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Home My WebLink AboutTR-7663James F. K~ng. President Bob Ohosio, Jr., V'~e-President Dave Berth John Bredemeyer Michael J. Town Hall Annex 54375 Main ~ P.O. Box 11~9 Southold, New York 119'/1-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0787C Date: Auaust 20. 2012 THIS CERTIFIES that the replacement of the existing 50 lin6ar foot bulkhead in-olace with vinyl shealhing, and backfill with 140 cubic yards clean fill; with the condition of the installation of a 5' wide non-turf buffer along the landward edge of the bulkhead which is to be maintained; At 4185 Camp Mineola Road, Mattituck, New York Suffolk County Tax Map # 123-5-26 Conforms to the application for a Trustees Permit heretofore filed in this office Dated Sevtember 8, 2011 pursuant to which Trustees Wetland Permit #7663 Dated November 16. 2011, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the replacement of the existing 50 linear foot bulkhead in-Olace with vinyl sheathin_~, and backfill with 140 cubic yards clean fill: with the condition of the installation ora 5' wide n0n-tur/~buffer along the landward edge of the bulkhead which is to be maintained. The certificate is issued to PHILIP G. MILOT owner of the aforesaid property. Jame~ F. King, Prmident Bob Gho~io, Jr., Vice-Pr~idem Dave B~rgm Mich~d J. Domino To,am Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Tdephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: .___~ Ch. 275 Ch. 111 INSPECTION SCHEDULE INSPECTED BY: COMMENTS: __ Pm-construction, hay bale line/silt boom/silt curtain __ Ist day of construction ½ constructed _.~L Project complete, compliance inspection. CERTIFICATE OF COMPLIANCE: ~,~ ~ SU~FOLX COUN~ CL~RX I~CORDS OFF'r C~. RECORDING PAGE Type of Instrument: DECLARATION N,l-~r of Pages: 6 Receipt Nl,m~r : 12-0074029 District: 1000 Recorded: At. 06/28/2012 02:08:05 t:~ LIBER: D00012697 PAGE: 724 section: Block: Lot: 123.00 05.00 026.000 EXAMINED AND CHAR~F~AS FOLLOWS Received the Following Fees For Above Instrument Exempt Page/Filing Exempt $30.00 NO Handling $20.00 NO $5.00 NO NYS SRCHG $15.00 NO $0.00 NO Notation $0.00 NO $0.00 NO RPT $60.00 NO Fees Paid $130.00 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL TP-584 Cert. Copies JUDITH A. PASC~?.~. County Clerk, Suffolk County Number of pages This document will be public ~. P~ r,~,nove all oudty numbee8 prior to rmeording. Deed / Mortgage Instrument 31 Page / Filing Fee ~ff Handling 20. 00 Deed /Mortgage Tax Stamp Notation EA-52 17 (County) EA-5217 (State) R.P.T.S.A. Comm. of Ed. Affidavit Cmified Copy NYS Surcharge Sub Total 15. 00 Sub Total ~0 ,, 4.IDisc, :' - 3.o0o 3.2300 0500 026000 \ Tax Service Agency ~ 6~, ~'~'~'~'~'~'~'~'~'~act~ons/Dischnrges/Releas~ List Property Owners Mailing Address RECORD & RETURN TO: 2012 Jun 28 02:0~:05 PH JUDITH g. PI~SCRL£ O.EP.K OF SUFFOLK COUNT? L D00012697 P 724 I Stamps Mortgage I. Basic Tax 2. Addilional Tax Sub Total SpecJAssit. OF Spec./Add. TOT. MTG. TAX Dual Town, Dual County Held for Appointment Tranffer T~x Mansion Tax ' The pmpatty cove~ed by this monpge is or will be improwd by a one or two family dwelling only. orNO S ~Mndty ~ l~u.ud Consideration Amottnt $ CPF Tax Due Improved Vacant Land Mall to: Judith A. P?al. e, Suffolk' county Clerk ~ Comlmnv Infnt~antinn 310 Center Dnve, Riverhead, NY 11901 www. sulfolkcounl~ny, gov/cle rk 'lltle (SPECIFY TYPE OF INSTRUMENT) SU~YOLK COUNTY, NEW YORK. In the VILLAGE or HAbO'.~F of ,,~.~_B~)___~XI~ ~ THRU 8 l~f~JS'l' BE TYPED OR PRINTED IN BI~CK ]~4K ONLY PRIOR TO RECORI~.IN0 OR PILING. DECLARATION OF COVENANTS T. S DEC T O" .d. this 2& day of 3--UmE , 20/Z, hereinafter referred to as "DEC~ (S) ": ~ ~9 ~ by W IT NESS ET H : WHEREAS, DECLARANT(S) is/are the owner(s) of certain real property Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section ~ ~ , Block Lot ~ which is more particularly bounded and described as set forth in Schedule "A" annexed hereto, hereinafter referred to as the Property; WHEREAS, the Property is situated on lands within the jurisdiction of th~ Board of Trustees of the Town of Southold (hereinafter the ~Trustees") pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted; WHEREAS, the DECLARANT(S) therefore made application to the Trustees for a permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities; and