HomeMy WebLinkAboutTR-7264Jill M. Doher~y, 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 1197!
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
¼ constructed
JProject complete, compliance inspection.
BOARD OF SOUTHOLD TOWN TRUSTEES
SOUTHOLD, NEW -YORK
PERMIT NO. 7264 DATE: APRIL 21~ 2010
ISSUED TO: GOLDSMITH'S BOAT SHOP~ INC.
PROPERTY ADDRESS: 64150 MAIN ROAD~ SOUTHOLD
SCTM# 56-7-1
AUTHORIZATION
Pursuant to the provisions of Chapter 275 and/or Chapter 111 oftbe Town Code oftbe Town of
Southold and in accordance with the Resolution oftbe Board of Trnstees adopted at the meeting held on
April 21, 2010, and in consideration of application fee in the sum of $250.00 paid by Goldsmith's Boat Shoo.
Inc. and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trnstees
authorizes and permits the following:
Wetland Permit to remove one (1) 4,000 gallon underground storage tank and
install one (1) 4,000 gallon double wall steel storage tank with new double wall
fiberglass pipe and new dispenser, and as depicted on the site plan prepared by Michael
Dunn, Architect of Graham Associates, last dated April 22, 2009, and received on
March 4, 2010.
IN WITNESS WHEREOF, the said Board of Tpastees hereby causes its Corporate Seal to be affixed,
and these presents to be subscribed by a m~ajority of the said Board as of this date.
TERMS AND CONDITIONS
The Pennittee Goldsmith's Boat Shop, Inc., residing at 64150 Main Road, Southold, 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 fi.om any and all
damages, or claims for damages, of suits arising directly or indirectly as a result of any
operation performed pursuant to this permit, and the said Permittee will, at his or her own
expense, defend any and all such suits initiated by third parties, and the said Permittee
assumes full liability with respect thereto, to the complete exclusion of the Board of
Trustees of the Town of Southold.
That this Permit is valid for a period of 24 months, which is considered to be the estimated
time required to complete 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 South~old.
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.
Jill M. Doherty, President
James F. King, Vice~President
Dave Bergen
Bob Ghosio, Jr.
John Bredemeyer
Town H~lAnnex
54375MainRoad
P.O. Box 1179
Southold, NewYork 11971-0959
Te~phone(631) 765-1892
Fax(631) 765-6641
April 21,2010
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Mr. Alvah B. Goldsmith, Jr.
Goldsmith's Boat Shop, Inc.
64150 Main Road
Southold, NY 11971
RE: GOLDSMITH'S BOAT SHOP, INC.
SCTM# 56-7-1
Dear Mr. Goldsmith:
The Board of Town Trustees took the following action during its regular meeting held on
Wednesday, April 21, 2010 regarding the above matter:
WHEREAS, GOLDSMITH'S BOAT SHOP, INC. 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 March 4, 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, in accordance with Chapter 268, said application was found to be Exempt
from the Local Waterfront Revitalization Program policy standards, and,
WHEREAS, a Public Hearing was held by the Town Trustees with respect to said
application on April 21,2010, 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,
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 approve the application of GOLDSMITH'S
BOAT SHOP, INC. to remove one (1) 4,000 gallon underground storage tank and install
one (1) 4,000 gallon double wall steel storage tank with new double wall fiberglass pipe
and new dispenser, and as depicted on the site plan prepared by Michael Dunn,
Architect of Graham Associates, last dated Apd122, 2009, and received on March 4,
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
Vet7 truly yours,
JilrM. Doherty
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
To:
Please be advised that your application dated ~C& ~/ ~10 has been
reviewed by this Board at the regular meeting of ~pr; I ~1, ~O)O and your
application has been approved pending the compCetion of {he following items checked
off below.
__ Revised Plans for proposed project
__ Pre-Construction Hay Bale Line Inspection Fee ($50.00)
~ Ist Day of Construction ($50.00)
~ Constructed ($50.00)
~ Final Inspection Fee ($50.00)
__ Dock Fees ($3.00 per sq. ff.)
Permit fees am now due. Please make check or money order payable to Town of
Southold. The fee is computed below according to the schedule of rotes as set fodh in
Chapter 275 of the Southold Town Code.
The following fee must be paid within 90 days or re-application fees will be necessa~.
