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Home My WebLink AboutTR-4645 Glenn Goldsmith,President ®�► so Town Hall Annex A. Nicholas Krupski,Vice President ,`®� ®�® 54375 Route 25 P.O. Box 1179 Eric Sepenoski8JIF Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 C®U ,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 14, 2023 Vincent & Patrice Leone 1620 Broadwaters Road Cutchogue, NY 11935 RE: 1620 BROADWATERS ROAD, CUTCHOGUE SCTM# 1000-104-9-8 Dear Mr. and Mrs. Leone: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, September 13, 2023: RESOLVED that the Southold Town Board of Trustees approve the request for a Transfer of Wetland Permit#4645 from John & Mary Irving to Vincent & Patrice Leone, as issued on August 29, 1996. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, 'el Glenn Goldsmith President, Board of Trustees GG:dd r Glenn Goldsmith,Presidenth�p��SUGFO(��,OGy Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 0 Eric Sepenoski ,? P.O.Box 1179 Liz Gillooly �y • 0�� Southold,NY 11971 Elizabeth Peeples l �a Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: 19 161Z I Completed in field by: L' VINCENT & PATRICE LEONE request a Transfer of Wetland Permit#4645 from John & Mary Irving to Vincent & Patrice Leone, as issued on August 29, 1996. Located: 1620 Broadwaters Road, Cutchogue. SCTM#: 1000-104-9-8 Typ"f area to be impacted: ✓✓ Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Typ f Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: lk o✓ Do S �a Good C.OJ �. Present Were: G. Goldsmith N. Krup ski E. Sepenoski L. Gillooly E. Peeples Vincent and Patrice Leone 1620 Broadwaters Road Cutchogue, NY 11935 Monday,August 21, 2023 Southold Town Hall 53095 Route 25 P.O. Box 1179 r rrSouthold, NY 11971 E G t: E l� UG z 5 2023 10 Re:Transfer of dock permit Irving to Leone ! A 1620 Broadwaters Road, Cutchogue Sa!rtheld Town Board of Tn�stees To Whom It May Concern, We reside at 1620 Broadwaters Road and have been since August 2014. Unknown to us, no transfer for our dock was executed during the closing of our home. We request that permit number 4645 for our dock be transferred to us as we are the legal homeowners for the above captioned address. We also give consent to the Board and their agents to inspect our dock as needed. Please contact us at the phone number below for any additional information or concerns which may arise. 516-776-5356 Since Patrice Leone Vincent Leone Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO 4~45 ISSUED TO ......... ~. ?~g....~...M.~.~Z. , ~..~..Y~:~F~ .................................. Pursuant ~'o the provisions of Chapter 615 of the Laws of the State of New York, 1893; end Chapter 404. of the Laws of the State of New York 1952; and the Southold Town Ordinance en- titled "REGULATING AND 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 adopted a+ a meeting held on .~+Bg~s~..~ 19 ~., and in consideration of the sum of $..!,998...00 paid by En=C.on... on. b.ehkt[...o.f Mr, .M~s~.~ !~sf~g ....................... of N.Y. and subject +o ~he Terms end Conditions listed on +he reverse side hereof, of Southold Town Trustees euthorlzes .~nd permits ~'he following: to construct a 4' X 106' fixed walk (4' elevated), 3' X 14' ramp, 6' X 20' float. all in accordance wH'h the detailed specifications as presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this da+,e. Albert J. Krupsld, President John Holzapfel, Vice President Jim King Martin H. Gan-ell Peter Wenczel BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Main Road P.O. Box 1179 Southold, New York t1971 Telephone (516) 765-1892 Fax (516) 765-1823 A~gust 29, 1996 En-Consultants~ Inc. 1329 North Sea Road Southampton, NY 11968 Re: John and Mary Irving S~TM ~!04-9-8 Dear Mr. ~aje:: The following action was taken by the Board of Town Trustees during its reg~iar meeting held on A~gust 28, 1996 regarding the above matter: W~EREAS, Eh-Consultants on behalf of JOHN & M3LRY IRVING applied to the Southold Town Trustees for a permit under the previsions of the Wetland Ordinance of the Town of Southotd, application dated June 28, 1996, and, WHEREAS, said application was referred te the Southold Town Conservation Advisory Council for their findings and recommendations, and ~qEREAS, a Public Hearing was held by the Town Trustees with respect to said application on August 28, 1996, 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, ~I~R.