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HomeMy WebLinkAboutTR-7714 James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631) 765-6641 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 ,~/,r ~ constructed Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7714 DATE: JANUARY 18~ 2012 ISSUED TO: SIM H. MOY & 106 MULBERRY CORP. PROPERTY ADDRESS: 750 WEST LAKE DR. SOUTHOLD SCTM#90-2-1 AUTHORIZATION Pursuant to the provisions of Chapter 275 and Chapter 111 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting consideration of application fee in the sum of $250.00 paid by Sim H. Moy and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and Wetland Permit to repair the existing jettys numbered 5 & 6 in-place and low- profile; replace any missing sheathing with vinyl sheathing, as needed; and rebolt piling and stringers, as needed; and to remove remnants of old jetty within the inlet as depicted on the project plans prepared by Costello Marine Contracting Corp. dated November 4, 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. Dave Bergen ~ NAY TERMS AND CONDITIONS The Permittee, Sim H. Moy & 106 Mulberry Corp. residing at 106 Mulben-,/St., NY, NY 10013 as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. That there will be no unreasonable interference with navigation as a result of the work herein authorized. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 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 Hail Annex 54375 Main Road P.O. Box 1179 Southold, Now York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 January 18, 2012 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. John Costello Costetlo Marine Contracting Corp. P.O. Box 2124 Greenport, NY 11944 RE: SIM H. MOY & 106 MULBERRY CORP. 750 WEST LAKE DR., SOUTHOLD SCTM#90-2-1 Dear Mr. Costello: The Board of Town Trustees took the following action during its regular meeting held on Wed., January 18, 2012 regarding the above matter: WHEREAS, Costello Marine Contracting Corp. on behalf of SIM H. MOY & 106 MULBERRY CORP. 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 December 21,2011, 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, in accordance with Chapter 268, said application was found to be Exempt from the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on January 18, 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 APPROVES the application of SIM H. MO¥ & 106 MULBERRY CORP. to repair the existing jettys numbered 5 & 6 in-place and Iow- profile; replace any missing sheathing with vinyl sheathing, as needed; and rebolt existing piling and stringers, as needed; and to remove remnants of old jetty within the inlet, and as depicted on the project plans prepared by Costello Marine Contracting Corp. dated November 4, 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, Jam F~. King, President Board of Trustees JFKJlms James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino 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: ._~ i fY1 Please be advised that your application dated I ~l~-I ( I I has been reviewed by this Board at the regular meeting of I ! I ~! I~--' and your application has been approved pending the completion of the following items checked off below. __ Revised Plans for proposed project __ Pre-Construction Hay Bale Line Inspection Fee ($50.00) __ Ist Day of Construction ($50.00) __ ½ Constructed ($50.00) ~/l~nal Inspection Fee ($50.00) __ Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above, COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ ~C) BY: James F. King, President Board of Trustees / '3(o feel- I CUT ~o~ ~ ~C~e A~ ~ ~ a ~ '~) Peter Young, Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box I 179 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., January 11,2012 the following recommendation was made: Moved by Doug Hardy, seconded by Derek Bossen, it was RESOLVED to SUPPORT the Wetland Permit application of SIM H. MOY & 106 MULBERRY CORP. to repair the existing jettys numbered 5 and 6 in-kind and in-place; replace any missing sheathing as needed; and rebolt existing piling and stringers as needed. Located: 750 West Lake Dr., Southold. SCTM~90-2-1 Inspected by: Derek Bossen, Doug Hardy, William McDermott The CAC Supports