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TR-8574
John M.Bredemeyer III,President ®f 3®!/Py® Town Hall Annex Michael J.Domino,Vice-President h® l® 54375 Route,25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski ® Q Telephone(631) 765-1892 Charles J. Sanders O Fax(631) 765-6641 lNV,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1258C Date: August 25, 2016 THIS CERTIFIES that the removal of+/-70 linear feet of timber bulkhead and construct 52' of bulkhead landward of the existing timber bulkhead so as to be in line with the adjacent bulkheads using vinyl sheathing and closing offramp• new bulkhead to be the same height as neighbor's bulkhead to north; construct two(2)new 10' long vinyl returns•backfill disturbed area with 50 cubic yards clean fill; remove existing dock and construct a 4'x111' fixed dock,• a 3'x15' ramp; and a 6'x20' float secured by 10"pilings; with the condition a silt boom is used prior to and during construction; the use of thru-flow grating on catwalk; and to establish and subsequently maintain a 10' wide non-turf buffer along landward edge of bulkhead, At 1730 Deep Hole Drive,Mattituck Suffolk County Tax Map#1000-115-12-23.2 Conforms to the application for a Trustees Permit heretofore filed in this office Dated December 8,2014 pursuant to which Trustees Wetland Permit#8574 Dated March 18, 2015, and Amended on May 20,2015,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the removal of+/-70 linear feet of timber bulkhead and construct 52' of bulkhead landward of the existing timber bulkhead so as to be in line with the adjacent bulkheads using vinyl sheathing and closing off ramp•new bulkhead to be the same height as neighbor's bulkhead to north; construct two(2)new 10' long_vinyl returns;backfill disturbed area with 50 cubic yards clean fill,• remove existing dock and construct a 4'xl 1 l' fixed dock; a 3'x15' ramp; and a 6'x20' float secured by 10„pilings; with the condition a silt boom is used prior to and during construction; the use of thru-flow grating on catwalk; and to establish and subsequently maintain a 10' wide non-turf buffer along landward edge of bulkhead. The certificate is issued to KELLY MYERS owner of the aforesaid rop rty. Authorized Signature CC#: C16-34156 COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK I, JUDITH A PASCALE,Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DECLARATION recorded in my office on 08/10/2016 under Liber D00012874 and Page 781 and, that the same is a true copy thereof,and of the whole of such original In Testimony Whereof,I have hereunto set my hand and affixed the seal of said County and Court this 08/10/2016 SUFFOLK COUNTY1 CLERK JUDITH A.PASCALE SEAL 1111111 I II IIIA VIII VIII 1101 VIII VIII VIII IIII II1 1111111 VIII VIII IIII ILII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DECLARATION Recorded: 08/10/2016 Number of Pages: 9 At: 10:12:07 AM Receipt Number : 16-0123501 LIBER: D00012874 PAGE: 781 District: Section: Block: Lot: 1000 115.00 12.00 023.002 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $45.00 NO Handling $20.00 NO COE $5.00 NO NYS SRCHG $15.00 NO TP-584 $0.00 NO Notation $0.00 NO Cert.Copies $11.25 NO RPT $200.00 NO Fees Paid $296.25 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County ao c� Number of pages RECORDED , 21-115 Aug 10 1C1.,ice,07 Flt! JUDITH A. PASCALE CLERK CF This document will be public SUFFOLK. COUNTY record. Please remove all L D00012874 Social Security Numbers P 7"` prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Page/Filing Fee �f��_ _ Mortgage Amt. t 1 Basic Tax Handling 20. 00 2. Additional Tax _ TP-584 Sub Total _ Notation Spec/Assn. r or EA-52 17(County) Sub Total Spec./Add. EA-5217(State) TOT MTG.TAX J 0�� �� Dual Town Dual County R.P.T.S.A _ Held for Appointment Comm.of Ed. 5. 00 Transfer Tax Affidavit o i � Mansion Tax erCified Cop} �) •, l The property covered by this mortgage is !� �� or will be improved by a one or two '—KYS Surchaige ^� 15. 002 family dwelling only. — Sub Total 2� YES or NO Other Grand Total If NO,see appropriate tax clause on page# of this instrument. 4 Dist. 3206695 1000 11500 1200 023002 5 Community Preservation Fund Real Propert; P T S II��) I�� II�II � I�IUIII Consideration Amount$ Tax Service R LPA A Agency to-AUG-1 CPF Tax Due $ Verification Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land i� A- Mie I'S TD p0 l� U q6b'-\ rl UX— TD ohlp_ P1g1i)5i n 106o0S TD Mail to:Judith A. Pascale, Suffolk County Clerk 7 'Title Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffo[kcountyny.gov/clerk Title# ic 8 ZWfolk Coun(y RecordingIlEndorseme t Page This page forms part of the attached d ` '" dN made by (SPECIFY TYPE OF INSTRUMENT) h-- 117,f The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. 12 6104-10,ZhU (over) DECLARATION OF COVENANTS THIS DECLARATION made this �� day of - � uSf 20�6'', by y�{-5 residing at Gl• !n Tlvs hcfP , lt%12t7T ��Q/�1S' 1 hereinafter referred to as "DECLARANT(S) W I T N E S S E T H WHEREAS, DECLARANT(S) is/are the owner(s) of certain real property located on /V30 tt )JO)e LOJry/V-! , 179a f/� t)df � /�95d- , Town of Southold, County of Suffolk, State of New York, described in the Suffolk County Tax Map as District 1000, Section Block which is more particularly bounded and described as set forth in Schedule "A" annexed hereto, hereinafter referred to as the Property; WHEREAS, the Property is situated on lands within the jurisdiction of the Board of Trustees of the Town of Southold (hereinafter the "Trustees") pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor, and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted; WHEREAS, the DECLARANT(S) therefore made application to the Trustees for a permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities; and WHEREAS, as a condition of the granting of a Wetlands Permit to undertake such regulated activities, the Trustees required that a /0 [ul�(,� Ju,7_ r<I,{,o� p tel ' "non-turf buffer" adjacent to and landward of cS`eL s"/-P NOW, THEREFORE, the DECLARANT(S) do/does hereby covenant and agree as���� follows: 1) Upon the substahtk:,! dompletion of the aforementioned permitted .>'is J'J7='C,r'•?.0 1! -f+.•. activities there shall be es..tabli see Exhibit 'A- attached; and 2) These covenants shall run with the land and shall be binding on the DECLARAAT(S), his/her/their heirs, assigns, purchasers, or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees. IN WITNESS WHEREOF, the owner(s) has/have duly executed this instrument this day of Z( T j© 201 . � Q OP ER'S SI NATURE OWNER'S SIGNATURE STATE OF NEW YORK ) COUNTY OF s s: On the /o"/ day of Ayeas, in the year 20i6- , before me the undersigned, a Notary Public in and for said State, personally appeared &AAY A. 'fY4A-s , personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity, and that by his/her/their signature(s) on the instrument, the individual or the persons on behalf of which the individual(s) acted, executed the instrument. Notary Public Ruth.S.Van Alien Notary public,State off tew York No,dvA6139157 Q malified 16 Sdfrdk County Commissdon Ez<1�s au 2 Blackacre 'Title Agency Corp. 399 Knollwood Road White Plains,N.Y.10603 Tel(914)993-3344 Fax(914)993-1433 SCHEDULE A DESCRIPTION Title Number. BA-05-2406 Section 115.00 Block 12.00 Lot 023.002,in the Town of Southold,County of'Suffolk ALL that certain plot,piece or parcel of land,situate,lying and at Mattituck,Town of Southold, County of Suffolk and State of New York,bounded and described as follows: BEGINNING at a point on the westerly line of Deep Hole Drive,distant 293.25 feet northerly when measured along the westerly line of Deep Hole Drive on a course north 30 degrees 11 minutes 20 seconds west from the most northerly end of a curve having a radius of 330 feet which curve bears to the right,and from said point of beginning. RUNNING THENCE south 59 degrees 48 minutes 40 seconds west along land now or formerly of E Nash,169 8 feet to the ordinary high water mark of Deep Hole Creek; THENCE north 29 degrees 44 minutes west along the ordinary high water marts of Deep Hole Creek,50 00 feet to land now or formerly of C.O'Keefe; THENCE north 59 degrees 48 minutes 40 seconds east,along the last mentioned land, 169.4 feet to the westerly side of Deep Hole Drive,50 00 feet to the point or place of BEGINNING. S �g-soca . John M.Bredemeyer III,President .K W fit Town Hall Annex Michael J.Domino,Vice-President (/ rr 54375 Main Road James F.King,Trustee P.O.Box 1179 c+Y 6ic•>`•- �' Southold,New York 11971-0959 Dave Bergen,Trustee Charles J.Sanders,Trustee �� � y a, Telephone(631)765-,1_892 `YrEtftY in� r Fax(631)765-6641 BOARD OF TOWN TRUSTEES May 20,2015 TOWN OF SOUTHOLD Ms.Agena Rigdon DKR Shores, Inc. PO Box 488 Hampton Bays, NY 11946 � /J RE: KELLY MYERS 1730 DEEP HOLE DRIVE,MATTITUCK SCTM#115-12-23.2 Dear Ms. Rigdon: 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#8574 to reconstruct the new bulkhead landward of the existing timber bulkhead so as to be in line with the adjacent bulkheads;and as depicted on the revised site plan prepared by DKR Shores, Inc., last dated March 19, 2015 and stamped approved on May 20,2015. Any other activity within 1 00'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, LtM. Bredemeyer III President, Board of Trustees JMB:amn i i - W 4 I N N Pb O ._.