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Home My WebLink AboutTR-7664 YT .� g 13f �Z _ ems✓ SQgUfFO1,t Town Hall,53095 Main Rd. P.O. Box 1179 y Southold,NY 11971 V�' ( 4y •j� Telephone(631)765-1892 Fax(631)765-6641 C OF TOWN TRUSTEES VN OF SOUTHOLD � 3 , z DATE OF INSPECTION: /LI 19Y 30 Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1 st day of construction / '/2 constructed V Project complete, compliance inspection. INSPECTED BY: COMMENTS: ,C- 12 44 e/C1.1 CERTIFICATE OF COMPLIANCE: f b Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction ~ constructed Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7664 DATE: NOVEMBER 16~ 2011 ISSUED TO: EUGENE & GEORGENE BOZZO PROPERTY ADDRESS: 4135 CAMP MINEOLA ROAD~ MATTITUCK SCTM# 123-5-27 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 Eugene & Georgene Bozzo and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees anthofizes and permits the following: Wetland Permit to replace the existing 52 linear foot bulkhead in-place with vinyl sheathing, and backf'dl with 140 cubic yards clean f'dl; 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 Eugene & Georgene Bozzo, received on November 2, 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 Eugene & Georgene Bozzo, residing at 4135 Camp Mineola Road, Mattituck, New York as part of the consideration for the issuance of the Pernfit does understand and prescribe to the following: That the said Board of Trustees and the Town of $outhold are released fi.om any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion oftbe 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 oftbe 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 thc 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 Tow~n of Southold. The Permittec is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice cov~i~'~d. ~fieed restriction to the deed of the subject parcel. Such evidence shall be provide/t Wi~ ninety (90) calendar days of issuance of this permit. That the said Board will be notified by the Permittee of thc completion of the work authorized. That the Permittec will obtain all other pemfits 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 Eugene & Georgene Bozzo P.O. Box 650 Mattituck, NY 11952 RE: 4135 CAMP MINEOLA ROAD, MATTITUCK SCTM# 123-5-27 Dear Mr. & Mrs. Bozzo: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, November 16, 2011 regarding the above matter: WHEREAS, EUGENE & GEORGENE BOZZO applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the $outhold 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 Hearing was held by the Town Truste(~s 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 Southotd 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 EUGENE & GEORGENE BOZZO to replace the existing 52 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 Eugene & Georgene Bozzo, received on November 2, 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, President, Board of Trustees JMD/eac Jill M. Dohcrty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hall Annex 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: EUGENE & GEORGENE BOZZO 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) __ ½ 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. Final Inspection Fee - $50.00 TOTAL FEES DUE: $ 50.00 BY: COMPUTATION OF PERMIT FEES: Jill M. Doherty, President Board of Trustees Peter Young, Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rtl. 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 EUGENE & GEORGENE BOZZO to replace the existing 52 If. bulkhead in-place with vinyl sheathing, and backfill with 140 cy. clean fill. Located: 4135 Camp Mineola Rd., Mattituck. SCTM#123-5-27 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 Dohe]ly. President Bob Ghosio, Jr., Vice-Presidenl James F King Dave Bergen Johll Bredemeyer P.O Box 1179 Southold, NY 11971 Telephone (631 765-1892 Fax (631 ) 765-664 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: OcT z 7 ~3v'" EUGENE & GEORGENE BOZZO request a Wetland Permit to replace the existing 52 If. bulkhead in-place with vinyl sheathing, and backfill with 140 cy. clean fill. Located: 4135 Camp Mineola Rd., Mattituck. SCTM#123-5-27 Type of area to be impacted: · -/'Saltwater Wetland Freshwater Wetland Sound /"Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: L__..6hapt.275 __Chapt. 