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HomeMy WebLinkAboutTR-8828 Michael J.Domino,President o���F SOUjyOI Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski �pQ Telephone(631) 765-1892 Greg Williams �CoUNTI,� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 20, 2018 Mr. Henry Silverman 530 East Main Street Riverhead, NY 11901 RE: 2800 DEEP HOLE DRIVE, MATTITUCK SCTM#: 1000-123-4-12 Dear Mr. Silverman: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, June 20, 2018: RESOLVED that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#8828 for the originally proposed tie-off pile was modified to become an as-built third batter pile; and for the as=built ramp and winch that has been incorporated into the 6'x20' floating dock; and as depicted on the project plan prepared by Henry Silverman, received on June 1, 2018, and stamped approved on June 20, 2018. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, - • e � Michael J. Domino President, Board of Trustees MJ D/dd f ` : x r 1 t,, JUN, i }1 e t L. i a t .. APPROVED BY BOARD OF 1 RUSTEES TOWN OF SOUTHOLD DATE ,�� i IJ Henry Silverman 530 East Main Street, Riverhead, NY 11901 631-921-2666 hen=lverman@msn.com n 1 2018 Southold Board of Town TrusteesP.O. Box 1179 Southold, NY 11971 Town Re: Completion of Recreational Dock Southold Trustee Permit No. 8828 Address: 2800 Deep Hole Drive, Mattituck, NY SCTM# 1000-123-4-12 Dear Trustees, This is a Letter of Administrative Amendment to bring our permit into compliance with the - as-built dock and float. Our dock has a tie-off pile modified as a third batter pile and the permitted 6'x 20'float has been modified with a ramp and winch. This Amendment brings our permit into compliance with the as-built structure and float so the Trustees will be able to issue a certificate of compliance and close out this permit. Sincerely, v Henry Silverman soFFoc� Michael J.Domino,Preside OHO C Town Hall Annex John M. Bredemeyer III,Vice-Presiaent �� ��;,� 54375 Route 25 Glenn Goldsmith z P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams ®� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: ir- % Completed in field by: HENRY & MELISSA SILVERMAN request an Administrative Amendment to Wetland Permit #8828 for the originally proposed tie-off pile was modified to become an as-built third batter pile; and for the as-built ramp and winch that has been incorporated into the 6'x20' floating dock. Located: 2800 Deep Hole Drive, Mattituck. SCTM# 1000-123-4-12 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: '100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 J Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: V//J. Bredemeyer V/ M. Domino G. Goldsmith ✓ N. Krupski 7G. Williams Other Michael J.Domino,President OF S0!/TTown Hall Annex John M.Bredemeyer III,Vice-President �� l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams 'O� Fax(631) 765-6641 y�DUNT`1,��' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 15, 2018 BY CERTIFIED MAIL RRR Henry Silverman 530 East Main Street Riverhead, NY 11901 and to: 17270 Old State Road 4A 939 Sugarloaf Key, FL 33042 RE: HENRY & MELISSA SILVERMAN 2800 DEEP HOLE DRIVE, MATTITUCK SCTM#: 1000-123-4-12 Dear Mr. Silverman: On January 18, 2018 the Board of Trustees sent a letter to you regarding area Trustee Glenn Goldsmith's site inspection that found your dock assemblage had a tie-off pile modified as a third batter pile where the permit stipulates two, and the permitted 6'x20' float had been modified with a ramp and winch. Accordingly the Trustees requested that you apply for an administrative amendment to bring your permit into compliance with the as-built dock and float. To date you have not approached this office to complete that administrative amendment application. This office requests that you file the necessary application as soon as possible to bring your dock and float into compliance. For your information, the deadline for an administrative application to get on our June 20, 2018 Agenda is Friday, May 25, 2018. An additional option is to remove the third batter pile and float modifications in order to bring the structure into compliance. This letter constitutes your second notice on this issue. Sincerely, Michael J. Domino, President Board of Trustees r r a ■ ,Complete items 1 2 and 3. A. signature } �-!Pretnfi�jiour name and address on the reverse X ❑Agent so that we can return the card to you. ❑Addressee N Attach this card to the back of the maiipiece, B. R de ed y(Printed ame) , to �eJi y or on-the front if space permits. �� � //// 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes' 111-1 rAy If YES,enter delivery address below: ❑No ;- d 72-70 0"ZIA FF AV r1l f 3. II I IIII'I IIII III I II I II I II II I III I II I II II II SII ❑duns jh *, estrlcted Delivery ❑Registered Mail Reshictec' ice Ty ❑Prionty.Mall Express@ ❑AdultSignatur�A1 ❑Registered MaIMIA I 9590 9402 2663 6336 3022 19 ❑Certified Mail@ Delivery+ _ ❑Certified Mad Restricted Delivery' O Set uiq Receipt for ❑Collect on Delivery Merchandise- 2. Article_Number_(Transfer from service label),____r—_—_ ❑Collect on Delivery Restricted Delivery ❑Siggatuie ConfirmationTM 'fired Mad ❑Signatuie Confirmation , 7 012 2 210 0002 0350 73113 ged Mad Restricted Delivery Restricted Delivery s • ® • • • • X Complet@items te:?,and 3. A. Sig re ■ Print your nape andaddress on the reverse X Agent so that we cari return the card to you. dares ee - ■ Attach this card to the back of the maiipiece, B• Received by(Printed Name) G. a of eli ery ) or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item If YES,enter delivery address belo No gtV,-44050 401 ! II III�II IIII ISI I II I I I I II I II I III I II I I III I I Ilf 1:1 Adult®Certifi ed n Oe Restricted D 13 elivery ❑RDegis e d MaiMail pRe�ed' 9590 9402 2663 6336 3022 26 ❑Certified Mad Restricted Delivery ❑Return Receipt foi ❑Collect on Delivery Merchandise 2. Article Number ffiransfer from service labeb _ ❑Collect on Delivery Restricted Delivery Q Signature ConfirrnationTM' 1-ed Mad ❑Signature Confirmation 7 012 2 210 0002 0350 7309 led Mail Restricted Delivery Restricted Delivery,, $500) PS Form 3811,July 2015 PSN 75 0';02-b00-9053 Domestic Return Receipt p - 0 e }_r� .< �' :v.--�. ,.;,f.•a",o.a; cc Lluui.-+l � 41r'u Er j m - - — e - W1. C3 Lrl u•I M Postage $ s�- M Postage $ C3 ru Certified Fee Certified Fee stmark ru o O Return Receipt Fee t" Return Receipt Fee VD ° O (Endorsement Required) Z CSS Here E3 (Endorsement Required) 0- rV 0Restricted Delivery Fee Restricted Delivery Fee �\ Q (Endorsement Required) �. r3 (Endorsement Required) 1 �j I— Sit r R (� rU Total Postage&Fees 171-1 Total Postage&Fees $ ru r l ^ Sent To yjog fU Sent To 17=11� „vI'�� ---- Ir�t - O Street,Apt.No.; S�0 �. /,t/7��.ST. 3 Street,Apt.No.; r or PO Box No. ---- r or PO Box No. 17170 ®(.Q t''�U ------�`'"• / -6715- ---------------------------------- --------------------- - - - City,State.Z/P+4�1 CiryStafe,Zlt2e+4ersg„fl,� �j �2,I11/� w a� � :oo oe. - - (�•- i 7171 - Michael J.Domino,President 0v SoUTjyO Town Hall Annex., John M. Bredemeyer III,Vice-President h0 l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G • Telephone(631) 765-1892 Greg WilliamsO Fax(631) 765-6641 �yCoUNT'1,�' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 18, 2018 Henry Silverman 17270 Old State Road 4A 939 Sugarloaf Key, FL 33042 and to: 530 East Main Street Riverhead, NY 11901 RE: HENRY & MELISSA SILVERMAN 2800 DEEP HOLE DRIVE,MATTITUCK SCTM#: 1000-123-4-12 Dear Mr. Silverman: Area Trustee Glenn Goldsmith during a final inspection noted that your dock assemblage has a tie-off pile modified as a third batter pile where the permit stipulates only two, and the permitted 6'x20' float has been modified with a ramp and winch. Accordingly the Trustees request that you apply for an administrative amendment to bring your permit into compliance with the as-built dock and float. The Trustees cannot issue a certificate of compliance if the physical structure does not match the permit. Sincerely, Michael J. Domino, President Board of Trustees MJD/dd _ _ _ .. .. ,•�+ 7.^f wIL�..]ems.rte j/y`!'rrL!w _ f; _ T` _ • z �a tom• �,, �— e , r , -.r •_^ — - . _ PrP �v_ tee'- ''r:•r' - �- ._..._ .. ., .. .'f^% r ,• - 3.. „'�•, r av�s.� 'Y'�'� �"r•w'F' v a�C. _ .s-'� _ _ -_ •e.��Xaa.� -�• �,, - � �: -r R T'• L .. 1 n d y_ I � f 9 Al L 61 I fe d r i' r 1 • e ,.F i- -aft` -_°r'•'�� ` .. -lo t. '- -moi �.-1 ! eY _. .� r�'J� y : - � _—• »... - L SJ i .. , -7— Z: 111111111111'�Ijjj _ a �`-*.. j— -'y. .. `>.+�i►a�. — " -'.-- —�. � ' "'"+a ` '_ ``,��` `'�ti� "`_ '4�,� yea. =1.� �" _-t �fsz i li �•�.�+ r+S;'a." t '+ter, i. }yam_ ' v. _ ai r. - ti �� +. ��n's' ice..}}+--r+�'—ba. ..,�.1r• "� -, 1_.�ti -4y'ny.. '!...•._ - - _ -'��, �s - Air rte_. •,�,�„� � *+.�..� �. ,_ - - .. • r+ r ` y $ � r moi_�F f i 1s {r r M .40 1 ; _4 '�.r-' `+.f: ._ ,.,.•^ 'tom. - - ApIle soma e I . e s L - l - -^x •. '- "k ,r�i ~-'; it f' —'- *.•i� � .-•mow P x - _'!' - _ A r R i � ifjrT• • - -...- T� � ti d _ �QF ys�(/ry Michael J.Domino,President O� OlTown Hall Annex 0 John M.Bredemeyer III,Vice-President 54375 Route 25 lx[ [ P.O.Box 1179 Charles J.Sanders �, y� Southold,New York 11971 Glenn Goldsmith • �� Telephone (631) 765-1892 A.Nicholas Krupski Ol�'CoUFax(631) 765-6641 e BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 1/13/10 Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1 st day of construction Y2 constructed Project complete, compliance inspection. INSPECTED BY: COMMENS: 4. cock 0. 8 - 10 Lea 4io e- aarl 09 60a "C�mp CERTIFICATE OF COMPLIANCE: a� cP Tow_ Southold 1 12/27/2017 P.O.Box 1179 53095 Main Rd �y01 `p+ Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39420 Date: 12/27/2017 THIS CERTIFIES that the building ELECTRICAL Location of Property: 2800 Deep Hole Dr, Mattituck SCTM#: 473889 Sec/Block/Lot: 123.4-12 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/7/2017 pursuant to which Building Permit No. 42217 dated 12/7/2017 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: ELECTRIC SERVICE FOR DOCK The certificate is issued to Silverman,Henry of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42217 12-12-2017 PLUMBERS CERTIFICATION DATED AfathorizeZd Signature SOUjyolo h Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 io roger.richert(Qtown.southold.ny.us Southold,NY 11971-0959 COU I BUILDING DEPARTMENT TOWN OF SOUMOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To: Henry Silverman Address: 2800 Deep Hole Drive city.Mattituck st: New York zip: 11952 Building Permit#: 42217 Section: 123 Block: 4 Lot: 12 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: HOME OWNER DBA: License No: SITE DETAILS Office Use Only Residential X Indoor Basement Service Only Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt 3 Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency Fixture Time Clocks Disconnect Switches Twist Lock Exit Fixtures TVSS Other Equipment: power to Dock - Dock Module with Light and 30A Receptacle. Notes: Inspector Signature: Date: December 12, 2017 0-Cert Electrical Compliance Form.xls so cou TOWN OF SOUTHOLD 13UILDING DEPT. 765-1802 INSPECTION FOUNDATION 1ST ROUGH PLBG. FOUNDATION 2ND INSULATION FRAMING / STRAPPING FINAL FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) ELECTRICAL (FINAL) REMARKS: 6 Z, DATE ' - INSPECTOR Michael J.Domino,President O�%QF SDUjyOI Town Hall Annex John M. Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J. Sanders Southold,New York 11971 Glenn Goldsmith G ® Telephone(631) 765-1892 A.Nicholas Krupski 'Q Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 16, 2017 Mr. Henry Silverman 530 East Main Street Riverhead, NY 11901 RE: 2800 DEEP HOLE DRIVE, MATTITUCK SCTM#: 1000-123-4-12 Dear Mr. Silverman: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, August 16, 2017: RESOLVED that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#8828 to install three (3) 8" diameter center support piles to the three (3) most seaward sets of support piles, for a total of nine (9) support piles at seaward end of fixed catwalk; and for the float and tie-off piles to be held by 10" diameter poles with angled ice breaker poles (6 poles); and as depicted on the project plan prepared by Henry Silverman, dated September 20, 2016, and stamped approved on August 16, 2017. Any other activity within 100' of the wetland boundary requires-a permit from this office. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, Michael J. Domino President, Board of Trustees MJD/dd pe —rn l-'�473� _ O 41 0�© 00 p 1 DOCK & WALK CROSS—SECTION SCALE 1"=30' 6' 20' I_34� q4' RtOPo.�PDD 4'YqO� __ � van cxic raTM .ow cos�oslre c APNOVED BY ' bi��Fl ow N�6 v�o+c BOARD OF I RUSTEES. _ ee ��_____ ___r_ _ _ TOWN OF SOUTHOLD a G. 0•-11•aUW~ o4A'troc"d Rl" DATE Av6 o5T I&11P.1-7 C b�11' 4' 110 will NYSDEC APPR_O1 VEF) F'ER TERMS ff L I V E �h -"x 30 "�fP JUN l 3 207 Southold Town Board of Trustpg __j Henry Silverman 530 East Main Street, Riverhead, NY 11901 631-921-2666 henrysilverman @ msn.com pECEIVE July 28, 2017 J U L 3 1 2017 Southold Town Board of Town Trustees Town of Southold -- P.O. Box 1179 Southold, NY 11971 RE: HENRY& MELISSA SILVERMAN 2800 DEEP HOLE DRIVE, MATTITUCK SCTM#: 1000-123-4-12 Dear Mr. Domino, I am in receipt of your letter dated July 24, 2017. 1 acknowledge the pre-conditions in the letter just as it was explained to me from your field inspection May 9, 2017. 