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Kelly, John F & Ann Marie
gpFFO(,~ James F. King, President p~ C P.O. Box 1179 Bob Ghosio, Jr., Vice-President Southold, NY 11971 Dave Bergen Telephone (631 765-1892 John Bredemeyer 0 2 Fax (63 D 765-6641 Michael J. Domino 'F y,~~1 # ,~aor Southold Town Board of Trustees Field InspectionMork Session Report Date/Time: L6113 Patricia C. Moore, Esq. on behalf of JOHN F. & ANN MARIE KELLY requests a Wetland Permit and a Coastal Erosion Permit to repair the existing 25' long wave break which is attached to dock on adjacent property. Located: 600 Bay Avenue, Orient. SCTM# 24-2-11 Type of area to be impacted: -Saltwater Wetland -Freshwater Wetland -Sound /Bay Distance of proposed work to edge of wetland 2 of Town Cde proposed work falls under: hapt.275 _Chapt. 111 -other Type of Application: _/Wetlan/ Coastal Erosion -Amendment _Administrative_Emergency -Pre-Submission Violation Info needed: Modifications: Conditions:e--okk %t ,f~ ~ a~ ~>1?? u~ ~ La;ia QNAnL a-. N o Y -s-,t u q efu-t c0 /h Un J i w C9ti Present Were: J. Kog Ghosio / D. Bergen, _,,ed: Bredemeyer Michael Domino D. Dzenkowski other Form filled out in by re~ qr Mailed/Faxed to: Date: t 5 r w E kr ~ ? 0lv ~ • v ~~-,t IKE r 00 .r t N 1~ {f ? G~ .c Y f a ~ ^s v 1 N ? ~I r .f aJ~ Y , r cam.) Y ' a Of fvq - "S•w .jS~ F 'fG" .ice. N:n lip -K~a,( F •i~-~l:~f k S ~~r~ ' ' ~'4*~r _ S~~ ;f. t +IZ'.'~,~ ~ ~y~~L t r r _ 7' . 'r1! 11 17~~/ -Coo, a S. Now- ~v. r _ _ . - I tit ~2' ~+C`~a 1 r J~ JOB j 1 4 .,ro--- 1 o~~gUFFO(~-co o~ Gyp TRUSTEES CO* Z SCOTT L. HARRIS John M. Bredemeyer, 111, President Supervisor Henry P. Smith, Vice President Jr. Town Hall, 53095 Main Road Albert J. Krupski, P.O. L. Bednoski, Jr. . Box 1179 k 11977 John B. Tuthill Southold, New York BOARD OF TOWN TRUSTEES Fax (516) 765-1823 Telephone (516) 765-1892 TOWN OF SOUTHOLD Telephone (516) 765-1800 March 8, 1991 John Costello Costello Marine P.O. Box AK Greenport, NY 11944 RE: Arthur Van Dewater SCTM #1000-24-2-11 Dear Mr. Costello: The following action was taken by the Southold Town Board of Trustees on Thursday, March 7, 1991: RESOLVED that the Southold Town Board of Trustees grants a grandfather permit to Arthur Van Dewater to remove existing dilapidated docking facility and replace in-kind, in-place a 4' X 48' fixed timber dock, 3' X 16' aluminum ramp, 6' X 20' float dock and (2) 2-pile float support dolphins. Enclosed please find a check for $100.00 representing the difference between the fee for a full permit and a grandfather permit. If you have any questions, please do not hesitate to contact this office. Very truly yours, 77 John M. Bredemeyer, III President, Board of Trustees JMB:jmt Cc: C.A.C. -~N y1?At~ G 1 ` O '``y n T ~y Y~ W V ~4- r O ,r ~ O ~.+G tin+seinanu OR/ENT •r ~ nwnra,x t 'N fFN' - /o-Y tru+c ravrn~.ttrs H.4.PBCdP ' Ewe [tIHiGlC s°°iYl sx.is r<.e~e naR' Y/C/NoTY /'1M w Yt Lx.a'nms.r ^1~ G+?/ENT 0~ 7X . 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AOJ.f/6~YP.E'O.rN,.~.eY .PeTNIE .N-~MNA /.f/-~9:4CE !r/6S.HGG7E:9f 261E'm~ i i aosncz5-tiv-ivuDSOV, .?Y. iv,7iG . - fyXEA i7t.E~ci T OaYsr~+~s.N~crc~a,[ s~~l; ~%ii,.e~~ ~~'•r~u.,,.cca,,~vnrs• c~iesi,',t/Y ~r917 s,'r~i ,sraPD~x-[s~tbs~s+s-i! 2. 2,a~~r~av~.vreae-.x~ ~yseY2 rr 2 DLrarssrx ZB-/T1~ Board Of Southold Town Trustees SOUTHOLD, NEW YORK ~`4 r DATE: PERMIT NO.. -Nov: 2Qth; 2002 r rISSUED TO N i...MAR14-KELLY . X ,~u#>~vri~tt#inn ` Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893, and Chapter 404 of the Laws of the State of New York 1952; and the Southold Town Ordinance en- titled ."REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;' and in accordance with the Resolution of The Board adopted at a meeting held on ov.__.20.th 2002 and in consideration of the sum of x....200.,.09..... paid by ...Marie 2 Suffolk-Eftvironmental . ,Cons}ilttn$~n_klhalt..o.A~ K . ell Of . dg N. Y. and subject to the B on , - _ Terms and C Condi torn tions hated on the reverse side hereof, of Southold Town Trustees authorizes and permits the followuuq: Wcmana Permit to construct a 1,075 sq. ft. second story addition, a 205 sq. ft. front porch t extension a 96 sq. ft. rear patio, deposit 575 +l- cu. yd- of clean fill from an upland source, relocate the existing gunge to the astern comer of subject property and construct a 75 ft. long reteinmg wall off the southern corner of same, abandon the existing sanitary structure an turnoff construct upgraded system and relocate private well - roof gutters and dMvel also a line ofhaybelrs during construction, as per plans stamped dated May 8. 2003. the originating application. r IN WITNESS WHEREOF, The said Board of Trusts" here- by causes its Corporate Seal to be fd Board these this ents.to be subscribed by a majority o as of d F 6 T ~ - u 4'r .X now or formerly _ The Oyster Ponds Historical Society (Y.CaR» _ S46'48 3u'E 97.52' t, n' ,wrRa a°.-\ a ~ n y W 3, AA All, ryr 2 ; a2.v. rRR aT,arPVr i^ I rA0'/ c 3 O a_, ~ to ` srg4, "Oro Bqp :TO'w A4r ^ 478 N a`°Nrt Q.M„i\ N rypZbk. NZW 4 14a / \ 7D S ORICiVr v AR@OR 0MO1 d`d LE DATA TEST HO Survey for: MAY 01, 2°2 SEPT O8, 2002 M,, mn u JOHN F. KELLY & DATE: M/AE. 013.2001 -.11 "LL " a z° ANN MARIE KELLY JOB NO: 2002-087 B90 q" CERTIFIED TO, JOIN F. KELLY k ANN MARIE KELLY r ra~cR m a At Orient Town of Southold MA l...M Suffolk County, New York r\ nM ro - ' c°ARSI Sang S.C.T.U.: 1000-024.00-0200-011.000 Lam' n.R I SCALE:1•-30,f-. I J m'wrea NOTES: _A DAVID H. FOX WY.S.L.S. 150234 -IMTT a.u 1. AREA - 17,350 S.F. POX LAND SURVEYING oars aaoc 2, 8- MONUMENT FOUND. PO BOX 224 ms REFERENCE DEED L. 11828 CP. 129 SPEONK, N.Y. 11972 631 325 2902 ou _ A. TO N.G.V. d15 SHOWN HEREON ARE REFEflENCEO r TO .CDATUM SIDE 1929) 5. NORTH v EASTERLY DoE OF RIGHT OF WAY xcu°RM . ~ u c.. i AS SHOWN ON SURVEY BY ANTHONY W. <<,.... ° - - LEWANOOWSKI LAST DATED MAR. 19. 