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TR-8205
�zf S0 _w` H Michael J.Domino,President Town Hall Annex�OV� ��� John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J.Sanders Southold,New York 11971 Glenn Goldsmith ® aQ Telephone(631) 765-1892 A.Nicholas Krupski oIiYCOUm Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: JF -z.> I Ch. 275• Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1 st day of construction Y2 constructed /Project complete, compliance inspection. INSPECTED BY: J/! D COMMENTS: v P zoi CERTIFICATE OF COMPLIANCE: Maim Diane From: James A. Clous <james.a.clous@gmail.com> Sent: Wednesday, September 13, 2017 LS2 PM To: DiSalvo, Diane Subject: Dock permit I did not install decking on my 10' non-turf buffer along the bulkhead as originally approved. I acknowledge,that, in the future, if I want to install decking, I will have to apply for a permit to do so. James Clous Sent from my iPhone 1 ®F SO(/�y Michael J.Domino,President ��� ®l0 Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J. Sanders N Southold,New York 11971 Glenn Goldsmith ® ��0 Telephone(631) 765-1892 A. Nicholas Krupski N,7 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 13 q1 Date: July 18, 2017 THIS CERTIFIES that the existing 100' long bulkhead and to repair 100' lona; bulkhead by replacing;the 2'x12" cap boards along top of bulkhead and a+/-15' long 4"x4" traverse beam; for the existing;20' return on northerly side of property replace existing 3'x+/- 5'6" stairs to beach on each side of pier;replace existing stairs from top of bulkhead to fixed pier; replace existing pier with a 4'x58' fixed pier usingLthru-flow type decking materials; replace a 3'x20' ramp; and(1) 6'x20' floating dock with(2) 12"diameter pilings to secure floats; with the condition to establish and subsequently maintain a 10' wide non turf buffer landward of bulkhead; At 3805 Bay Shore Road,Greenport Suffolk County Tax Map#1000-53-6-18 Conforms to the application for a Trustees Permit heretofore filed in this office Dated April 19,2013 pursuant to which Trustees Wetland Permit#8205 Dated June 19,2013,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the existing; 100' long bulkhead and to repair 100' lona;bulkhead by replacing the 2'x12"cqp boards along top of bulkhead and a+/-15' lona; 4"x4"traverse beam; for the existing 20' return on northerly side of property replace existing 3'x+/-5'6" stairs to beach on each side of pier; replace existing stairs from top of bulkhead to fixed pier; replace existing pier with a 4'x58' fixed pier using;thru-flow type decking materials; replace a 3'x20' ramp; and(1) 6'x20' floating dock with(2) 12"diameter pilings to secure floats; with the condition to establish and subsequently maintain a 10' wide non turf buffer landward of bulkhead. The certificate is issued to JAMES &NANCY CLOUS owner of the aforesaid property. e Authorized Signature 11111111 IIII IIIII IIIII IIIII 11111 IIIII IIIII IIIII Illl IIII 111111 IIIII IIIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 08/04/2017 Number of Pages : 5 At: 12 :55:14 PM Receipt Number : 17-0132850 LIBER: D00012923 PAGE : 480 District: Section: Block: Lot: 1000 053 .00 06. 00 018 .000 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $25 . 00 NO Handling $20 .00 NO COE $5 . 00 NO NYS SRCHG $15.00 NO TP-584 $0 .00 NO Notation $0 .00 NO Cert.Copies $6 .25 NO RPT $200.00 NO Fees Paid $271 .25 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County F Number of pages +1 r F!ug &I j 55 PIN s_.LEFi _'F This document will be public record. Please remove all Social Security Numbers prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee Mortgage Amt. 1. Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. ( or EA-52 17 (County) Sub Total I Spec. /Add. EA-5217 (State) TOT. MTG.TAX n Dual Town Dual County R.P.T.S.A. r�GO ! � �, Held for Appointment Comm. of Ed. 5. 00 �;� Transfer Tax AffidavitMansion Tax The property covered by this mortgag �� e is ertified Copy - or will be improved by a one or two NYS Surcharge 15. 00 Sub Total family dwelling only. YES or NO OtherIf NO, see appropriate tax clause on Grand Total page# of this instrument. 4 1 Dist. 3449451 1000 05300 0600 018000 5 Community Preservation Fund Real Property LWT IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Consideration Amount $ Tax Service I I Agency 04-AUG-17 CPF Tax Due $ Verification Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: Vacant Land -J v S rt 110nrvct, (F(c (AS TD -t Wo-od5s )q Ct TD ' �_ 7q� TD qut NI,�((,NO � �� 1 7 Title Comm y Information Co.Name www.suffolkcountyny.gov/clerk T;tIP # Page/Filing Fee mortgage Amt. - 1. Basic Tax Handling 20. 00 2. Additional Tax TP-584 Sub Total Notation Spec./Assit. or EA-52 17 (County) Sub Total Spec./Add. EA-5217 (State) TOT. MTG.TAX R.P.T.S.A. (;� ' ���Q Dual Town Dual County Held for Appointment Comm. of Ed. 5. 00 Transfer Tax Mansion Tax Affidavit � *��' The property covered by this mortgage is Vertified Copy or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other Grand Total cz � If NO, see appropriate tax clause on � page# of this instrument. _ __ --- - -- -- ------- CQ a! !•7 4 1 Dist. 3449451 1000 05300 0600 018000 5 Community Preservation Fund Real Property RP WI 11111 IIIIIIIIIIIIIIIIIIIIIIIIIIII Consideration Amount $ Tax Service I Se ce Agency 04-AUG-17 CPF Tax Due $ Verification Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: Vacant Land �Q S `rt J�Iq/�rG7 L(,(A TD \/ Ct TD t,t rvl►v��t lrj sfi� �� -r ( TD 7 Title Company Information Co.Name www.suffolkcountyny.gov/clerk Title# - -- -- - -- ----- - ---- --- - -------- ---- - 8 Suffolk County Recording & Endorsement Pa--e - This page forms part of the attached be C L Aee ll On/ made by: (SPECIFY TYPE OF INSTRUMENT) �jUt✓yxe'S C/,ro( /VGi/Vo U r-106f-s The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Is b U46 In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. u•woa..iaiosxx (over) DECLARATION OF COVENANTS THIS DECLARATION made this 29th day of June, 2017, by James A. and Nancy W. Clous, residing at 4 Woodstone Court, Huntington Station, NY 11746, hereinafter referred to as "DECLARANTS" : W I T N E S S E T H: WHEREAS, DECLARANTS are the owners of certain real property located on 3805 Bay Shore Road, Greenport, Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section 53, Block 6, Lot 18 which is more particularly bounded and described as set forth in Schedule "A" annexed hereto, hereinafter referred to as the Property; WHEREAS, the Property is situated on lands within the jurisdiction of the Board of Trustees of the Town of Southold (hereinafter the "Trustees") pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted; WHEREAS, the DECLARANTS therefore made application to the Trustees for a permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities; and WHEREAS, as a condition of the granting of a Wetlands Permit to undertake such regulated activities, the Trustees required that a 10 foot wide "non-turf buffer" adjacent to and landward of the bulkhead; NOW, THEREFORE, the DECLARANTS do hereby covenant and agree as follows: 1) Upon the substantial completion of the aforementioned permitted activities there shall be established and perpetually maintained a 10 foot wide "non- turf buffer" as defined by Chapter 275 of the Town Code, to wit: "A designated area where turf grass, pesticides and fertilizers are not permitted. " and as depicted on the project plan prepared by James A. Clous, received on June 7, 2013, and stamped approved on June 19, 2013, see Exhibit "A" attached; and 2) These covenants shall run with the land and shall be binding on the DECLARANTS, their heirs, assigns, purchasers, or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees . IN WITNESS WHEREOF, the owners have duly executed this instrument this 29th day of June, 2017. G OWNER'S SIGNATURE �J(tvrtc 5 �_t(fclS / OWNER'S SIGNATURE nI v STATE OF NEW YORK ) COUNTY OF ✓Y On the -Iik day of L4 in the year 20 before me the :dundersigned, a Notary Public in and for said State, personally appeared aim 5r ctm!- &h N n-" personally known to me or proved to me on the basis of satisfactory evidenc6 to be the individual (s) whose name (s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity, and that by his/her/their signature (s) on the instrument, the individual or the persons on behalf of which the individual (s) acted, executed the instrument. Not BINA T NANAVATI Notary Public-State of New York N0. 01 NA6143453 Ouatd:ed in Suffolk County , My Coruna-sion Expires Apr 10,2016 2 O:..•:♦ L+"�r ck"�LN:.J.: 1'uy. `c��P`"a'T.�"�i � AS Ilia? ..y".."-. �i ,�.�� �'u�h'.:'��`�V.. �u.iJ•nr.. '� Tu li'��"''', ^�^nliW '".'."��iW BEING MORE PAR`=.CUTIA- LY :aOH:r'D0 :Lard DZSCP.=—J- AS F�—LTOWS: BEGINNING AT A POINT ON THE NORTHEASTERLY SIDE OF BAY SHORE ROAD S^rHE S--ME IS INTERSECTED BY THE DIVISION LINE BETWEEN LOTS 69 AND 70 ON THE ABOVE MENTIONED MAP SAID POINT BEING ALSO THE SOUTH WEST CORNER OF THE PREMISES ABOUT TO BE DESCRIBED HEREIN; RUNNING THERCE FROM SAID POINT OR PLACE OF BEGINNING ALONG THE NORTHEASTERLY SIDE OF BAY SHORE ROAD NORTH 16 DEGREES 59 MINUTES 20 SECONDS WEST 100.00 FEET TO THE DIVISION LINE BETWEEN LOTS 67 AND 68; RUNNING THENCE ALONG SAID DIVISION LINE NORTH 73 DEGREES 00 MINUTES 40 SECONDS EAST 146.75 FEET TO SHELTER ISLAND SOUND; RUNNING THENCE ALONG (A TIE LINE OF THE AVERAGE HIGH WATER MARK) OF SHELTER ISLAND SOUND SOUTH 15 DEGREES 54 MINUTES 50 SECONDS EAST 100.02 FEET TO THE DIVISION LINE BETWEEN LOTS 69 AND 70 FIRST ABOVE ME'v_IO*H-; AlD RUNNING THENCE ALONG SAID DIVISION L:NE SOU:? 73 E:Z�� 00 M11 u=-3S 40S_5C'ON-MrS WEST 144 .87 FEET TO THE POINT OR PLACE OF BErr'C'I2;G. TOGETH ith all right, title and interest, i;any, of the party of t1la t p in and to E,w stre.et, a.gd —�;ay^'sj, abutting the ab a described premises to the center thereof, TCvC-,7t ,,;-, tiae , Enda`; the estate and rig of the party of the 1-st pari is and to szid peam;,sas; TO KAVEE AND TO HOLD tha premises herein granta to the party of the second part, the heirs or successors and assigns of the party of the second part forever. AND the party of the first part covena that the party of the first part has not done or suffered anything whereby the said premises have been encumbe in any way whatever, except as aforesaid. AND the party of the first part, in compliance with Sects . 13 of the Lian Lai=a, corenarits t;nat 6ha part,c'the first part will receive the consideration for this conveyance a w .fil tmld 19he ng; 1a. r�, L e s zFn r y as a trust fund to be applied first for ths'puip sv of paying the co' - :;U19 and vi; appal t�.,as me first to the payment of the cost of the iMprovement before ustn g any'p.. ' 1of the t of f samna� arry purpose. The word•"party" shal_I be construed as if it read `parai,s' :,E-;ani ;d^ ��} , requires. ' 1N WITNESSW fIMEOF, the p of th first part has duly axe this d the day id year� e v, written. % IN PRESENCE OF � �� Anna Marc rt �oF SO John M. Bredemeyer IIl, President y® Town Hall Annex Michael J. Domino,Vice-President �® l® 54375 Main Road P.O. Box 1179 James F. King, Trustee N tic Southold, New York 11971-0959 Dave Bergen,Trustee Telephone (631) 765-1892 Charles J. Sanders, Trustee li�'C®U �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 22, 2015 James Clous 4 Woodstone Ct. Hunting Station, NY 11746 RE: 3805 BAY SHORE ROAD, GREENPORT SCTM# 53-6-18 Dear Mr. Clous: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, June 17, 2015: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Wetland Permit#8205 to install 10'x100' of composite decking material with '/" spacing for drainage along the landward edge of the bulkhead within the 10' wide non-turf buffer area; and as depicted on the revised site plan prepared by James Clous, received on May 22, 2015, and stamped approved on June 22. 2015. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, John M. Bredemeyer, III President, Board of Trustees JMB:eac John Bredemeyer, President �OgOFF9jt'r Town Hall Annex Michael J. Domino, Vice-President °° �Gy 54375 Route 25 James F. King tiP.O. Box 1179 Charles J. Sanders o • Southold, NY 11971 Dave Bergen �! , �a°T Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field InspectionMork Session Report Date/Time: JAMES & NANCY CLOUS request an Administrative Amendment to Wetland Permit #8205 to install 10'x100' of composite decking material with %" spacing for drainage along the landward edge of the bulkhead within the 10' wide non-turf buffer area. Located: 3805 Bay Shore Road, Greenport. SCTM# 53-6-18 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 Notice of Hearing card posted on property: Yes No ✓ Not Applicable Storm Water Management Review: Yes No Not Applicable Info needed: Modifications: Conditions: ,CV r i Present Were: V J. Bredemeyer 41M. Domino V J. Kin Sanders -D. Bergen Bay Constable Other Form filled out in the field by 7-h. Mailed/Faxed to: Date: John M. Bredemever TTT_PrPcidarxt so y® Town Hall Annex ®V l® 54375 Main Road P.O. Box 1179 JJJ Southold, New York 11971-0959 q Gl @ Telephone(631) 765-1892 F l c®U ,� Fax(631) 765-6641 I Ct�)��rCRc-4 D OF TOWN TRUSTEES MAY 2 2 2015 r} + 0.4--ev i re r 1'�- 'OWN OF SOUTHOLD F IT r - �' AMENDMENT TO A WETLAND PERMIT i DATE �- 4 OWNER :30 Me.S CAC LAS PHONE G 3 YT MAILING ADDRESS AGENT PHONE ADDRESS PROPERTY LOCATION ®� �pS14M TAX MAP NO. I/We request an Amendment to Permit# S265 U Q to eX t S(OAS kO r C(fc I1d� ►'0`x'('1 a rel �6 ve t 9 �Ur ko` acen 4 Iii t pno-yi& ���/(r SDGc((V'Q 4-ev- 06 Signed By: C:� APPROVED BY 17 BOARD OF TRUSTEES TOWN OF SOUTHOLD UY Ifi 4--L _>_ i elk DATE a 1S i ` } -_- ►- - _ 4 14 I UN- A-1 }} It 1 I -�. ! i . '. __ k ._ - 111 • ^'..._t'-'.