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HomeMy WebLinkAboutWinston, Bradford & Powers, SandraBOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 18, 2015 Bradford Winston & Sandra Powers 333 West 56th Street, #PHD New York, NY 10019 RE: BRADFORD WINSTON & SANDRA POWERS 485 BREEZY PATH, SOUTHOLD SCTM# 89-2-8 Dear Mr. Winston & Ms. Powers: Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, March 18, 2015: WHEREAS, BRADFORD WINSTON & SANDRA POWERS applied to the Southold Town Trustees for an Administrative Amendment to Wetland Permit #5562 under the provisions of Chapter 275 entitled Wetlands and Shorelines of the Southold Town Code, application dated March 2, 2015, 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 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 addition of two (2) diagonal 6" diameter pile dolphins to secure the existing two (2) vertical 6" diameter float piles, as applied for, does not comply with the standards set forth in Chapter 275 of the Southold Town Code; §275-11 Construction and Operation Standards (C)(2)[a] Docks. Standards for residential and SOUryO John M. Bredemeyer III, President h0 l0 Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee ;41%• COQ Charles J. Sanders, Trustee BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 18, 2015 Bradford Winston & Sandra Powers 333 West 56th Street, #PHD New York, NY 10019 RE: BRADFORD WINSTON & SANDRA POWERS 485 BREEZY PATH, SOUTHOLD SCTM# 89-2-8 Dear Mr. Winston & Ms. Powers: Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, March 18, 2015: WHEREAS, BRADFORD WINSTON & SANDRA POWERS applied to the Southold Town Trustees for an Administrative Amendment to Wetland Permit #5562 under the provisions of Chapter 275 entitled Wetlands and Shorelines of the Southold Town Code, application dated March 2, 2015, 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 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 addition of two (2) diagonal 6" diameter pile dolphins to secure the existing two (2) vertical 6" diameter float piles, as applied for, does not comply with the standards set forth in Chapter 275 of the Southold Town Code; §275-11 Construction and Operation Standards (C)(2)[a] Docks. Standards for residential and commercial docks; general rules. It shall be the policy of the Town of Southold that all docks shall be designed, constructed and located so as to reduce a dock's potential adverse impacts to navigation, public safety, waterway congestion, access to public trust lands and water, and natural resources and habitats, and, WHEREAS, the Board has determined that the two (2) diagonal 6" diameter pile dolphins to secure the existing two (2) vertical 6" diameter float piles, as applied for, will have a detrimental effect upon the health, safety and general welfare of the people of the town, and, that a single pile would be as effective and would not require a permit and would be environmentally more sound than the additional construction as applied for, NOW THEREFORE BE IT, RESOLVED, that the Southold Town Board of Trustees DENIES WITHOUT PREJUDICE the request to Amend Wetland Permit #5562 for the addition of two (2) diagonal 6" diameter pile dolphins to secure the existing two (2) vertical 6" diameter float piles. This is not a determination from any other agency. Sincerely, John M. Bredemeyer III President, Board of Trustees JMB/amn John Bredemeyer, President �oSUF1`014, , Town Hall Annex Michael J. Domino, Vice -President°° °°$ 54375 Route 25 James F. King ti x P.O. Box 1179 Charles J. Sanders • Southold, NY 11971 Dave Bergen Or ,� �a°! Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: 31n 1)5 BRADFORD WINSTON & SANDRA POWERS request an Administrative Amendment to Wetland Permit # 5562 to add two (2) diagonal 6" diameter pile dolphins to secure the existing two (2) vertical 6" diameter float piles. Located: 485 Breezy Path, Southold. SCTM# 89-2-8 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre -Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Storm Water Management Review: Yes No Not Applicable Info needed: Modifications: Conditions: r ,!' �� ( � 5 ��� l Z1 J1 dwv "- Present Were:-J—Bredemeyer �M. Domino (_'J. King' C. Sanders..", D. Bergen Bay Constable Other Form filled out in the field by Mailed/Faxed to: Date: Pkv C% It 0,Fqbpr O Wo ft wh t '~ W ►I 4 b��• '�YS� .gip. 7-7 4 a , -4w N11A'_�i ►I 4 �Uourb wm���Aq�dAtDo-M_ �M � ►b%� MAR - 2 2015( IMG 20150228 092538 079.jpg 31+atf �ocKb W11llafr '� mom )oogle.com! lscs/mail-staUc fjslk=gmail.main.en.RdoaVLbzQRw.Olm=m_i,t/am=OiMa4P5v_UGMM7RLH9T9e-93lxQ7-7z-vzMBJDsF8H-z wfwe2Af ZgB/rt=hld=llt=zcroslrs=AHGWg9AR464kek... 1/1 John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee July 23, 2014 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Bradford Winston & Sandra Powers 333 West 56th Street, PH -D New York, NY 10019 RE: 485 BREEZY PATH, SOUTHOLD SCTM# 89-2-8 Dear Mr. Winston & Ms. Powers: Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 The following action was taken at the Southold Town Board of Trustees regular meeting held -on Wednesday, July 23, 2014: RESOLVED, that the Southold Town Board of Trustees APPROVES the request for a Transfer of Wetland Permit #5562 from Robert Sommerville to Bradford Winston & Sandra Powers, as issued on May 22, 2002. If you have any questions, please contact our office at (631) 765-1892. Sincerely, Michael J. Domino Vice -President, Board of Trustees MJD:amn John Bredemeyer, President �oSOFFnt�Town Hall Annex Michael J. Domino, Vice -President tea° °may 54375 Route 25 James F. King y = P.O. Box 1179 Charles J. Sanders • Southold, NY 11971 Dave Bergen Or ,� �a Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: S� lc, -- BRADFORD WINSTON & SANDRA POWERS request a Transfer of Wetland Permit #5562 from Robert Sommerville to Bradford Winston & Sandra Powers, as issued on May 22, 2002. Located: 485 Breezy Path, Southold. SCTM# 89-2-8 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre -Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Storm Water Management Review: Yes Info needed: Modifications: Conditions: a -.P -X Present Were No Not Applicable J. Bredemeyer P14. Domino J. King C. Sanders D. Bergen Bay Constable Other Form filled out in the field by `k- 4 41, Mailed/Faxed to: Date: Board Of Southold Jown Trustees SOUTHOLD, NEW YORK PERMIT NO.... DATE:.May.. 22-w-----2,0-02 ISSUED TO ........ ROBERT SlaM e.ERVILLE..............................__._...-- .. Ant-4arization Pursuant to the provisions of Chapter 615 of the Laws of. the State of New York, 1693; and Chapter 404 of the Laws of the State of New York 1952; and the Southold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS 1N AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL UNDER TOWN WATEROR OTHER -MATERIALS iac accord O with LAND Resolution of The Board adopted at a meeting held on ...May.... 2.0.02., and 3n consideration of the sum of $ ....... paid by ......... _....- ........ ......ROUOT'�....SOLI1111eY'Vllle ...... ............................ of ..-Qy..ster._.Bay.....Gan. .................:........... . .. N. Y. and. subject to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the folowing: Wetland Permit to construct open 'walkway 4'x45' hinged ramp 4' 41x16' floating dock 61x20' install two 2 pile- dolphins to secure floating dock with the stipulation of 6" pilings - low profile. - allin accordance with the detailed specifications as presented in .the originating application. IN- WITNESS WHEREOF. The said Board of Trustees hare- bcauses its be subscribed by�rmaiOr tY of the WideBoard as of fW da �,ate Seal to be afroxd, and these presents to Ttwtees Plan View 1W —JER- 6RAPHIG SCALE I"= 60' Applicant: Robert Somervllle Proposed: Fixed Catwalk, Ramp 4 Float Situate: Cedar Beach Harbor Town: of Southold Suffolk County Purpose: Private Mooring Datum: mean low water Tide Range: 2.5' +/- LA / - on w� v CP d' " r ' SEA LEVEL MAPPING 6 EAST MAIN STREET RIVER -HEAP, W II4o1 PHONE 516-121-3157 FAX 516-364-8287 apex sting location lberoF dock and Float OV Proposed d Flied catwalk , (4'x45') 0 N W+E s existing timber / dock and Float 1514/- . 