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HomeMy WebLinkAboutTR-8004 John M. Bredemeyer III, President �*OF SO(/j�Q Town Hall Annex Michael J. Domino,Vice-President �� l0 54375 Main Road P.O.Box 1179 James F. King,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee G Q Charles J. Sanders,Trustee 'Q Telephone(631) 765-1892 �yCOUFax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE-OF COMPLIANCE # 0981C Date: May 21, 2014 THIS CERTIFIES that the construction of a.40' navy style bulkhead in-place of existing small stone revetment; construction of(2) 10' vinyl returns along property line; backfill; construction of 5'x5' platform with 4'x7' stairs to beach; 10' wide splash pad landward of bulkhead At 580 Terry Path, Mattituck,New York Suffolk County Tax Map # 123-6-20 Conforms to the application for a Trustees Permit heretofore filed in this office Dated December 21, 2012 pursuant to which Trustees Wetland Permit#8004 Dated January 23, 2013,was issued and Amended on October 16, 2013 and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the construction of a 40' navy style bulkhead in-place of existing small stone revetment; construction of(2) 10' vinyl returns along property line; backfill; construction of 5'x5' platform with 4'x7' stairs to beach; 10' wide splash pad landward of bulkhead. The certificate is issued to KEVIN WHITROCK owner of the aforesaid property. Authorized Signature 0 i John M. Bredemeyer 111,President �gufF94 Town Hall,53095 Main Rd. Michael J. Domino,Vice-President �� COV% P.O.Box 1179 James F. King y Southold,NY 11971 Dave Bergen Telephone(631)765-1892 Charles J.Sanders y��l �a�! Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE F INSPECTION: /t'I�9Y Rt ZZ Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1 st day of construction '/ constructed Project complete, compliance inspection. INSPECTED BY: COMMENTS: CERTIFICATE OF COMPLIANCE: (� James F.King,President O�@gUFFO(,t cO Town Hall,53095 Main Rd. Bob Ghosio,Jr.,Vice-President �� �'Cy P.O.Box 1179 Dave Bergen H Southold,NY 11971 John B redemeyer �y ~ �p�` Telephone(631)765-1892 Michael J.Domino 1 �v 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 James F. King, President ��►OF S�Uljf/O Town Hall Annex Bob Ghosio,Jr.,Vice-President �� lQ 54375 Main Road P.O. Box 1179 Dave Bergen Southold, New York 11971-0959 John Bredemeyer G A Telephone (631) 765-1892 Michael J. Domino OIyCOUNT1 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 16, 2013 Ms. Agena Rigdon DKR Shores, Inc. PO Box 488 Hampton Bays, NY 11946 RE: KEVIN WHITROCK 580 TERRY PATH, MATTITUCK SCTM# 123-6-20 Dear Ms. Rigdon: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, October 16, 2013: RESOLVED, that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#8004 to construct a 5'x5' platform with 4'x7' stairs to beach; and as depicted on the revised site plan prepared by DKR Shores, Inc., last dated September 26, 2013 and stamped approved on October 16, 2013. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, )^--" cz'e7/f James F. King President, Board of Trustees JFK:amn I APPROVED BY BOARD OF TRUSTEES TOWN OF SOUTHOLD DATE f 3 PROPOSED j D D r. 2 EX. BLKD I STY COTTAGE rn / N/F LASCELLE j O i �i z o GARAGE QOrop.5'x5' ITczi I STY COTTAGE (�'� jplatform&4 ` ' steps 100 1 j Lwalkway 1 EX.CONC./STONE \/ \ t RETAINING WALL N/F NORRIS V j EX. TIMBER BLKD ' j Ili j APPLICANT PROPOSES MODIFY PERMIT NO. j 8004 TO CONSTRUCT A 5'X5' PLATFORM LEADING TO 4'X 7' BEACH ACCESS STEPS IN LIEU OF THE PREVIOUSLY APPROVED.AT GREAT PECONIC BAY, 580 TERRY PATH, MATTITUCK,TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK. Applicant: Kevin Whitrock Location: 580 Terry Path, Mattituck Purpose: Bulkhead Construction Datum: Apparent Low Water S.C.T.M.NO. 1000-123-6-20 LOCUS: 4005853" 72°31'17" DKR SHORES INC, P.O. BOX 488 26 Sept '13 � SCALE1 30' HAMPTON BAYS, N.Y. 11946 SHEET 1 OF 2 r code compliant SFD timber cap railing �- - 20' -� Prop. 5'x 5' ° roc splasfi ° Platform and on filter fabric ° N 4'x 7' beach —� < x access r Z 0) steps ° C n24' TO HW v N >Cn — N; r- 42' TO ALW Cn Cn p BEACH — m G) C v APPLICANT PROPOSES MODIFY PERMIT NO. 8004 TO CONSTRUCT A 5'X5' PLATFORM LEADING TO z 4'X 7' BEACH ACCESS STEPS IN LIEU OF THE PREVIOUSLY APPROVED. AT GREAT PECONIC BAY, 580 TERRY PATH, MATTITUCK, TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK. Applicant: Kevin Whitrock Location: 580 Terry Path, Mattituck Purpose: Bulkhead Construction Datum: Apparent Low Water S.C.T.M.NO. 1000-123-6-20 LOCUS: 40°58'53" 72°31'17" DKR SHORES INC, P.O. BOX 488 26 Sept '13 SCALE 3/8"= 1 HAMPTON BAYS, N.Y. 11946 SHEETJOF 2 James F.King,President y Town Hall Annex Bob.Ghosio,Jr.;Vice-President u• 54375 Route 25,P.O.Box 1179 Dave Bergen '�,�,` Southold,NY 11971 John Bredemeyer K!,( a Telephone(631)765-1892 Michael J.Domino Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: D S bra ., in C- .4 r 1�kAfin L.()hESci_ Please be advised that your application dated 6 3 f has been reviewed by this Board at the regular meeting-of D . 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) x 1 sc Day of Construction ($50.00) % Constructed ($50.00) Final Inspection Fee ($50.00). Dock Fees($3.00 per sq. ft.). Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed.below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The fbHowil lg.