�"' i'-_'�'-...�-- •--}'-•^ ^k_ _{.-�._+ f•-.�-- bA MAY i. JL .ice� �Q'• + f ;' i � � � ;tF���+ t i � i t' i _ ...__. James F. King,President �Og�fFO(xc Town Hall,53095 Main Rd. Bob Ghosio,Jr.,Vice-President P.O.Box 1179 Dave Bergen Southold,NY 11971 W John Bredemeyer Telephone(631)765-1892 Michael J.Domino �l * Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction _ '/2 constructed V/ Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 8205 DATE: JUNE 19,2013 ISSUED TO: JAMES & NANCY CLOUS PROPERTY ADDRESS: 3805 BAY SHORE ROAD, GREENPORT SCTM# 53-6-18 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 June 19,2013,and in consideration of application fee in the sum of$250.00 paid by James&Nancy Clous 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 for the existing 100' long bulkhead and to repair 100' long bulkhead by replacing the 21x12" cap boards along top of bulkhead, and a+15' long 4"x4" traverse beam; for the existing 20' return on northerly side of property; replace existing 3'x+5'6" stairs to beach on each side of pier; replace existing stairs from top of bulkhead to fixed pier; replace existing pier with a 4'x58' fixed pier using thru-flow type decking materials; replace a 3'x20' ramp; and (1) 6'x20' floating dock with (2) 12" diameter pilings to secure floats; with the condition to establish and subsequently maintain a 10' wide non-turf buffer landward of bulkhead; and as depicted on the project plan prepared by John & Nancy Clous, received on June 7, 2013, and stamped approved on June 19,2013. 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. James F. Kin -Na �o�g1►fF0(,�c TERMS AND CONDITIONS The Permittee James&Nancy Clous residing at 3805 Bay Shore Road Greenport.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 su�lyo Town Hall Annex Bob Ghosio,Jr.,Vice-President � 54375 Main Road "to P.O. Box 1179 Dave Bergen Southold, New York 11971-0959 John Bredemeyer A Q 2 Michael J.Domino '.� i� Telephone(631) 765-1892 �y 00UNr1, Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 19, 2013 James & Nancy Clous 4 Woodstone Court Huntington Station, NY 11746 RE: JAMES & NANCY CLOUS 3805 BAY SHORE ROAD, GREENPORT SCTM# 53-6-18 Dear Mr. Clous: The Board of Town Trustees took the following action during its regular meetings held on Wednesday, May 15, 2013 and again on Wednesday, June 19, 2013 regarding the above matter: WHEREAS, JAMES & NANCY CLOUS 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 19, 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 issued a recommendation that the application to repair existing 100' long bulkhead by replacing the 2'x12" cap boards along top of bulkhead, and a ±15' long 4"x4" traverse beam; for the existing 20' return on northerly side of property; replace existing 3'x±5'6" stairs to beach on each side of pier; and replace existing stairs from top of bulkhead to fixed pier was found to be Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, the LWRP Coordinator recommended that the proposed application to replace existing 83.9' dock structure with a 4'x40' fixed pier using thru-flow type decking materials; replace a 3'x20' ramp; and (2) 6'x20' floating docks with (4) 12" diameter pilings to secure floats was found to be Inconsistent with the LWRP, and, 2 � • WHEREAS, the Board of Trustees has furthered Policy 9.3 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the use of open-grate decking; establish and subsequently maintain a 10' wide non-turf buffer landward of bulkhead; only (1) 6'x20' float permitted to reduce overall length of dock; and issuance of a permit on bulkhead, and WHEREAS, Public Hearings were held by the Town Trustees with respect to said application on May 15, 2013 and again on June 19, 2013, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 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 JAMES & NANCY CLODS for the existing 100' long bulkhead and to repair 100' long bulkhead by replacing the 2'x12" cap boards along top of bulkhead, and a ±15' long 4"x4"traverse beam; for the existing 20' return on northerly side of property; replace existing 3'x±5'6" stairs to beach on each side of pier; replace existing stairs from top of bulkhead to fixed pier; replace existing pier with a 4'x58' fixed pier using thru-flow type decking materials; replace a 3'x20' ramp; and (1) 6'x20' floating dock with (2) 12" diameter pilings to secure floats; with the condition to establish and subsequently maintain a 10' wide non- turf buffer landward of bulkhead; and as depicted on the project plan prepared by John & Nancy Clous, received on June 7, 2013, and stamped approved on June 19, 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. 3 0 0 Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $ 50.00 Very truly yours, Bob Ghosio, Jr. Vice President, Board of Trustees BG/amn James F.King,President y Town Hall Annex Bob Ohosio,Jr.,Vico-President O 54375 Route 25,P.O.Box 1179 Dave Bergen A Southold NY 11971 John Bredemeyer Telephone(631)765-1892 Michael J.Domino Fax(631)765-6641 BOARD OF TOWN TRUSTEES —�— TOWNOFSOUTHOLD TO: . 1aynes + In ,or)CSI. louI Please be advised that your application dated 3 has been reviewed by this Board at the regular meeting of 3 and your application has been approved pending the completion o the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 15` 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: BY: James F. King, President Board of Trustees gpFFO(p .lames F.King.President ��� Cn- P.O.Box 1179 Bob Ghosio.Jr..Vice-President Z� Southold,NY 11971 Dave Bergen Telephone(631 765-1892 .John Bredemeyer ,yIftFax(631)765-6641 Michael 1. Domino 'F Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: JAMES & NANCY CLOUS requests a Wetland Permit to repair existing 100' long bulkhead by replacing the 2'x12" cap boards along top of bulkhead, and a ±15' long 4"x4" traverse beam; for the existing 20' return on northerly side of property; replace existing 3'x±5'6" stairs to beach on each side of pier; replace existing stairs from top of bulkhead to fixed pier; replace existing pier with a 4'x40' fixed pier using thru-flow type decking materials; replace a 3'x20' ramp; and (2) 6'x20' floating docks with (4) 12" diameter pilings to secure floats. Located: 3805 Bay Shore Road, Southold. SCTM# 53-6-18 Type of area to be impacted: _Saltwater Wetland _Freshwater Wetland _Sound ' Bay Distance of proposed work to edge of wetland Pert 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: n F 3 �LAti'S Modifications: Conditions: Present Were: C�J. King `"S. Ghosio D. Bergen, 6-11 Bredemeyer --Michael Domino D. Dzenkowski other Form filled out in the field by - Mailed/Faxed to: Date: Peter Young,Chairman Town Hall, 53095 Main Rd. Lauren Standish,Secretary T 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 Wed., May 8, 2013 the following recommendation was made: JAMES & NANCY CLOUS for the existing docks and bulkhead and to rebuild docks and repair or replace existing bulkhead. Located: 3805 Bay Shore Rd., Greenport. SCTM#53-6-18 DO NOT SUPPORT — high energy area, 2 floating docks may be excessive and would also need to be removable. Also recommend 15 ft non-turf buffer landward of bulkhead. Proposed by Derek Bossen, seconded by Doug Hardy. All in favor suFFoi�. James F. King,President ps C P.O. Box 1179 Bob Ghosio,Jr.,Vice-President Southold,NY 11971 Dave Bergen ? Telephone(631 765-1892 John Bredemeyer Fax(631)765-6641 Michael J. Domino Southold Town Board of Trustees Field Inspection/Work Session Report i Date/Time: 5 JAMES & NANCY CLOUS requests a Wetland Permit to repair existing 100' long bulkhead by replacing the 2'x12" cap boards along top of bulkhead, and a ±15' long 4"x4" traverse beam; for the existing 20' return on northerly side of property; replace existing 3'x±5'6" stairs to beach on each side of pier; replace existing stairs from top of bulkhead to fixed pier; replace existing pier with a 4'x40' fixed pier using thru-flow type decking materials; replace a 3'x20' ramp; and (2) 6'x20' floating docks with (4) 12" diameter pilings to secure floats. Located: 3805 Bay Shore Road, Southold. SCTM# 53-6-18 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: Cge� �a ✓�✓c�,�rCS Modifications:fft U w Conditions: 6 i Pre�pint Were: J. Ki B. Ghosio Bergen, J. Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: n laws �3�rvus +Na cy C SctM # 53 -b-IS 5 �8 �13 (8) B. Laing Associates environmental consulting report 0 Be LAING SSOCIATES ENVIRONMENTAL CONSULTING 225 MAIN STREET—SURE 205,NORTHPORT,NY 11788 631-281-7170 FAX:631-261-7464 email:bWrKMeeoo®aptonHne.net April 15, 2013 Board of Southold Town Trustees Town Hall Annex 54375 Main Road Southold,New York 11971-0959 Re: Clous,3805 Bay Shore Road, Greenport, New York Dock Reconstruction and Expansion. SCTM# 1000-53-6-18 Dear Trustees: James and Nancy Clous have applied to reconstruct and extend a dock at the referenced address. The reconstruction is necessary as the storm surge from Hurricane Sandy stripped and destroyed the catwalk and two sets of stairs to the beach. One of the pilings holding the floating docks broke off and the other pilings from the original structure remain. However, all the pilings for the catwalk and floating docks are old and in need of replacement. A bulkhead has also been in place along the entire shoreline of the property with a 20 foot return on the north end of the bulkhead. The bulkhead needs minor repairs and, as such, the bulkhead and return have been included in this application. The catwalk, floating dock and bulkhead were at this location from at least 1974, as recorded by New York State Department of Environmental Conservation aerial photographs taken in that year (see attached). A 1954 aerial photograph clearly shows the bulkhead in-place at its current location. A structure appears perpendicular to the shoreline as well and may have been the original location of the dock. In a 1971 survey contained in the property's Town Building Department files, a structure appears perpendicular to the shoreline as well. It occurs at the location where the existing dock occurs. At those times, a Trustees' permit for a dock or bulkhead was not required. Thus, the original dock is "Unpermitted" per Chapter 275-2 of the Town Code. The same is true of the bulkhead. While the structures are "unpermitted", they are not unlawful as permits for such structures, for example docks, were not required until 1991. The Clous' application also seeks to extend the fixed portion of the dock from 22 to 40 feet to place the floats in deeper waters at low tide. They also had originally applied to add four (4) pilings offset from the floats to allow boats to more readily tie up. That request is hear-by reduced to two (2) pilings. CLSSHD01-Env Rpt ENVIROME UAL REPORT As author of this report, I have been a wetland consultant since 1980. I was personally aware of the existence of the original dock and bulkhead on this property since approximately 1982 or 1983. The reconstructed and proposed, extended dock has not had and will not have a significant impact upon Pipe's Cove. The existing, fixed portion of the dock measures approximately 22 feet long and is 4 feet wide. With the proposed extension, it will extend 18 feet easterly. It has occurred in this pelagic, tidal system for at least some 40 years. In 1974, the dock was some 48 feet long and had at least one float at the easterly end some 12 feet wide by 16 feet long. The dock extends over a sandy/gravelly beach with no wetland vegetation. Eel grass has not been observed on the benthic substrate. The area in and around the dock is still occupied by benthic organisms. Portions of the structure itself have also become encrusted with such species. The reason for this is twofold. First, the fixed structure is narrow enough and high enough that light penetrates well beneath it. The floats are also narrow (i.e., half the width of the 1974 end float). Photosynthetic thresholds occur at approximately 100 foot-candles of light intensity. This level of light does not occur until a location is 12 feet from the ambient light's edge. Since the entire dock is only 4 feet wide at its maximum, it is also only 2 feet to its center, thus, in its existing condition, more than sufficient light enters from both sides as to allow photosynthetic activity and so, the marine environment thrives. Depths at mean low water were measured by B. Laing Associates, Inc. on April 10, 2013 at 5:15 to 6:00 PM. There was a new moon and minimal wave action. Winds wee southwesterly at 10 to 12 MPH. This combination of factors provides a conservatively, shallow low tide. The depth at mean low water at the close/western end of the floating dock is 19 inches and at the far/eastern end is 32 inches . With the 18 foot extension, the close/western end of the floating dock will be 28 inches and at the far/eastern end is 37 inches . At this time, the Clous' have agreed to add a mitigating feature to the reconstructed and extended dock. That is, they will add a grated decking (e.g., Thru-flo® or equivalent) on the fixed portion of the catwalk. This revised feature will allow even greater penetration of light beneath the structure. Secondly, the pilings represent a vertical extension of the habitat. Some vertical habitat is desirable in a marine system. Many marine organisms are sessile and require a firm attachment as they develop. The pilings provide such habitat. The new pilings will be untreated hardwoods. This will be an improvement verses the existing condition, where several of the pilings are older, CCA-treated wood. CLSSHD01-Env Rpt The proposed reconstructed and extended dock will meet the Operational conditions as set forth in Chapter 275-11 C (2) as follows: 1. No vegetated tidal wetland was or will be crossed by the original or proposed structure. No habitats will be fragmented by the original or proposed structure. 