__ Q N N N N N tV TN J N �4 W L 1 Eo? 2 O � 2 STY RESIDENCE DECK g N ry ry� wN N DRIVE 7�.W �__ N N N N N l --W LowiSItoamP 4 4 R ro 8e closed dt- ILL.. N 1 ✓.� ___ APPLICANT PROPOSES TO REMOVE TIMBER BULKHEAD SECTIONS(70',TO RECONSTRUCT 52'OF BULKHEAD(LANDWARD OF EXISTING TO BE IN LINE WITH ADJACENT STRUCTURES)UTILIZING VINYL ESP 4.1;TO CONSTRUCT(2)NEW 10'VINYL RETURNS ALONG P2(to Install slit boom during bulkhead installation),TO BACKFILL AS NECESSARY WITH APPROX.50 C.Y.OF CLEAN SAND TRUCKED IN FROM AN UPLAND SOURCE TO REMOVE EXISTING DOCK,TO CONSTRUCT A NEW 4X 111'FOXED DOCK I (Thnr Flow open grate decking),3X 15'RAMP AND 59X 20'FLOA T SECURED WITH 10" PILINGS. AT DEEP HOLE CREEK,MATTITVCK,TOWN OF SOUTHOLD,SUFFOLK COUNTY, J J/ NEW YORK. o Q N,� N EX DOCK ~APPROVED BY -- 4 Revised 3-19-15 to show bulkhead to be constructed , ' .' 'OF SO O ijl7 (landward of existing)to be in line with adjacent blkd. v Revised 3-19-15 to show Thru Flow decking&silt DAA r „ boom J Applicant: Kelly Myers ✓– 'r s ti, m - Location: 1730 Deep Hole Drive, Mattituck K ` •= ---- = - ! ! I' Purpose: In place/Bulkhead recon&dock recon. NG / Datum-Apparent Low Water k l/, S.C.T.M.No. 1000-115-12-23.2 l a� LOCUS: 40°59'18" 72°30'39" DIZR SHORES INC,P.O.BOX 488 28 Oct '14 ' HAMPTON BAYS,N.Y.11946 SHEET i OF 4 __ SCALE 1 Qv- 301 I ' N Q i N N N N CD H o N N N N N N c*o W :op. �rewm o{ Q R WZ n PROP 4X 111'FIXED DOCK tfira Flow oPn g+aln deCkng)N tPROR 61C 20'FLOAT CO ( .. c�.Q...—.......__.....wm a,. .. ._.ry —N II11 I" LU .J I 2 STY RESIDENCE DECK € 9- 9 0 ., ,' r PROP 37115'RAMP O�Q t DRIVE ° rn o o N ry LL C o N I I O M b b N N N N N _ O_ WPMP 1Qretan _� t w � ^ N LLwok N C1 Q Q 4 APPLICANT PROPOSES TO REMOVE TIMBER BULKHEAD SECTIONS(70',TO RECONSTRUCT 52'OF BULKHEAD(LANDWARD OF EXISTING TO BE IN LINE WITH " ADJACENT STRUCTURES)UTILIZING VINYL ESP 4 1;TO CONSTRUCT(2)NEW 10'VINYL RETURNS ALONG PIL(to Install silt boom during bulkhead installation),TO BACKFILL AS NECESSARY WITH APPROX.50 C Y OF CLEAN SAND TRUCKED IN FROM AN UPLAND SOURCE. TO REMOVE EXISTING DOCK,TO CONSTRUCTA NEW 4X 111'FIXED DOCK j (Toru Flow open grale decking),3X 1,i RAMP AND 6'X 20'FLOAT SECURED WIT7110" N ry PILINGS. AT DEEP HOLE CREEK,MATTITUCK,T OWN OF SOUTHOLD,SUFFOLK COUNTY, _ NEW YORK. t Revised 3-19-15 to show bulkhead to be constructed { (landward of existing)to be in line with adjacent blkd. Revised 3-19-15 to show Thru Flow decking&silt boom Applicant: Kelly Myers r (� Location- 1730 Deep Hole Drive,Mattituck C .'' :::'-`!.:— '� PROPOSE® Purpose: In place/Bulkhead recon&dock recon. ) SITE PLAN + t Datum'Apparent Low Water' S.C.T.M.No. 1000-115-12-23.2 ty " � LOCUS: 40°5918" 72°30'39" DKR SHORES INC,P.O.BOX 488 28 Oct '14N SCALE 1" 30' U HAMPTON BAYS,N.Y.11946 SHEET 2 OF 4 APPLICANT PROPOSES TO REMOVE TIMBER BULKHEAD SECTIONS(70',TO RECONSTRUCT 52'OF BULKHEAD(LANDWARD OF EXISTING TO BE IN LIAIE WITH ADJACENT STRUCTURES)UTILIZING VINYL ESP 4 i; TO CONSTRUCT(2)NEW i0'VINYL RETURAlS ALONG P2(to Install sit!boom during bulkhead installation),TO BACKFILL AS NECESSARY WITH APPROX.50 C.Y.OF CLEAN SAND TRUCKED IN FROM AN UPLAND 6t'to Deck/Reside ence SOURCE. TO REMOVE EXISTING DOCK,TO CONSTRUCTA NEW 4X 111'FIXED DOCK(Thru Flow open grate decking),3X 15'RAMP AND 6X 20'FLOAT SECURED WITH 10'PILINGS.AT DEEP HOLE CREEK, MATTlTUCK,TOWN OF SOUTHOLD,SUFFOLK COUNTY,NEW YORK. I `~`^ —� PRO V 15'RAMP wilh PROP,6'X 20'FLOAT Ck cn "`iOE� ------- - -PROP.4'X 111'FIXED DOCK(Thru Flow Open Grate Decking)--- __...1 decking or aluminum rn d u �< — II — — — — -- — -- — -- — - -- 1— f =d-� off__—I) _w AZ I '-- —I — _— — -- — I — t — -- — -- q - — — — - -_—1f—r- S W-AHW+2.7' mnz 11 `tW-ALW 0 x � 8-J'BUTT E� BOTPOM . � BO.�Oh� ^ ss"B"chocks to t �PIUNGS�� J I 1 <v support float 20,long (ir u ( (2)1 'x 20''""'(S 111 CCA to secure float l Revised 3-19-15 to show bulkhead to be constructed MAY (landward of existing)to be infine with adjacent blkd Revised 3-19-15 to show Thru Flow decking&silt I boom / Applicant Kelly Myers (� Location:1730 Deep Hole Drive,Mattltuck Purpose:In place/Bulkhead recon&dock recon. "v t i ' Datum Apparent Low Water S.0 T.M.No 1000-115-12-23.2 LOCUS' 40'59'18" 72'30'39" { DKR S11ORES INC,P.O.BOX 488 28 Oct '14 t HAMPTON BAYS,N.Y.11946 SHEET 3 OF 4 SCALE 1 n.- 10 I r i (varies)62'TO RESIDENCE T 10'NON TURF BUFFER AREA V NEW 2"x 12"CCA CAP / -- NEW 2"X6"CCA FOLLOWER ! NON-TURF BUFFER AREA SHALL.BE MAINTAINED EX.&PROP.GRADE AHW-MHW+2'7" �14"HDG HARDWARE 12' I U O 10"0 CONTINUOUS LAYLOG— r io ALW-MLVV 0 Z ~` --6"X 6"DROP WALE(1 ELEVATION) w O WEEP HOLE IN VSP@ 9'0 C. Ix J 60l O C Z _ _ Q -- —BO'P aO r v V I W U W z _ c O a co W X J W } z ISILT BOOM TO BE INSTALLED DURING INSTALLATION Applicant: Kelly Myers � Location: 1730 Deep Hole Drive,Mattituck Revised 3-19-15 to show bulkhead to be constructed '� Purpose• In placelBulkhead recon&dock recon. t (landward of existing)to be in line with adjacent blkd Datum:Apparent Low Water� I� Revised 3-19-15 to show Thru Flow decking&silt t`'fU if LOCUM 40°b9 18" 72030'39" boom �� j`. DKR SHORES INC,P.O.BOX4 88 28 Oct '14 SCALE 3/8"= 1' HAMPTON BAYS,N.Y.11946 SHEET4 OF 4 John M. Bredemeyer III, President 'y���SqF01,r�oG',� Town Hall Annex Michael J 1 Domino, Vice-President 54375 Route 25 Glenn Goldsmith ,? P.O. Box 1179 A. Nicholas Krupski y ® ��`; Southold, NY 11971 Charles J. Sanders Telephone (631) 765-1892 Fax (631) 765-6641 I BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DA T E OF INSPECTION: -,Ch. 275 Ch. 111 INSPECTION SCHEDULE I Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction 1 x2 constructed I Project complete, compliance inspection. . I INSPECTED BY: '. COMMENTS: I�t��1T �CG�f�.t�T�a •�r� ,���n i i CERTIFICATE OF COMPLIANCE: I SO John M.Bredemeyer III, President Town®�® 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 ®l� ,i Telephone(631) 765-1892 C®U ,� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES May 20, 2015 TOWN OF SOUTHOLD Ms. Agena Rigdon DKR Shores, Inc. PO Box 488 Hampton Bays, NY 11946 RE: KELLY MYERS 1730 DEEP HOLE DRIVE, MATTITUCK SCTM# 115-12-23.2 Dear Ms. Rigdon: 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#8574 to reconstruct the new bulkhead landward of the existing timber bulkhead so as to be in line with the adjacent bulkheads; and as depicted on the revised site plan prepared by DKR Shores, Inc., last dated March 19, 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, l ohn M. Bredemeyer III President, Board of Trustees JMB:amn F; John Bredemeyer, President �g�SFF04 Town Hall Annex Michael J. Domino, Vice-President °°� c°°y 54375 Route 25 James F. King y P.O. Box 1179 Charles J. Sanders • Southold, NY 11971 Dave Bergen Oi , �a Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field InspectionMlork Session Report Date/Time: DKR Shores, Inc. on behalf of KELLY MYERS requests an Administrative Amendment to Wetland Permit#8574 to reconstruct the new bulkhead landward of the existing timber bulkhead so as to be in line with the adjacent bulkheads. Located: 1730 Deep Hole Drive, Mattituck. SCTM# 115-12-23.2 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Storm Water Management Review: Yes No Not Applicable Info needed: Modifications: Conditions: Present Were: J. Bredemeyer M. Domino J. King C. Sanders D. Bergen Bay Constable Other Form filled out in the field by Mailed/Faxed to: Date: John M. Bredemeyer 111, President O�og�yFFO��ro Town Eiall,53095 Main Rd_' Michael J. Domino, Vice-President a� Gym P.O. Box 1 179 James F. King z Southold,NY l 1971 Charles J. Sanders �� Telephone(631)765-1892 mal ��o Dave Bergen Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD y 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 st day of construction constructed Project complete, compliance inspection y�r_rkl :. }!" ,R,4 fp„) v �Rt,t,tl t•°js” �. _' \ S i° 1015 L.