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Home My WebLink AboutTR-7637 Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hail Annex 54375 Main Road P.O. BOx 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0713C Date: December 14~ 2011 THIS CERTIFIES that the replacement of the existing +/-11 IL.F. bulkhead with two (2') 14' returns; construct new 6' inland return on westerly side of property; existing easterly inland retum to be repaired as needed; existing CCA timber inland retaining wall to be repaired as needed; existing shed with roof overhang to be removed and replaced in-place; existing stairs down embankment to remain; existing 30'x8' timber stairs to beach to be replaced in-kind/in- place; existing 28'x +/-15' inland boardwalk to be replaced in-kind/in-place; backfill behind bulkhead with a top grade of garden stone gravel At 995 West Road, Cutchogue, New York Suffolk County Tax Map # 110-7-3 Conforms to the applications for a Trustees Permit heretofore filed in this office Dated September 6, 2011 pursuant to which Trustees Wetland Permit #7637 Dated September 21,2011 was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the replacement of the existing +/-11 IL.F. bulkhead with two (2) 14' returns; construct new 6' inland return on westerly side of property; existing easterly inland return to be rep/fired as needed; existing CCA timber inland retaining wall to be repaired as needed; existing shed with roof overhan~ to be removed and replaced in-place; existing stairs down embankment to remain; existing 30'x8' timber stairs to beach to be replaced in-kind/in-place; existing 28'x +/-15' inland boardwalk to be replaced in-kind/in-place; backfill behind bulkhead with a top grade of garden stone gravel The certificate is issued to PAT IAVARONE owner of the aforesaid property. Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: /'~ Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1st day of construction ~ constructed Project complete, compliance inspection. INSPECTED BY: COMMENTS: CERTIFICATE OF COMPLIANCE: Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765~1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE __ Pre-construction, hay bale line __ 1st day of construction ~ constructed Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7637 DATE: SEPTEMBER 21~ 2011 ISSUED TO: PAT IAVARONE PROPERTY ADDRESS: 995 WEST ROAD~ CUTCHOGUE SCTM# 110-7-3 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on - September 21, 2011, and in consideration of application fee in the sum of $250.00 paid by Pat Iavarone and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trastees authorizes and permits the following: Wetland Permit to replace approximately 111+/- linear feet of existing bulkhead with two (2) 14' bulkhead returns, construct a 6' inland return on the westerly side of the property; existing easterly inland return to be repaired as needed; existing CCA timber inland retaining wall proposed to be repaired as needed; existing shed with roof overhang to be removed to allow for bulkhead replacement and put back in place; existing stairs down embankment to remain; existing 30'x8' timber stairs to beach to be removed and replaced in-kind/in.place; existing 28'x15'+/- inland boardwalk to be replaced in-kind/in-place; backfill behind bulkhead with approximately 200 cubic yards clean fill, top grade will be garden stone gravel; and as depicted on the site plan prepared by Bulkhead Permits by Gary, Inc., last dated September 12, 2011, and stamped approved on September 21, 2011. 1N WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. Jill M. Doherty - Absent Dave Bergen - Nas TERMS AND CONDITIONS The Permittee Pat Iavarone, residing at 995 West Road, Cutchogue, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third patties, 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 Pennittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. That there will be no unreasonable interference with navigation as a result of the work herein authorized. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. That the said Board will be notified by the Permittee of the completion of the work authorized. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. Jill M. Doherty, President Bob Ghesio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 September 21, 2011 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Ms. Janet Moses Bulkhead Permits by Gary, Inc. 2 Whaleneck Drive Merrick, NY 11566 RE: PAT IAVARONE 995 WEST ROAD, CUTCHOGUE SCTM# 110-7-3 Dear Ms. Moses: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, September 21,2011 regarding the above matter: WHEREAS, Janet Moses on behalf of PAT IAVARONE applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated September 6, 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 issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Headng was held by the Town Trustees with respect to said application on September 21,2011, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 2 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of PAT IAVARONE to replace approximately 111+/- linear feet of existing bulkhead with two (2) 14' bulkhead returns, construct a 6' inland return on the westedy side of the property; existing easterly inland retum to be repaired as needed; existing CCA timber inland retaining wall proposed to be repaired as needed; existing shed with roof overhang to be removed to allow for bulkhead replacement and put back in place; existing stairs down embankment to remain; existing 30'x8' timber stairs to beach to be removed and replaced in-kind/in-place; existing 28'xl 5'+/- inland boardwalk to be replaced in-kind/in- place; backfill behind bulkhead with approximately 200 cubic yards clean fill, top grade will be garden stone gravel; and as depicted on the site plan prepared by Bulkhead Permits by Gary, Inc., last dated September 12,2011, and stamped approved on September 21,2011. 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: $50.00 Very truly yours, Vice President, Board of Trustees BG/eac Peter Young, Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (63 I) 765-1892 Fax (631) 765-6641 Conservation Advisory Council Town of Southoid At the meeting of the Southold Town Conservation Advisory Council held Wed., September 14, 2011, the following recommendation was made: Moved by Peter Young, seconded by Derek Bossen, it was RESOLVED to SUPPORT the Wetland Permit application of PAT IAVARONE to replace approx. 