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TR-8174
e 4 4 John M. Bredemeyer I[[, President �O%AlfFOZ4-c Town Hall,53095 Main Rd- Michael J. Domino,Vice-President ,��� �Gy P.O-Box i 179 James F. King y x Southold,NY 11971 Dave Bergen �o !� Telephone(63 1)765-1892 Charles J.Sanders k' Telephone ��� Fax(631) 765-6641 BOARD OF TOWN'TRUSTEES TOWN OF SOUTHOLD DATE F INSPECTION: ��� / 7 Zez Ch. 275 Ch. 111 _ I INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction /Project constructed complete, compliance inspection. INSPECTED BY: `� J�6A4i D COMMENTS: CERTIFICATE OF COMPLIANCE: James F.King,Presideat �p�©g�fOtt e Town Hall,53095 Main Rd Bob Ghosio;Jr.,Vico-Piesideut y Dave Bergen K _ - P.O.Box 1179 u- . M _ Southold,kY 11971 John Bredemeyer p��/ Oc2 Telephone(631)765-1892 Michael L Domino O( 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 Ist day of construction constructed Project complete, compliance inspection lg�iilii 1;:i!111 ii i I BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK I PERMIT NO. 8174 DATE: MAY 15, 2013 ISSUED TO: SUSAN OLIVEIRA PROPERTY ADDRESS: 52532 CR 48, SOUTHOLD I SCTM# 135-3-15.1 f 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 May 15,2013, and in consideration of application fee in the sum of$250.00 paid by Ann J.Amia&a or authorized waiver of Town Board and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct 134 linear feet of vinyl bulkhead and 4'x8' untreated timber platform with 7'x3' stairs to beach; establish and subsequently maintain a 10' wide non-turf buffer landward of bulkhead; and as depicted on the site plan prepared by Jeffrey Patanjo, last dated April 4,2013, and stamped approved on May 15, 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.�s tG/ Oma- ��o�g11FF0(,�co G I i I I Imo_ --- TERMS AND CONDITIONS The Permittee Susan Oliveira residing at 52532 CR 48 Southold 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. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90) calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. 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. 0 0 James F. King, President ��OF 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 Q '� • �O Telephone(631) 765-1892 Michael J. Domino Z73 OUlm N Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 15, 2013 Mr. Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 RE: SUSAN OLIVEIRA 52532 CR 48, SOUTHOLD SCTM# 135-3-15.1 Dear Mr. Patanjo: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, May 15, 2013 regarding the above matter: WHEREAS, Jeffrey Patanjo on behalf of SUSAN OLIVEIRA 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 April 9, 2013, 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 recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 6.3 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the proposed construction is typically described as a retaining wall; the alternatives of low-sill bulkhead or other are impractical for particular site and will lead to damage of wetlands; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on May 15, 2013, at which time all interested persons were given an opportunity to be heard, and, z • • WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of SUSAN OLIVEIRA to construct 134 linear feet of vinyl bulkhead and 4'x8' untreated timber platform with 7'x3' stairs to beach; establish and subsequently maintain a 10' wide non-turf buffer landward of bulkhead; and as depicted on the site plan prepared by Jeffrey Patanjo, last dated April 4, 2013, and stamped approved on May 15, 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 Very truly yours, James F. King President, Board of Trustees JFK/amn ��a�dSllFFli(�-cPG James F. King,President y Town Hall Annex Bob Ghosio,Jr.,Vice-President w l 54375 Route 25,P.O.Box t 179 Dave Bergen �y � �' Southold,NY 11971 John Bredemeyer Telephone(631)765-1892 Michael J.Domino Fax(631)765-6641 BOARD OF TOWN TRUSTEES I TOWN OF SOUTHOLD TO te. -u-rev PLlta n )a fr- (A CQ n 01 i C i rCZ Please be advised that your application dated 4 Iq 11S has been reviewed by this Board at the regular meeting of '5 Is and your application has been approved pending the completion of the fbilowing items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale line Inspection Fee ($50.00) 1't Day of Construction ($50.00) Yz 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: $ SD. D o BY: James F. King, President Board of Trustees Peter Young,Chairman Town Hall, 53095 Main Rd. Lauren Standish, Secretary T P.O. Box 1179 Southold, NY 11971 Telephone(631)765-1892 Pax(63 1)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., May 8, 2013 the following recommendation was made: SUSAN OLIVEIRA to construct 134 If. of vinyl bulkhead and 4'X 8' untreated timber platform with stairs to beach. Located: 52532 County Rd. 48, Southold. SCTM#135-3-15.1 DO NOT SUPPORT Bulkhead unnecessary, design is flawed with angular rather than linear construct, needs non turf buffer (20') and should have same elevation as adjoining bulkheads, no bulkhead construction plan. Proposed by Derek Bossen, seconded by Doug Hardy. All in favor gyf James I King.President P.O. Boz 1179 Bob Ghosio, It Vice-Presidentyj d� Southold,NY 11971 Dave Beracn qp' Telephone(631 765-1892 John Bredcmcyer N 0 M Fax(63 1)765-6641 Michael I. Domino ,.y Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: 5 /7 Jeffrey Patanjo on behalf of SUSAN OLIVEIRA requests a Wetland Permit to construct 134 linear feet of vinyl bulkhead and 4'x8' untreated timber platform with 7'x3' stairs to beach. Located: 52532 County Road 48, Southold. SCTM# 135-3-15.1 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: Pres,Pnt Were: __LZJ. King Uig' Ghosio ✓D. Bergen, J. Bredemeyer Michael Domino D. Dzenkowski other Formfil�out in th field by Mailed/Faxed to: Date: �pj z A-► -- x'+.ti. f A . 01 so AtN 13F4 t April 4, 2013 NYS Dept. of Environmental Conservation SUNY @ Stony Brook 50 Circle Road Stony Brook, New York 11790-2356mo Attention: Duty AnalystRE: 52532 CR 48 SOUTHOLD, NYSCTM No. 1000-135-03-17.1 APPLICATION FOR PERMIT Dear Sir/Madame: We hereby submit four (4) copies of the proposed plans, applications, check, photographs and required data for permit approval for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332 or e-mail at jpatanjo@optonline.net. Very truly yours, 9 Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 cc: NYSDOS /f+09Y11 of Sou#vdd Susan Oliveira JOINT APPLICATION FORM For Permits/Determinations to undertake activities affecting streams,waterways, FM waterbodies, wetlands,coastal areas and sources of water supply. New York You must separately apply for and obtain separate Permits/Determinations from US Army Corps of State each involved agency prior to proceeding with work. Please read all instructions. Engineers(USAGE) APPLICATIONS TO 1. NYS Department of Environmental Conservation 2. US Army Corps of Engineers 3. NYS Office of 4. NYS Depart- General Services ment of State Check all permits that apply: Check all