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HomeMy WebLinkAboutTR-7538 �pfr SO(/jy Michael J.Domino,President ��� ®l0 Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J. Sanders G @ Southold,New York 11971 Glenn Goldsmith Telephone(631) 765-1892 A.Nicholas Krupski �l�'C®U Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1331C Date: April 13, 2017 THIS CERTIFIES that the construction of a docking facility comprised of a 4'x58' fixed elevated catwalk 3'x15' hinged ramp, and a 6'x20' floating dock; and the as-built bench on the catwalk of the dockingfacility' with the conditions that there be only one piling at the end of the floating dock the use of open grate decking if the height of the fixed dock is,less than 3' above the wetlands, At 625 Wood Lane,Peconic Suffolk County Tax Map#1000-86-6-7 Conforms to the application for a Trustees Permit heretofore filed in this office Dated February 18,2011 pursuant to which Trustees Wetland Permit#7538 Dated April 20, 2011,was issued and Amended on September 21,2011 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 construction of a docking facility comprised of a 4'x58' fixed elevated catwalk 3'x15' hinged_ramp, and a 6'x20' floating dock, and the as-built bench on the catwalk of the dockingfacility; with the conditions that there be only one piling at the end of the floating dock the use of open grate decking if the height of the fixed dock is less than 3' above the wetlands. The certificate is issued to BARRET KATZ owner of the aforesaid property. Q Authorized Signature Jill M.Doherty,President ��oE SO!/r�,o Town Hall Annex Bob Ghosio,Jr.,Vice-President �� lQ 54375 Main Road l�[ J P.O.Box 1179 James F.King Southold,New York 11971-0959 Dave Bergen G Q John Bredemeyer �� Telephone(631) 765-1892 "Ouffm Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 21, 2011 Mr. Barrett Katz 625 Wood Lane Peconic, NY 11958 RE: WETLAND PERMIT#7538 625 WOOD LANE, PECONIC SCTM#86-6-7 Dear Mr. Katz: The following action was taken by the Southold Town Board of Trustees at their Regular, Meeting held on Wed., September 21, 2011: RESOLVED, that the Southold Town Board of Trustees APPROVES the Amendment to Wetland Permit#7538 to include the as-built bench on the catwalk of the newly constructed docking facility, and as depicted on the site plan received on August 22, 2011 and stamped approved on September 21, 2011. This is not a determination from any other agency. Sincerely, Jillelherty,E44jeBoaTruste JMD:lms DoE S0 Michael J. Domino,President h0� yolO Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 r P.O.Box 1179 Charles J. Sanders Southold,New York 11971 Glenn Goldsmith • O@ y Telephone(631) 765-1892 A. Nicholas KrupskiOIiYCoU Fax(631) 765-6641 e BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 1�Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction / Y2 constructed Ve' r P o� ct complete, compliance inspection. INSPECTED BY: ' `�tt' lei '&Ld Lel COMMENTS: t � �Va U �' y� e�1'�(ti X(ry D CERTIFICATE OF COMPLIANCE: Jill M.Doherty,President �0 _402 Town Hall,53095 Main Rd. Bob Ghosio,Jr.,Vice-President y P.O. Box 1179 James F.King o Southold NY 11971 Dave Bergen uy Telephone(631)765-1892 John Bredemeyer Gy ��` Fax(631)765-6641 �io1 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE O�INS ECTION: Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction % constructed Project complete, compliance inspection. INSPECTED BY: COMMENTS: CERTIFICATE OF COMPLIANCE: 0 Jill M.Doherty, President -``�rsF souryo Town Hall Annex Bob Ghosio,Jr.,Vice-President Ile 54375 Main Road P.O. Box 1179 James F. King Southold,New York 11971-0959 Dave Bergen G Q John Bredemeyer �� Telephone(631) 765-1892 lf�,DUNT1,�c'`� 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 Y2 constructed XProject complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 7538 DATE: APRIL 20. 2011 ISSUED TO: BARRETT KATZ PROPERTY ADDRESS: 625 WOOD LANE, PECONIC SOTM# 86-6-7 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 11 I 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 April 20,2011,and in consideration of application fee in the sum of$250.00 paid by Barrett Katz and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: r Wetland Permit to construct a docking facility comprised of a 4'x58' fixed elevated catwalk,3'x15' hinged ramp, and 6'x20' floating dock; with the conditions that there be only one piling at the end of the floating dock, the use of open grate decking if the height of the fixed dock is less than 3' above the wetlands, and as depicted on the site plan prepared by Suffolk Environmental Consulting, Inc., last dated March 28,2011, and stamped approved on April 20,2011. j 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. a o�osu�Fe�,��° Bob Ghosio, Jr. e� O c H tv � wt 4 D e C TERMS AND CONDITIONS The Permittee Barrett Katz residing at 625 Wood Lane Peconic,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages,or claims for damages,of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will,at his or her own expense,defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. 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. 3. 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. 4. 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. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. 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. 7. 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. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. 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 th obtain same. Jill M. Doherty,President so yQ Town Hall Annex Bob Ghosio,Jr.,Vice-President �0 54375 Main Road P.O.Box 1179 James F. King Southold, New York 11971-0959 Dave Bergen G Q John Bredemeyer Q Telephone (631) 765-1892 I � Fax(631) 765-6641 MIM, BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 20, 2011 Mr. Matt D. Ivans Suffolk Environmental Consulting, Inc. P.O. Box 2003 Bridgehampton, NY 11932-2003 RE: BARRETT KATZ 625 WOOD LANE, PECONIC SCTM# 86-6-7 Dear Mr. Ivans: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, April 20, 2011 regarding the above matter: WHEREAS, Suffolk Environmental Consulting, Inc. on behalf of BARRETT KATZ 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 February 18, 2011, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 6, 6.3, & 9.3 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: shorten the length of the structure, only one piling at the end of the floating dock, the use of open grate decking if the height of the fixed dock is less than 3' above the wetlands, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on April 20, 2011, at which time all interested persons were given an opportunity to be heard, and, 2 • • WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of BARRETT KATZ to construct a docking facility comprised of a 4'x58' fixed elevated catwalk, 3'x15' hinged ramp, and 6'x20' floating dock; with the conditions that there be only one piling at the end of the floating dock, the use of open grate decking if the height of the fixed dock is less than 3' above the wetlands, and as depicted on the site plan prepared by Suffolk Environmental Consulting, Inc., last dated March 28, 2011, and stamped approved on April 20, 2011. 