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Home My WebLink AboutTR-7736A James F. King,President �QF S0 Town Hall Annex Bob Ghosio,Jr.,Vice-President O� 54375 Main Road P.O. Box 1179 Dave Bergen Southold, New York 11971-0959 John Bredemeyer Michael J. Domino Glc �O Telephone(631) 765-1892 O� �DUNT Fax(631) 765-6641 y BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 19, 2013 Mr. Garrett A. Strang, Architect PO Box 1412 Southold, NY 11971 RE: CLUB 46 @ PORT OF EGYPT 62300 MAIN ROAD, SOUTHOLD SCTM# 56-6-6.1 Dear Mr. Strang: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, June 19, 2013: RESOLVED, that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#7736A to install a 6' high fence along a portion of east property line and approximately 120' in length; and as depicted on the revised project plan prepared by Garrett A. Strang, Architect, received on May 10, 2013 and stamped approved on June 19, 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, oz 4 James F. King President, Board of Trustees JFK:amn gpFFO(� James F.King.President P.O-Box 1179 Bob Ghosio.Jr.Vice-President �� Z Southold.NY 11971 Dave Bergen ? I elephone(631 765-1892 John Bredemeyer Fax(631)765-6641 Michael I. Domino Southold Town Board of Trustees Field Inspection/Work Session Report DatelTime: `L Garrett A. Strang, Architect on behalf of CLUB 46 @ PORT OF EGYPT requests an Administrative Amendment to Wetland Permit #7736A to install a 6' high fence along a portion of east property line and approximately 120' in length. Located: 62300 Main Road, Southold. SCTM# 56-6-6.1 Type of area to be impacted: _Saltwater Wetland _Freshwater Wetland _Sound _Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: _Chapt.275 _Chapt. 111 _other Type of Application: _Wetland _Coastal Erosion _Amendment —Administrative—Emergency _Pre-Submission Violation Info needed: Modifications: Conditions: Present Were: J Kin _B. Ghosio D. Bergen, `d'Bredemeyer ✓Michael Domino D. DZenkowski other Form filled out in the field by Mailed/Faxed to: Date: • i James F. King, President SOpjTown Hall Annex Bob Ghosio,Jr.,Vice-President �O� QIle 54375 Main Road P.O.Box 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer G Q p Telephone(631) 765-1892 Michael J. Domino '�Q Fax(631) 765-6641 oouMv,� p7EQ I V E BOARD OF TOWN TRUSTEES 0 2013 TOWN OF SOUTHOLDld own Board of Trustees APPLICATION FOR AN AMENDMENT TO A WETLAND PERMIT DATE OWNERZ�U0 (P �� PHONE ADDRESS AGENT PHONE ADDRESS / �3 � i ti u✓z'cs�� ST, d � / X;X /Z SwrHocl� � �G' //jam/ PROPERTY LOCATION TAX MAP NO. I/We C%R/ r%/ -7 7`-c"lUti quest an Amendment to Permit# i to /? j% aLC G /a �f/ r! N� � /�( z 4, Signed By;,--'-&. ------- � Garrett A. Strang Architect 1230 Traveler St., Box 1412 Southold, New York 11971 Telephone (631) 765-5455 Fax (631) 765-5490 May 10, 2012 rBoard CEIVE 'AY 1 0 2013 Mr. James King, President Southold Town Board of Trustees POB 1179 hold own Southold, NY 11971 e Tru Re: Club 46 at Port of Egypt Enterprises, Main Road, Southold,NY SCTM #1000-56-06-6.1, Administrative Permit Dear Mr. King and Members of the Board: Attached is an application to amend the administrative permit# 7736A for the above referenced premises. The nature of the amendment is for the installation of a 6' high by 120' long fence along the easterly property line as shown on the Site Plan. In addition are three (3) copies of the Site Plan and a check in the amount of$50.00 for the fee. If you have any questions or require additional documentation, please contact our office. Thank you for your courtesy and cooperation in this matter. Very truly yours, Garrett A. Strang, R.A. Architect i N SURVEY OF PROPERTY �,r,T. � •n°tt PIXE A T 50 UTHOLD • • WALL ,° u r TOWN OF SO UTHOLD 25) OLD MAIN ROAD .SUFFOLK COUNTY, N. Y. 477.45'� 1000-56-06-4, & 6.1 ppb N8738'30'E SCALE.