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HomeMy WebLinkAboutTR-8355 John M. Bredemeyer III, President OF SOUjyO • Town Hall Annex Michael J. Domino, Vice-President 54375 Main Road P.O. Box 1179 James F. King, Trustee Southold, New York 11971-0959 Dave Bergen, Trustee C__ Q Telephone (631) 765-1892 Charles J. Sanders, Trustee ~~ycoaNTl Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 19, 2014 Mr. Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 RE: JC MILLER MANAGEMENT 5675 MILL ROAD, MATTITUCK SCTM# 106-6-2 Dear Mr. Patanjo: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, March 19, 2014: RESOLVED, that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit #8355 for the existing bulkhead to remain and to install a new bulkhead directly behind existing using vinyl sheathing and with new tie-back system installed; install a 4' wide top-cap deck in lieu of the 2' wide top-cap deck; the 10' wide non-turf buffer to be comprised of 3' deep of bank run sand/gravel with 3" to 4" of pervious stone/gravel on top; and as depicted on the revised site plan prepared by Jeffrey Patanjo, last dated February 27, 2014 and stamped approved on March 19, 2014. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, dol- +V% a~ John M. Bredemey President, Board of Trustees JMB:amn try Waterville S ~Rd 0 E Or 527g y~pr a ~ Ca0w & RRd v n $tardeY q m n tPn. ~~i p~ 5g 0O is PROPOSED 4' WIDE TOPCAP y ICA (DOUGLAS FIR) f 00H o hors Acres m P ~ IX. EDGE PVMT. LIMITS OF DISTURBANCE n µVe RC ys~~ NEW BULKHEAD BEHIND EXISTING 75 LF ca , ~o O1~ \ SEE TYPICAL SECTION A-A MHW & MLW ALONG FACE OF BULKHEAD PROPOSED 10' NON-TURF BUFFER Pas Wes a_ e zg Ra ~ ~~e~ ~Jl \ rn f ~P Mattituck 9v ~o Li 0 ~O \ 0" eaot5l"1111 0 - 16rNeos~ AVTEQ laerms 1 5602 2' ~ g0 RETURN, BEHIND EXIST. BULKHEAD SEE TYPICAL SECTION A-A PROJECT LOCATION MAP S %If-,, N.T.S. \ ~2 RD AD PROJECT ~~~~,ILL LOCATION HMAR - 7 2014 D pL APPROVED BY a BOARD OF TRUSTEES f Trustei TOWN OF SOUTHOLD NOTES: PROPERTY OWNER: SCALE: 3 l BULKHEAD PERMIT PLANS 1°=20' 1. ELEVATIONS REFER TO NGVD 1929 DATE JC MILLER MANAGEMENT 538 EDWARDS AVENUE 2. LOT AREA =2,762 SQ.FT. (0.063 ACRE(S)) CALVERTON, NY 11933 PROPOSED PLAN DATE: 3. PORTIONS OF SITE PLAN FROM SURVEY PREPARED BY: PREPARED BY: 11-11-13 HANDS ON SURVEYING JEFFREY PATANJO 2-27-14 ROAD 26 SILVER BROOK DRIVE FLANDERS, NY 106 HEWITT BLVD. NATTI STU TOWN OLD MILL SOUT UT DATE SURVEYED: MAY 29, 2013 CENTER MORICHES, NY 11934 SUFFOLK COUNTY, HOLD 631-484-9332 TY, NY SHEET: TAX YAP NO. 1000-106-06-02 1 OF 2 NOTE: EXISTING BULKHEAD TO REMAIN UNDISTURBED AND NEW PROPOSED 4' WIDE FIR BULKHEAD TO BE INSTALLED TIMBER TOP CAP BEHIND EXISTING. PROPOSED 3"X6" REAR WALE PROPOSED 4" THICK PERVIOUS STONE OVER 3' DEEP BANK RUN FOR NON-TURF BUFFER ALONG BULKHEAD APPROXIMATE M.H.W. EL 3.53 F_ w 6 0 PROPOSED 8" TIP CCA APPROXIMATE M.LW EL 0.03 LAY-LOG PILE PROPOSED 8" TIP CCA PI16' EXISTING BULKHEAD O.C. 8' LENGTH. BOLT ED TO REMAIN UNDISTURBED ROPOSED 6"x6" CCA LAY-LOG WITH 3/4" OP & BOTTOM WALE GALVANIZED THRU-BOLTS. PROGAL. , SAND BOTTOM EL -5.0'3 ,~x\\\\~~\\~j/ /~A x PROPOSED 20' LONG CLOC 9900 VINYL SHEETING TYPICAL SECTION A-A N.T.S. 7 ?('tH EB D , Tr t e NOTES: 1. ELEVATIONS REFER TO NGVD 1929 MILLER PROPERTY MANNAG T BULKHEAD PERMIT PLANS AS SHOWN 2. LOT AREA =2,762 SQ.FT. (0.063 ACRE(S)) 538 EDWARDS AVENUE 3. PORTIONS OF SITE PLAN FROM SURVEY PREPARED BY: CALVERTON, NY 11933 PROPOSED SECTION DATE` HANDS ON SURVEYING PREPARED BY: 11-11-13 26 SILVER BROOK DRIVE FLANDERS, NY JEFFREY PATANJO 12-14-13 DATE SURVEYED: MAY 29, 2013 106 HEWITT BLVD. MATTITUCK, OLD MILL ROAD 2-27-1a CENTER MORICHES, NY 11934 SUFFOLK TOWN N SOUTHOLD LK COUNTY, NY SHEET: 631-484-9332 TAX KAP NO. 1000-106-06-02 2 OF 2 John Bredemeyer, President ~gUFFO[,rek Town Hall Annex Michael J. Domino, Vice-President ~ 54375 Route 25 James F. King ; P.O. Box 1179 Charles J. Sanders Southold, NY 11971 Dave Bergen Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field InspectionlWork Session Report Date/Time: Jeffrey Patanjo on behalf of JC MILLER MANAGEMENT requests an Administrative Amendment to Wetland Permit #8355 for the existing bulkhead to remain and to install a new bulkhead directly behind existing using vinyl sheathing and with new tie-back system installed; install a 4' wide top-cap deck in lieu of the 2' wide top-cap deck; the 10' wide non-turf buffer to be comprised of 3' deep of bank run sand/gravel with 3" to 4" of pervious stone/gravel on top. Located: 5675 Mill Road, Mattituck. SCTM# 106-6-2 Type of area to be impacted: / -Saltwater Wetland -Freshwater Wetland -Sound -Bay .1G, G'rc e Kzx Distance of proposed work to edge of wetland o Part of Town Code proposed work falls under: Chapt.275 _Chapt. 