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Home My WebLink AboutTR-7241Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0564C Date August 13, 2010 THIS CERTIFIES that the removal of a 66' timber groin, 45' timber bulkhead and replacement of an existing timber groin with new 80' low-profile timber and vinyl sheathing groin and repair 14' of an existing groin; removal of deteriorated timber groins and bulkhead; reconstruction of western timber groin 12" above the existing grade utilizing vinyl sheathing and 8" dia. timber piles; damaged CCA sheathing on eastern timber groin replaced with plastic lumber sheathing At Peconic Bay Blvd., Mattituck Suffolk County Tax Map #126-5-20.1 Conforms to the application for a Trustees Permit heretofore filed in this office dated 1/27/10 pursuant to which Trustees Wetland Permit #7241 dated 2/24/10 was issued and conforms to all of the requirements and Conditions of the applicable provisions of law. The project for which this certificate is being issued is for the removal of a 66' timber groin, 45' timber bulkhead and replacement of an existing timber groin with new 80' low-profile timber and vinyl sheathing groin and repair 14' of an existing groin; removal of deteriorated timber groins and bulkhead; reconstruction of western timber groin 12" above the existing grade utilizing vinyl sheathing and 8" dia. timber piles; damaged CCA sheathing on eastern timber groin replaced with plastic lumber sheathing. The certificate is issued to MATTITUCK PARK DISTRICT owner of the Authorized Signature Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: '~'/' Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt cu[tain ~ p ¢o~PWA~cf' ' 1st day of construction constructed b// Project complete, compliance inspection. INSPECTED BY: COMMENTS: CERTIFICATE OF COMPLIANCE: BOARD OF SOUTHOLD TOWN TRUSTEES SOUTIIOLD, NEW YORK PERMIT NO. ,7241 DATE: FEBRUARY 24~ 2010 ISSUED TO: MATTITUCK PARK DISTRICT PROPERTY ADDRESS: PECONIC BAY BOULEVARD~ MATTITUCK SCTM# 126-5-20.1 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on Feb~ 24. 2010, and in consideration of application tee in the sum of $250.00 paid by Mattituck Park Distt'iCt and subject to the Terms and Conditions as stated in th~.Resolution, the Southold Town Board of TrUstees authorizes and permits the following: Wetland Permit to remove a 66' long timber groin, 45' long timber bulkhead and replace an existing timber groin with a new 80' lOng Iow-Proirde timber and vinyl sheathing groin and repair 14' of an existing timber groin; existi6g deteriorated timber gr. 0in~and bulkhead to be removed from the site and disposed of at an offsite location; the western timber groin is proposed to be reconstructed 12" above the existing grade utilizing vinyl sheathing and 8" diameter timber piles; the damaged CCA sheathing on the eastern timber groin is proposed to be replaced with plastic lumber ~sheathing, and as depicted on the site~plan prepared by Condon Engineering, P.C., last dated January 25~ 2010, and received on January 27, 2010. 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 Mattituck Park District, residing at Pc, conic Bay Blvd., 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 own expense, defend any and all such suits initiated by third parties, and the said Permitten 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 low water marks. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. That the said Board will be notified by the Permittee of the completion of the work authorized. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke up6n failure to obtain same Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 February 24, 2010 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. John Condon Condon Engineering, P.C. 1755 Sigsbee Road Mattituck, NY 11952 RE: MATTITUCK PARK DISTRICT PECONIC BAY BOULEVARD, MATTITUCK SCTM# 126-5-20.1 Dear Mr. Condon: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, February 24, 2010 regarding the above matter: WHEREAS, Condon Engineering, P.C. on behalf of MATTITUCK PARK DISTRICT applied to the Southold Town Trustees for a permit under the previsions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated January 27, 2010, 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 Headng was held by the Town Trustees with respect to said application on February 24, 2010, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 2 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of MATTITUCK PARK DISTRICT to remove a 66' long timber groin, 45' long timber bulkhead and replace an existing timber groin with a new 80' long Iow-profile timber and vinyl sheathing groin and repair 14' of an existing timber groin; existing deteriorated timber groins and bulkhead to be removed from the site and disposed of at an offsite location; the western timber groin is proposed to be reconstructed 12" above the existing grade utilizing vinyl sheathing and 8" diameter timber piles; the damaged CCA sheathing on the eastern timber groin is proposed to be replaced with plastic lumber sheathing, and as depicted on the site plan prepared by Condon Engineering, P.C., last dated January 25, 2010, and received on January 27, 2010. 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, rt t. Dohert ~ President, Board of Trustees JMD/eac Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 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 ~ constructed t/"/ Project complete, compliance inspection. Jilt M. Doherty, President James F. King, Vice-President Dave Berge~ Bob Ghosio, Jr. John Bredameyer Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated ~T-o~c~oa,~v o~7, o?0/0 has been reviewed by this Board at the regular meeting of~--e~ca,~,~rv'o2¥,olo/O and your application has been approved pending the completion o~f 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) __ ~ Constructed ($50.00) V//Final Inspection Fee ($50.00) __ Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: BY: Jill M. Doherty, President Board of Trustees 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 Thurs., February 18, 2010, the following recommendation was made: Moved by Doug Hardy, seconded by Anne Trimble, it was RESOLVED to SUPPORT the Wetland Permit application of MATTITUCK PARK DISTRICT to remove a 66' long timber groin, 45' long timber bulkhead and replace an existing timber groin with a new 80' long Iow-profile timber and vinyl sheathing groin and repair 14' of an existing timber groin. Existing deteriorated timber groins and bulkhead to be removed from the site and disposed at an offsite location. The westem timber groin is proposed to be reconstructed 12" above the existing grade utilizing vinyl sheathing and 8" dia. timber piles. The damaged CCA sheathing on the eastern timber groin is proposed to be replaced with plastic lumber sheathing. Located: Peconic Bay Blvd., Mattituck. SCTM#126-5-20.1 Inspected by: Peter Young, Doug Hardy The CAC Supports the application with the Condition the signs are removed from publicly owned property and that there be compliance with the LWRP. The CAC also recommends a request is made for a report from a coastal engineer. Vote of Council: Ayes: All Motion Carried Jill M Dohel~y. President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer PO. Box 1179 Southold, NY 11971 Telephone(631)765-1892 Fax (631)765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report MATTITUCK PARK DISTRICT requests a Wetland Permit to remove a 66' long timber groin, 45' long timber bulkhead and replace an existing timber groin with a new 80' long Iow- profile timber and vinyl sheathing groin and repair 14' of an existing timber groin. Existing deteriorated timber groins and bulkhead to be removed from the site and disposed at an offsite location. The western timber groin is proposed to be reconstructed 12" above the existing grade utilizing vinyl sheathing and 8" dia. timber piles. The damaged CCA sheathing on the eastern timber groin is proposed to be replaced with plastic lumber sheathing. Relocation of existing outfall pipe and installation of new pipe. Located: Peconic Bay Blvd., Mattituck. SCTM#126-5-20.1 Type of area to be impacted: __Saltwater Wetland __Freshwater Wetland Sound 'Bay Distance of proposed work to edge of wetland ~.