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HomeMy WebLinkAboutTR-3966 GF Amend TRUSTEES _ :~ SUPER¥1SO:R John M. Bredemeyer, I!L PresidenZ SCOTT L. ~ben J. ~ups~, Jr., Vice President Town Hall Henw E Smith 53095 Ma~ Road Jo~m B, ~athill R©. ~x ~t~ William O. ~nson Southold. New Telephone (516) ~65-18~ F~x [516) 765-1823 BOA~ OF TOWN- TOV~ OF'~O~WHOLD ~ay 1~ 1992 Docko= Inc. P.O. Box 421 ~ystic~ CT 06~ss Re: Katherine Dupont Weymouth SCT~%1000-7-4-5 Dear Mr~ Neilson: The following action was taken by the Board of Trustees at their regular meeting of April 30~ 1992: ~esolved that the Southold Town Board of Trustees ~mend psr~mit ~3966 to move 2-pile fender now installed as We~ aS ~ov~ng the floating dock 2 ~eet to the east, relocating th~-dock ~hed, and replacing the one crib with 2 piles for dock support~ All cther terms and conditions of the permzt are still in effect. If you have any questions~'please glve us a call. Very truly yours, President, Board of Trustees 4 ~ J~B/=m= Board Of Southold Town Trustees SOUTHOLD, NEW YORK PERMIT NO .... 396.6. ........... DATE: ..D. cc., ..~:~...,...1991 ISSUED TO ...... ~.~.t h~.i~ ~...~ ~.~ ......................................................................... Pursuant fo ~he provisions of Chapter 615 of the Laws of fha State of New York, 1893; and ~hapfer 404 of fhe Laws of State of New York 1952; and +he Soufhold Town Ordinance en- flfled "RE~ULATIN~ AND THE PLAGIN~ OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and fha REMOVAL OF S~ND, ~R~VEL OR OTHER MATERIALS FRO~ L~NDS UNDER ~'OWN W~TERS;" an~ in accordance wlfk fke Resolution o{ Tke ~oar~ a~opfe~ afa meeting he[~ on ~.~..~Z .... 19 9.~., an~ in ~ns]~eraflon o{ the sum o{ $...5~...~ pai~ ~y Terms an~ ~on~iflons l~sfe~ on fke reverse si~e kereo{, o~ Sou~hola Town Trustees authorizes an~ permlfs fke all in accordance with the detailed specifications as presented in the originating application. iN WITNESS WHEREOF, The said Board of Trustees here- by causes its Col~oorafe Seal fo be affixed, and these presents fo be subscribed by a majority of the said Board as of this dat,e. .... ""  ....................................... ~'".;;';'~;'; .................................. Docko, Inc, P.O. Box 421. Mystic. CT 06355 (203' 572-8939 Fax: (203) 572-?569 May 13,' 1992 Mr. John Bredemeyer III, President Southold Board of Trustees PO Box 1179 Southold, NY 11971 Re: Weymouth Permit a3966 Final Dock Shed Location Dear M~. Bredemeyer: Transmitted herewith is a copy of the final location plan of the dock shed at the Weymouth's dock on Fishers Island. I trust that you will find this in conformance with SCTM=1000-7-4-5; please let me know if there is need for any further discussion. Yours truly, DOCKC, INC. Keith B. Neilson, PE Enclosures cc duPont, Weymouth Chuck Hamilton, DEC File 90-08-218 TRUSTEES John M. Bredemeyer, III, President SUPERVISOR Henry P. Smith, Vice President SCOTT L. HARRIS Albert J. Kmpsld, Jr. John L. Bednoski, Jr. Town Hall John B. Tuthil] 53095 Main Road P.O. Box 1179 Telephone (516) 765-1892 BOARD OF TOWN TRUSTEES Southold, New York 11971 Fax (516) 765-1823 TOWN OF SOUTHOLD December 16, 1991 keith Neilson Docko, Inc. RD2 Box 420A Stafford St. Mystic, CT 06355 RE: Applications on Fishers Island Dear Mr. Neilson: The following action was taken by the Southold Town Board of Trustees on Thursday, December 12, 1991: RESOLVED that the $outhold Town Board of Trustees grants Grandfather approvals for the following applications: Hay Harbor Club Katharine Dupont Patterson Property Parsons Property Enclosed please find individual permits for the above mentioned properties. If you have any questions, please do not hesitate to contact this office. n~erely, John M. Bredemeyer, III President, Board of Trustees JMB: jmt Docko, Inc. P.O. Box 421. Mystic. CT 06355 f203) 572-8939 Fax: f203) 572-7569 April 24, 1992 Ms. Christine Costopoulos NYS DEC, Regulatory Affairs Building 40, SUNY Stony Brock, NY 11790-2356 Re: duPont Property, Fishers Is. Revetment Reconstruction Permit