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HomeMy WebLinkAboutTR-8950 _ rf John M.Bredemeyer III,President ��o� ®�ly� 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 G ® Telephone(631) 765-1892 Charles J.Sanders 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 4A Pre-construction, hay bale line/silt boom/silt curtain qA 1St day of construction /N�rJ '/2 constructed ` �� Project complete, compliance inspection �pF SOUP Michael J.Domino,President �O� y®�O Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J.Sanders Southold,New York 11971 Glenn Goldsmith ® y@ Telephone(631) 765-1892 A.Nicholas Krupski l�'COU Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD COASTAL EROSION MANAGEMENT PERMIT COASTAL EROSION PERMIT#8950C Applicant/Agent: L. K. McLean Associates Permittee: Mattituck Park District SCTM#: 1000-99-2-19.1 Project Location: 5155 Breakwater Road, Breakwater Beach, Mattituck Town Board Granted Appeal Approval: March 28, 2017 Date of Expiration: March 28, 2019 Reviewed by: Southold Town Board and Board of Trustees DESCRIPTION OF ACTIVITY: To install a 25' wide by 40' long steel shade shelter supported by six (6) foundation columns over a proposed 4" (25'x40') concrete slab; and to install an approximately 12'x24' timber deck fastened onto the existing concrete slab that is attached to the existing lifeguard building; and as depicted on the site plan prepared by L. K. McLean Associates, P.C., last dated November 17, 2016, and stamped approved on January 18, 2017. INSPECTIONS: Final Inspection SPECIAL CONDITIONS: (apply if marked) In accordance with Chapter 111-15 Erosion Protection Structures: N/A A maintenance agreement is attached hereto and is a necessary special condition of this permit. BY: -&,� f 1,a�-. Michael J. Doreino, President Board of Trustees RESOLUTION 2017-313 ADOPTED DOC ID: 12922 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO.2017-313 WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTHOLD TOWN BOARD ON MARCH 28,2017: WHEREAS,the Board of Trustees denied the application of The Mattituck Park District(the "Applicant") for a permit to construct a 25' by 40' steel shade shelter supported by 6 foundation columns over a proposed 4" concrete slab on the property located at 5155 Breakwater Rd., Mattituck,NY along the shore of Mattituck Creek and the Long Island Sound. The property consists of a Mattituck Park District Park and identified on the Suffolk County Tax Map as Parcel No 1000-99-2-19.1, under the Coastal Erosion Hazard Areas Law (the"Law") of the Town of Southold pursuant to Section 111-11(c); and WHEREAS, on February 10, 2017,the Applicant submitted an application to the Town Board of the Town of Southold seeking to appeal the determination of the Board of Trustees, or in the alternative, seeking a variance from the requirements of the Law; and WHEREAS, on March 28, 2017,the Town Board conducted a duly noticed public hearing on the instant appeal with an opportunity for all interested parties to be heard and testimony was taken of the Applicant's consultant; and WHEREAS;the application has been reviewed pursuant to Chapter 268, Waterfront Consistency Review of the Town Code and the Local Waterfront Revitalization Program; now, therefore, be it RESOLVED that the Town Board of the Town of Southold does hereby adopt the Findings and Determination dated March 28,2017, granting the Application of The Mattituck Park District for a variance pursuant to §111-20 of the Coastal Erosion Hazard Area Code; and be it further RESOLVED that the Town Board of the Town of Southold hereby finds that the proposed action is classified as a Type II Action and is not subject to review pursuant to SEQRA Rules and Regulations for this action; and be it further RESOLVED that the Town Board had determined that this action is consistent with Chapter 268, Local Waterfront Revitalization Program; and be it further RESOLVED that this Determination shall not affect or deprive any other agency of its properly asserted jurisdiction, separate and apart from the proceedings under the Coastal Erosion Hazard Areas Law considered herein. Elizabeth A. Neville Resolution 2017-313 Board Meeting of March 28, 2017 Southold Town Clerk RESULT: ADOPTED [5 TO 01 MOVER: Robert Ghosio, Councilman SECONDER:Louisa P. Evans, Justice AYES: Dinizio Jr, Doherty, Ghosio, Evans, Russell ABSTAIN: William P.Ruland Updated: 3/28/2017 3:25 PM by Lynda Rudder Page 2 Cantrell, Elizabeth From: Neville, Elizabeth Sent: Tuesday, March 28, 2017 7:36 PM To: 'mattparkdist@optonline.net; 'cdwyer@lkma.com' Cc: Bredemeyer,John; Cantrell, Elizabeth; DiSalvo, Diane; Domino, Michael; Goldsmith, Glenn; Krupski, Nick; Sanders, Charles J. Subject: Printout-12922-1034-M43890 Importance: High Printout-12922-... Please be advised that the Coastal Erosion Appeal of Mattituck Park District was approved by the Southold Town Board at their regular meeting held on March 28, 2017. A copy of this resolution is attached. Elizabeth A.Neville,MMC Southold Town Clerk&FOIL Officer PO Box 1179 Southold,NY 11971 Tel.631765-1800,Ext.228 Fax 631765-6145 Cell 631466-6064 1 Cantrell, Elizabeth From: Neville, Elizabeth Sent: Friday, March 03, 2017 2:32 PM To: legals (legals@timesreview.com); Doherty,Jill; Doroski, Bonnie; Duffy, Bill; Ghosio, Bob; Hagan, Damon;Jim Dinizio; Standish, Lauren; Louisa Evans; Neville, Elizabeth; Noncarrow, Denis; Rudder, Lynda; Russell, Scott;Silleck, Mary,Tomaszewski, Michelle; William Ru land; 'mattparkdist@optonline.net'; cdwyer@lkma.com; Reisenberg, Lloyd; Tomaszewski,Zachary Cc: Bredemeyer,John; Cantrell, Elizabeth; DiSalvo, Diane; Domino, Michael; Goldsmith, Glenn; Krupski, Nick; Sanders, Charles J. Subject: Emailing: CEA Matt Park Dist Attachments: CEA Matt Park Dist.doc Attached please find Legal Notice of Public Hearing on the Coastal Erosion Appeal of Mattituck Park District to be published in the Suffolk Times Newspaper on Thursday, March 9, 2017 and on the Town Website. Thank you. Elizabeth A. Neville, MMC Southold Town Clerk&FOIL Officer PO Box 1179 Southold, NY 11971 Tel. 631765-1800, Ext. 228 Fax 631765-6145 Cell 631466-6064 Your message is ready to be sent with the following file or link attachments: CEA Matt Park Dist Note:To protect against computer viruses, e-mail programs may prevent sending or receiving certain types of file attachments. Check your e-mail security settings to determine how attachments are handled. 1 LEGAL NOTICE NOTICE OF PUBLIC HEARING NOTICE IS HEREBY GIVEN that the Town Board of the Town of Southold hereby sets Tuesday, March 28, 2017 at 9:00 AM. at the Southold Town Meeting Hall, 53095 Main Road,Southold, New York as the time and place for a public hearing upon the Coastal Erosion Hazard Board of Review Appeal of the Mattituck Park District,which seeks relief from Section 111-4 and 111-6.3 of the Town Code to re- construct an existing dock in-kind within a nearshore area in a Coastal Erosion Hazard Area located on property on parcel SCTM#1000-99-2-19.1, Mattituck Breakwater Shade Shelter, 5155 Breakwater Road, Mattituck, New York 11952, and directs the Town Clerk to publish notice in such appeal in the Suffolk Times Newspaper not less than ten (10) days nor more than thirty(30) days prior to such hearing and to notify the applicant by first class mail. Dated: March 2, 2017 BY ORDER OF THE TOWN BOARD OF THE TOWN OF SOUTHOLD Elizabeth A. Neville Southold Town Clerk Please publish on March 9,2017 and forward one affidavit of publication to Elizabeth A. Neville,Town Clerk,Southold Town Hall, P.O. Box 1179, Southold, NY 11971. Copies to: The Suffolk Times Town Board Town Attorney Trustees Town Clerk Bulletin Board Town Website Mattituck Park District Christopher Dwyer, L.K. McLean Associates, P.C. I RESOLUTION 2017-223 (re } °' ADOPTED DOC ID: 12829 THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 2017-223 WAS ADOPTED AT THE REGULAR MEETING OF THE S_OUTHOLD TOWN BOARD ON FEBRUARY 28, 2017: RESOLVED the Town Board of the Town of Southold hereby sets Tuesday, March 28, 2017 at 9:00 AM. at the Southold Town Meeting Hall, 53095 Main Road, Southold,New York as the time and place for a public hearing upon the Coastal Erosion Hazard Board of Review Appeal of the Mattituck Park District, which seeks relief from Section 111-4 and 111-6(3)of the Town Code to re-construct an existing dock in-kind within a nearshore area in a Coastal Erosion Hazard Area located on property on parcel SCTM# 1000-99-2-19.1, Mattituck Breakwater Shade Shelter, 5155 Breakwater Road,Mattituck,New York 11952, and directs the Town Clerk to publish notice of such appeal in the Suffolk Times newspaper not less than ten (10) days nor more than thirty(3 0) days prior to such hearing and to notify the applicant by first class mail. M Elizabeth A. Neville Southold Town Clerk RESULT: ADOPTED [UNANIMOUS] MOVER: James Dinizio Jr, Councilman SECONDER:William P. Ruland, Councilman AYES: Dinizio Jr,Ruland, Doherty, Ghosio, Evans, Russell ' toF SO!/j Michael J.Domino,President ��� ��lO Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J. Sanders c� Southold,New York 11971 Glenn Goldsmith iQ Telephone(631) 765-1892 A.Nicholas Krupski �'COU Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 18, 2017 Christopher F. Dwyer L. K. McLean Associates 437 South Country Road Brookhaven, NY 11719 RE: MATTITUCK PARK DISTRICT 5155 BREAKWATER ROAD, BREAKWATER BEACH, MATTITUCK SCTM# 1000-99-2-19.1 Dear Mr. Dwyer: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, January 18, 2017 regarding the above matter: WHEREAS, L. K. McLean Associates on behalf of MATTITUCK PARK DISTRICT applied to the Southold Town Trustees for a permit under the provisions of Chapter 111 Coastal Erosion Hazard Areas of the Town Code of the Town of Southold, application dated September 9, 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 specifically Inconsistent with the following coastal policies pursuant to Chapter 111 Coastal Erosion Hazard Areas of the Town Code: Policy 4 - minimize losses of human life and structures from flooding and erosion hazards, Policy 6.3 —protect and restore tidal and freshwater wetlands, A. comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on October 19, 2016 and again on January 18, 2017, 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, as applied for is located in a beach area as per the Definitions in Chapter 111 Coastal Erosion Hazard Areas of the Town Code and governed by Section 111-12 (D) -All development is prohibited on beaches unless specifically provided for in Chapter 119; and Section 111-6 Definitions: Unregulated Activity— Excepted activities which are not regulated by this chapter include, but are not limited to, elevated walkways or stairways constructed solely for