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HomeMy WebLinkAboutTR-7669 James F. King, President O~~QF Si7UryOl Town Hall Annex Bob Ghosio, Jr., Vice-President 54375 Main Road ~ O P.O. Box 1179 Dave Bergen .IL # Southold, New York 11971-0959 John Bredemeyer y ~ Telephone (631) 765-1892 Michael J. Domino ~ Fax (631) 765-6641 °~yco~y BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0879C Date: July 25, 2013 THIS CERTIFIES that the replacement of+/-135' bulkhead in-place; replacement of 5' & 14' sections of bulkhead; new 6' inland vinyl return; backfill: replacement of 14'x36' boazdwalk and 30"x8' timber stairs in-kind/in-place; replacement of 30"x7' timber stairs in- kind/in-place; removal/replacement of bathhouse and roof for bulkhead replacement At 805 West Road. Cutchogue, New York Suffolk County Tax Map # 110-7-4 Conforms to the application for a Trustees Permit heretofore filed in this office Dated Member 26, 2011 pursuant to which Trustees Wetland Permit #7669 Dated October 19.2011, 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+/-135' bulkhead in-place; replacement of 5' & 14' sections of bulkhead; new 6' inland vinyl return; backfill; replacement of 14'x36' boazdwalk and 30"x8' timber stairs in-kind/in-place: replacement of 30"x7' timber stairs in-kind/in-place: removal/replacement of bathhouse and roof for bulkhead replacement. The certificate is issued to LEONARD RIDINI owner of the aforesaid property. Authorized Signature I • James F. King, President ~~o~gUFfO( Bob Ghosio, Jr., Vice-President 'r Town Hall, 53095 Main Rd. 3y P.O. Box I I79 Dave Bergen rt ~ Southold, NY 11971 John Bredelncyer ~ T j,~,of * Telephone (631) 765-1892 Michael 1. Domino Fax (631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: _ ~~1 Z~3~~ Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1 S` day of construction %2 constructed Project complete, compliance inspection. INSPECTED BY: ~ . ~ ~ COMMENTS: CERTIFICATE OF COMPLIANCE: • Jill M. Doherty, President ~~Of SOU~yO Town Hall Annex Bob Ghosio, Jr., Vice-President ~0 ~ 54375 Main Road James F. King l~f ~ P.O. Box 1179 Southold, New York 11971-0959 Dave Bergen G Q John Bredemeyer '~0 ~ Telephone (631) 765-1892 liyCOU~'~ 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 APRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale Tine 15t day of construction '/z constructed Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT N0.7669 DATE: OCTOBER 19.2011 ISSUED TO: LEONARD RIDINI PROPERTY ADDRESS: 805 WEST RD.. CUTCHOGUE SCTM#110-7-4 AUTHORIZATION 't Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordan with the Resolution of the Board of Trustees adopted at the meeting held on October ] 9.2011 in consideration o application fee in the sum of $250.00 Daid by Leonard Ridini and subject to the Terms and Conditions as stated ' the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to replace the existing 135'+/- navy style bulkhead in-place; replace existing 5' &14' sections of bulkhead; construct new 6' inland vinyl sheathing return; backfill bulkhead with approx. 200 cy. clean fill; replace existing 14'X 36' boardwalk and 30"X 8' timbe stairs in-kind/in-place; replace existing 30"X T timber stairs in-kind/in-place; and remove/repla existing bathhouse and roof to allow for bulkhead replacement, and repair as needed, and as depicted on the project plan prepared 6y Bulkhead Permits by Gary, Inc. dated September 17, 2011 and stamped approved on October 19, 2011. 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 Boazd as of this date. ~~f~~c° ~ ave Bergen - ABSEN dy~l ~aa ~°hh e~lo~ • TERMS AND CONDITIONS The Permittee, Leonard Ridini. residine at 805 West Rd.. Cutcho ug eNY 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 aze 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 Pernut 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 Pernuttee 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 maybe 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 [he 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 Boazd wiij be notified by the Pemrittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that r+ be•required supplemental to this permit, which maybe subject to revoke upon fatltrre to obtain same. • Jill M. Doherty, President O~~QF ~OVly~~" Town Hall Annex Bob Ghosio, Jr., Vice~President ti ~p 54375 Main Road James F. King l~l J~f P.O. Box 1179 Southold, New York 11971-0959 Dave Bergen G Q John Bredemeyer Q ~ Telephone (631) 765-1892 l,`COU~ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 28, 2011 Ms. Janet Moses Bulkhead Permits by Gary, Inc. 2 Whaleneck Dr. Merrick, NY 11566 RE: LEONARD RIDINI 805 WEST RD., CUTCHOGUE SCTM#110-7-4 Dear Ms. Moses: The Board of Town Trustees took the following action during its regular meeting held on Wed., October 19, 2011 regarding the above matter: WHEREAS, Bulkhead Permits by Gary, Inc. on behalf of LEONARD RIDINI applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance, application dated September 26, 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 Hearing was held by the Town Trustees with respect to said application on October 19, 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, z • 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, and, 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, and, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees has found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees APPROVES the application of LEONARD RIDINI to replace the existing 135'+/- navy style bulkhead in-place; replace existing 5' &14' sections of bulkhead; construct new 6' inland vinyl sheathing return; backfill bulkhead with approx. 200 cy. clean fill; replace existing 14'X 36' boardwalk and 30"X 8' timber stairs in-kind/in-place; replace existing 30"X 7' timber stairs in-kind/in-place; and remove/replace existing bathhouse and roof to allow for bulkhead replacement, and repair as needed, and as depicted on the project plan prepared by Bulkhead Permits by Gary, Inc. dated September 17, 2011 and stamped approved on October 19, 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, Jill M oherty, Presiden Boa of Trustees JMD/Ims Jill M. Doherty, President ~~OF SO(/l~o Town Hall Annex Bob Ghosio, Jr., Vice-President l~ 54375 Main Road James F. King ~ ~ P.O. Box 1179 Southold, New York 11971-0959 Dave Betgen G Q John Bredemeyer ~ ~0 Telephone (631) 765-1892 I,YCO~'~~ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: (XP (~(IQ ~ I l l f;~LILA Please be advised that your application dated dlo I I has been reviewed by this Board at the regular meeting of and your application has been approved pending the comp etion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1s1 Day of Construction ($50.00) '/2 Constructed ($50.00) Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ 5~.r'~D BY: Jill M. Doherty, President Board of Trustees • ~~o~OSpFFO(~-coG~ Peter Young, Chairman w ~ Town Hall, 53095 Main Rd. Lauren Standish, Secretary ~ ~ P.O. Box 1179 'g Southold, NY 11971 ~'~/0 ~~0~ Telephone (631)765-1892 1 ~ Fax (631) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., October 12, 2011, the following recommendation was made: Moved by Jack McGreevy, seconded by Audrey Horton, it was RESOLVED to SUPPORT the Wetland Permit application of LEONARD RIDINI to replace the existing 135'+/- navy style bulkhead in-kind/in-place; replace existing 5' &14' sections of bulkhead; construct new 6' inland vinyl sheathing return; backfill bulkhead with approx. 