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TR-8114
gUFFO(,~ James F. King, President ~ C ~4 OG Town Hall, 53095 Main Rd. Bob Ghosio; Jc, Vice-President j" ~ P.O: Box L 179- . Dave Bergen ~ ~ Southold, IdY 1197! John Bredemeyer 'ay ~ Telephone (63l) 765-1892 Michael J. Domino ~O Ot' 1 ~ Fax (63I) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PR10R TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR APRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1 st day of construction / %i constructed Project complete, compliance inspection - - BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT N0.8114 DATE: MARCH 20, 2013 ISSUED TO: GARY GUJA PROPERTY ADDRESS: 372 NORTH DRIVE. MATTITUCK SCTM# 106-6-29 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 March 20, 2013, and in consideration of application fee in the sum of $250.00 paid by Garv Guja and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct and install new private pleasure boat dock as follows: all lumber to be untreated materials-tropical greenheart; 4'x12' on-ramp to a 4'x44' catwalk a minimum 4' above grade of wetlands (ramped) to 3'x15' float ramp to a 6'x20' float with two (2) 8" secure piles; with the condition the stray float is to be removed; and as depicted on the site plan prepared by Philip R. Anderson, last dated August 14, 2008, and stamped approved on March 20, 2013. IN WITNESS WHEREOF, [he 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. m ~ ~ ti~ ~ ~ • TERMS AND CONDITIONS The Permittee Garv Guja residine at 372 North Drive, Mattituck, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. James F. King, President ~DF St]~ry Town Hall Annex Bob Ghosio, Jr., Vice-President ~0~ O/_ 54375 Main Road P.O. Box 1179 Dave Bergen .IL ~ Southold, New York 11971-0959 John Bredemeyer H ~ Michael J. Domino ~ • ~O Telephone (631) 765-1592 O~y~ourm,~ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 20, 2013 Mr. Gary Guja 372 North Drive Mattituck, NY 11952 RE: GARY GUJA 372 NORTH DRIVE, MATTITUCK SCTM# 106-6-29 Dear Mr. Guja: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, March 20, 2013 regarding the above matter: WHEREAS, GARY GUJA 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 February 27, 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 be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on March 20, 2013 and again on July 17, 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, z • • WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of GARY GUJA to construct and install new private pleasure boat dock as follows: all lumber to be untreated materials-tropical greenheart; 4'x12' on-ramp to a 4'x44' catwalk a minimum 4' above grade of wetlands (ramped) to 3'x15' float ramp to a 6'x20' float with two (2) 8" secure piles; with the condition the stray float is to be removed; and as depicted on the site plan prepared by Philip R. Anderson, last dated August 14, 2008, and stamped approved on March 20, 2013. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $0.00 Ve truly yours, o~ James F. King President, Board of Trustees JFK/amn ~ ggFFO(~-c lames f. King, President P.O. Box 1179 Boh Ghosio. .Ir., Vice-Presldcnt ~~Z ~ Southold, NY 11971 Dave Bergen °m ~ Telephone (631 765-1892 John Rredemcycr ~ M Pax (631) 76~-6641 Michael J. Domino 'Z'~ y~o~~ aor Southold Town Board of Trustees Field InspectionlWork Session Report Date/Time: ~7 zei-~ 1~4 Amend Resolution dated June 19, 2013 to read as follows: RESOLVED, that the Southold Town Board of Trustees APPROVES the application of GARY GUJA to construct and install new private pleasure boat dock as follows: all lumber to be untreated materials-tropical greenheart; 4'x12' on-ramp to a 4'x44' catwalk a minimum 4' above grade of wetlands (ramped) to 3'x15' float ramp to a 6'x20' float with two (2) 8" secure piles. Located: 372 North Drive, Mattituck. SCTM# 106-6-29 Type of area to be impacted: ?/~~'P• G~e'.e' F,~ -Saltwater Wetland -Freshwater Wetland -Sound -Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: _Chapt.275 Chapt. 111 -other Type of Application: Wetland -Coastal Erosion -Amendment _Administrative_Emergency -Pre-Submission Violation Info needed: Modifications: J ESC~Erp ri a r o hj gT c H O rz i ~ti.~ [ p62"~, i ? Conditions: Present Were: King _B. Ghosio D. Bergen, J. Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: ~o~gpFFD(,~co ti ~ Peter Young, Chairman ~ -J~ Town Hall, 53095 Main Rd. Lauren Standish, Secretary ~ r; P.O. box 1179 Southold, NY 11971 '~4y~1 # ~~0~' Telephone (63 p 765-1 s9z Fax (631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., March 13, 2013 the following recommendation was made: Moved by Doug Hardy, seconded by Jack McGreevy, it was RESOLVED to SUPPORT the Wetland Permit application of GARY GUJA to construct a docking facility consisting of a 4'X 16' ramp to 4'X 58' catwalk, a min. of 4' above grade, a 3'X 15' ramp to a 6'X 20' floating dock with three (3) secure pilings and one 10" tie-off pile. Total overall length will be approx. 