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
Chain'nan
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., April 14,
2010, the following recommendation was made:
Moved by Doug Hardy, seconded by Greta Schiller, it was
RESOLVED to SUPPORT the Wetland Permit application of GOLDSMITH'S BOAT
SHOP, INC. to remove one (1) 4,000 gallon underground storage tank and install one (1)
4,000 gallon double wall steel storage tank with new double wall fiberglass pipe and new
dispenser.
Located: 64150 Main Rd., Southold. SCTM#56-7-1
Inspected by: Doug Hardy
Vote of Council: Ayes: All
Motion Carried
Jill M. Doherty, President
James F. King. Vice-President
Dave Bergen
Bob Ghosio, Jr.
John Bredemeyer
P.O. Box 1179
Southold. NY 11971
Telephone (631) 765-1892
Fax (631 ) 765-6641
Southold Town Board of Trustees
Field Inspection/Worksession Report
Date/Time: /-"/-"/ /"/~ / ~
GOLDSMITH'S BOAT SHOP, INC. requests a Wetland Permit to remove one (1)
4,000 gallon underground storage tank and install one (1) 4,000 gallon double wall
steel storage tank with new double wall fiberglass pipe and new dispenser.
Located: 64150 Main Rd., Southold. SCTM#56-7-1
~wf area to be impacted:
ater Wetland Freshwater Wetland Sound Bay
Distance of proposed work to edge of wetland
Part of Town Code proposed work falls under:
__Chapt.275 Chapt. 111 other
Type of Application:__ Wetland __Coastal Erosion ._Amendment
__Administrative__Emergency Pre-Submission Violation
Info needed:
Modifications:
Conditions:
Present We .~ng J~'~'/_D. Doherty .~Bredemeyer ~r:'l~ergen
B.Ghosio, D. Dzen~owski -'~the r --
Form filled out in the field by
Mailed/Faxed to:
Date:
._ DSMITH'$
BOAT SHOP. INC.
'q'he Oldest Continuous Marine Dealership
MAIl, ROAD * PO~BOX 1436 · SOUTHOfiD, NY 11971
~ 6~ww. goldsmithsboatshop, com
FAX COVER
FAX PHOIVE:
DATE SENT:
~ SENT:
NUMBER OF PAGES:
(INCLt.IDINO COVI~,
COMMENTS
OUR FAX NUMBER IS: 631-76521'/17 ,~/
DSMITH'$
BOAT SHOP, 1NC.
MAIN ROAD · PO BOX 1436 * $OUTHOLD, NY 11971
(631) 76~-1600 · wwv, go~dsmithsboat#hop, com
T10-10-1345
R~I~RENCR NO. 1~
SPECIFICATION OF AL~.~GED VIOLATiO~.s
It is all~xi tim R~xmdm~(s), above-named failcd to comply with the
it~ Suffolk C, mm~ Smim-y Code ,.~ 6415 Route 2~, S~a,,oid, N.Y. (
SPECIFIC TERMS AND CONDITIONS
Rcspondcni(s) shall wMgn 1$ drys of the issue dsU ~
a pmpcrly compl~t~i "Suffolk Coant~ l)~srm~eat of ]
Sb)rqe Resbtrmton Form~, tos~ha with the ~.Ixia~ ~abm~ion
storage facili~ for toxic OF hazardous matcrials (hereinafar.
"FACILITIES") aI th~ Srr~ i~icat~d above of this Altaclmm2t "A', :t
~egistration undcr Article 12 of the Suffolk County Sanilar~ Code that has I
previously r~$ist~d by the Respond~fl(s).
o
Respondcnt(s) shall, within 120 days of executing thb
end S~ipuhted AgFeement", but no bur an Apra 30, 2010,
FACULTIES localed at thc St/l~ which do not fully oomply wiga th~
standards of th~ Suffolk County Sanitary Codo in a mmm~r a0o~Xablc to
Courtly Depa~tm,m~ of Health Services (hereinafter, "DEPARTMENT~),
CONTINUED I~X'T PAGE
STAT~ OF NEW YORK: COUNTY OF SUFFOLK
DEPARTMENT OF ~rI~<H SERVICES
X
FACILITY NO. 10-~060
Goldsmith's Boatshop Inc.
6415 Route 25
Soul:hold, NY 11971
Goldsmith i ~ Inc.
P.O. Box # 1436
Southotd, NY 11971
Under and Pursuant to thc Public Health Law of the Stat~ of N~w York, the Sanitary
Code of tho County of Suffolk and the Statutcs of thc State of New York and tl~ Laws
and Ordinances of the County of Suffolk.