111 If. of existing bulkhead with a 6' inland vinyl sheathing return and 14' return in same place; existing CCA timber inland retaining wall proposed to be repaired as needed; backfill bulkhead with approx. 100 cy. clean sand; and replace existing 28'X 15' inland boardwalk inkind/inplace. Located: 995 West Rd., Cutchogue. SCTM#110-7-3 Inspected by: Audrey Horton, Peter Young The CAC Supports the application with the Condition a 20' non-turf buffer is installed along the landward side of the bulkhead; the retaining wall is continued to the west side of the staircase with returns to stabilize the steep slope; and the construction materials are consistent with best management practices. The CAC notes that the plan does not reflect what currently exists on the property. Vote of Council: Ayes: All Motion Carried Jill M. Dohmly, Ptesidem Bob Ghosio, Jr., Vice-Presidenl James F. Krug Dave Bergen John Bredemeyer PO. Box 1179 Southold, NY 11971 Telephone(631 765-1892 Fax {631)765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report PAT IAVARONE requests a Wetland Permit to replace approx. 111 If. of existing bulkhead with a 6' inland vinyl sheathing return and 14' return in same place; existing CCA timber inland retaining wall proposed to be repaired as needed; backfill bulkhead with approx. 100 cy. clean sand; and replace existing 28'X 15' inland boardwalk inkind/inplace. Located: 995 West Rd., Cutchogue. SCTM#110-7-3 Type of area to be impacted: ~q-altwater Wetland Freshwater Wetland __Sound ~ Bay Distance of proposed work to edge of wetland ~Ohaf Town Code proposed work falls under: pt.275 Chapt. 111 other Type of Application: /%Wetland __Coastal Erosion ~Ad ministrative__Emergency __ Amendment Pre-Submission Violation Info needed:, Modifications: Conditions: Pres,~4at'Were: L,~J. Doherty ,,-"/'B. Ghosic¢"/'~. King ~--~'""D. Bergen, J. Bredemeyer___ D. Dzenkowski __other Form filled out in tt~ field by ¢-,,) ~---,, Mai[ed/Faxed to: Date: 995 West: Road~ Cu~¢hogue 9/~4/20~ Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. 4~ ........ DATE: ..Ha~:h ~8.,...~996 Pursuant to the pmvl.s;ons of Chapter 615 of the Laws of the State of New York, 1893, and Chapter 404. of the ,L~. ws of the State of New York 1952; and the Southold Town Ordinance en- tiffed "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" end in accordance with the Resolution of The Board adopted at a meeting held on ...~'l.~..~t,~h...~2. 19. c)6..., and in consideration of the sum of $....~0..~0 paid by ...... ~...~,,..Ie.~.~n e of N.Y. and sub?ct' fo the ' Terms and Conditions listed on the reverse s~de hereof, of Southold Town Trustees authorizes and permits the following: for au existign 111~ bulkhead with a 10~ retu~rn on west side, stairs, 4~ X 100~ dock, deck, 8~ ~I 12~ cabana and to construct a 60~ retaining wall with 8~ return on east side Subject to the w~.s~ pipe and .shower be'.m.g rer~ed within '60 days. all m accordance whUn the detailed specifications as presented in ;~ the originating application. IN WITNESS WHEREOF, The ~ald Board of Trustees here- by causes ifs Corporate Seal to be affixed, and these presents fo b~ subscribed by a malority of the said Board as of th's date. ::::::::::::::::::::::::::::::: ~URV[y l ~OY C. S 3UTCNOGUi TOWN OF 5C'~LE' I" JUNE 20, OR ;HOENHI~,AR DUTHOLD '~0' 968 ,1 Subj: RE: 2011-O0898-EET, Pat lavarone Date: 9/6/2011 9:19:18 A.M. Eastern Daylight Time From: ~in er usacearm mil eadoer~ TO BCkhead .erm~,~. _ ~,~v,~,n~ need this letter to do work. The letter is not s gnea yet. ~uu -----Or g nal Message~'-~ ,__ ~,,. ~,, ~headoermits@aol.com] From: Bulkheedpermits~,.~aol.com [m,,,,,~ ........ Sent: Tuesday, September 06, 2011 9:13 AM To: Ettinger, Sophie NAN02 Subject: Re: 2011-00898-EET, Pat lavarone Great can you email me a copy Janet In a message dated gl612011 8:54:28 A.M. Eastern Daylight Time, Sophie. Ettinger@usace.army.mil wdtes: Hi Janet, Since it is NWP No.3, the applicant can start repairs as soon as needed. The authorization letter will be send later. Sophie ~Original Message..~ ,__:,,^.~, a~h~ad~ermits~aol.com] From' Bulkheadpermits~aol.com [ma,,~u.~ ....... -- Sent: Thursday, September 01,2011 8:55 AM To: Ettinger, Soph e NAN02 Subject: 2011-00898-EET, Pat avarone Hi Sophie 2011-00898-EET, Pat lavarone (UNCLASSIFIED) What is the status of this application? Applicant had a lot of storm damage now needS an Emergency Bulkhead replacement to save rear yard. Dock builder can start today. What is the status of this application? Proposed is a bulkhead replacement. The existing pier was installed prior to 1964. I sent you a dated aerial image. Thank You Janet Moses Tuesday, September 06, 2011 AOL: Bulkheadpermits NEW YORK STATE DEPARTMY OF ENVIRONMENTAL CONSERVATI(_ Fatality DEC ID 1-4738-03813 PERMIT Under the Environmental Conservation Law (ECL) Permittcc and Facility Information Permit Issued To: PAT IAVARONE 6 SUTTON PL MANHASSET, NY 11030 Facility Application Contact: GARY MOSES 2 WHALENECK DR MERRICK, NY 11566-5300 (516) 546-3479 Facility: IAVARONE PROPERTY 995 WEST RDISCTM# 1000-110-7~3 CUTCHOGUE, NY 11935 F~cility Location: in SOUTHOLD in SUFFOLK COUNTY Village: ~t~hogue: Facility Principal Reference Point: NYTM-E: 712.9 NYTM-N: 4542.3 Latitude: 41°00'14.8" Longitude: 72o28'06.6.. Project Location: 995 West Road - Watercourse - Cutchogue Harbor Authorized Activity: In-place replacement of approximately 112 linear feet ofekisting functional bulkheading and backfill. Replacement of existing returns and the construction of two new six foot long bulkhead returns. Reconstruct existing parallel capping boardwalk landward of bulkhead. All authorized activities shall be done in strict conformance prepared by Bulkhead Permits by Gary, 7/7/11 with the attached plans stamped "NYSDEC Approved" on 7/19/11. SAP # 1-08-010 Permit Authorizations Tidal Wetlands - Under Article 25 Permit ID 1-4738-03813/00002 New Permit Effective Date: 7/26/2011 Expiration Date: 7/25/2016 Excavation & Fill in Navigable Waters - Under Article 15, Title 5 Permit ID 124738-03813/00003 New Permit Effective Date: 7/26/2011 Expiration