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Home My WebLink AboutTR-696482/84/2889 11:24 631-444-8368 NYSDEC RI PERMITS PAGE 81/85 New York State Department of Environmental Conservation Division of Environmental Permits, Region One SUNY ~ Stony Brook. 50 Circle Road, Stony Brook, NY 11790 - 34{)9 Phone: (631)444-0565 - FAX: (631)"444-0360 Website: www.dec.state.ny, us Febma~7 4, 2009 Cutehogue-New Suffolk Park District PO Box 311 Cutchogue,. NY 11935 Re: Permit #1-4738-02876/00003 Dear ])enniUee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) arid its implementing regulations (6NYC~ Part 621) we are enelosiag your permit. Please carefully read all permit conditions and special permit conditions contained ia the permit to'ensure compliance during the term of the permit. If you are unable to comply with any conditions, please centact ~sat thc above address. Also e~closed is a p=s~,~it sign which is to be conspicuously posted at fhe project site and protected from the we~f. her. Sincerely, Deputy Permit Administrator CC': Christopher Stress, Architect iilc 02/04/2009 11:24 631-444-0360 NYSDEO R1PERNITS PAGE 82/85 NEW YORK STA%l~ DEPARTMEXrr OF ENXqRONMENTAL CONSERVATION DEC PERMIT NUMBER 1 -~738-02876/00003 FACIL1TY/PROORAM NUMBER(S) PERMIT Untler the Environmental Con~aiion Liw February 3, 2013 TYPE OF PBRMrr · Ne~ JD ReneWal m'Mo41ficafion [] Penmt m Co~suuct [] permat m Opm [2 Arficl~ 15, Title fi: ]hotc~on of Wate~ [] 3a~icle 15, Ti~e 15: Wa~ g~ly ~D~SS OF PEril PO Box ,},11, Cutcho~e, ~ .1193~ . CO~A~ P~OH FOR P~ll [2 'Arlicle 17, Titl~ 7, 8: SPD~ 'O Arlicle 19: Air Pollution Cont~l [] Article 23, Title 27: Mi~ed Reclamation [] Article 24: F~hwaicr Wetl~a& · Article 25: Tidal Wetlands tn Article 27, Title 7; 6I~CXR360: Solid Waste MaaalFment KFFBCTIVE DATE / Februav/~.~ 2009 EXPIRATION DATE(S). 631-734-5224 [T~LEPIIO~ brOMBER 631-722-7865 , N~ssau point Causewa~'~ Nassaa point Road,: . S~o~ Ho$ Neck Bay ' . ~: ~: DESC~ON OF A~O~D ACT~: K~ct a ~cap access ~p ~d w~ay. ~ work shall be done in accordance with the attached plans stamped NYsDEC alYprOv~l on February 4, 2'009. DEPUTY PBRM1T ADMIlqlSTRATOR: Mark Carrara ,., ALrI~OFJZBD SIGNATURE By acceptance of this permit, the pera~ttee agrees that the permit is' contingent upon sWict compliance with the ECL, all applicable regulations, the General Conditions specified and any Special Conditioas included as part of this Region I Heagquarter% SUNY ~ Stony Brook, 50 Circle Road, Stony Bmo~ NY 11790 - 3409 DATE Page 1 of 4 I February 4, 2009 02/04/2009 Ii: 24 631-444-0360 NYSDEC R1 PERMITS PAGE 83/85 ~ YOP, X STAT~ DZ~A~T~'~ O~ ~:~e~O&Oh'l~albrL~ CO~Z~VA~O~ · SPECIAL CONDITIONS 1. Any debris or excess material from construction of Lilis project sl~ll be completely removed from the adjacent area and'removed to au approved UPland axea for disposal. No debris is permit~l in tidal wetlands or prOtectcd buffer 2. AIl s-teas of soil disturbauce result/ug from the approved PwJ ect shall be stabilized w/th aPPic~-oriatc vcgelation. (igasse% ~.tc.) immediately, followi~ project completion or pnor to penmt explrauon, whic~ co~ ~. Ifthe pr~j cot site remaius inaciivc for more than 48 hours or planting is m-4rf~t~oal due to the sca,son, thca the area shall be stabilized with straw or hay mulch or jute matting until weather cond/~/ons favor germ!,~atiom 3. The storage of Construction equipment and materials shal! be confined within the project work ar~ md/or upland areas greal~r than 50' linear feet from the tidal wetland boundary. 4. The x~e of wood treated with pentaCMorophenol or ot~ wood treatment not ~ecffically aPP%ved by the Department for use m wetlands an~or marine weters, is strictly prohibited in the consiru~{io~ of structures that will bc in ccuta~t with tidal waters. 