-_ r �y�N.s ff"y y •'"•(1. "roa _eR 1�"�^"'` ,+5�1 +t,r ` i5 r _"•� .�.. J �t �Y •. i £ tt°.� u h:1 � �` /I^tip .a' _.' .�}, '� R �.. Vit`-� � �:�r ?i. ::. '.Y.Se.............'. .'&.w:S< °-.rLm .'4:vk:`::. ..» 1,A!k? ..J�a�.,,c± ''m:4�.�.v�'. BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK a f•Il PERMIT N0. 8574 DATE: MARCH 18,2015 v 5 s ISSUED TO: KELLY MYERS M: PROPERTY ADDRESS: 1730 DEEP HOLE DRIVE,MATTITUCK SCTM# 115-12-23.2 " AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in T accordance with the Resolution of the Board of Trustees adopted at ilie meeting held ori'March 18,2015,and in rr consideration of applicationr fee in the sum of$250.00 pard by Kelly A.Myers and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the :1• ' following: Wetland Permit to remove+/-70 linear feet of timber bulkhead and construct 52';,of bulkhead,in-place using vinyl sheathing and;closing off ramp; new bulkhead to " 5 be same height as neighbor's bulkhead to north; construct two,"(!);new 10' long vinyl returns; backfill.disturbed area with 50 cubic yards clean fill;'remove existing dock and � r construcha 4'x111' fixed dock; a 3'x15' ramp; ,and a 6'x20' float secured by,10" pilings;with the condition a silt boom is used prior to and during,construction; the use K_ of thru-flow grating on catwalk;.and to establish andsubsequently maintain a 10' wide `} non-turf'buffer along landward.edge of bulkhead;;'.and as depicted,on the site plan prepared by DKR Shores,Inc., last dated March 19,2015, and stamped approved on March.27,2015. IN WITNESS WHEREOF,the said Board:of Trustees hereby causes lits"Corporate Seat to'be affixed, and these presents to be subscribed by a majorityof the said Board as of this date. } A ��- Charles J.Sanders v � "�i:•a� + a' k �' >Z �+'.� 1 Me•°r.� �`��+�?f 3tyt.r '•x�Ir 1i;�'ii«�^',�; �. .Sid's aV4r���� "/I,°ll i�ii,. �' ' TERMS AND CONDITIONS The Permittee Kelly Myers residing at 1730 Deep Hole Drive Mattituck,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages,or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit,and the said Permittee will,at his or her own expense,defend any and all such suits initiated by third parties,and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated, time required to complete the work involved,but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely,or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents,and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized.. 6. That there shall be no interference with the right of the public to pass and repass along the r 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 rnavigation,the said Permittee will be., required,upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been . recorded with the Suffolk County Clerk's Office as a notice covenant.and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90) calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to;obtain same. 11. 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. p John M. Bredemeyer III, President ��0f SOUTyo Town Hall Annex h0 10., 54375 Main Road Michael J.Domino,Vice-President ,�, P.O.Box 1179 James F. King,Trustee � Southold,New York 11971-0959 Dave Bergen,Trustee ® �� Telephone(631) 765-1892 Charles J.Sanders,Trustee if'coulm,�'c Fax(631) 765-6641 . BOARD OF TOWN TRUSTEES March 18, 2015 TOWN OF SOUTHOLD Ms. Agena Rigdon DKR Shores, Inc. PO Box 488 Hampton Bays, NY 11946 RE: KELLY MYERS 1730 DEEP HOLE DRIVE, MATTITUCK SCTM# 115-12-23.2 Dear Ms. Rigdon: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, March 18, 2015 regarding the above matter: WHEREAS, DKR Shores, Inc. on behalf of KELLY,MYERS applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated December 8, 2014, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application to remove +/-70 linear feet of timber bulkhead and construct 52' of bulkhead in-place using vinyl sheathing and closing off ramp; new bulkhead to be same height as neighbor's bulkhead to north; construct two (2) new 10' long vinyl returns; and backfill disturbed area with 50 cubic yards clean fill be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, the LWRP Coordinator recommended that the proposed application to remove existing dock and construct a 4'x111' fixed dock; a 3'x15' ramp; and a 6'x20' float secured by 10" pilings be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered the Local Waterfront Revitalization Program Policies 6.3 & 9.4 to the greatest extent possible through the imposition of the 2 Y following Best Management Practice requirements:;a 10' wide non-turf buffer to be established and subsequently maintained along landward edge of bulkhead; the use of thru-flow grating on catwalk; the removal of the existing float that sits on bottom during low tide; and the proposed dock does not extend further seaward than the adjacent docks; and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on March 18, 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, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization 'Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees APPROVES the application of KELLY MEYERS to remove +/-70 linear feet of timber bulkhead and construct 52' of bulkhead in-place using vinyl sheathing and closing off ramp;,new bulkhead to be same height as neighbor's bulkhead to north; construct two (2) new 10' long vinyl returns; backfill disturbed area with 50 cubic yards clean fill; remove existing dock and construct a 4'x111' fixed dock; a 3'x15' ramp; and a 6'x20' float secured by 10" pilings; with the condition a silt boom is used prior to and during construction; the use of thru-flow grating on catwalk; and to establish and subsequently maintain a 10' wide non-turf buffer along landward edge of bulkhead; and as depicted on the site plan prepared by DKR Shores, Inc., last dated March 19, 2015, and stamped approved on March 27, 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. 3 Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $1,877.00 Very truly yours, John M. Bredemeyer III President, Board of Trustees John M. Bredemeyer III, President gUt`F©(,�cO Town Hall Annex Michael J.Domino,Vice-President �� Gy 54375 Route 25,P.O.Box 1179 James F.King aQi Southold,NY 11971 Charles J. Sandersw Telephone(631)765-1892 Dave.Ber en Fax(631)765-6641 g BOARD O TOWN TRUSTEES TOWN OF SOUTHOLD TO: DKR Shores Inc for Kelly Myer Please be advised that your,application dated 12/8/14 has been reviewed by this Board at the regular rr eeting of 3/18/15 and your application has been approved pendin 3 the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) XX Final Inspection Fee ($50.00) XX Dock Fees ($3.00 per sq. ft.) XX The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter.275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: Final Inspection: $50.00 Dock Fees: 4'x111' catwalk= 444sq.ft. x $3.00/sq.ft.= $1,332.00 3'x15' ramp= 45sq.ft. x $3.00/sq.ft.= $135.00 6'x20' float= 120sq.ft. x $3.00/sq.ft.= $360.00 TOTAL FEES DUE: $ 1,877.00 BY: John M. Bredemeyer 111, President Board of Trustees .c , ' 3 1112015 14 :08 f y v -yam k, i y f l'�'', � ���i 1► �� .� Y+ 7�',4�'' �. �.:.�� P 1.- � l �j#j ''�, �#. .-'S ���1\, ,i �- 3/ 1 a J 0 1�/2�0�15 14 '8 a t . A ' ..� ,��YF .� r�.• � f� ,.�"Te� :•�'nt..a� _ � �< �+•, ��.�. � w.t 'T'4,. 