X
TO:
Goldsmith's Boatshop Inc.
6415 Route 25
Southold, NY 11971
Goldsmith Boat Shop Inc.
P.O, Box # 1436
Southold. NY 11971
PLEASE TAKE NOTICE:
THAT YOU:ARE DIRECTED TO APPEAR at the offioo of th~ Dopafanent of
Health Sex. vices of thc County of Suffolk at 1~ Horseblock Place, F~,-.;%~,vilk, New
York, on the 2f~ of March 2010 at 9:00 a.m., to izspond to thc chnvges madei~by the
Suffolk Count7 Department of Hc~lth Services that the Respondent(s) violatz~ Article
12 of the Suffolk County Sanitnzy Code at 6415 Route 2~, Soatlaeid, N.Y. ( ..b,"~-~nflcr,
'SITE") as detailed in Attachment "A" (Complaint) to ~ Notice of Formal Hearing
with each day or pan of a day of non-compliance being a separate violation.
THAT, each separate violation is subject to a civil penalty not to exceed theorem of
One Thousand ($1,000.00) dollars with each day or part of a day on which a violmtioo or
failu~ exists and/or continues cxmstituting a separate violation, as presc-n'bed by
Paragraphs 2 and $: of Se~lion 760-218 of Article 2 of the Suffolk County Sanitary Code
and Section 309 of the Public Health Law of the State of New York.
THAT, you have the right to be represented by counsel; You have the right to
testify, present cvidence and call witnesses; You have tl~ right to exangne and
cross-examine any witness.
CONTINUATION OF DH$ # T10-10-1348
From May 1, 2010 until July 31, 2010, R ~cspondem(s)
fine of SO.O02S per gdion per auy or lmrt of a dtyp~
nmximum C~lmetty of the storage facility ss listed bdow for emi
materbd storqe hcfllty C~ACILITY) located at the SIT~ which do not
with the la~isi~ mad modmds of lt~ Suffolk County Sanimr~ Code mud shall be
to the order or' the Suffolk County Depaflment of Health ~ The ~me
remitted montl~r to the DEPARTMENT for each and eve~, FACILITY
fifteenth day of the following month. The Respondent(s) f'nnber agree to
additional late charge of $100.00 per month £o~ any and all payments reodved by
DEPARTMENT a~ter the ~iReenth day ofthe month that such payment is ch,e.
TANK#
Gasoline 4,000 Gtiions $ 300.00
Gmofine 1,,~ Gai]e~ $ ~S.OO
CONTINUED NEXT PAGE
CONTil~ATION OF D[~ # T10.10-1348
From August 1, 2010 until October 31, 2010, Respondent(s) fluther ask'cs to pay a
mo~ fine of oBe thoumuml dollars ($1,(~0.00) per FACilITY (tank) plus:
(FACIal'Y) loc~d si the srl'E which do not fully ~xa~ply with the provisions aud
stands~ of thc Suffolk County Sanitary Code and shall be paid to the ~ of the
Suffolk Com~ D~pamn~m of Health ,~rvir~s. Th~ th~ shall b~ rmitt~d monthly to
th~ DI~P~d~TMENT for ~ach mi ~ FACILITY by tbe,flflf~nth day ol the
m~,,i~'~. ~ ~s) ~ ~ to par "~ ~ c~,~, or
$100.00 l~r month for a~y and all pal~nts ~wd by the D~AR~ after ~he
fifl~nth day of thc month that such paymmt is du~.
MONTULY ~ DUE
T,~,NK# . CONTENTS VOLUME ~AUGUST 1. 2010
1 Gasoline 4,00~ Glares $1,~0 + $ 300-, $1,30~.00
2 Gssoline 1,000 Gallons $1,0~) + $ 75 -- $
From November 1, 2010 until December 31, 2010, RAixmdmt(s) fiuthcr agrees to pay a
monthly fine of two thousand dollars ($2,800.09) per FACILITY (rank) plus
~0.00~ per ~ p~r day or part of a day of ti~ maximsm eapaelty of the storage
rscJllt~ as listed below for mw.h toxi~ or ILsztrdoas matorbd storage hcillty
(FACILITY) located at the SITE which do not fully comply with the provisions and
standards of the SufFolk Count~ Sanitary Code azai shall be paid to the o~der of the
Suffolk County Depaflment of Health Services. The fine shall be remitted moltldy to
the DEPAR~ for ~h and cv~ FAC!I.rI'Y by the flfb~th day of the
following month. The Respondent(s) furth~ agr~ to pay an acldilional lsic charp: of
$100.00 per month ~ any and all payments received by the DEPAR~ after the
fiitemth day of the m~th that such payment is due.