pedestrian use and built by an individual property owner for the limited purpose of providing noncommercial access to the beach; docks, piers, wharves or structures built on floats, columns, open timber piles or other similar openwork supports with a top surface area of less than 200 square feet or which are removed in the fall of each year, normal beach grooming or cleanup; maintenance of structures when normal and customary and/or in compliance with an approved maintenance program; setup and maintenance of temporary wildlife protective structures,planting vegetation and sand fencing so as to stabilize or entrap sand in primary dune and secondary dune areas in order to maintain or increase the height and width of dunes,routine agricultural operations, including cultivation or harvesting, and the implementation of practices recommended in a soil and water conservation plan as defined in §3, Subdivision (12), of the Soil and Water Conservation Districts Law,provided, however, that agricultural operations and implementation of practices will not be construed to include any activity that involves the construction or placement of a structure, and, NOW THEREFORE BE IT, RESOLVED, for the foregoing reasons, and because the proposed action is located entirely within the Coastal Erosion Hazard Area and in a beach area, and because the proposed action is not permitted in such areas pursuant to Chapter 111 of the Town Code, that the Trustees deem the proposal to install a 25' wide by 40' long steel shade shelter supported by six (6) foundation columns over a proposed 4" (25'x40') concrete slab; and to install an approximately 12'x24' timber deck fastened onto the existing concrete slab that is attached to the existing lifeguard building to be impermissible under Chapter 111, and, BE IT FURTHER, RESOLVED, that for the foregoing reasons, the Board of Trustees DENIES WITHOUT PREJUDICE the Coastal Erosion Permit application of MATTITUCK PARK DISTRICT to install a 25' wide by 40' long steel shade shelter supported by six (6)foundation columns over a proposed 4" (25'x40') concrete slab; and to install an approximately 12'x24' timber deck fastened onto the existing concrete slab that is attached to the existing lifeguard building; and as depicted on the site plan prepared by L. K. McLean Associates, P.C., last dated November 17, 2016, and stamped approved on January 18, 2017. t f This determination should not be considered a determination made for any other Department or Agency, which may also have an application pending for the same or similar project. Very truly yours, Michael J. Domino President, Board of Trustees MJD/eac BOARD OF SOUTHOLD TOWN TRUSTEES °tiii,h �I i a'tr'` SOUTHOLD,NEW YORK PERMIT N0. 8950 DATE: JANUARY 18, 2017 ISSUED TO: MATTITUCK PARK DISTRICT Y ADDRESS: 5155 BREAKWATER ROAD PROPERT BREAKWATER BEACH, MATTITUCK i x =. _ SCTM# 1000-99-2-19.1 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 JanuM 18,2017,and in consideration of application fee in the sum of$500.00 paid by Mattituck Park District and subject to the the and permits Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to install a 251 wide by 40' long steel shade shelter supported by six (6) Fes: I foundation columns over aproposed 4" (251x40') concrete slab; and to install an approximately 12'x24' timber deck fastened onto the existing concrete slab that is attached to the existing lifep-uard building; and as depicted on the site plan prepared by L. K. McLean Associates, P.C., last dated November 17, 2016, and stamped approved on January 18, 2017. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. %13F FQJ Charles J. Sanders ders C2 C40 Alp AMR �z f 1 TERMS AND CONDITI®NS The Permittee Mattituck Park District, 5155 Breakwater Road,Breakwater Beach,Mattituck, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will,at his or her own expense,defend any and all such suits initiated by third parties, and the said Permittee -- - - assumes full liability-with-respect-thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant,request for an extension may be made to the Board at a later date. 4 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,tb 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. �pF SO(/ry Michael J.Domino,President hod' ®l0 Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J.Sanders N y� Southold,New York 11971 Glenn Goldsmith aQ Telephone(631) 765-1892 A.Nicholas Krupski �l�`COU �1, Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 18, 2017 Christopher F. Dwyer L. K. McLean Associates 437 South Country Road Brookhaven, NY 11719 RE: MATTITUCK PARK DISTRICT 5155 BREAKWATER ROAD, BREAKWATER BEACH, MATTITUCK SCTM# 1000-99-2-19.1 Dear Mr. Dwyer: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, January 18, 2017 regarding the above matter: i WHEREAS, L. K. McLean Associates on behalf of MATTITUCK PARK DISTRICT 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 September 9, 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 due to noncompliance to Chapter 111 of the Southold Town Code, Coastal Erosion Hazard Areas, and, WHEREAS, the Board of Trustees has furthered Policies 4 and 6.3 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the proposed steel shade shelter was relocated to an area accessed more by the public in order to help protect the existing beach grass and vegetation that is located around the originally proposed location; and 2 WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on October 19, 2016 and again on January 18, 2017, 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 MATTITUCK PARK DISTRICT to install a 25' wide by 40' long steel shade shelter supported by six (6) foundation columns over a proposed 4" (25'x40') concrete slab; and to install an approximately 12'x24' timber deck fastened onto the existing concrete slab that is attached to the existing lifeguard building; and as depicted on the site plan prepared by L. K. McLean Associates, P.C., last dated November 17, 2016, and stamped approved on January 18, 2017. 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, W4--Z�A 4an�- Michael J. Domino President, Board of Trustees MJD/eac SOUTHOLD TRUST, EES No. a q 57C) IssuedTnMm*A-%xc-kP"k��s1-�:�+ Dade Address575',.'�'BcesJ�l�scJrkpcR - ,- THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE,TOWN .OF SOUTHOLD SOUTHOLD; N.Y. 11971 TEL.: 765-1892 Michael J.Domino,President Town Hall Annex John M.Bredemeyer III,Vice-Presidentr��® �yJ, 54375 Route 25 Charles J. Sanders � y P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski '� p�,�h' Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: L •k, Mcl_ec_^ AS c. ay-)Af- 1 a f 7F ri T /klcZ1'7 u t�'kka' Please be advised that your application dated 5wkm6er has been reviewed by this Board at the regular meeting of and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) % Constructed ($50.00) �/ n 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: _ U, TOTAL FEES DUE-. $ O '�� (AaL�l I fle' I BY: Michael J. Domino, President Board of Trustees John M. Bredemeyer III, Presi �; _ , �y6�S A'�o, •,; {��, Michael J. Domino, Vice-Present �� �y — Town Hall Annex 54375 Route 25 Glenn Goldsmith o ` P.O. Box 1179 A. Nicholas Krupski o e Southold, NY 11971 Charles J. Sanders y,�j� a P Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES / TOWN OF SOUTHOLD Date/Time: 1�1 1 /!� y��,� Completed in field by: L.K. Mclean Associates on behalf of MATTITUCK PARK DISTRICT requests a Wetland Permit and a Coastal Erosion Permit to install a 25' wide by 40' long steel shade shelter supported by six (6) foundation columns over a proposed 4" (25'x40') concrete slab; and to install an approximately 12'x24' timber deck fastened onto the existing concrete slab that is attached to the existing lifeguard building. Located: 5155 Breakwater Road, Breakwater Beach, Mattituck. SCTM# 1000-99-2-19.1 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 Surveys 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: ca'c. '� aV!RT0\/e_ unde_c C00.S1o.l C-To:si Plar_e SAI O'OC use_ it cvKce_n4l,j ;rJe.n�s4,e 1. lana u� C;c, ad ,`ncen� Present were: ✓ J. Bredemeyer A. Domino 4. Goldsmith A. Krupski ;/ C. Sanders Other Page 1 of 2 John M. Bredemeyer III, Presi �OSISFFO(Cly Town Hall Annex Michael J. Domino, Vice-Presiaent �o Gym 54375 Route 25 Glenn Goldsmith o P O. Box 1179 A Nicholas Krupski o Southold, NY 11971 Charles J. Sanders 'y�j Telephone (631) 765-1892 Fax(631) 765-6641 -rzz�rcc� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: L.K. Mclean Associates on behalf of MATTITUCK PARK DISTRICT requests a Wetland Permit and a Coastal Erosion Permit to install a 25' wide by 40' long steel shade shelter supported by six (6) foundation columns over a proposed 4" (25'x40') concrete slab; and to install an approximately 12'x24' timber deck fastened onto the existing concrete slab that is attached to the existing lifeguard building. Located: 5155 Breakwater Road, Breakwater Beach, Mattituck. SCTM# 1000-99-2-19.1 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 Cantrell, Elizabeth From: Chris Dwyer <cdwyer@lkma.com> Sent: Tuesday, August 30, 2016 9:57 AM To: Bredemeyer,John Cc: Cantrell, Elizabeth; Domino, Michael Subject: FW: NYSDEC Tidal Wetland Approval for Breakwater Beach Pavilion Attachments: Permit Plans - Breakwater Beach - Stamped by NYSDEC.pdf,Tidal Wetlands Permit - Breakwater Beach.pdf Good morning John, Our office will be hand delivering the hard copies of the plans for your review and use. We will also complete the required applications as defined in your email. Our office received a tidal wetlands permit issued by the NYSDEC for this project. We thought the Trustees Office may want a copy of this approval. Regards, Christopher F. Dwyer,Associate L.I.McLean Associates PC 437 South Country Road Brookhaven, New York 11719 Phone:(631)286-8668 Fax: (631)286-6314 Cell:(516) 779-4776 From: Chris Dwyer Sent: Monday, August 29, 2016 3:16 PM To: 'Lydia Tortora' Cc: grammyoftwinsCabgmail.com; 'mike ryan'; Nicholas Deegan (nicholasfdeegan(JIgmail.com) Subject: NYSDEC Tidal Wetland'Approval for Breakwater Beach Pavilion Good afternoon, Attached you will find the Tidal Wetland Permit for the pavilion at Breakwater Beach. We are providing the Town Trustees with more information in order for them to send the submission to the Town Board for a decision. Regards, Chris 1 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATIC 1 - Division of Environmental Permits,Region 7 j SUNY C Stony Brook,50 Circle Road,Stony Brook,NY 11790 P-(631)444-03651 F:(631)444-0360 AUG 3 0 2016 www.d ec.ny gov Southold Town Board f Trustops '1 August 25, 2016 Mattituck Park District -- P.O. Box 1413 Mattituck, NY 11952-0997 AUG 2 9 2016 RE: Permit No.: 1-4738-01061/00003 Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit for the referenced activity. Please carefully read all permit conditions and special permit conditions contained in the permit to ensure compliance during,the term of the permit. If you are unable to comply with any conditions please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather and a Notice of Commencement/Completion of Construction. Please note, the permit sign and Notice of Commencement/- Completion of Construction form are sent to either the permittee or the facility application contact, not both. Sincerely, G l���P L Laura J. Sc azzo Permit Administrator LJS/Is NEWYORK I Departmentof ovroaiuniTr Environmental Conservation Iowa NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION NOW Facility DEC ID 1-4738-01061 PERMIT Under the Environmental Conservation Law ECL Permittee and Facility Information Permit Issued To: Facility: MATTITUCK PARK DISTRICT MATTITUCK PARK DISTRICT BREAKWATER BEACH P O BOX 1413 5155 BREAKWATER RDISCTM 1000-99-2-19.1 MATTITUCK,NY 11952-0997 MATTITUCK,NY 11952 (631) 872-5195 Facility Application Contact: LK MCLEAN ASSOCIATES PC 437 S COUNTRY RD BROOKHAVEN,NY 11719 (631)286-8668 Facility Location: in SOUTHOLD in SUFFOLK COUNTY .Village: Mattituck Facility Principal Reference Point: NYTM-E: 705.141 NYTM-N: 4543.102 Latitude: 41°00'47.9" Longitude: 72°33'37.5" Project Location: 5155 Breakwater Road - Watercourse-Long Island Sound Authorized Activity: Construct 25'x 40'shade shelter north and west of existing lifeguard building and complete/extend deck north of building. All authorized activities must be in strict conformance'with the attached plans'stamped NYSDEC approved on 8/24/16. Permit Authorizations Tidal Wetlands-Under Article 25 Permit ID 1-4738-01061/00003 New Permit Effective Date: 8/24/2016 Expiration Date: 8/23/2021 D VE AUG 3 0 2016 ' f Southold Town r Page 1 of 6 Ask alho NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-01061 NYSDEC Approval By acceptance of this permit,the permittee agrees that the permit is contingent upon strict compliance with the ECL,all applicable regulations, and all conditions included as part of this permit. Permit Administrator:LAURA J SCOVAZZO,Deputy Regional Permit Administrator Address: NYSDEC Region 1 Headquarters SUNY @ Stony BrookJ50 Circ Rd Stony Brook Y11790-2;4 11790-34 Authorized Signature: G// -7 Date Ste,/�� Distribution List LK MCLEAN ASSOCIATES PC Habitat-TW LAURA J SCOVAZZO Permit Components NATURAL RESOURCE PERMIT CONDITIONS , GENERAL CONDITIONS,APPLY TO ALL AUTHORIZED PERMITS AUG 3 0 2016 NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Southold 7bwn NATURAL RESOURCE PERMIT CONDITIONS - Apply t e Permits: TIDAL WETLANDS 1. Post Permit Sign The permit sign enclosed with this permit shall be posted in a conspicuous location on the worksite and adequately protected from the weather. 2. Notice of Commencement At least 48 hours prior to commencement of the project,the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project,the bottom portion of the form must also be signed and returned, along with photographs of the completed work. Page 2 of 6 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-01061 3. Concrete Leachate During construction,no wet or fresh concrete or leachate shall be allowed to escape into any wetlands or waters of New York State,nor shall washings from ready-mixed concrete trucks,mixers, or other devices be allowed to enter any wetland or waters. Only watertight or waterproof forms shall be used. Wet concrete shall not be poured to displace water within the forms. 4. No Construction Debris in Wetland or Adjacent Area Any debris or excess material from construction of this project shall be completely removed from the adjacent area(upland) and removed to an approved upland area for disposal. No debris is permitted in wetlands and/or protected buffer areas. 5. No Disturbance to Vegetated Tidal Wetlands There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activities. 6. Storage of Equipment,Materials The storage of construction equipment and materials shall be confined within the project work area and/or upland areas greater than 75 linear feet from the tidal wetland boundary. 7. Seeding Disturbed Areas All areas of soil disturbance resulting from the approved project shall be stabilized with appropriate vegetation(grasses, etc.) immediately following project completion or prior to permit expiration,whichever comes first. If the project site remains inactive for more than 48 hours or planting is impractical due to the season,then the area shall be stabilized with straw or hay mulch or jute matting until weather conditions favor germination. 8. Prohibition Period for Nesting Birds To protect nesting shorebirds,including threatened and/or endangered species,no regulated activities may occur between April 1 and August 31, inclusive, of any calendar year. 9. State May Order Removal or Alteration of Work If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if,in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State,the owner may be ordered by the Department to remove or alter the structural work, obstructions,or hazards caused thereby without expense to the State, and if,upon the expiration or revocation of this permit,the structure,fill,excavation, or other modification of the watercourse hereby authorized shall not be completed,the owners, shall,without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require,remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 10. State May Require Site Restoration If upon the expiration or revocation of this permit,the project-hereby authorized has not been completed,the applicant shall,without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may lawfully require,remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. p E E I V AUG 0 0 2016 Page 3 of 6 s m�thnld Irvin k AAkr NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-01061 11. Precautions Against Contamination of Waters All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments,fuels, solvents, lubricants,epoxy coatings,paints, concrete,leachate or any other environmentally deleterious materials associated with the project. 12. Conformance With Plans All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or applicant's agent as part of the permit application. Such approved plans were prepared by L.K.McLean Associates P.C. dated June 2016, stamped NYSDEC approved 8/24/16 . 13. State Not Liable for Damage The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation,or for other purposes, and no claim or right to compensation shall accrue from any such damage. GENERAL CONDITIONS -Apply to ALL Authorized Permits: 1. Facility Inspection by The Department The permitted site or facility,including relevant records,is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation(the Department)to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 11-_0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions,must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. 2. Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the.Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. ® EIV E ; AUG 3 0 2016' Southold Tovvn Trustees Page 4 of 6 I f I f NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-01061 3. Applications For Permit Renewals,Modifications or Transfers The permittee must submit a separate written application to the Department for permit renewal,modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal,modification or transfer granted by the Department must be in writing. Submission of applications for permit renewal,modification or transfer are to be submitted to: Regional Permit Administrator NYSDEC Region 1 Headquarters SUNY @ Stony BrookJ50 Circle Rd Stony Brook,NY11790-3409 4. Submission of Renewal Application The permittee must submit a renewal application at least 30 days before permit expiration for the following permit authorizations: Tidal Wetlands. 5. Permit Modifications,Suspensions and Revocations by the Department The Department reserves the right to exercise all available authority to modify, suspend or revoke this permit. The grounds for modification, suspension or revocation include: a. materially false or inaccurate statements in the permit application or supporting papers; b. failure by the permittee to comply with any terms or conditions of the permit; c. exceeding the scope of the project as described in the permit application; d. newly discovered material information or a material change in environmental conditions,relevant technology or applicable law or regulations since the issuance of the existing permit; e. noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. 6. Permit Transfer Permits are transferrable unless specifically prohibited by statute,regulation or another permit condition. Applications for permit transfer should be submitted prior to actual transfer of ownership. E AUG 3 0 2016 Southold Town a of Thidpwt Page 5 of 6 Adhv NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-01061 NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS . Item A:-Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee, excepting state or federal agencies,expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York,its representatives, employees, and agents ("DEC")for all claims,suits,actions, and damages,to the extent attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in connection with, or operation and maintenance of,the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits, actions,or damages to the extent attributable to DEC's own negligent or intentional acts or omissions,or to any claims, suits, or actions naming the DEC and arising under Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors,employees, agents and assigns of their responsibility to comply with this permit,including all special conditions while acting as the permittee's agent with respect to the permitted activities,and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits,approvals,lands, easements and rights-of- way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights,title, or interest in real or personal property held or vested in a person not a party to the permit. n E_I �' 3 0 2016 ihold lbwnf Tru ee Page 6 of 6 r NOTICE OF COMMENCEMENT OF CONSTRUCTION Am RETURN THIS FORM Tb!COMPLIANQE Or Fax to: 631-444-0297 - - Bureau of Habitat-TW NOW 50 Circle Road Stony Brook, NY 11790-3499 PEf MIT NUMBER: EXPIRATION DATE: Pt RMITTEE NAME&PROJECT ADDRESS: CQNTRACTOR NAME&ADDRESS: Pear Sir: Pursuant to the special conditions of the referenced permit,you are hereby notified that the authorized activity shall commence on �� We certify that