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: $ BY: James F. King, President Board of Trustees gllf FOIA. James F.king,President ��� �'� P.O.Box 1179 Bob Ghosio,Jr.,Vice-President �+ � Southold,NY 11971 Dave Bergen ? Telephone(631 765-1892 John Bredemeyer �. Fax(631)765-6641 Michael,I. Domino Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: /0)l / - DKR Shores, Inc. on behalf of KEVIN WHITROCK requests an Administrative Amendment to construct a 5'x5' platform with 4'x7' stairs to beach. Located: 580 Terry Path, Mattituck. SCTM# 123-6-20 Type of area to be impacted: ' _Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: _Chapt.275 Chapt. 111 other Type of Application: Wetland _Coastal Erosion _Amendment Administrative_Emergency Pre-Submission Violation Info needed: Nd Modifications: Conditions: Present Were: __'---J. King Ghosio Bergen, ✓J. Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: James F.King,President O�ogUFfQ(�CO Town Hall,53095 Main Rd. Bob Ghosio,Jr.,Vice-President � Gd P.O. Box 1179 Dave Bergen y Southold,NY 11971 John Bredemeyer S '•F Telephone(631)765-1892 Michael J. Domino y�Oj A* � Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 19V G'` -?-- ;?-J /3 Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1 st day of construction '2 constructed Project complete, compliance inspection. INSPECTED BY: COMMENTS: ` T M /Y1 - CERTIFICATE OF COMPLIANCE: a James F.King,President ��0f SDUrTown Hall Annex yO 54375 Main Road Bob Ghosio,Jr.,Vice-President P.O.Boa 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer 4 � p Telephone(631)765-1892 Michael.J.Domino lye Fax(631)765-6641 BOARD OF TOWN TRUSTEE d�,? TOWN OF SOUTHOLD SEP 302013 APPLICATION FOR AN AMENDMENT TO A T DATE OWNER JVV O wh fro PHONE � 770 ADDRESS 319 Gam✓+ Al �-1� '� Iyr I e 0 f) - - y AGENT &%Lj (��l'1 PHONE A0 ADDRESS PD -.96')(')( `f Og N 1 17 u PROPERTY LOCATION 59 0 TAX MAP NO. UWe 9.1,0JI A � -request an Amendment to Permit# Fd to A I t' �2y5 At �r� ��Du.S/� c��Yd✓� Signed By' James F. King,President o�gg�FFO(t� Town Hall,53095 Main Rd. Bob Ghosio,Jr.,Vice-President a� lly P.O.Boz 1179 Dave Bergen Southold,NY 11971 John Bredemeyer �yTelephone(631)765-1892 Michael J.Domino �! 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 15t day of construction _ %constructed. Project complete, compliance inspection 0 0 James F. King, President ��rjF SO�ryo Town Hall Annex Bob Ghosio,Jr.,Vice-President �� l� 54375 Main Road P.O. Box 1179 Dave Bergen Southold, New York 11971-0959 John Bredemeyer G C Michael J. Domino ' �� Telephone (631) 765-1892 �1COUNTI,N Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 16, 2013 Ms. Agena Rigdon DKR Shores, Inc. PO Box 488 Hampton Bays, NY 11946 RE: KEVIN WHITROCK 580 TERRY PATH, MATTITUCK SCTM# 123-6-20 Dear Ms. Rigdon: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, October 16, 2013: RESOLVED, that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#8004 to construct a 5'x5' platform with 4'x7' stairs to beach; and as depicted on the revised site plan prepared by DKR Shores, Inc., last dated September 26, 2013 and stamped approved on October 16, 2013. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, James F. King President, Board of Trustees JFK:amn James F.King,President y Town Hall Annex Bob.Ghosio,Jr.,Vice-President u- 54375 Route 25,P.O.Box 1179 Dave Bergen �y Southold,NY 11971 John el J.Domanemeyer y� �@ Telephone(631)765-1892 Michael J.Domino *R Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF�SOUTROLD TO: �_ s�nb►%S , Zi�1C- t7�f' I( \)IYl L )i-1&C Please be advised that your application dated b is 3 has been reviewed by O Board at the regular meeting of D and your application has been approved pending the completion o the ollowtng items checked off below_ Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) ls� Day of Construction ($50.00) '/z Constructed ($50.00) Final Inspection Fee ($50.00) Dock Fees($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computedbelow according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The foQowing fee must be paid within 90 days or re-application fees will be necessary. You will mceive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ S� O BY: James F. King, President Board of Trustees Ir JamSUFFO(es F_King,President �� C' P.O.Box 1179 Bob Ghosio, Ir.Vice-President ��� `S Southold,NY 11971 Dave Bergen M ? Telephone(631 765-1892 John Bredemeyer ,y � Fax(63 1)765-6641 ap Michael I. Domino `F Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: /04`9// s DKR Shores, Inc. on behalf of KEVIN WHITROCK requests an Administrative Amendment to construct a 5'x5' platform with 4'x7' stairs to beach. Located: 580 Terry Path, Mattituck. SCTM# 123-6-20 Type of area to be impacted: _Saltwater Wetland _Freshwater Wetland _Sound _Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: _Chapt.275 _Chapt. 111 _other Type of Application: _Wetland Coastal Erosion _Amendment _Administrative_Emergency —Pre-Submission Violation Info needed: /L,,a /-, Modifications: Conditions: Present Were: _ "'--J. King Ghosio D. Bergen, ✓J. Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: _ Date: 0 0 James F. King,President �%ofFAIt Town Hall,53095 Main Rd. Bob Ghosio,Jr.,Vice-President P.O. Box 1179 Dave Bergen Southold,NY 11971 John Bredemeyer �y '� Telephone(631)765-1892 Michael J. Domino f .