- 1'=40' Ipj g 3�p .E ° N87-38'30'E AUGUST 6, 2003 �A PI p6646g2 , 78.92' 370• p}e ��,s � .AA+s• • �1 �U OCTOBER T� aos 2z003 ( RIGHT OF WAY) 0 " dj OCgT.OB2E3R 2160,/2009Pi�(�RILE NUMBER) 2009 0AL ZONES) jN. NOVEMBER 21, 210 (FINAL ON RESTAURANT) C PAC JQ,o. 13, 204 �/cSR6Pe� Sr,,F.r Ra. � 10s t t. 1 9 Gye, E \ $• SITE DATA $ T .o \. 1,0 n POOL �^ SITE AREA 237,769 sq.ft. ( 5.46 acres ) * _ � �fa�s ` °• � � �a 2 2 TAX MAP No. 1000- 56-OB-6.1 *%tv ��``,,EE ° N SPAS } 91 O D E C IS � V LS ZONING M-11 MARINE 11 y N 2U" 0 1064 w ° wr',pyZ N 4Nr £ D o f 6 MAY 10 2013 D FLOODZONE AE-EL6 2- $ �$ $. MEth�0 w 5606' USE Cos MARINAIBOAT SALES/RESTAURANT 'c SOON OE n° 6 ^M `D Southold sown � POOLICABANAIACCESSORY USES ca' �' 3'' Zc Bo d Tr stc s Proposed SAME % ? 1*A �9a OWNER PORT OF EGYPT ENTERPRISES, INC. 't e � dM� �% 62300 MAIN ROAD 4 F/sJ 6 p APPROVED BY SOUTHOLD, NY 11971 56'p6� +� ApAn� yc `& \ J° 1000, } 4 .00 \ BOARD�� OWN Of SOUTHO D ,� ?o a \ �Nn DATE (QI q 13 Y �♦ � O �lT 8lT ?o N M' �t 'D-50 �.• d>' r.' h1T E- .e drt �8 P'O _ n9 D, v COO �G Y,� Ta • Y t-k os 6 q1? pp i° 1Ac N ears nr,a �.p.+} S _ ? o. c � '•a �� sPi � 510 n /D 9�- pVs,Appp plyf• Q o e `� � W °M� 50 � 1 STY'O S84'1 �°Anep FR- SLID acs[ 46.84 5101 }5 Pl� Qh O�Q� G°11fF fs1�J-, Q /y� �ppTN° �oyN° 5 N89'49'45'W CERTIFIED T0: 40.99' Isi ep+r b' SUFFOLK COUNTY NATIONAL BANK 'D FIDELITY NATIONAL 717LE INSURANCE COMPANY e�K� �° �A °°nG 1� PORT OF EGYPT ENTERPRISES INC. 7jOgj �� ` pop u°° Pp 777LE NUMBERS 55043—SUFE and 57912—SUFF 2 ,, M1d' wEA '#c N60�83o' s co spo la` c� 1000-56-06-04 AREA=68,381 SQ. FT. TO TIE LINES oFN` 1000-56-06-6. 1 AREA=237,789 SQ. FT. TO TIE LINES �I dam., X Y.S. LIC. NO. 49618 ANY ALTERA77N OR AD0177ON TO THIS SURVEY IS A NOLARON C S, P.C. OF SECTION 72090E THE NEW YORK STATE EDUCATION LAW. .4W FAX (631) 765-1797 EXCEPT AS PER SEC77ON 7209—SUBDIVFSIN 2. ALL CER77FlCA77ON5 FLOOD ZONE FROM FIRM MAP NUMBER 3610JC0159 H I HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR S ER STREET 103 - 2081 ELEVATIONS REFERENCED TO N.A.V.D. '88 WHOSE SiNATURE APPEARS HEREOW. SOUTHOLD, N. Y. 11971 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 I st day of construction ¼ constructed v,// Project complete, compliance inspection James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 7736A Date of Receipt of Application: January 25, 2012 Applicant: Club 46 @ Port of Egypt . SCTM#: 56-6-6.1 Project Location: 62300 Main Rd., Southold Date of Resolution/Issuance: February 22, 2012 Date of Expiration: February 22, 2014 Reviewed by: Board of Trustees Project Description: To replace existing window with new exit door, exterior landing and ramp to grade. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the survey prepared by John T. Metzger last dated January 23, 2012. Inspections: Final inspection If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Jame .