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TR-8894
DEPARTMENT OF THE ARMY U.S.ARMY CORPS OF ENGINEERS,NEW YORK DIST ic- h I �I E iD JACOB K.JAVITS FEDERAL BUILDING L� _ 26 FEDERAL PLAZA ' NEW YORK NY 10278-0090 N 11 2 8 2016 Re Southold T in Regulatory- g fY Branch o ru `e SUBJECT: Permit Application Number NAN-2016-01425-EHA by Daniel and Gina Devito The New York District, U.S. Army Corps of Engineers, has received a request for Department of the Army authorization for the following activity: APPLICANT: Daniel and Gina Devito 53 Glendale Road Rye, New York 10580 ACTIVITY: Construct a 40-foot long by 4-foot wide ramp up to a 150-foot long by 4-foot wide fixed dock, with a 30-foot long by 4-foot wide floating dock located on the northern side of the fixed dock, at the eastern end. The proposed structure would extend approximately 180-feet from the mean low water line into Shelter Island Sound. To avoid impacts to potential piping plover (Charadrius melodus) habitat, the applicant would not conduct work between April 1 and September 30 of any calendar year. The purpose of this project is to provide safe, recreational mooring. WATERWAY: Shelter Island Sound LOCATION: Town of Southold, Suffolk County, New York As this is minor in nature, authorization may be by Letter of Permission. This is in accordance with current Federal Regulations governing work in navigable waters of the United States. To accomplish the coordination required, prior to the issuance of a Letter of Permission, your review of the enclosed drawings is requested. Pursuant to Section 307 (c) of the Coastal Zone Management Act of 1972 as amended (16 U.S.C. 1465 (c)(3)(A)), the applicant has certified that the activity complies with and will be conducted in a manner that is consistent with the approved state coastal zone management program. In order for us to better serve you, please complete our Customer Service Survey located at http://www.nan.usace.army.mii/Missions/Regulatory/CustomerSurvey.aspx. �� _ -ZCo . l 4 SUBJECT: Permit Application Number NAN-2016-01425-EHA by Daniel and Gina Devito NOV 17 2016 To allow for the timely processing of the subject application, your comments are requested within 20 days of the date of this letter. If you have any questions, please contact Naomi Handell, of my staff, at (917) 790-8523. Sincerely, Ronald R. Pinn2on Chief, Eastern Section Enclosures p ECE � E NOV 282016 Southold Town r Tru MAN - 2-oI .'Sowip.so?bur Z / • T fid. = till' y� J: M • ` v� ` IGOCi'T�D/OI smx� J r, • i'!�t't 7dWCY7'T, - MAX' 4�rn: _ �R'on®spa: Gc�.c✓sTRticT ¢ -4'�t�e��,�� .r�� ._ - ovTo .4 E E E OFic 5�o/dC�N.so. 1yST.QLG ./moo /O"sb MovF2//vG.7�iG/NCr+S. 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A2 Yom, �/•)! /oSBo o-> �"� SGTM-loco-8/•-3-�.6.I i"� �1 l�� J 1 ces7/fi�ao rq�{,�.WIeG'gf-rv�+�016r�„� 2m Pip®2.oI (o'aI42 -� j ccs /o•o•c.Mit�. 3'TYP»�G. 4X4"ToE.��LS ,flu.2,�tc vCIVx� X r/ ;CC.t4./7,i' cs3� �. g.�.�.T•ll✓d�/Gi�iQS �ws• �;014e _15./oWE .�orr-o✓r1 'Ar:/¢RF6vajRATlor✓ D EC9r� - VE .�? G K_ 23 T`41 Z. NOV 2 8 2016 `yam Southold Town ar of Tr is ee ore :.s+u�.a�.awsra� To ,5 E 1--v.a•ls+a4V. .Q��S-�ST�nI•ST�'EL -PWA/i44 t C-%1AId Z�eViTo �yQ•+ ..�.?t /o�ao t :ttIt� fir; 7-,To P-4PAA m P-o wr7;PjnAr.> CO"&".444AWAto 5cPF?Soap- mv- .m«D.Sot Sts�t+dbrslror+et;�cryt P�4 ,4u�a, moo« *rjf SOUL Michael J.Domino,President ��� yp�o Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J.Sanders G _ Southold,New York 11971 Glenn Goldsmith ® �0 Telephone(631) 765-1892 A. Nicholas Krupski lyCOU Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1311C Date: February 15, 2017 THIS CERTIFIES that the construction of a 4'x40' landward fixed ramp to a 4'x150' fixed dock with a step down to a 4'x30' fixed lower platform at offshore end; install four(4) 10" diameter mooring pilings; and install water and electric to the dock; At 750 Paradise Point Road, Southold Suffolk County Tax Map#1000-81-3-26.1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated September 16,2016 pursuant to which Trustees Wetland Permit#8894 Dated October 19, 2016,was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the construction of a 4'x40' landward fixed ramp to a 4'x150' fixed dock with a step down to a 4'x30' fixed lower platform at offshore end; install four 4) 10"diameter mooring pilings; and install water and electric to the dock. The certificate is issued to DANIEL&GINA DEVITO owners of the afore aid property. Authorized Signature John M.Bredemeyer III, rfesidentT/y Town Hall Annex ,`O� OHO ) Michael J.Domino,Vice-President 54375 Route 25P.O.Box 1179 Glenn-Goldsmith Southold,New York 11971 A.Nicholas Krupski Telephone(631) 765-1892 Charles J. Sanders O Fax(631) 765-6641 �y00UldTY,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: I S Poo '�'O L� Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1 st day of construction % constructed Project complete, compliance inspec#ion. INSPECTED BY: � ap�Piy Llkul) COMMENTS: C " vn (It's w 1) CERTIFICATE OF COMPLIANCE: r John M Bredemeyer 111, President Town Hall Annex Michael J Domino, Vice-President :`_ � �_ �� 54375 Route 25 Glenn Goldsmith o ,; z `= P.O. Box 1179 N•o ® A. Nicholas Krupski Southold, NY 11971 ti rr - o� =" Charles J. Sanders '=: 07 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 bate line 1St day of construction Y2 constructed VProject complete, compliance inspection BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 8894 DATE: OCTOBER 19, 2016 rr ISSUED TO: DANIEL & GINA DEVITO PROPERTY ADDRESS: 750 PARADISE POINT ROAD, SOUTHOLD 0 SCTM# 1000-81-3-26.1 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on October 19, 2016, and in consideration of application fee in the sum of$250.00 paid by Daniel & Gina DeVito and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct a 4'x401 landward fixed ramp to a 41x150' fixed dock with a step down to a 41x30' fixed lower platform at offshore end; install four (4) 10" diameter mooring pilings; and install water and electric to the dock; and as depicted on the site plan prepared by Costello Marine Contracting Corp. dated August 25,2016, and stamped approved on October 19, 2016. IN WITNESS WHEREOF,the said Board of Trustees hereby cau its Co orate Seal to be affixed, and these presents to be subscribed by a majority of the said Boar 2 Tsof Corporate ;J111f co V COD A TERMS AND CONDITI®NS The Permittee Daniel &Gina DeVito, residing at 750 Paradise Point Road, Southold New York, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages,or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will,at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved,but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required,upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the`riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. John M.Bredemeyer III,President � OF SO Town Town Hall Annex Michael J.Domino,Vice-President 54375 Route 25 Glenn GoldsmithAS P.O.Box 1179 Southold,New York 11971 A.Nicholas Krupski ® Telephone(631) 765-1892 Charles J.Sanders �COUNT`I, a Fax(631) 765-6641 l' �� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 19, 2016 Jane P. Costello Costello Marine Contracting Corp. P.O. Box 2124 Greenport, NY 11944 RE: DANIEL & GINA DEVITO 750 PARADISE POINT ROAD, SOUTHOLD SCTM# 1000-81-3-26.1 Dear Ms. Costello: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, October 19, 2016 regarding the above matter: WHEREAS, Costello Marine Contracting Corp., on behalf of DANIEL & GINA DEVITO applied to the Southold Town Trustees fora permit imder,tha provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated September 16, 