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: $ 1193.00 Very truly yours, 4al Jill . Doherty President, Board of Trustees JMD/eac Jill M.Doherty,President so yo Town Hall Annex Bob Ghosio,Jr.,Vice-President 54375 Main Road P.O. Box 1179 James F.King # Southold,New York 11971-0959 Dave Bergen A Q John Bredemeyer �� Telephone(631)765-1892 co , Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: LrPFf ff� Please be advised that your application dated F�lora. has been reviewed by this Board at the regular meeting of HP i I d0� Q I and your application has been approved pending the co pletion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 151 Day of Construction ($50.00) % Constructed ($50.00) X Final Inspection Fee ($50.00) X 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: ;xed-i,>oek 4'z 5,,q I=d I(P sy.#,x�3.a���,�f r$6 y8,00 W,4'1 Raty '3/< )S'- 115�•A, x,43,cofor :.$135-,,00 f loa �1xk� 6'xao'-laos� x3Wsf,�/, :436o, 00 �'nol5�ts�bn FeeL .sZ�.cD 5 ►i TOTAL FEES DUE: $ 00 BY: Jill M. Doherty, President Board of Trustees Peter Young,Chairman Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O. Box 1179 Southold,NY 11971 Telephone(631)765-1892 Fax(631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., March 16, 2011, the following recommendation was made: Moved by Jack McGreevy, seconded by Meaghan Burke, it was RESOLVED to SUPPORT the Wetland Permit application of BARRETT KATZ to construct a docking facility comprised of a 4'X 72' fixed elevated catwalk, TX 15' hinged ramp, and 6'X 20' floating dock off the northern shoreline of the property. Located: 625 Wood Lane, Peconic. SCTM#86-6-7 Inspected by: Meaghan Burke, Audrey Horton, Doug Hardy The CAC Supports the application with the Condition of a 10' non-turf vegetated buffer, the length of the dock is appropriate for the setting, there is public access provided for up and over the dock, and the run-off is containing from the dwelling. Vote of Council: Ayes: All Motion Carried �gUFFO� Jill M.Doheny.President pV CO P.O. Box 1179 Bob Ghosio,Jr.,Vice-President j G6� Southold,NY 11971 James F. King ti Telephone(631 765-1892 Dave Bergen T Fax(63 1)765-6641 John Bredeineyei Southold Town Board of Trustees Field InspectionMorksession Report Date/Time: ' Ll BARRETT KATZ request a Wetland Permit to construct a docking facility comprised of a 4'X 72' fixed elevated catwalk, 3'X 15' hinged ramp, and 6'X 20' floating dock off the northern shoreline of the property. Located: 625 Wood Lane, Peconic. SCTM#86-6-7 T e of area to be impacted: —Saltwater Wetland _Freshwater Wetland _Sound _Bay jD ce of proposed work to edge of wetland ofTown Code proposed 'ork falls under: apt.275 Chapt. 1 _other Type of Application: Wetland _Coastal Erosion _Amendment —Administrative—Emergency _Pre-Submission Violation Info needed: Modifications: f C:n�C";-' b 'T wA Ce'- / Conditions: Pres ere: rd'King `.Doherty YBredemeyer 'BIBergen_ B hosio, D. Dzenkowski other Form filled out &Z by t Mailed/Faxed to: Date: - i r C F4 \ -.r y. TT G s ire r . KA TZ Property Situate: 625 Wood Lane; Peconic; Town of Southold, New York SCTM #: 1000—086—06 —007 (Photo taken on December 13, 2010) Photograph indicating the current conditions of the shoreline along the northern section of subject property, and the staked out seaward-most edge of the proposed dock assembly (arrow). Photograph taken from the shoreline of subject property facing north, overlooking Richmond Creek. KA TZ Property Situate: 625 Wood Lane; Peconic; Town of Southold, New York SCTM #: 1000—086 —06—007 (Photos taken on December 13,2010) �F l F Photograph indicating the current conditions along the shoreline of subject property and to the west, and the staked out seaward-most edge of the proposed dock assembly (arrow). Photograph taken off the northeastern corner of subject property, facing west, overlooking Richmond Creek. KA TZ Property Situate: 625 Wood Lane; Peconic; Town of Southold, New York SCTM #: 1000—086 —06—007 (Photos taken on December 13, 2010) ry� Av t Photograph indicating the current conditions along the shoreline of the neighboring properties to the west of subject property. Photograph taken off the northeastern corner of subject property, facing west, overlooking Richmond Creek. KATZProperty Situate: 625 Wood Lane; Peconic; Town of Southold, New York SCTM #: 1000-086-06-007 4 N 25 � �� Suuth SUBJECT "°"°' P PROPERTY �`a f 5 Richmond ��Ln 4 e w 3 I 6 L t t ( e P e c o n i c SUBJECT PROPERTY f .� E •�' e vW,IY GnIrY 9w1eaQX 11}1 a. an mui waN¢u[ X u�.w. '��:.�• sr. s ¢nu �wssm.¢ • ruau - _ wr ..• •.v r,uuna r wu¢¢ P _ Y "`}S moi} on sseec, l rs I p•.��. R �s b ay •e., x. p. v 00 r e q n. J• Q. \y Jd i u \ y �J w+ IYI y _ A v M eY u• yid aiW � � � uue:m •� A\ /�-• �µo a/ J \ V a \ a X+'wJ io. __ a •i•✓" M1g9�6�J�Xk O in o1cp ..� —�— a i¢,a-�� sm.�` ..... u•.o- • � �. ,. ,� _ — - — —.•— xoncE CroWly OF ox S$IFFOLK sCT"w Red PProperlervice Agency ° r� , -� � � —. _ — —_ r¢i°r m,�XR•e.r.vgxr nXn Suffolk Environmental Consulting, Inc. Newman Village, Suite E,2322 Main Street, P.O. Box 2003, Bridgehampton, New York 11932-2003 (631) 537-5160 Fax: (631) 537-5291 Bruce Anderson,M.S., President HAND DELIVERED March 28, 2011 Ms. Jill Doherty, Chairwoman Board of Trustees Town Hal] P.O. Box 1179 Southold, NY 11671 Re: KATZ Application Situate: 625 Wood Lane; Peconic; Town of Southold, NY SCTM #: 1000—086—06—007 Dear Ms. Doherty, As per the request of the Board of Trustees regarding the above referenced application, please find attached: (1) Revised Plans, prepared by Suffolk Environmental Consulting, Inc., last dated March 28, 2011, indicating the relocation of the proposed dock assembly to a more central position along the bulkhead (three [s] sets). As discussed, the relocation of the proposed dock assembly will reduce the overall length of the dock to 98.0', 14.0'± shorter than our initial design. Kindly review these items. Should you have any questions regarding this matter, or require additional information, please feel free to contact this office at any time. Thank you in advance for your cooperation. Sincerely, Matt D. Ivans enc. CC: B. Katz OFFICE LOCATION: �q so MAILING ADDRESS: Town Hall Annex ��� Ol0 P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd.&Youngs Ave.) Southold, NY 11971 rn Telephone: 631 765-1935 Fax: 631765-3136 �1y00UNTY,�� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Jill Doherty, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: March 22, 2011 Re: Proposed Wetland Permit for BARRETT KATZ SCTM#1000-86-6-7 The proposed action is located within a New York State Department of State Significant Fish and Wildlife Habitat Area, a New York State Critical Environmental Area and a Peconic Estuary Critical Natural Resource Area. Suffolk Environmental Consulting, Inc. on behalf of BARRETT KATZ requests a Wetland Permit to construct a docking facility comprised of a 4'X 72' fixed elevated catwalk, TX 15' hinged ramp, and 6'X 20' floating dock off the northern shoreline of the property. Located: 625 Wood Lane, Peconic. SCTM#86-6-7 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 INCONSISTENT with the LWRP and listed policy standards provided below. Subject parcel. Figure 1. Subject parcel. 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 of 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 The applicant fails to prove that the action meets the following requirements § 275-11 Construction and operation standards C. 2 (d) of the Southold Town Code: (d) Review and approval of dock applications. Before issuing a permit for a dock structure, the Trustees shall consider whether the dock will have any of the following harmful effects: [2] Whether the dock will unduly interfere with the public use of waterways for swimming, boating, fishing, shellfishing, waterskiing and other water-dependant activities; A net loss in public use of waterways is expected as a result of the construction of such a structure in/on public waterways (5] Whether the dock will cause degradation of surface water quality and natural resources; As indicated above the proposed action is located within a New York State Department of State Significant Fish and Wildlife Habitat Area a New York State Critical Environmental Area and a Peconic Estuary Critical Natural Resource Area It is recommended that the Board assess the proposed action to the below dock structure Best Management Practices Dock structure should: 2. allow a minimum of fifty percent(50%) irradiance to the substrate• and [6] Whether the dock will cause habitat fragmentation and loss of significant coastal fish and wildlife habitats; The proposed action is located within a New York State Critical Environmental Area At the discretion of the Board of Trustees, any operations proposed in critical environmental areas (§ 275-2) may be subject to more stringent requirements than detailed in this section. Such requirements may include, but are not limited to, denial of certain operations, shortening or reducing the size of structures, and increasing the width of non-disturbance buffers. It is recommended that in the event the action is approved that the Board require the establishment of a vegetative buffer (unspecified width) to mitigate the local impacts from the dock structure. (7] Whether the dock will result in the destruction of or prevent the growth of vegetated wetlands, seagrasses including eelgrass (Zosters marina) and widgeon grass (Ruppia maritima) or shellfish; There is a high probability that commercially valuable shellfish species occur in the Proposed location of the dock structure. (11] Whether the cumulative impacts of a residential and commercial dock will change the waterway or the environment and whether alternate design, construction, and location of the dock will minimize cumulative impacts; and The construction method has not been identified. 4 275-11 Construction and operation standards requires that all intertidal construction and excavation employ the installation of a silt boom that will retain all suspended sediments within the immediate project area (12] Whether adequate facilities are available to boat owners and/or operators for fueling, discharge of waste and rubbish, electrical service and water service. The answer to this question has not been provided 9.3 Preserve the public interest in and use of lands and waters held in public trust by the state and the Town of Southold. A. Limit grants, leases, easements, permits or lesser interest in lands underwater in accordance with an assessment of potential adverse impacts of the proposed use, structure, or facility on public interest in public lands under water. The placement of a private residential dock structure in public trust lands and/or waters results in a net loss of public use of such lands and water. 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 Office Use Only Coastal Erosion Permit Application X Weiland Permit Application Administrative Permit / Amendment/Transr/Fxtension V Received Application: .✓ Received Fee:$ ✓ Completed Application: l Incomplete: SEQRA Classification: Type I Type 11—unlisted- r Coordination(date IUnlisted- Coordination(date sent) �LWRP Consistency Assess ent Form: f CAC Referral Sent: Date of Inspection: Receipt of CAC Report: Lead Agency Determination Technical Review: =Public Hearing Held: 11 Resolution: Name of Applicant BARRETT KATZ Address 40 East 2151 Street—Ant. 11; New York NY 10010 Phone Number: (917) 545 - 9187 Suffolk County Tax Map Number: 1000—086—06- 007 Property Location:_ 625 Wood Lane: Peconic;Town of Southold NY (provide LILCO Pole#, distance to cross streets, and location) AGENT: MATT D. IVANS 0 Suffolk Environmental Consulting Inc (If applicable) Address: P.O. Box 2003• Bridgehampton NY 11932 Phone: (631) 537—5160 � �t ftoard of Trustees Application* GENERAL DATA Land Area (in square feet): 22, 995 square feet+ Area Zoning: R-40 Previous use of property: Residential. Intended use of property: Residential with proposed dockinLr facility. Covenants and Restrictions: Yes X No If "Yes", please provide a copy. Prior permits/approvals for site improvements: Agency Date X No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary): Applicant wishes to obtain a wetlands permit for construction of a docking facility comprised of a FIXED ELEVATED CATWALK a HINGED RAMP and a FLOATING DOCK off the northern shoreline of subject property. Please refer to the attached plans for all project specifications 0 Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purposes of proposed activity: Applicant wishes to obtain a wetlands permit for construction of a docking facility comprised of a FIXED ELEVATED CATWALK, a HINGED RAMP and a FLOATING DOCK off the northern shoreline of subject property. Please refer to the attached plans for all project specifications. Area of wetlands on lot: 700 + square feet Percent coverage of lot: 3.0+ % Closest distance between nearest existing structures and upland edge of wetlands: 0.0 feet (existing hulkhead) Closest distance between nearest proposed structures and upland edge of wetlands: 0.0' + feet (proposed new dock) Does the project involve excavation or filling? X No Yes If Yes, how much material will be excavated? 0.0 (cubic yards) How much material will be filled? 