~, the Board has considered all the testimony and documentation submitted concerning this application, and, W~EREAS, the structure complies with the standard set forth in Chapter 37-18 of the Southeid Town Cede, W~EREAS, the Board has determined t_hat the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW T~LE~EFOREBE IT, RESOLVED, that the Board of Trustees gr~t a Wetland Permit to construct a 4' X 106' fixed walkway (elevated 4' above grade of marsh) with 4' X 4' steps on inner end, 3' X 14' ramp, 6' X 20' float secured by (2) 2 pile dolphins. Dock to extend no further then line of neighbors to east and west, and, BE IT FURTHERRESOLYED that this determination should not be considered a determination m~de for any other Department or Agency which may also have an application pending for the same or similar project. Permit to construct project will expire two years from the date it is signed. Fees must be paid, if appiica~ie, and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. Very truly yours, President, Board of Trustees AJK/jmd ' Albert 1. IQ-upsld, Presidem John Holzapfel, Vice President William G. Albertson Martin H. Garrell Peter Wenczel BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765~1892 Fax (516) 765-1823 Please be advised that your application, dated has bee ~eviswed by this Board, at the regular meetin~of ~//_~k~./~ and the following action was taken: (/~ APPlication APprove. (see below) ( .) Application Denied. (see below) (__) Application"Tabled. (See below) If you application is approved as noted above, a now due. Make check or money order payable to the Trustees. The fee is computed below according to the of rates as set forth iht he sintruction sheet. The following fee must be paid within 90 days or including fees will be necessary. COMMENTS AND REMARKS: COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ ),~ SIGNED: BY: PRESIDENT, BOARD OF TRUSTEES CLX. BOARD OF TOWN TRUST":ES 5. = 1 6~95 Telephone (516J 765-1801 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL Town Hall. 53095 Main Road P,O. Box 1179 Southold. New York 11971 The following resolution was adopted at the meeting of the Southold Town Conservation Advisory Council held AUCUST 26. 1996: No. 1372 Moved by Robert Keith. seconded by Kenneth Meskil , it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Wetland Application of JOHN and MARY IRVING 104-9-8 to construct a timber dock consisting of a I~, x 112' fixed elevated walkway (minimum ¥ above grade of marsh) with I$, x It, steps on inner end; 3' x 1¥ hinged ramp; 6' x 20' float secured by (2) 2 pile dolphins. 1620 Broadwaters Road. Cutchogue Vote of Council: Ayes: Al Motion carried. Albert I. Kmpski, President John Holzapfel. Vice President Jim King Martin H. Gan:ell Peter wenczel BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 'lax (516) 765-1823 office Use On] Coastal Erosion Permit Applicatic ~ Wetland Permit Application Grandfather Permit Application Waiver / Amendment / Cha;~ge ~ ~Rec-~ved Application: 7/~ ff/9 ~ ~_Received Fee:$/~'d -- -- /~ ' _~__Completed Application 7/~z ~/~ ~ ~Incompiete ~ ' ~' SEQRA Classifica, ti~n: Type I Type II XUnlisted DCcAOordination:( sent ) dar? C Ref. erral Sent. <~- I% ~ ateoz InspeCtion: ~/~z~,/~& -.Receipt of CAC Report: · Lead Agency Determination:__ Technical Review: L Public 8earing ~eid: ~ 6 Resoiution: Name of Applicant John & Mary Irving Address 45 Marquette Drive Smithtown, NY 11787 Phone Nun%ber:(516) 734-6403 Suffolk County Tax Map Number: 1000 - 104-9-8 Property Location:1620 Broadwaters Rd., Cutchogue, NY 11935 SEE ATTACHED (provide LILCO Pole ~, distance to cross streets, and location) AGE~T: EN Consultants, In. (If applicable) Address: 1329 North Sea Rd. Southampton, NY 11968 Phone: 516-283-6360 FAX~: 516-283-6136 ~-%ard of Trustees Applicat~i ~/~ ~ENERALDATA Land Area (in square feet): 48,107 Area Zoning: Previous use of property: one (1)family residential Intended use of property: No change Prior permits/approvals for site improvements: Agency ~Date X No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? No Yes If yes, provide explanation: Project Description (use attachments if necessary): See attached ~oard of Trustees Applicatin~ W~.'