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HomeMy WebLinkAboutTR-8557John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King Charles J. Sanders Dave Bergen rguEfO(,� coG 0 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD • Town Hall, 53095 Main Rd_ P.O. Box 1 179 Southold, NY 11971 Telephone (63 1) 765-1892 Fax (631) 765-6641 YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE -CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre -construction, hay bale line ,Ist day of construction / % constructed J Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 8557 DATE: JANUARY 21, 2015 ISSUED TO: EUGENE P. LEWIS PROPERTY ADDRESS: 1800,LITTLE PECONIC BAY ROAD, CUTCHOGUE SCTM# 111-14-20 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 January 21, 015, and in consideration of application fee in the sum of $250.00 paid by Michelle K. Bach and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: - Wetland Permit for the removal of existing timber bulkhead and; replacement of 103 linear feet of vinyl bulkhead with 8 linear foot and 20 linear foot returns all in same location as existing with raised height .of 1' above existing top cap elevation; remove existing'timber platform, ramp and float and construction of new 4'x6' timber platform; 3'x14' aluminum ramp; and 6'x20' floating dock; install a maximum of 20 cubic yards of clean` sand rill landward of bulkhead; provide a 10' wide non -turf buffer alongthe landward edge f the bulkhead; and for the existing shed, brick walkway and lighting on dock (to be Dark Sky, compliant); and as depicted on the site plan prepared by°Jeffrey Patanjo last dated November 5, 2014 and stamped approved on January 21, 2015. 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. TERMS AND CONDITIONS The Permittee Eugene P Lewis residing at 1800 Little Peconic Bay Road Cutchogue New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks: 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work,shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded` with the Suffolk County Clerk's Office as a notice covenant and deed nstriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 1 l . 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. 0 John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee January 21, 2015 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 RE: EUGENE P. LEWIS 1800 LITTLE PECONIC BAY ROAD, CUTCHOGUE SCTM# 111-14-20 Dear Mr. Patanjo: Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 The Board of Town Trustees took the following action during its regular meeting held on Wednesday, January 21, 2015 regarding the above matter: WHEREAS, Jeffrey Patanjo on behalf of EUGENE P. LEWIS 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 December 9, 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 recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 6.3 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the issuance of a permit on structures; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on January 21, 2015, at which time all interested persons were given an opportunity to be heard, and, 2 0 0 WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of EUGENE P. LEWIS for the removal of existing timber bulkhead and replacement of 103 linear feet of vinyl bulkhead with 8 linear foot and 20 linear foot returns all in same location as existing with raised height of 1' above existing top cap elevation; remove existing timber platform, ramp and float and construction of new 4'x6' timber platform; 3'x14' aluminum ramp; and 6'x20' floating dock; install a maximum of 20 cubic yards of clean sand fill landward of bulkhead; provide a 10' wide non -turf buffer along the landward edge of the bulkhead; and for the existing shed, brick walkway and lighting on dock (to be Dark Sky compliant); and as depicted on the site plan prepared by Jeffrey Patanjo, last dated November 5, 2014 and stamped approved on January 21, 2015. 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: $608.00 Very truly yours, John M. Bredemeyer III President, Board of Trustees JMB/amn 0 John M. Bredemeyer 111, President Michael J. Domino, Vice -President James F. King Charles J. Sanders Dave Bergen TO: BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD • Town Hall Annex 54375 Route 25, P_O. Box 1 179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Wi 1 J Please be advised that you riapplication dated -17 fqliq- I has been reviewed by this Board at the regular meeting of S and your application has been approved pending the completion df the following items checked off below. Revised Plans for proposed project Pre -Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction' ($50.00) Y Constructed ($50.00) Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: Float -_CnsPe�-(+—Itse;on Dock ReS -- +-I X&' pla-�rm C2'� . �f K 3,bD�s��- '. 72• ba 3"K1lf' ramp 42—sq >( P'3,6b) (c`x2o`-')en_4 C MD Sq, -OL-) K I3.ba TOTAL FEES DUE: $4995 9 BY: John M. Bredemeyer III, President Board of Trustees ne P. Lewis Little Peconic Bay Road, Cutchogue 1# 111-14-20 "W. 0 m ie P. Lewis Little Peconic Bay Road, Cutchogue 1# 111-1420 '15 WE I P gig x -�." ,. , it Yqq , 4 t �R ,. Mt . ii rul."'a 1 in 0 - John Bredemeyer, President %UFFDI,r Michael J. Domino, Vice -President James F. King Charles J. Sanders Dave Bergen I* Town Hall Annex 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field InspectionMork Session Report Date/Time: i Jeffrey Patanjo on behalf of EUGENE P. LEWIS requests a Wetland Permit for the removal of existing timber bulkhead and replacement of 103 linear feet of vinyl bulkhead with 8 linear foot and 20 linear foot returns all in same location as existing with raised height of 1' above existing top cap elevation; remove existing timber platform, ramp and float and construction of new 4'x6' timber platform; 3'x14' aluminum ramp; and 6'x20' floating dock; install a maximum of 20 cubic yards of clean sand fill landward of bulkhead and provide 10' wide non -turf buffer along the landward edge of the bulkhead. Located: 1800 Little Peconic Bay Road, Cutchogue. SCTM# 111-14-20 Type ofarea to be impacted: (-Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under:Chapt.275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre -Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Storm Water Management Review: Yes No Not Applicable Modifications: Conditions: Present Were: --J. Bredemeyer M. Domino J. King C. Sanders D. Bergen Bay Constable Other Form filled out in the field by �) , Ie --l- k A Mailed/Faxed to: Date: December 7, 2014 NYS Dept. of Environmental Conservation SUNY @ Stony Brook ,- 50 Circle Road t Stony Brook, New York 11790-2356 DEC - 9 2014 Attention: Duty Analyst._ RE: 1800 LITTLE PECONIC BAY ROAD, CUTCHOGUE, NY SCTIIA No. 1000-111 -14-20 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, J rey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 cc: T NYSDOS Mr. Eugene Lewis 5. 