Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
TR-8203
John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee # 1150C BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1692 Fax (631) 765-6641 Date: August 10, 2015 THIS CERTIFIES that the construction of a 47LF x 4ft wide faxed wood pile and timber pier including 4 tie off piles,• an associated 3.5' x 24' hinged ramp' a 8'xI6'float; and restraint ilings all waterward of the apparent high water line and utilities and kayak racks on the 4'x47' fixed pier; the 8'xl6'float includes a kayak boarding�step' construction of two (2 sets of 4' wide timber stairs with a 4'x6.5' landing at the top and a 4'x4' middle landing landward of the qpparent high water line At 4997 Equestrian Avenue, Fishers Island Suffolk County Tax Map #9-9-3.1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated May 1, 2013 pursuant to which Trustees Wetland Permit #8203 Dated June 19, 2013 and Coastal Erosion Permit #8203C Dated June 19,2013 , were issued, and amended on July 17, 2013 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 construction of a 47LF x 4ft wide fixed wood pile and timber pier including 4 tie -off piles,• an associated 3.5' x 24' hinged ramp; a 8'xI6'float• and restraint pilings, all waterward of the apparent high water line and -utilities and kayak racks on the 4'x47' fixedpier; the 8'x16'float includes a kayak boarding step; construction of two (2) sets of 4' wide timber stairs with a 4'x6.5' landing at the top and a 4'x4' middle landing landward of the apparent high water line The certificate is issued to HAROLD WILMERDING & ALEX WILMERDING owners of the aforesaid property. s Authorize ignatur John M_ Bredemeyer III, President Michael J. Domino, Vice -President James F. King Dave Bergen Charles J. Sanders BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Ar DATE OF INSPECTION: Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre -construction, silt fence 1St day of construction % constructed )�_ Project complete, compliance inspection. INSPECTED BY COMMENTS CERTIFICATE OF COMPLIANCE. Town Hall, 53095 Main Rd. P.O_ Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 James F. King, President Bob Ghosio, Jr., Vice -President Dave Bergen John Bredemeyer Michael J. Domino July 17, 2013 Mr. Keith B. Neilson, P.E. Docko, Inc. PO Box 421 Mystic, CT 06355 Of SOCP Ujyo� T 00UNT'1,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD RE: HAROLD WILMERDING & ALEX WILMERDING 4997 EQUESTRIAN AVENUE, FISHERS ISLAND SCTM# 9-9-3.1 Dear Mr. Neilson: 0 Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, July 17, 2013: RESOLVED, that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit #8203 and Coastal Erosion Permit #8203C to include utilities and kayak racks on the proposed 4'x47' fixed pier; the proposed 8'x16' float to include a kayak boarding step; construct two (2) sets of 4' wide timber stairs with a 4'x6.5' landing at the top and a 4'x4' middle landing landward of the apparent high water line; and as depicted on the revised site plan prepared by Docko, Inc., last dated April 18, 2013 and stamped approved on July 17, 2013. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. James F. King President, Board of Trustees JFK:amn \���� DEED LINE �F` AI'NIZQVED BY N V, 60ARD(OF TRUSTEES TOWN IPUTHOIp LIMIT oFROCK SHORE, BOTTOM Of " \, ` � VEGETATED BANK (TYP) 7/7 I3 ����`,, Al. LIMff of ROCKY 5H0 101l RBOR \1� ALWL0.0 v A SPAznNAALTERNIrZORA� CAVAV �\\VA A NEW TIE -OFF PILE V�������\ V A V �v �MAXIMUM BINCIA (7YP) MHW 2.76 � vg NEW8-FT X 10 -FT FLOAT' BENCHMARK TOPMON EW3 V2-FTX?A FT RAMP --\ NEW KAYAK EL =2124 NEW KAYAK RACKS wt I I \ BOARDING STEP 4 r`1111I 111,1111 zY0 ROCK NEW RESTRAJN7 PILE NEW 4-F7 � 1���111����` 1 MAXIMUM 10 -IN DIA (7YP) WIDE 57AR.S a 'oP EW SUPPORTLE - MAXIMUM 8 -IN DLA aYP) NEW 4 -FT WIDE PIER with RAILS 50 ROCK BELOW PIER 1 NEW STAIR 1 l LANDINGS I , �%� I �Q U ) 4:0 ROCK F1 (I 24' NIAPIJ: AHWL 3.3'x 1 1 6'fd ROCK NOTES: ELEVATIONS ARE BASED UM �5 OF ROCKY SHNKI ON APPARENT LOW WATER KWL) TOPNoF BANK YSDEG o d I '17 I I �� AiBOTTOMIOF BA JURISDIGnONAI. N 30 ROGK SPAnNAALTERf(IFLDRA� \ \ MOORNG d� LIMIT of ROCKY SHORE PLAN �I ENS 30 TWN MAPI E' I I II� fII ROCKY SHORE i GRAPHIC SCALE I'=30 30 20 ,O o 30 SURVEY by GME ENGINEERING, LAND SURVEYING PROJECT NEW STAIRS, PIER and FLOAT $ ARGHTECTURE, PLLC REVISED 3-20-13 DEC LOG 6 CONRGURATION REVISED 4-18-13 T.O.S. JUN 282013 LOCATION: RSHERS ISLAND -TOWN oF50UTHOLD SUFFOLK COUNTY, NEW YORK WATERWAY: HAY HARBOR DATE: OCTOBER 15, 2012 r`PPIJCANT ALEX WILMERDING JT SHEET 3 OF 4 DGIGG, ING. B. Neilson, PE GT 06355 572 8939 FAX 860 572 7569 L pert ftgdocko.c Kelifi 3. Neilson, Z) ck Inc. _ &/76/20131146 AM I WllmerdingjEd� DWG 12-09-2440 APPROXIMATE AT TOP UN NEW 4 -FT WIDEE-e- 5TAR5 with RAILS NEW 4 -FT WIDE PIER END DECK EL 5-V4:F F - NEW SPJT CLAMP ander GROSS BRACE (TYP). — APFROAMATE GRADE AT END OF PER APPROXIMATE GRADET AT CENTER OF FLOATS NEW 4 -FT WIDE.I 5TAIRS with RAILS NEW KAYAK RAC X AFT LANDING EL 22tF7 EW 4-F7 X 4 -FT LANDING EL 75rFT NEW 64N DIA TIE -OFF PILE l TOP EL T7sFT (TYP) -JEW 10 -IN DIA SUPPORT PR E M -P) 11 NEW IC—FTX 70 -FT FLOAT -with CONTINUOUS FLOA'rAnON — __a I:I•�JI/7:'IJII�-7 NOTE FLOAT RESTRANT PILES, RAMP and CENTER ME -OFF PILE NOT SHOWN IN T115 VIEW FOR GI-ARITY OF PIER COMPONENTS. EIVD �/I�W GRAPHIC SCALE 1'.10' 0 5 o 10 NOTE DECKING - NOT GGA TREATED, HARDWOODS MUST BE GERMED BY FOREST STEWARDSHIP COUNCIL 4 -Fr WIDE X O5 -r -T LANDING EL 22tFT NEW 8-FrX 16 -FT RAAT with CLEAR NEW 4 -FTX 4 -FT /LANDING EL 1=xFr NEW CONTINUOUS FLOATATTON- NEW 10 -IN DIA FLOAT RESTRAINT PILE TOP EL 17iFT (TYP) DECK EL BsFT NEW 4 -Fr WIDE PIER p END DECK EL II NEW 8 -IN DIA PER SUPPORT PfU TOP EL 4-FrABOVE DECK (rYP) PROF=ILS GRAPHIC SCALP 1'=20' 20 10 O 20 ELEVAT10N5 ARE BASED ON APPARENT LOW WATER I PROJECT: REVISED 3-20-13 DEC STAIR CLEARANCE REVISED 4-18-13 T.O.S. JUN 2 8 2013 LOCATION: WATERWAY: DATE NEW KAYAK DARDING STEP J—PH�M_33't —MHN 26 NEW STAIRS, PER and FLOAT FISHERS ISLAND - TOWN of SOUTHOLD SUFFOLK COUNTY, NEW YORK HAY HARBOR OCTOBER 15, 2012 ALEX WILMERDING JT: SHEET 4 OF 4 �GKO, ING. B. Neilson, PE c, CT 06355 572 8939 FAX 860 572 7569 L pe ftgdocko.c K it B. Nellwn, D.ck Ina 4/2 �. Wll,erding_4G.dwg DWG 12-09-2440 6 a ,lames F. King. President ,G�p�� CpG� P.O. Box 1179 Bob Shosio. Jr., Vice -President . � y� Southold. NY 11971 Dave Bergen - Telephone (631 765-1892 John Bredemeyer Fax (631) 765-6641 Michael .1. Domino 'F yyof # �aor Southold Town Board of Trustees Field InspectionMork Session Report Date/Time: J t-/ P Za 17 100, 6,0 l Docko, Inc. on behalf of HAROLD WILMERDING & ALEX WILMERDING requests an Administrative Amendment to Wetland Permit #8203 and Coastal Erosion Permit #8203C to include utilities and kayak racks to the proposed 4'x47' fixed pier; the proposed 8'x16' float to include a kayak boarding step; construct two (2) sets of 4' wide timber stairs with a 4'x6.5' landing at the top and a 4'x4' middle landing landward of the apparent high water line. Located: 4997 Equestrian Avenue, Fishers Island. SCTM# 9-9-3.1 Type of area to be impacted: /�'Wy _Saltwater Wetland _Freshwater Wetland _Sound _Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: _Chapt.275 Chapt. 111 _other Type of Application:_ Wetland _Coastal Erosion _Amendment _Administrative_Emergency Pre -Submission Violation Info needed: Modifications: Conditions: l00VZ Gltl3F Present Were:� King B. Ghosio �. Bergen, J. Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field by J. k!iAj G Mailed/Faxed to: Date: FISHERS ISLAND SOUND It dU/ ' 17 ' ` �y kY SITE e a ,✓� M AY - 1 2013 a.l REVISED 416-13 T.O.S. LOCATION: FISHERS ISLAND - TOWN of SOUTHOLD PROJECT DESCRIPTION SUFFOLK COUNTY, NEW YORK WATERWAY: HAY HARBOR DATE OCTOBER 15, 2012 1 APPLICANT: ALEX WILMERDING * cc AGENT: SHEET 1 OF 4 1�OGK0. I NG. ` Kehh B. Nelism, PE Mystic, CT 06355 860 572 8939 FAX 860 572 7569 DWC7 12-09-2440 EMAIL pem its®docka.com KeiM 8. Nclson. Dacko Ir. 6/36/]01311:69 PM �Imerding 1D dwg ri4 O 1 � \ A sPAR11NAAL7ERNl \ EEDLINE s, LIMIT of ROCK K SHORE, BOTTOM of TOP oF&"��������\� and NY5DE 7NAL UN TATED BANK an�K-T MQn TION - �r J \ I / TOP of BANK and NY(SDE JURISDICTIO�AL Ur 1 #Q TWIN I\.� AL EROSION \ \\\\\\\ Az4rzD LINE 1111 \JA \ \ and TIDAL. WETLANDS OMIT % IT of ROCKY SHORE i ARfiNAA TERNIF \ �tv FOOTPRINT of PROPOSED DOCK MHW 276 MK HAY HARBOR 0 ROCK BELOW PIER GOIV�ITIOIV� 7 ROCK ` 1 \ CRAPHIG SGoLE V c 50' AHWL 33': \ 0 ROCK ' l l 50 O 50 DSI ORE C� 3'0 ROCK` / KYR PARTINA ALTERNIFLORA \ MIT of ROCKY SHORE NO7E5: ELEVATIONS ARE BASED \ 40 ROCK) ON APPARENT LOW WATER (ALWQ 56 ROCK �\ 4:0 ROCK - SURVEY by GME ENGINEERING, LAND SURVEYING I PROJECT: NEW STAIRS, PIER and FLOAT I AROHTECRJRE. PLIC 00 • In -•-• • •• LOCATION: FI5HERS ISLAND -TOWN of SOUTHOLD SUFFOLK COUNTY, NEW YORK WATERWAY: HAY HARBOR DATE OCTOBER 15, 2012 APPLICANT ALEX WILMERDING AGENT SHEET 2 OF 4 DOGKO, ING. Keith B. Neilson, PE Mystic, CT 06355 860 572 8939 FAX 860 572 756.9 EMAIL permits0docko.com K,IM B. Neilson, Dock Inc. 4 /26/20131148 AM Wll,ding_'2B.dwg DWG 12-09-2440 BENGHMARK \ Al TOP MON EL = 2A.2A NEW KA `S ` VEGETATED BANK MM TOWNS LIMIT oFROG IKY SHORE tI n HA \\ SPEN; ALTERNIR.ORA MHW 2.76' \ 3NE" 111 _ \\ 11 1 NE l / RACKS NI3 1- T X 2 P \ \� 1 11111 1 i j DIA (IYP) 8 -FTX 10 -FT FLOAT NEW KAYAK 30ARDINO STEP ROCK NEW RESTRAINT PIL.E NE\W \\ S� 1A1�111�111 I 1 l ' MAX MUM 10.1N DIA (M�) ' NUPPORT PILE - MAXIMUM 6 -IN DIA (IYP) \ I I I I NEW 4 -Fr WIDE ER with RfVL5 60 ROCK BELOW PIER L ANDING5 BVI `� � 1) 4:0 ROCK I l 1 r�� l 'MAPLE AHWL 33, 1 1 / II II II ` II I I i I I II I I I 1 6'0 ROCK ) / ( 1I N07F5. ELEVA MONS ARE BASED / UM 5 OF ROdKY SHO I ON APPARENT LOW WATER KWL) TO of BANG and I $11I I AI I I III I I I I I BOTTOMIOF BAN � JURISDI EONAL 11' I i l I I I I IIIIII I I 1 4 30 ROCK I I�� IIID I 1 SPAT nNAALTEvRIyIFLORAv v MOORING C 1f'1} _Iq' VIII III I \ \ LIMIT OFROGK\YSHORE UI1—\A/ 30 TWIN MAP F' I I f IIIIII ROCKY SHORE DwuH c scams t = 30 x v 1 30 20 10 0 30 SURVEY by GME ENGINEERING, LAND SURVEYING g ARGHTEGTURE. PILG PROJECT: NEW ST.41R5, PIER and FLOAT WIDE NEW - DEWED UNE VV A \ `� \ \`,� �\ A�PROVED BY uMrr � ROCK sE , BOTTOM� BA\NK and AL wP�IPF TRUSeTEEE REVISED 3-20-13 DEC STAIR LOG ff GONRGURATION REVISED 418-13 T.O.S. PIER LENGTH —1 MAY — 1 2013 LOCATION: RSHERS ISLAND -TOWN oF50UTHOLD SUFFOLK COUNTY, NEW YORK WATERWAY: HAY HARBOR DATE OCTOBER 15, 2012 APPLICANT: ALEX WILMERDING SHEET 3 OF 4 )GKO, INC. Neikon, PE GT 06355 72 8939 FAX 860 572 7569 permfrs®dockO.com Kd.n B. Neuman, oOcko ice. 1 4�26/fQjlfllbl I wome,ai,9_ 3e.e„g NEW 71E-0FF PILE XIMUM 3 -IN AT CREST APPIRCKMATE AT TOP LAI, NEW 4 -FT WIDE 57AIRS with RAIL NEW 4 -FT WIDE P END DECK EL 5-114 VIII NEW SPLIT CLAMP CROSS BRACE (nl — — .. APPROXIMATE GR4DE AT END OF PIER _ PPPRO)OMATS GRADE NEW 4 -FT W1 STAIRS with R< NEW KAYAK X 4 -FT LANDING EL 22xFT 4 -FTX 4 -FT LANDING EL 1 NEW 84N DLA 716 -CFF PILE I' NOTE FLOAT RESTRAINT PILES, RAMP and CENTER TIE-0FF RLE NOT SHOWN IN THIS VIEW FOR GLARITY OF PIER COMPONENTS. TOP EL ntFT(TYP) NEW 104N DA SUPPORT PILE OYP) GRAPHIC SGAiE 1. _ 10 I'"I 10 5 O 10 NEW 10-FrX 16 -FT FLOAT' Wttl CONTINUOUS FLOA7A710N 14iu1 NOTE DECKING - NOT GOA TREATED, HARDWOODS MUST BE CERTFIED BY FOREST STEWARDSHIP GOUNOL 4-FrW OE X 65-17 LANDING EL 22xFr NEW 8 -FT X 16-17 FLOAT with aEAR NEW4-FTX4-FT `LANDING EL 15tFT I NEW 10: CONTINUOUS FLOATATION - NEW 10 -IN DIA FLOAT RESTRAINT RLE TOP EL 17±FT (7YP) DECK EL 6±FT NEW 4 -FT WIDE PIER p� � END DECK EL IN NEW 84N DIA PIER SUPPORT PILE TOP EL 4 -FT ABOVE DECK (TYP) PRO F=1 L1= GRAPHIC SCALE V= 20' 20 10 O 20 ELEVATIONS ARE BASED ON APPARENT LOW WATER PROJECT. NEW KAYAK 7ARDING STEP —AHWL33t —MHW 28' - - ——ALWLO.O- NEW STAIRS. PIER and FLOAT REVISED 3-20-13 DEG LOCATION: FISHERS ISLAND - TOWN aF SOUTHOLD STAR CLEARANCE SUFFOLK COUNTY. NEW YORK REVISED 4-18-13 T.0.5. WATERWAY: HAY HARBOR OCTOBER 15, 292 �P\ 17/ y.�6 PIER LENGTH DATE APPIJCANT: ALEX W ILMERDING AGENT: SHEET 4 OF 4 1DOGK0, I NG. Kekh B. N61kson, PE Mystic, GT 06355 860 572 8939 FAX 860 572 7569 EMAIL pe nftgdocko.=n dl1G,/20131147 AM Wllmerdinq_4G.dwg 0 James F. King, President Bob Ghosio, Jr., Vice -President Dave Bergen John Bredemeyer Michael J. Domino BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 0 Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631)765-1892 Fax (631)765-6641 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 151 day of construction % constructed Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 8203 & 8203C DATE: JUNE 19.2013 ISSUED TO: HAROLD WILMERDING & ALEX WILMERDING PROPERTY ADDRESS: 4997 EQUESTRIAN AVENUE, FISHERS ISLAND SCTM# 9-9-3.1 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter I I 1 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 $500.00 paid by Docko. Inc. 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 a 47LF. x 4ft. wide fixed wood pile and timber pier including 4 tie -off piles; an associated 3.5'x24' hinged ramp; a 8'x16' float; and restraint pilings, all waterward of the apparent high water line; and as depicted on the site plan prepared by Docko, Inc., last dated April 18, 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. 0 TERMS AND CONDITIONS 0 The Permittee, Harold Wilmerding, & Alex Wilmerding, residing at 4997 Equestrian Ave., Fishers Island, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 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. 0 James F. King, President Bob Ghosio, Jr., Vice -President Dave Bergen John Bredemeyer Michael J. Domino June 19, 2013 Mr. Keith B. Neilson, P.E. Docko, Inc. PO Box 421 Mystic, CT 06355 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD RE: HAROLD WILMERDING & ALEX WILMERDING 4997 EQUESTRIAN AVENUE, FISHERS ISLAND SCTM# 9-9-3.1 Dear Mr. Neilson: 0 Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax(631)765-6641 The Board of Town Trustees took the following action during its regular meeting held on Wednesday, June 19, 2013 regarding the above matter: WHEREAS, Docko, Inc. on behalf of HAROLD WILMERDING & ALEX WILMERDING 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, and Chapter 111 of the Southold Town Code, Coastal Erosion Hazard Areas, application dated May 1, 2013, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 4.1 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the removal of the float in the fall of each year, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on June 19, 2013, at which time all interested persons were given an opportunity to be heard, and, 0 9 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 and Chapter 111 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 HAROLD WILMERDING & ALEX WILMERDING to construct a 47LF. x 4ft. wide fixed wood pile and timber pier including 4 tie -off piles; an associated 3.5'x24' hinged ramp; a 8'x16' float; and restraint pilings, all waterward of the apparent high water line; and as depicted on the site plan prepared by Docko, Inc., last dated April 18, 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. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $ 50.00 Very truly yours, )X'� 0 , f , James F. King President, Board of Trustees JFK/amn 0 James F. King, President Bob Ghosio, Jr., Vice -President Dave Bergen John Bredemeyer Michael J. Domino BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 0 Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax(631)765-6641 COASTAL EROSION MANAGEMENT PERMIT COASTAL EROSION PERMIT #8203C Applicant/Agent: Docko, Inc. Permittee: Harold Wilmerding & Alex Wilmerding SCTM#: 9-9-3.1 Project Location: 4997 Equestrian Avenue, Fishers Island Date of Resolution/Issuance: June 19, 2013 Date of Expiration: June 19, 2015 Reviewed by: Board of Trustees DESCRIPTION OF ACTIVITY: To construct a 47LF. x 4ft. wide fixed wood pile and timber pier including 4 tie -off piles; an associated 3.5'x24' hinged ramp; a 8'x16' float; and restraint pilings, all waterward of the apparent high water line INSPECTIONS: Final Inspection SPECIAL CONDITIONS: (none) In accordance with Chapter 111-15 Erosion Protection Structures: N/A A maintenance agreement is attached hereto and is a necessary special condition of this permit. BY: p CZ _9�lr James F. King, President Board of Trustees James F. King, President Bob Ghosio, Jr., Vice -President Dave Bergen John Bredemeyer Michael J. Domino TO: E BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 0 Town Hall Annex 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax(631)765-6641 Dockb,Ttnc -rbr N r�1�1 I t�� rnR f ��c l�ilrnerd n� Please be advised that your application dated 511113has been reviewed by this Board at the regular meeting of and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre -Construction Hay Bale Line Inspection Fee ($50.00) 1s' Day of Construction ($50.00) '/2 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: $ 5L), 1)1� BY: James F. King, President Board of Trustees Peter Young, Chairman Lauren Standish, Secretary 0 40 Conservation Advisory Council Town of Southold Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax(631)765-6641 At the meeting of the Southold Town Conservation Advisory Council held Wed., June 12, 2013 the following recommendation was made: ALEX WILMERDING to construct 47 If. of 4' wide fixed wood pile and timber pier including 4 tie -off piles and an 8'X 16' float with associated hinged ramp and restraint pilings all waterward of the apparent high water line. The overall length of the pier is 50 If. Located: 4997 Equestrian Ave., Fishers Island. SCTM#9-9-3.1 The CAC did not make an inspection, therefore no recommendation was made. F"9 L _J .lames F. King, President Bob Ghosio, Jr., Vice -President Dave Bergen John Bredemeyer Michael J. Domino Ll P.O. Box 1179 Southold, NY 11971 Telephone (631 765-1892 Fax (631)765-6641 Southold Town Board of Trustees Field InspectionM ork Session Report Date/Time: /Z�! Docko, Inc. on behalf of HAROLD WILMERDING & ALEX WILMERDING request a Wetland Permit and a Coastal Erosion Permit to construct a 47LF. x 4ft. wide fixed wood pile and timber pier including 4 tie -off piles; an associated 3.5'x24' hinged ramp; a 8'x16' float; and restraint pilings, all waterward of the apparent high water line. Located: 4997 Equestrian Avenue, Fishers Island. SCTM# 9-9-3.1 Type of area to be impacted: 1.(tif -( _Saltwater Wetland _Freshwater Wetland _Sound _Bay Distance of proposed work to edge of wetland. Part of Town Code proposed work falls under: _Chapt.275 _Chapt. 