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HomeMy WebLinkAboutTR-26-2-7.2 John M.Bredemeyer III, President Of SDUryQ Town Hall Annex Michael J. Domino,Vice-President ,`O l0 54375 Main Road P.O. Box 1179 James F. King,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee G Charles J.Sanders,Trustee �Q Telephone(631) 765-1892 IyCOU Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 23, 2014 Jennifer Gould, Esq. PO Box 988 Southold, NY 11971 RE: 194 WILLOW TERRACE LANE, ORIENT SCTM# 26-2-7.2 Dear Ms. Gould: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, July 23, 2014: RESOLVED, that the Southold Town Board of Trustees APPROVES the request for a Transfer of Wetland Permit#E26-2-7.2, as issued on December 21, 2002, and Coastal Erosion Management Permit#26-2-7.2, as issued on January 28, 1993 from Edwin Gerrity to George J. Hossenlopp Revocable Trust and Linda L. Hossenlopp_Revocable Trust. If you have any questions, please contact our office at (631) 765-1892. Sincerely, Michael J. Domino Vice-President, Board of Trustees MJD:amn 0 0 John Bredemeyer, President �ogyFFot,��, Town Hall Annex Michael J. Domino, Vice-President 54375 Route 25 James F. King ; P.O. Box 1179 Charles J. Sanders Southold, NY 11971 Dave Bergen �l ,F �a°~ Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: Jennifer Gould, Esq. on behalf of GEORGE J. HOSSENLOPP REVOCABLE TRUST and LINDA L. HOSSENLOPP REVOCABLE TRUST request a Transfer of Wetland Permit#E26-2-7.2, as issued on December 21, 2002, and Coastal Erosion Management Permit#26-2-7.2, as issued on January 28, 1993 from Edwin Gerrity to George J. Hossenlopp Revocable Trust and Linda L. Hossenlopp Revocable Trust. Located: 194 Willow Terrace Lane, Orient. SCTM# 26-2-7.2 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Storm Water Management Review: Yes No Not Applicable Info needed: Modifications: Conditions: Present Were: J. Bredemeyer M. Domino J. King C. Sanders D. Bergen Bay Constable Other Form filled out in the field by Mailed/Faxed to: Date: John M.Bredemeyer III,President �*rjf SO(/T/yO Town Hall Annex Michael J. Domino,Vice-President '`� l0 54375 Main Road P.O. Box 1179 James F. King,Trustee Southold, New York 11971-0959 Dave Bergen,Trustee G Q Telephone(631) 765-1892 Charles J.Sanders,Trustee ���•COR% Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE #0994C Date: June 18, 2014 THIS CERTIFIES that the in-place/in-kind replacement of 105' of bulkhead with 20' return and 10' return. At 194 Willow Terrace Lane, Orient,New York, Suffolk County Tax Map# 26-2-7.2 Conforms to the application for a Trustees Emergency Permit heretofore filed in this office Dated December 21, 1992 pursuant to which Trustees Emergency Wetland Permit #E26-2-7.2 Dated December 21, 1992, and the application for a Trustees Coastal Erosion Management Permit heretofore filed in this office Dated December 22, 1992 pursuant to which. Trustees Coastal Erosion Management Permit#26-2-7.2 Dated January 28, 1993 was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the in-place/in-kind replacement of 105' of bulkhead with 20' return and 10' return. The certificate is issued to EDWIN GERRITY owner of the aforesaid property. do& Authorized Signature John M. Bredemeyer 111,President gUFF�I�`O Town Hall,53095 Main Rd. Michael J.Domino,Vice-President may` Gy P.O. Box 1179 a � James F.King y Southold,NY 11971 Dave Bergen G Telephone(631)765-1892 Charles J.Sanders y�01 � Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 6Z, 1 4 iCh. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1 st day of construction %constructed Project complete, compliance inspection. I/ INSPECTED BY: COMMENTS: , CR CERTIFICATE OF COMPLIANCE: x r.- 3 / — - 177-7-Ile �s=—_`—�'=�.`�-�?it'�'r, -t,pnr �sr'Tr7;.'•�'r ,y.-�_�v': w'��. ' I r�• r — - — - -- - - � {q� Board Of Southold Town Trustees ;► , 30 ` SOUTHOLD, NEW YORK i� is PERMIT NO. DATE: ..�.� � �.i a� ISSUED TO .... ;v� C,��c; � - _ Pursuant to the provisions of Chapter 615 of the Laws of b' the State of New York, 1893; and Chapter 404 of the Laws of the » State of New York 1952; and the Southold Town Ordinance en- c' titled "REGULATING AND THE PLACING OF OBSTRUCTIONS $ h� 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 A L, Resolution of The Board adopted at a meeting held on ... ... " . ` , !� 19 , and in consideration of the sum of paid by tY of .. .. ..... . ........ _..... .. N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, �► :, �) =a of Southold Town Trustees authorizes and permits the following: Y its o� all in accordance with the detailed specifications as presented in ') +I the originating application. " IN WITNESS WHEREOF, The said Board of Trustees here- E by causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board_AQf this date. R4• 13c ` E� �FFO(,� r o� _ C= -< t ._ .. ............_ ................... ..... t� r' dz O • ,... , 'I. Trustees .r.1, �..�.I&.'d -° .L..:.'�� �..`.� �,.�.yd.,a r; ,a t .-t �,.^• .i r•" L a • .::��'' -.r a-.fid<s�s y�s: i �• \1 �) � > /.�_. .�.•.. � is i `� ,�� TRUSTEES SUPERVISOR John M. Bredemeyer, III, President 1 SCOTT L. HARRIS ZZ Albert J. Krupski, Jr., Vice President Henry R Smith Town Hall John B. Tuthill ��, § �<� �� 53095 Main Road William G. Albertson � -�;`� P.O. Box 1179 Telephone (516) 765-1892 r a Southold, New York 11971 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD COASTAL EROSION MANAGEMENT PERMIT Permit Number: 26-2-7 . 2 Name of Applicant/Agent: Latham Sand & Gravel Name of Permittee: Edwin Gerrity Address of Permittee: ROW off Willow Terrace, Orient Property Located: Same DESCRIPTION OF ACTIVITY: to replace inkind/inplace 103+/- ' of bulkhead destroyed by storm. Also replacement of 10' return on North side and a 20' return on South side. Backfill with 75-100 c.y. of clean sand from upland source. Date of permit issuance: January 28, 1993 This permit is valid for a period of two years from the date of issuance. SPECIAL CONDITIONS: Bluff restoration through a re-vegetation agreement is attached hereto and is a necessary special condition of this permit. A relocation agreement is attached hereto and is a necessary special condition of this permit. A maintenance agreement is attached hereto and is a necessary special condition of this permit. Approved on January 28, 1993 by resolution of the Board of Trustees. John M. Bredemeyer, III President, Board of Trustees b� x f: a . TRUSTEES SCOTT L. HARRIS John M. Bredemeyer, III, President e:! �`"°?� , Supervisor Henry P. Smith, Vice President ''9 �.. ' Albert J. Krupski, Jr. f ' !�. Town Hall, 53095 Main Road John L. Bednoski, Jr. P.O. Box 1179 John B. Tuthill Southold, New York 11971 BOARD OF TOWN TRUSTEES Fax (516) 765-1823 Telephone (516) 765-1892 TOWN OF SOUTHOLD Telephone (516) 765-1800 GRANDFATHER APPLICATION 1 . Name of Applicant: Cil_k..� , ,,, G - rle- r r I L, 2. Mailing address: ) 7 �' G u ,,,,� „� ,•e Tel. No: 3 . Address of Property: w-,,,W e 4. Tax Map Number: 1000- O7,6 " 2 ' 7.2, Approx.yr.of construct:- 1 9 g o 5. Prior owner if known: 6. Diagram of existing structures, including all dimensions, must be included with this application: 7. Indicate on attached map: Location, ie; reference point, telephone Pole number, adjacent property owners, etc. Signature of applicant: ��«-. �u �"w--- Date: * Please note, there is a one time fee of $50. 