0 0 State Zip Code Telephone (daytime) JOINT APPLICATION FORM Post Office City State Zip Code NY For Permits/Determinations to undertake activities affecting streams, waterways, Town / Village / City waterbodies, wetlands, coastal areas and sources of water withdrawal. ss. +11% O l dQ- S v &,L)( Name of USGS Quadrangle Map Stream/Water Body Name 500fiboIdQ US Army Corps ofEngineers New York You must separately apply for and obtain separate Permits/ Determinations from (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 - State General Services ment of Check all permits that apply: ❑ Stream Disturbance ❑ Coastal Erosion Check all permits that apply: ❑ Section 404 Clean Water Act Check all permits that Check if this aPPIY� applies: ❑ Excavation and Fill in Management M ❑ Section 10 Rivers and Harbors ❑ State Owned Lands uCoastal Navigable Waters 13 Docks, Moorings or ❑ Wild, Scenic and Recreational Rivers �.,� Act L1S Nationwide Permit(s) - Identify❑ Under Water Utility Consistency Concurrence Platforms ❑ Water Withdrawal Number(s): Easement ❑ Dams and Impoundment ❑ Long Island Well (pipelines, Structures ❑ Aquatic Vegetation Control 3 conduits, ❑ 401 Water Qualitycables, ❑ Aquatic Insect Control etc.) ❑ Docks Certification ❑Freshwater Wetlands ❑ Fish Control Preconstruction Notification - t_ [3 Y / 2 N Moorings or �/ Lti Tidal Wetlands ❑ Incidental Take of Endan- Platforms gered/Threatened Species ❑ I am sending this ,-,/ E I am sending �I am sending this application to this agency. ❑ I am sending this application to this agency. application to this this application agency. . to this a enc=y- 5. Name of Applicant (use full name) Applicant must be: Owner Ev CnG P• I.Gwr S ❑ Operator Maili g Address ❑ Lessee (check all that apply) 3 N,.4 so- s -t. A!r• S Post Office City Taxpayer ID (If applicant is NOT an individual): nlcw 02 K State N Y Zip Code /VP 13 Telephone (daytime) Email byb- .15'6- gPg3 9crlclewis@ 1=1L.4wn 7. Contact/Agent Name -J'{ FFr e I PAL +.0 .D Company Name Mailing Address /V& ikwr-r-r IaLve2 Post Office City Penfier AAorrc h,ts State Zip Code ti 1113V Telephone (daytime) 31 g4.9 33 I -- Email 6. Name of Facility or Property Owner (if different than Applicant) Mailing Address Post Office City State Zip Code Telephone (daytime) Email 8. Project / Facility Name Property Tax Map Section / Block / Lot Number Igroo LtfHe �Ce..vi�8a1JU' loon - 111-11-8-0 Project Location - Provide directions and distances to roads, bridges and bodies of waters: Street Address, if applicable Post Office City State Zip Code NY Igoo Town / Village / City County ss. +11% O l dQ- S v &,L)( Name of USGS Quadrangle Map Stream/Water Body Name 500fiboIdQ WvA*ie were- P -A)4-. Location Coordinates: Enter NYTMs in kilometers, OR Latitude/Longitude NYTM-E NYTM-N Latitude Longitude yl ° ov . C%, 7 l' 7 61719 JOINT APPLICATION FORM 02/13 This is a 2 Page Application Application Form Page 1 of 2 Both Pages Must be Completed &&INT APPLICATION FORM - PAGE 2 OF 2 Submit this completed page as part of your Application. 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 ft 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, Re K .vc- nnJ- (ZeI2Iee ids-ri,.1y -I.�n&eti hcLKhe-,.A, � (rk "ew io3 c.F vtn.cj(� 6vLIGh&O wt �!� ALF A�d2 �o&F /1B�'u!N �ti se -_"C Pa;'bua �Ct 5'i,,vy/�� ��-✓►, i1k�r+P �� c2 �10� -t- a itr.Q �r+ST�GolT ,.�t� ylkGt 3�oc fy' �ylu.►'�.�-��-c /1•r�P .rnA�2 Gek;to' of o e, . A I ( wo A lL 3 et ,,.�j �Jer i ► r rr �aQ o��G to �C�C/la/4 s C--' r.F -fit Sf��Y f�sc� Gl -Fia,s o n� P.sS.�l� C.. ss o� L•��.cQ Proposed Use: W Private U Public UCommercialI rroposea I_ _ s I r-sumdEea Start Date: / Completion Date: Has Work Begun on Project? ❑ Yes E2"No If Yes, explain. Will Project Occupy Federal, State or Municipal Land? ❑ Yes BNo 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? Yes ❑ No If yes, please list: ?ow,� of So��h.►� ?rte sties N `� S Dos atures. If applicant is not the owner, both must sign the application. I hereby affirm that information provided on this form and all attachments submitted herewith is true to the best of my knowledge and belief. False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the Penal Law. Further, the applicant accepts full responsibility for all damage, direct or indirect, of whatever nature, and by whomever suffered, arising out of the project described herein and agrees to indemnify and save harmless the State from suits, actions, damages and costs of every name and description resulting from said project. In addition, Federal Law, 18 U.S.C., Section 1001 provides for a fine of not more than $10,000 or imprisonment for not more than 5 years, or both where an applicant knowingly and willingly falsifies, eenceals, or covers up a material fact; or knowingly makes or uses a false, fictitious or fraudulent statement. Pri�ame Title Date asat of Owner Printed Name Title Date - New York State 9W qW Department of Environmental Conservation w famw 1 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): 1 O. 0 L I t-t+1,c 1pe 6o,. -&c- B14 2Ow dP . C -,e,Aeq VL By signing this form, I affirm under penalty of perjury that I am authorized to give consent to entry by DEC staff as described above. I understand that false statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the Penal Law* F� �e P• LcwcS.�cw.�c2 ` W W1, Print Name and Title Signature Date *The signer of this form must be an individual or authorized representative of a legal entity that: • owns fee title and is in possession of the property identified above; • maintains possessory interest in the property through a lease, rental agreement or other legally binding agreement; or • is provided permission to act on behalf of an individual or legal entity possessing fee title or other possessory interest in the property for the purpose of consenting to inspection of such property. Permission to Inspect Property Application Supplement 12/08 NYSDEC SUNY @ Stony Brook 50 Circle Road Stony Brook, NYT 11790 I hereby give Jeffrey Potonjo 106 Hewitt Blvd. Center Moriches, NY11934 permission to submit all applications and address any comments required on my behalf for the following property: 1800 Little Peconic Bay Road - Cutchogue Mr. Gene Lewis 73 Hudson ST. Apt 5 New York, NY 10013 X 2 0 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing 0 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: 1 %I Mp -t t l'c C. -t e- 4 Project Location (describe, and attach a location map): 5-Ct Maio Brief Description of Proposed Action: f,e_ov4e A-/!gQ l�/J-CplkCG !03 LF ifVt/rte_(_ 4✓c,V_4egd? $ 9,4V! -u 70, /t.C'%(A! a ^4 Y k G -r' m beA- 1014't�/LM W/ D' X I Y r y4I fiM t Nu �vb J`un4P &yjX 4 ,k ZpI rip. -ti",7 4000IZ - A11 14A 5* -'N li+Gt[ �L>ti+S S -XI . Name of Applicant or Sponsor: Telephone: 4 y I E -Mail: en�lewr5 mq.L. Coe, Address: 7 3 1-1.4t Sp— 5} A!4T S City/PO: State: Zip Code: 1 nlcww' q.AV.. N 1 pm 3 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 ❑ H' u If Yes, list agency(s) name and permit or approval: r4SoEG — Te.L,,.