HomeMy WebLinkAboutTR-4136 GFBoard Of $outhold Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO .... 4.!.36 ...............
DATE: .... ~[~9./.9~ ..........
ISSUED TO DOUGL'AS BERNARD
Authoriza io
Pursuant to the provisions of Chapter 615 of the Laws of
the State of New York, 1893; and Chapter 404 of the Laws of the
State of New York 1952; and the Southold Town Ordinance en-
titled "RESULATINC= AND THE PLACINCo OF: OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and the
REMOVAL OF SAND, ~RAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;" and in accordance with the
Resolution of The Board adopted at a meeting held on ..4.~.~.? ...............
19.....~., and in consideration of the sum of $ ........................ paid by
of ........................................................................................... N. Y. and subject to the
Terms and Conditions listed on the reverse side hereof,
of Southold Town Trustees authorizes and permits the following:
Grandfather Permit to r_eplace Within 18", 100. 1.£~ of exi,,
timber retaining..wall & .backfill with 25 c.y. of clean fill .
and replace platform & steps which extend over wall.
all in accordance with the detailed specifications as presented in
the originating application.
IN WITNESS WHEREOF, The said Board of Trustees here-
by causes its Corporate Seal to be affixed, and these presents to
be subscribed by a majority of f/l~e saM Board as of this date.
Trustees
TRUSTEES
lohn M. Bredemeyer, m, President
Hea~ P. Smith, Vice President
Albert I. Kmpski, Ir.,
lohn L. Bednoski, Ir.
1olin B. Tuthill
Telephone (516) 765-1892
Fax (516) 7~-IS23
BOARD OF TOwN TKUSTEES
TOWN OF SOUTHO]'.r)
SUPERVISOR
SCOTT L HARRIS
Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 11971
COASTAL EROSI°N MANAGEM~.NT PERMIT APPLICATION
TOWN WETLANDS PERMIT APPLICATION
TRUSTEE LANDS PERMIT APPLICATION
Office Use Only:
CoastalErosion Permit
.~pplication
Wetland Permit Applicatzon
rustee Lands Permit Application
randfather
~C0mpleted Apps. Date:' &/]~
~ariance Required,
~ Neig~ors notified Date:
SEQRA Type
%/' Coord. Review-opt.,mand.
~t. nsp. comp./date:
.SEQRA Determin./da~
Public Hearing/date:
Findings:
Permit Vote: (Y/N)
Special Conditions
(also see file)
Date Rec. by Office
Application Fee:
Application Number; SCTM #1000-81-3-7
Project Name (If any)
Date Prepared:
Applicant: EN-CONSULTANTS, INC,
Address: 1329 North Sea Road
Southampton, NY -11968
Phone (516) 283-6360
Interest: (owner, consultant,lessee,etc.) consultant
Owner of Property: DOUGLAS BARNARD
Address Paradise Point Road
Southold. NY 1197] Phone ( )
Subject Property Location: Paradise Point Road, Southold. NY
(Proviae LILCO Pole $, Distance to cross Streeus if not on
location map)
THIS IS NOT A PERMIT
Yds. to be excavated: 0 Yds. to be filled: 25
Manner in which material will be removed or deposited:
trucked in, dumped and graded
Width of canal, creek or bay fronting property: 1 mile
Depth at low tide: 0 Aver. r~se in tide: 2'-6"
Distance to nearest channel: N~A Distance project
extends beyond similar Projects in area:
Area Zoning: R, 40 Land area in acres:. 1 acre
Is privatei6r business use: e
Intended use of
Describe known p
Has :any prior license or permit been issued to erect structures,
dredge, or deposit fill on said premises: No
Has any license or permit ever been revoked or suspended by a
Governmental Agency: No
Project Description
The~project description must also include plans for reclamation
of land disturbed during construction of the principle and
accessory structures and underground structures.(i.e., pipeline
and septic system; make additional attachments if necessary).