1 understand these conditions must be met. The water and electric inspection will be completed when the dock construction is complete to meet your requirement. Sincerely, 17V Henry Silverman Mr Hank Silverman ss,;;+ + € -iwy n "�` 530 E.Main S1. Riverhead,NY 11901 _ 7-1-u S-fe e-Y ,5g37-5 Rt 2,5' 0 , SG'x- // 77 L44 c,61 1'9 71 i Y _._;ti,w;s, 11111111 Jill I1,111,1111111,01i111iu11t1„11:+�ia11�111�111�iii� jn Henry Silverman 530 East Main Street, Riverhead, NY 11901 631-921-2666 henrysilverman@msn.com DE lC E Q V E June 12, 2017 JUN 13 2017 Southold Town Board of Trustees Southold Town P.O. Box 1179 -- Boawgjbstees Southold, NY 11971 Re: Completion of Recreational Dock Southold Trustee Permit No. 8828/DEC Permit No.1-4738-04440/0001 Date:June 22, 2016 Address: 2800 Deep Hole Drive, Mattituck, NY SCTM# 1000-123-4-12 Dear Trustees, This is a Letter of Amendment for construction of recreational boat dock at 2800 Deep Hole Drive, Mattituck, NY 11952. As per our phone conversation 9/20/2016, we would like to modify our permit . This permit modification is to clarify that there are 3 center poles in the catwalk and ice breaker poles. The clarification is:The last 3 sets of 8"x 30'poles, that hold the fixed catwalk, are in sets of 3 (9 poles). The float and tie-off will be held by 10"x 35'poles with angled ice breakers (6 poles). This configuration is how both of our neighbors docks are and have faired well in the past ice and storms. I clarified this configuration with the NY DEC and they permitted it. A copy was given to Trustees on 6/12/17.The landward part of the dock is completed. We just need the permit modification approval of the center poles and ice breakers in writing to satisfy our dock builder, and for our files, in order to complete the project. The charges that were pending have been resolved on June 12, 2017. Receipt#P5161 was handed into the trustees office 6/12/17. Thank you for your clarification. Sinc ely, enry ilverman .� ---- Southold Town Justice Court June,12, 2017 53095 Main Road Route 25 Receipt# P5161 Henry Silvernian P.O. Box 1179 530 East Main St Southold, New York 11971-0959 Case no: 16090300 Riverhead, NY 11901 Phone: 631)765-1852 Paid by: Henry Silverman Reason: Fine Payment Civil Fine Surchg Fee Bail Other Total Amount Received: 1000.00 0.00 0.00 0.00 0.00 1000.00 Ticket# Statute/Section Charge Text Disposition Fine CivFee SurChg A3629 TN 275-16132a Fail to complw permt Fined 1000.00 0.00 0.00 Paid In Full Method of Payment: Check Check#: 9793704222 Judge William H. Price Jr. s--m-o------- ---- '1a111 i-- --- -- - - ,,,aci(fneseoda Bias a pgmtrabajarauna dificultad desraz _en_ E ulff E JUN 1 2 2017 Southold Town T NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Division of Environmental Permits,Region 1 SUNY(d Stony Brook,50 Circle Road,Stony Brook,NY 11790 P•(631)444-03651 F:(631)444-0360 www.dec.ny.gov PERMIT MODIFICATION - - February 6, 2017 E C E I V E Henry and Melissa Silverman JUN 12 2017 530 E Main St. Riverhead, NY 11901 6 3 /-7,E G6 Southold Town Re: Silverman Property T 2800 Deep Hole Dr. Mattituck, NY 11952 DEC# 1-4738-04440/00001 Dear Permittee: Your recent request to modify the above permit has been reviewed pursuant to 6NYCRR, Part 621. It has been determined that the proposed modifications will not substantially change the scope of the permitted actions or the existing permit conditions. Therefore, the permit is amended to authorize: Construct a dock consisting of a 4' x 10' ramp, 4' x 94' open-grate pier with center poles and ice breaker pole, 3' x 20' ramp, and 6' x 20' float. Install mooring pile. All work must be done in strict accordance with the original plans stamped "NYSDEC Approved" on August 8, 2016 and with the attached plans prepared by Henry Silverman on September 20, 2016 and stamped "NYSDEC Approved" on February 6, 2017 (2 pages). All other terms and conditions remain as written in the original permit. Very truly yours,, / George H. Hammarth Permit Administrator sla cc: MHP file NEWYORK Department of STATE Or orroarowrr Environmental Conservation Henry Silverman 530 East Main Street, Riverhead, NY 11901 631-921-2666 henrysilverman @ msn.com November 26, 2016 D E O E 0 V E Southold Town Board of Trustees Emit - 2 2016 P.O. Box 1179 Southold, NY 11971 14 Tewn Re:Construction of Recreational Dock Permit No. 8828 Date:June 22, 2016 Address: 2800 Deep Hole Drive, Mattituck, NY SCTM# 1000-123-4-12 i Dear Mr. Bredemeyer, As we last spoke about on the telephone in September, I updated you on our progress of building our boat dock and just needed a clarification from you about the center poles still to be constructed. You verbally reaffirmed approval of the center poles and ice breakers.The project temporarily is stopped in order to get your clarification to continue with the final poles. We just need the approval in writing to satisfy our dock builder, and for our files, in order to complete the project. The clarification we discussed and need in writing is: 'The last 3 sets of 8"x 30'poles, that hold the fixed catwalk, are in sets of 3 (9 poles). The float and tie-off will be held by 10"x 35'poles with angled ice breakers (6 poles)." Thank you for your clarification. Than you, Hen Silverman Mr Hank Silverman 5;30 E. St 10iver191 -'x��,..�,���o.,,�~�.�,.,., =•~'- _�"�-`=""-�—r ,•�.,,-�r,- , 20 NOV 2016 '111--1"14'1 ]i t � I L�22 pp 130 J�%1 C C D L' E �' / h u OCG � � �rt—,�✓`T��� 60x DEC ® 2 2016 `oC4)f /VX Southold Town Board of Trustees { i"} i ii is ' jj i i} a f - ,}}I i itt# iti }ii• t#} i }Iti ii i li�i 7••t . }� Michael J. Domino,PresidEC � Town Hall Annex John M. Bredemeyer 111, Vice-President 4�� y�� 54375 Route 25 Charles J. Sanders z } P.O.Box 1179 Glenn Goldsmith ® Southold,NY 11971 A.Nicholas Krupski Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in field by: HENRY & MELISSA SILVERMAN request an Administrative Amendment to Wetland Permit #8828 to install three (3) 8" diameter center support piles to the three (3) most seaward sets of support piles, for a total of nine (9) support piles at seaward end of fixed catwalk; and for the float and tie-off piles to be held by 10" diameter poles with angled ice breaker poles (6 poles). Located: 2800 Deep Hole Drive, Mattituck. SCTM# 1000-123-4-12 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 44. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders Other Page 1 of 2 Michael J. Domino, Presid �jl?°StFe atk Town Hall Annex John M. Bredemeyer III,Vice-President ��� Gym 54375 Route 25 Charles J. Sanders y P.O.Box 1179 Ze Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski p! Telephone(631)765-1892 ��l Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: HENRY & MELISSA SILVERMAN request an Administrative Amendment to Wetland Permit #8828 to install three (3) 8" diameter center support piles to the three (3) most seaward sets of support piles, for a total of nine (9) support piles at seaward end of fixed catwalk; and for the float and tie-off piles to be held by 10" diameter poles with angled ice breaker poles (6 poles). Located: 2800 Deep Hole Drive, Mattituck. SCTM# 1000-123-4-12 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* 'A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. 525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 Michael J.Domino,President �*\,®f S® 'S0 r Town Hall Annex 54375 Route 25 John M. Bredemeyer III,Vice-President �® l® P.O.Box 1179 Charles J.Sanders Southold,New York 11971 Glenn Goldsmith G Q Telephone(631) 765-1892 cam.Nicholas au'�llYoki �Gi `a`� Fax(63 1) 765-6641 OUi1�`1, BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 24, 2017 Henry Silverman 17270 Old State Road 4A 939 Sugarloaf Key, FL 33042 and to: 530 East Main Street Riverhead, NY 11901 RE: HENRY & MELISSA SILVERMAN 2800 DEEP HOLE DRIVE, MATTITUCK SCTM#: 1000-123-4-12 Dear Mr. Silverman: This letter is a follow up to your letter of June 13, 2017. There are elements of our May 9, 2017 field inspection with Melissa Silverman present that must be acknowledged as a pre-condition to continued work on this project. They are as follows: 1. The present 13' wide pathway to the dock will be allowed to re-vegetate so that it will be no wider than 4 feet as per previous plans. 2. The cleared area presently used to launch and store kayaks will remain under the strict condition that there will be no further clearing or expansion of the area. 3. The pathway to the bay that exists to the East of the dock presently under construction will be abandoned and allowed to re-vegetate. 4. All necessary inspections for the buried water and electric services to the dock will be completed by appropriate licensed inspectors and copies of same will be provided to the Board of Trustees. 5. All lands seaward of the Board of Trustees designated wetlands boundary will be designated as a non-disturbance area with the understanding that the two fallen tees can h be removed, but no further t her work can h be done in this area without additional Trustee wetland permits. 6. That the most seaward three sets of 8' poles beneath the catwalk may remain. Please respond to this letter in writing to acknowledge your understanding that these conditions must be met. I await your response. Sincerely, Michael J. Domino, President Board of Trustees MJD/dd Cantrell, Elizabeth From: Goldsmith, Glenn Sent: Monday,January 30, 2017 3:27 PM To: Hagan, Damon; Bredemeyer,John Cc: Domino, Michael; Cantrell, Elizabeth Subject: RE: Size up of Henry Silverman Dock Piles Attachments: Silverman dock sketch.docx Hi All, I emailed Liz pictures of the Silverman dock that I took on my phone from this weekend. I've attached a very rough sketch of the measurements that I took to accompany, and hopefully clarify,the pictures. Some things that I noticed: 7 of the 20 pilings exceed 8 inch in diameter. There's water and electric at the dock, as well as further north along the path closer to the house. Path is at least 9 feet wide. 16 foot clearing along the leading landward edge of the dock. "Extra" path for kayaks/sailboats through wetlands and spartina is at least 12 feet wide. Clearing has occurred seaward of the flags installed by the Trustees depicting the edge of the wetlands. Please let me know if you have any questions. Thanks, Glenn From: Hagan, Damon Sent:Wednesday,January 25, 2017 3:10 PM To: Goldsmith, Glenn; Bredemeyer,John Cc: Domino, Michael; Cantrell, Elizabeth Subject: RE: Size up of Henry Silverman Dock Piles With pictures please Yours Truly etc., Damon A. Hagan Assistant Town Attorney Town of Southold Town Hall Annex 54375 Route 25 PO Box 1179 Southold, NY 11971-0959 Phone (631) 765-1939 Fax(631) 765-6639 1 1 *************** This electronic mail transmission may contain confidential or privileged information. If you believe that you have received the message in error, please notify the sender by reply transmission and delete the message without copying or disclosing it. ************************************************************************************************** *************** -----Original Message----- From: Goldsmith, Glenn Sent:Wednesday,January 25, 2017 2:53 PM To: Bredemeyer,John Cc: Domino, Michael; Cantrell, Elizabeth; Hagan, Damon Subject: RE: Size up of Henry Silverman Dock Piles I'll get over there either during the week or this weekend and take some measurements. Thanks, Glenn From: Bredemeyer,John Sent:Tuesday,January 24, 2017 12:03 PM To:Goldsmith, Glenn Cc: Domino, Michael; Cantrell, Elizabeth; Hagan, Damon Subject:Size up of Henry Silverman Dock Piles Glenn, As a hold over from my term as President I kept forgetting to remind you if you would do a size up of the Henry Silverman Dock Piles so that if in violation of permit terms it is added to the bill of particulars Damon has to prosecute him when he returns in the spring. Thanks, John 2 Deep Hole Creek 81)0 0 9 %" South 8"0 0 8" East t West 7 %"o 0 9 %" North 9%"O 0 7%" 6%" 7 %" 8.,O O 9„ 8%"o 0 7Y4" 7„ 7„ Water& Electric 8.0 0 8„ Path is 16 feet wide at beginning of dock Path is 13 feet wide further North Path is approximately 9 feet wide at its narrowest 12 foot wide path through wetlands and spartina for sailboats/kayaks i fill . , Aft IfF r. r ,tea 't r 9 o� S R 3 V y { R Pt — It 40 per+`?"�'*��'�• Ar f ,`lar _ . .- �' qtr P�1 do r i a j Ae 4 P go • '` � tr k a w g fir. me r .F r c ' r � ..,•,,.fir � rx �. i J L f ra ,M i ter+ •. S �� l yf+ �"� M � amp. ..r .� Oman r _l it F 8 ' ad .110 10. 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Main Street Riverhead, NY 11901 And to: 17270 Old State Road 4A 939 Sugarloaf Key, FL 33042 RE: WETLAND PERMIT#8828 2800 DEEP HOLE DRIVE, MATTITUCK SCTM# 1000-123-4-12 Dear Mr. Silverman: I am in receipt,of your letter dated November 26, 2016 as stamped into the Southold Town Trustee office December 2, 2016. Due to the charges pending against you relating to your alleged failure to abide by the terms and conditions of Southold Town Wetland Permit number 8828, the Trustees are not in a position to entertain new additions or modifications to the project plans including but not limited to any addition of"ice-breaker piles" until such time as you have come in to compliance with the terms of the existing permit, all violation(s) pending have been resolved and the clarification of remaining concerns about your performance under your existing permit have been resolved to the Board of Trustees' satisfaction. 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ION V4 tow Nk 4% ail vow,- _ y .. r � 1 ' 4 d INV r 4 � V4 •1� �� �€ Aw . + 1•, � *err. ��- r • t ft / ILIA ,.yy1�.-�,�,�t.r.. �,•._. '!"F�' est - - •f y ` I � ; � ;.«,�' � ,.�v;.; ter.• s - "�. 'y // � � ' Y. it •�,, '" Vt L*- -APK I. ON 6.. IM .. A A ♦ Ale CIA -46 -k oj z —;, jo � '• r .. t r i" d r , YKul� •� � � I..- ..tom ���� /1'� �... ,`.�. � �;.�� _ KA ���.u �, • � � -�-.'�� _ _ _ "fes w • �' 4k_ .. It L'rP 'pIA ._ f E , �{ • 1 41 r ti �y a P 1 A i r� , a -y7ic µ' ,ip f r F X05'4 !� yi * P tr r w.r AV rr ■ r F g ;F i t � ^ Y 1� .ate •is , �, !Y J r 40, wr Kt Aid yTf' -lot A • 1 s r., 1h , r y o 1 t .{. < .�44 Es r , ,,. � _ 'lir• - ,..