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TR-8733
John M Bredemeyer Ill, President ,,o°,�SufFO(,i `� Town Nall, 53095 Main Rd Michael J Domino, Vice-President \�"�,,,,,%••• 0 • %- ; P 0 Box 1 179 James F King - x Southold, NY 11971 I �\ T 1 Charles J Sanders �ol •�a0� �� Telephone‘(631)765-1892 Dave Bergen �''`� 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, silt fence 1st day of construction 'A constructed f/. Project complete, compliance inspection i. Yf{)•' , .- . -,. - ' `�*« ';lY If % 4rol i 0% - '*`i A.�f .: �e', ?�b t) 4::..1-i. i r G ,,r r ,g' fNT -.4!:,;:00,.. ...,,,,,, ,... •.� ,,, a ,,,- ,,, `* ,,z b 7m�. Tf1, ``,.w- ''.,+ . ,.:•'-'‘,/ 401,t-_,:l:/eikt7 •41040, '\'....:4nty.,144:#44: N;,-..--,7.0.4e1 ipt y,,,./044,.,,iy ii,0149.4\-:-!....0-74,i,...,f/ iiitkw,,,,A4,-„Ft •r-, ',21:-,-":',, it::::- ._, ( ;-,7.1-,.,1,,,'„;,'.-,r,;-,'-'-;,,„,,,,,,,,,,,,,-„„a„," ; ,r.,,,,-:k74,,,,, ,,,,, • ,,,, -A---,-,--1:4-.-,7-..--' -, ::'4"-;, v,-:-,-*--:-,--,,.-,,•-.7.- -r--,---•, - -.4.-.., ,---; •I'------=1:, _'-' ,.•:.;;:.?? BOARD OF SOUTHOLD TOWN TRUSTEES {, r $ SOUTHOLD, NEW YORK `_ PERMIT NO. 8733 DATE: JANUARY 20, 2016 '-1,:::; - } tff k.;- 1 , ISSUED TO: NASSAU POINT PROPERTY OWNERS ASSOCIATION :. 11 PROPERTY ADDRESS: END OF TUTHILL ROAD OFF NASSAU POINT t' r '. „ ROAD, CUTCHOGUE ��• 1),,..,::,. . .,:.'",i. SCTM# 1000-118-4 l ,i,,,,,,,,,,,•,,,,, ',"- sc,:77.:,':::,.11 ,i', '� ,°: AUTHORIZATION '1,.,:l..)'1,*''''"7 .1/j ,� Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on January 20,2016,and �{ m consideration of application fee in the sum of$250.00 paid by Nassau Point PropertyOwners Association ,,: ' and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees 1 ,X.,.,, y -- authorizes andpermits the following: =` ,.- a{, ; 3 '\ Wetland Permit to remove and replace 26 linear feet of existing deteriorated timber 1.iii bulkhead with new vinyl bulkhead, and raise the top cap elevation 12"; and remove 11/— ` \\\,,, (7':', and replace existing 4'x7' steps to beach; and as depicted on the site plan prepared by ;` > '• .. Jeffrey Patanjo, dated December 1, 2015, and stamped approved on January 20, 2016. 1 _.. _ ? IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, 1 art and these presents to be subscribed by a majority of the said Board as of this date. 1:1 >\, (•,,,,,, . l i,,.,,‘,;,r,t,,,,z,,,,:,''.::"/.N.,, ,s.,/,'\/\,, ) • ' ---)ttli , �,'i'OgtFFOj,�. l i.t. . � `�; g 1 Pr Wr ate' '_'.`". I {1`+oV1r \ 1 IV 0 y�ipljilt ao�,,0 I X I \\,...' ' ( ---------,,,,,9,' I,,,, ii,,-... 1 i ..H. 1 , ..„-cr. 1 ,-,), ) \ , 7 ,,,,,,,,,,,,ii ,,,•., .\,./. I( I { ,` .. I . ''',...:_>/- N .} Y_ ::: , 3' k. '.3 P:� ., a.,, {{. ,.�w nw.Aw7;, i}++jJ , e:. , ,t. A `^ `._. Y'.4,77,.. ,.x ,,..f,,...;. "C1}.M1wM*t as, �,r TERMS AND CONDITIONS The Permittee Nassau Point Property Owners Association, End Tuthill Road off Nassau Point Road, Cutchogue,New York,as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages,or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will,at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved,but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized,or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required,upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. 0 SOul r * Town Hall Annex John M.Bredemeyer III, President 54375 Route 25 11 h�� Ol0 Michael J. Domino,Vice President ` 311i l , P.O.Box 1179 Glenn Goldsmith Southold, New York 11971 A. Nicholas Krupski G % p ` �� �� Telephone(631) 765-1892 Charles J. Sanders `. lycnUNT`1 r.� Fax(631) 765-6641 rrr i BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 20, 2016 Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 RE: NASSAU POINT PROPERTY OWNERS ASSOCIATION END OF TUTHILL ROAD off NASSAU POINT ROAD, CUTCHOGUE SCTM# 1000-118-4 Dear Mr. Patanjo: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, January 20, 2016 regarding the above matter: WHEREAS, Jeffrey Patanjo on behalf of NASSAU POINT PROPERTY OWNERS ASSOCIATION applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated December 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, in accordance with Chapter 268, said application was found to be Exempt from the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on January 20, 2016, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, 2 WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of NASSAU POINT PROPERTY OWNERS ASSOCIATION to remove and replace 26 linear feet of existing deteriorated timber bulkhead with new vinyl bulkhead, and raise the top cap elevation 12"; and remove and replace existing 4'x7' steps to beach; and as depicted on the site plan prepared by Jeffrey Patanjo, dated December 1, 2015, and stamped approved on January 20, 2016. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, John M. Bredemeyer Ill President, Board of Trustees JMB/dd I I lu, I f�LI ' SECTION118-BLOCK 4-TAX LOT 6III 0 t• I l N/F JOHN J. STACK & PATRICIA McCAFFREY STACKro W G ZI LIBER 12652-PAGE 585 I Z FILED MAP NO. 156-LOT 60 Jae \��P� z ..., •= a CO I V .. al S 69'17'58" W - - - - - - — s Pse •s�°�� .... - - - - - - - - - - - - 401.37' — _....2�m .±. Q LINE aF 10'w IE NON-1L BUFFER_� 3 I - ) TUTHILL ROAD Ceotisea ",�, I o I E. (25' WIDE RIGHT OF Wj4'Y) GRAVEL DRIVEWAY R-100 3' swIEA►o c� ox ����� a J I a ASPHALT DRIVEWAY f//'-,.�, ,. II m F�J� 1�-1 R=9.86_ ( 11 ,=•• - - - - - - - - �� - - — — - - _ ' I O -- +N 69'17'58" E UTILITY POLE 0\ 403.15' L WIRE FENCE GATE • w r1 - aN POST & RAIL FENCE c� Zc .... .. =I' I h+1 CO II p I 9 ASL � I• Fes+ U� _ _ 1 z 8 • \ O N GP m I -4I to u � \ =' Q I SECTION 118-BLOCK 4-TAX LOT 7 , v� 3 -r i N/F CAROLINE M. ERASER & DOUGALL C. ERASER JR. ap '/2 STORYRESIDENCEI 55 LIBER 12661-PAGE 636 Y \ i FILED MAP NO. 156-LOT 61 �� 0 1 1 1 II 1 APPROVED �; - BOARD OF 1 RUSTEES ! �' -__ . SII OF O� 3 xt o+ k �, TOWNSOUTH �, P R 0 J E C 4 DEC 14 2015 ; . DATE' zo �l� f , 4 LOCATIO PROPOSED TIMBER TOP CAP t - Son+1, r, L_.._. .sxar /PROPOSEDi2LONG8O CCA , x" .' Y ,� I - easi. ...........42,40./ae4rHIYALE ' i TREATED TIMBER PIH a o.c. ' PROPERTY OWNER: PREPARED BY: $ ? � :, ------ i NASSAU POINT P.O.A. JEFFREY PATANJO .• � ' 40:., -,-1e7:.,4-4- 1,147;10 4 ,, P.O. BOX 346 106 HEWITT BOULEVARD �'�""G GRADE — , - x� �,in CUTCHOGUE, NY 11935 CENTER MORICHES, NY 11934 a - 1.--'... s� 631-484-9332 JPATANJO®OPTONLINE.NET ,<.1,� 1 un NOTES: PROPOSED rf.e CCA > PROPOSED er ccA ExISTING TIMBER BU CHEAD TOP BOTTOM "'ALE `''4 • , - -- , 1. ELEVATIONS REFER TO N.G.V.D. 1929 DATUM LAY-LOG PIIS TO 8E REMOVED IN t r (Ij $ IIS ENTIRETY. , ` '� .f { '8 PROPosEn,r TIP CCA PNF, s• � ✓/\�/ / � .