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Home My WebLink AboutTR-687 Michael J.Domino,President �� SU(/jiyo Town Hall Annex John M.Bredemeyer III,Vice-President h� lQ 54375 Route 25 P.O.Box 11 Charles J.Sanders [ Southold,New York 11971 Glenn Goldsmith Telephone(631) 765-1892 A.Nicholas Krupski Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 15, 2017 Gary Steinfeld West Creek Builders, LLC P.O. Box 256 New Suffolk, NY 11956 RE: MARK D. KING 200 EAST MILL ROAD, MATTITUCK SCTM# 1000-106-4-5 Dear Mr. Steinfeld: The�following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, November 15, 2017: WHEREAS, Gary Steinfeld, on behalf of MARK D. KING applied to the Southold Town Trustees for an Amendment to Wetland Permit#687 and Wetland Permit#993 under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated October 13, 2017, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found to be Consistent with the Local Waterfront Revitalization Program policy standards, 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, 2 NOW THEREFORE BE IT RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Wetland Permit#687 and Wetland Permit#993 to remove existing one-story building at dock not to be replaced; remove existing 24.4'x20.3' two-story accessory building at bulkhead, and replace with a 24.4x20.3' one-story accessory building to be located 12' landward of existing building; and to install a 2'x10' drywell to contain roof runoff, and in accordance with Chapter 236 of the Town Code-Stormwater Management; and as depicted on the site plan prepared by West Creek Builders, dated October 10, 2017, and stamped approved on November 15, 2017. 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: None This is not a determination from any other agency. Sincerely, —xnL�� e Michael J. Domino, President Board of Trustees MJD:dd SUFFOLK COUNTY TAX MAP #1000-106-4-5 1 `'• :e4PPR®o✓E® BY PERMIT MODIFICATION. 1 25� R.O.W I ADDRESS: 200 EAST MILL ROAD, MATTITUCK, NY_ 11952 -REMOVE EXI5TING 1 5TORY I ROADW�`Y 1 " BOARD OF RUSTEES BUILDING AT DOCK I TOWN.OF_5QUTHQLD_-- ---_ OWNER: MARK KING -REMOVE EXI5TING 24:4'X 2032 5TORY I ' - ;_• ATE N�I� -!S�202: _ °`�- SITE AREA: 22,972 SF ACCE55ORY BUILDING,AND REPLACE WITH 24.4'X 2031 5TORY ACCE55ORY BUILDING BUILDINGS: 2450.4 SF = 10.673% EXISTING LOCATED 12' LANDWARD I o 2450.4 SF = 10.673% PROPOSED OF EXI5TING I ZONING: MII -INSTALL 2'X10' DRYWELL FLOOD ZONE: AE (EL8) era 25' TIDAL WETLAND ADJACENT AREA 2132 `` i TOTAL AREA: 22,972 SF G°3� �� I 1, • EXISTING COVERAGE BY IMPERVIOUS STRUCTURES: 2,928.28 SF = 12.75% -- PROPOSED COVERAGE BY IMPERVIOUS STRUCTURES: I 1 2,928.28 SF = 12.75% ( 0 I I '"TEST' CREEI� O � I DLP � O ) TEMPORARY l DLP ) S0:2tz ONTROL MEA5LIRES O / , II 43- � -4 PLAN I DESIGN ' BUILD LP-11 DURNGGON5TRUGTION O N { i 5ANITARY �/ GARp.Gf+ I W r S `MP Py P(topp �vw-,o SV00 SYSTEM I 25.91 Ill I DRAWINGS: y�pRly��x2o 3�\ I I West Creek Builders,LLC t:01\N$9�10 y 9 \ 24 O I 5o J } 1 N z PO Box 256 va / - ZA•A \\ \ - 28' GONGR�'CE 11 O �! I New Suffolk, NY 11956 7n T 631.734.8416 C% f 9061(- �qa Ex\y �� 1 12 3s ENTRY PORCH I { 5' REVISIONS/ISSUE: 1 2 y'C I 10.10.17 EXI5TING 6 yx\y"\ I ylo %1� I 2 STORY "' W I I MEAN HIGH ATER(MHW) 2y�° 1 DECK ►.� MARCH 20, 2015 12:10pm t \y'( .V FRAME �--25 �0 8� WE5T GREEK BUILDERS, LLC \\ � ti 6 tiMp��9 � za HOUSE I I GAWP§T�!NFELD \ � � R �� FFE 12.8' I o \ / 00' I King Residence 5 /L I - 200 East Mill Road RM\�' I P2 Mattituck, NY �X\gC\N ,X32 o i V_ j �� 45 RtiMOJ�&P N P�oo�� In \N pHp-�o 55 /�� 90' � I Of \- N86°1N ° I DRAWING: BUILDING FOOTPRINTVA I PROPOSED SITE PL�189 -� ► Proposed Site Plan 825OUTH TO ROCK kXALL eX\.b v\yr-ve � HIGH WATER I I I LF of 8 o,S\pN MARK RSP pti6t)Ny�Mtit,R��vRNy PROJECT NORTH ❑ EXI5TIN6 5TRUGTURE OCT 1 3 2017 1 ��p�2,�O� S 1 PROP05ED 5TRUGTURE Southold Town a s Michael J. Domino, PresidSVFFO(,� i 1 � �. O�0 CSG � � � Town Hall Annex John M. Bredemeyer III,Vice-Presiaent �� yJ, 54375 Route 25 Charles J. Sanders y a P.O.Box 1179 Glenn Goldsmith 0 • Southold,NY 11971 A.Nicholas Krupski y p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: I I/$�17 3 �® Completed in field by: C. 0,1d.55 „'A Gary Steinfeld on behalf of MARK KING requests an Amendment to Wetland Permit #687 and Wetland Permit#993 to remove existing one-story building at dock not to be replaced; remove existing 24.4'x20.3' two-story accessory building at bulkhead, and replace with a 24.4'x20.3' one- story accessory building to be located 12' landward of existing building; and to install a 2'x10' drywell to contain roof runoff, and in accordance with Chapter 236 of the Town Code-Stormwater Management. Located: 200 East Mill Road, Mattituck. SCTM# 1000-106-4-5 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 .1 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment ✓ Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: SAel. � ar� Present were: V J. Bredemeyer ✓ M. Domino /G. Goldsmith N. Krupski r/ C. Sanders Other Page 1 of 2 Michael J. Domino, Presicg�FFQ(,�- 0 CSG Town Hall Annex John M. Bredemeyer III,Vice-Pr6sinent � 54375 Route 25 Charles J. Sanders y z P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski 4,- �apl� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Gary Steinfeld on behalf of MARK KING requests an Amendment to Wetland Permit#687 and Wetland Permit #993 to remove existing one-story building at dock not to be replaced; remove existing 24.4'x20.3' two-story accessory building at bulkhead, and replace with a 24.4'x20.3' one- story accessory building to be located 12' landward of existing building; and to install a 2'x10' drywell to contain roof runoff, and in accordance with Chapter 236 of the Town Code-Stormwater Management. Located: 200 East Mill Road, Mattituck. SCTM# 1000-106-4-5 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. :525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 Mark D.King 111 EW Mill Road, 1000-1064-5 1 f �f l , i cif r - 1 i ELM OV _ J t ' 5 ' OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex ® P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold,NY 11971 ® a� Telephone: 631 765-1938 ®lyc4UN LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: November 14, 2017 Re: LWRP Coastal Consistency Review for MARK D. KING SCTM# 1000-106-4-5 Gary Steinfeld on behalf of MARK D. KING requests an Amendment to Wetland Permit#687 and Wetland Permit#993 to remove existing one-story building at dock not to be replaced; remove existing 24.4'x20.3' two-story accessory building at bulkhead, and replace with a 24.4'x20.3' one- story accessory building to be located 12' landward of existing building; and to install a 2'x10' drywell to contain roof runoff, and in accordance with Chapter 236 of the Town Code-Stormwater Management. Located: 200 East Mill Road, Mattituck. SCTM# 1000-106-4-5 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 CONSISTENT with the Policy Standards and therefore is 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. 1 _j4" Peter Young,Chairman H Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 !� `�►' Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., November 8, 2017 the following recommendation was made: Moved by Caroline Burghardt, seconded by James Abbott, it was RESOLVED to SUPPORT the application of MARK KING to Amend Wetland Permit #6878 &Wetland Permit#993 for the removal of the existing one-story building at dock; remove of existing 24.4'X 20.3' two-story accessory building and replace with 24.4'X,20.3' one-story accessory building located 12' landward of existing; and install a 2'X 10' drywell. Located: 200 East Mill Rd., Mattituck. SCTM#106-4-5 Inspected by: Caroline Burghardt Vote of Council: Ayes: All Motion Carried y0 �� SAJ ID Nla�n Koad M,chael J Dorn,no. V+cc-Pres�dcnf �_ P O Box 1179 Janes F FG t ng- Trustee ` C Si ,31d New Yock 1L971-0959 Ca,e Becgen. Trustee G Telephone(631) 765-L89 Charles J- Sandcrs. TrusLce �� Fax(631) 765-6641 COW� BOARD OF TOWN TRUSTEES TOWN OF SOUTHO LD - To_ Southold-Town Building Department Re- Verification of Building Department Permit Requiremenu\� OCT 1 2011 106_4_ 5 BUMDUiG DEPT- TOWN G9$nwTT Property Owner Mame. 2 KLA Date Sent to Bldg- Dept_: The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YES SIO Will the proposed project require a Building Permit? Will the proposed project require a variance determination from the Zoning Board of Appeals? - Will any part of this application be considered as Demolition as described under Town Code? . -- - - -- - ---- ---- ----------------- -- - - ----------- -------------- ---- - COMMENTS: MA AMA I signature of Reviewer Date NJohn M.Bredemeyer III,President ®F SO& Town Hall Annex {}�� Michael J.Domino,Vice-President 54375 Main RoadP.O.Box 1179 James F.King,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee Charles J.Sanders,Trustee �� Telephone(631)766-1892 �, COO Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD n Office Use Only D � � � � l?� _Coastal Erosion Permit Application an�mit Application Administrative Permit OCT _AmendmendTransfer/Extension l/Received Applica ion: eceived Fee:$ 5OAFt�-' Southold Town Application U!