The URL can be used to link to this page

Home My WebLink AboutTR-7807 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 YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction % constructed Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7807 DATE: MAY 16~ 2012 ISSUED TO: WILLIAM & PATR!CIA BAXTER & GOELLER FAMILY TRUSTS PROPERTY ADDRESS: 420 FISHERMAN'S BEACH ROAD~ CUTCHOGUE SCTM# 111-1-15 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 of the Town Code o£the Town o£ Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on May 16, 2012, and in consideration of application fee in the sum of $250.00 paid by William & Patricia Baxter & Goeller Family Trusts and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to install a 6'x20' floating dock secured by (2) 8" diameter pilings and a 3'x14' hinged ramp to be connected to existing bulkhead; and remove existing mooring piles as necessary; and as depicted on the site plan prepared by En- Consultants, last dated April 20, 2012, and stamped approved on May 16, 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 William & Patricia Baxter & Goeller Family Trusts, residing at 420 Fisherman's Beach Road, Cutchogue, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Trustees and the Town of Southold are released fi.om any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Pemfittee 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 wan'ant, 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 Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 May 16, 2012 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Robert E. Herrmann Eh-Consultants 1319 North Sea Road Southampton, NY 11968 RE: WILLIAM & PATRICIA BAXTER & GOELLER FAMILY TRUSTS 420 FISHERMAN'S BEACH ROAD, CUTCHOGUE SCTM# 111-1-15 Dear Mr. Herrmann: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, May 16, 2012 regarding the above matter: WHEREAS, En-Consultants on behalf of WILLIAM & PATRICIA BAXTER & GOELLER FAMILY TRUSTS 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 Apd125, 2012, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Watert'rent Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 6.3 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: there is historical use at this site of the docking of boats; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on May 16, 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, 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 for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of WILLIAM & PATRIClA BAXTER & GOELLER FAMILY TRUSTS to install a 6'x20' floating dock secured by (2) 8" diameter pilings and a 3'x14' hinged ramp to be connected to existing bulkhead; and remove existing moodng piles as necessary; and as depicted on the site plan prepared by En-Consultants, last dated April 20, 2012, and stamped approved on May 16, 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 ~nspection. (See attached schedule.) Fees: $ 536.00 Very truly yours, President, Board of Trustees JFK/eac 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: WILLIAM & PATRICIA BAXTER & GOELLER FAMILY TRUSTS Please be advised that your application dated Apd125, 2012 has been reviewed by this Board at the regular meeting of May 16, 2012 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) __ 1st Day of Construction ($50.00) __ ½ Constructed ($50.00) Paid Final Inspection Fee ($50.00) XX Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: Final Inspection Fee = Paid Hinged Ramp = 3'x14'=42sq.ft. x $3.00 per sq.ft. = $126.00 Floating Dock = 6'x20'=120sq.ft. x $3.00 per sq.ft. = $360.00 TOTAL FEES DUE:S486.00 ~ OililY&~ I BY: James F. King, President (~r'~Oll"L Board of Trustees Peter