we have read the referenced permit and approved plans and fully understand the authorized project anq all permit cQridifigns.We have inspected the prpject site andtcan complete the project as described in the permit and as depicted on the approved plans. We can do so in full 99mpliance with all,plan notes and permit conditions.The permit,permit sign,and approved plans will be-gvailal�le at the site for inspection in accordance with General Condition No. 1. (Both signatures required) PERMITEE: DATE CONTRACTOR: DATE TWIS NOTICE MUST BE SENT TO THE ABOVE ADDRESS AT LEAST TWO DAYS PRIOR TO COMMENCEMENT OF THE PROJECT A,(V.p/QR ANYASSQCIATED ACTIVITIES. FAILURE TO RETURN THIS NOTICE,POST THE PERMIT SIGN, OR HAVE THE PERMIT AND AP,ROVE¢PLANS AVAILABLE AT THE WORKSITE FOR THE DURATION OF THE PROJECT MAY SUBJECT THE PERMITTEE AND/QR QONTRAQTOR TO APPLICABLE SANCTIONS AND PENALTIES FOR NON-COMPLIANCE WITH PERNrIT CONDITIONS. Cut aIonthis line X X X X X X X }�` NOTICE OF COMPLETION OF CONSTRUCTION, RETYRN THIS FORM TO:COMPI,IANCE Or Fax to: 631-444-0297 Bureau of.Habitat-TW 50 Circle Road Stony Brook, NY 11790-3409 PERMIT NUMBER: EXPIRATION DATE: PERMITTEE NAME&PRO)ECT ADPRESS: CONTRACTOR NAME&ADDRESS: TELEPHONE: Pursuant to special conditions ofthe r on ou are hereby notified that the authorized activity was completed on We have fully comnnn wiL thr a�d ���nJs permit and approved plans. (Both signatures required) PERMITEE: t DATE .AUG 3 0 2016 CONTRACTOR: DATE Southold Town THIS NOTICE, WITH PHOTOGRAP — WORK AND ORA COMPLETED SURVEY,AS APPROPRIATE, MUST BE SENT TO THE ABOVE ADDRESS WITHIN 30 DAYS OF COMPLETION OF THE PROJECT. 95-20-1 (8/87)-9d New .York State epartment of Environmental Conservation w M a qMW N 0 T I C CR �VMW C M Department of Environmental Conservation (DEC) has issued permit-(s) . pursuant to the Environmental Conservation , Law - for work being conducted at this site. For further information regarding the nature and • extent of work approved .and any Departmental conditions on it, contact the Regional . Permit Administrator listed below. Please refer to the permit number• shown when contacting the DEC. Regional Permit Administrator ol+c�61 Permit Number ROGER EVANS Expiration Date NOTE: This notice is. NOT a permit TOWN OF SOUTHOLD NYSDEC SUFFOLK COUNTY, NY APPROVED AS PER TERMS AND CONDITIONS OF ' MATTITUCK BREAKWATER BEACH SHADE PERMIT NO SHELTER DATE �..__'� ..� JUNE 2016 F zs I LAa cLitC$10G�p't3 SITE 'LQ:0-TIOtJ.? t iTrS n} - ': - "fir a .„ n. +'S•� , - - '. '.C�'#t f'',"y 'a x y ' cl y r ' > 1,165536 FtYEAIi"i, 'Y < raf e„ .5 •Q' 3 Ic „ }; a " 010.gu o aA Ot _ 5'i ., , e ._ f ,. k1„• Ate. ,� .., .- t ,t� 'A?^:' .r ” '" ��4' , ' ">F`• ^i. s:;r . .. - ^i Y�-xf. ,.-3 s-f3.,. • ..' .:Ed.1Lf?' 311$ " ,•. a r•s. cn c 4, a iY9111 84s' J iw+ e I aIadintg ,c-a4:#,r=sur- r-•-"- e x;, ,., e , z p � 3 s d SHEET LIST TABLE LOCATION MAP - � N.T,S. DAZE W DESCRIPTION SHEET NUMBER SHEET TITLE D - El V - -- T AaP REVISIONS T1 LOCATION SHEET TOWN OF SOUTHOLD SUFFOLKUNTY. NY MATTITUCK BREAKWATER BEACH o a 1 PHOTO SHEET AUG 3 0 2016 SHADE SHELTER 2 PROPOSED SITE PLAN E LOCATION SHEET 3 CAMPION MODEL SHADE SHELTER DETAIL 0 o Southold Town L. K. McLEAN ASSOCIATES, P.C. 0 4 TIMBER DECK DETAIL BggW of Trustees CMULIM CNONCEM av muni muga FM@Malum.NEW YW 1171S cc ^`0 SUFFOLK COUNTY REAL PROPERTY TAX MAP Dasa Br YCR/CF smNa AS NOTED 5 DISTRICT: 1000 SECTION: 99 BLOCK: 02 LOT: 19.1 _ D—.Br: YCR Doc« JUNE 2016 T1 o_ spa gr RGD FN Nw 16078.000 I P tA rKle?. 01 S 7 22 _'N 777� 077- Od A t _4 S .&E2 na ,7, PHOTO NO. 1 FJHUIU NO. 2 PHOTO NO. 3 PHOTO NO. 4 PHOTO NO. 5 PHOTO NO. 6 '4Z 4 r�' -v- 130-K", k gy,.ai£ ?q,�=,':"' ^xT `"Y°.` ,I't';'s'L` vf J�, _Z a, A U, T z" f W v4%'�t X p 3s,`< ' rc� SHADE v, SHEtNER" Of g 1 0 K Yw _4r Z t4' "T, 3 A - _5 PROPOSED Y _6 W, T iMBER DECK WIN, _yk,A_ �i�®r.AP -A; ;,A0 n'lzl� 'n (L 4" APPROVED AS PER TERMS V AND CONDITIONS OF % P 3- g PERMIT NO 47 DATE X —------ DATEaf DESCRIPTION APPROV.BY REVISIONS TOWN OF SOUTHOLD SUFFOLK COUNTY, NY _0� V E 'z ZA MATTITUCK BREAKWATER BEACH c; E S LEGEND: SITE PLAN SHADE SHELTER Q4LEeD to DIRECTION OF PHOTO TAKEN o 80 160 AUG 3 0 2016 -1 PHOTO SHEET Feet L. K. MCLEAN ASSOCIATES, P.C. comum"o"mms 49 smm cmm=�lm�vm mm YM t1719 rz co YCR/c sews AS NOTED Sh..i N. c Southold Town N D-By- YCR Dt. JUNE 20I ftard of Trustee� App—d NYSDEC APPROVED AS PER TERMS ti Rte`' � AND CONDITIONS OF t,Y tr p�e�' �F serfs PERMIT NO_kq_9359<_/-dj16 ,l °k� r of ear+ '�qo� �lr �y DATE � v All 49 y y a ,,F - 01o6z�J v, PROPOSED �, ti , o�' N SHADE SHELTER mss- OIns (SEE DETAILS) �F NOTE: \000 10� 1 g �� \ - © t� �tj t• 'CS Ate• , Z INSTALLED HANDICAP NTHE CONSTRUCTION EOF TIMBER y01 \� o Qt 1PO "'�li 128� DECK. 46 �� 441' pi ti �r ?�40 •a2A, 51' tO w. — \ N •�, C7��9 �� � ih - 1p�6j�S�. �9' •qj N� CA '13 PROPOSED �% w . 8 _r, TIMBER DECK TO BE i FASTENED TO EXISTING CONCRETE SLAB z (SEE DETAILS) 3pp,£���' • =PIPE �a o =UTILITY POLE ,65 �yr.81S =MONUMENT ® =PROPOSED PAMLLION POSTS �`b �� 1 ,a —• —■— = CHAIN LINK FENCE vMHv-us �exd) Qi E ScY�?H07 M. � � ,$Z£�� `� ���,�'` .— = SPLIT RAIL / PICKET FENC (avow s �la�y1 = WOOD & VIYNL FENCE Q DATE BY DESCRIPTION APPROV.BY r r REVISIONS Lail TOWN OF SOUTHOLD s - SUFFOLK COUNTY, N E ` b MATTITUCK BREAKWATER BEACH U) ; C ® r EDD SHADE SHELTER t: SITE PLAN � PROPOSED SITE PLAN K coo SCALE-1-=150' oo, ULMM h1W�EW m WM L'DWW M.W=j%VU.Nn TM 11710co 0 150 300 2��6 L. K. MCLEAN ASSOCIATES P.C. AUG C.0 Feet D dg-d DY Y /CFC swic AS NOTED � Do Br YCR Docs JUNE 2016 a Southold Town Approved By: RCD R.Na 16078.000 f 25.0' 24 GA HR-36 STEEL ROOF 25.0' 24 GA HR-36 RAFTER BEAM STEEL ROOF 40.0' I 24 GA HR-36 STEEL ROOF 1 I 10"x10" COLUMN RAFTER FRAME RIDGE BEAM ORNAMENTATION PERIMETER BEAM GUTTER & MID MEAM 4UDOWN POUTS 7.6TTER & ' 4 DOWNSPOUTS 10"x1 D" COLUMN GUTTER RAFTER FRAME 10"x10" COLUMN EXTENSION BEAM PLAN VIEW DETAIL ELEVATION DETAIL END ELEVATION DETAIL {• _ N.T.S. N.T.S. N.T.S. 10"x1 D" COLUMN 10"x1 O" COLUMN EXPANSION MAT'L 10 HAND HOLE W/ COVER EXPANSION MAT'L HAND HOLE W/ COVER HEX NUT, HEX NUT, NYSDECAPPROVEDASPERTERMS WASHER & BASE WASHER & BASE AND CONDITIONS OF PALTE FINISH 1 .dl d b1 FINISH GRADE SLAB GRADE SLAB 12" PALTE PERMITNO OP ZONAL ABC DATE b 2 2 V It-- frD a ° fra . 4. ` ad q a2.5' n"x12 A-36 ALL THREAD �_ I— � "x12" A 2500 PSI CONCRETE BY CONTRACTOR i A—BOLT W/ (2) HEX r I ALL THREAD NUTS & 8 MIN EMBED _ °, ;0_�� STUB ELEC 0 A—BOLT W/ (2) I (6)#5 VERTICAL REBAR AUG 3 Q 2�� y BY CONTRACTOR — CONDUIT PER I LOCAL CODE 5.0' HEX NUTS & 8 a a : #3 HORIZ REBAR TIES — -III SEE COL DTL MIN EMBED BY a 10 OC (3) ® 50C —III— PLAN CONTRACTOR a TOP OF FOOTING Southold Tawn NON—EXPANSIVE, 2500 PSI ° "i f ° DOTE _=j__ ESCRIPTIDN PP Tr UNDISTURBED OR CONCRETE BY (5) #5 REBARDREVISIONS 95% COMPACTED CONTRACTOR EACH WAY TOP oI a _ TOWN OF SOUTHOLD E a SUBGRADE & BOTTOM L I a a I I SUFFOLKCOUNTY. Y " ° STUB ELEC MATTITUCK BREAKWATER BEACH CAISSON FOOTING DETAIL 3- CONDUIT PER4" SHADE SHELTER NON—EXPANSIVE 3" I I- LOCAL CODE CAMPION MODEL SHADE N.T.S. UNDISTURBED OR I 2" DIA SEE COL DTL SHELTER DETAIL og N o PLAN L. K. NAcLEAN ASSOCIATES, P.C. N� 95% COMPACTED SPREAD FOOTING DETAIL um �'�""'`°"`""`M�"�'.""'°°""" S SUBGRADE nWryaaa YCR/CF seaia AS NOTED %.d"° N.T.S. Dram 8y, YCR Data JUNE 2016 3 a eppwaa ey: RGD Fa.Ne.16078.000 -j 2"x6" PRESSURE TREATED RAILS B 2"X6" PRESSURE TREATED 2"x6" ACQ SLEEPERS RAILING CAP W/ 2"X6" FLOOR JOISTS CHAMFERED EDGE @ 16" O.C. W/ H8 HURRICANE STRAPS TIMBER GUARDRAIL 1'—g» 2"X6" PRESSURE TREATED RAILS 31 650 q 2"X6" PRESSURE TREATED DECKING 4"x4" PRESSURE TREATED RAILING 2"X6" FLOOR JOISTS ® 16" POST O.C. W/ H8 HURRICANE STRAPS 2"X6" PRESSURE o TREATED DECKING o 2"X6" ACQ SLEEPERS 2" EXISTING CONCRETE SLAB ON GRADE Iv— SECTION B — B DETAIL 2"x6" PRESSURE TIMBER DECK PLAN DETAIL N.T.S. TREATED RAILING CAP W/ CHAMFERED EDGE N.T.S. TIMBER GUARDRAIL 2"X6" PRESSURE 1 _g TREATED RAILS NY S D E C APPROVED AS PER TERMS 2"X6" PRESSUREAND CONDITIONS OF 3'-6" TREATED DECKING PERMIT NO "� � �0 L 1/3 2"X6" FLOOR JOISTS DATE \ o @ 16" O.C. W/ H4 HURRICANE STRAPS STAGGERED J"d GALV. TIMBER BOLTS o s W/ PLATE WASHERS ii 2„ AND HEAVY HEX NUTS -11 2'x6" ACQ SLEEPERS DATE Of I DMORMON APPROV.V 4"X4" PRESSURE TREATED POST REVISIONS EXISTING MECHANICALTOWN OF SOUTHOLD THRU BOLTED W/ "H GALV. E V E ®a CONCRETE SLAB FASTENERS AS CARRIAGE BOLTS 'WITH PLATE � SUFFOLK COUNTY. N Y WASHERS HEX NUTS MATTITUSH BREAKWATER BEACH ON GRADE REQUIRED WAND SHADE SHELTER to SECTION A—A DETAIL AUG 3 0 2016 TIMBER DECK DETAIL N o ? L. K. McL EAN ASSOCIATES, P.C. 03 N.T.S. � �, m CRUM m.mmomv .NEW Ym 11711 N Southold Town Dmdy-a By: YCR/CF seats AS NOTED 1 —N. �! t t D—sr YCR Docs JUNE 2016 4 o_ App.-d or. ROD FIM Na 16078.00D Mattituck Park District 5155 Breakwater Beach, Mattituck SCTM#: 1000-99-2-19.1 5/11/16 I IC t � 1 �1 lel• i Mattituck Park District 5155 Breakwater Beach,Mattituck SCTM#: 1000-99-2-19.1 5/11/16 { Ae _- •�i. yam„; - y 'mow, • ._ ~ �! OF� SOUTHOLD Pt �RE1YRECORD, o y1y1 -.2 t'q. CARD OWNER � STREET 6 VILLAGE DIST. SUB. LOT FORMER OWNER � � T c se N ACR. f S r TYPE OF BUfLDING Lica � ��� RFs. SEAS. VL. FARM CQNIM. CB. ICS. Mkt. Value - 0 LAND IAhP. TOTAL DATE REMARKS ua uW, 3 0 d Llr Zz O " 17 = G 7 C I 1 ^C er - a Ln r r LD Ls m AGE BUILDING CONDITION - LID NEVA NORMAL BELOW ABOVE m FARM ,.o Acre Value Per Value _ _ Acre m'illable _ WATER FRONTAGE ON m_ - mVaodfand • r �7 F4_ D . FRONTAGE ON ROAD m 4eadowfand DEPTH 'Criouse Plot C14BULKHEAD DOCK Iraala■■a fa �■!�� ■a !! ■! a■r� ��e�aa��rl�al�le �iia� MEN . _ r�u�zaa■� ter■alal�l� �aa��fY - -�1��. t �. �� ■la��ala■�aaa�a■�i e ��■ a■������«�lI�l��fa►� r` ��- a yJ� , �ia�la■a■�� �� " - ■■!■�s■��a►�aa■�nr ■!ate C!a■ : .. ■�a��l���%r�aaa��aaaa� gyri asala����a■a�■r�a ■ oundationr .00 _ .. • r w 1 i m OWNER J „t STREET VILLAGE DISTRICT SUB. LOT r FORMER OWNER N E ACREAGE „�; TYPE OF BUILDING RES,'` SEAS. VL. FARM comm. I PND. B. N4rSC. LO LAND 1tvLP. TOTAL DATE REMARKS can U,:�/ LO A , a U) OUi hJ./i'fi I AGE BUILDING CONDITION NEW NORMAL BELOW , ABOVE Form Acre Value Per Acre Value - LOTiJlobfe Tillable 2 Ln LD �Tiliabfe 3 _ ,.o -—- Woodfand ~-- 3warnpland m- m3rushrartd 00 mHouse Plot m N 9 o#a i L 0 A- CD OWNER r" STREET VfLLAGE DISTRICT SUB. LOT w °- ------- 47 C RV" FORMER OWNER - N E AkREAGE S w TYPE OF BUILDING i RES. SEAS. VL, FARM comm. I IND. � CB. I MfSC. LAND IMP. TOTAL DATE REMARKS r - . 10C J G•U Y f� r-rim f !t - L AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value �y LO Tillable 1 Lo Ln Tillable 2 W Tillable 3 Lo Woodland Swampland -- —— --- 8rushland ao - ------- — m House Plot N CV Toto I ED In m OWNER STREET w ' VJLLAGE DISTRICT SUB. LOT rO ,"ViER OWNER — E ACREAGE — ' s- • err{,.;.., r�-o-fti•y- S W TYPE OF BUILDING RES. SEAS. VL. c FARM comm. I IND. CB. I MISC. _ U) LAND IMP. TOTAL DATE REMARKS Ln -- - (w------- CVfJ c. W - �1- � / Oz f O AGE BUILDING CONDITION[ � �^-•t--�,.