2. Public beach access will not be impaired by the by the original or proposed structure as it will have a stairway on either side. 3. Public navigation will not be impaired by the original or proposed structure. 4. The structure will be much shorter than the one, existing dock northward along the shoreline. 5. The extended structure will allow the floats to remain above the bottom during ordinary low tides. 6. The dock will be constructed of durable materials to resist loadings as a result of ordinary use and tides. 7. The facility will be reconstructed of untreated lumber in all locations where new materials are to be used. Tropical hardwoods will only be of the specified, certified or equivalent version. 8. The original or proposed structure will be centered on the 100 foot width of the property and more than 15 feet from adjacent property lines. 9. No structure will be placed on or above the dock. 10. The applicant is the full owner of the abutting, upland property providing access to the original or proposed structure. 11. No electrical or water utilities are proposed for the dock. 12. The original or proposed structure will not exceed one third of the width of Pipe's Cove or Shelter Island Sound. 13. No mesh or other exclusions will extend beneath the deck and pilings will not exceed a height of three feet above the fixed dock's deck. 14. No machine excavation will occur in tidal areas. 15. The floats will not exceed a width of 6 feet. 16. The fixed pier's deck will not exceed a width of 4 feet. 17. Any new pilings will be driven and so, turbidity will be minimized during construction/reconstruction. 18. The number of tie-off pilings requested has been dropped to two (2) to allow for only one boat to use them. 19. The original structure has existed for at least 42 (and possible 69) years. With the proposed extension, it will not impair any significant public vistas. 20. The original structure is only one of two existing docks along the western shoreline of Pipe's Cove. Therefore, no cumulative impact would result from an affirmative decision. 21. The dock owners have more than sufficient lands and facilities to properly service and maintain the boat(s) or watercraft the facility could accommodate when constructed. CLSSHDOI-Env Rpt In summary, the proposed dock reconstruction with a minimal extension will meet the criteria established in Town Code Chapter 275-11 C (2) for issuance of the permit. The existing dock has been in place (including a larger end float in 1974) since at least 1971 and perhaps since 1954 (69 years). It was constructed some 20 to 40 years prior to the Town Trustees' requirement to permit such structures. Although its impact is de- minimus at present, the re-constructed and extended dock will add some mitigating features such as Thru-flo decking and added water depth for the floats. Finally, the re- constructed and extended dock will not interfere with either navigation or the use of adjacent property. Sincerely, Michael P. Bontje, President CLSSHD01-Env Rpt � o �+ z s 4'+ l �w 4 w L^ r �j 1 ea .r .hp4 lk'i3" -fill. *: rte° :•Y t .� ? °i�1 fir" � - H: N=R- %' 4;Y �3*«; .° > A£„�,} r »�. i„ r"•T y�w� � .-dt wj�•ftas 3' ,sa 3�-d N�/' // 9 // J I. OFF c s � it z n � x 14 . � "4 c. 9 3 " r� �1 N N J AYV�PS � � ! 11 i 3Kv � Ca., R ( 4,ff PN�J GY� wr +qq`( < d z• N C 4 1_ C 1 H Q� La ^lam l v n _ J A✓v�oS Pl'• ��C)lAS J d�� �Z -`j S� k;l 0�� �Y{Fv�ty( YVY n 1 S �T' (w D 3 L� N� � 9 v l s r b a y c , .PS .A. Cteus 3�a � Zan j.. Q f , r� V i hs' Ti a ♦♦,, f I Tn n1` AN OR V �,nl�c (7 �n-e �2dl � rrP �;, vf /v'( II �1NY 1 i ?s a 0 - Mean Low Tide B. Laing A Associates, Inc. 04/1012013 I }~ �` Goode earth A "I .. 41°04'54.05" N 72°22'32.80" W elev 0 ft eye alt 411 ft CO)Imagery Date: 3/6/ ' .a i� cx > -A)0. y. , c 14F S" AV •i f. t �i i . b It i Clous Dock NYSDEC Tidal Wetlands Map #720-552 1974 3805 Bay Shore Rd . Greenport, NY . 4 . j _ y J a 4 y I i r 3805 Ba Shore Road Greenport _ Y p � A r, 4 t" d�J y T PO40% SSIBLE DOCK CLOUS PROPERTY 1954 A AL Historic Air Photos.com Clous Dock TidalNYSDEC • , • #720-552 3805 Bay Shore ' • GreenE • • 1 �}s S - Rte•• 3 + < x s& i g a ,. Fe U PNJIL =:w ? APA 1 9 2013 I � B.,a of T.1, I - t c4 7t? f O>' .. EY ms's O'c•�x�...E 05 t*;Ipfq." s.�._ I 7 =G+�� 1971 Survey-Town of I Southold Building I Department Files _. - i ��gyFFD(,rQz Peter Young,Chairman Town Hall, 53095 Main Rd. Lauren Standish, Secretary P.O.Box 1179 'F Southold,NY 11971 Felephone(631)765-1892 1 # Fax(631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Tues., February 12, 2013 the following recommendation was made: JAMES & NANCY CLOUS to replace the damaged fixed dock, ramp and floating dock and the stairs to the beach. Located: 3805 Bay Shore Rd., Greenport. SCTM#53-6-18 The CAC could not make a recommendation because the project was not staked. nD E 7fs aQf ( 1oUS 1 a w R L n 1 f r s r •f Y' z ��� �,.K , 't . ,. t ♦ tri „4` u w w� r i 2e �t W, w.:. i At 0 6 �ysuFFock James F. King,President ¢ Q Cp_ P.O. Box 1179 Bob Ghosio,Jr..Vice-President J 7iy Southold,NY 11971 Dave Bergen ? Telephone(631 765-1892 John Bredemeyer Fax(631)765-6641 Michael J_Domino Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: 16 / I �"o)3 JAMES A. & NANCY W. CLOUS request a Wetland Permit to rebuild and/or replace the existing storm damaged fixed pier and to extend it from 22' to 40' to move the docks to deeper water; add four new 12" pilings set apart from the floating docks (two on each side of the floating docks); a 3'x20' seasonal ramp; and two 6'x20' seasonal floating docks; rebuild and/or replace the existing storm damaged stairs to beach, and stairs from top of bulkhead to fixed pier and related pilings; and to repair the existing 100' ± long storm damaged bulkhead by replacing the top cap-boards and approximately 15' of a 4x4 transverse beam on the bulkhead where the fixed pier was ripped off in the storm. Located: 3805 Bay Shore Road, Greenport. SCTM# 53-6-18 Type of area to be impacted: LSaltwater Wetland Freshwater Wetland —Soundy 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: Ao' J7 a sNae7i7 srnt,C-1 ter? F Conditions: Present Were: King . Ghosio V D. Bergen, J. Bredemeyer (Michael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: glu(�ul ;outhlild - 4 2013 L ?own Board of Trustacs � _r,, 1N � ,✓sem r � "ems��z i lu c yKY X15 .i .: 'N °` 'g` '.,: ✓ :da�+ 4.:: k X1`1,G'� 4���7",a�yy l�.z � ° �w � ♦ r-. "R�r.`--" y.«: y, ?.� .i.'�'S' / .0 e^Yf d � , (� ��� .; * t�°4'f ++% nq��'.'+ fix} yi $.r � •..P�' r '�• '-�f'y � .S.ml¢'X ft ����e'xa3'�'�`�R + " `( N N 6e>-7 Slua?c /(d i O ... .. r m Jl v. F , M a b z . n C G 4 G f Z Y 2 C N G ' i 3ames A - Clews 3Fsar G S(��F �d , (��^PP..p�•t N f rt9Lty �� � ,_ _ . . �"' �- ` �,,-_. �3 i �n � r C p `nI �. 2� cA I �/ �` /� �b z' � � 9 2 1 n c 2 N �i �aW1PS IQ- Ctd-vtS ��SC1S" � She-d� �. � �reP Nor 119 `�y Pictures of Original Dock before and after Hurricane Sandy "U M � i OPes [ o r y♦ y` ♦ c PCa se[[ eyD � yb ♦ ♦ a y" Vy ♦ ,�. V� yV y y e yV � t,•'' Vy q% ♦� V8 ♦ � Ai �A ,Wu LyVe ru Sy A ixe Y 1 \ ^ • ^ eu9 r Y a Y .e . � ♦ � \ IrW rtaM V S� 9 Y eeemc.�nmr sreas..o.m rsmern mr al'' + ' WUMSUFFOII( PM,"Tax Sarviw Rpsrvy 53 all 1 1-110 s OFFICE LOCATION: OF SO(/lyO MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 # Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 G Q Telephone: 631 765-1938 '2 �0 Fax: 631765-3136 ��OOUNTV,N� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD ECEIVE � 9 2013 JUN D MEMORANDUM uthold own To: Jim King, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: June 19, 2013 Re: Proposed Wetland Permit for JAMES & NANCY CLOUS SCTM#1000-53-6-18 JAMES & NANCY CLOUS requests a Wetland Permit to repair existing 100' long bulkhead by replacing the 2'x12" cap boards along top of bulkhead, and a ±15' long 4"x4" traverse beam; for the existing 20' return on northerly side of property; replace existing 3'x±5'6" stairs to beach on each side of pier; replace existing stairs from top of bulkhead to fixed pier; replace existing pier with a 4'x40' fixed pier using thru-flow type decking materials; replace a 3'x20' ramp; and (2) 6'x20' floating docks with (4) 12" diameter pilings to secure floats. Located: 3805 Bay Shore Road, Southold. SCTM# 53-6-18 The proposal to repair existing 100' long bulkhead by replacing the TAT cap boards along top of bulkhead, and a ±15' long 4"x4" traverse beam; for the existing 20' return on northerly side of property; replace existing 3'x±5'6" stairs to beach on each side of pier; replace existing stairs from top of bulkhead to fixed pier is recommended as CONSISTENT with the LWRP. It is my recommendation that the proposed action to replace existing 83.9' dock structure with a 4'x40' fixed pier using thru-flow type decking materials; replace a 3'x20' ramp; and (2) 6'x20' floating docks with (4) 12" diameter pilings to secure floats is INCONSISTENT with below LWRP Policies and therefore, INCONSISTENT with the LWRP. 9.3. Preserve the public interest in and use of lands and waters held in public trust by the state and the Town of Southold. 0 A. Limit grants, leases, easements, permits or lesser interest in lands underwater in accordance with an assessment of potential adverse impacts of the proposed use, structure, or facility on public interest in public lands under water. Use the following factors in assessing potential adverse impact: 3. size, character, and effect of the transfer in relation to neighboring uses, The need for the dock extension is unsubstantiated. A vessel has not been identified that supports such an extension. Water depths at the terminus of the existing configuration are shown as 2.66 feet; with the additional extension of 18 feet seaward, water depths at the terminus would be 3.08 feet. Further, the expansion of an unpermitted structure located in the FEMA FIRM VE (Velocity Hazard) flood zone that experiences repetitive loss from storms does not further or support the policies of the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney James A. and Nancy W.Clous 4 gton Station, a Court E ® 7Town Huntington Station,NY 77746 n !V` 516 380 4808(cell) illJn./ujl631549 5716(home)June 4,201;jJUN Board of Town TrusteesTown Hall Annex54375 Main Road t Southold,NY 77971-0959 BMW D1 hages Dear Town Trustees, Our hearing for our application for permits for both our dock and bulkhead at our home at 3805 Bay Shore Road in Greenport was tabled last month due to lack of an LWRP report and the Trustees requested we consider making some changes to our original dock plan. The changes we were asked to consider include; shortening the overall dock,reduce the number of floating docks from two to one and adding a non-turf buffer. We have attached two alternative plan options for your consideration. We have labelled the original plan as Plan A and the two options are Plan B and Plan C. Plan B: The first option achieves the objective of having a single floating dock. However,to get that dock into deep enough water to use for a boat and approximate the DEC suggested depth,the fixed pier had to be extended to 58'. The overall dock structure is 5'shorter than the original Plan A submitted. Plan C: Since the fixed pier in Plan B was significantly longer than the 40'fixed pier in the original Plan A,the Plan B fixed pier would be more in view for my neighbours and it has more length exposed to winter storms,we are submitting a Plan C alternative that has a 33'fixed pier and two floating docks. Only the second seaward floating dock will almost meet the DEC suggested depth for a boat. The advantage of this plan is that there is less of a fixed pier in the view of our neighbours and less risk from exposure to winter storms as the floating docks and ramp are stored elsewhere in the winter for six months of the year. If possible,I would like to discuss these two new options with the Trustee who is presenting my file at the next meeting. I will call the Trustee office to see if I can arrange a call or meeting. Based on a question asked at the last meeting,I also wanted to emphasize that this dock has been in continuous use for many,many years. I have kept my boat there since 2002 when I purchased the house and the former owner also kept his boat on the dock. Attached please find three copies of the following: (1) Plan A—Original plan submitted April 19,2013 for the May meeting(top and elevation view) (2) Plan B—alternative plan with single floating dock with reduced overall length(top and elevation view) (3) Plan C—alternative plan with two floating docks with reduced overall length(top and elevation view) I look forward to seeing you at the June meeting. You can reach me on my cell phone at 516 380 4808 if you have any questions. Sincerely, James A-Clous James F. King, President ��r4F suuryo Town Hall Annex Bob Ghosio,Jr.,Vice-President 54375 Main Road P.O.Box 1179 Dave Bergen # Southold,New York 11971-0959 John Bredemeyer Michael J. Domino >•O Telephone(671) 6-1892 Fax(891)765.8-6841 �CUUNII, BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD Office Use Only oastal Erosion Permit Application Wetland Permit Application Administrative Permit _AmendmenVrransf /Ex Inion �g eceived Application: t 3 n I Y E ��eivedFee:S