Young, Chairman Laurcn Standish, Secrmary Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (63 I) 765~6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., May 9, 2012 the following recommendation was made: Moved by Audrey Horton, seconded by John Stein, to TABLE the Wetland Permit application of WILLIAM & PATRICIA BAXTER AND GOELLER FAMILY TRUSTS to install a 6'X 20' floating dock secured by (2) 8" dia. pilings and a 3'X 14' hinged ramp to be connected to existing bulkhead; and remove existing mooring piles as necessary. Located: 420 Fisherman's Beach Rd., Cutchogue. SCTM#111-1-15 Inspected by: John Stein, Audrey Horton The CAC Tables the application because the proposed dock was not staked. The CAC recommends a 10' non-turf buffer with a 4' wide natural path and a possible variance for an accessory structure on vacant property. Vote of Council: Ayes: All Motion Carried James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J Domino PO. Box 1179 Southold, NY 11971 Telephone(631 765-1892 Fax (631)765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: ,~" [ ~ (/~ ~. WILLIAM & PATRICIA BAXTER AND GOELLER FAMILY TRUST request a Wetland Permit to install a 6'X 20' floating dock secured by (2) 8" dia. pilings and a 3'X 14' hinged ramp to be connected to existing bulkhead; and remove existing mooring piles as necessary. Located: 420 Fisherman's Beach Rd., Cutchogue. SCTM#111- 1-15 /~SPe of area to be impacted: altwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland F~of Town Code proposed work falls under: hapt.275 Chapt. 111 other Type of Application:¢ "/.~Netland __Coastal Erosion __Amendment __Adm~mstratwe__Emergency __Pre-Submission __Violation Modifications: Conditions: Present Were: '----~& King --dB. Ghosio "'~D. Bergen, ~ Bredemeyer "'"~ael Domino D. Dzenkowski Form filled out in the field by j~) /~ ¢~'*..~ e~ Mailed/Faxed to: Date: other WILLIAM BAXTER & GOELLI~AMILY TRUST, 420 FISHERMAN'~ACH ROAD, CUTCHOGUE Figure 1. Aerial photo of subject property and adjoining shoreline. Photo by Microsoft Corporation. Figure 2. LooMng north toward Haywaters Cove o*,er location of proposed ramp and float. WILLIAM BAXTER & ,CUTCHOGUE F~gure 3. Looking east over location of proposed ramp and float and at adjacent floafing dock to east. Figure 4. Looking west at location of proposed ramp and float and at adjacent floating and fixed docks to west. N 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 To: LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM Jim King, President Town of Southold Board of Trustees Principal Planner LWRP Coordinator From: Mark Terry, Date: May 15, 2012 Re: Proposed Wetland Permit for WILLIAM & PATRIClA BAXTER AND GOELLER FAMILY SCTM#1000-111-1-15 En-Consultants on behalf of WILLIAM & PATRIClA BAXTER AND GOELLER FAMILY TRUSTS requests a Wetland Permit to install a 6'X 20' floating dock secured by (2) 8" dia. pilings and a 3'X 14' hinged ramp to be connected to existing bulkhead; and remove existing mooring piles as necessary. Located: 420 Fisherman's Beach Rd., Cutchogue. SCTM#111-1-15 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; the construction of the proposed dock structure +14' distance from the property line to the west is not a permissible action pursuant to 275-11 Construction and operation standards, and is INCONSISTENT with LWRP Policy 6.3 (below) and therefore, INCONSISTENT with the LWRP. 6.3 Protect and restore tidal and freshwater wetlands. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. 