HomeMy WebLinkAboutOther Agency Permits -k l
DEPARTMENT OF THE ARMY
. I NEW YORK DISTRICT,CORPS OF ENGINEERS
JACOB K.JAVITS FEDERAL BUILDING
% NEW YORK,N.Y.10278-0090
MAY 17 2013
REPLY TO
ATTENTION OF
Regulatory Branch - Eastern Section
Subject: Permit Application Number NAN-2013-00241
by Harrington Family Limited Partnership
for maintenance work
In the West Harbor, in the Fishers Island of Town of
Southold, Suffolk County, New York
Harrington Family Limited Partnership
Care of David Harrington
70 Rocky Hill Road
Chadds Ford, Pennsylvania 09317
Dear Mr. Harrington:
This office recently received a Permit Application for in-
water construction activities located waterward of the mean high
tide line in navigable waters and/or discharge of fill material
into waters of the United States, as cited above.
It appears that your proposed work may be authorized under
one or more Department of the Army nationwide general permit (s) .
Please refer to the enclosed material for information pertaining
to the nationwide general permit program. You may presume that
your project qualifies for authorization by Nationwide Permit #3
provided that the proposed work of reconstructing a 148-linear
foot by 5-foot wied fixed wood pile and timber pier, including 4
batter braced tie-off piles and ladders in the West Harbor meets
the terms, conditions, and language of the Nationwide Permits
(77 FR 10184) , dated February 21, 2012 . If you desire a project-
specific determination as to Nationwide Permit applicability, you
should contact this office to discuss what additional information
will be necessary. However, if your project meets the terms and
conditions of the nationwide permit program, there is no need for
additional contact.
You are reminded that a Department of the Army permit may
be required for any additional work that does not qualify for a
Nationwide Permit on this site. If you decide to implement any
other project on this site in the future, please submit a timely
2 -
and completed application for our review. Impacts to waters of
the United States for this project may be reviewed cumulatively
with any future requests or any other applications you may
submit for work in waters of the United States on this site.
Please note that this does not eliminate the need to obtain
any other Federal, State or local authorizations required by law
for the proposed work, including any required permit or Water
Quality Certification from the New York State Department of
Environmental Conservation (NYSDEC) or a Coastal Zone Management
consistency certification from the New York State Department of
State (NYSDOS) .
In order for us to better serve you, please complete our
Customer Service Survey located at:
http: //pert .nwp.usace. army.mil/survey.html
A copy of this letter is being sent to NYSDEC, Region 1;
Town of Southold andKb-Lt' .;,
and ,
P: .E-
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Box:k4
y-s,Nlyst =,,Coririe_;ct :ctit�-"0-,&3,55 k
sys
Any inquires should be directed to the Regulator-of-the-Day
at 917-790-8511. /r_---
Scerely,
Michael Scarano, P.E.
Deputy Chief, Regulatory Branch
Enclosure
M `
DEPARTMENT OF THE ARMY
NEW YORK DISTRICT,CORPS OF ENGINEERS
JACOB K.JAVITS FEDERAL BUILDING
NEW YORK,N.Y.10278-0090
REPLY TO
ATTENTION OF
CENAN-OP-RE
NATIONWIDE PERMIT COMPLIANCE CERTIFICATION AND REPORT FORM
Permittee: Harrington Family Limited Partnership Permit No. NAN-2013-00241-EMC
Date Permit Issued: MAY 17 2013
Location: Fishers Island, Town of Southold, Suffolk County, State of New York
Within 30 days of the completion of the activity authorized by this permit and
any mitigation required by the permit, sign this certification and return it to
the address at the bottom of this form.
Please note that your permitted activity is subject to a compliance inspection
by a U.S. Army Corps of Engineers representative. If you fail to comply with
this permit you are subject to permit suspension, modification or revocation.
I hereby certify that the work authorized by the above referenced permit has
been completed in accordance with the terms and conditions of said permit, and
required mitigation was completed in accordance with the permit conditions.