111 -other Type of Application: Wetland Coastal Erosion 'Amendment ?Administrative -Emergency -Pre-Submission -Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed: Modifications: c) c 1,4 t' ?r 1 Conditions: Present Were: J. Bredemeyer M. Domino J. King C. Sanders Bay Constable Other Form filled out in the field by 1z'/~)6- Mailed/Faxed to: Date: March 3, 2014 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 MAR - 7 2019 RE: 5675 OLD MILL ROAD, MATTITUCK, NY a J111 .;a SCTM No. 1000-106-06-02 REVISED PLANS Dear Trustees: Attached, please find four copies of revised plans based on changes in construction due to findings observed in field. It was determined the existing bulkhead was in good enough condition to remain in place and remain undisrupted. The new bulkhead was installed directly behind the existing and a new tie-back system installed. This method not only provides for a stable bulkhead but also avoids any disruption with the environment due to removal of existing. In addition to the change in the bulkhead placement the plans have been revised to reflect the following: 1. A 4 foot wide deck has been added in lieu of the approved 2 foot wide deck on the original permit. 2. It has been clarified the non-turf buffer will be 3 foot deep of bank run sand/gravel with 3 or 4 inches of pervious stone/gravel on top of it as originally discussed and approved at the public hearing. In addition, check number 1534 in the amount of $50 has been included as requested. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, QJ~E rey Patanjo 06 Hewitt Blvd. Center Moriches, NY 11934 James F. King, President ~~ggFFO( rc Town Hall, 53095 Main Rd Bob Ghosio, Jr., Vice-President a~O ~lLy~ P.O. Box 1179 Dave Bergen ° Southold, NY 11971 John Bredemcyer Telephone (631) 765-1892 Michael J. Domino 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 V4 day of construction _ % constructed -Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES j SOUTHOLD, NEW YORK PERMIT NO. 8355 DATE: DECEMBER 11, 2013 ISSUED TO: JC MILLER MANAGEMENT PROPERTY ADDRESS: 5675 MILL ROAD, MATTITUCK SCTM# 106-6-2 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 December 11. 2013. and in consideration of application fee in the sum of 5250.00 paid by JC Miller Management Inc. and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to remove and replace 77 linear feet of existing deteriorated timber bulkhead with new vinyl sheathing bulkhead with a 2' wide timber top cap; and provide a 10' wide non-turf buffer that is 3.5' deep with pea gravel along the landward edge of the bulkhead; and as depicted on the site plan prepared by Jeffrey Patanjo, last dated December 14, 2013, and stamped approved on December 24, 2013. IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. h~o~glyFFO~,~cD~ co Bob sio Jr. O ~ I I TERMS AND CONDITIONS The Permittee JC Miller Management located at 5675 Mill Road Mattituck. New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. 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 • ~~Of so~ryo • Town Hall Annex Bob Ghosio, Jr., Vice-President ti~ lQ 54375 Main Road P.O. Box 1179 Dave Bergen Southold, New York 11971-0959 John Bredemeyer coo Q • ~O Telephone (631) 765-1592 Michael J. Domino O~~co Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 11, 2013 Mr. Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 RE: JC MILLER MANAGEMENT 5675 MILL ROAD, MATTITUCK SCTM# 106-6-2 Dear Mr. Patanjo: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, December 11, 2013 regarding the above matter: WHEREAS, Jeffrey Patanjo on behalf of JC MILLER MANAGEMENT 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 November 14, 2013, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 6.3 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the issuance of a permit on the structure; to establish and subsequently maintain a 10' wide non-turf buffer that is 3.5' deep with pea gravel along the landward edge of the bulkhead; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on December 11, 2013, at which time all interested persons were given an opportunity to be heard, and, z • WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of JC MILLER MANAGEMENT to remove and replace 77 linear feet of existing deteriorated timber bulkhead with new vinyl sheathing bulkhead with a 2' wide timber top cap; and provide a 10' wide non-turf buffer that is 3.5' deep with pea gravel along the landward edge of the bulkhead; and as depicted on the site plan prepared by Jeffrey Patanjo, last dated December 14, 2013, and stamped approved on December 24, 2013. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, James F. King President, Board of Trustees JFK/amn agUFEfl``~- James F. King President C3 . Town Hall Annex Bob.Ghosio, Jr., woe-President w 54375 Route 25, P.O. Box 1179 Dave Bergat Southold, NY 11971 Bredemeyer John l L Domino Telephone (631) 765-1892 Michael L 7! Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN (OFSOUTHOLD TO: 2V Pll ` Q 111 D t1)I 'JC MI / "I(1 q Q AP Please be advised that your application dated 13 has been reviewed by this Board at the regular meeting of 2 and your application has been approved pending the comptetion o the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1st Day of Construction ($50.00) Y2 Constructed ($50.00) Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ff.) 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: 0 TOTAL FEES DUE: $-SO -.0 BY: James F. King, President Board of Trustees ECEIVE D DEC 2 3 2013 Waterville Board -.Rd . i.. _ Etta 52.75 CRP'pf C cry = ' cPO1 k P ~ p1 n S2 Oi ` \ "PP. PROPOSED 7 WIDE TOPCAP Pa m C' N66' \ \ c~ (DOUGLAS FIR) ~sI 9` EX. EDGE PVMT. \ LIMITS OF DISTURBANCE ashore Acres -m - P \ ~ REMOVE AND REPLACE 75 LF BULKHEAD SEE TYPICAL SECTION A-A nwle 3 col~ 00, MHW k MLW ALONG FACE OF BULKHEAD o / 0~~ \ \ \ PROPOSED 10' NON-TURF BUFFER tit we$ e 9 f e' o attituck ~o \ \ O J0 G)'. OS.