0.0 (cubic yards) 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): No impact to the wetlands are anticipated due to the project meeting all typical environmental regulatory requirements (i.e., elevation over wetlands; adequate water depth use of non-treated materials). Additionally, review of the surrounding shoreline indicates a substantial number of existing dock structures that have existed harmoniously within this creek without any discernible impact to the surrounding environment Board of Trustees Application N/A COASTAL EROSION APPLICATION DATA Purposes of proposed activity: Are wetlands present within 100 feet of the proposed activity? No Yes Does the project involve excavation or filling? No Yes If Yes, how much material will be excavated? (cubic yards) How much material will be filled? (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) d� * Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: Sc1M.s: 1000- 086 - 06 - 007 THE FOLWYYINO ACTN)NS MAY REQUIRE THE$111111111111113310114 OF A y(� STORM-WATER,4RADI DRMNAtiE AND EROSION CONTROL PLAN TWR E a n �oCk' -� CST M N R NI�STA OEC SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? 1 Will this Project Retain AN Storm-Water Run-Orf (Include Total Area of all Parcels located within 22, 995 sq. ft. Generated by a Two(2')inch Rainfall on Site? the Scope of Work for Proposed Construction) _ 0 (This item will include all run-off created by site b. What is the Total Area of Land Clearing Gearing and/or construction activities as well as all andlor Ground Disturbance for the proposed < 10.0 sq. ft. Site improvements and the permanent creation of construction activity? (SF J Acer) impervious surfaces.) PROVB7E BRIEF PROJECT DESCRIVT[ON ic.�.ur+aawrw vgrimM.r.+.di 2 Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size&location?This Item shall Include all Proposed Grade Changes and Applicant proposes to construct a docking assembly Slopes Controping Surface Water Flow off the existing timber bulkhead along the northern 3 Does fire Site Plan and/or Survey describe the erosion / ❑ section of subjectro ert consisting of the following: and sediment control practices that will be used to V P P Y consg control site erosion and storm water discharges This FIXED ELEVATED CATWALK measuring 4.0' Item must be maintained throughout the Entire wide x 72.0' long (supported by twenty-three [23] Construction Period. Pgs ilin HINGED RAMP rin 3.0' wide x 15.0' 4 Wit this Project Require any Land Filling,Grading or ❑ / measug Excavation where there is a change to the Natural long�FLOATING DOCK measuring 6.0' wide x 20.0' Existing Grade Involving more Man 200 Cubic Yards long (secured by four [47 pilings). All materials to be of Material within any Parcel? Will this Application Require Land Disturbing Activities non-treated Fir. Oak. Cedar, etc...) and all hardware to Encompassing an Area in Excess or Five Thousand be hot-dipped galvanized. (5,000 S.F.)Square Feet of Ground Surface? - -`-' 6 Is there a Natural Water Course Running through the Sae? is this Project within the Trustees jurisdiction General DEC SWPPP Requlrononts: IX within One Hundred(IW)feet of a Wetland or submission of a SWPPP is roguked for as Cwdtrucran actiatOs involving;sed Beach? daerrbances d ane I7)a mac acres; irKAdrg detumances of less Man the acre beat 7 Will there be Site preparation con Existing Grade Slopes are part of a larger corrvnon pan that we uksrrstey disturb one or nam acres of land, which Exceed Fifteen(15)feet of Vertical Rise to ❑ v4u&a cona ruclbn act~nvotv« ss Mon g soi denpbantes of lean e(i)acre wbem One Hundred(100')of Horizontal Distance? the DEC hes determined that a SPDE3 pemN h required for slam water discharges. (SgfPPP's Shall nest the Onion=Requirements of the SPDES General perms S Will Driveways,Padding Areas or other Impervious for Stemm Water Discharges tram Construction activity-Parma No.GP-040-01)11.1 Surfaces be Sloped to Direct Stone-Water Run-OR I.The SWPPP shelf be prepared prim to the Submittal of Me NCR.The NO]seas be into and/or in the direction of a Torn rightof-way? El submitted to the Department prior to tie carmencement of owsoudbn a&A* 2.The SwPPP shall describe the emsion and sedkrea control practices and edam 9 Will this Project Require ft Placement of Material. Q mrarkW,postcormWuctlm a wm wall mar"errent"claves that will be used adfor Removal of Vegetation andfor grate Construction of any conswcbd to reduce the poadants haco flacon VA"discharges aareae Item m arItem Within the Town Right-of-Way a Road Shoulder canpYnce with the baro and Conditions of this perrM In addition.Ute SWPPP shat Area?(nit kra wit dor k"we one inhuman deet v Mons.} kbnUly potential exams of portion vdii0h may reasonably be expected to affect the quay of storm water dbchaMes. NOTE: N Any Anwar to Oueadom Ore through rem Is Mawered with a Check Mars 2,AN SWPPPa tlet require fate Poets Vru xbn sh orm%iota managemaa widtlm in a boa and the comWctlon ane dabrbana Is botaaen 8,000 S.F.61 Alla M area, oorrowera shed be prepared by a quelled DBaign Professional Licensed M New York as Grading,Orabage i Ermine,Caroni Plan N Rpuked by the Town of that is knpAMdpeads h on principes and practices of storm Wates Manpement. SoudroW and Must be Sulmm for Review Joe"to hsuance of Any Su11Wmg Penna. (NOTE: Acheck kek(,F)anawAa faeatlt ovomm is rbawed res a CarrNrai Arsaraeon) S7'A'I'E OF NEW YORK, SUFFOLK COUNTY OF...........................................SS DIANE K.WASSICK @ SUFFOLK 'I'hat 1 ENVIRONMENTAL CONSULTING. INC. being duly swom,deposes and says that he/she is die applicatu for Pernril, (Mame a i+dvduM siryrang Doamkmt) AGENT Andthat he/she is thr ........................................... ...............___........................... (Orme,.CanbaMr,Ages.Corporate Officer.etc./ Owner and/or representative of die Owner or Owners,and is duly authorized to perform or have performed the sit d wort"and to make and file this application;that all statements contained in this application are true to the beet of his knowledge and belief:and that the work will be performed in the manner Net forth in the application filed herewitb. Swore to before me this: Notary Public. ........ zt ew D Ivans . .... rot. Nntary�atrt-G OIN2ltfeYDf (agnatms dApyicanl} FORM - 06/10 Dualilled in s,Ifnik CouPty Commisslor. Expires January 22, 20/a 0 14-16-4(9/95)-Text 12 617.20 SEAR PROJECT I.D. NUMBER Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART 1-PROJECT INFORMATION To be completed by Alicant or Pro'ect sponsor) I. APPLICANT/SPONSOR 2. PROJECT NAME Suffolk Environmental Consulting,Inc. KATZ Property 3. PROJECT LOCATION: Municipality To"not'Southold County Suffolk 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks,etc.or provide map) 625 Wood Lane;Peconic; Town of Southold,New York(SCTM#: 1000-086-06-007) 5. IS PROPOSED ACTION: ® New ❑ Expansion ❑ Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: Applicant proposes to consn-uct a docking assembly off the northern shoreline of.subject property in order to protide access onto Richmond Creek and beyond. Please refer to the attached project plans for all specifications. 