4�i- •. �� _� y_ �... F l John Bredemeyer, President gUFF91Town Hall Annex Michael J. Domino, Vice-President °��O °mss 54375 Route 25 James F. King y x, P.O. Box 1179 Charles J. Sanders y. • ! Southold, NY 11971 Dave Bergen �Ol ,� �a° Telephone (631) 765-1892 Fax(631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: NdA �i 1 DKR Shores, Inc. on behalf of KELLY MYERS request a Wetland Permit to remove +/- 70 linear feet of timber bulkhead and construct 52' of bulkhead in-place using vinyl sheathing and closing off ramp; new bulkhead to be same height as neighbor's bulkhead to north; construct two (2) new 10' long vinyl returns; backfill disturbed area with 50 cubic yards clean .fill; remove existing dock and construct a 4'x111' fixed dock; a 3'x15' ramp; and a 6'x20' float secured by 10" pilings. Located: 1730 Deep Hole Drive, Mattituck. SCTM# 115-12-23.2 Type of area to be impacted: ` Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland v Part of Town Codeproposed 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 I Form filled out in the field by Mailed/Faxed to: Date: r ampdb a IT ror �r .. _ i s Myers N. 1730 Deep Hole Drive, Mattituck • ,t 1/14/15 Kelly Myers 1730 Deep Hole Drive, Mattituck SCTM#11S-12-23.2 1/14/15 { AL All II a i r Ai .1 "f d: .e John Bredemeyer, President �o%AFFaLf Town Hall Annex Michael J. Domino, Vice-President 54375 Route 25 James F. King y a P.O. Box 1179 Charles J. Sanders • Southold, NY 11971 Dave Bergen y�Q! , �a°� Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: DKR Shores, Inc. on behalf of KELLY MYERS request a Wetland Permit to remove +/- 70 linear feet of timber bulkhead and construct 52' of bulkhead in-place using vinyl sheathing and closing off ramp; new bulkhead to be same height as neighbor's bulkhead to north; construct two (2) new 10' long vinyl returns; backfill disturbed area with 50 cubic yards clean fill; remove existing dock and construct a 4'x111' fixed dock; a 3'x15' ramp; and a 6'x20' float secured by 10" pilings. Located: 1730 Deep Hole Drive, Mattituck. SCTM# 115-12-23.2 Type,of area to be impacted: �J 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: rC l` �qI r Ufa 00 1,;5 o Modifications: Conditions: Present Were: J. Bredemeyer J M. Domino /J. King__ZC. Sanders Bergen Bay Constable Other I Form filled out in the field by Mailed/Faxed to: Date: .. - •.�•,� t Y^,v �r f r• 71 3sG* i M �s'a/" �� �� - I��''!°✓`/ -.:sem _ 1 J3, � A040, ALI f it 'In -H, ;$` '�� gip.�.- �'"�`7 '� • � � ..r v ��"� , �- - t `l xr r. DKR SHORES, INC. P.O. BOX 488 ;: Lr a HAMPTON BAYS, N.Y. 11946 631-566-6016 DKRSHORESCORP U@I AOL.COM 5 2015 MAY 1, 2015 SORTO l zo�in SOUTHOLD TOWN BOARD OF TOWN TRUSTEES P.O. BOX 1179 SOUTHOLD, NY 11971 RE: APPLICATION FOR MYERS; 1730 DEEP HOLE DRIVE, MATTITUCK DEAR BOARD MEMBERS: I AM PRESENTLY WRITING REGARDING THIS PROJECT. KINDLY BE ADVISED THAT THE NYSDEC HAS ASI(ED FOR THE NEW VINYL BULKHEAD TO BE RECONSTRUCTION LANDWARD OF THE CURRENT TIMBER BULKHEAD. 1. PLEASE FIND ENCLOSED (3) COPIES OF THE REVISED SITE PLAN AND CROSS SECTIONAL DETAIL NOTING THE NEW BULKHEAD SHALL BE RE—CONSTRUCTED LANDWARD OF THE EXISTING TIMBER STRUCTURE SO AS TO BE IN LINE WITH THE ADJACENT BULKHEADS (NORTH/SOUTH PLEASE FEEL FREE TO CONTACT ME SHOULD YOU HAVE ADDITIONAL QUESTIONS REGARDING THIS PROJECT. RESPECTFULLY SU , GDO , P OFFICE LOCATION: �OF SOyO MAILING ADDRESS: Town Hall Annex �� l0 P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) y ,e Southold, NY 11971 �p� Telephone: 631 765-1938 COUNTY,� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM 4 , To: Jim King, President Town of Southold Board of Trustees JAN :1 5 2415 F ' ; i From: Mark Terry, Principal Planner alU' t1; LWRP Coordinator Date: January 15', 2015 Re: Proposed for Wetland Permit for KELLY MYERS SCTM# 1000-115-12-23.2 THE ACTION IS LOCATED IN A NYSDEC CRITICAL ENVIRONMENTAL AREA. DKR Shores, Inc. on behalf of KELLY MYERS request a Wetland Permit to remove +/-70 linear feet of timber bulkhead and construct 52' of bulkhead in-place using vinyl sheathing and closing off ramp; new bulkhead to be same height.as neighbor's bulkhead to north; construct two (2) new 10' long vinyl returns; backfill disturbed area with 50 cubic yards clean fill; remove existing dock and construct a 4'x111' fixed dock; a 3'x15' ramp; and a 6'x20' float secured by 10" pilings. Located: 1730 Deep Hole Drive, Mattituck. SCTM# 115-12-23.2 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 proposed action to remove existing dock and construct a 4'x111' fixed dock; a 3'x15' ramp; and a 6'x20' float secured by 10" pilings. is INCONSISTENT with the below Policy Standards and therefore is INCONSISTENT with the LWRP. The applicant has not demonstrated that the action fully meets the below policies. The subject parcel already has access to public water via an existing dock structure (Figure 1). N t sp 0 1 +y4 .. � ' � • # Figure 1. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. The applicant has not demonstrated that the following dock standards pursuant to § 276- 11. Construction and operation standards have been met (d) Review and approval of dock applications. Before issuing a permit for a dock structure, the Trustees shall consider whether the dock will have any of the following harmful effects: [1] Whether the dock will impair navigation or be located in areas of high vessel traffic or vessel congestion, The proposed dock is 132 feet in length. This extension would gain the applicant+.6 inches in water depth at A.L.W. and would result in loss of public use of public waters. f Chapter 275 requires that the determination of the length of the dock must p q g include the dimensions of the vessel. The dimensions of a vessel are not specified. The float orientation would further impede navigable waters and extend farther than the dock to the north. [2] Whether the dock will unduly interfere with the public use of waterways for swimming, boating, fishing, shellfishing, watersknng and other water- dependant activities; The proposed dock structure (if approved)will result in a perpetual loss in unobstructed public access (recreation) and use of public underwater lands. [3] Whether the dock will unduly interfere with transit by the public along the public beaches or foreshore; [5] Whether the dock will cause degradation of surface water quality and natural resources, (6] Whether the dock will cause habitat fragmentation and loss of significant coastal fish and wildlife habitats, The proposed action is located within a New York State Critical Environmental Area. At the discretion of the Board of Trustees, any operations proposed in critical environmental areas (§ 275-2) may be subject to more stringent requirements than detailed in this section. Such requirements may include, but are not limited to, denial of certain operations, shortening or reducing the size of structures, and increasing the width of non-disturbance buffers [7] Whether the dock will result in the destruction of or prevent the growth of vegetated wetlands, seagrasses including ee/grass (Zostera marina) and widgeon grass (Ruppia maritima) or shellfish; A loss of recreational shellfishing areas will occur as a result of this action. [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 The extension of pre-existing dock structures into public waters to accommodate larger vessels is changing the how the public uses the waterway. [12] Whether adequate facilities are available to boat owners and/or operators for fueling, discharge of waste and rubbish, electrical service and water service. 9.4 Assure public access to public trust lands and navigable waters. E. Provide access to, and reasonable recreational use of, navigable waters and public trust lands under water. 