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HomeMy WebLinkAboutTR-6975 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1 st day of construction ½ constructed ~'"/Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 6975 DATE: OCTOBER 15, 2008 ISSUED TO: ROBERT KRUDOP PROPERTY ADDRESS: 4650 OLE JULE LANE~ MATTITUCK SCTM# 122-4'34 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 Trastees adopted at the meeting held on October 15.2008, and in consideration of application fee in the sum of $250.00 paid by Robert Kmdop and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland P~rmit to excavate bank to a 1:3 slope; resultant 30 cubic yards of excavated material to be trucked off site to an approved locatiOn; armor 95 linear feet of slope with a 100 lb. toe stone and a maximum of 10-20 lb. stone along the face of the slope; plant inter-tidal marsh ~the upper 1/3 tidal range and a buffer area landward of the tidal wetland boundary, with the condition of the installation of a 5' non-turf buffer along the landward edge of the stone revetment, and as depicted on the site plan prepared by Robert Krudop, last dated June 19, 2006~ and received on September 5, 2008. 1N 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. - Absent TERMS AND CONDITIONS The Permittee Robert Krudop~ residing at 4650 Ole Jule Lane, Mattituck, New York 11952 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 Permittec assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. That there will be no unreasonable interference with navigation as h 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 Permittec will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. The Permittec is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Department of Real Properties Office~ as a notice covenant and deed restriction Jo the deed of the subject parcel. Such ~vldence shall be provided within ninety (90) 'calendar days of issuance of this permit. That the said Board will be notified by the Permittee of the completion of the work authorized. 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 October 15, 2008 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Robed Krudop 4650 Ole Jule Lane Mattituck, NY 11952 RE: 4650 OLE JULE LANE, MATTITUCK SCTM# 122-4-34 Dear Mr. Krudop: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, October 15, 2008 regarding the above matter: WHEREAS, ROBERT KRUDOP 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 September 5, 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 recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 4 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the installation of a 15' non-turf buffer along the landward edge of the stone revetment, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on October 15, 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 for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of ROBERT KRUDOP to excavate bank to a 1:3 slope; resultant 30 cubic yards of excavated material to be trucked off site to an approved location; armor 95 linear feet of slope with a 100 lb. toe stone and a maximum of 10-20 lb. stone along the face of the slope; plant inter-tidal marsh in the upper 1/3 tidal range and a buffer area landward of the tidal wetland boundary, with the condition of the installation of a 5' non-turf buffer along the landward edge of the stone revetment, and as depicted on the site plan prepared by Robert Krudop, last dated June 19, 2006, and received on September 5, 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: $ 0.00 Very truly yours, ~ Do herty0~dent ~oard of Trustees JMD/eac Donald Wilder, Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765 - 1892 Fax (631) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., October 8, 2008, the following recommendation was made: Moved by Doug Hardy, seconded by Peter Young, it was RESOLVED to SUPPORT the Wetland Permit application of ROBERT KRUDOP to excavate bank to a 1:3 slope. Resultant 30 cy. of excavated material to be trucked off site to an approved location. Armor 95 linear ft. of slope with a 100 lb. toe stone and a maximum of 10-20 lb. stone along the face of the slope. Plant inter-tidal marsh in the upper 1/3 tidal range and a buffer area landward of the tidal wetland boundary. Located: 4650 Ole Jule Lane, Mattituck. SCTM#122-4-34 Inspected by: Peter Young, James Eckert Vote of Council: Ayes: All Motion Carried James F. King, President Jill M. Dohe~ty, Vice-President Peggy A. Dicke~son Dave Bergen Bob Ghosio, Jr. P.O Boxl179 Southold, NY 11971 Telephone (631 ) 765 - 1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/VVorksession Report Date/Time: ROBERT KRUDOP requests a Wetland Permit to excavate bank to a 1:3 slope. Resultant 30 cy. of excavated material to be trucked off site to an approved location. Armor 95 linear ft. of slope with a 100 lb. toe stone and a maximum of 10-20 lb. stone along the face of the slope. Plant inter-tidal marsh in the upper 1/3 tidal range and a buffer area landward of the tidal wetland boundary. Located: 4650 Ole Jule Lane, Mattituck. SCTM#122-4-34 Type,of area to be impacted: ~..