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Home My WebLink AboutTR-7927 fF James F. King, President Town Hall, 53095 Main Rd. Bob Ghosio, Jr., Vice-President P.O. Box 1179 Dave Bergen Southold NY 11971 John Bredemeyer ~4, • Telephone (631) 765-1892 Michael J. Domino 'I'4j Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1s' day of construction _ constructed Project complete, compliance inspection b BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 7927 DATE: OCTOBER 17.2012 ISSUED TO: JUDITH HOCKEMEYER PROPERTY ADDRESS: 285 BAYVIEW AVENUE. SOUTHOLD SCTM# 52-5-27 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on October 17, 2012, and in consideration of application fee in the sum of $250.00 paid by Loriann Patam 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 remove existing timber bulkhead and replace with 49 linear feet of new vinyl bulkhead and raise it 1' above existing with a +/-32' return and a 15' return; and provide 30 cubic yards of clean fill; with the condition of establishing and subsequently maintaining a 10' wide non-turf buffer along returns and a 15' wide non- turf buffer along landward side of bulkhead; and as depicted on the site plan prepared by Jeffrey Patanjo, last dated October 19, 2012 and stamped approved on October 31, 2012. 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. Mite O o John B de for ~ ,~ao~ • 0 TERMS AND CONDITIONS The Permittee Judith Hockemeyer, residing at 285 Bayview Avenue Southold. New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: I. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. • • James F. King, President so Town Hall Annex Bob Ghosio, Jr., Vice-President 54375 Main Road P.O. Box 1179 Dave Bergen Southold, New York 11971-0959 John Bredemeyer H Telephone (631) 765-1892 Michael J. Domino Fax (631) 765-6641 OOUNTI, BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 17, 2012 Mr. Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 RE: JUDITH HOCKEMEYER 245 BAYVIEW AVENUE, SOUTHOLD SCTM# 52-5-27 Dear Mr. Patanjo: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, October 17, 2012 regarding the above matter: WHEREAS, Jeffrey Patanjo on behalf of JUDITH HOCKEMEYER applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated September 13, 2012, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on October 17, 2012, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 2 • . WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of JUDITH HOCKEMEYER to remove existing timber bulkhead and replace with 49 linear feet of new vinyl bulkhead and raise it 1' above existing with a +/-32' return and a 15' return; and provide 30 cubic yards of clean fill; with the condition of establishing and subsequently maintaining a 10' wide non-turf buffer along returns and a 15' wide non- turf buffer along landward side of bulkhead; and as depicted on the site plan prepared by Jeffrey Patanjo, last dated October 19, 2012 and stamped approved on October 31, 2012. 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 Ve t'ru`I yours, Y Y c;:;?- '4Y James F. King President, Board of Trustees JFK/amn ~o~g1?FFOt4-co James F. King, President C2 Town Hall Annex Bob Ghosio, Jr., Vice-President u. 54375 Route 25, P.O. Box 1179 Dave Bergen Southold, NY 11971 John Bredemeyer ~'dj ADO Telephone (631) 765-1892 Michael J. Domino Fax (631) 765-6641 BOARD OF TOWN TRUSTEES /y~ TOWN OF SOUTHOLD TO: -11- H'i'ey ~a an ih 10 T ~J I ~ h N I)c kn~P r Please be advised that your application dated 3 h has been reviewed by this Board at the regular meeting of b 117 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) tat Day of Construction ($50.00) Y2 Constructed ($50.00) V 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: Final -T~nseecfon Ae-~SD.N) TOTAL FEES DUE: $ Sb . DD BY: James F. King, President Board of Trustees • ~Q~g~}FFO(,~CO Peter Young, Chairman Town Hall, 53095 Main Rd. Lauren Standish, Secretary T P.O. Box 1179 Southold, NY 11971 ~l Q Telephone (631) 765-1892 Ol # Faz (63Y 765-¢64A . , r ,l ~ r-J Conservation Advisory Council OCT ~ 2 2012 ` , Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., October 12, 2012 the following recommendation was made: Moved by Doug Hardy, seconded by John Stein, it was RESOLVED to NOT SUPPORT the Wetland Permit application of JUDITH HOCKEMEYER to remove existing timber bulkhead and replace with 49 If. of new vinyl bulkhead with 25'X 15' returns, raise elevation 1' above existing and provide 30 cy. of clean fill. Located: 245 Bayview Ave., Southold. SCTM#52-5-27 Inspected by: John Stein, Doug Hardy, William McDermott, Audrey Horton, Peter Young The CAC cannot Support raising a bulkhead by 1' and questions how high and how far out to sea can a bulkhead project? The application is absent of compelling evidence to show the need to raise the bulkhead. Furthermore, the bulkhead has eliminated the marsh grass and there should be a non-turf buffer Vote of Council: Ayes: All Motion Carried i Judith Hockemeyer 245 Bayview Ave., Southold SCTMII 52-5-27 10'10:12 K Arl yi° C' y 1il ~ . to • i Y ~ 1~~ ' , 4, TAT` ti- f. A A7 )V. A-~ ` Sim ~ 1•' AIf~T„ • a i - ~ ~ L ~ _ y ~ .f . ~~'f4~ M j• ~+a r a ~ • r'!~ ' ti ~"~L~t ~ Y ~_V. ,7 i s y1 IN: 0.Pst F yf~1 ~e'F~ ry35 v 119~i np 4 ir, fir f Via.. r ~7s i ~ k • ~ a ~ ~ ~ 8ti ~ f.~ . - a. - 4•• 41 T.r b Y? h ~r f ,q _ d r' ; i 'f~.• as T - - AL '.t ~ ~ ~ fr. i . ~ ~ t } ~r ~'r'• to - k O r N N d' ~ a ~GO~c La F r ~ L' G ~ ea N 6 0 James F. King, President suFF94k pp~ Qk P.O. Box 1179 Bob Ghosio, Jr., Vice-President d Southold, NY 11971 Dave Bergen ? Telephone (631 765-1892 John Bredemeyer Fax (631) 765-6641 Michael J. Domino 7/01 ~ ~adr. Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: Oj (o .201 Jeffrey Patanjo on behalf of JUDITH HOCKEMEYER requests a Wetland Permit to remove existing timber bulkhead and replace with 49 linear feet of new vinyl bulkhead and raise it 1' above existing with a 25' return and a 15' return; and provide 30 cubic yards of clean fill. Located: 245 Bayview Avenue, Southold. SCTM# 52-5-27 Type of area to be impacted: -Saltwater Wetland -Freshwater Wetland -Sound -Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: _Chapt.275 _Chapt. 111 -other Type of Application: Wetland -Coastal Erosion -Amendment _Administrative_Emergency_ -Pre-Submission Violation Info needed: ut>+ _ 3 All us & Modifications: Conditions: Present Were: J. Kin _B. Ghosio D. Bergen, _t/ J. Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field by AD Mailed/Faxed to: Date: October 4, 2012 L~ t t ; Town of Southold Trustees Town Hall Annex Building OCT - 9 2012 ~ 54375 Rte. 25 P.O. Box 1179 i Southold, New York 11971 eo o! T,; s PPS Attention: Elizabeth Cantrell RE: 245 BAWIEw AVE., SOUTHOLD, NY SCTM No. 1000-52-05-27 DEC PERMIT Dear Ms. C yell: Attached please find DEC Permit for the above reference project for your use. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, Je re Patanjo 6 Hewitt Blvd. Center Moriches, NY 11934 New York State Department of Environmental Conservation _ Division of Environmental Permits, Region One SONY @ Stony Brook, 50 Circle Road, Stony Brook, NY 11790-3409 aboo Phone: (631-) 444-0404 Fax: (631) 444-0360 _ Website: www.dec.nv.aov Joe Martens Commissioner September 14, 2012 R e, Ms. Judith Hockemeyer 166-26 Powells Cove Blvd. 9A OCT - g 2012 j Whitestone,NY 11357 ~ Re: Permit No.: 1-4738-04136/00001 s°0n:no! Tow,, ill' 0 7r S,ees Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit. Please carefully read all permit conditions and special permit conditions contained in the permit to ensure compliance. during the term of the permit. If you are unable to comply with any conditions please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. Sincerelly,,~ Gene R. Zamojcin Environmental Analyst GRZ/Is NEW YORK STATE DEPARTMEN* ENVIRONMENTAL CONSERVATION • Facility DEC ID 1-4738-04136 PERMIT Under the Environmental Conservation Law CL Permittee and Facility Information Permit Issued To: Facility: JUDITH HOCKEMEYER HOCKEMEYER PROPERTY 166-26 POWELLS COVE BLVD 9A 245 BAYVIEW AVEISCTM 1000-52-05-27 WHTTESTONE, NY 11357 SOUTHOLD, NY 11917 (347)368-6160 Facility Application Contact: JEFFREY PATANJO ( OCT -9 2012 106 HEWITT BLVD j CENTER MORICHES, NY 11934 B---san'q ~ (631) 484-9332 e r rus ees Facility Location: in SOUTHOLD in SUFFOLK COUNTY Village: Southold Facility Principal Reference Point: NYTM-E: 718.3 NYTM-N: 4551.42 Latitude: 41°05'05.1" Longitude: 72°24'04.0" Project Location: 245 Bayview Avenue - Watercourse - Arshamomaque Pond Authorized Activity: In-place replacement of 74 linear feet of existing functional bulkheading and backfill. Replacement of existing or the construction of new bulkhead returns. Reconstruct existing, or construct new parallel capping boardwalk landward of bulkhead. All authorized activities shall be done in strict conformance with the attached plans stamped "NYSDEC Approved" on 9/14/2012. (GRZ) SAP # 1-08-010 Permit Authorizations Tidal Wetlands - Under Article 25 Permit ID 1-4738-04136/00001 New Permit Effective Date: 9/14/2012 Expiration Date: 9/13/2017 Water Quality Certification - Under Section 401- Clean Water Act Permit ID 1-4738-04136/00002 New Permit Effective Date: 9/14/2012 Expiration Date: 9/13/2017 Excavation & Fill in Navigable Waters - Under Article 15, Title 5 Permit ID 1-4738-04136/00003 New Permit Effective Date: 9/14/2012 Expiration Date: 9/13/2017 Page 1 of 7 NEW YORK STATE DEPARTMEN• ENVIRONMENTAL CONSERVATION • Facility DEC ID 14738-04136 NYSDEC Approval By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, and all conditions included as part of this permit. Permit Administrator: SUSAN ACKERMAN, Deputy Regional Permit Administrator Address: NYSDEC REGION 1 HEADQUARTERS SUNY @ STONY BROOK150 CIRCLE RD STONY BR OK, 11790 -3409 Authorized Signature: Date C-/ 1 PLI- Distribution List JEFFREY PATANJO Habitat - TW EUGENE R ZAMOJCIN Permit Components NATURAL RESOURCE PERMIT CONDITIONS WATER QUALITY CERTIFICATION SPECIFIC CONDITION GENERAL CONDITIONS, APPLY TO ALL AUTHORIZED PERMITS NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS NATURAL RESOURCE PERMIT CONDITIONS - Apply to the Following Permits: TIDAL WETLANDS; WATER QUALITY CERTIFICATION; EXCAVATION & FILL IN NAVIGABLE WATERS 1. Regulated Activities Authorized By This Permit This permit ONLY authorizes those regulated activities / structures identified under the section titled "SAP Authorized Activity". The Department does not issue after-the-fact or as-built permits. This permit does not authorize activities, or legitimize the existence of structures, which would have required a permit but for which no permit or other authorization has been granted by the Department. 