Application No. 1-4738-00426/00002 Dear Ms. Costopoulos: On behalf of our client, we request a Tidal Wetlands Permit including Water Quality Certifications, as necessary, for reconstruction of a shore protection revetment destroyed by Hurricane "BOB" and subsequent storms at the duPont property on Fishers Island, New York. We enclose the following in support of this permit application: - Four prints of application drawings titled: Project: "Revetment Reconstruction" Waterway: West Harbor Location: Fishers Island, Town of Southold Suffolk County, New York Applicant: Katharine duPont Weymouth Date: October 31, 1991, Revised April 1992 - Four copies of the DEC Joint Application, including the Short Environmental Assessment Form, SAAF, site photographs, Tax Assessor's Map and location plan. Pursuant to instructions of Mr. Thurber of your office, we have separated the revetment reconstruction from the dock word to expedite processing that application. I trust that you will find this application package c~L~lete and acceptable; please let me know if the need for further information arises. Very truly yours, Keith B. Neilson, PE Enclosures cc: duPont/Weymouth J'~m4~aggerty, CE ~0hn Bredemeyer, Town of Southold ~ ~_ ~D. ~&3L~ John Clavin, Fishers Island Harbor Mas~er -- TC~ Law/Sandy McGugan File 91-08-238 NEW YORK STATE DEPARTMENT OE E~m'~VONMENTAL CONSERVATION 1-473~]426/00002,=_, JOINT APPLICATION FOR PERMIT US.ARMY CO~S OE ~E~S ~L~C~T~ON NO ~ARTICL~ 9. TIT~ 1, ARTICE 43 6NYCRR ~ (~KE GEORGE RECREATION ZONE' ~A~TIC~ 15, TIT~ 3 ~AQUATIC PESTICIDES CONTROL) ~6NYCRR 327 ]AQUATIC V~GET~T ON) ~6NYCRR 326 [FISH) ~6NYCRR 32~[NS~CTS) ~AR~C~ 15, TITLE 15 ~6NYCRR ~ ]WATER SUPPL~ ~6NYCRR ~2 (LONG ISLAND WELL] ~5ECTION 10 rRIVER AND HARBOR ACT OF 1899) for stru~ures and work in navigable waters ~ the U.S. ~COASTAL CONSISTENCY CERTIFICATION~ U~o~ ~s. ~ine We~u~ Grey Gull P~tners~p, A-102 ~nville ~nter ( 516 ~ 788-7528 ~o~7 omc~ ~ ~ z~ cos~ DE~ 19899 ~ko, Inc., Kei~ B. Neilson, PE P.O. ~x 421 (203) 572-8939 ~o5~ o~c~ ~ 06355zm cou~ Suffolk ~ ~ o~d~ ~u~old ~ vma~e Fishers Isled ~ivate R~d Fishers Isla~ ~ 06390 West H~r OYes ~No Show work on map ~ndjor ~awinss. O~es 200 E.closed ~ Pub)it ~ Co~*rd~[ ¥~y 1992 ~e t992 shoe ~to~ec~on ~ve~ent seve~e~ ~g~ ~ ~e "~" ~s~ng o~ 550 · ~ PLEASE .AD ALL INSTRUCTIONS ON REVERSE SIO~ ~RMff ADMINISTRATOR ,'~ __ / ' / -- PROJEOT: WATEnWAY: W~T H,~o,~-- DATE: ~-~,~ ~--,~.~ APPLICANT: AGENT- SHEET DOCKO, INC. P.O. BOX421, MYSTIC, CTQ6355 203 572 8939 FAX 572 7569 M~ t~' H~ ~ ~,e+~ ~ ~- p/~ ~p~5 -~ ~OJ~CT: ,~,~ 4.~,q~ ~ ~'~ .......... ~ ~ WATERWAY: DATE: APPLICANT: DOCKO, INC. ~ B, ~7~ .~y~ ~DA~ ZO~ PROJECT: T ~- ~To~ co~o~ ' I~' PROJECT: ~~ LOCATION' ~/~ WATERWAY: ~ DATE: ~ APPLIC~T: ~/~ DOCEO, ~C, P.O. ~2L ~C. ~0~55 / L~ATIoN- E~~b) ~ ~_ ~T~ WATERWAY: IW~T AGENT ~ SHE~ ~03 5?~ 8939 F~ 57~ ~eef/o~a ~ PROJECT: ~;~ V~-7~ ~'~]'" LOCATION' ~"/'~/'{~? WATERWAY: W~$~ APPLIC~T: ~l~ A~- SHEET DOCKO, INC. PROJECT LB. 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 Applicsnt or Project sponsor) ~rs. Katharine duPont Weymouth Revetment Reconstruction Muni¢i~ity Fishers Island, Town of Southold county Suffolk The project site is in West Harbor on Fishers Island. The property is accessed by a privat~ :road (no name) ~as shown~on :the attached Tax Assessor's map. 5, IS PROPOSED ACTION: [] New [] Expansion ~ Modification/alteration 6. DESCRleE PROJECT BRIEFLY: Reconstruct a shore protection revetment severely damaged by Hurricane "ROB" conslstinc of 550 +- CY of stone and fill replacement and regrading of an area of 3,000 +- SF land-- ward of the High Tide Line but adjacent to the tidal zone. 7. AMOUNT DF LAND AFFECTED: Initiatiy 1 /10 --+ __ acres Ultimatel) N/A acres 8 WiLL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? E~Yes [] No tf Nc describe briefly 9. WHAT IS PRESENT LAND USE iN VICINITY OF PROJECT? [] Res~dentia [] Industrial [] Commerc~aI [] Agriculture [] Park/Forest/ODen space [] Other Describe: The property at the dock site and surrouding properties are characteristically single family residential. 10. DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY =EDERAL. STATE OR LOCALI? [] Yes [] No if yes, list agency(s) and perrnit/~oDrovals US Army Corps of Engineers, Nationwide General Permit, Southold Board of Trustees, Coastal Erosion and Tidal Wetlands permits. 11. DOES ANY ASPEC? OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [~ NO If yes, list agency name ana permit/apprOval The existing structures pre-exist current State and Town permit programs and were "G~andfathered, by the US Army Corps of Engineers in t968. 12. AS ~; RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? [] ~es [] No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Appucan~lsponsor name: Srs~ Katharine d~ont Weymouth . Signature: ~¢~ ~_.L~ ~.--_ ¢ ~~ ~ Date: If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 95-20-7(!0/90) New York State Department of Environmental Conservation Supplement to Application for Permit STRUCTURAL-ARCHEOLOGICAL ASSESSMENT FORM (SAAF) PART ] - APPLICANT COMPLETES Applicant Information l. Applicant Name ~trs. Katha~rine d~Pont We~n~outh 2. Applicant Address c/o Reynolds duPont, Jr. P.O. Box 365, Fishers Island, NY 06390 Project Information 3. Project/Facility Name Dock/Revetment Reconstruction 4. Project/Facility Location We~t Harbor,, Fishers Island~ NY 5. Is the proposed project adjacent to, or does it contain a building or structure listed in the State or National Register of Historic Places? Yes No x 6. Are there any buildings or structures built prior to 1940 adjacent to or within the proposed project area? Yes No x If the answer to question 5 and/or 6 is yes, provide the roi]owing information for each building and structure (use attachments if necessary}: a. name of structure b. location c. type of structure {ex: house, outbuilding, barn, bridge, dam, ruins) d. approximate age or date of construction 7. Might the proposed project have any impact (physical/visual} upon any buildings or structures listed in the State or National Register of Historic Places Lr built prior to lg40? Yes No X If yes, describe briefly (use attachments if necessary): Katharine Weymouth 91-08-238 October 30, 1991 STRUCIUP~RL-ARCNEOLOGICAL ASSESSMENT FORM (SAAF) PART 2 - DEPARTMENT OF ENVIRONMENTAL CONSERVATION (DEC) CC~PLETES Applicant/Project Information 1. Applicant Name Mrs. Katharine duPont Weymouth 2. Project/Facility Name Dcx~k/Revetraent Reconstruction 3. DEC Number Buildings and Structures 4. ~ight. the proposed project have any impact {physical/visual) ~pon ~ny buildings or structures listed in the State or National Register ot Historic Places o__r built prior to lg40? Yes No I~.yes, DEC must consult with the Office of Parks, Recreation and Historic Preservation (OPRHP}. The DEC must request a determination ofeligibility for the State Register of Historic Places and/or comments regarding project impact. Include information supplied by the applicant in response to questions 5, 6, 7 and 8 of Part 1 of this form. Archeological Sites 5. Does the proposed project area coincide with a circle, square or stippled area on OPRHP's Statewide Archeological Inventory Map? Yes No 6. Is the proposed project area outside of a circle or square, but one for which information has been provided (ex: documented reports of known sites) that suggests the area is archeologically sensitive? Yes No If yes, what is the nature and source of information? 7. Is the proposed project area apparently undisturbed? Yes No 8. Will the proposed action include a physical disturbance of the project area? Yes No 5aEnerlne Weymousn ~ 91-08-238 Odct~ber 30. 