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HomeMy WebLinkAboutTR-7722BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7722 DATE: FEBRUARY 22~ 2012 ISSUED TO: HAY HARBOR CLUB PROPERTY ADDRESS: FOX AVENUE~ FISHERS ISLAND SCTM# 9-3-1 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 February 22, 2012, and in consideration of application fee in the sum of $250.00 paid by Hay Harbor Club 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 for a 10 year maintenance permit to conduct maintenance dredging, 25 cubic yards of sand from the diving area for upland disposal at the beach, on site; and as depicted on the site plan prepared by Docko. Inc., last dated January 9, 2012, and stamped approved on February 22, 2012. 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 Hay Harbor Club, residing at Fox Avenue, Fishers Island, 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 Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said 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 raaintain 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 tow water ~narks. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. That the said Board will be notified by the Permittee of the completion of the work authorized. ~ That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 February 22, 2012 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Keith B. Neilson, PE Docko, Inc. P.O. Box 421 Mystic, CT 06355 RE: HAY HARBOR CLUB FOX AVENUE, FISHERS ISLAND SCTM# 9-3-1 Dear Mr. Neilson: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, February 22, 2012 regarding the above matter: WHEREAS, Docko, Inc. on behalf of HAY HARBOR CLUB applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated February 1, 2012, 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 February 22, 2012, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 2 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of HAY HARBOR CLUB for a 10 year maintenance permit to conduct maintenance dredging, 25 cubic yards of sand from the diving area for upland disposal at the beach, on site; and as depicted on the site plan prepared by Docko. Inc., last dated January 9, 2012, and stamped approved on February 22, 2012. 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: $0.00 Very truly yours, . King President, Board of lrustees JFK/eac Peter Young, Chairman Lauren Standish, Secretary Town Hail, 53095 Main Rd. P.O. Box 1179 Southold, NY I |971 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., February 15, 2012 the following recommendation was made: HAY HARBOR CLUB to conduct maintenance dredging, 25 cy. of sand from the diving area for upland disposal at the beach, on site. Located: Fox Ave., Fishers Island. SCTM#9-3-1 The CAC did not make an inspection, therefore no recommendation was made. James F. King, President Bob Ghosio, Jr, Vice-Presidem Dave Bergen John Bredemeyer Michael J Domino 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: /~£ t,~ /f Z c' /'z~ HAY HARBOR CLUB requests a Wetland Permit to conduct maintenance dredging, 25 cy, of sand from the diving area for upland disposal at the beach, on site. Located: Fox Ave., Fishers Island. SCTM#9-3-1 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: __Chapt.275 Chapt. 111 Type of Application: Wetland ._Administrative__Emergency ~r~d~a'i' other __Coastal Erosion ~Amendment Pre-Submission __Violation Modifications: Conditions: Present Were: I,/j. King B. Ghosio__ '-/"J. Bredemeyer -'-~'"Michael Domino Form filled out in the field by Mailed/Faxed to: Date: ~D. Bergen, D. Dzenkowski other Associates, ir 2.! Property lex Service Agency PART 1--PROJECT INFORMATION Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be considered as part of the application for approval and may be subject to further verification and public review. Provide any additional information you believe will be needed to complete Parts 2 and 3. It is expected that completion of the full EAF will be dependent on information currently available and will not involve new studies, research or investigation. If information requiring such additional work is unavailable, so indicate and specify each instance. Name of Action Maintenance Dredging Location of Action (include Street Address, Municipality and County) Fox Avenue, Fishers Island, Town of Southold, Suffolk County Name of Applicant/Sponsor Hay Harbor Club; ATTN: Mr. Dick Duggan Address PO BOX 477 City / PO Fishers Island Business Telephone (613)788-7323 State N~ Zip Code 06390 Name of Owner (if different) Address City / PO Business Telephone State Zip Code Description of Action: Conduct maintenance dredging, 25 (+/-) CY of sand fi.om the diving area for upland disposal at the beach, on site. This project is for routine maintenance of existing waterfront recreational facilities. Page 2 of 21 Please Complete Each Question--Indicate N.A. if not applicable A. SITE DESCRIPTION Physical setting of overall project, both developed and undeveloped areas, 1. Present Land Use: ~ Urban [] Industrial [] Commercial []Forest [] Agricu,ture []Other []Residential (suburban) D Rural (non*farm) Total acreage of project area: acres. APPROXIMATE ACREAGE Meadow or Brushland (Non-agricultural) Forested Agricultural (Includes orchards, cropland, pasture, etc.) Wetland (Freshwater or tidal as per Articles 24,25 of ECL) Water Surface Area Unvegetated (Rock, earth or fill) Roads, buildings and other paved surfaces Other (Indicate type) PRESENTLY $ acres ! acres acres 2 acres acres I acres 2 acres acres AFTER COMPLETION $ acres ] acres __ acres 2 acres acres ] acres :2 acres acres 3, What is predominant soil type(s) on project site? Gravel a. Soil drainage: ~Well drained 100 % of site ~Poorly drained % of site D Moderately well drained __ % of site. b. If any agricultural land is involved, how many acres of soil are classified within soil group I through 4 of the NYS Land Classification System? acres (see I NYCRR 370). 