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Home My WebLink AboutTR-8171 • QF • Annex James F. King, President soar Town Hall yO Bob Ghosio, Jr., Vice-President lQ 54375 Main Road P.O. Box 1179 Dave Bergen Southold, New York 11971-0959 John Bredemeyer G~ Q • .,O Telephone (631) 765-1892 Michael J. Domino COU _ e11 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: MILDRED DAVID 3826 STILLWATER AVENUE, CUTCHOGUE SCTM# 137-1-3.1 Dear Mr. Patanjo: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, November 13, 2013 and again on Wednesday, December 11, 2013: WHEREAS, Jeffrey Patanjo on behalf of MILDRED DAVID applied to the Southold Town Trustees for an Amendment to Wetland Permit #8171 under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated October 17, 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 9.3 of the Local Waterfront Revitalization Program to the greatest extent practical through the imposition of the following Best Management Practice requirements: with regard to the physical geography of the shoreline and the location of the adjoining docks in the area, the proposed dock will not exceed the existing pier line, and, 0 2 0 WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, and, 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 requirements 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, BE IT FURTHER, RESOLVED, that the Southold Town Board of Trustees APPROVES the Amendment to Wetland Permit #8171 for a proposed 4'xg7' fixed elevated catwalk; new catwalk to have Thru-Flow decking over wetlands and remainder to be untreated lumber; a 3'x12' aluminum ramp; and a 6'x20' floating dock with two 8" diameter piles in an "L" configuration, and as depicted on the site plan prepared by Jeffrey Patanjo, received on October 17, 2013, and stamped approved on December 11, 2013. This is not a determination from any other agency. Fees: $216.00 SincerejK, o~ Jame F. King President, Board of Trustees JFK:amn y~dgtVFfOEt James F. King, President y Town Hall Annex Bob Ghosio, Jr.; Vioe-President w 54375 Route 25, P.O. Box 1179 Dave Bergen Sri Qt Southold, NY 11971 John Bredemeyer Telephone (631) 765-1892 Michael J. Domino 7! Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF/SOUTHOLD TO: 1 Q 1-f Ye~l PG1l a n)i D).-fit t- Mildred David Please be advised that your application dated lbb7h has been reviewed by this Board at the regular meeting of I and your application has been approved pending the completion of th following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1S1 Day of Construction ($50.00) '/2 Constructed ($50.00) Final Inspection Fee ($50.00). Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed. below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: L 'X 18' cod-w olk ey--kngl' n - 2 s~• x~3_ob Isq,~ . = Z~lo• OD TOTAL FEES DUE: $ I D BY: James F. King, President Board of Trustees 1 ' I 1 1 ' 7 f I I h A 1 h 7 1 1 ? 1 1' 1 F 7 7' 1 7' 1 'i' X71 1 h7 t • 31 1 / 71 1 1 1' 1 3 ~~J 1 1 71 " 1"17 4 1•!• , t~ 1 r~• i a ' ;3~L soFFOt r James F. King, President pp~ C(y P.O. Box 1 179 Bob Ghosio, Jr., Vice-President Southold, NY 11971 Dave Bergen Telephone (631 765-1892 John Bredemeyer a Fax (631) 765-6641 Michael J. Domino y~of ~ ,*adr Southold Town Board of Trustees Field Inspection Mork Session Report Date/Time: y ( ~3 Jeffrey Patanjo on behalf of MILDRED DAVID requests an Amendment to Wetland Permit #8171 for a proposed 4'x97' fixed elevated catwalk; new catwalk to have Thru-Flow decking over wetlands and remainder to be untreated lumber; a 3'x12' aluminum ramp; and a 6'x20' floating dock with two 8" diameter piles in an "L" configuration. Located: 3825 Stillwater Avenue, Cutchogue. SCTM# 137- 1-3.1 Type of area to be impacted: -Saltwater Wetland -Freshwater Wetland -Sound -Bay Distance of proposed work to edge of wetland Pof Town Code proposed work falls under: _Chapt.275 _Chapt. 111 -other Type of Application: _ Wetland -Coastal Erosion -Amendment -Administrative-Emergency -Pre-Submission Violation Info needed: Modifications: Conditions:- 4nrr f,l Present Were: e'J. Kin$ _B. Ghosio _ D. Bergen, ~J. Bredemeyer ' Michael Domino D. Dzenkowski other Form filled out i the fi Id by C, ? Mailed/Faxed to: Date: • gpFFO(,~ James F. King, President 0~ C P.O. Box 1179 Bob Ghosio. Jr., Vice-President Southold, NY 11971 Dave Bergen Telephone (63 1 765-1892 John Bredemeyer G Fax(631)765-6641 Michael J. Domino 'F Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: II 6 Jeffrey Patanjo on behalf of MILDRED DAVID requests an Amendment to Wetland Permit #8171 for a proposed 4'x97' fixed elevated catwalk; new catwalk to have Thru-Flow decking over wetlands and remainder to be untreated lumber; a 3'x12' aluminum ramp; and a 6'x20' floating dock with two 8" diameter piles in an "L" configuration. Located: 3825 Stillwater Avenue, Cutchogue. SCTM# 137- 1-3.1 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: / 4 1 L( J / '1-13~y ro C J CJI G~' o 1 C30 1 Modifications: PIE, C PQ-- 1 Conditions: Present Were: J. Kin _B Ghosio D. Bergen, Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field by 1dc.~~^ Mailed/Faxed to: Date: Mildred David _ _ w 3825 Stillwater Avenue, Cutchogue SCTM# 137-1-3.1 11/6/13 r 4 Mk7 Ivan fir. .ter 4 • , y„ j• 38 25 Stillwater Ave, Cutcho ue,NY 11935, USA IIL v Goo je-earth ~ ~ 11 r Y11~ r•~T . y~y][ r ~J T ~ 999y° ~k- *4 r c :f_ ~ . ! ~ ~4 • tt'ti ` ,y"~ a Rte. , t j~'.. rC'f^'i .e'..y - ,1;-- r-~ J; k~i~}, ~ ~•R t 't r'•r 1 f c , 3825 Stillwater Ave; Cutch gue, NY 11)M USA t 4 • M ~wr` ti r y r r `s Ana "Ilk ` s G~oa~e earth p AIL New York State Department of Environmental Conservation _ Division of Environmental Permits, Region One SUNY @ Stony Brook, 50 Circle Road, Stony Brook, NY 11790-3409 v Phone: (631) 444-0372 Fax: (631) 444-0360 144W Website: www.dec.nv.aov Joe Martens Commissioner September 25, 2013 ECrF, " Ms. Mildred David - i` I II 29 East 64'" Street New York, NY 10065 OCT 1 7 2M J Re: Permit No.: 1-4738-04232/00001 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, Claire K. Werner Environmental Analyst CKW/Is NEW YORK STATE DEPART OF ENVIRONMENTAL CONSERVAT~ Facility DEC ID 1-4738-04232 PERMIT Under the Environmental Conservation Law ECL F Permittee and Facility Information Permit Issued To: Facility: MILDRED DAVID DAVID PROPERTY 29 E 64 ST 3825 STILLWATER AVEISCTM 1000-137-1-3.1 NEW YORK, NY 10065 CUTCHOGUE, NY 11935 (516) 376-8334 Facility Application Contact: JEFFREY PATANJO 106 HEWITT BLVD CENTER MORICHES, NY 11934 (631) 484-9332 Facility Location: in SOUTHOLD in SUFFOLK COUNTY Village: Cutchogue Facility Principal Reference Point: NYTM-E: 712.694 NYTM-N: 4543.318 Latitude: 41100'48.0" Longitude: 72°28'14.1" Project Location: 3825 Stillwater Avenue - Watercourse -Eugene Creek Authorized Activity: Remove existing piles and construct pier, ramp and float. All authorized activities must be in strict conformance with the attached plans stamped NYSDEC approved on 9/25/13. (CKW) Permit Authorizations Tidal Wetlands - Under Article 25 Permit ID 1-4738-04232/00001 New Permit Effective Date: 9/25/2013 Expiration Date: 9/24/2018 Water Quality Certification - Under Section 401 - Clean Water Act Permit ID 1-4738-04232/00002 New Permit Effective Date: 9/25/2013 Expiration Date: 9/24/2018 Page 1 of 6 NEW YORK STATE DEPARTOT OF ENVIRONMENTAL CONSERVAT~ 9b Facility DEC ID 1-4738-04232 4. 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. s. Storage of Equipment, Materials The storage of construction equipment and materials shall be confined within the project work area and/or upland areas greater than 75 linear feet from the tidal wetland boundary. 6. Dock, Catwalk Size Dock or catwalk shall not exceed 4 feet in width and shall be a minimum of 3 feet above grade (as measured from ground to bottom of dock/catwalk decking) over tidal wetland areas. 7. Use of Treated Wood The use of wood treated with 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. 8. Catwalk Decking The decking of the section of the catwalk that extends over vegetated tidal wetlands shall be constructed with NYSDEC-approved fiberglass grating to reduce shading impacts on the marsh. 9. No Floats, Ramps in Vegetated Tidal Wetlands Floats and ramps may not rest on or be stored in any vegetated tidal wetland. 10. Float Installation The float shall be installed only at the approved location with a minimum water depth of 2% feet, measured at apparent low tide. 11. No Prop Dredging Prop dredging, or the act of utilizing and/or directing the propeller or propulsion system of a motorized vessel and/or the water-borne forces created by said propeller or propulsion system, to excavate or displace existing bottom sediment and benthic habitat for the direct or indirect purpose of establishing or increasing water depth, is a regulated activity and is not authorized by this permit. Prop dredging is strictly prohibited without further written authorization (permit, modification or amendment) from the department. 12. 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. 13. No Permanent Structures on Dock No permanent structures shall be installed on dock/catwalk/float without first obtaining written Department approval (permit, modification, or amendment). 14. Docks at Property Lines Docks/catwalks/floats must not: a. extend laterally beyond property lines, b. interfere with navigation, or c. interfere with other landowners riparian rights. Page 3 of 6 NEW YORK STATE DEPARTIOT OF ENVIRONMENTAL CONSERVAT1 Facility DEC ID 1-4738-04232 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, NY 11790 -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. 