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HomeMy WebLinkAboutTR-492 Glenn Goldsmith,President rjf Sorry Town Hall Annex Michael J.Domino 54375 Route 25P.O.Box 1179 John M.Bredemeyer III Southold,New York 11971 A.Nicholas Krupski G QTelephone(631) 765-1892 Greg Williams Fax(631) 765-6641 COU BOARD OF TOWN TRUSTEES TOWN OF SOUTI40LD December 23, 2020 Robert Herrmann En-Consultants 1319 North Sea"Road Southampton,'NY 11968 RE: LAST MOVE LLC 75-HAYWATERS ROAD a/k/a 2400 BROADWATERS ROAD'.CUTCH6GUE SCTM# 1000-111-1-2 Dear Mr. Herrmann: -by,the,SoUthold Tom' The following action was taken 0-Board of Trustees at their Regular Meeting held on Monday, December 21, 2020: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit#492 from Haywaters Road, LLC to Last Move LLC, as issued on July 1, 1968 and Amended on February 18, 2015 and Amended again on May 20, 2015. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please contact our,office at (631) 765-1892. Sinc ely, Glenn Goldsmith, President Board of Trustees GG/dd „ ,„iii John M.Bredemeyer III,President // ®� S®(/�y Town Hall Annex �� O �l 54375 Main Road Michael J.Domino Vice-President �'� , '� O s, ` P.O.Box 1179 James F.King,Trustee + Southold,New York 11971-0959 Cl) Dave Bergen,Trustee g s, .•. -40�/I Telephone(631) 765-1892 Charles J.Sanders,Trustee olyCOUN 0/ Fax(631) 765-6641 elf _' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1183C Date: November 6, 2015 THIS CERTIFIES that the replacement of existing 4' x 32' fixed timber catwalk; and +/-4' x 1.5' steps at landward end; construct a+/- 4' x 5.3' extension to seaward end of catwalk, using open grate decking on entire catwalk; a 3' x 16' ramp; and a 6' x 20' "L” shaped floating dock with a 2' x 4' ramp pad on the inside of 6' x 20' floating dock; secured by(2) 8"diameter piles; with the condition the beam of vessel docked on seaward side of float is not to exceed 9 feet. At 75 Haywaters Road, Cutchogue Suffolk County Tax Map#1000-111-1-2 Conforms to the application for a Trustees Permit heretofore filed in this office Dated June 12, 1968 pursuant'to which Trustees Wetland Permit#492 Dated July 1, 1968,was issued and Amended on February 18,2015,and Amended again on May 20, 2015 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 replacement of existing 4' x 32' fixed timber catwalk;and+/-4' x 1.5' steps at landward end; construct a+/-4' x 5.3' extension to seaward end of catwalk,using open grate decking on entire catwalk; a 3' x 16' ramp; and a 6' x 20' "L" shaped floating dock with a 2' x 4' ramp pad on the inside of 6' x 20' floating dock; secured by(2) 8"diameter piles; with the condition the beam of vessel docked on seaward side of float is not to exceed 9 feet. The certificate is issued to HAYWATERS ROAD, LLC owner of the aforesaid property. Authorized Signature 01 Zif John M. Bredemeyer III, President �`�' •A. Town Hall Annex Michael J. Domino,Vice President �� 54375 Main Road * t P.O.Box 1179 James F.King,Trustee Southold,New York 11971-0959 • Dave Bergen, Trustee •; '04% I. O ,I. Telephone (631) 765-1892 Charles J. Sanders,Trustee ;l��'®Ui�`C. �e� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES May 20, 2015 TOWN OF SOUTHOLD Mr. Robert E. Herrmann - En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: HAYWATERS ROAD, LLC 75 HAYWATERS ROAD, CUTCHOGUE SCTM# 111-1-2 Dear Mr. Herrmann: The following action was taken by the Southold Town Board of Trustees at their Regular • Meeting held on Wednesday, May 20, 2015: RESOLVED, that the Southold Town Board of Trustees APPROVES the Administrative Amendment to Wetland Permit#492 for a proposed 3'x16' ramp in lieu of a 3'x14' ramp; for the in-place replacement of existing 4'x32' catwalk and steps using open-grate decking; and to add a 2'x4' ramp pad to the inside of the 6'x20' float; and as depicted on the revised site plan prepared by En-Consultants, last dated May 11, 2015 and stamped approved on May 20, 2015. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, e John M. Bredemeyer Ill President, Board of Trustees JMB:amn (gig , , ,,, , John BredemeyerPresident ,,•1"''''Fut-"" Town Hall Annex Michael J. Domino, Vice-Preside: , t ,,;:ii�� �c°e.y\, 54375 Route 25 James F. King ?y P.O. Box 1179 Charles J. Sanders kr6 fs$ Southold, NY 11971 14 Dave Bergen Ot * -a°!.'� Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Fi Id Inspection/Work Session Report P; Date/Time: Si/I En-Consultants on behalf of HAYWATERS ROAD, LLC requests an Administrative Amendment to Wetland Permit#492 for a proposed 3'x16' ramp in lieu of a 3'x14' ramp; for the in-place replacement of existing 4'x32' catwalk and steps using open-grate decking; and to add a 2'x4' ramp pad to the inside of the float. Located: 75 Haywaters Road, Cutchogue. SCTM# 111-1-2 Tpe of area to be impacted: p p Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Storm Water Management Review: Yes No Not Applicable Info needed: Modifications: Conditions: Ok— Present Were: J Bredemeyer /M. Domino J. King C. Sanders D. Bergen Bay Constable Other Form filled out in the field by. Mailed/Faxed to: Date: =Ai EN-CONSULTANTS May 11,2015 John Bredemeyer, Chairman : r, : Board of Trustees � � �' z Town of Southold '1 l !f i i 2015 i fa. MAY P.O. Box 1179 ; � Southold,NY 11971 •Re: Haywaters Road,LLC,Wetlands Permit 492 o``:,kiu �' Dear Mr. Bredemeyer: While we have been discussing with your office the_fact that the permit amendment issued February 18, 2015, incorrectly describes a 3' x 14' ramp rather than the 3' x 16' ramp depicted on the stamped approved plans, the permittee has been discussing the start of the approved work with the marine contractor likely to perform the work. And as a result of.those conversations,we are requesting an Administrative Amendment to the permit. Specifically, you will recall that the Board had previously granted a transfer of the permit from the prior owner to the current permittee, and under the benefit of that transferred permit, the 4' x • 32' fixed catwalk was replaced and repaired enough to make it usable until an application could • be filed for the recently approved modifications to the dock. But since the end of the dock will }`4 be removed and the existing catwalk extended seaward by approximately 5 feet, the contractor has suggested that now would be the best time to properly reconstruct the entire fixed catwalk, using open-grate decking. He has also suggested use of a 2' x 4' ramp pad on the inside of the float to'improve stability and ensure that the ramp does not slide off the edge of float during an extreme tide event. Therefore, we are enclosing 'herewith an application to administratively amend the permit to allow for the in-place replacement of the existing catwalk and steps (using open-grate decking) and the addition of a 2' x 4' ramp pad to the inside of the float. Should you have'any questions or require any further information from me supporting our request,please let me krtow. • Resp- _tfully yours, JI. / Robe E. Herrmann Coastal Management Specialist • 1319 North Sea Road I Southampton,New York 11968 I p 631.283.6360 I f 631.283.6136 wwwenconsultants.com environmental consulting Town Hall Jill M.Dougherty,President .rFOLi' 53095 Route 25 James F.King,Vice-President . ,+.Oecc,� P.O.Box 1179 Dave Bergen . Southold,New York 11971-0959 Bob Ghosio,Jr. t cf ti Telephone(631) 765-1892 I John Brederneyer w !Yt . �+ Fax(631)765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD LETTER OF REQUEST FOR AN AMENDMENT DATE May 8,2015 Haywaters Road,LLC OWNER c/o William Isaacson,Managing Member PHONE 561-289-1100 336 E.Alexander Palm Road ADDRESS Boca Raton,FL 33432 AGENT. En-Consultants PHONE 631-283-6360 ADDRESS 1319 North Sea Road,Southampton,NY 11968 PROPERTY LOCATION 75 Haywaters Road, Cutchogue TAX MAP NO. #1000-111-1-2 Administrative I/We En-Consultants for Haywaters Road,LLC request an Amendment to Permit# 492 (previously amended 2-18-15)to authorize the addition of a 2'x 4'ramp pad to the inside of the 6'x 20'float and the in-place replacement of the previously repaired 4'x 32'section of fixed catwalk and 4'x 1.5'landward steps, using open-grate decking,4".x 4"support posts over the vegetated marsh,and 8"diameter support piles seaward of the marsh,all as depicted on the project plan prepared by En-Consultants,last dated 5/8/15;and to correct the stated ramp length of the prior amendment from 14 to 16 feet. Signed By: '> Robert E. • rrmann,Coastal Management Specialist Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) �Cb f{r �i FG e e L ` I 4-4" 9 _ 1, residing at (print owner of property) (mailing address) eauthori �P1,Su4ti (Agent) c% L, , era.�,�,�, todo applyherby for permit(zesj from the Southold Board of Town Trustees on my behalf. (Own r' signature) • • • Board of Trustees Application County of Snf€elk-yei State of Phew-Yer4 `�\;c.•-� - c srr J 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 TRUS LEES. 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 REPRESENTATIVES(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLIION. ( Siatud-e SWORN TO BEFORE ME THIS 1% DAY OF (` -LL-. ,20 \y1 Y' PATTI a GUSTAFSON • o*: I hr MY COMMISSION 1 EE 871201 `��-_ c. .u,�.• ����_JJJ � i�,.` EXPIRES:May 10 2001 i Notary Publij ,;i Bonded Thor Nasty Public Undevmters • APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The puroose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. � YOUR NAME: - S r�1�n sr'%/A m, ;�v 6i,o •44 yr24..s er". GG G_ (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building a Variance Trustee ✓ Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agentfrepresentative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this /' a ' 'a-re Z— 200te--7 Signature _ Print Name Form TS 1 APPLICANT/AGENT/REPRESENTATIVE • TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethica prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of .'ible conflicts of interest and allow it +take whatever action is necessary to avoid same. YOUR NAME: H-.rai.n• C•I- ■ (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company-If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map — Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest.`Business irteest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through 0)and/or describe in the space provided- The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the sharesof the corporate stock of the applicant (when the applicant is a corporation).. B)die legal or beneficial owner my interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this -26 r,ay of March 20215 Signature Print Name '. -r .- Form TS I En-Consultants HAYWATER COVE aq� -` r , , _,.:, k PROP. 8" PILE (TYP.) ,....„,..5._ .� PROP. 3' x 16' RAMP PROP. 6' x 20' FLOAT r 'x ,kay,,,,,, i�a�� \f, Cl PROP. +4' x 5.3' EXTENSION "?" ---7F,-----; \x z �s ::y�e= V",' .1-it .1 k OF EX. CATWALK IN PLACE ? + �� .. i i'` / fla `,','NA, AU OF. EX. PLATFORM `, ?.r aaa\\"� e" ,i, — -. 440` PO 3 EX. +4' x 32' CATWALK TO BE REMOVED AND ,!2 \ eo l Rsv \` 1t. REPLACED IN-PLACE, WITH OPEN-GRATE DECKING) .` ♦ 4' x 2' RAMP PAD �� �3.¢ oto EX. FIXED "L" DOCK A� CA��a i �i� R J .�,�::, C/..i.. SI Yfl1 ; .f p+S�r t �I • X. 5.3' x 16' ���{,. 1" = 50' W W 5113-itCI PP,Ort�F1 f) s+ o � �(\a: \ L" PLATFORM { c�e n QF b ///W .v \TO BE REMOVED y , �1 .t"-� '''':' ` 3.. o ci 1 i`rou s�,.`r� ADJ. FLOATING DOCKS 1` W W ECX.0 N.\Ar W ���*. s_' l '':,:','", ',1"'f,";':{sj" k tai i; c .\'',, .1. ,.b 4. /EX. STEPS tt '''' .\ W . 4i�o\\� s' %4�•1 .t=. 'ti v $ W TO REMAIN♦ W W W ♦0+ \ 2._.., I \' y"�4� ` �..'c,�d ^ .num.e:�'�. y.+...' / W W 5ufTdk Catty H'� cm Map 45 y , !k-" .. / * ' W / ♦ \ 4. ..\ ` fll 'r 20001 C \ � t,, a 1 I 4, �� ,I 1Li, I,.� i� s MAY 1 4 2015 a / 17162' o J p i Nt•-• / HE '..e...,.....,,r.,. 0l.i�:lliia`�tivj....-...... ._..._r O 01 A. - I o , ADJ. FLOATING DOCK 1'.3 / ' a • yo z At' ' O u a.Vi om e* Zit 4. � tt; / '73 x Al/ 1 2/ '* I "'u: "0 R EN-CONSULTANT' �oc R 1319 NORTH SEA ROAD . I SOUTHpAMPTON, NY 11968 636' ° 0 Note Purpose:wnh 1'2v� 3or existing,private,noncotnmmercial dockage facility by modifying fixed"L"-shaped dock into dock consisting of fixed catwalk,ramp,and float 2. Patum: MLLW- 0'-0" 3, Water depths traiscribed from hydrographic survey oR`' 1° prepared by Kenneth M.Waachuk Laid-5urveying, PLLC,last dated June 4,2014 4. Proposed dock to consist of treated timber support posts and structural timbers;untreated decking, including open-q-ate decking over fixed catwalk; ',..App '�` -D BY� and hot-dipped galvanized steel hardware `''� 5, beam of vessel to be docked on seaward side of float 'BOARD:;. RUST-ati not to exceed 9 feet per 5outhdd frustees,2-18-15 . , `� is' 6, Project location:75 Haywaters road,Cutchocpe,NY; OF:SOUT , 5CTM No.1000-111-1-2 F a ` 5. a� 15. . , �� , .J/ = ,^, I p�OPO5P POCK MOPIMICA11ON F0� 4dip . r l - I-IAYWATh 5SOAP, I.LC, ON HAYWATh tls COVE, CU1"CHOGU , 5UFFOI.K CO,, NY •ii)n 51-E -1-1 OF 2 12-29-14, 2-19-15, 5-11-15 Ajj 1, _a 5C110N 11-TROUGH 19I?O1°05N2 MOPIFICA11ON Or X1511NG FIXP POCK SCAT-E: I"-=-101 i - +37' 1 XI511N6 32' FIXW 11MMR CATWALK TO ft RRMOVW ANI7 MPLACW(IN--PLACE WITH OPEN-GRT; I7RCKING) 1 1 ' XI511NG 5,3' x16' FI)W PLATFORM TO It I:�MOV�I7 -"-i4 +162 � ANI7 1VLACW WITH 5;3' XT.%5ION OF 4' WM CATWALK --1 r.--Ib, 5t P5 o I PROP, 16' RAMP - - - - - - 2' RAMP PAP 1 PROP,6' FLOAT -V/ X.GRAM / I4>r7hi1111111-' I — --'-' --- AHW= 3'-6 Ammo'u'illt ALW= O'-9" - _ I'-10" -2'-2" -2'-5" MLLW= O'-O'1 TM - VICM N9a OP13A\K �, / �X,GM_ 2 6" ALW V,_ 0 (Thc 4" x 4" x var,P05T5 - V_ _ �� 7Q Ks OA co, -.• rro N Cl r— ® � (OVER MAP.5H) Z- = ns 5 = 8" x var.PILr.S (2) 8" x 24' PILES N 5 ce O cc� a ll C1 O ® � i EI +I N -RO = ,. m 1 a cm z ••... it ._+ M, 7K3f: • 1110 John M. Bredemeyer Ill, President 1-'Og‘IFF-1;Lt Town Hall,53095 Main Rd. Michael J. Domino, Vice-President /4' cGyss P.O. Box 1 179 James F. King ti x Southold,NY 11971 Charles J. Sanders ' y � ,�' Telephone(631)765-1892 Dave Bergen .l *,,,' Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD • YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN - APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. • INSPECTION SCHEDULE • • Pre-construction, hay bale line 1st day of construction ,f 1/2 constructed \/ Project complete, compliance inspection • c1 SOU/- John M. Bredemeyer III, President ���,��� y�l Town Hall Annex 54375 Main Road Michael J. Domino,Vice-President *` P.O.Box 1179 James F. King,Trustee ` cn : Southold,New York 11971-0959 Dave Bergen,Trustee ,, Q �� Telephone(631) 765-1892 Charles J. Sanders,Trustee ;l�('o g ' ��i� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 18, 2015 Mr. Robert E. Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: HAYWATERS ROAD, LLC 75 HAYWATERS ROAD, CUTCHOGUE SCTM# 111-1-2 Dear Mr. Herrmann: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, February 18, 2015: WHEREAS, En-Consultants on behalf of HAYWATERS ROAD, LLC applied to the Southold Town Trustees for an Amendment to Wetland Permit#492 under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated January 14, 2015, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 6, 6.1, 6.2, 6.3 & 9.3 of the Local Waterfront Revitalization Program to the greatest extent practical through the imposition of the following Best Management Practice requirements: the removal of the "L" shaped platform; and the beam of vessel docked on seaward side of float is not to exceed 9 feet, and, • 2 • WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, 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 for the mitigating factors and based upon the Best Management Practice requirements imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, BE IT FURTHER, RESOLVED, that the Southold Town Board of Trustees APPROVES the Amendment to Wetland Permit#492 to modify the existing "L" shaped fixed dock as follows: maintain existing +/-4'x32' fixed timber catwalk and +/-4'x1.5' steps at landward end; and in-place of 5.3'x16' fixed "L" shaped platform to be removed, construct a +/-4'x5.3' extension to seaward end of catwalk; a 3'x14' ramp; and a 6'x20' "L" shaped floating dock secured by (2) 8" diameter piles; with the condition the beam of vessel docked on seaward side of float is not to exceed 9 feet; and as depicted on the site plan prepared by En- Consultants, last dated February 19, 2015 and stamped approved on February 27, 2015. This is not a determination from any other agency. • Fees: $986.00 Sincerely, dirtt— qv* eu.109,7 4.ar- John M. Bredemeyer III President, Board of Trustees JMB/amn • • John M. Bredemeyer III, President ,,,'"g�FFOL - Town Hall Annex '',�� C� 54375 Route 25,P.O. Box 1179 Michael J. Domino,Vice-President 1 M James F. King Southold,NY 11971 Charles J.Sandersetk ,+' Telephone(631)765-1892 d Dave Bergen ,'00, ' Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: En-Consultants for Haywaters Road LLC Please be advised that your application dated 1/14/15 has been reviewed by this Board at the regular meeting of 2/18/15 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) • 1st Day of Construction ($50.00) '/ Constructed ($50.00) XX Final Inspection Fee ($50.00) XX Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: Final Inspection: $50.00 Dock Fees (seaward of AHW): Catwalk 4'x36'= 144sq.ft. x $3.00/sq.ft.= $432.00 Ramp 3'x16'= 48sq.ft. x $3.00/sq.ft.= $144.00 Float 6'x20'= 120sq.ft. x $3.00/sq.ft.= $360.00 TOTAL FEES DUE: $ 986.00 BY: John M. Bredemeyer III, President Board of Trustees ywaters Road,LLC r Haywaters Road,Cutchogue • M#111-1-2 11/15 r_,._ / • rl sre , r i�if• r - . r f I 4 y I / -'r eiir1 1 • John Bredemeyer, PresidentTown Hall Annex Michael J. Domino, Vice-President ,-% 54375 Route 25 James F. King + P.O. Box 1179 Charles J. Sanders ''� cam 471 Southold, NY 11971 Dave Bergen ,�, ya°��.' Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: (i( r( En-Consultants on behalf of HAYWATERS ROAD, LLC requests an Amendment to Wetland Permit#492 to modify the existing "L" shaped fixed dock as follows: maintain existing +/-4'x32' fixed timber catwalk and +/-4'x1.5' steps at landward end; and in-place of 5.3'x16' fixed "L" shaped platform to be removed, construct a +/-4'x5.3' extension to seaward end of catwalk; a 3'x14' ramp; and a 6'x20' "L" shaped floating dock secured by (2) 8" diameter piles. Located: 75 Haywaters Road, Cutchogue. SCTM# 111-1-2 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Storm Water Management Review: Yes No Not Applicable Info needed: � � „ mea l mar Sm-A, t► 9\.c• Modifications: Conditions: Present Were: 'J Bredemeyer M. Domino J King C. Sanders- Bergen Bay Constable Other Form filled out in the field by 9✓ LL Mailed/Faxed to: Date: HAYWATE1OAD,LLC,75 HAYWATERS ROAAJTCHOGUE F. It JA 1 4 21)15 1 it IN • .. _ _- raLlaix 1 y 1.�;, , i , z . �� `'- v ._,._^i , II,,i, {l ` } F, ._ .r-• app 1 1 ,,k-N tip �+7: 'r-af `t,, Figure 1. Looking north at existing fixed dock to be modified into catwalk/ramp/float assembly. e b a flR Figure 2. Looking south at existing fixed dock to be modified into catwalk/ramp/float assembly. HAYWATERSAD,LLC,75 HAYWATERS ROADIIIITCHOGUE 4„ -----A , ,. , ,,,- ; ,,,,,-ts „ _ ._,....„, * 1 `•( y -� ' i•' Gtr ��' .. kr-rr .. r ii; -- .rte. .r-.� JI kyr` # --`-r----1 r rM --I- ..t..,,,,z.t..r.,,,, ,, §,.', i 61 vii it: I li' ,14p.,,,,,•,,,0-4x. mo~ i .. .t+r.. ILS c1' t .• T•..MSA.« M 4-4,fi _ -.: .• U Figure 3. Looking west over at existing fixed dock to be modified into catwalk/ramp/float assembly. . ,ems, y}� t 04.- I-1...,. ,. if ' ' I ,yam 1 Figure 4. Looking east from Haywaters Cove toward seaward end of existing fixed dock and location of proposed ramp and float. _.P..... •--- - _ __ ..n..•" t?mN<—L-I '-'-'. .ww..e * NOICE ...._,..o. .. Rm<cr 110w.a a` a a rn „ L px <xu 40 cep'''-"",-"--. 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RI is �' E ... _�_ _ a+l "-- - -_ "-`^'""`- --�"- "`••`- --^-- NOTICE 7.� COUNTY OF SUFFOLK © Ky, .'m..o 7 p _ SECTION No c"r"' _ .•. O _--_._- " --�-- Real Property Tax Service Agencyv ..,.R.,. 111 Nr..,r -.-..:-. ............ ."-•• _— ,� --,_- --•-- 1y• eo.mr ,., PI rnw, ^ t fn ufr.eew WOO 0 w. a =y".H.':�NI ".•� �___— rs.. --r-- w..�u�--.r-- rwn mr mama.roxsm..... j.., P PROPERTY MAP j' --v • John M. Bredemeyer III, President ►o�pg ULiIOD Town Hall Annex Michael J. Domino, Vice-President 4' sa 54375 Route 25 James F. King : P.O. Box 1179 Charles J. Sanders Southold, NY 11971 Dave Bergen y* 00'c►►�' Telephone (631) 765-1892 0/ 4,,,iv° Fax (631) 765-6641 BOARD OF TOWN TRUSTEES February 19, 2014 TOWN OF SOUTHOLD Mr. Robert E. Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: 2400 BROADWATERS ROAD, CUTCHOGUE SCTM# 111-1-2 Dear Mr. Herrmann: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, February 19, 2014: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit#492 from Catherine Hunt Healy QPRT to Haywaters Road LLC, as issued on July 1, 1968. If you have any questions, please contact our office at (631) 765-1892. Sincerely, John M. Bredemeyer III President, Board of Trustees JMB:amn 1.......••:,. ,....-----"" - ---,,,,,. ,Pirp1 . - , ...alift.;11111,4111pifr: , , I ". -411W,b*•=moimb.4 0 ' ' ,./iik.....„...`1,0Mir .'i."' . - -,.'• ' ' 4. f. ' 1 , . . , It"-.4;;P:„. .: r.'. ,..-• 1 . Al, - - - t• -- -' '' -r ' . '‘ _.'. :-, . • ... - , r-, .--- _ _ . _-...- : , , - -•.-- - .4 -..' 13' . - .. - . ...., .. , . %,. ..., ,i ' • . . . _ ,11_ . ....i....lphat.. . ....... .6, -.1. - ' C., 1 ' i dal I•a alli••:••I..H•111 ini iii•111 NMI 1•••••••••••••am••••••••- V II --411111 ____ _ ___ „i; . _ ------: ' --7-- " -' —- -.-- -:::,--vemeivimas, -: — ------ -- -..sel 1::-:1-- ..,..- --........... 4",''11-11,'-.... 111111.1"rW'....';.- __ , -c^-,-.,- . „ .-..-...._,,..,_;,...., *....- _ , • _....... r , ! IP'. i.' 4111 4 11'; q aisi i , _ , ,_., . ., . ,... . , _ 4... . ,,, ,,, i . .... :, ,,.., ,. ,f. ...440 ...,, ...._-_, . ' ....., ---- .,,, ,/..,„., .., , ' . •-5 -- , ,s'•.•.-....,,,..-0 , ,. _„, Itt,;P''(, ' ,'' . •,•, ' • _,:.._- '. •_ , -... -- - — It/ //` ". , ,' . / ,„ / /„. . , . , . , ), i . I •,; '''' r /I/' 7 l. '''I f' ' ' I ' i 1 t . . .. f.i''' ', , ''. , .,.. tr' •I t j „I',.,,;(..4"2_. ' fi , ;pi/ •,, , itgit, -..1---- .41, , -.:/. ,,,11.4r,,.." • , ' A- i rif.,/ /.4,,, if/ 14J; . -12 y-' it- , , -.,,t'•i • ' i ote...;41,1''.-,"/-d ,......„,„,,,. __________________ ci Pi• : :i, ,.••••' ,,:7, •-/.:,' '.,,,41,'.A.1. It:, 000, '4Rirs / ''' ''' ' ,';i - ' • '''''''' y ,,„114,4, 1 .tii ,.' 11,,• - if,-,-,' ,' • , ,. -_,, _ j, , . . /.1 , , ,, ,,i . ...., , II;., iiii„..k. .,.., , „- ,-,,, ,. ,, , ,, , , • 2400 Broadwaters Road,Cutchogue ' ' ' 1 .4,' , s , , 1 , 1,./iiiiiI4V • / , ,,', 0',' .... .i' SCIMB 111-1-2 . 7,, ,7. '-' I' / ; t 'r // i If' !' "/,/ ,, •,i., ' / /: / i , Ir` ,,, ' , ir '7 --0-'...1z- / , • Is. ,.-;:„.,-• - ---,,,,,,-,• _off g , ,„„„ , , . ,, . t —V tF/11 r , ..,.. ' .. \• ,4 ' 1, AU ,7 '' , ' Al ' , . ' 0 - , / I/. 1717 //iti i / 1 '' :'/ ,/,' ' / /r ., i / ' • r 1 'r i . 1, ". i_ _- - _.....ziroonley 4a/ of _ , i y ' iti .�.o .rte `�� iTi 111 al Y r -- __ Y.� ■r f� � w yrs -. s a_ e : ry_ '� w� : 3�.lrb ''''.2.'*;0i.i. "i;g.'"''al.k, `-',;:fAt'-‘; I —.me 7 ,,„,„.4,-ifOP �r .1 �;i ;i yam. F ' ... /' ,- . . 1 i 1,.. .-13,-, _mss ,. a Ii✓. 1; � ��. -7 1, r \ -**4.1 ' ..i , 111,/ 1 r ';'; . . i, /ft. ,'' ' , AtiOr / / !� \j'q r '11t�-,-.r te'" +i'- • et, .l i,, /,,,,'!' ;,..ill.',!' '/ 1. / / / l i +� /, +I !`Y j r r, / - I\ i�'( / r r / -a/ ''•. / '" t%! I, r 4-"i :d /.. i / 1 �� • ! • / d' r 4,0 i� r � 'I•},,,Or,',,'a s! f r ' f Haywaters Road LLC • ; / -- ! le,!`�� ! '' 1 f 'iff �s ,l� "�= 7400 Broadwaters Road,Cutchogue • v I" - ,, 4'f i'�/ i,/1/4//.,or. / SCTM#111-1-2 f/ il i idi E . �, /12/14 ! + '"� , 41W4,41), JJ�( ! 1 ' 04, • S John Bredemeyer, President • ' Town Hall Annex Michael J. Domino, Vice-President ��° '; 54375 Route 25 James F. King A P.O. Box 1179 Charles J. Sanders '',"a �1� Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: 2--711 7/ , (14 En-Consultants on behalf of HAYWATERS ROAD LLC request a Transfer of Wetland Permit#492 from Catherine Hunt Healy QPRT Trust to Haywaters Road LLC, as issued on July 1, 1968. Located: 2400 Broadwaters Road, Cutchogue. SCTM# 111-1-2 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound ✓'�ay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Info needed: Modifications: Conditions: `Cis .� � , ;e ,. err s-Fi.. %(2, X Present Were: /'`J. Bredemeyer '/'M. Domino J. King / C. Sanders Bay Constable Other Form filled out in the field by `Yl^) Mailed/Faxed to: Date: James F. King, President ,�� #��F SUUtyo Town Hall Annex Bob Ghosio,Jr.,Vice-President O 54375 Main Road � ~ : P.O.Box 1179 Dave Bergen 41 Southold, New York 11971-0959 John Bredemeyer Michael J. Domino `:'•��` �� Telephone(631) 765-1892 O •�' Fax(631) 765-6641 ._ COM,* i" BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 23, 2013 Ms. Catherine Healy PO Box 708 Cutchogue, NY 11935 RE: CATHERINE HUNT HEALY APRT TRUST 2400 BROADWATERS ROAD, CUTCHOGUE SCTM# 111-1-2 Dear Ms. Healy: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, January 23, 2013: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit#492 from J.C. Heim to Catherine Hunt Healy QPRT Trust, as issued on July 1, 1968. If you have any questions, please contact our office at (631) 765-1892. Sincerely, 'gots, James F. King President, Board of Trustees JFK:amn At , *I , 11111lir 1 • 0$ '' , ,.. - . 1 • Ct S , i ,... I . ( I et... . ' . Google-er . L Gogle earth feet 200 meters 70 00T saa4aw LITJee 7,1F., OD N .,,.. uTJeo_olgoo ,E6000z�azv. �\^�t 7 ,, lyra {""7;Y ,..«• a V P V swi,aleriA/1e j}-.. A-art-g Sly...,,,Fit,,,,.,....,,,;', •x � ' P spa}EM Ea.J9 OO)tr? � „ ...„: 3 v • • James F.King,President gOFFOf,r ,� P.O.Box 1179 Bob Ghosio,Jr.,Vice-President Y��4 � Southold,NY 11971 Dave Bergen % Telephone(631 765-1892 John Bredemeyer ,y Fax(631)765-6641 Michael J.Domino py* 0.#0. Southold Town Board of:Trustees Field Inspection/Worksession Report Date/Time: f f CATHERINE HUNT HEALY QPRT TRUST requests a Transfer of Wetland Permit#492 from J.C. Heim to Catherine Hunt Healy QPRT Trust, as issued on July 1, 1968. Located: 2400 Broadwaters Road, Cutchogue. SCTM# 111-1-2 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: hapt.275 Chapt. 111 other Type of Application: Wetland _Coastal Erosion _Amendment Administrative Emergency Pre-Submission Violation Info needed: I 1 /i/ n 1,, 0 L. ,4 f( ere fo.o�s Modifications: Conditions: Present Were: J. King B. Ghosio "-D. Bergen, J. Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: 1 , . .,, .. III • E 1 'TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES PERMIT NO. 492 • Pursuant to the provisions of Chapter,615 of the Laws of 1893 of the State of New York; Chapter 404 of the Laws of 1952 of the State of New York;the pm- visions of an ordinance entitled "Southold Town Ordinance Regulating the Placing of Obstructions in and on Town Waters and Public Lands,and the Removal of Sand, Gravel or other Materials from Lands under Town.Waters",and in accordance with the resolution of the Board Of Trustees of the Town of Southold adopted at a meet- ing of said Board on .Ju •1...1968 , and in consideration of the sum of $..$,9.OG., lawful money of the United States, paid by .J,...C...:8sia4. residing at ..BarAters..$o5 ...ffasstaU.St..,..patothavillaw York, the said Board of Trustees of the Town of Southold, Suffolk County, New York, hereby authorized and permits said ......M...C1.:.Wtim, to construct a dock 38' x 6' in Uriywatere Cove, Nassau Point, Cutc ogee, in trent-of his property, all in'aecerdanes with the application submitted. The said ii,..C...Beim , as part of the consideration for the issuance of this permit does hereby release the said Board of Trustees and the Town of Southold from any and all damages claims for damages or suits that may arise or occur directly or indirectly as a result of any operation carried on un- der and pursuant to this permit, and will at his own expense,defend any and all suits which may be brought by third parties, as a result of any operation carried on pursuant to or in accordance with the terms of this permit, and assume full liability with respect thereto to the complete exclusion of said Board of Trustees and the Town of Southold. THIS PERMIT is subject to the following terms and conditions: 1 1. That there shall be no unreasonable interference with navigation as a result of the work herein authorized. 2. That there shall be no interference with,the right of the public to pass and re- pass along that portion of the beach between low and high water mark. 3. That the work shall be subject to the supervision and approval of the said Board of Trustees or its agents. 4. That if future operations of the Town of Southold require the removal and/or alteration in the location of the work herein authorized, or if, in the opinion of the Board of Trustees of the Town of Southold, such work shall cause un- reasonable obstruction to free navigation, the said .....J...C.:, .i.Dt Iwill be required upon due notice from the said Board of Trustees, to remove or alter the location of the work hereby authorizedwithout expense to the Town of Southold, so as to render navigation reasonably free and unobstruct- ed. I _ • The authority conferred by this permit may be terminated by the Board of Trustees for a failure on the part of the said x'w..:fw«..Ekain. to comply with the terms and conditions herein imposed. In the event of such termination, this permit shall be deemed revoked five (5) days after the date when the Board of Trustees shall mail to the said a....c....Baia at the address given in his application,a certified copy of a resolution of the Board of Trustees directing such termination. • IN WITNESS WHEREOF, the said Board of Trustees of the Town of Southold has caused its corporate seal to be hereunto affixed and these presents to be subscribed by a majority of the said Board of Trustees,the day and'year above written. seal ...a. / ly -�`'K,,t''d 'ar (L.S.) � L•(_L.S.) _Ac.. ertir7z STATE OF NEW YORK ) SS: COUNTY OF SUFFOLK ) ON THIS 5th day of AUSIUAt 19...e.., before me personally appeared Alvah S. Goldsmith. Frank Dawson, John S. illlcNulty, George Simpson and Douglas Robertson, all personally known to me, who, being by me duly sworn, severally said that they each resided in the Town of Southold, County of Suffolk, State of New York, and were members of the Board of Trustees of said Town of Southold and constituted a majority of the same; that they knew the corporate seal of said Town of Southold;that the seal affixed to the foregoing instrument was such corporate seal; that it was so affixed thereunto by order of the Board of Trustees of said Town of Southold and that each one signed his name thereto as a Trustee and by like order. • Filed: . .2-0 1 �� Notary Public —79V-4"----47--I • FORM NO. 1 A /f a--', TOWN OF SOUTHOLD :s, BOARD OF TOWN TRUSTEES / TOWN CLERK'S OFFICE �yit.ir. SOUTHOLD, N. Y. Examined 19 Application No. Approved Permit No. .......IC. • Disapproved a/c / 1111 chairman,Board of Trustees APPLICATION FOR PERMIT INSTRUCTIONS A.This application to be completely filled in by typewriter or in ink and submitted to the Town Trustees in dup- licate. • B. Plot plan showing location of lot and buildings on premises, relation to adjoining premises, public streets, parks, etc., and giving detailed description of proposed layout of project must be drawn on diagram which is part of this application. C. The work covered by this application may not be commenced before the issuance of a permit. D.Upon approval of this application,Town Trustees will issue a permit to applicant. Such permit shall be kept on the premises and available for inspection at all times. E.Applicant shall notify the Board of Trustees upon completion of the work covered by permit. APPLICATION IS HEREBY MADE to the Board of Trustees of the Town of Southold, Suffolk County, New York,for the issuance of a permit pursuant to the laws,Ordinances and regulations governing construction of:docks, piers,bulkheads, jettys and dredging in, under, and over the waters of Town of Southold. The applicant agrees to comply with all applicable laws,ordinances, regulations and conditions specified by said trustees,and fo hold the Town of Southold,and all Town officials free fromf�l�liability and damages of any kind. Name of Owner of Premises l .e , 7A Street Address of Property .,//!