�'D� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: /94. - Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1st day of construction constructed Y roject complete, compliance inspection. INSPECTED BY: COMMENTS: (�C x/d -I- M Al n a CERTIFICATE OF COMPLIANCE: APPROVED BY BOARD OF TRUSTEES TOWN OF SOUTHOLD DATE ( 0 3 PROPOSED D BLKD 1 STY COTTAGE N/F LASCELLE -n 0 Pt 1- 0 O _Zo GARAGE Prop.5'x5' Z 1 STY COTTAGE Platform&4'x n isteps !, W DE walkway W EX.CONC./STONE \ F� RETAINING WALL N/F NORRIS \V/ I '.. FEX. TIMBER BLKD ,I APPLICANT PROPOSES MODIFY PERMIT NO. 8004 TO CONSTRUCT A 5'X5' PLATFORM LEADING TO 4'X T BEACH ACCESS STEPS IN LIEU OF THE PREVIOUSLY APPROVED. AT GREAT PECONIC BAY, 580 TERRY PATH, MATTITUCK, TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK. Applicant: Kevin Whitrock Location: 580 Terry Path, Mattituck Purpose: Bulkhead Construction Apparent arent Low Water � S.C.T.M A O. 1000-123-6-20 LOCUS: 40058'53" 72°31'17" DKR SHORES INC, P.O. BOX 488 26 Sept '13 SCALE 1 "= 30' HAMPTON BAYS, N.Y. 11946 SHEET 1 OF 2 I code compliant S F D timber cap railing 20' — Prop. 5'x 5' roc splasA – Platform and on filter fabric N 4'x 7' beach < X access 4' steps o CD D _ 24' TO AHW N -0 E N F 42' TO ALW (n Z = BEACH — m 0O M C: D APPLICANT PROPOSES Cl) MODIFY PERMIT NO, 8004 D TO CONSTRUCT A 5'X5' _ PLATFORM LEADING TO z 4'X T BEACH ACCESS STEPS IN LIEU OF THE PREVIOUSLY APPROVED. AT GREAT PECONIC BAY, !, 580 TERRY PATH, MATTITUCK, TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK. Applicant: Kevin Whitrock Location: 580 Terry Path, Mattituck Purpose: Bulkhead Construction Datum: Apparent Low Water S.C.T.M.NO. 1000-123-6-20 LOCUS: 40°58'53" 72031'17" DKR SHORES INC, P.O. BOX 488 26 Sept '13 SCALE 3/8"= 1 HAMPTON BAYS, N.Y. 11946 SHEETAOF 2 Al James F.King,President x\OE so Town Hall Annex Bob Ghosio,Jr.,Vice-President h%� dip P O6 Boa 11Main 79 d Dave Bergen # * Southold,New York 11971-0959 John Bredemeyer .� Telephone 1)76 766-1892 Michael J.Domino � Fax(63n 785.6641 J DGY� ?_q D D BOARD OF TOWN TRUSTEE TOWN OF SOUTHOLD SEP 3 0 2013 APPLICATION FOR AN AMENDMENT TO A T DATE q -a In -13 OWNER Vv v;n whi fireG- PHONE of , 770 ADDRESS 9/9 CVOK-- `JD-f -k &Ve, )ViIIP , n AGENT tC1,649S&& 1,64 S D / PHONE S-1011 - 110 ADDRESS �D Be`r� 1 og, N J, L PROPERTY LOCATION 590 T rry � h TI��, i fl�r TAX MAP NO. Z3 �D UWe a �(�qf�t� request an Amendment to Permit# lyd b tom /loti 6,- e�7cm�s f o� S 'xS `Ol�fM • �rPv�ous/y c��d✓ate( - su�Foc�- James F. King,President �p� COG Town Hall,53095 Main Rd. Bob Ghosio,Jr.,Vice-President c y� P.O.Box 1179 Dave Bergen W = Southold,NY 11971 John BredemeyerTelephone(631)765-1892 Michael J.Domino O( dap! 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 151 day of construction constructed Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 8004 DATE: JANUARY 23, 2013 ISSUED TO: KEVIN WHITROCK PROPERTY ADDRESS: 580 TERRY PATH, MATTITUCK SCTM# 123-6-20 I AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on January 23 2013,and in consideration of application fee in the sum of$250.00 paid by Kevin Whitrock and subject to the Terms and I Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct a 40' navy style vinyl bulkhead in-place of existing small stone revetment; to construct (2) 10' vinyl returns along property line; to backfill structure with approx.35 cy. of clean sand trucked in from an upland source; to establish a 10' stone splash-pad on filter fabric immediately landward of new bulkhead; and as depicted on the site plan prepared by DKR Shores, Inc., last dated December 19, 2012 and stamped approved on January 23, 2013. 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. Go toe I i I � I I TERMS AND CONDITIONS The Permittee Kevin Whitrock residing at 580 Terry Path Mattituck,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: I. 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. 2. 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. 3. 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. 4. 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. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. 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. 7. 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. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. 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 OF S0(/)y Town Hall Annex Bob Ghosio,Jr.,Vice-President ,�0� ��� 54375 Main Road P.O. Box 1179 Dave Bergen Southold, New York 11971-0959 John Bredemeyer i • Telephone(631) 765-1892 Michael J. Domino 1 Fax(631) 766-6641 OOUNiY,�c� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 23, 2013 Ms. Agena Rigdon Hoffman DKR Shores, Inc. PO Box 488 Hampton Bays, NY 11946 RE: KEVIN WHITROCK 580 TERRY PATH, MATTITUCK SCTM# 123-6-20 Dear Ms. Hoffman: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, January 23, 2013 regarding the above matter: WHEREAS, DKR Shores, Inc. on behalf of KEVIN WHITROCK 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, 2012, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on January 23, 2013, 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 0 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of KEVIN WHITROCK to construct a 40' navy style vinyl bulkhead in-place of existing small stone revetment; to construct (2) 10' vinyl returns along property line; to backfill structure with approx. 35 cy. of clean sand trucked in from an upland source; to establish a 10' stone splash-pad on filter fabric immediately landward of new bulkhead; and as depicted on the site plan prepared by DKR Shores, Inc., last dated December 19, 2012 and stamped approved on January 23, 2013. 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 Ve�ry�truly yours, CZ James F. King President, Board of Trustees JFK/amn 0 ��o�ti5UfF0(�-coG James F. King,President H Town Hall Annex Bob Ghosio,Jr.,Vice-President Q 54375 Route 25,P.O.Box 1179 Dave Bergen .� Southold,NY 11971 John Bredemeyer Telephone(631)7654892 Michael J. Domino Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: D KK ,Shbres , Inc, Y Ke.