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Home My WebLink AboutTR-4984 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 October 17, 2007 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. William J. Lohn Suffolk Environmental Consulting, Inc. P.O. Box 2003 Bridgehampton, NY 11932-2003 RE: MICHAEL KENIN 420 LAKEVIEW TERRACE, EAST MARION SCTM# 31-9-11 Dear Mr. Lohn: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, October 17, 2007: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit #4984 to install a 4' x 8' open grate fixed dock on the seaward terminus of the existing catwalk, and as depicted on the revised plan prepared by Suffolk Environmental Consulting, Inc., last revised November 2, 2007, received on November 5, 2007. 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) 765-1 $92, Sincerely, James F. King President, Board of Trustees JFK:eac S55o47,20.W 191.17' ~I,ieting Catwalk & Step~ 23' Proposed 4' x 8' Fixed Dock (Thru-Flow~ SITE PLAN Scale: 1" = 40' II PROJECT DESCRIPTION Applicant proposes to install a 4' x 8' fixed timber dock to the seaward terminus of the existing timber catwalk. The proposed dock will be planked with Thru-Flow® Interlocking Panels. Said dock will be secured by four [4] timber piles measuring 6"E5 x 12' long. All timber material will be untreated (Fir; Oak; Cedar, elc. I. All hardware will be hot dioDed aalvanized. 101' to Existing APPROVED BY BOARD OF TRUSTEES TOWN OF SOUTHOLD /,,/?/o? ProposedPile (6' dia. x 12' long) Proposed 4' x 8' Fixed Dock (Thru-Flow) Izisting Vegetation SiiuciJe: SCI-M ~'~: 420 Lakeview Ten-ace; Eosi Marion Town of Soufhold, iqew '(ark 1000-31 -9 Il Suffolk Environmental Consulting, Inc. Phone: (631) 637 - 6160 ~ Fax: (631) 537 - 5291 P.O. Box 2003 · IBddgehampton · NY · 11932 DATE: SCALE: DRAWN BY: COMMENTS: As wjl Pr~rcd for requl~tory submission. OF CROSS SECTION Scale: 1" = 2' James F. King, President Jill M. Doherty, Vice~President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 TO: BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated /~x~u~s~ ~ ~57 ~ 7 has been reviewed by this Board at the regular meeting o~d _~"~-/~b¢~ f?, ~0o 7 and your application has been approved pending the followin/g~ems checked off below, the completion of V Revised Plans for proposed project ~'or bc~-J-Jq ¢)~rvv~;Jr ,~,~¢~;)~ 7~ __ 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 Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Southold Town Board of Trustees Field Inspection/Work session Report Date/Time: Suffolk Environmental Consulting, Inc. on behalf of MICHAEL KENIN requests an Amendment to Permit #4984 to install a 6'X 12' fixed dock on the seaward terminus of the existing catwalk. Located: 430 Lakeview Terrace, East Marion. SCTM#31-9-11 Type of area to be impacte/d: __Saltwater Wetland if Freshwater Wetland Sound Bay Distance of proposed work to edge of above: P~C of Town Code proposed work falls under: hapt.275 Chapt. 111 other Type of Application: ~" Wetland __Coastal Erosion V~Amendment __Administrative __Emergency Pre-Submission Violation Planning Info needed: ~ ~ ~ ~ ¢-e J Modifications: Conditions: Prese/~Were: _~.~ng ' J.Doherty P.Dickerson ergen . Ghosio, Jr ~/'H. Cusac~ D. D~-enkowski ~Mark Terry__other -- Form filled out in the field by ~,x-~,_~ ¢ . Mailed/Faxed to: Environmental Technician Review Date: Donald Wilder, Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631 ) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Tues., September 11,2007, the following recommendation was made: Moved by Chris Kempner, seconded by Don Wilder, it was RESOLVED to SUPPORT the application of MICHAEL KENIN to Amend Permit #4984 to install a 6'X 12' fixed dock on the seaward terminus of the existing catwalk. Located: 430 Lakeview Terrace, East Marion. SCTM#31-9-11 Inspected by: Don Wilder, Chris Kempner Vote of Council: Ayes: All Motion Carried ~ar 29 05 08:58a :'?manKeninLevine p.! ~ar 29 05 08:59a ?mmnKeninLevine 2~312862 p.2 Plea by Mail (NOT FOR VTL VIOLATIONS) TO PLEAD GUILTY: COMPLETE THIS FORM AND MAIL OR DELIVER TO: Southold Town Justice Court 53095 Main Road, P.O. Box 1179 Southold, NY 11971.0959 MAR 2.~ ~'~ i $outhold Tc, w~l Board of Trustees TO THE PRESIDING JUSTICE AT THE SOUTHOLD TOWN JUSTICE COURT: Michael Kenin , residing at 200 East End Avenue, Apt. lC--M, New York, NY 10128' have been charged with a violation of Tc 97-20 (placed floating dock in'Marion Lake w/o pe fait) , under the Code of the Town of Southold. I hereby elect to dispose of this matter without appearing in open court, I hereby waive arraignment in open court and the aid of counsel and understand that a plea of guilty is the equivalent to a conviction after tdal. I hereby plead guilty to the offense as charged and elect and request that this charge be disposed of and a fine/penalty be fixed by the Court. I understand that the agreed upon penalty Is contingent upon the Court's approval, and that my appearance may be required on a future date if the negotiated disposition is not accepted by the Court. Ticket/Summons #: A-2182 Fine Recommended: Unconditional Discharge - Defendant has removed the dock 21'82 TOWn of $outhold Suffolk County, NY The Peo~th of the State of New Yoi'k vs. Town of Southold Suffolk County, NY 'i~e People of the State o! New York vs. NOTICE Police Dept. - Bay Constable Town of Southold Peconic, New York 11958 NOTICE' OF VIOLATION To: s / Address: c//~ 0 Date: (Owner or authorized agent of owner) (Address of owner or authored agent of omer) Please take notice there exists a violation of the Code of the Town of Southold, Chapter 97 Article II, Section 97-20 a premises hereinafter described in that oJ~7 s ~(~ c ~ c-:l / ~ ~ /~/~ xo ~ d.. ~ You are therefore directed and ordered to comply with the following: /-~/'~/,. ~:~.,~ on or before the Z ~ ~ .day of g~. ~ ,20 ~ '-/. The premises to which this Notice of Violation refers are situated at: Town of Southold, Suffolk County, NY (Suffolk County ~ax Map Designation: Dist. 1000 Section: ~ I Block: 5 Lot: i~ ) Failure to comply with the applicable provisions of the law may constitute an offense punishable by fine or imprisonment or both: NOTICE: You have the right to apply for a hearing before the Board of Trustees of the Town of Southold, provided that you file a written request with the Clerk of the Trustees within 10 days after service of the Notice of Violation. Such request shall have annexed thereto a copy of the Notice of Violation upon which a Hearing is requested and shall set forth the reasons why such notice of viola- tion should be modified or rescinded. Bfiy ~onstable, To~i of Southold, NY 27. Date Of Birth 29. Sex nMDF 34.TypeJNo 3S, Name (Last, First, Middle) 43. Sex C]M [gU 6s. Veh. Yr. 66. Make 67 Model 68. S~le ;'3. 