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HomeMy WebLinkAboutTR-4483 Albert J. Krupski,President �p� OG Town Hall. John-Holzapfel,Vice President 'yam 53045 Main Road Jim: King Ca _ P.O. Box 1179 Martin H. Garrell O ye Southold,New York 11971 i Peter Wenzel �Ol O� Telephone (516)765-1892 Fax(516)765-1823 n BOARD OF TOWN TRUSTEES March 28, 1996 TOWN OF SOUTHOLD JAMES FITZGERALD I Proper-T Services P.O. Box` 617 Cutchogue; NY 11935 Re: DAVID CICHANOWICZ SCTM '*66-3-16 Dear Mr. Fitzgerald, The following action was taken by the Board of Trustees at their regular meeting of March 27, 1996: I RESOLVED that the Southold Town Board of Trustees ,grant an Amendment to Permit 4483 to move the entire structure in a northerly direction and about 241 , shorten the fixed walkway from 35 ' to 34' and shorten the ramp from 16' to 121 . i Located: 1425 Arshamomoque Ave. , Southold. it If you have any questions, please feet free to call our office. i Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/d3h CC. CAC 0 �_�_ X _1,.�i"w'4 �. i 1?'Ye'? �,s?%" ��6r iR"rT s�� t^m�"3•�" "`P�'r` . Board Of Southold Town Trustees 1, jSOUTHOLD, NEW YORK � PERMIT NO. ._q —1 Y3. DATE: ._ 61291,95. ' ISSUED TO .........DAVM...CIGHANoWIcz:._..... ... .. 4; Aut4arizut un Pursuant to the provisions of Chapter 615 of the Laws of 1 "2 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- 1 titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and they REMOVAL OF,SAND, GRAVEL OR OTHER MATERIALS FROM ' \ LANDS UNDER TOWN WATERS;" and in accordance with the Resolution of The Board adopted at a meeting held on .6/.29./.95 , �l 19 95..., and in consideration of the sum of $ 825,.00_ aid b i j s Proper-T....Services.... or. DAVID. CICHANOWT Z_..................... , - 1 of . Southold-__.... N. Y. and subject to the Terms and Conditions listed on the reverse ,side hereof, of Southold Town Trustees authorizes and permits the following: t To cotruct a 3'X35' fixed open walkway, a 3'X16' hinged ramp, and a 6'X20' float with 3- 2-pile dolphins to secure floatin 4 dock. etty's Pond all in accordance with the detailed specifications as presented in the originating application. ' V r ?1 IN WITNESS WHEREOF, The said Board of Trustees here- t, ?' by causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date., ; r pS�Fj � l' abstaine OG J f n Z p • -T f .. ; � y � H., w ............ .... . ....... . .. . .. .... F } Trustees_ �.` `k „e3"- .�. �...�,.�.�"Ew � -•,.s..,s.,n vr`?v sue'" �+T+v x �.+..:v,r ar.'� u��� �,� �� Albert J. Krupski,President hYQ �Gy Town Hall John Holza fel, Vice President P Cm '` 53095 Main Road Jim King - P.O. Box 1179 �s- Martin H. Garrell Q� Southold,New York 11971 Peter Wenzel( 0� � Telephone (516) 765-1892 Fax(516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD J,fne 6 1996 Gus C. Klavas 166-07 14th-Road Beechhurst, NY 11357 Dear Mr. Klavas, As per your letter dated May 6, 1996, the Southold Town Board of Trustees recently inspected the new dock on the west side of Petty's Pond. The day was May 15, 1996 at our regular field inspection and the tide was fortunately very low. Although I abstained on the permit application, I. was very pleased to see that the Board granted a permit for a dock in the. only location passible. At low water, the float sits on the bottom of the landward side. Its size is very modest, being only functional in its location and positioning. After inspecting the dock the Board did not see how its location or size would be improved. If you have any questions, please don't hesitate to call. Sincerely, gAlbert J. pski, Jr. President, Board of Trustees AJK/djh 166-07 14th Road Beeehhurst, NY 11357 June 24 1996 Mr. Alberti. Krupski, President Board of Trustees' Town Hall 53095 Main Road Southold, New York 11971 Dear Mr. Krupski, I wish, to inform you that I did call Mr. Peter Wenczel as you had suggested. We were not to meet, but he said he would go on site for an inspection of the docks. I am sending you photos and maps which visually show my complaint about the floating docks that were constructed. I-still feel floating docks in that area should not be allowed because they make the channel too narrow. They prohibit the property owners in that area from having a free passage for their boats. After your inspection, kindly return to me photos and maps. Sincerely, ��� Gus C. Klavas 166-07 14th Road Beechhurst, NY 11357 May 6, 1996 Mr. Albert J. Krupski May - 6 M President r Board of Trustees - Town Hall TOWN � ���� ���F Zvi 53095 Main Road Southold, New York 11971 Dear Mr. Krupski, The two ,permits that were issued for the floating docks (one recentlylconstructed and the other proposed to be constructed) in Petty's Pond, Beixedon Estates, should have been examined closer and not have been allowed. The regulations, which other property owners were required to abide by (see copy of deed) , state that a dock should not exceed five feet East of the property line. These docks, with the boats to be docked on them, will be in the channel area, interfering with the passage of boats 'owned by eight other property owners who are entitled access to the channel. I would appreciate it if you look into this matter and respond to my concerns. Sincerely, /Gus C. Klavas 'lavi e > a c � l v— Oct OW0 , �e Door o-ea&e '` rc� r Ce h �c ho'in 15900 !S wwre two I I voh � alvd ap p rove i pr t Gt, 110 �° Lv O�QS �FOL*el � Town Hall, 53095 Main Road Us' rn P.O. Box 1179 Telephone p 4 ��. Southold, New York 11971 (516)765-1801 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory-Council held March 25, 1996 the following recommendation was made: A-46 Moved by John Hagerty, seconded by Allan Connell, it was RESOLVED, to recommend to ,the Southold Town Board of I Trustees, PARTIAL APPROVAL of the Amendment to Permit request of DAVID CICHANO`WICZ 66-3-16 to amend Permit No. 4483 as follows:' (1)- Move the entire structure in a northerly direction about 24 feet. (2) Shorten the fixed walkway from 35' .to `341. (3) Shorten the ramp from 16' to 121. (4) Add a second float, 6' x 201. (5) Add a third two-pile dolphin. The Council recommends the Trustees amend ' the permit to ALLOW the structure be moved in a northerly direction about 24 feet; shorten the fixed walkway ' from 35' to 34'; and to shorten the ramp from 16' to 12'; and to ,® DENY:the request to add ;a secondr6', x 20' and'a third two-pile dolphin. 1425 Arshamomaque Avenue, Southold Vote of Council: Ayes: All Motion carried. Proper-T Permit Services POST bFFICE BOX 617,, CUTCHOGUE, NEW YORK 11935-0617 (516)734-5800 February 29,1996 n I is r F President s ms flUifl — �3JV Board of Town Trusteesn Town of Southold Town Hall, 53095 Main Road Southold, New York 11931 Re:Request for an Amendment to Permit No 4483 Dear Sir: The property owner, David Cichanowicz, wishes to amend the referenced permit as follows: 1. Move the entire structure in a northerly direction about 24 feet. 2. Shorten the fixed walkway from 35 feet to 34 feet 3. Shorten the ramp from 16 feet to 12 feet 4. Add a second float, 6 feet by 20 feet. 5. Add a third two-pile dolphin. There are two purposes for this change:to move the more visible parts of the structure toward the north property line to improve the view to the seaward, and to provide additional docking space for a larger, or additional, boat. New drawings showing the proposed amendment(s) are enclosed. If there are any questions, or if additional information is needed, please call.me. Yo_ truly, 1 j r ; es E. Fitzgeral Enclosures: Project Plan(Rev 2/16/96) Section View(Rev 2/16/96) Amendment fee($40) a subsidiary o1 THE PECONIC EASTERN CORPORATION ! Albert J. Kmpski,PresidentOGy Town Hall John Holzapfel,Vice President o 53095 Main Road. P.O.Box 1179 William G.Albertson a +- Southold,New York 11971 Martin H. Garrell • Peter Wenzel Telephone (516)765-I892 Fax(516)765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 2, 1995 David Cichanowicz P.O. Box 160 Peaonic, NY 11958 RE: SCTM #1000-66-3-16 Dear Cichanowicz: The Board reviewed the -above referenced survey dated September 13, '1995 and find that the proposed house is out of the Trustees jurisdiction.. Any landscaping done within our 75T jurisdiction would require an approval from this office. If you have any further questions, please do not hesitate to contact this office. Sit 9' JCS Albert J. Krupski, Jr. President, Board of Trustees AJK:jmd cc: Bldg. Dept. g r., Aft ar . . R ��3 F y v r sm Nz- CO co i i U3 ow "IV pp � - ��If ' gam° � k Al A - i tvew 1 Albert J. Kiupski,President �O�' OG Town Hall John Holzapfel,Vice President o 53095 Main Road William G. Albertson ceP.O. Box 1179 x Martin H. Garrell �O Southold,New York 11971 Peter Wenzel ��� a�� Telephone(516)765-1892 Fax(516)765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 30, '1995, Proper-'>T Services P.O. Box 617 Cutchogue NY 11935 Re: DAVID CICHANOWICZ SCTM #66-3-16 Dear Mr. Fitzgerald, The following action was taken by the Board of Town Trustees during its regular meeting held on June 29, 1995 regarding the above matter: WHEREAS,- Proper-T Service , on behalf of DAVID CICHANOWICZ applied to the Southold Ton Trustees for