� ,� 2. SITE PLAN PREPARED FROM SURVEY PREPARED BY: o'°'B LENGTH. BOLTED /\\/\\/\ \\ "�"B°'°E""" i- HEIDECKER LAND SURVEYING PLLC LAY-LOG YYITFi 3/� J � \ \/\// � 4'6.� � r� �` � G"Lv""zED'"R"-BOLTS. \\\\\\\\\\\\\\ \\\\\\ ArrRmanlE YL" '`"` :, ` 4 3 42 CROWN STREET KINGSTON NY 12401 c,,LOv°re°Roo,a LONG °� � �%�%%�%�%����ia� .� '� DATE SURVEYED: NOVEMBER 6, 2015 t BULKHEAD PERMIT PLANS SCALE: /O PROPOSED 10' LONG C-Loc /, 1"=30' """`SHEETING ' '+4 #' PROPOSED PLAN, SECTION DATE: TYPICAL SECTION A—A PROJECT LOCATION MAP & LOCATION MAP 12/1/15 N.T.S. N.T.S. TUTHILL ROAD CUTCHOGUE, TOWN OF SOUTHOLD SUFFOLK COUNTY, NY SHEET: TAX MAP NO. 1000-118-4 1 OF 1 `�s, FFO - ,' John M. Bredemeyer Ill, President � , S� ( Town Hall Annex f.0;` Michael J. Domino, Vice-President ���4 0-- 54375 Route 25, P.O. Box 1 179 1, James F. King Southold, NY 11971 +1 Telephone(631)765-1892 Charles J. Sanders ' y *0 �� �,�' Fax(631) 765-6641 Dave Bergen BOARD OF TOWN TRUSTEES ' .� •':r�' TOWN OF SOUTHOLD TO: W AGSM) Poip i f" i2j i tW/J( OS A-ssoC, Jr E( PA-i A-Aly D Please be advised that your application dated D E R 14 2-0 S has been reviewed by this Board at the regular meeting of TA/sit/1W/ 20/2-01& and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Silt Fence Inspection Fee ($50.00) 1st Day of Construction ($50.00) %Z Constructed ($50.00) Final Inspection Fee ($50.00) ( Eup OF Tiratit-- i-D) 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: TOTAL FEES DUE: $ 5®, 07) BY: John M. Bredemeyer III, President Board of Trustees John Bredemeyer, President Town Hall Annex � Michael J Domino, Vice-President ,'��° ' 1 54375 Route 25 Glenn Goldsmith § I P.O. Box 1179 A. Nicholas Krupski 'o 4r/ Southold, NY 11971 Charles J. Sanders y'��1 ,� �a°•%'I Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: 1/I Jeffrey Patanjo on behalf of NASSAU POINT PROPERTY OWNERS ASSOCIATION requests a Wetland Permit to remove and replace 26 linear feet of existing deteriorated timber bulkhead with new vinyl bulkhead, and raise the top cap elevation 12"; and remove and replace existing 4'x7' steps to beach. Located: End of Tuthill Road off Nassau Point Road, Cutchogue. SCTM# 118-4 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: V Chapt.275 Chapt. 111 other Type of Application: 1/ 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:- 1,507 b.,IK1,e„ti ti„-) hcv .f f;,;IAA ort,.t J, Z J Ito' 4 Present Were- i J. Bredemeyer / M. Domino G. Goldsmith ✓ N. Krupski C. Sanders Bay Constable Other Form filled out in the field by I- ` �". Mailed/Faxed to: Date: , 101` Nassau Point Property Owners Association +y:, ... $ End of Tuthill Road,Cutchogue { ,�' CTM#10001184 *' f'=�Y �� -' ,,'- 't li 1/14/16 r r.. f yam, • . yam- 'e� y' .S ..#ey� ) rte,.'_,6 ' a 'a.'M�'s�,Yt '- .... _ -- :�_�1 � .. ,.. '1, t'''.1.11k: 14, "A `°.}^-.W.44`,1:?-: - "�+..y...,.`..,...�. _ r'.. I `K r- r 44, 1y '''' ''.44' . 111 `y�T'�'; . __--- _ {� 1 CI fff."4"11171111171, I , 14..t.,"!"" ..,. —____,.._...-.., . __— ,„„0„..-ik,,,age , 7," *t * -- -' ' /44,44•4 , , • IL r! 1• ..„„i,,,,,,,,,,:,,, ..4, IiF J. 4r. 4„ q f1 , , , „ „. . ,,....,___ , , „: , n� , ,, ,. ...,. ._ , , . , _. 1 jli S Nr • J if i - DY. ,. Yh ,a "+cam+`_ ii1 . 9 ' ,., ' •s. .44 g.rs,M is .. g 1 w ra k t. 4, TV1S ift/20110 T S of ' 4 '" • -� ,„ ••' • Photo 1 > • - Is LIR } T Photo 2 t1• jJ Ai. _. At '' 71f .. Ly - - -- tk-- ..;_:.----Allihu. . ,• liar' �' y .l raG` •fi 111-1 1 .., 1.---- 1 ,irf...-,i NW li ' 1- .L-1----- r- _ir,r 1 , , , t r ' ' rte i i Photo 3 December 10 2015 NYS Dept. of Environmental Conservation SUNY @ Stony Brook 50 Circle Road Stony Brook New York 11790-2356 Attention, Duty Analyst RE: NASSAU POINT PROPERTY OWNERS ASSOCIATION TUTHILL ROAD -CUTCHOGUE SCTM No. 1000-118-4 APPLICATION FOR PERMIT Dear Sir/Madame, We hereby submit four (4) copies of the proposed plans, application; check, photographs and required data for permit approval for the above referenced project If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332 or e-mail at qDatan;cgc.,,ptonline net Very truly yours, 01100/ Jeffrey Patanjo 106 Hewitt Blvd Center Moriches. NY 11934 cc. Town of Southold Trustees Jack Dipaola — NPPOA Jack Barthel - NPPOA 41 JOINT APPLICATION FORM , 11 For Permits/Determinations to undertake activities affecting streams,waterways, liall ...-....4,--.... waterbodies,wetlands,coastal areas and sources of water withdrawal. US Army Corps of New York You must separately apply for and obtain separate Permits/Determinations from Engineers(USAGE) State each involved agency prior to proceeding with work.Please read all instructions. APPLICATIONS TO 1. NYS Department of Environmental Conservation 2. US Army Corps of Engineers 3. NYS Office of 4. NYS Depart- General Services ment of State Check all permits that apply: Check all permits that apply: Check all permits that Check If this ❑Stream Disturbance 0 Coastal Erosion 0 Section 404 Clean Water Act apply, applies: ❑Excavation and Fill in Management 0 Section 10 Rivers and Harbors ❑State Owned Lands ❑Coastal Navigable Waters 0 Wild,Scenic and Act Under Water Consistency ❑Docks,Moorings or Recreational Rivers 0 Nationwide Permit(s)-Identiy ❑Utility Concurrence Platforms ❑Water Withdrawal Number(s): Easement ❑Dams and Impoundment 0 Long Island Well (pipelines, Structures 0 Aquatic Vegetation Control conduits, ❑401 Water Qualitycables,etc.) 0 Aquatic Insect Control Certification Preconstruction Notification- El Docks, ❑Freshwater Wetlands ❑Fish Control ❑ Y / ❑ N Moorings or 0 Incidental Take of Endan- Platforms 1 Ell Tidal Wetlands gered/Threatened Species ❑ I am sending this application 0 I am sending this 0 I am sending ac I am sending this application to this agency. to this agency. application to this this application a•enc . to this a•enc . S. Name of Applicant(use full name) Applicant must be: 6. Name of Facility or Property Owner(if different than 1 If Owner cant) Nmsso v'ain't- frmgerk QwnerS 14S50G. ❑Operator I Mailing Address 0 Lessee Mailing Address (check all that apply) P.o. aou 3% Post Office City Taxpayer ID(If applicant Post Office City is NOT an individual): Co t-cA%o jut State N v Zip Code I I q 3 - I I- 2 Oa 10 y3 State Zip Code Telephone(daytime) Email p� N�C Telephone(daytime) Email 1 &SI. 734- aVir Jactli viglnlihf, l 7. Contact/Agent Name 1 8. Project/Facility Name Property Tax Map Section/Block/Lot Number / 000 — ' is- y Company Name Project Location- Provide directions and distances to roads,bridges and bodies of waters: -3-1A ST ,-1dp44h eF Nse0-71rs TeFFre� Ps.-r,.� , See (ace.