4. Are there bedrock outcroppings on project site? [] Yes [] No a. What is depth to bedrock (in feet) 5. Approximate percentage of proposed project site with slopes: ~0-10% 90% []10- 15%__% ~ 15% or greater 10 % 6. Is project substantially contiguous to, or contain a building, site, or district, listed on the State or National Registers of Historic Places? [] Yes [] No Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? ~ Yes ~No ]No []Yes NNo 8. What is the depth of the water table? 2 (in feet) 9. Is site located over a prima~J, principal, or sole source aquifer? DYes 10. DO hunting, fishing or shell fishing opportunities presently exist in the project area? Page 3 of 21 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered? DYes [] No 12. Accordin~l to: l, Identif~ each species: Are there any unique or unusual land forms on the project site? (i.e,, cliffs, dunes, other geological formations? DYes []No Describe: 13. Is the project site presently used by the community or neighborhood as an open space or recreation area? If ~/es, explain: I This is a club swimming program, a beach, with various upland recreation areas, and dock facilities used for recreational boating, 14. Does the present site include scenic views known to be important to the community? ~Yes C~]No 1 5. Streams within or conti§uous to project area: a. Name of Stream and name of River to which it is tributar~ 16. Lakes, ponds, wetland areas within or conti~]uous to project area: There is a tidal wetlands fringe marsh of spartina and a large area of almost 2 acres of phragmitae. No changes are proposed that would affect the wetlands. b. Size (in acres): 2 acres (+/-) Page 4 of 21 1 7. Is the site served by existing public utilities2 [] Yes [] No a. If YES, does sufficient capacity exist to allow connection? [] Yes b. If YES, will improvements be necessary to allow connection? DNo DYes []No 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? ~Yes r'~lNo 19. Is the site located in or substantially contiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 617? [] Yes [] No 20. Has the site ever been used for the disposal of solid or hazardous wastes? B. 1, Project Description Physical dimensions and scale of project (fill in dimensions as appropriate). DYes [] No a. Total contiguous acreage owned or controlled by project sponsor: 10 (+/-) acres. b, Project acreage to be developed: 2 (+/-) acres initially; 2 (+/-~ acres ultimately. c. Project acreage to remain undeveloped: 8(+/-) acres. d. Length of' project, in miles: 0.! (if appropriate) e. If the project is an expansion, indicate percent of' expansion proposed. 0 % f. Number of off-street parking spaces existing 30(+/-); proposed 30 g. Maximum vehicular trips generated per hour: 5 (upon completion of project)? h. If residential: Number and type of housing units: One Family Initially 0 Ultimately 0 Two Family 0 Multiple Family 0 Condominium 0 0 0 0 N/A width; N/A ft. i. Dimensions (in feet) of largest proposed structure: N/A. height; j. Linear feet of frontage along a public thoroughfare project will occupy is? How much natural material (i.e. rock, earth, etc.) will be removed from the site? Will disturbed areas be reclaimed DYes NNo ~N/A a. If yes, for what intended purpose is the site being reclaimed? N/A length. 0 tons/cubic yards. b, Will topsoil be stockpiled for reclamation? ~Yes [] No c. Will upper subsoil be stockpiled for reclamation? [] Yes ~ No 4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? 0 acres. Page 5 of 21 5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project? DYes ~ No If single phase project: Anticipated period of construction: __ If multi-phased: b. d. Will blasting occur during construction? ~ Yes r~ No Number of jobs generated: during construction __ I months, (including demolition) Total number of phases anticipated I (number) Anticipated date of commencement phase 1: 5 month 12 year, (including demolition) Approximate completion date of final phase: 5 month 12 year. Is phase I functionally dependent on subsequent phases? [] Yes [] No 3; after project is complete 0 ~No 9. 10. Number of jobs eliminated by this project 0 11. Will project require relocation of any projects or facilities? [] Yes If yes, explain: 12, ts surface liquid waste disposal involved? [] Yes [] No a. If yes, indicate type of waste (sewage, industrial, etc) and amount b. Name of water body into which effluent will be discharged 13. Is subsurface liquid waste disposal involved? ~ Yes [] No Type 14. Will surface area of an existing water body increase or decrease by proposal? ~ Yes [] No If yes, explain: 15. Is project or any portion of project located in a 1 O0 year flood plain? ~ Yes [] No 16. Will the project generate solid waste? [] Yes [] No a. If yes, what is the amount per month?__tons b. If yes, will an existing solid waste facility be used? [] Yes ~ No c. If yes, give name ; location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? r~JYes [] No Page 6 of 21 e. If yes, explain: 17. Will the project involve the disposal of solid waste? []Yes [~No a. If yes, what is the anticipated rate of disposal? tons/month. b. If yes, what is the anticipated site life? __ years. 