00 for filing this application. TRUSTEES SUPERVISOR John M. Bredemeyer, III, President SCOTT L. HARRIS Albert J. Krupski, Jr., Vice President = Henry P. Smith Town Hall John B. Tuthill 53095 Main Road William G. Albertson '° { >*' P.O. Box 1179 Telephone (516) 765-1892 Southold, New York 11971 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD COASTAL EROSION HAZARD AREA AND TOWN WETLAND EMERGENCY AUTHORIZATIONS) Application No.SCTM #100— �6 - 7' Name: [ a,i�� C 6C-K Date: December 21, 1992 RESOLVED that pursuant to the Town Code in relation to Coastal Erosion Hazard Areas, Chapter 37, Section 20, 21 and Town Code Chapter 97, Wetlands, the Southold Town Trustees, as Administrator, have determined that the activities proposed by your emergency activity request are necessary to protect property and important coastal natural resources. DESCRIPTION OF ACTION: ��, ��`, �, ���,j� ,r�,�7 d� f�vC•ICG nr.� /A7oz Reasons supporting this determination: 1 . An on site inspection has been conducted by the board of Trustees or their authorized representative. 2. The Trustees have considered the emergency request and find that if the work is not completed as authorized and measurable loss of property and important coastal natural resources is likely to occur. This authorization is not a permit. You must complete the Coastal Erosion and wetland permit process where applicable for all authorizations given under this section. This authorization should not be considered a determination made for any other department or agency. A0v( C=cc �TRUSTEES S�FFDt ��4 C� SUPERVISOR John M.•Bredemeyer, III, President �� _ Gym SCOTT L. HARRIS Albert J. Krupski, Jr., Vice President Henry P. Smith o . ® :;, ,. i Town Hall John B. Tuthill 53095 Main Road William G. Albertson y'�Ol �aP.O. Box 1179 Telephone (516) 765-1892 Southold, New York 11971 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 30 year Maintenance Agreement Erosion Protection Structures Chapter 37 Southold Town Code Southold Trustees as Administrator I (we) Edwin C.. Gerrity type or print name(s) the 6wners of record of property at: r/o/w off Willow Terrace (W. side) Orient, NY 11957 (type or print street address) SCTM #1000- 026-2-7.2 in applying for a Coastal Erosion permit for an Erosion Protection Structure do hereby agree to a 30 year maintenance program for a structure commonly known as a Bulkhead of 103' ± plus returns as shown on the attached feet of length licensed survey of the as-built structure. It is my/our understanding that we are to maintain this structure with materials designed to endure 30 years and or equivalent to the original approved structure and that for any maintenance which involves more than 5% in length of this structure we are to give prior written notice to the administrator, waiting for their approval in all but true emergency situation's which would seriously endanger life, property and important coastal natural resource features such as bluffs or wetlands. We further understand that failure to maintain the structure could result in a requirement to post a bond and or have the repairs ordered as a lien against the property upon a finding by the Trustees that said lack of maintenance would risk life, property or important natural resources features including pr ected, rare or threatened animals and plants. . XM &t X. NotariA66 Signature of owner of record SWORN TO BEFORE ME THIS �) s r DAY OF — MARION G. LATHAM NOTAAY PUBLIC Natal' Publlc, State Of New York No. 4.4641732' Suffolk County *1400 t t,.Af3ires g e e—,-e-r a 1 , I h`/3 �p F-b Please submit three copies of a licensed land survey made within As Pe-r one year of the original construction. This maintenance v,!-v6,,l agreement shall only be valid upon the final approval of the e, -e—r-administrator. Subsequent owners may apply to the Southold Town Trustees to re-authorize this maintenance agreement. J- b r e�r—w4r r M • TRUSTEES 0�� 0 SUPERVISOR John M. Brcdcmet•cr, III, President SCOTT L. HARRIS Albert J. Krupski, Jr., Vice President N Henry P. Smith Town Hall John B. Tuthill y ,� �� 53095 Main Road William G. Albertson X41 �`a� P.O. Box 1179 Telephone (516) 765-1892 Southold rk 11971 Fax (516) 765-1823 _ % BOARD OF TOWN TRUSTEE�(� TOWN OF SOUTHOLD *Administirator* Permit Application and Instruc Coastal Erosion Management (Article 34 ECL, Town Code Chapter 37) Town Wetlands (Town Code Chapter 97) TRUSTEE LANDS (Town Code Chapter 32) Instructions• NOTE: Regulated activities, including but not limited to the clearing of vegetation and soil cover, may not be commenced on properties within one hundred feet of the CoastaltErosion Management Boundary line or 75 feet of wetlands, which ever is greater, unless a Coastal Erosion Management and or Wetland or Trustee Permit or a letter of non-jurisdiction has been issued by the Trustees for described activities. A. This application shall be fully typewritten or completed in black ink and shall, in addition' to the application fee (see back of page) , consist of the following parts which shall be submitted as five ( 5) copies (1 original plus 4 copies) to , the Southold Town Trustees. C,IVC 1 . Licensed survey at a scale not to exceed 1 inch = 40 feet (for requirements see page 2) 2. Application form (must include pp project description and be notarized) 3 . Location map (scale not to exceed 1 inch = 2000 feet - may also be on page 3 or survey) . 4. Authorization (when applicant is not the owner - may also be on page 2 or survey) 5. Long Environmental Assessment form (for all projects within 500 ' of Peconic Bay and its ' tributaries, all of Fishers Island) and when required by the Town Trustees. THIS IS NOT A PERMIT PAGE 1 J C Chapter, 37 Fee Schedule 11 Pyr 11 (\'" ' IC , i Minor Projects: A non-refundable application fee of $50.00 for all projects where there will be less than 100 cubic yards of excavation, grading, mining, filling or dredging; construction or modification of open catwalks, docks, stairs, floats, piers and wharves not exceeding six ( 6) feet in width; construction or modification of erosion protection structures not exceeding 100 linear feet in length; minor building construction of less .than or equal to 25% as denoted in Chapter 37. Major Projects: A non-refundable application fee of $100. 00 for all projects in excess of minor projects and for any building construction or modification greater than 25%- as �1 denoted in Chapter 27. Inspection fees (all projects) : $50. 00 per inspection, the number to be set by the Board of Trustees at the time of permitting. Relocation Agreement(s) : When a relocation agreement is required by Chapter 27, an additional $50. 00 project fee will be required to cover the additional cost of legal review and .record keeping surrounding said agreement. Bond Agreement(s) : When a .performance bond is required, an additional $50. 00 project fee will be required to cover the additional cost of legal review and record keeping surrounding said bond. Variance (fee already established in Chapter 37) : Pursuant to Section 37-32 , for any application which will require a variance the non-refundable application fee shall be $250. 00, whether a minor or major project. Chapter 97, Fee Schedule Town Wetlands Permit Application: $150. 00 Wetlands Grandfather Permit Application: $50. 00 Additional Wetland Inspection (if Necessary) $35. 00 Fees for inspections, relocation and bonding agreements etc. shall be submitted prior to the issuance of permits and where applicable, shall be refunded only if requested in writing prior to expiration date of a permit. i Permits shall expire two years from the date of issuance and shall not be renewable for more than two one year extensions. THIS IS NOT A PERMIT Page 2 �%%a F01 TRUSTEESGGy John M. Bredemeyet,III,President � SUPERVISOR Henry P. Smith,Vice President vQs = SCOTT L. HARRIS Albert J. Krupski,Jr. , John L. Bednoski,Jr. 