Authorization (Where the applicant is not the owner)
I DOUGLAS BARNARD residing at Paradise Point Road, Southold,
(Pkint-owner of subject property) (Mailing address-phone)
New York 11971
do hereby authorize ~,_~,o.~ .... In- to apply for
Coastal Erosion permit(s) ffd~-~5~'So~hol~ Town Trustees
Signature
THIS IS ~.~OT A PE~!T
PROJECT DESCRIPTION
Re: DOUGLAS BARNARD
Replace (within 18") 100 1.f. of existing timber
retaining wall and backfill with 25 cy of clean fill to
be trucked in from upland source. Remove and replace
existing platform and steps which extend over wall.
County of Suffolk')
State of New York )
BEING DULY SWORN DEPOSES AND
AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ia~OVE DESCRIBED
PERMIT(S) AND THAT ALL STATEME/qTS CONTAINED HEREIN ARE TRUE TO
THE BEST OF HIS/HER K~IOWLEDGE AND BELIEF, AND THAT 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 ~NY 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 REPRESENTATIVE( s), TO ENTER ONTO MY PROPERTY
TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS
APPLI CATION.
SWORN TO BEFORE ME THIS
~{A¥ ~l. BOU§NI~fI~f
NOTARY PUBLIC, State of New Ye~k
No. 01D04901~:~1, Suffolk Coun~
Term Expi~-~ July 20, [~..~
Suggested space for location Map
THIS IS NOT'A PERMIT
,_,~ (2/ST)--Text 12
~'~OJECT i.D. NUMBER
617.21
Appendix C
State Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor)
1. APPLICANT/SPONSOR j 2. P~O,J~.C[ NAME
DOUGLAS BARNARD by En-Consultants
3. PROJECT LOCATION:
Municipality Town of Southold Count, Suffolk
4. PRECISE LOCATION (Street address end road intersections, prominent landmarks, etc., or provide map}
Paradise Point Road
Southold, NY 11971
SCTM= 1000-81-3-7
5. IS PROPOSED ACTION:
[] New [] Expansion [] Modification/alteration
6. DESCRIBE PROJECT BRIEFLY:
SEE ATTACHED
SEQR
AMOUNT OF LAND AFFEGD-U'
Initially 3/4 ' 3/4
acres Ultimately
acres
8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS?
[] No If No, describe briefly
9. WHAT IS PRESENT 1.AND USE IN VICINITY OF PROJECT?.
~-KResidential [] Industrial [] Commemial
Describe:
[] Agriculture [] Park/Forest/Open space [] Other
10. DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL.
STATE OR LOCAL)?
[~Yes [] No If yes, list agency{s) an= permit/appro, vais
DOS, COE, DEC
11. DOES ANY ASPECT OF TH E ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
[] Yes ~] No If yes, list agency name and permit/approval
12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? [] Yes ~.~ No
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Applicant/sponsor-name: DOU/~S B~N.~. by En-Consultants Date: March
Signature: ~ ~-
If the action is in the Coastal Area, and you are a state agency, complete the
18,1993
Coastal Assessment Form before proceeding with this assessment
T~ Whom it May Concern:
This is to authorize ENCONSULTANTS, INC.
of Southampton to obtain the necessary per. mits
on my behalf.
