 for evaluation criteria.
s ? No'~xNot Applicable
11 l u-!S~ a ®aIt .l i 1
iiic`i"c
w3ai vc +~v n'ao ca r~ ax^o e•haF~e-6-N8~1 a:~ m~tB~~S ~S 1-tl
excess during contr.++.-+;,,n ~,;ii ha collected and NOT Left to drift.
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.
X®x Ye~ No ? Not Applicable
Public Access to shoreline will remain unaffected-
anyone desiring to walk the creek shoreline may easily
walk around proposed dock structure-creek access will also
remain una ec e o pu is u wi a en
'*~te~ €-e~-slaimnr#ng~ f-i-slt~~g ems-beg-k~x~Q a--just enTolring
crenjc vi ctac nF the rraak
Attach additional sheets if necessary
WORHING 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.
SX~g'7~s ? No ? Not Applicable
mos sui a le location to allow
eas wi o
wetlands t.n mi nimi oc t,~66fi~~}e L'6t3 ~YtYCZTOTf-1ZIfg3Ztg~
and is 1n accordance w; t.h t nra t .3t®~~egendent;-as-es acid
other prior-existing docks adjacent t.o site and i.n
Attach additibfiLpsA~ets~Fift~s~dy Mattituck Creek in general. Dock is sited
so as not to interfere with other adjacent dock locations
Policy llan~romofe s~ef~~i~ 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.
XX X~ Yes ? No ? Not Applicable
- um er an y using
natural lnmho rc ~,,A ....+}ee~ia-rt-o~e~cCe~35-p'd-s er
generated at construrtPd +haro ; ~ ^aei-ejePeebed on-aTrp
of the local Creek waters or p onir nae Estuar}+ s~~stem.
It is NOT expected that there is anv (NONE) ~m~l~ti~e impacts
associa a rom this project as planned and proposed.
Attach additional sheets ifnecessary
Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III -Policies; Pages
62 through 65 for
evaluation criteria.
? Yes ? Noh^M~1ot Applicable
NOT Sl}11a~'P(] lA s Pi6~f-fe-
dlreCt Or lndlre -N/A ~ u e el er
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 I xx7Not Applicable
NOT an energy related Project-N/A
Consultant/
PREPARED BY h lip R.Anderson gent) TITLE Project Manager DATE Feb. 17, '08
~J~- - i
i n 1 r-
I
GARY GUJA PROPOSED DOCK w
372 North Drive I~.
Mattituck, New York 1952 PLANVI EW _ _
(Suffolk Coun I r~,t ~
scTM #looo- os-s-2 APPROVED BY L HW as Surveyed extreme low water i
~ BOARD OF TRUSTEES ~ II
~ X
~ TOWN OF SOUTHOLD ~
Z Ave Low water
DATE S6f~ oe G
52.186 ~
~ ~ 43.336
1 a e a ine~ ~
agge y n
4 ft x 12 ft onramp ft 44 ft Catwalk/do - 5 ft at Lw 3ft at ALW
ped Oft above grade we ds) -4 ft at ALW
area barren of TW ve etation X
stk wlblue ribbon 3 x 15 ft float ramp 2-8" Floatpiles
Drawings & Plans by: seaway e ~e of wetlandegetation 6 x 20 ft float
Philip R. Anderson 66. 5
Project Manager/Consultant rev. 8/14!08
25 Oldfield Road-Conscience point ° 7-
8.276
Southampton, NY 11968 ° rev: 8/26!'08
Phone/FAX: 631/259-2263 n additional field measurements 8/14/08 rev April 22,'08:DEC revs.
Email: PRA123@Optonline.net Field Inspe tion wi surements & depth soundings on Nov. 21, 2007
at 1 PM to 2hPm-L[oawpthivd~e 1 of 3 rev Feb 11, '06
stelPlnc~it3 1U Feet p Dea 23, 2007
exist. groin DRW:GUJA1A3
~I
i
GARY GUJA
372 North Drive - -
Mattituck, NY 11952
(Suffolk County)
SCTM # 1000-106-6-29
pile sizes: ~ ~J
~I
6 round I es seaward of tidal wetland ve
„ P I
4 s uare su orts landward of wetland ve eta~ion
ppp aft x 15 ft floatram
2-89 round floatpiles g p
Oft x 44ft catwalk/dock
(min Oft above grade of wetland veg.
UPLAND Oft x 12 ramp (max. 26" above aver is I8water) Eft x 20 ft float
pile & pp its
2-8" oatpiles
this area barren of vegetatio
Locati ne Stk s awa ed a of v g.