200 cy. clean fill; replace existing 14'X 36' boardwalk and 30"X 8' timber stairs in-kind/in- place; replace existing 30"X 7' timber stairs in-kind/in-place; and remove/replace existing bathhouse and roof to allow for bulkhead replacement, and repair as needed. Located: 805 West Rd., Cutchogue. SCTM#110-7-4 Inspected by: Derek Bossen, Jack McGreevy, Peter Young The CAC Supports the application, however, suggests aligning the bulkhead with the neighboring bulkheads. Vote of Council: Ayes: All Motion Carried • NEW YORK STATF. DEPARI'MEN'1' OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-03714 PERMIT Under the Environmental Conservation Law ~ECL) Permittee and Facility Information Permit Issued To: Facility: LEONARD M RIDINI, JR RIDINI PROPERTY l8 HARRIET DR 805 WEST RD~SC' M#1000-110-7-4 SYOSSET, NY 11791 CUTCHOGUE, N 3@ r (516) 965-3353 LS tV, ~ ~ 1~ Facility Application Contact: r ~ L~ ar;,, BULKHEAD PERMITS BY GARY INC w DCT ~ 3 2Olj 2 WHALENECK DR MERRICK, NY 11566 t-~------~~ 516 546-3479 southho!n` i~,,,~ . B°ar u' ;rnsfees ' r FaciliTy Location: in SOUTHOLD in SUFFOLK COUNTY Village: Cutchogue Facility Principal Reference Point: NYTM-E: 712.987 NYTM-N: 4542.352 Latitude: 41°00'16.4" Longitude: 72°28'02.8" Project Location: 805 West Road -Watercourse - Cutchogue Harbor Authorized Activity: In-place replacement of 140 foot bulkhead,l4' and 6' bulkhead returns, boardwalk, 2 1/2' x 15' inland stairway and 2 1 /2' x 8' seaward stairway. Place 200 cubic yards of clean till landward of bulkheads as backfill. All work must be in accordance with the attached plans stamped NYSDEC approved on 10/3/1 L Permit Authorizations Tidal Wetlands -Under Article 25 PermitlD 1-4738-03714/00002 New Permit Effective Date: 10/3/2011 Expiration Date: 10/2/2016 Water Quality Certification -Under Section 401 - Clcan Water Act Perniit ID 1-473 8-03 7 1 4/00003 New Permit Effective Date: 1 0/3/2011 Expiration Date: 10/2/2016 Excavation & Fill in Navigable Waters -Under Article 15, Title 5 Permit ID 1-4738-03714/00004 New Permit Effective Date: 10/3/2011 Expiration Date: 10/2/2016 Pagc 1 of 7 NEW YORK STATE DEPARTI4IF,NT OF ENVIRONMENTAi. CONSERVATION Facility DEC ID 1-4738-03714 NYSDEC Approval By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, and all conditions included as part of this permit. Permit Administrator: LAURA J SCOVAZZO, Deputy Regional Permit Administrator Address: NYSDEC REGION 1 HEADQUARTERS SUNY @ STONY BROOK~50 CIRCLE RD S'T'ONY BROOK, NY 11790.3404 Authorized Signature: _ ! t~__ Datert. / DistributionrList BULKHEAD PERMITS BY GARY INC Habitat - TW LAURAJSCOVAZZO Permit Components NATURAL RESOURCE PERMIT CONDITIONS WATER QUALITY CF,RTIFICATION SPECIFIC CONDITION GENERAL CONDITIONS, AFPLY TO ALL AUTHORIZED PERMITS NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS NATURAL RESOURCE PERMIT CONDITIONS -Apply to the Following Permits: TIDAL WETLANDS; WATER QUALITY CERTIFICATION; EXCAVATION & FILL IN NAVIGABLE WATERS i. 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 ar fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. Page 2 of 7 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility llEC 1D 1-4738-03714 2. 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 Department of Environmental Conservation it shall cause unreasonable obstruction to the free 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 Department 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 fill 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. 3, 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 ope~•ations 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. 4, No Interference With Navigation There shall be no unreasonable interference with navigation by the work herein authorized. 5. Conformance With Plans All activities authorized 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 Inc. dated 9/ 17/11 stamped NYSDEC approved 10/3/1 t. 6. 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. 7. Notice of Commencement At least 48 hours prior to commencement of the project, the pennittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terns 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 photogaphs of the completed work. S. Concrete Leachate During construction, no wet or fresh concrete or leachate shall be allowed to escape into any wetlands or waters of New York State, nor shall washings from ready-mixed concrete trucks, mixers, or other devices be allowed to enter any wetland or waters. Only watertight or waterproof forms shall be used. Wet concrete shall not be poured to displace water within the forms. 9. 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 butTcr areas. to. No Disturbance to Vegetated Tidal Wetlands There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activities. Page 3 of 7 • NEW YORK STATF, DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-03714 tt. Storage of Equipment, Materials The storage of construction equipment and materials shall be confined to the upland area landwazd of the bulkhead or on a barge. t2. Seeding Disturbed Areas All areas of soil disturbance resulting from the approved project shall be 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 shat] be stabilized with straw or hay mulch or jute matting until weather conditions favor germination. 13. Clean Fill Only All fill shall consist of clean sand, gravel, or soil (not asphalt, slag, flyash, broken concrete or demolition debris}. t4. No Beach Excavation For Fill No excavation of the beach is authorized for the purpose of obtaining fill or stone materials. ts. Grade to Match That AdJacent to Bulkhead All fill must he graded to match the elevation of the land immediately adjacent to the bulkhead. 1fi. Backfilling All peripheral berms, cofferdams, rock revetments, seawalls, gabions, bulkheads or othcx approved shoreline stabilization structures shall be completed prior to placement ofany fill material behind such structures. t7. Bulkhead Fleight The new bulkhead height shall not exceed the height of the adjacent bulkheads. 18. No Seaward Extension of Bulkhead The new bulkhead shall be constnleted in place of the existing bulkhead with no seawazd extension of the outermost bulkhead face. 19. 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. 'T'renching is strictly prohibited. 20. No Structures on Bulkhead No permanent structures shall be installed on the authorized bulkhead without first obtaining written department approval (permit, modification, amendment). 21. 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 and retained so as not to enter the waterway, tidal wetland or protected buffer area. 22. No Runoff Ovcr or Through Bulkhead or into Wetland There shall be no discharge of runoff or other effluent over or through any bulkhead or shoreline stabilization structure or into any tidal wetland or protected buffer area. z3. Bulkhead Decking No portion of the decking or boardwalk shall extend seaward of the bulkhead sheathing. 2a. Use of Treated Wood The use of wood treated with 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. Page 4 of 7 NER' YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-03714 zs. 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 Department will issue a permit for such activities in the future. 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. [---_GENF.RAL 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 Department 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). Che 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 Department requires. Any renewal, modification or transfer granted by the Department must be in writing. Submission of applications for permit renewal, modification or transfer are to be submitted to: Regional Permit Administrator NYSDEC REGION 1 HEADQUARTERS SUNY @ STONY BROOK~50 CIRCLE RD STONY BROOK, NYI 1790 -3409 Page 5 of 7 NEW YORK STATE DEPARTMENT OF F,NVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-03714 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 Department 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 petmittee to comply with any terms or conditions of the permit; c. exceeding the scope of the project as described in the permit application; 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; e. 