MONTHLY FINE DUE
T~ # CONTENT~ , vO~.UM~ ~ NOVEMBER 1. :2010
1 Gasoline 4,000 Gallons $ 2,04)0 + S 3041 - $ 2~300.00
2 Gnsoline 1,004) Gallons $ 2,000 + $ 7S - $ 2,075.00
The Respondent(s) further undemand that an application for a p~,~it to Cofls~ct
submir~ion to the DEPARTMI~IT does not/rant or extend th~ compliance dates of the
Suffolk County Sanitary Code and in no case shall any FACILITIES which do not flflly
comply with the prov/sions and standards of the Suffolk County Sanitary Code remain
at the SITE on or trier Janusr~ 1, 2011 and any such FACILITIES would be
subJcct to signfflcantiy higher civil penalties and/or other euforccmmt action
deemed appropriate by the DEPARTMENT.
CONTINUED NEXT PAGE
PLEASE TAKE NOTICE
THAT, if you ~ W appear, th~ hcafins may be held in ~ur absence and a
~ ~ ~ ~t at ~ p~ ~ ~ D~~ ~11 ~ f~ ~
9~~, ~ ~ ~b~i~ ~so ib-~t m ~ F~ H~ ~ ~ ~
~ ~d pl~ ~ ~ ~c ~c~ N~ ofF~ H~.
(~1) 8~2S16 ~ Jo~ Ohd~ at (631) 85~2536.
IN LIEU OF APPEARING AT THE FORMAL HEARING, you may samlt to the
~xis~mce of. the chr~(s) by completing the" Ord= on Ccmeut, Wsiv~r of Formal
Hearing ~md Sti~ Agr~-m~t" ~c~ion ~elow ~ ~ ~ alo~ ~ith a ch~ck
or money o~ler in the amount indics~d on ~h~ waiver form, to Ibc Sw~b~ Comty
Depm-tmeRt of He~dth Seryice~ IS Horsdflock ~ F~in~e~ New ¥oFk
11738. Con~llmion with an alMmcy is recommended.
DATED:
Farmingville~ N.Y.
Mar. OS ~009 4:42P~iC;;RRHRM Ft$$OCIFITE$
119690115
.(?ahnm
Mr.,~ 5, 2009
1981 U~m
(631) f,~,~.~] 9 Fax (~1) 9f,~-0tl$
Mr, Skip Gokfmnitl~
Ooldsmi~ Bc,~t S~p luc.
PO ~x 1436
~ 150 ~n R~
(631) 765- ]~
Thank you )r ~ oppommiZy to provide PmfmBional Co~JuJli~ S~ for ~
a~ve ~ ~ Ui~. i'm ~ ~ ~ ~ my ~ ~ ~ ~y ~ at
v~ ~fi~ m ~. B~ ~ o~ ~ I ~ y~ ~ ~ ~ o~
S~v~ce~ do not inc!
you ~ sddi~
d~,-g below. Tha
~cle: AppJic~lo~ t~8, Surv~. an~ lt~s not specifically listocl ahoy,
)hal infirm~.ion oft'mw any' questions I'm available to racet you at
!~ is accep~ble ple~s~ ~ive yc~r ~utborlzadon to Woceed by
tk you for this opportumt~ to v~rk with you md ~our cominue,~
Payment t~mns $2,0~)0.00 due ~ nccept~m~
Bala~ ~c upon deUwry of peri.ts
20156
BOAT SHOP, INC,
2,000. O0
$2,000,00
~157
Suffolk County Health Department ~ applic, fees - tank replace.
870.00
BOAT SHOP, INC.
~ $ 870, O0
Graham Associates
1981 Union
Phone (631)
Fax (~1)
INVOICE
TO: Golclsml~s Boat Shop Inc.