�)in 1A)k 4mrk Please be advised that your application dated Z 2 Z-- has been reviewed by this Board at the regular meeting of 13 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) 1" Day of Construction ($50.00) Yz Constructed ($50.00) 1/ Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: Fi'00 tns�echon � -�SD . L�b TOTAL FEES DUE: BY: James F. King, President Board of Trustees (V)oo IT c1 I-, �9��gpFFQ(,l-COG h 'f+ Peter Young,Chairman CM ti d. Town Hall,53095 Main R Lauren Standish, Secretary 19. P.O.Box 1179 dy� ♦ ! Southold,NY 11971 Telephone(631)765-1892 J� Fax(631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., January 16, 2013 the following recommendation was made: Moved by Peter Young, seconded by Doug Hardy, it was RESOLVED to NOT SUPPORT the Wetland Permit application of KEVIN WHITROCK to construct a 40' navy style vinyl bulkhead in place of small stone revetment; construct (2) 10' vinyl returns; backfill with 35 cy. clean sand and establish a 10' buffer with stone and splashpad. Located: 580 Terry Path, Mattituck. SCTM#123-6-20 Inspected by: Jack McGreevy, William McDermott, Audrey Horton The CAC does Not Support the application as submitted as recommends the rock revetment is enhanced and replanted with native vegetation, pending clarification on the legal status of new bulkheads. Vote of Council: Ayes: All Motion Carried j ,1f ( _EVE 1 I L i a , k ?o a # Y r+E`W-i l Y. ' I �� Y ^ y _ a 1 -� 7iNg Ilk IT • ' , F ti J ys �Y :1' James F_King,President ,L��p�gUf FQ(M C� P.O. Box 1179 Bob Ghosio,.Jr.,Vice-President + d Southold.NY 11971 Dave Bergen Telephone(63 1 765-1892 John Bredemeyer t�,r, y; Fax(63 1)765-6641 Michael J.Domino Southold Town Board of Trustees Field Ins pectionMorksess ion Report Date/Time: / A /3 DKR Shores, Inc. on behalf of KEVIN WHITROCK requests a Wetland Permit to construct a 40' navy style vinyl bulkhead in-place of existing small stone revetment; to construct (2) 10' vinyl returns along property line; to backfill structure with approximately 35 cubic yards of clean sand trucked in from an upland source; to establish a 10' stone splash-pad on filter fabric immediately landward of new bulkhead. Located: 580 Terry Path, Mattituck. SCTM# 123-6-20 TYRO of area to be impacted: /Saltwater Wetland _Freshwater Wetland _Sound _Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: _Chapt.275 _Chapt. 111 _other Type of Application: Wetland _Coastal Erosion _Amendment —Administrative—Emergency Pre-Submission Violation Info needed: Modifications: Conditions: Presept Were: J. King/B. Ghosio / D. Bergen, /J. Bredemeyer -� Michael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: �r r � K tp. Aw r 46 mill Tn� l a m 4 owl � •orf•- ���,,,,�/.. ;�+�• � � y � '� �'.. Tv a�� y 4r- Alt., Ti , k Mai& � a { 1 ,r IN � f� .b-WV -S nl Avatloid laatl (2) Nioj�nsAo�noo 1Il9 4 w • O61 S w 1 fi, n • w n, r -w y o- m e` w• r( A� f 4 ^a Ai3La i mtw,rc�asme.r • ff �,wnt w te, e N . c mfoce® wmv p - axn- �------_warm s„ an ass a wa3asss ®f,m ein i.W3aom -.- � :: .:_ _.. •- _ _.r a -� TPN -.................,..-. av err •~__ -. •-- _.. —___ we.mr xi _..s ,e OFFICE LOCATION: O���F soUTyol MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 N Telephone: 631 765-1938 • �O Fax: 631765-3136 00UNTV,� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM ID E Q �, C %'17 LF,- ,--- --- -fat; To: Jim King, President JAN 1 8 2013 Town of Southold Board of Trustees Southold lom From: Mark Terry, Principal Planner ©card ofTnis(co, LWRP Coordinator Date: January 16, 2013 Re: Proposed Wetland Permit for KEVIN WHITROCK SCTM#1000-123-6-20 DKR Shores, Inc. on behalf of KEVIN WHITROCK requests a Wetland Permit to construct a 40' navy style vinyl bulkhead in-place of existing small stone revetment; to construct (2) 10' vinyl returns along property line; to backfill structure with approximately 35 cubic yards of clean sand trucked in from an upland source; to establish a 10' stone splash-pad on filter fabric immediately landward of new bulkhead. Located: 580 Terry Path, Mattituck. SCTM# 123-6-20 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. 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 ' OriS�nc�1 James F.King,PresidentOOF sv�ryol • Town Hall Annex Bob Ghosio,Jr.,Vice President 54375 Main Road P.O.Box 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer G Q �. •OOUMY, �O Telephone(631) 765-1892 Michael J. Domino O Fax(631) 765-6641 N� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permit /Received r/E tension Received Application: 2. II�Received Fee:$ 0 Completed Application 2.1 if2 _Incomplete SEQRA Classification: 2 ZJ'IZ Type IType IIUnlisted D Coordination:(date sent) -7LWRP Consistency Assgssmat Forgr 1VCAC Referral Sent: I I / (�✓ _Date of Inspection:�{T _Receipt of CAC Report: _Lead Agency Determination: echnical Review: Public Hearing Held: 3 - Resolution: 1[ lVV,�1 j_ Name of Applicant Key',n Ilt+rock Mailing Address 318 Court N �+K � er ,Yikihc_ N .li1 111 4, Phone Number:( ) (off 1 — 9 g - r1°) D D Suffolk County Tax Map Number: 1000 - `ra-3 �Ip " 2 D Property Location: 52 o Terry Po tk rV\o, 1 - A +Uc V_ (provide LILACO Pole#, distance to cross streets, and location) AGENT: /t wo, �tlodm I4pf"anr) I r_% R 51w s?