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TR-7792A
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 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 7792A Date of Receipt of Application: April 26, 2012 Applicant: Joint Board of Electrical Industries Education & Cultural Holding SCTM#: 83-2-17.3 Project Location: 3800 Duck Pond Rd., Cutchogue Date of Resolution/Issuance: May 16, 2012 Date of Expiration: May 16, 2014 Reviewed by.' Board of Trustees Project Description: Ten-Year Maintenance Permit for periodic beach maintenance, clean-up and removal of debris. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the application received on April 26, 2012 and as indicated on the survey stamped approved on May 16, 2012. The approved operations must be commenced within two (2) years from the date of the resolution. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Board ~f Trustees James F King, President Bob Ghosio, Jr, Vice-President John Bmdemeyer Michael J Donlino P.O Box 1179 Soulhold, NY 11971 Telephone (631 ?65-1892 Fax (631 ) 765-6641 Southold Town Board of Trustees Field Inspection/VVorksession Report Date/Time: J'-/'~/2- /~'/X' Twin Fork Landscape Contracting on behalf of JOINT BOARD OF ELECTRICAL INDUSTRIES EDUCATION & CULTURAL HOLDINGS requests an Administrative/Ten-Year Maintenance Permit for periodic beach maintenance, clean-up and removal of debris. Located: 3800 Duck Pond Rd., Cutchogue. SCTM#83-2-17.3 ~.q¢ of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland P~)haf Town Code proposed work falls under: pt.275 Chapt. 111 other Type of Application: __ Wetland __Coastal Erosion __Amendment __Administrative__Emergency __Pre-Submission __Violation Info needed: Modifications: Conditions: (~/~ ~2~c-,/~ 0,)~ ~ u,~//~ ~ /- / / Present Were: J. Kff~g __B. Ghosio K~.Bredeme~. t Michael Domino __ D. Bergen, D. Dzenkowski Form filled out iD~the fielded,c_ Mailed/Faxed to: Date: other ,Tit I~ Doh~, President James F. l~m~ ~ice-Pr~ident Bob Gho~io, Jr. John P.O. Bux 1179 So--.hold, N~w York 119714)969 Tek~h~m (631) Fax (631) 76/~641 BOARD OF TOWN TRUSTE~.S TOWN OF SOIJTI:iOLD Permit No.: 7307A Date of Receipt of Application: May 9, 2010 Applicant: Joint Industry Board of Electrical Industries Educational & Cultural Holdings SCTM~. 83-2-17.3 Project Location: 3800 Duck Pond Road, Cutchogua Date of Resolution/Issuance: May 19, 2010 Date of Expiration: May 19, 2012 Reviewed by:. Board of Trustees Project Description: For periodic beach maintenance; removal of debris from beach.from 10' above mean high water to concrete seawall. Findings: The project meets all the requirements for issuance of an Administm, tive Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Adminiub-aflve Permit allows for the operations as indicated in the application pmpered by William J. Fabb of Twin Fork Landscape Contracting, received pn May 9, 2010, and stamped approved on May 19, 2010. special Conditions: None. Inspections: Final inspection. If the proposed activities do not meet the requirements for issuance of an Admini~a[ive Permit set fo;th in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. JilFM. Doherty, Presii~en_t._ Board of Trustees '-' JMD:eac SOUTHOLD TRUST 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 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application ~Wetland Permit Application )t Administrative Permit AmendmenUTrarfifer/Extension /'~Rece~vved Application:.~ q. ! _~ZII I $ ~Received Fee:$ ~ ~Completed Appli~tion ~ Incomplete SEQRA Classification: Type l__Type II Unlisted Coordination:(date sent) _ ~,,~ ~ j~ ~ LWRP Consistency Assessment Form CAC Referral Sent: ~Date oflnspection: '~'! eib ~L __Receipt of CAC Report: __Lead Agency Determination: Technical Review: _~,.,.,-.P'ublic Hearing Held: ~ ] I ~ [ [ ~- Resolution: Suffolk County Tax Map Number: Pro ,e, y, ocat on: 'r uc, (provide LILCO Pole #, distance to cross streets, and location) AGENT: lx/,'l J;em~ d. ~a. Jol~ ]-r~, ~ Ft)gl~. (If applicable) Address: P.o. Board of Trustees Application GENERAL DATA Land Area (in square feet): Area Zoning: 20bd'~" Previous use of property: Intended use of property: ~~'~) g~ Covenants and Restrictions: Yes /~ No If "Yes", please provide copy. Does this project require a variance from the Zoning Board of Appeals Yes If "Yes", please provide copy of decision. Will this project require an~,~demolition as per Town Code or as determined by the Building Dept. Yes ~Yx No Does the structure (s) on