1993. SEPTIC TANK CESSPOOL 8. FIRM BOUNDARY LINE SHOWN HEREON IS FROM 100°°^ FLOW INSURANCE RATE MAP NO. M10300088 C - LAST DATED MAY 04, 1998. _ OM: 2002-087 N STAB ° 91 x UI xwo ° ~ o ~ qlt" II • COUNPI OF SUFFOLK © R ~24 James F. King, President ~~OF sv~lyo Town Hall Annex Bob Ghosio, Jr., Vice-President 54375 Main Road Dave Bergen P.O.Box 1179 Southold, New York 11971-0959 John Bredemeyer G Q Michael J. Domino ~O Telephone (631) 765-1592 a CA UNTi Pax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 26, 2013 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 RE: JOHN F. & ANN MARIE KELLY 600 BAY LANE, ORIENT SCTM# 24-2-11 Dear Ms. Moore: As per your request, the application submitted on behalf of John F. & Ann Marie Kelly, has been Withdrawn. Enclosed is a check in the amount of $250.00, which is a partial refund of the application fee. Please do not hesitate to contact our office if you have any questions. Sincerely, ames F. King, sident Board of Trustees JFK:eac , j Enc. C'pr 1112612013 09:35 MOORE LAW OFFICES ffAM176WO P.0011001 PATRICIA C. MOORE A6omey at low 51020 Main Road Southold, New York 11971 Tel: (631) 785-0330 Fax:: (631) 765.4643 November 25, 2013 Board of Trustees D E Q F I V Town of Southold ' P.O. Box 1179 Southold, NY 11971 NOV 2 6 2013 By Fax aoutt s. ,ca Re: John i Annemarie Belly i Promises: Bay Lana, Orient SCTM: 1000-24-2-11 Dear President King and members: With reference to the above, John s Annemarie Kelly hereby withdraws their application without prejudice (adjacent to Smith property) and we respectfully request that the filing fees be refunded. Thank you. Very truly yours, jatzicia C. Moore I PCM/bp C: Kelly ~4 James F. King, President Of soury0 Town Hall Annex Bob Ghosio, Jr., Vice-President 54375 Main Road P.O. Box 1179 Dave Bergen Southold, New York 11971-0959 John Bredemeyer P Q • ~O Telephone (631) 765-1892 Michael J. Domino O~yCOUrm Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 8, 2013 Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 RE: JOHN F. & ANN MARIE KELLY 600 BAY LANE, ORIENT SCTM# 242-11 Dear Ms. Moore: The Board of Trustees are in receipt of your application for a Wetland Permit and a Coastal Erosion Permit for the above referenced property to repair an existing 25' timber wave break that is connected to a fixed dock on the abutting property. Please be advised that on June 20, 2012 the Board of Trustees resolved to Approve Wetland Permit #7809 and Coastal Erosion Permit #7809C for the existing dock on the abutting property owned by Wee House Partners with the condition that the existing jetty/wave break attached to the dock and located along the southeast end of the dock be removed. This is the same structure that you have formally submitted an application to this office to repair. Enclosed are the Wetland and Coastal Erosion permits, and Board of Trustees approved project plan for your reference. Sincerely, or ames F. King, Pr sident Board of Trustees Enclosures BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 78" & 780K DATE: JUNE 20.2012 ISSUED TO: WEE HQUSE RABTNERSMDGARJ.SMIT.LL JtL PROPER'L'Y ADDRESS: 650 BAY LANE. ORIENT SCTM# 24-2-10 Aeff bkIZATION Pursuant to the provisions pfShapter 275 atWor Chapter I I 1 of the Town Gyde of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meet4 61d on June 20.2012 , and in consideration of application fee in the sum of $504.00 paid by Wee House PattttetsM&K J. Smith. Jr. and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the followiAg Wetland Permit to re-stack fallen stone and recap concrete seawall within the limits of the Wee House property o aly; repair, existing 10'x111' timber dock and northwestern jetty; install ti" if pike 20' seaward from the end of the dock, the installation of a wave break along the seaward end of the dock; with the conditions that the: existing outer pile cluster located off the seaward end of, dock t{: removed, she removal of the existing jetty located along thasoutheast and,ofthe dec.-wd as depicted on the site plan prepared by Robert H. Fox, last dated June 15, 2012, and stlimped sporoved on June 29, 2012. IN-WFfNMS WHEREOF,'4be daid Board of Truatm hereby causes its Corponde goal to be affixed, and these presents to be subsarilied by a majority of the•said Boardas of this date. tob osio, Jr. -Nay i John Bre fer Nay I James F. King, President OF suafyo Town Hell Annex Bob Ghosio, Jr., Vice-President ti0 54375 Main Road P.O. Box 1179 Dave Bergen Southold, , New New York 11971-0959 John Bredemeyer CPI- Michael J. Domino ' Telephone (631) 765-1892 Fax (631) 765-664.6641 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD COASTAL EROSION MANAGEMENT PERMIT COASTAL EROSION PERMIT #7809C Applicant/Agent: Patricia C. Moore, Esq. Permittee: Wee House Partners/Edgar J. Smith, Jr. SCTM#: 24-2-10 Project Location: 650 Bay Lane, Orient Date of Resolution/Issuance: June 20, 2012 Date of Expiration: June 20, 2014 Reviewed by: Board of Trustees DESCRIPTION OF ACTIVITY: To re-stack fallen stone and re-cap concrete seawall within the