- a _Incomplete _SEQRA Classifica on: Type[—Type II Unlisted Coordination:(date sent) Ve-LWRP Consistency Assessment Form _/'AC Referral Sent: y Date of Inspection: - �� _Receipt of CAC Report: _Lead Agency Determination: Technical Review: Public Hearing Held: 11.15 17 Resolution: Name of Applicant Mark King Mailing Address 200 East Mill Road Mattituck NY 11952 Phone Number:( ) 631-766-7299 Suffolk County Tax Map Number: 1000- 106-4-5 Property Location: 200 East Mill Road, Mattituck, NY, 11952 LILCO Pole # 453' to Sebastians Cove Road 1585' to Grand Ave (provide LILCO Pole#, distance to cross streets, and location) AGENT: Gary Steinfeld, West Creek Builders, LLC (If applicable) Address: PO Box 256, New Suffolk, NY 11956 Phone: 631-334-9205 I�1� Hoard of Trustees Applica )n GENERAL DATA Land Area(in square feet): 22,972 Area Zoning: M I I Previous use of property: Single Family Residential Intended use of property: Single Family Residential Covenants and Restrictions on property? Yes X No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? X Yes No If"Yes",be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes X No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? X Yes No Does the structure(s)on property have a valid Certificate of Occupancy? Yes X No Prior permits/approvals for site improvements: Agency Date Trustees #687 1114/1971, #993 10/01/1973 #8585 11/20/2015 Building Department October 2015 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes,provide explanation: Project Description(use attachments if necessary):��SI� s Removal of existing 1 story building at dock. Removal of existing 24.4'x 20.3' 2 story accessory building and replace with 24.4'x20.3' 1 story accessory building located 12' landward of existing. Install 2'x10' drywell. (see attached site plan) oard of Trustees Applicat I WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Demolition and reconstruction of existing accessory buildings Area of wetlands on lot: 0 square feet Percent coverage of lot: 12.75% existing Structures 12.75% Proposed Closest distance between nearest existing structure and upland edge of wetlands: 61.8' feet Closest distance between nearest proposed structure and upland edge of wetlands: 61.8' feet Does the project involve excavation or filling? No X Yes If yes, how much material will be excavated? 20 cubic yards How much material will be filled? 20 cubic yards Depth of which material will be removed or deposited: 3 feet Proposed slope throughout the area of operations: 0 Manner in which material will be removed or deposited: Excavation by excavator for footing and foundation walls 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): None 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part I -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: King Residence Project Location(describe,and attach a location map): 200 East Mill Road, Mattituck, NY 11952 Brief Description of Proposed Action: Removal of existing 1 story building at dock. Removal of existing 24.4'x 20.3' 2 story accessory building and replace with 24.4'x20.3' 1 story accessory building located 12' landward of existing. Install 2'x10' drywell. Name of Applicant or Sponsor: Telephone:631-766-7299 Mark King E-Mail: Address: 200 East Mill Road City/PO: State: Zip Code: Mattituck NY 11952 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 N1 El 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: rvi NYS DEC & Town of Southold Building Department Llai 3.a.Total acreage of the site of the proposed action? 0.527 acres b.Total acreage to be physically disturbed? Q,__acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.527 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 Pagel of 4 5. Is the proposed action, NO YES_ N/A a. A permitted use under the zoning regulations? ❑ b.Consistent with the adopted comprehensive plan? ❑ ® ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ 0 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify; El ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES X ❑ b.Are public transportation service(s)available at or near the site of the proposed action? (XJ 1 c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? FK El 9. Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: ❑ X 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ JA I 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: 12, a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? (y 1 D b. Is the proposed action located in an archeological sensitive area? I®I ❑_I 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ® ❑' If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres; 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply; lM Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban N Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? N ❑ 16. Is the project site located in the 100 year flood plain? NO YES __X 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, ��11 a. Will storm water discharges flow to adjacent properties? ®NO [:]YES1:1R1 b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: [ANO ❑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: IX-1 ❑ 19. Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: 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: R1 I 0 1 AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name; Date: 10/12/17 Signature; Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 0 o 2. Will the proposed action result in a change in the use or intensity of use of land? 1�r Ll 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 Liestablishment of a Critical Environmental Area(CEA)? 121/5. 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? Ll 7. W ill the proposed action impact existing: I (� a. public/private water supplies? �J 1�,.. 1 b.public/private wastewater treatment utilities? E 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, F]waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 r No,or Moderate small to large impact impact may may OCCUI' occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage 1:1problems? 11. Will the proposed action create a hazard to environmental resources or human health? I I�T_ 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. EICheck 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. 0 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 impa s. Town of Southold-Board of Trustees ! (o / Name of ad Agency Date �J". t5xn j " p_ President Print or Type N me of Res ons'ble Officer in Lead Agency Title of Responsible Officer Signature of Resp o sible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT:::] Page 4 of 4 y;oard of Trustees Applicat AUTHORIZATION (Where the applicant is not the owner) I/We, Mark King owners of the property identified as SCTM# 1000- 106-4-5 in the town of Southold , New York,hereby authorizes Gary Steinfeld, West Creek Builders, LLC to act as my agent and handle all necessary work involved with the application process for permit(s)from the Southold Town Board of Trustees for this property. Pro a Owner's Si ature Property Owner's Signature SWORN TO BEFORE ME THIS DAY OF Go\ , 20 V7 �a 17U1 Notary Public ��•``gtATE�R�'%� 1�e170tAl1orlowski NOTARY '; Notary Public,State of New York rt; __ No.01OR6280392 PuBLIC .1Qualified in Suffolk County ��''.,N�v voP�;o��` Commission Expires 05/13/201 bard of Trustees Applicat i AFFIDAVIT Mark King BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Si ature of Pre6ertyqo�ner Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF et�� ,20 Notary Public ``StATE�c2, Deborah Orlowski ' ?NOTARY Notary Public,State of New York No.01OR6290392 ` .f` ? Qualified in Suffolk County %N1i'v111111.� Commission Expires 05/13/20 unnu APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM Tlie Town of Southold',;Code of l"tltias{imhibits conflicts oc intcreshon the part of town officers and employees.The nurnose of this form is to provide inforination which can alert the town of possible conflicts of mternst and allow it to take whatever action is necessary to av id same. YOURNAME: Mark King (Last name,first name,ipiddle initial,unless you are applying iri the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personalty(or through your company,spouse,sibling,parent,otchild)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,rgarriage,or business interest"Business interest"means a business, including a.partnershfp,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 XX 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 applicanvis a corporation); B)the legal orbenctieial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP \Submitted this /7 day of V6 200/7 Signa o �- Print Name )7.1'X IC /itiG Form TS 1 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM Ille Town of Southoldls de of Ethics n ibits conflicts of interest on the out cif town 6f6ccrs and amnlovees.Ilia numose of this form is to provide info ination which can alert the town of possible conflicts of_cntrest and allow�t to take whateve� rnecessn to avoid same. YOURNAME: Gary Steinfeld, West Creek Builders, LLC (Last name,first name,itiddle 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 BuilinTrusting X Variance Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,,sibling,parent,or child)have a relationship with any officer or employee of the'rown of Southold? "Relationship"includes by blood,nlarriage,or business interest."Business interest"means a business, including a purtnershipjnwhich the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X------ lf 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 it non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of 0 ' 200 ,e -k� Signature —!!Print Name Form TS 1 c Michael J. Domino, o�0S11FFQ(,�coG Town Hall Annex John M. Bredemeyer 111,Vice-President ,� yr, 54375 Route 25 Charles J. Sanders co P.O.Box 1179 Glenn Goldsmith WO Southold,NY 11971 A.Nicholas Krupski yh�o �apl� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD DE �= In the Matter of the Application of N617 MARK D. KING OV 1 4 2 COUNTY OF SUFFOLK Southold Town STATE OF NEW YORK fru ee AFFIDAVIT OF POSTING -TO-BE COIAIPLET-ED AFTER:POSTING REMAINS INPL-ACE FOR-AT LEAST_SEVEN DA-YS-P-RIOR-Ta THE PUBLIC HEARING DATE I, Gaw Steinfeld ,residing at/dba 385 Grathwohl Road, New Suffolk, NY 11956 being duly sworn, depose and say: That on the 1 st day of November , 2017 , I personally posted the property known as 200 East Mill Road, Mattituck 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,November 15,2017. Dated: (signature) Sworn to before me this . � day of NOY. 20 17 Notary Public SABRINA M BORN Notary Public,State of New York No.01B06317038 Qualified in Suffolk County Commission Expires Dec.22,2018 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: James B Kaminsky 75 Woodcliff Dr, Mattituck, NY 11952 106.