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Home My WebLink AboutTR-44-1-25 *OF SO!/T Michael J.Domino,President AN yOIO Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J. Sanders N Southold,New York 11971 Glenn Goldsmith 0 ® �Q Telephone(631) 765-1892 A.Nicholas Krupski l�'C®U Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1322C Date: March 24, 2017 THIS CERTIFIES that the construction of 103 11 of stone revetment against eroded bluff and backfill with 75+c.y. of clean sand to be trucked from an upland source,and removal of existing damaged deck; At 56525 C.R.48, Greenport Suffolk County Tax Map#1000-44-1-25 Conforms to the application for a Trustees Permit heretofore filed in this office Dated March 16, 1995,pursuant to which Trustees Wetland Permit#44-1-25 Dated,May 25, 1995,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The Project for which this certificate is being issued is for the construction of 1031.f. of stone revetment against eroded bluff and backfill with 75+c.,y.of clean sand to be trucked from an upland source,and removal of existing damaged deck. The certificate is issued to MARIANNE CLARKE owner of the aforesaid property. e o Authorized Signature 03/09/2017 9'37AM FAX Z0001/0002 11rR1V1C1NRADLER-. ATTORNEYS AT LAW 926 RXR PLAZA UNIONDALE. NEW YORK 11556-0926 (596) 357-3000 FAX (516) 357-3333 www_rlvkinradler.com FAX COVER MEMO TO. Diane FIRM NAME: Town of Southold FAX#: (631) 765-6641 PHONE* CITY: Southold, NY FROM: David Leno DATE: March 8, 2017 RE: Revetment Permit for 56525 County Road 48, Greenport, NY FILE 4- 999999-901 COMMENTS. Please see attached letter. 1 PAGE(S) TO FOLLOW IF THERE ARE ANY PROBLEMS CONCERNING THE TRANSMISSION OF THIS MATERIAL, PLEASE CALL: FAX DEPARTMENT: (516) 357-3392 THANK YOU. RETURN TO: Donna Cohen Room#: 1030B WWWWWWWWWWW**xx***xx*xx***xx*******s**;FiFW�W�irhWWVW*kWWY*WWdNWWW*WWF.Wr*****x********,t.****************dr*irWWWWWWWWWWuxxx*** x Confidential&Note The documents accompanying this telecopy transmission contain information which is confidential or privileged. The information is intended to be For the use of the individual or entity named on this transmission sheet. If you are not the intended recipient,be aware that any disclosure,copying,distribution or use of the contents of this telecopied information is prohibited. x March 6, 2017 Town of Southold EM EBoard of Trustees 53095 Main Road P.O. Box 1179 3 20170 Southold,New York 11971 old Town Attn: Diane Tr RE: Revetment Permit for 56525 County Road 48, Greenport,New York 11944 (SCTM 444-1-25) ("Premises") Marianne Clarke Permit Dated 5/25/95 Permit Number: 44-1-25 Dear Diane: Please note that I am the homeowner for the above-captioned Premises. When the permit was issued on May 25th, 1995, our original intention was to build a"4' X 35' fixed walk and stairway over the revetment" in connection with the construction of the revetment. Although the permit reflects that we have the ability to install the walk and stairway, the work was never performed and I have no intention to build the walk or stairway at this time. Accordingly, I would like to the have the permit amended to remove the reference to the "4' X 35' walk and a stairway over revetment" and to have the Town of Southold issue a Certificate of Compliance to close out permit. I understand that if in the future any owner of the Premises would like to install the walk or make any other modifications, they will have to obtain the proper permits for same. Thank you. Very truly yours, 4�2u�e....rr- Marianne Clarke r'�, F 1.10 04 ► ti 1' ♦y = i 41 .. 41 77T -P Jam- r .� _ r• w��. J `_•. le f '_r s I . i'• IV fto NIL al 46 P +-��.s. �..r,..' , i - i.. i i� 1. . _ c M � •' 'ti� r r�L 4. 9p A, -:'S,�. .1, r ., +► e ` " lS.� _ ` .. ! _ gib.=. ..