· ~las F. Barnard
Paradise Point
Southold, N.Y. 11971
P~-~,YORK STATE DEPARTMENT OF ENVIRONMENTAL CON~,VATION
F~EC PERMIT NIJMBER
1 '47'58-00757/00001-0
FACZ L I TY/PROGRAH NUMBER(S)
April ZT, 1993
IT EXPIRATION DATE(S)
December 31, 1996
LlndertheEnvJrmmentat
Conse~vatioflLaM
Modification [] PePmit to Construct D Permit to Operate
TYPE OF PERMIT · New
n Rene~a L
ArticLe 15, TitLe 5: Protection
of Waters
[] ArticLe 15, TitLe 15: Water
SuppLy
[] ArticLe 15, TitLe 15: Water
Transport
D ArticLe 15, TitLe 15: Long
IsLand WeLLs
[] ArticLe 15, TitLe 27: WiLd,
Scenic and Recreational Rivers
D Other:
ArticLe
RecLamation
D ArticLe 24:
· ArticLe 25: Tidal WetLands
6NYCRR 608: Water QuaLity [] ArticLe 27, TitLe 7; 6NYCRR ~60:
Certification SoLid Waste Management
ArticLe 19: A m~
Control ; ~ -- l ~ rtic~e 3~: Coasta~ Erosion
i agement
I;~R! ~- ~.~. ~_~ ' ~ JArticte 36: FLoodpLain
Fresh~ater~
ArticLes 1, 3, 17, 19, 27, 37;
6NYCRR 380: Radiation ControL
PERMIT ISSUED TO
DougLas Barnard
ADDRESS OF PERMITTEE
Paradise Point Rd., SouthoLd, NY 11971
TELEPHONE NUMBER
CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER
En-ConsuLtants 1329 ~orth See Rd., Southampton, NY 11968 (516) 21L~-6~
NAME AND AODRESS OF PROJECT/FACILITY
LOCATION OF PROJECT/FACLLITY
SCTM # 1000-81-3-7
COUNTY I TOWN
SuffoLk Southo[d
JWATERCOURSE J
NYTM COORDINATES
Construct 100 Linear feet of bulkhead within 18" of existing functional buLkhead. BackfiLL with 25 cubic yards of cLean
fiLL. Remove and repLace existing platform and steps. ALL work shaLL be in accordance with the attached NYSDEC
approved plan dated ~/22/93.
By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compLiance with the
ECL, aLL applicable regulations, the GeneraL Conditions specified (see page 2) and any Special Conditions included as part of
this permit.
DEPUTY CHIEF PERMIT ADMINISTILa, TOR: ADDRESS
Christine Costopoulos Bui [ding 40, SUNY
Stony Brook~ NY 11790-2356
AUTHORIZED SIGNATURE /~ DATE
~_~ (.~ April 27, 19F5
~'¥'--,',~ ~'~>,g Page l of 5
Inspect ions
1.
The permitted site or facility, including relevant records, is subject to i'n-
inspection at reasonable hours and intervals by an authorized representative of
the Department of Envirorrrental Conservation (the Departrrent) to determine
v~ether the permittee is ccrrplying with this permit and the ECL. Such represen-
tative may or:der the work suspended pursuant to ECL 71-0301 and SAPA 401 (3). A
copy of this permit, including all referenced flaps, draNings and speCial
conditions, rrust be available for inspection by the Departrrent at all tirres at
the project site. Failure to produce a copy of the permit upon request by a
Department representative is a violation of this permit.
Permit Changes and Reneaels
2. The Department reserves the right torrodify, suspend or revoke this permit when
a)
the scope of the permitted activity ~s exceeded or a violation of any
condition of the permit or provisions of the ECL and pertinent regula-
t ions i s found;
b) the permit v~es obtained by misrepresentation or failure to disclose
re Ievant facts;
c) ne~vrmterial information is discovered; or
d) envirorrrental conditions, relevant technology, or applicable la~v or
regulation have rmterial ly changed since the permit wes issued.
3. The permittee rrust sub~qit a separate written application to the Departrrent for
renewal, rrodification or transfer of this permit. Such application rrust include
any forms, fees or suppleTental information the Deparl~Tent requires. Any
reneAel, rrodification or transfer granted by the Departrmnt rrust be in writing.
4. The permittee trust sub~it a reneAai appi ication at least:
a) 180 days before expiration of permits for State Pollutant Discharge
El iminat ion System (SRDES), Hazardous V~ste IVenageTent Facilities
(WM=), rmjor Air Pollution Control (AFC) and Solid V~bste ManageTent
Facilities (8Nvl=); and
b) 30 days before expiration of all other permit types.