96 If. Located: 372 North Dr., Mattituck. SCTM#106-6-29 Inspected by: Jack McGreevy, Derek Bossen Vote of Council: Ayes: All Motion Carried ~fLS J ll ~1A i' 2013 ~r i Board of 1'rustces ~ i =.~_y ~'~'OSUf FQ(~,, James F. King, President pV C~~_ P-O- Boz 1179 Bob Ghosio, Jr.. Vice-P~esidem Z "a Southold, NY 11971 Dzvc Bergen ~ o ~ ~ l~eiephone (631 765-1892 John Bredemeyer ,~i. T ~ Fax (631) 765-6641 Michael J. Dominn tl ~ ~ ~,~~io! # ~ao?~ Southold Town Board of Trustees Field Inspection/VVorksession Report Date/Time: 3 /3 / 3 9 % G ~ GARY GUJA requests a Wetland Permit to construct and install new private pleasure boat dock as follows: all lumber to be untreated materials-tropical greenheart; 4'x16' on-ramp to a 4'x58' catwalk a minimum 4' above grade of wetlands (ramped) to 3'x15' float ramp to a 6'x20' float with thee (3) secure piles plus one additional 10" round tie-off pile; total overall length approximately 96 linear feet. Located: 372 North Drive, Mattituck. SCTM# 106-6-29 TySaltwateaWeUand pacte Freshwater Wetland -Sound -Bay ~ ~n ~ /C Distance of proposed work to edge of wetland Part,of Town Code proposed work falls under: ~hapt.275 _Chapt. 111 -other Type of Application: W nd -Coastal Erosion -Amendment _Administrative_Emergency -Pre-Submission Violation Info needed: /!fir?IVUSL~ ~9j9(7!l-oyP: ~ f70C1G a0~8 Modifications: Conditions: Present Were: J. King Ghosio ~D. Bergen, ~J. Bredemeyer 'Michael Domino D. Dzenkowski other Form filled out in the field by ~ , ~ Mailed/Faxed to: Date: i ~ ta~ ~F('~fp) r ih, ~ j+ i 4' + the u~r ~f ~ ~ ~ s ~ ~ ~ ! ! r~a,~ i41'f i'.r r 1 yy /3Y 4, ~ ~ 1ly~f, ~ +r . ~ }'F. ~r ail a~ ' ~ tki ` y ~ - ~ ' 1 y f' 9p _ S -c"~,` I°°JJVV ~.~tS ~ ~ ~'b.Q` a ~x ~ 4~ ~l"~ ~~ti~.1 fl _ y, ~y{ y 1 1 ~ ~~f~~ ~ ^®^R~ uJ1 sue- Y vF ~ ~ ~e~ i ~ ~ + ~ , ~ ~ _ °r ~ , f?"ff I lt. ~ ~ + .r t ~ • +qFP V ~ / i _ . \,l,' ~:~',~1`I yid r ~,t T ~ . r ' ~v - ..,r ~ ~ ..c _ k, i ~ . { ~ r 'i. x ~"ic t rA . , 4~y i , ~ . _ _ ~ ` ..41irn... ~ c. i~ ~ ~ ~ ~ lal ~ li L ~I i %C~~oa Sp u~m 8 wT i ~kx v~' e s umm ? II ~ ~ S lug ~s.,~'"Q a m.~ ~ ~ a n r ~ ~x'~i zx ~I © ~ a6 _ I ,j xwn ~ ,~@, A, _ y~ . I ' ~ _ ~ . O ~ ' s o r }y 3 ~y /e~ ,g m.~m,~vT L ~J f_ xrr,.nsoui,vu~ I 1 ~ , ~..a - - 4. v C a , ~ n Wn s r~ a ~ ? i. ~ ~ ~ 3~ ~ n..' x ~ _ _ s a, s ~ sT I x+ra I ~ . ° ~J~_ `urn a3n -"r; e % . _ - x P ~ ~ .f au - r~ fix "n~ m~t ~ / aw 2~ d JMn ~j ~ ~ "~d / ~Ess w. nx r e'rr'-"` 2- qua l'\\~' n. ~ ` ID \ a y -0 p 1 g~L'° ~ k.. ~,n 5 w ii - ~ml ~ COUNT'OF SUFFOLK © s wimom c.o. _O_ -_v._ Real Przparty TV Semen A9e^p _ _ _ m~.m ~ 1 a • OFFICE IACATION: ~~Of SOplyo MAILING ADDRESS: Town Hall Annex .`0 lp P.O. Box 1179 54375 State Route 25 # # Southold, NY 11971 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 ~ Q Telephone: 631 765-1935 ~ Fax: 631765-3136 ~~'`OOUNi'I,~c~ LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Jim King, President D Town of Southold Board of Trustees MAA 2 0 2013 From: Mark Terry, Principal Planner uthoid own LWRP Coordinator Date: March 18, 2013 Re: Proposed Wetland Permit for GARY GUJA SCTM#1000-106-6-29 GARY GUJA requests a Wetland Permit to construct and install new private pleasure boat dock as follows: all lumber to be untreated materials-tropical greenheart; 4'x16' on-ramp to a 4'x58' catwalk a minimum 4' above grade of wetlands (ramped) to 3'x15' float ramp to a 6'x20' float with thee (3) secure piles plus one additional 10" round tie-off pile; total overall length approximately 96 linear feet. Located: 372 North Drive, Mattituck. SCTM# 106-6-29 A Wetlands Permit (6947) was issued for a similar action in 2008. The LWRP Coastal Consistency recommendation at the time was to find the action CONSISTENT. The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney James F. King, President • a0F SO(/j~, ~ Hall Annex 54375 Main Road Bob Ghosio, Jr., Vice-President ti Og,gg~,, p.0. Box 1179 Dave Bergen ~ `iP Southold, New York 11971-0959 John Bredemeyer G Q ~ p Telephone (631) 765-1592 Michael J. Domino O ~ Fax (631) 765-6641 ~y00UMV,~~ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only ~oastal Erosion Permit Application Wetland Permit Application Administrative Permit _AmendmenUTransf r/Ext nsion jYeceived Application: Z~ ~3 -Completed Application 3 D ~ ~ l~ ~ V ~ D -Incomplete ~ D SEQRA Classification: Type IType nunlistea F E B 2 1 2013 ~oordination:(date sent) ~WRP Consistency Asses nt Form C~1C Referral Sent---~I outholdTown ate of Inspection: 13 -Receipt of CAC Report: -Lead Agency Determination: ~e~hnical Review: ? Public Hearing Hel l Resolution: Name ofApplicant F1R~/ C7"U~H Mailing Address 3 7 JUor 1 h 9 c eve M (}l~`OT~ck N~ 1 14 5~ 63? aq8-3a~7 Phone Number:( )eet~ ~516~ 35~-~a51 Suffolk County Tax Map Number: 10y0~0_- 5Gc"~~ lOb BLDG 6 ZOT aq Property Location: ~ rJ _~A t, ~ y'~ ~C \V ~ M~~\ ~ U G~ 1-oT Grofllln on Mr~~TIT~cK C.re.eK RCG~ c1r~Ue_ ~~,~,c 'Tl 9rt~~ nniv,c, MO(`~.. - (provide LILCO Pole distance to cross streets, and location) AGENT: (If applicable) Address: Phone: c.