70. Color(s) 71 Towed By: TO: 78 ~NO~ 79 Supervisor' s Signature (Include Rank) DCJS-3205 12/971 *FALSE STATEMENTS ARE PUNISHABLE AS A CRIME, PURSUANT TO THE NEW YORK STATE PENAL LAW. I So Io~o ~. / 83, Notified~OT Town of Southoid Police Department INCIDENT NUMBER CONTINUATION/SUPPLEMENTARY REPORT ~f/_ ~..~ p~ DATE~ ~E~ RT //'~ I DA~E~IDENT ~ Pag~ NO. Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 September 22, 2004 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Michael Kenin 200 East End Ave., Apt. 10M New York, NY 10128-7891 RE: 420 LAKEVIEWTERRACE, EAST MARION SCTM#3'1-9-11 Dear Mr. Kenin: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, September 22, 2004: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Permit ff4984 and #5044 from Arif Hussain to Michael & Kim Kenin. If you have any questions, please contact our office at (631) 765-1892. Sincerely, President, Board of Trustees AJK:lms Albert J. Krupski, President James ICing, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 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~ONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction ¼ constructed Project complete, compliance inspection. Albert J. Krupski, President James King, Vice-President Axtie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Ii.ute 25 P.O. 'l~ox 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated reviewed by this Board at the regular meeting of following action was taken: has been and the (-/~.) Application Approved (see below) · )Application Denied (see below) (__) Application Tabled (see below) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in the instruction sheet. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ "~-'0, SIGNED: PRESIDENT, BOARD OF TRUSTEES Telephone (631) 765-1892 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Tuesday, September 14, 2004, the following recommendation was made: Moved by William Cook, seconded by Don Wilder, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the application of MICHAEL KENIN to Amend Permit fl4984 to include an as-built 10'X 12' floating dock, Located: 420 Lakeview Terrace, East Marion. SCTM#31-9-11 Vote of Council: Ayes: All Motion Carried Southold ]own Board of Trustees \0 ',,, \ ~ouee ,00'00I .~'o'a..o, Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. q 9R/~ DATE: ~PFil Z8,. ISSUED TO ARIF HUSSAIN Pursuant fo the provisions of Chapter 615 of the Laws of the State of New York, 1893; and C. hapfer 404 of the L.aws of the State of New York 1952; and the Soufhold ToWn Ordinance en- rifled "REGULATINg= AND THE PLACINg= OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;!'. and in accordance wlfh the Resolution of The Board adopted afa meeting held on .. 19 c~.c~, and in consideration of the sum of $ 150.,00 . paid by Arif Hussain of ....... E~.s~...~i.op N.Y. and sub?cf to the Terms and Conditions listed on the reverse s~de hereof, of Southold Town Trustees authoriz~.~ anti n~rmlf~ fha followlna: the originating application. IN WITNESS WHEREOF, The said Board of Trustees kere- by causes ifs Corporate Seal fo be affixed, and these presents fo be subscribed by a majority of the smd Board as of this date. ........ .... ~e.~.,.Bm~t it ...z..: Ab.s.enL ............... " Trustees TERMS end CONDITIONS The Permlttce Arif Hussain residing at 420 Lakeview Terrace, East Marion N.Y., as part of the consideration for the issuance of the Permit does understand and presctibe to the iai- lowing: 1. That the said Board of Trustees and the Town of 5onthold are released from any and all damages, or d~i~-~ for d,ranges, of suits arising dix~'tiy ot indirectly as · result of any oper- ation performed pursuant to this Permit, and the said Permit~e will, ~: l~s ot her own expense, defend any and all such mits initia~ed by thLrd parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of ~&old 2. That this Permit is valid for a perind of 24 mos. which is considered to be the esthnated time required to complete the work involved, but should circumstances wart·m, request for an extension may be made to the Board at a later date. 3. That this Permit shou/d be retained indefinitely, or as long as the said Petmittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that auth- orization 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 otlgln~t/ng applicntlon, may be cause for rovocatioo of this Permit by resolution of the said Bo~trd. 5. That there will be no unreasonable interference with navigation as a result of the work herein au'shorized. 6. That there shall be no interference with the tight of the pub/lc to pass and repass along the beach between high and Iow 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 anthottzed~ or if, in the opinion of the Boerd of Tmstee~ the work shall cause unreasonable obstruction to free navigation, the said Patmlttee will be requit~ upon due notice, to remove or alter this work or project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee ot the completion of the work auth- orized. 9. That the Permittee will obtain all other permits and consents that may be required sup- plemental to this Permit which may be subject to revoke upon fallur~ to obtain Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1£q2 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD April 28, 1999 Mr. Arif Hussain 420 Lakeview Terrace P.O. Box 24 East Marion, NY 11939 Re: 420 Lakeview Terrace SCTM#31-9-11 Dear Mr. Hussain: The following action was taken by the Board of Town Trustees during a special meeting held on April 27, 1999 regarding the above matter: WHEREAS, ARIF HUSSAIN applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated March 8, 1999 and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on April 21, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standard set forth in Chapter 37-18 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees grant a Wetland Permit to ARIF HUSSAIN to repair wood retaining wall within 18", install catwalk and wood stairs a~ indicated on survey dated March 3, 1999, and install a stockade fence along the northwest with the stipulation that existing pipe located landward of the retaining wall be removed and a drywell be installed to contain the roof run-off and pool backwash. BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency which may also have an application pending for the same or similar project. Permit to construct and complete project will expire two years from the date it is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. FEES: None Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/lms cc: DEC ACE DEPT. OF STATE Telephone (516) 765-1892 Town Hall. 53095 Main Road P.O, Box 1179 Southold, New Yo~k 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Thursday, April 15, 1999 the following recommendation was made: Moved by Scott Hilary, seconded by Richard Smith, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Grandfather Request ofARIF HUSSAIN 31-9-11 to repair the wood retaining wall and dock, install wood stairs, and install stockade fence along the northwest side of the property. 