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HomeMy WebLinkAboutTR-8433 John M. Bredemeyer 111, President o�OguFFO(,f-co Town Hall,53095 Main Rd. Michael J. Domino,Vice-President �� Gy P.O. Box 1 179 James F. King w Southold,NY 11971 Charles J. Sanders �y + �� Telephone(631)765-1892 Dave Bergen �Ol �a0 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 1 st day of construction % constructed 1 Project complete, compliance inspection Z x:'11 - rtiljiilk ..\- r BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 8433 DATE: MAY 21,2014 ISSUED TO: VINCENT & BARBARA CLAPS PROPERTY ADDRESS: 450 SNUG HARBOR ROAD, GREENPORT ` SCTM#35-5-33 i 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 21,2014,and in j consideration of application fee in the sum of$250.00 paid by Vincent&Barbara Claps and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: 1, Wetland Permit to remove the existing timber bulkhead and concrete boat ramp; construct a 100' long vinyl bulkhead with a 12' northerly and a 20' southerly return; bulkhead to be placed in same location and raised to a height of l' above existing; install 4' wide decking along the landward side of the bulkhead; construct a 4'x6' platform; install new 31x14' aluminum ramp; and install existing 6'x20' float; with the condition to establish and subsequently maintain a 10' wide non-turf buffer i landward of the 4' wide deck; and as depicted on the site plan prepared by Jeffrey Patanjo, last dated March 25, 2014 and stamped approved on May 21,2014. 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. i QX asu��oc� %;5 Dave Bergen-Absent Charles J. Sanders-Absent `' '` �...1 J,s' +•-a�„J,• \ -moi �::.r; i , 0 • TERMS AND CONDITIONS The Permittee Vincent& Barbara Claps residing at 450 Snug Harbor Road GreenportNew York as part of the consideration for the issuance of the Pen-nit does understand and prescribe to the following: I. That the said Board of Trustees and the Town of Southold are released from any and all damages,or claims for damages,of suits arising directly or indirectly as a result of any operation performed pursuant to this permit,and the said Permittee will,at his or her own expense,defend any and all such suits initiated by third parties,and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely,or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents,and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized,or if, in the opinion of the Board of Trustees,the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required,upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90)calendar days of issuance of this permit. 9. That the said Board will be notified by the Pennittee of the completion of the work authorized. 10. That the Pennittee 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. 11. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights,title,or interest in real or personal property held or vested in a person not a party to the permit. John M. Bredemeyer III, President ��0f SyO Town Hall Annex Michael J. Domino,Vice-President ,`O l0 54375 Main Road P.O.Box 1179 James F.King,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee G Q Telephone(631) 765-1892 Charles J.Sanders,Trustee OI�•C�UI� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 21, 2014 Mr. Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 RE: VINCENT & BARBARA CLAPS 450 SNUG HARBOR ROAD, GREENPORT SCTM# 35-5-33 Dear Mr. Patanjo: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, May 21, 2014 regarding the above matter: WHEREAS, Jeffrey Patanjo on behalf of VINCENT & BARBARA CLAPS 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 April 11, 2014, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on May 21, 2014, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 2 � • WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of VINCENT & BARBARA CLAPS to remove the existing timber bulkhead and concrete boat ramp; construct a 100' long vinyl bulkhead with a 12' northerly and a 20' southerly return; bulkhead to be placed in same location and raised to a height of 1' above existing; install 4' wide decking along the landward side of the bulkhead; construct a 4'x6' platform; install new 3'x14' aluminum ramp; and install existing 6'x20' float; with the condition to establish and subsequently maintain a 10' wide non-turf buffer landward of the 4' wide deck; and as depicted on the site plan prepared by Jeffrey Patanjo, last dated March 25, 2014 and stamped approved on May 21, 2014. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, ✓ 9_ +h &01 _W_ John M. Bredemeyer III President, Board of Trustees JMB/amn 0 0 John M. Bredemeyer lll, President gUFFQj Town Hall Annex Acv eel MichaelMichael J. Domino,Vice-President Gy 54375 Route 25, P.O. Box 1179 James F. King y Southold,NY 11971 Charles J. Sanders �y �► Telephone(631)765-1892 Dave Bergen Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD - TO: � A d Cen r- Lions Please be advised that your application dated /[I has been reviewed by this Board at the regular meeting of S and your application has been approved pending the completion of t e- tollowing items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) % Constructed ($50.00) J/ 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: TOTAL FEES DUE: $ `5 f BY: John M. Bredemeyer III, President Board of Trustees t ' . •D a y- �. r , _ �� sem-�,•, g i 4r _ Y. Yi•MaA.'- J � � �nom.. M VL Um �, � . m .°�. yre a i"" ., � ., .A ♦^ r -- fi } n k.+w n 4 o-- k John Bredemeyer, President �%UFF914, Town Hall Annex Michael J. Domino, Vice-President 54375 Route 25 James F. King P.O. Box 1179 Charles J. Sanders • Southold, NY 11971 Dave Bergen O1 ,p �a°! Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field InspectionMork Session Report Date/Time:/ VY i y / /0 1, 5'U Jeffrey Patanjo on behalf of VINCENT & BARBARA CLAPS request a Wetland Permit to remove the existing timber bulkhead and concrete boat ramp; construct a 100' long vinyl bulkhead with a 12' northerly and a 20' southerly return; bulkhead to be placed in same location and raised to a height of 1' above existing; install 4' wide decking along the landward side of the bulkhead; construct a 4'x6' platform; install new 3'x14' aluminum ramp; and install existing 6'x20' float. Located: 450 Snug Harbor Road, Greenport. SCTM# 35-5-33 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: L.//Wetland Coastal Erosion Amendment Administrative Emergency Pre-Sub sion Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed: Modifications: Conditions: Present Were: J. Bredemeyer -/M. Domino J. King C. Sanders 4,/D. Bergen Bay Constable Other Form filled out in the field by J < <�� 6- -Mailed/Faxed to: Date: ,,,_ ik L �4 1 still lL < ia a E i�9� ltd ;' eta sago Y 'r /7 frg 1DD : APR 1 1 __2014_] c 1 � y 1� I r. Y, � c . . , t , .. F A I 1 V F' _ y .y,.. �r ������+8�• � -+ms's- `L'.