-4-4 James F King 220 E Mill Road, Mattituck, NY 11952 106.-4-6 James A Neumann 1214 5th Ave, Apt. 45A, New York, NY 10029 Kathleen A Neumann 107.-1-1.3 DECE � �' a NOV 1 4 2017 i STATE OF NEW YORKSouthold TcwnF-� COUNTY OF SUFFOLK car of Tr;;st�es Gary Steinfeld , residing at385 Grathwohl Rd, New Suffolk, NY ,being duly sworn,deposes and says that on the 7th day of November ,.2017 , deponent mailed a true copy of the Notice set forth in the Board of Trustees 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 New Suffolk , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this Day of ,,20= Notary Public SABRINA M BORN Notary Public,State of New York No.01 BO6317038 Qualified in Suffolk county Commission Expires Dec.22, 2018 f I H/ • / . - ./- / .-. r r-I D-. M L ra � ,1 P°A5 SOL Certified Fee $ill,Ol7 NA rR Po � l k C:3 Return Receipt Fee 1!1 `> = u 0 (Endorsement Required) $ •( Restricted Delivery Fee � r C:3 (Endorsement Required) a �� +1_ .n $n. NOV 1 4 2017 O Total Postage&Fees 11 r-R M Srq e`_TO //� &qW .. '_a� Sauthad Tr^gin C3 street,Apr.No.; - hoard Qi?rustees Iti or PO Box No.�Z 6 . .l Z?!-C�( � ................ O� Cdy State,ZtP+4 Er fTl 0 ' M H° a a . Ul --o I'lK o a g y�o 0 0 `"p"'' d ti e";��e ::N o11A"tl lt pp� "l,T•Ca3 A L U E ,fyA 7IiTElCK r11C 1{195 %t Eta a U a �-� ;� �r. � ice- >� �� I`- -tig6 Ln Pos y�eo i g017� gr6 Pas -j 0\,K IV [w E Certified Fee so.on- � Certified Fee r�(I°Ilfl +q� 179C9 ' ¢.q) Pas�fn917 O -° Past 01 0 Retum Receipt.Fee ' Fere 0) Return Receipt Fee r� Chi M f I3 (Endorsement Required) �i[I [) ,1 1. 0 (Endorsement Required) '��1.l�( OI Restricted Delivery Fs ° Restricted Delivery Fee ^R 0 p (Endorsement Required) C3 (Endorsement Required) 0 s� Total Postage&Fe �-� �� O Total Postage&Fees 11% 7 r-9 11 117 r•R _ Sent To p Se t To ,al �Lte�................... --- o sArApt sst�:Y________________ _________ ---------- ----__-- p Street,Apt o.; [� or PO Box No. or PO Box No. 57_ 1GL - .__ . .... ........ ........... ------------------- - Ct ,State,ZfP+4 Cdy,State,ZIP+4 A� �^9 f� :aa' 'ao."• -%''`,`�";�.I.>l;`�/r�V" __). �••� IAG'L�(iit :oa oa L-vL�'- - _ - - fi NEW SUFFOLK 375 IST ST ° NEW SUFFOLK NY 11956-9700 NEW SUFFOLK 3558000956 375 1ST ST 11/07/2017 (800)275-8777 9:46 AM NEW SUFFOLK NY 11956-9700 Product Sale Final 3558000956 Description Qty Price 11/01/2017 (800)275-8777 9:46 AM First-Class 1 $0.49 -------------------------------------= Mail ------------------------- Product Sale Final Letter Description Oty Price (Domestic) (MATTITUCK, NY 11952) First-Class 1 $0.49 (Weight:0 Lb 0.80 Oz) Mail (Expected Delivery Date) Letter (Thursday 11/09/2017) (Domestic) Certified 1 $3:.35 (MATTITUCK, NY 11952) (@@USPS Certified Mail #) (Weight:O Lb 0.80 02) (70101060000115715009) (Expected Delivery Date) Return 1 $2.75 (Thursday 11/09/2017) Receipt Certified 1 $3.35 (@@USPS Return Receipt #) (@@USPS Certified Mail #) (9590940303565163528340) (70101060000115715009) First-Class 1 $0.49 Return 1 $2.75 Mail Receipt Letter (@@USPS Return Receipt,#) (Domestic) (9590940303565163528340) (MATTITUCK, NY 11952) First-Class 1 $0.49 (Weight:0 Lb 0.80 Oz) Mail (Expected Delivery Date) Letter (Thursday 11/09/2017) (Domestic) Certified 1 $3.35 (MATTITUCK, NY 11952) (@@USPS Certified Mail #) (Weight:0 Lb 0.80 02) (70101060000115714903) (Expected Delivery Date) Return 1 $2.75 (Thursday 11/09/2017) Receipt Certified 1 $3.35 (@@USPS Return Receipt #) (@@USPS Certified Mail #) (9590940303565163528340) (70101060000115714903) First-Class 1 $0.49 Return 1 $2.75 Mail Receipt Letter (@@USPS Return Receipt #) (Domestic) (9590940303565163528340) (NEW YORK, NY 10029) First-Class 1 $0.49 (Weight:O Lb 0.70 Oz) Mail (Expected Delivery Date) Letter (Thursday 11/09/2017) (Domestic) Certified 1 $3.35 (NEW YORK, NY 10029) (@@USPS Certified Mail #) (Weight:0 Lb 0.70 Oz) (70101060000115714910) (Expected Delivery Date) Return 1 $2.75 (Thursday 11/09/2017) Receipt Certified 1 $3.35 (@@USPS Return Receipt #) (@@USPS Certified Mail #) (9590940303565163528340) (70101060000115714910) Return 1 $2.75 Total $19.77 Receipt 1 (@@USPS Return Receipt #) Debit Card Remit'd $19.77 (9590940303565163528340) (Card Name:Debit Card) _ (Account #:XXXXXXXXXXXX8692) Total ~ ----�—µ $19.77 (Approval #: ) (Transaction #:494) (Receipt #:001183) (Debit Card Purchase:$19.77) /� (Cash Back:$0.00) 1:rF ® E E 0 E reit your tracking number to 28777 ID (2USPS) to get the latest status. Standard Message and Data rates may apply. You may also visit USPS.com NOV 1 4 2017 USPS Tracking or call 1-800-222-1811. Southold Town Order stamps at usps.com/shop or call oardofTnistees 1-800-Stamp24. Go to usps.com/clicknship to print shippin7 labels with postage For other information call 1-800-ASK-USPS. B • O ■ Complete items 1,2,and 3.Also complete A. Signature ❑Agent item 4 if Restricted Delivery is desired. X ❑Addressee ■ Print your name and address on the reverse so that we can return the card to you. B. Received by(Printed Name) FDate of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from dem 1? Oyes 1. Article Addressed to: If YES,enter delivery address below: ❑No 75 WOLOOti-if-F ID9- ?' -TA-c , IV1I '��.5 3. Service Type ❑Certified Mail® ❑Priority Mail Express"' ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑Collect on Delivery 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article" (7-ransl 7010. 11060 ,0001 1571 5009 I I f PS Form 3811,July 2013 Domestic Return Receipt v � I ■ Com lete items 1,2,and 3.Also complete rB. ig ured -) f% �'d`� item 4 if Restricted Delivery is desired. f;=`s ❑Agent❑Addressee ■ Print your name and address on the reverse �• so that we can return the card to you. Receivby(Printed Na e)1, agate of Deliylery ■ Attach this card to the back of the mailpiece, 9 , J or on the front if space permits. D. Is delivery address different 660,item 1?�E NOV 1. Article Addressed-to: If YES,enter delivery address, W. ❑' o J6 Alf—t C M""i�19N } KlyTH IZ,)4 E d 'v r— � A �� 3. Service Type /1 � �/� �, ®� /"®®��j E3 Certified Mail® ❑Priority Mail Express" �/�}% l J ` B ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑Collect on Delivery 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article t; - 7010 1060 0001 1571 4910 iWansfer- 'PS Form 3811,July 2013 Domestic Return Receipt B . ® • D B D ■ Complete i#ems'1;'2;arid 3.Also complete A. S1gna re item 4 If Restricted Delivery is desired. r. - ` ❑Agent ® Print your name and address on the reverse - ;` �'�`�'' El Addressee so that we can return the Card to you. n B. Received by(Printed Name) 'C. Date of Delivery ■ Attach this card to the back of the mailpiece' or on the front if space permits. _ D. Is delivery address different from item 1? 11 Yes 1. Article-Addressed to: `.;�tt If YES,enter delivery address below: ❑No J /PA) -V y4[ ( l (amu e&— IVY r P '3. Service Type ❑Certified Mail® ❑Priority Mail Express'" ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑Collect on Delivery 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Nu 7 010- 4 oto- � 7� r3' l (Transfer h PS Form 3811,July 2013 _ Domestic Return Receipt a COMPLETE •N COMPLETE THIS SECTIONON DELIVERY ■ Complete items 1,2,and 3.Aiso com tete A Sig ur item 4 if Restricted Delivery is desired. X :?fi OA' cn♦ 'a o o A ■ Print your name and address on the reverse r' ❑Ad&ehsee o _ o so that we can return the card to you. ,. ■ Attach this card to the back of the mailpiece, B Received by(Printed N e) ��ate of Deli ery c Q. m o z Z D or on the front if space permits. * oo Z4 1 y m 70 m D. Is delivery address differen oni'it•m 1? ❑rYes " `D o n w v.Di co' • 1: Article Addressed•to: y _ h R =3, e - " A&W /� ,' ,yt ��w�1 if YES,enter delivery address ��ow: D C_- o, .�. . :�1 R� v o a- CUL Z �f Vit` � w � z ` w 51" � �/5/9" h (� NOQ7aa 3 yy1� 3. Service Type .. v, yJ�i l D�RQ E3 Certified Mail® Priority Mail Express- � CD< =r-. cei Y -rl 13 Registered E3 Return Receipt for Merchandise lt• F - B ❑Insured Mall ❑Collect on Delivery a= 4. Restricted Delivery?(Extra Fee) ❑Yes 3., 41� -r, ? `� m m Article 15 711 4 910 r N R. 7010 1060 0001 N (Transfer, : - P 'Form 3811,July 2013" Domestic Return Receipt ' ca p• co CD CD m o im� om • • • • SECTION • • a m 4z m CL V y o Complete items 1,2,and 3.Also complete A. Signature �. !v. e m m j item 4 if Restricted Delivery is desired. E]Agent J ■ Print your name and address on the reverse [3 Addressee a X CD ~ so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery a m Z ■ Attach this card to the back of the maiipiece, 0 (D N or on the front if space permits., � N o D. Is delivery address different from item 1? 11Yes `m o m 1. Article Addressed to: If YES,enter delivery address below: ❑No o m ID 0 f 7,5,jN``nvatwfF, f)YZ- ❑ y ❑❑ m ❑ ❑ 1 ••,� t 1 ��I.�L.� /vy o N Nv a� 3. Service Typem CS D ❑Certified Mail° ❑Priority Mail Exprese ❑Registered ❑Return Receipt for Merchandise ❑Insured Mail ❑Collect on Delivery 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article, ?0111: 1060 0001 157 ( 1 5009 (= Thant _ I Ps Form 3811,July 2013 Domestic Return Receipt NOTICE TO ADJACENT PROPERTY OWNER D E C E I V E BOARD OF TRUSTEES. TOWN OF SOUTHOLD NOV 1 4 2017 In the matter of applicant: Southold Town Mark King SCTM# 1000-106-It-5 ad of Trudees YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to:Amend Wetland Permits #687 and #993 to remove existing one-story building at dock not to be replaced; remove existing 24.4'x20.3' two story accessory building at bulkhead, and replace with a 24.4'x20.3' one-story accessory building to be located 12' landward-of existing building; and to install a 2'x10' drywell to contain roof runoff. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 200 East Mill Road, Mattituck, NY 3. That the project which is subject to Environmental Review under Chapters 96,111 and/or 275 of the Town Code is open to public comment on: DATE: Wednesday, November 15, 2017 - at or about 5:30pm You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. PROPERTY OWNERS NAME: Mark King MAILING ADDRESS: 200 East Mill Road, Mattituck, NY 11952 PHONE #:-31-766-7299 AGENT. Gary Steinfeld, West Creek Builders, LLC MAILING ADDRESS: PO Box 256, New Suffolk, NY 11956 PHONE M 631-734-8416 Enc: Copy of sketch or plan showing proposal for your convenience. - ------------------ SUFFOLK COUNTY TAX MAP #1C,034106-4-5) 25' R.