420 Lakeview Terrace, East Marion Vote of Council: Ayes: All Motion Carried ~ion ~ion COLOR Basement Ext. Walls Fire Place Type Roof Bath Floors 'fnterior Finish Heat Rooms 1st Floor Recreation Room Rooms 2nd Floor Dormer Driveway /z30, ~gi'O 7 ' OWNER STREET "~'c~ O VILLAGE DIST. SUB. FOYER OWNER N * E~ ACR. ~ ~o ~s. VL ~ co~. c~. ~,~c. ~ND IMP. TOTAL DATE R E~ RK S ~/~ ~Z~/d. ~Z, ~ ~, FA~ Acre Value Per ' ~alue / / C~3 Acre ~le I · tillable 2 'illable 3 ~wompland FRONTAGE ON WATER / ~r~land FRONTAGE ON ROAD douse Plot DEPTH / ~ ~ ~ ~ BULKH~D TOWN OF SOUTHOLD PROPERTY RECORD CARD COLOR M. Bldg. Extension Extension Extension Breezeway Garage Patio Total Basement Ext. Walls Fire Place Type Roof Recreation Room )ormer )riveway Bath Floors nterior Finish Rooms 1st Floor Rooms 2nd Floor Dinette KiR' LR. SR. FiN. B. s / COUNTY OF SUFFOLK lied Property Tax Set,ce A~ncyl~,l 031 .11 Ill IIIIIIIIIIIII IIIII II IIIIIII I I IIIII IlllllllllllllllllllllllllllllJllll Illllllllllll m I Immmlmlmmllllmmmmll iiii Iml i i im iiii SURVEY OF PROPER~ AT EAST MARION TOWN OF SOUTHOL! SUFFOLK COUNTY, !~ f000-3~-09-~ ~ $C~': f %=£0' MARCit 3. f999 ./ Ill SURVEY OF PROPERTY AT EAST MARION TOWN OF SOUTHOLD 12.744 .m.. ft. to t~ line TOWN ~)F SOIjTHOLr~ ~'~~ N. Y S. PECONIC SuFZ'VEYORS, P.C. (516) 765 5020 P. 0 BQX 909 1230 TRAVELER STREET SQUTHQLD, N.Y. 11971 ANY ALTERATION OR ADDITION TO THIS SURVEY fS A VlOLATIOI~ OF SECTION 7209 OF- THE NEW YORK STATE EDUCATION LAW EXCEPT AS PER SECTION 7209-SUBDIVISION 2 ALL CERTIFICATIO HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF' O~%~.Y IF SAID MAP OR COPIES BEAR "HE IMPRESSED SEAL OF THE SURVEY WHOSE SIGNATURE APPEARS HEREON. 99-143 ./ SURVEY OF PROPERTY AT EAST MARION TOWN OF SO UTHOLD SUFFOLK COUNTY , N. Y. f 000-3 f-O~- f f $CILE: MA~CH 3, 12,744 sq. fL to Ue line 4N~ ALTERATION OR ADDITION TO THIS SURVEY IS 4 VIOLATION SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW £XCER? AS PER SECTION 720~-SDBDIvISION 2 ~LL CERTIFICAT~ ~EREON ~RE 'VALID FOR THIS MAP AND COPIES THEREOF ONLY ~F ~A,O ~ oR ~oP,~S ~EAR THE '~'PRE~SEO SE~ oF ~HE ~ TOWN--flF SOUTHOLD wHOSE S~GNA TURE APPEARS HEREON PECONIC ~U~E¥ORS, P C (516) 765 5020 P 0 BO),' 909 ~2ZO TRAVELER STREET SOUTHOLD, N '~ t~97! 99-143 Suffolk Environmental Consulting, Inc. Newman Village, Suite E, 2322 Main Street, P.O. Box 2003, Bridgehampton, New York 11932-2003 (631) 537-5160 Fax: (631) 537-5291 Bruce Anderson, M.S., President November 2, 2007 Mr. James F. King; President Southold Town Board of Trustees P.O. Box 1179 Southold, NY 11971 Re: SCTM#: KENIN Application 420 Lakeview Terrace; East Marion Town of Southold, New York 1000 - 31 - 9 - 11 Dear Mr. King, As requested by Ms. Cantrell of your staff, please find the following enclosed herewith as it relates to the above referenced matter: Revised Dock Assembly Plan prepared by this Firm and last dated 11/2/2007 indicating 6" diameter piles supporting the proposed fixed dock (four [4] copies). Kindly review the enclosed items and forward the requested permit at your earliest convenience. Thank you for your added time and attention in this matter. Encl. Cc: M. Kenin Suffolk Environmental Consulting, Inc. Newman Village, Suite E, 2322 Main Street, P.O. Box 2003, Bridgehampton, New York 11932-2003 (631 ) 537-5160 Fax: (631) 537-5291 Bruce Anderson, M.S.. President ~i , October 30, 2007 Ms. Lanren Standish Southold Town Board of Trustees P.O. Box 1179 Southold, NY 11971 Sit~ate'. SCTM#: Permit #' s: KENIN Permit Modifications 420 Lakeview Terrace; East Marion Town of Southold, New York 1000 - 31 - 9 - 11 4984 & 6127 Dear Ms. Standish, As you may recall, the above referenced permit modifications were conditionally approved by the Southold Town Trustees at their regular meeting held on October 17, 2007. In order to finalize said approvals, please find the following enclosed herewith: (1) Regarding Permit #4984, revised Dock Assembly Plans prepared by this Firm and last dated 10/19/2007 indicating a 4' x 8' Thru-Flow® docking assembly; (2) Regarding Permit #6127, revised Surveys of subject parcel prepared by John C. Ehlers and last dated 10/25/2007 indicating drywells and staked hay bales/silt fencing. Kindly review the enclosed items and forward the requested approvals directly to this office at your earliest opportunity. If you have any questions, please don't hesitate to contact me. Thank you as always for your attention and consideration. William J. Lohn cc: M. Kenin OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM COORDINATOR TOWN OF SOUTHOLD James King, President Town of Southold Board of Trustees From: Mark Terry, Senior Environmental Planner LWRP Coordinator Date: September 18, 2007 Re: Request for Wetland Permit for Michael Kenin SCTM# 31-9-11 8EP I 9 200] ~' MICHAEL KENIN requests an Amendment to Permit g4984 to install a 6'X 12' fixed dock on the seaward terminus of the existing catwalk. Located: 430 Lakeview Terrace, East Marion. SCTM#31-9-11 The proposed action has been reviewed to Chapter 95, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfxont 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 INCONSISTENT with the below Policy Standards and therefore is INCONSISTENT with the LWRP. The applicant HAS NOT demonstrated that the action could meet or further the below policies. Marion Lake is a 26 acre lake completely surrounded by private residential lots except where Bay Avenue intersects it. In recent years the lake has become eutrophic or polluted and it has been invaded by the common reed (Phragmites sp.). AERIAL PHOTOS INDICATE THAT MARION LAKE CONTAINS NO DOCKS. CORRESPONDINGLY THE APPLICANT ENJOYS ACCESS TO THE WATER VIA AN EXISTING CATWALK. THE USE OF THE DOCK AND/OR PURPOSE HAS NOT BEEN IDENTIFIED. In addition the LWRP states "Piers, docking facilities, and catwalks must not result in an unnecessary interference with use of public trust lands. Alternatives to long piers or docks include use of dinghies to reach moored boats and mooring in nearby marinas. Dredging solely to accommodate the draft of larger boats is not a recommended alternative". 