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TR-3913
O��QF SUU�yOI Town Hall Annex Michael J.Domino,President John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski �O� Telephone(631) 765-1892 Greg Williams COU NT`1,� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 24, 2018 Paul Boczek 141 Southdown Road Huntington, NY 11743 RE: 1370 STROHSON ROAD, CUTCHOGUE SCTM# 1000-103-10-28.1 Dear Mr. Boczek: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, July 18, 2018: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit#3913 from Henry Boczek to Paul Boczek, as issued on May 3, 1991; with the condition of the submission of a revised plan depicting the dimensions of the catwalk. Project plan submitted by Paul Boczek received on September 24, 2018 depicting existing catwalk with dimensions reviewed by Trustee A. Nicholas Krupski. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please contact our office at (631) 765-1892. Sincerely, Michael J. Domino, President Board of Trustees MJD/dd f ' tX�S•f�tJG- IaG�•i•; . moORi tv P I Le 'FLokr kir'p wttTkVZ,4 QlZ _ MF-A o - Jv F ELI 6811I`1 PVLG� PAD JI•Cr° (NS'rALL Rp,M�e r- FLOA-f",,c., poem 5'0A!f �P�I SEP 2 420218. i sou;hold Town Boar of Trustees i y r `;;• -• --- -Y•---•------..---_.^-,.__��- -•-•--- - __�_ '~--f-_-_I�'L�._�y((9.ffs9/�i�f•--{-• i—i,�•__,-..�-••�-•-i-••�" --I- r-i•-•--i :—•'r---!--i-i- '- '��,AfGVrcj#uCyV'C✓•/y,.l. Il/-p3�` � I�. t i i � i t F •' PgftY;Mr 14 .. ` `_� . %R/( ;�'IG•'F1 yJ'A•('�� i1 •�• I Y ; •� I I � 7 r• I � ! I j -! • u �n i.. ' . -^ -- •- •- - `---- ,�' �r-r; �'��.K t{>�A'tj i -I: •� I ` ► � I i I I' i I i ! I ;- (,__�_ +� w� ,alt isr a _� ,_...•b� 'J1fhD � � � Bum rlot� �'ricdd�,tx ." :. ....._..-• -• !'�'r- -• �- _� � .. 5`f i�`�f�' ?-PIDA';- �Yy i ! � ! i t I i t I �- I C � -� �7' Ir - ! ( ; ' '� - - -W_. t.r�NG - —i•--- - 1 w t` .___ j�,� � . �. t � , I .�. .-I4 �" ,Y -- ...___.. __:_._,-__._ �XIS�ING%`'_.. . ! i -r--i .;• i_..: •. I I ,0D0�ksi_.i. -(_b ./Ns'fA>-6 RA.MQ_ �-:'��ar!�'I:KGT, ti9Gk,_;�• , '-----, —•--- ;_. i .�__..__..___... ;._.._ :__i-•_•t i _i--.. � - •._._---._...._.._ - .._; _!._._ .1"0 rt - t$_ h„_c_HIrtJNeL r,-govT Gro' R°M•. O - toF 1/4y PA6F Eb r� '� -• - -� ' . : .. . ! '.__ . .. .. _ _ HRS Ap,zuY 'FAY,. �? L?,-rip 1 �� pF SOUT � Michael J. Domino,President �� yplo Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J.Sanders CA Southold,New York 11971 Glenn Goldsmith • �� Telephone(631) 765-1892 A.Nicholas Krupski li,'0, 0UNT1 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: Please be advised that your application dated DA has been reviewed by this Board at the regular meeting of M /9^1 and your application has b en approved pending the completion of the following items checked off below. Revised Plans for proposed project 1N&.4)ltK6- aTl</A4_'K e lJI I�s�D S Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1st Day of Construction ($50.00) -Y2 Constructed ($50.00) Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) 30-Year Maintenance Agreement(complete original form enclosed and submit to Board of Trustees Office) The Permittee is required to provide evidence that the non-turf buffer condition of the 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. 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: $ BY: . Michael J. Domino, President Board of Trustees Michael J. Domino, Preside �0$ SCO Town Hall Annex John M. Bredemeyer III,Vice-Presiuent ��� ��� � 54375 Route 25 Glenn Goldsmith o =� P.O.Box 1179 cry z A.Nicholas Krupski � Southold,NY 11971 Greg Williams �,�o� �a0! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: ���� Completed in field by: PAUL BOCZEK requests a Transfer of Wetland Permit#3913 from Henry Boczek to Paul Boczek, as issued on May 3, 1991; and to inspect the reconstructed floating dock dimensions. Located: 1370 Strohson Road, Cutchogue. SCTM# 1000-103-10-28.1 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other CAV� I' - 4AND RAIL 717 r+ ' 2• /o.,. z'x� G _ /Goo !13 S BtioY��✓cY ail L fT� ' Michael J.Domino, President V`�Ig SoUTjyO Town Hall Annex John M. Bredemeyer III,Vice-President �O l0 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold, New York 11971 A.Nicholas Krupski G e Telephone (631) 765-1892 Greg Williams O 65-6641 Cou Ij BOARD OF TOWN TRUSTEES JUN 2 2 2018 TOWN OF SOUTHOLD Southold?win i Board of T APPLICATION FOR A TRANSFER OF A WETLAND PERMIT DATE �� v OWNER � V - CLE' PHONE 631 Cr_412 MAILING ADDRESS 1) u�l-1(t��� AGENT PHONE '7 ADDRESS c f PROPERTY LOCATION 117c 7c� )iyzI1 o� N �'� cufcI1eaue TAX MAP NO. I/We &u &c K request a Transfer of Permit# 39 from Htolsrw v(7 f� TO PAu— &C2&& I MALA V KUMAR Notary 121-ablic-State York No.01 KU6093698 Qualified in Nassau County My Commission Expires June 09,2019 Signed By: \ S' i.t 0 r n -� Board of Trustees Applic" )on AFFIDAVIT PPQ L 13o C2-SA , JR A 80 CZE k BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS) 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 BOARD OF 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, INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Proper Owner Signature of Property Owner SWORN TO BEFORE ME THIS�A�DAY OF -,J'CJtie , 20_t&_ MALA V KUMAR Notary Public-State of New York v '4 No.01 KU6093698 Notary Public OualiNed In Nassau County My Commission Expires June 09,2019 �/.