¢ 0',Te -r /Q04J4 4411S-5.4t) 4;4" 'u re,Mdw4 Home Address If Other Than Location n Creek, Bay or Harbor Fronting Property ti4,r�,rS `40 Ver Permits Requested To: e0,041We- bode Size of Proposed Work: Length ....Z 2r Width 6 Heighth Above High Water 02 Depth Below Low Water ....2 "t Average Rise In Tide 3 Yards to Be Excavated ,pONt Width of Canal,Creek or Bay Fronting Pro rty ....s.Kft / Depth at Low Tide f'4- t • Is This For Private or Business Use? fleI dA 7 Area Zoning ..li g.5 Complete plot plan to be drawn on reverse side of this application. STATE OF NEW YORK ) )S.S. COUNTY OF j� ) 4. • . , N. '+ being duly sworn deposes and says that he is the applicant for the above described termit, and that all state tuts contained herein are true to the best of his knowledge and belief; that the work will be done in the manner set forth in the application and as approved by the Board of Trustees of the Town of Southold, and the applicant agrees to hold the Town of Southold and said trustees harmless and free from any and all damages and claims arising under or by virtue of said permit. /e 4....teL...._— ...... ( p-fif 4 ,11 _al'— -- - ical— nt) 1. Sworn to before me this �� d / 19V 1--; _____ Notary public �`"'c-A,- MARION A. REG NOTARY PUBLIC,Slate oof ry w York No.52.3233120 Suffolk Term 11‘000a Marek 30,1 , , . • ,• H . _..._ 4. --1 . .. ...t .. . . . . • kt:1 17. . . a.,,,. .. , . --- - 0 --- ..............-..... ..........\i ("\ ,..... ME .140U5LP. c____......._...., . . 0 . .....,...zz... ......._........... ......-..- L---:-- _ ' I . -.......,......... - r) ... N. ...--. ............ ......... 2.c.C. lt . ... . , , vl .........._.. ... 7 ,lc . .. . \.- ... . . .. 1-417(vjitrk:*-5 fic).01---77 2 • • • • • ,Q --) ... ..............._........._....._.........____.............................. ................._. 0 6 0 • tp .. , . . , . . . . 1 . 1 . . . • 42 • C. ') I d 414V///Li/ Gje_ P oi • • ii4 it 4/2_, ((1il,-yytA6164#---11 MEETING OF JULV 1, 1968 49 The Southold Town Trustees met at the Town Clerk Office, Southold, on Monday, July 1, 1968 with the following present: Douglas Robertson, Frank Dawson, John F. McNulty, George Simpson and Marion Regent, Secretary. The minutes of the meeting of June 3, 1968 were read and approved. The following application for stakes or moorings were read and approved: Clifford Schriefer - one stake - Goose Creek, Southold - $1.00 George Grossman - Sterling Harbor, Greenport - $1.00 Applications of James V. Gallo, Henry H. Friemann and Arthur Fleming to install floating docks 8' x 14 ' in front of their respective prop- erties on Little Creek were read and approved. Fee $12.00 each. Application of Richard J. Coster, Fisherman's Beach, Nassau Point, Cutchogue, to dredge and bulkhead a boat basin 24' x 14' in front of his property on Haywaters Cove was approved. Fee $15.50. Application of Lawrence P. Brannigan to construct a small landing pier in Dryad's Basin, Cedar Beach, Southold, 12 ' x 4' in front of his prop- erty was approved. Fee $6.00. Application of J. C. Heim, Haywaters Cove, Nassau Point, Cutchogue, to construct a dock 38' x 6' in Haywaters Cove in front of his property was approved. Fee $19.00. Application of K. Holland, Vanston Road, Nassau Point, Cutchogue, to dredge the mouth of the canal in Horseshoe Cove, Cutchogue,Harbor was discussed. Since this project will be advantageous to all residents in that area a minimum fee of $1.00 was charged. This project was examined by Mr. Douglas Robertson. The question was raised as to whether each stake issued should be tagged with the number of the permit. No action was taken. Mr. Robertson examined the work of Mr. Vanderbeck in Wickham Creek and reported that he felt the permit should be issued. Application of Alfred P. Cook is to be examined by Mr. Dawson and Mr. McNulty. A letter was sent to Shanley and McKegney, Counselors at Law, 233 Broadway New York, 10007, to find out if they would be interested in representing the Town Trustees in the case of William Victoria regarding Corey Creek, Southold, N.Y. ( A copy of letter on page 50) Adjournment. Mari n A. gent, Secretary Southold o Trustees -00 (\'paY; .®N. 7- - -- 8 #1,41,4#11104111 . IT 7.1 mz _,.. +.M.0 IN 4Ifo II 24 NS ' Aire*, # 011,00 -',..;,'0'' 41N:9 Ifr41 rifq ''''' 1°.4.*N401610400,..'' ':-;-- ''' \08.1.02 N it ,, 4,, A, 40, If . _„ , 0.,m 11,1/4. V,* - . . A 00-02-02 :11-02 9 ...o, q. �aloft � Ti41-0.' ' '.•,:.I :-''--‘,40-- - filo Av...w v(1 . a 00\ . ‘ MT-40 10' i TOSIt 011.01.00 .. WI 0, Oil' . ST I Wile04 V 101 , ,,,:‘. iseab:40 . _ .1 0 . atarositot_mosti,gir A . ow _ .,,,, wit,____.1 .ii.. ihrEaa.Lwok . ,.® • \ o- ,,,,. k-,-, ,7,(0.:_. \ \I 4410111,,,, ,. _40001. c).. ,4. 001,1 o ;; ((�� ___. • \ I i 1 0 0 ,,,, MI _ A Ida 6 4110,11A 1 . , '. . ,::::' ...,L, ,, MM. W.M1101 - 1: ,:_ ::-A, vi zacistatNilir",000 - ' m \ ,ate. ., tribOr. "Al *-....,A' 0* N m" ie. -,' -,-- Runk . Ir. „ -- . 4 1 101 44, ii* 10114- X\\ V \ •O,g. . - r y ! 3-,. . _____ . ....„,„-T4so* , %oho, _ . . .-, ,',44 lil;il oir, . ,I. .10 ,,...o., — ' .. 29 p 1eft . . N - 44.154P '` wt a „;r TA zvcl '.\r i onXNo._, ` <. •� CN Z_ . .. FQ XE tt Awr — __, ' 4 to. 44 L v _�_ r R, �� — ��� �' — NOTICE a ; COUNTY OF SUFFOLK © E mX-o acon,un+ • SECTION No O...W — t _ _ -.. 7_7= `�(, Real Property Tax Service Agency E —O_ "` " W `"""C.N a.X....X.n. wkra 111 Ur.... a r utNq-au -•,� -��� rr ��'�- r,r--w,-- ruv ,anw a psrxKtw ,M P PROPERTY MAP ,F rkrJ 'ICI ZIVI1.1.- 0../1711CI tapuatc,U141W1,!7 iv,tl.lW3i y,11101110-itt4L{ty# 3 ci" >.' x;.. l'I� -14 File Edit View Tooloar Window H 41 W a Izo i 11 1 ► /I ca E Varia l=1 10 t ` 0 • .111.-1-2 473889 Southold Active RIS:1 School: Mattituck Schoc Hunt Healy C APRT Trst Roll Year::2012 Curr Yr 1 Family Res!Wtrft Land AV: 3,100 2400 Broadwaters Rd Land Size:1.75 acres ;. Parcel 111.-1-2 Owner I Tax Bill Mailing Address i 3rd Party Address i Bank :....: History ? Assessmenf otal 1 Owners:To a'en click the a' 'ra'riffle raw Rr t ht Click to Add _ i ' ,-..1 SpeC Diet(e) _..__. ' .�.,. . Description it Owner(s) Images Gis i,w„ Site 1)Res Last Name/Company First Name MI: Jr Sr etc. Hunt Healy C APRT Trst I 1 1Attentian To/In Care Of: Additional Address: 'Street No Prefix Dir: Street/Rural Route: St Suffix: _Post Dir UnitName: Unit No: I lr1 _ Po Box No: City/Town: State: Zip Code: 708 Cutchogue IN v. E11935- 1 ;Country:enter if not"U,....." Bar Cd: Ownership:e.g. Life Use Owner Type TRUST' IP-Primary 7 I 3t Ready / x ID =Ar EN-CONSULTANTS February 20, 2015 John Bredemeyer, Chairman Board of Trustees Town of Southold �~ P.O. Box 1179 1 �.....- �>I Southold,NY 11971 FEB 2 5 2015 f Re: Haywaters Road,LLCt 75 Havwaters Road,Cutchogue Dear Mr. Bredemeyer: As discussed during the February 18, 2015, public hearing on the captioned application, please find enclosed three (3) copies of a project plan prepared by En-Consultants, last dated February 19, 2015, which has been revised to 1) correct the proposed ramp length to 16'; and 2) note that the beam of any vessel docked on the seaward side of the proposed float is not to exceed 9 feet, as required by the Board of Trustees. As I noted during the public hearing, although the length of the proposed ramp was incorrectly labeled as 14' on the plans submitted with the application, the ramp length scaled correctly to 16' on the plan view, and the staking witnessed by the Trustees accurately reflected a 16' long ramp. Both the plan view and crossview now accurately depict a 16' long ramp. Should you have any questions or require any further information from me regarding the above,please let me know. Resp-ctfully yours, • Robert E. Herrmann Coastal Management Specialist 1319 North Sea Road I Southampton,New York 11968 I p 631.283.6360 f 631.283.6136 www.enconsultants.com environmental consulting • pF • OFFICE LOCATION: AN‘ O MAILING ADDRESS: Town Hall Annex ���' �0 '' : P.O. Box 1179 54375 State Route 25 * * Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 `� -Ct. Telephone: 631 765-1938 ' COUrt* ''l' LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM -- if ,; To: John Bredemeyer, President FEB 1 1 2015 Town of Southold Board of Trustees From: Mark Terry, Principal Planner �.�,.. S LWRP Coordinator Date: February 10, 2015 Re: Local Waterfront Revitalization Program Coastal Consistency Review for HAYWATERS ROAD, LLC SCTM# 1000-111-1-2 En-Consultants on behalf of HAYWATERS ROAD, LLC requests an Amendment to Wetland Permit #492 to modify the existing "L" shaped fixed dock as follows: maintain existing +/-4'x32' fixed timber catwalk and +/-4'x1.5' steps at landward end; and in-place of 5.3'x16' fixed "L" shaped platform to be removed, construct a +/-4'x5.3' extension to seaward end of catwalk; a 3'x14' ramp; and a 6'x20' "L" shaped floating dock secured by (2) 8" diameter piles. Located: 75 Haywaters Road, Cutchogue. SCTM# 1000-111-1-2 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my determination that the proposed actions are INCONSISTENT with the below listed LWRP policies and therefore is INCONSISTENT with the LWRP: The purpose of the dock extension has not been identified. • • .t► ,. T a.F +&fir ✓✓"" ,..d.�,m �, C{c.1e'ei r!h 1w f..L1+ r 1 *0 = o•AN C 5{'2it4 41'OD?139"N ?2'271 71"W'#4,N 1* 6,4 M. 543 tt£k Figure 1. Current dock length with proposed extension shown with white line. Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems 6.1 Protect and restore ecological quality throughout the Town of Southold. 6.2 Protect and restore Significant Coastal Fish and Wildlife Habitats. 6.3 Protect and restore tidal and freshwater wetlands. The applicant has not demonstrated that the following dock standards pursuant to § 275-11. Construction and operation standards have been met. (d) Review and approval of dock applications. Before issuing a permit for a dock structure, the Trustees shall consider whether the dock will have any of the following harmful effects: [1] Whether the dock will impair navigation or be located in areas of high vessel traffic or vessel congestion; [2] Whether the dock will unduly interfere with the public use of waterways for swimming, boating, fishing, shellfishing, waterskiing and other water-dependent activities; Private dock structures extending into public waters decreases the public use of bottomlands and the nearshore area. [5] Whether the dock will cause degradation of surface water quality and natural resources; The action is proposed to be located within a New York Department of State Significant Coastal Fish and Wildlife Habitat Area Cutchogue Harbor Wetlands (Figure 2). The construction of dock structures in these areas results in the loss of littoral and marine habitats. The COASTAL FISH & WILDLIFE HABITAT ASSESSMENT FORM (attached ) states that "Unrestricted use of motorized vessels including personal watercraft in the protected, shallow waters of bays, harbors, and tidal creeks can have adverse effects on aquatic vegetation and fish and wildlife populations. Use of motorized • • vessels should be controlled (e.g., no wake zones, speed zones, zones of exclusion) in and adjacent to shallow waters and vegetated wetlands." Y 1 r' I ley\-^6 '!.�y,'�; lA�yyL �_ y. ,. s, '4 yit9K .1 ,✓.. �, It ,� ,,,•N, ,�y .-� rn.' \ �_©..140:4,A moi? L. . t I T T L E '1, iv • -1[0-''Aitt: ., ,vallic...,...:4,,,,-:_.-titAt w itt `' 1 Fye , vitt 1 2' r c...,., t.44:1 t S ,- ...,: ,,, ,_2:...tio: ,,;06, 31 , S , . ,, ,,.. .e..4:.,,,..._.%. ,.. . .f, ,,,,,,,. -4.,_..,,*-, ,, ., e. „ I 1 ,, t � A � y� 9 „ p L h .` `. . ty4 ,t__---, 4CRCFIIX.UP.HAR@OR `{4 W 1. '.3 ' W �., Awl . • •M +.' i ee:., O(HI'NS CRFLK ,A U i'M,,a �;�l�ll�� .\ I EES _ low-lig w» 2 u it .i► ',.... m NORT& • • OWNS ISLAND . i di ai ... _. _ l,mac.. _ Figure 2. Significant Fish and Wildlife Area [11] Whether the cumulative impacts of a residential and commercial dock will change the waterway or the environment and whether alternate design, construction, and location of the dock will minimize cumulative impacts; and The alternative use of seasonal moorings in areas of low biological productivity and with adequate water depths is a better option to accommodate vessels requiring greater water depths. [12] Whether adequate facilities are available to boat owners and/or operators for fueling, discharge of waste and rubbish, electrical service and water service. 9.3 Preserve the public interest in and use of lands and waters held in public trust by the state and the Town of Southold. A. Limit grants, leases, easements, permits or lesser interest in lands underwater in accordance with an assessment of potential adverse impacts of the proposed use, structure, or facility on public interest in public lands under water. The dock structure will extend further into public waters resulting in a net decrease in public access to public underwater lands and the nearshore area. The applicant currently enjoys access to public water via an existing private, dock structure. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed actions. Cc: Lori Hulse, Assistant Town Attorney • • COASTAL FISH& WILDLIFE HABITAT ASSESSMENT FORM Name of Area: Cutchogue Harbor and Wetlands Designated: March 15, 1987 Date Revised: May 15,2002 County: Suffolk Town(s): Southold 7'/2 Quadrangle(s): Southold,NY; Southampton,NY Assessment Criteria Ecosystem Rarity(ER)--the uniqueness of the plant and animal community in the area and the physical,structural,and chemical features supporting this community. ER assessment: Bay-wetland complex,unusual in northern Long Island,but degraded in places by marina/residential development. Calculation:,x(16 x 9)= 12 Species Vulnerability(SV)--the degree of vulnerability throughout its range in New York State of a species residing in the ecosystem or utilizing the ecosystem for its survival. SV assessment: Least tern(T),piping plover(E,T-Fed),and osprey(SC)nesting. Calculation: 36+(25/2)+(16/4)= 52.5 Human Use(HU)—the conduct of significant,demonstrable commercial,recreational, or educational wildlife-related human uses,either consumptive or non-consumptive,in the area or directly dependent upon the area. HU assessment: Commercial and recreational scalloping significant to Suffolk County. Clamming significant at the town level. 4 Population Level(PL)--the concentration of a species in the area during its normal, recurring period of occurrence, regardless of the length of that period of occurrence. PL assessment: Concentration of osprey is significant at the county-level. 4 Replaceability(R)--ability to replace the area,either on or off site,with an equivalent replacement for the same fish and wildlife and uses of those same fish and wildlife,for the same users of those fish and wildlife. R assessment: Irreplaceable. 1.2 Habitat Index= [ER+SV+HU+PL] =72.5 Significance=HI x R=87.0 Page I of 8 • 1110 NEW YORK STATE SIGNIFICANT COASTAL FISH AND WILDLIFE HABITAT NARRATIVE CUTCHOGUE HARBOR AND WETLANDS LOCATION AND DESCRIPTION OF HABITAT: Cutchogue Harbor and its adjacent wetlands are located west of Little Hog Neck, opening into Little Peconic Bay in the Town of Southold, Suffolk County(7.5' Quadrangles: Southold,NY and Southampton,NY). This approximate 490 acre habitat includes the shallow open water area of Cutchogue Harbor(205 acres)and three adjacent, distinct tidal wetland/creek areas: Wickham Creek, Haywater Cove, and Meadow Beach(Horseshoe Cove). The Wickham Creek area contains approximately 70 acres of undisturbed tidal creek and Salt Marsh located behind a low beach on Cutchogue Harbor. The Haywater Cove area consists of approximately 190 acres of Salt Marsh islands, mudflats, open water and tidal Creek including East Creek, Mud Creek and Broadwater Cove. All three of these tidal creeks have been disturbed to some extent by adjacent residential and recreational development. The Meadow Beach area is an approximate 25 acre area, including a 15 acre wetland preserve owned by the Nature Conservancy,bordered by undeveloped wooded shoreline. Much of the Cutchogue Harbor and Wetlands area receives moderate summer recreational use, including recreational boating in the coves and creeks. FISH AND WILDLIFE VALUES: The Cutchogue Harbor and Wetlands complex represents a valuable ecosystem area in northern Long Island. Although the three wetland sites are relatively small, and subject to human disturbances, they provide suitable habitat for a variety of coastal wildlife species, including osprey(SC), least tern (T),piping plover(E,T-Fed)and diamondback terrapin. Osprey have nested in the area for many years using man-made nesting platforms placed at Wickham Creek and Meadow Beach. The Meadow Beach nesting site has been especially productive in past years, and has served as a source of young birds for the NYSDEC's "hacking" program in western New York. A nesting platform in Haywater Cove historically has been active and is an important potential nesting site. Meadow Beach supported a relatively small nesting colony of least terns of 20-60 pairs during 1982-1985. These numbers declined between 1986-1991 (ranging from 13-24 pairs). Least tern have nested sporadically since 1991 (1 pair in 1993; 14 pairs in 1997). Up to 4 pairs of piping plover nested at Meadow Beach and Wickham Creek during the early 1980s,but similarly, numbers of this species have declined to an annual average of 1 nesting pair between 1987 and 1996. The peak number of nesting piping plover pairs in the area during this period was 2, occurring in 1994. Diamondback terrapin nest in the Haywater Cove area, and up to 20 nests were reported from the Page 2 of 8 ! • marsh areas at the mouth of Wickham Creek in 1996. This area may provide important breeding habitat for horseshoe crab, but additional documentation is required. The Cutchogue Harbor Wetlands serve as valuable feeding areas for the species noted above,as well as for herons, egrets,waterfowl, shorebirds,and a variety of other wildlife species. Bird species that are probable or confirmed inhabitants of the area include green heron, yellow-crowned night heron, Canada goose, mallard, American black duck,clapper rail,killdeer,belted kingfisher,red-winged blackbird, and sharp-tailed sparrow. Double-crested cormorant reportedly use surrounding creeks. Cutchogue Harbor and Wetlands are very productive areas for marine finfish and shellfish. The marshes, mudflats and tidal creeks contribute significantly to the biological productivity of Cutchogue Harbor and adjoining portions of the Peconic Bays. Historically,eelgrass beds were present in the southwestern portion on the harbor, supporting a large number of commercial scallop houses in New Suffolk to the west. The Cutchogue Harbor area is one of the top areas in Southold for the harvesting of scallops and clams. The level of scalloping is significant at the county level. Clamming is significant to the Town of Southold. There is also a conch fishery of local importance. An administrative closure is in effect between May 15 and October 31 for Broadwater Cove and Wickham Creek. East Creek is closed to shellfishing year round. Blue crab are harvested locally for recreational purposes. The wetlands and tidal creeks serve as nursery and feeding areas(April-November, generally) for many estuarine fish species, including scup and winter flounder. IMPACT ASSESSMENT: Any activity that would substantially degrade the water quality in Cutchogue Harbor or the adjacent wetlands and creeks, would adversely affect the biological productivity of this area. All species of fish and wildlife may be affected by water pollution, such as chemical contamination (including food chain effects resulting from bioaccumulation), oil spills, excessive turbidity, stormwater runoff, and waste disposal, including boat wastes. It is essential that high water quality be maintained in the area, through control of sewage discharges from recreational boats and upland sources. Alteration of tidal patterns in the Cutchogue Harbor Wetlands(e.g., by modifying the inlets) could have major impacts on the fish and wildlife species present. Dredging in Cutchogue Harbor should be scheduled from September 15 through December 15 to minimize potential impacts on aquatic organisms and to allow for dredged material disposal when wildlife populations are least sensitive to disturbance. Dredged material disposal that alters creek inlets or tidal flow would negatively impact the habitat value of this site. Such impacts are reported to exist already at a dredged material disposal site in the Meadow Beach area,where tidal flow has been altered causing erosion of the marsh and shoaling to the north. Barriers to fish migration, whether physical or chemical, into Wickham Creek or Haywater Cove would have a major impact on the fisheries. Restoration of fisheries habitat through removal of such barriers, or other means, should be considered for the Cutchogue Harbor and Wetlands area. Page 3 of 8 ! • Unrestricted use of motorized vessels including personal watercraft in the protected, shallow waters of bays, harbors, and tidal creeks can have adverse effects on aquatic vegetation and fish and wildlife populations. Use of motorized vessels should be controlled(e.g., no wake zones, speed zones, zones of exclusion)in and adjacent to shallow waters and vegetated wetlands. Elimination of salt marsh and intertidal areas,through loss of tidal connection,dredging, excavation, or filling, would result in a direct loss of valuable habitat area. Dredged material disposal in this area would be detrimental, but such activities may be designed to maintain or improve the habitat for certain species of wildlife, especially nesting shorebirds. Construction of shoreline structures, such as docks, piers,bulkheads, or revetments, in areas not previously disturbed by development, may result in the loss of productive areas which support the fish and wildlife resources of the Cutchogue Harbor area. Alternative strategies for the protection of shoreline property should be examined, including innovative, vegetation-based approaches. Control of invasive nuisance plant species,through a variety of means, may improve fish and wildlife species use of the area and enhance overall wetland values. Restoration opportunities may exist for eelgrass habitat in the western nearshore area of the harbor mouth. Eelgrass beds require high water quality for survival, and the existence of appropriate environmental conditions for eelgrass restoration should be carefully examined. Nesting shorebirds inhabiting Cutchogue Harbor and Wetlands are highly vulnerable to disturbance by humans, especially during the nesting and fledging period(March 15 through August 15). Significant pedestrian traffic or recreational vehicle use of the beach could easily eliminate the use of this site as a breeding area and should be minimized during this period. Recreational activities (e.g., boat and personal watercraft landing, off-road vehicle use, picnicking) in the vicinity of bird nesting areas should be minimized during this period. Predation of chicks and destruction of eggs or nests by unleashed pets(e.g., dogs, cats)and natural predators may also occur, and predator control should be implemented where feasible. Fencing and/or continued annual posting of shorebird nesting areas should be provided to help protect these species. Control of vegetative succession,through beneficial use of dredged material or other means may improve the availability of nesting habitat in this area. Page 4of 8 ! ! KNOWLEDGEABLE CONTACTS: Habitat Unit NYS Department of State Division of Coastal Resources 41 State Street Albany,NY 12231 Phone: (518)474-6000 NYSDEC—Region 1 State University of New York, Building 40 Stony Brook,NY 11790-2356 Phone: (631)444-0354 Wildlife Manager NYSDEC—Region 1 State University of New York, Building 40 Stony Brook,NY 11790 Phone: (631)444-0310 Bureau of Marine Resources NYSDEC 205 N. Belle Meade Road, Suite 1 East Setauket,NY 11733 Phone: (631)444-0430 Finfish and Crustaceans NYSDEC 205 N. Belle Meade Road, Suite 1 East Setauket,NY 11733 Phone: (631)444-0436 New York Natural Heritage Program Wildlife Resources Center 700 Troy-Schenectady Road Latham,NY 12110 Phone: (518)783-3932 Town of Southold Town Hall 53095 Main Road; P.O. Box 1179 Southold,NY 11971 Phone: (631) 765-1801 Page 5 of 8 • 0 Office of Ecology Suffolk County Dept. of Health Services Bureau of Environmental Management County Center Riverhead,NY 11901 Phone: (631) 852-2077 Seatuck Research Program Cornell University Laboratory of Ornithology P.O. Box 31 Islip,NY 11751 Phone: (631) 581-6908 NYS Sea Grant Extension Service Cornell University Laboratory 3905 Sound Avenue Riverhead,NY 11901 Phone: (631) 727-3910 Cornell Cooperative Extension Marine Program 3690 Cedar Beach Road Southold,NY 11971 Phone: (631) 852-8660 Paul Stoutenburgh 4015 Skunk Lane Cutchogue,NY 11935 Phone: (631) 734-6605 Page 6of 8 (AVIV IF, Nr:, I w.. N„, -,---)7,1‘.;.. ....., , r`-7..„..,..- ,,,,-, •,‘„ ifeliwit:; : •..,- 4, 1,1ff . ,, ,, ., , ,,,,e, , gre,... \,' ,„,1.' , ., •lio •_2:1 AV . 1 ! MOO so 1 imioi as 1 • ., • k"..../ I' ',_ ' Slob" ' '',tr. IsAL.,04.1100,-„,s4..,710,41„ ,, oi, • ,•-•Atio, , f'd I \ 1 ' -.--' *** . ' 4%:' t.....7 . .;. drii?1, 4,,, re;i ,- • _.,,,, .....,210.0 Aakt t LITTLE CREEK&BEACH '../., •-.. , .:* •••c' "' ' •i', °,-;'-r- - ''' .4, 4,irik.. N. V Irlit,,x ,-"4".`- -- - , 16.• + 1- .". , * r ' Nt4140 1 *11"' `'N 6. -• '' 'Ai f;:? '' A,. 410 .t,t, 40,.41140,i ‘t, LITTLE \ Clt*' ''' '' ' 441-04*VI'•:; I*•1413I..ciiltiP.,". % " . 411 .. .... „., As..., 4 __„Ndr 1..., „..../1 C- -.,-- for,S,,ror •• 111 , i•i. s ,,,,,, " 1 41 . ' '.....—'41.,:fik„.y-1'.' '"'-%‘,..-. .....p,e;-'4.--k,..NN,• , -'\:- \ C>. ,,,,,-- • p• -•1/4,--'• ;4,,, 4,Th,91111 t .'4,,liots.0\1 .t.c.) -41/49lte;•;10 Ittpili " , •fr k4 ,.. j` "'') Iiikk :.•''' ::120,4 V:V.7):::4101,thog'ut, , It`.7,[ 1,,,,A9tit-', \7414 i .5 ''.. , .:-. . !yr/ •him m-.- A ‘,..k.:_,- ,,, -,,,,,,, • ,Atk , -t‘..:: :,- , 1,1' ' . •"..s%X' 4 It oTtititIL.m.114. ••••-, ,z,„,-..- 1 iok ... dit,i _ ..1_,... , . 4 „,r,„ r.:„.,_,,,,,,,,, 8 tlia, / '11:arit or as I = 1 a.> I :t" 1' ,,,..,,,, ..‘f *-4 -, -70 ,,y, iii • , -, ,,,, frte . --..,'e n`".01:.;k' ;0\1' .. 1 5 . ye" 11 ..to i . ik 0. I/AV CUTCHOGUE HARBOR '4.'1-/l • g )6 t. ... •- 6 N'llib &WETLANDS — - . s •., ,,.. ,Ii z 41 lqt -8 ... . . v .'= a °.,:s ., \lel . V"...-1-4...1.---7.w, •:1,017----...Arit,:- = 1 8 8"1"Ni ‘.•- .;) fit IC , 'i II it"*Sng''`IOW" • . . . C:2 g I %WA-. - . • •• So 0 U T n H 0 L D • , .16,01,1,4 poilr"" 1 OA,iike- ----i- ' 7 • NoRTH , A C E31 .0 00 • WO}IA Calt0:11r,a6.•:,...t.,..10:0:711MON113.,..1.0...43hOWIlon.l01,01V.pr....1 t 5.4,01966.0 S ,.. •.... 0 a,-e4 I bf) 1 "Cil i 1 I . • 31 SO„. 1 ' 1 5 I ii I • I • BINS ISLAND 6. .,4014106, ' • • A 1111 . . - To print on 8.5 x 11 set printer to Fit to Print or reduce by 64% Page 7 of 8 gyfFQ(,,, Peter Young,Chairman § - ; Town Hall,53095 Main Rd. Lauren Standish,Secretary '% ,. P.O.Box 1179 d 't.' Southold,NY 11971 '•,SIO `d Telephone(631)765-1889 4 *It' '°. Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., February 11, 2015 the following recommendation was made: Moved by Keith McCamy, seconded by Jack McGreevy, it was RESOLVED to SUPPORT the application of HAYWATERS ROAD, LLC to Amend Wetland Permit #492 to authorize the modification of the existing "L" shaped fixed dock as follows: maintain existing +/-4' X 32' fixed timber catwalk (and +/-4'X 1.5' steps at landward end); and in place of 5.3'X 16' fixed "L" shaped platform to be removed, construct +/-4'X 5.3' extension to seaward end of catwalk, a 3'X 14' ramp, and a 6'X 20' "L" shaped floating dock secured by (2) 8" piles. Located: 75 Haywaters Rd., Cutchogue. SCTM#111-1-2 Inspected by: Keith McCamy Vote of Council: Ayes: All Motion Carried FEB 1 3 5 ,�,,,,, Town Hall Jill M.Dougherty,President ,dr53095 Route 25 James F.King,Vice-Presidente'I'b d P.O. Box 1179 Dave Bergen '�� Southold,New York 11971-0959 Bob Ghosio,Jr. ti tR Telephone(631)765-1892 John Brederneyer te0 61. . � Fax(631)765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD !rt,_, II 111 JAN 142015 LETTER OF REQUEST FOR AN AMEND NT DATE January 8,2015 Haywaters Road,LLC OWNER c/o William Isaacson,Managing Member PHONE 561-289-1100 336 E.Alexander Palm Road ADDRESS Boca Raton,FL 33432 AGENT En-Consultants PHONE 631-283-6360 ADDRESS 1319 North Sea Road,Southampton,NY 11968 PROPERTY LOCATION 75 Haywaters Road, Cutchogue TAX MAP NO. #1000-111-1-2 dye En-Consultants for Haywaters Road,LLC request an Amendment to Permit# 492 to authorize the modification of the existing"L"shaped fixed dock as follows: Maintain existing+/-4'x 32' fixed timber catwalk(and+/-4'x 1.5'steps at landward end);and in place of 5.3'x 16'fixed"L"-shaped platform to be removed,construct+/-4'x 5.3'extension to seaward end of catwalk,a 3'x 14'ramp,and a 6'x 20' "L"-shaped floating dock secured by(2)8"piles,all as depicted on the project plan prepared by En-Consultants, dated December 29,2014. Signed By: r��a Sel\)/ Robert E.He ann,Coastal Management Specialist C)' �6' \(3 • 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part I-Project Information.The applicant or project sponsor is responsible for the completion of Part 1.Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available.If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1.You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part I-Project and Sponsor Information Name of Action or Project: Haywaters Road Dock Project Location(describe,and attach a location map): 75 Haywaters Cove Road,Cutchogue,Town of Southold, Suffolk County; SCTM#1000-111-1-2,property is located on northwest corner of Haywaters Road and Broadwater Road,refer to provided maps. Brief Description of Proposed Action: Modify Wetlands Permit 492 to authorize the modification of the existing"L"shaped fixed dock as follows: Maintain existing+/-4'x 32'fixed timber catwalk(and+/-4'x 1.5'steps at landward end);and in place of 5.3'x 16'fixed "L"-shaped platform to be removed,construct+/-4'x 5.3'extension to seaward end of catwalk,a 3'x 14'ramp,and a 6' x 20'"L"-shaped floating dock secured by(2)8"piles,all as depicted on the project plan prepared by En-Consultants, dated December 29,2014. Name of Applicant or Sponsor: Telephone: 561-289-1100 Haywaters Road,LLC E-Mail: isaacson8337@bellsouth.net clTham Isaacson,Managing Member 336 E.Alexander Palm Road City/PO: State: Zip Code: Boca Raton Florida 33432 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2.If no,continue to question 2. X 2.Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes, list agency(s)name and permit or approval: DEC,COE,DOS X 3.a.Total acreage of the site of the proposed action? 1.82 acres b. Total acreage to be physically disturbed? N/A acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 1.82 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban 0 Rural(non-agriculture) ❑Industrial 0 Commercial ®Residential(suburban) 0 Forest 0 Agriculture ®Aquatic 0 Other(specify): ❑Parkland Page 1 of 4 • 5.Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? X b.Consistent with the adopted comprehensive plan? X 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? X 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: Name:Cutchogue Harbor;Peconic Bay and Environs,Reason:Significant coastal fish&wildlife habitat; Protect public health,water,vegetation,&scenic beauty,Agency:Town of Southold 3-24-88;Suffolk County,Date:7-12-88 X 8.a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES X b.Are public transportation service(s)available at or near the site of the proposed action? X c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? x 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: N/A 10.Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: N/A 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: N/A 12.a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? X b.Is the proposed action located in an archeological sensitive area? X 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? X b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: Proposed dock X extension will occupy approximately 162 s.f.of Haywater Cove,so after removal of approximately 62 s.f.of existing dock,approximately 100 s.f.of additional area is proposed. 14. Identify the typical habitat types that occur on,or are likely to be found on the project site.Check all that apply. ® Shoreline 0 Forest 0 Agricultural/grasslands 0 Early mid-successional ® Wetland 0 Urban ®Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? X 16.Is the project site located in the 100 year flood plain? NO YES X 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? ❑NO 0 YES X b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: 0 NO 0 YES Page 2 of 4 • 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: X 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: X 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: X I AFFIRM THAT THE INFO ATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Rob Herrmann,Coastal Mgmt. Specialist Date: January 12,2015 Signature: /:a Part 2-Impact Assessment.The Lead Agency is responsible for the completion of Part 2.Answer all of the following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer.When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3.Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or / affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 . • • No,or Moderate small to large impact impact may may i occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? 11.Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance.The Lead Agency is responsible for the completion of Part 3.For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part I Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts.Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude.Also consider the potential for short-term,long-term and cumulative impacts. 0 Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an al environmental impact statement is required. 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. s0I-L14 -Tv s- 5 30- 1 Name of ad Agr cy Date S'Uh l+t � n, eke a 6 , Print or Type h• e of Respo sible Off er in I ead Agency Title of Responsible Officer Signat if Respo a Officer in Lead ency Signature of Preparer(if different from Responsible Officer) Page 4 of 4 • • • PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: Joyce Richards 84-16 85th Drive Virginia Dupree Woodhaven,NY 11421 Stanley&JoanKeating 35 Brettonwood Drive (-�y'� Simsbury,CT 06070 I Carol Donargo 370 First Avenue Li New York,NY 10010 JAN 3 0 2'15 Martinez-Fonts Jr.2012 2425 L Street NW Revocable Trust Washington,DC 20037 Barbara Kumer 600 Haywaters Road Cutchogue,NY 11935 Elizabeth Homan P.O.Box 738 Cutchogue,NY 11935 STATE OF NEW YORK COUNTY OF SUFFOLK Robert E.Herrmann doing business at En-Consultants 1319 North Sea Road Southampton,NY 11968 , being duly sworn, deposes and says that on the 23rd day of January ,20 15 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at Southampton , that said Notices were mailed to each of said perso s by (certified) X : awimiX1) mail . OP Robert . • ann Sworn to before me this 26th Coastal Management Specialist day of January ,2015 401111Ai�..,u KIM H . STEPHENS S Notary P 1.lic NOTARY PUBLIC STATE OF NEW YORK COMMISSION NO . 5015931 QUALIFIED IN SUFFOLK COUNTY EXPIRES AUGUST 2 , 2007 4 U.S. Postal Service"" U.S. Posta ;rvice- f. CERTIFIED MAIL® RECEIPT CERTIFIED MAIL° RECEIPT rl Domestic Mail Only ..D Domestic Mail Only njrn". For delivery information,visit our website at www.usps.com M For delivery information,visit our website at www.usps.com ru OFFICIAL USE r-. 's, rl .-4 OFFICIAL al y c`. a Postage $ [� Postage $ ;, :. cp 4' Certified Fee Certified Fee r rY I ./ Postmarlt rrl Po O Return Receipt Fee Here 0 Return Receipt Fee He C7 (Endorsement Required) a C I (Endorsement Required) O Restricted Delivery Fee Ch �O Restricted Delivery Fee "C1 i n�} (Endorsement Required) C7 (Endorsement Required) ru IL rl Total Postai-° !/'n rl Total Posta ru ru Joyce Richards — sent roV irginia Dupree z.- t lb Stanley&Joan Keating r-3 Street85th o s�rreeraapt. 35 Brettonwood Drive 0 84-16 Drive N or PO Box N' Simsbury,CT 06070 r or PO Box Alt -' City,Stets,Z City,State,z, Woodhaven,NY 11421 __ ,_ _ • m,. PS Form 38t ].-- PS Form 380., • v • U.S. Postal Servicer"' U.S. Postal Service'° CERTIFIED MAIL° RECEIPTCERTIFIED MAIL® RECEIPT 4] Domestic Mail Only Domestic Mail Only For delivery information,visit our website at www.usps.com m For delivery information,visit our website at www.usps.com"`. ni ru OFFICIAL USE OFFICIAL USE ,-1r-.1 Q O �dr�\.. C3 Postage $ c'�. CI Postage . �� Certified Fee ,` Certified Fee s/Q ' � r►l Postmark r�t i ),Posbnark .__ C7 Return Receipt Fee Here C ClReturn Receipt Fee 111111111t, C�yere fCI (Endorsement Required) (Endorsement Required) _ri; CI ''^ Cl Restricted Delivery Fee Restricted Delivery Fee IIIIIIIIIIIII f.� % 1:3 (Endorsement Required) (Endorsement Required) �1'�t-'--->Or'=J,,// ru ru '`a' r'l.;t.n O ra Total Postage'- . i Total Poe'^^^°.'"' `f Martinez-Fonts Jr. 2012 ruSent To Sent To Carol Donargo Revocable Trust ra o Street&I 30 First Avenue C] or°oa �o.° 2425 L Street NW r.. or PO Box No. N or PO Bo New York,NY 10010 --- City,State,ZIP+ Washington,DC 20037 city,scan PS Form .-..�..-1.-.�,_�••,.nrau. PS Form 3800, - U.S. Postal Servicer' U.S. Postal Service" CERTIFIED MAIL® RECEIPT CERTIFIED MAIL° RECEIPT r-1DomesticDomestic Mail Only Qom• Domestic Mail Only For delivery information,visit our website at www.usps.com`. MFor delivery information,visit our website at www.usps.com'''. r1J rU }, OFFICIAL 0 NA C] Postage $ ? Cl Postage $ 43 i rt I Certified Fee �i fl l Certified Fee PonhS+Nk d Return Receipt Fee Postmark CI Return Receipt Fee Here CICI (Endorsement Required) Here .'' C I (Endorsement Required) Restricted Delivery Fee CI Restricted Delivery Fee ci (Endorsement Required) Q (Endorsement Required) ru r-a Total Postage-- ,-R Total Postage P' T N _ n_I . .- Sent To Barbara Kutner �. Sent To Elizabeth Homan Cl Street&Apt.N 600 Haywaters Road -• r-gstr�tadpt.nt°: P.O.Box 738 f,- or PO Box No. Cutchogue,NY 11935 .. o SrPOBox No. Cutchogue,NY 11935 City,State,ZIP City,State,ZIP+. PS Form 3800, - - - - - rr ion' PS Form 3800, - _ . • • NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD t' In the matter of applicant :Haywaters Road,LLC fir, r' I 11 � t? SCTM#1000- 111-1-2 JAN 3 0 2015 YOU ARE HEREBY GIVEN NOTICE : 1 . That it is the intention of the undersigned to request a Permit from the Board of Trustees to: Modify Wetlands Permit 492 to authorize the modification of the existing"L"shaped fixed dock as follows: Maintain existing+/-4'x 32'fixed timber catwalk(and+/-4'x 1.5'steps at landward end);and in place of 5.3'x 16'fixed"L"-shaped platform to be removed,construct+/-4'x 5.3'extension to seaward end of catwalk,a 3'x 14'ramp,and a 6'x 20'"L"-shaped floating dock secured by(2)8"piles,all as depicted on the project plan prepared by En-Consultants,dated December 29, 2014. 2 . That the property which is the subject of Environmental Review-is located adjacent to your property and is described as follows: 75 Haywaters Road,Cutchogue 3. That the project which is subject to Environmental Review under Chapters 32, 37, or 97 of the Town Code is open to public comment on:Wed.,Feb.18,2014@5:30 pm You may contact the Trustees Office at 765-1892 or in writing . The above referenced proposal is under review of the Board of. Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal . Haywaters Road,LLC c/o William Isaacson, OWNERS NAME : Managing Member Agent:En-Consultants MAILING ADDRESS: 336 E.Alexander Palm Rd. 1319 North Sea Road Boca Raton,FL 33422 Southampton,NY 11968 PHONE # : 561-289-1100 631-283-6360 Enc . : Copy of sketch or plan showing proposal for your convenience . 5 • • John Bredemeyer, President ostFFot;*---_ Town Hall Annex Michael J. Domino, Vice-President ./0 coo-% 54375 Route 25 James F. King �, P.O. Box 1179 Dave Bergen y �� Southold, NY 11971 • Charles J. Sanders = '�l , , �a°�0' Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of HAYWATERS ROAD, LLC COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR EIGHT DAYS I, Robert E. Herrmann ,r g. /dba Fn-Consultants 1319 North Sea Road, Southampton, NY 11968 being duly sworn, depose and say: That on the 10 day of February , 2015 , I personally posted the property known as 75 Haywaters Road, Cutchogue; SLIM #1000-111-1-2 by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday, February 18,2015. Dated: (signature) Sworn to before me this 18 day of Feb 20 15 tary 'ublic KIM H . STEPHENS NOTARY PUBLIC STATE OF NEW YORK COMMISSION NO . 5015931 QUALIFIED IN SUFFOLK COUNTY EXPIRES Al S (S12.1 l0L7 NOTICE OF HEARING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: HAYWATERS ROAD, LLC SUBJECT OF PUBLIC HEARING : An Amendment to Wetland Permit #492 to modify the existing "L" shaped fixed dock as follows: maintain existing +/-4'x32' fixed timber catwalk and +/-4'x1.5' steps at landward end; and in-place of 5.3'x16' fixed "L" shaped platform to be removed, construct a +/-4'x5.3' extension to seaward end of catwalk; a 3'x14' ramp; and a 6'x20' "L" shaped floating dock secured by (2) 8" diameter piles. Located: 75 Haywaters Road, Cutchogue. SCTM# 111 -1-2 TIME & DATE OF PUBLIC HEARING : • Wednesday, February 18, 2015 — at or about 5:30P.M. If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 • • Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) jwatfl� ttL _ ' J �n 1, w,//iW., .�cI,�.u., -s c-yam residing at �� �� 3'? (print owner of property) (mailing address) do hereby authorize ?��✓('nsA,{s (Agent) 4/r7f licr,-70...-, to apply for permit(s)from the Southold Board of Town Trustees on my behalf. .flryl,5jh� f1L�"t7L (Own0 signature) • • Board of Trustees Application tser-c k County of3nffel11k— c-r(i v.%;c L State of-Nevozierlc \\ c sc.) 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 REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLIC• ION. ..411110 ign; .re SWORN TO BEFORE ME THIS \%t� DAY OF i 1gr(-L. ,20 1'1 MY COMMIS310N�EE 201 Notary Public ' �, u 87101 • • 1/0 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town ofpossible conflicts of interest and allow it to take whatever action is pecessary to avoid same. / YOUR NAME: TSl c!vh 4"%/,,�•, ,�' c, x4iyre44�g, Le C-- (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this L 200/4/ Signature Print Name w.//� Form TS 1 Town of Southold • LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS I. All applicants for permermincluding Town of Southold agencies, shall corn plete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review law . This assessor ent is intended to supplement other inform ation used by a Town of Southold agency in making a determination of consistency . *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, th- ' 1: $epartment, all-les libraries and the Town Clerk's office. ' 11 B. DESCRIPTION OF SITE AND PROPOSED ACTION Ilk SCTM# 111 - 1 _ 2 �`" JAN 1 4 2015 I PROJECT NAME Haywaters Road,LLC The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital ❑ construction, planning activity, agency regulation, land transaction) ❑ (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: Modify Wetlands Permit 492 to authorize the modification of the existing"L"shaped fixed dock as follows: Maintain existing+/-4'x 32'fixed timber catwalk(and+/-4'x 1.5'steps at landward end);and in place of 5.3'x 16'fixed"L"-shaped platform to be removed, construct+/-4'x 5.3'extension to seaward end of catwalk,a 3'x 14'ramp,and a 6'x 20'"L"-shaped floating dock secured by(2)8" piles,all as depicted on the project plan prepared by En-Consultants,dated December 29,2014. • • Location of action: 75 Haywaters Road,Cutchogue Site acreage: 1.82 acres Present land use: Residential,single-family dwelling Present zoning classification: R-40 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: Haywaters Road,LLC (b)Mailing address: c/o William Isaacson,Managing Member 336 East Alexander Palm Road,Boca Raton,FL 33432 (c) Telephone number: Area Code 561-289-1100 (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a state or federal agency? Yes ® No ❑ If yes, which state or federal agency?NYS DEC,USA COE,NYS DOS C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. n Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III-Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No ® Not Applicable 411 • Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria ®Yes n No n Not Applicable The modification and extension of the existing,permitted fixed dock structure will not result in a significant or adverse change to the visual or scenic quality of the site,as the structure will remain generally consistent in size and scope with both the existing and other dock structures that characterize this residentially developed waterfront. Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III-Policies Pages 8 through 16 for evaluation criteria ❑Yes n No NI Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III -Policies Pages 16 through 21 for evaluation criteria Yes ❑ No ❑ Not Applicable To the extent that Policy 5 is applicable to the project,the existing fixed"L"section of the existing dock to be removed is constructed entirely of treated lumber,and the proposed catwalk extension,ramp and float will be constructed with untreated decking,thus resulting in a decrease in the amount of treated timber located over the surface waters and wetlands. Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. ®Yes n No ri Not Applicable As the existing permitted fixed dock has lied at this site for more than 40 years and nunlas other floating dock structures characterize this residentially developed shoreline,the proposed modification and extension the dock to a floating dock assembly that will reach at least 30 inches of water at low tide(and thus improve the viability of the structure during all regular tidal cycles)will not create any"fragmentation of ecological communities;nor will it result in the physical loss,degradation,or functional loss of ecological components. The modified dock will remain in the same location as the existing dock,will be open-pile construction and elevated above grade of vegetated marsh;and will utilize untreated decking. As such,the project will meet the statutory and regulatory requirements of NYS DEC and Town Code Chapter 275,Wetlands,and will be consistent with Policy 6. Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No M Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. ❑Yes ❑ No ® Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ® Yes ❑ No LI Not Applicable The extended dock will not impede navigational or other access to or recreational use of the adjacent coastal waters or public lands;and although no regular alongshore pedestrian access exists along the subject shoreline,any such access will be maintained around the landward end of the dock. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's wit-dependent uses and promote sit of new water-dependent uses in suitable locations. See LWRP Section III - Policies; Pages 47 through 5 for evaluation criteria. F. Yes ri No ® Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes 1-7 No® Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. C Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. ❑Yes ❑ No M Not Applicable • PREPARED BY TITLE Coastal Mgmt. Specialist DATEJan.8,2015 Robert . ann Amended on 8/1/05 • • • =Ar EN-CONSULTANTS January 9,2015 REQUEST FOR AN AMENDMENT Town of Southold ( � Board of Trustees (' Post Office Box 1179 Southold,New York 11971 JAN 1 4 2015 Attn.: Elizabeth Cantrell Re: Haywaters Road,LLC 75 Haywaters Road, Cutchogue SCTM#1000-111-1-2 Dear Ms. Cantrell: In regard to the above referenced property,enclosed are the following for the Board of Trustees review: 1. Three(3)Wetland Permit Applications including a) authorization&disclosure forms, b) Short Environmental Assessment Form(SEAF), and c) project plan prepared by En-Consultants, last dated December 29, 2014. d) Survey prepared by Kenneth M. Woychuk Land Surveying, LLC,dated June 4,2014. 2. LWRP Consistency Assessment Form. 3. Copy of Permit#492. 4. Application fee of$50.00. I trust this information shall allow you to process our permit request. Should any additional information be required,please do not hesitate to contact our office. Sincerely, Robert . Herrmann Coastal Management Specialist Enc. 1319 North Sea Road I Southampton,New York 11968 I p 631.283.6360 I f 631.283.6136 www.enconsultants.com environmental consulting • soiRkt John M. Bredemeyer Ill, President : 0 c Annex 54375 Town Hall Route Michael J. Domino, Vice-President 25 James F. King P.O. Box 1179 Charles J. Sanders ,' Southold, NY 11971 Dave Bergen #6, _aro, Telephone (631) 765-1892 =_ * Fax(631)765-6641 BOARD OF TOWN TRUSTEES February 19, 2014 TOWN OF SOUTHOLD Mr. Robert E. Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: 2400 BROADWATERS ROAD, CUTCHOGUE SCTM# 111-1-2 Dear Mr. Herrmann: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, February 19, 2014: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit#492 from Catherine Hunt Healy QPRT to Haywaters Road LLC, as issued on July 1, 1968. If you have any questions, please contact our office at (631) 765-1892. Sincerely, John M. Bredemeyer III President, Board of Trustees JMB:amn 4110 00 ,,,,,,,, James F. King,President , ' ���S�Ury Town Hall Annex Bob Ghosio,Jr.,Vice-President 1 4 �� �t 54375 Main Road P.O.Box 1179 Dave Bergen * * Southold,New York 11971-0959 John Bredemeyer �+ i Telephone(631) 765-1892 Michael J. Domino ` ��� Fax(631)765-6641 tcOYII1,+ ,e + BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 23, 2013 Ms. Catherine Healy PO Box 708 Cutchogue, NY 11935 RE: CATHERINE HUNT HEALY QPRT TRUST 2400 BROADWATERS ROAD, CUTCHOGUE SCTM# 111-1-2 Dear Ms. Healy: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, January 23, 2013: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit#492 from J.C. Heim to Catherine Hunt Healy QPRT Trust, as issued on July 1, 1968. If you have any questions, please contact our office at (631) 765-1892. Sincerely, James F. King President, Board of Trustees JFK:amn Dave Bergen �` Telephone(631 765-I892 John Bredemeyer IS y`S Fax(631)765-6641 Michael,1.Domino dyy_1 :17/ • Southold Town Board of.Trustees Field Inspection/Worksession Report Date/Time: }I I — k tit i CATHERINE HUNT HEALY QPRT TRUST requests a Transfer of Wetland Permit#492 from J.C. Heim to Catherine Hunt Healy QPRT Trust, as issued on July 1, 1968. Located: 2400 Broadwaters Road, Cutchogue. SCTM# 111-1-2 Type of area to be impacted: `Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: hapt.275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Info needed: J ci 4 f( ere L k ti P L -t Modifications: Conditions: Present Were: J. King B. Ghosio '--D. Bergen, J. Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: • , • 411P TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES PERMIT NO. 49'2 Pursuant to the provisions of Chapter,615 of the Laws of 7893 of the State of New York;Chapter 404 of the Laws of 1952 of the State of New York;the pro- visions of an ordinance entitled "Southold Town Ordinance Regulating the Pial of Obstructions in and on Town Waters and Public Lands,and the Removal of Sand, Gravel or other Materials from Lands under Town Waters",and in accordance with the resolution of the Board df Trustees of the Town of Southold adopted at a meet- lug of said Board on .dal]t.1...lIiS , and in consideration of the sum of $..7.11.06.. lawful money of the United States, paid by .d�...C.. > da. residing at ..Sspa19tsrs.MAC.ahnai it.3k.,«•00€14400111w York, the said Board of Trustees of the Town of Southold, Suffolk County, New York, hereby authorized and permits said .......i:..R...$ M ,... to construct a fox* 31V x 6' in Baywsters Cove. Masson feint, Catchers*, in front of his property, all is aeosrdano4 with the application subetitted. The said 3...C. Mika , as part at the consideration for the issuance of this permit does hereby release the said Board of Trustees and the Town of Southold from any and all damages claims for damages or suits that may arise or occur directly or indirectly as a result of any operation carried on un- der nder and pursuant to this permit, and will at his own expense,defend any and all suits which may be brought by third parties, as a result of any operation carried on pursuant to or in accordance with the terms of this permit, and assume full liability with respect thereto to the complete exclusion of said Board of Trustees and the Town of Southold. THIS PERMIT is subject to the following terms and conditions: 1. That there shall be no unreasonable interference with navigation as a result of the work herein authorized. ' 2. That there shall be no interference with the right of the public to pass and re- pass along that portion of the beach between kwv and high water mark. 3. That the work shall be subject to the supervision and approval of the said Board of Trustees or its agents. 4. That if future operations of the Town of Southold require the removal and/or alteration in the location of the work herein authorized, or if,in the opinion of the Board of Trustees of the Town of Southold, such work shall cause un- reasonable nreasonable obstruction to free navigation, the said ....i..g..l ein will be required upon due notice from the said Board of Trustees, to remove or alter the location of the work hereby authorized without expense to the Town of Southold, so as to render navigation reasonably free and unobstruct- ed. 1 I i • • The authority conferred by this permit may be terminated by the Board of Trustees for a failure on the port of the said to comply with the terms and conditions herein imposed. In the event of such termination, this permit shall be deemed revoked five (5) days after the date when the Board of Trustees shall mall to the said Ca...Aee gt • »..»...... at the address given In his application,a certified copy of a resolution of the Board of Trustees directing such termination. IN WITNESS WHEREOF, the said Board of Trustees of the Town of Southold hos caused its corporate seal to be hereunto affixed and these presents to be subscribed by a majority of the sold Board of Trustees,the day and year above written. seal ... 2:i���G��k�'..►1 S S.)j if • (L.5.) • • . ..4.6tead,. 2.t'44 ;JL.S3 01, %.� d p ef .(L 5.) --- 49 STATE OF NEW YORK ) SS: COUNTY OF SUFFOLK ) ON THIS Oth hay of Manz*. , 19.x.,before me oersorally appeared Alvah S. GoLde lith. /sink Dawson. John r. NoNsity, George Simpson and Dal,tgias Robertson. all personally known to me, who, being by me duly sworn, severally said that they each resided In the Town of Southold, County of Suffolk, State of New York,and were members of the Board of Trustees of said Town of Southold and constituted a majority of thq same; that they knew the corporate seal of sold Town of Southold;that the seal affixed to the foregoing instrument was such corporate seal; that It was so affixed thereunto by order of the Board of Trustees of said Town of Southold and that each one signed his name thereto as a Trustee and by like order. /sleds •r P '71' _ ^ /�,� �.� Notary ublic i it • 1f ' TOWN OF SOUTHOLD /ys7i Y BOARD OF TOWN TRUSTEES TOWN CLERK'S OFFICE 'Yk•C SOUTHOLD, N. Y. Examined 19 Application No. Permit No. .......l .. Approved llll 2.4••••.••• Disapproved a/c chairman.Board of Trustees APPLICATION FOR PERMIT INSTRUCTIONS A.This application to be completely filled in by typewriter or in ink and submitted to the Town Trustees in dup- licate. B. Plot plan showing location of lot and buildings on premises, relation to adjoining premises, public streets, parks. etc., and giving detailed description of proposed layout of project must be drawn on diagram which is part of this application. C. The work covered by this application may not be commenced before the issuance of a permit. D.Upon approval of this application,Town Trustees will issue a permit to applicant. Such permit shall be kept on the premises and available for inspection at all times. E. Applicant shall notify the Board of Trustees upon completion of the work covered by permit. APPLICATION IS HEREBY MADE to the Board of Trustees of the Town of Southold, Suffolk County, New York,for the issuance of a permit pursuant to the laws,Ordinances and regulations governing construction of:docks, piers,bulkheads,jettys and dredging in,under,and over the waters of Town of Southold. The applicant agrees to comply with all applicable laws,ordinances,regulations and conditions specified by said trustees,and fo hold the Town of Southold,and all Town offio s free fromliability and damages of any kind./ Name of Owner of Premises .0 • Rev Street Address of Property .4(4,Aligeregr Ae0.0.4 ,("11"z$*t. 41.1/1 (y TT Home Address If Other Than Location Creek,Bay or Harbor Fronting Property I 4401 Z (t Permits Requested To: e•CW S;r ir"- .Po e e , I Size of Proposed Work: Length ..•.wi" f Width i~; Heigbth Above High Water sc Depth Below Low Water ....2 "i Average Rise In Tide 3., Yards to Be Excavated 1V/ 1. A-IsWidth of Canal,Creek or Bay Fronting Propyrty ....ts Depth at Low Tide 12A- Is This For Private or Business Use? aet da t Area Zoning ..irg.S Complete plot plan to be drawn on reverse side of this application. STATE OF NEW YORE ) )S.S. COUNTY OF ( ) R`. 6 'being duly sworn deposes and says that he is the applicant for the above described ermit,and that all state is contained herein are true to the best of his knowledge and belief; that the work will be done in the manner set forth in the application and as approved by the Board of Trustees of the Town of Southold, and the applicant agrees to hold the Town of Southold and said trustees harmless and free from any and all damages and claims arising under or by virtue of said permit. leant) ant) Sworn to before me this + 19‘ Notary publ 'c-• icn'4- � RESENT IIOTMY rune.ORION a a,,rale No.124233120 YYlhik Comor UM balm*ot 10. $,,, . .. .1. -3. I 14 0 Nki ..... • ----40. ,.....----- ., . _.- _ .•.. (\ ,. - . ....c•••••,............••• •••....... .. I.o Ts 6 -.) 2-c.c tc=i, 40 k N. /1441 1g .........._............_ kirflithtrg-5 R0/147 .. —..-. lc / .0 \\,. . . . 2 0 . . . ..... .._ ..._.. __.. ...... .. ..._ It 0 cti-1-4.) ca F...........___ b 0 t,cp 4""40 . .• . 1 4 =/V S EN-CONSULTANTS PERMIT TRANSFER REQUEST D ," January 28, 2014 JAN 3 1 2014 Town of Southold • - JUaiI',6 d i if Board of Trustees Post Office Box 1179 Southold,New York 11971 Attn.: Elizabeth Cantrell Re: Permit#492 2400 Boadwaters Road, Cutchogue (aka 75 Haywaters Road) SCTM#1000-111-1-2 Dear Board of Trustees: The above referenced Board of Trustees permit was transferred from J.C. Heim to Catherine Hunt Healy QPRT Trust on January 23, 2013 (copy attached). Before repairing damage to the permitted dock suffered during Hurricane Sandy, however,the transferee sold the property to our client and current owner, Haywaters Road LLC. Therefore,please accept this letter as a request to transfer the permit to the current owner, whose address is Haywaters Road LLC, c/o William K. Isaacson, Managing Member, 336 East Alexander Palm Road, Boca Raton, FL, 33432. A check for the application fee of$50 is enclosed herewith. Thank you in advance for your attention to this matter. Sin erely, Robert E. Herrmann Coastal Management Specialist /khs Enc. • 1319 North Sea Road Southampton,New York 11968 p 631.283.6360 f 631.283.6136 www.enconsultants.com environmental consulting • Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) !