18. Will project use herbicides or pesticides? DYes ~ No 19. Will project routinely produce odors (more than one hour per day)? [] Yes ~ No 20. Will project produce operating noise exceeding the local ambient noise levels? []Yes ~No 21. Will project result in an increase in energy use? [] Yes ~ No If yes, indicate type(s) 22. If water supply is from wells, indicate pumping capacity__ gallons/minute. 23. Total anticipated water usage per day__ gallons/day. 24. Does project involve Local, State or Federal funding? [] Yes ~ No If yes, explain: Page 7 of 21 25. Approvals Required: City, Town, Village Board ~Yes ~ No Type Submittal Date Southhold Board of [] 1/27/12 NYS DEC 1/27/12 US ARMY CORPS 1/27/12 City, Town, Village Planning Board []Yes ~ No City, Town Zoning Board ~Yes ~ NO City, County Health Department []Yes r~ No Other Local Agencies OYes [] No Other Regional Agencies OYes ~ No State Agencies [] Yes [] No Federal Agencies []Yes ~No Zoning and Planning Information Does proposed action involve a planning or zoning decision? ~Yes if Yes, indicate decision required: D Zoning amendment D Site plan ]No r~ zoning variance Special use permit ~ New/revision of master plan []Resource management plan D Subdivision Other Page 8 of 21 What is the zoning classification(s) of the site? IResidential/Open space recreation. What is the maximum potential development of the site if developed as permitted by the present zoning? I,ieveral multi and single family residence. What is the proposed zoning of the site? What is the maximum potential development of the site if developed as permitted by the proposed zoning? 6. Is the proposed action consistent with the recommended uses in adopted local land use plans? [] Yes [] No 7. What are the predominant land use(s) and zoning classifications within a Y4 mile radius of proposed action? All land to the northeast and south of the Hay Harbor Club is residential. Hay Harbor borden the western edge of the club property. 8. Is the proposed action compatible with adjoining/surrounding land uses with a Y4 mile? []Yes [] No 9. If the proposed action is the subdivision of land, how many lots are proposed? a. What is the minimum lot size proposed? Page 9 of 21 10. Will proposed act on requ re any authorization(s) for the formation of sewer or water districts7 [] Yes [] No t 1. Will the proposed action create a demand for any community provided services {recreation, education, police, fire proration? DYes DNo a. If yes, is existing capacity sufficient to handle projected demand;' ~ Yes U No I I 12, Will the proposed action result in the generation of traffic significantly above present levels? [] Yes [] No a. tf yes, is the existing mad network adequate to handle the additional traffic. DYes [] No D. Info;mational Details Attach any additional information as may be needed to clarify your project. If there are or may be an,/adverse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them. E. Verification I certify that the information provided above is true to the best of my knowledge. Applicant/Sponsor Name HAY HARBOR CLUB Date Signature Title If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this Page 10 of 21 -N- 5.5 Real Property Tax Service Agency Y ,~ ,~,,~ ~ co~,,c.,,~ ,,..~.~,, ..~ ~ o,o 009 i! ;~. Seaflower Reef L~ght 57 I40 ?2 S 0 U T H( West Harbor Field BLOCK ISLAN:D OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cot. 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: Jim King, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator ' FEB 1 5 2012 Date: February 15, 2012 Re: Proposed Wetland Permit for HAY HARBOR CLUB SCTM# 1000-9-3-1 Docko, Inc. on behalf of HAY HARBOR CLUB requests a Wetland Permit to conduct maintenance dredging, 25 cy. of sand from the diving area for upland disposal at the beach, on site. Located: Fox Ave., Fishers Island. SCTM#9:3-1 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 Poficy 6; Protect and Restore the Quality and Function of the Town of Southold Ecosystem it is recommended that the Board require a silt boom during construction. § 275-11. Construction and operation standards. A. General. The following standards are required for all operations within the jurisdiction of the Trustees: (2) Erosion control. Installation of an erosion control structure is necessary during any building, grading, landscaping or site work activity within Trustee jurisdiction. This structure may include, but is not limited to, installation of a silt fence, hay bales, wood chip berm and silt booms. The placement of the erosion control structure(s) shall be determined by the Trustees or their designee. All intertidal construction and excavation requires the installation of a silt boom that will retain all suspended sediments within the immediate project area. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney BOARD OF TRUSTEES TOWN OF SOUTHOLD Office Use Only ~wOaStal Erosion Permit Application etland Permit Application __ Administrative Permit Received ApplicatLon ~-~ Received Fee: $ ~ __ Completed Application __ Incomplete SEQRA Classification Type l _X_ Type II __ Unlisted __ Coordination Date: ( Date Sent) LWRP Consistency A~e~sm~nt Form CAC Referral Sent ' -- Date of Inspection (~ __ Receipt of CAC RepoBT'-~- __ Lead Agency Determination: Technical Review: Public Hearing Hel~ Resolution: Name of Applicant: HAY HARBOR CLUB, ATTN: Dick Duggnn Address: P.O. BOX 477, FISHERS ISLAND, NY 06390 Phone Number: (631)788-7323 Suffolk County Tax Map Number: 1000 -009-3-1 Property Location: FOX AVENUE, NORTHERLY END (provide L1LCO Pole #, distance to cross streets, and location) AGENT: Docko, Inc. (If applicable) Address: P. O. Box 421, Mystic, CT 06355 Phone: (860) 572-8939 GENERAL DATA Land Area (in square feet): 9.7 ACRES Area Zoning: Previous use of property: RES IDENTIAL CLUB RECREATION Intended use of property: RESIDENTIAL CLUB RECREATION Covenants and Restrictions: __ Yes X 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: Agency NYS DEC, #1-4738-00103/00006 NYS DEC,#1-4738-00103/00015 Town of Southold, g4720 Town of Southold, #5768 No prior permits ! approvals for site improvements. Date March 27, 1997 January 8, 2003 April 3, 1997 May 21, 2003 Yes X No Has any permit / approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary): CONDUCT MAINTENANCE DREDGING, 25 (+/-) CY OF SAND FROM THE DIVING AREA FOR UPLAND DISPOSAL AT THE BEACH, ON SITE. THIS PROJECT IS FOR ROUTINE MAINTENANCE OF EXISTING WATERFRONT AND DEPENDENT RECREATIONAL FACILITIES. Boar~ of Trustees ApDlication WETLAND / TRUSTEE LANDS APPLICATION DATA Purpose oftbe proposed operations: Thc swim tank is a waterfront facility, providing a safe and clean area for recreational swimming. Area of wetlands on lot: 2 Acres (+/-)square feet Percent coverage of lot: 20% Closest distance between nearest existing structure and upland edge of wetlands: No Changes feet Closest distance between nearest proposed structure and upland edge of wetlands: 0 feet Does the project involve excavation or filling: No __X_ Yes If yes, how much material will be excavated.'? 25 (+/-) cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: Less than 1-foot feet Proposed slope throughout the area of operations: Remains unchanged, except for the beach area which will be slightly higher and steeper. Manner in which material will be removed or deposited: The sand dredged from the swimming area will be deposited on the beach as replacement for lost sand. Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): No adverse impact is anticipated on the wetlands because all of the dredged sand will be deposited on the beach. Boar~ of Trustees ADDlication COASTAL EROSION APPLICATION DATA Purposes of proposed activity: This section is not applicable. Are wetlands present within 100 feet of the proposed activity? No Yes Does the project involve excavation or filling? No Yes If Yes, now much material will be excavated? How much material will be filled? Manner in which material will be removed or deposited: (cubic yards) (cubic yards) 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): InlD. March g, 2012 Mr. James King, President Southold Board of Trustees P.O. Box 1179 Southold, NY 11971 · Complete Rems 1 2, and 3. Also complete tern 4 if Restricted Delivery is desired. · Print your name and address on the reverse so that we can return the card to you. · Attach this card to the back of the maflpiece, or on the front if space permfts. 1. Article Addressed to: i' PS Form 3811, February 2004 bor Certified Mailing Dredging ~- ~tgnaturo [] B. Received ~/ ( P~of~d] Name) C. Date of Delivery D. Isdelive~addressdJffem~tflomitem 17 i-lyes if YES. enter defivery address below: I-1 No 71311 157[ Domestic Return Receipt : the Hay Harbo~ Club 3. Sendce Type .1~ cengfied M~I 0 ~ress M~I ~. ~ In~ M.I ~ C.O.D. ~ ~~~ 4. R~ ~1~ ~ F~) ~ y~ 0000 4839 5362 ~er ~mS~-M-~ ~e ~SSiS~t CB:cb Enclosures File 07-09-1979 HAY HARBOR Docko, Inc, Serving the waterfront community since 1987 RO. Box 421, Mystic, CT 06355 (860) 572-8939 Fax: (860) 572-7569, email: permits@docko.com February l4,2012 Mr. James King, President Southold Board of Trustees PO BOX 1179 Southold, NY 11971 Re: Affidavit of Posting & Certified Mail Receipts Hay Harbor Club, Fishers Island Dear Mr. King: We are pleased to transmit herewith the affidavit of posting and certified mail receipts for Hay Harbor Club on Fishers Island, NY for your review. We trust that you will find this complete and acceptable. Please let me know if the need for any further discussion or information is required. Yours truly, DOCKO, INC. Tina A. Wazny Administrative Assistant Tw Enclosures CC: Richard Duggan File: 07-09-1979 HHC 2012 rnockoj In¢, Serving the waterfront c°mmunity since1987 ~~ R~~B~x42~~Myst~~~CT~6355(86~)572~893~Fax:(8~~~572~756~~emai~:perrnits@d~ck~~c~mFebruary 28, 2012 Mr. James King, Presidem Southold Board of Trustees P.O. Box l 179 Southold, NY 11971 Re: Hay Harbor Certified Mailing Notice-Maintenance Dredging Dear Mr. King: I have attached four original green Certified Mail receipt cards for the Hay Harbor Club for your files. They were delivered in yesterday's mail. Yours truly, DOCKO, INC. Cindy Bayreuther Administrative Assistant CB:cb Enclosures File 07-09-1979 HAY HARBOR James F, King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631 ) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of HAY HARBOR CLUB COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING .,~x ~'/~. residing at/dba '10 ~. ~,..~C¢.,-~ , C-X_ being duly sworn, depose and say: That on the/,~ day of FP,,'J/~,o4~ ,2014, I personally posted the property known as by ia'facing tile Board of'Trustees official po~er w~ere iFy ~e ~t I-l~ave checked to be sure the poster has remained in place tbr eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wed, February 22~ 2012 on or about 6:00 PM. Dated: Sworn to bei~bre me this /~_>'-//~ dayof P-'-~.