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 pemtit transfer should be submitted prior to actual transfer of ownership. NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS item A: Permittee Accepts Legal Responsibility and Agrees 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 petmittee'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. Page 6 of 7 NEW YORK STA'CE DEPARTMENT OF ENVIRONbIENTAL CONSERVATION Facility DEC ID I-4738-03714 Item C: Permittee Responsible for Obtaining Other Required Permits The permiltee is responsible for obtaining any other permits, approvals, lands, easements and rights-of- way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the germittee 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 groperty held or vested in a Berson not a party to the permit. Page 7 of 7 Applicant: Leonard Ridini Project Plan Project Site: 805 West Rd Cutchogue, NY 11935 Proposed: Navy bulkhead replacement in kind & place Prepared by Bulkhead Permits 7~ by Gary Inc West Road / 2 Whaleneck Dr ~ Merrick NY 11566 / Scale 1 "=50' September 17, 2011 Its My Way LLC Pat lavarone 985 West Rd 995 West Rd see i~o Nassau Point NY 11935 Cutchogue, NY 11935 sik a, Lot 04 a,~n w..:..ma dn.w., e :~'o~« O a~ , r i nPPaP. zoo ~peord.,i, iai eoa rcum Sdm,neb udw sauce Prnposetl Mlaritl6' da: CO rtla xJl p, am yMYl 3naetfung r9lum JVmm • ~ Fialvy ~M W "'"4w~~iF. Sdxn a! uy d,MMN gfy~n WvYymumN ~ PdWaNb WrM~a,x9 fll'nm. .r.xe ww ,uNaow AMm._.. Exutmg S' 8 14' Sectione of nary bulMiaetl _ pOp09911u W ,epeceE in kiM 8 place ~Od ,m~ asp FL~h a ~4 ~.,"~@ Cutchog"u'~e'4-Harbor ~"°T~~ v7~`-~- ~ Width 3200' -_~n,_ _~,~u, f~ ~a. All bulkhead hardware, nails and bolts shall be hot dip galvanized, all bolt heads and nuts Cross View 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. 0 w E ~ 100' Not to Scal ~ EEiMirp Cork N .etainirp wall G E,aEUm x .u~ mUM 9peMrNk pnWxHb °E eopga In Aw° 8 gECa wa i~ E~a~WEb°NR4ErnIMdiY Exeung gabs a taxtsa.ou ugnm iore~ron fY B~Oi $llfi CyE9 o/Lbe° Edl Bp q°,pM in hM118YtlpnEM uINEM 5°y, MgOre°e wA De EkE11 herM sem aG~ ' v:°°usw tar S:i26 „4n Applicant: Leonard Ridini e'~'°'°~ E"I""° wn~°o°Eeeacman Project Site: 805 West Rd PM~a~~ ~ ' ,~M>a Cutchogue, NY 11935 °m~r=wp°M Proposed: Navy bulkhead replacement in kind & place nag.ua viaN Prepared by Bulkhead Permits EreYl,hy 6"cmYUpNiM ~ ' by Gary Inc ; ~ Ma 2 Whaleneck Dr Merrick NY 11566 iz"x'~ a IumEe; pilings cca IumCer Scale 1"=10' ~ ~ bYkheaE piings September 11, 2011 4 ~ °t ~ ' t^`. ,~d 1 I • Jill M. Doherty, President o~~SUFFOI,I•CO P.O. Box 1179 Bob Ghosio, Jr., Vice-Ptesident Southold, NY 11971 James F. King y Telephone (631765-IR92 Dave Bergen ,y ~ Fax (631) 765-6641 John Bredemeyer ~ `T. Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: 1 (~r LEONARD RIDINI requests a Wetland Permit to replace the existing 135'+/- navy style bulkhead in-kind/in-place; replace existing 5' &14' sections of bulkhead; construct new 6' inland vinyl sheathing return; backfill bulkhead with approx. 200 cy. clean fill; replace existing 14'X 36' boardwalk and 30"X 8' timber stairs in- kind/in-place; replace existing 30"X 7' timber stairs in-kind/in-place; and remove/replace existing bathhouse and roof to allow for bulkhead replacement, and repair as needed. Located: 805 West Rd., Cutchogue. SCTM#110-7-4 Typ f area to be impacted: altwater Wetland Freshwater Wetland -Sound -Bay Distance of proposed work to edge of wetland Part o~ Town Code proposed work falls under: ~apt.275 _Chapt. 111 -other Type of Application: _ Wetland -Coastal Erosion -Amendment _Administrative_Emergency -Pre-Submission Violation Info needed: Modifications: Conditions: Present Were: Doherty B. Ghosio ~ing D. Bergen, J. Bredemeyer D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: k tt .f~Rk ~ ~a r . _ ~ ~ - w fi ~ ~~icant prod ~ _ . ~ft - . ~ s tart~i~- ~ h --~a n - :~121 _ - _ - _ _ A~T > "t~ ~ - r-~•, r" t ' ~ ~~c~ - _ t s? _ ~ r _ - "-"mi'x'- _ - . V*w~ 'r - - yJ i Ap~tic'~a~tulkhea~ ' ~ I.~ ~ ~ ~ 5'. 'A+ r 4{ y N ~ t_r+~l ~ _ 7. ~c t ~ - 7.~~ ~.a ~ ~ - - - ` - ~ t' ~ to taken _ ARK ~ .;iw, _ ~ ~ - ^ ~1 1 A 1.~ -'may *cu ~ . `h ~~y, Y;~~°` , ; hoto taken J' M k t^ ~ ~ ' ~ SAC ~1Sn tr~,~€' n, '~,e ~ ,k ~ ~~y~ ' ~ i.. A.Y ~ f .i~ 1 y ~ ' ~ ~ ~ jyr ~ ~ ~ I.r~pq ~'r - - ~ q, stir ' ~ + " p,7,.,, • - . ' - Y I t ~ ~ ' ~ 1 r' - . _.:a r , .-"'7 i ~ - _ , r ~ r ~ 1 a v+ I _ ~e _ _ - I ,.,,m g m'eso 0 y 4 m.zo~ asset .o ~m t. e°'ym ~ _ ix[_ nip 9 O'f ( M1 ` ^ 1 ~mooma A ~ ? ' 9 ? f .J l2 ~e~1 l ~ ~ f ~ wNaM°m P „e f d ~ m. E M S ~P R } ~sd 's ~,as+"°° ' np ~ p ~ a 90~ E t! ~ f. `~9 M bKol , 1 Y SM1 w,,.~ • ~ 6 .3wf o, 0 e., / I z A J(C '9 > SS tl~ b _ s ~M~ 9 Q. 4l'a N 4 ~ra ~ ~ ~ ~ ~ ~ 9 • f9 otv~ww. • A a a ~1a , / .o.n, -4.,' ~ e "i e9Vd ~ ^ /.r~A `tea"E n~' L did ~ ; w.ow... ' 1J ~scN.oe J v... e ~ ~ ~ ~o ¢+amnvnu \ \ l\ I V l J i \ ` y^ ss I/ a j w,~~.~.. / VL ~ ~ e~ i . , / ~l a~ ~ ~ ~ r / ~ ~ =ten . 1 f. 6 Mip9, aWp ' III - , j ~ (Oe ~ d / • - eec*xw uo ~ --d ~w-•~-~^• icc COUNTY OF SUFFOLK w ~oumnn -F- .w.- an Q - s ...~..w ...w Rwi Prt~Po.O'TU SarweNpnry ~ P. v.-..e.w..wwwm.+.< , '~•....ww 110 • s OFFICE LOCATION: ~~0~ SO(/Ty0 MAILING ADDRESS: Town Hall Annex ,~O l0 P.O. Box 1179 54375 State Route 25 .If, .IL Southold, NY 11971 (cor. Main Rd. & Youngs Ave.) T Southold, NY 11971 G Q Telephone: 631 765-1938 ~ Fax: 631765-3136 ~~'YOOUNIV 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: October 17, 2011 Re: Proposed Wetland Permit for LEONARD RIDINI SCTM#1000-110-7-4 Bulkhead Permits by Gary, Inc. on behalf of LEONARD RIDINI requests a Wetland Permit to replace the existing 135'+/- navy style bulkhead in-kind/in-place; replace existing 5' 814' sections of bulkhead; construct new 6' inland vinyl sheathing return; backfill bulkhead with approx. 200 cy. clean fill; replace existing 14'X 36' boardwalk and 30"X 8' timber stairs in-kind/in-place; replace existing 30"X 7' timber stairs in-kind/in-place; and remove/replace existing bathhouse and roof to allow for bulkhead replacement, and repair as needed. Located: 805 West Rd., Cutchogue. SCTM#110-7-4 O O i,~,, . " jio fit: ,Y},~r~~b::„i~ _ ~<,< 'd~G _;i 41X11 N2.rm:'1 Wwe•~il,.y1~I_k >4EiPO>t4iw rc'vIW.Lyi FERN Oix iwv Xq•_TM U, wF+l ycutl.ii! Figure 1. Subject Parcel. 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 to replace the existing 135'+l-navy style bulkhead in-kind/in-place; replace existing 5' 814' sections of bulkhead; construct new 6' inland vinyl sheathing return; backfill bulkhead with approx. 200 cy. clean fill is CONSISTENT with the policies of the LWRP. The replacement of a proposed 14' x 36" square foot inland boardwalk is not a permissible action pursuant to 275-11 Construction and operation standards, A (6) and is INCONSISTENT with LWRP Policy 6.3 (below) and therefore, INCONSISTENT with the LWRP. 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. 275-11 Construction and operation standards. A. General. The following standards are required for all operations within the jurisdiction of the Trustees: (6) Decks and platforms. No decks or platforms shall be permitted on or near bluffs. Platforms associated with stairs may not be larger than 32 square feet. (Amended 10-11-2005 by L.L. No. 17-2005] The inland boardwalk is located at the toe of the bluff. Pursuant to Chapter 268, the Board of Trustees shall wnsider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney • Jill M. Doherty, President ~~~F SQUrjfrO ~ Town Hall Annex Bob Ghosio, Jr., Vice-President h~ ~Q 54375 Main Road James F. King l~ ~ P.O. Box 1179 Southold, New York 11971-0959 Dave Bergen G Q John Bredemeyer ~ ~ Telephone (631) 765-1892 lt'COU~'~~ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF 50UTHOLD Office Use Only ~;eastal Erosion Permit Application Wetland Permit Application Administrative Permit ~_Amendment/Transfe~r/Excension "Keceived Application: 1 deceived Fee:$~~ - i ~mpletedApplication ( ~ ~ l`• ~ li ! _Incomplete ~ r _SEQRA Classification: ~ Type IType IlUnlisted ~ r i [J i ~ _Coordination:(date sent) .