~ `~~3 3(~ Board:Trustees Application GENER4L DATA Land Area (in square feet): ~ G~ _~gJ FT = ~ ~ ~ g `[,(Ze.,S Area Zoning: '("N.~S 1 ~ 2 ?i T~Q . L Previous use ofproperty: SAI'Y~ P - /nq Gt r~-r /~GftC~en t«'¢'L Intended use of property: S qw, e S'//xa L~ FF}m ~ LU r CJ~ ~e~I7`/ ~-L uJ / ~OOGK Covenants and Restrictions on property? Yes No If "Yes", please provide a copy. 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 No If "Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as detennined by the Building Dept.? Yes No Does the structure (s) on property have a valid Certificate of Occupancy? G eS No Prior permits/approvals for site improvements: Agency ,,~Dat~e ~ DSO u 1 j r` v S ? ~c ~ 1C LPL 0 d~ Per~tT 6qy 7 ~ ~ No prior permits/approvals for site improvements. Has any pennit/approval ever been revoked or suspended by a governmental agency? ?C No Yes If yes, provide explanation: Project Description (use attachmerits if necessary): C onSTwCT -t SnST~ ~L ~ w ~ r-' v n~ ~pteys'o.e bo.~rT QoGk~ ~S FoLLowS~ (HNC Lur.ber unTr~Y'l2~ ~nATcr~~s-TroPic~}L G n~ie T T a 7"0 58 CRtwh6~N-c/oaK~m~nin'+u. yFT i},bovE; ?'H~~ vP w.etLandS (t`nn,ped -ro 3 FT Y l5 ~ FyoFrTy,pn~l -1-b -b-~~.g_ ~~L_QAT-~J~ S c.u ~ e ~o~ S Laws owe gclo~~7'~o n /D~~ rovne~ Tie-o FF piltr F3S~ Sown on Survey r-~ho~~oLAns' ATI ~cti e i o T.a C o ve r~ C e ~!'/'ra x. `I6 G ~n c a r' ~ ~-T Board of Trustees Application • WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: f ~~1 R-~1'C __~_E}sil.~LP ~c)4`f" d~oG,~' i viG Area of wetlands on lot:~~~squaze feet Percent coverage of lot: a. 99 Closest distance between neazest existing structure and upland edge of wetlands: 9 feet Closest distance between nearest proposed structure and upland edge of wetlands: ~ feet Does the project involve excavation or filling? _~c_ rlo 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: 'T"0 rGmaw~ AS i s ~x~ST~hS Manner in which material will be removed or deposited: uIA N~ r-,~~ ara ro ~Y~n~a-r,o;.... Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such pro osed operations (use attachments if appr riate): ~ ~ ~ ~ ~ wc.-t'La b l~sTs9LG~9tioK clocK P ("~inimRl, ~I31~rb~neG -ro e Y w 1t~+ W RTer --t•'~'"~ - ~veT 4~4~5 c[ ~57'ur bnnr~ wrLL reco uer re~e-Tare ~gTurs}LL.~ ,n a Sr,alG LJ.~,~~nT 0~ rime. Oo~K b~~n~ ~n~n. of yGr r~~ovc weT L.4ndS q /~A~. w~(.~- T~r2 noT reSu~T i., eFi~e.7,S on i,dcT LAn~ ~ro~~ ne~rnctJ- SuriL~~l.y' • sn2a SEAR PROJECT ID NUMBER APPENDIX C • STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 -PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 2. PROJECT NAME 1. APPLICANT/SPONSOR GUJA'S DOCK Gary Guja 3.PROJE T LOCATION: ~72 North Drive county SUFFOLK Municipal4dttltUCk, NY 4. PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc -or provide mao Fla NlothnortheoffaNorthcDrivefonlMattituckf CreekhLo anon Mapk 5. IS PR09~~q~$I~N X~p Pa si~i ~Idb~oa~T? Ira ~o$wln 6. DESCRIBE PROJECT BRIEFLY: LOX. Construct & Install catwalk, dock, ramp and float app 96 linear feet total length-including 6 ft x 20 float. catwalk and dock ramped minimum 4 ft above grade of wetlands. alt lumber untreated tropical greenheart-6" round piling supports-except 1 -10" tie-off pile. 7. AMOUNT OF LAND AFF CTED: Ultimately ~,~J.J ~Cr s Initialty ~ 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? 7C®Yes ? No If no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) nOther (describe) residential ~ Industrial ~ Commercial ?Agriculture nn Park / Forest I Open Space L~ Waterfron residential on MattT~uck Creek and upl d lots on bluff. 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) ~ s ?NO If yes, list agency name and permit /approval: NYS Dept Of State COdstal QLXIa_ NYS Dept of Env. Conservation, 11. DOES A C -0~ THE ACTION H E A C RRENTLY VA D PERMIT OR APPROVAL? ?Yes ~iNo .If yes, list agency name antl permit I approval: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT / APPROVAL REQUIRE MODIFICATION? es o I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY Date:WLEDGE Applicant I SpGARYa GUJA Signature If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment Appendix C State Envi ental Quality Review SHORT ENVIRON~TAL ASSESSMENT F~ll For UNLISTED ACTIONS Only PART 1-PROJECT INFORMATION o be com leted b A Zli RaEC ~NAM~t S. ansor 1. APPLICANTISPONSOR Gary Guja's Dock Mr. Gary Guja 3. PROJECT LOCATION: Town of Southold Suffolk Municipagly 372 North Drive, Mattituck County 4. PRECISE LOCATION (Street address and roadintersecbons, prrxnmeM landmadcs, etc., or prorrida map) Flag Lot North off North_DRive-address # in Southold,DNeweYork. 372 North Drive, Mattituck. Suffolk County, SCTM # 1000-106-2-29 5. PROPOSED ACTION IS~ Neyy Expansion ~ Modfiotionlaflera8on Construct & Install catwalk/dock with 6 ft x 20 ft float. Catwalk D ck 8. DESCRIBE PROJECT BRIEFLY: late length ramped 9 ft above grade of wetlands-total structure comp ort piles, not to exceed 96 linear feet icalhgreenheart16~nroundosuppreline. All lumber NON-treated, trop . 