Date: 7/25/2016 Water QUality Certification - Under Section 401 - Clean Water Act Permit ID 1-4738-03813/00004 New Permit Effective Date: 7/26/2011 Expiration Date: 7/25/2016 NYSDEC Approval By acceptance of this permit, the permittee agrees that the permit is Contingent upon striCt compliance with the ECL, ali applicable regulations, and all conditions included as part of this permit. Permit Administrator: SUSAN ACKERMAN, Deputy Regional Permit Administrator Page 1 of 6 NEW YORK STATE DEPARTMI Facility DEC ID 1-4738-03813 OF ENVIRONMENTAL CONSERVAT1, Address: NYSDEC REGION 1 HEADQUARTERS SUNY ~STONY BROOK]50 CIRCLE RD Authorized Signature: ST/c j.,.._ O~900NY~3R OK[ NY 117 Distribution List Date ~)~/~{, /7..O~\ GARY MOSES Habitat - TW SUSAN ACKERMAN Permit Components NATURAL RESOURCE PERMIT CONDITIONS WATER QUALITY CERTIFICATION SPECIFIC CONDITION GENERAL CONDITIONS, APPLY TO ALL AUTHORIZED PERMITS NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS NATURAL RESOURCE PERMIT CONDITIONS - Apply to the FollOwing Permits: TIDAL WETLANDS; EXCAVATION & FILL IN NAVIGABLE WATERS; WATER QUALITY CERTIFICATION 1. Regulated Activities Authorized By This Permit This permit ONLY authorizes those regulated activities / structures identified under the section titled "SAP Authorized Activity". The Department does not issue after-the-fact or as-built permits. This permit does not authorize activities, or legitimize the existence of structures, which would have required a permit but for which no permit or other authorization has been granted by the Depm hnent. Z. Conformance With Plans All activities ~uthorized by this permit must be in strict conformance with the approved plans submitted by the applicant or applicant's agent as part of the permit application. Such approved plans were prepared by Bulkhead Permits by Gary, 7/7/11 with the attached plans stamped "NYSDEC Approved" on 7/19/11. 3. Notice of Commencement At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work. 4. No Disturbance to Vegetated Tidal Wetlands There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the p~initted activities. Page 2 of 6 New York State Department of Environmental Conservation Division of Environmental Permits, Region One SUNY @ Stony Brook, 50 Circle Road, Stony Brook, NY 11790-3409 Phone: (631)444-0357 Fax: (531)444-0360 Website: www.dec.ny.qov Joe Martens Commissioner Pat lavarone 6 Sutton Place Manhasset, NY 11030 Re: Permit No.: 1-4738-03813/00002 July 21, 2011 Li 8EP - 6 2011 Soe~hl]o]d Town Bom'd of Trustees Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621)we are enclosing your permit. Please carefully read all permit conditions and special permit conditions contained in the permit to ensure compliance during the term of the permit. If you are unable to comply with any conditions please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. / Susan V. Ackerman ,/ Permit Administrator SVNIs NEW YORK STATE DEPARTM~m~ OF ENVIRONMENTAL CONSERVATI~m~ Facility DEc ID 1-4738-03813 ~ 5. No Construction Debris in Wetland or Adjacent Area Any debris or excess material from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal. No debris is permitted in wetlands and/or protected buffer areas. 6. No Seaward Extension of Bulkhead The new bulkhead shall be constructed in place of the existing bulkhead with no seaward extension of the outermost bulkhead face. 7. Excavation for Bulkhead/Structure Prior to any construction or removal of bulkheads and other shoreline stabilization structures all backfill shall be excavated landward of the structure ~nd retained so as not to enter the waterway, tidal wetland or protected buffer area. S. Replacement Bulkhead Maximum Height The top elevation of the replacement bulkhead shall be no more than 18 inches higher than the existing bulkhead. 9. Use of Treated Wood The use of wood treated with creosote, pentachlorophenol or other wood treatment not specifically approved by the department for use in wetlands and/or marine waters, is strictly prohibited in the construction of structures that will be in contact with tidal waters. 10. Jet-in Bulkhead Bulkheads constructed directly adjacent to vegetated tidal wetlands shall be hand driven or jetted in with no disturbance to the tidal wetland. Trenching is strictly prohibited. 11. Clean Fill Only All fill shall consist of clean sand, gravel, or soil (not asphalt, slag, flyash, broken concrete or demolition debris). 12. No Beach Excavation For Fill No excavation of the beach is authorized for the purpose of obtaining fill or stone materials. 13. Backfilling The installation of the approved replacement bulkhead shall be completed prior to the placement of any fill material behind the structure. 14. No Dredging or Excavation No dredging, excavating or other alteration of shoreline or underwater areas is authorized by this permit, nor shall issuance of this permit be construed to suggest that the Depa_~aent will issue a permit for such activities in the future. 15. No Runoff Over or Through Bulkhead orinto Wetland Uponeompletionofthebulkhead replacement authorized herein, there shall be no discharge ofrunoffor other effluent over or through the structure or into any tidal wetland or protected buffer area. 16. Parallel Capping Boardwalk The width ~fthe parallel capping boardwalk shall not exceed six (6) feet. No portion of the boardwalk shall extend seaward of the most seaward face of the bulkhead sheathing. 17. No Structures on Reconstructed Bulkhead or Pilings No structures, other than structures specifically authorized by this permit, shall be constructed on the reconstructed bulkhead or pilings without further authorization from the Department (new permit, modified permi0. la. Storage of Equipment, Materials The storage of eonstxuction equipment and materials shall be confined to the upland area landward of the bulkhead or on a barge. 19. Seeding Disturbed Areas All areas of soil disturbance resulting from the approved project shall be Page 3 of 6 NEW YORK STATE DEPARTMI~m, OF ENVIRONMENTAL CONSERVATIi~, F~.ility DEC ID 1-4738-03813 W stabilized with appropriate vegetation (grasses, etc.) immediately following project completion or prior to permit expiration, whichever comes first. If the project site remains inactive for more than 48 hours or planting is impractical due to the season, then the area shall be stabilized with straw or hay mulch or jute matting until weather conditions favor germination. 