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HomeMy WebLinkAboutTR-8588 DEPARTMENT OF THE ARMY - u NEW YORK DISTRICT,CORPS OF ENGINEERS (�i• - ` : �i7f JACOB K.JAVITS FEDERAL BUILDING 26 FEDERAL PLAZA f_ NEW YORK,NEW YORK 10278-0090 JUN - 8 2015 Regulatory Branch - ... . r� a+ 04 .. SUBJECT: Permit Application Number NAN-2015-00553-EYR By Mary Van Cott The New York District, U.S. Army Corps of Engineers, has received a request for Department of the Army authorization for the following activity: APPLICANT: Mary Van Cott 33 Winslow Circle Tuckahoe, NY 10707 ACTIVITY: Construct one 6-foot long by 4-foot wide timber platform cantilevered off of the existing bulkhead; and one 14-foot long by 3- foot wide ramp leading to one 20-foot long by 6-foot wide pile- supported float. The total length of the fixed and floating pier structure will extend approximately 8-linear feet from the existing bulkhead into Wunneweta Pond. The purpose of this project is to provide access to Wunneweta Pond and Great Peconic Bay for recreational boating and dockage. WATERWAY: Wunneweta Pond of Great Peconic Bay LOCATION: 4080 Wunneweta Road, Village of Cutchogue, Town of Southold, Suffolk County, NY As this is minor in nature, authorization may be by Letter of Permission. This is in accordance with current Federal Regulations governing work_in navigable waters of the United States. To accomplish the.coordination required, prior to the issuance of a Letter of Permission, your review of the enclosed drawings is requested. Pursuant to Section 307 (c) of the Coastal Zone Management Act of 1972 as amended (16 U.S.C. 1465 (c)(3)(A)), the applicant has certified that the activity complies with and will be conducted in a manner that is consistent with the approved state coastal zone management program. In order for us to better serve you, please complete our Customer Service Survey located at http://www.nan.usace.army.miI/Missions/Regulatory/CustomerSurvey.aspx. 'PLEASE USE THE ABOVE 18-CHARACTER FILE NUMBER ON ALL CORRESPONDENCE WITH THIS OFFICE**'k .1s - 2 - SUBJECT: Permit Application Number NAN-2015-00553-EYR By Mary Van Cott To allow for the timely processing of the subject application, your comments are requested within 20 days of the date of this letter. If you have any questions, please contact Robert Youhas, of my staff, at (917) 790-8715. Sincerely, -"` Stephan A. Ryba Chief, Eastern Section Enclosures 3,yfq�9 4NP(Y�{y^yl\F\9 mood�O ; LI TTLE L7 �. O V 1J� NECK I = T p N OHO N pQ.N 5E�RETE f/o�SeSC° F D & P m----- - —-qs -— — N/0/ q,ma GpRRING7ON GPTIENTERR 7 4 a RD NASSAU RD I G y. POINT m�+ 1$ ' j 'lIT7EE Q` Y 51T�(AGa55 VIA W and wets a0 SU6l�C1 1'v01'��1Y) O r REMWNS OF FORMER K W000 BOAT RAMP CONC. 9CC•� �' �I OPO `4aP��RCLEA WATER Cb \ I I ` 4' x 6' PLATFORM ±62' n x Lagoon ° 3' X 14' RAMP 'fir 1 STORY FRAME TO En l•� %O 3$� HOUSE ONS/O40M • d 5uffdk County Nagstrom Map 29 6' x 20' FLOAT i 111 - +5000 1 kI 8" PILE (TYP.) PROP. DOCK l 4 .�� SPL17 RNL FENCE & S. pVOLEsE ° WOOD FENCE r, }�„ m Ate• BLKND. INZ ADJ. WALK Notes: I• Purpose:fo provide private,n=ommmerclal, floabinq dockage facillty to improve and 5�C110N TNpU ppOF05�n POCK enhance owner's ability to access vessel 5CAL� .I" - 10' 2, Patum:&I,W- 0'-0" 62' 5. Water depths transcribed from survey prepared 6' PLAVOPM by Nathan fA Corwin III Land Surveyor, ~, last dated March 18,2015 NSAx --I 6' PI.OAf r-- 4, Proposed dock components to consist of treated timber structural members,untreated wood decking, and hob-dipped galvanized steel hardware �X,4' W0017 WALK rlocablon: x}080 Wurmeweba Poad, oc}ae, NY; 5CfM No.1000-111-14-23 ALLW-O'-0" M VINYL I3UI.KWM E:N-CONSULTANTS PPOFO5�12 POCK FOP MAFY VAN Ex,cg> a 1319 NOTH SEA ROAD COff ON WUN M-rA PONP, C 2) Pt OP,8" x 30' SUPPOpt PILES PTSOUTH � ON, NY ii9b3 CMCH06T, 5UFFOLK COUNTY, NY 631-253-6300 5H[ tf I OF 1 3/ 25/ 15 6 ` ti �pf S0 John M. Bredemeyer III,President ®� 9p0 Town Hall Annex Michael J.Domino,Vice-President 54375 Main Road P.O. Box 1179 James F. King,TrusteeC.12Southold, New York 11971-0959 Dave Bergen,Trustee Old Telephone (631) 765-1892 Charles J. Sanders,Trustee evutM,� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES May 20, 2015 TOWN OF SOUTHOLD Mr. Robert E. Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: MARY VAN COTT 4080 WUNNEWETA ROAD, CUTCHOGUE SCTM# 111-14-23 Dear Mr. Herrmann: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, May 20, 2015: RESOLVED, that the Southold Town Board of Trustees APPROVES the Administrative Amendment to Wetland Permit#8588 for the in-place replacement of approximately 20 linear feet of existing timber bulkhead with vinyl bulkhead; and as depicted on the revised site plan prepared by En-Consultants, last dated May 11, 2015 and stamped approved on May 20, 2015. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, John M. Bredemeyer III President, Board of Trustees JMB:amn M AY 2015 Rosemary and Sebastian Avolese 4 25 Townsend Street ni;tiiold Toiv<i'�`" Glen Head,NY 11545 :L2� f #4 �._ We, Rosemary and Sebastian Avolese, own property known as 4150 Wunneweta Road, Cutchogue, (SCTM No. 1000-111-14-24), which is located south of and adjacent to that owned by Mary Van Cott. We are aware of and have no objection to Mrs. Van Cott's proposal to replace the approximately 20 linear feet of bulkhead that is located on her property but will require the operation of heavy machinery and permanent installation of a tie-back system (i.e., tie rods and deadmen/laylogs) on our property. It is our mutual intention for the bulkheading on both of our properties to be replaced at the same time and for our bulkheads to physically connect to one another. Dated: Rosem volese Sebastian Avolese 4 G L Rosemary and Sebastian Avolese MAY 18 2015 1 25 Townsend Street s Glen Head,NY 11545 — I We, Rosemary and Sebastian Avolese, own property known as 4150 Wunneweta Road, Cutchogue, (SCTM No. 1000-111-14-24), which is located south of and adjacent to that owned by Mary Van Cott. We are aware of and have no objection to Mrs. Van Cott's proposal to replace the approximately 20 linear feet of bulkhead that is located on her property but will require the operation of heavy machinery and permanent installation of a tie-back system (i.e., tie rods and deadmen/laylogs) on our property. It is our mutual intention for the bulkheading on both of our properties to be replaced at the same time and for our bulkheads to physically connect to one another. Dated: f 1 �J Sf4' J i,Utet✓ � c' t� -��- Lrtio� Am �lY v�„� a Rosem4ry�Avolese C \4 ka -4J i S .aStia_n Avolese Y John Bredemeyer, President �o$nFFot,�c Town Hall Annex Michael J. Domino, Vice-President 54375 Route 25 James F. King y x P.O. Box 1179 Charles J. Sanders . Southold, NY 11971 Dave Bergen y�o! ,� �a°! Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees �j Field InspectionMork Session Report Date/Time: /���I� En-Consultants on behalf of MARY VAN COTT requests an Administrative Amendment to Wetland Permit# 8588 for the in-place replacement of approximately 20 linear feet of existing timber bulkhead with vinyl bulkhead. Located: 4080 Wunneweta Road, Cutchogue. SCTM# 111-14-23 Tpe of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Storm Water Management Review: Yes No Not Applicable Info needed: Modifications: Conditions: ���� Present Were: J. Bredemeyer M. Domino King C. Sanders D. Bergen Bay Constable Other Form filled out in the field by Mailed/Faxed to: Date: EN-CONSULTANTS MAY 1 4 2015 ` May 11,2015 R QUEST FOR ADAWaSTRATIVE AMEND NT Town of Southold Board of Trustees Post Office Box 1179 Southold,New York 11971 Attn.: Elizabeth Cantrell Re: Mary Van Cott 4080 Wunneweta Road, Cutchogue SCTM#1000-111-14-23 Dear Ms. Cantrell: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: 1. Three(3)Wetland Permit Applications including a) authorization&disclosure forms, b) Short Environmental Assessment Form(SEAF), and c) project plan prepared by En-Consultants, last dated May 11,2015. 