�,,�.',.�,�'�• ., }-i..Y'W" •-.. ,. .1.,. � .. - - AL . •Xa Vii',�.+.t r"•., .. - q . �;.�! y.'Yk' _ R"• ° �f�Y ~ •tato ti' - -s 01 r ftb IN Zl a John M. Bredemeyer III, President to�0 cow', Town Hall Annex Michael J. Domino, Vice-President z �� 54375 Route 25 Glenn Goldsmith t ; , ` P.O. Box 1179 Southold, NY 11971 A- Nicholas Krupski Charles J. SandersTelephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 15t day of construction Y2 constructed V Project complete, compliance inspection I TERMS AND CONDITI®NS The Permittee Henry&Melissa Silverman residing at 2800 Deep Hole Drive Mattituck, New York, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved,but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized,or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required,upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. John M.Bredemeyer III,President ®� S®uP�®� Town Hall Annex Michael J.Domino'Vice-President ® 54375 Route 25 P.O.Box 1179 Glenn Goldsmith N t.�� � � Southold,New York 11971 A.Nicholas Kru ski ' p Telephone (631) 765-1892 Charles J. Sanders9��C®U Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 22, 2016 Henry and Melissa Silverman 530 East Main Street Riverhead, NY 11901 RE: HENRY & MELISSA SILVERMAN 2800 DEEP HOLE DRIVE, MATTITUCK SCTM# 1000-123-4-12 Dear Mr. and Mrs. Silverman: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, June 22, 2016 regarding the above matter: WHEREAS, HENRY& MELISSA SILVERMAN applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated December 18, 2015, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council,and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policies 6, and 6.3 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: that proposed dock including current vessel does not compromise the County dredge corridor, nor interfere with the navigable channel; the total dock length including current vessel does not exceed one- third of the total width of the water body, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on May 18, 2016 and June 22, 2016, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of HENRY & MELISSA SILVERMAN to construct a dock consisting of a 4'x10' landward ramp using open grate decking with 3' high handrails on each side; leading to a 4'x95' catwalk with open grate decking, 3' high handrails on each side, and two (2) 2'x8' benches at seaward end; a 3'x24' aluminumrampwith handrails; a 2'x5' bump-out float; a 6'x20' floating dock secured by two batter piles and one tie-off pile; all associated piles to be 8" in diameter; except for the floating dock piles which are to be 10" in diameter; and equip the dock with water and electric; with the condition that handrails are to be rope on both sides of the,fixed catwalk; and as depicted on the survey prepared by Nathan Taft Corwin III, Land Surveyor last dated June 23, 2016, and stamped approved on June 29, 2016. Permit to construct and complete project will expire two years from the date the permit 'is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $1316.00 Very truly yours, John M. Bredemeyer III President, Board of Trustees JMB/dd SURVEY OF PROPERTY SITUATE MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000- 123-04- 12 SCALE 1 "=30' MARCH 24, 2015 FEBRUARY 3, 2016 ADD TOPOGRAPHICAL SURVEY MARCH 16, 2016 ADD SITE PLAN APRIL 17, 2016 LOCATE TOWN WETLANDS JUNE 23, 2016 REVISE PROPOSED DOCK ��a - - • s APPROVED BY__.._.. - DEED LOT AREA = 66,300± sq. ft. y _ 2 (DEED LIBER 3068 PAGE 344) 1.122 qC, lft OF TRUSTEES LOT AREA TO HIGH WATER MARK = 48,860 sq. ft. 0� PPI OF SOUTH (TO TIE LINE) 1.1 22 ac. �gLx �o ° 5.. UPLAND AREA = 40,364 sq. ft. \� v' R, r WETLAND AREA = 8,496 sq. ft. X R; 47. , CER TIFIED TO: 40100��R Q°� \oE• �O°cHENRY SILVERMAN WESTCOR LAND TITLE INSURANCE COMPANY OVERHEAD WIRES 74- LB6 7.4 WOOD POST R Os °\�\G +W\t1 FOUND CON . MON./ x 0W L V FvF p0 qoQ NOTES: N D �g y11�`\�G 1. FLOOD ZONE INFORMATION TAKEN FROM: FLOOD INSURANCE RATE MAP No. 36103CO482H o m e.g oy y� _ ZONE AE: BASE FLOOD ELEVATIONS DETERMINED ._.� A Z �P D\ ° 6. 2 ZONE X*: AREAS OF 0.2% ANNUAL CHANCE FLOOD; AREAS OF 1% ANNUAL �\ F �' --' 1 CHANCE FLOOD WITH AVERAGE DEPTHS OF LESS THAN 1 FOOT OR WITH DRAINAGE AREAS LESS THAN 1 SQUARE MILE; +�♦ Pati oE6P��`c �, AND AREAS PROTECTED BY LEVEES FROM 1% ANNUAL CHANCE FLOOD. X\ ♦ " " JUN 2 1 2016 �' \ `♦ o\Qoo�oP �� 2. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM �, 64 \ °yam ♦• GBFt\NCO GP(FNK �'L ' EXISTING ELEVATIONS ARE SHOWN THUS: s.o I x6. o \o rc } 4 EXISTING CONTOUR LINES ARE SHOWN THUS: - ---- 5- --- - XI \ OSFP c +c.,.. }O�IR 1 � ' F.FL. - FIRST FLOOR Z ► \ 9< +� 6 r _ f xr'^` :f.:';.n` ---•� G.FL.TIN _ GARAGE FLOOR 6.6\x O / �♦ {......- r BW - BOTTOM OFTOP OF WALL6 \ X s.3 0 J ♦ ♦ ZpNE P� `EL. �S. .0 6 3. WATER LINE AND SEPTIC SYSTEM LOCATIONS PROVIDED BY OWNER. �5 I \g9 oy< GRPW\`t WASE. P`'CQJ � NOISE w�oys�,� *a W� a RPM^�1 A4° NPS � F f FLS'' \sem p�� I 5 all, dl, 0 9 I o 4.1 11 1 fE(�GN°9 1� 5.ixx I I Wg4k SPS X o` /4.3X // X3• X2.4 A / �! /2.9 / 3 I W�GN#\fix- •o illla o �Z G� X\ I 2.6 3 °00 o x 4.8 i / & 2 5_ XIX N 8 35907" W 1 6.68 �\ \ \ S 05° '34" \ \ a t IU_�0 ASE NARK \ . 1 \ 3.2 ! 9 7 I EL \ \ ab X 5.4 \ 1%, \ \ \\ \ \ �Xa♦ \\ rl \\ \all \ \ -0.3 \\ \ 1 \ \ \ N Cp o�c� �<9 1x \ sic \ O, 1 \ S La X0 C X w 1 Z X LLJ LL SIN N, x \ 1 \ \� \\ '0041 I`` X 4 1 , ] �" J* GIX \ X 61 6- - X - - X 6'U ON \ ♦ LL ON X 6. \ lP \ \ I 3 0 YIOOOp2 // /X' I I I I O 1 _;�A \ / I I o 1 1 •� ro/ 9 O 111 I cfl _211 / I I I 1 DOCK & WALK CROSS-SECTION i� i L 0 �Z � SCALE 1"=30' /// �` /� I / I 0 \ � \ .5' I ` 2 6'2 20' q5' 101x' 0 \ PROPOSED FIXED W WIDE ` l PROPOSED METAL = MOOD DOCK WITH THRUFLOW -J ``��• pA / / / 1,1 1 \ C7 \ HF1�m HRAANRAILS COMPO-ITE DEGKINb(DECK EL.6.01 ROPE HANDRAILS ✓OI / X1`.1 BENCHES ALL LUMBER-HALL P GGA VANIZED X h I \ ALL HARDWARE-HALL BE HOT DIPPED GALVANIZED � p W X 20'CGA TREATED _ - - _F11111 1111 RAMP FIXED HANDRAILS �`�O� l / / ry/ \ 13 W00D FLOATIN&DOCK '� / 111.// �% 1 ` \ --�AH6_oLL5----- - - EXI-TINb GRADE / \ G) CREEK 507170M m Qeo�/ q n" I I 8"Diameter,5'o.c. 10"Dlameter GGA Treated Piles b _J GGA Treated Piles below w grads dded 4' X aJll, _/�l�Q•/ Os �• \ �� \ with bracingg Iles4- Embedded EmbeddedlIP # 4� K below water line 0 O J = / 0 AL / tib �4T 3' � . 0.'�c o.2 \ Q v I \ \ X 3.0 X-LA \ OIC / (17) -4.3 I \ % X(32) y \ \ 3.6 / -2.7 (24-), J* SPP ' \ / 41 33) PROPERTY LINE AS DESCRIBED IN \ s y` '1-5.6 ( 0 DEED LIBER 3068 PAGE 344 (1y)x x DEED AREA = 66,300± sq. f t. \\ X(as) (54) '944,P4IP 4.88 3•) / pOAG (38) ,/ � pRE ELEVATION HIGH WATER MARK 03/22/2014 = -6.0 ELEVATION LOWER LOW WATER MARK 03/22/2014 -1.6 (53)X N� °gnNG L/OW W°ERBEINGOATN(0.0-)INCHES ARE REFERENCED TO pack �O \ // UNAUTHORIZED ALTERATION OR ADDITION TO SURVEY ISEECTI�ON IS 7209 OFSTHEVNEW TIYORKO STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING \FQ THE LAND SURVEYOR'S INKED SEAL OR y\P EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS AS ESTABLISHED Nathan Taft Corwin 8Y THE L.I.A.L.S. AND APPROVED AND ADOPJED FOR SUCH USE BY THE NEW YORK STAi1~�DkND 1, x`-14, III TITLE ASSOCIATION. Y ,k I ,-C of Land Surveyor ' 1 Title Surveys - Subdivisions - Site Plans - Construction Layout PHONE (631)727-2090 Fax (631)727-1727 A. t 74 v OFFICES LOCATED AT MAILING ADDRESS (,gAgy 1586 Main Road P.O. Box 16 N.Y.S. o. 50467 Jamesport, New York 11947 Jamesport, New York 11947 zU„Xncrr, y p� �OSpFFO[�-c Town Hall Annex John M. Bredeme er III President Michael J. Domino, Vice-President 54375 Route 25 James F. King P.O. Box 1179 Dave Bergen o �� Southold, NY 11971 Charles J. Sanders Telephone (631) 765-1892 Fax (631) 765-6641 I i - BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: HENRY & MELISSA SILVERMAN Please be advised that your application dated December 18, 2015 has been reviewed by this Board at the regular meeting of June 22, 2016 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) '/2 Constructed ($50.00) X Final Inspection Fee ($50.00) - X Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive yourpermit upon completion of the above. COMPUTATION OF PERMIT FEES: 55'x4' catwalk = 220 sq. ft.x $3.00 = $ 660.00 3'x24' ramp = 72 sq. ft. x $3.00 = 216.00 6'x20' float 120 sq. ft.x $3.00 = 360.00 2'x5' bump-out = 10 sq. ft x $3.00 = 30.00 TOTAL FEES DUE: $ 1;316.00 BY: John M. Bredemeyer III, President Board of Trustees I SURVEY OF PROPERTY SITUATE MATTITUCK c �( � TOWN OF SOUTHOLD y/a ra=e 1xy � SUFFOLK COUNTY, NEW YORK 610E q VV S.C. TAX No. 1000- 123-04- 12 SCALE 1 "=30'MARCH 24, 2015 Cec�,ja1� FEBRUARY 3, 2016 ADD TOPOGRAPHICAL SURVEY CC'���c���G"I'G�LY� MARCH 16 2016 ADD SITE PLAN 2 (( Ol APRIL 17, 2016 LOCATE TOWN WETLANDS 300± sq (DEEDDLEI EDR 3068 PARGELOT AEA344) 66,1.122 ac.. ft. C A c�d77 — I ,Ara"Iv11C5,L � ��� LOT AREA TO HIGH WATER MARK = 48,860 sq. ft. (TO TIE LINE) 1.122 ac. l yO Y QPM UPLAND AREA = 40,364 sq. ft. tl1x •$ WETLAND AREA = 8,496 sq. ft. CER TIFIED T0: R_14 10* §,9ZxR '40 off / �pG��� ;' HENRY SILVERMAN ! APR 2 1 2016 WESTCOR LAND TITLE INSURANCE COMPANY OVERHEADWIF;ES--�_•• LgO, Jg 0_10 NI? �\p0 WOOD POST O� ^ \c NOTES: FOUND CON • MON'/ Z2 xX 9 l , k - F\5'G tt:O g p � P 2 1 Trustees 1. FLOOD ZONE INFORMATION TAKEN FROM: 90 TFLOOD INSURANCE RATE MAP No. 36103CO482H ZONE AE: BASE FLOOD ELEVATIONS DETERMINED F B.9 0 �0�'+ ZONE X*: AREAS OF 0.2% ANNUAL CHANCE FLOOD; AREAS OF 1% ANNUAL 0 d CHANCE FLOOD WITH AVERAGE DEPTHS OF LESS THAN 1 FOOT OR WITH DRAINAGE AREAS LESS THAN 1 SQUARE MILE; <\ C AND AREAS PROTECTED BY LEVEES FROM 1% ANNUAL CHANCE FLOOD. " O '� G oEZ � 2. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM m Sr.�X\\ o ��. yF $ 0 Do joQ �� EXISTING ELEVATIONS ARE SHOWN THUS:.&Q O+ \ y� S5. *- G�N� EXISTING CONTOUR LINES ARE SHOWN THUS: -———- 5-———- Xt Op�P F.FL - FIRST FLOOR G.FL - GARAGE FLOOR \ TW - TOP OF WALL 9� ,6 BW - BOTTOM OF WALL 1 &,Q\X X�u 0 �� XNbl* 3. WATER LINE AND SEPTIC SYSTEM LOCATIONS PROVIDED BY OWNER. �i � � �'' 0p0 1 4 \90 o P`o CPPG�t pp5 M �F��J \6 f NOVSE •w ys� I G6 00��0 A\ cµPN`E �0 ERPM6 Ak° .52 dh 1 Aj 1 '..t xl � _UX I I / P Mt*A\YS / I 1O �GNA 1� wOOp K 1C1� 'Y T /fix // G / x 3 tg�9 fix\ o .>>L� y� �t14 : o i X / X" —4 5— � x oyo N 8 35'07„ � ———— W l 16.68 /\ '� ` • \ \ \ \ a S 05• '34" \ \ \ O -0.4 X kp me ygy \\ X G Li Ix \ \\ \ y�\ O+lO\` 10000 G Gy x v I L, \\ \ \ \ + X \\� \ N '0 I \ / x-4.2 �S• \p\ \ s \X % 6; �o \ \ , a \ X AL Vit 0 V 1 1 1 1 \ 1 � a ?0S, /// �ic1 I I rn w G \ C *000 LL / 1 1 b�ll DOCK & WALKCROSS-SECTION �,�� / i1 12 O 1 -71 SCALE 1„-30 Ex 6' 20' ,x_ q4' 34' 10,4r PROPOSED FIXED W rove FJ ���\.• P4000 DOCK WITH T~LOW ED PROPOSMETAL HIN6® E COMPOSITE DEGKIN&(BECK EL.6,0) R 1PN AT�1 ALL HARDWARE SH BE HOOTALL LUM15M SHDIDIPPPEE.D WMANAHI� X\ P4000 FLOATINN&DOCK E5TIN6 6"DE , �� / / / 92 XI1 \ \ GREEK WTTOM R S te,{, //x 6'-12'Dlameter (� CGA Treated Plle• GGA Treated Plles lErnbodded w goo x� / 1�_ ,��/ °�A,)* I \ \ Embedded II' belo below water Ilse x 4-- = Amo AILI p� I \ Xyg \ g� / (I 77 4.3 I % X(32 \ I O \ \ X(41 X(247 -3.6 / (247 (41) �a \ 16 =12 (19� o (39 o NO -4.4 <J .✓' / '� (12) 20/_ PROPERTY LINE AS DESCRIBED IN \ y`�- / DEED LIBER 3068 PAGE 344 is x ) • "-s.1 / DEED AREA = 66,300± sq. ft. \ X(4 (547 `,11 GoG �1d, ELEVATION HIGH WATER MARK 03 22/2014 = -6.0 ELEVATION LOWER LOW WATER MARK 03/22/2014 -1.6 (rte X NSG WATER DEPTHS SHOWN IN INCHES ARE REFERENCED TO •1 P,11` 0,4,77,vo LOFT WATER BEING AT (0.0' N G�0k \ o �pP \ /' UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTON 7209 OF THE NEW YORK STATE v � EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR �P EMBOSSED SEAL SHALL NOT BE CONSIDERED X01\ TO BE A VALID TRUE COPY. CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS AS ESTABLISHED---`-,, Nathan Taft Corwin BY THE LIA.LS. AND APPROVED AND ADOPTED Or fj FOR SUCH USE BY THE NEW YORK STAT, ND '� III TITLE ASSOCIATION. T ° Land Surveyor Title Surveys — Subdivisions — Site Plans — Construction Layout 67 PHONE (631)727-2090 Fax (631)727-1727 t,t1A1,n. OFFICES LOCATED AT MAILING ADDRESS 1586 Main Road P.O. Box 16 N.Y.S. Lic. No. 50467 Jamesport, New York 11947 Jamesport, New York 11947 S�FFO(� John M. Bredemeyer III, President o�� �oG Town Hall Annex Michael J. Domino, Vice-Presidenti� y�':�, 54375 Route 25 Glenn Goldsmith P.O. Box 1179 A. Nicholas Krupski ® Southold, NY 11971 Charles J. Sandersti,y��! �� ` Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: W1011d Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction % constructed Project complete, compliance inspection. INSPECTED BY: _ .170 h ✓e1�r�yJ� -� i�� �`'� COMMENTS: 4C e/ U/G I G �-r -57/-;/70 -i ce � ,ICfv "l DaLA' z-/ l/eJ',fe/ Uv)d44 �,,o 7�o 1ST _ /e rf �/�, ��tic�,yrJ ckannel ed ,S'C'qw-f Gine I CERTIFICATE OF COMPLIANCE: tan'cr t John M. Bredemeyer III, President �S�FFO(KC� Town Hall Annex Michael J Domino, Vice-President ' F �� 54375 Route 25 Glenn Goldsmith 1r;ya P.O. Box 1179 A. Nicholas Krupski o ,t Southold, NY 11971 Charles J. Sanders Telephone (631) 765-1892 „ �% Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in field by: HENRY & MELISSA SILVERMAN request a Wetland Permit to construct'a dock consisting of a 4'x10' landward ramp using open grate'decking with 3' high handrails on each side; leading to a 4'x95' catwalk with open grate decking, 3' high handrails on each side, and two (2) 2'x8' benches at seaward end; a 3'x24' aluminum ramp with handrails; a 2'x5' bump-out float; a 6'x20' floating dock secured by two batter piles and one tie-off pile; all associated piles to be 10" in diameter; and equip the dock with water and electric. Located: 2800 Deep Hole Drive, Mattituck. SCTM# 1000-123-4-12 CH. 275-3 - SETBACKS WETLAND BOUNDARY:' Actual Footage or OK=� Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre:Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski n,. C. Sanders Other Page 1 of 2 John M. Bredemeyer III, President �Y1pS Town Hall Annex Michael J Domino, Vice-President �;��� Gym, V 54375 Route 25 Glenn Goldsmith o ` ' P.O. Box 1179 A. Nicholas Krupski oSouthold, NY 11971 Charles J Sanders y, p Telephone (631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: HENRY & MELISSA SILVERMAN request a Wetland Permit to construct a dock consisting of a 4'x10' landward ramp using open grate decking with 3' high handrails on each side; leading to a 4'x95' catwalk with open grate decking, 3' high handrails on each side, and two (2) 2'x8' benches at seaward end; a 3'x24' aluminum ramp with handrails; a 2'x5' bump-out float; a 6'x20' floating dock secured by two batter piles and one tie-off pile; all associated piles to be 10" in diameter; and equip the dock with water and electric. Located: 2800 Deep Hole Drive, Mattituck. SCTM# 1000-123-4-12 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=*. A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. 