� ':"'�"✓J Y `' ' rnk ` ' "G, � \\ ''i9srr Y ''• � f<� e�+, %' ,',�'� t `a'Q�}Y ,�� Va M s) r/63.. 9 _ rrr ' :sr/l !4 r_. . �.; . rf :_ l g • Cs r !� ��� .�'���."�.i4'G'"s`�c•� r _.�rw-r�S�'_'Tr�i:r c:u,,w,'°�-�yy✓y•ai�ssr..,i"e�v .✓.;�` � _'^T:,^� .'��- i Board Of Southold Town Trustees ") r � SOUTHOLD, NEW YORK M 1 PERIT NO. ....391.3.... ... DATE: ...t4ay ISSUED TO .....Henry...13ocz,ek.......................... w' is v Pursuant to the provisions of Chapter 615 of the Laws of Ei 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- k. ` l titled "REGULATING AND THE PLACING OF OBSTRUCTIONS ( I IN AND ON TOWN WATERS AND PUBLIC LANDS and the ik3 'i 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 May..2,_.... 19.91...., and in consideration of the sum of $.'. 486.,00 paid by i it iii� 13enry...Boczek..:. .. ....... ... ..... �i i of ........................... N. Y. and subject to the I' k: Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: it ii Install 6' X 20' floating dock & 12' X 14' ramp and 2mooring IF piles at end of existing dock. 4 I all in accordance with the detailed specifications asp resented in , the originating application. t� ( ;a� IN WITNESS WHEREOF, The said Board of Trustees here- �� t, by causes its Corporate Seal to be affixed, and these presents to t' Y be subscribed by a majority of the said Board as of this date. UI js f4 T ee ..,.e,.,.,,, '::na, /.i.7' '_,W. 3,_..F *r -.r��i: .�m"°J'nd.'F ra..6r.:i-.r -r. a .r•fr au .,- _ J� ii y)1 ! i ,.y !.. i• ! +.i%' .•:' F ice.<.��` .; r F I I� TERMS and CONDITIONS B z The Permittee Henry A oc ek residing at 1370 Strohson Road. Cutchogue, 'V� Y11935 N. Y., as i part of the consideration for the issuance of .the Permit does understand and prescribe to the fol- lowing: 1. That the said Board of Trustees and,the 'town of Southold are released from any and all damages, or claims for damages,of suits arising directly or.indirectly as a result of any oper- ation 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 respectthereto, 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 mos. 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`auth- orization 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 or project herein stated without expenses to the Town of'Southold. S. That the said Board will be notified by the Permittee of the completion of the work auth- orized. uthorized. 9. That the Permittee will obtain all other permits and consents that may be required sup- plemental to this permit which may be subject to revoke upon failure to obtain same. SOUTHOLD TR.USTEES No. 3913 P [� RMIT Issued Addres S l rsen Regal _ Ce.` j THIS NOTICE' UST EE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE.TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 TEL.: 765-1892 Albert J.Krupski,President 3 � Town Hall John Holzapfel, Vice President fr ,> 53095 Main Road Cz William G. Albertson ` a P.O. Box 1179 Martin H. Garrell .4 ZZ41 Southold, New York 11971 Peter Wenzel Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD APPLICATION FOR ICE DAMAGE PERMIT Existing Permit Number � /3 Creek MOP The purpose of this application: RedYiving or replacing openwork dock or openwork pier piling, and mooring piles, removal of damaged piling, repair, resetting or replacement of floating docks, ramps, or decking, all necessitated by ice and storm damage resulting during 1993/1994 Winter. Please complete form below and return to the Trustees Office along with a copy of your original permit and drawing. Provided that all paper work is in order, you will receive approval within a week if not immediately. Applicant' s Name & Address 0 C 2 13-ID Tel.No. 73� X73 Contractor's Name & Address t.} AMCS 44 PAMFo 11VL tIs)4oPS 3i^^cr-01Arv1PLenl AlTel.No. -J-63-13-5r9- SPECIAL CONDITIONS 1. . No dredging or filling is permitted. 2. Repairs to existing structures are limited to replacement of timbers without change in design or dimension. 3 . No repair or replacement of bulkheads is permitted under this permit. 4. No freshwater or tidal wetlands are to be disturbed under any circumstances. 