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HomeMy WebLinkAboutTR-8858 Glenn Goldsmith,President \\QF STown Hall Annex Michael J.Domino,Vice-President ,`Qy�lO 54375 Route 25 P.O.Box 1179 John M. Bredemeyer III J�[ Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams 0 �� Fax(631) 765-6641 � UNT1,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION.: izl,312P2G INSPECTED BY:' Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction; haybale line/silt boom/silt curtain 1St day of construction / % constructed ✓ Project complete, compliance inspection COMMENTS: CERTIFICATE OF COMPLIANCE: Glenn Goldsmith,President SU!/1Town Hall Annex Michael J.Domino ,`O� ��� 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III Southold,New York 11971 A.Nicholas Krupski G Telephone(631) 765-1892 Greg Williams �� �� Fax(631) 765-6641 �y�0UNT1,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1451C -AMENDED Date: December 3, 2020 THIS,CERTIFIES that the construction of a 4'x15' landward fixed ramp leading to a 4'x75' fixed dock using open grate decking supported by 6"diameter marine piles seaward of the ordinary high water line and 4"x4"timber posts landward of the ordinarX high water line• a 3'x20' hinged ramp: and a 6'x20' floating dock secured by two(2)•8"diameter marine piles; install (2) 12 diameter tie-off pilings-, and connect dock to water and electricity; At 975 Westview Drive,Mattituck Suffolk.County Tax Map#1000-139=1-4.2 Conforms'to the application for a Trustees Permit heretofore filed in this office Dated May'11,2016 pursuant to which Trustees Wetland Permit#8858 Dated August 17,2016,was issued and Amended on March 20,201-9 and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the construction of a 4'x15' landward fixed ramp leading to a 4'x75' fixed dock usingopen-open-grate decking supported by 6'-'diameter marine piles seaward of the ordinary high water line and 4"x4"timber posts landward of the ordinary high water line;a 3'x20' hinged ramp;and a 6'x20' floating dock secured by two(2) 8"diameter maririe'piles; install (2) 12"diameter tie-off pilings; and connect dock to water and electricity. The certificate is issued to Joseph&Maureen Fritch owner of the aforesaidro e P P rty. Authorized Signature Glenn Goldsmith,President QF S0(/ry Town Hall Annex Michael J.Domino,Vice-President ,`O� ��� 54375 Route 25 P.O.Box 1179 John M.Bredemeyer III Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams �O �� Fax(631) 765-6641 BOARD OF TOWNTRUSTEES TOWN OF SOUTHOLD July 16, 2020 Robert Herrmann En-Consultants 1319-North Sea Road _ "-,Southampton, NY 11968 : .t. RE: JOSEPH.&.MAUREEN FRITCH 975 WEST-VIEW DRIVE, MATTITUCK _ = SCTM# 1000-139-1-4.2 Dear Mr. Herrmann: The following action was taken by_the4,Southold Town Board of Trustees at their Regular Meeting held on Wednesday, July 15, 2020: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit#8858 from Cynthia Walsh.to Joseph & Maureen Fritch, as issued on August 17, 2016, and Amended on March-20,-2019. ,,.Any otheractivitywithin 100' of the wetland boundary requires a permit from this.office. This is not a determination from any other agency. If you have any questions, please contact our office at (631) 765-1892. Sincerely, 41enn Goldsmith, President Board of Trustees GG/dd BUILDING DEPARTMENT- Electrical Inspector O�� TOWN OF SOUTHOLD ft Town Hall Annex- 54375 Main Road - PO Box 1179 Southold, New York 11971-0959 '-N��,®� Telephone (631) 765-1802 - FAX (631) 765-9502 rogerr(E-southoldtownny.gov seandQsoutholdtownny.gov APPLICATION FOR ELECTRICAL INSPECTION ELECTRICIAN INFORMATION (All Information Required) Date: (-//- -0 z v Company Name: C- (f- fel- /.V C- Name: C e r e �4 , License No.: a9p9 vn email: Z- L/v� w/A 6 /7� J-C) a �}�L� Cu Address: loZ- �� „� cT dJo%�M I, ,V% /7/C Phone No.: JOB SITE INFORMATION (All Information Required) Name: bjep`l F/? 1 TC/-/ Address: 9Jf WeSTV eli ok l)7a / �, SLC /Y Cross Street: C),,,1 Avg '8r w rf— Phone No.: ( j - 793- 2 9 Bldg.Permit#: email: Tax Map District: 1000 Section: Block: Lot: , BRIEF DESCRIPTION OF WORK (Please Print Clearly) DD AMP oL4-too-IL J14 d— P ,72£t. "efi/L oc� ow e2 FOA, boc& a g-trrDoc/•c Circle All That Apply: Is job ready for inspection?: YES / Rough In Final Do you need a Temp Certificate?: YES XO Issued On Temp Information: (All information required) Service Size 1 Ph 3 Ph Size: A #Meters Old Meter# New Service - Fire Reconnect- Flood Reconnect-Service Reconnected - Underground - Overhead #Underground Laterals 1 2 H Frame Pole Work done on Service? Y N Additional Information: Prevlos LILA,AJr°rf k WAL-fl/J aY) e 4a 11 e 1 Ic s PAYMENT DUE WITH APPLICATION Request for Inspection FormAs Michael J.Domino,President �NJ��rOTown Hall Annex 54375 Route 25 John M.Bredemeyer 111,Vice-President I P.O.Box 1179 Glenn Goldsmith yr:, Le Southold, New York 11971 A.Nicholas Krupski y0 t�7 Telephone(631) 765-1892 Greg Williams Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD MAR 5 2020 APPLICATION FOR A TRANSFER OF A WETLAND PERMIT and COASTAL EROSION MANAGEMENT PERMIT March 4, 2020 DATE OWNER Joseph &Maureen Fritch PHONE 212-675-5480 4 Spinnaker Court MAILING ADDRESS Fort Salonga, NY 11768 AGENT En-ConsultantsPHONE 631-283-6360 ADDRESS 1319 North Sea Road, Southampton, NY 11968 PROPERTY LOCATION 975 Westview Drive, Mattituk TAX MAP NO. 1000-139-1-4.2 I/We En-Consultants for Joseph &Maureen Fritch request a Transfer of Permit#8858 from—Cynthia Walsh to Joseph&Maureen Fritch Signed By: Robert E. mann, Coastal Management Specialist Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, Joseph Fritch , owners of the property identified as SCTM# 1000--139-1-4.2 in the town of Southold New York,hereby authorizes En-Consultants to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property, N/A Pr perty Owner's Signature Property Owner's Signature Joseph Fritch SWORN TO BEFORE ME THIS DAY OFcj- 1 f Notary 1i Dana J Di Angelo York Public,State of New Notary No 01D1G152485 Qualified in Suffolk County Commission Expires 09118/20�Z Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, Maureen Fritch P owners of the property identified as SCTM4 1000--139-1-4.2 in the town of Southold New York, hereby authorizes En-Consultants to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. N/A Prope y Owner's Signature Property Owner's Signature Maureen Fritch SWORN TO BEFORE ME THIS o2 DAY OF ct Dana J. Di Angelo Notary Public,State of New York No. OID16152485 Notary u is Qualified in Suffolk County Commission Expires 09/18/20 Board of Trustees Application AFFIDAVIT Joseph Fritch BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF 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,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. N/A S' ature of Pro/rertybwner Signature of Property Owner Joseph Fritch SWORN TO BEFORE ME THIS DAY OF �, , 20�0 _ Dana I Di Angelo Notary Public,State of New York No. Ol DIG 152485 No IiC Qualified in Suffolk County Commission Expires 09/18/201 ' Board of Trustees Application AFFIDAVIT Maureen Fritch BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT�FOR THE ABOVE DESCRIBED PERMITS)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT 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 BOARD OF 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,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. N/A Sign ore of Property Owner Signature of Property Owner Maureen Fritch SWORN TO BEFORE ME THIS_c DAY OF , 20�_ %,lna .I Di Angelo —X- D' "11blic, State of New Yorlr Not u 1 \No OID16152485 101t,di Fied in Suffolk County Commission Expires 09/18/20.q2, Dana J. Di Angelo Notary Public,State of New Yorlr No. O1 D16152485 Qualified in Suffolk County Commission Expires 09/18/20 0�a APPLICANUAGENUREPRESENTATIVE 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. YOURNAME: Fitch, Joseph (Last name,first name,piddle initial,unless you are applying to the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a-relaiionship with any offioerot employee of the Town of Southold? "Relationship"includes by blood,rrlarriage,or business interest"Business interest"means4business, including a partnership,in which the town ofMer or employee has even apartial ownership of(or employment by)n corporation in which the town officcr 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 applicantlagent/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 theshares of th6—corporate stock of the applicant . (when the applicant is a corporation); B)the legal or beneficial owner of any-interest in,a non-corporate entity_ (when the applicant is not a corporation); C}an officer,director, partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP i Submtted thisZBf` ay of � ;SvRY 20 ZO i S bmtt % Print Name OSe CI Form TS 1 APPLICANT/AGENUREPRESENTATI'E TRANSACTIONAL,DISCLOSURE FORM The To«m 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. YOURNAME: FrltCh, Maureen (Last name,first name,griddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee �— Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,rttarriage,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 officeir or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner•of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner df 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 2br^JC✓ 20x0 Signature 1-,M Print Name IVI ureen Fritch Form TS I At : EN7 -CONSULTANTS _ ; , �� MAR - 5 2020 PERMIT TRANSFER REQUEST er.;rd of T•:tees March 4, 2020 Town of Southold Board of Trustees Post Office Box 1179 Southold, New York 11971 Attn.: Elizabeth Cantrell Re: Wetland Permit#8858 975 Westview Drive,Mattituck SCTM#1000-139-1-4.2 Dear Board of Trustees: Please accept this letter as a request to transfer the above referenced permits from Cynthia Walsh to the current owners, Joseph&Maureen Fritch, whose address is 83 Brookside Drive, Manhasset, NY 11030. An application for Transfer of Permit and transfer fee of$50 are attached. SIcrly, Robert . Herrmann Coastal Management Specialist /khs Enc. 1319 North Sea Road I Southampton,New York 11968 p 631.283 6360 f 631283 6136 www.enconsultants com environmental consulting Glenn Goldsmithsident �O\OSV�F�(A�®G`=F? 'i Town Hall Annex Michael J. Domino, Viceesident- „� �J, 54375 Route 25 John M. Bredemeyer III o '` P.O. Box 1179 A. Nicholas Krupski o Southold, NY 11971 Greg Williams �a0! Telephone Fax (631 92 ) 765-6648 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: � �,'/ � //'f Completed infield by: En-Consultants on behalf of JOSEPH & MAUREEN FRITCH requests a Transfer of Wetland Permit #8858 from Cynthia Walsh to Joseph & Maureen Fritch, as issued on August,17, 2016, and Amended on March 20, 2019. Located: 975 Westview Drive, Mattituck. SCTM#: 1000-139-1-4.2 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 ,/ 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: -!Pi I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other � !/r Michael J.Domino,President �� F SOTown Hall Annex John M.Bredemeyer III,Vice-President ,`O l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski Q Telephone(631) 765-1892 Greg Williams O! Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 20, 2019 Robert Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: CYNTHIA WALSH 975 WESTVIEW DRIVE, MATTITUCK SCTM# 1000-139-1-4.2 Dear Mr. Herrmann: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, March 20, 2019 regarding the above matter: WHEREAS, En-Consultants on behalf of CYNTHIA WALSH applied to the Southold Town Trustees for an Amendment to Wetland Permit#8858 under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated February 4, 2019, 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 issued, a recommendation that the application be found to be Consistent-with the Local Waterfrod Revitalization Program policy standards, 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, 2 NOW THEREFORE BE IT, RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Wetland Permit#8858 to install two (2) 12" diameter tie-off pilings, and connect dock to water and electricity; and as depicted on the survey prepared by Fox Land Surveying, last dated January 15, 2019, and stamped approved on March 20, 2019. This is not a determination from any other agency. Sincerely, Michael J. Domino, President Board of Trustees MJD:dd Michael J.Domino,President ��OF SOUlyO 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 • Telephone (631) 765-1892 Greg Williams O Fax(631) 765-6641 enuffNl BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 20, 2019 Robert Herrmann En-Consultants 1319 North Sea.Road- Southampton, NY 11968 RE: CYNTHIA WALSH 975 WESTVIEW DRIVE, MATTITUCK SCTM# 1000-139-1-4.2 Dear Mr. Herrmann: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, March 20, 2019: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit#8858 from GCG Bayberry, LLC to Cynthia Walsh, as . issued on August 17, 2016. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please contact our office at (631) 765-1892. Sincerely, � � o Michael J. Domino, President Board of Trustees MJD/dd OFFICE LOCATION: ®� S®(/ryQl MAILING ADDRESS: Town Hall Annex ® P.O. Box 1179 54375 State Route 25Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) Southold,NY 11971 ® Telephone: 631765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: March 7, 2019 Re: LWRP Coastal Consistency Review for CYNTHIA WALSH SCTM# 1000-139-1-4.2 En-Consultants on behalf of CYNTHIA WALSH requests an Amendment to Wetland Permit#8858 to install two (2) 12" diameter tie-off pilings, and connect dock to water and electricity. Located: 975 Westview Drive, Mattituck. SCTM# 1000-139-1-4.2 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, the proposed action is recommended as CONSISTENT with the LWRP. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Damon Hagan, Assistant Town Attorney Peter Young,Chairman 4 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., March 13, 2019 the following recommendation was made: Moved by James Abbott, seconded by Caroline Burghardt, it was RESOLVED to SUPPORT the application of CYNTHIA WALSH to Amend Wetland Permit #8858 to authorize the installation of two (2) 12" dia. tie-off pilings, and connect dock to water and electricity. Located: 975 Westview Drive, Mattituck. SCTM#139-1-4.2 Inspected by: James Abbot, Peter Young, Caroline Burghardt Vote of Council: Ayes: All Motion Carried Town Hall John M.Bredemeyer III,Pre,,...,.., O���FQ��' 53095 Route 25 Michael J.Dommo,Vice-President ���' CtG P.O. Box 1179 f James F.King,Trustee Southold, New York 11971-0959 Dave Bergen,Trustee y Telephone (631) 765-1892 Charles J Sanders,Trustee +� Fax (631) 765-1366 BOARD OF TOWN TRUSTEES _ TOWN OF SOUTHOLD I fie 4 as i Boal(l LETTER OF REQUEST FOR AN AMENDMENT DATE February 1,2019 OWNER Cynthia Walsh PHONE 419-706-0814 ADDRESS 83 Brookside Drive,Manhasset,NY 11030 AGENT En-Consultants PHONE 631-283-6360 ADDRESS 1319 North Sea Road,Southampton,NY 11968 PROPERTY LOCATION 975 Westview Drive,Mattituck TAX MAP NO. 1000-139-1-4.2 I/We En-Consultants for Cynthia Walsh request an Amendment to Permit# 8858 to authorize the installation of two(2) 12"-diameter tie-off pilings,and connect dock to water and electricity,as depicted on the project plan prepared by Fox Land Surveying,last dated January 15,2019. Signed By: �( Robert E.He ann,Coastal Management Specialist 1 J ` Board of Truoteee App3feation AUTHORIZATION (Where the applicant is not the owner) I/We, Cynthia Walsh owners of the property identified as SCTM# 1000- 139-1-4 2 in the town of Southold New York,hereby authorizes En-Consultants to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. / N/A Prop 11sh w 's Signature Property Owner's Signature Cynthia SWORN TO BEFORE ME THIS _ DAY OF 20 WOOOHUL KIM 0 �ir plotasry Pubmc,state of Now York Notary Public No. 01KI623209 Quallfw in Nagea s county Ooassrosl lon Expires Dec 20,2®� Board of Trustees Application County of Suffolk State of New York Cynthia Walsh BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY-AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE. PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. n"/In, lk A I Vill m Wanj lgfi ,Cynthi Walsh SWORN TO BEFORE ME THIS /$ DAY OF e 20All �6 W® HKlM Notary Publde,State of Now York u v No.07K9323 .9 Notary Public Quafl fw in Nassau County G commission Expires,Dec 20,2®L APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The To-vm of S uthold's C def Et i ib't is i to ,t the of town o icers and m o ees. e o f this form is to provide information which can alert the town of possible conflicts of inlerest and allow it to take whatever action is necessary to avoid same. YOURNAME: Walsh,Cynthia (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other Of"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO )�, — If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a noncorporate 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 da offlA1Wr319f 209 Signature lu -117T1 ,47_ Print Name Cynth alsh Form TS I I 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 numose 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 Herrmann a Robot R (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person_ Describe the relationship between yourself(the appiicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent;or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); _____C)-an officer,director,partner;or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELA HONSHIP Submitted this 18th of December 20 18 Signature Print Name E. Herrmann Form TS I 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part I-Project Information.The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1 You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part I-Project and Sponsor Information Name of Action or Project: Walsh Dock Project Location(describe,and attach a location map): 975 Westview Drive,Mattituck,Town of Southold; SCTM#1000-139-1-4.2;property is located on west side of Westview Drive+/-270'south of Brower Road,location map attached. Brief Description of Proposed Action: Amend Permit#8858 to authorize the installation of two(2) 12"-diameter tie-off pilings,and connect dock to water and electricity,as depicted on the project plan prepared by Fox Land Surveying,last dated January 15,2019. Name of Applicant or Sponsor: Telephone: 516-506-5030 Cynthia Walsh E-Mail: cindywalshl@aol.com Address: 83 Brookside Drive City/PO: State: Zip Code: Manhasset New York 11030 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 X 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. X NYS DEC,USA COE 3.a.Total acreage of the site of the proposed action? 21,533 sf b.Total acreage to be physically disturbed? N/A c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 21,533 sf ; 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 4 5. Is the proposed action, NO YES N/A a A permitted use under the zoning regulations? X b. Consistent with the adopted comprehensive plan9 X 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? X 7. Is the site of the proposed action located in, or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: X 8. a Will the proposed action result in a substantial increase in traffic above present levels? NO YES X b.Are public transportation service(s)available at or near the site of the proposed action? X c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? X 9. Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: X 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: N/A 11.Will the proposed action connect to existing wastewater utilities9 NO YES If No,describe method for providing wastewater treatment N/A 12. a. Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? b. Is the proposed action located in an archeological sensitive area? X X 13. a. Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? X b. Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: The two X proposed tie-off piling will encroach upon approximately 2 sf of Mattituck Creek. 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 government as threatened or endangered? X 16. Is the project site located in the 100 year flood plain? NO YES X 17. Will the proposed action create storm water discharge,either from point or non-point sources9 YES If Yes, a. Will storm water discharges flow to adjacent properties? ❑NO❑YES b Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO❑YES Page 2 of 4 18. Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: X 19. Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: X 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: X I AFFIRM THAT THE FORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name. bert E.Herrmann,Coastal Mgmt. Specialist Date: January 31,2019 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 create a material conflict with an adopted land use plan or zoning regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic, archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, / waterbodies,groundwater,air quality,flora and fauna)? J Page 3 of 4 No,or Moderate small to large impact impact may may occur 10. Will the proposed action result in an increase in the potential for erosion, flooding or drainage problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance.The Lead Agency is responsible for the completion of Part 3.For every question in Part 2 that was answered"moderate to large impact may occur", or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact, please complete Part I Part 3 should, in sufficient detail,identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts.Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration, irreversibility,geographic scope and magnitude.Also consider the potential for short-term, long-term and cumulative impacts. ❑ 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 environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts. Southold Board of Trustees // % / 9 Name of Lead Agency Date RAIn.hme1 Jo Domino Print or Type N me o spo sible Officer in Lead Agency Title of Responsible Officer Signature of Re ponsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) Page 4 of 4 t5,Z.: �� "- G_J •; ', !" _- P\G°CVs o<' 35, IFt.F OREGON �a <� `.,�, Bidwell neyard `°t' (� ��\�y\ stellDdDrghePa\`oa ® F4�t VI rds6 ery , Bath each EAcN �gN Sherwood House �s _ .. F ' $ OPO 9 �\ Y S pPP N Vineyards c, Park/ P PJ Ons, z �A EAST ATTITUCK N 84 cl 0 49 \' " 25O�k Pellegn Vmeyar SELAH BAYVIEW i JIA Lo .AM1�ty PP° �� �'D(`oi yN �-'` � c2-1 CtOq - DOE o'(P SOP (i G O \ 1. 2 DR �, ° •.,- ACHSON � FOXRNQv D� Matutuck o AZALEA o 9=a HS y�x a9O�y HD O- j 5ite(Access Via 9 Lu Propert�{) iy� '` \�'lO y O 5 xn eR m Museu Pp- �n EP°q O'2 a -� Q��-' y� "c Este o v of v �o o[[rP o ' s� t c PP O 3 84 oMATTITUCK 9ONy NOPtON A Sta J Cam EW �, K,"n A : ''. O GUPTON POIN TPx 25 v °o sly oR �'' s1 DR a - -- Ueb Family [ L CellarsMatutuc! �Cree� I- �v -.AHpOrt, CENTER _Marratooka 5l,lffdk Count{Hag5t-om Map#45 OQ E LEGION A�\9 '� KRAUS RD tJ°�S i p0� �',� .:� •- r 1, -+2,0001 W�{� 25 c���, P\\ °�°,0�� � O PMI �• �T~' ,�� OOpPR �'�; fJ `''`7' Fi OPFY�f�+3''gLIZsf� bL`1 �P MNN 90 8P ct m���_ L 7'15' 23 . f ''.. ..72°30' E3,D3; ,3 , }�.` "1- ��` - - ,?n e •x,1.5 - 'ip••, ..��' f,� V•+� s� i'._:�,.a... :.`d:.�L.b.a..1.s.�w_�..,_s_4.r,...,.,.,^�.../>�a '•c..^;� s���. s..� i �. - � �',i.. - - - ..{: NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: Cynthia Walsh SCTM#1000-139-1-4.2 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: Request an Amendment to Permit#8858 to authonze the installation of two(2) 12"-diameter tie-off pilings,and connect dock to water and electricity,as depicted on the project plan prepared by Fox Land Surveying,last dated January 15,2019. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 975 Westview Dnve,Mattituck 3. That the project which is subject to Environmental Review under Chapters 96,111 and/or 275 of the Town Code is open to public comment on: DATE: Wednesday,March 20,2019 @ 5:30 p.m You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. Cynthia Walsh PROPERTY OWNERS NAME: 83 Brookside Drive MAILING ADDRESS: Manhasset,NY 11030 PHONE #: 419-706-0814 AGENT: En-Consultants MAILING ADDRESS: 1319 North Sea Road, Southampton,NY 11968 PHONE #: 631-283-6360 Enc: Copy of sketch or plan showing proposal for your convenience. I _ , SECTION o • • e • a ■ Complete items 1,2,and 3. t ❑Age ■ Print your name and address on the reverse ressee so that we can return the card to you. i _ ■ Attach this card to the-back-of the mailpiece, Rec ved y(Pante Mame) �- C.C. a e f elivery o or on the front if space permits. / '! 1. Article Addressed to: RD. Is delivery address; re o�p�g ❑Yes If YES,enter iiefiv�dErrss<t I ` ❑No Up p s Nick&'Kay Giakoumis 684 Park Avenue 3. Service Type ❑Priority Mail Express(D ❑Adult Signature ❑Registered Ma lTM Manhasset,NY 11030 ❑AAlt Signature Restricted Delivery ❑Registered Mail Restricted i5.Gertified Mail® Delivery ❑Certified Mail Restricted Delivery ❑Return Receipt e ei t for __ --- ❑Collect on Delivery �')elivery Restricted Delivery ElSignature ConfirmationTm ; 2- 11 ❑Signature Confirmation 7018 , 1830-0002 , 0062 2901 i Restricted Delivery, ,Restricted Delivery ! I iii i} l, ;%+ i Pb Form13811,July 2015 PSN 7530=02-000-9053 F'. Domestic Return Receipt � f • • • o • e • ■ Complete items 1,2,and 3. lRe ture X Agent ■ Print your name and address on the reverse ❑Addressee so that we can return the card to you. ■ Attach this card to the back of the mailpiece, Bved by(Printed Name) C. Date of Delivery f or on the front if space permits. D. Is delivery address different from item 17 ❑Yes i -� 1. Article Addressed to: ry k If YES,enter delivery address below: ❑No l t i I James,Murphy 560 Greton Court 3. Service Type ❑Priority Mall Express® NY 11952 ❑Adult Signature ❑Registered MajlTM Mattituck , ❑J;ldu Signature Restricted Delivery ❑ Restricted Mail Restricted�++ Certified Mall® Delivery t ❑Certified Mall Restricted Delivery ❑Return Receipt for 1 ❑Collect on Delivery Merchandise _- _ ------ -' --Delivery Restricted Delivery ❑Signature ConfirmationTM ; ❑Signature Confirmation 70 : 18=3 0 '0 0 0'2 0 0 6 2 .2`8 8 8 • � : i Restdcled Defivgry `; ; Restricted Delivery I over Domestic Return Recei t 4 s PS F6`rrrii381$,`July 2015 PSNJ53i]=02-000-9053 p PROOF OF MAILING OF NOI E ATTACH CERTIFIED MAIL RECEIPTS Name: Address: SCTM#1000-139-1-4.1 684 Park Avenue Nick&Kay Giakoumis Manhasset,NY 11030 SCTM#1000-139-1-17 905 Westview Drive Judith Kaufman-Weiner Mattituck,NY 11952 SCTM#1000-139-1-5 560 Greton Court James Murphy Mattituck,NY 11952 SCTM#1000-139-1-16 780 Westview Drive Joseph&Virginia Doherty Mattituck,NY 11952 STATE OF NEW YORK COUNTY OF SUFFOLK Robert E.Hemnann doing business at En-Consultants 1319 North Sea Road Southampton,NY 11968 , being duly sworn, deposes and says that on the 7trh day of March ,20 19 , 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 their respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at Southampton , that said Notices were iled to each of said persons by (certified)(ragkkm edc) mail. Robert E.He ann Coastal Managment Specialist Sworn to before me this 7th day of March ,20 19 KIM H , STEPHENS ` NOTARY PUBLIC STATE OF NEW YORK COMMISSION N0 . 5015931 Not Public OUALIFIEO IN SUFFOLK COUNTY EXPIRES AUGUST 2 , 20a'Lj Michael J.Domirto,President �QS�¢FQl Town Hall Annex John M. Bredemeyer III,Vice-President ���0 Gy�� 54375 Route 25 Glenn Goldsmith h. P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams q4., 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 CYNTHIA WALSH COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING THIS FORM IS TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE 1, Robert E. Herrmann , residing at/dba En-Consultants 1319 North Sea Road., Southampton, NY 11968 being duly sworn, depose and say: That on the 12t1i'day of March 52019 , I personally posted the property known as 975 Westview Drive, Mattituck; SCIM #1004-139-1-4.2 by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday, March 20, 2019. Dated: (sign to Sworn to before me this 20th day of�Ihrch.20jq XJ� otary lic IM H , Hfi€PH€NS NOTARY PUBLIC STATE OF NEW YORK COMMISSION No . 5015931 HALiFIED IN SUFFOLK COUNTY EXPIRES AUGUST 2 , 20 I " U.S..Postal ServiceT! Posta[Service"' 13 RECEI - CERTIFIED o - - C3 .. a Er .. mesU6 Mail On U, ly e ru 77A OCertified Mail Fee O 7ervices& O $ Extra Services&Fees(checkbox,add fee as appropriate) C3 �•• box,add fee as appropriate) ru ❑Return Receipt(hardcopy) $ O�, !Q ❑Return Receipt(hardcopy) $ O ❑Return Receipt(electronic) $ % Pos ry1 �'�-•"��� 0 ❑Return Receipt(electronic) $ ED ❑Certified Mall Restricted Delivery $ f ` - HBree , Q ❑Certified Mall Restricted Delivery $ 0 E]Adult Signature Required $ V 0 []Adult Signature Required $ �,`• _ []Adult Signature Restricted Delivery$i� 1 L�• f� ❑ �p E Adult Signature Restricted Delivery$ m Postage O " nl Postage cc $ U r=1 Total Posi — - — Q` CO $ —�_� Total Pr------^ CO $ CO co $ Sent To Nick&Kay Giakoumis Sent Te Street an 684 Park Avenue i______ o ! Judith Kaufman-Weiner Manhasset,NY 11030 Streets 905 Westview Drive ctiy s�aie, Mattituck NY 11952 I 11 1 11 I11• -- - - - J Ilift I _I -- e . _ CERTIFIED MAIL@ �� • o RECEIPTLOAl l 0• - I Ic0 CERTIFIED MAIL 'DomestiaMail-Only- ru WCO rU For delivery sx •._, � information, • website U t ; ' ( .A Certified MaFee C3 Certified Mad Fee 0 ==re Extra Services&Fees(checkbox,add fee as appropriate) p $ rU ❑Return Receipt(hardcopy) $ 1- !r ��� Extra Services&Fees(checkbox,add fee as appropriate) �e N ❑Return Receipt(hantcopy) $ v� p To ❑Return Receipt(electronic) $ f 1 _ ,Postma r3 ❑Return Receipt(electronic) $ Postmark / M ❑Certified Mall Restricted Delivery $ - - HergQ 0 ❑Certified Mall ResMcted Delivery $ <Here IM E]Adult Signature Regmred $ �r o1� 2 E]Adult Signature Required $ p r3 ❑Adult Signature Restricted Delivery$ I .p,� - ❑Adult Signature Restricted Delivery$ Postage1 }1 Q f7l \ � m Postage r�-1 Total Post - -- r —� �?