7. AMOUNT OF LAND AFFECTED: P us One Inidaly 1 / 4 acres UlOmatey 1 / 4 aces 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? X~ Yes ~ No ff No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY O(F''PRCO«.InEmCeTr?u n ~ P n r ~Residen8al ~.Industrlal deve'2'LSPed waterf'rbn~orct9-~'w~°~~~~p~JIIG docks Descnbe: Pre-existing ermitted docks in general area of Mattituck Cr k. and other existing P 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? ~Y~ ~ No Ii Yes, flat agency(s) name and permiUapPrmra~: U.S. Army Corps of Engineers Southold Town Trustees Weta~edCoastaltResources 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL4 Yes ~ No H Yes, flat ageney(s) name and pennWapprovals: 12. AS A RESULT OF PRO~SED ACTION WILL E%ISTWGPERMIT/APPROVAL REQUIRE MODIFICATION? Yos 1 CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY DIWOVVLEDGE ApplicaM/sponsornam~: Signature: If the C~stal$Assessment FonTl~tiefore proceeding ~Itll iseassr~sment~ ~e OVER 1 • PART 11- IMPACT ASSESSMENT o be com feted b Lead A enc A DOES AC710N EXCEED ANY TYPE t THRESHOLD IN 6 NYCRR, PART 617.47 If yes, cooMinale the review process arW use the FULL FAF- Yes Q No B. VNLL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negatlve dedarelion may be superseded by another involved agency- Yes © No C. CbULO ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, d legible) C1. Fxistlng ak quafdy, surface or groundwater quality or quantity, noise levels, existing traffic padem, slid waste production ar disposal, pMendal for erosion, dralrlage or flooding problems? Explain briefly: C2. Aestlletlo, agriculluml, ardleedogical, NstodG or otlter natural or cultural resources; a cemmunfiy or neighbodroed eharadeR Explain bdefly: C3. Vegetatlon or fauna, fish, sheflfis 'or wfldlife-spedes, significent habitats, or threatener) or endangered spedes7 Explain bdefly: C4- A eommun(ty's existing plans ar goals as o(fidaay atlopletl. or a-change in use or intensity of use or land a other natural resouroesT Fxplaln bdefly: CS- Growth, subsequent development, or related activities likely to be induced 6y the proposed action? Explain briefly: _ C6. Long term, shon term, cumulative, or other effects not identifietl in C7-CS? Explain briefly: C7.~ Other impacts indudin than es in use of either uantit or t e of ener ? E lain brieg : - - ~ - D. WILL THE PROJECT HAVE AN IMPACT pN THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL I ENVIRONMENTAL ARFA CFA 7 If es, ex lain briefl ? Yes a No E IS THERE, OR IS THERE LIKELY TQ 8 CONTRO SY RELATFA TO POTENTIAL SE ENVIRONMENTAL IMPACTS? If s trr: ? Yes aNo PART 111- DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: Foreachadverseeffedidentifiedabore.detrerminewhegleritissubstaofial.large,imporfatdorothelwiaesignifa;ant Eech efled should be assessed in connection with its (a) setfing (.e. urban w mreq; (b) probability of occurring; (c) duratbn; (d) &ravarsdfddy: (e) geographic scope: std (t) magnitude. If necessary, add attachments or referenda supporting materials. Entwre that axptanaliotts coatain - suffidem dated to show that ad relavent adverse impacts have been identified and adequately tddrasaed. tlquesHal d of part d was dlECked yes. tlledetermirtadon ~eignificande mustevaluatefhe potential knpactof the proposed adbn ontheemArdnmentalaharactedsdcs oftbeCEA (xreGrdfla box Hyou hags idetltlfled oneamore potentladylarge orsignifa~M.adverselmpacts wttlcttMAYoaur. Then ptoceeddherfllyto lheF FAF atdyor prepare a positive dedamfiorl. Cftectc dds box ifyou~have delennined, based on the Mfortnation aM analysis above and any supporting dtxxxlterltatbn, tile) the proposed a WILL NOT result in arty significant adverse emdronmental impacts AND provide, onatlachments as necessary, the reasons supprtlng tlt detenninadon- Board of Trustees C ~ g Name of Lead/Agency ~ q / Date J?1 Ff l N Ls' President ~ Pnnt or Type Name of Respons~ibleyOffi ~nency Tifle of Responsible Officer C~ ?~v rx Signet a of Responsible Officer in sad Ag cy Signature of Preparer (If different from responsible officer) PROOF OF MAILING OF NOTICE D uu - ATTACH CERTIFIED MAIL RECEIPTS .MAR 2 ~ 2013 soul old town Name: Address: fir NAney Oee,gn rrrgnclS Oee9pq $00 Ifvf•\1. OP\o0 500 North. U~ Mar"Tf truck N Y 11452-~ _<FrHnJTS Oee9A~ Alar-fh OrtuO (,H n 16L flee8pn SOD MIaTr'tT~c.Ic N y 1145 " M er,gla0e- a4e~tr~nC~rur - - Mt~GIC~.- MeT 4`Q~ 580 MAIn STree-1' apT /6ta. 9 ork N -~~anclrt.~.-- Men~l..4e• - NG`a ~ IOOt}`~ Maj o~\e t- (ZtchAra`,S PO C3ox ~5a - A~ucbo~ueAly t1g31- STATE OF NEW YORK ~ Q 5 D COUNTY OF SUFFOLK CsARV GJTA ,residing at 3'7 a- /\?or~~. ~rtv ~ ,being duly sworn, deposes and says that on the day of P'tA rC 1r. , 20 t~, 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 Mn1L.Tudc ,that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. 