111 _other Type of Application: _�_/Wetland _Coastal Erosion _Amendment _Administrative_Emergency _Pre -Submission Violation Info needed: Modifications: Conditions: Present Were:�. King Ghosio vJ�Bredemeyer � Michael Domino _ Form filled out in the field by j / / !t Mailed/Faxed to: D. Bergen, D. Dzenkowski other r ALEX WIMLERDING PHOTOGRAPHS JANUARY 31, 2013 Photograph 1 This photograph shows the Wilmerding property looking in a westerly direction from approximately 500 feet off shore in Hay Harbor. The shoreline features including the eroding coastal bluff with its brush type vegetation, the tree, and the rocky shorefront are fairly clearly visible. The proposed pier site will span over the boulder just to the right of center and to the right of the large tree, top of slope. In this way tidal wetlands vegetation along the shore will not be adversely impacted and the area should be only minimally impacted. Photograph 2 This photograph shows the Wilmerding site looking in a northerly direction near the Kennedy dock fiwther south of Hay Harbor. This photograph shows the vegetative nature of the eroding coastal bluff and the stony rocky shorefront at the toe. The permanent boulder at the center of the photograph is not the boulder that will be spanned by the project, but the smaller boulder just beyond to the right. This photograph also reveals how minimally the structure would impact other docking facilities. The location is several hundred feet from the Kennedy pier and the David Wilmerding dock facility is discernible along the shoreline to the right of center in the photograph about 500 feet or so away. i � t � 1 T� 1 S � i 4e i Fishers Island Goggle earth 0 0 HAY HARBOR, FISHERS ISLAND NARRATIVE STATEMENT & SUPPLEMENTAL INFORMATION FOR NYS DEC, NYS/DOS AND TOWN OF SOUTHOLD APPLICATIONS JANUARY 2013 CV GENERAL MAY -E12013 Mr. Alex Wilmerding is the applicant, his father Mr. Haruld Pratti pa el 1000-009-09-3.1 off Equestrian Avenue located along the west s n Fish Island. The site is generally moderately sloped, sandy gravel earthen materials, vegetated with grass, brush, ground cover and trees with a steep 20 foot bluff falling off to the shoreline which is line with stone. The frontage of the property is approximately 400 feet along Hay Harbor at the easterly end, abutted by David Wilmerding to the north and Mrs. Shelia Kennedy's family, to the south. The waterfront consists of a partially rock -covered beach with tidal wetlands vegetation at the base of the moderately sloped coastal bluff north of the proposed dock site. It is Mr. Wilmerding's desire to build a fixed pier and install a new hinged ramp to a floating dock system. The dock end of this new pier will go from an end elevation of 6 feet above mean low water (MLW), sloping upward and crossing over the boulder -strewn intertidal zone at a typical height of 6 feet above the bottom sediments until reaching a finished elevation of about 8 feet at above the mean low water line and then a level landing to shore at that elevation. Attached are application drawings prepared for this project showing this configuration and pertinent details. This supplemental narrative has been prepared in accordance with the requirements of Town of Southold, Ordinance No. 6, 2004, and the Waterfront Revitalization Program related to docks and shorefront improvements. In addition, various coastal policies under the New York State Coastal Management Act are addressed herein for review by the New York State Department of State and Department of Environmental Conservation. DESCRIPTION OF WORK As mentioned in the introductory paragraph, this project is to construct a fixed wood pile and timber pier from the shore out into Hay Harbor in accordance with existing guidelines set forth in the Town of Southold ordinance No. 6, 2004. It is envisioned that this structure will be built utilizing the following general sequence and methodology. ➢ The marine contractor will arrive by water with barge -mounted crane and push boats. ➢ New piles will be driven starting at the new shore landing end of the pier and proceeding waterward at roughly 10 -foot intervals to the waterward end of the pier approximately 55 feet from the apparent high water line. These piles will be driven by double-acting air hammer to a bearing capacity and pull-out resistance of approximately 20 tons. This generally results in about ten feet of embedment of the pile in the bearing stratum. These piles will be 8 -inch nominal diameter measured at three feet from the butt. ➢ After the piles matalled, split caps (also referred to as#rt clamps) consisting of a pair of pressure treated Southern Pine timbers, 3 x 10 nominal dimension, will be bolted to the piles transversely forming a pile bent. Stringers will be then laid on the split caps parallel to the length of the pier. In all likelihood, three runs of stringers will be set and will probably consist of 3 x 10 pressure -treated Southern Pine. ➢ The outer stringer on each side will be bolted or spiked to the pile to secure it against any uplift forces that this pier might be exposed to. ➢ After the stringers have been connected to the piles and split caps, the decking will be installed. In accordance with Town of Southold's Ordinance No. 6, 2004, this decking will not be CCA pressure -treated Southern Pine but rather oak, cedar hardwood or plastic / composite such as "Timber Tech" or similar synthetic, composite or plastic material with the brushed side mounted up. If composites or plastic are used, decking will be either gray, brown or natural in color. Decking will be attached to the stringers utilizing galvanized nails or stainless steel Phillips or flathead square -drive wood screws about 3 inches long and will be set with a'/4" gap between deck planks. ➢ The over -water decking will run level at an elevation of 6 feet MLW, then at 6 feet above the existing bottom sediments. See Sheet 4 of the application drawings for the pier profile. ➢ The piles will be about 42 inches above the deck surface and have horizontal rail members mounted to them. ➢ A rail of cedar, oak, hardwood or Timber Tech material will be installed for safety. The mid - rail can be timber or cable and both details are shown. ➢ A new hinged ramp will be installed at the dockside end of the pier so as to land on the float. This will be a wood ramp, made of pressure -treated framing and posts with non -CCA wood or Timber Tech decking. If necessary, the ramp could be built of aluminum but that is not Mr. Wilmerding's preference. ➢ Water and electricity will be run out in conduits on the pier in the space between the stringers so that trickle chargers on the boat may be powered during tie-ups. The water will allow boats to be rinsed off after usage. A power post with an internal light will be mounted to the end of the fixed pier with receptacles to provide power to the boats from extension cords. The power post will also have coiling arms for storage of the electric service cord and hose between uses. Because the dock may be used during the hours of darkness, low -intensity lights will be mounted on staggered piles or dock rail posts to illuminate the deck and the walking surface up the bank. This system will be manually or radio controlled with a shut-off timer so that the lights will only be on when necessary for safety of the users. LOCAL WATERFRONT REVITALIZATION POLICIES The Town of Southold, LWRP policies that are applicable to the Wilmerding dock proposal are a local refinement of the Long Island Sound Regional Coastal Management Program policies that apply throughout Long Island Sound. The Wilmerding site is in Hay Harbor on Fishers Island and is characterized by Developed Shorefront on the east shore and south shore and, currently, undeveloped coast or natural coast on the west shore at the Wilmerding site and the parcel north. The developed coast policies are applicable as follows: ➢ Policy 1 is to foster a pattern of development that enhances community character and preserves natural resources to the maximum extent and minimizes adverse impacts on the environment, ➢ Policy 2 is to preserve historic resources, ➢ Policy 3 is to enhance and protect scenic resources and visual quality. The proposed dock facility for the Wilmerding's is consistent with waterfront development on Fishers Island and in coastal areas. The pier is made of suitably -sized timbers and utilizes the 2 materials allowable unO Local Law #6. This proposal is Aistent with other adjacent dock facilities and characteristics for the visual and scenic considerations in the harbor. The encroachment has been minimized to be consistent with DEC policies, Southold Local Law #6, US ACOE policies and the structure is as low profile as possible consistent with the safe and efficient use of the waters and consistent with the tidal range of this site. Lighting will be minimal for operational safety and otherwise off, and lights will be utilized only when necessary for boating purposes so that during hours of darkness there will be no adverse impact NATURAL COAST POLICIES The Natural Coastal Policies are 4 through 8 and require consideration as follows: ➢ Policy 4 — Minimize loss of life, structures and natural resources from flooding and erosion, ➢ Policy 5 — Protect and improve water quality ➢ Policy 6 — Protect and restore the quality and function of the eco -system, ➢ Policy 7 — Protect and improve air quality, ➢ Policy 8 - Minimize environmental degradation primarily from solid waste and hazardous substances. The proposed structure for the Wilmerding recreational boating facility has been laid out and configured so as to be consistent with the DEC permit requirements for such structures.As such, it provides adequate height to clear environmental resources of concern and the materials to be utilized are consistent with Town of Southold's Local Law #6 regarding environmental quality and the use of pressure -treated Southern Yellow Pine timber components in particular. There will be no significant adverse impacts on air quality as a result of this structure and the construction of the dock should not diminish overall environmental considerations in Hay Harbor. PUBLIC COAST POLICIES Policy 9 sets forth a priority to provide for public access and recreational use of coastal waters, public lands and public resources of the Town. This project creates a recreational boating facility for the Wilmerding's property and so is consistent with this policy. WORKING COAST POLICIES The policies of this section relate to the following: ➢ Policy 10 — Protection of the Town's water -dependent uses and promoting new water - dependent uses in suitable locations, ➢ Policy 11— Promoting sustainable use of living marine resources, ➢ Policy 12 — Protect agricultural lands, ➢ Policy 13 — Promote appropriate use and development of energy and mineral resources. While most of the Working Coast Policies are not applicable to this site or this type of project, Policy 10, promoting water -dependent uses and the siting of water -dependent uses in appropriate areas is applicable. The proposed project has been laid out to make the most beneficial use of the land and locating the dock facility in the most appropriate point of the land where access down the bank will not require excessive structural facilities. This project has been laid out with specific reference and review of the Waterfront Revitalization Program policies and is considered to be consistent. 3 In summary, th*k is typical of recreational boating cities throughout the area and all along coastal New England. The structure has been minimized in size, height, and structure so as to be consistent with other facilities of a similar nature and the minimum necessary components to accommodate safe and efficient boating operations from this site safely in a variety of climatic conditions. This project does not interfere with public access or use of public trust waters and lands of the State, it does not interfere with navigation, it will not create soil or sedimentation erosion problems, it does not adversely environmental resources and in the area where the facility must span the intertidal zone at the shore line, the facility has been located in the area of rocks where environmental resources have already been diminished so as not to worsen any of these conditions. The height of the structure has been specifically addressed so as to allow vegetation of the shoreline by tidal wetlands plants if other conditions are conducive to such growth. The dock facility has also been located reaching out to the deepest water in the narrows of Hay Harbor near Tennis Racket Island so that dredging will not be an issue in the future, thus further minimizing adverse environmental impacts. More than 95% of the Wilmerding's shoreline in Hay Harbor will remain in a natural state as a result of these considerations for design. There is no loss of valuable marine and wetland habitat and no water quality degradation as a result of this project. No natural protective features or processes will be adversely impacted as a result of the proposed docking facility. There were no submerged aquatic vegetation specimens in the proposed dock or berthing area. Reference is made to the NYS DEC study from 2000 indicating the suitability of pressure -treated Southern Yellow Pine piles and super- structure components for this type of purpose. In accordance with Local Law #6, decking for both the float and the pier and the ramp treads will be of woods other than Southern Yellow Pine. This project is consistent with zoning policies and ordinances for the Town. The dock facility will be an accessory to the home located at this site. There will be no development of the upland related to this dock facility that will create point sources of pollution or drainage. This project is considered to be providing recreational boating and water usage opportunity compatible with the natural resource values and characteristics of the site. The floating dock is the minimal size for stability considerations especially acknowledging that waves from the northeast can come into Hay Harbor and the floating dock is angled 45° to those waves. The float is suitably sized and adequate stable for a ramp landing and the ramp has been made long enough to minimize the pier structure. REQUIREMENTS OF SECTION 97-25 OF THE WETLANDS LAW 6.2004 The permittee acknowledges that the validity of this permit is subject to the approval of other governmental or municipal authorities. The permittee does, by the acceptance of this permit, assume all responsibility for operations undertaken pursuant to this permit, and shall take all precautions for the prevention of injuries to persons and property resulting from such operations. By such acceptance, the permittee also agrees to indemnify and save harmless the Town and its officers. The permittee gives consent to the Town and its officers, employees and agents to enter upon the premises where such operations are being conducted to make such inspections to determine whether said operations are being conducted in conformity with the permit. 4 9 0 The permittee will notify the Trustees in writing one week prior to initiation of any and all operations. The permittee will notify the Trustees in writing upon completion of operations such that the site can be inspected for issuance for a certificate of compliance. In response to Sub -section 2a and the General Rules for Standards of Residential and Commercial Docks, the following additional information is offered. Permits for the work are being applied for through the Southold Town Trustees, US ACOE, NYS DEC and a coastal zone consistency determination by the NYS DOS. 2. The new piles to be installed will be of sturdy, durable and stable materials; in all likelihood, Greenhart, Kakaralli or CCA pressure -treated Southern Yellow Pine (SYP) piles with new split caps and braces of the same SYP materials. These members will be a minimum of 3 x 8's and more often, 3 x 10 timber with two %" bolt per connection, and in many cases, one 1- inch bolt per connection. This pier is a fixed, pile -supported timber structure with a float and therefore will not adversely affect the free circulation of water or reduce the effects of fluctuating water levels in Hay Harbor. In addition, the pier does not present any adverse modification of the shoreline. The pier's elevation is such that in extreme high flood tides the structure will be inundated. The structure's SYP timber materials represent the standard of the industry being specifically grown for this type of usage and are capable of withstanding full immersion. With the connections described above, this structure will be able to survive repeated inundations and even direct waves at high tide elevations with a structural life of approximately 20 years. 3. The pier support, because of its height, will include driving new 10 inch diameter piles at 10 -foot intervals to the maximum extent possible as will the float restraint piles in order to obtain the desired pier alig anent and support intervals, 8 inch piles will be used for the tie -offs. The use of CCA pressure -treated piles and timbers can be approved for this project in accordance with Local Law 6. 4. The pier and float will not be decked with CCA pressure -treated Southern pine. This pier / walkway provides a safe pedestrian surface for access to the berthed boat. Rails may be installed on the pier for safety. 5. The pier is located near the center of the property. The 15 -foot clearance specified in this paragraph has been more than honored and lateral clearance should not be an issue because the proposed pier does not represent a significant encroachment into the boating operation area of the Kennedy family to the south or the David Wilmerding family to the north. The dock facility does not project into the navigation way for other boaters in the cove. The float width of 10 feet is considered desirable and appropriate for boating safety because of the angled exposure to waves from the north, inherent float stability, and the agility of some of the users. The float will be in 2 feet of water at low tide in accordance with US ACOE standards. 6. Upon reit of the permit for this project, aperiate permit numbers and a Town permit placard will be affixed to the most seaward face of the pier for identification from the water. The only permanent structures located above the pier decking other than the power post and railing which are fixed by function, are the kayak racks over the boulder at the shore side landing. 