5. No permanent sh'uctures shall, be ,installed on d0cks/catwalks/floats With0u~ first ob~an/ng written Depa~2mt' aPPro'eal (introit, modif/ca//on or anmadm~nO. · 6. Notice of Commencement At least 48 hours prior to COmmencement of/he p~oj~ct, tl~ p,,mlttee and the couh-actor shall si~n a~d ~/he top portion of the enclosed notification form certifying that they. are fully aware of, and understand all terms and conaltions of th/s Pemut. Within 30 days of completi .an 0£project; the b0ttomP0~on of khe form must also be sigaed and returned, along with photograph~ of the completed work.. 14738-02876/00003 Page· 2 of 4 02/04/2009 11:24 G31-4a4-03G0 NYSDEO R1 PERNTTS PACE 04/05 NOTatiON OF ~ ~TEE OBLIGA~ONS GENERAL CONDITIONS '' C. ff~eral CondMeu 1~ 'Fadli~ lUSl~etlo~l I~y me ~t 50 ~le Ro~ Stay B~ ~ 11790 - 1'4738-02876/00003 Page 3 of 4 02/0412009 11:24 631-444-8368 NYSDEC Ri PERMITS PAGE 05/05 , ]~ YORX ~'IA]~ I~AKiZkl~N~f OF ]~A~ C~N~¥ATiO~ ADDITIONAL G~NI~.RAL CO~I~ONs FOR ~CL~ 1~ (~ ~ ~4, 2~, ~'~ ~ P~T ~8 1. ff ~ ~aQ~s by.~e S~te of N~ Y~k ~q~e ~ ~ m ~e ~Q~ of ~e s~ ~ ~ ~ '. a~ ~ff, ~ ~e ~ of~e ~t of En~l C~6~ it ~ ~ o~c~on ~ ~e ~ ~Q~ of ~d ~ ~ flon~ flo~ ~ ~ ~ h~ ~ ~ ~'of ~e : ~1~ of ~ S~, ~ ~c.loss ~ des~cQon of ~ ~t~ r=so~es 0f ~e S~, ~ o~= ~y ~ ~ ~ · e ~t'~'r~ ~ E~ ~c s~ w~ obs~, ~ ~s cs~ ~by ~ ~' · ~ S~, ~d to s~h e~t ~d ~ Such Qm~ ~d ~ ~s ~e ~ of~~l ~fi~ ~ ~a~gable md fl~d ~i~ of~ ~t~se. No cl~ shall ~ ~e ag~st ~e Sm~ o~ Yo~ ~c~t 2. ~e State of N~ y~ s~ ~ no ~e be lia~e for ~y ~ge ~ ~ ~ ~ ~e or ~k h~ a~d w~ch ~y ~ ca~ by ~'~S~t ff~ ~e ~aQ~ ~d~ ~ ~e S~ f~ ~ ~Qon ~ ~t ofna~Q~, ~ f~ o~ p~o~, ~d no cl~ ~ fi~t W c~Q~ s~l a~ ~ ~y ~h ~. All necessary preCsuliOnS shall be ~ to preclude contaalirmrio~ of any Wetland. Or wsterway by solids, sedimellts, fuels,.solventsi lubricants, epoxy coalin~s, paints, concrete,ieachate or any other e~'vir0nm~m t~lly deleteriou~ materials assOciated with li~ project. Any martial dredged in the conduct of the work herein per~itt¢cl shall be remowd ~-,vanly, wiga0ut leaving large refi~se piles, Hdl~s across or along the bed of a waterway or floodplain, deposits wi~i~ ~ regulator~ floodway, Or deep holes that'may have a tendency to cauSe damage to ilavigable cha~l¢ls or to tile b~n~ of a waterway. There Shall be no urzeasonabl¢ inte'r£¢r~;c with navigation by the work herein aUthoi4.zed. If upon th~ expiation or revocation Of this permit, the Project hereby authorized bas not been completed,' the. applicant shall, without expense to the State, and to such cxtellt and in such ~im~ and mm~,~er as the Dopai'lment of EnvironmeOtal Con~rvat/on may'require, remove all or any portion of ~h~ uncompleted siructuro Or ffll.~U~d ' restore the Site to it~ former Condiiion. No claim shall be made against the State'ofN~t York on account of any such r~moval or alteration. 7. If granted under6NYCRR Part ~08; the NYS Department of Env/ronmental Consc-rva~i°n hereby verQfies that the subject projO~t will not cOnlrave~e effluent limitations or 0thor limltali°ras or standards unck-r S e. c6ous 301,302; 303, 306 and 307 of thc Clean Water Act of 1977 (PL 95d217) provided that all 0fth~ conditions listed herein are~ HlCt $. At l~ast 48 hours prior ~o coramellcement of the pr°J¢ct, the !~rmittoe and 9onlractOr shall sigll and'return tho top ltortioll of the enolos~cl noiificaiion form o~xtifying that they. are fully aware o£ and tmderstand.all t~,,~a and conditions of this p~a,lt. Within 30 days of c0mpl~ion of project, the bottora portiol~ of the ~otm must also be Sig~ed and returaed, along with photographs of the completed wOrk alld, if l~luired,, a survey. 9. All activities authorized by thi~ permit must t~e in strict conformance with the approved plans .submitted by the applioant or his agent as part of the permi~ applicatioa. Such approved plmls were lo,~gar~d by Chrlstooher 'Sixess stsraned NYSDEC aot~i-oved on February 4, ;2009. n~c ~ m,~,m~ .Page 4 of 4 1-4738-02876/00003 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, J~. 