limits of the Wee House property only; repair existing 10'x111' timber dock and northwestern jetty; install tie-off pile 20' seaward from the end of the dock; the installation of a wave break along the seaward end of the dock; with the conditions that the existing outer pile cluster located off the seaward end of dock is removed, the removal of the existing jetty located along the southeast end of the dock; and as depicted on the site plan prepared by Robert H. Fox, last dated June 15, 2012, and stamped approved on June 29, 2012. INSPECTIONS: Final Inspection SPECIAL CONDITIONS: (apply if marked) 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: James F. King, President Board of Trustees /~0 0 PLAN VIEW Wee House Partners We ~«e Surveyed: 02-21-12 s \ Amen ended: 06-15- ded: 06-04-12 SCT# 1000 24 21 10 ~a Town: Southold FRDTM Suffolk County, NY Datum: M L L W s / Soothhold ioMe POW of Trustees v qV 6hb..? /O t~ s ore t V't ` 6p b ` '•9„b~ 9~.R ivs .T ` ~t.4~ 9 J y3 Q` ~ ~ a~ .6 y~ ys y }b y~ s.~ yss y?9~ 8 APPROVED BY e BOARD OF TRUSTEES TOWN OF SOUTHOLD Y3 Y~Y Q et~'sb ys, g DATE VV A16 2 9 Z o/ Z Y~ ''~~FFO 3~ r O Y3 Y3 ~b~ Yo '-',7 NE Ir gun" s3 SECTIONS 4 broken cone. J` dr Y6 Re-stack fallen stones & cap 6or Hw re cap concrete within PL en htPc,e = LW to bttm. stone 5 SEAWALL V=10' r Existing Timber Dock & III' x lo' walk a Replace decking, piles emove S/E Jetty & add Wave Break 10' x 20' platform and beams as needed RAP wave ,Seawall PO Box #386W . _ break - _ Aquebogue bttm. N Y 11931 remove new tie dock 12:'plies eti~~ 9 ROBERT H. FOX Ile off pile 4' abv. 14 +/-oc v~ ~v DOCK W$ PLS# 50197 cis ter 20' out grade 5~ 10=201 PATRICIA C. MOORE D , - q rr R Attorney at Law - - 51020 Main Road Southold, New York 11971 OCT 2 1 2013 Tel: (631) 765-4330 S ira;"c icr7, Fax: (631) 765-4643 s.com www.mooreattys.com October 21, 2013 Southold Town Trustees Main Road Southold, NY 11971 Re: Wee House Partners, 650 Bay Lane Orient Kelly dock, Bay Lane, Orient SCTM# 1000-24-2-10 SCTM#1000-24-2-11 Dear Board: I was advised that on Friday some board members were in the office and staff was directed to return the above applications. Wee House Partners is ready to comply with their permit which requires them to "remove the three pile cluster and remove the easterly wave break". (The seaward modifications to the dock must be accessed by barge and will be done at the same time. ) However, Mr. Kelly is very concerned about the loss of the wave break on the Wee House Partners dock. Mr. Kelly's dock which is smaller than most of the docks in Orient Harbor has no protection from wave action without the Wee House Partner's wave break. At the hearing on Wee House Partner's existing dock, the fact that the wave break extended into the Kelly's waterfront created an issue for the Board. The Board advised that their practice was to require a separate permit for any structures which extend into the adjacent owner's land. However, the Kelly's dock was not before the Board. In order to resolve that issue, both Mr. Kelly and Wee House Partners have submitted an application, jointly requesting that the Board consider allowing the restoration of the easterly wave break (rather than removal). At the time the Wee House Partners application was before the Board in February 2012, Mr. Kelly's ramp and float were not on the Wee House plans. In this application, Sea Level Mapping has prepared both plans and shows the location of the existing structures. Mr. Kelly's application shows the proximity of the existing dock and the protection provided by the existing wave break on the Wee House dock. Wee House similarly agrees that the wave break provides additional protection from wave action for their vessels and the dock. • • We respectfully request that you accept the applications and we be permitted to proceed to a public hearing. Very truly yours, ricia C. Moore cc: Lori Hulse, Town Attorney PLAN VIEW N NS~ysrer Wee House Partners We or/cQ~sO~aet Surveyed: 02-21-12 s Amended: 06-04-12 06-15-12, 08-30-13 SCT# 1000 24 2 10 Town: Southold a,`a Suffolk County, NY tin`s b~a9 Datum: M L L W oc 1- 40' 1 otuf a °-0~r ~.a Q~ Ak~ 614~77 /O YO(x~t 'rJ h S o4e s~•~j~ efo sE C0 r Q Zjg k m n fr,QL 14 e/ ve b /eq;-, v ,RO q W ?s ~ st' ~bR ti y3.a ~ ~ `~o t 10 R y y V,g 7 -Oqf * s es y3 Sys AF ~9 q B Apr .Q R,S rA. 2S h R$ 8) ,s SECTIONS g4 broken conc. Re-stack fallen stones & Cap, 60~N re-cap concrete within PL fl - f LW - fallen 5tP o; ^ bttm. stone SEAWALL 1( 1"=10' Repair Existing Timber Dock & Replace decking, piles S/E Timber Wave Break III'x ' walk a and timber as needed (25') lox 200 platform Romp wave S~awal I PO Box # 366 break - _ - a Aque N Y 1b1931 a remove new tie bttm. dock 12 piles X~(y htio~e ROBERT H. FOX pile off pile 4' abv. 14' +1-oc Go DOCK NYS PLS# 50197 cls ter 20' out grade 5 0 1 "=2Q' PLAN VIEW N Surveyed: 10-01-13 wE SCT# 1000 24 2 10 s and # 1000 24 2 11 Town: Southold 01 Suffolk County, NY Datum: M L L W " 6iq / 9. r ' 9~ e4^^ /'off? o~~~~sse% SSE /p <.h r Fi. ?R 1>0 ? ? O ` 7S .O _ p 30 ,t 2 ~s .o off` J J~ O 0 S k) 9 2 xP, ,t0 ? d 3 X p O G O p / \ B J2 L o~ ?8 `r I DOCK SECTION 1"=20' Repair Existing Timber 111'x lo' walk s Wave Break (251 10' x 20' platform Ramp ROBERT H. FOX --HH - - - _ 5eawal WS PLS# 50197 v~ break dy pt PO Box # 366 bttm. ,4et%0 n Stone Aquebogue yta~ked N Y 11931 • OFFICE LOCATION: ~~OF SOUT~o MAILING ADDRESS: Town Hall Annex y~~ l0 P.O. Box 1179 54375 State Route 25 T J Southold, NY 11971 (cor. Main Rd. & Youngs Ave.) H Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 ~y00UNfl,~~ LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM D E1NOV _ 3 2013 To: Jim King, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: November 12, 2013 Re: LWRP Coastal Consistency Review for JOHN F. & ANN MARIE KELLY SCTM# 1000-24-2-11 Patricia C. Moore, Esq. on behalf of JOHN F. & ANN MARIE KELLY requests a Wetland Permit and a Coastal Erosion Permit to repair the existing 25' long wave break which is attached to dock on adjacent property. Located: 600 Bay Lane, Orient. SCTM# 24-2-11 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is INCONSISTENT with LWRP Policies 4.1 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. 