-nC, (If applicable) I i v Address:—P ,D a X Li g ( Na.nlp �'A N-"A S N1 1\9 9 4 Phone: (e)\ — S co IO — (a �0 01 kfshofes co r p @ aol . Czyy� COPA 5b\ C 1 111,3 �ard of Trustees Application GENERAL DATA Land Area (in square feet): Area Zoning: Cs1 m co Previous use of property: ` cJ} CQ X q e Intended use of property: 59-M(2. Covenants and Restrictions on property? Yes V/ No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes __VNo If"Yes",be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. / Does this project require a variance from the Zoning Board of Appeals? Yes V No If"Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes ,/ No Does the structure (s) on property have a valid Certificate of Occupancy? Yes No Prior permits/approvals for site improvements: Agency Date V No prior permits/approvals for site improvements. / Has any permit/approval ever been revoked or suspended by a governmental agency? V No Yes If yes, provide explanation: AVSD Op Project Description (use attachments i necessary): �( +� ( Vin I ) n�I�cn,M Pry fa (`t5nshi)C:k a `i0' 00vJ bn1 ho(1J In p)Xio, 6 reVei- ent . Tn CbYl�trt�c� �2� ID 'v`l�.�l r__� eiymS I�nrk�;il wl3 S cy clew Sa.i�C.l a es�nb�t51� o_ \�` bu��e,rlS�n� s�ola5hpad Board of Trustees, Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: FY05bn M � a �I (_0 nrn�po�t)n a resjenre/ *rl b\1 t WCaiPQ� 9D% � v Area of wetlands on lot: nW, square feet Percent coverage of lot: h a Closest distance between nearest existing structure and upland edge of wetlands: 9q I feet Closest distance between nearest proposed structure and upland edge of wetlands: � I , feet Does the project involveexcavation or filling? No \// Yes If yes, how much material will be excavated? ' cubic yards How much material will be filled? 35 cubic yards 1 � 1 Depth of which material will be removed or deposited: r) 00.- feet Proposed slope throughout the area of operations: : 1 Manner in which material will be removed or deposited: r-lea 15 cyj �x baak--G 11 +fL)CkQ 'n 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): Proper sY)Qt� Myo- no noa - iye, i v _5m� �u C� eYs /we-- I awls of the -TpA�\ Dk dui 4 holol 617.20 • Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I-PROJECT INFORMATION To be completed by Applicant or Project Sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME KEVIN WHIFROCK BULKHEAD PROPOSAL 3. PROJECT LOCATION: Municipality SOUTHOLD/MATTITUCK County SUFFOLK 4. PRECISE LOCATION(Street address and road intersections,prominent landmarks,eta,or provide map) 580 TERRY PATH LOCATION MAP AND SURVEY ENCLOSED SCTMNO. 1000-123-6-20 5. PROPOSED ACTION IS: Q New [] Expansion Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: APP PROP TO CONST.A 40'NAVY STYLE BLKD IN PLACE OF EX SMALL STONE REVETMENT,TO CONST(2) 10' VINYL RETURNS ALONG P L,TO BACKFILL STRUCTURE WITH 35 CY OF CLEAN SAND,TO ESTABLISH A 1 O'STONE SPLASH PAD ON FILTER FABRIC IMMEDIATELY LANDWARD OF BLKD, 7. AMOUNT OF LAND AFFECTED: initially 0 acres Ultimately acres 6. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ❑1 Yes ❑ No If No,describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ❑7 Residential M Industrial Commercial Agriculture F] Park/ForestiOpen Space [] Other Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING,NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL,STATE OR LOCAL)? 0 Yes ❑ No If Yes,list agency(s)name and permittapprovals: SOUTHOLD 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑ Yes 0 No If Yes,list agency(s)name and permit/approvals: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? Yes Z No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicantfsponsor name: AGENA RIGDON HOFFMANN AS AGENT Date: ja '� U "/ .- Signature: Z.44f If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 Reset 0 PART II - IMPACT ASSESSMENT o be completed by Lead Agency) A. DOES AC'nON EXCEED ANY TYPE 1 THRESHOLD IN 6 NYCRR,PART 617.47 If yes,coordinate the review process and use the FULL EAF. ElYes Q No S. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.67 If No,a negative declaration may be superseded by another involved agency. E] Yes ❑� No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,If legible) C1. Existing air quality,surface or groundwater quality or quantity,noise levels,existing traffic patten,solid waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly: C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly: C3. Vegetation or fauna,fish,shellfish or wildlife species,sGri ficant habitats,or threatened or endangered species?Explain briefly: C4. A community's existing Plans or goals as officially adopted,ora change in use or intensity of use of land or other natural resources?Explain briefly: ..... C5. Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly: C6. Long term,short term,Cumulative,or other effects not identified in C1-05? Explain briefly: C7.Other impacts(including chap es in use of either quantity or type of ener9p. Ex)Iain briefl : -- - - -: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CEA? If Yes.emlain briefly: - Yes No E IS THERE,OR IS THERE LIKELY TO B CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? if s cal: ❑ Yes Q No PART 111-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: Foreach adverse effect identified above,cletemnine whetherif is substantial,large,important orothelwisesignificanL Each effect should be assessed in connection with its(a)setting(i.e.urban or rurel);(b)probability of occurring;(c)duration;(d)Irreversibility;(e) geographic scope;and(f)magnitude. If necessary,add attachments or reference supporting materials. Ensure that explanations contain- -- sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. ff question d ctparta was checked Yes.thedetetminationofafgniGcencemUstevaivatethe Potential lmpactoftheproposedaction onthe envionmentaleharaclaidsticsoftheCEA- Check tdaboxtyouhaveIdentified one OrnWe potentiallytarge orsigrdficanladverce impacts width MAYocctx.ThenproceedifirectilytotheFULI EAF and/or prepare a Positive declaration. Check Oft box if you have determined,based on the