\ \ 0-1 Q" C/ \ 5565 REMOVE AND REPLACE 2 LF BULKHEAD Pie E RETURN, SEE TYPICAL SECTION A-A lQa187 -.P0" 74Y'fEQ er sm 0 ~a PROJECT LOCATION MAP ~``-ti 3(/Z deed N.T.S. 2 li.,i>Lh ~eQw2V e~ I M PROJECT OLD LOCATION APPROVED BY BOARD OF TRUSTEES NOTES: TOWN OF SOUTHOLD PROPERTY OWNER: SCALE: 1. ELEVATIONS REFER TO NGVD 1929 JC MILLER MANAGEMENT BULKHEAD PERMIT PLANS 1 •=20• 2. LOT AREA =2,762 SQ.FT. (0.063 ACRE(S)) DATE ~/5L oZy 2-013 538 EDWARDS AVENUE CALVERTON, NY 11933 PROPOSED PLAN DATE: 3. PORTIONS OF SITE PLAN FROM SURVEY PREPARED BY: PREPARED BY: 11-11-13 HANDS ON SURVEYING JEFFREY PATANJO 26 SILVER BROOK DRIVE FLANDERS, NY 106 HEWITT BLVD. 5675 OLD MILL ROAD DATE SURVEYED: MAY 29, 2013 CENTER MORICHES, NY 11934 MATTITUCK TOIYN OF SOUTHOLD 631-484-9332 SUFFOLK COUNTY, NY SHEET: TAX YAP NO. 1000-106-06-02 OF 2 NOTE: REMOVE EXISTING BULKHEAD STRUCTURE IN ITS ENTIRETY PROPOSED 2' WIDE FIR AND INSTALL NEW BULKHEAD TIMBER TOP CAP IN THE EXACT SAME POSITION AND HEIGHT. PROPOSED 3"X6" PROPOSED 24' LONG 10" BUTT REAR WALE CCA TREATED TIMBER PILE, 6' PROPOSED PERVIOUS STONE OVER 3' O.C. DEEP BANK RUN FOR NON-TURF BUFFER ALONG BULKHEAD APPROXIMATE M.H.W. EL 3.51 - 0 0 PROPOSED 8" TIP CCA LAY-LOG PILE APPROXIMATE M.LW EL O.Ot EXISTING BULKHEAD PROPOSED 8" TIP CCA PILE, 6' TO BE REMOVED IN O.C. 8' LENGTH. BOLTED TO ITS ENTIRETY. PROPOSED 6"x6" CCA LAY-LOG WITH 3/4" TOP, MIDDLE & BOTTOM GALVANIZED THRU-BOLTS. JV&L ` WALE PROPOSED 16' LONG 1" DIA. SAND BOTTOM EL -5.0'1 GALV. TIE ROD, 6' O.C. L JON\ PROPOSED 20' LONG CLOC 9900 VINYL SHEETING TYPICAL SECTION A-A N.T.S. NOTES: 1. ELEVATIONS REFER TO NGVD 1929 PROPERTY OWNER: SCALE: JC MILLER MANAGEMENT BULKHEAD PERMIT PLANS AS SHOWN 2. LOT AREA =2,762 SOFT. (0.063 ACRE(S)) 538 EDWARDS AVENUE 3. PORTIONS OF SITE PLAN FROM SURVEY PREPARED BY: CALVERTON, NY 11933 PROPOSED SECTION DATE: HANDS ON SURVEYING PREPARED BY: 11-11-13 26 SILVER BROOK DRIVE FLANDERS, NY JEFFREY PATANJO 12-14-13 5675 OLD MILL ROAD DATE SURVEYED: MAY 29, 2013 106 HEWITT BLVD. NATTITUCI( TOWN OF SOUTHOLD CENTER MORICHES, NY 11934 SUFFOLK COUNTY, NY SHEET: 631-484-9332 TAX MAP NO. 1000-106-06-02 2 OF 2 SURVEY OF CERTIFIED TO. C AOULD? MMCENEM; M. DESCRIBED PROPERTY JOB AN 2013-173 NAP NO, S/ I UA TE A / T M MATTITUCK Flea TOWN OF SOUTHOLD REVISIONS' S.UFSFr=COUVTY, NEwrDPoC 1 r~ sc T,V~UFVua Buc oa L0 T07 10 S 0 10 20 m 40 60 90 70 Po 90 SCALE 1'=2V DATE. MAY29, 2013 LOTARFA 2,767 SOFT =0.063 ACRE a6" DEED UBER 1921 CP.30s WAS USED AS REFERENCE FOR SUBJECT PROPERTY. UUEW No.: HANDS ON SURVEWNG 26SILVERBROOKDRIVE FLANDERS, NEW YORK 11901 76i (631)6312-FAK(6.T/)-36&9313 COME$ OFTM3BRWVMIP V7WfAFEROR NOT ,OF COM69197MTOBE ~~&MALL UMAMANYPVarno RME. ORS"'` 5T"' ~ 5y1S / ` • 1R Y'M1xJr ~A 47. p ;C '9p Q 0 ~P y J Y. R00 o%,'D D NOV 14 2M3 soatTimu' 6'-n 1 p James F. King, President SUFFa(,r w C P.O. Box 1179 Bob Ghosio, Jr., Vice-President h~ ~Z Southold, NY 11971 Dave Bergen ? Telephone (631 765-1892 John Bredemeyer 2 Fax (631) 765-6641 Michael J. Domino 'F Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: 1 a~7~j 3 9 o ° Jeffrey Patanjo on behalf of JC MILLER MANAGEMENT requests a Wetland Permit to remove and replace 77 linear feet of existing deteriorated timber bulkhead with new vinyl sheathing bulkhead with a 2' wide timber top cap; and provide a 10' wide non-turf buffer along the landward edge of the bulkhead. Located: 5675 Old Mill Road, Mattituck. SCTM# 106-6-2 Type of area to be impacted: -Saltwater Wetland -Freshwater Wetland -Sound -Bay Distance of proposed work to edge of wetland 4 Part of Town Code proposed work falls under: _4~6apt.275 _Chapt. 1!11 mother Type of Application: /Wetland -Coastal Erosion -Amendment _Administrative_Emergency -Pre-Submission Violation Info needed: Modifications:- A~~C-Owm 077'e r° si c~ C5'oa urz JU Conditions: 57' V kvl Gy/4 Th /Z ~7 ~,y _ G~( S/7-wr Present Were: J. King _B. Ghosio _ D. Bergen, _J. Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: A)c Date: ~E~Mt r+ t4 '~1r,~ 1~- p .aG'w _ it t I Photo 1 _ Woo i L 5 \ ~ ti Photo 2 Y {+1 3. 1]~jI ~1 '.ter - a Photo 3 A2L i Photo 4 I~! I i i ° e ..M ~ ' RI o 1 J p ~e e / of ~ ? ~ m a y a a' ~ } 9' D a awo e y a y s mYa I II a - ~I e ~ 4 wn ° •f n. K . 4 ' + Via. I ,.~,S ¦ I v . O f y y ~ n yM 11 • ^I er , + o ° ^"9 ^y 6 ep ,wwowunc _ fi ^s. i { .ma+e " ~ II + sr ° p 1 I 4 . c m „ u(7m ~ . era ~%,9 ,p J LL 0 e d i y !e° ~ o s ~~YI~ m 1y _ _ _ xv,ce COUNLY OF SUFFOLK © o wmdn sEC.vx.o v~aFenvIs+~a.Kr ` _ 106 January 18, 2014 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 JAN 2 2 20114 P.O. Box 1179 Southold, New York 11971 rd of Trustee RE: 5675 OLD MILL RoAD, MATTiTUCK, NY SCTM No. 1000-106-06-02 CHECK Dear Trustees: Attached, please find check number 1522 in the amount of $50 as required for permit. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, ffrey Patanjo - RZ;; 7 106 Hewitt Blvd. Center Moriches, NY 11934 December 18, 2013 D E C E12M Town of Southold Trustees V Town Hall Annex Building DEC 2 3 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 T' RE: 5675 OLD MILL ROAD, MATTITUCK, NY SCTM No. 1000-106-06-02 REVISED PLANS Dear Trustees: Attached, please find revised plans based on the December 11, 2013 public hearing showing the revision to the non-turf buffer on the typical section. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, ffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 OFFICE LOCATION: ~~OF SOUTyO MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 * * Southold, NY 11971 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 Gr Telephone: 631 765-1935 i Fax: 631 765-3136 coulm,Nc~ LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM 7-77 To: Jim King, President Town of Southold Board of Trustees T I La 9 From: Mark Terry, Principal Planner LWRP Coordinator LAil Tr e Date: December 5, 2013 Re: Proposed Wetland Permit for JC MILLER MANAGEMENT SCTM#1000-106-6-2 Jeffrey Patanjo on behalf of JC MILLER MANAGEMENT requests a Wetland Permit to remove and replace 77 linear feet of existing deteriorated timber bulkhead with new vinyl sheathing bulkhead with a 2' wide timber top cap; and provide a 10' wide non-turf buffer along the landward edge of the bulkhead. Located: 5675 Mill Road, Mattituck. SCTM# 106-6-2 It is my recommendation that the proposed action is INCONSISTENT with LWRP Policy 6.3 (below) and therefore, INCONSISTENT with the LWRP. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their . jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. The structure described was not constructed pursuant to a Southold Board of Trustees Wetland Permit. In the event that the action is approved it is recommended that the proposed non-turf buffer be vegetated with native, drought tolerant vegetation. 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 • ~o~gUFFO(~ co • Peter Young, Chairman Town Hall, 53095 Main Rd. Lauren Standish, Secretary P.O. Box 1179 'F Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., December 4, 2013 the following recommendation was made: Moved by Doug Hardy, seconded by Jack McGreevy, it was RESOLVED to SUPPORT the application of JC MILLER MANAGEMENT to remove and replace 77 If. of deteriorated timber bulkhead with new vinyl bulkhead and 2' wide timber top cap, and provide 10' non-turf buffer landward of bulkhead. Located: 5675 Old Mill Rd., Mattituck. SCTM#106-6-2 Inspected by: Doug Hardy Vote of Council: Ayes: All Motion Carried James F. King, President SOUryo Town Hall Annex Bob Ghosio, Jr., Puce-President 54375 Main Road P.O. Box 1179 Dave Bergen Southold, New York 11971-0959 John Bredemeyer 765 I Michael J. Domino Fax Telephone (6811) ) 76 7658841 ~ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Ofnee Use Only _Coastal Erosion Permit Application r' Wetland Permit Application Administrative Permit oil Amendmentfrransfer/Extension ~Received Application: ll 1 RDE14 2313 Received Fee:S Completed Application 1 I H _ -Incomplete 5s tho:u L74,- ,SEQRA Classification: Type L _Type II_Un isted_ Coordination:(date sent) TLWRP Consistency t Form 11 ~13 CAC Referral Sent: )7 I 7T~ Date of Inspection:.- U) 4T(j Receipt of CAC Report: Lead Agency Determination: Technical Review: -Public Hearing Held: 11 Resolution: Name of Property Owner(s) TC 4--A I 'l e rt AA w n n a ,r.n e n i- Address 638 15dwarcts Aven?c, Cal ver+,97, NLl 11933 Phone Number( ) 6 31.3 6 9 y 400 ~r a l'1 -oa Suffolk County Tax Map Number: 1000 - / o b - Pb Property Location: 5- 6 7 s of k 4A. 11 AA /t,4 t f. cl& ~v t c on 5 e2 Loeu+h Om AAtAP - fQvr-tk) v.,4 olk AA 11 11vnl (provide LILCO Pole distance to cross streets, and location) AGENT: T I5~Fr e y Pa n) a (If applicable) Address. 1 a6 I ew)++ 6Lvk Ce4+or ILA or i c4i es N Y 1 l 9 3~ Phone: q if `l - 9 3 3,;L- c9- ~ 113 ra or wrust:ees appaicatio GENERAL DATA Land Area (in square feet): a -7 6 a Area Zoning: C.. M M e ee I,.-(- Previous use of property: V.4 e v ^ -t- Intended use of property: ?6, a ..r) -1' Covenants and Restrictions on property? Yes ? No If "Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes '--~No If "Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes ? No If "Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes ? No Does the stricture (s) on property have a valid Certificate of Occupancy? Yes ? No Prior permits/approvals for site improvements: Agency Date ? No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency! ?No Yes If yes, provide explanation: Project Description (use attachments if necessary): 2r1,.oye en ,t P_,g0l,,ec_ -77 L F • Dtlivrti Fit t~.,bee h6aQehr. ck ~ itti .14w yiryU bv0ehe"d '"Q P? 14 w~eQt -F~.e.SrL troll e+P • Rc No,,,_-t~eF L1n.Q.vw./L~Q i ~ ry?r.l~ ~tco-~ WETLAND/TRUSTEE LANDS APPLICATION DATA o f D c Ferro rr Purpose of the proposed operations: L e enove, nvn rP c P 1K e e 77 L f -4r,ribcit 6. 06 he.cl wi+k "ecw yr vy C b,.,(,IGhec t -"o74- g' w-de -fi*tbcR- -t•p ckp • Prv~ioQ c [o' U'ide voN-f~rF Area of wetlands on lot: square feet Percent coverage of lot:_j~_% Closest distance between nearest existing stricture and upland edge of wetlands: N A feet Closest distance between nearest proposed structure and upland edge of wetlands: r 1 ,*r feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? r 1 A cubic yards How much material will be filled? _.N n cubic yards Depth of which material will be removed or deposited: ")A feet Proposed slope throughout the area of operations: 1 7- -2-7. Manner in which material will be removed or deposited: N 1 A 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): -rh erx _.1I ~e A. Nl~w-Yvt e4ee4 O,J +,Jc-(_ 0 0 617.20 Appendix B Short Environmental Assessment Form Instructions for Comoletine Part 1 - Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding, are subject to public review, and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item, please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency; attach additional pages as necessary to supplement any item. Part 1- Project and Sponsor Information 7c A-A. I) eA- AA ti nes er e?r-f- Name of Action or Project: 5-6-76-- oCc2 n.