�' - AL- tv Aloo Y 'l r Photo 3 r . u • April 9, 2014 rIDFA 1 1 ?014 1 NYS Dept. of Environmental Conservation SUNY @ Stony Brook 50 Circle Road Board Stony Brook, New York 11790-2356 Attention: Duty Analyst RE: 450 SNUG HARBOR ROAD GREENPORT, NY SCTM No. 1000-35-5-33 APPLICATION FOR PERMIT Dear Sir/Madame: We hereby submit four (4) copies of the proposed plans, applications, check, photographs and required data for permit approval for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332 or e-mail at jpatanjo@optonline.net. Very truly yours, al�nA Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 cc: NYSDOS Town of Southold Army Corps Vincent & Barbara Claps • JOINT APPLICATION FORM For Permits/Determinations to undertake activities affecting streams,waterways, waterbodies,wetlands,coastal areas and sources of water withdrawal. US Army Corps of New York You must separately apply for and obtain separate Permits/Determinations from Engineers(USAGE) State each involved agency prior to proceeding with work.Please read all instructions. 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: 11 stream Disturbance ❑Coastal Erosion 11 Section 404 Clean Water Act Check all permits that Check this apply: applies: ❑ Excavation and Fill in Management ❑Section 10 Rivers and Harbors ❑ State Owned Lands `Coastal Navigable Waters ❑Wild,Scenic and Act Under Water Consistency ❑ Docks, Moorings or Recreational Rivers MOONationwide Permit(s)-IdentifyUtility Concurrence ❑ Platforms ❑Water Withdrawal Number(s): Easement ❑ Dams and Impoundment ❑ Long Island Well (pipelines, Structures 13Aquatic Vegetation Control ,3 conduits, ❑ cables,etc.) 401 Water Quality ❑Aquatic Insect Control Certification Preconstruction Notification- ❑Docks, ❑ Freshwater Wetlands ❑ Fish Control EZ'Y / ❑ N Moorings or r� ❑ Incidental Take of Endan- Platforms CJ Tidal Wetlands gered/Threatened Species ,�/ ❑ I am sending this �I am sending ,.,/ L`9 I am sending this application application to this this application Ell am sending this application to this agency. to this agency. pp agency. to this a en 5. Name of Applicant(use full name) Applicca t must be: 6. Name of Facility or Property Owner(if different than L7 Owner Applicant) �J/►CtN-f &wrbsra► Cletes ❑Operator Mailing Address ❑ Lessee Mailing Address (check all that apply) A/SO SA,-,q Harbor f-A Post Office CiW Taxpayer ID(If applicant Post Office City is NOT an individual): 4cten f Or'1' State N*4 Zip Code I ( 1 y State Zip Code Telephone(daytime) Email Telephone(daytime) Email b43i • 831• $161 I Ll .. drVGIw�S� wot• Com. 7. Contact/Agent Name B. Project/Facility Name Property Tax Map Section/Block/Lot Number / q Sn tinv H,e-4 o A. IZA /v o o - 3 S- C- '53 Company Na a Project Location-Provide directions and distances to roads,bridges and bodies of waters: ysv sr ,3 H&rl ad 4- 6'e*- elan {r,R. L.catle-1 i✓!aP Mailing Address Street Address,if applicable Post Office City State Zip Code NY lob /�tw�-1't ��vrQ qS-z> XoL + 119 y4( Post Office City Town/Village/City County Cen-ber /4 oricl,eS So„t4..lel— 5vF-f•C.IL State Zip Code Name of USGS Quadrangle Map Stream/Water Body Name A/ y Ca rctvi Ps,Q wn w e V n Telephone(daytime) 9Sq,g33s- Location Coordinates: Enter NYTMs in kilometers,OR Latitude/Longitude Email NYTM-E NYTM-N Latitude Longitude ,1P�-1ar�o Q .n�e-i +11106, SS6.11 -I tt V0+0nLint .Jim= imgil Room=I JOINT APPLICATION FORM 02/13 This is a 2 Page Application Application Form Page i of 2 Both Pages Must be Completed �NT APPLICATION FORM-PAGE Z OF 2 Smit 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 PAGES. 7 /.O� 6 w.,.� wl•� o-"h"vt 4, a t4l" �xast....? -1 otber b��lGkta� .wit4 �v�w +��n� L 4 NGr✓ Vimi 1. flir-- -,PNS (1-a" f Oil CiniS s/1.0 T y�atli ' P�K t'i�ltl�.h 6x- A e t✓ a`wtde- x 1`f' 1.,,.q AIvM�NtiM altM� �s -C,�Isfi�,vt, b k ao� T -y�li"'g I,OL,c. 9-'r^Vt,G -&X'J-rJAl )3vk+ �a�p �ndQ F./( Artn, bcG,tntk rJlo�eS�rQ c c(��•y 5...,dz /� , Proposed Use: ETPrivate ❑ Public ❑Commercial Proposed S .' .I Y Estimated Start Date: Completion Date: Has Work Begun on Project? ❑Yes R-to If Yes,explain. Will Project Occupy Federal,State or Municipal Land? ❑Yes M No 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? Kes ❑ No If yes,please list: �'.�.. �` Ss�•a'b►.1(R 1'r�54'c�5 Arn,.,l Ceps NNsDvS 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 imprisonm nt for not more than 5 years, or both where an applicant knowingly and willingly falsifies, ,• concea=covers material fac; knowingly makes or uses a false,fictitious or fraudulent statement. conceamaterial Val A� 0!�" -&-VPJ*jL 4114 Signature of Applicant Printed Name Title Da `2&//,v el Iu ' �te is i �7 C OwNC2ignature of Owner ne , Title D e na re of Agent Printed Name Till Date JOINT APPLICATION FORM 02/13 Application Form Page 2 of 2 New York State Department of Environmental Conservation _ Oboe 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): qrp Sn,q t4t,( ,,& eo-A- c r,., e./a-t , .-.) `1 1t9Wq By signing this form, l affirm under penalty of perjury that I am authorized to give consent to entry by DEC staff as described above. 1 understand that false statements made herein are punishable as a Class A misdemeanor pursua o Section 210.45 of the Penal Law.* e2 �/ct �f't►/�S C�fk�u��� 1 T Print e and Title ,�Jg Date PWA- S *The signer of this form must be an individual or authorized representative M 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 B Short Environmental Assessment Form Instructions for Comaletinl= Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1 -Project and Sponsor Information Name of Action or Project: I' ys(9 Si►v Nkr6.2 �eQ.• Project Location(describe,and attach a location map): s.c` a-r-t 4,v k eeL PI A ess Brief Description of Proposed Action: II.c.M.vvG p.wck re?btGG too c f tS..c'�Gyt4(9 w✓t IL �?1 i 1%.P94-6% A.Pew v1A11 L - eioNS L f&,-t w`h G` fei-f-,/,oK 'I^A A'I W EAU V#V 1 �a�,n�P -o ..y 1 S•ejlw? L K }O 20404t*' fl!/Y.evc 6 ik♦- st m x e Iti wIR Fell -ta /a.,e4-1 '11A '3!r C y e 1r4 , S* -t Name of Applicant or Sponsor: Telephone: ViA,ceek-t- �w!lJktG- C fiIPl E-Mail: Ar vel RPS LV .►o( •4.,, Address: {•1 sv ;5n_1 i4c.r ,1L At& City/PO: State: Zip Code: C r4,..,e, + Af y t t 9 Y 1 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: ❑ a T,,.,,, �t jvvi'N.�cl ?r1,S�res�1•►�rS48G/ N"�S9o41.4/.Ky Cods 3.a.Total acreage of the site of the proposed action? A So !acres b.Total acreage to be physically disturbed? 0. 05- acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? �'3o acres 4. Check all land uses that occur on,adjoining and near the proposed action. ���� E]Urban ❑Rural(non-agriculture) ❑Industrial [:]Commercial 11Residential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 5. Is the proposed action, MowNO YES N/A a.A permitted use under the zoning regulations? ❑ ❑ ❑ b.Consistent with the adopted comprehensive plan? ❑ Q ❑ 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: F1 ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES 0 ❑ b.Are public transportation service(s)available at or near the site of the proposed action? 