041 ♦ �'' (4'xlb') r �S '` `➢ �O♦♦♦ C�O� ♦ 11t � ' Mr. XA- �o : : Sj ;!Z, of NES ,�.. " 1lc THIS DRA RI Y h3F.[71 M l -6A1 f-5.5) �A1 __._... Proposed Float (6'x20') Proposed Ra existing timber / dock and Float 1514/- . 041 ♦ �'' (4'xlb') r �S '` `➢ �O♦♦♦ C�O� ♦ 11t � ' Mr. XA- �o : : Sj ;!Z, of NES ,�.. " 1lc THIS DRA RI Y h3F.[71 M CROSS (Applicant: Robert Somerville Sheet 2 Of 2 Proposed: Fixed Catwalk, Ramp 4 Float Situate• Gedar Beach Harbor through center line of proposed dock Town: of Southold Scal: Vort.- e it = 51 Suffolk County i-iOrlZ.— 11= 101 Purpose: Private Mooring Datum: mean low water Tide Range: 2.5' +/- Adjoining Owners: North side: South side: Tax # 1000-8q-2-1 Tax # 1000-84-5-11.2 r- Frank F. Licari Frank E. Cieplinski, Jr 555 Orchard Lane 50 Oxford Road Southold , New York 114"11 Southport, Connecticut 06490 •-t RANGE i :�- L_ I Proposed Timii�er Gatwalk I 71 (4' x 45') to bgelevated a 230'+ do opposite l Umlt of Tidal minlmum Of 35' bove ade I shoreline I remain open i t� I cede X - Proposed Ramp ' e, Prop2sed I (b' x 209 t I ..I 1 ahwm mean high water ' I HI&H MAR51-11 I„ Dominant 5pecles, ( low Hate Haccharis halimlfolla — —. ._.-alwm mean -Hato __. 5portina Patens j INTER -TIDAL MARSH All demenslonal lumber, Dominant Specles, Umber and plies are 5partino Alternlflora GGA -treated wood. proposed All hardwareb galvanized timer piles +'9-E'ARED BY' SEA LEVEL MAPPING 6 EAST MAIN 5TREET RIVERMEAD, NY Iig01 1: PHONE 516-171-3151 FAX 516-364-8281 existing elevations as 1 surveyed on May 15, Iggq (-45) I THiS DRAWING KA5 DEVELOPED FROM ACTUAL FIELD SURVEY5 GONDurTED BY '4n-? APRIL 15, Iggq ... r Q No. 60197 �� AMENDED Z-6-qg RO ERT H. FOX, NYS Licp 501411 LAND SEPTIC DETAIL not to Scale 6°�AG PWO FILL a'epo•ee _ p• .•tet lnq pn.Ye ` • - . 6.6 IeecNl'e �. _ C; W t 'Ie fn. 01. �,.- eer It • 2 .io...... prpNnq sten nTE5T HOLE of to 9[019 o.oet• Ts 0,4' tOpeoil 0.9' S6♦Oy loan '>r sa:e j, ga el r 6.4' gCv:e rU[Or io0' sone a q�ovei yr r token I -IS -48 1 at high Lide > r� ,t�RGNAR � w \�4 y i E 2 SURVEY OF LOTS 51-54 �'. SUBDIVISION MRP OF 3 CEDAR BEACH PARK �,• FILED DEC. 20, Iq2 7 TOWN OF 5OUTHOLD SUFFOLK COUNTY, NY ♦ ` ` ` / / r S SURVEYED OI -I5-98 AMENDED 06-15-98 AMENDED 10-29-98 �. _ y�♦` \ \ `` \ 1 �; % �`F RE -CERTIFIED 1-21-99 / ♦ - _ _ Y ` `moo a,� p� TOWN HATER ADDED 2-15-99 Kf • p \\ =` "C�� SEPTIC AMENDED 5-I"i-99 �• � .S DWELLING AMENDED 5-4-00 jy' •ter AMENDED 01-24-2000 \ ♦ a' ti0 \ / • . N• \\ 1 y • N,* ' V SUFFOLK COUNTY TAX # �O ^' 0O� 1000 89 2 8 oP ! Y, _`yam.` •� CERTIFIED TO: Z ,IF,p& / \�\ \ ` / •g;J� ROBERT SOMERVILLE tt • "� ' Y o'r I��, - - \ yl , nF<N• 505AN SOMERVILLE TIGOR TITLE INSURANCE COMPANY o - �• / `�•� � \ CST j � � goy,,_ ,�Y1 /5 .. \ \ . ` - � - _ _ • f - - W 0 O`G CARBON MONOXIDC ALARM(S�//' ' TjS p --------�CJ^� CERTIFICAT)ON REQU1REa: r qry�� Q R7AfENT p }{� ^' •',t2•p�, -� ' 7 Y'* r� f I' PERMIT Fp? APPROVAL 0 <l L7II SERVI g j, �' I YI' �O•{y ` - -X64,?! _ . .�r ;7 r SINCLC FAhf1L'! R F CONSTRUCTION FORA ��' ` ICTO !r ' 4/ p eslcemcr ONLY y y `•, - _ ` v . U DATE FLS REF.16'jw /BREEZY r APaROVeD -9�z- D ' p'`�T{ l r � pF NE FOR %9AT rY Y `Qto t� 0 ENS 409 — NOTES: Ic:ul.l OF `/ ..•. REFERENCE DEED: LIBER 91 "THR--E YEARS QCORCO - ■ MONUMENT FOUND FROli DATE OF AP- PROVAL WOODEN FENCE -.-.-,_ WIRE FENCE ELEVATION5 REFER TO M.51. N6VD'29 AREA=1: —cc—.—.- --- .. .. - . N�o _ 0. 02 , ..__' _:_.�: .-..:,+... a.�_ P GRAPHIC SCALE I.= 40'�y % I�Lr) Fo LAND SJ MAY _ " aNL N. v. S. LIC. N0. 50262 JOHN C. EHIEHS LAND SUHVEVON fi EAST MDIN STREET p1VERHEAO. N. Y. 11 901 AEFEFENCE 9 97 -USCF 11A " SOUTH SAYIVICW D. r� BJNc) fi11Nc)� Rut G Y NOT �cE m COUNTYOFSUFFOLK © ��K a SOUTIIpID SECTION NO E „� ______ �__,,.