the application with the Condition the total number of groins on the two properties is reduced to 2 or 3 and jetty #6 to remain. Vote of Council: Ayes: All Motion Carried Jill M Dohe¢.y, President Bob Ghosio, Jr, Vice-President James F King Dave Bergen John Bredemeyet 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: SIM H. MOY & 106 MULBERRY CORP. requests a Wetland Permit to repair the existing jettys numbered 5 and 6 in-kind and in-place; replace any missing sheathing as needed; and rebolt existing piling and stringers as needed. Located: 750 West Lake Dr., Southold. SCTM#90-2-1 Type of area to be impacted: __Saltwater Wetland Freshwater Wetland Sound ~-'t~ay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: __~'Chapt.275 Chapt. 111 other Type of Application: JWetland __Coastal Erosion __Amendment __Administrative__Emergency Pre-Submission Violation Modifications: Present Were: -~'J. King ~ Ghosio JJ. Bredemeyer D. Dzenkowski Form filled out in the field by "~D. Bergen, ,-~other ~,.. Mailed/Faxed to: Date: lvit~y 10/31/I i 1.0/31/11 I0/31/1 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 JAN ] 3 2012 Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: January 12, 2012 Re~ Proposed Wetland Permit for SIM H. MOY & 106 MULBERRY CORP SCTM# 1000-90-2-1 Costello Marine Contracting Corp. on behalf of SIM H. MOY & 106 MULBERRY CORP. requests a Wetland Permit to repair the existing jettys numbered 5 and 6 in-kind and in-place; replace any missing sheathing as needed; and rebolt existing piling and stringers as needed. Located: 750 West Lake Dr., Southold. SCTM#90-2-1 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 EXEMPT from LWRP review pursuant to: § 268-3. Definitions. MINOR ACTIONS item "A" which states: A. Maintenance or repair involving no substantial changes in an existing structure or facility; 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 Office Use Only __~oastal Erosion Permit Application · -Wetland Permit Application Administrative Permit Amendment/Transfer/Extension r.,"Rece~ved Applicatiom ,.~eceived Fee:$ ,-/~ompleted Application~L~Bl_ Incomplete SEQRA Classification: Type I Type Il__Unlisted Coordinafion:(date sent). x~dWRP Consistency Assessment Form }~. '"'~^C Referral Sent: lh-lgql I~ ~Jate oflnspection: I-[ il ! Receipt of CAC Report:f Lead Agency Determination: ~,l~cbhnical Review: lic Hearing Held: }1 Resolution: Name of Applicant SIM H. MOY & 106 MULBERRY CORP. Address 106 MULBERRY STREET, NEW YORK, NY 10013 Phone Number:( ) 21:~.431.8531 Suffolk County Tax Map Number: 1000 - 90-2-1 Property Location: ?50 WEST LAKE DRIVE, SOUTHOLD (provide LILCO Pole #, distance to cross streets, and location) AGENT: COSTELLO MARINE CONTRACTING CORP. (If applicable) Address: PO BOX 2124, GREENPORT, NY 11944 Phone: 631.477.1199 of Trustees Ap~licatio~ GENERAL DATA Land Area (in square feet): 14,960 R-40 RESIDENTIAL LOW DENSITY AA Area Zoning:_ Previous use of property: SINGLE FAMILY RESIDENCE Intended use of property: SAME 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 Date Town Permit #4383 10/27/§4 DEC Permit #1-4738-01002/00001 2/9/95 USACE ~J4-09180-L~. 10/11/94 Yes X No __ No prior permits/approvals for site improvements. 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): Relm~r ex~flngjetty's numbered 5 and 6 tn-like, in-place. Replace any missing sheathing as needed. Rebolt existing piling and stringers as needed. of Trustees Applicatio~ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Repair existing failing jetties. Area of wetlands on lot: 0 square feet Percent coverage of lot: 0 % Closest distance between nearest existing structure and upland edge of wetlands: 0 feet Closest distance between nearest proposed structure and upland edge of wetlands: 0 feet Does the project involve excavation or filling? X No Yes If yes, how much material will be excavated? N/A cubic yards How much material will be filled? M/A cubic yards Depth of which material will be removed or deposited: N/A Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: feet Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by mason of such proposed operations (use attachments if appropriate): There are no vegetative wetlands at the location. Ail construction debris will be contained and will not be allowed to enter the waterway. We do not expect any adverse effect on the wetlands or tidal waters of the Town. 617.