2. Conformance With Plans All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or applicant's agent as part of the permit application. Such approved plans were prepared by Jeffrey Patanio, dated 8/1/2012. Page 2 of 7 NEW YORK STATE DEPARTMENO ENVIRONMENTAL CONSERVATION* Facility DEC ID 1-4738-04136 3. Notice of Commencement At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work. 4. Excavation for Bulkhead/Structure Prior to any construction or removal of bulkheads and other shoreline stabilization structures all backfill shall be excavated landward of the structure and retained so as not to enter the waterway, tidal wetland or protected buffer area. 5. Replacement Bulkhead Maximum Height The top elevation of the replacement bulkhead shall be no more than 18 inches higher than the existing bulkhead. 6. No Seaward Extension of Bulkhead The new bulkhead shall be constructed in place of the existing bulkhead with no seaward extension of the outermost bulkhead face. 7. Jet-in Bulkhead Bulkheads constructed directly adjacent to vegetated tidal wetlands shall be hand driven or jetted in with no disturbance to the tidal wetland. Trenching is strictly prohibited. 8. Backfllling The installation of the approved replacement bulkhead shall be completed prior to the placement of any fill material behind the structure. 9. Clean Fill Only All fill shall consist of clean sand, gravel, or soil (not asphalt, slag, flyash, broken concrete or demolition debris). lo. No Beach Excavation For Fill No excavation of the beach is authorized for the purpose of obtaining fill or stone materials. 11. No Dredging or Excavation No dredging, excavating or other alteration of shoreline or underwater areas is authorized by this permit, nor shall issuance of this permit be construed to suggest that the Department will issue a permit for such activities in the future. 12. No Runoff Over or Through Bulkhead or into Wetland Upon completion of the bulkhead replacement authorized herein, there shall be no discharge of runoff or other effluent over or through the structure or into any tidal wetland or protected buffer area. 13. Use of Treated Wood The use of wood treated with creosote, pentachlorophenol or other wood treatment not specifically approved by the department for use in wetlands and/or marine waters, is strictly prohibited in the construction of structures that will be in contact with tidal waters. 14. Parallel Capping Boardwalk The width of the parallel capping boardwalk shall not exceed six (6) feet. No portion of the boardwalk shall extend seaward of the most seaward face of the bulkhead sheathing. 15. No Structures on Reconstructed Bulkhead or Pilings No structures, other than structures specifically authorized by this permit, shall be constructed on the reconstructed bulkhead or pilings without further authorization from the Department (new permit, modified permit). 16. Storage of Equipment, Materials The storage of construction equipment and materials shall be confined to the upland area landward of the bulkhead or on a barge. Page 3 of 7 NEW YORK STATE DEPARTMEN& ENVIRONMENTAL CONSERVATION. Z Facility DEC ID 1-4738-04136 17. No Disturbance to Vegetated Tidal Wetlands There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activities. 18. No Construction Debris in Wetland or Adjacent Area Any debris or excess material from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal. No debris is permitted in wetlands and/or protected buffer areas. 19. Seeding Disturbed Areas All areas of soil disturbance resulting from the approved project shall be stabilized with appropriate vegetation (grasses, etc.) immediately following project completion or prior to permit expiration, whichever comes first. If the project site remains inactive for more than 48 hours or planting is impractical due to the season, then the area shall be stabilized with straw or hay mulch or jute matting until weather conditions favor germination. 20. Temporary Mulch, Final Seeding If seeding is impracticable due to the time of year, a temporary mulch shall be applied and final seeding shall be performed at the earliest opportunity when weather conditions favor germination and growth but not more than six months after project completion. 21. No Interference With Navigation There shall be no unreasonable interference with navigation by the work herein authorized. 22. State Not Liable for Damage The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. 23. State May Order Removal or Alteration of Work If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed, the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 24. Precautions Against Contamination of Waters All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project. 25. State May Require Site Restoration If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may lawfully require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. Page 4 of 7 NEW YORK STATE DEPARTMENT' ENVIRONMENTAL CONSERVATION. Facility DEC ID 1-4738-04136 WATER QUALITY CERTIFICATION SPECIFIC CONDITIONS 1. Water Quality Certification The NYS Department of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitations or other limitations or standards under Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977 (PL 95-217) provided that all of the conditions listed herein are met. GENERAL CONDITIONS - Apply to ALL Authorized Permits: 1. Facility Inspection by The Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71- 0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. 2. Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. 3. Applications For Permit Renewals, Modifications or Transfers The permittee must submit a separate written application to the Department for permit renewal, modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. Submission of applications for permit renewal, modification or transfer are to be submitted to: Regional Permit Administrator NYSDEC REGION 1 HEADQUARTERS SUNY @ STONY BROOK150 CIRCLE RD STONY BROOK, NY11790 -3409 4. Submission of Renewal Application The permittee must submit a renewal application at least 30 days before permit expiration for the following permit authorizations: Tidal Wetlands, Water Quality Certification, Excavation & Fill in Navigable Waters. Page 5 of 7 NEW YORK STATE DEPARTMEN# ENVIRONMENTAL CONSERVATION • law Facility DEC ID 1-4738-04136 5. Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to exercise all available authority to modify, suspend or revoke this permit. The grounds for modification, suspension or revocation include: a. materially false or inaccurate statements in the permit application or supporting papers; b. failure by the permittee to comply with any terms or conditions of the permit; c. exceeding the scope of the project as described in the permit application; d. newly discovered material information or a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; e. noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. 6. Permit Transfer Permits are transferrable unless specifically prohibited by statute, regulation or another permit condition. Applications for permit transfer should be submitted prior to actual transfer of ownership. NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee, excepting state or federal agencies, expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, and agents ("DEC") for all claims, suits, actions, and damages, to the extent attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in connection with, or operation and maintenance of, the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent or intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of- way that may be required to carry out the activities that are authorized by this permit. Page 6 of 7 NEW YORK STATE DEPARTMENO ENVIRONMENTAL CONSERVATION • Fabitity DEC ID 14738-04136 Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights; title, or interest in real or personal property held or vested in a person not a party to the permit. Page 7 of 7 NOTICE OF COMMENCEMENT OF CONSTRUCTION Aft RETURN THIS FORM TO: COMPLIANCE Or Fax to: 631-444-0297 • Bureau of Habitat-TW 50 Circle Road Stony Brook, NY 11790-3409 PERMIT NUMBER: EXPIRATION DATE: PERMITTEE NAME & PROJECT ADDRESS: CONTRACTOR NAME & ADDRESS: TELEPHONE: Dear Sir: Pursuant to the special conditions of the referenced permit, you are hereby notified that the authorized activity shall commence on . We certify that we have read the referenced permit and approved plans and fully understand the authorized project and all permit conditions. We have inspected the project site and can complete the project as described in the permit and as depicted on the approved plans. We can do so in full compliance with all plan notes and permit conditions. The permit, permit sign, and approved plans will be available at the site for inspection in accordance with General Condition No. 1. (Both signatures required) PERMITEE: DATE CONTRACTOR: DATE THIS NOTICE MUST BE SENT TO THE ABOVE ADDRESS AT LEAST TWO DAYS PRIOR TO COMMENCEMENT OF THE PROJECT AND /OR ANY ASSOCIATED ACTIVITIES. FAILURE TO RETURN THIS NOTICE, POST THE PERMIT SIGN, OR HAVE THE PERMIT AND APPROVED PLANS AVAILABLE AT THE WORK SITE FOR THE DURATION OF THE PROJECT MAY SUBJECT THE PERMITTEE AND/OR CONTRACTOR TO APPLICABLE SANCTIONS AND PENALTIES FOR NON-COMPLIANCE WITH PERMIT CONDITIONS. Cut along this line x 9-C X x x X Sc NOTICE OF COMPLETION OF CONSTRUCTION RETURN THIS FORM TO: COMPLIANCE Or Fax to: 631-444-0297 _ Bureau of Habitat- TIN 50 Circle Road Stony Brook, NY 11790-3409 _ PERMIT NUMBER: EXPIRATION DATE: PERMITTEE NAME & PROJECT ADDRESS: CONTRACTOR NAME & ADDRESS: TELEPHONE: Pursuant to special conditions of the referenced permit, you are hereby notified that the authorized activity was completed on . We have fully complied with the terms and conditions of the permit and approved plans. (Both signatures required) PERMITEE: DATE CONTRACTOR: DATE THIS NOTICE, WITH PHOTOGRAPHS OF THE COMPLETED WORK AND/OR A COMPLETED SURVEY, AS APPROPRIATE, MUST BE SENT TO THE ABOVE ADDRESS WITHIN 30 DAYS OF COMPLETION OF THE PROJECT. i I i W20-1 (8187)-9d New York State Department of Environmental Conservation 0 Iowa TIC The Department of Environmental Conservation (DEC) has issued permit(s) pursuant to the Environmental Conservation Law for work being conducted at this site. For further information, regarding the nature and extent of work approved and any Departmental conditions on it, contact the Regional Permit Administrator listed below. Please refer to thepermit number shown when contacting the DEC. Regional Permit Administrator Permit Number 013?