~LWRPConsistency essmen[Form (1 ~ - _ ~•CAC Referral Sent: tl ~e of Inspection: 1 - ~ - -Receipt ofCAC Report: Lead Agency Determination: Technical Review: ~blic Hearing Held: ~ 1 Resolution: Name of Applicant 1 ~ p u et / Gf ~ ~ CJ~ ~ ~ i Address ~ g ~-~Q rf +~'1 Ql S i ~ SSA "C ~/U / 7 ~i Phone Number:($/® g~S- 3 3 ,S Suffolk County Tax Map Number: 1000 - / /V D 7, b D - Od D y Property Location: ~d W C~5-f ~ ptt c9 a ~ //4'7 ~ (provide LILCO Pole distance to cross streets, and location) AGENT: 1~G1 I ~ hE3n.~ \Pf id l'~' S S° y A I` Cr Z N C (If applicable) Address: 62 ~ ~ N C L 1t ~ ~ M. eMrt e k N ~ I i S~ 6 Phone: SI6 S 7 6 - 3 / 7~j ~ a~ I ~ard of Trustees Application. (1GENERAL. DATA Land Area (in square feet): t{ / Area Zoning: ~~Srt~C.PP_,ti'f i~!- Previous use of property:_ R C S i C~ EN f i g L Intended use of property: Q+~ S t i:''~ ~ .y 1/~ G L Covenants and Restrictions: Yes t/ No Cf "Yes", please provide copy. Does this project require a variance from the Zoning Board of Appeals Yes ~ No If "Yes", please provide copy of decision. Prior permits/approvals for site improvements: -f Agenefly Date 1p(iN cit ~~`r{~olC~' J- U No prior permits/approvals for site impmvements. flas any permit/approval ever been revoked or suspende~t by a gaverrurrental agency? No _ Yes If yes, provide explanation: Piaject Description (use attac}unents if necessazy): ~ ~V YJ4 ~ lz ~..e.;;, ~ p~)p w-o. t t t.% S ce•w~- ~ `p1 ~i ~r ¢Q~ rt.>~ Me.e I t ,moo G C-~.ce'~ S ~ ~P L f+-w~ I I ~ t O" ui ~ k+s t 36 itu~n ~zn~i~c~n:.~a 1 I~ ~ L~1 1~ ` ~p~ 1 N k~.1iC5 -i' l~ ~ ~ C~Q 1~2. N I14 C-Q ~ ~ 1 ~~.t~: t}reS~ _ . `qtr 4 ; ~k ~c?-~.4~tc (r41 w ~~r.~~ , c t rj,,t~S~ p 11 ~ ,-yn: Lt}w ~`}u l'>/ r.. e.~ ~ ~ c~ ~=.,t ae..<C 4kr~-~ Q~~~V~A<_~c~ ~r~> ~Csr3w~.~- ~~1~F4~_ ~~c1.Q~ ~"G ..~.:7~ tt b~ LYUr,.r c~:h r-~~~~'t~' So~ of Trustees Application (GENERAL DATA Land Area (in square feet): ~ ~ 7 Area Zoning: FQ S i GQ E iJ + i 4 i- Previous use of property: RQ S , ~ Q N i ~ L Intended use of property: R~-S t rQ ~-N 1/~ ~ Covenants and Restrictions: Yes t/ No If "Yes", please provide copy. Does this project require a variance from the Zoning Board of Appeals Yes ~ No If "Yes", please provide copy of decision. Prior permits/approvals for site improvements: Agency Date ~hWN ~t .$ou`fil.olcQ ly`7 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ~No Yes If yes, provide explanation: Project Description (use attachments if necessary): N'(~V y 174 ~ le 1.e~9~ eQIA C~Q~~-r.1 i ~ S~c+we. ~ 1~ o~,r-oxr~~ n~~-E~i c. aaG Cc.,rs2 S ~ k0 L,rcweD 11 ~ cA £-kis 1 361 i L ~ogrc4~J~ll-c a- 3~~ix 1S1 S`I~?Jwa~, irJ k~NC~ ~ QIAc~ . IRa~Pll~c~ ~ ~ ~ t .~re'u~ R reS~ `k'A~/' ~ RC~e-c~"lb V"4 ~ ~ i 0 I-e,NC~ t~1 A Ce y tuS~' ~ l ~ C~i ~LN LA-w R~`I-~ r w Bo~ of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Q c~ ~ f S`~ ~ A-t C~ P~-~ ~ q ~ Area of wetlands on lot: U squaze feet Percent coverage of lot: O Closest distance between nearest existing structure and upland edge of wetlands: ~ p p feet Closest distance between nearest proposed structure and upland edge of wetlands: ~ feet Does the project involve excavation or filling? No Yes / If yes, how much material will be excavated? v~ S cubic yards How much material will be filled? ~ b d cubic yards / Depth of which material will be removed or deposited: 7 feet ~f Proposed slope throughout the azea of operations: G Manner in which material will be removed or deposited: ~ S Cy CQ S e-cl U f~~ l ~ ~h- Cx~ -f(.~ ~=t ~ ~ Dtn~ ~'rQ~S C~~~-oz ~J ~ ~ ~ ~ ~ ~ Sy-aRrv~ CQ~ f ~r`t. ~ .~e °f p--~ ~ -r b~-k ~ A u A-~t-c-K- 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): Q cQ ~ ~-w~. 1 ~ h e~ c~- ~ S`~ l I f~-F 1 S7- ~ D r ~o ~-r,-r fl C~ u~ ~(a ~ ~ w~~ c,~ p-e~ Bo~ of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: ~,~j S T~ l7<,Y1.~ IJ 14iu Fl-~1 ~ Are wetlands present w/ithin 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? ~ J (cubic yards) How much material will be filled? ~ tj U (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 n(ecessary) N ~ G' j -~e c~~ 0 l~ ~ 1 ~¢.:J/ IN ~ fl-T+CQ S Q ~ ~ ICS ~ I • ~~o~pSpFFO~,~coZ Jill M. Doherty, President ti ~ Town Hall, 53095 Maiu Rd. Bob Chosia, Jr. ,Vice-Presidcnt ~ ~ P.O. Box 1179 James F. King ~ ~ ~ Southold, NY 11971 Davc Bergen ~Ol ~Q~ Telephone (631) 765-1892 John Bredemeyer ~ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of LEONARD RIDINI COUNTY OF SUFFOLK) STATE OF NEW YORK) / AFFIDAVIT OF POSTING I, ~G~CY7QI"C/ ~/[7/rt//, residing at /dba / U° /`off i2R i /.~2r t/ ~ being duly sworn, depos and say: sr That on the ~ day of 1><-7~~~2 , 2011, I personally posted the property known as ~ cs (.IFS T iz D c-vtcL, aG u E rvy /i93.5' 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 beheld Wed, October 19, 2011 on or about 6:00 PM. Dated: ~ ~~i~a sC ~~~-~c~ (signature) Sworn to before me this - - _ ~,'~~day of C~'fie120 ~r ~ ~ ~ 'i I U ~ _ i I, ary Public GARY WAYNE MOSES NOTARY PUBLIC, State of New York No. Ot M08186523 Qualified in Nassau County Commission Expires May 5, aota NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES. TOWN OF SOUTHOLD In the matter of applicant: YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: Proposed is 139.94' of navy bulkhead replacement in same place as and kind. There is an existing 14' seaward bulkhead return located on the east side of the property that is also proposed to be replaced in kind & place. One new inland 6' return and approx. 200 cyds of clean fill will also be brought in from and placed upland of bulkhead. An existing 14'x36' inland boardwalk and 30"x15' inland stairway is proposed to be replaced in kind & place. A 30"x8' seaward stairway attached to [he bulkhead is also proposed to be replaced in kind and place. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: go S w~s~ R-~ Ctati_~.~o~4~, 1193 3. Tha# the project which is subject to Environmental Review under Chapters 96,111 and/or 275 of the Town Code is open to public comment on: DATE• C~ Q[j ~C't1`"(~Pi I ~k'1 GL~~L~- (F ~ Pjr1 You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal PROPERTY OWNERS NAME: L~ot~gr~CQ Qt~ta~ MAILING ADDRESS: 14 t~Glr f t Q r 1 S~ OSSe~-i' N y I I 1 PHONE S%6 - ~ ~i y - 7So o ~ AGENT: ~u Ilr ~eaA \Q1'~l~nt UY ~ A~lLti y ~ C . MAILINGADDRESS• 02 Wr.a~~Nec.?t r MC,rNtL4c Ny IIS6~ PHONE#: S'I(~ - S U-~~~ 34 `7g Enc: Copy of sketch or plan showing proposal for your convenience. • w PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS ' " Address: m rv ~ ~ ~ t - I I ~ /~GfF-GE ~ Postage $ ~.4r1 ~p~ cS~-~/ /(7 ~ Cerlifietl Fee - P ra ~ Here p Retum Receipt Fea ~ ~ ~ ~Q j~ On I l r 1 ~ I I (j - `1 - ~ - p (Entlarsement Requrzed) ,c. to 1'1 o et 't Restricted Delivery,Fee Q C u I V ~o~ U~ ~ y 0735 ~ i -I p (Entlorsement Regwred) f r / - fTl Total Posia9e & Fees $ e ~ 5 _ S a In } ~arr~s N~R~ Ben T ~ ~o nP? ~rden C.+y i`V y 1153v C . S 47 r5~r-_~A---~---------------------- p - $IreeL Apr. Na.; ~~j~'~ L p ar PO Box No. - rv . - ~ ~ p3 p ary, ware z~a ~e r - :r, F SUFFOLK SQnef- /}`I oSNS ,residing at ;Z 1,~;~ ~,eiiec-k ~ ~ yyl.e Y'r 1 ~/L "Y~e~~-Ib~IC 1(5 ~ ~ ,being duly sworn, deposes and says that on the 3 r day of Ocfo berL , 20 I ~ ,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 aze 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 ~.Q.