111 other Type of Application: /../~etland Coastal Erosion Amendment Administrative En'iergency --Pre-Submission-- Violation Info needed: Conditions: Present Were: J. Doherty B. Ghosio ~"J. King__ J. Bredemeye~__ D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: D. Bergen, 11/01/2011 14:07 FAX ~001 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 EUGENE & GEORGENE BOZZO SCTM# 1000-123-5-27 EUGENE & GEORGENE BOZZO request a Wetland Permit to replace the existing 52 If. bulkhead in-place with vinyl sheathing, and backfill with 140 cy. clean fill. Located: 4135 Camp Mineola Rd., Mattituck. SCTM#123-5-27 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 Quality 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 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney 9/20/11 Dear Ms. Doher¥ Hurricane Irene caused major damage to my existing bulkhead, causing it to almost completely "blow out", leaving my house extremely vulnerable to another storm. We have made emergency repairs, but are unable to completely baddill the bulkhead for fear that the pressure of the fill would cause the bulk-heed to ruptur~ like a pretzel. The deedman rods were almost pulled out of throe posts and the bulkhead is bent Our existing bulkhead is 25 years old and in 2007 we replaced the middle section, approximately 20 feet with black vinyl, as it was damaged by an early spring storm, Our home is also expused on the easterly side by a pdvate community beach, thus further exposing the property to store3 damage. My neighbor, Phil Milot and I visited to'am hell after the power was restored on August 31, and returned week ' a later with all the necessary paperwork, pictures and forms completed. When Lauren told us that our applications would not be reviewed until the regular meeting October 19, ! was ve~j concerned that a spedal meeting was not going to be held due to this emergency situation and asked to have you call m~ °f t°day, [ have not heard from any member of the board. The availability of the bulkhead contractor's schedule and availability of metedals can also delay the new bulkhead into late fall and early winter. We have lived here for 25 years and have occurred damages to our property that have resulted in five flood claims in that period. Our neighbor, Phil Milot's bulkhead was also damaged in this storm, and he has also filed fora permit to replace his bulkhead. We are codependant on eadx>ther for access over narrow property lines and also connecting bulkhead& ! am very concerned that a new storm would undermine my bulkhead causing my home to be placed in jeopardy and occur damages that would exceed the limits of our insurance and render my family homeless. Thankyou for your consideration. $incer~{~ cc Scott Russell Phil Milot Jill M. Doherty, President Bob Ghosio, Jr., Vice-President James F. King Dave Bergen John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD __Coastal Erosion Permit Application 3~_Letland Permit Application endmentfl'rans fcr/Ex tension .j~_Rece~vved Application: ~] ~J Received Fee:$ ~Completed Application ~ __Incomplete __SEQRA Classification: Type I Type II Unlisted ~oordination:(date sent) --,,~WRP Consistency Aas~ssment Formql --"L~C Referral Sent: C~l ~ ...-'Date oflnspection: ]~'~l ~Receipt of CAC Report: ' __Lead Agency Determination: ~Technical Review: j~-"Public Hearing Held: ~(-~ __Resolution: Office Use Only Adm/nistrative Permit SEP - 8 2011 Board 0~ Tri~s',e~s ......... 000- Prope~y Location: ~ ~ ~ (provide LILCO Pole g, dist~ce to cross streets, and location) AGENT: (If applicable) Address: Phone: Board of Trustees Application Land Area (in square feet): Area Zoning: GENERAL DATA Previous use of property: Intended use of property: Covenants and Restrictions: If "Yes", please provide copy. Yes 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: Agency Date __ 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: Yes No Project Description (u. se attachments if n~essary): DOCK BUILDING · JETr'IES · FLOATS ' BULKHEADS · PILINGS P.O. Box 1611, Mattituck, NY 11952 631-298-5412 (FAX) 631-298-1814 Job Prooosal/Estimate Job Name and Location Gene Bozzo Camp Mineola Road Mattituck, NY Phone: 298-9142 Date: 8/22/11 Job Soecificafions Remove