±'hAND/TRUSTEF, LANDS A~PLICATION DATA Purpose of the proposed operations: Safe dockage of ow/lers boat. Area of wetlands on lot: 4500 square feet Percent coverage of lot: 9.4% % Closest distance between nearest existing structure and upland edge of wetlands: ?~ feet Closest distance between nearest proposed structure and upland edge of wetlands: ?Tn feet Does the project involve excavation or filling? X No Yes If yes, how much material will be excavated? How much material will be filled? N/A Depth of which material will be removed or deposited: N/A feet Proposed slope throughout the area of operations: 0-~% Manner in which material will be removed or deposited: n./s cubic yards cubic yards Statemen= of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operatiqns (use attachments if appropriate): Temporary disturbance to wetlands during installation of bulkhead. ~t~4 (2/87).-Text 12 PROJECT LD. NUMBER I ' 61 L21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) I . APPLICANT/SPONSOR I 2. PROJECT I~ME JOHN & MARY IRVING SEQR 3. PROJECT LOCATION: Municipality CL~CHOGt~ County Su~olE 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, ete., or pmv~cle map) 1620 BROADWATERS RD, CUTCHOGUE, NY 11935 5. iS PROPOSED ACTION: [] New [] Expansion [] Mcdification/alteratio n 6. DESCRIBE PROJECT BRIEFLY: gEE ATTACHED 7. AMOUNT OF LAND AFFECTED: laitialty 1.] acres Ultimately 1.] acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? C~ Yes [_~ No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? [] Residential [] Industrial [] Commercial Describe: [~ PaddForestJOpen space [] Other 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? ~N~ Yes L.J No If yes, tist agency(s) and perm~approvals NYS DEC, DOS, COE AND TOWN OF SOUTHOLD 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? --[~]Yes [] No If yes, list agency name and perrn~approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? []Yes []No t CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Roy L. Haje - President Date: Signature: ~1~96 If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment Name: Thomas PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Address: & Diana Killip 2500 Johnson Ave - Apt 46 Riverdale, NY 10463 Lucy J. & Peter A. Previte 11 Forest Road Stowe, MA 01775 STATE OF NEW YOP~K COUNTY OF SUFFOLK RoV L. Haje , residing at 1329 North Sea Rd.,Southampton NY 11968 , being duly sworn, deposes and says tha~ on the ~? day of July ,19 96 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to eack of the above named persons at the addresses set opposite there respective na~es; 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,NY 1196% that said Notices were mailed to each of said persons by (certified) (registered) mail. Sworn to before me this_ day of .19 ~ /~No f~ar~y P~biic GAl STRATTON _ Otmlified in ,Suffolk Coultty ~ Receipt for Certified Mail No Insurance Coverage Provided (See Reverse} Certfled Fee Z ~],~ 7~6 OE~ Receipt for Certified Mail No Insurance Coverage Provfded Do not use for International Mail (See Reverse~ Board of Trustees Application County of Suffolk State of New York BEING PUnY SwoRN DEPOSES AND AFFIRMS ThAT HE/SM~. IS THE APPLICANT FOR THE ABOVE DESCRIBED PE/{MIT(S) AND THAT ALL STATEMENTS CONTAINED MR.~EIN 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 '£'n~ SOfT, OLD TOWN BOARD OF TRUST~.~$. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTaOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING L_~FDEROP, BY VIRTUE OF SAIDPERMIT($), IF GRANTED. IN COMPLETING THIS APPLICATION, I HERRRY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PRF/~ISES IN CONJUNCTION WITH REVIEW OF THIS SWORN TO BEFORE ME THIS DAY OF / ,19 Nouary Public~ / Board of Trustees Applicatign AUTHORIZATION (where the applicant is not the owner) (print ownezFoT property) / /mai-lng address; do hereby authorize~--~/~ (Agent) toapply for permit(s) from the Southold Board of Town Trustees on my behaif. //I Owner' s :s~gna~ ALEXANDER F, TREADWELL SECRETARY OF STATE State oF NEW YOrK DEPARTMENT OF STATE AlbaNY. NY 12231-OOO1 August 27, 1996 Roy L. Haje, President Eh-Consultants, Inc. 1329 North Sea Road Southampton, NY 11968 Re' F-964!3 U.S. Army Corps of Engineers/New York District Permit Application #96-08210-L2 John & Mary Irving, Haywater Cove Town of Southold, Suffolk County Letter of Permission Issuance Dear Mr. Haje: The Depm tiaent of State has reviewed the information received on July 15, 1996 describing the above proposed project. Based upon the information submitted, the Department of State has no objection to the authorization of this proposed project by Letter of Permi.qsiom No further review is required by the Depmtment of State. We appreciate your referring this information to the Department of State for review. The U.S. Army Corps of Engineers is being notified of this decision by copy of this letter. WFB:SCR:dlb CC' Sincerely, ~ .f) , WfSiam F. Barton Chief, Consistency Review and Analysis Bureau Division of Coastal Resources and Waterfront Revitalization COE/New York District - James W. Haggerty DEC/Region 1 - Regional Permit Administrator Town of Southold - Albert Krupski ~ · DEPARTMENT OF THE ARMY ' ~ NEW YORK DISTRICT, CORPS OF ENGINEERS JACOB K. JAVITS FEDERAL BUILDING NEW YORK, N.Y. 1027'8-0090 Eastern Permits Section July 31, 1996 SUBJECT: Application No. 96-08210-L2 by John and Mary Irving To Whom It May Concern: The New York District, U.S. Army Corps of Engineers, has received a request for Department of the Army authorization for the following activity: APPLICANT: John and Mary Irving 45 Marquette Drive Smithtow~, NY 11787 ACTIVITY: Construct a tiw~er pier assembly consisting of a 4 foot x 112 foot fixed pier elevated a minimum of 4 feet above the grade of the marsh, a 3 foot x 14 foot hinged ramp; and a 6 foot x 20 foot float secured to two (2) 2-pile dolphins. The purpose of this project is to provide mooring for personal vessel(s). WATERWAY: Haywater Cove, Little Peconic Bay LOCATION: Cutchogue, Town of Southold, Suffolk County, NY As this is minor in nature, authorization may be by Letter of Permission. This is in accordance with current Federal Regulations governing work in navigable waters of the United States. To accomplish the coordination required, prior to the issuance of a Letter of Permission, your review of the enclosed drawings is requested. Pursuant to Section 307 (c) of the Coastal Zone Management Act of 1972 as amended (16 U.S.C. 1465 (c)), the applicant has certified that the activity complies with and will be conducted in a manner that is consistent with the approved state coastal zone management program. To allow for the timely processing of the subject application, your comments are requested within 20 days of the date of this letter. Enclosures Sincerely, ief, Eastern Permits Section LITTLE HOG NECK EN.CONSULTANTS '~329 NORTH SEA RD, / / F..N.CONSUtTANTS NORTH SEA EOLI'I'HAI~P-TOM t't.~*. 11968 STATE Of NEW YOrk DEPARTMENT OF STATE ALaANY. NY July 24, 1996 Roy L. Haje, President Eh-Consultants, Inc. 1329 North Sea Road Southampton, NY 11968 Re; F-96-413 U.S. Army Corps of Engineers/New York District Permit Application John & Mary Irving, Haywater Cove Town of Southold, Suffolk County Acknowledgement of Federal Consistency Assessment Form Dear Mro Haje: The Depmtmem of State received your Federal Consistency Assessment Form and supporting information on July 15, 1996 and has determined that the submitted documentation is adequate to commence our review of your proposed project. We will comact you if additional kfformation may be necessary for consistency review purposes. You and the Corps of Engineers will be notified of