20. Temporary Mulch, Final Seeding If seeding is impracticable due to the time of year, a temporary mulch shall be applied and final seeding shall be performed at the earliest opportunity when weather conditions favor germination and growth but not more than six months after project completion. 21. No Interference With Navigation There shall be no unreasonable interference with navigation by the work herein authorized. 22. State May Order Removal or Alteration of Work If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Depatta~ent of Environmental Conservation it shall cause unreasonable obstruction to the flee navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Deparlxnent to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed, the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or flH and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 23. Precautions Against Contamination of Waters All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project. 24. State Not Liable for Damage The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. 25. State May Require Site Restoration If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may lawfully require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on aecount of any such removal or alteration. I WATER QUALITY CERTIFICATION SPECIFIC CONDITIONS 1. Water Quality Certification The NYS Department of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitations or other limitations or Standards under Sections 301,302, 303,306 and 307 of the Clean Water Act of 1977 (PL 95-217) provided that all of the conditions listed herein are met. Page 4 of 6 NEW YORK STATE DEPARTM OF ENVIRONMENTAL CONSERVATI[~m~ ~ Fadlity DEC m 1-4735-03813 GENERAL CONDITIONS - Apply to ALL Authorized Permits: 1. Facility Inspection by The Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Depat hnent of Environmental Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71- 0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. 2. Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. 3. Applications For Permit Renewals, Modifications or Transfers The permittee must submit a separate written application to the Department for permit renewal, modification or transfer of this permit. Such application must include any forms or supplemental information the Deparhnent requires. Any renewal, modification or transfer granted bythe Department must be in writing. Submission of applications for permit renewal, modifiqation or transfer are to be submitted to: Regional Permit Administrator NYSDEC REGION 1 HEADQUARTERS SUNY ~ STONY BROOKI50 CIRCLE RD STONY BROOK, NY11790 -3409 4. Submission of Renewal Application The permittee must submit a renewal application at least 30 days before permit expiration for the following permit authorizations: Excavation & Fill in Navigable Waters, Tidal Wetlands, Water Quality Certification. 5. Permit Modifications, Suspensions and Revocations by the Department The Depa~hnent reserves the right to exercise all available authority to modify, suspend or revoke this permit. The grounds for modification, suspension or revocation include: a. materially false or inaccurate statements in the permit application or supporting papers; b. failure by the pennittee to comply with any terms or conditions of the permit; c. exceeding the scope of the project as described in the permit application; Page 5 of 6 NEW YORK STATE DEPARTM OF ENVIRONMENTAL CONSERVATIJ~ ~ Facility DEC ID 1-4738-03813 d. newly discovered material information or a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. 6. Permit Transfer Permits are transferrable unless specifically prohibited by statute, regulation or another permit condition. Applications for permit transfer should be submitted prior to actual transfer of ownership. NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS I Item A: Permittee Accepts Legal Responsibility and Agree~ to Indemnification The permittee, excepting state or federal agencies, expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, and agents ("DEC") for all claims, suits, actions, and damages, to the extent attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in connection with, or operation and maintenance of, the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent or intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the p~mdttee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other p~mdts, approvals, lands, easements and rights-of- way that may be required to carry out the activities that are authorized by this pcmfit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the p~mfit. Page 6 of 6 Applicant: Pat lavarone Project Site: 995 West Rd Cutchogue, NY 11935 Proposed: Navy bulkhead replacement in kind & place Prepared by Bulkhead Permits by Gary Inc 2 Whaleneck Dr Merrick NY 11566 Scale 1"=50' July 7, 2011 Helen M Rynd 1165 West Rd Cutchogue, NY 11935-2257 I [BIk 07~0 Flood ~ Cutcho~ue Harbor ~idth 3200' Project Plan SEP - 6 2011 ........ ~oard of Trustees Leonard R~din i 805 West Rd Cutchogue NY 11935 All hardware, nails and bolts shall be hot dip galvanized, all bolt heads and nuts will be used with cut washers. All timber will be cca treated marine grade. All vinyl sheathing will be interlocking marine grade, All inland backfill will be clean soil. Cross View 93' ~ 135' Not to Scalo Applicant: Pat lavarone Project Site: 995 West Rd Cutchogue, NY 11935 Proposed: Navy bulkheed replacement in kind & place Prepared by Bulkhead Permits by Gary Inc 2 Whaleneck Dr Merrick NY 11566 Scale 1"=50' July 7, 2011 ? 