such regulated activities, the Trustees required buffer" adjacent to and landward of 7~ ~-a ! as a condition of the granting of a Wetlands Permit to undertake ~non-turf NOW, THEREFORE, the DECLARANT(S) do/does hereby covenant and agree as upon the substantial completion of the aforementioned permitted activities there shall be established and subsequently maintained ~~ ~'non-turf buffer" as defined by Chapter 275 of the Town Code~ and follows: 1) These covenants shell run with the land and shall be binding on ~he DECLAI~ANT(S), his/her/their heirs, assigns, purchasers, or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees. IN' WITNESS WHEREOF, the ~ day of owner(s) has/have duly executed this instrument , 20~. OWNER'S SIGNATURE On th~ ~ day of ~O~-O_ ~_~__ , in the year 201~ ~fo=e me the underslg~ed, a Notary P~lic in and for said S~e, perso~y appeared ~,-. a ~ ~ , personally kno~ to me or proved to me on the basis of sat~s~ac~gY evidence to be the individual(s) whose ~(s) ~s/are s~scribed to the within instr~ent and acknowledged to me ~at he/she/they executed ~e s~e in his/her/their capacity, and that by his/her/~eir signature(s) on ~e instr~ent, the individual or the persons on behalf of ~ich the individual(s) acted, executed the instr~ent. 2 Uniform Form Certificate of Acknowledst~tent State of New York County of 5 o ~ ~ C On the '~O~P/'~ay of t_~,q.* ~ ~e year ~'~ before me, ~e ~dersi~ed, person~ly appe~ed personagy ~o~ to me or proved to me on ~e basis of sa~facto~ evidence to be ~e ~ffividual (s) whose ~e (s) is/~e subs~bed to ~e wi~ ~ment ~d a~owledged to me ~at he/she/~ey exerted ~e s~e in Ns/her/~e~ ~pad~ (ies), ~d ~t by Ns/her/~e~ si~e (s) on ~e im~ent, ~e ~dividu~ 0), or the person upon beh~f of wN~ ~e ~vidual (~ acted, execu~ the ins~m~t Nota~ Public CAROL A. MEEHA~, NOTARY PUBLIC, STATE OF NEW YORK No. CoM~ALIFIED IN SUFtKI.K (IXJNTY / .' MISSION EXPl ,P,~ ~ tl~t certain plot, pi~e or ~d of hnd, wis Se ~ildi~s Md improvements ther~n er~t~, situate, ~mK~db~ingln~e Tg~ of Southold, Cou~.ty f Suffolk and State of New rk, at Mattiuuc~, bounded-an~..~ee~d°aa. ~ollo~a. BEGI~ING at a ~n~ent in the Southerly side of a certain r{~w~ ....- . -g-~ o~wW~ dist~t 110.58 feet on a course South 76 degrees 35 mmnutes 40 seconds West from the Northwesterly co,er of certain l~d conveyed by Leone D. Howell ~d Lena F. Howell, his wSfe, to Fred M. Jones by deed dated Aprml 15, 1926 ~d recorded in Lzber 1187 cp 95; ~NCE South 8 degrees ~4 minutes 39 seconds West, 159.32 feet along land conveyed ~o Beno~zn Haab by Lzber 1215 cp 458 to a mon~ent set in the bUlkhead lzne; ~NCE South 73 degrees 27 minutes West along the bulkhead line 50 feet; ~NCE North 8 degrees 30 mindtes 50 seconds East along the Easterly line of ~d conveyed by Leon~ D. Howell and Lena F. Howell, his wife, to ~ond Hiller and wife by deed dated April 21, 1926 ~d recorded in Liber 1187 cp 96, 161.83 feet to the southerly side of said right of way; ~NCE along the Southerly side of said right of way North 76 degrees 35 ~nutes 40 seconds East, 50 feet to the point or place of BEGI~ING. TOGE~R with a right of way over,a strip of land 30 feet wide lying to the North of the Following Line; ~EGI~ING at the Northwest corner of the property herein described; ~NG THENCE Northerly 76 degrees 35 minutes 40 seconds East to the mortnwesterzy corner of land conveyed by Leone D. Howell and Lena F. Howell to F.M. Jones; ~-T~CE continuing Easterly on a cour~North 70 degrees 00 minutes East to the Northeasterly corner of land conveyed by L~one D. Howell and Lena F. Howell to Bryant S. Conklin by deed dated April 15, 1926, at which point the said right of way connects with another right of way 25 feet wide extending Northerly to New Suffolk Avenue; ~e'Last mentioned right of way was established by agreement dated ~ove~er 23, 1906 by George R. Reeve and Phebe M. Hollister and re- corded September 5, 1907 in the Office of the Clerk of the Suffolk ~ty in Liber 629 of Deeds Page 168. Subject to covenants and restrictions in liber 118'7 cp 98 and bo~dary line agre~ent recorded liber 58~cp 49. 