5. A yellow permit sign provided by this office shall be displayed on the project at all times while under replacement. OVER TRUSTEES y. John M.Bredemeyer,III,President o a SUPERVISOR Henry P. Smith,Vice President a , SCOTT L.HARRIS Albert J.Krupski,Jr. 4 John L.Bednoski,Jr. Q ,�� Town Hall John B.Tuthill 53095 Main Road P.O.Box 1179 Telephone(516)765-1892 BOARD OF TOWN TRUSTEES Southold,New York 11971 Fax(516)765-1823 TOWN OF SOUTHOLD May 7, 1991 Henry A. Boczek 1370 Strohson Road Cutchogue,- NY 11935 Re: SCTM #1000-103-10-28.1 Dear Mr. Boczek: The following action was taken by the Board of Town Trustees during its regular meeting held on May 2, 1991 regarding the above matter: WHEREAS, Henry A. Boczek applied to the Southold Town Trustees for a permit under the provisions of the Wetland ordinance of the Town of . Southold, application dated March 11, 1991 and, WHEREAS said application was referred to the Southold Town Conservation Advisory Council for their 'findings and recommendations, and, WHEREAS, a public hearing was held by the Town Trustees with respect to said application on May 2, 1991 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, WHEREAS, the Board has considered all, the testimony and documentation submitted concerning this application, and, WHEREAS, the Board has determined that the project ,as proposed will not affect the health, safety and general welfare of the people of the town, NOW, THEREFORE BE IT RESOLVED HENRY BOCZEK BE AND HEREBY IS GRANTED' PERMISSION UNDER THE WETLAND ORDINANCE TO: Install 61 X 20' floating; dock and 12 " X 14' ramp and 2 mooring piles atend existing dock. This permit will expire two years from the date it is signed. Fees must be paid, if -applicable, and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. Please return to the Building Department for a determination on the need for any other permits which may be required for ;this ;project. Permit will be issued upon payment of the following fees for work to be done below Mean High Water Mark: 6X ;2-0xN-.2- ro Very truly yours, John M. Bredemeyer, III President, Board of Trustees JMB:jt cc: Bldg. Dept:, Conservation Advisory Council file F01/r, �� oy TRUSTEES cc _ SCOTT L. HARRIS OSupervisor John M. Bredemeyer, III, President y �� Henry P. Smith, Vice President �0( �a4 Albert J. Krupski, Jr. Town Hall, Box 79 Road P.O: Box 1179 John L_ Bednoski,Jr. Southold, New York 11971 John B. Tuthill BOARD OF TOWN TRUSTEES Fax (516) 765-1823 Telephone (516)765-1892 TOWN OF SOUTHOLD Telephone(516)765-1800 S.E.Q.R.A. NEGATIVE DECLARATION NOTICE OF NO SIGNIFICANT EFFECT ON THE ENVIRONMENT APPLICATION NO. 1000-103-10-28.1 NAME: Henry A. Boczek DATE: April 9, 1991 RESOLVED that pursuant to Article 8 of the Environmental Conservation Law, State Environmental Quality Review and 6NYCRR-Part 617, Section 617.10 and Chapter 44 of the Code of the Town of Southold, notice is hereby given that the Southold Town Trustees, as Lead Agency for the action described below, has determined that the project will not have a significant effect on the environment. Please take further notice that this declaration should not be considered a determination made for any other department or agency which may also have an application pending for the same or similar project. TYPE OY ACTION: Type II DESCRIPTION OF ACTION: to install 6 ' X 20' floating. dock and 12' X 4' ramp and 2 mooring piles at end of existing dock, LOCATION: Tax map No. 1000-103-10-28..1 REASONS SUPPORTING THIS DETERMINATION: 1. An on site inspection has been conducted by the Board of Trustees. 2. An environmental assessment, submitted by the applicant and 411 reviewed and completed by the Board of Trustees, has indicated that no significant adverse effects to the environment are likely to occur should the project be implemented as planned. cc: Bldg. Dept. , CAC, NYSDEC Page 2 On a motion by Betty Wells, seconded by John McCormick, it was RESOVLED to recommend to the Southold Town Trustees approval of Wetland Application No. 103-10-28. 1 of Henry A. Boczek to install a 6' x 20' floating dock and 12' x 4' ramp and two mooring piles at end of existing dock. 1370 Strohson Road, Cutchogue Vote of Council: Ayes: All Motion carried. On a motion by Stephen Angell, seconded by Cynthia Sturner, it was RESOVLED to recommend to the Southold Town Trustees conditional approval of Wetland Application No. 70-13-20.3 and 20.4 of Joseph Cornacchia to construct 308 '1.f, of bulkhead within 18" of existing functional bulkhead, including 20 I.f. to close opening to naturally filled channel; drede lagoon' to average 4' below MLW yielding estimated 3900"c.u. of spoil; use spoil to backfill behind new bulkhead, to backfill non-functional channel and to nourish beach. The Council approves the bulkheading as submitted. The Council approves the dredging with the condition that the project "link up" with the Koke dredging project after it receives DEC approval. The dredging' should not be done if there will be no link up because it would create a "pothole" and prevent proper flushing. The dredging should not commence until the Koke project is complete. Of course, recommendation of conditional approval is to be considered only after the ownership of questionable areas is established. Kimberly Lane, Southold Vote of Council: Ayes: All Motion carried. On a motion by John HOlzapfel, seconded by Bruce Loucka, it was RESOVLED to recommend to the Southold Town Trustees disapproval of Wetland Application No. 110-7-12 of Pequash Club to construct a timber bulkhead 100' long with a 10' return. The Council recommends disapproval because the bulkhead may destroy the beach in front of it. _ The beach should be stabilized by planting natural vegetation (beach grass, etc.) and keeping people off the beach. Concrete only exacerbates the situation. Fleets Neck Road, Cutchogue Vote of Council: Ayes: All Motion carried. On a motion by Stephen Angell, seconded by Bruce Loucka, it was RESOVLED to recommend to the Southold Town Trustees approval of Wetland Application" No. p/o 122-3-14 (lot 3) of Alarn Cardinale to construct a catwalk, platform ramp and float to piles. The Council suggests the applicant extend the catwalk and send the ramp from the catwalk to float and eliminate the stairs. Vote of Council: Ayes: All Motion carried. sU: tea_.