©.1/`1. ADDRESS: 20,0 EASTMiLL ROAD, vArTiTuctc, NY 11.952 WLDIN& ok*r ixx,i< OWNER: MARK KING Exi!5-rmra :m.4';x: 2 BL SITE AREA: 22,972 !�F )101tJ(5'ANV REr .x.4.4'X 2a.;3 1 5--Ok(AC-ICESBOR"Y' BUIL011+5 )/b EXI'STING BUILDINGS: j450,4 '_;1F - 16.6573' B "' I L.0,fA7 E 1) 1,2' I-AN DINAR t,;' 450.4 SF = I(D 5)73,k P R 0 P 0 S I D py 3 ------ -_SITE ZONING: lqiT -Iii57AL1.2X1o' I)Ri74ELL FLOOD ZONE: A]-: ( ) TIDAL WIMAMCI C L-N t fi►R EA AWA TbT.AL AREA: - '21'9)'2'_ SF- 6 EXISTING CQVERAGIr b ' IMPS:),VIOUS ',TRLJCT[Jk.ES: 2,2,928,.28 SP = '12.75% KI PROPOSED-COVE'r�AOE-' B,Y':im0i:-"F�.Vicius S*rp,uCTURE:_S; 2,928,28 SF 12,750/q, NVEST CREE 0 0 CLP "raMPORARY eRabloN \ _,x 4TR01 WAc5.)RrzE 0 PLAN I DESIGN BUILD Lrl / :J 0 5>kIiTiNR,Y I)PUVINGS 09 -3 Wast Creek Builders,--c C 2 5 I �Ck 7 5T PO [3c)(266 qg0 z New Suffolk, W1'356 A C)v 1 -A �AQ 'r (531.734.8416 -3> )VA 810NIS ISSUE: -J, r,(2RCH I REVI, 5/10 Em -——————————————— 0 0) '10.10.17 t= cl X15TINO MEAN H*H INATER -1 0, 291 1,12:10 pri MARC� 251 CR-F-tKI 13L)IL-DER-5, LL.C, z" HOL)5E. King Residmice I L - ----- BE-I L 5 fl- 2.00 East I'Aill Road STN if i ti-lorc a2 0 45 DRANYING: Prorosed Site PlEm 2..! 2 Ell _N H E C E VE 3.2' 50L)Tt-) Tq 5(.�ALE: 1 O)c Hc _;fq�^LATEFs:'MA IRK NOV 1 4 204, l PR0 T" NI Q KTH -xia, Uj i r 7/-, Southold Town Board of Trustees 11UTICIL Ulm HLAI( Illul 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: MARK D. KING SUBJECT O F PUBLIC HEARING : For an Amendment to Wetland Permit #687 and Wetland Permit #993 to remove existing one-story building at dock not to be replaced; remove existing 24.4'x20.3' two-story accessory building at bulkhead, and replace with a 24.4'x20.3' one-story accessory building to be located 12' landward of existing building; and to install a 2'x10' drywell to contain roof runoff, and in accordance with Chapter 236 of the Town Code-Stormwater Management. Located: 200 East Mill Road, Mattituck. SCTM# 1000-106-4-5 TIME & DATE OF PUBLIC HEARING : - Wednesday, November 15, 2017 — 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 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement-other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its siggificant beneficial and adverse effects upon the coastal area(which includes all of Southold Town. 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both 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# 106 - 4 - 5 PROJECT NAME King Residence The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. x❑ 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) n (b) Financial assistance(e.g. grant, loan,subsidy) lJ (c) Permit,approval,license,certification: ❑ Nature and extent of action: Town of Southold Building Permit for Accessory Structure Board of Trustees Wetland Permit Amendment Location of action: 200 East Mill Road, Mattituck, NY 11952 Site acreage: 0.527 Present land use: Residential Present zoning classification: M11 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: Mark King (b) Mailing address: 200 East Mill Road, Mattituck, NY 11956 (c) Telephone number: Area Code( ) 631-298-4199 (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? NYS DEC C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure,makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. ❑Yes ❑ No 0 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 ❑X 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 0 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 0 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 El Yes F-1No ❑Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ X❑. 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[�] 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 X❑ 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. ❑ Ye❑ No 0 Not Applicable 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. ❑ Yes ❑ No Q 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. Q Yes ❑, No 0 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 EJ Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LMW Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No hJ Not Applicable PREPARED BY Gary Steinfeld, TITLE Agent DATE 10/12/17 West ree ui ers, LLU �pE SO(/Ty Michael J.Domino,President h�� 0l0 Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J.Sanders Southold,New York 11971 Glenn Goldsmith ® �� Telephone(631) 765-1892 A.Nicholas Krupski i�cou Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 15, 2017 ut Mr. Mark D. King P.O. Box 1039 Mattituck, NY 11952 RE: MARK D. KING 220 EAST MILL ROAD, MATTITUCK SCTM# 1000-106-4-5 Dear Mr. King: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, February 15, 2017: RESOLVED that the Southold Town Board of Trustees grants a One-Year Extension to Wetland Permit#687, as issued on October 4, 1971, to Wetland Permit#993, as issued on October 1, 1973, and both Amended on March 18, 2015. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, Michael J. Domino President, Board of Trustees MJD:dd ' JW J 1 3 2�-0 117 DF ( rwsitr,vs -P -AS 6 P' Ll (��'>M� ( Fl rl Ces JA N 1 2 2017 Southold?iwn r Rc+aM of Trus',as "` l1FFQ(� Michael J. Domino,Presidi �! �'�Q CO ��f Town Hall Annex John M. Bredemeyer III,Vice-President „�� Gy54375 Route 25 Charles J. Sanders P.O.Box 1179 CO2 ze Glenn Goldsmith d Southold,NY 11971 A.Nicholas Krupski ® p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD / Date/Time: L_:2 717-6> Completed in field by:MARK D.D. KING requests a One-Year Extension to Wetland Permit#687, as issued on October 4, 1971, to Wetland Permit #993, as issued on October 1, 1973, and both Amended on March 18, 2015. Located: 220 East Mill Road, Mattituck. SCTM# 1000-106-4-5 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet ,5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders Other Page 1 of 2 Michael J.Domino,Presid. SufFQ(j{z� ®�O COG ��r ,. Town Hall Annex John M. Bredemeyer III,Vice-President 4�� y,,, 54375 Route 25 Charles J. Sanders cm P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski ??, di Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: MARK D. KING requests a One-Year Extension to Wetland Permit #687, as issued on October 4, 1971, to Wetland Permit#993, as issued on October 1, 1973, and both Amended on March 18, 2015. Located: 220 East Mill Road, Mattituck. SCTM# 1000-106-4-5 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the-vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. :525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 John M. Brederneyer Ill, President g�yEFQ( co Town [-fall,53095 Main Rd.' Michael J. Domino, Vice-President a� Gym P.O. Box 1 179 James F. King N_ z Southold,NY 11971 Telephone 631 765-1892 Charles J. Sanders � � �� p ( ) Dave Bergen Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD a 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, May bale lime 1't day of construction / % constructed Project complete, compliance inspection John M. Bredemeyer III, President �� y�l Town Hall Annex Michael J. Domino,Vice-President 54375 Main Road P.O. Box 1179 James F. King,Trustee Southold, New York 11971-0959 Dave Bergen,Trustee ' ® �� Charles J. Sanders,Trustee O Telephone(631) 765-1892 �ycoUm� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 18, 2015 Mr. Mark D. Ding PO Box 1039 Mattituck, NY 11952 RE: MARK D. KING 220 EAST MILL ROAD, MATTITUCK SCTM# 106-4-5 Dear Mr. King: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, March 18, 2015: WHEREAS, MARK D. KING applied to the Southold Town Trustees for a Transfer and Amendment to Wetland Permit#687 under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated February 17, 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 LWRP Coordinator issued a recommendation that the application be found to be Consistent with the Local Waterfront Revitalization Program policy standards, 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, 2 � _ NOW THEREFORE BE IT, RESOLVED, that the Southold Town Board of Trustees APPROVES the request for a Transfer of Wetland Permit#687 from Charles A. King to Mark D. King, as issued on October 4, 1971. BE IT FURTHER RESOLVED; that the Southold Town Board of Trustees APPROVES the Amendment to Permit#687 to remove and replace existing +/-68' long bulkhead with two 10' long returns at each end using vinyl sheathing; remove and replace existing 32' long by 31' wide fixed dock; and incorporate by reference Wetland Permit#993 to widen existing dock 10 ft. by-23 ft.; and as depicted on the project plan prepared by AM Weber Associates, LLC, last dated February 18, 2015, and stamped approved on March 18, 2015. 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: $2,066.00 This is not a determination from any other agency. Sincerely, John M. Bredemeyer III, President Board of Trustees JMB/amn John M_ Brederneyer[[[, President UFFOt -C Town Hall Annex Michael J. Domino,Vice-Presidentq �Gy 54375 Route 25, P.O_ Box 1 179 James F. King Southold,NY 11971 Charles J. Sanders y �► �� Telephone(63 1) 765-1892 Dave Bergen Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: D Please be advised that your.application dated �� has been reviewed by this Board at the regular meeting of and your application has been approved pending the completion of the fbilowing items checked.off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1 st Day of Construction($50.00) Constructed ($50.00) Final Inspection Fee ($50.00) Permit fees 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: ,. 