5. Lhless expressly provided for by the Deparlrmnt, issuance of this permit does
not rrodify, supersede or rescind any order or determination previously issued by
the Departrrent or any of the tenTs, conditions or requirements contained in such
order or determination.
Other Legal Chi igat ions of Pennittee
6. The permittee has accepted expressly, by the execution of the appl ication, the
ful I legal responsibility for all damages, direct or indirect, of v~hatever
nature and by v~crmver suffered, arising out of the project described in' this
permit and has agreed to indemify and save harmless the State frcrn-'suits,
actions, darages and costs of every nam and description resulting fr~n this
project.
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 irrpairrrent of any rightS, title, or
interest in real or personal property held or vested in a person not a party to
the permit.
8. The permittee is responsible for obtaining any other permits, approvals, lands,
easeTents andrights,of-way thatmay be required for this project.
1,4738-O0757/(:X:X:X)1-O Page 2 of 5
95-20-'~a (7/92)-- 25c .... ~
ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (Title 5), 24, 25, 34 and 6 NYCRR Part 608 (
9. That if f~ture operations by the State of New York require an al-
teration in the position of the structure 6r work herein authorized, or
if, in the opinion of the Department of Environmental Conservation
it shall cause unreasonable obstruction to the free navigation of said
waters or flood flows or endanger the health, safety or welfare of
the people of the State, or cause loss or destruction of the natura]
resources of the State. the owner may be ordered by the Department to
remove or alter the structural work, obstructions, or hazards caused
thereby without expense to the State, and if. upon the ~xpiration or
revocation of this permit, the structure, fill. excavation, or other
modification of the watercourse hereby authorized shall not be com-
pleted, the owners, shall, without expense Go the State, and to such
extent and in such time an~ manner as the Department of Environmental
Conservation may require remove all or any portion of the uncompleted
structure or fill and restore to its former condition the ~avigable
and flood capacity of the watercourse. No claim shall be made against
the State of New York on account of anv such removal or alteration
10 That the State of New York shall in no case be liable for any damage
or ·jury to the structure or work herein authorized which may be caused
by or result from future operations undertaken by the State for the
conservation or improvement of navigation, or for other purposes, and
no claim or right to compensation shall accrue from any such damage~
11 Granting of this permit does not relieve the applicant of the responsi-
bility of obtaining any other permission, consent or approval from
the U.S. Army Corps of Engineers, U.S. Coast Guard, New York State
Office of General Services or local government which mav be required.
12 All necessary precautions shall be taken to preclude contamination
of any wetland or waterway by suspended solids, sediments, fuels.
so[vents, lubricants, epoxv coatings, paints, concrete, leachate or any
other environmentally deleterious materials associated with the
project.
13. Any material dredged in the prosecution of the work herein permitted
shall be removed evenly, without leaving large refuse piles, ridges across
the bed of a waterway or floodplain or deep holes that may have a
tendency to cause damage to navigable channels or to the banks of
a waterway.
14 There shall be no unreasonable interference with navigation by the work
herein authorized.
15. If upon the expiration or revocation of this permit, the project hereby
authorized has not been completed, the applicant shall, without expense
to the State, and to such extent and in such time and manner as the
Department of Environmental Conservation may require, remove all or
any portion of the uncompleted structure or fill and restore the site
to its former condition. No claim shall be made against the State of
New York on account of any such removal or alteration.
16. If granted under 6 NYCRR Part 60& the NYS Department of Environ-
mental Conservation hereby certifies that the subject project wil not
contravene effluent limitations or other limitations or standards under
Sections 301,302, 303, 306 and 307 of the Clean Water Act of 1977
(PL 95-217) provided that all of the conditions listed herein are met.