a permit under the provisions of the Wetland ordinance of the Town of Southold, application dated June 7, 1-995, and, WHEREAS, said application was referred to the Southold Town. Conservation Advisory Council for their findings and recommendations', and - WHEREAS, a Public Hearing was held by the Town Trustees with respect to said' applicatio on June 29, 1995, at which time all interested persons were gilen 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 standard set forth in Chapter 37-18 of the Southold Town Code, WHEREAS, the Board has detlrmined that the project as 'proposed w%11 not-'aff c e health safety safe and general welfare of the affect the PPeo le of the town NOW ':THEREFORE BE IT,. RESOLVED, that.the Beard of Trustees approves the application of , DAVID CICEMOWICZ to construct a 3"zrX 35' fixed open walkway, a 3' X 16'. ringed ramp and a 61 X 20' float with 3-� 2-pile dolphins to secure floating dock Permit to construct project will expire twQ_years from the date it is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. . Two: inspections are rerntired- and the Trustees are to be notified upon completion of said.project. FEES: Catwalk: 3' X 19' = 571 X $3 = $171 Kamp:: 31 X 16' = 48' X $3 = $144 Float: 6' X 20' = 1201 X $3' $360 TOTAL DUE: $675 Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/djh cc. CAC T Proper-T Permit Services POST OFFICE BOX 617 CUTCHOGUE, NEW YORK 11935-0617 (516)734-5800 September 27, 1995 President Board of Town Trustees Town of Southold Town Hall, 53095 Main Road Southold, New York 11971 Re:Fee for Approved Permit: David Cichanowicz SCTM#1000-66-3-16 Dear Sir: Enclosed is a check in the amount of$675.00, which is the amount required for the approved permit referred to above. If you will call me when the permit is ready, I will pick it up. may, es E. Fivgerall P 4 t� a subsidiary of THE PECONIC EASTERN CORPORATION w� nos go 6I 1 1 d3S SEPTEMBER 11 1995 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD,NEW YORK--1.1971 THIS IS LETTER IS WRITTEN TO STATE THAT I AM PRESENTLY CLEARING MY LOT IN BEDMDON ESTATES (TAX MAP NUMBER: 66.-3-16). I AM CLEARING LOW UNDERBRUSH AS PART OF REGULAR MAINTENANCE AND FOR VIEW. NO MAJOR.TREES OR VEGETATION WILL BE REMOVED THAT CAN CAUSE AN EROSION PROBLEM. SINCERELY, DAVID CICHANOWICZ STATE OF NEW YORK DEPARTMENT OF STATE J� 1 ;# ALSANY, NY 12231-0001 ,, � ALEXANDER F. TREADWELL SECRETARY OF STATE August 21, 1995 Mr. James Fitzgerald, Jr. Proper-T Permit Services Post Office Box 617 3 Cutchogue NY 11935 t Re: F-95-500 U.S. Army Corps of Engineers/New York { District Permit Application #10GP-95-08130 } David Cichanowicz Town of Southold, Suffolk County Dear Mr. Fitzgerald: ,qx r } The Department of State has received the information you provided on August 3, 1995 describing the above proposed project. We have been informed by the U.S. Army Corps of Engineers that your project was authorized under an existing General Permit. Therefore, no further review is required by - this Department. s. . ' appreciate e W a t; pp your referring this information to the Department of State for review. Sincerely; a William F. Barton F ; Chief, Consistency Review and Analysis Bureau Division of Coastal Resources " and Waterfront Revitalization WFB WM tb cc: COE/New York District Sophie Ettinger DEC/Region 1 Robert Greene' 'Town of Southold - Albert Krupski A VS7 RECYCLED PAPER Proper.T Permit Services POST 0010E BOX 617,, CUTCHOGUE, NEW YORK 11935-0617 (596)734'Sr' S00 August 18, 1995 r AU G 1 8 1995 president Board of Town Trustees MAIN OF SOUTHOLD Town.of Southold Town Hall, 53095.Main Road Southold, New York 11971 Re: Permit No. 4483 (David Cichanowicz) Dear Sir: Please note the attached Notice of Incomplete Application from the NYSDEC requesting in- formation concerning the designation of a lead agency and a SEQRA significance determination. I would appreciate it if you could provide this information to the DEC to the attention of Laura Scovazzo. If you have any questions, or if there is a problem, please call me. tr*a 7 es E. Fitzgerald % . i� - "" a subsidiary of THE PECONIC EASTERN CORPORATION NEW YO ?ATE DEPARTMENT OF ENVIRONMENTAL CONSERVAT 'wh, NOTICE OF III„ 'MPLEfE APPLICATION-THIS IS NOT RMIT APPLICANT:: OWNER ID NUMBER. 55891 DAVID CICHANOWICZ PO BOX 160 PECONIC, NY 11958 APPLICATION ID 1-473 6-0 11 69/0 0001-0 BATCH NUMBER 222836 PERMRS APPLIED FOR: 1 ARTICLE 25: TIDAL WETLANDS FAclLrrviPROJECT: CICHANOWICZ PROPERTY PROJECT IS LOCATED IN SOUTHOLD..IN SUFFOLK.COUNTY. ilW: ,�ctn!, �to7theStat ete, the Following Items are Required: ■ The'prroject is being reviewed pursu4 A Environmental Quality Review Act (SEOR) A designation of Lead Agency and a determination of significance for the purposes of SEOR are necessary A 6P before;your application can be considered complet ,> tea, `°'-te r vac i TLCIQiWWNOWWITAKEN UNTIL ALL OF THESE MATERIALS ARE RECEIVED CONTACT PERSON: LAURA J SCOVAZZO SIGNATURE: NYS DEPT OF ENVIRONMENTAL CONSERVATION DIVISION OF REGULATORY SERVICES- DATE: 08/14/95 REGION 1 STONY BROOK SUNY CAMPUS,.BLDG 40,ROOM 249 TELEPHONE NUMBER. 51 6-444-0365 STONY BROOK NEW YORK 117 90-23 56 .. froreir r ✓ ��F�F�GF z�F ��a New York State Department of Environmental Conservation ReanugWy lame stony X ]LT. ""*.ass#6�L,f�d Al q is Thomas riep Commissioner �s ,4�f j®hn D evhtyer no Qi p �3 q5 Mc th So r���11 I NY t �`'�] j 19 l Jnv Dear � i�rt• C60rc�(tl � (j � �' RE: LEAD AGENCY COORDINATION REQUEST...: The purpose of this request is to determine under Article 8 (,State Envaron mental Quality Review - SEQR) of the Environmental'Conserve tion Law and 6 NYCRR Part 617 the following: 1. Your agency's interest in acting as lead agency; 2. Your agency's jurisdiction in the action described below; and 3. Issues of concern which your agency believes should be evaluated. Enclosed is a-copy of the permit application and a completed Part 1 of the Environmental Assessment Form to assist you in responding. Project Name: gav-1 `' Ci 000iCZ Sirofz/4y Project Location: a5- 50VA61 DEC 'Project Number: j ug o DEC Permits:' 1a 16Y+�t5$el� a�$t®� 4[Vl reconic SEQR Classification: X11, ] Type I [ ] Unlisted c�R DEC Contact Person: La,�ArA, 5C6 `zZo r-nV dl✓li"�Ln}c,1 l s DEC -Position: [ ] < DEC has no objection to your agency or another agency assuming lead agency status for this action, but reserves the right to comment on this action if a positive determination of significance is made. -z- [ ] DEC has no objection to your agency or another agency assuming lead agency status for this action,,­but we. have the following concerns regarding this project (seer."commp`+s ";below) . [ ] DEG wj.'shes toassume 'lead;,agency status for this action. The prop6$re�d lac • has been identified by DEC as occurring wholly or partially within or-.substantially cont, uous to a critical environmental area (CEA) that was. designated by ��l� otk Cco)% FA / It is ;the position of this Department that your age cy, if it has a juris- diction over the action, should assume the lead agencyrole based on the existence ofthe CEA and the fact that the anticipated impacts are primarily of local significance. [ ] Other, (See comments below) Comments (Dptional ) : Response: , Please respond to this request within 30 days of the date of this letter. If no response is received within 30 days, we will assume that you have no objection to DEC or another agency assuming the role of lead agency, and have no comments to offer regarding the proposed action at this time. If neither your agency nor any other involved agency, including DEC, has indicated a will- ingness to serve as lead agency within 30 days of this letter: [ ] We,will petition the Commissioner of DEC to designate a lead agency for this action. We will petition the Commissioner of DEC to designate your agency as lead, presuming you have jurisdiction. Please feel free to contact this office for further information or discussion. SinceerelY-In�j I&e �aurc-, JCe7ve,--2ZtJ + Enclosures 1�; (rdk1�V1�( 1IO� cc: (see distribution list) a g 50- RA K G (wlf rGG(rt�7Cd l �(� t fllt�Gb t/+� 1 �s2C �r �i Proper-T Permit Services POST OFFICE BOX 617, CUTCHOGUE, NEW YORK 11935-0617 (516)T34-5800 June 6, 1995 President Board of Town Trustees Town:of Southold Town Hall, 5309-5 Main Road Southold,New York 11971 Re: Application for Permit on Behalf of David Cichanowicz Dear Sir: Attached are documents which have been prepared in support of the application for a permit to construct a docking facility on the property of David Cichanowicz in the Town of Southold, Suffolk County. Proper-T Permit Services represents A& Cichanowicz in this matter,and a letter of authonza- tion is part of this submission.. If there are any questions, or if additional information is needed, please call me. Yours holy, es E. Fitigeral Enclosures: Letter of Authorization Application Fee ($150) Application Form Notarized Statement of Applicant Short Environmental Assessment Form Tax Map Survey of Property Project Plan Project Site Photos a subsidiary of THE PECONIC EASTERN CORPORATION Albert J. Krupski, President � ,'* ,' � Town Hall Jchn Holzapfel, Vice President