6.3 Protect and restore tidal and freshwater wetlands. 9.4 Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. The applicant has not demonstrated that the following dock standards pursuant to § 275-11. Construction and operation standards have been met (d) Review and approval of dock applications. Before issuing a permit for a dock structure, the Trustees shall consider whether the dock will have any of the following harmful effects: [1] Whether the dock will impair navigation or be located in areas of high vessel traffic or vessel congestion; [2] Whether the dock will unduly interfere with the public use of waterways for swimming, boating, fishing, shellfishing, waterskiing and other water-dependant activities; [3] Whether the dock will unduly interfere with transit by the public along the public beaches or foreshore; [4] Whether the dock will significantly impair the use or value of waterfront property adjacent to or near the dock; [5] Whether the dock will cause degradation of surface water quality and natural resources; [6] Whether the dock will cause habitat fragmentation and loss of si..o:nificant coastal fish and wildlife habitats; [7] Whether the dock will result in the destruction of or prevent the growth of vegetated wetlands, seagrasses including eelgrass (Zostera marina) and widgeon grass (Ruppia marifima) or shellfish; [8] Whether the dock will unduly restrict tidal flow or water circulation; [9] Whether the dock will be safe when constructed; [10] Whether the dock will adversely affect views, viewsheds and vistas important to the community; [11] Whether the cumulative impacts of a residential and commemial dock will change the waterway or the environment and whether alternate design, construction, and location of the dock will minimize cumulative impacts; and [12] Whether adequate facilities are available to boat owners and/or operators for fueling, discharge of waste and rubbish, electrical service and water service. Assure public access to public trust lands and navigable waters. Provide access to, and reasonable recreational use of, navigable waters and public trust lands under water. 1. Provide for free and unobstructed public use of all navigable waters below the line of mean high water for navigation, recreation, and other public trust purposes, including the incidental rights of public anchoring. The proposed action will impede public access within the lake. 3. Obstruction of navigable waters and underwater lands is limited: 9.5 to the minimum necessary for access to navigable waters. The minimum is determined by evaluating the following factors: (i) the extent of the use's dependence on access to navigable waters, (ii) the range of tidal water level fluctuation, (iii) the size and nature of the body of water, (iv) the nature of public use of the adjacent waters, (v) the traditional means of access used by surrounding similar uses, (vi) whether or not alternative means to gain access are available. by extent and characteristics of the developable adjacent upland area and its ability to support in-water development for the water-dependent use. by potential adverse effects on natural resources and their uses, and by potential adverse effects on public safety. Provide access and recreation that is compatible with natural resource values. Provide appropriate access and associated recreational activity that will avoid potential adverse impacts on natural resources. Use the following factors in determining the potential for adverse environmental effects: 1. intensity of the associated recreational, scientific, or educational activity~ 2. level of likely disturbance associated with the proposed activity. The following types of access or associated activities are listed in decreasing order of potential for disturbance: a. motorized activities, b. active, non-motorized activities, including water-dependent and water-related uses, c. passive activities, d. avoidance of the area. 3. Sensitivity of the natural resources involved and the extent of the ecological benefits associated with avoidance of the area. Provide access using methods and structures that maintain and protect open space areas associated with natural resources. Determine the extent of visual and physical impairment by structures extending through these open space areas based on: 1. the value of the open space as indicated by un-fragmented size or mass of the wetland or other natural resources, distance to navigable water, and wetland value. 2. the size, length, and design of proposed structures Figure 1. Ke~in parcel on Mario~a Lake, Pttrsuant to Chapter 268, ~.he Bcmrd o.~' Trtlstees shall co~sider this recomme~dation in preparing its written determination regarding the consistency olthe proposed action. Suffolk Environmental Consulting, Inc. Newman Village, Suite E, 2322 Main Street, P.O. Box 2003, Bridgehampton, New York 11932~2003 (63I) 537-5160 Fax: (631) 537-5291 Bruce Anderson, M.S., President September 5, 2007 Ms. Lauren Standish Southold Town Board of Trustees P.O. Box 1179 Southold, NY 11971 Re', Sitnat~. SCTM#: Dear Ms. Standish, KENgl Property ~ : '~ ~ ' - 420 Lakeview Terrace; Em rl~i~rion Town of Southold, New York 1000 - 31 - 9 - 11 As you know, the above referenced matter is scheduled to be heard by the Southold Town Board of Trustees at the September 19, 2007 regular meeting. Therefore, in accordance with Town Code, please find the following enclosed herewith for your review: Signed and notarized Affidavit of Mailing; · Original Certified Mail Receipts and copies of same. Kindly review the enclosed items and retain in your files. The green signature cards will be delivered the night of the hearing. If you have any questions, please don't hesitate to contact me. Thank you as always for your attention and considera~5on. cc: M. Kenin James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, .Ir. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of ..... ........................... COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I,'~b~ ~. ,~d~(~r~e.¢, residing being duly sworn, depose and say: That on the/~~' day of .