~King, Preside~ Board of Trustees 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 Please be advised that your application dated ! l a ~-[ I ~-- has been reviewed by this Board at the regular meeting of ~-I ~113-- and your application has been approved pending the completion of the following items checked off below. __ Revised Plans for proposed project __ Pre-Construction Hay Bale Line Inspection Fee ($50.00) __ Ist Day of Construction ($50.00) ½ Constructed ($50.00) 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: TOTAL FEES DUE: BY: James F. King, President Board of Trustees 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: Garrett A. Strang, Architect on behalf of CLUB 46 @ PORT OF EGYPT requests an Administrative Permit to replace existing window with new exit door, exterior landing and ramp to grade. Located: 62300 Main Rd., Southold. SCTM#56-6-6.1 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound "'iBay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: __Chapt.275 Chapt. 111 other T~/~Ae of Application: ' Wetland Coastal Erosion Amendment dministrative__E-mergency --Pre-Submission -- Violation Info needed: ' ,~' Modifications: Conditions: Prese'-t Were' ~J Kinp '~'B. Ghosio '~J. Brede~e~ ' -/ Michael Domino "'" D. Bergen, ~-.---"D. Dzenkowski other Form filled out in the field by cf. //~..-t..,O,d Mailed/Faxed to: Date: JAH 2 5 2012 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 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM FEB 1 5 2012 To: Jim King, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: February 14, 2012 Re: Proposed Wetland Permit for CLUB 46 @ PORT OF EGYPT SCTM#1000-56-6-6.1 Garrett A. Strang, Architect on behalf of CLUB 46 @ PORT OF EGYPT requests an Administrative Permit to replace existing window with new exit door, exterior landing and ramp to grade. Located: 62300 Main Rd., Southold. SCTM#56-6-6.1 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the 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 Garrett A. Strang Architect January 25, 2012 1230 Traveler St., Box 1412 Southold, New York 11971 Telephone (631) 765-5455 Fax (631) 765-5490 Mr. James King, President Southold Town Board of Trustees POB 1179 Southold, NY 11971 Re: Club 46 at Port of Egypt Enterprises, Main Road, Southold, NY SCTM #1000-56-06-6.1, Administrative Permit Dear Mr. King and Members of the Board: In the matter of the above referenced application, I will be unavailable to attend the February proceeding and as such respectfully request that if there are any questions or issues that need to be addressed, to please table the application and continue it for the march meeting. If there are no such questions or issues please proceed with the process accordingly. Thank you for your courtesy and cooperation in this matter. Very truly yours, Garrett A. Strang, R.A. Architect Office Use Only Coastal Erosion Permit Application ~Wetland Permit Application ~ Administrative Permit Amendmenffl'ran~e_r/E~tension ~Received Application: I/~"//,~ '~Received Fee:$ ~'~)~-~ ~ mpleted Application i !~,~. [~-~ ~complete __SEQRA Classification: Type I Type I1 Unlisted Coordination:(date sent) ~LWRP Consistency Assessment Form ~.! ~!1 ~' CAC Referral Sent: ~'~ate of Inspection: ~'-/ i~'~l ~ Receipt of CAC Report: Lead Agency Determination: Technical Review: ~,P'ublic Hearing Held: ~k.! ~-~! [ ~.~ Resolution: JAN 2 5 2012 Name of Applicant Address Phone Number:( Suffolk County Tax Map Number: 1000 - .5-d, Property Location: ~'~ ~-~/ ~'/z~: (provide LILCO Pole #, distance to cross streets, and location) AOENT: & ~ rt_ ~e~F ,~. OO'r--~, (If applicable) Address: /~L / 'Z- Phone: Land Area (in square feet): Area Zoning: Previous use of property: Intended use of property: Covenants and Restrictions: If "Yes", please provide copy. GENERAL DATA Yes ~/ No Does this project require a variance from the Zoning Board of Appeals __ 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 Prior permits/approvals for site improvements: Agency Date Yes ~/ No