~'altwater Wetland Freshwater Wetland __Sound Bay Distance of proposed work to edge of wetland Part~r'~wn Code proposed work falls under:' [/,Chapt.275 Chapt. 111 other Type of Application: Wetland __Coastal Erosion __Amendment ~Administrative__Emergency Pre-Submission __Violation Info needed: Modifications: Conditions: Present Were: ?"J.King J.Dt,~oherty P.Dickerson __ __ D. Dzenkowski __Mark Ter~__other Form filled out in the field by D. Bergen__ B.Ghosio, Mailed/Faxed to: Date: Environmental Technician Review- NEW YOI:tI~STATE DEPARTMENT DEC PERMIT NUMBER 1-4738-03142/00002 FACILITY/PROGRAM NUMBER(S) ENVIRONMENTAL CO~!NSERVATION PERMIT Under the Environmental Conservation Law EFFECTIVE DATE Au~lust 28, 2006 EXPIRATION DATE(S) August 27, 2011 TYPE OF PERMIT · New [] Renewal [] Modification [] Permit to Construct [] Permit to Operate · Article 15, Title 5: Protection of Waters [] Article 15, Title 15: Water Supply [] Article 15, Title 15: Water Transport [] Article 15, Title 15: Long Island Wells [] Article 15, Title 27: Wild, Scenic and Recreational Rivers · 6NYCRR 608: Water Quality Certifl!:a- tion [] Article 17, Titles 7, 8: SPDES [] Article 19: Air Pollution Control [] Article 23, Title 27: Mined Land Reclamation [] Article 24: Freshwater Wetlands · Article 25: Tidal Wetlands [] Article 27, Title 7; 6NYCRR 360: Solid Waste Mana~lement [] Article 27, Title 9; 6NYCRR 373: Hazardous Waste Management [] Article 34: Coastal Erosion Management [] Adicle 36-: FIoo. dplain Management [] Articles 1, 3, !-~, 19, 27, 37; 6NYCRR 380; Radiation Control PERMIT ISSUED TO Robert H. Krudop TELEPHONE NUMBER (631) 298-7051 ADDRESS OF PERMITrEE 4650 Ole Jule Lane, Mattituck, NY 11952 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER NAME AND ADDRESS OF PROJECT/FACILITY Krudop property, 4650 Ole Jule Lane, Mattituck COUNTY I TOWN I WATERCOURSE Suffolk Southold James Creek DESCRIPTION OF AUTHORIZED ACTIVITY: INYTM COORDINATES Excavate bank to a 1:3 slope. Resultant 30 cubic yards of excavated material to be trucked off site to an approved location. Armor 95 linear feet of slope with a 100 lb. toe stone and a maximum of 10-20 lb. stone along the face of the slope. Plant intertidal marsh in the upper 1/3 tidal range and a buffer area landward of the tidal wetland boundary in accordance with the attached plans stamped NYSDEC approved on 8/28/06. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: r ADDRESS Georqe W. Hammarth {DMG) Re,cjion 1 Headquarters~ Bldq. #40~ SUNY~ Stony Brook~ NY 11790-2356 AUTHORIZED SIGNAT~U.,RE '/'~" I AugustDATE 28, 2006 .~~. x,'~"',~'~ Page 1 of 4 ~';; ~,F[K STATE DEPARTMENT OF ENVIRONMENTAL SPECIAL CONDITIONS 1. Any debris or excess material from construction of this project shall be completely removed from the adjacent area and removed to an approved upland area for disposal. No debris is permitted in tidal wetlands or protected buffer areas, 2. There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activities. 3. All areas of soil disturbance resulting from the approved project shall be stabilized with appropriate vegetation (grasses, etc.) immediately following project completion or prior to permit expiration, whichever comes first. If the project site remains inactive for more than 48 hours or planting is impractical due to the season, then the area shall be stabilized with straw or hay mulch or jute matting until weather conditions favor germination. 4. All areas of soil disturbance resulting from the approved project shall be stabilized as per the specifications of the approved plans immediately following project completion or permit expiration, whichever comes first. If the project site remains inactive for more than 48 hours or planting is impractical due to the season, then the area shall be stabilized with straw or hay mulch or jute matting until weather conditions favor germination. 5. All areas of soil disturbance resulting from the approved project shall be stabilized with approved native vegetation immediately following project completion or prior to permit expiration, whichever comes first. Please contact Marine Habitat Protection at (631) 444-00295 for a list of approved species and planting densities. If the project site remains inactive for more than 48 hours or planting is impractical due to the season, then the area shall be stabilized with straw or hay mulch or jute matting until weather conditions favor germination. 