� I CO Total Posta --- — — $ rss�v 1 1 CO Sent To Joseph&Virginia Doherty � CO $ rssar sreefe;,d 780 Westview Drive Sent To ! James Murphy IC3Sf�eeisnidl _____Stat_ Mattituck,NY 11952 r` 560 Greton Court Mattituck NY 11952 Cary,State, ------ Y I ' � Crf,State, , I � ' - I I 111•1 - - 1 NUTILt: Uim HtAKING 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: CYNTHIA WALSH SUBJECT OF PUBLIC -HEARING : For an Amendment to Wetland Permit #3353 to install two (2) 12" diameter tie-off pilings, and connect dock to water and electricity. Located : 975 Westview Drive, Nlattituck. sCTIVI# 1000-139-1 -4.2 TIME & DATE OF PUBLIC HEARING : Wednesday, March 20, 2019 — 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 B a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1392 i Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this 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 si nig ficant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 139 - 1 - 4.2 PROJECT NAME Cynthia Walsh The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital ❑ construction, planning activity, agency regulation, land transaction) (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and extent of action: Amend Permit#8858 to authorize the installation of two(2) 12"-diameter tie-off pilings,and connect dock to water and electricity,as depicted on the project plan prepared by Fox Land Surveying,last dated January 15,2019. Location of action: 975 Westview Drive,Mattituck Site acreage: 21,533 sf Present land use: Single family residential Present zoning classification:R-40 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: Cynthia Walsh (b) Mailing address: 83 Brookside Drive Manhasset,NY 11030 (c) Telephone number: Area Code 516-506-5030 (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? NYSDEC,USACOE C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. ❑Yes ❑ No ® Not Applicable 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 1:1 No VN 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 ® 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 ® Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. ®Yes ❑ No ❑ Not Applicable Installation of the two proposed he-oif pilings to secure an approximately 56'long vessel docked on the seaward side of the existing permitted floating dock facility would not result in the physical loss,degradation,or functional loss of ecological components or have any other significant adverse impacts on the waters of Mattituck Creek. 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® Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ® Yes ❑ No F—1 Not Applicable The proposed tie-off pilings would be located in line with the seaward limit of the existing floating dock,and the outer pile would be located well more than twice the code-required 15'lateral distance from the extended southerly property line. Therefore,the addition of the piles would not create a navigation hazard or otherwise obstruct or affect public access to or recreational use of the surrounding waterway. Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southi'� 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 ❑ Not Applicable Installation of the two proposed tie-off pilings would not alter or adversely unpair the surrounding community character,water use,or scenic quality of the surrounding environs of Mattituck Creek,which is 1)heavily characterized by dockage facilities(including those with tie-off piles);and 2)recognized by the LWRP as a regional maritime center where construction and use of piers facilitating water dependent use by recreational vessels is encouraged. Attach additional sheets if necessary Policy It. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ❑Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable PREPARED BY TITLECoastal Management Specialist DATE 1/31/19 Robeft RNUerrmann Amended on 811105 5 ;i4 nom. EN-CONSULTANTS PERMIT AMENDMENT REQUEST February 1, 2019 Sr lt In, Town of Southold Board of Trustees } 3 `:i_ ) Post Office Box 1179 FEB — 4 2019 Southold,New York 11971 Re: Permit#8858 ,_ 975 Westview Drive, Mattituck SCTM#1000-139-1-4.2 Dear Board of Trustees: Please accept this letter as a request to amend the above referenced permit as described on the enclosed Letter of Request for Amendment. Enclosed for review are four copies of: 1. Application for Letter of Request for Amendment, 2. Short Environmental Assessment Form, 3. LWRP Consistency Assessment Form, 4. Survey prepared by Fox Land Surveying, last dated January 15, 2019, and 5. A copy of the US Army Corps of Engineers Permit#NAN-2009-01400-MI. The permit amendment fee of$50 was previously submitted. Since ely Ro e . Herrmann Coastal Management Specialist /khs Enc. 1319 North Sea Road I Southampton,New York 11968 1 p 631283 6360 1 f 631283 6136 www enconsultants.com environmental consulting 1319 North Sea Road,Southampton,NY11968 Office(631)283-6360 Fax(631)283-6136 Email:encon@enconsultants.com EN-CONSULTANTS JAN o 8 2019 l+ emo To: Attn: Elizabeth Cantrell lfl Southold Town Hall Annex - - 54375 Main Rd. P.O. Box 1179 Southold, NY 11971 From: Mary Egan,Accounts Manager Date: 1/3/2,019 Re: Cynthia Walsh-975 Westview Drive, Mattituck,SCTM#1000-139-1-4.2 Enclosed is our check no. 7558 for$100 for the permit transfer and amendment application fees due on the above referenced property/property. Please contact me if you have any questions. 0 Page 1 0 4 EN-CONSULTANTS PERMIT TRANSFER&ADMINISTRATIVE AMENDMENT REQUEST December 18, 2018 DP In"]t S t Town of Southold Board of Trustees C 19 2018 1 Post Office Box 1179 Southold, New York 11971 Re: Permit#8858 975 Westview Drive, Mattituck SCTM#1000-139-1-4.2 Dear Board of Trustees: Please accept this letter as a request to transfer the above referenced permit from GCG Bayberry, LLC to the current owner of record, Cynthia Walsh, whose address is 83 Brookside Drive, Manhasset,NY 11030; and then administratively amend it as described on the enclosed Letter of Request for Amendment. Enclosed for review are a copy of Permit#8858, Certificate of Compliance#1451 C, application for Letter of Request for Amendment, four(4) copies of the project plan prepared by Fox Land Surveying, dated December 7, 2018, and a check for the transfer and amendment fees of$100. Sinc rely, Robert E. Herrmann Coastal Management Specialist /khs Enc. 1319 North Sea Road Southampton,New York 11968 p 631.283.6360 f 631.283.6136 www.enconsultants com environmental consulting i *16 SOU Town Hall Annex Michael J.Domino,President j' _ '` i John M.Bredemeyer III,Vice President }" e 54375 Route 25 i � � � P.O.Box 1179 Glenn Goldsmith LEI, Southold,New York 11971 A.Nicholas Krupski `c%i, q Telephone (631) 765-1892 Greg Williams `i�r4 �' Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD r APPLICATION FOR A TRANSFER OF A 'WETLAND PERMIT 58 Pleasant Ridge Road DATE December 18, 2018 ; t Cynthia Walsh OWNER PHONE 419-706-0814 MAILING ADDRESS 83 Brookside Drive, Manhasset, NY 11030 AGENT En-Consultants PHONE 631-283-6360 ADDRESS 1319 North Sea Road, Southampton, NY 11968 PROPERTY LOCATION 975 Westview Drive, Mattituck TAX MAP NO. 1000-139-1-4.2 I/We En-Consultants for Cynthia Walsh request a Transfer of Permit# 8858 from GCG Bayberry, LLC to Cynthia Walsh. Signed By: Robert E. Herrmann, Coastal Management Specialist J Town Hall John M.Bredemeyer III,Presju.a� pg �FO��- 53095 Route 25 Michael J Domino,Vice-President b�' �d� P.O. Box 1179 James F.King,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee y Charles J.Sanders,Trustee w Telephone (631) 765-1892 �' , Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD - AUCUS RATIVE LETTER OF REQUEST FOR AN AMENDMENT DATE December 18,2018 OWNER Cynthia Walsh PHONE 419-706-0814 ADDRESS 83 Brookside Drive,Manhasset,NY 11030 AGENT En-Consultants PHONE 631-283-6360 ADDRESS 1319 North Sea Road,Southampton,NY 11968 PROPERTY LOCATION 975 Westview Drive,Mattituck TAX MAP NO. 1000-139-1-4.2 Administrative , 8858 1/We En-Consultants for Cynthia request'an Amendment to Permit# to authorize the installation of two(2) 12"-diameter tie-off pilings,and connect dock to water and electricity,as depicted on the project plan prepared by Fox Land Surveying,dated December 7,2018. Signed By: Robert E.Herrmann,Coastal Management Specialist Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, Cynthia Walsh owners of the property identified as SCTM# 1000- 139-1-4.2 in the town of Southold ,New York,hereby authorizes En-Consultants to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. N/A Prop rt wn 's Signature Property Owner's Signature Cynthia Ish SWORN TO BEFORE ME THIS DAY OF ,20WOOCHUL KIM fj D �ir Fjotery Publlo,State of 1lfew York Notary Public No. 01KI6232939 Qualified in Nassau County Commission Expires Doc 20,20� Board of Trustees Application County of Suffolk State of New York Cynthia Walsh BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. K, A I Eafh i � avu , 7-- rlgna CCynthi Walsh SWORN TO BEFORE ME THIS r DAY OF e!C 20 (6 P WOOCHUL KIM Notary Public,State Of NOW York u No. 01K162329,39 Notary Public Qualified in Nassau County/ Commission Expires Dec 20,Z®� APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethicsprohibits confliccil of interest on the Bart of town officers and employees The nurse of this form is to nmvide information which can alert the town of possible conflicts of interest and allow it to lake whatever action is necessary to avoid sante. YOUR NAME: Walsh,Cynthia (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building _ Variance Trustee X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other Of"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation),- an orporation);an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted thisda of 204 49 Signature : a Print Name Cynth alsh Form TS 1 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAI. 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 Her= (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name) NAME OF APPLICATION: (Check all that apply) Tax grievance Building Variance Trustee X 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 X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person__ Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation), C)an officer,director,partner,or employee of the applicant,or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 18 f December 2018_ Signature Print Name E. H Form TS 1 Cantrell, Elizabeth From: Robert Herrmann <rherrmann@enconsultants.com> Sent: Friday, March 15, 2019 1:21 PM To: Cantrell, Elizabeth Cc: DiSalvo, Diane Subject: Next Week's Meeting Elizabeth, I'm writing to let you know that Kim will be attending next week's meeting for the purpose of representing the Walsh dock and Honig bulkhead applications. So while the project contractors will also be there to answer any technical questions that may arise, she will be able to submit the affidavits of posting/green cards and speak on behalf of the applicants. Best, Rob Robert E.Herrmann,MEM Coastal Management Specialist En-Consultants 1319 North Sea Road Southampton,NY 11968 Phone: 631-283-6360 Fax:631-283-6136 Email:rherrmann@enconsultants.com www.enconsultants.com 1 Michael J. Domino, Presidento�QS�FFO(�10 Town Hall Annex John M Bredemeyer III,Vice-President yam,` 54375 Route 25 Glenn Goldsmith y :: P.O.Box 1179 A.Nicholas Krupski .P ' Southold,NY 11971 Greg Williams �'�� p Telephone(631)765-1892 � Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 3A­_-, )e� S,,2-5 Completed infield by: En-Consultants on behalf of CYNTHIA WALSH requests a Transfer of Wetland Permit#8858 from GCG Bayberry, LLC to Cynthia Walsh, as issued on August 17, 2016. Located: 975 Westview Drive, Mattituck. SCTM# 1000-139-1-4.2 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: d)< �o "1'iG h.,,'Y e,c. XiS�etl q i�1Cn GF`�S AgA 16 on I have read & acknowledged the foregoing Trustees comments: Agent/Owner: / Present were: J. Bredemeyer M. Domino ✓ G.Goldsmith N. Krupski G. Williams Other Michael J. Domino,President '' �Q$uEFOLI e0' 1^ Town Hall Annex John M. Bredemeyer III,Vice-President ,i�� GyJ, 54375 Route 25 Glenn Goldsmith co P.O.Box 1179 A.Nicholas Krupski 0 Southold,NY 11971 Greg Williams 'yyp� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES - TOWN OF SOUTHOLD Date/Time: 311211-9 !ZS Completed in field by: �. ��l Asr[A En-Consultants on behalf of CYNTHIA WALSH requests an Amendment to Wetland Permit #8858 to install two (2) 12" diameter tie-off pilings, and connect dock to water and electricity. Located: 975 Westview Drive, Mattituck. SCTM# 1000-139-1-4.2 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: 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: I \j,� I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino ✓ G. Goldsmith N. Krupski G.-Williams Other DEPARTMENT OF THE�1-m.'.Y � f U.S.ARMY CORPS OF ENGINEERS,NEW YORK DISTRICT JACOB K.JAVITS FEDERAL BUILDING 26 FEDERAL PLAZA NEW YORK NEW YORK 10278-0090 REGULATORY BRANCH JAN 2 5 2019 SUBJECT: Modification of Department of the Army Permit No. NAN-2009-01400-M1 Issued to Walsh, Cynthia PERMITTEE Cynthia Walsh 83 Brookside Drive Manhasset, NY 11030D(� 6 E1 L�.+0 1�s} (631) 424-1646 4 I u 1. Reference is made to: Po ;r,nf; a. Department of the Army permit NAN-2009-01400 issued January 25, 2013; b. Department of the Army permit NAN-2009-01400-M 1 issued November 10,2015; c. Permittee's permit modification request dated, December 19, 2018 and received on December 27, 2018 2. In accordance with the provisions of Section 10 of the Rivers and Harbors Act(33 U.S.C. 403), you were issued Department of the Army Permit Number NAN-2009-01400 (Reference 1a) by the District Engineer on January 25, 2013. This permit authorized the construction of a 4-foot-wide by 15-foot-long ramp leading to a 4-foot-wide by 75-foot- long fixed walkway up to a 3-foot-wide by 20-foot-long ramp and a 6-foot-wide by 20- foot-long float in Mattituck Creek at 975 Westview Drive in the Village of Mattituck, the Town Southold, Suffolk County, New York. On November 10, 2015, this office issued NAN-2009-01400-M1,(Reference 1 b) which granted a three year extension for the permit construction period with the expiration date of January 25, 2019. 3. In a letter dated December 19, 2018 and received on December 27, 2018 (Reference 1c), the permittee's agent, Robert Herrmann of En-Consultants requested modification of permit NAN-2009-01400-M1 to install two (2) 12-inch-diameter mooring pilings approximately 20 and 35 feet south of and not extending further into the waterway than the existing float, a permit transfer from Roger Praetorius to Cynthia Walsh and a permit extension to complete construction. 4. This modification has been determined to be minor in nature due to there being no changes in the scope of work. Based upon our evaluation of the administrative record supporting the issuance of the subject permit, and based upon our review of the permittee's submitted materials, you are authorized to install two (2) 12-inch-diameter mooring pilings approximately 20 and 35 feet south of and not extending further into the t r REGULATORY BI.,,ACH JAN 2 5 2019 SUBJECT: Modification of Department of the Army Permit No. NAN-2009-01400-M1 Issued to Walsh, Cynthia 2 waterway than the existing float as proposed in the submitted drawings titled, "Survey for: James Walsh & Cynthia Walsh At Mattituck Town of Southold Suffolk County, New York" by David H. Fox, L.S. P.C. of Fox Land Surveying, a permit transfer from Roger Praetorius to Cynthia Walsh and a permit extension to July 25, 2020.