7. AMOUNT OF LAND EFFECTED: Initially 0.1 acres Ultimately 0.1 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ® Yes ❑ No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ®Residential []Industrial ❑Commercial ❑Agriculture ❑Park/Forest/Open space ❑Other Describe: Single family residential dwellings with related appurtenances, including dock structures. 10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENT AGENCY(FEDERAL, STATE OR LOCAL)? ® Yes [:]No If yes,list agency(s)and permiVapprovals Army Corps of Engineers General Authorization;New York State Department of State General Concurrence; New York State Department of Environmental Conservation. 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑ Yes ® No If yes, list agency(s)and permit/approvals 12. ASA RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? ❑Yes M No I CERTIFY THAT THE INFORMATION PROVIDED IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Matt D. Ivans- Suffolk Environmental Consulting, Inc. Date: December 23, 2010 Signature: If the action is in the Coastal Area,and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER PART II-ENVIRONMENTAL ASSESSMENT To be completed by Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.12? If yes,coordinate the review process and use the FULL EAF. ❑Yes ❑No 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. ❑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,noise levels,existing traffic patterns,solid waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly: C2. Aesthetic,agricultural,archeological, historical or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitat,or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted,or change in use or intensity of use of land or 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 term,cumulative,or other effects not identified in C1-05? Explain briefly: C7. Other impacts(including changes in use of either quantity or type of energy)? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CEA? Dyes [--]No D. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑Yes ❑No If yes,explain briefly 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 and significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Lj Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/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 action WILL NOT result in any significant adverse environmental impacts AND provide on attachments as necessary,the reasons supporting this determination: Name of Lead Agency Print or Type Name of Responsible Officer Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different From responsible officer) Date PART N- IMPACT ASSESSMENT To be completed by Lead Agenqj A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617.4? If yes,coordinate the mAew [:]Yes ©No Process and use the FULL EAR 8. VOL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.67 If No,a negative declaration may be shy by another involved agency. Q Yes ©No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Manvers may be handwritten,If IegUe) C1. EWIng ale qua ft surface organa t*w quft or quanety,ndse levels,eWJng traffic potential for mosk n,drainege or Iboding problems? Explak briefly: Patiem.GM weak production w disposal. No C2.Aes#wk sgdcul war,archaeological.Nskric,or other natural or culmal resources;or corm urdgr or neighbw"du cher?Evtafn bddy: No CS. Vegek6on or fauna.fish,shegfish orwkft spades.stgrygcant habbts,or#"aItoned or endangered specks?E>grlaln bridly. No C4.A wxnnw nay's exUM plans wgoals as dtidatiy adopted,or change In use or Inlensay of use of land Or other naaaairesources?Explain bdeay: No C6. G[owth,subsequent develolxnenl,or related acooss,tikdy k be Induced by I he proposed adkn7 EgAain brW No 06. Lug term,shat knn,cumulative,or olhw effects not identified in CiC6? EWak briefly: . No C7. Other udf changes in use ofellhw quanfityor Mm of y? Explain brt ay: No D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL ARFJ1 CEA? If yes,explain bdeA : Yes ❑✓ No E IS THERE,OR IS THERE LIKELY TO BE CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If s le: Yes allo PMT N-VETERMINA11ON OF SIGNIFICANCE(To be cwMMed by Agency) MiSTRUCTKINSr Foreach adverse effectIdendfIed above,determine whelhert Is substandal,large,hnportantwothenMsesignfficanL Each eftd shoWd be assessed in connection with Its(a)setting(Le.urban or neap;(b)probabigty of ocouMng:(c)duration;(d)hreverstii ,(e) geographic scope:and(f)magnkude. If necessary,add altadvrlenk or reference supporgng matertala. Ensue ghat explanations contain wfldentdetaNtoshowItWONrelevantadverseIrnpectshavebe"klen dnsdeqaeyadse . NquWmdfpetlredeartnationofsgnficaroamuatevaluakhepoeaknPwttofNliwaschecked hepropoedacUwonwenvkonmenWduackdko(MCEA Check#6bcxffyouhaveidertIledOne wmwePOWdIallylergeorsig0cardadverse sn otswhldhMAYoocur.Thenproceeddhe*tothe FUU EAF andfor prepare a positive declaration. Check fhk box If you have detemhked,based on tlhe Wwmgdm and analysis above and any wpporlIng dommenktion,fiat the proposed soft WILL NOT resuk in any etgriiticenl adverse enAmmnenkl kopeck AND provide,on alkdwAft as necessary,I he reasons suppoiary ft delenntnslon. . Board of Trustees Name of Lead Agerwy a Ddk - Jill M. o ertv President n or ypean o—R f Respoble Officer m Lea Agency Tide of Responsible Officer Igna btu Office m Lead'Agency Signature of Preparw Q dfferem from reapo officer) 0 • Suffolk Environmental Consulting, Inc. Newman Village, Suite E.2322 Main Street, P.O. Box 2003, Bridgehampton, New York 11932-2003 (631) 537-5160 Fax: (63 1) 537-5291 Bruce Anderson, M.S., President March 21, 2011 �O Ms. Lauren Standish Board of Trustees Town Hall P.O. Box 1 179 Southold, NY 11971 He: KA TZ Property Situate: 625 Wood Lane; Peconic;Town of Southold, NY SCTM #: 1000—086—06—007 Dear Ms. Standish, As you know this Firm represents the owner of the property referenced above who is seeking to improve thereon. As per the hearing requirements of the Southold Board of Trustees I enclose herewith: ➢ Affidavits of Mailing dated March 11, 2011, with certified receipts attached to all abutting property owners. Please be advised that we will forward to you the green receipts cards as we receive them. Should you have any questions concerning this matter, please feel free to contact this office at any time. Thank you in advance for your attention and consideration. Sincerely, Diane K. Wassick enc. cc: Mr. Katz PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address : Austin&Patricia Lawther 1380 Gardiner Drive; Bay Shore,NY 11706 1000-86-6-8 Eleanor Lang&Elaine Lornett Lang P.O. Box 265; Friendship,ME 04547 1000-86-6-6 Jack&Christie Gismondi 5655 Indian Neck Lane; Peconic,NY 11958 1000-86-6-14 Eleanor Lang 102 Bradford Point Road; Friendship, ME 04547 1000-86-6-13 STATE OF NEW YORK COUNTY OF NEW YORK Diane R. Wassick c/o Suffolk Environmental Consulting, Inc. , residing at 2322 Main St. ; Neaman Village Suite E; P.O. Box 2003; Bridgehampton, NY 11932 ,being duly sworn deposes and says that on the )/ day of_hA<WW , 2011, deponent mailed a true copy of the Notice set Orth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at Bridgehampton , that said Notices were mailed to each of said persons by (certified) (registered) mail . Sworn to before me this day of 2011 No r Public Ali Od 'ZZ � pruv s^ d� poi Hoop ._ •: Ln m n( .. ti u m ui (Dolln.