a r , .r 53095 Main Road William G. Albertson y e a P.O. Box 1179 Martin H. Garreli d "' Southold, New York 11971 Peter Wenzel Telephone (516) 765-1892 ak Fax(516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only d Coastal Erosion Permit Application Wetland Permit Application _ Grandfather Permit,Application � T 10 Trustee Lands Permit Application Waiver TOWN �F S�UTH4LD Received Applicati n: ?S' Clerical Review: G 7 PC Completed Applicatio Incomplete SEQRA Classification: Tj�e I , Type II Unlisted Coordination: (date t) CAC Referral Sent: Date of Inspection: & �/ Receipt of CAC Reports (da e) r Lead Agency Determination: Technical Review: (date) Public Hearing: (dat G . UN 7W Decision: Approved IV) ( ate) Application Fee:$ Name of Applicant David Cichanowiez Address P.Q. Box 160, Peeonic, NY 11958 Phone Number: ( ) 734-7923 Suffolk County Tax Map Number: 1000 - 1000-66-3-T6 Property Location: 1425 Arshamamoque Ave, Southold (provide LILCO Pole #, distance to cross streets, and location) Agent: Janes E. Fitzgerald, Jr. / Prover-T Permit Services (If applicable) Address: P.O.. Box 617, Cutchogue, NY 11935 Phone: 734-5800 _ I 1 ( ard of Trustees Applicati ) GENERAL DATA Land Area (in square feet) : 19,763 sq. ft. Area Zoning: R-40 Previous use of property: Private residential Intended use of property: Private residential Prior permits/approvals for site improvements: i Agency Date x No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary) : Construct fixed open walkway V x 351 , hinged ramp 3' x 161 , two floating docks eacn .6' x 201 ; instal three 2-pile dolphins to secure floating docks. C �J 2 ,b,,ard of Trustees Applicatic., WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Provide docking for boats, and access to water for private recreational purposes. Area of wetlands on lot: None square feet Percent coverage of lot: _p_ o Closest distance between nearest exi ting structure and upland edge of wetlands: N/A feet kpr©perty is not yet developed)' Closest distance between nearest proposed structure and upland edge of wetlands: feet Structure , crosses edge of wetlands. Does the project involve excavation or filling? X No Yes If yes, how much material will be excavated? N/A cubic yards How' much material will be filled? N/A cubic yards Depth of which material will be removed or deposited: N/A feet Proposed slope throughout the area of operations, N/A manner in which material will be removed or deposited: N/A Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason os such proposed operations (use attachments if appropriate) : It is expected that the project will have no significant effect on the wetlands and tidal waters of the Town. 6 14-16-4(21"-Text 12 PROJECT I.D.NUMBER - 617.21 SEAR 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 2. PROJECTNAME James E. Fitzgerald, Jr. Cichanowicz dock 3. PROJECT LOCATION: Municipality Southold .county. Suffolk 4. PRECISE LOCATION(Street address and road intersections,prominent landmarks,etc.,or provide map) 1425 Arshamomaque Ave, Southold (See attached maps) 5. IS PROPOSED ACTION: X1 New ❑Expansion ❑Modificationtalteration 6. DESCRIBE PROJECT BRIEFLY: Construct fixed open walkway 3' x 35' , hinged ramp 3' x 16% two floating docks each 60 x 201 , install three 2-pile dolphins to secure floating docks. 7. AMOUNT OF LAND AFFECTED: e$8 than 100 sq Initially acres Ultimately acres S. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? 'j]Yes ❑No If No,describe briefly 9. WrYAT IS PRESENT LAND USE IN VICINITY OF PROJECT? n Residential ❑Industrial ❑Commercial ❑Agriculture ❑Park/Forest/Open space ❑Other Describe: Medium-sized private residences. 10. .DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING,NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATE OR LOCAQ? CA Yes ❑No. if yes, list agency(s)and permitlapprovals No approvals to date. Permits: NYSDEC, USACoE, NYSDOS, Southold Trustees 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes No If yes,list agency name and permitiapproval 12. AS A RESULT q�E6 PROPOSED ACTION WILL EXISTING PERMITIAPPROVAL REQUIRE MODIFICATION? El Yes 9 No 1 CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE James E. i' z e ald, Jr./Proper-T Permit Services ..Applicant/sponsor n e: r own Cichano Date: June. 6,. 1995 Signature: (faction is in th r astal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 Post Office Box 160 Peconic, New York 11958 February 24, 1995 President Board of Town Trustees Town of Southold Town Hall, 53095 Main Road Southold, New York 11971 Bear Sir: Please be advised that I hereby designate and authorize James E. Fitzgerald, Jr. of Proper-T Permit Services to act in my behalf as my agent in the submission and processing of a perinit application for the construction of a bulkhead on my property located at 1425 Arshamomaque Avenue, Southold, and designated by Suffolk County Tax Nlap No. 1000-66-3-16, and to furnish, upon request, supplemental information in support of the application. Yours truly, David Cichanowicz STATEMENT TO THE SOUTHOLD BOARD OF TOWN TRUSTEES County of Suffolk ) State of New York) I, David Cichanowicz, being duty sworn, depose and affirm that I am the owner of the property located at 1425 Arshamomaque Avenue, Southold, New York 11971, and idemi- fied by Suffolk County Tax Map No. 1000-66-3-16, and that all work will be done in the manner set forth in the present application and as may be approved by the Southold Board of Town Trustees. I agree 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 pentut(s), if granted. I hereby authorize the Town Trustees or their agent(s) or representatives)to enter upon my property to inspect the premises in conjunction with the review of the pre- sent application. .... :.........; David Cichanowncz Swam t?.to before me this ..... ......... day of.....177 i¢ 5�' IeGl�i ........., 19. g i ........../ �� Nota c ' q( SEE,« f� Vyp ` p. d � \ Q hiyx SEE ', x, oR ~o THE SITE OF THE PROPOSED PROJECT IS CROSS—HATCHED 4 � sa. CORPS OF ENGINEERS DATA TAX NILAP Application regarding the property of PURPOSE: Construct fixed open walkway,hinged David Clchanowicz S #1000-66-3-16 ramp, and floating dock for private recreational Represented by purposes. PROPER-T PERMIT SERVICES DATUM: NEW P.O. Box 617, Cutchogue,NY 11935 IN: Petty's Pond AT: Southold James E.Fitzgerald, Jr. 516-734-5800 COUNTY: Suffolk STATE: New York June 6, 1995 ✓ NEW YORx STATE DEPARTMENT of STATE � C A�p��F STA COASTAL MANAGEMENT PROGRAM RQGRAMS r federai Consistency Assessment form AV- 3 1995 An applicant, seeking a permit, license, waiver, certification or similar L RECEIVE� which is subject to the New York State Coastal Management Program (CMP) shale of approve? from a flaeral agency' proposed activity that. will occur within ' °"'Plata this assessment form for any and/an directly affect the State's Coastal Area. This form is intended to assist an applicant in certifying that the proposed activity;is consistent with Mew York State#$ CMP as r by U.S. Department of Commerce regulations, (15 CfR '930.57). required 1t should be completed of`the time "when the federal by application is prepared. The Department of State. will use the completed form and. ucompany{ng` nformattonin its review of the applicants certification of consistency. A. APPLICANT `. { 1. Name: James E. Fitzgerald, Jr. Proper-l'• Permit Servicpes se print) 2. Address: P.O. Box 617, Cutchogue NY 11935 3. Telephone: Area Code (� ) 516-734-5�600 B. PROPOSED:ACTIVITY 1. 8rt f des ri tto. of a oa ConstructllCt I �3 ti.1C �6 Pan wo fixed open walkway 3` x, 29' , hinged ramp tf tire ' ci�i 3rig "dock. " a ree -p a o' p ins 2. Purpose of activity: Private recreation 3. Location of activity j Suffol)r Southold 1425 Arshanoataaue Ave County: City, town or Village Street or Site Description 4. Type Of federal permit/license required: COrPS of.. Engineers S. federal application number, if known: Not known at this time 6, If a state permit/license was issued or is required for the Proposed activity, identify the state ages y and 4 provide the application or permit numbeF, if known: NYSDE�, number not known at this ime C. COASTAL ASSESSMENT Check either "Yes" or "No" for each of the following questions The numbers following each question refer to the policies described in the"CMP document (see footnote on page 2) which may be affected by the proposed activity. I. Will the proposed activity result in any of the following: YES NO a, Large physical change to a site within the coastal area which will require the preparation`,of an environmental impact statement? (11, 22. 25, 32, 37, 38,'41, 43)........... X b. Physicai alteration of more than two acres of land along the shoreline, land under -water or coastal waters? (2, 11, 12. 20, 28, 35, 44)............... c. Revitalization/redevelo .............. rfr'""it"' -- X Revitalization/redevelopment of a deteriorated or underutilized waterfront site? (1). X d. Reduction of existing or potential public access to or along coastal waters? (19, 20)..'.....e. Adverse effect upon the commercial or recreational use of coastal fishresources? (9, 10;,., -- X f. 