PO Box 143~ 164150 Main Read- Rt. 25
Soult~d, NY
Att: Skip Gold~m~
Re: Tank
~, u,rr PmcE AMOUNT
Health DepartmeCtt & NYS DEC
NYS DEC Tidal Weilan~s Al~lleaaon $200,00
SC Tank Removel Fee- $100 p/tank $~00.00
$o ~ t~, short $50.00 $50.00
TOTAL DUE
Make all checks payable to: Graham Associates
If you heve any queMiorts concerning thl~ Irt~i~e, oall: Glenn Graham Q (631) e66-~619
THANK YOU FOR YOUR BI~INBSSI
'GOgO301~B 12/31/09 450. O0
BOAT SHOP, ~NC.
20531
OFFICE LOCATION:
Town Hall Annex
54375 State Route 25
(cor. Main Rd. & Youngs Ave.)
Southold, NY 11971
MAILING ADDRESS:
P.O. Box 1179
Southold, NY 11971
Telephone: 631 765-1938
Fax: 631 765-3136
LOCAL WATERFRONT REVITALIZATION PROGRAM
TOWN OF SOUTHOLD
MEMORANDUM
To: Jill Doherty, President
Town of Southold Board of Trustees,/,,
From: MarkTerry, Principal Planner ~
LWRP Coordinator--
Date: April 19, 2010
Re: Proposed Wetland Permit for GOLDSMITH'S BOAT SHOP, INC.
SCTM# 1000-56-7-1
GOLDSMITH'S BOAT SHOP, INC. requests a Wetland Permit to remove one (1) 4,000 gallon
underground storage tank and install one (1) 4,000 gallon double wall steel storage tank with
new double wall fiberglass pipe and new dispenser. Located: 64150 Main Rd., Southold.
SCTM#56-7-1
The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the
Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy
Standards. Based upon the information provided on the LWRP Consistency Assessment
Form submitted to this department, as well as the records available to me, it is my
recommendation that the proposed action is EXEMPT from LWRP review pursuant to:
§ 268-3. Definitions. MINOR ACTIONS item "EE" which states:
EE.
Upgrades to existing fuel tanks, provided that erosion control measures are
implemented;
Cc: Lori Hulse, Assistant Town Attorney
Office Use Only
~Cwoastal Erosion Permit Application
etland Permit Application Administrative Permit
Amendment/Transfer/Extension
Rece~vved Application: 3iq/to
Received Fee:$~~ --
~'/Completed Application.._~/~
__Incomplete
__SEQRA Classification:
Type I Type Il Unlisted
__Coordination:(date sent).
~------"EWRP Consistency Assessment Form
-~°'~C Referral Sent:
__lgfft~ of Inspection:
ece~pt of CAC Report:
__Lead Agency Determination:
__Technical Review:
~----~blic Hearing Held: q/Od//0
__Resolution:
Name of Applicant
Address ~- --~ - 60~_ 1/43
~~, ~ Phone Nmber:~)~
Suffolk Co~W *= Map Number:
Vrop
(provide LILCO Pole #, distance to cross streets, and location)
(Ifapplicabl~)~ i / L // 1 /
of Trustees Applicatio
GENERAL DATA
Land Area (in square feet):
Area Zoning:
Previous use of property: ~'~/,4z4r-J
Intended use of property:
Covenants and Restrictions: Yes ~'~
If "Yes", please provide copy.
Prior permits/approvals for site improvements:
No
Agency Date
__ No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or SUSl~e~ted by a governmental agency?
/~,.. No Yes
If yes, provide explanation:
of Trustees Applicati¢
County of Suffolk
State of New York
,~/q- ~---~-~ (.~()~V1'~ BEING DULY SWORN
DEPOSES AND AFPlRMS THAT PIE/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 1N 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. 1N 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 J
SWORN TO BEFORE ME THIS d DAY OF /41a t e t~ ,20 ! a
Notary Public
VICKI TOTH
Notary Public, State of New York
No. 01T06190696
A Qpal fled in Suffolk County,
uomm ss~on Expires July 28,
of Trustees Applicati¢
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations: ~2z~--~ ~,.~c~
Area of wetlands on lot(~0~-') / ~(~'-2--- square feet
Percent coverage of lot: L-~ L~ %
Closest distance between nearest existing structure and upland
edge of wetlands: \~ ~ feet
Closest distance between nearest proposed structure and upland
edge of wetlands: \~ ~ feet
Does the project involve excavation or filling?
No %4// Yes
If yes, how much material will be excavated?