- 5. All other terms, General Conditions, and Special Conditions of the issued Department of the Army permit shall remain in effect. 6. The subject permit shall now be known as Department of the Army Permit Number NAN-2009-01400-M2. 7. This modification letter shall be added to all copies of the subject issued Department of the Army permit, including those at any work sites. 8. If any questions should arise concerning this matter, please contact William T. Bruno, of my staff, at (917) 790-8516. Sincerely, For and In be of Thomas D. Asbery Colonel, U.S:Army , Commander Enclosures 1. DA Permit Number NAN-2009-01400 2. DA Permit Number NAN-2009-01400-M1 Copy furnished: En-Consultants Attn: Robert E. Herrmann 1319 North Sea Road Southampton, NY 11968 NAN-2009-01400-M2 survey for: 2.92 PLAN VIEW: SCALE: 1"=50' JAMES WAL SH & CYNTHIA WALSH w �^ At 4G oetoi�s Matt2tuCk J T'-'* of Pt vx. �gN Town of Southold Suffolk County, New York �o- N ,�'� •,,•� Z ,� S.C.T.M.. 1000-139.00-01.00-004.002 4.85 011 •1.36 1 b ♦-5.23+..3 I@ 1.80 7 95 t t 1 } 5 1 4 �► d NOTES: .72 36 0.42 •-4.94 ' '-1.04 13i41oe<_ 1. AREA = 21,533 S.F. 722` t' �, r� \F00 2. ■= MONUMENT FOUND, = STAKE SET, NS: m ,p e6 -11 0= PfPE FOUND. mf° DovCA soa� 3. WATER DEPTHS ARE REFERENCED TO MMLW. 061 end 5.21 0.35 +133 i GC�6 „pt ��•_540 ''''; , g� { aotR` DATE: DEC. 07, 2018 row= V 1• J,OB NO:2018-674 1 117.5fi p, tJ ` y L( 494 .• -- , -1.19 + 037 0 U 0 �• �+.F7` CO +-4.4t 84 J 4.63 Fa 7.63 -1.34 {' n + -019 • _165 r tl _5,17 ,,w SECTION: k ✓ •. ,.m SCALE: 1"=20' NOTE: ALL HARDWARE GALVANIZED - - k ` ALL PPROOVEID`LISTOM DAVID H. FOX;t$ P.C: 'k,YILS. #50234 FLOAT DOCK _ - (B'x2O') 4':75' 3.5' ABOVE FOX LAND SURVEYING RAMP GRADE OF WEST EDGE LES (3'x20') RAMP 64 SUNSET AVENUE SET ON I ACE (4'x15') WESTHAMPTON BEACH, N.Y. 11978 OF FLOAT HW (631) 288-0022 Lw -���--�••,- -• __ _ = s-_ —_ ———l EDGE OF WETLANDS UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY G 801-TOAh -- IS A VIOLATION OFSECTION 7209 OF THE NEW YORK STATE EXISTN EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING _�� THE LAND SURVEYOR'S INKED SEAL OR EM SEAL- EL- -5.4 B'DIA PILES SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. (10.5'O/C) CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS PROPOSED BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY �e AND LENDING INSTITUTION LISTED HEREON AND TO THE 12" PILES A "7 ASSIGNEES OF THE LENDING INSTITUTION CERTIFICATIONS JAN 5 ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS, age1 of 1 DEPARTMENT OF THE A U.S.ARMY CORPS OF ENGINEERS,NEW YORK DISTRICT � 1 JACOB K.JAVITS FEDERAL BUILDING 26 FEDERAL PLAZA NEW YORK NY 10278-0090 REGULATORY BRANCH NOV 1 0 21.15 SUBJECT Request for Permit Modification of Department of the Army Permit Number NAN-2009-01400 Issued to Roger Praetorius Roger Praetorius 4155 County Route 91 Jamesville, New York 13078 (631) 424-1646 Dear Mr. Praetorious In accordance with the provisions of Section 10 of the Rivers and Harbors Act (33 U.S.C. 403'), you were issued Department of the Army Permit Number NAN-2009- 01400 by the District Engineer on January 25, 2013. This permit authorized the construction of a 4-foot-wide by 15-foot-long ramp leading to a 4-foot-wide by 75-foot- long fixed walkway up to a 3-foot-wide by 20-foot-long ramp and a 6-foot-wide by 20- foot-long float in Mattituck Creek in the Village of Mattituck, the Town Southold, Suffolk "County, New York The.New York District has reviewed your submittal dated October 8, 2015 in which you requested a three year extension for the permit construction period with the original expiration date of January 25, 2016 This modification has been determined to be minor in nature due there being no changes in the scope of work. Based upon our evaluation of the submitted materials, we hereby approve your request to modify the subject permit, and the modification of this permit shall be known as Department of the Army Permit Number NAN-2009-01400-M1. You are authorized for a three year extension, with the permit modification new expiration of January 25, 2019. All other permit conditions to which the authorized work -- - - -kYaS madti-subjec-#shell-,err-rain-in-effec-t.T-his-lettw=s-a-!!-madded--te-al!-Gapes-efthe permit, including those at the work site In order for us to better serve you, please complete our Customer Service Survey located at: http://www.nan.usace.army.m!I/Missions/Requlatory/CustomerSuryeV aspx. If you have any questions regarding this matter please feel free to contact Amanda M. Switzer, of my staff, at (917) 790-8618. Since 19, For a d t1 beh of David A—C_aldwell Colonel, U.S. Army Commander *I, DEPARTMENT OF THE ARMY " NEW YORK DISTRICT,CORPS OF ENGINEERS JACOB K.JAVITS FEDERAL BUILDING NEW YORK,N.Y.10278-0090 REPLYTO JAN 2 5 2013 ATTENTION OF: Regulatory Branch-Eastern Permits Section SUBJECT: Department of the Army Permit Number NAN-2009-01400 Issued to Roger Pretorius - -Roge-r--Praetor-ius- - - - - - - - - - -- - --- - -- -- - - - - - - - 4155 County Road 91 Jamesville, NY 13078 Dear Mr. Praetorius: We have completed our review of Application Number NAN- 2009-01400-EST. Pursuant to Section 10 of the Rivers and Harbors Act of 1899 (33 USC 403)., you are hereby authorized by the Secretary of the Army: ACTIVITY: Construction of a 4-foot-wide by 15-foot-long ramp up to a 4-foot-wide by 75-foot-long fixed walkway, onto a 3-foot-wide by 20-foot-long ramp, leading to a 6-foot-wide by 20-foot-long float . All work shall be done in accordance with the attached plans, subject to Special Conditions 1 and 2 which are hereby made part of this permit. WATERWAY: Mattituck Creek LOCATION: Village of Mattituck, the Tonin Southold, Suffolk County, New York The activity authorized herein must be completed within three years of the date of this permit. This authorization is subject to the enclosed conditions . Please find enclosed two forms to be used to submit to this office, as required, the dates of commencement and completion for the authorized activity. Please note that this verification is based on a preliminary jurisdictional determination (JD) . A preliminary JD is not appealable. If you wish, prior to commencement of the authorized work you may request an approved JD, which may be appealed, by contacting the New York District, U. S. Army Corps PERMITTEE: Roger Praetorius PERMIT NO. : NAN-2009-01400 wavewash and the permittee shall not hold the United States liable for any such damage. In order for us to better serve you, please complete our Customer Service Survey located at: http: //per2 .nwp.usace.army.mil/survey.html If any questions should arise concerning this matter, please contact Leo Strogach, of my staff, at (917) 790-8533 . Sincerely, and in behalf of Paul E. Owen Colonel, U. S. Army Commander Enclosures 3 PERMITTEE: Roger Praetorius PERMIT NO. : NAN-2009-01400 of Engineers for further instruction. To assist you in this decision and address any questions you may have on the differences between preliminary and approved jurisdictional determinations, please review U. S . Army Corps of Engineers Regulatory Guidance Letter No. 08-02, which can be found at: http: //www.usace.army.mil/CECW/Documents/cecwo/reg/rgls/rgl08-02.pdf -- - This- letter-contains an-initial proffered permit -for-your activity. If you object to this permit decision because of certain terms and conditions therein, you may request that the permit be modified accordingly under Corps regulations at 33 CFR 331. Enclosed you will find a combined Notification of Appeal Process (NAP) and Request for Appeal (RFA) form. If you object to this permit decision you must submit a completed RFA form to the New York District Office at: Jodi M. McDonald Chief, Regulatory Branch New York District Corps of Engineers 26 Federal Plaza, Room 1937 New York, New York 10278-0090 In order for an RFA to be accepted by the Corps, the Corps must determine that it is complete, that it meets the criteria for appeal under 33 CFR Part 331. 5, and that it has been received by the District Office within 60 days of the date of the NAP. Should you decide to subm' a fFq&1jorm, it must be t�R received at the above address by �`GL0 It is not necessary to submit an RFA form to the District Office if you do not object to the permit decision in this letter. The authorized activity must be performed in accordance with the enclosed plans. If any material changes in the location or- plans of the subject work are found necessary, revised plans should be submitted to the District Engineer. These plans must receive the approval required by law before work begins. Notice is hereby given that the permittee should recognize that a possibility exists that the structures permitted herein may be subject to wavewash from passing vessels. The issuance . of this permit does not relieve the permittee from taking all proper steps to insure the integrity of the structures permitted herein and the safety of boats moored thereto from damage by 2 PERMITTEE: Roger Praetorius PERMIT NO. : NAN-2009-01400 PERMIT CONDITIONS: NOTE: The term "you" and its derivatives, as used in this permit mean the permittee or any future transferee. The term "this office" refers to the appropriate district or division office of the Corps of _ __Engineers_haying jurisdiction_ over. the _permitted activity_ or appropriate official of that over under the authority of the commanding officer. GENERAL CONDITIONS: 1. The time limit for completing the work authorized ends within three years of the date of this permit. If you find that you need more time to complete the authorized activity, submit your request for a time extension to this office for consideration at least four months before the date is reached. 2. You must maintain the activity authorized by this permit in good condition and in conformance with the terms and conditions of this permit. You are not relieved of this requirement if you abandon the permitted activity, although you may make a good faith transfer to a third party upon written notification to this office. Should you wish to cease to maintain the authorized activity or should you desire to abandon it without a good faith transfer, you must obtain a modification of this permit from this office, which may require restoration of the area. 3. If you discover any previously unknown historic or archeological remains while accomplishing the activity authorized by this permit, you must immediately notify this office of what you have found. We will initiate the Federal and state coordination required to determine if the remains warrant a recovery effort or if the site is eligible for listing in the National Register of Historic Places. 4. You' must allow representatives from this office to inspect the authorized activity at any time deemed necessary to ensure that it is being or has been accomplished in accordance with the terms and conditions of your permit. Special Conditions: 1) The permittee understands and agrees that, if future operations by the United States require the removal, relocation, or other alteration, of the structure or Mork herein authorized, or if, in the opinion of the Secretary 4 PERMITTEE: Roger Praetorius PERMIT NO. : NAN-2009-01400 of the Army or his authorized representative, said structure or work shall cause unreasonable obstruction to the free navigation of the navigable waters, the permittee will be required, upon due notice from the Corps of Engineers, to remove, relocate, or alter the structural work or obstructions caused thereby, without expense to the United States. No claim shall be made against the United States on account of any such removal -- --- - -- - - --- ----- - - --- - - - -- -- --- --- -- - -- - -- - - -- ---- -- - - -- -- - or alteration. 2) Clock float to maintain minimum water depth of 2 feet below structures for all tidal stands . Further Information: 1. Limits of 'authorization. a. This permit does not obviate the need to obtain other Federal, state, or local authorizations required by law. b. This permit does not grant any property rights or exclusive privileges . C. This permit does not authorize any injury to the property or rights of others. d. This permit does not authorize interference with any existing or proposed Federal project. t 2. Limits to Federal Liability. In issuing this permit, the Federal Government does not assume any liability for the following: a. Damages to the permitted project or uses thereof as a result of other permitted or unpermitted activities or from natural causes. b. 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CONSERVgTION "tN V eex\Lvs o N AREA G G .+ Y C L P nANPMNiGIA L A U R E ;tt �` J 11� o u o o u L Marralooka Pi T 0 S�P BO ko MO%S�ILT O O aEEVEP Y PLO ARK BL^ \ <I P T O y P 5 6 �IrawR m c£M R B Ma44duch Y.C. CATHOLIC 9t P O 194 Y PO �PI�\ - Oq LIGHTERSOF O ��f lll/y/i�� DAUGHrICA • G\Np9\ � a0. QPL Y f.P` pEJ'N9 D �`m r J 4 � � JEAN 2 5 2013 r � �>k ,tjVP P,W LA SI cPo CORPS OF ENGINEERS DATA VICMT'Y MAP PURPOSE:Construct fixed open walkway,hinged Application regarding the property of Roger Praetorius,SCTM#1000-139-1-4.2 ramp,and floating dock for private recreational Represented by purposes. PROPER-T PERMIT SERVICES DATUM:MLW P.O.Box 617,Cutchogue,NY 11935 1N:Mattituck Creek AT:Mattituck James E.Fitzgerald,Jr. 631-734-5800 COUNTY: Suffolk STATE:New York September 25,2009 I - ' I - I � I �9 ro cV SCALE:1'=40' ev AMENDED PROJECT PLAN ® ALL ADMINISTA4,MVE,TOPOLOGICAL,,644 of HYDROLOGICAL DATA ARL FROM THE SUR- Application regarding the property CpV I Roger Pmetorius,SCTM#1000-139-1-- 4.2 VEY OF FOX LAND SUP_VEYING,DATED Represented by FLOAT1 -2/23/09. _ � PROPER-T PERMIT SERVICES RAMP WOOD DOCK ,'` P.O.Box 617,Cutchogue,NY 11935 2.92 I James E.Frtzgetald,Jr. 631-734-5800 a June2l,2011 201 I per 1 CORPS OT ENGINEERS DATA DOGK GONSTRUGTION NOTES o +1,9 c I PURPOSE:Construct fixed open walkway,lunged �` ramp,and floating dock for pnvate recreational 0 4X4 POSTS LANDWARD OF jy o �' lua lu -� c i AHW w L 1000 939-1 4•.1 L purposes. p = NICK GAKOUMI5 y6 I P P DATUM:MLW 0 6"d.(NOMINAL)PILES n 684 PARK AVENUE 26 V3 r 5F-AWARD or-AHW 1 IN:Mattituck Creek AT:Mattitucic ', COUNTY:Suffolk STATE:New York -0 MANi-ASSBT,NY 11050 it pG " OPEN-GRATE DECKING ON m FIXED DOGK AND x OiOOt LANDWARD RAMP locob91-4.2 0- \ i a 2-8"d.(NOMINAL)PILES ROGE�2 PRAETORIUS �,+5a \ SECURE FLOAT 4155 COUNTY RTE JAME5VT"E,NY 13076 N6�58 APPRC le� 4-e5 16NOTE:DATA ARE NOTAVAILA6LE 17%.951aTo ° ��r�PwBOARDTO PROVIDEA MEASURED LOW aW �^5 ut*�D� 'Nq�yy6°- I NATER-TO-LOW WATER DISTANCE _ �`L5 11'g0 P`' Eo'F '^°- x' o:,�fi a 9 I• i ACROSS THE WATERWAY.E>CAMINA- y Y7 s 10 SII `,�'"a'F°x+5'v� d �. � I "ITE TOWN TION OF AERIAL PHOTOGRAPhIY IN ��iq_ s'v A 7 DILATES M TO BE APPRO:.380'. \ 0 4z I c°-' '.I E z a 66 szc oo1000 139-197 I e p5��1OSO O 7 zz, 05 e0l ay� NORMAN B_�VEINER _ ` �,r1p 905 WESTVIEW DRIVE ? �j pps R 5"�D� olv W MATTITUC;r,NY 11952 x I 7.01 575'521 i C 5 36 00 APPROVr!) AS 1rwub 1`t_ii a0'±. /1 1t�"•0.35 9� O I �,�� - TO sH3Of:EUNE m`1 AC �P� T. O II �f^a$us CjJD I AND COa.Df1l0:3] U1�1P 551 K�" FTiRAfi1' fd0 /�(r` 3 700094 DATL n Z, 61756 I I 494 ip S� oma, - I 7z, `\0 37 11�) IES ._— —`� L I �� IMPOhTANPI"NOTE i PROPOSED AMEN17MENT CHANGES TO JUL 1 S 2010 ` THE PROJEGT ARE SHOWN IN RED l: i -0 49 See separate Amended Sea-H®el X/i��r dated ed G121A1 Satt"Id -3 I I 1.66 � I �� -4 J- 17 APNQ /✓y//I 1000139=1-4.2 m ROGER PRAETORIUS 7 u1 V 4155 COUNTY RTE 91 • 00 w- JAME9ViLLE;NY 13078 w 7j�Z OZW RAMPTO _ +K GRADE 4?x 15' ` Nos - - - --- - - - - - - - -- - - - - - - -- - -- op: pk L.A b - K WOOD DOCK 194',NORTH 40• TION 2��sr-fiLSp� FI ED OPEN WOOD DOCK WALKWAY 4'x 75' 105'SOUTH MLdry:ELEVA nON_0.17 M,--VID- U e ' HINGED RAMP 3'x 20' Dm u m FLOAT 6'x 20' ' FLOAT 5ECUP!