'Siting of a facility essential to the ex loratton development X P . , pment and production - resources in Coastal waters or on the Outer Continental Shelf? (29)..... ...... . X p. Siting of a facility essential to the..generation or_transmission .of energy? (27)........ . .h. Mining, excavation, or dredging activities, or the placement of dredged or fill materials , X_ in Coastal waters? (15, 35).............:..................... . i. Discharge of toxics, hazardous substances or other pollutants into coastal waters? (1S. 35;. —X j. Draining of stormwater runoff or sewer overflows into coastal waters? (33).............. ~_ X_ k. Transport, storage, treatment, or disposal of solid wastes or hazardous materials? (36, 39). : 1. Adverse effect upon land or water uses.nithin the.state's small harbors? (4)......... —� 2. Will the proposed activity affect or be located in, on, or adjacent to any Iof the following. a. State designated freshwater or tidal wetland? (44).............................. b. federally designated.flood and/or..state designated erosion hazard area? (11, 12,`17Y ....... % C. State designated significant fish and/or wildlife habitat? (7)........,, — d. State designated si�gnfffcant scenic resource or area? (24).......... -" e. State designated important agricultural lendsi 26 —L > f. Beach, dune or.barriec island? (12),., ( .................. —� g. Major ports of. Albany, buffalo, Ogdensburg, Oswego or New York? (3)........... h. State, county,"or local park? (19, 20).....'......, —� Historic resource listed on the National orState Register of Historic PTacast (23)........ i r YES NO 3. Will the proposed activity require any of the following: - ` 22 ......... ..... ... _ X a. Materfjrgnt site? (2, 2;1i ) ••••• •••`•• ••""'•""'• '••""'• — b.< Provis'ton of Ile,+ Public services or infrastructure in undeveloped or sparsely populated sections of the.coastal area? (5).... +.......... ^• ............. — --- c. Construction or reconstruction of a flood;Or„orosial ,gontrol_ structural (13 14, 16).. X d. State water quality permit or certification? (30, 38, 40)................................... — a. State air quality permit or certification? (41. 43)......................................... — ;, . Mill the proposed activity occur within and/or effect an area covered by Stab s approved local. waterfront revitalization program7. (see policies in local program document*).... __ x ADDITIONAL STEPS 1. If all of the questions in Section C ere:answered "Noe, then the applicant Or agent shall complete Section E and submit the documentation required by Section F. 2. If any of the questions in Section C are .answered t"Yet", then the applicant or agent is. advised to consult the CMP or, where appropriate, the local waterfront revitalization program documents. The proposed activity must be analyzed in more detail with respect to the applicable state or local coastal policies. In the space provided below or. on a separate page(s), the applicant or agent shell: (a). identify, by their'policy numbers, which coastal policies are affected by the activity, (b) briefly assess the effects of the activity upon the policy; and, (c) state how the activity is consistent with each policy. Following the completion of this written assessment, the applicant or agent shall complete Section E and submit the' documentation required by SectionF. E. CERTIFICATION The applicant or agent. must certify that the proposed activity It consistent with the State's CMP or the approved local waterfront revitalization .program, as appropriate. If, this certification cannot :be made, the proposed activity shall not be undertaken. If this certification can be made, complete this Section. "The proposed activity complies with New York State's approved Coastal Management program, or with the applicable approved local waterfront revitalization program, and will be conducted in a manner consistent with such program." Applicant/Agent's Name: James E. Fitzgerald, -Jr. / Proper—T Permit Services Address- P.O. Box 617 tc ogue, N 11935 Telephone: Area Coda ( ) 16-7 4-5$/. •�` ! r--•-- Applicant/Agent's signature: ' Date: ;F f I .� F. SUBMISSION REQUIREMENTS 1. The applicant or agent shell submit the folio"ing documents to the New York State Department of State, Office of Local Government Services, Coastal Management Program,-162 Washington Avenue, Albany, New York 12231. a. Original signed form. i b. Copy of the completed federal agency application. c. Other available information which would,support the certification of consistency. 2. The applicant or agent shall also submit a copy of this completed form along with his/her application to the federal agency. 3. if there are any questions regarding the submission of this form, contact the Department of State at (518) 474-3642. I es, *These state and local documents are available for inspection at the offices of many federal ie1rani nti Department ty of Environmental Conservation and Department of State regional offices, and the apPI planning agencies. Local program documents are also availabla for inspection'at the off lees' of the aRPropr#ate local government. - 2 - i FCAF Revised 8/84 t i Srandud N.Y.B.T.U.Form$002.12-71-70M—Bargain a�Sale Deed.with Covenana against Graaroc's Act 1ndrvidua1 o,Corponrion(Sia a s6 ,�"^/� gl eerj CONSULT YOUR LAWYER BEFORE SIGNING T`H`IS INSTRUMENT—THIS INSTRUMENT SHOUIp.RE USED BY LAWYERS ONLY, Es 7994 tnsa S THIS INDENTURE,made the 30th day of January nineteen hundred and BETWEEN seventy-six ARMAND C. HOVELL and LILLIAN HOVELL, his wife, residing at 6770 C.'andleWOOd Drive, Ft. Myers, Florida 33901 party of the first part,.and GUS KLAVAS and ANGELA KLAVAS, his wife, residing at 166-07 14th Road, Beechurst . Queens New York 11357 party of the second part WTIWESSETH,that the party of the first part,in consideration of Ten Dollars and other valuable consideration paid by the party of the second part,does hereby grant and release unto the party of the second part, the heirs or successors and assigns of the party of the second part forever. ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in the Town of Southold, County of Sdffolk- and; State of New York, known and designated as Lot No. 15 in Block 2: ,on, a certain map entitled "The Map of Beixedon Estates, Town of Southold, Suffolk) County, N.Y. , Property of Grace R Nickles, formerly Grace Rogers De- Beixedon, made .by Otto Van Tuyl, Licensed Surveyor" , and filed in the of€ice of the Clerk of the County of Suffolk on March 16,1946 as Map No. .. 1472. TOGETHER with the right to pass and repass over the roads, streets, and avenues shown on said map, and the right, in common with other ' owners of the lots shown on said map, to use the beaches designated an said map as Plot A and Plot B respectively, solely for recreation and not for commercial purposes. TOGETHER with a non-exclusive right to dredge (for the sole purpose of facilitating access by boat to and from Southold Bay) in Petty's L Pond on the westerly side of the line running South 22' 211 00" East and 'South 430 05"' 30" East (as indicated on said Map), to within five feet of the easterly boundary of all, lots southerly of lot 14 in Block 2 on said Map. Grace R. Nickles has reserved to'herself, ' her heirs and assigns, all the right, title and interest to the lands under water of Petty's Pond. ',,BEING AND INTENDED TO BE the same premises as was conveyed to the Party of the first part herein by Lloyd�Standley and Josephine A. Standley, by deed recorded in Liber 4473 at Page 132, and known as and by Street Number 965 Arshamomaque Avenue. There has been delivered to the party of the first part, by the parf:y 'of the second part, a Purchase money mortgage inthe sum' of $Z81000, intended to be recorded simultaneously herewith - said have been encuvary whatev past s,ranasvt uvaac vrsntrereu anyining 7 ;INDh the said premises.have been encumbered h any way whatever, except as aforesaid. he party of the first part, in compliance with Section 13 of the Lien Law covenants that.the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consid- eration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the salve first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The word "party" shall be construed as if it read"parties" whenever the sense of this indenture so requires, IN WITNESS.WHEREUF,the party of the first part has duly executed'this deed the day and year first above wratten. IN PRESENCE OF; C�C C C. o Qo Armand: 11 Lillian Hovell iY F is +�(¢ o M o GO o mm" �T to q � a o- Z I �.i y O U o 4 U W M � ? P P Bt-ID'hAH.ACES. 1--'tltfr 71D3E Ar t616r aNm Ram _ rwo=A��q�ns ewr,rx� -- at�urNS 5est[sj... W� 70• _ ALU ALL km ID'BP-C!'A_7RGrED f ZX I` hR2ox OQM'ee" Ar krJ CORPS OF ENGINEERS DATA -- SECTION VIEW — Application regarding the pprropperty of PURPOSE: Construct fixed open walkway,hinged David Cichanowicz, SCTM#1000-66-3-16 ramp,and floating dock for private recreational Represented by poses. PROPER-TPER Wr SERVICES DATUM:1-. LW P.O. Box 617,Cutchogue,NY 11935 IN:Petty's Pond AM Southold James E.Fitzgerald,Jr. 516-734-5800 COUNTY: Suffolk STATE:New York July 10, 1995 li 97f �n tab e � ''• 1K THE AREA OF THE PROPOSED EREDON PROJECT IS CIRCLED londirz9 aaex.y d SOUTHOLD GREA <, • s D O y rc. �£•"' ° y° aaT., , oq, 4 Paradise j F. 4&JC c° e ay C°fey < 3 {a • ry ° • e, H fl G NECK cfaRR aeeaN . A 7 COtlNTY PARK i N BA Y r Cedar each Pacnd CORPS OF ENGRITERS DATA VICINITY MAP Application regardi�e�pro�pperty of PURPOSE: Construct fixed open walkway,hinged Davi Cichanowicz, S1000 6-3-16 ramp,and floating dock for private recreational Representedbyy Purposes. PROPER-T PERMIT SERVSCES DATUM:MLW P.O.Box 617,Cutchogue;NY 11935 IN:Petty's Pond AT.