Information and analysis above and any supporting documentation,that the proposed actiori WILL NOT result in any significant adverse enviromnental impacts AND provide, on attachments as necessary,the reasons supporting th determination. Board of Trustees is //t 0 1;7- Z o/ 3 Name of Lead Agency J �,/ Date�M 60 ; _dc / - ��� " '/' _President Pnnl or Type Name of Responsible Officer In Lead Agency Title of Responsible Officer Slgnar of Responsible Officer in Lead Age Signature of Preparer(If different from responsible officer) �OgpFFU(,� a � Janis P. Kine.Presidcnl C -�'�' ro,m 11211.53095 Main Rd. Bob(Jhosio.Jr. . VicoPresidcnt i P.O. Box 1179 Daoc Bergen Southold. NY 11971 John Bredemeyer , Telephone(63 1)765-1892 Michael J. Domino 1 � �yy Fax(63 1)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD E �rIf G --------------------------------------------------------------- q y l� In the Matter of the Application of JAN 2 3 2013 1 KEVIN WHITROCK L COUNTY OF SUFFOLK) STATE OF NEW YORK) //]] AFFIDAVIT OF POSTING 1, A4 u tt K I A�1Yl ��� �n� , residing at /dba U. K K ShoreS Irl P DSa,c 9 8 .�,�av s N y 1 l 9 LA ('0 being duly sworn, depose and say: That on the day of :Tan . 2013 1 personally posted the property known as 580 —Te rr'y Po-4 h 1, —lnY at+ 4-u C IIS. by placing the Board of Trustees official poster where it can easily be seen. and that 1 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 Wednesdav, January 23, 2013. Dated: e44�" (signa ire) Sworn to before me this SUSAN QERACI X rAday of finI4 20 1 Notary Pubk Sm1e o1 New York No.01OE612S947 QuWW romrNsslon Expires reMamhh dbk 1,20.L-J 7A �DYyL (Wlalt Notary Public S ' P� v W O_ O O W V N C w K 0 CD CD CL CD a c ao m w n C iv N k r-+ VO � • N `t �, o CD A O N .-. O O �7 W r NOTICE OF HEARING NOTICE IS HEREBY GIVEN that a public hearing will be held by the SOUTHOLD BOARD OF TRUSTEES at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: Kevin GJhi+raJF**. SUBJECT OF PUBLIC HEARING: To construct a 40' navy style vinyl bulkhead in-place of existing small stone revetment; to construct (2) 10' vinyl returns along property line; to backfill structure with approximately 35 cubic yards of clean sand trucked in from an upland source; to establish a 10' stone splash-pad on filter fabric immediately landward of new bulkhead. TIME & DATE OF PUBLIC HEARING: G� f 1esJ� 5;LA o 1 a 5 X013 - on or off+ y ori If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection rior to the day of the hearing during normal business des between the hours ofp8 a.m and .4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631 ) 765- 1892 L EPD) PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS JAN 2 3 2013 Southold Town Name: Address: Et;-ac bc+L--P)N'c\arcls P-v .�oX 3�i5 �tild {i +uclL t���. Inc? L 5cetle- -Y)CD- 1Z3-cam-19 W i lt I awl L.L1SCe(I-�' 1�- C , 8CD7. 3 cv5 +7� IDC0- 123-(o-Z2. f�s �kow-1es610U* k 1000-1Z3- to-2z. o Po . 30 X q3� Y� luCl� lQ s��Or0�4-1t.� D (CCO -&3-1o '-ZZ-1 S STATE OF NEW YORK COUNTY OF SUFFOLK A^ 4 &Oj4ziw QS ag f residing at P0,90�I M A-)-V being duly sworn, deposes and says that on the ig day of } , 2019,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 D 5&,g= , that said Notices were mailed to each of said persons by CERTIFIED AIL/R 'TURN RECEIPT. Sworn to before me this ��r� - SUSAN GEFAC1 Day of tL K.Gl.Lt , 201-2, Notary Pubk Slate of New York No.01 OEal2a947 Qualified In SufioNc AA ^^YYn n ) Commission Expires march County j1,,2020 Notary Public PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: qq Address: j �QGenT �rG�rR�?-5 l a3 ' �- aa , to STATE OF NEW YORI COUNTY OF SUFFOL being duly sworn, deposes and says that on the day of 20 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this Day of 20 Notary Public • o(�L Town of Southold Erosion, Sedimentation .& Storm-Water Run-off ASSESSMENT FORM PROPER'!Y LdCArtoN: BtC.Txhk THE FOI,I,pttDIG ACTIONS MAY REQUIRE THE SUWMSSION OF A \b0U 1 ,13 - (e zo tK ROL PLAN iaSTA OF ot1 e >« nf Ns roRN. 01 SCOPE OF WORK - PROPOSED CONSTRUCTION NEM# / WORKASSESSMENT Yes No a. What is the Total Area of the Project Pao*? . (Include Total Area of d Parcels located withinfi 1 WE this Project Retain N Sbmh-Water Run-Ot the Scope d Wok for Proposed Construction) _ - 5- Generated by a Two(2')Inch Rahtfallon Silo? / b. Whet is the Total Area of Land Clearing (S_F-(� Mils than will include at run off Created by site and/or Ground Disturbance forte clearing mor construction activities as aRla as all construction activity? ProPoset Site improvamems and the pertcs�entcredan d ----(8—F.IIrGilaes) — IMPWAMS stafaces.) PROVIDE Bum PROJECT DE9CumoN (rhwxMA>A9aahPpa®Neeeep) 2 Does the Site Pian andfor Survey Show AN Proposed j Drainage Structures todreekhg Sze 6 Location?This Item shell Include all Proposed Glade Changes and Slopes Conlrolting,Surmce Water Flow. 0 , r V $ Does the Site Plan and/or Survey dsepibe the eradon ✓ ❑ V) j) and sedhont Control practices the will be.used to control site erosion and Sturm r S I - Remmustbe maintained thrweer discharges. This I . ghgltout the Entire I_ feJ 1 ConhdnConstructioniod Per _P YYI PXY� 111c 1(�� I Q I D' 51Dne. 4 Will Dss Project Require any Lend Filling.Grading or j S - , Excavation where there Is a change to the Natural ❑ c—/ '.. Existing Grade Involving more than 200 Cubic Yards (10d yi/` - Material WIM any Parcel? r .. 12-4161rj Will this Application Require Land Disturbing Activities �t LAO YfC�I�Y2j Enc�omPassing an Nes in Excess d Five Thousand , (5,000 S.F.)Square Feet of Ground Surface? L„j 6 Is there a Natural Water Course Running through the % Ste? Is this PMWwllhin Ire Tnmte"jwbdick n t.