✓ �.,W� Town Hull, 53095 Main Road ' P.O. Box 1179 Telephone (516) 765-1801 s,r � Southold, New York 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL To: Southold Town Trustees From: Southold Town Conservation Advisory Council Dated: April 4, 1997 Re: Recommendation of Wetland Applications On a motion by Bruce Loucka, seconded by John McCormick, it was RESOVLED to recommend to the Southold Town Trustees disapproval of Wetland Application No. 78-5-16 of James Grathwohl to construct a single family dwelling, sanitary system, well, bluestone driveway and construct a dock consisting of: 4' x 10' fixed elevated (4' above grade) walk; 3' x 16' hinged ramp; two 6' x 16' floats secured by three 8" diameter pilings. The CAC recommends disapproval because the house and septic system would be within the 100' wetland buffer area and the leakage from the cesspool could be excessive with the buffer area. The CAC recommends disapproval of the ramp and dock because it extends 29' out into the channel, going half way across the channel and would result in hazardous navigation of the channel. Williamsburg Lane, Southold Vote of Council: Ayes: All Motion carried. On a motion by John Holzapfel, seconded by Cynthia Sturner, it was RESOLVED to recommend to the Southold Town Trustees disapproval of Wetland Application No. 116-4-16.4 of Neil McGoldrick to maintenance dredge a channel within Halls Creek and approach channel from Freat Peconic Bay. The Council recommends disapproval because it feels that this application cannot be considered a maintenance dredging project and suggests the applicant reapply not as a 'maintenance project but as an original dredging project. Private road off New Suffolk Avenue, Mattituck Vote of Council: Ayes: All Motion carried. On a motion by Bruce Loucka, seconded by John Holzapfel, it was RESOVLED to recommend to the Southold Town Trustees approval with stipulations of Wetland Application No. 70-6-9 of Renato Starcic to constuct a 4' x 95' fixed elevated (4' above grade) pier (including inclined ramp on inner end) Install three mooring pilings. The Council recommends approval if the project length is cut down so it soesn't interfere with anyone already moored. The Council feels the project, as submitted, is too long and will present navigational problems since moorings are already present. Oaklawn Avenue, Southold Vote of Council: Ayes: All Motion carried. o �'4 TRUSTEES CA ze 177 SCOTT L. HARRIS John M. Bredemeyer, III, President ®� Supervisor Henry P: Smith, Vice President8'®�, '� Albert J. Krupski, Jr. Town Hall, 53095 Main Road John L. Bednoski, Jr: P.O: Box 1179 INew, Jahn B. Tuthill Southold Y ork 11971 BOARD OF'TOWN TRUSTEES Fax(516) 765-1823 Telephone (516) 765-1892 TOWN OF SOUTHOLD Telephone(516) 765-1800 March 21, 1991. Mr. John Holzapfel, Chairman Southold Town Conservation Advisory Council Southold Town Hall Main Road Southold, New York 11971 Dear Mr. Holzapfel: j Transmitted herewith is application No. 1000-103-10-28.1 for a wetlandapplication submitted by Henry A. Boczek. Please prepare a written report of findings and recommendations with respect to this application. Very truly yours, I i i John M. Bredemeyer, III President, Board of Trustees j JMB.jt . ff gt/( TRUSTEES TT L. HARRIS John M. Bredemeyer, III, Presidents 3 ! ' Supervisor HenryP. Smith Vice President T 11, 53095 Main Road Albert J. Krupski, Jr. ..y� 'j j O. Box 1179 John L. Bednoski, Jr. John B.Tuthill Id, New York 11971 BOARD OF TOWN TRUSTEES x (516) 765-1823 Telephone (516) 765-1892 TOWN OF SOUTHOLD Telephone (516) 765-1800 APPLICATION IS HEREBY MADE TO THE TOWN TRUSTEES, TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK, FOR THE ISSUANCE. OF A PERMIT PURSUANT TO THE LAWS, ORDINANCES AND REGULATIONS GOVERNING THE COASTAL AND INTERIOR WETLANDS, FLOOD PLAINS AND DRAINAGE AREAS OF SOUTHOLD TOWN, AND THE ISSUANCE OF PERMITS PURSUANT TO CHAPTER 32 OF THE CODE OF THE TOWN OF SOUTHOLD. APPLICATION NO. 03- to-aq- DATE APPLICANT' S NAME: 1 6 1 MV TEL. NO. -739C- -75--75 MAILING ADDRESS: 1374 -S Pxo,ipsg� A,tkb G�TC {6CrV f s 1173S� AGENT: IYOAIC- TEL NO. AGENT ADDRESS- i' PERMIT REQUESTED TO: 11V8 &�x �6 fC e 1/14`fY d D[ K- AND fael, 41 A?1 AM> :;L MOO&JW� Pll.6S AT F-r/© Or G,P< 1S-r1A1g, Poe a > LOCATION OF PROPERTY FOR REQUESTED PERMIT: 13-1c S-fke�I S oA," g 0-h p TOWN: a J v�' v L_j> TAX MAP NO: 1000- /03 l 0 "a$-tr CREEK, BAY OR HARBOR FRONTING PROPERTY: SIZE OF PROPOSED WORK: I LEND :1 �OO KAMF 