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 st day of construction ~/~ constructed reject complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 6964 DATE: SEPTEMBER 17~ 2008 ISSUED TO: CUTCHOGUE-NEW SUFFOLK PARK DISTRICT PROPERTY ADDRESS: NASSAU POINT CAUSEWAY BEACH~ CUTCHOGUE SCTM# 104-8-6.1 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 September 17, 2008, and in consideration of application fee in the stun of $250.00 paid by Cutchogue-New Suffolk Park District 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 reconstruct the existing handicap access ramp and to construct a new wooden walkway to buffer beach from the existing parking area, and as depicted on the site plan prepared by Christopher R. Stress, A.I.A., and received on August 18, 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. TERMS AND CONDITIONS The Permittee Cutcho~me-New Suffolk Park District, residing at P.O. Box 311, Cutcho~ue, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete thc work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. That this Permit should be retained indefinitely, or as long as the said Pennittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. That there will be no unreasonable interference with navigation as a result of the work herein authorized. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. That the said Board will be notified by the Permittee of the completion of the work authorized. 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 September 17, 2008 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD Mr. Christopher Stress, R.A. P. O. Box 821 Jamesport, NY 11947 RE: CUTCHOGUE-NEW SUFFOLK PARK DISTRICT NASSAU POINT CAUSEWAY BEACH, CUTCHOGUE SCTM# 104-8-6.1 Dear Mr. Stress: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, September 17, 2008 regarding the above matter: WHEREAS, Christopher Stress, R.A. on behalf of CUTCHOGUE-NEW SUFFOLK PARTK DISTRICT 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 August 18, 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 September 17, 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, 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 CUTCHOGUE-NEW SUFFOLK PARK DISTRICT to reconstruct the existing handicap access ramp and to construct a new wooden walkway to buffer beach from the existing parking area, and as depicted on the site plan prepared by Christopher R. Stress, A.I.A., and received on August 18, 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: $50.00 Very truly yours, King President, Board of Trustees JFK/eac James F. King, President Jill M. Dohe~y, Vice~President Pegg~ 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 Please be ~dvised l~l your ~pplic~tion d~ted ~ / ~ ~ h~s been reviewed by this Board at the regular meeting ~f ~e~ I 7 ~ and your application has been approved pending the completion of th~ following items checked off below. __ Revised Plans for proposed project __ Pre-Construction Hay Bale Line Inspection Fee ($50.00) __ 1st Day of Construction ($50.00) __ ½ Constructed ($50.00) '~Final Inspection Fee ($50.00) __ Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as §et forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE:$~-7~°'~° BY: James F. King, President Board of Trustees Donald Wilder, Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (63 I) 765-1892 Fax (631) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., September 10, 2008, the following recommendation was made: Moved by Don Wilder, seconded by Scott Worth, it was RESOLVED to SUPPORT the Wetland Permit application of CUTCHOGUE-NEW SUFFOLK PARK DISTRICT to reconstruct the existing handicap access ramp and to construct a new wooden walkway to buffer beach from the existing parking area. Located: Nassau Point Causeway Beach, Cutchogue. SCTM#104-8-6.1 Inspected by: Scott Worth The CAC Supports the application with the Condition a French drain is installed to catch all run-off and chemicals from the asphalt parking area, and the handicap ramp is shortened because the existing ramp is buried due to an accumulation of sand on the beach. Vote of Council: Ayes: All Motion Carried James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. P.O, Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report CUTCHOGUE-NEW SUFFOLK PARK DISTRICT requests a Wetland Permit to reconstruct the existing handicap access ramp and to construct a new wooden walkway to buffer beach from the existing parking area. Located: Nassau Point Causeway Beach, Cutchogue. SCTM#104-8-6.1 Type of area to be impacted: _~ltwater Wetland __Freshwater Wetland Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: ~,~Chapt.275 Chapt. 111 other Type of Application: ~.Wetland Coastal Erosion Amendment __Administrative__Erhergency --Pre-Submission -- Violation Sound ~_Bay Info needed: Modifications: Present Were:~J.King 74'-J.Dohert~P.Dickerson ~' D. Berger!