permits that apply: ❑ Stream Disturbance ❑ Coastal Erosion ❑ Section 404 Clean Water Act Check all permits that Check if this Management apply: �, ap�I es: Mana ❑ Excavation and Fill in ❑ Section to Rivers and Harbors ❑ State Owned Lands lid'Coastal Navigable Waters ❑ Wild,Scenic andA Recreational Rivers Under Water Consistency ecreaonae ❑ Docks, Moorings or ationwide Permit(s) -Identify ❑utility Concurrence Platforms ❑ Water Supply Number(s): Easement ❑ Dams and Impoundment ❑ Long Island Well (pipelines, Structures ❑Aquatic Vegetation Control .3 conduits, ❑ 401 Water Qualitycables,etc.) ❑Aquatic Insect Control Certification Preconstru n Notification - ❑Docks, ❑ Freshwater Wetlands El Fish Control ❑ N Moorings or Tidal Wetlands ❑ Incidental Take of Endan- Platforms gered/Threatened Species �� �,� G LlI am sending this application ❑ I am sending this [TI am sending LkrI am sending this application to this agency. to this agency. application to this this application agency. to this agency. S. Name of Applicant(use full name) Applicant must be: 6. Name of Facility or Property Owner(if different than LKOwner Applicant) 'SU SA h P 1 r Jej'r� ❑Operator Mailing Address ❑ Lessee Mailing Address (check all that apply) 2y Mur n sunt oit Post Office City Taxpayer ID (If applicant Post Office City 9a is NOT an Individual): r•t'm o✓til State Zip Codep'7�' State Zip Code /A ATelephone(daytime) Email Telephone(daytime) Email So3 - 1�o-$3oq 7. Contact/Agent Name B. Project/ Facility Name Property Tax Map Section/Block/ Lot Number "7e AF'e Qa'1"a n a 06el,rs.. Qrol 1000 / f3S oil+s--! Company Name Project Location - Provide directions and distances to roads, bridges and bodies of waters: VaeAA+ "'r 40ei«eenf -tb S ';.3 C/L.L{ `$ Mailing Address Street Address, If applicable Post Office City State Zip Code NY job Newl•t--f. is Cud 5153e, G!L '1! '8 Se + tko(eQ /1971 Post Office City Town—/Village/City County Center l oorivhe5 5P,tJ,Pit A Su, W e04 State Zip Code Name of USGS Quadrangle Map Stream/Water Body Name �K t t 9 3'I So„+k.lcC ,¢rsA.c�o�• >� Pa,.d Telephone(daytime) G31 '1.1 4 y Location Coordinates: Enter NYTMs in kilometers,OR Latitude/Longitude Email NYTM-E NYTM-N Latitude Longitude JPa IAn o �oP � a+(�Ne. �e-4 y1 'oS 'o9.w1. " yz'�y Sl•3f" ForAaencv useOnty DEC Applfcadan Number. USAGE Number: JOINT APPLICATION FORM 09/10 This is a 2 Page Application Application Form Page 1 of 2 Both Pages Must be Completed JOINT APPLICATION FORM- PAGE 2 OF 2 Submit this completed page as part of your Application. 9. Project Description and Purpose: Provide a complete narrative description of the proposed work and its purpose. Attach additional page(s) if necessary. Include: description of current site conditions and how the site will be modified by the proposed project; structures and fill materials to be installed; type and quantity of materials to be used (i.e., square ft of coverage and cubic yds of fill material and/or structures below ordinary/mean high water) area of excavation or dredging, volumes of material to be removed and location of dredged material disposal or use; work methods and type of equipment to be used; pollution control methods and mitigation activities proposed to compensate for resource impacts; and where applicable,the phasing of activities. ATTACH 1P/LANS ON SEPARATE PAGES. CpAxS,frvrk 1 3y tP of vruKL boLyjkec.AL -f•o prrt•<r lryt lorry IG n<.t-t art6- Lots of LhncQ �.ti+sovt- 4ncQ. fcr�l..c�c y'X $f f!Z •a�JcrL P14 6/nr 44lr2 t e,* /S K"- Proposed Use: Private ❑ Public ❑Commercial Proposed Estimated 5.,.�•f 3 Start Date: '�• f' !3 Completion Date: Has Work Begun on Project? ❑Yes M-Iroo If Yes, explain. Will Project Occupy Federal,State or Municipal Land? ❑Yes o If Yes,please specify. 10. List Previous Permit/Application Numbers(if any)and Dates: r � R 11. Will this project require additional Federal, State,or Local Permits including zoning changes? Yes ❑ No If yes,please list: N`1,sDo5 1 -r. . J ✓>G 5O✓+Gral/k 7r o.'-Deer 12. Signatures.If applicant is not the owner, both must sign the application. I hereby affirm that information provided on this form and all attachments submitted herewith Is true to the best of my knowledge and belief. False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the Penal Law. Further, the applicant accepts full responsibility for all damage, direct or Indirect, of whatever nature, and by whomever suffered, arising out of the project described herein and agrees to indemnify and save harmless the State from suits, actions, damages and costs of every name and description resulting from said project. In addition, Federal Law, 18 U.S.C.,Section 1001 provides for a fine of not more than $10,000 or imprisonment for not more than 5 years, or both where an applicant knowingly and willingly falsifies, conceals,or/covers up a material fact; or knowingly makes or uses a false,fictitious or fraudulent statement. 04/el G?Z- ignature of A�pJplicaant/ Printed Name Title Date/f 1.JC �('� 0 0A)'-l2 �1 ' � ' �3 «. S ignature Ow er Printed Name Title Date 'TI.FGrt� �7� largo ��<n-f [• �3 Agent Printed Name Title Date For AggnlIy useOnly "'RET RMINATION OF MO.PES., ZT REQUIRI .- ;A9epcy�.Prb,�' I�tU�b�r r I c �s has dekermi ed that fPermj�is ret)ulfed frorrt this Agency for the project described in (A4en y Name), _ PPllca�on ' this a Agency Re '4 Name,(printed) Title �Signdturg, - . Data JOINT APPLICATION FORM 09/10 Application Form Page 2 of 2 677.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I -PROJECT INFORMATION To be completed by Applicant or Project Sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME 5v San o! wete-e,- olives Peo Ll R,, u.4cad 3. PROJECT LOCATION: 11 !1 ' ! Municipality D V •t'�r.oI lt. County 5v C.IL 4. PRECISE LOCATION(Street address and road intersections,prominent landmarks,etc.,or provide map) S a 5--3 JI- c 2 4$ VFIcANt 1&-r� 5. PROPOS D ACTION IS: Q New E] Expansion E]Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: Gu„gT�ua-f 13KaF .F n/l �y4,nc2 u 'k $ t P4 �fois7 7. AMOUNT OF LAND AFFECTED: Initially , V t acres Ultimately ' `�I acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [R-fes 7 No If No,describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? E 'Residential Industrial ❑Commercial ❑Agriculture ❑ Park/ForestlOpen Space Other Describe: Vp,�srn�' Lo-t' ,.v R�Lldor+ •�'ar.,l.. `sf lc�, - 10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING,NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDE L,STATE OR LOCAL)? Yes ❑ No If Yes,list agency(s)name and permit/approvals: •'r~w 'rl, C+'-t5 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Yes D41�0 If Yes,list agency(s)name and permit/approvals: 12. AS A RESULT OF PROP D ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? Yes No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicantisponsor namia: 5 U \ VL ; fo` Date: Signature: If the the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER PART II - IMPACT ASSESSMENT To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617.4? If yes,coordinate the review process and use the FULL EAR El Yes ❑ No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration may be superseded by another involved agency. Yes [] No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,if legible) Ct. Existing air quality,surface or groundwater quality or quantity,noise levels,existing traffic pattern,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,significant habitats,or threatened or endangered species?Explain briefly: C4. A community's existing plans or goals as officially adopted,or a 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. Longterm,short term,cumulative,or other effects not identified in C1-05? Explain briefly: C7. Other impacts(including changes in use of either quantity or type of energy)? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA(CEA)? Yes 0 No If Yes,explain briefly: E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑Yes ❑ No If Yes,explain briefly: PART III-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant. Each effect should be assessed in connection with its(a)setting(i.e. urban or rural); (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. If question D of Part It was checked yes,the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. ❑ Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FUL EAF and/or prepare a positive declaration. ❑ Check this box if you have determined,based on the information and analysis above and anysupporting documentation,that the proposed actionWIL NOT result in any significant adverse environmental impacts AND provide,on attachments as necessary,the reasons supporting this determination Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Sge reparer(If different from responsible officer) #Res�� New York State Aft of Environmental Conservation MEN NW PERMISSION TO INSPECT PROPERTY By signing this permission form for submission with an application for a permit(s)to the Department of Environmental Conservation("DEC"),the signer consents to inspection by DEC staff of the project site or facility for which a permit is sought and, to the extent necessary, areas adjacent to the project site or facility. This consent allows DEC staff to enter upon and pass through such property in order to inspect the project site or facility,without prior notice,between the hours of 7:00 a.m.and 7:00 p.m.,Monday through Friday. If DEC staff should wish to conduct an inspection at any other times, DEC staff will so notify the applicant and will obtain a separate consent for such an inspection. Inspections may take place as part of the application review prior to a decision to grant or deny the permit(s)sought. By signing this consent form,the signer agrees that this consent remains in effect as long as the application is pending, and is effective regardless of whether the signer,applicant or an agent is present at the time of the inspection. In the event that the project site or facility is posted with any form of"posted" or"keep out"notices,or fenced in with an unlocked gate,this permission authorizes DEC staff to disregard such notices or unlocked gates at the time of inspection. The signer further agrees that during an inspection,DEC staff may, among other things, take measurements, may analyze physical characteristics of the site including, but not limited to, soils and vegetation (taking samples for analysis),and may make drawings and take photographs. Failure to grant consent for an inspection is grounds for, and may result in, denial of the permit(s) sought by the application. Permission is granted for inspection of property located at the following address(es): 5153'- CR K+ P-1 1147! C✓AGlrn�' Z"!"� By signing this form, I affirm under penalty of perjury that 1 am authorized to give consent to entry by DEC staff as described above. I understand that false statements made herein are punishable as a Class A misdemeanor pursuay� 2 t to Section 210.45 of the Penal Law.* Sv�cv� Cl (yc �(c� /�Cr�h • 73 Print Name and Title Signature Date *The signer of this form must be an individual or authorized representative of a legal entity that: • owns fee title and is in possession of the property identified above; • maintains possessory interest in the property through a lease,rental agreement or other legally binding agreement;or • is provided permission to act on behalf of an individual or legal entity possessing fee title or other possessory interest in the properly for the purpose of consenting to inspection of such property. Permission to Inspect Property Application Supplement 12108 NEW YORK STATE DEPARTMENT OF STATE COASTAL MANAGEMENT PROGRAM Federal Consistency Assessment Form An applicant,seeking a permit,license,waiver,certification or similar type of approval from a federal agency which is subject to the New York State Coastal Management Program(CMP),shall complete this assessment form for anyproposed activity that will occur within and/or directly affect the State's Coastal Area. This form is intended to assist an applicant in certifying that the proposed activity is consistent with New York State's CMP as required by U.S. Department of Commerce regulations(15 CFR 930.57).It should be completed at the time when the federal application is prepared. The Department of State will use the completed form and accompanying information in its review of the applicant's certification of consistency. A.APPLICANT (please print) 1.Name: �J✓5Gn OZ►dtif N. 2.Address:_ 9 LI 3.Telephone: Area Code B.PROPOSED ACTIVITY 1. Brief description of activity: G✓C4rvi-r i3 K t F mF Vtn,y L S ✓U�tiswlJ� j1e��4cG N `1l$' 'r� �, tiJuL (JrKrtnrR 4,61 2.Purpose of activity: is a(y�crtn�acP aa� r.� ,..euSL :, F ,Aro 4ee 3.Location of activity: 5 �Fo t County City,Town,or Village Street or Site Description 4.Type of federal permit/license required: 4/2 A4 L+2.0s 5. Federal application number,if known: N (4 6.If a state permit/license was issued or is required for the proposed activity,identify the state agency and provide the application or permit number,if known: C.COASTAL ASSESSMENT Check either"YES"or"NO"for each of these questions. The numbers following each question refer to the policies described in the CMP document(see footnote on page 2)which may be affected by the proposed activity. 