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Home My WebLink AboutTR-8893 Michael J.Domino, President VV*Of SU(/T�O Town Hall Annex John M.Bredemeyer III,Vice-President h0 lQ 54375 Route 25 P.O. Box 1179 Charles J. Sanders Southold,New York 11971 Glenn Goldsmith G Q ® p Telephone(631) 765-1892 A.Nicholas KrupskiO a Fax(631) 765-6641 ��CDUiVTT`I,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1420C Date:November 16,2017 THIS CERTIFIES that the construction of a dock consisting of a 4' wide landward fixed ramp up to a landward 4'x60' fixed dock section using Thru-Flow deckingand nd supported by 4"x4" posts in vegetated areas*, a seaward 4'x60' fixed dock section using Thru-Flow deckingand nd supported by Monopile 3-12ile(8"-9"diameter) ice-breaker pilings installed 12' on center,• a 3'x20' adjustable ramp; and a 6'x20' floating dock secured in an"L"configuration; At 44030 Route 25,Peconic Suffolk County Tax Map#1000-75-6-6.1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated July 29, 20161 pursuant to which Trustees Wetland Permit#8893 Dated October 19, 2016,was issued and Amended on March 22, 2017, 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 construction of a dock consisting of a 4' wide landward fixed ramp up to a landward 4'x60' fixed dock section using Thru-Flow decking and supported by 4"x4"posts in vegetated areas,• a seaward 4'x60' fixed dock section using Thru-Flow decking and supported by Monopile 3-pile (8"-9" diameter) ice-breaker pilings installed 12' on center; a 3'x20' adjustable ramp; and a 6'x20' floating dock secured in an"L"configuration. The certificate is issued to SAMUEL SINGER owner of the aforesaid property. Authorized Signature *OF SO!/r�, Michael J.Domino,President �� Ol0 Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 Ar P.O.Box 1179 Charles J. Sanders CA Southold,New York 11971 Glenn Goldsmith �l Telephone (631) 765-1892 A.Nicholas Krupski 'COU Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: P/1311') Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction p / % constructed V Project complete, compliance inspection. INSPECTED BY: COMMENTS: CERTIFICATE OF COMPLIANCE: Michael J.Domino,President �� SOUJy Town Hall Annex John M.Bredemeyer III,Vice-President ,`O� O01 0 54375 Route 25 P.O.Box 1179 Charles J.Sanders Southold,New York 11971 Glenn Goldsmith coo ® Telephone(631) 765-1892 A.Nicholas Krupski Q Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 22, 2017 Agena Rigdon DKR Shores, Inc. P.O. Box 488 Hampton Bays, NY 11946 RE: SAMUEL SINGER 44030 ROUTE 25, PECONIC SCTM# 1000-75-6-6.1 Dear Ms. Rigdon: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, March 22, 2017: WHEREAS, DKR Shores, Inc., on behalf of SAMUEL SINGER applied to the Southold Town Trustees for an Amendment to Wetland Permit#8893 under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated February 10, 2017, 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 Waterfront 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 Permit#8893 to relocate the dock further to the north of previously approved location; and to construct a smaller dock consisting of a 4' wide landward fixed ramp up to a landward 4'x60' fixed dock section using Thru-Flow decking and supported by 4"x4" posts in vegetated areas; a seaward 4'x60' fixed dock section using Thru-Flow decking and supported by Monopile 3-pile (8"-9" diameter) ice-breaker pilings installed 12' on center; a 3'x20' adjustable ramp; and a 6'x20' floating dock secured in an "L" configuration; and as depicted on the site plan prepared by DKR Shores, Inc., dated January 25, 2017, and stamped approved on March 22, 2017. 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$50.00 per inspection. (See attached schedule.) Fees: None This is not a determination from any other agency. Sincerely, 6 V Michael J. Domino, President Board of Trustees MJD/dd C,`- '�-� '-+ E �� PROPERTY OF SAMUEL SINGER SCTMNO 1000-75-6-6.1 O 1�t i ,r` Edge of Woods a F E B 1 0 2017 oe-% o / fDock 5c tncld Town Ie° High Marsh Area I � � I 2 ac Proposed 4'x 60'Fmed Dock �d a d. Intertidal Marsh 4 ae� vnth Thru Flow(open grate -1 _0 5 of Ma%$h decking 60%porosity) �. ati0�-as Elevated Mm 30"over IM Dock to be supported by 4x4 oy� -os posts Over vegetated areas -DO o f -og I All Untreated matenals os -0e t 2 -12 r! Proposed 4'x 60'Fired Dock -11 -15 with Thor Flow(open grate / -1 s _1 5 1 -1 e / \ decking 60%porosity) -2.1 -2.2 supported by 8"-9"butt end -2 2 -2-1 pihng/Greenheart 24'-307 -23 z4 / mamtaming 16'0"penetration/ -24 -24 ) -25 \ ice breaker/3 monoptle -24 / 2.s \ I configuration placed 12'oc Proposed J pmp�setl 6'x 20'Float -14 EXISTING NI Untreated materials / 3k 20' Dock m"L"Cor f gg ori / Ramp 1 Supported by(2)8"-9"Butt \ DOCK Aluminum/or End Greenheart Pding/s v _,r, 11 Thu Flow 24'.?0'length N All / s / Urtreated mat materiaalsls � o \ I � � I / RICHMOND CREEK I FLOOD--EBB / End of Float 66 8 from \ '1 Mean Low Water(86/365= 2,4%Width of Creek) 1 - A ROS ED BY i a ARD OF 7 STEES TOWN OF SOUTHOLD -DATE M az 2011 `TWL AS DETERMINED ALONG HIGH WATER MARK, AND LOW WATER!DATUM REFERENCE MLLW AS BASED UPON SOUNDINGS PREPARED BY SEA LEVEL MAPPING/SEE SURVEY FOR ADDL'SOUNDING AND WIDTH ; OF WATERWAY REQUIREMENTS. i Applicant. Samuel Singer Location:44030 Route 25, Peconic,Town of Southold Purpose: Proposed Fixed Dock, Ramp, Float it Datum:Apparent Low Water S.C.T.M No. 1000-75-6-6 1 { LOCUS- 40°02'22" 72°26'53" revised 1-25-17 DKR SHORES INC,P.O.BOX 488 21 Jan '17 SCALE 1 �� 1 ®®� HAMPTON BAYS,N.Y.11946 SHEET i OF 2 E ft � �f ski i �ii I' FEB 1 0 2017 j P 9 t SOutlidd Tlo,sn Proposed Proposed 6'x 20'Float in"L" 3'x 20'Ramp Configuration supported by Aluminium/Untreated 6"-9"Butt End Greenheart Pilings (to be removed seasonally and PROP 4'X 120'FIXED CATWALK(THRU FLOW/OPEN GRATE) 24'-30'Length stored in upland location) ~ (to be removed seasonally and stored in upland location) - SPRING HIGH WATER Mi so^ Ex cRnoe MEAN HIGH WATER 2 4 MLLW 0 —�_ BOTTOM— -25 -24 '�a l� o J C \ `—4 x 4 UNTREATED POSTS @ 5'0"O C I over Vegetated Areas \ t- `---6"-9"Butt End Greenheart Pilings 24'-30'Length Min,Penetration 16'0" 'TWL AS DETERMINED ALONG HIGH WATER MARK, AND LOW WATER/DATUM REFERENCE MLLW AS BASED UPON SOUNDINGS PREPARED BY SEA LEVEL MAPPING/SEE SURVEY FOR ADDU SOUNDING AND WIDTH OF WATERWAY REQUIREMENTS Applicant- Samuel Singer Location:44030 Route 25, Peconic; Town of Southold Purpose Proposed Fixed Dock, Ramp, Float Datum:Apparent Low Water S.C.T.M No 1000-75-6-6.1 LOCUS 40°02'22" 72°26'53" REVISED 1-25-17 SCALE 1 20' DKR SHORES INC,P.O.BOX 488 21 Jan '17 HAMPTON BAYS,N.Y.11-946 SHEET 2 OF 2 Cantrell, Elizabeth From: Terry, Mark Sent: Wednesday, March 01, 2017 10:59 AM To: Cantrell, Elizabeth Subject: RE: LWRP review question That is correct, I do not review actions twice. The Boards' decision making should further the policies cited. From: Cantrell, Elizabeth Sent: Wednesday, March 01, 2017 10:38 AM To: Terry, Mark Subject: LWRP review question Mark, I would like to confirm that you will not review an Amendment to a Wetland Permit for Sam Singer's dock. The amendment is to relocate the dock further to the north and it is to be slightly shorter than originally permitted. Please advise. .�LL?.Gz •z:E:z l'otrzizsLL Senior Clerk Typist Town of Southold Board of Trustees 631-765-1892 i Peter Young,Chairman N 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 15, 2017 the following recommendation was made: Moved by Greg Williams, seconded by John Stein, it was RESOLVED to SUPPORT the application of SAMUEL SINGER to Amend Wetland Permit #8893 for the new dock location north of previously approved as based on soundings by Sea Level Mapping. Proposed 4'X 60' fixed dock, 4'X 4' posts in vegetated areas; proposed 4'X 60' fixed dock to be supported by monopile icebreaker pilings; proposed 3'X 20' ramp and 6'X 20' floating dock in "L" configuration. Located: 44030 Route 25, Peconic. SCTM#75-6-6.1 Vote of Council: Ayes: All Motion Carried (,r zZ ' John M.Bredemeyer III,President ,('r' '�a� •`' , Town Hall Annex Michael J.Domino,Vice-President ". F.{.. 54375 Main Road °' P.O.Box 1179 James F.King,Trustee " Southold,New York 11971-0959 Dave Bergen,Trustee r 65-1892 Charles J.Sanders,Trustee aTelephone(631) 7Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Application _Wetland Permit Application _Administrative Permit Amendment/Transfer/Extension Received Application: ; It �y Received Fee: $ . ©0 � 4�,: 'J ✓Completed Application: { Incomplete: _SEQRA Classification: F E B 10 2017 Type I Type II Unlisted r _Coordination:(date sent): WRP Consistency Assessment Form: ��/o�I Southall lawn p. :YAC Referral Sent: 31 7 D ate of Inspection:_ ?)I jqj 1 _Receipt of CAC Report: Lead Agency Determination: ^Technical Review: Public Hearing Held: \� Resolution: Name of Applicant: c.� ` pp .�_�c�,J140 eg. Mailing Address: 5j � 1 .5 , E 10216 /VGiz �C��- lv-7 / Phone Number: 6q& — :530 } Suffolk County Tax Map Number: 1000 e 75 — las l Property Location: ��Q� -� (provide LILCO Pole#, distance to cross streets, and location) AGENT: �tz �Q�= �� PIJ�r�� •��-t � (If applicable) Address: '4' '60-X X99 ,a,V. C&—/*G,Phone: IMi F a = . JSoard ®f Trustees Application GENERAL DATA Land Area(in square feet): , Area Zoning: 1, Previous use of property: i Intended use of property: Covenants and Restrictions on property? Yes ✓ No If"Yes", please provide a copy. Will this project require a Building Permit as per Town Code? Yes No If"Yes",be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. - Does this project require a variance from the Zoning Board of Appeals? Yes a.'! No If"Yes",please provide copy of decision. Will this project require ny demolition as per Town Code or as determined by the Building Dept.? Yes No Does the stricture(s)on property have a valid Certificate of Occupancy? Yes /No Prior permits/approvals for site improvements: ` Agency Date Y bY s6 9c, AA S66ffs' -- No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? V No Yes If yes,provide explanation: Project Description(use attachments if necessary): (&- Ck /V&u &ck to0—iod-hc)f -vv,ovsI a ) ro osedc r_� C r Bard of Trustees Applicat3:dn WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: _square feet Percent coverage of lot: % Closest distance between near st existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? `f 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: 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): --A �L - rare PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK A &,L residing at Z 3 S f r o of-At �J ` o ,being duly sworn, deposes and says that on the 13 v day of. Mar , 201-7, 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 CERTIFfE MAIL URN RECEIPT. r Sworn to before me this 15 Day of /jzEr-r ,. , 20 1-7 Notary Public Debra Keller Notary Public,State of New York No.01KE6316526 Qualified in Suffolk County Commission Expires December 15,2018 OF Q Michael J.Domino,President �S SCC Town Hall Annex John M.Bredemeyer III,Vice-President 1 ,��o KI,� 54375 Route 25 Charles J. Sanders P.O.Box 1179 Cn Glenn Goldsmith ryl�v Southold,NY 11971 A.Nicholas Krupski 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 SAMUEL SINGER COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS INPLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE residing at/dba being duly sworn, depose and say: That on ttho day of MaP-Gk , 2011, I personally posted the property known as I /) U2 LNOW Afoz)n}-e�,F, by placing th Board of Trustees official poster where i 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 22,2017. Dated: (sig ature) Sworn to before me this 2Z day of Mar.20 I'l Notary Public Debra Keller Notary Public,State of New fork No.01KE6316526 Qualified in Suffolk County Commisslon Expires December 15,2018 s. �ostal Service"" �CERTIFIED © s ■ ru ■ ® l MAWI �=I' •e E:3-e - e -C3 � eEAS�hI��ass V�1``' �e U e� ; ,� ru� Certified MaFee ��°35 0931 Certified Mall Fee $Jv35 0931 j 116 e C ` Extra Services R Fees(check box,add fee �rQp'ate) I �" Extra Services&Fees(check box,add fee ppPriPte) $ I I_111 I ❑Return Receipt(hardcopy) $ 8'!I,I_I I_I ❑ Return Receipt(hardcopy) Ostmark � ❑Return Receipt(electronic) $ Postmarks r ❑Return Receipt(electronic) $ \�q Here ��i 0 ❑Caddied Mail Restricted Delivery $ I 1 1 I I Here 0 O ❑Certified Mail Restricted Delivery $ []Adult Signature Required $ Xl- (11 C:3 []Adult Signature Required $ C3 f-1 Adult Signature Restricted Delivery Wvery$ - � � []Adult Signature Restricted Delivery$ Postage � p Postage $0.49 y� 87) $1:1°49 C rl $ 113l�'/2d117� $ 113 1�/2 'f�j Q" Total Postage and F es c � t i Q' Total Postage and Fees ' O 6.59 O $ $6.59 $ � r `----- -- ------------ --- V SV pi N rPO�o o. a Stre d A .No rib ox N � ci ,St Zl s F �1. 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D, 2,5 -� - 76 STATE OF NEW YORK COUNTY OF SUFFOLK residing at being duly sworn,deposes and says that on the day of , 20__, deponent mailed a-true copy of the Notice set forth in the Board 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 CERTI + +D MAIL/RETURN RECEIPT. d Sworn to before me this Day of ,20 i Notary Public ,ilUTILt: Uim Ht: AKIIIG 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: SAMUEL SINGER SUBJECT OF PUBLIC HEARING : For an Amendment to Wetland Permit #8893 to relocate the dock further to the north of previously approved location; and to construct a smaller dock consisting of a 4' wide landward fixed ramp up to a landward 4'x60' fixed dock section using Thru-Flow decking and supported by 4"x4" posts in vegetated areas; a seaward 4'x60' fixed dock section using Thru- Flow decking and supported by Monopile 3-pile (8"-9" diameter) ice-breaker pilings installed 12' on center; a 3'x20' adjustable ramp; and a 6'x20' floating dock secured in an "L" configuration. Located: 44030 Route 25, Peconic. SCTM# 1000-75-6-6.1 TIME & DATE OF PUBLIC HEARING : Wednesday, March 22, 2017 — 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 Michael J. Domino,Preside Town Hall Annex John M. Bredemeyer III,Vice-President. � 54375 Route 25 Charles J. Sanders y P.O.Box 1179 Glenn Goldsmith "► Southold,NY 11971 A.Nicholas Krupski �� o!� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in field by: Mls DKR Shores, Inc. on behalf of SAMUEL SINGER requests an Amendment to Wetland Permit #8893 to relocate the dock further to the north of previously approved location; and to construct a smaller dock consisting of a 4' wide landward fixed ramp up to a landward 4'x60' fixed dock section using Thru-Flow decking and supported by 4"x4" posts in vegetated areas; a seaward 4'x60' fixed dock section using Thru-Flow decking and supported by Monopile 3-pile (8"-9" diameter) ice-breaker pilings installed 12' on center; a 3'x20' adjustable ramp; and a 6'x20' floating dock secured in an "L" configuration. Located: 44030 Route 25, Peconic. SCTM# 1000-75-6-6.1 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 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: _.L.J,. Bredemeyer /M. Domino V/ G. Goldsmith V-1N. Krupski U/ C. Sanders Other Page 1 of 2 r Michael J. Domino,Presidf', SgFFf7(� \ 0�0 COG f Town Hall Annex John M. Bredemeyer 1II,Vice-President � 54375 Route 25 Charles J. Sanders y = P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: DKR Shores, Inc. on behalf of SAMUEL SINGER requests an Amendment to Wetland Permit#8893 to relocate the dock further to the north of previously approved location; and to construct a smaller dock consisting of a 4' wide landward fixed ramp up to a landward 4'x60' fixed dock section using Thru-Flow decking and supported by 4"x4" posts in vegetated areas; a seaward 4'x60' fixed dock section using Thru-Flow decking and supported by Monopile 3-pile (8"-9" diameter) ice-breaker pilings installed 12' on center; a 3'x20' adjustable ramp; and a 6'x20' floating dock secured in an "L" configuration. Located: 44030 Route 25, Peconic. SCTM# 1000-75-6-6.1 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 Base Map&Depths by: Sea Level Mapping December 2016 Do k 6U C CD : b. 713 &5?- - 5 P b. •"k, F1 ZO'. T-IA in Qo P - - - - - - - - - - - - - - -4-25'- it i i 0 STATE OF NEW YORK DEPARTMENT OF STATE ONE COMMERCE PLAZA ANDREW M.CUOMO GOVERNOR 99 WASHINGTON AVENUE ALBANY,NY 92237-0009 ROSSANA ROSADO VWM.DOS.NY.GOV SECRETARY OF STATE January 30,2017 Agena Rigdon DKR Shores, Inc. P.O.Box 499 Hampton Bays,NY 11946 Re: P-2016-0993 U.S.Army Corps of Engineers/NY District Permit N Y SDEC41-4738-0444 7 Samuel Singer application—44030 Route 25 Town of Southold, County of Suffolk,NY; Richmond Creek Concurrence-Proposal Modified Dear Ms. Rigdon: The Department of State received the requested modified drawings (plan set revision dated 1/25/17) for the above referenced proposal on January 28, 2017. The modified proposal involves a change in the location of the proposed structure, northward along the subject property shoreline, and will result in a net reduction of over water coverage(approx. 144 square feet reduction of fixed dock structure)and a-reduced linear extension (of approx. 36 linear feet) over wetland and the Richmond Creek as compared to the originally submitted proposal. It is understood that the terminal float and ramp will be removed seasonally and stored on the upland. The Department had earlier requested consultation with the local permitting authority and received communication via email dated January 02, 2017 from Mr. John Bredemeyer, President of the Town of Southold Trustees, advising that the proposed has been duly considered and reviewed with respect to the pertinent elements of the Town of Southold Local Waterfront Revitalization Program (LWRP) and that the project has received the necessary local permits. The Department of State has determined that this proposed activity, as it has been modified to be consistent with the New York. Coastal Management Program, meets the Department's general consistency concurrence criteria. Therefore, further review of the proposed activity by the Department of State, and Department's concurrence with an individual consistency certification, are not required. This General Concurrence is without prejudice to and does not obviate the need to obtain all other applicable licenses, permits, other forms of authorization or approval that may be required pursuant to existing State statutes. NEW YORx I Department STATE OF OP.:3,_ of State f 5 ' F-2016-0993, Singer,p.2 When communicating with us regarding this matter,please contact at(518)474-6000 and refer to our file#F- 2016-0993. Sincerely, Jeffrey Zappieri Supervisor, Consistency Review Unit Office of Planning and Development JZ/TS cc: COE/NY District—Steve Ryba DEC/Region 1 —Roger Evans John Bredemeyer—Town of Southold John M Bredemeyer III, President _.y - Com'; Town Hall Annex Michael J Domino, Vice-President 54375 Route 25 Glenn Goldsmith N z `- P.O_ Box 1179 A. Nicholas Krupski "`y ® -� o�-:;' 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 ,Ist day of construction Y2 constructed Project complete, compliance inspection 500�"A N:\ BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 8893 DATE: OCTOBER 19,2016 ISSUED,-TQ:, SAMUEL SINGER. PROPERTY ADDRESS:,'44030ROU TE,25, PECONIC, SCTM# 1000-75-6-6.1 ZATI A UTA0116 ' ON' Pursuant to the provisions of Chapter 275' of 'the Town Codeof the Town of Southold and in accordance with the Resolution of the Board of Trustees,adopted at the meeting held on October 19, 2016, and wd 0 in bons i�c"Le'r''a'ti'o'�n'�O'I`a`pplica:6`&f8d"inAttle'surn,ot V50.00 y pumuel Singer and s t to the Terms and . I P�l Conditions,"as-stated-in' t1fe Res'o,liiiibri;�'the'-Sbiiih6ld ET6wfi Board"6f,Trustees iii1thorizes'and-'permits the following: iThrd-Flo'w`dliecking�' c6figtfik4V`4':d5W, 6&`el6;VAi6 i I - " ' Wetlafid PerAdfo t. d d to 30" `fiLsift SA `seasonalraa� ' install an -suppor e - y "xV posts in.yeg-etat9d-alrea'i';"in'sit a"1114 3'i20p; 1"-,,-- , I.�� , ILI I"-,V�k-,v 1 ` , 1:,consist 11 ;;, untreated *,,,," a 6'x2O' seasonal floating dock in kh"I" c6miguration; d1o,� :to consisi 64 untreated materials, and in water areas under dockli to be supported with monopole/ice breaker pilings; a6d as-depicted-o"'n-'th'e� survey prepared by Nathan T4�C Corwin ill',Land Surveyor last dated July 23, 2016, and stamped approved on October"19, 2016. yy IN WITNESS WHEREOF,the said Board of Trust6es hereby causes,its Corporate Seal to be affixed,:; ' and these presents to be subscribed by a majority of the said Board as of this d TERMS AND CONDI'T'IONS The Permittee Samuel Singer,residing at 44030 Route 25, Peconic,New York, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will,at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized,or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title,or interest in real or personal property held or vested in a person not a party to the permit. *QF S�(lrO Town Hall Annex John M.Bredemeyer III,President y Michael J.Domino,Vice-President '`� l0 54375 Route 25 P.O.Box 1179 South Glenn Goldsmith old,New York 11971 A.Nicholas Krupski Telephone(631) 765-1892 Charles J. SanderslroUNT`1, Fax(631) 765-6641 ��' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 19, 2016 Agena Rae Rigdon, President DKR Shores, Inc. P.O. Box 488 Hampton Bays, NY 11946 RE: SAMUEL SINGER 44030 ROUTE 25,, PECONIC SCTM# 1000-75-6-6.1 Dear Ms. Rigdon: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, October 19, 2016 regarding the above matter: WHEREAS, DKR Shores, Inc., on behalf of SAMUEL SINGER 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 July 29, 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 recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policies 6, 6.3 and 9.3 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the reduction in length of the proposed dock; the relocation of the proposed dock to an area with less wetland vegetation; the use of untreated materials; that piles will be 12' on center in lieu of 8' on center; the proposed dock will not interfere with the navigable channel; the total dock length including current vessel does not exceed one-third of the total width of the water body, and 2 WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on September 21, 2016 and October 19, 2016, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of SAMUEL SINGER to construct a 4'x156' dock elevated to 30", using Thru-Flow decking and supported by 4"x4" posts in vegetated areas; install a 3'x20' seasonal ramp; install a 6'x20' seasonal floating dock in an "I" configuration; dock to consist of untreated materials, and in water areas under dock to be supported with monopole/ice breaker pilings; and as depicted on the survey prepared by Nathan Taft Corwin III, Land Surveyor last dated July 23, 2016, and stamped approved on October 19, 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: $2090.00 Very truly yours, '*-, 6 John M. Bredemeyer III President, Board of Trustees JMB/dd PRODI ICED BY AN Al ITODESK ED ICATIONA1 PROM ICT CO APPROVED BY BOARD OF TRUS TEES °P6° SURVEY OF PROPERTY T4 ofsou r�7- SI T UA TE DAR Iq X22 0 \\ 4 \\ O PECONIC O i tJ1 N �^�� 0) 4-o o KEY MAP .Op \\ 1' j r: SCALE 1"=200' o5 TOWN OF SOUTHOLD N 9 7 SUFFOLK COUNTY, NEW YORK b90!`6'0 ! O C7 C1 S.C. TAX No. 1000-75-06- 6. 1 � N r a SCALE 1 "=30' y y� FEBRUARY 1 2015 r1 166• •p5'00' N ' °� l 4 �� 5 X1.0 81 xr DECEMBER 2, 2015 ADD PROPOSED HOUSE E ax N 06 164 3 � D v FEBRUARY 10, 2016 REVISED PROPOSED HOUSE .I APRIL 9, 2016 REVISE SITE PLAN APRIL 14, 2016 REVISE WETLAND BUFFER & PROP. DOCK MAY 4, 2016 ADD FLOOD ZONES \ AL A JULY 12, 2016 REVISE DRIVEWAY • JULY 23, 2016 REVISE DOCK TOTAL AREA = 952,793 sq. ft. 21 .873 cc. CERTIFIED TO: SAMUEL SINGER y GOLDMAN SACHS BANK USA STEWART TITLE INSURANCE COMPANY ADVOCATES ABSTRACT, Inc. �\ o 2 o o� aa, '�'` /10 PROPOSEDAREA AREAAREA � ES \ D ' n HOUSE 2,982 sq. ft. GARAGE 1,920 sq. ft. JUL 2 9 2016 1 INGROUND POOL 1,200 sq. ft. POOL PATIO & WALK 3,476 sq. ft. 5ou:11'Ir11L€W11 N 00'25'22" E� / 1 q 1 f Tr s ecs 102.85' \ < HOUSE PATIO 1,150 sq. ft. / (2) STOOPS 155 sq. ft. TOTAL 10,883 sq. ft. N�� AL CID 0 H„ rn 1 p• azv x 1� an L; O p JCA 4 N 'Z.`.A' • ax.� - -""8 / r + �2N ` o // ':• ;' // 1 i� TEST HOLE DATA N 49- 49.22 o pp (TEST HOLE DUG BY McDONALD GEOSCIENCE ON DECEMBER 3, 2015) JI4 / �0 / EL. 11.7' 0' .a•• DARK BROWN LOAM OL 1 146.6 O N BROWN SILT ML p 1 3- Q11 ✓y z N , � o DRIVEWAY DRAINAGE SYSTEM CALCULATIONS: N ,Yrs Ak O p b . \ O+ y (2" RAINFALL & 60% RUNOFF COEFICIANT) BROWN FINE TO MEDIUM SAND SP �, Y nx� g / \ �� I I / / DRIVEWAY AREA (12 X 200'): 1,200 sq. ft. x \, 1,200 sq. ff. X 0.17 X 0.6 = 123 cu. ft. �\ U7 N` 123 cu. ft. / 42.2 = 2.9 vertical ft. of $' dia. leaching pool required A/ 7 Q`'�-'-' .e 1 wNc' VIZ. // D�A, NQ\poi'` �o' M1N �.' / I I i PROVIDE (1) 8' dia. X 6' high STORM DRAIN POOL o, 9 .91 6" ° I o x ///�Op�S/O��RNI - -- -+ N - 6.s 4 I 1 z 11.a" 98, p 1 ' o EL. 0.3' Z ,� c,O� a / N I �° , _ / // /�• `NZsy,RP`0 r., -p; \ ` \ WATER TIN BROWN FINE � N 9� , \\ \ CIL N I \ /// // // ^� \\ , •� \ \ \ \\ TO MEDIUM SAND SP -AM 5�•1j5�'` `�IOIYE�' OF Vl ISt �I ODS AREA OF DETAIL �A�� ' / // // // \\ I a� 6 ,� !� 1 PROPOSED SEPTIC SYSTEM DETAIL (NOT TO SCALE) HOUSE TOP BURIED TOP BURIED / / / / // / /•/' •/ •. 1 F.FL 18.0 4' DEEP max. FINISHED GRADE PRECAST REINFORCED CONCRETE COVER 4' DEEP max. FI N, 125• BURIED 1' DEEP 'In.2' DEEP max. PRECAST REINFORCED CONCRETE COVER 24"dia. LOCKING,WATERTIGHT h INSECT PROOF FINISH GRADE BURIED 1' DEEP min. 2' DEEP max. CAST IRON COVER TO GRADE ELEV. 1. 6/ / / / ` rt / / •/.10. ' APPROVED dPIPE 0"min. 20"min MIN. E dia. 'e TOP EL 10.1' 3 / _ / / •5 \. ✓ PITCHED 1 4" 1' TOP ELEV.11,2' APPROVED PIPE '20 min. PITCHED 1/8"/1' / ..,✓ / r'' / 1 1 INV. EL 3, ., VROSSOVER 'dia. SAND 10.1' ELEV.•8,2 _m �m ao INVERT • ' ■ INVERTCOLLAR ELEV.2S BAFFLE : o. -• al 11 HIGHEST 2-9 / / / y BOTTOM 3 V ABOVEEH C WATER GROUND WATER X// SEPTIC TANK (1) c ROUND ATER 1. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1,000 GALLONS. f ELEV >� 7 / / 11.5 1 TANK;8' LONG,4'-3"WIDE, 6'-7"DEEP LEACHING POOLS (3) CONCRETE SHALL HAVE A MINIMUM COMPRESSIVE STRENGTH OF 3,000 psi AT 28 DAYS. / 3.WALL THICKNESS SHALL BE A MINIMUM OF 3",A TOP THICKNESS OF 8"AND A BOTTOM THICKNESS OF 4". 1 31 POOLS; DEEP,SYSTEMNIMUM LEACHING d FORA 1 TO 4 BEDROOM HOUSE IS 300 eq ft SIDEWALL AREA. / / / / / / ■ , ALL WALLS, BOTTOM AND TOP SHALL CONTAIN REINFORCING TO RESIST AN APPLIED FORCE OF 300 pal, p, LEACHING POOLS ARE TO 8E CONSTRUCTED OF PRECAST REINFORCED CONCRETE OR EQUAL) 4.ALL JOINTS SHALL BE SEALED 50 THAT THE TANK IS WATERTIGHT. 5.THE SEPTIC TANK SHALL BE INSTALLED AT LEVEL IN ALL DIRECTIONS(WITH A MAX.TOLERANCE OF*1/4-) LEACHING STRUCTURES.SOLID DOMES AND/OR SUBS. ON A MINIMUM 3"THICK BED OF COMPACTED SAND OR PEA GRAVEL / 3.ALL COVERS SHALL BE OF PRECAST REINFORCED CONCRETE(OR EQUAL). 1I(� / 4.A 10' min. DISTANCE BETWEEN LEACHING POOLS AND WATER UNE SHALL D. MAINfAINEO. '/ // / // / / � x \ 8.A 10' min. DISTANCE BETWEEN SEPTIC TANK AND HOUSE SHALL BE MAINTAINED. 3.AN 8' min. DISTANCE BETWEEN ALL LEACHING POOLS SHALL 8E MAINTAINED. 6.AN 8' min.DISTANCE BETWEEN ALL LEACHING POOLS AND SEPTIC TANK SHALL BE MAINTAINED. ■ NOTES: x- 1`II' tt.7 1 1. ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM 7.1 // �` f, /,•�•�J a,p\P• 6 Deep \\ 3 i 1 EXISTING CONTOUR EXISTING TNLINESE ARE SHOWN THUS:-- --lo-- -- /X HWN US:-- --10-- -- / xi o o ' c 2. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1,000 GALLONS. / ° \ TE HOL 1 TANK; 8' LONG, 4'-3" WIDE, 6'-7" DEEP 3. MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA. 3 POOLS; 4' DEEP, 8' dia. PROPOSED EXPANSION POOL 2-6 \ 1 / 1 ® PROPOSED LEACHING POOL PROPOSED SEPTIC TANK x 10.3 I -n Q c4 �-x 4. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD I..:...... 11�s� rt \\ \ OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. �f I rt 9 c I \ m 5. FLOOD ZONE INFORMATION TAKEN FROM: \ o �.:::::.:;;':.::;._o rn:::..,: x I A FLOOD INSURANCE RATE MAP No. 36103CO162 H o;' x 13.3 \ 5 \ a ZONE AE: BASE FLOOD ELEVATIONS DETERMINED ° I \ ZONE X*: AREAS OF 0.2% ANNUAL CHANCE FLOOD; AREAS OF 1% ANNUAL CHANCE FLOOD WITH AVERAGE DEPTH OF LESS THAN 1 FOOT OR WITH DRAINAGE AREAS LESS THAN DtPEL 6 ! \\ 1 1 SQUARE MILE; AND AREAS PROTECTED BY LEVEES FROM 1% ANNUAL CHANCE FLOOD. ZONE X: AREAS DETERMINED TO BE OUTSIDE 1 \1 THE 0.2% ANNUAL CHANCE FLOODPLAIN. 33 O X20' L11� x , . \ i 0 1 ' : HOUSE & GARAGE \ �\ 1 \ \ I rn \ 3o z = ":<:', 1 DRAINAGE SYSTEM CALCULATIONS: \ \ Ls..�,.... 2,980 s ft. X 0.17 = 507 cu. ft. ` \ \ z \ 132' a 623' HOUSE ROOF AREA: 2,980 sq. ft. 1 \ \ z of o \ \ �'::;:;;;i�• Qo ::,,,:;:_ \ \ x 507 cu. ft. 42.2 = 12 vertical ft. of 8 dia. leaching pool required \ \ 1-X11'..:.:. PROVIDE 2 8' dia. X 6' high STORM DRAIN POOLS 13.2 X-L3.2\ I GARAGE ROOF AREA: 1,920 sq. ft. 1,920 sq. ft. X 0.17 = 327 cu. ft. 327 cu. ft. 42.2 = 8 vertical ft. of 8' dia. leaching pool required \ \ / 9 P q / oQ PROVIDE (2) 8' dia. X 4' high STORM DRAIN POOLS 0\ \ ,::::::::: , rt� 10 111, x, \ \ �� x 12.8 111, \ ► ` \ \ / '' �� / / / x9.6 ................. - � x all, f`\ •...... f \ 111, ' `` \ _- _ 1 ' \11.0 /'- - -� loe x 10.7 1 11111 \ -P 69 / 1 x7.4 11.7 -� - - - -- • I'll 1-4 � \\ `�. ` � // // x� x� /A// x / / / x 11.6 x115 + o.s X 12.8 /C� "� .99 j FlA� �2 ,� X81 g \� ao� i / / •�, I �/,� �P5 e � LA \, 4 , X1.44 + + Al" / l�l �O "p 1' / CoELEVATION HIGH WATER MARK ELEVATION LOWER LOW WATERRK 03/22/2014 = -1.6' A+ al SS��` all. \ \ \ 1 WATER DEPTHS SHOWN IN INCHES ARE REFERENCED TO ' � �� \ \ I I LOW WATER BEING AT (0.0") •+ ��' �� 'l6� r c9� 0, F to 1 1 I 0- 0 - 'T M �y 1A+ l Zs �0 0� �7�+ Q,j, Ag5 � .�j DID •"�1 it �'!. €`g" €�,. / g 1i=: , � ,i,/ E"''�rj � d 'V�t 8s �.fp f _,...".. ,,_. 1..»' ��".�, �::t. ... 1'"�Gi aha") 3 ��'.1l .. �'.•Mt'sem, (`+�{, f } �.4,) I �.$J+t y:° . t 1 , JUL 2 9 2016 € 1 r F, i et 1 •jjj .,lit \ ......., _.....m_ ..._........_..., ,_ ----..._---.... ..................� _ µ e� PREPARED IN ACCORDANCE WITH THE MINIMUM ......_............._,.,... DAR R TITLE SURVEYS AS ESTABLISHED BY THE L.I.A.L.S. AND APPROVED AND ADOPTED FOR SUCH USE BY THE.,NEN! YORK STATE`LAND TITLE ASSOCIATION'O"' " r i i I _yjd j �'{�£:,"\''•�fl.�, fif`F�.i�F � #< �tl4 4�'Z �"# ,e:19x:�e�1L`�'" *Y�iaa�.".�.3rRc t R.' , 1 Z I€2,, __ ... _ ...... N.Y.S. Lic. No. 50467 ?,.,; 1�•1 •-Ts:',.b'•1 s :�, i fLt b`- �'v " :;�''r��'� .��`�, F E.#_........_.. z UNAUTHORIZED ALTERATION OR ADDITION I t =:•c �;1 2T j .•b € �I TO THIS SURVEY IS A VIOLATION OF Nathan t Corwin THE NEW YORK STATE ..,. ,. ... ._. EDUCATION LAW. SECTION 7209 OF Taft COPIES OF THIS SURVEY MAP NOT BEARING s.Q. . � „ - � 1t - g iv,f Land Surveyor _ THE LAND SURVEYOR'S INKED SEAL OR I „), € ; :9. &`.&. x�11a'< EMBOSSED SEAL SHALL NOT BE CONSIDERED M �`" s TO BE A VALID TRUE COPY. }: L.X:.'` z S Q�.`Y .�.0 �I `'. .Y� �•i�i•` t,i``f��.``.i.•,' i CERTIFICATIONS INDICATED HEREON SHALL RUN �y a J N Successor To. L.S. EY ..... ....... ....... .........................._ &....._f rr F t„e...,i? .. 1t^'s.FF, A" LS�,t�t:'S....- :f.3 ..... wM ., i....._ F /........_. Stanley k ..._._... ....... ... ......_............. ... ........-._.. .. v .. d i�` 1`lP.ty...... ar IS PREPARED, ANDLY TO THE ON HIS EHALFON FOR WHOM TTO THHE E Joseph A. Ingegno L.S.L >.,.... TLE NY --` =--=^ �� TI COMPANY, GOVERNMENTAL AGENCY AND Title Surveys - Subdivisions - Site Plans - Construction Layout LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. , ;� ��>°'g't+t.,g)`„!'P; � c��`::�i��;"��: �.... _....,..._........._..... _._._....m_._............."..W.........." ,._._. __, . _ . ....._.. ..,_,__W.,. _ __..,__......,.."_,,,. - _.. i _ ._ _ ,,... __.,.. a...,.... __. ... CERTIFICATIONS ARE NOT TRANSFERABLE. PHONE (631)727-2090 Fax (631)727-1727 THE EXISTENCE OF RIGHT OF WAYS OFFICES LOCATED AT MAILING ADDRESS AND/OR EASEMENTS OF RECORD, IF 1586 Main Road P.O. Box 16 ANY, NOT SHOWN ARE NOT GUARANTEED. Jamesport, New York 11947 Jamesport, New York 11947 101 1008d NN011VOI-10=1 NS3100D IV NV X9 unnuoaa 34-277B John M. Bredemeyer III, President g�FFOt ` Town Hall Annex Michael J. Domino Vice-President 54375 Route 25 James F. King h ? P.O. Box 1179 Dave Bergen ® 41� Southold, NY 11971 Charles J. Sanders y�41 �a�l�" Telephone (631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 16. TO: SAMUEL SINGER c/o DKR SHORES, INC. Please be advised that your application dated July 29, 2016 has been reviewed by this Board at the regular meeting of October 19. 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) % 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'x125' dock = 500 sq. ft.x $3.00 = $ 1500.00 3'x20' seasonal ramp = 60 sq. ft x $3.00 = 180.00 6'x20' floating dock = 120 sq. ft x $3.00 = 360.00 - TOTAL 60.00 "TOTAL FEES DUE: $2,090.00 !gam BY: John M. Bredemeyer III, President 1 Board of Trustees John M.Bredemeyer III, President O��QF SotJPyOl Town Hall Annex Michael J.Domino,Vice-President '` O 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.-Nicholas Krupski G ® �� Telephone(631) 765-1892 Charles J.Sanders � COMM Fax(631) 765-6641 ' �� . BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 20, 2016 Agena Rigdon DKR Shores, Inc. P.O. Box 488 Hampton Bays, NY 11946 RE: ENVIRONMENTAL DECLARATION OF SIGNIFICANCE PURSUANT TO NEW YORK STATE ENVIRONMENTAL QUALITY REVIEW ACT NYCCR PART 617 SAMUEL SINGER 44030 ROUTE 25, PECONIC SCTM# 1000-75-6-6.1 Dear Ms. Rigdon: The Southold Town Board of Trustees adopted the following Resolution at a meeting held on Wednesday, October 19, 2016: DESCRIPTION OF ACTION: DKR Shores on behalf of SAMUEL SINGER requests a Wetland Permit to construct a 4'x156' dock elevated to 30", using Thru-Flow decking and supported by 4"x4" posts in vegetated areas; install a 3'x20' seasonal ramp; install a 6'x20' seasonal floating dock in an "I" configuration; dock to consist of untreated materials, and in water areas under dock to be supported with monopole/ice breaker pilings. Located: 44030 Route 25, Peconic. SCTM# 1000-75-6-6.1 S.E.Q.R.A. NEGATIVE DECLARATION OF ENVIRONMENTAL SIGNIFICANCE: WHEREAS, the Southold Trustees are familiar with this project having visited the site on multiple occasions and having considered plans for this proposed dock and revisions made at the request of the Board. WHEREAS, a revised project plan dated July 23„ 2016 was submitted to the Southold Trustees on July 29, 2016 addressing all of the Southold Board of Trustees concerns as noted below: • Navigation: The proposed dock meets standards and does not extend beyond 1/3 across the water body. Depths for the floating dock portion are within Town Trustee, NYSDEC and USACE guidelines and there is no recognized Federal/New York State/Town channel contiguous to this site. • Scope: The proposed dock, in order to meet prevailing navigation standards for depth in this location in this un-dredged portion of the creek, where a dredge ban is in effect, shall extend approximately 136' water-ward of MHW for a creek nearly 500'wide in this location. Eleven other docks measured on "Google Earth" existing in this North-East branch of Richmond Creek appear to vary in length from approximately 50'to 170' offshore of MHW to meet similar standard depths. • Toxcity: To protect the headwaters of Richmond Creek where poor water exchange and circulation are considered a possibility, the dock shall be constructed entirely of non- toxic materials. • Scope in relation to the riparian rights of shellfishers: The plan revision provides for a piling separation of 12' per dock section, much more than the usual separation of 8'. The 3 pile system supporting each dock section is designed so as to nearly create a monopole that will provide for easier access for those boating and seeking shellfish and crustacea in season. The offshore waters in this location may offer limited mobility to users on foot due to silt and muds but would also be improved by the aforementioned spacing. The non-toxic wood pilings will actually increase net surface area available for the attachment of beneficial marine organisms while minimizing permanent bottom loss from pile coverage compared with a standard construction dock of similar length. There is insufficient loss of shell fishing access to justify extinguishing the riparian right to wharf out of the upland owner. The non-toxic attributes of this site potentially make it a prime location for cooperative shellfish aquaculture. • Scope in relation to small human powered water craft: The Creek seaward to its mouth is'slightly over one mile long and is sufficiently protected from high winds under ordinary conditions that it is ideal for small human powered water craft. A vessel traversing the East side of this creek from its mouth to and entirely around the proposed dock(and not returning)will be inconvenienced out of way approximately 5.2% of the entire trip. This is not considered significant. Any operator of a small water craft powered by hand should consider energy and food/water reserves to effectively deal with any emergency. Not unlike a motor or sail powered vessel a minimum reserve of 50% supplies/effort is minimal. • Environmental Upkeep: The dock design projects no pile replacement for 30 years or the need for bubbler system in the winter(used to protect against frost heave). The presence of such a system in the headwaters of a creek may upset the thermodynamic balance in winter and kill fish, shellfish and their larvae. Therefore, on account of the forgoing, the Southold Town Board of Trustees Approve and Authorize the preparation of a Notice of Negative Declaration pursuant to SEQRA for the aforementioned project. If you have any questions regarding the above, please contact this office. Very truly yours, eohn M. emeyer�111, Presiidernt Board of Trustees rl__ John M. Bredemeyer III, President! , �og�FF014 Town Hall Annex Michael J. Domino, Vice-President ,' " 54375 Route 25 Glenn Goldsmith o ` P.O. Box 1179 A. Nicholas Krupski o Southold, NY 11971 Charles J. Sanders Telephone (631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time:' `© Completed in field by: `1 G�, � DKR Shores, Inc. on behalf of SAMUEL SINGER requests a Wetland Permit to construct a 4'x156' dock elevated to 30", using Thru-Flow decking and supported by 4"x4" posts in vegetated areas; install a 3'x20' seasonal ramp; install a 6'x20' seasonal floating dock in an "I" configuration; dock to consist of untreated materials, and in water areas under dock to be supported with monopole/ice breaker pilings. Located: 44030 Route 25, Peconic. SCTM# 1000-75-6-6.1 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: olla 6LOW ZqZi711fv Present were: Bredemeyer ,�M. Domino / G. Goldsmith N. Krupski �. Sanders Other Page 1 of 2 John M. Bredemeyer III, President S FFO(O Town Hall Annex Michael J. Domino, Vice-President �o Gym 54375 Route 25 Glenn Goldsmithti P.O. Box 1179 A. Nicholas Krupski W_ �/p Southold, NY 11971 Charles J. Sanders 'y, ao�iY Telephone (631) 765-1892 Fax (631) 765-6641 rxzri�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: DKR Shores, Inc. on behalf of SAMUEL SINGER requests a Wetland Permit to construct a 4'x156' dock elevated to 30", using Thru-Flow decking and supported by 4"x4" posts in vegetated areas; install a 3'x20' seasonal ramp; install a 6'x20' seasonal floating dock in an "I" configuration; dock to consist of untreated materials, and in water areas under dock to be supported with monopole/ice breaker pilings. Located: 44030 Route 25, Peconic. SCTM# 1000-75-6-6.1 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: & 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: J Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 9/18/2016 Gmail-Richmond Creek n- mail Nancy Conradi <nrcp®arson@gmail.com> Richmond Creek 2 messages Nancy Conradi <nrcpearson@gmail.com> Sun, Sep 18, 2016 at 3:52 AM To: dan.skabeikis@yahoo.com There is no precedent for an enormous dock of this length into the shallow upper reaches of Richmond Creek. We are not sure of the exact situation elsewhere but it seems that other shallow upland creek areas do not have much if any of this construction. If you allow this to be built you have then created an ever worsening precedent for longer and more inappropriately placed docks. . The board knows as well as we that these estuarial creeks silt in as their natural life cycle and the next thing is someone in this setting will start demanding public money for dredging. Coming to Southold and buying land on a shallow creekfront does not automatically entitle one to have the people and Town of Southold provide them with deep water boating. The planning board has a professional environmentalist, not a hired permit procurer, who has done a thorough and professional evaluation of this proposal as the LWRP(Local Wetland Revitalization Plan) Coordinator. As he states this action is located within: NYS Dept of State Significant Fish ;and Wildlife Habitat Area NYS Critical Environmental Area Peconic Estuary Critical Natural Resource Area His findings are that this proposal is INCONSISTENT with all the environmental guidelines including causing "barriers to fish migration which would have a major impact on fisheries in Richmond Creek, (NYDOS)" He also states that" it appears that the applicant is designing a dock to a large vessel (or vessels) rather than proposing the minimum structure necessary; and that the applicant has not demonstrated that the dock would not impair navigation of small watercraft and other vessels." Numerous kayakers use this creek constantly and probably have no idea what's going on here when what looks like a marina suddenly appears in this relatively pristine creek. He concludes that this placement of such a"dock structure in public trust lands and waters results in a net loss of public use of such land and water.(and he underlines the next) Due to the high ecological value of Richmond Creek, a seasonal mooring is a better option in this instance" All of these regulations were crafted by the State and Federal bodies with incredible effort, time and wide input, but you are the only body that can enforce them for those they were designed to benefit, the public of Southold Town and the wildlife of our waters. As we are faced almost daily with ever new examples of the constant and seemingly inexorable degradation of our waters from repeated fish kills in the Peconic, brown tides, poisonous rust and red tides, failures of scallop, lobster and other fisheries we as individuals try to do what we can but the real power to make a difference here lies with you as the legal guardians of theses waters. People want to come here because it doesn't yet look like Howard Beach but if we continue on like this that is what we will have. Mail Delivery Subsystem <mailer-daemon@googlemail.com> Sun, Sep 18, 2016 at 3:52 AM To: nrcpearson@gmail.com Delivery to the following recipient failed permanently: dan.skabeikis@yahoo.com Technical details of permanent failure: Google tried to deliver your message, but it was rejected by the server for the recipient domain yahoo.com by mta5.am0.yahoodns.net. [66.196.118.34]. The error that the other server returned was: 554 delivery error: dd This user doesn't have a yahoo.com account (dan.skabeikis@yahoo.com) [0] - https•//mad google com/mad/u/0/?u=2&ik=cc2dc498e7&view=pt&search=sent&th=1573c4853756620c&siml=1573c4853756620c&siml=1573c4858849bbd3 1/2 Please accept this message for inclusion in tonight's minutes of The Southold Town Trustees Meeting on the review of the proposed plan of Samuel-Silver for a new house, garage, driveway and pool complex to be built on the Eastern shore of the North fork of Richmond Creek. We are the owners of Bayside Farm, as well as the end of Indian Neck, the former Lappe farm, and Onabay Vineyards, Almost 200 acres in total. Although we do not abut the parcel under review, we have an interest in preserving the beauty and uniqueness of the area that encompasses the Eastern shore of Richmond Creek. Over the last 20 years, we have seen the continual degradation_.of`the Creek. Acres of marshland and eel grass have disappeared. The Eastern headwaters of,the Creek have served as a critical nursery for aquatic life including turtles. The Eastern shore of Richmond Creek is the last of the undeveloped shoreline for this large estuary. It is very unfortunate that the Town did not pursue protecting this important watershed parcel. While we understand Mr.,Silver's desire to make full use of his purchased property, the plans for development on the parcel are overscated and will overwhelm the fragile wetlands and uplands along the Creek. This is such an important site, that a thorough enviromental evaluation and your scrupulous oversite are warranted. Our old woods downshore along the creekbank and the wooded area on the proposed building site are important wildlife areas, and one of the few wooded areas left for miles....A bald eagle was sighted during a couple weeks in the fall. The back fields of Bayside Farm and the adjoining open space have been used for the prestigious Audubon Christmas Bird Count for decades with very impressive species counts. This area is one of the jewels of Southold. Our family and Nancy Conradi have done our best to be good stewards of it. Please keep us apprised of the development of this proposal. Thank you for your kind attention, Bradley and Francesca Anderson E C E I V E 3950 South Harbor Road i i II SEP 2 0 2016 SOT Jd own W^1 Of T John M. Bredemeyer III, Presid oSUFfQ�k�o4 . Town Hall Annex o Michael J. Domino, Vice-Presideriz ��s m54375 Route 25 Glenn Goldsmith o ` P.O. Box 1179 A. Nicholas Krupski o Southold, NY 11971 Charles J. Sanders ti,�j oo�, Telephone (631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: `3 6 Completed in field by: J 6CC4671Z� DKR Shores, Inc. on behalf of SAMUEL SINGER requests a Wetland Permit to construct a 4'x156' dock elevated,to 30", using Thru-Flow decking and supported by 4"x4" posts in vegetated areas; install a 3'x20' seasonal ramp; install a 6'x20' seasonal floating dock in an "I" configuration; dock to consist of untreated materials, and in water areas under dock to be supported with monopole/ice breaker pilings. Located: 44030 Route 25, Peconic. SCTM# 1000-75-6-6.1 CH. 275-3 - SETBACKS , WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4: Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 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: yZe Present were': J. Bredemeyer M. Domino G. Goldsmith N. Krupski C.yS.an6ers Other Page 1 of 2 John M Bredemeyer III, Presid �%'0FO(4e, Town Hall Annex Michael J. Domino, Vice-Presideni �� l�yJ,q 54375 Route 25 Glenn Goldsmith o '` P.O. Box 1179 A. Nicholas Krupski o Southold, NY 11971 Charles J. Sanders y,, ao� Telephone (631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: DKR Shores, Inc. on behalf of SAMUEL SINGER requests'' a Wetland Permit to construct a 4'x156' dock elevated to 30", using Thru-Flow decking and supported by 4"x4" posts in vegetated areas; install a 3'x20' seasonal ramp; install a 6'x20' seasonal floating dock in an "I" configuration; dock to consist of untreated materials, and in water areas under dock to be supported with monopole/ice breaker pilings. Located: 44030 Route 25, Peconic. SCTM# 1000-75-6-6.1 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. s25% 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. 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"Tve• _ _•4t ab Cantrell, Elizabeth From: Agena Rigdon <dkrshorescorp@aol.com> Sent: Monday, September 26, 2016 9:48 AM To: Cantrell, Elizabeth Subject: Singer- Dock Application I just got off phone with Mark Terry - He never reviewed the resubmitted dock application after we made the changes requested by the Board. And other than a 2009 report on docks he generated. He is unaware of any other reclassification of docks Under the Towns LWRP. At this point based upon those revisions the Board: As per Mr Terry The Board the authority to approve the dock as resubmitted Based on modifying the structure to be consistent upon the Board's Recommendations. There are recently constructed docks of similar length across Richmond Creek; I'm not sure exactly what the issue is here.... Please advise at your nearest convenience.. Agena r ***Please be advised the office will be closed October 3rd and October 4th Agena Rae Rigdon, President DKR Shores, Inc P.O. Box 488 Hampton Bays,N.Y. 11946 Office (631)566-6016 Fax (63.1)574-8999 www.dkrshores.com Environmental Consulting Land Planning Services Rutgers Certified Wetland Delineation Drafting and Design Native Landscape Specialist Code Compliance and Permitting In Association with i Sea Star Management LLC ' A Full Management Company Board of Directors Evelyn Alexander Wildlife Rescue Center of the Hamptons 2 �r _J Cantrell, Elizabeth From: Terry, Mark Sent: Monday, September 19, 2016 8:58 AM To: Cantrell, Elizabeth Subject: SAMUEL SINGER Elizabeth, The ori ginal_recommendation stands. The Board can require a redesign to make the action Consistent..) will no.review the action again.' 1. DKR Shores, Inc. on behalf of SAMUEL SINGER requests a Wetland Permit to construct a 4'x156' dock elevated to 30", using Thru-Flow decking and supported by 4"x4" posts in vegetated areas; install a 3'x20'seasonal ramp; install a 6'x20' seasonal floating dock in an "I" configuration;dock to consist of untreated materials, and in water areas under dock to be supported with monopole/ice breaker pilings. Located:44030 Route 25, Peconic. SCTM#1000-75-6-6.1 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.nv.us y OFFICE LOCATION: � UT s®�� ® MAILING ADDRESS: Town Hall Annex P.O.Box 1179 54375 State Route 25 lip Southold,NY 11971 (cor.Main Rd.&Youngs Ave.) ria �c Southold,NY 11971 ® �� Telephone:631 765-1938 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM ® E E9 FEB1 0 2016 To: John Bredemeyer, President Town of Southold Board of Trustees sG,;hc,3TG:vn �, B ar ofTr se From: Mark Terry, Principal Planner LWRP Coordinator Date: February 10, 2016 Re- Local Waterfront Coastal Consistency Review for SAMUEL SINGER SCTM# 1000-75-6-6.1 DKR Shores, Inc. on behalf of SAMUEL SINGER requests a Wetland Permit to install a pervious gravel driveway; construct a±43.7'x83'two-story dwelling with attached seaward stone patio and new sanitary system; install a 22'x62' in-ground swimming pool with surrounding stone patio; install pool enclosure fencing; construct a 4'x197' fixed elevated catwalk using thru-flow decking; a 3.5'x20' ramp; and a 6'x20' floating dock in an "L" shape secured by two (2) piles. Located: 44030 Route 25, Peconic. SCTM# 1000-75-6-6.1 The proposed action is located within a New York State Department of State Significant Fish and Wildlife Habitat Area, a New York State Critical Environmental Area and a Peconic Estuary Critical Natural Resource Area. A full COASTAL FISH &WILDLIFE HABITAT ASSESSMENT FORM is attached. The proposed actions have been reviewed to Chapter 268,Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is INCONSISTENT with the below Policy Standards and therefore is INCONSISTENT with the LWRP. Policy 6. Protect and restore the quality and function of the Town of Southold ecosystem 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions The total dock length is 223 feet. It appears that the applicant is designing a dock to a large vessel rather than proposing the minimum structure necessary to access public waters. ""=3?s,C,.r?;:,,,- - r , oM v�lv..,-'°r,at�",t-�c••.cr;; F y' �a � syr,s''';y•imcyi-�, 3 . . _ .. � - Km ,Sr�A�„'Y'.�„+„��,1Y `.� rJ `,�v�<: ;'L� J,. •N. ':y�.?g,. `..)�, {yam _ .k� a�y�4„i.r `.}� w �* 'yy,, F r q�?�S�•;'•� r7 r ,1.+. ,i l"py, � y •.�'.q�;4•'�C r 'na .U'. t� ;`!. .`N� yam? 1K_ t,'�,�T-.x• •��,� :c Y�. I ul {� '!��h E} �w� } ,�' 'r ':i.'T'•L1:Ytt :-f �� •`V':Lj::} - :,�. Z�'�'x '�''�}+%�'•'� - � •Lir ••. AA C.y ' ��.• - �'. ��'y�•*yam;, i{�4f'{�'�' � L ' `,r,. .u ',n s �Mr •t• i µ� •,i'e� :-.it`��'`-''Y , t`•`tt•` ��-i N i. •t i�e. 4 ��r'•,� I''` tY��.�`,y�'� ` � J +•q�'` •fd •ffI �i0'�i;x !'i gr1 • � s p,_+.,ry r Y' ^i:' .;�'� •.�-,yl�4 v�!• ��.�'?- - r�7_� r� �Qt:,�� AM'iiYSF`,t�Ff.��•�� '"j �•^1} "•, r 5 ~�'"'°„�'.wr� I };h'�v�� +s Figure 1. Approximate location of proposed 223' dock. The applicant fails to prove that the action meets the following requirements § 275-11 Construction and operation standards C. 2 (d) of the Southold Town Code: (d) Review and approval of dock applications, Before issuing a permit for a dock structure, the Trustees shall consider whether the dock will have any of the following harmful effects: (1 Whether the dock will impair navigation or be located in areas of high vessel traffic or vessel congestion; The applicant has not demonstrated that the t proposed 223' dock would not impair navigation of small watercraft and other vessels. The 1/3 rule has not been met. X21 Whether the dock will unduly interfere with the public use of waterways for swimming, boating, fishing, shellfishing, waterskling and other water-dependent activities, A net loss in public use of waterways is expected as a result of the construction of such a large structure in/on public waterways. The proposed vessel dimensions, orientation and draft have not been identified. (51 Whether the dock will cause degradation of surface water quality and natural resources, All lumber is proposed to be treated with CCA in this ecological sensitive area and does not comply with Chapter 275 regulationscited below: L31 In order to prevent the release of metals and other contaminants into the wetlands and waters of Southold, the use of lumber pre-treated with any preservative,-including but not limited to chromated copper arsenate (also known as "CCA"), commercial copper quat(CCQ), Penta products, Alkaline Copper Quat(ACQ), or homemade wood preservatives is prohibited for use in sheathing and decking on structures in the wetlands as well as on any part of a structure in low tidal flow wetland areas as determined by the Trustees. The use of creosote is prohibited. i `t J The use of tropical hardwoods is prohibited unless it is certified by the Forest Stewardship Council or similar organization. Materials used for structural components shall be at the discretion of the Trustees. [Amended 12-18-2007 by L.L. No. 23-20071 The area is shallow and increased turbidity and/or bottom scarring may occur form vessel operations. As indicated above, the proposed action is located within a New York State Department of State Significant Fish and Wildlife Habitat Area, a New York State Critical Environmental Area and a Peconic Estuary Critical Natural Resource Area. [6] Whether the dock will cause habitat fragmentation and loss of significant coastal fish and wildlife habitats; The proposed action is located within a New�York State Critical Environmental Area. At the discretion of the Board of Trustees, any operations proposed in critical environmental areas (§ 275-2) may be subject to more stringent requirements than detailed in this section. Such requirements may include, but are not limited to, denial of certain operations, shortening or reducing the size of structures, and increasing the width of non-disturbance buffers. Diamondback terrapin are vulnerable to disturbance by humans from April 1 through August 15. Nesting shorebirds inhabiting Richmond Creek and Beach are highly vulnerable to disturbance by humans, especially during the nesting and fledging period (March 15 through August 15). Significant pedestrian traffic or recreational vehicle use of the beach could easily eliminate the use of this site as a breeding area and should be minimized during this period. Recreational activities (e.g., boat and personal watercraft landing, off-road vehicle use, picnicking) in the vicinity of bird nesting areas should be minimized during this period. Predation of chicks and destruction of eggs or nests by unleashed pets (e.g., dogs, cats) and natural predators may also occur, and predator control should be implemented where feasible. Fencing and/or continued annual posting of shorebird nesting areas should be provided to help protect these species (NYSDOS). Alterations of tidal patterns in the marsh (e.g., by modifying the inlet) could have major impacts on the fish and wildlife species present. Construction of bulkheads, breakwaters, revetments, and other"hard" shoreline structures negatively impact tidal wetland habitats. Alternative strategies for the protection of shoreline property should be examined, including innovative, vegetation-based approaches. Control of invasive nuisance plant species, through a variety of means, may improve fish and wildlife species use of the area and enhance overall wetland values. Any activity that would substantially degrade the water quality of Richmond Creek would adversely affect the biological productivity of this area. All species of fish and wildlife are affected by water pollution, such as chemical contamination (including food chain effects as a result of bioaccumulation), oil spills, sedimentation, excessive turbidity, stormwater runoff, and waste disposal (including boat wastes). Impacts to water quality in the creek should be minimized or eliminated to enhance locally important shellfish and crustacean populations. Barriers to fish migration,whether physical or chemical would have a major impact on the fisheries in Richmond Creek. (NYSDOS) Unrestricted use of motorized vessels including personal watercraft in the protected, shallow waters of bays, harbors, and tidal creeks can have adverse effects on aquatic vegetation and fish and wildlife populations. (NYSDOS) [7] Whether the dock will result in the destruction of or prevent the growth of vegetated wetlands, seagrasses including eelgrass(Zosters marina) and widgeon grass (Ruppia maritima) or shellfish; There is a high probability that commercially valuable shellfish species occur in the proposed location of the dock structure. Bottom scarring is would be expected due to low water depths in the creek. [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 The construction method has not been identified. §275-11 Construction and operation standards requires that all intertidal construction and excavation employ the installation of a silt boom that will retain all suspended sediments within the immediate project area. [12]Whether adequate facilities are available to boat owners and/or operators for fueling, discharge of waste and rubbish, electrical service and water service. The answer to this question has not been provided. 9.3 Preserve the public interest in and use of lands and waters held in public trust by the state and the Town of Southold. A. Limit grants, leases, easements, permits or lesser interest in lands underwater in accordance with an assessment of potential adverse impacts of the proposed use, structure, or facility on public interest in public lands under water. The placement of a private, residential 223' dock structure in public trust lands and/or waters results in a net loss of public use of such lands and water. Due to the high ecological value of Richmond Creek, a seasonal mooring is a better option in this instance. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Uk Peter Young,Chairman H Town Hall,53095 Main Rd. Lauren Standish,Secretary AtP.O.Box 1179 Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 c Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., September 14, 2016 the following recommendation was made: Moved by Keith McCamy, seconded by Greg Williams, it was RESOLVED to SUPPORT the application of SAMUEL SINGER to install a 156' elevated thru-flow catwalk supported by 4X4 posts in vegetated areas, install a seasonal 3'X 20' ramp, and seasonal 6'X 20' floating dock. Note that dock shall consist of untreated materials and in (in water) areas be supported with monopile/ice breaker pilings. Located: 44030 Route 25, Peconic. SCTM#75-6-6.1 Inspected by: Keith McCamy Vote of Council: Ayes: All Motion Carried John M.Bredemeyer III,President Town Hall Annex 54375 Main Road Michael J.Domino,Vice-President X:� P.O.Box 1179 James F.King,Trustee ,yySouthold,New York 11971-0959 Dave Bergen,Trustee Telephone(631)765-1892 Charles J.Sanders,Trustee Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only ___06astal Erosion Permit Application E C!"' E V E V'Wetland Permit Application Administrative Permit on ZReceived Application: 7 a? JUL 2 9 2016 /'Received Fee:$ e-5 7Completed App ication: 9j Qlwi\�) Incomplete: Souihold jQVdn SEQRA Classification: BQard of Trustees Type I Type II Unlisted Coordination:(date sent): q.2.It", �/'LWRP Consistency Assessment Form: Z- :CAC Referral Sent: "ate of Inspection: q-1311(-A ___Receipt of CAC Report: _Lead Agency Determination: Technical Re *vle W: Public Hearing Held: —Resolution: Name of Applicant:�_MJA&d irn Mailing Address: 6 I�S E as+ 72;qd ,40Q4 26 LV,e, 00 7, 1 Phone Number: Z J:Z Suffolk County Tax Map Number: 1000- Property Location:-goal) 0"11 C (provide LILCO Pole distance to cross sfreets, and location) AGENT: /E (If applicable) Address: 161) 0"9E A-IMI i0l J Phone: NU Y, q YLP 01 � Aq f` F I board of Trustees Applacatj!- GENERAL DATA Land Area(in square feet): 9 9 3 5, • Area Zoning:—)D5 l G Previous use of property: (a Intended use of property: 0 d.40 C� �� D 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 dd 6k If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and'Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes ✓No If"Yes", please provide copy of decision. Will this project require/aify demolition as per Town Code or as determined by the Building Dept.? Yes No Does the structure(s)on property have a valid Certificate of Occupancy? Yes ✓ No IiCLtc ' Prior permits/approvals for site improvements: Agency Date u � � .� sADL MYS6 ,I/ No prior permits/approvals for site improvements. Hasanpermit/approval royal ever been revoked or suspended b a overnmental a enc y?_/No Yes Y p pp p Y g. g Y If yes,provide explanation: Project'Description(use att h ens necessary): Q o / P/J b4-5 45&�4ua-a by/ qxq X 2 '- hoard of Trustees Applicata- -WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ,V (? ( Mai OJX-Loo Area of wetlands on lot:' I D_ square-feet Percent coverage of lot: '2 ' % Closest distance between nearest existing structure and upland edge of wetlands: ( feet Closest distance between ne est proposed structure and upland edge of wetlands: _ feet %A Woo a 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': 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): a L tog,/O_ 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 I. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification, Complete Part l 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 t -'Project and Sponsor Information Name of Action-or Project: . 0 5e-d AOCI ,ems Y 1::��49 a - Project L cation(describe,and attach a locatio map): grief Descriptiofi of Proposed Action: ru Flc7uj V� ro sc d y X ( 5-6 ' �I�va � C Ll x gposh I't �rn Pi GLGe a S �' /,Y7ohD I �2 Ice GNP_ 5 1a a- S� o�� 3 xz o r G'X w Name of Applicant or`Sp-onsor: Q Telephone: E-Mail: Address: City/P,O: � � State: Zip Code: 1.Does th osed action only i volve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to-Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: "Sk)t-{S0$ 3.a.Total acreage of the site of the proposed action? �1� acres b.Total acreage to be physically disturbed? acres c.Total acreage(project site and any contiguous properties)owned / or controlled by the applicant or project sponsor? _� _�a (3cres(nt,a,'n Ao&j--V— 4. Check all land uses that occur on,adjoining and near the proposed action. []Urban Rural(non-agriculture) ❑Industrial ❑Commercial Residential(suburban) ®Forest WAgriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 5.' Is the proposed action, NO YE N/A a.A permitted use underthe zoning regulations? ["1F1 b.Consistent with the adopted comprehensive plan? L❑.! LJ 6. Is the proposed action consistent with the predominant character ofthe existing built or natural NO YES landscape? ❑ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES, IfYes,identify.�w__._,�_._...__..._..__..�.��_.�._._�....�,_._�.w...._.M,�.__.._�.._.___.._.....w�..�.�....._...__.__..._.._.�.. ❑ - 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES A- b.Are public transportation service(s)available at or near the site of the proposed action? ❑ 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: j 10. Will the proposed,action connect to an existing public/private water supply? NNOy YES' If No,describe method for providing potable water: �I/ ❑ 11.Will the proposed action connect to existing wastewater utilities? NO- YES If No,describe method for providing wastewater treatment: (V i n 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO I YES Places? b.Is the proposed action located in an archeological sensitive area? �I 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterationsin square feet or acres: El :L' 14. Identify the typical h4pitat types that occur off,or are likely to be found on the project site. Check all that apply: El Shoreline orest gricultural/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? 0— 0- 16.Is the project site located in the 100 year flood plain? N YES ln._T 17.W ill the proposed action create storm water discharge,either from point or non-point sources? NO YES _}f Yes, ❑ a. Will storm water discharges flow to adjacent properties? NO DYES b.Will storm water discharges be directed to established conveyance systems(ru fand storm drains)? If Yes,briefly describe: NO AYES 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:, 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? l If Yes,describe: ( ( ; 20.Has the site of the proposed action or an adjoining property been the subject ofremediation(ongoing or NO YES completed)for hazardous waste? J If Yes,describe; I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE'TO THE BEST OF MY KNOW LEDGE � ZApplicant/spons name:� __ -Date: Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of theJollowing questions in Part 2 using the information contained in Part-1 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 4 Will the proposed action create a material conflict with an adopted land use plan or zoning Q regulations? 2.�Will the proposed action result in a change in the use or intensity of use of land? D M El 3. Will the proposed action impair the character or quality of the existing community? t_ET 0 4. Will the proposed action have an impact on the environmental characteristics that caused the L__I establishment of a Critical Environmental Area(CEA)? l._._1 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 EJ 11 reasonably available energyconservation or renewable energy opportunities? LJ 7. Will the proposed action impact existing: o 'a.public/private water supplies? b.public/private wastewater treatment util ities? 8. Will the proposed action impair the character or quality of important historic,archaeological, Q architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g., wetlands, 1r1 waterbodies,groundwater,air quality,flora and fauna)? j�J 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,flood ing,or drainage (" 1 problems? - j ; IL 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 3. Part 3 should,in sufficient,detail,identify the impacti 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. i 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. 0 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 enviromnen 1 im acts. Town'of Southold-Board of Trustees -�*^ � � ,-•. -- - �' Name o Lead Agency- - Date President _ Print orTyp me of Responsible ffi er in Lead Agency Title of Responsible Officer Signa esp le Officer in Lad Agency Signature of Preparer(if different from Responsible Officer) G 'PRINT 1 Page 4 of 4 NUTIL 't U '1 - -- Ht: AKING 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: SAMUEL SINGER SUBJECT OF PUBLIC HEARING : For a Wetland Permit to construct a 4'x156' dock elevated to 30", using Thru-Flow decking and supported by 4"x4" posts in vegetated areas; install a 3'x20' seasonal ramp; install a 6'x20' seasonal floating dock in an "I" configuration; dock to consist of untreated materials, and in water areas under dock to be supported with monopole/ice breaker pilings. Located: 44030 Route 25, Peconic. SCTM# 1000-75-6-6.1 TIME & DATE OF PUBLIC HEARING : y - Wednesday, September 21, 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 John M. Bredemeyer^iri, President ff pSOFFo(p c�G Town Hall Annex Michael J. Domino, Vice-President 54375 Route 25 Glenn Goldsmith y P.O. Box 1179 A. Nicholas Krupski �y ��, Southold, NY 11971 Charles J. Sanders Telephone (631) 765-1892 r, Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of SAMUEL SINGER COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS INPLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE residing at/dba being duly sw , depose and ay: That on the (P day of , 201 I personally posted the pr perty known a 1J 1 _ by placing the Board of Truste 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 Wednesda ber 21 2016. Dated: g12l��P (sig atL[r Sworn to before me this a day of +201 WoaleofPubl ,SUSAN ftw*rk No.01GE6120947 C lCr/_I Z�G1 / Cbm QuaMod in Suffolk Courdy (P /� r (ilial misslon Expires an-Mti Notary Public Mkj (01 U1-1 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: ,p'S`5 e e cUcrOc1 STATE OF NEW YORK COUNTY OF SUFFOLK A& )&, `n's , residing at , 3 S ly'®L J L 11 3being duly sworn, deposes and says that on the �? day of , 20)_(,p, deponent mailed a true copy of the Notice set forth in the Board of --,tees 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 qeQ=ethat said Notices were mailed to each of said persons by CERTIFIED /RE RECEIPT. r ' i Sworn to before me this t41- Day of 20 � Notary Public S-VASO-n C i. 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Sworn to before me this Day of ,20 Notary Public Bo, j of Trustees Application ) County of Suffolk State of New York c �l0 0 ZA BEING DULY SWORN DEPOSES AND AFFIRMS THATHEI E 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 ANIS 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 REVIE F T APPLI ION. Signature of Property Owner SWORN TO BEFORE ME THIS o� DAY OF r_&4*� ,20 Notary Public Darette O.Sampson Notary Public-State of Now York No.01SA6194908 Qualified in Kings County Commission Expires Oct.14,�_&/h BMJ d of Trustees Application r AUTHORIZATION (where the applicant is not the owner) (print owner of property) (mailing address) do hereby authorizeJ (Agent) c to apply for permit(s)from the Southold4rdown T tees o y behalf. ( wne) of Trustees Applicat:" AFFIDAVIT Aw &riw BEING DULY SWORN DOYOSESA FIRMS THAT HE(SH S 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. gnatur of Pro SWORN TO BEFORE ME THIS DAY OF Cy 201 Debra Keller Notary Public,State of New York Notary Public No.OIKE6316526 Qualified in Suffolk County Commission Expires December 15,2018 I • j \ APPLICANT/AGENTmEPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The aito. f f the rt of.town ffice s and employees.'rhe u of tilis Loan is to n vi e' fa t tion w»ch can alealerl the town of VpAible cot iliets 2f interest and•llow it to take whatever notion is Ltecemto avoid same. YOUR NAME: ( t name,isA t n e,griddle Initial,unless you are applying in the name of v` someone else or other entity,such as a company.If so,indicato 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 ftom plat or official map Planning Other (if"Other",name the activity.) Do you personally(or through your company,spou.5e,sibling,parent,or child)have a relationship with any officer or employee of the`town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest".means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title br position of that personal 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 dese4be in the space pro-Oided. 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 lite 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 rti D)the actual applicant. YW &A-P— l.volti-e-4 . DESCRIPTION OF RELATIONSHIP Debra Keller Submitted this l• day of �204 fo- Notary Public,State of New York Signature No.O1KE6316526 print Name Fo TS Qualified in Suffolk County fission Expire�s�December 15,2018 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 significant beneficial and adverse,effects u-on the coastal arcawhich includes all of Southold Town . I 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 explainW hudetail, listing both supporting and non- suuporting 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## PROJECT NAME 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: �r-v (Z/ 4-S 4M6-11 dl--7 ys se 3 Y- Location of action:--- 40-30 ee- I Ll— Site acreage: eA — Present land use: 14a J V Present zoning classification: Ad le�' �L(�C° 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: / (b) Mailing address: � 1 ��f 72f (c) Telephone number:Area Code( } � _" 2� (d) Application number,if any: Willthe tionb~~{e directly undertaken,require funding,o�pprova a state or federal agency? Yes No l.��`.f If yes, which state or federal agency? /h GZ S�2-r e ti`15WS 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 LNVRP Section III—Policies; Page 2 for evaluation criteria. Utes ❑ No ❑ Not Applicable �- .6 v LZ a S Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LVW Section III—Policies Pages 3 through 6 for evaluation criteria n Yes F No FrNot.Applicable Attach additional-sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Pol' ies Pages 6 through 7 for evaluation criteria 11 Yes F-1NoNot Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRI? d Section III—Policies Pa 8 through 16 for evaluation criteria F] 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 throug 1 for evaluation criteria El Yes El 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. M El Yea No Not P acable 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 valuation criteria. Yes 0 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 11 No IQ/Not Applicable PUBLIC COAST POLICIES Policy 9. Provide forygWic 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 trite Ye� No E Not Applicable Attach additional sheets if necessary i WORDING 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 ljrD Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town water. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. LJ Yes E, 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 forZNot n criteria. El Yes 0 Nopplicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pa 65 through 68 for evaluation,criteria. ❑ Yes ❑ No Not Applicable PREPARED BYITL4114 J E PMk ,DATE ZCo �o