525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 John M. Bredemeyer III, President Town Town Hall Annex Michael J Domino, Vice-President ti,�o� o�y��l ` Y 54375 Route 25 Glenn Goldsmith � P.O. Box 1179 NSouthold A Nicholas Krupski uo �. , , NY 11971 Charles J. Sanders y�j o� Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD II Date/Time: .�/Mil, ©� Completed in field by: �, 4:!;o td-<, HENRY & MELISSA SILVERMAN request a Wetland Permit to construct a dock consisting of a 4'x10' landward ramp using open grate decking with 3' high handrails on each side; leading to a 4'x95' catwalk with open grate decking, 3' high handrails on each side, and two (2) 2'x8' benches at seaward end; a 3'x24' aluminum ramp with handrails; a 2'x5' bump-out float; a 6'x20' floating dock secured by two batter piles and one tie-off pile; all associated piles to be 10" in diameter; and equip the dock with water and electric. Located: 2800 Deep Hole Drive, Mattituck. SCTM# 1000-123-4-12 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 ✓ Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey _5 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: 10*1 l .ir. aCCesS on.�� �o 't e.✓v0°& e_� r , koIdI,t15 (11 II T em o 05� ���C1 't O v✓ CSG c�,s1 cx . Present were: %/ J. Bredemeyer ✓ M. Domino ✓G. Goldsmith ✓ N. Krupski C. Sanders Other �/ ���� t✓��1 Page 1 of 2 CL John M Bredemeyer III, President og�FF01�C Town Hall Annex Michael J. Domino, Vice-President 54375 Route 25 Glenn Goldsmith Q ;�: `� P.O. Box 1179 A. Nicholas Krupskio _gSouthold, NY 11971 Charles J Sanders A. Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTH[OLD Date/Time: Completed in Work Session by: HENRY & MELISSA SILVERMAN request a Wetland Permit to construct a dock consisting of a 4'x10' landward ramp using open grate decking with 3' high handrails on each side; leading to a 4'x95' catwalk with open grate decking, 3' high handrails on each side, and two (2) 2'x8' benches at seaward end; a 3'x24' aluminum ramp with handrails; a 2'x5' bump-out float; a 6'x20' floating dock secured by two batter piles and one tie-off pile; all associated piles to be 10" in diameter; and equip the dock with water and electric. Located: 2800 Deep Hole Drive, Mattituck. SCTM# 1000-123-4-12 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion,, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: , J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective value's, existing erosion protection structures and natural resources: D. :525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 yti s T � j y t r _ Henry&Melissa Silverman 2800 Deep Hole Drive,Mattituck SCTM#: 1000-123-4-12 5/11/16 xY JL ALIt E -+. ;,,•- -_-_:_ _-_,a �—:'-� �." _' _ - --moo- i John M.Bredemeyer III; President ���®f S® &®l Town Hall Annex Michael J. Domino,Vice-President ~ O 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold, New York 11971 CA A.Nicholas Krupski ® aO� Telephone(631) 765-1892 Charles J.Sanders100UNTd, c Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 14, 2016 Henry Silverman 17270 Old State Road 4A 939 Sugarloaf Key, FL 33042 and to: 530 East Main Street Riverhead, NY 11901 RE: HENRY& MELISSA SILVERMAN 2800 DEEP HOLE DRIVE, MATTITUCK SCTM#: 1000-123-4-12 Dear Mr. Silverman: On April 13, 2016 the Southold Town Trustees flagged the jurisdictional wetlands under Chapter 275 of the Town Code with flags numbered 1-6. This boundary is to be placed on your licensed land survey for all matters before the Board of Trustees. Thank you for your cooperation in this matter. Sincerely, hn redemeyer III, President Board of7rustees JMB/dd John M. Bredemeyer III, President r SOffO(,��o r Town Hall Annex Michael J. Domino, Vice-President ,�� �y 54375 Route 25 Glenn Goldsmith o ` P.O. Box 1179 A. Nicholas Krupski o ® Southold, NY 11971 Charles J. Sanders 4,- 0. Telephone (631) 765-1892 Fax (631) 765-6641 - BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD c > ,I Date/Time: /" �3 / Completed in field by: ✓a Site Inspection of HENRY & MELISSA SILVERMAN to flag, number, and delineate the jurisdictional wetland areas which are to be incorporated into all project plans. Located: 2800 Deep Hole Drive, Mattituck. SCTM# 1000-123-4-12 CH. 275=3 - SETBACKS c WETLAND BOUNDARY: Actual Footage or OK=q Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool,and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. 'Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type:I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Surveys 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/applicati,on completeness/comments/standards: PleAl 16—j LAI llz_ LQ _ex,` �v al Present were: Bredemeyer M. Domino G. Goldsmith N., Krupski C. Sanders "Other Page 1 of 2 John M. Bredemeyer III, President Town Hall Annex Michael J. Domino, Vice-President f ��� �Gy 54375 Route 25 Glenn Goldsmith o P.O. Box 1179 A. Nicholas Krupski o Southold, NY 11971 Charles J. Sanders Telephone (631) 765-1892 zzzr�_rc! Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Site Inspection of HENRY & MELISSA SILVERMAN to flag, number, and delineate the jurisdictional wetland areas which are to be incorporated into all project plans. Located: 2800 Deep Hole Drive, Mattituck. SCTM# 1000-123-4-12 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely'affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of thewetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. :525% Expansion/Calculation ,Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D: Di Salvo Other Page 2 of 2 1• _/tre_1�. 7 r v. i'. I.(•'�fa y- ;�r�� r! M1 / _y�. ,F. f i f a �,2800 Deep Hole Drive,Mattituck SCTM#: 1000-123-4-12 44 •y•l Fr• 01, R � � F Henry&Melissa Silverman �• riy'} ti • a ; f it A I 'l,,� 1 '1 1� ��f�� � 1�� � � a 1�",Y_I, I �I, � •�y I �i r .� II � ;1.�. r , 9 -' — •� � _'� � ',� 1 , I�,;. 11 r 1 \ i,,`'Fr`l 1 1• E�.l! 11 %;', t. ! tl �rl IP`. ,i..:�"+ 4/ 13/2016 16 : 33 z r Henry&Melissa Silverman { 4 2800 Deep Hole Drive,Mattituck , SCTM#: 1000-123-4-12 r • � i ,. 4/13/16 / r • ^ - FT A " � i nye r r e � It jw 13 00 Alt a ,� Ir c, a w w fir" a Ik ilk r I -rop - 1 _ .... 40 "3---/-2-0-16 16, 31 Afrow . a -i- Ir John M.Bredemeyer III, President ®�*QF SO(/jyQl Town Hall Annex Michael J. Domino,Vice-President54375 Route 25 P.O.Box 1179 Glenn Goldsmith _ Southold, New York 11971 A.Nicholas Krupski ® y0� Telephone(631) 765-1892 Charles J. Sanders �l�`,oU Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 6, 2016 Henry Silverman 17270 Old State Road 4A 939 Sugarloaf Key, FL 33042 and to: 530 East Main Street Riverhead, NY 11901 RE: HENRY& MELISSA SILVERMAN 2800 DEEP HOLE DRIVE, MATTITUCK SCTM#: 1000-123-4-12 Dear Mr. Silverman: Thank you for your submission of a revised project plan and site plan last dated March 16, 2016 by Licensed Surveyor Nathan Taft Corwin, III. Unfortunately, this site plan with newly proposed structures cannot receive permit consideration, a new application must be developed that describes all project structures including elevations, cut and fill, setbacks, etc. that is suitable for publishing in the public hearing notices. In the alternative a "clean" dock application showing only existing house, paths, proposed dock and depth/channel and other existing structures can be submitted. The Trustees will need to have the metes and bounds of the County Dredge Corridor incorporated on any project plan for a proposed dock to ascertain that the County dredge operation will not be diminished. The Trustees grant of an administrative permit previously authorized allowing a - - standard4wade path-was-#o-enable-reasonable-access-through-a-vegetatedwetlaad-ta___.._______._._ s, P dock/creek. The wetland line of Nathan Corwin does not appear to sufficiently describe —__ th_a_wetlands.foLeitber_this_office o.r_the_NYS-DEC;-both-agencies_potentially determining separate jurisdictional boundaries. Accordingly to keep the Town application process moving forward the Trustees will flag the jurisdictional wetlands under their authority of Chapter 275 of the Town Code on our April 13, 2016 field inspections. The flags, we will place, which may be numbered, need to be incorporated in any project plan going forward. Thank you for your cooperation in this matter. Sincerely, Ihn . Bredemeyer III, President Board of Trustees JMB/dd � S John M.Bredemeyer III,President �f 0 � Town Hall Annex O� ® O 54375 Route 25 Michael J.Domino,Vice-President P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A:Nicholas Krupski Telephone(631) 765-1892 Charles J.Sanders �lyCou Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 28, 2016 Henry Silverman 17270 Old State Road 4A 939 Sugarloaf Key, FL 33042 RE: HENRY & MELISSA SILVERMAN 2800 DEEP HOLE DRIVE, MATTITUCK, SCTM#1000-123-4-12 Dear Mr. Silverman: With regards to your application submitted on December 18, 2015 for a Wetland Permit for the proposed construction of a dock on the above mentioned property, a site inspection was performed by the Board of Trustees on January,14, 2016. This site inspection revealed that there has been cutting of vegetation in excess of the 4' width restriction which is as per Administrative Permit#8595A. , Failure to cease all cutting of vegetation on your property may result in a referral to the Bay Constable for legal action. Due to the environmental sensitivity of this site, the Board of Trustees may place additional permit restrictions on this property in order to protect the existing wetlands in question. A number of deficiencies and inaccuracies have become apparent during the review of your application. Accordingly, as noted below your application is deemed incomplete. Upon addressing the following and re-submission of the required information, this office will make a determination of completeness to start the environmental review of your application. • Project plans noted incomplete and/or inaccurate: Sheet #1: Two scales on sheet, neither the V-30' or 1"=50' accurately depicts proposed dock of 105' as it is approximately 1" long on plan reflecting only 30' or 50' of length. Sheet #2: Scale is not accurately reflecting 1"=5'. Sheet #3: Sheet#3 was not submitted with application. Sheet#4: With scale 1"=5', dock scales to 4.5' in contrast to stated width. • The project plans must be by a licensed design professional or marine surveyor. • Project plans must be to a scale of i"=20' or V=30', not smaller. • Project plans must cover the mean high water and mean low low water from said property to the mean high water and mean low low water all the way across Deep Hole creek. • Project plans must incorporate the vessel length, width, and depth (draft) at a minimum of 20'-25' set off from the Suffolk County Department of Public Works maintained channel for Deep Hole creek and Willis creek. • For your information and for the use,of your design professional, we have enclosed the Latitude and Longitude boundaries for the Deep Hole creek and Willis creek dredging projects of the Suffolk County Department of Public Works; along with the associated permits. ' • Structures from opposing shoreline as well as the abutting properties must be mapped on the plans. • Enclosed is the Applicant/Agent/Representative Transactional Disclosure form that was submitted with your application. This form is not complete. Please print and sign your name, the date you sign it, and mail it back to our office at your earliest convenience. It is highly suggested that you consider alternative dock locations should your project plans become limited by the location of the Suffolk County dredged channel, and afford yourself another pre-submission inspection on the site with the Board of Trustees. If we can be of further assistance, please do not hesitate to contact the office at (631) 765-1892. Sincerely, John M. Bredemeyer III, President Board of Trustees JMB/ec Enclosures cc: M. Terry, LWRP Coordinator APPLICANT/AGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: e � t•� I . (Last name,first name,.rpiddle mitral,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee tQpCC Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest.`Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applic4nt (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of 200 Signature Print Name Form TSI 26-01-'16 13:55 FROM- SC 8r i i qes 6318525332 T-194 P0002/0008 F-221 - NEW YORIC,STATE DEPARTMEI-i- i;r•F ENVIRONMENTAL CONSFAVATION r,adlity DEC:IID 1-4738-03658 PERMIT Ux er the Eiivirmamenta l Conservation Law (ECL Permittee and Facility Information Permit Issued To: Facility: SUFFOLK COUNTY DEEP HOLE C1t13EK COUNTY NAVIGATION CHANNEL 8c ADJACENT BEACHES 1.1 LEF,DENNISON BLDG E END OF PARIC AV]1,@ MARRATOOKA POINT1SCTM 1000-123-03-8 HAUPPAUGE,NY 11788 MNrf1T(JCK,NY 11952 Facility Location: in SOUTHOLD in SUFFOLK COUNTY Facility Pxiaxcipal Reference Point: NYTM-E; 709,899 NYTM N: 4540.231 Latitude: 40059'10.6" Longitude: 72°30'17.5" Project Location-. Watercourse:Deep Holc Creek/Peconic Bay Authorized Activity: Hydraulically maintenance dredge an existing navigation channel of approximate dimensions 1500 feet long by 75-100 feet wide to maximum depth-6 Mean Low Water and pump the resulting approximately 6500 cubic yards of material to the adjacent beaches to the northvand south as beach nourishment. All . work shall be as depicted on the attached NYSDEC approved plans stamped 1117107. Modification 12/23/2015: Hydraulically maintenim6e dredge the existing spur channel extending north off the main channel into Willis Creek.The approximately 400-foot long,up to 50-foot wide area will be deepened to a maximum depth of up to-5 MLW;with the-resulting-approxitAately 1;500 cubic yards of additional sated pumped to the approved deposition beaches as beach nourishment.This additional work will be as depicted on the attached,three-sheet set of drawings prepared by GET Consultants,-Ina.,P.C. dated August 26,2015 and stamped"NYSDEC Approved 12/23/15"which will be added to the original set of approved drawings for this permit. �W Permit Authorizations Tidal Wetlands-Under Article 25 Permit ID 1-4738-03658/00001 New Permit Effective Date: 10/31/2008 Expiration Date: 1/14/2018 Modification# 1 Effective Date: 12/23/2015 Expiration Date: 1/14/2018 Excavation&Fill fix Na*igable Waiters-Under Article 15,Title 5 Permit 11) 1-4738-03658/00004 Modification 110 . rffecttve Date: 12/2„ 3/2015 Expiration Date: 1/14/2018 Water Quality CertifYcaition-Under Section 401,Clean Water Act Permit ID 14738-03658/00005 Modification#0 Effective Date: 12123/2015 - Expiration Date: 1/14/2018 Page 1 of 6 26-01-'16 13:55 'FROM-—SC-F r;,�ges 6318525332 --T-194" --P0003/00-08'`F=221 r Cq �_..�.._.....�.__..._....._._.._...._..... n 11�IdraU 1![. V rc.d�i nq »..�...,._�_. ...�..�...,..y..._.... .._..,}...,..,........ �N o SQA'dsl mo' e I AA r a•F,S , Sf= r i a w l'r SNri .............. 604 �'-Y Beluvi e gee, �►syf- �r, p mer�.l rq�0e�F, , (E-3Z p M 4. AMA To DE pREDGEa Vi 04 S. ♦ i � P o tatfa r l Z7, 26.1 , {:.tip I�I� ._._.� .... ica' o' soo• A SEE ATr'AGHED VAX A A P• sruz rrr Er et ro +�to •Yl" 1'4ja"1`LAN� ��''Q,!'dX• �.t1G/�1"/A�./ �.�- - - - -- • APPLICATION BY COUNTY OF SUFFOLK"- MAI ENANCE DREDCIArG. DEPARTMENT :OF PUBLIC WORKS AT Gf LBERT ANDERSON, P.L. D E: r-, H c>L-E: 0-R E E 1-< TOWN OF: 5001HOLD CHIEF DEPUTY COMMISSIONER SQFFOLK COUNTY, NEW YORK The datum used on this pr-oj�c[ is Mean Low DATE: SEPT. QQC SHEET 2 QE Water, iNevotion 0.00 ft. N N I 1 o DEEP HOLE CREEK 4 fJ et O O O n- Left Toe Right Toe Northing Fasting Northing Easting 1-302060.63 1397637,17 5-302157.23 1397663.01 i 2-302203.64 1397102.45 6-302298.9 1397133.34 3-302135.55 1396946.06 7- 302200.56 1395907.5 co co LO 4-301954.46 139712.75 8-302013.7 1396666.76 m co O Co m CD <D 1 co N 26-01-'16 13:56 6318525332 T=194 P0005/0008--F-Z21-­ UNCONTROLLED APPROX. LOCATION OF HYDRAULIC SLOPE t UREDO PIPELINE (1 aN 15,AfPAW .� � � r h!it,W.�S-H.H'. - pRlGiknl gURFACc" -.--IPPR ax, -4.41 _�`P1Pns . f'T- _. J'1ACLFIACNT of SfAPLUS MA7We1A1. 511A14 cbni*&A r2 r✓m$-Fit14 A-I&eM?G' fsFAC�rfibflY" SURPLUS MATERIAL. AREA (IVESTr-eN 13FAC-I4) BEACH NOURISHMENT TYPICAL SECTION NOT TO SCALE EX1STrNG SURFACE 0.0 MEAN Low WA1rR TMAXI/<l 71;7 SLOPE SLOPEAREA TO BE DREDGED 1 ON 3 1 ON 3 �X I APPkOX. APPROX. i wM 100' & VARIABLE TYPICAL CHANNEL SECTION NOT To SCALE ,�� � ,. ,� ,` „-►�:,� ANP �:, ::;;. �,, APPLICATION BY COUNTY OF SUFFOLK � � MAINTENANCE DREDGING DEPARTMENT OF PUBLIC WORKS A r' GILBERT ANDERSON, P.E. -E F;� I:F:K TOWN OF SOUTHOL.D CHIEF DNP1,1'1'Y C_;OMMISSIONER SUFFOLK COUNTY, NEW YORK The datum used an this project is Mean Low DATE- icor. .--voo& SHEL I OF A Water, elevation 0.00 ft. R q r,. 26-01-'18 13:56 FROM- SC 6318525332-- Y-" T-194 P0006/0008 F-221 N iu L) B 1_'pROVFTA AS Piill 'xFAMS ANP c:O1v1'Yt 00143 OF + DEEP HOLE CI ICK-SITE7P`L-A1 tl MODIFICATION 1000-12300.1000.001000 100042300- lyl 0400-013000 'I N 1 1000.12500.1000-002000 \; � , ''r..,"'`•1•::,04, 1 .y.::w:,>:`•. .c:'r' \ SS's°d'f �;r,1�.ib'-i".�• •�.:'.aYS� xi. \ J 1000.12300• 0400.012000 �y 1000-12300.�� 0400.011000 , y'' w d �' � ,1tf !k ' ,,y'l1• E00 0 20 40 8R Feet wwFAP1'E.&= Y011 la 40'S9`11.047"N.7V30'18.468 40.59'11,337"N,72'30'15.945-9111 4dfiW12.b2b"N,72'30'20.114"W16 /• • �.Q° G�\a(\�e� 40'59'14.240'N,7xao22.477"W °. b ;'•.• 4USW1411YN.72'30'22746%V \ti `y Y �a\n '• 40'59'12.704"N,7X=20.914'•00 \., l NA, /IG'ATION 4&59'12.240"N,IX.1 �0.4a7-W ; t�HANNEI Q �, OENERALNOTES: 1.TYPE OF DREDGING:Maintananctr 2.METHOD OF DREDGING:HYdfaullo 3.APPROX.AMOU14T TO BE OREDGG13:1600 cu•yds. 4.TYPE:QF MAWRIALTO BE DREDGED:Send --'•r ' S.MAJeRIAL PLACEMENY LOCATION:Noudehment on beeches V8881a0ye edge north and south of the Doop Holo Gre0kAmonlh S.NAVIQATION CHANNEL DIMENSIONS:4001x 50'W&Vari;Mct x -5'D MLW&Variable f 7.SURVEY PROVIDED BY SEALEVE1 MAPPING; 1000-12300 Soundings shown represent results of sunray parrormad July 201 S. Us0800-02000Soundings in fact ah4 tenths of&foal based on local plane of MLLW W ;r s.EXISTING SHbRI_LINEAND TIDALARVAS DRAWN FROM AERIAL: HWS Due to aaaetal vagetallon and hard structures,tidal linea such as SHW , , •.,,. r and MHW are nal apparent along cedaln shoreline sections. S G GEI CONSULTANTS,INC.,P C. MAINTENANCE DREDGING OF: V EI J HUNTINGTON STATION,NEW YORK CO RvIi a DEEP HOLE GREEK APPLICATION BY COUNTY OF SUFFOLK GILBERT ANDERSON,P.E. TOWN OF SOUTHOLD COMMISSIONER SUFFOLK COUNTY,NEW YORK DEPARTMENT OF PUBLIC WORKS DATE:AUGUST-26,2016 SHEET 2 OF 3 26-01-' 16 13:57 FROM- SC f'+' 'ges 6318525332 T-194 - PO007/0008 F-221 WILLIS CREEK SPUR NORTHING EASTING a 3021172.61 111396,871.37 b 302,202.64 1,396,910.97 c 302,321.33 11396,819.28 d 302,491.79 1,396,635.13 e 302,47.8.48 11396,614.72 f 302,,338,40 11396,757.63 9 302,292.03 11396,792,71 COORDINATES WERE CONVERTED FROM LAT./LONG. TO NYS PLANE COORDINATES NAD.83 26-01-'16 13:57 FROM- SC 'ges 6318525332 - - `'T=194 -P0008/0008 F-221 DEEP HOLE CREEK SITE PLAN MODIFICATION BULKHEAD ► MLW EXISTING -3.0 FT MAX DEPTH OF EXCAVATION SURFACE i---5 F MIN AREA TO BE DREDGED 15 FT MIN 3 SLOPE APP10X. 25 ET ION 3 TYPICAL CHANNEL SECTION A-A N.T.S. EXISTING -5.0 FT MAX DEPTH OF EXCAVATION SURFACE AREA TOZE DREDGED 1� 50 FT SLO P1E((ApP1 PROX. ELpPj.()V-BD A9 I'BIL AND s og TYPICAL CHANNEL SECTION B-B rultuTT NO,^. N.T.S. DATE GEI CONSULTANTS,INC.,P.c: MAINTENANCE DREDGING OF: G7 EI,_ HUNTINGTON STATION,NEW YORK APPLICATION BY COUNTY OF SUFF&K DEEP HOLE GREEK GILBERT ANDERSON, P.E. TOWN OF SOUTHOLp COMMISSIONER SUFFOLK COUNTY,NEW YORK DEPARTMENT OF PUBLIC WORKS DATE:AUGUST 2Q,2095 SHEET 3 OF 3 John Bredemeyer, President gUFFDI�c Town Hall Annex Michael J. Domino, Vice-President 54375 Route 25 Glenn Goldsmith y i P.O. Box 1179 A. Nicholas Krupski �y • Southold, NY 11971 Charles J. Sanders �O1 ,� �a° Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: 7L1 IL HENRY & ME ISSA SILVERMAN request a Wetland Permit to construct a dock consisting of a 4'x10' landward ramp using open grate decking with 3' high handrails on each side; leading to a 4'x95' catwalk with open grate decking, 3' high handrails on each side, and two (2) 2'x8' benches at seaward end; a 3'x24' aluminum ramp with handrails; a 2'x5' bump-out float; a 6'x20' floating dock secured by two batter piles and one tie-off pile; all associated piles to be 10" in diameter; and equip the dock with water and electric. Located: 2800 Deep Hole Drive, Mattituck. SCTM# 1000-123-4-12 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: I//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: /tG�fl' G 1C�S�/� �0-." vl Conditions: g� Present Were: J. Br`em yep rM. Do ino G. Goldsmith . Krupski . Sanders Bay Constable Other Form filled out in the field by "Y'A rte Mailed/Faxed to: Date: S � i %IAlenry&Melissa Silverman F2:00 Deep Hole Dr.,Mattituck ', i + �? .t i y,♦ i fit CTM#1000 11/14/16 t AU ` y `7 j „ - , 1 t t \ r i '' 1 V; l L, / `fit►,} ,a �1• i � i I_ / y� -��' .�J� _s- ��/ 1T�•,� `'jam tk -_ �•-s' i/�:\.� ^ ',� �.f��1�'' �•t� I �. r.• i� 1 jjjj, y `1 1 4,-!1 c _. Pr i ✓� a of 7 .1 yg� � " I ♦ W! y ✓ '' - trlk �r� 1� y �M '� i�, .i1 .,1 ',76rr+j f��J•tV�.�! }�"�r oL 10, 7Y PJ' J. ! L - �"` Y � �- � � �' / ✓. C � - �_ � -� � Alt^\� � i - +�1to .. IF , enry&Melissa Silverman #�,y �y•� �+►,,, AMW 800 Deep Hole Dr.,Mattituck �� ',• _� �I r 1• ;� t CTM#1D00-123-4-12 *� !,�• �1�; ** 1• r "� 1/14/16 t a s CIAO 4,: 1I�� � \'(s•J 40 r , n �A 1 Henry and Melissa Silverman SCTM# 100-123-4-12 2800 Deep Hole Drive, Mattituck, NY November 13, 2015 I+:O PM Proposed Dock Site Afta r. ... An a y�x , t R o Looking East at opening to Deep Hole Creek Blue tagged stake is start of catwalk 15'off West property line. High tide. Y: AY rt. Looking West at Deep Hole Creek Blue tagged stake is start of catwalk 15'off West property line 4 Or. 9 4 a• t Applicant:Henry& Melissa Silverman 530 E. Main Street, Riverhead, NY 11901 Phone No.:631-921-2666 Location:2800 Deep Hole Drive, Mattituck, NY 11952 Date: November 2015 SCTM No.: 1000-123-4-12 Sheet 3 of 4 Purpose: Private Recreational Docking o --- SEE SEC NO 115 — SEE SEC NO 115 °wicH urv6 e SEE SEC NO 115 I\ 3° MATCN � LINE s[c rvo t.5 � -- LINE —————— ------- o w MATCH ----�—_— �_ O6� 1 33 1111741¢ FOR PCL NO 9 32m�10 SEE SEC NO - nI L R - D '13 115A9-W4 � e' 2 'e41 5 6 R R'.� i m5,' �^a m S dk4 • a LE "° R � ta+ 11P I`1� � ss 7 .�8 nm B 51 N 12 - 13N FO FCL NO I'N SEE SEC NO 122 05060 OF SOUTNOL0 9 rA ,2 6�0• ' 1571 s r a.,m..wrea _'•�. 21 5 +B ,B as r CREEK x 36 v. 22 159A 25• az � � � �' s ; 3 `$+4' � 2G ��'L�•$�`e m.�Q 1 47 49 46g ' a a�2B�29g� 3wa Kv a t0 96,1AP 8� +oq ,.+9 ��'29 Ym m �,� B [Si .n ,1A1 m ' 9 •..^ pPpK 111 s1s• , ,^v? �$ + x T• 00. u is•n/�Wt f e lW-015 56 413 99 Y 20Nk. 2 25 9+ •111 42A m2 �/ +,Pt 3 _ _ _ °t _ _pp1++L� 53 � _ ® _ _ t •gym/ _ _ 62,01 ° O am 2oW .m / � 362 v m_ •n � Y 361 1+ 123'1 $ Q6 .tut s „.zoo"•m 3i'''se � % BpY a¢ 232°':5x I �8 w COUNTY OF SUFFOLK © x 11F souTx0Ln SECTION NO L e„ ea.�.v,w�+. s� NOTICE E EOF E (21) �, O --w-- a RealPropertyTaxServiceAgency r 1 123 E —_— �m_�_ _—_—w—_— m��--.-- ® CounlY Cen¢r RrvryTeaa.Nr 11901 M' �v siaicr xo _ � � v� _,yy sE F P 1000 PROPERT ~ ND rm x. x0 w.. 1¢1A101ar tz lA L^ —__ am:ui.. --•-- mmvm.--wtve-- � LFc r wc[rvcr Ym- rnrvvEnsiav uniF r.elamn 12 t Ak1 -- — Henry Silverman 530 East Main Street, Riverhead, NY 11901 631-921-2666 henrysilverman@msn.com March 22, 2016 ST _Southold Town Trustees P.O. Box 1179 Southold, NY 11971 Re: Construction of Recreational Dock at 2800 Deep Hole Drive, Mattituck, NY Dear Southold Town Trustees, We are in receipt of your letter stating what we need to complete our application for our dock construction. Find enclosed: • Stamped survey of the property plans, including the proposed dock. Please note that the signed Transaction Disclosure Form and updated dock plans are being mailed separate. Thank you, yy�" Henry Silverman F Henry Silverman 530 East Main Street, Riverhead, NY 11901 631-921-2666 hennmilverman@msn.com March 22, 2016D E LEI` E MAR 2 5 2016 Southold Town Trustees P.O. Box 1179 Southold Town fT Southold, NY 11971 Re:Construction of Recreational Dock at 2800 Deep Hole Drive, Mattituck, NY Dear Southold Town Trustees, J We are in receipt of your letter stating what we need to complete our application for our dock construction. Find enclosed: • Signed Transactional Disclosure Form • Updated dock plans Please note that the stamped survey of the property plans, including the proposed dock, is being mailed separate. Th k you, Henry Silverman APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORINT The Town,of Southold's Code of Ethics prohibits conflicts`of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. I - YOUR NAME. (Last name,first name,spiddle initial,unless you are applying in the name of someone else or other entity,such as,a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee t� QpG�C Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other-,name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including-a partnership,in which the town officer or employee has even,a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title br position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town'officer or employee or his or her spouse,sibling,parent;or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applimt (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted tl}is day of 20 � Signature f Print Na Form TS Ime o moi` �- ' a Fra - 3��,� OFFICE LOCATION: ®��®f S® y®l MAILING ADDRESS: Town Hall Annex ® P.O.Box 1179 54375 State Route 25 Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) N Southold, NY 11971 ® �� Telephone: 631 765-1938 ®l�C®UNT`I LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: John Bredemeyer, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: January 14, 2016 Re: Local Waterfront Coastal Consistency Review HENRY & MELISSA SILVERMAN SCTM# 1000-123-4-12 HENRY & MELISSA SILVERMAN request a Wetland Permit to construct a dock consisting of a 4'x10' landward ramp using open grate decking with 3' high handrails on each side; leading to a 4'x95' catwalk with open grate decking, 3' high handrails on each side, and two (2) 2'x8' benches at seaward end; a 3'x24' aluminum ramp with handrails; a 2'x5' bump-out float; a 6'x20' floating dock secured by two batter piles and one tie-off pile; all associated piles to be 10" in diameter; and equip the dock with water and electric. Located: 2800 Deep Hole Drive, Mattituck. SCTM# 1000-123-4-12 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is INCONSISTENT with the LWRP and listed policy standards provided below. ,r; #mow. 