2. Application fee of$50.00. I trust this information shall allow you to process our permit request. Should any additional information be required,please do not hesitate to contact our office. Since ly, Robert .Herrmann Coastal Management Specialist Enc. 1319 North Sea Road I Southampton,New York 11968 p 631.283.6360 f 631.283.6136 www.enconsultants.com environmental consulting t Town Hall Jill M.Dougherty,President � + FQ��•� 53095 Route 25 James F.King,Vice-President P.O. Box 1179 Dave Bergen �� �� Southold, New York 11971-0959 Bob Ghosio,Jr. ti Telephone(631)765-1892 John Brederneyer d Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD ARAMETMTEVE LETTER OF REQUEST FOR AN AMENDMENT DATE May 11,2015 OWNER. MarY Van Cott PHONE 914-961-3225 33 Winslow Circle ADDRESS Tuckahoe,NY 10707 AGENT En-Consultants PHONE 631-283-6360 ADDRESS 1319 North Sea Road,Southampton,NY 11968 PROPERTY LOCATION 4080 Wunneweta Road, Cutchogue TAX MAP NO. #1000-111-14-23 Adnri_nistrative I/We En-Consultants for Mary Van Cott request an Amendment to Permit# 8588 to additionally authorize the in-place replacement of approximately 20 linear feet of existing timber bulkhead with vinyl bulkhead,as previously authorized by Wetlands Permit No.6475,all as depicted on the project plan prepared by En-Consultants,last dated 5111115. Signed By: Robert E.Herrmann,Coastal Management Specialist Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) I,III A-K q JI A) �� fi residing at 3� Lj i&KL oW Cj Pe L-E (print owner of property) (mailing address) -7- FSA HA E xj N / - do hereby authorize (Agent) �(�nl50 L"[Aftr1-S to apply for permit(s)from the Southold Board of Town Trustees on my behalf. -:: r (Owner's sig tore) i Board of Trustees Application County of Suffolk State of New York l y?I R e 41v �a �1 BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. JOSEPH A GIORDANO U-4 Notary Public-State of New York No.01G16218126 Signature Qualified in Nassau County My Commission Explr�--s March 1,.2018 SWORN TO BEFORE ME THIS C DAY OF A V ,20 f JOSEPH A GIORDANO Notary Public-State of New York No.01GI6218126 Qualified in Nassau County 7 I My Commission Expires March 1,2018 N Public r i APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The numose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoidisa�me. YOURNAME: t'e� !1 , 'n (Last name,fust name,middle 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 Building _ Variance Tutee 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 Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP I Su) tnit#e$�t ' day of 20,�, Signature ltiVl VV i Print Name 1 Form TS 1 I APPLICANT/ACENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORINT The Town of SouthoId's Code of Ethics prohibits conflicts of interest on the part of town officers and ern louees.The of this form is to provide information which can alert the town of gggibie conflicts of interest and allow it to take whatever action is nececsary to avoid same. YOUR NAME: pp in file name of (Last name,first name,iriddle initial,unless you are applying 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 TrusteeCoastal Erosion Change of Zone Mooring ' Approyat of plat Planning Exemption from plat or official map 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 -RzFati--reship'includes by blood,nwriage,or business interest."Business inter;st`means a business, including a partnership,in which the town officer lir employee has even a partial ownership of(or employmcnt by)a corporation in which the tov:-n officer or euipioyce owns mnsz than 5%of the shares. YES : NO X-------.`. If you answered'YES",complete the balance of this form and date and sign where indicated. i Name of person employed by the Town of Southold Title br 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 greatcr than 3%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)dic,legal or beneficial o=ver of any interest in a non-corporate entity(when the aapiicant is not a corporation); C)an officer,director,partner.or employee of the applicant,or D}the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this426ayof R 130 March 20215 Signature Print NameIM Form,TS I P EtrlConsultants I'� _ _ "�•`" v� z LITTLE . Wm� HOG lLoop plQ °EN NECK �. .tdS N MAY l O �E�R ?'� - ��-/o - J O� I '1t `V M`m�Qo E.;RINGr GPRpENTENA I IF D' '. ,a '� NASSA,U 30' V_� -- - - a`'` - .1 `"` poo_ POINT - �p6?s �y S9 C ACCE55 VIA Q ' A T z W and wets m0 SU6.11;C1'pt;OPt t?TY) r_ REMAINS OF FORMER rr� � 0P \ I I WOOD BOAT RAMP CONC. �e+"T8" '�e�\ I T.I �" CLEL RW►TEP 4' x 6' PLATFORM ±62' "Y 3' X 14' RAMP, 33 1 STORY FRAME W y p HOUSE O NOISE Ne.. = ou* aas 0m Map 29 x 3g oeo '-_ crL'�,. - �- 000' 6' x 20' FLOAT , ., BY " r 8" PILE TYP. PROP. DOCK oyso' ✓ `I�I ,.c 1I I /ry !�� O� SPIJ7 MIL FENCE .S'r+ V {�',.''r.. 91 • BLKHO, t4' 01Y ..._.._.._.—.._ AI)J ±16" ° W000 FENCE 14101Fo�F R. & S. NORTH SEA ROAD , Ate• WALK APPROX. 20' OF EX. TIMBER BULKHEAD TO BE REMOVED AND REPLACED 'S®UHAMPTON, NY ] 968 (IN—PLACE) WITH VINYL BULKHEAD *2Q3_63/4® HI VV S�CTI _ Puroose;To provide private,noncommmercial, 5�CTION TPU IN-PI.AC� PU�KH�AP p�p�AaM�Nf �—X62' floatinq dockage facility to improve and SC�.� ;I i I O fn 6' PLA1FOPM enhance owner's ability to access ve55el ±96' (w,.) ��1 2. t9atum;A1.LW- 0'-011 v 61',PLOAt f 3. Water depths transcribed from survey prepared 6" f0P CLAMP 3' IMP by Nathan raft Cavin III band Surveyor, 13ACKFILL APPA 2" CAP last dated March 18, 2015 ±_6' I0 4, Proposed dock component-,to con5i5t of treated -.;�. C 2) 6" x 6" WADS PX.4' WOOF WALK AHW-3 -0 timber 5txuctural members,untreated wand decking, AHW-2'-6" ALLW-0'-0" and hot-dipped galvanized steel hardware 5. Project location;4080 Wunreweta load, `I,x14 T1s p07 AW-0'-011 EX.VINYL 13ULKlfAI9 Cutchoque,NY; 5CrM No,1000-11144-23 8"1LAYLOC, 8" I?EVMAN Ex PPOPO5�P POCK FOP, MAPY VAN ±9' PEN, 14' VINYL 5HEATHIN6 (2) PPOP,8" x 30' 5UPPorf PILE5 COTS"ON WUNNMfA POND, 10" x 16' PILIN65 CUTCNOGT, 5UFFOI K COUNTY,IJNY SHfff 1 0_ I 3/ 25/ 15, 5/ II/ 15 John M. Bredemeyer Ill, President Michael J. Domino, Vice -President James F. King Charles J. Sanders Dave Bergen p�pgtlFFO(,1-�O co W ,fir W • BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD I Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE -CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre -construction, silt fence 1St day of construction '/ constructed \/ Project complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 8588 DATE: APRIL 22, 2015 ISSUED TO: MARY VAN COTT PROPERTY ADDRESS: 4080 WUNNEWETA ROAD, CUTCHOGUE SCTM# 111-14-23 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on April 22, 2015, and in consideration of application fee in the sum of $250.00 paid by En -Consultants and subject to the Terms and Conditions as stated in the Resolution, the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct a dock adjacent to existing bulkhead consisting of a 4'x6' platform cantilevered off bulkhead; Yx14' ramp; a 6'x20' float secured with two (2) S" diameter pilings'; and water and electric services to the dock; and as depicted on the site plan prepared by En -Consultants, last dated March 25, 2015 and stamped approved on April 22, 2015. IN WITNESS WHEREOF, the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. Charles J. Sanders- military leave of absence &F. SECRETE N/�/F D 1" = 30' �G�yy�y 106•x$ 'CF ♦ _ _ F REMNNS OF FORMER \ I WOOD BOAT RAMP \ r I I CONC. ��\ I O: I �0 `�♦ I I 1„ 4' x 6' PLATFORM x ±62' w 3' X 14' RAMP. 3� I STORY FRAME HOUSE 300 HOUSE N°. 4000 6' x 20' FLOAT 8" PILE (TYP.) PROP. DOCK k SPLR fCIL FENCE E x R S. AVOLES o WOpp FENCE 14101E f MAA 2,pll115 *62 Sj FX, 4' WOOF WA,K 5�CION THFU FWF05�19nOCK 5CAL� ; " - 10' FX, VINYL PLtl.KI M ( 2) MOP. 8" x 30' 5UPPOPf FU5 6' FLAlfRM 6' FLOK �— I I rte— rr 3' DAMP E , N � Z LITTLE 9 P 9 t4 D HOU ZNnry�' o m s Jr� T R.