-�---._ �"�.,,._- - Com' , NEW NORMAL BELOW ABOVE Farm Acre Vefue Per Acre Value - Tillable 1 M Ln LO Ti1I461e 2 r � Tillable 3 -- - - — - --- Lo Wcodland - —CO- Swamp]and 0 Swampland m Brushfand -- m House Plot 01 - -- —--- — c.i m Total John M Bredemeyer III, Presidia Town Hall Annex Michael J. Domino, Vice-President ����0 �y 54375 Route 25 Glenn Goldsmithb y z P.O. Box 1179 A Nicholas Krupski o Southold, NY 11971 Charles J. Sandersr1 �ap� Fax Telephone 636392 () 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 3;q5 Completed in field by: Id sm iA David-B. Prokop, Esq. on behalf of MATTITUCK PARK DISTRICT requests a Pre-Submission Inspection for a proposed pavilion at Breakwater Beach. Located 5155 Breakwater Beach, Mattituck. SCTM# 1000-99-2-19.1 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback-Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 , Ch. 111 SEQRA Type: I' II Unlisted Action Type of Application: J Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey s 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: W;��•;n co OS�GL� C'noS,an 20 Cac\' O.U` 01"%Ze r�u� to GoaS�a•.` �ro�ios� Zo61e . Present were: ✓J. Bredemeyer ✓ M. Domino ✓ G. Goldsmith N. Krupski C. Sanders Other Page 1 of 2 John M. Bredemeyer III, Presidi ��g�FFOt � Town Hall Annex Michael J Domino, Vice-President •�� Gym, 54375 Route 25 Glenn Goldsmith o P.O. Box 1179 A. Nicholas Krupski o Southold, NY 11971 Charles J. Sanders ydap Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: David B. Prokop, Esq. on behalf of MATTITUCK PARK DISTRICT requests a Pre-Submission Inspection for a proposed pavilion at Breakwater Beach. Located 5155 Breakwater Beach, Mattituck. SCTM# 1000-99-2-19.1 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 rnatural 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 7_ E m„ may. _zz= ,;, „�• -�27j.. - O: - - _ ---y-- --°_= _ - _ - - =NOTICE- _ een� -COUNTYOF'SUFEOLK ©_ K oas - _-_086` -TorcuoF sotrir)oLu-� SECTION _ c 2 MAN EN KE. ERK 0.N s£00. 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NOTICE ��',r'°mu,�r�>a COUNTY OF SUFFOLK © E D w•++aT soDTRDLD SECTION NO E --"-- --w`-- �*E^^*I��OR All �S Real Property Tax Service Agency Y (� OEAxrPOgtgxtfixE County Center RN .d,NYI1901 N14CE� 99 D na+iw. n w°tr�t N°I"t2 A121Ah1 1" �__ vwimv WrtEx NwssrovtK iNEOt1+�.-. tE iNl A ® 9iNtCl NO -- v9 T 9.n •rantyKQ.` P 1000 PROPERTY MAP L 11 ®®®® Jho --I -Ass s P• r, 9 437 South Country Road • Brookhaven New Yorks 11719 �T" f;C TIN ENGINEERS (631)286-8668 • FAX(631)286-6314 FEB 1 0 2017 ;'_ ? Associates EUGENE F DALY,P E,P T O ETM',PRESIDENT and C.E O CH�ISTOPHER F DWYER RAYMOND G DGIASE P.E,P.T O.E TM" PTPTh',EXECUTIVE VICE PRESIDENT7,r ll,,Tr„l 1 ^--ROBERTA STEELE,P E DANIEL P.JEDLICKA,P L S.,VICE PRESIDENT JAMES L 0eKONING,P E Feb -6;21p(�,� `r�i Ii! __ STEVEN W._4ISENBERG,P E ANDREW B SPEISER Supervisor Scott Russell MATTHEW C JEDLICKA LEED AP Town of Southold PO Box 1179 Southold,NY 11971 RE: TOWN OF SOUTHOLD -MATTITUCK BREAKWATER SHADE SHELTER 5155 BREAKWATER RD. MATTITUCK,NEW YORK(SCTM#:1000-99-2-19.1) LKMA No. 16078.000 Dear Supervisor Russell: On January 18, 2017 the Town of Southold Board of Trustees approved a Wetland Permit (#8950) in accordance with Chapter 275 for the construction of a 25' wide by 40' long steel shade shelter supported by six (6) foundation columns over a proposed 4" concrete slab; and the installation of a 12'x24' (approx.) timber deck fastened to an existing concrete slab attached to the existing lifeguard building. At the same meeting held on January 18, 2017 the Board of Trustees denied the issuance of a Coastal Erosion Permit in accordance with Chapter 111 of the Town Code. This letter and supporting documents are being submitted in accordance with Chapter 111-21 of the Town Code appealing the decision by the Board of Trustees for the following reasons which are based upon Best Management Practice requirements: • Relative to Coastal Policy 4 - The proposed shade shelter's construction shall be consistent with ASCE Chapter 24 Flood Resistant Design& Construction Standards. • Relative to Coastal Policy 6.3 - Although the proposed structure is situated seaward of the Coastal Erosion Hazard Area line, the proposed location has been relocated in an area already accessed by the public. This area where the shade shelter is proposed is surrounded on all four sides by previous development (ground fixed playground equipment, ground fixed barbeques, asphalt parking lot with guiderail and a timber walkway). • Relative to Coastal Polio - The new location is away from existing beach grass and vegetation. There is no presence of tidal or freshwater wetland vegetation in the footprint of the new location or in the immediate areas adjacent to the proposed structure which areas include improvements such as fixed playground equipment, asphalt and a timber walkway. On behalf of the Mattituck Park District our office acknowledges the discretion applied by the i Board of Trustees in the furtherance of the above referenced coastal policies by the issuance of / the Wetland Permit despite the recommendations of the LWRP Coordinator. We respectfully request an appeal of the decision made by the Board of Trustees relative to the issuance of a ® Founded in 1950 LIKARA L. K. McLean Associates, P.C. Coastal Erosion Permit for the construction of this flood resistant shade shelter within a previously developed area of the Breakwater Beach facility in Mattituck. Our office assumes the construction of the proposed timber deck over an existing concrete slab was not part of the decision by the LWRP Coordinator and/or the Board of Trustees. With respect to the application from the Mattituck Park District, Coastal Erosion relief should be granted by the Town Board since the variance criteria set forth in Section 111-20 are in fact met by the proposed project: A. No reasonable, prudent, alternative site is available. The original location was closer to existing grasses and has now been situated in an area surrounded by development. There is no other area that would satisfy ADA accessibility and provide a safe area protected from vehicles in the parking lot (guiderail). B. All responsible means and measures to mitigate adverse impacts on natural systems and their functions and values have been incorporated into the activity's design at the property owner's expense. The proposed shade shelter would be located along a developed area of the beach facility. Due to the absence of ,® vegetated wetlands or submerged aquatic vegetation within the vicinity of the o proposed shade shelter the proposed activity would not cause a fragmentation of C) ecological communities; result in the physical loss, degradation, or functional (� loss of ecological components; or otherwise adversely impact the functions or m values of the surrounding natural systems, including the wetlands or tidal waters LU U_ of the Town. The development will be reasonably safe from flood and erosion damage. L� Although located in the Coastal Erosion Hazard Area the shade shelter structure is proposed in a well enough protected area that various site features such as fixed playground equipment, guide rail,parking lot area, lifeguard building and the wooden walkway of this developed beach shoreline have been successfully maintained for many decades. D. The variance requested is the minimum necessary to overcome the practical difficulty or hardship which was the basis for the requested variance. As discussed with the trustees, the shade shelter has been relocated to an area that was not the applicant's preferred choice, but the applicant understands that the proposed park feature had to be put in an area where other fixed features and surfaces existed. E. Where public funds are utilized, the public benefits must clearly outweigh the long-term adverse effects. Public funds will be utilized in connection with this sponsored project. Breakwater Beach does not have any structure that would provide protection in the event of a fast moving storm/rain event nor shade for residents who cannot tolerate the sun. The benefit that this shade shelter will provide is consistent with the other park features that would eventually surround this flood resistant structure. LIUKA L. I£ McLean Associates P.C® 9 In addition to meeting these variance criteria, the project also meets the criteria for issuance of a Coastal Erosion Management Permit as set forth by Section 111-9 because (a) the proposed shade shelter is reasonable and necessary considering reasonable alternatives and the extent to which it provides safe shelter for the residences who use this municipal waterfront property and would be consistent in nature and location with the surrounding fixed park features and development at the facility; (b) the proposed shade shelter is not likely to cause a measurable increase in erosion at the new location selected at the site; and (c) the proposed shade shelter will create no adverse effects on natural protective features and their functions and protective values or existing erosion protection structures and natural resources. In addition to this application letter for appeal in accordance with Chapter 111-21 for the above referenced property, enclosed are the following for review: 1. Application for Appeal to the Coastal Erosion Hazard Board of Review 2. Board of Trustees Letter of Denial dated January 18, 2017 3. Copy of the Wetlands Permit#8950 issued on January 18, 2017 4. Copy of the Board of Trustee approved Plans dated June 2016 5. Copy of Wetland Permit Submission to Board of Trustees dated September 1, 2016 6. Copy of Revised Site Plan with New Location dated December 1, 2016 7. Check in the amount of$250 made payable to Town of Southold Therefore, for all the reasons described above, we respectfully request that the Town Board grant the applicant the variance relief necessary to construct their shade shelter as it has been applied for and otherwise approved by the Board of Trustees. We trust that this appeal can be filed with your office in order to bring it before the Southold Town Board at their next scheduled meeting on February 14 and subsequently request the Board to set a date for a public hearing a month after their meeting. Should any additional information be needed please do not hesitate to contact this office directly. Very truly yours, CFD:cfd Christopher F. Dwyer,Associate L. K. McLean Associates, P.C. Enc. (7) Cc: Mattituck Park District w/enc. Michael Domino, Chairman Board of Trustees Chairman w/enc. William Duffy, Southold Town Attorney w/enc. D