~ B.Ghosio, D. Dzenkowski ~-Maflr'T~--efry:_ other -- ' ~ t~H~--- Form.filled out in the field by Mailed/Faxed to: Date: Environmental Technician Review- OFFICE LOCATION: Town Hall Annex 54375 State Route 25 Main Rd. & Youngs Ave. Southold, NY 11971 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 To: Jim King, President Town of Southold Board of Trustees From: Scott Hilary and Mark Terry, LWRP Coordinators Date: September 11,2008 Re: Chapter 268, WATERFRONT CONSISTENCY REVIEW Wetland Permit for CUTCHOGUE-NEW SUFFOLK PARK DISIRI~T.':dd} SCTM# 104-8-6.1 Christopher Stress, R.A. on behalf of CUTCHOGUE-NEW SUFFOLK PARK DISTRICT requests a Wetland Permit to reconstruct the existing handicap access ramp and to construct a new wooden walkway to buffer beach from the existing parking area. Located: Nassau Point Causeway Beach, Cutchogue. SCTM# 104-8-6. I 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 our recommendation that the proposed action is CONSISTENT with LWRP policy standards and therefore is CONSISTENT with the LWRP. Policy 9 Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. 9.1 Promote appropriate and adequate physical public access and recreation to coastal resources. A. Provide a level of public access and type of recreational use which takes into account the following factor: 6. The needs of special groups such as the elderly and persons with disabilities. The reconstruction of the existing handicap ramp and the continuance of the wooden walkway will further advance LWRP Policy 9 in promoting appropriate means of access to coastal resources for ~rouDs such as the elderly and persons with disabilities. Figure #1 Existing wooden walkway to be extended. Figure #2 Existing handicapped ramp to be reconstructed. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. RUG-20-2008L _. 03:4? FROM:CHRIS,ER STRESS A (provide LILCO Pole #, distance to cross sire~ts, and Io~afion) AGENT: ~"~ ,r,~"~.-~ ~. (If applicable) ~d of Trustees Application Land Area (in square feet): Area Zoning:_ GENERAL DATA Previous use of property: Intended use of property: Prior permits/approvals for site improvements: Agency Date __ No prior permits/approvals for site improvements. Has any permifapproval ever been revoked or suspex.n, ded by a governmental agency? ~_ No Yes If yes, provide explanation: Project Description (use attachments if necessary): 9ard of Trustees Application County of Suffolk State of New York 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/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK W1LL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES~, THEIR AGENT(S) OR REPRESENTATIVES(S), TO E~ P~.c~L~' TO INSPECT THE PREMISES IN CONJUNCTION O PL1C.A~TION. Signature SWORN TO BEFORE THiS D^YO 20OZ BARBARA A. MCCAFFERY NOTARY PUBLIC STATE OF NEW YORK NO. 4851232 SUFFOLK COUNTY TERM EXPIRES JULY 14,~:~;~ tard of Trustees Application AUTHORIZATION (where the applicant is not the owner) I, ~2F~ .~dZ~O/~ residingat~ff-Z? ~-.~-~7'- (l~dnt owner of l~roperly) (mailing address) do hereby authorize ,~ · apply for permit(s) from the Southold Board of Town Trustees on my behalf. tard of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: Are wetlands present within 100 feet of the proposed activity? ~ No~ Yes Does the project involve excavation or filling? ~- No / Yes If Yes, how much material will be excavated? (cubic yards) How much material will be filled? ~ ~)- .(cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting f~om implementation of the project as proposed. (Use attachments if necessary) tard of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: ~_~J square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: I O0 feet Closest distance between.nearest proposed structure and upland edge of wetlands: c/5 ~'ar~ feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? ~' 0- cubic yards How much material will be filled? ~'0" cubic yards Depth of which material will be removed or deposited: ~ 0"~ Proposed slope throughout the area of operations: ~- 0 ~ feet Manner in which material will be removed or deposited: 