property have a valid Certificate of Occupancy ,~ Yes __ Prior permits/approvals for site improvements: Agency No No 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: Project Description (use attachments if necessary): o4- Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Area of wetlands on lot:~ ~) Percent coverage of lot: [~/~t' square feet % Closest distance between nearest existing structure and upland edge of wetlands: }X~% ] I~ feet Closest distance between nearest proposed structure and upland edge of wetlands: ~1_]~ feet · / 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 Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited:'~lFVI 0-V'O~ 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): 617.20 ~ SEQR PROJECT ID NUMBER APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 - PROJECT INFORMATION ( To be completed by Applicant or Project Sponsor) 13.~ao~c~ LOCATION: 6 DESCRIBE PROJECT BRIEFLY: 7 AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 8 WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ~Yos [] No If no, describe briefly: 9 WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply) ~/~Residential [~lndustrial E~commercial E~Agriculture ~]Park/Forest/OpenSpace E]other (describe) 10 DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) [~]Yes ~No fl yes, list agency name and permil / approval: J~ DOES AN~ASPbC~ OF THE ACTION R~,/E A~URRERT[Y VALID PERMIT OR APPROVAL? [~Yes [~No If yes, list agency name and permit / approval: 12. AS A RESULT OF PJ~OPOSED AqTION WILLjEXISTING PE~IT/~APPROVAL REQUIRE MODIFICA~O~A?r -- - ~;~1 ~ Des [3.0 r Xt .Jb ;o.wr - rt .A.O -'"" I CERTIFY THAT THE INFORI~I/~ION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / S~ Na~~ ate~atF~ Signature m If the action is a Costal Area, and you are a state agency, plete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT (To be completed by Lead Agency) ~ A. DO~S ACTION EX~U ANY TYP~ I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coofdinafa the re~ew p*'ocess and use the FULL FAF. ' I-I [71"o B. ~qu. ACTION RECEJ~E COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYC~R. PART 617.6? If No. a negative de~lra~o~ may be s~seded by a~h~r i~wd a~. J--~ Yes r~lNo C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (AJlswers may be handw~ten, ff legible) C1. Existing air quality, surface er gmun<hvater quality or quantity, noise levels, exis~g traffic paltem, solid waste produ~on or d;~posal. potential for erosion, drainage er flooding problems? F-~!ain briefly: I C2. A~=A;,e6..., agricultural, archaeological, histudc, of o[her natural er cultural resources; oe communib/or naighbo~fload character? F%.~!q bfielly: I I C3. Veg,~{~Uu,~ or fauna, fish, ~,,hell~sh er wildlife species, ~ii;~<,.,~ habitats, or th~afaned oe endangered ~n~,~?, __ Expfaln b~efly: C4. A ~x~ll,,luni(y's ~xis'ing pans or goas a~ oflletatiy adopted or a change In use or fi'~e~s/ty of use of land of o~her natural r I esources? F~ain bdefly: C5. Growth, subsequent development, or re~ated activities likely to be Induced by the proposed ac(ion? Explain briefl~i c6. Long ten,n, shod term, cumulative, or other effects not identified in C1~57 Explain briefly: C7. Olher impac(~ ~inc. Juding cflanges in use of either quantity or type of enen3~ Ex~olain bdol~y: 0. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT O~"~ ~RITICAL ENVIRONMENTAL AREA (CEA~? Ill yes, explain briefly: F- IS THERE, OR IS THERE UKELY TO BE, CON'II~OVERSY RELATED TO POTENTIAL ADVERSE ENVIRC~;;~;'FAL IMPACTS? If ~e~ exp~tn: PART ill - Ih= ~ ~;;~ATION OF SIGNIFICANCE (To be completed by Agency) . INS'I~UCTION$. F~ each adverse elfe~ identified above, de{ermln~ wflelher It is subo~eatlal, large, Impedant or othenvlse significant. Each effec~ should be aMe~sad in (~oeae~on with its (a) setting (i.e. ud~an or rural); (b) ~ of oocunlng; (c) duraiton; (d) kTewreibir~y; (e) geographic 6oope; and (f) magnitude. If nece~an/, add affachmeats or mfereace supposing materials. Ensure that e3q3Mnatieas oealain m~lant detail to show ~at all mlevanf[ adveme impad, s have bean ldealifiad end adequately addms~ad, if qUeatlon d of pert ii was~ Chech Ibis bex If YaU have ~ based an the Infatuation earl analysis above and any suplxxt~ng denumenlation, f~at ttte ~ ac~ie, WILL NOT result In any s~lolfment adverse environmental Impacts AND provide, en altenhments as necessary, the reasons suppeding Ihl: determination. Board of Trustees Name of Le~d Agency Date PHnt or Ty~e Name of Responsible Officer in Lead Agency Presiden~L Title of Responsible Officer Signature of Responsible Officer in t-nad Agency S~gnatum of Pmparof (If different fi.om responsible officer) -- Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M. #: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A STORM-WATEI~ GRADING, DRAINAGE AND EROSION CONTROL PLAN DIseict Section Block cot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. scOpE OF WORK - PROPOSED CONSTRUc'I'ION I'I'I~M # / WORKASSESSMENT ] Yes No a. What is the Total Area of the Project Parcels? 