0 i Sworn t4 before me this ~ ALBENA MITOVA Day of µ{,i,/C 20 NOTARY PUBLIC-STATE OF NEW YORK No. Ol Mt6249841 Guallfled In Suffolk County MY Commloion iKOln~ oofoGar t t, 2015 ~ v ~A Notary Public • hy``pS~F~~M Q • CD ~ r GZ Ininc, E hint. Pmidcnl ~ 4 ~ 11~~~n Ilan. S109i ?lain Rd. 13nh Gho.iu_ Ir. _ A'is-Prcadau ~ ~ ~ ~ I'_O. nut 1179 D;n<Rcr_cn µ d ~ v Southold. V1' I1971 lobo nrcdcinc~cr ~ Oti` 1 elephune f6311 76d-1892 h-I ichacl L Uumino ~~f # ~ Paz 16i1176i-6641 ~c~-~~~ 60ARD OF TOWN TKUSTEES TOWN OF SOUTHOLD D ~C~IV~ BOARD OF TRUSTFGS: TOWN OF SOUTHOLD In the Matter of the Application of MAR 2 ~ 2013 GARY GUJA old own COUNTY OP SUFFOLK) S'I~A~CE OF N6W YORK) AFFIDAVIT OF POSTING TO RF//C0.41/'LFTED -1 FTFR VOSTI NG RE;1/. I /:\'.5' P[.~I('F FOR F lG// D.a KS 1. l?'G1Y`V l3^JSQ~ .residingat/dba~'j~._JVor~l~. 1~Y'1y~__-- M aTt' ,T~ c, k N y i ~ a~ a~ being duly sworn, depose and say: That on the ~ ~ day of 1''»'n-~ , 201 . ] }Zersonally posted the property known as 37a- Nur?L bv',~~ ?.'Ia~711`~crc ~/YI%~f~ by placing the Board of Trustees official poster where it can easily he seen, and that 1 have checked to he sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thcreou to be held Wednesday. March 20, 2013. Dated: ~l~ ~3 (signature) LBENA MITOVA Sworn to befo'~je me this NOTARY PUBLIC-STATE OF NEW YORK day of` ~~201 ~ No. Ol M16249841 Guallfled in Suffolk County y \ ~ My Comml~doe it<Plro~ osraeer 1 t, tot s Notary Public 11 ,~~,`A~- ~ 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:~~ Gu ~a y ~ To construct and instaEn~TvateOpleasure bU B LlCllows aEIARI N nG ted materials-tropical greenheart 4'x16' on-r 4'x58' catwalk a minimum 4' above grade of wetlands (ramped) to 3'x15' float ramp to a 6'x20' float with thee (8) secure piles plus one additional 10" round tie-off pile; total overall length approximately 96 linear feet. TIME & DATE OF PUBLIC HEARING: If you have an interest in this protect, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 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 BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signatu of Prop ty Owner SWORN TO BEFORE ME THIS ~ ,ZS DAY OF -e6rua~ ,20 /3 CHRISTINE L. LE SUEUR - Notary Public. State of New York No. 01LE9280661 r-_-~~ / Qual'fied in Nassau County ~,~f ,,v f~„~ ~ ~ Commission F~cpires April 30, 2016 ~c Notary Public ~ ! APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE NORM I of n w' o d' i i c i o int ibl i of ' wit - w a er i o e to vid info - at wh'c ~ to av- o-id same. Gary Guja, Mrs. Guja YOUR NAME: fiddle initial, unless you are applying in the name of (Last name, first ttame,+p an If so, indicate the.other someone else or other entity, such as a come Y~ person's or company's name.) NAME OF APPLICATION: (Check ell that apply) - Building Tax grievance Trustee YY`lY Variance Coastal Erosion Change of Zone y---- Mooring - Approval of plat Planning Exemption from plat or official map Other Wetlands Permit (lf"OtheP', name the activity.) w,i~ any officer or employee use, sibling, parent, or child) have a relationship Do you personally (or through your company, spo or business interest. "Business nteresf means a bus~tion of the Town of Southold? "Relationship" includes by blood, marriage, including a partrrership, in which the town officer or employee has even a partial ownecshrp of (or employment by) a corpo in which the town officer or employee owns more than 5% of the shares. NO XXX_ X YES If you answered "YES", complete the balance of this form and date and sign whore indicated. Name of person employed by the Town of Southold Title or position of [ha[ person - Desttibe the relationship between Yourself (the applicantlagentlrepresentatrve) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the span proJided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): A) the owner of greater than 5% of the shares of the corporate stock of the applican? (when the applicant is a corporation); when the - __B) the legal or beneficial owner of any interest m anon-corporate entity - applicant is not a corpomtio or em to ee of the applicant; or C) an officer, director, partner, P Y -D) the actual applicant. DESCRlPT10N OF RELATIONSHIP da of_- 200 _ Submitted this Y Signature- PrintName . FotmTSl Mr, ~ Mrs. Gary Guja ~b~~~k own of Southo Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM LL D PROPERTY ~ocATION: s.c.T.M. p: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A -yG! )I~ Y~~ STORM-WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN is-6-inei lion err Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM # /WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? 