1.Will the proposed activity result in any of the following: YES/NO a.Large physical change to a site within the coastal area which will require the preparation of an environmental impact statement? (11,22,25,32,37,38,41,43). . . . . . . . . . . . .... b.Physical alteration of more than two acres of land along the shoreline,land under water or coastal waters? (2, 11, 12,20,28,35,44). . . .. . . . .. ... . ... . . . . . . . . . c.Revitalization/redevelopment of a deteriorated or underutilized waterfront site? (1). . . . . . Q d.Reduction of existing or potential public access to or along coastal waters? (19,20). . . . . . E- e.Adverse effect upon the commercial or recreational use of coastal fish resources? (9,10) .. . ©, IB f. Siting of a facility essential to the exploration,development and production of energy resources in coastal waters or on the Outer Continental Shelf? (29). . . . . . . . .. . .. . . .... Eg JS g. Siting of a facility essential to the generation or transmission of energy? (27). . .. .. . . . . . E3 is It.Mining,excavation,or dredging activities,or the placement of dredged or fill material in coastal waters? (15,35). . . . . . . . . . . . . . . ... . . . . . . .. .. . . . . .. .. . . . . . . . . . . .... . . Q B i.Discharge of toxics,hazardous substances or other pollutants into coastal waters? (8, 15,35) EZ $ j.Draining of stormwater runoff or sewer overflows into coastal waters? (33). . . . .. . . .. . . EL B' k.Transport,storage,treatment,or disposal of solid wastes or hazardous materials? (36,39). EL -' 1.Adverse effect upon land or water uses within the State's small harbors? (4).. .. .. . . . . . . El -0 2.Will the proposed activity affect or be located in,on,or adjacent to any of the following: YES/NO a.State designated freshwater or tidal wetland? (44). . . . . . . . . . . . .. . . . . .. .. .. . . . . . . . . li� E3 b.Federally designated flood and/or state designated erosion hazard area? (11, 12, 17,). .. . . Q_ c.State designated significant fish and/or wildlife habitat? (7). . . . .. . .. .. .. .. . . . . . ... . E3 Iff d. State designated significant scenic resource or area? (24). . . . . .... . . . . . . . . .. . . . . . . . Q _12 e. State designated important agricultural lands? (26). . . . . . . . . . . .. . . . . . . . . . . . . .. .. . . E3 a f Beach,dune or barrier island? (12). .. . . . . . . . . . . . . . . . . . . . . . ... . . .. . . . . .. . . . . . . a. . . . . ... . . .. . . . . .. . . . . . . g.Major ports of Albany,Buffalo,Ogdensburg,Oswego or New York? (3) ... . . . .. . . . .. . . Q It. State,county,or local park? (19,20). . . .. . . . . . . . . ,, . . . i.Historic resource listed on the National or State Register of Historic Places? (23). .. . . . . . Q 3. Will the proposed activity requi any of the following: YES/NO a.Waterfront site? (2,21,22) . . . . . .. . . . . .. . . . . . . . I . . . . . . . . . I .. . . . . . . .. . . . . . . .. 0 _IR b.Provision of new public services or infrastructure in undeveloped or sparsely populated sections of the coastal area? (5) . . . . . . . . . . . . .. . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . c.Construction or reconstruction of a flood or erosion control structure? (13, 14, 16). . .. . . EF 1;� d. State water quality permit or certification? (30,38,40). . . . . . . .. .. . . . . . . . . . . . . . . . . . Q Is e. State air quality permit or certification? (41,43) . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . Q Iff 4. Will the proposed activity occur within and/or affect an area covered by a State approved local waterfront revitalization program? (see policies in local program document) .. . . . . . . . . . . . . Q 9 D.ADDITIONAL STEPS 1.If all of the questions in Section C are answered"NO",then the applicant or agency shall complete Section E and submit the documentation required by Section F. 2.If any of the questions in Section C are answered"YES",then the applicant or agent is advised to consult the CMP,or where appropriate,the local waterfront revitalization program document*. The proposed activity must be analyzed in more detail with respect to the applicable state or local coastal policies. On a separate page(s),the applicant or agent shall: (a) identify,by their policy numbers,which coastal policies are affected by the activity,(b)briefly assess the effects of the activity upon the policy; and,(c)state how the activity is consistent with each policy. Following the completion of this written assessment,the applicant or agency shall complete Section E and submit the documentation required by Section F. E.CERTIFICATION The applicant or agent must certify that the proposed activity is consistent with the State's CMP or the approved local waterfront revitalization program,as appropriate. If this certification cannot be made,the proposed activity shall not be undertaken. If this certification can be made,complete this Section. "The proposed activity complies with New York State's approved Coastal Management Program,or with the applicable approved local waterfront revitalization program,and will be conducted in a manner consistent with such program." al Applicant/Agent's Name: sJ e Y FrGH Qa +eG ^ I o Address: 1,0 1, gewi + l vit ('can-l-cr IY)mr"c-S , 1,41J 7183`/ Telephone: Area Code( ) b 31 - 14ib ,4• 4n33 Applicant/Agent's Signature: t /dl, r 1•' Date: 1 -6 - 13 F. SUBMISSION REQUIREMENTS 1.The applicant or agent shall submit the following documents to the New York State Department of State,Office of Coastal,Local Government and Community Sustainability,Attn: Consistency Review Unit,i Commerce Plaza,99 Washington Avenue-Suite 1010,Albany,New York 12231. a.Copy of original signed form. b.Copy of the completed federal agency application. c.Other available information which would support the certification of consistency. 2.The applicant or agent shall also submit a copy of this completed form along with his/her application to the federal agency. 3.If there are any questions regarding the submission of this forth,contact the Department of State at (518) 474-6000. *These state and local documents are available for inspection at the offices of many federal agencies,Department of environmental Conservation and Department of State regional offices,and the appropriate regional and county planning agencies. Local program documents are also available for inspection at the offices of the appropriate local government. ENVIRONMENTAL QUESTIONNAIRE This Is intended to supplement ENG Form 4US, Application for Department of the Army Permit or the Joint Application for Permit used in the State of New York Please provide complete answers to all questions below which are relevant to your project Anyanswers maybe continued on separate sheets)of paper to be attached to this farm. PRIVACYACT STATEMENT The purpose of this form is to provide the Corps of Engineers with basic information regarding your project This information will be used to facilitate evaluation of your permit application and for public dissemination as required by regulation. Failure to provide complete Information may result in your application being declared incompiate for processing, thereby delaying processing of your application. GENERAL—APPLICABLE TO ALL PROJECTS 1. Explain the need for, and purpose of, the proposed work. THE EXISTING BULKHEAD IS DETERIORATED AND IN NEED OF REPLACEMENT TO PROTECT AGAINST LOSS OF LAND. 2 Provide the names and addresses of property owners adjacent to your work site (if not shown on the application form or project drawings). SEE PLAN, (Please note that depending upon the nature and extent of your project,you may be requested to provide the names and addresses of additional property owners proximate to your project site to ensure proper coordination.) 