8. It is currently possible to provide a five-foot passage beneath the pier between the mean high and mean low water lines. Foot traffic in this area is rare, if at all, and so the additional structure of an up and over stairway has been left out of this pier layout. NEW YORK STATE COASTAL MANAGEMENT PROGRAM These application documents include a copy of the Federal Consistency Assessment Form utilized for the New York State Coastal Management Program under the jurisdiction of the New York State Department of State. The following policies have been identified as pertinent to this application and the reason for consistency associated with this project is outlined in each respective case. Policy 2 —Water Dependent Uses — This project is to construct a fully functional water dependent use, a dock facility at this site in support of recreational boating. Policy 5 — Use of Existing Developed Shorefront — There is no developed shoreline on this site. This project utilizes existing shorefront which is dominated by an accumulation of stone which has diminished resources such as growth of tidal wetlands vegetation. The project will be to build a pier and extend it to a logical shoreward terminus to make it safe and reliably usable in most weather conditions. Policy 7 — Significant Fish & Wildlife Habitat — Protection of significant fish and wildlife habitat has been considered in the development of this project layout. The pier, to the shoreward point of beginning, has avoided the vegetated shoreline spartina fringe marsh and runs 5 feet above the rocky intertidal sediments and should not jeopardize the integrity of existing spartina fringe outcrops to the north. Typically there is a slight environmental benefit to a pier project because of the creation of structure in the water column where barnacles, algae and crustaceans will colonize and grow. Policy 8 — Protection & Preservation of Habitat — Protection and preservation of habitat has also been considered in this project and the dock structure is being kept to its minimal configuration and of materials consistent with standards of the industry and restrictions set forth in the Wetlands Law, No. 6, 2004 set forth by the Town of Southold and standards of the NYS DEC. The pier has been sited over a stony part of the beach to make use of the most obstructed, least desirable habitat and minimise damage to natural resources. Policy 11 — Minimize Damage to Natural Resources The dock construction project has been laid out in such a way so as to minimize damage to natural resources as identified in Policy 8 above. The dock facility has been sited in the area where a large boulder on the beach has already impacted shoreline vegetation. Policy 14 — No Measu& Increase in Flooding= This projecOnsists of construction of an open wood pile and timber pier which in no way adversely affects water flow and circulation in Hay Harbor or flooding potential of the area. Flood levels all around Fishers Island are dictated by water levels in Long Island Sound, Fishers Island Sound and Block Island Sound and this structure will have no adverse influence or in any way impact on those levels. Policy 15 —No Dredging — Dredging is not required in this project. The floating dock system has been laid out in its current location and configuration to avoid any dredging requirements. The depth of 2 feet, as generally recommended by the US ACOE, and 4 feet as recommended by the NYS DEC has been reached. The waters are protected enough that boats can be berthed bow to shore leaving the motor out in the deeper water. The float and the bow of the boat will not ground out at low tide and the float clears the bottom sediments by 2 feet at MLW. Policy 19 — Impact on Public Access — Public access will not be jeopardized or impeded as a result of this project. As a matter of fact, there is almost no public access usage of the public trust lands or waters at this site except kayaking and canoeing. The upper intertidal zone is significantly covered by boulders and tidal wetlands fringe marsh vegetation and the shallow sub -tidal waters do not present any opportunity or enticement for public access in the area The pier and float occupy the landward 25% of the waterway width in accordance with US ACOE policies. Thus, public access to the State's lands and waters will not be adversely affected by the project. Policy 20 — Public Trust Compatibility with Existing Adjoining Properties and Land Uses Public Trust compatibility with existing adjoining properties and land uses have also been considered in this project. Several nearby properties have small docking facilities similar to this one and this docking facility will not interfere with existing or the likely configuration of future facilities on nearby properties or the logical allocation of littoral development rights. Policy 21 — Water Dependent Recreation — This project is consistent with water -dependent recreational opportunities policies set forth in this section. Policy 24 —Scenic Resources Impairment or Loss - This policy is designed to prevent impairment or loss of scenic resources. The construction of the fixed wood pile and timber pier will not represent such an extent of encroachment or structure which would create a loss of scenic resources. The elevated inboard landing section of the pier will be largely over -shadowed by the bluff. Policy 25 — Enhance Overall Scenic Qualfty - The new dock structure will be consistent with the scenic quality of the area and prevent loss of scenic resources as described in Policy 24 above. Policy 44 — Preserve and Protect Tidal Wetlands — It is acknowledged that the fragmented fringe marsh of spartina altema flora along the shorefront is a protected resource. The construction of the fixed wood pile and timber pier has taken advantage of the existing un -vegetated strip of the shoreline caused by the deposit of stone in order to avoid adverse wetlands impact. The raised height of the pier should allow opportunities for the growth of the spartina fringe marsh naturally up to, and to an extent, beneath the wood pier if other conditions are suitable but to date that has not occurred in the proposed pier site. 0 SUMMARY This project proposes a new fixed pier and float for recreational boating access of property of the Wilmerding family on Fishers Island. A copy of all US Army Corps of Engineers, NYS DEC and Town of Southold applications are attached as substantiation for this project. This project complies with applicable standards of the New York State Coastal Management Act, NYS / DEC Tidal Wetland Regulations and criteria for approval, the Town of Southold Waterfront Revitalization Program and Local Ordinance No. 6, 2004 and its approval is thus respectfully requested. Respectfully submitted, DOCKO, INC. Docko 11 Inc. Serving the waterfront community since 1987 P.O. Box 421, Mystic, CT 06355 (860) 572-8939 Fax: (860) 572-7569, email: permits@docko.com NYS DOS Department of Coastal Resources One Commerce Plaza 99 Washington Avenue Albany, NY 12231 To Whom It May Concern: February 1, 2013 Re: Alex Wilmerding, Fishers Island New Stairs, Pier & Float On behalf of Mr. Alex Wilmerding, we submit the attached Federal Consistency Assessment Form for new stairs, pier and float in Hay Harbor on Fishers Island, New York. We enclose herewith the following in support of this permit application: ❖ One print each of plans titled: Project: "New Stairs, Pier & Float" Waterway: Hay Harbor Location: Fishers Island, Town of Southold Suffolk County, New York Applicant: Alex Wilmerding Date: October 15, 2012 ❖ One copy of Corps of Engineers, NYS DEC, Location Map, Tax Assessor's Map and NYS DOS Coastal Management Federal Consistency Assessment Forms and color photographs I trust that you will find this application package complete and acceptable: please let the know if the need for fiuther information arises. KBN: cb Enclosures CC: Alex Wilmerding NYS DEC: Regulatory Affairs ACOE File: 12-09-2440 WILMERDING Very truly yours, DO Ka INC. Keith B. Neilson, P.E. NEW YORK STATE DEPARTMENT OF STATE COASTAL MANAGEMENT PROGRAM Federal Consistency Assessment Form An applicant, seeking a permit, license, waiver, certification or similartype of approval from a fedoral agency which is subj ect to the New York State Coastal Management Program (CA.f P), shall complete this assessment form for anyproposed activity that will occur within and/or directly affect the State's Coastal Area This form is intended to assist an applicant in certifying that the proposed activity is consistent with New York State's CMP as required by U.S. Department of Commerce regulations (15 CFR 930.57). It shouldbe completed at the dmewhen the federal application is prepared. The Department of State will use the completed form and accompanying information in its review of the applicant's certification of consistency. A. APPLICANT (please print) 1. Name. Mr. Alex Wilmerding 2 Address. 33 Tai Tam Road,Apt. 7D Tai Tam, Hong Kong 3. Telephone: Area Code( ) 011-852-2810-8362 B. PROPOSED ACTIVITY 1. Brief description of activity: Construct 57LF of 4 -FT wide fbied wood pile and timber pier including 4 tie -off piles and an 10 -FT x 16 -FT float with associated hinged ramp and restraint piles all wa erwa o e apparen Ig wa er ]ne. 2. Purpose of act' . . To provide a recreational boating facility for the Wilmerding family. 3. Location of activity: Suffolk County Town of Southold 4997 Equestrian Ave County City, Town, or Village Sheet or Site Description 4. Type of federal permit'license required: U S Army Carps of Engineers 5. Federal application comber, if known: 6. If a state perm't/liceme was hewed or is required for the proposed activity, identity the state agency and provide the application or permit mmber, if (mown: 0 0 C. COASTAL ASSESSMENT Check either "YES" or "NO" for each of these questions. The numbers following each question refer to the policies described in the CMP document (see footnote on page 2) which may be affected by the proposed activity. 1. Will the proposed activity result in any of the following: YES/NO a. Large physical change to a site within the coastal area which will require the preparation 13 Of of an environmental impact statement? (11, 22, 25, 32, 37, 38, 41, 43) ... . .. . ........ . b. Physical alteration of more than two acres of land along the shoreline, land O under water or coastal waters? (2, 11,12, 20, 28, 35,44) .......................... c. Revitalization/redevelopment of a deteriorated or underutilized waterfront site? (1) ...... Q Jjr d. Reduction of existing or potential public access to or along coastal waters? (19, 20) ...... El g e. Advarse effect upon the commercial or recreational use of coastal fish resources? (9,10) ... Q -V f. Siting of a facility essential to the exploration, development and production of energy resources in coastal waters or on the Outer Continental Shelf? (29) ................... a g g. Siting of a facility essential to the generation or transmission of energy? (27) ........... [L -f h. Mining, excavation,or dredging activities, or the placement of dredged or fill material in coaefalwaters?(15,35).................................................... Q g i. Discharge of toxics, hazardous substances or other pollutants into coastal waters? (8, 15, 35) [- g j. Draining of stormwater runoff or sewer overflows into coastal waters? (33) ............ E, .17 k. Transport, storage, treatment, or disposal of solid wastes or hazardous materials? (36,39). Q �Ap 1. Adverse effect upon land or water uses within the State's small harbors? (4) ............ Q, 2. Will the proposed activity effect or be located in, on, or adjacent to any of the following: YES / NO a. State designated freshwater or tidal wetland? (44) ................................ o If b. Federally designated flood and/or state designated erosion hazard area? (11,12,17) ..... c. State designated significant fish and/or wildlife habitat? (7) ........................ d. State designated significant scenic resource or area? (24) .......................... a. State designated important agricaltnral lands? (26) ......................... I ..... Q f. Beach, dune or barrier island? (12) ........................................... g. Major ports of Albany, Buffalo, Ogdensburg, Oswego or New York? (3) ............... Q h. State, cmmty,orlocal park? (19,20) .......................................... i. Historic listed National State Register Histone resource on the or of Places? (23) ........ 3. Will the proposed activity require any of the following: YES / NO a. Waterfront site? (2, 21,22) ................................................. 1 _13 b. Provision of new public services or infrastructure in undeveloped or sparsely populated sections of the coastal area?(5).............................................. 13 It c. Construction or reconstruction of a flood or erosion control structure? (13, 14, 16) ....... Q d. State water quality permit or certification? (30, 38,40) ............................ Q/ e. State air quality permit or certification? (41, 43) ................................. QQ 4. Will the proposed activity occur within and/or affect an ams covered by a State approved local waterfront revitalization program? (see policies in local program document) ............... [� 0 0 D. ADDITIONAL STEPS 1. If all of the questions in Section C are answered "NO", then the applicant or agency shall complete Section B and submit the documentation required by Section F. 2. If any of the questions in Section C are answered "YES", then the applicant or agent is advised to consult the CMP, or when appropriate, the localwaterhontre lid=aumpmgamdocummt*.Thepmpowdactivitymustbeaoalyzedmmore detail with respect to the applicable state or local coastal policies. On a separate page(s), the applicant or agent shall: (a) identity, by flick policy numbers, which coastal policies are affected by the activity, (b) briefly assess the effects of the activity upon the policy; and, (c) state how the activity is consistent with each policy. Following the completion of this written assessment, the applicant or agency shall complete Section E and submit the documentation required by Section F. B. The applicant or agent must certify that the proposed activity is consistent with the State's CMP or the approved local waterfiont revitalization program, as appropriate. If this certification cannot be made, the proposed activity shall not be undertaldn. If this certification can be made, complete this Section. "The proposed activity complies with New York State's approved Coastal Management Program, or with the applicable approved local wate imut revitalization program, and will be conducted in a manner consistent with such program." ApplieanvAgenesxame: Mr. Alex Wilmerding Address: 33 Tai Tam Road Apt 7D Tai Tam Hong Kong Telephone: Area Code( ) 011-852-2810-8362 ApplicantlAgears F. SUBMISSION REQUIR13MI M IS �MIILiW Z.D[3 I. The applicant or agent shall submit the following documents to the New York State Department of State, Office of Coastal, Local Government and Community Sustainability, Attn: Consistency Review Unit, 1 Commerce Plaza, 99 Washington Avenue - Suite 1010, Albany, New York 12231. a Copy of original signed form. ' b. Copy of the completed federal agency application. c. Other available information which would support the certification of consistency. 2. The applicant or agent shall also submit a copy of this completed form along with his/her application to the federal agency- 3. gency 3. If there are any questions regarding the submission of this form, contact the Department of State at (518) 474.6000. 'These state and local documents are available for inspection at the offices of many federal agencies, Department of envimamental Conservation and Department of State regional offices, and the appropriate regional and catmtyplannmg agencies. Locd program documents are also available fm inspection at the offices of the appropriate local government 0 Docko ■ Inc. Servim, the waterfront community since 1987 P.O. Box 421, Mystic, CT 06355 (860) 572-8939 Fax: (860) 572-7569, email: permits@docko.com M AY - 1 2013 NYS DEC Environmental Permits Building 40, SUNY Stony Brook, NY 11790-2356 To Whom It May Concern: February 1, 2013 Re: Alex Wilmerding New Stairs, Pier & Float On behalf of Mr. Alex Wilmerding we request a Tidal Wetlands Permit including Water Quality Certifications, as necessary, for new stairs, pier and float in Hay Harbor on Fishers Island, New York. We enclose the following in support of this permit application: ❖ Four prints each of plans titled: Project: "New Stairs, Pier & Float" Waterway: Hay Harbor Location: Fishers Island, Town of Southold Suffolk County, New York Applicant: Alex Wilmerding Date: October 15, 2012 ❖ Four copies of the NYS DEC Joint Application, including the Short Environmental Assessment Form, Tax Assessor's Map, Photographs Location Map and Site Survey ❖ One copy of each application submitted to other regulatory agencies I trust that you will find this application package complete and acceptable; please let me know if the need for further information arises. Very truly yours, DOCO, INC. CF6- Keith B. Neilson, P.E. KBN: eb Enclosures CC: Alex Wilmerding US ACOE NYS DOS File: 12-09-2440 WILMERDING 0 JOINT APPLI CATION FORM • For Permits/ Determinations to undertake activities affecting streams, waterways, waterbodies, wetlands, coastal areas and sources of water supply. New York You must separately apply for and obtain separate Permits/ Determinations from State each Involved agency prior to proceeding with work. Please read all Instructions. US Army Corps of Engineers (USAGE) APPLICATIONS TO Applicant must be: Mr. Harold Pratt Wilmerding os Owner 1. NYS Department of Environmental Conservation 2. US Army Corps of Engineers 3. NYS Office of 4. NYS Depart - (check all that apply) Post Office City General Services ment of State Check all permits that apply: Check all permits that apply: Telephone (daytime) Email ❑ Stream Disturbance ❑ Coastal Erosion ❑ Section 404 Clean Water Act Check all permits that Check if this 13Excavation and Fill In Management ❑ Section 10 Rivers and Harbors apply: ❑ State Owned Lands applies: Coastal Navigable Waters ❑ Wild, Scenic and s or Recreational Rivers Docks, Moorings Act Nationwide Permits Y () - Identify Under Water Consistency Platforms❑Water Supply Number(s): E3 Utility Concurrence ❑ Dams and Impoundment ❑ Long Island Well Easement (pipelines, Structures ❑ Aquatic Vegetation Control conduits, ❑ 401 Water Quality ❑ Aquatic Insect Control cables, etc.) _ Certification ❑ Fish Control Reconstruction Notification - ❑ Docks, ❑ Freshwater Wetlands ❑ Y / ❑ N Moorings or ❑ Tidal Wetlands ❑ Incidental Take of Endan- Platforms gered/Threatened Species �./ R1 I am sending this application ❑ I am sending this f i I am sending ❑ I am sending this application to this agency. to this agency. application to this this application nuency. to this aaency. 