199~ ....... ± or z pages Rev. April 23, ~992 APPLICATION C~F. CKLIST NOTE: APPLICATION MUST INCLUDE: X 1. STANDARD FORMS - Appropriate Application for Permit. Short Environmental Assessment Form, Structural Assessment Form. NOTE: For all projects requiring Wild, Scenic & Recreational Rivers Permits and for commercial, industrial or multi-residential pro- jects, submit a long Environmental Assessment Form. $200 2. APPLICATION FEE: Refer to enclosed fee schedule $10.00 minimum, Check or Money Order payable to NYS DEC. You will be notified of additional fees, if any. X 3. Authorization letter from the owner where the applicant is not the owner. See Joint Application Form X 4. Staking and labeling of the seaward/wetland side of the proposed structdre or fill area. × 5. Photographs of the staked project area mounted on a separate and labeled page. X 6. County~Tax Map Numbers: Photo of Tax Bill will suffice. Suffolk: Dist. Sect. Blk. Lot Nassau: Sect. .Blk. Subblock Lot X 7. Project Plans (four copies) - Plans must clearly show the pro- posed ~roject and include all appropriate dimensions, elevations and must be at a scale of 1" to 100' or larger. X 8. Address of project location (if vacant land; telephone pole # or other ~dentifying landmark). M~NIMUM PI_4%N REQUIRF~NIENTS (FOUR COPIES REQUIRED) PROJECT: Alterations and/or Extensions 1, 3, 5, 6, 7, & 8 New House Construction 1, 3, 5, 6, 7, & 8 Accessory Structures 1, 3, 5, & 6 Repairs to Existing Structures 2, 3, & 4 Dredging 2, 3, 4, 5, & 6 * Catwalks and Docks 2, 3, 4, & 5 SUbdivisions 1, 2, 3, 5, & 6 Bulkheads 1, 2, 3, 4, 5, 6, 9, & 10 Groins and Jetties 2, 3, 4, 5, 9, & 10 Filling 1, 4, 5, & 6 KEY: 1. Stamped Sealed Survey *2. Plot Plan *3. Location Map ,4. Sectional View ,5. Wetland Line or Mean High Water, as appropriate 6. Fill and Clearcut Area 7. Sanitary System Location 8. Test Hole and Data 9. Profile View 10. Distances from fixed structures NOTE: IF YOU WISH CONFIRMATION OF RECEIPT OF YOUR APPLICATION, PLEASE SUBMIT A SELF-ADDRESSED, STAMPED POSTCARD. NOTE: THE PERMIT PROCESS TAKES AT LEAST EIGHT (8) WEEKS. Docko, Inc. P.O. Box 421 Mystic CT 06355 203~ 572-8939 Fax: {203) 572-7569 April 23, 1992 Mr. John Bredemeyer, President Southold Board of Trustees PO Box 728 Southold, NY 11971 Re: dtLPont Property, Fishers Island Dock PermitModification Dear Mr. Bredemeyer: The reconstruction of the fixed wood dock at the property of Ms. Katharine duPont Weymouth in West Harbor on Fishers Island is just about complete. This past week we were asked to move a 2-pile fender now installed at the location shown on the attached plans as well as moving the floating dock 2 feet east, relocating the dock shed, and replacing the one crib witk 2 piles for dock ~uppor~. Ms. Thorpe of your office advised m~ that a permit modiffcation would be required, accordingly, I hereby request this modification on behalf of Ms. Weymouth. Attached is a check in the amount of $35. I trust that you will find this request acceptable; please let me know if the need for more information arises. Yours truly, Keith B. Neilson, PE TOWN OF SOUTltOLD Southold, N. Y. 11971 - - B~OARD OF TO~ TRUSTEES Docko, Inc. P.O. Box 421 Mysbc. CT 06355 f203~ 572-8939 Fax: ¢203~ 572-7569 December 21, 1991 Ms. Jill Thorpe Southold Board of Trustees P.O. Box 728 Southold, R~f 11971 Re: Permit No. 3966 du-~ontDockReconstruction Transmitted herewith, for your record, is a copy of the dul°ont's permit for dock reconstruction which I modified pursuant to our conversation last week. Your assistance, as always, is apprciated. Yours truly, DOCK©, INC. Keith B. Neilson, PE Docko, Inc, Stafford St,, Mystic, CT 06355 f203~ 572-8939 I O ,N ~O Box 728 Southold, NY 11971 Re: duPont Property, Fishers Island Dock Reconstruction Permit Dear Mr. Bredemsyer: On behalf of our client, we request a "Grandfather" Permit for the reconstruction of an existing fixed w~od dock and ssone reve~uent, damaged by 8urricane "BOB", on the duPont property on Fishers Island. We enclose the following doc~uents in support of this permit application: - Two prints of application drawings titled: "Dock/Revetment Reconstruction" In: West Harbor At: Fishers Island, Town of Southold Suffolk County, New York Applicant: Katharine duPont Weymouth Date: October 31, 1991 - Two copies of the Southold Board of Trustees "Grandfather" application, Corps and DEC applications, Tax Assessor's Map and location nk~po I trust that you will find this application