(.I( 12ek Project Location (describe, and attach /a location map): J See e,44-we, 1e4Q IiOGC. TLm..a Nt4~ Brief Description of Proposed Action: dc lo,Q r/AO,x g.. re?1Ae-e 77 tJ ..F J erre/.wY bv0&17,eo- wrtli Aet,w vr,,.yL- 1>?LV/ 4e. . I rr?ts{e ` w, d '1 rn bcn_- 4enP • n 2 lot w c 6ee Name of Applicant or Sponsor. ~Tem` phon e: 1, 31. 369. 49 Oa x 2r -YG wAtll.ef- t/lwnf~er ev%-r aiI:JK,1IeR~ J C*WJl"nn4r1VM Address: 531 Ecl. &r&S A.ic City/PO: State: Zip Code: eel ver -I'o N `f 1033 1. Does the proposed action only involve the legislative adoption of a plan, local law, ordinance, NO YP.S administrative rule, or regulation? If Yes, attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no, continue to question 2. 2. Does the proposed action require a permit, approval or funding from any other governmental Agency? NO YFS If Yes, list agency(s) name and permit or approval r- -I S0Ec- 1 4AM-1 eV/ RL 1 N`11'0 ~S 3.a. Total acreage of the site of the proposed action? O. c b 3 acres b. Total acreage to be physically disturbed? O.0 i-4- acres c. Total acreage (project site and any contiguous properties) owned r ot.3 or controlled by the applicant or project sponsor! acres 4. Check all land uses that occur on, adjoining and near the proposed ion. ?Urban []Rural (non-agriculture) Olndustrial Commercial ?Residential(suburban) ?Forest ?Agriculture ?Aquatic ?Other(specify): ?Parkland Page 1 of 4 0 0 5. Is the proposed action, NO YES NIA a. A permitted use under the zoning regulations? ? b. Consistent with the adopted comprehensive plan? 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ? Er 7. Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area? NO YES If Yes, identify: t- ? 8. a. Will the proposed action result in a substantial increase in traffic above present levels? NO YES [a El b. Are public transportation service(s) available at or near the site of the proposed action? ? c. Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 1911 9. Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements, describe design features and technologies: ? 10. Will the proposed action connect to an existing public/private water supply? NO YES If No, describe method for providing potable water: V A C 4 NT Pro Pl e t ? 11. Will the proposed action connect to existing wastewater utilities? NO YES If No, describe method for providing wastewater treatment: V A r 4-T PrsI f-L± ? 12. a. Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ? b. Is the proposed action located in an archeological sensitive area? 13. a_ Does any portion of the site of the proposed action, or lands adjoining the proposed action, contain NO YES wetlands or other waterbodies regulated by a federal, state or local agency? b. Would the proposed action physically alter, or encroach into, any existing wetland or waterbody? ? If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Idgutify the typical habitat types that occur on, or are likely to be found on the project site. Check all that apply: Shoreline ?Forest ?Agticultural/grasslands ?Earlymid-successional ? Wetland ?Urban ?Suburban 15. Does the site of the proposed action contain any species of animal, or associated habitats, listed NO YES by the State or Federal government as threatened or endangered? ? 16. Is the project site located in the 100 year flood plain? NO YES 17. Will the proposed action create storm water discharge, either from point or non-point sources? NO YES If Yes, a. Will storm water discharges flow to adjacent properties? ? NO AYES ? b. Will storm water discharges be directed to established conveyance systems (runoff and storm drains)? If Yes, briefly describe: ONO Elm Page 2 of 4 18. Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids (e.g. retention pond, waste lagoon, dam)? If Yes, explain purpose and size: ? 19. Has the site of the proposed action or an adjoining property been the location of an active or closed NO VES solid waste management facility? If Yes, describe: ? 20. Has the site of the proposed action or an adjoining property been the subject of remediation (ongoing or NO YES completed) for hazardous waste? If Yes, describe: 1 AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE 1 Applicant/s sor name: _ L!~~c I y~Date _ 2 / / Z Signature: Part 2 - Impact AmemmeaL The Lead Agency is responsible for the completion of Part 2. Answer all of the, following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept "Have my responses been reasonable considering the scale and context of the proposed action?" No, or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning o regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? F-1 Q 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the ? establishment of a Critical Environmental Area (CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or O ? affect existing infrastructure for mass transit, biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ? reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a. public / private water supplies? b. public / private wastewateitreaunem utilities? 