� e -f Se.+�{�®lcZ-r-t.�-(SQo.0 3.a. Total acreage of the site of the proposed action? 9 - b 3n acres b. Total acreage to be physically disturbed? 0- t rye acres c. Total acreage (project site and any contiguous properties) owned or controlled by the applicant or project sponsor? %- 03 G acres 4. Check all land uses that occur on, adjoining and near the proposed action. ❑ Urban [:]Rural (non -agriculture) [:]Industrial ❑Commercial Residential (suburban) ❑Forest ❑Agriculture []Aquatic ❑Other (specify): ❑Parkland Page 1 of 4 0. 0 5. Is the proposed action, a. A permitted use under the zoning regulations? b. Consistent with the adopted comprehensive plan? NO YES N/A ❑ ❑ ❑ ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? NO YES ❑ 7. Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area? If Yes, identify: NO YES ❑ S. a. Will the proposed action result in a substantial increase in traffic above present levels? b. Are public transportation service(s) available at or near the site of the proposed action? c. Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? NO YES a 1 2— ❑ R ❑ 9. Does the proposed action meet or exceed the state energy code requirements? If the proposed action will exceed requirements, describe design features and technologies: NO YES ❑ F21 10. Will the proposed action connect to an existing public/private water supply? If No, describe method for providing potable water: NO YES 2' ❑ 11. Will the proposed action connect to existing wastewater utilities? If No, describe method for providing wastewater treatment: NO YES ❑ 12. a. Does the site contain a structure that is listed on either the State or National Register of Historic Places? b. Is the proposed action located in an archeological sensitive area? NO YES a ❑ 13. a. Does any portion of the site of the proposed action, or lands adjoining the proposed action, contain 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: 12e01tte."eA4- -i "Aust.r�, fl--taA+!X 2— •..t.., NO YES ❑ ❑ C 14. Identify the typical habitat types that occur on, or are likely to be found on the project site. Check all that apply: ❑ Shoreline ❑ Forest ❑ Agricultural/grasslands ❑Early mid -successional ❑ Wetland ❑ Urban C3'9uburban 15. Does the site of the proposed action contain any species of animal, or associated habitats, listed by the State or Federal government as threatened or endangered? NO YES a ❑ 16. Is the project site located in the 100 year flood plain? NO YES A 17. Will the proposed action create storm water discharge, either from point or non -point sources? If Yes, a. Will storm water discharges flow to adjacent properties? ❑ NO []YES b. Will storm water discharges be directed to established conveyance systems (runoff and storm drains)? If Yes, briefly describe: ❑ NO []YES NO YES ❑ 3 ; v Page 2 of 4 • 9 18. Does the proposed action include construction or other activities that result in the impoundment of water or other liquids (e.g. retention pond, waste lagoon, dam)? If Yes, explain purpose and size: NO . YES ❑ '- small to large �g �- :impact 19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste management facility? If Yes, describe: NO YES may ❑ occur occur 20. Has the site of the proposed action or an adjoining property been the subject of remediation (ongoing or completed) for hazardous waste? If Yes, describe: NO YES Er ❑ 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? ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: ! e... is Date: 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 I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept "Have my responses been reasonable considering the scale and context of the proposed action?" a�- No, or Moderate '- small to large �g �- :impact impact ,� may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning EJ 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 ❑ ❑ affect existing infrastructure for mass transit, biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: ❑ ❑ a. public / private water supplies? ❑ ❑ b. public / private 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 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 Print or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Date Title of Responsible Officer Signature of Preparer (if different from Responsible Officer) PRINT I Page 4 of 4 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: i �F,0�«ti pa +ate l ' n Address: /o& 4ewtt+ atvd_ Csri•I-ti' AAvftekeS, A.;4 I(93ti Telephone: Area Code ( ) 631 y $ q 331 Applicant/Agent's Signature: Date: F. SUBMISSION REQUIREMENTS 1. The applicant or agent shall submit the following documents to the New York State Department of State, Office of Coastal, Local Government and Community Sustainability, Attn: Consistency Review Unit, 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 forrn 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 10/04//0/0 l: \ty y#� VALpol Al a�. gam. R47 _ w F v r .. r y v r, Nei r r ' f e• v _ ^p li • � ,� �� 1 ' s-r J - Y' i• k` a k" } f a i S % p2 '., c0 A t5 1. A ,22 � 2jn � m• OLOO MME �.. F p+ f nn 1291 1 +e ter p2 1 \� 0.t r•+ T m* O +5 ,.,Nel c +h to `^ .B �"- J Y zJ`c ' i:::•� co" 2 . O M 140 Afyl �x.w 31 �,' �h.D. a^ sF�sF� Mo- Al B su I �..0 , f MATCH +.i 1 ---- —— — — --•-- -- NOME ✓"`i '<� COUNTY OF SUFFOLK © E �r SMT140Lo sect*R no c, _�— o� 1211 O •e^Ny — -- ...�--�-- Real Property Tax Service Agency E --- --•-- �- • �..<„�.nMH..�..<,n.,,�, M 111 M a �r or •. _-_— ”' -- -- r,rtrrt. �~" B A rm<•MB O r .. n wr. �f,H x '� o..^�^ --•-- <��--w.-- r aO�nYu� P 1000 PROPERTY MAP ...Ams.. _ .._.»..... .. ..�,--- ..... ..... _, _ .-...... *I 0 F 1 �e hY,ITFRS i S % p2 '., c0 A t5 1. A ,22 � 2jn � m• OLOO MME �.. F p+ f nn 1291 1 +e ter p2 1 \� 0.t r•+ T m* O +5 ,.,Nel c +h to `^ .B �"- J Y zJ`c ' i:::•� co" 2 . O M 140 Afyl �x.w 31 �,' �h.D. a^ sF�sF� Mo- Al B su I �..0 , f MATCH +.i 1 ---- —— — — --•-- -- NOME ✓"`i '<� COUNTY OF SUFFOLK © E �r SMT140Lo sect*R no c, _�— o� 1211 O •e^Ny — -- ...