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 6.1, 9.1, 9.3, 9.4 (E) of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the use of untreated material on the decking of the fixed dock and lower platform; that access under and around said dock below mean high water for any and all fishing, shellfishing, and riparian activities shall not be abridged; the proposed dock will not impede navigation and is shorter than docks on neighboring properties; the total dock length including current vessel does not exceed one-third of the total width of the water body; dock design will result in limited pile replacement so as to minimize bottom disturbance; and 2 1 WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on 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 DANIEL & GINA DEVITO to construct a 4'x40' landward fixed ramp to a 4'x150' fixed dock with a step down to a 4'x30' fixed lower platform at offshore end; install four(4) 10" diameter mooring pilings; and install water and electric to the dock; and as depicted on the site plan prepared by Costello Marine Contracting Corp. dated August 25, 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: $50.00 Very truly yours, � X- John M. Bredemeyer III President, Board of Trustees JMB/dd TYPICAL PLOT PLAN Test Boring "(NOT TO SCALEI by McDonald Geoscience I HEREBY CERT THAT THE WATER SUPPLY(S) ANDIOR SEIVAGE DISPOSAL Aug. 26, 2002 SYSTEM(S) FOR TFIS PROJECT WERE DESIGNED BY ME OR UNDER MY DIRECTION PROPERTY LdVE 0 2 BASED ON UPON A CAREFUL AND THOROUGH STUDY OF THE SOIL SITE AND J GROUND WATER CdNDITIONS, ALL LOTS AS PROPOSED CONFORM H THE Brown Smy Loam p SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVKF9 CONSTRUCTION 2. oL 4 o STANDARDS W EF ECT AS OF THIS DATE, i Brown My Sand g O HOUSE SA4 Q. Is, 6 JOSE H FISCHETTI, P.E. 10, 1 Pair Drown Fine KEY MAP E to Coarse Sand W SEPT1wC TA SW SCALE# 1'- 600' J tAj LEAC" MIN. r Mr 17' POOL 5' 1 EXP. d� r a p V My 0.P Mtn rAr'�< 4 AIROAD COAR ' WEA ROAD '0 0O qR QT 4,0 �q E7 <0 s Q \� °° q00 00 R NO 9•f/ \ 0/1 O \ \ Q 0 PROP I 1 J49 0 t 1 / ✓'iii% i/, /� ,f W N /Ar • \ 1 / G •/gsp• / '/ / 3 rye" •���o' � q 0 co �q , QT OS <�/v 1k 1�_- I<-- - I _k /� qN r ' tyb k l j >x► °fir ss•/ , Sy3 S ?S i GqR, /.' / ,' J// � s9 ff es h0) CE , RC7 <</N 4 I l l Z EACH G "A qCq I ' , ".!/ ' co ` SUFFOLK COUNTY DEPARTMENT OF HEAL TH SERVICES HAUPPAUGE, AM , DATE / v DT EVTO F THAT THE PROPOSED REAL IV SUBDtV1S�OR EVELL THE RE-SUBDIVISION Lot Line Change) —` A TOTAL OF LOTS WAS APPROVED ,'/,�l s 1 d' �n�� _�--�___-�� r WATER SUPPLES ZV SELVAGE DISPOSAL -FACILITES MUST COWORM TO CONSTRUCTION STANDARDS IN EFFECTFOR DAj y� 1 �/t.T.Q / C I' 4T THE TIE OF CONS I1RUCTION AND ARE SUBJECT TO SEPARATE US LIP 1 6 2016 PERNTS PURSUANT TO THOSE STANDARDS THS APPROVAL SHALL BE AT Y VIE W VALID ONLY 1F THE REALTY SUBDIVIRONIDEVELOPMENT MAP IS DULY FILED WITH THE COUNTY CLERK WITHAV ONE YEAR Of TMS DATE TOWN OF �SOUTHOLDCONSENT/S HEREBY GIVEN fOR FNNG OF TMS MAP ON WMCH TNS ENDORSEME)VT APPEARS IN THE OFFICE OF THE COUNTY CLERK IV SUFFOLKCOUNTY, ACCORDANCE WITH PROVISIONS OF PUBLIC HEAL TH LAW AND THE N.Y.. SUFFOLK COUNTY SAMTARY CODE: 10 0 0 _ 81 _ 63 — 2 5.1 & 26.1 • Scale: " - 50' DRECTOR, DMSION OF ENVIRONMENTAL OUALm June 1 2010 :,.. . SEP T. 21 010 (revision) � TOTAL AREA = 5.275 Acres ZONING DISTRICT: R 80 DEC. 2, 2 0 (revisions) ` Dec. 17, 010 (additions) f0 tie- lines FLOODZONES FROM FIRM # 36103C0167H 9/25/09 NA I HEREBY CERTIFY THAT THIS SUBDIVISION PLAT WAS MADE tFROM AA �.°-lal_Y.S. LIC. NO. 49618 61ACTUAL SURVEYS COMPLETED lOn4/ro THAT ALL MONUMENTS' SHOWN THUS X ACTUALLY EXIST AND THEIR POSTIONS ARE CORRECTLY PECONIC SLIRWYORS, P.C:.r`,.:, , ELEVATIONS 8 CONTOURS ARE REFERENCED TO N.G.V.D. SHOWN AND ALL DIMENSIONS AND GEODETIC DETAILS ARE CORRECT (031) 765 1797 • 'P. 0. BOX 909"' O � MONUMENT TO BE SET 1230 SOUTHO�O,� N Y. S%97�� 0— J HN T. ME GER N.Y.S. L.S. LIC.# 49618 i E C E I V E SEP 1 6 2016 oy9 M I Southold bwnM o��' 7Y.� dad Board Th - O x�;" �Sot�nwalo L'IJy � v0. �� � -'"��• ',� • . • �� ems. `d�ja�/ AAPA NMOS.y► o !C o 4cochoF,. 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Domino, Vic resident �r y� 54375 Route 25 Glenn Goldsmith o P.O. Box 1179 A. Nicholas Krupski r:y o _ Southold, NY 11971 Charles J_ Sanders `"-moo, �a° Telephone (631) 765-1892 �� - - - Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO- Please �N�- MVITp C/o a15-1U40anrF �on�re rr�lG— Please be advised that your application dated 418e2'1�� 2016 has been reviewed by this Board at the regular meeting of �i6eEp IQ, Zoit.,9 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) e / '/ Constructed ($50.00) V Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. 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: L f"111i,�1l� TOTAL FEES DUE: $�� /41�(p BY- John M. Bredemeyer III, President Board of Trustees 'Aoo4 �W � {E6I l AN `an6oganby ���i7 1910LL r.k. 996#xoe O d L6 L09#Sld _ SA ce �O e. N N N N /u`' uMol RloUlno N N N N ' S y_t ' ° XOd 'H IM380a > co ja 4v N ,; N J 912 9 L d3 s A A W w N N ! J r rt\ , Ns;• i J r N v N o N CD CD to v � r r ! W cn r V •..CD O r 1 � ® A W (N ! J N N � � �� •r , CD p _ r � � Zn � ! o `�v OL W ! N N `° &) u. ^� N = .4 poi �us�d as!po jOd (N N N N N _. 1 Q OSLCD G)b �` SSOIO Ov co !J ! ! ! 0001 # N los W W N N N _• �O J ! V O ja O J' W W ! r N 4p O CR W N ❑c° a N ssn�. !v N fv J ! J r_r` m s W N r r-� ' 109 ' O 'I0,0a J8q(,(,r11 M-I l IN :wnle® w lL AN `kunoo MIognS plo4lnoS :umo,L }ulod aslpBJed :algin}IS 9 L-90-80 :PaRananS s 3M de@y c)iudujboapAH N SURVEY OF PROPERTY SITUATED AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-113-03-04 SCALE 1"=40' JANUARY 5, 2001 FEBRUARY 23, 2001 REVISED SITE PLAN c�I JUNE 19, 2001 ADDED WETLAND & UPLAND AREAS DECEMBER 18, 2001 FOUNDATION LOCATION ��TROJANp�'s DECEMBER 18, 2002 FINAL SURVEY pV(sK1 `L7 1•34 oA JUNE 16, 2016 UPDATE SURVEY &PAMED M. TROJAN FENCE N��`� JUNE 28, 2016 REVISE PER TRUSTEES LETTER 06/27/2016 0.5'N, O.L. E/W z STOCKADE SCE HEDGE ROW zc N m AREA = 41,257 sq. ft. N $�.CJ4'QQ" E 0.5'N ROW OF HEMLOCK VEES I ; �o O 0.947 OC. FENCE w 00 m 186.90 �C c z 61 o 10 FSp n Cr �+ F MON. G ON–NRF �� 27'A00< 61 >, �J CONC. 10' WIDEN r A I WETLAND BUFFER 0'0,, I \ \ J Alt ?? Js. ppA 3$So� a4.6' ; SFa cF 0,P FLAG ��G "Oyu y I 0 ht s� OF O 4.1' ¢to Q N WOOD 16.5' w w N p SPS �n 00� ps N2a' c;n TTC) o8.4'FLAG ° t-1y, ! y 70 00.5 FLAG 9• 70 �'1^? ALL 22.8aT] p C" EaVC FLAG' N o Fr1 a Z 9A Tn O�AGE FIR; 0 51 ',T7 DD AL 'Yy9F du .:.:. EL = 20.0 SEP + FLAG -- '� _ i a 2016 LOgCiUMP 13.5' <'' 38.3' 47�P ,. . ��'� b 1�.�•� , J x� �,C•l`''1 TREE CbNG•'+Y 111 fp LOCU51 fIAG' // o = I r ppRON TREE STUMF / oy�'Qu� _ 0 Southold Town u� LOCUSTrd of Trustees `per .REE 51UMP \II \,11, cOi STONE-DRIVEWAY L Aflr >� FLA LA V lee AIS \ ml �D R CA µ STANDARDS CVI<11N0 E E"M��IJpSH�ED Tt16-NEWQYD 1E*+ Ds GUY STOP SIGN By E FLAG WIRE STREET SIGN— y FO SUCH N 89'34'20�Iv SPEED IMIT _ 1�9.�2' �wATER�vE _ ''�' ®� UTILITY POLE — N— — OVERHEAD WIRES :^ LIL {�34/ WATER METER NYiPOL#5 « /- P F GOA Grp brL, e COX NECK ROAD y����' / (PUBLIC WATER IN STREET) N.Y.S. Uc. No. 50467 • ,�{Q�'y UNAUTHORIZED ALTERATION OR ADDITION TO THIS OF SECTION SURVEY OFSTHE NEWnON STATE •N Lathan Taft Corwin III V' Qp EDUCATION LAW. OQ COPIES OF THIS SURVEY MAP NOT BEARING Land Surveyor Vrtr THE LAND SURVEYOR'S INKED SEAL OR �O EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY CERTIFICATIONS INDICATED HEREON SHALL RUN Successor To: Stanley J. Isaksen, Jr. L.S. ONLY TO THE PERSON FOR WHOM THE SURVEY Joseph A. Ingegno L.S. IS PREPARED,AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND Title Surveys - Subdivisions - Site Plans - Construction Layout LENDING INSTITUTION LISTED HEREON,AND TO THE ASSIGNEES OF THE LENDING INSTI- PHONE (631)727-2090 Fax (631)727-1727 TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. 