w/blue ribb 8/ 4/08 _s.0 ft water x
rem~"~
- .5ft rlo a~ F~
L 0 ft Aver low water M
HW as surveyed
Wetland boundary limit Aver. Low wa er E reme low water
(by field insp. on nov. 21, 2007-1 PM ow tide)
Plans & Drawings By: additional site inspection measurements
on Aug. 14, 2008 at 4 pm low tide rev: ar2~roa
Philip R. Anderson p. 2
Phone/Fax: 631/259-2263 rev. 8/'f4/08
rev Feb 11, '08
Email: PRA123@Optonline.net
p. 2 of 3 Dec. 23, 200
Scale is: 1 inch to20 feet DRW:GUJA162
GARY GUJA Proposed dock
372 North Drive
Mattituck, New York Construction Cross-Section
SCTM # 1000-106-6-29 decking of "TREX", untreated lumber or other nontreated inert materials
6" round piles 8 ft O/C (NP)
min lengths 20 ft
All lumber Untreated Materials 3988
use tropical greenheart
all connections thrubolted N uses th tic decking 2" thick handscrewed
including stringers to piles i 4" x 6" side stringers
with hotdipped galvanized hardware
alternative const. materials are: " x s" center stringer ~
vinyl,plastic and/or fiberglass 3^'
3" x 8" crossbrace (all bents)
gh water
v
cc
Drawings & Plan ~ : e of wetlands
P~ii i~ R. Anderson
Project Manager/Consultant
Phone/Fax: 631/259-2263 rev: April 22, 2008: materials
Email: PRA123@optonline.net SCALE Is:1 /2 inch per foot p~ 3 of 3
Dec. 23, 2007
DRW:GUJA1 C
S.C. f.M. N0. DISTRICT: 1000 SECTION: 106 BLOCK: 6 LOT(S): 29
~+tiPPROVED ~
EOARD OF TEa,S~cv:
TOV': N OF SOUTt~O~
u~
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NaIK
F I
~ £
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V
S 89'48'00" E
c 30x3! 30VMO015 ,9 ,'181.21 , u
~ )~N3i OYf10p15 ,9 ~ x~ ~
141.6' u'i ~ 3~ S
mo sa3axu .ra ~ _ 35
Q W yy Ei ~ ,s'OC o ~ 'I iC
m `f 8 ~n ~ ~ ^.0'9 ~ ~ ul O~i7
W Y Y ~ `W~ -ROC m ny~ _ 4 / I Ranxc V
F ¢ BRICI(:?15 Z•Ej} IY4 7 ]I ; OOCx
~ ~ O S r?' ~ ,L't °n ~ lWL VIEIIAND LNE : I I ~ a'.70'
J x J ~ ~ 1L5 TtAGGEO BY /
H O p .1' NOV. ~ 700] ~ RW
J~ .I I I
Q'i a m ~ ® R m ! Id ~ Y
A a s~sl x: ~ ~ . .r
Nom ulwx o .°i : ~
~ O _ .'.11' O I ° I I E.
o esta'E' .o~sln ~ m 35~ I I d d
z ~ 66.0'
xL 15' R.O.W. ~ z~wl W
LN~ ~ ti- F F m I I
W 28B.DD• ~P. l/0 3]N3! 13M]Id .i ' `N+PROL YLW AS RER
O 0 ZSE Y „ 20,64.88 N I NpOO ~ PN9JP AxOfRSEx
(I ~,y,~__ NON. I1. 700]
~ I I qD
H SE.NxRO EDGE R
O iW4 RIUxD vEGFietiOx.
/d YFASUNEO 0!/la/q
J Ni PFA 0. NgER$p1
REVISE CATWALK & DOCK 08-17-08
STAKE PROPOSED DOCK 07-11-08
ADD PROPOSED DOCK 02-25-08
LOCATE FLAGGING 01-25-OS
AREA: 31,984 SOFT. OR 0.73 ACRES E~ENAnoN DATUM:
UNAUTHORIZED ALTERA RON OR ADDIDpY TO iN/S SURVEY /S A KOLA RCN Of SEC DON 7709 Of DIE NEW YORK STALE EOUCA DON LAW. COPIES OF TH/S SURVEY D ~
MAP NOT BEARMG THE LANG SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONS/DERED TO BE A VAL/O TRUE COPY. GUARANTEES /NDICA LEO HEREON SHALL RUN (l1MJ'
ONLY TO DIf PERSON FOR aHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO IH£ DDE COMPANY, GOVERNMENTAL AGENCY AND LENDING /NSDTUT/ON 1
LISTED HEREON, AND TO DIE ASSIGNEES OF iH£ LENDING INSDTUDON, GUARANTEES ARf NOT TRANSFERABLE ~ D
1HE OFFSETS OR D/MENS/ONS SHONN HEREON FROM ME PROPERTY LINES TO DIE S7RUCTURES ARE FOR A SPECIFIC PURPOSE AND USE DIEREFORE DIEY ARE
N07 /N TENDED TO MONUMENT THE PROPERTY LINES OR TO CU/Df DIE EREC DON OF FENCES. A00/DOV~AL S1R(/CTURES OR ANO OTHER IMPROVEMENTS EASEMENTS ,I/+
AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHY9CALLY ENOENT ON D/E PREMISES AT DIE TIME OF SURVEY QL/L7 'Z O ~7noo
suRVer oF: P/0 LOT K CERTIFIED T0: GARY GUJA; CU O
YAP oF: SHORE ACRES Board~9f i TDWR
`-Reo'. JANUARY 3, 1914 No.41 9 TuSteeg
sirunrEO Ar: MATTITUCK - --71
mwN or: SOUTHOLD KENNETH Y. lIOYCHUK L.S. ~
SUFFOLK COUNTY, NEW YORK Land 3urveyin~ and Deeisn
f~-~..~.>/~ J~I P.O. BOX 3 1(ATTTfUCK, N.Y. 11952
F'~E w 25-03 scALE 1 "=a0' DATE MARCH 16, 200 - - reoes (esL) soe-saes rAx (eaL) zss-lees !
x s. uc xo. sezn ,n.mwmxi m.....m. or R.e.a x.xx...]
i