� pY F9 C IV ECK Icy f/azeshoe c°° H Cp a /p I Qer �uP RINGTDM GPQpENTERR `ily HF�p04 RD NASSAU V a' RDg POINT > c MILE Q' �� 519 (ACa55 VIA Wunneweta '°�1 %13xcfIQVP�M) -' 7 EN -CONSULTANTS 1319 NORTH SEA ROAD SOUTHAMPTON, NY 11963 631-233-6360 5uffdk County Nagstrom Map 29 I" _ +3000' Notes; I, Purpose; ro provide private, roncommmercial, floatinq dockage facility to improve and enhance owner's ability to access vessel 2• natum; &LW - 0'-0" 3, Water depths transcribed from survey prepared by Nathan Taff Cawln III land Surveyor, last dated March 18, 2015 4, Proposed dock components to consist of treated timber structural members, untreated wood decking, and hot -dipped galvanized steel hardware 5, Project location, 4080 Wumeweta Poad, Cutchoque, NY; 5Cf"M No. 1000-111-14-25 ppOPO5�12nOCK FOP MpY VAN COI's' ON WUNNMTA PONn, CMHOGU�, 5UFFOI K COUNTY, NY TERMS AND CONDITIONS The Permittee, Mary Van Cott, residing at 4080 Wunneweta Road, Cutchogue, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes. full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that' may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 10. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. i John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee April 22, 2015 Mr. Robert E. Herrmann En -Consultants 1319 North Sea Road Southampton, NY 11968 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD RE: MARY VAN COTT 4080 WUNNEWETA ROAD, CUTCHOGUE SCTM# 111-14-23 Dear Mr. Herrmann: Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1592 Fax (631) 765-6641 The Board of Town Trustees took the following action during its regular meeting held on Wednesday, April 22, 2015 regarding the above matter: WHEREAS, En -Consultants on behalf of MARY VAN COTT applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated March 27, 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 Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on April 22, 2015, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 2 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approves the application of MARY VAN COT T to construct a dock adjacent to existing bulkhead consisting of a 4'x6' platform cantilevered off bulkhead; 3'x14' ramp; a 6'x20' float secured with two (2) 8" diameter pilings; and water and electric services to the dock; and as depicted on the site plan prepared by En -Consultants, last dated March 25, 2015 and stamped approved on April 22, 2015. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $558.00 Very truly yours, John M. Bredemeyer III President, Board of Trustees JMB/amn John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King Charles J. Sanders Dave Bergen TO: 1:::� ft — BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall Annex 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 - - 1 Please be advised that your application dated 3� has been reviewed by this, Board at the regular meeting of and your application has been approved pending the completion of the folldWing items checked off below. Revised Plans for proposed project- Pre-Construction rojectPre-Construction Silt Fence Inspection Fee ($50.00) 1St Day of Construction ($50.00) %Constructed ($50.00) 114 Final Inspection Fee ($50:00) rh e Gk t & y 27 Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: 3'Xf'P ram p C 4 2 x � 3.Oa/sq���• —4 M, VD TOTAL FEES DUE: $ 155 •0b ��)�l%S 4 Ili 9 S BY: John M. Bredemeyer III, President C1 Board of Trustees Gid �Nr _ � '►� � �'� SOUTY TRI � �1 , Lam. � � P' � i�:'• r VS - . v i PR e T , Bit ary Van Cott i80 Wunneweta Road, Cutchogue TM# 111-14-23 15/15 `1O O Fy � bill - 0) 3 O 0 . o L I 01F �� ONIO S14 -FSE REEI)OMI A�6i, ��s & p / / 400 e.w.1 0 a o x 125 AL EN .AL �o \ I �N V�N� / I ti416.01 P a^ . dz14. /\ / / 517.2 AA CP FOV D MON' / w r' m ,x I rn. C0 ~- c� r LT s TT,, '�" ' 14:3, W II .` ROA�AIN OF (FORM R FpFp U�' I Al, I IW00D OAT AMP CONC ` �9, f I I �R�VE=9ROWt� I I z ISII a Ojy I I Iv, 21.5. • - ��AL I / G.FL. - ZI T. B. - STOOP PL.., `\ 8.5 E05 LEVATION HIGH WATER MARK 05/21/2 14 2.7' X` r ELEVATION LOWER LOW WATER MARK 05/21/2014 = -0.3' V l�, � I r ' l /amu X N 18 277' �� m WATER DEPTHS m� 0 /t27I m �p d SHOWN IN INCHES ARE REFERENCED TO LOW WATER BEING AT (0.0") o i L6T om' 1 STORY /X s.3/ / FRAME HOUSE HOUSE X 7 R No. 4080 F 18.99 BASEMEN. Gv 300 p�TSIDE�SHO ENT FL14.70 Iwo p o p �j / BLO CON7 ,g LL c 24.4' ?rq vz X-3 / / gV�r /T.W.cn 1_t� 1-7 C1 7. 3. 12.5' (O 0 m / PROPKE TANK/ D/y n p o �VXa./ I / G.FL. - ZI T. B. - >X 23.3 O r l�, � I r ' X la: N O� /amu X N BOTTOM OF WALL o 0 m �p d D/y n p o �VXa./ I / G.FL. - ZI T. B. - 0 Ir -1 rri BOTTOM OF BULKHEAD T. W. - O� /amu X N BOTTOM OF WALL 6.2 ENCE 75.OJ n FENC 13" E o ? q �v ^]� N�L. 5 0.7' Pu R91L FFOE N 84°56. oo OW�F FENN / / 1• / 16.39 BULK. 3m x woD PCgS p 12.0 cE� 11� s/,�� �/ �9 do I ti 3.2'N. T.B.6.7 / �pOD F 34.��2 FO � I ;W00 CON7MON./ ALK o " LOT 228 o. 81,37 40 �; t1 S NI0/AVOLESE o Ni ROSEMARY AVOLESE & SEBASTIAN z NOTES: ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM EXISTING ELEVATIONS ARE SHOWN THUS:5.0 EXISTING CONTOUR LINES ARE SHOWN THUS: — — F. FL. - FIRST FLOOR G.FL. - GARAGE FLOOR T. B. - TOP OF BULKHEAD B.B. - BOTTOM OF BULKHEAD T. W. - TOP OF WALL B. W. - BOTTOM OF WALL 5— — — — SURVEY OF LOT 229 AMENDED MAP A OF NASSAU POINT OWNED BY NASSAU POINT CLUB PROPERTIES, INC. FILE No. 156' FILED AUGUST 16, 1922 . SI T UA TED A T NASSAU POINT, TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-111-14-23- SCALE 000-111-14-23- SCALE 1"=20 JULY 19, 2006 MAY 21, 2014 LOCATE WETLANDS MARCH, 18, 2015 UPDATE SURVEY UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. AREA = 7,460 sq. ff. (TO TIE LINE 0.171 ac. & BULKHEAD) t ti MAR 2 7 2015 y j j PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS AS ESTABLISHED BY THE L.I.A.L.S. AND APPROVED AND ADOPTED FOR SUCH USE BY THE NEW YORK STATE LAND TITLE ASSOCIATION. OF 50467 nn nnnA �F h, N V � o 0 m d 5— — — — SURVEY OF LOT 229 AMENDED MAP A OF NASSAU POINT OWNED BY NASSAU POINT CLUB PROPERTIES, INC. FILE No. 156' FILED AUGUST 16, 1922 . SI T UA TED A T NASSAU POINT, TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-111-14-23- SCALE 000-111-14-23- SCALE 1"=20 JULY 19, 2006 MAY 21, 2014 LOCATE WETLANDS MARCH, 18, 2015 UPDATE SURVEY UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. AREA = 7,460 sq. ff. (TO TIE LINE 0.171 ac. & BULKHEAD) t ti MAR 2 7 2015 y j j PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS AS ESTABLISHED BY THE L.I.A.L.S. AND APPROVED AND ADOPTED FOR SUCH USE BY THE NEW YORK STATE LAND TITLE ASSOCIATION. OF 50467 nn nnnA John Bredemeyer, President g0FF014 Michael J. Domino, Vice -President cOGy� James F. King y x Charles J. Sanders • Dave Bergen Town Hall Annex 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: ° L (/S` En -Consultants on behalf of MARY VAN COTT requests a Wetland Permit to construct a dock adjacent to existing bulkhead consisting of a 4'x6' platform cantilevered off bulkhead; 3'x14' ramp; and 6'x20' float.secured with two (2) 8" diameter pilings. Located: 4080 Wunneweta Road, Cutchogue. SCTM# 111-14-23 Type of area to be impacted: �SSaltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: K, 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: -f- Present Present Were: J. Bredemeyer _M. Domino J King C. Sanders Bergen Bay Constable Other Form filled out in the field by 14 , i -J C- Mailed/Faxed to: Date: MM MARY VAN COTT, 4080 WUNNEWETA ROAD, CUTCHOGUE Figure 1. Looking southeast at existing bulkhead, vessel, and location of proposed dock. Figure 2. Looking northeast at existing bulkhead, vessel, and location of proposed dock. MARY VAN COTT, 4080 WUNNEWETA ROAD, CUTCHOGUE Figure 3. Looking west from upland over existing bulkhead and location of proposed dock and at neighboring docks inside boat basin. Figure 4. Aerial view (9-19-13) over subject property and neighboring docks. Photograph by Google Earth. I Property Tax Servl Agency r 1 l U - PROPERTY MAr'T ' w _ vah � c i8 P s; ar � "'a R• eme � 2 s S e ti� sp- � >f`. �� °' • + as w as ,/ �'� a"` -�' 2r S ae,ty t S ' t.wci � '-c.saccci ~� .