Iv`���,� -ZCompleted Application _Incomplete T"i APR 1 9 2013 _SEQRA Classification: 'Type I_Type 11—Unlisted_ Coordination:(date sent) — ,� IL 411 �1.WRP Consistency As ssm nt Form g121P] ., I VCAC Referral Sent ate of Inspection: _Receipt of CAC Report: _Lead Agency Determination: Technical Review: _ �ublic Hearing Held: j Resolution: Name of Applicant J 0 Vti 0 Na( �)ekry e-y W. Mailing Address LA W6TGfS "NVQ L} 1 �vni�iN^{m� S�^{�e�� , � � 1(7q Phone Number:(631) 5-`(1 Suffolk County Tax Map Number: 1000 - U S 3 0 0 060 0 01 ,?00 0 nn � Property Location: Q tt '7 o 0 r e �, lr/r ergjj..t" NY L�`I`i --� -- (provide LILCO Pole#, distance to cross streets, and location) AGENT: M \ Oneke ( q;"ie 1'resl�cNr �� LainrS �SSOct4 s LENurrn �� C..,seNMr) (If applicable) Address: S / JOY ar ,+ g- Phone: 63 1 d b ( 7170 3 B. In addition to the filing fee, the Trustees,upon the adoption of a resolution authorizing the issuance of a permit,shall determine the amount of the inspection fees to be paid by the applicant to the Clerk upon the issuance of a permit. Inspection fee costs will be based on$50 per site visit. C. Pursuant to New York State law, all costs incurred by the Town for SEQRA review shall be paid by the applicant. D. Consultant fee. The Board, at its discretion,depending on the scale and potential impact of proposed operations, is authorized to require the posting of a consultant fee by an applicant.This fee shall be used to hire an independent, expert consultant to investigate the site for the proposed project and to examine the plans or other information submitted by the applicant to assist the Board in evaluating potential adverse impacts upon a resource area by the proposed project. The Board, in its discretion,will determine whether the complexity of the activity,the difficulty in determining the threat to the resource areas or the size of the request or project involves and requires more information and analysis than can reasonably be supplied to the Board without independent technical professional assistance. (1) The Board may require the payment of the consultant fee at any time in the deliberations prior to a final decision. (2) The consultant fee may be required for expert opinion regarding,but not limited to,wetland resource area surveys and delineations,analysis of resource area values,wetland resource area reports,hydrological and drainage analysis,wildlife habitat analysis,shellfish surveys, and environmental land use law,or any of the following: (a) Placement, removal or grating of at-least 50 cubic yards of material; (b) Five hundred square feet or greater alteration of a resource area; (c) Shoreline or bank alteration to a coastal or inland waterway; (d) Five hundred square feet or greater alteration to land in a naturally vegetated condition that constitutes.a resource buffer area. (e) Discharge of any pollutants into or contributing to surface or groundwater of the resource area; (f) Construction of any stormwater control facility,or water control structure. E. Dock and float fee. Every application for a new dock or float shall include a fee equal to $3 per foot of linear length for residential and commercial docks. Commercial docks are any structures that are rented, leased or otherwise used to generate income,including,but not limited to,those structures located on properties zoned M1 and M2. (Added 10-11-2005 by L.L.No. 17-2005] I Ad of Trustees Application GENERAL DATA Land Area(in square feet): Area Zoning: 5,AQ Nit I Previous use of property: R2 s,",Ai d Intended use of property: 67 e- S � J�v N,6 Covenants and Restrictions on property? Yes _'V_No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes X No If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes x 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 X No Does the structure(s)on property have a valid Ccrtificate of Occupancy? X 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):P 9 tte St D 2py1 RtS .Qa� docks aivci I) OkNod �, cbr -H febuild JANE,kS aNA �ey- IS-61 bUlkj'14, �e ✓ Ore d__4&;toy fro' P c+ Odt 1Gf 6;1 tac 404 *Board of Trustees Applicat& WETLAND/TRUSTEE LANDS APPLICATION DATA t Purpose of the proposed operations: Ran 1A UL aqua( re-6 u A d C IS+NS Y�cD -�t 6 A+iros ALAI , S- it s -k-n 1atr'44 amp ,l vo i VV\0 St o t'V11%4'� UHK Wa5ked ctw b ( 1. qurricaW-9 sdwwl j• PpPalr �Jokv"4 , Iue51' rmq� '}V docks (3Nd bulkkoJ. Area of wetlands on lot: 40 square feet Percent coverage of lot: O % Closest distance between nearest existing structure and upland edge of wetlands: H 0 feet Closest distance between nearest proposed structure and upland I / edge of wetlands: feet Fred) P�er L-A-r ds p ver 4 Q n'vd oloeks are -Ooek—"NS 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 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: i Statement of the effect,if any,on the wetlands and tidal waters of the town that may result by reason oof"such proposed operations(use attachments if appropriate): tel" L y�PrJ ,)�Pr ,js d eNSV'f Project Description and Purpose of Plan to Rebuild Dock \ �&,,,d 10� fe{JrnJ Purpose of the plan: � `l J,K 41 11 ga,x 3 ,� 2 �71 i The purpose of this plan is to apply for a permit for our bulkhead nd fixed pier,ramp,floating docks and pilings to enable reconstruction of the same due to storm damage. Hurricane Sandy washed away the fixed l� structure of our dock pier and stairs to the beach and did some damage to our bulkhead where the pier was ripped off. We also lost a piling. original floating docks,ramp and pilings are old and need to be replaced (floating docks were towed into Brie Cove Marina before the storm and are still in tact). Also,as these docks are on Pipe's Cove which can get som wave action,we plan to add two pilings set apart from the docks to better secure our boat. Detailed Plan: Rebuild and replace the existing floating docks,ramp,fixed pier,stairs to beach,stairs from top of bulkhead to fixed pier and related pilings. The top of the fixed pier will be Thru-Flo or equivalent materials to allow for water penetration and reduce floatation of materials in case of high water in the future. Two changes will be made to the original structure which include extending the fixed pier from 22'to 40'to move the floating docks to deeper water(West end of floating docks is close to the bottom at mean low water) and we plan to add two new pilings set apart from the floating docks to provide more secure tie up of our boat (keeps the boat off the dock). In addition,cap boards on the top of the loo foot bulkhead were washed away and the plan includes replacement of the caps. These are 2 x 12"boards. Also,there was some damage to approximately 15'of a 4 x 4 transverse beam on the bulkhead where the fixed pier was ripped off in the storm that has to be fixed. No excavation or adding of materials is needed. Our bulkhead is mostly in tact except for the cap boards and repairs noted above. See Top View and Elevation view plans attached. Boll of Trustees Application • ' WETLAND/TRUSTEE LANDS APPLICATION DATA �1 Purpose of the proposed operations: W 1a c2 av-ja( re-6 u,�4 exis-h ( ?\6T ( dwQ O a�iN� dgL&S 5-} a s -k-t \at& /In1 Q^r© VAo s+ p'`" (,vh%dn w-oK WaSkeeI QW }� r qurr;Cp04 SaNd�. P-QpaIr V0VIkl�--c( , () JUS-' rm;4}S y docks aW Wk{ti . Area of wetlands on lot: 40 square feet Percent coverage of lot: O % Closest distance between nearest existing structure and upland edge of wetlands: H D feet Closest distance between nearest proposed structure and upland edge of wetlands: feet f;/-4 P)e r e C-fer as avec' 4.4 h pc "Nd dotkr- are 4Noa-4+rvS 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 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): _1_ l Y11S Lvi ) � /AUe i'J4 -1�r'f' V ��(�U ' tan) t r1 r S i ntc�-1 5 U�+t!( C , C.c Ae Nf11„j� +1 j�(dn�rer- �,r� iy,I,� enlSyre -�t1��`eiVs r�t�1�(5 �-fa� PROJECT ID NUMBER _ 817'20 SEQR APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM { for UNLISTED ACTIONS Only PART 1 -PROJECT INFORMATION (To be completed by plicent or Project Sponsor) 1.APPLICANT/SPONSOR 2.PROJECT NAME Jarr\,as A, anus( NAiy Clous (TrceNPUr'I-h�u�R �lar�c (fib 3.1PROJECT LOCATIOM C C' r 11 I 1 6-rP2Nee+t-"t &-� 6T Seu`�'�N O4 Ski 1 -r k Municipality County 4.PRECISE LOCATION: Street Adde$s and Road Intersections. Prominent landmarks etc -or orovide mac 3goS QAy Share Ronal ej6 eery afil N'( 5.IS PROPOSED ACTION: ❑ New Expansion El Modification/alteralbn 8.DESCRIBE PROJECT BRIEFLY: � (� �1� (2e��11c1 ftt�cP Q\er t Sia r5 �ci tpeatl, aNd { �oaT1N9 COCKS fztpfacF �oArdsl (rap) �� '1VN Le ' v oT b/� 1kV I I� 2x1`y�1NS' 5.11 ue_40f ` (O+k r +1,,6,jV` `I"fle �+`t IINSS , Oc( .01-e1J I._Ucl5ked away lion k�JrntGc.Mt Sce/V . 5-" W"nle 4e41C., 4 Y T.AMOUNT OF LAND AFFECTED: Initis acre$ Ultimately acres 8.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? MY" ❑ No H no,describe briefly: - 9.WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as marry as appy.) ®Residential [:]tndustrlal Commercial ❑Agriculture Park/Forest/Open Space EJOMer (downis) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) y... ®Yes nNo If yes, Ilst"agency name and permit / approval: -be. 610f *140) _ I 11.DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes110 H yes, list agency name and pemYt / approval: 12. AS A as R No IOULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATN? I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name Date: � I Signature (.�- if Zt b r 3 If the action is a Costal Area,and you are a state agency, i complete the Coastal Assessment Form before proceeding with this assessment Project Description and Purpose of Plan to Rebuild Dock Purpose of the plan: I00 q 'x 3 The purpose of this plan is to apply for a permit for our bulkheaded pier,ramp,floating docks and 1i .,pilings to enable reconstruction of the same due to storm damage. Hurricane Sandy washed away the fixed (1 structure of our dock pier and stairs to the beach and did some damage to our bulkhead where the pier was ripped off. We also lost a piling. original floating docks,ramp and pilings are old and need to be replaced (floating docks were towed into Bri Cove Marina before the storm and are still in tact). Also,as these docks are on Pipe's Cove which can get sour wave action,we plan to add two pilings set apart from the docks to better secure our boat. _--� Detailed Plan: Rebuild and replace the existing floating docks,ramp,fixed pier,stairs to beach,stairs from top of bulkhead to fixed pier and related pilings. The top of the fixed pier will be Thru-Flo or equivalent materials to allow for water penetration and reduce floatation of materials in case of high water in the future. Two changes will be made to the original structure which include extending the fixed pier from 22'to 40'to move the floating docks to deeper water(West end of floating docks is close to the bottom at mean low water) and we plan to add two new pilings set apart from the floating docks to provide more secure tie up of our boat (keeps the boat off the dock). In addition,cap boards on the top of the too foot bulkhead were washed away and the plan includes replacement of the caps. These are 2 x 12"boards. Also,there was some damage to approximately 15'of a 4 x 4 transverse beam on the bulkhead where the fixed pier was ripped off in the storm that has to be fixed. No excavation or adding of materials is needed. Our bulkhead is mostly in tact except for the cap boards and repairs noted above. See Top View and Elevation view plans attached. PART If- IMPACT ASSESSMENT To be completed by Lead Agency). A DOES ACTION EYCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART OITA? If yes,coordinate the review process andusethe FULL EAE. Q Yes ON. B. Wal.ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative dadeation may be superseded by another imolved agency. - Yes ©No C.COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwrktea,Illegible) . C1. Ebdsting ah quality,surface or groundwater quality«quantity.noise levels.existing traffic pattern.solid waste production«disposal, . potential for erosion,drainage or Reading problems? Explain bdatiy: Cz. Aesfhem,sigdcwturat,aadneeaogical,raswdc«other natural or aaf«al resa«ces:orElsa «neigNbon,00d d,amaerr E;Vaa,bdagy C3. Vegetation«fauna,fish,sheflfis 'w w8dlife species,significant habitats,«threatened w endangered spedes?Explain briefly: C4. A community's ebdsUng plans or goals as orridasy adopted,w a change in use w intensity of use of land or oflrer natural resources?Fxplahn briefly: C5. Growth. sequenl ub development,- or r o . .. _ _ . .. - .. ._ .._...._. . ... 5related activities likely to be induced by the proposed action?Explain briefly: C6. Long term,short term,cumulative,or other effects not identified in C1-057 Explain briefly: - --- C7:Other impacts pacluding changes in use of either uanth or t of ene D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA(CEA)7 If . ,e ain briea ElYes Q No E IS MERE,OR IS THERE LIKELY TO BE.00fRROVg2SY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMP If Yes n'7 ..No . PART M-DETERN MTION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: Foreach adverse offeatldaloodaboovee,detemltnewhe#wItissubstaotia4lar,aa,rnpafag,luotlfewlsea�ftu�arn r�df eReet slhehAd be assessed In with Ia(s1)sem, 0.e urban«nefor (b)l of a0011R�(►:(c)*1(1111104(d)>�t�1AW.