275-11 Construction and operation standards. A. General. The following standards are required for all operations within the jurisdiction of the Trustees: [5] All docks, including any vessel tied to the dock, shall have a minimum clearance of 15 feet of the seaward extension of any property line from adiacent parcels so as not to interfere with the neighbor's access to waters, unless the Trustees decide otherwise for navigational or other reasons. Waterside boundaries can be identified using the appropriate method for the shape of the shoreline for Long Island waters specified in 9 NYCRR 274.5. What is the distance to the parcel line? 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 Jill M. Doherly, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall, 53095 Main Rd. P.O. Box I 179 Southold,NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD OeaStal Erosion Permit Application tland Permit Application Amendment/Transfer/Extension ,~ece-~ved Application: k[ I.,~,~'K~I}'~. ~eceived Fee: ~' ~pleted Application ~ ~ I& Incomplete SEQ~ Classification: Tv-e I Type II Unlisted ~oordination: (date sent)_ ~LW~ Consistency Assessment Fo~ ~CAC Refewal Sent: q lan I I~ ~ate of Inspection: ~ [ [ ~ ~Receipt of CAC Repo~: ~Lead Agency Determination: Technical Review: ~ublic He~ing Held: ~1 ~ ~1 ~ Resolution: Office Use Only Administrative Permit Name of Applicant WILLIAM & PATRICIA BAXTER AND GOELLER FAMILY TRUSTS Address 4995 NASSAU POINT ROAD, CUTCHOGUE, NY 11935 Phone Number: (772) 285-0877 Suffolk County Tax Map Number: 1000 - 1tl-1-15 Property Location: 420 FISHERMANS BEACH ROAD, CUTCHOGUE (provide LILCO Pole #, distance to cross streets, and location) AGENT: EN-CONSULTANTS (If applicable) Address: 1319 NORTH SEA ROAD, SOUTHAMPTON, NY 11968 Phone:631-283-6360 Land Area (in square feet): 3,544 Area Zoning: R40 of Trustees Applicat~ GENERAL DATA Previous use of property: VACANT RESIDENTIAL - PRIVATE BOAT DOCKAGE Intended use of property: NO CHANGE Covenants and Restrictions: If "Yes", please provide copy. Yes X No 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 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): Install a 6' x 20' floating dock secured by (2) 8" diameter pilings and a 3' x 14' hinged ramp to be connected to existing bulkhead; and remove existing mooring piles as necessary, all as depicted on the project plan prepared by En-Consultants, dated April 20, 2012. ~ard of Trustees Applicati~[ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: To improve upon safety of existing dockage for owners croft by providing a seasonal ramp and float assembly to be attached to existing bulkhead. Area of wetlands on lot: 0 .square feet Percent coverage of lot: 0 % Closest distance between nearest existing structure and upland edge of wetlands: N/A feet Closest distance between nearest proposed structure and upland edge of wetlands: N/A feet Does the project involve excavation or filling? No X Yes If yes, how much material will be excavated? N/A cubic yards How much material will be filled? N/A cubic yards Depth of which material will be removed or deposited: N/A feet Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: N/A 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): The addition of the seasonal float within the confmes of the existing bulkheadad basin area, which is currently used for dockage of the owner's craft and amidst a series of other floating and fixed docks will have no impact on the adjacent tidal waters; there are no vegetated wetlands present at the site. PROJECT ID NUMBER PART 1- PROJECT INFORMATION ~1~ ~C~A BAXTER AND GOELLER FAIVIILY TRUSTS BY EN-CONSULTANTS 3. PROJECT LOCATION: Municipality CUTCHOGUE 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by A ~licant or Project Sponsor) 2. PROJECT NAME County SUFFOLK 4. PRECISE LOCATION: Street Address and Road Intersections. Prominent landmarks etc - or provide map 420 FISHERMANS BEACH ROAD, CUTCHOGUE, TOWN OF SOUTHOLD, SCTM # 1000-111-1 - 15 5. IS PROPOSED ACTION: [] New ~ Expansion [] Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: SEQR Install a 6' x 20' floating dock secured by (2) 8" diameter pilings and a 3' x 14' hinged ramp to be connected to existing bulkhead; and remove existing mooring piles as necessary, all as depicted on the project plan prepared by En-Consultants, dated April 20, 2012. 