�--�-- Real Property Tax Service Agency E --- --•-- �- • �..<„�.nMH..�..<,n.,,�, M 111 M a �r or •. _-_— ”' -- -- r,rtrrt. �~" B A rm<•MB O r .. n wr. �f,H x '� o..^�^ --•-- <��--w.-- r aO�nYu� P 1000 PROPERTY MAP ...Ams.. _ .._.»..... .. ..�,--- ..... ..... _, _ .-...... *I 0 1]14kf:I�l���� FROM Eugene P Lewis 1800 Little Peconic Bay Road Cutchogue, NY 11935 TO Town of Southold Trustees 54375 Route 25, P.O. Box 1179 Southold, NY 11971 RE: Permit Fees To Whom it May Concern, February 27, 2015 Attached is a check for $608.00 made payable to Town of Southold Trustees. This represents the total of the computed permit fees for our application dated 12/9/14. We are represented by Jeff Patanjo. Best, Eugene P. Lewis DIGITAL PULP 220 East 23rd Street, New York, NY 10010 212.679.0676 digitalpulp.com 0 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 O��QF SU(/r�O 1 0 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 �pQ ��yCOUN N,� Telephone: 631 765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: John Bredemeyer, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: January 13, 2015 Re: Request for a Wetland Permit for EUGENE P. LEWIS SCTM# 1000-111-14-20 Ir ,. JAN 1 5 2015 Jeffrey Patanjo on behalf of EUGENE P. LEWIS requests a Wetland Permit for the removal of existing timber bulkhead and replacement of 103 linear feet of vinyl bulkhead with 8 linear foot and 20 linear foot returns all in same location as existing with raised height of 1' above existing top cap elevation; remove existing timber platform, ramp and float and construction of new 4'x6' timber platform; 3'x14' aluminum ramp; and 6'x20' floating dock; install a maximum of 20 cubic yards of clean sand fill landward of bulkhead and provide 10' wide non -turf buffer along the landward edge of the bulkhead. Located: 1800 Little Peconic Bay Road, Cutchogue. SCTM# 111-14-20 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 action is INCONSISTENT with the Policy Standards (Policy 6.3) and therefore is INCONSISTENT with LWRP. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction. 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. The dock structure and bulkhead were not constructed pursuant to a Board of Trustees permit. 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 �FFQtr ���ps fro Peter Young, Chairman Lauren Standish, Secretary Conservation Advisory Council Town of Southold Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 At the meeting of the Southold Town Conservation Advisory Council held Wed., January 14, 2015 the following recommendation was made: Moved by Peter Meeker, seconded by Jack McGreevy, it was RESOLVED to SUPPORT the application of EUGENE P. LEWIS to remove the existing timber bulkhead and replace with 103 If. of vinyl bulkhead with 8 If. and 20 If. returns all in same location as existing with raised height of 1' above existing top -cap elevation. Remove existing timber platform, ramp and float and construct new 4'X 6' timber platform, 3'X 14' aluminum ramp and 6'X 20' floating dock. Install maximum of 20 cy. of clean sand fill landward of bulkhead and provide 10' wide non -turf buffer. Located: 1800 Little Peconic Bay Blvd., Cutchogue. SCTM#111-14-20 Inspected by: Peter Meeker, Peter Young Vote of Council: Ayes: All Motion Carried James F. King, President Bob Ghosio, Jr., Vice -President Dave Bergen John Bredemeyer Michael J. Domino BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Application Wetland Permit Application Administrative Permit _Amendment/Transfer/Extension Received Application: f„�l11) Received Fee:$ °tV Completed Application _Incomplete _SEQRA Classification: Type I Type II Unlisted _Coordination:(date sent) -YLWRP Consistency Assessment Form 1 CAC Referral Sent: 1 a I.S �_Date of Inspection: /1'i / Receipt of CAC Report: _Lead Agency Determination: _Technical Review: (Public Hearing Held: / Resolution: Name of Applicant E- tien e- P. • Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 Mailing Address -13 M V A s o W7 s+• 4 Pt S, ,✓ e -v Y- A lL, til /vo(-3 Phone Number:( ) !o`{ l-' ? Sb - YP9 3 Suffolk County Tax Map Number: 1000 - / I - 1 y - 2 o DEC -9 2014 1' r Property Location: l $ov 6,ttle �«o•- �� (�a i2 C� l"� �o �c K : 3700 (ol� fl n CCA)t�_Oa. �� 1 CU"05CAC, (provide LILCO Pole #, distance to cross streets, and location) AGENT: �Fr��► {��,-f'a n (If applicable) Address: lab- 14e&% rT-1- 191,,,P- Ceo f er AA&rtc�Ges$ t, -j q //c13q Phone: &3/�- 5�� Land Area (in square feet): Area Zoning: Ad of Trustees Application 0 gZ, y 3to GENERAL DATA Previous use of property: Re s# Je„+i..L Intended use of property: Re s, &Pc„ -to a L Covenants and Restrictions on property? Yes ✓ No If "Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes ✓No If "Yes", be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes ✓ No If "Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes No Does the structure (s) on property have a valid Certificate of Occupancy? --",-Yes No Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? 4 --'No Yes If yes, provide explanation: Project Description (use attachments if necessary): Eugene P. Lewis 1800 Little Peconic Bay Road Cutchogue, NY 11935 Project Description: The proposed project includes the removal of existing timber bulkhead and replacement of 103 LF of vinyl bulkhead with 8 LF & 20 LF returns all in same location as existing with raised height of 1' above existing topcap elevation. Remove existing timber platform, ramp and float and construction of new 4'x 6' timber platform, 3'x 14' aluminum ramp and 6' x 20' floating dock. Install maximum of 20 CY of clean sand fill landward of bulkhead and provide 10' wide non -turf buffer. Boo of Trustees Application S WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: 1,4 feet Closest distance between nearest proposed structure and upland edge of wetlands: 1A feet Does the project involve excavation or filling? No +/ Yes If yes, how much material will be excavated? P� cubic yards How much material will be filled? A a cubic yards Depth of which material will be removed or deposited: >. S feet Proposed slope throughout the area of operations: S Manner in which material will be removed or deposited: 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): o1L +k. 0 6I Z20 Appendix B Short Environmental Assessment Form Instructions for Completine • 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: 1*00 Lr-triC pGter.L B.c IQ...