-tic Mail Only;No Insurance coverage Provided) ,n u `n 'n ru Cc M nmm F P�EPhi A A L U E m 1170 I A ¢ a U S E Iru it Ir - J _n Postage a 10.61 09 OGEH^MPTO r Postage $ $0.61 Certified Fee �Q� 2 `n l// r9 r- ra C3 $2 � Certllietl Fee $2 80 efR ^,. •,r C C] C] Return Receipt Fee o��p�I� �F (Er C C] C7 (Endorsement Required) I O Return Receipt Fee ,,11..oppe,,.brLlerkryry�� M Mlp l 12011 C3 (Endorsement Required) $2.30 IIW11'e�•1 LV11) M R, C E3 C] Residaed Delivery Fee r C] Restricted Delivery Fee C3 (Er b M M (EndorsenrentRequlretl) $0'00 v C] (Endorsemel»Required) $0.00 O I C p C] Total Postage&Fees $ $5.71 ,SP$ 7 1 9 L CO Total Postage&Fees $ $5.71 03/1 t 9 C3 C3 03/11/20 -__� 3 set o � R p- � � ent o C3 C o o T ° Sf C C] Im P '42 Zd01.4Qi O 6 e( - - . --••-• O or C` M1 M1 or PO Box No �v/'� )� Q/n C] or PO Box No. r., f'// •- M1 CI Cltg Sfefe Z%P.4...1..-L.l C.L.-.. ..P� ....................... M1 . .--..0 �./.YFll �. .. J A , D City,Sfete, 131-0 O t- /`tel Postal Postal D-' .. Only; .� •. • Coverage Lr] Ln ? V1 fin PECpNIG NY 1191!i8 m FRYEi11`1ftIP 'E lJ E Er 0 Postage $ $0.61 HA Postage $ $0.61 09 SHAM Certified Fee �'� Q\OGk MPTP Certifletl Fee $2.9D N P'O2 Postmark C] Relurn Receipt Fee Rostmerk .y E3 Return Receipt Fee (Endorsement Required) u' O p (Endorsement Required) $2,30 - ryere 11 O Restricted Delivery FeeAl! 1 2U11 C] Restricted Delivery Fee W (Fndorsement Required) f0•00 O (Endorsement Required) $0.00 Cl Co M Total Postage 8 Fees $ $5.71 03 L M Total Postage&Fees $ $5.71 03// nt 1193�' o 'trs ✓ .1-. - o srea"�rP ' N _�r PO Box No. .._ .-- M1 .p[-f.�(----- or City,State,ZIP+4 "'--------- • FOL 4. Jill M. Doherty, PresidentN Town Hall,53095 Main Rd. Bob Ghosio,Jr. ,Vice-President C. P.O. Box 1179 .lames F.King �'t` Southold,NY 11971 Dave Bergen 9/0 ��� Telephone(631)765-1892 John Bredetneyer '� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of BARRETT KATZ COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, ���g� �Adk /GZ�residing at/dba 521)C- /dI F1V6/I4Qe1,f oI being duly sworn, depose and say: That on they o }',�� V" 201/, 1 personally posted the property known as ,, 91)1 by placing the Board of Trustees offiial 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, March 23, 2011 on or about 6:00 PM. Dated: /'lam Z3�2011 (signature) Sworn to before me this 22 day of 201/ N ar ublic s^,ssuuw03 p'anhai� B IVan6 � 1 Not ,j tel r,'; York Y,a�F 10N v � ,q 4 ali iU �0�7nf Iss1Gi Ear„es�,�i�tius�;Y'22 201vj Board of Trustees Application County of Suffolk State of New York BRUCE A.ANDERSON- Suffolk Environ. Consulting, Inc. 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 HARMELESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY BIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S0, TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS7T . - . Signature SWORN TO BEFORE ME THIS �3� DAY OF Bc- 20/o gfary Public Mztihew D Ivans Notarp P"bile of Nem,York fJo. Gtl"tio5S8`�9 Duallt�ed In Saitolk County Commisslon Expires Jarmary 22. 20If Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) I, BARRETT KATZ residing at P.O. Box 286: Peconic, NY 11958 (print owner of property) (mailing address) do hereby authorize Suffolk Environmental (Agent) Consulting, Inc. to apply for permit(s) from the Southold 1396M of Town Trustees on my behalf. r�J (Owner's signature K, Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS I. 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 Erasion Hazard Area. 2. 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). 3. 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 SCTM# 086 06 007 The Application has been submitted to (check appropriate response): Town Board ❑ Planning Dept. ❑ Building Dept. ❑ Board of Trustees 1. 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: Applicant proposes to construct a docking facility off the northern section of subject property and the shoreline of Richmond Creek. Attach additional sheets if necessary Location of action: 625 Wood Lane; Peconic; Town of Southold,NY Site acreage: 0.53 acre± Present land use: Improved w/single family dwelling and related appurtenances. Present zoning classification: R- 40 2. 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: BARRETT KATZ (b) Mailing address: 40 East 21"Street—Apt. 11; New York, NY 10010 (c) Telephone number: Area Code (917) 545- 9187 (d) Application number, if any: N/A 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? 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 Subject proposal is consistent with the policy in that the siting and utilization of the proposed dock assembly will maintain the character of the surrounding neighborhood which currently consists of many similarly-improved residential lots with similar accessory structures (i.e. dock assemblies along Richmond Creek). In addition subject proposal will be in harmony with the beneficial use of a coastal location..." in that the legally created residential waterfront (i.e. coastal) lot will be enhanced by the inclusion of the proposed dock assembly in order to access the contiguous surface waters. Accordingly, we believe that this project is consistent with this policy. 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 Subject proposal is not applicable to this policy in that it will have no impact to any potential historic and/or archaeological resources within the surrounding area. Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 5 through 7 for evaluation criteria ® Yes ❑ No ❑ Not Applicable Subject proposal will not adversely impact the visual quality of the surrounding area in that the surrounding area is currently comprised of properties improved with similar appurtenances (i.e. dock assemblies) of equal if not greater, size and scope. Scenic resources, assumedly views of Richmond Creek, are not at risk due to the proposed dock assembly being typical of the character of this section of waterfront Accordingly, this proposal will comply with Policy 3. 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 Subject proposal will fully comply with Policy 4 in that the proposed dock assembly is designed to be comparable in design and scope as that of the surrounding dock assemblies,which have not resulted in loss of life structures and natural resources within this area. Accordingly, this proposal will comply with Policy 4 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 Subject proposal is not applicable to this policy in that it will have no effect to the water quality/supply within the surrounding area. 