package complete and acceptable; please let me know if the need for information more arises. Yours truly, Docko, Inc. Keith B. Neilson, PE Enclosures cc duPont/~eymouth Ji~ Haggerty, CE Christine Costopoulos, DEC John Clavin, Fishers Island Harbor Master File 91-08-238 TRUSTEES SCOTr L. HARRIS John M. Bredemeyer, III, President Supervisor Henry P. Smith, Vice President Town Hall, 53095 Main Road Albert J. Kxupski, Jr. P.O. Box 1179 John L. Bednoski, Jr. Southold, New York 11971 JoIm B. Tuthill BOARD OF TOWN TRUSTEES _F~65-1823 Telephone (516) 765-1892 TOWN OF SOUTHOLD ~765-1800 ~RAI~DFAT~ER A~PLICATION 1. Name oi Applicant: Katharine duPont Weymouth 2. Mailing address: Grey Gull Partnership, c/o Reynolds duPont P.O. Box 365, Fishers Island, NY 06390 Tel. No: 516-788-7528 3. Address of Property: The property is located on a private road which r~ns to Clay Point on West Harbor, Fishers Island 4. Tax Map Number: 1000- 007-4-5 Approx.yr.of construct:1950's orig. 5. Prior owner if known: 6. Diagram of existing structures, including all dimensions, must be included with this application: See attached application drawings and descriptive information of the deck to be built, adjoining property owners and shoreline characteristics. 7. Indicate on attached map: Location, ie; reference point, telephone pole nu~nber, adjacent property owners, etc. Signature of applicant: ~/,/~?~ ,r ~ ~, o'3~-t Date: * Please note, there is a one time fee of $50.00 for filing this application. Docko, Inc., P.E. PO .B~.x 421 M~stic, Ct 06355 duPont Weymouth Grey Gull Partnership A~¢( ) A-102 Greenville Center A/~ e03 ) 572, 8939 Wilmington, DE 19889 s~,,, Au~o,im~o,: , ,~v DockD ~ Inc~ C/O Reynolds duPont, Jr. ~ootmln=~ [lffol'~:'l~%'KQl~ in SL~IDCIr~ Reconstruc~ 158+ k~ of fixed pile suppor~edwood dock, including recontruction of one crib, all of which w~s se;v~.el~ cla~aged by Hurricane "Bob". Drive four new ' piles..~o anchor .the existing ~4'x 22~" floating dock and two new tie-off piles. Recc~struct a shors protection revetment consisting of 550 +/- CY of stone and fill replace- regra~ing over an area of 3,000 +/- SF adjacent to the tidal zone. The existing dock and 'proposed replacement is for private recreational boating. H Not Applicable. Docko, Inc. Stafford St, Mystic, CT 06355 (203) 572-8939 AEOVE: Aerial photograph of the site from 500 feet looking south, May 1990. BELOW: Dock syst~ after Hurricane "BOB" showing heaved decking and broken stringers (looking w~sterly); September 1991. Doc:ko, Inc, , Stafford St., Mystic, CT 06355 (2{33} 572-8939 ABOVE: Close up photgraph of the dock showing damage to the stringer system and deCking (looking northweSterly); September 1991. -2- Docko, Inc, Stafford St, Mystic, CT 06355 (203) 572-8939 ABOVE: Revetment runnin~ g northeasterly frc~ the dock; stones substantially in tact, however, voids appearing behind indicating backfill subsidence. BELOW: Northerly section of revetment from the north looking southwesterly. Small stones will have to be reset and protected with larger stones. Docko, Inc. ~D2 ~ox 420A, Stafford St~ Mystic, CT 06355 (20S) 572-8939 ABOVE: Damaged escarument at the northerly end of the site showing accumulated l~ber as well as sluffed embankment materials and turf. BELOW: Same site looking southeasterly showing the sluffed embankment materials and acc~ulated lumber; photos taken after unnamed storm of 10/23/91 © Oocko, Inc, Stafford St_ Mystic, CT 06355 (203) 572-8939 ABOVE: Southerly revetment looking north toward the grouted stone wall and dock beyond, showing revetment backfill failure and loss of materials. BELOW: Close .up view of the same stretch of the revetm_~nt and the size end extent of the void left by the erosive forces of two storms; October '91 © Docko, Inc. ~ RD2 E~x 420A~ S'~afford St., Mystic~ CT 06355 (203) 572-8939 ABOVE: Photograph of the reve%~ent looking south tc~rd the south end of the prope~cy, showing the extent of eroded backfill repairs needed. BELOW: South end of the s~te showing eroded smb~nkm~nt and d~age to be