__ Real Property Tax Senrice Agency r m eo< N y,. GnurRMmu0. rVI M ® 89 N. p .ac.w PROPERTY MaP LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: John Bredemeyer, President MAR 1 2 2015 Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: March 12, 2015 Re: Proposed Wetland Permit for BRADFORD WINSTON & SANDRA POWERS SCTM# 1000-89-2-8 BRADFORD WINSTON & SANDRA POWERS request an Administrative Amendment to Wetland Permit # 5562 to add two (2) diagonal 6" diameter pile dolphins to secure the existing two (2) vertical 6" diameter float piles. Located: 485 Breezy Path, Southold. SCTM# 89-2-8 The proposed actions have been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed actions are CONSISTENT with the Policy Standards and therefore are CONSISTENT with the LWRP. 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 so OFFICE LOCATION: MAILING ADDRESS: MAILING Town Hall Annex �0��®� P.O. Box 1179 54375 State Route 25 #: Southold, NY 11971 (cor. Main Rd. & Youngs Ave.) CA Telephone: 631 765-1938 Southold, NY 11971 aO Iycoum LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: John Bredemeyer, President MAR 1 2 2015 Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: March 12, 2015 Re: Proposed Wetland Permit for BRADFORD WINSTON & SANDRA POWERS SCTM# 1000-89-2-8 BRADFORD WINSTON & SANDRA POWERS request an Administrative Amendment to Wetland Permit # 5562 to add two (2) diagonal 6" diameter pile dolphins to secure the existing two (2) vertical 6" diameter float piles. Located: 485 Breezy Path, Southold. SCTM# 89-2-8 The proposed actions have been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed actions are CONSISTENT with the Policy Standards and therefore are CONSISTENT with the LWRP. 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 Michael J. Domino, Vice-Presidei�',- -, James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee I I -19Y.1 TOWN OF SOUTHOLD APPLICATION FOR AN AMENDMENT TO 'A DATE 45 OWNER -!� 'Ix(-'*-- �CWu�3 PHONE MAILING ADDRESS -33,5 AGENT ADDRESS PROPERTY LOCATION Lf TAX MAP NO. PHONE L 54375.Main Main Road *' P 0 Box 1179 —.��."iold, New York 11971-0959 MAR -2201S 1�1-n I V@13 'j'O Lx ji�'�'IZ request an Amenchnent to Permit # to )tt-s-rA-LL Two AAv-Q9*v*- TI.ILC- bOL-P -T-0 n;67C'U'4ZE7 6�os-Ilza —ROD \Zt-�% !C -At, k3cl%-. 1pQw., ooT 1�-A-C6 leA-P- tcz-- -b%))LX-S yp-As ^M-1 Signed � ouff N TOWN OF SOUTHOLD APPLICATION FOR AN AMENDMENT TO 'A DATE 45 OWNER -!� 'Ix(-'*-- �CWu�3 PHONE MAILING ADDRESS -33,5 AGENT ADDRESS PROPERTY LOCATION Lf TAX MAP NO. PHONE L 54375.Main Main Road *' P 0 Box 1179 —.��."iold, New York 11971-0959 MAR -2201S 1�1-n I V@13 'j'O Lx ji�'�'IZ request an Amenchnent to Permit # to )tt-s-rA-LL Two AAv-Q9*v*- TI.ILC- bOL-P -T-0 n;67C'U'4ZE7 6�os-Ilza —ROD \Zt-�% !C -At, k3cl%-. 1pQw., ooT 1�-A-C6 leA-P- tcz-- -b%))LX-S yp-As ^M-1 Signed � 61 Z20 Appendix B Sliort Environmental Assessment Form Instructions for Completing Part 1 - Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding, are subject to public review, and may be subject to further verification. Complete Part 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: `-)> O L -0t4 10 F)L'E Project Location (describe, and attach a location map): gS Brief Description of Proposed Action: wv 1x�s-j7" �-V �� �► i f:�-U P-�� CP Tv > PSP z� r � 5i� PILO cbC-;� -DJ � —'VD lCr Name of Applicant orsor: 1s Telephone: Q�� GLD I•li � � STb1J �' Sj4-!J ��Q-.-i,-- -�OcJ�li�-S E-Mail:'P (' p�O Lo t?-33roaj Address: q) City/PO: State: Zip Code: 1. Does the proposed action only involve the legislative adoption of a plan, local law, ordinance, NO YES ❑ administrative rule, or regulation? If Yes, attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. if no, continue to question 2. 2. Does the proposed action require a permit, approval or funding from any other governmental Agency? NO YES If Yes, list agency(s) name and permit or approval: 3.a. Total acreage of the site of the proposed action? O acres b. Total acreage to be physically disturbed? Ly r A-- acres c. Total acreage (project site and any contiguous properties) owned or controlled by the applicant or project sponsor?`i90 acres 4. Check all land uses that occur on, adjoining and near the proposed action. ❑ Urban ❑ Rura) (non -agriculture) ❑ Industrial ❑ Commercial MResidential (suburban) Forest ❑Agriculture Kc 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 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 V ❑ 8. 