5. Name of Applicant (use full name) Applicant must be: Mr. Harold Pratt Wilmerding os Owner Mr. Alex Wilmerding ❑ Operator ❑ Lessee Mailing Address 33 Tai Tam Road, Apt 7D (check all that apply) Post Office City Taxpayer ID (If applicant Fishers Island Is NOT an Individual): state Tai Tam, Hong KIR6ode Telephone (daytime) Email 011-852-2810-8362 Stream/Water Body Name 7. Contact/ Aggant Name KEITH B. NELSON, P. E. Company Name DOCKO, INC. Mailing AddressP.O. BOX 42 Post Office City MYSTIC State Zip Code CT 06355 Telephone (daytime) (860) 572-8939 Email permils@docko.com JOI NT APPLI CATI ON FORM 09/ 10 6. Name of Facility or Property Owner (If different than Applicant) Mr. Harold Pratt Wilmerding Mailing Address 55 Roxiticus Road Post Office City New Jersey 07945 State Zip Code Telephone (daytime) Email 973-543-7565 Fishers Island 8. Project / Facility Name Property Tax Map Section / Block /Lot Number Wilmerding Property 1000-009-09-3.1 Project Location - Provide directions and distances to roads, bridges and bodies of waters: Off Equestrian Ave - Hay Harbor Street Address, If applicable Post Office City State Zip Code NY 06390 4997 Equestrian Ave Fishers Island Town / Village / City County Fishers Island Suffolk Name of USGS Quadrangle Map Stream/Water Body Name New London, CT -RI -NY Hay Harbor Location Coordinates: Enter NYfMs In kilometers, OR Latitude/ Longitude NYrM-E NYTM-N Latitude Longitude 41 15' 42" N 72 01' 38" W This is a 2 Page Application Application Form Page 1 of 2 Both Pages Must be Completed • JOI NT APPLI CAT] ON FORM - PAGE 2 OF 2 Submit this completed page as part of your Application. 9. Project Description andP rpose: Provide a complete narrative description of the proposed work and its purpose. Attach additional pages) if necessary. Include: desolpti n of current site conditions and how the stte will be modified by the proposed project; structures and 011 materialsto be Installed; type and quantity of materials to be used (i.e., square it of coverage and cubo yds of fill material and/or structures below ordinary/mean high water) area of excavation or dredging, volumes of material to be removed and location of dredged material disposal or use; work methods and type of ,'equipment to be used; pollution control methods and mitigation activities proposed to compensate for resource Impacts; and where applicable, the phasing of activities. ATTACH PLANA ON SEPARATE PAGES. Construct 57LF pf 4- FT wide fixed wood pile and timber pier including 4 tie -off piles and an 10'X 16' Float with associated hinged ramp and restraint piles all waterward of the apparent high water line. The overall length of the pier is 60(+/-) LF. i Proposed Use: Private ❑ Public ❑Commerdal ProposedEatim a[ad Start Date: Com letlon Date: Has Work Begun on Project? ❑ Yes o If Yes, explain. WIII Project Occupy Federal, State or Municipal Land? ❑ Yes EKO It Yes, please specify. 10. Ust Previous Permit / Application Numbers (if any) and Dates: None 11. WIII this project require additional Federal, State, or Local Permits including zoning changes? IrYes ❑ No If yes, please list: Town of Southold, US ACOE and the NYS DOS I hereby affirm that information provided on this form and all attachments submitted herewith Is true to the best of my knowledge and belief. False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the Penal Law. Further, the applicant accepts full responsibllity for all damage, direct or Indirect, of whatever nature, and by whomever suffered, arising out of the project described herein and agrees to Indemnify and save harmless the State from suits, actions, damages and costs of every name and description resulting from said project. In addition, Federal Law, 18 U.S.C., Section 1001 provides for a fine of not more than $10,000 or imprisonment for not more than 5 years, or both where an applicant knowingly and willingly falsifies, conceals or covers up a material fact- or knowingly makes or uses a false, fictitious or fraudulent statement. NRi,. L,�v ),a, )s AAKIVA0 �-A 617.20 • SEQR 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) 1. APPLICANT/SPONSOR 2. PROJECT NAME Mr. Alex Wilmerding New pier and float 3.PROJECT LOCATION: Suffolk Fishers Island, Town of Southold Municipality County 4. PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide map Off Equestrian Avenue- Old Pump House Site S. IS PROPOSED ACTION: ly New Expansion M Modification / alteration 6. DESCRIBE PROJECT BRIEFLY: Construct 57 LF of 4 -FT wide fixed wood pile and timber pier including 4 tie -off piles and an 10 FT x 16' FT float with associated hinged ramp and restraint pillings all waterward of the apparent high water line. 7. AMOUNT OF LAND AFFECTED: Initially 0.1 acres Ultimately 0.1 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ®Yes [:]No If no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as appy.) E6Residential D Industrial M Commercial ❑Agdcufiure ❑ Park / Forest / Open Space Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) WYee MNo If yes, list agency name and permit / approval: Town of Southold, NYS DOS, ACOE 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? MYes ®No If yea, list agency name and permit / approval: 1 ASA ULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? es No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE App IIcant / Sponsor Name Mr. Alex Wilmerding Data: 1/11/13 Signature If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment 0 PART n _ IMPArT ASSESSMENT (To be colneaeted by Lead AOencv) 0 A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If yes, coordinate the review process and use the FULL EAF. Yes [:] No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS INS NYCRR, PART 617.67 If No, a negative declaration may be superseded by anomer Involved agency. Yes [:] No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, It legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, sold waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Fxplaln briefly: CS. Vegeta n or fauna, fish, shellfish or 71ci species, significant habitats, or threatened or endangered species? Explain briefly: 04. A eanmunitys existing plans or goals as oMc ally adopted, or a change In use or Intenshy of use of land or omen natural resources? Explain briefly: C5. Growth, subsequent development, or related Zrffl-es likely to be Induced by the proposed action? Explain briefly: C6. Long term, shod tern, cumulative, or other effects not identified In C1-C6? Explain briefly: C7. Omer impacts (including chances in use of either aumfitv or type of energy? Explain D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CEAW If ves. explain bol Yes [—] No OR IS THERE rst�'0 No LIKELY TO BE CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? Ii Iain: F I PART 111- DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determinewhether it is substantial,large, Important orothorwise significant. Each effect should be assessed In connection with its (a) setting (i.e. urban or ruraq; (b) probability of occurring; (c) duration; (d) Irreversibility; (e) geographic scope; and (1) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse Impacts have been Identified and adequately addressed. If question d of part it was checked yes, the determination of significance mustevalualethe potential Impact ofthe proposed action on the environmental characteristiesof the CFA. Checkthis box ifyou have Iderdifiedoneormorapotentially largeorsignifl am adverseimpactswhk:h MAYoccur. EAF andlor prepare a positive declaration. Check this box if you have determined, based on the Information and analysis above and any supporting documentation, that the proposed a WILL NOT result In any significant adverse environmental impacts AND provkfe, on attachments as necessary, the reasons supporting determination. .. Name of Lead Agency Print or I ype Nam of Responsibler in e ency Title of Responsible Officer Signature of Responsible Officer In Lead Agency Signature of Preparer m fromresponsible ce New York State W M' Department of Environmental Conservation Aft ahme PERMISSION TO INSPECT PROPERTY By signing this permission form for submission with an application for a permit(s) to the Department of Environmental Conservation ("DEC"), the signer consents to inspection by DEC staff of the project site or facility for which a permit is sought and, to the extent necessary, areas adjacent to the project site or facility. This consent allows DEC staff to enter upon and pass through such property in order to inspect the project site or facility, without prior notice, between the hours of 7:00 a.m. and 7:00 p.m., Monday through Friday. If DEC staff should wish to conduct an inspection at any other times, DEC staff will so notify the applicant and will obtain a separate consent for such aninspection. Inspections may take place as part of the application review prior to a decision to grant or deny the permit(s) sought. By signing this consent form, the signer agrees that this consent remains in effect as long as the application is pending, and is effective regardless of whether the signer, applicant or an agent is present at the time of the inspection. In the event that the project site or facility is posted with any form of "posted" or "keep out" notices, or fenced in with an unlocked gate, this permission authorizes DEC staff to disregard such notices or unlocked gates at the time of inspection. The signer further agrees that during an inspection, DEC staff may, among other things, take measurements, may analyze physical characteristics of the site including, but not limited to, soils and vegetation (taking samples for analysis), and may make drawings and take photographs. Failure to grant consent for an inspection is grounds for, and may result in, denial of the permit(s) sought by the application. Permission is granted for inspection of property located at the following address(es): By signing this form, I affirm under penalty of perjury that I am authorized to give consent to entry by DEC staff as described above. I understand that false statements made herein are punishable as a�Class A misdemeanor pursuant to Section 210.45 of the Penal Law.* �XahT 1 . Wl I.N(J1�I�6 Print Name and Title Signature Date *The signer of this form must be an individual or authorized representative of a legal entity that: • owns fee title and is in possession of the property identified above; • maintains possessory interest in the property through a lease, rental agreement or other legally binding agreement; or • is provided permission to act on behalf of an individual or legal entity possessing fee title mother possessory interest in the property for the purpose of consenting to inspection of such property. Permission to Inspect Property Application Supplement 12109 Docko, Inc. Serving the waterfront community since 1987 P.O. Box 421, Mystic, CT 06355 (860) 572-8939 Fax: (860) 572-7569, email: permits@docko.com U.S. Army Corps of Engineers Jacob Javits Federal Center, Room 1 New York, New York 10278-0090 To Whom It May Concern: February 1, 2013 Re: Alex Wilmerding New Stairs, Pier & Float On behalf of Mr. Alex Wilmerding we request a Department of the Army Permit for new stairs, pier and float in Hay Harbor on Fishers Island, New York. We enclose herewith the following in support of this permit application: •S Two prints each of plans titled: Project: "New Stairs, Pier & Float" Waterway: Hay Harbor Location: Fishers Island, Town of Southold Suffolk County, New York Applicant: Alex Wilmerding Date: October 15, 2012 4• Two copies of Corps of Engineers and NYS DEC Application Forms, Location Map, Tax Assessor's Map, photographs and NYS DOS Federal Consistency Assessment Form. I trust that you will find this application package complete and acceptable; please let me know if the need for further information arises. Very truly yours, D CKO, IN Atil Btil n,P.E. KBN: cb Enclosures CC: Alex Wilmerding NYS DEC: Environmental Permits File: 12-09-2440 WILMERDING APPLICATION FO*Pits RT NT OF THE ARMY PERMIT cPR 92s1 LOMB APPROVAL NO. 010-003 SXPUtES: 31 August 2012 Public reporting burden for this collection of information is estimated to average 5 hours per response, including the time At reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.. Send comments regarding this burden estimate of my other aspect of this collection of information, including suggestions fee seducing this burden, to Department of Defeaae, Washington Headquarters Service Directorate of of Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302; and to the Office of Management and Budget, Paperwork Reduction Project (0710-0003), Washington, DC 20503. Please, DO NOT RETURN your form m eitherof three addresses. Completed applications meat be submitted to the District Engineer having jurisdiction over the location of the proposed activity. PRIVACY ACT STATEMENT Authority: 33 USC 401, Section 10; 1413, Section 404. Principal Purpose: These laws require permits authorizing activities in, navigable waters of the United States the discharge of dredged or fill material into waters of the United States, and the banspormtlm of dredged material for the purpose of dumping it into ocem waters. Routine Uses: Information provided on this form will be used in evaluating this application far a permit. Disclosure. Disclosure of requested information is is voluntary. If information is not provided, however, the permit application cannot be processed toe can a pesmit be issued. One act of original drawings or good reproducible copies which show the location and character of the proposed activity must be attached to this application (sco sample drawings and buuuctioas) and be submitted to the District Engineer having Jurisdiction of the proposed activity. An application that is not completed in fall will be returned. (ITEMS I THRU 4 T BE FILLED BY THE CORPS) 1. APPLICATION NO. 7 FIELD OFFICE CODE 3. DATE RECEIVED 14.DATE APP. COMPLETED ITEMS BELOW TO BE FILLED BYAPPIICANT 5. APPLICANTS NAME S. AUTHOR® AGENTS NAME A: TITLE MR. ALEX wBDERMBJO DOCKO, INC. KEITH B. NEI SON, P.E 6. APPLICANT'S ADDRESS 9. AGENrs ADDRESS 33 TAI TAM ROAD, APT. 7D, P. O. BOX 421 TAI TAM, HONG KONG MYSTIC, CT 06355 7. APPLICANTS PHONE NOS W/AREA CODE 10. AGENTS PHONE NO'S W/AREA CODE a. Residence 011-852-2810-8362 a. Residence b. Business b. Business (860) 572-8939 11. STATEMENT OF AUTHOR17ATION I hereby aur m&A DOCKO, INC. to act in my behalfas my agent in the processing of this application and to furnish, upon request, supplemental information in sppport of this permit application. SIGNATURE n 12. PROJECT NAME ORTITLE (See instructions) NEP! RAMP AND FLOAT 13. NAME OF WATERBODY, IF KNOW (if applicable) HAY HARBOR 15. LOCATION OF PROJECT LATITUDE: 41e 15'42" N 16. OTHER LOCATION DESCRIPTIONS, IF KNOWN, (See instructions) WEST SHORE OF HAY HARBOR FISHERS ISLAND 17. DIRE9TIONSTO THE SITE OFF EQVESTRIAN AVENUE DATE PROJECT STREET ADDRESS (if applicable) n EQUESTRIAN AVENUE HERS ISLAND, NY 06390 ENO FORM 4345, SEPT. 2009 EDITION OF OCT 20D4 IS OBSOLETE. Pmpw®CCECW-0R 18. Naune of Activity(Descriptionof project, ire* features) 0 CONSTRUCT` 57IF OF 4 -FF WIDE FIXED WOOD PIIS AND TIMBER PIER INCLUDING 4 TIE -OFF PIIFS AND AN 10 -Fr X 16 -FT. FLOAT WITH ASSOCIATED HINGED RAMP AND RESTRAINT PILINGS ALL WATERWARD OF THE APPARENT HIGH WATER LIVE. THE OVERALL LENGTH OF THE PEER IS 6D -FT 19. Project Purpose (Describe the reason or purpose of the project, see instructions) THE PURPOSE OF THIS PROJECT IS TO PROVIDE A RECREATIONAL BOATING FACILITY FOR THE WILDERMING FAMILY. USE BLOCKS 20-22 IF DREDGED AND/OR FELL MATERIAL IS TO BE DISCHARGED 20. Reason (s) for Discharge N/A 21. Type (s) of Material Being Discharged and the Amount of Each Type in Cubic Yards N/A 22. Surface Area in Acres of Wetlands or Other Water Filled (see Instructions) ACRES or N/A 23. Description of Avoidance, Minimization and Compensation (een instructions) NONE NEEDED. 24. Is Any Portion of the Work Already Compide: _ Yes -l_ No BYES, describe the computed work 25. Addresses of Adjoining Property Owners, lessees, Etc., Whose Property Adjoins the Waterbady (if more than can be entered here, please attach a supplemental list), please see attached supplemental Mat. 26. List of Other Certifications or ApprovalelDeniela Received from other Federal, State or focal Agencies for Work Described to This Application AGENCY TYPE APPROVAL* IDENT. NUMBER NYS DEC TIDAL WEIIANDS Pending NYS DOS CZM CONSISTANCY Pending TOWN OF SOUTHOLD TIDALWETLANDS Pending 'Would include but is not restricted to zoning, building and Good plain permits. DATE APPLIED DATE APPROVED DATE DEN® Jan -13 Pending Jav_2013 Pending Jan -2013 Pending 27. Application is hereby made far a permit or permits to authorize the wale described in this application. I that the Information in this application is complete and accurate. I further certify that 1 possess the authority to undertake the work described herein the detv andsorized t—+agent of the appticard. SI CANT DATB SIGNATl1RE OP AGENT�jyk—E MR ALEX WILMERDING KEITH B. NEBSON, P.E. DOCKO, INC. The application marc be signed by the person who dashes to undertake the proposed activity (applicant) or it may be signed by a duly authorised agent if the statement in block 1I has been filled out and signed. 18 U.S.C. Section 1001 provides that Whoever, in say manna within the Jurisdiction of any department or agency of the United Stases knowingly and willfully falsifies. conceals, or covers up my trick scheme, or diuuisn a material fact or maks any false, fictitious or fraudulent statements or representations or makes or lis* any false wring or doer ntd hawing same to Cantam any falle, fia1duous Of 6auduleld stir tnmh of ca*, sW be fined nen more than $1 O.ODD or imprisoned nen acro than five years or bah. ENG FORM 4345, SEPT 2009 0 NOAA FISHERIES NORTHEAST REGIONAL OFFICE EFH ASSESSMENT WORKSHEET FOR FEDERAL AGENCIES (modified 08104) Introduction: The Magnuson -Stevens Fishery Conservation and Management Act mandates that federal agencies conduct an EFH consultation with NOAA Fisheries regarding any of their actions authorized, funded, or undertaken that may adversely effect essential fish habitat (EFH). An adverse effect means any impact that reduces the quality and/or quantity of EFH. Adverse effects may include direct or indirect physical, chemical, or biological alterations of the waters or substrate and loss of, or injury to, benthic organisms, prey species and their habitat, and other ecosystem components. Adverse effects to EFH may result from actions occurring within EFH or outside of EFH and may include site-specific or habitat -wide impacts, including individual, cumulative, or synergistic consequences of actions. This worksheet has been designed to assist Federal agencies in determining whether an EFH consultation is necessary, and developing the needed information should a consultation be required. This worksheet will lead you through a series of questions that will provide an initial screening to determine if an EFH consultation is necessary, and help you assemble the needed information for determining the extent of the consultation required. The information provided in this worksheet may also be used to develop the required EFH Assessment. Consultation through NOAA Fisheries regarding other NOAA-trust resources may also be necessary if a proposed action results in adverse impacts. Part 6 of the worksheet is designed to help assess the effects of the action on other NOAA-trust resources. This helps maintain efficiency in our interagency coordination process. In addition, consultation with NOAA Fisheries may be required if a proposed action impacts marine mammals or threatened and endangered species for which we are responsible. Staff from our Northeast Regional Office, Protected Resources Division should be contacted regarding potential impacts to marine mammals or threatened and endangered species. Instructions for Use: An EFH Assessment must be submitted by a Federal agency to NOAA Fisheries as part of the EFH consultation. An EFH Assessment must include the following information: 1) A description of the proposed action. 