~et0~-. ,200~, I personally posted the property known as by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held (Xl'~_, mt)'/·/q, rC~)g9" Sworn to before me this [~*'~ day of,¢~I-. 200-f /~"rf~tur e) PROOF OF MAILING OF NOTICE ATTACH CERTIFIED HAIL RECEIPTS Name: Address: Mary R. Williams P.O. Box 512 Peconic, NY 11958 Paul Rubens & Donna Rubens 17 Tulsa Avenue Netuchen, NJ 08840 Bernardette Reily & William J. Reilly 162 West 3ta Street Deer Park, NY 11729 Walter E. Gaipa & Llnell D. Gaipa P.O. Box 247 East Marion, NY 11939 Elizabeth Santell 6411 B. Minola Houston, TX 77077 Walter E. Gaipa P.O. Box 247 East Marion, NY 11939 STATE OF NEW YORK COUNTY OF NEW YORK William J. Lohn , residing at 2322 Main St.; Ne~man Village Suite E; P.O. Box 2003; Brid~ehampton, NY 11932 , being duly sworn deposes and says that on the ~ day of ~ , 20 6~ , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at Brid~ehampton , that said Notices were mailed to each of said persons by (ce~d) (registered) mail. Sworn to before me this day of e~ , 20 ~v ~Notary Public Matthew B, frails Notar} Pt~blic of New York No 01 V6053859 Commission Expires Janua%'22, 20~ $2.66 S?ffolk Environmental Consulting, Inc. Newman Village, Suite E, 2322 Main Street, P.O. Box 2003. Bridgehampton, New York 11932-2003 (631) 537-5160 Fax: (631) 537-5291 Bruce Anderson, M.S., President August 28, 2007 Ms. Lauren Standish Southold Town Board of Trustees P.O. Box 1179 Southold, NY 11971 R~ Situate: SCTM~: KENIN Property 420 Lakeview Terrace; Town of Southold, New York 1000 - 31 - 9 - 11 Dear Ms. Standish, As requested, please find the following enclosed herewith as it relates to the above referenced property: Local Waterfront Revitalization Program Consistency Assessment Form for the requested amendment to Permit #4984; · LocalWaterfrontRevitalizationProgramConsistencyAssessmentFormforthe requested amendment to Permit #6127; Kindly review the enclosed items and maintain our position on the September 19, 2007 meeting agenda. If you have any questions, or require additional information, please don't hesitate to contact me. Thank you as always for your attention and consideration. Sincerely, Cc: M. Kenin Town of Southold LWRP CONSISTENCY ASSESSMENT FoR~I 'i ~ A. INSTRUCTIONS ~i All applicants for permits* including Town of Southold agenciqs,~_ sh~~fiTCCAF~[~,~o ~ tf°r proposed actions that are subject to the Town of Southold Wate/~front Con~is assessment is intended to supplement other information used by b,--T'vwn"6VSouthold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes", 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# 31 09 11 The Application has been submitted to (check appropriate response): Town Board [] elanningDept. [] Building Dept. [] Board of Trustees [] 1. Category. of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: Applicant proposes to amend Permit #4984 in order to construct a 6' x 12' fixed timber dock on the seaward terminus of the existin.q t mber catwa k approved as part of the oriqinal permit. Location of action: 420 Lakeview Terrace; East Marion~ Town of Southold Site acreage: 0.37 acre ± Present land use: residential Present zoning classification: R-40 If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: Michael Kenin (b) Mailing address: 1236 Park Avenue New York~ NY 10128 (c) Telephone number: Area Code ( 212 ) 722-5290 (d) Application number, if any: N/A 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? NYSDEC DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. [] Yes [] No [] Not Applicable Subject orooosal is consistent with the policy in that the sitinq of the proposed fixed dock and utilization of the existina fixed catwalk will maintain the character of the surroundinq neiqhborhood, which currently consists of many similarly improved lots with similar accessory structures (i.e. existin.q catwalks and docks around Marion Lake). In addition, subject parcel will be in harmony with this "...beneficial use of a coastal location..." in that subject waterfront lot will be enhanced and improved by the upqradingl of the existinq catwalk to include a fixed dock, which will allow the launchinq of small craft (e.~l. kayaks) without the need to draq said craft over the situate wetlands. The instant proposal will also "...minimize the adverse effects of development" in that utilizinq the existinf:t catwalk will neqate the need for new additional construction, in addition to providinfl a useable launch point for small craft. Accordinqly, we feel that the instant proposal complies with Policy 1. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria [] Yes [] No [] Not Applicable Policy 2 is not applicable in that subject lot and the surroundinq neiqhborhood cannot be deemed substantial historic and/or archaeoloqical resources. 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 5 through 7 for evaluation criteria [] Yes [] No [] Not Applicable Subject I::)roDosal will not adversely impact the visual quality of the surroundin.q area in that the proposal is to construct a small 6' x 12' fixed timber dock to the seaward terminus of an existin.q timber cai'walk. Th~, surroundinq area is currently comprised of properties improved with similar appurtenances {i.e. catwalk,; and docks) of similar size and scope. Scenic resources, assumedly views of Marion Lake, are not at risk because the proposed dock will be placed at the seaward terminus of a catwalk that has been in place, within this propedy for years without nef:latively impactinq upon the scenic resources of this section of waterfront. Therefore, we feel that the instant proposal complies with Policy 3. Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria [] Yes [] No [] Not Applicable Policy 4 is not applicable to the instant proposal in that the proposed dock is situated in Marion Lake, a freshwater body with no tidal action. In addition, the existinq catwalk has existed for years without any damaae from floodingt or erosion. However, the proposed dock will provide a launchinq point for small craft ne~latinq the need to draq them throuqh the situate wetland veqetation. This maintenance of veqetation will stabilize the shoreline thereby providinq protection from any erosion that mi.qht occur. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria [] Yes [] No [] Not Applicable Subject proposal is not applicable to this policy in that Jt will have no effect to the water quality/supply within the surroundinq area. Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria [] Yes [] No [] Not Applicable Subject proposal will maintain the quality of the surroundinf:l ecosystem in that the proposal is to simply construct a fixed timber dock on the seaward terminus of an existinq catwalk. The existin!q cah, valk, which extends into Marion Lake, has existed thereon for many years without resultinq in any form of discernible adverse effects to the surroundin.q environment. Properly constructed fixed timber docks have nat historically caused adverse impacts to aquatic ecosystems. In additian, Marion Lake has not been identified as a Siqnificant Coastal Fish and Wildlife Habitat by the LWRP. Accordingly, we feel that the instant proposal fully complies with this Policy. Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria [] Yes [] No [] Not Applicable Policy 7 is not applicable in that the proposal is simply to construct a fixed timber dock thereon, and which wiJl not result in any form of adverse effects to air quality. Accordinqly, this proposal is not applicable with this policy. Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. [] Yes [] No [] Not Applicable Policy 8 is not applicable in that the proposal does not involve disposal and/or transportation of solid waste, hazardaus waste, toxic pollutants, or petroleum products. Attach additional sheets if necessary PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria [] Yes [] No [] Not Applicable Policy 9 is not applicable in that the proposal is not situated within a property containinq, or havinq the potential to contain, public access to coastal waters, public lands and Jot public resources within the Town of $outhold. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependence uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria [] Yes [] No [] Not Applicable Policy 10 is not applicable in that the proposal does not involve a water-dependent use (i.e. marina, aauaculture, etc...I. Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town Waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria [] Yes [] No [] Not Applicable Policy 1 I is not applicable in that the proposal does not involve any form of marine resource managlement li.e. commercial fisheries, recreational fisheries, aquaculture, etc...). Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. [] Yes [] No [] Not Applicable Policy 12 is not applicable in that the proposal does not involve aqricultural lands li.e. the conversion of farmland, the establishment and/or maintenance of new coastal aqricultural production, etc...) 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 [] Not Applicable Policy 13 is not aDiDJicable in that the proposal does not involve the conservation of enerqy resources on ri commercial level and/or the promotion of alternative enerqy sources, proper maintenance of fuel storagl~, facilities and/or the extraction of mineral extraction Attach additional sheets if necessary PERMIT #4984 AMENDMENT DESCRIPTION FOR THE KENINPROPERTY Situate: 420 Lakeview Terrace; East Marion; Town of Southold, NY SCTM#: 1000-31 -9- 11 Exisfin.q Approval On April 28, 1999, the Southold Town Trustees, via Permit #4984, approved the following: "...repair wood retaining wall within 18", install catwalk and wood stairs as indicated on survey dated March 3, 1999 and install a stockade fence along the northwest with the stipulation that existing pipe located landward of the retaining wall be removed and a drywell be installed to contain the roof runoff and pool backwash." Proposed Permit Amendment The owner is proposing to amend the permit in order to include the following: · Installation of a 6' x 12' fixed dock on the seaward terminus of the existing catwalk approved via the original permit. Please note that all work referred to in the original permit has been completed. N55o47'20"E S55 41 20 SITE PLAN Scale: 1" = 40' gxistiag C~tw~lk & Steps 23' II gtisting YeXetatioo PROIECT DESCRIPTION Applicant proposes to install a 6' x 12' fixed timber dock to the seaward terminus of the existing timber catwalk. Said dock will be secured by four [4] timber piles measuring 8"E~ x 12' long. All timber material will be untreated (Fir; Oak; Cedar, etc.). All hardware will be hot dipped galvanized. I01' to gxisting D~ellin Proposed Pile (8' dia.; 12' long) DOCK ASSEMBLY PLAN for the: KENIN Property Situale: SCTM #: 420 Lakeview Terrace; East Marion Town of Southold, New York 1000-31 -9-11 Suffolk Environmental Consulting, Inc. Phone: (631) 537 - 5160 Fax: (631) 537 - 5291 P.O. Box 2003 · Bridgehampton · NY · 11932 DATE: 8/c20/E007 SCALE: As noted DRAWN BY: wjl COMMENTS: Pre.red for r~qu[ator,/submission. 1 OF I CROSS SECTION Scale: 1" = 2' Proposed 5' x 1~' Fixed Dock Suffolk Environmental Consulting, Inc. Newman Village, Suite E, 2322 Main Street, P.O. Box 2003, Bridgehampton, New York 11932-2003 (631) 537-5160 Fax: (631) 537-5291 Bruce Anderson, M.S., President August 21, 2007 Mr. James F. King; President Southold Town Board of Trustees P.O. Box 1179 Southold, NY 11971 Attn: Ms. Lauren Standish Re: Situate: SCTM#: AUG 2 3 2007 Southold Town Board of Trustees KENIN Property 420 Lakeview Terrace; East Marion Town of Southold, New York 1000 - 31 - 9 - 11 De~Mr. King, As requested, please find the following endosed herewith as it relates to the above referenced property: Permit #4984 Amendment Description prepared by this Firm pertaining to the proposed fixed dock assembly (three [3] copies); Dock Assembly Plan prepared by this Firm outlining the proposed work (three [3] copies); Permit #6127Amendment Description prepared by this Firm pertaining to the proposed decking and patio (three [3] copies); Survey of subject parcel prepared by John C. Ehlers and last dated 5/16/2007 showing all existing and proposed improvements thereon (three [3] copies); Check in the amount of $100.