1. Provide for free and unobstructed public use of.all navigable waters below the line of mean high water for navigation, recreation, and other public trust purposes, including the incidental rights of public anchoring. The proposed dock structure (if approved)will result in a perpetual loss in unobstructed public access and use of public underwater lands equal to the dock and vessel dimensions. The length and fixed nature of the dock could impede navigation of other vessels. The LWRP states "Piers, docking facilities, and catwalks must not result in an unnecessary interference with use of public trust lands. Alternatives to long piers or docks include use of dinghies to reach moored boats and mooring in nearby marinas. Dredging solely to accommodate the draft of larger boats is not a recommended alternative'. In the event that the action is approved; to further Policies 5. Protect and improve water quality in the Town of Southold, 6.3 Protect and restore tidal and freshwater wetlands and Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town Waters. It is recommended that the Board require that the silt boom be deployed during the construction of the structure pursuant to: §275-11 Construction and operation standards. A. General. The following standards are required for all operations within the jurisdiction of the Trustees: (2) Erosion control. Installation of an erosion control structure is necessary during any building, grading, landscaping or site work activity within Trustee jurisdiction. This structure may include, but is not limited to, installation of a silt fence, hay bales, wood chip berm and silt booms. The placement of the erosion control structure(s) shall be determined by the Trustees or their designee. All intertidal construction and excavation requires the installation of a silt boom that will retain all suspended sediments within the immediate project area. The action to remove +/-70 linear feet of timber bulkhead and construct 52 of bulkhead in-place using vinyl sheathing and closing off ramp; new bulkhead to be same height as neighbor's bulkhead to north; construct two (2) new 10' long vinyl returns; backfill disturbed area with 50 cubic yards clean fill is recommended as CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action Cc: Lori Hulse, Assistant Town Attorney FFOt,f��� II Peter Young,Chairman H Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 i Southold,NY 11971 Telephone(631)765-1892 Fax(631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., January 14, 2015 the following recommendation was made: Moved by Peter Young, seconded by Jack McGreevy, it was RESOLVED to SUPPORT the application of KELLY MYERS to remove 70 If. of timber bulkhead, reconstruct in-place 52' of bulkhead with vinyl sheathing. Bulkhead to be same height as neighbor to the north. To construct'(2) new vinyl returns and to NOT SUPPORT the application to remove existing dock and replace with 4'X 11' fixed dock, 3'X 15' ramp and a 6'X 20' floating dock secured by 10" pilings. Located: 1730 Deep Hole Dr., Mattituck. SCTM#115-12-23.2 Inspected by: Peter Young, Peter Meeker, Jack McGreevy The CAC does Not Support the application to remove and replace the existing dock because the project was not staked. It was difficult to make an assessment on the location of the dock. Vote of Council:Ayes: All Motion Carried I� - 'v; JAN 202015 �...... ..{...r`r�1,,,Ft},'1....,,,.117....-.__.....� (1 r Nunemaker, Amanda From: Agena Rigdon <dkrshorescorp@aol.com> Sent: Thursday,January 15, 2015 9:33 AM To: Nunemaker,Amanda Subject: Myers and Davis Kindly table the above referenced applications for the March meeting So I can hopefully stake the seaward end of the proposed docks Thx H Agena Rigdon, President DKR Shores, Inc. Environmental/Construction Permit Expediting Wetlands Consulting, delineation And Native Landscape Design Drafting P.O. Box 488 Hampton Bays, N.Y. 11946 631-566-6016 Fax 631-574-8999 WWW.DKRSHORES.COM Is an Association of Sea Star Management LLC 1 John M.Bredemeyer III,President Town Hall Annex 1J Is ® , ' ` { 54375 Main Road Michael J.Domino,Vice-President P.O.Box 1179 James F.King,Trustee y Southold,New York 11971-0959 Dave Bergen,Trustee h1' ,11 Telephone(631) 765-1592 Charles J.Sanders,Trustee . � Fax(631)765-6641 N,OUMNt` *, d i 7\ ' BOARD OF TOWN TRUSTEES ►1 TOWN OF SOUTHOLD Office Use Only ` ` DEC '- 8 214 oastal Erosion Permit Application Wetland Permit Application Administrative Permit _Amendment/Transfi /E tepsion eceived Application: j_2_ �ceived Fee:$_ b� mpleted Application _Incomplete _SEQRA Classification: Type[__Type 11 Unlisted oordination:(date sent) [RPConsistenc y Asses eC ReferralSent:_e ofInspection.eipt of CAC Report _ ead Agency Determination: echnical Review:_ Public Hearing Held:_] 2l _L-5_ Resolution: Name of Applicant ve r Mailing AddressAmu,, whl-r�e-�)0jf, Phone Number:( Suffolk County Tax Map Number: 1000- Property Location: 4o e D6 P , (provide LILCO Pole#, distance to cross streets, and location) AGENT: GV (If applicable) '/� j !n ' Address: p 0 (�0� q Up 0 a )jau�m V�/ l�1 Phone: �� �D 4rdL of Trustees ApplicatioN_ / GENERAL DATA Land Area(in square feet): 3 Ll F o s��. Area Zoning:J�. - I ( Previous use of property: ] Intended use of property: �1 / Covenants and Restrictions on property? Yes V No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes No If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes �/ No Does the structure(s)on property have a valid Certificate of Occupancy? Yes No Prior permits/approvals for site improvements: Agency Date illi SCSI? = fi S (,�r'fi o�S �y S L) ly ti(S .C-. _LSS U p Dpi io No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?__2No Yes If yes,provide explanation: Project Description(use attachments if necessary): Od I i v1h l %AAtili le;los,:06 /3w 6ao�%O) b 1kc-1 -h) /A- hi4k4tvz- -- r so X, &1 c1L t.,dl / 1 X J J l ' ' �e d.do-d .d of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA c Purpose of the proposed operations: eC"S- Y a n LroSi an COA bLZ6 -6 L dhuR , Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance between n arest existing structure and upland edge of wetlands: feet Closest distance betweenproposed structure and upland est edge of wetlands: feet Does the project involve excavation or filling? No J Yes If yes,how much material will be excavated? cubic yards How much material will be filled? 50 cubic yards Depth of which material will be removed or deposited±- feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: 6 rno,k Sobrosl 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): N o �z + ►��.�-� � �fi carp 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 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 N0La"-'_ (O,-Y- k Name&Action or Proj t: ) Project Location(describe,and attach a location map): 1130 1DU, AT)W _ Brief Description of Proposed Action: p�� see a�Iac�e.eL Nam of Applicant or Sponsor: Telephone: 1 q- q 1! _ m, '[L tA191 E-Mail: ef! L M Address: g 0 Qn J � �� �a-�� 64 t City/PO: State: Zi Code: r V1. LJ 06 Lk) 14 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? ❑ If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require erm' ,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? U 1 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? acres 4. Check all land uses that occur on,adjoining and near the proposed action. M/ F]Urban []Rural(non-agriculture) ❑Industrial ❑Commercial Residential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page I 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? 1-16. 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: � ❑ 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? ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? M ❑ 9.Does the proposed action meet or exceed the state energy code requirements? I NO YES If the proposed action will exceed requirements,describe design features and technologies: ✓� Vl El 10. Will the proposed action connect to an existing public/private water supply? NO YES Vl'ov 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: _` �_ ;� c•, ❑ 12. a.Does the site contain a structure that is listed 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? ❑ EZ 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 El Early mid-successional 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? ff [:]- 16. 16.Is the project site located in the 100 year flood plain? NO YE 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? E�NO [–]YES ❑ b.Will storm water discharges be directed to established conveyance systems(run and storm drains)? If Yes,briefly describe: NO ❑YES Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size �.