0 ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? IT ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ✓T ❑ 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: -L 4P.1 •an . Sez elrn- 14. Idegtify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: Shoreline El Forest ❑Agricultural/grasslands ❑Early mid-successional ❑Wetland ❑Urban E?9�burban 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? a ❑ 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, ❑ ❑NO []YESa.Will storm water discharges flow to adjacent properties? b.Will storm water discharges be directed to established conveyance systems?]NO noff and storm drains)? r •4 If Yes,briefly describe: ❑YES Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoun ment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: ❑ ❑ 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: ❑ I AFFIRM THAT THE INFO ATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE y� /�_- /� Applicant/sponso name: 'f,6L / f4- aL . Date: T Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 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 El 1:1regulations? 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 ❑ ❑ establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or El 1:1affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: ❑ ❑ a.public/private water supplies? b.public/private wastewater treatment utilities? ❑ ❑ 8. Will the proposed action impair the character or quality of important historic,archaeological, ❑ ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g,,wetlands, ❑ ❑ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 - - No,or Moderate small to large . impact impact f - may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage ❑ ❑ problems? 11. Will the proposed action create a hazard to environmental resources or human health? El 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. Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 0 1 • NEW YORK STATE DEPARTMENT OF STATE COASTAL MANAGEMENT PROGRAM Federal Consistency Assessment Form An applicant,seeking a permit,license,waiver,certification or similar type of approval from a federal agency which is subject to the New York State Coastal Management Program(CMP),shall complete this assessment form for any proposed activity that will occur within and/or directly affect the State's Coastal Area. This form is intended to assist an applicant in certifying that the proposed activity is consistent with New York State's CMP as required by U.S. Department of Commerce regulations(15 CFR 930.57). It should be completed at the time when the federal application is prepared. The Department of State will use the completed form and accompanying information in its review of the applicant's certification of consistency. A.APPLICANT (please print) 1. Name: Vwt4et• > $w+bNr�.. C101?S 2. Address: q SO SOug yM!bet 12A• 4r a-ea0•,0All 119 yq 3. Telephone: Area Code( ) `3/• ffi 31• s t ? B.PROPOSED ACTIVITY 1. Brief description of activity: 1?,e-,-era a.er9 l!�el46G (bv Lf- /O/'J 6Y�lGbr� �WI-�� lie ; ltd Ae'rV I-S' l ow*-VG t3 0k.-t 2. Purpose of activity: B kir b.•c1�1�.9 �s G{tf-crcola-W�� 3. Location of activity: p.04 4s'o 5AI-2 9A . County City,Town,or Village Street or Site Description 4. Type of federal permit/license required: A Gail 5. Federal application number,if known: rr h 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: "-1scl:` . 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 of an environmental impact statement? (11,22,25,32,37,38,41,43) El a b. Physical alteration of more than two acres of land along the shoreline,land ❑ ❑, under water or coastal waters? (2,11,12,20,28,35,44) c. Revitalization/redevelopment of a deteriorated or underutilized waterfront site? (1) ❑ (� d. Reduction of existing or potential public access to or along coastal waters? (19,20) e. Adverse effect upon the commercial or recreational use of coastal fish resources? (9,10) Q f. Siting of a facility essential to the exploration,development and production of energy resources in coastal waters or on the Outer Continental Shelf? (29) ❑ [r g. Siting of a facility essential to the generation or transmission of energy? (27) ❑ [� h. Mining,excavation,or dredging activities,or the placement of dredged or fill material in ❑ coastal waters? (15,35) i. Discharge of toxics,hazardous substances or other pollutants into coastal waters? (8,15,35) ❑ j. Draining of stormwater runoff or sewer overflows into coastal waters? (33) ❑ IT k. Transport,storage,treatment,or disposal of solid wastes or hazardous materials? (36,39) ❑ [l' 1. Adverse effect upon land or water uses within the State's small harbors? (4) ❑ [� 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) Q Q b. Federally designated flood and/or state designated erosion hazard area? (11, 12, 17) Q T c. State designated significant fish and/or wildlife habitat? (7) a 13: d. State designated significant scenic resource or area? (24) Q ff e. State designated important agricultural lands? (26) a f. Beach,dune or barrier island? (12) g. Major ports of Albany,Buffalo,Ogdensburg,Oswego or New York? (3) [� h. State,county,or local park? (19,20) Q Q i. Historic resource listed on the National or State Register of Historic Places? (23) Q 3.Will the proposed activity require any of the following: YESNO a. Waterfront site? (2,21,22) ❑ Q b. Provision of new public services or infrastructure in undeveloped or sparsely populated sections of the coastal area? (5) ❑ C3' c. Construction or reconstruction of a flood or erosion control structure? (13, 14, 16) ❑ [] d. State water quality permit or certification? (30,38,40) ❑ 13 e. State air quality permit or certification? (41,43) ❑ a 4.Will the proposed activity occur within and/or affect an area covered by a State-approved local waterfron❑_IT revitalization program,or State-approved regional coastal management program? (see policies in program document*) 0 D.ADDITIONAL STEPS 1. If all of the questions in Section C are answered"NO",then the applicant or agency shall complete Section E and submit the documentation required by Section F. 2. If any of the questions in Section C are answered"YES",then the applicant or agent is advised to consult the CMP, or where appropriate, the local waterfront revitalization program document*. The proposed activity must be analyzed in more detail with respect to the applicable state or local coastal policies. On a separate page(s),the applicant or agent shall: (a)identify,by their policy numbers,which coastal policies are affected by the activity,(b)briefly assess the effects of the activity upon the policy; and,(c)state how the activity is consistent with each policy. Following the completion of this written assessment,the applicant or agency shall complete Section E and submit the documentation required by Section F. E.CERTIFICATION The applicant or agent must certify that the proposed activity is consistent with the State's CMP or the approved local waterfront revitalization program, as appropriate. If this certification cannot be made, the proposed activity shall not be undertaken. If this certification can be made,complete this Section. "The proposed activity complies with New York State's approved Coastal Management Program, or with the applicable approved local waterfront revitalization program,and will be conducted in a manner consistent with such program." Applicant/Agent's Name: Address: 1Db laer,•-t'} BI,vk CcA+`'r ^Ao[tG6LS, iJ 11839 Telephone: Area Code( ) G 31• 11, 4, 9 33 .;- Applicant/Agent's Signature: 04.6,4 Date: y /• / '� F.SUBMISSION REQUIREMENTS 1. The applicant or agent shall submit the following documents to the Nev York State Department of State, Office of Coastal, Local Government and Community Sustainability, Attn: Consistency Review Unit, One Commerce Plaza-Suite 1010,99 Washington Avenue,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.Revised 1010411010 ENVIRONMENTAL QUESTIONNAIRE This is intended to supplement ENG Form 4345, Application for Department of the Army Permit, or the Joint Application for Permit used in the State of New York. Please provide complete answers to all questions below which are relevant to your project. Any answers may be continued on separate sheet(s)of paper to be attached to this form. PRIVACY ACT STATEMENT The purpose of this form is to provide the Corps of Engineers with basic information regarding your project. This information will be used to facilitate evaluation of your permit application and for public dissemination as required by regulation. Failure to provide complete.information may result in your application being declared incomplete for processing, thereby delaying processing of your application. GENERAL APPLICABLE TO ALL PROJECTS 1. Explain the need for, and purpose of, the proposed work. fk s-t v9 b-txhtcva SS A,$A I-, &'-r.044 of ctpI t Ce ncn-{- . d2 ul L b..c.iLHu.� w' << Prtvcnt �-!! SS ✓ F �f.Qtt-�.? orri�SL $CtQc�rcn-�K-h�a o�' Wu.-f�wcln 7- 2. Provide the names and addresses of property owners adjacent to your work site (if not shown on the application form or project drawings). Sf-e' P "o,"X (Please note that depending upon the nature and extent of your project, you may be requested to provide the names and addresses of additional property owners proximate to your project site to ensure proper coordination.) 3. Photographs of the project site should be submitted. For projects in tidal areas, Photographs of the waterway vicinity should be taken at low tide. Using a separate copy of your plan view, indicate the location and direction of each photograph as well as the date and time at which the photograph was taken. Provide a sufficient number of photographs so as to provide a clear understanding of conditions on and proximate to your project site. P.o v ,j e JL ,N 4. Provide a copy of any environmental impact statement, or any other environmental report which was prepared for your project. P ro"I.-leA 1--� n,aP hee,-f 1- J 5. Provide a thorough discussion of alternatives to your proposal. This discussion should include, but not necessarily be limited to, the "no action" alternative and alternative(s)resulting in less disturbance to waters of the United States. For filling projects in waters of the United States, including wetlands, your alternatives discussion should demonstrate that there are no practicable alternatives to your proposed filling and that your project meets with current mitigation policy (i.e. avoidance, minimization and compensation). -Thtk*.,�a-t...-e- w eftesc 'L i s S i F r f+�G/t-'f'a� SEW t�- ✓3G a N L 4•a tQ- h.� o w.- G/l . DREDGING PROJECTS Answer the following if your project involves dredging. 1. Indicate the estimated volume of material to be dredged and the depth (below mean low water) to which dredging would occur. Would there be overdepth dredging? 2. You can apply for a ten-year permit for maintenance dredging. If you wish to apply for a ten-year permit,please provide the number of additional dredging events during the ten-year life of the permit and the amount of material to be removed during future events. N1,4 3. Indicate of your drawings the dewatering area (if applicable)and disposal site for the dredged material (except landfill sites). Submit a sufficient number of photographs of the dewatering and disposal sites as applicable so as to provide a clear indication of existing conditions. For ten-year maintenance dredging permits, indicate the dewatering/disposal sites for future dredging events, if known. 4. Describe the method of dredging (i.e. clamshell, dragline, etc.) and the expected duration of dredging. Nle 5. Indicate the physical nature of the material to be dredged(i.e.sand,silt, clay, etc.) and provide estimated percentages of the various constituents if available. For beach nourishment projects, grain size analysis data is required. w • 6. Describe the method of dredged material containment (i.e. hay bales, embankment, bulkhead, etc.)and whether return flow from the dewatering/disposal site would reenter any waterway. Also indicate if there would be any barge overflow. NIA MOORING FACILITIES Answer the following if your project includes the construction or rehabilitation of recreational mooring facilities. 1.It is generally recommended that any fixed piers and walk ramps be limited to four feet in width,and that floats be limited to eight feet in width and rest at least two feet above the waterway bottom at mean low water. Terminal floats at private, non- commercial facilities should be limited to 20 feet in length. If you do not believe your proposal can meet with these recommendations, please provide the reason(s). 2. Using your plan view, show to scale the location(s), position(s) and size(s) (including length, beam and draft)of vessel(s) to be moored at the proposed facility, including those of transient vessel(s) if known. 3.For commercial mooring sites such as marinas,indicate the capacity of the facility and indicate on the plan view the location(s)of any proposed fueling and/or sewage pumpout facilities. If pumpout facilities are not planned,please discuss the rationale below and indicate the distance to the nearest available pumpout station. 4. Indicate on your plan view the distance to adjacent marine structures, if any are proximate and show the locations and dimensions of such structures. 5. Discuss the need for wave protection at the proposed facility. Please be advised that N a permit is issued,you would be required to recognize that the mooring facility may be subject to wave action from wakes of passing vessels, whose operations would not be required to be modified, Issuance of a permit would not relieve you of ensuring the integrity of the authorized structure(s)and the United States would not be held responsible for damages to the structure(s) and vessel(s) moored thereto from wakes from passing vessels. NIA BULKHEADIN G/BANK STABILIZATION/FILLING ACTIVITIES Answer the following if your project includes construction of bulkheading (also retaining walls and seawalls) with backfill, filling of waters/wetlands, or any other bank stabilization fills such as riprap, revetments, gabions, etc. 1. Indicate the total volume of fill (including backfill behind a structure such as a bulkhead)as well as the volume of fill to be placed into waters of the United States. The amount of fill in waters of the United States can be determined by calculating the amount of fill to be placed below the plane of spring high tide in tidal areas and below ordinary high water in non-tidal areas. l•c Ccs t- A!l Fa Ll. L.i It lve e I*ee-,A 1 ti n(X w u h c! 2. Indicate the source(s) and type(s) of fill material. 