\-, .a � ± 5 •e •i., c2 °s.1 „ I T c �aq t ^O A�d'�a S � t .d "` ^' ws �' \ 131 X12.2 21 a" +y CtO° - T rye a ivq © . 8 INO �E n � ^m a ]9 - syr, O --(q w 21 co�E , --------------- > 1c w p, Ner.te erMcn.tm n"p'-. .' °" • Sl 1`.. _.o. ;� +� p„ d >_wcl , � -. °' � ` - a�N1c),' <•:^ 1, �-_TaLel ----- twn - d w Y ',om; pn .B+ ,, P 1 M tm A ,.Wl Pn �,�,.'_ ,.Wel 5, y J 11 2': t ' � m'• e2 � TiMcy-- ` my 52". e 1 4 m T r 1/ M1Y -N.114 }}dd r w is , y c" F yyETP m zeMG ® ++K"` M .' FO IMltll ZINE � 5 � ` ''/st/ COUNTY OF SUFFOLK Q x SECTION NO "..� --oma— ".".�. --•-- NOTICE ,> .`�r� C E or SOUTHOLD c r..� •-- —� - 1211 O2 wYr _ _ _ —T — v Real Property Tax Service Agency Y .oE °r 111 Nr��,wu ^^. ___ .. •� �_� w...... --._——_.—_ r• Gwriry 0.ntx rowrM.e.HY „H1 M ft, A .� p rmv xo 1000 — — PROPERTY N✓,P OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY 11971 OF SOUj�O � O �y�OUN11 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: John Bredemeyer, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date.- April 14, 2015 Re: Local Waterfront Coastal Consistency Review MARY VAN COTT SCTM# 1000-111-14-23 APR 1 4 2015 z En -Consultants on behalf of MARY VAN COTT requests a Wetland Permit to construct a dock adjacent to existing bulkhead consisting of a 4'x6' platform cantilevered off bulkhead; 3'x14' ramp; and 6'x20' float secured with two (2) 8" diameter pilings. Located: 4080 Wunneweta Road, Cutchogue. SCTM# 111-14-23 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 determination that the proposed action is CONSISTENT with the below listed LWRP policy and therefore is CONSISTENT with the LWRP provided that the Board assess: [2] Whether the dock will unduly interfere with the public use of waterways for swimming, boating, fishing, shellfishing, waterskiing and other water -dependent activities; [5] Whether the dock will cause degradation of surface water quality and natural resources; [11 ] Whether the cumulative impacts of a residential and commercial dock will change the waterway or.the environment and whether alternate design, construction, and location of the dock will minimize cumulative impacts; and [12] Whether adequate facilities are available to boat owners and/or operators for fueling, discharge of waste and rubbish, electrical service and water service. 9.3 Preserve the public interest in and use of lands and waters held in public trust by the state and the Town of Southold. A. Limit grants, leases, easements, permits or lesser interest in lands underwater in accordance with an assessment of potential adverse impacts of the proposed use, structure, or facility on public interest in public lands under water. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed actions. Cc: Lori Hulse, Assistant Town Attorney f Peter Young, Chairman y Lauren Standish, Secretary Conservation Advisory Council Town of Southold Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1889 Fax(631)765-1823 At the meeting of the Southold Town Conservation Advisory Council held Wed., April 15, 2015 the following recommendation was made: Moved by Doug Hardy, seconded by John Stein, it was RESOLVED to SUPPORT the application of MARY VAN COTT to construct a dock adjacent to existing bulkhead, consisting of a 4'X 6' platform (cantilevered off existing bulkhead), 3'X 14' ramp, and 6'X 20' float secured with two (2) 8" dia. pilings. Located: 4080 Wunneweta Rd., Cutchogue. SCTM#111-14-23 Inspected by: Doug Hardy, John Stein Vote of Council: Ayes: All Motion Carried . 7,i 1, APR 1 7 2015 .�. , ... n�._..::.` f TTM` ............._... _._� John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee ea D BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only oastal Erosion Permit Application V_Wetland Permit Application Administrative Permit _Amendment/Transf /Ex nsion eceived Application:� Received Fee: " o Completed Application 3 Z Jr Incomplete _SEQRA Classification: Type I Type II Unlisted _Coordination: (date AAssesse LWRP ConsistencymAC ReferralSent:/Date of Inspection:s 15 _Receipt of CAC Rep. _Lead Agency Determination: ,Technical Review: Public Hearing Held: ff Resolution: Name of Applicant Mary Van Cott 33 Winslow Circle Address Tuckahoe, NY 10707 Phone Number: 914 961-3225 Suffolk County Tax Map Number: 1000 - 111-14-23 Property Location: 4080 Wunneweta Road, (provide LILCO Pole #, distance to cross streets, and location) AGENT: En -Consultants (If applicable) Address: 1319 North Sea Road, Southampton, NY 11968 Phone: 631-283-6360 Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 -77 1 .t MAR 2 7 2015 ' Land Area (in square feet):_7 Area Zoning: R-40 Board of Trustees Applicr r, )rn GENERAL DATA Previous use of property: Residential, single family dwelling Intended use of property: Same, with dock Covenants and Restrictions: Yes X No If "Yes", please provide copy. Will this project require a Building Permit as per Town Code? Yes X 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 Building Dept. Yes X No Does the structure(s) on property have a valid Certificate of Occupancy X Yes No Prior permits/approvals for site improvements: Agency Date Southold Trustees #6475 DEC #1-4738-03642/00001 COE #NAN-2007-619 DOS #F-2006-0915 10-18-06 12-27=06;reissued 10-18-13 05-24-07 11-30-06 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): Construct a dock adjacent to existing bulkhead, consisting of a 4'x 6' platform (cantilevered off existing bulkhead), 3' x 14' ramp, and 6'x 20' float secured with two (2) 8" -diameter pilings, as depicted on the project plan prepared by En -Consultants, dated March 25, 2015. and of Trustees Applicatic WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: To provide a private, noncommercial, floating dockage facility to improve and enhance the owner's ability to access their vessel and Wunneweta Pond. Area of wetlands on lot: +/-60 square feet Percent coverage of lot: <1 Closest distance between nearest existing structure and upland edge of wetlands: +/-47 feet Closest distance between nearest proposed structure and upland edge of wetlands: 0 feet Does the project involve excavation or filling? X No Yes If yes, how much material will be excavated? N/A cubic yards How much material will be filled? N/A cubic yards Depth of which material will be removed or deposited: N/A feet Proposed slope throughout the area of operations Manner in which material will be removed or deposited: N/A N/A 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): The project consists of the installation of a platform, ramp, and floating dock within 10 feet of the existing bulkhead, which will be consistent in character and scope with the neighboring platform/ramp/floating dock assemblages. The purpose of the project is to improve and enhance the owner's ability to access her vessel, which is presently accessed with difficulty from the top of the bulkhead, especially during lower tidal stages. The float and platform will be constructed with untreated wood decking; the proposed platform will be cantilevered off the bulkhead and thus will not physically impact the bottom; and the floating dock, which will be situated in deep water even at lower low tide, will not be located over or physically impact any vegetated wetlands or SAV. The project will have no impacts on navigation or public access and no impacts on the quality or function of the surrounding ecosystem, including fish, wildlife, and plant species. The project is consistent with the statutory and regulatory requirements of the Board of Town Trustees and will have no adverse impacts on the wetlands or tidal waters of the Town. 