1 Will Nis Project Retain All Storm-Water Run-Off (InGUde Total Area of all Parcels braced within ~ Generated by a Two (2') Inch Rainfall on Site? the Scope of Work for Proposed Construction) (This item will include all runoff created by site ~ ? ((((=.F.l Ames) b. What is the Total Area of Land Cleadng cleadng and/or consWction activities as well as all and/or Ground Disturbance for the proposed Site Improvements and the permanent creation of constluctbn activity? impervious surfaces.) I$.F. l Acres) PROVIDE BRIEF PROJECT' DFSC&P710N (Pm+ide oeamnal Paaaa» Naea.e) 2 Dces the Site Plan and/or Survey Show All Proposed ? Drainage SWctures Indicating Size 8 Ldcation? This ~L Item shall include all Proposed Grade Changes and 1` ClbmSl roGl TZNit dLL /JEW Io rtJtcs't~ Slopes Controlling Surface Water Flow. 3 Does the Site Plan and/or Survey describe the erosion ? O oy{~ ' 4 FT x yy k eaTw la-Lk To and sediment control practices That will be used to control site erosion and storm water discharges. This 3 FT x { S FT FLOAT !'flMQ t0 6 Fr item must be maintained throughout the Entire Construction Period. IB v a.0 r T ~ LopTt r'w OOG(C 4 Will this Project Require any land Filling, Grading or ? Excavation where there is a change to the Natural 1/ Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? rj Will this Application Require Land Disturbing Activities ? Encompassing an Area in Excess of Five Thousand (5,000 S.F.) Square Feet of Ground Surface? s Is there a Natural Water Course Running through the ? Site? Is this Project within the Trustees jurisdiction General DEC SWPPP Requirements: or within One Hundred (100') feet o(a Wetland or Submission of a SWPPP is required for all Construction activities involving sail Beach? disturbances d one (t) or more a«es; indudirg disturbances of less Nen one acre that ~ Will there be Site preparatlon on Existing Grade Slopes ? - are part of a laryer common plan that will ultimately disturb one or more acres or land; which Exceed Fifteen (15) feet of Vertical Rise [o x including Construction adivites involving soil disturbances of less than one (t) acre where One Hundred (100') of Horizontal Distance? the DEC has determined the/ a SPDES permit a required for storm water disdmrges. (SWPPP's Shall meet the Minimum Requirements or the SPDES General Permit $ Will Driveways, Parking Areas Or other Impervious ? roc Storm Water Discharges ham Construction activiy - Pemnit No. GP-0-70-0Ot.) Surfaces be Sloped t0 DlreCt StOnrl-Water Run-Off t. "the SWPPP shah be prepared prior to the submittal of the NOT. The NOI shall be into and/or in the direction of a Town right-of-way? - submilted to the Deparhnenl poor to Ne mmmencemenl o/ cOnsWctbn activity. 2. The SWPPP shaX descdba the erasion and sediment control practices and where 9 Will this Project Require the Placement of Material, ? required, poslconsWdion storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any constructed to reduce the poAUtants in storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder .L compliance with the bons and CgodidOna or this pennil. n addition, the SWPPP shall Area? IThb Idm wla NOT InduM tM IMpllatlon al Driveway Apram.) identify potential sources of polutmn which may reasonabty be expected to affect the qualiy of storm wafer tlischarges- NOTE: If Any Answer to Guestlgro One Nrough Nina b Answered with a Check Mark 3. AA SWPPPS that require the postroonstmction storm water management practice in a Boz and the conawetlon alb dlaturbanca is between 5,000 B.F. 81 Acre in area, component shall be prepared by a qualified Design Professional Licensed in New York aStorm-Water, Grading, Drainage a Erosion Control Plan b Required by the Town or that is knoMedgeable in Iha principles and practices of Storm Water Management Southold and Must be Submitlad for Review Prior to Issuance of Any Building Permit (NOTE: A Check Mark (J) anNar Answer far each Ouesuon is Required for a Complete Appkcatlon) S1'A7'E OF NEW YORK, V ~f17~. k C (O~~UNTQY OF/..~....~L.T SS That I, ._..........17~Q.~. LT...Lf~,1.L.! being duly swum, deposes and says that he/she is the applicant for Pemtit, (Name of i ividual signirg Document) p And that he/she is the ................................_0.~.]. ~.~1.. (Owner, Contractor, Aged, Corporeb Orfiar, etc) 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 appliation aze true to the best of his knowledge and belief; and that the work will be performed in the manner se[ forth in the application fded herewith. Swom to before me this; ~o day of ....~.~G.~........... , 20./..3 Notary Public: G~ .f~'~!.:,f,4.w..'.... ~^}~i".:.. ~f r J'. Gc¢~.*.~t..(...._.._....... C{-?RI$TINE L. LE (sgnawre qr prpant) FORM - 06/10 NO~ryNo,01LE8260681 Commission +ExPi?es ~ 30, X16 'Town of Southold LWRP C•SISTENCY ASSESSMENT FORM A. INS'T'RUCTIONS 1, All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that aze subject to the Town of Southold Waterfront Consistency Review Law. Tkus 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 ~lic4eseand explanations of each poky contained the Town of Southold Local minor action list, po P Waterfront Revitalization Program. A ro osed action will be evaluated as to its si ~ cant beneficial and adverse effects u on the coastal area which includes all of Southold Town . es or no ,then the proposed action will 3. If any question in Section C on this form is answered y affect the achievement of the LWRP policy standards and conditions contained in the consistency su eortin factsusIf anaction camiot b b ertifie aced