3. Photographs of the project site should be submitted. For projects in tidal areas, photographs of the waterway vicinity should betaken at low tide. Using a separate copy of your plan view, Indicate the location and direction of each photograph as well as the date and time at which the photograph was taken. Provide a sufficient number ofphotographs so as to provide a dear understanding of conditions on and proximate to your project sits. 4. Provide a copy of any environmental impact statement, or any other environmental report which was.prepared for your project 5. Provide a thorough discussion of afternatives to your proposal This discussion should include, but not necessarily be limited to, the "no acdon" a/temative and altemadve(s)resulting in less disturbance to waters of the United States. For filling projects In waters of the United States, including wetlands, your alternatives discussion should demonstrate that there are no practicable altemadves to your Proposed filling and that your project meets with current mitigation policy (:.e. avoidance, minimization and compensation). THE NO-BUILD ALTERNATIVE WOULD RESULT IN LOSS OF LAND AND PROPERTY. DREDGING PROJECTS Answer the following if your project involves dredging 1. Indicate the estimated volume of material to be dredged and the depth (below mean low wated to which dredging would occur. Would there be overdepth dredging? Z You can apply for a ten-year permit for maintenance dredging. H you wish to apply for a ten-year permit,please provide the number of additional dredging events . during the ten-year life of the permit and the amount of material to be removed during future events. 3. Indicate of your drawings the dewatering area(if applicable)and disposal site for the dredged material (except landfill sites). Submit a sufficient number of photographs of the dewatering and disposal sites as applicable so as to provide a clear indication of existing conditions. For ten-year maintenance dredging permits, Indicate the dewatering(disposal sites for future dredging events, If known. 4. Describe the method of dredging(i.e. clamshell, dreglins, etc.) and the expected duration of dredging. 5.Indicate the physical nature of the material to be dredged r e.sand,slit,clay, etc.) and provide estimated percentages of the various constituents if available. For beach nourishment projects, grain size analysis data is required. 6. Describe the method of dredged material containment (i.e. hay bales, embankment bulkhead, etc.)and whether return flow from the dewatering(disposal site would reenterany waterway. Also Indicate If there would be any barge ovwffow. MOORING FACILITIES Answer the following If your project Includes the construction or rehabilitation of recreational mooring facilites. 1.It is generally recommended that any toted piers and walk ramps be limited to four feet In width, and that floats be limited to eight feet in width and rest at least two fillet above the waterway bottom at mean low water. Terminal floats at private, non- commercial fadlidies should be limited to 20 feet in length. If you do not believe your proposal can meet with these recommendations,please provide the reason(s). 2. Using your plan view, show to scale the locaton(s), position(s) and sizes) (including length,beam and draft)of vessel(s)to be moored at the proposed facility, including hose of transient vesse/(s)if known. 3.For commercial mooring sites such as marinas,indicate the capacity of the facility and indicate on the plan view the locaton(s)of any proposed fueling and/or sewage pumpoutfac111tes. Npumpout facilites are not planned,please discuss the rationale below and indicate the distance to the nearest available pumpout station. 4. Indicate on your plan view the distance to aeffacent marine structures, if any are proximate and show the locations and dimensions of such structures. S Discuss the need for wave protection at the proposed facility. Please be advised that Ifa permit Is Issued,you would be required to recognize that the mooring facility may be subject to wave action from wakes of passing vessels, whose operations would not be required to be modified. Issuance of a permit would not relieve you of ensuring the integrity of the authorized structures)and the United States would not be held responsible for damages to the structures) and vessels)moored thereto from wakes from passing vessels. BUl"EADING/BANK STABNJZATIOA (LUNG ACTIVITIES Answer the following If your project includes construction of bulkheading (also retaining walls and seawalls) with backfill, 19111ng of waters/wedands, or any other bank stabilization fills such as dpmp, revetments, geblons, etc. 1. Indicate the total volume of till(including backfill behind a structure such as a bulkhead7 as well as the volume of flit to be placed into waters of Me United States. The amount offNlln waters of tine United States can be determined by calculating the amount of fill to be placed below the plane of spring high tide in tidal areas and below ordinary high water In non-tidal areas. NO FILL WILL BE IMPORTED FOR CONSTRUCTION. 2. Indicate the source(s)and type(s)of fill material. WA 3. Indicate the method of fill placement(Le. by hand, bulldozer, crane, etc.). Would any temporary Nils be required In waterways or wetlands to provide access for construction equipment? N so, please indicate the area of such waters and/or wetlands to be tilled, and show on the plan and sectional views. ALL WORK TO BE ACCOMPLISHED BY LAND WITH RUBBER TRACKED EXCAVATOR. The foregoing requests basic Information on the most common types of projects requiring Department of the Army permits. It Is Intended to obviate or reduce Me need for requesting additional Information;however, additional information may be requested above and beyond what Is requested In this form. Please feel free to add any additional Information regarding your project which you believe may faciNtate our review. hi Photo E I V E D • 2013 r Southold Town Board- of Trustees • r p Photo 2 E C E \/ E D A •• • 2013 Southold Town Board of Trustees � 11 J r •r- . .nl� sd"••. Yom:� 1 Y, Photo . APR 9 2013 outholdbwn D :,. of Tr stees 2 �r F 1p V 71 Y jjtt i I�{;r g�, ♦ .fie� # i' � _ h�.�„ ,d N i f �'•. P �• F� odd � � • en Y S:.i _>�� pF�n 'f, GoGo SL earth feet 600 meters 100 Oza� LONG — Fp 10 G • / � P D � d ^ PVE T mx uxnmcH d • NEw '�y , ,a. � fro, I r 49 O ek 14 r�. i a � R W. ... SOUNONEW WE. � QP ua d a4 •/, qp e a a —f l OOUNWOFSUFFOLK © a • c*nx OFFICE LOCATION: �aq SO(/ryO MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 A Telephone: 631 765-1938 Q Fax: 631765-3136 o�y00UNTV N� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Jim King, President D Town of Southold Board of Trustees MAY 1 3 2013 From: Mark Terry, Principal Planner LWRP Coordinator Southold Town f Date: May 13, 2013 Re: Proposed Wetland Permit for SUSAN OLIVEIRA SCTM#1000-135-3-15.1 No permits for the existing platform and stair structures were found. Jeffrey Patanjo on behalf of SUSAN OLIVEIRA requests a Wetland Permit to construct 134 linear feet of vinyl bulkhead and 4'x8' untreated timber platform with TxT stairs to beach. Located: 52532 County Road 48, Southold. SCTM# 135-3-15.1 It is my recommendation that the proposed actions are INCONSISTENT with LWRP Policy 6.3 (below) and therefore, INCONSISTENT with the LWRP. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. New bulkheads in creeks and bays are prohibited, unless the operation involves construction of a low-sill bulkhead. The property and action is located within the VE flood zone. It is recommended that the Board evaluate the proposed bulkhead for flood control properties and in context with heights of bulkheads of properties to the south. 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 D � � � � D _Coastal Erosion Permit Application Office Use Only V ]LWetland Permit Application Administrative Permit APR - 9 2013� Amendment/Tran sfe/E/tension Received Application: thol own Received Fee:$ Completed Application _Incomplete _SEQRA Classification: Type IType 11—Unlisted Coordination:(date sent) �r LWRP Consistency Assessor nt Form y/4h3 ECAC Referral Sent (Date of Inspection: Receipt of CAC Repo Lead Agency Determination: _Technical Review: �( Public Hearing Held: Resolution: Name of Applicant Sv s••n O 1" V e;re Address Or. V^,r -mouth �nEj 02'74-7 Phone Number:( ) 508 y$O - 8309 Suffolk County Tax Map Number: 1000 - 1'35 -0 '3- 1S. 1 Property Location: 15;1-53a- C Q. 4f, So✓ tk o 161, N y 119.7 C %1ALANT L.sf 4aC, ..rcn'1' •{'o Am,n.tp. 5�- 3370 (provide LILCO Pole#, distance to cross streets, and location) AGENT: '.,7–e SFr e y P4,-taL n.) o (If applicable) Address: job hfwk -Yt 61VA e'en-her r(IoriC,64s N� 1193y Phone: s31 • Lis y • 933a- c� Cantrell, Elizabeth From: Jeffrey J. Patanjo <jpatanjo@optonline.net> Sent: Wednesday, April 10, 2013 9:28 PM To: Cantrell, Elizabeth Subject: 52532 CR48 - Oliveira Elizabeth, Just spoke to Ann Amiaga, she owns 52332 CR48,the vacant property known as 52532 was owned by a Living Trust for Susan Oliveira under Ann's husband (Susan's father)Gilbert Amiaga who is since deceased as of 2009.This being said, Susan Oliveira should be now listed as the sole owner of 52532 CR48. Hope this makes sense, let me know if you need anything from us. Thanks, Jeff 1 Board of Trustees Application GENERAL DATA Land Area(in square feet): 3S7 7 3 L Area Zoning: RCS Previous use of property: Q.-tb,i ew+sq Intended use of property: Itz5filen`l'14.G Covenants and Restrictions:_Yes `� No If"Yes", please provide copy. Does this project require a variance from the Zoning Board of Appeals Yes 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 ✓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): Cor s-rr ve-r I ?4 l F of VI,VyLL b,LV hl.%A 0,^,C q,x I , V V-CrrC4+eA - J&Gbe4— l0tr4r,rt wI S+Otirs —4'0 6Cae-it . Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: CONS-rru cr 1 34 L F -,c V4 N4 L 6ytV-13eA0 *^ V- 4' X'b ' trcw-t'erA -4tiyeA- eiA+-(t,reK -w%+h - -v bo" Area of wetlands on lot: 2 0 3 S square feet Percent coverage of lot: 0.0 6, % Closest distance between nearest existing structure and upland edge of wetlands: N�R feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? ✓ No Yes If yes, how much material will be excavated? I"l^ cubic yards How much material will be filled? Nlh cubic yards Depth of which material will be removed or deposited: w)A feet Proposed slope throughout the area of operations: / '' Manner in which material will be removed or deposited: 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): Trek W411 '5t a KCC'r$ 'ho -Fill-( We-r/4'JS 63 wrt,.� ♦F Pn-t'ee +1l y (L✓reL.j— 0 617.20 • 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 5✓ san ollvelra�- Olive pevpE13i.,CY-4c4d 3. PROJECT LOCATION: Municipality 5 C.V +k'l it County 5✓ /-.�v C.IL 4. PRECISE LOCATION(Street address and road intersections,prominent landmarks,etc.,or provide map) S a 5-31 c X K'b VaC AN r ,Lo-r) 5. PROPOS D ACTION IS: New ❑ Expansion ❑Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: Gv,.5Tf✓6'f 1311 aF rF Nl�'?t+ hvClGG.cr.� Z�dP L/ 'x $ ` p�r7l�eirq ✓*1 s-ta lr s f. ata r l t 7. AMOUNT OF LAND AFFECTED: Initially . o& acres Ultimately • '�I acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? Eg-les ❑ No If No,describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? gResidential 11 Industrial Commercial Agriculture [] Park/Forest/open Space ❑ Other Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING,NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDE L,STATE OR LOCAL)? Yes No If Yes,list agency(s)name and permit/approvals: Ta- 'j -r roc+t or 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑ Yes N-1116� If Yes,list agency(s)name and permit/approvals: 12. AS A RESULT OF PROPQ85D ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? Yes No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: S S „_ G I Date: Signature: 7— 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 y PART 11 - IMPACT ASSESSMENT To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617.4? it yes,coordinate the review process and use the FULL FAF. Yes R1 No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration may be superseded by another involved agency. Yes 0 No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,If legible) Cl- Existing air quality,surface or groundwater quality or quantity,noise levels,existing traffic pattern,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,significant habitats,or threatened or endangered species?Explain briefly: C4. A community's existing plans or goals as officially adopted,or a 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 tens,short term,cumulative,or other effects not identified in CI-05? Explain briefly: C7. Other impacts(including changes in use of either quantityy or type of energy? Explain briefly: -- _. . .. D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA(CEA)? If yes,explain briefly: Yes ❑✓ No E. IS THERE,OR IS THERE LIKELY TO BE CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: Yes No PART 111-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant. Each effect should be assessed in connection with its(a)setting(i.e.urban or rural);(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. If question d of part ii was checked yes,the determination of significance mustevaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potentially large or significant adverse Impacts which MAY occur.Then proceed directly to the FULI FAF and/or prepare a positive declaration. Check this box if you have determined,based on the Information and analysis above and any supporting documentation,that the proposed actiot WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi determination. Board of Trustees p ,yj�y 3 ;Z013 Name' of Lead A ency Date J'4Al /—• klAl (�-- President o Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer ignature of Responsible ummr7 Lead Agency Signature of Preparer(if different from responsible officer) PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: -Ann J . Amiacp 5a339, (? P-45 I I9-7 Ann Amiacla FloS .Olivet a rno Dr .Daresma4- /1HA ona ��l A . I Zzane`zX_ 1� t.t,rCa .4 shty a ri I Chrtst��1 �� ml I I �� ZMPD VaIk_& tiZT D57450 STATE OF NEW YORK COUNTY OF SUFFOLK y'��� p� � , __� residing at up _�� IL AV d lift, _ being duly sworn, deposes and says that on the ?JQ day o 201:-5, deponent mailed a true copy of the Notice set forth in the Board bf 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 assessme t roll of the Town of Southold; that said Notices were mailed at the United States Post OfficeatUOttX MMLhO, that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this _8(J Day of V I 20 1 *OW y Public _ Pull York in ;Wew wl commission IEV nst:067/20.