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 T John'M.Bredemeyer III, President *0 S®!/T�o Town Hall Annex Michael J.Domino,Vice-President �® l0 54375 Route 25 Glenn Goldsmith 1�[ P.O. Box 1179Southold,New York 11971 A.Nicholas Krupski G Telephone(631) 765-1892 Charles J.Sanders 'O Fax(631) 765-6641 lye®UNT`I,N BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 20, 2106 Costello Marine Contracting Corp. P.O. Box 2124 Greenport, NY 11944 RE: ENVIRONMENTAL DECLARATION OF SIGNIFICANCE PURSUANT TO NEW YORK STATE ENVIRONMENTAL (,QUALITY REVIEW ACT NYCCR PART 617 DANIEL & GINA DEVITO 750 PARADISE POINT ROAD, SOUTHOLD SCTM#1000-81-3-26.1 To Whom It May Concern: The Southold Town Board of Trustees adopted the following Resolution at a meeting held on Wednesday, October 19, 2016: DESCRIPTION OF ACTION: Costello Marine Contracting Corp. on behalf of DANIEL & GINA DEVITO request a Wetland Permit to construct a 4'x40' landward fixed ramp to a 4'x150' fixed dock with a step down to a 4'x30' fixed lower platform at offshore end; install four(4) 10" diameter mooring pilings; and install water and electric to the dock. Located: 750 Paradise Point Road, Southold. SCTM# 1000-81-3-26.1 S.E.Q.R.A. NEGATIVE DECLARATION OF ENVIRONMENTAL SIGNIFICANCE: WHEREAS, the Southold Trustees are familiar with this project having visited the site on October 11, 2016 and having considered plans for this proposed dock at their October 17, 2016 work session, and WHEREAS, in reviewing the project plans dated August 25, 2016, it has been determined by the Board of Trustees that all potentially significant environmental concerns have been addressed as noted herein: • Navigation: The proposed dock meets standards and does not extend beyond b_ 1/3 across the water body. Depths for the dock terminus are within Town Trustee, NYSDEC and USACE guidelines and there is no recognized -Federal/New York State/Town navigation channel in the immediate vicinity of the proposed structure. • Scope: The proposed dock is shorter than docks on neighboring properties. Toxcity: To protect the waters of Peconic Bay the dock's decking shall be constructed entirely of non-toxic materials. • Scope in relation to the riparian rights of shellfishers: The plan provides for a standard piling design that will permit access beneath the decking for small vessels at low tide and those seeking shellfish and crustacea on foot in season. Accordingly, it does not materially diminish riparian access to harvest beneficial marine organisms. • Scope in relation to the rights of small human powered water craft to navigate the waters adjacent to the proposed dock: Shelter Island Sound/Southold Bay is slightly over one mile wide in this location. A human powered vessel traveling from Cedar Beach Point to Paradise Point and back (or across to Shelter Island and back) and compelled to navigate around the several docks in the vicinity would not be inconvenienced more than 10-20% off its course. At low tide a kayak might be able to paddle beneath most docks in the area. As the fetch from the South and Southeast in the vicinity of the proposed dock is considerable, and can result in 2-3 foot wavelets in season, a prudent kayaker mindful of the needs to only sail in waters within their personal capability would not find navigating around the proposed dock dangerous or a hardship. Any operator of a small Water craft powered by hand should know the waters they intend to navigate and have sufficient energy and food/water reserves to effectively deal with any emergency. • Environmental Upkeep: The dock design projects a usual lifespan of 30 years with limited pile replacement so as to minimize disturbance of the bottom. 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, 4�5John M. Bredemeyer III, President Board of Trustees l - - r t a # Biricim& Mark Miller 1000 Paradise Point Road Southold, NY 11971 jE October 5, 2016 ® E 0 E 'VE Southold Town Board of Trustees OCLouthold 016 54375 Main Road Southold, NY 11971 Re: DeVito's Permit Application Dear Southold Board of Trustees, We reside at 1000 Paradise Point Road in Southold. Our property is immediately north of the Devito property and abuts that entire property line. We understand that the DeVito's have filed an application for a permit to build a dock on the beach and in the waters on the bayside of their home. Please take this letter as an indication of our complete support of their application and strongly encourage the Trustees to issue the requested permit to the DeVito's. Please let me know if you have any questions or require anything further. Thank you for your consideration, Mark E. Miller Mr. & Mrs. Joseph Macari PO Box 607 Southold, NY 11971 October 12, 2016 E V E h � 999 Southold Town Trustees OCT 172016 PO Box 1179 Wthold Toaiti Southold,NY 11971 RE: Devito Dock Application Dear Town Trustees: I own property known as 600 Paradise Point Road in Southold which is the adjacent property to Daniel and Gina DeVito. I have no objection to the construction of the dock structure being proposed and is currently under your review. Sincerely, John M. Bredemeyer III, Presu Town Hall Annex Michael J Domino, Vice-President4t, ��y ` X54375 Route 25 Glenn Goldsmithr P.O. Box 1179 A Nicholas Krupski o ,y Southold, NY 11971 Charles J. Sanders Ol p��" TelelJhone (636) 7656 92 648 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: � / l Z� Completed in field by: Costello Marine Contracting Corp. on behalf of DANIEL & GINA DEVITO request a Wetland Permit to construct a 4'x40' landward fixed ramp to a 4'x150' fixed dock with a step down to a 4'x30' fixed lower platform at offshore end; install four (4) 10" diameter mooring pilings; and install water and electric to the dock. Located: 750 Paradise Point Road, Southold. SCTM# 1000-81-3-26.1 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: Present were: I✓J. Bredemeyer ,/ M. Domino �G. Goldsmith /N. Krupski L//C. Sanders Other Page 1 of 2 John M. Bredemeyer III, Presico�ogOFFO(o Town Hall Annex Michael J. Domino, Vice-Presiaem .� yam, 54375 Route 25 Glenn Goldsmith o ` P O Box 1179 A. Nicholas Krupski o :; Southold, NY 11971 Charles J. Sanders yy �ao� Telephone (631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Costello Marine Contracting Corp. on behalf of DANIEL & GINA DEVITO request a Wetland Permit to construct a 4'x40' landward fixed ramp to a 4'x150' fixed dock with a step down to a'4'x30' fixed lower platform at offshore end; install four (4) 10" diameter mooring pilings; and install water and electric to the dock. Located: 750 Paradise Point Road, Southold. SCTM# 1000-81-3-26.1 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 Ja '�• ti• �' .�=�'/A%,1 t i � 1 Ilk -- .,.. mu r� `�� � � s �•-• � t, TfV•��' I° •'I *•,J� ..I ••�rr�1 �' , I _,Yrr��C.�7aY' ) � � 'w • +' r�ii A �� � w- i. . 11i: ^.r,R, 111.\; I"�d�i '♦ i � .S .' ' .. � '. Y. y .�1 1 111 II fi �s _ - _ moi'• �3 .�• - 1 Client: Daniel& Gina DeVito Location: 750 Paradise Point Road, Southold Date: September 16, 2016 LOCATION Paradise750 • • a� .a.ew•.4 -- earthGooste Costello Marine Contracting Corp. Prepared by. 423 5th Street, PO Box 2124,Greenport,NY 11944 (631) 477-1199 Phone (631)477-0005 Fax Client: Daniel & Gina Devito Location: 750 Paradise Point Road, Southold Date: September 16, 2016 I)ock south of subject pro4)crty Dock north of subject property a , r .s',,•:• < .. _ ', "� ....TYn u.