-~Oq 1-34/.) ROGER EVANS Expiration Date NOTE: This notice is NOT a permit ' OCT - 9 2012 ~y~ 4 i i _1a 'awn . ~ New York State Department of Environmental Conservation _ Division of Environmental Permits, Region One SUNY @ Stony Brook, 50 Circle Road, Stony Brook, NY 11790-3409 Phone: (631) 444-0404 Fax: (631) 444-0360 _ Website: www.dec.nv.oov Joe Martens Commissioner September 14, 2012 rl~lr Ms. Judith Hockemeyer r 166-26 Powells Cove Blvd. 9A Whitestone, NY 11357 SEP Z 5 1pj~ Re: Permit No.: 1-4738-04136/00001 so°thhotdTow ~~Brcrd o! Trustees Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit. Please carefully read all permit conditions and special permit conditions contained in the permit to ensure compliance during the term of the permit. If you are unable to comply with any conditions please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. Sincerely, Gene R. Zamojcin Environmental Analyst GRZ/Is NEW YORK STATE DEPARTME&F ENVIRONMENTAL CONSERVATIO& Facility DEC ID 14738-04136 PERMIT Under the Environmental Conservation Law CL Permittee and Facility Information Permit Issued To: Facility: JUDITH HOCKEMEYER HOCKEMEYER PROPERTY 166-26 POWELLS COVE BLVD 9A 245 BAYVIEW AVEISCTM 1000-52-05-27 WHITESTONE, NY 11357 SOUTHOLD, NY 11917 (347) 368-6160 Facility Application Contact: JEFFREY PATANJO 106 HEWITT BLVD CENTER MORICHES, NY 11934 (631) 484-9332 Facility Location: in SOUTHOLD in SUFFOLK COUNTY Village: Southold Facility Principal Reference Point: NYTM-E: 718.3 NYTM-N: 4551.42 Latitude: 41°05'05.1" Longitude: 72°24'04.0" Project Location: 245 Bayview Avenue - Watercourse - Arshamomaque Pond Authorized Activity: In-place replacement of 74 linear feet of existing functional bulkheading and backfill. Replacement of existing or the construction of new bulkhead returns. Reconstruct existing, or construct new parallel capping boardwalk landward of bulkhead. All authorized activities shall be done in strict conformance with the attached plans stamped "NYSDEC Approved" on 9/14/2012. (GRZ) SAP # 1-08-010 Permit Authorizations Tidal Wetlands - Under Article 25 Permit ID 1-4738-04136/00001 New Permit Effective Date: 9/14/2012 Expiration Date: 9/13/2017 Water Quality Certification - Under Section 401- Clean Water Act Permit ID 1-4738-04136/00002 New Permit Effective Date: 9/14/2012 Expiration Date: 9/13/2017 Excavation & Fill in Navigable Waters - Under Article 15, Title 5 Permit ID 1-4738-04136/00003 New Permit Effective Date: 9/14/2012 Expiration Date: 9/13/2017 Page 1 of 7 NEW YORK STATE DEPARTME&F ENVIRONMENTAL CONSERVATIOS Facility DEC ID 1-4738-04136 NYSDEC Approval By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, and all conditions included as part of this permit. Permit Administrator: SUSAN ACKERMAN, Deputy Regional Permit Administrator Address: NYSDEC REGION 1 HEADQUARTERS SUNY @ STONY BROOK150 CIRCLE RD STONY BR OK, 1179G-3409 Authorized Signature: Date -4-/ I.1 im Distribution List JEFFREY PATANJO Habitat - TW EUGENE R ZAMOJCIN L Permit Components NATURAL RESOURCE PERMIT CONDITIONS WATER QUALITY CERTIFICATION SPECIFIC CONDITION GE14ERAL CONDITIONS, APPLY TO ALL AUTHORIZED PERMITS NOTIFICATION OF OTHER PERMIT-FEE OBLIGATIONS NATURAL RESOURCE PERMIT CONDITIONS - Apply to the Following Permits: TIDAL WETLANDS; WATER QUALITY CERTIFICATION; EXCAVATION & FILL IN NAVIGABLE WATERS 1. Regulated Activities Authorized By This Permit This permit ONLY authorizes those regulated activities / structures identified under the section titled "SAP Authorized Activity". The Department does not issue after-the-fact or as-built permits. This permit does not authorize activities, or legitimize the existence of structures, which would have required a permit but for which no permit or other authorization has been granted by the Department. 2. Conformance With Plans All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or applicant's agent as part of the permit application. Such approved plans were prepared by Jeffrey Patanjo, dated 8/1/2012. Page 2 of 7 NEW YORK STATE DEPARTMOOF ENVIRONMENTAL CONSERVATIOO 1161 Facility DEC ID 1-4738-04136 3. Notice of Commencement At least 48 hours prior to commencement of the project, the pernmittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work. 4. Excavation for Bulkhead/Structure Prior to any construction or removal of bulkheads and other shoreline stabilization structures all backfill shall be excavated landward of the structure and retained so as not to enter the waterway, tidal wetland or protected buffer area. 5. Replacement Bulkhead Maximum Height The top elevation of the replacement bulkhead shall be no more than 18 inches higher than the existing bulkhead. 6. No Seaward Extension of Bulkhead The new bulkhead shall be constructed in place of the existing bulkhead with no seaward extension of the outermost bulkhead face. 7. Jet-in Bulkhead Bulkheads constructed directly adjacent to vegetated tidal wetlands shall be hand driven or jetted in with no disturbance to the tidal wetland. Trenching is strictly prohibited. 8. Backfiilling The installation of the approved replacement bulkhead shall be completed prior to the placement of any fill material behind the structure. 9. Clean Fill Only All fill shall consist of clean sand, gravel, or soil (not asphalt, slag, flyash, broken concrete or demolition debris). 10. No Beach Excavation For Fill No excavation of the beach is authorized for the purpose of obtaining fill or stone materials. 11. No Dredging or Excavation No dredging, excavating or other alteration of shoreline or underwater areas is authorized by this permit, nor shall issuance of this permit be construed to suggest that the Department will issue a permit for such activities in the future. 12. No Runoff Over or Through. Bulkhead or into Wetland Upon completion of the bulkhead replacement authorized herein, there shall be no discharge of runoff or other effluent over or through the structure or into any tidal wetland or protected buffer area. 13. Use of Treated Wood The use of wood treated with creosote, pentachlorophenol or other wood treatment not specifically approved by the department for use in wetlands and/or marine waters, is strictly prohibited in the construction of structures that will be in contact with tidal waters. 14. Parallel Capping Boardwalk The width of the parallel capping boardwalk shall not exceed six (6) feet. No portion of the boardwalk shall extend seaward of the most seaward face of the bulkhead sheathing. 15. No Structures on Reconstructed Bulkhead or Pilings No structures, other than structures specifically authorized by this permit, shall be constructed on the reconstructed bulkhead or pilings without further authorization from the Department (new permit, modified permit). 16. Storage of Equipment, Materials The storage of construction equipment and materials shall be confined to the upland area landward of the bulkhead or on a barge. Page 3 of 7 NEW YORK STATE DEPARTM&F ENVIRONMENTAL CONSERVATIOO Facility DEC ID 1-4738-04136 17. No Disturbance to Vegetated Tidal Wetlands There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activities. 18. No Construction Debris in Wetland or Adjacent Area Any debris or excess material from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal. No debris is permitted in wetlands and/or protected buffer areas. 19. Seeding Disturbed Areas All areas of soil disturbance resulting from the approved project shall be stabilized with appropriate vegetation (grasses, etc.) immediately following project completion or prior to permit expiration, whichever comes first. If the project site remains inactive for more than 48 hours or planting is impractical due to the season, then the area shall be stabilized with straw or hay mulch or jute matting until weather conditions favor germination. 20. Temporary Mulch, Final Seeding If seeding is impracticable due to the time of year, a temporary mulch shall be applied and final seeding shall be performed at the earliest opportunity when weather conditions favor germination and growth but not more than six months after project completion. 21. No Interference With Navigation There shall be no unreasonable interference with navigation by the work herein authorized. 22. State Not Liable for Damage The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. 23. State May Order Removal or Alteration of Work If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed, the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 24. Precautions Against Contamination of Waters All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project. 25. State May Require Site Restoration If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may lawfully require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. Page 4 of 7 NEW YORK STATE DEPARTMOOF ENVIRONMENTAL CONSERVATIOO Facility DEC ID 1-0738.04136 WATER QUALITY CERTIFICATION SPECIFIC CONDITIONS 1. Water Quality Certification The NYS Department of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitations or other limitations or standards under Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977 (PL 95-217) provided that all of the conditions listed herein are met. GENERAL CONDITIONS - Apply to ALL Authorized Permits: 1. Facility Inspection by The Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71- 0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. 2. Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. 3. Applications For Permit Renewals, Modifications or Transfers The permittee must submit a separate written application to the Department for permit renewal, modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. Submission of applications for permit renewal, modification or transfer are to be submitted to: Regional Permit Administrator NYSDEC REGION I HEADQUARTERS SUNY @ STONY BROOK150 CIRCLE RD STONY BROOK, NY11790 -3409 4. Submission of Renewal Application The permittee must submit a renewal application at least 30 days before permit expiration for the following permit authorizations: Tidal Wetlands, Water Quality Certification, Excavation & Fill in Navigable Waters. Page 5 of 7 NEW YORK STATE DEPARTME&F ENVIRONMENTAL CONSERVATIOP Facility DEC ID 1-4738-04136 5. Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to exercise all available authority to modify, suspend or revoke this permit. The grounds for modification, suspension or revocation include: a. materially false or inaccurate statements in the permit application or supporting papers; b. failure by the permittee to comply with any terms or conditions of the permit; c. exceeding the scope of the project as described in the permit application; d. newly discovered material information or a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; e. noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. 