-t-1..% /►oa /2 f / 'foe i 1 s . 0.w . Mailing Addre5sStreet Address,if applicable Post Office City State Zip Code NY 106 NieGutiT eltigt • --r,...4-ti,it gm,,k C./4cko,vc. II93s Post Office City Town/Village/City County CCn+er i✓ivridies 50,-rheic. 50c .LIt, State Zip Code Name of USGS Quadrangle Map Stream/Water Body Name A/ y II931/ 5-Ai 14nrbar L•+tte Pecemc a Telephone(daytime) 631. 1i%q. 93 3a- Location Coordinates: Enter NYTMs in kilometers,OR Latitude/Longitude I Email NYTM-E NYTM-N Latitude Longitude JPa--a✓+jv. � gfonline.iet Yoe 39.669d ip°X•133W C.ati' JOINT APPLICATION FORM 02/13 This is a 2 Page Application Application Form Page 1 of 2 Both Pages Must be Completed IIT APPLICATION FORM—PAGE 2 OF 2 S this completed page as part of your Application. 9. Project Description and Purpose: Provide a complete narrative description of the proposed work and its purpose.Attach additional page(s)if necessary.Include: description of current site conditions and how the site will be modified by the proposed project;structures and fill materials to be installed; type and quantity of materials to be used (i.e ., square ft of coverage and cubic yds of fill material and/or structures below ordinary/mean high water)area of excavation or dredging,volumes of material to be removed and location of dredged material disposal or use; work methods and type of equipment to be used; pollution control methods and mitigation activities proposed to compensate for resource impacts;and where applicable,the phasing of activities. ATTACH PLANS ON SEPARATE PAGES. flen4ov c_ Aeaw rcp l'Ce g6LF vF -excstl ''? 5,.1.lGkekd In St^'i - 1-0covilobi wt-ek rAtS•c.9 hzeth-(- of 92" i4�iovC -c4Xtst��, 'to/� etP 2l.v,.ivv ani fGtv$t ll •ekeST.�3 $141 ( To �ie4C t .�► Sw�1e L •cu-t-to.., . Proposed Use: 0 Private Public ❑Commercial I Proposed 2 to _ / I Estimated 2. - 1 2— Start Date: Completion Date: Has Work Begun on Project? 0 Yes ®'No If Yes,explain. Will Project Occupy Federal,State or Municipal Land? 0 Yes gi No If Yes,please specify. 10. List Previous Permit/Application Numbers(if any)and Dates: r-' leN — 11. Will this project require additional Federal,State,or Local Permits including zoning changes? (Wes 0 No If yes,please list: Ts,,,..., • F so,f of t& (f✓s1-e•ei 12. Signatures.If applicant is not the owner,both must sign the application. I I hereby affirm that information provided on this form and all attachments submitted herewith is true to the best of my knowledge and belief. False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the Penal Law. Further,the applicant accepts full responsibility for all damage, direct or indirect, of whatever nature, and by whomever suffered, arising out of the project described herein and agrees to indemnify and save harmless the State from suits,actions,damages and costs of every name and description resulting from said project. In addition,Federal Law,18 U.S.C.,Section 1001 provides fora fine of not more than$10,001 or imprisonment for not more than 5 years, or both where an applicant knowingly and willingly falsifies, co - , •01 AI/% aterial fact;or knowingly makes or uses a false,fictitious or fraudulent statement.OOP ) 4 3,441/ II '�!' 192T,ilerc 144deLe. r pawl" 1 Z)i/ ?s to +�1� Printed Name Title Date • 7�. r' S r 5Na 1.1."-�jrrt la.,e, 141,4..eeta il7c�''% j. Z,1/1.5-- ature o •w•-r Printed Name Title Date / ,� �e(•�ri -1 Pa Ta41� Act' ter i3•y•/J g •ture of gent Printed Nam d Tine Date ;{ -- , 3OINT APPLICATION FORM 02/13 Application Form Page 2 of 2 New York State Department of Environmental Conservation Ilk iiiid w PERMISSION TO INSPECT PROPERTY By signing this permission form for submission with an application for a permit(s)to the Department of Environmental Conservation("DEC"),the signer consents to inspection by DEC staff of the project site or facility for which a permit is sought and,to the extent necessary, areas adjacent to the project site or facility. This consent allows DEC staff to enter upon and pass through such property in order to inspect the project site or facility,without prior notice,between the hours of 7:00 a.m.and 7:00 p.m.,Monday through Friday. If DEC staff should wish to conduct an inspection at any other times, DEC staff will so notify the applicant and will obtain a separate consent for such an inspection. Inspections may take place as part of the application review prior to a decision to grant or deny the permit(s)sought. By signing this consent form,the signer agrees that this consent remains in effect as long as the application is pending, and is effective regardless of whether the signer,applicant or an agent is present at the time of the inspection. [n the event that the project site or facility is posted with any form of"posted"or"keep out"notices,Dr fenced in with an unlocked gate,this permission authorizes DEC staff to disregard such notices or unlocked gates at the time of inspection. . The signer further agrees that during an inspection,DEC staff may,among other things, , take measurements, may analyze physical characteristics of the site including, but not limited to, soils and vegetation(taking samples for analysis),and may make drawings and take photographs. Failure to grant consent for an inspection is grounds for,and may result in,denial of the permit(s)sought by the application. Permission is granted for inspection of property located at the following address(es): —r .-h, I l 120 a , CGA-c-k•5 . c , 1-1 Lk 12. p 40 i•-ST rt o r 4-k 0 � 449-,Se 4- 19 5 5' By signing this form, I affirm under penalty of perjuly that I am authorized to give consent to entry by DEC staff as described above. I understand that false statements made herein are punishable as a Class A misdemeanor pur • to Section 210.45 of the Penal Law.* alifiltA' 6A .r yF lPt , /Z,)g jic Print Name and Title Signature Date *The signer of this form must be an individ • : authorized representative of a legal entity that: • owns fee title and is in possession oft e property identified above; • maintains possessory interest in the property through a lease,rental agreement or other legally binding agreement;or • is provided permission to act on behalf of an individual or legal entity possessing fee title or other possessory interest in the property for the purpose of consenting to inspection of such property. Permission to Inspect Property Application Supplement 12/08 Short Environmental Assessment Form Part 1 -Project Information Instructions for Completing Part 1-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 1 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 1-Project and Sponsor Information Name of Action or Project: h, 11 2e.cf2 /3,Othca Project Location(describe,and attach a location map) —r.' .41t1 i2- Q- (z-o •w . J # f nor-+► 4P f-- e -795- Brief Description of Proposed Action. e.n ®i c a114../2reef* *LS7, 7 2 L Li- h, L1Ae^ t4 5 41 c_ l-avcm4ion w 1,441 r k I. 9- J ecJ#vr mf- !2 " <S../.c_ A-vci cc;� Top e.P. 2 en.ev c 4.112 r e.is"$to(t 4?a Sfi n y 51".Of i r S -t"- 6 ea CAI . Name of Applicant or Sponsor Telephone. b 31. -13,4_ a st(S' I. S Ski e.,n r Prr ri e,CS 4 ss oc c..416.1 E-Mail J c l.L 1-4d @ seei+l(n e N 44-- Address: P.D. g . 