& h�O�OgpFFD(,�Co� • 3 Z James F. Bing. President ti Town I kill. 53095 Main Rd. Bob Ghosio.Jr..Vice-President P.0. Box 1179 Dave Bergen �, ,' Somhold.NY 11971 .John 13redemeyer ' �� 1 ekephone(63 1)765-1892 Michael J. Domino �'1 # �`� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUT TOLD --------------------------------------------------------------- In the Matter of the Application of SUSAN OLIVEIRA COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING 1 r[ TO RE CO,h1IPLL,ETED AFTER POSTING REMAINS INPLACE 1--OR yEIIGHT DAYS I. �J[ Y (Y(�(�{ �a T(F��, residing at /dba_l oew ) L1 VC] Ger\kr pair i Ov e N� l I0 being duly sworn, depose and say: That on the day of M4�A� , 2013, 1 personally posted the property known as 5-2532 G2 4E5 SDU++TdGl/ " 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 Wednesday, May 15, 2013. Dated: 5/v l3 (si , atu Sworn to before me this day of 01J 20 (a Notary Public Loran Patanl'o NOMPublic St�New York 011 150 County Commission E*m 06/07/20 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: Sinn Obi ve i ro, SUBJECT OF PUBLIC HEARING: To construct 134 linear feet of vinyl bulkhead and 4'x8' untreated timber platform with 7'x3' stairs to beach. TIME & DATE OF PUBLIC HEARING: Wectnex6V, /Y�j/ 151',2013 - o� or ab ouf S.' 30 PM • If you have an interest In this project, you are invited to view the Town file(s) which are available for inspectionrior to the day of the hearing during normal business days between the hours ofp8 a.m and 4. p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631 ) 765- 1892 Board of Trustees Application County of Suffolk State of New York 5,,s". Di:vcivl 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. Signature J SWORN TO BEFORE ME THIS �" DAY Olf- ,2013 '1 No y Public JEP' NotarYRuu!ic York C� 01r , .3 Gluzi� C:'un?y Commis ion >{;i, iv v i'U116,20� Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) 1, S064k n O l ivuru. residing at M—%+ Dr. (print owner of property) (mailing address) D a r}h'lv J+ti , M A ca 7 y 7 do hereby authorize T (Agent) a to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature) 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 employees.The purpose of this form is to provide 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: DItVEtfh °jVSan (Last 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 v If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a noncorporate 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 Submitted this day of 200 Signature Print Name 'SScu.' Ct \,V e i fcy,_ Form TS I bokTown of Southold ® Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M.a: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A '4C 1010 /35- 03 is.,/ STORM-WATER,GRADING.DRAINAGE AND EROSION CONTROL PLAN Tis&eTs� -§FoEr— —r= CERTIFIED BY A DEMON PROFESSB)NAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? 1 Will this Project Retain All Storm-Water Run-Off (Include Total Area of all Parcels located within the Scope of Work for Proposed Construction) 32,93 es) Generated by Include Two(2')Inch Rcreat on SiN? (S.F.rAaee) (Taringad/ rconstrallon-offcreefed by site � ❑ Id. What is the Total Area of Land Clearing clearing and/or construction activities as well as all and/or Ground Disturbance forthe proposed ,(F b,9 0.IP& Site Improvements and the permanent creation of Construction activity? Impervious surfaces.) PROVIDE BRIEF PROJECT DESCRIPTION IrvodsaAadmrei py.:m u.ewt 2 Does the Site tureslan Indicating tingSurSi &L All Proposed ❑ Drainage Structures Irdimtinq Size&Location?This Item shall include all Proposed Grade Changes and 13 y t F vi ry L bra l X-6tAD Slopes Controlling Surface Water Flow. a n R t $ Does the Site Plan and/or Survey describe the erosion ❑ tl �r 4 j?7..tL./rr a�•l and sediment control practices that will he used IO control site erosion and storm water discharges. This rr,ti a rs fe h azo. Kato must be maintained throughout the Entire Construction Period. 4 Will this Protect Require any Land Filling,Grading or Excavation where there is a change to the Natural ❑ Existing Grade Involving mote than 200 Cubic Yards of Material within any Parcel? rj Will this Application Require Land Disturbing Activities / Encompassing an Area In Excess of Fite Thousand ❑✓ (5,000 S.F.)Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the Site? Is this Project within the Trustees Judadlction Demand DEC SWPPP Requirements: in within One Hundred(IOD')feet of Welland or E-1 — Submission of a SWPPP Is required for at Construction activities invoiving soil Beach? disturbances of one(1)or crave acres;including disturbances of less man one acre that 7 Will there be Site preparation on Existing Grade Slopes are pan of a larger common plan that will ultimately disturb one or more acres of land: which Exceed Fifteen(15)feel of Vertical Rise to El including Construction acWPoes involing soil disturbances of less mon one(1)acre where One Hundred(IOU)of Horizontal Distance? the DEC has determined that a SPDES permit is required for storm wader discharges. (SWPPP's Shall meet the Minimum Requirements of the SPOES General Parrett 8 Will Driveways,PwWng Areas or other Impervious for Sterm Water Discharges from Construction activity•Permit No.GP-04MI.) Surfaces be Sloped to Direct Stone-Water Run-OR El1.The SWPPP shall be prepared prior m the submitral of the NOI.The NO]shall be Into and/or In the direction of a Town right-gl-way? submitted to the Department prior to to commarcormant ofconstruction aciMly. 2 The SWPPP shag describe the emsion am sediment control practices and where 9 Will this Project Require the Placement of Material. El — required,postconstruclbn scum water management practices that will be sed anwcr Removal of Vegetation and/or the Construction of any constructedm reduce the pollutants in storm waterdischargs am to assure Nem Within the Town Right-of-Way a Road Shoulder compliance with the terms and conditions of this pamdL in addition,me SWPPP shall AM?