•._ r�a���� '�,�s � �� _.� _>a,.��^� .' F. sig;.. � ;. ,,�" ��:- _. _ _ Or T- Costello Marine Contracting Corp. Prepared by: 423 5th Street, PO Box 2124, Greenport,NY 11944 (631)477-1199 Phone (631)477-0005 Fax 2 Client: Daniel & Gina Devito Location: 750 Paradise Point Road, Southold Date: September 16, 2016 Dock north of subject property el h �t Costello Marine Contracting Corp. Prepared by: 423 5th Street, PO Box 2124, Greenport,NY 11944 (631)477-1199 Phone (631)477-0005 Fax 3 OFFICE LOCATION: ®��OF SO(/T�®l MING ADDRESS: Town Hall Annex `` ® P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) cn S ® �� Telephone: 631 765-1938 Southold, NY 11971 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: John Bredemeyer, President Town of Southold Board of Trustees From: Mark Terry, Principal Planner LWRP Coordinator Date: October 12, 2016 Re: Local Waterfront Revitalization Program Coastal Consistency Review for DANIEL & GINA DEVITO SCTM# 1000-81-3-26.1 Costello Marine Contracting Corp. on behalf of DANIEL & GINA DEVITO request a Wetland'Permit to construct a 4'x40' landward fixed ramp to a 4'x150' fixed dock with a step down to a 4'x30' fixed lower platform at offshore end; install four(4) 10" diameter mooring pilings; and install water and electric to the dock. Located: 750 Paradise Point Road, Southold. SCTM# 1000-81-3-26.1 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to us, it is our recommendation that the proposed action is INCONSISTENT with below LWRP policy standards: 6.1, 9.1, 9.3, 9.4 (E), and therefore is INCONSISTENT with the Local Waterfront Revitalization Plan. 6.1 Protect and restore ecological quality throughout the Town of Southold. Although the ecological complexes and individual habitats of Southold continue to support large assemblages of plants and animals, over time, human activity has fragmented, or otherwise impaired many of the significant habitats. The impacts that generally result from the construction of dock structures in the Peconic Bay include: Vegetation (Physical Loss) • Structure placement • Construction practices (jetting) • Chronic shading Wildlife (Physical and Functional loss) • Loss and/or impairment of habitat • Disruption of habits and migration patterns (structure and activity) • Introduction of harmful contaminants 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. The policy states: The Town of Southold has numerous access points to its shoreline and waterfront recreation facilities. The main objective of the Town is to improve these facilities, providing increased public access to the shoreline and waterfront recreation facilities for residents and visitors. Southold's shoreline has the potential to offer a continuous right of access along the shore. Given the increase in shoreline development, the opportunity to walk the shoreline of the Peconic Estuary is a valuable public asset. It remains, however, an unrealized asset because the right of continuous access is useless without the ability to get to the shore and, once on the shore, to walk unfettered. As noted earlier, there are stretches of Southold's shoreline where the public's rights in the foreshore have been constrained, and sometimes precluded, by the design and nature of private residential development. This is a major public policy concern. Small private docks in coastal areas occupy public waters and extend across lands where the public has certain rights of access and usage. Therefore, all docks, extending out into a public water body adversely affect the public use and access along the foreshore and nearshore areas of such water bodies. Public access along the foreshore and Town waters has been identified as one of the most important liberties within the Town. Similarly, the legal use of New York's beaches, tidelands, and lands underwater is defined by the Public Trust doctrine which holds that the public has certain rights of access along the shore, typically for fishing, shellfishing, and navigation. Under the public trust doctrine, the foreshore and underwater lands are held in trust by the state or local government for the benefit of the public. These rights of access must generally be balanced against the riparian rights of landowners adjacent to the water's edge. Riparian rights of waterfront property owners mandate that they have access to the adjacent waterbody. This does not, however, necessarily authorize a dock that extends into public waters or across lands where public trust rights exist. The Courts have found that the requirement for riparian access may be met by the establishment of a dinghy or canoe launching area—with no structure (NOAA 2008). An offshore mooring would also gain pubic access to public waters. Throughout the Town a total of 303+ public and quasi-public access points have been established to allow for access to the foreshore and navigable waters. These access points include, boat launch facilities, road ends, managed parks and Town owned properties. 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. Use the following factors in assessing potential adverse impact. 1. environmental impact, r-- The proposed dock structure would be susceptible to storm damage and /or ice damage due to the exposure and fetch of the waterbody. The disposal of sanitary waste onboard the vessel has not been identified. 2. values for natural resource management, public recreation, and commerce, 3. size, character, and effect of the transfer in relation to neighboring uses, The proposed dock appears to be similar in size to an existing dock structure located to the south. The docks were constructed prior to the adoption of the LWRP. 4. potential for interference with navigation, public uses of waterway, and riparian rights, The proposed dock structure would impede navigation of vessels (public use of public waters) along the nearshore. Vessels would be forced to operate around the dock structure or seaward of the dock structure. 5. effect of the transfer of interest on the natural resources associated with the lands, The construction of a dock structure in public waters removes and or hinders the public use waters and bottomlands of where the dock structure is located. 6. water-dependent nature of use, The private residential use is not water dependent, however, recreational boating requires water access (e.g. mooring, public boat ramp). 7. adverse economic impact on existing commercial enterprises, The private dock structure would remove the area occupied by the dock structure and vessel from public use including commercial uses that occur in Peconic Bay. 8. consistency with the public interest for purposes of navigation and commerce, fishing, bathing, and access to navigable waters and the need of the owners of private property to safeguard development. The proposed private, dock structure in this location would extend into public waters resulting in a net decrease in public access to public underwater lands and the nearshore area. 9.4 Assure public access to public trust lands and navigable waters. E. Provide access to, and reasonable recreational use of, navigable waters and public trust lands under water. 1. Provide for free and unobstructed public use of all navigable waters below the line of mean high water for navigation, recreation, and other public trust purposes, including the incidental rights of public anchoring. ` I 1 'J Private dock structures extending into public trust lands and waters obstruct public use of navigable waters and other public use in the area where the dock is located and does not meet this policy. 