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 K ❑ 1 ` F]c. ❑ 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: &0 YES ❑ 10. Will the proposed action connect to an existing public/private water supply? If No, describe method for providing potable water: NO YES ❑ 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 ❑ 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: QJ Sf NO YES ❑ ❑ 14. Identify the typical habitat types that occur on, or are likely to be found on the project site. Check all that apply: Shoreline El Forest ❑ Agricultural/grasslands ❑ Early mid -successional Wetland ❑Urban FI 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 ❑ 16. Is the project site located in the 100 year flood plain? NO YES 17. Will the proposed action create storm water discharge, either from point or non -point sources? If Yes, a. Will storm water discharges flow to adjacent properties? 10, NO DYES b. Will storm water discharges be directed to established conveyance systems (runoff and storm drains)? If Yes, briefly describe: tANO DYES NO YES ❑ Page 2 of 4 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 ❑ to large impact impact may 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 occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 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 3. Will the proposed action impair the character or quality of the existing community? 0 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: \vT u�� l�l� I {�-S N Date: Signature: `L 1, Part 2 - Impact Assessment. The Lead en y is responsible for the completion of Part 2. Answer all of the. following questions in Part 2 using the information contained in Part l 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?" Page 3 of 4 No, or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? 0 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: El 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. Town of Southold - Board of Trustees �j ��� f Name -f Lead A ency Date President Print or Type me Responsible Offi e in Lead Agency Title of Responsible Officer �;WrelKf RespqWeUfficer in Lead Agency Signature of Preparer (if different from Responsible Officer) PRINT Page 4 of 4 No, or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion, flooding or drainage ❑ problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3 - Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered "moderate to large impact may occur", or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact, please complete Part 3. Part 3 should, in sufficient detail, identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant. Each potential impact should be assessed considering its setting, probability of occurring, duration, irreversibility, geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. ❑Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold - Board of Trustees �j ��� f Name -f Lead A ency Date President Print or Type me Responsible Offi e in Lead Agency Title of Responsible Officer �;WrelKf RespqWeUfficer in Lead Agency Signature of Preparer (if different from Responsible Officer) PRINT Page 4 of 4 i 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 To)W. 3: If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supportink facts. If an action cannot be certified as consistent with the LWRP policy standards and-' conditions, it shall not be undertaken. r` 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# PROJECT NAME .) ikNqr-)o .A -C, 1 0 S The Application has been submitted to (check appropriate response): Town Board Planning Board ❑ Building Dept. ElBoard of Truste 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: �'?Sarpet� S7�tC VAL x'1,,0 ^ Z PRo$ --fIGS ?�5%E t1��T�f mac[ tF.Y✓S 1N�1%(��,',�, + �WO-Pabovo ►.ri6fO Jr- O %fFl R11' � -� pj.1 i NT 'U'�'�l Ar' AS Location of action: Site acreage: Present land use: Present zoning classification: GAQ3- : t 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: �j �� l X15 7 0 oi.) S q ��� �j t J U �S (b) Mailing address:. 