v/No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? · / No Yes If yes, provide explanation: Project Description (use attachments if necessary):. ~rd of Trustees Applicatio~ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of thc proposed operations: Area of wetlands on lot: O square feet Percent coverage of lot: o % Closest distance between nearest existing structure and upland edge of wetlands: 0 feet Closest distance between nearest proposed structure and upland edge of wetlands: C, feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? ~ cubic yards How much material will be filled? tP cubic yards Depth of which material will be removed or deposited: g9 feet Proposed slope throughout the area of operations: /oo ~ P"Z.~ 'F Manner in which material will be removed or deposited: ~Statement of the effect, if any, 99 the wet_l_a~n_ds and fid~ w.a_t_e~'s_ _of~ town that may res_u!t reason of such proposed operations (use attachments if appropriate): LETTER OF AUTHORIZATION RE: Premises, 62300 Main Road, Southold, NY SCTM # 1000-56-6-6.1 I, WILLIAM LIEBLEIN, OWNER OF PORT OF EGYPT ENTERPRISES, DO HEREBY AUTHORIZE GARRETT A. STRANG, ARCHITECT TO ACT ON MY BEHALF WHEN MAKING APPLICATION TO THE UNITED STATES OF AMERICA, STATE OF NEW YORK, SUFFOLK COUNTY, TOWN OF SOUTHOLD AND ANY OTHER GOVERNMENTAL AGENCY IN CONNECTION WITH THE ABOVE REFERENCED PROJECT. Date: 2012 WILLIAM H. LIEBLE1N Sworn to before me this Day ofq-wvo'~, 2012 Notary Public State of New York Notary Public. New Yor~ No 4730095 Qualified in Suffolk Count,,, Comm. Expires July 31, of Trustees Applicat~n County of Suffolk State of New York JAil LL/]~3t fl. Lle ~l.~/ ~t BEING D~Y SWO~ DEPOSES ~ ~F~S THAT ~/S~ IS T~ ~PLIC~T FOR T~ ~O~ DESC~ED PE~T(S) ~ T~T ~L STATE~S CONT~D ~ ~ TR~ TO T~ BEST OF ~S~R ~O~EDGE ~ BEL~F, ~ ~T ~L WO~ W~L BE DO~ ~ T~ ~R SET FORTH ~ ~S ~PLICATION ~ AS MAY BE ~PRO~D BY T~ SOU~OLD TO~ BO~ OF TRUSTEES. T~ ~PLIC~T AG~ES TO HOLD T~ TO~ OF SOUTHOLD ~ T~ TO~ TRUSTEES ~ESS ~ F~E FROM ~Y ~ ~L D~AGES ~ CL~S ~S~G ~ER OR BY ~R~ OF S~ PE~T(S), ~ G~TED. ~ CO~LET~G T~S ~PLICATION, I ~BY AUTHO~E T~ ~US~ES, T~ AGENT(S) OR ~P~SENTATI~S(S), TO EN~R ONTO ~ PROPERTY TO ~SPECT T~ P~SES ~ CON~CTION ~TH ~W OF T~S ~PLICATION Signature SWORN TO BEFORE ME THIS q--°7"# DAYOF '~,~,~u,~V' ,201'z- Not~y Public ~:~/ Barbara A. Strang Notary Public, New Yo~'k No Oualifieo iN Suffolk County,- Comm. Expires JUh/31, APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and emnlovees. The ~)uroose of this form is to orovide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: ~A ,~/~"/'f ~ C~ · .~T~,~ ~ ~ (East name, first 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 through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of(or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO ~ If you answered "YES", complete the balance of this fom~ and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself (the applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. l]~e town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): __ A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); B) the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); C) an officer, director, parmer, or employee oftbe applicant; or ___D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I Submitted this L~b day~l~VXbVc~k £¢~ 20~ Signature >' Print Name /" ~,~.