2) An analysis of the potential adverse effects of the action on EFH, and the managed species. 3) The Federal agency=s conclusions regarding the effects of the action on EFH. 4) Proposed mitigation if applicable. In some cases, this worksheet can be used as an EFH Assessment. If the Federal agency determines that the action will not cause substantial impacts to EFK then this worksheet may suffice. If the action may cause substantial adverse effects on EFH, then a more thorough discussion of the action and 0 its impacts in a separate EFH Assessment will be necessary. The completed worksheet should be forwarded to NOAA Fisheries Northeast Regional Office, Habitat Conservation Division (HCD) for review. The information contained on the HCD website (http://www.nero.noaa.gov/hcdn will assist you in completing this worksheet. The HCD web site contains information regarding: the EFH consultation process; Guide to EFH Designations which provides a geographic species list; Guide to EFH Species Descriptions which provides the legal description of EFH as well as important ecological information for each species and life stage; and other EFH reference documents including examples of EFH Assessments and EFH Consultations. 0 EFH ASSESSMENT WORKSHEET FOR FEDERAL AGENCIES (modified 08/04) PROJECT NAME: Mr. Alex Wildmerdinc DATE: January 10. 2013 PROJECT PREPARER: nth B. Neilson, P.E. Docko, Inc. LOCATION: Equestrian Ave, Fishers Island Step 1. Use the Habitat Conservation Division EFH webpage, Guide to Essential Fish Habitat Designations In the Northeastern United States to generate the list of designated EFH for federally -managed species for the geographic area of Interest (http:/ www.nero.noaa.govMcdNndex2ahtm). Use the species list as part of the Initial screening process to determine H EFH for those species occurs in the vicinity of the proposed action. Attach that list to the worksheet because It will be used in later steps. Make a preliminary determination on the need to conduct an EFH Consultation. Is the action located in or adjacent to EFH designated for eggs? EMIX Is the action located in or adjacent to EFH designated for larvae? X Is the action located In or adjacent to EFFI designated for juveniles? X Is the action located in or adjacent to EFH designated for adults? X Is the action located in or adjacent to EFH designated for spawning adults? X If you answered no to all questions above, then EFH consultation is not required -go to Section 5. If you answered yes to any of the above questions proceed to Section 2 and complete remainder of the worksheet. 0 Step 2. In order to assess Impacts, it Is critical to know the habitat characteristics of the site before the activity is undertaken. Use existing information, to the extent possible, In answering these questions. Please note that, there may be circumstances In which new Information must be collected to appropriately characterize the site and assess Impacts. Is the site intertidal, sub -tidal, or This project Is to build a wood pile and timber dock facility. The water column? protect will encompass parts of the shoreline, the intertidal zone and shallow sub -tidal zone approximately 0.1 acres in size. See attached narrative. What are the sediment The existing intertidal and shallow sub -tidal sediments are fine characteristics? grained sand and mud, and approximately 25% gravel with occasional exposed stone and boulders. There Is a coastal bluff with stone and boulders along the vegetated shoreline. The sediments beneath the shore lending aro stone and boulders. Is Habitat Area of Particular This alta Is an existing rocky shorefront and not HAPC. The bluff that Concern (HAPC) designated at surrounds the cove Is eroding due to exposure to normal tidal and or near the site? If so what climatic conditions, despite the moderate to heavy vegetative growth. type, size, characteristics? Boulders and stone line the upper intertidal zone. Is them submerged aquatic There is no visible SAV in the shallow sub -tidal waters out to the vegetation (SAV) at or adjacent depths of Hay Harbor and them In no SAV detritus on the foreshore to to project sits? If so describe Indicate existence of SAV in the near shore waters. This project will the spatial extern. not have any adverse effect on SAV in the Hay Harbor entrance channel Y, mile eaet What Is typical salinity and Salinity varies somewhat seasonally but Is typically In the 25-30 ppt temperature regime/range? Temperature varies seasonally from approximately 30 degrees In the winter to 70 degrees in the summer. What Is the normal frequency of Them Is no sits disturbance per ae. Activity varies seasonally, but site disturbance, both natural there is regular boating access to and from the dock facilities In this and man-made? cove. Most boating activity Is between April and November and Is attributable to recreational boating from numerous private docks. What Is the area of proposed Approximately 1/10 acre will be directly Impacted by this dock Impact (work footprint & far construction project afield)? 11 • Step 3. This section is used to describe the anticipated Impacts from the proposed action on the physical/chemicallbtological environment at the project site and areas adjacent to the site that may be affected. Nature and duration of It is anticipated that the Impacts from this project will be activlty(s) small because of the limited nature of the work which can take place In as little as a month, but more likely the contractor will be at the site for two months. Boating activity Is mostly during June, July, and Auguat WIII benthic community be X The benthic community will be only marginally disturbed by disturbed? the marine construction barge and push boat and propulsion systems. No excavation or filling Is proposed and the dock facility will be built In place. New plies aro to be driven at 10 foot Intervals and will have limited Impact. WIII SAV be impacted? There Is no SAV at the proposed dock site. X Will sediments be altered and/or X Sedimentation rates In the shallow sub tidal zones will not sedimentation rates change? change as a result of this project; this pier and landing Is an open pile and timber structure. WIII turbidity Increase? X Turbidity, on a day to day bests, will not change significantly from existing conditions. (See attached narrative) Turbidity may increase during construction equipment positioning, but that activity will be of limited duration. The float is being added to minimize boating sediment disturbances. WIII water depth change? X No changes In water depth are proposed for construction equipment access or for boating operations. The float terminates in about 4 -feet of water. Will contaminants be released X The likelihood of contamination from this pier / dock Into sediments or water reconstruction will be minimal. See attached NYS DEC pile column? study results addressed in project narrative. Will tidal flow, currents or wave X No, this Is an open, wood pile and timber pier and floating patterns be altered? dock facility which will not adversely affect water flow and circulation. Will ambient salinity or X No changes to salinity or temperature of tidal waters will temperature regime change? result from this project Will water quality be aftered? X Water quality should not change to a significant extent as a result of this project beyond the Intermittent bottom sediment disturbances resulting from marine equipment repositioning. 0 0 Step 4. This section Is used to evaluate the consequences of the proposed action on the functions and values of EFH as well as the vulnerability of the EFH species and their life stages. Identify which species from the EFH species list (generated in Step 1) will be adversely Impacted from the action. Assessment of EFH Impacts should be based upon the elle characteristics identified in Step 2 and the nature of the Impacts described within Step 3. The Guide to EFH Descriptions webpage (httpJ/www.noro.noaa.gcv/hcdAist.htm) should be used during this assessment to determine the ecological parameters/preferences associated with each species listed and the potential Impact to those parameters. Will functlona and values of EFH be Impacted for. Spawning X The shallow sub -tidal zone and Intertidal zone are currently muddy silty fine sand with limited vegetation, strewn with stones In some nearshore areas, and will remain so without regard to the project. No alterations of the benthos or underwater habitat aro proposed. Nursery X The shallow sub -tidal zone and intertidal zone are currently muddy silty fine sand with limited vegetation, strewn with stones In some nearehore arses, and will remain so without regard to the project. No alterations of the benthos or underwater habitat aro proposed. Forage X No adverse Impact to submerged aquatic vegetation Is anticipated if It does exist in nearby waters. No SAV has been observed at the dock site during sits surveys or subsequent visits. The shallow sub-ddsl zone and hdertkkd zone aro currently muddy silty fine sand with limited vegetation, strewn with stones In some nesrshore areas, and will remain so without regard to the project. No alterations of the benthos or underwater habitat aro proposed. Shaker X The shallow subrtidel zone and intertidal zone are currently sandy gravel with shoreline stone and boulders and will remain so as a result at this project. No SAV has bean observed during alts surveys. Floating docks are frequently used for shelter by juvenile species. Will Impacts be temporary oritis envisioned that any Impacts experienced as a result of this permanent? construction project will be temporary and not permensrd; the dock er will be permanent. The ares of coverage of the dock facility Is small compered to the area of Hay Harbor and of no consequence compared to the overall coastal shoreline fringe habitat of Fishers Island. Will compensatory mitigation be X This project Is relatively minor in nature and it Is not expected to used? prods significant adverse Impacts to the local waters or benthic habitat either during construction or usage for boating. 0 0 Step 5. This section provides the Federal agency.s determination on the degree of Impact to EFH from the proposed action. The EFH determination also dictates the type of EFH consultation that will be required with NOAA Fisheries. Step & Consultation with NOAA Fisheries may also be required If the proposed action results In adverse Impacts to other NOAA-trust resources, such as anadromous fish, shellfish, crustaceans, or their habitats. Some examples of other NOAA-trust resources are listed below. Inquiries regarding potential Impacts to marine mammals or threatenedlendangered species should be directed to NOAA Fisheries' protected Resources Division. P11 PX9 is no adverse effect on EFH veraegree of adverse effects on EFH EFH Consultation Is not required The adverse effect on EFH is not substantial. (not Including compensatory mitigation) will be: This Is a request for an abbreviated EFH consultation. This (check the appropriate statement) worksheet Is being submitted to NMFS to satisfy the EFH Assessment requirement. The adverse effect on EFH is substantial. This is a request for an expanded EFH consultation. A detailed written EFH assessment will be submitted to NMFS expanding upon the impacts revealed In this worksheet. Step & Consultation with NOAA Fisheries may also be required If the proposed action results In adverse Impacts to other NOAA-trust resources, such as anadromous fish, shellfish, crustaceans, or their habitats. Some examples of other NOAA-trust resources are listed below. Inquiries regarding potential Impacts to marine mammals or threatenedlendangered species should be directed to NOAA Fisheries' protected Resources Division. ENVIRONMENTAL QUESTIONNAIRE This is intended to supplement ENG Form 4345, Application for Department of the Army Permit, or the Joint Application for Permit used in the State of New York. Please provide complete answers to all questions below which are relevant to your project Any answers may be continued on separate-shest(s) of paper to be -attached to this form. PRIVACY ACT STATEMENT The purpose of this form is to provide the Corps of Engineers with basic information regarding your project. This information will be used to facilitate evaluation of your permit application and for public dissemination as required by regulation. Failure to provide complete information may result in your application being declared Incomplete for processing, thereby delaying processing of your application. GENERAL -APPLICABLE TO ALL PROJECTS 1. Explain the need for, and purpose of, the proposed work. This project is to construct a new fixed pier with a hinged ramp to a float which will provide water access for recreational boating. Attached are a detailed narrative and drawings which set forth the full description of the project, construction techniques and methodology, anticipated impacts including environmental, aesthetic, usage, navigation and public access. 2. Provide the names and addresses of property owners adjacent to your work site (if not shown on the application form or project drawings). Ms. Shelia Kennedy, 1.94 Lakeview Avenue, Cambridge, MA 02138-2132 to the south and Amy M. Manny and others, Attn: David Wilmerding, 2518 Canes Road, Owings Mills, MD 21176 to the north (Please note that depending upon the nature and extent of your project, you may be requested to provide the names and addresses of additional property owners proximate to your project site to ensure proper cooMlnation.) 3. Photographs of the project site should be submitted. For projects in tidal areas, photographs of the waterway vicinity should be taken at low tide. Using a separate copy of your plan view, indicate the location and direction of each photograph as well as the date and time at which the photograph- was taken. Provide a sufficient number of photographs so as to provide a clear understanding of conditions on and proximate to your project site. 4. Provide a copy of any environmental impact statement, or any other environmental report which was prepared for your project See attached narrative. 5. Provide a thorough discussion of alternatives to your proposal. This discussion should include, but not necessarily be limited to, the "no action" alternative and alternatives) resulting in less disturbance to waters of the United States. For filling projects in waters of the United States, including wetlands, your alternatives discussion should demonstrate that there are no practicable alternatives to your proposed filling and that your project meets with current mitigation policy (i.e, avoidance, minimization and compensation). See attached narrative. DREDGING PROJECTS Answer the following if your project involves dredging. 1. indicate the estimated volume of material to be dredged and the depth (below mean low water) to which dredging would occur. Would there be overdepth dredging? There is no dredging associated with this project. Z You can apply for a ten-year permit for maintenance dredging. If you wish to apply for a ten-year permit, please provide the number of additional dredging events during the ten-year life of the permit and the amount of material to be removed during future events. 3. Indicate of your drawings the dewatering area (If applicable) and disposal site for the dredged material (except landfill sites). Submit a sufficlent number of photographs of the dewatering and disposal sites as applicable so as to provide a clear Indication of existing conditions. For ten-year maintenance dredging permits, indicate the dewatedn*sposal sites for future dredgingonts, if known. 4. Describe the method of dredging (i.e. clamshell, dragline, etc.) and the expected duration of dredging. 5. Indicate the physical nature of the material to be dredged (i.e. sand, sift, clay, etc.) and provide estimated percentages of the various constituents If available. For beach nourishment projects, grain size analysis data is required. & Describe the method of dredged material containment (I.& hay bales, embankment, bulkhead, etc.) and whether return flow from the dewatering/disposal site would reenter any waterway. Also indicate N there would be any barge overflow. MOORING FACILITIES Answer the following if your project includes the construction or rehabilitation of recreational mooring facilities. it is generally recommended that any fixed piers and walk ramps be limited to four feet in width, and that floats be -limited to eight feet in width and rest at least two feet above the waterway bottom at mean low water. Terminal floats at private, non- commercial facilities should be limited to 29 feet in length. If you do not believe your proposal can meet with these recommendations, please provide the reason(s). These criteria can be met as set forth in the attached narrative statement and as depicted in the application drawings. 2. Using your plan view, show to scale the location(s), position(s) and size(s) (including length, beam and draft) of vessel(s) to be moored at the proposed facility, including those of transient vessel(s) if known. 