E E Q V E David B. Prokop Esq. w/enc. LKMA File Copy w/enc. FEB 1 0 201 ' Southold Town Road Qf Trustees TOWN OF SOUTHOLD APPLICATION FOR APPEAL TO THE COASTAL EROSION HAZARD BOARD OF REVIEW DATE 2/3/2017 NAME OF APPLICANT: MATTITUCK PARK DISTRICT ADDRESS: 11280 PECONIC BAY BLVD. MATTITUCK, NY 11952 DATE OF DECISION APPEALED FROM JANUARY 18, 2 017 SPECIFIC CHAPTER/SECTION INVOLVED 1-11-12(D) THE ALLEGED ERRORS IN THE DETERMINATION ARE: SEE ATTACHED LETTER INTERPRETATION THAT IS CLAIMED TO BE CORRECT: SEE ATTACHED LETTER RELIEF SOUGHT:Authorization to construct within a nearshore area a fixed 25' wide by 40' long steel shade shelter with six (6) foundation columns six (6) over a proposed 4" concrete slab; and the installation of a 121x24' (approx.) timber deck fastened to an existing concrete slab attached o the existing lifeguard building as defined on plan prepared by L.K. McLean Associates PC, dated June 2016. *COPY OF THE ENTIRE BOARD OF TRUSTEE FILE INCLUDING ANY RELEVANT MAPS MUST BE ATTACHED TO THIS APPEAL r 'I SIGNATURE OF APP CANT EGEoVED FEB 1 0 2017 Southold Toro Board Trustees �oF sorry Michael J.Domino,President �0� Ol0 Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J.Sanders v, .i Southold,New York 11971 Glenn Goldsmith 0 • aQ Telephone(631) 765-1892 A.Nicholas Krups1d IyCOU Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 18, 2017 D [ ! E F E& 1 0 2017 Christopher F. Dwyer L. K. McLean Associates Southold Tovvn 437 South Country Road Brookhaven, NY 11719 RE: MATTITUCK PARK DISTRICT 5155 BREAKWATER ROAD, BREAKWATER BEACH, MATTITUCK SCTM# 1000-99-2-19.1 Dear Mr. Dwyer: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, January 18, 2017 regarding the above matter: WHEREAS, L. K. McLean Associates on behalf of MATTITUCK PARK DISTRICT applied to the Southold Town Trustees for a permit under the provisions of Chapter.111 Coastal Erosion Hazard Areas of the Town Code of the Town of Southold, application x dated September 9, 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 specifically Inconsistent with the following coastal policies pursuant to Chapter 111 Coastal Erosion Hazard Areas of the Town Code: Policy 4 - minimize losses of human life and structures from flooding and erosion hazards, Policy 6.3 —protect and restore tidal and freshwater wetlands, A. comply with statutory and regulatory requirements,of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on October 19, 2016 and again on January 18, 2017, at which time all interested persons were given an opportunity to be heard, and, 2 I✓ E 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, as applied for is located in a beach area as per the Definitions in Chapter 111 Coastal Erosion Hazard Areas of the Town Code and governed by Section 111-12 (D) -All development is prohibited on beaches unless specifically provided for in Chapter 111; and Section 111-6 Definitions: Unregulated Activity— Excepted activities which are not regulated by this chapter include, but are not limited to, elevated walkways or stairways constructed solely for pedestrian use and built by an individual property owner for the limited purpose of providing noncommercial access to the beach; docks, piers, wharves or structures built on floats, columns, open timber piles or other similar openwork supports with a top surface area of less than 200 square feet or which are removed in the fall of each year, normal beach grooming or cleanup; maintenance of structures when normal and customary and/or in compliance with an approved maintenance program, setup and maintenance of temporary wildlife protective structures;planting vegetation and sand fencing so as to stabilize or entrap sand in primary dune and secondary dune areas in order to maintain or increase the height and width of dunes, routine agricultural operations, including cultivation or harvesting, and the implementation of practices recommended in a soil and water conservation plan as defined in § 3, Subdivision (12), of the Soil and Water Conservation Districts Law,provided, however, that agricultural operations and implementation of practices will not be construed to include any activity that involves the construction or placement of a structure, and, NOW THEREFORE BE IT, RESOLVED, for the foregoing reasons, and because the proposed action is located entirely within the Coastal Erosion Hazard Area and in a beach area, and because the proposed action is not permitted in such areas pursuant to Chapter 111 of the Town Code, that the Trustees deem the proposal to install a 25' wide by 40' long steel shade shelter supported by six (6) foundation columns over a proposed 4" (25'x40') concrete slab; and to install an approximately 12'x24' timber deck fastened onto the existing concrete slab that is attached to the existing lifeguard building to be impermissible under Chapter 111, and, BE IT FURTHER, RESOLVED, that for the foregoing reasons, the Board of Trustees DENIES WITHOUT PREJUDICE the Coastal Erosion Permit application of MATTITUCK PARK DISTRICT to install a 25' wide by 40' long steel shade shelter supported by six (6) foundation columns over a proposed 4" (25'x40') concrete slab; and to install an approximately 12'x24' timber deck fastened onto the existing concrete slab that is attached to the existing lifeguard building; and as depicted on the site plan prepared by L. K. McLean Associates, P.C., last dated November 17, 2016, and stamped approved on January 18, 2017. ® C E � V E F E B 1 0 2017 Southold Town Board of Trustees This determination should not be considered a determination made for any other Department or Agency, which may also have an application pending for the same or similar project. Very truly yours, Michael J. Domino President, Board of Trustees MJD/eac RECEIVE 7FE1 0 2017 3 Southold TOM B a d of TrUStC S �oF S®(/Ty Michael J.Domino,President ��� Ol0 Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J.Sanders Southold,New York 11971 Glenn Goldsmith �� �� Telephone(631) 765-1892 A.Nicholas Krupski l�'COU Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 18, 2017 DE E I V E - 0 F E B 1 0 2017 Christopher F. Dwyer L. K. McLean Associates southold Town 437 South Country Road Boar o Tr stees Brookhaven, NY 11719 RE: MATTITUCK PARK DISTRICT 5155 BREAKWATER ROAD, BREAKWATER BEACH, MATTITUCK SCTM# 1000-99-2-19.1 Dear Mr. Dwyer: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, January 18, 2017 regarding the above matter: WHEREAS, L. K. McLean Associates on behalf of MATTITUCK PARK DISTRICT 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 September 9, 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 due to noncompliance to Chapter 111 of the Southold Town Code, Coastal Erosion Hazard Areas, and, WHEREAS, the Board of Trustees has furthered Policies 4 and 6.3 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the proposed steel shade shelter was relocated to an area accessed more by the public in order to help protect the existing beach grass and vegetation that is located around the originally proposed location; and J 2 WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on October 19, 2016 and again on January 18, 2017, 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 MATTITUCK PARK DISTRICT to install a 25' wide by 40' long steel shade shelter supported by six (6) foundation columns over a proposed 4" (25'x40') concrete slab; and to install an approximately 12'x24' timber deck fastened onto the existing concrete slab that is attached to the existing lifeguard building; and as depicted on the site plan prepared by L. K. McLean Associates, P.C., last dated November 17, 2016, and stamped approved on January 18, 2017. 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, D EVLp Michael J. Domino FEB 1 0 2017 President, Board of Trustees Southold lawn MJD/eac oar o Tru tee W/ -'', i irS'°�i ,t"�.:on'e'i o' iyv �:.�•P i°�-:- vF" C�, oi`•.�'dL o,°' i'n`•a:�� "�idenrr'i e;•" y�r;i'a.�. r " �dadq°991 0111 if g19i }P/j v, _— ddeg901 9100° f - d .J'd^9 19 pApO° ._ r�"Tedd°g914 POAOr sf'�( -- �. 990 Pip°0 f - ' 994 ll° r,' �� q1 /j 'a0V �j6 VV A /j6 yy��gV� //°o•. °9 � /pn '491 Py°7 dq1"y POp°°' rn ',,}�`� .Q{�- �!2!,.1.t1nL�;'Jxr.YtSSN'�'f�+tl9T.f,.ry7�;;'r.!£!,ofE�ffLUre,�,�,y.N.".�1,:?k,l:{S'2'n15:::"vs;'='{l°..".4%!e?hN.P.JJ:fell%!''dt_u:Nd?'„rvy,,:�leUr��3:lT.•I..?1:«Jt:..X11^'.?'L',v.L+�wS:�,'+L':G1:r.45.reLh'Yee!'&:?rd'lh'"3?,r::+e!f,:tb'.'_'Itr4,LTJ:�d6.0vbY'V.��4?'d'e!<:l�f!�`xl.!Al.?9�3”���a e}��. BOARD OF;SOUTHOLD TOWN TRUSTEES y SOUTHOLD,NEW YORK PERMIT N0. 8950 DATE: JANUARY 18, 2017 ISSUED TO: M`A'ITITbCK'PARK DISTRICT f, PROPERTY ADDRESS: 5155 BREAKWATER ROAD, e�9 BREAKWATER BEACH, MATTITUCK -SCTM# 1000-99-2-19.1 AUTHORIZATION al�: 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 JanuM 18,'2017,and' in consideration of application fee in-the-sum of$500.00 paid by Mattituck Park District and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of,Trustees authorizes and permits ; } the following: Wetland Permit'to install a 25' wide by-40' long steel shade shelter supported by six (6) _ Nil foundation columns over a proposed 4" (25'x401) concrete slab; and to'install an approximately 121x24' timber deck fastened onto the existing concrete slab that is a „+ attached`t0 the exi'si in g lifegiiard building; and as depicted on the site plan prepared by L. K. McLean Associates,P.C.,last dated November 17,2016, and-stamped'approved ;�' on January 18, 2017e 4� ' . IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. iy` i$V9`'31 Charles J. Sanders' p-'f P, FEB 1 0a 2017 �'e ::atirAd ) r n � 1e9yae9� r. Southold Town ({rC''cHXtisY{Fh"9f!'3A�lrr7N" Sa'�,"a�,;rLT412a,ihSf�7X55'+fiFt�,71n2�t6.cF6 bX`R,v,`7LVSCRY.i�`m°id.uSl�rP."`.q.In71rF�S;;P3� i3AC:"�"a7�wiTti7,',/r�,xXi�;"cT;Rri`f�a`i2Ys5"C� 7�Fr6;Yrii�a��,yr�7t7.5'R,`itJn"97aG' 7�vy7rTr�Sfi`/U7�' a l� `'�: '�;/ ry °: � _ °pP ;!e,m• _- oPA f4`1�°°a^`•,.-`�--�°'°"`°°et""_ �qPY 9°a e �s's;�� P a�'"�^�"�, o'�;e <°a "r�1'""t� °°° '4•'•°d/:d°>,o-dyallr''�' "i,. ::rdi eas.�l. tl��.°•ed°.::°�'4laf� °r d 09e ,�•L P As:;Pidd 9elepele5" ' '� ts:reOd Oe4y�!!tl -0 1'6!°ePrd4 Or09�°-°' t .`.°sea: i°:. 1.;;� •,e-,s „r,''°'•' ° e !' �' fl J^.e. rhe �� __ � .�' .� r .7� ��.✓ ''d:�-...°�Y.'.e'_-}. TOWN OF SOUTHOLD SUFFOLK COUNTY, NY E 0 E � V 0 DTTITUCK BREAKWATER BEACH SHADnjDMAFEB 1 0 2017 DEC 2 2 2016 SHELTER 3 Southo.d Town Southold Town JUNE 2016 Board of-astees Board of Trustees �o �y '#.• Creek 25 Peconic C,00se Cre Pk 8 4e, Laughing Waters R' lk-WA. Cutchogue SITE LOCATION Station L&k Cre" East Nassau Farms xs Com` Waterville - Cutchogu f v New Suffolk � N �, West o `reen Great Peconic Say o Mattituck "�"' 1s �1,,wA o"scup r4 Ave Lucnanding `+°"' -F zs 0 -61 3 SHEET LIST TABLE LOCATION MAP 8/31/20161 QFC wD auENSaNS CFD m N.T.S. DATE 6Y DESCRIPf10N MPROV. 