3 4 City/PO: State. Zip Code. G1-0,11,e '-"1 35- 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 Ea may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 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. ❑ ❑ ►`�`I S Da- / T.k.••••1 s F o t&._ Tr v vr c-e $ 3 a. Total acreage of the site of the proposed action? 1.4 .k acres b. Total acreage to be physically disturbed? s. o 1 f acres c. Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? /4)4 acres 4. Check all land uses that occur on,adjoining and near the proposed action. El Urban ❑Rural(non-agriculture) El Industrial 0 Commercial EiResidential(suburban) ['Forest DAgnculture ['Aquatic ['Other(specify) ['Parkland Page 1 of 3 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ a ❑ b Consistent with the adopted comprehensive plan? ❑ �C ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ 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:Peconic Bay and Environs,Reason:Protect public health,water,vegetation,&scenic beauty, El ❑ Agency:SuttolK County,Uate:7-12-Sb 8. a. Will the proposed action result in a substantial increase in traffic above present levels? NO YES b. Are public transportation service(s)available at or near the site of the proposed action? © ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? © ❑ 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: ❑ 10 Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: 5 ❑ 11 Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: CI ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Histonc NO YES Places? E ❑ b. Is the proposed action located in an archeological sensitive area? ❑ 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? ❑ ✓❑ 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 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 ❑Earlymid-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? ❑ ✓❑ 16 Is the project site located in the 100 year flood plain? NO YES fl I r I 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? 0 NO EYES 121 ❑ b Will storm water discharges be directed to established conveyance systems runoff and storm drains)? If Yes,briefly describe: NO OYES Page 2 of 3 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. ❑ 19.Has the site of the proposed action or an adjoming property been the location of an active or closed NO YES solid waste management facility? If Yes,describe. E 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: El I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponso • -: u/ A /Z- eC Date: /C3)9/.Jc§— Signature: PRINT FORM Page 3 of 3 . . . , ' ' '"'", ':' '''''''."Alcdt'''',4,:1 * . . ' '*'41''^k ''i.'''''''''''''' ...>','...2:*'..''''''."' 7'.1..';',.;'"..1,0"-K-474003i,r,likirI-v--..',.i-,,,..r, - -.,-. ,.. - ••,,,,,t:-,4,,,-;-,.',„?.--,.....--• ,.,,,..., ''''' *— . .-... - ..... —..-. ,.. . - - .... A A I N SEE SEC 1,1 UNE MATCH \ ,I ii , I,.t. \ 1010,,,-____IVAit 111. '' 0 Wunnewele ,7-. 191'Atc) 4i \ pond 111101-1' 4, ., ,,, ' NS, ,,,.........06 " '• ',.','."Lor.,;/ ‘5‘il. • t".. ' \ N..,, * 6:i, Ari. •i ,, , .. '',,, 14,, 40000, \ N Ms \1 4, 1 `N., ' '''' . .1'•2:4)'''''/ . ;''''Y '';' , b.,..,as/ 1 16, • //? I• e -' 66 \ ./.._. 64 .4 ,,•.c.,.7., •,..4 0 1 _ / ', _ „•',.." ' `..... ,T 60i.(c) '•.,. , 4-.o. / . 11.2,0),,,,.....m... ?/ 4\ . . ,,,,, . ' --- ---•4,... e49 re\ l'e ,. ' .. 7 \ '• - •- ... . -1 \ -''• ,-,--= i n , \__,) .:,' '-, , ..,;;' 3i1s4 - ,9.9'\ -- .--/ % l.0--• /'' , el . `,..„. 's. -1 ' •'. 16, . ,..„4,:a•.9, " 9 .4 N . • N. c, N C?90 , . ... y,.. •\. .P , / . \ % ITA. .3,32 mu A Z : II 303.1tO A SECTION NO ... ru TONN OA YOUTHOLD COUNTY OF SUFFOLK © : NOTICE • ,-, ' ) \...,,,.. ,..,..- ,.Real Property Tax Service A118gency ... vALAGE OA .'"=:::.•norAZO:n4 0., . co*Cerove itos:=.ft V VIM" ........,... —„7-..—\................m. I ,.... ——‘.)—— _.- .... 4. ....• iy.a c....... ..... -,....-- ----• ............. /, I# ilii ,,•',pf SOU/ - OFFICE LOCATION: �o' O MAILING ADDRESS: Town Hall Annex e �� l' P.O. Box 1179 54375 State Route 25 * * % Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 ` .4) ipQ�� • I Telephone: 631 765-1938 =�1TCOUNT`I,' I" LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: John Bredemeyer, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: January 14, 2016 Re: Local Waterfront Coastal Consistency Review NASSAU POINT PROPERTY OWNERS ASSOCIATION SCTM# 1000-118-4 ROADEND Jeffrey Patanjo on behalf of NASSAU POINT PROPERTY OWNERS ASSOCIATION requests a Wetland Permit to remove and replace 26 linear feet of existing deteriorated timber bulkhead with new vinyl bulkhead, and raise the top cap elevation 12"; and remove and replace existing 4'x7' steps to beach. Located. End of Tuthill Road off Nassau Point Road, Cutchogue. SCTM# 1000- 118-4 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 recommendation that the proposed action is EXEMPT from LWRP review pursuant to § 268-3. Definitions. MINOR ACTIONS item "B" which states: B Replacement, rehabilitation or reconstruction of a structure or facility, in kind, on the same site (inplace), including upgrading buildings to meet building or fire codes, except for structures in areas designated by the Coastal Erosion Hazard Area (CEHA) law where structures may not be replaced, rehabilitated or reconstructed without a permit and shoreline erosion control structures (including, but not limited to, groins, jetties, bulkheads, filled piers) located within Great Peconic Bay, Cutchogue Harbor, Little Peconic Bay, Hog Neck Bay, Noyack Bay, Southold Bay, Shelter Island Sound, Pipes Cove, Orient Harbor, Gardiners Bay, Long Island Sound, Fishers Island Sound and Block Island Sound (excluding all creeks); The action is not located within a CEHA. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. `/���OgUFFOt,t �G, Peter Young,Chairman 05 Town Hall,53095 Main Rd. Lauren Standish,Secretary 'I.. i P 0 Box 1179 `4 MSouthold,NY 11971 ; ��`�►� Telephone(631)765-1889 * $4 i'' Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., January 13, 2016 the following recommendation was made: Moved by John Stein, seconded by Peter Meeker, it was RESOLVED to SUPPORT the application of NASSAU POINT PROPERTY OWNERS ASSOC. to remove and replace 26 If. of deteriorated timber bulkhead with new vinyl bulkhead and raise top cap elevation 12", and remove and reinstall existing 4'X 7' stairs to beach. Located: Tuthill Road ROW, north of house #7955, Cutchogue. SCTM#118-4 Inspected by: Peter Meeker, John Stein Vote of Council: Ayes: All Motion Carried John M.Bredemeyer III,President a''i/ ,�i Town Hall Annex Michael J.Domino,Vice-President /'kb' �4 54375 Main Road P.O.Box 1179 James F.King,Trustee * Southold,New York 11971-0959 Dave Bergen,Trustee G Charles J.Sanders,Trustee ._ Telephone(631)765-1892 4 Fax(631)765-6641 �O.�INt'l; � ; ' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use OnlyCFI r Coastal Erosion Permit Application ct Wetland Permit Application Administrative Permit DEC � d 2015 _ Amendment/Transfer/Extension /Received Application: IZ.Iq-.1 Received Fee:$ Completed Application I Z•I5•I5 iru 'e _Incomplete _SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) /, g,,(p t7LWRP Consistency Assessment Form V CAC Referral Sent: 12.24•I5 Date of Inspection: I t I`f•1(p Receipt of CAC Report: _Lead Agency Determination: Technical Review: 7—Public Hearing Held: I ZDV I(, Resolution: Name of Applicant nieg. s s a c- po,n t- Pr '&r+� D,.4 ,7 els A c sac,.t-f-1 O/� Mailing Address P• D• 6 v,( 3 y 6 C�-t �h' �e n1 c-( I(9 3.5-- Phone Number:( ) 6 3(• -7 3 y -2 3' sr Suffolk County Tax Map Number: 1000- I 1 cb —LI Property Location: t I 20c. — o•LJ • J„ c•-r north 195-5- (provide LILCO Pole#,distance to cross streets,and location) AGENT: Fr t l Poe-a n a (If applicable) /� nA Address: I D b h eu�t-t`-t 1(v cQ, 2e4 fer o r 1 G(l e 5/ ' `t i I c1 3 Phone: 43/"-i S t(•9 3 3 a-- rd of Trustees Application GENERAL DATA Land Area(in square feet): t-,1 A Area Zoning: a z s Previous use of property: (1--'c S • Intended use of property: $L e S Covenants and Restrictions on property? Yes k No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes No If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes u No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes X No Does the structure(s)on property have a valid Certificate of Occupancy? V Yes No Prior permits/approvals for site improvements: Agency Date Vdt No prior permits/approvals for site improvements. Has any pernit/approval ever been revoked or suspended by a governmental agency? No Yes If yes,provide explanation: Project Description(use attachments if necessary): R c'14 cc b F cJe4 f"r41•( —1 e41 h.ciL wctk Ncw v641 L d+#Q 22c.i Sc c.t/° .c. t 2. " (1-CAnove it,✓!Q fel S+AlI cKlYt`tna l/.k- 5T4i,s -td c11 • SI I of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: 12.<440,-f_ 4.1,4—rep/Ace a LE of dc-}ccior4Td? �i�rhLR— bvL11-hee.-6- t e(1-1, Ai(e") v rn L, 46142 Ioui S.C. 'top <t fl a(c vf-i ff6M.out rGra S!a 11 -e4et S7ii Ti► $ f. h-ck e- Area of wetlands on lot: square feet Percent coverage of lot: ' �q Closest distance between nearest existing structure and upland edge of wetlands: /o o feet Closest distance between nearest proposed structure and upland edge of wetlands: I d G feet Does the project involve excavation or filling? No Yes If yes,how much material will be excavated? •-k cubic yards How much material will be filled? r 14- cubic yards Depth of which material will be removed or deposited: r l A feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: k A Statement of the effect,if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations(use attachments if appropriate): Th•cent „ilt b posTive -«`F m-t -Etch l ( 4.fC/S L �o -Gt(4xwuTcoar•f €,rrSio4 ov(R e) �� -. i-t *e4i, 5Ti n fr tvL/(hcci • ao3 Town of Southold (14E %-', Erosion, Sedimentation & Storm-Water Run-off ASSESSMENT FORM V; PROPERTY LOCATION: S.C.T.M.0: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A Qt, A. ,. (pa a t l S y AA STORM-WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN District /MEW mock— Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? 1 Will this Project Retain All Storm-Water Run-Off (Include Total Area of all Parcels located within b s-0 t f Generated by a Two(2")Inch Rainfall on Site? the Scope of Work for Proposed Construction) (This item will include all run-off created by site (S.F./Ades) b. What is the Total Area of Land Clearing clearing and/or construction activities as well as all —� and/or Ground Disturbance for the proposed SD/o. Site Improvements and the permanent creation of construction activity? impervious surfaces.) (S.F.FAces) PROVIDE BRIEF PROJECT DESCRIPTION (Provide Additional Pages as Needed) 2 Does the Site tunPlae Indicating SurSi Show Alla Proposed ❑ Drainage Structures Size&Location?This Item shall include all Proposed Grade Changes and atntowc w.g nPItrc 2b LE- b�c.K-keet Q Slopes Controlling Surface Water Flow. 3 Does the Site Plan and/or Survey describe the erosion v tfk leu t St.& t i'j 4.ce of- 1"2" . Qcvhtmue and sediment control practices that will be used to ' ❑ control site erosion and storm water discharges. This 0449 Ico.sTk 'to firs item must be maintained throughout the Entire Construction Period. 1• 't ' 4 Will this Project Require any Land Filling,Grading or Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards _ X of Material within any Parcel? 5 Will this Application Require Land Disturbing Activities ❑ Encompassing an Area in Excess of Five Thousand X (5,000 S.F.)Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the ® — Site? is this Project within the Trustees jurisdiction General DEC SWPPP Requirements: or within One Hundred(100')feet of a Wetland or Submission of a SWPPP is requited for all Construction activities involving soil Beach? disturbances of one(1)or more acres; including disturbances of less than one acre that 7 Will there be Site preparation on Existing Grade Slopes ❑ are part of a larger common plan that ION ultimately disturb one or more acres of land; which Exceed Fifteen(15)feet of Vertical Rise to Including Construction activities involving soil disturbances of less than one(1)acre where One Hundred(1001 of Horizontal Distance? the DEC has determined that a SPDES permit Is required for storm water discharges. (SWPPP's Shall meet the Minimum Requirements of the SPDES General Parrett 8 Will Driveways,Parking Areas or other Impervious for Storm Water Discharges from Construction activity-Permit No.GP-0-10.001.) Surfaces be Sloped to Direct Storm-Water Run-Off 1.The SWPPP shall be prepared prior to the submittal of the NOI.The NOI shell be into and/or in the direction of a Town right-of-way? submitted to the Department prior to the commencement of construction activity. 