7. AMOUNT OF LAND AFFECTED: Initially 3,544 S.F. acres Ultimately 3,544 S.F. acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ]Yes [] No If no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) [] Residential ~ Industrial [] Commercial ~Agricalture ~ Park/Forest/Open Space [-~Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) [~Yes [K~ No If list name and permit / approval: yes, agency DEC, COE, DOS 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ~'~Yes [~ No If list name and permit / approval: yes, agency I~.~AS A R~J~LT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? I lyes [~x]No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name ROBERT E. HERRMANN, COASTAL MANAGEMENT SPECIALIST Date: APRIL 25, 2012 Signature If the action is a Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT ITo be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE { THRESHOLD IN 6 NYCRR, PART 617.47 If yes, coonJinate the rev{ew process and use the FULL EAF. ~ ~-] Yes [~No B. I/VILL ACTION ~¥E COORDINATED REVIEW AS PROVIDED FOR UNt. ISTEO ACTIONS IN 6 NYC~R, PART 617.6? If No. a negative dedacati(m may be supe~eded ~y anofhor Iflvsived agency: ~---~ Yes C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIA3ED WiTH THE FOI I.OWING: (.N~-'wem may be hand,al~ffefl, ~f legible) C1. E~sting air quality, surface or groundwater qualily o~ quantity, n~so levels, exi~ng traffic paaem, solid waste preduc[ion or disposal, pofengal for erosion, drainage or flooding problems? Ex, lain briefly: (;2. Aesth~ ~,k~g~al, a,-~L,~-u~vglcal, hisio~c, or othe~ nab~al or cultural resuames; or community o~ neighbedmed shara~or? Ex,lain briefly: C3. v,~et;tinn or fauna, fish, ~;,=;;~ or ,. ~;;;'~ r~edes, s;gi;;~.{ I~.~b~.di,~, or fb~ea(ened or endangored spede, s? Explain bdefly: I C4. A w...unffy's elasiing p sos Or goa s a~ offic[aily adopted, or a change i~ use of '-~=, ~;~, of use of [and or o6~er natuca! resources? Exp{ain b~[fly: C5 Growth, subsequent deve{opmenL or ~e!ated acfi~ies hkely to be induced by {he proposed a~o~9 Explain bnefly i C6. Long term. sho~'t term, CUmulative, or other effects not identified'i~l-C5? E. xp(ain briefly: ' ' l O VVlLL THE PROJEC~ HAVE AN iMPACT ON THE ENVIRONMENTAL CHARA~ERISTIC~ THAT CAUSED THE ESTABLISHMENT OF A CRITICA ENVIRONMENTAL AREA ICEA)? [---~Yes [~No J ' (If}~es'eXplainbriefl}': " Boa~ o~ ~stees Name Of Lead Agen~ Da~e , President P~I or T~ Name of Re~onsiSle Offi~r in Lead Age~ T~e of Res~nsib{e Signature or'Responsible Officer in Lead Agency Signa~uro of Preparer (If differea~ fi-om rospons~bk: officer) AUTHORIZATION (where the applicant is not thc owner) (print 6wner of property) rcsidingat ~; ~'/.5- _~ (mailing address) (Ag nO to apply for permit(s).from the Southold Board of Town Trustees on my b~half. Jmnes F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Brederaeyer Michael J. Domino Town Hall, 53095 Main Rd. P.O. Box I 179 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 WILLIAM & PATRICIA BAXTER AND GOELLER FAMILY TRUST COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, Robert E. He££n~'m , residing at/dba En-Consultants 1319 North Sea Road, Southampton, NY 11961~ being duly sworn, depose and say: That on the'~4>day of ~16'~'~ ,201, I personally posted the property known as 420 Fishermans B~ach Road, Cutchoque by placing the Board of Trustees official poster where 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. May 16~ 2012. Dated: (si~atu~re) Sworn to before me this 18th day of May 20 12 KlM H. SIEPHENS NOIARY PUULIC STATE OF NEW YORK ~OMMISSION NO. 5015931 QUALIFIES IN SUFFOLK COUNT EXPIRES AUGUST 2. 