8'Y SHEET NUMBER SHEET TITLE REVISIONS TOWN OF SOUTHOLD T1 LOCATION SHEET SUFFOLK COUNTY NY na 1 PHOTO SHEEP 1W MATTITUSHA ECK ESHE TER AKWATER BEACH �Y N U o= 2 PROPOSED SITE PLAN LOCATION SHEET 3 CAMPION MODEL SHADE SHELTER DETAIL L. K. McLEAN ASSOCIATES, P.C. p O CowsmT"DoomED6 m IOUfM=mm D..MMOP X in"m 11719 N'o 4 TIMBER DECK DETAIL S�Na mm SUFFOLK COUNTY RE/+L PROPERTY TAX MAP o«ia»e Br YCR CF soa. AS NOTED o j DISTRICT: 1000 SECTION: 99 BLOCK: 02 LOT: 19.1 0 YCR oaeK JUNE 2016 Tl App—d W. RGD FPM No. 16078.000 CL f .__� � _ ,.�,_.�_1',aG -�,JIC_; -_�f- `+'Q•"•A.a� '.t.�� .�iy {- ids- ; p4m,w- «yr �` ..a '�R� +►... -yam.. �I � .. --�_ PHOTO NO. 1 PHOTO NO. 2 PHOTO NO. 3 PHOTO NO. 4 PHOTO NO. 5 PHOTO NO. 6 } . s . c y.l PROPOSED SHADE SHELTER r < 1�4 r PROPOSED TIMBER DECK 3 (TO OVERLAY EXISTING L CONCRETE PATIO) 2 0 I � F E B 1 0 2011 11V I Southold Town ♦ -d of Tr P4 Ono R CFD m t / DATE BY DESCRIPTION APPROV. BY v : /y f^!-+�• REVISIONS TOWN OF SOUTHOLD ` y � ♦ •� SUFFOLK COUNTY NY Ead MATTITUCK BREAKWATER BEACH N U SHADE SHELTER oSITE PLAN 0LEGEND6 SCALF PHOTO SHEET C 2'x`•6 to DIRECTION OF PHOTO TAKEN 0 80 160Feet f DEC 2 2 L. K. MCLEAN ASSOCIATES, P.C. oCaeuna owr,ma an I"COWM m..MDOKMVM in Y=,nu m EO D..,a.e er• YCR/CF s..i. AS NOTED sn.w ND' r'o $DathJid lug v orvm s,- YCR Dot« JUNE 2016 o ar'c{TTu es a _. Avpw.e W. RGD fn.No. 16078. 00 I 'APPROVED BY BOARD OF TRUSTEES ..TOWN OF SOUTHOLD OF 'TE 7 cP0 DA 17 FM. L � 10� /yon / o« Fy 7S ` \ 101 �0� , F % © `' T MBER DE KPROPED T 00 BSE FASTENED TO - �0 �' EXISTING CONCRETE SLAB. �F SIZED IN ACCORDANCE WITH s EXISTING INSTALLATION \\ (Wo (SEE DETAILS) NOTE: PROPOSED 25'X40' �� Z AFTER THE CONST UCTION P SHALL EINSTALLED OF TIMBER ? _ 1 -4SHADE SHELTER & 4y 1-0 j Ln DECK. 6 I'd FFE 0.5 ABOVE 2\�, HN2" ADJACENT GRADE �o3B� E S FFE ESTIMATED AT 9.5' WITH A.D.A. WOOD 4yZ5 v t4�, z '�-����, 441' ° �p tJWALKWAY 9�'D ` `'� LEGEND -►-o '0 D; s-N (SEE DETAILS) ' k t i N° • =PIPE o =UTILITY POLE -M=MONUMENT P� rya► ® =PROPOSED PAVILLION POSTS a ,60t OVS / CHAIN LINK FENCE o $ D.�� --.--- = SPLIT RAIL / .PICKET FENC a — 3&g!<.65 „ spa �-�-.— = WOOD & VIYNL FENCE vM)lv321s Moo t>ti os , � of �avoa �� �O� SH�HZI17 N y L T* a p //// �✓ 11/17/2016 LNY REIDCATED 9NDE SHELTER CFD a/21/lie LFlC ADD DIMENSKINS CF7) p. B/25/2016 MGI ADDED FW6HE0 FLOOR ELEVATION CFD j ^ DATE BY DESCRIPTION APPROV.BY E REVISIONS FEB 1 0 2017D E C E TOWN OF SOUTHOLD 0 SUFFOLK COUNTY NY E0 b MATTITUCK BREAKWATER BEACH M 0 Southold Town DEC 2 2 2016 SHADE SHELTER frro � PROPOSED SITE PLAN SITE -PLAN to 0 o SCALE-17-150' - Sc`,t►old Triwn L K. MCLEAN ASSOCIATES, P.C. N.T CONVAnN DNNWA W CM 00WW R wom"K m vm 11711 i 0 150 300 Board Qf Trus ees Se.m Na Feet DWynd Br• YCR/CF soma AS NOTED p Dn Dl. YCR Ddc JUNE 2016 2, ei a J - _de• k -i + f�`S v `a R . r�r 1 x APPS W. RGD FDs No.16078.000 2s.o' 24 GA HR-36 STEEL ROOF 2s.o' 24 GA HR-36 -n RAFTER BEAM o STEEL ROOF 24 GA HR-36 4o D I STEEL ROOF 10"x10" COLUMN 1a� RAFTER FRAME RIDGE BEAM ORNAMENTATION PERIMETER BEAM GUTTER & GUTTER & 4 DOWNSPOUTS MID BEAM 7.5'+/— '-5. 10"x10" COLUMN 4 DOWNSPOUTS GUTTER RAFTER FRAME 10"x10" COLUMN EXTENSION BEAM PLAN VIEW DETAIL ELEVATION DETAIL END ELEVATION DETAIL N.T.S. N.T.S. N.T.S. 10'x10' COLUMN 10'x10' COLUMN D f� C, E Q V E EXPANSION MAIL HAND HOLE W/ COVER EXPANSION MAT'L HAND HOLE W/ COVER L 1g'. -1, CONCRETE SLAB HEX NUT, HEX NUT. FINISHED FLOOR WASHER do BASE WASHER & BASE ELEVATION SET 6' FEB 1 0 2017 PLATE GRADE PLATE ABOVE ADJACENT y 1�' GRADE (ESTIMATED 0 ELEVATION 9.5') �. A. • i. 4.' �. • •- —•• i •'• • ., Southold TOWn a Tru e 2 5' •x12' A-36 ALL THREAD 'I — r OPTIONAL RCA I I, , . I I- 2500 PSI CONCRETE BY CONTRACTOR wA-BOLT W/ (2) HEX STUB ELEC ALL THREAD (6)#5 VERTICAL REBAR NUTS & 8 MIN EMBED ., i- A-BOLT W/ (2) s BY CONTRACTOR _ ��LOOCAL C DENDUIT Q 5 0' HEX NUTS & B . •', #3 HORIZ REBAR TIES =L= SEE COL DTL MIN EMBED BY n 10' OC (3) O 5' OC O 8/31/2018 LFD ADD DDAENSIONS CFD -i CONTRACTOR a TOP OF FOOTING m NON-EXPANSIVE, PLAN 8/23/2018 MW ADM FlNLSHED FLOOR FIEVATXIN CFD 250D PSI DATE FK DESCRIF7IDN AFPROV.BY UNDISTURBED OR CONCRETE BY (5) #5 REBAR EACHWAY TOP .• REVISIONS • 95% COMPACTED CONTRACTOR ��• " BorroM SUBGRADE L .I;;�— • I_ sru6 ELEC � ��� TOWN OF SOUTHOLD 3_ {tom �', ' Ed SUFFOLK COUNTY. Y CAISSON FOOTING DETAIL II- LCONDUIT PEROCAL CODE I —'� MATTITUCK BREAKWATER BEACH o C N.T.S. NON-EXPANSIVE, i 3' SEE COL DTL rn, I N U UNDISTURBED OR 2' D PLAN , iSHADE SHELTER o. 95% COMPACTED SPREAD FOOTING DETAIL - CAMPION MODEL SHADE 1 o SUBGRADE N.T.S. I DEC 2 2 2016 SHELTER DETAIL L- IC McLF—AN ABBOCIATIES, P.C. Seuthald lown °'°0° EoaT�i{Tr;;tn;g �+vod W. YCR/CF see AS NOTED Shad N0• V V Dm Bea YCR Datc JUNE 2016 3 BY RGD FM Na 16078.000 24' +/ 2"x6" PRESSURE TREATED RAILS B 2"X6" PRESSURE TREATED m m 2"x6" ACQ SLEEPERS RAILING CAP W/ CHAMFERED EDGE 2"X6" FLOOR JOISTS ® 16" O.C. W/ H8 I I TIMBER GUARDRAIL HURRICANE STRAPS 1'-9" 2"X6" PRESSURE TREATED RAILS 3'-6" 1, I I 2"X6" PRESSURE A TREATED DECKING 4"x4" PRESSURE 12' TREATED RAILING / I 2"X6" FLOOR JOISTS ® 16" POST 1 I I O.C. W/ H8 HURRICANE STRAPS 2"X6" PRESSURE d 2"X6" ACQ SLEEPERS 2 TREATED DECKING " EXISTING CONCRETE SLAB ON GRADE SECTION B-B DETAIL N.T.S. TIMBER DECK PLAN DETAIL N.T.S. 2"X6" PRESSURE TREATED RAILING CAP W/ CHAMFERED EDGE T TIMBER GUARDRAIL I I jD E E O ° n r r) 3 2nX6 PRESSURE 1 —9 N TREATED RAILS o " " FEB 1 0, 2017 2X6 PRESSURE I I 3611 TREATED DECKING Southold Town 2"X6" FLOOR JOISTS 1,-9„ OggrdolTrustoes ® 16" O.C. W/ H4 3 HURRICANE STRAPS Y ° STAGGERED "� GALVa/ai/so16 you DIMUSa+S CFD . m ° 1 IL AL D�� er BER BOLTS DDarwx Awaaay.BY W/ PLAME WASHES n rDI� � �� E REVISIONS y AND HEAVY HEX NUTS 2 TOWN OF SOUTHOLD SUFFOLK COUNTY NY E ° 2"x6" ACQ SLEEPERS 0 1 MATTITUCK BREAKWATER BEACH ,a- 4"X4" PRESSURE TREATED POST 00 EXISTING MECHANICAL THRU BOLTED W/ J-0 cALv. 201 SHADE SHELTER o°-' CONCRETE SLAB FASTENERS AS CARRIAGE BOLTS WITH PLATE TIMBER DECK DETAIL 1.0 ON GRADE REQUIRED WASHERS AND HEX NUTS -- Southold Town L K. McLEAN ASSOCIATES, P.C. SECTION A-A DETAIL boar f Trustees comma.D DxO ,ISI WM C=ff Q.WMA I=V=11711 ° n D«%rra Dy: YCR/CFj scdc AS NOTED s NO N.T.S. 4 Dm."er. ee YCR D" JUNE 2016 o/ w..e Dr. RGD F9.Ib 16078.000 1 LIURA L. K McLean Associates, R 437 South Country Road • Brookhaven NeN\ York o 11719 CONSULTING F_,NGII TERS (631)286-8668 o FAX(631)286-6314 Associates EUGENE F.DALY,P E-P T O E T'",PRESIDENT and C E 0 CHRISTOPHER F.DWYER RAYMOND G DiBIASE,P E,P T 0 E-'",PTPT'-1,EXECUTIVE VICE PRESIDENT ROBERT A STEELE P E DANIEL P JEDLICKA P L S,VICE PRESIDENT JAMES L DeKONING P.E. STEVEN W EISENBERG P E. ANDREW B SPEISER September 1, 2016 MATTHEW C JEDLICKA LEED AP Mr. John Bredemeyer 54375 Main Rd. P.O. Box 1179 COPY Southold,NY 11971 OD RE: TOWN OF SOUTHOLD - MATTITUCK BREAKWATER SHADE SHELTER MATTITUCK, NEW YORK LKMA No. 16078.000 Mr. Bredemeyer: Thank you for consideration of the pending permit for our client, the Mattituck Parks District. In response to your recent determination, we are re-submitting, on their behalf, a complete application package, in support of an application for a Wetlands/Coastal Erosion Permit to construct a shade shelter and a timber deck fastened to an existing concrete slab. Enclosed herewith for your review,please find the following: 1. Completed Wetlands/Coastal Erosion Permit Form 2. Signed 30-Year Maintenance Agreement 3. Short EAT 4. Draft Mailing Notice&Notice to Adjacent Property Owner(hill be.fnalized and sent out when hearing date is assigned) 5. Application Affidavit 6. Agent Authorization 7. LWRP Consistency Assessment Form 8. Drawing Set, including site plan and details/dimensions of proposed structures (4 copies) 9. Property Survey performed by Peconic Surveyors,P.C. (4 copies) If you have any questions or require additional information,please feel free to contact me. Very truly yours, CFD:Ifc Christopher F. Dwyer,Associate L. K AkLean Associates, P C Enc. (8) Cc: Commissioner Michael Ryan, Mattituck Parks District w/enc. RE— EV ELKMAFileCopy w/enc. 1 0 2011 Southold Town • Founded in 1950 ° Bard of Trustees p� SOU7 John M.Bredemeyer III, President ��� ypl Town Hall Annex Michael J.Domino,Vice-President 54375 Main Road rt Ali P.O. Box 1179 James F.King, Trustee «, Southold, New York 11971-0959 Dave Bergen,Trustee ��� yo, Telephone(631) 765-1892 Charles J. Sanders,Trustee 'f6'OU0 � , Fax(631) 765-6641 BOARD OF TONT TRUSTEES TOWN OF SOUTHOLD WETLAND or WETLAND-COASTAL EROSION APPLICATION CHECKLIST Completed Application — Original plus three (3) copies containing all of the following: 'Detailed project description (pgs. 2, 6, & 16) including dimensions or square footage of all proposed or existing structures. See § 275-6. Short Environmental Assessment Form through pg. 3 (Part 2 -for office use only). ® Authorization Form to be completed and notarized by current property owner. ❑ Agent Authorization (where applicant is not the owner) to be completed by current property owner. x❑ Applicant/Agent/Representative Transactional Disclosure Form to be completed by homeowner and any agent/representative. x❑ LWRP Consistency Assessment Form. ® Survey of property in its current state. See § 275-6. © Project Plan must be to scale, with dimensions and a side elevation view. See § 275-6. x❑ Photographs current photos of subject area. See § 275-6. ❑x Application Fee for a Wetland Permit is $250.00. Application fee for a•Wetland Permit & a Coastal Erosion Permit is $500.00. Check made payable to: Town of Southold. The applicant is responsible for staking/marking out the proposed project prior to the date of the Board of Trustee Field Inspection. > Upon receipt of a completed application to this office, the project will be reviewed by the Building Department. If the project requires a Zoning Board of Appeals --- variance, the application will be held until a determination ' _ E E B 1 0 2017 Southold Town B artl of Trus ee _ SQ(/Th, Town Hall Annex John M.Bredemeyer III, President Michael J.Domino,Vice-President 54 P.D.Main Road I' Jr .O. Box 1179 James F.King,Trustee N Southold,New York 11971-0959 Dave Bergen,Trustee G`. `� Telephone(631) 765-1892 Charles J.Sanders,Trustee �f C®U ` ; Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Application _Wetland Permit Application _Administrative Permit —Amendment/Transfer/Extension _Received Application: _Received Fee. _Completed Application: _ _Incomplete: _ _SEQRA Classification: Type I Type 11 Unlisted —Coordination-(date sent): _ _LWRP Consistency Assessment Form: _GAC Referral Sent. _ _Date of Inspection- -Receipt of CAC Report-, _Lead Agency Deterniination- Technical Review: _Public Hearing Held. Resolution: Name of