'ft, F �acga- Town Mall John B.Tuthill 'J 53095 Main Road P.O.Box 1179 Telephone(516)76.5-1892 BOARD OF TOWN TRUSTEES Southold,New York 11971 Fax(516)765-1823 TOWN OF SOUTIIOLD COASTAL EROSION MANAGEMENT PERMIT APPLICATION TOWN WETLANDS PERMIT APPLICATION TRUSTEE LANDS PERMIT APPLICATION Office Use Only: Coastal Erosion Permit Application /MWetland Permit Application / ustee Lands Permit Application randfather />,/;I.1/9'-1— ,1 ompl.eted Apps. Date: /✓�-�y3 Variance Required, Neighbors no�ied Date: SF.QRA Type_,41— Coord. Review-opt. nd. Date Rec. by Office lisp. comp. /date: 17"193 _SEQRA Determin. /date: Public Hearing/date: i Findings: Permit Vote: (YIN) : Special Conditions: (also see file) Application Fee: Application Number; SCTM #1000- 026-2-7.2 Project Name ( If any) In-kind, in-place Bulkhead Repair (Storm Damaged) Date Prepared: 12-21-92 Applicant: Latham Sand & Gravel, Inc. Address: P.O. Box 776 1 FAX # 516-123-2566 Orient, NY 11957 Phone ( 516T 323-2585 Interest: (owner, consultant, lessee,etc. ) Agent for owner Owner of Property: Edwin C. Gerrity Address 175 Carman Ave. East Roc away; NY 1151Phone ( ) 593-4242 Subject Property Location: R/O/W off Willow Terrace Orient, NY 11957 (Provide LILCO Pole . #, Distance to cross Streets if not on location map) THIS IS NOT A PERMIT N M , Yds. to be excavated: 0 Yds. to be filled: 75-100 Manner in which material will be removed or deposited: _ Brought in from upland source, placed with small backhoe Width of canal, creek or bay fronting property: Extra L.arae - Orient Harbo Depth at low tide: NSA Aver. rise in tide: 2 1/2 ft. . Distance to nearest channel: Distance project extends beyond similar projects in area: No Area zoning: Residential Land area in acres: .32 ac. Is project for private or business use: Priv to Intended use of property: Residential Describe known prior operations conducted on premises: NIA Has any prior license or permit been issued to erect -structures, dredge, or deposit fill on said premises: Yes. original bulkhead 1984 Has any license or permit ever been revoked or suspended by a Governmental Agency: No Project Description The project description must also include plans for reclamation of land disturbed during construction of the principle and accessory structures and underground structures (i.e. , pipeline and septic system; make additional attachments if necessary In-kind, in-place replacement of 103 ± ft. of bulkhead destroyed by December storm. Also replacement of a 10 return on North side and a 20 return on South side. Backfill with 75-100 cu yds clean sand from upland source Authorization (Where the applicant is not the owner SEE ATTACHED I residing at (Print-owner of subject property) (Mailing address-phone) do hereby authorize y for Coastal Erosion permit( s) from the Southold tTown ptrustees Signature THIS IS NOT A PERMIT N M AUTHORIZATION FORM i Date owner of property at the following location, 5 tUil- te "Y /r ' do hereby give Latham Sand & Gravel, Inc. authority to act in my behalf ' as petitioner/aperit in applying for such permits as necessary in. order for work to by done at my property. c SignAure i 4 County of Suffolk ) State of New York ) _ G T E 1z.4zj L A--r" ABEING DULY SWORN DEPOSES. AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT 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 REPRESENTATIVE( s) , TO ENTER ONTO 1Y PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. i SIGNA URE SWORNs T TO BEFORE ME THIS a( DAY OF -'L)Gcy,r3 t=,/Z NOTARY PUBLIC MARION G. LATHAM Nofery public, State Of New York w). 52-4649732, Suffolk County Term Expires 'Q ►11 r 3 Suggested space for location Map TRIS IS NOT A PERMIT W-.6-4421871—Text 12 . �•, PaOJECT I.D.NUMBER 617.21 E 26-2-7.2 Appendix C SE _ State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I—PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME Latham Sand & Gravel, Inc. I Bulkhead Repair J. PROJECT LOCATION: Municloamy Southold Town, Orient County Suffolk 4. PRECISE LOCATION(Street address and road intersections,prominent landmarks,etc.,or provide map) Right of Way off Willow Terrace, off King Rd. , Orient. 5. IS PROPOSED ACTION: ❑New ❑Expansion ❑Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: fl In-kind, in-place replacement of approx. 103 ft. of storm damaged/destroyed .;• bulkhead and two returns. Return on South side to be to be 20' , "return on 1 North side to be 10' . Backfilled with 75-100 cu. yds. of clean sand., 7. AMOUNT OF LANG AFFECTED: Initially acres Ultimately acres 8. VlILL FROPOSEO ACTION CO'dPLY WITH EXISTING ZONING OR OTHER EXISTING LANG USE RESTRICTIONS? ®Yes ❑No If No,describe brielly 9. WHAT IS PRESENT LAND USe IN VICINITY OF PROJECT? 0 ReSidential ❑Industrial ❑Commercial Describe: Agriculture ❑Park/Forest/Open space ❑Other 10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL STATE Ga LOCAL)? ®Yes ❑N. If yes,list agency(s)and permit/approvals DEC - Phhrotection of Water, Water Quality Certification, Tidal Wetlands ti SouthoQdtained 12/21/92 Town Trustees - Obtained 12-21-92 , 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR nPPgOVAL7 ®Yes ❑No If yes, list agency name and Permit/approval See Above agencies Also, original bulkhead constructed under DEC Permit 410-84-0659 dated. June 22,1984 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIr/nPPROvnL REouIRE MODIFICATION? ❑Yes ®No 1 CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: C. Terry Latham, Pres. Latham Sand & Gravel, Inc. \ Date: 12-21-92 \ Signature; � � 1 If the action is in the Coastal Area, and you are a state agency, Coastal Assessment form before proceeding with this assessment complete the ssment OVER A. UOES AGiION E:�CE: ANY TYPE 1 OLD It! 6 NYCiL7, PAHr G17.1�. II es,coo n IhB review toe Yea y P oss and use Ira FU No _ LL DAF:. 9. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.67 may be superseded Coby another involved agency. It No,a negative declar,; ❑Yes ❑No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED VIITH THE FOLLOLvING (Ansroers may be handwritten.if+egible) Cl. Existing air quality, surface or groundwater quality or quantity, noise lovels, existing* traffie atterns. solid waste potential for erosion,drainage or flooding P Production or dlspc problems?Explain briefly: 1\�0 • C2. Aesthetic, agricultural,archaeological,historic,or other natural or Cultural resources: or community or neighborhood chars ter? Explain b +11 CJ. Vegetation or fauna, fish, shellfish or wildlife species,significant habitats,or threatened or endangered species? Explain briefly: �t Cd. A community's existing Plans or goals as officially adopted,or a change in use or Intensity of use of fan" dor other natural resources?Explain b nl o Cs. Growth, subsequent development,or related activities likely to be induced by the proposed action? Explaln briefly. C6. Long term, short term,cumulative,or other effects not identified in CI-CS? Explain briefly. C7. Other impacts(including changes in use of either quantity or type of energy)? Explain briefly, O. IS THEFc•OR IS THERE LIY,ELY TO BE CONTROVERSY RELATEDTO POTEIITIA ADVERSE ENVIRONS+ENTAL 11.tPA Cl Yes M No L CTS. If Yes, explain briefly PART 111—DETERMINATION OF SIGNIFICANCE (To be completed b . y Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or olhe'nvise signific: Each effect should be assessed in Connection with its (a) settin (i.e. E c h effect ict o geographic scope; and (f) magnitude. s necessary,) Settig ( urban or rural); (b) probability of Occurring.