6. The storage of construction equipment and materials shall be confined within the project work area and/or upland areas greater than 75 linear feet from the tidal wetland boundary. · 7. All disturbed areas where soil will be temporarily exposed or stockpiled for longer than 48 hours shall be contained by a continuous line of staked haybales / silt curtains (or other NYSDEC approved devices) placed on the seaward side between the fill and the wetland or protected buffer area. Tarps are authorized to supplement these apl~r..oved methods. 8. All erosion control devices shall be maintained in good and functional condition until the project has'been completed and the area has been stabilized. 9. Equipment operation below (seaward) of apparent high water is strictly prohibited. 10. The existing bank shall be graded and shaped to receive the revetment or other shoreline stabilization structure so that the final toe of slope extends no further seaward or closer to the tidal wetlands than the existing toe of slope. ' 11. There shall be no discharge of runoff or other effluent over or through any bulkhead or shoreline stabilization structure or into tidal wetland or protected buffer area. 12. To protect the values of the tidal wetlands, a permanent vegetated buffer zone shall be established. There shall be no disturbance to the natural vegetation or topography within an area extending 10 linear feet landward of the tidal wetland boundary. 13. Necessary erosion control measures e.g., staked haybales, silt fencing, etc. are to be placed on the downslope edge of any disturbed areas. This sediment barrier is to be put in place before any disturbance of the ground occurs and is to be maintained in good and functional condition until thick vegetative cover is established. 14. Excavated sediment shall be placed directly into the approved disposal/dewatering site or conveyance vehicle. No side-casting (double dipping) or temporary storage of dredged material is authorized. 15. The intertidal area shall be planted with Spartina alternifiora 12" on center and the permit holder shall ensure a minimum of 85% survival of plantings by the end of five growing seasons. If this goal is not met, the permit holder shall re-evaluate the restoration project in order to determine how to meet the mitigation goal and submit plans to be approved by the office of Marine Habitat Protection, Building 40 - SUNY, Stony Brook, NY 11790-2356. DEC PERMIT NUMBER 1-4738-03142/00002 PAGE 2 of 4 DEPARTMENT OF ENVIRONMENTAL CON AD. DITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (TITLE 5), 24, 25, 34 AND 6NYCRR PART 608 ( TIDAL WETLANDS) If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed, the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. - . The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation or for other purposes, and no claim or right to compensation shall accrue from any such damage. All necessary precaL~i0ns shall be taken to preclude contamination of any wetland or waterway by suspended sohds, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project. 4. Any material dredged in the conduct of the work herein permitted shall be removed evenly, without leaving large re?use piles, ridges across the bed of a waterway or floodplain or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a waterway. There shall be no unreasonable interference with navigation by the work herein authorized. If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. 7. If granted under 6NYCRR Part 608, the NYS Department of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitations or other limitations or standards under Sections 301,302, 303, 306 and 307 of the Clean Water Act of 1977 (PL 95-217) provided that all of the conditions listed herein are met. 8. At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with ~hotographs of the completed work and, if required, a survey. ' 9. All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or his agent as part of the permit application. Such approved plans were prepared by: Robert Krudop on 6/19/06. DEC PERMIT NUMBER 1-4738-03142/00002 PAGE 3 of 4 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSE ATION Item A: Permittee Accepts Leg~l~'~esponsibility and Agrees to Indemnifica'~on - The I~ermittee, excepting state or federal agencies, expressly agrees to indemnify and hold harmless the Department of Environ mental Conservation of the State of New York, its representatives, employees, and agents ("DEC") for all claims suits, actions, and damages, to the extent attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in connection with, or operation and maintenance of, the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent or intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and ~ight~,of-way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or ~ested in a person not a party to the permit. GENERAL CONDITIONS General Condition 1: Facility Inspection by the Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department) to determine whether the 3ermittee is complying with this permit and the ECL. Such representative may order the