^�� ____ ._._�____._ � ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: _ ( 'a 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? � ❑ If Yes,describe: I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/spons ame: " ' - �� Date: c/_( J Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the.following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" 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? n/- EL 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? FA LJ 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 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage ❑ problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration, irreversibility,geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. r] 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 infonnation 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 _ Na Lead Agency Date C_ ILI ry� / _ President ` Print or Typeame of Resp J Officer in Lead Agency Title of Responsible Officer Signa f Respon '~ icer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 �oSUk Town of Southold 0 = Erosion, Sedimentation $ Storm-Water Run-off ASSESSMENT FORM 1b PROPERTY LOCATION: S.C.T.M.M. THE FOLLOWING ACTIONS MAV REQUIRE THE SUBMISSION OF A k 0-b-0 STORM-WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN s c Te Ion oc — ot— CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUC'T'ION ITEM# / WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? 1 Will this Project Retain All Storm-Water Run-Off (Include Total Area of all Parcels located within D/1 ' Generated by a Two(2")Inch Rainfall on Site? the Scope of Work for Proposed Construction) 1(3•F./Acres) (This item will Include all run-off created by site b. What is the Total Area of Land Clearing clearing and/or construction activities as well as all and/or Ground Disturbance for the proposed Site Improvements and the permanent creation of construction activity? (S.F.1 Acres) impervious surfaces.) 2 Does the Site Plan and/or Survey Show All Proposed PROVIDE BRIEF PROJECT DESCRIPTION (Provide Additional Pollee as Needed) Drainage Structures Indicating Size&Location?This Item shall Include all Proposed Grade Changes and r ( 1 Slopes Controlling Surface Water Flow. 3 Does the Site Plan and/or Survey describe the erosion ^ / I",����C IA-0 In �r &S and sediment control practices that will be used to 'V control site erosion and storm water discharges. This E1 rPA Lair P �.�.t�c.�L w J item must be maintained throughout the Entire Construction Period. T C J 4, Will this Project Require any Land Filling,Grading or ^� a- Lo ( Z U O_l 0 „ 1_•. Excavation where there is a change to the Natural v -�( �� Existing Grade Involving more than 200 Cubic Yards — of Material within any Parcel? El Pj Will this Application Require Land Disturbing Activities / Encompassing an Area in Excess of Five Thousand (5,000 S.F.)Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the J Site? Is this Project within the Trustees jurisdiction ll�.���..����.1111 � General DEC SWPPP Requirements: or within One Hundred(100')feet of a Wetland or Submission of a SWPPP is required for all Construction activities Involving soil Beach? disturbances of one(1)or more acres: Including disturbances of less then one acre that 7 Will there be Site preparation on Existing Grade Slopes ® / are part of a larger common plan that will ultimately disturb one or more acres of land; which Exceed Fifteen(15)feet of Vertical Rise to Including Construction activities involving soil disturbances of less than one(1)acre where One Hundred(100')of Horizontal Distance? the DEC has determined that a SPDES permit Is required for storm water discharges. (SWPPP's Shall most the Minimum Requirements of the SPDES General Permit 8 Will Driveways,Parking Areas or other Impervious for Storm Water Discharges from Construction activity-Permit No.GP-0-10001.) Surfaces be Sloped to Direct Storrs-Water Run-Off 1.The SWPPP shall be prepared prior to the submittal of the NOI.The NOI shall be into and/or in the direction of a Town right-of-way? submitted to the Department prior to the commencement of construction activity. 2.The SWPPP shall describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material, required,post-construction storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any ® constructed to reduce the pollutants in storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder compllanca with the terns and conditions of this permit.In addition,the SWPPP shall Area?(This Item w111 NOT include the Installa0en of Driveway Aprons.) Identify potential sources of pollution which may reasonably be expected to affect the quality,of storm water discharges. NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark 3.Ali SWPPPs that require the post-constructlon storm water management practice In a Box and the construction site disturbance Is between 3,000 S.F.&!Acre In area, component shall be prepared by a qualified Design Professional Licensed In New York a Storm-Water,Grading,Drainage&Erosion Control Plan Is Required by the Town of that is knowledgeable In the principles and practices of Storm Water Management. Southold and Must be Submitted for Review Prior to Issuance of Any Building Permit. (NOTE: A Check Mark(.)')and/or Answer for each Question Is Required fora Complete Application) , SPATE OF NEW YORK, r('_ COUNTY OF..S "�1.7�.ty\...............SS That I,...... tC.vA.?�` .................being duly sworn,deposes and says that he/she is the applicant for Permit, i (Name of Indiv)l a tiring Decurrent) &.." Andthat he/she is the / ....... -.... . . ... ... ............................................................. (Owner,Contractor, ant, rpore fficer,etc.) I Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to make and file thjs application;th tall statements contained in this application are true to the best of his kttowledge and belief;and that the work will be perform n the manner set forth in the application filed herewith. Sworn to before ; ................... ........... ......... ,yof.... �n 'o'rn 20.x. Notary P tic: .....NQtarY_P..ublic,-State••©f New-Y rk ....... . ...... ....... ..... ....... N gnalure o A [Ica FOWL atm0 Qualified in Suffolk County Commission Expires May 5, 2016 ,NUTILt: Ulm 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: FELLY MYERS SUBJECT OF PUBLIC HEARING : A Wetland Permit to remove +/-70 linear feet of timber bulkhead and construct 52' of bulkhead in-place using vinyl sheathing and closing off ramp; new bulkhead to be same height as neighbor's bulkhead to north; construct two (2) new 10' long vinyl returns; backfill disturbed area with 50 cubic yards clean fill; remove existing dock and construct a 4'x111 ' fixed dock; a 3'x15' ramp; and a 6'x20' float secured by 10" pilings. TIME & DATE OF PUBLIC HEARING : Wednesday, January 21, 2015 — at or about 5 :30P. M . If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 PROOF OF MAILING OF NOTI --� ATTACH CERTIFIED MAIL REC � PTS JAN 2 1 2015 Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK residing at .23 S' being duly sworn, deposes and says that on the ----6 ay of , 20_Ly�, 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 qoll of the Town.9f Southold; that said Notices were mailed at the United States Post Office at 1 1n that said Notices we mailed to each of said persons by CERTIFIED mAM/RETURN—IffCEIPT. Sworn to before me this Day of , 20 SUSAN GERAQ - Notary Pubiio aa1e of New York No.01GEf;12W7- 016 E-& 23 3� —7 Quaiified in Suffolk County Corhrnission Expires — Notary Public j�f17 U.S. Postal ServiceTM CERTIFIED MAIL. RECEIPT (Domestic Mail Only;No Insurance Coverage Provided) For q+,rli9,�p!Z,,k ifformation visit our website at www.usps.com® r r f w a.A" r MEN r _ f PS Form 3800;August 2006 �ee.Reverse for Instructions U.S. U.S. Postal ServiceTM Postal ServiceTMCERTIFIED MAILTM RECEIPT CERTIFIED MAILTm RECEIPT (Domestic Mail only;NoinsuranceCoverage Provided), (Domestic Mail Only;No Insurance Coverage Provided) - w -_ _- _.. For delivery information visit our website.at www.uss.com® For delivery information visit our website at www.usps.come .t i WWI w - �1111iir °..�t• � w - wAfl RD �, ■ See Reverse for Instructions PS Form 3600,August 2006 See Reverse for Instructions PS Form 3800,August 2006. John Bredemeyer, President Town Hall Annex Michael J. Domino, Vice-President 54375 Route 25 James F. King y P.O. Box 1179 Dave Bergen • Southold, NY 11971 Charles J. Sanders y�or , , �a°! Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRLL8=' _ -_ TOWN OF SOUTH Lb. 1w•' ' 1 BOARD OF TRUSTEES: TOWN OF SOUTHOLD JAN 2 1 2015 : -------------------------------------------------------------- In the Matter of the Application of KELLY MYERS COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR EIGHT DAYS , residing at/dba b eP2, I.,-, being duly sworn, depose and say: That on the G day of , 201 personally posted the roperty known as by placing the Board of Trustees official�oster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday, January 21, 2015. Dated: Sworn to before me this -7,1 day of J5.k 20 0 SUSAN GERACI Notary N001GE612>19of 7ew York 016E &i 01 q_7�n, Quelified in Suffolk County af_ Commission Expires Mt mh- 281— Notary Public s-1610 e B- --d of Trustees. Application AUTHORIZATION (where the applicant is not the owner) residing at I Tab dQC fit (print ner of prop ) (mailing address) 'Wive MQ 1f11-k ck 11 do hereby authorize (Agent) en O�— �,1 4j &D to apply for permit(s)from the Southold Board of Town Trustees on my behalf. Q (Owner' ature) I APPLICANT/AGENUREPRESENTATIVIE TRANSACTIONAL DISCLOSURE FORM I 4 The Town of S uthold's Code of Ethics prohibits conflicts of interest on the part f town officcrs nd em fir gees The purpose of this form is to provide information which can alert lite town oftaossible conflicts of irtten t and allow it to take whatever action is necessary to avoid same. YOUR NAME: (Last n e,first n e,.rpi le 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 fat Mooring 1 pp plat 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 rhe town otlicer or ernployce h s-evcn a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5% to shares. YES NO i 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 S%of the shares of the corporate stock of the applicant 1 (when the applicant is a corporation); 13)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 Submitted this y a f Cv 200 Signature Print Name Form TS 1 n tHornNotary Public, Ste of New York No. 01H06186669 Qualified in Suffolk County Commission Expires May 5, 2016 f Sc A of Trustees Application 1 County of Suffolk State of New York , A f( l I BEING DULY SWORN DEPOSES MID AFFIRM THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE t 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(81 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. SignatifreJf Property O er SWORN TO BEFORE ME THIS ` DAY OF��`1 IJ�1� ,201 Notary Pub li ATUL N.MODI Notary Public,State of Now York No.01M06234649 Qualified In Westchester Coun Commission Expires 1/24/20 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 si&ficant 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 Ron- 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: onl of~Southo ' website(southoldtown.northforlc.net), the Board of Trustees 'ce�`he Plarig eptrne all local libraries and the Town Clerk's office. i 82014- B. DESCRIPTION OF SITE AND PROPOSED ACTION E DEC SCTM# 1 5 - �, - 3 `S:.it`cit;`ioln PROJECT NAME I I U M u 6 6utklaj- &— The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ . Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g.capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: I n.12 lace Vinq nruU) 10' vl'n u l tWvyl/t S , -fo rAe-,,�e v-e- 'eueq�r ¢� e.e.�x<4 �' aL 3 1 k ( N Y� � c62 k ��Uf A 2 c Location of action 195o Site acreage:_ r ( CIi L4 q Present land use: I� Nit-n1` LJ Present zoning classification: ��S/�► i1 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: ;C n lCqy (c) Telephone number: Area Code (d) Application number,if any:—�4 Will the action be directly undertaken,require funding,or prov by a state or federal agency? Yes E� No If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space,makes efficient use of infrastructure,makes beneficial use of a coastal location, and minimizes adverse effects of development. See LNVRP Section III—Policies; Page 2 for evaluation crit ria. Yes ❑ No ❑ Not Applicable , L)r P r,f 15 LALd SIS A,d'_ 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 f 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 [-1 No [2/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 Secd n III—Policies Pages S through 16 for evaluation criteria Yes ❑ No ❑ Not Aplic�ble iw 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 throu h 21 for evaluation criteria F] Yes 11 No 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 evaluatio criteria. ❑ ❑ Yes No <Not Ap Ip ieabW 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 1:1 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 LVVRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes 1-1NoNot 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 Ty,eo ' No❑ Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 0. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suita a locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. Yes ❑ No [:1Not Applicable i Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town wa rs. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. F-1YesF-1No 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 E/Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III--Policies; ages 65 through 68 for evaluation criteria. ❑ Yes ❑ No FV Not Applicable PREPARED BY 4—elu TITLE J)K K��� � DATE L n N LU L O N CV)N N C"i N N N M ' II II n O N O n n N N tD N N N� N N Cl) �w CZ, ^ N2 STY RESIDENCE DECKbe O Co O O O N N N tV N N N N N DRIVE N 1� O O O O n N M M tl O N N N N N o ; W -W Lowto mp Q sectionon to be closed off f==1:11N Q0w w N N N N APPLICANT PROPOSES TO REMOVE TIMBER BULKHEAD SECTIONS(70',TO Q RECONSTRUCT 52'OF BULKHEAD(LANDWARD OF EXISTING TO BE IN LINE WITH ADJACENT STRUCTURES)UTILIZING VINYL ESP 4.1;TO CONSTRUCT(2)NEW 10'VINYL RETURNS ALONG P/L(to install silt boom during bulkhead installation), TO BACKFILL AS NECESSARY WITH APPROX.50 C.Y.OF CLEAN SAND TRUCKED IN FROM AN UPLAND SOURCE. TO REMOVE EXISTING DOCK, TO CONSTRUCT A NEW 4X 111'FIXED DOCK (Thru Flow open grate decking),3X 15'RAMP AND 6X 20'FLOAT SECURED WITH 10" PILINGS. AT DEEP HOLE CREEK,MATTITUCK, TOWN OF SOUTHOLD,SUFFOLK COUNTY, NEW YORK. o N N EX DOCK i } {1 Revised 3-19-15 to show bulkhead to be constructed 'APPROVED .BY'. ' (landward of existing) to be in line with adjacent blkd. Revised 3-19-15 to show Thru Flow decking & silt BOARD OF TRUSTEES boomMT _ OF f� ^, SOUTHQ Applicant: Kelly Myers L 'r `moi -'- 1 Location: 1730 Deep Hole Drive, Mattituck XISTING oC� Purpose: In place/Bulkhead recon &dock recon. MAY - 5 2015 I Datum: Apparent Low Water Al S.G.T.M.No. 1000-115-12-23.2 LOCUS: 40°59'18" 72°30'39" souinc!i Tom DKR SHORES INC, P.O. SOX 488 28 Oct '14 HAMPTON BAYS,N.Y. 11946 SHEET 1 OF4 SCALE 1 30' Cli UJ ' 4 Q . N O N N Ci �W1 �M N NN N N N Prop. tuO � \ e ^ ^ w O N Q 61' Q R O C-3 (p `O N ry nj N (V N .e ^ r LU p ? u? PROP.4X 111'FIXED DOCK(Thru Flow open grate decking)N PROP.6X 20'FLOAT �f '1, CQ ® 2 STY RESIDENCE DECK s o `° °' �' ^ - N N LU N O fy co— � , � � 1 o 4 0 .� PROP.37(15'RAMP O N N r, O O O 0h N yDRIVE N � O ^ � N N NN N O O, Q. J Prop.1 'returnLL N U L O N O) O cV N Q Q N N N O 4 4 APPLICANT PROPOSES TO REMOVE TIMBER BULKHEAD SECTIONS(70',TO RECONSTRUCT 52'OF BULKHEAD(LANDWARD OF EXISTING TO BE IN LINE WITH ADJACENT STRUCTURES)UTILIZING VINYL ESP 4.1;TO CONSTRUCT(2)NEW 10'VINYL RETURNS ALONG P/L(to install silt boom during bulkhead installation), TO BACKFILL AS NECESSARY WITH APPROX.50 C.Y.OF CLEAN SAND TRUCKED IN FROM AN UPLAND SOURCE. TO REMOVE EXISTING DOCS TO CONSTRUCT A NEW 4X 111'FIXED DOCK (Thru Flow open grate decking),3X 15'RAMP AND 6X 20'FLOAT SECURED WITH 10" O PILINGS. AT DEEP HOLE CREEK,MATTITUCK, TOWN OF SOUTHOLD,SUFFOLK COUNTY, N N NEW YORK. EX.DOCK Revised 3-19-15 to show bulkhead to be constructed (landward of existing) to be in line with adjacent blkd. Revised 3-19-15 to show Thru Flow decking & silt boom Applicant: Myers pp Kelly '`J Location: 1730 Deep Hole Drive, Mattituck ± ��:. �r� PROPOSED MAY - 5 20161 Purpose: In place/Bulkhead recon & dock recon. _ SITE PLAN Datum: Apparent Low Water _ _.. _ i S.C.T.M.No. 1000-115-12-23.2 �aur' l�va � LOCUS: 40°59'18" 72°30'39" - - ,Y- DKR SHORES INC, P.O. BOX 488 28 Oct '14 HAMPTON BAYS,N.Y. 11946 SHEET 2 OF 4 SCALE 1 30' APPLICANT PROPOSES TO REMOVE TIMBERBULKHEAD SECTIONS(70', TO RECONSTRUCT 52'OF BULKHEAD(LANDWARD OF EXISTING TO BE IN LINE WITH ADJACENT STRUCTURES) UTILIZING VINYL ESP 4.1; TO CONSTRUCT(2)NEW 10'VINYL RETURNS ALONG P/L(to install silt boom during bulkhead installation), TO BACKFILL AS NECESSARY WITH APPROX. 