repaired; both photographs are after ~named storm of october 23 1991. Docko, Inc, t20A, Stafford St., Mystic, CT 06355 (203) 572-8939 October 31, 1991 Ms. Christine Costopoulos NYS DEC, Regulatory Affairs Building 40, SUNY Stony Brook, NY 11790-2356 Re: duPont Property, Fishers Is. Dock Reconstruction Permit Dear Ms. Costopoulos: On behalf of our client, we request a Tidal Wetlands Permit end Coastal Erosion Permit, including Water Quality Oertifications, as necessary, for reconstruction of a fixed dock end shore protection revetr~nt damaged by Hurricane "BOB", at the duPont property on Fishers Island, New York. We enclose the following in support of this permit application: - Four prints of application drawings titled: "Dock/Revetment Reconstruction" In: West Harbor At: Fishers Island, Town of Southold SUffolk County, New York Applicant : Katharine duPont ¥~ymouth Date: October 31, 1991 -Four copies of the DEC Joint Application, including the Short Environmental Assessment Form, SAAF, site photographs, Tax Assessor's Map and location plan. I trust that you will find this application package cc~plete and acceptable; please let me know if the need for further information arises. Very truly yours, Keith B. Neilson, P.E. Enclosures cc: duPont/Weymouth Jim Haggerty, CE John Bred~eyer, Town of Southold John Clavin, Fishers Island Harbor Master Tc~a Law, Sandy McGugen File 91-08-238 JOINT APPLICATION FOR PERMIT U.S.ARM¥ CO. PS OF £NClNEERS APPUC^TION 2. APPLICANT IS AlAN ~---~Owner r-]Ooerator r~Lessee ~Mun~iDalityJGovernmen~[ Ase~cy (C~ck as many as ~s. ~h~e We~ ~ey ~]] P~n~rs~p, A-102 Gr~nv~]]~ ~nter ~ ~ POST OFFICE I S~ATE' ] ZiP COD~ Wi]min~on t DE~ 19899 ~ko, Inc., Kei~ B. Neilson~ P.E. P.O. ~x 421 ~ e03 ~ 572-8939 POST~s~cOFFIC5 ~ ~S~[ ~ 06355z~ co~[ Coun~ S~fo~ ~o~n o* dt~ S~hnld I Village Fishers ~i~te R~d ~ish~s Isled ~ 06390 DYes ~No hOW work ~ ma~ and/or drawings ~ DYes ~Nc ~ Public ~ Commercla] Noir 1991 { J~ 1992 s225 pile sup~ fixed ~ ~k ~ shore prot~ion re~nt all sev~ly ~g~ H~ic~e ~b. ~ive fo~ ~w piles to ~chor ~ ~sting 14'~0' fluting d~ ~ t~ new tie~ff pil~. U.S. ~ ~s of ~gi~ ~tion~de C~al Pe~t Soueh~]~ ~d of ~t~s "~n~a~er" Pe~t PROJECT I.D. NUMBER I Appendix617'21 c SEQR State Environmental Quality Review SHORT PART I--PROJECT INFORMATION ('rD be completed by Applicant or Project sponsor) 1. APPLICANT /SPONSOR 2. PROJECT NAME Mrs. Katharine duPont Weymouth I Dock Revetment Reconstruction 3. PROJECT LOCATION: ~lunioipality Fishers Island, Town of Southold county Suffolk 4. PREcIsE LOCATION (S[reet address and road intersections, prominent landmarks, etc., or provide map) The project site~is in west Harbor on Fishers Island. The property is accessed by a private road (no name) as shown on the attached Tax Assessor's map. 5 IS PROPOSED ACTION: [] New [] Expansion [~ Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: R~Coiqstruot 158 -+ LF of fixed pile Supported wood dock, including reconstruction of one crib, all of which was severely damaged by Hurricane Bob. Drive 4 new piles to anchor the existing 14'x22' floating dock and two new tie-off piles. Re- construct a shore protection revetment consisting of 550 +- CY of stone and fill replace- ment regrading of an area of 3,000 -+ SF adjacent to the tidal zone. 7. AMOUNT OF LAND AFFECTED: Not Applicable InitialLy acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXiSTiNG LAND USE RESTRICTIONS? ~ Yes --] No If No. describe briefly 9. WHAT tS PRESENT LAND USE IN VICINITY OF PROJECT? ~ Residential [] Industrial [] Commercial [] Agriculture [] Park/Forest/Open space [] Other Describe: The property at the dock site and surrounding properties are characteristically single-fai0~ty residehti~l. 10. DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL. STATE OR LOCAL)? BYes [] NO if yes, list agency(s) and permit/approvals U.S. Army Corps of Engineers, Nation-wide General Permit, Southold Board of ~rusteest ,,Granfathered" by the U.S. Army Corps of' Engineers in 1968. 