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 ¼ constructed Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7663 DATE: NOVEMBER 16~ 2011 ISSUED TO: PHILIP G. MILOT PROPERTY ADDRESS: 4185 CAMP MINEOLA ROAD~ MATTITUCK SCTM# 123-5-26 AUTHORIZATION Pursuant to the provisions of Chapter 275 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 November 16, 2011, and in consideration of application fee in the sum of $250.00 paid by Philip G. Milot and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to replace the existing 50 linear foot bulkhead in-place with vinyl sheathing, and backtrdi with 140 cubic yards clean fill; with the condition of the installation of a 5' wide non-turf buffer along the landward edge of the bulkhead which is to be maintained; and as depicted on the site plan prepared by Philip G. Milot, received on September 8, 2011, and stamped approved on November 16, 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 Board as of this date. TERMS AND CONDITIONS The Permittee Philip G. Milot, residing at 4185 Camp Mineola Road, Mattituck, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third patties, and the said Pennittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originallY obtained. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. That there will be no unreasonable interference with navigation as a result of the work herein authorized. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. The Permittee is required to provide evidence that a copy of this Trustee p~rnit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject pamel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. That the said Board will be notified by the Permittee of the completion of the work authorized. That the Permittec 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 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 November 16, 2011 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Philip Milot 140 Woods End Ddve Basking Ridge, NJ 07920 RE: 4185 CAMP MINEOLA ROAD, MATTITUCK SCTM# 123-5-26 Dear Mr. Milot: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, November 16, 2011 regarding the above matter: WHEREAS, PHILIP G. MILOT 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 8, 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 October 19, 2011 and on November 16, 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, 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 PHILIP G. MILOT to replace the existing 50 linear foot bulkhead in-place with vinyl sheathing, and backfill with 140 cubic yards clean fill; with the condition of the installation of a 5' wide non-turf buffer along the landward edge of the bulkhead which is to be maintained; and as depicted on the site plan prepared by Philip G. Milot, received on September 8, 2011, and stamped approved on November 16, 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 ~1. Doherty ~/ President, Board of Trustees JMD/eac Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hall Annex 54375 Route 25, P.O. Sox 1179 Southold, NY 11971 Telephone (63 I) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: PHILIP G. MILOT Please be advised that your application dated September 8, 2011 has been reviewed by this Board at the regular meeting of October 19, 2011 and your application has been approved pending the completion of the following items checked off below. XX Revised Plans for proposed project- stone armor against bulkhead, 5' wide non-turf buffer along landward side of bulkhead. __ Pre-Construction Hay Bale Line Inspection Fee ($50.00) __ 1st Day of Construction ($50.00) __ ~ Constructed ($50.00) XX 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: Final Inspection Fee - $50.00 TOTAL FEES DUE:$ 50.00 BY: Jill M. Doherty, President Board of Trustees Peter Young, Chairman Lauren Standish, Sccrctaw Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631 ) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., October 12,2011, the following recommendation was made: Moved by Derek Bossen, seconded by Jack McGreevy, it was RESOLVED to SUPPORT the Wetland Permit application of PHILIP 6. MILOT to replace the existing 50' bulkhead in-place with vinyl sheathing, and backfill with 140 cy. clean fill. Located: 4185 Camp Mineola Rd., Mattituck. SCTM#123-5-26 Inspected by: Derek Bossen, Peter Young, Jack McGreevy The CAC Supports the in-kind replacement of the existing bulkhead. Vote of Council: Ayes: All Motion Carried Jill M Dohetty. Presiden! Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer P.O. Box 1179 Southold. NY 11971 Telephone (631 765-1892 Fax (631 ) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: ~61" l? ~otl /~.,~,~ PHILIP G. MILOT requests a Wetland Permit to replace the existing 50' bulkhead in-place with vinyl sheathing, and backfill with 140 cy. clean fill. Located: 4185 Camp Mineola Rd., Mattituck. SCTM#123-5-26 T~Sa of area to be impacted: Itwater Wetland Freshwater Wetland Sound ~Bay Distance of proposed work to edge of wetland Pac, a,a~haf Town Code proposed work falls under: pt.275 Chapt. 111 other Type of Application: /,--~etland __Coastal Erosion __Amendment __Administrative__Emergency Pre-Submission __Violation Info needed: Conditions: Present Were: J. Doherty B. Ghosio__ J. Bredemeyer.__ D. Dzenkowski __ Form filled out in the field by Mailed/Faxed to: Date: ~J. King_ other D. Bergen, Board of Town Trustees Town of Southold Town Hail Annex 54375 Route 25 PO Box 1179 Southold, NY 11971 RE: 4185 Camp Mineola Rd., Mattituck SCTM#123-5-26 Bulkhead permit Philip G. Milot 140WoodsEndDr. Basking Ridge, NJ 07920 November 1, 2011 Dear Board of Trustee, On Friday of last week, I received an approval for a bulkhead repair pending the completion of a revised plan to include stone armor against the bulkhead and a 5' wide non-turf buffer. There seems to be a misunderstanding. Gene Bozzo and I attended the October 19 Board o£Trustees meeting to review our bulkhead repairs request. Following a short discussion on the topic, Mr. Bozzo commented that bulkheads on the Long Island Sound side use large stones to protect their bulkheads and asked if that could be considered on the Bay side. The Board understandably indicated that it could but that our plans would have to be revised to indicate these changes if we wished to do that. Both Mr. Bozzo and I thought that he clearly indicated that this was not something we wanted to do now. Due to hurricane Irene, our properties are at risk and we did not want to delay our bulkhead repairs. Stone armor against the bulkhead was simply an idea that we were given and that we wanted to ask about. It was not intended to be part of our request for a permit to rebuild our bulkheads. Consequently, please remove the reference to stone armor from the application. Enclosed is a copy of my proposal to the DEC indicating in excess of a 5' wide non-turf buffer along the landward side of the bulkhead, which the DEC approved. Enclosed is a check for $50.00 for the final inspection fee. Thank you for your time and consideration. If there are any questions, please to not hesitate to cail me at 908-953-9117 or cell number 908-313-0134. Very truly yours, 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: October 17, 2011 Re: Proposed Wetland Permit for PHILIP G. MILOT SCTM# 1000-123-5-26 PHILIP G. MILOT requests a Wetland Permit to replace the existing 50 If. bulkhead in-place with vinyl sheathing, and backfill with 140 cy. clean fill. Located: 4185 Camp Mineola Rd., Mattituck. SCTM#123-5-26 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 Policy 5: Protect and Improve Water Quafity in the Town of Southold and Policy 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. Further require that the applicant establish a landscaped buffer landward of the bulkhead (backfilled area). Pursuant to Chapter 266, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lod Hulse, Assistant Town Attorney 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 ~-AmWetland Permit Application endmenffFra~s/~J~/~ensio n .~Received Application.' ~ ! ! ~_Received Fee:$ ~- 5~ - ~'Completed Application ~ [~! I~ Incomplete SEQRA Classification: Type I Type II Unlisted ~oordination:(date sent) ~/LWR.P Consistency A_.s~rm (~ I ~)1[ .~'CAC Referral Sent: q/3~01 t " ' ~/Date of Inspection: 1011_~} ~ Receipt of CAC Report: Lead Agency Determination: Technical Review: .