6. Permit Transfer Permits are transferrable unless specifically prohibited by statute, regulation or another permit condition. Applications for permit transfer should be submitted prior to actual transfer of ownership. NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee, excepting state or federal agencies, expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, and agents ("DEC") for all claims, suits, actions, and damages, to the extent attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in connection with, or operation and maintenance of, the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent or intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The pennittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of- way that may be required to carry out the activities that are authorized by this permit. Page 6 of 7 NEW YORK STATE DEPARTMESOF ENVIRONMENTAL CONSERVATIO10 0 Facility DEC ID 14738-04136 Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights; title, or interest in real or personal property held or vested in a person not a party to the permit. Page 7 of 7 NQTICE OF CONSTRUCT _ RETURN THIS FORM TO: COMPLIANCE Or Fax to: 631.444-0297 Bureau of Habitat-TW 50 Circle Road Stony Brook, NY 11790-3409 PERMIT NUMBER: EXPIRATION DATE: PERMITTEE NAME & PROJECT ADDRESS: CONTRACTOR NAME & ADDRESS: TELEPHONE: Dear Sir: Pursuant to the special conditions of the referenced permit, you are hereby notified that the authorized activity shall commence on . We certify that we have read the referenced permit and approved plans and fully understand the authorized project and all permit conditions. We have inspected the project site and can complete the project as described in the permit and as depicted on the approved plans. We can do so in full compliance with all plan notes and permit conditions. The permit, permit sign, and approved plans will be available at the site for inspection in accordance with General Condition No. 1. (Both signatures required) PERMITEE: DATE CONTRACTOR: DATE THIS NOTICE MUST BE SENT TO THE ABOVE ADDRESS AT LEAST TWO DAYS PRIOR TO COMMENCEMENT OF THE PROJECT AND /OR ANY ASSOCIATED ACTIVITIES. FAILURE TO RETURN THIS NOTICE, POST THE PERMIT SIGN, OR HAVE THE PERMIT AND APPROVED PLANS AVAILABLE AT THE WORK SITE FOR THE DURATION OF THE PROJECT MAY SUBJECT THE PERMITTEE AND/OR CONTRACTOR TO APPLICABLE SANCTIONS AND PENALTIES FOR NON-COMPLIANCE WITH PERMIT CONDITIONS. Cut along this line x x x x x x x NOTICE OF COMPLETION OF CONSTRUCTION RETURN THIS FORM TO: COMPLIANCE Or Fax to: 631-444-0297 Bureau of Habitat- TIN 50 Circle Road Stony Brook, NY 11790-3409 _ PERMIT NUMBER: EXPIRATION DATE: PERMITTEE NAME & PROJECT ADDRESS: CONTRACTOR NAME & ADDRESS: TELEPHONE: Pursuant to special conditions of the referenced permit, you are hereby notified that the authorized activity was completed on We have fully complied with the terms and conditions of the permit and approved plans. (Both signatures required) PERMITEE: DATE CONTRACTOR: DATE THIS NOTICE, WITH PHOTOGRAPHS OF THE COMPLETED WORK AND/OR A COMPLETED SURVEY, AS APPROPRIATE, MUST BE SENT TO THE ABOVE ADDRESS WITHIN 30 DAYS OF COMPLETION OF THE PROJECT. W2D-1 MM7)-sa New York State Department of Environmental Conservation 111111111111F,NOTICIE .1111111111111F The Department of Environmental Conservation (DEC) has issued permit(s) pursuant to the Environmental Conservation Law, for work being conducted at this site. For further information regarding the nature and extent of work approved and any Departmental conditions on it, contact the Regional Permit Administrator listed below. Please refer to thepermit number shown when contacting the DEC. Regional Permit Administrator Permit Number 0-I3-0Oyi, ROGER EVANS 1~ 7 Expiration Date NOTE: This notice is NOT a permit p\ PROJECT dj LOCATION of AG. 'oast.. PROJECT LOCATION MAP 6 N.T.S. ~ ,~•y / NYSDEC de -11; ~j \ \ • OOND rKWOF i ~v P@gtITNO. 'N7 8 oy ~G~Cgaa i A O2G~t~ NOTES: ADO,* 1 /gyp Q`~ 1. ELEVATIONS REFER TO N.G.V.D. 1929 DATUM 0 1+~ 2. LOT AREA: 7,905 S.F. / 0.181 ACRES 6 S`~ 3. PORTIONS OF PLAN FROM SURVEY PREPARED BY: ff PECONIC SURVEYORS, PC PROPERTY OWNER: 6 10 1230 TRAVELER STREET, SOUTHOLD, NY 11971 J. HOCKEMEYER 1\0 , SURVEY LATEST DATED AUGUST 9, 2005 BEECHH, 66-26UROWENY 1 COVE L 0 9A g51~ ~Nb E 1 . S k~~ , A < Is BULKHEAD PERMIT PLANS SCALE: PREPARED BY 1"-20 PROPOSED PLAN & DATE: JEFFREY PATANJO SEA 25 ~ 106 HEWITT BOULEVARD LOCATION MAP 8-1-12 CENTER MORICHES, NY 11934 S Board of T'own rustees BBoarG of T Tom TOWN OF SOUTHOLD SUFFOLK COUNTY, NY SHEET: TAX YAP NO. 1000-52-05-27 1 of 2 PROPOSED ALUMINUM OR CCA TIMBER TOP CAP PROPOSED 12' LONG CCA TREATED TIMBER PILE, 6' O.C. PROPOSED 30CY CLEAN FILL FROM UPLAND SOURCE PLACED PROPOSED 7;1 BEHIND BULKHEAD RENT WALE NOTE: REMOVE EXISTING BULKHEAD STRUCTURE IN ITS ENTIRETY AND INSTALL NEW BULKHEAD ..........::.~:::IN THE EXACT SAME POSITION ................................................................WITH RAISED ELEVATION OF n 1' HEIGHT ABOVE EXIST. TOPCAP i A?PROHONTE MILK. B. 251 C PROPOSED 12' LONG CCA - .n TREATED TIMBER PILE. 6' O.C. -`PROPOSED 6"x6" OCA PROPOSED 6"x6" CCA WALE TYPICAL OF 2 TOP & BOTTOM WALE PROPOSED 10' LONG SHOREGUARD ' PROPOSED 6" TIP 225 VINYL SHEETING CCA LAY-LOG PILE ~ TA94MXMUE Y.LW f1 f1At PROPOSED 3"X6" EXISTING BULKHEAD EXISTING SAID BOTTOM REAR WALE PROPOSED e" TIP CCA PILE. 6' TO BE REMOVED IN slO.C. 8' LENGTH. BOLTED TO ITS EN IRETY• \ \ NYL LAY-LOG WITH 3/4"//\~/~// 1R2NG DETNL GALVANIZED THRU-BOLTS. PROPOSED 20' LONG 1" DU. GALV. TIE ROD, 6' O.C. PROPERTY OWNER: J. HOCKEMEYER 166-26 POWELLS COVE BLVD. 9A BEECHHURST, NY 11357-2050 PROPOSED 10' LONG SHOREGUARD 225 VINYL SHEETING PREPARED BY: TYPICAL SECTION A-A JEFFREY PATANJO N.T.S. 106 HEWITT BOULEVARD CENTER MORICHES, NY 11934 NOTES: 1. ELEVATIONS REFER TO N.G.V.D. 1929 DATUM 2. LOT AREA: 7,905 S.F. / 0.181 ACRES 3. PORTIONS OF PLAN FROM SURVEY PREPARED BY: PECONIC SURVEYORS, PC 1230 TRAVELER STREET, SOUTHOLD, NY 11971 SURVEY LATEST DATED AUGUST 9, 2005 EcE E BULKHEAD PERMIT PLANS SCALE: AS NOTED SEP 2 5 2012-> PROPOSED SECTION DATE: 8-1-12 S SOUTNOLD, TOWN OF SOUTHOLD SUFFOLK COUNTY, NY SHEET: TAX YAP NO. 1000-52-05-27 2 OF 2 i S E P 1 3 2012, Soothhdd gown ~..1~:,, of ~ sus T q Photo 1 - Looking South 7 Photo 2 - Looking West N N r A Photo 3 - Looking West Photo 4 - Looking Southwest August 21, 2012 NYS Dept. of Environmental Conservation n ~V" E ~r SUNY @ Stony Brook L F 50 Circle Road i}1 Stony Brook, New York 11790-2356 !SEP 13 2011 Attention: Duty Analyst SouthhoW Town Board of Trustees RE: 245 BAYVIEw AVENUE, SOUTHOW, NY SCTM No. 1000-52-05-27 APPLICATION FOR PERMIT Dear Sir/Madame: We hereby submit four (4) copies of the proposed plans, applications, check, photographs and required data for permit approval for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, J )re Patanjo 06 Hewitt Blvd. Center Moriches, NY 11934 cc: Army Corps of Engineers NYSDOS Judith Hockemeyer • JOINT APPLICATION 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 US Army Corps of State each involved agency prior to proceeding with work. Please read all instructions. Engineers (USACE) APPLICATIONS TO 1. NYS Department of Environmental Conservation 2. US Army Corps of Engineers 3. NYS Office of 4. NYS Depart- General Services ment of State Check all permits that apply: Check all permits that apply: ? Stream Disturbance ? Coastal Erosion ? Section 404 Clean Water Act Check all permits that Check If this ? Excavation and Fill in Management apply: applies: ? Section 10 Rivers and Harbors ? State Owned Lands El Coastal Navigable Waters ? Wild, Scenic and Act ? Docks, Moorings or Recreational Rivers Under Water Consistency Nationwide Permit(s) -Identify ? Utility Concurrence Platforms ? Water Supply Number(s): ty Easement ? Dams and Impoundment ? Long Island Well (pipelines, Structures ? Aquatic Vegetation Control conduits, ? 401 Water Quality cables, etc.) Certification ? Aquatic Insect Control ? Docks, Preconstruction Notification - ? Freshwater Wetlands ? Fish Control 0 Y / ? N Moorings or Tidal Wetlands ? Incidental Take of Endan- Platforms gered/Threatened Species I am sending this application ? lam sending this ? I am sending ? I am sending this application to this agency. to this agency. application to this this application agency. to this agency. S. Name of Applicant (use full name) Applicant must be: 6. Name of Facility or Property Owner (if different than JUDITH HOCKEMEYER El Owner Applicant) SAME ? Operator Mailing Address ? Lessee Mailing Address 166-26 POWELLS COVE BLVD, 9A (check all that apply) Post Office City BEECHHURST Taxpayer ID (If applicant Post Office City is NOT an individual): State NY Zip Code 11357-2050 State Zip Code Telephone (daytime) Email Telephone (daytime) Email 347-368-6160 7. Contact/Agent Name 8. Project / Facility Name Property Tax Map Section / Block / Lot Number JEFFREY PATANJO BAYVIEW AVE. BULKHEAD 1000-52-05-27 Company Name Project Location - Provide directions and distances to roads, bridges and bodies of waters: SOUTH END BAYVIEW AVENUE - SOUTHOLD, NY 11917 Mailing Address 106 HEWITT BLVD. Street Address, if applicable Post Office City State Zip Code 245 BAYVIEW AVENUE SOUTHOLD NY 11917 Post Office City CENTER MORICHES Town / Village / City County SOUTHOLD SUFFOLK State Zip Code Name of USGS Quadrangle Map Stream/Water Body Name NY 11934 SOUTHOLD ARSHAMOMAOUE POND Telephone (daytime) Location Coordinates: Enter NYTMs in kilometers, OR Latitude/Longitude 631-484-9332 Email NYTM-E NYTM-N Latitude Longitude JPATANJO®OPTONLINE.NET 41° 05.083' 72° 24.068" r v h v' r~ r i s Fi rnd`n t m tunAerriav4iSe3~it°¢ , fEGANt~ } ai ~7 kF§rz 'sl s°tdc, v r~i Y Tr WON Ri, n 'sa2.. JOINT APPLICATION FORM 09/10 This Is a 2 Page Application Application Form Page 1 of 2 Both Pages Must be Completed •OINT APPLICATION FORM - PAGE 2 OF A Submit this completed page as part of your Application. 9. Project Description and Purpose: Provide a complete narrative description of the proposed work and Its purpose. Attach additional page(s) If necessary. Include: description of current site conditions and how the site will be modified by the proposed project; structures and fill materials to be installed; type and quantity of materials to be used (i.e., square ft of coverage and cubic 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 PLANS ON SEPARATE PAGES. REPLACE EXISTING DETERIORATED TIMBER BULKHEAD WITH NEW VINYL BULKHEAD IN SAME LOCATION AS EXISTING. CONSTRUCT 15' LONG RETURN AND 74' OF BULKHEAD. RAISE BULKHEAD ELEVATION VIN HEIGHT. IMPORT 30 CUBIC YARDS OF CLEAN FILL TO BE PLACED BEHIND BULKHEAD ON LANDWARD SIDE. Proposed Use: El Private 11 Public ?Commercial Proposed 12ItYt012 Estimated 1211412012 Start Date: Completion Date: Has Work Begun on Project? ? Yes ? No If Yes, explain. Will Project Occupy Federal, State or Municipal Land? ? Yes El No If Yes, please specify. 