1 I TOTAL FEES DUE: $ o 4 b BY: John M. Bredemeyer III, President Board of Trustees John Bredemeyer, President �oSOFFO14. Town Hall Annex Michael J. Domino, Vice-President ° °ed 54375 Route 25 James F. King y z P.O. Box 1179 Charles J. Sanders • Southold, NY 11971 Dave Bergen y�O1 ,� �a°~ Telephone (631) 765-1892 Fax (631) 765-6641 I Southold Town Board of Trustees Field InspectionMork Session Report Date/Time: ' MARK D. KING requests a Transfer of Wetland Permit#687 from Charles A. King to Mark D. King, as issued on October 4, 1971; and for an Amendment to Wetland Permit #687 to remove and replace existing +/-68' long bulkhead with two 10' long returns at each end using vinyl sheathing; remove and replace existing 32' long by 31' wide fixed dock; and incorporate by reference Wetland Permit #993 to widen existing dock 10 ft. by 23 ft. Located: 220 East Mill Road, Mattituck. SCTM# 106-4-5 Ty�f 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: o�k Present Were: J. Bredemeyer M. Domino J. King C. Sanders D. Bergen Bay Constable Other Form filled out in the field by �-I� d�e� IC �✓ Mailed/Faxed to: Date: TOWN 00�'SQUTHOLD .�. : . „ O'F TO N TRUSTEES PERMIT NO..687......:... 3 ` Pursuant•to the;provisions of Chapter.615.of the.,Laws of 1.893A the State. of New„York;Chapter 404 of`.the Lawsof 1952 of the St-ite•of'New York,the.pro- i visions of an ordinanceentitied"Soutliold Town:Ordinance Regulatmg:the Placing;” of Ol'structioRs in anci;on:..Town Wai�rs;and Public Lands; and thiemotra ::of Sand;GraveI:or:other Materialsfrom Lands under Town�Vaters";and in accgrd-• anee with the resolution of the,Board of Trustees::of. the town.of Southold:' adopted:at a meeting of said Board on-, Od iabex:.':�kF 197.1..., and in tonsid eratian`of the,sum.of$31;:.54.. •,lawful:money of,the Unfto. .States, paid. by. :Ctz�'1.es{A .K3.xtg.:.. ... residirig:at �. Rd .,..:�'t:��tuo7�... 't York;the said'Board.,of Trustees of the.Town of Southold Suffolk.County, New. Y§7#, hereby authorized and permits said Charles ,A EGir,g.,•, to vx1d and va3�n. isting .dock to 28 ft,. long Py. 20 ft,• wide, ex . arkl LluJ,ktie di 16 ft along m4ttituck: Crgek, ilk Road, lvJattituck• i w 3Eokk"p a i 1 aCdo>wdance 'wi.th the apgl�.�tion-submftted The said . Charles_ A. Kine ,as part of the consideration for the:issuance of..this permit:does hereby releasethe said Board of Trustees.and the Town of Soathold from any and all damages, claims for damages or suits that; may arise or occur directly or iridirectly as a result of any operation carried on. under.and pursuant to this permit,and will at his own expense,defend-any.and all suits which may b .e.brought by third.parties, as a result of any operation carried.- - on pursuant:to qr in accordance with the terms of this.permit, and:`assume full. liability with,respect thereto:to the complete exclusion of said:Board of Trustees and the Town o Southold. TH[S.PERMIT is subject to the following,error,-and conditions: 1. That there shall be no unreasonable interference with navigation as a result pf` the work.herein authorized. 2. That there shall'be no interference with theright right of,the public to pass and repass along that portion of the beach between.low and high water mark.. - 3. That the work shall be subject to the supervision and approval .of.the said Board of:Tiustees or its agents. 4. That if future operations of the Town of Southold require the removal and/or alteration in the location of the work herein authorized, or if,in the opinion of the Board of Trustees of the Town.of Southold,such work shall cause un- reasonable obstruction to free navigation, the said ..Charles .A..King: will be required upon due notice from the said Board of Trustees, to remove or alter the location of the work hereby authorized without expense to the Town of`Southold,:so as to render navigation reasonably.free and unobstruct- ed. .:. . ...... _ The,auttiority. conferred by this permit.rrioybei terminated by the,Boordof`TrUsteds:' for a failure:on the port of the said.............: Ca'�1�i1wa.@t�.'. .,,.x{. ... _ b1F ............... to comply with the•terms and conditions herein imposed: In'the event of such,. terminotior,. this permit shall:be deemed revoked five•(5) days after -the date when the•..Boord.of,' Trustees shall:,moll,to:the:scid.......:.........:......0 rlos As.,lGiA�......,,,,,_........... ct tFiei address given Jn•his application, a certified.copy of aresolution of.the Board of.`Trustees, directing such termination. IN WITNESS WHEREOF, the said Board of Trustees of:the Town.of Southold hos;: caused its corporate seal to be hereunto affixed and these presents to be subscribed by a majority of the said Board of Trustees, the day and year-above written. seal .... ........... ° L-S.) 1• _ . ' � ....... ...... ... .............. ................................(L.S.) .. ........................... (L.S) ........................................................(L.S. STATE OF NEW YORK ) SS: . COUNTY OF SUFFOLK ) ON THIS .....$ ........day of.............fTS?Y.*FRbA3Z..................... 19-1k, before me: .,cOrsonal.ly appeared Alvah B. Goldsmith, John F. McNulty, _ .. Bawmmep�, Douglas. M.. Robertson, oeorge A. Simpson, all personally known. . to me, who, being by me duly sworn, severally said that they each resided in the Town af, Southold, County of Suffolk, State of New York, and were members of the Board..'bf Trustees' of said Town of Southold and constituted a majority of the same; that they knew,the.corporate_ seal of said Town of Southold;that the seal.affixed to fhe foregoing iMtrutnent was such corporate seal; that it was.so affixed thereunto by order of the Board;of Trustees of said Town of Southold and that each one signed his name thereto as. d Trustee and by.like order. �Publlc ' JUDITH T.80KEN Notary Public,state of New.York No.52-0344963 Suffolk cbunty .. .V11JM: November 9, 197]. Commission Expires March FORM No.1 TOWN OF SOUTHOLD BOARD:-OF TOWN TRUSTEES, TOWN CLERK'S OFFICE SOU*b" N` Y. .< Examined'.- p...... 19 ..... Application No. ... Approved ...: .......................... Permit No. ...z�LI 7....... Disapproved a/c .....-.. :...............:..........:........ chairman,Board of'Trustees APPLICATION.. FOR PERMIT INSTRUCTIONS v A-This application.to be completely filled.in by typewriter`or in ink and submitted to the Town Trustees in dup-. licate. . B. Plot:plan showing location of lot and buildings on premises, relation.to.adjoining premises,.public streets, parks, etc., and giving.deLiled description of proposed layout of project must be drawn on diagram which is part of this application. C.,The work covered by this application may.not-be commenced before the issuance of a permit. ]D.Upon approval a£this application,Town Trustees will issue a,permit to.applicant..Such permit shall be kept on' the premises and mailable for inspection at all times. E. Applicant shall Iiotify the Board of Trustees upon completion of the work covered by permit. I I APPLICATION I HEREBY. MADE to the Board of Trustees of the Town of 'Southold, Suffolk County, New York 'for the issuance of a permit pursuant to the laws';..Ordinances and regulations governing.construction of:*!docks, piers; bulkheads, jettys and dredging in, under;:and over the watersof'T'.own of Southold. The applicant,agrees to comply with alltapplicable laws, ordinances, regulations and conditions specified by said trustees, and'to.hold'ihe Town of Southold,'pnd all Town officials free from liability and damages'of any kind. Name.of Owner ofPrerriises . .. �a��s. ...19.1 A.�l.l.Y. Street:Address of�roperty ........ /�Ii/./ 17QI/-.... tIC�C'..... C (t!e CC .. Home Address If Other Than. Location ...... .,�!e../.....-. .... ..... ......................... Creek,Bay or Harbor Fronting Pro er-y :.... .�d 1-14l. C.e<.. i��qg— .'.......... ....... : Permits Requested':To: .4!, P'.!... ......4�ev,....eX�s.71�?�r...c�/1Ch�..:x wWtl jesr,1..7Q...V.+.�� Pock!o GllGE ; i Size of Proposed Work: Leng6,6vi .70._.. Width ............ Heighth Above High-Water ..&.......,.. Depth Below Low Water ....:......... Average Rise In Tide ...... Yards to Be Excavated ._11t9iVr. i Width of Canal,Creek or Bay Fronting Property ...... 00............. Depth at Low Tide ................... Is This For Private or.Business Use?..-..0V .......:.......... Area Zoning 1. Complete plot plan to be drawn on reverse side of,this application. ! l �'e�VaST-d-/" Z-9N� vt�4 �/Y&,� wt��'on Lox/S T1 n1 G►OC1�9 t,.• 9L ao 7o 6vl ev �' c� Pro�P`�� ?'o j-a�e,-+ Flaor�r�.:y rii 7o :s:- -7-7 STATE OF NEW YORK ) )S.S. COUNTY OF &� ....... •.; being duly.sworn deposes.and says that he is the applicant for the above described permit, and that all stat ents contained herein are true to the best of his knowledgeand belief; that the work will be done in the manner set forth in the application and as approved by the Board of Trustees.of the Town of Southold, and the applicant agrees.to hold the Town of Southold and said trustees harmless and free from anv and .all damages and claims arising under or by virtue of said permit. (applicant) Sworn to before me this ...l� ... day of -..UC Notary public .... G/..,..,-•.•--.,-_•: County of �G%�� .-.. tJotary Pubic.Sfc:e of Naw York No.52-0344963 Suffolk County_,- Commission Expires March 30, POCK p sP cad' 1ovcJ•; t9111 y m' �4t :: . ............. -< ..j th'0' 1d.-,IJown:` ru ocif efes. SOUTH 6Lb- NEW YORK -.PERMIT NO: 3A� DATE: October1973............ ...........99.... - "..ISSUED TO d,.h.a.j:.les..,A.... ri.n.g, ....... -o JF Chapter. 615 f4e Laws'.of1 Pursu6nt to the. prows.ions f f6-'State of New,Y'0Aj:I�893; and Chapter'404 of 1 the-'.La%�s of the. New 0 n .Ordinance ce 'en-) State 16t,Ne York-11952-, and.-the;Southold To�v' Ordin ' -,fiffed.:"REGULATING'AND THE PLACING-OF OBSTRUCTIONS IN AND',ON' TOWN WATERS .AND. -PUBLIC LANDS' the' REMOVAL OF SAND GRAVEL;OR' OTHER,-K4ATERIALS,FROM Y LANDS-.UNDER TOWN'-WATERS;"RS- wit h*the' . oa' ,October Resolution of th' 9 4.a�6p, ieid-at-6 meeting held on The n n consideration'of 6 3 'd I to "d the sum of paid ...... i�har.111i$_A ....... JA N.-Y. and subjeIit,+6 the, it e ': of,' her: Teii 'reverse side' a 0 owing. . 