1 ri-DA17 V6-- p©c-K, WIDTH: .,a \,pp. Page 2. YDS. TO BE EXCAVATED: IV11� YDS. TO BE FILLED: MANNER IN WHICH MATERIAL WILL BE REMOVED OR DEPOSITED: WIDTH OF CANAL, CREEK OR BAY FRONTING PROPERTY: PR�' a fro p p10 t 0 Rr r'l,PPoiW— OF �yy, DEPTH AT LOW TIDE: (tjofosQpc®Ariwc_ PocleAVER. RISE IN TIDE: DISTANCE TO NEAREST CHANNEL: Agou- AS'O' F40A) +SND mF PA0100%Ej) 5�©cam DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN AREA• `��'� AREA ZONING: &EsoD,C'✓rfAL IS PROJECT FOR PRIVATE OR BUS. USE: -fRi tlA r t INTENDED USE OF PROPERTY: h6cR6AT/oN p DESCRIBE KNOWN PRIOR OPERATIONS CONDUCTED ON PREMISES HAS ANY PRIOR LICENSE OR PERMIT BEEN ISSUED TO ERECT STRUCTURES, DREDGE, OR DEPOSIT FILL ON SAID PREMISES: JE75 FaR gyl.K46Ap A)V$ FOP HAS ANY LICENSE OR PERMIT EVER BEEN REVOKED OR SUSPENDED BY A GOVERNMENTAL AGENCY: /V 6 DESCRIBE FULLY THE REHABILITATION OF PROPERTY: wij i, lyes 13e 0-,4hrte-,6D -e�ro / lyy 5f&WI FICAtIf 4XTcMr DESCRIBE PROPOSED CONDITION OF PROPERTY AFTER WORK IS COMPLETED. INCLUDE AN ADDITIONAL SURVEY OF PROPERTY SITE IF NECESSARY: ARE THERE ANY COVENANTS OR RESTRICTIONS IN YOUR DEED WHICH WOULD PROHIBIT THIS PROJECT: Alb WRITTEN CONSENT OF OWNER IF NOT THE SAME AS APPLICANT: COUNTY OF SUFFOLK ) STATE OF NEW YORK ) BEING DULY SWORN DEPOSES AND SAYS THAT HE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS, AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS KNOWLEDGE AND BELIEF, AND THAT WORK WILL, BE DONE IN THE MANNERSETFORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE TOWN BOARD OF THE TOWN OF SOUTHOLD. 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, IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,, THEIR AGENT OR REPRESENTATIVE, TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature of pplicant SWORN TO BEFORE ME THIS DAY OF ^ZC," 19 q Roam w R MNa10 WARY PUSUC,Swe os Nwft v Ila No.4808641 Cual9w in Nassau County n NOTARY PUBL CrAMMIMOR E*kesNovember 3% c,( EXAMINED BY APPROVED DISAPPROVED CONDITIONS (If any) SIGNATURE OF CHAIRMAN COMPUTATION OF FEES Approved 2/27/85 .. 14.16-4(2/87)—Text 12 PROJECT I.D.NUMBER 617.2�t'� SEQ'R Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM _ For UNLISTED ACTIONS Only PART 1-PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT[SPONSOR 2. PROJECT NAME "Ay A BaC,-7-eI4 3. PROJECT LOCATION u,+ Municipality 'C.ai-a c_14 0c"i1 f= '5 G U-'r01.D County 'Su F FO L 4. PRECISE LOCATION(Street address and road intersections,prominent landmarks,etc.,or provide map) 31,0 SfioifsoW fo,4 #JEW t KK_ j1f:�' 5. IS PROPOSED ACT�rII-OnnN�� • C1 New ' Okoxpansion O.Modificationlaiteration 6. DESCRIBE PROJECT BRIEFLY: f1� �i9tr_ �Q iy- 71_0t F4411 7�11116_ Poe- ,. h1VP fA"?c'if f 10199 IWP 7. AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 8. V4�11LLL/�P�ROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? Q Yes ONO If No,describe briefly 4. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? 9'Residential O!ndustrial O Commercial O A riculture Describe: g ElParklFprestlOpen space ❑Other 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING.-NOW OR ULTIMATELYFROMANY OTHER GOVERNMENTAL AGENCY(FEDERAL,. STATE .�,O�LOCAL)? li�lYes O No If yes,list agency(s)and permitiapprovals V's D 54:r- Fj 11.. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT.OR APPROVAL? ❑Yes If yes, list agency name and permit/approval dr�P�fc,�,.<ciw°s i1n' i� lj �✓�'i f� A Of � ^ 12. AS A RESULT OF/Pg OPOSED ACTION WILL EXISTING PERMITIAPPROVAL REQUIRE MODIFICATION? El Yes L7No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE LApplicantIsPonsor name: layvr(/'\ I C.2=.. Date: Signature: `l If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER PART 11-ENVIRONMENTAL ASSESSMENT (To beromplet-ed by Agency) A. DOES ACTION EXCEED ANY TYP< ' ------------ HRESHOLD IN 6 NYCRR,PART 617.12? If yes,C(,' Yes No ',;Rate the renew Process and use the FFULLE�AF..- ❑ ❑ - B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No.a negative declaration may be superseded by another involved agency. El Yes 1:1 No C_ COULD ACTION.RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns,:solid waste production or disposal, potential for erosion,drainage or flooding problems?Explain.briefly- C2. rieflyC2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood Character?Explain briefly: C3. Vegetation or fauna, fish,shellfish or wildlife species,significant habitats,or,threatened or endangered species?Explain briefly: - C4..Acommunity's existing plans or goals as officially adopted,or a change in use or intensity of use of land or other natural resources?Explain briefly. C5. Growth,subsequent development,or related activities likely to be Induced by the proposed action?Explaln briefly. C6. Long term, short term,cumulative,orother effects not identified in C7-05? Explain briefly.. li C7. Other impacts(including changes in use of either quantity or type of energy)? Explain briefly. D. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS?. ❑Yes ❑No If Yes,explain briefly PART III. DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e..urban or rural); (b) probability of occurring; (c) duration; (d)' irreversibility; (e)geographic scope;and(f) magnitude. If necessary, add attachments or reference supporting materials.`Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. FANDhis box if you have identifiedone or,more potentiafiy targe or significant adverse impacts which MAY hen proceed directly to the FULL EAF and/or prepare a positive declaration. his'box if you have determined, based on the information and analysis above and any supporting ntation, that the proposed action WILLNOT result in any significant adverse environmental'impacts vide -on attachments as necessary, the reasons supporting this determination: Nance or.Lead Agency Pr+nt or.type Name or.Kcaponsible.umcer in Lcad Agencytitle of Kcspons+-------------- ble Utficef Y+gnature or Hesponuble Officer in Leed Agency 9gbalure or Preparer Ill ddferenr Irom respons+ble orfrcerl i f JAMESH. RAMBO, em. awliops Lane SOUTHAMPTON, NY 1196E- ftom -t 7 1 i PROPOSAL SUBMITTED TO PHONE DATE t'.F4�Fw STRffir JOB NAME CfrY: TATE AND IP CODE JOB LOCATION : ARCu-tGhoque, New York Mid Creek, Cutchaquin H TELT' DATE OF PLANS J-59 HO TAf We hereby submit specifications and estimates for: 1 i 1 I I K Supply and install 41x12' Ramp 61x20' Floating dock (2) 25' Mooring piles I f All lumber pressure treated CCA. All hardware hot dipped galvanized. 4 i Permits by others: i I N.Y.S. D.E.C. 751-7900 f Southold Town Trustees 765-1892 Corps. of Engineers (212)264-3912 Enclosed sketches are part of this proposal. f , f I I s I P f rOV0Sf hereby to furnish material and labor —complete in accordance with above specifications, for the sum of: k i dollars($ 2 , 000. 00 ). [ Payment to be made as follows: i $100- 00 on signing- Sot at sta rt- 'Ralanc--p- upon completion. - An i nurse- chwV Of 1%% pw mooft wig! to charge balanc-e-s unpaid after 30 days- All material is guaranteed to be as specified.All work to be completed in workmanlike :manner according to standard.practices.Any alteration or deviation from above specifica- Authorized 'tions involving extra costs will be executed only uponwritten orders,and will become an Signature extra charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tornado and other necessary insurance. Note:This proposal may be ,Our workers are fully covered by Workmen's Compensation Insurance. withdrawn by us if not accepted within days. Arra tmr of 11raThe above prices, specifications .�pastt1- , CQ� h !r { or ( and.conditions are satisfactory and are hereby accepted. You are authorized Signature—_�-,--� iqq( to do the work as specified.Payment will be made as outlined above. t fate of Acceptance: -3 — ' Signature Page - 1 l l FORM 119-3 COPYRIGHT 1960- AvaOaoe from �Inc.Groton.Mass.01450 t r f ro ItMSOUTHM HARRIS Supervisor rTt TRUSTEESJohn M. Bredemeyer, III, President �'�- 11, 53095 Main Road Vice President .0, Box 1179 Henry P. Smith,Albert J.Krupski,Jr. Town d, New York 11971 John L. Bednoski, Jr. I (516) 765-1823 John B. Tuthill BOARD OF TOWN TR Telephone (516) 7654800 Telephone (516)765-1892 TOWN OF SOUTHOLD APPLICATION IS HEREBY MADE TO THE TOWN RUSTEES, TOWERMIT NNNT OFTO THE LASOUTHOLDWSSUFFOLK COUNTY, NEW YORK, FOR THE ISSUANCE ORDINANCES AND REGULATIONS GOVERNING THE COASTAL AND INTERI R WETS OFS r FLOOD PLAINS AND DRAINAGE AREAS OF SOUTHOLD TOWN, ANDPERMITS PURSUANT TO CHAPTER 32 OF THE CODE OF THE TOWN OF SOUTHOLD. N DATE 5 —1 —.JL- APPLICATION J� APPLICATION NO. to, 10 x� I 11,, o c ;L.E It TEL. NO-. APPLICANT' S NAME: U IV U A MAILING ADDRESS: 137„ S iRoltsaN & A-b C,�'�c�t° �" � AGENT: /h D C TEL NO. AGENT ADDRESS: � � PERMIT REQUESTED TO: fJ✓Sln LL fofxablFLoF17/MG QaoK. Alyn 'A4 PA41 � _ IV D i-5,c 4 t SND o nA LOCATION OF PROPERTY FOR REQUESTED PERMIT- ° Tr-ffO -0 11935 SG6 MAPS FlT7Rc TOWN: So U T OLS? TAX MAP NO: 1000- 103 -d8 CREEK, BAY OR HARBOR FRONTING PROPERTY: SIZE OF PROPOSED WORK: LENG7`1: KA K P WIDTH: ' R:?l P d fin` P-oArlivc, oco > App. Page 2. YDS. TO BE EXCAVATED: /VIS, YDS. TO BE FILLED: /SIL MANNER IN WHICH MATERIAL WILL BE REMOVED OR DEPOSITED: WIDTH OF CANAL, CREEK OR BAY FRONTING PROPERTY: .911AT Ivilpec tl-r OF DEPTH AT LOW TIDE: �R� paS,p rL.j �Na- oc AVER. RISE IN TIDE: a- DISTANCE TO NEAREST CHANNEL: Agcu7 5k,5131 rRG11 � °r � oP�SeD hoc DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN AREA: ©/YC- AREA ZONING: RAS 0 "� / �' IS PROJECT FOR PRIVATE OR BUS. USE. PR) r INTENDED USE OF PROPERTY: R 6c RCATioN DESCRIBE KNOWN PRIOR OPERATIONS CONDUCTED ON PREMISES: R f HAS ANY PRIOR LICENSE OR PERMIT BEEN ISSUED TO ERECT STRUCTURES, DREDGE, '/ o2 UT-KR6A2 lit" Fops OR DEPOSIT FILL ON SAID PREMISES: TES F B RCNaJAT7o1� aF E.AfS-r/►JU Poc K ER BEEN REVOKED OR SUSPENDED BY A GOVERNMENTAL HAS ANY LICENSE OR PERMIT EV AGENCY: /Y 6 DESCRIBE FULLY THE REHABILITATION OF PROPERTY: 19L, IYO-r Pe aj A)vc-ED ` e> Ilwy 5i&AIF/eAV41 DESCRIBE PROPOSED CONDITION OF PROPERTY AFTER WORK IS COMPLETED. INCLUDE AN ADDITIONAL SURVEY OF PROPERTY SITE IF NECESSARY: ARE THERE ANY COVENANTS OR RESTRICTIONS IN YOUR DEED