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Home My WebLink AboutTR-8929 Michael J. Domino,President �e\e®` s®U��® Town Hall Annex John M.Bredemeyer III,Vice-President � 54375 Route 25 P.O.Box 1179 Charles J. Sanders d ` '' Southold,New York 11971 Glenn GoldsmithG Q Telephone(631) 765-1892 A.Nicholas Krupski 'e Y Fax(631) 765-6641 lyc0um,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1390C Date: September 12, 2017 THIS CERTIFIES that the removal of existing deteriorated dock and construct a 4'x16' fixed dock; a 30"x14' ramp; and a 6'x20' floating dock supported by two(2) 8"diameter piles; dredge approximately 22 cubic yards'of clean sand from the area surrounding floating dock to a depth of 30" below mean low water; and that the dredged material to be trucked off to an approved upland location; At 1200 Old Harbor Road,New Suffolk Suffolk County Tax Map#1000-117-5-15 Conforms to the application for a Trustees Permit heretofore filed in this office Dated July 29, 2016 pursuant to which Trustees Wetland Permit#8929 Dated December 14, 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 removal of existing deteriorated dock and construct a 4'x16' fixed dock; a 30"xl4' ramp; and a 6'x20' floatingdock sported by two (2) 8"diameter piles; dredge approximately 22 cubic yards of clean sand from the area surrounding floating dock to a depth of 30" below mean low water; and that the dredged material to be trucked off to an approved upland location. The certificate is issued to WILLIAM &AIDA HARTUNG owners of the aforesaid property. Authorized Signature �pG SOUrg, Michael J. Domino, President �o� tel® Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J. Sanders v, � Southold, New York 11971 Glenn Goldsmith �O Telephone (631) 765-1892 A. Nicholas Krupski ��COUNTI Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 4/ Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction Y2 constructed V Project complete, compliance inspection. i INSPECTED BY: COMMENTS: ` ru � cJ P&I Qy Islue" CERTIFICATE OF COMPLIANCE: John M.Bredemeyer III, President �o��®� S�UjyOlO Town Hall Annex Michael J.Domino,Vice-President 54375 Route 25 Glenn Goldsmith JIF P.O.Box 1179Southold,New York 11971 A.Nicholas Krupski G ® @ Telephone(631) 765-1892 Charles J.SandersFax(631) 765-6641 O0 Nri 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/silt boom/silt curtain 1St day of construction % constructed Project complete, compliance inspection .......... 'Q BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK DECEMBER 14, 2016 PERMIT NO. 8929 DATE I ISSUED TO: WILLIAM & AIDA HARTUNG 1 PROPERTY ADDRESS: 1200 OLD HARBOR ROAD, NEW SUFFOLK SCTM# 1000-117-5-15 AUTHORIZATION ode of the Town of Southold and in Pursuant to the provisions of Chapter 275 of the Town C on December 14, 2016, accordance with the Resolution of the Board of Trustees adopted at the meeting held and in consideration of application fee in the sum of$250.00 paid by William &Aida Hartung 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 remove existing deteriorated dock and construct a 4'x16' fixed dock; a 30"x141 ramp; and a 6'x201 floating dock supported by two(2)8" diameter piles; dredge approximately 22 cubic yards of clean sand from the area surrounding floating dock to a depth of 30"below mean low water; and that the dredged material to be trucked off to an approved upland location; and as depicted on the site plan prepared by Jeffrey Patanjo,dated July 16, 2016, and stamped approved on December 14,2016. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seat to be affixed, and these presents to be subscribed by a majority of the said Board of this date. C40 !",,V`Tlm�-v TERMS AND CONDITIONS New The Permittee William&Aida Hartun residin at OOof Othe Permit doed Harbor understand and New Yorks as part of the consideration for the issuance 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 the said Permitteely or lw will, at his y as a lorohe own operation performed pursuant to'this perm third artiest and the said Permittee p expense,defend any and all such suits initiated by assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. is considered to be the estimated 2. That this Permit is valid for a period of 24 months,whichcircumstances warrant,request for time requiredextension mac beplet m de to he Board at a later date work involved,but e. an extension y 3. That this Permit should be retained indefinitely, or as I long as the said Permittee wishes vide evidence to anyone concernedhat maintain the structure or project involved,to pro authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval the Board or its li agents,and non-compliance with the provisions of the originating application maybe 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 ri t quir f the work herein authorized,or if, ihe oe pinion of thethe Board and/or alterations in Bod of Trustees, the location o the work shall cause unreasonable obstruction to free navigation, a ro'ectoherein stated Permittee houtwill be required,upon due notice,to remove or alter this project expenses to the Town of Southold. g. That the said Board will be notified by the Permittee of the completion of the work authorized. t may e required 9. That the Permittee will obtain all other p ernliand consents voke upaon fa ure to obtain same. supplemental to this permit,which may bsubject nvey to the 10. No right to trespass or interfere with riparian rights. This with the rmit ripariancrights of others permittee any right to trees spass upon the lands es interfere in order to perform the permitted work nor,does i ves ed in a persouthorize the n of atparty of to rights, title,or interest in real or personal property held o permit. s � 1 John M.Bredemeyer III,President ��0f S® y® Town Hall Annex Michael J.Domino,Vice-President �O l® 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Charles J.Sanders '� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 14, 2016 Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 RE: WILLIAM & AIDA HARTUNG 1200 OLD HARBOR ROAD, NEW SUFFOLK SCTM# 1000-117-5-15 Dear Mr. Patanjo: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, December 14, 2016 regarding the above matter: WHEREAS, Jeffrey Patanjo on behalf of WILLIAM & AIDA HARTUNG, 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 issued a.recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on December 14, 2016, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, 2 y WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of WILLIAM & AIDA HARTUNG to remove existing deteriorated dock and construct a 4'x16' fixed dock; a 30"x14' ramp; and a 6'x20' floating dock supported by two (2) 8" diameter piles; dredge approximately 22 cubic yards of clean sand from the area surrounding floating dock to a depth of 30" below mean low water; and that the dredged material to be trucked off to an approved upland location; and as depicted on the site plan prepared by Jeffrey Patanjo, dated July 16, 2016, and stamped approved on December 14, 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: $50.00 Very truly yours, John M. Bredemeyer III President, Board of Trustees JMB/dd P OLD 1-4 A P- S 0 P— Q.'d AI 0 S. 46 °!'$' 30 C. t i a I r G 5 c ,1 Q. g �-4 i - _ '�'r`fir. \\ u�i � /+✓/�i� .{, b , I JUL 2 9 2016 9 �f �' �.. _�� i-� ot°. 1m° � o ,�r�.. 4- Solr dd Town ' Board of Trustees \ f t ifs. i✓L` 1`t.U UNAUTHOkE IZD A ! 4'9ef J ! LTERATION OR ADDITION � i ,� TO THIS SUR IS A VIOLATION OF Y r•I, /� - y y-ti SECTION 7209 p c ` � � {' �I I rr j ��f �1 " �° r I ti '"t EDUCATION LAWF�HE NEW YORK STATE ...� � J-'., ��.-,- , L.1�, R c r` ,f�'�_, t �L.fa� �•,.,•, 4 �7.1.1f.Q'9''G0.i {+fi�.'�:.