•�. I ' P t y Vs k ' _-• . ti _ r�. ti • jr AL t`4 r ��0f SDujjsrO Town Hall Annex John M.Bredemeyer III,Presid'nc 54375 Route 25 Michael J.Domino,Vice-President P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski ® p� Telephone(631) 765-1892 Charles J.Sandersyc4UNTY, Fax(631)765-6641 � �� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD MArg DATE OF INSPECTION: 13 l— Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1 st day of construction / % constructed V Project complete, compliance,'inspection. INSPECTED BY: zs-' f-, ulki/J COMMENTS: \fJ0A\( \Wtk1w �kv v Iw ( r e W Qat CERTIFICATE OF COMPLIANCE: a- .+ �✓ MW 'Rd's , ,"W`�"`�^°!k tt � ► Ailii Board Of Southold Town Trusties > SOUTHOLD, NEW YORK 6 �'Ikk Emergency Storm Damage Permit (12/24/95) iM, PERMIT NO. ,44-1-z5 DATE: .....5/25/95- ISSUED . 5/25/95 .!$SUED TO MARIANNE CLARKE __ __ _,,, h Pursuant to the provisions of Chapter 615 of the Laws of > the State of New York, 1893; and Chapter 404 of the Laws of +he k� I� ` State of New York 1952; and the Southold Town Ordinance en- 3' +itled "REGULATING AND THE PLACING OF OBSTRUCTIONS i i IN AND ON TOWN WATERS AND PUBLIC LANDS and the k "" REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM ai LANDS' UNDER TOWN WATERS;" and in accordance with +he ;r Resolution of The Board adopted at a meeting held on 5125495...._ ` 19 .9.5-., and in consideration of the sum of $ 250 00. aid b t; P y En-Consultants In.c., ,._£or MARIANNE..CLA$,KE of f \ `lr Southold.... __.._ _.._ _. N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, x' F ai of Southold Town Trustees authorizes and permits the following: Construct 103 l.f. of stone revetment against eroded bluff -Ir� yr and backfill with 75+ c.y. of clean sand to be trucked from an 4 " upland source, construct a 4' X 35' fixed walk and a stairway �t 4 over revetment & remove existing damagged deck. L.I. Sound all in accordance with the detailed speci+ications as presented in the originating application: Y 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 the said Board as of +his date. ! Q�SUFFOG(r�oG ..: W t n, z vos = ul �Ql at " Tract. v c, Ue \ `f P+ Albert J. Krupski, President Town Hall John Holzapfel; Vice President �� 'j 53095 Main Road William G. Albertson H t ' v' a ? P.O.Box 1179 r ' Martin H. Garrell Southold, New York 11971 - - k��1 #-�;`. �^,� Peter Wenzel "' �a 'a�' �� Telephone (516) 765-1892 Fax (516) 765-1823 ,9 �h lCo BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD office Use Only X Coastal Erosion Permit Application Wetland Permit Application 4 Grandfather Permit Application Trustee Lands Permit Application Waiver TO, �F SOUTI OLD Received Applicat��"pppn: Clerical Review: (r __ Q Completed Applica Joh 3 /6 r _Incomplete 6 SEQRA Classification: e I Type II Unlist d Coordination: (date s •� et( S CAC Referral Sent: 3tr t Date of Inspection: Receipt of CAC Report: (date) Lead Agency Determination: 4 1 Technical Review: (date) k E Public Hearing: (date) I Decision: Approved (Y/N) (date) APPlication 'Fee: $ Name of Applicant Marianne Clarke u)D LP Address 911 Covert Avenue, New Hyde Park, New York 11040 Phone Number: ( 5167 488-4225 Suffolk County Tax Map Number: 1000 - 044-1-25 Property Location: 56525 North Road, Southold (provide LILCO Pole # , distance to cross streets, and location) Agent: En-Consultants Inc ( If applicable) Address : 1329 North Sea Road, Southampton, New York 11968 Phone: 516/283-6360 1 Bo^'�dl of Trustees Application"° GENERAL DATA Land Area ( in square feet) : 25 ,400± Area zoning: R-40 Previous use of property: one family dwelling Intended use of property: no change Prior permits/approvals for site improvements: 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 103± l.f . of stone revetment against eroded bank and backfill with 75± c.y. of clean sand to be trucked in from upland source. Construct a 4 ' X 35 ' fixed walk to stairway for pedestrian access over revetment. Remove existing damaged deck. See also John Schlecht and Beryl Wilcox. Bd of Trustees Application^ County of Suffolk State of New York Marianne Clarke - BEING DULY SWORN- DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE :TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S) , IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR RSPRESENTATIVES(S) , To ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE METHISDAY OF a 641 ,19- Notary P lic Notary Public. StELAINE ate of New Y No. 4865448 Comm shoed in Nassau Cou €xPires Jury 7, 1 3 AUTHORIZATION (where the applicant is not the owner) I. Marianna rlarke residing at 911 Covert Avenue, (print owner of property) (mailing address) New Hyde Park NY 11040 do hereby authorize (Agent) En-Consultants, Inc. to apply for permit(s) from the Southold Board of Town Trustees on my behalf. ✓ _-R--� �C OA .mo'''o Owner' s signature) c BOC o of Trustees Application �, COASTAL EROSION APPLICATION DATA Purposes of proposed activity: To orevent continued erosion presently causing severe scouring of owner's upland Are wetlands present within 75 feet of the proposed activity? . X No Yes Does the project involve excavation or filling? No x Yes If Yes, how much material will be excavated? 0 (cubic yards) How much material will be filled? - 7s (cubic yards) Manner in which material will be removed or deposited: Clean nand and backfill will hp trunked in and aQre d by neyloadPr. . Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) The subject parcel isoneof three adjacent lots fronting Lona Island Sound, all of which are being severely scoured by ongoing erosion. The seaward limit of the owner' s upland is characterized by a steep, eroded bank whose drop is vertical in some locations, and undermined in others, with a change in elevation of 6 ' - 71 . It is expected that the proposed revetment will dissipate wave energy currently scouring this bank and prevent its further erosion. See also Beryl Wilcox and John Schlecht 5 Board of Trustees Application WETLAND/TRUSTEE LAUDS APPLICATION DATA Purpose of the proposed operations: To prevent continued erosion presently causing severe scouring of owner' s upland Area of wetlands on lot: 0 square feet Percent coverage of lot: 0 % Closest distance between nearest existing structure and upland edge of wetlands: N/A feet Closest distance between nearest proposed structure and upland edge of wetlands: N/A feet Does the project involve eNXMX%mor fillinn ? No x Yes If yes, how much material will be excavated? N/A cubic yards How much material will be filled? 75 cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: 1:1 .5 Manner in which material will be removed or deposited: Clean sand backfill will be trucked in and s read b a loader. Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason as such proposed operations (use attachments if appropriate) : The br000sed revetment is designed to control upland erosion and will be located an averaqe of 30± ' from AHW Therefore it should have no appreciable effect on coastal waters. See also Beryl Wilcox and John Schlecht. 14.16-4(2j87)—Text tt. PROJECT I.D. NUMBER �F`" 617.21 SEAR Appendix C State Emironmentaf Duality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I—PROJECT INFORMATION (To be completed by Appticant or Project sponsor) 1. APPLICANT,SPONSOR 2. PROJECT NAME Marianne Clarke b En-Consultants Inc. 3. PROJECT LOCATION: Municipality Southold County Suffolk 4. PRECISE LOCATION(Street address and road intersections,prominent landmarks,etc„or provide map) 56525 North Road, Southold SCTM 01000-044-1-25 5. IS PROPOSED ACTION: 19.New 11 Expansion ❑Modifieationialteration 6. DESCf31EE.PROJECT BRIEFLY: SEE ATTACHED 7. AMOUNT OF LAND AFFECTED: Initially i8 acres Ultimately . 58 acres 8. WILL PROPOSEDACTIONCOMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? 