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 Applicable Subject proposal will maintain the quality of the surrounding ecosystem in that the proposal is typical of this section of Richmond Creek which has not resulted in significant effects to the surrounding ecosystem According this proposal will comply with Policy 6 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 Subject proposal is not applicable in that the proposal is simply to improve subject property with a dock assembly which will not result in any form of adverse effects to air quality. Accordingly, this proposal is not applicable with this policy. 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 Subject proposal is not applicable in that the proposal does not involve disposal and/or transportation of solid waste, hazardous waste toxic pollutants petroleum products. Attach additional sheets if necessary 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 Subject proposal is not applicable to this policy in that the proposal is attendant to a private dwelling Regardless this project will not impede any access to the surface waters in and around subject property and/or become detrimental to the recreational use of the surrounding resources. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependence uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria ® Yes ❑ No ❑ Not Applicable Subject proposal is applicable in that a water-dependent use (i.e. access to surface waters boating) is being sited onto a waterfront parcel however, with regards to this Policy's concerns with marinas aquaculture etc this proposal is not applicable due to this proposal involving only a private docking assembly. 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 Subject proposal is not applicable in that the proposal does not involve any form of marine resource management (i.e. commercial fisheries, recreational fisheries, aquaculture, etc...). 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 Subject proposal is not applicable in that the proposal does not involve agricultural lands (i.e.the conversion of farmland, the establishment and/or maintenance of new coastal agricultural production, etc...) 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 Subject proposal is not applicable in that the proposal does not involve the conservation of energy resources on a commercial level and/or the promotion of alternative energy sources, proper maintenance of fuel storage facilities and/or the extraction of mineral extraction Attach additional sheets if necessary Created on 5/25105 11:20 AM • Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM 115 PROPERTY LOCATNIN: s.C.T.M.r. THE FOLLOMMO ACTIONS MAY REQUIRE THE SUBMISSION OF A Is 1000- 086 - 06 - 007A p OMMM SOI,PLAN (V MW liiaii;_ -mix— -7rar— ugnwn%nrM EY A umomm rawr�Km^L N Tral 9-T-AWWWYMUL SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM N / WORK ASSESSMENT Yes No a. What Is the Total Area of the Project Parcels? 1 Will MIs Project Retain All Storm-Water Run-0N (Include Total Area of all Parcels located within 22, 995 sq. ft. Generated by a Two(2)Inch RaNNall on Site? / the Scope of Work for Proposed Construction) (S.F r Aar) f fila Clem will Mchde all nm-off created by she J_ a b. What Is the Total Area of lard Clearing cleakg andfor construction activities as wall as as atd%or Gmud Disturbance for the proposed < 10.0 sq.ft. Site Improvements and tills permanent creation of ConsmlGion activity? (S.F.IAar) Impervious surfaces.) PROVIDE BRIEF PROJECT DESCRIPTION (P,e u.m000eo Peer r rlr.sre Z Doan ge Site Plan and or Survey Slaw ca Proposed a Drainage Sbuduxes Indicating Size tS Location?This Applicant proposes to construct a docking asItem shad Include all Proposed Grade Changes and sembly Slopes Controlling Surface Water Flow. off the existing timber bulkhead along the northern 3 Does the Site Plan and/or Survey describe the erosion — section of subject property consisting of the following: and sediln1entcontrol practiOBs that will be used to control site erosion and storm water discharges. This FIXED ELEVATED CATWALK measuring 1.0' dem must be maintained throughout the Entire wide x 72.0' long (supported by twenty-three [237 Construction Period. s : HINGED RAMP in 3.0' wide 15.0' 4 Will this Project Require any Land Filling,Grading or Pilin g ) Measuring e x Excavation where Mere Is a charge to the Natural long: FLOATING DOCK measuring 6.0' wide x 20.0' Existing Grade Involving more Men 200 Cubic Yards a long secured by four [4� piling . All materials to be of Material wfthin any Parcel? 5 Will this Application Require land Disturbing Activities non-treated (Fir. Oak. Cedar, etc...) and all hardware to Encompassing an Area in Excess of Five Thousand be hot-dipped galvanized. (5,000 S.F.)Square Feet of Ground Surface? — — 6 Is Mere a Nafwal Water Course Running through the Site? Is this Project wdNn the Trustees jurisdiction Oast DEC WOPPP waw.rneeft or within One Hundred(100')feet of a Wetland or — — Suteriebn of•SWPPP is mocked for Y Construction aakrnes involving cos Beach? dibNbrron d ons It)«mon saes: kiGrtlirp dikxbrnass a less nun one ave nib 7 Will there be She preparation on Existing Grade Slopes re put of•i W cover on txsn that we usiratNr dWkmb one«more saes of Iib: which Exceed Fifteen(15)feet of Vertical Rise to ❑ kxkx*V Construction scovsln Invok"rel dYlraOarrw d lett nun one(t)etrewan One Hundred(1011')of Hodmnfaf Distance? til OEC tits daft d ed purl•SPDES pemet i required W storm waver Asdueaas. 1 aWPPP's ahNt mcet the Mkirnn"elro arw dna SPM Gen"Permit 8 Will Driveways.Parking Areas or other Impervious a for Seven West Discharges ban Conotrrrcaun activity-PerenN No,OP4.10001.) Surfaces be Sloped to Direct Sbvm-Wafer Run-Off 1.The SWPPP MW be prepared Prior a the subnstial of de NOI.The NOI 5,W be Into ardor In the direction of a Town right-of-way? — awnaid to tie Daprbwd Prior to to cpmanpnam of oonswicton ectivOY. 