�b `�u '�''�•�� ::7 CC.i a Y; COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SU.VEVOR'S INKED,SEAL OR T-I Imo•' [ a•SL7, �9ta{SYR { >�r EMBOSSED SEAL SHALL NOT BE\CONSIDERED + TO BE A VALID TRUE CUPY. '• \ t')'"{Y Ve i�;&e6 V-)70.. I, f , GUARANTEES INDICATED F HCREON SHALL RUN VA T~UYL :c�N ONLY TO THi PEFSON_HIS WHOM THE 3u VEY 1 - - IS FCEPARLD, Ai:D OfJ HIS B,HALF TO iHE� I TITLE COMPANY, uOVERNMENTAL AGENC�I,1ND �lr•'• _ __ ' `�'R'^' + •, a ' V� '`' LENDING INSTiTUTION LISTED HLRLON, AND 'I ..._+� i3(,r l . `J• ! I TO THE ASSIGNECS OF THE LENDING INSTI• rt v�'C� -[a f 1C `LfY'V TUTION. GUARANTCES ARE NOT TRANSFERABLE `+ ! • :�� - TO ADDITIONAL INSTIIUTIONS OR SUBSEQUENT I ! pw r'e: NERS. ;. ,j -V T .y '• a M1 - •.r;ri>M1'• .j ,,;,. .�.; 5_ :361,0-7! , 5 .5•.^Pi` .;A- •IQ�.�•; l.� `l s I�� .S ..J,' 'i l�® ' {'.,, ,T. '1 - - _ - - it,.y,r;.,Y. ?' .t:.a, i' - rr",-`~�'t S° - '1•'.ti ata: � `°"�"F `:�' ��;.�_ a...rs-,w..•..a-r,�-».--.i^" - , _.,.. MS..iew..,i - ,."°zi'ar'1mdc'p'','!a^m',"'°a"r"t"..'.ir.,.•..�.+r.oy �.rcco•..dw�-"e'n'o1.'o+rw..=.,.�.+a�..-...+f.,nm,.a.r�=+..n._...rac,..-.-^^e'+i,+,..:,.....b,..>+v+..-a-:�-Z;:�n�..+.•^N?aat•+tiv......y. it f- 1� - �'�' ��- •��• - -�- ^�� i :�. .-''- •''`�'. .;=� _.S'�; ', _:. pfs':" rw:r�,+ Y"yrhy;r+r's.'�'","-,431`'�.�r,'�•,tri.w+raw.ac�Mfr�,a+wcKrri...m:+v� �.. L:»;:::.s+±%r:�,wrMa..s�aa er..�;�,,. - I - ;Y z OLD HARBOR �, NOTES: ROAD _ is WATER DEPTH REFERENCED TO MLW AS 1. LOT AREA: 15,155 S.F. / 0.348 ACRES MEASURED BY J. PATANJO 6/25/16 2. PORTIONS OF PLAN FROM SURVEY PREPARED BY: VAN TUYL & SON - GREENPORT, NY SURVEY LATEST DATED JANUARY 30, 1970 CO PROPERTY OWNER: I S64°53'30"E WILLIAM & AIDA HARTUNG ' c^&o — — 1200 OLD HARBOR ROAD — NEW SUFFOLK, NY 11956 f — — — _2.00' PREPARED BY: JEFFREY PATANJO W 106 HEWITT BOULEVARD CENTER MORICHES, NY 11934 631-484-9332 b p o ^I JPATANJO@OPTONLINE.NET ^ \ R`l PROJECT COORDINATES 40.9947 N 72.4726 W }moo I W APPROVED BY o BOARD OF -RUSTEES TOWN OF SOUTHOLQ 0� DATE rn � r�`�� PROPOSED 4' WIDE X 16' LONG FIXED PIER _ SliNc EXISTING TIMBER RETAINING WALL TO REMAIN g� NFAo f,00, g0 loq�Nc N62°f4'00 a\ Nc� — 000� X00 30;15' g 54'30„W 10 0 0'2. J U L 2 9 2016 v' ++++ PROPOSED 30” WIDE X 14' LONG RAMP C), + + + ,:+ '� REMOVE EXISTING DOCK AND PILES Fx/Snyc aSouthard Torn , �o+++++++ + I PROPOSED 6 X 20 FLOATING DOCK TED�� of Tr ee + + 0+++++ + + + o + + + + + +++ + + + + + + + + +`+ PNEW sed Dock Permit Plans SCALE: F.Y/Srz 1"=20' PROPOSED PLAN DATE: a� 7-16-16 200 OLD HARBOR ROAD UFFOLK, TOWN OF SOUTHOLD SUFFOLK COUNTY, NY SHEET: MAP N0. 1000-117-05-15 1 OF 2 , a Oak-lid PROPOSED 4' WIDE X 16' LONG FIXED PIER W/ UN-TREATED DECKING 1 10 —-- --Tuthill Rd-W6 PROPOSED "0 CCA POSTS (TYP.) 8 6 PROPOSED 0" WIDE X 14' LOG 9a. 6 00' HINDGED RAMP PROPOSED ' WIDE X 20' LONG FLOATING D)GK SUPPORTED W/ i 42— 8"0 CCA PILES -- --------- ----Oeorge EXISTING GRADE ---/' EXISTING TIMBER --- -- - --- --- ------------------------ ------------ i 2 RET. WALL Cl)I l ' Old Cove Yacht Clubt20`0 'ami 1 l ~•.`, .'` l\°'�M.L.W EL. 0 Ot New Suffolk Shipyard:Q `. , Old Harbor Rd 0 } 4 ---- --- ------------ ------------ + + "' - Fanning Rd i = AC UAL 9", ++++ ++�, ACTUAL 8" _4 - —orchard St- PROPOSED DREDGING TO DEPTH OF 30" BELOW M.L.W. AREA IS 13' X 40' WITH TOTAL QUANTITY OF 22 CY PROJECT LOCATION MAP DREDGE SPOIL TO BE REMOVED TO UPLAND LOCATION N.T.S. TYPICAL SECTION E 1 SCALE: V: 1"=2' E : JUL 2 9 2016 Southold Tom Board of Trustees PNEW ed Dock Permit Plass SCALE: AS NOTED YPICAL SECTION �C DATE: LOCATION MAP 7-16-16 200 OLD HARBOR ROAD UFFOLK, TOWNOF SOUTHOLD SUFFOLK COUNTY, NY SHEET: MAP 1U0. 1000-117-05-15 2 of 2 T � John M.Bredemeyer III,President �*tf SU(/jIyo Town Hall Annex Michael J.Domino,Vice-President �� l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski ® Q Telephone(631) 765-1892 Charles J.Sanders100UNTY, Fax(631) 765-6641 _�y �� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: Wt u,I.A-r'9n f PrWA- N-AArJWi— 0 TWRzq &RAIr0 Please be advised that your application dated 0 W ZR 117l(o has been reviewed by this Board at the regular meeting of VeMA,W lq',iFF 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) 1 ` '/2 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: TOTAL FEES DUE: $ 51� � BY: John M. Bredemeyer III, President Board of Trustees John M. Bredemeyer III, Presie 06f offol't Town Hall Annex Michael J Domino, Vice-Presibeni ��o �y� 54375 Route 25 Glenn Goldsmith o P.O. Box 1179 A Nicholas Krupski o Southold, NY 11971 Charles J. Sanders 't,J �ao� Telephone (631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES 11 r TOWN OF SOUTHOLD Date/Time: 13� hale I ly Completed in field by: Jeffrey Patanjo on behalf of WILLIAM & AIDA HARTUNG request a Wetland Permit to remove existing deteriorated dock and construct a 4'x16' fixed dock; a 30"x14' ramp; and a 6'x20' floating dock supported by two (2) 8" diameter piles; dredge approximately 22 cubic yards of clean sand from the area surrounding floating dock to a depth of 30" below mean low water; and that the dredged material to be trucked off to an approved upland location. Located: 1200 Old Harbor Road, New Suffolk. SCTM# 1000-117-5-15 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 t/ 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: - Sr Present were: J. Bredemeyer _zm. Domino G. Goldsmith ----N. Krupski C. Sanders Other Page 1 of 2 John M. Bredemeyer III, Presic �gOFFO(,�C l' i Town Hall Annex Michael J. Domino, Vice-Presiaenl roti �Gy� 54375 Route 25 Glenn Goldsmith o ` ' P.O. Box 1179 A. Nicholas Krupski o Southold, NY 11971 Charles J. Sanders 4. Telephone (631) 765-1892 Fax(631) 765-6641 zrrrl�r '" BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Jeffrey Patanjo on behalf of WILLIAM & AIDA HARTUNG request a Wetland Permit to remove existing deteriorated dock and construct a 4'x16' fixed dock; a 30"x14' ramp; and a 6'x20' floating dock supported by two (2) 8" diameter piles; dredge approximately 22 cubic yards of clean sand from the area surrounding floating dock to a depth of 30" below mean low water; and that the dredged material to be trucked off to an approved upland location. Located: 1200 Old Harbor Road, New Suffolk. SCTM# 1000-117-5-15 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 � ;, /.ice• ti,.,, i,j� �� • .• •.. •: � ,;�A w r. ',�. � . � `I tai ' r' " 12/ 6/2016 12 : 36 Nil` .;. 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Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 a Telephone: 631 765-1938 ® Fax: 631 765-3136 c®U LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: John Bredemeyer, President DEC - 9 2016 Town of Southold Board of Trustees Towe��tn - From: Mark Terry, LWRP Coordinator R�Snlhnirl't—lows Date: December 9, 2016 Re: LWRP Coastal Consistency Review for WILLIAM &AIDA HARTUNG SCTM# 1000-117-5-15 Jeffrey Patanjo on behalf of WILLIAM &AIDA HARTUNG request a Wetland Permit to remove existing deteriorated dock and construct a 4'x16' fixed dock; a 30"x14' ramp; and a 6'x20' floating dock supported by two (2) 8" diameter piles; dredge approximately 22 cubic yards of clean sand from the area surrounding floating dock to a depth of 30" below mean low water; and-that the dredged material to be trucked off to an approved upland location: Located: 1200 Old Harbor Road, New Suffolk. SCTM# 1000-117-5-15 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the action is CONSISTENT with the below listed Policy Standards and therefore is CONSISTENT with the LWRP. It is recommended turbidity controls are required during dock construction and dredging operations to further Policy 6. It is further recommended that the board verify the 1/3 rule. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its 'written determination regarding the consistency of the proposed action. Peter Young,Chairman Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 i 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., September 14, 2016 the following recommendation was made: Moved by Keith McCamy, seconded by John Stein, it was RESOLVED to SUPPORT the application of WILLIAM & AIDA HARTUNG for the removal of the existing deteriorated dock and replacement with new 4'X 16' fixed pier, 30" X 14' ramp and 6'X 20' floating dock supported with two 8" dia. piles. Dredge approx. 