►� - C.. -f Gjte ut Project Location (describe, and attach a location map): it a la Brief Description of Proposed Action: 9,e^-ov6 A/!dC /�.eRbeLG /03 L ( b✓ tIG�rCydi 1 ri r fLe-fvr-v 2-0" rye-rtlr" *rte I x 4 Tt�J1 beA- .k I�•R/rtP �vt4Q % Zol FLs,t�l-rN� �oGu AllI'D -5*.'x4 L��LsNS Name of Applicant or Sponsor: Telephone: 6 y I �� GhL P• I-ewtS E-mail: ene:Le..q."Vts /„4•L.Co,., Address: 73 ART -S City/PO: State: Zip Code: 1 ^Ae r.J q..a1L 1 P4 1 vol 3 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: rr 4 S o Ec- — -f 5.&-#Ak•(d- 3.a. Total acreage of the site of the proposed action? acres b. Total acreage to be physically disturbed? 0- too yes c. Total acreage (project site and any contiguous properties) owned or controlled by the applicant or project sponsor? P • 03 c' acres 4. Check all land uses that occur on, adjoining and near the proposed action. // -Residential []Urban []Rural (non -agriculture) ❑ Industrial ❑ Commercial O (suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 5. Is the proposed action, a. A permitted use under the zoning regulations? b. Consistent with the adopted comprehensive plan? NO N/A ED D INO 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? YES OTO 7. Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area? If Yes, identify: NO YES ❑ B. a. Will the proposed action result in a substantial increase in traffic above present levels? b. Are public transportation service(s) available at or near the site of the proposed action? Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? NO YES ai F1 L� I ED- 11c. 9. Does the proposed action meet or exceed the state energy code requirements? If the proposed action will exceed requirements, describe design features and technologies: NO YES ❑ 10. Will the proposed action conned to an existing public/private water supply? If No, describe method for providing potable water. NO YES a ❑ 11. Will the proposed action conned to existing wastewater utilities? If No, describe method for providing wastewater treatment: NO YES 12. a. Does the site contain a structure that is listed on either the State or National Register of Historic Places? b. Is the proposed action located in an archeological sensitive area? NO YES 13. a. Does any portion of the site of the proposed action, or lands adjoining the proposed action, contain wetlands or other waterbodies regulated by a federal, state or local agency? b. Would the proposed action physically after, or encroach into, any existing wetland or waterbody? If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres: RsP�sce.neAt •; �r�St.r�. fl�..t�w+�. D.c.iL +.••t,., NO I YES ❑ Er �� � y 14. Identify the typical habitat types that occur on, or are likely to be found on the project site. Check all that apply: ❑ Shoreline ❑ Forest ❑ Agricultural/grasslands []Early mid -successional D Wetland D Urban ('Suburban 15. Does the site of the proposed action contain any species of animal, or associated habitats, listed by the State or Federal government as threatened or endangered? NO YES 19, ❑ 16. Is the project site located in the 100 year flood plain? NO YES A 17. Will the proposed action create storm water discharge, either from point or non -point sources? If Yes, a. Will storm water discharges flow to adjacent properties? D NO AYES b. Will storm water discharges be directed to established conveyance systems(mnoff and storm drainsr. If Yes, briefly describe: LJNO DYES NO YES ❑ Page 2 of 4 18. Does the proposed action include construction or other activities that result in the impoundment of NO . YES water or other liquids (e.g. retention pond, waste lagoon, dam)? If Yes, explain purpose and size: ^ ❑ 19. Has the site of the proposed action or an adjoining property been the location of an active or closed NO 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 INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name- c+t P i e— is Date: 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 subnutted 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`?" Page 3 of 4 No, or Small Moderate to I1CgE impact impact may ur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning Liregulations? 2. Will the proposed action result in a change in the use or intensity of use of land? IJ ❑ 3. Will the proposed action impair the character or quality of the existing community? ET ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the LJ E ❑ 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 Q ❑ reasonably available energy conservation or renewable energy o ties? 7. Will the proposed action impact existing: a ❑ a. public / private water supplies? Q ❑ b. public / private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic, archaeological, (� ❑ architectural or aesthetic resources? U 9. Will the proposed action result in an adverse change to natural resources (e.g., wetlands, waterbodies, groundwater, air quality, flora and fauna)? Page 3 of 4 No, or Moderate small to large impact impact may may occur I occur 10 Will the proposed action result in an increase in the potential for erosion, flooding or drainage El 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. —j 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 Chvrronmsntal impact statement is required. eck this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action 'll not result in any significant adverse environmaTW impacts. Name f Lead Agency Date bh e � ei Print or Type Name of Responsible Offi r in Lead Agency Title of Responsible Officer in ad Agency Signature of Preparer (if different from Responsible Officer) PRINT7 Page 4 of 4 Name: SqY-e� b-DWYI �edcl�n9}t ,rly�n Du- is • PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Address: 43o E -4"—,S+, 12 W �J y 1001-7 1320 1,We T(Dnic �Vj- 104 41-7 12 d u �d 1 I O30 225D tA e R ani s . �J STATE OF NEW YORK COUNTY OF SUFFOLK e c� Pam residing at i {1 vc) being duly sworn, deposes and says that on the day of UCAA 20J, deponent mailed a true copy of the Notice �iin the Board of Trust 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(rVkr rn/')'I C hf S , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this ;/ Day of �Irl ua ru .2-0 1,5_ U Notary Public Lodann Patanio Notary gPu�blic State of New York No:01 A61 150 County Commissio/2QW InuPsW 118 Adover Td . &XV** Cir: 11576 STATE OF NEW YORK COUNTY OF SUFFOLK e c� Pam residing at i {1 vc) being duly sworn, deposes and says that on the day of UCAA 20J, deponent mailed a true copy of the Notice �iin the Board of Trust 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(rVkr rn/')'I C hf S , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this ;/ Day of �Irl ua ru .2-0 1,5_ U Notary Public Lodann Patanio Notary gPu�blic State of New York No:01 A61 150 County Commissio/2QW 9 John Bredemeyer, President