3. Indicate the method of fill placement(i.e. by hand, bulldozer, crane, etc.). Would any temporary fills be required in waterways or wetlands to provide access for construction equipment? If so, please indicate the area of such waters and/or wetlands to be filled, and show on the plan and sectional views. � it -r. he r t b reap- 7irA4 A- The foregoing requests basic information on the most common types of projects requiring Department of the Army permits. It is intended to obviate or reduce the need for requesting additional information;however, additional information may be requested above and beyond what is requested in this form. Please feel free to add any additional information regarding your project which you believe may facilitate our review. Bewm BEE BEc NO E00 +omm « ,,� — ---------------.�--------------_—_ __---_— \ / as F" -//� 'S�G ,/// P m1 I 4 Dana ♦° e t 10 1110 e^° r � I � 110 ,neva q5 ,p r es+ � M1''v„` �+ e'er� taea ..,, +o� �: •s �v tat P ,y ♦M1 r aJ ` M1 \� M1 /� '� �♦e�'� t 4 i:--:/,. ?Taia� a � r..rA,'&♦er r e +°' ,�� M1'`/ Sour e+ N,\ !\ - I\ +z, ♦N P 14WU ,�� ♦ e3 M1to e/ \I e2 a T 121 d" E ° aaEr A,r M1 -,0 \ \ 12.11 M ` a Iwo • 1 1 1 �� sart"°i° X11,��\ I' I COUNTY OF SUFFOLK © K °• saun,an SECTION NO s— —�-- 1211 O2 �.•" — -- '� --•-- Real Property Tax Service Agency Y a H — -_---- ,.. — ..� --•-- ..•,y.— -- ew«2o.+.e..«...N,,,», A® �,w 35 O...r. a r �w s '� —__ .. --•-- — -- P m 10M PROPERTY MNP 0 OFFICE LOCATION: �*0f S�UjyO p MAILING ADDRESS: Town Hall Annex P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971Gic�`Ol �� Telephone: 631765-1938 y COUFax: 631 765-3136�y,N LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM E �. I V To: John Bredemeyer, President MAY 1 9 2014 Town of Southold Board of Trustees i From: Mark Terry, Principal Planner LWRP Coordinator Date: May 19, 2014 Re: Proposed Administrative Permit for VINCENT & BARBARA CLAPS SCTM# 1000-35-5-33 Jeffrey Patanjo on behalf of VINCENT & BARBARA CLAPS request a Wetland Permit to remove the existing timber bulkhead and concrete boat ramp; construct a 100' long vinyl bulkhead with a 12' northerly and a 20' southerly return; bulkhead to be placed in same location and raised to a height of 1' above existing; install 4' wide decking along the landward side of the bulkhead; construct a 4'x6' platform; install new 3'x14' aluminum ramp; and install existing 6'x20' float. Located: 450 Snug Harbor Road, Greenport. SCTM# 35-5-33 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 that: 1. The proposed 10' wide non-turf buffer is vegetated with native, drought tolerant plant species to the greatest extent practicable. 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 Peter Young,Chairman Town Hall,53095 Main Rd. Lauren Standish, Secretary P.O.Box 1179 �► '�'` Southold,NY 11971 Telephone(631)765-1892 dl Fax(631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., May 14, 2014 the following recommendation was made: Moved by Keith McCamy, seconded by John Stein, it was RESOLVED to SUPPORT the application of VINCENT & BARBARA CLAPS for the removal of the existing timber bulkhead and concrete boat ramp. Construction of a 100' long vinyl bulkhead with 12' and 20' returns. Bulkhead to be placed in same location and raised height of 1' above existing. Construct 4'X 6' platform and new 3' wide X 14' long aluminum ramp to existing 6'X 20' floating dock. Provide 35' cy. of clean sand fill from upland source to fill void of removed boat ramp landward of proposed bulkhead. Located: 450 Snug Harbor Rd., Greenport. SCTM#35-5-33 Inspected by: John Stein, Keith McCamy, Doug Hardy The CAC Supports the application with the Condition of a 15' non-turf buffer. Vote of Council: Ayes: All Motion Carried E � MAY 1 6 2014 F3L1ard '' i James F.King,President 0�Sol, ry Town Hall Annex 54375 Main Road Bob Ghosio,Jr.,Vice-President P.O.Box 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer Telephone(631)765-1592 Michael J.Domino ��� Fax(631)765-6641 i .. BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD I - Office Use Only i _Coastal Erosion Permit Application Wetland Permit Application Administrative Permit �. AmendmentrI'ran tension � Received Application: f FrAPR Received Fee:$Completed Application_Incomplete_SEQRA Classification: 1 1 2014 Type I Type lI Unlisted i _Coordination:(date sent) _LWRP Consistency Assesspagnt FormAn,111 uut! CAC Referral Sent: S �CDate of Inspection: Receipt of CAC Report. _Lead Agency Determination: _Technical Review: I I1 Public Hearing Held: _Resolution: Name of Property Owner(s) �� c�•�fi Bir b�.r w C l A PS Address ')YV '-n - H•.rb.,t. Qa • CGrtan�Osk+ 119yy - Phone Number:( ) y3/• Of • Y l 6 ? Suffolk County Tax Map Number: 1000- 35 - 5 Property Location: y S o 5"'1 N w�b.,c pe.A- 1 (provide LILCO Pole#,distance to cross streets, and location) AGENT: T F�teH Pot-r,yl, V (If applicable) Address: 1 -!- I rj 4 1 t 9.6 Lj Phone: &-31 - N � ' -y 3-60X e rd of Trustees Application • I I GENERAL DATA Land Area(in square feet): 3, 1 q 3 Area Zoning: 9-es. i, Previous use of property: Intended use of property: (Les Covenants and Restrictions on property? Yes ✓ No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes No If"Yes",be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review i. and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes ✓ No If"Yes",please provide copy of decision. !. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes ✓ No Does the structure(s)on property have a valid Certificate of Occupancy? Yes No i Prior permits/approvals for site improvements: Agency Date I . ✓ 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 i Ii Vincent &Barbara Claps 450 Snug Harbor Road Greenport, NY 11944 Project Description: The proposed project includes the removal of existing timber bulkhead and concrete boat ramp. Construction of 100' long vinyl bulkhead with 12'and 20'returns. Bulkhead to be placed in same location and raised height of 1'above existing.Construct 4'x6'platform and new 3'wide x 14'long aluminum ramp to existing 6'x20'floating dock. Provide 35 cubic yards of clean sand fill from upland sources to fill void of removed boat ramp landward of proposed bulkhead. i Solk of Trustees Application • I WETLAND/TRUSTEE LANDS APPLICATION DATA I Purpose of the proposed operations: Sfy a-i--�a�hid- !�• ce�- pc 5a P►f^�'toi �'. s I Area of wetlands on lot: square feet Percent coverage of lot: Closest distance between nearest existing structure and upland edge of wetlands: a G o feet Closest distance between nearest proposed structure and upland edge of wetlands: P ov feet Does the project involve excavation or filling? f No ✓ Yes I If yes,how much material will be excavated? O cubic yards How much material will be filled? 135' cubic yards Depth of which material will be removed or deposited:_ feet Proposed slope throughout the area of operations:_0-s Manner in which material will be removed or deposited: -r-ri e,C 5 Lia 5�{�( Lbi1�wR/LtR of b✓c1Cbu.c4 . 