in ate~w~ the LWRP policyy standazds and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold' s the Planning Department, all website (southoldtown.northfork.net), the Board of Trustees OfficeD e ~ ~ I " local libraries and the Town Clerk's office. G 11 STTE AND PROPOSED ACTION B. DESCRIPTION OF FEg 2 12013 i SCTM# ~9QQ_ - t ~ Fa-- 6 2 9 i Gary Guja's Dock - PROJECT NAME The Application has been submitted to (check appropriate response): Town Board ? Planning Board ? Building Dept. ? Board of Trustees l , Category of Town of Southold agency action (check appropriate response}: ? (a) Action undertaken duectly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) ? (b) Financial assistance (e.g. grant, loan, subsidy) X~X x (c) Permit, approval, license, certification: Nature and extent of action: Construct and install small pleasurecraft catwalk an oc o a approx. in ee 1nA11 lumber materials float (horizontal to shoreline). catwalk ~ dock min. 9 ft above grade of wetlands (ramped) Location of action: 372 N~h Drive (Flag `lot) on Ma=tuck Creek 31.984 sq ft =.0.73 acres Site acreage: Presentlanduse: single famil residential residential 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: Gu ' a' s Dock (b) Mailing address: , (c) Telephone number: Area Code ( - ~ e . ~ . _ , (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? ~ New York State=Dep't Env. Cor ,,~70 No ? If yes, which state or federal agency• ew York State Dep' t of State- Coastal Resources U S . rm ~ufrtlier~upport or C. Evaluate the project to the following policies by analyzing how {~e ~}olec 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. ~x Cyes ~ No ? Not Applicable Project is within~~community development standards in minimizing eng o ca wE13k an ock and alleviating using un rea e Attach addirional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III -Policies Pages 3 through 6 for evaluation criteria ® yes ? No ? Not Applicable i,; nr.nric res es There are no known arcl~oiogica~ ~ e site z a uia at this site or within proximity _ o erwise posse Y Attach ad o s eets i n cessary 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 sheen 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 ~X yes ~ No ~ Not Applicable erosion or floodin should occurrotoseds dock-NONElnooflooding construction and placemeTto ecttdoes not create any increase in or erosion will resermea a sur aces an i nonpervious or nonp Attach additional sheen if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III -~Po~licies Pages 16 through 21 for evaluation criteria ~Fx3 yes ? No ~ Not Applicable - e TURAL WOOD-tro ical reenheart- no toxic dischar es and no permanent changes in sedimentation float for docking being in min. ed will occur-also by in a may ept at ow wa er any p op re g g Attach ad ~ ' 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. L^~X Yes No Not Applicable • • the - = e e will be NO si nificant chan es ns of wildlife disc disaturbances as a resuectof The fiushnoftMattituck Cree wi n the completed dock proj not be affecte y is oc ins a a ion-except= Attach additi na s eels i necessary Policy 7. Protect and improve au• quality in the Town of Southold. See LWRP Section III -Policies Pages 32 through 34 for evaluation criteria. yes ? N~Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and w~~as~~tes. See LWRP Section III -Policies; Pages 34 through 38 for evaluation criteria. des ? No'~`~x1Vot Applicable to drift. 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. x~ Ye~ No ? Not Applicable _ Public Access to shoreline will remain unaffecteeasily an one desirin osedadockhstructurehcreeknaccess will also walk around prop ac u w1 remain una ec e o pu Attach additional sheets if necessary WORHING COAST POLICIES • Policy 10. Protect Southold's water-dependPolic esg Pages 47 through 56 for ev~ation crite ran suitable locations. See LWRP Section III , .x C?x I~€s ? No ? Not Applicable os sui a e lboation to allow eas wi o and is in accor other prrei?xexistin docks ad' Attachadditi ~s~3ets'~~~ss3t~' Mattituck Creek in general. Dock is sited so as not to interfere with other adjacent dock locations an use marine resources in Long Island Sound, the Peconic Policy 11. ~romotse ~~C~i$~18 use of living Estuary and Town waters. See LWRP Section III -Policies; Pages 57 through 62 for evaluation criteria. XX7~X~] Yes ? No ? Not Applicable um er an y using enerated at of the lbcal Creek waters o It is NOT expected that there is an NON associa a rom this project as planned and ro osed. Attach additional sheen 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`1=~~iot Applicable e ei er direct or in - Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policie~s;-Pages 65 through 68 for evaluation criteria. ? yes ? No ~}lVot Applicable NOT an .energy related Project-N/A TTTLE 1 DATE PREPARED BIB D ~~~IV~ FE D B 2)201 GARY GUJA PROPOSED DOCK 372 North Drive Mattituc PLANVIEW (Suffolk C `nty) SCTM #100 -106-6 29 L BOARD OF TRUSTEES HW as Surveyed extreme low water. TOWN OF SOUTHOLD y ? 