-layVederS LLc- I, go 4'. Tf ehiJr"7 residing at "7-5—'4144`{YrS /?A CU eg u a (print owner of property) (mailing address) r 11'71"'" 'C :64"3'I /f!L'>'' �f fp .L do hereby authorize/(4 '1 'rf riunn (Agent) OF ��O Cht,4v7f to apply for permits)from the Southold Bo= ' .f Town Trustees on my behalf. r j • (O is signature) • Board of Trustees Application County of Sy€ic& PitioA IS9444-• State of - ►i VA"—, ?%i .1- f? ,LJ `s. "rk4" - s7c Xy'✓dyi110 1-1-<- 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 REPRESENTATIVES(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH 41'W OF THI •.° °L - •; . Signa +44,4411 SWORN TO BEFORE ME THIS DAY OF "— "1I ,20 4%—f .:41 Notary Pubf my k')4 1L A 1 11-11 1,)7;73695 1.')11'1111:43:Fr oriary 1,201,1 l,c, 31'mNotary F1 lw' • APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of imerast on the pmt of town officers and employees.The ostroose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whateyeraction is pecessary to avoid same. YOUR NAME: /7Ay1.//TerS /Oc LLC ilc/0 sZ//Gtg ja1..0,,7 /47o..`1/.v . rer..Iir (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted is )� of Ir- 200t'f Signature Print Name / 1"7* Form TS 1 0-1 44a A 44)1VA/6) /Q) L C.r 0 ill ".... ,,," ---, James F.King,President *QF SUu45,- Town Hall Annex Bob Ghosio,Jr.,Vice-President ,,,°s/I�OA 40, 54375 Main Road P.O.Box1179 ; Dave Bergen 4 * Z Southold,New York 11971-0959 John Bredemeyer ` G �p� Telephone Tele (631) 765-1892 Michael J.Domino • iiiii 1.. f�fr. �t a t BOARD OF TOWN TRUSTEES f L : DEC - 5 2012 if" ' TOWN OF SOUTHOLD I L.,_BCZTi Cr nes APPLICATION FOR A TRANSFER OF A WETLAND PERMIT DATE - ..P , 3`,_)_a/;1 (26,74,?,/,,,, /-/u-1,4 fJ /44 _..4-/6. ...)Vg: 13 77 OWNER i."? t,i..s,4 ¢4-lr' D4,,, ",- PHONE t,3i. .7 3 4/, 6_14, Je..7,el A.--- ..r/c y ADDRESS (36..1( 7z,g C 4,-fir(,s---- AGENT �s--AGENT PHONE ADDRESS 2 WOO 13roc,:iwaJer mo(, PROPERTY LOCATION — �_.�`_,,NIA, C u_-:,"G TAX MAP NO. 4-7 73 's CJ ` ( Gcera 5.e.t) I/Wer. , , Jb/7,+ //?,-ter request a Transfer of Permit# 1/ to At,iXPi-/i]r /7`i< 7{ uITi4% (14ve) • . Signed By: ce,..f:Lc.„...;., //. 5 4‘ C c Me.Catherine Homily Apt.C24 345 Skewed Ave. Orden City,MY 11590-4532 HAYWATER COVE <, , PROP. 8" PILE (TYP.) ' w � -- -=';' PROP. 3' x 16' RAMP PROP. 6' x 20' FLOAT t z �_I * 2 PROP. ±4' x 5.3' EXTENSION 2 2z j �o i F� i'NA AU OF EX. CATWALK IN PLACE t OF. EX. PLATFORM `� '-e� ► �, 3�a „��� � --\PO T EX. ±4' z 32' CATWALK TO REMAIN . f f f ��. 1 - 6X. FIXED ^L" DOCK 1► �,`s P a (frC 5S 11 T loom EX. 5.3' x 16' r = 50' W W �n r� \qe"L" PLATFORM 9,1, ;CI f Y�`j+.,,,,,,, ,9/0 , /Ir4. W y.�r� TO BE REMOVED qt 4m ADJ. FLOATING DOCKS W W 4 W V� W i,,• " IEX. STEPS�' ` W ��O• 1 �`:.rt � �, .. W TO REMAIN n.w \W W W 4::::.4:'...V........ OPS `�� Alt 4. ' •7.� _ - --- �� v W W W W W 4 i*uw.a vaz///^^^A.� M:a.. ....a.i ,¢ � ' 51frak / W W / i •r \� •~ 1I i -s 'f'Lam' \t W W W W /i W / . c • ' E N - CONSULTANTS A0 0_ 1319 NORTH SEA RD. =I j SOUTHAMPTON, NY 11968 O Z £ ® 631-283-6360 o ft. ..., \ / S4 / A. t ADJ. FLOATING DOCK 03 bt / a/ . /se / . il ' 4.3 co . i 7 V /7"/ . ii 0 // .. ---MIN ',-; t A tel .. '26 i i g(4 , LP g c�� '� -� • I . Notes; cd . _ �(( IIII. Purpose:�rharre use of existing,private,noncanmmercl�al II o II dockage facility by modtfykq fixed"L zhaped dodo l JII into dock consistwq of fixed catwalk,ramp,aid float EB 2 5 2015 2. Patti:MI-1-W- O'-0' 3. Water depths transcribed from hydroe1aphIc 5Irveq prepaed by Kenneth M.Wagchk Laid Snrvey q, P1.1.-C,last dated Are 4,2014 '' 4. Proposed dock canpolents to coraist of treated timber support posts aid stnichral timbers,untreated wood decking,and hot-dipped galvanzed steel hadwae; ex.32' catwalk to remain consists of untreated dedkhq '' ' ' ' ®VE n BY'. 5. Beam of vessel to be docked an seawad side of float not to exceed 9 feet per Scut dd Orustees,2-16-15 • • ' 20 OF r'-;, TEES 6. Project location:75 Naywaters Poa 1,Cutd ong,e,NY; "TOWN OF SO HOLD.; SCTM No.1000-H1-1-2 1-I-2 l' 5 8 �� / ,I i , `. P OPO5Nn POCK MOPIFICA11ON FOI X04 d . HAYWA'1 5 r;OAP, I.I.C, ON HAYWATEP 9T�� _. ' COVE, CU1'CHOGLF, SI,UFFOI-K CO., NY s rr ' 5H1' 1 OF 2 I2-29-I4, 2-I9-I5 x'04 d , • 5C110N 11-IWOUGH P OPO5P MOPIFICA11ON OF XI511NG MIXNn POCK SCAI. : 1"SIO' XI511NG 32' FIXWn 11M1XR CATWALK IMM UNTTATtn W0012nRCKING CTO REMAIN) i XI511NG 5.3' x16' FIXN2PLATON TO I3e mMOWn --ii/ ÷162' ANn Wm...K V W111-I 5,3' eXTENSION OF 4' WM CATWALK --1 r.--1. ' 511;P5 o r 1----PROP, l6' RAMP---.1- - - -, - - r I POP,6' FLOAT 17 i �X,GRAM % 1411121.1TrairMI -, -I I Al-V1/. 31-6 ALW- O'-9" y _ -i _ TWA -1'-10" -2.-211 -2,... „ MLLW- 0'-0" �x.cove r' O A _v N2Ce OP NW: -2'-6" ALW lit N n cn 4" x 4" x var.1'05T5 -V- - K3 0 _, z (OVER MA -1) 8" x var. PILES (2) 8" x 24' P1L5 NOOK w �c � ( ) cm 7N --• z 0 N0,_:,, . ._ _________. ._... � 0 o2 cf, D tv Z > 0 ,_,, cn II .t � o � z o. FEB 25 2015 00 q S.C.T.M. NO. DISTRICT: 1000 SECTION: 111 BLOCK: 1 LOT(S):2 ,` . Ordr \ II • ,fir I' JAN 1 4 2O 5 w t �- 1 d= nh` p s� m� C.) — 0._.....,,,_.-• ,--- ,— , ZN . / 11111,or Yaotm>E IME Acnw t c .880r0 �'� „IL-, J �' _; , ?asi 30*E JJ�cc.cfct MY 71111E ear�uu,r a a rue X5.13• /� -d r Pa. I.IY ZONE X ti 2.4 SEL 3.6 0.3.6 4. i_- ;L ,{M19_, �, ,�' ,-,._Er. i t : a • s s_ 6.1'5 '-' ,0 VON. z� ouman 47 r ,• re .-�w�°..t� a..-.m? .a .ast / �� in - Ate* O I -, r - .-7?` ,-- / a ter a i , O a.0•/ •a 6,0i 1 I it, 7 51Y nat „ 211, • , _ os 4 N a r 30 " —_, , 44 ' _E. �`r`• ): ,• ,a f ;- _ rn. us =-_•� 4-- r •.• .. �✓a../ 'a a.a i r_r tar �� `—� •�� ' aura IA 1 / COrG ?,/ We�� ^ P/O LOT 267 1 11oso. �' lmein ° H r r iq _ _ _ 4 to I � 6 Op,,w TIDAL WETLANDS BOUNDARY 1 J r .--, r4042. ``` I ~S DELrrEATEO BY EN-CONSULT ` `` 6 1 l r ,7\. : i i, V `` :ore 11,!11>) -� 6 ^0 P/o LOT 267 031.0 41) Mb ` \ ,-4 9 .. -- --N. 11'114, .---, r r r r r •—• . 1. �'• `�` • %_ .— • r �888e—r•—• WOK • /VIM r rr 1l.r , -, r r r r : N88.16'00"w 113.39' .,....... ,_, 6,....... ,_, 61. ,_. - r rrrr O Let x"28LOT 268 r r r r r 10A 73-20' rrrrr ,- � • + A. ' r r ' rrr •� 6P`n, �,+ — r 'e, 'B r r 1 � • r `: LAND N/F EDGE or r11te„e11,► 72.�, 0 •� - r __ STILEY&,IONN ‘14.* 2c�+i� �� ttoM. Yy, !ANO N/F / —_ _ k`4�'A uP� ,e. • TIE LINES BETWEEN 4, �O of T�' S �� ALFONSO twmNEz riffs — R AL1Si16CUAR"cuTis �'� 2012 REVOCABLE'TRUST \ _,/ / \ 410.411 Ne' 82.• f OF FILED MAP LINES. .0• FIRM MAP#36103C0164H ` • UPLAND TOPOGRAPHY LINES DATUM = NGVD 13'29\ �' ,db �'� AREA: 79,279 S.F. OR 1.82 ACRES ELEVATION DATUM: SPOT ELEVATION & SOUNDINGS DATUM = MLLW 0.00 "''•- Atef' 4v UNAUTHORIZED AL TERA TION OR ADDITION TO THIS SURVEY IS A WOLA TION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY \ f'?S' MAP NOT BEARING THE LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN YOM ONLY TO THE PERSON FOR IWIOII THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION _ 0 LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING!NSF? GUARANTEESARENOT S 0 TRANSFERABLE. 'q',' THE WATER SUPPLY, WELLS, ORYWELLS AND CESSPOOL THE OFFSETS OR DIMENSIONS SHONN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE LOCA AONS SHOWN ARE FROM FIELD OBSERVATIONS NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS; EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY£NDENT ON THE PREMISES AT THE TIME OF SURVEY AND OR DATA OBTAINED FROM OTHERS. SURVEY OF:LOT 268 & P/0 LOT 267 INCL. CERTIFIED TO: WILLIAM K. ISAACSON; MAP OF: NASSUA POINT AMENDED MAP A" FIDELITY NATIONAL TITLE INSURANCE; FILED:AUGUST 16, 1922 No.156 WELLS FARGO BANK, N.A.; HAYWATERS ROAD, LLC; SITUATED AT: NASSAU POINT TOWN OF: SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design 44,AFI,„ 1:4"0611� P.O. Box 153 Aquebogue, New York 11931 FILE 0 13-187 SCALE: 1„=50' DATE: OCT. 5, 2013 --- - PHONE (831)298-1388 FAX (891) 298-1388 REVISED 06-04-14 N.Y.S. USC,. TIO. 050882 maintaining the records of Robert J. Hennessy t Kenneth Y. Woychuk ADD FLAGGING & SOUNDINGS 03-24-14 • • John M. Bredemeyer Ill, President ,/ gpFVOL tC Town Hall Annex Michael J. Domino, Vice-President is- 54375 Route 25 James F. King z , P.O. Box 1179 Charles J. Sanders ;17. ie,' Southold, NY 11971 Dave Bergen ,�. 1 �, Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES February 19, 2014 TOWN OF SOUTHOLD Mr. Robert E. Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: 2400 BROADWATERS ROAD, CUTCHOGUE SCTM# 111-1-2 Dear Mr. Herrmann: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, February 19, 2014: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit#492 from Catherine Hunt Healy QPRT to Haywaters Road LLC, as issued on July 1, 1968. If you have any questions, please contact our office at (631) 765-1892. Sincerely, &kr. John M. Bredemeyer III President, Board of Trustees JMB:amn • • EN-CONSULTANTS PERMIT TRANSFER REQUEST 4 " r 11111111 D January 28, 2014 JAN 3 1 2014 Town of Southold Board of Trustees ='Than Post Office Box 1179 Southold,New York 11971 Attn.: Elizabeth Cantrell Re: Permit#492 2400 Boadwaters Road, Cutchogue (aka 75 Haywaters Road) SCTM #1000-11I-1-2 Dear Board of Trustees: The above referenced Board of Trustees permit was transferred from J.C. Heim to Catherine Hunt Healy QPRT Trust on January 23, 2013 (copy attached). Before repairing damage to the permitted dock suffered during Hurricane Sandy, however, the transferee sold the property to our client and current owner, Haywaters Road LLC. Therefore, please accept this letter as a request to transfer the permit to the current owner, whose address is Haywaters Road LLC, c/o William K. Isaacson, Managing Member, 336 East Alexander Palm Road, Boca Raton, FL, 33432. A check for the application fee of$50 is enclosed herewith. Thank you in advance for your attention to this matter. Sin rely, Robert E. Herrmann Coastal Management Specialist /khs • Enc. -_ 1319 North Sea Road Southampton, New York 11968 p 631283.6360 f 631 283 6136 www_enconsultants.cam onvironmcntal consulting • • Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) getWatcrf oo€91 LLQ I, yo ere/ X neat' -7 residing at 7.r'm+yw<{r's '?a W. a a '�7 (pint owner of property) (mailing address) fh Mr'alMI r U'//lay L` � uf. uy na-'4/ ,f fit) tLc- do hereby authorize Poke* /le en'nn (Agent) OF- En/-ePiguAlan/ to apply for permits)from the Southold Boar. .f Town Trustees on my behalf. (O s signature) • • �//�� Board of Trustees Application County of Sj flc P&Q4& Nadi- State ..)g 44 'State of T1C;tj(R" talb� ,y1. b-, At rj4Q1s,. . . 6dere" s# At4y..,a4.i 10 tl-C-- 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 REPRESENTATIVES(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH ' A W OF THI L • L . Signa SWORN TO BEFORE ME THIS 3 "DAY OF I - - -p ,20 I'f Notary Pub,' i U0.RBAPAA NAl I11 IRt 'Rrriryl 7!111 C II il' IaYli is I n VF • • APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics orobibin conflicts of interest on the cart of town officers and emolovees The mimosa of This fonts is to provide information which can alert the town of nossible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: /faywwa/ers AOcslf'LG /c/o 6414.ai, K .�.�PCI Men.dr,ie'e-^ "- (Lest name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more th:52/:241he shares. YES NO If you answered"YES",complete the balance of this form and data and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): _A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); _B)the legal or beneficial owner Many interest in a non-corporate entity(when the applicant is not a corporation); _C)an officer,director,partner,or employee of the applicant;or _D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted is Z 9 y of C'1 200'4 Signature -yr Print Name l/ n.� .l-(!av ti . /J✓> � .e. "y[nide i Foran TS 1 41.10 174(r.44.49 /Q) L GC__ Opt • '''' title • James F. King, President �'' SO(/jt,� Town Hall Annex Bob Ghosio,Jr., Vice-President /� Old . 54375 Main Road P.O. Box 1179 Dave Bergen lN[ Southold, New York 11971-0959 John Bredemeyercn r e �� Telephone(631) 765-1892 Michael J. Domino Fax Fax(631) 765-6641 co so BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 23, 2013 Ms. Catherine Healy PO Box 708 Cutchogue, NY 11935 RE: CATHERINE HUNT HEALY QPRT TRUST 2400 BROADWATERS ROAD, CUTCHOGUE SCTM# 111-1-2 Dear Ms. Healy: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, January 23, 2013: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit #492 from J.C. Heim to Catherine Hunt Healy QPRT Trust, as issued on July 1, 1968. If you have any questions, please contact our office at (631) 765-1892. Sincerely, James F. King President, Board of Trustees JFK:amn • • if ra(,r James R King.President � �� COG P.O.Box 1179 Bob(ihosio,Jr. Vice-President '� 'y? Southold,NY 11971 Dave Bergen p h 0 Telephone(631 765-1892 John Bredemeyer O i Fax(631)765-6641 Michael.1. Domino +� Southold Town Board of.Trustees Field Inspection/Worksession Report Date/Time: (I — I ( CATHERINE HUNT HEALY QPRT TRUST requests a Transfer of Wetland Permit #492 from J.C. Heim to Catherine Hunt Healy QPRT Trust, as issued on July 1, 1968. Located: 2400 Broadwaters Road, Cutchogue. SCTM# 111-1-2 Type of area to be impacted: NSaltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Type of Application: Wetland Coastal Erosion _Amendment Administrative Emergency Pre-Submission Violation Info needed: / r c:-; 1 I; A: .-t t� j R4, C ( � ,.. .rr // ) J _ `F, c'c9c. �} ( ( err 10.4 . /) (u Modifications: Conditions: Present Were: J. King B. Ghosio '—D. Bergen, J. Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field by n - ' J Mailed/Faxed to: Date: • • it it TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES PERMIT NO. 492 Pursuant to the provisions of Chapter.615 of the Laws of 1893 of the State of New York; Chapter 404 of the Laws of 1952 of the State of New York;the pro- visions of an ordinance entitled "Southold Town Ordinance Regulating the Placing of Obstructions in and on Town Waters and Public Lands,and the Removal of Sand, Gravel or other Materials from Lands under Town Waters",and in accordance with the resolution of the Board of Trustees of the Town of Southold adopted at a meet- ing of said Board on .Jaly..1,..1968 , and in consideration of the sum of $..19.0G., lawful money of the United States, paid by .J...C...Uei: residing at ..Haywaters.Mond,.Nassau.Bt..,..Cutchegaisw York, the said Board of Trustees of the Town of Southold, Suffolk County, New York, hereby authorized and permits said .......J..C...,linin. to construct a dock 38' x 6' in Say-waters Cove, Maasau Point, Cutchogue, in front of his property, all in accordance with the application submitted. The said J...C..Beim as part of the consideration for the issuance of this permit does hereby release the said Board of Trustees and the Town of Southold from any and all damages claims for damages or suits that may arise or occur directly or indirectly as a result of any operation carried on un- der and pursuant to this permit, and will at his own expense, defend any and all suits which may be brought by third parties, as a result of any operation carried on pursuant to or in accordance with the terms of this permit, and assume full liability with respect thereto to the complete exclusion of said Board of Trustees and the Town of Southold. THIS PERMIT is subject to the following terms and conditions: 1. That there shall be no unreasonable interference with navigation as a result of the work herein authorized. 