Michael J. Domino, Vice -President James F. King Dave Bergen Charles J. Sanders • BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of EUGENE P. LEWIS COUNTY OF SUFFOLK) STATE OF NEW YORK) Town Hall Annex 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR EIGHT DAYS I,OirjRon( .b , residing at /dba 11* Am it N O . orokr being duly sworn, depose and say: That on the /Q day of J ��l t(A , 201C, I personally posted the property known as by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday, January 21, 2015. Dated: ci - 10 -) S 0/,/& /-) GA (s' nat e) Sworn to before me this %© day ofJ-W 2019 Notary Public L Q al fled n . Ark No: 01 P 6150861 Commission Expires 08/07/20 NOTICE OF HEARING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: SUBJECT OF PUBLIC HEARING: EUGUENE P. LEWIS For the removal of existing timber bulkhead and replacement of 103 linear feet of vinyl bulkhead with 8 linear foot and 20 linear foot returns all in same location as existing with raised height of 1' above existing top cap elevation; remove existing timber platform, ramp and float and construction of new 4'x6' timber platform; 3'x14' aluminum ramp; and 6'x20' floating dock; install a maximum of 20 cubic yards of clean sand fill landward of bulkhead and provide 10' wide non -turf buffer along the landward edge of the bulkhead. .8 TIME &DATE OF PUBLIC HEARING: 0 Wednesday, January 21, 2015 — at or about 5:30P.M, If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Boo of Trustees Application • County of Suffolk State of New York Cv�'Cti e- Q. 1eu^.,PtS 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 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. Signature of Property Owner SWORN TO BEFORE ME THIS 220 DAY OF k/L) ,20 nya4o Notary Public -Lod mn Patan1p wNo8P P�fCYork ounty 01A81581 Commission Expires 08/07/20 18 B*d of Trustees Application 9 I, 6,,jehe Q- GewcS (print owner of property) AUTHORIZATION (where the applicant is not the owner) residing at -1 3 �l��s o,.� :4 - (mailing address) do hereby authorize Tf-Heti (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature) APPLICANT/AGENT/REPRESENTATM TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the hart of town officers and em to ees. The sd of this form is to provide information which can alert the town of Rgssible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: e w t S Ev e ti e (Last name, fust name, q iddle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Variance Change of Zone Approval of plat Exemption from plat or official map Other (If "Other'', name the activity.) Building Trustee Coastal Erosion Mooring Planning 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, niarriage, or business interest. "Business interest' means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself (the applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); B) the legal or beneficial owner of any interest in a non -corporate entity (when the applicant is not a corporation); C) an officer, director, partner, or employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted thisA6— day of 2001 y Signature Print Name f - enc. Form TS 1 • • FORM - 06!10r""y UM No: 01P 1 1 *T' Commission Expina 1120L/_0 Town of Southold Erosion, Sedimentation & Storm -Water Run-off ASSESSMENT FORM PROPERTY LOCATION: s.c.T.M. #: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A I STORM -WATER, GRADING, DRAINAGE AND EROSION CONTROL PLAN 1 t y to V. f CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORI L IWee gon st ct oe Lot SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM # / WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? 1 Will this Project Retain All Storm -Water Run -Off (Include Total Area of all Parcels located within the Scope of Work for Proposed Construction) $Sy 3 v .1- o 3 v Generated by a Two (2") Inch Rainfall on Site? (S.F.'I Acres) I, This item will include all run-off created by site b. What is the Total Area of Land Clearing clearing andior construction activities as well as all and/or Ground Disturbance for the proposeda oe o, s o Site Improvements and the permanent creation of construction activity? impervious surfaces.) (S.F. /Acres) 2 Does the Site Plan and/or Survey Show All Proposed / PROVIDE BRIEF PROJECT DESCRIP'T'ION (Provide Additional Pages as Needed) Drainage Structures Indicating Size &Location? This ✓—/ Item shall include all Proposed Grade Changes and Slopes Controlling Surface Water Flow. 3 Does the Site Plan and/or Survey describe the erosion 5 -Ce J440111_4 -rd and sediment control practices that will be used to /El control site erosion and storm water discharges. This item must be maintained throughout the Entire Construction Period. Q Will this Project Require any Land Filling, Grading or / Excavation where there is a change to the Natural M 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 ✓ Li (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 [71 — or within One Hundred (100') feet of a Welland or General DEC SWPPP Requirements: Submission of a SWPPP is required for all Construction activities involving soil Beach? disturbances of one (1) or more acres; including disturbances of less than one acre that are part of a larger common plan that will ultimately disturb one or more acres of land; 7 Will there be Site preparation on Existing Grade Slopes / which Exceed Fifteen (15) feet of Vertical Rise to ❑ t—/ including Construction activities involving soil 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 stone water discharges. ( SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways, Parking Areas or other Impervious for Storm Water Discharges from Construction activity - Permit No. GP -040-001.) Surfaces be Sloped to Direct Storm -Water Run -Off El t/ 1. The SWPPP shall be prepared prior to the submittal of the NOI. The NOI shall be — into and/or in the direction of a Town right-of-way. submitted to the Department prior to the commencement of construction activity. 2. The SWPPP shall describe the erosion and sediment control practices and where required, post -construction storm water management practices that will be used and/or 9 Will this Project Require the Placement of Material, / Removal of Vegetation and/or the Construction of any ❑ constructed to reduce the pollutants in storm water discharges and to assure —V/ Item Within the Town Right -of -Way or Road Shoulder compliance with the terms and conditions of this permit In addition, the SWPPP shall identify potential sources of pollution which may reasonably be expected to affect the Area? (This Item will NOT include the installation of Driveway Aprons.) quality of storm water discharges. 