4kc&va.4.A. � 1 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): -t h sit wail ta&L ut,e I 0 • 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1-Project and Sponsor Information Name of Action or Project: 1/ /� l 5IS19 SA" Nkrbot 104- Project Location(describe,and attach a location map): fie— ^-tt4.okeA, Plan.I Brief Description of Proposed Action: fto---e- knc)- retol'kCG too cf tS..(4-e,e4.0 wrtI%t /? 70 6%J9-Vh Ailw VLA11 L y`)rliI Ir"tp.,1AR -1,sA RI NM tro�M �s...�n t0 -f•o .y �S'!'t✓'f � x }o f�ae+•f'- R!✓rievC b ter..,t c 1e4.a Name of Applicant or Sponsor: Telephone: g I.S 31 61 6'7 VIA, nof- �wl�jcr,A- CIAM E-Mail: ArvcIa & �.ol •Cenr Address: 14 Sv 111l City/PO: State: Zip Code: e. + Af II yqI 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 �' F] 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: ❑ -f so�l'k.(�l ?r�,Sr*aSSrv-Js0o61.4/,% 3.a.Total acreage of the site of the proposed action? O So acres b.Total acreage to be physically disturbed? 0. 06- acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? R.3o acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) [:]Industrial ❑Commercial 21residential(suburban) ❑Forest ❑Agriculture [I Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 Vincent & Barbara Claps 450 Snug Harbor Road Greenport, NY 11944 Project Description: The proposed project includes the removal of existing timber bulkhead and concrete boat ramp. Construction of 100'long vinyl bulkhead with 12'and 20'returns. Bulkhead to be placed in same location and raised height of V above existing.Construct 4'x6'platform and new 3'wide x 14'long aluminum ramp to existing 6'x20'floating dock. Provide 35 cubic yards of clean sand fill from upland sources to fill void of removed boat ramp landward of proposed bulkhead. 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 b.Are public transportation service(s)available at or near the site of the proposed action? Z ❑ 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 If the proposed action will exceed requirements,describe design features and technologies: ❑ CQ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: Er ❑ 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? 0 ET 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: 3b -L.. •ate ZAP, elan- 14. Idegtify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: Lff Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland [I Urban S-guburban 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? a ❑ 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, Ela.Will storm water discharges flow to adjacent properties? E]NO []YES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? � t If Yes,briefly describe: []NO ]YES w Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoun ment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: F-1 ❑ 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: F] 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: F] I AFFIRM THAT THE INFO ATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE y/ LL Applicant/s ons name: +�4L �f, b�A ouL Date: T Signature: NJ Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 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 ❑ establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate El reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 - � No,or Moderate small to large impact impact 'm may may 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage ❑ problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. 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 'mp ts. 4/� -t s -57111--111l--1 Name of Lead Agency Date r Print or Typ ame of R ible Officer Lead Agency Title of Responsible Officer Si a of Respo icer to Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 I. Town of Southold Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM 'b PROPERTY LOCATION: s.c.T.M.t: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A I crop 3�s� STORM- ATER,ORA � DING.DRAINAGE AND EROSION CONTROL PLAN -bTaTrli to`n — 3 _ CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW TORIL i. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT Yes No a. What Is the Total Area of the Project Parcels? 1, I Will this Project Retain All Storm-Water Run-Off (include Total Area of all Parcels located within (S I q 3 0.30 Generated by a Two(2')Inch Rainfall on Site? 1 the Scope of Work for Proposed Construction) (ThisItem will include all run-off created by site t/ a b. What is the Total Area of Land Clearing (S F.l Acres) clearing and/or construction activities as well as all and/or Ground Disturbance for the proposed '257po0D S Site Improvements and the permanent creation of construction activity? impervious surfaces.) (S.F./Acres) PROVIDE BRIEF PROJECT DESCRIPTION )PmrldeAdditional Pages■s l Z Does the Site Plan Indic tingSurSy ShowLocation? Proposed This Drainage Structures Indicating Size&Location?Thts Item shall Include all Proposed Grade Changes and Slopes Controlling Surface Water Flow. 3 Does the Site Plan and/or Survey describe the erosion — ❑ Sit and sediment control practices that will be used to ( control site erosion and storm water discharges. This I D,e 5 c f�p-}y u.J item must be maintained throughout the Entire II Construction Period. 4 Will this Project Require any Land Filling,Grading or Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards 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 General DEC SWPPP Rawiraments: or within One Hundred(100')feet of a Welland or I Submission of a SWPPP is required for all Construction activities kivoMng soil Beach? 1 cif rbances of one(i)or moreacnm Including disturbances orless than one acre that 7 Will there be Site preparation on Existing Grade Slopes are part of a larger common pian that will ultimately disturb one or more acres of laud; which Exceed Fifteen(15)feet of Vertical Rise to Including Contraction activities kwohdng sou disturbances of less than one(1)acre where One Hundred(100')of Horizontal Distance? the DEC has determined that a SPDES permit Is required for storm water discharges. (SWPPP's Shall meet the Minimum Requirements of the SPOES General Permit 8 Will Driveways,Parking Areas or other Impervious for Storm Water Discharges from construction aegviir-Permit No.GP-0-ie-0a1.) Surtaces be Sloped t0 Direct Storm-Water Run-Off El l 1.The SWPPP shall be prepared prior to the submittal of the NOI.The Not shag be into and/or In the direction of a Town right-of-way? submitted to the Department prior to the commencement of corsbuctim actlift 2.The SWPPP shag describe the erosion and sediment contra)practices and where 9 Will this Project Require the Placement of Material, requlmd,post-construction storm water management practices that%At be used and/or Removal of Vegetation and/or the Construction of any constructed to reduce the pollutants in storm water discharges and to assure item Within rite Town Right-of-Way or Startler — compliance with the terata and conditions t><this permit In addition,the SWPPP shag Area?Mile ram cow NOT Include as installation of edwwsy Aprons.) identify potential sources of pollution which may ressw Wy be expected to effect the NOTE: M Any Answer to Questions One through Nina is Answered with a Chick fdark j quality W storm water dire es. in a Box and the corrstruetton site disturbanes Is behwsn S,aDa.SF.d 1 Acre in area, 3.AN 3WPPPs that require the post-construction storm water management practice , component shall be prepared by a qualified Design Professional Licensed in New York s StormMate,Grading,Drainage 6 Erosion Control Plan Is Regrdrad by the Town of that is knowledgeable in the principles and practices of Storm Water Management Southold and Must be Submitted for Review Prior to Issuance of Any Building Permit (NOTE: A Check Meek(.f)andfor Answer for each orssfen is Regdmd for a Complete Application) SPATE OF NEW YORK, I. COUNTY OF...........................................SS That I,......!.