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ~ Yes [] No If yes, list agency name and permit/approval The existing structures pre-exist current State and Town permit programs and were "Grandfathered" by the US Ara~ corps of Engineers in 1968. 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIREMODIFICATION? -lyes [] No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE REST OF MY KNOWLEDGE Applicant/sponsor name: MrS. Katherine duPont Weymouth Date: [//~/~/ - If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 95-20-7(10/90) New York State Department of Environmental ~onservation Supplement to Application for Permt STRUCTURAL-ARCHEOLOGICAL ASSESS)lENT FORM (SAAF) PART ! - APPLICANT COMPLETES Applicant Information 1 Applicant Name ~rs. Katherine duPont Weymouth A~,1~.+ a~ss ~c~o~Reynolds dOP°nt~ Jr. P.O Box 365, F~h~rs Ts]~nd~ NY 06390 Project Informat~om 3. Project/Facility Name Dock/Revetment Reconstruction 4. Project/Facility Location West Harbor, F~b~r~ Island~ NY 5. Is' the proposed project adjacent to, or does it contain a building or structure listed in the State or National ReGister of Historic Places? Yes No x 6. Are there any buildings or structures built prior to 1940 adjacent to or within the proposed project area? Yes No x If the answer to question 5 and/or 6 is yes, provide the follow,n9 information for each building and structure (use attachments if necessary): a. name of structure b. location c. type of structure (ex: house, outbuilding, barn, bridge, dam, ruins) d. approximate age or date of construction 7. Might the proposed project have any impact (physicgl/¥is~al! ~pon ~ny buildings or structures listed in the State or National Register H~storic Places o__r built prior to 19407 Yes No X If yes, describe briefly (use attachments ~f necessary): 8. Provide photographs of eve~ building and structure that may be impacted ~ the Project as described in number 7, above. The following standards are recommend~: o minimum of two photographs o minimum size 4" x 4" prints from negatives p~ferred; polaroid photos are acceptable o photos must be clearand ~cused . o clear1 label photos so it is obvious what Ts being illustrated; key o side of the struct~e in a ly orful~ obstru~ions o Photo 2: Sh0wrelationship of building or'stru~ure:to roadway or surroundings 9. Has the land w!th~n the proposed ~roject a~ea ~een previously disturbed or altered {excavated';! land~caped, filled, utilities installed)? Yes × If yes, descr!~ brief]y, including depth of disturbance .(use attachments if neces~aKy). See attached application drawings; this project is the reconstruction of an existing deck and revetment in the same dime~io~ and basic configuration. 10. Approximate percent~e of proposed project area with slopes: 0-10% % lO-l~ % l~ or greater 11. Approximate percentage of proposed project site-with the following drainage characteristics: Not appl~cable~ the c~k site ±s underw~:e:. well drained moderatel) well--d-6~i~ed % poorly drained Prepared by Inc., Keith B. Neilson, P.E. Date October 30, 1991 SAAF1. LK/G lO/gO Katharine Weymouth ~ ~91-08-238 -~,~ .... October 30, 1991 SIlUdCllJRAL-ARCHEOLOGICAL ASSESSMENT FORM (SAAF) PART 2 - DEPARTmENT OF ENVXRONMENTAL CONSERVATION (DEC) C0~IPLETES Applicant/Project Information 1. Applicant Name Mrs. KatharineduPont We~anouth 2. Project/Facility Name Dock/Revetment Reconstruction 3. 4. Mightthe proposed projec~ have.any impact (physical/visual) upon any bdildi~gsor s~r~ct~s lis~ed~ln the State or National RegiSter of Histor~cPlaces 0--Ct built prior to 19407 Yes No If yes, DEC must consult with the Office of Parks, Recreation and Historic Preservation (OPRHP}. The DEC must request a determination of eligibility for the State Register of Historic Places and/or comments regarding project impact. Include information supplied by the applicant in response to questions 5, 6, 7 and B of Part 1 of this form. Archeological Sites $. Does the proposed project area coincide with a circle, square or stippled area on DPRHP's Statewide Archeological Inventory Map? Yes No 6. Is the proposed project area outside of a circle or square, but one for which information has been provided (ex: documented reports of known sites) that suggests the area is archeolDgically sensitive? Yes No If yes, what is the nature and source of information? 