3. Obstruction of navigable waters and underwater lands is limited: Boat travel in coastal waters is a public right established through the commerce clause of the U.S. Constitution which gives the Congress regulatory power over navigable waters—an authority that has been delegated to the U.S. Army Corps of Engineers (USACOE). The USACOE identifies typical impacts to navigation due to small docks as: i. Extension into designated federal navigation projects or traditional navigation passages through the waterways. This impact is particularly important in Peconic Estuary which contains shallow areas and narrow navigable channels. Small watercraft navigate all areas of Peconic Bay including along the nearshore. ii. Federal navigation projects occur on waterways where taxpayer dollars have been invested to create or maintain a designated channel, turning basin, or anchorage. iii. There are instances where a proposed dock would not affect a designated navigable channel or a federal navigation project, but could adversely affect passage by paddle craft (e.g., canoes and kayaks) through traditional passageways along the shore. In some situations, a dock may force small paddle craft into the dangerous situation of entering a channel (or open water) utilized by larger, powered boats. For safety's sake, the smaller craft typically remain close to the shore—the same portion of the waterway where docks are generally proposed and constructed. iv. In some instances, the design of the dock (e.g., its height over the water or structures at the water end) may impede safe navigation by obstructing views along the waterway. Structures may obscure oncoming boat traffic or boats leaving docks and navigation aids. v. Private docks constructed too close to existing public or private docks or boat landings may impede safe navigation to, and use of, those existing facilities. Boats need room to maneuver around docks; the amount of room necessary is dependent on the size, configuration, and powering mechanism of the boats (i.e., size of engine; sail versus engine powered, etc.) Docks that are too close together may lead to difficulties in launching or landing vessels. a. to the extent that it interferes with commercial navigation. The right of commercial navigation is superior to all other uses on navigable waters and may not be obstructed. b. to the minimum necessary for access to navigable waters. The minimum is determined by evaluating the following factors: (i) the extent of the use's dependence on access to navigable waters, The use is a private residence. Numerous facilities are available throughout town to promote access for recreational boating. (ii) the range of tidal water level fluctuation, (iii) the size and nature of the body of water, Due to the size and fetch of the Peconic Bay, small watercraft, navigate the waters close to the shoreline for safety. Docks in the bay impede this ability by forcing small watercraft to navigate around the dock structure. (iv) the nature of public use of the adjacent waters, Another consequence from private, residential docks is the potential of obstruction of navigation. Town regulations prohibit the obstruction of marked navigation channels and require a one-third rule for creeks and harbors. For boaters with engines, this prohibition fits their needs since the safe operation of these vessels could require the use of the channels for navigation. However, for self - propelled vessels and small watercraft which use is not limited to navigation channels, docks are an impediment, often forcing these vessels to navigate around the structure or seaward of the dock line. This forced navigation restriction potentially puts the users of these vessels at risk. Similarly, dock structures limit the ability of sailing vessels to use the nearshore area by impeding the ability to navigate the nearshore area. (v) the traditional means of access used by surrounding similar uses, The traditional use of the waters included free and unobstructed access to the nearshore for commercial uses and recreation by the public (vi) whether or not alternative means to gain access are available. Piers, docking facilities, and catwalks must not result in an unnecessary interference with use of public trust lands. Alternatives to long piers or docks include use of dinghies to reach moored boats and mooring in nearby marinas. c. by extent and characteristics of the developable adjacent upland area and its ability to support in-water development for the water-dependent use. i d. by potential adverse effects on natural resources and their uses, and e. by potential adverse effects on public safety. See above comments. Alternatives to permanent, private, docks structures in Peconic Bay include mooring of boats in safe areas and docking of vessels in nearby marinas. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed actions. i FO(�.C� ' Peter Young,Chairman Q Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1892 Fax(631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., October 12, 2016 the following recommendation was made: Moved by Greg Williams, seconded by Keith McCamy, it was RESOLVED to SUPPORT the application of DANIEL & GINA DEVITO to construct a 4'X 40' ramp to a 4'X 150' fixed dock with a 4'X 30' lower platform at'offshore end. Install four 110" mooring pilings, and provide water and electric. Located: 750 Paradise Point Rd., Southold. SCTM#81-3-26.1 Inspected by: Greg Williams, Peter Young Vote of Council: Ayes: All Motion Carried John M.Bredemeyer III,President {;{� �� (Il/ Town Hall annex Michael J.Domino,Vice-President 1 `- »' ; ��} 4+ 54375 Main Road fr 1' P P.O.Box 1179 James F.King,Trustee NSouthold u �q, sz ,New York 11971-0959 Dave Bergen,Trustee Charles J.Sanders,Trustee n� ( `{j} Telephone(631)765-1892Fax(631)765-6641 es BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD ~~ Office Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permit _ Amendment/Transt/Ext nsion Received Application: l �(� �p _Received Fee:$ 25-©.1- v�Completed Application q;11,1& D EZOUthold _Incomplete_SEQRA Classification: Type 1Type 1I UnlistedSCoordination:(date sent) ID.71-1 16�LWRP Consistency As ssmon orm_CAC Referral Sent: ��Date of Inspection: j0 (p_Receipt of CAC Report: _Lead Agency Determination: Technical Review:__ Public Hearing Held: Resolution: Name of Applicant DANIEL& GINA DEVITO Mailing Address 53 GLENDALE ROAD,RYE,NY 10580 Phone Number:( ) (914)263-3028 Suffolk County Tax Map Number: 1000- 81-3-26.1 Property Location: 750 PARADISE POINT ROAD,SOUTHOLD ✓ (provide LILCO Pole#,distance to cross streets,and location) AGENT:COSTELLO MARINE CONTRACTING CORP. (If applicable) Address: PO BOX 2124,GREENPORT,NY 11944 Phone:(631)477-1199 U �Y� Board of Trustees Application GENERAL,DATA Land Area(in square feet):135,357 Area Zoning: R-40 Previous use of property:RESIDENTIAL, Intended use of property:SAME-NO USE CHANGE Covenants and Restrictions on property? Yes X No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes X 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 X No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes X No Does the structure(s)on property have a valid Certificate of Occupancy? Yes X No Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes,provide explanation: Project Description(use attachments if necessary): Construct a 4'x40' ramp to a 4'x150'faxed dock with a 4100'lower platform at offshore end. Install four 10" mooring piling. Provide water and electric Board. of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations:_To provide dockage for the upland property owner and their family. Area of wetlands on lot: 7300 square feet Percent coverage