0 0 a. No development is permitted in natural protective feature areas, except as specifically allowed under the relevant portions of 6 NYCRR 505.8. The proposed structure is located in the nearshore area. The nearshore area is defined as those lands under water beginning at the near low-water line and extending waterward in a direction perpendicular to the shoreline to a point where mean low-water depth is 15 feet or to a horizontal distance of 1,000 feet from the mean low-water line, whichever is greater. All structuresidevelopment is prohibited in the nearshore area unless a Coastal Erosion Management Permit has been issued. Further the purpose of the proposed wave break has not been identified. 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 ~~~ggFFOE,fc • a Peter Young, Chairman Town Hall, 53095 Main Rd. Lauren Standish, Secretary P.O. Box 1179 'F Southold, NY 11971 Telephone (631) 765-1892 1 y' Fax(631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., November 6, 2013 the following recommendation was made: Moved by Doug Hardy, seconded by Peter Young, it was RESOLVED to SUPPORT the applications of JOHN F. AND ANN M. KELLY to repair timber wave break on Smith dock to protect Kelly timber dock. Located: 600 Bay Lane, Orient. SCTM#24-2-11 Inspected by: Doug Hardy, Peter Young Vote of Council: Ayes: All Motion Carried i James P. King, President Of SOTown Hall Annex Bob Ohosio, Jr., Vice-Pre klent `O 6 64875 Main Road P.O. Box 1179 Dave Bergen 4 Southold, New York 11971.0969 John Bredemeyer Telephone 1) 764 898 Michael J. Domino Fox BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD E" y Office Use Only D " r Coastal Erosion Permit Application D D `wetland Permit Application _ Administrative Permit LO T 1 8 2013 _Amendmentlframfin A ion Received Application i3 Received Fee:S , Completed Application f T,, g2gs -ICOC _SEQRA Classification: Type I Type l _Unlistad_ Coordination:(date seat) LWRP Consistency t Form 4-11-5 CAC Referral Sent: II i Date of lnspcction: )`j I -Receipt of CAC Report J 'l(p -Lead Agency Determination: i 1 O Technical Review: Public Hearing Hekl:_ uq 3 Resolution Name of Applicant John F Ann M. Kelly Mailing Address P.O. Box 231 600 Bay Lane Orient Phone Number( ) (631) 323-1439 Suffolk County Tax Map Number: 1000- 24-2-11 Property Location: 600 Bay Ave Orient New York (provide LILCO Pole distance to cross sttvets, and location) AGENT: Patricia C, Moore (If applicable) Address: 51020 Main Road Southold, NY 11971 phone: (631) 765-4330 jo14l) Lard of Trustees Appliaatiop GENERAL DATA Land Area (in square feet): 9700 r-40 Area Zoning: Previous use of property: house & dock Intended use of property: restore timber wave break Covenants and Restrictions on property? Yes X No If "Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes X No If "Yea", be advised this application will be reviewed by the Building Dept prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes X No If "Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes X No IDoes the structure (a) on property have a valid Certificate of Occupancy? X Yes No Prior permits /approvals for site improvements: Agency Date . No prior permits/approvals for site improvements. Has any permittapproval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary): repair timber wave break on Smith dock to protect Kelly timber dock i Ord of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: protect existing dock timber wave break on Smith dock protects Kelly dock Area of wetlands on lot: 1,000 square feet Percent coverage of lot: 10% % Closest distance between nearest existing structure and upland edge of wetlands: 0 feet Closest distance between nearest proposed structure and upland edge of wetlands: 0 feet Does the project involve excavation or filling? X No Yes If yes, how much material will be excavated? 0 cubic yards How much. material will be filled? 