2O~Q NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES~ TOWN OF SOUTHOLD In the matter of applicant: SCTM# 1000-111-1-15 William & Patricia Baxter & Goeller Family Trusts YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: Install a 6' x 20' floating dock secured by (2) 8" diameter pilings and a 3' x 14' hinged ramp to be connected to existing bulkhead; and remove existing mooring piles as necessary, all as depicted on the project plan prepared by Eh-Consultants, dated April 20, 201Z 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 420 Fishermans Beach Road, Cutchogue 3. That the project which is subiect to Environmental Review under Chapters 96,111 and/or 275 of the Town Code is open to public comment on: DATE: MAY 16th, 2012 ~ 6:00 P.M. 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. William & Patricia Baxter & Goeller Family Trusts c/o William Baxter PROPERTY OWNERS NAME: 4995 Nassau Point Road MAILING ADDRESS: Cutchogue, NY 11935 PHONE#: 772-285-0877 AGENT: EN-CONSULTANTS MAILING ADDRESS: 1319 NORTH SEA ROAD, SOUTHAMPTON, NY 11968 PHONE #: 631-283-6360 Enc: Copy of sketch or plan showing proposal for your convenience. Name: PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Address: Elizabeth J. Homan Frank & Sandra Curran Robert Goeller, Goeller Family Trusts, etal. Kenneth & Irene Brower P.O. Box 738 Cutchogue, NY 11935 P.O. Box 739 Cutchogue, NY 11935 349 Ridgecrest Drive Santa Barbara, CA 93108 12 Mountain View Drive Northport, NY 11768 STATE OF NEW YORK COUNTY OF SUFFOLK RobertE. Herrmann 1319 North Sea Road Southampton, NY 11968 doing business at En-Consultants · being duly sworn, deposes and says that on the 27th day of April ,20 12 , 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 South~pton , that Sworn to before me this 27th day of ApDil ,20 12 SIEPHEN$ NOIARY PUBLI£ STATE DF NEW YORK ~OMMISSION NO. 5015931 OUALIFIED IN SUFFOLK COUNTY EXPIRES AL:GOSI 2, ~Dj~ Postmark Return Receipt Fee H~e (Endorsement Required) iso,,ro Elimbeth J. Homan ~;~: P.O. Box 738 ~ [~ Cutchogue, NY 11935 rLI ~.s~aro Frank & Sandra Curran ~ [~;'~: P.O. Box 739 p.~ Cutchogue, NY 11935 Horo Robert Goeller, Goeller Family Trusts, etal 349 Ridgecrest Drive Santa Barbara, CA 93108 I o O Postage ~ Ce.d~ed Feo tPF~ 2 7 2012 r"l Retum Receipt Fee r'"l (Endorsement Required) Here Restricted Delivery Fee (Endorsement Required) rtl o Sent To Kenneth & Irene Brower rn gir~t;~hr?~TF- 12 Mountain View Drive r,- ort'O~oxNo. Northport, NY 11768 AUTHORIZATION (where thc applicant is not thc owncr) (print 6wrier of ~erty) (mailing addresS) (Agent) ~'~ -~-6~'~Ot--D°~-~ to apply for permit(s).from the AUTIIORIZATION (wher~ the applicant is not Ibc owner) (print 6wn~r of prol~xty) ~,mm~ing address) . (Agent) to apply for permit(s).from the Southold Board of Town Trustees on my behalf. Owner's signature) Board of Trustees Application AUTHORIZATION (where the applicant is not fl~e owner) (print ~wncr of prop~y~ (mailing addrbss) (Agent) to apply for permit(s).from the Southold Board of Town Trustees on my b~half. Board of Trustees Application AUTHORIZATION (where the applicant is not Ibc owner) (print 6wrier of~a'opcrty) (mailing address) ~do hereby authorize (Agent) to apply for p~mJt(s).liom thc Southold Board of Town Trustees on my behalf. Owners signat~ ) ~c~ee. Board of Trustees Al~plication County of Suffolk Stat~ of New York ~ ( ~. t,,~ ~,. ~ x)/cr(fO'- BEING D~Y SWO~ DEPOS~ A~ AFF~S ~T ~S~ IS ~ ~PLIC~ FOR ~ ~0~ DESC~BED P~(S) TR~ TO ~ B~T OF ~ ~O~E~E ~ BEL~F, ~ ~T ~L WO~ ~L BE ~ ~ T~ ~ S~ FOR~ ~ ~S ~PLICA~ON A~ ~ MAY BE ~PRO~D BY ~ SO~O~ ~ ~ OF ~US~S. ~ ~PLIC~ AO~ES TO HOLD ~ TO~ OF SO--OLD ~S ~ ~E FROM ~ ~ ~L D~O~ ~ ~ ~S~O ~ER OR BY ~ OF ~PLICA~ON, I ~BY A~O~ ~ ~US~, ~ AG~(S) OR ~P~S~A~S), TO ~'1~ O~ P~S~ ~ CON~ON W~ ~W OF ~S ~PLICA~ON. SWORN TO BEFORE ME THIS DAY OF~~ .20 / ~ / No~9 Publi~ --~"";';" ""' 'A. S. DONOVAN ~- .'"od' Commission DO 804898 l~ Expires October 1, 20~2 Boar~ of Trustees A~plication 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 GILMNTED. IN COMPLETING THIS AP?UCATXO~, ~ HEREBY ^tm-IORIZE t~ TRUSTEES, nmn~ ^~ENT(S~ OR REPRESENTATIVES(S), TO ENTER ONTO MY PRO_~EE~ TO INSPECT THE PRESSES IN co~ro~c~o~ w~TH SWORN TO BEFORE ME THIS DAY OF Notary Public California Jurat Form State of California, County of J'~/~ ~4:L. ,~,J'~/~_r-~-- Subscribed and sworn to (or affirmed) before me on this ~ day of ~C'~ ruby , 20/__~, by /~o,~'~r'7z / ~o0 e//m../" ----'7'- / -- / / , proved to me on the basis of satisfactory evidence to be the person~) who appeared before me. (Seal) The following information is not required by law, but may be helpful to other parties relying on the document and may deter fraudulent activity if removed and reattached to another document. Title (or type) of Document: Number of pages (not including this page): 43~591 O0 t Board of Trustees A~plication County of Suffolk State of New York ~ 14 'N '~ 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 LrNDER 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 DAY OF 20__ Notary Public California Jurat Form State of California County of. ~,c;~,~ Subscribed and sworn to (or affirmed) before me on this (~ day of ~fc~r~ ,21Y ~ by ,.~3-O. Dp_ /~. ~'~o~.//-~./" ----'-7"-' proved to me on the basis of satisfactory evidence to be the person,O~ who appeared before (Seal) Signature ~ ~ The following information is not required by law, but may be helpful to other parties relying on the document and may deter fraudulent activity if removed and reattached to another document. Title (ortype) of Document: /~Oc~ Number of pages (not including this page): 43~59104il Board of ~us~:ees Al~4~a~on County of Suffolk State of New York Gt:~C ~'~'0'{' 1'~ '~,.t _i:~.~$-'~-~L3S'V- BEING D~Y SWO~ DE~S~ A~ AFF~ ~ ~S~ IS ~ ~PLIC~ FOR ~ ~O~ DESC~ED PE~T(S) A~ ~T ~L STA~ CO~D ~ ~ ~ TO ~ B~T OF ~R ~O~E~E A~ BEL~, ~ ~T ~L WO~ ~L BE ~ ~ ~ ~ SET FOR~ ~ ~S ~ICA~O~ ~ ~ ~Y BE ~PRO~D BY ~ SO--OLD ~ BO~ OF ~S~. ~ ~PLIC~ AG~ TO HOLD ~ ~ OF SOU~O~ ~ ~ ~ ~US~ES ~ESS ~ F~E FROM A~ ~ ~L D~GES A~ ~S ~S~G ~ER OR BY ~ OF S~ P~(S), ~ G~. ~ CO~G ~S ~PLICA~ON, I ~Y A~O~E ~ ~S~S, ~ AG~(8) OR ~P~E~ATI~(S), TO ~'~'~ O~ ~ PROPER~ ~ ~SP~ ~ · P~SES ~ CON~ON W~ ~W OF ~S ~PLICA~ON. SWORN TO BEFORE ME THIS DAY OF ,2O Notary Public; California Jurat Form State of California County of Subscribed and sworn to (or affirmed) before me on this q proved to me on the basis of satisfactory evidence to be the person(s,) who appeared before ~ (Seal) Signature '~~ ~ The following information is not required by law, but may be helpful to other parties relying on the document and may deter fraudulent activity if removed and reattached to another document. Title (or type) of Document: /~0o~o Number of pages (not including this page): ~ oE T~'ustees Application County of Suffolk Statc of New York SWORN TO BEFORE ME THIS DAY OF ,2o.I Notary Public California Jurat Form State of California County of J~o,o-/~ Subscribed and sworn to (or affirmed) before me on this ~ dayof ~-~_~r(Yc~ , 20/,Y-by ~-,c~7~. Z~' ~/'o.e.