3. A I SWPPPs that require the post -construction storm water management practice NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark In a Box and the construction site disturbance is between 5,000 S.F. & 1 Acre in area, component shall be prepared by a qualified Design Professional Licensed in New York that is knowledgeable In the principles and practices of Storm Water Management a Storm Water, Grading, Drainage & Erosion Control Plan is Required by the Town of Southold and Must be Submitted for Review Prior to issuance of Any Building Permit (NOTE: A Check Mark (,? ) and/or Answer for each Question is Required for a Complete Application) SPATE OF NEW YORK, COUNTY OF ... .III ......... SS ............................................. That I, ..... Ev� ene P• Le •� I S ................. being duly sworn, deposes and says that he/she is the applicant for Permit, (Name of individual signing Document) And that he/she is the �'"''" a A - And .-.............................................................................................................................. (Owner, Contractor, Agent, Corporate Officer, etc.) Owner and/or representative of the Owner or Owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; j '' II .............2........ ................... day of . !�! ©� 20.1.`7 I - NotaryPublic:......... U u....... .......... ......................................................... 1. P (Signature of Applicant) FORM - 06!10r""y UM No: 01P 1 1 *T' Commission Expina 1120L/_0 Eugene P. Lewis 1800 Little Peconic Bay Road Cutchogue, NY 11935 Proiect Description: The proposed project includes the removal of existing timber bulkhead and replacement of 103 LF of vinyl bulkhead with 8 LF & 20 LF returns all in same location as existing with raised height of 1' above existing topcap elevation. Remove existing timber platform, ramp and float and construction of new 4'x 6' timber platform, Tx 14' aluminum ramp and 6'x 20' floating dock. Install maximum of 20 CY of clean sand fill landward of bulkhead and provide 10' wide non -turf buffer. Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated. as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 1 If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non - supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 11 I PROJECT NAME / %yo I ttWe Pee ,vcc 81N (40 • The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board ❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital ❑ construction, planning activity, agency regulation, land transaction) ❑ (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: 5-r4 -44-4-aaheA Eugene P. Lewis 1800 Little Peconic Bay Road Cutchogue, NY 11935 Proiect Description: The proposed project includes the removal of existing timber bulkhead and replacement of 103 LF of vinyl bulkhead with 8 LF & 20 LF returns all in same location as existing with raised height of 1' above existing topcap elevation. Remove existing timber platform, ramp and float and construction of new 4'x 6' timber platform, 3' x 14' aluminum ramp and 6'x 20' floating dock. Install maximum of 20 CY of clean sand fill landward of bulkhead and provide 10' wide non -turf buffer. 0 0 9 Location of action: t t -ttl «o,.�eL Bk" t2&4 , �'� t c Gc ,, e Site acreage: Present land use: - a'4 0 .e si iP�cn fi I-(- Present L Present zoning classification: ft si cPf.,tr L 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: 6v9 -en t P - I-ew I (b) Mailing address: a2 S ',.-F a P t S , �w V -PALIC I /0-13 (c) Telephone number: Area Code ( ) A y I- - ;? sr4 - y ol-9 3 (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? 1 s o <<- - — ti s pas C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. Q Yes ❑ No ❑ Not Applicable Pres�le 1 ,clj„ws (siC JtJvi.0 .� s {!p!4 (t�+7. b.tJG�jota2 �cnt3 f(..a'1'tr.y �eclL w%1tG� is el Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LMW Section III - Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No ZNot Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III — Policies Pages 6 through 7 for evaluation criteria 2 Yes ❑ No ❑ Not Applicable Pr - peet 4 Provlofast-1a�t,,iiw4 eeft!e.1 an -0 is G....Jrt-fc..ft Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III — Policies Pages 8 through 16 for evaluation criteria D' Yes ❑ No ❑ Not Applicable -Pr -Po Seto Pfojer Prot�c-t-S �h•�C�' Loss v� lqn� �..e fo er.!l-b,... •_ Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of ,Southold. See LWRP Section III — Policies Pages 16 through 21 for evaluation criteria Yes ❑ No ❑ Not Applicable t(ao5law R?� Secp�ntn-{' �y r✓�i.y e9f .c, r.cw b.-CECA�al1� ST/vt t+ft 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 HI — Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ Z' Yes No Not Applicable 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 E�Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III — Policies; Pages 34 through 38 for evaluation criteria. F]Yes F1No U Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the. Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. 13"'YeO No ❑ Not Applicable Plr,<C4 ,Prr,.,.Q<s Go,-fl.jvoui Ac-c<ss tb rfcre4-Nv e/L Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water -dependent uses and promote siting of new water -dependent uses in suitable locations. See LWRP Section III Policies; Pages 47 through 56 for evaluation criteria. 1v I Yes ❑ No ❑ Not Applicable Trrl<G4 Pravc�tS fv/L c�oClG�.vg 9F «.c.-t</L of i..c���.1 - f shf,_i P/. -.'s vesicl Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III — Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No 19"Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — PoIicies; Pages 62 through 65 forevaluation criteria. El Yes 1:1 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 ❑ Not Applicable PREPARED BY �Ft P� fia TITLE A q e n "t DATE / 1, 1 b .1 01 0 December 7, 2014 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 --- r Southold, New York 1197120 RE: 1800 LITTLE PECONIC BAY ROAD, CUTCHOGUE, NY F SCTM No. 1000-111-14-20 APPLICATION FOR PERMIT Dear Trustees: We hereby submit one original and four (4) copies of the proposed plans, application, check, photographs and required data for permit approval for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, effrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 9 1 6 I Y �r wrrrrz� R=143.83' L=96.03' (SURVEY L=96.33' (DEED),s U z 0 U W NI R=166.45' L=126.62' (SURVEY R=188.82' L=126.52' (DEED) L=82.39' R=25.00' POST x RAiL FE" =23.61' (SURV Y S 81. L=23.88' ( EED !p� 36 41 E COLUMN 81-741 colu N ? CHORD= CONCRETE MONUMENT S 43'01'21" .00e foz� FOUND AT CORNER 22,75' f HORD= POINT OF BEGINNING N 64'05'45" E • 123.59' CONCRETE MONUMENT FOUND AT CORNER "HORD= N 22'53'09 E 94.26' FILED MAP NUMBER 156 LOTS 231, 232, P/0 233 SECTION 111 -BLOCK 14 -TAX LOT 20 N/F EUGENE LEWIS LIBER 12691 -PAGE 786 A�HAL7 52.t' CONCRE7_ AREA= 88,430 SO. FT. OR 2.030 ACRES 1� W 0 r J "� CONCRETE MONUMENT R Z OUND AT CORNER z Z ti Rte. 