11 Yes 7 No if No.describe briefly 9. WHAT IS PRESENT LANDUSE IN VICINITY OF PROJECT? Residential 0Industrial 7—'Commercial ❑Agriculture ❑ParktForestlOpen space ❑other Describe: 10. DOES ACTION INVOLVE.A PERMIT APPROVAL.OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL. STATE OR LOCAQ? X Yes ❑No It yes, list agency(s)and permit/approvais DEC, COE Letter of No Jurisdiction 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? C1 Yes `No If yes.list agency name and permitiapproval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMITIAPPROVAL REQUIRE MODIFICATION? Cl Yes IR No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Appticantisponsor name: — Date: 1Marr•h i s 1 9 5 Signature: IRE5 DENT If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment t OVER 1 A* Albert J.Ktupski,President �y Ss�OsuFFOjxCOG Town Hall John Holzapfei,Vice President ' ` 53095 Main Road William G. Albertson y ' x P.O. Box 1179 Martin H. Garrell O Southold,New York 11971 Peter WenczeI a y,�Ol �a0� Telephone(516) 765-1892 Fax(516)765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 26, 1995, En-Consultants Inc Roy ;Haje 1329 North Sea Road Southampton NY 11968 Re: MARIANNE CLARKS SCTM #44-1-25 Dear Mr. Haje, The following action was taken by the Board of Town Trustees during its regular meeting held on May 25, 1995 regarding the above matter': WHEREAS, En-Consultants Inc. , on behalfofMARIANNE CLARKE applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated March 16, 1995, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and WHEREAS, a PublicHearingwas held by the Town Trustees with respect to said application on May 25, 1995, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area,; and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standard set forth in Chapter 37-18 of the Southold Town Code, which will be listed on a separate page, and, 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 En-Consultants Inc.,, on behalf of MARIANNE CLARKE to,construct 103 l. f. of stone revetment against eroded bluff and backfill with 75+ c.y. of' clean sand to be trucked in from an upland source, construct a; 4' X 35 ' fixed walk and a' stairway over revetment and remove existing damaged deck. Located: 56525 North Road, Southold. Permit to construct project will expire two 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: required and the Trustees are to be notified upon completion of said project. FEES: None /Very truly yours',/ Albert J. rupski, Jr. President, Board of Trustees AJK/djh cc. CAC o�,,g11FFQ(,,Co Albert J. Krupski, President may. Gy Town Hall John Holzapfel, Vice President c < 53095 Main Road William G. Albertson n2., P.O. Box 1179 Martin H. Garrell Southold, New York 11971 Peter WenczeL �Ql �a� Telephone (516)765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD S.E.Q.R.A. NEGATIVE DECLARATION NOTICE OF NO SIGNIFICANT EFFECT ON THE ENVIRONMENT APPLICATION NO. 1000-44-1-25 Chapt. 97 Wetlands NAME:M. Clarke Chapt. 37 Coastal Erosion DATE: April 26, 1995 RESOLVED that pursuant to Article 8 of the Environmental Conservation - Law, State Environmental Quality Review and 6NYCRR Part 617, Section 617 . 10 and Chapter 44 of the Code of the Town of Southold, notice is hereby given that the Southold Town Trustees, as Lead - Agency for the action described below, has determined that the project will not have a significant effect on the environment. Please take further notice that this declaration should not be considered a determination made for any other department or agency which may also have,an application pending for the same or similar project. TYPE OF ACTION: Unlisted DESCRIPTION OF ACTION: Applicant requests a Wetland Permit to construct 103 1.f . of stone revetment against eroded bank and backfill with 75+ c.y. of clean sand to be trucked in from upland source. Construct a 4 ' X 35 ' fixed walk to stairway for pedestrian access over revetment and remove existing damaged deck. LOCATION: 56525 North Sea Road, Southold. SCTM #1000-44-1-25 REASONS SUPPORTING THIS DETERMINATION: 1. An on site inspection has been conducted by the Board of Trustees . 