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): PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1, APPLICANT I 3.PROJECT LOCATION: 617,20 APPENDIX C STATE ENVIRONMENTAL QUALIFY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACT1ONS Only ( To be completed by Applicant or Project Spot. or) SEQR PROPOSED ACTION: ~ New [] Expansion [] Modlflca~o~lal~rafon DESCRIBE PROJECT BRIEFLY: 7. AMOUNT~O LAND AFFECTED' 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? '~Yes [] No If no, desoibelovJefly: 9. WHAT IS PRESE~IT LAND USE IN VICINITY OF PROJECT? (Choo~easmanyasapp¥) ] Oltmr (desc~be) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or LOcal) ~Yes [--'~No If yes. list agency name and pem~ / 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLy VALIO PERMIT O~ APPROVAL? ~3Yes [~No If yes, list agency name alii pemlit I approval: ~,~-x .,~c " ,' " [ 'l~.^,~{~t~T OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MOOIFICATION? I CERTI~THAT/~THE INF~MATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE If the action Is a Costal Area, and you are a $-'~ agency, complete the Coastal Assessment Form before proceeding with thIs assessment PART I! - IMPACT ,de~F.,ISMENT (To be compIMed b~ I.e~d A~,ncy) B. WILL ACTION RECEIVE COQRDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? ff NO, a nagath~e dectamtl~ may be superseded by a~other invotved agency. C. COULD ACT1ON RESULT IN AHY ADVERSE EFFECT~ ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. E),;~,-,t~ alt quality, sur~lns or gmurdtw~tor quality or qnandty, nahm levMs, ex~sblg Iralfic pattem, solid waste produclina or disp(~al, I C3. Vegeta~:~ or fauna, lish, she~sh or wildlife specie, ilgt~ca~t habilals, or Iflreatensd or emJa~geeBd specMs? Explain brlelly: I C5. Orov~, subsequem deveicpment, or reined ace,~ Ilkeiy to be Induced by the Ixopnaed a~*~on? ExPlain brieflyi D. WILL TH~ PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTIC~ THAT CAUSED THE ESTABLISHMEI~'~ ~ c~rI'ICAL E NVI RONMENTAL AREA (CEA)? (if yna, explM~ I~d~l)c E. IS THERE, OR IS THERE LI~ELY TO BE1CONTRC~/F_,~y RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If INSTRU~: Foreachadv~rsee~Yactidor~t~dab~ve~deth~minewhethe~#~sub~t~nita~arge~mpor1antOr~`N~V~8es~gni~can~ Each effect should be nasessed in connection with fas (a) se(ling (i.e. urban or rural); (b) probability of occumlng; (c) duration; (d) irreveraibility; geographic scope; and (f) magnitude. If ne ~,'e~_~_,y, add attachments Or reference supporting matorldla. Ensure that explanations contain sufficient de(ail to shew Ihat all relevant adverse impacts have been ide~ified and adequately addressed. If qunaiton d of part i was checkad yes, the determination of signit'~:ance must evaluate the polenf~al impact of the proposed action on the environmental charactadslics of the CEA. lille O~ Responsible Offer APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethlcs orohibits conflicts of interest on the oart of town officers and cmulovces. Thc ourcosc of this form is to provide information which caa aleR the town of oossible conflicts of interest and allow it to take whatever action is necessary to avoid stone. YOUR NAME: {?-~q..4'-<~'-z~'~5/~'d.~/ ~.. (Last name, first name, middle 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.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Plmming Other (If "Other", name the activity.) Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business i~tere~t" men~ a bus'mess, including a parmership, in which the town officer or employee hos even a pafdal ownership of(or employment by) a corpora6o~ in which the town officer or employee owns more than 5% of the shares. YES NO If you answered "YES", complete the balance of this form and date and sign where indicated. Name of pe~on employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicanffagent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): __A) the owner of greater than 5% of the sha~s of the corporate stock of the applicant (when the applicant is a coq~oration); B) the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); __C) an officer, director, pa~ner, or employee of the applicant; or __D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 Submitted th 200~ Si n.tore \ ¥ I - PrintName ~-------3J~~'' -- '"'--~C-/ Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold 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. 