* explanations contain sufficient detail to show that all relevant adveadd attachments or reference sU g' (ls duration; P have been identified andadequately materials. Ensure t: adequately addressed. Check this box if you have identified one or more potentially large or significant adverse impacts which �.�qy 0 Check this Positive declaration. box it you have determined, based on the information and analysis above and documeY significant adverse environ ntation, that the proposed action WILL NOT result in an en at AND provide on attachments as necessary, Y Pporting the reasons supporting this determination: mental impacts i Namr rri lcaJ nr;cn(Y r/ 1 ur IYUr N r nr of Na -�� • auunvUlr(JI Irt lr rri lcsJ Ai;cn(r title of Ita•SPomrulr Ullr(rr 1,Knalurr ul "IPonaruie Ullrt.•r rn le.J-Krnty • ,r. Kneture ul 11lPiter+Ir date/ens Iforn(raPunvple_ r(!I 1 z Z CAP Al t t, �riE minas 5YRiN 6�R5 a6" I��P. DE4D N x/a �► c v-,tris 'f3 I-K 8 I-IL/NG E"R. bf- D/NAN a Xaa K/d� a ' SHE'AT7•�ING R B1JZ-e1VEAD Si== N/� GgLVAMIZED EDWIN C. GERRITY WILLOW TERRACE R/0/W ORIENT, NY 47 LONG 1. LAND Terry Pt .,CErM.2�� Mvnn a _–.—!• - AL N g o D. ORIENT y A �� -� r 4 P.S. P° �P 11957 9 RT jv�� m CE NTAAL Orient Y.C. o = o se `.. NAVY '`.1 r.— Ci N o+ �l Z os 1 j =y r W ORIENT �� �R T ti . 0 w K%m y R o 1 9 NA RB OR o o C cc Browns F Peiers Neck P1 7. !` ~ f O R It ^. ` 9 A c1UA� :: (G Beach B�FVSPN C�N� pf GARDINERS e . c. 47 92 _ EDWIN C. GERRITY ' R/O/W off Willow Terrace Orient, NY CAP G o riE minas 5�tiN6ER5 �6"' DEADMAM q n�a o t`P.,tris ADCADJNA/V ' SHEAT7�JiVG AAb GgLVAN/ZED EDWIN C. GERRITY WILLOW TERRACE A/0/W ORIENT, NY DEC — IS - 1-512 WED 1 -5 T G E R R I T Y A G E N C Y/ P _ 0 -4 ' , • � y by i. �`,`"'• � 1,*.rY�+ �■ w ,, � �'yr ,"�'•�' f�r 4f� � 7 � 1 �'•I f i, r•. tip ,�,*{���:. � ,, I� i,� „ •, ',Let I il}'��'�"' r;.P�•,r�! I � t ,f7'�"�E' '� w '' yr ,YS' ` T�y„ ��L. :i r/�/y�j•K��h'�rr��, r !S ' 41 kh r �'°J " C �%1�.y a 6 � �"" �k .',�} i•��• � `JSw �i�l_"�'�i , +. 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't'. 4UNAUT"ONIZID ALIPATION OR ADDITIO) TO THIS S V1Y'15 A VIOla11014 OF ,t. r ► { t r, SICTION 7409 OF THE NEW YORK STATE 'IDU C/fT16N EAW '' } • / � ,'", t."1 v.: ;P•�" ,rn'4, n ,� COFIE O 1 �t f- ,,,�,�„•,•,,,,.�,,,,,•,,,- y„-.. t J .� .� } t 3.. E•1IIS SURVEY MAP AP NOT SEARING 414 LAND SULWYOR S INK::D VALOR EMEOSS[D SEAL tF{ill NUi RE CONSIbE0.[0 TO IEA VALiD i UE CUFY 1 i 'f�f�t•E•fY}T ;q :, .y .. I ���t •''ti +� ,°GUARANTECSIP:DI^.AT[d I1fREON SII\LL RUt. 'ONLY TG)HF'0i.S 11 iQ0.'ViSUM TUE SU'.: xl +'IS PREIARLb, AIG J:.'IM VIIAlF TO TILL ti 1•y 1 y I-'. °'{^•I J+11,.; ,., ,�, ,r 'it 7 ( �,:• "'tITLI CbMPAkY,GOVOMP AAL AGLNCY . !r! f '1 '•TNDR36"TiTUIION LISILD HALON, AMC ! PO THE t►SSI I MES Of THE L[NDR10 INSTI• ! 11 t C!�l7TIF, ' .•.I ,..• �,; � ;' •+ �:+'TUTH)!L•,GUARAf�TEES ARE NOT TRANSTERI• TO ADD MMM INSTITUTIONS OR SURSEQL "A10r f ���1t�' t��c�`= t--'�r:rJFb•�f�.,.r-,�. ��1 .�F��tttt/ w>�aV�r�J�s �►dFt+�,11, to I /� a1kA�' � I r / "w,f°,�l.Ir��I 43CiF,�2'?,X9'77 r• ., , t Of� tiCaoeft)C1C ,VI`!V-`I I Txv1 1 r{x1t•.Z ° I-1c "Np 3URVBYQE29.GFZLfE I, -=,c +f�/k. G�t�z)'i��{'E`I�l�"�tk^�ri �Id��•�•..ri;:,,r.� 1��„rv�'i.w+�.�r+Vi,��`:.•�;,,1"�r, .. 1�''T'�,�1�'1!!� MI�'�~,�� I - - STAT m wif oM ' + _ '. r ',. ' t n .}'p I:,1! 7[: •/ i � r ! jlt xt x .. r 4 v / rfl � ` t'E)R ArP'b�AI_ OF :C046MUCTidN bNL.Y i1»y:� �•r71�t !THE WAtBER SUPPLY' AND $CWAGL pI11POPAL SY$'1`BM$ FOR THIS R vt DENCE WILL •CONFORM ' TO '.THt li. 3• RE1 t STANDARDS OF SUFFOLK CO. DCPT' j p OF?HEALTH. SERVICES.., i } • 'fit r j ,. ;, i API•110VED: " t APPLICANT . ...-.___.._ .._.....•.•l.Yl' w_..•-.ter...-..:.�'..,.b,....�.:,ii:'.,�......Y.:s:�:.....5:�....�.-..-•., ....« , ' ' - , f J ',tts'4_ f_ j;' IJ�.a..b. / i i.'.. '�`, +� ,.'t+''h 'b'rk:, !.,-f�'•1.�.L; � , JENNIFER B. GOULD Attorney at Law 53740 Main Road P.O. Box 988 Southold, New York 11971 Telephone Number: 631-765-8375 Fax Number: 631-765-8036 June 19th, 2014 ' JUN 2 5 2014 L , - 1. Southold Town Trustees T PO Box 1179 f Trustees Southold,NY 11971 RE: Trustee Emergency Wetland Permit E26-2-7.2 and Costal Erosion Management Permit#26-2-7.2 Premise: 194 Willow Terrace Lane, Orient,NY SCTM # 1000-26-2-7.2 Dear Southold Town Trustees: My clients are the owners of the above—referenced premises and would like the above-referenced permits to be transferred into their names. Enclosed is my attorney's check in the amount of$100.00 to cover the cost of the transfer. My clients' authorization and the names for permit transfer are below. If you require any further information, please do not hesitate to contact me. Very truly yours, fifer B. Gould Enc. Consent for transfer of permits for SCTM # 1000-26-2-7.2 -14 --1-lf5-lee­ George o opp as Trustee, of the George J. Hossenlopp Revocable Trust dated:f��I uj1 Lf Linda L. Hossenlopp as Trustee, 6rthe Linda L. Hossenlopp Revocable Trust dated: *ENNIFER B. GOULD Attorney at Law 53740 Main Road P.O. Box 988 Southold,New York 11971 Telephone Number: 631-765-8375 Fax Number: 631-765-8036 ' v � ra June 4, 2014 { Southold Town Trustees PO Box 1179 JUN - 6 2014 Southold,NY 11971 RE: Permit E. 26-2-7.2 Roard o f Thistees Premises: 194 Willow Terrace, Orient,NY 11957 Dear Southold Town Trustees: My clients are the new owners of the above-referenced premises. Enclosed please copies of the original permit issued to the former owner Gerrity on 12/21/92, my clients' deed to the premises and my attorney's check in the amount of$50.00,representing the fee for the final inspection. Please accept this letter as my clients' authorization to inspect the above premises for a certificate of compliance. Linda L. Hossenlopp, As Trustee and George J. Hossenlopp, Trustee have signed and given their consents for inspection below. Thank you for your attention in this matter. Very truly yours, ennifer B. Gould Enclosure Consent for Trustee inspection: Linda L. Hossenlopp, as Trustee Georg ssenlopp, as Trustee Dated: 6 Dated: BARGAIN AND SALE DEED WITH COVENANT AGAINS1 CARA1�I'�'O is ACTS (INDIVIDUAL OR CORPORATI( STANDARD NYBTU FORM 8007 JUN - 6 2014 CAUTION:THIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY TTO NEYS FOR SELLER AND �URCHASER BEFORE SIGNING. THIS INDENTURE, made the J-/ day of Q j ^ c 201 Boarf T,u between MARYBETH GERRITY, residing at 2314 North Lincoln Park West,Unit 11N,Chicago,IL 60614, PATRICIA D. MOORE, residing at 2 Captain's Lane,Salem,MA 01970,DANIEL P. GERRITY, residing at 8 Sunset Ave.,Lynbrook,NY 11563,ANNEMARIE DANIELS, residing at 122 Catkin Dr.,South Burlington,VT 05403,KRISTINE E.BATTY, residing at 112 Indian Run Trail,Smithfield,RI 02917, EDWIN C.GERRITY,JR.,30-A Mayflower Avenue,Massapequa Park,NY 11762,and CARA J. BECKER, residing at party of the first part, and GEORGE J.HOSSENLOPP,as TRUSTEE OF THE GEORGE J.HOSSENLOPP REVOCABLE TRUST and LINDA L.HOSSENLOP,as TRUSTEE OF THE LINDA L.HOSSENLOPP REVOCABLE TRUST,both residing at 1101 Spinnakers Pdwah Dr.,Ponte VMa Beach,FL 32082 Anac k V-ed n- party of the second part, WITNESSETH,that the party of the first part, in consideration of Ten Dollars and other lawful consideration, lawful money of the United States, paid by the party of the second part, does hereby grant and release