//~ / / proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. (Seal) Signature '"-~g~,._~ ~ The following information is not required by law, but may be helpful to other parties relying on the document and may deter fraudulent activity if removed and reattached to another document. Title (or type) of Document: Z~oord o -ff ~'-~'J 7Z~Z./ Number of pages (not including this page): ,.~ 43 ,.59 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM T~e Town of Southold/s Code of Eibics m-ohibit s conflicts ofintercet on tho anrt of tovm officers and emvtovees. The oorcose of this form is to orovide information which c~n alert the town of cossible conflicts of interest and allow it to tske whatever action is (Last name, tim name, middle 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 (If"Other", name the activity.) Do you personally (or threngh your compeny, spouse, sibling, pmant, or child) have a relationship with any officer or employee of ibc 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 ~mployee has even a partial ownership of(or employment by) a coqreration in which the town officer or employee owns more than :5% of the shares. YES NO If you answered "YES", complete the helance of this form and date and sign where indicated. Name of pereon employed by the Town of Soethold Title or position of that pereon Desefihe the relationship between yourself (the applieaet/ngent/represenialive) 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 owanr of g~ater than 5% of the shaves of the corporate s~:k of the applicant (when the applicant is a coq~oratinn); B) the Ingal or bcoeficlal owner of any inte~st in a non-corporate entity (when the applicant i~ not a corpemtion); __C) an officer, director, pmmer, or employee of the applicant; or __D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 Submitted thi~ ~ ,day Signature ~ ~ Print Name q Town of Southold A. LWRP CONSISTENCY ASSESSMENT FORM INSTRUCTIONS 1, 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 o£ 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. 2. 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- supportine facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. SCTM# 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. DESCRIPTION OF SITE AND PROPOSED ACTION 111 I ~ 15 PROJECT NAME WILLIAM & PATRICIA BAXTER AND GOELLER FAMILY TRUSTS BY EN-CONSULTANTS The Application has been submitted to (check appropriate response): TownBoard [--] PlanningBoard~] 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: Nature and extent of action: Install a 6' x 20' floating dock secured by (2) 8" diameter pilings and a Y x 14' hinged ramp to be connected to existing bulkhead; and remove existing mooting piles as necessary, all as depicted on the project plan prepared by En-Consultants, dated April 20, 2012. Location of action: 420 FISHERMANS BEACH ROAD, CUTCHOGUE Site acreage: 0.08 ACRE Present land use: VACANT-RESIDENTIAL, PRIVATE BOAT DOCKAGE Present zoning classification: R-40 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: WILLIAM & PATRICIA BAXTER AND GOELLER FAMILY TRUST (b) Mailing address: c/o WILLIAM BAXTER, 4995 NASSAU POINT ROAD CUTCHOGUE, NY 11935 (c) Telephone number: Area Code 772-285-0877 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [~ No [--] If yes, which state or federal agency? DEC & CORPS C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. ~Yes ~ No ~ 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 Southoid. See LWRP Section lll - Policies Pages 16 through 21 for evaluation criteria ~ Yes ~-~ No ~ Not Applicable The proposed float will be constructed with untreated timber decking and will be removed seasonally to minimize any possible potential impacts on water quality. 