of lot: N/A % Closest distance between nearest existing structure and upland edge of wetlands: N/A feet Closest distance between nearest proposed structure and upland edge of wetlands: ' N/A feet Does the project involve excavation or filling? X No Yes If yes,how much material will be excavated? N/A cubic yards How much material will be filled? N/A cubic yards Depth of which material will be removed or deposited: N/A feet Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited:N/A Statement of the effect,if any,on the wetlands and tidal waters of the town that may result by reason of such proposed operations(use attachments if appropriate): The proposed dock structure will encompass 880 square feet of water surface. Any disturbance caused by the installation of the piling will immediately re-establish itself once construction is complete 617.20 Appendix B Short Environmental Assessment Form Instructions for Completing Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Parc 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1-Project and Sponsor Information Name of Action or Project: DEVITO DOCK PROJECT Project Location(describe,and attach a location map): 750 PARADISE POINT ROAD,SOUTHOLD,NY 11971 SCTM#1000-81-3-26.1 LAT/LONG: N:41.038/W:72.391 Brief Description of Proposed Action: CONSTRUCT A 4'X40'RAMP ONTO A 4'X150'LEVEL DOCK WITH A 41X30'LOWER PLATFORM ON OFFSHORE END. INSTALL FOUR 10"MOORING PILING. Name of Applicant or Sponsor: Telephone: (914)263-3028 DANIEL&GINA DEVITO E-mail: devitorye@aol.com Address: 53 GLENDALE ROAD City/PO: State: Zip Code: RYE NY 10580 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative'rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that 0✓ 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: PERMITS ARE REQUIRED FROM ARMY CORPS OF ENGINEERS,NYSDOS,NYSDEC,TOWN OF SOUTHOLD F-1 0 3.a.Total acreage of the site of the proposed action? 3.275 acres b.Total acreage to be physically disturbed? 0.022 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 3.275 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) ❑Industrial [r Commercial ®Residential(suburban) ❑Forest MAgriculture ®Aquatic []Other(specify): OParkland Page 1 of 4 , rr 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ ❑✓ ❑ b.Consistent with the adopted comprehensive plan? ❑ ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ ❑✓ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: ❑ ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s) ❑ ❑ p transpo cels)available at or near the site of the proposed action? M ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ❑✓ ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: 10. Will the proposed action correct to an existing public/private water supply? NO YES If No,describe method for providing potable water. ❑ IT 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment- OUR reatmentOUR PROPOSAL DOES NOT INVOLVE THE PRODUCTION OF WASTEWATER. 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? � ❑ b.Is the proposed action located in an archeological sensitive area? ❑ WI 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? ElIf Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: THE PROPOS Q DOCK IS SMS "M I BE I Or" OLD HARROR 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ®Shoreline ❑Forest ❑Agricultural/grasslands []Early mid- ccessional ®Wetland ❑Urban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal goverment as threatened or endangered? ! F-1- 16. 16.Is the project site located in the 100 year flood plain? { NO YES 17.Will the proposed action create storm water discharge,either from point or non point sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? 91 NO ❑I ✓❑ ❑ b.Will storm water discharges be directed to established conveyance systems runoff and sIS,rains If Yes,briefly describe: t5 NO ) 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: a ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: a ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: ❑ ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/spo or name: n i�;L V`– v Date: Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 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 1. Will the proposed action create a material conflict with an adopted land use plan or zoning f ❑ regulations? u 2. Will the proposed action result in a change in the use or intensity of use of land? 121El3. Will the proposed action impair the character or quality of the existing community? E] ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the establishment of a Critical Environmental Area(CEA)? ❑ ❑ 5. Will the proposed action result in an adverse change in the existing level of traffic or El 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 t� El available en conservation or renewable energy opportunities? Lj 7. Will the proposed action impact existing: ❑ &public/private water supplies? El- b.public/private wastewater treatment utilities? F-1- 8. 8. Will the proposed action impair the character or quality of important historic,archaeological, n E]architectural or aesthetic resources? L�1 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ ❑ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage ,�j E]problems? U 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,-including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. AIso consider the potential for short-term,long-term and cumulative impacts. DCheck this box if you have determined,based on the information and analysis above,and any supporting documentation, at the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse enviromn I' acts. Name of Lead Agency � ate� c(I ,� Printo ype Name f Responsible Officer in Lead Agency Title of Responsible Officer aforeOpResponsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT I Page 4 of 4 John M. Bredemeyer lh'—rrresident �1'4�� �o�, Town Hall Annex Michael J. Domino, Vice-President ��� y` 54375 Route 25 Glenn Goldsmith yy P.O. Box 1179 A. Nicholas Krupski Southold, NY 11971 Charles J. Sandersy Telephone (631) 765-1892 � uw t L Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of DANIEL & GINA DEVITO 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 cvPffiah�cickdC 6(. Iu &X t21024 . 0-7y 6�T (qj4 being duly sworn, depose and say: That on th ay of OC 7� , 2016, I.personally posted the roperty known as 750 a c tc h by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday, October 19,2016. Dated: afore) Sworn to before me this 011-day of 00*20/& Not ry Public LYNN E STEVENS Notary Public-State of New York NO.GIST6269424 Qualified in Suffolk County Commission Expires Q- y-Roo Client: Dan & Gina Devito Job Site Address: 750 Paradise Point Road, Southold Date: October 4, 20 f6 NOTICE OF HEARING POSTING PHOTOGRAPHS ,Ka t t j d P NOTICE OF HEARING }. NOTWE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall,53095 Main Read.Southold,New York,concerning this property .' OWNERS OF RECORD: DANIEL&GINA DEVITO SUBJECT OF PUBLIC HEARING: For a Wetland Permit to construct a 4'x40'landward fixed ramp to a 4'x150"fixed dock with a .A step down to a 4'x30'fixed lower platform at offshore end,install four(4)10"diameter - -- m ring pilings,and install water and electric to the dock.Located.750 paradise point Road, Southold.5UNIF 1000.81 3 26.1 e'It DATE OF PUBLIC HEARING: Wednesday,October 19,2016—at or about 5:30P.M. If you hava an ante,est m thi,project,you are invited to View the Town file(,)which are evadable for rmpection prior to the day of the hearing durine normal bussu daiL-t ween the hours of a m and 4 m BOARD OF TRUSTEES'TOWN OF SOUTHOLD`(631)765-1892 - J, Wd�� . Prepared