(a) geogral WAIldert deo Io show uOha d t aad .add atmaaan a or fad arld a ggUaj li materials. (that a>�Imhaoons co - inpadshavebeenidenifiedandadequafelyaddae vin ItgU8al>ondofpartIwasdRdod yae lhedebtttdnaSondalstltpcaaoemustf=valuateUhepotennalirryrectofthepfeposedadionanthe�lalhafa fsof9WCEA. C hedt6As box IfyoufhsYe Wangled one«more 1301engallyafgeoralgN6cantadverve krybacts whldh MAYo=lr.Thenprooaeddiredlytotlle EAF atWw prepare a positive dedam6on. Check lift boa Ilyou--have d&Am*led,based on the Information and analysis above and any supporft doamentation,ghat the proposed IWILLNOresult Many significant adverse environmental Impacts AND provide, on attachments as necessary, the reasons suppartky 1h, f Board of Trustees n Name of lead Agency Dane President Print or Type NaWe of Responsible Officer in lead Agency Title of Responsible Officer � Signature of Responsible Ofrlce in Lead Agency SanaWre o(Prenarar llf rlreorr.,d r...,.,.ne.,..,.�;r.re..rF..,,.r PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: 1_.1^tdtt I'Yla e�nli '� d'.iS I,3e;j I {Px" R.I � (Mree pevj-, dUY 11941 0 n jl�owut S Cc�c�`1c'rQ 1 1 S�rh rh�� Sf, t EAsI c AeAe c, Aj A en. r ,j kek -60t7ca t S-3 ti '3 V0 �j � kA W tUifvheq Ic 37�L 00) �h&,f KA .t Gyfew(�-ii Ai-Y t19yY F1 �ZAelkl wefine4IQ ( S3 � 3-6 STATE OF NEW YORK COUNTY OF SUFFOLK ex vv\s_ AL1C+nS residing at S�,'ho�n 3 N C 11 � 4 � being duly sworn, deposes and says that on the ` - day of'___ t/V1 20 1 3 , deponent mailed a true copy of the Notice set forth in the Board of I rdstoes 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 _711v n ` that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. {� Sworn to before me this Day ofPv\ct- 20_L-__ ARLEEN KOSTER ENotary Public-Stale of New York ._--- -.---_ NO.01K04577892 Notary Public tKMo In SWlolk C YNaabn Eapra 4f Pogtal * t ff � CF�FIYOR'I ilY"lltw� ` " mc SEA klii Fk 11H � Ponnpe s !' f0.4� 0747 '—J s Q Pesays s $0.46 0747 Ce.tMod Fele t0 Q OS Q Refun R6plpl Fed Ponneh C3 CertMaA Fw $3.10 05 ,} Q tEMceemex�t Pa0'� IL55 77 Hne Q Relum R Fes St A Raehlpyd lry Fyl iI 0 (EMersamtntApli�l 12• H"1111 -� !En�yrlmen Rcpui.Wl' 00C3Reatrkfed 011MryFee I } C3 (Endas.,mnM Ppaukldl $0.0 v Tocol PoetaonA veoa \ $6.1 05/06/22,013 Q `. -3 FU Tdsl PrntM,6 Fees $ $6.1} 05^/2013 o .-R r a _ ti Srrert dor.iVo: w t �- < ........CEnTtrf D 1 D CCIPT FITfFJ:HF 1Jr1 F w'fodf $0:46 $0.46 0747 GnmaO Fee $8110 $05 L._` C3 GmMO Fro $3.10 05 PeWm Pa 1pt Fm y O PMun Raalpr,FM P�M1nM 0 Trdmromeat Relpindl $C.55 Q (EtdanameelRpiPadl .' ..� a (R nn� mea°�mFd1 ��' Q aeartr dkvY F« � +� $0.00 r>e ,, C tEMpnemwl Rlpulestll f0. L, L Total P�qa d Flee $ $6.11 05/06/2013 ti Tdn Paetage 8 Feel f /2013 14 i ,moi a orP09pc Np. C/,, 2/� M1 pity.SMM. ......................� .SI'lC(`c..1`d ... IXPO HaT Hp. ..��. . .. ''.''... .... ............._.... G� eeti n t N I19 Y k"sll.:P. y�c IVY I t 7 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: LiNdct Mekffe+Ni `3ta3 Shcue 6"e�vptvt, AJy I194`f ( 5-3 E tt9 � s iJCG vrci I1 SUmm�t S1 , i �aS�l.�tP5�er i IU'( W709 �aNsewtl4�e, , Cli � , NY 11571/ Te,, ( S3 6 3 2, n 1 k b W- Wefvhe rf Jr_ 3'15 `da) S('tore Qa( . j Gree 1pl-i I F� �Zabe+�-, wet�Qre STATE OF NEW YORK COUNTY OF�^1SUFFOLK / gpAW\Q S A . C�o v<S , residing at � W&VO(SVTIY�P Lf, . flu m fznJ�� Sia'hiM\ NY % " (( , being duly sworn, deposes and says that on the 6, day of 2013 ' deponent mailed a true copy of the Notice set forth in the Board of T cati steel Applion, 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 7Ad4,LOL ,iv`r that said Notices were mailed to each of said persons by CERTIFIED MAIL/R TURN RECEIPT. Sworn to before me this (� Day///ofYV\ 201 h Ablic- tate of KOSTER Notary Public•state of New York N0.01K04677892 Notary Public Ow died in Suffolk cqu ty CamNaion Expina U.S. Postal Service,,, :F U.S. Postal Servicei n CERTIFIED MAILT, RECEIPT rCERTIFIED MAIL, RECEIPT - `" MailOnly; insurance coverage(Domestica Ln Is Ln .. . T a R77 M1 �1 ' i mestic Mail Only�No Insurance Coverage Provided) 11 � Postage a, $O,y� 0747 -� ^~ C3 csmnsa Fee " 'p � P°� s f0.46 0747 M �c 10 OS C3 cemnea Fee $3.10 05 Pummlta C3 Rehm Receipt F Postmark M (Endorsemsm Required b A55 Here p RealmR O (Enaoreemem Required)• itE2, Hef6,` M (E d s«•mem Required) '/ {{1 p00 r p Resid°tad DeMery Fee j C3 ��y p (Entloreemant RepuiMO fu Tote!Pemage&Fees $6.11,*,.- p 05/06/2013 iL Total Postage&Fees $ $6.11 05/M/2013 � enl To M 'nA �/ � ant a A l7Yj nft � M1 b`ireei.ilei No._ ....p....-- r,'A.....................n.--/......--....-....-.- �, w PO Box No. 3 & S�-.. IJ Gs+1_.,�hLTf `CN, N Stmef,APt No::. ......... i ."'� C't,State.Z/Pa4 - ---... or PO Box Na fY� G+r e alt nr�/ 119 Y d>ry gib:rP: ... ..."` ................ NY It S9 CERTIFIEDU.S. Postal ServiceT11 Postal Servim., Ln RECEIPT L-J3 (Domestic Mail Only;No Insurance Coverage Provided) (Domestic Mail Only;No Insurance Coverage Lr)M1 1 1T.w$,. � r-M N EA 'Provided) Postage $ $0:46 X174 �� Postage E $0.46 0747 C3 cemnea Fee $K10 '.01 p Is, C3 cemnea Fee $3.10 05 C3 Rehm Receipt Fee y. f� P F{erb p Realm Recw Fee Poeem M (Enaorsemem Requima) $G.55 p (End mamem Required) 55_ p Rasmctatl DeAvary Fee .y" Restarted De Fee - `• C3 (Endorsement Required) $0,0p y. C3 (Entlonemem Required) �, •� C3 p fu total Postage&Feea $ E6.11 05/06/2013 ru Total Postage&Fess $ti /2013 ''Rnt To — / : q nt E3 E3 a ..................... or PO Box No. -7 JL �C ShQre 1 r or PO B4r Na I I city;sere:ZIP.4 e trf• fVy 119 yY cay.Breva,ziP.4 IVY j-6- C �j----- V lrr. :rr rr. / o�Og�FFO(,�ro • James F.King, President O� Town Ifall.53095 Main Rd. Bob Ghosio.Jr. . Vice-President ,y. � P.O. Box 1179 Dave Bergen Southold.NY 11971 John Bredemeyer � `>tTelephone(631)765-1892 Michael J. Domino * Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of JAMES & NANCY CLOUS COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR EIGHT D.4 YS 1, -j0kvrn2S A (—k8-US residing at/dba �-{ (,�J�}{9dS`�Gr'U C'f. tA UtJ 1 11V'C S-}A;-Yt r fAJ Y 11 -74G being duly sworn, depose and say: That on the "`7 day of ylAay 2013, 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 Wednesday, May 15,2013. Dated: j 3 (signature) Sworn to before the this IS day of 0--j 20)3 Notary Public NANCY S BARTOW Notary Public -State of New York N0.01BA6246841 Qualified in Suffolk C un y My Commission Expires IS S ,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: TOMe5 / )0-ncy 0101AS S l l R 1 ECT OF PUBLIC HEARING: therepair existing 100' long bulkhead by replacing the 2'x12" cap boards along top of bulkhead, and a ±15' long 4"x4" traverse beam; for the existing 20' return on northerly side of property; replace existing 3'x±5'6" stairs to beach on each side of pier; replace existing stairs from top of bulkhead to fixed pier; replace existing pier with a 4'x40' fixed pier using thru-flow type decking materials; replace a 3'x20' ramp; and (2) 6'x20' floatin docks with (4 12" diameter pilings to secure floats. TIME & DATE OF PUBLIC EAR G: 64)e4ne dcy/, /S, c;0 13 • o6o6%+ S'.' 3o r If you have an interest in this project, you are invited to view the Town file(s) which are available for inspectioy rior to the day of the hearing during normal business days between the hours 8 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 -i ck-me s A . CA O QS 'BF,ING DULY SWORN' J?EP©SES ANO AFFIRMS MT WSEM M THi;APPUCANT FM TIM ABOVE bB9CRMUD PMKI' (S):AND THAT ALL 3PATRMEN'FS.CONTAH-4ED HBRBIN ARB TRUE TO:THS BEST'OF TWS])l k KNOWIJIDGE AND BELIEF,AM THAW ALL WORK AL L B}3 DONE IN um Mmm wr FORTH IAT TBI$APPLICAnON.AM AS•MA,Y-` SAPPAOVED BY Tm SOUTI1DI D TOWt�TT30ARD OF TRUSTBBS. THE•APPLICANT AGI ES TO HOLD THS TOWN OF SOMOLD AND TIM TOWN TRUSTEES• , HARMLESS AND FRLE.FROIK,ANY ANDIALL DAMAGES AND.CLAI14 ARISING. tUTIDBR<OR BY-VftUUE'OF SAIDTERMIT(S),IF.GRANTED..IN COMALETI NG PHIS APPLICATION,I HMEBY-AUTETORIZE TTS TKUSTIIES,THEIR AGLNT(S)OA REPRBSENTATIt M$X 10.'Ei7BR10NTO MY.PROPERTY TO INSPR(.THE . -PMUSES MCONIUIVCTTON WITH REVISW OF TMS APPLICATION. S*nature SWORN TO BEFORE ME TMS: 1 DAY OE - - - - - - - -- - - Qua" IMMICY MRN{ NMMf�rNw 1Mk Mir O M Unew �P bricmotat3yu . APPLICANT/AGENT/REPRESENCATME TRANSACTIONAL DISCLOSURE FORM s cn,�of letters eroti ooeAi.uof{nom on the Dart of bvm riRh:ms sed emnloreest 71e ev<oane-of ..,_:_:.......,.:...t"rte.:::.:.which analett the town of emdbla mnfltm of rLtere.4and slew it to take Whatever Milan is neoeeeary to avold sam6 /I YOUR NAME: C�OUIS , JAw�es A. ONO lldUlS n NGN� W, (Last name,feat name.griddle hddal,unless you aro appyhmg in the mime of J someone alae or other entity,such as a company.If 3%indicate the other person's or compaWs ono.) NAME OF APPLICATION: (Check all that appiY-) TWE grievance Building Varance That" x Change of Zane _ Coastal Erosion Appmvei of plat Mooring Exemption from plat Or official map Planning Otho (if"Oilner ,name the activity.) Do you personally(a through Your company space,sibling.parent,or child)have a relationship with any Offs=Of employee of the Town of Southold? "Relationship"includes by blood,mardaM or bsiness interest."Business Mawr Deem a busmeaa, including a pamaasbip.in which the town oflicer or employee has even a pardai ownership of(or employment by)a corporation in which the town omcer or employee owns mora then S%of the shares. YES NO If you amwerod"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 rine relationship between yourself(the applicun/ageetlrcpresemative)and the town officer or employee.Either chedr the appropriate line A)through D)anNor describe in the space provided _ The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): the owner of greater than 5%Of the share of the corporate stock of the applicOM (when the Applicant is a arpor@t[OQX _B)the kgai a beneficial owner of any interest in a non -arporale entity(w6ba the applicant Is not a corporation$ _C)an officer,dhector.partner,or employee of the applicant:or - _D)1M actual applicant. DESCRIPTION OF RELATIONSHIP Submittedft_LG_.ktof 2C01 Signature � — PrintName ]S ynes A CjnuS Form IS 1 Town of Southold Erosion, Sedimentation & StoneN-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S..C.T.N.01: THE FOLLOWING ACTIONS MAY RECtUIM THE SUBMISSION OF A I000 F —n -TU— CERTIRM•WAT A E AND P LAN 3RHEF ( SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM N / WORK ASSESSMENT Yes No a. What Is the Total Area of to Project Parcels? (Include Total Arae of all Parcels located within c' j Will this d by a Retain )I Storm-Wstern Site? the Scope of work for Proposed Construction) i y 6 I s.F Generated by a Two(2'Inch Rairdall an Site? a (e.F.r Anwe) (This item will include all runoff created by site b, What Is the Total Area d Land Clearing clearing and/or construction activities as well as all and/or Ground Disturbance for the proposed Q Site Improvements and the permanent creation of construction setivity'[ impervious surfaces.) (S.F.f non) 2 Does the Site Ran and/or Survey Show AN Reposed PROVIDE BRIEF PROJECT DESCRIPTION (rA.N.Aaar.+P.r..N.a.e Drainage SWdvw Indicating Size B Location?This ❑ (� tem shall Include all Proposed Grade Changes and �c-u-�JKh,� anrpt fd� IOt( PX\S'fT.u�dii(ASlopes Controlling Surface Water Flow. / 3 Dow the Site Ran and/or Survey describe the erosion ❑ C4 y",, ii-f-PiD le f n r s �n b eoA and sediment control practices thin will be used to control site erosion and storm water discharges. This ci e -M 4w,. \ o.v-a /} ConstruWonP�fined thraghout the Entire 4 Will this Project Require any Land Filling.Gracing or 1_ I Excavation where them is a change to the Natural Existing Grade Involving more than 200 Cubic Yards a 1�/ f+ � lr P 1 h er Prom a a h of Material within any Parcel? �/1 5 Will this Application Require Land Disturbing Activities . 1�11411S' Encompassing an Area in Excess d Five Thousand U� ❑ T 11'' / (5.000 S.F.)Square Feet d Ground Surface? SR! (V\01 f fi�N fir, �t S u' 7+[WI A'fK4'r/ 6 Is there a Natural Water Course Running through the Ste? Is this Project within the Trustees jurisdiction ❑ General DEC WWPPP baubanwrhb: or within One Hundred(1001 feet d a Wetland or Submission Of a SWPPP Is regNedfor as CoreWanan acthnow involving no Beach? dlabrharewedans(1)amor.saes; hcWkgdWuNONesdlaeshhan one sere that 7 Will there be Ske preparation on Existing Grade Slopes - am pen of a larger common plan that wN naimetay disturb one or"O's soma at land, which Exceed Fifteen(15)feet of Vertical Rise to x Including CansbuoWn acWebs involving sas debne d less Own one(t)sem where One Hundred(100•)of Horizontal Distance? DEC hes determined that a SPDES panic Is required for alarm water discharges, (SWPPPI shall most the Minimum RequIre is d tin SPDES Bermal Perak 8 Will Driveways,Parking Arose or other Impervious for Stam Waw Discharges from Construction me IF-Panic Nen GP4.104".) Surfaces be Sloped to Direct Slorrrh-Water Run-0R ' 1.The SWPPP shall be prepared prior b Hw submittaldhhe Not.The 1401 has be Into and/or In the direction of a Town rigtd-d-wa)R — 'UWMed to the Department prior to the axrensmeswnt of construction aa)vky. 2.The SWPPP$MII daeoiw the emsbn sin wdlnrwnt mnbd prectk a snd wtww J WIN this Project Require the Placement of Malarial, j. mgwed,poetcones w ON, WSW nNrogmwnt practices dug as be deed ands Removal of vegetation and/or the COnsauedon deny carwmtolatl to caprice ties pailulanb b alma soler dbdwrg.s and fo smum Item Within the Town Right-of-Wty,or Road Shoulder Identify depaeddellhaters of pollution ceedpmsdtela martin edeMm,tlw SWPPP alar Area?