1 Will this Project Retain All Storm-Water Run-Off (Include Total Area of all Parcels located within Generated by a Two (2') Inch Rainfall on Site? the Scope of Work for Proposed Construction) (This item will include all mn-off created by site b. What is the Total Ama of Land Cleating (SF. t Acres) cleating and/or construction activities as well as all -- and/or Ground Distethanca for the proposed Site Improvements and the permanent creation of construction activity? impervious surfaces.) (s.F.,^~) 2 Does the Sita Plan and/or Survey Show All Praposed PROVIDE BRIEF PROJEC~ DESCRIFTION (~,~,~. ~,~,~ Pm - N~,,~d) Drainage Structures Indicating Size & Location? This r~ ~ ~,.~ _ ......, _ item shall include all Proposed Grade Changes and -- Slopes Controlling Surface Water Flow. 3 Does 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 Peded, 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 Material within any Parcel? 5 Will this Application Require Land Disturbing Activities ~ Encompassing an Area in Excess of Five Thousand U (5,000 S.F.) Square Feet of Ground Surface? 6 ~s there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction General eEC SWPPP Requirements: or within One Hundred (100') feet of a Wetland or Submission of a SWPPP is required for all ConstnJction activities invelving soil Beach? disturbances et one (1) or more acres; including disturbances of less than one acre that 7 Will there be Site preparation on Existing Grade Slopes ~ are pan of a larger common plan that will ultimately disturb one or more acres of land; which Exceed Fifteen (15) feet of Vertical Rise to I I including Construction activities involving soil disturbances of less than one (1) acre where One Hundred (100') of Horizontal Distance? I~1 the DEC has determined that a SPDES permit is required for storm water discharges. SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways, Parking Areas or other Impervious ~ for Storm Water Discharges flora Cmlstruction activity - Pe~it No. GP-O.10-OOI.) Surfaces be Sloped to Direct Storm-Water Run-Off 1. lhe SWPPP shell be [xepamd pdor to ~he submittal of the NOL The NOI shall be into and/or in the direction of a Town right-of-way? submitted to the Department prior to the corrmlencement of construction activity. 2. The SWPPP shell deschbe Ihe erosion and sediment coettol practices and where 9Will this Project Require the Placement of Material, required, best-consthJctfon storm water management practices that w~ll be used and/or Removal of Vegetation and/or the Construction of any ~ ~ constructed to reduce the pollutants in storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder OF NEW YOXm COU a' OF ....... -n ............................. SS That 1, ....~.:.U~k,~...~....~. ~ ................................ being duly sworn, deposes and says that he/she is the applicant for Permit, (Name of tho%idu al $ignimj Document) And that he/she is the Owner and/or representative of the Owner or Owners, and is duly authorized to perform or have perforated the said work and to make and file this application; that all statements contained in this application are tree to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the applica~on filed herewith. Sworn to before me this; FORM - 06/10 Notary Public, State of New York No. 6163270 Qualified in Suffolk Count,/ Commission Expires March 19,20_~_ Boa~of Trustees Application County of Suffolk State of New York DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERT)¢ TO INSPECT THE PREMISES IN CONJUNCTION WITH REV.,[EW OF~ TI~I,S.