~Public Hearing Held: lo!lq] Resolution: Office Use Only Coastal Erosion Permit Application Administrative Permit Suffolk County Tax Map Number: Property Location: /~r/~'S~' To& /ed. (provide LILCO Pole #, distance to cross streets, and location) AGENT: ///d/riff (If applicable) Address: Phone: Bo~ of Trustees Application GENERAL DATA Land Area (in square feet): q Area Zoning: ~L ,G'f) W'4,] Previous use of property: i'~ Intended use of property: /~ Covenants and Restrictions: Yes t/ No If "Yes", please provide copy. Does this project require a variance from the Zoning Board of Appeals If "Yes", please provide copy of decision. Prior permits/approvals for site improvements: ~_~-,~4,t~Agency Date Yes ,,"'"No __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? k/ No Yes If yes, provide explanation: Project Description (use attachments if necessary): DOCK BUILDING · JETI'IES ' FLOATS ' BULKHEADS · PILINGS P.O. Box 1611, Mattituck, NY 11952 631-2985412 (FAX) 631-298-1814 Job Pmoosal/Esfimate Job Name and Location Phil Milot Camp Mineola Road Mattituck, NY Phone: 298-4897 Date: 8/22/11 Job Specifications Remove and replace existing bulkhead totaling 50 linear feet Hang 3-6"x6" stingers Stringers are joined together with a 4' butt block and fasten with 4-3/4"x12" machine bolts 10"x16' piles 6' on center 1"x14' tie rods 8"x8' backer piles 8" lay logs 3"x6" top clamp .~..-7 ~ffz2o ~ /.,~.. C-LOC series 9000/ESP 4.2 vinyl sheathir~ 14' i~length Sheathing secured with 3/8" lag bolts ~ Piles are bolted through top and bottom stringers 2" CCA cap Stringers treated with 2.5 CCA Piles treated with 1.0 CCA Hardware hot dip galvanized Total Cost C-LOC se desk/3 Dump fee addit~ Beckfill additional Payment to be made as follows: $1,000.00 on signing, $4,000.00 on ordedng of materials, $5,000.00 on start up, $5,000.00 on installation of piles and stringers and balance due on completion Authorized Signature .~ Date: 8/22/11 *Total cost subject to change after 30 days Ac.(~ptanca of Pr0po.3al: The above pdces, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do..the work as specified. Payment will be made as outlined above. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: II z/~/~c ~ 2~, Y r. ~c Ig~ ~{/~ Area of wetlands on lot: ~//4 square feet Percent coverage of lot: ~///~ % Closest distance between nearest existing structure and upland edge of wetlands: ~/./~ feet Closest distance between nearest proposed structure and upland edge of wetlands: ,qS-/~ feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? How much material will be filled? / Depth of which material will be removed or deposited: Proposed slope throughout the area of operations: Mariner in which material will be removed or deposited: cubic yards cubic yards feet Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: Are wetlands present within 100 feet of the proposed activity?. /// No Yes Does the project involve excavation or filling? No Yes If Yes, how much material will be excavated? (cubic yards) How much material will be filled? .(cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts to the subject property or neighboring properties reasonably anticipated resulting from implementation of the project as proposed, including erosion increase or adverse effects on natural protective features. (Use attachments if necessary) ~:$ill M. Dohe~y, President Bob Ghosio, Jr., Vic~-Prcsident J~es F. King Dave B~ John B~ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of OCT I~o~rd of Trustees 2. A~icle Numbe~ (-I'rans~r ~om sew/ce labeO : Ps Form 3811, Febr~my 2004 n ~ R~-~ot~l Detive~Y? ~x-ba Fee) 7011 1150 0000 2009 3026 Domes~jc Re'mm Rece~p~ ~ Return Rec~pt for Men-'hand'se ~ye6 ~ known as and that I have checked hearing. (signature) Sworn to before me this day °fd ¢7 20/ -- No. 01KE50066~ u .. ~--~ lifted In S~otk ~[n ~pires J~ua~ Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hall Annex 54375 Ma/n 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 I (We) The owners of record of property at: SCTM#1000- in applying for a Coastal Erosion Permit for an erosion protection structure do hereby agree to a 30-Year Maintenance program for a structure as described: as shown on the attached licensed survey nd/or site plan 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 Board of Trustees that said lack of maintenance would risk life, property or important natural resource features. Notarized signature of owner of record 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 original construction and validated to show the final approval of the administrator. PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1. APPLICANT I SPONSOR 3.PROJECT LOCATION: 4. PRECISE LOCATION: Skeet Addess and Road Intersections, Prominent landmarks etc -or provide map 5. IS PROPOSED ACTION: 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2. PROJECT NAME SEQR r~ Expansion [] Modifica~on / alteration :6. DESCRIBE PROJECT BRIEFLY: /40[,.