'i •�. .. �3 .rs':.�„ -",��i2".Y:ts :.,� -tN, ,�k _ ,°x K.` '� .a..,- ...,,�_�;�e°.r`. -•tea,..�� ,t `Tai 3i „r •I" -sip"",=�11}:i.,..�• ra.>, w, „x r��'h » a i=� 1 "{y •'`w�J^ _ :gym y ..•� �"s, . ,iµ''�r.• VII _ pp:,R1a-`-`s .fb,f 4., .4 � fir =:•k r �gah'• s;y; :4 Figure 1. Subject parcel and dock. Policy 6. Protect and restore the quality and function of the Town of Southold ecosystem 6.3. Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions The applicant fails to prove that the action meets the following requirements § 275-11 Construction and operation standards C. 2 (d) of the Southold Town Code: (d) Review and approval of dock applications. Before issuing a permit for a dock structure, the Trustees shall consider whether the dock will have any of the following harmful effects: (1] Whether the dock will impair navigation or be located in areas of high vessel traffic or vessel congestion; A f 1. The proposed dock expansion in relation to opposite shoreline structures is not discussed or shown and therefore an assessment of navigation impairments cannot be made. 2. In addition, Chapter 275 requires that the determination of the length of the dock must include the dimensions of the vessel. The dimensions of a vessel are not specified. 3. An assessment to whether the expansion is consistent with the existing dock line cannot be made. [2] Whether the dock will unduly interfere with the public use of waterways for swimming, boating, fishing, shellfishing, waterskiing and other water-dependant activities, 1. An assessment to whether the expansion would interfere with the use of waterways cannot be made. The endpoint of the dock is not provided on an aerial to assess the seaward prosection. The LWRP does not support the construction of private, dock structures over/in public trust lands and waters. The dock structure will result in the loss of public use of public waters and underwater lands. The LWRP states that "alternatives to long piers or docks include use of dinghies to reach moored boats and mooring in nearby marinas." Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Peter Young,ChairmanN Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., January 13, 2016 the following recommendation was made: Moved by Peter Young, seconded by Jack McGreevy, it was RESOLVED to NOT SUPPORT the application of HENRY & MELISSA SILVERMAN to construct a 4'X 10' ramp utilizing open grate decking with a 3' high handrail on each side leading to a 4'X 95' catwalk utilizing open grate decking with a 3' high handrail on each side and 2'X 8' bench, 3'X 24' aluminum ramp with handrails, 2'X 5' bump-out float, 6'X 20' floating dock secured by two batter piles and one tie-off pile,, with water and electric to dock. Located: 2800 Deep Hole Dr., Mattituck. SCTM#123-4-12 Inspected by: Peter Young The CAC does Not Support the application because the project was not staked and the property was not properly posted with a Notice of Hearing. There,is a major concern with the structure exceeding 1/3 the width of the creek as well as exceeding the limitation of square footage of floating docks. Vote of Council: Ayes: All Motion Carried Henry Silverman 530 East Main Street, Riverhead, NY 11901 631-921-2666 henrysilverman @ msn.com ,1 } 1) 1 December 21, 2015 DEC 2 9 2015 k}[ Southold 10"'m Board f se Southold Town Trustees P.O. Box 1179 Southold, NY 11971 Re: Construction of Recreational Dock at 2800 Deep Hole Drive, Mattituck, NY Dear Southold Town Trustees, Please find enclosed additional check for$150 for permit. All pilings will be of 10"diameter for the whole project. T ank you J Henry Silverman t v r � VjvS OUT� Y�,, John M.Bredemeyer III,President Town Hall Annex�� �C' z Michael J.Domino,Vice-President 54375 Main Road ,yam P.O.Box 1179 James F.King,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee -meq Telephone(631)765-1892 Charles J.Sanders,Trustee 1Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUMOLD Office Use Only Coastal Erosion Permit Application Wetland Permit Application _Administrative Permit _Amendment/TransferlExtension Received Application:- 12119,jam' _Received Fee:$2,60,6 Completed Application: Incomplete: _SEQRA Classification / I i •� _ +'�� M1'_-_` _ ' Type I Type 11 Unlisted s! 9 Co ordination:(date sent): _ �LWRPConsistency Assessment Form- DEC /CAC Referral Sent: 17, 2_34-5- ; 1 8 2015 t Date of Inspection: 1 , a _Receipt of CAC Report: ' Soutrieid'roaw_n _Lead Agency Determination Technical Review: I I Public Hearing field: j �j'�g 10 ��I Resolution: I Name of Applicant: henry and Meiissa Simerman Mailing Address: 530 East Main Street, Riverhead, NY 11901 Phone Number: 631-921-2666 Suffolk County Tax Map Number: 1000- 123-4-12 Property Location:. 2800 Deep Hole Drive,Southold, NY Ti 952 (provide LILCO Pole#,distance to cross streets, and location) AGENT: (If applicable) Address: Phone: G f v�1A C �, GENFRAL DATA Land Area(in square feet): 48,860 square feet Area Zoning: Rt' 40 Previous use of property: Residentia< Intended use ofPAY=ro Residential P Covenants and Restrictions on property? Yes No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes ✓ No If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. ✓ Does this project require a variance from the Zoning Board of Appeals? Yes No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes ✓ No Does the structure(s)on property have a valid Certificate of Occupancy? Yes No Prior permits/approvals for site improvements: Agency Date Southold Town Trustees 5/20/15-5/20/25 ��5 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? 'o No Yes, If yes,provide explanation: Project Description(use attachments if necessary): ' C,ar:s€rust a a.& iur ramp utilizing open grate decking with a3- nigh handrail on each side, leading to 4'X 95'catwalk utilizing open grate-decking with a 3'high handrail on each side and 2'X 8'bench, 3'X 24'aluminum ramp with handrails, 2'X 5'bump-out float, 6'X 20'floating dock secured by two batter piles and one tie-off pile, with water and electric to oc . i 7 WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations; Private Recreational Docking Area of wetlands on lot: 8,496 square feet Percent coverage of lot: 5.75 % Closest distance between nearest existing structure and upland edge of wetlands: 47.8 feet Closest distance between nearest proposed structure and upland edge of wetlands: 55 feet Does the project involve excavation or filling? V No Yes If yes,how much material will be excavated? N/A cubic yards How much material will be filled? N/A cubic yards Depth of which material will be removed or deposited: "4/A feet Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: N/A Statement of the effect,if any,on the wetlands and tidal waters of the town that may result by reason of such proposed operations(use attachments if appropriate): No eftem Short Environmental Assessment Form Part I -Project Information Instructions for Completing Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1-Project and Sponsor Information Name of Action or Project: Private Recreational Docking Project Location(describe,and attach a location map): 2800 Deep Hole Drive,Mattituck,NY Brief Description of Proposed Action: Construct a 4'X 10'ramp utilizing open grate decking with a 3'high handrail on each side,leading to 41X 95'catwalk utilizing open grate decking with a 3'high handrail on each side and 2'X 8'bench,3'X 24'aluminum ramp with handrails,2'X 5'bump-out float,6'X 20'floating dock secured by two batter piles and one tie-off pile,with water and electric to dock. Name of Applicant or Sponsor: Telephone: 631-921-2666 Henry and Melissa Silverman E-Mail: henrysilverman@msn.com Address: 530 East Main Street City/PO: State: Zip Code: Riverhead NY 11901 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES Iff Yes,list agency(s)name and permit or approval: Southold Town Trustees,Army Corps of Engineers 3.a.Total acreage of the site of the proposed action? 2.25acres b.Total acreage to be physically disturbed? •2 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 2'25 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) []Industrial ❑Commercial OResidential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 of 3 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ F%_/� ❑ b.Consistent with the adopted comprehensive plan? ✓ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ ❑✓ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: v ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO j YES b.Are public transportation service(s)available at or near the site of the proposed action? Z ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? Z 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If NeAproposed action will exceed requirements,describe design features and technologies: WA_ ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ F 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ❑ Z 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? O ❑ b.Is the proposed action located in an archeological sensitive area? ❑ EL 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ✓ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: Dock extending into Deep Hole Creek. Dock 640 square feet 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional 0 Wetland Durban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? 1:1 2- 16. Grass 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, � ❑ a.Will storm water discharges flow to adjacent properties? ❑NO ❑YES b.Will storm water discharges be directed to established conveyance systemsrunoff and storm drains)? If Yes,briefly describe: LJNo ❑YES Page 2 of 3 8.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: ® ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO I YES solid waste management facility? If Yes,describe: F.,/] ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: � ❑ I AFFIRM THAT THE INFORMATION I'RO ED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/s, name: j1 V v' Vel '`r' Date: 11 1'312015 Signature: 18. Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: ❑ ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: ❑ ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: ❑ F I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Date: Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large - - - - ---- -- - - - --- -- ----impact--- impact may may occur occur 1. Will the proposed action AA crpate a material conflict with an adopted land use plan or zonin regulations?C}tCt,� F� -� ajOU leN Td V 1 I", 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or �j��Jj affect existing infrastructure for mass transit,biking or walkway? El �— 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate 1:1reasonably available energy conservation or renewable energy opportunities? El 7. Will the proposed action impact existing: El a. public/private water supplies? b.public/private wastewater treatment utilities? El 1:1 8. Will the proposed action impair the character or quality of important historic,archaeological, 1:1architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e .,wetlands, waterbodies,groundwater,air quality,flora and fauna)?pak17 WS GSW/ C'�QfJ D /� Page 3 of 4 � 111-f/ No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage 1:1problems? 11. Will the proposed action create a hazard to environmental resources or human health? El Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term, long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an E/environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any suppo ng documentation, that the proposed action will not result in any significant adverse environmental impacts. Town of Southold-Board of Trustees Name of Le gency Date �� Q President Print or y �r/ Respon e Of icer in L ad Agency Title of Responsible Officer P Signature of Responst le O icer in Lea Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: e�lric�r A(,I/Jr.. MxH'Y('C-K /t/_). r 1c� 9t10er's wec y' 9 �i /feel,/ >i^ �✓ STATE OF NEW YORK A 7s, NM ot" zecli-e COUNTY OF F SU FOLK J�Qt�, ,c, A1, residing at S3 O /3'jaLy h Jl�� 1. 1 being duly sworn,deposes and says that on the day of 20& deponent mailed a true copy of the Notice set forth in the Board oftees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment rol of the To of Southold; that said Notice were mailed at the United States Post Office at that said Notices ere mailed t eac of said persons by CERTIFIED /RETURN RECEIPT. i Sworn to before me this 5Riaoiv®A R.BROWN Day of Aptjj 20j Notary Public,state of NGWYCA - _ ouaiified in Suffolk Count/ No.01 BR6135899 my commission Expi Notary Public o6l 06- 2A to i TM Postal CERTIFIED oRECEIPT i. Only + .m "'TBRI"11 TV1L U [E I-=rcr-, Certified Mail Fee $3.30 ` 0947 'a $ 9 Extra Services&Fees(checkbox,addles $ V•V l�Vpppard , -�� S P Q [I Return Receipt(hardcopy) ) Q ❑Return Receipt(electronic) $ e �ostmark fy 111 Q ❑Certified Mall Restricted Delivery $ i • Here Q ❑Adult Signature Required $�,0pV— �' ` y� 1 ❑Adult Signature Restricted Delivery$ Postage $0.6s - G Q Total Postage and s `Q`.