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I - PROJECT INFORMATION (To be completed by A?plicant or Project Sponsor) 1. APPLICANT/SPONSOR 12. PROJECT NAME SIM MOY & 106 MULBERRY.~I~ff~ ~.o~p. [JETTY REPAIRS 3. PROJECT LOCATION: Municipality TOWN OF SOUTHOLD County SUFFOLK 4. PRECISE LOCATION (Street address and road Intersections, prominent landmarks, etc., or provide map) 750 WEST LAKE DRIVE, SOUTHOLD, NY 11971 SCTM #1000-90-2-1 LAT/LONG: N:41.030/W:72.400 5. PROPOSED ACTION IS: [] New [] Expension r'-] Mndification/alteretion 6. DESCRIBE PROJECT BRIEFLY: REPAIR EXISTING JETTY'S #5 AND 6, IN-LIKE. IN-PLACE. REPLACE MISSING SHEATHING, REBOLT EXISTING PILING AND STRINGERS AS NEEDED. 7. AMOUNT OF LAND AFF,-'U Initially 0 acres Ultimately ,, 0 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [] Yes [] No if No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICIN 'FY OF PROJECT? [] Residential [] industrial [] Commercial PRIVATE RESIDENTIAL WATERFRONT F'[Agriculture [] Park/Forest/Open Space [] Other 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? [] Yes [] No If Yes, list agency(s) name and pen"nit/approvals: ARMY CORPS OF ENGINEERS, NYSDOS, NYSDEC, TOWN OF SOUTHOLD 11 DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? i-lYes []No ' If Yes, list agency(s) name and permit/approvaie: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMiT/APPROVAL REQUIRE MODiFiCATiON,~ DTM r~JNo ' I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWt. EDGE App#carff/"~oonsor name: SIM MOY, OWNER Date' · ~ ." · OVER Reset PART II - IMPACT ASSESSMENT (To be completed by Lead Agency) A. DOES ACTION EXCEED ANy TYPE I THRESHOLD IN 6 NYCRR. PART 617.47 If yes, co~dinate the review process and use the FULL EAF. B. ~U-A~T~NREC~-~VEc~R~NATEDREv~EwASPR~V~DE~F~RUNL~STEDA~T~NS~N6NYcRP~PART61?~6? IfNo, anegaUve ~a fafl~-i ma_~.be su~f~ ~ annthef in~ved agora. C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FO{LOWING: (Aaswem may be bendwriifefl, If legll~e) C1. Existing air quaF&y, surface or gmuedwMor quality or quantity, rmtse levels, existing ~ralflc pa{tern, as~ waste produc~o~ or disposal, pote~flaJ far erosion, drainage or Iloo~ng problems? Explath C2. ^~.~& ,~c. agdcuifural, a~haeeloglcel, h~ivd~, or other natural or cultural rasomces; m' commu~ or astghbedmod charaste~ ~in ~de fly:. C3. .-j,~-.~- -~ or fauna, fish, ~l{fish or ,, ~;;;= ~,, significant ;,~;=, or threatened or e~dangered species? C.~;,, C4. A commun~,s existing pla~s or goals as olflc~a#¥ ad°fired, or a change hi use or in~ ~, ~ ~ ~ or ~ na~N r~? ~in ~fly: C5. G~ow~h, subsequent development, or ~elafed acfivi(iea likely to be induced by the proposed action? Exp atn C6. Long " . ferm, shorl temp. cumulative, er other effects n~{ identified in C1~$9 Explain bdelly: C7. Other ~pacts (imduding changes in use of either U~ofene E lainbdefl. O. VVILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAl_ ENVIRONMENTAl_AREA (CEA~? (If}les explain briefly: I~[~ERE, OR ~'FH~ UKELY TO BE, ~NTROVERSy RELATED TO POTENTIAL ADVERSE ~1 RO.~.~C.,TAL IMPACTS? If ~as PART III - DETERMINATION OF $1~NIRCANCE (To be ~xm~pleted by,N]eno/} . INs'trRUCTIONS: Fm.eac~dverseeffectidenfl~edab~ve'determinew~e~heritissubs~'~`~nt~e~n~nL Each .., tM ............... ,,,.~ .ul~l~w.r~ mmmm~ Ensure Ihet exlflana~ms ~ofltaln WILL NOT result M any s~nifl~ant adverse envlmnmenfal Impacts AND prO~Je, ~ attadnments as necessa~, Ihe masons suppodlng tN detenntnafion. Board of Trustees ~///' ,.; /$ ~-~/~_ Name of Lead Agency / . Date Print ~ T~ Name ~ Re~lb~ Offi~r ~ Le~ ~e~ S~at~e of Res~b~ Offi~ In Lea~ Signa{ure of Preparer (If diffemn~ ~'om responsible officer}' Jill M. Dohc~y, President Bob Ghosio, Jr., Vicc-Prcsidcm James F. King Dave Bergen John Brcdcmcycr 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 SIM H. MOY & 106 MULBERRY CORP. COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING 1, ~JlSLlgt')(o~]{O , residing at /dba ~-cr-~rl!o ~.rL~/01C being duly-sworni, depose'land sar: That on the 1~ day of J[~l,~b¥~/ ,2,01~ I personally, posted the property known as by placing thb Board of Trustees official I~oster wl~er~ it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wed, January 18~ 2012 on or about 6:00 PM. D at ed: Sworn to bclbre me this l"l~day ot'J~t~/2012_ O~ ~ BRI1 fANY A GENOINO N Notary Public, Slate of New York No. 01 GE6245154 Oual~jn Su~k.