��'P N I 4�F/�S �4�p1i}L-1`0S being duly swum,deposes and says that he/she is the applicant for Pemut, ................. (Name of Individual signing Document) Andthat he/she is the ...... .W..(J.0 r............ ... ... ... .. ..... ..... .............................................................. (Owner,Contractor,Agent,Corporate Officer,eta) Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his knowledge and belie(;and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; ..........I......(D.. ..............day of. .... ,201. . ....... . .. ... . Notary Public:�k 4:!..! � ..... ......... ........ �(2t4"- FORM tp- 06110 Nu>�Public York ` Commission Expires 08/07/20)4 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: V�)QXWet�j _ StYY1Y_AY1 1Yu5�- D�o�n gia,6yl(Slrl �15 ZC�LI Term. �d �m��'1 I1'1�7 CA STATE qp-I q Zllo�!'' �S�-• � Sidi 1 talo� Cecei 1a STATE OF NEW YORK COUNTY OF/SUFFOLK residing at 111d m -3 , being my sworn, deposes and says that on the /,.L day of , 20/ , deponent mailed a true copy of the Notice set forth in the Board o rustees 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_10QnJW M#UC"13 ,that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this Day of 2o- Y1,�1 Notary Public Loriann Patanlo Notary Public State of New York Qual fW.in Suffolk County No:01PA6150861 Commission Expires 08/07/201 John Bredemeyer, President g1lfF01* Town Hall Annex Michael J. Domino, Vice-President ��°�� Q, 54375 Route 25 James F. King P.O. Box 1179 Dave Bergen o • Southold, NY 11971 Charles J. Sanders y'f'oi , ya°� Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of VINCENT & BARBARA CLAPS COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR EIGHT DAYS residing at/dba IVU/ fipwltt 6 being duly sworn, depose and say: That on the /()day of /71/A 2017;1 ersonally posted the property known as u by placinTtiieZ9ard of Trustees official poster where i 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, May 21, 2014. Dated: S 11 p 1 1 (si na e) Sworn to before met is day of fil�j20/ Notary Public Loriann Patanlo� Notary Public State ofNew York Cualifw in Suffolk County No:01 P , 150861 Commission Expires 08/07/201 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: Vincen+ f &r6ra clops SUBJECT OF PUBLIC HEARING. a . with a 12' northerly and a 20' laniard side of the bulkhead; =3VtfCt a 4'x ' irrr►ur 6x2O' TIME DATE CSF K LIC HEARI� wneMay. 426'Aaamft- 44abb If you have an interest in this project, you are invited to view the Town file(s) which are available for insection rior to the day of the hearing during normal business days between the ours o 8 a.m and .4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631 ) 765- 1892 Vincent &Barbara Claps 450 Snug Harbor Road Greenport, NY 11944 Project Description: The proposed project includes the removal of existing timber bulkhead and concrete boat ramp. Construction of 100' long vinyl bulkhead with 12'and 20'returns. Bulkhead to be placed in same location and raised height of 1'above existing.Construct 4'x6'platform and new 3'wide x 14'long aluminum ramp to existing 6'x20'floating dock. Provide 35 cubic yards of clean sand fill from upland sources to fill void of removed boat ramp landward of proposed bulkhead. Bo 0 of Trustees Application ` I County of Suffolk State of New York i vine-e^+ c " P s 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. l i 4SXtu;-re�ofProperty Owne � SWORN TO BEFORE ME THIS � DAY OF j VA j Notary Public P Pawn*) York map 150 County Commission Emkea OB/07/2q/4 I i Bed of Trustees Application • AUTHORIZATION (where the applicant is not the owner) Y, \ltN«.,+ r_I LP S residing at„ Oso S n-: (print owner of property) (mailing address) Al.. fa r e t•,p o a.k do hereby authorize -JF W4«-1 (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. A(Oner's gnature) I. 1 ii j: l j� i APPLICANUAGENTMEPRESENTATIVE TRANSACTIONAL DISCLOSURE,FORM The Town of Southold,s Code 21 Ethics pMhibits conflicts of igtorist on the Rart Of tovarn 0q= d em9loym. I p4mm of �l this nxm is to nrol/de i rination which can alert the town of it take wbatever e6 is j n=Lga IL"vid same. YOUR NAME: C1k 5 V�artrt-r (Last name,first name,jpiddle utitial,unless you are applying to the name of I someone else or other entity,such as a company.If so,indicate the other person's or company's name.) i NAME OF APPLICATION: (Check all that apply.) Tax grievance BuildingTrustee I Variance Change of Zone Coastal Erosion I Approval of plat Mooring 1; Exemption from plat or official map Planning Other I s (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. i YES NO ✓ �i 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. ' If_. 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); I B) orporate entity(when the the legal or beneficial owner of any interest in a non-c applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. j �y DESCRIPTION OF RELATIONSHIP I Submitted th' ay of 200. Signature � Print Name l rvee C' �+ 6 (�s Foran TS 1 i t 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 i. and other ministerial permits not located within the Coastal Erosion Hazard Area. I 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 sienif_ic_ant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). I 1• 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 ea,,,,plained in detail, listing both suuuorting end 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, the Planning Department,all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# SS _ S - SS I. PROJECT NAME y So s„ 9 4),r b„4 if-d r e«pe,c�- The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees I. 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►c (o)tci De6crip+lo.z- Vincent & Barbara Claps 450 Snug Harbor Road Greenport, NY 11944 Project Description: The proposed project includes the removal of existing timber bulkhead and concrete boat ramp. Construction of 100'long vinyl bulkhead with 12'and 20'returns.Bulkhead to be placed in same location and raised height of V above existing.Construct 4'x6'platform and new 3'wide x 14'long aluminum ramp to existing 6'x20'floating dock. Provide 35 cubic yards of clean sand fill from upland sources to fill void of removed boat ramp landward of proposed bulkhead. i Location of action: N S c s n-1 4t ,b ax /U. U re e ntJ.X+ t l g y q s. Site acreage: v• 'to i Present land use: Re ss d c4 ts" L Present zoning classification: c s t 2. lf an application.for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: i (a) Name of applicant: V i.