10. List Previous Permit / Application Numbers (if any) and Dates: NIAI 11. Will this project require additional Federal, State, or Local Permits including zoning changes? 0 Yes ? No If yes, please list: NYSDOS, TOWN OF SOUTHOLD TRUSTEES 12. Signatures. If applicant Is not the owner, both must sign the application. 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 responsibility for all damage, direct or indirect, of whatever nature, and by whomever suffered, arising out of the project described herein and agrees to Indemnity 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 m re than $10,000 or Imprisonment for not more than 5 years, or both where an applicant knowingly and willingly falsifies, onceal , covers up a material fact; or knowing) makes or uses a false, fictitious or fraudulent statement. 14 i - - z natu of Appl' t Printe Name to Date 0 W., 2C nature of Owner Printed Name Title Date Scgtededt Nam .x Qa~-^.1~ 4 e,1t b.ra-IL re o ent Printe Title Date ON' K5 41- 4. th Ag¢rIC'~ R~~FBR'6nPFF ~PSna Nl~ z! ! pp,,3 - ~'t~tghl'S r a ' rn r ~t c f~'dt§„ e~,x' ~ d r. eki r f L.~;. -i ~ t is'..~~r..9E .,P.~, r L ! ~ 5 .`;,iR . _ kG . t'Ei?' ~ t.5 ak i , ...a[ , rxru-3. ri", (•'.,Fua r 30INT APPLICATION FORM 09/10 Application Form Page 2 of 2 ENVIRONMENTAL OUESTIONNA/RE 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 maybe continued on separate sheet(s) of paperto be attached to this form. PR/VACYACT 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. ~rnpos1crR bv(1L~ea6Z tS rs~rC~ b[G.~.S~ aiC~sf N9 -r'r k 5</Z- ~Jrt ~NraGQ /5 ~t~~rt,~~/.u5 nnc2 rv NreaP o ~cP!'ec~.renF. 2. Provide the names and addresses of property owners adjacent to your work site (d not shown on the application form or project drawings). 54,e CIA n (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 coordination.) 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. A+ A o ti e zk f9 j of h& A 41 °N 4. Provide a copy of any environmental impact statement, or any other environmental report which was prepared for your project 91+ notr.P- +v ApPlr-, k+, o.) S. Provide a thorough discussion of alternatives to your proposal. This discussion should include, but not necessarily be limited to, time "no action" altemahve and altemadve(s) 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 re. avoidance, minimization and compensation). 'The 140 -~8~eld2 aato.~ « FoSuG+ ~ti GeSS o F 1-AAd- $C~Q.~Mtnto~'~o.J n!~ -~Iv Wu 1w4~ i ~orS i4(- QC!$o c l flv~ft4, 7 a4A 4-b-c -W--e t s uSc- cL e,r LF nGQ DREDGING PROJECTS Answer the following if your project involves dredging. 1. Indicate the estimated volume of material to be dredged and time depth (below mean low water) to which dredging would occur. Would there be overdepth dredging? 11 la 2. You can apply for a ten-year permit for maintenance dredging. If you wish to apply for a ten-year pem?iy 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. NIA 3. Indicate of your drawings the dewatering area (mf applicable) and disposal site for the dredged material (except landfill sites). Submit a sufficient number of photographs of the dewatedng and disposal sites as applicable so as to provide a clear indication of existing conditions. For ten-year maintenance dredging permits, indicate the dewetering(disposal sites for future dredging events, if known. WJA 4. Describe time method of dredging (i.e. clamshell, dragline, etc.) and the expected duration of dredging. u JA- 5. Indicate the physical nature of the material to be dredged (i.e. sand, silt; clay, etc.) and provide estimated percentages of the various constituents if available. For beach nourishment projects, grain size analysis data is required. /A- 6. Describe the method of dredged material containment (i.e. hay bales, embankment bulkhead, etc.) and whether return flow from the dewaterinsMisposal site would reenter any waterway. Also indicate if there would be any barge overflow. N IA MOORING FACILITIES Answer the following if your project includes the construction or rehabilitation of recreational mooring facilities. 1. 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 20 feet in length. If you do not believe your proposal can meet with these recommendations, please provide the reason(s). N I q- 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. N 4 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. Npumpout facilities are not planned, please discuss the rationale below and indicate the distance to the nearest available pumpout station. N I 4. Indicate on your plan view the distance to acyacent marine structures, if any are proximate and show the locations and dimensions of such structures. N )A- S. Discuss the need for wave protection at the proposed facility. Please be advised that Na 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 vessel(s) moored thereto from wakes from passing vessels. Vl,4 BUL N ADW SANK STABI IZATIORTILUNG ACTIVITIES Answer the following N your project includes construction of bulkheading (also retaining walls and seawalls) with backfill, filling of waters/wedands, or any other bank stabilization fills such as rlprep, revetments, gabions, etc. 1. Indicate the total volume of fill (including backfill behind a structure such as a bulkhead) as well as the volume of fill to be placed into waters of the United States. The amount of fill in waters of the United States can be determined by calculating the amount of fill to be placed below the plane of spring high tide in tidal areas and below ordinary high water in non-tidal areas. Cor,l .F 3a cy ~f c(~~~ C11 will be Placra ~G6,nck 'I'~P }~?~{G tiCu.c2 CL4ndwaizt) G~~e to 1~ai~[w,~ 2. Indicate the source(s) and / Fo o s . N c , h T type(s) of fill material. C ~A.n s^ V% A / y(-t VC4 -rr~A,- i,pCkn~L sm~~« 3. Indicate the method of fill placement (i.e. by hand, bulldozer, crane, etc.). Would any temporary fills be required in waterways or wetlands to provide access for construction equipment? N so, please indicate the area of such waters and/or wetlands to be filled, and show on the plan and sectional views. 1.I1 will de. ~itte~ 'r 11 516'ca St"' r? U1 c`'S L„n[owc.(L[Q P[,, (9 a3er9 b~ L1Gti~a~ . The foregoing requests basic information on the most common types of projects requiring Department of the Army permits. It is intended to 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. PROJECT LOCATION ` L G ` P ' f~101 PROJECT LOCATION MAP e 000 44 \ . i a NOTES 0 I. ELEVATIONS REFER TO N.G.V.O. 1929 DAMN S'1' r 2. LOT MFq: 7,905 S.F. / 0.187 ACRES 3. PORTIONS OF PLAN FROM SURVEY PREPARED BY: J pe. SNP. 1230 TC SURVEYORS, PC C/' ii00 1230 IC TRAVELER SURVEYORS, STREET SOUINOLO, NY 71971 166-26 POMELIS COVE BLVD. 9A SURVEY LATEST DATED AUGUST 9, 2005 SEECHHURST, NY 11357-2050 1.6 BULKHEAD PERMIT PLANS swam PROPOSED PLAN & 106 HEMTT BOULEVARD CENTER R MO RICHES, CHES, KY NY 11934 O fil -20' .Q LOCATION YAP 2 SOU THOLA TOWN OF SOUTHOLD SUFFOLK COUNTY. NY TAX YAP NO. 1000-52-05-27 F 2 it nYwP ~ aR cG1 12. IDIa CG VIEWED WMM MUG r OD. PI.YtO mma) an- FROIP IN)I M E PIa /DIM RIAIDIMD RMI1 NILE ARE, RENMF IE EXIIIIING MAaMO RIII M MIY MI A . D IN1111 IN M MRVIL NEW R9 MAaAMO YAl MM®M EXIST OF pNEKIIff MME EMRT. IIIPDIP MRRRaI MRR L as 1 Plalesm 12' IDNO m y TISADMI TMM PAZ f 0.C. d `vRaPasen ew• m PRONSm ow Du MN2 TIACJL W x TOP ! BOTTOM wNF ROMAMI IV MM0 Mpl[gYPD as MmRn MaP IEDIT' TIP MD, MR aM SW NEW MYL MAME MNIDGD PROPOAD)rm CM PAC O' TO z RMIMEO N OA. r Inmx. aoum W ITS 00IErc. M.-~I • NNYI iNiFT fN pETy 61LWx1® ~ 91S PRONMD xW lAMO 1' OII. 3* afm D1EV. TR: ROD. I. O.C. P PR R1 Q'~1~; J. H EVEN 166-26 POWELLS COVE BLVD. 9A BEECHHURST, NY 11357-2050 IOWI PROPOMD 10' zze VINYL 5 TYPICAL SECTION A- PREP A JO x.r.s. 106 HEM7 BOULEVARD CENTER MO RICHES, CHES, NY NY 11934 NDTES: 1. ELEVATIONS REFER TO N.O.V.O. 1929 DATUM 2. LOT AREA: 7,905 S.F. / 0.161 ACRES 3. PORTIONS OF PLAN FROM SURVEY PREPARED BY: PECONIC SURVEYORS, PC 1230 TRAVELER STREET SOUTHOLD. NY 11971 SURVEY LATEST DATED AUGUST 9, 2005 BULKHEAD PERMIT PLANS PROPOSED SECTION 1~17 - 12 SOUTHOLD. TOWN OF SOUTHOLD 9UTA'OLX CDUm NY TAX NAP N01000-52-06-27 2 • 617.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I - PROJECT INFORMATION To be completed b A Iicant or Project Sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME RIDITH HOCKEMEYER BAYVIEW AVENUE BULKHEAD 3. PROJECT LOCATION: Municipality SOUTHOLD County SUFFOLK 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide map) 245 BAYVIEW AVENUE, SOUTHOLD - SEE ATTACHED LOCATION MAP 5. PROPOSED ACTION IS: New Expansion Modificabontafleration 6. DESCRIBE PROJECT BRIEFLY: RECONSTRUCT EXISTING TIMBER BULKHEAD WITH NEW VINYL IN SAME EXISTING LOCATION 7. AMOUNT OF LAND AFFECTED: Initially At acres Ultimately .01 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? Yes ? No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ? Residential ? Industrial Commercial Agriculture ? 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)? r? Yes No If Yes, list agency(s) name and permit/approvals: NYSDEC, NYSDOS, ARMY CORPS OF ENGINEERS, TOWN OF SOUTHOLD TRUSTEES 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ? Yes M No If Yes, list agency(s) name and permittapprovals: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? Yes 21 No I CERTIFY THAT THE FORM TION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant1sponsor name: ' Date: t- )T-12 Signature: If t action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 r PART II - IMPACT ASSESSMENT To be completed b Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL EAF. Yes ? 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 ? No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattem, 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. Long term, short term, cumulative, or other effects not identified in C1-C5? 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)? 11 Yes ? No If Yes, explain briefly: E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? Yes 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 II was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. ? Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. Checkthis box ifyou have determined, based on the information and analysis above and any supporting documentation, that the proposed action WlL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting this determination Name o ea Agency Date Print or Type Name o Responsible Officer in Lead Agency Title of Responsible Officer Signature o Responsible Officer in Lead Agency Signature o reparer (If di erent from responsible officer) } New York State Department of Environmental Conservation _ MON NW 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 an inspection. 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 forth 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): 245 HAYVIEW AVENUE, SOUTHOLD, NY 11917 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.* ow mtq~ame'1 n Trtle 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 or other possessory interest in the property for the purpose of consenting to inspection of such property. Permission to Inspect Property Application Supplement 12/08 NEW YORK STATE DEPARTMENT OF STATE COASTAL MANAGEMENT PROGRAM Federal Consistency Assessment Form An applicant, seeking a permit, license, waiver, certification or similar type of approval from a federal agency which is subject to the New York State Coastal Management Program (CMP), 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 should be completed at the time when 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) JUDITH HOCKEMEYER 1. Name: 2. Address: 166-26 POWELLS COVE BLVD, 9A, BEECHHURST, NY 11357-2050 3. Telephone: Area Code (34j) 368-6160 B. PROPOSED ACTIVITY 1. Brief description of activity: REMOVE EXISTING TIMBER BULKHEAD AND REPLACE WITH NEW VINYL BULKHEAD IN SAME EXACT LOCATION. 2. Purpose of activi : 3. Location of activity: SUFFOLK SOUTHOLD 245 BAYVIEW AVENUE County City, Town, or Village Street or Site Description ARMY CORPS OF ENGINEERS 4. Type of federal permit/license required: NIA 5. Federal application number, if known: 6. If a state permit/license was issued or is required for the proposed activity, identify the state agency and provide the application or permit number, if known: NYSDEC i • 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. L 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 0 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 E3 0 under water or coastal waters? (2, 11, 12, 20, 28, 35, 44) c. Revitalization/redevelopment of a deteriorated or underutilized waterfront site? (1) C. d. Reduction of existing or potential public access to or along coastal waters? (19, 20) a . e. Adverse effect upon the commercial or recreational use of coastal fish resources? (9,10) Q 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) El B g. Siting of a facility essential to the generation or transmission of energy? (27) Q -x h. Mining, excavation, or dredging activities, or the placement of dredged or fill material in coastal waters? (15,35) .m i. Discharge of toxics, hazardous substances or other pollutants into coastal waters? (8, 15, 35) a j. Draining of stormwater runoff or sewer overflows into coastal waters? (33) Q .0 k. Transport, storage, treatment, or disposal of solid wastes or hazardous materials? (36, 39) . a J3 1. Adverse effect upon land or water uses within the State's small harbors? (4) Q -x 2. Will the proposed activity affect or be located in, on, or adjacent to any of the following: YES / NO a. State designated freshwater or tidal wetland? (44) El b. Federally designated flood and/or state designated erosion hazard area? (11, 12, 17,) Q 13 c. State designated significant fish and/or wildlife habitat? (7) ff -0 d. State designated significant scenic resource or area? (24) Q im e. State designated important agricultural lands? (26) Q W E Beach, dune or barrier island? (12) x g. Major ports of Albany, Buffalo, Ogdensburg, Oswego or New York? (3) Q h. State, county, or local park? (19,20).......... x i. Historic resource listed on the National or State Register of Historic Places? (23) a 3. Will the proposed activity require any of the following: YES / NO a. Waterfront site? (2,21,22) © _IM b. Provision of new public services or infrastructure in undeveloped or sparsely populated sections of the coastal area? (5) 13 IM 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) Q 4. Will the proposed activity occur within and/or affect an area covered by a State approved local waterfront revitalization program? (see policies in local program document) a D. ADDITIONAL STEPS 1. If all of the questions in Section C are answered "NO", then the applicant or agency shall complete Section E 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 where appropriate, the local waterfront revitalization program document*. The proposed activity must be analyzed in more detail with respect to the applicable state or local coastal policies. On a separate page(s), the applicant or agent shall: (a) identify, by their 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. E. CERTIFICATION The applicant or agent must certify that the proposed activity is consistent with the State's CMP or the approved local waterfront revitalization program, as appropriate. If this certification cannot be made, the proposed activity shall not be undertaken. 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 waterfront revitalization program, and will be conducted in a manner consistent with such program." JEFFREY PATANJO Applicant/Agent's Name: Address: 106 HEWITT BLVD., CENTER MORICHES, NY 11934 Telephone: Area Code (631 )484-9332 Applicant/Agent's Signature: OA, Date: 13 ' Z F. SUBMISSION REQUIREMENTS 1. 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, I 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. 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 environmental Conservation and Department of State regional offices, and the appropriate regional and county planning agencies. Local program documents are also available for inspection at the offices of the appropriate local government. Policy 44 There will be no negative effect to the vegetated tidal wetlands by this proposed action. All wetlands will be protected during construction. Policy 7 There will be no negative effect to the wildlife and fish habitats by this proposed action. The bulkhead will be removed in a manner to prevent major sedimentation of the waterway. G p r p / ' A~ a f SP • p• e^ f l 9 A~ J Ci n a~N9 f' mid q q > E 3 •f ~~wwi ,nF S~ w iID dra e f _ ,zne 9 P J 9 \ qa f la I rd ry d a S Ja J rs Z >vb e O> ~ ~ uNq xeanui 't uNY ~ ,YW ~ N 4 ti # <av4 0'/~' ~ q I 14 gl l ~ Y q I a 1 GI l\ © \ lj \ \ o~sa e T ~r I O„ \ a A.aF3 ;r ewe ~~n ra n.~u. aaa. \ aFw,+ - _ _ _ FpaKE cwN OFSUFFMK © a °ECnOM~ October 22, 2012 Town of Southold Trustees - ! Town Hall Annex Building 54375 Rte. 25 OCT 2 5 2012 P.O. Box 1179 Southold, New York 11971 Attention: Elizabeth Cantrell RE: 245 BAYvIEw AVE., SOUTHOLD, NY SCTM No. 1000-52-05-27 REVISED PLANS Dear Ms. Cantrell: Attached please find four (4) copies of revised plans based on comments addressed during the meeting of October 17, 2012. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, eff y Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 OFFICE LOCATION: ~~OF SO(/TyO MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 # Southold, NY 11971 (cor. Main Rd. & Youngs Ave.) Tele hone: 631 765-1935 Southold, NY 11971 G Q P Fax: 631765-3136 ~y00UNT1,N LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM 11 LL, To: Jim King, President OCT 12 2012 Town of Southold Board of Trustees 1 SOGh'10'L~ ?G'!q From: Mark Terry, Principal Planner F~,,• ,,i T,,~„S LWRP Coordinator Date: October 12, 2012 Re: Proposed Wetland Permit for JUDITH C. HOCKEMEYER SCTM#1000-52-5-27 Jeffrey Patanjo on behalf of JUDITH HOCKEMEYER requests a Wetland Permit to remove existing timber bulkhead and replace with 49 linear feet of new vinyl bulkhead and raise it 1' above existing with a 25' return and a 15' return; and provide 30 cubic yards of clean fill. Located: 245 Bayview Avenue, Southold. SCTM# 52-5-27 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. It is recommended that the proposed 15' wide Landscaped Buffer landward of the bulkhead (excluding returns) be established to reduce tun` area and improve water quality of Arshamomaque Pond. 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 Office Use Only r pig U -Coastal Erosion Permit Application f- )(-Wetland Permit Application Administrative Permit I -Amendment/Transfer xtensron SEP 13 Received Application: 9/1-311A Received Fee:$ Completed Application 1A SouthWd Town -Incomplete Board of Trustees _SEQRA Classification: Type IType IIUnlisted _Coordinatiom(date sent) LWRP Consistency Assessment Form 9~a8'~la CAC Referral Sent: WIN X Date of Repo -Receipt o of CAC Repo~r{{ -Lead Agency Determination: -Technical Review: -)-t Public Hearing HeId: / Resolution: Name of Applicant JUDITH HOCKEMEYER Address 166-26 POWELLS COVE BLVD, 9A, BEECHHURST, NY 11357-2050 Phone Number:(347) 368-6160 Suffolk County Tax Map Number: 1000- 52-05-27 Property Location: 245 BAYVIEW AVENUE, SOUTHOLD, NY 11917 (provide LILCO Pole distance to cross streets, and location) AGENT: JEFFREY PATANJO (If applicable) Address: 106 HEWITT BLVD, CENTER MORICHES, NY 11934 Phone: 631-484-9332 B•rd of Trustees Application • GENERAL DATA Land Area (in square feet):_ 7, 905 SF Area Zoning: SFR Previous use of property: RESIDENTIAL Intended use of property: 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 x Yes 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? x No Yes If yes, provide explanation: Project Description (use attachments if necessary): REMOVE EXISTING TIMBER BULKHEAD AND REPLACE WITH 49 LF OF NEW VINYL BULKHEAD WITH 25' & 15' RETURNS. RAISE ELEVATION 1' ABOVE EXISTING AND PROVIDE 30 CUBIC YARDS OF CLEAN FILL. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: EXISTING BULKHEAD IS DETERIORATED AND IN NEED OF REPLACEMENT. Area of wetlands on lot: o square feet Percent coverage of lot: NLa Closest distance between nearest existing structure and upland edge of wetlands: 2 feet Closest distance between nearest proposed structure and upland edge of wetlands: z feet Does the project involve excavation or filling? No X Yes If yes, how much material will be excavated? o cubic yards How much material will be filled? 30 cubic yards Depth of which material will be removed or deposited: 1 feet Proposed slope throughout the area of operations: z 96 Manner in which material will be removed or deposited: SKID STEER PLACED LANDWARD OF PROPOSED BULKHEAD. 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): THERE WILL BE NO EFFECT ON WETLANDS DUE TO LOCATION AND SEPARATION DISTANCE REQUIRED FOR NEW BULKHEAD INSTALLATION. • • Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: EXISTING BULKHEAD IS DETERIORATED AND IN NEED OF REPLACEMENT. Are wetlands present within 100 feet of the proposed activity? No x Yes Does the project involve excavation or filling? No x Yes If Yes, how much material will be excavated? o (cubic yards) How much material will be filled? 