22 cy. of clean sand from area surrounding floating dock to a depth of 30" below MLW. Dredge material to be brought to an approved upland location. Located: 1200 Old Harbor Rd., New Suffolk. SCTM#117-5-15 Inspected by: Keith McCamy The CAC Supports the application with the Condition of an updated survey no more than one (1) year old, and compliant with the site plan. Vote of Council: Ayes: All Motion Carried 1 PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold,New York 11971 Tel: (631)765-4330 D (� d �1,� Fax: (631)765-4643 E 1 ED NOV 1 4 2016 Larry Tuthill Esq. By email Southold Town Board Trustees Dear Larry: The Hartungs are rebuilding their bulkhead and dock into the canal at School House Creek. The Hartung's title extends "to the ordinary high water line of a canal which is a tributary to School House Creek". The property was sold to William Hartung's father in 1970 by Harrington H. Tuthill. The existing dock and bulkhead shows on the attached DEC permit and Trustee's Permit. Since the dock may extend beyond the high water mark the Trustees have requested a consent from you on behalf of the Tuthill family. To make this process as simple as possible I have prepared a consent below for your signature. Please sign it and email it back. If you can send the original it would be greatly appreciated. CONSENT Larry Tuthill on behalf of the heirs of Larry Tuthill, I give consent for William Hartung and Aida Hartung, their successors and assigns, to construct their dock in the canal, a tributary to School House Creek, also known as Tax Map #1000-117-5-15 Larry Tuthil f- PATRICIA C. MOORE Attorney at Law 51020 Main Road AUG 3 1 2016 Southold,New York 11971 Tel: (631) 765-4330 Southold Town Fax: (631) 765-4643 Boadtf Trustees August 30, 2016 Southold Town Trustees Town of Southold Main Road Annex Southold NY 11971 RE: William F. Hartung and Aida Hartung Premises : 1200 Old Harbor Road, New Suffolk, NY 11956 SCTMi# : 1000-117-5-15 Dear President Bredemeyer and Board: I have attached an authorization for your file, Mr. Patanjo remains as agent on this application. Please be advised that the County of Suffolk Real Property made an error when they mapped the property descriptions. The title (deed) of the owners, William & Aida Hartung, runs to the Ordinary High Water Mark. When the County mapped the dimensions of my client' s property and 14 . 1, the description on the Tax Map was mapped incorrectly. Enclosed please find a copy of the original corrected "remapping" prepared on this date which is drawn in accordance with the recorded deed and survey of Mr. and Mrs. Hartung and the deed of the owners of 14.1. The proposed structures do not bisect land of 14 . 1, the proposed structure extends into the waters of Schoolhouse Creek. In addition, the deed specifically gives Hartung the right to construct and maintain a pier into the canal. (Attached Suffolk County Real Property correction) Consent from the Tuthills is not required. If you have any questions, please do not hesitate to contact me. Thank you. V'e,r;y i gal,;° yours, —P-at•l`i_ia C. ;k5cr.� DATE:AUGUST 30, 2016 gL TAX MAP NUMBER: 1000-0117.00-05,00-015 ZAPPED BY DEED AND SURVEY �uo C E I V E 12. 1 76® AUG 3 1 2016 o Southold Town 53 s 48 ,mss l(.Y ?' , 1 ;.k� b � �'-os ' co 30 80 6A(C) w 267 A ..� ate-w�."tn 100 `s► 724s 44 C) to cn 01 ccD � Feet 0 50 100 200 300 REMAPPED ACCORDING TO DEED 1000-117.00-05.00-015.000 WILLIAM &AIDA HARTUNG BY L 12786 PG. 927 MAPPER: J HARDEN CHECKER: DATE. AUGUST 30, 2016 on-ren ane cnnan William Hartung&Aida Hartung 1200 Old Harbor Road New Suffolk NY August 29,2016 flD _ FAUG 3 1 2016 Patricia C. Moore Southold Town 51020 Main Road f T Southold NY 11971 Dear Ms. Moore: We, William Hartung and Aida Hartung, as owners of property located 1200 Old l'lar .tr Road, New Suffolk,New York (sctm: 1000-117-5-15) hereby authorize you to act as our agent regarding any and all applications with the New York,State DEC, Town of Southold, SUITOlk County and any other agencies. m P f }x s._ 4 am HaTtupg� p X�.X-� Aida Hartung —` F,SD - John M.Bredemeyer III,President = ;" Town Hall Annex Michael J.Domino,Vice-President Q.' 64375 Main Road P.O.Box 1179 James F.King,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee co' - `� Telephone(631)765-1892 Charles J.Sanders,Trustee Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLDE E IV E .-" D Office Use Only _Coastal Erosion Permit Application JUL 2 9 2016 ✓Wetland Permit Application Administrative Permit = Southold TOW /Exte i n ,° ,,Received Application: 01�' b f Tr eceived Fe e:$ a �ompleted Application- I i PLO Incomplete _SEQRA Classi at Type I Type 11 Unlisted _ Coordination:(date sent) vAC WRP Consistency Assessme t Form1 1 Referral Sent: X? _ Date of Inspection: I _Receipt of CAC Report Lead Agency Determination: echnical Review: ZPublic Hearing Held: ) Resolution: Name of Applicant G i l l u m A I ak. ,r 4✓n R Mailing Address )a oV v 1& +4,of b v r get , /J{-o St. -Ffy L 1 L 9 56 Phone Number:( ) 631' y- 6 y? Suffolk County Tax Map Number: 1000 - 111- OS-IS' Property Location: I P oo vid- H a rbo 2 Aa, nJoL-.2 L/4. Ste (,0C.&-ri ®n /04l (provide LILCO Pole#, distance to cross streets,and location) AGENT: —q 'A-f'4 n I a (If applicable) Address: J Pb dewitt igl✓d- &,n-+'e,r N`o f tclkG s , ,J q tlg3q Phone iAa- L t =Ard of Trustees Application i GENERAL DATA Land Area(in square feet): / S* 1 S'r S F Area Zoning: t S Previous use of property: 12 e,S Intended use of property: IQ GS Covenants and Restrictions on property? Yes v No If"Yes",please provide a copy. / Will this project require a Building Permit as per Town Code? _ Yes �✓ No If"Yes",be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes No If"Yes",please provide copy of decision. h Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes V/ No Does the structure(s)on property have a valid Certificate of Occupancy? Yes No Prior permits/approvals for site improvements: Agency Date 7r,.6Tec5 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ve`00`No Yes If yes,provide explanation: Project Description(use attachments if necessary): S�� a,-t'+Ae he ce . 1200 ®Id Harbor Rd. — New Suffolk SUM No. 1000-117-05-15 PROJECT DESCRIPTION Project includes the removal of existing deteriorated dock and replacement with new 4' wide x 16' long fixed pier, 30" wide x 14' long ramp and 6' wide x 20' long floating dock supported with two 8" diameter piles. In addition, dredge approximately 22 CY of clean sand from area surrounding floating dock to a depth of 30" below MLW. Dredge material to be brought to an approved upland location. E"_ `A of Trustees Application _ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: St-r— a-e+*eh c tk Area of wetlands on lot: f� square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: /D" feet Closest distance between nearest proposed structure and upland edge of wetlands: /p ' feet F Does the project involve excavation or filling? . is No Yes If yes,how much material will be excavated? 9;1— cubic yards How much material will be filled? 4� cubic yards Depth of which material will be removed or deposited: -P6 feet Proposed slope throughout the area of operations: IP t Manner in which material will be removed or deposited: C 1,Am Shell bvGlLt'r Placer d,rce,+Jj j�1fO "I'e4h�'l�, Gr®S�Q 1p odl ct 4,4 JL r elnc,✓diQ o,04 -S11l 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): ?�tfe will be n® OU^47vc f 1 � ►Sh�i�if Environmental Assessment,1%orm Part Y -Project Informadon Instructions for Comuleting Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency; attach additional pages as necessary to supplement any item. Part 1-Project and Sponsor Information Name of Action or Project: 1Z01P RLQ.