3 ~ Z_D (3 Ave Low water G 52.186 ~ uJ 43.336 ~ Tidal Wetland Line ~ flagged by P.Anderson on Nov. 21, 2007 4 ft x 12 ft onramp ft 44 ft catwalk/do - 5 ft at Lw 3ft at ALW ped Oft above grade we ds) -4 ft at ALW area barren of TW ve etation x stk w/blue ribbon 3 x 15 ft float ramp 2-8" floatpiles Drawings & Plans by: seaway e ~e of wetlandegetation 6 x 20 ft float Philip R. Anderson 66. 5 Project ManagerlConsultant rev. 8/14/08 25 Oldfield Road-Conscience point 7827 Southampton, NY 11968 rev: 8/26P08 Phone/FAX: 6311259-2263 additional field measurements 8/14108 rev April 22,'08:DEC revs. Email: PRA123~Optonline.net Field Inspe tion wi surements & depth soundings on Nov. 21, 2007 at 1~PiM to 2hPm-Low thide 1 of 3 rev Feb 11,'oa ~t ste1pln°c~t~'1~ Feet P Dec. 23, 2007 exist. groin DRW:GUJA1A3 GARY GUJA Proposed dock 372 North Drive Mattituck, New York Construction Cross-Section SCTM # 1000-106-6-29 decking of "TREX", untreated lumber or other nontreated inert materials 6" round piles 8 ft O/C (NP) min lengths 20 ft All lumber Untreated Materials 3 988 use tropical greenheart all connections thrubolted N uses th tic decking 2" thick handscrewed including stringers to piles + a" x s" side stringers with hotdipped galvanized hardware alternative const. materials are: " x s" center stringer ~ vinyl,plastic and/or fiberglass 3"' ~ 3" x 8" crossbrace (all bents) 3. ' gh water V Drawings & Plans by: a of Wetlands Philip R. Anderson Project ManagerlConsultant Phone/Fax: 631/259-2263 rev: April 22, 2008: materials Email: PRA123@optonline.net scALE Is:1/2 inch per foot p~ 3 of Dec. 23, 2007 DRW:GUJA1C GARY GUJA 372 North Drive Mattituck, NY 11952 (Suffolk County) SCTM # 1000-106-6-29 pile sizes: 6" round piles seaward of tidal wetland veg. 4" square suppports landward of wetland vegetation aft x 15 ft floatramp 2-8' round floatpiles Oft x 44ft catwalk/dock (min Oft above grade of wetland veg. UPLAND Oft x 12 ram (max. 26" above aver high water) Eft x 20 ft float p 76.381 pile & pp rts 2-8" oatpiles this area barren of vegetatio Locati ne Stk w/blue ribb 8/ 4/08 s awa ed a of W v g. -3.0 ft water ~ reme ow wa er - .5 ft r to ater L -4 0 ft Aver low water M HW as surveyed Wetland boundary limit Aver. Low wa er E reme low water (by field insp. on nov. 21, 2007-1 PM ow tide) Plans & Drawings By: additional site inspection measurements on Aug. 14, 2008 at 4 pm low tide rev: siz7ro8 Philip R. Anderson P. 2 4 Phone/Fax: 631 /259-2263 rev. 8/14!08 rev Feb 11, '08 Email: PRA123@Optonline.net p. 2 of 3 Dec. 23, 200 SCale IS: 1 inch to20 feet DRW:GUJA1B2 S.C.T.M. NO. DISTRICT: 1000 SECTION: 106 BLOCK: 6 LOT(S): 29 n p X41 h I ~~'i FE8 2 1 ?~13 sol:~.h-,a T~~,~ o3m r 1/~s~~s ,E>~ p~ J NA(H i X H I I 0 W 3JN3i 30VM~015 ,9 S 89'48'00" E 38(.21 W d ~ 30X3! DVM]JL5 ~ • ~ ~ 3 141.6' - vi m ~ C Stl3RNLL !'LL r- - yy ~ i _ ~ ~ .s'DE c i a~ 'I Y m ~ y, o < ~ z W hi L Vn V ^°'g ~ 2 xl (y T L' Y ~ o .e~ac „ Nys$ u- 3: 9 ~ ~1~ it I; R~ cai F-- a ~ 6NICK Y'A N n nb n ~ - Ir $ _ I j 6'QD' As IuccEO e+ ~ g I ° / ~ ' r ~ ~ ~ l~t RRW µ0~ER5EN RW1 N / H) - O ° O ® r 0.I~9 Na..-~t. zom ~ _ ~ s ~ I d ~ 3 ,Y //y9 m ~ I'+1 \ \ R ,9'91 ~ 4 0 0 o U ~ Q 4 L ~'.IT o 35. I I I of ,D~sh ~ I d d o Z ~y,E,o _ g 66.0' < ?~~~1y1, 1a' R.O.W. r~ S~'"'o~ ~ rn i I PPRDPOSED r' ~ t0' PRE zf l/0 3]X33 13JUW ,t APP0.0%. 4L~ il5 PEN Q; zaa.oo' ~e~ o zss r .zo,tif.e¢ N Rqp° PNRIP ANDERSEN 7 ;Q Equ"„_ NW. 71. S(ID) ^ ~ ~I I _"'CAD 9GwM° EDGE OF ~ nD~E +Eruxo .ccEUnox. ~ ni .,wwFED os/+a/DB ws vfv v. ~NxRSDx REVISE CATWALK & DOCK 08-17-08 STAKE PROPOSED DOCK 07-11-OS ADD PROPOSED DOCK 02-25-08 LOCATE FLAGGING 01-25-OS AREA: 31,984 SQ.FT. OR 0.73 ACRES ELEVA DON DATUM: UNAUTHORIZED AL IERA BON OR ADOIRON TO TH/5 SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STA lE EDUCA LION LAW. COP/ES OF lH/5 SURVEY MM NOT BEARING THE LAND SURVFYOR$ EMBOSSED SFAL SHALL NOT BE CONSIDERED TO BE A VAL/D TRUE COPY. GUARANTEES lNO/GATED HERFON SHALL RUN ONLY TO 1HE PERSON FOR M7fOM THE SURVEY IS PREPARED ANO ON MIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING /NSTITU AON LISTED HEREON, ANO 70 THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOi 1RANSFERABLE. THE OFFSETS OR DIMENSIONS SH08N HEREON FROM THE PROPERTY LINES 70 THE STRUCNRES AR£ FOR A $PEGF/C PURPOSE AND USE THEREFORE /HEY ARE NOT INTENDED TO MONUMENT THE PROPERTY L/Nf5 OR TO GUIDE THE ERfC1iON OF FENCES, ADDITIONAL STRUC]!/RES OR AND 07HER IMPROVEMENTS EASEMENTS AND/OR SUBSURFACE STRUCTURES RECO.QOED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY ENDENT ON 7NE PRfM/SES AT THE TIME OF SURVEY - suRVEr oF: P/0 LOT K CERTIFIED T0: GARY GUJA; MAP oF: SHORE ACRES TILED: JANUARY 3, 1914 No.41 slTUAreo AT: MATTITUCK TowN oF: SOUTHOLD KENNETH M. 110YCHUK L.S. SUFFOLK COUNTY, NEW YORK Land Surveying and Desisn lrJ~""i"I /~i ~ P.O. BOX 3 MATTITUCK, N.Y. 11952 FILE PHONE (0.91) 8D8-1688 P1Y (0.91) YYB-1688 N 25-D3 SCALE: 1 "=4O DATE: MARCH 16, 2D0 N, y, 5. LC n0. 5036) meinWnln~ N< re<orde of Rob<rt 1. Hrnmny