~ 20 /d ' Nota:y-P~blic (~n~mre) X' jj r~ or Po ~ox No. m m I'-1 Return Receipt Fee 0~' 3? Herb m Postage Certified Fee Return Receipt Fee (Endorsement Requireq) Restricted D elive n/Fee (Endomement Required) Total Postage & Fees Hece m m m m PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Diana Fiske & Ors 36 Beldenwood Rd. Simsbury, CT 06070 WAT Investments, LLC ATTN: Wendy Henderson 15 Winding Lane Darien, CT 06820 Kristen Huseby & Ors PO Box 5924 Providence, RI 02903 Address: Theodore Stedman III & Ors 433 Main Street West Newbury, MA 01985 Wilm{ngton Trust Co. 1100 N. Market Street Wilmington, DE 19890 William C. Ridgewa¥ III 68 Neck Road Old Lyme, CT 06371 Charles Brainard Jr. 1246 Asylum Ave. Harford, CT 06105 Christie & Gretchen Flanagan 4248 Armstrong Parkway Dallas, Texas 75205 William & Elizabeth Cook 410 East 57th Street New York, NY 10022 Rosemary Taylor 706 College Terrace Williamsburg, VA 23185 Nancy Ellen W. Parsons 865 Bay Road, Apt. 309 Vero Beach, FL 32963 Sanger duPont Natharine IQPRT PO Box 4420 Wilmington, DE 19807 Albert Maysles c/o Maysles Film Co 250 West 54th Street New York, NY 10019 STATE OF CONNECTICUT COUNTY OF NEW LONDON Docko, Inc. , residing at 14 Holmes Street Mystic, Connecticut, being duly sworn, deposes and says that on the I~ day of ~_30 , 2012, 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 roll of the Town of Southold; that said Notices were mailed at the United States Post Office at Mystic, CT that said Notices were mailed to each of said persons by (certified) (registered) mail. Sworn to before me this /5~ Day of ~ , 20 Notary Public 6 NOT TO ADJACENT PROPERTY BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: Hay Harbor Club SCTM# 1000-009-3-1 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: CONDUCT MAINTENANCE DREDGING, 25 (+/-) CY OF SAND FROM THE DIVING AREA FOR UPLAND DISPOSAL AT THE BEACH, ON SITE. THIS PROJECT IS FOR ROUTINE MAINTENANCE OF EXISTING WATERFRONT AND DEPENDENT RECREATIONAL FAClLTIES. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: EAST SHORE OF HAY HARBOR 3. That the property which is subject to Environmental Review under Chapters 32, 37, or 97 of the Town Code is open to public comment. You may contact the Trustees Office at 765- 1892 or in writing. The above referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. Attn: Mr. Richard Duggan OWNERS NAME: HAY HARBOR CLUB, MAILING ADDRESS:P.O. BOX 477 FISHERS ISLAND, NY 06390 PHONE 631) 788-7323 Enc.: Copy of sketch or plan showing proposal convenience. for your 5 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Diana Fiske & Ors 36 Beldenwood Rd. Simsbury, CT 06070 WAT Investments, LLC ATTN: Wendy Henderson 15 Winding Lane Darien, CT 06820 Kristen Huseb~ & Ors PO Box 5924 Providence, RI 02903 Charles Brainard Jr. 1246 Asylum Ave. Harford, CT 06105 Christie & Gretchen Flanagan 4248 Armstrong Parkway Dallas, Texas 75205 William & Elizabeth Cook 410 East 57tn Street New York, NY 10022 Rosemary Taylor 706 College Terrace Williamsburg, VA 23185 Theodore Stedman III & Ors 433 Main Street West Newbury, MA 01985 Wilmington Trust Co. 1100 N. Market Street Wilmington, DE 19890 William C. Ridgeway III 68 Neck Road Old Lyme, CT 06371 Nancy Ellen W. Parsons 865 Bay Road, Apt. 309 Veto Beach, FL 32963 Sanger duPont Katharine IQPRT PO Box 4420 Wilmington, DE 19807 AlbertMaysles c/o Maysles Film Co 250 West 54~n Street New York, NY 10019 STATE OF CONNECTICUT COUNTY OF NEW LONDON Docko, Inc. residing at 14 Holmes Street Mystic, Connecticut, being duly sworn, deposes and says that on the day of , 2012, 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 roll of the Town of Southold; that said Notices were mailed at the United States Post Office at Mystic, CT that said Notices were mailed to each of said persons by (certified) (registered) mail. Sworn to before me this Day of , 20 Notary Public Bo&~d o£ Trustees ~Ol~c&2~on County of Suffolk State of New York The Hay Harbor Club 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 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 REPRESENTATIVE(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS ,~ 7 76(- DAY OF -~ tV ,20/~,gZ Not Vubii - Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) I, The Ha~ Harbor Club residing at (print owner of property) FOX Av~n~e (--~ ~ling address) FIS~S ISLAND~ NY do hereb~ authorize DOCKO~ INC.~ (Agent) MYSTIC~ CT to apply for permit(s) Southold Board of Town Trustees on m~ behalf. from the Feb 01 1~ 08:06p Docko Inc 8605727569 p.1 617.20 APPEN~ C SHORT ENVIRONMENTAL ASSESSMENT FORM far UNLI~i~D ACTIOI~ Only ,ART 1 - I~OJECT INFORIIATION (To be completed by AA~cant or pr~ect Sponsor) 3.PROJECT LOCATION: ,.,~ ./'~,~t",~¢',' /. /, . Applk~M I Spiny,ac Nam/ / ~, /.// ~ the I1~, C~ Ami. ,rid you Ire · It~ ~lgw~gy. compl~ the Co~tM Amment Fo~n before proceeding ~ ~1~ ~e~mtteat PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 617.20 ~ APPENDIX C t STATE ENVIRONMENTAL QUALIP~'' REVIEVV SHORT ENVIRONMENTAL ASSESSMENT FORM for UNUSTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) SEQR 2~ PROJECT NAME 4. PRECISE I~OCATION: Street Addess and Road Intasec~ons, Promi~ent landmarks etc - or [~rovide mai) 5. IS PROPOSED ACTION: N New [] Expansion r"~ndificafionlalteration 6. DESCRIBE F~ROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: Initially ~ O! acres Ultimately (~). ~ aores 8. WILL PROPOSED ACTION COMPLY VVITH EXISTING ZONING OR O~-{ER RESTRICTIONS? [~es [] No If no, describe bde6y: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many es apply.) [~'lResidentisi r~llndustfial mCommercial rl~:ul~m F'~P.~'F~'OI~,~ Clolhor(ite~'it~) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER/'~oOVERI)IMENTAL AGENCY.._../ (Federal, Stateor Local) I'/IY" I--I"o ,. .ama and porto, / []No If yes, list agency name and permit / approval: 1~S A FrI~.~ULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? es M No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name/ / ~ // complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT {To be completed by Lead Agency) A. OOES ACTION EXCEED ANY TYPE ! THRESHOLD IN 6 NYCRR. PART 617.4? If yes, cmxdinate the reV~=w pm(ess and use the FULL FAF. ElTM [Z]No B. WILL ACl'ION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative dedaralio~ may be supoeseded by anothar Inv~ved agency. C. COULD ACTION RESULT IN ~ ADVERSE EFFECTS ASSOCIATED WiTH THE FOLLOWING: (Answers may be handwn~efl, if legible) C1. F-~s~ng air quality, sudase or groundwater quality or quantity, noise levels, exlsitng traffic paham, solid waste pnxlu~on ~' disposal, potenltel fof emslen, drainage or flooding problems? Explain Ix, lefly: C2. Aesthebe, ngdcnttund, amhaeo~ica(, hisledc, of olher nateca! or cutterel mseueces; or commu~ of ne/glfao~hand chamcle~ Explaib brlelly: I I C3. Vegetstlen of fauna, itsfl, ~.~;;~;~ or wildlife s~ecte$, signi~ant habitats, or threatened ~- endangered species? F_~ln bdefly: C4. A ~,,,,,~lty'$ =~;~;~,~ plans or goals as ofi~ally adopted, o~ a change in use or Intend/y of use of land of cth~ natural re~ouroe~? ~in C5. Growth, subsequent deve~v~ii,=, t, or related activities likely o be nduced by the proposed astibn? Explain b~efly: Board of Tmstees ,~/./~ / # Name of Lead Agency Dale .j. r~ ~ /~- ,<' /~ President Pdnt or T~q~e Name ef Responsible Officer in Lead Agency Ti~ of Responsible Officer Responsible O~lfi Lead Agency Signalum of Preparer (If differen~ kom responsible officerJ C6. Long ten'n, shoA tefrn, cumulate, or other effects'not identified in C1 ~57 Explain bdelly: C7. Other impacts lincleding changes in use of either quantity or type of eries},? F_x~lain briefl;/: D. VVIU. THE PROJECT HAVE AN IMPACT ON mE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICA{ ENVIRONMENTAL AREA ICEAI? Ill )les, explain bried~,: r~Yes r-'~l No E. I~ ~'IF-RE, OR IS THE [] Yes [Z~No ~EUKELYTOSEICONTROVERSYRELAIEDTOPO~AOVERSEENVIRO.".'~','"--t.'TALIMPA.,~ Ifyes+~-.'~.-'.=-:: I PART #1. I~= i I=I~MINATION OF $1GNIRCANCE (To be completed by A~ency) . IN$'II~UCTION$: Foreadnedvemee~ec~ident~edab~ve~de~erminew~e~her~tissu~tantia~arge~in~tantor~them~ses~ni~can£ Each ,~'.,,x should be assessed in =x.~:tlon with ~ (a) set~ng f~e. urban or rural); (b) pre~bl~ of ~x~leg; (c} dura~x~ (~) ~ (e) ~'eographlc eoope; and (0 magnitude. If necesse~, add altadnments or reference ~plxlfllllg materials. El~um Ihst explanations WILL NOT re~u~ in any d4~nt~can~ adverse envimnmen~ Impacts AND proHde, oe attad,'m~ as neoe~sa~, the masae$ suppoeling C~o~ko ~ I ~l~, Serving the waterfront community since 1987 RO. Box 421, Mystic, CT 06355 (860)572-8939 Fax: (860)57~'-7569, email: perm~@docko.com Mr. James King, President Southold Board of Trustees P.O. Box 1179 Southold, NY 11971 February 1, 2012 Re: Hay Harbor Club Maintenance Dredging Dear Mr. King: As requested, attached is a copy of the Short Environmental Assessment Form to complete the application package for the Hay Harbor Club on Fishers Island. If you have any questions, please do not hesitate to contact me. Yours truly, DOCKO, INC. Keith B. Neilson, P.E. KBN:cb Enclosure File: 07-09-1979 HAY HARBOR CLUB Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESS=-=-=-~=~T FOI~_'.'. FRO~'~ i Y LOCATION: S.C.T.M. ~: THE FOLLOWING ACTIONS MAY REQUIRE THE S~_;p~a!_~_~!_'~N OF A ~ I STC.~-".'~'gATERt GRADING~ DRAINAGE AND El~_n_e!_nN CONTROL PLAN mock -Lin ~,~ ~ ~r,~u BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. $COPI~, OF WORK - ?ROPOSED CONSTRUCTION ITEM # / WORK A~SESSMENT a. What is the Total Area of the Project Parcels? (Include Total Area of all Pamels h3cated within the Scope of Work for Proposed ConstoJc5on) b. What is the Total Area of Land Clearing and/or Ground Disturbance for the pmpesed construction activity? (S.F. / Acres) PROlrfl],E BRIEF PROJECT DESCRIPTION General DEC SWppp Requlreme,.~,: Submission of a SWPPP is required fo~ afl Construction acthafles involving ~ disturbances of one (1) or more acres; including disforbences of less than one acm that am part of a larger common plan that vdB ultJmafoiy disturb one or mom acres of lallcl; incJuding Construction ac~ities thva~ving soo d~sturbances of less than one (1) acm where the DEC has detennfoed that a SPDES permit is required for storm water discharges. [~SWs.PPP', Shall meet the Minimum Requlremente of Ihe SPDES General Permit 1 Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? (This item will include all ran-off created by site ~ A cleadng and/or construction activities as well as all Site Improvements and the permanent creation of impervious surfaces.) 2 Does the Site Plan and/or Survey Show All Proposed Drainage Structures Indicating Size & Location? This Item shall include all Proposed Grade Changes and Slopes Controlling Surface Water Flow. 3Oo~a the Site Plan and/or Survey describe the erosion and sediment control practices that will be used to control site erosion and storm water discharges. This item must be maintained throughout the Entire Construction Pedod. 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 of Matedal wi h n any Parcer~ 5 Will this AppHca0on Require Land Disturbing Activities r~ Encompassing an Area in Excess of Five Thousaud (5,000 S.F.) Square Feet of Ground Surface? 6 ,s there a Natural Water Coume Running through the Site? Is this Project within the Trustees jurisdiction or within One Hundred (100') feet of a Wet/and or Beach? 