~ I G/~ ,that said Notices were mailed to each of said persons by (certified) (registered) mail. _ i~CP Sworn to before me this 3~~ Day of C~c~oh c-L_, 20 I / Notary Public QARY WAYNE MOSES NOTARYNo. 011M06186523 ew York Quellfied in Nassau County Commission Expires May 5, 2012 01/11/2005 07:16 631-261-4466 C. J. RIDINI, ESQ. PAGE 01/03 • • CHRISTOPHER .l. RIDINI ATTORNEY AT LAW 4 MORANAPA ROAD C ENTERPORT, NEW YORK 11721 October 20, 2011 TEL. NO: (831) 261-3839 FAx No: (631) 281-4466 VIA FAX EMAIL: CRIDIN 100PTONLIN E.NET Fax (631) 765-6641 ~ I ~ ~ ~ I~ ~ ~ L ~ iii' i i BOARD OF TOWN TRUSTEES ? ? ~ ^~i ~j TOWN OF SOUTHOLD _ Town Hall i ~ 53095 Main Street Southold, NY 11971 RE: Authorization of Representation OWNER: Leonard Ridini PREMISES: 805 West Road, Cutchogue, NY HEARING DATE: October 19, 2011 - 6PM CALENDAR No.: 9 Dear Board Members: Kindly let this confirm that my appearance as counsel on behalf of the property owner Leonazd Ridini at last night's hearing, wherein the Board granted his wetland permit application, was duly authorized. (SEE: copy of client authorization attached). Thank you. Very truly yours, Christop r J. Ri ini Enclosure 01/11/2005 07:16 631-261-4466 C. J. RIDINI, ESO. PAGE 02/03 i AUTHORIZATION ~ ~~0~ I, I.eonerd ltidini, hereby authorize Christopilet J. Ridini, Rsq., to represept me on all matteas relating to 805 west Road, Gtirtchogue, NY, including but not limited to the public hearing to be held on October 19, 2011, before rho Town of Southold Board of Trustees in connection with the attached Notice of caring. i Date: October 18, 2011 r; ~ ~ ;,i ACT 2 1 ~ _ ' t i - f~ , . f 09/27/2011 08:11 7656641 BOARD OF TRUSTEES PAGE 01 8~ of Trustees Appticacxon • County of Suffolk State of New York L g N q. ~ l av ~ N t 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 TIIE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, i HEREBX AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WTI'II REVIEW OF THIS APPLICATION. / ~/1 / < Signature C~ ~ SWORN TO BEFORE ME THIS 18 DAY OFcSIa' I ~,M~fiL ,20~ QppY WAYNE MOSES ~ppY PUBLIC, State of New York No. 01 M05186523 puelified in Nam M Y 5 2012 Commission f?.xp Notary Public Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) I, '-`-'~-1' ~U~ ' \ I ~ I i'V I residing at i~ I'~g1r~1 e-~ 1J~ ~ (print owner of property) (mailing address) ~Sz}~ ~ do hereby authorize (Agent) I ~'~J ~5 to apply for permit(s) from the Southold Boazd of Town Trustees on my behalf. (Owner's signature) • 617.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I -PROJECT INFORMATION o be coin leted b A licant or Pro ect S onsor 1. APPLICANT/SPONSOR 2. PROJECT NAME Leonard Ridini 3. PROJECT LOCATION: Munidpality Southold County Suffolk 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide map) 805 West Rd Cutchogue NY 5. PROPOSED ACTION IS: New ~ Expansion ~ Modfice6oNatterabon 6. DESCRIBE PROJECT BRIEFLY: Navy bulkhead replacement in Kind & Place (K&P) and approx 200cyds of upland backfill, replace existing 14'x36' inland boardwalk & 30"x I S stairway in K&P. Replace a 30"x8' seaward stairway attached [o bulkhead in K&P. Install (1) 6' inland return,bathhouse & roof overhang will be temporally removed to allow for bulkhead replacement & replaced in K&P repairs will be done as needed 7. AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? Ves ~ No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? Residential ~ Industrial ~ Commercial ~ Agriculture ~ Park/Forest/Open Space ~ Other Desaibe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? Yes ~ No It Yes, list agency(s) name and permiVapprovals: 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMR OR APPROVAL? Ves ~ No If Yes, list agenq(s) name and permiUaDprovals: Town of Southold 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? Yes ~ No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE ApplicanVsponsornaine: Leonard Ridini Date: f Signature: If the action is in the Coastal Area, and you area state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 Reset PART II - IMPACT ASSESSMENT To be com feted b Lead A enc A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If yes, coordinate the review process and use the FULL FAF. Yes ~ No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN B NYCRR, PART 617.87 It No, a negattve dedarelion may be superseded by another involved agency. Yes ~ Na C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED 1MTH THE FOLLONANG: (Answers maybe handwritten. N IeglMe) Ct. Existing air quality, surace or grourMwater quality or quamtty, noise levels, existing traffic pattern, sdid waste production or dtaposel, potental for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, egriwlturel, archaedogical, historic, or other natural a cutturel resources; or commuraly or r~hborfrood charede(1 Explain briefly: C3. Vegelatton a fauna, fish, shelNish or wtldlife spades, slgMficad habttaLs, or threatened or endangered spades? Explain briefly: C4. A community's exlstkrp plans or goals as olricially adopted, ar a change in use or Mtensfly d use of land tt other natural resources? Explain briefly: C5. Growth, subsequent development, or related adivdles likely to be Inducetl by the proposed action? FxpWin briefly: Ca. Long term, short term, cumulative, or other effects not identified in C1~57 F~laln briefly: C7. Other im ads indudin dra es in use of either uand or of ene lain brie D. VNLL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CFA 7 If es, a lain briefl Yes ~ No E. IS THERE, OR IS THERE LIKELY TO BE CANTROVERSY REIATED TO POTENTIAL ADVERSE ENVIRONMF~4TAL IMPACTS? If s lain: Yes ~ No PART 111- DETERMINATION OF SKBNIFlCANCE (To be completed by Agenq) INSTRUCTIONS: Foreachedverseefledidentif~edabove,detertninewhetherhissubstantial,large,importantarothenvisesignifa:ant. F~ch effect should be assessed in connection whh iLs (a) setting (i.e. urban or rureq; (b) probability d oxuring; (c) duration; (d) irevers~ility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that e~lanations contain sutfident detati to show that aN relevant adverse impacts have been identified and adequatey addressed. Nquestion d of part u was checked yes, the determination dsignificance musteveluate the potential knpaddthe proposed action on the environmental Charederistirs dthe CFA. Cftedrttds box ifyou have Idenfifietl ale ar more potentially large or slpMflcam adverse knpadswhich MAY ocaa. Then praa:ed dkedyto th FU FAF and/or prepare a posltlve dedaretlon. Check tide box H you have determined, based on the informaflon and analysis above and arty supportlng daarrtlerdatton, that the proposed a WILL NOT result M any significem atlverse envirorxneMal impacts AND provide, on attachmede as necessary, the reasons supporting thi detertninatlan. Board of Trustees Name of Lead Agency Date Jill M. Doherty President Pint or hype Name of Responsible Officer in Lea Agency Title of Responsible Officer Signature of Respo b e ORx>er M ad Agency Signature reparer (I differed from responsible officer e~~~ Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM $ PROPERry roGTION: s.GT.M. g: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A ~OI ,~Y~~ j Pi/'` L) j J J x "7 QQ~v STORM-WATER, GRADING DRAINAGE AND EROSION CONTROL PLAN t s6I'~- 'S'ec'tro'-o' -gPoe-~i- Tot - CERTI I D BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK -PROPOSED CONSTRUCTION ITEM # J WORKASSESSMENI' Yes No a'. What b the Total Area of the Project Parcels? ~ Will this Projec[ Retain All Storm-Water Run-Ott (InGude ToMal Area of all Parcels located within ~ ~ C' ° - Generated by a Two (2') Inch Ra{n1aU on Site? j me Swpe o(Work for Proposed Construction) (sk Aeaa)~a)~ (This item will include all run-oR created 6y 5ite ? b. What Ls the Total Area of Land Cleadng clearing and/or consWction activities as weN as aU and/or Ground Dlsturbarrce (orthe pmposetl L Site Improvements antl the permanent creatlon of construction activity? impervious suAaces.) (S.F./ACC) ~.