and replace existing bulkhead totaling 52 linear feet Hang 3-6"x6' sfingem 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 C-LOC series 9000/ESP 4.2 vinyl sheathing 14' in 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 :)ump fee additional 3ackfill additional =avment to be made as follows: $1,000.00 on signing, ~ ~ ordedng of materials, installation of piles and stringers and balance due on compieuu. · start up ~ ~uthodzed Signature~'~' Date: 8D_2/11 *Total cost subject to change after 30 days , tance fPro s I: The above prices, specifications and conditions are satisfactory and are hereby accepted. You ars uthorized to do the work as specified. Payment will be made as outlJned above. ;ignature Date of Acceptance: Board of Trustees Appllcation WETLAND/TRUSTEE LANDS APPLICATION DATA Area of wetlands on lot: .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: feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? How much material will be filled? [~/0 Depth of which material will be removed or deposited: Proposed slope throughout the area of operations: Manner 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) HATTIIUCK, New York ~ 19523222 354833095" .... --~ Sales Receipt ,---' Product Sale Unit FinM Description ~ty Price Price SOUTHOLD NY ll971 $1.7: Zone-1 Fi rst-Class Parcel 0,70 oz. Expected Del~ve(y: b~L Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631) 765-6641 oF eost ¢c the property know.n as it can easily be seen, and that I have checked days prior to the date of the public hearing. October 19. 2011 on or about 6:00 PM. Notary Public · Jill M. Doherty, President Bob Ghosio, Jr., Vice~President James F. King Dave Bergen John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 30-YEAR MAINTENANCE AGREEMENT EROSION PROTECTION STRUCTURES CHAPTER 111-15 OF THE SOUTHOLD TOWN CODE 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 and/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 fudher 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 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) SEQR 1. APPLICANT / SPONSOR 3.PR~;~ECT LOCATION: 2. PROJECT NAME ,. is PROPOSE. ACT,ON: [ New Prominent land~a~rks etc-or Drd~ide map 6. DESCRIBE PROJECT BRIEFLY: Initially acres Ultimately acres ~/*1~ Z~-"~ 6.1~_~OPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ~..~ L~Yes [] NO If no, de$c. be bdefly: ~J . 9. W T IS PRESENT LAND USE IN VICINITY_OF PROJECT? (Choose as many as apply.) ~Re~idential E]lndustrial F-JCommercia, E~Agricultu,e E~] Park l Forest / Open Space E~Othe, (describe) 10. DO ACTION iNVOLVE A PERMIT APPROVAL. OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL IA~ED~(Federal. State or Local) i[zf e, E3,o ,,y,,. ,,,,aO,ncy m, 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? E~Yes [~o If yes, Fist agency name and permit / approval: 12. AS A REr_~LT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? [~]Yes I~1 No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant ~ ~,~_~,~Signature / Sp ame//// ~ ¢//j Date: If the ~o/~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 A~lency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, cooffiinate the review process and use the FULL EAF. F-'lYes r~No B. W1LL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 61 ?.67 If No, a negative declamttun may be superseded by another involved agency. I~Yes I'~1 No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. E.,xlsUeg air quality, sen<ace or groundwater quality or quantity, nolee levels, extsUeg traffic pattern, solid waste pfoduc~on or disposal, potential for erosle~, drainage or flooding problems? Explain briefly: I C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain bdetiy: I C3. Vegetation or fauna, fish, Shellfish or wildlife species, significant habitats, or thmatennd or endangered species? Explain bdefly: I C4. A community's existing plans or goals as officially adopted, or a change in use or Inlensliy of use of land or othe~ natural resources? F-xp~aln briefly: I C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: I C6. Long term, short term, cumulaUve, or ofher effects not identified in C1-C57 Explain briefly; C7. Other impacts Iinciudi~] chanl[les in use of either (~uantit~ or t~pe of enact'? Explain bflell)': D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA ICEAI? IIf yes, explain bdefl),: E. IS THERE, OR IS THERE LIKELY TO BEr CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If ~es explain: PART Ill - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) . INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or othenetse s'~gnificant. Each effect should be assessed in connection with its (a) setting (i.e. urban or mini); (b) probability of ocoJntng; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necossa~, add attachments or refemnco supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes, the detarminetlen of sig nlfiea rme must evaluate the potential im pac~ of the proposed action on the · nvimnmental characteristics of the CEA. Check this box if yoe have identified one or mom potentially large or significant adverse Impacts which MAY occur. Theft proceed directly to the FUU EAF and/or prepare a positive deciamtion. Check this box If you have determined, based on the infmmation and analysis above and any supporting documontation, that the proposed sctior WILL NOT msult in any significant adveme envimnmentul Impacts AND pmvide, on atlechments as necessary, the masons 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 Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (If different fi'om mspensible officerI · Town Sou-u- old Erosion, Sedimentation &---~----~to~-Water Run-off ASSESSMENT FORu PROPERTY LOCATION: $.C.T.M, ~ THE FOLLOWING ACTIONS MAY REQUIRE THE SIm~amc:lnN OF A STORM-WATER, GRADING, DRAINAGE AND EROSION CO~N71:I~OL PLAN section em Lot CEK I ;~'li:u BY A DESIGN PKOF";)SIONAL IN THE STATE OF NEW YORK, SCOPE OF WORK - PROPOSED CONSTRUCTION a. What is the Total Area of the Project Parcels? (Include Total Area of all Parcels located within the Scope of Work for Proposed Construction) b. What is the Total Area of Land Cleafiag (S.F. / Acres) and/or Ground Disturbance for the proposed construction aclfvity? (S.F. / ~) PROVIDE BRIEF PROJECY DESCRH~ION (FzoV~ad~mp~.~) H']~,I # / WORKA~SESSMENT ]- Y~ No 1 Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? (This item will include all mn-off created by site clearing and/or construction actJvilJes as well as all Site Improvements and the permanent cmaUon of impervious surfaces.) 2 oose the Site Plan and/or Survey Show Ail Proposed Drainage Structures Indicating Size & Location? This Item shall include all Proposed Grade Changes and Slopes Controlling Surface Water Flow. /- 3 Does the Site P~an and/or Su~ey describe the erosion and sediment control practices thet will be used to conb'ol site erosion and storm water dischargse. This item must be maintained throughout the Entire Construction Pealed, 4 Will this Project Require any Land Filling, Grading or Excavation where there is a change to the Natural ~ Existing Grade Involving more than 200 Cubic Yards g of Material within any Parcel? 5 Will this Application Require Land Disturbing Activities r~ Encompassing an Area in Excess of Five Thousand J J (5,000 S.F.) Square Feet of Ground Surface? L~J -- Is there a Natural Water Course Running through the ~ Site? Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wetland orI~ e Site preparaUon on Existing Grade Slopes which Exceed Fifteen (15) feet of Verlical Rise to One Hundred (100') of Horizontal Distance? 8 Will Driveways, Parking Areas or other Impervious Surfaces be Sloped to Direct Storm*Water Run-Off into and/or in the direction of a Town right-of-wa.y? 9 wm this Project Require ~e Placement of Material, Removal of Vegetation and/or the Consbuction of any Item Within the Town Right-of-Way or Road Shoulder STATE OF NEW YORK, ,~ /, /~ ,, , COUNTY oF .......$)...k4.d:.~..~.~.... ss qhat I ............... ~__.:-:~;-: -:~--~ ~.~.~..]~..~ be ng duly sw6m, deposes and says ti,at he/she is the applicant for Pe~'~t, mme of it~dividua signing Uocumen~') ........ And that ne/she is the ............................................ r6~-~?.......-~...(M,~ ~ ~ ~ , c~t~-~or, ^~m: c~'&~:;~ 6i~L'~5 ................................................................ Owner and]or representative of thc Owner or Owners, and is duly authorized to pcrfon~ or nave performed thc s~id work and to make and file this application; that ~11 smtemenLs contained m this apptication are mae to thc best o£his lmowlcdge and belief; thai: thc work will be performed in thc manner set forth in thc application filed herewith. Sworn to before me this; No y unli£: ...... ....................... ,,. ViCe! Tm'H FORM - 06/10 ,~ary Public.State of New York No. 01T06190696 Qualified in Suffolk Coun~, Commission Expires Suly 28 2. L_o Jill M. Doherty, President Bob Ohosio, Jr., ¥ic¢-President Jamcs,l~. King Dave Bergen John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (63 I) 765-1892 Fax (631 ) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of EUGENE & GEORGENE COUNTY OF SUFFOLK) STATE OF NEW YORK) . . AFFIDAVIT OF POST2G I, ~'Z'Zfi ~"~-' ~residing at/dba ff2/~r~ ~'~J'f/~/jt'~//~jb/ being duly sworn, depose ~d say: That on the~ ~y of ~.~.,201 tl perspnal~ posted the property ~own as by placing the Bo~d of Trustees official poster wh~e it c~ easily be seen, and that I have checked to be sure the poster h~ remained in place for ei~t days prior to the date of the public hearing. Date of heating not~ th~eon to be held Wed~ October 19~ 2011 on or about 6:00 Dated: ~.~4 ~ ~ [ Sworn to before me this day of ,9~f-20 Notary Public PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAlL RECEIPTS Address: $2.8~ co~i,,d Fe~ Postmark Return Receipt Fee Restricted Delive~ Fee $ $5= ~9 Total Postage & Fe~ $0.~ *2.85 $2.30 $ $5.s~) 0gt2912011 / sworn, says that on the day of ,20 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment rollmt'the Town of Southold; that said Notices were mailed at the United States Post Office at ~/~,.~?'7 ~-~c~''~' that said Notices w¢r~epailed to each of said persons by CERTIFIED MAIL/RETu~6)REC~. /~ · Sworn to before me this Day of ~.~ ,20 MIRtAtIIE V. ~ ,.,~, '--" ' ' -!~.I~ 4~S712 B~d of Trustees Applicatlon AUTHORIZATION (where the applicant is not the owner) (print or/net of property) (~ai~ing address) do hereby authorize _g~7~4~ (Agent) to apply for permit(s) from the Southol~n~ of Town Trustees on my behalf. (O~ure) ~ Board of Trustees Appllcation County of Suffolk State of New York r'",/~.~ ~"'/ .e ^ < ~,' ~.. x<' BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES 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 O~THIS APPLICATION. SWORN TO BEFORE ME THIS 8 DAY OF ~.o_~0"¥-~ 20 ~ I Notary Public vICKI TOTH Not.fy Public.State of NswY(II~ No. 01T06190696 t~uaiifiedin Suffolk Co~nt]t, ~;~ mm!~si~r,"~xpires Ju y 28, 21~._~ APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM Thc Town of Southold's Codc of Ethics prohibits conflicts ofinterast on thc oart of town 0ffw. ers and cmnlovees. The ouranse of this form is to orovid¢ information which can alert thc town of oossthle conflicts of intct~ and allow it to lake whatever action is neeessarv to avoid same. ' (Last name, first anme, ~ni4dle initial,-'~, less you are applying' someone also or other antity, such as a company. If so, indicate thc other person's or company's anmc.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooting Exemption from plat or official map Planning Other (If "Other", name the activity.) Do you personally (or through your company, spouse, sibling, parent, or child) have a mlatiouship with any officer or employee of the Town of Sonthold? "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 shares. YES NO ,~ If you answered "YES", complete thc balance of this form and date and sign where indicated. Name of person employed by the Town of Soathold Title or position of that person Describe the relationship between yourself (the applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (cheek all that apply): __A) the owner of greater than 5% of the shares of the corporate stock of the applic0nt (when the applicant is a corporation); __B) the legal or beneficial owne3' of ony interest in a non-corporate entity (when the applicant is not a corporation); C) an officer, director, partner, or employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I Signature Print Name Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its s~..