2 . An environmental assessment, submitted by the applicant and reviewed and completed by the Board of Trustees, has indicated that no significant adverse effects to the environment are likely to occur should the project be implemented as planned. CC. CAC n i C JI-,s7 R A It 7r, { _ A, F h �i•• , It Al 1 1g( r11 OD C: �d r . iz, c'n�'- I,ii ,fin' 132 k., ij 4v " �� spa S EN-CONSULTANTS, INC k B 1M N®PTH S€A ROAD i SOUTHAMPTON, NY 119M ` 516-283-6360 Meeting of 4/20/95 New Suffolk Road, New Suffolk CAC was advised .that the;application was WITHDRAWN. No recommendation. No. 1240 Moved by Stephen Angell, seconded by Allan Connell, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH STIPULATIONS of the Wetland Application of JOHN SCHLEC14T; 44-1-24 to construct 110 +/- I.f. of stone revetment against eroded bluff and backfill with 100 +/- c.y,. of clean sand to - be trucked in, from<;upland source Construct 4' x 35' fixed walk and stairway, over revetment for pedestrian access. . (See Marianne Clarke #1241 and Beryl Wilcox #1242) 56425 North Road, Southold The CAC recommends approval with the stipulation that the sand buried rocks be -:planted with beachgrass and plant any backfill with non-turf buffer. ' Vote of Council: Ayes: All Motion carried. No. 1241 Moved by Stephen :Angell, seconded by Allan Connell, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH STIPULATIONS of the 'Wetland Application of MARIANNE 'CLARKE 44-1-25 to construct 103+/- l.f._ of stone revetment against eroded bank and backfill with 75+/- c.y. of clean sand to be trucked in from upland source. Construct a 4' "x 35' fixed walk to stairway for pedestrian access over revetment: Remove existing damaged:deck. (Also see #1240 and #1241) 56525 North Road, Southold The CAC recommends approval with the stipulation that the sand' buried rocks be planted with beachgrass and plant any backfill with non-turf buffer. Vote of Council: Ayes: All Motion carried. No. 1242 Moved by Stephen Angell, seconded by Allan Connell, it was RESOLVED to recommend- to the 'Southold Town Board of Trustees APPROVAL WITH STIPULATIONS of the Wetland Application of SERYL' WILCOX 447-1-23 to construct 103+/1 l.f. of stone revetment against bluff and backfill with 100+/- c.y. of clean sand to be trucked in from upland source. Construct a 41' x 35' timber walkway to stairs for pedestrian access over revetment. (See #1240 and #1241) 56305 North Road, Southold The CAC recommends approval with the stipulation that the: sand buried rocks be planted with beachgrass and plant any backfill with;non-turf buffer. Vote of Council:' Ayes: All Motion carried. Page 2 New`York State Department of Environmental Conservation 4m . ak `k� A s�j� cko. 0 t q9S p 4 ThomasC Joding ` - W h S 6 i" SLA 64c_4 Commissioner even /6-9-L .S-3 q L�S )-yj o p o - P•cr• 15 ox ill T g, � APR Dear t . K�S',�; . 8 � 1,95 f REiLEAD AGENCY COORDINATION REQUEST / OFS011 D The purpose of this request is to determine under Article & State Environ- mental Quality Review = SEQR) of the Environmental Conservation Law and 6 NYCRR Part 617 the following: I. 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 shouid be evaluated. - Enclosed is a copy of the permit application and a completed Part l of the Environmental Assessment Form to assist you' in responding. Project Name: q,r(CLAAA e- e to r kc Pr -hc,r Project Location: ��Os� A16 Y Tv1 0 Sou` o-Pc� , XX DEC Project Number: l_v�3 - �JD�(,�100"1_6 DEC Permits: Mi-,L ld c_f QixcI5 �s- il'�L� l SEQR Classification: r ] Type I Unlisted DEC Contact Person:_ /t CN In. G_eg L No rS1 S VV_6-3SE' .2)jvisiotl bT dCt'llv�4l" � y � Irs DEC Positions fl tJ / 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 significanceis 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 (see "comments" below) . [ ] DEC wishes to assume lead agency status for this action. [ ] The proposed action has been identified by DEC as occurring wholly or partially within or substantially contiguous to a critical environmental area (CEA) that was designated by It is the position of this Department that your agency, if it has a juris- diction over the action, should assume the lead agency role based on the existence of the CEA and the fact that the anticipated impacts are primarily of local significance. [ ] Other. (See comments below) Comments (Optional ) : Response: ease respond to this request within 30 days of the date of' this letter. P- 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. �I ] ,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. Sincerely, j Enclosures cc: (see distribution list) PROJECT I.D. NUMBER 617.21.. SEQR 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. PROJECT NAME Marianne Clarke by En-Consultants Inca '3:. PROJECT LOCATION: Municipality Southold County Suffolk s. PRECISE LOCATION(Street address and road intersections,prominent landmarks,etc.,or provide mapp 56525 North Road, Southold SCTM #1000-044-1-25 5.:.:IS PROPOSED ACTION: vp . . LONew. 