our decision when we have completed our review of this project for its consistency with the New York State Coastal Management Program. The Corps of Engineers cannot issue a permit for this project unless the Department of State concurs with your consistency certificatiom Please call Steven C. Resler ar (518) 474-6000 if you have any questions. WFB:dlb cc: COE/New York District - James W. NYS DEC/Region I - John Cianci Town of Southold - Albert Krupski Willinm F. Barton Chief, Consistency Review and Analysis Bureau Division of Coastal Resources and Waterfront RevitaliTation Haggerty ~'~ ofinted on recycled paper ALEXANDER F. TREADWELL SECRETARY Of STATE STATE Of NEW YORk DEPARTMENT OF STATE ALBANY, NY 12231-0001 July24, t996 Albert J. Krupski, Jr. Trustee, Town of Southold 53095 Main Street P.O. Box 1179 Southold, NY 11971 Re: F-96-413 U.S. Army Corps of Engineers/New York District Permit Application John & Mary IrvSng, Haywater Cove Dear Mr. Krupski: Enclosed is a copy of the information submitted to the Department of State for review of the above-referenced project with respect to its consistency with the Coastal Management Program for your Laformation and prelim/nary review-. Please contact Steven C. Resler, the DOS reviewer assigned to this project, at (518) 474-6000 to discuss your concerns, and any additional information which may be necessary to assist you in reviewing this project. Any comments you may have will assist the Department hi reaching a decision as to the consistency of the proposed action with the approved NYS Coastal Management Program. Please note, however, that if we do not hear from you within 45 days of the date of this letter, we will presume that you have no objections to the proposed project. Sincerely, ~. William F. Barton ~'~:~ Chief, Consistency Review and Analysis Bureau Division of Coastal Resources and Waterfront Revitalization Enclosures WFB:dlb NI~¢/YORK STATE DEPARTMENT OF STA'J~-.-..,FiTMENTOF STAT~ COASTAL MANAGEMi::NT PROGRAM COASTAL PROGRAM8 Federal Consste~c¥ Assessmen~ Form ~.!Li~ 1 ~ 199~ RECEIVED An applicant, seeking a permit, license, waiver, certification or similar type of approval from a federal agency which is subject to the New York State Coastal Management Program (CMP0 shall complete this asse~,q~e, gt f?? for any proposed activity that will occur within and/or directly affect the State's Coastal Area. This form is intended to assist an applicant in certifying that the proposed activity Is consistent with New York State's CMP as required by U.S. Department of Commerce regulations {1!5 CFR 930.157). It should be completed at the time when the federal application is prepared. The Department of State will use the completed form and accompanying information in its review of the applicant's certification of consistency. A. APPLICANT 1. Name: .Tc~h~ ~ M;~'y Ti-~[~'~ r~c,r~ {please print) 2. Address: 45 Marquette Dr. ,Smithtown,NYl1787 EN-Consultants, Inc. 1329 North Sea Road Southampton, NY 11958 3. Telephone: Area Code ~16) 7q4-6403 516-?~-63~ pROPOSED ACTIVITY 3. Brief description of activity; SEE ATTACHED 2. Purpose of activity: R~=~ ~age of owner's boat. Location of activltyJ County Type cf federal permit/license required: Federal application number, if known: Southo~d. Clty, TownorV~llage Section 10 1620 Broadwaters Rd~Cutcho~ue StreetorSlteDescrlption If a state permit/license was Issued or Is required for the proposed activity, identify the state agency and provide the application or permit number, if known: NYSDE~ TW Will the proposed activity require any of f 'ollowlng a. Waterfront site;' (2. 21,22) ................................................... ~X_ b. Provision of new pnbl~ic services or nfrastructgre n undeveloped or sparsely populated c. Construction or reconstruction of a flood or erosion control structure7 (13. 14. 16} ............. d. State water quality permit or certification7 (30. 38, 40) ................................ _y~ e. State air quality permit or certification? (41, 431 ..................................... Will the proposed activity pqcur within and/or affect an area covered by a State approved local waterfront revitalization program? (see policies in local program document') .................... 3DITIONAL STEPS If all of the questions In Section C are answered "NO". then the applicant or agency shall complete Section E and submit the documentation required by Section F, If any of the questions In Section C are answered "YES". then the applicant or agent Is advised to consult the CMP. or where appropriate, the local waterfront revitalization program document". The proposed activity must be analyzed in more detail with respect to the applicable state or local coastal policies. In the space provided below or on a separate page{s), the applicant or agent shall: (al identify, by their policy numbers, which coastal policies are affected by the activity, briefly assess the effects of the activity upon the policy: and, (c) state how the activity Is consistent with each policy. Following the completion of this written assessment, the applicant or agency shall complete Section E and submit tile documentation required by Section F. ERTIFICATION he applicant or agent must certify that the proposed activity is consistent with the State's CMP or tile approved local ~aterfront revitalization program, as appropriate. If this certification cannot be made, the proposed activity ~hall not be ndertaken, if this certification can be made, complete this Section. The proposed activity complies with New York State's approved Coastal Management Program, or with tile applicable approved )cai waterfront revitalization program, one will be conducted in a manner consistent with such program." kppllcantJAgent's Name: Rm~h~wn:N¥ 117R7 ~,ddrese: 45 Marque%~ Dr.. -elephene: AreaC0de~16)734-640~/ ~ / ~ ~pplicant/Agent's Signature: ROY L. HAJE, PRESIDENT, 1329 North Sea.Road ~UBMISSION REQUIREMENTS EN CONSULTANTS, INC. The applicant or agent shall submit the following documents to the New York State Department of State, Division o~ Coastal Resources and Waterfront Revitalization. 162 Washington Avenue, Albany, New York 12231. a. Original signed form. b. Copy of the completed federal agency application. c. Other available information which wodld support the certification of consistency. The applicant or agent shall also submit a copy of this completed form along with his/her application to the federal agency~ If there are any questions regarding the submission of tiffs form, contact ~e Department of State at l~18l 474-8000. Consistent with policies 44 and 7 because proposed activity should not adversely affect surrounding waters or habitats so as to cause a reduction in vital resources. Consistent with policies 2, 21, and 22 because proposed act£v~ty is a water dependent use; will not create a significant barrier to a community shore; and is not located at a site appropriate for public recreation. Consistent w~uh policies-30,' 38, and 40 because proposed act~v~uy will not adversely impact groundwater or surface water supplies; ~=~ n~ n~l~an~ or effluents are associated with PROJECT DESCRIPTION CONSTRUCT A TIMBER DOCK CONSISTING OF A 4' X 112' FIXED ELEVAi~ED WALKWAY (MINIMI]M4' ABOVE GRADE OF MARSH) WI~'!lq 4' X 4' STEPS ON INNER END; 3' X 14' HINGED RAMP; 6' X 20' FLOAT SECURED BY (2) 2 PILE DOLPHINS. PROPOSED DOCK IS SIMILAR TO ONE BELONGING TO GAMBARDELLA 100 +/- FEET TO EAST. TO LOCATE SITE, DRIVEWAY IS OPPOSITE LICC0 POLE 15 $1620 ON TREE LOT NOT VERY VISIBLE. : DECA~PHCATION NUMBER I DISTRIBUTioN NEW YORK STATE -- WHITE COPY Permit Adminis~tor JOINT ~PPLICATION FOR PERMIT ~ARTICLE 9, TITLE 1. ARTICLE ~ ~YCRR 6~ (~E GEORGE RECR~TIOH ZONE) ~ARTIC~ 15, ~TLE 3 (AOUA~C PE~ClDES CONSOL) ~6NYC~ 327 (AQUATIC VEGETATION) ~ 6NYCRR ~28 (FIS~ ~6NYCRR ~ARTIC~ 15, TI~E t5 ~YC~ ~1 ~ SUPPL~ ~6NYCRR 602 (LONG IS~ND ~LL) ~ART]CLE ~5. ~TLE 27 6NYCRR 666 ~LD. SCEN~ ~D ~CR~T[ON~ RI~S) ~ ARTICLE 24 6NYC~ 6~, 663 ~ESHWA~ ~DS) ~AR~C~ ~ 6NYCRR ~ (~AL EROSION) ~ARTICLE ~ 6NYC~ 661 ~D~ ~ BETON 10 ~I~R ~O ~BOR ACT OF 1899) ~r ~ms a~ wo~ in na~g~ warm of t~ U~ ~ CO~T~ CONStaNCY CER~FICATION. ~ BETON ~4 (C~N ~R A~ OF 19~) ~r dis~sal of dr~ ~ fill m~l in ~em of ~e U.S. Z APPLICA~ IS ~AN ~ Owner ~ ~m~ ~ L*ssee ~ Munici~l~l~vem~nml ~e~ (C~ ~ m~ as ap~y) 3, NAME[ OF APPLICANT (Use Full Name) JOHN & MARY IRVING MAILING ADDRESS 45 MARQUE l-t L DRIVE POST OFFICE BM1T~rTTOWN 4. NAME OF [] Owner []Agent/Contact Persen EN-CONSULTANTS, 1NC. (Cbec~one) 516 ~ 734-6403 MAILING ADDRESS 1329 NORTH SEA ROAD POST OFFICE SOUTHAMPTON 5. PROJECT/FACILITY LOCATION (Mark E~cation on map. See Number la on reverse s~e) County SUFFOLK I Town or city SOUTHOLD STREET ADDRESS (if different from app~cant) 1620 BROADWATERS RD 516 ~ 283-6360 Village POSTOFFICE CUTCHOGUE NAME OF STREAM OR BODY OF WATER HAYWATER COVE 7. HAS WORK BEGUN ON PROJECT? if YE~, ettach explanation on starting work without perm~ i~:lede c~ates. [ 8. WiLL PROJECT UTILIZE STATE LAND? I~Ye, ["0 S~W work on map a~dlor ~raw~ngs. I []Yes []No O. PROPOSED USE: [ pdVate ~I0. PROPOSE13 STARTING BATE: 11. APPROXIMATE COMPLETION DATE: t 12. FEE OF (NYS permit Ociy) [] Public [] CommerOal SAP ASAP $ E,ctosed 13. PROJECT DESCRIPTION: (e.g. quantity ami type ol material to be excavated, dredged or used for fi~l or rip ~ap. location of d/sposa{ sites; type of structure to be instatled; height of dam; size of impoun~ent; capacities of proposed water sources; e.~tent of dis~ bution system; e~) ;EE ATTACHED 14. WiLL THIS PROJECT REQUIRE ADDITIONAL FEDERAL. STATE AND/OR LOCAL PERMITS? NYSDEC, DOS, COE AND TOWN OF SOUTHOLD CERTIFICATION: .7/17/96 ~'j~ ~h /z~/~ President ~ ~AIVIHONM£NTAL OU£$TIONIVAIF~ ~ This is intended to supplement £NG Form ~.34~E, Application for Dep~ent of the Army Permit, or ~e Joint Applica~n for Permk used in the S~ of Ne~ York. · . :. Pleaxe provide compIete answers to dl qu~ns bdo~ ~hfch are relevant to your proj~ Any answers may fie con=Wued on sapara~ sheet[s) of paper to fie a~ched to ~fs form. PRIVACY ACT STATEMENT The purpose'of this form is to provide d~e Corps of £~g;ne~rs ~ badc informal'on regarding your project. ~fs [nfo~n~n will ~e used to ~dl~ e~n of your perm~ app~a~n and for public dfssemina~n es re~ired hy ~I~on. FaiIure provid~ complete, inform~n rosy 'resutt ~n your app~on bdng dectared /ncompte~ for procesdng, ~a~y ddaying proc~sing of your · GENERAL-A£PL[CAB£E TO ALL PROJECT~ 1. Explain the need for, and purpose of, the proposed ,zzork. Purpose is private boat dockaqe. 2. Provide the names and addresses of property ovzners adjacent ro },our work (if nor shov/n un the application form or projec~ drawings). See attached. (P]eese note ~at depend?ng upon ~e nahum and exten= of your project, you ma'./ be requested ~o provide the names and addresses of addkiouaI proximate m y~r project s;te to ensure prop~ coordim~bn, 3. Photographs of the project sit_= should be submitted. For pkojects £~ photographs o£ the waterway vicinity should he taken at Iow tid~. copy of your pIan view. ind]~ta ~a.lo~tion. and dimcEon oi ~ach well as the date and ~e at which ~e photograph was tzken. Provide number of photographx so as to provide a clear Fnderstand~ of conditions proximate to your pro~ect s~e. See a~ch~d. repo~ which was prepared for your pro]ebt. [continued on nexz' page/ Page 7 E. ?roy[de a thorougi~ /cuss/on of alter..nathtas to your pr~.. jsat. This discussion ~tfoutd include, but'~o~ necessarily he I[miZed to, ~a "~o ~c=~" ~t~edve a~d pro, acts in watts of ~e United State~, including weEand~, yo~ ~t~natives -- discussion should demons~ate ~at ~ere ~e no pract~le ~na~es to your proposed ~Ifng end ~at you~ proje~ meets w~ curre~ m~a~n policy (i.e. avoidance, minim~bn and compensa~n). "No action" wo~ld preve~ safe boat dockage. DREDGING PROJEC~-S N/A Answer the fo#owfn.~ if your prelect involves dredging. 1. lndZcate the estimated volume of material to be dredged and the depth mean Iow water) to which dredging ~vouId occur. Would there be overdapth 2. You can apply for a ten-year permit for maintenance dredgin~u. If you wish to appIy for a ten-year perm/t, pteasa provide the number of edd~bnat dredging events during fha ten-year li£e of the permit and the amount of material ~o be removed during future 3. Indicate of yebr drawinEs the dewate~ing "- ' - .... the dredged material [except tandf~ ~). Submit a su~cian~ numbar photoEraph~ of ~e dewatedn~.