3. For commercial mooring sites such as marinas, indicate the capacity of the facility and indicate on the plan view the location(s) of any proposed fueling and/or sewage pumpout facilities. If pumpout facilities are not planned, please discuss the rationale below and indicate the distance to the nearest available pumpout station. No pump -out facilities are planned due to the residential nature of this dock facility which will generally accommodate small motor boats, sail boats, kayaks and canoes. If pump -out services are required, they are offered at Pirate's Cove Marina where fuel is *. r1 4. Indicate on your plan view the distance to adjacent marine structures, if any are proximate and show the locations and dimensions of such structures. The distance to Pirate's Cove Marina in West Harbor is approximately 2 miles. 5. Discuss the need for wave protection at the proposed facility. Please be advised that if a permit is issued, you would be required to recognize that the mooring facility may be subject to wave action from wakes of passing vessels, whose operations would not be required to be modified. Issuance of a permit would not relieve you of ensuring the Integrity of the authorized structure(s) and the United States would not be held responsible for damages to the structure(s) and verse/(s) moored thereto from wakes from passing vessels. Wave protection at this site is not considered to be a necessary or appropriate expense. Wave heights in Hay Harbor are generally a foot or less. BULKHEADING/BANK STABILIZATION/FILLING ACTIVITIES Answer the following if your project includes construction of bullfheading (also - retaining walls and seawalls) with backfill, filling of watermwettands, or any other bank stabilization fills such as dprap, revetments, gabions, etc. 1. Indicate the total volume of rill (including backfill behind a structure such as a bulkhead) as well as the volume of rill to be placed into waters of the United States. The amount of rill In waters of the United States can be determined by calculating the amount of rill to be placed below the plane of spring high ilds in tidal areas and below ordinary high water in non -tidal areas. 2. Indicate the source(s) and type(s) of fill material. 3. Indicate the method of rill placement (I e. by hand, bulldozer, crane, etc.). Would any temporary rills be required in waterways or wetlands to provide access for construction equipment? If so, please indicate the area of such waters and/or wetlands to be rilled, and show on the plan and sectional views. The foregoing requesfoasic Information on the most Wmon types of projects requiring Department the Army permits. It is intends o obviate or reduce the need for requesting additional information, however, additional information may be requested above and beyond what is requested in this form. Please feel free to add any additional information regarding your project which you believe may facilitate our review. o p 6 d < as /�1111VV///AJJ/aa///--1"JJ+J(( J O uxN J \•f / K n Qu HAY MF n n 0 • ua � 1191 ate" ' ^�.© R �s n itNa1ezw � •W9 ?w v " ere src xu m zwx verot 6 zw9 z Q Q i B O zu �y iukl i � � m I 0 Yu . A a � zv ♦ .wx ', e '6" e a• u. u.4 n a ee p 4! ea ea i �u p A p l \ x I y 9 � \ COUNW OF WFFOII(© s ewr n serna �� _ TTSm A< Y a 9 ------ s� • James F. Kine, President Bob Ghosio, Jr.. Vice -President Dave Bergen John Bredemever Michael J_ Domino 0 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: �Zl.�1,i3 P_O_ Bnx 1179 Southold NY 11971 telephone (631 76-i-1892 Fax (63 1) 765-6641 Docko, Inc. on behalf of HAROLD WILMERDING c/o ALEX WILMERDING requests a Pre -Submission Inspection to construct a 57LF of 4ft. wide fixed wood pile and timber pier including 4 tie -off piles and a 16ft. x 10ft. float with associated hinged ramp and restraint pilings, all waterward of the apparent high water line. Located: Reservoir Road/4997 Equestrian Avenue, Fishers Island, SCTM# 9-9- 3.1 Type of area to be impacted: _Saltwater Wetland _Freshwater Wetland _Sound _Bay Distance of proposed work to edge of wetland Pa of Town Ce proposed work falls under: _Vhapt.275 Chapt. 111 _other Type of Application: Wetland _Coastal Erosion _Amendment —Administrative—Emergency Pre -Submission Violation Info needed: Modifications Conditions: 4'ilcc }'p 4t4� N�� AGI &fpD'f a�,,,q rl.f i �i� �e� i e e -/-a 0, ie 4 6, Pent Were: J. King B. Ghosio D. Bergen, J. Bredemeyer � Michael Domino D. Dzenkowski Form Mailed/Faxed to: by rV other • 0 Docko, Inc. Serving the waterfront community since 1987 P.O. Box 421, Mystic, CT 06355 (860) 572-8939 Fax: (860) 572-7569, email: permits@docko.com Mr. James King Southhold Board of Trustees P.O. Box 1179 Southold, NY 11971 Dear Mr. King, February 27, 2013 Following up on your email of February 21, 2013, I would like to request a site visit for the property of Mr. Alex Wilmerding located at 4997 Equestrian Avenue for a new ramp and float. This project is to construct 57 LF of 4 -FT wide fixed wood pile and timber pier including 4 tie— off piles and a 16 -FT x 10 -FT float with associated hinged ramp and restraint pilings all waterward of the apparent high water line. The overall length of the pier is 60 -LF. Enclosed you will find a drawing for Mr. Wilmerding's project, a check in the amount of $50.00 for the site inspection, and authorization from Mr. Wilmerding for the Board to go onto the property for an inspection. Please do not hesitate to contact our office with any additional questions and I look forward to hearing from you. Yours Truly, Docck�kko�o,II�nncorporated Keith B. Neilson, P.E. 0 Mr. Keith B. Neilson, P.E. Docko Incorporated P.O. Box 421 Mystic, CT 06355 Dear Mr. Neilson, 0 February 26, 2013 MAR - 5 2013 RE: Town of Southold Site Visit 4997 Equestrian Avenue, Fishers Island I am aware that you are trying to schedule a site visit with the Town of Southold Board of Trustees at my property located at 4997 Equestrian Avenue on Fishers Island. This letter shall serve as my authorization for you and any or all of the Town of Southold Board members to visit my site for inspection. Thank yL ouu,( ilmerding 0 FISHERS ISLAND SOUND 10 HAY y HARBOR III' l[� n 0 N/F PROPERTYPROJE07. )F WIIL IERDING LOGATIOIV 1 IAP REFERENCE NEW PIER GHNZf :129'M A j yg ND FLOf�T SCALE 700 iso o loo c�� N YARDS N/F PROPERTY OF KENNEDY FISHERS ISLAND TOWN OF SOUTHOLD O�/E=BALL PL,a.IV ��^ GRAPHIG SCALE 1'=900' i 300 0 300 MAR - 5 2013 Keith B. Neilson, Docks Ire. 1/30/2013 6?8 PM Wllmerdin%1B.C.y 1. ELEVATION DATUM 15 APPARENT MEAN LOW 'TENNIS WATER _RACKET 2. TIDE DATA IS TAKEN FROM 2012 NOAA TIDE ISLAND' TABLES REFERENCE: SILVER EEL POND. 3. PROJECT DESGRIPiION: GON57RUCT 57±UF OF 4-F7 WIDE FIXED WOOD PILE ----- ``c AND TIMBER PIER, INCLUDING UTILIl1E5 AND KAYAK RACKS, INSTALL AN B -FT X 16 -FT FLOAT WITH A KAYAK BOARDING STEP AND A550GIATED HINGED RAMP AND RESTRAINT RIES, ALL WATERWARD OF THE APPARENT HIGH WATER LINE CONSTRUCT 4 -FT WIDE TIMBER STAIRS WITH ASSOCIATED LANDINGS LANDWARD OF THE APPARENT HIGH WATER LINE 4. PROJECT PURPOSE THIS 15 A PRIVATE DOCK FOR REGREAMONAL BOAT TING '5. THESE APPLJGATION DRAWINGS REPRESENT A COMPILATION OF SURVEYS FOR ENVIRONMENTAL PERMIT PURPOSES. THEY ARE NOT CONSTRUCTION CONTRACT DOCUMENTS. A TOWN PERMIT(5) MAY BE REQUIRED. ADJOINING PROPERTY OWNERS: PROJECT: NEW STAIRS, PIER and FLOAT LOGATION: RSHER5 ISLAND -TOWN of SOUTHOLD SUFFOLK COUNTY, NEW YORK WATERWAY: HAY HARBOR DATE OCTOBER 15, 2012 APPLICANT: ALDC WILMERDING AGENT: SHEET i OF 4 DOGKO, ING. Ke" B. Nellwn, PE Mysilc, CT 06355 860 572 8939 FAX 860 572 7569 EMAIL pe Ks®do ko.c DWG 12-09-2440 46 Oma �\ \ SPARTI A\ALTERNI DEED LINE,, LJMrr GX4'ROGK q BANK TOP of 2J N��\V• \ M ardc UN � 7���\V\\\\\VV A TATED BANK y' H � MOP TION =2424 9N TOP of BANK and N�(SDE JURISDICTIONAL LIP #9 WI TN I EXISTING COASTALERO HAZARD IN1111>\\\\\ 7RA of ROCK K SHORE, BOTTOM of and T1DA.- WETLANDS LIMIT R of ROCKY SHORE `Oa \ ARTINAALTERNIFLORA IHW 276 N 5 HAY HARBOR ROCK BELOW PER E=XISTIIVC� LAHWL3 31GRAPHIC SCALE 1'_50• K o so i T 3g -0O ROCK p`KY SP- ALN11 A � KY 5H7 -5 SPARTINAALTERNIFLORA s, IMrr of ROCKY SHORE ELEVATION5 ARE BASED 40 ROCK ON APPARENT LOW WATER (ALWL) \ �0 50 ROCK \ "� \\\, 4Y0ROGK- \ 1 SURVEY by GME ENGINEERING, LAND SURVEYINGPROJECT: NEW STAIRS, PIER and FLOAT $ ARCHITECTURE, PL -C LOCATION: FISHERS ISLAND -TOWN ofSOUTHOLD SUFFOLK COUNTY, NEW YORK WATERWAY: HAY HARBOR DATE OCTOBER 15, 2012 APPLICANT: ALEX WILMERDING AGENT: SHEET 2 OF 4 )]OGKO, INC. Keith B. Neilson, PE Mystic, Cr 06355 860 572 8939 FAX 860 5727569 EMNL peftgdocko.c K ll B. Neilson, Dxko Inc. 1/30/2013 8:27 ANI \M]m,di g-�2.dwg 'IARKI TOP MON NEW WIDE NEWS TOP of BANK and NYSDEC JURISDICTIONAL UNE 30' /TWIN DE~F.p LINE ROCK SHORE, BOTTOM of BANK and TIDAL WETLANDS OMIT Ia ETATED BANK (TYP) 1 � l LIMIT oFROCKY SHORE 1 l n F f AY H,AFRBOFR �LWL o.0 \ SPARTI\NAALTERNIF'IAfLA � I \ 3 -1/2 -FT X 24 -FT RAMP -)iMHW276 I N o \ l \ NEW TIE -OFF PILE NIA)CIMU� N DIA /-NEW 6 -FTX 16-Ff FLOAT NEW KAYAK 2ARDIN0 STEP 1 ' ` \-NEW` TRAINT PIL.- ��( AP MAXIMUM 104N DIA (TYP) NEW SUPPORT PILE - MAXIMUM e4N 01A (TYP) I I \ 1 NEW V 4 -FT WIDE PIER wHh RAILS 1' I 60 ROCK BELOW PIER � 4:0 ROCK � \ AHWL33'z I �} 6'. ROCK I ) �� I NOTES ELEVATIONS ARE BASED UiBOTTOM10FBANK� S OF RO&Y SHOON APPARENT LOW WATER (ALWL) I I I I I 0 30 ROCK 1 I \l 59 \ 11NAALTERNIFLORAA �� MOORING O UMIT aF ROCKY SHORE 111 �I \ ROCKY SHORE ` CRAPHlc 9CA E V= 30 30 20 10 0 30 SURVEY by GME ENGINEERING, LAND SURVEYING $ARCHTECTURE, PLLG I PROJECT. NEW STAIRS, PIER and FLOAT LOCATION: FISHERS ISLAND - TOWN of SOUTHOLD SUFFOLK COUNTY, NEW YORK WATERWAY: HAY HARBOR DATE OCTOBER 15, 2012 APPLICANT: ALEX WIL MERDING AGENT: SHEET 3 OF 4 DC)CKO, INC. Keith B. Neilson, PE Mystic, CT 06355 860 572 8939 FAX 660 572 7569 EMAIL permrts@docko.c 11111u ot� Wllmerding_3G.dwg 0 APPROXIMATE GRADE AT CREST OF & VNK APPROXIMATE GRADE AT TOP LANDING ;. NEW 4 -FT WIDE 'I,' STARS wfN1 RALS 1NEW AFT WIDE PER END DECK EL 5-1/4±FT� I�II�i NEW SPIT CLAMP and-\ CROSS BRACE MP)— APPROXIMATE GRADE I AT END OF PER APPROXIMATE GRADE AT CENTER OF R-OAT� .... X 4 -FT LANDING EL 22sFT EW 4 -FT X 4 -FT LANDING EL 15sFT Vii NEW,94N DIA TIE-0FFPILE 1III TOP EL TA (T1'P) II -NEW 10 -IN DA SUPPORT PIF (-M fill NEW 10 -FT X 16 -FT FLOAT -wHh CONTINUOUS FLOATATION Nam FLOAT RE57PANT PILES, RAMP and CENTER TIE -OFF PILE NOT SHOWN IN THIS VIEW FOR CLARITY OF PER COMPONENTS. END x/11=W GRAPHIC SCALE V=10' 10 5 O 10 KAYAK BOARDING STEP whh, HANOHOL 05 lif . NOTE DECKING -NOT GGA TREATED, HARDWOODS MUST BE GERTRED BY FOREST STEWARDSHIP COUNCIL NEW 6 -FTX 16 -FT FLOAT with EW 4 -FT X 4 -FT LANDING EL 22tF7 CON7IN000S FLOATATION NEW 10.1N DA FLOAT RESTRaNT NEW 3--N CA TIE -OFF PILE ... NEW MFTX 4 -FT LANDING EL 5sFf PILE TOP EL 17iFT (nY TOP EL 17:F7' (1YP)-\ BEGINNING DECK EL &FT NEW 3V2 -FTX 24 -FT RAMP NEW RAILS (TYi) NEW 4 -FT WIDE PER NEW 4-F7 WIDE' o END DECK EL 5-1/4±FT STARS wft Rats rpet 33: NEW KAYAK Do— NEW 64N OA PER SUPPORT PILE TOP EL 4-FTABOVE DECK (TYP) F=FRCQ F•I FLE GRAPHIC SCALE 1'=20' 20 10 0 20 ELEVATIONS ARE BASED ON APPARENT LOW WATER PROJECT: NEW STAIRS, PIER and FLOAT LOCATION: FISHERS ISLAND - TOWN of SOUTHOLD SUFFOLK COUNTY, NEW YORK WATERWAY: HAY HARBOR DATE: OCTOBER 15, 2012 APPLICANT: ALEX W1L.MERDING AGENT: SHEET 4 OF 4 Doc<c), INC. Ke" B. NelLeon, PE Mystic, GT 06355 860 572 8939 FAX 860 572 7569 EMAIL Permft 0docko.cam Keith B. Neilson, Docks Inc. 1/30/2013 B:2S N'I "`•""�, `"y—"".""y wROING STEP -- 111-- .. 11 / a d CD uiu .who DA `� 9 9 ,w mn ¢n e4[yR q 6� ' 4 yO>W 1 D if� NAY XAR9CR Oy ' S ��'�oO ,a©a a. 4 m eeu NO m „\,\\ . © awin - 21 , aw O \ a I au I Ll w� �\ Tj __ -- w*ce W SUFFM Q aoutwio "e N NO Q ReallOmp"TuSOOOe AWry v �m sR kn A. Docko, Inc. Servine the waterfront community since 1987 P.O. Box421, Mystic, CT06355 (860) 572-8939 Fax: (860) 572-7569, email: permfts@docko.com Mr. James King Southold Board of Trustees P.O. Box 1179 Southold, NY 11971 Dear Mr. King, June 27, 2013 RE: Wihnerding Property, Fishers Island Stair and Kayak Rack Amendment Following up on conversations with your staff this morning, I was alerted to the fact that the Wilmerding access stairs to the pier and the kayak rack over the boulder were not included in our description. This is our error because we had ended the description at the spring high water line for USACOE purposes of the authorized work. We respectfully request an amendment to the permit just granted for the Wilmerding property to authorize the construction of the stairs up to the top of the bank, as we discussed during our site visit back in April, and the kayak rack to be installed over the boulder as shown in the application drawings. Attached is a check in the amount of $100 to cover the Coastal Erosion Permit as well as the Tidal Wetlands Permit Amendment and copies of sheet 3 and 4 of the application drawings. While these drawings have not been changed, they clearly show in plan and profile the work which was to be covered by this authorization. I trust that you will find this amendment request acceptable, we look forward to meeting with you at the July 17th meeting. Please feel free to call me in the meantime if the need for any further discussion arises. Yours Truly, Docko Incorporated Keith B. Neilson, P.E. KBN: tw FILE: 12-09-2440 WILMERDING Office Use Only -Lcoastal Erosion Permit Application x Wetland Permit Application _ Administrative Permit _Amendment/Transfer/Bxtension _Received Application: _Received Fee:$ _Completed Application _Incomplete _SEQRA Classification: Type I_Type II—Unlisted— _Cooniinadom(date sent) _LWRP Consistency Assessment Form _CAC Referral Sent: _Daze of Inspection: _Receipt of CAC Report _Lead Agency Determination:_ _Technical Review: _Public Hearing Held: Resolution: Name of Applicant Mr. Alex Wilmerding 33 Tai Tam Road Apt. 70, Tai Tam, Hong Kong Number:( ) Suffolk County Tax Map Number: 1000 - 009-09-3.1 Property Location: 4997 Equestrian Avenue 0 011-852-2810-8362 (provide LILCO Pole #, distance to cross streets, and location) AGENT: Oocko, Inc. (If applicable) P.O. Box 421, Mystic, CT 06355 860-572-8939 0 0 Board of Trustees Application GENERAL DATA Land Area (in square feet): 3.12 acres Area Zoning: Residential Previous use of Intended use of Private -Residential Private -Residential Covenants and Restrictions: Yes X No If "Yes", please provide copy. 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 X No Prior permits/approvals for site improvements: Agency Date X 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): Construct 47 LF of 4 -FT wide fixed wood pile and timber pier including utilities and Kayak racks install a W X 16' float with a kayak boarding step and associated hinged ramp and restraint pilings, all waterward of the apparent high waterline. Construct 2 sets of 4 -FT wide timber stairs with a 4 x 61/2 FT landing at the top and a 4FT x 4FT middle landing landward of the apparent high water line. 0 0 Board of Trustees Application County of Suffolk State of New York Alex Wilmerding _ _BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS DAY OF. Notary Public 0 0 Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) I, Harold Pratt Wilmerding residing at 55 Roxiticus Road (print owner of property) (mailing address) Mendham, NJ 07945 do hereby authorize Docko. Inc. (Agent) Keith B. Neilson. P.E. to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature) 0 0 Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: This is a private dock for recreational boating. Are wetlands present within 100 feet of the proposed activity? No X Yes Does the project involve excavation or filling? X No Yes If Yes, how much material will be excavated? (cubic yards) How much material will be filled? (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts to the subject property or neighboring properties reasonably anticipated resulting from implementation of the project as proposed, including erosion increase or adverse effects on natural protective features. (Use attachments if necessary) It is envisioned that the environmental impacts will be minimal since construction consists of driving piles for the pier support and no excavation along the shoreline. Please see attached narrative. 0 0 Board of Trustees Application WETLANDITRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Construct 47 LF of 4 -FT wide fixed wood pile and timber pier including utilities and Kayak racks, install a 8'X 16' float with a kayak boarding step and associated hinged ramp and restraint pilings, all waterward of the apparent high water line. Construct 2 sets of 4 -FT wide timber stairs with a 4 x 61/2 FT landing at the top and a 4FT x 4FT middle landing landward of the apparent high water line. Area of wetlands on lot: 1,000 square feet Percent coverage of lot: 0 5 % Closest distance between nearest existing structure and upland edge of wetlands: N/A feet Closest distance between nearest proposed structure and upland edge of wetlands: 5 feet Does the project involve excavation or filling? X 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: Not Applicable 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): It is envisioned that environmental impacts will be minimal. Please see attached narrative. Ll OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 40 rjf SOCA Ujyo T ��y00UNiY,�" 9 0 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Jim King, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: June 18, 2013 Re: LWRP Coastal Consistency Review for HAROLD WILMERDING & ALEX WILMERDING SCTM# 1000-9-9-3.1 Docko, Inc. on behalf of HAROLD WILMERDING & ALEX WILMERDING request a Wetland Permit and a Coastal Erosion Permit to construct a 47LF. x 4ft. wide fixed wood pile and timber pier including 4 tie -off piles; an associated 3.5'x24' hinged ramp; a 8'x16' float; and restraint pilings, all waterward of the apparent high water line. Located: 4997 Equestrian Avenue, Fishers Island. SCTM# 9-9-3.1 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposal is INCONSISTENT with LWRP Policies 4.1 (below) and therefore, INCONSISTENT with the LWRP. 4.1 Minimize losses of human life and structures from flooding and erosion hazards. The following management measures to minimize losses of human life and structures from flooding and erosion hazards are suggested: A. Minimize potential loss and damage by locating development and structures away from flooding and erosion hazards. 1. Avoid development other than water -dependent uses in coastal hazard areas. Locate new development which is not water -dependent as far away from coastal hazard areas as practical. a. No development is permitted in natural protective feature areas, except as specifically allowed under the relevant portions of 6 NYCRR 505.8. A portion of the proposed dock is within the Coastal Erosion Hazard Area (CEHA). All development is prohibited in the nearshore area pursuant to § 111-11. unless specifically provided for by Chapter 111, COASTAL EROSION HAZARD AREAS. Pursuant to § 111-6, the fall of each year. Therefore, the dock, as proposed, is prohibited in the nearshore area pursuant to Chapter 111, COASTAL EROSION HAZARD AREAS as it is greater than 200 square feet and not removable. In the event that the action is improved it is recommended that the Board clarify if the pilings will be treated with CCA. If so, an alternative to CCA treated pilings is recommmeded. 