17. All activities authorized by this permit must be in strict conformance
with the approved plans submitted by the applicant or his agent as part
of the permit application.
Such approved plans were prepared by ]~-Consu_l~taD, t$
on 3/13/93
e
e
SPECIAL CONDITIONS
Any debris or excess material from construction of this
project shall be completely removed from the adjacent area
(upland) and removed to an approved upland area for disposal.
No debris is'permitted in tidal wetlands.
Prior to the ultimate expiration of this permit the permittee
will cause all fill and exposed faces to be vegetated to
prevent erosion.
Ail fill shall consist of
asphalt, slag, flyash, broken
Equipment operation below
prohibited.
"clean" gravel and soil (not
concrete or demolition debris).
mean high water is strictly
Ail peripheral rip rap berms, cofferdams, rock revetment,
gabions, bulkhead etc. shall be completed prior to placement
of any fill material behind such structures.
Bulkhead shall be constructed within 18"
measured from face of old sheathing to
(18" maximum).
of existing structure
face of new sheathing
DEC PERMIT NUMBER
1-4738-00757/00001-0
PROGRAM!FACILITY NUMBER
3 5
Page of
95-20-6f [.7/87)--25c
Nk,~.v¢ORK STATE DEPARTMENT OF ENVIRONMENTAL CONz, ~VATION
SPECIAL CONDITIONS
For Article 25 ( TIDAL WETLANDS
ge
Ail repairs to existing structures shall be confined to
replacement of existing structural elements with no change in
design, dimension, or materials, unless specifically
authorized herein.
Beach excavation is prohibited.
Supplementary Special Conditions (A) thru (F) attached.
DEC PERMIT NUMBER
1-4738-00757/00001-0
FACILITY ID NUMBER
PROGRAM NUMBER
J Page
4 of 5
SUPPLEMENTARY SPECIAL CONDITIONS
The following conditions apply to all ~rmits:
approved plans, shall be available at the project site
whenever authorized work is in progress. The permit
sign enclosed with the permit shall be protected from
the weather and posted in a conspicuous location at the
work site until all authorized work has been completed.
The permittee shall require that any contractor,
project engineer, or other person responsible for the
overall supervision of this project reads, understands,
and complies with this permit and all its general,
special, and supplementary special conditions. Any
failure to comply precisely with all of the terms and
conditions of this permit, unless authorized in
writing, shall be treated as a violation of the
Environmental Conservation Law. If any of the permit
conditions are unclear, the permittee shall contact the
Division of Regulatory Affairs at the address on page
one or telephone (516)'751-1389.
If project design modifications become necessary after
permit issuance, the permittee shall submit the
appropriate plan changes for approval by the Regional
modifications. The permittee is advised that
substantial modification may require submission of a
new application for permit.
At least 48 hours prior to commencement of the project,
the permittee and contractor shall sign and return the
top portion of the enclosed notification form
certifying that they are fully aware of and understand
all terms and conditions of this permit. Within 30
days of completion of the permitted work, the bottom
portion of that form shall also be signed and returned,
along with photographs of th~ completed work and, if
required, a survey.
Eo
For projects involving activities to be undertaken in
phases over a period of more than one year, the
permittee shall notify the Regional Permit
Administrator in writing at least 48 hours prior to
recommencing work in subsequent years.
The granting of this permit does not relieve the
permittee of the responsibility of obtaining a grant,
easement, or other necessary approval from the Division
of Land Utilization, office of General Services, Tower
Building, Empire State Plaza, Albany, NY 12242
(516) 474-2195, which may be required for any encroacl%ment
upon State-owned lands underwater.
PE~4IT NO. 1-4738-00757/00001-0 PAGE 5 OF 5
/. ELF'E~S
£. £. t3oyb ,~
'0
EN:'CoNSULTANTs' ISCl
1329 NORTH SEA' RD,
SOUTHAMPTON N, Y.~ 11968