- ,P-,) r/ 7. AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres ..~ / ~ ,~ ~'-~'~,,~ 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ~es [] No If no, describe bdefly: 9. WHAT IS PRESENT LAND USE IN VICINITY_OF P~OJECT? (Choose as many asapply.} [_~eesidential [~lndustrial [~Commercial ~Agriculture j---] Park / Forest / Open Space [~]Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federa!.. State or Local) es ~o If yes, list agency name and permit / approval: 11. OOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [~Yes ~ If yes, ~ist agency name and permit / approval: 12. AS A RESi~.~T OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? [~es L~ No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/ Sponsor Name Signature If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT (To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 6t 7.4? If ~s, coordinate the review Ixocess and use the FULL FAF. {~Yes ~'lNo B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If NO, a negative declaration may be superseded by another involved agency. J'~ Yes 1-~1 NO C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for ercelen, drainage or flooding pro.ems? Explain briefly: I C2. Aesthetic, agriculteml, archaeological, historic, or other natend or cultural resources; or community or neighborhood chamclar? Explain briefly: I C~. V~-~®tstion or faun, ti~h, ~halifi~h or wil~lila s~$, si~nificent hadltela, or thmat~nad or endeng~m~l spesies? F~in briefly: I C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural msouroes? Explain briefly: Cfi. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: I C_~. Long term, short tom, cure'latin, or of her o~:ts not iden~nd in Cl ~§? E.~lale brio#y: C7. Other impacts lincludir~ chanties in use of eilher quantity or t}~e of energ}~? Explain bfieti~/: I,. D. VVILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAl ENVIRONMENTAL AREA ICEAI? (If yes, explain bdefl¥: E. IS THERE, OR IS THERE LIKELY TO BEt CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: PART lit - D= I ~:R~INATION OF SIGNIFICANCE (To be completed by Agency) . INSTRUC'nONS: For se=h adverse effect identified above, determine whether it is substantial, large, important or othenvise 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 (0 magnitude. If necessary, add attachments or raferenco supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was chectced yes, the determination of significance must evaluate the potential impact of the proposed action o~t the environmental characteristics of the CEA. Check this bex If you have ideatBed oue or more potenitally large or significant peverus impacts wflioh I~Ay occur. Then prouaed dfrectly fo the FULl FAF and/or prepare a positive dectamtion. Check this box if you have determined, based on the information and analysis above and any supporiing documentation, that the proposed actior WILL NOT msuti in any significant adverse environmental impacts AND provide, on attachments as nsoessa~t, the reasons supporting thi; determination. Board of Trustees Name of Lead Agency Date Jill M. Doherty President Print or Type Name of Responsible Officer in Lead Agency Titie of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) Town of Sou old - ~ Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATIOH: S.C,T.M. ~ THE FOLLOWING A~IO~ MAY REQUI~ THE SUBMI~ION OF A STO~WATER, G~DIN~ D~NAGE ~D EROSION CO~ROL P~ D~ S~i~ 8~k L~ C~k ~)~l~U BY A DESIGN PROFE~ION~ IN THE STATE OF N~ YO~ SCOPE OF WO~ - PROPOS~ CON~U~ON 1'1'~ ~ / WO~ ~S~S~ [ Yes No a. What ~ the Total Ama o~ ~e Pm~ Pa~ls? (IndudeTo~l~ofall~ls~t~w~ ~ /~ ~ I ~llthis~ojectRe~inNISto~-WaterRum~ the S~pe of WoA for Pm~d C~m~n) /~ ~ I~ Generated by a Two (2") Inch Rain~ll ~ Site? b. What b the Total Ama of La~ CleaHng (S.F. / A~) ~is item will include ail mn~ff cmat~ by ~te cleadng and/or c~ion a~es as well as all and/or Ground Dis~an~ f~ the pm~d Site Impmvemen~ a~ the ~anent cma~ of ~nstm~n ac~ imperious su~a~s.) (s.~.,~) 2 ~es the Site Plan and/or Su~ey S~ NI ~ PRO~E B~ PRO~ D~ON (~. ~ ~ .~ Drain~e S~ I~i~ting Size & L~n? This . Item shall include all P~ Grade Cha~es and ~/~ /X, rr/~ ~ ~ Z~l~ S'O~S Contmlfing Sudace Water FI~. 