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 i office use only ..X -Coastal Erosion Permit Application x Wetland Permit Application _ Administrative Permit _AmendmeaVrransf tension Received Application: ` / x Received F Completed Application / / _incomplete _SEQRA Classification: Type I_Type HUnlisted_ _Coordination:(date sent) _2LLWRP Consistency As t Fonn s / 3 T CAC Referral Sent Date of Inspection: _Receipt of CAC Report Uead Agency Determination:_ Uecbnical Review: _LPublic Hearing HeUI Resolution: Name of Applicant Mr. Alex Wilmerding 33 Tai Tam Road Apt. 71), Tal Tam, Hong Kong Number:( ) 011-852-2810-8362 Suffolk County Tax Map Number: 1000-009-09-3.1 Property Location: 4997 Equestrian Avenue (provide LILCO Pole #, distance to cross streets, and location) Docko, Inc. (If applicable) P.O. Box 421, Mystic, CT 06355 phone: 860572-8939 Board of Trustees Application GENERAL DATA Land Area (in square feet): 3.12 acres Area Zoning: Residential Previous use of property: Private -Residential Intended use of property: Private -Residential Covenants and Restrictions: Yes ---X—No If "Yes", please provide copy. Does this project require a variance from the Zoning Board of Appeals Yes --XNo 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 X No Prior permits/approvals for site improvements: Agency Date X 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): Construct 47 LF of 4 -FT wide fixed wood pile and timber pier including 4 tie -off piles and an 8'X W float with associated hinged ramp and restraint pilings all water - ward of the apparent high water line. The overall length of the pier is 50 LF. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: The proposed project is to construct 47(+/ -)-LF of 4 -FT wide fixed wood pile and timber pier including 4 tie -off pilings and a 8'X 16' float. -. 1.-. SIN .11 - - . . 1- - Area of wetlands on lot: 1,000 square feet Percent coverage of lot: p g % Closest distance between nearest existing structure and upland edge of wetlands: N/A feet Closest distance between nearest proposed structure and upland edge of wetlands: 5 feet Does the project involve excavation or filling? X 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: Not Applicable 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): It is envisioned that environmental impacts will be minimal. Please see attached narrative. t Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: This is a private dock for recreational boating. Are wetlands present within 100 feet of the proposed activity? No X Yes Does the project involve excavation or filling? X No Yes If Yes, how much material will be excavated? (cubic yards) How much material will be filled? (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts to the subject property or neighboring properties reasonably anticipated resulting from implementation of the project as proposed, including erosion increase or adverse effects on natural protective features. (Use attachments if necessary) It is envisioned that the environmental Impacts will be minimal since construction consists of driving piles for the pier support and no excavation along the shoreline. Please see attached narrative. t 9.-9-22.1 Sheila R. Kennedy 194 Lakeview Ave., Cambridge, MA, 02138 9.-9-28.1 Roderick L. Hickey III 446 E 86` Street, Apt. 9F, NY, NY 10028 9.-9-3.1 Harold P. Wilmerding 55 Roxiticus Rd., Mendham, NJ 07945 9.-9-3.2 Amy M. Manny & others Attn: D R Wilmerding 2518 Canes Rd., Owings Mills, MD 21176 9.-9-16 Walter C. and Susan P. Keenan 1000 Mason St., Apt 801 San Francisco, CA 94108-1976 Board of Trustees Application County of Suffolk State of New York Alex Wilmerding 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 HISMER 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. L-j� Signature SWORN TO BEFORE ME THIS ' DAY OF l ?A )3 MM Wim �-= �-�^ Ko -Kwok *'^=¢" Solicitor Freth6elds Bruckhaus Deringer Hong Kong SAR Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) 1 Harold Pratt Wilmerding residing at 55 Roxkicus Road (print owner of property) (mailing address) Mendham, NJ 07945 do hereby authorize Docko, Inc. (Agent) Keith B. Neilson. P.E. to apply for permit(s) from the Southold Board of Town Trustees on my behalf. N ( wner's signature) APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM YOUR NAME: 1A i�� A L.MGAWA)&- (Last name, fust name,>,riddle 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 Variance Change of Zone Approval of plat Exemption from plat or official map Other (If "Other', name the activity.) _ Building Trustee Coastal Erosion Mooring Planning Do you personally (or through your company, spouse, sibling, patent or child) have a relationship with arty officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO _X_ If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself (the applicantlagent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): _A) the owner of greeter than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation), B) the legal or beneficial owner of any interest in a non -corporate entity (when the applicant is not a corporation); _C) an officer, director, partner, or employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted is A-1 2043 Signatu _ Print N e RA / L G Form TS I APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the; part of town officers and employees. The puMm of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same . �p YOUR NAME: �! 1 L& -A N 9w— W I ct% r" ig?f (Lest name, first name, griddle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If "Othe(', name the activity.) Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business imerest. "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO _ If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself (the applicantlagent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or dcscribc in the space provided. _ The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); B) the legal or beneficial owner of any interest in a non -corporate entity (when the applicant is not a corporation); C) an officer, director, partner, or employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of 2003 Signature A W LL;2 Print Name Vi LZ`f.Ai-iDu� W f UVl �iLO l r�d7 Form TS I 0 0 Dooko, Inc. Serving the waterfront community since 1987 P.O. Box 421, Mystic, CT 06355 (860) 572-8939 Fax: (860) 572-7569, email: permits@docko.com Mr. James King, President Southold Board of Trustees P.O. Box 1179 Southold, NY 11971 Dear Mr. King: June 10, 2013 Re: Alex Wilmerding Hay Harbor, Fishers Island Attached is a copy of the Proof of mailing notices and the original Affidavit of Posting with photograph for the Mr. Alex Wilmerding on Fishers Island for the upcoming town meeting on June 19, 2013. Yours truly, DOCKO, INC. =�: Cindy Bayreuther CB: cb Attachments File: 12-9-2440 WILMERDING • 0%3F F01 • James P. King. Preidem BobGhosio. Jr.. Vice -President Dave Bergen John Bredemeper Michael J. Domino BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of HAROLD WILMERDING & ALEX WILMERDING COUNTY OF SUFFOLK) STATE OF NEW YORK) "rows I fall_ 53095 Main Rd, P.O. Box 1179 Southold. NY 11971 Telephone (631) 765-1892 Fax(631)765-6641 JUN 1 1 2013 Southold Town AFFIDAVIT OF POSTING TO RE COMPLETED AFTER POSTING REMAINS IN PLACE FOR EIGHT DAYS 1, Vlei}V) ;(. , residing at /dba /tt PtDjyr,,,tS WkLc AL4&`1L C4-- C)Le3�y being duly sworn, depose and say: That on the (� day of Si wvt _ , 2013, 1 personally posted the property known as Kiri A& U-)N\V-UJCLr--%Cl { A\��X Xk)%'1yV%k/etl-gC4 by placing the Board of Trustees tMcial poster where it can easiq 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, June 19, 2013. Dated: (signature) Sworn to before me this qfA day of N%20/_3 tary Public NOTICE �cfucau rjo-AMar"e�"' N 0 iiw 0 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Ms. Shelia Kennedy Mr. Roderick L Hickey III Ms. Amy M. Manny & Others, Atm. D R Wildmerding Mr. Walter C. & Susan P. Keenan STATE OF CONNECTICUT COUNTY OF NEW LONDON Address: 194 Lakeview Avenue, Cambridge, MA 02138 446 E 86`h Street, Apt. 9F, NY, NY 10028 2518 Canes Road, Owings Mills, MD 21176 1000 Mason Street, Apt. 801, San Francisco, CA 94108-1976 ®DOCKO, INC. , residing at 14 HOLMES STREET, MYSTIC, CT 06355, being duly sworn, deposes and says that on the r-2$ day of , 20_13 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 MYSTIC, CT, that said Notices were mailed to each of said persons by (certified) (registered) mail. Sworn to Wore me this %f Day of , 20�3_ CJ Notary Notary Public 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. t • yaxo OWNER(S) OF RECORD: 4/ax, bAmeirdin9 SUBJECT OF PUBLIC HEARING: Construct a 47LF. x 4ft. wide fixed wood pile and timber pier including 4 tie -off piles; an associated 3.5'x24' hinged ramp; a 8'x16' float; and restraint pilings, all waterward of the apparent high water line. TIME & DATE OF PUBLIC HEARING: a ( nes,&,,, Sine / L2013 - a -f- or bow%S . 3OPM 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 a.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 617.20 Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM Purpose: The full FAF is designed to help applicants and agencies determine, in an orderly manner, whether a project or action may be signif Icant. The question of whether an action maybe significant is not always easy to answer. Frequently, there are aspects of a project that are subjective or unmeasurable. It is also understood that those who determine significance may have little or no formal knowledge of the environment or may not be technically expert In environmental analysis. In addition, many who have knowledge In one particular area may not be aware of the broader concerns affecting the question of significance. Thefull EAF Is Intended to provide a method whereby applicants and agencies can be assured that the determination process has been orderly, comprehensive In nature, yet flexible enough to allow introduction of Informatlon to fit a project or action. Full FAF Components: The full FAF is comprised of three parts Part 1: Provides objective data and Information about a given project and its site. Lay Identifying basic project data, it assists a reviewer In the analysis that takes place in Parts 2 and 3. Part 2: Focuses on identifying the range of possible Impacts that may occur from a project or action. It provides guidance as to whether an Impact Is likely to be considered small to moderate or whether It Is a potentially -large Impact. The form also identifies whether an Impact can be mitigated or reduced. Part 3: If any impact in Part 2 is identified as potentially -large, then Part 3 is used to evaluate whether or not the impact is actually important. THIS AREA FOR LEAD AGENCY USE ONLY DETERMINATION OF SIGNIFICANCE — Type 1 and Unlisted Actions Identify the Portions of FAF completed for this project: ® Part 1 Part 2 Part 3 Upon review of the information recorded on this FAF (Parts 1 and 2 and 3 if appropriate), and any other supporting information, and considering both the magnitude and Importance of each Impact, it is reasonably determined by the lead agency that: ® A. The project will not result in arty large and important impact(s) and, therefore, is one which will not have a significant Impact on the environment, therefore a negative declaration will be prepared. © B. Although the project could have a significant effect on the environment, there will not be a significant effect for this Unlisted Action because the mitigation measures described In PART 3 have been required, therefore a CONDITION® negative declaration will be prepared.* C. The project may result in one or more large and Important Impacts that may have a significant Impact on the environment, therefore a positive declaration will be prepared. A Conditioned Negative Declaration is only valid for Unlisted Actions New Dock Construction Name of Action Name of Laid Agency Print or Type Name of Responsible officer in Lead Agency Title of Responsible Officer Sig atureof Responsible Officer in Lead Agency Signature of Reparerifferent from responsible cer website Date Page 1 of 21 PART 1—PROJECT INFORMATION Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be considered as part of the application for approval and may be subject to further verification and public review. Provide any additional information you believe will be needed to complete Parts 2 and 3. It is expected that completion of the full EAF will be dependent on information currently available and will not involve new studies, research or investigation. If information requiring such additional work is unavailable, so indicate and specify each instance. Name of Action New pier and float Location of Action (include Street Address, Municipality and County) 4997 Equestrian Avenue Name of Applicant/Sponsor Alex Wilmerding Address 33 Tai Tam Road, Apt 7D City / PO State Hong Kong Zip Code Business Telephone 011-852-2810-8063 Name of Owner (if different) Harold Pratt Wilmerding Address 55 RnYifiruc Road City / PO Mendham State NJ Zip Code 07945 Business Telephone 973-543-7565 Description of Action: Construct 47(+/-) LF of 4 -FT wid wood pile and timber pier including 4 tie -off piles and an 8'x 16' float with associated hinged ramp and restraint piles all waterward of the apparent high water line. Page 2 of 21 s Please Complete Each Question --Indicate N.A. if not applicable A. SITE DESCRIPTION Physical setting of overall project, both developed and undeveloped areas 1. Present Land Use: ❑ Urban ❑ Industrial ❑ Commercial ® Residential (suburban) ❑ Rural (non-farm) ❑Forest ❑Agriculture Mother 2. Total acreage of project area: .10 acres. APPROXIMATE ACREAGE 3,12 PRESENTLY AFTER COMPLETION Meadow or &ushland (Non-agricultural) 0.7 acres 0.7 acres Forested 2(+/-) acres 2(+/-) acres Agricultural (Includes orchards, cropland, pasture, etc.) acres acres Wetland (Freshwater or tidal as per Articles 24,25 of ECL) acres acres Water Surface Area acres acres Unvegetated (Rock, earth or fill) 0.2 acres 0.2 acres Roads, buildings and other paved surfaces 0.3 acres 0.3 acres Other (Indicate type) acres acres 3. What is predominant soil type(s) on project site? grav a. Soil drainage: © Well drained 100% of site ❑ Moderately well drained _% of site. ❑ Poorly drained _% of site b. If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NYS Land Classification System? acres (see 1 NYCRR 370). 4. Are there bedrock outcroppings on project site? ❑ Yes ® No a. What is depth to bedrock (in feet) 5. Approximate percentage of proposed project site with slopes: ❑0-10% 90 % ❑10- 15%_% ❑ 15% or greater 10 % 6. Is project substanti I contiguous to �or contain a building, site, or district, listed on the State or National Registers of Historic Places? Yes Lal No 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? ❑ Yes ©No B. What is the depth of the water table? 0 (in feet) g. Is site located over a primary, principal, or sole source aquifer? ❑ Yes © No 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? ® Yes ❑ No Page 3 of 21 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered7 ®Yes ®No 12. Are there any unique or unusual land forms on the project site? (I.e., cliffs, dunes, Oyes [3JNo 13. Is the project site presently used by the community or neighborhood as an open space or recreation area? ®Yes ®No If Yes. exclaim 14. Does the present site Include scenic views known to be important to the community? 15. Streams within or contiguous to project area: a. Name of Stream and name of Fever to which it Is tributary 16. Lakes, ponds, wetland areas within or contiguous to project area b. Size 1� Page 4 of 21 t 17. Is the site served by existing public utilities? FK1 Yes No a If YES, does sufficient capacity exist to allow connection? ®Yes No b. R YES, will improvements be necessary to allow connection? []yea 0 18. Is the site located In an agricultural district certified pursuant to Agriculture and Markets Law, Article 25 -AA, Section 303 and 304? []Yes RNo 19. Is the site located in or substantial contiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 617? ®Yes INNo 20. Has the site ever been used for the disposal of solid or hazardous wastes? 0ye3 No B. Project Description 1. Physical dimensions and scale of project (fill In dimensions as appropriate). a Total contiguous acreage owned or controlled by project sponsor: 3.12 acres. b. Project acreage to be developed: _111—acres initially; .01 eco ultimately. c. Project acreage to remain undeveloped: 2(+/-) acres. d. Length of project, in miles: 100 FT (If appropriate) e. If the project is an expansion, Indicate percent of expansion proposed. _% I. Number of off-street parking spaces existing 3 proposed 3 g. Maximum vehicular trips generated per hour: N/A (upon completion of project)? h. If residential: Number and type of housing units: One Family Two Family Multiple Family Condominium Initially 1 existing Ultimately 1 retain I. Dimensions (in feet) of largest proposed structure: 10 height; 4 width; 100 length. J. Unear feet of frontage along a public thoroughfare project will occupy is? 100 (+/-) ft. 2. How much natural material (i.e. rock, earth, etc.) will be removed from the site? ,._4tons/cublc yards. 3. Will disturbed areas be reclaimed ®yes ®No ® WA a If yes, for what Intended purpose is the site being reclaimed? b. WIII topsoil be stockpiled for reclamation? ®yes R No c. WIII upper subsoil be stockpiled for reclamation? ®yam ® No 4. How many acres of vegetation (trees, shrubs, ground covers) will be removed from site? none acres, Page 5 of 21 t S. Will any mature forest (over 100 years old) or other lobally-Important vegetation be removed by this project? Elyse ® No 6. If single phase project: Anticipated period of constructlon: 2 months, (Including demolition) 7. If multi -phased: a. Total number of phases anticipated _ (number) b. Anticipated date of commencement phase 1: month _ year, (including demolition) C. Approximate completion date of final phase: month year. d. Is phase 1 functionally dependent on subsequent phases? © Yes 13 No 8. Will blasting occur during construction? n Yes ® No 9. Number of Jobs generated: during construction 3 ; after project is complete 0 10. Number of jobs eliminated by this project 0 11. Will project require relocation of any projects or facilities? [—]yes ®No If yes, explain: 12. Is surface liquid waste disposal involved? Oyes ®No a. If yes, indicate type of waste (sewage, industrial, etc) and amount b. Name of water body into which effluent will be discharged 13. Is subsurface liquid waste disposal Involved? ® Yes ® No Type 14. Will surface area of an existing water body Increase or decrease by proposal? rlYes ®No If yes, explain: 15. Is project or any portion of project located Ina too year flood plain? ®yes [3No 16. Will the project generate solid waste? ❑ yes R] No EL If yes, what is the amount per month? tons b. If yes, will an existing solid waste facility be used? © yes © No C. If yes, give name location d. Will any wastes not go Into a sewage disposal system or Into a sanitary landfill? Oyes Page 6 of 21 0 No Reset s a If yes, explain: 17. Will the project Involve the disposal of solid waste? Oyes ®No a. If yes, what Is the anticipated rate of disposal? tons/month. b. If yes, what is the anticipated site life? years, 18. Will project use herbicides or pesticides? E]Yes ® No 19. Will project routinely produce odors (more than one hour per day)? [—]Yes ®No 20. WIII project produce operating noise exceeding the local ambient noise levels? ®Yes []No 21. WIII project result in an Increase in energy use? Oyes ® No If yes, Indicate type(s) 22. If water supply is from wells, indicate pumping capacity gallons/minute. 