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Home My WebLink AboutTR-6908 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction ½ constructed U///Project complete, compliance inspection. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 6908 DATE: JUNE 18~ 2008 ISSUED TO: STACY SHEPPARD PROPERTY ADDRESS: 710 PARK AVENUE EXT, MATTITUCK SCTM# 123-8-28.5 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 June 18, 2008, and in consideration of application fee in the sum of $250.00 paid by Stacy Sheppard 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 for the existing 49' jetty, with the condition that when it is rebuilt it is to be a built as a low-profile groin, and as depicted on the site plan prepared by Costello Marine Contracting Corp., last dated March 27, 2008, and received on April 8, 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 Stacy Sheppard, residing at 200 Airway Drive, Mattituck, 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 owen 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 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 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 Iow 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 June 18,2008 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Ms. Stacy Sheppard 200 Airway Drive Mattituck, NY 11952 710 PARK AVENUE EXT., MATTITUCK SCTM# 123-8-28.5 Dear Ms. Sheppard: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, June 18, 2008 regarding the above matter: WHEREAS, STACY SHEPPARD applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated April 8, 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 June 18, 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, 2 WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of STACY SHEPPARD for the existing 49' jetty, with the condition that when it is rebuilt it is to be a built as a Iow-profile groin, and as depicted on the site plan prepared by Costello Marine Contracting Corp., last dated March 27, 2008, and received on April 8, 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, President, Board of Trustees JFK/eac James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD To: 5 q-f d Please be advised that your application dated /3r[~r,'l ~, o-ZOo ~ has been reviewed by this Board at the regular meeting of ' ',~"c~_ I ,~. ~ and your application has been approved pending the completion o~ the - 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) F/inaonstructed ($50.00) t Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: BY: James F. King, President Board of Trustees Jay p. WICKHAm / . Page 2 of 2 5/21/2008 Page 1 of 2 Hilary, Scott Do the Trustees ~cmr in the structure which is not visible '~subsurthce soil and water" in the function assessment'? In this inslance my fear is that if the groins are not maintained to the l~nction as they exist now the beach m flora of the home wiJl erode/scour out wdh deposition to the east into the channel fhe groins to the easl are also more northward than the subject groins which ma5 accelerate the erosion/scouring Additionally, these homes arc at severe risk due to their peninsular location 1 recommend that the I'rust ees evaluate the groin field (photo 2) to tile wesl and study the long-shore drit~ A Coastal ENGINe. ER report is also highly recommended [h,t lakes in account the areas to the east and channel I could discuss this £urther with you or provide more photos f?onl dill~rent vantage points Please see that Jim receixes this 5/2t/2008 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., May 14, 2008, the following recommendation was made: Moved by Glen McNab, seconded by Don Wilder, i!~.~)~,~ RESOLVED to NOT SUPPORT the Wetland Permit~iplJli'catior'~of STACY SHEPPARD for the existing 49' jetty. Located: 710 Park Ave. Ext., Mattituck. SCTM#123-8-28.5 Inspected by: Peter Young, Glen McNab The CAC does Not Support the application because the jetty serves no purpose. 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 (63 I) 765-1892 Fax (63 I) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: STACY SHEPPARD requests a Wetland Permit for the existing 49' jetty. Located: 710 Park Ave. Ext., Mattituck. SCTM#123-8-28.5 Type_/of~'ea to be impacted: .~altwater Wetland Freshwater Wetland __Sound '~Bay Distance of proposed work to edge of wetland. · Pa~,-o~ Town Code proposed work falls under: t_./'Chapt.275 Chapt. 