(Me twin wai Nalmlud.me ftvedp ufmi.aws,Arms) Identify potential sources of pollution which may reasonably be spelled to affect the quality of storm water discharges. NOTE: NMyAnsererta0u mom Ommmugh NinaisAnwmwWwhhaChwk Mwk 3.N SWPPPs that require the pwtconstructbn storm water management practice in a sox and the construction alta disturbance Is between 4000 S.F.Is 1 Acre In wy Component shall be prepared by a quaffed Desgn professional Licensed In New York a SionnM'aho,Gnu inn,Drainage A Emalon Corroul Plan ie Required by the Town of that is knowledgeable In the pdncipls and practices of Sham Water Management Southold and Must be Submitted for Review Prior to Issuance of Arty Bonding Parmit. (NOTE: AChadtWrk(!)arArorAmwrtbreadr Cuedbnb Requkadkea CornpbbApok.snI SPATE OF NEW YORK, COUNTY OF.. 5:.... ''.:\..................SS That I,...2L).��::^...v......U.Y.I. ...................being duly swore,deposes and says that he/she is the applicant for Penni4 (Name of individual signing Dommenq rN Andthat he/she is the ......... / ..../s::........... ........................................................................................................................ . (owner,Contractor,Agent,Corporate Officer.ata) 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 are true to the best of his knowledge and belief;and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; �:1 13 .:.... .....................dayofO. ............4......,20... NoGuy Public .....,'!�...'.. .... ..................................................... X......... ....... v K ... f h'.. .... .......................... (signature INApplgarmU FORM - 061`10 � 20�- 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",then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.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# 13 'S - W5 - 1 r• I The Application has been submitted to(check appropriate response): �y Town Board EE Planning Dept. E Building Dept. E Board of Trustees L" I I. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital 0 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: t"o.+5-rruc-t 1'34 L4� uFyt"4L 6,,u6h*s dl 4, r%A- N',y V�'CfC4{td -ri m btr el. -�4 sa.n 4 S-Ca 1 rS -to Location of action: 5 9533- Cif. 92, So�+h.IJt waca�t G- t) Site acreage: 0--75- Present .75- Present land use: k c S-d cn+,w L Present zoning classification: (LLS 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: S✓5 R ✓l 01 t v e t ts. (b) Mailing address: a W M t rr-Y rrt 0✓n t- OR. Pw r ! mouth MA 0.%T4-7 (c) Telephone number: Area Code ( ) 5619- '2411 -153011 (d) Application number, if any: Will theactionbe directly undertaken,require funding, or approval by a state or federal agency? Yes Ehe No❑ If yes,which state or federal agency? r�tso E` sn.Y Gips j ti+NSOoS 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. ✓f Yes [] No F� Not Applicable Qr•iec 4- Pr•✓&dss Fm2 vis✓ ibi a�/� ��.��•••� b�l.lLhcu( WIt.Ic p�•f'ieh,.� A.aw n �{' LmtS mL L&n,L . Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III-Policies Pages 3 through 6 for evaluation criteria Yes E No u 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 Q No © Not Applicable PROJECT ENHANCES VISUAL QUALITY BY PROVIDING A VISUALLY APPEALING BULKHEAD. 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 D No 0 Not Applicable PROJECT PROTECTS THE LOSS OF LAND AND EROSION DUE TO TIDAL CURRENTS AND UPLAND RUNOFF. Attach additional sheets if necessary Policy S. 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 R No R Not Applicable PROJECT PROTECTS WATER BY WAY OF PROVIDING A BARRIER FOR SEDIMENT EROSION. 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. R Yes [3 No® Not Applicable ACTION HAS NO EFFECT ON ECOSYSTEMS. s � Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Two of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. 0 Yes © No® Not Applicable ACTION HAS NO EFFECT ON AIR OUAUTY. 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. E Yes ❑ No ® Not Applicable ACTION HAS NO EFFECT CAUSED BY SOLID AND HAZARDOUS WASTE. 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. R Yet❑ No® Not Applicable ACTION IS LOCATED ON PRIVATE PROPERTY. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yea ❑ No ® Not Applicable ACTION IS LOCATED ON SINGLE FAMILY RESIDENCE AND UTILIZED TO ACCESS BEACH AND WATER. Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. 0 Yes ❑ No© Not Applicable Attach additional shits if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. © Yes ❑ No© Not Applicable Attach additional shall if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No © Not Applicable Created on 512510511:20 AM April 4, 2013 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 n E Q E I V E Southold, New York 11971 RE: 52532 CR 48 SOUTHOLD, NY APR - 9 2013 SCTM No. 1000-135-3-8 APPLICATION FOR PERMIT Southold Town Board of Trus Dear Sir/Madam: We hereby submit one original and three (3) copies of the proposed plans, application, check, photographs and required data for permit approval for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, 9 Q_ Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 , J1 � g�X g0 / � , , � � rd 0 3d \ o \ 5 w w =t N o a %.o 4O, a: cpIrk A p a `:, AND O \ IM Y%3'WBE$DRS n y, :•L�'r ^.�\:':'�;:c'.},�4J W/NE9rUNIRfAT]1 OEG910 p 'Fi'� \ �.^y"a` ., t; •\ OF 1W NON-TRF •o `.• BUFFER 2 RI, 91, 134 LF WM BUDOfAD �pq, (NµIOHEHF WRN F718RN0 SLOPE) .� •VI 5 3B'OD'38'W 49.07' ;3 • !f' S g9.45 WERNBS C, rye• APPROVED BY BOARD OF TRUSTEES V61) E C 8 V C TOWN OF SOUTHOLD ��o�� D DATE 61 ) 3 �5Y�'�,gB�otN APP - 9 ?01' Southold Town Board f Trusucs PRODATE REVISION PER_ OWN SUSAN OLIVEIRA BULKHEAD PERMIT PLANS SCALE: 1'=ao' 24 MERRYMOUNT DR. DARTMOUTH, MA 02747 DATE: NOTES: PROPOSED PLAN 4-4-13 1. PORTIONS OF SITE PLAN FROM SURVEY PREPARED BY: PREPAY Y: NATHAN TAFT COR' III LAND SURVEYOR JEFFREY PATANJO 52932 C.x. as 1586 MAIN ROAD, JAMESPORT, NY 106 HEWITT BOULEVARD SHEET: DATE SURVEYED: JULY, 30 2003 CENTER MORICHES. NY 11934 SOUTSUFFOLK COU1ffy ONY OLD 1 OF 631-484-9332 2. LOT AREA = 32,736 (0.75 ACRES) TAX YAP N0. 1000-136-03-16.1 top ' 4o; � .6 PROJECT LOCATION r+` 9 kashamomuck Pond y1� a y PROJECT LOCATION MAP N.T.S. PROPOSED TIMBER TOP CAP PROPOSED 12' LONG 8"0 CCA TREATED TIMBER PILE, 6' O.C. PROPOSED 3"X6' REAR WALE EXIST. GRADE b PROPOSED 6"x6" CCA TOP & BOTTOM WALE PROPOSED 8' 71P CCA LAY-LOG PILE PROPOSED B" TIP CCA PILE, 6' /\/ APPROXU47E M.H.N. EL 254 O.C. 8' LENGTH. BOLTED TO LAY-LOG WITH 3/4" GALVANIZED THRU-BOLTS. EPPRoxwTE u.LN EL 0.04 PROPOSED 14' LONG 1" DIA. GALV. TIE ROD, 6' O.C. \/��\/\ \//\//i\////// /%\///\.��//v/i\//\\�Y//��� 'OUPROPOSED 10' LONG C-LOC 9000 VINYL SHEETING TYPICAL SECTION A-A E Q E B V E ' N.T.S. APR -- 9 ?ul Southold Town ar Tr e PROPERTY OWNER: DATE REVISION SUSAN OLIVEIRA BUMMEAD PERMIT PLANS SCALE: NOTES: 24 MERRYMOUNT DR. As NOTED DARTMOUTH, MA 02747 1. PORTIONS OF SITE PLAN FROM SURVEY PREPARED BY: PROPOSED SECTION DATE: NATHAN TAFT CORWIN III LAND SURVEYOR PREPARED BY: & LOCATION YAP 4-4-13 1586 MAIN ROAD, JAMESPORT, NY JEFFREY PATANJO DATE SURVEYED: JULY, 30 2003 106 HEWITT BOULEVARD 52532 C.R 48 2. LOT AREA = 32,736 (0.75 ACRES) CENTER MORICHES, NY 11934 SOUTHOLD, TOWN OF SOUTHOLD 631-484-9332 SUFFOLK COUNTY, NYSHEET: TAX YAP N0. 1000-131 03 15.1 z of 2