2.The SWPPP shell describe the erosion and sediment control practices end where 9 Will this Project Require the Placement of Material, required,post-construction storm water management practices that will be used and%or Removal of Vegetation and/or the Construction of any [] x constructed to reduce the pollutants In storm water discharges end to assure Item Within the Town Right-of-Way or Road Shoulder compliance with the terms and conditions of this permit.In addition,the SWPPP shall Area?(nee Item sill NOT Include mo Installation or Driveway Aprons.) Identify potential sources of pollution which may reasonably be expected to affect the quality of storm water discharges. NOTE: If Any Answer to Questions Ona through Nine Is Answered with a Check Mark 3.All SWPPPs that require the post-construction storm water management practice Ina Sox and the construction site disturbance Is between 5,000 S.F.&1 Acre M area, component shall be prepared by a qualified Design Professional Licensed In New York a storm-Water,Grading.Drainage&Erosion Control Plan Is Required by the Town of that is knowledgeable In the principles and practices of Storm Water Management. Southold and Must be Submittedand/orfor Review Prior to Issuance of Any Building Permit. (NOTE: A Check Mark(4)and/or Answer for each Question is Required for a Complete Application) STATE OF NEW YORK, COUNTY OF SS That I, p'" r' )4").2 1.44being duly sworn,deposes and says that he/she is the applicant for Permit, (Name of Individual signing Document) p ? And that he/she is the Vj G� i`�''50� '6 / (Owner,Contractor,Agent,Corporate Officer,sic.) Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; day of � 20 t Notary Public: PULL/ ' a-4rib (Signature of Applicant) FORM - 06/10 p . p1111.1,nNew Yak 01P ;15D861 Commission Expires 08/07/206 Short Environmental Assessment Form Part 1 -Project Information Instructions for Completing Part 1-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 1 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 1-Project and Sponsor Information Name of Action or Project: T h /! a. Pte..LIGke'4 Project Location(describe,and attach a location map): CC,.-rh,t l aouQ (2—0 .L.%) . j r) 441 ' F 14ar Se -79 5-5-- Brief 5--Brief Description of Proposed Action. 2 .rt ' c et, r•G f I4 ( err 571 Z 6 Lf- CIS)c,, r 4 5*41 c_ 1-0c,m4ion w ifil r a i$t c9 h ccyit-r m F 12 " b.we- Alco cT,-17 Top tato. 0-e^aue Anstatt zsr'el 'STA,rS 1. 6e4640, . Name of Applicant or Sponsor. Telephone: b 1• -i 3'(" a 3 K 5-- e.,e.,n T ProPer etiS 4 ssoc(4.41 on E-Mail e.a @aeEonh ne•ed Address: P. O. (JDx 344 City/PO: State: Zip Code Cv-re- kP y of ►--) '1 1 f 4 3 5- 1. 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 E may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 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: El -'`I S Ec, / -r.w n o f 5... k o t c r,.s'r« $ El► 3 a. Total acreage of the site of the proposed action? acres b Total acreage to be physically disturbed? s. a I f acres c. Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? ni14 acres 4 Check all land uses that occur on,adjoining and near the proposed action. Urban ['Rural(non-agriculture) 0 Industrial ❑Commercial ®Residential(suburban) ❑Forest ❑Agriculture El Aquatic ['Other(specify) ['Parkland Page 1 of 3 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? ❑ E ❑ 6 Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ CI 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:Peconic Bay and Environs,Reason:Protect public health,water,vegetation,&scenic beauty, ❑ ❑ Agency:Suttk Ci olounty,Date:7-12- 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES © ❑ b Are public transportation service(s)available at or near the site of the proposed action? ❑� El c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 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. ❑ 10 Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water EJ ❑ 11 Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: Q ❑ 12 a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ❑✓ ❑ b Is the proposed action located in an archeological sensitive area? ❑ I r l 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? ❑ ✓❑ b. Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? Et ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres 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 ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland 0 Urban 0 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? ❑ ✓❑ 16 Is the project site located in the 100 year flood plain? NO YES nFt] 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? 0 NO DYES RI ❑ b Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: 0 NO OYES Page 2 of 3 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. ® ❑ 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: C• ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)forhazardous waste? If Yes,describe. III ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE f Applicant/sponso • : ,047:.> x/ )•/. - TPA_ £C Date: /eh)../c- Signature: ...;-i� :i• AP r__.....— — 40, PRINT FORM Page 3 of 3 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- 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. 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: I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Date: Signature: 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 1 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 I 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 occur occur 10 Will the proposed action result in an increase in the potential for erosion,flooding or drainage problems? 1 I. Will the proposed action create a hazard to environmental resources or human health? l 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 3. 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. nCheck 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 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 impactI Town of Southold-Board of Trustees /✓ / 6 j-6-;ame of Lead Agency Date /I Q / President Print or Type me of RL&sible Officer I Lead Agency Title of Responsible Officer 4 I � � _ Si,rof Re :• s . e Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 January 11, 2016 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE: NASSAU POINT PROPERTY OWNERS ASSOCIATION TUTHILL ROAD -CUTCHOGUE SCTM No. 1000-118-4 AFFIDAVIT'S Dear Trustees: Attached please find Affidavit's of Posting & Mailing for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, #1 AI 404°.F> Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 J' • r • PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: kSi /a� ,65//02 9(p aokhcor P9,3O a /4)v h5 A . c. ca e //" - ,eochosy ,Qct . //5 STATE OF NEW YORK COUNTY OF SUFFOLK J care pt` �r)J) , residing at /Q(D thbtiJtt hvU . 