WHICH WOULD PROHIBIT THIS PROJECT: r lb WRITTEN CONSENT OF OWNER IF NOT THE SAME AS APPLICANT: COUNTY OF SUFFOLK ) STATE OF NEW YORK ) 14 I'm KY A -Is o c '2.1=k- BEING DULY SWORN DEPOSES AND IBED AND SAYS THAT HEIS CONTAINEDCANT FOHEREINRAREEABOVE TRUE TO THE OF HISSKNOWLLEDGE THAT ALL STATEMENTS CON AND BELIEF, AND ASAMAY BE APPROVEDDBYEIN THE THE TOWN MANNER FORTH IN THIS APPLICATION AND WN SOUTHOLD. THE APPLICANT AGREES TANY AND ALL DAMAGES ANDO HOLD THE TOWN 0TC�ADIMSNARISINGO TRUSTEES HARMLESS AND F UNDER OR BY VIRTUE OF SAID PERMIT, IF GRANTED. IN COMPLETING THIS APVETOOIENTER ONTOBMYAPROPERTY TOEINSPECTETHETPREMISES AGENT ,OR REPRESENTATIr IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. k' c' Signature of pplicant 19 SWORN TO BEFORE ME THIS DAY OF A, ROBERT W.MANNING NOTARY PUBLIC,Stale Of Naw YON No. 4808841 Qualified In Naa0aU 00unly //�� NOTARY PUBL C &9mmbslon Espitas Novernbar 3%19 0( EXAMINED BY APPROVED DISAPPROVED CONDITIONS (If any) SIGNATURE OF CHAIRMAN COMPUTATION OF FEES Approved 2/27/85 .14,46.4(2187)—Text 12 _ SEAR 617.21 o PROJECT LD..NUMBER Appendix C StateEnvironmental Quality Review -- SHORT ENVIRONMENTAL ASSESSMENT FORM r- For UNLISTED'ACTIONS Only PART I—PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT]SPONSOR 2. PROJECT NAME 'r1a,y A B es G ,II-1 3."PROJECT LOCATION: Y' S.,1 II'Fo L K Municipality eq{�. lJ'(j'• v"L t'C. ti')L j> County 4. PRECISE:LOCATIONlStreet address.and road intersections,prominent landmarks,etc.,or provide map) 1374 s 1'dZc �o jvve�b 5. Is PROPOSED ACT�II,O,�nN�� El New L•J'Expansion ❑Modificationlalteration 6. DESCRIBE PROJECT BRIEFLY: l� /ix (�H L>_ e rr,- a- ` F1-6A �inr )r� f Nva / �.x 11 AM P ,AND T2 s` /II a od P I L r=-x /,v-i" C 4✓1) OF AiT oc Is 7"/.r/E- P ve-K- 7. AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres. - 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? L.)yes ❑No If No,describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ❑ M-11esidenlial ❑!nduslrial El Commercial ❑ El Park/Forest/Open space Other Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING,NOW.OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATE G LOCAL)? Yes O No If yes, list agency(s)and permitlapprovals sor�>Fd� p� °e rl �v il✓ ERS 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?. ❑Yes ID40 if yes,list agency name and permitlapproval rFPP1.1cA7-1a1V3 ?e/ivrr fill-6'13 i-".' i 1-/J 12. ASA RESULT O�F�/P5OPOSED.ACTION WILL EXISTING PERMITIAPPROVAL REQUIRE MODIFICATION? El Yes L�No _ I CERTIFY THAT.THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE ApplicanVsponsor name: Date: Signature: CAI- L I-Al If the action is in the Coastal Area, and you are a state agency, complete the '__jCoastal Assessment Form before proceeding with this assessment OVER 1 PART 11—ENVIRONMENTAL ASSESSMENT (To be completed b' A. DOES ACTION EXCEED ANY TYP y A Agency) ' E 1 THRESHOLD IN 6 NYCAR,PART fi17.i2? _ ❑Yes ❑No If yes,coordinate the review Pro - , U- WILL ACTION RECEIVE COORDINATED R p cess and use the FULL L}q_F._�"' REVIEW AS PROVIDED FOR UNLISTED ACTIONSIN6 NYCRR,PART 617.61 , may be superseded by another involved a ❑Yes ❑No 9eney, If No,a negative declaration C. COULD ACTION RESULT IN ANY ADVERB CL. tiair quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid"waste EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,if Iegfble) potenen tisal for erosion,.drainagis or flooding problems?Explain briefly:' Production.or disposal, C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?` Explain bristly. C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly. C4. A community's existing Plans or goals as officially adopted,or a change in use or intensity of use of land�or other natural resources? Explaln briefly. C5. Growth subsequent development,or related activities likely to be induced by the proposed action? Explain briefly. C6. Long term, short term,cumulative,or other effects not identified in Cl-05?Explain briefly. C7. Other impacts(including changes in use of either quantity or type Of energy)?Explain briefly. D. IS THERE,OR IS THERE LIKELY TO 13 E,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? PART ❑No It Yes,explain briefly PART III—DETERMINATION OF SIGNIFICANCE(To be completed INSTRUCTIONS: For each adverse effect Identified above,dete mie whether gt is substantial large,important Each effect;should.be assessed in connection with its (a) setting irreversibility; (e) geographic scope;and(f)magnitude. s necessary) settsg (i.e. urban or rural); b p rtant or otherwise significant. explanations contain sufficient detail to show that all relevant adverse impacts have been)identlf identified andf occurring; (c) duration, (d) vadd attachments or reference supporting materials. Ensure that p adequately addressed.. ❑ Check this box if you have identified one or more potentially large or significant adver occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration., se impacts which MAY ❑ Check this box if you have determined, based on the information and analysis above and documentation, that