by: Costello Marine Contracting Corp. 423 5th Street, PO Box 2124, Greenport, NY 11944 (631) 477-1199 Phone (631) 477-0005 Fax 1 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: Shelter Island Sound Inc. 538 Edwards Avenue,Calverton,NY 11933 Joseph,Diane and Anne Marie Macari 36230 Rte.25,Cutchogue,NY 11935 Town of Southold 53095 Rte.25,PO Box 1179,Southold,NY 11971 STATE OF NEW YORK COUNTY OF SUFFOLK JANE P.COSTELLO , D/B/A COSTELLO MARINE CONTRACTING CORP. PO BOX 2124,GREENPORT,NY 1194¢being duly sworn, deposes and says that on the 3RD day of OCTOBER , 20_i6_, 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 GREENPORT(11944) ,that said Notices were mailed to each of said persons by CERTIFIED MAIVRETURN RECEIPT. �LNc Sworn to before me this /7 ' Day of 920_Z& Notary Public LYNN E STEVENS Notary Public-State of New York NO.OIST6269424 Qualified in Suffolk County Commission Expires 9-3y dc2O 1 NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: DANIEL & GINA DEVITO SCTM#1000-81-3-26.1 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: CONSTRUCT A 41X40' RAMP UP ONTO A 41X150' LEVEL DOCK WITH A 41X30'LOWER PLATFORM ON OFFSHORE END. INSTALL FOUR 10" DIAMETER MOORING PILING. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 750 PARADISE POINT ROAD, SOUTHOLD,NY 11971 3. That the project which is subject to Environmental Review under Chapters 96,111 and/or 275 of the Town Code is open to public comment on: DATE:WEDNESDAY, OCTOBER 19,2016 AT OR ABOUT 5:30PM You may contact the Trustees Office at 765-1892 or in writing. The above-referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. PROPERTY OWNERS NAME: DANIEL& GINA DEVITO MAILING ADDRESS: 53 GLENDALE ROAD,RYE,NY 10580 PHONE #: (914)263-3028 AGENT: COSTELLO MARINE CONTRACTING CORP. MAILING ADDRESS: PO BOX 2124, GREENPORT,NY 11944 PHONE #:_(631)477-1199 Enc: Copy of sketch or plan showing proposal for your convenience. Client: Daniel& Gina DeVito Job Site Address: 750 Paradise Point F , Southold Date: October 3, 2016 CERTIFIED MAIL RECEIPTS co ®. o, Ir ru Certified Mall Fee z _ rU Certified Mall Fee Extra Services&Fees(check box,add lee as appropnate) ., `� ham° C3 $ ❑ Return Receipt(hardcopy) $ t ® '0 Extra Services&Fees(check box,add fee as appropnase) r ❑Return Receipt(electronic) $ Vstmar 0� 0— [:]Return Receipt(hardcopy) $ .� 171 Certified Mad Restricted Delivery $ `' Here -�� []Return Receipt(electronic) $ - Oark �t+„nk E:3 []Adult Signature Required $ M3 Certified Mail Restricted Delivery $ W ❑ ❑ 4!f i �^ 0 Adult Signature Required Adult Signature Restricted Delivery$ ❑ IV []Adult Signature Restricted Delivery$ mPostage n� CZ O postage ' $ � m Tot `�"^'�j�' I ° Total P �— -- ----- $ r=1 � sel Shelter Island Sound Inc. ►n Sent{Joseph,Diane and Anne Marie Macari 538 Edwards Avenue C336230 Rte. 25 S[reet Citi Calverton,NY 11933 ------------- `~ ----- ) Cutchogue,NY 11935 Cry,s I ® A m .. Er ro ° rU Certified Mad Fee �d 0 Extra Services&Fees(check box,add lee as appropriate) E:3 ❑Return Receipt(hardcopy) $ milt 0 E]Return Receipt(electronic) $ �'t POSW rk —4 r3 ❑Certified Mad Restricted Delivery $ ,``° H 'tel I3 ❑Adult Signature Required $ �g b ❑Adult Signature Restricted Delivery$ 0 Postage "+ 6� m $ p- Tota' —�— $ I Town of Southold Ln Ito 11-9 C3 Stye 53095 Rte. 25 _______ PO Box 1179 I------------- Southold, __ _Southold,NY 11971 Prepared by: Costello Marine Contracting Corp. 423 5th Street, PO Box 2124, Greenport,NY 11944 (631)477.1199 Phone (631)477-0005 Fax " r - So�o,1cS 16 rM Tb SovAwip ftAY i X� e � � C .WntaaeGrs.r� � r APMK - `#ate, . rwr Vici^r�rYA p o"ro 4'x i50'G�v�L, z�r>c,e.l s�rrr✓ OG OF ' F Ss140/Zc /O"�+MonRi.�tG+7�iLiiJG�S. 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OWNER(S) OF RECORD: DANIEL & GINA DEVITO SUBJECT OF PUBLIC HEARING : For a Wetland Permit to construct a 4'x40' landward fixed ramp to a 4'x150' fixed dock with a step down to a 4'x30' fixed lower platform at offshore end; install four (4) 10" diameter mooring pilings; and install water and electric to the dock. Located: 750 Paradise Point Road, Southold. SCTM# 1000-81-3-26.1 TIME & DATE OF PUBLIC HEARING : Wednesday, October 19, 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 Board of Trustees application County of Suffolk State of New York Daniel Devito BEING DULY SWORN DEPOSES AND AFFIRMS THAT DE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF ITIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DOME IN THE MANNER SET FORTIS IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO BOLD 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, INLUDING 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. c e Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF Cf,, ,20 DENISE A. NAVARRA NOTARY PUBLIC-STATE OF NEW YORK No. O1 NA6191295 Qualified in Suffolk County Notary Public My Commission Expires o 1 t 2-Uz- Board of Trustees Application. County of Suffolk State of New York Gina Devito BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SIZE 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.,WORD 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, INLUDING A FINAL.INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY ANIS 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. Signature of Property Owner SWORN TO BEFORE ME THIS ' DAY OF 20—[� Notary Public MARINA ROKIIIN®S Naftry Public-Stift of Now York No.Al KOO191941 Qualified In Suffolk County My Commission Expires Aug.25,2020 1 ~ APPLICANUAOEN'I MEPRESENT'ATIVE TRANSACTIONAL DISCLOSE FORM i The Town of Southold's Code of Ethics Drohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to lake whatever action is 1 accessary to avoid same. I YOURNAME: DEVITO,DANIEL (Las name,first name,»ddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other pemon's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship,.vith ruty officer or employee of the Mown of Southuld? "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 V 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 N/A Title br position of that person N/A Describe the relationship between yourself(the applicant(agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. I The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): N/A A)the owner of greater than 5%of the shares of the corporate stock of the applicpnt (when the applicant is a corporation); N/A B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); N/A C)an officer,director,partner,or employee of the applicant;or N/A D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted th 3Z d o NO(;:�t) 20�L Signature Print Name DANIEL DEVITO Form TS 1 i ` I APPLICANTYAGElet'I REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM � i The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this fortn is to nrovide information which can alert the town of ossible conflicts of interest and allow it to take whatever action is i eecess=to avoid same. YOUR NAME: DEVITO,GINA ; (Last name,first name,.gtiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee ✓ Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or oftcial map Planning Other (If"Other,name the activity.) Do you personally(or throueh your company.spouse.sibling,parent,or child)have a relationship with tory officer or employes of the Town of Southold? "Relationship'includes by blood,omrriage,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 otTicei or employee owns store 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 N/A Title or position of that person N/A Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): N/A A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); N/A B)the