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; Page 5 of 6 NOTICE OF COMMENCEMENT OF CONSTRUCTION - RETURN THIS FORM TO: COMPLIANCE Or Fax to: 631-444-0297 • Bureau of Habita - 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 ANYASSOCIATED 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 NOTICE OF COMPLETION OF CONSTRUCTION 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: 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 95-20.1 (8B7)-9d New York State .Department of Environmental Conservation M 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. • r Regional Permit Administrator Permit Number - j /g/ay/COI ROGER EVANS Expiration Date NOTE: This notice is NOT a permit rr LAND OF EDGARD EL CHAAR \ro vl 1000-137-01-001 r_ c4- LOT 19 x cl-, N 56°05'54"E R/DRE 3?2.81' ONC. rxoPasm ara+aa,e o¢i0~c m BE - - 0.7'N L~ aB-N--- 7• 'N ` RDe-,H U MERLOCKING PANELS OR EMK 4 CLF. PROPOSED FRED ELEVATED PER 97 IDNG X 4' MME 0.9's 4' Post k RA0. FENCE ?H " BDG. SUPPORTED WITH 6'f PIES a 8' 91-C IL on SDES) CLi w B6.4' m 8.4'S 9.5'S t 1x swTDE 0 c-4- O N ti og p O uem LOT 18 ~y ~ o ~O 28.5 ~ -O O p ~N EARTH DRIVEWAY- 1- ,e _z~ 159.4, C>t \ PROPOSED ?o' LONG x er WIDE FLOATING DOCK SfR d _ PORTED KRi-(2)-a7 PEES O LOT 17 - ROM DBIMG PIES FROM DESTROYED PER v C.0 EDGE OF 71DAL WETLANDS o ~ x w I.s AS iDOREIED - O_ -2''WIRE'F04CE ON IJNE - - CO S 57°21 '01" yy s S IDRY 1.8's z RESIDENCE - - 340.00 - \ - LOT 16 LAND OF VICTORIA M. URY 1000-137-01-5.1 \ N Y S D E C APPROVED AS PER TERIA AND CONDITIONS OF 1n PEADIIT NO, OATS L t0F~ 3s• REPRESENTS WATER DEPTH IN INCHES BELOW MEAN LOW WATER NOTES: 1 _-EL€VATIONS--REFER PROPERTY OWNER: T9-N.G.V-.-REFER-DATUM- - ~Fl~_-oa_ k & SCALE: 2. LOT AREA: 30,268 S.F. / 0.695 ACRES 29 EAST 64TH STREET pose NEW YORK, NY 10065 1"=40' 3. PORTIONS OF PLAN FROM SURVEY PREPARED BY: MICHAEL K. WICKS LAND SURVEYING PREPARED BY: PROPOSED PLAN DATE. JEFFREY PATANJO 3-13-13 200 BELLEVIEW ROAD, CTR. MORICHES, NY 11934 REVISED: SURVEY LATEST DATED FEB. 25, 2013 106 HEWITT BOULEVARD 3825 STILLIIATER AVENUE 97 -31-13 CENTER MORICHES, NY 11934 CUTCHOCUR TOWN OF SOUTHOLD 4. ALL DECKING USED SHALL BE UN-TREATED 631-484-9332 SUFFOLK COUNTY, NY SHEET: TAX YAP N0. 1000-137-01-3.1 1 of 2 Amok 41 e v _ N 1~ x yy rr}~p }tom } t °'`Y> -xv ~ r F _ 3s REPRESENTS WATER DEPTH IN INCHES - BELOW MEAN LOW WATER PROJECT LOCATION MAP ' N.T.S. NOTES: - - i_-ELEVATIONS REFER TO N.G.V.D. 1929 DATUM _THRU-FLOW DECKING OVER WETLANDS - 97' 2. LOT AREA: 30,268 S.F. / 0.695 ACRES 45' PROPOSED FIXED ELEVATED CATWALK 3. PORTIONS OF PLAN FROM SURVEY PREPARED BY: 4' WIDE X 97' LONG ALL GREENHEART TIMBER MICHAEL K. WCKS LAND SURVEYING 4'x4' CCA POSTS 200 BELLEVIEW ROAD, CTR. MORICHES, NY 11934 10 OVER WERAND LIMITS PROPOSED 6°x6" CCA POSTS TYP. SURVEY LATEST DATED FEB. 25, 2013 p 4. ALL DECKING USED SHALL BE UN-TREATED U N Y S D E C PROPOSED 3' IDE X 12' LONG APPROVED AS PER TERM! _ AND CONDITIONS OF 6 Mum A~ PERMIT NO. PROPOSED WIDE X 20 LONG lrAOT GATE PROPERTY OWNER: 4 MILDRED DAVID - 29 EAST 64TH STREET -Ittilt.-Et NEW YORK, NY 10065 - - - - - - - - - - - - - - - - - - - - - - - = 2 - PREPARED BY: JEFFREY PATANJO 0 EXISTING GRADE , . - APPROXI M.LW EL O.O± 106 HEWITT BOULEVARD - - - - - - - - - CENTER MORICHES, NY 11934 63f 484-9332 _ pose c &-Ko-att scn : _4 11" 1 4" 22" 31" AS NOTED TYPICAL SECTION & DATE: 3-13-13 TYPICAL SECTION LOCATION MAP EVISED: 3825 STILLWATER AVENUE -31-13 SCALE: H: 1"=20' CUTCHOGUE, TOWN OF SOUTHOLD V.- 1 SUFFOLK COUNTY, NY SHEET: TAX YAP NO. 1000-137-01-3.1 2 of z November 20, 2013 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 NOV 2 2 2013 RE: 3825 STILLWATER AVE. CUTCHOGUE, NY 5041Z 3ia 0mi SCTM No. 1000-137-01-3.1 AERUIL PLAN Dear Trustees: Attached please find aerial map of the above referenced project showing the location of the previously approved dock and the amended dock. As you will see, the amended dock extends 7' beyond the originally approved as required to meet the NYSDEC water depth requirement. I have drawn lines parallel to shore showing the projection of surrounding docks for your use. I hope you find this information usefull. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, Jeff Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 OFFICE LOCATION: OF SOpTho MAILING ADDRESS: Town Hall Annex h O P.O. Box 1179 54375 State Route 25 * # Southold, NY 11971 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 GZ Q Telephone: 631 765-1938 7~ Fax: 631765-3136 OOUNN,~ LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM F To: Jim King , President Town of Southold Board of Trustees 1 3 2013 P[7 From: Mark Terry, Principal Planner LWRP Coordinator outi r. Date: November 13, 2013 Re: Proposed Wetland Permit for MILDRED DAVID SCTM#1000-137-01-3.1 Jeffrey Patanjo on behalf of MILDRED DAVID requests an Amendment to Wetland Permit #8171 for a proposed 4'x97' fixed elevated catwalk; new catwalk to have Thru-Flow decking over wetlands and remainder to be untreated lumber; a 3'x12' aluminum ramp; and a 6'x20' floating dock with two 8" diameter piles in an "L" configuration. Located: 3825 Stillwater Avenue, Cutchogue. SCTM# 137-1-3.1 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is INCONSISTENT with the LWRP and listed policy standards provided below. 9.3 Preserve the public interest in and use of lands and waters held in public trust by the state and the Town of Southold. A. Limit grants, leases, easements, permits or lesser interest in lands underwater in accordance with an assessment of potential adverse impacts of the proposed use, structure, or facility on public interest in public lands under water. The dock structure will extend to ublic water and result in a net decrease in Public access to/on Public underwater lands. The applicant en'o s access to public water via an existing permitted dock structure. 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 gpFFN fQ • Peter Young, Chairman S Town Hall, 53095 Main Rd. Lauren Standish, Secretary T 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., November 6, 2013 the following recommendation was made: Moved by William McDermott, seconded by Jack McGreevy, it was RESOLVED to SUPPORT the application of MILDRED DAVID to Amend Wetland Permit #8171 to install a 97'X 4' wide fixed pier, 12'X 3' wide aluminum ramp and 6'X 20' floating dock in the same location as the original, using Thru-Flow grating above the limits of wetlands and the remainder will have untreated decking. Located: 3825 Stillwater Ave., Cutchogue. SCTM#137-1-3.1 Inspected by: William McDermott Vote of Council: Ayes: All Motion Carried October 15, 2013 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 it L0C T 17 2013 J RE: 3825 STILLWATER AVE. CUTCHOGUE, NY SCTM No. 1000-137-01-3.1 J PERMIT AMENDMENT Dear Trustees: Attached please find the following items: 1. Six (6) copies of revised plans 2. Four (4) copies of approved NYSDEC permit 3. Check no. 220 in the amount of $50 4. LWRP Consistency Assessment Form By way of this letter we request an amendment to the previously approved application submission. The proposed scope of work has been modified based on the request of the NYSDEC (permit enclosed) and revised plans included for your review. The new scope of work is as follows: The proposed project includes the installation of a 97' long x 4' wide fixed pier, 12' long x 3' wide aluminum ramp & 20' long x 6' wide floating dock in the same location as the original which have been lost during storms. The proposed fixed pier will have Thru-Flow grating above the limits of wetlands and the remainder will have un-treated decking. The proposed scope of worts was revised per comments by the NYSDEC and their requirement to meet the minimum water depth of 30" at mean low water. This was accomplished by rotating the floating dock 90 degrees and extending the pier 21 These revisions to the layout extend the seaward edge of the float a mere 6' further into the water body but allow for the minimum water depth. This is mainly due to the orientation of the floating dock. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very ly yours, J re Patanjo O6 Hewitt Blvd. Center Moriches, NY 11934 k C6~ I~~ PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: ~l Chaar m l ~lghbP~ blvd . 4 D8O~ c/o rn2m I U~ C 44t Cbr~ VI~-oYIa, P1. U,?~ ~~13 c11 we er~4ve. ~hDOuc 6-f~x you, P-P~L?Y ~1~ 35ga ~-,l IuXc~r~e . ~ uer STATE OF NEW YORK ~O~a / COUNTY OF SUFFOLK residing at LO~f ~ tk Rl Ud h q being duly sworn, deposes and says that on the CP day of r4: n~ , 20~ 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 assessmen~ ro_l_l•o-f the Town of Southold; that said Notices were mailed at the United States Post Office at l Lt'W MJ W 5 that said Notices were mailed to each of said persons by CERTIFIED MAEURETURN RECEIPT. Sworn to before me this Day of, 201 Notary Public p P Yak w50861 I Commission Exgroe ON0712Q T i I m , m IAL :'(I3C.1 ru $ 30.x6 S Postage r, %0 rru $0.46 iv' l0~3 Pestag• $ VGN ES AA,~ Ce tlged Fee w ' W N 33.10 p Relum Receipt Fee 3..