23. Total anticipated water usage per day 10 +/- gallons/day. 24. Does project involve local, State or Federal funding? ® Yes ® No If yes, explain: Page 7 of 21 C. Zoning and Planning Information 1. Does proposed action Involve a planning or zoning decision? ®Yes ® No If Yes, indicate decision required: ® Zoning amendment ® Zoning variance New/revision of master plan ®Subdivlslon Site plan ® Special use permit Resource management Plan Other Page 8 of 21 25. Approvals Required: Type Submittal Date City, Town, Village Board Yes 0 No Town of Southold Decmber 2012 City, Town, Village Planning Board E]Yea ❑ No City, Town Zoning Board ©Yes © No City, County Health Department ®Yes ❑ No Other Local Agencies ® Yes ® No Other Regional Agencies ❑Yes ❑ No State Agencies ® Yes ® NYS DEC No January 2013 NYS DEC January 2013 Federal Agencies IjR Yes ❑No US ACOE January 2013 C. Zoning and Planning Information 1. Does proposed action Involve a planning or zoning decision? ®Yes ® No If Yes, indicate decision required: ® Zoning amendment ® Zoning variance New/revision of master plan ®Subdivlslon Site plan ® Special use permit Resource management Plan Other Page 8 of 21 2. What is the mnina rlaseHMatinn(e1 „ r rhe ehso 3. 4. 5. Residential, single family, one dwelling per lot. muannum pocenual aevelopment of the site If developed as permitted by the present zoning? Residential, single family, one dwelling per lot. • • • •... •., my pvyvuw ... l ly YI W IV Met [IN I o changes ..,1a. I0 PIV lll�lmum purenua aeveiopment of the site if developed as permitted by the proposed zoning? [Fhan7gm proposed. Is Flu propuseo action consistent with the recommended uses In adopted local land use plans? ]n1 Yes Mur. What .m the ------._..._._ _....,,,, ..,,, --lilt ol"amluns wmmn a r4 mile Monte of proposed action? IAdjacent land uses are residential. 8. Is the proposed action compatible with adjoining/surrounding land uses with a r/. mile? ®Yes © No 9. 'If the proposed action is the subdivision of land, how many lots are proposed? a. What is the minimum lot size proposed? Page 9 of 21 e 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? [:] Yes ® No 11. Will the proposed action create a demand for any community provided services (recreation, education, police, fire protection? nYes M No a. If yes, Is existing capacity sufficient to handle projected demand? [:] Yes 1:1 No 12. Will the proposed action result in the generation of traffic significantly above present levels? Q Yes ® No a. If yes, Is the existing road network adequate to handle the additional traffic. QYes © No D. Informational Details Attach any additional information as may be needed to clarify your project. If there are or may be any adverse Impacts associated with your proposal, please discuss such Impacts and the measures which you propose to mitigate or avoid them. E Verification certify that the Information provided above is true to the best of my knowledge. �( Applicant/Sponsor Name Alex Wilmerding Date �4WU1w, 20j3 Signature Title If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment. Page 10 of 21 PART 11 - IMPACT ASSFSRMFNT ITS rmmnlatad by Lead Aaencvl 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 ❑1 No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative declaration may be superseded by another involved agency. ❑ Yes 0 No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) Cl. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character/ Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly: C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: C6. Longterm, short term, cumulative, or other effects not identified in C1-05? Explain briefly: C7. Other impacts (including changes in use of either quantity or type of energy)? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? ❑ Yes 0 No If Yes, explain briefly: E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑ Yes F,71 No If Yes, explain briefly: PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question D of Part 11 was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. E] Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FAF and/or prepare a positive declaration. ❑ Check this box if you have determined, based on the information and analysis above and any supporting documentation, thatthe proposed action NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting this detennir Board of Trustees ✓✓ .✓ / Z- / 3 ate President Title of Responsible: Officer Signature of Preparer different from responsible officer) 9 FORM - 06 Town of Southold (ED Erosion, Sedimentation & Storm -Water Run-off ASSESSMENT FORM PROPERTY LOCATION: 84J.111.0. THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A STORM-WATM. O DRAINAGE EROSION L PLAN A nn i CERTIFIED BY A DESIGN KW4AL IN THE OTATIN Of NSA YOW SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM # / WORK ASSESSMENT Yes No a. What Is the Total Area of the Project Parcels? IWill this Project Retain All Storm -Water Run -Oft (Include Total Area of all Parcels located within 3 r 12 Generated by a Two (2') Inch Rainfall on Sim? the Scope of Work for Proposed Construction) (s.r. casts) (This Item will include all run-off created by slte b. What is the Total Area of Land Clearing doming and/or construction activities as well as all and/or Ground Disturbance for the proposed /j. I n Site Improvements and the permanent creation of construction activity? Impervious surfaces.) ts.F. f crawl 2 Does the Site Plan and/or Survey Show An Proposed ,{.a PROVIDE- BRIEF MOJWr DFSCRIMON (na+sl-Adaamd werrAv.mn Drainage Structures Indicating Size 8 Location? This hem shall Include all Proposed Grade Changes and _ IJ ^'_ / exym j.4t � L O y w C� w I 4-e-� � J�—i r i_ Slopes Controlling Surface Water Flow. 3 Does the Site Plan and/or Survey describe the erosion 1 A N PJ L j �-*-& �WI 62 % I) IG( dim and sediment control practices that will be used to control site erosion and storm water discharges. This ❑ . _ an Item must be maintained throughout the Entire Construction Period. L `' '_ I ,, KI Gam LL.),+h A SSOCt C.YCOL. 4 Will this Project Require arty Land Filing, GraMng a Excavation where there Is a change to the Natural hi f nc' 6L nga4 4 01AJIL ()1 S'�6.1:1 1211lYlL Existing Grade Involving more than 2DO Cubic Yarm _ U O of Material will any Parcel? - /Jl d § Will ration Require Lend Tho Activities err �1 ,L/�— �n +LD assist Encompassing an Area in Excess of Fite Thousand ❑ of Five 1I h, r R e cu. Gil TYL q 111 1_C i5—�, � (5,000 S.F.) Square Feet of Ground Surface? 6 is Mere a Natural Water Course Running through the She? Is this Project within the Trustees judsdlcton ✓ or within One Hundred (100') feet of a Wetland or Ganem DEC BWPPP Rea ktr nb: Submission of a SWPPP Is required for as ConsWctlon activities involving sol Beach? disturbances of one (1) or mare aces; Indudhg dialurbnnces of lees than we tars met % Will there be She preparation on Existing Grade Slopes are part of a larger common pion metra u ball disturb ane or mora aces of land; which Exceed Fifteen (15) feet of Vertical Rim to ❑ Including Construction aolvMar involving sol dsarbances of leas than one (1) was where One Hundred (107) of Horizontal Distance? L the DEC has detarmhed that a SPDES permit Is required for stem water disdheryea. (SWPPP's Shall marl the IAlalmum Requlmsnals of the SPOES Gsnaral Permit 8 Will Driveways, Parting Areas or other Impervious for Sturm Water ONcMrgea from Construction activity • Permit Na. GP -0.10-001.) Surfaces be Sloped to Direct Storm -Water Run -Off ❑ 1. The SWPPP shall be prepared prior to the subrdtial of tib NOI. The NO) shell be Into and/or In the direction of a Town rightof way. — subniRW to the Department prior to the commencement of mmtruWon activity. 2. The SWPPP analdeahbo the aroeim and sodhnantconed praeticaa and whoa 9 Will this Project Require the Placement of Material, requlrack posteombucticn storm water m negement practices that Wit be used andfor Removal of Vegetation and/or the Construction of arty constructed to reduce tis pollutants h storm avatar dhscharg s and masses Item Within the Town Right of --Way or Road Shoulder ❑ companies with the terms and conations of this permit. N addition, the SWPPP om1 Area? free has Mn NOT Include sehrra4um alahess, Aprwral Identify potential sources of pollution which may reasonably be expected to affect this quality of storm water discharges. NOTE: NAny Answoto question One through Nae Is Answered with a Chook Mark 3. N SWPPPs that mqulm the postcomtrnibn shuts water meneg~ psctioe in a Box and the construction sib dbWrbanes Is between 5,000 S.F. i 1 Ase in arae, craponant shall be prepared by a qualified Design Professional Licensed In Now York that Is knowledgeebla h Ile pdnclptas and pmcticm of Slum water Management. a atwmi l oraerng, Drainage A Erosion Control Plan le Resubmit by am Tawn of Southold and Must be SubmNbd far Rewew Prior to Mosnos ai Any Sulking Puma. (NOTE: ACherk Mark 111 scut/arAnaaerlarerb ouestbrh ResuMfore Carrgbe APp-ceaan) STATE OF Nr LOiv [) COUNTY OF ......�'�.................. !S!.. SS • .. N. u.l �being duly That I, .....K:ir.4.? . ......... .......... :.................... sworn, deposes and says that he/she is the applicant far Permit, (Name d IrvOddrl .lying DowmaM) .. . And that he/she is the .......................................... .................................. *......... , (Uwnr, Contracbr, Allem, Capaeb Olacec sea) Owner and/or representathre 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 wiU be performed in the manner set forth in the application, filed herewith. Sworn to before ��m//e this; rGT/�............. day of ..... 3 • Notary Public:..... ... ............c_ ............ .......... (SignahxaolApp/cenl) FORM - 06 Town of Southold • LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold 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 for 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 simificant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non -supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's Office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 1000 — 009 — 09-3.1 PROJECT NAME: New dock facility The Application has been submitted to (check appropriate response): Town Board Planning Board Building Dept. Board of Trustees X 1. Category of Town of Southold agency action (check appropriate response): a) Action undertaken directly to 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: X Construct a 47(+/-) LF of 4 -ft. wide wood timber and pile supported pier including 4 tie -off piles and a 8' x 16' float with associated hinged ramp and restraint piling all waterward of the apparent high water line. The overall length of the pier is 50 LF. Location of action: Property off of Equestrian Avenue Site acreage: Parcel= 3.12 Present Land use: Residential Present Zoning Classification: Residential 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: Alex Wilmerding b) Mailing Address: 33 Tai Tam Road Apt. 71), Tai Tam, Hong Kong c) Telephone number: Area Code 011-852-2810-8362 d) Application number, if any Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes X No If yes, which state or federal Agency? US ACOE, NYS DEC NYS DOS C. Evaluate the project to the following policies by analyzing how the project will further support of 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 LW" Section III — Policies; Page 2 for evaluation criteria. X Yes _ No _ Not Applicable These new dock facilitv makes appropriate use of an existing waterfront site and complies with environmental design factors published by the NYS DEC, and the DOS Coastal Management Program, Southold Local Law No. 6. 2004 and the Southold LWRP. The vier will be built to a 4 -foot deck width and 5 foot height over the bottom sediments until passing, the apparent mean low water line. Rails will be 42 inches above the deck. There will be no impairment of waterflow or navigation. Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III — Policies Page 3 through 6 for evaluation criteria. Yes No X Not Applicable 2 t 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 X Not Applicable The proposed work is the construction a 47 (+/-) LF (LOA) of 4 -FT wide fixed wood pile and timber pier including 4 tie off piles and an 8' x 16' float with associated hinged ramp and restrain piling, The only visual access affected by this project is at the applicant's site and immediate neighbors in this small cove which is surrounded by trees. The portion of the facility visible from the Kennedy's home the south will look substantially the same, as her own dock facility and Mr. Wilmerding's dock beyond this rp oiect. 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 X Not Applicable The new dock facility will be constructed in Hay Harbor and is acknowledged to be in a flood -prone area; there is limited wave exposure at this site. The new pier will be designed to accommodate complete submersion and resist hydrostatic and hydrodynamic uplift pressures due to flooding 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 X Not Applicable This project will not have any affect on suitability of or availability of drinking water on Fishers Island. 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. X Yes _ No Not Applicable t This project is consistent with this policy because it proposes the elevation of the pier at an acceptable height above the bottom sediments through which adiacent tidal wetlands vegetation may spread, the dock site however is so rocky in nature surrounding the west shore of the cove, that vegetation along the shoreline is minimal The pier spans over a shoreline boulder where no wetlands vegetation grows, and so no adverse impact on tidal vegetation is anticipated as a result of the proposed project. No submerged Nuatic vegetation was observed at the dock site or along the shorefront during the survey. In addition, the NYS DEC prepared a study showing that the proposed pressure -treated Southern Pine timber products construction materials are suitable for this type of project in this location, except for decking which will be of untreated woods or composite (or plastic) materials. As mentioned earlier, the design parameters shown on the drawings provides an optimum balance between acceptable design and access standards without depriving the wetlands vegetation the opportunity to spread. 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 X Not Applicable There are no air quality issues related to this project No emissions will be generated by the dock facili . 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 X Not Applicable There is no solid waste or hazardous substances to be generated from this project. The pressure -treated wood trimmings from the dock construction will be collected and disposed of in accordance with current regulations so as to minimize any harmful affect. PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III — Policies; Pages 38 through 46 for evaluation criteria. Yes No X Not Applicable 0 line out. These environmental resources are being protected by the design standards dictated by the NYS DEC. There is virtually no public use of the waterfront in this area. 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. X Yes No Not Applicable This project is to construct a new dock facility for water -dependent, recreational and transportation boating. This usage is defined as water -dependent in the LWRP because the new dock facility will be for recreational boating and provide boat transportation access to the mainland. The vier to shore is to provide access while vrotecting existing habitat, both by strategic location and height. 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 X Not Applicable This pier is not used for commercial fishing or shellfish industries or enterprises. Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. Yes No X Not Applicable This pier is not used for or in support of any azdcultural or aquaculture industries or enterprises. Policy 13. Promote appropriate use and development of energy and mineral sources. See LWRP Section III — Policies; pages 65 through 68 for evaluation criteria. Yes No X Not Applicable PREPARED BY Keith B. Neilson, P.E. Docko, Inc. TITLE Agent DATE April 23, 2013 1 � _ Docko, Inc. Serving the waterfront community since 1987 P.O. Box 421, Mystic, CT 06355 (860) 572-8939 Fax: (860) 572-7569, email: permits@docko.com Mr. James King, President Southold Board P.O. Box 1179 Southold, NY 1: Dear Mr. King: April 26, 2013 Re: Alex Wilmerding, Fishers Island New Stairs, Pier & Float Hay Harbor, Fishers Island On behalf of Mr. Alex Wilmerding, we enclose herewith the following in support of his permit application for new stairs, pier and float in Hay Harbor on Fishers Island. ➢ Three prints each of plans titled: Project: "New Stairs, Pier & Float" Waterway: Hay Harbor Location: Fishers Island, Town of Southold Suffolk County, New York Applicant: Alex Wilmerding Date: October 15, 2012 ➢ Three copies of the Southold Board of Trustees permit application, SEQR- Part 1, LWRP Consistency Assessment Form, Tax Assessor's Map, site photographs and location map and topographic and boundary survey of the site. ➢ 2 checks in the amount of $250.00 payable to the Town of Southold. I trust that you will find this application package complete and acceptable; please let me know if the need for further information arises. Very truly yours, DOCKO, INC. -04" ci . Keith B. Neilson, P.E. KBN:cb Enclosures CC: Alex Wilmerding US ACOE NYS DEC: Environmental Permits NYS DOS File: 12-09-2440 WILMERDING