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 I based on information currently available. If additional research or investigation would be needed to fully respond to any item, please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency; attach additional pages as necessary to supplement any item. Part I - Project and Sponsor Information Name of Action or Project: Van Cott Dock Project Location (describe, and attach a location map): 4080' Wunneweta Road, Cutchogue, Townof Southold, SCTM #1000-111-14-23. Property is located on west side of Wunneweta Road, +/-475' south of Little Peconic Bay Road (location map attached). Brief Description of Proposed Action: Construct a dock adjacent to existing bulkhead, consisting of a 4'x 6' platform (cantilevered off existing bulkhead), Y x 14' ramp, and 6'x 20' float secured with two (2) 8" -diameter pilings, as depicted on the project plan prepared by En -Consultants, dated March 25, 2015. Name of Applicant or Sponsor:TE-Mail: elephone: 914-961-3225 Mary Van Cott telsvcs@att.net Address: 33 Winslow Circle City/PO: State: Zip Code: Tuckahoe NY 10707 1. Does the proposed action only involve the legislative adoption of a plan, local law, ordinance, NO YES administrative rule, or regulation? If Yes, attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no, continue to question 2. X 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: X DEC, COE, DOS 3.a. Total acreage of the site of the proposed action? 7,460 sf acres b. Total acreage to be physically disturbed? 931 acres c. Total acreage (project site and any contiguous properties) owned or controlled by the applicant or project sponsor? 7,460 sf acres I 4. Check all land uses that occur on, adjoining and near the proposed action. ❑ Urban ❑ Rural (non -agriculture) ❑ Industrial ❑ Commercial ® Residential (suburban) ❑ Forest ❑ Agriculture ® Aquatic ❑ Other (specify): ❑ Parkland Page 1 of 4 5. Is the proposed action, a. A permitted use under the zoning regulations? b. Consistent with the adopted comprehensive plan? NO YES N/A X X 6. Is the proposed action consistent with the predominant character of the existing built or natural landscape? NO YES X 7. Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area? If Yes, identify: Name: Peconic Bay and Environs, Reason: Protect public health, water, vegetation & scenic beauty,Agency: Suffolk County, Date: 7-12-88 NO YES X 8. a. Will the proposed action result in a substantial increase in traffic above present levels? b. Are public transportation service(s) available at or near the site of the proposed action? c. Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? NO YES X X X 9. Does the proposed action meet or exceed the state energy code requirements? If the proposed action will exceed requirements, describe design features and technologies: NO YES N/A 10. Will the proposed action connect to an existing public/private water supply? If No, describe method for providing potable water: NO YES N/A 11. Will the proposed action connect to existing wastewater utilities? If No, describe method for providing wastewater treatment: NO YES N/A 12. a. Does the site contain a structure that is listed on either the State or National Register of Historic Places? b. Is the proposed action located in an archeological sensitive area? NO YES X X 13. a. Does any portion of the site of the proposed action, or lands adjoining the proposed action, contain wetlands. or other waterbodies regulated by a federal, state or local agency? b. Would the proposed action physically alter, or encroach into, any existing wetland or waterbody? If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres: The proposed dock will encroach over 168 sf of Wunneweta Pond. NO I YES X X 14. Identify the typical habitat types that occur on, or are likely to be found on the project site. Check all that apply. ® Shoreline ❑ Forest ❑ Agricultural/grasslands ❑ Early mid -successional ® Wetland ❑ Urban ® Suburban 15. Does the site of the proposed action contain any species of animal, or associated habitats, listed by the State or Federal government as threatened or endangered? NO YES X 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? If Yes, a. Will storm water discharges flow to adjacent properties? ❑ NO ❑ YES b. Will storm water discharges be directed to established conveyance systems (runoff and storm drains)? If Yes, briefly describe: ❑ NO ❑ YES YES Page 2 of 4 18. Does the proposed action include construction or other activities that result in the impoundment of water or other liquids (e.g. retention pond, waste lagoon, dam)? If Yes, explain purpose and size: NO YES X small to large impact impact may 19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste management facility? If Yes, describe: NO YES X 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? e� 2. Will the proposed action result in a change in the use or intensity of use of land? 20. Has the site of the proposed action or an adjoining property been the subject of remediation (ongoing or completed) for hazardous waste? If Yes, describe: NO YES 4. Will the proposed action have an impact on the environmental characteristics that caused the X establishment of a Critical Environmental Area (CEA)? I AFFIRM THAT THE INFOATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Robe Herrmann, Coastal Mgmt. Specialist Date: March 26, 2015 Signature: - •v Part 2 - Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept "Have my responses been reasonable considering the scale and context of the proposed action?" Page 3 of 4 No, or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? e� 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area (CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or / affect existing infrastructure for mass transit, biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a. public / private water supplies? b. public / private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic, archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources (e.g., wetlands, / waterbodies, groundwater, air quality, flora and fauna)? Page 3 of 4 Part 3 - Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered "moderate to large impact may occur", or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact, please complete Part I Part 3 should, in sufficient detail, identify the impact, including any measures or design elements. that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant. Each potential impact should be assessed considering its setting, probability of occurring, duration, irreversibility, geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. ❑ Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. [A 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. N�nme of Lead Agency Date �� of Print or Type Nayhq of R,efipo 0 fIcer in Lead Agency Title of Responsible Officer Officer in LeadAgency Signature of Preparer (if different from Responsible Officer) Page 4 of 4 No, or Moderate small to large impact impact may may occur 10. Will the proposed action result in an increase in the potential for erosion, flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3 - Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered "moderate to large impact may occur", or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact, please complete Part I Part 3 should, in sufficient detail, identify the impact, including any measures or design elements. that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant. Each potential impact should be assessed considering its setting, probability of occurring, duration, irreversibility, geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. ❑ Check this box if you have determined, based on the information and analysis above, and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. [A 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. N�nme of Lead Agency Date �� of Print or Type Nayhq of R,efipo 0 fIcer in Lead Agency Title of