3 Does the Site Plan and/or Su~ey d~ ~e e~ ~[~P~ ~ ~ ~ ands~iment~ntml~acfi~s~at~ll~u~d~ con~l site erosion and sto~ ~ter discha~. This ~[~ , ~ //~ Z ~ ~(~ item must be mainlined ~ro~ghout ~e ~ ~ ~ ~' 4 Will ~ Proje~ R~uim any Land Filling. Gradi~ /'~O ~ ~ ~ ~vafionwherethereisachangeto~eNatuml Existing Grade Involving ~re than 200 Cubic Ya~s ~ of Ma efiai within any Parcel? 5 Will ~is ~pli~aon R~uire Land Oisturbi~ ~vifies Encom~ssing an Area in Exc~s of F~e Th~nd (5,000 S.F.} Square Feet of Ground Su~ce? 6is there a Natural Water Course Running thr~gh Site? Is ~is Project wi~in the Trustees jurisdiction General DEC SWPPP Re~uire~n~: or within One Hundred (I 00') feet of a We8and or Subregion of a SWPPP is ~ ~ a~ Construction a~vifies in~ing sea Beach? dis~rba~es ~ one (1) ~ ~e ac~; indud~ d~n~s of ~s than ~e acm ~at 7 ~11 there be Site preparation on ~isfing Grade Slo~s are pad of a la.er com~ p~n ~al wi~ u~te~ d~ one or ~m a~s of land; which Exceed Fifteen (I 5) feet of Ve~l Rise to in.ding Constm~ion act~it~s ~vobing sea d~en~s of ~ than ~e (1) acm where One Hundred (100') of HoHzon~l Dis~n~? STATE OF NEW YO~, COU~ OF ................................ SS ~d ~at hdshe is ~e D~ ~ .......................................... ~[~:~;iY&'~A1; ~;.'~:~ ................................................................ O~er ~or represen~five of ~c Om]er or O~ers. ~d is duly au~ohzed to peffo~ or have ~ffo~ed ~e s~d work md to m~e ~d file ~S application; ~at ~l smtemen~ con,ned in ~is appli~eon ~e ~e to ~e best of his ~m~edge ~]d ~liefi ~d · at ~e work mil be perforated in ~e m~ner set fo~ in ~e appficaQon filed hcrem~. Sworn to be[ore me ~is; .................. · ........................ ........... ...................................... .... ~1 T~ (Si~at~e of FORM - 06/10 VICJ<I Tim ~ary Public, State of New York · ' Suffolk C0un COmmission E~r~ ~,~y 78, ~'~J.~.. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS 4,'(/l~l'~.. / 7yo U/~,~ I //~' g-., //~/'~ /~,~ , residing at 4//~5~ ~A~.p,,~d,,~ I~P ~ ~ 'T~ ~ ~ , being duly sworn, deposes and says that on the ~7 ~ dayof~~ ,20l/ ,d~onentmail~atmecopyof~eNotice set fo~h in the Board of Trustees Application, directed to each of the above named p~sons at ~e addresses set opposite ~e respective names; that the addresses set opposite the n~es of said persons ~e ~e address of said p~sons as shown on the c~ent ~ses~ent roll of the Town of Sou~old; that s~d Notices w~e mail~ at the Unit~ States Post Office at ~,~ ~ ~ , ~at said Notices w~e mailed to each of said persons by CERTI~ED MAIL~TU~ ~CEI~. Sworn t~before me this c~'~ d(~ Dayof ~?-J~W , 20 J[ · \ - ' Nbta~'y Public KRISTA BULLARD NOTARY PUBLIC OF NEW JERSEY My Commissio~ Exi~ms Mar 12, 2014 Board of Trustees Appllcation AUTHORIZATION (where the applicant is not the owner) (print owner of property) residing at_/~ u2oa~gs' ~ (mailing address) do hereby authorize (~ //~S~ to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature) Board of Trustees Application County of Suffolk State of New York DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS DAYOF .~o~'tg ,20 [\ Notary Public VICKI TOIH Nota~ Public, State of New Yor~ No. 01TO6190696 Qualifiedin Suffolk County Commission F. xpires July 28, 20 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics orohibits conflicts of interest on the oart of town officers and emoloveos. The ouroos~ of this form is to provide information which can alert the town of oossible conflicts of interest and allow it to take whatever action is necessary to avoid same. (Last name, fkst name, ~iddle initial, unless you are applying in the name of someone else or other entity, such as a company. Ifs o, indicat~ the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Variance Change of Zone Approval of plat Exemption from plat or official map Other (lf,,Other-, name the activity.) ~ubffla.r/t.