unto the party of the second part,the heirs or successors and assigns of the party of the second part forever, ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being at Orient, Town of Southold, County of Suffolk and State of New York. SEE SCHEDULE `A' ATTACHED HERETO AND MADE A PART HEREOF Being and intended to be the same premises conveyed in Deed dated January 30, 2006, recorded June 7, 2006 in Liber 12454 page 114. TOGETHER with all right,title and interest, if any, of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof, TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises, TO HAVE AND TO HOLD the premises herein granted unto the party of the second part,the heirs or successors and assigns of the party of the second part forever. AND the party of the first part, covenants that the party of the first part has not done or suffered anything whereby the said premises have been encumbered in any way whatever, except as aforesaid. AND the party of the first part, in compliance with Section 13 of the Lien Law,covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The word "party" shall be construed as if it read "parties"whenever the sense of this indenture so requires. IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above written. NYSBA Residential Real Estate Forms on Hot0ocs1)(9/00) Copyright Capsoft®Development -1- L MARYBE GERRI PA CIA D.MO RE DANIEL P. GERRITY v' ANNEMARIE DANIELS E E. Y EDWIN C. GERRITY,JR. _12�L 0 a"'� J.BEC R �ea Yal k STATE OF414A*S ) ss.: COUNTY OF 5—kAP/k ) On the 2 qP day of M OVyy , in the year 2014, before me,the undersigned personally appeared Marybeth Gerrity,personanown to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her capacity,that by her signature on the instrument,the individual, or the person upon behalf of which the individual acted, executed the instrument, and that such individual made such appearance before the undersigned in the j0TARY PUB TARIQUE CHAUDHARY NOTARY PUBLIC-STATE OF NEW YORK No. OI CH6237384 Qualified in Queens County My Commission Expires March 21, 2016 STATE OF MASSACHUSETTS ) COUNTY OF A_5,rA X SS: ) On the 29 day of , in the year 2014, before me,the undersigned personally appeared Patricia D.Moore,personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her capacity,that by her signature on the instrument,the individual, or the person upon behalf of which the individual acted, executed the instrument, and that such individual made such appearance before the un a ign4ieTONT L.GUARt�Notary Public N TARY orrilfull Wealth of M8888ohuaetts My COR1tI W40it Exp.Jan.25,d f9 NYSBA Residential Real Estate Forms on HotDocsa(9/00) Copyright Capsoft®Development -2- .� •• STATE OF NEW YORK ) )ss: COUNTY OF SUFFOLK ) On the.2-9�4 day of M yt , in the year 2014, before me the undersigned personally appeared Daniel P. Gerrity,personknownto me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity,that by his signature on the instrument,the individual, or the person upon behalf of which the individual acted,executed the instrument. TARY PIPLIC TARIQUE CHAUDHARY NOTARY PUBLIC-STATE OF NEW YORK No. O1 CH6237384 �( Qualified In Queens County STATE OF My Commission Expires March 21, 201to ) )ss: COUNTY OF�'����� ) On thdA day of G"'°1 , in the year 2014, before me the undersigned personally appeared Annemarie Daniels,personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her capacity,that by her signature on the instrument,the individual, or the person upon behalf of which the individual acted,executed the instrument,and that such individual made such appearance before the undersigned in the /TAPB:!T�1fC_ TARIQUE CHAUDHARY NOTARY PUBLIC-STATE OF NEW YORK No. OICH6237384 Qualified In Queens County My Commission Expires March 21, 2018 STATE OF )ss: COUNTY OF 5-11-Ing/k ) On the2 P day of Mots , in the year 2014, before me the undersigned personally appeared Kristine E. Batty,personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her capacity, that by her signature on the instrument,the individual, or the person upon behalf of which the individual acted, executed the instrument, and that such individual made such appearance before the undersigned in the /4 OTARY P IC TARIQUE CHAUDHARY NOTARY PUBLIC-STATE OF NEW YORK No. OICH6237384 Qualified in Queens County My Commission Expires March 21, 2015 STATE OF NEW YORK) )ss: COUNTY OF Ncui aN ) On the a'�`day of k-( , in the year 2014, before me the undersigned personally appeared Edwin C. Gerrity,personally knowAto me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity, that by his signature on the instrument,the individual,or the person upon behalf of which the individual acted, executed the instrument. EILEEN M.STACK NOTARY PUBLIC STATE OF NEW YORK JOARY PUBLIC NO.4883204 OUALiFIED IN NASSAU COUNTY COMMISSION EXPIRES MARCH 16, Z�_6 NYSBA Residential Real Estate Forms on HotDocs®(9/00) Copyright Capsoft®Development -3- 00 !• New lark STATE OF ) )ss: COUNTY OF On the 2.1-(A day of Aatl , in the year 2014, before me the undersigned personally appeared Cara J. Becker,personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her capacity, that by her signature on the instrument,the individual, or the person upon behalf of which the individual acted, executed the instrument, and that such individual made such appearance before the undersigned in the TARIQUE CHAUDHARY NOTARY PUBLIC-STATE OF NEW YORK TARY P C No. OICH6237384 Qualifled in Queens County MY Commission Expires March 21, 2015 DEED Title No. Section 026.00 Block 02.00 GERRITY Lot 007.002 County or Town SUFFOLK To HOSSENLOPP Return By Mail To: Jennifer Gould, Esq. 53740 Main Rd. P. O. Box 988 Southold,NY 11971 Reserve This Space For Use Of Recording Office NYSBA Residential Real Estate Forms on HotDocs®(9/00) Copyright Capsoft®Development -4- Fidelity NationafVtfe Insurance Company 777.LE".E14-7404-94562 SVT SC91EDVLEA-1 (Description) Amended 05/29/14 ALL that certain plot, piece or parcel of land, situate, lying and being at Orient, in the Town of Southold, County of Suffolk and State of New York, bounded and described as follows: BEGINNING at a point on the easterly side of a 16 foot right of way, adjoining the westerly side of Lot 15 on the Map of Willow Terrace Section 1,#5407, said point being distant the following four(4)courses and distances from the corner formed by the intersection of the southerly side of King Street with the westerly side of Willow Terrace Lane: 1. South 9 degrees 33 minutes East, 191.62 feet along the westerly side of Willow Terrace Lane to the northerly side of a 20 foot right of way; 2. South 80 degrees 27 minutes West, 166 feet along said 20 foot right of way; 3. South 21 degrees 55 minutes East, 289.22 feet along the westerly side of the first above mentioned 16 foot right of way to the northerly side of the hereinafter described parcel; 4. Thence North 68 degrees 05 minutes East, 16 feet across said right of way to the easterly side of said 16 foot right of way and the true point of beginning RUNNING THENCE from said true point of beginning along the easterly side of said 16 foot right of way, South 21 degrees 55 minutes East, 102 feet to the northerly side of land now or formerly of Frenchi; THENCE along said land, South 68 degrees 05 minutes West, 94.00 feet to the easterly side of Orient Harbor; THENCE along a tie distance along bulkhead, North 29 degrees 27 minutes West, 102.89 feet to the southerly side of land now or formerly of Defina; THENCE along said land, North 68 degrees 05 minutes East, 107.50 feet to the point or place of BEGINNING. TOGETNER,with a right to use in common with others a certain right of way 16 feet in width running from the premises herein described and over land conveyed by Maud E. Latham to Philip Frey by deed dated October 4, 1954 and land formerly of James F. Douglass; and TOGETNER,with a right to use in common with others a certain right of way 20 feet in width running from the northeasterly corner of premises conveyed by Maude E. Latham to Paul N. Daland and Thelma W. Daland over land of James F. Douglass adjoining lands now or formerly of George Douglass and other land of Davis on the north about one hundred eighty feet to a point 16 feet easterly from the westerly line of land of Carl King and a right of way in common with others 16 feet in width over said land of Carl King, from said 20 foot right of way northerly to King Street. THE POLICY TO BE ISSUED under this commitment will Insure the title to such buildings and improvements on the premises which by law constitute real property. FOR CONVEYANCING ONLY.