6f.so6th'*old."Toi�r.n'Truitebsl'autho'izes'`and'permits filk' ,dock MAI. W;q Roadt,"N Widbr��. existinq ,d kjo: ftl . by 23 f t q n..Ma t E i Cuck -14attltuck., 'New,Y6rk. 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H `�§4"wi✓lt'01�� tv;;dr(+`',yr?a5 krr �s�i�`� 4' '+ t { r .. ,rN ,V� Z ,M r S.-.e i.,1 oo-1;1', ! 5 r -1`, i:i II•iF .� .YL, tM`k3�t—.,`yn�;.�� 4 4� 1M t'�rl"� l h IF '� III r',N't+9 , ,. }' rv„-"�'ri !l�F, 'r'; } r;,nt , ,`T ,91st, I11 „�.r, ;Atl, F I :P,. 'King t+ Ff» to. <t iG�j {f4v }0., ui��,,,,7'r ,t char.les ,s l r*� li-`?''45i� qt ,� •Pek{u txeC -' . j�j3�t 1 tl1C�C' . • ', ,kl� ,3"` , i1-,�' `v. i'' Mi]1 :Road, . t0 the,#ol- ,rr 'r�[a til _!4.-ti4f�"eiw�t,, -7�'rIE?'�rM1Jry4l 'P'. O.' Box 699; ffia P t,a d and p :' rc,l r I i-�,vtf'h'tz-:wts"�'''`.��v''�,.3e's�d�S a•..,,t�� r"" HCl a issuapce Of •i - +�i ryyt7 e�y Ptl. a t}S'i r"l7ata-`.rdhif�Y "'pf`•SirIIe ,�OII$lderatlOII =. , I rp,i:",d.. .�'r1.�its,irliia�4QfS...Nf.,1c.I' X11,, J r ¢ , �tI r.t �}�p l't�l�- tlit"51. ,y t��..W�, �,r�i4��3 ',,q-�d,91 Y .-ti- i ''• 'f F SM&6i,d''a�,..• f=O :/ rytk� Sy"tr YM u*i kr%Jit, a} ?�' `of TisEees.:aad the,.Town .Q as.a result of may.°lam IT �'. �� a.Board .ditectlas indii ' �,: G, M i t �f} t � 1,�4 the sal `of. Vii°$ Y', as'.her i r,trw 7'"i u �J. ;r'x` fid`'°"8ama esu"°c � 'f�r..dam�g?� •' d .the•said:Pernuttee wi11,•at. asss�m fn lsabt'lst9 . ..I s % Fr k r >+r 1�}� t' r` 3nt.,to this Penopit,; arti and the said Pernrit �':of 5o�athold. ` ;`j,.:`&-i��" " ;r��Y n p fom P'us° ,by.that E of the Tpwn;. �d +. ., �, of Y F� YY = f r� r yyv v �{t. . salts ;r,9"}6 3Y+{,4' `G�Cnd 'at 'r� chis 1 f ' .' '. 4r ,. r<rt7 , fi_:.: , late•eX ioiY of the. r: `',:o' I""4 y I ty e-r 7, t c`,. t.c 5,.iJ,r M, ' t .Ip.the imp 5 j.,•, `.,' the Ir 1, ,_,2 t•,t,', JS•I µ�'•t'>„}y.'Y.t fye +tlleI�tO�., t :. '- �y ,is lr c �� ?r +i RLrry"t I_ "},7 ; ' InO$�''Wu�C� itL , ! a `vt rla�a`z ,'frf'st{`7> Ib �t •d fOY•a;p�!Od;Of•° -- taaCes wartau� u F i�'c, rt,t 7�•rat rY��3 a ,. .^ !l"etr3�tt 15'. , i�jU¢ SllOtlld Clr Yar tit" a �.�'J tivs the wo lIIvplvecl, i1� rtxzt?`F jNS�n' t° r try « it CeClUI.ired .. CO ate- at a:..latet.ldate' f . a7 . esk><ma 1— . + e o the$oard ` i -k l- "..)- 11 I,. t4 ,�� a.rIIay be e t f. ? . 'd Permittee es . �. s,e<^ M1t1 uF �? 'bfr atl e�4 iom. IgnQ neerned that,"autli ��t'�rt�1r t ! `'� Ear, ,,iirit'`a:,frrI 5 { -.: , • . �•. ed.eitldefinitely, .Or a5 a I r„� [+f, ''Y*,, ,u �", '^< '� t Imit`should be retain to rovii3e evid�te toF° .this.Pevbi ed, P ; 7 "�` r, ,aF�" ' '�''.'lj.0�{�a1. „JF# `a 'clie structi>tie or project v titi�yJ =c r j 11 ribs { ua4 bra rt Yt7:': ,�;„''' Obtd111ed. z I,Hin t, tit "�: ,:of:the•.Board.Or. l,-,'?a r� 1' of it XlZa�Ott? Ori 15 app ana aPF 1irf��r f^ F �^{( l��Ss��fr'r yr,; _ t0 1116 P 4 .(�US�#Of . ."7-rbbl ,, y+05 4ss1`OS`'��`a QV111 be:subje�_. .. a lirdr...! . y h�:�� LF.. .. {T 'F t the work involved PP y r 1, ' tix . a,lj r a „ 'th a piowiaas of or�tnatia8: .' ,:t�,yy: ,r sFt3 ,iJ.l' acid non-compliance R'i.• id Board• 0�! y'Ar, rrf N Aa4F f„t+ ,i .n1 , 1. ,1:' ,resolution of the sa r '.,.. ` p� �t ro $� r5�s ,Q of this:perms DY �.a'�Lt:'of rhe w TaF i n ?�',N7+ r y�ry' 4 ii'( 'i°yIt. be no:nnxeasonable interference.'wit}a.navt$a1. ' .. ',�5�` ` sfy��-�is �;J 7 ]],: Sit,g ar rhexe.will. ' „�1. R:IliFrr ;:t?rY,aCj� rr•.'rr, OiiZed. F ulslic to sad:repay Ot1g L.lx ',. • �9 't A� �r �a 1 , wttbi.'the right of„the.p • ; 'hvcri = ��n{ f.�j`�, t ' • shall'be no mtecfece3�eea.11t s �iR itc *” lryry!, 1.r aE there Watek ks. I`;�� '� L. .1,Wxr r,�� ,een high..anil low 1. :: altcratwns p; 3�- . ` + �td1`4” i I the temoVal and ° c"k':,z; r v ,,fJT.lr s :.,:: '' of'the Town.,of Southold xey of,tht f :b Tru ees, the ,, y� �� y� e o �auons ; _`�� the:opiIIi°n ''{ ��9, r+o5 RtC f° ?P �r(`�s"?1 4 �t?at 3f;fRLl7rt. .P a1lthOns.Or s rm flee will .`�— :.: +,, ,"{'rb/Fr work he=exnL. the,said Pe F°$t'L jv 7; rl.:t � atxon iof.,the,... ` oII'to flee nayigari.. :1 .. the�owu �.Ml� ` vin 4°�r+, � k'xr cause.unreasonable bbstrucawoik,vr pioye�t herein stated +a , ,�•J,1 .+,= ;�. t 7 , ova or'alter.thxs. I t .,:!t••�+. r ,4,v '§ are rt0 "il'. - %r, - f w n O M3 «.: _; 7d V .'Ir h ¢,... 7 4 i7” h A� ,ti S fi" �rk. i, .t+ �p S` ld.': 'the-LW . -r r O ,,,.,�}� r3 y� t� •i - y p r.. .1 j� �'�, ..Pe �,._. •, �> ?k i'e` d th 7 r: h! a tl r�, , .f. Y• f be B O 'a _ r .fr �a - ,r. � ai a 7 t,}�,lh.4F .q'r•yi:.{;vF1.p', "F'yl n�" •/{(n' .b•f�4:: :hw, +qtr _ _ ,H :'..• . l�t. �J , • h e,- . Ka �,. 1 ,'bC requu r,: .;. ', + h.a, ::..... may.. Rf,+.r ,r. .: F: ..� , ... a.. :....I , r ' •tS.an .r: •:err x�i'' ,. zt .w . . .:,fir k ,,:. :...: ',Other' .S3me::' a, .try t!:, -3P .•,f,,- � rl,r.,, .,.. tai3l�,a11,- ,� 0� ,;� .w. .�. + 1 .,..,• e:will=ob 4..:' ;,ire''. . . n-..,a, I': c,. :.1, r r.,,I - . e,.l.'era?ittie oke:u , , �•,� . .: at th 'to ro PRn' ,., X11. ,,�F ,.Th ie N. ,,,... �Si1h M ,..- ) he. ; �. ch i. , ,. . . +iV. r , 4 rmlt r?1 , this e. 4 ena 1 � i v J - pp�� k n iV' F a� M' •' d• r..c ✓' tiW. ,�y 1, JL t. It 1. s a t n UR ?fit ., .l -,,gg..,, 13 . r LI .-t '`I:tis ,•.', i�?F.JlrS, � ,�,.' X/` v..yv. 'r', r.•;,r li '�. L itRy..11.' j,'.5; „� 1. 'I-,, i{�- •,r _ 4 ,t• I,•.,, ,31. .r,i,; 'd +�.'( flax J•' �`, ••! C. .4 1 r , a. '° 77 gt at ( t 4 k . 7. 1`yl,.rbh«rjj{�"�,._i+ rt,uxS;fi: >�'. t ' ,. I ! :a R 5. Y"Lfl r w . , I. i ��i'u'yStyt,}T{} -h'e5„ 9r y r t I , T t , , i. ..��+#�"� F �� 1Y I `!r I�It- y w r X.� t 31 vf'crt t e. ' +r 1.'� vrr yf3',til ?4}V�w X11+mss J. (Sf7As'3rNc' A Ct:a t" F, : > .,,..,- .,.h,''. ...5.. -. ,.� Fr�;` lit4.l 1 R,1 +�"h'7 �,,, .�-,.r �� ..� BOARD OF TOWN TRUSTEES Town Of Southold Main Road Southold,New York 11971 j APPLICATION FOR FIXER and/or FLOATING DOCKS I. Applicant's name and, address: ....f.,A 4RLE:;_i...A...... . ................................ .4.9.......rrs.t. L..R 4 f?.�?:. .t ,4 M..r.vi~1�'�..�I ....t.►:.9. 2: Contractor's name and address: ........,g ....t..:....................:................:...................................... 3. Briefly explain the purpose of this application: ..........1-9.....i+(.i.. rY.fd. k ........(u.a '....i.a....... �4. .H.. ........RY.F1iq'A. .................... ............... v. r:c........................................................................................................................ ............................................. ..................................................:................. . .................... .... 4. After issuance of a Permit, 1 expect to: (mark by an )0 (a) Commence work---AT ONCE .....?';....; ASAP ............: UNKNOWN ............. (b) Complete work in _ 1 DAY ............ 1 MO:.... ....;9 YR. .. ...; FUTURE.... .... 5. Secure the. correct Area.Map from.the Secretary of this Board,and by.using an'X WITHIN A CIRCLE indicate as closely as.possible the location of this dock:On;ihe reverse side.of this map, provide:a SCALE DRAWING.which.will show Ordinary, High.Water'Mark, the shape i and siie.of,the`dock-and any supplemental .pilings which are..needed to hold a floating dock or tie-up.a boat. Give all.dimensions necessary to determine.the:area of the dock surface r which.extends offshore from the 0:H.W.M. 6. Will any portion of this construction extend offshore into-Town Waters beyond an imaginary line or boundary formed by other similar structures along the area's shoreline? ' :W, NO, If it does'extend beyond this so-called dock line indicate by how far,approximately,..........ft. 7. Provide the following documents: (a) A Licensed Engineer's Survey of the property involved. (b) A copy.of the Contractor's Plans and Specifications. 8. Will this construction require the Filling of any land offshore of the Ordinary High Vater ! Mark or the Dredging of any. material from Town Lands under water?' or NO. If it does,. Form'A/4 (Application for Dredging/Filling) must be completed and'attached.as part of this application. 9. . In requesting approval of this application, I submit that: the information presented herein is true and correct to the best of my,knowledge and belief;.I am the person accountable for the performance of the work in accordance with the plans and specifications attdched; I have read or am familiar with.the provisions of.any Southold Town Ordiriance pertinent to'the work involved; and further, I, intend to adhere to and abide by the Terms and Conditions.of the i Permit, When 'and',i.f issued to me, L. S. ....: Ah. a :.... :......:...... epted y Dated.� � � t 7 y 3 7 rlip, 1 v , £ P l; JJJst J1� f�f 4 Uff s gS,. - .H,H P L E'S. -I, i IVG y-; OFJ a C � , OTC r b 7 04 �i... t� mss- ,•, Y ��o'er-.:.._� z,r,!t 5 ::� V F . c f7• :.rt/t.—rlr-%TEr.;f:'�iG+'7l,� j `•�-: ;fesVe , _ k ,4 s. ��- w R r,fr itj ,S}' ae: it p � +• rt. . 4 r, r ,� North nd of bulkfiead _ Mill Rd South end of,bulkhead ''•� Google-earth • � � 11 Revegca A SEE SEC.NO.oB9 9EE SEL.NO. ONE , S tWa � MUM Nx nP olsoa ��\ ,y , a, z •' �.. y FAST ,o B a".,:i ,'.oN� E —__ --�• s a� 1[ q,aom Banla - t, 0010.M a zoro Q� 3,'rE'b � � Tr s/ +' a+ zB _??„ xB ay ro � "� "za 9 zs zs♦�,». u __ I I O cE� Y' n� •t.ty u Sb Op. 6 S:@ii:.vt"1 r•n ! /' � �jts",�•4ae°p�* "� ,�n:., � +t „ +B 20 i1•G� :a ,a., O r � IIS A a�\ ♦�°° ,M1 (t�6,x: s M n n •� la T Zb xa m, + �. it 6 P ♦ �° A 1—or—T—D 75 �J PN m '� 3� t°W a.o0ya 0 ae • shun u. ae wiEw WE. ,.s♦ x0 \'�� t l3 : � x � 8 O x°,j{c1t a .a S aA la t 11Mc1 ,a `Eq: • 'N� ,� � ,A°Ha � y� 1.,Alcl / '� J.'rye.' ♦,® � � '. w J » `y'11 Q9 67 2mm J Sova ,vla y.. fl3 /3 ,60Hc1 9 IoM f f. L•. I.oAla //. BB lyact .'f� ala POP PCL NO' ex ^„ BEE KL NNO. J tOMQ 1.Wc1 loi ,S�•1e ' \ + M1 ,,q\,m3 L O SEE SEC.N0. ♦ aob01,] a, 6, \ , 'ly' i ) 1-3 IMTCn ~B4 cH— --t1NE \ d a13 Ma e % \ R SEE SFC -NO IEI W «.. - — .. u... �� ✓o. --a �—x-- N0110E O ... - `I ...,.. O "... _—. .. __ __ Rea PT COUNTY O aSUFFOce Agency .a a ECO No rya E C M ,Dory �q S0(/j�, OFFICE LOCATION: � Ol0 MAILING ADDRESS: Town Hall Annex P.O.Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY 11971 • COQ Telephone: 631 765-1938 COUNTY,�cc� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: John Bredemeyer, President ---- --- t� Town of Southold Board of Trustees From: Mark Terry, Principal Planner MAR 1 6 2015 LWRP Coordinator Date: March 16, 2015 Re: Proposed Wetland Permit for MARK D. KING SCTM# 1000-106=4-5 MARK D. KING requests a Transfer of Wetland Permit#687 from Charles A. King to Mark D. King, as issued on October 4, 1971; and for an Amendment to Wetland Permit#687 to remove and replace existing +/-68' long bulkhead with two 10' long returns at each end using vinyl sheathing; remove and replace existing 32' long by 31' wide fixed dock; and incorporate by reference Wetland Permit#993 to widen existing dock 10 ft. by 23 ft. Located: 220 East Mill Road, Mattituck. SCTM# 106-4-5 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. This recommendation is based on the below listed LWRP policies that support the actions in conjunction with the known use (commercial fishing) on the property. The LWRP policies state: 10.2 Promote Mattituck Inlet and Creek, Mill Creek and. the Village of Greenport as the most suitable locations for water-dependent uses.within the Town of Southold. Mattituck Inlet and Creek, identified by the state as a regional Maritime Center, and the Village of Greenport are the primary focus of maritime activity within the Town of Southold. Give water-dependent development precedence over other types of development at suitably zoned waterfront sites within Mattituck Inlet and Creek and the Village of Greenport. A. Ensure that public actions enable Mattituck Inlet, Mill Creek and the Village of Greenport to continue to function as centers of water-dependent uses. B. Protect and enhance the economic, physical, cultural, and environmental attributes which make up the character of Mattituck Inlet and Creek, Mill Creek and the Village of Greenport. 11.3 Maintain and strengthen a stable commercial fishing fleet in the Town of Southold B. Maintain existing commercial fishing infrastructure and promote the development of new commercial fishing infrastructure to support a stable commercial fishing fleet by promoting the provision of. 1. commercial fishing support facilities, including docks and dock space;off-loading areas;gear storage space; commercially-priced fuel and service yards;ice and refrigeration;road access to commercial fishing docks;and affordable housing for fishery industry personnel, 2. fish processing facilities, 3. appropriately scaled baymen's docks in suitable locations near areas of significant harvest activity. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney Peter Young,Chairman co ti Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 Telephone(631) 5-1889 Fax(63 1)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., March 11, 2015 the following recommendation was made: Moved by Peter Young, seconded by Doug Hardy, it was RESOLVED to SUPPORT the application of MARK D. KING to Amend Wetland Permit #687 to remove and replace 88' bulkhead with vinyl and remove and replace existing 32'X 30' wooden dock. Located: 200 East Mill Rd., Mattituck. SCTM#106-4-5 Inspected by: Peter Young Vote of Council: Ayes: All Motion Carried MAR 1 3 2015 James F.King,President Of SUUrTown Hall Annex Bob Ghosio,Jr.,Vice-President ,`OOl0 54375 Main Road P.O.Box 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer CA G pQ Telephone(631) 765-1892 Michael J. Domino 'Q a Fax(631) 765-6641 cOUNT`I BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD FEB 1 7 2015 APPLICATION FOR A TRANSFER OF A WETLAN�PERMIT; DATE ��'�, Za I S OWNER M ATL(L �1►ti t� PHONE &3 MAILING ADDRESS 7.y x I D '�1 V�1I�tt( u�L , AJ-9. 0.957_ AGENT/A PHONE ADDRESS PROPERTY LOCATION Z,0_0 `—,qS7- dpi l Z2;) TAX MAP NO. �(7 Oe Alin k )ij Q=' request a`Transfer of Permit 7 from l/p t4 l zLr,.5 k AvC, Signed By: James F.King,President SO(/Iy Town Hall Annex Bob Ghosio,Jr.,Vice-President ®� ®l® 54 Main Road P..O.O.Box 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer ` G O Telephone(631) 765-1892 Michael.J. Domino 'Q Fax(631) 765-6641 CON N BOARD OF TOWN TRUSTEES r .' TOWN OF SOUTHOLD FEB 1 7 2015 APPLICATION FOR AN AMENDMENT TO A WETLAND.PERM- IT_: 3 DATE t7-zI -�.D I S OWNER MAdC ` V,VY(, PHONE ADDRESS��` 13: L (7 ✓�TT ( L C Z- AGENT PHONE ADDRESS PROPERTY LOCATION 7 D-0 IF-A S i M k L` 1Z? TAX MAP NO. f, 73331 /y�• 1 `�- I e /`� It-k /4` -G request an Amendment to Permit# �y o 7 t0 /Zrzm a✓6 4w,O OL✓1G/L ,cis!'fir--G s Z X 3 �,�v�✓�i / 2j�r�/� Seg a4f 6(CW) Signed y: IIS _- - - - _ r W1 _ COSTELLO MARINE CONTRACTING CORPORATION DOCK BUILDING • JETTIES • BULKHEADING • STEEL& WOOD PILING • FLOATS 423 FIFTH STREET 9 P.O. BOX 2124 GREENPORT, NEW YORK 11944 (631) 477-1199 FAX (631) 477-0005 January 21, 2014 Mr. Mark King P.O. Box 1039 Mattituck,NY 11952 RE: Bulkhead & Dock Estimate-for Property at Mattituck Inlet Dear Mr. King: As requested;I inspected your•Mattituck Inlet property;and am providing an estimate for a bulkhead, dock and shed. Bulkhead We propose to remove and replace the existing 88' of bulkhead. We propose to construct the new bulkhead using the following material specifications: ■ 6"x 8" CCA stringer ■ Vinyl interlocking sheathing, ESP 8.5, 10' in length ■ 4"x 8"CCA clamp 2"CCA cap ■ 1"x 12' tierods connected to a double backing system where possible Dock We propose.to remove and replace1he existing°32':x30' dock. .The new dock.will be.• constructed using the following: ■ 10"Butt CCA piling,varying in length ■ 6"x 8" CCA caps and stringers ■ 3"x 10" C�decking f ' 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part l -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part I. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1 -Project and Sponsor Information Name of Action or Project: r ✓-�..,i OF / lid/GH!//1YJ /4'O'VJ Project Location(describe,and attach a location map): ZOO /L • /24/e-1- a to /?? , z /Ti. //95'-L Brief Description of Proposed Action: JZF_ wn-6 V f r x lyrl n, 6 G ?,,,L^-vIiTtrL 1)74/1 /c 1VK Pz G�O(,2�f u-:t./! k"111-L AJC-acvvlT1 6 -0zX_IL AI-P 1SC19L^LX u.,`�4 ---<ex, 'em. 6-r Name of Applicant or Sponsor: Telephone: IzI& u,, E-Mail: /3 �.( • G�•tn Address: 3� •1C ft? a City/PO: State: Zip Code: IOA-aI416/k /L/. . I // 9s'z__ 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 A ❑ 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? ,S 27 acres b.Total acreage to be physically disturbed? acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? ,$Z? acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) [-]Industrial ®Commercial ❑Residential(suburban) Ll Forest ❑Agriculture El Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 F; 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ 16 ❑ b.Consistent with the adopted comprehensive plan? ❑ ❑ ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: Z FJ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? ® E]— c. c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 10 ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: 1/ ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: III d Z El u 12. a.Does the site contain a structure that is I isted on either the State or National Register of Historic NO YES Places? ❑ ❑ b. Is the proposed action located in an archeological sensitive area? ❑ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ® ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ®Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional RJ Wetland ❑Urban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? 171 ❑ 16.is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? ANO ❑YES ❑ ❑ b.Will storm water discharges be directed to established conveyance systems(ru ff and storm drains)? If Yes,briefly describe: [FNO ❑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: Z ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: F] ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE i Applicant/sponsor name: f V l+A�ti1L (0" tel' Date: 7, Zj/,' Signatu Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning �j Elregulations? u 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? Iv l ❑ 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 Z ❑ 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 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 rn 1:1problems? u 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. F] Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 MAR 9 2015 . PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: T A ern C 3 13 . K� inn w S Ic� 7 S v-j Z),.)%.-) C L i -D TL t.A J r M S C� �r. s i mac. MA{+Iruc, pi,� . I( �S SFr 3Y t`r STATE OF NEW YORK COUNTY OF SUFFOLK residing at 3 D iz i d� C; (3� eing duly sworn, deposes and says that on the %H day of iMA;Lc I_t , 20 (;-, deponent mailed a-true copy of the Notice set forth in the Board of Trustees 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 Ithe Town of Southold; that said Notices were mailed at the United States Post Office at V)A, 0,(4o P that said Notices were mailed to each of said persons by CERTIFIED MAMIRETURN RECEIPT. i Sworn t efbrejne this Day of , 20� z i Notary Public I KIRSTEN E. HESPOS Notary Public, State of New York No.01 HE6174810 Qualified in Suffolk County Commission Expires 09/24/20 I .o Postal o ■ 1 + o . CERTIFIED MAIL ru I Er Domestic Maii Omy E3 Domestic Mail Only, r-9 CO CO co E _ m IU r ? Postage $ `{ �� i52 •�� zr Postage $ s0 0952 y t rr� O Certified Fee �0 ft� `�1�a1 �� ru Certified Fee �ij"0 N 08` �J ru 1, Postmark J�pst ark 0 Return Receipt Fee Cf{ "4�� W C3 Return Receipt Fee v 70� O 2Q�Iere O (Endorsement Required) g,70 1 O (Endorsement Required) t�R E:3 4AR 2015 C3 e or Restricted Delivery Fee Restricted Delivery Fee 0 v��J C� 3 (Endorsement Required) .00 0 (Endorsement Required) J tea$ ru 0) fU z n c A� ra Total Po a&Fees $ '� 03/0 /2015 ti rR Total Postage&Fees $ 1.6. �5 03/0 t/2015 �� fU J n ti N / 69 Sent ToCg7- �� a' 'IT ent To C r +.1/ rl 1 f �r y'va-- -------------- ----------------- ----------------- k p-�------- % ; Q Stree &Apt.No., O Street&Apt.No., �' ;i/ L� or PO Box No. �� IL,�f�L./ r- or PO Box No. ----------- - - -- -- �-- 7 l- ----------------------- ------------ -- _ City,State,ZIP+4 r( c� City State.Z1P+4 I /TZ C114, �� T�IA C'1'Zr PS Form :.. July 2014 :r. r U.S. Postal Service" CERTIFIED o . ■ Domestic r' IU r Postage $ `�> `�� 0952 `gyp®sy C3 l,, ru Certified Fee $ 3(}I 08 !'