111 other Type of Application: I~Wetland __Coastal Erosion __Amendment __Administrative__Emergency Pre-Submission __Violation Info needed: Modifications: Conditions: Present Were: ~.King .L~DDoherty ~. Dickerso n __ D. Dzenkowski -'~ark Terry_~her5 Form filled out in the field by ~. Bergen__ B~.Ghosio, Mailed/Faxed to: Date: Environmental Technician Review- Stacy Shephard 710 Park Avenue Mattituck 3/25/08 710 Park Avenue Mattituck 3/25/08 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 # 0115C At BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE Date June 7, 2006 THIS CERTIFIES that the dwelling & attached decks 710 Park Ave. Ext., Mattituck is The certificate is issued to aforesaid property. Suffolk County Tax Map # 123-8-28.5 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 1/6/03 pursuant to which Trustees Permit # 5707 Dated 2/26/03 Was issued, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued for the dwelling and attached decks J. Parker Wickham owner of the Authorized Signature Board Of Southold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. ~'r~O#~. DATE: ...~.~:... 2,~.~.. ISSUED TO J. PARKER WICI(HAM Pursuant to the provisions of Chapter 61~i of Se I~ws of the State of New York, 1893; and Chapter 40~ of the Laws of fha State of New York 1952; and the Sou~held ToWn Ordinance tlfled ."REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REIvIOVAL OF SAND, GRAVEL OR OTHER MATERIALS LANDS UNDER TOWN WATERS;!~. and in acc0fdance with the m ' · Feb. 26, Resolution of The B6ard adopted at a eating held on ........................... ~.Q.0~, and Jn consideration of the sum of $..._~l~.....0. p... paid by J, Parker ~Vickham of ......... ~'~.~.t.~]~ ..................... N. Y. and subject to the Terms and Conditions listed on ~he reverse side hereof, of Southold Town Trustees authorizes and permits fire following: Wetland Permit to raise the existirig dwelling and attached decks to required FEMA elevation (3'+/-), new pile foundation and rebuild decks as necessary. all in accordance with the detailed specificatlon~ as presented in . the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes ifs Corporate Seal to be affixed, end ~esepresents to be subscribed by ~ 'majority of the said Board as of ~his date. OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION ........ TOWN or SOUTHOLD~ Jim r,_tng vresiaent Town of Southold Board of Imstees From: ScoR Hila~ and Mark Tc~, LW~ Coordinators Date: May 7, 2008 Re: Chapter 268: Waterfront Consistency Review Wetland Pe~t for STACY SHEPP~ SCTM8123-8-28. STACY SHEPPARD requests a Wetland Permit for the existing 49' jetty. Located: 710 Park Ave. Ext., Mattituck. SCTM#123-8-28. The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with LW'RP Policy standards and therefore is CONSISTENT with the LWRP. Policy 6 Protect and restore the quality and function of the Town of Southold ecosystem. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements r?f the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. It aooears that the existing groin is functioning and serving the purpose for which it was designed nursuant to § 275-2. § 275-2 Definitions; word usage. O FUNCTIONAL JETTY/GROIN -- A jetty or groin that is at least 75%physically intact and servinlt the nurt~oses for which it was designed. The proposed Ilroin is within an exi~tlno_ groin field which is currently serving as part of a whole in the stabilization of the coastline. Therefore the proposed action may be necessary, to further the protection of the principal structure and immediate homes within this coastal peninsular location consistent with LWRP Natural Coast sub-policy 4.1 as referenced below. NATURAL COAST POLICIES Policy Standard 4.1 Minimize losses of human life and structures from flooding and erosion hazards. The following management measures to minimize losses of human life and structures from flooding and erosion hazards are suggested: D. Use hard structural erosion protection measures for control of erosion only where: 4. Construction of a hard structure is the only practical design consideration and is essential to protecting the principal use. Further the proposed action is for the existing groin and will not result in a net increase of structure on the shoreline. Which is c~naiatrut with the Peconic Estuary Program "No Net Increase" policy of harden structures on the shoreline as noted in the Town of Southold's Pursuant to ~ 275-11, the applicant must comply with all standards for the construction of groins. § 275-11 Construction and operation standards. C. In water. The following standards are required for all in-water operations adjacent to residential properties. Operations conducted on properties zoned M1 or M2 may be given greater flexibility in these requirements given the water-dependent nature of their use. (1) Jetties and groins; general roles. [Amended 10-11-2005 by L.L. No. 17-2005] (a) Only low-profile jetties as defined in § 275-11 will be permitted. (b) Only in-place replacement of existing low-profile functional jetties and groins (as defined in § 275-2) is permitted. (c) Pre-backfilling of jetties and groins may be required. (d) In order to prevent the release