• Together with all the right, title and interest of the party of the first part, of in and to the land lying in the street in front of and adjoining said premises. SCHEDULEA-1 (Description) Rev.(03/04) TRUSTEES SUPERVISOR John M. Bredemeyer, IJI, President s® SCOTT L.HARRIS Albert J.,`Krupski,Jr., Vice President Henry P. Smith . Town Hall John B Tuthill �,�� 53095 Main Road :William':G. Albertson J PO. Bo 1179 Telephone (516). 765-1892Southold,New York 11971 Fax( 16) 765=1823 BOARD OF TOWN TRUSTEES. TOWN OF:SOUTHOLD COASTAL EROSION MANAGEMENT PERMIT Permit Number: 26-2-7 , 2 Name of Applicant/Agent: Latham Sand & Gravel Name of -Permittee: .Edwin Gerrity Address of' Permi:ttee. ROW off .Willow Terrace, Orient Property Located: Same DESCRIPTION OF ACTIVITY: to. replace ,inkind/inplace 103+/-s of bulkhead destroyed by storm. Also replacement of l©' return on North side and a 201 return on South side. Backfill with 75-100 c.y. of clean sand from upland source. Date of permit issuance: January 28, 1993 This permit is valid for a period of two years from the date of issuance. SPECIAL CONDITIONS: Bluff restoration through a re--vegetation agreement is attached hereto and is -a. necessary special. condition of this permit.. A relocation agreement is attached hereto and is a necessary special condition of this permit. A maintenance agreement is attached hereto and is a necessary special conditionof this permit. � � „' 1 .;�� �� � .,� �-� •� � ,may, a';�.. .^'y y _ r' x' r\^rT •N' Mi III tri Board Of Southold Town Trustees k� � it« SOUTHOLD, NEW YORK ,► PERMIT NO. .. ........ .`............_ DATE: .... - . � taiISSUED TO ....... tt .............................. i� .i Pursuanf .fo the provisions of Chapter 515 of the Laws of the State of New York, !893;,and Chapter.404 of the. Laws of the State of New York. 1452; and the Southold Town Ordinance en- a titled "REGULATING AND THE PLACING OF OBSTRUCTIONS ' 1 1N AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL. OF SAND, GRAVEL OR OTHER MATERIALS FROM r LANDS UNDER TOWN WATERS;" and in accordance with the 1 � 'y Resolution of The Board adopted at a meeting held on .... ...� r.....- ' 19_.-.....,, and in consideration of the sum ofpaid by r: of ...... .................. N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, . of Southold Town Trustees authorizes and permits the following: , ' ry' , all in accordance with the detailed specifications as presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to ' a be subscribed by a majority of the said Board��f this date. i f ........�15'.................... i Ell � I Trustees r. .. .,: �, -- r ti*� t r„y- if �.fw�.y w=�+.. �;,z.r ..2W�..��,r(i'-'�s.✓.�trt.�'�:ai - �{ 15 AASeCeSa1;� �n e -1 Z-�a V q; x TRUSTEES ,, � �-� SCOTT L. HARRIS a � �> �' Supervisor John M. Bredemeyer, III, PresidentF w_ Henry P. Smith, Vice President Albeit J: Krupski, Jr. '° Town.Hall, 53095 Main Road John L. Badnvski; Jr_ P.O.Box.1179 Southold, New.York 11971 John D. Titiill BOARD OF TOWN TRUSTEES Fax(516)765-1$23 Telephone (516)765-1892 TOWN OF SOUTHOLD Telephone(516) 765-1800 GRANDFATHER APPLICATION . l. Name of Applicant: . _� t LeN t er Y I H ' 2. Mailing address: 1 "7 �-r 1-�'ek 1 ,III ��cn c it Tf Tel. No 3. Address of Property= �� &� - a Te� "'C�C e 4. Tax Map Number: 1000- ; 2 " 7-2, Approx.yr of construct: t 7 S° 5. Prior owner if known: 6. . Diagram of existing structures, including all dimensions, must be included with this application: 7. :Indicate on attached map: Location, ie; reference point, telephone Pole number, adjacent property owners, etc. Signature of applicant: �c.,�, �=�=�-T Date.: * Please note, there is a one time fee of $50.00 for filing this application. TRi STEES SUPERVISOR John M. Bredeneyer, 111, President C `' SCOTT L.HARRIS Albert J. Krupski, Jr., Vice President ' Henry P. Smith ;` Town Halt . John B. Tuthill ' 53095 Main Road William G. Albertson P.O. Box 1179 Telephone:(516) 765-1892 _ Soutliald; New York 11971 Fax(516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD r0ASTAL EROSION HAZARD AREA AND TOWN WETLAND. EMERGENCY AUTHORIZATION(S) Application No.SCTM #1000- Name: 1000-Name: Date: December 21, 1992 RESOLVED that pursuant to the Town Code in relation to Coastal Erosion Hazard. Areas, Chapter 37, Section 20, 21 and Town Code i Chapter .97, Wetlands, the Southold Town Trustees, as Administrator, have determined that the activities . proposed by your emergency activity request are necessary to protect property and important coastal natural resources. DESCRIPTION OF ACTION: I fir f� 2W f 1Lfrf) <rf !�iv s�, L"�j(� "� Cc: r �+ jT 411. C_a-q A1WJ7- -fEevYC V r` .141 (-YJ 'C Reasons supporting this determination: 1. An on site inspection. has been conducted by the board of Trustees or their authorized representative. 2. The Trustees have considered the emergency request and find that if the work is not completed as authorized and measurable loss of property and important coastal natural resources is likely to occur. This authorization is not a permit. You must complete the Coastal Erosion and wetland permit process where applicable for all authorizations given under this section. This authorization should not be considered a determination made for any other department or agency. TRUSTEES o��S11fFD(�-00 SUPERVISOR John M:Bredemeyer, III, Presidency` $SFr Gym SCOTT L. HARRIS Albert J. Krupski, Jr., Vice PresidentCn o - Henry P Smith E V nom, Town Hall John B. Tuthill4_1 53095 Main Road William G. Albertson >Dl �� P.O. Box 1179 Telephone (516) 765-1892 Southold, New York 11971 Fax (51.6) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 30 year Maintenance Agreement Erosion Protection Structures Chapter 37 Southold Town Code Southold Trustees as Administrator I (we) Edwin. C., Gerrity type or print name(s) the owners of record of property at: r_o_/w off Willow Terrace (W. side) Orient, NY 11957 (type or print street address) SCTM 41000- 026-2-7,2 in applying for a Coastal Erosion permit for an Erosion Protection Structure do hereby agree to a 30 year maintenance program for a structure commonly known as a Bulkhead of 103' +,plus_ returns - _Y as shown on the attached feet of length licensed survey of the as-built structure. it is my/aur understanding that we are to maintain this structure with materials designed to endure 30 years and or equivalent to the original approved structure and that for any maintenance which involves more than 5% in length of this structure we are to give prior written notice to the administrator, waiting for their approval in all but true emergency', situation's which would seriously endanger life, property and important coastal natural resource features such as bluffs, or ,wetlands. We further understand that failure to maintain the structure could result in a requirement to post a bond and or .have 'the repairs ordered as a lien against the property upon a finding by the Trustees that said lack of maintenance would risk Life, property or important natural resources features including pr ected, rare or threatened animals and plants. . Notari d Signature of owner of record SWORN TO BEFORE ME THT S F DAY OF eG��.,,, , 19 q.