8. Will the proposed action impair the character or quality of important historic, archaeological, ? architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources (e.g., wetlands, ? waterbodies, groundwater, air quality, flora and fauna)? Page 3 of 4 No, or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion, flooding or drainage ? problems? 11. Will the proposed action create a hazard to environmental resources or human health? D ? Part 3 - Determination of significance The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered "moderate to large impact may occur", or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact, please complete Part 3. Part 3 should, in sufficient detail, identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant Each potential impact should be assessed considering its setting, probability of occurring, duration, irreversibility, geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an vironmcatal impact statement is regained. Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Souawld - Hoard of Tnatees Z Z// 3 Name of Lead Age cY to J~ M4F'F F . /2i,J U President Print or Type Name of Responsible O cer in Lead Agency Title of Responsible Officer O~ eoll / S' nature of Responsible Officer in ad Agency Signature of Preparer (if different from Responsible Officer) PRINT Page 4 of 4 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: Alfytd w , Coal, ra 1_6a i5 S4. 54&kv\~ IslavA NY 1o364 G Ie~ PLC ~D ~c 12q ~ ~l~..a.~,-.1 sPa>~-~ by ~?~~s STATE OF NEW YORK COUNTY OF SUFFOLK L ttll Yl V residing at 1DLp p L 1 I ~L m Q , being duly sworn, deposes and says that on the ,'Z I- day of 201 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 C-1 t ~ =ICX05 that said Notices were mailed to each of said persons by CERTIFIED MAEURETURN RECEIPT. i j/ U Sworn to before me this '21 Dayof L& rv,hny_ 2013 Apia Notary Public Loden Pate Noft Public Sfete of Yqk No: 01PA6150861 Comm u ission Expires 08/07/2017 ~~o~OgUfFO(,~~oG • 3 ~ James F. King, President va Town Hall. 53095 Main Rd. Bob Ghosio. Jr. , Vice-President T P.O. Box 1179 Dave Bergen Southold, NY 11971 John Bredemeyer Telephone (631) 765-1892 Michael .I. Domino 1 # Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of JC MILLER MANAGEMENT COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR EIGHT DAYS I, sjf*.Q,1,~ Q0 residing at /dba i~P ww1l Blvd. Lernkr WbOCN5 by 11434 being duly sworn, depose and say: That on the / day of deC'ewbfr-, 2015, I personally posted the property known as , 015 Old Wt Ca. ma-bbfiUce- W by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday, December 11, 2013. Dated: IZIJ3 (si at e) Sworn to before me this day of,bEt 201,5 44; anyu Notary Public PWn, Nea~w~York Commiss"U 1m- ,NOTICE OF HEARING NOTICE IS HEREBY GIVEN that a public hearing will be held by the SOUTHOLD BOARD OF TRUSTEES at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD:SC miller /V1"emelrd- SUBJECT OF PUBLIC HEARING: Remove and replace 77 linear feet of existing deteriorated timber bulkhead with new vinyl sheathing bulkhead with a 2' wide timber top cap; and provide a 10' wide non-turf buffer along the landward edge of the TIME & DATE OF PUBLIC HEARING: Wedn esoay, Te"m6er 11, 4013,w 4 ora w S.' 30RM If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection rior to the day of the hearing during normal business days between the hours of a.m and .4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 sow or TTIISLeeri ftjvA .co. W. County of Suffolk State of New York TG nA, 1 j c,t, AAu n ft, e M G n 1 BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS HE 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. i Signature of Propert Owner SWORN TO BEFORE ME THIS 10 -DAY OF_Q( ,ZOO Notary Public N Lodetm Paten' f4ew Qualfie l n Suffolk CouMyY No.01PA6150881 Commission Expires 081070j{ Y~V Vi 11 YO YGOY A=I~Iii Vp YiVY~ AUTHORIZATION (where the applicant is not the owner) 1, -SC. AA, I Ie2 ,k&^e*j . Jesidingat s38 Edwa.i,tS Aue (print owner of property) (mailing address) C~ f vc~ko~. 11133 do hereby authorize (Agent) t~~ w~~o to apply for permit(s) from the Southold Board of Town Trustees on my behalf. ~,er's signature) APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURF, FORM sC ofE oaam"aom8~sofibeeatont>boar[oftoarecBioatsaode dd.'ILeOMMof . _ ~ ~Itameat end show it b talc wllalm7a[ta ueoes8ery to avoid ssme. AA y ~l ll YOURNAME: AA l k n n o/k ?rC. ' (Lest name, first name, *kWb faidal, tmheo ere SWM IN the same of someone else or other entity, snot as a company. If a% indicate On other person's or company's name.) NAME OF APMCATION: fCbeck all that apply-) Tax grievance Building Variance Tnhatec Change of Zone Coastal Eroarm Exemption fImplat Mooriffill: mplat orOfficial mep Planning Other (if 'VW, name the activity.) Do you personally (or 604411 year company, spouse, sMing, poem, or child) have a telmioosfhip with any