the proposed action WILL NOT result in an AND provide on thatattachments e the osd action necessary, any supporting the reasons supporting Y significant adverse environmental impacts pporting this determination: Name or Lead Agency Print or IYpe Name Of 6esponstble Ufi,cer in Lead Agency rnle of Hesponvble Ulricer Signature of N_espom,ble:Officer ern Lead Agency Stxnature oI 1'reparer tlr drtferenl from responsible officer) Date 2 JAMES H. RAMBOI, INC. Bishops Larte SOUTHAMFION, NY 1196E: Phone 283-12M 734585 0,.4. . PHONE . DATE PROPOSAL SUBMITTED TO 40,14-j+lill 7573 JOB NAME STR JOB LOCATION CITY, TA E A D IP CODE J B HO ARCH T CT DATE Or PLANS We hereby submit specifications and estimates for: 'i Supply and install 41x12 ' Ramp 61x20' Floating dock (2) 251 Mooring piles All lumber pressure treated CCA. All hardware hot dipped galvanized. i Permits by others: E N.Y.S. D.E.C. 751-7900 Southold Town Trustees 765-1892 Corps. of Engineers (212) 264-3912 I Enclosed sketches are part of this proposal. ` ' p frtiptior hereby to furnish'material and labor — complete in accordance with above specifications, for the sum of: dollars($-2 , 000. 00.—). Payment to be made as follows: An interest charge of lr/e'1� per month wl!! be charg bs!a -fs tmpa+.! site 3t days All material is guaranteed to be as specified.All work to be completed in a workmanlike Authorized manner according to standard practices.Any alteration or deviation from above specifica Signature r tions.involving extra costs will be executed onlyupon written orders.and will become an g extra charge over and above the estimate.All agreements contingent upon strikes,accidents Note:This proposal may be days. or delays beyond our control.owner to carry fire,tornado and other necessary insurance. withdrawn by.us if not accepted within Our workers are fully covered by Workmen's Compensation Insurance. Arrepttue at Proposal—The above prices,specifications a(-7^VL C( Signature '`"� and conditions.are satisfactory and are hereby accepted. You are authorized -. to do the work as specified.Payment will be made as outlined above. .Signature Date of Acceptance: 1--�---�—_---------�aCle — 1 j FOflM 116-3 COPYflIGNT 1960- Availableaom[Netlnc,Groton,Mass.01450 I fa+� r r bk n z b i O x 3 o 0 le m � m I rn i 1 1 `/,f��C DE z'x� ?O. srrZOfo6"I /600 Z$S 8UOY1NCY 81L[Fr--> SECTiow �o� SCALE '/2" t +� . �� � ,_ IVI.f " Seari►iarri .,� s' �y> . i R ilJ� 84 ` 1 a -WW R. F !r s 4 Q \v . I l .4 •� 'X t• /i tj y ki qar Ib V1172.50 Q s• r 1-. pbhe ,- 7-Y 'Fr 7 10 � ` S. Ta¢lli �. ya �, .. rl�'ky�� �! { 4. V q &z f � `�i C ✓-�'t ' INAUTHOIXIIED ALTC.�71ON OR ADDITION tl��•� st - ,3X TF.G i TNIS.YULM IS MVIOU71ON OF C'7cXJFtn.YPi-EE1B� . FLCTION 720 OF THE NEW YORK STATE• -- 4 { LDUATiOfK3v?'�xHGeO. QfT69l ft7 {Ttl 'MCY+t'tlB �.- O 15 Of LAW T:15 SLIMY/%.AP NOT BEARING M:Jja TIK�Br ivY''s7 Y- �,,.: LA 'D S .v t P'S IWUD SEAL OR. Y� ¢Yfv> ,, y'r'i','1^ ; .• � T t. r y 'LC-SD.S A 'A L(.OT CE CONSIDERED .yrs SCJY��Cd,-a'oY '• .t.; z�tia 3g - � �'',Yt tt` 1, 'ae .. 7" k ,iO 9E A vA 'J i uE CSIRY.' - g /' f < t�. `iis y y �.+ jaa•,sUARAL 7LS ; 1 AT O TrR r+V SHALL RUN �j .�• 7-UY1_ �-• i ���''� ',+ij Y ONLY TO TE. v„Cm THE SURVEY K.0 �+�r✓ V4". 7 ' ^t'r c.,,L't 1'` + - bE 5+;♦,sf �'p'.e�'j f' " r@f''f S " CMFA .F SAI AGiG A +1 N TI SC 1ALF THE FRE, TITLE CCMFt uriR ' ENCY AND, `.LEND.*NG Rl.ot4. AND ✓....w.r.+ - �TO THE A'.5:6 L.S OF 7RE LE.DING INSTI; t..fGPF'T r�� ��(j1E,� •�C 1�lE Oi' TUTION.GL:,% A-,!SEES ARE NOT URANSFERABLE }i 5-• t•`^ � s'4 ry �7"re i !-' t r' TO ADDITIONAL INSTITUTIONS OR SUBSEQUENE OWNERS. -- 4i N P Q R NOIMOH 0 } r v o o r a r a pater oyo Ivo' �� p Je o b 04 Q W � Eost o�J i U r a Cr`'L'sf' e°P a JAG t�0 Do o G �p 0 � o ti 1lIWVH 4r N Offal vE cc JE u �N3nd P 3AIUCI 0 Mls 3 0 Z a wm o may ' a OOM3N d �� POUF o o I�OlOH 3RN�� 30 3AV 3 3�b g D � � U 3 OV b • S//may/■/ MTSO� Lay r r'VAo G bf\ e 1 4 +z oo _ a _ t _. 'ETP.. ♦4 t t*r,o � . OTO 3 '��r�a• A PP14 rvvvn o'� �s GOLDSMITH'S ,, 971 ""cis„ r C INLET PARK rE (COUNTY) U\ T H 0 imL- �. "a� Y, H PP't..,..r.P. r4��OPy ��• 6 r Founder4 _ Landcn9 1 CD Ir'o. �R Jockey �c V .S 0 U r No PE CONIC t Itn n\ m SLP am. x �•j�'!M1 \ �L.Fn• S' � 1 9 11958 GREAT H a NECK ��. rm w � � 3 i�rr�� + tr �+uo bs x ��. • y`+ r i e0 RLCi( 'y ao. ..c...i�l�'. •�1.• ` ! Oii.{�i ool•. �.PI y � p�� �I'nI �. Ro( Cr Xog yeck P5 P S 7L] PO BB 1. EAST. ,„e..„ o„cc•. Corey P V o „ CUTCHOGUE N E C K o\ ffA�EAf^'��� A Y LE T NE K _ � �Ay i so a�e P � a •`' -'�� ••",, LITTLE larshP! +AE HOG of - NECK N.vync I c P iCc CU7CHOGUE ` NASSAU •� /s i''a' POINT / lld Core HARBOR 1 Y.C. Wunnewefa. ,o CLU � and /r . � r 1 V / 1 1 N 1 1 1 1 1 C E ; 04 i ai F: m's 6` ' ' ' a MP LCn LIRE_ f °i•. t� � i S r' c B 3 8`� N g a N N `•Pr'0' ry /�/ 4.S i � m .� N ♦ �. O I m � `N �` xae•'m L �• O N r°�° N a §•��a d/9 ,• , O J 2 08 I Bpd % xj' � N iso3 CI rpN� � IGGGrB 1r N O _SLI a' '4 Y "d 4' :i -• fT _ v x eK Z S •'S 3 m $ IN X0 o O R E: �.. foo', .i ;::g c •.�^' .... _ _ n sm 7.,. SAY eF I M /p.. Byrd°'e iGrrrr) mI O c Nf� { u f F