- Southold James E. Fitzgerald,Jr. 516-734-5800 ew York June 6, 1995 COUNTY: Suffolk STATE:N g t, I S i I I' F icoo-66-3-b w%�3U�KK'erD J34-AR AMO-,Q.S1 :0:111Cr-'n. NY W91 �iHiCY HIEH ay�rrQ� i r�i QF'ERTY WNE Z77,V. OEtiwAY wv LAVER. A}fKm'. &O. .E. Yaa-�-5 tb VV atocsrc 31+;AF- 9 d�Jf I6Xawlx oa- �M+�EnY-,JWDSYaV5aETAT) :i —.---�•Fr t� � LeaIL nY IWsb 47 \ I 3- -1 $d 9e UHU=-YE_Qr U 7UX FLOAM p tt rs[sl b' , m,t" (PSbsFy wRftse a'z24' ) �IPbR•.6iTD). �-�D1.YHIIVfj / ' 1 14' °+S ,000-bb-3-q �i RTY urtE 2�.a� �t oeou �`°° A�'"sue IM1EY.MIA era�*�r<v-oas. . t 6YLn,ddN4 NE(5C�H+E � : �It_ � f I CORPS OF ENGINEERS DATA PROJECT FLAN PURPOSE: Construct fixed open walkway,hinged Application regarding the property of ramp,and floating dock for private recreational David Cichanowicz SCTM 1000-66-3-16 purposes. Represented by DATUM:NMW PROPER T PERMIT SERVICES IN:Petty's Pond AT. Southold P-O-Box 617,Cutchogue,NY 11935 James E. Fitzgerald,Jr. 516-734-5800 COUNTY: Suffolk STATE:New York Rev July 10,1995 SUFFOLK Co HflGSS ROM MAP.28 I"= 30m' POND 5-OUTHOLD �I -3P P(ro"lP145j � �� -� r ssshEhh 6•xDD'FLOAT IF-5 FLOAT ra,4 F-POD �CFrsED� 4 (�F� 1 7aatas" �1.Wi�- rn Flota — % i rovnd.r�l05 , :Sal ,mod � Landing pNWilca"��FO K=r Cr - fW` m o �� r✓ SOUTHOLD <J'Arr° ImI N �r BAY 6 ' 3 3 aa�� M � y o r 0 rn � P 4. F -r- 0 Q 17/ CC r2 m 15z- r.DATUM:PLAnI-/J.G.KD. cRo55=. ALw 1.PVRpoSE:� .....PR/VAT6DcXK 3.AGI,.TIMBEk 7o 6,'G C•A.TREATED °L APPROX #0 C.Y.c6EANSAND 7b BE'ZQUGKED . .USED195 6&grla. 4 PRLUE[T 4.041'nON:(No a)AP,5HAMONAQUE QYE. 5cTM4p /000-66-03-69 ri 6.ADMcgNT OwNERSt cH/cANowrcz 1 2),T NICKf6$ '.. .W FI° a tY' Re A 0 a QV l e'c Il <I d 09•C° hFFr� feCA'T' /1/ K Lu Al 3 V L 82g5 4 -- au _ ¢N. Az p81 W. w — --- _ �ROP05ED l(OUSEL qND E : o I�PQ`JE DX—< FM C�CE[rq KEMpt E�Z AND RSNAM� V 61ARA CROPPER ON PETIYS Pony Pip _ AT SOviNU�D 1 SUFFOLK CG. /JY SFIE�T ! OF 1 17195 STATE OF NEW YORK DEPARTMENT OF STATE ALBANY, NY 12231-0001 ALEXANDER F. TREADWELL SECRETARY OF STATE August 8, 1995 Mr. James E. Fitzgerald, Jr. Proper-T Permit Services Post Office Box 617, Cutchogue, NY 11935 Re: F-95-500 U.S. Army Corps of Engineers/New York District Permit Application David Cichanowicz Town of Southold, Suffolk County Acknowledgement of Federal Consistency Assessment Form Dear Mr. Fitzgerald:' The Department of State received your Federal Consistency Assessment Form and supporting information on August 3, 1995 and has determined that the submitted documentation is adequate to commence our review of your proposed project. We will contact you if additional information may be necessary for consistency review purposes. You and the Corps of Engineers will be notified of our decision when we have completed our review of this project for its consistency with the New York State Coastal Management Program. The Corps of Engineers cannot issue a permit for this project unless the Department of State concurs with your consistency certification. Please call Walter Meyer at (518) 474-6000 if you have any questions. Sincerely, ca d �. & William,F. Barton eg Chiefs Consistency Review and Analysis Bureau Division of Coastal Resources and Waterfront Revitalization WFB/jtb cc: COE/New York District - Sophie Ettinger NYS DEC/Region 1 Robert Greene Town of Southold - Albert Kmpski i3RELY<Lc0 PAPER ���M °Ily Apo O T c?F HEAL "EHYtCE& Isar SSNGLC FAMI Y V"LUN%2N Y p G ,frame` ks F .B.Fiat.W.9 - 95 - 0//5 y flooVIc p The dtsposot and water sup: •+fao"09 U, ^ atffds toca�tan have boon tnW.&, an8lar a Corthled by 4it Departn)"or other a9mcfas N end found to be satmwory. a. S A.Costa.P.E.,OW C)fgcs of Water aid Wastewater Man 0 Y . UnmModxed almm6a oradm m to hie SWVWa a Mdaftn of .A saodon 7me of ft mmYak sme Edoneon Uw. ' V em6oaMuddwrmbeaeirldred N tobeavoMmmy. 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J�`w'ti A ° e k" ti�4f h.ka.,: i x r lit. Y% stS k s r a T L.. It 14 +`IvAOktddVa d0 31Vt11 ow`swu quill S3li1dX3 JONO ON113ma,A NV� 3 IJNIS a `Tq •� � �y � yyyy���a �a .: C ! 1 r (I M 3 x, ,ei fin 0 A v s T }1 q 7 t :. 44.c H 53 .y ru � �. �. , ov N i �m is Mtn 7- i '�� � ;'•... UN mcn Np� rrl \ N aC 4 z \y(4 4Er > �J CO o cl- oll 00 -0 a �o ORfp �MAE T O q/C � q / ER/ / oo� om � mm a �Wy. O� e Q C-) a s $ m map �m 6 m� �2 nQ n8 Op rt~j 9;19TI8101A-7e DLC AI'Iq ICAi UMOtit NEW YORK STATE DEPARTMENT Or ENV MENIAL CONSERVATION ablo '- JOINT APPLICATION FOR PERMIT U.S.ARMY CORPS Or ENGINEERS APPLICATION NO. Please read Alt instructions on back berate complelinR(his application. Please type or brill clearly in ink.Attach additional halm mailom as needed. ❑ARIICYE 9,111LE 1,ARTICLE 43 6NYCRR 646(I.AKt GtORGL RECREATION ZONE) DARTICLE,15,TITLE 3(AQUATIC Ptsticlots CONTROL) ❑6NYCRR 327(AQUAIIC VEGt1A110N) ❑6NYCRR 328(11511) ❑6NYCRR 129(INSECIS) Ef ❑ARTICLE 15,TIttE 5 6NYCRR 600(PROTtCI ION Or WATERS) 2 A ❑tor the construction,mconartlu flan,or repair of a DAM or other hatmu icloun T structure: T []rot lire dkturiance of a STREAM RED OR BANKS at excavalran in at fill of NAVIGABIr WAtER5. E140i WATER QUALITY CT:RIIFICAIION E ❑ARTICLE is,titu 15 ❑6NYCRR 601(WAI FR SUPPLY) ❑6NYCRR 602.(JUNG ISLAND WELD ❑ARTRAt 15,TITLE 27 614YCRR 666(WILD.SCENIC AND RECREAtIONAL RIVERS) ❑ARItCtE 24 614YCRR 662,TA3(r RF5T1WATFR WF1tANU5) ❑ARTICLE 25 6NYCRR 661 (IIUA( WETLANDS) ❑ARTI(LE ;14 6NYCRR 505(COASTAL EROSION) E Ef—ItISECTION 10(RIVER ANO ttARROR ACT Or t(199)for%lactates and work in navigable waters ol.the U.S. OCOASIAL CONSISTENCY CERTIFICATION. 4 E 0SECt(ON 404(CLEAN WAItR ACT OF 1977)In,disposal of dredged or fill materiat in waters of live U.S_ ❑Stoiom lot f(MARINI PROttClION,RESFARCN ANb SANCTUARIES ACT)to,the Imnsporlation of dredged materials tot dumping into ocean waters.. 1. LIST PREVIOUS PERMIT7APPLICA11ON NUMBERS AND UM.ES(If any) None 2. APPLICANT 15 AIAN gel rryy Llltlwner t_IOpe atom ❑Lessee ❑Mwdcipai(Iy/Gavermnenlal Agency (Check as malty as apply) A. NAME OF APPLICANT(Use Fail Name) James E. Fitzgerald, Jr. / Proper-T Permit Services MAILING ADDRESS TfLEPtIONE(Where. can be reached during day) P.O. Box 617 t514 734-5800 Post OfricE StAiE ZIP CODE Cutchogue NY 11935 4. NAME OF WOwner ❑AgenUCoulact Person (Check ale) David Cichanowicz MAIIIN AUb - IEtEPiIONt(Where can be reached during day) c/o 96es E. Fitzgerald, Jr. ( )' POST OFIG STATE. ZIP CODE Cutcho ue NY 111935 5. PROItCTIFACILITY LOCATION(Mark location on map,see.Nunbet is on reverse side) Calmly Suffolk Tow„or city Soutold l Village Southold S1RtFT ADDRESS(If difletent from applicant) 1425 Arshasona ue Ave pus orfiCE STATE ZIP CODE Southold R L ,O 111971 6. NAI.�IL_CFtSj REJM6 YOUV F WAIER 7. IIAr-S1 WORK TiBEGUN ON PROJECTI If YES,allach explmaxlion an starting work without permit.Include dates. 0. Witt PROTECT Up-1710Zt SWIIIANUI Dyes IKI No show work an map mallet drawings. ` El Yes .TIJNo 9. PROPOSED USE: [rA+A-IPAVTIC fit PROPOSED STARLING DAit: If. APPROXIMATE COMPLETION DATE: 12. TEE OF INYS Permit Only) I(- ❑ Public ❑ Cammerdal 9/1/95 1 11.19/e/95 s jLone tndoscJ. 13. PROJECT DESCRIPTION: (eg.quanlily and type of"nuctial to be excavaled.dr,,JgaiI or used tot fill at rip mp,larallon of disposal s0m:(VIM of structure to be Installed;freight of dam;size of harmpndenh capacities of proposed water sources:extent of distribution snlene etc.) Construct fixed open walkway 3' at x 291 # hinged rap 3' x 161 , two floating docks each 64 x 201 ; install three 2-pile dolphins to secure floating docks. yyyy 14. WILL iNIS PROIECI REQUIRE AUUIIIONAL FEbt RAC.STATE ANDIOR LOCAL PERMIISI YJ Yes ❑ No If yes,please list: Permits required- NYSDEC, NYSDOS, USA CoE, Southold Trustees 15. CERTIF1CA11ON: f hereby affirm that nude,pevallly at pe[1my liar for ornallom Provided on this form and aB attachments submitted herewith is true to file bested my knowledge mad belles.Fars,,statements made Imre.ln am prmisha6lc as a Class A mkileammror pursuant to Section 210.4.S of five Penal Law. further, the applicant accents fail tesponsibrlity for all damage,direct or Indirect,of wlalever nzlute,and by whomever suffered.arising out of file project described hernia and agrees to indemnify and save harmless the Stale from s. actions,damages and costs of every name and description resulting from said pro)ecl In addition, tedeal law. 10 U.S.C. 5ertlon last provides lot a of m Ban st0,000 of imprisonment for nor more than five years,or both, where an anplic at kilo nRly and willfully fats s,cone als,bt cove tip,a left a ' r kno"I"'91tyAllkes or uses a false,flctilous or fraudulent statement. �I hereby, iJrgr��gent named in umber 4. ' to su ` ds tip on my 6 .tali. ee attached letter. 