~d disposal sites as apptic~bie so as ~ provid~ ctaar indicaE~n of'~ti~ cond~n~. For ten-year'ma/n~enance d[e~ing ~erm~t~. indicate ~e dewa~ri~/dis~o~al ~itas for future dredEing ~vents. if known. ,¢o DescrlDe ~e method of dredging (£e. clamshell, dragIina, etc.) and the expec~ad duration of dredging. ~. Indica~a th~ physical na~ of ~e. material ~o be dredEed (~e. ~ ~i~t, city, etc.) and provide e~a~ed p~ntag~ of ~e variou~ coolants K ~v~ilable. Fo~ beach nourishment pro~ec~, Erin ~i~ an~ysis data i~ ~equired. (continued ou next page/ 6. Describe the r, '~od of dredged material centa._/;en~ (i.e. kay bales, embankment, bulkhe~'E, etc.} end whether return gow f~om the dewe~~al o verge w. o MOORING FACILITIES Answer the fotlowin.~ i~ your project incIud~ the cons~uct]'on or re~bxTZ~-~f~n of recre~tfonal mooring foci#ties. 1. It is generally recommended that any fixed p/em and walk ramp~ be ~ tz~ f~ur feet in wldth~ and ~at goats be l~ed to. ~g~ fee~ in wid~ ~d ~ ~ ~ ~o This proposal complies with these recommendations. 2. Usin~ your plan view, show ~o scale .the Ioca~'on(a), posiden(~) and. (including tength, beam and draft) of vesselfs) to be moored at the propo~ ;nclud;n~ those of transient vessel[s) if known. Not yet dete~ined. 3. For commercial mooring sites such aa marinas, indicate the capacizy of the facin~t and indicate on the pIan view the Iocation(a) .qf any pr~sos~d rue#hq an~r s~wa~a pum~o~ ~cEidas. U pumpnu~ ~ciIides are no~ planned, ~ieasa dis~.~h~ radun~'~ be!ova and indicate the distanc~ to the nearest ava#~Ie pu~uu~t ~n. N/A ~.. Indicate on your pIan view the distance to adjacent marine s~ructzzres, i~ any proximate and show the/ocations and dimensions of such str~c,~zres. SEE ATTACHED. [continued on n~x~ page) tha~ ~f a perm~ i~ z~ed, you ~utd be re~uk~ to ~e~n~e ~a$ ~e mooring fac/liF may be ~uh]ect to wave acEon ~om wa~e~ of p~ing ve~at~, who~e operatiun~ would not ~e requ~d ~ be modred. ]~uance of a p~m~ wouId n~t relieve you of enduring t~e [flteg~ Of ~e a~hodzed ~ct~ra(~) and ~e United States would not be hdd ~e fo~ damag~ to the s~uc~refs) and vessd(s) moored thereto.~om wake$ ~om p~$i~g ~. BU£KHEADING/BANK tTABEJZ4 770N/FILLING A C~ES ~ / ~ Answe~ th~ foEow~n~ if your proje~ inEud~ conclusion of but~eadinE [also retaininE, walls and seawalls) ~ ba~, ~g' o~ waters/wzdands, or any other 1. Indicate the total volume of fie (Zoduding backfill behind a structure sbbh as a bulkhead) ax well as. t~'~blUme of ~t to ~e placed into ~zarx of ~e United Stat~s. The amount of fill/n wat~ of ~e United S~t~ can be det~min~ by calcutaff~ the amount of fei ~o be pIacad h~ow ~e ~ane of ~ri~ ,~,~ ~e ~ ~a/ ar~a~ and below ordinary hob water in non-ffd~ ~e~. 2. Mdicate the sou[cb(s), and type(s) of fei mat~-,ia!. 3. Indicate the me~hod of. fiE placement (Ze. by hand, butldoze~, crane, e~c,). Woutd any temporary filI$ be requz?ed in waterwaya or wedands to provide acces~ for ;onstruc~bn equipment? If so, please i~icate the area of such wa~ers and/or wetlands to be f#Ied, and show on ~a plan and sec=bnat views;' The foreEoing requests basic infon~ation on the moss common zTpes of prelects requiring Dependent of the ~y petits. It i¢ [n$~d~ ~ ~bvfa~e or reduce the need for reque~ting add,dona/info~a~n; however, additional in~rmatf~n may be requested above and beyond wh~ia- PIease feel fre~ to add any ad~'~nal [nforma~bn re~ding your project which you beIi~ve may faciif~ta our. review. P~ga ~ TO WHOM IT MAY CONCERN: This lettar will authorize Eh-Consultants, Incorporated, to apply for permits on my behalf. ADJACENT 0WN~<S SCTM~IO00-I04-9-9: THOMAS & I)~ F~ILLIP 2500 JOI-INS~ AVI~ - APT 46 RI'~ERDALE, ~ 1O463 SCTM~1000-i04-9-7: LUCY J. & PETEi~A P!tEVITE 11 FOREST RDAD STOWE, MA 01775 EN-CONSULTANTS, INC. 1329 NORTH SEA ROAD SOUTHAMPTON, NEW YORK 11968 (516) 283-6360 Photograph 1: looking west Photograph 2:' Looking North Photograph 3: Looldug east ! 0 /