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 Applicable The subject and adjacent shorelines are fu~lkheaded; and there are no vegetated wetlands or other aquatic vegetation present at or adjacent to the site. The proposed float will be constructed with untreated timber decking and will be removed seasonally; the float will not extend any farther seaward then the adjacent bulkhead to the west and will be located well landward of the adjacent fixed dock to the west; and the site is already used for boat dockage, so there is no change in use proposed. The project conforms to the standards and policies set for by Chapter 275 of the Town Code and Article 25 of the NYS Environmental Conservation Law and will thus be consistent with Policy 6. 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 ~ Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation 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 The proposed seasonal ramp & float assembly will neither preclude nor otherwise impact or affect public access to or recreational use of the adjacent waterway. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's wad~deoendent uses and promote sitin~f new water-dependent suitable locations. See LWRP Sec~n III - Policies; Pages 47 through 56 for evaluation criteria. ~] Yes ~] No [~ Not Applicable uses in Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peeonie Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. [---] Yes [--] No [~ Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. [---] Yes ~] No ~ Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. [--] Yes [---] No [5~ Not Applicable PREPARED BY O~E R ~ '[IERRMANN Amended on 8/1/05 TITLEcoASTAL MGMT SPECIALIST DATE April 25, 2012 EN-CONSULTANTS 1319 North Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 www. enconsultants.com ENVIRONMENTAL CONSULTING April 24, 2012 Town of Southold Board of Trustees 54375 Main Road Post Office Box 1179 Southold, New York 11971 Attn.: Lanren Standish William & Patricia Baxter & Goeller Family Trust 420 Fishermans Beach Road, Cutchogue SCTM #1000-111-1-15 Dear Ms. Standish: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: 1. Three (3) Wetland Permit Applications including: a) Short Environmental Assessment Form; b) Authorization & Disclosure Forms; c) project plans; and d) survey. 2. One (1) set of site photographs. 3. Application fee of $250.00 wetlands. 4. Three (3) LWRP Consistency Assessment Forms including: a) project plan. I trust this information shall allow you to process our permit request. Should any additional information be required, please do not hesitate to contact our office. Sincerely,/(~_. ~ ' ~~ Robert E Herrm ' Coastal Management Specialist /khs Enc. H o ywote EX. TIE-OFF PILES TO BE REMOVED rs Cove PROP. 8" PILE (TYP.) x 20' FLOAT LITTLE HOG NECK 1"= 30' HOywo ers J~ O o d E N- CONSULTANTS 1319 NORTH SEA RD, SOUTHAMPTON, NY 11968 631-?mt-6~xO PROFO~P RAMP ANP PLOAf POl~ WILLIAM ANP PATRICIA BAX11~R ANP F_.~f. LLI~R FAMILY 11~U~f~ ON HAYWAI'¢I~5 CO~, C:LIfCHOfiI~, .SLIPPOLK CO,, NY ~tl~l~f I OP I SURVEY' OF P/O LOT 2-/ "SUB, DIVISION HAP OF PECONIC, BA"¢ PROPERTIES, Inc.." PILED IN THIE OFFIC, E OF THE C, LEP-.K. OF: Ek.q=f=OLK C. OUNTY APRIL 15, IqDI A5 HAP NO. 5rl'IJATE.. NASSAU POINT TOI, NN -..50UTHOLD SUFFOLK C, OUNTY, I¢1' 5¢JP-.VE'flED': AUGUST 24, 2OII UP~ATEP: APRIL 17, 2OI2 SUFFOLK COUNTY TAX :lt. IOOO - III - I - 15, P~PARt~ NOR: ~ J J~ $. BAX-IIt~ /'/'~ J/ l'l" ~i ~ e t.s N W '"+E S NOTES~ O PIPE FoM'qD DII'dIENSIONS SHOINN THU~ X-D6" AI~.E PEF:q-H5 t;PdEPFt:~.ENC, IN® LOINL::~. LO~ INATtER A5 0.0" AS P-.EC, ORDEE) ON 4./'¢/2012 AP. EA = ~544 S.F. ®P-.APHIC SCALE 1"= 20' JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.C:\UsersUolm~h-opbox\ 11\11-107.pro