Responsible Officer Officer in LeadAgency Signature of Preparer (if different from Responsible Officer) Page 4 of 4 tOOF OF MAILING OF NOTICE n TACH CERTIFIED MAIL RECEIL _ Name: Address: Pauline & Dominick Segrete 330 East 49th Street, #12E New York, NY 10017 Rosemary & Sebastion Avolese 25 Townsend Street Glen Head, NY 11545 Gail & Barry Mallin SPATE OF NEW YORK COUNTY OF SUFFOLK 93 Mercer Street New York, NY 10012 Robert E. Herrmann doing business at En -Consultants 1319 North Sea Road Southampton, NY 11968 , beteg duly sworn, deposes and says that on the 13 day of April ,20 15 , 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 their 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 Soutlmpton , that said Notices weresled to each of said persons by (certified)( isdeveti) mail. r Robert E. HerrYmann Coastal Management Specialist Sworn to before me this 171-h KIM H, STEPHENS day of April ,2015 NOTARY PUBLIC STATE 0 F NEW YORK COMMISSION N0, 5015931 QUALIFIED .IN SUFFOLK COUNTY Notary blic EXPIRES AUGUST Z. 20_n 17=1 Domestic Er lf information, visit our website at www.usps.corn0i S r� Q tMPostage $ J t�9 s f 7&® fY 1 Certifie4l7ee Return Receipt Fee o nark x t3 (Endorsement Required) dere �' J CJ Restricted Delivery Fee C3 (Erdorsement Required) ; ft! r-4 Total Post? -J9 -Pa — ru 'Sent To Gail & Barry Mallin O Sfreef B ,dpi 93 Mercer Street [%- arPOBox 11New York, NY 10012 City State,-: S Domestic Mziii Only 1� r1 t r� • , PostageCO $� / M Certified Fee 0 Return Receipt Fee ark 0 (Endorsement Required) ere a� Restricted Delivery Fees O (Endorsement Required) j ru ru FS'n"I Pauline & Dominick Segrete o 330 East 49th Street #12E New York NY 10017 � -- . - NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: Mary Van Cott YOU ARE HEREBY GIVEN NOTICE: SCTM# 1000-111-14-23 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: Construct a dock adjacent to existing bulkhead, consisting of a 4' x 6' platform (cantilevered off existing bulkhead), 3' x 14' ramp, and 6'x 20' float secured with two (2) 8" -diameter pilings, as depicted on the project plan prepared by En -Consultants, dated March 25, 2015. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 4080 Wunneweta Road, Cutchogue 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, April 22, 2015 @ 5:30 p.m. 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. Mary Van Cott PROPERTY OWNERS NAME: 33 Winslow Circle MAILING ADDRESS: Tuckahoe, NY 10707 PHONE #: 914-961-3225 AGENT: En -Consultants MAILING ADDRESS: 1319 North Sea Road, Southampton, NY 11968 PHONE #: 631-283-6360 Enc: Copy of sketch or plan showing proposal for your convenience. John Bredemeyer, President Michael J. Domino, Vice -President James F. King Dave Bergen Charles J. Sanders gUF FD(1,rCOGy 4 � z W • y�ol � dap! BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of MARY VAN COTT COUNTY OF SUFFOLK) STATE OF NEW YORK) Town Hall Annex 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR EIGHT DAYS I, Robert E. Herrmann , ff&Wjgg at /dba En -Consultants, 1319 North Sea Road, Southampton, NY 11968 being duly sworn, depose and say: That on the 14 day of April , 2011, I personally posted the property known as 4080 'Mmeweta Road, Cutchome,, NY 11935: SLIM #1000-111-14-23 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 WednesdaycApri122, 2015. Dated Sworn to before me this tea-- day of *A(201_5 Notary PuHic KIM R, STEPHENS NOTARY PUBLIC STATE PF NEW YORK Comm ISSION N0. 50 15 93 1 QUALIFIED IN SUFFOLK COUNTY EXPIRES AUGUST 2. 2011 NUTILt tit- Ht:AKING 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: MARY VAN COTT SUBJECT OF PUBLIC HEARING: To construct a dock adjacent to existing bulkhead consisting of a 4'x6' platform cantilevered off bulkhead; 3'x14' ramp; and 6'x20' float secured with two (2) 8" diameter pilings. TIME & DATE OF PUBLIC HEARING: Wednesday, April- 22, 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 Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) 1, MAK I.K I &- C a= residing at 3� W I Alf L, aW C i R e 1-E (print owner of property) (mailing address) --7- y e/t/4 /4,4E do hereby authorize (Agent) _j (JJ U zTAlk-ri-S to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's si ture) Board of Trustees Application County of Suffolk State of New York 4A/_ �n BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS. CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES - HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITIT. REVIEW OF THIS APPLICATION. JOSEPH A GIORDANO , Notary Public- State of INdW-York No. OIG16218126 Signature Qualified in Nassau County My Commission Expiras llMarchl,:2018 SWORN TO BEFORE ME THIS ; Pj DAY OF ,20 JOSEPH A GIORDANO Notary Public- State of New York No. 01616218126 Qualified in Nassau County My Commission Expires March 1, 2018 Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) MMA j VA -,,r (07T- residing at 13? Wwaovv 6(1' ae- (print owner of property) (malling address) f e- 1V1k&A-0E do hereby authorize ipL)L-TA4S P (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. er's, i nature) '0 z JOSEPH A GIORDANO Notary Public- State of New York No. 01GI6218126 Qualified In Nassau Coupty W . D APPLICANT/AOENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees. ThePumose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: t') /U O / j Iy%A i• (Last name, first name, middle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Variance Change of Zone Approval of plat Exemption from plat or official map Other (If "Other", name the activity.) _ Building Trustee Coastal Erosion Mooring Planning Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, 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 Title or position of that person Describe the relationship between yourself (the applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); B) the legal or beneficial owner of any interest in a non -corporate entity (when the applicant is not a corporation); C) an officer, director, partner, or employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Subnt�tte$'`t da of 2004 Signature Print Name R Form TS 1 APPLICANTIAGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics Vmhibits conflicts of interest on the part of town officers and emnlovees. The puroose of this form is to provide information which can alert the town of Possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: Hernrrann RPh art F - - (Last name, - first name, Middle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Variance Change of Zone Approval of plat Exemption from plat or official map Other (If "Other'', name the activity.) Building Trustee Coastal Erosion Mooring Planning Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. `Business interest" means a business, including it 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 X 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 59/o of the shares of the corporate stock of the applicant (when the applicant is a corporation); B) the legal or beneficial owner of any interest in a non -corporate entity (when the applicant is not a corporation); C) an officer, director, partner, or employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 26 ay of I hrch 20915 Signature Print Name R Form TS 1 Erl7Consultants Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for perm its* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold W aterfront Consistency Review Law. This assessor ent is intended to supplem ent other inform ation used by a Town of Southold agency in m a k in g a d e to r m in a t i o n o f c o n s is to n c y. *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 icant beneficial and adverse effects upon the coastal area (which includes all of Southold Town.. 