~ Building Trustee Coastal Erosion Mooring Planning Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of(or employment by) a corporation in which the town officer or employee owns more than 5% of the shams. YES NO J If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title Or position of that person Describe the relationship between yourself(the applicanl/agent/mpresentative) and the town officer or employee. Either check the appropriate line A) through D) andlor describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, oi' child is (check all that apply): A) the owner of greater than 5% oftbe shares of the corporate stock of the applicant (when the applicant is a corporation); __B) the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); ___C) an officer, director, pa~er, or employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 Submitted th~. 7 day of~---~/"~/~,.~ 20qL s ignatur~---~"~~ PrintName ~_tO~,~(,,O ~"~r/ga.[~- 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 Waterfi'ont 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 si.qnifieant beneficial and adverse effects upon the coantal 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, listin~ both sum~ortin~ and non- supporting 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): Town Board [] Planning Board [-] Building Dept. [~ Board ofTrnstees ~'~ 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 ofa.ction: Location of action: Site acreage: Present zoning classification: /2£ f't a0~ t'7~- 6 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: ?/4 t '( ,/~ (~__' ,~t,A >~'- (b) Mailing address: (c) Telephone number: Area Code (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?. C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COASTPOLICY 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 ~Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria Yes ~ No [~Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section IH - Policies Pages 6 through 7 for evaluation criteria [] Yes [] No ~ot Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria Yes [] No L-'~Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section II/ - Policies Pages 16 through 21 for evaluation criteria Yes [] No N[~tot 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 III - Policies; Pages 22 through 32 for evaluation criteria. Yes No Not Appl~l~le 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 7] No S ot 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 LVgRP Section III - Policies; Pages 38 through 46 for evaluation criteria. Yes[-.] No [-~Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in [ suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. Yes No ~ot Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island,Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. [--] Yes ~-~ No ~'~Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. ~ Yes [-q No ~o~Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. [-~ Yes [] No ~Not Applicable PREPARED BY ~ TITLE DATE B~ard of Trustees OWN OF $OUTHO~O DOCK BUILDING ' JE'I-I'IES ' FLOATS ' BULKHEADS · PILINGS P.O. Box 1611, Mattituck, NY 11952 631-298-5412 (FAX) 631-298-1814 Job Proposal/Estimate Job Name and Location Phil Milot Camp Mineola Road Mattituck, NY Phone: 298-4897 Date: 8/22/11 Job Specifications Remove and replace existing bulkhead totaling 50 linear feet Hang 3-6"x~" stingers Stringers are joined together with a 4' butt block and fasten with 4-3/4"x12" machine bolts 10"x16' piles 6' on center 1"x14' tie rods 8"x8' backer piles 8" lay logs 3"x6" top clamp ~, .-7 c~ff/..~ ~ C-LOC series 9000/ESP 4.2 vinyl sheathir~ 14' i~length Sheathing secured with 3~8" lag bolts ~ Piles are bolted through top and bottom stringers 2" CCA cap Stringers treated with 2.5 CCA Piles treated with 1.0 CCA Hardware hot dip galvanized Total Cost C-LOC sedes/~'~0~ Dump fee additidc_..j~ Backfill additional Payment to be made as follows: $1,000.00 on signing, $4,000.00 on ordedng of materials, $5,000,00 on start up, $5,000.00 on installation of piles and stringers and balance due on completion Authorized Signature _.~.,t Date: 8/22/11 *Total cost subject to change after 30 days Acceptance of Proposal: The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do~e work as specified. Payment will be made as outlined above. III 30' SURVEY OF A T MA TTI TUCK TO WA,/ OF SUFFOLK ~000 - 12S SOUTHOLD COUIVTY, N. Y 05 26 Scole I"= 30' FEB. ~ ~005 CERTIFIED TO, PHILIP G. MIL 0 T MERCANTILE MORTGAGE BANKERS LTD. SECURITY TITLE x GUARANTY CO, 106 19 ~9 /~/~.~N.Y.S. LIC. NO. 49618 I~ECONIC .~,Ut~VEYORS, P.C. (651) 7'65 - 502'0 FAX [6512 7~55 - /797 P. O. BOX 909 12'$0 TRAVELER STREET SOUTHOLD, N. '~ ; 1197'1 86 - 585a.