-Z, MARION G. LATHAM NOTAAY PUBLIC Npta),y. Public, State Of New York N)T 4: 49732 Suit. 1k County Please submit three copies of a licensed land survey made within 5 w°� one year of the original construction. This maintenance agreement shall only he. vali.d upon the final approval of the administrator. Subsequent owners may apply to the Southold Town �. Trustees to re-authorize this maintenance agreement. �ce�m,�r TRUSTEES O� S� eoG SUPERVISOR John M. Bredemeyer,111-President - SCOTT L. HARRIS Albert J. Krupski, Jr., Vice President cm Town Hall Henry l? Snaith px 53095 Main Road John B. Tuthill •,• ! William G. Albertson loj `�� P.O. Box 1179 Southold rk 11971 .,Telephone (516) 76571892 Fax {516}765-1823 r� .� BOARD OF TOWN TRUSTEES t TOWN OF SOUTHOLD *Adminis-Orator* � Permit Application and instruc A Coastal Erosion .Management (Article 34 ECL, Town Code Chapter 37) Town Wetlands (Town Code Chapter 97) TRUSTEE LANDS (Town Code Chapter 32) Instructions: NOTE: Regulated activities, including but not limited to the clearing of vegetation and soil cover, may not be commenced on properties within one hundred feet of the Coastal erosion Management Boundary line or 75 feet of wetlands, which ever is greater, unless a Coastal Erosion Management and or Wetland or Trustee Permit or a letter of non--jurisdiction has been issued by the Trustees for described activities. A. This application shall be fully typewritten or completed in black ink and shall, in addition to the application fee (see back of page) , consist of the following parts which shall be submitted as five ( 5) copies (1 original plus 4 copies) to the yy Southold Town Trustees. 1. Licensed survey at a scale not to exceed 1 inch 40 feet b ; (for requirements see page 2) e2. Application form (must include project description and be notarized) 3 . Location map (scale not to exceed 1 inch = 2000 feet - may also be on page 3 or survey) _ 4. Authorization (when applicant is not the owner - may also be on page 2 or survey) 5. Long Environmental Assessment form .(for all projects within 500' of Peconic Bay and its ' . tributari,es; all of Fishers Island) and when required by the Town Trustees. THIS IS NOTA PERMIT PAGE 1 y Minor Projects: A non-refundable application .fee of $50.00 .for all projects where there will be less than 100 cubic yards of excavation., grading:, inning filling or dredging; construction or modification of open catwalks, docks,.. stairs„ floats, . piers acid wharves not exceeding six ( 6) feet in width; construction or modific.ation. of erasion protection structures not exceeging 100 linear feet in length minor building construction of less than or equal to 250 as denoted in Chapter 37. Major Projects: A non-refundable application fee of $1GO..00 for all projects in. excess of .minor projects and for any bui.iding construction or modification greater than 25%- as denoted in Chapter '27. Inspection fees (all projects) : $50.00 per inspecion, the number to besot by the Board of Trustees at the Mb of permitting. Relocation Agreement(s) : When a relocation agreement is required by Chapter 27, an additional $50. 00 project fee will be required to cover the additional cost of legal review and .record keeping surrounding said agreement. Bond Agreement(s) : When a .performance bond is required, an additional $50.00 project fee will be required to cover the additional cost of legal review and record keeping surrounding said bond. Variance (fee already established in Chapter 37) : Pursuant' to Section 37-32, for any application which will require a variance the non-refundable application fee shall be $250.00, whether a minor or major project. Chapter_ 97: Fee Schedule Town Wetlands Permit Application:. $150. 00 ' Wetlands Grandfather Permit Application: $50. 00 Additional Wetland Inspection (if Necessary) $35. 00 Fees for inspections, relocation and bonding agreements etc. shall be submitted prior to the issuance of permits and where applicable, shall be refunded only , if requested in writing prior to expiration date of a permit. ' Permits shall expire two years from the date of issuance and shall not be renewable for more than two one year extensions. THIS 1.S NOT A PERMIT Page 2 TRUSTEES h�p�• O� John M.Bredetneyer,IZi,PresidentSUPERVXSOR Henry P.Smith, Vice President SCOTT L.HARRIS Albert J. Krupska,Jr. p , John L. Bednoski,Jr. '�'. � �q� Town.Hall John B.Tuthill 1 )' 53035 Main Road P.O.Box 1179 Telephone(516)765-1892 BOARD OF TOWN TRUSTEES Southold,New York 11971 Fax(516)765-1$23 TOWN OF SOUTHOLD , COASTAL EROSION MANAGEMENT PERMIT APPLICATION TOWN WETLANDS PERMIT APPLICATION,,' TRUSTEE LANDS PERMIT APPLICATION Office Use Only: ' Coastal Erosion Permit Application Alwetland Permit Application ustee. Lands Prm t Application randfa.ther ` g' -- # ompIpted Apps. Date: Variance .Required, Neighbors not aged Date: SIQRA Type:..`41= Coord. Review-opt. , nd,_ Date Rec. by office -77 zss comp./date: sl SEQRA Determin./date: Public Hearing/date: ; Findings: Pbrm t Vote: (YIN).- Special Conditions: (also see file) Application. Fee: APplication Number; SCT14 #IOOO- 026-2-7.2 Project Name (If any) In-kind, in--place Bulkhead Repair (Storm Damaged) Date Prepared: 12-21-92 Applicant. Latham Sand & Gravel, Inc. Address: P.O. Box 776 ` FAX # 516- 23-2566 - — Orient, NY 11957 Phone ( 516T 323--2585 Inte7rest: (owner, consultant,lessee,etc. ) Agent for owner Owner of Property: Edwin C. Gerrity Address 1.75 Carman Ave. East Rockaway; NY 115110hone (516 ) 593-4242 Subject Property Location: R/O/V off Willow Terrace Orient, NY 11957 (Provide LILCO Pole. #, Distance to cross Streets if not ori location map) THIS IS NOT A PERMIT Yds. to be excavated: 0 Yds. to be filled: 75--loo Manner in which material will be removed or deposited: Brought in ..from upland source, placed with small backhoe __.... Width of canal, creek or bay fronting property: ztraLarge Orient Harbcs Depth at low tide NIA Aver. rise .in tide: 2 1/2 ftp Distance to nearest channel: Distance project extends beyond similar projects in area: No Area zoning: Residential_ Land area in acres: .32 ac: Is project for ,private or business use: Private Intended use of property: . Residential Describe known prior operations conducted on -premises: _IIA- Has any prior license or permit. been, issued to erect structures, dredge, or deposit fill on said. premises: � Igs., original -bulkhead 1984 Has any license or permit ever been revoked or suspended by a Governmental Agency: No Project -Description The project description must also .include plans for reclamation of land disturbed during construction of the principle and accessory structures and underground structures. (i.e. , pipeline and septic system; make additional attachments if necessary) . . In-kind, in-place replacement of 103 ± ft. of bulkhead destroyed by December storm. Also replacement of a 10' return on North side an7l a 20' return on _south side. Backfill with 75-100. cu. yds. clean sand from upland source. Authorization (Where the applicant is not the owner SEE ATTACHED I residing at (.print-owner of subject property) (mailing address-phone) do hereby authorize to apply for Coastal Erosion p.ermit( s) from the Southold Town trustees Signature THIS IS NOT A PERMIT AU'T'HORIZATION FORM 1, Date awritt, of property at .the follo.wit7p, location, w1kee. 4&V d0 hereby dive batham Sand & Gravel, Inn. authority to act iti my behalf ; as petitionerlarent in applying for such permits as necessary in, order for work to be dano at. my property, t SiRnAure t County of Suffolk ) , State of New York ) G. 