~u~nt~ Commission ~i~ JU~y lo, Dai Moy & Sim Moy l~osted 1/10/12 Moy PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Nanle: Address: York, NY 10013 · Complete items 1, 2, and 3. Also complete item 4 ff 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 mailpiece, or on the frdnt if space permits. 1. Article Addr~/~ed to: Sarah Herman & Anne Sowinski 18 Snedecor Avenue Lindenhurst, NY 11757 2. A~ic[e Number (Transfer from service lab~,. PS Form 3811, February 2004 B. Received by ( Pr/nted Name.) of Delivery I01, New York, NY 10018 NY 11757 If YES, enter delivery s b61~. L I ~ Certified Mall r'l Exprees Mail . [ [] Ir~sumd Mall [] O.O,D, ~4. Restricted Delivery? (J~Xtra Foo) r-I Yes 7010 0780 0000 8660 4050 ~ Domestic Return Receipt ~ Corp. 102595~2-M-1540 yS that on the . , ~ ~ ~,~,~n~ .~o~vu a trueebpy of the Noti~ set fo~ ~Bo~d of T~tees Appli~tio~ ~cted to each of ~e a~ve ~ed ~ns at ~e ~esses ~t op~site ~e~ ~s~five ~es; ~t ~e addres~s ~t op~site ~e n~es of~d ~o~ ~ ~e M~ess of~d ~ ~ ~o~ on ~e c~nt ~sessment roll of~e To~ of Southold; ~t ~d Notices we~ ~iled m ~e Unit~ S~tes Po~ O~ce at , ~t ~d Notices we~ ~led to each of ~d ~ by CERTIFIED ~~ ~CE~T. Sworn to ~fo~ me ~s [3~ Day of .)~ ,20~  BRI~ANY A, GENOINO ~ ~, State of ~ Yo~ No. 01GE62451~ ~l~d in S~k ~unty ~¢ ~ ~i~ Ju~ 18, ~ ~.64 09~ $2.85 04 $0,00 $5.7? )1/11/L~12 o F Herbert & Mareelle Greenfield ~ [ 306 West 38* St., Unit 1101 r,- New York, NY 10018 Fee !iQ.64 0944 $2.85 04 $2.30 $0.00 $5.?9 01/11/2012 Sarah Herman & Anne Sowinski 18 Snedecor Avenue Lindenhurst, NY 11757 Postage ~0.64 Ceffified Fee $2.85 Return Receipt Fee (Endorsement Required) (Endolsement Required): $5.79 Dai W. Moy 106 Mulberry Street New York, NY 10013 0944 ~4 01/1-I-/2012 NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES~ TOWN OF SOUTHOLD In the matter of applicant: JAN ~ Sim H. Moy and 106 Mulberry. Group YOU ARE HEREBY GIVEN NOTICE: SCTM# 1000-90-2-1 That it is the intention of the undersigned to request a Permit from the Board of Trustees to: Repair exisltnoojetties ill-like, in-place. Replace misMng shea/hino~, rebolt exL~tinoo pilin~o and stringers as needed, That the property which is the subject of Environmental Review is located adjacem to your property and is described as follows: 750 WEST LAKE DRIVE, SOUTHOLD, NY 11971 3. That the project which is subject to Environmental Review under Chapters 32, 37, and/or 97 of the Town Code is open to public comment on: Wm., Jan. 18, Z012 at Spin . 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. OWNERS NAME: Sim H. Moy MAILING ADDRESS: 106 Mulberry. Street NewYork, NY 10013 PHONE #: Ene: Copy of sketch or plan showing proposal for your convenience. / 1 t'~w) 4 ~7-#ff ~d of Trustees Applicatio0 County of Suffolk State of New York Jane p. Costello for Costello Marine Contacting Corp. 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 OF THIS APPLICATION. SWORN TO BEFORE ME THIS Signat~e /~o~ DAYOF ,20 l( ~'Q~Ibtary Public COSTELLO MARINE CONTRACTING CORPORATION DOCK BUILDING · JETTIES · BULKHEADING ° STEEL & WOOD PILING ° FLOATS 423 FIFTH STREET · PO BOX 2124 · GREENPORT, NEW YORK11944 · (631)477-1199/477-1393/477-0682 · FAX,O'~,,4? ~¢:- AUTHORIZATION FORM (Name) located at /~2e (Business/Property Name) do hereby give Costello Marine Contracting Corp, the authority to act as agent in my behalf in applying for,all the necessary permits for work to be completed at my above referenced property. qDhte2 't ~U ! ! ~Signature $. Moy Town of Southoid LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS Alt 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 otber information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. 