- HArbvr Project Location(describe,and attach a location map): Brief Description of Proposed Action: R`/»ovG Glr13t1d� er•co/-s+e k AAf� {}xaa2 A4, :Sp"< 6 `xad Flv�rtin9 doG/�. Pte X yc C(C�rt $,$A& Fiji tvl roeQ�nr Flow-ri ny dock- -fo P. docplk o 0� 30•` bel®Wr ,,�Ltt9 �n� �tPoba-t- a-1- �,PP/ow,Q top4rne2 GQccr��w. Name of Applicant or Sponsor: Telephone: 71171 W;11,4m 0, AaJo- � 4,r E-Mail: �Yf:I�AM�gCPS� kh�v. „ Address: laoo 014e 144th IL R� - City/PO: State: Zip Code: 5vfrPL1L �Y 1195-6 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO I 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: 11 Er T'vwa o¢ 5^44dt -rrvs4ets I uK 5 464 Air*47 4x a b 1✓%16 b DS 3.a. Total acreage of the site of the proposed action? 10- 319 acres b.Total acreage to be physically disturbed? P.G37 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 6. 3�g acres 4. Check all land uses that occur on,adioining and near the proposed action. ,�� ❑Urban ❑Rural(non-agriculture) ❑Industrial ❑Commercial LMResidential(suburban) ❑Forest ❑Agriculture El Aquatic El Other(specify): ❑Parkland Page 1 of 3 5. Is the proposed action, 1 1 NO YES I 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? ® C 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:Name:Peconic Bay and Environs, Reason:Protect public health,water,vegetation,&scenic beauty, ❑ gency: u o County, a e:7-12-813 W 8. a,Will the proposed action result in a substantial increase in traffic above present levels? NO I YES b.Are public transportation service(s)available at or near the site of the proposed action? 0 c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? R' 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: 0 El 11. Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: E El 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? 0 b.Is the proposed action located in an archeological sensitive area? ET 13. a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: ��Jl►�SC �P�� /SO SF �' El Rr- 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: [KrShoreline [I Forest ❑Agricultural/grasslands ❑Early mid-successional Wetland El Urban [Rfuburban 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? ® 21 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? NO ®YES b.Will storm water discharges be directed to established conveyance systemsrunoff and storm drains)? If Yes,briefly describe: LJ NO []YES Page 2 of 3 18.Does the proposed action include )struction or other activities that result in the in', :idment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: Z El I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicantlsponsoati�e: Date: '7. 14 .1 b Signature: PRINT FORM Page 3 of 3 18 Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g_retention pond,waste lagoon,dam)? If Yes,explain purpose and size: ❑ ❑ 19. Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: ❑ F-1 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: ❑ ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: 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 ❑ regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? ❑ 3. Will the proposed action impair the character or quality of the existing community? El ❑ 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 [P ❑ affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: ❑ a.public/private water supplies? b.public/private wastewater treatment utilities? ❑ 8. Will the proposed action impair the character or quality of important historic,archaeological, ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ waterbodies,groundwater,air quality,flora and fauna)? 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 1:1problems? 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. Also consider the potential for short-term, long-term and cumulative impacts. Veck this box if you have determined,based on the information and analysis above,and any supporting documentation, t the proposed action may result in one or more potentially large or significant adverse impacts and an vironmental impact statement is required. eck this box if you have determined,based on the information and 4'enanalsis above,and any supporting documentation, that the proposed action will not result in any significant adverse enviroaanI im acts. Town of Southold-Board of Trustees Name of Lead Agen y Date J u ' 04 President Print or Type N of Resp ible ficer in Lad Agency Title of Responsible Officer Signat f Respanill5re Officer in Led gency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 EAF Mapper Summary P---ort Sr,— �ay July 18, 201' 8x44 P� _ _ _ ' ' . ` Disclaimer: The EAF Mapper is a screening tool intended to assist 00T7900 project sponsors and reviewing agencies in preparing an environmental assessment form(EAF) Not all questions asked in the EAF are answered by the EAF Mapper.Additional information on any EAF question can be obtained by consulting the EAF Workbooks. Although 0 -to-date digital data available to 117 the EAF Mapper provides the most up DEC,you may also need to contact local or other date sources in order 700-5 6 .11 to obtain data not provided by the Mapper.Digital date is not a substitute for agency determinations. 1171DO'L5(DO-4900 LeT MIS a-1 r Japap,ME ltd vll� AN Part 1 /Question 7 [Critical Environmental Yes Area Part 1 /Question 7 Environmental Nome:PaconicBay and Environs, Remoon:Pndaotpublic health,water, Anao- |dentify] vegetation, &scenic beauty, Agenoy:8uffo|kCounty, Date:7-12-88 Part 1 /Clueotinn 12o [National Register of No Historic Places] Part 1 /Question 12b [Archeological Sites] Tae Part 1 /Question 13o [Wetlands orOther Yes- Digital mapping information onlocal and federal wetlands and Ragu|mtadVVabarbodien vvatarbodiao |oknown tobmincomplete. Refer toEAFWorkbook. Part 1 /Question 15 [Threatened or Yeo Endangered Animal] Part 1 /Question 1O [1O0Year Flood Plain] Yeo Part 1 /Question 20 [Remediation Site] No Short Environmental Assessment Form - EAFMapper Summary Report / Nevemb 2016 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 p E. E Q V E P.O. Box 1179 Southold, New York 11971 D EC - 8 2016 RE: 1200 OLD HARBOR RD.-NEW SUFFOLK,,NY SCTM No. 1000-117-05-15 Southold Town AFFIDAVITS Dear Trustees: Attached please find affidavits of mailing and posting for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 i PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: 70-14- 2120 0000 5437 8840 117 7 - s"- y9� 1 STATE OF NEW YORK COUNTY OF SUFFOLK residing at CM being duly sworn, deposes and says that on the QnD day of& jVCjT W1;20-1(P 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 cV1 ,!'- M oyi[w!/ ,that said Noti were mailed t ch of said persons by CERTIFIED MAEURETURN RECEIPT. Sworn to, ppefore me this Day of 1 Jmnm , Notary Public Loriann patan Mew York N�,ry.public State 0 C Qualified1pA61508C6 untY Omission EXgjres 007120 IB Rottal Service CEIRTIFIED o RECEIPT C3 : Domestic CD 111811F, I!" � Pos A ! �1 3�` 0934 Ln 14 Certified Fee '(-° i J` M Return Receipt Fee OA lark r-3 (Endorsement Required) til! Cl C3 ,RestActed Deiwery Fee 0 Q (Endorsement Required) !RJ �i7 fyN ril!1 6 rl Total Postage 8,Fees �P nj % Sent To a �'U`�'1 l l � Sheet&.Qpt No., � . � --PO Box No. ��` ��f ------- - = =-------------- E- ' City,State,ZIP+4 - - - - Oyl— - - PS.Form,P800,July 2014 �ee Reverse for Instruction - John M. Bredemeyer III, President �� oo�, Town Hall Annex Michael J. Domino, Vice-President 54375 54375 Route 25 Glenn Goldsmith y P.O. Box 1179 A. Nicholas Krupski � �� Y Southold, NY 11971 Charles J. Sanders ��1 �� 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 WILLIAM & AIDA HARTUNG COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE J residing at/dba I D(p Aew ,01 C,��o chis N� 0 ► �� being duly sworn, depose and say: That on theday of — , 201 to, I personally posted the property known as 12DD oil tw4y 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,December 14, 2016. Dated: /4e) Sworn to before me this day of, Dr'�_'201 LD Notary Public Lotiann Patanl10-- Notary Public State oMew York Qualified in Suffolk County No:01PA6150861 Commission Expires 08107/20j2 ,NUTILt: Uim 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: WILLIAM & AI DA HARTU NG SUBJECT OF PUBLIC HEARING : For a Wetland Permit to remove existing deteriorated dock and construct a 4'x16' fixed dock; a 30"x14' ramp; and a 6'x20' floating dock supported by two (2) 8" diameter piles; dredge approximately 22 cubic yards of clean sand from the area surrounding floating dock to a depth of 30" below mean low water; and that the dredged material to be trucked off to an approved upland location. Located: 1200 Old Harbor Road, New Suffolk. SCTM## 1000-117-5-15 TIME & DATE OF PUBLIC HEARING : Wednesday, December 14, 2016 — at or about 5 :OOP. 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 1 August 6, 2016 Town of Southold Trustees Town Hall Annex Building D 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 AUG 11 2016 r RE: 1200 OLD HARBOR RD.—NEW SUFFOLK Southold Tarn SCTM No. 1000-117-05-15 T ADDITIONAL INFORMATION Dear Trustees: Attached please find the signed authorization by Aida Hartung, she and William are the current property owners as show on the attached filed deed. We are currently awaiting a letter from the Tuthill representative regarding the approval of the project and will send to your office once received. In addition to the letter, it should be noted that page 3 of the attached deed includes language stating Mr. & Mrs. Hartung have right to construct and maintain a pier at this location. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332 or e-mail at jpatanio optonline:net. Very truly yours, ffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 IIIIiII IIII 11111 IIIII 11111 IIIII IIIII IIIII IIIII 1111 ILII i 111111 IIIII IIIII IIII IIII SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED WITH LIFE ESTATE Recorded: 08/29/2014 Number of Pages: 5 At: 10:16:29 AM Receipt Number : 14-0114301 TRANSFER TAX NUMBER: 14-02897 LIBER: D00012786 PAGE: 927 District: Section: Block: Lot: 1000 117.00 05.00 015.000 EXAMINED AND CHARGED AS FOLLOWS Deed Amount: $0.00 Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $25.00 NO Handling $20.00 NO COE $5.00 NO NYS SRCHG $15.00 NO EA-CTY $5.00 NO EA-STATE $125.00 NO TP-584 $5.00 NO Notation $0.00 NO Cert.Copies $6.25 NO RPT $60.00 NO Transfer tax $0.00 NO Comm.Pres $0.00 NO Fees Paid $266.25 TRANSFER TAX NUMBER: 14-02897 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL JUDITH A. PASCALE County Clerk, Suffolk County F1]F21 RECORDED 2014 Aug 25 10:16:29 AM JUDITH A. PASCPLE Number of pages CLERK OF SUFFOLK COUNTY L D00012786 This document will be public P 427 record.Please remove all DT# 14-02857 Social Security Numbers prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 1 FEES Page/Filing Fee �S Mortgage Amt. 1.Basic Tax Handling 20. 00 _ 2. Additional Tax TP-584 `J' Sub Total Notation SpecJAssit. or EA-5217(County) ✓_ Sub Total Spec./Add. EA-5217(State) TOT.MTG.TAX �1 Dual Town Dual County R.P.T.S.A. (on l-� -°L'� Held for Appointment Comm.of Ed. 5. 00 Transfer Tax ---- Affidavitp Mansion Tax ;vEThe property covered by this mortgage is Certified Copy `� or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other Grand Total If NO,see appropriate tax clause on \7 page It of this instrument. 4 14022911 1000 11700 0500 015000 t l�lsl 5 Community Preservation Fund RA 29-AUG-1 II�III�IIIIIIIIIiIIiII��IIIIII�IIIIIIII CPFTax Due Amosnt$ Tax R SpA A Ver — - ---- - - Improved F2-E Ls 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address �l1 RECORD&RETURN TO: Vacant Land W ``l l YTM ��L A TD Imo' aox I �'��lJl�1 TO � l ll//��'' / 6 ,Nq 1l" 5TD Mail to:Judith A.Pascale,Suffolk County Clerk 7 Title Company Information 310 Center Drive, Riverhead, NY 11901 Co Name www.suffolkcountyny.gov/clerk Title# s Suffolk County Recording & Endorsement Page }_ This page forms part of the attachedXf/U.�D)?S 'JC i�l F� iP� made by: p (SPECIFY TYPE OF INSTRUMENT) :70 n S- OWIn i7J tY&IAJQe The premises herein is situated in SUFFOLK COUNTY,NEWYORK I ,tel TO /' In the TOWN of SOu4 kclj I I I-rrm Pap_j frnti 6 p-j a-ki In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING over fJ� , a Standard N.Y B.T U.Form d—Undeim Aeknewledgment CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY "g.T., THIS INDENTURE,made the / day of Aift,2014 BETWEEN JOHN J.HARTUNG,as Executor under the Last Will and Testament of John F.Hartung,deceased, (Suffolk County Surrogate Court File No.2014-1550), residing at 625 Corwood Drive,Sarasota,Florida 34234,party of the first part;and WILLIAM F.HARTUNG and AIDA HARTUNG,residing at 470 Old Harbor Road,New Suffolk,New York 11956,party of the second part; and GERTRUDE HARTUNG, residing at 1200 Old Harbor Road, New Suffolk, New York, as to a life estate„pursuant to the terms=of the aforementioned Will WITNESSETH,that the party of the first part,in consideration of Ten and 00/100—($10.00)--Dollars,and to effect the distribution of the decedent's estate, and other good and valuable consideration paid by the party of the second part, does hereby grant and release unto the party of the second part, the heirs or successors and assigns of the party of the second part forever, All that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,situate, lying and being at New Suffolk,in the Town of Southold,County of Suffolk and State of New York, bounded and described as follows: SEE SCHEDULE"A”ATTACHED This transfer is made pursuant to the specific bequest�under Article THIRD A of the Last Will and Testament of John F.Hartung,and is made to the parties of the second part at the request of the specific devisee,William F.Hartung This transfer Is subject to the obligations of the party of the second part for William F Hartung's allocable share of taxes and expenses in the Estate of John F.Hartung,as such specific devisee BEING AND INTENDED TO BE the same premises as described in and as were conveyed to John F. Hartung by deed dated November 1, 1994,recorded November 2, 1994 in Liber 11700 page 825. TOGETHER with all right,title and interest,if any,of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof,TOGETHER with the appurtenances and all the estate and nghts of the party of the first part in and to said premises,TO HAVE AND TO HOLD the premises herein granted unto the party of the second part,the heirs or successors and assigns of the party of the second part forever AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been encumbered in any way whatever,except as aforesaid AND the party of the first part,in compliance with Section 13 of the Lien Law,covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose.The word"party" shall be construed as if it read"parties"when ever the sense of this Indenture so requires IN WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year first above written. IN PRESENCE OF: r fz.UTo1LL J HN J. RTIUNG,as xecutor f/deedexHartungt SCHEDULE"A" SCTM#1000-117.00-05.00-015.000 ALL that certain plot,piece or parcel of land,with the buildings and improvements erected,situate, lying and being at New Suffolk,Town of Southold, County of Suffolk and State of New York, being bounded and described as follows: BEGINNING at a point on the southeasterly side of a private road 15 feet in width,which point or place of beginning is distant the following two courses and distances from the point of intersection of the easterly corner of land now or formerly of Lundine with the southwesterly side of Old Harbor Road: (1) South 46 degrees 18 minutes 30 seconds East,along the southwesterly side of Old Harbor Road, 145.85 feet; (2) South 30 degrees 39 minutes 00 seconds West, along the southeasterly side of said private road, 91.35 feet to the point or place of beginning; THENCE South 64 degrees 53 minutes 30 seconds East,along land now or formerly of Tuthill, 172 feet,more or less,to the ordinary high water mark of Cutchogue Harbor; THENCE South 19 degrees 15 minutes West,along a tie line bearing only 77.90 feet to a point,said distance actually being measured along the high water mark of Cutchogue Harbor and through a jetty and terminating four feet, more or less, south of said jetty; THENCE North 79 degrees 54 minutes 30 seconds West, 80 feet; THENCE North 62 degrees 14 minutes West 30.15 feet to the southerly end of the private road first above described; THENCE South 62 degrees 30 minutes West,along the southerly end of said private road, 19 feet,more or less,to the ordinary high water line of a canal which is a tributary of School House Creek; THENCE northwesterly along the ordinary high water mark of said canal, 34 feet,more or less,to a point; THENCE North 62 degrees 30 minutes East across said private road, 19 feet, more or less, to the easterly side of said private road; THENCE North 27 degrees 30 minutes West,along the easterly side of said private road, 62.04 feet; THENCE North 30 degrees 39 minutes East,still along said private road,38.67 feet to the point or place of BEGINNING. EXCEPTING THEREFROM so much of said described premises as(southerly of the jetty) lie below the ordinary high water mark., TOGETHER WITH a right of way 15 feet in width running from Old Harbor Road to the northwesterly and westerly boundary of said premises;said right of way being described as follows: the southeasterly and easterly lies are described as follows: BEINNING at a point on the southerly line of Old Harbor Road distantl46 feet southeasterly along said southerly line from land of Lundine; RUNNING THENCE South 30 degrees 39 minutes West, 130.02 feet to a point; THENCE South 27 degrees 30 minutes East,about 96.04 feet to other land of the party of the first part,the northerly and westerly lines being 15 feet therefrom and as measured at right angles thereto. Said right of way is for access between said premises and Old Harbor Road,and for the installation and maintenance of public utility mains and lines and for the installation and maintenance of water mains and wells,provided,however,that although the party of the second part may place points for water in the right of way,the installation and maintenance thereof is to be without interference to the rights of the party of the first part, their heirs or assigns, and others to pass and repass over the right of way. TOGETHER with an easement for the installation of water mains and wells along a strip of land 10 feet in width extending from the northwesterly line of said right of way northwesterly along Old Harbor Road to said land of Lundine. TOGETHER with all right,title and interest of the party of the first part of,in and to land below the high water mark and under the waters of Cutchogue harbor, adjacent to said premises on the southeast. TOGETHER with a right of way and free access, in common with others,to the canal adjacent to the premises and from the ordinary high water mark constituting part of the westerly boundary of the premises southerly along said canal to the waters of Cutchogue Harbor. TOGETHER with the right to construct and maintain a pier 15 feet into the canal from the former ordinary high water mark constituting part of the westerly boundary. SUBJECT TO the obligation to pay a pro rata share with all other owners, grantees and a' l; lessees of the School House Property of the costs of maintaining at all times four feet at t low tide in the canals. Said pro rata share to be used on the canal frontage of the party;of the second part,which the said party of the second part hereby covenants and agrees to pay,at the fair market price per cubic yard for such work,all of which relates to the 30 foot channel and excludes the 15 feet adjacent to owners and lessess of the canal frontage reserved to owners and lessees. SUBJECT TO the right of Harrington H. Tuthill and others to pass and repass over said right of way from Old Harbor Road to other land of said Harrington H. Tuthill southerly of the premises. Forms/HartungDesc 15 TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE IN NEW YORK STATE State of New York,County of Suffolk ss: State of New York,County of ss: On the day of in the year On the day of ,In the year before me,the undersigned,personally appeared before me,the undersigned,personally appeared personally known to me or proved to me on the basis of personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s)is satisfactory evidence to be the individual(s)whose name(s)is (are)subscribed to the within instrument and acknowledged to (are)subscribed to the within Instrument and acknowledged to me that helshelthey executed the same in his/her/their me that he/she/hey executed the same in his/her/heir capacity(ies), and that by his/her/their signature(s) on the capacity(ies), and that by his/her/their signature(s) on the Instrument,the individual(s),or the person upon behalf of which instrument,the individual(s),or the person upon behalf of which the individual(s)acted,executed the instrument the individual(s)acted,executed the instrument, (signature and office of individual taking acknowledgment) (signature and office of individual taking acknowledgment) Notary Public TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State(or District of Columbia,Temtory,or Foreign Country)of":/Opt Countyof S h�fS a 7`�1— ss. Thyy On the 714- day of-duft,in the year 2014 before me,the undersigned,personally appeared JOHN J.HARTUNG personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s)whose name(s) is(are) subscribed to the within Instrument and acknowledged to me that helshelthey executed the same in his/her/their capacity(ies),and that by his/ierltheir signature(s)on the instrument,the individual(s),or the person upon behalf of which the individual(s)acted, executed the instrument,and that such individual made such appearance before the undersigned In the S�E�Sa-rfr in okldl+- (insert the City or oEWSECTION (and insert t e or Coin oth la the acknowledgment was taken) E ROVES •Statl of FW" (signature and office of individual taking acknowledgment) v�un 10,2018n 0 FF o81D20EXECUTORS DSECTION 117 BLOCK 5 LOT 15 Title No. COUNTY OR TOWN 1000 John J Hartung,as Executor of under the Last STREET ADDRESS 1200 Old Harbor Rd Will and Testament of John F.Hartung,deceased TO William F Hartung and Aida Hartung STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Distributed by COMMOIMMUH LAND TITLE INSURANCE COMPANY w U LL LL O O 2 O K O u w LL O W N 7 K O LL W U Q a a _w x w W N W (C ` INSTRUCTIONS(RP-5217-POF-INS).WWW ores-Yate rty US FOR COUNTY USE ONLY p New York State Department of C1.seeds teas N/ 3' 9 rJ,C� Taxation and Finance C2-Date Deed Recorded "( Ofnce of Real Propery Tax Sery ces RP-5217-PDF Cfl.Book Ly , C4.Page ( r / I I I Real Property Transfer Report(611`10) PROPERTYINFORMATION 1.Property1200 Old Harbor Road I.aeseon -iIREET� -amET news Southold New Suffolk 11956 etre m-awe vaawlE •apcox l Buyer Hartung William F Pismo -LWMUMza_Anv releikVA Hartung Aida Hartung, Gertrude rAam n..e:,eor..M. Em-rrvum , 2'7e. 1ed,.W v,here forum Torr Ikga ere te be-Sm Blmng it other than buyer eddreae(at bonen of form) -.a`n W_ M•v Ener veers Address etaei•IAmrBF➢NONWC (2rcdeTtrl-t STATE IDPCME A Indicate On number ofArsesamsrdPed d a Poral j�B Part of a Pared)Check Its they apply: Rea percaletrutal-led en the dead�M dPanda OR E] .A.Planning floored wn'th SubdWW AUNcely Ensts ❑ B-Desd X OR 0.00 4rd-5ubd inion Appmvdtrue Regdmdfw Tmrmfse ❑ property •rRCMIETLr •wire •tins Sim sC.Parcel Approved Per Subdidslon wkh Map Provided ❑ John J. Hartung, Executor of the Estate of John F. Hartun e.Saa■r -w:wrEnou,o.. raeT.vw: Name Ver nr.eGerrrm .P11 rw •y.Select w description which meet accurately doseA»e the L Do the bonen edawas UTry appy: u PUTS property at the Ures of got: 9.ii New ConsIrshp Type n Condonimum ❑ 1 �ny►il I�' �/� A Pro ComWCnnan a wift anntLwd ❑ 1aA.Properlylorseawialmahagdad:atelChide! ❑ 10B.Buyer recohmd■dWeswe nares indeating um ins propery is m an i--I AWlwkun9 Disse, SALE INFORMATION1 ig ehotkommoronefttnsoeondWtl napplicabletotmnsfa- A.Sate Beamen Rtlathas or Former Reldrve- 11.SW Contrast Data B.Safe between Raided Componles or Partners in Busiaen. C.One of an Buyers is deo a Seser D.Buyer w Sauer is Gavemmed Agency or Lent ee institution •1L Date of Selerhanstar o— % E Desd Type not Wammy e,Bargain and Sato(Speedy Bebe) F Side of Frictional or Less than Fee Interest(SPeory Below) •tfl.Full Sate Price O .00 O.Slgmerad Ceange in PMP"Beheeen Tenble Status and Side Dates SoBusiness Is tadudW n Said Price (Fu2 Sale Prks le me toter entmad ped fordo property btdudng Perrone PmePCey. I b d Other Unusual Faders ATed ng Sale Price(Speedy Be7.) This payment may be m We form of task other Prop"or goods,or am ass mpbon of 1 None mortgages or oSxr cffgaborn)Please round to gm nonwl vhrde dolor amduk. Co�mmem(y1oa Candidate tlIncValue of presale property Included In the sal •00 i, l lndasEinbl>�yON S G IR (}�ci�Dl'10(IlN�1� + ASSESSMENT INFORMATION-Dole should reflect the latest Final Assessment Roll and Tali BIT 1e.Year 1st Assessment Rdl from which Informetkn taken" 10/11 -f 7.Tonal u'esssd undue 6,200 -I&Prop"Class 210 _ Ye.Schad oletrict Neme n1gSO Mu -20 Tam Map ld-nenerls)IRoil Idaelfar(s)pfmore than tow-attach shestwddt addidonai idemfe-r(a)) 1 t L! r/ 1000-117.00-05.00-0115.000 CERTIFICATION I GNfy that all of the Items of Information end-rad an rola game aro true and carroet(tor the best of my knoMadg-end baaa0 and 1 understand that the maktng at any vA1ad false statement of mat-ad feet hembi subject me to theytgyta)ge_aW.pigJllasllw MSW a to the making sM Bung of raise lnstwnmda. SPLLEo AIPNATtRE BUYER CONTACT INFORMATION ([U:v Iumeim Nrtl Darer Nair tibteerie I1C,.mrr.erobehW,=•Peru+• .tact-0my.soden Es at o John F. Hartung erdyemhnotrup.dalRnaaeOoary,eon■ere-admeedM1mRM almndNeurO-.;enb.. By: (Ai EKEUrIO2 07 07 20i� °rr•moonwnraua.vuesnohvvrov.nmrRmra.mewlywe.pdroar.M1 . N rtu ,EExecutor o"e Hartung William F. -AEr.AuE MTNWE am n$ "Wi ' •air.122Y •TF1Er.Jrila:Yt91�seen-t 1 ' tun ' 470 Old Harbor Road IfM •Moil1.aEA 'SMSTrrrn: AA.A.1_2 ( i S New Suffolk NY 11956 •em.m raw •alA1E •tP CObF � aUVER'S ATTORNEY Moore Patricia ( err sura rror rtes, ' 1 r .pE-cam TF1FY�rEMtreDrrtreea,rq A", A ZQ73-�-� 4 AE WoRlAhWTE f 2� E A L-T-f .,,,:'REGISTER NUMBER CERTW.Ibik -COF DEATH .332 STATE'Fll-t NUMBER 1.NAME'FIRST LAST X OF DEATH. �-IJAY, YEAR .I............ 0 III' III, OF DEATH. HOSFJTAJ. HOSPrr1r �IHOSPIWQRSING PRIV*E:��` tg,811 B-4- M E1 V. RIB a HO %111$181161 DOAI-911 �OUTPA RESIDER FAWN EAU ITT 0 0, d" 0, 41;NAME(IFFAC111W 111-1 bu7ait,itn intfni—d I 4D.L0CACITY.(Checkoneandspecrtyl 4E COUNTY OF.DEATH:.'I r.ITy.-.VHj Arc C 0 4GWA' 4MEDIC.,..—viny ri I" I AG'WA EDENrTflANTRERRED FROM AWTHPR INSTitutiurvi P AAT�f 9FRT—K- "613jF UNDER,IYEAR�I•6C.lEJ.1111BER tDAY 3A,CIWAND TATE OF 31 of, F �Aii 14DERIYEAR,'NAMEO - AIM 04Y fa I, AV "MA -IV , IR ii� NEU WA 1,w'A 8� - - -7jNILf -s AgqlL�ECAq:RggII1 . SPU 1�Anftl, EDWIRD lK NAME 15A.USUAI:OCCUPATION:-(DOPOtOntortelfted),-- AND LOCALIT'(0 E COMPANY-OR FIBRE' lkiAi IA -IT"O", Ito ITHIN C&WOR VIL u. flat EJYES 0 IFNO,SPECIFY TOWN: a C Sk CITY VILLAGE TOWN, LAGELIMITiT?,, 0 - vv 'I 71P COQi SF ' nI&� f OUW HE PARENT4 zti21! XwIbun,—J�P0N,R��Zn ly ------------- 4;� 5 AA N 1 Fl�, '995,S U WNH-MMILM,14, 72PREG,T ww,�m 4 W", 11 hl — MIT ISSUEYBY:- �48 DA�EISSUED,, 24A BURIALORREMOVAI P 7- curred the and due to the causes stated. 25A.,'CERTIFICATION:To the best of my knowledile.Eleatb oc and place an I% Wine: Montloft D PAKER7 it' of ANW-WaArd Physic Ph Ph of 256.If orininerle not a phisiplan,enter Coroner's Physida.Ws name E title: Lkin$6 Na 7- MOM 4n- 5- "eriter MOM". --neceased IV satin alive, 4��* Day. Year Ti, 1y attinflivig physician:, 9A.ADID F DEkTq�� -PSY? sa� 11' 1EATH? P 5 pq WAS CA g- I$�OEET'�vguiuff IETING CAUSE 00,@- i!WDENTIAL Cl� SE TRUCTION ili,&ATHI WAS CAUSED BY.(EWER ONLY ONE CAUSE PER LIN I E FOR A),(BLANO(Q.) 9MVEEN ONSET AND DEATH PART I.1 DIATEGAI)F- wz DUE TO OR AS A CONSEGUENCE 01`; me- W-1 00THER SIGNIFICANT CORQInON XONTpQNG'TO'��",I�Ii�1DIDToWcr)tmF-r EATJi?: SO AM- '90TH BUT SE NVII 4 &M'AFY;DATE �U ie OCALITYI. .C yof d fit"d Q'Cl RM OXIEn �� In j . . . .. . EDO 6 31F.IFTRANSPORTATION INJURY,SPECIFY,, 32 WAS DECEDENT 33A.IF FEMA.E 336.DATE OF DELIVERY;' ;HOS ITALIZED • MONTH DAY. YEAR tigir IN NO YES DO not knOrn within inItym 0 =Cpus� r-1t AST 2 MONTHS? Board of Trustees Application AFFIDAVIT ��• r7 x�'' v�'► BEING DULY SWORN DEPOSES AND AFFIRMS ThAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT' ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES, INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of P ner SWORN TO BEFORE ME THIS DAY OF ,20 I(0- Notary Public L"oriann Pa�York Notary•PubNc t Qualified in, QOu r No:01P150861 Commission FxpineS 08/07t2d� Ca,.. •.. ,� Wit, . �_ , B,-_ _-`d of Trustees Application J County of Suffolk State of New York J*41 144 BEING DULY SWORN DEPOSES AND AFFIRMS THA HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. - Signature ofPTojertyOwlief SWORN TO BEFORE ME THIS ! C? DAY OF LJ ,20/ (C Notary Public Lori�nn Paten o NtjPuin55 tg ik Coun yob :01Pg0150861 Co1nn11Ss10n Expin3s OS107120 f Bc-,_- _4 of Trustees Application AUTHORIZATION (where the applicant is not the owner) I, �� ll��.,, �r�'�n residingat (print owner of property) (mailing address) W 5✓goU1,ij 11 RS-6 do hereby authorize (Agent) Parma o to apply for permit(s)from the Southold Board of Town Trustees on my behalf. (Owner's signature) , 4 1 I � II APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM I� The Town of Southold's Code ofEthics prohibits conflicts of-interest o nteresn the part of towno fficers and,emplovees.The Ru - I -of I this form is to provide information which can:alert the town of possible conflicts of mtarest and allow it to takeateyer action is 11 necessary to avoid same. YOUR NAME: A t ✓f1 (Last name,first riffiefipiddle initial,unless you are applying in tha name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) l=- Do you personally(or through your company,spouse,sibling,parent,or child).have a,relationship with any officer or employee 4 of the Town of Southold? "Relationship"includes by blood,marriage,or business interest.'tBusiness interest"-means a business, including a partnership,in which the town officer or employee has even a partial ownGrship of(or'employtnent by)a corporation in which the town officer or employee owns more than 5%of the shares. I I f YES NO • F If you answered"YES",complete the balance of this form and date and sign where indicated. - l Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): f A)the owner of greater than 5%of the shares of the corporate stock of the applicwt (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this�1 gday of 200 Signature �'�� - y Print Name Form TS 1 a°gu' Ir Town of Southold - Erosion, outhold Erosio_ n, Sedimentation A Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: s.C.T.M,11: THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A 01 loop //7 OS a, STORM-WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN s r c e3 ciion rack— T t CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? (Include Total Area of all Parcels located within � Will this Protect Retain All Storm-Water Run-Off the Scope of Work for Proposed Construction) �5+�'3� es) Generated by i Two{all Inch Rainfall on Site? / (S.F./Acres) (This item will include all run-off created by site ' ✓ b• What is the Total Area of Land Clearing - clearing and/or construction activities as well as all E] and/or Ground Disturbance for the proposed /lop v.-001--7 Site Improvements and the permanent creation of construction activity? —(s.r.FAcres) impervious surfaces.) PROVIDE BRIEF PROJECT DESCRIPTION (Provide AddltianelPagesasNeeded) Z Does the Site Plan and/or Survey Show All Proposed eSWctures Indicating Size&Location?This Item shall include all Proposed Grade Changes and See G6-t-'t't G k¢ci Slopes Controlling Surface Water Flow. El 3 Does the Site Plan and/or Survey describe the erosion and sediment control practices that will be used to control site erosion and storm water discharges. This item must be maintained throughout the Entire Construction Period. 4 Will this Project Require any Land Filling,Grading or Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards F] of Material within any Parcel? 55 Will this Application Require Land Disturbing Activities r Encompassing an Area in Excess of Five Thousand %/ I` (5,000 S.F.)Square Feet of Ground Surface? 6 Is there a Natural Water Course Running through the Site? Is this Project within the Trustees jurisdiction General DEC SWPPP Recuitelhents: or within One Hundred(100')feet of a Wetland or Submission of a SWPPP is required for all Construction activities involving soil Beach? disturbances of one(1)or more acres; including disturbances of less than one acre that i 1 7 WiII there be Site preparation on Existing Grade Slopes are part of a larger common plan that will ultimately disturb one or more acres or land; which Exceed Fifteen(15)feet of Vertical Rise to ❑ �/ Including Construction activities Involving soil disturbances of less then one(1)acre where One Hundred(100')of Horizontal Distance? the DEC has determined that a SPDES penult is required for storm water discharges. (SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways,Parking Areas or other Impervious _ for Storm Water Discharges from Construction activity-Penult No.GP-0.10-001.) Surfaces be Sloped to Direct Storm-Water Run-Off 1.The SWPPP shall be prepared prior to the submittal of the N01.The NOI shell be Into and/or In the direction of a Town right-of-way? submitted to the Department prior to the commencement of construction activity. / 2.The SWPPP shall describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material, ✓/ required,post-construction storm water management practices that will be used and/or Removal of Vegetation and/or the Construction of any constructed to reduce the pollutants In storm water discharges and to assure Item Within the Town Right-of-Way or Road Shoulder compliance with the terms and conditions of this permit.In addition,the SWPPP shall Areal lints Item weir dor Include the installation of Driveway aprons.) Identify potential sources of pollution which may reasonably be expected to effect the quality of storm water discharges. NOTE: If Any Answer to questions one through Nine Is Answered with a Check Mark 3.All SWPPPs that require the post-conslructlon storm water management practice In a Dox and the construcdon site disturbance Is between 5,000 S.F.&1 Acre In area, component shall be prepared by a qualified Design Professional Licensed in New York a storm-Water,Grading,Drainage&Erosion Control Plan Is Required by the Town of that Is knowledgeable In the principles and practices of Storm Water Management. Southold and Must be Submitted for Review Prior to Issuance of Any Building Permit. (NOTE: A Check Mark(4)and/or Answer for each Question is Required for a Complete Application) STATE OF NEW YORK, COUNTY OF...........................................SS VIbeing duly sworn,deposes and says that he/she is the applicant for Permit, ............... ............... .. ....................... (Name of individual signing❑ inert) And that he/she is the ............................................... "t CR E...................... (Owner,Contractor,Agent,Corporate OPocer,etc.) Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to i make and file this application;that all statements contained in this application are true to the best of his knowledge and belief;and that the work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; 10, ................................. day of. I. ................ ,201 NotaryPublic: ....... ...... ...................` ................... ,4,.,,r. , (Sig lure of4� �ppl FORM - 06/'10 Lodann Patanio Notary,PubW Ste oflMOw'Yosi� WNW in S county No:01P40150801 Commission Expili es 081=4. �r' � r 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. J 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 Townl. 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&Ulained in--detail. listing both sapnoi-ing,and_nbn- suaporting 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 I website(southoldtown.northfork.net), the Board of Trustees Office,the Planning Department, all r, local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 1 i - O S /•� PROJECT NAME i o0 q - 1a�rbaR. (�� • PfGSL The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees LJ 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g.capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: 1200 Old Harbor Fid. — New Suffolk SCTM No. 1000-117-05-15 PROJECT DESCRIPTION Project includes the removal of existing deteriorated dock and replacement with new 4' wide x 16' long fixed pier, 30" wide x 14' long ramp and 6' wide x 20' long floating dock supported with two 8" diameter piles. In addition, dredge approximately 22 CY of clean sand from area surrounding floating dock to a depth of 30" below MLW. Dredge material to be brought to an approved upland location. Location of action:Site acreage: B Present land use: We 5 id4n+1 w C Present zoning classification: 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: Lam• I I J 4,on A 1 mea- 4 b r D n p (b) Mailing address: 12-y o D 1 144 r 19A - /�Je,,� Sw 1G, .IJ 4 t l q56 (c) Telephone number:Area Code J - -73 q v G 171 (d) Application number,if any: N •4 Will the action be directly undertaken,require funding,or approval by a state or federal agency? __II � Yes RrNo❑ If yes,which state or federal agency? N 4 SD6GLA(M'.J Nti0c,S 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. RrYes ❑ No ❑ Not Applicable Pr. c ar �-leeS e f F i cirnr t9.%.-- &sTi n wWt er frsan?" ra ar-t1i0(Q FYI wA C� Con'1�►+v n� (°i�!t.-(�eG�'�dt,. MC �� v c G�f(� Nl� (k.GIC� GeOG1L�A`1 'FKCI��'�'I6f 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 11 Yes ❑ No El Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria Z Yes ❑ No ❑ Not Applicable . 4b all mode ts, rn Ac- Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of.Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No u Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages,22 through 32 for evaluation criteria. ❑ ❑ Yes No Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No tot 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. r! Yes El No l Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. �Ye❑ No❑ Not Applicable Prot-e&+ Provie e S mGec.+yGt..S 4,-rex 4P wrveers 4,u v/— Proyid sos el en. N!-V C-k fG S-t'ry r t,eA Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies;Pages 47 through 56 for evaluation criteria. Q Yes ❑ No ❑ Not Applicable Pr►,te-4 {{r ot,904*" v,%-r iFw L ✓)Ic S 91--elk at Fas��nu 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 2 Not Applicable E 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. ❑ ev Yes ❑ No E Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section M,Policies;Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No I-1 Not Applicable PREPARED BY TITLE A j t-i'T DATE- 7- / 7' u July 19, 2016 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 JUL 2 9 2016 RE: 1200 OLD HARBOR RD.—NEW SUFFOLK SCTM No. 1000-117-05-16 urd gflT TrusTowtees APPLICATION FOR PERMIT Dear Trustees: We hereby submit one (1) original and three (3) copies of the proposed plans, application, check, photographs and required data for permit approval for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332 or e-mail at ipatanjoptonline.net. Very truly yours, Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 Cc: Hartung Flle