11 (({J� Agent 3 — TBTiXiUR. ifiLi�— EASE READ ALL LNST IONS ON htvtRSE SIDE 14.16.4(2/(17)—Text 12 PROJECT I?D.NUMBER 817.2t SEQR Appendix C Stale 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 ISPONSOR 2. PR ECT NAME James E. Fitzgerald, Jr. G� chanowicz dock 3. PROJECT LOCATION:. Menlelpauly Southold County Suffolk 4. PRECISE LOCATION(Street address and road intersections,prominent Landmarks,etc.,or provide map) 1425 Arshamomaque Ave, Southold (See attached naps) 5. IS PROPOSED ACTION: KINow El Expansion ❑Modiflcallonlatterailon 6. DESCRIBE PROJECT BRIEFLY: Construct fixed open walkway 31 x 291 , hinged ramp 3' x 161 , two floating docks each,61 x 201 ; install three 2-pile dolphins to secure floating docks . 7. .AMOUNT OF LAND AFFECTED: Less than 100 sq ft Initially acres Ultimately acres 6. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? Yea ❑No If No,describe briefly 9. W,}X1-,AT IS PRESENT LAND USE IN VICINITY OF PROJECT? U Residential ❑Industrial ❑Commerclal ❑Agriculture ❑Park/Forest/Open space ❑Other Describer Medium-sized private residences. 10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING,NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATE OR OR LOCAL)? IN Yes ❑No If yes,mat agency(s)and permit/approvals NO approvals to date. Permits: NYSDEC, USACQE, NYSDOS, Southold Trustees it. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes ®No It yes,list agency.name and permillopproval 12. AS A RESULT of PROPOSED ACTION WILL EXISTING PERMITIAPPROVAL REQUIRE MODIFICATION7 ❑Yes U No 1 CERTIFY THAT THE INFORMATION PROVIDED ABOVE Is TRUE TO THE BEST OF MY KNOWLEDGE James E. 1tzgeaald, Jr./Proper-T Permit Services •Applicanifsponsor nature: r own 1.6 �'Cichanow c Data. June 6, 1995 signalers: If the action is in thd' liastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 � r p /J a P1 pF° 4'1' V CEM f� o ytwB1Y".. t Q r 4 6 R o Eutld Y , ra i�u,a.e i s f THE AREA OF THEr,PROPOSED tK d «'""r< use i`" .u' . <O�� S EEDON PROJECT IS CIRCLED xs E 'n� r Faunders M° �6 � - Ba.xK Landing /r. ' Rp SUTHOLD �. Jock<Y Cr O � . 000 M3 < w "cis C 1 1 : \ arboia B A D NEC. Paradise R,eE �k� x {ex 7j w°na. aCn Ho�Nerk �<, 1 E W i Cnre9 � 3 t alr Ol EDA ` S CEBABBEACB' H 0 G N E C`K A ?11` rouBrr PAA1 I� B A Y <a Cedsr Beach hm-L CORPS OF ENGINEERS DATA VICINITY .MAP Application regarding the�propperiv of PURPOSE: Construct fixed open walkway,hinged David Cichanowic7, SC,1TVI#1000- 6-3-16 ramp, and floating dock for private recreational Represented by purposes. PROPER-T PERMIT SERVICES DATUM:MLW P.O. Box 617, Cutchogue,NY 11935 IN:Petty's Pond AT: Southold James E. Fitzgerald,Jr. 516-734-5800 COUNTY: Suffolk STATE:New York June 6, 1995 Ly`• 1 yT 11 ,511 wM ,rj. rw [Wel WI 4 9 - ••�' s 9 s/ 04 O ,•a` 9 to THE SITE OF THE PROPOSED PROJECT IS CROSS—HATCHED 4 � } ssx uq xow PQ'...i� CORPS OF ENGINEERS DATA TAX MAP Application regardin the property of PURPOSE: Construct fixed open walkway,lunged David Cichanowicz, S ArW,'-66-3-,6 ramp, and floating dock for private recreational Represented by purposes. PROPER-T PERMIT SERVICES DATUM: MEW P.O. Box 617, Cutchogue,NY 11935 IN: Petty s Pond AT: Southold James E.Fitzgerald,Jr. 516-734-5800 COUNTY: Suffolk STATE:New York June 6, 1995 STATE OF NEW YORK DEPARTMENT OF STATE ALBANY, NY 12231-0001 ALEXANDER F. TREADWELL SECRETARY OF STATE August 8, 1995 E lop Mr. Albert Krupski, Jr: AUG 11199,5 President Board of Town Trustees TOWN O F SOUTHOLD Town Hall P.O. Box 1179 Southold, NY 11971 Re: F-95-500 U.S. Army Corps of Engineers/New York District Permit Application David Cichanowicz Dear Mr. Krupski: Enclosed is a copy of the information submitted to the Department of State for review of the above-referenced project with respect to its consistency with the Coastal Management Program for your information and preliminary review. Please contact Walter Meyer, the DOS reviewer assigned to this project, at (518) 474-6000 to discuss your concerns, and any additional information which may be necessary to assist you in reviewing this project. Any comments you may have will assist the Department in reaching a decision as to the consistency of the proposed action with the approved NYS Coastal Management Program. Please note, however, that if we do not hear from you within 45 days of the date of this letter, we will presume that you have no objections to the proposed project. Sincerely, C William F. Barton Chief, Consistency Review and Analysis Bureau Division of Coastal Resources and Waterfront Revitalization Enclosures WFB/jtb 7 `J RECYCLED PAPER Proper-T Permit S6rifices POST OFFICE BOX 617, CUTCHOGUE NEW YORK 79935-0617 (516)734-JF800 DEPART ME':—GP STATE J*28, 1995 COASTAL PROGRAMS ff,� Zt 5 RECEIVED Consistency Coordinator Coastal Management Program Office of Local Gowrnrnent Services New York State Department of State 162 Washington Avenue Albany, New York 12231 Re- Application for Permit on Behalf of David Cichanowicz Bear Sir: Attached are documents which have been prepared in support of the application,for a permit to construct a docking facility on the property of David Cichanowicz in the Town of Southold, Suffolk County. Proper-T Permit Services represents Mr. Cichanowicz in this matter, and a letter of authoriza- tion is part of this submission.. If there are any questions,or if additional information is needed, please can me. Yours truly, �T f' `es E. Fiteralclrr. ! Enclosures: Letter of Authorization ENG Form 4345 MANY Form 201 Short Environmental Assessment Form Federal Consistency Assessment Foram vicinity Map Tax Map Survey of Property Project Plan Section view Project Site Photos a subsidiary of THE PECONIC EASTERN CORPORATION Post Office Bo-x 160 Peconic, New York 11958 February,24. 1995 Consistencv Coordinator Coastal Management Program Office of Local Govwnnn ent Services New York State Department of State 162 LYashington Avenue Albany, New York 12231 Dear Sir: Please be advised that 1 hereby designate and authorize James E. Fitzgerald, Jr. of Proper-T Permit Senices to act in my behalf as my agent in the submission and processing of a permit application for the construction of a bulkhead on my property located at 1425 Arshamomaque Avenue, Southold,"and designated by Suffolk County Tax Map No. 1000-66-3-16 and to furnish, upon request, supplemental information in support of the application. Yours truly, David Cichanowicz OputATON FOR ARTMENT OF THE ARMY PERMIT OMB APPROVAL NO. 0702-0036 (33 CFR 325) Expires 30 June 1992: Public reporting burden for this collection of information is estimated to average 6'h6urs'per response for thillmajcrily of cases,including the time for reviewing instructions,searching existing data sources,gathering and:maintaining the data needed,and completing and reviewing The collection of information. Applications for larger or more complex projects,or those in ecologically senstiye areas,will take longer Send comments regarding ibis burden estimate or any other aspect of this collection of information,including suggestions for reducing.this burden,to Washington Headquarters Services,Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway,Suite 1204,Arlington,VA 22202-4302;and to the office of information and Regulatory Affairs,Office ,of Management and Budget,Washington,DC20503. The:.Department of the Army permit program is authorized by Section 10 of the Rivers and Harbors Act of 18",Section 404 of the Glean Water Act and Section 103 of the Marine,Protection,Research and Sanctuaries.Act These laws require:permits auUorizing activifiesIn or affecting navigable waters of the United Slates,the discharge of dredged or fill material into waters of the United Slates,and the transportation of dredged material for the purpose of dumping it into ocean waters, Information provided on this form will,be used in:evaluating the appliication for a permit Information in this application is made a matter of g. public record through issuance of a public notice. Disclosure of the information requested is voluntary;however,The data requested are necessary in order to F€y} communicate with the applicant and to evaluatethe permit application. If necessary information is not provided,the permit application cannot be processed nor rang permit be issued. One set of original drawings or good reproducible copies which show the location and character of the proposed activity must be attached to this application I (see sample drawings and instructions) and be submitted to the District Engineer having.jurisdiction over the location ofthe proposed activity. An application that is not completed in full.will be returned. c 1. APPLICATION NUMBER(To he assigned by Corpst 3. NAME,ADDRESS.AND TITLE OF AUT14ORIZED AGENT James E. "Fitzgerald, Jr. PROPER-T PERMIT SERVICES P.O. Box 617 Cutchogue, NY 11935 Telephone n&during business home: 2. NAME AND ADDRESS OF APPLICANT - NC( ) 516-734-7424 (Residence) David Cichanowicz' act ) 3 - 00 (office) c/o James E. Fitzgerald, Jr. — P.O. Box 617 Statement of Authmizatiorc i hereby designate and authorize Cutchogue, NT 11.935 to act in.my Telephone no.during business hours behalf as my agent in the processing of Ibis penmit application and to furnish,upon request,supplemental information in support of the application. A/C( ) (Residence) SIGNATURE OF APPLICANT DATE AIC( ) (Office) {See attached letter. } 4. OETAILED DESCRIPTION OF PROPOSED ACMITY 4a. ACTIVITY Construct fixed open walkway 31 x 291 , Binged ramp 3' x '161 , 'two floating docks each 6 ' x 201 ;' install' three 2-pile dolphins to secure floating docks, 4b. PURPOSE Provide (access to the water from private residential property for private recreational purposes; provide docking apace for private boat. 4c. DISCHARGE OF DREDGED OR FILL MATERIAL Dredging'or filling is not proposed. ENG FORM 4345, Aug 89 EDITION OF APR 851S OBSOLETE. tPrupunenri: CECW-ON'; 5. `NALIES AND ADDRESSES OF AWOlNWPAo0tBTY OWNERS.LESSEES,ETC.,WHOSE PROPERTY ALSqAffJOINS THE WATERWAY Edward Jablonski Virginia Cropper & others 1345 Arshamomaque Ave 6200 Indian Neck Lane Southold, NY 11971 Southold, NY 11971 S.