�'? �r��. �Lr) Sent To @ S 2 QZf5 j'1 '� e Stieef "ilA—-No --,o PO Boz fVo. Cdy Stat Z/P+4® ----- = _ ------ --------- /V1 ------- ,i PS Form 3800,April r7530-02-000-9047 See Reverse for lnstructionsi,.,, U.S. Postal Service" CERTIFIED O . ■ Dome�tic Mail Only rU Er or delivery information,visit our website at MATfT�IT :�� USE.E ; 1= Certified Marl Fee $3.30 0947 Q' $ Extra Services&Fees(checkbox,add tee U❑Return Receipt(hardcepy) $ ,—rrJ,7V� 2 Q ❑Return Receipt(electronic) $ a V•V V ®K_ Postmark +Q Q ❑Certified Mall Restricted Delivery $ $0.flfl Q Here Q []Adult Signature Required $—Ag— � G�` []Adult Signature Restricted Delivery$ �-l �1�'l -J IRf $ / C3 Postage $0.47 L. r3 Total Postage and FTK47 a7`r i'; $ af�- `°'ryeeT�vXrrY(g1t12!Vs�1'PDeP1 Se , YPh ) QN - ----------------------------------odvech L--he� a A --------------------------- j ak Nyl195�PS Form a 3800,,Apri[2015 PSN7530-02rOOO-9047 See Reverse for Instructions. PostalTM CERTIFIED, , O . ■ Ln E- Dolmestic Mail Only Er M . SAL U S E Certified Mad Fee $3,30 A .0947 $2.70Extra Services&Fees(checkbox,add ree fropr to 0 R I /Q� g i ❑ Return Receipt(hardeopy) $ �v•t''y ^'1 Q ❑Return Receipt(electronic) $ U■ �:'1 Pos arl� Q ❑Certified Mail Restricted Delivery $ i y �r Her CD Q ❑Adult Signature Required $ Al2LI r� ❑Adult Signature Restricted Delivery$ Q Postage $0.47 6° Q Total Postage and Fes 47 r $ O. Sent To i ra an h� el/n7a h QA du/- -a--------l------r---- -- ----- ---- --------------- t . POBzo.dro -------��_ _ -�s -��--�E------------------------- - City ., Br1< Al loo/-'L- John M. Bredemeyer III, President ;roti® c�G Town Hall Annex Michael J. Domino, Vice-President 54375 Route 25 Glenn Goldsmith P.O. Box 1179 A. Nicholas Krupski y ���J Southold, NY 11971 Charles J. Sanders �'` 0� ��� �" Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of HENRY & MELISSA SILVERMAN COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE , residing at/dba iQ,yw-X eeJ AJY, 11 �0 i being duly sworn, depose and say: That the day of �� y , 2016, I personal y posted the property known as 0 by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wedne§day, May 18 2016. Dated: )77o� 5 j _®/-. UJ 4ig; Sworn to before me this 5 day of Apr;1 20 I RwolvoA R.BROWN Notary Public,State of New York Qualified in Suffolk County 101 No.01 BR6135899 Ay Commission EV, 10/24/L l Notary Public � Q�� U O2,ol(p ' 1 % PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: " 449 _ ! STATE OF NEW YORK COUNTY OF SUFFOLK residing at being duly sworn, deposes and says that on the day of , 2C , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this �9 1� Day of Notary Public �„6` NUTILt UF HEL. AKINC NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: HENRY & MELISSA SILVERMAN SUBJECT OF PUBLIC HEARING : For a Wetland Permit to construct a dock consisting of a 4'x10' landward ramp using open grate decking with 3' high handrails on each side; leading to a 4'x95' catwalk with open grate decking, 3' high handrails on each side, and two (2) 2'x8' benches at seaward end; a 3'x24' aluminum ramp with handrails; a 2'x5' bump- out float; a 6'x20' floating dock secured by two batter piles and one tie-off pile; all associated piles to be 10" in diameter; and equip the dock with water and electric. Located: 2800 Deep Hole Drive, Mattituck. SCTM# 1000-123-4-12 TIME & DATE OF PUBLIC HEARING : Wednesday, May 18, 2016 — at or about 5:30P. M . If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1692 ,NUTILt Uim HtA K- ING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: HENRY & MELISSA SILVERMAN SUBJECT OF PUBLIC HEARING : For a Wetland Permit to construct a dock consisting of a 4'x10' landward ramp using open grate decking with 3' high handrails on each side; leading to a 4'x95' catwalk with open grate decking, 3' high handrails on each side, and two (2) 2'x8' benches at seaward end; a 3'x24' aluminum ramp with handrails; a 2'x5' bump- out float; a 6'x20' floating dock secured by two batter piles and one tie-off pile; all associated piles to be 10" in diameter; and equip the dock with water and electric. Located: 2800 Deep Hole Drive, Mattituck. SCTM# 1000-123-4-12 TIME & DATE OF PUBLIC HEARING : Wednesday, January 20, 2016 — at or about 5 :30P. M . If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 `y Boa,___ 'of Trustees Application L_ County of Suffolk State of New York �f—m r S1 I/VI''m p h BEING DULY SWORN DEPOSES A D AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN.THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES(S),TO ENTER ONT MY PMI &DPL7ICATION. SPECT THE PREMISES IN CONJUNCTION WTsigna IEW O a roperty Owner SWORN TO BEFORE ME THIS / DAY OF_ ') fl CYNTHIA H URBAN �• '€ MY COMMISSION#FF072846 N&fary Pub11C ',!FOFFo' EXPIRES January 19,2018 ( f17)39/-0153 FloridallotaryService com APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The pumose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME (Last name,first name,ipiddle mitral,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) ? Tax grievance Building Variance Trustee �G*C Change ofZone Coastal Erosion Approval of plat ` Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,rnarriage,or business interest"Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all-that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applic*nt (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the Y"+` applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP = �I Submitted this day of 200 Signature Print Name Form TSI • 0.w/` -Town of Southold LNVRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its siggificant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website(southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# /060 - 3 _ 41 — l,�>, PROJECT NAME L)t3 c-K The Application has been submitted to(check appropriate response): �j Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees LJ 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit, approval,license,certification: FO Nature and extent of action: Co�sfrucf�ri�a�P Rec �iov�a/ �f s i1 Location of action: a8� ff Dle DriA 147At�l( )V Site acreage: a.a Jr Present land use: Aes-,' ef?b'al Present zoning classification: A—qo 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: (b) Mailing address: (c) Telephone number:Area Code( ) (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No❑ If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support,the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure,makes beneficial use of a coastal location, and minimizes adverse effects of development. See LV RP Section III—Policies; Page 2 for evaluation criteria. ❑Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ NoR Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No�Z Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No 0 Not Applicable J Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No ®Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. - - --------------- F i Yes No Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No'R Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—PoIicies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ YeX No❑ Not Applicable Attach additional sheets if necessary ' VORKMN'G COAST POLI r Policy- 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No'R Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LVVRP Section III—Policies; Pages 57 through 62 for evaluation criteria. , ❑ Yes ❑ NoFN Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 forevaluation criteria. 1:1 Yes F1 }No�I Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No �❑ Not Applicable PREPARED BY TITLE OL, . DATE NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION ® DIVISION OF ENVIRONMENTAL PERMITS tloe Supplement D-2 FOR AGENCY USE ONLY APPLICATION FOR PERMIT FOR THE CONSTRUCTION,RECONSTRUCTION OR EXPANSION DEC APPLICATION NUMBER: OF DOCKING AND MOORING FACILITIES (including Platforms and Breakwaters) PLEASE READ ALL INSTRUCTIONS ON THE FOLLOWING PAGE. TYPE OR PRINT CLEARLY IN INK U.S.ARMY CORPS ENGINEERS APPLICATION NUMBEBE R: ATTACH ADDITIONAL INFORMATION AS NEEDED. PROJECT CONSTRUCTION DESCRIPTION: Private Recreational Docking 1. TYPE OF ACTIVITY: 1171-72 f—a ho New Facility Construction Lj Substantial Reconstruction U Expansion Change in Use 2. CAPACITY OF DOCKING FACILITY OR MOORING AREA Maximum number of boats to be docked: 3 Maximum number of boats to be moored: 0 , Boat type and size ranges to be served: Power and Sail 18',29,50' Total surface area of facility perimeter. 4,250 square feet 3. IDENTIFY STRUCTURE TYPES AND THE USE OF SUCH STRUCTURES,INCLUDE SIZE,TYPE OF CONSTRUCTION AND MATERIALS TO BE USED,IF SUBSTANTIAL RECONSTRUCTION IS REQUIRED,EXPLAIN EXTENT OF ACTIVITY INCLUDING PERCENTAGE OF THE TOTAL STRUCTURE SIZE AFFECTED. Construct a 4'X 10'ramp utilizing open grate decking with a 3'high handrail on each side,leading to 4' catwalk utilizing open grate decking with a 3'high handrail on each side and 2'X 8'bench,3'X 24'aluminum ramp with handrails,2'X 5'bump-out float, 6'X 20'floating dock secured by two batter piles and one tie-off pile,with water and electric to dock. (continue on attached sheet if necessary) 4. FOR NEW FACILITY,EXPANSION OF EXISTING FACILITY OR CHANGE IN USE,CHECK APPROPRIATE ITEMS AND DESCRIBE THE SERVICES TO BE PROVIDED. Water Supply: Sewage Disposal- Electrical Supply: LA Gas Supply. Gasoline/Oil Supply: - 9-119 Lj Other. (continue on attached sheet if necessary) 5. SIGNATURE: DATE: i .3sjJ M i a D For Permits/Determinations to undertake activities affecting streams,waterways, ' ., waterbodies,wetlands,,coastal areas and sources of water withdrawal. New York You must separately apply for and obtain separate Permits/Determinations from US Army Corps ofEngineers (USAGE) State each involved agency prior to proceeding with work. Please read all instructions. APPLICATIONS TO 1. NYS Department of Environmental Conservation 2. US Army Corps of Engineers 3. NYS Office of 4. NYS Depart- General Services ment of State Check all permits that apply: Check all permits that apply: ❑ Stream Disturbance ❑ Coastal Erosion ❑ Section 404 Clean Water Act Check all permits that Check if this ® Excavation and Fill in Management section 10 Rivers and Har bors apply: applies: ❑ Navigable Waters ❑ Wild,Scenic and Act ❑State Owned Lands ® Coastal t ecreaional Rivers Under Water Consistency Docks, Moorings or R ❑ Nationwide Permit(s) -Identify ❑Utility Concurrence Platforms ❑ Water Withdrawal Number(s): Easement ❑ Dams and Impoundment ❑ Long Island Well (pipelines, Structures ® Aquatic Vegetation Control conduits, ® 401 Water Qualitycables,etc.) ❑ Aquatic Insect Control ®Docks Certification Preconstruction Notification- , ❑ Freshwater Wetlands ❑ Fish Control ❑ Y / ❑ N Moorings or ®Tidal Wetlands ❑ Incidental Take of Endan- Platforms gered/Threatened Species ❑ I am sending this application ® I am sending this ❑ I am sending ❑ I am sending this application to this agency. to this agency. application to this this application agency. to this a enc . 5. Name of Applicant(use full name) Applicant must be: 6. Name of Facility or Property Owner(if different than Henry and Melissa Silverman Owner Applicant) ❑ Operator Mailing Address 530 East Main Street ❑ Lessee Mailing Address (check all that apply) Post Office City Riverhead Taxpayer ID (If applicant Post Office City is NOT an individual): State NY Zip Code 11901 1 State Zip Code Telephone (daytime) Email Telephone(daytime) Email 631-921-2666 henrysdverman@mns.com 7. Contact/Agent Name14' 8. Project/ Facility Name Property Tax Map Section/Block/Lot Number Private Recreational Docking 1000-1234-12 Company Name Project Location -Provide directions and distances to roads, bridges and bodies of waters: 2800 Deep Hole Drive,South of New Suffolk Avenue,Mattituck,Suffolk County,NY,Deep Hole Creek Mailing Address Street Address, if applicable Post Office City State Zip Code 2800 Deep Hole Drive Mattituck NY 11952 Post Office City Town/Village/City County Mattituck Suffolk State Zip Code Name of USGS Quadrangle Map Stream/Water Body Name 40072H5 Deep Hole Creek Telephone(daytime) Location Coordinates: Enter NYTMs in kilometers,OR Latitude/Longitude Email NYTM-E NYTM-N Latitude Longitude N40059' W72030' For Agency Use Only DEC Application Number: USACE Number: JOINT APPLICATION FORM 02/13 This is a 2 Pane ADDlication ADDlication Form Pane 1 of Submit this completed page as part of your Application. 9. Project Description and Purpose: Provide a complete narrative description of the proposed work and its purpose. Attach additional page(s) if necessary. Include: description of current site conditions and how the site will be modified by the proposed project; structures and fill materials to be installed; type and quantity of materials to be used (i.e., square ft of coverage and cubic yds of fill material and/or structures below ordinary/mean high water) area of excavation or dredging, volumes of material to be removed and location of dredged material disposal or use; work methods and type of equipment to be used; pollution control methods and mitigation activities proposed to compensate for resource impacts; and where applicable,the phasing of activities. ATTACH PLANS ON SEPARATE PAGES. Construct a 4'X 10'ramp utilizing open grate decking with a 3'high handrail on each side,leading to 4'X 95'catwalk utilizing open grate decking with a Thigh handrail on each side and 2'X 8'bench,3'X 24'aluminum ramp with handrails,2'X 5'bump-out float,6'X 20'floating dock secured by two batter piles and one tie-off pile,with water and electric to dock. Proposed Use: Private ® Public ®Commercial Proposed Aril 2016 Estimated Se tember2017 Start Date: p Completion Date: p Has Work Begun on Project? ®Yes 10 No If Yes,explain. Will Prosect Occupy Federal,State or Municipal Land? ®Yes 12 No If Yes, please specify. 