�° � w � Return Receipt Fee elf � O (Endorsement Required) X-70 D Restricted Delivery Fee rt 201,5 ma M (Endorsement Required) 0.00 prg+ ru c- U,Jp a� r-9 Total Postage&Fees $ a�'9 03/Al/2015ru c- Sent To F O Street&Apt.IVo., r /� 71 or PO Box No. L J�*�"� �3 V-/— ---------------------------------- ------------ cify state,ziP+4 V6OJ �j y 1 v a� 3800 July 2014 1 John Bredemeyer, Presiaent �O%UFF01.t Town Hall Annex Michael J. Domino, Vice-President ��° a; 54375 Route 25 James F. King 1 P.O. Box 1179 Dave Bergen s Southold, NY. 11971 Charles J. Sanders l ,�, �a°! Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- '! In the Matter of the Application of L MAR 1 6 2015 MARK D. KING COUNTY OF SUFFOLK) STATE OF NEW YORK) _. l AFFIDAVIT OF POSTING SOI TED,Adi7r,E-R.--0",,I AdX11'd' =CES +{'7 $ 7 A=Y. m. `A rL-It- • ��1�y ,residing at/dba '56'0 6 R,6j0yJ C'-t' being duly sworn, depose and say: That on the -7 day of M EA2LN , 201j;", 1 personally posted the property known as 'LDD MILL za . MA A14-Lily s tU•4:�. 5Dun4OLD TOwKJ Su r-J:0 Llc Cau! TA 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, March 18, 2015. Dated: (signature) Sworn to before me this & day ofA40-'-X120/5" A lnlj Notary Public 1„ . .` SSAT, pR''. Deborah OdOWSL 'raoraRv'': Notary Public,State of New Yoh No.01OR6290392 � v"voati r QUAW in u ole Cowry n '�m,,,,,a``'••,• plm 05/13/2047 NUT-ILt: UF HLARING 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: MARK D. KING SUBJECT OF PUBLIC HEARING : A Transfer of Wetland Permit #687 from Charles A. King to Mark D. King, as issued on October 4, 1971 ; and for an Amendment to Wetland Permit #687 to remove and replace existing +/-68' long bulkhead with two 10' long returns at each end using vinyl sheathing; remove and replace existing 32' long by 31' wide fixed dock; and incorporate by reference Wetland Permit #993 to widen existing dock 10 ft. by 23 ft. TIME & DATE OF PUBLIC HEARING : Wednesday, March 18, 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 B a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 R �,d 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 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 Property Owner SWORN TO BEFORE ME THIS DAY OFCCJ�rVL f Q ,20 l Notary Public CONNIE D.SUNCM Notary PubkSteRe-of Naar Y0* No.RE 1WM Qudw In&ft k County Commfeskm S*ms A►pr1114,2(� APPLICANT/AOENT/REPRESENTA.TM TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers andemployces.The purpose of this form is to provide inforination which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. A YOUR NAME: (Lastn ems first name,middle initial,unless you are applying id the name of someone else or other entity,such as a company.If so,indicate,the.other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest"Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO 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 �U 1\7 '13 LA, V-0 S Title br position of that person l(,1-kLUTA`1 b iFpy, / Dv v,-, 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 prodided. 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 heapplicant is not a corporation); C)an officer,director,partners-of employee of the applicant;or D)the actual applicant. DESCRIPTION Or RELATIONSHIP n J _I?Lri P) S /.�rvr� VuAAV�a✓ -9, j4►wG .AYtN. Submitted this day of 20i Signature. Print Name Form TS I f APPLICANT/AOENUREPRESEN TATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of.town Qfficers and em to ees.The se of this form is to provide inforination which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. ,fl YOUR NAME.: I IU "V1 IACZ-�� (Last name,first name,jniddle initial,unless you are applyingiii the name of someone else or other entity,such as a company.If so,indicate the.other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion. Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other,name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business iWerest."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 V 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 c s Wl'E S 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 ID)and/or describe in the space prodided. 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,partnero•or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP • •�. e �1lA�ltUl.n. 1L.1 �/(� �fL� /moi/Zti//f•11=_N � )id h.l./z,s .. Submitted this day of 20 Signature -` Print Name Form TS 1 ` Town of Southold _ LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in malting a.determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form.should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated. as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3: If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both 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. A copy of the LWRP is available in the following places: onlin the Town of Southold's website(southoldtown.northfork.net), the Board of Trustees O the P1Depzrta e, 1 local libraries and the Town Clerk's office. IF : � B. DESCRIPTION OF SITE AND PROPOSED ACTION FEB 1 7 2015 PROJECT NAME "1vt- c_tdQV0 Ap-,o D u:.. c. The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees tv 1 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: 9. ov�ovr. F_x /1l�Idl-G come-i,(. 86,41r_tM40 L/7 /°,pL/—ova AOL/C /714 4e/L1.t_6J a P Location of action: Site acreage: 9, s' 2,7 Present land use: CO'A— L r—/S Present zoning classification: 2. If an application.for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: ). (��- (b) Mailing address: . �. (3�.� J s'�, /�/� i��//� /�•t,. // S� (c) Telephone number: Area Code(3) 7.- (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? /tom �►s w G C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space,makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. [Yes ❑ No ❑ Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LW7Rf.P Section III=Policies Pages 3 through 6 for evaluation criteria L-1 Yes ❑ No ❑ Not Applicable a Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑� Yes ❑ No ❑ Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria Yes ❑ No ❑ Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III =Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑.No u Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. U ❑ ❑ Yes No Not App ble 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. F] 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 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. El Ye� No❑ Not Applicable Attach additional sheets if necessary i I WORKING COAST POLICIE,'`, 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. 14 Yes ❑ No ❑ 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 W 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. 1:1Yes ❑ No Not Applicable i PREPARED BY �� /�,,�� ,� TITLE DATE i Y6,12 -[yi ,rn u r G Gvori -APPROVED BY!-) 6 -: t M Q :BOAR® OF TRUSTE �:. . - �;- i rti,�?s✓t f C�ra rte'C Re.`� -",N,OF SOU S fYAV�( V!NN �ulL�diPPc? L3 '�jG}Cf�E-!� A 2) `"/ s 'Th2j IA c(,' rn�ct�lnr� Ace�s w1 i i j TutfL, j4%ly STo0-`j - _ Assoc � ASa4�� '!SToPy if ,�pmt:5 IGfrv(� iylafll �22.v 6�S! C -c- ��► ` itj FEB 1 7 2015 P(a1Pitt F°�� + �1 t vv FL e' i x P � N , J � 1) 0, �9 P �>✓StP.G 6 S'l'f/�v%!/Irl'd� S 1�E Pih - VRFr.;c! rrn 5'p�1>aG G,o2r?8[ua� n !� f's'K1514fiC r°!'%liiC£? cvsv a"s i`s `IJ',ret,v �" a a 3 � ' �1;'a ►'lr�t�'�'�'U�"�+�R�. ��'�fir'z.:_�` I1y SDv�{�ul �:sTvI + lLC v��tatrG> fi��ctsrl�t�a� ,�,lar C0NCReL—, 6-ktc mal Arid (�IAre t+j sd-wee �acr_•;t�N 40,e l ,n. I CYvTFk f4.d j G a5Tl2t, r+ A JD ......... _•--...__.__.. — eopoJ f�e �C {/r�Cpv I N 1LlS�D •��•,e�—%' � :,tom" � �G&1l,alt.t°�,�"a ��3`�6 ° S ££ a Ti �WAa �. 5UF0111VEY OF FPIC)FERTY MILL COAD - SITUATE. MATTITUCK S85°0512011 TOWN : 50UTHOLD 25.351 4 SUFFOLK COUNTY, N .Y. Z o 5URVEYED 10-1 5-201 3 0 1 — p — 0 51_1F•FOLK COUNTY TAX # o m i �, N 1000. - IOG - 4 - 5 0o I 0 CERTIFIED?T0: \��O�` 0?- MARK D. KING 0 33 0 1 +� 70 FEB 1 2015 x,500 0 70 71 711➢_�� G J No ) `G rC�r➢"R" 0 15-10 G i>9 —I Z r Z Z � \ GONG.BUILDIN i LT C rn Z rn rn Z ��MP N� _2a.9— I � �CC�� W50P _I rnzy�z7 GONG. (31 ➢ Z Z C G� D y99 ` 25j0coN0'A C y10�d GONG• PNC, �v 1 _ 1 STORY — 6� �' o FRAME ` m w F1m f.F. =I I .5' I o v'� 22.2 � / I 511ED ' I ' N�G°d0'00" 5.00' N(5E)00O Wr 55 IV�wAY 90.00' 00 �g o Q0w I M�NOvS I I FEMA FLOOD ZONE AE (EL ,5) LAND NOW OR FORMERLY OF: F.I.R.M. PANEL 143 OF 1026 DIANE COTUGNO MAP NUMBER 3G 103CO 1143h NOTES:® "Unauthorized alteration or addition to a survey map bearing a licensed land surveyor's seal is a MONUMENT FOUND violation of section 7209, sub—division 2, of the ,O �N ay JOHN C . E H L E R5 LAND SURVEYOR New York State Education Law." CO ELEVATION REFERENCE N.A.V.D. 1988 Only copies from the original of this eurrey � marked with an original of the land surveyar�s stamped seal shall be considered to be valid true _ 7 Area = 22,972 5q. Ft. Area = 0.527 Acres "Certifications indicated hereon signify that this V, Q rvey was prepared in accordance with the e.— 0 c G EAST MAIN STREET N,Y.S. LIC. NO. 50202 isting Code of Practice for Land Surveys adopted Fn �o i by the New York Stale Association of Professional .✓Sl Sot GRAPHIC SCALE 1 ll— 30 Land Surveyors. Said certifications shall run only FD RIVEKHEAD, N.Y. I 1901 309-8288 Fax 3G9-8287 to the person for whom the survey is prepared, LA ND SV and on his behalf to the title company, governmen— Iongl5landlanclsurveyor.com tal agency and lending institution listed hereon,and to the assignees of the lending institution. Certifica— tions ore not transferable to additional institutions 9/19/3013 i1:39:O1RM C:\Ua<ro\JMn\Do�ummis\M DlOOCO.\13\13_101.Oro