<D BY 2-S'd. PILES (NOT SHOWN) u1 .41 MATTITUCK CREEK 0 ►. til O SCALE: im = 20' CORPS OF ENGINEERS DATA PROJECT PLAl� Application regarding the property of PURPOSE:Construct fixed open walkway,hinged Roger Praetorius,SCTM##1000-139-1-4.2 ramp,and floating dock for private recreational Represented by JAN N �� purposes. PROPER-T PERMIT SERVICES DATUM:NMW P.O.Box 617,Cutchogue,NY 11935 IN:Mattituck Creek AT:Mattituck James E.Fitzgdrald,Jr.. 631-734-5800 COUNTY:Suffolk STATE:New York Revised AnPn4t 16.2012 HINGED ------ - - — - - — ----- RAMP TO - -- --- - ---- - --- RAMP FIXED OPEN GRADE 8'x 20' WALKWAY 4'x 75' 4'x 1E' FLOAT =�y 1=1.��'°t. /.47'!©N+5.19 NAi/D 88 EDGE OF aNETLAND9 1 DELINEATED BY -MLW:ELEVATION-0.11 NAVD 88 I D.FOX OF FOX LAND • I � II �uRv1;�r+r�O WATER DEPTHS AT MLW$MHW NOTES LEVEL DECKING TO BE A MINI- MATERIALS TO BE USED MUM OF 4.0'ABOVE VEGETATED GRADE,AND NOT LOWER THAN DEGKING IS METAL OR PLASTIC,OPEN-GRATE. ELEVATION+9.19 NAVO 88. ALL DIMENSIONAL LUMBER,TIMBERS,AND PILES ARE CCA-TREATED WOOD.FIXED-DOCK PILES PILE LOCATIONS AND HEIGHTS ARE G"&BELOW ORDINARY HIGH WATER AND ABOVE DECKING ARE TYPICAL. 4X4 LUMS5 R ABOVE ORDINARY HIGH WATER. /ACTUAL,MAY VARY. PILES SECURING THE FLOAT ARE 8"d.ALL PILE DIAMETERS ARE NOMINAL.ALL HARDWARE IS ALL ADMINISTRATIVE, TOPO- GALVANIZED STEEL. LOGICAL,AND HYDROLOGICAL DATA ARE FROM THE SURVEY OF FOX LAND SURVEYING, SCALE: 1" = 20' CORPS OF ENGINEERS DATA SECTION VIEW Application regarding the property of PURPOSE:Construct fixed open walkway,hinged Roger Praetorius,SCTM,1000-139-1-4.2 ramp,and floating dock for private recreational Represented by JAN 2 5 2013 purposes. PROPER-T PERWI T SERVICES DA,TU1M:MLW P.O.Box 617,Cutchogue,NY 11935 IN:Mattituck Creek AT:Mattituck James E.Fitzgerald,Jr. 631-734-5800 COUNTY:Suffolk STATE:New York Revised July 9,2012 DiSalvo, Diane From: DiSalvo, Diane Sent: Wednesday,January 30, 2019 1:22 PM To: 'Robert Herrmann' Subject: 975 Westview Drive - GCG Bayberry The following communication is from Trustee President Michael J. Domino: In reference to a requested administrative amendment request for Permit#8858—975 Westview Drive, Mattituck, be advised that upon review it has been determined that a full amendment will be required for the action proposed. Accordingly,this project will have to be reviewed by the CAC, and will not make the February agenda. p�awe DiSaLVo soutkoLo Toww Trustees 54375 Route 2� �.o. gox zz�9 southad, NY 1297: (C,31) �5--189 Michael J.Domino,President SO 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 • Y� Telephone(631) 765-1892 Greg WilliamsO Fax(631) 765-6641 �y00UN1`1,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1451C Date: February 26, 2018 THIS CERTIFIES that the construction of a 4'x15' landward fixed ramp leading to a 4'x75' fixed dock using open-grate decking supported by 6"diameter marine piles seaward of the ordinary high water line and 4"x4"timber posts landward of the or`dinaU high water line,• a 3'x20' hinged ramp, and a `- 6'x20' floating dock secured by two(2) 8"diameter marine piles; At 975 Westview Drive,Mattituck Suffolk County Tax Map#1000-139-1-4.2 Conforms to the application for a Trustees Permit heretofore filed in this office Dated May 11,2016 pursuant to which Trustees Wetland Permit#8858 Dated April 20,2016,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the construction ofe 4'x15' landward fixed ramp leading to a 4'x75' fixed dock using open-grate decking supported by 6"diameter marine piles seaward of the ordinary high water line and 4"x4"timber posts landward of the ordinary high water line, a 3'x20' hinged ramp-, and a 6'x20' floating dock secured by two(2) 8"diameter marine piles. The certificate is issued to GCG Bayberry LLC owner of the aforesaid property. o e Authorized Signature 1\ J Michael J. Domino,President *0f SUUryo Town Hall Annex 54375 Route 25 John M.Bredemeyer III,Vice-President �� lQ P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski • �� Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 'recut ' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction '/2 constructed Project complete, compliance inspection. INSPECTED BY: COMMENTS: � C a By- ilk in CERTIFICATE OF COMPLIANCE: Michael J.Domino,President oE SUUTy� Town Hall Annex 54375 Route 25 John M.Bredemeyer III,Vice-President h0 lQ P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski • aQ Telephone (631) 765-1892 Greg Williams O! Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 2194/)$ Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction 'h constructed compliance ins Project complete, ection.p p INSPECTED BY: G'� 6dsM� A COMMENTS: OK C ®X G T�,ese es „n} a 4' x ►S' land war-d ��gyred �ctr,A r Lr e-A 1 JOA 1 -r ZG Tl.e w�,olL jlor4 ►C 0. 4'ac �S' OA �a 0. 3._X20' C_aMR 10 Q t Ib0.� CERTIFICATE OF COMPLIANCE: Michael J.Domino, President �*Vjf SO(/TjyO Town 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 • Telephone (631) 765-1892 Greg Williams Old Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1451C Date: February 26, 2018 THIS CERTIFIES that the construction of a 4'x15' landward fixed ramp leading to a 4'x75' fixed dock usingopen-grate pen-grate decking supported by 6"diameter marine piles seaward of the ordinary high water line and 4"x4"timber posts landward of the ordinary high water line: a 3'x20' hinged ramp, and a 6'x20' floating dock secured by two()8"diameter marine piles; At 975 Westview Drive,Mattituck Suffolk County Tax Map#1000-139-1-4.2 Conforms to the application for a Trustees Permit heretofore filed in this office Dated May 11,2016 pursuant to which Trustees Wetland Permit#8858 Dated April 20, 2016,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the construction of a 4'x15' landward fixed ramp leading to a 4'x75' fixed dock using open-gate decking supported by 6"diameter marine piles seaward of the ordinary high water line and 4"x4"timber posts landward of the ordinaryhigh water line, a 3'x20' hinged ramp,• and a 6'x20' floating dock secured by two(2) 8"diameter marine piles. The certificate is issued to GCG Baerry,LLC owner of the aforesaid property. o Authorized Signature Michael J.Domino,President �'�'Zf SU(/T�o Town Hall Annex 54375 Route 25 John M.Bredemeyer III,Vice-President �� lQ P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G • Telephone (631) 765-1892 Greg Williams Fax(631) 765-6641 �OyCoU ,�`C.' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: _ ��DA 8 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: COMMENTS: or Zls C a C guJll� 1tl (,Z�Got, �Ac,Ge. W'T� �f'M.� CERTIFICATE OF COMPLIANCE: � 1 Michael J.Domino,President �*OF SO(/jyO Town 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 'Ol Fax(631) 765-6641 y�DUNTY,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 219109 Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction % constructed compliance ins Project complete, ection.p p INSPECTED BY: G, Go IJ6 COMMENTS: OKyor C C Tiers es n6a 4' x IS' larval ward L xC E A Car, Tke whole- cdoA it a VK 7S_" -y')CaA aloc� 2-X'20 ramp +o a 6 ►Z�' CERTIFICATE OF COMPLIANCE: Michael J.Domino,President ``�QF SO!/Tz, Town Hall Annex John M.Bredemeyer III,Vice-President ��V� OHO 54375 Route 25 P.O.Box 1179 Charles J.Sanders Southold, New York 11971 Glenn Goldsmith Q Telephone(631) 765-1892 A. Nicholas Krupski 'Q Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 15, 2017 Francis J. Yakaboski, Esq. 1668 Sound Avenue Calverton, NY 11933 RE: GCG BAYBERRY, LLC 975 WESTVIEW DRIVE, MATTITUCK SCTM# 1000-139-1-4.2 Dear Mr. Yakaboski: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, November 15, 2017: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit #8858 from Roger Praetorius to GCG Bayberry, LLC, as issued on August 17, 2016. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please contact our office at (631) 765-1892. Sincerely, Michael J. Domino, President Board of Trustees MJD/dd Michael J. Domino,Presi 5 o�OS�EFO(,�COG ;«rl, Town Hall Annex John M.Bredemeyer III,Vice-Pim dent �� y� 54375 Route 25 Charles J. Sanders N P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski �yho® �apl� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD A Date/Time: 16/16/17 9'3c' Completed in field by: G . �o 14'5" � Francis J. Yakaboski, Esq. on behalf of GCG BAYBERRY, LLC requests a Transfer of Wetland Permit #8858 from Roger Praetorius to GCG Bayberry, LLC, as issued on August 17, 2016. Located: 975 Westview Drive, Mattituck. SCTM# 1000-139-1-4.2 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 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, Presi O�QSVFFQ�'�-COG Town Hall Annex John M. Bredemeyer III,Vice-Prestaent �� y� 54375 Route 25 Charles J. Sanders N P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski O?�0. l� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Francis J. Yakaboski, Esq. on behalf of GCG BAYBERRY, LLC requests a Transfer of Wetland Permit#8858 from Roger Praetorius to GCG Bayberry, LLC, as issued on August 17, 2016. Located: 975 Westview Drive, Mattituck. SCTM# 1000-139-1-4.2 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 FRANCIS J. YAKABOSKI ATTORNEY AND COUNSELOR AT LAW D 1668 SOUND AVENUE CALVERTON,N.Y. 11933 (631)740-9707 SEP 1 4 2017 FAX(631)740-9709 email:francisyakabosla@yahoo.com Southold Town September 11, 2017 Trustees of the Town of Southold Town Hall Annex 54375 Route 25 P.O. Box 1179 Southold,New York 11971 Re: Permit No. 8858 Gentlemen: I represent GCG Bayberry, LLC. My client acquired the property known as 975 Westview Drive, Mattituck, New York, from Mr. and Mrs. Praetorius in February of 2017. The Deed was recorded at Liber D00012901 at Page 344. I am writing at this time to request that you re-issue Permit No. 8858 to GCG Bayberry, LLC. A check payable to your order in the sum of$50.00 is enclosed. If you require anything further, please advise. Very truly, FJY:kf FRANCI J. YAKABOSKI Encs: Cantrell, Elizabeth From: Terry, Mark Sent: Wednesday,August 17, 2016 9:15 AM To: Cantrell, Elizabeth Subject: PRAETORIUS Elizabeth, The LWRP CCR recommendation dated March 14, 2014 still stands. I am sending down a copy. Mark Terry,AICP,APA Assistant Director of Planning LWRP Coordinator Town of Southold 54375 State Route 25 P.O. Box 1179 Southold, New York, 11971 (631)765-1938 Mark.Terry@town.southold.ny.us 1 t '1SUFF0(,Y�`� John M Bredemeyer III, President J- _ 00 Town Hall Annex Michael J Domino, Vice-President :`� z�' 54375 Route 25 Glenn Goldsmith � ,; z `i P.O. Box 1179 A. Nicholas Krupski Southold, NY 11971 Charles J. Sanders Telephone (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 1St day of construction 1/2 constructed Project complete, compliance inspection l BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD9 NEW YORK PERMIT N0. 8858 DATE: AUGUST 17, 2016 ISSUED TO: ROGER PRAETORIUS PROPERTY ADDRESS: 975 WESTVIEW DRIVE, MATTITUCK IR SCTM#.1000-139-1-4,2 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on August 17, 2016, and in consideration of application fee in the sum of$250.00 paid by Roger Pr"aetorius and subje"et io"the Terms and fu permits Conditions as stated in the Resolution, the Southold Town Board of T st66s authorizes and pe ts the following.,, Wetland Permit to construct A 49x15"landw' atd'fixed ram li'leAding'10'a 4'x75',fixed dock using open-grate decking supported by'61' diameter marine pi w se ard of the ordinary high waterline and,4"x4" timber,posts.landward of the ordinary high water 1. 1 , ." I ­ .1 - I - ' 'i line; a 3'x201 hinged ramp; and a 61x201 floating dock secured by,'ON,,o (2) 8" diameter marine piles; and as depicted on the survey prepared by David H. Fox, L.S., .P.C., last dated May 31;2016, and stamped approved on Augq5,tJ,7,,2016. IN WITNESS WHEREOF,the said Board of Trustees hereby caus6s,it§Corp irat eal to be axed, fland these presents to be subscribed�by a majority of the said Boaas,()f this.d,te. Fa C) e__1 TERMS AND CONDITIONS The Permittee Roger Praetorius residing at 975 Westview 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 firture 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 0��9f S©(�jTown Hall Annex Michael J.Domino,Vice-President ~ 54375 Route 25 P.O.Box 1179 Glenn Goldsmith CIO Southold,New York 11971 A.Nicholas Krupski ® yOQ Telephone (631) 765-1892 Charles J.Sanders �li�'`+oU Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 17, 2016 Charles Mogul 2605 Roanoke Avenue Riverhead, NY 11901 RE: ROGER PRAETORIUS 975 WESTVIEW DRIVE, MATTITUCK SCTM# 1000-139-1-4.2 Dear Mr. Mogul: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, August 17, 2016 regarding the above matter: WHEREAS, Charles Mogul on behalf of ROGER PRAETORIUS 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 May 11, 2016, 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 issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on August 17, 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, 2 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 the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of ROGER PRAETORIUS to construct a 4'x15' landward fixed ramp leading to a 4'x75' fixed dock using open-grate decking supported by 6" diameter marine piles seaward of the ordinary high water line and 4"x4" timber posts landward of the ordinary high water line; a 3'x20' hinged ramp; and a 6'x20' floating dock secured by two (2) 8" diameter marine piles; and as depicted on the survey prepared by David H. Fox, L.S., P.C., last dated May 31, 2016, and stamped approved on August 17, 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: $1,490.00 Ve truly yours, John M. Bredemeyer III President, Board of Trustees JMB/dd n i Survey for: (; ROGER PRAETORIUS MAY 3 1 2016 ' At Mattituck FLOAT B Town of RAMP WOOD DOCK 292 Southold 00� - _ ____- S 7 Suffolk County, New York S.C.T.M.: 1000-139.00-01.00-004,002 `I 40 0 40 0 20\] ' S I I I I v �(Q<� e\0��� J SCALE:1"=40' m OLA t o`a etd ' U� O Q � d J- �c�6 m NOTES: 1� C 1. AREA = 21,533 S.F. O 2. ■ = MONUMENT FOUND, D = STAKE SET, 'pp O = PIPE FOUND. 3. WATER DEPTHS ARE REFERENCED TO APPARENT LOW WATER. N6�• 'n�PO ��„��PO51 � 485 1 38 \1 O\��p� S�GEE �6 MAY 31, 2016 AMENDED PROPOSED DOCK + -316 1 60 1 Z 0 11 �\\ 95 CPRS P F F °� �,$ DEC. 23, 2009 ADDED LABELS + -5 23 \ 2°°9 OCT, 22, 2009 IND ELEVATIONS • O ��� SEPT 21, 2009 SURVEY& UPDATE \ O 510 �II °S MP VVQ\k � � DATE: MAR. 113, 2009 INDICATED SECT ON • � G * -236-1 04 \ r' 0 42 �1\o FP ��° `� et JOB NO:2009-056 • -49+ \ Z 488 1 e\� VA o 7 22 ``11 PROVED ,BY: `� POSES O W 1 �'�P�G °G� ��7 �(�O -,AP s OPOSE� E� T"C51 n' `I �Qt�e�oJ _'y� B�'�1i4►�tD OF 1RU5'1ES' _ 11 �1 PREF°P�, p��ES PROP°p s 11 �r '.3�.'V ,� .e �1 W��e 80l RPMoI ,7 01 OP�� O� �\ .,^�.