~niflcant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus~ each answer must be explained in detail~ listin~ both supporting and non- suooorting 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): Boar0 : Planning Boar [] Bu 'd g Dept. [] Board of T.stces gl T 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: [-~ mat~eandextentofacfion:~. /fl ~/~ ~ ~(' ./,t ,~. /~ Location of action: Site acreage: Present land use: Present zoning classification: 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: ~"'~/~ (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 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 [] NotApplieablet~/// 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 /v///~ Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section IIl- Policies Pages 6 through 7 for evaluation criteria [] Yes [] No [~ Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria Yes ~ NO ~ Not Applicable/L/~ Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southoid. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria [~ Yes ~] No []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 III - Policies; Pages 22 through 32 for evaluation criteria. Yes No Not Appli~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 ~ NoN 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 eriteria. 71 Yes 71 No 7] Not Applicable///b PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. [-~ Yes~ Noir] Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES 'Policy~ 10. Protect Southoid's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III.- Policies; Pages 47 through 56 for evaluation criteria. ~ Yes [] No ~-~ Not Applicable Attach additional sheets if necessary Policy ll. Promote sustainable use of living marine resources in Long Island ,Sound, the Peeonie Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. Yes ~ No ~ Not Applicable /~ Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. ~ Yes ~ No [--] Not 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 ~,a~.L. ~ TITLE DATE,?~/] GOO" ~,.,.,-~N OF SOU'i'r, /'/L UJ NOV -2 ~v~ :,- ~C DOCK BUILDING · JETTIES - FLOATS · BULKHEADS - PILINGS P.O. Box 1611, Mattituck, NY 11952 631-298-5412 (FAX) 631-298-1814 Job P~ Job Name and Location Gene Bozzo Camp Mineola Road Mattituck, NY Phone: 298-9142 Date: 8/22/11 Remove and replace existing bulkhead totaling 52 linear feet Hang 3-6"x6" stingers Stringers are joined together with a 4' butt block and fasten with 4-314"x12" machine bolts 10"x16' piles 6' on center 1'x14' tie rods 8"x8' backer piles 8" lay logs 3"x6" top clamp C-LOC series 9000/ESP 4.2 vinyl sheathing 14' in 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 series 99ug $ Dump fee additional Backfill additional Payment to be made as follows: $1,000.00 on signing, - ;1 ordering of materials, ~ on installation of piles and stringers and balance due on compieaon start up, $ Authorized Signature~ Date: 8/22/11 *Total cost subject to change after 30 days Acce tance of Pro -sal: The above prices, 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. Signature Date of Acceptance: .SURVEY OF DESCRIBED PROPERTY SITUATE A T MA TTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TM. DIST. 1000 SEC. 123 BLK. 05 LOT 27 10 5 0 ~ 10 20 30 40 50 60 70 80 gO SCALE: 1' = 20' DATE: DECEMBER 11, 2003 LOT AREA:7,665 SO. FT. = O. 176 ACRE (TO MEAN HIGH WATER MARK) LOT AREA: 7,211 SO. FT.= O. 156 ACRE ( TO BULKHEAD) ALLOWABLE LOT COVERAGE: 1,533 SO. FT.: 20 % EXISTING LOT COVERAGE:2,140 SO. FT. = 27.9 % EXISTING TO BE REMOVED: 63 SO.F'r. PROPOSED ADDITIONAL LOT COVERAGE: 279 SO. FT. PROPOSED LOT COVERAGE (EXISTING & PROPOSED): 2,356 SO. FT. = 30.7 % PROPOSED IMPROVEMENTS DEPICTED ON THIS MAP ARE BASED ON APPROXIMATE DIMENSIONS DERIVED FROM CLIENT'S DESIGN AND/OR SITE PLAN. THE PROPOSED IMPROVEMENTS ARE SHOWN AS AN ACCOMODA TION TO THE CLIENT AND NO RESPONSIBILITY IS ASSUMED BY THE SURVEYOR FOR CHECKING THE COMPLIANCE OF THE PROPOSAL WITH ZONING OR OTHER REGULAT, ONS. IDF-. RIGHT oF r. 30' W ASPHALT D~IVEWAy CERTIFIED TO{-EUGENE BOZZO - GEORGINA BOZZO JOB NO. 2003-504 MAP NO. FILED.. REVISIONS:ADD 2 ND. STORY ADDITION - ADD E~VA "ONS HSE'CORNERS & F"FL' REVDECK & LOT COV. REV. EXIST. LOT COVE~GE 7~4 ~ .. REV PER SOUTHO~ BD. OF APPEALS · DECI310N f~ LICENSE N0.0~363 HANDS ON SURVEYING 46 NORTH ROAD HAMPTO~ BAYS, NEW YORK ELEVATIONS SHOWN HEREON ARE REFERENCED TO N.G.V.D. 1929 DATUM AND ARE THE RESULT OF ACTUAL FIELD MEARUREMENTS. LOT COVERAGE AREAS: HOUSE: 1,375 SO. FT. GARAGE: 386 SO. FT. DECKS: 379 SO. FT. TOTAL AREA: 2,140 SO. FT. MEAN HIGH WATER MARK AS OBSERVED ON DECEMBER 16, 2003