-- eared DEC 9y/PPP RegDlranonm: or within One Hundred(1001 feet of a Welland or Submiadon as SVV W Is oghlred for as Owstmctim aothak s h.KV as Beach? dm Parlof eo.orre(f)«mpla saes: eultin aly&hub enaleae turn onefere., r Will there bs Sfe,preparation on Existing Grade Sklp� 1 . ampataamrgacormnrPlanMmwa 1dishuancesane«moreeapstens Yhdudnt ConeWotlohh ectvMes UaoNYpsa dBmrMrcesamo hhan one(Daae vxina which Exceed Fifteen(15)feedVertical Rise U) the One Hundred 100' of Horizontal i - SWPPP.esdommo Stoll ett he Atilmunt Pe,mltD regrdrW foratohm wwterdaMagaB. ( ) D15tence? Tor smPim Wets Discharges aOnlmum eequhoonxe ante SPOES nand Pormit 8 Will Driveways.Paddrg Ness or other Impervious base from Conswalon aeENgr-Pool No.OP-041001.) Surfaces be Sloped to Direct Stonn-Watsr Run,Off 1.The SWPPP shall be prepared prior to the awmydw of en Not.The NO and be into and/or In the dinxtim da Town Fightof-way'! mbmmd to the DepeMantPdmtsthe conowwo sea oroarbutliwh atartY. 2.The SVVPPPatoll,daeaMeMe erpaorhand sedrrnrtconsa puacaoes ardwhom 9 Will Ida Project Require the Placement of.Material � i. �cwwhw d�Powtants in sWr water althat a Removal Within the TowonantlMrthe ConRoadarhdmry — co ptlance wish the lams and condOxa Of We pwn L In addeon,tins SWPPP erre!1110101y POIN"$001001 Item Yigtllkh the Town Right-of-Way or Road SbolRdar I. PquawOILISM Which may lybeexpected to load the rttrrAm?M" wawa aorur dahawfr.r a Dm asl,AwwwJ Achy Ans%orw Ghwtlaa dna*MQh Sun mhno Aaad with a Check Made 3.MSVA3M#Mmgam#m PoNcanowcoohstp wt«manepemempRdke allkwanaaatl COuoeabfo dleuawooholwsih 4000EXAlAmn, p consonant shall be epaed bye gumDed Design Pmbssbnm Licenud in 0mwrork • aa,snafus.Oromeaa 4,Emkn CenPoi Pah M Required byOnTawna i tins bknow/edgeebbhtine prbdplp and paaApp cistern,iyamrkiarngoheeh0. 8autlwld end iha WSubmendfor lbviaw fM«mb uenwafAnyauiWkhaft (NoiE AQah Mak N)oridraAmwalaarh6rdivrk Repaa/wecanpWaAePtolthrht - S ATE OF NEW YOW r nn COUNTYOF....�u. L............_ss liat b:_Ci YLL Sy jS k.-being duty sworn,Rosas and says that he/she is the applicant for Peamdt And that he/she is the 1Z_ . _ag..(�Y ...... .._..._......._t .. ( Owner and/or representative of the Owner or Owneta,and is duly authorized to perform or have performed the said work and to make and file flus application;that all sia dements contained jn this.application ace true to the best of his knowledge and belie! and that the work will be performed in the manner set forth in the application filed herewith. 3 N GERACI Swam to beforeme this; j, L Notary Stale of w rk .�(1........_. ......... ._day of...D Gym..`:.e ..,20. 0 ed In t 7 Notary Public: ....... I c if. 0�''L._.... G�.................. ... ._... .....«.. . :. ...... ...... D 3 I FORM - 06/10 i BoW of Trustees Application • County of Suffolk State of New York KLV1 A T ('d( 1\ 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. t6? Signature of Property Owner ti SWORN TO BEFORE ME THIS /,2* DAY OF 00-CC MbPr ,20 12, �JtG�I� Notary Publi I'AIr�R;I. `..uyL v9 FHA IM141 Fm 'JAN"bN - qua . •t oun Board of Trustees Application AUTHORIZATION 1 (where the applicant is not the owner) I, Keen �VIt� �OCK residingat Sbo Terry Pq+� (print owner of property) (mailing address) Po Sax 1431 k k ! do hereby authorize (Agent) AgaKL k1ghA MkftWn /DICR56es to apply for permit(s) from the Southold Board of Town Trustees on my behalf. � 1 wner's signature) whlAo APPLICANT/AGENT/REPRESENI'ATM TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town iglu rs andemotowxes.The of m 'of this form is to grovide information which can alertthe town of possible conflicts of i imm and allow it m term vdatever Arra Is - necessary to avoid same. aa '' II� rr r(' ,�, YOUR NAME: �1(A/Am— ND 1�1"YY 1&nn i /-ill �( ^-��. f�S l'lo✓-e S yi(v (W name,first name,middle initial,ubless u are applying in the now someone +b r �oV l nsomeone else or other entity,such as a company.If so,ipdic*the.oiher person's or company's name.) 1 , L. I f rC.L NAME OF APPLICATION: (Check all that apply.) W i ) �-t� ' Tax grievance Building Variance Trustee - Change of Zone Coastal Erosion Approval of plat Mooring - Exemption from plat or official map Planning - Other (if"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship.with any officer or employee of the Town of Southold? "Relationsbir 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. VlI0. - redone YES NO invaivec� u�i+1� If you answered"YES",complete the balance of this form and date and si n whereindicated. CD;e/' L Name of person employed by the Town of Southold J �l Title or position of that person j Describe the relationship between yourself(the applicantlagent/represemadve)and the town officer or employee.Either check ;- the appropriate line A)through D)and/or describe in the space proJided. The town officer or employee or his or her spouse, ' 'ng,parent,or child is(check all Ithat apply): I A)the owner of greater that 5% shares of the corporate stock of the applicant (when the applicant is a } - _B)thelegal or benefi ' of any interest in a non-corporate entity wbeA the - applicant is not a ration); _C)an officer,di r,partneror employee of the applicant;or D)the actual plieant_ DESCRIPTION OF RELATIONSHIP n Submitted this Z day of i-(&rntbe✓201� Signature Print Name Form TS 1 SUSAN GERACI Nolary Public,State of New YOrk No.of GE6123947 CuelMedinSuffolk COW-, � Commission Expires Mar&Zi. lvo" Pub b 0 Town of Southold • • LWRP CONSISTENCY ASSESSMENT FORM A. 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 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. 