�y_ _77.''n„ OF?SOV r' iM C } �35 5 21 111 DOGE°E OO� �Q� C �+ 0 35 r O j/ �6�0 \het 40 + -2 731 32 1 m O P 1 e 380't 1 r_ O I I S V TO SHORELINE x m r W I O� y 4b. O 1000 94 i 1 z d s I \Ot SECTION: ' G) !L II1 SCALE 1"=20' a 1 +17 56 NOTE. . ALL HARDWARE GALVANIZED 1 PROPOSED DOCK ALL MATERIALS FROM, 494 T PROPOSED FLOAT APPROVED LIST DAVID H. FOX, L.S. P.C. N.Y.S.L,S. #50234 1 16 (6•x2O�) 4'x75' 35' ABOVE \0,37 GRADE PROPOSED RAMP FOX LAND SURVEYING ♦ ♦ _24 1 19 (3x20') _ PROPOSED RAMP -4 46 \ (4'x15') — — — 64 SUNSET AVENUE WESTHAMPTON BEACH, N.Y. 11978 463 HW '` (631) 288-0022 7 63 — — — — — — _ _ _ _ EDGE OF WETLANDS 1 34 LW UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY EXISTING BOTTOM � IS A VIOLATION OFSECTION 7209 OF THE NEW YORK STATE ` _ EDUCATION LAW COPIES OF THIS SURVEY MAP NOT BEARING -0 d9 DOCK EL= -5 4- 8" I PILES OAC) SHALLTHE ANOTSBE CONSIDERED EDTO BELOR A VALID OSSED SEAL TRUE COPY • -1 66 - Y7°0D (10 CERTIFICATION INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS B EH♦ -r0 17♦ -3 RPMP AANDALF LEND NG riNST1TUTION TITLEMISTED HEEREONANY. ME AND TOJNS E�OP� ARE NOTSTRANSFERABLENTOOF THE LENDIGIADDITIONAL NSTITU71ON OR SUBSEQUENT OWNERS DWG: 2009-056 rP' 1 John M. Bredemeyer III, President ('oma; Com, Town Hall Annex Michael J. Domino, Vice-Presidents ?�4 54375 Route 25 James F. King y ? P.O. Box 1179 Dave Bergen � • O� �h Southold, NY 11971 Charles J. Sanders `�?�Ol Telephone (631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD C6,?,2`��lO TO: ROGER PRAETORIUS c/o CHARLES MOGUL Please be advised that your application dated May 11 2016 has been reviewed by this Board at the regular meeting of August 17 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 your permit upon completion of the above. COMPUTATION OF PERMIT FEES: 4'x75' dock = 300 sq. ft.x $3.00 = $ 900.00 3'x20' ramp = 60 sq. ft. x $3.00 = 180.00 6'x20' float = 120 sq. ft.x $3.00 = 360.00 TOTAL FEES DUE: $ 1.490.00 BY: , John M. Bredemeyer 111, President ' Board of Trustees Town Hall John M Bredemeyer III, President _ ', OgOFFO(q��pG �'-'` 54375 Route Annex Michael J. Domino, Vice-President Glenn Goldsmith o ' P.O. Box 1179 y t` Southold A. Nicholas Krupski o � � , NY' 11971 Charles J. Sanders 'y�j o� Telephone (631) 765-1892 �O ��rrfi' Fax(631) 765-6641 BOARD OF TOWN TRUSTEES SAAL TOWN OF SOUTHOLD i Date/Time: SA 1 L a esd Completed in field by: Charles Mogul on behalf of ROGER PRAETORIUS requests a Wetland Permit to construct a 4'x15' landward fixed ramp leading to a 4'x75' fixed dock using open-grate decking supported by 6" diameter marine piles seaward of the ordinary high water line and 4"x4" timber posts landward of the ordinary high water line; a 3'x20' hinged ramp; and a 6'x20' floating dock secured by two�(2) 8" diameter marine piles. Located: 975 Westview Drive, Mattituck. SCTM# 1000-139-1-4.2 i 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 f 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: Dbs��'�red S�'o.�es ou�' ;� �-� �,el� . - �✓o��+�n Qi�� �o��. Nj Present were: J. Bredemeyer `� M. Domino -"'G. Goldsmith P----N. Krupski `111"C. Sanders Other Page 1 of 2 John M Bredemeyer III, President o��%safF0 i J1 Town Hall Annex Michael J. Domino, Vice-President °� Gy�� 54375 Route 25 Glenn Goldsmith o `� P.O. Box 1179 A. Nicholas Krupski o �, Southold, NY 11971 Charles J. Sanders �'y,�j� ao� Telephone (631) 765-1892 zuxrer�' Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Charles Mogul on behalf of ROGER PRAETORIUS requests a Wetland Permit to construct a 4'x15' landward fixed ramp leading to a 4'x75' fixed dock using open-grate decking supported by 6" diameter marine piles seaward of the ordinary high water line and 4"x4" timber posts landward of the ordinary high water line; a 3'x20' hinged ramp; and a 6'x20' floating dock secured by two (2) 8" diameter marine piles. Located: 975 Westview Drive, Mattituck. SCTM# 1000-139-1-4.2 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, Presidentr �l�OSUFFUCKOo Town Hall Annex Michael J. Domino, Vice-President �,� %14 54375 Route 25 Glenn Goldsmith o `� P.O. Box 1179 A. Nicholas Krupski o Southold, NY 11971 Charles J. Sanders y�� app', Telephone (631) 765-1892 1 ''r Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 6A51),6 l� ® ' Completed in field by: Charles Mogul on behalf of ROGER PRAETORIUS requests a Wetland Permit to construct a 4'x15' landward fixed ramp leading to a 4'x75' fixed dock using open-grate decking supported by 6" diameter marine piles seaward of the ordinary high water line and 4"x4" timber posts landward of the ordinary high water line; a 3'x20' hinged ramp; and a 6'x20' floating dock secured by two (2) 8" diameter marine piles. Located: 975 Westview Drive, Mattituck. SCTM# 1000-139-1-4.2 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: 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 `1 M. Domino G. Goldsmith N. Krupski C. Sanders Other •.,%"M .� ! !ate '' �� # 'r. r t/ ` ; ! i '� LL jp y �•• �i V +; � • �� r•T' U ,�¢.i�' 111 1 A Y vV I WWI -► _ � ` -�'+ } g?^� �I YY� � e' �r /'i "! 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DEPARTMENT OF THE ARMY U.S.ARMY CORPS OF ENGINEERS,NEW YORK DISTRICT JACOB K.JAVITS FEDERAL BUILDING " I 26 FEDERAL PLAZA NEW YORK NY 10278-0090 REGULATORY BRANCH NOV 1 0 2015 SUBJECT- Request for Permit Modification of Department of the Army Permit Number NAN-2009-01400 Issued to Roger Praetorius Roger Praetorius 4155 County Route 91 Jamesville, New York 13078 (631) 424-1646 Dear Mr. Praetorious In accordance with the provisions of Section 10 of the Rivers and Harbors Act (33 U.S.C. 403), you were issued Department of the Army Permit Number NAN-2009- 01400 by the District Engineer on January 25, 2013. This permit authorized the construction of a 4-foot-wide by 15-foot-long ramp leading to a 4-foot-wide by 75-foot- long fixed walkway up to a 3-foot-wide by 20-foot-long ramp and a 6-foot-wide by 20- foot-long float in Mattituck Creek in the Village of Mattituck, the Town Southold, Suffolk County, New York The,New York District has reviewed your submittal dated October 8, 2015 in which you requested a three year extension for the permit construction period with the original expiration date of January 25, 2016 This modification has been determined to be minor in nature due there being no changes in the scope of work. Based upon our evaluation of the submitted materials, we hereby approve your request to modify the subject permit, and the modification of this permit shall be known as Department of the Army Permit Number NAN-2009-01400-M1. You are authorized for a three year extension, with the permit modification new expiration of January 25, 2019. All other permit conditions to which the authorized work - - - ,-vv,as-made-subjec-t ch-al!-rens-aln-in-effect.T-his-letter-s4a!i-bedded-te-al!-cQp1e-s-ef-the permit, including those at the work site In order for us to better serve you, please complete our Customer Service Survey located at: hftp://www.nan.usace.armV.mil/Missions/Regulatory/CustomerSurveV.aspx. If you have any questions regarding this matter please feel free to contact Amanda M. Switzer, of my staff, at (917) 790-8618. Since ,I�, For a6d In bohaff of David A Caldwell Colonel, U.S. Army Commander New York State Department of Environmental Conservation Division of Environmental Permits,Region One SUNY @ Stony Brook,So Ctrcft Road,Stony Brook,NY 11790-UN JM)4444)371 F=( s$444MM webstrx edWWA- ,—ew.aov �mr� cc»cemr.9soaer Jaauaary 9,2011 Lk.Roger Pra 4155 County Road 91 JamesWb.NY 13076 Re. Penrd ND-1-47384)3947MOM Dear Pemuttee: In confomw=with the reqiftentents of the Stare Unfform Promdetres Act (Article 70,ECL)and its bVisinanfug wegulabans(6KYC»2.Pant 621)we are your perml f c-ekdly read aD pe nit oorMons and special pemsT conditions owdamed in the pem-A to ensure corripriaa►ce during the term of the permit. If you are unab a to compty%%,Mh arty conaMons please cerdact us at the atuee address. Also enclosed is a penwO sign whch is to be corspiamusly pasted at We profit site and protected from the w ea'rtww_ S& 7, Permit AcIndrdabator cis MIN NEW YORK STATE DhPAi(TME\!OF ENYIROVME1rTAL CONSERVATION v FuuiFq DEC 1D 14738-03947 PERMIT Under the Envirommental Conservation Law(ECL) Permittee and Facility Information Permit Issued To: Facility: ROGER PRAF-I ORIUS PRAETORIUS PROPERTY 4155 ST RTE 91 975 WESTVIEW DRISCTM X1000-t39-1-4 2 I JAMESVILLE,Nj'13078 M ATTITUCK,NrY 11951 FacrTmy Appliratisn Contac PROPER f'PERMrFSERVI .S PO BOX 617 r CYk7 CHOGUF,NY 11935 (516)734-5800 Facility Locadom- in S0UMOLD in SUFFOLK COUNTY Facility Principal Reference Point: NIMA-E 706.7 MYTy4-N: 4541.4 La49-59151A- Loa&u&- 72 5=8- Authorized Activity: Construct a 4'x 911 open grace catwak Tx 21Y rzmp and 6 x 20'float as shown on the attached site pian anal pao5le views dead by Propos--T Pamit S�dzted Jun 712011 and stamped"NYSDEC Appmved 12!28/11." Permit Authorizations Tidal Wetlauds-Under ArMk 25 Pormit ID 1-4738-4139471 Never Permit Effccfrie Date:1212&,2011 Eagiraifiom Date:12E2MMI NYSDEC Approval By of this p7xr 114 t12e p—At-agrees that the permits Contingent up—Strict eompranae with The ECL,,all ngpU=Me regalataons,and all canditimn included as part of this f Pcramit Ad>mmh-istraior:GEORGE d4'HAMNIARTH,Dq.,y Regrrrmal P...1 Ammar Address: NYSDEC REGIaN 1 HEADQUARTERS —AVI SUNY @ STONY BROOW CIRCLE RD STONY BROOK,NY 11-79J-3409 le Aized Sigoratare: Da.e�/ � Page 1 of 6 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION W Fncrfity DEC rD I-MB-039,17 Distribution List PROPER-T PERMIT SERVICES Habitat-TW GEORGE W HAMMARTH F Permit Components I NATURAL RESOURCE PEPNIFT CONDTFIONS GENERAL CONDITIONS,APPLY TO ALL AUTHORIZED PERMITS NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS NATURAL RESOURCE PERIid T CONIIDMONS•Apply to the Following Permits:TIDAL WETLANDS L Conformanee With Plans All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or applicants agent as part of the permit application. Such approved plans were prepared by Proper-T Permit Services dated June 21,2011 I-State Not Liable for DmnaW The State of Nero York shall in no case be liable for any wage or injury to the structure or work hour authorized which may be caused by or rusalt fiom fill=operations undertaken by the State for the conservation or improvement of navigation,or for other purposes,and no claim or ri&to compemsaauu shall accrue from any such damage_ 3.Stade May Ordir RemurA or Alteration of Wark If future optazlicns by the Stale of"Newr Yak regmre an alteration in the position of the structure or croak herein autitorized,oT if in the opimion of ith-- Deparbrcm of Lrm mroumeusal Cion b shall tie umn=zonable obstruction to tfic free amSabon of said waters or flood flows or endanger thq heaahh,safety oc Mare ofthe people of the Staff or came ions or mon of the mal rem of the Staff the taamff may be offered by ttre Depaltme t to ramous err elks the strrmtIIunal waw, ,or herds caused thereby without expense to the Sts1e, and if,upon the expiration or revocation of this permit,the structure,frill,excavate m„or other modificabon oft cwElemomn;e hereby zadmazed sImll w4 be c mpgeted,the owners,shA writlmmt expense to t)e State,aria to such ortent and in such time aired manner as the Department of Encu al Camservaria orrery ragwre,umium all or amry pQa=of the uacoolocicd snuctme or fill and restore to its former condition the navipahfe and flood capacity of the watercomsc No claim Shan be made against the State of New York on amount of any such removal or altaa>Dom Page 2 of 6 � PHOTO A:Looking S along the shoreline from the location of the pro- posed dock. (4/9/09 at 1310 hrs) .T y PHOTO B: Looking N along the shoreline from the location of the pro- posed dock. (4/9/09 at 1320 hrs) �r X� PROJECT SITE PHOTOS Application regarding the property of Roger Praetorius,SCTM#1000-13 9-1-4.2 Represented by PROPER-T PERMIT SERVICES P.O.Box 617,Cutchogue,NY 11935 James E.Fitzgerald,Jr. 631-734-5800 September 25,2009 s OREGON0. 9 e� RD ARR fBa RApB PvIE'A PU OE PP N^^nUOL'S D„ND rQ C� NYS. %, EGOt, 90 CONS l^` oR • s „MR vP i AREA p CF>�AL��Q°� NOSE 9 9 $ 84 CAPTAIN KID ESTATESoQa P BR Ca M" I� , s EAST M771TUCK vVV V iO" iS%`E pp Q 84Y THE AREA OF THE PROPOSED v 4^» PROJECT IS CIRCLED ( A'n abs �� � ti oOp MPPa aV py B \ i .4 p9 a$ i wp9' fueLa pV �1� C �o�_w B C9 PGEN e1EDAV=�© Y � � v W��StPNA yPm w Dr9 tU%s �" ` �► Oa'" P�, m Z °per F@�•at• t' cPtoR ,16,' d�, ,i, C 9C Qg 6 d S L U a J S %�sONDS � MATT ITUCK D � 0,%9 kD96` av 48 i x QM'� RD � f � � <m v /��• z DUND aV c�s O � CF)1 NEW SU Eca[k t S �D � _(��+�p �P S�•$ 30 3 OF OC s D \ ,9 Q VULB V � /Dly Pw �W CONSERVA Uf A TION C� AIRPORT �° ,`` �"m rEprEv s h o ARENALLO y> ' y �u S,O \ oto `.cc ePP9 o°!J� aJrwvnv<vu vna%�� '�a g Marratooka Pt \-A L A U R E L ��c _ a MATT/TUCX ° O` �N PEED ARN V T ,3- 6�P pt9° ' D/ARKCT = s, 3 Town 9 O 5•.�Jm � 6� � �RX m cc" zs Ma+}ifuck Y.G. J (/ CATHOLIC 194n /�//f�n\��nnn((\`T OAU°NTERS V Pp �' OF AMERICA � f / v 9 41t`4 P �waD�Dsi� CORPS OF ENGINEERS DATA VICINITY MAI' Application regarding the property of PURPOSE: Construct fixed open walkway,hinged Roger Praetorius,SCTM#1000-139-1-4.2 ramp,and floating dock for private recreational Represented by PROPER-T PERMIT SERVICES purposes. DATUM:MLW P.O.Box 617,Cutchogue,NY 11935 IN:Mattituck Creek AT:Mattituck James E.Fitzgerald,Jr. 631-734-5800 ' COUNTY: Suffolk STATE:New York September 25,2009 i �o 1 F o��Et o titi `yon ,4 9 � a N m y THE SITE OF THE PROPOSED +1 PROJECT IS SHADED � 4 \1§\`, CORPS OF ENGINEERS DATA TAX AIAP Application regarding the property of PURPOSE:Construct fixed open walkway,hinged Roger Praetorius,SCTM#1000-139-1-4.2 ramp,and floating dock for private recreational Represented by purposes. PROPER-T PERMIT SERVICES DATUM:MLW P.O.Box 617,Cutchogue,NY 11935 IN:Mattituck Creek AT:Mattituck James E.Fitzgerald,Jr. 631-734-5800 COUNTY: Suffolk STATE:New York September 25,2009 N x0 a+a .12tI(alnr tzu w --- w --.— mwaw--wn—_ wman wuiiex ronunelvn u.inc �1� r� gsiRlei No 1000 � �' ^ °i� _�� -- —I ev�w I I RFN PROPERtt T0.t 6EIMCEFGENCY I -iY]S4� IPI �' ICONVER90n GeiE Fee tO IDn �+,:,°:t>+« = f2 tflH' �Y1rv"'• PROPERT a V Ci0 9 s cGE --!1 11 OOAIkov 0 4\ \\ 1Q 14 \ rqPtP/ 4b ---- 3 ° d z - 10 zz "pP�\• a 11,14 .p efi iP 6 n6 s K wn or -- --zz_ •. r2tl NOTICE w O „d„,,. -- -- --re-- '��'^Arror,� COUNTY OF SUFFOLK © E sounloEo SECTION Real Property Tax Service Agency Y rab. ^"--"1 '°On^"` °' •"' w.nt.• --av-- ,b oww--a-- � CPunlYCenlcrRlvNMea0,NY11901 11, fV.GEaE 139 t oaw z9 ... to rAlHw rztn �• —__— ..w�ur --•-- �.a.,e�._—wn_— (((y���.� e r M A ---.—CE° x y1sni•� P �� srRici rvo 1000 PROPERTY _ a _ Cantrell, Elizabeth From: Terry, Mark Sent: Wednesday,August 17, 2016 9:15 AM To: Cantrell, Elizabeth Subject: PRAETORIUS Elizabeth, The LWRP CCR recommendation dated March 14, 2014 still stands. I am sending down a copy. Mark Terry,AICP,APA Assistant Director of Planning LWRP Coordinator Town of Southold 54375 State Route 25 P.O. Box 1179 Southold, New York, 11971 (631)765-1938 Mark.Terry@town.southold.ny.us i OFFICE LOCATION: ®��®f ® y� MAILING ADDRESS: Town Hall Annex P.O.Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY,11971 a� Telephone: 631 765-1938 ® Fax: 631765-3136 COMM 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: March 14, 2014 Re: Proposed Wetland Permit for ROGER PRAETORIUS SCTM#1000-139-1-4.2 This action was reviewed in 2009 and recommended as CONSISTENT. Since the proposed action is not significantly different form the 2009 proposal the consistency recommendation still applies. The 2009 LWRP Coastal Consistency Review follows. Proper-T Permit Services on behalf of ROGER PRAETORIUS requests a Wetland Permit to install a private recreational docking facility consisting of a fixed walkway with open-grate decking 4'X 85' supported by 8" dia. (nominal) marine piles seaward of the ordinary high water line, hinged ramp TX 16', and floating dock 6'X 20', with the float secured by up to four 8" dia. (nominal) marine piles. Located: 975 Westview Dr., Mattituck. SCTM#139-1-4.2 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information,provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the below Policy Standards and therefore is CONSISTENT with the LWRP; provided that the proposed action meets sub-policies 6.3, and outlined below. 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 must demonstrate that the following dock standards pursuant to § 275-11. Construction and operation standards have been met. (d) Review and approval of dock applications. Before issuing a permit for a dock structure, the Trustees shall consider whether the dock will have any of the following harmful effects: [1] Whether the dock will impair navigation or be located in areas of high vessel traffic or vessel congestion; [2] Whether the dock will unduly interfere with the public use of waterways for swimming, boating, fishing, shellfishing, waterskiing and other water-dependant activities; (3] Whether the dock will unduly interfere with transit by the public along the public beaches or foreshore; [4] Whether the dock will significantly impair the use or value of waterfront property adjacent to or near the dock; (5] Whether the dock will cause degradation of surface water quality and natural resources, [6] Whether the dock will cause habitat fragmentation and loss of significant coastal fish and wildlife habitats, [7] Whether the dock will result in the destruction of or prevent the growth of vegetated wetlands; seagrasses including ee/grass (Zostera marina) and widgeon grass (Ruppia maritima) or shellfish; [8] Whether the dock will unduly restrict tidal flow or water circulation; [9] Whether the dock will be safe when constructed; (10] Whether the dock will adversely affect views, viewsheds and vistas important to the community; [11] Whether the cumulative impacts of a residential and commercial dock will change the waterway or the environment and whether alternate design, construction, and location of the dock will minimize cumulative impacts, and [12] Whether adequate facilities are available to boat owners and/or operators for fueling, discharge of waste and rubbish, electrical service and water service. To further Policies 5 Protect and improve water quality in the Town of Southold, 6.3 Protect and restore tidal and freshwater wetlands and Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. It is recommended that the Board require that the silt boom be deployed during the construction of the dock structure pursuant to: § 275-11 Construction and operation standards. A. General. The following standards are required for all operations within the jurisdiction of the Trustees: (2) Erosion control. Installation of an erosion control structure is necessary during any building, grading, landscaping or site work activity within Trustee jurisdiction. This structure may include, but is not limited to, installation of a silt fence, hay bales, wood chip berm and silt booms. The placement of the erosion control structure(s) shall be determined by the Trustees or their designee. All intertidal construction and excavation requires the installation of a silt boom that will retain all suspended sediments within the immediate project area. Note that Mattituck Inlet and Creek is identified by the state as a regional Maritime Center and are a primary focus of maritime activity within the Town of Southold. The intent of Policy 10; Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations is to protect existing water-dependent commercial, industrial, and recreational uses and to enhance the economic viability of water-dependent uses by ensuring adequate provision of infrastructure for water- dependent uses and their efficient operation. The action furthers the above policy. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney Gv !2 S } JUL 1 2416 : Southold Town B��r�of Tr�ste�,�_._._..._—�•�� ���g+t�fFO�►k�a Peter Young,Chairmany 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., June 15, 2016 the following recommendation was made: Moved by Peter Meeker, seconded by Keith McCamy, it was RESOLVED to NOT SUPPORT the application of ROGER PRAETORIUS to install a docking facility consisting of a ,fixed walkway and landward ramp with open-grate decking 4'X 90' supported by 6" dia. marine piles seaward of the ordinary high water line and 4'X 4' timbers landward of the ordinary high water line, hinged ramp 3'X 20', and floating dock 6'X 20', and the float secured by two 8" dia. marine spiles. Located: 975 Westview Dr., Mattituck. SCTM#139-1-4.2 Inspected by: Peter Young, Peter Meeker, Keith McCamy The CAC does Not Support the application because the dock was not staked. The CAC made an observation that there is potential for serious drainage problems if the property is developed. Vote of Council: Ayes: All Motion Carried . John M.Bredemeyer III,President rg S0 Town Hall Annex®� ®� Michael J.Domino,Vice-President ® 54375 Route 25 P.O. Box 1179 Glenn Goldsmithcoo Southold,New York 11971 A.Nicholas Kru ski G P ;4. ® �® Telephone(631) 765-1892 Charles J. Sanders Z2 100UN-m Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permit 6 Amendment/Transfer/Extension MAY i 1 2016 Received Application: Received Fee:$ �b _Completed Application -5,Ia So�,tiu;id lo�ti _Incomplete a f hu 'ees _SEQRA Classificatio Type I Type II Unliste �oordination:(date sent) WRP Consistency Assessment Form YZ�CAC Referral Sent: � �j Date of Inspection: _Receipt of CAC Report: _Lead Agency Determination: Technical Review: Public Hearing Held: Resolution: Name of Property Owner(s) R o �✓ 1' ra e �� S Address y/ S S C o M e s Phone Number:( Suffolk County Tax Map Number: 1000 - Property Location: !Z 7 we 5 (provide LILCO Pole#, distance to cross streets, and location) AGENT: (If applicable) Address: 6 0 va Nv,f�. /�%��✓��u /l9d/ Phone: 7— i 7 c�� Oard of Trustees Applicatie GENERAL DATA Land Area(in square feet): 2 l) 5 3 5, F, Area Zoning: — Previous use of property: (�N�� ✓� ✓J r Intended use of property: S r w 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 Dep . 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 _,,X 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 �XNo Does the structure (s) on property have a valid Certificate of Occupancy? Yes No ,�) Prior permits/approvals for site improvements: !�" Agency rU51Ws `�3� I �3 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?-7X—No Yes If yes, provide explanation: PROJECT DESCRIPTION: Install private recreational docking facility consisting of fixed walkway and landward ramp with open-grate decking 4'x 90' supported by 6" d. (nominal) marine piles seaward of the ordinary high water line and 4x4 timbers landward of the ordi- nary high water mark, hinged ramp 3' x 20', and floating dock 6'x 20', and the float se- cured by two 8" d. (nominal) marine spiles. and of Trustees Applicati WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: /, 5 4 p . V 4c f e c re L y L i r-1 Ei 1, 1 1 •' ��� Area of wetlands on lot: square feet Percent coverage of lot: 16- % - Closest distance between nearest existing structure and upland edge of wetlands: N -. feet Closest distance between nearest proposed structure and upland edge of wetlands: -- a — feet Oro � 6Se�/l Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: 6zzc� Manner in which material will be removed or deposited: 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): fI S e�cl t� l rl "7 plc p�o�c�� W 1 AAdG /Va eFI e c� oatC—ds GL.vvt+dg f w�►T 617.20 Appendix B Short Environmental Assessment Form 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 I based on infonnation 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: n + n/ ry S pOL IL Project Location(describe,and attach a location3 7 � tinmap): ���—/ 7 INtra5 / , ew �el�`- Itil t 1 MGIC 1/9sv Brief Description of Proposed Action: Name of Applicant or Sponsor: Telephone: 2-75 0 C I - / C" . Y"\o U [. E-Mail: 5 2�44e r"C'_ a o d iVe— Address: P, v City/PO: State: tt Zip Code: I.Does the proposed action drily involve the legislative adoption of a plan,local law,ordi ance, 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. 'f"i 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: ❑ M 3.a.Total acreage of the site of the proposed action? . 17 acres b.Total acreage to be physically disturbed? 0001 acres c.Total acreage(project site and any contiguous properties)owned �} or controlled by the applicant or project sponsor? , ! 9 acres 4. Check all land uses that occur on,adjoining and near the proposed action. F-1 Urban F-1 Rural(non-agriculture) ❑Industrial ❑Commercial- ❑Residential (suburban) El Forest ❑Agriculture Aquatic ❑Other(specify). ❑Parkland Page I of 4 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ ❑ b. Consistent with the adopted comprehensive plan? ❑ El ❑ 6. is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? 12 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO ES If Yes,identify: � El 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? twi ❑ 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: (Q`] EJ11.Will the proposed action connect to existing wastewater utilities? ELI] YES If No,describe method for providing wastewater treatment: M ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ❑ b.Is the proposed action located in an archeological sensitive area? ❑ 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? ❑ Fj If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: ' 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑Shoreline E-1 Forest ❑Agricultural/grasslands ❑Early mid-successional [l 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 government as threatened or endangered? ® ❑ 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 VES If Yes, El 1:1a. Will storm water discharges flow to adjacent properties? '�J NO YES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: �NO []YES Page 2 of 4 18. Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: F ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: � ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE / Applicant/sponsor name: /le g G h-L o v L 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 I. Will the proposed action create a material conflict with an adopted land use plan or zoning � 11regulations? 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? n ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the Ll of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or FVT ❑ affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ reasonably available energy conservation or renewable energy opportunities? LAJ 7. Will the proposed action impact existing: �/� ❑ a.public/private water supplies? L�1 b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, F\71 ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g,wetlands, n ❑ waterbodies,groundwater,air quality,flora and fauna)? Imo► Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage � ❑ problems? 11. Will the proposed action create a hazard to environmental resources or human health? CA 1:1 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. ElCheck this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse env*r n/mmen I impacts. Town of Southold-Board of Trustees Name Lead Agency Date gbh r—d,4— President Print or Type Name of esponsibleOffi er in Lead Agency Title of Responsible Officer Signa f Responsibl fficer in Lead Kency Signature of Preparer(if different from Responsible Officer) P'R"N" Page 4 of 4 John M. Bredemeyer III, rresident gooSU �coG�� Town Hall Annex Michael J. Domino, Vice-President ��� y 54375 Route 25 Glenn Goldsmith P.O. Box 1179 A. Nicholas Krupski y �� Y Southold, NY 11971 Charles J. Sanders Telephone (631) 765-1892 0 5-y Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of ROGER PRAETORIUS 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 I, C, l-e 5 o�� , residing at/dba being duly sworn, depose and say: That on the 4 day of I✓N z , 201 , I personally posted the property known as e/ 757- w� 5 .�ti �, O-^. Y1t a-W, -L.,e-k- . /y'_Y ) 1 9 s z by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday, June 22, 2016. Dated:qt' �, 16 si nature � g ) worn to before me this day o6 f Wo/(o t I MN&L'A , kt6A=�� - , Notary Public THERESA M.KATTAU Notary Public State of New York No.01W4_832984 Qualified in,Soffolk.Count� g Commission Expires Januart 3 NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the/matter of applicant: SCTM# 1Da - / 3 -- -- ao Z YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: L ' CU nr 5 fi r v c.pf' it � X 1 T � Jai�c ed ru��•t,L p A-c�X! -iv a. 'f 'X 7S 1 F--""' 41 Y 2-v` GL A4 e, G I?c2—ai 1'�I-,_46 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 3.- That-the project which is--subject-to Environmental-Review under Chapters 96,111 and/or 275 of the Town Code is open to public comment on: DATE: lNaLe s J e- You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. PROPERTY OWNERS NAME: MAILING ADDRESS: ly e 5L.—J I3-17,? PHONE #: -71S ­3 R a — AGENT: v L MAILING ADDRESS: Go a .moo /-�+-� ` ✓ a/ PHONE #: 9/7— z7 3 —S'YSo Enc: Copy of sketch or plan showing proposal for your convenience. 1 PROOF OF MAILING OF NOTICE ATTACK CERTIFIED MAIL RECEIPTS Name: jtj1 c jC q- jC j, �'oct r�uf�o Address: ��✓ <<� ssc' ms's y //o3v STATE OF NEW YORK COUNTY OF SUFFOLK residing at 2-G o s 1,t-✓Le �.t � //q v r , being duly sworn, deposes and says that on the �' day of J�` , 20-/G, 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 M q /L 7- that said Notices were mailed to each of said persons by CERTI)UD MAEURETUAN RECEIPT. /Z j Sworn to before me this Ot- Day of 20 l!A l r i i Not �lic THERESA M.KATTAU Notary Public State of New York --- - - ----- ----------- No.01 832984 - - Qualified in ffelk Cougly Commission,Expires January,31,2„m 1 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: j+ZL- (tA v Y'r k y Address: STATE OF NEW YORK COUNTY OF SUFFOLK ('/�►./Je ,fit o -i t— , residing at 'a-r. o S 01 esu NPI t4)-,e, 1✓��e tea( n� 1/1 v+ , being duly sworn, deposes and says that on the &', -"1 day of J�� , 20 /G, 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 M-, e-I L that said Notices were mailed to each of said persons by CERTIFIED MAIVRETUAN RECEIPT. Sworn to before me this Day of 26/49 r l THERESA M.KATTAIJ Notary blit Notary Public State of New York No.o1832954 Qualified in Suffolk County - - - -- Commission Expires January 31�_011� i 1 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS o f�y Name: �i rJse 6 v�- 1/6<�` .