0 cubic yards Depth of which material will be removed or deposited: 0 feet Proposed slope throughout the area of operations: 0 Manner in which material will be removed or deposited: none required, restore timber wave break @ 3' MHW 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): 0- protect wetlands and structures from wave action Board of Trustees Application • I COASTAL EROSION APPLICATION DATA i Purposes of proposed activity: -pr o+C C+ Vessels r )n coo dc-. end ()L6 ~cacent (C~fLul (X Are wetlands present within 100 feet of the proposed activity? No k Yes i . i Does the project involve excavation or filling? X No Yes ?U ~GVfyL . Nr VNCxNQ bVPG ~C 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: no 11C- - i 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) 1^cpal.r ' -=im6eC wau-(, b roar on SrnMn cdoc-y- 4-o ~rNcc+ P A-XMv 0 n' G~oc~ I i 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1 - Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding, are subject to public review, and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item, please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency; attach additional pages as necessary to supplement any item. Part 1 - Project and Sponsor Inform ion So ~1 n > Y? M Name of Action or Project: 4V~ V~GVv/?" ~ ~ 0...L Project Location (describe, and attach a location map): G oo i~' e O 1 e t Brief Description of Proposed Action: (o 0 o ay - a-i Name ..oofApplicant or Sponsor Telephone J7~3 _ I ?)e/ `J C>K n -4 9 /L jV>,, • E-Mail: Address: a31 City/PO: State: Zip Code: Or,et1_~ K'^l i i 9 3 s- 1. Does the proposed action only involve the legislative adoption of a plan, local law, ordinance, NO YES administrative rule, or regulation? If Yes, attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no, continue to question 2. 2. Does the proposed action require a permit, approval or funding from any other governmental Agency? NO YES If Yes, list agency(s) name and permit or approval: ® ? 3.a. Total acreage of the site of the proposed action? . 1 2 S acres b. Total acreage to be physically disturbed? , 12ti acres c. Total acreage (project site and any contiguous properties) owned or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on, adjoining and near the proposed action. ?Urban [$Rural(non-agriculture) ?Industrial ?Commercial ?Residential(suburban) ?Forest ?Agricnlture Aquatic ?Other(specify): ?Parkland Page l of 4 • 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ? ? ? b. Consistent with the adopted comprehensive plan? ? 191 ? 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ? 7. Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environm ntal Area? NO YES If Yes, identify: ©Yt}~~[4(2o (c((5t~~. &*UC~S&M ? M 8. a. Will the proposed action result in a substantial increase in traffic above present levels? NO YES b. Are public transportation service(s) available at or near the site of the proposed action? ~(A :2 x ? e. Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ? 9. Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements, describe design features and technologies: N 1 t VfrA ? ? 10. Will the proposed action connect to an existing public/private water supply? -I NO YES If No, describe method for providing potable water: ~ ? ? 11. Will the proposed action connect to existing wastewater utilities? NO YES If No, describe method for providing wastewater treatment: 1° ~ A ? ? 12. a. Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ? ? b. Is the proposed action located in an archeological sensitive area? 'A ? 13. a. Does any portion of the site of the proposed action, or lands adjoining the proposed action, contain NO YES wetlands or other waterbodies regulated by a federal, state or local agency? ? b. Would the proposed action physically alter, or encroach into, any existing wetland or waterbody? © ? If Yes, identify the wetland or waterbody and d e nt of alterations in square feet or acres: (s f1t A ~ 14. Identify the typical habitat types that occur on, or are likely to be found on the project site. Check all that apply: Shoreline ?Forest ?Agricultural/grasslands ?Early mid-successional ? Wetland ?Urban ?Suburban 15. Does the site of the proposed action contain any species of animal, or associated habitats, listed NO YES by the State or Federal government as threatened or endangered? ? ? 16. Is the project site located in the 100 year flood plain? NO YES 17. Will the proposed action create storm water discharge, either from point or non-point sources? NO YES If Yes, a. Will storm water discharges flow to adjacent properties? NO ?YES ? ? b. Will storm water discharges be directed to established conveyance systems (runoff and storm drains)? If Yes, briefly describe: ®NO QYES Page 2 of 4 18. Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids (e.g. retention pond, waste lagoon, dam)? If Yes, explain purpose and size: _ 19. Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes, describe: NO ? 20. Has the site of the proposed action or an adjoining property been the subject of remediation (ongoing or NO YES completed) for hazardous waste? If Yes, describe: ® ? 1 AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE p .y Applicant/sponsor name: Date: /Q Signature: Part 2 - Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept "Have my responses been reasonable considering the scale and context of the proposed action?" No, or Moderate small to large impact impact may may occur occur I. W ill the proposed action create a material conflict with an adopted land use plan or zoning © ? regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? FX1 ? 3. Will the proposed action impair the character or quality of the existing community? ? 