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 IIOWLEDGE AND. BELIEF, AND THAT WORK WILL BE DONE SN. `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 SO.UTHOLD ,A:ND 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 APPLI-CATION I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(s) OR REPRESENTATIVE(s)..., 70= ENTER ONTO :MY PROPERTY TO :INSPECT THE PREMISES IN CONJUNCTION: WITH RENEW OF THZS APPLICATION. SIGMA URE ,x SWORN TO BEFORE ME THIS - -DJ" DAY OF �Gov-,n�Y3 L✓Z , 19`7 Z NOTARY PUBLIC MARION G. LATHAM otaw ! ub0c, Stats Of New York lio, 2-4649782.Suffolk County Tet`t`F!Expires Suggested space for location Map THIS IS NOT A PERMIT 14'-Ib-4(Z167)—Text 12 •� PAQJECT i.O.NUMBER 617.21 S ' E 26-2-7.2 Appendix C State Environmental anality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART #.--PROJECT INFORNIATION (To be completed by Applicant or Project soons.ar.) 1. APPLICANT ISPONSOA Z. PROJECT NAME Latham Sand & Gravel, Inc. Bulkhead Repair 3. PROJECT LOCATION: MUniClOaffly Southold Town, Orient county Suffolk A. PRECISE LOCATION(Street address and road interseettons;prominent landmarks,etc.,or provtde maps Right of Way off Willow Terrace, off King Rd. , Orient. • i 5. IS PROPOSED ACTION- 0 New CTION;0New El Expansion QModificationlatteration S. DESCRIBE PROJECT BRIEFLY: In--kind, in--place replacement of approxi 103 ft. of storm damaged/destroyed bulkhead and two returns. Return on South side to be to be 20', 'return on ' North. -side to be 10' Backfilled :with 75-10Q cu. yds. of clean sand.' T. AMOUNT OF LAND AFFECTED. fnitiatly acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LANO USE RESTRICTIONS? ElYes 0 N If No,describe briefly 9. Yl(�}'-f••��AY IS FAE=g�NT LA},] USc IN VLCENITY OF PROJECT? - Sg,FResrdentiaL Q!ndastrial QCoiitmercl3l �R ricutture rr--iI Descnbs: 9 LJ ParklForestl0pen space ❑O[her 10. OCE$ACTION INVOLVE A PERfrtIT APPROVAL,OR FUNDING,NOVJ OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL STATEORLOCAL}? L [Yes ❑pia if yes, list agency(s)and permit/approvals DEC - Protection of Water, Water Quality Certification, Tidal Wetlands Qbtained 12/21/92 Sautho Town Trustees - Obtained 12-21-92 11, DOES ANy ACPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Yes []Na If yes,list agency name and permitlapproval See Above agencies Also, original bulkhead constructed under DEC Permit #10-84-0559 d"ated. June 22,1.984 12. ASS-�.A FI SULT TOF' PROPOSED ACTION WILL EXISTING PEAMITIAPPROVAf. REOUIFIE MODIFICATION? Yes l.a NO I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TnUE TO THE BEST OF MY KNOWLEDGE Appircant/sponsof name: C. Terry Latham, Pres. Latham Sand & Gravel, Inc. Dale: .12-21-92 St 9nalvre: 1 if the action is in the Coastal Area, and you are a state agency, cornplet© tho Coastal Assessment Farm before proceeding with this assessment OVER �A. VQES ACTION EXCEED ANY rYPE I THA,- QLD.1.N 6 NYCrl"r3.pAHr 617.12? it yes,coordinain�tne rovrcw prones,ano u:ro u'd FULL bA F:. Dyes No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTION'S IN 6 NYCnn,PART 617.6? if No,a negative tleclaea may yytbe superseded by another involved agency. L..,t Yes O No C. COULD ACTION Ft£SULT IN ANY ADVERSE EFFECTS ASSOCIAT5V WITH THE FOLLOWING:(Answers may to handwritten.if.leglble) C1. EXisling air quality, surface or,groundwater quality or quantity, noise tevels, existing traffic patterns, solid waste produCuon or dfspcc potential for erosion,drainage or flooding problems?Explain briefly: ;�!e C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources: or community or neighborhood chara ter?Explain br C3. Vegetation or fauna,fish, sheNffsh or wildlife species,significant habitats.or threatened or endangered species?Explain briefly. C4. A community's existing plans or goals as officially adapted,ora change in use or Intensity of use of fand-or other natural resources?Explaln 1s. h�o C5. Growth,subsequent develppment,or related activities likely to be Induced by the proposed action? Explain brretty. C6. Long term, snort term,cumulative,or other effects not identified in Cf-CS? Explain briefly. C7. Other impacts(including changes in use of either quantity or type of eneroy)? Explain briefly. - s D, IS T:tEFE.CFI- IS THERE LIKELY To BE.CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL 1;,1PACT5? ❑Yes No It Yes,explain b lefty PART,ifI-OETERMINATION OF SIGNIFICANCE(To be completed by Agency) iNSTRUCTIOtIS: For each advefse effect identified above,determine whether it is substantial,targe,important or otherwise signifipt Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; irreversibility;(e)geographic scope; and(f)magnitude;If necessary, add attachments or reference supporting materials. ErISUrg t,' explanations contain sufficient delail to show that all retevant adverse impacts have been identified and adequately addressed. ❑ Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. ❑ Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts ANO provide on ottaChmen:ts as necessary, the reasons supporting this determination; i M.tmr ul L,ld A,,,,,y 1'1­1 oe lyvr N•-rr at Kr ,jt ns,ulr Uu,ter In /red AkZCncY - {Hie ut NesPoasrrrIr c)I rrt rr . N%narure of Krspcn"+u1e ulf,Crr fn lead Agency �,KnJlere or 1'sepite:t11 dwerent uOn]re&Von1ible "C" �CAHf� CAP JG $TRiN $ 1�IGIN� ' �R. ,pLA13�iAN Al SHtAT7�1 I-VAMIZAE) EDWIN C. GERRITY WILLOW TERRACE R/0/W ORIENT, NY 4 47 LONG LAND Terry P£ A ` p 0 R I EN R ¢ A. 1I357 q v m CENTRAL r Orient Y.0a CEM. 0. L w� � Cyq �NAVv -0O yao"_ Q,03� IT KING CL � £ d 1 . lu ORIENT v tu q A tt O Q♦. � HARBOR 0 N Browns F Pe e rs Ne c k P£ _ 1 -- ��� OR 1 NG 6 Beach g�R95R ��� �. Pt GARDINERS EM 41 N. 92 EDWIN C. GERRITY f R/©/W off Willow Terrace Orient, NY 3 �7 „y A xg GAP r ii --�-� vSADNA)t/ ,� 1='IUAIG 0 ORI ADA-APAMIV a7 XID,�c/d�, m'#'etue 7.13 7,?,'C~.S Aolb Co4l-VAMIZED ' SH�ATxI�� 3 EDWIN C. GERRITY WILLOW TERRACE A/0/W ORIENT, NY 2 w S r cEF2R I -r 'Y AGIENcY P _ + �r } + � :a t� �a'>x sh, ��t �' hlyyr, o-;,i4,:•4. " � 1 -rr7�� � . 'r.1,�1. }r. ° �� • ��h"�'.e�' a �L,'$s"s i!� - i ' '• i ry{�- 1,:ti "}' t • I fir. { ' r� t i r k F r' w•� , ;( l � ri"+�ll r7� y rb �: 1IICri,' 4"`,w„yysy,,,�, f t - - 6p 5"`;•^.-,_ y . €�'y„ y� 4 '���,� Y "' - Q 9 Px: ° �,�y���,y�,, ,�r;;.! rayflr4:�}-,a + -L •� -•••r_"� lox 1XI AL70T.��fr IN ' ,�y'G 4�4?'. X +' - i A f is r .4. •�ii�•! `1' ..-+--ty , JT � r. E' �',,�`{''YA�'Is�c�� �y� 1�'���k1p r ' � � 'S # e.—. ..„w-3�i.>rw /i�,/��•.I+I�+w -_�.�...... VP, 1 � "�t���” P fr��;��*9��q�'S. ,YL.�5,.y' i��4 ; •' 14 j � ',(• f �y r � s R� L •'Sr�Y '^r -rY',,Lr '•f .i - ^ �. 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