8/29/~ 'l 82q~11 W N E S Applicant: Pat lavarone Project Site: 995 West Rd Cutchogue, NY 11935 Proposed: Navy bulkhead replacement in kind & place Prepared by Bulkhead Permits by Gary 2 VVhateneck Dr Merrick NY 11566 July 7,2011 Latitude & Longitude 41.004482 ~72~467979 Bulkhead Permits by Gary, Inc. (516) 546-3479 2 Whaleneck Drive, Merrick, NY 11566 September 15, 2011 Town Hall Annex Building Board of Trustees 54375 Route 25 P.O. Box 1179 Southold NY 11971 Atto: Elizabeth Cantrell, Clerk As per our conversation, enclosed is the corrected stamped plans for applicant Pat Iavarone 995 West Rd, Cutchogue, NY 11935. Should you have any questions pertaining to this matter, please call or email me at Bulkheadpennits~aol.com Thank you so much for your consideration of this application. ~m~o$~s 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: Mark Terry, Principal Planner LWRP Coordinator Date: September 8, 2011 Re: Proposed Wetland Permit for Pat Ivarone SCTM# 1000-110-7-3 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the LWRP review provided the following best management practices are required if the action is approved: To further Po#cy 5: Protect and Improve Water Quafity in the Town of Southold and Poficy 6; Protect and Restore the Quality and Function of the Town of Southold Ecosystem it is recommended that the Board require a silt boom during construction. § 275-11. Construction and operation standards. A. General. The following standards are required for all operations within the jurisdiction of the Trustees: (2) Erosion control. Installation of an erosion control structure is necessary during any building, grading, landscaping or site work activity within Trustee jurisdiction. This structure may include, but is not limited to, installation of a silt fence, hay bales, wood chip berm and silt booms. The placement of the erosion control structure(s) shall be determined by the Trustees or their designee. All intertidal construction and excavation requires the installation of a silt boom that will retain all suspended sediments within the immediate project area. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney Bulkhead Permits by Gary, Inc. (516) 546-3479 2 Whaleneck Drive, Merrick, NY 11566 September 2, 2011 EMERGENCY BULKHEAD REPLACMENT EXTENSIVE STORM DAMAGE Project Description: Applicant property owner Pat Iavarone who resides at 6 Sutton P1 Manhasset, NY 11030 and requests all correspondents be forwarded to this home address. The project site is located at 995 West Rd, Cutchogue NY 11935. The project site is a residential private dwelling utilized by the applicant as a second home. Proposed is 111.47' of navy bulkhead replacement in same place as existing navy bulkhead. There are two existing 14' seaward bulkhead returns located on the east and west side of the property that are also proposed to be replaced in kind & place. One inland 6' return is also recommended. Also proposed is approximately 100 cyds of clean fill will also be brought in from an authorized upland source and placed upland on applicant property. An existing inland boardwalk is also proposed to be replaced in kind & place. The intent of the project is for bulkhead stabilization. All equipment for this project to be transported to work site via upland source by a licensed contractor. The existing bulkhead was installed prior to 1961. The NYSDEC not long ago issued the applicant a letter of non-jurisdiction 14738-03813/00001. The existing pier and bulkhead was installed prior to 1955. The project is located in Suffolk County, Town of South Hold, waterway Cutchogue Harbor. Pleas~ note this project was approved by the NYSDEC I included with this application photo's taken of applicant property before and after the storm. Should you have any questions pertaining to this matter, please call or email me at Bulkheadpermits~aol.com Thank you so much for your consideration of this application. Regards, JafEet Moses Jill M. Doherty, President Bob Gho~io, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application -~'-Wetland Permit Application Administrative Permit Amendment/Transfer/Extension ~Completed Application q. ! ~}[[ . Incomplete . SEQRA Classification: ryve I Type II Unlisted Coordination:(date sent) ~"[TWRP Consistency Assessment Form fi !C~) ~, ~.,CAC Referral Sent: q [ ~[ It ,,,,'Date of Inspection: (~lt]l fi .Receipt ofCAC Repo~' t ~ ', Lead Agency Determination: --Technical Review: ~blic Hearing Held: C~ I.~ll I I Resolution: ' * ' N amc of Applicant Phone Number:( $~ ~ffolk County Tax Map Numbcr: 1000 - 1~ operty Location: (F rovide LILCO Pole #, distance to cross streets, and location) A ENT: 4aV .n- (I 'applicable) Atdress: ~ :d of Trustees Applicatio~ Land Area (in square feet): Area Zoning: ,'~)~ S Previous use of property: Intended use of property: Covenants and Restrictions: If "Yes", please provide copy. GENERAL DATA Yes ~ No Does this project require a variance from the Zoning Board of Appeals __ If "Yes", please provide copy of decision. Yes ~ No Prior permits/approvals for site improvements: __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspende/d by a governmental agency? ',/No Yes If yes, provide explanation: Project Description (use attachments if necessary): 'd of Trustees Applicatio~ WETLAND]TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: ~ square feet Percent coverage of lot: ~'~ % Closest distance between ne~arest existing structure and upland edge of wetlands: / 3¢ feet Closest distance between nearest proposed structure and upland edge of wetlands: /.~ feet Does the project involve excavation or filling? No L~Yes If yes, how much material will be excavated? How much material will be filled? /~/ ~ cubic yards cubic yards Depth of which material will be removed or deposited: Proposed slope throughout the area of operations: C~/~5¢r}~ 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): · ?rus s COASTAL EROSION APPLICATION DATA Purposes ofproposed activity: ~QT{~C~ //~/~3/~'/o~ ~'- Are wetlands present within 100 feet of the proposed activity? No 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? /(J(~ (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts to the subject property or neighboring properties reasonably anticipated resulting from implementation of the project as proposed, including erosion increase or adverse effects on natural protective features. (Use attachments if necessary) Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 30-YEAR MAINTENANCE AGREEMENT EROSION PROTECTION STRUCTURES CHAPTER 111-15 OF THE SOUTHOLD TOWN CODE The owners of record of property at:. ~'~.