officer or employee of the Town of Southold? -Relationship" mcudes by blood, nlwnvc. or business ioI I 'Susines ®aredr means a business, Inchading a partnership in which the town officer or employee has even a partial ownership of (or employment by) a omporatlon in which the town officer or employee owns mere than 5% of the shales. YFS NO If you answered -YES", compkse the hahmov of this form and date and sign where mdicalmL Name of person employed by the Town of Southold Title or position of that posm Describe the relationship between yourself (the applic"agcoVnixesenletive) and the town officer or emphbyee. Either check the appropriaee line A) through D) adler describe in the apace provided The tom officer or employee or his or her spouse, mblimg, parent, or child is (check all that apply): A) the owner of gremer than 5%ofthe shares of the corporate stock of the applicant (when the applicant is a corpoafionk B) the legal orberwficial owns of any f ftrast in a non-corpome entity (when the applicant is net a carporationt _Q an officer, director. partner, or employee of the applicant; or _D) the acnnai applicant. DESCRUY770N OF RELATIONSHIP Submitted F 3 day of V -zee ~3 Signature. Print Nmajil Form IS i fiLoriann-lpata~Public %cotlThew York QtiallM 011PA675k 86County Commission Expires Og/0mL4 Town of Sou old Erosion, Sod' +erktation & Stone-water Run-off ASSESSMENT FORM PROPERTY LOCATION : S.C.TJL* THE FOUAMNO ACTKM MAY PAWWE TM OII11INUM M OF A Iaao t,~ OL O} IMEr WOW- -11W- ar- SCOPE OF WORK - PROPOSED CONSTRUCTION TPEM # / WORK AS.SESSIONT Yea No s. What Is on Total Area of tle Pealed Pascals? Wit tlds Project Rabb AO Slorno-Weser Ro err (Include o•ob3 - eeScv ScopeofWorkbrProposed CarlWllWen) 4763 Genealed bYaTwo(21MOF. Awarl ~ created b. What Is the Total AraofLand Clearing ~ ~ -off~ er ll rkg darhM93 and/or conabuction activities esa as a w wet a err and/or Ground Disturbance forte proposed 1 S 00 p .03 shte Inprwmnenfa end the pannanaa creation of conabndbn acltusyt krpeMam aurfaua.) ` 2 Ibex the Sib Plan arwor survey Slaw m Proposed PROVIDEATI PYOIECrDEWRIPIION pwwAYrr ftsoft d•t DrehapShuebaaYMkaftSlas&Locden?TM a hem Wd W"Ide all Proposed Grade Q19 "and a.+ 1Clla~ Stripes Controlling Surfgoe Water Row. tl...,..~ r$Z fop/ACC 77 (-f (-f a.P 3 Doss Lha site Plan and/or Survey describe be erosion -1 I bZA, bur Lr-k es ,D wl ^'<.,y I,y.?y 1_ and sedmerd oonh preefoss emtsA be used b ? control sia erosion and helm water dtdfrga. This 1> H e a , Pte dA w. de- Item must be maintained Dr0lglaut ee Entire Construction Period +r atflea- -rpf <4 i° 1 . ! D ' Nbrt • emu/ 4 WN eta Prgec+Ratit" any Land FOlny, Grorbg or 1 Excavation where flare is a dwW b the NeWs! ? Y Exhift Grade bwd*V more tlw1200 Cubic raft of Material 1Yhhtrr arty Paroel7 5 WE tills AppYcadon Requtre Lwld Ohtuang AcOWdes Frrowrpawing an Ara in EROas of Five Thousrf ? (SAW SF.) Square Feat of Ground Surface? 6 ls Owe a Neutral Wow Course FWmft trough the Site? ls Ott Project wiOtn Oe Trusbos jubdctim Gismoral - o>x VVIPPIPPAGaIreseser, or w WM One Hu Bred (10(r) feet ore We/arld or eimWhrda9WPPPbrepiM ter d Cmbrdbn aNrwea kredskq sol Beerh? dwabren sae (f)areaw aaeK YdudbO drib wrcaaarbr err was. err 7 rate awe be Oft prepsralion an Eritkp trade Slope . mPMdaleryr olmrw pan aatvA rabrmeydbbe meormae aossdlaN; wNch Exceed Fften(15) Just uFVakd Rise to ? krdrrdnp Carbucaon adben awaap sol deMbamr of brs Man w (1) see whoa Ore Hundred (100') of Hotb ontd ? to DMlea doWnied Md& aF M puma b ragdwd forabnnwalwNedarar. (NYPPP's aMaarastae tarnwnr lbgdeeaeb area apoes arwd Posen 8 WNDMeerays,Pa MArasoroterknpervlow for Gem VAMObelraeoseawroeamsaaryPrdteaee'idt-0".) Surfaces beSLOpedIo Dired94m?WahrLanOff - 1.TMOWPPPdelapnpaedpWbaeeinNWadte110LTIeN01duMbe IntoandiorklOredirectionofsTowndpld~ . 2.TIeTh@GaYYbPPP ahiDepanbrnrtdaedbs pdabere tleartdon end edsrwnerx ofwrebrlaforr aalNny. Z esdpned arwwl prtllgs wdwhra 9 Wet tltt Project Regriathe PlaososltafMaMd, rsaiaa, ~rstamwder aftiminert pbdnsaelwaMrMardbr Renwvalof VeueW$on odfaar Carmhmlmofww mahwWtom*mthoptldrbkshwmwbrdbdraase rdbwas Rem Wtadn ale Town RWM-o&Way Or!load Shatder - - -h h car0srwwarftWriesOW srnbrraftipama. In add' teawFPP YaI Na7lnrrwam rawrabrr.deraa+.sMeeJ brfyPInI acaewApdWkmwihPaymmwWlyboowodsdbaaactto quftofdonn"W X A a - NMI: aAsYAewnrbttarserepwees/rl MbAWMWWW04Cho*W* 9.ANMPPParr egWw espi* mMmaiarslm %owmrrgernampmew in.emrrd tlw constr dim alb Aslwbrw bbbwr$AMOY.&l Ara Jury mrponeAdW MpapwM byagreid0nigrProbaw LmearrMin New Yak ssbre-w.rc OMbd DnrbpaewwCewaselrbRrp*WbyawTaea Ndbknarbdaasbbbeepbcois,wd pralbas dorm Wabrhbnsaerrrreit. SWAwb rid tewt bearb~for RevbwPdrle bswwelAsyYiiaftMA PanE ACMia Wi{./)ambAnearbaai OierbrblbeiMbraDvrPlrbAppaalpq STATE OF NEW YORK, COUNTY OF SS Tint i -~JQLYY 3 M m I Flit being duly swpm, deposes and says that he/she is the applicant far Permit, ~ And that he/she is the { P _ _ (Oarwr'lbrraaeloyAwe: eororab oeiov. der) Owner and/or representative of the or Owners, and is duly audmzed to perform or have performed rite said work and to make and file this application: tut all statements contained m this application are hue to the bed of his knawled#e and belief and that the work will be performed in the manner set forth in the application