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 Denrt menl,...altlocal libraries and the Town Clerk's office. FF) B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# ill - 14 - 23 PROJECT NAME Van Cott MAR 2 7 2015 1 The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board ❑ Building Dept. ❑ Board of Trustees 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: Construct a dock adjacent to existing bulkhead, consisting of a 4'x 6platform (cantilevered off existing bulkhead), 3' x 14' ramp, and 6' x 20' float secured with two (2) 8" -diameter pilings, as depicted on the project plan prepared by En -Consultants, dated March 25,2015. Location of action: 4080 Wunneweta Road,Cutchogue Site acreage: 7,460 sq.ft. Present land use: Residential, one -family dwelling. Present zoning classification: R-40 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: Mary van Cott (b) Mailing address: 33 Winslow Circle Tuckahoe, NY 10707 (c) Telephone number: Area Code 914-961-3225 (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?DEC, COE, DOS 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. F]Yes 1:1 No ® Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No ® 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 S 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 ❑ Not Applicable To the extent that it is applicable, the project will be consistent with Policy 5, as the proposed platform and float will be constructed with untreated wood decking, consistent with the requirements of Chapter 275. Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies;. Pages 22 through 32 for evaluation criteria. ® Yes ❑ No ❑ Not Applicable The project consists of the installation of a platfor _., __:gyp, and floating dock within 10 feet of the existing bulk, !hich will be consistent in character and scope with the neighboring platform/ramp/floating dock assemblages. The purpose of the project is to improve and enhance the owner's ability to access her vessel, which is presently accessed with difficulty from the top of the bulkhead, especially during lower tidal stages. The float and, platform will be constructed with untreated wood decking; the proposed platform will be cantilivered off the bulkhead and thus will not physically impact the bottom; and the floating dock, which will be situated in deep water even at lower low tide, will not be located over or physically impact any vegetated wetlands or SAV. The project will have no impacts on navigation or public access and no impacts on the quality or function of the surrounding ecosystem, including fish, wildlife, and plant species. The project is consistent with the statutory and regulatory requirements of the Board of Town Trustees and New York State DEC and also with Policy 6. 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 Z 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. M Yes ❑ No ❑ Not Applicable Placement of the proposed dock within the deep water area adjacent to the existing bulkhead in this boat basin will have no impact on public access to or recreational use of coastal waters aside from the project's beneficial impact on the applicant's improved ability to access her vessel and Wunneweta Pond. The project is therefore consistent with Policy 9. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's ." _ ,,r -de pendent uses and promote sE of new water -dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. ❑ 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 ® Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable PREPARED BY Amended on 811105 TITLE Coastal Mgmt. Specialist DATEMarch 26, 2014 �F� At EN -CONSULTANTS March 26, 2015 Town of Southold Board of Trustees 54375 Main Road Post Office Box 1179 Southold, New York 11971 Re: Mary Van Cott 4080 Wunneweta Road, Cutchogue Dear Board of Trustees: MAR 2 % 2015 i %---..�.... _ _ ......... In regard to the above referenced property, enclosed are the following for the Board of Trustees review: 1. Three (3) Wetland Permit Applications including: a) Short Environmental Assessment Form; b) Authorization & Disclosure Forms; c) . Project plan prepared by En -Consultants, dated March 25, 2015 and d) Survey prepared by Nathan Taft Corwin III Land Surveyor, last dated March 18, 2015. 2. One (1) set of site photographs. 3. Application fee of $250.00. 4. Three (3) LWRP Consistency Assessment Forms including: a) Project plan. I trust this information shall allow you to process our permit request. Should any additional information be required, please do not hesitate to contact our office. Sine rely, 5, l Robe r E. Herrmann Coastal Management Specialist /khs Enc. 1319 North Sea Road I Southampton, New York 11968 1 p 631.283.6360 1 f 631.283.6136 www.enconsultants.com environmental consulting John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee May 20, 2015 Mr. Robert E. Herrmann En -Consultants 1319 North Sea Road Southampton, NY 11968 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD RE: MARY VAN COTT 4080 WUNNEWETA ROAD, CUTCHOGUE SCTM# 111-14-23 Dear Mr. Herrmann: Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, May 20, 2015: RESOLVED, that the Southold Town Board of Trustees APPROVES the Administrative Amendment to Wetland Permit #8588 for the in-place replacement of approximately 20 linear feet of existing timber bulkhead with vinyl bulkhead; and as depicted on the revised site plan prepared by En -Consultants, last dated May 11, 2015 and stamped approved on May 20, 2015. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, John M. Bredemeyer III President, Board of Trustees JMB:amn r MAY2015 Rosemary and Sebastian Avolese 25 Townsend Street Glen Head, NY 11545 We, Rosemary and Sebastian Avolese, own property known as 4150 Wunneweta Road, Cutchogue, (SCTM No. 1000-111-14-24), which is located south of and adjacent to that owned by Mary Van Cott. We are aware of and have no objection to Mrs. Van Cott's proposal to replace the approximately 20 linear feet of bulkhead that is located on her property but will require the operation of heavy machinery and permanent installation of a tie -back system (i.e., tie rods and deadmen/laylogs) on our property. It is our mutual intention for the bulkheading on both of our properties to be replaced at the same time and for our bulkheads to physically connect to one another. I---- Dated: Rosem4r5rAvolese .i�n- Avolese Ff 5E i" flr Rosemary and Sebastian Avolese MAY 25 Townsend Street h Glen Head, NY 11545 Seii7:u' r, i We, Rosemary and Sebastian Avolese, own property known as 4150 WLulneweta Road, Cutchogue, (SCTM No. 1000-111-14-24), which is located south of and adjacent to that owned by Mary Van Cott. We are aware of and have no objection to Mrs. Van Cott's proposal, to replace the approximately 20 linear feet of bulkhead that is located on her property but will require the operation of heavy machinery and permanent installation of a tie -back system (i.e., tie rods and deadmen/laylogs) on our property. It is our mutual intention for the bulkheading on both. of our properties to be replaced at the same time and for our bulkheads to physically connect to one another. Dated: L� e�Aa t 1 -Q-C) pex 0, i F Rosem , volese Sebastian Avolese f�: John Bredemeyer, PresidentguFFot Michael J. Domino, Vice -President �cO�y� James F. King y Charles J. Sanders • Dave Bergen Town Hall Annex 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees /j Field Inspection/Work Session Report Date/Time: //��a En -Consultants on behalf of MARY VAN COTT requests an Administrative Amendment to Wetland Permit # 8588 for the in-place replacement of approximately 20 linear feet of existing timber bulkhead with vinyl bulkhead. Located: 4080 Wunneweta Road, Cutchogue. SCTM# 111-14-23 Tpe of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre -Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Storm Water Management Review: Yes No Not Applicable Info needed: Modifications: Conditions: Present Were: J. Bredemeyer M. Domino J. King C. Sanders D. Bergen Bay Constable Other Form filled out in the field by 4 Mailed/Faxed to: Date: �F� At EN -CONSULTANTS MAY 1 4 2015 +' f May 11, 2015 Town of Southold Board of Trustees Post Office Box 1179 Southold, New York 11971 Attn.: Elizabeth Cantrell Re: Mary Van Cott 4080 Wunneweta Road, Cutchogue SCTM #1000-111-14-23 Dear Ms. Cantrell: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: I . Three (3) Wetland Permit Applications including a) authorization & disclosure forms, b) Short Environmental Assessment Form (SEAF), and c) project plan prepared by En -Consultants, last dated May 11, 2015. 