`WATERBODY AND LOCATION ON WATERBODY:WHERE.ACTIVITY EXISTS OR IS PROPOSED s On the westen shore ,of Petty's Pond, Southold, NY, 7. LOCATION ON LAND WHERE ACRVRY EXISTS OR is PROPOSED ADDRESS: 1425 Arsh"oxaque Ave Southold STREET,ROAD,ROUTE OR OTHER DESCRIPTIVE LOCATION Suffolk New York 11971 COUNTY STATE ZIP CODE LOCAL GOVERNING BODY WITH JURISDICTION OVERSRE Town of .Southold B. Is MY portion of the activity for roach angtonzatlen is sought now complete? ❑ YES ❑ NO It answer is yes"give reasons.:mortih and year the activity was completed. Indicate the existing work on the drawings. 9. List all apprdvafs or certifica lens and denials received train other federal,interstate,state or local agencies for any struclures..construction,discharges or other activities described in this appficauon. ISSUNG AGENCY TYPE APPROVAL IDENTIFICATION NO. DATE OF APPLICATION DATE OF APPROVAL DATE OF DENIAL Applications submitted to NYSDEC, NYSDOS,_USACoE. Have permit approval from Town Trustees: No.. 4483, 6/29/95 10. Application is hereby made for a pemut m pimnUsto authorize the activities described herein. I certify that i am familiar with the information contained in the application,and that to the best u1.MY knowledge and belief such information is true,complete;and accurate. 1 f f-ce illy that I.pussess the authority to undertake the proposed.activities or I am acting as the duly authorized agent of the applicant. Jrnes Fi Ygerald Jr. SIGNATURE OF APPLICANT DATE SIGNATUR AGENT —A ATE L The application must be signed by the person who desires to undertake the proposed activity(applicant)or it may be signed by a duly authorized agent if the statement in block has been rifled out and signed I O V.S.C.Section 1001 provides that Whoever,in any manna(within the jurisdiction of any department or agency of The united States knowingly and wiftfuily.falsifies,conceals,or covers up by any Vick,scheme,or device a material fact or makes any false,fictitious of fraudulent statements or representations or makes or uses any false writing w document knowing same to contain any false fictitious or fraudulem statement or entry.shali be fined not more than$10,000 or imprisoned not more than five years,or both. F SDFFLEMM TO in FORM- 45 a Complete and submit, along with materials`requsated below and executed IMG Form-4309 "Application for a DA permit". If necessary, continue item on as additi3nal sheet. Identify entry by Item number. CLMERAL 1. Period of time required to complete the proposed +cork, loth actual work time and duration of the pproject are required (i.e., three weeks of work time over a two- month xriod One week of work over a one-week period. 2. Information characteristic of neighborhood (i.e., high, medium, or low density;, residential, commercial, or industrial). Medium-density residential. 3. Types of adjacent marine structures and approximate distance from the project site. Bulkhead/dock;,approx 50' - 150' to north. Walkway, ramp, float proposed by neighbor to south; approx 75' A.. Distance tonoise sensitive areas (i.e.,, schools,_hospitals, etc). No noise—sensitive areas in the neighborhood. 5.- Types of construction equipment to be used during construction and number of each type (i.e. , buildortrs, ,trucks,: cranes, etc). ' No motorized' earth moving equipment; barge with crane and pump for setting piles . 5. Submit representative photographs, color if possible, of the project ,area. Identify pictured (i.e.,, viev from north, east, etc., time and ,date taken). Out 7. Indicate on your protect plans and on photographs of the sites) the location of any wetlands vegetation such as cordgrass, reedgrass and cattails) in the construction area. Identify photographs: as indicated in box b. S. Indicate the location of any known historical or archaeological sites) within the projec` ;limits: No known historical or archaeological sites with project limits . 9. : Submit copy of any com,leted environmental studies orreports on the proposed project. No studies or reports exist to the best, of knowledge. 10. Discuss, alternatives to the proposed project which, were investigated including aiternrtive locations, disposal areas, construction techniques etc. and why they , were rejected. No alternatives were considered, since the proposed project provides the desired access to the water in the least obtrusive manner and is of the minimum practical size to accomplish this end. RAMP FORM-201 Feb-7e Q,/ DREDGING - UPLAND DISPOSAL ' 11. snbmit specific locations and. Rhotographai..;,eolor if possible of the proposed site(+) for the locations of ared;ed"ayferial. Identify all photographs as 12. Describe the praseet land use of the disposal site(s) Questions 11 - 18 are not applicable since dredging is not proposed. 13. indicate physical nature of dredged material (is., sand, silt, clay •te). Give Fercenta;ss of the {arious fractions, if available. 14. For maintenance dredging, DA 'permits are generally issued for a 10 year period. Indicate the number of time dredging is. anticipated-over a 10 year period and the total capacity (cubic yards) of the proposed disposal site(s) which will be used to eccommodsts"the dredged material. 15. Describe method 'of dredged material containment (i.c., embankment,'bulkhead etc). DREDGING - OPEN WATER DISPOSAL 16. For maintenance dredging, DA Permits are generally issued for a In year period. Indicate the number of times dredging is anticipated over a 10 year period. 17. Submit required testing data (testing criteria will be furnished upon request). 18. Discuss alternatives to open water disposal of dredged; material and why they were rejected. MOORING FACILITIES 19. Number of water craft using the present marina facility. Are pumpout facilities available? Facility does not now exist. 20. Number and type of water craft which will utilize the proposed marine or docking facility. Will pumpout facilities be provided for? It is expected that two small pleasure boats will be docked; no ,pumpout _facilities . LAND FILL 21. Indicate type of structures to be built on the proposed fill. 21. ; Type of fill to .be used sand, stonei.rubble, earth, etc). 23. Method of fillplacement. Questions 21 - 24' are not applicable since filling is not proposed. 24. Describe'sny proposed methods for controlling turbidity during filling operation. i MANY 'FORM-201 Feb 78" (beck) July 28, 1995 Re; Application of David Cichanowicz COASTAL ASSESSMENT; Item 2A(POLICY 44): The proposed walkway will be open and supported by piles, with the decking no less than two feet above ordinary high water,three 2-pile dolphins will secure the proposed floating dock, which will consist of two joined floats. These structures will not affect or interfere with tidal flow and currents. The proposed project will have no adverse effect upon wildlife, fish,or shellfish or their habi- tats; nor will it adversely affect flood and storm control. There will be no adverse effect upon natural pollution treatment, groundwater protection, educational and scientific opportunities, or the aesthetic appeal of the area. It will provide recreational opportunities for the owner of the private land, and will not interfere with those of others. The proposed activity,therefore, is not in conflict with Policy 44. ames E. Fitzger Jr. Proper-T Perervices f 14-16-4(2JS7)—Tart tz. „. `�,✓ SEOR PROJECT Lb.NUMBER 617.21 Appetr�st„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) i. APPLICANT iSPONSOR 2' P8hanowicz. dock James E. Fitzgerald, Jr. 3. PROJECT.LOCATION: Suffolk _ManlciPanty Southold : County 4. PRECISE LOCATION(Street address and toad Intersections,prominent landmarks,etc.,or provide map) 1425 ArshamomaQue ' Ave, Southold (See attached maps) -5. IS PROPOSED ACTION: Ii1.Now 0Expansion ` ❑Modlilcationlalleration 8. DESCRIBE PROJECT BRIEFLY: Construct fixed open walkway 3' x 29' , hinged ramp 3' x 161 , two floating docks each 61 x 201 ; install three 2-pile dolphins to ,secure floating docks . 7. AMOUNT OF LAND:AFFEcT£D: Less than 00 sQ ft - initially acres Ultimately ` awes 8. WILL PROPOSED ACTION COMPLY:WITH EXISTING ZONING OR OTHER EXISTING,LAND USE RESTRICTIONS? - �Yes. .No It No,describe briefly 9. W TIS'PRESENT LAND USE IN VICINITY OF PROJECT? Residential 0Industrial ❑Commercial ' ❑Agdpulture OParkiFereaUQpen space ❑Other. Describe: Medium-sized private residences. 