`r~i Here +p Card"d Fee ~Nre J p (Endowment Required) p Rehm RecelptFee 32.55 t LV`~ C3 ReataaedDelNer Fee 3C.CG' , p (EndoreememRequired) QC130 to p (EndasememRequired) d. U$QS. p Reawded DeliverY Fee 3G. G0 S Total postage & Fees $ $L.11 ' 1G: 3C;'~013 p (Endosemem Required) p rv 3b.l.l .C• 7b Total Postage 8 Fees $ fU t ITO p saee4 Apt f1! Po sox No. C)g: state. ZIP+4 p wpo sox No. cro sYaie, zlp+a i postal Service -B CERTIFIED MAIL, RECEIPT rti r Insurance Coverage Provided) only; Ln (Domestic Mail No to u r-9 M1 t`6? ! A s postage s 30.46 934 9~~\ A 11 ru 30.4 09 4 t` S Postage $ CedgedFee $3.iG Poatmedr Gabled Fee $3.10 Y ~T'13 o Return Receipt Fee $ .55 ~~J SQ p (Endorsement Required) C3 Rehm Receipt Fee $2.55 J 5 p C3 (Endorsement Required) V Restrktad Det'rverY.Fee 30.00 p p (Endorsement Raquiz PesacedDelhreyFee $0.00 iG:30J2013 C3 (FSdonsemenl Required) S Total Postage & Fees $ S Total Postage & Fees $ $6.11 101,30/2013, p C3 ru sent TO EL fIJ tTO 0 Street. Apt ra wposox NO. p street Apt. No.; pp; gy9As; 9P*a r- wPO BOx NO. y City Stele. ZIpa4 I V %ufFO(,( 0 ~O\' ~dCZ James F. King, President Town Flall, 53095 Main Rd. Bob Ghosio. Jr.. Vice-President P.O. Box 1179 Dave Bergen Southold, NY 11971 John Bredemeyer '!J ~T Telephone (631) 765-1892 Michael.l. Domino Ql ~a Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of MILDRED DAVID COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING TO BE COM1 P~L,E.,T,ED AFTER POSTING REMAINS IN PLACE FOR EIGHT DAYS ~ I l D residing at /dba I Qo A AAj l{L Bj y[~ _ C. rnDYI(,h~ NJ Ilq~!4 being duly sworn, depose ~ and say: That on the 8 day of AjOV2rnb2.Y 2013, I personally posted the property known as .31,11 wai-ew ave C', k~ _i paieoo by placing the Board of Trustees official poster whe 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, November 13, 2013. Dated: 04 M (/n a re) Sworn to before me this k_~5 day ofAW. 2013 ~J llL~?1~'l. " Notary Public Lodann Patan ~ew York : N Canty Commission Expims OB/lQ7/Y0j INOTICE 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. OWNERS OF RE • ~I1~Id~ed~O"~'d CORD. SUBJECT OF PUBLIC HEARING: Amendment to Wetland Permit #8171 for a proposed 4'x97' fixed elevated catwalk; new catwalk to have Thru-Flow decking over wetlands and remainder to be untreated lumber; a 3'x12' aluminum ramp; and a 6'x20' floating dock with two 8" diameter piles in an "L" configuration. TIME & DATE OF PUBLIC HEARING: Qy, Nove "ber 13,2o i3 - *+o,ralxoj+oS'30V? If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m and 4. p.m BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for p=2rls• including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfiamt Consistency Review Law. This assessment is intended to snpplement other inforniatien used by a Town of Southold agency in making a.detenninabon of consistency *Except minor exempt actions bwhdbig Bu Ift Permits and other ministerial permits not located within the Coastal Erasion Haawd 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 contsinod in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its sigoifi t beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 3: N any question in Section C on this form is answered "yes" or "no", then the proposed action will 'affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus. each aaawer mast be ewlainbd in detail. Holies bold nmiordw and no*. supporting (iris. If an action cannot be certified as consistent with the LWRP policy standards and conditioffi, it~t be undertaken A copy of the LWRP is available in the following places: online at wabsite (southoldtownMMIMork net), the Board of Trustees Office7CT al local libraries and the Town Clerk's office. U B.. DESCRIPTION OF SITE AND PROPOSED ACTION ) SCTMii J PROJECENAME 3815 5{~Il~,raier AJG, C~rcho9ue The Appheation has been submitted to (chock appropriate response): Town Board ? Planning Board El Building Dept. ? Board of Trustees 1. Category of Town of Southold agency action (check appropriate response): (a) Action undertakes directly by Town agency (e.g. capital ? coast ruction, planning activity, agency regulation, land transaction) ? (b). Financial assistance (a g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: Rtrl.te +~..abe/ e.-tw..ue fL..~.p +~.R fl-a~w~ .r.~ociL. l.sf e2Y.in~ s4*r,K w,+h NCY? V7' 19.v1 x `I'wmdc PIG2 -i~' t.n.p /x 3'w~ gIY/wlN?wa XA,%f /-e-A. b w«l~ X 70' Pe,( A 1 r J OVl i2 we-(-lawePS 4v hQAV*. rhrv- Fiv.s d ecXiA7 an jo 1 ~../r•a~•+ct~/L `Location ofaction: 3gg5105+41wa fie' Ave o~v2 Site acreage: 0 6 `t S Present land use: 2.e 51 d -,A4-~ sic Present zoning classification: Fa s,,Pz-p+-I i AC 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: . AA , A f ek 0 a%/t A (b) Mailing address: .701 Ea 5 + y S i J P~ `/o k , Al H IOOb5- (c) Telephone number: Area Code 514, 3 7 6 -9 3 '3q (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes 2 No El If yes, which state or federal agency? N i MCC- L Fl,1~ 4o2/-% n O -C C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. Q Yes ? No E] Not Applicable sPlydtc-l fl(%(a[CS h. <n ,..al.~G, ~ „MP 4H~ Fly--f Lei't- ol~.rr„'4 q,tfICe.Ale unr¢ allows fva, K«~rr -te wKTcnS w.,&I, d Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - PPolicies Pages 3 through 6 for evaluation criteria ? Yes ? No E 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 y PrOIIC h /S cp v$Ly{an{ v L+k i1 el7i~loORINL~ Q(P~fr t~~J Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize toss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria ? Yes ? No E Not Applicable 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 th~roouuggh 21 for evaluation criteria ? Yes ? No 13 'Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. %Yes No Not App*e • W C-t' r!?I fLs -~'s .Pih Cou/~a.~C' yrpw-th. ~/L Co w~ 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 n No [DNot Applicable 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 D 'Not 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 criteria. El"' Y.F-1 No El Not Applicable freer, P(Py4es vIe wF wu +r .a. .r~.2 cEocK~^'~ eF 6~«-{-S Attach additional sheets if necessary WORKING COAST POLICIES • Pokey 10. Protect Southold's water-depeadent uses and promote siting of new water-depeadent an in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. 'Yes ? No ? Not Applicable Pro, itt4 w5 /Pr xme.C5 -t o w~'(elw~~ Atlaoh addi iwel sheds if nec assery Policy 11. Promote sustainable on of living marine resources in Long Island Sound, the Pecoaic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ? Yes ? No U loot Applicable Auwh additional sheers ifneoewary Policy 12. Protect agricultural. lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. ? Yes El No ev 1_f'' Not Applicable AM& additional shaft ifnecessny Policy 13. Promote appropriate use and development of energy and mineral resources. 'See LWRP Section III - Poll"; Pages 65 through 68 for evaluation criteria. 1:1 Yes El No ET/Not Applicable PREPARED BY TFFr~ •t'a ~k~l TITLE Ai.n-~ DATE 10-1y43 October 25, 2013 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE: 3825 STILLWATER AVE. CUTCHOOUE, NY SCTM No. 1000-137-01-3.1 CHECK Dear Amanda: As discussed, attached is check No. 223 in the amount of $1,406.00 for the original permit so as to allow processing of the amendment. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Ve ruly ours, Y, D C r Jeff y Plata I 1 Hewitt Blvd. L OCT ? 8 - '3 Center Moriches, NY 11934 s p ECEIVE 0 T 1 7 2013 \ro r LAND OF EDCARD EL CHAAR 1000-137-01-001 ('1- LOT 19 'Z RESIDENCE 312.81 N 56°05'54"E o.7'N R/O.6 N~ 1. 'N \ FLOW-TM P OPEN-GRATE ~1OR~ 4, POST dt \ 4 C.LF. PROPOSED WED ELEVATED PIER 9D. ONO 4' MODE SUPPORTED WITH 6.0 BY PkE PRES O 8' O.C. (1YP1EA BOTH SIDES) RAIL FENCE o.e's H BDG. 12' LONG x 3' WIDE 86.4' B.a'S S y s.s's O i PROPOSED 3' WID RAMP Y z' DE o w i W. mN QN '06' LOT 18 obi. -ug~xi zz ~i O QN EARTH DRIVEWAY 28.5 - - - - - - - P1 1 i3 16 24 \ i 159.4 cn \ \ S PPORfmm W H (2) 9 i P0.E5~ FlAAnNC DOCK tza O LOT 17 REMOVE EXISTING PLES FROM DESTROYED PIER EDGE OF TIDAL WETLANDS As IDIMIFlm 5, 201 O I CAS"' ON FEBRUARY K WMd(S, L.S. O 2' WRE FENCE ON LINE CsS ON 25, 2013 4' STOCKADE FENCE r"\ (gyp S 57°21'01"W 1.5 STORY 1.6'5 340.00' 101:1 LOT 16 LAND OF VICTORIA M. URY \ APPROVED BY 1000-137-01-5.1 BOARD OF TRUSTEES TOWN OF SOUTHOLD DATE 12 13 as° REPRESENTS WATER DEPTH IN INCHES BELOW MEAN LOW WATER NOTES: PROPERTY OWNER: 1. ELEVATIONS REFER TO N.G.V.D. 1929 DATUM MILDRED DAVID Pm posed Dock & Float SCALE: 2. LOT AREA: 30,268 S.F. / 0.695 ACRES 29 EAST 64TH STREET ' 3. PORTIONS OF PLAN FROM SURVEY PREPARED BY: NEW YORK, NY 10065 1"=40 MICHAEL K. WCKS LAND SURVEYING PREPARED BY PROPOSED PLAN DATE: JEFFREY PATANJO REVISED* 200 BELLEVIEW ROAD, CTR. MORICHES, NY 11934 REVISED: SURVEY LATEST DATED FEB. 25, 2013 106 HEWITT BOULEVARD 7-31-13 CENTER MORICHES, NY 11934 3825 STILLWATER AVENUE 4. ALL DECKING USED SHALL BE UN-TREATED 631-484-9332 CUTCHOCUE, TOWN OF SOUTHOLD SUFFOLK COUNTY, NY SHEET: TAX YAP NO. 1000-137-01-3.1 1 of 2 t~ LOCATION 91kInn t~ F Y 01~ ~ ~ E~RAa w vJ„`ogd Nassau Poli r 'JE 0 T~ a Rya ggYe I-laywater cove fu~'1O0dRa rc° ~a 3s° REPRESENTS WATER DEPTH IN INCHES BELOW MEAN LOW WATER PROJECT LOCATION MAP NOTES: N.T.S. 1. ELEVATIONS REFER TO N.G.V.D. 1929 DATUM 97' THRU-FLOW DECKING OVER WETLANDS 2. LOT AREA: 30,268 S.F. 0.695 ACRES 45' PROPOSED FIXED ELEVATED CATWALK 3. PORTIONS OF PLAN FROM SURVEY PREPARED BY: 4' WIDE X 97' LONG ALL GREENHEART TIMBER MICHAEL K. WICKS LAND SURVEYING 4"x4" CCA POSTS 200 BELLEVIEW ROAD, CTR. MORICHES, NY 11934 10 OVER WETLAND OMITS PROPOSED 6"x6" CCA POSTS TYP. SURVEY LATEST DATED FEB. 25, 2013 - - 4. ALL DECKING USED SHALL BE UN-TREATED 8 PROPOSED 3' WIDE X 12' LONG 6 PROPOSED WIDE X 20 LONG PROPERTY OWNER: MILDRED DAVID 29 EAST 64TH STREET _ NEW YORK, NY 10065 2 PREPARED BY: JEFFREY PATANJO 106 HEWITT BOULEVARD 0 EXISTING GRADE - APPROXIM E M.L.W EL. O.Ot CENTER MORICHES, NY 11934 631-484-9332 2 ` CCA (T TAL OF 2) Proposed Dock & Float SCALE: 11'~ Pill 4" 22° 31 AS NOTED -4 TYPICAL SECTION & DATE: EVISE 3 TYPICAL SECTION LOCATION MAP R3-13-1 REVISED: 7-31-13 3825 STILLWATER AVENUE SCALE: H. 1 =20 CUTCHOCUE, TOWN OF SOUTHOLD V: 1 "=2' SUFFOLK COUNTY, NY SHEET: TAX YAP NO. 1000-137-01-3.1 2 of z Q~ C James F. King, President A~Siff Bob Ghosio; Jr., Vico-pt esideat Town Hari, 53095 Main Rd. DavoBergen o P.O. Boa I179 - - cn John Bmdemeyer ! Southold NY 11971 Michael J. Domino p! Telephone (631) 765-1892 P1[ I~ 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 Ist day of construction % constructed Proled complete, compliance inspection I BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 8171 DATE: MAY 15.2013 ISSUED TO: MILDRED DAVID PROPERTY ADDRESS: 3825 STILLWATER AVENUE. CUTCHOGUE SCTM#! 137-1-3.1 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 May 15, 2013, and in consideration of application fee in the sum of $250.00 paid by Mildred David or authorized waiver of Town Board 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 replace timber 4'x76' catwalk; 31x12' aluminum ramp; and 6'x20' floating dock; new catwalk to have thru-flow decking over wetlands and remainder to be untreated lumber; and as depicted on the site plan prepared by Jeffrey Patanjo, last dated March 13, 2013, and stamped approved on May 15, 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. Jim King - Nay 3~~`Qgmf Fa~cO W oy~ol ~ ,~aor ~ TERMS AND CONDITIONS The Permittee, Mildred David residing at 3825 Stillwater Avenue, Cutchogue, 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. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. James F. King, President OF SO Town Hall Annex O~~ UTyO Bob Ghosio, Jr., Vice-President 54375 Main Road P.O. Box 1179 Dave Bergen Southold, New York 11971-0959 John Bredemeyer G Q • ~O Telephone (631) 765-1892 Michael J. Domino 0 00UNT Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 15, 2013 Mr. Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 RE: MILDRED DAVID 3825 STILLWATER AVENUE, CUTCHOGUE SCTM# 137-1-3.1 Dear Mr. Patanjo: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, May 15, 2013 regarding the above matter: WHEREAS, Jeffrey Patanjo on behalf of MILDRED DAVID 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 March 25, 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 Policies 6.3 & 9.3 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: there is limited use of public access in area; and other docks of similar/larger lengths exist in adjacent area; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on May 15, 2013, at which time all interested persons were given an opportunity to be heard, and, L 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 MILDRED DAVID to replace timber 4'x76' catwalk; 3'x12' aluminum ramp; and 6'x20' floating dock; new catwalk to have thru-flow decking over wetlands and remainder to be untreated lumber; and as depicted on the site plan prepared by Jeffrey Patanjo, last dated March 13, 2013, and stamped approved on May 15, 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: $ 1,406.00 Very truly yours, Bob Ghosio, Jr. Vice President, Board of Trustees BG/amn suFFa~,~~~~ James F. King, President y Town Hall Annex Bob Ghosio, Jr., Vice-President G 54375 Route 25, P.O. Box 1179 Dave Bogen .j,~y_ Q~ Southold, NY 11971 John Bredemeyer Telephone (631) 765-1892 Michael J. Domino Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD TO: 7J F~1 Ike ~ rCl_ 1L Md dV Dow Please be advised that your application dated ZS has been reviewed by this Board at the regular meeting of --51161113 and your application has been approved pending the completion of a 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) %2 Constructed ($50.00) Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed. below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: riV)0,l TnsPeC'76n_ -V 5D:D1) pock Fees - Ca4wmk tt'x74 I (St!awaYJ o~ !-EWAO = Za(o -A- A X143 fx>'st R,'7M~ .oD ramp- 31x12 .3/Qsq F(• >e It 3 peYSq; -l (D$.DD I oaf-- 6' K zo, = (2D sq.-~~-. ~3 ~rs2-~ 31o d, o0 TOTAL FEES DUE: $ OIo.OD BY: James F. King, President Board of Trustees ~~ggFFO(,f Peter Young, Chairman Town Hall, 53095 Main Rd. Lauren Standish, Secretary T P.O. Box 1179 'F Southold, NY 11971 Telephone (631) 765-1892 1 # Fax(631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., April 10, 2013 the following recommendation was made: MILDRED DAVID to replace timber catwalk 4'X 74', aluminum ramp 3'X 12' and 6'X 20' floating dock. Located: 3825 Stillwater Ave., Cutchogue. SCTM#137-1-3.1 Inspected by: Peter Young, Audrey Horton, William McDermott The project was not staked, therefore no recommendation was made. P7E -CE -iV JED APR 1 5 2013 i 4 James F. King, President SUFF91/ .AY CA_ P.O. Box 1179 Bob Ghosio, Jr., Vice-President Southold. NY 11971 Dave Bergen ? Telephone (631 765-1892 John Bredemeyer Fax (631) 765-6641 Michael J. Domino C 'g yyo! # ,~aor Southold Town Board of Trustees /Field Inspection/Work Session Report Date/Time: f ~6 L Jeffrey Patanjo on behalf of MILDRED DAVID requests a Wetland Permit to replace timber 4'x76' catwalk; 3'x12' aluminum ramp; and 6'x20' floating dock; new catwalk to have thru-flow decking over wetlands and remainder to be untreated lumber. Located: 3825 Stillwater Avenue, Cutchogue. SCTM# 137-1- 3.1 Type of area to be impacted: Itwater Wetland Freshwater Wetland -Sound _Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: t-Chapt.275 Chapt. 111 -other Type of Application: Wetland -Coastal Erosion -Amendment -Administrative-Emergency Pre-Submission Violation Info needed: NO S ~a (~ta u-.- ~ 1 rs< a raw cr / Modifications: 1c -.rwt v ~d A, Ic s Conditions: Present Were: J. King B. Ghosio D. Bergen, J. Bredemeyer / Michael Domino D. Dzenkowski other Form fille(d~ou In the field by 1 J. I G v Mailed/Faxed to: Date: S • • C) 0 Mil p _ ~ z ~ l t lie - ~ a. a - C" i •~}may ~ 1~1V~~ }1 -l 4 ON 4~ (n NZ. +1 n F= ' y 1 ' A sr 444 Ai 41 - M ' 1 • O O O s rl O r1 y: r rk • k ~ .1 ~ V. 1 74 Alt bp 10 0 ? • 5 t f ~ ~ ~ 7~ > ~ • ~ , , A :.Tw'o` t / Y f dub~ i ' ' + 'IT t 4 i ; , t4 Ate. F• ' .'i7r W-ow a 1 L ~ 9 - ~ • sir 1 , ref ti ~ - .e- ~ . ~ , -d , ~ i - ~ :f g 4 r ..Ty Y ~ 5 •1 • y°`, . 1 ~ +4 ,yam, ~ f ~ w~ Z~t \ , ~ 1 . - ,jay Go,-)S[(! earth feet. 400 meters, 100 313016 2W7 _ ~ l~~yra !T~'i _ - .gip- : , _ - , ' t~ { ~ `~''fi?s. : ..x. is . , 7I°''?~ y,y_ ~ l~ x t 4~ t ' ~ ~~~G3; _ ~ . ,'-~,~t . `-:ay .lg •_-=Via:.- .,s t f ty~ _ _77z,~ 44 ww p All 14 3825Stiliwater:Ave rCutjc`hogu'e NY.1f1935;•USA a,.Ni=~ 4`'~.s*`_ ~:{'i Ll1+~y. rr.~1nISA ' •J''',,.-~_~ - J,~s~ s ~ I~ ~ x_M,_ \1l~"S r..,tlx ~gg~ r~Z a' y~ r4Y ~;Mp~1 F~+~~"~~ ~ xi4 + , K' .r r.~~ ~T , ~ , l,`{~s r~ - A - ,`t r ~ 56~~"~i1 ` Y `if" . _ y.1.~~+r . i3'•'1'r~~ Goo Ie'earth Mildrd,j David SCTM# 13-7,,l-3.1 ~ 1113 - Mrp 'rx ' r 1. I ~ i 1 1 fir'"-. {r ' ~ + ` r • + ,t M . vv 40 I TP t~ ~ ,y t . - ~ r,4+M Y `aww~ ~ 1 1 tTr- ~j RI ` -ti .tom >~C ~ ~ - f • ` , .rte `yam ,yam iVI Photo 1 MAO Z 5 2013 Southold own r„i.rnnS INUM y ; i ~ c~ r rt J n w? t t'3 IF. tt R s.t x s-.~ °=ar~ 9.. ILI s s ~~t+ r l ly; ?z t t 3' M it a k w r ~ • if~~„irr~ v?~l~f~+•wr' r, in Fjt fly x t . r 1 R •f Photo 4 Board Of Sou did Town Trustees SOUTHOLD NEW YORK PERMIT NO, :...1446 DATE .gPn:. .2r.:.198d ISSUEd TO,-.-Att.-14P.-Pa d Pursuant to the p[ovisions. of Chapter 615 of the Laws of the State of New York, F 3.;-and Chapter 404 of the Laws of the State of New York 1452, and'the Southold, Town 'Ordinance en- " titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN .AND ON TOWN WATERS:.' AND PUBLIC LANDS and the REN 40VAL OF SAND, 'GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN' WATERS-"' and in accordance with, the Resolution of The Board adopted;at a meeting held on . J~:... 2.. 19-AG., and in consideration of the sum of 5.00 paid, by Kurt Koehler Of Outcho e l N. Y. and subject to, the Terms and Conditions, fisted . on the ren3rse side, hereof, of Southold Town Trustees authorizes and permits the following: placing of dock off private property at East Cree with condition that it be.bult so that it is 12 to 18 inches above existing grass all in accordance with he.deta*led specifieations as, presented in the originating application. IN WITNESS. WHEREOF, The said Board of Trustees Lere- by causes its Corporate'Seal to be affixed,; and these presents to, be subser%od.by a majority of the said Board as of this date. t Q. .Trorues TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, N.Y. WETLANDS PERMIT This Wetlands Permit # 29 has been granted by the Southold Town Board according to information furnished in Application # 42 filed by Applicant Kurt A. Koehler, a/c Arthur and Mildred David on October 15 1979 A map of the proposed work will be kept on file in the Town Clerk's Office under the application number given. Permit granted to do the following workplace a 36 ft. by 3 ft. wooden catwalk over a grass area at private property atEU ene Creek Cutchogue. Location of property on which work to be done Stillwater Avenue Cutchogue, New York. Creek, Bay or Harbor fronting property Eugene Creek Size of work: Length 36 ft_ Width 3 ft. Height Above High Water 1 in. Depth Below Low Water 0 Yards to be Excavated none Yards to be Filled none Manner in which material is to be removed or deposited Intended use of property residential, private recreational use of owners. ~iT AF P'f'l54alt l i'ri 7fOOilY ~„Fj r,IDC 3`' Wl~0,0101 'It- tk fit e fit'- Lt to e r fir v 1 - yr r Y l ~ ~~°r t 4 rt - jt~ yr e ~ a '"A v. t ~~,y~1~ ~y # 1 t'1•~i y ! _ r 4~ n A3E. i# q.+r MMLI~ n. ~ 't r r d t s £ ?c 3b 'tT o r 4 m u31 4 / y r~~ 9 4 F t'.we -ns, '.knv'2 5 may. ~~v M1 }e Y 1 ~`I~ 1 1' 4`r u„tF 7.` r e~$ _ s+rM° 'Y~s" s a Y t~ ry, -v.,kl *t ,,,F ? 1, r`S . too! c ls ds 4 v r x x L`~i Rz oil k+i G r 3 t,~p~ 4 i e 31R ~~JJ~ _ aS 1 L 1 q 5 ~ 4 i r C~ 5 r V S 1 I tk L~YR {W{ wi 4, 13*)f t§ x ''a°T rr:: ~ v} E t r ~ ~ } i t.ti e ~ } i- v a n ~"G +~y.~ / .F ~ Syk, FiI r ~f6 a vi, t~ _ r s•5 k (irr~~ r l¢. r or.~ 1 P R ~ a~'1 s fc N r ~ ~ r 9 1 .S r b+ t~ 4 yy5 ~,y' "9 k~t ~y Y _ p yF ~F Moo, 70 cnt RLip °a t# In NC y el~ 3 l 5'Sf. ~%#d Y S t rTT((@tt, i~,e~~ #n y s Z S f~y Y h r SURWY FOR Af79HdJR DAY/O 9 A4L!t7fD , c rR fASpuf a K ou+r °r av~ UST kVOS. J7 @, /8 . L "aIlAp f7 j" l+ d ! EFtY rB, /430 ASF/GEhYJ 730 t PtT`~?~(.hf~J y ,3 S"fE. SDWy 41F SOUtHpfD-°" ?s€ttE siJpf , C041#TY., NEW' YIYRk >l j, if t>. a,ti..t -7.`8,;.'"} X r i4TA` •`tiAMIS, cu'FL OR ~11fut11pM~'re RR~ x ~ L / ri< - r Ss YrotnTlUM sEG~WM .7 2U,c.p{ aM r` # r/ Ir04TATE FDVCAf k R;.e t THIS IT I,"T T"~ LA" a' t ,Y~&rAaEOgSrt,'Irnn;iFb'gi 8E RioEAE TO al; v L94CiBtIE CYY U f r k e V~9 tocfT86"XfAEbA SKI~t4 A ~4L rY f'3 „ t rbE RStlM p tis " k Op ,w MT1/E duR4E4 /S pRZAAReo r ~+*'3 3 wk k'N g,t4 'ifn Fa~PpSEA S rt?T-IO n, RAY 3 6~ x ~t W [90DEN C14 TW(3L.1C' OVER ~RASS AREA, nw' D11ESCRiPT/olli OF (30+ E5~ GASH (FAIR OF F©tr:S Tog PEA CEP Nin1E('IJPG ffrAPART'LENiT(4 Wt SF-j `l fFttRC11Al& N ea _ fl 0 EA ALL. LC.N6T'H. GF -rt41RT Y-S!X q , d~ 47ACN PAIR d f POLES Tm QE PtAeeo ~-rIgPKa (3J e 6 T APA-f2T" tN WtorH. : GJ Fl A!; r r4lR'OF PALES Tc i3E P:LRCSO oW,LAwP~. THIRTY-ONE AND 0NE-' HALF ~ 1'I,) FEET Flerort SHOPELIntI . 1c {i 0) Ft,'TH PR1R oF: Poc Es -ra 6P PLAcasP tn1 waTlsitj FovA. AMP 0N6-H»L CL(`I~~ F~Er FR0emoAr y LiNE~ l rte _ RF F 6 P E N C 1= T-o -r TjFh' 3. 71 r ~ F 3 ti A3 9 .F K ' p Z a, 1.RoP45'~A ST,gTlaA'Ry6~X 3~. ~e3tN~MtF: t Nr~ yn ~i r f t w. is k' r ~ ~ r ? : Tilt . . t,{ s~ r ( of k! r h rs f , a { N k, Al i` li'V SCOLE: llsn 9` j ~x d~,. © 4 ~e i 1 Id 1. s pq '~,^j$t Kos5 "~`f i Y y+ SOUTHOLD TOWN CONSERVATION ADVISORY 'COUNCIL Southold, N. Y. November 28, 1979 -Southold Town Board- 7 Main Road New York 3-1971 Gentlemen: The following action was taken by the Southold Town Conservation Advisory Council at a-regular meeting held October 23,1979. Resolved to recommend to the Southold Town Board approval of. Wetland Application #42 submitted by Mr. Kurt A. Koehler `on behalf of Mr. and Mrs. Arthur David. The application is for permission to place a 36' x 3' wooden catwalk over a grass. area at private property at Eugene Creek, Cutchogue. Yours truly, FRANK A. KUJAWSKI, JR., CHAIRMAN SOUTHOLD TOWN CONSERVATION ADVISORY'COUNCIL -7- By Muriel Tolman, Secretary - . • ~ ~ + ~ I 1' 'r ~ ~t S~ r.w e;~cr 5 _ s. nw ~ryx.~1/ ~ ~ ~Rc~fi*+~q L.. 1 e ` 4, ~ a ~\~w . ~.~Qg r ~ - r / ,`-y 1t8C~ DEPARTMENT OF THE ARMY AUG 271980 NEW YORK D1STRtCT, CORPS- OF ENGtNFCRS sa FEDERAL PLAZA . MW yR,e, NEW YORK, N. Y. 10007 . a V •araa Te NANOP-E 25 August 1980 Town Clerk Town of Southold 53095 Main Road Southold, NY 11971 Gentlemen: We have received a request for a Department of the Army authorization for the following activity; ` Subject:to maintain a. ramp and float arrangement with` associated piles f extending from a previously authorized catwaLk for recreational purposes. j 1n: Eugene Creek, Little Peconic Bay At: Cutchogue, Suffolk County, New York Application by: Arthur &`Mildred David 369 East Road Woodmere, New York 11598 Application No: 80-454 As this work is minor in nature, authorization may be by Letter of Permission. This is.accordang to current Federal Regulations governing work in navigable waters of the United States. To accomplish the degree of coordination required for the issuance of a Letter of Permission, your review of, and comment to the inclosed of the subject application, is requested. To allow for the timely processing of the subject application, your comments are requested within 20 days of the date of this letter. Sincerely ycurs, j lncl P me D as oowTtp Chie ,Regulatory Branch e NADNY..PL-122 Jul 76 FLA yr Evf RAn*, Fa.ola'r,PetrES. . j ~ - jv STtLL1JA7L'R RV6NU~ /b ~ GuZ'GIlObu~~l~te~: TowM oR S~~ry o~-v Safgat<:ec Co~,Nrv, l~Y, 1. *!s t7 T RKFo 1trNCT1d-I EJ 1 OTO s AIL FLoA-r 6~ STRIR6~RS~~~%.7R (+tL& Pt.RN~CtnzC~ 3,~Xy~ FLOAT: d•EN6T1t~'6w'kt` U WtDTK a g~ r- STRlN4~RS y3%{Zy U ~c.ANtCtte+~c a s~~1~ 6 ~i C-6 IApIAmf-rrzr. e, e CATw.(bjK, Pot pER~•rr,~3ss Ex-rt:N9t0 6- y tli t~.TQ ~ ~'U''gEA1~ tyRE$MC SvREt.1 N6 3. cFFglie~, Tai MOM (516) 165-1682 . BOARD OF TOWN TRUSTEES TOWN OF SUUTHOLO Town Hap, 53095 Main Road P.O. Box 728 Southold, New York 11971 CREEK STRUCTURES INVENTORY Current Owner 'a Name:_ _Y- 1i t W'dv,!{ Index No.. 27 j Address:: } j Creek:. Purchase Date: Telephone No.: Date of Field Vork:' Previous Owners: Permit Applicant: at~^f t r ~'jk'J t Permit No.: q q Permit Specifications:L3~x3 y tt 'X3t bQ L^'Lt !4 LE I" Specifications Founde._ Condition Comments: Di ~C . March 23, 2013 NYS Dept. of Environmental Conservation SONY a Stony Brook 50 Circle Road Stony Brook, New York 11790-2356 Attention: Duty Analyst RE: 3825 STUwATER AvE. CurcHOOUE, NY SCTM No. 1000-137-01-3.1 AppucATwN FoR PERwT Dew SirIMadame: We hereby submit four (4) copies of the proposed plans, applications, deck, 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 or e-mail at jpatanjo@optonline.net. Very truly yours, tHe2tt O6 Blv d. Center Moriches, NY 11934 cc: NYSDOS M7 E Q E I V E' ~IJnlsj Mildred David MAR 2 5 2013 Southold Town T JOINT APPLICATION FORM For Permits/Determinations to undertake activities affecting streams, waterways, [Ell 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 (USAGE) 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 Management ? Section 10 Rivers and Harbors apply: a ? Excavation and Fill in ? State Owned Lands Coastal Navigable Waters ? Wild, Scenic and A Under Water Consistency ? Docks, Moorings or Recreational Rivers Nationwide Permit(s) - Identify ? Utility Concurrence Platforms ? Water Supply Number(s): Easement ? Dams and Impoundment ? Long Island Well 2 (pipelines, Structures ? Aquatic Vegetation Control ? conduits, ? 401 Water Quality cables, etc.) ? Aquatic Insect Control ? Docks, Certification Premnstruction Notification - ? F shwater wetlands ? Fish Control ~Y El N Moorings or / Tidal Wetlands ? Incidental Take of Endan- Platforms gered/Threatened Species 0~ ? I am sending this application ? lam sending this ff"I am sending L7 I am sending this application to this agency. to this agency. application to this this application a enc . to this a enc . 5. Name of Applicant (use full name) Applica must be: 6. Name of Facility or Property Owner (if different than e VR'bwner Applicant) /Nr lAreX D4,"d. ? Operator Mailing Address ? Lessee Mailing Address (check all that apply) 2 q E,~.+ 6y'~ s7. Post Office City Taxpayer ID (If applicant Post Office City ~C~t1 \Ia R-IC Is NOT an individual): Stag Zip Code I Doll 5 State Zip Code Telephone (daytime) Email Telephone (daytime) Email 516- 376-$33N 7. Contact/Agent Nanme 8. Project/ Facility Name 7,ro,,p erty Tax Map Section / Block / Lot Number ,1t(~fc Pao % p D^vid Ca EwwC lc oo - 1 37- 1 - 3- 1 Company Name ProjeULocation - Provide directions l1- directions and distances to roads, bridges and bodies of waters: 5-e a C o a w I- I /-rl ra.la Mailing Address Street Address, If applicable Post Office City State Zip Code NY I o& 14 rwl ET t9Lv4 3 % as s4, I/w f-,r e, C.-tchlu i1935- Post Office City Town / Village / City County Ceyi er iYl vr1c,~CS So,-I-hodA 5(,[1- State Zip Code Name of USGS Quadrangle Map Stream/Water Body Name f.1M X113 61--t"I & E~, enc CfeoIL Telephone (daytime),` 3 $ 4' q 3 3a Location Coordinates: Enter NYTMS in kilometers, Latitude/Longitude Email NYTM-E NYTM-N Latitude Longitude 9 Pa {envy i('fon(~pe.tw4 L4 -14'0 S' 13-06 ~_J t, "r, - w I,.v is Fnr Aa 17ti1YfV DEC Ap Ilcatlon N(lrfl, aU$AGENumber ` w. )DINT APPLICATION FORM 09/10 This Is a 2 Page Application Application Form Page 1 of 2 Both Pages Must be Completed JOINT APPLICATION FORM - PAGE 2 OF 2 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 it 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 PAGE V4,01. e4 -ti. too - CA-t-vt Lie. '4J"'. " JS,n~~P 4. 4- 9C/vim (rrg Ds G(L. t.-k.r4 we- rc e.1,L L. C-t d-rf NS ld~rrt r4-le Crn-L7 :thS1 m4kea nrtvco~S S-&*r, S . Proposed Use: Private ? Public ?Commercial Proposed Start Date: - J 3 Com letion Date: Has Work Begun on Project? ? Yes No If Yes, explain. Will Protect Occupy Federal, State or Municipal Land? ? Yes o If Yes, please specify. 10. List Previous Permit / Application Numbers (If any) and Dates: 11. Will this project require additional Federal, State, or Local Permits Including zoning changes? 97Yes ? No If yes, please list: t- 'Ji 0 0S I zo~ -J eh -SA'4A.(& -rr..i,&,eef 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 Indemnify and save harmless the State from suits, actions, damages and costs of every name and description resulting from said project. In addition, Federal Law, 18 U.S.C., Section 1001 provides for a fine of not more than $10,000 or Imprisonment for not more than 5 years, or both where an applicant knowingly and willingly falsifies, conceals, or covers up a material fact; or knowin y makes or-u es a false, fl¢titlous or fraudulent statement. a - ~r . ( ? c~ (Jct iT r Dw cat , l c i3 Signature of Applicant P in ed m , r Title Date _r .c o~d v e d ~N 3 r~- i 3 Signature of Owner Printed Name Title Date An+, o A e, F 3 f 3 f3 -Te(4fe~ Q4 4 n re of A e t Printed Name Tie Date _ f f P i .!yA', Y' a4 r aj.' `s'~..lu r 4« < I y u i a~ u a iEr OX r ~ I e a: k 4vx° A a k :".'~i n F~ z ~a ry"hr~e44~ 5i a Ii'YT~'~~"i fyh($~ r If~~"~ In ' 4,r.... e~S ~t~(` s E a ,a sl r ~~**4? * ~r v Fz r 9~" y~~~' y~ 'a 3j~f f t ' sew of x~r~h, ,asa';.r n R N ~k . ad c 'tnr '~'~ej*i`!ro. } bw 9 m r} ~'lN l~ Alf R~¢r rk y? Y~ F w,Yt a r d " .k r it a'$'r ar. F~+.Ikrr " tl s TIME , se e Ca?~2~ k a« ~ a Agency RepreSg~pye N})m~I~M[i;"t,^l, 's r s e+"kY ~-r r h t, rt y : 1 ?K-c 93 +s ~;SP. "i ,r rt~ ,c•'ij ~~q ",M4 Ib ra. I r.. t ; ~rfi~ .~i` y^[nf 1 a.~4 ~.$17.n aka"nau.,d t ~i c> x r n p w q r . ~ z H- 'w^.~*i'•r'AV..y ~ oil ~:k...,{+r 70INT APPLICATION FORM 09/10 t Application Form Page 2 of 2 New York State Department of Environmental Conservation _ r 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 form of "posted" or "keep out" notices, or fenced in with an unlocked gate, this permission authorizes DEC staff to disregard such notices or unlocked gates at the time of inspection. The signer further agrees that during an inspection, DEC staff may, among other things, take measurements, may analyze physical characteristics of the site including, but not limited to, soils and vegetation (taking samples for analysis), and may make drawings and take photographs. Failure to grant consent for an inspection is grounds for, and may result in, denial of the permit(s) sought by the application. Permission is granted for inspection of property located at the following address(es): 3V4 S- S~, l~w..tR z A.vc Cu +e ko4uc 1193E 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.* Print Name and Title Signature Date *The signer of this form must be an individual or authorized representative of a legal entity that: • owns fee title and is in possession of the property identified above; • maintains possessory interest in the property through a lease, rental agreement or other legally binding agreement; or • is provided permission to act on behalf of an individual or legal entity possessing fee title 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 • 617.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I - PROJECT INFORMATION To be completed b Applicant or Project Sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME A/11 Idled D,vtcQ- tin-vcr~- C~.'~-~,•~4.~-IL 3. PROJECT LOCATION: Municipality S 6, ?+(n a tCounty t-,.L-- 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide map) 3 °e 257 S Illlwartc.c Arse C~" r~l+ay~L ns "l 5. PROPOSED ACTION IS: F] New ? Expansion MadlflcatioNalteration 6. DESCRIBE PROJECT BRIEFLY: / ~7 (24-e /w c t ("c & "'t T Y• " S-t 7. AMOUNT OF LAND AFFECTED: p l Initially •ot acres Ultimately acres 8. WILL PR OSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? Yes n No If No, describe briefly 9. WHAT 1,5-PRESENT LAND USE IN VICINITY OF PROJECT? 0 Residential Industrial ? Commercial ? Agriculture ? Park/Forest/Open Space Other Describe: ®e L q' ~S7 LtL rl~rlwL. 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FED RAL, STATE OR LOCAL)? Yes El No If Yes, list agency(s) name and permittapprovals: -tom...,.., „ P s,,, +i'. I j 1 i`- -t s D o S 11. DOES ANY ASPECT OF T CTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? El Yes o if Yes, list agency(s) name and pennittapprovals: 12. AS A RESULT OF PROP D ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? Yes No I CERTI THA E INFO/q MAT ~ON PRO^VID ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGEp Applicantlspons/orrrname : i C7 /,y~Jr Date. /3 Signature: y~A If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 'an 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 EAR ? 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 E] 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 pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly: C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: C6. 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 brlefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? E]Yes ? No If Yes, explain briefly: E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? E] 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. Check this box If you have determined, based on the information and analysis above and anysupporting documentation, thatthe proposed actionVAL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting this determination Name o ea Agency ate Print or Type Name o Responsible Officer in Lea Agency Title of Responsible Officer Signature o Responsible Officer in ea Agency Signature o Preparer (I different from responsible officer) e 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 subjeetto the New York State Coastal ManagementProgram (CMP), shall complete this assessmentform 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 (plea/se print) e 1. Name: Mi ~lLf-aQ DAUtl~ 2. Address: 0q 6&5+ bt/-t~ S-( 1Je yu tlL~ t~ 1006 f 3. Telephone: Area Code( ) S/ 6 - 3 7 6 - e$ 3 3 l B. PROPOSED ACTIVITY 1. Brief description of activity: 12-y /ti Cc Ca..-(w.-L (L~ 12- rn (I 4-nJQ ['(a I-0 S-E 0 ~ f 1~ S $'t`"• 2 S 1 2. Purpose of activity-. 'i>ct s4 i. r6, cc tt'I t <1 we/L 3. Location of activity: C~f&~to5ue- 3 g2s sdtw7t4- 4.t~ County City, Town, or Village Street or Site Description 4. Type of federal permit/license required: ~'?LM-t~ G>'r-~.r 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: r` 5 OE- C. COASTAL ASSESSMENT Check either "YES" or "NO" for each of these questions. The numbers following each question refer to the policies described in the CMP document (see footnote on page 2) which may be affected by the proposed activity. 1. Will the proposed activity result in any of the following: YES /NO a. Large physical change to a site within the coastal area which will require the preparation 13 of 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 J under water or coastal waters? (2, 11, 12, 20, 28, 35, 44) © El' c. Revitalization/redevelopment of a deteriorated or underutilized waterfront site? (1) Q JdT d. Reduction of existing or potential public access to or along coastal waters? (19, 20) Q e. Adverse effect upon the commercial or recreational use of coastal fish resources? (9,10) (3. T2 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) CL -1211, g. Siting of a facility essential to the generation or transmission of energy? (27) Q h. Mining, excavation, or dredging activities, or the placement of dredged or fill material in coastal waters? (15,35) L Discharge of toxics, hazardous substances or other pollutants into coastal waters? (8, 15, 35) Q j. Draining of stormwater runoff or sewer overflows into coastal waters? (33) Q k. Transport, storage, treatment, or disposal of solid wastes or hazardous materials? (36, 39) . Q 1. Adverse effect upon land or water uses within the State's small harbors? (4) E 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) 9( b. Federally designated flood and/or state designated erosion hazard area? (11, 12, 17,) Q W 13 c. State designated significant fish and/or wildlife habitat? (7) C Z d. State designated significant scenic resource or area? (24) Q e. State designated important agricultural lands? (26) Q f Beach, dune or barrier island? (12) g. Major ports of Albany, Buffalo, Ogdensburg, Oswego or New York? (3) Q h. State, county, or local park? (19,20) i. Historic resource listed on the National or State Register of Historic Places? (23) Q Zr 3. Will the proposed activity require any of the following: YES / NO a. Waterfront site? (2, 21, 22) b. Provision of new public services or infrastructure in undeveloped or sparsely populated sections of the coastal area? (5) ® 15d c. Construction or reconstruction of a flood or erosion control structure? (13, 14, 16) Q ,9/ d. State water quality permit or certification? (30, 38, 40) Q C! e. State air quality permit or certification? (41, 43) Er Tx' 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) [L 12 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 localwaterfront revitalization program document*. The proposed activity mustbe 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 " Applicant/Agent's Name: Je {*EleN P kAdc .11 a Address: I O G }few t1- ' (3 (,L, X - Ce,, e r 1 / b n c Ae S . Telephone: Area Code ( ) V31- 4 s q - '13 3 ,2- Applicant/Agenfs Signature: Date: 3 • i 3.13 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. Z7-:- r e~ ~ s a s , ! e N ja C f ! S p ~ q R n ,ems b 1 ~ h b n n PU. ~ 'P o-l + P~~5 'G y a ! ' m _ wnce caurm of SUnax p ° II~^ P+operty TQ 8ervi®/ipenry pp.-..~.-..,..,,., a 137 December 31, 2013 Town of Southold Trustees D -r, Town Hall Annex Building D 54375 Rte. 25 JAN - 6 2014 P.O. Box 1179 Southold, New York 11971 RE: 3825 STILLWATER AVE. CUTCHOGUE, NY_ SCTM No. 1000-137-01-3.1 CHECK Dear Trustees: Attached please find check No. 260 in the amount of $216.00 for the permit fee. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, 0- Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 O TFIC LOCATION: OF SOMAIUN BoADD7RESS: own Hall Annex P.O. 1 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 I Telephone: 631 765-1938 • ~O Fax: 631765-3136 coull 1,~ LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM ECEIVE D To: Jim King, President Town of Southold Board of Trustees APR 3 0 2013 From: Mark Terry, Principal Planner Town LWRP Coordinator Board Southold Trustees Date: April 30, 2013 Re: Proposed Wetland Permit for Mildred David SCTM#1000-137-01-3.1 Jeffrey Patanjo on behalf of MILDRED DAVID requests a Wetland Permit to replace timber 4'x76' catwalk; 3'x12' aluminum ramp; and 6'x20' floating dock; new catwalk to have thru-flow decking over wetlands and remainder to be untreated lumber. Located: 3825 Stillwater Avenue, Cutchogue. SCTM# 137-1-3.1 The applicant is proposing the replacement of a catwalk/dock A permit (1446) was issued in 1980 for a dock structure with a catwalk length of 36': a 12' ramp and 10.4 x 8 float. The current proposal does not conform to the permitted catwalk/dock dimensions. The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is INCONSISTENT with the LWRP and listed policy standards provided below. Policy 6. Protect and restore the quality and function of the Town of Southold ecosystem 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 - i The dimensions of the proposed dock do not meet the dimensions of the permitted structure (Permit 1446) and therefore the action is not a replacement. 9.3 Preserve the public interest in and use of lands and waters held in public trust by the state and the Town of Southold. A. Limit grants, leases, easements, permits or lesser interest in lands underwater in accordance with an assessment of potential adverse impacts of the proposed use, structure, or facility on public interest in public lands under water. The dock structure will extend into public water and result in a net decrease in public access to/on_public underwater lands. The applicant eniovs access to public water via an existing permitted dock structure. 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 astal Erosion Permit Application Wetland Permit Application _ Administrative Permit AmendmenUTransfe Bxte Sion p E C E I V E Received Application: 3 ZS 3 D eived Fee:$ mpleted Application afalvs MAR 2 5 2013 -Incomplete SEQRA Classification: _Type I_Type IIUnlisted _ Soordination:(date sent) 3 uthold own RP Consistency Asse smen Form -Cate Referral Sent ate of Inspection: Receipt of CAC Report: -Lead Agency Determination: technical Review: ? Public Hearing Held: Resolution: Name of Applicant 44,10(fCk V4ald, Address 9 9 E. s t 64'-6 5T. ?Jcw ~Icf1l, '.'j I &Dbs Phone Number:( ) 51&- 37(v-S334 Suffolk County Tax Map Number: 1000 - 137- 01 -3.1 Property Location: 3 5 9'5 54,11i,. f e c Ave. C. Pe h. 0 4e- . v j I (provide LILCO Pole distance to cross streets, and location) AGENT: -J,-e FFrIW Pata.nly (If applicable) Address: 106 Oe vttt Q(vcQ eejfe,( 1?loC1Lhe_5, (q 3 N Phone: 6 31 q s y' 1 3 3;_ 50 ~I~ Board of Trustees Application • GENERAL DATA Land Area (in square feet): 3 c. 2 s a Area Zoning: fL i 5 Previous use of property: Resi d czl f~a C Intended use of property: rC c $ , d e ^ t, Covenants and Restrictions: Yes ? No If "Yes", please provide copy. 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 structure (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): RLPlaeL -f,Kbc,t- AIum,NVM 1'- q`-h+P `12, ' W`dG c,.~wA,l,lL ~'76~ x~~w`clG~ Lo..~y ~!a q,.g R. Y1+A+il 3 Qot, k- `lrk LO W14atA &tef - All L-51t D etvtw-vII 5{'uIM S. NLw tRI~-wKUL '$o ~ia?t Th,ru-IGlow 1 I~GILeNj OVLIL wL+~/ty/GG$ itnLQ ~IMNt ?N~TyCq~e~( !~6 A.t b e,1 S Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA ,R,c?lacc 4,mbe/(- cc. 4-w"9- (7h'k 4lw-d c~ Purpose of the proposed operations:,, Al?M(N?M rz,.m p x 31..Sde), un(Q Flea f~vc~ Avcit //Vmlk ao') wGnc~lt We?e .llt 1~S7 ~~JlN7 Se?,r KS. MGw Cft4 ,Ll(. -t-. klnArc. TL1rU-flow decltiwS Ove~L wG~"~nGeS '~~7 LQ (f~+~at.v;oo rteMloeA_ -9-a br- ~r -zrca4ea_ O< v~GLe ir~ Area of wetlands on lot: 2 3 3 el square feet Percent coverage of lot: -1 % Closest distance between nearest existing structure and upland edge of wetlands: D feet Closest distance between nearest proposed structure and upland edge of wetlands: O feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? I A cubic yards How much material will be filled? A cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: N' k Manner in which material will be removed or deposited: N 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): YAtrt „?'Il Ie NO rlk„~'~~-t eF~s c•t' roN wt•/fl,.ncQS Ot vc +4 (rS(w t ~-(o•J - alG 't ~lJ? 'Y'~~W HiG~`l~ 617.20 • Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I - PROJECT INFORMATION To be completed by Applicant or Project Sponsor) 1. APPLICANT/SPONSOR //JJ 2. PROJECT NAM/E~ AAA ldf'CC@ ~aVtGC ~¢vcrX C~.~wwL l~ 3. PROJECT LOCATION: / Municipality J a' ?+!tee a 10 County 4. PRECISE LOCATION (Street address and road Intersections, prominent landmarks, etc., or provide map) ,:;J ob 2 S S c ! 1 L?.cTe ALAC r-t'c' k' 5. PROPOSED ACTION IS: l F] New ? Expansion Modificationlalteralion 6. DESCRIBE PROJECT BRIEFLY: / q ILG{/wGt e&4llG~ (Learn (J to t T~~c Y Sl G~. frl~+S S~.rnS. 7. AMOUNT OF LAND AFFECTED: l Initially • d! acres Ultimately ! acres 8. WILL PR OSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? Yes F-1 No If No, describe briefly 9. WHAT I RESENT LAND USE IN VICINITY OF PROJECT? Residenual El Industrial Commercial Agriculture ? ParklForest/Open Space Other Describe: et e Sr ete rlL -f t wL. 1'l /h L 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FED RAL, STATE OR LOCAL)? ryes No If Yes, list agency(s) name and permiVapprovals: If. DOES ANY ASPECT OF T CTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ? Yes If Yes, list agency(s) name and permiVapprovals: 12. AS A RESULT OF PROP D ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? Yes No I CERTI~A THA T E INFO/Jfg3MATlxON PRO, VIDE/p ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/spons/oorr name: / V[ j r rl. Date3 Signature: I If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 PART It - IMPACT ASSESSMENT o be completed b Lead Agency~ A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 61T.4? H yes, coordinate the review process and use are FULL EAR Q Yes El No a. vviLL 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 Imvlved agency. Yes El No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing ale quality. surface or groundwater quality or quantity, noise levels. existing traffic pattem, solid waste production or disposal, pierniffal for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricullurel, archaeological. Nsterlo, or other natural or cultural resources; or community or rielghbodwod charade(? Explain briefly: C3. Vegetation or fauna, fish shellfishor wildlife species, sigrfBcant habitats, or threatened of endangered species? Explain briefly: C4. A community's existing plans or goats 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. Lang tern, short lean, cumulative, or other effects not identified in Ci-CS? Explain briefly: C7. Other impacts (including changes in use of either quantity y or type of energy? Ex p lain briefly; - - D. WALL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CEA7 If es, explain brlefl: Yes Q No E. IS THBW- OR IS THERE LIKELY TO E CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACM It ? Yes Q No . yes omtaft PART III - OE7ER11111INATION OF SMIFICANCE (To be cohnpleted by Agency) . INSTRUCTIONS: For each adverse etfe kMntiaedabove,determinewhetheraissubstoodaLlarge, impottantorolherwisesigniflcenL Each effect should be asseliseld M cons edbn with ifs (a) setting (La. urban or ruraQ; (b) probabiCdy of occurring; (c) duration; (d) krevetsleiaq; (e) geographic scope; and (Q magnb& If necessary, add atadurlents or reference supportng iffeloials. awn that axplarbodons contain suHiderltdefat to show that at relevant adverse itrlpects have been WWMW and adequately addressed. If quesdon d of part Iwas checked yes, dwdetenrAnatonofaigdlkanc a must eval is tgghapotentialknpadoftheproposedswUon on theenNroranentalcharacialfitftoft heCEA Check life bozayoultil a IderdiRed one ormore potentaGylarge orsigdfiiantadverse Impacts which MAYoeas. Then proceed directlyto the FULI EAF andfor prepare a positive declaration. Check Oft box If YOU have determined. based on are Infemrelion and analysis above and any supporting documentation, slat the proposed acifich WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting ad determination. Board of Trustees _o13 Namee of Lead Agency ~I I~ Date J~ 44G~ r-, l~ ).Vf1 President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer 119nature of Responsible Office, in Lea gency Signature of Preparer (If different from responsible officer) PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: El Chaar ~'d~ct, zl cal Bzol-w-:~ Gaic Bl vd. Im. d5'cvtie I ~T VIODria tn. ()y 39/5 ~5h 1l cvc~~cr ~~c. Gd ch o~y~•e. 7414er g ~e~h-u de. ~?l1 ,3580 sfr//wa- e Ave. ~Q' 1-rh o`y jbs.epk &4arl) 107P 6. STATE OF NEW YORK COUNTY OF SUFFOLK residing at 161P ?Vf1[,tJt t7bBl yd . being duly sworn, deposes and says that on the day of 20~, deponent mailed a true copy of the Notice set forth in the Boar 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 (t.Q{1W mpri tQ~ that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Qk4g~~ Sworn to before me this Day of 4p d~,Nj-- fiuap.YL Notary Public Notary uWic ~e ofYork Qua, in Ik Courtly No of 150881 r-rmisaion Expires 08/07/200 • ~cpFFOt coGy James F. King. President ti Town Hall. 53095 Main Rd. Bob Ghosio. Jr.. Vice-President P.O. Box 1 179 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 BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of MILDRED DAVID COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING ~r TO RE COMPLETED AFTER POSTING REMAINS IN PLACE FOR EIGHT DAYS I, Je ~QHa~i residing at /dba (0(0 HQW 1 -lam Bl Vd . Cm*r morIc?Js Ny 1) 954~ being duly sworn, depose and say: That on the-1 day of _AVr 11 20111 personally posted the property known as 5 5 ShI! Wa~A-lye, Cu+chcoue Ny IIA35 by placing the Board of Trustees official postei 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, April 17, 2013. Dated: qj 13 On4fure) Sworn to before me this 1 day o0pinI 20( 3 8mae" Notary Public Notary Pub cnn P Qualified in Yak Commiss~onE xplros ~/20_1j 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: M;1dreJeDMq;c( SUBJECT OF PUBLIC HEARING: To replace timber 4'x76' catwalk; 3'x12' aluminum ramp; and 6'x20' floating dock; new catwalk to have thru-flow decking over wetlands and remainder to be untreated lumber. TIME & DATE OF PUBLIC HEARING: ,pre-) 17, 02013 - a}- or a?bo S-'3d PM If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection rior to the day of the hearing during normal business days between the hours ofp8 a.m and .4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Boaroo£ Trustees Application • County of Suffolk State of New York MIIet rCd- 64%/rd 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. Gt-cam-~9 Q Signature SWORN TO BEFORE ME THIS DAY OF / i ~L~ ,20 l Uq Public Notary n Petan o N Q A k~our york t IQ: 0 t ~7I20~7 Boaroof Trustees Application • AUTHORIZATION (where the applicant is not the owner) T• I, M. (,,p(ed - OQ V i j residing at B °t eo t 6q-#-' (print owner of property) (mailing address) ,jt,i ~,ttz~ voG S do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Townnk 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 employees. 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 necessary to avoid same. YOUR NAME: T) ^ V I A Aft ~ I kr4 (Last name, first name, middle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If "Other", name the activity.) Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business 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 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 this I °0 day of .Mn 1% 20013 Signature btu F Print Name Form TS 1 o~ Town of Southold Erosion, Sedimentation 8 Storm-Water Run-off ASSESSMENT FORM h$® PROPERTY LOCATION: 6.C.T.At.p THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A I Doll 13'7 of 3.1 B Rat A RAI KIWWN CONTROL PLAN T Er ae m ~ C F A D DM ROF T A O YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION rIEM # / WORKASSESSMENT Yes No a. What Is the Total Area of the Project Parcels? ' Will this Project Retain At Storm-Water Run-Of (Include Total Area of all Parcels located whin ~cr9i g , b q.f Generated by a TWO (Y) Inch Rainfall on Silo? E~1 the Scope of Work for Proposed Construction) (s.P.rAn.a) (This Rem will Include all run.aff created bysite b. What Is the Total Area of Land Clearing clearing and/or construction activities as well es all and/or Ground Disturbance for the proposed 3o c1 , p o -7 Site Improvements and the permanent creation of oonetmotion activity? Impervious surfaces.) 2 Does the Site Plan and/or Survey Show All Proposed PROVIDE' BRIEF PROJECP DESCRIPTION lPhsdmAemsmdrrd.a+N.meun Drainage Structures Indicating Sim & Location? This ? 1 1 Item shall include all Proposed Grade Changes and ` U (j ~p /rte J L K L a ~w t t Pi . / 2 a j Slopes Controlling Surface Water Flow. 3 Does the Site Plan and/or Survey describe ire erosion (L-/kro ~n.R 4'. to il~(•E-(x and sedirnerdoortrol practoss thatwlll be used to control aRaerosion and storm water discharges. This df,'V~ Lost d..c. .6+ 14rrl644c hem must be maintained throughout the Entire Construction Period. ¢ Will this Project Require any Land Filling, Grading or Excavation where there is a. change to the Natural EAsting Grade Involving more than 200 Cubic Yards of Material within any Parcel? - 5 Will this Application Require Land Disturbing Activities Encompassing an Area in Extras of Five Thousand _ (5,000 S.F.) Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the She? Is this Project within the Tmslamsjud allodon Garreml DEC SWPpP RwWmmanra: or whhln One Hundred (100') feetaf a Wetland or Suba"on of a SWPPP k mqulmd foraN CormtmeUm aWMUs twaMng ew Beach? dlsbabannse of ono (t)or rtars anew; khdudlns disturbhaaes of lase man crews out 7 Will there be Site preparation on Efdalkg Grade Mopes are part ofa larger common plan that as ultimately disturb one or more acres oflan4 which Exceed Fifteen (15) feet of Vertical Rise to ? Including Construction activities kvcNhg sol disturbances of lam than one (1) son, whom One Hundred (1001 of Horizontal Distance? the DEC has dWmiMed tlut a SPDES pamhis mquiredtor eta., vwmrdisMaram. (SWPPP's Shag meat the Minimum Requirements of the SPDES Storm/ Permit 8 WIN Driveways, Parking Areas or other Impervious for Storm Water Dkchwpa item Construction activity . Penult No. OP-0.10401 J Surfaces be Sloped to Direct Storm-Water Run-Of El 1. The SWPPP shat be prepared prior to the submittal of to NON. The NO] shall be into and/or In the direction of a Town dghk. autmNed to the Department prior to to oommencernsnt ofaonsbuctm antsy. 2 The SWPPP shall describe the erosion and sediment cancel practkes and where 9 Will this Project Require the Placement of Material, / required, postaomwctim storm waterhnsrhMarrent preclirae outer be used wrifor Removal of Vegetation and/or the Construction of any constructed to reduce ft pollutants In atorm eater discharges and to assure gem Within the Town Right-of-Way or Road Shoulder compliance with the terms and conditions of this permit. In addition, the SWPPP shall Area? (TNeRen At NOTkehude rtokdataassafadMMAprmal Identify potential sources of poludion which may reasonably be ehmeeled to anted the NOTE: RAny Mewarta 0umtma One auwugh Nina In Anseeadwhe, a Chink Week queikyof stormene rdlecheges. Mo com1rucaw ate dkWmance is between %ON &F. a1 Amin area, &AI SWPPPa that require the postcunstructbn ahormwater menagernen[Practice in Ins aoxsoxWatandar,OMlnI,OMnspeseroebn CowWPlank Required bytlue TOmrM aint owledllbeprbyaqu and Design Pmfemkn l souduAd and Nustbe submitted for Reviver Priorto ranance ofMgro6uldmt Permit wmpwn MalkIdrowlatlgeabbIn h thetlUrB Pdhdplescell preeucesof atemhW Watererlhead M inanagemrnent. em. (NOTE: Ached,elark(J)and/or Nader Poraad Ouedlonlo ReVlvd Pore Cw WAppik OwQ SPATE OF NEW YORK, COUNTYDO,F}.......~..I................................ SS That I, . . W.. W. V. Lc being duty sworn, deposes and says that he/she is the applicant for Permit, (Nome dlorOvldual egrdiup 0.0 ) And Yhat he/she is the (OWne. Coneecaq Agent. Coporae ONcec ebj Owner and/or representative of the Owner or Owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; (..4 day of n 20.15 Notary Public:........ FORM - 06110 ~y nn Fa n o NpAlfa Suffolk Coufdy~ :0 A6150861 Commis Expires 08/07/20f~ Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS I. 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 De artment, all local libraries and the Town Clerk's office. D E Q E 9 Y E D B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 137 - 01 3.1 MAR 2 5 2013 The Application has been submitted to (check appropriate response): uthold Town I Beerd of Trustees Town Board Planning Dept. P Building Dept. 11 Board of Trustees 1. Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: I [4P lACC -h, bt,L wtut ~ ,q Ia4t,. ,A, (Lu„11p ,3(W40) 'en't (L~X2.0,J b"b.Llt, fw.ertih(1 /ieS-f't~u(l+vt~ ~'/~iv-.F~o?.i oQtc/~t.~y ovc2- -jforms. /pica, t's--wH.t~1L -f'o have w[-t aK d g with re mAivslc/ vr -TriH --eet ?'i•IabtlL Location of action: 3 0 25 5f.11 Av(• ~~~~~loqut Site acreage: O. 6 1 S Present land use: (L e s `c~c.~ 1 t Present zoning classification: 3Z e e ^--et " 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: /Vj , I cQ e e d- 19-c y e cQ t~ ~ ( (b) Mailing address: 941 Ek-S.r (0 c( 0 5?'_ "ec q,14, 1v0b`J (c) Telephone number: Area Code ( ) 5 / G - 3 -7 d - `a 3 3 `l (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ® No El If yes, which state or federal agency? I1N `f S f~ S 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. 9Yes El No E] Not Applicable P(s~cct. 1cj9 accF am4Ll (-lc, ant¢ Rc,,t- Log-t ~nf ~p flat ?(rtce.ne e4ncR a llmws 4~p~ &ccesi Vt3vw ( wt/JQte I( vLW SZluc fv~[ Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III lici Pages 3 through 6 for evaluation criteria 0 Yes 0 No-; 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 zYes © No 0 Not Applicable rod"cf is c-. r,S4e, , ~I ,.jc1 !2 h bort~? Pr Re ri-fr*s 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 through 16 for evaluation criteria E Yes El No Not Applicable 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 13 Yes No Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. Yes M No F~ Not Applicable Qrvposer¢ co-17 w UjLL wrli ~4%L t4e- -YhcLA-t~l..~ r~tcl~l.~~ o JC/L we -r(vo f en eo. r.~.9e. b, l o,.t . 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 [gNot Applicable 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. 11 Yes 1:1 No a 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 criteria. R"~YeJEI No ? Not Applicable P(/,fG-k Qrc rLtts Q~gl.c CSC mF tv4 A, q'S 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 © Not Applicable • • re cLt w(lo~S ~.rt .cccass fa . fir Attach additional sheets if necessary policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic waers. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. Estuary and Town[g/ © Yes ? No Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LW" Section III - Policies; Pages 62 through 65 for evaluation criteria. ? Yes ? No U Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pa 65 through 68 for evaluation criteria. ? Yes ? No Not Applicable Created on 512510511:20 AM March 23, 2013 Town of Southold Trustees Town Hall Annex Building O; Cr y 54375 Rte. 25 P.O. Box 1179 U i Southold, New York 11971 MAR 2 5 X013 RE: 3825 STILLWATER AVE. CUTCHOOUE, NY Sol iii-1 Town SCTM No. 1000-13701-3.1 APPLICATION FOR PERMIT Dear Sir/Madam: 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 631-484-9332. Very truly yours, J rely atanjo 106 Hewitt Blvd. Center Moriches, NY 11934 LAND OF EDCARD EL CHAAR \ad v l 1000-137-01-001 r LOT 19 312.81 x N 56°05'54"E RED PROPOSED ~ R/0 CNC. t .N FM-TW ONTRLO KM PANELS OR EQUAL y 0.7'N 0.6 PROPOSED FIXED ELEVATED PER 76' LONG X 4' WIDE 0.9'S POST RAIL n 4CE.F. SUPPORTED WITH 6"f PILES O 6' 0. C. MPE& BOTH SIDES) E~ ?H BDG. v BDG ! PROPOSED HWDGED RAMP BA'S -Ik'z3 • 12' LONG X 3' WIDE g P0 cc ri- p ON E°~ 1,3 a u D ai co O 4gm LOT 18 v1to R ~ p p 13N EARTH DRIVEWAY 159.4' 1 FLOATING ooclc d CO~lL11 Cn \ I SU~PPOR~TED WIXt (4) e 0 PILES o - REMOVE DWING PILES FROM DESTROYED TIER v \v LOT 17 EDGE OF K~ AEL WICI6L.S. DS As IDENTFIFD CO \ i \ a.V~g O ti~V^ 2' WIRE FENCE ON LINE ON FEBRUARY 26, 2015 p srw" F-7- 1.wS 'RESIDENCE FENCE 340.00' Cep O S 57°21'01"W LOT 16 \ LAND OF VICTORIA M. URY \ 1000-f97-01-5.1 APPROV D BY E Q E 9 V E " BOARD OF TRUSTEES ~D DATE TOWN OF SOUTHOLD MAR 2 5 2013 - DATE - s I5 13 Southold Town Rnard of Trustees I I i I i 36 REPRESENTS WATER DEPTH IN INCHES - BELOW MEAN LOW WATER NOTES: PROPERTY OWNER: 1. ELEVATIONS REFER TO N.G.V.D. 1929 DATUM MILDRED DAVID Pm posed Deck & Float SCALE: 2. LOT AREA: 30,268 S.F. 0.695 ACRES 29 EAST 64TH STREET NEW YORK, NY 10065 1"=40' 3. PORTIONS OF PLAN FROM SURVEY PREPARED BY. MICHAEL K. WCKS LAND SURVEYING PREPARED BY. PROPOSED PLAN DAZE: JEFFREY PATANJO 3-13-13 200 BELLEVIEW ROAD, CTR. MORICHES, NY 11934 106 HEWITT BOULEVARD SURVEY LATEST ATEST DATED FEB. 25 25,, 201 2013 3 CENTER MORICHES, NY 11934 3825 STILLWATER AVENUE CUTCHOGUE, 4. ALL DECKING USED SHALL BE UN-TREATED 631-484-9332 TORN OF SOUTHOLD SUFFOLK COUNTY, NY SHEET: TAX YAP A10. 1000-137-01-3.1 1 OF 2 r )r i ~YRD , , 10, f td "SAN, Y l~Nssssu Pot ~9ke REPRESENTS WATER DEPTH IN INCHES Q' BELOW MEAN LOW WATER PROJECT LOCATION MAP NOTES: N.T.S. 1. ELEVATIONS REFER TO N.G.V.D. 1929 DATUM 76 THRU-FLOW DECKING OVER WETLANDS 2. LOT AREA: 30,268 S.F. / 0.695 ACRES 45' PROPOSED FIXED ELEVATED CATWALK 3. PORTIONS OF PLAN FROM SURVEY PREPARED BY: 4'x4' CCA POSTS 4' WIDE X 76' LONG ALL GREENHEART TIMBER MICHAEL K. WCKS LAND SURVEYING 200 BELLEVIEW ROAD, CTR. MORICHES, NY 11934 10 OVER WETLAND LIMITS PROPOSED 6"x6" CO POSTS TYP. SURVEY LATEST DATED FEB. 25, 2013 PROPOc;FD R- IS 11 F 4. ALL DECKING USED SHALL BE UN-TREATED $ CCA (TOTAL OF 4 PROPOSED 3' IDE X 12' LONG ALUMINUM NINI 6 PROPOSED WIDE X 20 LONG REEI. 121 410ATIN9 DOCK, PROPERTY OW 4 n ML DRED DA ID ER: 29 EAST 64TH STREET NEW YORK, NY 10065 PREPARED BY: JEFFREY PATANJO PEXISTINGGRADE- - - - - - APPROXIMAFE M.LW EL_ 0_Ot 106 HEWITT BOULEVARD CENTER MORICHES, NY 11934 631-484-9332 -2 rWE22' Proposed Dock & Float sca_E: _4 31" As NOTED PROPOSED CCA FLOATING DOCK SUPPORT TYPICAL SECTION & DATE: TYPICAL SECTION TIMBER SET TO MAINTAIN A MIN OF LOCATION MAP 3-13-13 30 SEPARATION BETWEEN BOTTOM OF H: 1°=20' FLOAT AND CREEK BOTTOM AT ALL TIMES 3825 STILLWATER AVENUE SCALE: CUTCHXVE, TOWN OF SOUTHOLD 77 V: 1"=2' SUFFOLK COUNTY. NY t72 TTAX YAP N0. 1000-137-01-3.f of 2