ri)ed herewith. Sworn 11 to before me this: A~, II ff~ 1a d~ay, o`f Notary Public :....................1e ~`a'..................._ ( APpas) FORM - 06110 rrofwvWd' ~~C~ No:O1PA6150861 Commission Et* 08!07/21114 Town of Southold • LWRP CONSISTENCY ASSFSShUM FORM A. INSTRUCTIONS I. All applicants for peimite including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterlimint Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of cony. *Except mbsor exempt actions bwhd btg Budding Pernft and other minutend permits not bated within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form, should review the exempt minor aeon list, policies and explanations of each policy contained in the Town of Southold Local Waterfia t Revitalization Program. A nrooosed action will be evaluated. as to its ai~ificant beneficial and adverse effects upon time coastal area (which includes all of Southold Town)3: If any question in Section C on this form is answered "yes" or "no", then the proposed action will 'affect the achievement of the LWRP policy standards and conditions contained in the consisrmcy review law. Thus, each answer must be emq Imo d in detail. lisBma both supporting and non- sapportin¢ fads. If an action cannot be certified as consistent with the LWRP policy standards and undertaken. conditions, its be A copy of the LWRP is available in the following places: online at the Town of Southold ' s website (southoldtown.northforkmet), the Board of Trustees Office, dye Planning Department, all local libraries and the Town Clerk's office. B.. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# lob _ o b _ 02 ~y/ PROJECTNAME SC Iler / ancigEc,~enT The Application has been submitted to (check appropriate response): / Town Board ? Planning Board ? Braiding Dept. ? Board of Tratees L7 1. Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital ? construction, planning activity, agency regulation, land transition) ? (b). Financial assistance (e g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: -IZIMP-C tint r?R lg e, 7? Lf nG GQt~Ftl~ol.~lr.Q ~'~''N k7cL 61~Khe~d wlfk NCw (tC, Lir~[Gyu.D ~la~d.~ ' 4 ~dt h ,,~x2 toP co.f tines ion ,tor -T~~G br~F~i+ • " • Location of action: Sb lr ova- .N,11 As4JZ- ~v•47T~ t?fl~- C?9C.g1T, Site acreage: 0.06$ c Present land use: V41 A ~r Present zoning classification: Con iw e / os. 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: y-3 C ^A - 1) e A- AA 1~ e .r, C ~ ~ (b) Marling address: S/ " c G ,tWR rK.S A ye 04 1 V e T One n ,J . 11933 Area Code ( ) 3 I ?6 ? - LM & o x P 1 y ( c ) T e l e p h o n e n u m b e r. (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes El No ? If yes, which state or federal agency? r t a a , N a 0 C. Evaluate the project to the following policies by analyzing how the project will farther support or not support the policies. Provide all proposed Best Management Practices that will farther each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrashveture, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. Eyes ? No ? Not Applicable 7 Niec4 -e~ k«nf C 5 GA%m... C 4, r. pro~<d t?w a/Gt. I, a a.k F. t"L +4` b rr lGl.~. d2 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 2 -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 DYes ? No ? Not Applicable Prod«~ C yk'r1G C VtS+wL ~ .,(lky b.i •Qrbt,acQw~ L•J_..I Ap,QI.1, ~1 i 6 ILbt - 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 g through 16 for evaluation criteria yes ? No ? Not Applicable Pr,jer4 Pre}ec4-s Yom. /,is •f ?Plr.n.Q i?ntton 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 ayes ? No ? Not Applicable Pf,jeo4 Pro+ee Yi 4.6 tt~s tyw ,so of Pr. •dr V~ l~..rtrcr` Attach additional sheets if wry Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. ? ? Yes No Not Apple Attach additionalsham ifnaxssny Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. ? Yes ? No Not Applicable Attach additimal 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 E Not Applicable 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 cri 11 teria. yaz No E2 Not Applicable Attach additional sheets if necessary WORIMG COAST POLICIES 0 Policy 10. Protect Southold's water-dependent uses and promote sitlng of new water-dependent uses in suitable locations. See LWRP Section III-Policies; Pages 47 through 56 for evaluation criteria. ? Yes ? No Q N t Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconie Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ? Yes ? No E Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural buds in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for 7"fit tion criteria. ? Yes ? No Applicable Attach addidorW sheers if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Poli=Not 65 through 68 for evaluation criteria. ? Yes ? No pplicable PREPARED BY / • P!. 4,* n , o TITLE ,6 ate., -t DATE 4z , 3 November 12, 2013 Town of Southold Trustees _ Town Hall Annex Building 54375 Rte. 25 - U P.O. Box 1179 D Southold, New York 11971 NOV 1 4 2013 RE: 5675 OLD MILL ROAD, MATTITUCK, NY &wn,oia !i i - SCTM No. 1000-106-06-02 'Trustees APPLICATION FOR PERMIT Dear Sir/Madam: We hereby submit one original and four (4) 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 631-484-9332. Very truly yours, J rey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934