~hOhaf Town Code proposed work falls under: pt.275 Chapt. 111 other Type of Application: "~etland __Coastal Erosion __Amendment __Administrative__Emergency Pre-Submission Violation Info needed: Modifications: Conditions: Present Were: B.Ghosio, Form filled out in the field by ~J.King ¢'J~Doherty ~.Bredemeyer ~D. Bergen__ __ D. Dzenkowsk ~ other Mailed/Faxed to: Date: American Plastic Lumber - eri¢:an Plastic Lumber, Inc Request For Quote Contact Us and railing including Trimax, Dura~l~d, and Carefr... Page 1 ot 2 Largest select/on ot co~ors, rgzes, e,e.d grades available Premium. structural, u~lltV and sheet ooods htt~://www~american-p~astic~umber.c~m/tech-specs/structura~-~umber-technica~-data.htm 1/22/2010 American Plastic Lumber - and railing including Trimax, Dura~d, and Caret?... Page 2 ot 2 About Us I FA~Q'~s I Links_ I Privacy Policy I Colo~s I Si~ze~s l Comparison I Clients Contact Toll Free ($77) 677. 7701 - Local {530) 677. 7700 - Fax (530) 677.6718 Email ~_dC~,d rectcon not - Address P. O. Box 514, Shingle Spnngs CA. 95652 httt)://www~american-p~astic~umber.c~m/tech-specs/structura~-~umber-technica~-data~htm 1/22/2010 PURPOSE: EROSION CONTROL AND PROTECT OUTFALL PiPE DATUM: MEAN SEA LEVEL APPLICANT: MATTITUCK PARK DISTRICT '~. X ..,w --.~ / , ..¢:~ ~_ ~ ?'~ .,~ ;~ ~ ~ .... ,..-~ ~.. __-- -" PROPOSED RECONS~UC~D TIMBER -- _ - ~ -- - - -- GROIN LOW PROFILE OESlGN IN PECtiC S.C.T.M DIST. 1000 SEC. 126 BLK. 5 LOT 20.1 BAY AT ~ITUCK, TOWN OF SOUTHO~, COUNW OF SUFFO~. STATE OF NEW YOR[ [ MA~I~CK PARK Scale: 1"=100' Condon Engineering, P.C. DISTRICT PROPER~ ~ -- ~s~ PECONIC BAY BLVD. Drawn by: JJC ~~ MA~[TUCK, NY I Date: 7/1/2009 ~*~'~'~ EXISTING SITE P~N OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cot. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: From: Jim King, President Town of Southold Board of Trustees,,/ MarkTerry, Principal Planner ~ LWRP Coordinator ' Date: February 17, 2010 Re: Proposed Wetland Permit for MATTITUCK PARK DISTRICT SOTM#1000-126.-5-20.1 Condon Engineering, P.C. on behalf of MATTITUCK PARK DISTRICT requests a Wetland Permit to remove a 66' long timber groin, 45' long timber bulkhead and replace an existing timber groin with a new 80' long Iow-profile timber and vinyl sheathing groin and repair 14' of an existing timber groin. Existing deteriorated timber groins and bulkhead to be removed from the site and disposed at an offsite location. The western timber groin is proposed to be reconstructed 12" above the existing grade utilizing vinyl sheathing and 8" dia. timber piles. The damaged CCA sheathing on the eastern timber groin is proposed to be replaced with plastic lumber sheathing. Relocation of existing outfall pipe and installation of new pipe. Located: Peconic Bay Blvd., Mattituck. SCTM#126-5-20.1 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 the below Policy Standards and therefore is CONSISTENT with the LWRP provided the following best management practice is implemented to further the below policies. In the event that the action is approved; to further Policies 5. Protect and improve water quality in the Town of Southold, 6.3 Protect and restore tidal and freshwater wetlands and Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. It is recommended that the Board require that the silt boom be deployed during the construction of the structure pursuant to: § 275-11 Construction and operation standards. A. General. The following standards are required for all operations within the jurisdiction of the Trustees: (2) Erosion control. Installation of an erosion control structure is necessary during any building, grading, landscaping or site work activity within Trustee jurisdiction. This structure may include, but is not limited to, installation of a silt fence, hay bales, wood chip berm and silt booms. The placement of the erosion control structure(s) shall be determined by the Trustees or their designee. All intertidal construction and excavation requires the installation of a silt boom that will retain all suspended sediments within the immediate project area. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney 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 _~.oastal Erosion Permit Application ~'Wefland Permit Application Administrative Permit ~ ~Am~ndtn~nt~frans~r/F~t~mion ~R~eiv~ Appli~ation:~ ~ ~eceived Fee :$ r-~ ~"0 ~ · JCompleted Apphcation I } ,~c~ ] t~ __Incomplete __$EQRA Classification: Type I Type H Unl/sted Coord/nation:(date sent) --~LWRP Consistency Assessment Form [[~c~ I[~) ~^c Refe~l Sent: t I~q h~ --~5ate of ImV~ion: ~ __Receipt of CAC Report: __Lead Agency Determinatiom Technical Review: .'~'Public Hearing Held: ,q. io~L ~c~.[..O __Resolution: Phone Suffolk County Tax Map Number: 1000- (provide LILCO Pole #, distance to cross streets, and location) AGENT: 3~-'Of/~,/ Oro~r~d... /mx).~O~O (If applicable) Address: 1'-7557 C/C~s/~:~ iT_oAD Phone: Mattituck Park District- Park Beach (Yacht Club Beach) Project Description January 25, 2010 The applicant proposes to remove a 66 feet long existing timber groin, 45 feet long timber bulkhead, replace an existing timber groin with a new 80 feet long Iow profile timber and vinyl sheathing groin and repair 14 feet of an existing timber groin. The purpose of the groins is to provide erosion control and protect existing adjacent structures. The existing deteriorated timber groins and bulkhead will be removed from the site and disposed at an offsite location. The western timber groin is proposed to be reconstructed 12 inches above the existing grade utilizing vinyl sheathing and 8" diameter timber piles. The damaged CCA sheathing on the eastern timber groin is proposed to be replaced with plastic lumber sheathing. of Trustees Applicatio~ Land Area (in square feet): Area Zoning: ~- 30 Previous use of property: Intended use ofpropen':y: GENERAL DATA Covenants and Restrictions: If "Yes", please provide copy. Yes / No Prior permits/approvals for site improvements: Age~y Date __ No prior pemdts/approvals for site improvements. Has any permit/approval ever been revoked or suspend_ed by a governmental agency? 6/No Yes If yes, provide explanation: Project Description (use attachments if necessary): / Cc/4 ~oard of Trustees Applicatio~ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: fQPu~T /~/9 Qp~Tpo £ Area of wetlands on lot: L] I Percent coverage of lot: 20, ~ % Closest distance between nearest existing structure and upland edge of wetlands: L'? feet Closest distance between nearest proposed structure and upland edge of wetlands: {~ feet Does the project involve excavation or filling? t// No Yes lfyes, how much material will be excavated? 0 cubic yards How much material will be filled? ~) 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: square feet (' ~a r-d4 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): B~oard of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: P£~.,~,J'r'" Z[.,wO c%,or~oo Z- Are wetlands present within 100 feet of the proposed activity? No t// Yes Does the project involve excavation or filling? t/" No Yes If Yes, how much material will be excavated? ~:9 (cubic yards) How much material will be filled? (2~ (cubic yards) Manner in which material will be removed or deposited: ~:~,,~7-,,~ ~ Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) PROdECT' ID NUMBER PART1-PROJECTINFORMATION 1. APPLICANT / SPONSOR 617,20 SEQR 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 &PROJECT LOCATION: Municipality T~'O 0 F ~"~:~L)7~) 4. PRECISE L~ON: S~t ~ a~ ~ In~s. P~t ~s ~-~ ~ ~ PROPOSE° ACTION: [] Now 6. DESCRIBE PROJECT BRIEFLY: g Co c 7. AMOUNT OF LAND AFFECTED: initially ~:~, ~_. acres Ultimately O, ~_, acres 8. WILL PROPOSED ACTION COMPLY WiTH EXISTING ZONING OR OTHER RESTRICTIONS? [--l-~Yes [] No If no, descfibebriefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) I-1 ,o •Other (descn'be) 10. DOES ACTION INVOLVE A PERMIT APPRovAL. OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Fe~erat, State ~r Local) ~'[Yes •No ,yes. list agency nama and permit/approval; Il. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? F-lYes r~;;1No ~f yes. list agency ~ame and permit I approval: I CERTIFY THAT THE INFORMATION PROVIOEO ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE S~lnatum If the action 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 Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD iN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL FAF. ['-'~ Yes r~No B ~~LLACT~~NRE~E~VE~~~RD~NATEDREV~E~ASPR~VIDEDF~RUNLisTEDAcT~~NSIN6NYcRR~PART617~6? IfNo, anegative declaration may be superseded by another involved agency. [] Yes [] NO C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) 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 resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endar~ered species? Explain briefly: C4~ A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly: C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: C6. Long term, short ten~:'~,~aii~: ;; ;ihe~ effects not identified in ~1-C5? Explain briefly: C7. Other impacts Iii3ciudin~ chan~es in use of either quanti~ or type of enow;/. Explain briefl;/: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA ICEAI? IIf yes, explain bdefl¥: i-I Yes rTINoI E. iS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If )~es explain: [~Yes r~No J ...................................................... PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, ireportant 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 afl relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes, the determination of sig niflcance must evaluate the potential impact of the proposed action on the enviren mental characteristics of the CEA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then preceed directly to the F UL£ 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 envirenmental impacts AND provide, on attachments as necessary, the reasons supporting thi.~ determination. Board of Trustees Name of Lead Agency Jill M. Doherty Print or Type Name of Resl~onsibJe Officer in Lead Agency _~ Signature of R~§ponsible~2~cer in Lead Agency Date President Title of Responsible Officer Signature of Preparer (If different from responsible officer) PROOF OF MAIl,lNG OF NOTICE ATTACtl CERTIFIED MAIL RECEIPTS , being duly sworn, deposes and says that on the /(.~b~Tvv-~/day of ~3e~v ,! .20 16 , deponent mailed atruceopyoftheNofiee -. persons at thc addresses set opposite there respective n~me~; that'the addresse~ set opposite the names of said p~rsons are the address of said persons as shown on the current assessment roll of the Town of Soul,old; that said Notices we~'e mailed at the United Stat~ Post Office at ,rY)~/~ , ]~C~ , that said Notices were mailed to each ofsaid personsby (certified) (registered) mail. ~~. Sworn to before me this ayof 201 / - Notary Public , BARBARA H. TANDY Notary Public, State Of New York No, 01TA6086001 Qualified In Suffolk County Commission Expires 01113/20 Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemcyer Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 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 MATTITUCK PARK DISTRICT COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, ~-~)/OrI CC~n~ orl(~residingat/dba being duly sworn, depose and say: That on the / ? day of I:e.~r~.~'y ,2010, I personally l2o~ted the property known as by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wed.~ February 24~ 2~10 on or ~boul 6:~ PM. Dated: Sworn to before me this day of F-z49,201$0 N/6tary Public ' BARBARA H. TANDY Notary Public, State Of New Yol~ No. 01TA6086001 Qualified In Suffolk County Commission Expires 01/13/20 Board of Trustees Application County of Suffolk State of New York ]k.) ]/--']'f,9 {~ ~l)gT~[./~} BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/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 THIS APPLICATION. · '--' - signature SWORN TO BEFORE ME THIS /// ~ DAY OF ZT'/'j~qc'. ¢/ ,20 ./.v Notary Public No. 01CU~17432~ C~uiltfled in Surfak Coufl~ T~rm £x~ires Se~)temb~r 17. 20// Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) (print owner of property) residing at ~6/ ~r ! Cf (mailing address) do hereby authorize ~o ~/,d (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalfi APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the Dart of town officers and employees. The Duroose of this form is to pr0vi0e information which can alert the town of oossible conflicts of interest and allow it to take whatever action is YOURnec¢ ssarYNAME:to avoid same'~7~/7~' ~ //~'d~ ~.~' ¢~' (L~st na~Ine, first name, middle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If "Other", name the activity.) Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, man/age, or business interest. "Business interest" means a business, including a parmership, 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 es. 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 applicanffagenqrepresentative) 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 great~ than 5% of the shares oftbe 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, 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", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. 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 Dept. ~ 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: Locationofaction: ~-,~CO~/C._ ~/~ V Site acreage: /~. S'g6 /~C/2~S Presem land use: 10,4£/~ 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) ~re~ephone number: A~ea Code ( ) (~ ~ ) g'-~ Z- ~'/ ~ 9- (d) Application number, if any:. 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? /v"]' 5 ~)~C_ 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. 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 [] 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 T R / cH 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 ~ Yes [] No ~-~ Not Applicable 7-]~1~ P~o3-~o-'~ o,/cc ,~oT /-/A~o ~ A.,~ ,. ,v~-~5,4~7 ~ ~ /,'~,~4c ?~ / Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southoid ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. fl~. Yes [] No[] Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air qnality in the Town of Southoid. 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 [] Not 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 lll- Policies; Pages 47 through 56 for evaluation criteria. [] Yes [] No [] Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of Hving marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ~ Yes [] No [] Not Applicable ./,_, 4."F..~/'2 q- '~' Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. [] Yes [] No [] Not Applicable ' ' Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. [] Yes ~-~ No [] Not Applicable Created on 5/25/05 11:20 AM Condon Engineering, P.C. New York State Licensed Professional Engineem 1755 Sigsbee Road Mattituck, New York 11952 www.condonengineering.com 631-298-1986 Fax 631-298-2651 Janua~ 25,2010 Ms. Elizabeth Cantrell, Clerk Board of Town Trustees Town Hall Annex Building 54375 Route 25 Southold NY 11971 Re: Reconstruction of existing timber groin at Mattituck Park District Park Peconic Bay Blvd., Mattituck New York SCTM: 1000-126-5-20.1 Dear Ms. Cantrell: Attached are the following documents for the above referenced application: · Three sets of the Trustees Application, short EAF, LWRP Form and Transactional Disclosure Form · Check for $250.00 for application fee · Three Sets of the site plans · Three sets of pictures of the site with site plan The applicant proposes to remove a 66 feet long existing timber groin, 45 feet long timber bulkhead, replace an existing timber groin with a new 80 feet long Iow profile timber and vinyl sheathing groin and repair 14' of an existing timber groin. The purpose of the groins is to provide erosion control and protect existing adjacent structures. The existing deteriorated timber groins and bulkhead will be removed from the site and disposed at an offsite location. J~51~ J. Condon, P.E. cc. Mattituck Park District EX. t 8";8 CPP VECTOR HUSING POND NOTE: PROVIDE SEDIMENT CONTROL WITH THE INSTALLATION OF A SILT CURTNN OR SILT BOOM DURING CONSTRUCTION. 