~. I'A'/F--'~7~ ~C/, ~~ ~ //~ .q/o in applying for a Coastal Erosion Permit for an erosion protection structure do hereby agree to a 30-Year Maintenance program for a st~cture as described: as sk~w~ o~ tke a~ached licensed su~ey and/or site~an for the approved structure. It is my/our understanding that we are to maintain this structure with materials designed to endure 30 years and/or equivalent to the original approved structure. Any maintenance which involves more than 50% of the length of this structure requires approval of the Board of Trustees. We further understand that failure to maintain the structure could result in a requirement to post a bond and/or have the repairs ordered as a lien against the property upon a finding by the B/o~rd of Trustees that said lack of maintenance would risk life, property or importanl, na)t~ral reso/uree4~atures. GARY WAYNE MOSES I\ / NOTARY PUBLIC, State of New York No 01MO6186523 ' Ouallfi~'d in Nassau County Nota~i~ {igr~ature of owner of record Commission Expires May 5, 2012 Notary Public This maintenance agreement shall only be valid upon the attachment of a licensed land survey/and or site plan made within one year of the odginal construction and validated to show the final approval of the administrator. PART I - P 3~ PROJEC Manic 6. DESCRI[ 7 AMOUN B. WILL PR 617.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only ~OJECT INFORMATION (To be completed by Applicant or Proiect Sponsor) UT/SPONSOR 2 PROJECT NAME F LOCATION: LOCATION (gtreat address and road interse~ions, prominent landmass, etc., or provide map) ED ACTION New ~ Expansion ~dffimtibnlalleration [E PROJECT BRIEFLY: ,,/ ~,llYJ~,~ Y-~/~/o~"~*'r7- ~ ~.,,~ ~ ~1~ O~ ~ND AFFECTED: amos Ultimalely acres }Pe~s SED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [~No If No, describe briefly g WHAT IS PRE~.~F~NT LAND USE IN VICINITY OF PROJECT? [~ ~esiden[ial [] Industrial [] Commercial Describe~DOE [] Agriculture [] Park/ForesqOpen Space [] Other 10¸ 11. 12. ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDI !RAL. STATE OR LOCAL}? E~ r~s [] No if Yes, list agency(s) name and permi[/approvals: . DOE[ ANY ASPECT OF TFI. E ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] 'es ~,N~ If Yes, Iisi agency(s) name and permitJapprovais: AS A ~ESULT OF PROPO.~.E-D ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIF CATION? E~ 'es E~o ' ^ . , CERT~AT/~,?~^T, Ot~.OX,~E~ A~ov,~ ~TRUE TO T~E ~EST OF ~Y ~NO~EDG~ / / PART II - IMPACT ASSESSMENT (To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coonJinate the review process and use the FULL EAF. ~]Yes J'~No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative dectaratico may be superseded by another involved agency. j-'"'~ Yes ~'~No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwntten, if legifi~e) C1. Existing air quality, surface or groundwater quality o~ quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or floeding problems? Explain briefly: I, C2. Aesthetic, agdcutiural, archaeological, historic, or other natural or cultural resoumes; or community or naighberhmxJ character? Explain briefly: I C3. Vegetation or fauna, fish, Shelifish or wildlife species, significant habitats, or threatened or endaegemd species? Explain briefly: C4. A commune's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly: I .... CS. Growth, ~Jbsaquont developmont, or related e~ti~ltla$ tik~ly to be indes~i by tho ~ropo~:l action? fi~ain b~fly: C6. Long term, shod term, cumulative, or other effec{s not identitied in C1-C57 Explain briefly: ! .............. D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTASLISHMENT OF A CRITICAL E. IS THERE, OR IS THERE LIKELY TO BE~ CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If)~s explain: []Yes r Hoj 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 necesser*j, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relavant adverse impacts have been identified and adequately addressed, if question d of part ii was checked yes, the determination of significance mustevaluata the potential impact of the proposed action on the environmental charectedstics of the CEA. Che~k thts bex if you have identlf~J eoe or more pofantially la~ge or significent edverse impacts which MAY eocur. Then preceed direefly to the FULl EAF and/or prepare a positive dadareflco. Check lids box if you have determined, based on the infommtico and analysis above and any ssppoding docemefl~flon, that the pmpesed acltm* WILL NOT result in any significant adverse envimnmenlel impacts AND provide, on attachments as necessary, the reasons supporting thll deten~inalton. Board of Trustees Name of Lead Agency Date Jill M. Doherty President Print or Type Name of Responsible Officer in Lead Agency Tire of Respo~sible Officer Signature of Respensib~e Officer in Lead Agency Signature of Preparer (If different from responsible officerI i *- Town of Southold Erosion, Sedimentation & storm-water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M. #: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A ~ I(~ I l0 0"/. g)00 (~3.~.;0 STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN Distr~ct 5~eon Block Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUC'I~ON ITE/VI# / WORK ASSESSMENT ] Yes No a. What is the Total Area d/the Project Parcels? (IncludeTotalA~aofallPamelslocatedwithin //0 I WillthisPmjectRetainAIIStorm-WaterRumOff Generated by a Two (2") Inch Rainfall on Site? the Scope of Work for Proposed Construction) (This item will include all run-off created by site b. What is the Total Ama of Laed Cleating (S.F. I ACME) clearing and/or construction activities as well as all and/or Ground Disturbance for the proposed Site Improvements and the permanent creation of construction actMty? impervious surfaces.) (S.F. / A,=es) 2 Does the Site Plan and/or Survey Show NI Proposed PROVll)E BRIF,,F PROJECT DESCRIPTION (~.a,~ ~a,a~.. ~.~ u N~l Drainage Str~ctures Indicating Size & Location? This Item shall include all Proposed Grade Changes and --~---"Y) ,~::~C~.~ ,/'~'/?/'""~ ~:~ Slopes Controlting Surfaco Water FIow. ~,~'~.~L//')(-1'[t'~t2g~-~'.~z~/'~- ~ 3 D°es the Site Plan and/°r Survey describe the erosi°n and sediment control practices that will be used to · · - control site erosion and storm water discharges. This ~ / ~:9 t /~' /~T~'~"/~ ~ item must be maintained throughout the Entira C2~) ~.COP~'-~ iL/I ~"C~-'¢(g/'AJ~l I ConstructionPeded. 4 Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural ¢~J~4~ /OC) C'-[~'~% ~'~ C-'~O/,,.~ Existing Grade lnvoNing more than 200 Cubic Yards (~) of Matedal within any Parcel? I~' ~k.