Signature of Permittee Date
FOLD THIS FORM INTO THIRDS, WITH THE BOTTOM THIRD FACING OUTWARD. TAPE IT TOGETHER AND
MAIL TO THE ADDRESS BELOW OR FAX TO(212)264-4260.
PLACE
STAMP
HERE
DEPARTMENT OF THE ARMY
NEW YORK DISTRICT CORPS OF ENGINEERS
JACOB K. JAVITS FEDERAL BUILDING
ATTN: CENAN-OP-RE
NEW YORK, NEW YORK 10278-0090
New York State Department of Environmental Conservation
Division of Environmental Permits, Region One AM
SUNY @ Stony Brook, 50 Circle Road, Stony Brook, NY 11790-3409
Phone: (631) 444-0365 Fax: (631) 444-0360
Website:www.dec.nv.Qov
Joe Martens
Commissioner
May 28, 2013
The Harrington Family Ltd. Partnership
C/O David Harrington
70 Rocky Hill Road
Chadds Ford, PA 19317
Re: Permit # 1-4738-02792/00004
Dear Permittee:
In conformance with the requirements of the State Uniform Procedures Act
(Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are
enclosing your permit. Please carefully read all permit conditions and,special permit
conditions contained in the permit to ensure compliance during the term of the permit.
If you are unable to comply with any conditions, please contact us at the above
address.
Also enclosed is a permit sign which is to be conspicuously posted at the project
site and protected from the weather.
Sincerely,
Claire Werner
Environmental Analyst
cc: Docko Inc.
BOH - TW
File
AM
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
Facility DEC ID 1-4738-02792
PERMIT
Under the Environmental Conservation Law (ECL)
Permittee and Facility Information
Permit Issued To: Facility:
THE HARRINGTON FAMILY LRY11 ED HARRINGTON PROPERTY
PARTNERSHIP
C/O DAVID HARRINGTON 2695 WINDSHIELD DRISCTM# 1000-002-1-12
70 ROCKY HILL RD FISHERS ISLAND, NY 06390
CHADDS FORD, PA 19317
(978) 505-9277
DAVID HARRINGTON
919 SUN STONE LANE
KENNETT SQUARE,PA 19348
Facility Application Contact:
DOCKOINC
PO BOX 421
MYSTIC, CT 06355
(860) 572-8939
Facility Location: in SOUTHOLD in SUFFOLK COUNTY
Facility Principal Reference Point: NYTM-E: 751.9 NYTM-N: 4574.1
Latitude: 41'16'44.6" Longitude: 71'59'32.2"
Project Location: 2695 Windshield Drive,Fishers Island Watercourse: Fishers Island Sound
Authorized Activity: Remove remains of dock structure, construct new fixed pier with platform and
stairs at the landward end, install four mooring piles with batter piles and reconstruct upland access
ramp. All work shall be performed in strict conformance with the plans prepared by Keith B. Neilson,
Sheets 1, 3 and 4 last revised 4/17/13, Sheet 2 last revised 4/4/13; stamped NYSDEC approved on
5/24/13. (CKW)
Permit Authorizations
Tidal Wetlands - Under Article 25
Permit ID 1-4738-02792/00004
New Permit Effective Date: 5/24/2013 Expiration Date: 5/24/2018
Page 1 of 6
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
Facility DEC ID 1-4738-02792
NYSDEC Approval
By acceptance of this permit,the permittee agrees that the permit is contingent upon strict
compliance with the ECL, all applicable regulations,and all conditions included as part of this
permit.