4. Will the proposed action have an impact on the environmental characteristics that caused the ? establishment of a Critical Environmental Area (CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or ? affect existing infrastructure for mass transit, biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ? reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: ? a. public/ private water supplies? b. public / private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic, archaeological, ? architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources (e.g., wetlands, ? waterbodies, groundwater, air quality, flora and fauna)? Page 3 of 4 No, or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion, flooding or drainage ? problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3 - Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered "moderate to large impact may occur", or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact, please complete Part 3. Part 3 should, in sufficient detail, identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant. Each potential impact should be assessed considering its setting, probability of occurring, duration, irreversibility, geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. F-I Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. VI Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Colgan o(F 1'2v5 re,2 S Alp? zo/3 Name of Lead Agency Date J q m 5 F. L, v 6ef, ~ T Print or Type Name of Responsible O icer in Lead Agency Title of Responsible Officer w4 Si azure of Responsible Officer'n Lead Agency Signature of Preparer (if different from Responsible Officer) PRINT Page 4 of 4 Ow. Town of Southold Erosion, Sedimentation Si Storm-Water Run-off ASSESSMENT FORM PROPERTY LDCAnorr. s.e.T.M. y: THE FOLLOWING ACTIONS NAY REQUIRE THE SUBMISSION OF A r~r~a1J 3so ro'1(,-~t 1 STORM-WATER. GRADING. DRAINAGE AND EROSION CONTROL P N j u.r -MSW- a-- CERTIFIED BY A DBSIGN PROFESSIONAL IN THE STATE OF NEW YO SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM N / WORKASSESSMENT Yes No i a• What Is the Total Area of the Project Parcels? _ 1 Will this Project Retain Ali Storm-Water Run-Off (Include Total Area of all Parcels boated within , Generated by a Two (2') Inch Rainfall W Site? , , the Scope of Work for Proposed Construction) (This item will include all runoff emitted by site N1~} b. What is the Total Area of Land Clearing (aP. rAaes) g clearing end/or construction activities as well as all and/or Ground Disturbance for the proposed r J 2-< Site Improvements and the permanent creation of construction activity? impervious surfaces.) " (S.F. I Acme) PBOVmE BRIEF PROJECC DESCRIP'I70N p,ada.AadeaWP wawam) 2 Does the Site Plan and/or Survey Show At Proposed Drainage Structures Indicating Size 8 Location? This hem shall Include all Proposed Grade Changes and ' k 16 m b e< ~ U,e. Slopes Controlling Surface Water Flow. i . \'0 F, c1 I ~1^ 3 Does the Site Plan and/or Survey des I: erosion (3V\( r~(1 `1M (4' , 1 and sediment control practices that wgl be:u used to I control site erosion and storm water discharges. This El I =r /0 C l \ a Ce n item must be maintained throughout the Entire d Construction Period. Exc ? 4 Will this Project Require any Land Filling, t Grading or Excavation where Ihare is a change to the Natural i~ Existing Grade Involving more than 200 Cubic Yards of Material within any Parcel? rj Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand IL J~v?-FIF/~~` (5,000 S.F.) Square Feet of Ground Surface? (j Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction cameral DEC SWPPP Requirements: or within One Hundred (100') feet of a Weiland or Submission of a SWPPP is requked for all Combuclim activities involving bcd Beach? disturbances of arie (1) or more ecru: kwlWing dbluNances at less than one acre that are pan of a larger common plan that wN unxnatey disturb one or more saes erlend: 7 Will which there Exceeeed She Fifteen (15) preparation feet on of Vertical Grade Slopes ? l Rise to Including construction determined actt a p sop dskuquired crises gain one (1) ac whies the D s. One Hundred (100') of Horizontal Distance? the DEC C has has that el a SPOESPDE9 panne Is required ran slag wetordlxhargee (SWPPP'e Shall meet the Minimum RaquIremenle or the SPOES General PaaR 8 Wilt Driveways, Parting Areas or Weer Impervious j for Strom Water Discharges it= Construction activity • Permit Nu OP1410-0et.) Surfaces be Sloped to Direct Storm-Water Run-OR t. The SWPPP anti be pared Prior to are submittal of the N01. The NOI shag be Into and/or In the direction of a Toxin IFgtN-0f-We)? - suMiged to the Department Prior be the commencement of commuctbn actk*. r 2. The SWPPP stall describe the erosion end sediment control practices and where 9 Will this Project Require the Piacooent of material, Irt required. poslbonsln ctlon storm weber management prection that wit be wed ender Removal of Vegetation and/or the Construction of any -I'Vtr-y\ cansWWW tereduco the Pollutants bstorm water dachagaa and teamnrre Item Within the Town Right-oFWay or Road Shoulder compliance with the teas and condition of this penM. M addition, the SwPPP shat IdenSy potential sources of poWtlan which may reasonably be expected to enact the Area? Rate eeavee mar tameatM remaalteeamwam Am..) j- qualyastormvmterdledreWas. NOTE: nary Aeewerta Questions One through Man Is Anavatredwith aChsak Mark 3. AN SWPPPs Bret require the pod-cowMmtlon storm watermenagement practice In s Box and tM eor,etnaxlee eM datrabemw b iwhrean 7.009 Sy.81 Acre In m; coniparrerd are/ be prepared byagwlMad Design PreressbnelOauated In New Yak aStenrWAIVr,Or"All, DMnaga B Ems" Comm! Peer Is R"Wwd by are Town a I". that Is knowledgeable In ft prlnclow and practices, of Slam water managemrm. (MOM' AChedMSahd Molka ~rl SUbm.,maraleAdbr mawrun RfWaetl,GGrsrewi QuaftMRgwadqubwfbraracmpk%PVaA i NeTE e camper Apltasam) STATE OF NEW YORK, S L COUNTY OF`1....1A .C SS 771st I, .S.r.L..l(161 being duly switrn, deposes and says that he/she is the applicant for Permit, e of Individial daring Dom" And that he/she is the ba................................ . (ovmar, Cmdor, A9en1gar. Capaela oMCx, Ma) Owner and/or representative of the Owner or Owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; ? ~ day o 201 . Notary Public: (Signah" of nppB®ra) FORM - 06110 ETSYA. PERKINS ~j Notary Public, State of New York No. 01 PE6130636 Qualified in Suffolk Court Commiselon Expires July 18, BOARD OF TRUSTEES TOWN OF SOUTHOLD: NEW YORK ---------------------------------------------------------------x In the Matter of the Application of AFFIDAVIT OF JOHN & ANN MARIE KELLY MAIL Applicant's Land Identified as 7 sctm: 1000-24-2-11 DO ---------------------------------------------------------------x NOV 1 3 013 _J COUNTY OF SUFFOLK) - Board d and dLuto STATE OF NEW YORK) I, Betsy Perkins, residing at Mattituck, New York, being duly sworn, depose and say that: On the day of November, 2013 , I personally mailed at the United States Post Office in Southold, New York, by CERTIFIED MAIL, RETURN RECEIPT REQUESTED, a true copy of the attached Legal Notice in prepaid envelopes addressed to the neighbors on the attached list. Attached hereto is the white receipt post-marked by the Southold Post Office on said date. B MY PE KI S ( ignat re Sworn to before me this 37-Y day of November, 2013 (Notary Mpp %ET C. RUTKOWSKI Notary Public, State of New York No. 4982528 Qualified in Suffolk County Commission Expires June 3, PLEASE list, on the back of this Affidavit or on a sheet of paper, the lot numbers next to the owner names and addresses for which notices were mailed. Thank you. BOARD OF TRUSTEES TOWN OF SOUTHOLD: NEW YORK In the Matter of the Application of AFFIDAVIT OF SIGN POSTING KELLY, JOHN & ANN MARIE (to be completed after posting remains in place for eight days) COUNTY OF SUFFOLK) STATE OF NEW YORK) I, PATRICIA C. MOORE residing at Southold, New York being duly sworn, depose and say that: That on November-(2013, I personally posted the property known as Bay Lane, Orient, New York , (SCTM: 1000-24-2-11) by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the post has remained in place for eight (8) days prior to the date of the public hearing. Date of Hearing noted thereon to be held November 13, 2013 at or about 5:30 Patricia C. Moore Sworn to before me this day of IJO~ 203 otary Public BETSYA. PERKINS Notary Pubft State of New Ytuk No.o1PE8130838 Qualified in Suffolk C"* Commission E)#tres July. 18.--~ WEE HOUSE PARTNERS (Kelly) SCTM: 1000-24-2-11 Wee House Partners c/o Smith 645 Broadway Unit #14 Hastings on the Hudson, NY 10706 sctm: 1000-24-2-9 i Oysterponds Historical Society PO Box 70 Orient NY 11957 sctm: 1000-24-2-13.1 RECEIPT 7104 2438 8090 0000 2338 RECEIPT FROM: 71 N 2438 8M 0000 2314 Moore L. Once RE'. slFin hostess FROM: Moore Law Os RE: kelly MUrieeees SEND TO: Wee House Partners do Smith SEND TO: 695 Broadway unit #14 Oysteiyonds Historical Society Hastings an t" Hudson NV 10706 PO Box 70 Orient NV 11957 FEES: Postage 0.46 Certified Fee 3.10 FEES: Retum Receipt 2.55 Postage 0.45 Reslrcted Candied Fee 3.10 OLD 1 Return Receipt 2.55 TOTAL Restricted , POSTMA OR TOTAL 111 POSTMARK OR DATE'-, 31 ItOi 52013 ;spy-520i NOTICE OF HEARING NOTICE IS HEREBY GIVEN that a public hearing will be held by the SOUTHOLD BOARD OF TRUSTEES at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD:~hA Fe, "An#1Lr'e Kell Y SUBJECT OF PUBLIC HEARING: Repair the existing 25' long wave break which is attached to dock on adjacent property. TIME & DATE OF PUBLIC HEARING: wac~f*sc l vember 13,;L015**:- or Amur - S* 30ft* 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 of a.m and 4 p m BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Lard of Trustees Application AUTHORIZATION (where the applicant is not the owner) 1 John F Ann M. Kelly residing at &DO Lalx-e (print owner of property) (mailing address Orient do hereby authorize (Agent) 74a4-yC C-,t C. C ~n ' 1 100" to apply for permit(s) from the Southold Board of Town Trustees on my behalf. lees signature) ~oard of Trustees Application County of Suffolk State of New York John F Ann M. Kelly 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. S~~gr- & Signature SWORN TO BEFORE ME THIS DAY OF (y 20_Z o ry Public PATRICIA C. MOORE Notary Public, State of New York Suffolk County - No. 486166 _ Commission Expires June 18, Jam[ II APPLICANTIAGENTWXRESENI'ATM TRANSACTIONAL DISCLOSURE FORM The Town o`SouftWs Cade of Ethics mohibits conflicts ofinoaest on the part of mm otixas and enmlovaea no omnose of j . this form b murvide information which can alert the town of pp M con5iets of imaext and allow k m tats whatever action is i necessatv to avoid same. - YOURNAME: John F Ann M. Kelly M \ Q/kTe )C.1 A (Last name, A* names griddle initid, unless you are applying hi the name of t . someone ehe or other entity, such as a company. If so, indiC* the.other person's or company's name.) - _ i NAME OF APPLICATION: (Check all that apply.) Tax grievance Building,__ I Variance Tmstce Change of Zone Coastal Erosion j Approval of Plat Mooring Exemption from plat or official map Plaming Other (If "Other", name the activity.) Do you personally (or through your company, spouse, sibling, parent orchild) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriages or business lowest. "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 S% of the shams. YES NO Ifyou