work suspended.'pursuant to ECL 71-0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. General Condition 2: Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. General Condition 3: Applications for Permit Renewals or Modifications The permittee must submit a separate written application to the Department for renewal, modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. The permit'tee must submit a renewal application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES), Hazardous Waste Management Faciiities (HWMF), major Air Pollution Control (APC) and Solid Waste Management Facilities (SWMF); and b) 30 days before expiration of ail other permit types. Submission of applications for permit renewal or modification are to be submitted to: NYSDEC Regional Permit Administrator, Region 1, SUNY Bldg ~40, Stony Brook NY 11790-2356 General Condition 4: Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to modify, suspend or revoke this permit in accordance with 6 NYCRR Part 621. The grounds for modification, suspension or revocation include: a) materially false or inaccurate statements in the permit application or supporting papers; b) failure by the permittee to comply with any terms or conditions of the permit; c) exceeding the scope of the project as described in the permit application; d) newly discovered material information or a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; e) noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. DEC PERMIT NUMSER I 1-4738-03142/00002 IPAGE 4 OF 4 STATE OF NIE~N YORK DEPARTMENT OF STATE 4 I STATE STREET ALBANy, NY 122:31-OOOI GEORGE E. PATAKI GOVERNOR November 22, 2005 Robert Kmdgo 4650 Ole Jule Lane Mattituck, NY 11952 F-2005-0749 U.S..%",~y Co:ps of Engineem,~ew York District Pe~rrnit Application - Robert Krudgo - Use local native rocks and planting along the bank of a dredged canal to help control erosion James Creek, Town of Southold, Nassau County General Concurrence Dear Mr. Kmdgo: The Department of State received your Federal Consistency Assessment Form and consistency ?~rtification and supporting information for this propOsal on September 29, 2005. 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-2005-0749. SCR/sm Sincerely, - S~u~is~o f~onsistency Review Division of Coastal Resources COE/New York District - Michael Vissichelli NYSDEC Region 1- John Pavacic · Ig~IAIL.' INFO~IDO~ .~rATE. Ny. U~ REPLY TO ATTENTION OF: Regulatory Branch DEPARTMENT OF THE ARMY NEW YORK DISTRICT, CORPS OF ENGINEERS JACOB K. JAVITS FEDERAL BUILDING NEW YORK, N.Y. 10278-0090 January 4, 2006 SUBJECT: Application Number 2005-01107-L2 by Robert H. Krudop Robert H. Krudop 4650 Ole Jule Lane Mattituck, New York 11952 Dear Mr. Krudop: On October 4, 2005, the New York District Corps of Engineers received a request for Department of the Army authorization to place along"approximately 100 feet of the bank local rocks and plantings to help control erosion. The site is located in James Creek at Mattituck, Town of Southold, Suffolk County, New York. Based on the information submitted to this office, ouT review of the project indicates that an individual permit is not required. It appears that the activities within the jurisdiction of this office could be accomplished under Department of the Army Nationwide General Permit Number 13. The nationwide permits are prescribed as an Issuance of Nationwide Permits in the Federal Register dated January 15, 2002 (67 FR 2020). The work may be performed without further authorization from this office provided the activity complies with the permit conditions listed in Section B, No. 13, Section C, any applicable New York District regional conditions, the following special condition(s), and any applicable regional conditions added by the State of New York, copies enclosed. Special Condition (A) The permittee understands and agrees that, if future operations by the United States require the removal, relocation, or other alteration, of the structure or work herein authorized, or if, in the opinion of the Secretary of the Army or his authorized representative, said structure or work shall cause unreasonable obstruction to the free navigation of the navigable waters, the permittee will be required, upon due notice from the Corps of Engineers, to remove, relocate, or alter the structural work or obstructions caused thereby, without expense to the United States. No claim shall be made against the United States on account of any such removal or alteration. This determination covers only the work described in the submitted material. Any major changes in the project may require -~ditional authorizations from the New York District. Care should be taken so that construction materials, including debris, do not enter any waterway to become drift or pollution hazards. You are to contact the appropriate state and local government officials to ensure that the subject work is