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 To~vn 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). 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 standards and conditions contained in the consistency review law. Thus~ each answer must be explained in detail~ listing both supporting and non- sunnorting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold ' s website (southoldtown.northfork.net), the Board of Tmstees Office, the Planning Department, all local libraries and the Town Clerk's office. PROJECT NAME DESCRIPTION OF SITE AND PROPOSED ACTION 08' 6,,/ The Application has been submitted to (check appropriate response): TownBoard [~ Planning Board ['~ Building Dept. [--] Board ofTrustee 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: Nature and extent of action: Location ofaction: Site acreage: Present land use: Present zoning classification: 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: ~~'-~;~t./,~.~-~,~ (b) Mailing address: ~ ~ ~/ (c) Telephone number: Area Code ( ).__~ (d) Application number, if any: Will the action be directly undertaken, require fimding, or approval by a state or federal agency? Yes [~ 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 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. ~ Yes ~ No'Not Applicable Attach additional sheets if necessary Policy 2. ProtectNand preserve historic and archaeological resources of the Town of Southold, See LWRP Section III 2~ies Pages 3 through 6 for evaluation criteria [-~ Yes F~ No,~.v__l~ot Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section II~l[cies Pages 6 through 7 for evaluation criteria ~] Yes ~'~ No~xl 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 Paves 8 through 16 for evaluation criteria ] Yes t Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16,~hro~gh 21 for evaluation criteria [] Yes [] No/l-XlNotApplicable~ 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. Yes No-~Not App~able Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. [--] Yes ~No~ Not Applicable Aitach 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. [~ Yes [~] No [~ot 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 ~'~es~ No'Not Applicable Attach additional sheets if necessary WORKING COAST POLICIE~I~ Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations~ec LWRP Section III- Policies; Pages 47 through 56 for evaluation criteria. [] Yes V~ No/~,,~ot 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 LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. Yes [] No/~NNot Applicable .,,,.// Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. [] Yes [] No'Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. ~ Yes [] NoX~ Not Applicable PREPARED~B~~ )'~TITLE /~t~n~:~ DATE~~ Site Plan of Beach Areas At Nassau Point Showing Proposed Improvements In the Town of Southold Suffolk County, New York SCTM: 10002104-08-6.1 Sheet 1 of 3 Scale: 1" =20' APPROVED B--~'~ BOARD OF TRUSTEES I TOWN OF,SOUTHOLD J .~ET 3 scALE 1' =200 ~ , ,~ 1. ELrVATIONS P:r, oject Site LITTLE HOG NECK NASSAU - , , . ......... ..... ~~~~-.~ .'~, . ~- , . . , ,~-' .. ~~ / ~.' , EXI~INO ELEVATIONS ARE SHOWN THUS:~ ~XISTING ~ONTOUR LINES ARE SHOWN ~US~ -~ Site Plan of Beach Areas At Nassau Point Showing Proposed Improvements In the Town of Southold Suffolk County, New York SCTM: 1000-104-08-6.1 Sheet 2 of 3 Scale: 1" =20' -- KEY MAP SCALE 1 "'--200' KEY MAP 2" = 1 mile Project Site LITTLE HOG NECK NASSAU POINT 1, ELEVATIONS ARE REFERENCED TO N.O.V.D. 1929 DATUM EXISTING ELEVATIONS ARE SHOWN THUS:.~ EXISTING CONTOUR LINES ARE SHOWN THUS: hi Il: I-- Site Plan o, fBeach Areas At Nassau Point Showing Proposed Improvements In the Town of Southold Suffolk County, New York SCTM: 1000-104-08-6.1 Project Site t t//I Ill , ~HE£T 3 tl////~ ' SCALE 1 -200' NASSAU POINT Sheet 3 of 3 Scale: 1" =20' ..... - KF, Y MAP . NOTES: 1. ELEYA?~ON$ ARE REFERENCED TO N.G.V.D. 1929 DATUM EXISTING ELEVATIONS ARE SHOWN THUS:5,~ EXISTING CONTOUR LINES ARE SHOWN THUS= --5¸