of metals and other contaminants into the wetlands and waters of Southold, the use of lumber treated with chromated copper arsenate (also known as "CCA"), creosote, penta products or homemade wood preservatives is prohibited for use in sheathing and decking. Preservatives of any type, including but not limited to those listed above, cannot be applied to any jetty or groin after installation. (e) The use of tropical hardwoods is not permitted unless it is certified by the Forest Stewardship Council or similar organization. (f) No new jetties or groins will be permitted unless the work results in a net decrease in the total number of jetties in the subject area. (g) All applicants for jetties and groins extending across the foreshore shall be required to give and maintain a public passing way, on the upland, not less than five feet in width, to enable persons to pass and repass over said structure by steps or a ramp allowing pedestrian passage. Page 1 of 2 Hilary~ Scott From: Terry, Mark ~ent: Tuesday, May 20, 2008 1 31 PM To: Oickerso~ Peggy; Bob Ghosio; David Bergen; Doherty Ji!l I rarely argue for groins bu~ could you please consider tile f~)llowing in a decision tBr Sandy Sheppard {Photo 1 White l-louse, Center) The aerial photos indicate that the groins are fmactioning o~ "serving the purpose t~*r which it was designed" however, through visual assessment do nol appear to be 75% ~physically intact" (file photos/field § 27~2 Definitions; woful u~age. 6/9/2008 Page 2 of 2 6/9/2008 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 York11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application ~etland Permit Application __ Administrative Permit Amendment/Transfer/Extension ~l~eceived Application: ~eceived Fee:$~~( ~..Gompleted Application q __Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) ~kWRP Consistency Assessment Form 1411 {0 ~V"AC Referral Sent: ~ll~ ib~ ' Zl~'l~oflnspection: '~, It~0 ~ __Receipt of CAC Report: __Lead Agency Determination:__ Technical Review: ~4r~blic Hearing Held: ~;:kl!q)~' Resolution: Name of Applicant Address ~ Phone Number:( > q1?-,;9,235 Suffolk County Tax Map Number: Property Location: vii0 (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: ~rd of Trustees Applicati GENERAL DATA Land Area (in square feet): Area Zoning: ~x--qO Previous use of property: ~1~ 0~)t,~ ~) 0'l~J~ Intended useofproperty: ~0,.~1~,~ ¢~kJ~ Covenants and Restrictions: If "Yes", please provide copy. Yes X No 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 agency? ~'~No Yes If yes, provide explanation: Project Description (use attachments if necessary):. }ard of Trustees ApplicatJ WETLAND/TRUSTEE LANDS APPLICATION DATA Pnrposeoftheproposedoperations: '% ~R/~kI(ff.. ~kOflc~ ~ Area of wetlands on lot'~ Y/ square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands:f/- ~. ~ feet Closest distance between nearest proposed structure and upland edge of wetlands: "PI- TC) ~ 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? [~/A cubic yards Depth of which material will be removed or deposited: Proposed slope throughout the area of operations: ~/~ Manner in which material will be removed or deposited: ~J / PC feet Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): ,ard of Trustees Applicat COASTAL EROSION APPLICATION DATA Purposes of proposed activity: 40 ~c~(~XV~ ~2I~CI~R Are wetlands present within 100 feet of the proposed activity? No x~ Yes Does the project involve excavation or filling? ~( No Yes If Yes, how much material will be excavated? ~/~q' How much material will be filled? ~,../~ Manner in which material will be removed or deposited: k)//~ (cubic yards) (cubic yards) Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necegs.ary) PROJECT ID 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 SEQR 1.APPLICANT/SPONSOR 3.PROJECT LOC.~,TION: ~ ! Coulty - ~ 4. PRECISE LOCATION; Street Addess and Road Intersections. Prominent landmarks etc - or provide mad 6. DESCRIBE PROJECT BRIEFLY: 7~ OF LAND AFFECTED: t./~..,., acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? [~Yes [] No If no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) r~Residential r~lndustrial [~]~ommercial [~Agriculture [~Park/Forest/OpenSpace []Other(describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) E~Yes I~?'lNo If list name and permit / approval: yes, agency 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? r~lYes [~No If yes, list agency name and permit / approval: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? E~]Yes[~'No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Spo o[ Name Signature If the actio~is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT (To be completed by Lead Agency1 A. DOES ACTION EXCEED ANY TYPE t THRESHOLD IN 6 NYCRR, PART 6t7.47 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 617.6? If No, a negative declaration may be superseded by another involved agency. C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, )otential for erosion, drainage or flooding problems? Explain briefly: C2 C3 Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4 C5. C6. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly: Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: Long term, shod term, cumulativel o~ other effects not identified in CI-C57 Explain briefly: C7 i[he[ !m~?t~ !!ncl~d!~ ~S !~.u~ ~[ e!!her ~uanti~ ir type of ene.[~¥? _Ex~!ain bdefi¥: D WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA ~CEAI? f!f ~/es, ex plain briefl}': E~Yes E~No E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL iMPACTS? If)'es exp!a[n: [~] Yes E~]No PART III - 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 la rge or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration, Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed actior WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporfing thi! determination. Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK ~-,[~'~t%, tL~ 3~¥'DDvl~'~ , residing at ~00 ~('~X~ '~"-, ~ ' ' "~"~'~" ~ ' ~ ~ ~e ~J ~)t k ~)~' '~ ~ , being duly sworn, deposes ~d says that on ~'~'" .... ~'~ -~ -- - · eNotice I~ dayof ~ ,200E, dep°nent marled a tree c°py °f ~ ~fo~h in the Bo~d of T~stees Application, directed to each of~e above nmed persons at ~e addresses set opposite there respective nines; that the addresses set opposite the nines of said persons ~e the address of said persons ~ sho~ on the c~ent assessment roll,oftthe T~o~ of Southold; ~at said Notices were m~led at ?eyn?yd States?ost Office at ~F~ , that said Notices were mailed to eacn o~ sala persons oy (ce~ified) (registered) mail. _~ ~~~ Swom to ~b.e~re me ais /~ Dayof ~c~, ~Lg/. ,2~ffaC/ - Notary Publ' PATRICIA RICHERT Notary Pubti¢, State of New York No. 30-4741154 Qualified in Nassau / SL~i~Ik Coanti~ Commission Expires /'Ot/~/,/O,g~ James F. King, President Jilt M. Doherty, Vice-President PeggT~ A. Dickerson Dave Bergen Bob Ghosio, Ir. 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 I, ,.~'~X.~ ,~~l~residingat,, 200 being du y sworn, depose and gay: That on the [3 day of M0.x~ ,200~ I personally posted the pr. operty ~k229wn 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 [LIo~,> ~ 67t_ ~/1~ -_ Sworn to before me this Notary Public PATRICIA RICHERT Notar~ Public, State of New York No. 30-4741154 / , Qualified in Nassau/Suffo. if~. CoulYOe~. Commission Expires Board of Trustees Application County of Suffolk State of New York PREMISES 1N CONJUNCTION WITH REVIEW OF THIS APPLICATION. U -S~aturO ~] SWORN TO BEFORE ME THIS DAYOF ~? 4' ? ,2000t~ Notary Public LAUREN M. STANDISH Notary Public, SMte of New Yo~ No. 01ST6164008 Qualified n Suffolk County Commission Expires Apdl 9, 20~IL APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics nruhibits conflicts of thterest on the part of town Officers and emolovees. The t}uroose of this form is to I~rovide information which can alert the town of ~ossible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOURNAME: (Last name, first name, middle initial, unless you am applying in the name of someone else or other entity, such as a company, lfso, 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 (If "Other', narae 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 more than 5% of the shares. YES NO ~ If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself (the applicant/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 applicgnt (when the applicant is a corporation); B) the legal or beneficial owner of any interest in a non--coq~orate entity (when the applicant is not a corporation); C) an officer, director, partner, or employee of the applicant; or __D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I 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. Thus~ each answer must be explained in detail~ listing both snpporting and non- su~orfln~ 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 scm# . - 8 - 9.rs. PROJECTNAME ~'¥O. Ck_[ &~l.)L)dl-r~ The Application has been submitted to (check appropriate response): Townaoard [-q 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: 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: ,~-~1/~ i ~ (~ ~:~ ~ ~.