2. REMOVAL OF EXISTING GROINS ANO BULKHEAD TO BE COMPLETED AT LOW TIDE TO UMIT DiSTURBANCE OF SEDIR~-NT. 3. A.H.M.W. AND A.LM.W. BY CONDON ENGINEERING. 4. TOPOGRAPHIC AND BOUNDARY INFORMATION BY JOHN C. EHLERS LANO SURVEYOR DATED 1/22J2008. EXISTING EASTERN TIM~F-R (SEE DETNLS SHEET 4 OF 4) 0 100 2O0 PURPOSE: EROSION CONTROLAND PROTECT EXISTING STRUCTURES DATUM: MEAN SEA LEVEL APPUCANT: MATT[TUCK PARK DISTRICT S.C.T.M. DIST. 1000 SEC. 126 BLK. 5 LOT 20,1 IScale: 1'=100' I Condon Engineering, P.C. Drawn by: JJC I Date: 1/25/2010 PROPOSED RECONSTRUCTED TIMBER GROIN LOW PROFILE DESIGN AND REPAIR TO EXISTING TIMBER GROIN IN PECONIC BAY AT MATTITUCK, TO~ OF SOU~OLD, COUNTY OF SUFFOCK, STATE OF NEW yORlt MATTITUCK PARK DISTRICT PROPERTY PECONIC BAY BLVD. MATTITUCK, NY OVERALL SITE PLAN SHEET 1 OF 4 / EX. TIMBER GROIN / REPAIR ~. T&G SH~ING PR~IOUS ~US~E8 PERM~ ~: 252 DASD ;ON~OL PIPE FROM J-- ., EX. TIMBER BULKHEAD ro BE REMOVED EX. TIMBER GROIN IE REMOVED PURPOSE: EROSION CONTROL AND PROTECT F~STING STRUCTURES DATUM: MEAN SEA LEVEL APPLICANT: MATTffUCK pARK DISTRICT LC.T.M. DIST. 1000 SEC. 126 BLK. 5 LOT 20.1 Scale: 1"=40' Drawn by: JJC Date: 1/25/2010 Condon Engineering, P.C. BAY AT MATTITUCK, TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, STAT OF NEW yORI< MATTITUCK PARK DISTRICT PROPERTY PECONIC BAY BLVD. MATTITUCK, NY PROPOSED SITE PLAN SHEET 2 OF 4 LOCA110N OF EY,. BULKHEAD /*-- TO BE REMOVED / / 6X$ CCA WtlALER ~, .~ r~ CCA WOOD PILE / ,/ 1\ I-- r-o*o.=.~.~7 SECTION A-A OF GROIN (WEST SIDE) SCALE 1"=20'-0" 0 ~0 40 A.H.W.M. A.H.LM. SAND DRIFT TOP OF GROIN ABOVE F-XJST1NG GRADE (TYP.) LOCAllON OF EX, BULKHEAD TO BE REMOVED-~ , MEET EX. GROIN SECTION B-B OF GROIN (EAST SIDE) C A.H.W.M. A.H.LM. DATUM: MEAN SEA LEVEL II ~ 8"B CCA WOOD PILE ~ ]~ I~-s'~" o.c. (T~P.) ~-6X6 CCA ~ER ~ ~N~ SH~IflG SECTION C-C ~ ~o I ~R~SE~ C~ROL ~D PROTECT ~I~ING ~RU~S PROPPED RECONS~UC~D ~R GROIN LOW PROFILE DESIGN ~D REPAIR SCALE 1"=20'-0" o 2o S,C.T.M. OIST. 1000 SEC. 126 BLK. 5 LOT 20.1 IScale: As ShownI Drawn by: JJC I I Date: 1/25/2010 I WEST GROIN GRADING PLAN LOCATION OF EX. REMOVED Condon Engineering, P.C. APPLICANT: MATTiTUCK PARK DISTRICT SCALE 1"=20'-0" 20 40 I TO EXISTING TIMBER GROIN IN PECONIC BAY AT MATfiTUCK. TOWN OF SOUTHOLD. COUNTY OF SUFFOLK, STATE OF NEW YOP~ MATTITUCK PARK DISTRICT PROPERTY PECONIC BAY BLVD, MATTITUCK, NY WEST GROIN DETAILS SHEET 3 OF 4 REPLACE DAMAGED 2X10 T&O CCA SHEATHING 1MTH NEW 2Xt0 T&G APLD STRUCTURAL LUMBER BY AMERICAN PLASTIC LUMBER, INC. OR AN APPROVED EQUAL ~ 2X10 T&G CCA (MATCH ~ DEP~I) SHEATHING TO REMAIN SECTION D-D OF GROIN (WEST SIDE) SCALE 1'=20'-0" 0 20 40 I EX. 8"El CCA WOOD 8X6 PILE TO REMNN(TYP.)"~ A.H.W.M. A.H,L.M. -* REPLACE DAMAGED 2X10 T&G CCA SHEATHING WITH NEW 2X10 T&G APLD STRUCTURAL LUMBER I PLAS'nC LUMBER, INC. OR AN APPROVED EQUAL (MATCH EXISTING DEPTH) SHEA1HING TO REMNN SECTION E-E OF GROIN (EAST SIDE) SCALE 1":20"0" 0 20 40 SAND DRIFT EX. 2)(10 T&G CCA SHEATHING TO REMAIN REPLACE DAMAGED 2X10 T&G CCA SHEATHING WITH NEW 2X10 T&G APLD STRUCTURAL LUMBER BY AMERICAN PLASTIC LUMBER, INC. OR AN APPROVED EQUAL (MATCH EXISTING DEPTH) EX. 8"la CCA WOOD PILE (TYP.) CCA WHALERS TO REMNN PURPOSE: EROSION CONTROL AND PROTECT EXISTING STRUCTURES DATUM: MEAN SEA LEVEL SECTION F-F SCALE 1"=5'-0" APPLICANT: MA~ilTUCK PARK DISTRICT S.C.T.M DIST. 1000 SEC. 126 BLK. 5 LOT 20.1 IScale: As ShownI Condon Engineering, P.C. Drawn by: JJC Date: 1/25/2010 (631) 298-1986 {631) 2~8-2~1 fax ~*. ~, ,i co.~b,.O ;ROIN LO~ DESIGN AND R~AIR ~ISTING TI~ER GROIN IN BAY AT ~CK, T~ ~ ~ OOUN~ OF ~U~K, STA~ ~ NEW Y~ MA~I~CK PARK DISTRICT PROPER~ PECONIC BAY BLVD. MA~ITUCK, NY EAST GROIN DETAILS SHEET 4 OF 4