10. List Previous Permit/Application Numbers (if any)and Dates: N/A 11. Will this project require additional Federal,State,or Local Permits including zoning changes? Yes ® No If yes, please list: Southold Town Trustees,NYS DEC 12. Signatures.If applicant is not the owner,both must sign the application. I hereby affirm that information provided on this form and all attachments submitted herewith is true to the best of my knowledge and belief. False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the Penal Law. Further, the applicant accepts full responsibility for all damage, direct or indirect, of whatever nature, and by whomever suffered, arising out of the project described herein and agrees to indemnify and save harmless the State from suits, actions, damages and costs of every name and description resulting from said project. In addition, Federal Law, 18 U.S.C., Section 1001 provides for a fine of not than $10,000 or imprisonment for not more than 5 years, or both where an applicant knowingly and willingly falsifies, conc I r covers up a material fact; o knowingly makes or uses a false,fictitious or fraudulent statement. L131, i nat re Applicant Printed ame Title D to Signature of Owner Printed Name Title Date Signature of Agent Printed Name Title Date For Agency Use On[d DETERMINATION OF NO PERMIT REQUIRED Agency Project Number has determined that No Permit is required from this Agency for the project described in (Agency Name) this application. Agency Representative: Name(printed) Title Signature Date TnTFUT B®DI TVATTn&U FnOM 07/4 R ®nnliratinn Fnrni ®ann 7 of a New York State Department of Environmental Conservation Imbue PERAUSSTON TO INSPECT PROPERTY By signing this permission form for submission_ with an application for,a permit(s)to the Department of Environmental Conservation C DECD,the signer consents to iiaspection by DEC staff of the project site-or facility for which a permit is sought and, to the extent necessary, areas adjacent to the project site or facility. This consent allows DEC staff to enter upon and pass through such property in order to inspect the project-site or facility,without prior notice,between the-hours of 7:00 a.m.and 7:00 p.m.,Monday through Friday. IfDEC staff should wish to conduct an inspection at any other times,DEC staff will so notify the applicant and will obtain a separate consent for such an inspection. Inspections may take place as part of the application review prior to a decision to grant or deny the permit(s)sought. By signing this-consent form,the signer agrees that this consent rtymailts in effect as Ibng as the application is pending,and is effective iegardless of whether the signer,applicant or an agent is present at the time of the inspection. In the,event that the project site or facility is-posted with any form of"posted"or"keep out"notices;or fenced-in with an unlocked gate,this"permission authorizes DEC staff to.disregard such notices or unlocked gates at the time of inspection.- The nspection.The signer further agrees that during an inspection,DEC staff may,among other things, take measurements,may analyze physical characteristics of the site including,but not limited to, soils and vegetation-(taking samples for analysis),and may make drawings and take photographs. Failure to grant consent for an inspection is grounds for, and may result in, denial of the permits)sought by the application. Permission is granted for inspection of property located at the following address(es): By signing this form,I affirm under pe alty of perjury that f am authorized to give consent to entry by DEC staff as described above. understarr t t false statements made herein are punishable as a Cl s A misdemeanor s ant to Sec '0 0.45 of the Penal Law. a lf'*�kvj LIS Print Name and Title ignature Date *Ile signer of Ns form must be an individual or authorized representative of a legal entity that: • owns fee title and is in possession of the property identified above; • maintains possessory interest in the property through a lease,rental agreement or other legally binding agreement;or • is provided permission to act on behalf of an individual or legal entity possessing fee title or other possessory interest in the property-or the purpose of consenting to inspection of such property. Permission to Inspect Property Application Supplement 12108 ;J, It Short Environmental Assessment Form Part 1 -Project Information Instructions for Completing Part 1-Project Information. or a applicant o or��g ct are sonsor is ubject to public review,and mle for the completion y be subject to(further verification.Responses become part of the application for pp Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1-Project and Sponsor Information Name of Action or Project: Private Recreational Docking Project Location(describe,and attach a location map): 2800 Deep Hole Drive,Mattituck,NY Brief Description of Proposed Action: Construct a 4'X 10'ramp utilizing open grate decking with a 3'high handrail on each side,leading to 4'X 95'catwalk utilizing open grate decking with a 3'high handrail on each side and 2'X 8'bench,3'X 24'aluminum ramp with handrails,2'X 5'bump-out float,VX 20'floating dock secured by two batter piles and one tie-off pile,with water and electric to dock. Name of Applicant or Sponsor: Telephone: g31-921-2666 Henry and Melissa Silverman E-Mail: henrysilverman@msn.com Address: 530 East Main Street State: Zip Code: City/PO: NY 11901 Riverhead 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? El Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: Southold Town Trustees,Army Corps of Engineers 2.25 3.a.Total acreage of the site of the proposed action? acres 2 b.Total acreage to be physically disturbed? acres c.Total acreage(project site and any contiguous properties)owned 2.25 or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban []Rural(non-agriculture) ❑Industrial ❑Commercial ©Residential(suburban) ❑Forest ❑Agriculture ❑Aquatic []Other(specify): ❑Parkland Page 1 of 3 � L 5. Is the proposed action, _ NO INO N/A a.A permitted use under the zoning regulations? El ❑ b.Consistent with the adopted comprehensive plan? TT 6. Is the proposed action consistent with the predominant character of the existing built or natural YES landscape? ❑ 0 7. Is the site of the proposed.action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: FV] ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? Fv� ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: � ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ n 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: ❑ n 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? n ❑ b.Is the proposed action located in an archeological sensitive area? 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ✓ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: Dock extending into Deep Hole Creek. Dock 640 square feet 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑Shoreline [-]Forest ❑Agricultural/grasslands ❑Early mid-successional ❑./ Wetland ❑Urban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal goverment as threatened or endangered? 1:1Spartina Grass 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, ❑ a.Will stone water discharges flow to adjacent properties.? NO ❑YES b.Will storm water discharges be directed to established conveyance systemsrunoff and storm drains)? If Yes,briefly describe: (❑NO DYES Page 2 of 3 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: ❑ ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE _� S Applicants name: �', ' � n Date: Signature: ww�u� rAA�■ _ 9f�-20-7 (12/98) ` New York State Department_of Environmental Conservation, Supplement to Joint Application Form `STRUCTURAL-'ARCHAEOLOGICAL ASSESSMENT FORM (SAAF) ,, PART 1 --APPLICANT COMPLETES:,-, , APPLICANT-INFORMATION, 1. Applicant Name 2. Applicant Address 53'0 TM ,f ':PROJECT INFORMATION - 3. Projeci/Facility Name b c 4. Project/Facility Location17,5 5.-_ Is the proposed project adjacent to, or does it contain a ❑Yes building or structure listed in the State or National Register of No Historic Places? - 6. Are there any-buildings or structures 50-years:bld or older . . El _ adjacent to or within the proposed project area? ❑,No If the answer,to question 5 and/or 6 is yes, provide the following information for each building and structure'(use-attachments if necessary): a. Name of structure b. •Location -c. --Type of structure-(ex. house, outbuilding, barn, bridge, dam, II ruins). .. � 41 d. Approximate age or date of construction ; 7. Might the proposed�project have any impact,(physical/visual) ❑Yes upon any buildings or structures listed in the State or 10 No `- National Register of-Historic Places or- 50 yeary-old or older? If yes, describe briefly (use attachments if necessary): 12/98 - SAAF PART 1--APPLICANT COMPLETES 8.' Provide,photographs of every building and structure that may be impacted by the project as described in number 7, on the opposite side of this page. The following standards are Fecommended: • Minimum of'2 photographs o Photographs must be S5"x 5" in size-or larger Y •_ _ Photos must be clear'and focused' -- • Digital photographs must be printed,on photo paper and be produced at a printer - setting-of a minimum of 600 dpi • Clearly label photos so it is obvious what is being illustrated;-key photos to map or plan; if possible •. Photo_1:-show both the entire front and side of the structure in a single shot from as close to the building as possible. Be sure the structure is.not partially or fully blocked, trees or"other.obstructions - -- - . - - - . - - • Photo 2: show relationship of building or,structure to roadway or surroundings 9. Has the land within the proposed project area been Yes , previously disturbed or altered (excavated; landscaped, El No filled, utilities installed)? If,yes, describe briefly, including depth of disturbance (use attachments if necessary): J�. .'/Al, 1, �,�� s, �'u o CO ,- r e �o � �, Nee po c Gk-e-e-k, 10. Approximate-percentage_of proposed project area with- _ -'€. 0- 10-4 l % slopes: 10'= 15%' greater 11. Approximate percentage of proposed project site with the ; Well drained 0% following drainage characteristics: : Moderately well drained so Poorly drained 5% Prepared ByPr' t or type name): i vq ex Signature: Date:' SURVEY OF PROPERTY SITUATE MATTITUCh IDg1v�/ TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK C� S.C. TAX No. 1000-123-04-12 ^P0 SCALE 1'=30' 1.=40•p0 Q�,/ MARCH 24, 2015 TOTAL. AREA=2129 f. sq / lro R ucl 1129° KRA,.A,.�u a'4iie spy w. o. \\ oo, 14 .n0o9 m¢wrmuunoR T11m1 mou _ 1 \ ROW OR161INL[PATE uav Na 361WWN]R \ � za¢� a�"aao ncvmrmns moiu.+� $ �'P„s mr4 s ase�naao�°rim�s mm�t"` •nvo \ s•,`„ y f` tar%' w4A5 6 0]S,waNi OWC M1004�.6'1s.Mv1 \ ems' AOR BROW Twl u'ER14C CD•w5 O<IE4 MW 1 fWf ''1 `,�.`� � � � . AN CImIECim Bi US's RW�i5�A1NL1 LIMHCE ROW. �1 � � . ` /� mrff tl A4k RRwwlD t0 BE OilIsOE>M 035 Na941 OW6f ROWgM �1 m� Construct a 4'X 10'ramp utilizing open grate decking with a 3'high handrail on each side,leading to g 00 4'X 95'catwalk utilizing open grate --$ decking with a Thigh handrail on Y aeach side and 2'X 8'bench,3'X 24'aluminum ramp with handrails, 21X 5'bump-out float,6'X 20' ' 3 floating dock secured by two batter 8 piles and one tie-off pile,with water and electric to dock. 0 ► ` _ ,�L'�t� Applicant:Henry&Melissa Silverman �i t 03 ' n. ,� 530 E. Main Street, Riverhead,NY 11901 ` Phone No.:631-921-2666 g Location:2800 Deep Hole Drive, rA Mattituck,NY 11952 „ Scale:1"=50' Date:November 2015 CTM No.:1000-123-4-12 Purpose:Private Recreational Docking 15atum:Apparent Low Tide i ` 4M 20 a � A'. & B S - 1 a C � ® s' .: •. xoLE R DEME`oo SOD O 210 �1OSH+� Sheet 1 of PROP.10"'_' TIE-OFF i Construct a 4'X 10'ramp utilizing open grate decking with a 3' PILE high handrail on each side,leading to 4'X 95'catwalk utilizing open grate decking with a 3'high handrail on each side and - 2%8'bench,31X 24'aluminum ramp with handrails, 2'X 5' bump-out float, 6'X 20'floating dock secured by two batter piles and one tie-off pile,with water and electric to dock. PROP 10" BATTER PILE 1 PROP. 1 8'X20' 2 ELECTRIC 220 AMP SERVICE FLOAT i 3/4 PVC WATER LINE I , N BENCH _ 1 OPEN GRATE OPEN GRATE PROP. 3'X24' FLOAT 275' ; PROP. PROP.4'X95' BUMP- IT 4'X10' RAMP FIXED CATWALK HANDRAILS BOTH SIDES FLOAT OAT 2,X8' _ I _BEOR PROP,10" i BATTER PILE Applicant:Henry&Melissa Silverman 530 E. Main Street, - Riverhead, NY 11901 Phone No.:631-921-2666 Location:2800 Deep Hole Drive, Mattituck, NY 11952 Scale:1"=5' Date:November 2015 SCTM No.: 1000-123-4-12 Purpose:Private Recreational Docking Datum:Apparent Low Tide Sheet 4 of 4 Construct a 4'X 10'ramp utilizing open grate decking with a 3' high handrail on each side, leading to 4'X 95'catwalk utilizing open grate decking with a 3'high handrail on each side and 21X 8'bench,3'X 24'aluminum ramp with handrails,2'X 5' bump-out float, 6'X 20'floating dock secured by two batter piles and one tie-off pile,with water and electric to dock. 10 feet 95 feet 24 feet 2' 6 feet ELECTRIC 220 AMP SERVICE PROP. 3/4 PVC WATER LINE BATTER PILES PROP TIE-OFF PROP 4'X95' - PILE PROP FIXED CATWALK BUMP- 4'X10' HANDRAIL OUT RAMP FLOAT BE CH P PROP 3'X24' 8'X20' FLOAT FLOAT AMW+2' Ah EXISTING GRADE -11 -2' -3' -4' Applicant: Henry&Melissa Silverman 530 E. Main Street, Riverhead, NY 11901 Phone No.:631-921-2666 Location:2800 Deep Hole Drive, Mattituck, NY 11952 Scale:1"=5' Date: November 2015 SCTM No.: 1000-123-4-12 Purpose: Private Recreational"Docking Datum:Apparent Low Tide Sheet 2 of 4 Henry and Melissa Silverman SCTM# 100-123-4-12 2800 Deep Hole Drive, Mattituck, NY November 13, 2015 Proposed Dock Site Looking East at opening to Deep Hole Creek Blue tagged stake is start of catwalk 15'off West property line. High tide. Looking West at Deep Hole Creek Blue tagged stake is start of catwalk 15'off West property line �> — - %;w N t_ lowe _ • i " •'Hole Project Location: :r0 Deeo Hole Drive 40 Mattituck. NY 11901 Applicant:Henry& Melissa Silverman 530 E. Main Street, Riverhead, NY 11901 Phone No.:631-921-2666 Location:2800 Deep Hole Drive, Mattituck, NY 11952 Date:November 2015 SCTM No.: 1000-123-4-12 Sheet 3 of 4 Purpose: Private Recreational Docking