legator beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); N/A C)an officer,director,partner,or employee of the applicant;or N/A D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted th' -3Qda of GL u 20J& ure Signat Print Name GINA DETVITO Form TS 1 ILI STE L® MARINE CONTRACTING CORPORATION DOCK BUILDING m JETTIES m BULKHEADING STEEL&WOOD PILINn ® FLOATS 423 FIFTH STREET o PO.BOX 2124 m GREENPORT.NEW YORK 11944 (631)477-1199t'477-13931477-0682 - FAX(631)477-;iv"U5 AUTHORIZATION i QkM ��UZ� E-) ownerof (Name) (Business.173ropertyhame) located at �}� _ e�L i RY bS 0 yT4 S I 9-Y,t\,3 rj do hereby give Costello Marine Contracting Corp. the authority to act as agent in my behalf in applying for all the necessary permits for-work to be completed at my above referenced property. Date Signature r APPLICANT/AGENT/REPRE,SE TAT'I'E TRANSACTIONAL DISCLOSURE FORM The Town of Southold_s Code of Ethics prohibits conflicts of.interest on the pari of sos+fin offic_ers and employees.Thea�ur�ose of this form i tonrovide lnfcrrinatlon which can alert the town of possible conflicts of interest and allow it to take whatever action is n=ssary to avoid same. YOUR NAME: Jane Costello for Costello Marine Contracting Co_ rp (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other persDa's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance _ Building Variance . Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (lf"Other'.name the activity.) Do you lxrsonally(or thro.tgh your company,spouse,sibling.parent.of child)have a relationship with i-aw officer or employee of the Town of Southold? "Relationship"i Oudes by blood,marria:ie,or brininess interest."tiusim,ss shires['ineatrs a husinc,-S, including it part acrship,in which the town officer or employee has even a paidil owr:ership of(or employincnt by)a corporation in which the:town office i pr employee owns moic.than 5%of the shapes. YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold-__ Title or position of that person______, Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)thrcugh D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the appliegnt (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted thi day o scnl'fYlber/ 20y jyo Sil;nt:lure Print N .1 �, f' aro S _ � 4?tGO r YU,t( Form TS 1 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 upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or"no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both sunnortine and non- sunporting 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# 81 - 3 - 26.1 PROJECT NAME DEVITO-PROPOSED DOCK 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: Construct a 4'x40'ramp to a 4'W S0'fixed dock with a 4'x30'lower platform at offshore end Install four 10"diameter mooring piling. Provide water and electric. Location of action: 750 PARADISE POINT ROAD,SOUTHOLD Site acreage: 5.275 ACRES Present land use: RESIDENTIAL Present zoning classification:R-40 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant:DANIEL & GINA DEVITO (b) Mailing address: 53 GLENDALE ROAD RYE,NY 10580 (c) Telephone number:Area Code( )914.263.3028 (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes © No❑ If yes,which state or federal agency?DEC.DOS, USA CE C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space,makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. ©Yes ❑ No ❑ Not Applicable This is a residential waterfront property that will benefit by the proposed dock structure. The property owner and family will be able to increase their ability to engage in water-dependent activities such as boating, water-skiing,fishing while safely securing their boat at this location. The proposal is consistent and reasonable for this area. Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III--Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No 91 Not Applicable j Our proposal will have no influence on the historic and archaeological resources of the Town of Southold. Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria 0 Yes ❑ No [:1 Not Applicable The proposed dock structure is designed to be consistent with the adjacent dock structure. The structure will not degrade visual quality. There is limited vegetation in the area of the proposed dock There will be no significant disturbance to the natural appearance of the area There will not be light sources on the dock that would interrupt the visual quality of the area. AUacn aaatmonsu WIMS ii UVWSSMY NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes F] No © Not Applicable The proposed dock structure is not considered a shoreline hardening structure and will not influence erosion or flooding of natural resources. Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria Yes F] No IONot Applicable The proposed dock structure will not produce point source or non point source pollution. There will be no potential sources ofgroundwater contamination or potable water in the Town. The construction of a dock structure will not influence any sediment contamination or introduce point source discharges that would adversely affect water quality. 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. l s F]Yes ❑✓ No ❑Not Applicable During the construction of the proposed dock,the underwater lands will be disturbed especially during the installation of the support piling. Once the piling are install the area will immediately recover. The dock will not produce any long-term negative affects on the coastal environment.All Best Management Practices will be adhered to so that construction debris will not enter the water. Construction will not be staged and materials will not be stored in environmentally sensitive areas. Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. F] Yes [:] No© Not Applicable Our proposal will not have any influence of the air quality in the Town of Southold Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No © Not Applicable Ourproposal will not have any influence on the environmental degradation in the Town ofSouthold from solid waste or hazardous substances and wastes. PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies;Pages 38 through 46 for evaluation criteria. © YWO No❑ Not Applicable The public will be able to continue to walk along the beach without any obstruction. The proposed dock will not extend further seaward than the neighboring dock It will be constructed with the existing dock line. Attach additional sheets ifnecessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III•—Policies; Pages 47 through 56 for evaluation criteria. © Yes ❑ No ❑ Not Applicable Theproposed dock structure will enhance the uplandproperty owners ability to engage in water-dependent activities such as water-skiing, boating, and fishing. The structure will provide a safe berth for the homeowner to keep his boat and provide direct access to these water-dependent activities. i Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑Yes ❑ No ❑ Not Applicable { The proposed structure will not contribute to loss of vegetative wetlands since there is limited vegetation at this location. The dock was design so that there is significant water depth at all tidal ranges to prevent any unnecessary disturbances to the benthic community. Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No® Not Applicable Our proposal will not have any influence on agricultural lands in the Town of Southold. ,Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No © Not Applicable Our proposal will not influence the use and development of energy and mineral resources. PREPARED BY Jane P• Costello TITLE Agent DATE /Ce Costello Marine Contracting Corp.