Permit Administrator:JOHN A AND,De y Regional Permit A nistrator
Address: NYSDEC ION 1 AQQUARTERS
S Y ST O X50 CLE RD
S NY RO K 11790 -340
' Authorized Signature: Date�� 7/ O
IV
�Distjn List
DOCKO INC
Habitat-TW
Claire Werner
Permit Components
NATURAL RESOURCE PERMIT CONDITIONS,
GENERAL CONDITIONS, APPLY TO ALL AUTHORIZED PERMITS
NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS
NATURAL RESOURCE PERMIT CONDITIONS - Apply to the Following
Permits: TIDAL WETLANDS
1. No Interference With Navigation There shall be no unreasonable interference with navigation by
the work herein authorized.
2. Conformance With Plans All activities authorized by this permit must be in strict conformance
with the approved plans submitted by the applicant or applicant's agent as part of the permit application.
Such approved plans were prepared by Keith B. Neilson, Sheets 1, 3 and 4 last revised 4/1713, Sheet 2
last revised 4/4/13; stamped NYSDEC approved on 5/24/13.
3. Post Permit Sign The permit sign enclosed with this permit shall be posted in a conspicuous
location on the worksite and adequately protected from the weather.
Page 2 of 6
Am
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION v
Facility DEC ID 1-4738-02792
4. Notice of Commencement At least 48 hours prior to commencement of the project, the permittee
and contractor shall sign and return the top portion of the enclosed notification form certifying that they
are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion
of project, the bottom portion of the form must also be signed and returned, along with photographs of
the completed work.
5. No Disturbance to Vegetated Tidal Wetlands There shall be no disturbance to vegetated tidal
wetlands or protected buffer areas as a result of the permitted activities.
6. No Unauthorized Fill No fill or backfill is authorized by this permit without further written
approval from the department (permit, modification, amendment).
7. Wood Preservatives A. Pressure treated wood used for construction of in-water structures must
have undergone a treatment process approved(stamped or otherwise marked as certified)by the
American Wood Preservative Association.
B. Wood treated with Pentachlorophenol (PCP) must not be used in wetlands or surface waters.
C. The use of creosote treated wood is prohibited both in the water and upland areas.
D. Chromated Copper Arsenate (CCA)pressure treated wood must be clean and free of CCA surface
deposits. Wood with surface deposits must be washed for at least 5 minutes under running water prior to
use. The washing must occur greater than 100 feet landward of any regulated wetland and/or water body.
(Note "E." below for handling wash water.)
E. Any wood debris such as sawdust or wash water must not enter any water body, including wetlands or
protected buffer areas.
8. No Floats This permit does not authorize the installation of floats.
9. No Permanent Structures on Dock No permanent structures shall be installed on
dock/catwalk/float without first obtaining written Department approval (permit, modification, or
amendment).
10. No Structures on Pilings No structures, other than structures specifically authorized by this
permit, shall be constructed on pilings without further authorization from the department (permit,
modification or amendment).
11. No Dredging or Excavation No dredging, excavating or other alteration of shoreline or
underwater areas is authorized by this permit, nor shall issuance of this permit be construed to suggest
that the Department will issue a permit for such activities in the future.
Page 3 of 6
Am
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATIONv�
Facility DEC ID 1-4738-02792
12. Tidal Wetland Covenant The permittee shall incorporate the attached Covenant(or similar
Department-approved language) to the deed for the property where the project will be conducted and file
it with the Clerk of Suffolk County within 30 days of the effective date of this permit. This deed
covenant shall run with the land into perpetuity. A copy of the covenanted deed or other acceptable
proof of record, along with the number assigned to this permit, shall be submitted within 90 days of the
effective date of this permit to
Regional Habitat-TW
Attn: Compliance
NYSDEC -Region 1
SUNY @ Stony Brook
50 Circle Road
Stony Brook, NY 11790-3409
13. State Not Liable for Damage The State of New York shall in no case be liable for any damage or
injury to the structure or work herein authorized which may be caused by or result from future operations
undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no
claim or right to compensation shall accrue from any such damage.