2. That there shall be no interference with the right of the public to pass and re- pass along that portion of the beach between low and high water mark. 3. That the work shall be subject to the supervision and approval of the said Board of Trustees or its agents. 4. That if future operations of the Town of Southold require the removal and/or alteration in the location of the work herein authorized, or 1f, in the opinion of the Board of Trustees of the Town of Southold, such work shall cause un- reasonable obstruction to free navigation, the said .....J...C..Asda will be required upon due notice from the said Board of Trustees, to remove or alter the location of the work hereby authorized without expense to the Town of Southold, so as to render navigation reasonably free and unobstruct- ed. H it • The authority conferred by this permit may be terminated by the Board of Trustees for a failure on the port of the said to comply with the terms and conditions herein imposed. In the event of such termination, this permit shall be deemed revoked five (5) days after the date when the Board of Trustees shall mail to the said J....Ca..Rsfth at the address given in his application, a certified copy of o resolution of the Board of Trustees directing such termination. IN WITNESS WHEREOF, the sold Board of Trustees of the Town of Southold has caused its corporate seal to be hereunto affixed and these presents to be subscribed by a majority of the said Board of Trustees, the day and year above written. seal ...2, 1 .r /� .�L.5.) S [f ('t! 2ca'muJ (L.S.) J _ 0779 - STATE OF NEW YORK ) 5S: COUNTY OF SUFFOLK ) 5th d1 f ON THISda of AUSIRISt , 19.5t, before me oersonally appeared Alvah 8. Goldsmith, Frank Dawson, John 8. McNulty, George Simpson and Douglas Robertson, all personally known to me, who, being by me duly sworn, severally said that they each resided in the Town of Southold, County of Suffolk, State of New York, and were members of the Board of Trustees of said Town of Southold and constituted a majority of the same; that they knew the corporate seal of said Town of Southold;that the seal affixed to the foregoing instrument was such corporate seal; that it was so affixed thereunto by order of the Board of Trustees of said Town of Southold and that each one signed his name thereto as a Trustee and by like order. Blledt 1.No ary Pu l c 41 � � Notary Public ?)1, leery -4 f II • l ! FORM NO. 1 n� /q Oj TOWN OF SOUTHOLD 4 BOARD OF TOWN TRUSTEES TOWN CLERK'S OFFICE '}M.(P• SOUTHOLD, N. Y. Examined 19 Application No. � Approved Permit No. [!( 2 7 ( Disapproved a/c chairman,Board of Trustees APPLICATION FOR PERMIT INSTRUCTIONS A. This application to be completely filled in by typewriter or in ink and submitted to the Town Trustees in dup- licate. B. Plot plan showing location of lot and buildings on premises, relation to adjoining premises, public streets, parks. etc., and giving detailed description of proposed layout of project must be drawn on diagram which is part of this application. C. The work covered by this application may not be commenced before the issuance of a permit. D. Upon approval of this application, Town Trustees will issue a permit to applicant. Such permit shall be kept on the premises and available for inspection at all times. E. Applicant shall notify the Board of Trustees upon completion of the work covered by permit. APPLICATION IS HEREBY MADE to the Board of Trustees of the Town of Southold, Suffolk County, New York,for the issuance of a permit pursuant to the laws,Ordinances and regulations governing construction of:docks, piers, bulkheads, jettys and dredging in, under, and over the waters of Town of Southold. The applicant agrees to comply with all applicable laws, ordinances, regulations and conditions specified by said trustees, and fo hold the Town of Southold,and all Town officials free from liability and damages of any kind. Name of Owner of Premises X-C ' fin y1 Street Address of Property .�.,ZI�'W�Tte�-r Rep AP /U47S4U r .U1 eu re MQFU ,., Home Address If Other Than Location /� Creek, Bay or Harbor Fronting Property [ `. t,kf Permits Requested To; NON stievc 2oC. Size of Proposed Work: Length ..e7 g Width 6 Heighth Above High Water °Z Depth Below Low Water 'i Average Rise In Tide 3 ' Yards to Be Excavated /YDNL Width of Canal, Creek or Bay Fronting Proa rty .. .s$WQ Depth at Low Tide pc- f Is This For Private or Business Use? /t f vR Te Area Zoning $ Complete plot plan to be drawn on reverse side of this application. STATE OF NEW YORK ) )S.S. COUNTY OF (�y) � 'being duly sworn deposes and says that he is the applicant for the above deathbed ermit, and that all state ents contained herein are true to the best of his knowledge and belief; that the work will be done in the manner set forth in the application and as approved by the Board of Trustees of the Town of Southold, and the applicant agrees to hold the Town of Southold and said trustees harmless and free from any and all damages and claims arising under or by virtue of said permit. —IL[cant)L Sworn to before me this - d 1570.f Notary public �'�-- — Cun MARION A. NOTARY PUBLIC.State of New York No. 52-3233120 Suffolk CRAI Tam Wire.Marts 30,a 9 r c7,:a ArEZ • S . fe en Id i \ , 1 s, I I -77 *1 N -----i CI' --) I V) 1 I 1 1 P IV 1 P GN I 1 I i , i 1 tm/3.1 1— -) 13 (204-) u.),f-rrizs 420 A 1 _------T ( I • • /14,,u_LA-cioey Er —2n/. )5) C — PA- I iLe ani-C /1-4 41I GO 4127 W-t6W-(41 'f,f': i 3 �4 x` KA ' K.f ,7—%..,f4•.' s '40. ? x s . sem t.a.N....,:,,,r-e,-':',...k.-:.:2--...,*.-Y,..:',--%-:.--- qe te LIG � I ✓advi€ "Le...S,r.,-`74! }}} .� fi '*f-cs V . ",we' ,��°;„ .; � m c� I earth . earth tees 300 A 100 TS / _ , , . 0* . . ® ...,mss ��� ;�., �' 1' N+ 'x :V:i' t i'4. ' aeleinalnlinarte' .aDalai WOOS fir { o_ x OA, # „.. 1 „4:- - 14,04 sis ill --- #, ,,,,,• t-r- .0„, ,-aria lirt , sr-.]r00"\\ 7'n't a:. „ea*....--.42,4L114-0° 11111. ' ' '. 1”- #\ rs,s, 400...00\, aulawsktiv d mss �� $� �� \�IV '<.,.:., .-,, -.. arias . _ -saw r 44* tip - a 0 .4 ___ ,,,„%k.4 , _,,,\,, a 416‘,„ . p . . ,tre Ths. _ , ' ,Cxhin �.. lf' uo 0.yq ,c-i.__ ro. � F w$1 \ \PO`b FOfi (OV ' VP�1 AMNOTICE COUMY OF SUFFOLK © v .a..s wmm BELld xo _ m ReelPmpeM1 Tav Sery gAgen y� . ......m.e m a .�E,p 111 -_ .,.,.m.. . 4 .xoxaxrvx.a T SF '' J VCtirJii-r - Iv I vJuam,vwuN ti Nun ivmnc uy'WIN 2; ..,e Eat Ve» Too oar Wsndcw Hill — — -- - -- -- • 1k1 rzellam 14 4 ► k l OM V ® Ey, `+I 111.-1-2 473889 Southold Active FIS: 1 Sr_hool. Mattituck Schou Hunt Healy C APRT Trst Roll Year 2012 Curr Yr 1 Family Res/Whit Land AV. 3,100 2400 Broadwaters Rd Land Size 1.75 acres 111.111.1.111110 Parcel 111.-1-2 Owner ,Tay Bill Mailing Address 3rd Party Address Bank History _ Total 1 Owners:To open, click the s preprints row (Right Click to Add) Assessment .r�.. .� ...,.-.,.,. _ .__ . a�.� a'ff�; '� �r_� n ,� „..m,;44,- ._: Description 4 ® Owner(s) Images Gis Last Name/Company First Name MI Jr,Sr,etc Site(1)Res 1Hunt Healy C APRT Trst ''Attention To/In Care Of: Additional Address: I Street No Prefix Dir Street/Rural Route: St Suffix: Post Dir UnitName: Unit No: I Po Box No: City/Town: State Zip Code: '708 Cutchogue :NY v 11935- Country enter if not USA' Bar Cd Ownership eg; Life Use Owner Type: i TRUST P- Primary Ready r A sir i•I %�{ SII r • yvy 'ISO; _ ,5 \” Yr'b U; ..r. .i 9 ... ...1... C4 ...rj ai _.._._. € 1 !� _ __ n __ .. .. i'� S James F. King,President i���pf SO(/r'0 " Town Hall Annex Bob Ghosio,Jr.,Vice-President � ,0 l� ; 54375 Main Road P.O. Box 1179 Dave Bergen * * Southold,New York 11971-0959 John Bredemeyer Michael J. Domino . ,i Telephone(631) 765-1892 tyz. ep`(.`- r� ,' • (Q31}r3,t 6fp43 ff eOUNTV, r .rd ; gI G eeeee,neesesfBOARD OF TOWN TRUSTEES _ DEC - 5 21112 TOWN OF'SOUTHOLD APPLICATION FOR A TRANSFER OF A WETLAND PERMIT DATE /Vii . '3 .aai -A Al., S/6. e 3 77 OWNER r,-, I-4 ,t i, )c,, V PHONE lP 3i_ 73y. 60) tie/ J4.mes FGi/ey ADDRESS ,3e X z, ! a 4./.. AGENT PHONE ADDRESS 2 WOO13rocetc.JaJef3 Rocco(, PROPERTY LOCATION S C« "-et �t TAX MAP NO. 1--/ 73 C&/ 9 / /flee iizso.�� I/We,� , John request a Transfer of Permit# to Ai /7/A-- { /4244 7l4rt) • Signed By: Ce :— i/ s 4 C: 7 Ms.Catherine Healy Apt.C24 365 Stewart Me. Garden City,NY 11530-4532 , 1111111 1 TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES PERMIT NO. 492 Pursuant to the provisions of Chapter 615 of the Laws of 1893 of the State of New York; Chapter 404 of the Laws of 1952 of the State of New York; the pro- visions of an ordinance entitled "Southold Town Ordinance Regulating the Placing of Obstructions in and on Town Waters and Public Lands, and the Removal of Sand, Gravel or other Materials from Lands under Town Waters", and in accordance with the resolution of the Board of Trustees of the Town of Southold adopted at a meet- ing of said Board on ct .1,. .1318 , and in consideration of the sum of $. .19-0C1 ., lawful money of the United States, paid by .. ... residing at . . 13a waters.Road, . .Nassau..l?'t..,..Catc w York, the said Board of Trustees of the Town of South old, Suffolk County, New York, hereby authorized and permits said . .... . .a... .c... . i to construct a dock 36' x 6' in Eaywaters 'Cove, Nassau Point, Cutchogue, in front of his property, all in accordance with the application submitted. The said ?.. .C.. . itt , as part of the consideration for the issuance of this permit does hereby release the said Board of Trustees and the Town of Southold from any and all damages claims for damages or suits that may arise or occur directly or indirectly as a result of any operation carried on un- der and pursuant to this permit, and will at his own expense, defend any and all !!! suits which may be brought by third parties, as a result of any operation carried on pursuant to ior in accordance with the terms of this permit, and assume full 1 liability with respect thereto to the complete exclusion of said Board of Trustees and the Town of Southold. THIS PERMIT is subject to the following terms and conditions: 1. That there shall be no unreasonable interference with navigation as a result of the work herein authorized. 2. That there shall be no interference with the right of the public to pass and re- pass along that portion of the beach between low and high water mark. • 3. That the work shall be subject to the supervision and approval of the said Board of Trustees ior its agents. 4. That if future operations of the Town of Southold require the removal and/or alteration in the location of the work herein authorized, or if, in the opinion of the Board of Trustees of the Town of Southold, such work shall cause un- reasonable obstruction to free navigation, the said .. . .. .. C.:$03.111" will be required upon due notice from the said Board of Trustees, to remove or alter the location of the work hereby authorized without expense to the Town of Southold, so as to render navigation reasonably free and unobstruct- ed. tl � d r The authority conferred by this permit may be terminated by the Board of Trustees for a failure on the part of the said .........L...C..... Stn. to comply with the terms and conditions herein imposed. In the event of such termination, this permit shall be deemed revoked five (5) days after the date when the Board of Trustees shall mail to the said ti.....C,...lie.ite. at the address given in his application, a certified copy of a resolution of the Board,of Trustees directing such termination. IN WITNESS WHEREOF, the said Board of Trustees of the Town of Southold has caused its corporate seal to be hereunto affixed and these presents to be subscribed by a majority of the said Board of Trustees, the day and year above written. r , seal .: t • FORM NO. i A [j q U2 TOWN OF SOUTHOLD � I BOARD OF TOWN TRUSTEES TOWN CLERK'S OFFICE j,C. SOUTHOLD, N. Y. Examined 19 Application No.J� // Approved Permit No. . .. .. ../�J'. . .(. Z.Disapproved a/c / l chairman, Board of Trustees APPLICATION FOR PERMIT INSTRUCTIONS A. This application to be completely filled in by typewriter or in ink and submitted to the Town Trustees in dup- licate. B. Plot plan showing location of lot and buildings on premises, relation to adjoining premises, public streets, parks, etc., and giving detailed description of proposed layout of project must be drawn on diagram which is part of this application. C. The work covered by this application may not be commenced before the issuance of a permit. D. Upon approval of this application, Town Trustees will issue a permit to applicant. Such permit shall be kept on the premises and available for inspection at all times. E. Applicant shall notify the Board of Trustees upon completion of the work covered by permit. APPLICATION IS HEREBY MADE to the Board of Trustees of the Town of Southold, Suffolk County, New York, for the issuance of a permit pursuant to the laws, Ordinances and regulations governing construction of: docks, piers, bulkheads, jettys and dredging in, under, and over the waters of Town of Southold. The applicant agrees to comply with all applicable laws, ordinances, regulations and conditions specified by said trustees, and -Co hold the Town of Southold, and all Town officials free from liability and damages of any kind. Name of Owner of Premises `C , lin/1( Street Address of Property . 44// 'a%2TS !C ieAA '6ss*o r®o'vr_ CU'reR .cic. e . Home Address If Other Than Location /� Creek, Bay or Harbor Fronting Property,49et-49-22-ter @0 Vier Permits Requested To: €ou S7-crie .)or-F` Size of Proposed Work: Length � a t Width ° P Heighth Above High Water ' e Depth Below Low Water2 '"Z Average Rise In Tide 3 r Yards to Be Excavated /�0g Width of Canal, Creek or Bay Fronting Pro rty . . . .S D / Depth at Low Tide t L. Is This For Private or Business Use? Fiere,IA 2 Area Zoning 5 Complete plot plan to be drawn on reverse side of this application. STATE OF NEW YORK ) )S.S. COUNTY�OF/�/�"'id ' B _ ) `a, I d" ' ')""""'�' /-' being duly sworn deposes and says that he is the applicant for the above described .ermit, and that all state ents contained herein are true to the best of his knowledge and belief; that the work will be done in the manner set forth in the application and as approved by the Board of Trustees of the Town of Southold, and the applicant agrees to hold 'the Town of Southold and said trustees harmless and free from any and all damages and claims arising under or byvirtue of said permit. (":„fr------r )plicant) zit_ Sworn to before me this / �,�`_ 19U J dads. 7 - Notary public `_c_ -.. n'3' " MARION A. REGENT NOTARY PUBLIC, State of New York No. 52-3233120 Suffolk Count Tenn &Dices March 30, 12.60 0: \ 2C { t Chh'i.41 11 ( § & { 22 � ! \ � / F ` ) -\..i \ \ \ CI hh ' < e \ • ,h,..h.....21 \ iz i \ � \ § i ] } _ ) !( }}} • 4h i tif1e H y « } ( J } y PH . . • € 2 ; . ) g . < { -2� ` ! / 1204» Up»Thmes 42041 ____.-----7- I \ [ / ) 4 - i,66 ger c-21/1, / an-{ &ey, ‘,41/211-a pot 4 v )417eA, If 412-#