~'PPLICATION. ,, v/ Signature SWORN TO BEFORE ME THIS c~ [0r't'l'x' DAY OF o,'il ,2o 10- (~tary Public ~ GAlL A. GHOSIO Notary Public, State of New York No, 6163270 Qualified n Suffolk County ,.,.. Commission Expires March 19,20. L~ APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code &Ethics prohibits conflicts of interest on the anrt of town officers and emt>lovees. The t>uroose of this form is to t~rovide information which can alert the town of ~ossible eonfficts of interest and allow it to take whatever action is necessary to avoid same. (Last name, first name, caiddle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (lf"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 corporation in which the town officer or employee owns more than 5% of the shares. YES NO If you answered "YES", cnmplete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title Or position of that person Describe the relationship between yourself (the applicanffagenffrepresentative) 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 shares of the corporate stock oftbe applicant (when the applicant is a corporation); __.B) the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); __C) an officer, director, partner, or employee oftbe applicant; or __.D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 Submitted thits.t~,~,~ ~ 200]~ 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 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. Thns~ each answer must be explained in detail, listing both supporting and non- sul~l~ortin- 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 folloxving places: online at the Town of Southold ' s website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION The Application has been submitted to (check appropriate response): Town Board [] Planning Board [] Building Dept. [--] Board of Trustees [~ 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: · octe_ '. Nature and extent of action: ~Dl~,y~.~_b.~iZ~ ~ ~ ~ Location of action: Site acreage: Present land use: r' CiVCXA<- 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: (b) Mailing address: (c) Telephone number: Area Code ( )_ ~ ~) [ - "7 ~ q ~'~9 ~ ff'~ (d) Application number, if any:_ 7 07t iE't -En, v71 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 thc Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. Yes ~ No [~ Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria Yes [-~ No [~ Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - 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 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 Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. Yes No Not Appl~e Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. ~ Yes ~] No CNot Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. Yes ~ No [~Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ~'~ Yes~ No ~.Not Applicable Attach additional sheets if necessary WORKING COAST POLICIESO Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. ~ Yes ~-~ No ~ot Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. 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 At~ach 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 DATE AUTHORIZATION OF APPLICANT LETTER DATE: April 26th, 2012 TAX MAP ' 83 - 2- 17.3 I of the Education & Cultural Holdings residing at 3800 Duck Pond Rd Cutcho.que NY 11935 do hereby authorize William J. Fabb of Twin Fork Landscape Contracting, 8405 Cox Lane, PO BOX 460, Cutcho.que, NY 11935, to apply for permit from Town of Southold Board of Trustee's on our behalf. SIGNATURE OF AUTHORIZATION:.~~~~ Steve Paolidf Head Quarters Education & Cultural Holdings Joint Industry Board of Electrical 158-11 Harry Van Arsdale Jr. Ave Flushing, NY 11365 718-591-2000 LOCATION: Education & Cultural Holdings Joint Industry Board of Electrical 3800 Duck Pond Rd Cutchogue, NY 11935 PH: 631-734-5225 FX: 631-734-5226 T~ Fork Landscape Contract~ P.O. Box 460 Cutchogue NY, 11935 PH: {631} 734-6643 FX: {631} 734-8354 Email: twinforklc@optonline.net DATE: 4/26/12 TO: SOUTHOLD TRUSTEES RE: PERMIT # 7307A FOR THE EDUCATION & CULTURAL HOLDINGS, located at 3800 Duck Pond Rd, Cutchogue, NY 11935 TAX MAP 83-2-17.3 We would like to re-apply for an Administrative beach permit. At this time we are requesting a 10 year periodic maintenance permit. Attached provides you with the application and two surveys and photos as required. SURVEY OF PROPFRTT'~ 51TUA I I~: (~,UTC~I'I~]~-_~ r TOI~ 5CTUTHOLI~ ' SUFFOLK COUNTY, NY , / // // 7 , L~ / ,/' / S89°53'40"W N W S · HONUF~NT AREA = lr[12o 5.F. OR 16.4~2~, ACRE5 TITLE NOTE: "PREr"IISE5 SHOk'iN ON THIS SURVE'K ARE THE 5AI"IE AS THOSE ~ESORIE~,EID IN TITLE AS.~DCIATES TITLE # TAO-/' (06) ~PHIC SCALE 1% JOHN C. EI-ILERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 F~x 369-8287 RB~.-\~Compaqle~,e~¢o i~2000 pro,X20-153 UI~ATE 10-11-07.1~