How much material will be filled? ~
cubic yards ~\ Q?_~ ~-~_ ¢~ ~C~-~
cubic yards ~'- ~v'31D(3~-5
Depth of which material will be removed or deposited: ~ feet
Proposed slope throughout the area of operations: ~ c--~h~,~ ~ C3
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):
APPLICANT/AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees. The ouroose of
this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is
neeessa toavoids me./¢ _V r2, , t46
(Last name, first name, middle initial unless you are applying in the name of
someone else or other entity, such as a company. If so, indicate the other
person's or company's name.)
NAME OF APPLICATION: (Check all that apply.)
Tax grievance Building
Variance Trustee
Change of Zone Coastal Erosion
Approval of plat Mooring
Exemption from plat or official map 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, 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 ~t~ 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 applicanffagent/representative) and the town officer or employee. Either check
the appropriate line A) through D) and/or describe in the space provided.
The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply):
__.A) the owner of greater than 5% of the 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, partner, or employee of the applicant; or
__D) thc actual applicant.
DESCRIPTION OF RELATIONSHIP
Form TS 1
Submitted this .~ff~_~_ ~day~o f,t~~/~ $
Signature
Print Name
PROJECT ID NUMBER
PARTI*PROJECTINFORMA~ON
1.APPLICANT/SPONSOR
3.PROJECT LOCATION:
Mun~lpal~ ~~-~
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
4. PRECISE LOCATION: Slnmt Addess and Road intersections. Prominent landmarks etc -or provide map
5. IS PROPOSED ACTION: [] New [] Expansion [~Modillcation/alterefion
6. DESCRIBE PROJECT BRIEFLY:
SEQR
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. WHAT IS PRESENT LAND US,~ VICINITY OF PROJECT? (Ch~ose as many as apply.)
0 Residential 0 ,ndustHa, L~ommercla, ~Agriculture 0 Park, Fores,, Open Space
]OUter (describe)
10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OI¥IER GOVERNMENTAL
AGENCY (Federal, State or Local)
Ye$
No If yes, list agency name and permil / approval:
11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
'~Yes []No I! yes, list agency name ancl permit / approval:
j t AS. .. SULT OF PROPOSED ACT,ON W,U ,ST,NG PERM,T/ APPROVAL .EQU,RE MOD,F,CAT,O.?
I CERTI~ T~T ~E INFORM~ PROVIDED
If the action is a Costal Area, and you ara 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 617.47 If yes, coordinate the reVew process and use the FULL FAF.
r'-IYes r~.-i No
s. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If Ne, a negative
dedaraben may be superseded by another involved agency.
J'--~ Yes J~"l No
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible)
C1. Existing air quality, eofface or grounchvater quality or quantity, dolae levels, existing traffic pattem, solid waste production or disposal,
potential for erosion, drainage or flooding problems? Explain bHetiy:
C2. A~,~;;c, agricultural, archaeological, historic, or other natural or cutium[ msoumes; or community or nolghlxxtmod character? ~. !,,!n briery:
C3. ¥~i~ion or fsuna, fish, ,~tllft~h or wlidlif~ Spo~a. ~i~nh~nt habitat, or thraala~d or ~mdeegored sp~$? ~lsin ~:
I
Na
C4. A ~ii~iiiunity's existing plans or goals as o~,~,=;;y adopted, or a chanfle in use or intensi[y et u~ et land ~ o~er natural r~u~? ~in ~e~:
C5. Orowth, aubseqce~ devel,:,p~i=iii, or related activities likely to be Induced by Ihs proposed acC:m? Explain brietiy:
C6. Long term, short tern1, cumulative, or other effects not identified in Cl-C57 Explain brlally:
I, I
C7. (~ther ;,,,~,~lincludin~l ~,,,~, in use of either quanti~ or t'~pe of ene~ Explain brieti~:
I,,
D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL
E. IS Td;~.~.E, OR IS THERE UKELY TO BEI CONTROVERSY RELATED TO'POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? f ~es
PART III - Dc ~ r:~iNATION OF SIGNIFICANCE (To be completed by Agency)
INSTRUCTIONS: For each adverse effect identified above, determine whether it is substanUal, large, important or otheneise signitiCanL Each
effec~ should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) in'evereibility; (e)
geographic scope; and (t) magnitude. If necessary, add attachments or reference supporting materials. Ensure lhat explana0ofls contain
suffid, ent detail te show that all mlevent adverse impacts have been identified and adequately addmsued. If question d of part ii was checked
yes, the,determinatlen of significance mustevaluate the potential impact of the proposed action on the envfronmental characteristics of the CEA
Check this box if you have ide~lied see or more potentially large or signBcant adverse Impacts which &lAY occur. ~ proceed directly ts the FULl
EAF and/or prepare a positive declaration.
Check this box if you have determined, based on the informs '
tion and anays s above end any supporting documantation, that the proposed actio~
WILL NOT reaolt in any significant adverse environmental impsols AND pro~tde, on attachments as necessary, the masons supporting thi=
determination.
Board of Trustees
Name of Lead Agency
Jill M. Doherty
Print o~r Type Name of R~sporjsible Officer in Lead Agency
~J~ig ne t u~m/If'Re s~/~'~
~ ponsible Offi~r in Lead Agency
Date
President
Title of Responsible Officer
Signature of Preparer (If different from responsible officer)
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED lvIATI, RECEIPTS
Address:
$2.0"/
$2.80 76
Poslm~trR
Restrtcted Delivery Fee
(EndOrsement Required)
Total rage & Fees $ $7.17
,~V,q-/~ t'~. ~ 7'~x.r.~,~A,F~ '~'~. , residing at
~ being duly sworn, deposes and says that on. the
~f _~]~f_~, 20 119, deponent mailed a tree copy of the Notice
set forth, in the Board of Trustees Application, directed to each of the above named
persons at the addresses set opposite there respective names; that the addresses set
opposite the names of said persons are the address of said persons as shown on the current
assessment roll of th%T~Yn of Southold; that said Notices were mailed at the United States Post
Office at .~r> oq~/i ., that said Notices were mailed to each of said persons by
(certified) (registered) mail.
Sworn to before me this F~
Day of ,t~%_/ ,20?0
/
Notary Public
LAUREN NJ ~i'ANDI-~H
Notary Public,$~te of New York
? 01ST6164008
q, -~fi~d in Suffolk County
Comm,ss on Expires Apri! 9,
Jill M. Doherty, President
James F. King, Vice-President
Dave Bergen
Bob Ghosio, Jr.
John Bredemeyer
Town Hall, 53095Main Rd.
P.O. Box 1179
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
GOLDSMITH'S BOAT SHOP~ INC.
COUNTY OF SUFFOLK)
STATE OF NEW YORK)
AFFIDAVIT OF POSTING
1, ]P ~- , residing at/dba
being duly sworn, depose and say:
Th~ on the ~7~.day,of ~/~, / ,2010, 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 hearing.
Date of hearing noted thereon to be held Wed, April 2L 2010 on or about 6:00 PM.
Dated: ~// /ej //O
(signature)
Sworn to before me this
/ '~'Cflay of Op4xt"2OfflO
Public
N LAUREN M STANDISH
otary ~bllc, ~tate of New York
No. 01ST6164008
Qualified in Suffo k County
Commission Expires April 9, 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 axe 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
Wateffxont Revitalization Program. A proposed action will be evaluated as to its significant
beneficial and adverse effects upon the coastal area (which includes all of Southold Town).
If any question in Section C on this form is answered "yes" or "no", then the proposed action will
affect the achievement of the LWRP policy standards and conditions contained in the consistency
review law. Thus~ each answer must be explained in detail, listing both supporting and non-
suooortin~ 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#
PROJ CTN di, , .
The App~cafion has been submi~ed to (check appropriate response):
Town Board
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 an~L~xtent {cf actiol~ .
Site acreage:.
Present land use:
Present zoning
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 ( ) ~,9/~ 76 ~-"/~ O
(d) Application number, if any:.
Will the action be directly undertaken, require funding, or approval by a state or federal agency?
Yes ~ NoN Ifyes, which state or federal agency? ~.J~5 P~'~--
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 II/- Policies; Page 2 for evaluation
criteria.
~Yes [] No, [] NotAllplicable
V- '
Attach additional sheets if necessary
Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See
LWRP Section Ill - Policies Pages 3 through 6 for evaluation criteria
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 ~ No7 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 IH - 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 IH
- Policies Pages 16 through 21 for evaluation criteria
~' Yes ~ No ~ Not ~oolieablg
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 Ap~ble
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 7 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 Appli.cgble
--'" / ---' V - ' ! '
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.
~ Ye_j--] No ~] Not Applicable
!
Attach additional sheets if necessary
WORKING COAST POLICIE~
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 Peconic
Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria.
Yes No ~, Not Applicable
Attach additional sheets if necessary
Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages
62 through 65 for evaluation criteria.