7Will there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Ver~cal Rise to r~ v/ one Hundred (100') of Horizontal Distance? 8 Will Driveways. Parking Areas or other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off r'~ ~, into and/or in the direction of a Town right-of-way? 9 Will this Project Require the Placement of Material, Removal of Vegetetion and/or the Construction of any Item Within the Town Right-of-Way or Road Shoulder STATE ov, Nc-.~astmv, cz,~ z COUNTY OF...g.~.~..~.~.~.~S ......... (~ ;i'g~ ~;i~ ~ .................... g y swtm, de.scs ~d says ~at he/she s ~¢ applic~t for Pe~ ~d ~at he/she is ~e ........................................... k~9~~ ~ .~ O~er ~or representative of ~e ~er or O~ers, ~d is d~y au~odz~ to peffo~ or have ~do~ed fl~e s~d work ~d ~ m&e ~d file ~s application; ~at MI s~temenks con.ned iD ~is application ~e ~e to fl~e best of his ~owledge m~d ~lie6 ~d · at &e work will be perforated in ~e znm~ner set fo~ h rite application filed here~. Sw~o before me ~is; FORM - 0~0 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics umhibits conflicts of interest on the anrt of t~wn officers and emnloveas. The oumose of this form is to omvide information which can alert the ~wn of oossible conflicts of interest and allow it to take whatever action is neeassarv to avoid sa~,, e.t ~ /x (Last name, first niune,~iddle initial, unless you are applyin~in the name of someone else or othar entity, such as a company. If so, indicate thc other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If "other", name the activity.) Do you personally (or through your company, spouse, 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 coq~oration in which the town officer or employee owns more than 5% of the shares. YES NO ~ If you answered "YES", complete the balance of this form and date and sign where indicated. Name of perscn employed by the Town of Southold 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 (check all that apply): A) the owner of greater than 5% of the shams of the corporate stock of the applic0nt (when the applicant is a corporation); __.B) thc legal or beneficial owner of any 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 [t;~-~C/"6P~eZffc'a','~,~-- Print Name' ~x~- I T6wn~of Southold LWRP ~I~NSISTENCY ASSESSMENT FOR~ 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 for minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus~ each answer must be explained in detail~ listing both supporting 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 SCTM# 1000 - 009 - 3 - 1 PROJECT NAME: DOCK MODIFICATIONS, HAY HARBOR CLUB The Application has been submitted to (check appropriate response): Town Board Planning Board __ Building Dept. Board of Trustees X~ 1. Category of Town of Southold agency action (check appropriate response): a) Action undertaken directly to 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: X Nature and extent of action: CONDUCT MAINTENANCE DREDGING, 25 (44-) CY OF SAND FROM THE DIVING AREA FOR UPLAND DISPOSAL AT THE BEACH, ON SITE. THIS PROJECT IS FOR ROUTINE MAINTENANCE OF EXISTING WATERFRONT RECREATIONAL FACILTIES. Location of action: Site acreage: Fox Avenue on Hay Harbor Parcel =9.7 acres Present Land use: Residential- Club Present Zoning Classification: Residential - Club 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: Hay Harbor Club b) Mailing Address: P.O. Box 477, Fishers Island, NY 06390 c) Telephone number: Area Code (631) 788-7323 d) Application number, if any Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes X No If yes, which state or federal Agency? US ACOE, NYS DEC Evaluate the project to the following policies by analyzing how the project will further support of 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. X Yes __ No __ Not Applicable This facility maintenance project makes appropriate use of an existing waterfront recreational access system and complies with environmental design factors published by the NYS DEC, and the DOS Coastal Management Program, Southold Local Law No. 6, 2004 and the Southold LWRP. There will be no impairment of waterflow or navigation. Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Page 3 through 6 for evaluation criteria. __ Yes __ No X Not Applicable 2 Policy 3. Enhance visual quality~d protect scenic resources through~ the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria __ Yes __ No X Not Applicable There will be no significant change to aesthetics in Hay Harbor. NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWliP Section III - Policies Pages 8 through 16 for evaluation criteria. __ Yes __ No ~X Not Applicable There will be no changes to flooding characteristics of Hay Harbor associated with this project. There will be no erosion-inducing activities. Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria. Yes __ No X Not Applicable This project will not have any affect on suitability of or availability of drinkinE water on Fishers Island The sources of which are in land from the dock and dredging activities which are all in salt water. 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. X Yes __ No Not Applicable Dredging will be mechanical and therefore minimize turbidity and the dredged material will be contained within and on the deck of the barge until placed in a graded area on the beach. Therefore, the proiect encourages habitat enhancement. Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. __ Yes __ No X Not Applicable There are no air quality issues related to this project. No emissions will be generated by the dock facility or dredging. 