11 Expansion C Modificationfalteration e. DESCRIBE PROJECT-BRIEFLY: SEE ATTACHED 7, 'AMOUNT OF.LAND AFFECTED; Initially. . 58 acres Ultimately . 58 .acres B. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? FX'yes C.No ,If No,describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? L:Residential C Industrial C Commercial C Agriculture C ParkrForestlOpen space C Other Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR.FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL. STATE OR LOCAL)? 19 Yes ❑No If yes. list agency(s)and permitlapprovais COE Letter of No Jurisdiction, Southold Trustees Coastal Erosion 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? C Yes No If yes.list agency name and permittapproval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMITIAPPROVAL REQUIRE MODIFICATION? C Yes ,y No ICERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicantlsponsor name: MIria En—ConDate: March I C 1 9 5S 5 I Signature: if tfie action is in the Coastal Area, and you are a state agency,complete the Coastal Assessment Form before proceeding with this assessment OVER 1 IN 1 APPLICATIQFOR PERMIT U-S'ARMY/CORPS OF ENGINEERS APPLICATION NO. Ple'e.read ALL instructions on back before c"'Wpleting this application.Please type or print clearly in ir&Attach additional information as needed. []ARTICLE 9,TITLE 1,ARTICLE 43 6NYCRR 646(LAKE GEORGE RECREATION ZONE) - ARTICLE 15,TITLE 3(AQUATIC PESTICIDES CONTROL) []6NYCRR 327(AQUATIC VEGETATION) ❑6NYCRR 328(FISH) ❑6NYCRR 329(INSECTS) 9 OARTICLE 15,TITLE 5 6NYCRR 600(PROTECTION OF WATERS) T A OFor the construction,reconstruction,or repair of a DAM or other impoundment structure. T OF.,the disturbance of a STREAM RED OR BANKS or excavation in or fill of NAVIGABLE WATERS. 0407 WATER QUALITY CERTIFICATION E OARTICLE 15,TITLE 15 06NYCRR 601(WATER SUPPLY) 06NYCRR 602(LONG ISLAND WELL) ❑ARTICLE 15,TITLE 27 6NYCRR 666(WILD SCENIC AND RECREATIONAL RIVERS) OARTICLE 24 6NYCRR 662,663(FRESHWATER WETLANDS) ®ARTICLE 25 6NYCRR 661 ITIDAL WETLANDS) OARTICLE 34 6NYCRR 505(COASTAL EROSION) F OSECTION 10(RIVER AND HARBOR ACT OF 1899)for structures and work in navigable waters of the U.S. OCOASTAL CONSISTENCY CERTIFICATION E OSECTION 404(CLEAN WATER ACT OF 1977)for d'¢ g D poral of dredged or fill material in waters of the US. OSECTtON 103(MARINE PROTECTION,RESEARCH AND SANCTUARIES ACT) for the transportation of dredged materials for dumping into ocean waten. 1. LIST PREVIOUS PERMITIAPPLICATION NUMBERS AND DATES Of any) 2. APPLICANT IS ALAN ®Owner []Operator OLessee OMunicipalitylGovemmentalAgency .(Check as many as apply) 3. NAME OF APPLICANT(Use Full Name) Marianne Clarke MAILING ADDRESS TELEPHONE(Where can be reached during day) 91FI Covert Avenue POST OFFICE (516) 488-4225 New H de Park STATE ZIP CODE NY 11040 4. NAME OF Owner MAgentJConti ct Peron (Check one) Roy L. Hale En-Consultants Inc. MAILING ADDRESS TELEPHONE(Where can be reached during day) 1329 North Sea Road (516) 283-6360 POST OFFICE Souton STATE ZIP CODE ham tNY 11968 5: PROJECT/FACILITY LOCATION(Mark location on map,sae Number la on reverse side) County Suffolk I Townorcity Southold I Village STREET ADDRESS(If different from applicant) 56525 North Road POST OFFICE STATE ZIP CODE Southold NY 11ODE 6. NAME OF STREAM OR BODY OF WATER Long Island Sound 7. HAS WORK BEGUN ON PROJECT? If YES, attach explanation on starting work without permit, include dates. e. WILL PROJECT UTILIZE STATE LAND? 11 Yen INN, Show work on map and/or drawings. 