14. State May Order Removal or Alteration of Work If future operations by the State of New York
require an alteration in the position of the structure or work herein authorized, or if,in the opinion of the
Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation
of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause
loss or destruction of the natural resources of the State, the owner may be ordered by the Department to
remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State,
and if, upon the expiration or revocation of this permit, the structure,fill,excavation, or other
modification of the watercourse hereby authorized shall not be completed, the owners, shall, without
expense to the State, and to such extent and,in such time and manner as the Department of
Environmental Conservation may require,remove all or any portion of the uncompleted structure or fill
and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall
be made against the State of New York on account of any such removal or alteration.
15. State May Require Site Restoration If upon the expiration or revocation of this permit, the
project hereby authorized has not been completed, the applicant shall, without expense to the State, and
to such extent and in such time and manner as the Department of Environmental Conservation may
lawfully require, remove all or any portion of the uncompleted structure or fill and restore the site to its
former condition. No claim shall be made against the State of New York on account of any such
removal or alteration.
16. Precautions Against Contamination of Waters All necessary precautions shall be taken to
preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents,
lubricants, epoxy coatings,paints, concrete, leachate or any other environmentally deleterious materials
associated with the project.
Page 4 of 6
Am
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION �
Facility DEC ID 1-4738-02792
GENERAL CONDITIONS - Apply to ALL Authorized Permits:
1. Facility Inspection by The Department The permitted site or facility, including relevant records, is
subject to inspection at reasonable hours and intervals by an authorized representative of the Department
of Environmental Conservation (the Department) to determine whether the permittee is complying with
this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71- 0301
and SAPA 401(3).
The permittee shall provide a person to accompany the Department's representative during an inspection
to the permit area when requested by the Department.
A copy of this permit, including all referenced maps, drawings and special conditions, must be available
for inspection by the Department at all times at the project site or facility. Failure to produce a copy of
the permit upon request by a Department representative is a violation of this permit.
2. Relationship of this Permit to Other-Department Orders and Determinations Unless expressly
provided for by the Department, issuance of this permit does not modify, supersede or rescind any order
or determination previously issued by the Department or any of the terms, conditions or requirements
contained in such order or determination.
3. Applications For Permit Renewals,Modifications or Transfers The permittee must submit a
separate written application to the Department for permit renewal, modification or transfer of this
permit. Such application must include any forms or supplemental information the Department requires.
Any renewal, modification or transfer granted by the Department must be in writing. Submission of
applications for permit renewal,modification or transfer are to be submitted to:
Regional Permit Administrator
NYSDEC REGION 1 HEADQUARTERS
SUNY @ STONY BROOK150 CIRCLE RD
STONY BROOK, NY11790 -3409
4. Submission of Renewal Application The permittee must submit a renewal application at least 30
days before permit expiration for the following permit authorizations: Tidal Wetlands.
5. Permit Modifications, Suspensions and Revocations by the Department The Department
reserves the right to exercise all available authority to modify, suspend or revoke this permit. The
grounds for modification, suspension or revocation include:
a. materially false'or inaccurate statements in the permit application or supporting papers;
b. failure by the permittee to comply with any terms or conditions of the permit;
c. exceeding the scope of the project as described in the permit application;
Page 5 of 6
v
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION 'ROW
Facility DEC ID 1-4738-02792
d. newly discovered material information or a material Change in environmental conditions, relevant
technology or applicable law or regulations since the issuance of the existing permit;
e. noncompliance with previously issued permit conditions, orders of the commissioner, any
provisions of the Environmental Conservation Law or regulations of the Department related to
the permitted activity.
6. Permit Transfer Permits are transferrable unless specifically prohibited by statute,regulation or
another permit condition. Applications for permit transfer should be submitted prior to actual transfer of
ownership.
NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS
Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification
The permittee, excepting state or federal agencies, expressly agrees to indemnify and hold harmless the
Department of Environmental Conservation of the State of New York,its representatives, employees,
and agents ("DEC") for all claims, suits, actions, and damages, to the extent attributable to the
permittee's acts or omissions in connection with the permittee's undertaking of activities in connection
with, or operation and maintenance of, the facility or facilities authorized by the permit whether in
compliance or not in compliance with the terms and conditions of the permit. This indemnification does
not extend to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent or
intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under
Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision
under federal or state laws.
Item B: Permittee's Contractors to Comply with Permit
The permittee is responsible for informing its independent contractors, employees, agents and assigns of
their responsibility to comply with this permit, including all special conditions while acting as the
permittee's agent with respect to the permitted activities, and such persons shall be subject to the same
sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee.
Item C: Permittee Responsible for Obtaining Other Required Permits
The permittee is responsible for obtaining any other permits, approvals, lands,easements and rights-of-
way that may be required to carry out the activities that are authorized by this permit.
Item D: 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.
Page 6 of 6
NOTICE OF COMMENCEMENT OF CONSTRUCTION Am
RETURN THIS FORM TO:COMPLIANCE Or Fax to: 631-444-0297
Bureau of Habitat-TW 111196
50 Circle Road _
Stony Brook, NY 11790-3409
PERMIT NUMBER: EXPIRATION DATE:
PERMITTEE NAME&PROJECT ADDRESS:
CONTRACTOR NAME&ADDRESS:
TELEPHONE:
Dear Sir:
Pursuant to the special conditions of the referenced permit,you are hereby notified that the authorized activity shall commence on
. We certify that we have read the referenced permit and approved plans and fully understand the authorized project and all
permit conditions.We have inspected the project site and can complete the project as described in the permit and as depicted on the
approved plans. We can do so in full compliance with all plan notes and permit conditions.The permit, permit sign, and approved plans will
be available at the site for inspection in accordance with General Condition No. 1. (Both signatures required)
PERMITEE: DATE
CONTRACTOR: DATE
THIS NOTICE MUST BE SENT TO THE ABOVE ADDRESS AT LEAST TWO DAYS PRIOR TO COMMENCEMENT OF THE PROJECT
AND/OR ANYASSOCIATED ACTIVITIES. FAILURE TO RETURN THIS NOTICE,POST THE PERMIT SIGN, OR HAVE THE PERMIT AND
APPROVED PLANS AVAILABLE AT THE WORK SITE FOR THE DURATION OF THE PROJECT MAY SUBJECT THE PERMITTEE
AND/OR CONTRACTOR TO APPLICABLE SANCTIONS AND PENALTIES FOR NON-COMPLIANCE WITH PERMIT CONDITIONS.
Cut along this line x x �.< x �c x x
NOTICE OF COMPLETION OF CONSTRUCTION
RETURN THIS FORM TO:COMPLIANCE Or Fax to: 631-444-0297 AM
of Habitat-TW
50 Circle Road
Stony Brook, NY 11790-3409 -
PERMIT NUMBER: EXPIRATION DATE:
PERMITTEE NAME&PROJECT ADDRESS:
CONTRACTOR NAME&ADDRESS:
TELEPHONE:
Pursuant to special conditions of the referenced permit,you are hereby notified that the authorized activity was completed on
.We have fully complied with the terms and conditions of the permit and approved plans.(Both signatures required)
PERMITEE: DATE
CONTRACTOR: DATE
THIS NOTICE, WITH PHOTOGRAPHS OF THE COMPLETED WORK AND/OR A COMPLETED SURVEY,AS APPROPRIATE, MUST BE
SENT TO THE ABOVE ADDRESS WITHIN 30 DAYS OF COMPLETION OF THE PROJECT,
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PROPERTY of _ ___
HARRINGTON __--- _
LOG�.TIOIV M�.P REFERENCE ;'-
CHART:12372
_ -__ _ _ Y� J•.