~1x (b) Mailing address: ~(~ -~(~CLk~ ~ (c) Telephone number: Area Code~ '~q 09''- ~x ~ '23 ~'~ (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [] No[~J] Ifyes, 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 J ~} ~ - 3 'o J ' ' Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria [] Yes [] No l~ Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria ~ Yes ~ No [-] Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria Yes 7] mo mot 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 ~] Yes ['-] mo ~ 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. Yes No Not Agicable 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~ NoN Not Applicable Attach additional sheets if necessary WORKING COAST POLICI~ Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III- Policies; Pages 47 through 56 for evaluation criteria. Yes ~ No ~ Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peeonie Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ~'] Yes ~ No~ Not Applicable A~tach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. ~ Yes [] No ~ Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. ~ Yes [] No ~ Not Applicable PREPARED BY ~S~ S~ TITLE DATE ~/tT/{')~ DATE APPI~OVED BY BOARD TRUSTEES TOWN SOUTHOLD ~//e/~ ~, . '7",4/l..,-/_,Ol/V 1-4"~o~1~£ J~T7"y SUP~VE'r' ~ITUATE: I"IATTITUOK TOI/,IN: ~OUTHOLI~ SUI=FOLK OOUN'F'r', NY 5UF{'..,/t~Y'ED 12-2-/-qq 51JFFOLK COUNTY'. TAX ~ tOOO - 129 - 5 - 25.5 GEF~TIFI ED TO: J. PAP, KE~ !~ICKHAhl' NOTE~S, · MONUi'dENT PIPE At;REA = 24,468 5F OR 0.57 ACRES F4EFERENCE DEED: L. 11244 P. 525 ~APHtC SCALE OF: PP-,.OPtERTT ,:~, ,,'.~. ¢*¢,, ~,~ ~.~ '~-_ ,- - " JO~~HL~S L~D SURVEYOR 6 BAS% ~' ~H.S. LLC. NO. 50202 I"= ~O' ~AD, N.Y. 11901 369-8288 F~ 369-8287 ~F.-~GER~ROS~99-306 Board of Trustees Town of Southold 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Mr. James King, I, Jay Parker Wickham am presenting this dialogue and Photographs on behalf of my Daughter, Stacy Sheppard pursuant to the public session of Wednesday, May 21, 2008 which both she and I attended. Re: Wetlands permit application by Stacy Sheppard for an existing 49' jetty located at 710 Park Avenue Extension, Mattituck, New York. SCTM#123-8-28.5. On May 22, 2008 1 took the enclosed photographs of the jetty in question. I dug holes in the send to find all of the original length and the northerly most end as it now exists. Photo #1 depict the only remaining post above the current sand level. Photo #2 shows the Dram jetty to the west and that no Sheppard jetty protrudes above the current sand level. (I believe there was some concern on Mr. Ghosio's part that a "safety" hazard existed). Photos #3 and #4 depict the drum property looking west at what may have been misconstrued as the Sheppard jetty. Please note the condition of those existing jetties. Photos #5 and #6 depict the existing Shappard jetty. Post "A" can be seen clearly as Post "A" in the photos taken 1 day subsequent to the summons being enforced. 2006. I also took these photographs. Photos #7 and #8 depict protrusion "B" which is part of the original jetty and hole "C" is the continuation northward of that original jetty. As you can see almost 12" below current sand level and rotten so as to easily be broken away even with careful excavation with a shovel. Line "D" is the line on which I dug the remaining holes to identify the line of the original jetty. Photos #9 and #10 depict the digging northward and show the rotten fragments of the original jetty(not any of these photo show the repair board (2X6) or the northerly end post (4x4) that were installed in 2006 that prompted the summons). It has either been washed away or the ice took it away. Photos #11 and #12 depict the only existing post ("A") protruding from the current sand level and the shovel excavation to locate the original jetty and it's northerly end post. Again, none oftha repair that prompted the execution of the summons in 2006 remains either above the current sand level or below. Photos # 13 and #14 depict original jetty rotten protrusion "B" looking northward to the Sheppard house and #14 to the south with protrusion "B" in the foreground. Photos #15 and #16 depict the most northerly rotten end post of the original jetty. Photos #17 and #18 depict the most northerly "E" end post of the original jetty and a "clean" dig hole with no sand discoloration by rotten wood. Please note the dark particles in these photos. They are rotten wood and in photo #17 notice the send discoloration in the two holes. This is the only remaining sign of the original jetty in this area. In closing, I am in hopes that this negates all fears of a "safety" hazard and shows no sign of any of the repair prompting the summons from 2006. Please notice Stacy or myself so as to help you in any way to resolve this situation and permit the existing jetty in an "as is" condition. If Stacy is to one day have a new low profile groin installed through proper permitting, please take into consideration her resolve and many hours and trips to the town halt in order to do the "right thing" in a most unfortunate situation where she did nothing wrong other than be the owner of a property that an 86 year old man made a mistake and repaired an ice damaged portion of an existing jetty