2.The SWPPP shelf dosaUe on eroain ane sediment control praalces and wure 9 Will this Project Require the Plecomem of Material. ragcrtrae.pxMawvabudbn sem war monnomenl prnvn- dM we be used rdbr Removal of Vegetation and%or die Construction of any ❑ oonerew to reduce de poadri in sem wad rxaararpsa and i saws dem Wit ii the Town RlgMcf-Way or Road Shoulder cavipYxa with the recon and conditions Or this penia.In adUam.de SWPPP ones Area?me,sawrNmkwaawtrwesrumaarwmrAPranti Ideally , soaces a poadin wdd,may ressomby be opened to ria the QUAY of even weir d edwslos. NOTE: IfAny Answer be Ornselono Ono nwouali Nee Is Arawred whir a Check Mark s.As SWPPPs that require the ooNWanMWon SWm WOW nanepenrd prealoe In a ace and the construction stle divool epee Is' 5,0005,F.A 1 Ata In aro% corrk"m shot be Prepared by a giaaid Design PraasaaW Licensed in New York a elonwelaur,Oredt"a,Oraeade a&win contra Pin is R"uhad by the Tam of that is irowMdaeabM in the principles and Dia of Semi WOW Moragenent Southold and Must be Sabrattied lr Rsvlaw Prior to koruna of Any&rgrig Pamk. MM ACheakkek(4) -a ArrMrkraaar0eeank Re eked kr a Oarolea Apdradon) � SPATE OF NEW YORK, SUFFOLK C DIANE K.WASSICK @ SUFFOLK ""'SS ENVIRONMENTAL CONSULTING, INC. be dud sworn,deposes and sit that 711011. ......................................................................... being Y Po says he/she is the applicant for Permit, Mem.d sw.Mv.I.gra,g Ooamerd) And that he/she is the AGENT .............................................................................. lower.CanYtcbr.Mrd•conparare Olscer,sto) Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed die said work and to make and file this application;that all statement%contained in this application are true to the best of his knowledge and belief;and that the work will be performed in the manner set forth in die application filed herewith. Sworn to before me this; Notary Public: .......... . ... ........... M2; ew D. (vans .........................i..... t otar P'aew c. 1 eta'York FORM - 06110 Qualified in SL ffoik Cotmty Commisslon Expires January 22, 201st Suffolk Environmental Consulting, Inc. Newman Village, Suite E, 2322 Main Street, P.O. Box 2003, Bridgehampton, New York 11932-2003 (63 1) 537-5160 Fax: (63 1) 537-5291 Bruce Anderson. M.S., President HAND DELIVERED February 16, 2011 Ms. ,Jill Doherty, ChairwomanI Board of Trustees F' ` Lull Town Ifall P.O. Box 1179 Southold, NY 11971 Re: KATZ Property Situate: 625 Wood Lane; Peconic; Town of Southold, NY SCTM #: 1000-086-06-007 Dear Ms. Doherty, This Firm represents Mr. Barrett Katz, owner of the property referenced above, who is seeking all required regulatory approval to construct a docking assembly along the northern shoreline thereon. Consequently, approval from your Board is required. Please find enclosed herewith for your review: (1) Town of Southold Trustees Wetlands Permit Application (original and two [2] copies); (2) Short Environmental Assessment Form (original and two [2] copies); (3) Local Waterfront Revitalization Program application (original and two [2] copies); (9�) Town of Southold Erosion, Sedimentation & Storm-Water Run-Off Assessment Form (original and two [2] copies); (5) Location Map for reference (three [3] copies); ((j) Photographs of subject property, indicating the conditions thereon, as well as the staked location of the proposed dock assembly (three [3] sets); (7) Proposed Plans, prepared by Suffolk Environmental Consulting, Inc., dated February 2, 2011, indicating all project specifications (three [3] sets); Hammarth/ • 2 (s) Survey of subject property, prepared by PECONIC SURPE,TORS, P.C., indicating the conditions thereon (three [S] prints); and (9) Check made payable to the Town of Southold in the amount of$250.00 covering the requisite application fee. By way of this correspondence, and on behalf of the Mr. Katz, I request that you commence review of this application and schedule before the next available Trustees Board meeting for discussion and subsequent permit issuance. Should you have any questions regarding this matter, or require additional information, please feel free to contact this office at any time. Thank you in advance for your cooperation. Sincerely, y� 7 l Matt D. Ivans enc. CC: B. Katz KA TZ Property --- Proposed Dock Structure SITE PLAN Situate: 625 Wood Lane; Peconic; Town of Southold, New York Adapted frons the Survey ofsubject property, (1,prepared by SCTM #: 1000 - 086 - 06 - 007 PFCON7C SURLTYORS, P.C. BOARD Gi TS•:' ! ! 'v:� — DAT[ 1R,D CPTH j1 t�4 14- fL•, W0/F LANG u4 yrAJ N 03'4830' E s DOCK\6.0 300 MIA SAF. Jai 03 p � �F�pOCINO S TONES p �y mm — — � b RR TES m S T O N E V I tom' v, Y O ', T D/•4�0 L9T g L r ..' �l�I �' Q r •�l V 2P `Gil• o ,zzr P 3SH !id 'AIS T w r .� 54f1 R g3 0+ • . — — — .� w S 03.48'301 w ti 31319' PROJECT DESCRIPTION: w Applicant proposes to construct a N/0/F LAVTHER docking assembly off the existing timber bulkhead along the northern section of subject property consisting of the following: FIXED ELEVATED CATWALK measuring 4.0' wide x 58.0' long (supported by nineteen [19] pilings); HINGED RAMP measuring 3.0' wide x 15.0' long; FLOATING DOCK measuring 6.0' wide x 20.0' long (secured by four [4] pilings). All materials to be non- treated (Fir, Oak, Cedar, etc...) and all hardware to be hot-dipped galvanized. Date: Z 2 01 is Ma za 2 0 Scale: I O' 30 0' SUFFOLK ENVIRONMENTAL CONSULTING, INC. . = . + Drawn md: P.O. Box 2003 • Bridgehampton • NY • 11932 OF Comments: gdad from rtie 6Lect F t d by P,C fur Sr iRVFYOK S P r (631) 537 - 5160 (phone) (631) 537 - 5291 (facsimile) KA TZ Property — Proposed Dock Structure CROSS-SECTION Situate: 625 Wood Lane; Peconic; Town of Southold, New York SCTM #: 1000 - 056 - 06 - 007 VIEW 93.0'± ELEVATED CATWALK 4.0'W x 58.01] HINGED FAMP (3.0'W x 15.011 20.0' 58.0' FLOATING DOCK (6.0'W x 20.0'L]� 15.0'* Tidal Wetlands Boundary L�l a9I IRS 4.0' ALW — i I Existin�Grade ' � `AHW ALW TIMBER PILINGS (12 @ 6"x 6"] TIMBER PILINGS(I 1 @ 4"x 41 Date: rcbruaru L Zo Marck zs 2ol , Scale: I.O" ± SUFFOLK ENVIRONMENTAL CONSULTING, INC. = i O.o' Drawn by: nldi P.O. Box 2003 • hpF , pF � F�nNIC 5(JK\/F YC)R 5 Pr B n NY • 11932 Comments: (631) 537 - 5160 (phone) � OF (631) 537 - 5291 (facsimile) KATZApplication Situate: 625 , , . Southold, SCTM 000 06 00 low w . , PROPOSED At .46 KATZ DOCK n Aerial photograph indicating the rendering of the proposed dock assemUly along the SUFFOLK ENVIRONMENTAL CONSULTING. INC. northwestern section of the Katz property, as well as the current conditions along the immediate P.O. Box 2003 • Bridgehampton • NY• 11932 shoreline, including the existing dock structures. Photograph obtained from GoogleEarth' (sst) 5s;—5160(phone) "JPMN —5291 (facsimile) SURVEY OF PROPERTY AT PECONIC N TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000-86-06-07 SCALE.- 1'=30' JANUARY 14, 2002 FEB. 4, 2002 (ADDITIONS) DECEMBER 2, 2010 (SOUNDINGS & FLOOD ZONE) FEB. 11, 2011 (REVISION) 30 3.0 W WA�p UNE 0.3 LO CREEK 0 0.3 RICRMOND 00.11' EL 9J' 01110 � N 92•� a I .vllvx / ��til',,p1 tsr Za'd 7) �W°u sflps I /1D � � wag rca I 99' � 10.9' EL 122 EL. II 213' I P PE EL 10.5' 137✓ r I ZONE X H PAlE V S _ PATN I� M P gv \182_• I EL I2 l' d. 128• 6. 13,2' ` rl 0� I I I l I W \ I O I 8 VAY r FR Lray GAR, P( J 19.9' F G ' 17.9'.9' 164 N N r 0 5 I I I 3 w I P� I m i ' m fF z 'g�l I i I I I I w � l : to N I I I I I� FC B3'N tA5 � 83E \ 179.35' w 76.86' S 81•le'e0' WT OF WAY 20' RIGH a � r zIm � I INDIAN NECK RD. OF NEW FLOOD ZONE FROM FIRM MAP NUMBER 36103CO762H e -w SEPTEMBER 25, 2009 ELEVATIONS REFERENCED TO N.G. V.D. '294 61 ■ =MONUMENT m • =PIPE PECONIC S R ,49118 �.1 AYY A 7i 71W wVm W m tw9.nxvEr rs A V¢ nM (631) 765 - 5020 -1797 AREA=22,995 S,F ff=rm �9 a �,�rTA,E EaU N W�. P. 0, Box 909 EAffi,At HF R2i](N Tc99-AIDONISRN 2 A(1 6Aiff,CAiIWS TO TIE LINE 1230 TRAVELER STREET SOUTHOLD, N.Y. 11971 0 "! — 29 "l rtiar sRranraE A�Ntt 1cr,E01+