3 Policy 8. Minimize environmental degradation in Town of Southol~dlllfrom solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. Yes __ No X Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ~X Yes __ No __ Not Applicable This site is at an existing club. The public trust lands and waters constitutes the area between the mean high water line and mean low water line and the resources are from the high tide line, out. These environmental resources are being protected by the design standards dictated by the NYS DEC. There is extensive use of the waterfront in this area and the maintenance dredging is intended to continue to provide this kind of access. 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. X Yes __ No Not Applicable This project is to maintain an existing swimming area for water-dependent, recreational use this usage as defined as water-dependent in the LWRP. 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 X Not Applicable This swimming pier is not used for commercial fishing or shellfish industries or enterprises. Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. __ Yes No X Not Applicable This swimming pier is not used for or in support of any agricultural or aquaculture industries or enterprises. 4 Policy 13. Promote appropriate use and development of energy and mineral sources. See LWRP Section III - Policies; pages 65 through 68 for evaluation criteria. Yes __ No X Not Applicable This swimming pier is not used for or in support of any energy or mineral mining or processing operations. ~~~_~ PREPARED BY: Keith B. Neilson, P.E.~ Docko, Inc. TITLE Agent .. DATE January 23,2012. Docko, Inc, Se ing the waterfront community since 1987 RO. Box 421, Mystic, CT 06355 (860) 572-8939 Fax: (860) 572-7569, email: permits@docko.com Mr. James King, President Southold Board of Trustees P.O. Box 1179 Southold, NY 11971 January27,2012 Re: Hay Harbor Club Maintenance Dredging Dear Mr. King: On behalf of or client the Hay Harbor Club, we enclose herewith the following in support of his permit application for routine dredging of the open water swimming tank in Hay Harbor on Fishers Island. Two prints each of plans titled: Project: Waterway: Location: Applicant: Date: "Maintenance Dredging" Hay Harbor Fishers Island, Town of Southold Suffolk County, New York Hay Harbor Club Janua~ 23, 2012 This original and two copies of the Southold Board of Trustees permit application, SEQR-Part 1, LWRP Consistency Assessment Form, Tax Assessor's Map, site photographs and location map. Check in the amount of $250.00 payable to the Town of Southold. I trust that you will find this application package complete and acceptable; please let me know if the need for further information arises. Very truly yours, DOGKO, INC. Keith B. Neilson, P.E. KBN.'jm Enclosures CC: Mr. Dick Duggan File: 0%09-1979 HAY HARBOR CLUB Docko, I nc, Serving the waterfront community since 1987 RO. Box 421, Mystic, CT 06355 (860) 572-8939 Fax: (860) 572-7569, email: perrnits@docko.com January 23, 2012 Mr. James King, President Southold Board of Trustees P.O. Box 1179 Southold, NY 11971 Re: Hay Harbor Club Maintenance Dredging Dear Mr. King: On behalf of our client, the Hay Harbor Club, we enclose herewith the following in support of a permit application for routine maintenance dredging of the open water swimming tank in Hay Harbor on Fishers Island. Two prints each of plans titled: Project: Waterway: Location: Applicant: Date: "Maintenance Dredging" Hay Harbor Fishers Island, Town of Southold Suffolk County, New York Hay Harbor Club January 23, 2012 Two copies of the Southold Board of Trustees permit application, U.S. ACOE and DEC applications, SEQR-PUrt 1, LWRP Consistency Assessment Form, Tax Assessor's Map, site photographs and location map. Check in the amount of $250 payable to the Town of Southold. (Please note that previous permits from the US Army and NYS DEC are in effect for this work) I trust that you will find this application package complete and acceptable; please let me know if the need for further information arises. We look forward to making our presentation to the Board of Trustees at the February 22~ meeting. Very truly yours, DOCKO, INC. Keith B. Neilson, P.E. KBN: tw Enclosures CC: Mr. Dick Duggan US ACOE NYS DEC: Environmental Permits File: 07-09-1979 HAY HARBOR CLUB i I LOCAl-ION h"lAl::~ ~_NCE NCTT'B~ 1. EDEVA~ON DATUM I~ M~ ~ WA~ ..~. ~DE T~. ~NCE STA~ONS: N~ ~NDON R~E~S IS~D, N~ ~D ~ ~NT H~ ~1~ ISA ~A~ ~C~O~ S~MMIN~ ~. ~JOININ~ ~: C/O ~ REM ~. ~0~ ~E ~E N~ YO~ ~ 10~ BOARD TOWN OF /~;;ZEE~O/:~ ~ .... LOcA'rION: FI~HER.~ ISLAND, TOWN OF .~OI..nr"HOLD ~UFFOLK COUNTY, NEW WATERWAY: HAY ~ DATE: JANUARY o~, ~OO& APPLICANT: HAY ~ CLUB ~E~ 1 OF ~ N SAND \ ~ ~ i N/F I>t~D~ OF ! MAY_~LF_..5 PP. OPEI~ OF: HAY I-I~,~EOR CLUB / i M~N ~-Tk~NDD I~r_-NCHMAI~ Df~I I HOUF. ~ PP.O~F--~ NEll FLOAT~ [~P.O~.~E~ FL-OAT ~'~ I~.ELOCA ~ON L.OC~TION: FISHER5 I,~LAND, TOWN OF $OLrTHOLD SUFFOLK COUN'r~', N~9~/'YORK WATER DEI::q'H~ MEA~UEED IN SEI:~T :2011 I;~.:'VISED 3-20-.08 ACOE SECTION ,~ ~ ~ DEC ~E~ MEC~I~ F::~L...~N VIEENA/ CABANA.~ // E~ERI"'IED ..,qAND D,~-.ED~E ARF__.A wfl'h TEi"II::'OP~r' ~E~"1ED ~AND OVER DREDGE ~EDIi"IENT~ UPON COi"II:::LETION OF W'OP..K I t I APPRO~MATE UM~ C~ SAND P~.ojEc-r: I'dAINTENANCE ~t2ED~IN~ LOC;AT}ON: FISHEP. S I~L.AND, TOWN OF .~OUTHOLD E:,UFFOI..K COUNTY, NE'vV WATERWAY: HAY HAREOE DAT~ JANUARY 25, A.oFLICANT: HAY ~R CLUB SHEET 3 o~ 3 DOCK. O, INC, Ke~'h 5. Nell~on, ~ M~, ~ ~355 ~ 572 893~ F~ ~ 5~ 7~ 07-09-1979 S 0 Silver Eel Cove COAST (;UAR~ I~ U T H ' ' BbOC ti HaWI~ Harbor ISLAND ~: