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TR-8359A
James F. King, President Q~gttifFlk~~o Town Hall, 53095 Main Rd. Bob Ghosio, Jr., Vice-President P.O. Box 1179 Dave Bergen Southold NY 11971 John Bredemeyer ~d pt` Telephone (631) 765-1892 Michael J. Domino Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES T2 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO 00 SO SHALL 815 CONSIDERED A VIOLATION AND. POSSIBLE REVOCATION OF THE, PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1'4 day of construction _ constructed: Y-Project complete, compliance inspection • a0F SOpr~, • Town Hall Annex John Bredemeyer,President Ol0 54375 Main Road Michael J. Domino, Vice President P.O.Box1179 James F. King Southold, New York 11971-0959 Charles J. Sanders • ~O Telephone (631) 765-1892 COUMY,~ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 8359A Date of Receipt of Application: December 4, 2013 Applicant: Strong's Marine Inlet, LLC CIO Strong's Water Club & Marina SCTM#: 114-3-1 Project Location: 2255 Wickham Avenue, Mattituck Date of Resolution/Issuance: January 22, 2014 Date of Expiration: January 22, 2016 Reviewed by: Board of Trustees Project Description: To install a 6,000sq.ft. beach using 222 cubic yards of washed beach sand; installation of a 6,160sq.ft. pervious pool patio and 4' high pool fence; installation of a 80sq.ft. patio around flag pole; vegetate area with palm trees, roses and hibiscus; transplant a cherry tree; and install an ornamental boat structure. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the site plan prepared by Briarcliff Landscape, last dated December 3, 2013, and stamped approved on January 22, 2014. Special Conditions: None Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Irv% John M. Bredemeyer III, President Board of Trustees John Bredemeyer, President 0OUFFOL'. Town Hall Annex Michael J. Domino, Vice-President 54375 Route 25 James F. King = P.O. Box 1179 Charles J. Sanders V Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Feld Inspection/Work Session Report Date/Time: ~ -f ~ Briarcliff Landscape on behalf of STRONG'S MARINE INLET, LLC c/o STRONG'S WATER CLUB & MARINA requests an Administrative Permit to install a 6,000sq.ft. beach using 222 cubic yards of washed beach sand; installation of a 6,160sq.ft. pervious pool patio and 4' high pool fence; installation of a 80sq.ft. patio around flag pole; vegetate area with palm trees, roses and hibiscus; transplant a cherry tree; and install an ornamental boat structure. Located: 2255 Wickham Avenue, Mattituck. SCT~4-3-1 Ty e 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: Modifications: Conditions: Present Were: ~J. Bredemeyer M. Domino J King C. Sanders Bay Constable s_ Other Form filled out in the field bvz, AJ/z Mailed/Faxed to: Date: BOARD OF SOUTHOLD TOWN. TRUSTEES SOUTHOLDyNEW YORK PERMff NO. 7372 DATE: AUGUST 1 201 ISSUED TO: MATT A MAR MARINA LLC PROPERTY ADDRESS: 2255 WICKHAM AVE.. MATTffUCK SCTM# 14-3- AUTHORIZATION Pursuant to the provisions of Chaptet 275 and/or Chapter 111 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees sdopted atOre meeting hild on Apaust 18.2010 in consideration of application fee in the sum of SZ50.00 paid by M k_e,_MM Marina. LL.C end subjeet to the Tom and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to expand the existing boat storage building, demolish the existing oflice and relocate office, replace the sanitary system and install a' drainage system, and depicted on the site plan prepared by East End Design Assoc., LLC last dated January 2 2006. IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be effaced, and these presents to be subscribed by a majority of the said Board as of this date. -Ail . • SITE PLAN FOR STORM WATER POLLUTION r\ _ A _ MAR MARINA, LLC. PROTECTION PLAN , IL AT MATTTTUCK TOWN OF SOUTHOLD _ ,•,••°~gF .`a SUFFOLK COUNTY, NEW YORK SCTM: 1000-114-03-01 SCALE: 1"=49 - - N~ LAND OF mill. MIMI- a / ? o rd Eff 4 x ~a ,•'~,~/L ~ti :.t " 9'fb E~I~~ _ - I I. .may v,°a:~;...-..= iY ms's' -,r sir§k I k a Y¢ f v ='I-_. ,°~l:Js'v°~LeLa°sraa°` nar,.rwr e 1kc 6`xR 7~\, wr• " as ~ ~ <b'~ vC~ Inv _ ~ I ~ r.~. °~°..,..L`^e'r".°',6rr.,, ~ • ~ , r_ s . • way 'Mamma °v ~wm~m 6 1 ti"~~ I ©corhi -PmaE u`ssE o r~wc~ oa ara~ A~m+~ 1 \ r~ i vs xc rxo rtusxlric wPrw acE~ m".°a.°... >s CIRy'pnEE_ 0 .T NON s 0 EPxs rn l ^WiA9E T. E R xrM =U mnomiw.v i* ."ti rvn.v ~11 C1 . MLEIS HlE TO r AM'11 0 - Poi 31 F 3E VBFLE:., y l (uNSOENJ -FPdCT.azOSITE PLAN INFORMATION = IW WAifR p1L HOT n aE _ ° ..r..-,M H6 .1R CWIUHC PS PEP •e.aaw.m um xrv w~LsQ1 ° - `n a~ ISBASEDOYLAND rNE SUEFVU mum DVA.RME OF =y l 5; SURVEY PREPARED BY 1 FAITM SWC-1.I rs JOHN T. MEPZGER NDr~ .L ~PmLS. LICENSED LAND SURVEYOR Ore. aL. 3z. 1srz FVNWxG eorRD raFmor_D soE Pwl ELMIRIC vxES. w LNES^xo cvs a r r BS a%I8) f URwRESnRPMExrwsax .1D Pwxwa Exlsr.u: ORxXID~ x ,NE -0 SE • wuuu m o FEET s-ME /S OEjW.ADAQ n FPM. err ADA NOTES AND usE- S~Ir+°® SPECIr CAT ON NOM,, NIS Still N;aD ? ADS "IIAS axa _ E S P SP4^ES nra ° ~~yr~ Y ax0 RAMPS WE 0 c°1FCRV r~mrxe ur - --~+t~m'a1tl"~~".aw T' ./.S . AIIIJ-1596 {s ~Za r B A DA NOTES Mpg r ~ ~ "a IY~ r°"a I I ~g~ g b BE R 'J /R RIVEWAY OEEPL CIE:.M .1. Yx, DF 10-0' mµ 4O' - ` IS I R rl " IOEMFIED Hr DF e'° s \ r'QT'1'~•a I.. 3 1 - 4 PRJFER SWN.CE }g• ~r NS ..wa ~~E ADA ~7AMP D=TAIL Pu4 .wuF•u~u'°.'„, " q I, c,P OP rv IN ` rf,Ay 'Rh DETAIL _I°rvewo__ x +r. ryu ml r e y <.-PTC TANKS A^}{ ING PQOI ~P'AiL la _ H A-IN TPIL FACNG xY 4L 9 _m_ L_ W AA ,xa TT - A - MARINA, INC.' MAT a i ~ Of l T7 PLAN b.>•O.nP AA_ l _ r ra.n3Wr. ryu ml uPa .F= 1 xi3 clwF~e°e wa - i BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 6932 DATE: JULY 23.2008 ISSUED TO: MATT-A-MAR MARINA, LLC PROPERTY ADDRESS: 2255 WICKHAM AVENUE MATTITUCK SCTM# 114-3-1 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 1 I I 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 July 23. 2008, and in consideration of application fee in the sum of $250.00 paid by Matt:A-Mar Marina. r t C and subject to the Tema and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wedand Permit to expand the existing boat storage building, demolish existing office and relocate office, replace sanitary system, and Install drainage system, and as depicted on the site plan prepared by East End Design Associates, LLC, last dated April 1, 2006, and received on June 9, 2008. IN WITNESS WHEREOF, the said Board of Trustees hereby causes its corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. u ydFFO4'. SITE PLAN FOR STORM WATER POLLUTION MATT - A - MAR MARINA, LLC. PROTECTION PLAN AT MATITTUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK ~.g• ; SCALE: I^-W -...-mom . ifs `o °~_y ? ~-"~.YSs 4,1' _ 4W oo - - j1 .5 ~ .~•~-e. a~1 ~e h, a,°.mo.-° EF' \~T y --A"'o' u - - 14- ~~~s 0 - xE 5 iRE r0 J9EJ CCNTRFC'pg5 ERTIGICAiION ma J ?OLalBE V9[ ONL' LwA^r /5 INA _ L W llxL lER 0 s.vmen.n ^a P2« Lv IuSVPE iKN_ x VEW$ LO TMRJ95- CCNnECI NON-PO- LE _ ?11 PV3LC iER YE, µL MM- I•°°•v° m.m av•rn-n.w ~~..w. v SITE PLAN INFORMATION ~ Po*rs.s - IT, AlE TO (Mx-~71 JE IER ONLY. 1 O # ,s.smmmY IS BASED ON LAUD Yso Pc• EI o cmRrve.s PER SURVEY PREPARED BY E s PTnul coYm rco.wr„EVi A„•,,,P,s,K- a iEUM sERwcES.ly-~ JOHN T. METZGER _ cR w i •m P.wls. sEPrc r.N.s, m o - ' LICENMDLANDSURYEYOR NOiE:.LLV x2..99, o.JV.x:.c .1 mw .11O'IE PN ~_E ac ~.ES w im Es o :as _ - '.S`-ate PEP Ei..i..I. Ax0 P64<nG EMSTNL K JNES AE O BEND V -I' A O EE! '-O^ 85496181 /xls - E ..EE AOAC.NTE. ACA COTES AND 1A" mr- SPECI-(CATIONS a•a v NOTE MS B'JII?IN. u.B All AV. . = Y.s.._ v;wPPS ILR'NE sTO[MT • - >s~~rm OP -6a - jEE/M5 .I 998 421 ADA ARKING NOTES "R - IT NOTE. ACA OT PAT `ACO'i0r Rp .iCA DRYEWAY nETNL ii I E - I 1O'wo OT - a s B[ FD H/ PRAMsrnwc e I •-~r~ AAP DE-AIL - _ r I I• b T milm °smm H' 4 m- SCW GALLEN cttlNeRlcA._ q(6v =wce P V 6" v°"O.e,~ i s'Iii e A c Pnc TANK n-TO _EACH ?c vn0L -TA DETAL amm ..on s'~ 1°I 0.vr rn I s~-'y`.w°.v n r~u.v = ac v"v. •r•i~. .u '~ACgING Bp5'N_D'-I4L u l-Of ss y"_ MATT - A - MAR MARINA, INC. °m'°Sn` r r x oArA I sNC PLAN f m N Y Board Of Southold Town Trustees SOUTHOLD, NEW YORK 'r PERMIT No....~ DATE: anuary tl, 2004 t MATT-A-MAR MARINA, LLC ISSUED TO . ,~u~iinri~afiaa pursuant to the provisions of Chapter 616 of the Laws of. the State of New York, 1893: and Chapter 404 of the Laws of the State of New York 1952; and the Southold Town Ordinance on- tilled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;!.'. and in accordance with the 21, Resolution of The Board adopted of a meeting held on .....Jan 2004., and in consideration of the sum of $..Zoo.00 paid by Matt-A-Mar Marina, LLC of ..........Mattituck N. Y. end subject to the Terms and Conditions listed on the reverse side hereof. of ?g*AN Town Trustees authoress and permits the following: Wetlan ermit to expand the existing boat storage building, relocate the existing office, and replace the sanitary system, as depicted on the site plan prepared by East End Design Assoc dated November 5, 2003. am in accordance with the detailed specification: as presented is the originating application. IN WITNESS WHEREOF, The said Board of Tnntees here- by causes its Corporate Seal to be affked, and these womb to be subwAbod by a majority of the said Board as of .16 data. c,~1fFp,,~ M,3 C.r a I • Sys i\.orux ey"jO CP 40 Offp \ "v% ~f+Q ~ a ~i a °y fj SpM1 q 0 a ca a ~ d a!' ooooo`~ ®u~ f O a io f to - : •a ~ f• # a i~~~ a' i m z x ~ A~ d D ~ n~ya T s%1 _ _ AVENUE WICKNAM ~ 4 ii a~ ~ H ~ § NOXSIWf lO NMGI ~ y a I ~ S3ilflltllp0SVW ga * 3 11 a ~ C ~YF 4203AOYddtl 'i t~E i. r iy Y YY i / as ~ C s H MATT - A - MAR MARINA, LLC. ~i DESIGN NnTfIM1lLlf ABSOCUYLC9. uc ~_o?wvlllo~ ~ ~ Zp - IN0-01 Albert J. Krupski, President Town Hall James King, Vice-President Yr' 53095 Route 25 Artie Foster P.O. Box 1179 Ken Poliwoda ti Southold, New York 11971.0959 Peggy A. Dickerson Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 25, 2002 Mr. Ali Agaradi Matt-A-Mar Marina 2255 Wickham Avenue Mattituck, NY 11972 RE: SCTM 114-3-1 Dear Mr. Agaradi: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, January 23, 2002. RESOLVED, that the Southold Town Board of Trustees grant an Amendment to Permit #5083 to assemble an open steel boat rack, consisting of three bays on the left side of storage building and seven bays on the right side of storage building (west side of building) the dimensions of bays are 12' wide, 12' high, 25' deep maximum height 25'. If you have any questions, please call our office at 765-1892. Sincerely, Q Albert J. Krifpski, Jr. President, Board of Trustees AJK/cjc CC Building Department Albert J. Krupski, President FFO( Town Hall James King, Vice-President 53095 Route 26 Henry Smith P.O. Box 1179 Artie Foster Southold, New York 11971-0969 w Z Ken Poliwoda ~y • Telephone (631) 765-1892 Fax (631) 765-1366 ~yol * ~aoe BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 22, 2001 Dr. Ali Agarabi 2255 Wickham Ave. Mattituck, NY 11952 Re: Matt-A-Mar Marine SCTM#114-3-1 Dear Dr. Agarabi: The following action was taken at the Southold Town Board of Trustees meeting held on Thursday, June 21, 2001: RESOLVED, that the Southold Town Board of Trustees Approve the Amendment to Permit 95083 to include a 10' non-turf buffer behind the bulkhead. This is not a determination from any other agency. if you have any questions, please call our office at (631) 755-1892. Sincerely, / a Albert J. Krupski, Jr. President, Board of Trustees AJK:Ims DEC Albert J. Krupski, President FkltC Town Hall James King, Vice-President .t. 53095 Route 26 P.O. Box 1179 Henry Smith Southold, New York 11971-0959 Artie Footer Ken Poliwoda Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 22, 2000 Dr. Ali Agarabi 2255 Wickham Ave. Mattituck, NY 11952 Re: Matt-A-Mar Marina SCTM#114-3-1 Dear Dr. Agarabi: The following action was taken at the Southold Town Board of Trustees Meeting held on Wednesday, June 21, 2000: RESOLVED, that the Southold Town Board of Trustees grant the request for an Amendment to Permit #5083 for the relocation of an electric box 100' north of original location. This is not an approval from any other agency. If you have any questions, please call our office at 765-1892. Sincerely, Albert J. Krupski, Jr. President, Board of Trustees AJK:lms CC. DEC Board Of Southold Town Trustees SOUTHOLD. NEW YORK PERMIT NO. 5083 DATE: Nov. 3, 1999 ~t r ISSUED TO ALI AGARABI a a~utl~vri~~tinn Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the Laws of the § State of New York 1952; and the Southold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;.', and in accordance with the Resolution of The Board adopted at a meeting held on .....Oct.27 - 19. 99.., and in consideration of the sum of $ paid by Ali Agarabi for Matt-A-Mar, Inc. of Mattituck N. Y. and subject to the Terms and Conditions Listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: y 6o"truet a boat basin at the aoutheaal aide of marlin. Bust W.I. will be 16,900 aq.lt* with an average depth of 15' to be excoalaLand mmlruclhm of lZof bulkhead and 355' of flonting duck.. Excavated matedai ie el... gravel end Band, which .111 be umd to create a burn at the ..at side border of marina and will be available Ice clean backflll all in a for ne,a bulkhead area. vilb the condition that a log la kept of .esented in the pry( it,. pump-out for the year 2000 and submitted to the Trueteea T at the end of the year. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. z' rn Tfwneg ~~•i 11 .nz - ~ N/0/ F ~Y \ «vi AND OF OAKEN :v r ~ i r. - J .i r 17 a.. .4 ~C r. i _ 777 ~ ..°",h, ~Do r». :~J • • ~~yLO QCp t ~ a ~r=.r'~_; < '.`wl i ~ . ! 1 O r n • Ica ~d ; ~ ~i L3 @Ul < <rs•. MRAGE ! V ' it n „O.~ ' ~ - . r <.•pM~ - lbNE ~•1 r, J, rl f Or. / I G L• f4 1• . ._s ~ 1• ~ h^ -n. ~ f ~ ` CS - v ``mot ar t vuv<a uta i ° ~~rQ 1 rr n•< \.y1 a . r U 73 V j /J G'..Q:.M r 7 x f • lam/ K3-...el! P'Ill(Z Gl B,Jv ..y, ,/~4-'~~.•.,I a,~mPlY i~a.Yk{yd n /q n I,ly~ , .iV/l'+t ~ .{~G,~1,~ae ~2 • ^~(1 I f~i7 .~2 IF c~ .9 V 3 n bulkhead 491rest ei ~ 1 ~ I 4 P' TOP VIEA'' OF BOAT BASIS ' ! ! .pMATT-A•MAR MARINA I i D311S YFICKHAM AVE PREPARER:' ALI AGARABI a O; ~ e 6 / APPLICATION 0.1073806"610011 i ff I SCALE: V-3110' ,Ikhead bO feet -o' No KEY: ~R a A:NLW BULKHEAD 10'W-:ell. B:FLOATING DOCKS 1' W. AF<' L C:FINGER FLOAT 2'W- 30' L o e ra, ? O pTR•INGO Is- D1A. 60' L f3B TOTAL EVERY S': 6:WALRWAY 3'W. AWL i F:RAMP 4'W-30'L I O G49IGER FLOAT 2•W 25-L B:H/TRANCE 2S W • ! O i H i TOTAL EXCAVATION SURFACE Al'N FQ FT floating doelc 11'%170' APRO%IMATE DEPTH ISM 1.- d MI.. Wl: APRO%IMATE EXCAVATED MATERIAL-1010 90 1'D • la aho"e ande ~ . w. _ - - -exhtinR grade ' 3' heaAer i^~ i" sllel rod IS~xI" aprox: With water mark dead Man ? a}I "Aea/hiaR 1/2' x a"x 20' FLOATING DOCK: 4'W. 448-L I t 1"- 3/4" hardware LOOP w PILING 10"X40' BVBkY g FBFT 6' aaler a., a" I , + aprox: low water mark 4, ..,,777,. 7.7,F" - *depth below low water mark Y VERTICAL CROSS VIEW OF PROPOSED BULKHEAD & DOCKS MATT-A-MAR MARINA 2255 WICKHAM AVE MATTITUCK,NY 11952 PREPARER: ALI AGARABI APPLICATION I.D.-i-4738-00306/00011 ,1H ce;r oT" ?ti~ ?421 N r~ 1~2cr c scram v n~ Y SItE~ ~'C~ M Pri-T- - rt- x, 4k /}pp~tecW?C?s sF I-LI.738 0030(0/00011 _ e~EQ E~ti~riNG c2Gx PRQx~o Paoas6o Ci4 C-~oC. 5,-Rr ti~E2 PRcPo =E_ ~,',,SK~. SPtEETiRS~. • O GO, Q ?11 _ i J p` T / CArJI :1~G~ Zn ` r ~IuNG Fao ~n 'o" ~X•s n Qc-q C2CSet'c ~x 5 ir.6 BSc c Z STS : r` Gam 5,44eEEr, QG- i Tt~ K~C ' C 9-0 O-k t OJrcQ4 (5A0 TQ couE lma' PF ILf~ ~r a ~u ~vC>K iG. P . Top JiEw Op . r' .A AR MAt21~ a k%Av`r dw KMEAa SaEa+rN6e 1 . F III c ~ ~ foal POsC . v0` :\~'r)L ICHTtGtJ t,l(~` e fi~(4 ~ 1 y'7'315 cX>3r'lc?/cc,r:~ 1 - fe _ ~~'f't~ e V\/ ~ 4 GAAOE o RPPfdoX NwM ? a a o Jwt, parE°e SHIM IS NAVE UP OF ~ po°~d~~~p ~D CCA PLI(WOOD SKIMS pO c RAufauJb FROM 3/4« rD ~~{BI- 0 Z GRAvtI.- FlL%- Af-'PecX . y Wa aU 1~.. tS 1 = _ _ L Ito OU.'(D' TIDE RAOCIE W 0 000 $O ~ 2 b° c°0 Ch STA"cF to uaEHKCSi" u Q °600 SI'a..cruF-G (sN~Ps sr~k~) O lk b0~0o G v S~ oDOY t'/ 1 Vii' Dt:'PLFlDIFI(~ °FJ V ` d 9 ~or~ar~cnl Of (500 .,rL PLAN p ~u 6 2 f ArPOO o°o ? Nrre-, IJl.kj SHEETu.Ka Ti) lip' ~ °n 0 P ?rtrCD 13C"icL\j E31r~ tt~~I VO, CIFTR0E HP!'.tcx. E;FFr t/- °Oa0V~S R. _ W P AFPRcx nnLU1 ° v _k o i !'f-(%1FF[~ Pi`s y ° Nore:2H ours, L7oNCVC•~S ~ay ov ~'r~ISEO I'L~IIc~48 ~ ~q oo° 'j' ro ours~n~ 412 shiIup00°,.. n, ° PO O 3/f<'Vrt,/" SMEC-. ADD % .ro FROM- owl VINYL aal?sA N5 a~ % arusG caESOrE X04 }~N tip 1 food ~o r _ a 9 ~~(!t X~sriNLv (it - J yRADd ; APPI?oX F4WM c -r v10~~ V3 b APPRo~t LwN? L,Qi ~P~G~h'~PAQ 0Y SUN Coat` s,,~ ~OIF=-- t Mrs. .':~,u ' Board Of Southold Town Trustees SOUTHOLD, NEW YORK i I PERMIT NO.. q.970Z.. DATE: .....Oct. 23,1998 ISSUED TO Matt-AcMar....Marina r ~ ,~u#t~nri~tt#inn ~ Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and the Southold Town Ordinance en- titled ."REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;?.'. and in accordance with the Resolution of The Board adopted at a meeting held on 19..._9.8.., and in consideration of the sum of 150.._00....... paid by Don Cocks for Matt-A-Mar Marina Mattituck N. Y and subject to the Terms and Conditions listed on the reverse side hereof, thold Town Trustees authorizes and permits the following: lfetSouand Permit to install vinyl sheathing over existing for entire 1100' bulkhead 250' section each year.Sheathing must be as close to original blkhd. as possible as gravel placed in between vinyl and bulkhead. Work complete within 5 prs. all in accordance with the detailed specifications as presented in the originating application. IN WITNESS WHEREOF. The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. . ..............:........r~j~f.......................__....... I I GaEgK ~~~'\N"/ Y314 wn rr s3lmr III j /y ~ i p. ova ~ -4`-..". :t o ,~o.n.w, ~wero me awea3eRr mcrv yoo, , W ~ O.O°' oN~° C o • V ~ ~ H?,~ i 13 ~ r" .nw. xsw rssr uvAVr • E :°r u I MATT _ A "4RMAWM,W- fN AT aUi1I)IACI( TOM OF soul~ S l'~ Slfip/( OOIMTYbr NY Yao m m ~ ~ r ~ \ _ _ ~ E ern<A B[w Cw.iss~•+H+ I E 9 E ir~ Km I. c- L- K y :r` 7''W k ~ 37R. k -S. ~t~Ml~ DEC - 4 Hell '~Y4 yy~, ~~~/F~ >,r;~wwb r~. NSA~'`R ,,(..D.` ~j 3/ •?"!4.r :,e,. .Y .~f~f~~- ~.~J~i~ k:~~~~`Y'~sYd ~ ~ Mr._z~y^~• ~ •x;.kM ~~t~! :~~~f,~ ~1'` r''_,~ \hh ` at4 #x 'rd~p;' N c i~'t ' t Syr Tz. i t - -3-?3 5 ~t2 ~;C, s WA-)ER ADD AIA2??J.A~ 12- M p .r t - y . T, I k SFr Cg ;z 7. "t _ v. '.y~~ ~ ~ ~ dpi w•. Kf y _~G ;.`.r ~ ''~yy • ~ j' ~r.+:~''?' ?;~pi~`. n„ ~ ~°4 j6 ~ t~ • I. ~ ~ n" r ,~,~w~ ° ` ~s,, .M.Z?,. ~ 5 r r T '.>~.!a rr 'tr `.r a ~ T •i,'~A3 i t`~ F.., y S 1r 1'., y ,i .a, K .~~y` .C 1F ~ F' ';yr w..,i~,,..- $ i L ;a' aY. 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"t is ..~t~~i ekt ~c `.7° ~ ~ ~r yk~,,,.Y v_g6.• V.,~ . ~y_" m ~ ~ v a. ti a` . - t . , ~~;r•~. + ~'+r ~ .y.ei., a ~r. , • : u~.. .3: : * 1" y ~ - ~ e~r l n. vy.-mil . r S; i ~S4 '~1'c`-x y, - ,'w~~ k+br'.~, A. - _ ` a' `4~ ¢ . i,yr './F 1~ w-- .i'yA ~~"TM"4r x.'`iT~ S' fy~ ~ ~~~4L e h ~ 'rb~~~l+~~ ,~drF a` C', c a,,~` t; < ~+M~'# y-It OaxT i4' ~ 54::~ a S A,grk~` ~ r r '?V! `s o ~ '!"fie. s met Y a ~ y„~, ~ . ° . ~+ti`="~ 1 M - 'rte, 3~ ~ - ~ ~ u - ~l ¦ , k~W;Or' y 5 t r ` ~ 1 r` / © r JIV J r 3 W \ ~q f a ~/4 r~ q ~ I ai ~r y ? as • "b + © a i u i~ I ~r 4 a a ~W W' ' wnwixu Qa~~r I .y, W L j I 9 ? ~ 4r • SJ P f 4 i.. 9w'l5 . ~ `J S r J 9 1 o ~ n * s s I o ° ~ w ` pKa ~r.n I d u. w w _ 'T wa.•. .r'w IIf pII xu. ...sw e wcT OF SUFFOLK 114 ~~pF SOUTyo OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. & Youngs Ave.) G Q Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 ~y00UNiV LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM KN F a To: John Bredemeyer, President D Town of Southold Board of Trustees 2 2 2014 From: Mark Terry, Principal Planner , LWRP Coordinator Date: January 22, 2014 Re: Local Waterfront Revitalization Program Coastal Consistency Review STRONG'S MARINE INLET, LLC c/o STRONG'S WATER CLUB & MARINA SCTM# 1000-114-3-1 Briarcliff Landscape on behalf of STRONG'S MARINE INLET, LLC c/o STRONG'S WATER CLUB & MARINA requests an Administrative Permit to install a 6,000sq.ft. beach using 222 cubic yards of washed beach sand; installation of a 6,160sq.ft. pervious pool patio and 4' high pool fence; installation of a 80sq.ft. patio around flag pole; vegetate area with palm trees, roses and hibiscus; transplant a cherry tree; and install an ornamental boat structure. Located: 2255 Wickham Avenue, Mattituck. SCTM# 114-3-1 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 actions are CONSISTENT with the Policy Standards and therefore are CONSISTENT with the LWRP provided the Board considers the following: The majority of the plant species proposed are not native to New York State. It is recommended that the use of non-native plant species is reduced to the greatest extent practicable in areas closest to the water body to further Policy 6.1 (below). 6.1 Protect and restore ecological quality throughout the Town of Southold. B. Protect and restore ecological quality by adhering to the following measures. 2. Retain and add indigenous plants to maintain and restore values of natural ecological communities. a. Include use of suitable indigenous plants in the landscaping plans for new development and in redevelopment projects where loss or disturbance of existing indigenous plants could not be prevented during construction 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 James F. King, President Ira s,111 O Town Hall Annex Bob Ghosio, Jr., Vice-President 54375 Main Road Dave Bergen P.O.Box 1179 Southold, New York 11971.0959 John Bredemeyer CA ~c Michael J. Domino G'nc ~O Telephone (631) 765-1892 Fax(631)765-6641 cou 1I BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only -Coastal Erosion Permit Application -Wetland Permit Application Administrative Permit Amendment/Transfe /E tension Received Application:.1 ~a n ]131" Received Fee:$ Completed lication I ncomplete _SEQRAClassification: DEC 4 LType I_Type IIUnlistedCoordination:(date sent) WRP Consistency Assessment Form /CAC Referral Sent: Date of Inspection: -Receipt of CAC Report. -Lead Agency Determination: Technical Review: ZPublic Hearing Held: -Resolution: c~ A Name of Applicant S Ir0 o q S Wa+erA~C."I L)6 a J Mayr / O Mailing Address o~oZ55 1/JiCkl~rrl iTVPnUe- Majhjutk, 7 I I~a F() T :5()X NO / Phone Number:(631) a9 g - Ll -7,: Suffolk County Tax Map Number: 1000- O q - 3 - Property Location: S W G kh;aa , 112/1UeI MG410ckt 0 )19Sa (provide LILCO Pole distance to cross streets, and location) rr~ I AGENT: OUee 6H!gCf11'5 / C(trr L;3rtC~SCa1>e (If applicable) T- Address: q3 (P3'5- i?'CV+'e as-,, _PeCoajc..1Jy II9S~ )>D _1%V-X 2-:2- Z Phone: ~rd of Trustees Application GENERAL DATA \ Land Area (in square feet): I ~g 755 ) Area Zoning: M I Previous use of property: Aar o.) Intended use of property: /113 ri n a Covenants and Restrictions on property? Yes X No If "Yes", please provide a copy. Will this project require a Building Permit as per Town Code? _X __Yes No If "Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes X No If "Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes N0 Does the structure (s) on property have a valid Certificate of Occupancy? X Yes No Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? No Yes If yes, provide explanation: Project Description (use attachments if necessary): I n S l la b n C+ 6000 s~ { ~ be a e t7 (aa2 yes w ~ b~ S ~ ~hS l~aliar o+ 61~ 0 Sq f~ Re_,vious Pool pa-4h0 a,j Wrd Cock-~eQ )Vls4z~llaiioa of 80 s f } atio around fla9rok-_ `~a,~hn~ halm 1 yt8 lntibu~b) haris~(~ti eh Ttce, 1 i 1n orvtam~vl b04t SAY f r, i Boa* of Trustees Application • WETLAND/TRUSTEE LANDS APPLICATION DATA ~I 6' f Purpose of the proposed operations: 1o install (0000sQ4 hg_a6 r insi;411 RnVi')os awl ba-1;o insiail lio aoonA ilea ~o}e Area of wetlands on lot D square feet DEC 4 2013 1 Percent coverage of lot: 0 % `s Closest distance between nearest existing structure and upland edge of wetlands: 100 feet Closest distance between nearest proposed structure and upland edge of wetlands: I o0 feet Does the project involve excavation or filling? No X Yes If yes, how much material will be excavated? aaa cubic yards How much material will be filled? Q a _-1, cubic yards Depth of which material will be removed or deposited: I _ feet Proposed slope throughout the area of operations: $ - 1(> S DOPE W ILL NOTE f4A N 62 Manner in which material will be removed or deposited: Ex cPa\)aFc>r 2Tct :5VA1oad,er.manial labo- uj~-+ wheelbarT-vvv' 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): No e4eci 617.20 Appendix B Short Environmental Assessment Form I ff Instructions for Completing !~j 1 I' Part 1 --Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses N ` become part of the application for approval or funding, are subject to public review, and may be subject to further verification. j Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully 4 respond to any item, please answer as thoroughly as possible based on current information. t Complete all items in Part I. You may also provide any additional information which you believe will be needed by or useful to the lead agency; attach additional pages as necessary to supplement any item. Part 1 - Project and Sponsor Information Name of Action or Project: Project Location (describe, and attach a location map): azs51 wioklIan'4V<AWe Brief Description of Proposed Action: 1 n51-411 6000 `9 (4 beach In5t~l~ Vemoos P«>1 6)60 S9 14 lhsia(l ~+;o ,~~~,d ~1a9 PoIL (so Sq) Name of Applicant or Sponsor: Telephone: to 3 )--a9 e 4)=3q , S rri)ng'S W2der L~v~a ma~;•,z E-Mail~arcWbC'SIro vrt;ne.cogn Address: ass vJ , ckh-a'~ fl-r ens City/Po: V nX State: Zip Code: A a1~' t~ck _ 11.40 11 N~ ll9s.2' 1. Does the proposed action only involve the legislative adoption of a plan, local law, ordinance, NO YES administrative rule, or regulation? If Yes, attach a narrative description of the intent of the proposed action and the environmental resources that © ? may be affected in the municipality and proceed to Part 2. If no, continue to question 2. 2. Does the proposed action require a permit, approval or funding from any other governmental Agency? NO YES If Yes, list agency(s) name and permit or approval: © ? 3.a. Total acreage of the site of the proposed action? $3.7 acres b. Total acreage to be physically disturbed? I acres c. Total acreage (project site and any contiguous properties) owned or controlled by the applicant or project sponsor? 8. 7 S acres 4. Check all land uses that occur on, adjoining and near the proposed action. ?Urban ?Rural (non-agriculture) ? Industrial ®Cominercial ®Residential (suburban) ?Forest ?Agriculture ?Aquatic ?Other(specify): ?Parkland Page I of 4 5. Is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ? ? b. Consistent with the adopted comprehensive plan? ? ? 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ? 7. Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area? NO YES If Yes, identify: 8. a. Will the proposed action result in a substantial increase in traffic above present levels? NO YES ti+ b. Are public transportation service(s) available at or near the site of the proposed action? ® ? c. Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ` 9. Does the proposed action meet or exceed the state energy code requirements? NO YES Nn; If the proposed action will exceed requirements, describe design features and technologies: ? ? t 1 !,4' 10. Will the proposed action connect to an existing public/private water supply? NO YES If No, describe method for providing potable water: ? I 11. Will the proposed action connect to existing wastewater utilities? NO YES If No, describe method for providing wastewater treatment: ? 12. a. Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? © ? b. Is the proposed action located in an archeological sensitive area? 13. a. Does any portion of the site of the proposed action, or lands adjoining the proposed action, contain NO YES wetlands or other waterbodies regulated by a federal, state or local agency? ? b. Would the proposed action physically alter, or encroach into, any existing wetland or waterbody? © ? If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on, or are likely to be found on the project site. Check all that apply: 51 Shoreline ?Forest ?Agricultural/grasslands ?Early mid-successional Wetland ?Urban Eg Suburban 15. Does the site of the proposed action contain any species of animal, or associated habitats, listed NO YES by the State or Federal government as threatened or endangered? © ? 16. Is the project site located in the 100 year flood plain? NO YES 17. Will the proposed action create storm water discharge, either from point or non-point sources? NO YES If Yes, © ? a. Will stone water discharges flow to adjacent properties? ? NO [-]YES b. Will storm water discharges be directed to established conveyance systems (runoff and storm drains)? If Yes, briefly describe: ? NO ?YES Page 2 of 4 18. Does the proposed action include construction or other activities that result in the impound inent of NO YES water or other liquids (e.g. retention pond, waste lagoon, dam)? If Yes, explain purpose and size: FX-1 El 19. Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes, describe: ® ? 20. Has the site of the proposed action or an adjoining property been the subject of remediation (ongoing or NO YES completed) for hazardous waste? If Yes, describe: ® ? 1 AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Date: f 2 -q -13 Signature: P 2 - Impact Assessment. he Leadead A sponsible for the completion of Part 2. Answer all of the following qu ions in Part 2 using the in lion cunt ' n Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept "Have my responses been reasonable considering the scale and context of the proposed action?" No, or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning ? regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? ? 3. Will the proposed action impair the character or quality of the existing community? ? 4. Will the proposed action have an impact on the environmental characteristics that caused the 1:1 establishment of a Critical Environmental Area (CEA)? rE 1 5. Will the proposed action result in an adverse change in the existing level of traffic or ? affect existing infrastructure for mass transit, biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable ener y o ortunities? El El 7. Will the proposed action impact existing: ? a. public f private water supplies? b. public! private wastewater treatment utilities? ? 8. Will the proposed action impair the character or quality of important historic, archaeological, ? architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources (e.g., wetlands, ? waterbodies, groundwater, air quality, flora and fauna)? Page 3 of 4 No, or Moderate small to large impact impact may may occur occur II, „ll 10. Will the proposed action result in an increase in the potential for erosion, Floodin drainage ? problems? / 11. Will the proposed action create a hazard to environmental resources or human health? G' Part 3 - Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered "moderate to large impact may occur", or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact, please complete Part 3. Part 3 should, in sufficient detail, identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant. Each potential impact should be assessed considering its setting, probability of occurring, duration, irreversibility, geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. ? Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold - Board of Trustees Name of Lead Agency Date SD, President Print or Type Name of esponsible fficer in Lead Agency Title of Responsible Officer ~1~\11(tY/. 0 Sign re of Res st e Officer in ad Agency Signature of Preparer (if different from Responsible Officer) PRINT Page 4 of 4 der Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM ~S PROPERTY LOCATbN: S.C.T.M. a: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A '4[ STORM•WATERr GRADING, DRAINAGE AND EROSION CONTROL PLAN 3G6leT a'S ctr ' ofit-kc T'~ CERTIFIED BY A DESIGN PR0FES810NAL N THE STATE OF N SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM # / WORK ASSESSMENT Yes No a. What Is the Total Area of the Project Parcels? , (Include Total Area of all Parcels located within Q Will this Project Retain All Sturm-Water Run-Off III the Scope of Work for Proposed Construction) V' -7 Generated by a Two (2') Inch Rainfall on Site? (S.F./Ages) (This item will include all runoff created by she X b. What Is the Total Area of Land Cleating clearing and/or construction activities as well as all - and/or Ground Disturbance for the proposed Site Improvements and the permanent Creation of 1. construction activity? _ Impervious surfaces.) 2 Does the Site Plan and/or Survey Show All Proposed v ? ~l PROVIDE BRIEF PROJECT' DESCRIPTION Verve Aaaro,w P.gk.°Nitli°) Drainage Controlling Indicating SzedLocation? This We Flow. Item In 5+alla+l'on o'F l~eclCh (0000 SO FT,~ .4- 3 Does the Site Plan and/or Survey describe the erosion ? .K 1y15y.1cy11'atlon of- Lam, Iloo sq. f+. p to,)S and sediment control practices that will be used to X ~ J 1 control site erosion and storm Water discharges. This pa-E+O .3,,oo pool item must be maintained throughout the Entire Construction Period. Ins~a I I~+, an of fso sq• ff • oho a,-oond 4 Will this Project Require any Land Filling, Grading or Excavation where there Is a Change to the Natural ,q pDle Existing Grade Involving more than 200 Cubic Yards [i of Material within any Parcel? 5 Will this Application Require Land Disturbing Activities ? Encompassing an Area in Excess of Five Thousand (5,000 S.F.) Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the - Site? Is this Project within the Trustees jurisdiction ? x General DEC SWPPP Regulremants: or within One Hundred (1017) feel of a Wetland or Submission of a SWPPP is required for all Construction activities involving soil Beach? disturbances of one (1) or more acres; Including disturbances of less than are acre that 7 Will there be Site preparation on Existing Grade Slopes ? are pert of a larger common plan that wig ultimately disturb one or more acres of land; which Exceed Fifteen (15) feet of Vertical Rise to yy including Construction activities involving soil disturbances of less than one (1) am where One Hundred (100') of Horizontal Distance? 1 the DEC has determirred that a SPDES permit is required for storm water discharges. ( SWPPP's Shall meat the Minimum Requirements of the SPDES General Permit 8 Will Driveways, Parking Areas or other Impervious for Storm Water Discharges from Construction activity -Permit No. GP-0-1 0.001.) Surfaces be Sloped to Direct Storm-Water Run-Off ? X 1. The SWPPP shell be prepared prior to the submittal of the Not. The Not shall be into and/or in the direction of a Town rightof-way? subrnited to the Department prior to the comriencoment of construction activity. 2. The SWPPP shall describe the erosion and sedtnant control prec0cea and where 9 Will this Project Require the Placement of Material, ? required, post-construction stain water management practices that will be used and/or Removal of Vegetation andlor the Construction of any y constructed to reduce the pollutants In storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder compllence with the terms and conditions of this permt. In addition, the SWPPP shall Area? MIS Item wan Nor swww me oweaeusn eron,ewry Aprmi Identify potential sources of pollution which my reasonably be expected to effect the quality of shim water discharges. NOTE: If Any Answer to questions One through Nine Is Answered with a Check Mark 3. All SWPPPs that require the posFOOnstiuctkln storm water management practice In a Box and the construction site disturbance is between 5,000 S.F. d 1 Am In area, component shag be prepared by a qualified Design Professional Licensed in New York a Sturm-Water, Grading, Drainage & Erosion Control Plan Is Required by tiro Town of that U knowledgeable In the pdnclplea and practices of Storm Water Menage enL Southold and Must be Submitted for RevM1w Prior to Issuance of Art/ Building Perms (NOTE: AChea Mark (4) ands Mower ter each question Is Required for a Comglen Application) STATE OF NEW YORK, COUNTY~ OF I..r~..J ~~p F-cI SS That I, being duly swom, deposes and says that he/she is the applicant for Pemut, • INSme of lntlM l•rigr i • Oocu it) And that he/she is the ..............r...1` V ^ M1..f............................. (Owiwr, Contractor, Agent, Comorete Officer, etc.) 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. Swom to before me this; .1!\ day of . Notary Public: d.NstKYak . 0. 011 ure o A I, rat) FORM - 06/10 Corturr"M tONI 20MJ Boa of Trustees Application AUTHORIZATION (where the applicant is not the owner) I> J 1.O~j &4A d~ d "Eesi° dat PO 16 ~9 (print offer of property) (mailing address) do hereby authorize SO cf-~ 4~5ri ~O ?41 S (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (O store) z, s Boa of Trustees Application • County of Suffolk State of New York 1C p , p~ov~ BEING DULY SWORN y ~ DEPOSES AND AFFIRMS THAT HE/SHE I 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. Si f Property wner SWORN TO BEFORE ME THIS DAY OF jt~]a Ntbe-r- ,20L Notary Public SHARON L COUGHLIN Noisy Pubic, 8iele d New York Na OIC048iXM Cmrjs oe Eviler lava i APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM I The Town of Southold's Code of Ethics prohibits conflicts of interest on the Dart 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: ft ,5 Wafer C106 ant AQl nay (Last n e, first name, rpiddle 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 X 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 X If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself (the applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): _A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); _B) the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); C) an officer, director, partner, or employee of the applicant; or _D) the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of 200 _ Signature Print Name Form TS I Town of Southold • • LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A Proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus each answer must be explained in detail listing both suouortin¢ and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office rt-M local libraries and the Town Clerk's office. o D B. DESCRIPTION OF SITE AND PROPOSED ACTION DEC - 4 2- SCTMH I 00Q - 11 -03 -01 013 PROJECT NAME _ 5 AA+5 W 3 CI ub anj A ~ n a BUrd 6; `r , The Application has been submitted to (check 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 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: RI Nature and extent of action: InSiallation d Cnooo s~ H bea~L~ ir)Siat(wbon of &160 59 f-1, ~wl pa-h'o (rrviaos' Insta114--4ion '0F 9C sq.4 pa,7HM avunc~ flag Pole Location of action: ~a W iCk~lavrt AVC4-lvc . Aa.++nivc k Ny 11952 Site acreage: S,-7S- a c -CS Present land use: "M ~ n'9 Present zoning classification: GomYnerc~ a 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: (b) Mailing address: (c) Telephone number: Area Code ( ) (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes El No V If yes, which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. © Yes ? No Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria ? Yes ? No ® Not Applicable 4 Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See ' •`LWRP Section III - Policies Pages 6 through 7 for evaluation criteria Yes ? No ? Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria Yes ? 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 ? Yes El No N 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. 1-1 ? ua Yes No Not ApplilDe i X ! Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III -Policies #Pages 32 through 34 for evaluation criteria. ? Yes ? No © Not Applicable 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 0 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. W Yeo No El Not Applicable Attach additional sheets if necessary I WORKING COAST POLICIES 0 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 W Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ? Yes ? No tF Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. 1:1 Yes El No ev n Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. ? Yes El No N Not Applicable PREPARED BY TITLE DATE i CA OF, H.S. Ref.#"Cl Ref.#"CIO-9I-0I4 I nFC nv (r. CRAC.) \ ~ F, n1. GP:AeC ~ P cxlnHaY FL.y 1 XJ_O;" r~,,,iOLw -o-w - o~ ill ~ r, R Gr 11'~ 1LET f / yep.. rv-< o.o-• r k'f . r. 7 r o~00', E I N S / i / ~ _ • ~ \ g r ,'eta ~ b"nr+ \ iN/n wF i N/^ pG~p pP ~ ~ / \ \ N/O/F LAND OF BAKER 1' or Ap/,fa?!o I O O 0 \ \ 1° GREASE piRFL / ° O J • TRAP \ED NOT TO SCALE 4O'NI woooEl w ~ frrH~ a?~/ ¢ oo\o „ rr Fl hry 4nrn e1 .I;. rti~ \ PP ~eL Ma[RC/ ~ ~ Hnrw. I \ 1 Y\ a 'd ~ 4- \1y /Zp Y (AREA A NN ~ twnveee< +o l\ ' \ 1 \\v\\\ ` / 21. u P Af \ i E Grteuuo an<wi- xb i' KEY'M P \ \ \ I l FLOW UM£ F w uU[ IN -r--- [ SANITARY LEACI [ 1 rARY LEACHING SCALE' i" ` op' II/ N. 65' 05' 40' E. N 'OOL 1,111, ^•q~a y fn ' _ r 5ae1Ta c f'ao~ir°,\ 2/5.03' POQh TN. b. rho 22 I r o 4. V 1 NOT TO SCALE 1 7 W SCALE) .Px µ f'~Ot't ~TnfE '/'r , ~ x Mp~i M1 . ' n ' 00. J - SEPTIC TANK O i / / r Ik Ip cp (r ) trr . I. NOT TO SCALE) Tnlc p TREE 57 brie 14fan5 co;'c' D E ~EC 4 1, 4R. 2013~' D GROUND WATER MANAGEMENT ZONE IV. Q d TREE e 7 ? \ I [DEC yf QS~3pp4y..l, ClRT \ \ (I~1' O 8.75 acres 2 300 gp,d/acre 2625 ' I [D' BOAT STORAGE BUILDING ( COVENANTS 1 STORE, OFFICE d SECURITY OFFICE O gp.N. TREE TREE TREE TREE 1., y QTREE g,e asp ~ lt' e%Ilai99a ~PAIC.I9 GRA VI:tIL R l _ _ 2000.sq.11 - 0.06 = 120' P TREE / / +~ye \ \ 4~ a 1 viyr6. } I?"y+iRNn•o1" s~PAiyrer~ M,4 1 N,4 . \\I\ J water cvwi \ --al r 1~ '."L Bmid Board oiThINDOOR -RESTAURANT 73 seals + /O Y.P.S. 730 .p•d. TRC[ I.P / Q / oL' LPG FYJ 1q~,~}4~~P MIOOIf a' 9, r 1 / BAR 15 seats • lO ' p' OUTDOOR - SEATS 30'seots x 5 g p,d , 150 p.d I;YJ•IIPj I. 4AIn. 0 Iflf[ TRFF J~ qq 6ECIIRITY 1 1 BOAT SLIPS WITH POOL 91 sllps x 15 g;p,d, d. I `[I~4 I THEE Tr.ver \ [ q TREE Q TAE6 69Nr 0 LP d I,P o.F1er NEW BASIN STORAGE 616 sq.Il. ' D;04 1365'1.p; 25 L. . 1 p •'1 J TEES TRE! QTI1 Cf r~ P I ~P FR, BLOB / P.4FdK1NG~ 1 ~~NME ryL. C TREE V Tfl[ ~_I I AMOUNT OF MATERIAL TO BE REMOVED 933a CO. yd, " vi AMOUNT TO REMAIN OF SITE = 2000 cu.-yds FOR ITEW BERM , 0 ff . am - - .r / PAeEC rR met r 1 «ytrr/riaT -T` I - a DESIGN RESTAURANT,,. MEE W( 1 +r rAWS g ,ryn~'Orf~" o TO BE REMOVED FROM SITE = 7e50 cu, yds DRY XELIL US R" / ION OA ,pace en^ 1.I F .FEMNrh5 1. INDOOR' 73 soots 30 g.p.s, ' n ING{ ^ • ;11 Y 1~ V !(I y~f~ _ _ EIECIRC 3 m £ A/ j l5bar $eatA 15 9.p. eL' '•225;' d.. 4:,i,,. OUTDOOR JOsools 15.gpa.: " 450,'41 `p•d •til"~,'. I ae h. Y rETfl[EEE a +.~p ER. xo6, Q Cr. U--of-E-'. v / - TRAea. 1 y ~y OFFICE --'-yh1r-- BOAT SLIPS WITH POOL 15 gp.d. 1365 "ME .,1S vV 200' .~y~. TER•v O _ '11 a STORAGE 616 sq.,/l,004 25, .pd.' ,'F ~ `ha LULL O TAU ' I OTREE \ ' I• 0 STO... CON "S0 ICJ ~ `l 42755 p d l dY:...'..' GREASE TRAP TRftE. Few 1 \ ' o u1 / n6 oXSw - i ANY ALTERATION OR AMUON TO TINS SURVEY IS A VIOLATION FOR T a OF SECTION TEO9 OF THE NEW YORK STAqTE~~EDUC4 T'O:V LAW, lO' d X'5, .,,v, , LIMO DEPTH d, EXISTING 1 I TREE , _ • ETW~LaN.. _duwkc. pNNA~E. n. EXCEPT AS PER SECTION TE09 - : tMKISMV A ALL CERTFICAMNS RAGE _ i HEREON ARE VALID FOR INS MAP AM COPIES ThEREOf' ONC/ ((FF p rtoc E A 3 1 TREE a R1 TREE nn USJG SAID MAP OR COF'dE5 BEAR RIE dNPREC5ED SEAL.OF TIrE SuRV[Y01\ SEPTIC TANK 1 I ' W000 RETAWWE W/fl WHOSE S/GWA WE APPEARS HEREOA; 5000 gal, Sepllc Tonle provided (Z compartmea/ T~"'' - • I - N` 1 1 THEE W, G lJ r;R K„I 'E7 N a AM ZONALLY TO COMPLY WITH SAYJ LAW 1ERM'ALTERED BY _ R, rt EL. 11,! m MUST BE USED BY ANY AM ALL "VEYORS UTRIZWD A COPY 2 - 4255 + 8510 gp.d. f~ LuOFBROUGANOTHHER SURO• VEYOTEDARS'MAPTERMS SUCH INSPECTED AND LEACHING 'POOLS -P A 11 u' ~IMARINA 3 ^nT ARE NOT AV COp°LNNCE W?H IRE LAY, 4255 / 1.5 gal /sq. /l. = 2836 sq, /l. S= 113.4 •V.F. Provided 64 V.F. DL O, _ f¢D' DRY Xfll O Yi ~XOAT_~ il0 1 I rnpR a, T n[1 RrRI y_--/ _ f i'd?A~~ ,E -tq&x. FOR MAP FOR" MATT - A - MAR MARINA , .INC. f=41 ( 1 ~I EXIST ING GRI 1 1 ( ~ ~ WEAtY OI[O ftECIRI:-_~,~~•rcp. ruim 1 EOAT 15• ` - AT MATTITUCK';' m 11J~' ~ 1~\ \ \\\d J ~YW.iq Cdr. _ 'PA Zo~ op,b ~a .l Q~1 (~1 rt (1 Ll tllr~~ Vii' TOWN OF- SOUTHOLD , OWN fnc F[Tttt nl.o Cum / RE, WALL SUFFOLK . , COUNTY,: N. Yi°; ';Z''` O CIRAIN 1000 - . 114 03 : 01 , SCALE 7" - 50', FEB.' 22, 1983 ,'[y 11+, J 1 i A P P R 0 X I M D MAR. 21,' 1989 ' ,1j',b ~ N ~ 11`IF1E4~ i ?v+ o/ ,12Fui.l e:, c e°..f.-.E Rae. APPROXIMATE SHORELINE IIIGH WATER MARK N FEB. 6, 1992 (sanitary„ design 1 Rnec °1 MAR.: 1/, 1992 / uddillons 1 DEC. 30, 19J2 ('revisions 1 . . \ I xfn¢wA -IML cz roa l san Lary delulls J -MAY 13, 993 has 6uq'sapllc' system, J ' JULY 7,/993 ! prop. 'Tenee,' Al y' MAY 30, 1995 prop'.' one. d,`kayak' dock J DEC. 10, 1997 (prop.?5/ntoge, room L•. ' NOTE: JULY 15, 1996 ( revised sepltd NOV. 9, 1998 ( prop.'vln)t slieeling 1~, e ~i TAN ° ate' DEC. 11, 1998 1. additions 1 '..y, SITE PLAN INFORMATION FROM FIELD, OFFICE 3 SITE PLAN BY STEVEN J. HYMAN, P.E., DATEDi DEC. 1966 FEB. 22, 1999 ( revision 1'. ACTUAL FIELD DATA AND OFFICE INFORMATIION• - SEPT. 8, 1999 (prop: 'basin -s:_. CONFOUR LINES AND ' OCT. 18, 1999 rrovlslon 1 AREA- 875 ACRES f REFERENCED TO NG )ELEVATIONS ARE NOV. 1, 1999 ( revision' ) Dec. 2, 1999, (revlslons) Dec, 2701999 Irovk/onsl?'^•T AEVbYaWS N-v I GAS A DIESEL T'AA''KS ;i COIN SURVEYOR •,y.,(630''765 - 5020 FA~ (630 765 -1797'i Berm Anr•/3o/~yy GAS 10,000 GAL. JAN. 31, 2003 P. 0.BOX 909 DIESEL 6,000 GAL. Rr v.er~.w' A,." 3, "g. wo 'TRAVELER STREET ,'1 ~ r SOUTHOLOr '!H.Y.. 11971• R4VIVON DEC. 76,1991 REVISION DEC, 10,1991 ~I wS•r•r/ F}~ /O ,.j 191 olr ..p^" bei.eille N..a C RWn Now Cdr bias wb N L. 20 lll'l.wapsl.w Rwi.~Fdrann lJS 54 12 i La~..hwi Y.iv Cmw ae*N• CM 1047 STRONG 1VATL.R CLUE5 48 MARINA 52 0 Plwb*,W. .lwp a.in.d. A 94 LXAT619 29 Pew ar.liiw Caralha lmwA d wv aL ! Mba.ntlna nrrerab -~4 x 67 \ViC"AM AVLNug, MArnTuC4 CAW o. 28 A.dm eb.dnd. L In" birW od.. AZ X Tr.efo~ari.. fwba~ %i,&U Palm Trw WT 204 . 4d dwe. x Mwaeb.Yr 4rWM 4MAd" ltiw.wl 4MD 04& 1" - 30~ RAY4ROWDDA4T MAPLGTRCG 16 OMNNQVwr'4a••e MW 4V T4 4A+Tw qi- Mw Cyw... 4T4M x NiRmRtCD DY D RLD6CA1+LAl ~ 2 C. ...e Kwna Dp...r1 KD a-v 6i ! Ialuo.cNw ..er. aw.l. 4A" 16k.r Q- 41J4 1G vat: ART IN LANDSCAPE ~1 1ir e..er.owa- %a..s bu %a.er. br.., Lb+}, C6lJ 54 D L4*mM. Para. Par.al"=OM !NP X, 12-3-13 1631-765-1220 LLLAIIIIP ! Y 12 . L -A- n.ed.M. V WO- Ply Pupl. Dears. U"m ML QUART OJCR4ROYiLIADD " TOPWIL4RADLANP CUCRRYTRCGf , xl N..t. r.ce..... Gbmk* NR Iq SOD \ PD ~ k 6 Pab.b. Am--W. %6--W Drwaf Fww6.Ye 4n.s DF4 I 201 P. Ib*W 1Cnnd.e~ Km%iA k Pm KM 2Cr PALM T 24 yq..lea bWwal. IV Xr 161 i Thei. Y,a... 4 10w 4W& &Wrolhu T44 7$' D EC - Fr~jy DGAaj ` k 6 . Thw. eisi MwOlw N~ AN 9b w * V11ia aa~iN.U. Ci+elF+.¦' Cmllii.r qm" VAC ?Crd Dt.c - q ~ni3 0 PRY- PALM DWPS 32 X 76' POOL APPROVED BY rouptrAm CPUWYARP BOARD OF TRUSTEES PAWWC; TOWN OF SOUTHOLD COWAN= ~°a" s UUVCAP DATE ' /I 1 ~ . ~ PdRY.Ik, 1 L PALM 09 MTNq 9r arm V ~ aurDaoR Qo~' 0004q PATIO c~aslxlS rvtua;Stt~Ns RrbTAUP.MT \ JI. PARICIN4 q ~ c' j ~ ~ r. ~oKAP 9' R ~ ~ _q DARKjk' o~ MTNq -1 'I"TODC U.bTAUZMT PARVJN( ~j RLLOCATCP ii" \ C'v RLAAMLITATL DQ5TNk, ANnLALT IALT ~ eo~oRv4+kk ~ / ~ y~,peu~oN ocra~ \ / 0G WM TOP COAT AND JTRIPiW4 114-1 0 ~J ` K J . L w A11LM:OR ~ i AND SCATId4 26 26 i 26 q / / ARIA / I i , g / I 9 9 11Nq \VALYWAY 2~ III. VINCYi VINCYARD T DL NNLYA?zD i W (i/ 2 20 R .ITM .Vt_ 111 i~ w n FOR- xo . PCDCSTR" Piz W1 T K CROSSWAL4 i PAVtk APRON R R i i .K PAPPLiNq UbTAU RANT PARYJN( LAW _AQL 9 Z 1 w W w w w w g r TRAKVVRWA TAd.C DUMPSTGRS. a.oxLIP AND ADD TOPSOIL RLV"LTATG" AID SOD CNTRANLL 60AT STORA p- VA4YJ5ALf R 50ATYAP-D TRANJ J' R CAW ` JRf J~ R RLI~OVtRLTANWdALLAIORt0FADCADDWD %j. TRAKVWRMLR 'jULD N 0 TRAW CAW t - WOO-