�, r G- 190 Address: STATE OF NEW YORK COUNTY OF SUFFOLK ����te r`4l n ��L , residing at 'i-r, o s �� U6LNc 1 vim✓1.c��.0 / / /got being duly sworn, deposes and says that on the 4"'1 day of J.-,z_ , 20_./6, 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 M-ie_!L that said Notices were mailed to each of said persons by CERT=D MAILL/RETUAN RECEIPT. Sworn to before me this Day of � I Not ublic THERESA M.KATTAU - -- ------___, - Notary Public-State of New York No.0114832984 -- qualified in uffolk County o1 Commission Expires January 3 L, PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: ,,,.,,,Address: �7,6 STATE OF NEW YORK COUNTY OF SUFFOLK le r'h o �� , residing at 2-& o S Q 0 V Jk;V_ 14x1e, 1✓�✓ c.1a( /►--t 1/g v r being duly sworn, deposes and says that on the day of J�L , 20 /G, 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 CERTIFTEi D MAEL/RETUAN RECEIPT. ' Sworn to before me this Day ofnVALl� U , 20,6�_ r THERESA M.KUM i Notary Public State of New York Notary P lie No.oikA4832984 Qualified in,Suffolk County Commission Expires January 31,--( D N MA"SFT t ni •MATflTU s $1Y 1 9�Nou . _ � A .a Certified Mall Fee 7 (t 5y Certified Mail Fee $5,30, $ �•��J g'06 O $Lr) ExtraSerVH;eS Foe = k ; U"1 Extra Services&Fees(check box,add lee ❑ ettxnR Pecegt(r 3 El Return Receipt(hardcopy) $ t , ❑Return Receipt(electronic) S $n_Vhf Postmark ❑Rotum Reeu "S - --- '°`� p ❑Certified Mail Restricted Delivery $ I-�.I I Here ❑CwtA9d1600 S 2w H" ce = ❑Adult Signature Required $ — ❑Ad:fi SiJ<•-4rat $��. ❑Adult Signature Restricted Delivery$ - ❑Adtft jr S p Postage X0.47 C3 X0,47 = $ . J76/U6/21J16 �a o Total Postage and 5,77 %6/06/2016 - o Total Postage and T3.77 $ Ln Sent TO r— r� � Lf! Sent To I� i ✓6 l � Af L tJ F M <<�" W e t N aL}� '/ /' 'J ---- ------------------------------ --- ----------- E-3 - -- r G/L /�4 �`-�---5---------- p Sheat and Apt No,or PO Box No. O Street and Apt.No or PSB ff j t f E'S �✓i 4v ry/ f 17`-• 6 �S U'e� l lC ,re--------o 3---- rpt stale;ziP+ y ..� Crry Stata,ZIPF —K SS` ' - .r r I r .rr - i a - ^+. 5:e�-�F�`4v.+�,�x ,a.5�n�;•rr ti we r,aa':w+e,�e«*.Irrvc�,�a:'•x'si-��,V,•^nsf:c> A•v „��,,�'r^ti��i`,' in o' Ir '� , fU •MAT�ITI�CK f0 � ,k , �p Certified Mall Fee i ��J I�=7 O Certified Mall Fee $.i.30 C1952 o $ L iib Ln $ - �Jb Lrl p rExtra Services&Fees check box,add lee Extra Services&Fees(check box,add lee re LTPTfr�e) ❑Return Recelpt(hardcoPY) $ � � ) ❑ReturnReceipt(hardcopy) $ (l— L l,_00 �" ❑ Return Receipt(electronic) $ l=l��J Postmark E ❑Return Receipt(electronic) $ Postmark ❑Certified Mall Restncted Delivery $ $Fj-00 Herb F1 Certified Mail Restricted Delivery $ $I I_111 I Here ED 0 E]Adult Signature Required $ t�j�l'JJ_J ❑Adult Signature Required $ J J jkJ ❑Adult Signature Restricted Delivery$ ❑Adult Signature Restricted Delivery$ - Ip Postage O Postage $i I.47 $0.47 $ 06/06/2016 � $ g 116/il6/21�1 b Total Postage and F,ggso 7.1 Total Postage and F2S 77 O 77 '' $ YI $ J• Ln �� � Sent r0 y� / Sent To fl U� -�------------------------------ Sfieef an aPi ivo� Box vJ" O Sheet and Apt;No.;or Pb Box No. � ' ----- -----��- C� vr�� t/1 Citnl ------------------ ------ r-5-- u-1-�--- --�--------- ---- ---^----5 ---------- '------- Ctry,state,Z1P+4 l �i Cy Clry,State,ZIPt 4 1✓C / rt fr /t G F-' % �5 •/ 7 r r i i. i r r• - :rr 1 •1 TIL- t: t tiING INU� t Uim H A 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: ROGER PRAETORIUS SUBJECT OF PUBLIC HEARING : For a Wetland Permit to construct a 4'x15' landward fixed ramp leading to a 4'x75' fixed dock using open- grate decking supported by 6" diameter marine piles seaward of the ordinary high water line and 4"x4" timber posts landward of the ordinary high water line; a 3'x20' hinged ramp; and a 6'x20' floating dock secured by two (2) 8" diameter marine piles. Located: 975 Westview Drive, Mattituck. SCTM# 1000-139-1- 4.2 TIME & DATE OF PUBLIC HEARING : Wednesday, June 22, 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 05/09/2016 06 24 FAX 6312965779 AN9REWSTYPEREALTY 003/003 Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) Arrived May 09 2016 Mon 07:45:44 3 page(s) from 16312985779 ,e/ PI.," h)r i',s residing at (print name of owner of property) (mailing address) Nye 3� z0� L 9 1 �'`" sv do hereby authorize - (Agent) e v�._✓1-- _-- to apply for permit(s)from the Southold Board of Town Trustmi,on my behalf. (Owner' igoature) i iI APPfOgd2Adq N LURFVri Ift!W1-47$ page(s) f r6ADf§jfjq§§ff4 L T Y 1A 002/002 5/6/2016 To whom it may concern: Please allow Mr.Charles Mogul to act as my agent before the Board of Town Trustees Town of Southold_This pertains to ol!)taining a Wetland Permit for 975 Westview Dr. MEttituck, N.Y. 11952.1000-139-1-42 Mr. Ra er Praetorius 05106/2016 09:56 FAX 631296 3 ANDREWSTYPEREALTY 1@001/002 i or I _ i 1 North Fork Real, !.",state Experts for three enerations ,1'2985 Main Road,P.O.Box 63 I JV gtazuck, lVew York, 11952 j (63a) 298-8760 Fax(631) 298-5779 ww .� eXom a-mail: stypere@oplonli e.nel DATE SENT: - RECEIVING FAX: TO; t o e�' pr a e COMPANY: FROM: �� �i u G o vL i SUBJECT: Number of pages seat WG444 cover she i - 1 Message: i I APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessM to avoid same. YOUR NAME: k1 1 b G e 5. (Last name,first name,rpiddle initial,unlf ss you area plying in the nafne of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other >e—x- (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 X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP ��►0-Vj -}- Submitted this _/ y of 2046 Signature U Print Name Form TS 1 y Gh A i ISS G , vL APMdd2Adq 1712•moi(FUed 6.3J?24$ age(s) fr6MDB§Y§ddff-Y§ALTV Z 002/005 A.PPLIeAr'VAGENrMPRESENTATP7E TRANSACTIONAL DISCLc SURF,FORM ' lYll o Sau old's Codt of Fth' a prohibits gonfli 6 0 iut an thr,no of Gown i1iffccet's and emdQrg�,j jG i•+�,g g this fon n is to nroyide in Codnatlpnwhich can tiler Ltl.Ie town or passible conflicts of int_gest and allow it tr,t&whatever aotiee e�iy_ta avoid same. YOUR NAW- r a—f'o r v s J A •J4_ I (Last name„rtrst namc,.nti 10 initdea • iess you arc applyi d the nano of someone else or other entit't,such&S a company.If so,indican tfic,other person's or companty's nartre.) ” NAME OF APPLICATION:'(Chock all that a ' Tax grirvanee Btillding Varian a Trustee Change orzone � Coastal Gtasion Approval of plat Mooring Exemption from plat or official map Planning Otho (iF"Other",name the activity.) V.le, _'L N dl 9 1'e ►r Do you personally(or through your company,spouse,sibling,parent.or child)have a relationship with any officer or cmpioyoe of the Town of Southold? "ReWonsfilp"ineladw 16y blood,tgatriage,or business i>tcmt"Business tatbmr,means a bus(ness, including a partnership,in which the town officer or employee has even a partial owgqmhip of(or employment by)it corporation ' in which the town officer or employcc owns mare tlltan 5%arthe shares. YES NO Ifydu answered"YES",complete the balanee of 011s Form and-lore and sign where andira! d Name o Fperi on employed by the Town of Southold Title br position of that person Describe the relationship behvicen yourself(the ap p1lo nt/aVutfrepr+eseaiativo)acrd the lawn officer or emplayoc_Either check the appropriate line A)tbrough D)andfor dcsc4be in the space proVided. The town officer or employee or Elia or her spouse„sibling,pawn oT child is(check all that aPP1Y)= - ,4)the owner oFgreater'then 59ro of the sha�rr�of the oorport3te stock of the applie{tat " (when the applicant is a corporation); __8)the legal orbcnefcral owner of any ink:rwi in a non-corporate entity(when the applicant is sot a cotpotadon); - 4")an officer,director,pattrteir.oiemplayc,of the applicant;or b7)Etta actual applicant DESCIZ(PTION OF MATIONSHiP Submitted this dayco (� Signature —7 Print Nanta .t..+c r�o r i ✓S Form TS i APHOd 2Add 17:9:21&(FUedEnl2h@LZ7% page(s) fr6AD85ygjdff�SALTV [A 001/005 I ' I North Fork Real ���state Expertsfir three eneratio?zs 11!985 Main Road, P.O. Box 63 Mattituck, New York, 11952 i (631).,298-8760 Fax(631) 298-5779 www.s e_+rom e-mail: stypere@oyonline-met I , DATE SENT: RECEIVING FAX: ;�1 � --/ '5 ' TO: z a e ' Pr e+,j r "'.5 COMPANY: FROM: C, p Vt. SUBJFCT: I � Number of pages sent iucludift co r sheet: I Message: i PJ W c F G -� Alt C S a c CSq aL+, �fVc e- h nom` a g i x0v 4L ��R � J-1 e SE. �✓�'� S � �Jc i 05111/2016 12: 19 FAX 63129957 ANDREWSTYPEREALTY � Ia0041005 Board of Trustees Application AUTHORIZATION (whew the applicant is not the owner) t rr!,5 residing at Y/ N (print name of owner of property) (mailing address) 'v I• do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees o;a my behalf. (0),wner,s signature) Arrrived2May 11 2016 FAX 13:41$3779 page(s) fromD6312985779 ALTV 003/045 APPLICA Nirjr/AcnN /nipmENu rn E 7"-XSAC�l'IONAL DISCLOSUPY F.ORI'IrL otim Qf SeIgbold's hibits v }L rami_is to n widg ipforinglon which ran algin t��e oFgo,ss a f ihttzest at�d allow it to taiCo whateve +K mar a d same. f�1 YOUR NAME' �ra c �e r ;a .3 (Last name„fust name, >3 dila inklar,unless yti are applying uthe name of someone else or other eudly„such as a company.Ifs*,indicate the other person's or Company's name,) NAME M APPL[CATION, (Cheek all that apply) Tax grievance Building Variance — This Changtuf7,one Coastal CORS a "�--- Approval of lot � p _ Mooring Exemption from plat or official mapWier Planning (if"Other”,name the activity.) 00 you personally(*r through your Company,spout b,sibling,parent,or child)have a relationship with any ofFeer or employee ' of the Town of Southold8 "Rehrtionship"iholudes I iy blood,mgarr iaM or buslncss ipterest"Business Intamr--means a business including a partnership,in which the Gown offitxsa'tunployco has eveh a partial own;Wtp of(or otnployment by)a wtporation in which the town officer or employee awns mane Ulan 5%as;the shams- YES NO. If you an:veered-Y, ES",complete the balance of thlir form and date and sign where indicayxL " Name of i rorson employed by thc;Tb vn of Southold_ Title br position of that person Describe¢he relationship betweenyourself(the applicmttInTatImprese-ntative)and the town ot(lrer or employee.Either ebwk the appropriate line.A)through D)and/or desalbo iri,the apaft prodded. The town officer or employee or Ids or her spouse,sibling,paront,of child is(chock all that apply); A)the owner of greater than 5%'of the sham-,i of the Corporate stock of the.applicant (whoa the applicant is a ootporadorkt • . , • _ I ' B)the kgal or beneficial owner of any interna In a mroa-oorporato entity(whottdte' applicnirt is not a oorporation); ; GQ an officer,dittetor,partnei'r.oe employee Cf the applicant;dr D)the actual applicant DESCRIPTION OF RELATiONkV Q rr/1 r' Submitted this _day of 20 A • Si;,natur� _ Prdr�t Nemo a �• re.a .r,�s' ' Form TS I 05/03/2016 06.32 FAX 6312885778 ANDREWSTYPEREALTY � 0 0031003 Arrived May 09 2016 Mon 07:54:07 *ge(s) from 16312985779 Board of Trustees Application AFFIDAVIT lk -c Prf t te .s BEING DULY SWORN DEPOSES AND AFFIRMS TEIIAT HE/SPIE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)ANIS THAT ALL STATEMENTS CONTAINED HERRIN ARE TRUE TO THE BEST Oa-P HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION ,AND AS MAY BE APPROVER!BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO FOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HA.R KLESS 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 AGENT040 OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISOR7C COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES INI+CONJUNCTION WITH TIM APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WRTLAND OR COASTAL ' EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Si Lure of Property Owner SWORN TO BEFORE ME THIS_ D DAY OF 201V NotaryPublic � NANCY MOAK-MARSHALL Notary Publlc m 1"tate of Now York No.01 MOSCS6784 Qualified In Onondaga Oounjy My Commission Expires Feb.03,201// I ' 05/11/2016 12:20 FAX 6312885779 ANDREWSTYPEREiALTY Z005/005 1 _ Board, of Trustees Application AFFIDAVIT ^e Pr a e .5 BEING DULY SWORN DEPOSES AND AFFIRMS THAT TIE/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 FORTIS[-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- BOARD OF TRUSTEES HARMLESS AND FREE FROM ANYAND ALL DAMAGES AND CLAIMS ARISING UNDEF�OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION,I IIEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENT,A,TIVES, INCLUDING THE CONSERVATION ADVISORY-]COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPEC'T'ION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO ;VIY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CCINDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. r Signature of Property Owner SWORN TO BEFORE ME THIS_ �✓� p,�y pF /"` 20 C/— -1jWGW1a'& W' Notary Public NANCY MOAK MARSHALL NOWY Public m Statq of Now YorkEdo.011WOSM6Y64 Qualifled In Onondaga Qou.t. illy Cos MISSBon FXPoreS Feb.03,2® '� Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this 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 si ifigiccant 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# J,900 - / 3 g _ r _ V, -2— PROJECT PROJECT NAME Pr eke us L7,p G,k-- The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity, agency regulation,land transaction) ❑ (b) Financial assistance(e.g. grant,loan,subsidy) (c) Permit, approval, license,certification: ❑ Nature and extent of action: /� S r, ✓a CG �C A U N h BG Ci,v �. i S� S 42G'G S., P h u 6• ed F Location of action: q 7 (n/e s ty I M Site acreage: -2) 33 A/3;6 _ • y A �� s Present land use: (J sv de t/e )o p e J Present zoning classification:_/ — y a 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: p? C? 9 e l rA e�"o�i s I (b) Mailing address: 5-- C0,/,t/ J a'^�e S V� � lP • � .y 1 30 7 8 (c) Telephone number: Area Code( -3 2 Y—/ 6 y 6 (d) Application number, if any: Ny fi x6v o wN Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes 0 No❑ If yes,which state or federal agency? O 5�}G�. �'�/S ��C , /`' 5 C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. n Yes ® No ❑ Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LW" Section III—Policies Pages 3 through 6 for evaluation criteria Yes El No L-A 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 ❑ YesNo I 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 S through 16 for evaluation criteria ❑ Yes r No Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of.Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ Yes IN 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] L4J ❑ 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 M No[] Not Applicable a Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. El 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. ❑ Ye❑ No[,211 Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. Yes ❑ No � Not Applicable Attach additional sheets if necessary i Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No N Not Applicable ` Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III —Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No F"� 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 a L- TITLE_ A,0- DATE �1 I /-`