'v 1 � 7 ,9. SECTION 111 -BLOCK 14 -TAX LOT 19 z N/F MARCIA do JEROME BROWN I LIBER 9251 -PAGE 206 OR � rn CONCRETE MONUMENT rn, FOUND ON LINE N 5.6' NORTH OF CORNER - N 12'06'15" W 13.47' PROPOSED 20 LF LONG VINYL KI.KHEAD REMM 54 EXISTING 6'x32' FLOATING DOCK, RAMP AND TIMBER PLATFORM TO K REMOVED FLAGSTONE STEPS CONCRETE MONUMEN FOUND AT CORNER N / SECTION 111 -BLOCK 14 -TAX LOT 22.1 N/F PAULINE do DOMINICK SEGRETE LIBER 10948 -PAGE 392 PROPOSED t LF LONG MN11 KILI(I`M RENRN NW t MLW ALONG FACE OF IULXHEAD PROPOSED 10' WIDE NON -TURF FUFFER DOM TIMBER WWW TO K RnWM PROPOSED 103 LF VINYL M1L101EAD IN SANE LOCATION AS EXISTING -PROPM 4'x6' FRED TIMBER PLATFORM PROPOSED 3'x14' ALUM" RAMP `PROPOSED 6'x20' FLOATMG DOCK WATER DEPTH IN INCHES REFERENCED TO MLW oov 0141)3.10 PROPOSED PLAN SCALE 1" =30' 10 6'-0" TYPICAL SECTION A -A N.T.S. PROPOSED 04 CCA POSTS PROPOSED 2X2 CCA RAILS AT 4" O.C. SPACING PROPOSED TIMBER DECKING SURFACE 3/4" GALVANIZED HARDWARE PROPOSED 2X12 CCA STRINGERS PROPOSED 10"O CCA PILE PROPOSED 3'X14' ALUMINUM RAMP APPROXIMATE M.H.W. EL 2.51 PROPOSED 6'X20' FLOATING DOCK APPROXIMATE M.LW EL 0.01 NOTE: REMOVE EXISTING BULKHEAD STRUCTURE IN ITS ENTIRETY AND INSTALL NEW BULKHEAD IN THE EXACT SAME POSITION WITH RAISED ELEVATION OF 1' HEIGHT ABOVE EXIST. TOPCAP PROVIDE 20CY CLEAN SAND FILL BACKFILL BEHIND BULKHEAD — PROPOSED 8" TIP CCA LAY -LOG PILE PROPOSED 8" TIP CCA PILE, 6' O.C. 8' LENGTH. BOLTED TO LAY -LOG WITH 3/4 GALVANIZED THRU-BOLTS. PROPOSED 16' LONG 1" DIA. GALV. TIE ROD, 6' O.C. PROJECT LOCATION MAP N.T.S. PROJECT LOCATION PROPOSED 3"X6" REAR WALE EXISTING BULKHEAD TO BE REMOVED IN ITS ENTIRETY. PROPOSED FIR TIMBER TOP CAP PROPOSED 22' LONG 10" BUTT CCA TREATED TIMBER PILE, 6' O.C. PROPOSED 6"x6" CCA f TOP do BOTTOM WALE APPROXIMATE M.H.W. EL 2.51 o i 6 APPROXIMATE M.LW EL 0.01 PROPOSED 16' LONG CLOC 9000 VINYL SHEETING TYPICAL SECTION B -B N.T.S. 'APPROVED BY ;z BOARD OF 1 RUSTEES ' TO." OF SOUTHOLD 'Do 2 6 ol Yom! DEC - 9 2014 I PROPERTY OWNER: EUGENE P. LEWIS 73 HUDSON ST. APT. 5 NEW YORK, NY 10013 PREPARED BY: JEFFREY PATANJO 106 HEWITT BOULEVARD CENTER MORICHES, NY 11934 631-484-9332 NOTES: 1. PORTIONS OF SITE PLAN FROM SURVEY PREPARED BY: HEIDECKER LAND SURVEYING 42 CROWN STREET, KINGSTON, NY DATE SURVEYED: OCTOBER 28, 2014 2. LOT AREA = 88,430 SF / 2.030 ACRES Q HEIDECKER LAND SURVEYING \"N R=166 45' 0 10 20 30 METERS FEET 0 20 40 60 80 GRAPHIC SCALE 1" = 20' CP rn / / 53 52 ' R=188.82' / L 126.62 (SURVEY L-126.52' (DEED) L=82 39' - 7 \R=25. 0 �OST do RAIL FENC , 2 fig' \ \ \ P / =23.6"1 SUR Y �\ S 8 ,ORD_ /L 23.88 ,(�E D 4-9 \i 36 �Q_4 j, 1 COLUMN 74 L \ p� 46' / / ���� coLu N = CHORD - — —45' ��` CONCRETE MONUMENT S/43- 1'21 E44' C� os FOUND AT CORNER 7 43' / \ / 0 R=14183 \55' m L=96.03 (SURVEY �4,, `�,� HOR D=, �, \� -POINT OF B1GINNING L=96.33 (DEED) N \64-0'\5 45 E s4' / lk � \ )\2 3.5�J -I� N 161�Q ON E E MO�UME\NT �s2. �- JVIA \ FOUND A\ �\ORNER O� \� ALT \ pP\ / GARAGE / O \ \ IRST FLOOR-// - \ S7 4 \ S \ 52.8 / \ \ / 3g ORQ= \� TE CURB \ ///// / / 36'/ 1 � N 2 24.3 ' 4.3' 9` 926 \ � \ � --35 0-) —34' \��\ \ \ _ ��c o / Y ,�� FNED MAP NUMBER 156 _ Q / 4 �' 33 5 LOTS 23 2 m z \ z 0 \SECTION 111 BLO6K`-,14 T X COT�2�0 / N/F�EUGEI�-E �Ml S _ \LI126 \ \ . 44'� BER 1291— PAGE 78� y O� �- \ \ \ F x-29' --�- , \ A\R- .E A� \ FLAGSTONE STEPS / / / \ \ / r- \ 4 _-- CON ETE M NUME�IT Z \ \ 2 W 28' N� \ ST ZF,OUND `� CORNE-R / 8 8 4 3� S O (- ONE A \ / O � o \ � � � CURB STONE CURB / / U� OR u \ 2 . 3 A R / / FLAGSTONE �HIMNEY / /� / A/C UAIT #1800 / 2 STORY / N 2°� w / WOOD FRAME o/ DRIED / o / RESIDENCE o ° CHA✓N LINK FENC / ter/ GAT //FIRST FLOOR II P PAK1E A N K / Q 38, / 42. 0, / 0 o / \ io w v / / Lj \ / W 0 \ a - DECK ° \ \ DECK Jow � �F,LAGSTON , TRASH/ / EN LOSLJRE I Cf) _z \ PLANTER ° Q 32. / / w _ RETAINING �N STONF�RETAININ WALL C NCRETE MONUMENT _ ALL / // OUND AT CORNER �3� Y -j BRICK PATIO / n \ 30, rT PROPANE / \Q \TANK \ _T C) / —, — St) \ 29 POOL 28 / i 2 7' DECK / E4U PME —OOL \ 26' )�D n/ 25' SECTION 111—BLOCK 14—TAX LOT 22.1 N F PAULINE & DOMINICK SECRETE 24' /� / LIBER 10948—PAGE 392 \ _- 23'- \ Z ZZ//17 —22 1 / -21' EPS SECTION 111—BLOCK 14—TAX LOT 19 —20 ICK N/F MARCIA & JEROME BROWN c9 BR —�81 ' LIBER 9251—PAGE 206/ 9 00- \ �0 C �C) Y CONCRETE MONUMENT FOUND ON LINE 5.6' NORTH OF CORNER 0 � O��C�� VJOOU� gv�K"EP SPD E��vPT\ON��. NOTES 1. FIELD WORK WAS CONDUCTED OCTOBER 28, 2014 BY HEIDECKER LAND SURVEYING, PLLC AND ALL MEASUREMENTS WERE TAKEN ON THE GROUND. 2. PROPERTY LINES ARE BASED UPON DEED FOR TAX LOT 20 FILED WITH THE SUFFOLK COUNTY CLERK IN LIBER 12691—PACE 786 ON 4/26/2012 AND MAP ENTITLED "AMENDED MAP OF NASSAU POINT CLUB PROPERTIES, INC.", DATED 6/28/1922, PREPARED BY OTTO VAN TUYL, C.E. & SURVEYORS, GREENPORT, N.Y., AND FILED WITH THE SUFFOLK COUNTY CLERK ON 8/16/1922 AS MAP NUMBER 156. 3. SUFFOLK COUNTY TAX ASSESSOR DESIGNATION: TOWN OF SOUTHOLD—SECTION 1 1 1, BLOCK 14, TAX LOT 20. 4. THIS SURVEY WAS MADE WITHOUT THE BENEFIT OF A TITLE REPORT AND IS SUBJECT TO ANY STATE OF FACTS A FULL AND CURRENT TITLE REPORT MAY REVEAL. 5. INDICATED UNDERGROUND UTILITIES ARE SHOWN FROM SURFACE EVIDENCE ONLY. UNDERGROUND LINE LOCATIONS ARE APPROXIMATE AND ALL UNDERGROUND UTILITIES ARE NOT SHOWN. PRIOR TO CONSTRUCTION THE CONTRACTOR SHALL CALL "CALL BEFORE YOU DIG" AT (800) 272-4480 AND HAVE ALL UTILITY LOCATIONS MARKED ON THE GROUND. 6. VERTICAL DATUM IS REFERENCED TO THE NORTH AMERICAN VERTICAL DATUM OF 1988 (NAVD 88) AS DETERMINED BY GPS FIELD MEASUREMENTS PERFORMED BY HEIDECKER LAND SURVEYING, PLLC. 7. BEARINGS AND NORTH ARROW ARE REFERENCED TO THE NORTH AMERICAN DATUM OF 1983 (NAD 83/LONG ISLAND ZONE) AS DETERMINED BY GPS FIELD MEASUREMENTS PERFORMED BY HEIDECKER LAND SURVEYING, PLLC. Unauthorized alteration or addition to this survey is a violation of section 7209, subdivision 2, of the New York State Education Law. Copies of this survey map not bearing the land surveyor's inked or embossed seal shall not be considered to be a valid copy. OF Q3 36 �0 I28 �2�1 _ 1 N _ woo° - - - cK LO PT�NC �° N 12.06' 15" W 13.47' 2.15 R�ED P �N S � oes�- P, P GH � P ✓� P�N� -L _V �� DATE:_L �jOHN GERD HEIDECKER N.Y. STATE LAND SURVEYO 42 CROWN STREET KINGSTON, NEW YORK 12401 (845)-901-7629 1261`/ C. # 50719 '-A. NU ? DEC - 9 2014