~a PROVIDE BRIEF PROJE(,T DESCRII'IYON tv~ww addalma v Z Dces the Site Plan andor Survey Shaw All Proposed ag°061Bpn't Drainage SWCWres Indicating Size 8 Location? This t~ nf~ Item shall include all Proposed Grade Changes and flu h ~ CC- "'car- CsC ? Slopes Controlling Surtace Water Flow. is R°n~E~L°='~r___r.. t q~ 3 Does the Site Plan and/or Survey describe the erosion ? t ~ ~M'isA lG ~ ~ ~ cfc, t1 ~t--~,,;. ;1.C (;J L ti ~ S and sediment control pracdces that will be used to T control site erosion and storm water discharges. This f ~F ~t f' F}rl: ('It ~f ~ ~ j 1~-E> JI q a L S RC.y item must be maintained throughout the Engre AA tt,,~~ t Construcban Periotl. t K 3~) t Ai ~ 1'~^A.CS IJ c<if`C4~t,L'. Yk ~ f'C 4 Will this Projec! Require any Land Filling, Grading or / ~ V a X 5 ~zl t.y~ ff!`QY ~ T ~ Excavation where there is a change to the Natural ? 1 Existing Grade Involving more than 200 Cubic Yards ~I~,~ ~ y~- ~~~Ln of Mmedal within any Parcel? S F~ ~ C~G~ ~ I?t.l R I Yli 5 Will This Application Require Land Disturbing Activities ? F'~I ~ G,{ /a~ 1 ; ~ 1''~ I Encompassing an Area in Excess of Fiva Thousand ' ' TW ` h (5,000 S.F.) Square Feet of Ground Surface? N ~ /lIV _ ) b(y d3Fj { A txt ~o fi Is there a Natural Water Course Running through the Site? Is this Projec[ within the Trustees jurisdiction ~ - Gendmt DE SWPPP RegWremenb: or within One Hundred (100') feet of a Wetland or Submhswn or a SWPPP is requved M NI Danuvctlon eotNides invdving sul Beach? aistufbences of one ry) a more acres: indWitg d3turbamas of lass than tna aae that 7 Will there be Site preparation on Existing Grade Slopes a - are part of a larger comrtpn phn that will uMmately diswrb one or nwre acres of land', which E%ceed Fifteen (75) (Get D(VGnical Rlse t0 Incwding Conshudron activities invoMng sdl disturbances of ores than one !t) acre where One Hundretl (100 of Hodzontai Distance? the DEC nos dawrmlired That a SPDES permit h requimd for stem water discharges. t SWPPP'a Shall meet gta Mtnlmum Requlnrnenb oftM SPDES General Permit $ Will Driveways, Parking Areas or other Impervious a..~,a - f« Sbrm Water Dlschargea horn Constroceon acdvily • Permit No. OP-0-tg-0gt) Surtaces be Sloped to Direct Storm-Water Run-Ott I'',_?/J,I t. The SWPPP shen be prepared prior w the submidal of the NOI. Tha NOI shah be into and/Or in the direction of a Town right-of-way? submkted t01ha Depemmenl Prot w the mmnexemenl of consWction activity. ~ , 2. The SWPPP shag describe the erosion arM sediment conlyd pracgrxs and where 9 Will this Project Require the Placement of Matedal, ? ragvlred, posteonatmclbn swan water management precgtza Net vnU be used antllP Removal of VCgetation and/Of the consWction of any constructed to retluce the pdwwnta m swim water tlechatges endw assure Item Within the Town Right-of-Way or Road Shoultler Campllance Wlttl Iha 1e11116 end COIIdIt1n113 of thM per1111L In adddlOrl, the SWPPP Srlal Areas m,tr Itrm Mp NOT Include IM Imulladon or ONVeway gpwp,J identity potential sources of polwtion whkh may reesonabry be axpecled to affect the quakly of storm wafer d'ncnaryes. NOTE: It Airy Anewv to Ouaaliorw One Nrougti Nine h Anawared wIM a Chock Madf 3. Ae SWPPPS that require the postsonslmctgn storm water menagemont prectke in a Box antl Me oonauueNOn sNe drHUrhsnm h Datwevn a,00D S.P. 81 Ac+s In vre> component shaX be prepared by a quaNfiad Desgn Professwnel LlrensW in tJew Vork a Storm-Wataf, Gndlnq. Drainage 8 Eroabn Control Plan Is Required ay tlw Town of Ihet is knovdedgeaWe in iM pdnrJplee arM pmdioes of S[orm Wahr Managemem. SouNold anJ Musl by Sulanitletl for Review Prior to hauenp of Arn' BWlding PemtiR INGTE'. AQgM Me,k andAr MSV.e.fwxu3, Ureslidnu paqu,ed bra Compete Appicauml S7'A7'E OF NEW YORK, !~i!f}S 5 , , COUNTY OF SS - ' ~ ! v f ~ i being duly sworn, deposes atul says that he/she is the applicant for Pemtit, (Name of imWidual signirg ?oownent) And [hat he/she is the ~ G~'!7ti (Owner, Contraclar. Agent, Corpwale Olfrcnr, tile) ~ Owner :uai/or representative of the Owner or Owners, and is duly authorized to perform nr have perforated the said work and tD make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and thai the work will be performed in the manner set forth in the applirttion filed herewidt. Sworn to before me this; ? rig ~ _ . . ~/,r / G NotarvPublic .....tiAHy.YAATMI:_MQSES.. ;~/Ses,!?Y)L;nct G~ ~ - .dNOTAHY PUBLICtState ofW~,YbYK...... )0.I{ - . ISignatnm n/ Appr¢am) FORM - 06110 Oueliltatl in NSaW3eMe o8 X12 GorrprNasio ExP Y e~~~ Town of Sou old Erosion, Sedimentation 8 Storm-Water Run-off ASSESSMENT FORM PROPEIm LOCA7roN: s.c.7.M. p: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A O! I PVC O A'~ QQ~v STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN ct 3raclf'on- -g)coc-rc- -C 1 CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK -PROPOSED CONSTRUCTION ITEM # /WORK ASSESSMENT Yes No a. What is the Total Area of the Projed Parcels? 1 Will this Projed Retain All Storm-Water Run-OIF (Include Total Area of aA Parcels located wiMin Generated by a Two (27 Inch Rainfall on SfteT the Scope of Work for Proposed ConsWction) fs f ease (This item will include all runoff created by site ? b• What is the Total Area of Land Cleadng ) cleadng and/or censWCtion activities as well as all and/or Ground Disturbance for the proposed Site Improvements and the permanent creation of construdron adivityT impervious surfaces.) (S.F./AOaa) 2 Does the Site Plan and/or Survey Show All Proposed PROVIDE BRIF;F PROJECT' DISCRIPITON (Praraa AtlaAOnN PapeaorMaLaEI Drainage Strudures Indicating Size & Location/ Thfs /n~ Item shall include all Proposed Grade Changes and flu b Cl I ~ ~'ecQ ~A[ Q r a,.T~( Slopes Controlling Surface Water Flow. 3 Does the Site Plan and/or Survey describe the erosion I N ~f~1 Q Q ~ ~ u2 -r- ~ 0 Pp-d,.y ~ 0 ~J C4 li and sediment control practices that will be used to Q --1n1 Y' /1 ~9 f-' control site erosion and storm water discharges. This ~ i LR711 CX ~1 ~ ~ r~-Q~q e• a c3T[S T`i item must be maintained throughout the Entire L~'/I - ,~.~~,,1t t,~~,,r~ ~ ConsWCtion Pedod. Y I Y 3~ , 1 N ~ W'N t~C 1 J ~f CX tl~ h ~ k t1 Will this Projed Require any Land Filling, Grading or ? - Y rl 1 p I _ Excavation where there is a change to the Natural 3 0 X g S~~L w I} red O`~+ Ir W /Z-C.' Existing Grade Involving more than 200 Cubic Yards r- L.~ y,_ ~ ~ ~ ~ ^ I N of Material within any Pamel? CI~-~1 R J~ T IJL! / 'eaL.Gt( rJ Will this Appliratlon Require Land Disturbing Activities a / ~~l N v 1 I I_~ 1C~ / l ~ ~j I Encompassing an Area in Excess of Five Thousand r/ (n~ (5,000 S.F.) Square Feet of Ground Surface? 1 lv ~ AAJC~ s Is there a Natural Water Course Running through the 1~-/1/ Site? Is this Projed within the Trustees jurisdidion I General DEC SWPPP ReOUiremenb: or Within One Hundred (100') feet Of a Wetland Or u Submission of a SWPPP is required for aN ConsWCtbn activities involving soil Beach? disturbances of one (r) or nare acres; including dislumances of lase Man one acre Nal 7 WIII there be Site preparation on Existing Grade Slopes ? - are pan or a larger common plan Ihet wAl uHimately disNN one or more acres of Wnd; which Ezceed Fifteen (15) feet of Vertical Rise M including ConsUUCtion activities involving sail disturbances of less Man one (1) acre where One Hundred (100') Of Horizontal Distance? the DEC has determined Mat a SPDES permit is required for stone water dlscharyes. (SWPPP'a Shell meal the Minimum Requlremenb of tlia SPDES Gerrerel Permit $ WIII Dfiveways, Parking Areas or othef Impervious ~~/I/ for Storm Water Dischargea from Constreedon actlviry - Permit No. GP-0.10-007.) Surfaces be Sloped to Direct StormWater Run-OR ' ? , 1. The SWPPP shall be prepared Odor ro the suDmlttal of the NOT. The NOI shaA be into and/Df in the direction of a Town dght-of--way? u submitted to the OepaMienl prbr to Me commencement of corwwctbn activiy. 