50 C.Y. OF CLEAN SAND TRUCKED 1N FROMAN UPLAND u 61'to to Deck/Residence SOURCE. TO REMOVE EXISTING DOCK, TO CONSTRUCT A NEW 4X 111'FIXED DOCK(Thru Flow open grate decking), 3X 15'RAMP AND 6X 20'FLOAT SECURED WITH 10"PILINGS. AT DEEP HOLE CREEK, MATTITUCK, TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK. PROP 3'X 15'RAMP with PROP. 6'X 20'FLOAT Fk untreated GRgpF PROP. 4'X 111' FIXED DOCK(Thru Flow Open Grate Decking) decking or aluminum - m`— xa-p.and m – SHW+2.9 ' M MHW-AHW +2.7' cn m o Z - - -- -- — — -- — — — — — — — — —MLW-ALW 0 mo � z.< o Class"B"chocks to A x a0 8-9"BUTTE BOTTOM -2.1' BOTTOM N support float O r PILINGS (2) 10"X 20' m20'long 9 saw CCA pilings o to secure float Pie Revised 3-19-15 to show bulkhead to,be constructed ? MAY - 5 V (landward of existing)to be in line with adjacent blkd. Revised 3-19-15 to show Thru Flow decking & silt southo►a to boom -..ilii:... _... Applicant: Kelly Myers Location: 1730 Deep Hole Drive, Mattituck Purpose: In place/Bulkhead recon &dock recon. Datum: Apparent Low Water S.C.T.M.No. 1000-115-12-23.2 LOCUS: 40°59'18" 72°30'39" DKR SHORES INC, P.O. BOX 488 28 Oct '14 HAMPTON BAYS,N.Y. 11946 SHEET 3 OF 4 SCALE 1 10' varies)6 'TO RESIDENCE _ 10'NON TURF BUFFER AREA �_ r NEW 2"x 12"CCA CAP NEW 2"X6"CCA FOLLOWER 4 NON-TURF BUFFER AREA SHALL BE MAINTAINED EX. &PROP.GRADE AHW-MHW+27" �/4"HDG HARDWARE v O 10"0 CONTINUOUS LAYLOG EO ALW-MLW 0Z "X 6"DROP WALE(1 ELEVATION) w OJ WEEP HOLE IN VSP@ 9'O.C. ir a? O a = y U I— Z v Q BOTTOM V W O W O CO) J a bo C0 X W _ J co z u)si L MAY - 5 2015 Y,. SILT BOOM TO BE INSTALLED DURING INSTALLATION Southold Town Applicant: Kelly Myers Location: 1730 Deep Hole Drive, Mattituck Revised 3-19-15 to show bulkhead to be constructed Purpose: In place/Bulkhead recon &dock recon. (landward of existing) to be in line with adjacent blkd. Datum: Apparent Low Water Revised 3-19-15 to show Thru Flow decking &silt L C.T.M.No. 59'18" 7203023.2 LOCUS: 40°59'18" 72°30'39" boom DKR SHORES INC, P.O. BOX 488 28 Oct '14 SCALE 3/8"= 1' 1, HAMPTON BAYS,N.Y. 11946 SHEET4 OF 4 _4 O t O N cry NN A LLJ N On NN NN N N N Ci N N N CN VN p to w u ( wco C� wNN2 STY RESIDENCE DECK b 1 � N N N CV O i DRIVE L� I10c, n o) O O N C7 N N er O^' O ^ ^ co co 'P'I: w N N C1.4 N N Low SAbRamp 4 Q - -� section to be closed off O N cp N 0) O N 0 0 O 114 � �' ri N 'i N APPLICANT PROPOSES TO REMOVE TIMBER BULKHEAD SECTIONS(70', TO RECONSTRUCT 52'OFBULKHEAD(IN PLACE OF EXISTING)WITH VINYL ESP 4.1;TO CONSTRUCT(2)NEW 10'VINYL RETURNS ALONG P/L(to install silt boom during bulkhead installation), TO BACKFILL AS NECESSARY WITH APPROX.50 C.Y.OF CLEAN SAND TRUCKED IN FROM AN UPLAND SOURCE. TO REMOVE EXISTING DOCK, TO CONSTRUCT A NEW 4X 111'FIXED DOCK(Thru Flow open grate decking),3X 15'RAMP AND 6X 20'FLOAT SECURED WITH 10"PILINGS. AT DEEP HOLE CREEK,MATTITUCK, N N TOWN OF SOUTHOLD,SUFFOLK COUNTY,NEW YORK. EX.DOCK Revised 3-19-15 to show Thru Flow decking & silt MAR 2 4 2015 s boom Applicant: Kelly Myers >'r�:z_.-..... Location: 1730 Deep Hole Drive, Mattituck _ EXISTING Purpose: In place/Bulkhead recon &dock recon. Datum: Apparent Low Water KIM S.C.T.M.No. 1000-115-12-23.2 LOCUS: 40059'18" 72°30'39" DKR_SHORES INC, P.O. BOX 488 28 Oct '14 HAMPTON BAYS,N.Y. 11946 SHEET 1 OF SCALE 1 30' f _ { j kAPPR�JV��D BY t u - .�>t ' :BQARD OF I RUSTEE�`_s, TOWNF SOUTHOtflY DA5j, zD 12-77J_` s N NNN N N NN W„ CO Prop.lq return O ` N ^ ^ ^ O N U 62' ca O C.) O N N N N N N N W p '4 r IN PROP.4x 111'FIXED DOCK(Thru Flow open grate decking)N PROP.6x 20'FLOAT 2 STY RESIDENCE DECK m ^w rn rn o N N W W i O o Z a 4 0 0 'PROP.37[15 RAMP O O DRIVE �' a s r. o rn o o N � `� L O CL N N O ^ F w w N N nj N CV CL-� Prop.1 'return O J N ON V' b tp 1� o) O - N O ^ ^ ^ ^ ^ ^ ^ N N N �1 O O O APPLICANT PROPOSES TO REMOVE TIMBER BULKHEAD SECTIONS(70',TO RECONSTRUCT 52'OF BULKHEAD(IN PLACE OF EXISTING)WITH VINYL ESP 4.1;TO CONSTRUCT(2)NEW 10'VINYL RETURNS ALONG P2(to install silt boom during bulkhead - installation),TO BACKFILL AS NECESSARY WITH APPROX.50 C.Y.OF CLEAN SAND TRUCKED IN FROM AN UPLAND SOURCE. TO REMOVE EXISTING DOCK TO CONSTRUCT A NEW 4X I I V FIXED DOCK(Thru Flow open grate decking),3X 15'RAMP AND 6X 20'FLOAT SECURED WITH 10”PILINGS. AT DEEP HOLE CREEK,MATTITUCK, o TOWN OF SOUTHOLD,SUFFOLK COUNTY,NEW YORK. N N EX.DOCK Revised 3-19-15 to show Thru Flow decking & silt MAR 2 4 2015 + J boom Applicant: Kelly Myers Sit: ";'""'" Location: 1730 Deep Hole Drive, Mattituck - -� ;i �- PROPOSED Purpose: In place/Bulkhead recon &dock recon. Datum: Apparent Low Water SITE PLAN 1 S.C.T.M.No. 1000-115-12-23.2 LOCUS: 40°59'18" 72°30'39" DKR SHORES INC, P.O. BOX 488 28 Oct '14 HAMPTON BAYS,N.Y. 11946 SHEET 2 OF 4 SCALE 1 30' APPLICANT PROPOSES TO REMOVE TIMBER BULKHEAD SECTIONS ( 70', TO RECONSTRUCT 52' OF BULKHEAD (IN PLACE OF EXISTING) WITH VINYL ESP 4.1; TO CONSTRUCT(2) NEW 10' VINYL RETURNS ALONG P/L, TO BACKFILL AS NECESSARY WITH APPROX. 50 C.Y. OF CLEAN SAND TRUCKED IN FROM AN UPLAND SOURCE. (silt boom to be installed during bulkhead installation) TO REMOVE EXISTING DOCK, TO CONSTRUCT A NEW 4 X 111' 62'to Deck/Residence FIXED DOCK with Thru Flow Open Grate Decking, 3X 15'RAMP AND 6'X 20'FLOAT SECURED WITH 10"PILINGS. AT DEEP HOLE CREEK, MATTITUCK, TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK. PROP TX 15'RAMP with PROP.6'X 20'FLOAT Fk untreated GR.q� PROP. 4'X 111' FIXED DOCK(Thru Flow Open Grate Decking) decking or aluminum F CDz m m— zeasWn9� — — — — — — SHW+2.9' — — — — — — — — — — MHW AHW+2.7' —MLW-ALW 0 2 b Class"B"chocks to C 8-9"BUTT E BOTTOM -2• BOTTOM cw support float -n = 20 Ion PILINGS 2 10 x 20 8• v t seCCA cure float I I 4jz MAR 2 4 2015 Revised 3-19-15 to show Thru Flow decking & silt boom Applicant: Kelly Myers Location: 1730 Dee Hole DriveM ttituck Purpose: In place/Bulkhead recon &dock recon. Datum: Apparent Low Water S.C.T.M.No. 1000-115-12-23.2 1 LOCUS: 40059'18" 72°30'39" DKR SHORES INC, P.O. 0 48 O HAMPTON BAYS, N.Y. 11946 SHEET3 OF 4 SCALE 1 10 varies)62'TO RESIDENCIE_,A 10'NON TURF B`UFFE—RAREA NEW 2"x 12"CCA CAP NEW 2"X6"CCA FOLLOWER NON-TURF BUFFER AREA SHALL BE MAINTAINED EX. &PROP.GRADE AHW-MHW+27" �/4"HDG HARDWARE U O 10"0 CONTINUOUS LAYLOG co ALW-MLW 0 z "X 6"DROP WALE(1 ELEVATION) J WEEP HOLE IN VSP@ 9'O.C. I co 2 a U z _ _ Q — —BOTTOM � U U U w �ry z �W O a 60 � X w J 00 _ f irf i MAR 2 4 2015 " SILT BOOM TO BE INSTALLED DURING INSTALLATION Applicant: Kelly Myers Location: 1730 Deep Hole Drive, Mattituck Purpose: In place/Bulkhead recon & dock recon. Datum: Apparent Low Water Revised 3-19-15 to show Thru Flow decking & silt L C.T.M.No. 59'18" 72*3023.2 LOCUS: 40°59'18" 72°30'39" boom DKR SHORES INC, P.O. BOX 488 28 Oct '14 SCALE 3/8"= 1' HAMPTON BAYS, N.Y. 11946 SHEET4 OF 4 1 Hydrographic Survey Surveyed: 11-13-14 Amended: 11-19-14 /00 SCT# 1000-115-12-23.2 O S Situate: Mattituckde,- �/;':F4 Town: SoutholdSuffolk Datum: MLL11 ' NY 40 20 •--- .// .� '� �'� ♦o \o DEC = 8 2014 - 1 's •> ♦ ,'0 �, 61 •9 •9 •6' ♦ S ROBERT H. FOX NYS PLS# 50197k• PO Box # 366 Aquebogue \ � , :• ;Ra `�� ,1 NY 11931 1 SURVEY OF PROPERTY h SITUATE: MATTITUCK TONN: SOUTHOLD SUFFOLK COUNTY, NY w - E Ile SURVEYED: MAY 2q, 2008 UPDATE: DEC. I, 2011 S SUFFOLK COUNTY TAX # 1000 - 115 - 12 - 23.2DOUGLAS MYERS KEELY S P� 169 c 1 �p vel / lu DEC — 8 2014 40`. \\ ', \\ \ t. o, / �•\?i`/ ®®QVC ddll� OGS \ / \!�\+ P��� Q F R ��'<�� C Ely/„ /® O �jy��{{���'gyp I -` 1.tW.lhorl.ed olt<ratlon m otlalllan to o wrvay .. J + + I` n,ap Ix�In�n Iben°<d Io,W surveyor'°acol r°o ,[[[���? vlam:tan or ee<Non 1�oa.wb-awulon�.of the +;+ t• +f � ,�f 1 Nev,Ywk Stote V—tbn law,' 1. 9• 1 NOTES: \,\ t y i'�� � �ca u.uh<on'orlg roti o Noll be to be— f l9iw lonetwr aprb •� l d sent <a,eberod .1 true .'s� `. `.'• 'Gerlillcatfons Mo solea h<reon 9lynlly lhol 0.11 PIPE \ \, � ® v y was pr por<a In aeordanc ttb the PIPE FOUND �.ti 5 °P Ged<al Prn<tl<e gab�r ey,a l—1 +\ ,` llw Ibn'rorl:St Sol oltllfcot of Wall rw y +\ �� ( 2ll �Lond`_•.ry<r aa. Sold carllllcotlons 1, run only C GJ`V� to llw pc n loo M. the wr;,U Prepared, \+ AND ons, his Ixh l to the title<aika y.govmmien- + tot f g eo of',o o!:q I°etRuticn Larllilc—'a- Area = 8480 5. F. !lana aro nal t—taroble to oddlttaml m°tllolba° Area = O.Ig4-1 Acres JOHN C. E LE S LAND SURVEYOR CONTOURS REFERENCE N6VD '2q DATUM 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 GRAPHIC SGy°.LE I"= 20' RIVERHEAD,N.Y. 11901 369-8288 Fax 369-8287 REF.—C:\UsersVohn\Dropbox\08\08\08-152.pro