performed in compliance with their requirements. This verification is valid for a period of two years from the date of this letter, unless the nationwide permit is modified, suspended or revoked. This verification will remain valid for two years from the date of this letter if the activity complies with the terms of any subsequent modifications of the nationwide permit authorization. If the nationwide permits are suspended, revoked, or modified in such a way that the actfvity would no longer comply with the terms and conditions of a · nationwide permit, and the proposed activity has commenced, or is under contract to commence, the permittee shall have 12 months from the date of such action to complete the activity. Within ~0 days of the completion of the activity authorized by this permit and any mitigation required by this permit, you are to sign and submit the attached compliance certification form to this office. If any questions should arise concerning this matter, please contact Frank Tangorra, of my staff, at (917) 790-8521. Sincerely, ~ ~ ss~chellm Section Enclosures Board Of $outhold 'Town Trustees SOUTHOLD, NEW YORK PERMIT NO ........................... DATE: .9.e..~....1.9.,.~oo5 ROBERT KRUDOP ISSUED TO ........................................... , ......................................................................................... · Pursuant to the provisions, of. Chapter .61~..o.f .the L~w,s,,of the State of New Yorl~, 1893; and C4~apter ~04 ct the ,I.~.ws ct tne - Sfat~ 'of New York 1952; end the Southold To~n Ordinance en- titled :'REgUlaTING ;&ND THE.PLACING OF: .C)BSTRUC]~C) .NS IN AND ON TOWN WATERS AND PUBLIC I.ANDS end the REMOVAL OF SAND, ~RAVEL-O,R, OTHER MATERIALS.F~M LANDS .UNDER TOWN WATERS;~'. and in accordance with 'the Resolution of The Bcard adopted at a meeting held on ~.~.:.~..PJ~. ....... 2.00.p........., and in eonslderation of the sum of $..2..P.~.:Pg. .......... paid by ............... . . of ................. -~..~-~!-u-~]~ .............................................. N. Y. and. subject to the Terms end Conditions listed on the reverse ride hereof, of SouthoJd Town' Trustees authorizes ~nd permits the following:. Wetland Permit to construct a rock revetment to cover an area of 5.5'x125' and plant with Spartina alt'erniflora and Spartin~ patens to .help control erosion along the bank, with the condi- t$on o~ plan~ng ~ 10'nonturf ~9~9r and all as depicted on' p~ans ~rawn y ~o~g t ru o u . . · · the odglnafing appllcatlo~. IN WITNESS WHEREOF, The said Board Of Trustees here- by causes its Corporate. S~..al to be a~xed, and these.~.resents to be subscribed by ~'malority of the se~d Board .as of th~s date, James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Jolm Holzapfcl Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 September 20, 2006 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Robert Krudop 4650 Ole Jule Lane Mattituck, NY 11952 RE: 4650 OLE JULE LANE, MATTITUCK SCTM#122-4-34 Dear Mr. Krudop: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed, September 20, 2006: , RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit #6225 to excavate bank to a1:3 slope, resultant 30 cy. of excavated material to be trucked off site to an approved location. Armor 95 linear ft. of slope with a 100 lb. toe stone and max. of 10- 20 lb. stone along the face of the slope. Plant inter-tidal marsh in the upper 1/3 tidal range and a buffer area landward of the tidal wetland boundary, and as depicted on the plan prepared by Robert Krudop dated June 19, 2006. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, President, Board of Trustees JFK:lms 122 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: From: Jim King, President Town of Southold Board of Trustees Mark Terry, LWRP Coordinator Scott A. Hilary, LWRP Coordinator Date: October 6, 2008 Re: Chapter 268, WATERFRONT CONSISTENCY REVIEW Wetland Permit for ROBERT KRUDOP SCTM#122-4-34 ROBERT KRUDOP requests a Wetland Permit to excavate bank to a 1:3 slope. Resultant 30 cy. of excavated material to be trucked off site to an approved location. Armor 95 linear ft. of slope with a 100 lb. toe stone and a maximum of 10- 20 lb. stone along the face of the slope. Plant inter-tidal marsh in the upper 1/3 tidal range and a buffer area landward of the tidal wetland boundary. Located: 4650 Ole Jule Lane, Mattituck. SCTM#122-4-34 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 us, it is our recommendation that the proposed action is INCONSISTENT with LWRP policy standards and therefore is INCONSISTENT with the LWRP. The LWRP sub-policies below recommend the use of non-structural erosion control measures in restoring natural protective features which have a reasonable probability of managing erosion. It is recommended that an indigenous vegetative planting plan be implemented in place of the proposed action of (95 linear ft. of slope with 100 lb. toe stone and 10-20 lb. stone along the face of the slope}. Planting of the slope with native vegetation will provide a practical non-structural approach in stabilizing the bank. Furthermore~ planting of the slope will complement the proposed intertidal planting plan in creating a vegetative transition landward. 