(nM ma,wai Nm Wemdm Na lnabaNw awn APsa) identifysistom sources d pWutlon which may reamxhady be axpecla0laalfeot the quYly deter vANar ObdwhgeA NOTC: HAmrAmwrm OmeAees Orme Wmglm led.Is AnsweradwiM aCheak Nem j. 3.AN 5WPPPs that"Ins HID peslconsbw:tlm storm water management pnaceoe In•sea sed came rnrwblmedsn ape dtedawnw b basemen Coco".a 1 Aura to amen, j oomporent SAY be prepared by a gmllMd Duran Pmfeeebnal Licensed in New York a 8Ww-WdM Grading DnWge a mesion Colla Ptn N IbpdMbytlw Town or that is knoWedp"ble ntiw pdnchpies and practices of Bbrm WOW MMagemenl Souemldwd Muatbegulanpbdfa Rovkw Pdw Wlu otAryaWMpp PsmeL !' PATE AOwa Nea Nl rlwer Amwaarbasdm OuanbnY Rpdwtl bra Gaspers Apdbmn) STATE OF NEW YORK, COUNTY OF....5 u 9�.k...............SS I�. .Sol�vxe S 1/t .Ctl"$ ...................being drily sworn,deposes and says that he/she is the applicant for Permit, That I......................................... (Manes a 4mddduN aigNrg Daaenpnl) And that he/she is the 0 ull ....................................................................................... �(Ownsr,Cambador,Agent,Caryaaer ntecen atnj...••••••••••••••.•...... ... ... •. '. Owner and/or representative of the Owner or Owners,and is duly authorized to perform m have performed the said work and to make and file this application;that all statements contained in this application are Due to the best of his knowledge and belief;and that the work will be Plus;OV a in the manner set forth in the application filed herewith. Swornto before me this; 77 No Public: .......0.. ........ .... ay of QNUAf�_.............,`L0.`.J nom..... .. ! 669 SEAN CUTTER ( drAppmn) FORM - 06/10 Notary Public - State of Neaork NO, OICU6256142Qualified in NassauMy Commission Expires PROJECT ID NUMBER 817'20 SEAR • . APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW . SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 -PROJECT INFORMATION (To be completed by A Mlicant or Project Sponsor) 1.APPLICANT/SPONSOR 2.PROJECT NAME ,,gYV\es A. otud NAN �. C1<7u$ C�QUS �jT2FNPtxI hAVS4 (;W/.�: fPP(aU 3.PROJECT LOCATION C[ 11 Municipality County 4.PRECISE LOCATION: Sheet Addess and Road Intersections. Prominent landmarks ate -or Provide map 1 390S QAy shoe Rood) 5.IS PROPOSED ACTION: El New Expansion Modification/alteration 8.DESCRIBE PROJECT BRIEFLY: ^� ,1 r �Zolju.lc� �l ion p\er, 4o'%rs �o �OeaGr� aN[� Yloa+i vg d k- s , PAP(acF eX1541 5 �j1ktwss , (2c �locc baArgs �cAP� c„ +,`Q e)4 bj11 6Of. �^.Q 2Y1°j'�7rV�' 5}`('UG`�t1I�`_ �0�"E�Qr -4-�nanl '��[. �itl�q jS � yG•(� �VJ fPr1 I ) oa shad awr'u,3' 10-) iY I � 7.AMOUNT OF LAND AFFECTED: Inidely acres Ultimately - acres 8.WILL PROPOSED ACTON COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? 21Ves ❑ No If no,describe briefly: I ' 9.WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as appy.) i ®Residential ❑Indusbfal ❑Commercial ❑Agriculture []Park/Forest/Open Space ❑Omer (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, Stab or Local) / zYes n No If yes, list agency name and perm8 / approval: E Pf N" r A.� be n f`O i1 u r b p; - i ; 11.DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? i EYes (QINo If yes, list agency name and permit / approval: )L=J 12. AS AULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? Ely" No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE j E f( Applicant / Spomcar Name Date: Signature y It b11 3 If the action Is a Costal Area,and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment � I Project Description and Purpose of Plan to Rebuild Dock Purpose of the plan: lip -30qo,xql r 3 �Qcl t The purpose of this plan is to apply for a permit for our bulkhead d fixed pier,ramp,floating docks and pilings to enable reconstruction of the same due to storm damage. Hurricane Sandy washed away the fixed structure of our dock pier and stairs to the beach and did some damage to our bulkhead where the pier was ripped off. We also lost a piling. original floating docks,ramp and pilings are old and need to be replaced (floating docks were towed into uric Cove Marina before the storm and are still in tact). Also,as these docks are on Pipe's Cove which can get som wave action,we plan to add two pilings set apart from the docks to better secure our boat. 31 Detailed Plan: Rebuild and replace the existing floating docks,ramp,fixed pier,stairs to beach,stairs from top of bulkhead to fixed pier and related pilings. The top of the fixed pier will be Thru-Flo or equivalent materials to allow for water penetration and reduce floatation of materials in case of high water in the future. Two changes will be made to the original structure which include extending the fixed pier from 22'to 40'to move the floating docks to deeper water(West end of floating docks is close to the bottom at mean low water) and we plan to add two new pilings set apart from the floating docks to provide more secure tie up of our boat (keeps the boat off the dock). In addition,cap boards on the top of the loo foot bulkhead were washed away and the plan includes replacement of the caps. These are 2 x 12"boards. Also,there was some damage to approximately 15'of a 4 x 4 transverse beam on the bulkhead where the fixed pier was ripped off in the storm that has to be fixed. No excavation or adding of materials is needed. Our bulkhead is mostly in tact except for the cap boards and repairs noted above. See Top View and Elevation view plans attached. 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 Waterfrgnt Consistency Review Law. This assessment is intended to supplement other infom>ation 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. tAR=sed action will be evaluated as to its significant beneficid and adverse effects upon the coastal area(which mchdes all of Southold Town) 3: If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thu& each answer must be explained in detail listing both supporting and nou- supporting facts If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaker►. 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 local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION APA 19 2013 SCTM# QQ06 - 0000 - 01f(000 " �" outhcld(own PROJECT NAMIL C 0 u S �}/P P,�(�d �10 U 1P pc our (P �✓��� oar 1r e s The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g.capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: (Ze�larst /fehdrlc>7 T1 �`etJ �ie/', STafS `�'� Ylea�� —Y1on 17rvs i neid I,j S.eE VVlave Q6&4dI 'n,(j) -%catflM Project Description and Purpose of Plan to Rebuild Dock Purpose of the plain (`r •d 1d �{r/rn, r �QCI IW / 40,E au 3 fo b l / i The purpose of this plan is to apply for a permit for our bulkhead d fixed pier,ramp,floating docks and pilings to enable reconstruction of the same due to storm damage. Hurricane Sandy washed away the fixed �y structure of our dock pier and stairs to the beach and did some damage to our bulkhead where the pier was ripped off. We also lost a piling. T4 original floating docks,ramp and pilings are old and need to be replaced (floating docks were towed into Bric Cove Marina before the storm and are still in tact). Also,as these docks are on Pipe's Cove which can get som wave action,we plan to add two pilings set apart from the docks to better secure our boat. Detailed Plan: Rebuild and replace the existing floating docks,ramp,fixed pier,stairs to beach,stairs from top of bulkhead to fixed pier and related pilings. The top of the fixed pier will be Thru-Flo or equivalent materials to allow for water penetration and reduce floatation of materials in case of high water in the future. Two changes will be made to the original structure which include extending the fixed pier from 22'to 40'to move the floating docks to deeper water(West end of floating docks is close to the bottom at mean low water) and we plan to add two new pilings set apart from the floating docks to provide more secure tie up of our boat (keeps the boat off the dock). In addition,cap boards on the top of the too foot bulkhead were washed away and the plan includes replacement of the caps. These are 2 x 12"boards. Also,there was some damage to approximately IS'of a 4 x 4 transverse beam on the bulkhead where the fixed pier was ripped off in the storm that has to be fixed. No excavation or adding of materials is needed. Our bulkhead is mostly in tact except for the cap boards and repairs noted above. See Top View and Elevation view plans attached. Location of action: -3 Ula f �dod, /�0!vv Site acreage: a e f e Present land use: Present zoning classification: 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: . o,vv\# S C"'Jel r. &w� W. C oas (b) Mailing address: 1l 1rl eycQ r-re 0. 4oiyhAj+" S,1 a.Lol ffr 1174/ �1 I (c) Telephone number: Area Code (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ® No❑ If yes,which state or federal agency? b t% C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space,makes efficient use of Infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. Yea No © Not Applicable I I i 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 El Yes ❑ No Not Applicable j i Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No © Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages S through 16 for evaluation criteria ❑ Yes No ® Not Applicable I 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 I i I I i Attach additional shuts if necessary i Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including ' Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages,22 through 32 for evaluation criteria. Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No © Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 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 ❑ No ®Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ f'Cl Yes No Not Applicable 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 I� i I Attach additional sheets if necessary i 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 i i 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 n(� © YeE l No❑ Not Applicable j �p1auNS ex�s+�niS S}a«c -fo hP,�A� onl eod'l silo o- -it Ld i er w l t c_uvi f .,,iu { a i(n-w -7, I I bPocG a�ctr 5 to rbvSP Na (l�i' r; 1anS e 49 i Attach additional sheets if necessary i i 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. ❑ Yes ❑ No W Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III— Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No® Not Applicable i i i 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 I i I'. I, PREPARED BY -J-OV"-,. TITLE J DATE J 17 Z 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 I1I—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No ZNot Applicable 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 M—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No 0 Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III— Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No Z Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑Yes ❑ No [M Not Applicable PREPARED BY jo,"-f.. ( . (( e)uS TITLE 6.vt DATE 17 L 4 James A.and Nancy W.Clous 4 Woodstone Court Huntington Station,NY 11746 516 (cell) 63154949 5716716(home) E Q E I V En 1\I April 18,2013 Board of Town Trustees APO 1 9 2013 L' Town Hall Annex 54375 Main Road Southold Town Southold,NY 11971-0959 Board of Trust Dear Town Trustees, Attached please find our updated application for a permit for both our dock and bulkhead at our home at 3805 Bay Shore Road in Greenport. The original application dated January 4,2013 is to be replaced with this application. The original dock structure was washed away in Hurricane Sandy. The attached plans are to reconstruct the docks as they originally were built,with two changes. The first change was to extend the fixed pier from 22'to 40'to move the floating docks into deeper water. The second was to add two pilings set apart from the floating docks so that our boat can be tied up and held off the dock. Attached please find the following: (1) Board of Trustees Application (2) Applicant/Agent Representative Transactional Disclosure Form (3) LWRP Consistency Assessment Form (4) Description of the plan to rebuild the dock (5) Top view of plans for the new dock (6) Elevation view of the plans for the new dock (7) History of docks (8) B. Laing Associates environmental consulting report (9) Pictures of the original docks before and after Hurricane Sandy (1o)Schematic of original dock(top view and elevation view) (11)Copy of survey dated April?30,2002 I am applying for the DEC permit at the same time and will provide copies of that when approved. Please let me know if there is anything else you need to process this application. You can reach me on my cell phone at 516 380 4808. Sincerely, " ell CLle« James A.Clous . Page 1 of 2 Nunemaker, Amanda From: Nunemaker, Amanda Sent: Thursday, February 14, 2013 11:27 AM To: 'james.a.clous@us.pwc.com' Subject: RE: [SPAM] - Re: Trustee App Page Hi Mr. Clous, I will print out this email and submit it into the file. We will postpone you as requested. From: james.a.clous@us.pwc.com [mailto:james.a.clous@us.pwc.com] Sent: Thursday, February 14, 2013 9:37 AM To: Nunemaker, Amanda Subject: RE: [SPAM] - Re: Trustee App Page Hi Amanda, I was in the Trustees office yesterday after my dock application inspection. I would like to defer my hearing on this matter to amend my application to include my bulkhead repair/replacement as recommended and to include more information for the Trustees to consider. What do I need to do to defer this until the April meeting? Thanks for your assistance, James Clous From: "Nunemaker,Amanda"<Amanda.Nunemaker@town.southold.ny.us> To. James A.Clous/US/ABAS/PwC@Americas-US Date: 02/01/2013 11:50 AM Subject. RE:[SPAM]-Re:Trustee App Page Thank you so much. I have included these items into the file. From: james.a.clous@us.pwc.com [mailto:iames.a.clousCalus.owc.com] Sent: Friday, February 01, 2013 11:39 AM To: Nunemaker, Amanda Subject: [SPAM] - Re: Trustee App Page Amanda, \v�\X" Attached please find the signed hold harmless and property access release: Also, please find and updated plan for the dock. The only thing that changed was the low water mark 2/14/2013 • . Page 2 of 2 dotted line. I had the scale wrong on my original measurement. Please let me know if you need anything else. Have a great day! James From: "Nunemaker,Amanda"<Amanda.Nunemaker@town.southold.ny.us> To: James A.Clous/US/ABAS/PwC@Amencas-US Date: 02/012013 08:51 AM Subject: Trustee App Page I have attached the missing application page for you. Please return as soon as possible. Thank you. Amanda Nunemaker C1erkTgpist Town of Southold Board of Trustees 631-765-1892 [attachment "page_20130201084612.pdf' deleted by James A. Clous/1JS/ABAS/PwC] The information transmitted, including any attachments, is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmission, dissemination or other use of, or taking of any action in reliance upon, this information by persons or entities other than the intended recipient is prohibited, and all liability arising therefrom is disclaimed. If you received this in error, please contact the sender and delete the material from any computer. PricewaterhouseCoopers LLP is a Delaware limited liability partnership. This communication may come from PricewaterhouseCoopers LLP or one of its subsidiaries. The information transmitted, including any attachments, is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmission, dissemination or other use of, or taking of any action in reliance upon, this information by persons or entities other than the intended recipient is prohibited, and all liability arising therefrom is disclaimed. If you received this in error, please contact the sender and delete the material from any computer. PricewaterhouseCoopers LLP is a Delaware limited liability partnership. This communication may come from PricewaterhouseCoopers LLP or one of its subsidiaries. 