~ ¢;"rr ~. ~r,¢_,o t,J¢' APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM Thc Town of Southold's Code of Ethics orohibits conflicts of interest on the oart of town officers and emolovees, The nurooso of ~is form is to nrovide information which can alert the town of oossible conflicts of interest and allow it to take whatever a~tion is necessary to avoid same. (Last name, first name, o~iddle initial, u~less 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 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 $outhold? "Relationship' includes by blood, marriage, or bu~inass interast. "Busincs~ interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation YES NO ~// Name of person employed by the Town of Southold Describe the relationship between yoorself (tbe applicant/agent/representative) and the town officer or employee. Either check the appropriate llne A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): A) the owner of greater than 5% of the shares of the corporate stock of the applic0nt (when the applicant is a corporation); __B) the legal or'beneficial o~vn~r of any interest in a non. corporate entity (when the applicant is not a corporation); __C) an officer, director, partner, or employee of the applicant; or __D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1. APPLICANT I ~°ON~OR 3.PROJECT LOCATION: 617.20 SEQR APPENDIX C STATE ENVIRONMENTAL OU~Fi~ REVIEW SHORT ENVIRONMEHTAL ASSESSMENT FORM for UNLISTED ACT1ON$ Only ( To be competed by Ap~can~ (~ Project Sponsor) 2, PROJECT NAME I 6. DESCRIBE PROJECT BRIEFLY: 9. WHAT IS PRESENT I.AND USE IN VICINITY OF PROJECT? (Cho~easmanya~ap~y,) 10. DOES ~ I~L~ A ~IT ~ ~ FUN~. ~ OR ~TI~LY FROM ~ O~ ~R~ENTAL AGE~Y (~, ~ ~) 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ~"~¥es ~ If ~es, list agency name and pmmit / approval: PART Ii - IMPACT ASSESSMENT ~To b~ m~mpIMed I~ ~d A. ~ES A~ ~C~ ~Y ~ I ~O~ ~ 6 ~, P~ 6t7.41 ~m~ ~ p~a~ ~ ~ ~LL ~F. B. ~LL A~N RECEI~ ~R~D ~ ~ ~DED FOR UNLIS~D A~S IN 6 ~CRR, P~T 617.67 If d~lamfl~ ~ ~ s~ ~ a~ I~ ~. COULD A~ RESULT IN ~ ADVERSE EFFECT~ ASSOCIATED t/lflTH THE FOLLOWING: (Answem may be ~, ff legible) C t. Existing air quality, sor~ace or groum:lwatm' ~mmy or quml~y, ~ bvets, e0ds~lg ~,d~m. paltem, solid waste prorlucOml or disposal, I ca. v~oJama.~ or,am**~ ~/.or ~ &'~,~? Exp~. ~my: I D. WILL THE PEOJECT HAVE AN IMPACT ON ~ ENVII~ENTA[ CI'IARACl~ISl'ICS THAT CAU,~D THE ESTABLISHMENT OF A CRITICAL ENV~RONMEN~r~ ~EA {CF_~? E. 18 THERE, O~ IS THERE LIKELY TO BE~ CONTROVERSY RELATED TO ~IAL ADVERSE ENVIRONMENTAL IMPACTS? ff ~ exp~ln: PART #1 - ~_ ~ e~iU~ATlOfl OF S)GNIFICANCE (To be cc~:~d by/~:y) INSTRU~IOfl$: FOreaC~%~e~ee~e~BEX)ve'c~e~mi~ewhethOr#~S~t~r1t~al.~i~tOr~1f~vieeS~i~t. Each effect should be ~sessed in cogmec~ with ~8 (a) Se~flg (*Le. Ud~fl Or mm]); (b) p~*obabiiJty of ocou~ing; (c) dur~tiofl; (d) k~-sibiilty; (e) geog~*aphic s~3pe; and (t) mag~tude. If neck, add attachmord3 Or r~ supporlJng materials. Ensure that explsflations contain sufficient detail to show Ihat all r~evant adverse ~ have been identified and adequately addr~-q~:l. If quesOon d of part ii was checked yes, the detmminallon of sigrt~ must evaluate the poM~ieiimpact of the p~ a~ion oe the environmental cJnaractedallcs of the C~. Signature ~f Respons f~e ~ I~ Leed ~ S~nafa~e of Preparer (ff dif~ant from responsible officer) Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A /~'~)~O ~ ~'~ ~/ STORM-WATER/GRADING, DRAINAGE AND EROSION CONTROL PLAN D~t ~ .~x ~ CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONEI"RUCTJON rrElVl# / WORKA,~F_2~MENT [ Y~ No a. What is the Total Area of the Project Parcels? 