4.1 Minimize losses of human life and structures from flooding and erosion hazards. B. Use vegetative non-structural measures to manage flooding and erosion hazards. 1. Use vegetative non-structural measures which have a reasonable probability of managing flooding and erosion, based on shoreline characteristics including exposure, geometry, and sediment composition. 4.2 Protect and restore natural I~l~tective features. B. Maximize the protective capabilities of natural protective features by: 1. avoiding a/leration or interference with shorelines in a natural condition 2. enhancing existing natural protective features 3. restoring the condition of impaired natural proteclive features wherever practical 4. using practical vegetative approaches to stabdize natural shoreline features D. Use hard structural erosion protection measures for control of erosion only where: 2. Vegetative approaches to controlling erosion are not effective. 3. Enhancement of natural proteclive features would not prove practical in providing erosion protection. 4. Construction o fa hard structure is the only practical design consideration and is essential to protecting the principal use. 7. Adequate mitigation is provided and maintained to ensure that there is no adverse impact to adjacent property or to natural coastal processes and natural resources and, if undertaken by a private property owner, does not incur significant direct or indirect public costs. The use of vegetative non-structural measures will further advance LWRP sub-policies 4.1 and 4.2 by maximizino the protective capabilities of the natural protective features of the shoreline as outlined above. The applicant has not demonstrated that the erosion would warrant the hardening of the shoreline. Further~ the proposed action is not consistent with the Town Goals as exemplified in the LWRP~ the Peconic Estuary Program adopted a "no net increase" policy, maintaining the current linear feet of natural shoreline and over the next 15 years reduce shoreline hardening structures by five percent. Before a permit is granted for any erosion control structure~ the applicant must demonstrate the purpose~ function~ and impact of the proposed action. Alternatives to the proiect must be carefully evaluated to determine whether the proposed hardened structure is necessary and whether adverse impacts can be avoided or minimized. The natural shoreline has an inherent natural, social, and economic value that should be respected to ensure continuing benefits to the town, region and state. While some erosion control structures are necessary to protect development~ there are many erosion control structures located along the shoreline of the Town of Southold that are not necessary for erosion protection. Erosion control structures can be both beneficial and detrimental. The cumulative impact of these structures can be large in area and significant in impact. Hardening of the shoreline is to be avoided except when alternative means~ such as soft engineering alternatives are not effective. Shoreline revegetation is a preferred approach to control erosion because of lower cost and fewer environmental impacts than hard structures. If the agency~ Board of Trustees makes a contrary determination of consistency~ the agency shall elaborate in writing the basis for its disagreement with their recommendations Pursuant to Chapter 268 Waterfront Consistency Review. § 268-5. Review of actions. H. In the event the LWRP Coordinator's recommendation is that the action is inconsistent with the LIg'RP, and the agency makes a contrary determination of consistency, the agency shall elaborate in writing the basis for its disagreement with the recommendation and state the manner and extent lo which the action is consistent with the L WRP policy standards. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only ~wOaStal Erosion Permit Application etland Permit Application Administrative Permit AmendmenffTrans fer/Exteasion eceiv~d Application:~ eceived Fee:$.~O%~v-~' ompleted Application Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) ~LWRP Consistency ~,~s¢~¢ent Form ~,/CAC Referral Sent: ~,"Date of Inspection: ,~~ Receipt of CAC Report: Lead Agency Determination: Technical Review: ~i,~,l~blic Hearing Held:_ ]1~? Resolution: $£P -5 2008 /E Name of Applicant Address Phone Number:( ) 2qY-?