7. Is the proposed project area apparently undisturbed? Yes No 8. Will the proposed action include a physical disturbance of the project area? Yes No g. Is the slope in the area characteristically less than 15% (unless on limeston~li~t escarpments)? Yes No 10. Is ~he proposed project area characteristically moderately well or well drained? Yes No If the answers to 5, T-10 are yes~ an archeol~gical survey should be performed by the applicant. Provide the applican~ with a copy of.~ .Format forCulturalResource Investiaationc and l~st~of a~cheoiogica] consultants. If the answers to 6-10 are yes, DEC must consult withOPRHP before requiring that theapplicant perform an archeological survey. Results of Evaluation No buildings, structures or archeological sites identified at the project location (SHPA-1) Buildings, structures or archeological sites identified, but no impacts will occur, no survey required. No further cultural resources review required (SHPA-2) Consultation by DEC with OPRHP required structures .. archeology Archeological survey required Prepared by Date SAAF2.LK/G lO/gO Katherine Weymouth ~ ~ 91-08-238 QdcltDb~r 30. 1991 ~o~ z pages APPLICATION CHECKLIST NOTE: APPLICATION MUST INCLUDE: X 1. STANDARD FORMS - Appropriate Application for Permit. Short FEnviroD~ental Assessment Form, Structural Assessment Form. NOTE: or ~11 projects requiring Wild, Scenic & ReCreational Rivers Permits and for commercial, industrial or multi-residential pro- jects, submit a long Environmental Assessment Form. 225 2. APPLICATION FEE: Refer to enclosed fee schedul? $10.00 minimum, Check or Money. Order payable to NyS DEc. You will be notified of additional fees, if any. X 3. Authorization letter from the owner where the applicant is not the owner. See JointApplication Form X 4. Staking and labeling of the seaward/wetland side of the proposed structure or fill area. X 5. Photographs of the staked project area mounted on a separate and labeled page. X 6. County Tax Map Numbers: Photo of Tax Bill will suffice. Suffolk: Dist. Sect. Blk. Lot Nassau: Sect. Blk. Subblock Lot ~ 7. Project Plans (four copies) - Plans must clearly show the pro- posed project and include all appropriate dimensions, elevations and must be at a scale of 1" to 100' or larger. X 8. Address of project location (if vacant land; telephone pole # or other identifying landmark). MINIMUM PLAN REQUIREMENTS (FOUR COPIES REQUIRED) PROJECT: Alterations and/or Extensions 1, 3, 5, 6, 7, & 8 New House Construction 1 3, 5, 6, 7, & 8 Accessory Structures 1 3, 5, & 6 Repairs to Existing Structures 2 3, & 4 Dredging 2 3, 4, 5, & 6 * Catwalks and Docks 2 3, 4, & 5 Subdivisions 1 2, 3, 5, & 6 Bulkheads 1, 2, 3, 4, 5,'6, 9, & 10 Groins and Jetties 2, 3, 4, 5, 9, & 10 Filling 1, 4, 5, & 6 KEY: 1. Stamped Sealed Survey *2. Plot Plan *3. Location Map ,4. Sectional View ,5. Wetland Line or Mean High Water, as appropriate 6. Fill and Clearcut Area 7. Sanitary System Location 8. Test Hole and Data 9. Profile View 10. Distances from fixed structures NOTE: IF YOU WISH CONFIRMATION OF RECEIPT OF YOUR APPLICATION, PLEASE SUBMIT A SELF-ADDRESSED, STAMPED POSTCARD. NOTE: THE PERMIT PROCESS TAKES AT LEAST EIGHT {8) WEEKS. ~... 6.-:~5 ~ :3) 5 z-8~ F~',~ 2C~) 5 ~-75~-~ ~u~'old ~ar-i Ol Trg~c~z ~-'~ .~-,,.. -,~s TOWN OF SOUTH OLD Re: duPon; PL~perty: p~her_=, islead ear r4x, Brele~aeyer~ sn~ rece-:s~ruct 9n c~{ t?e fi'[~i %~r~! d~k at the brevity of ~<~. Ratl~eriae dPQit ~-'~v~ th in %~st ar~:)~ O~ Fi. shes isla.]~ s jhst ahDut ~n~lehe. ~ ,.suld [~ r~u. '~ acccrdi gly i -~ereby recsest t~is r:~ificetion on behalf c~ N=-, %%~,~o th~ Att<-.chc,- is a c ~k in the anoun't of $35, i %r~st t~at you ~ili firi tPiS :?~_est a{oeptable~ !3Iease bet me kn~; if Yo~s ~u~.y~ Keith B. Nei~sos~ ~S; ~c:.osu ' ns err ~ Joi Ciavin. ..... ~ gland ~ ~: ~