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.ue0, the Board of Trustees Office, the Plannin~ Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION 90 2 1 SCTM# - The Application has been submitted to (check appropriate response): TownBoard ~ Planning Dept. [--] Building Dept. ~] BoardofTrustees Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: Repair existing jetties we numbered as 5 & 6 in-like, in-place. Replace any missing pilings, stringers and sheathing as needed. Location of action: 150 WEST LAKE DRIVE, SOUTHOLD Site acreage:_.S4 ACRES Present land use: SINGLE FAMILY RESIDENCE Present zoning classification: R-40 RESIDENTIAL LOW DENSITY AA 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: SIM H. MOY & 106 MULBERRY CORP. (b) Mailing address: 10§ MULBERRY STREET, NEW YORK, NY 10015 (c) Telephone number: Area Code ( )?1:L431.8531 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [~ No I ] If yes, which state or federal agency? NYSDEC, NYSDOS, ACOE DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southoid 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. ~]Ves [--] No ~ Not Applicable We are proposing to repair existing, functional structures. Our proposal will have no impact on the community character ar preservation o£open space. We are notproposing to increase development along the shoreline or reduce the benetlcial use of this location. Atlacrl aoOltlOllal sl~ects 1i 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 This properly has no significant historic resources. Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria ~ Yes [--] No ~ Not Applicable The visual quality w/II not be decreased by the proposed repairs to the existing jetties. Attach additional sheets it necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. Sec LWRP Section III - Policies Pages 8 through 16 for evaluation criteria ~'] Yes ~ No ~'~ Not Applicable Our proposal ,411not have any influence on the loss of life, structures and naturM resources from flooding and erosion. Tl~s is a minor repair to maintain the integrity o£the structures. These structures are completely functional but showing sign of age. These structures are needed to prevent erosion o£the beach along the shoreline. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria ~] Yes ~ No ~Not Applicable The proposal will not have any impact on the water quality or supply o£ the Town o£Southold. Attach additional sheets il 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 Applicable This proposal will not have any impact on the Town of Southold's ecosystem. There will be limited construction debris and all will be contained and all Best Management guidelines will be adhered to. Attach additional sheets it' necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. ~-~ Yes [--]No~-] Not Applicable This proposal will not have any impact ou the air quality of the Town o£Southold. Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. ~-'~Yes [~ No ~-~ Not Applicable This proposal will not degrade the environment with solid waste or hazardous substances. PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ~-~ Ye~ No~-~ Not Applicable Our proposal will not limit the public's ability to access coastal waters, public lands or public resources of the Town o£Southold. We are not proposing any seaward expansions or iucrease in height. The public access will be maintained. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. [~Yes ~ No ~ Not Applicable This property is used to engage in water-dependent actinties such as fishing, swimming and site-seeing by the property owners and their family. Without these structures ,the beach will erode moping the m~a less desirable to access the water. Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. [--]Yes ~ No[~ Not Applicable There will be no significant effects on the living marine resources do to the proposed repairs. Any disturbance to the benthic communi(y will re-establish itsel£immediately al~er construction. 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 This proposal will have no impact on the ag~cultural lands in the Town o£ Southold. 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 This proposal has no influence on the development of energy or minerM resources. Created on 5/25/05 ll:20AM '~ ~OVED B' BCARD OF TOWN OF i · ~,,..,,~ .,J .1 ill W~'- S -r +im~e~ ~.70"4~ 76.-7 L_ t TTt~ /V'i'Clp OF i°~.OPEI2TY 51M / t. MOY o_ 0 0 GOT / 18 Moy COT 117 -~-c-c-c-c-c-c-c-c~'cr le: ~0 '= I" :Filed i~ +t~e ~J~:ol~ o.f/ic~ c,~ t~lorp r~o. 90. Dis+. I000, 5~4:-f,. 0'90, Blk. 2, Pc/. I. ]1 L_ _~ J