2. The SWPPP shall describe the erosion and sediment control precOcas and where 9 Will this Project Require the Placement d Material, ~i required, postconsOVCtlon storm water management precgces Mat wAl be used and/or Removal Of Vegetation and/Dr the Construction of arty censbucted to reduce Me poAubms let stone water discharges end M assure Item Within the Town Rightof--Way or Road Shoulder crompilence with Me terms aM cronditlons of This permH. In edddion, the SWPPP shah Area? (Thla ram win NoT IrcN4 uw rroraltNan ar odww.y Apranw) ~ idenUy potential sources of pdNtion which may reasonabty be expected to aRect Me quaAry of stone water discharges. NOTE: NAny Answer b Westlons One Mreugh Nine b Answered wkh a Chock Mark 3. AA SWPPPS that require Me postconslructbn storm water management practice In a Box and the eonabuotlon aNe dlaturDar,ee Is betwcen 5,000 S.F. a 1 Arne In ere; component shell be prepared by a qualifred Desgn Professional Ocensed in New Vqk a Stone-WNer, Greding, Drolnaga a Eroalon Control Plan is Requked M a,a Town W Thal Ls knowledgeable M Me principles and practices of Storm Water Management. SouMold and Must ba Submkled for Review Prior to Issuariw of Arry Buiklkg Permit (NOTE: A Cherk Mark (.I J arMlw Answer for earls Wes~ion is nePamd fur a Complex Apprcaem) ' 57'A7~ OF NEW YORK, /~f}5 5 q"(J i COUNTY,/OF SS That I, . ~..~r'.~~].Q/.::C-~...........~. ~.N being duly sworn, deposes and says that he/she is the applicant for Pemtit, (Name of Indhddral signing Donimenq And that he/she is the ~W~T~ ; Owner. Cantracbr. A eel. Co ( 9 tparele OMtar, etc) I Owner and/or representative of the Owtter or Owners, and is duly authorized to perform or have performed the said wrclrk and to make and file this application; that all statements contained in this application are true to die best of his kttowledge and belief; and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; / rg ~h - day of S,L'~~.~~.~C.~.-..... , 20. Notary Public : ...................................O,ARY.WAYNIr.MOSES ~~Q1 ~ ' ` .2 NOTARY PUBLIC. State of1Ye'r'r YtiA"""' (SignaWre of Appfiont) FORM - 06/10 Ouellfiad in Neaseu Coumy C,ommiufon F.apirp Mey 6, 201II • APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM , i The Town of ~outhold's Code of Ethics ~ hibits conflicts of interest on the Dart of town officers and emolovees. The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessarvtoavoidsame. ~ >n^~ ,,nn YOUR NAME: C-C? D IJ ~L l.X ~ ~ e ~ t ~ (Last name, fast name, Middle initial, unless you are applying in the name of ~ someone else or other entity, such as a company. If so, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) i Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other', name the activity.) Do you personally (or through your company, spouse, sitiling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which [he town officer or employee owns more than 5%/of the shares. - YES NO ? if you answered "YES", complete the balance of this form and date and sign where indicated. ~~'I , Name of person employed by the Town of Southold Title or position of that petson Describe the relationship between yourself (the applicanUagendrepresentative) and the town officer or employee. Either check ,,i the appropriate Tine A) through D) and/or describe in the space provided. ' The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): I A) the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B) the legal or beneficial owner of any interest in anon-corporate entity (when the applicant is not a corporation); - C) an officer, dIreCIOI, partner, or employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Submined this day of 200 _ Signature I Print Name P n Al Q r tJ r Form TS 1 Town of Southold LWRP CONSISTENCY ASSESStMENT 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. *Exeept minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion HcrrardArea. 2. Before answering the questions in Secton C, the prepazer 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 oroaosed action will be evaluated as to its significant beneficial and adverse effects upon the coastal azea (which includes all of Southold Town) 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievemern of the LWRP policy standazds and conditions contained in the consistency review law. Thus, each answer must be explained in detaih listine both sunporKin2 and non- supportina 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.northtork.net), the Boazd of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE ANll PROPOSED ACTION SCTM# I I u - C% C~ C PROJECT NAME ~6 C' ia: ~.S'-r ~ ~ . ~ ^ L. C.^ ~t ~ The Application has been submitted to (check appropriate respons Town Board ? Planning Board ? 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 actiro~n: _ _ •t ~ ~Oc-~ - 'u S ` C• ~ lei ~ ~rS~ ,n: ~r ~ it I ~t ~ 31? 1 r.> ~ ~>~t~ bc-~ t rc4 cL_~ ~__f-~ ~ x ~ ~ SF~ w~ „c.4 `y'ttt ~ r u, S~kk~~~c.~.x EG ,.rro (fit h.vsz-~ 1 a Ec, k ~ wr- 1 rk ~e ~ ~S`i?'k 1 t f `~ati= 1 r1lv~` `~~G-E'~t i ll?p i'>A `t h G+.t"aY a IZ a u ~Le. h A>~t7 e~, y, <ti b~ {~~(SOrRII"1 fLs?wtL,CC'c~'iv Rtlo4.%~icr+r. ~{~.r`G.r1~T QC~(clce.U„,,,,.t'y k~~'~~ q,r.}~P,r r\~ i-~~.,iri-~' Town of Southold ~ • LWRP CONSISTENCY ASSESSMENT FORM I I A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that aze subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other infonnation 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. i 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 si 'ficant beneficial and adverse effects upon the coastal area (which includes all of Southold Townl ~ 3. 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 standazds and conditions contained in the consistency review law. Thus, each answer must be eanlained in detail listin¢ both sunaortine and non- suauortine 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 Tow~i.of-Southold ' s I website (southoldtown.northfork.net), the Boazd of TrusteesOff_iGe, tlie,Planning )department, all local libraries and the Town Clerk's office. _ ; = 1, ' B. DESCRIPTION OF SITE AND PROPOSED ACTION,' ~ ^ ~ I „ ; ~ 7, r; ; ~ ~ a SCTM# / J ~ - Dry - D ~ S~ - ~ ~ r i; I PROJECT NAME g d ~ W a~`i" ~Z~ fj ~ ~ ~ ~ ( ~ The Application has been submitted to (check appropriate respons Town Board ? Planning $oard ? 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 ? ~I construction, planning acfivity, agency regulation, land transaction) ? (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: ~ Nature and extent of acfion: + Gov e s L ~ r~F~s~,a G I`~~ ~c 3(,~ t N ~A~ 64 Ft ~ tt ~1 Sena ~fiR ~ r i.~ A~ 1~kkc~c~~ ~ bu l b-ch.vxr_~ i a Ec , w ~ w~- ~ l R c-e i ~S~R ~ ( ~`--6~ 1 r ~ Location of action: Ci f~ - ~.1.3F.' ~ j } l 1 L 4 ' Vl ~ < '3~ Site acreage: ~ ~CJ~ Present land use: ~C' S i C~ ~ U'1 ~ Lt11J~. I Present zoning classification: C ' (7 ~t~7' 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: ~ P(`) V~ QI(~ ~ t ~ I lli ~ (b) MailinCg address: ~ ~ I~n f r lC~i~ J~~~a ~Iy~~ (c) Telephone number: Area Code ( ~ ~n ~ ~o GJ J7 ~5 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ? No ~ If yes, which state or federal agency? 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 -please explain) 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 -please explain) Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III -Policies Pages 6 through 7 for evaluation criteria ? Yes ? No dNotApplicable 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 P-~ Qb~~ ~x-t (Y'c y~ ~2.a~ ~ ~ 1~~=-w-~,.. 1 w i ~ t (ire s-~-,, b ~(.~o~ „vG ~act5~4 ~YCc~Sc rr,~ 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 u Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section IH -Policies; Pages 22 through 32 for evaluation. criteria. ? ? Yes No Not Appli~e Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III -Policies Pages 32 through 34 for evaluation criteria. ? Yes ? No Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III -Policies; Pages 34 through 38 for evaluation criteria. ? Yes ? No ~NOt Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III -Policies; Pages 38 through 46 for evaluation criteria. ? Ye~ No u Not Applicable Attach additional sheets if necessary 09/27/2011 08:11 7656641 BOARD OF TRUSTEES PAGE 02 WORI~NNG COAST POLL • Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III -Policies; Pages 47 through S6 for evaluation criteria. ? Yes ? No Q Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of liviug marine resources in Long Island,Sound, the Peconic Estuary and Town w~ate .See LWRP Section III - Polides; Pages S7 through 62 for evaluation criteria. ? Yes ? No ~ t Not Applicable Attach additional sheets i~necessary Policy 12. Protect agricultural lands in the Town of Southold. Scc LWRP Section III - Policies; Pages 62 through 65 for~-e~valu~ation criteria. ? Xes ? No LT"Not Applicable peach additional sheets if necessary Policy 13. Promote appropriate use aad development of energy and mineral resources. See LW12P Section III - Polici~es,;/Pages 65 through 68 for evaluation criteria. ? Xes ? No I~ Not Applicable PREPARED BY ~J~M~IEI MaS~S _ TITLE A~I~IT _ DATE_~ • Bulkhead Permits by Gary, Inc. 2 Whaleneck Drive, Merrick, NY 11566 (516) 546-3479 September 14, 2011 Emergency repair Project Description: Applicant property owner Leonazd Ridini resides at 18 Hazriet Dr Syosset, NY 11791 and requests all correspondents be forwazded to this home address. The project site is located at 805 West Rd, Cutchogue, NY 11935. The project site is a residential private dwelling utilized by the applicant as a second home. Proposed is 139.94' of nary bulkhead replacement in same place as existing navy bulkhead. There is an existing 14' seawazd bulkhead return located on the east side of the property that is also proposed to be replaced in kind & place. One inland 6' return and approximately 200 cubic yards of clean fill will also be brought in from an authorized upland source and placed upland on applicant property. An existing 14'x36' inland boardwalk and 30"x15' inland stairway is proposed to be replaced in kind & place. A 30"x8' seaward stairway attached to the bulkhead is also proposed to be replaced in kind and place. The intent of the project is for bulkhead stabilization. All equipment for this project to be transported to work site via inland by a licensed contractor. Please note applicant bulkhead was destroyed during hurricane Irene. This is an emergency permit request to maintenance applicant property. In addition to the bulkhead replacement. Approximately 200 cubic fill is needed to replace fill lost during the storm. I included photo's taken before and after the storm for your review. The existing bulkhead was installed prior to 1950. The project is located in Suffolk County, Town of South Hold, waterway Cutchogue Harbor. Adjacent property owners: ~ ` ~ ' ~ _ , Pat Iavarone It's My Way ~ i 1165 West Rd 805 West Rd ~ ~ 2 r~ 2011 ~ Cutchogue, NY 11935-2257 Cutchogue, NY 11935-2257 ~ " . Should you have any questions pertammg to this matter, please call or emai~ me 3t Bulkheadpermits@aol.com Thank you so much for your consideration of this application. s, L J et Moses Applicant: Leonard Ridini Project Plan Project Site: 805 West Rd Cutchogue, NY 11935 Proposed: Navy bulkhead replacement in kind & place Prepared by Bulkhead Permits by Gary Inc West Road 2 Whaleneck Dr / Merrick NY 11566 Scale 1 "=50' September 17, 2011 . _ ~AT-~_~ . r uV~ ~ ~Y y OF TRUST~E~ 'r '~~'~rro'EV OF 5®UTHfJLD ~ _ _ Its My Way LLC Pat lavarone ~ ~ 985 West Rd 995 West Rd Nassau Point NY 11935 Sec 110 Cutchogue, NY 11935 Blk o~ Lot 04 ~..aw.,~bm~ ao~ c~w.umd~a.w 0 a~xq.wa. anea q.e Q ~.w...ee. eo~on m. nm ~ no~..~we.aw - l~ .rw,e wace.arewcemem t.. - - --'~~~0 Iri.posed"7aTnf6oTmTaidi 'Twn I Ppax zoo qes or rxan fill PmpoaeU inland s' IE IM1O ewnohzea ulNeM www _ I I 4loce: To nGe an macn earn vinyl sheathing return [ww3v.a`~ Frt llM tx w' aetlbn of ne Wlkli¢aE AhWlll aiuw~rv[enWma Vm to 4e replaCeO IndMa{wn - kMJ6Place Ezisting 5' 8 14' sections of navy bulkheatl preposetl to be replacetl in kintl 8 place F~lohohd Cutchogue Harbor p Width 3200' ~r3d9• 4.? O~agpNP~ All bulkhead hardware, nails and bolts shall be hot dip galvanized, all bolt heads and nuts Cross View will be used with cut washers. All timber will i be cca treated marine grade. All vinyl I sheathing will be interlocking marine grade. All inland backfill will be clean soil. 0 w ~ 100' Not to Scal L I Existing bloG< N retaining wall G EbsIN9 )9' x1Y inlenO OOeNwelk preposetl to ne regemtl In ' xintl a pkm wnn compwna 9,Mar,rel9rel Existing grade a N'xt39.9•' ugaptl location (Of 9ppNx 200 GyE3 Of GBdO 90i1 fill nNU]M In nom auNanIDtl uplentl zOwca lap 9retla will be Gaen beam sentl and mni9 •refew ie x reoune aaae•rr«<riaaar:ee«rra»::e~rrrraa~: • ••1) PNp03¢° 1l'x t' peNan¢etl lb ro°s Exisenp Applicant: Leonard Ridini ~~,°aatlma^ `z~iop n wtmm 8 Project Site: 805 West Rd `re°°'•°a~'~~ Cutchogue, NY 11935 Ipmbaf snl^9an Proposed: Navy bulkhead replacement in kind & place „p°p,,,,2, I mfwt.tl rmri Prepared by Bulkhead Permits :Mttbia99"carmanian ~ Hpre: •mpo.ae snettmrq by Gary Inc 9a.^tlia..p»a.a. u axittinp 2 Whaleneck Dr proposeE ,2k,8 cca Merrick NY 11566 a lumber pilings cca lumbar g~~ ~ DulkDeetl pilings Scale 1"=10' September 11, 2011 * ~ ~ r ~ ~ qqa~~ t SURVEY OF PROPERTY SITUATE CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK Q ps~ o. 3 ~ S.C. TAX No. 1000-110-07-04 l~0 1000 ~ SCALE 1 "=30' SEPTEMBER 24, 2006 ~s ~ ~,06 Q N~ N OCTOBER 9, 2006 SHOW HWL & TIE LINE INFO k/} E N>. g 3 ~ ;.c N 6522 ~~,yuw ~,,0 9 AREA = 41,974 sq. ft. ~ s 0.963 ac. ~ < CERTIFIED T0: DAVID J. RIDINI ~ LEONARD M. RIDINI, Jr. 2 \ ~ - - - rnA ° s~ ~ ~ i ~ ,3~5t, II ~a\ ~~`~"sro W - i' N\ IJ L' vFF 2 ~ [ujj ' \ \ ~ \ \ CND- \ 2 \ \ JPO~G ~ ~ tl" \ \ ~ 0 ~G ~2 \ IyiTH y ~ \ ~ QPt~ O \ y~ \ a ~ ~ \ P' ~~p 4 ~~yo~21 \ co' ~ ~~5\OF'~c~ ~A A V~pO v~4~ \ ai0 \ 6' \ \ `4.P. \ \ \ `~~y ~"~=:f~D OF TRUSTEE; v \ ~o ~`v1~'N OF SOUTHOL~1 N CP \ ,,,cfR t ~ a`cp` \~9 1 i ~ 1 ~ .g ~ S 62y~~ ~G~ ~ ~ ~~G~O TO THIS SURVEY IS A VKxATION OF PREPARm IN ACCORDANCE WITF1 THE MINIMUM UNATH~=~ °R ~ Nathan Taft Corwin III SECTION 7209 OF THE NEW YORK STATE STANDARD OR R AS E5FABLISHED EDUCTION LAW. BY THE AND ADOPTED FOR STATE LAND Land Surveyor COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR O EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAIJD TRUE COPY. ~ * T CERTIFlCTIONS INDICTED HEREON SHALL RUN Z _ * SUCCessof T0: SlOnley J. 19ak9en, Jf. LS. ONLY TO THE PERSON FOR WHOM THE SURVEY Jose h A In IS PREPARED, AND ON HIS BEHALF TO THE ~ p gegno L.S. TIRE COMPANY, GOVERNMENTAL AGENCY AND Title Surve y LENDING INSTTNTION LISTED HEREON, AND ys - $UbdlVl3iOne - Site Plons - COnstNCtiOn LO Out TO THE ASSIGNEES OF THE LENDING INSTI- TunoN. cERnFlCAnoNS ARE NGT TRANSFERABLE. PHONE (631)727-2090 Fax (631)727-1727 THE EXISTENCE OF RIGHTS OF WAY OFFlCES LDCATED AT MAILING ADDRESS AND/OR EASEMENTS OF RECORD, IF 1586 Moin Road P.O. Box 16 ANY, NOT SHOWN ARE NOT GUARANTEED. N.Y.S. Lic. No. 50467 Jamesport, New York 11947 JGmesport, New York 11947 06R1535