2/14/2013 • James F.King, President fjf SO Ury Town Hall Annex 0� 0� Bob Ghoaio,Jr.,Vice-President O 64375 Main RoadP.O.Box 1179 Dave Bergen # Southold,New York 11971-0959 John Bredemeyer iZ Michael J. Domino �0 Telephone(681)786-1892 Fax(831)765.0841 COU1(I1 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD Office Use Only ,Coastal Erosion Permit Application Wetland Permit Application Administrative Permit _Amendment/Trans r/ tension % /Received Application: - —__ 7-Received Fee:$ E lel�a E Q V [1Ej' �ompleted A;hcation _Incomplete SEQRA Classification: JAN — 4 2013 'type I_Pype II_Unlisted_ oordmation:(date sent) WRP Consistency y Asses ent Fo �� Southdo Town CAC Referral Sent: n °�� /� oar (fra s Date of Inspection:---�-�±����'t`3 _Receipt of CAC Report: Lead Agency Determination: Pechnical Review: ublic Hearing Het Resolution: Name of Applicant �( Q `e 5 r 2 Nel (ya tv W• G 0 tt S Mailing Address W 0td S40\F L} . �t 4 uAst s nn S4,,,+;,, Phone Number.(631) S`l S71 Suffolk County Tax Map Number/q: 1000 - U S3 0 0 0600 01 OQ 0 Property Location: 3 0 i'�Q 4 9 k (provide LILCO Pole#, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: �I 31 • 3 B. In addition to the filing fee, the Trustees,upon the adoption of a resolution authorizing the issuance of a permit, shall determine the amount of the inspection fees to be paid by the applicant to the Clerk upon the issuance of a permit. Inspection fee costs will be based on$50 per site visit. C. Pursuant to New York State law, all costs incurred by the Town for SEQRA review shall be paid by the applicant. D. Consultant fee. The Board, at its discretion, depending on the scale and potential impact of proposed operations, is authorized to require the posting of a consultant fee by an applicant.This fee shall be used to hire an independent, expert consultant to investigate the site for the proposed project and to examine the plans or other information submitted by the applicant to assist the Board in evaluating potential adverse impacts upon a resource area by the proposed project. The Board, in its discretion,will determine whether the complexity of the activity,the difficulty in determining the threat to the resource areas or the size of the request or project involves and requires more information and analysis than can reasonably be supplied to the Board without independent technical professional assistance. (1) The Board may require the payment of the consultant fee at any time in the deliberations prior to a final decision. (2) The consultant fee may be required for expert opinion regarding,but not limited to, wetland resource area surveys and delineatigp Lanalysis of resource area values, wetland resource area reports, hydrological and drainage analysis, wildlife habitat analysis,shellfish surveys, and environmental land use law, or any of the.followfng: (a) Placement, removal or grading of at least11a50 cubic yards of material; (b) Five hundred square feet or greater ffteiation of a resource area; (c) Shoreline or bank alteration to a coastal or inland waterway; (d) Five hundred square feet or greater alteration to land in a naturally vegetated condition that constitutes a resource buffer area. (e) Discharge of any pollutants into or contributing to surface or groundwater of the resource area; (f) Construction of any stormwater control facility,or water control structure. E. Dock and float fee. Every application for a new dock or float shall include a fee equal to$3 per foot of linear length for residential and commercial docks. Commercial docks are any structures that are rented, leased or otherwise used to generate income, including,but not limited to, those structures located on properties zoned Ml and M2. [Added 10-11-2005 by L.L. No. 17-20051 i' I i. Ord of Trustees Application• GENERAL DATA Land Area(in square feet): Igo Q V Area Zoning: Previous use of property: N s i",,41 G c Intended use of property: � 5 i 6G {..r' 1- .f Covenants and Restrictions on property? Yes N No If"Yes",please provide a copy. "17 Will this project require a Building Permit as per Town Code? Yes No If"Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes X 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 X No Does the structure(s)on property have a valid Certificate of Occupancy? � Yes No Prior permits/approvals for site improvements: Agency Date i i i No prior permits/approvals for site improvements. Has any permittapproval ever been revoked or suspended by a governmental agency?No Yes If yes,provide explanation: Project Description(use attachments if necessary): 1)e rlQ cc Description of Plan to Rebuild Dock Purpose of the plan: Hurricane Sandy washed away the fixed structure of our dock pier and stairs to the beach and did some damage to our bulkhead where the pier was ripped off. We also lost a piling. The original floating docks,ramp and pilings are old and need to be replaced(floating docks were towed into Brick Cove Marina before the storm and are still in tact). Also,as these docks are on Pipe's Cove which can get some wave action,we plan to add four pilings set apart from the docks to better secure our boat. Detailed Plan: Rebuild and replace the existing floating docks,ramp,fixed pier,stairs to beach,stairs from top of bulkhead to fixed pier and related pilings. Two changes will be made to the original structure which include extending the fixed pier from 22'to 40'to move the floating docks to deeper water(West end of floating docks is close to the bottom at mean low water) and we plan to add four new pilings set apart from the floating docks(two on each side of the floating docsk)to provide more secure tie up of our boat(keeps the boat off the dock). In addition,cap boards on the top of the loo foot bulkhead were washed away and plan to be replaced. These are 2 x 12"boards. Also,there was some damage to approximately 1$'of a 4 x 4 transverse beam on the bulkhead where the fixed pier was ripped off in the storm that has to be fixed. No excavation or adding of materials is needed. Our bulkhead is still fully in tact. See Top View and Elevation view plans attached. Bo* of Trustees Application • WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: W" a ez aoJc( re6 j'(4 vvto St of wh��J, wQae washed cicnlo� by 1�urriC " SaNJ. Area of wetlands on lot: ® square feet Percent coverage of lot: O % Closest distance between nearest existing structure and upland edge of wetlands: H 0 feet Closest distance between nearest proposed structure and upland — edge of wetlands: feet xedl ,neer - lends over 412 �eal�c-"� n rvd f� 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 Depth of which material will be removed or deposited: feet I 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): lrt cvG£c�v +kq j yuck (icer '.,-k l j P"m e A)e'+Nffc1c'f5 5—ad j r I PROJECT ID NUMBER 817'20 SEAR APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 -PROJECT INFORMATION (To be completed by PkSnt or Project Sponsor) 1.APPLICANT]SPONSOR 2.PROJECT NAME ,jc�rnes �. QNCI NAN IA/. Ckoas Clous (1reeNPori'hov�R t��C feP(au 3.PROJECT LOCATION: 6-ree^t?vv —, I o.,M of feu 4n0►Q `J V h�lC Municipality County 4.PRECISE LOCATION�: Street An CAddddess and Road Intersections, Prominent landmarks etc -or provide mao / etrf e ery o/t, NY 5.IS PROPOSED ACTION: ❑ New FlExpansion fail Modification/alteration S.DESCRIBE PROJECT BRIEFLY: Rd�fJ�,lc� 'Ylf-2 c! P1(?�!`` S7Rtf5 To YJe�AC,� a\NQ ��Ue,�IN� Ct(7 GxGS . .TNS�c (� I Iva,,-,i (�jlltn�ss 1ce (�1act �dAras �rGP) �rn �-*� �� b� lkheoo�, f T�e exts+rrvg s+cuc-`4ure-`- (0+(Vr ++ &,V +Ae �,Uiss) dad Ipte�J (.,Leashed awa,� bn 4rrrlcumt San/d_.� T AMOUNT OF LAND AFFECTED: Initially acres UltImately - acres 8.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ZiYes ❑ NO s no,describe briefly: I 9.WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) ®Residential n industrial ❑Commemial ❑Agrlculhxe ❑Parr/Forest/open Space Omer (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, Stateor Local) ®YesF-1No If yes, list agency name and permit / approval I '. 11.DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Yes IZTINo If yes, fist agency name and pemdt / approval: 12. ASA R SULT OF PROPOSED ACTION WILL EXISTING PERMIT APPROVAL REQUIRE MODIFICATION? III ❑Yes No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name Date: I ' Signature If the action is a Costal Area,and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART 11- IMPACT ASSESSMENT o 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 EAF. ❑Yes ONO B. WIU.ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative may be superseded by another involved agency. n1yor a No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,illegible) C1. Existing air quafily,surtace or groundwater quality or quantity,noise levels,existing traffic pattern,slid waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly: C2. Aesthek agricuaural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly: C3. Vegetation or fauna,fish,shellfishor wildlife species,significant habitats,w threatened or endangered species?Explain briefly: C4. A cornnwNty'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: --------------- 05. Growth,Subsequent development,or retaled activities likely to be induced by the proposed action?Explain briefly: C6. Long term,short term,cumulative,or other effects not identified in Cl-057 Explainbriefly. C7. Other impacts pricludingthan as in use of either uanht artD. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A ENVIRONMENTAL ARES A CEA 7 If es,explain briefly. CRITICAL Yes Q No E IS THERE,OR IS THERE LIKELY TO 8 CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If Iain: Yes Q No PART Ili-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: For each adverseeffedidentitiedabove,determinewhetherkIssubstantial,large,importantorothervileasigniticanL Each effect shoWd be assessed in connection wdh its(a)setting(Le.urban or ruraq;(b)probability of oopnring;(c)duration;(7.)ineverst ift(e) gaographlo scope-,and(q magNtude. ff necessary,add attachments or reference supporting materials. Ensure that elgllanations contain. suRdefrtdefad to stow that ati relevant adverse irfpects have been Identified and adequately addressed. If question d of part ti was checked M thedelenai Sidon afsyphMcanc0e mustevaluats the potential inpadofthe proposedaction on nheetMmtsnental�ofthe CEA Chedktifls bort Nyou have Identled one ornfore Potentiaflytarge orsigrsfician adverse EAF andfor prepare a posNwe declaration. irtpadswMdhlflAYoaw.Than Proceed diacflyto the Check Offs bar HYOU have determined,based on the information and analysis above and arty slyfpadirg documedagon,that the proposed a WILL NOT result M any significant adverse environmental impacts AND provide, ori attachments as necessary.the reasons supporting thi determination. Board of Trustees © 5— ZD 3 Name of Lead Agency / •I Dale J a M �S r-' K)A7 ii, President O Print or Type Name of Responslbie Officer In Lead Agency Tifle of Responsible Officer +tLO w Sig lure or Responsible Officer in Leed'Agency - Slgnalureof Prepare,(If drffarenI from responsible officer) FEB 1 3 2013 D PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS 305150 own Board of Trusten Name: Address: L tNalq VYlatte�N' 3aS9- (3av1,Y Crree.v�m�, NY 11�1'i�{ (53 (6 tq)i (also ze-+,}-a 30(,ry Le.Ncasle.r bC,-*y kofPs,C1 31lds) "�hamas e)rad4rd 11 Su m.h, E St , Easlcl,esler NY 10-709 e v�� �jetz�os („y �tvsawi Iq�e . Sec, C1i {UY IIS`19 �eaiv �ockcl- �e'rzoi VV ( S3 6 33) w;1Gan. W . ueimcr-t Sr 3-7S-0 A-, Sheat V- I cSrPe,v�ar� , N�� IgYy C�kzr6e4l, wetmrmP STATE OF NEW'YORK COUNTY OF SUFFOLK To.rnes A- QdkAS residing at 4 WrIyiS`kW 6Dyrl iTUN N S crticA I N Y 11-141, being duly sworn, deposes and says that on the 13. day of Pr6tv6,e 20 i 3 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at (tlelvi I le ,NY (Qtk) that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. _ Sworn to before me this Day of �,r.