2. Application fee of $50.00. I trust this information shall allow you to process our permit request. Should any additional information be required, please do not hesitate to contact our office. Since ly, Robert . Herrmann Coastal Management Specialist Enc. 1319 North Sea Road I Southampton, New York 11968 1 p 631.283.6360 1 f 631.283.6136 www.enconsultants.com environmental consulting BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD ADAII ESMTM LETTER OF REQUEST FOR AN AMENDMENT DATE May 11, 2015 OWNER. Mary Van Cott 33 Winslow Circle ADDRESS Tuckahoe, NY 10707 AGENT En -Consultants ADDRESS 1319 North Sea Road, Southampton, NY 11968 PHONE 914-961-3225 PHONE 631-283-6360 PROPERTY LOCATION 4080 Wunneweta Road, Cutchogue TAX MAP NO. #1000-111-14-23 Adndmstrative I/We En -Consultants for Mary Van Cott request an Amendment co Permit # 8588 to additionally authorize the in-place replacement of approximately 20 linear feet of existing timber bulkhead with vinyl bulkhead, as previously authorized by Wetlands Permit No. 6475, all as depicted on the project plan prepared by En -Consultants, last dated 5111115. Signed By: . Robert E. Herrmann, Coastal Management Specialist Town Hall Jill M. Dougherty, President � ufF��4. 53095 Route 25 James F. King, Vice -President b�' ��i �� P.O. Box 1179 Southold, New York 11971-0959 Dave Bergen Bob Ghosio, Jr. ti - Telephone (631) 765-1892 John Brederneyer Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD ADAII ESMTM LETTER OF REQUEST FOR AN AMENDMENT DATE May 11, 2015 OWNER. Mary Van Cott 33 Winslow Circle ADDRESS Tuckahoe, NY 10707 AGENT En -Consultants ADDRESS 1319 North Sea Road, Southampton, NY 11968 PHONE 914-961-3225 PHONE 631-283-6360 PROPERTY LOCATION 4080 Wunneweta Road, Cutchogue TAX MAP NO. #1000-111-14-23 Adndmstrative I/We En -Consultants for Mary Van Cott request an Amendment co Permit # 8588 to additionally authorize the in-place replacement of approximately 20 linear feet of existing timber bulkhead with vinyl bulkhead, as previously authorized by Wetlands Permit No. 6475, all as depicted on the project plan prepared by En -Consultants, last dated 5111115. Signed By: . Robert E. Herrmann, Coastal Management Specialist Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) residin at (print owner of property} (mailing address) -- Gi ,- 14,4 E XI �/ t do hereby authorize (Agent) Aj LP%r to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (owner's si' tore) Board of Trustees Application County of Suffolk State of New York M'Y Ry � A /y ?10 /J BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK_ WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOV6'N 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 PERTMIT(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. JOSEPH A GIORDANO Notary Public- State of New York No. 01616218126 Signature Qualified in Nassaut County My Commission Expires -March 1, 2018 SWORN TO BEFORE ME THIS DAY OF 0 JOSEPH A GIORDANO Notary Public- State of New York No. 01GI6218126 Qualified in Nassau County My Commission Expires March 1, 2018 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees. The RMose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: VO A; c /' , %n,}gy (Last name, first name, middle 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 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 Title or position of that person Describe the relationship between yourself (the applicantiagentlrepresentative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); B) the legal or beneficial owner of any interest in a non -corporate entity (when the applicant is not a corporation); C) an officer, director, partner, or employee of the applicant; or D) the actual applicant DESCRIPTION OF RELATIONSHIP Sub � da. of 2004 Signature k (VA uv Print Name t ? -AZ Form TS i AFI'LICANT/AGENT/P,EPRESENT'A.TIW TRANSACTIONAL DISCLOSURE FORM The Town of Southold s Code of Ethics prohibits conflicts of interest an the dart of town officers and ctnplovees The nidrv'osc of this form is to prOvide information which can alert the town of pgoible conflict, of interest and allow it to take wh.�ver s necessary to avoid same. YOURNAME' (Last name, first name, middle initial, unless you are applying in the name of someone else or other entity, such as a company- If so, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Variance Change of Zone Approval of plat -- Exemption from plat or official map — Other (If "Other", name the activity.) Building �e Trustee Coastal Erosion Mooring planning Do you personally (of through your comms v, spouse, sibling, parent, or child) have a relationship with any orncer or empioy:.e of the Town of Southold? "Relationship" ircludes by blood, marriage, or business interest `Business intetast means a business, including a partnership, in which the toavn officer or employee has even a partial ownership of (or emplcyment by) a corroration in which the town officer or employee owns more than 5% of the shares. YES 34O X 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 applicanVagent(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): r�} the owner of °-eater than. 5% of the shares of the corporate stock of the applicant (when :lte applicant is a corporation) B) the legal or't�nefcial o=- r of aray intermit in 3nun-corporate entity (when the applicant is not a corporatian), C) an officer, director, partner:, or employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS l Submitted this 26 ay of March _ 2OR 15 Signature - Print Name Far -Consultants I " "°IX�/� z L1717LE . F%['� :-- 9yv P� f 9 toy y L70 \7 Ct 1? > 'L'L' n m� ,PSS 5• `1 I V ECK I• , .. 1� � Haseshae Loyd I R I . t_ MAY 1 �OECRT .l !`��nR RING T RPEHITERR NA.SSA.0 1, = 30. E ;pn -- V 2y< oitL RD v POINT ¢� f e > u LITTLE Q o � y SITS C ACCESS VIA Ci Wunneweia 30 50J3 CfPkopEw) z and m o Z � O \ REMAINS OF FORMER WOOBOAT RAMP CONC. F L'J 0P,� LA w �7 � .�I 1••� lA CLEARwATER -3 L C., > o W 4' x 6' PLATFORM ±62' I "9'°" a LA W 3' X 14' RAMP, 3 1 STORY FRAME 0 HOUSE _ h $� HOUSE No. 4030 - 1 dk County Nagstrom Map 29 6' x 20' FLOAT L"�1(& �� - ✓�® 'BY 3000' } 8" PILE (TYP.) m PROP. DOCK 109.80' „ \!!!'ppp /'1��pF SPLR RAIL FENCE SI'S lv a' ' .:" �.iV�s 1� � f� LI `I \ X16' o WOOD FENCE N101F R & S. AVOLE NORTH SEA ROAD ADJ• BIK . +4' 6116 SOU, HA�l11P10N, NY 11968 ADJ. WALK APPROX. 20' OF EX. TIMBER BULKHEAD TO BE REMOVED AND REPLACED Q (IN—PLACE) WITH VINYL BULKHEAD 1-283-6360 - Pu e, fo provide private, noncommmerclal, 5�CfION T FU IN-PLACE %U KN An I,�PI AC�M�NT �— 62' floatlnq dockage facility to improve and f3 6' PLAVOPM erkiance owner' 5 ability to access vessel SCALA :11' = 10' r�12. t7atum; A1W - O'-0" o6. FLOK 1 3, Water depths transcribed from survey prepared X 5" x 6" fOP CLAMP �r 3' pip by Nathan Taft Cavin III Laid Surveyor, PACKPIL . X1 A 2" CAP last dated March 18, 2015 C 2) 6" x 6" WAl.E5, 3, -0„ 4, proposed dock components to consist of treated M 4' W009 WALK timber structural members, untreated wood deckinq, AHW-2'-6" Al LW-O'-0"and hot -dipped galvanized steel hardware 51, project location 4080 Wunneweta goad, �I 04, It ALW-0,-0„ M VINYL I31.V.K1-I;At7 4 Cutchoque, NY; 5CfM No. 1000-111-14-23 6" ILAYL06 8" MAPMAN ± 9' PSN. 14' VINYL SHEATHING ( 2) MOP. 8" x 30' %PPOpf PILE5 10" x 16' PIUN65 PFWFO5�12nOCK FOP MAIN VAN COTT ON WUNNMI]A POND, CUTCNOGT, 5UFFOI K COUNTY, NY