~ff7 c- ~")SGfl?c)(~ Suffolk County Tax Map Number: 1000- 12,2 Prope~tyLooation: ti(0% °k 2r~* t.. (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: trd of Trustees A~l~catio~ Land Area (in square feet): Area Zoning: Previous use of property: Intended use of property:. GENERAL DATA Prior permits/approvals for site improvements: No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency9 //No Yes ' If yes, provide explanation: Project Description (use attachments if necessary):. ~ - tJ- 2.~z rod. ..,.. o~,,.~ oo ,,,,-~+~ .~,.,.,.,.,~ of Trustees Applicatio~ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ~-G~,~ (~,.5.~.q,~ Area of wetlands on lot: (~) square feet Percent coverage of lot: ~/g- % Closest distance between nearest existing structure and upland edge of wetlands: I I \ feet Closest distance between nearest proposed structure and upland edge of wetlands: O feet o~ ~,~, Does the project involve excavation or filling? No / Yes If yes, how much material will be excavated? cubic yards How much material will be filled? ~9 cubic yards Depth of which material will be removed or deposited: G - ~ feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): of Trustees Ap$)licatio0 COASTAL EROSION APPLICATION DATA Are wetlands present within 100 feet of the proposed activity? No t/ 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 m,aterial will be Lemoved or Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) ¢ PROJECT [D NUMBER PART 1 - PROJECT INFORMATION 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2. PROJECT NAME County ~'¢'"~ '~~--~(~o ) ~ SEQR 3.PROJECT LOCATION:(~'(~-(., ~'~,, 4. PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide map 5, IS PROPOSED ACTION: E~'Now [] Expansion [] Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: 7 AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ~/~es [] NO If no, describe briefly: 9, WH IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) ~dentia, E~lndustrial [~Commercial [~Agriculture E~Park/ForestlOpenSpace []Other(describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) E~es r'~No if yes, list agency name and permit/ approval: 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ]Yes ~ yes, agency name permit approval: list and 12. AS A RESUi~OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? E~es I'1No I CERTIFY THAT~ --THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OFMY KNOWLE/.2[Q*/oGE Signature / IX':i'/ ~/ If the action i~ a Costal Area, and you aro ¢omplotB th~ Coastal A~$e$~m*nt Form b~[or~ pro¢*~ding with thi~ a~o~mont PART II - IMPACT ASSESSMENT (To be completed by Lead A~lenc¥) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD iN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL EAF. B, WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 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, it legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2 Aesthetic, agricultural, archaeological, historic, or other natural or cultural resoumes; or community or neighborhood character? Explain briefly: C3. Vege a on or fauna fish shellfish or wddhfe species s~gmficant 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 resoumes? Explain briefly: C5 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 identified in CI-C57 Explain briefly: C7. Other impacts (including chan~)es in use of either quantiiy or type of ene.r~/? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA fCEAt? ~lf yest _ ~_..ex lain briefly.' [~Yes r--~ No E IS THERE, OR IS THERE LIKEL~ T? BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If r--lYes r--iNo PART Ill - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULl EAF and/er prepare a positive declaration. Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed actio~ WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons suppoding thi determination. Name of Lead Agency Date Title of Responsible Officer Signature of Preparer (If different from responsible officer) Print or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YORK ~ ~ COUNTY OF SUFFOLK , residing at C.t~,3-O C,l.o-&.~- Lt., ~ · being duly sworn, deposes and says that on the · day of ,20 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Of ceat (certified) (registered) mail. , that said Notices were mailed to each of said persons by BONNI£ I. DOROS~I Notary Public, State Of New Yofl[ IXlo. 01D06095328, Suffolk Goun~ Term Expires July 7, 20 \[.. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of ..... ......................... COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING being duly sworn, depose and say: That on the~oo day of ~ 200~, I personally posted the property known as by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public heating. Date of hearing noted thereon to be held lJ..]o~- tOc lq ! ~-. r~OO [' ~' Dated: (signature) · .~wom to befgre me this [~'~day of OC-~. 200(~ [tO~NI£ J.