1 Will this Project Retain All 8toem-Watar Run-Off (Include Total Area of all Parcels located within the ScopeofWorkfor proposed Construc§on} ~7 '~/~'/~, Generated by a Two (2') thch Rainfollon Site? / r~ b. Whet is the Total Area of Land Cleadng / (S.F.JN:~es) (This itam w{ll include all run-off creatad by site cleadng and/or construction ac§vities as well as all and/or Ground Disturbance for the proposed ~ !/~ Site Improvements and the permanent creation of construction activity? impervious surfaces.) 2 Does the Site Ptan and/or Survey Show All Proposed PROVIDE B]R~,F PROJECT DF-qCRIY~ON ~ ~ p~. NeeS~ Drainage Structures Indicating Size & Location? This Item shall include all Proposed Grade Changes and Sk) pes Con~rolting Surface Water Flow. 3 D°es the SIta Plan andl°r SurveYdescribetheer°si°n controlsite erosion and stormwatardischarges. This and sediment control pracitces that will be used to ~-~/~ -/-~ I O~- L ~"~'Z) / ~'~' ~ ~ ~u/~C;~ itam must be maintained throughout the Entire Construction Period. ~.~-A ~ 4 Will this Project Require any Land Filling, Grading or / Excavation where there is a change fo the Natural Existing Grade involving more than 200 Cubic Yards~J~ __ of Matedal within any Parcel? 5 Will this Applicafien Require Land Disturbing ^ctivifies Encompassing an Area in Excess of Five Thousand (5,000 S.F.) Square Feet of Ground Sun<ace? -- 6 Is there a Natural Water Course Runnir~ through the Site? Is this Project within the Trustees jurisdiction General DEC SWPPP Requirements or within One Hundred (100') feet of a Wetland or disturbances of one (1) or mom acres; including disturbances of less than one acm that7 Will there be Site preparation on ExisJing Grade S[~pe.s 2. The SWPPP shall describe the erosion and sediment conthd practJces and where 9 Will this Project Require the Placement of Material,~ required, post-conntmct~l sl{xm water management prac[ces that ~11 be used and/or Removal of Vegetation and/or the Construction of any [ i constructed to reduce the pollutanls in storm ~ater discharges and to assure Item Within the Town Right-of-Way or Road Shoulder~ STATE OF NEW YORK, O .,,- COUi'CFY OF ........................................... SS That I .....;,~.....~....~..~...~.....C...:...'...~..~....c~.. ..................... bei~ duly sworn, deposes and says that he/she is [he app cant for Permit, And that he/she is the ,/..e; f/-'l 7-;f=,~_.-r' ~.~../,/~:~ · ('~;.'~:'~:'~; ~;: ;~i ......................................... Owner and/or representative of the Owner or Owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application axe true to the best of his knowledge and belief; and that the work will be performed in the mmmer set foah in..t~e application file~ herewith. Sworn to before me this; ~ ~ ~ ............................................. . ....... ~-/[:.~ ................. Notary Public: ..................................... N~-ry. P. ubli~,..N, i'~?. ~Z~! ........................................................... NO ~ 770~1~ f, 7 (Signature of Applicant) FORM - 06110 Comm. Expire, ~ ,. ' Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfxont Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfi'ont 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- suooortiw, 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# ,fY PROJECT NAM~ The Application has been submitted to (check appropriate response): TownBoard [] Planning Board ~-] Building Dept. ~ Board of Trustees Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: Location of action: ~ ~ /~/q?x~ ~27-/~'~/~/7'. Site acreage: ,~. Present l~d use: Present zo~g cl~sificafion: If ~ application for ~e proposed action h~ been filed ~ ~e To~ of Sou~old agency, ~e follo~g ~o~afion sh~l be provided: (a) N~e of applic~t: (b) M~ling ad.ess: (c) Telephone number: Area Code ( ) ~-Y/- ,~d, 5% ~9*9J (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? 