Yes No [] Not App eable
Attach additional sheets if necessary
Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP
Section IH - Policies; Pages 65 through 68 for evaluation criteria.
Yes [~ NO [~Not Applicable
PREPARED BY v TITLE
DATE
THE~ A~ NO BXI~TINe UTILITIED EXOBPT AG CHO~N ON JQINT¢ 5HALL ~ 5~ALED ~PLON BASED eEALIN¢ COMPOUND ~, INDTALL NE~ &'-lO" x 2~'-0" x a" THIOK TANK MAT /' / ~ ~ , ~
/
O~pTH TO SROUNDA~R I5 4'-O" AT HICH TIDE AS PEA ON SI~ HELL /~/ ~ / / ~ ~ ~ ~';~ ~-EXSTN~()4¢¢¢GALLON I ()
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THE OON~GTOR 5HALL BE 50LELY ~SPONSI~LE FO~ / / / ~ ~ ~ ~ ~ NE~ 4,¢~¢ GALLON ABO~
,N~TALLAND~A,NTAINSHO~ING,~H~BTIND, B~DIN, AND.~ / ~ ~ [ ~// ~.o.t,.a~oo~~~ ~ APPROVED BY
~.~A¢~ ~ ~A~ ~ ~ ¢~ ~A.¢~ ~ ~ *ND · ~ ~,' ~ . TO~N OF ~UTHOLD
MICHAEL D UNN
REGISTERED ARCHITECT
I 1981 UNION BLVD BAY SHORE, NY 11706I~l'l]
I~ A ¢ ~ ~ (631) 665-9619 F~ 969-0115
' PERMIT ACQUISITION AND EXPEDITERS
OL~FOUN~AT~ON 1981 UNION BLVD BAYSHORE, NY 11706
M~mN~ ~,~LU~Y ,~ (631) 665-9619 FAX 969-0115
~
~OL~S~IT~ ~O~T S~O~ INC.
~IN ~OAD
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TO
'T e~e plahs and s~cifice, tiens l',~'(e
,bm~ed by the ~pp~cant./ i nls approva~ ~u u~.~,.~. ~_~ ~..~ B,~ ....
DOUTHOLD, NB~ YO~K IIq~l
J (I) P~H~ AND (2) E~OXY FINISH J
MICHAEL D UNN, R.A.
~ 10gl UNION BLVD BAYSH0~E, NY 11700
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PATE
MICHAEL D UNN, R.A.
REGISTERED ARCHITECT
1981 UNION BLVD BAYSHORE, NY 11706
(631) 665-9619 FAX 969-0115
PERMIT ACQUISITION AND EXPEDITERS
1981 UNION BLVD BAYSHORE, NY 11706
(631) 665-9619 FAX 969-0115
*ENVIRONMNETAL COMPLIANCE
*COMMERCIAL SITE PLANNING
*PETROLEUM SPECIALISTS
*PERMIT EXPEDITING
GOL E::,51'd ITH OAT
P.O. ~OX 143~
5OUTHOLD, NEIJJ ¥OIRK
INC.
PROJECT DE$CR{PTION:
T'ANI<, REM~2VAL
SHEET DESCRIPTION:
]-ANN PETAIL~
TAX MAP#
$EE AESOvE
SCALE:
A$ INI~ICATED
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DRAWN BY: CHKD BY:
DATE: SHEET
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DWG.#:
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,.~r ~m~ ,: PIPIN¢ TRENCH DETAIL
,, MICHAEL UNN, R.A.
~e~mlGtl~ ~ ~ ~ ~1-~ 2 e~VANIZ~ 5~~1 % I / 2" A~N
~IHAEY % I / ~PEIHAEY INSIDE B'A~N
REGISTERED
ARCHITECT
P~UIT ~N ~ -- ~~~ITION~FOmlS~N~~p ~e~u~) 1981 UNION BLVD BAYSHORE, NY 11706
~ (631) 665-9619 FAX 969-0115
elan V~ ~ I~-~V-~ i ~TINe oF ~CO~A~Y ~ ~ ~] ~=~ ~ PERMIT ACQUISITION AND EXPEDITERS
~ v~ ~ ~ ~OT ~: ee ~u~ ~ z~ :' :~ 1981 UNION BLVD BAYSHORE, NY 11706
~,T,o.~ ~ ~=, T~ANSlTION ~UHP DETAIL
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