0)') , being duly sworn, deposes and says that on the (D day of t (2fl U , 20/(D, deponent mailed a true copy of the Notice set forth in the Board of Tru�stee 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 all 1-(._r/ )(f iclan , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. ‘.1°Sworn to before me this CO DaYotJar)U , 20/hi/ CD Qik-ib Notary Public L. I- n Patanio ;; • New York � Commission Enpires . 17/20I' I -• _z- SUFFQL,r John M Bredemeyer Ill, l-resident Town Hall Annex Michael J. Domino, Vice-President �� y 54375 Route 25 Glenn Goldsmith ?s N x P.O Box 1179 A. Nicholas Krupski ;=r Southold, NY 11971 Charles J. Sanders i:,4 �a� " 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 NASSAU POINT PROPERTY OWNERS ASSOCIATION—TUTHILL ROAD COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR NOT LESS THAN SEVEN DAYS A1,c C.), residing at/dba/C(.0 Gw/ c frd n- s /( 23`i being duly sworn, depose/and say: That on the day ok/�� `,201 o, I onally posted the property known as JV�'U Pae/77i- P u //I a. 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,January 20, 2016. Dated: i of p (s.gn.,. re) Sworn to before me this /0 day ofJQk 20/Co Notary Public W Loriann Patsy one Yak N01 P�50861 Commission Expires 0807/20 U.S. Postal Service'" U.S. Postal Servicer" CERTIFIED MAIL® RECEIPT CERTIFIED MAIL® RECEIPT pa- Domestic Mail Only Domestic Mail Only ra rn For delivery information,visit our website at www.usps.com I� For delivery information,visit our website at www.usps.com4. Carted Mail Fee $3.45 i 0934 Certified Mail Fee $3.45 n ru $ $2.80.- GEN; 14 IL $ t Q�� �- O Extra Services&Fees(check box,add tee i •�••; te) ✓^�� Extra Services&Fees(check box,add tee q�giSt8ate) x 14 tm ❑Return Receipt(hardcopy) $ tI A` . , � ❑Return Receipt(hardcopy) $ P UUU■UU I O ❑Return Receipt(electronic) $ f 0•t•1 Post tft O ❑Return Receipt(electronic) $ Sd-00 Postiifdrk r1 D ❑Certified Mail Restricted Delivery $ $0., He I ❑Certified Mall Restricted Delivery $ $� (�4 H� in 0 Adult Signature Required $ $0_V V n D ❑Adult Signature Required $ $0.00 �O ❑Adult Signature Restricted Delivery$ 0 Adult Signature Restricted Delivery$ Lr lJ 0 Postage ru $0.49 ("? � O Postage Lt $ 6/111 `72016 I� $ $0.49 Total Postage and lies 74 Total Postage and Fees 01/06/2016 s $ $6.74 r�'1 Sent To lil ra Sent To Street and Apt.No. Bo ci '- treat and Apt.No.,or Pb box No. IN- City,State,ZIP+4® City,State,ZIP+44 PS Form 3800,April 2015 PSN 7530-02-000-9047 See Reverse for Instructions PS Form 3800,April 2015 PSN 7530-02-000-9047 See Reverse for Instructions U.S. Postal Servicee' U.S. Postal Servicer" CERTIFIED MAIL® RECEIPT CERTIFIED MAIL® RECEIPT ti Domestic Mail Only ODomestic Mail Only r1J ru in For delivery information,visit our website at www.usps.com". For delivery information,visit our website at www.usps.com.. GA NYC/4530-; .4 vu f, ".F . $ r9 t: „„F -t o s.,. t) st ^wi ,• 1934 rq Certified Mail Fee $3.45 0$34 ra Certified Mail Fee $3.45 14 rl.l $ • r 0�`1-4 ▪ $ $2.80 Extra Services&Fees(check box,add fee alk te) / ru Extra Services&Fees(check box,add fee 4$,Pete) 0 0 Return Receipt(hardcopy) $ AA ffyyly A ` ' Return Receipt(electronic) $ $0 a 00 % Postmark 0 0 Return Receipt(hardcopy) $ $0.00 �'' ❑ 0 Return Receipt(electronic) $ $0.00 Po a` 0 0 Certified Mail Restricted Delivery $ $0•00Ini d'Here Adult Signature Required $ $l!.001 0 Certified Marl Restricted Delivery $ `• Z O 0 ❑ 9 [� 0 Adult Signature Required $ $0,00 (n I •� ❑Adult Signature ResMcted Delivery$ Q dp/rF ❑Adult Signature Restricted Delivery$ C n E l Postage $0.49 s 1� Postage $0.49 1/01201 ,�Z 11) $ 7 41 `W�1016 ru ri Total Postage and Fees .74 Total Postage andIr. ?O.74 '• 1S r, v>. _ $ $ ?C Lri Sent To Ln rq Sent Torq p - street and Apt.No.,or P Box 0. cl street and Apt.No.,or P Box No. City,State,Z1P+46 City,State,ZIP+48 PS Form 3800,April 2015 PSN 7530-02-000-9047 See Reverse for Instructions PS Form 3800,April 2015 PSN 7530-02-000-9047 See Reverse for Instructions PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS 4- 'r- . -Arps Name: _. Or ') ` 7 11 • �''S �" �� � STATE OF NEW YORK COUNTY OF SUFFOLK , residing at , being duly sworn, deposes and says that on the day of , 20 , 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 , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this Day of , 20 Notary Public NUTILL Ulm HLARING 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: NASSAU POINT PROPERTY OWNERS ASSOCIATION - TUTHILL ROAD SUBJECT OF PUBLIC HEARING : For a Wetland Permit to remove and replace 26 linear feet of existing deteriorated timber bulkhead with new vinyl bulkhead, and raise the top cap elevation 12"; and remove and replace existing 4'x7' steps to beach. Located: End of Tuthill Road off Nassau Point Road, Cutchogue. SCTM# 1000-118-4 TIME & DATE OF PUBLIC HEARING : Wednesday, January 20, 2016 — 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 H, 3 of Trustees Application County of Suffolk State of New York -j0A 10 Fi . p n-TJge4` 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 APPLICATION. . / it 0_iii _,nature of Property Owner SWORN TO BEFORE ME THIS 41 DAY OF D< e• ,20 I f .) ' nOU U Notary Public Loftin PatanNorargliio York i ' . County No:O1P A50861 Commission Expires 08/07/20L1) 131 I of Trustees Application AUTHORIZATION (where the applicant is not the owner) I, -.7o-Nd JI• ri:G� residing at (7S Oc,1) crit) .)r,vgrli 2 P (print owner of property) (mailing address) c oca.0 y i 7 y f do hereby authorize (Agent) VA. j a to apply for permit(s)from the Southold Board of Town Trustees on my behalf. (0 , er's signature) 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 tkprovide ifforinatibn which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: 13 a c-t-ti * S• k 4 A . (Last name,first name,ipiddle 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. • i 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 day of De e: 200 Signature _,101,15-w' Print Name Form TS I Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information 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 fonn 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 scant beneficial and adverse effects upon the coastal area cwhich includes all of Southold Town). 