10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING,NOW OR ULTIMATELY.FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATE OR LOCAQ? ®Yes :. ❑No 11 yes,list agency(s)and parrot lapprovals No approvals to date. Permits: NYSDEC, USACoE, NYSDOS, Southold ;Trustees it. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?; ❑Yes - ®No 11 yes,list agency name and permlUapproval 12. AS A RESULT of PROPOSED ACTION WILL EXISTING PERMtTIAPPROVAL REQUIRE MODIFICATION? O Yes ONO I CERTIFY THAT THE INFORMATION PROVIDED ABOVE Is TRUE TO THE BEST OF MY KNOWLEDGE James E. �tz_gerald, Jr./Proper-T, Permit Services r own iSL``vv Cichano o June 6, 1995 •APPltcantlsPonsor na e: / Data: Signature: ,.1 ?�. v .rw C. itltlte action is In the'Cbastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 PART if—ENWRONMENTAL ASS SMENT (To be completed by Agency) A. DOES:ACTION EXCEED ANY I'I ESHOLD IN 6 NYCRR,PART 617.127 11 ya%coordiffeeni The review process and:use the FULL-EAF- ❑Yes : ❑No. B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART St7.67 It No,a negative declaration may superseded by another Involved agency. ❑Yes ❑No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,If legible) Cl. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns,.wild waste production of disposal, .potential for erosion,drainage.or flooding problems?Explain briefly:. C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briaily: C3. Vegetation or fauna;fish,shellfish or wildlife-species,significant:.habitats,or Threatened or andamsrad spades?Explain briefly:. C4. A community's existing plans or goals as officially adopted,or a change In use or Intensity of use of land or other natural msouroes7.Explain briefly C5. Growth,subsequent development,or related activities likely to be Induced by the proposed action?Explain briefly. C6. Long term,short term,cumulative,fir other effects not Identified in CI-05?Explain briefly.. , C7. Other Impacts(including changes In use of either quantity or type of energy)?Explain briefly_ 0.,IS:THERE,OR.IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑Yes ❑No it Yes,explain briefly. PART ill—DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect Identified above,determine whether It Is substantial,large.,Important or otherwise significant. Each effect should be assessed in connection with its.(a).setting(i.e. urban or rural);(b)probability of occurring;•(c) duration;(d): Irreversibility;(e)geographic scope;and T)magnitude.If necessary,add attachments or reference supporting materials.Ensure that explanations contain sufficient detail to show that all relevant adverse Impacts have been Identified and adequately addressed. ❑ Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF andfor prepare a positive declaration. ❑ Check this box If you have determined, based on the Information and analysis above',and any supporting documentation, that the proposed action WILL NOT result In any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: Name of Lead Agency Print or.Type Name of Responsible officer in Le-a-d Agency __TIRWVR;;ponsible Office, ice, Signature of Responsible Officer in Lead Agency Signature of Prepare,(if different from respomi6 e p icer) Date 2 { j 'PHOTO A: Looking NNW. �. along shore from site of proposed walkway. ' (6/5/95; 1145 'hrS) AK PHOTO B: Looking SSE a - :along shore from site of proposed walkway. ( 5/5/95 ; 1145 hrs ) CORPS OF ENGRgEERS DATA PROJECT SITE PHOTOS Application regarding the ropetty of PLR2POSE: Construct fixed open walkway,hinged David Cichanowicz, SC TM MM X1000-66-3-16 ramp,and floating dock for private recreational Represented by purposes. PROPER T PERMIT SERVICES DATUM: MLW F.O.Box 617,Cutchogue,NY 1 i935 IN:Petty's Pond AT: Southold lames E.Fitzgerald;Jr. 516-734-5800 COUNTY: Suffolk STATE:New York June 6, 1995 J i i d„ t- x fe 1 1 •. �. �. A r Us ? t tt ; -r3` �� � r.S$.. \ S � .�•. Ste: r r• � • s a s e •• Albert J. Krupski,President Town Hall John Holzapfel, Vice President a 1y 53095 Main Road William G. Albertson ca a P.O. Box 1179 Martin H: Ganell D s rV Southold,New York 11971 Peter Wenzel ��41 �a0� Telephone (516) 765-1892 e r Fax(516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: DAVID CICHANOWICZ , Please be advised that your application, dated 6/7/95 has bee reviewed by this Board, at the regular meeting of 6/29/95, and the following action was taken: ( XXX) Application Approved. (see below) O Application Denied. (see below) ( ) Application Tabled. (See below) If you application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees_ The fee is computed below according to the schedule of rates as set forth int he sintruction sheet. The following fee must be paid within 90 days or reapplication including fees will be necessary. COMMENTS AND REMARKS: 31 X 19' = 571 X $3 = $171 Catwalk 31 X 161 = 481 X $3 = $144 Ramp - 61 X 201 = 1201 X $3 = $360 Float TOTAL DUE: $675 COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ z"000 SIGNED: PRESIDENT, BOARD OF TRUSTEES C OF TOWN TRUSTEES 6/95 Albert J. Krupski,President ��0� PGy Town Hall John Holzapfel,Vice President o 53095 Main Road P.O.Box 1179 William G. Albertson �' nzi Southold,New York 11971 Martin H. Garrell �y O�� Telephone (516)765-189Z Peter Wenzel Fax(516)765-1823 BOARD;OF TOWN TRUSTEES TOWN OF SOUTHOLD June; 30, 1995, Proper-T Services P.O. Box 617 Cutchogue NY 11935 Re: DAVID CICHANOWICZ SCTM-#66-3-16 Dear Mr. Fitzgerald, The following action was taken by the Board of Town Trustees during its regular,meeting held on June 29, 19§5 'regarding the above matter: WHEREAS, Proper-T Services, on behalf of DAVID CICHANOWICZ applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated June 7, 1995, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and WHEREAS, a Public Hearing was held by the Tows Trustees with respect to said application on June 29, 1995, at which time all interested persons were given an opportunity to be heard, arid, WHEREAS, the Board members have personally viewed and are familiar with the premisesin 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 standard set forth in Chapter 37-18 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approves the application of DAVID CTCHANOWICZ to construct a 3 ' X 35' fixed open walkway, a 3 ' ' X 16' hinged ramp and a 6' X -20' float with 3- 2-pile dolphins to secure floating dock.. Permit to construct project will expire two years from the date it is signed. gees must be paid, if applicable, and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. FEES: Catwalk: 3' X 19' = 57' X $3 = $171 Ramp: 3 ' X 16' = 48' X $3 = $144 Float., 6' X: 20' = 120` X $3 = $360 TOTAL DUE: $675 Very truly yours, a � ,44 . g- Albert J. Krupski, Jr. President, Board of Trustees AJK/djh cc. CAC June 21, 1995 300' x 1001. New pond to be connected to old pond , (on northern edge), 20' connector, with a 40' berm in the middle as shown on submitted plans. Narrow River Road and Platt Road, Orient Vote of Council: Ayes: All Motion carried. No. 1276 Moved by Bruce Loucka, seconded by Stephen Angell, it was RESOLVED to recommend to the Southold Town Board of Trustees llv'APPROVAL , Io"Comw3T`If?I+1 of the Wetland Application of GTGI GNflWtE2.' 65-3-16 to construct a fixed open walkway 3' x 35'; hinged ramp 3' x 16'; two floating docks, each 6'" -x 20' and install three 2-pile dolphins to secure floating docks. ' The CAC recommends approval provided that application reduce the project to ''ONLY ONE 6' x M FLOAT. Also the catwalk should :be 3' wide and elevated to 3' above the grade. Vote of Council: Ayes: All Motion carried. RECOMMENDATION OF AMENDMENTS A-15 Moved by Stephen Angell, seconded by Betty Wells, it was RESOLVED to recommend to the Southold Town Board of Trustees DISAPPROVAL of the Amendment Request of RICHARD MAUTNER 53-4-12 to construct a 20' x 35' deck addition to existing home. The Council recommends disapproval of this as an amendment. The project does not amend and is out of the scope of the, permit issued. The Council recommends that the Trustees require that Mr. Mautner apply for a permit for the deck. The CAC would recommend approval for that permit. 2055 Bayshore Road, Greenport Vote of Council: Ayes: All Motion carried. Proper-T Pormit Services POST OFFICE BOX 617, CUTCHOGUE, NEW YORK 11935-061 7 (516)7,34-58OO JUN 2 9 t995 June 28, 1995 T!QWN OF S- THOL President Board of Town Trustees Town of Southold Town Hall, 53095 Main Road Southold, New York 11971 Re:Appheation for David Cichanowicz;,SCTM#1000-66-3-16 Dear Sir: As was suggested by the Board, the project has been revised so that the total area of the float(s)is 120 square feet and the project may therefore be classified as Type 11 under the Trustees'guidelines. A revised"PROJECT PLAN" drawing reflecting this change, dated 6/28,95, is enclosed and should be used to replace the drawing dated 616(95 submitted originally with the application. o rs JM,4ir. es a subsidiary of THE PECONIC EASTERN CORPORATION