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 Southoid that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. ~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 - Polities Pages 3 through 6 for evaluation criteria ~ Yes [~ No~-3 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 I I No ~ ~ Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through/21 for evaluation criteria [ I Yes [--] No I '~Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. Attach additional sheets if necessary Policy 7. Protect and improve air quality in thc Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. ~-~ Yes [] No ~'ot Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous subst~ees and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. I--fa/~--~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 Ill - Policies; Pages 38 through 46 for evaluation s~ No ~ Not Applicable Attach additional sheets if necessary WORKING COAST POLICI]~ Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in S~yb~s locations. See LWRP Section III- Policies; Pages 47 through $6 for evaluation criteria. ~-] No ~ Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town watts. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ~-~ Yes [] No~l ~ I 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 ~No* A~plicable 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 Applicable Garrett A. Strang Architect 1230 Traveler St., Box 1412 Southold, New York 11971 Telephone (631) 765-5455 Fax (631) 765-5490 January 24, 2012 Mr. James King, President Southold Town Board of Trustees POB 1179 Southold, NY 11971 JAN 2 5 2012 Re: Club 46 at Port of Egypt Enterprises, Main Road, Southold, NY SCTM #1000-56-06-6.1, Administrative Permit Dear Mr. King and Members of the Board: I have enclosed herewith an application tbr an administrative permit together with the required documents and a check in the amount of $50.00 as payment of the fee. The nature of the work as part of this application is the replacement of an existing window in the northeast area of the building with a new exit door as well as construction of a new landing and ramp to grade for the purpose of making the building handicapped accessible. This proposed work is shown within the circled area of the attached survey and is further back from the edge of the wetlands (bulkhead) than the southerly edge of the building. Thank you lbr your consideration in this matter. Very truly Sours, Garrett A. Strang, Architect Encs. SITE AREA TAX MAP No. ZONING FLOOD ZONE USE Existing Proposed OWNER SITE DATA 237,739 sq. ft. ( 5.46 acres ) 1000 - 56 - 06 - 6.1 M - II MARINE II AE-EL6 MARINA/BOAT SALES/RESTAURANT POOL/CABANA/ACCESSORY USES SAME PORT OF EGYPT ENTERPRISES, INC. 62300 MAIN ROAD SOUTHOLD, NY 11971 CERITF1ED TO: SUFFOLK COUNTY NAIIONAL BANK FIDEUTY NAllONAL llD_E INSURANCE COMPANY PORT OF EGYPT ENTERPRISES, INC. ~TLE NUMBERS 55043-SUFF one 57912-SUFF 1000-56-06-04 AREA=68,381 SQ. FT, TO TIE LINES 1000-56-06-6.1 AREA=2,37,789 SO. FT. TO TIE LINES FLOOD ZONE FROM FIRM MAP NUMBER 56105C0159 H ELEVA ITONS REFERENCED TO N.A. ~ID. 7&g2' SURVEY OF PROPERTY AT SOUTHOLD TOWN OF SOUTHOLD .SUFFOLK COUNTY, N.Y. 1000-56-06-#, & 6.1 SCALE: 1'--40' AUGUSY 6, 200J AUGUST 28, 2003 ( RIGHT OF WAY} OCTOBER 7. 2009 OCTOBER 16, 2009 (tiTLE NUMBER) DECEMBER 25, 2009 (FLOOD ZONES,) NOVEMBER 24, 2010 (FINAL ON RESTAURANT) I TOWN OF SOUTHO~ 40.99' SOUTHOLD, LIC, NO. 4.9618 P.C. (631) 765-1797 STREET ~ -- N.r. .~71 20