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). 3: If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# ,aJ - (P - Zb f PROJECT NAME Pfn �E� bl7lQl�lLl DEC 2 1 2012 The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. 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: nIi rnn+- 12-00oses In orms+ruc+ a LIO 'yinyI b1 j 0- (2) 10 �e+urns , haCk-G II 1,)135cy Gleam !Scm LIM ush (x I o' her l sloI rjn1,Yon Location of action: —Pr rs j Site acreage: Present land use: c-;GSonrl\ 1 U Gt}}40.GP� Present zoning classification: 2. 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: KeV 1 o �0) rOGk (b) Mailing address: Cour} NarA V-) Df of e– Ac W\Oc, y �l (c) Telephone number: Area Code O O (d) Application number,if any: V n tnc) UkD Will theactionbe directly undertaken,require funding, o proval py a state or federal agency? Yes 1 V No❑ If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. dyes F] 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—2Not les Pages 3 through 6 for evaluation criteria ❑ Yes 1:1 No Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section HI—Policies Pages 6 through 7 for evaluation criteria Fj Yes ❑ No ❑ Not Applicable r-d+ 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 dyes ❑ No ❑ Not Applicable oyn�e 6 S I r ° e e o b 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 HI —Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ P' Yes No \/ Not Applic�j • 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. 1:1 Yes 1:1 No u 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. ❑ YcJ:1 No u Not Applicable Attach additional sheets if necessary WORHING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in s;Yes le locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. No Not Applicable t i USE. lo Q� eGt l \ ' UXEW 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 D/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 E(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. 1:1 Yes ❑ No L`� Not Applicable PREPARED BYHQQjG SIC__�J //fpt_� TITLE ��Q DATE 12—LD —1 z ILI L.J - 4 L. DEC Jh.40 7.5-,g S ;179�ia .Yn Mi`IP of PROPERTY SUR VEYGO For i IRANX C. WW/TROCK A T MA - -7-/ 77UCJ, TOwN OF�CJU•TNOL17 lq O mcn U"7117/' �� a c iron JoPC I i I Guc�mn7`ee� fo the Guaroi7lr�� `''Ti"'e ComPa;y ossurveyed Z 6, /9E3' W,NIVa% Truyl Soi� � i�cnsed LoSu�-veyors • Gr Pz.�Joor; N. Y, • VI a � I 0 i 10 ai A:J is 4 N Q C CJS a Gar. Gc� �y I i aa�✓eP n � MAR I191 p 1- Y hip a r no,�n of ,:�,i-lr���s U i E,•�T �'ECG7N/C:.. � I APPROVED BY BOARD OF TRUSTEES _ DEC 2 1 2012 TOWN OF SOUTHOLD ZL - DATE I 2 13 - EXISTING T > _ NF-ASCE"E -nO ro EA sN� 'Q G L eveMeM O GARAGE o �.BNµ o p 1 STY COTTAGE W\W wIIX y J NC RETAIGINALL TIMBER RIG) NF NORRIS ',. APPLICANT PROPOSES TO CONSTRUCT A 40' NAVY STYLE VINYL BULKHEAD IN PLACE OF EXISTING SMALL STONE REVETMENT, TO CONSTRUCT (2) 10' VINYL RETURNS ALONG PROPERTY LINE, TO BACKFILL STRUCTURE WITH APPROX. 35 CY. OF CLEAN SAND TRUCKED IN FROM AN UPLAND SOURCE, TO ESTABLISH A 10' STONE SPLASHPAD ON FILTER FABRIC IMMEDIATELY LANDWARD OF NEW BULKHEAD. PROPOSED BULKHEAD SHALL PROVIDE FLOOD PROTECTION OF RESIDENCE THAT WAS DAMAGED DURING HURRICANE SANDY. AT GREAT PECONIC BAY, 580 TERRY PATH, MATTITUCK, TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK. Applicant: Kevin Whitrock Location: 580 Terry Path, Mattituck Purpose: Bulkhead Construction Datum: Apparent Low Water S.C.T.M.NO. 1000-123-6-20 LOCUS: 40°58'53" 72°31'17" ��— DKR SHORES INC, P.O. BOX 488 19 Dec '12 SCALE 1 50N.Y. 119 HAMPTON BAYS, 46 SHEET 1 OF 3 PROPOSED D = r r T� EX. BLKD ISTY COTTAGE _ . ' 1 1 Prop. 10' N/f LASCELLE p� /1 return / t J r O PRO41LWalkway 1 O 40' O BULGARAGEELio 1 STY COTTAGE W \ 00 Prop 1� returfence EX.CONC./STONE RETAINING WALL N/F NORRIS X. TIMBER BLKD APPLICANT PROPOSES TO CONSTRUCT A 40' NAVY STYLE VINYL BULKHEAD IN PLACE OF EXISTING SMALL STONE REVETMENT, TO CONSTRUCT(2) 10'VINYL RETURNS ALONG PROPERTY LINE, TO BACKFILL STRUCTURE WITH APPROX. 35 CY. OF CLEAN SAND TRUCKED IN FROM AN UPLAND SOURCE, TO ESTABLISH A 10' STONE SPLASHPAD ON FILTER FABRIC IMMEDIATELY LANDWARD OF NEW BULKHEAD. PROPOSED BULKHEAD SHALL PROVIDE FLOOD PROTECTION OF RESIDENCE THAT WAS DAMAGED DURING HURRICANE Applicant: Kevin Whitrock SANDY. AT GREAT PECONIC BAY, 580 TERRY Location: 580 Terry Path, Mattituck . PATH, MATTITUCK, TOWN OF SOUTHOLD, Purpose: Bulkhead Construction SUFFOLK COUNTY, NEW YORK. Datum: Apparent Low Water S.C.T.M.NO. 1000-123-6-20 LOCUS: 40°58'53" 72°31'17" DKIR SHORES SCALE � tf= 30t _— - ___------ — -_— — - HAM TON BAYSCN Y. 11946 488 19 Dec '12 -- _ SHEET_2.OF 3-_-- ---- ; PROP. 12 S F D timber cap -- 20' —v& -- P O .rock /bp - q xPROP. 0' �' n0 deadmer Q D ° v 6"X6"X10' N z walers CD _ 24' TO�AHW ROP. 3 Cy fill 42' TO ALW PROP. -- -- - — —� SHOREGUARD BEACH VINYL SERIES 625 APPLICANT PROPOSES TO CONSTRUCT A 40' \ NAVY STYLE VINYL BULKHEAD IN PLACE OF n EXISTING SMALL STONE REVETMENT, TO r CONSTRUCT(2) 10'VINYL RETURNS ALONG PROPERTY LINE, TO BACKFILL STRUCTURE WITH APPROX. 35 CY. OF CLEAN SAND TRUCKED IN FROM AN UPLAND SOURCE, TO ESTABLISH A 10' STONE SPLASHPAD ON FILTER FABRIC IMMEDIATELY LANDWARD OF NEW BULKHEAD. PROPOSED BULKHEAD SHALL PROVIDE FLOOD PROTECTION OF RESIDENCE THAT WAS DAMAGED DURING HURRICANE SANDY. AT GREAT PECONIC BAY, 580 TERRY PATH, MATTITUCK, TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK. Applicant: Kevin Whitrock Location: 580 Terry Path, Mattituck Purpose: Bulkhead Construction Datum: Apparent Low Water S.C.T.M.NO. 1000-123-6-20 LOCUS: 40°58'53" 72031'17" DKR SHORES INC, P.O. BOX 488 19 Dec '12 HAMPTON BAYS, N.Y. 11946 SHEET 3 OF 3 SCALE 3/8"= 1'