~0S~ N0ta~ Pubtic, State 0f N~ N0.01~06095328, Suffolk lermExpiresJulyT, 20 ~ ~ 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 Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 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. Thns~ each answer must be explained in detail~ listing both supporting and non- suooortiw, 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 Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION The Application has been submitted to (check appropriate response): TownBoard ~ Planning Board ~] Building Dept. ~-~ BoardofTrustees 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 of action: Site acreage: D/q*/- 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: (b) Mailing address: (c) Telephone number: Area Code (). (d) Application number, if any: 'TmP.~ Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [~No~ If yes, which state or federal agency?r/)~c 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 usc of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. / Yes 7] No [] Not Applicahle Attach additional sheets if necessary Policy 2. Protect and ,Preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - P~ieies Pages 3 through 6 for evaluation criteria [~ Yes [~ No[77~[Z2 Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. Sec LWRP Section III - Policies Pages 6 through 7 for evaluation criteria ~ Yes ~-] No [~//Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria ~ Yes ~ No ~ Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria I~/[ Yes ~ No ~ ~Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. No Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. [-'] Yes [~ No ~-~//Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. ~ Yes [] No [~Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. [] Yes~ No ~N2t Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. [] Yes ~ No ~-~ot Applicable Attach additional sheets if necessary Policy ll. Promote sustainable use of living marine resources in Long Island Sound, the Peeonie Estuary and Town waters. See LWRP Section III - Polieies; Pages 57 through 62 for evaluation criteria. ~-~ Yes ~ No ~-~No, 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. Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. [-~ Yes [] No [-~'Not Applicable P~PA~DBY Board of Trustees Application County of Suffolk State of New York DEPOSES AND AFFIRMS THAT ~IE/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 WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF TI;ttS APPLICATIQ.N, '~ Sig~atur~ SWORN TO BEFORE ME THIS 6~L~ DAY OF_~ ,20 ~5'~ BONNIE J. DOROSKI Nnte~y Public, State Of NewYodt No. 0100(3095328, Suffolk Couutlf Term Expires July 7, 20 ~.l of Trustees Applicati~ AUTHORIZATION (where the applicant is not the owner) (print owner of property) residing at (mailing address) do hereby authorize (Agent to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (owner's signature) 8 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics orohibits conflicts of interest on the hart of town officers and emolovees. The numose of this form is to nrovide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. (~ ~unl~?o ~e~ u I n nthe name of (Last name, first name, ~iddle initial y pp y' g' 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 Planning Other (lf "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 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 mom than 5% of the shares. YES NO ~ If you answered "YES". complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title Or position of that person Describe the relationship between yourself (the applicant]agent/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 shares of the corporate stock of the applicant (when the applicant is a corporation); 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, parener, or employee of the applicant; or ___D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 Submitted this ~day 9f ~ ~-,~'~ Signature ~. ~- ~ Print Name /-k~kz-r~1' ~wo&p 200~ SEP 5 2008 [ '[own Trustees qG~'o I I I I/I 'x APPRO' - b3ARD O~ '.','bi OF '? LD PREPARED tN ACCORDANCE WRH '[~IE MINIMUM STANDARDS FOR ~ SUR~ AS ESTABUSHED BY THE FOR SUCH STATE LAND Tm.E N.Y.S. Uc. No. 50467 Nathan Taft Corwin III Land SurYe¥or Title Surveys -- Subdivisions -- Site Plons -- Construction Loyout PHONE (631)727-2090 Fox (631)727-1727 OFFICE5 LOCATED AT MAIUNG ADDRESS 322 Roonoke Avenue P.O. Box 1931 Riverheod, New York 11901 Riverheed, New York 11901-0965 KRAU ROAD UNAUTHORIZED AJ_~"RATION OR ADDmON TO THIS SURVEY IS A VlOLA'RON OF ~ECTION 7209 OF ~HE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERT)FIDAI~ONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM ~'IE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE NOTE$~ 1. EM~ATION$ ARE REFERENCED TO N.O*V.D* 1929 DATUM THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. SURVEY OF PROPERTY SITUATED AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-122-04-34 SCALE JULY 19, 2002 NOVEMBER 26, 2002 REV~-~ED PROPOSED HOUSE AREA = 26,428.32 sq. ft. (TO TIE UNE) 0.607 ac. ~ TO: TICOR TITLE INSURANCE COMPANY ROBERT KRUDOP / / 70'19'15'