-,c e a+ Fr 841 h.t/c.._ CIA PS � (b) Mailing address: y sb Sn u� ✓�a�b„c � ro�p.�-f . N� llgNit (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 ❑ No❑ If yes,which state or federal agency? r s cE tiz pa s F.•,L1 . 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. 0 Yes ❑ No ❑ Not Applicable l f A crle,J M-e-e-rs P•t,cN Ravi fe/x a l4-S 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 i I i I Attach additional sheets if necessary I : Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See . LWRP Section III—Policies Pages 6 through 7 for evaluation criteria i. Yes ❑ No ❑ Not Applicable A .,j efry4es 6R. Im pr.ve.Ry 1 sv.t L Attach additional sheets if necessary j I 1 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 , 1 ft.Ceop.l'<<Ve+#Po J t.l- ec ,P wtll j0(Vtte+ L-SS .►f �lry{Ra+y ��G �o tl�s�•�! I Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of.Southold.See MM Section III —Policies Pages 16 through 21 for evaluation criteria ❑ YesEl No QNot Applicable i /�G-�'1s N /L/.i ►!o ���'} On ttJl l��- 4✓n.l "t'.s f l f 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. I Yes No Not Applicable Ac#tsN k•.S ra �f�tat o.+ �coSc,St'tn+s �' II i. Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. Yes [:] No[TNot 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 evaluatiotp criteria. ❑Yes ❑ No L`� Not Applicable f 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. YesCl No u Not Applicable Attach additional sheets if necessary I I WOREING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in i suitable locations. See LWRP Section III Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No EFNot Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic j Estuary and Tows[waters.See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. 15Yes ❑ No❑ Not Applicable ` A +t o..� wul rcc r&"+ta---*A r-es wtg r- Z*4X^ wed- b { 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 eevaluation 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;Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No B Not Applicable r� PREPARED BY ,�• P�'�A•n v TITLE SIT--t' DATE April 9, 2014 p EC_ Town of Southold Trustees Town Hall Annex Building APR 1 1 2014 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE: 450 SNUG HARBOR ROAD GREENPORT, NY SCTM No. 1000-35-5-33 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, )1114 ( Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 cc: Vincent & Barbara Claps NOTEAMPLE S' LAN 1. ELEVATIONS REFER TO N.G.V.D. 1929 DATUM 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: u JOHN C. EHLERS LAND SURVEYOR N 6 MAIN STREET, RIVERHEAD, NY SURVEY LATEST DATED 07-07-99 Boar+ PROPOSED 12' LONG VINYL BULKHEAD RETURN APPROVED BY i BOARD OF TRUSTEES _ S82'00'00" - � E TOWN OF SOUTHOLD O MHW do MLW ALONG FACE OF BULKH : EXISTING TIMBER BULKHEAD O / —� DATE tO of LIMIT OF GRADING / CLEARING AND DISRUPTION =37.25' Z-1 l V o) / % 10' WIDE NON-TURF BUFFER PROPOSED 100' LONG VINYL BULKHEAD a (IN SAME ALIGNMENT AS EXIST) / /o O PROPOSED 4' WIDE DECK / / �� /O 62 38 / / / W / O PROPERTY OWNER: % M VINCENT & BARBARA CLAPS w 450 SNUG HARBOR ROAD GREENPORT, NY 11944 EXISTING 6'x20' FLOATING DOCK TO REMNN / PREPARED BY:JEFFREY PATANJO PROPOSED 3'x14' ALUMINUM RAMP 3 / / 106 HEWITT BOULEVARD .REMOVE EXISTING DECK AND RAMPt ♦I CENTER MORICHES, NY 11934 PROPOSED 4'x6' FIXED TIMBER PLATFORM / •i / 631-484-9332 REMOVE EXISTING CONCRETE BOAT RAMP 6 \ / PROVIDE 35 CY CLEAN FILL LANDWARD OF 00 PROPOSED BULKHEAD TO FILL VOID TO GRADE O r� PROPOSED 20' LONG VINYL BULKHEAD RETURN 1.32.0 1 ' BULKHEAD PERMIT PLANS SCALE: 1"=20' PROPOSED PLAN DATE: 3-25-14 Jo.1 REPRESENTS WATER DEPTH IN INCHES BELOW MEAN LOW WATER 450 SNUG HARBOR ROAD GREENPORT, TOWN OF SOUTHOLD SUFFOLK COUNTY, NY SHEET: TAX MAP N0. 1000-55-5-53 1 of 2 � �aef, ua, F .. yNo�e D° .�z..n PROPOSED 4X4 CCA POSTS PROJECT PROPOSED 2X2 CCA RAILS AT 4" O.C. SPACING LOCATION PROPOSED TIMBER ` DECKING SURFACE 1" n 3/4" GALVANIZED HARDWARE c PROPOSED 2X10 CCA tza O`. � STRINGERS I ItAPPROMMATE PROPOSED 3X6 CCA Sliding I I M.H.W. EL 2.5k Cemetery __ __--PROPOSED3'X14' ALUMINUM RAMP EXISTING 6'X20' FLOATING DOCK TO REMAIN APPRO) WTE M.LW EL 0.0± ke T r 4 SAND BOTTOM EL -3.01f VARIES PROJECT LOCATION MAP N.T.S. PROPOSED 5/4 IPE OR FIR DECKING TYPICAL SECTION — PLATFORM & FLOAT N PROPOSED 10 CY PROPOSED 25' LONG 10' BUTT N.T.S. CLEAN SAND FILL CCA TREATED TIMBER PILE, 6' PROPOSED CCA O.C. STRINGERS do GIRDERS NOTE: REMOVE EXISTING BULKHEAD STRUCTURE IN ITS ENTIRETY AND INSTALL NEW BULKHEAD IN THE EXACT SAME POSITION AND 12" INCREASED HEIGHT. APPROXMIATE M.H.W. EL 2.5t 0 PROPOSED G'x6" CCA TOP, MIDDLE do BOTTOM WALE PROPOSED 8' TIP CCA LAY—LOG PILE APPROIGI4TE M LW EL 0.0! EXISTING BULKHEAD PROPOSED 8' TIP CCA PILE, 6' TO BE REMOVED IN O.C. 8' LENGTH. BOLTED TO ITS ENTIRETY. LAY—LOG WITH 3/4 GALVANIZED THRU—BOLTS. SAND BOTTOM EL -3.OY PROPOSED 16' LONG 1" DIA. /�/�//�//�//�//�//�//�//��/� GALV. TIE ROD, 6' O.C. BULKHEAD PERMIT PLANS SCALE: AS NOTED PROPOSED 16' LONG CLOC PROPOSED SECTIONS & DATE: 9000 VINYL SHEETING LOCATION MAP 3-25-14 TYPICAL SECTION A—A 450 SNUG HARBOR ROAD N.T.S. GREENPORT, TOWN OF SOUTHOLD SUFFOLK COUNTY, NY SHEET: TAX MAP NO. 1000-35-5-33 2 of 2 SURVEI' OF LOT # 55 SURVEYED 07-07-94 "MAP OF CLEAVES POINT, SECT. #3" ! FILED JUNE 14, I cIbb AS # 4650 suFFo 0 - 33 ✓COUNTY 5- 33 SITUATE: NEAR GREENPORT TOWN OF SOUTHOLD CERTIFIED TO: SUFFOLK COUNTY, NY (� � � nr� � N VINCENT M. CLAPS ly y� / BARBARA H. GLAP5 FIDELITY NATIONAL TITLE IN5URANGE COMPANY OF N.Y. W E FNT 496 2241 s i 1 NI 14 I i i v /, Qr ✓� Lot #S6 QQ F S 82 000�00 r,E (Map 130 0) 137+25' { 21.3' -.fid"' geek l.q' d C�JJ�/ 0 Ory m :... #5 r l' cs.s olse me H 5 h.. cont SPhnryO drain Pgpe romp ' 36'3 all grl�a ') outfgll 0iii cont. deok � romp �J ,6i, � i t � "f1•,, ��J I N82°00 X00 I, ' . :� 1 . . �:. W 132 01 , - --- Map 130.0 LO,' #54 i i I i i OF )Avie NOTE5: Q �.N C. e CO9� Un+utnpr,tee alteration n —yor to+ Svay CO '` map oeer,ng+ ,Iceneea,anarc r.evor s ce+,9, v inlet ion of tecl ion 7209. sup-d—sion 2. or the MONUMENT FOUND �.rli m1w sort 5t+te Edutatlon I Ng rthe arlglnt11 :Ir -0ny coplean1pom w,tn lain+ laoyorve se .,,all be paeere to be +,etampee OPIPE FOUND s le Irue cop,ps /� OQ' 'Cer L,f![+[lane tntll ta[ee nereon slgnlry t"11.111!1 l• /V �O�- llcingeCoae 1irPrecelc."lorpi+nanS.—,.nds— i_"!, HEDGE ��S[� O O AAJ� Lana S-g,orEprtseietcertificationso l nail nrun ut ln,v lO r'[` to Che person /orp.rnom the survey la prepares. LANG S and to n1e eensll to the t,e,a tampanv. governmen- AREAC tel e:encY+ntl]enefng Inst ltution !,step nereon. no 13,193 5F OR 0.30 AGRE5 ^!; to the,manses the !enema [nal,tot ion. eer.utc+- [,ans are nor Vensfer+ndl to oeel Uonel initltutlons OFFSETS ARE TO FOUNDATION WALLS JOHN C. EHLERS LAND SURVEYOR I !�IZAPH I G SCALE:I"= 30' 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 RIVERHEAD,N.Y 11901 369-8288 Fax 369-8287 REF.D:UOBS\99-206