GRAPHIC SCALE
IN
t�
1000 O -
PROJECT. PIER
NOTES RECONSTRUCTION
1.ELEVATION DATUM IS APPARENT LOW WATER -
-
2 TIDE DATA IS TAKEN FROM 2012 NOAA TIDE `s�,
TABLES REFERENCE:SILVER EEL COVE BASED ON N/F PROPERTY OF
- - - --NEW LONDON,Cr. JABGO LIMITED -
3.PROJECT DESCRIPTION: PARTNERSHIP
CONSTRUCT 138tLF OF 5-FT WIDE FDCED WOOD PILE :;:•- '; ,•- ',: =r"'`"'"'_
AND TIMBER PIER INCLUDING FOUR BATTER BRACED N Y 8 D E C
TIE-OFF PILES AND LADDERS WATERWARD OF THE APPROVED AS PER TERMS
APPARENT HIGH WATER LINE RELOCATE 4-FT WIDE
AND CONDITIONS OF
��`�• may:^ :�`•�,y� �i�:-,�•.
STAIRS WITH A NEW 5-FT X 4-FT FD(ED LANDING .•x�`' '"r`'-'- :�::':' :.ice
AND RECONSTRUCT AN EXISTING WOOD AGGESSPERMIT NOL,�3�d-Oa7�z c :':,.r a�,'.;' ? '• ;+•r- ,•:.
APPARENT HIGH WATER _y `•. �t.
RAMP LANDWARD OF THE •••' ;'':;"x.` :.;�'.� `�'.�'_,: . •• .
-)aTE a � . ~FISF-1�F�SryISLAND.r=
4.PROJECT PURPOSE
THIS IS A PRNATE DOCK FOR RECREATIONAL BOATING. . TOWN of SOUTHOLD
U• / �'� •'l.• •ate••:•�','�.-;�.}•?��M•K •-
5.THESE APPLICATION DRAWINGS REPRESENT i :;•:.- r: " �;.,: : `.�'�:
A COMPILATION OF SURVEYS FOR ENVIRONMENTAL
PERMIT PURPOSES.THEY ARE NOT GONSTRUGTION
CONTRACT DOCUMENTS.TOWN BUILDING PERMITS)
MAY BE REQUIRED. \ -•;:L=t� ,. ,:,:•;_� vayc_: :�::-^ "': "':
G.ADJOINING PROPERTY OWNERS:
NORTH: SOUTH: '-��; GRAPHIG5GALE 1 =300'
H.L FERGUSON MUSEUM JACOB LIMITED PARTNERSHIP
ATM ROBERT J MILLER J GEDDES PARSONS - =:v 300 200 100 O 300
DAY PITNEY LLP PARSONS CAPITAL MANAGMENT INC
ONE CANTERBURY GREEN 10 WEYBOSSET STREET SUITE 106
STAMFORD,Cr 06901 PROVIDENGE,RI 02903
PROJECT: PIER RECONSTRUCnON
REVISED 417-13 T.O.S. LOCATION: FISHERS ISLAND- TOWN of SOUTHOLJD
PROJECT DESCRIPTION SUFFOLK COUNTY,NEW YORK
WATERWAY: FISHERS ISLAND SOUND
�P N E��hr rp DATE NOVEMBER 26,2012 U C K 0
APPLICANT- DAVID HARRINGTON ;
!
Lu AGENT: SHEET 1 OF 4
1DOGK0, ING.
Keith B.Neilson,PE o 0
A O68692A ��C? Mystic,CT 06355
RpF� S+pNp� 860 572 8939 FAX 860 572 7569 DWG 12-07-2422
EMAIL'permits@docko.com
Keith B.Neilson•Docko Inc. 4/17/2013 254 PM Hamngton-Gampbe0 7B dwg
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APPROVED AS PER TERMS
ti4`T 02�.3'rY•aG LSf.>^ yi4'.• �• `ti ,[.
AND CONDITIONS OF BOTTOM
_ 1 .2�yi��?,4-�.,My}frT �.�.•.�'� •7,d•??Pisv1 }!�fw v.
PERMIT NO.I 473 2 R ovr5r� Ci�a'r�e
8 W N/F PRO RlY OF ""
\ t �TOP OF BANK " r
'TATE JC" o� 3 /� ) .`s.'-2-FA%`\-.t'�i'h''. �h' JABGO LIMfrEDb=w "
Ali �k - �
ERSHIP a -�
SURVEY by GME ENGINEERING,rt-
LAND SURVEYING s ARGFREGTURE,PLL.G,:h
GRAPHIC SCALE 1'=40'
40 20 0 4o PROJECT: PER REGONSTRUCMON
REVISED 4,4-13 NY DEC LOCAMON FISHERS ISLAND- TOWN of SOUTHOLD
SUFFOLK COUNTY,NEW YORK
TOP of BANK GALLOUT
*Y WATERWAY FISHERS ISLAND SOUND
�Sj- ON K ly DATE NOVEMBER 26,2012 0 C K 0
APPLICANT: DAVID HARRINGTON
fi AGENT SHEET 2 OF 4 f 6
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Keith B.Neilson,PE C 0 R P 0
068692't Mystic,CT 06355
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,�P ON ITy DATE NOVEMBER 26,2012 U 0 C R o ,
PIER LENGTH ApcUGANT DAVID HARRINGTON
AGENT: SHEET 3 OF 4
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Keith B.Neilson.PE C 0 Po R }Z►�
cre 692."Nt � Mystic,Cr 06355
RAFN�� 860 572 8939 FAX 860 572 7569 DWG 12-07-2422
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L'oN+,R IJclknn r)—L-IM AJ761201311:27AM Harrington-Gamobell 3C.dwa r
9520-1 (8/8-0-9d
New fork State
Department of Environmental Conservation
NOTIC -*IE Iqw
v
The Department of Environmental Conservation (DEC) has issued
permit(s) pursuant to the Environmental Conservation Law
for work being conducted at this site. For further information
regarding the nature and extent of work approved and any
Departmental conditions on it, contact the Regional Permit
Administrator listed below. Please refer to the permit number
shown when contacting the DEC.
Regional Permit Administrator
Permit Number
I� Wociooya
Expiration Date
NOTE: This notice is NOT a permit
PART II- IMPACT ASSESSMENT To be completed by Lead Agency)
A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617.4? If yes,coordinate the review process and use the FULL EAF.
0 Yes [:] No
B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative
declaration may be superseded by another involved agency.
E] Yes 1-1 No
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,if legible)
C1. Existing air quality,surface or groundwater quality or quantity,noise levels,existing traffic pattern,solid waste production or disposal,
potential for erosion,drainage or flooding problems? Explain briefly:
C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly:
C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly:
C4. A community's existing plans or goals as officially adopted,or a change in use or intensity of use of land or other natural resources?Explain briefly:
C5. Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly:
C6. Longterm,short term,cumulative,or other effects not identified in C1-05? Explain briefly:
C7. Other impacts(includin2 changes in use of either quantity or type of energy? Explain briefly:
D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL
ENVIRONMENTAL AREA(CEA)? If yes,explain briefly:
FlYes F-1 No
E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If:as ex Iain:
FlYes ElNo
PART III-DETERMINATION OF SIGNIFICANCE(To be completed by Agency)
INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant. Each
effect should be assessed in connection with its(a)setting(i.e.urban or rural);(b)probability of occurring;(c)duration;(d)irreversibility; (e)
geographic scope;and (f)magnitude. If necessary,add attachments or reference supporting materials. Ensure that explanations contain
sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked
yes,the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA.
Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur.Then proceed directly to the FULL
EAF and/or prepare a positive declaration.
Check this box if you have determined,based on the information and analysis above and any supporting documentation,that the proposed actio
WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi
determination.
Name of Lead Agency Date
Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer
Signature of Responsible Officer in Lead Agency Signature of Preparer(If different from responsible officer)