~ ~ i'~. L)~//,('t'/~0-'~ (_J~,~2~) ~ Will this Application Require Land Disturbing Activities ~ ~ j~, t /~ C~.~ ~x~ L~ 0 ~:3 (0 2. ]~Z ~_>~9.~ (~ Encompassing an Area in Excess of Five Thousand r~ ' (5,000 S.F.) Square Feet of Ground Surface? -- t~ ~ I -~OA Lt'~°~ t / 6 Is there a Natural Water C°urse Running through the r~ site? is this Project within the Trustees jurisdiction General DEC SWPPP I~irements: or within One Hundred (100') feet of a Wetland or -- Submission of a SWPP[~ is requited for all Conseucfion activ~es inv~vl~g soi~ Beach? disturbEr, ceE of one (1) or mor~ ac~es; irtc~uding disturbances of less than one acm that 7 Wilt there be Site preparation on Existing Grade Slopes are par~ of a larger common plan that Will ultimately disturb otc or more acres of land; which Exceed Fifteen (15) feet of Ve~cal Rise to I including Constm¢lion ~:lMl~ i~¥oh'ing ~oil di~turbanc~ of I~ than ~* I1 ) acm where One Hundred (~ O0'l of Hedzontal Distance? ; the eEC has determined that a SPDES permit is required for storm water discharges. SWPPP's Shall meet the Minimum Requirements of Ihe SPDES General Permit 8 Will Driveways, Parking Areas or other Impervious ~ for Stem] Water Discharges ~om Cons~'ucaon activity - Permit No. GP-0-10-001.) Surfaces be Sloped to Direct Storm-Water RumOff 1. The SWPPP shall be prepared ~ tu the submittal of the NOI. The NOI shail be into and/or in the direction of a Town tight.f-wa.y? -- Sq'ATE OF NEW YORK,/~/.v'J.~ ~,/ COUNTY OF/JZ...z2~Z...% ................... SS qhat 1, ......~..--~.'.~....~....~......~.~...~....~.. ............................. being duly swbm, deposes and says that he/she is the applicant for l'e, mit, And that he/she is the T... .................... Owner and/or representative of the Owner or Owners, and is duly authorized to perform or have performed the said work ;md to make and file this application; that all statements contained in this application are tzue to the best of his lumwledge ~md belief; and that the work will be performed in the manner set forth in the application Fried berewith. Sworn to before me this; ................... ........................ ........... Notary Public: ........................................................................................................................................~ GARY WAYNE MOSES FORM - 06/10 No. 01M06186523 Qualified In Nassau County Commission F. xpire~ MGy 5, 2012'-'~ PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Nanlc: Address: STATE OF NEW YORK COUNTY OF SUFFOLK ,residingat' q~"- ~ ~ Cu'rct~ uff: , being duly swom, deposes and says that on the 61nm day of ~'¢'V ,20 ~ \, deponent mailed a true copy of the Notice set forth, in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons a~ shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Officeat CO~c'.~t>6~ ~ (certified) (registered) mail. q Sworn to bpfore me this Day of _,x~?/ , iO l~t~r,/Public, ~te of N~Yo~ ~o. 41~37287 Qu~Jifi~ in Queens ~ , / Comm)ssJon ~xpkes Aug. 3~ Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bm&meyer Town Hall, 53095 Main 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 PAT IAVARONE COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING residing at/dba 'Fa 4 being duly sworn, depose and say: That on the ~t~ay of ~ ,201 I, I personally posted the property known,~s 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~ September 21~ 20~1 on or about 6:00 PM. Dated:(si atur~~-''-''~'~ Sworn to berCore me this /q day of ~/20l / oE T~usteee Appl~cat~¢ S{ AUTHORIZATION (where the applicant is not the owner) (print owner of property) (mailing address) do hereby authorize ~J~lq~-"l~ (Agent) to apply for permit(s) from the ,uthold Boar~bf Town Trust.s on my behalf. (Owner's signature)(/ ~rd of Trustees Applic&ti~ C runty of Suffolk ~te of New York ~D~ ...~A ~/Pr fO'O~..~ BEING DULY SWORN E !POSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE E SSCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE 'I [UE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK ¥ ILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY E E APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES E ARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING L NDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS PPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR EPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE ?,EMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. i,VORN TO BEFORE ME THIS ~) DAY OF ~L) L0 %~ ,20. II GARY WAYNE MOSES NOTARY PUBLIC, State of New York No, 01 MO6186523 Qualified in Nassau County Commission Expires May 5, 2012 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM Town of Southold's Coda of Ethics m'ohibits conflicts of interest on the v~t of town 0fficem nd ~molov~s. Th~ ouroos~ of form is m omvida infori~ation which can ale~t It~ lown of noasibl· conflicts of il~t~t and allow it to ~ whatevel' flation is (Last name~ lust name, ~aiddle initial, u~less you am applying i~ fl~ name of sorneoce else or other cofity, such ~ a company. If so, indloat~ lhe other person's or company's name.) ,lAME OF APPLICATION: (Check all that apply.) .'hangn of Zone tppreva} of plat ~x~mption from plat or official map )ther Building Trustee Coastal Erosion Mooring Planning ~o you personally (or through your company, spouse, sibling, p~nt, or child) have a relationship with any officer or employee f the Town of South01d? "Relationship" includes by blood, marriagn, or business interest "Business interest" means a business, including a p~rtnership, in which the ~wn officer or employee has even a partial ownership of(or employment by) a corporation a which the town officer or employee owns more than 5% of the shams. 