30 (cubic yards) Manner in which material will be removed or deposited: SKID STEER PLACED LANDWARD OF PROPOSED BULKHEAD. 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) THERE ARE NO KNOWN ENVIRONMENTAL IMPACTS FROM THE REPLACEMENT OPERATIONS DUE TO CONSTRUCTION METHODS UTILIZED. • 617.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I -PROJECT INFORMATION To be completed b A [ICant or Project Sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME JUDITH HOCKEMEYER BAYVIEW AVENUE BULKHEAD 3. PROJECT LOCATION: Municipality SOUTHOLD County SUFFOLK 4. PRECISE LOCATION (Street address and road Intersections, prominent landmarks, etc., or provide map) 245 BAYVIEW AVENUE, SOUTHOLD - SEE ATTACHED LOCATION MAP 5. PROPOSED ACTION IS: ? New ? Expansion Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: RECONSTRUCT EXISTING TIMBER BULKHEAD WITH NEW VINYL IN SAME EXISTING LOCATION 7. AMOUNT OF LAND AFFECTED: Initially At acres Ultimately Al acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ? Yes ? No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? Residential E] Industrial ? Commercial Agriculture F1 ParklFaresUOpen Space Other Desat e: 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? Yes r_1 No If Yes, list agency(s) name and permitiapprovals: NYSDEC, NYSDOS, ARMY CORPS OF ENGINEERS, TOWN OF SOUTHOLD TRUSTEES 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ? Yes R No If Yes, list agency(s) name and pennittapprovels: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? ? Yes ? No I CERTIFY THAT THE FORM TION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: J Oy ' Date: -t-17-ta Signature: F If t action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER • 0 PART 11- IMPACT ASSESSMENT o be completed b Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL FAF. Yes a No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative dedaration may be superseded by another involved agency. Yes © No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, H legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, historic, or other natural or culture[ resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered spades? Explain briefly: C4. A community's existing plans or goals as oaldasy adopted, or a change in use or intensify 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. Long term, short term, cumulative, or other effects not identified in C1-C5? Explain briefly: - - C7. Other impacts (including changes in use of either quantity or type of energy? Explain briefl; - - D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CEA 7 If es explain briefl : Elves a No E. IS THERE, OR IS THERE LIKELY TO B CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If es lain: ? Yes a No PART IN - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: Foreachadverse eBed)dentifiedabove, determinewhether tissubstantial, large, important orothelwisesignificant Each effed should be assessed in connection with its (a) setting (i.e. urban or rurel); (b) probability of occurring; (c) duration; (d) irreversibi ily; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain - sufficterd detail to show that at relevant adverse impacts have been Identified and adequately addressed. If question d of pan II was checked yes, the determination of significance must evaluate the potential Impact of the proposed action on the environmental characteristics of the CEA. Chockaes box Ifyou have klengfed one ormore potenaailylarge oraiprtMeerd adverse knpactswldch MAY oocw. Then proceed direrdlyto the FUIU FAF arWor prepare a positive declaration. Check tiis box tyou have delahmlhed, based on the infomhation and analysis above and any supporting documentation, that RwWroposed scoot WILL NOT result in arty significand adverse environmental impacts AND provide, on attac hmenfs as necessary, the reasons supporting tit delemkinalion. Board of Trustees o QCT 2-0/7- Name of Lead Agency Date ?i9,1164 Ef 1f. le/A,7 6- President p Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer S nature in Lead Agency Signature of Preparer (If different from responsible officer) October 8, 2012 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 - Southold, New York 11971 u i Attention: Elizabeth Cantrell OCT 10 2012 1 Re: 245 BAwIEwAVE., SOUTHOLD, NY L- s~~:ns. ?even SCTM No. 1000-52-05-27 Boar' et *rdstees AFFIDAVIT OF POSTING & MAILING Dear Ms. Cantrell: Attached, please find Affidavit of Posting and Proof of Mailing Notice (including Certified Mail Receipts) for the above referenced application. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, ffr AyPa;tanjo 106 Hewitt Blvd. Center Moriches, NY 11934 o~suFFOC,~~o James F. King, President Town Hall, 53095 Main Rd. Bob Ghosio, Jr. , Vice-President y2 T P.O. Box 1179 Dave Bergen Southold, NY 11971 John Bredemeyer Telephone (631) 765-1892 Michael J. Domino Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD OCT 10 2012 BOARD OF TRUSTEES: TOWN OF SOUTHOLD - - L Scu;hhc!d ?ow In the Matter of the Application of Bo°r~ of ?rustees,q JUDITH HOCKEMEYER COUNTY OF SUFFOLK) STATE OF NEW YORK) D I' AFFIDAVIT OF POSTING I, J 0 j Y a T'~ o residing at /dba N y 11, 131 being duly sworn, depose and say: That on the 7 day of 4004 P beR 201 ZI personally posted the property known as 2 q t 61!44 vj,, , Avg 9-PvA- -ld by placing htt eoard of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday, October 17, 2012. Dated: (s' a re) Sworn to before me this 8 day of O/C+. 20 i 2- l/l~ U 4t~ otary Public 19WC tounYtyoAc No: 01 PA61 Commission Expires 08/0 0L~ F PROOF OF MAILING OF NOTICE OCT 10 2012 ATTACH CERTIFIED MAIL RECEIPTS +I S011thhc!5?aaun Boerd of irustces Name: Address: SCtn 4ac*o u- q33~ ~4 v-ene I ~a.P17 C" ~9~~ ~revla+i b,x ails ~J y //74 ®~l~.e~-k and ~Ilian W~,1~ `~0 3bx ID3 GreQnpo STATE OF NEW YORK COUNTY OF SUFFOLK ~FFrc, }w• D , residing at 10& Me--fl (Rvet 6-tc,e. A~Ptiehey, /dy t tg 3 being duly sworn, deposes and says that on the day of ~~j~, 20LL 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 MMW M0YjC.hC$ , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this Day of OCADb[X , 200 U ~C.t.C.~ lf' V Notary Public Pa4n' ew Yak Commission Expires 06/07/2o 14 NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES TOWN OF SOUTHOLD In the matter of applicant: JVCQ~th J4ee-I4e1eyc(L SCTM# 1000- Sa-05-a-7 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: /`t/MSVe- 4.1W1SftN' -t„446eti (i..( C4,r-..t s-a e2. rt re lau t..! y1 GF Ntw Vt.r l1. 46-U6bt«.2 a+f3 14tre 1t ~ / S' ll 4r t-- .e.t L w 1 S- t /LC41 1. . prp~4dQe ~o G t/ uG ale, All - 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 2N~-, (2K,'V1lW AL-,e4act , 3. That the project which is subject to Environmental Review under Chapters 96,111 and/or 275 of the Town Code is open to public comment on: DATE WctQhscQ~y (~ee.beoL 1'7, Z01Z_ e t .2 AG.,r 6'00 9AA You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. PROPERTY OWNERS NAME: MAILING ADDRESS: 169- 9t ?,wei(S G,c Q6vte • 9A &eZ101ft> tvy ll3S PHONE#: 319- 36 s- 6160 AGENT: r~ r P^ 4^.%) V MAILING ADDRESS: l06 f(w t+r t5tyep. 6~ ek -u-'riches, Jy 11R3y PHONE 611- ysy- 1373- Enc: Copy of sketch or plan showing proposal for your convenlery r [ ~r OCT 10 2012 L II J LLRb I "/(n yyy \ PROJECT LOCATION ` \ y ~6. s - eg, PROJECT LOCATION MAP y _ N.T.S. o ,yb6 -f odd* f CSI ° 4 ti ` w nDas O d1R' Qp 1. ELEVATIONS REFER TO N.O.V.O. 1929 DATUM Y 2. lAf ARFX 7905 S.F. / 0.187 ACRES 3. PORTN)NS OF PLAN FROM SURVEY PREPARED BY: PECONC SURVEYORS PC P 1230 TRAVELER SIREEi~ SOUTHOLD, NY 11971 1 :yL_1 J• \0 166 -26 POVIElLS COVE BLVD. 9A SURVEY LA EST DATED AIWST 9. 2005 BEECHHURST, NY 11357-2050 ~P ~ PUN 106 HEWITT BOULEVARD IW M NPR Z - 1= CENTER MORICHES. NY 11934 80 FROLO. Form OF 3WTAVLO SUFFOLK CYAN77 NY 1 OF 2 it III THIWI IM C,~M M 011 CG PIIOM® i0' MMp 0G nwm ~ru IHL a' ac. 1Ha11 ~~solw~s n m nlormm ra' ICI11D lIN10rAD IW MMAA No1G 1O101s 01PIINO elA m DRAW H1s:nA1z w m DRAW •o PAILiI. 16w a Pal ......_.'i'.__:'[' IN111 NIA OL 01 I' ow rl NOW Al01[ [NIf. roPOV IHWSYM66 W y PIOaO) t]' 10110 t0~ IHr~lm n1HO1 HL roc. -n1P1mm eu ca - rw m w rw11w. W f , ror • lOlro11 1 tr N11P allaHauH10 FrApa%Tn m aN1 waer"• oanp e 0 WPOW a- r Tv ea ac, r TO o lim. 00 N - LN-M Lc. a. r IQglx.:4' W m OHIRIY. P~arumlllm aHH. a roo, r o.6 H 166-26 POWELLS NY COVE BLVD. 9A BEEfiHHURST, RSf, NY 11157-2050 sHtm 106 HE91TT BOULEVARD / ~ I H CENTER MORICHES, NY 11934 -1 j i UVu cl:D~ NDrES. ---1 I 1, ELEVATIONS REFER TO N.G.V.D. 1929 DATUM 2. LOT AREA: 7,905 S.F. / 0.181 ACRES j - 3. PORTIONS OF PUN FROM SURVEY PREPARED BY: I PECONIC SURVEYORS, PO N 1230 TRAVELER STREET, SOUTHOLD, NY 11971 p SURVEY LATEST DATED AUGUST 9, 2005 N I =J i ATJN D BMW am r PO W ID SA7W SIX Te: AVLA YOrN or saurrmm Surrocr coumT.. NY r" AMP All L090dl-Of-d7 z cP z Board of Trustees Application County of Suffolk State of New York JUDITH HOCKEMEYER 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 tK DAY OF 120 Z Notary Public Flta,r,y ALDINE MARIA CURATOLO NO!01CU62374 4ewYOrk aliffed In Oueens Co nty115 mission Expires Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) 1 JUDITH HOCKEMEYER residing at 166-26 POWELLS COVE BLVD, 9A (print owner of property) (mailing address) BEECHHURST, NY 11357-2050 do hereby authorize JEFFREY (Agent) PATANJO to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature) • • 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 emplovees The Purpose 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 necessarv to avoid same. YOUR NAME: JUDITH HOCKEMEYER (Last time, first name, middle initial, unless you are applying in the time 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 X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If "Other", time 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 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 applicant/agent/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 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 is da of 2001 Signature Print Nam Form TS I Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: THE FOLLOWINO ACTIONS MAY REQUIRE THE SUBMISSION OF A 1000 52 05 27 STORM-WATER. GUOINO. DRAINAGE R 1 CONTROL PLAN ~lifs eT Sam -916ck •Te'E- OE RED BY A DESION P ZONAL in THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM # / WORK ASSESSMENT Yes No a. What Is the Total Area of the Project Pascals? (Include Total Area of an Parcels located within Will this Project Retain All Sterol-Water Run-Off the Scope of Work for Proposed Construction) 7,905/0.181 Generated by a Two (2') Inch Rainfall on Site? (S.F. iAgest (This Item will include all run-off created by site X b. What is the Total Area of Land Clearing clearing and/or construction activities as well as all - and/or Ground Disturbance for the proposed 1000/0.023 Site Improvements and the permanent creation of construction activity? impervious surfaces.) (s.F. caa.at 2 Does the Site Plan and/or Survey Show An Proposed PROVIDE- BRIEF PROJF.Cr DESCRIPTION crmaa•eaalo„e P.emmNeeoaol Drainage Structures Indicating Size 9 Location? This X ? item shall Include all Proposed Grade Changes and REMOVE EXISTING TIMBER BULKHEAD AND Slopes Controlling Surface Water Flow. 3 that plat will be describe REPLACE WITH NEW VINYL BULKHEAD IN SAME and s sethe diment She coclamantrol practices practices Survey usseed to X LOCATION. control site erosion and storm water discharges. This Item must be maintained throughout the Entim Construction Period. 