answered "YES", complete the balance of this form and date and sign when indicated. j Name of person employed by the Town of Southold _ IIII,I Tide or position of that person - i describe the relationship between yourself (tbe spplicantlagent/representa ive) 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 spouses sibling, parent, of child is (check all That apply): I" A) the owner of greater than 5% of the shams of the corporate stock of the applicant (wben the applicant is a corporation): - I . _B) de legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation), II. _C) an officer, dimclor, partner, or employee of the applicant; or _D) the actual applicant. DESCRIPTION OF RELATIONSHIP !I I~. I? a Submitted i ay of 200 Signature. ' Print Name Form IS I R-C2(c.t a C 1--~ 0~ • • t Town of Southold j t LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits' including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. "Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. ( . 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" 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 emmlained 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. i. i A copy of the LWRP is available in the following places: online at the Town of Southold I 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 STTE AND PROPOSED ACTION SCTM# 24-2-11 _ I. PROJECT NAME Kelly wave break repair The Application has been submitted to (check appropriate response): Town Board ? Planning Board ? Building Dept. ? Board of Trustees 0 1. Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital ? construction, planning activity, agency regulation, land transaction) ? (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: ? Nature and extent of action: repair timber wave break on Smith dock to protect Kelly dock Location of action: 600 Bay Ave Orient Site acreage: 9700 present land use: house & dock Present zoning classification: r-40 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: John F Ann M. Kelly (b) Mailing address: P.O.Box 231 600 Bay Lane Orient (c) Telephone number: Area Code ( ) (631) 323-1439 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ? No Q If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. FX-1 Yes E] No [-]Not Applicable maintain existing struture Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria ? Yes El No Q Not Applicable I Attach additional sheets if necessary I 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 r i I. Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages S through 16 for evaluation criteria ? Yes ? No ? Not Applicable iltltnoca of rataininA timhar wave break is to orotent existing drink from wait tion Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 71 for evaluation criteria Yes ? No 0 Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. ? ? Yes No Not Applicable i ! ! ! L. I i Attach additional sheets if necessary ! Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. ! Yes No X Not Applicable i I' Attach additional sheets if necessary I' Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. i I Yes ? No XQ Not Applicable I, I. PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the. Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ? Ye-1 No ® Not Applicable Attach additional sheets if necessary WORIMG 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. t i Yes ? No Q Not Applicable Attach additional sheets if necessary i Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Pecouic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ? Yes ? No E Not Applicable 1 i Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. ? Yes El No [E Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. ? Yes ? No 0 Not Applicable PREPARED BY Patricia C. Moore TITLE AGENT DATE 9/30/13 PLAN VIEW N Surveyed: 10-01-13 w E SCT# 1000 24 2 10 S and # 1000 24 2 11 Town: Southold o Suffolk County, NY Datum: M L L W 6/ ~ 9. 40 A~9O~ Ta ~i r`~t G5 e~~~e se 14 o e ~y S s6 /O "Y l s p 4 2 g ~ J O z ~ y ~ 7 S p 1 P ~~T ~J , O 0 .B d . ll O~ Q` J~ q JB Q~v J ~J ~p Tp v ILK 0 Np~ vp J s,6 , Js 0~ 8 ~ D OCT 1 8 2D13 DOCK SECTION Suothoid i~~ii iu_2(Y Board of Trust Repair Existing Timber III' X 10' walk 4 Wave Break (25') V x 20' platform Ramp ROBERT H. FOX wave _ . Seawall NYS PLS# 50197 break PO Box # 366 bttm. wetland stone Aquebogue 5ta~ked N Y 11931 PLAN VIEW N Surveyed: 10-01-13 w~34 E SCT# 1000 24 2 10 and # 1000 24 2 11 S Town: Southold o~ Suffolk County, NY. Datum: M L L W 6, ~9. ~1~TO Ae Ik,BO @„yse ~O e~ t \?S 4 J ' ~y O z J 3d c's?d ~ ~ cr a%~wa \3 2 \ \?8 °d \ `.rte ' ~ _ - \'S °J \ e s z - e 1\ v S O 2 B J - v X2 2 3 4J Q~QQ O 22 s1401~. x `C* \ 4 \°O 0 3v 3° S , \U 6 \JS Q~ 8 ! OCT 18 2013 DOCK SECTION r Board (if Twfens =2V R epair Existing Timber fll' x 10' walk a Wave Break (251 10'x 20' platform tamp ROBERT H. FOX -Hl- n 9 NYS PLS# 50197 LA MI eawalPO Box # 3 Aquebogue~ bttm. StQ~ked s N Y 11931 PLAN VIEW N Surveyed: 10-01-13 w E SCT# 1000 24 2 10 and # 1000 24 2 11 s Town: Southold ok Suffolk County, NY Datum: MLLW 6, `b~TO A e e~F +Y 4LBJ~~O~~SB\/ O ~3E a _ 41 Ito \ zo ..,p xt O/y ay\~'`~ - \3~ ~ J _ _ \ J O) ti~ O, ~ `JS \ J QUU l2 4 ~ w~ J \ v s `~2 J+ ~ ~ Q"l a o aE 't 1~0 .0 S J y '~a ?O 6 's 0^ s D OCT 1 8 2013 DOCK 4 SECTION ~UJ(fIU:Q i1.Yrli 1 Y-20 Repair Existing Timber x 10' walk a Wave Break (25) 10' x 20' platform Ramp ROBERT H. FOX _+K-- NYS PLS# 50197 tW- break PO Box # Aquebogue~ bttm. etatked stone N Y 11931