(�,.�.�wr.�_ , 20 /3 ARLEEN KOSTER Nohry Public-State of New York Notary Public puS�i1K un c92 Comnupbn Ekpires �� ,NOT 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. • ��� R ���,�y w. c�au5 OWNER(S) OF RECORD: To rebuild and/or replace the existing storm damaged fixed pier and to extend it from 22' to 40' to move the SUBJECT O F PUBLIC HEARING: docks deeper water; add four new 1 pilings set apart from thee floating docks (two on each side of the floating docks); a 3'x20' seasonal ramp; and two 6'x20' seasonal floating docks; rebuild and/or replace the existing storm damaged stairs to beach, and stairs from top of bulkhead to fixed pier and related pilings; and to repair the existing 100' ± long storm damaged bulkhead by replacing the top cap- boards and approximately 15' of a 4x4 transverse beam on the bulkhead where the fixed pier was ripped off in the storm. TIME & DATE OF PUBLIC HEARING: s lWedne-,06y, Fehru-ey Ao, -vtoII3 - onorokbevs& 6.00PIn If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection rior to the day of the hearing during normal business 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 ofNew York �kvv�2 S h� CU SIS ,BFJNGDULY SWORN' J?EPOSES AND AFFRUKS THAT Hl3ES M IS THE APPLICANT-FOR THE ABOVE I)ESCRmm..P> (S).At4D TTIr4'I'ALL STAIZMENTS.CONTAINEDH6R8IN ARE TRUE TOMY-MBEST'OF HISNEk KK6WL-J WW AND gELMF,AND THAT ALL WORK. wa,L-BB DONE-IN THE MANNER_SBT FORTH IK THIS APPLI CATION AND AS MAY.' BE APPROVED'BY THE SOUTH=TOWNBOARD OF TRUSTEES, THE-APPLICANT A(R�ES TO HOJ D THE TOWN OF SOUTHOLD AMID THE TOWN TRUSTEES HAgbu ESS`AM Eggs.FROM,ANY AND!ALLDAMAGES AND.CLAIINS ARISING. . :. rUMEKOR BY V11U '©F$AID.PIWAT{3),.IF.GRANTED. IN COMPLETING'THIS APPLICATION,I H9REBY'AUTHORIZE THl TKUST,6ES,THBIR AGWT(S)OR REPRBSENTATIIVE$(S),TO.:ENTkLONMMYPROPERTY lbINSPEC THE 'PR'$MISES IN"CONIUNC'1TON WFTH PXMW OF THIS APPLICATION. Signature SWORN TO BEFORE 1vJE THIS � DAYOF �6r_✓T Q-13 11m 1BM{ in of - /YC1i� i APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of g uthold's Code of Ethics 9mbibits conflicts of interest on the earl of town oficros and amoloven The monose of this form is to provide information which can glen the town of wssibie conflicts of interest and allow it to take whatever action is I' necessary to avoid same. 1 Ili YOURNAME: G�Z)WS> _1Awle , �. AArb( (Last name,first name,gtiddle 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"official map Planning i' Other (if"Other,name the activity.) I i 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 interesr 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 X Ifyou answered"YES",complete the balance of this form and date and sign where indicated. I. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the appiicant(agent/mpresenmtive)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): I' A)the owner of greater than 5%of the sham of the corporate stock of the appiicont (when the applicant is a corporation): _B)the legal or beneficial owner of any interest in a mmn•corporate entity(when the applicant is not a otrrporation),' - _C)an officer.director,partner,or employee of the applicant,or _D)the actual applicant. DESCRIPTION OF RELATIONSHIP - i i. I. i Submitted th' of Nv 20411-3 Signature 4 C � , Print Name Twvvies A. GtauS Form TS 1 I ° Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION, s.GT.N.R THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A IOOO S,3 (� � STORM•WATE GRADING D EANDEROSIO CO ROS PLAN Z11050- ATIrIKU BY A DMIGH PROFEMVNAL IN T EsnAfte OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM At / WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? ' (include Total Area of all Parcels located within !' 1 Will this Project Retain N Storm-Water Run-OR Construction)Scope of Work for Proposed Consction) I L Y 6 l S-F Generated by a Two(27 Inch Rainfall on Site? ❑ (SX./A ) (This item will include all net-0it created by site It. What Is the Total Area Land Clearing mesclearing andconstructionconsction activities as well as all construction activity?ancilr Ground Disturbance for the proposed Q Site Improvements and the permanent creation of omm (s.F.masa) impervious surfaces.) PROVIDE BRIEF PROJECT DESCRIPTION tty Addamw F 2 Does the Site Plan and/or Survey Show N Proposed — ❑ 'e""NiOi°) Drainage Structures Indicating Size 8 Location?This yy II ``'�'' hem shall Include all Proposed Grade Changes and 2 :b V I\Q amot. (aft �A(k 'e y s-f 14` (,QQ t,"sy Slopes Controlling Surface Water Flow. 1� 3 Docs the Site Ran anti/or Survey describe the erosion ❑ (A�,� d D)Hf `-�c�rf c(t p i�—) -\V b Pp and sediment cmthoi practices that will be used t0 control site erosion and storm water discharges. This cNot Vi\1(V3S 6WQ Ai) item item must be maintained througlwut the Entre - �n rY dHl OJ)O,�f 5 A� C' f Construction Period. --T-C D Q f � h 4 Will this Project Require any Land Filling,Grading or b U LC�,.VIQd f 1 FQ✓Vl Excavation where there is a change to the Natural E]Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? 5 WIII this Application Require Land Disturbfng Activifias F-1r i Encompassing an Area in Excess of Five Thousand y - odd -YM1 Vr - f If{�1�_ (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 jurisdiction GerwrY PPP DEC SWReauirenwds: Or within One Hundred(100')feet of a Weiland or Submission or a SWPPP is required for at Construction activiess kwdvbv aW Beach7 disturbances of one(1)w mon acres; k4WIng disturbances of less am one acre useWill there be She preparation at Br(sd Grade are Pen Of a larger common Plan that will ualmately disturb one or mss acres of land; which Exceed Fifteen(15)feet of Vertical Rise Slopes Including constriction activities kWOI*9 sal dtsaxaances of leu than one(1)acre where One Hundred a X the DEC hes Cefennrad that a SPDES perms Is required far storm Water dladwrgea. (100')of Horizontal Distance? (SWPPPL Shall mem the Minimum Requirements of as SpDEB General permit $ Will Driveways,Parking Areas or other Impervious for Sbrm Wisp Discharges from Cenahuetfon Wavily.Penni No.GP-0.10.0a1.) 8 Surfaces be Sloped to Direct SPorm-Water Run-Off 1.The SWPPP shell be prepared Odor m the sWm'aal of the Not.The Not shall be into and/or In the direction of a Town ht-of submittedbtheDeparbnentpnortothe cencertanlorcaamrdbnadWity. rill w_y? 2.The SWPPP stall desoibe the erosim and aedkrwe coned practices and wnene 9 Will this Project Require the Placement of Material, "aqui adv Pastconcrvcaen storm wisp investment track"it*Will be used andbr Removal of Vegetation and/or the Construction of any y constructed b repxa as pollutants In storm water dac argils and to sauure Item 1NithN the Town RI Mof- y a ✓\ Compliance with aro firms and wndlbna of this pens.In addition,the SWPPP shall 9 Wa Or Road Shoulder Iderellypoteaam aataces or Palutlon which may Sasonably be expecled b affect the Area?PN.IYn ma xor teerdrnw uwrralbn.rww.mayAnerw.h query ofstsrm vnbrdbdagu. NOTE: it Any Answer,to Ouusona One 3.AN asosah Nine 1.Answered S, aha Check Mark jl SVYPPPs NN require the a quantrltcbn Storm pndice In•Boa and da,mcebkrdlmm eM aanubarae is Wtisraarr 4000 S.F.a 1 Acre hs ens, 1 comDarare anal be prepared by a quested Msrotl P(Of ubnat Licensed in Now Yak A Swa'Wms.Gradin&binkryp A rraebn Camol Plan$8 RegWred by Ow T~of that Is knowledgeable in aro pdndpin and raackas of Skim Wmp MwagemmnL Southold and Nam be Sebmetsd for Review Prior b taeuwes,atAny&stip Pemdt (NOTE AOwdk Naw(�)andr Arwkwbrewh ggmmhaapJnp bre CWAOfsWAppkatcn) STATE OF NEW 17tat NEWYORI COUNTYOF.....00- ....... Q l.. ............... ..................SS being duly swum,deposes and sit (wise dkaadaafrgdii�oort)' ys that he/she is the applicant for Peratit, And that hetshe is rhe ............. IVQf—' •••........................••.((�iiiiei,CmeeCoi,Agent Cnp«eie Gillian,Maj ................ 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 pe ed in the manner set forth in the application filed herewith. Swoon to before in s; �taL ...................y...-........ .._...d y Notary Public: ........Nptary,Public - State of Ne YOF ...vim ,` NIS•IITCUS25B442. ....... ....:............... .. . ......................................... nt (synah.a dAte FORM - 06/10I My Commission Expires 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) 1 If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail. listine both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. E C E I V E A copy of the LWRP is available in the following places: onl D the Town o ou o website(southoldtown.northfork.net), the Board of Trustees , th@�_(annirlg ZO, I local libraries and the Town Clerk's office. d N 4 B. DESCRIPTION OF SITE AND PROPOSED ACTION outhold Town SCTM# O. 300 - eboo _ OIf(d00 PROJECT NAME Q h6xJ`f CQ9L� [fotuc¢ww.v� The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees i 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.&grant,loan,subsidy) f (c) Permit,approval,license,certification: ® k Nature and extent of action: n ( A 0(,Id �3��AV s I,UPst`pd 6061.1 p.j 14(fkcG,w-( S61 !/xe,, l 0 Location of action: 3 W. 16 a I Share PO-41 NY I I I "i`I Site acreage: I LA sq, ( , 33 411 re' Present land use: Re s tat r� Present zoning classification: 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: : aV" s etd"d (UarN!!l W (UuS (b) Mailing address: L4117 t}6 (c) Telephone number: Area Code(fin) (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes IN No❑ If yes,which state or federal agency? (- C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. i 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 i E]Yes E] No 21 Not Applicable i i i Attach additional sheets if necessary i 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 i ❑ Yes No Not Applicable i Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No © Not Applicable Attach additional sheets if necessary i NATURAL COAST POLICIES 3 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 [�*o ® Not Applicable i 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 I I 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. ❑ ❑ i II Yes No Not Applicable • Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No® Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public j resources of the Town of Southold. See LWRP Section III-Policies; Pages 38 through 46 for evaluation criteria. nn © Yed[] No❑ Not Applicable �pla���rs ex�sfiN 5-1� �s 0 t E'acGr SI(.(� 0� �, xed o e� w t( cwr� ..vvf +n allntw F, I �_ bead acurs -t-n -F-h o iP uya 1�c,iy a dll any �f�t �n.,o rl, Attach additional sheets if necessary it 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. ❑ Yes ❑ NoFWR 21 Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No® Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria ❑ Yes ❑ No® Not Applicable i i' I 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 j I i PREPARED BY J 6,W4S (�. �- 00,S TITLE tt I'i)� ' �� '� DATE 1 2 7 Z James A.and Nancy W.Clous 4 Woodstone Court Huntington Station,NY 11746 516 380 4808(cell) 631549 5716(home) January 4,2013 Board of Town Trustees Town Hall Annex 54375 Main Road Southold,NY 11971-0959 Dear Town Trustees, Attached please find our application for a permit to reconstruct our dock at our home at 3805 Bay Shore Road in Greenport. The original structure was washed away in Hurricane Sandy. The attached plans are to reconstruct the docks as they originally were built,with two changes. The first change was to extend the fixed pier from 22'to 40'to move the floating docks into deeper water. The second was to add four pilings set apart from the floating docks so that our boat can be tied up and held off the dock. Attached please find the following: (1) Board of Trustees Application (2) Applicant/Agent Representative Transactional Disclosure Form (3) LWRP Consistency Assessment Form (4) Description of the plan to rebuild the dock (5) Top view of plans for the new dock (6) Elevation view of the plans for the new dock (7) Pictures of the original docks before and after Hurricane Sandy (8) Schematic of original dock(top view and elevation view) (9) Copy of survey dated May 2,2002(original purchase date of the house) I am applying for the DEC permit at the same time and will provide copies of that when approved. Please let me know if there is anything else you need to process this application. You can reach me on my cell phone at 516 380 4808. Sincerely, James A.Clous (2) Plan B — alternative plan with single floating dock with reduced overall length t sdr c v y - - � � I IVA 1 . -- - , {--rl II _ - I ISI I- Luv ; I t - Ir I + LI - I i I - _ , I _! Gated / I�-- i � T I � � ; _� • � � � _ - • _ _ � 1 � i I I I • - , 111 I � II i 11I _ I z t fb FI o u khp X40T 3� : - _ - - - - - r-- T I IW I I I I ; I _ I --7- i---- --- - -- I . —� --- --.. T r. L SURVEY OF LOT 68 4 bq N REVISED MAP OF PEGONIG BAY ESTATES FILED JULY 30, 1928 FILE No. 658 SITUATE: ARSHAMOMAQUE W E TOWN: SOUTHOLD �1.r SUFFOLK COUNTY, NY S SURVEYED 04-30-02 SUFFOLK COUNTY TAX ` 1000-53-6-18 o , CERTrnqW TO., rg JAMES A.CLAUS o � � � a NANCY W.CLAUS �Z v CHICAGO TME INSURANC 3 CObIPANY v HSBC MORTGAGE CORPORATION(USA) o o �Z o 17 i Q PA 19 _ 10 ✓ Gj,�O�'� 9 o - /° 1 Bard� u _ S r yTOLK NOTES: �° ys • MONUMENT FOUND 4 � 5uP� AREA = 14,551 5F OR 0.33 ACRES JOHN C. EHLERS LAND SURVEYOR 6RAPHIG SCALE 1"= 20' 6 EAST MAIN STREET N.Y.S. LIC.NO. 50202 RIVERHEAD,N.Y. 11901 369-8288 Fax 364-8287 REF.-\\Hp server\d\PROS\02-156.pro 1