°° to cover both permit amendment fees. Kindly review the enclosed items and continue processing the requested permit amendments. If you have any questions, or require additional information, please don't hesitate to contact me. Thank you as always for your attention and consideration. Sincerely, William J. Lohn Encl. Cc: M. Kenin Received From Address 044688 DOllars Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD Office Use Only __Coastal Erosion Permit Application __Wetland Permit Application Major __ Minor Waiver/AmendmemffChanees ^ ~ece~vved Application: ~ ~,~'~Received Fee:$ ]50 ~ Completed Application __Incomplete __SEQRA Classification: Type I Type II Unlisted __Coordmation:(date sent). CAC Referral Sent: ~-~Yfff( of Inspection:~ff~ ~Receipt of CAC Report: __Lead Agency Determination: Technical Review: ~-"Fublic Hearing ~He~ Resolution: AUG -6 2C)4 - Southold IoW~ ~oardOfTruste Name of Applicant [~/~k (O [Z~' ~ 7 rq I Phone (provide LILCO Pole #, distance to cross streets, and location) AGENT: ~ (If applicabl e) ~ Address: Phone: Board of Trustees Application Land Area (in square feet): Area Zoning: Previous use of property: Intended use of property: GENERAL DATA 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): Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: '-- square feet Percent coverage of lot: Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? Yes If yes, how much material will be excavated? ~;~c yards How much material will be filled? ~cubic yards Depth of which material will be remover deposited: Proposed slope throughout.~Wea of operations:__ Manner in which~will be removed or deposited: feet 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): Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: '-~0 F~ ~ t/cC[~ ~ Are wetlands present within 100 feet of the proposed activity? No t~ Yes Does the project involve excavation or filling? ~No Yes If Yes, how much material will be excavated? ~/~(cubic yards) How much material will be filled? ~ (cubic yards) Manner in which material will.ben'moved or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) PROJECT ID NUMBER SEQR PART 1 - PROJECT INFORMATION 1 APPLICANT / SPONSOR ~PROJECT LOCATION: ~.J.~,~ Municipality ~:LS~ ('~(3.-g~)/%.~ 4 PRECISE LOCATION: Street Addess and Road Inlersection., 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2 PROJECT NAME County ~ Prominent landmarks etc-or provide map 5. IS PROPOSED ACTION: [~/l~ew [] Expansion [] Modification / alteration 6 DESCRIBE PROJECT BRIEFLY 7. AMOUNT OF LAND AFFECTED: ~ IniUally acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? LJ Yes ~J No If no, descdbe briefly: 9. WHAT~S- PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) [~l~denia/ r~ ndustdal r~commercial ~--~Agriculture [~]Park/Forest/OpenSpace E~]Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, ~ or Local) r~Yes ~ if yes, list name and permit / approval: agency 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ~ [~No yes, agency name permit approval: list and 122. A~-A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? [-'l No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor NameDat~:~/ ~ If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT (To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If yes, coordinate the review process and use the FULL EAF. C~TM E~No B WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative declaration may be superseded by another involved agency. C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible), C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agdcultural, arch~eoiogical, historic, or other natural ~ ~iiurai resources; or community ;; ~;i~i~l~orho~d'~b~racter? 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 resources9 Explain briefly: C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: C6. Long term, short ter~i~U~i~fivel 0r other effects hot i~;ntified in ci :C5'~ Ex[~i~i~ b~iefly: C7. Other impacts (including changes in use of either qcsntit,/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 ICEAI? /if yes, explain briefly: E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL iMPACTS? If),es explain: E~Yes ~lN° I PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: F~reachadversee~ectidentifiedab~ve~determinewhetheritissubstantia~~~arge,imp~rtant~r~therwisesigni~cant~ 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 d eterminafion of significence must evaluate th e 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 FULl EAF 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 act[o~ WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necassa~, the reasons supporting thi determination. Name of Lead Agency Date Title of Responsible Officer Pdnt or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES~ TOWN OF SOUTHOLD In the matter of applicant: SCTM# ~( -- q-- [( YOU ARE HEREBY GWEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 3. That the project which is subject to Environmental Review under Chapters 32, 37, anddor 97 of the Town Code is open to public comment on: . You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. Enc: Copy of sketch or plan showing proposal for your convenience. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK ~tllt~qE[/ ~t~D~) , residing at ~ ~u~4~~ /r~tO~,l°Yd~ (o~ t(;h0 L*l~,~q"~ t ~,,c ~u~,4being duly sworn, deposes and says that on the. ,)~7~v~ day of ~ ~ ~, 200_3_, deponent mailed a tree copy of the Notice ~e~the Board of~l'mstees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southgld; _that said Notices were mailed at the United States Post ~ 3::~/~o,e~¢q0~t~.t Yvl~,o [~ ,O~x~t said Notices were mailed to each of said persons by ~ (registered) mail. Swom to before me this & ~ Day of~, 20. ~ ,/ ! Notary Public[_/ MARY LOU KING NOTARY PUBLIC STATE OF NEW YORK NO. 461299,5 QUALIFIED IN WESTCHESTER COUNTY COMMISSION EXPIRES MARCH 30, ~'__'~ Board of Trustees Application County of Suffolk State of New York ~V~ I C~ (.~- ~AJJKJ 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 SWORN TO BEFORE ME THIS 5L ~ '~' DAY OF /~/j~ ~f' 20OoJ Notary Public [~) MARY LOU KING NOTARY PUBLIC STATE OF NEW YORK NO. 4612995 QUALIFIED IN WESTCHESTER COUNTY COMMISSION EXPIRES MARCH 30, %~ ~ NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES~ TOWN OF SOUTHOLD In the matter of applicant: SCTM# YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees That the property which is the subject of Environmental Review is located _adjacent to your property and is described as follows: ~ ~r/r~d fi/~ 9{n~0~/,d~J~_ That the project which is subject to Environmental Review under Chapters 32, 37, and/or 97 of the Town Code is open to public comment on: . You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. Enc: Copy of sketch or plan showing proposal for your convenience. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS mame~ Address: STATE OF NEW YORK COUNTY OF SUFFOLK _, residing at , being duly swom, deposes and says that on the day of ,20 , deponent mailed a tree copy of the Notice set forthin the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at ., that said Notices were mailed to each of said persons by (certified) (registered) mail. Swom to before me this. Day of ., 20 Notary Public Board of Trustees Application County of Suffolk State of New York EINGDU ¥ SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HERE1N 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. SWORN TO BEFORE ME THIS Signature ~(otary Public Board of Trustees Application County of Suffolk State of New York DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HERE1N 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 SWORN TO BEFORE ME THIS DAY OF ,200 ~ Notary P~blic - PATRICIA CORWIN Public, State of N~,~ York No~ 0]C050]7852 ~i,tied in Suffolk Coun~ APPLICANT/AGENTfREP~ESENTATIVE TRANSACTIONAL DISCLOSURE FORM ' e f thi hib' fl' 'ntere on th to Ice em · · ' v 'nt~ ' ilo ic f s'b co ' ' Iw't ewh r ti his ne~ssarv to avoid same. [/ -- I ~ ~ o RN, E i31 i cav ff .. . (L~ n~, f~ n~, ~ ddle ~iti~ ~1~ you ~ ~plying in mc ~,,, ~ono ~1~ or o~ enfi~, such m a ~mp~y. If ~, nd cate ~C o~er ~n s or comp~y's n~e ) NAME OF APPLICATION: (Check all that apply.) Building Coastal Erosion Mooring Planning Variance Change of Zone Approval of plat Exemption from plat or official map Other (If"other", name the activity.) Do you personally (or through your company, spouse, sibling, parent, or child) have a rclationshi.p wi~ any officer or emplo, ye~ of the Town of Southoid? "Relationship" inelu&s by bl°°d, mm'riage, or businoss interest "Business Intorest' means a business, including a partnership, in which the town officer or employee has even a pa~ial ownership of (or employm~at by) a corporation in which thc town officer or employee owns more than 5% of the shares. .. No YES -- lfy0u answered "YES", complete the balance of thls form and date and sign where indicated. Name of person employed by thc Town of Soothold Title Or position of that person _ Describe the relationship between yourself (the appH cenffagcat/represeat ~tiv e) and the town officor or employee. Either check thc 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 ali llmt apply): A) the owner of g~atcr than 5% of the shares of the corporate stock of the applicon~ s (when the applicant is a corporation); _B) thc legal or beneficial owa~r of any interest in a non'corporate entity (when the applicant is not a corporation); C) an officer, director, partnor, or employe~ of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS i Submitted this ~da~ of, ~/g~.~ 200 ~ Signature 4/~ c~r~ a! t~-',- _. Print N~e ~ Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-18.q2 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Onl wOaStal Erosion Permit Applicatio etland Permit Application Grandfather Permit Application -' -Waiver/Amendment/Changes 2~Re~e~ved Application:3-~- ~ 2~_Received Fee:$/~ Q . ~r_Completed Application~ -~--~ ~ Incomplete SEQRA Classification: ~rpe I Type II Unlisted Coordination:(date sent) CAC Referral Sent:_~~ Date of Inspection:~-/~-F~_ Receipt of CAC Report: Lead Agency Determination:__ Technical Review: . Public Hearing Held: ~--91- ~ ~ Resolution: TOWN OF SOUTHOLDi - 8 1999 Name of Applicant Address .~,.~r~O /~/~FW//~ Suffolk County Tax Map N~er: 1000 - Property Location: (provide LILCO P~le ~; distance to cross streets, and location) AGENT: (If applicable) Address: Phone: FAX#: 1 ~rd of Trustees Applicati~ GENERAL DATA Land Area (in square feet): Area Zoning: Previous use of property: Intended use of property: 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): ~d of Trustees Applicatio~ / WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: --- .square feet Percent coverage of lot: ~ % Closest distance between nearest existing structure and upland edge of wetlands: /~! + feet Closest distance betwee~ nearest proposed structure and upland edge of wetlands: /~! feet Does the/roject involve excavation or filling? ~ No Yes If yes, how much material will be excavated? ~ cubic yards How much material will be filled? -- cubic yards Depth of which material will be removed or deposited: ~ feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited:/ 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): NOTICE TO ADUACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: SCTM#1000- YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 3. That the project which is subject to Environmental Review under Chapters 32, 37, or 97 of the Town Code is open to public comment. You may contact the Trustees Office at 765-1892 or in writing. The above referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. MAILIN~ ADDRESS: ~,e.~.~ Enc.: Copy of sketch or plan showing proposal for your convenience. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK ~.~._./~ /~_~.~r~ , residing at ~o~~ ~_~ Z~-'~l~-, ~,/~%~ , being duly sworn, deposes and says that on kh~ ' "d~y 0f ,19 , de~nent mailed a true copy of the Notice set forth 'la the Board of Tr~tees Application, directed to each of the ~ove n~ed persons at the addresses set opposite there res~ctive .n~es; ~at the addresses set opposite the n~es of said persons are the ad. ess of said persons as shown on the c~rent assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at , that said Notices were mailed to each of said persons by (certified) (registered) mail. day of/~_hPk ,19~ ~otary P~l~ of Trustees Applicati~ County of Suffolk State of New York BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR '£kl~ ABOVE DESCRIBED PERMIT(S) AND THAT ALL ST~£~ENTS 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 APPRO¥~D BY THE SOUTHOLD TOWN BOARD OF THUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND Tn~ 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 AU'£~ORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PRE~ISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. ffi~a~re SWORN TO BEFORE ME THIS Notary P~bl~ 7 Albert J. Kr James King Hen: Arti Ken Po]iw0da Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-18~2 Fax (516) 765-1823 BOARD OF TO%VN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, ~[~ Hu~A~ , residing at /-/~O~/---~/'?'~'~/~/ ~ .Ac'~ being duly'swOrn, ~e~s~ and ~ay: That on the~ day of ~A, 1999, I personally posted the property known as ~0-~1~ ~~ ~c~A~T~, ~/~ by placing the Board of Trustees official-p6~ter wh~re it ~an easily be seen, and that I have checked to be sure the poster has remained in place for seven days prior to the date of the ~liq ~.%sg.~[9~e~hearlng noted thereon to be held ~;~ Dated: Sworn to before me this /~)~__day of f//o/~ / t 199 ~ot~ Public EUZABETH A STATHI$ NOTARY PUBLIC. State of New NO. 01ST6008173, Suf~k ~ ( sigh~tWr% )