'ES NO ~ , t'you answered "YES", complete the balance of this form and date and sign where indicated. lame of person employed by the Town of Southold 'itle Or position of that person ~cscrihe the relationship between yourself(the o~oplicanVagent/sepresentative) and the town officer or employee. Either check ~c app~priale ne A) throngh D) and/or describe in the space p~ovi&d. m town officer or employee or his or her spouse, sibling, parent, ~r child is (check all tlmt apply): A) the owner of greater than 5% of the sheres of the corporate stock of the applican~ (when 11~ applicant is a corporation); B) the legal or beneficial ownel' of any int~es~ in a non-coCa,rate entity (wl~n the applicant is not a corporation); C) an officer, director, partner, or employee of the applicant; or D) the actual applicant. ~ESCRtPTION OF RELATIONSHIP ormTS ! Submitted this Signature Print Name ,day of 200 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus~ each answer must be explained in detail~ listinfl both supporting and non- suooortinu facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold ' s website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION The Application has been submitted to (check appropriate response): Tow, Board ~ PI,nningBoaed[~ ~uilaingOept. Z1 ~oardofTr~stee, 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: C. Er: not su Incom DEVE Policy 1 preserv minimi: criteria [-~ Yes Attach ad Policy LWRP ~eation of action: lite acreage:. ~esent zoning classification: f an application for the proposed action has been filed with the Town of Southold agency, the following nformation shall be provided: a) Name of applicant: ~-'~nqb-'l' ~'~0~ 5 b) gad s: Z K 3)r. c) Telephone number: Area Code ( ) d) Application number, if any:. 7qill the action be directly undertaken, require fund'mg, or approval by a state or federal agency? ?'es [~ NoN If yes, which state or federal agency? uate the p.r.oject to the. following policies by analyzing how the .project w~ further support o.r ~ort the policies. Provide all proposed Best Management Practices that will further each pobcy. ere answers will require that the form be returned for completion. ,OPED COAST POLICY · Foster a pattern of deve!opment in.the Town of Southold that enhances community character, Ps open space, makes efficient use of mfrastructure, makes beneficml use of a coastal location, and :es adverse effects of development. See LWRP Section Ill - Policies; Page 2 for evaluation F~ No [~otApplicable iRional sheets if necessary Protect and preserve historic and archaeological resources of the Town of Southold. See ~ection III - Policies Pages 3 through 6 for evaluation criteria ~es [] No ~"~Not Applicable Attach ad Policy LWRP Attach ad~ NATUI~ Policy 4 Section A~ach adc Policy 5 - PoliciE Attach adc P.olic~ 6 S~gmfic~ through itional sheets if nece~ary Enhance visual quality and protect scenic resources throughout the Town of Southold. See lection III - Policies Pages 6 through 7 for evaluation criteria [] No not Applicable litional sh~ if necessary AL COAST POLICIES . Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP III - Policies Pages 8 through 16 for evaluation criteria 'es [~ No [--~Not Applicable itional sheets if necessary Protect and improve water quality and supply in the Town of Southold. See LWRP Section III s Pages 16 through 21 for evaluation criteria es ~ No ~(Not Applicable [tional sheets if necessary Protect and restore the quality and function of the Town of Sonthold ecosystems including nt Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 32 for evaluation criteria. Attach ac Policy Pages At~ach ad Policy substat ~Ye~, PUBLI~ (es No Not Ap~ble ditional sheets if necessary Protect and improv.e, air q. ua.lity in the Town of Southold. See LWRP Section IH - Policies through 34 for evaluation cr~term. ~es ~'~ No ~/~ot Applicable litional sheets if necessary · Minimize environmental deg.radation in Town of Southold from solid waste and hazardous :es and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. [] No ~Not Applicable COAST POLICIES Policy 9[ Provide for public access to, and recreati.onai use of, coastal waters, public lands, and public r~ourc~s of the Town of Southold. See LWRP Section HI - Policies; Pages 38 through 46 for evaluation Attach add itional sheets if necessary WORI~ Policy i suitabl~ Attach ad Policy Estuao [--] Ye~ Attach ad, Policy 1 62 thrm [] Yes Attach adc Poli~ 1 Section [--] y~ PREPAI lNG COAST POLICIE~ §. Protect Southoid's water-dependent uses and promote siting of new water-dependent uses in locations. See LWRP Section III- Policies; Pages 47 through 56 for evaluation criteria. ~ No ~Not Applicable itional sheets if necessary 1. Promote sustainable use of living marine resources in Long Island ,Sound, the Peconic and~ Town wat~ys.~ See.LWRP Section HI - Policies; Pages 57 through 62 for evaluation criteria. ~ No ~ I Not Apphcable itional sheets if necessary Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages gh 65 for evaluation criteria. ~-~ No ~Not Applicable itional sheets if necessary ;. Promote appropriate use and development of energy and mineral resources. See LWRP II - Policies; Pages 65 through 68 for evaluation criteria. ~ No [~]'/Not Applicable Applicant: Pat lavarone Project Site: 995 West Rd Cutchogue, NY 11935 Proposed: Navy bulkhead replacement in kind & place Prepared by Bulkhead Permits by Ga~j Inc 2 Whaleneck Dr Merdck NY 11566 Scale 1"=50' Revised September 12, 2011 Helen M Rynd 1165 West Rd Cutchogue, NY 11935-2257 West Rd I I Project Plan Leonard Ridini 805 West Rd Cutchogue NY 11935 APPROVED BY ~'ARD OF TRLI,.,T~-~ ~ ~OWN OF SOUTHOLD Flood _ Gutchogue Harbor Width 3200' E~sting (2) ~ ~ E.x~s~r~g (2) All bulkhead hardware, nails and bolts shall be hot dip galvanized, all bolt heads and nuts will be used with cut washers. All timber will be cca treated madne grade. All vinyl sheathing will be interlocking marine grade. All inland backfill will be clean soil. 135' Not to Scalo Cross View 93' Existing 93~x3' pier supporled by (18) timber pilings Applicant: Pat lavarone Project Site: 995 West Rd Cutchogue, NY 11935 Proposed: Navy bulkhead replacement in kind & place Prepared by Bulkhead Permits by Gary Inc 2 Whaleneck Dr Merrick NY 11566 Scale 1"=50' Revised September 12,2011 -27 --26 SURVEY OF PROPERTY SITUATE CUTCHOGUE TOWN OF' SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-110-07-05 SCALE 1"=20' JANUARY 4, 2008 AREA 54,952 sq. ff. (TO TIE LINE) 0,802 Oc. CERTIFIED TO: ANGELINA PROPERTIES, LLC NOTES. 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 eXISTING ELEVATIONS ARE SHOWN THUS:~ eXISTING CONTOUR LINES ARE SHOWN THUS: FFL - FIRST FLOOR g FL - GARAGE FLOOR TB - TOP OF BULKHEAO DATUM 50467 PHONE (651)727-2090 Fax (631)727-1727 THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF' ANY, NOT SHOWN ARE NOT GUARANTEED. 5j