3: 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,the Planning Department,all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# l o •o - I I '8 - PROJECT NAME —17-rI (2-•A(CL L t4-&- The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. El Board of Trustees 2- 1. 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: / Q „fin GnI feplacc 261f- as F g"Al 1� 01e-feriarktccQ Ia..at4e+ (1� s.— O. .dew 'L Al L /✓1. - rA.tse hep Gip LIry.,70.1 AF- 12-". i►Zenvcau-C A462 rci i., lI -gel ST/ n) N'A1 574, • Location of action: T: T k d I l 20 4t.J2 _ ,R. •O•w ) VST r 04.441 IP s. ' Site acreage: r-' I Present land use: (2 t Present zoning classification: (Z S 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 /1/4..) c IA-4. f..n r i'r.gP• r.i.c . Jot &c-4-L (b) Mailing address: P D • ''< 3 9 (fl G-4 G� y�e , (c) Telephone number:Area Code( ). 1/7) • ? 3 Y - 2 3 b (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes [RI No❑ If yes,which state or federal agency? r '.s c- 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. Yes ❑ No ❑ Not Applicable Pt•j, .# Pr 1)14.eS Fvy ,- c.J I.t i..ST6.1(ea- (0.•LlC1% <...& GonSt cone t- t...( th £-•e .( Go.✓I/Kt 11t 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 CINot Applicable 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 ❑ No ❑ Not Applicable PrrJc�� Pr.vLQeS s‘,4.1ic7 r`7 h..CX Acc..cQ 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 ❑ No ❑ Not Applicable Privc.- Pro�c�tS ,..cw b✓CiLhc&clZ Prerc-v t 1#St m< Lc ct . 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 Et Yes ❑ No ❑Not Applicable Pre] cf pr,1ecrcon/it cerr Pr+'uca rt) rtw h.rCLcc,_d2 •1. PrLV�T .trS!am- n.44.4. Scd.Me. -r -r a.t of t.✓c. t-.cA,f . 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. ❑ ❑ C Yes No Not Applicable 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 Li No 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. 1 Yes No❑ Not Applicable Pro,•d,4 Pr,,Lct<s 44, c $ -C be. (c.CillcvrTS �F v 01 Si LI f Oot r' Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section In–Policies;Pages 47 through 56 for evaluation criteria. ❑Yes ❑ No [J 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 ❑ No 12 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. ❑ 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 C Not Applicable PREPARED BY —37 PQ 44 n J"0 TITLE q en DATE l 2'Y'/s— December 10, 2015 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 � } iz C RE: NASSAU POINT PROPERTY OWNERS ASSOCIATION TUTHILL ROAD -CUTCHOGUE ' DEC 1 4 2015 SCTM No. 1000-118-4 APPLICATION FOR PERMIT 14,1'• Tr Dear Trustees: We hereby submit one original and three (3) copies of the proposed plans, application, check, photographs and required data for permit approval for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332 Very truly yours, I, 11k, Jef ey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 Cc: Jack Dipaola — NPPOA Jack Barthel - NPPOA I- z w mi aiI�w� D mi Z z y n id HEIDECKER LAND SURVEYING I-O I oV 1:17}il o Z O I I 1 I co SECTION 118-BLOCK 4-TAX LOT 6 I �, N/F JOHN J. STACK & PATRICIA McCAFFREY STACK LIBER 12652-PAGE 585 J o I FILED MAP NO. 156-LOT 60 • w 1 4 Z i LJ W I I \ ce 4 I k% I Z m� o a z I \ . 3 \ ' UW Op LIJ L. I 3 9 3'�P TOP OF BULKHEAD= g,;' Z ¢ of /y'� 1 I \ GJ� pR, R o Y I W O \ •�o� P�� cc-' o�� n r.:,. V 5 SQA �0�`` 3 i- ____15,_„ , m 6 69'17'58" W — _ _\ /% s� _ _ _ _- 401 37 p I 0 _ _ _ _ 1 � I \ Q o ? NNN / \ _�, \�P BU KHEAD- . z a f/ TUTHILL\.ROA �- CB --r- '"_3 WOODEN STEPS V co WIDE 4 GRAVEL DRIVEWAY R=10.3' •� _ O N 1117 \ Li ASPHALT DRIVEWAY (25' WIDE RIGHT OF WAY) 0 / ---I-_ _ .DIRT PgT1l w o r �y iAL WIRE FENCE, �— I °Y� 69 58u E UTILITY POLE / _-- / �� �� ` 413.1 / QATE x LL 7-1], ,nb, C / ro o� POST de RAIL FEN E 7 `�� y oZ�w,� I \'.y ���- _ I\ w 914 ix -„i 4 Nc3 • ----. \ W o 1r ___y — . �_ w P cZ70 / f' 4 = n / �F` I . — I w �Z / / �? G^� / /i // //j -6-,k No j Q O / 9 �\ 9 / / t o I' ^l ^\( 3 w t Iy ..---77- / / J7955 / / w. \\ 1-- < 1 (< LA ,,, / \x . _J �� i/2 STORY RESIDENCE / / \ 3 I �� w CO Z."--"-'/3O / I Q Z V / Z I SECTION 118-BLOCK 4-TAX LOT 7 NOTES N/F CAROLINE M. ERASER & DOUGALL C. ERASER JR. 1. FIELD WORK WAS CONDUCTED NOVEMBER 6, 2015 BY HEIDECKER LAND SURVEYING, Z LIBER 12661-PAGE 636 PLLC AND ALL MEASUREMENTS WERE TAKEN ON THE GROUND. g FILED MAP NO. 156-LOT 61 2. RIGHT OF WAY LINES SHOWN ARE BASED UPON MAP ENTITLED "AMENDED MAP OF w O NASSAU POINT CLUB PROPERTIES, INC.", DATED 6/28/1922, PREPARED BY OTTO VAN TUYL, C.E. & SURVEYORS, GREENPORT, N.Y., AND FILED WITH THE SUFFOLK COUNTY w m Z CLERK ON 8/16/1922 AS MAP NUMBER 156. I- 3. SUFFOLK COUNTY TAX ASSESSOR DESIGNATION: TOWN OF SOUTHOLD-SECTION 118, P u BLOCK 4. 0 4. THIS SURVEY WAS MADE WITHOUT THE BENEFIT OF A TITLE REPORT AND IS SUBJECT Z TO ANY STATE OF FACTS A FULL AND CURRENT TITLE REPORT MAY REVEAL. O 0 5. ALL EASEMENTS ARE NOT SHOWN. 6. INDICATED UNDERGROUND UTILITIES ARE SHOWN FROM SURFACE EVIDENCE ONLY. UNDERGROUND LINE LOCATIONS ARE APPROXIMATE AND ALL UNDERGROUND UTILITIES ARE NOT SHOWN. PRIOR TO CONSTRUCTION THE CONTRACTOR SHALL CALL "CALL r'� "` i BEFORE YOU DIG" AT (800) 272-4480 AND HAVE ALL UTILITY LOCATIONS MARKED ON ill THE GROUND. 11 I.t 7. VERTICAL DATUM IS REFERENCED TO THE NORTH AMERICAN VERTICAL DATUM OF 1988 L DEC 1 4 2015 '' G (NAVD88) AS LINED BY GPS FIELD MEASUREMENTS PERFORMED BY HEIDECKER LAND 8. BEARINGS AND NORTH ARROW ARE REFERENCED TO THE NORTH AMERICAN DATUM OF . 1983 (NAD 83/LONG ISLAND ZONE) AS DETERMINED BY GPS FIELD MEASUREMENTS ; �4„" PERFORMED BY HEIDECKER LAND SURVEYING, PLLC. Unauthorized alteration or addition to this survey is a violation of section 7209, y J Q subdivision 2, of the New York State Education Low. Copies of this survey map not O �/ bearing the land surveyor's inked or embossed seal shall not be considered to be a Y ' valid copy. /Q. Oki) HF/0 0 .' iw., J":4 ��/ SURVEY PREPARED FOR: 0 15 30 45 itVI.' �i� U / ��//� /(��+ �O)S { NASSAU POINT PROPERTY OWNERS ASSOCIATION PROD. N0. � i METERS DATE: ����l 15HLS104 \z+.. • ¢' `�OHN GERD HEIDECKER N.Y. STATE LAND SURVEYOR LIC. # 50719 DATE: SHEET N0. • '•�'�•�� �_� ' FEET t,h,�, �(/ <% (/42 CROWN STREET NOVEMBER 9, 2015 TOPOGRAPHIC/R.O.W. SURVEY 1 OF 1 0 30 60 90 120 �'O O5Q7,‘,;:‘0..,‘4,,,, ' .J KINGSTON, NEW YORK 12401 JOB �� ��,,• DRAWN BY: M.G. SECTION 118–BLOCK 4 # GRAPHIC SCALE 1” = 30' A N 0 S (845)-901-7629 CHK BY: J.H. TUTHILL ROAD 1 TOWN OF SOUTHOLD CAD FILE: SCALE: 1”--= 30' SUFFOLK COUNTY, NEW YORK ISH LS104FP.DWG