0Yes K]No 9. PROPOSED USE: 10. PROPOSED STARTING DATE: 11. APPROXIMATE COMPLETION DATE: 12. FEE OF(NYS Permit Only) ® Private 0 Public ❑ Commercial $ ---- Enclosed 13. PROJECT DESCRIPTION: (e.g.quantity and type of material to be excavated,dredged or used for fill or rip rap,location of disposal sites;type of structure to beinstalled;height of dam; size of impoundent capacities of proposed water sources;extent of distribution system;etc.) SEE ATTACHED 14. WILL THIS PROJECTREQUIRE ADDITIONAL FEDERAL,STATE AND/OR LOCAL PERMITS? ® Yes ❑ No If yes,please list COE Letter of No Jurisdiction, Southold Trustees Coastal Erosion 15. CERTIFICATION: I hereby affirm that under penality of perjury that information provided on this form and all attachments submitted herewith is true to the best of my knowledge and belief.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the Penal Law. Further, the applicant accepts full responsibility for all damage,direct or indirect,of whatever nature,and by whomever suffered, arising out of the project described herein and agrees to indemnify and save harmless the State from suits,actions,damages and costs of every name and description resulting from said project. In addition, Federal Law, 18 U.S.C. Section 4abe or a fine of not more than 570.000 or.imprisonment for not more than five years,or both, where an applicant knowingly and willfully falsifies.cers up material fact:or knowingly makes or uses a false;fictitous or fraudulent statement. ❑I hereby authorize the agent named in Numbebmit is ication on my behalf. March 14 , 1995 President ;IGNffAUE nnL PLEASE READ ALL INSTRUCTIONS ON REVERSE SIDE PROJECT DESCRIPTION Construct 103± l.f. of stone revetment against eroded bank and backfill with 75± c.y. of clean sand to be trucked in from upland source. Construct a 4' X 35' fixed walk and stairway for pedestrian access over revetment. Remove existing damaged deck. See also John Schlecht and Beryl Wilcox. s j Y3 v r � 2 W N Z a \` 6 '. o a c s �- aQ 'v o w T4 i tj v %J4CP Ytw 31 kj aF T 0 9 c oIL t.'114 0 d 2 N� :d 1 £y � 4 0 v S3 UTH AMP y 0,N, NY ii�968 Y _ PROAOSEQ Rc'vETMENT' Fad oN LONG �atnND SovND rf T SH,e�-7" / o-Fa 3/i3/9s i w � 3 LONG �S.�JouNO / � Si TE a Al " µ HASH CK 8EAC14 `R a m ` 9 h;tl Q •� LDLONY D QON.�PpOw. �(•� a `Y` 0455- �IN 4 � rt r \P r� 2 _ O 50FF40,04 Co. RA6.6TRotj EA ROAD u ' _ 3 SOUTH w A PTOR, N f 11GO3 516-233-6330 _ - - DA_T[JM.'M51 _. . �, PuR po SE : 6Ro 5/ate/ CoNTRoc.- e 4 w� Q,� l3c CGi} TR.eR-r�r ytl Wv FF[ t_ l2a <e To_U� C)c,.42R�E�_ ` 0 h .._ jo EAST: PgsSARo Z 4 y 1 � PRO f°O SEO REVETMENT MFiFZlF1NNE �LA2KE r oN Lo�(6 /SLRNO SouKQ /V. Y. s jyE E- T-Z o f a 3/13/176- o��S�FFO(kc Albert J.Krupsld Presidento?;ay Town Hall John Holzapfel, Vice President o= 53095 Main Road William G. Albertson hz, P.O.Box 1179 Martin H. Garrell y • �� Southold,New York 11971 Peter WenczeI Telephone (516)765-1892 Fax(516)765-IM BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD LEAD AGENCY COORDINATION REQUEST TO: Whom It May Concern DATE: 3/21/95- Enclosed is a permit application and a completed part I of the Environmental Assessment Form. Southold Town Trustees are interested in your ageny's comments in acting as SEQRA Lead Agency for: , NAME. MARIANNE CLARKE ' LOCATION: 56525 North Rd. Southold TAX MAP: 1000-44-1-25 PERMIT # Pending DESCRPTN: (See attar d) PERMIT REQUIRED: TO�j WETLAND ( ) OTHER CF/yj9 SEQRA CLASSIFICAT ON: ( Type I ( } Type II ( ). UNLISTED ( ) CEA Please contact Albert J. Krupski, Trustee _ President, n(WANT) 0 days and be advised that the Southold Town Trustees (DO NOT WANT) to assume lead agency. SENT TO. DOS DEC (�DOH ( } PB ( ) ZBA ( ) BLD ( ), ACE ) CAC Please complete, detach and return this form to expedite processing. Involved Agency: Project Name: Location: SCTM: We at (Have/No) objection to Southold Town AGENCY Trustees assuming Lead Agency. Comments/Reasons: Signature of Authorized Representative. MO/ AW6 CGR t)ee- Sc7iW U 11 004 8 , 'x i6 gaps l'y. •Y E 'a i �IIIFF�a xl i r 8 I : If x i Ia - fi O g � Oz c Z i of m Z m 0 f I O i• --c.. .� era eee mox iix— _x__�_ —E __