4 Will this Project Require any Land Fining, Grading a Excavation where there Is a change to the Natural Existing Grade Involving more than 2DO Cubic Yards 11 X of Materiel within any Parcel? 5 Win this Application Require Lend Disturbing ActhAw Encompassing an Area In Excess of Five Thousand ? X (5,000 S.F.) Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the Site? Is this Project within the Trustme jurlsdlctlon X - General DEC SWPPP Requirements: a within One Hundred (100') feet d a Wetland or Submbsion of e SWPPP Is required for all ConeWdtgn acthibea Involving soil Beach? disturbances of ors (1) or rocs saes; Including diswrbwhces of late then one sae that 7 Will there be Site preparation on Fxistng Grade Slopes are pan as larger common plan that we ummsiely, disturb one or mom sores of land, which Exceed Fifteen (15) feet of Vertical Rim to including Construction activities involving soil dshgbenaa of lees than one (1) acre where X the DEC has determined that a SPDES permit is required for storm weber discharges. One Hundred (700 of Horizontal Distance? - (SWPPP's Shall asset the Wnimum RsqulremahA of the SPDES Gomm] Permit 8 Will Driveways, Painting Areas or other Impervious for Storm Water Discharges from Construction activity • Person No. GP-0.10401.) Surfaces be Sloped to Direct Stonn•Water Run Off 1. The SWPPP shalt be prepared prior to the submittal of the NOI. The NO] shell be Into and/or In the direction of a Town right- way? - 'X submitted 10 the Depednent prior to the commencement of construction so1My. 2. The sWPPP shelf describe the anal on and sediment control preaicos and where 9 Will this Project Require the Placement of Material, required, postconatrudton storm water management practices tlrel will be used ahdior Removal of Vegetation and/or the Construction of any consbucted to reduce Its pollutants in storm water discharges and to mum item Within the Town Ri -of• X - compliance with the terms and cund1ions of this penal in addition, the SWPPP shelf 9hf WaY or Road Shedder Identity potentWsoumesofpolWonwhich mayreasonably beexpected to Affadte Area? (roe lmm cam ao le the u.msmNnaomwn,,Ap n) quality, aatom waver discharges. NOTE: ItAny Anewerto Ouaedons Orr lbmugh Nine Is Aeswared with a Check Ned 3. AN SWPPPs that require the postsanshuctlcn sane water managarwnt precdw in • Box and the construction sNe deturlrnef Is between 5,000 S.F. a I Ace in use, component shell be prepared by a quieted Design Professional Licensed In NmvYork a StarmAYsier, trading, Dralragea Erosion Corbol Ran In Required by the Town of that is knowledgeable h the principles and practices of Stomp Witter Management- Southold and liuetbe Sulaninsd er R*WW Priorw hewnes aAny Mding Permit (NOTE: AM9*k4ork(,i)erwarAnmaraxerAOuwbneibginWr &CmpbWAppiadmd STATE OF NEW YORK, ; `l a~` COUNTY OF SS That I, NDITH HOCKEMEYER being duly swum, deposes and says that he/she is the applicant for Permit, (items of lrsibNuel elpnkg Dw,menq And that he/she is the OWNER .(owns. cgnvagtor, Agent, Capaee ONOr, M<1 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 belie(; and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before this; 1~ ................~.......................dayof..!.^.. v~.............. ..r20.1.- Notary Pubhc: rl- t~-t r........ (signehxedApphhoant) FORM - 06/10 Notary Public - State of New York N0.010U8237414 Qualified In Useful C My Commission Expires Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 52 _ 05 27 The Application has been submitted to (check appropriate response): Town Board 1E Planning Dept. E Building Dept. E Board of Trustees 1. Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital 0 construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Fil Nature and extent of action: REMOVE EXISTING TIMBER BULKHEAD AND REPLACE WITH 49 LF OF NEW VINYL BULKHEAD WITH 25' & 15' RETURNS. RAISE ELEVATION 1' ABOVE EXISTING AND PROVIDE 30 CUBIC YARDS OF CLEAN FILL. • • Location of action: 7245 BAYVIEW AVENUE, SOUTHOLD, NY 11917 Site acreage: 0.181 ACRES Present land use: RESIDENTIAL Present zoning classification: SFR 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: JUDITH HOCKEMEYER (b) Mailing address: 166-26 POWELLS COVE BLVD., 9A, BEECHHURST, NY 11357-2050 (c) Telephone number: Area Code( ) 347-368-6160 (d) Application number, if any: N/A Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes [i] No El If yes, which state or federal agency? ARMY CORPS OF ENGINEERS, NYSDEC, NYSDOS DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. ? Yes ? No ? Not Applicable PROJECT ENHANCES COMMUNITY CHARACTER BY WAY OF PROVIDING A VISUALLY APPEALING AND FUNCTIONAL BULKHEAD. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria ? Yes ? No [i] Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III -Policies Pages 6 through 7 for evaluation criteria ® Yes 0 No 0 Not Applicable PROJECT ENHANCES VISUAL QUALITY BY PROVIDING A VISUALLY APPEALING BULKHEAD. Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria © Yes D No E Not Applicable PROJECT PROTECTS LOSS OF LAND AND EROSION DUE TO TIDAL CURRENTS AND UPLAND RUNOFF. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria © Yes El No 0 Not Applicable PROJECT PROTECTS WATER QUALITY BY WAY OF PROVIDING A BARRIER FOR SEDIMENT EROSION. 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. M Yes []No © Not Applicable ACTION HAS NO EFFECT ON ECOSYSTEMS. Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. ? Yes ? No © Not Applicable ACTION HAS NO EFFECT ON AIR QUALITY. Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. ? Yes ? No ® Not Applicable ACTION HAS NO EFFECT CAUSED BY SOLID AND HAZARDOUS WASTE. 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. ? YeLl No © Not Applicable ACTION IS LOCATED ON PRIVATE PROPERTY. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. ? Yes ? No 2 Not Applicable 0 ACTION IS LOCATED ON SINGLE FAMILY RESIDENCE AND UTILIZED FOR RECREATIONAL BOATING ACTIVITIES. Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ? Yes ? No © Not Applicable ACTION WILL PROMOTE RECREATIONAL RESOURCE FOR LANDOWNER BY WAY OF BOATING ACTIVITIES. Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. ? Yes ? No ® Not Applicable 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. 0 Yes ? No © Not Applicable Created on 512510511:20 AM August 21, 2012 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 r_ ±i bJ RE: 245 BAYVIEw AVENUE, SOUTHOLD, NY J12 SCTM No. 1000-52-05-27 l APPLICATION FOR PERMIT I' Dear Sir/Madame: We hereby submit one original and three (3) copies of the proposed plans, application, check, photographs and required data for permit approval for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631484-9332. Very truly yours, J rey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 Cc: Judith Hockemeyer September 12, 2012 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 SEP 17 2012 f RE: 245 BAYVIEw AVENUE, SOUTHOLD, NY SCTM No. 1000-52-05-27 sournnodh:, - r Board or iris CCSV REVISED APPLICATION SHEETS Dear Elizabeth: Attached, please find four (4) copies of revised sheets from application with new project descriptions. In addition, I have included four (4) copies of the SEAF for your use. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours anj JPffrPat o 106 Hewitt Blvd. Center Moriches, NY 11934 ~ zv" 400 PROJECT `tea LOCATION \ f~, 17140 110. qQll' .Av\bI r / ` DOF \ `r0 00. nest; . m 25 ' PROJECT LOCATION MAP N.T.S. APPROVED BY ' BOARD OF TRUSTEES TOWN OF S~OUTH4LD lp / DATE /,3 112 ,o`er E vv NOTES: 1. ELEVATIONS REFER TO N.G.V.D. 1929 DATUM 2. LOT AREA: 7,905 S.F. / 0.181 ACRES f/rrO 3. PORTIONS OF PLAN FROM SURVEY PREPARED BY: / PECONIC SURVEYORS, PC S, 5 1230 TRAVELER STREET, SOUTHOLD, NY 11971 ve- l~ v gh~ SURVEY LATEST DATED AUGUST 9, 2005 1 PROPERTY OWNER: A y J. HOCKEMEYER ~O , 10/19/12 SOUTHOLD TRUSTEE COMMENTS BUFFER & RETURN LEN. 166-26 POWELLS COVE BLVD. 9A DATE REVISION LE: BEECHHURST, NY 11357-2050 BULKHEAD PERMIT PLANS JDAT1E: 1 0 "_zo PREPARED BY: JEFFREY PATANJO ! PROPOSED PLAN & 106 HEWITT BOULEVARD OCT 2 5 2012 LOCATION YAP -,2 CENTER MORICHES, NY 11934 - SOUTHOLD, TOWN OF SOUTHOLD - SUFFOLK COUNTY, NY SHEEP: TAX YAP N0. 1000-52-05-27 1 of 2 PROPOSED ALUMINUM OR CCA TIMBER TOP CAP PROPOSED 12' LONG CCA TREATED TIMBER PILE, 6' O.C. PROPOSED 30CY CLEAN FILL FROM UPLAND SOURCE PLACED PROPOSED 3"X6" BEHIND BULKHEAD REAR WALE NOTE: REMOVE EXISTING BULKHEAD STRUCTURE IN ITS ENTIRETY AND INSTALL NEW BULKHEAD IN THE EXACT SAME POSITION WITH RAISED ELEVATION OF : in 1' HEIGHT ABOVE EXIST. TOPGAP „ APPRWWATf MAW. B. 2,51 ii PROPOSED 12' LONG CCA u TREATED TIMBER PILE, 6' O.C. N --PROPOSED 6'x6' CCA WALE TYPICAL OF 2 PROPOSED 6'x6" CCA TOP & BOTTOM WALE PROPOSED 10' LONG SHOREGUARD j 225 VINYL SHEETING PROPOSED 8" TIP CCA ! APPRMMTE ILLW D. OM PROPOSED 3"X6' LAY-LOG PILE REAR WALE EXISTING BULKHEAD EXISTING SAND BOTTOM PROPOSED 8" TIP CCA PILE, 6' TO BE REMOVED IN O.C. B' LENGTH. BOLTED TO ITS ENTIRETY. VI~FfILTSNG DETAIL LAY-LOG ALVAZED THRU480LT5. PROPOSED 20' LONG 1' DIA. GALV. TIE ROD, 6' O.C. PROPERTY OWNER: J. HOCKEMEYER 166-26 POWELLS COVE BLVD. 9A BEECHHURST, NY 11357-2050 V PROPOSED 10' LONG SHOREGUARD 225 VINYL SHEETING PREPARED BY: TYPICAL SECTION A-A JEFFREY PATANJO 106 HEWITT BOULEVARD N.T.S. CENTER MORICHES, NY 11934 NOTES: 1. ELEVATIONS REFER TO N.G.V.D. 1929 DATUM 2. LOT AREA: 7,905 S.F. / 0.181 ACRES 3. PORTIONS OF PLAN FROM SURVEY PREPARED BY: PECONIC SURVEYORS, PC 1230 TRAVELER STREET, SOUTHOLD, NY 11971 SURVEY LATEST DATED AUGUST 9, 2005 - BULKHEAD PERMIT PLANS SCALE: AS NOTED OCT 2 5 2012 'j'. PROPOSED SECTION 8-1E-12 SOUTHOLD, TOWN OF SOUTHOLD SUFFOLK COUNTY, NY SHEET: . ts - ' TAX MAP NO. 1000-52-05-27 2 OF 2