1✓ S 1 (� "tom `� 1P c _{-� y c, � put 4 (c) Telephone number: Area Code7 ( ,)7 `- Z `2.4 If o 2 Z 72-91r-(- (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ❑ No N,' If yes, which state or federal agency?. C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LVVRP Section III — Policies; Page 2 for evaluation criteria. ❑ Yes ❑ No N Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III = Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III — Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No CA Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III — Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No K Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria ❑ YesEl No Tot Applicable Attach additional sheets if necessary Policy 6. Protect and restore the' quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III — Policies; Pages 22 through 32 for evaluation criteria. Yes No Not Appli . le s-' 0�;J �Z;) :ESF ` Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LW" Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III — Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No�q 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. ❑ Yer-1 No U Not Applicable Attach additional sheets if necessary =� 1 WORKING COAST POLICIES Policy 10. Protect Southold's water -dependent uses and promote siting of new water -dependent uses in suitable locations. See LWRP Section III Policies; Pages 47 through 56 for evaluation criteria. Yes ❑ No 5& Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III- Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No Not Applicable ` Attach additional sheets if necessary Policy 12. Protect agricultural. lands in the Town of Southold. See LWRP Section III —Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No KNot 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_ �.� OU� TITLE o w t�-i, DAT John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 '. APPLICATION FOR A TRANSFER OF A WE DATE I pro r --o R'C' r LAJ -�'-ro yoyO OWNER 5/2LJ 02 A MAILING ADDRESS ET -61 lien ADDRESS Telephone (631) 765-1892 Fax (631) 765-6641 JUL 7 2014 PHONE 3 V,7 fu(l /0C)/7 PHONE - S o PROPERTY LOCATION 0 1-7-1() TAX MAP NO: . request a Transfer of from -- C7 Permit 0_�' I/" Z_&e- Signed By: Boars of Trustees Application County of Suffolk State of New York BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONEIN 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 QF TIJIS APPLICATION. SWORN TO BEFORE ME THIS 7 Tar�-C-f �\ Notary Public VICK TOO�TH Notary No 01` 86190696 w York Qualified in St�ifolk Coin► Commission Expires July 28, 2 of DAY OF �v l 20_1 eRIAPHIC 5CALE I"= 60' Appil,ranbR inert 5omervllle Proposed: Fixed Catwalk, Ramp 4 Float Situate: Cedar Beach Harbor Town: of Southold SuFfolk County Purpose, Private Mooring Note #7 Datum: mean low water Tide Range: 25 +/- Blue lines indicat where diagonal dolpl'In piles will attach to existing piles as marked c o-•1• ^ oE. to EE� •r GHARp LA ! .l. : VAR a Cre M5PARED D' SEA LEVEL MAPPING 6 EAST MAIN STREET PJVERHEAD, W naal PHONE 316-721-9757 FAX $16-364-8.261 N / existing timber W dock and flout S location of i �• existng L4nber qj0 dock and float ZEE a .( O'B (S -0 Float '4 o ... Wx209 tWXI 7 `ai m As built existing a pile is actually placed to the inside 7 �a�, of float as indicated \ P by green arrow alp b' ! of Nay' i No. aois7 Sheet I Of 2 (Vote #3 Red arrows point to the black dots representing approved piles TH15 p12AWING WA5 DEVELOPED FROM AGTUA FIELD SURVEYS r,ONDUGTED BY N MAY 15, 1444 ROBERT H. FOX, NYS 1-10 50141 EE� ! .l. f• .( O'B (S -0 Float '4 o ... Wx209 tWXI 7 `ai m As built existing a pile is actually placed to the inside 7 �a�, of float as indicated \ P by green arrow alp b' ! of Nay' i No. aois7 Sheet I Of 2 (Vote #3 Red arrows point to the black dots representing approved piles TH15 p12AWING WA5 DEVELOPED FROM AGTUA FIELD SURVEYS r,ONDUGTED BY N MAY 15, 1444 ROBERT H. FOX, NYS 1-10 50141