Applicant: _ MATTITUCK PARK DISTRICT Nailing Address: 11280 PECONIC BAY BOULEVARD P O BOX 1313, MATTITUCK,NY 11952 Phone Number: 631-298-9103 Suffolk County Tax Map Number: 1000- 99-02-191 Property Location: NORTH TERMINUS OF BREAKWATER ROAD,WHERE THE ROAD MEETS THE LONG ISLAND SOUND DIRECTLY WEST OF THE MATTITUCK INLET. D E E V E (provide LILCO Pole#, distance to cross streets, and location) AGENT: CHRISTOPHER F DWYER,L.K.MCLEAN ASSOCIATES F E B 1 0 2017 (If applicable) Southold Town Address: 437 SOUTH COUNTRY ROAD,BROOKHAVEN,NY 11719 Board of Trustees - Phone: 631-286-8668 1 , —yard of Trustees Applicatik.;&a GENERAL DATA Land Area(in square feet): 952,748 SF Area Zoning: RESIDENTIAL R-80 Previous use of property: PARK J Intended use of property: PARK' 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? x 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 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? x Yes_ No Prior pernmits/approvals for site improvements: Agency Date NYSDEC-1-4738-01061/00003 EFFECTIVE 8-24-2016 THROUGH 8-23-2021 No prior permits/approvals for site improvements. Has any pen-nit/approval ever been revoked or suspended by a governmental agency ? x No Yes~ If,yes, provide explanation: _ E Ly V FEB 1 0 2017 Project Description (use attachments if necessary): _ _ Southold coven THE MATTITUCK PARK DISTRICT IS PROPOSING TO INSTALL A 25'WIDE X 40'LONG STEEL Roa steas (POWDER COATED.I E WEATHER RESISTANT)SHADE SHELTER AT THE NORTH-WEST OF THE EXIS r UILLANU r� AND TO-F-URNtSH-flM -6-&NCRETE-PAT1O T1ACE1-t6-TtSTING LIFEGUARD BUILDING AS AS SAFETY MEASURE,TO PROTECT PARK PATRONS: NO OTHER DISTURBANCE OF LAND IS NECESSARY OTHER THAN FOR THE SIX(6)FOUNDATION COLUMNS FOR THE PROPOSED SHADE SHELTER.THE WORK IS PROPOSED SEAWARD OF THE COASTAL,HAZARD EROSION LINE(CEHL)BUT DOES NOT,INTERFERE WITH ANY PROTECTIVE DUNE OR COASTAL FEATURE-THAT WOULD DAMAGE THE EXISTING FEATURES IN FRONT OF AND-BEHIND THE CEHL. THE-ST-RUGi-I RE-WtL-�ROPE-RL-Y-MA-NUFACTURED,ENGINEERED AND INSTALLED-BOTH TO EFFECTIVELY WITHSTAND CEHA AREA FORCES AND TO MAXIMIZE LIFESPAN', _yard of Trustees ApplicatLL,;. W ETLANDITRUSTlE>E LANDS APPLICATION]DATA Purpose of the proposed operations: THE MATTITUCK PARK DWS-TRLCT_G KS7O FNHANCE T IE-SAFETY nF PARK PATRONS,'ESPECIALLY YOUNG'CHILDREN,SENIORS,AND THOSE WITH MEDICAL CONDITIONS. BY PROVIDING A SHADE STRUCTURE,USAGE AND ENJOYMENT OF EXISTING PUBLIC PARK WILL BE INCREASED. THE TIMBER 1D G INU VVILL Z) VET >;TINCONCRETEiNG TRI S AND THE POTENTIAL FOR SEVERE CONSEQUENCES SUCH AS HEAD INJURIES.A HANDRAIL,DESIGNED TO BE IN HARMONY WITH THE NATURAL SURROUNDINGS,WILL ALSO BE PROVIDED. Area of wetlands on lot: ZERO _ square'feet Percent coverage of lot: ZERO _ _ Bio Closest distance between nearest existing structure and upland edge of wetlands: _-- +383' —--- feet Closest distance between nearest,proposed structure and upland edge of wetlands: 1313' —feet Does the project involve excavation or filling? No X Yes If yes, how much material will be excavated? s _,cubic yards 0 ds How much material will be filled?, cubic yar1 3+,_ si Depth of which material,will be removed.or deposited: FEB 1 0 2011_ feet I Proposed slope throughout the area of operations: 1% Seu�ha6d Torn and oi Tr ,t e Manner in which material will be removed or deposited: MATERIAL WILL BE EXCAVATED BY THE USE OF AN EXCAVATOR ALL EXCESS MATERIAL FROM FOUNDATION INSTALLATION SHALL BE REMOVED FROM SITE AND DISPOSED OF OR RE-USED IN ACCORDANCE WITH ALL APPLICABLE F2EGULATIONS 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 SHADE STRUCTURE TO BE INSTALLED HAS BEEN USED SUCCESSFULLY AND WITH NO ENVIRONMENTAL HARM NATIONWIDE IN COASTAL AREAS.THE TYPE'OF EXCAVATOR TO PERFORM ASSOCIATED EXCAVATIONWILL BE SUITABLE FOR USE ON SAND'WITH MINIMAL DISTURBANCE OF ADJACENT AREA.CONSTRUCTION MEANS AND METHODS WILL BE IN ACCORDANCE-WITH ALL RELEVANT COASTAL-CONSTRUCT ON-AND EROSl9Al S9A1T-ROL—GUIDELINES AND REGULATIONS. THE TIMBER RE-FACING OF EXISTING CONCRETE PATIO WILL SERVE TO ENHANCE THE NATURAL AESTHETIC OF THE PARK AND DISTURB NO GROUND, IT IS NOT ANTICIPATED THAT THERE WILL BE ANY-I—m-PT(T`fes DA __ LOCATED, ATED V_0R 300'FROM PROJECT AREA,EITHER.DURING OR AFTER CONSTRUCTION. z.6ard of Trustses Applicata w COASTAL EROSION APPL,ICAI'ION DATA Purposes of proposed activity: TO ENHANCE THE SAFETY OF PARK PATRONS Are wetlands present within 100 feet of the proposed activity? X No Yes Does the project involve excavation or filling? No X Yes If Yes, how much material will be excavated? 6 (cubic yards) How much material .will be filled? 6 (cubic yards) Manner in which material will be reiiloved or deposited: _ _ MATERIAL WILL BE DEPOSITED IN A TRUCK AND REMOVED FROM SITE AT TIME OF EXCAVATION Describe the nature-and extent of the environmental impacts to the subject property or neighboring properties reasonably anticipated resulting from implementation of the project as proposed, including erosion increase or adverse effects on natural protective features. (Use attachments if necessary) THERE WILL BE NO ANTICIPATED EROSION JNCREASE OR ADVERSE-EFFECTS ON NARURAL PROTECTIVE,FEATURES - - FEB 1 0 2017 SoU;1104d Town ark o Trus ee ' i s !i s7•:. ��i IgSOUT Town Hall Annex John M.Bredemeyer III,President X10 y0 ,`O �® Michael J. Domino,Vice-President 54375 Main Road 1, r P.O.Box 1179 James F. King,Trustee '; ( Southold,New York 11971-0959 Dave Bergen,Trustee j,' a Telephone(631) 765-1892 Charles J. Sanders,Trustee ��r �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES i" TOWN OF SOUTHOLD D �� 30-YEAR MAINTENANCE AGREEMENT FEB 1 0 2017 EROSION PROTECTION STRUCTURES CHAPTER I1`d-15 OF THE SOUTHOLD TOWN CODE Southold Town ar of Trus ee ' I (We) COMMISSIONER MICHAEL RYAN,ON BEHALF OF MATTITLICK PARK DISTRICT The owners of record of property at: BREAKWATER BEACH PARK SCTM#1000- 099 02-19.001 in applying for a Coastal Erosion Permit for an erosion protection structure do hereby agree to a 30-Year Maintenance program for a structure as described: PROPOSED SHADE SHELTER AND TIMBER DECK as shown on the attached licensed survey and/or site plan for the approved structure, It is my/our understanding that we are to maintain this structure with materials designed to endure 30 years and/or equivalent to the original approved structure. Any maintenance which involves more than 50% of the length of this structure requires approval of the Board of Trustees. We further understand that failure to maintain the structure could result in a requirement to post a bond and/or have the repairs ordered as a lien against the property upon a finding by the Board of Trustees that said'lack of maintenance would risk life, property or importarA natural r our at s V I I ariz si at of rec rd--- Notary Public B.PROKOP Notary Pu lie,State of Now York Qualified in Suffolk County No 4977533 Ally commission Expires Feb.04.20.4e This maintenance agreement shall only be valid upon the attachment of a licensed land survey/and or site plan made within one year of the original construction and validated to show the final approval of the administrator. tt 1 John M.BredemeY er III President Town Hall Annex �` ,� �% ' Michael J.Domino,Vice-President 1t'� ' �� 54375 Main Road P.O.Box 1179 James F.King,Trustee P Yax,m fi Southold,New York 11971-0959 Dave Bergen,Trustee , -� Telephone(631) 765-1892 Charles J.Sanders,Trustee ,� cf `e= "� .�i Iti' Fax(631) 765-6641 eQ(ll�i'(,�� ,i ' BOARD OF TOWN TRUSTEES D Q V E TOWN OF SOUTHOLD F E B 1 0 2017 30-YEAR MAINTENANCE AGREEMENT EROSION PROTECTION STRUCTURES Southold Town CHAPTER 111-1 a OF THE SOUTHOLD TOWN C Board of Trustees I (We) MATTITUCK PARK DISTRICT The Owners of record Of property at: BREAKWATER BEACH PARK SCTM#1 000_ 099 02-19 001 in applying for a Coastal Erosion Permit for an erosion protection structure do hereby agree to a 30-Year Maintenance program for a structure as described: PROPOSED SHADE SHELTER AND TIMBER DECK as shown on the attached licensed surrey and/or site plan for the approved structure. It is my/our understanding that we are to maintain this structure with materials designed to endure 30 years and/or equivalent to the original approved structure. Any maintenance which involves more than 50% of the length of this structure requires approval of the Board of Trustees. We further understand that failure to maintain the structure could result in a requirement to post a bond and/or have the repairs ordered as a lien against the property upon a finding by the Board of Trustees that said lack of maintenance would risk life, property or important natural resource features. Notarized signature of owne of record Notary Pubro DAVID B PROKOP Notary Public,state of Newyork Qualified in Suffolk county MY commission Expires Feb.04,20 6� This maintenance agreement shall only be valid upon the attachment of a licensed land surrey/and or site plan made within one year of the original construction and validated to show the final approval of the administrator. %\ John M.Bredemeyer 111,President _'0(jTown Hall Annex 64375 Main Road Michael J.Domino,Vice-President P.O.Box 1179 James F.King,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee Telephone(631) 765-1892 Charles J.Sanders,Trustee Fax(631) 765-6641 U Im BOARD OF TOWN TRUSTEES n]D E 1 V7 E TOWN OF SOUTHOLD F E B 1 0 2017 30-YEAR MAINTENANCE AGREEMENT Soatholdlovm EROSION PROTECTION STRUCTURES Board of Trus.W5 CHAPTER 'I'I 1-15 OF THE SOUTHOLD TOWN CODE I (We) MATTITUCK PARK DISTRICT The owners of record of property at: BREAKWATER BEACH PARK SCTM#1 000- 099 02-19 001 in applying for a Coastal Erosion Permit for an erosion protection structure do hereby agree to a 30-Year Maintenance program for a structure as described: PROPOSED SHADE SHELTER AND TIMBER DECK ,as shown on the attached licensed survey and/or site plan for the approved structure. It is my/our understanding that we are to maintain this structure with materials designed to endure 30 years and/or equivalent to the original approved structure. Any maintenance which involves more than 50% of the length of this structure requires approval of the Board of Trustees. We further understand that failure to maintain the structure could result in a requirement to post a bond and/or have the repairs ordered as a lien against the property upon a finding by the Board of�Tri stgee6s"th sai ck of maintenance would risk life, property or important na�r6l resource f6atures. arized signature of owner of reo6rd Notary Public A B.PR OKOP Notary tate of New York ualifid uffalk County No.4 533 My Commission ExpiFes Feb.04,20., This maintenance agreement shall only be valid upon the attachment of a licensed land survey/and or site plan made within one year of the original construction and validated to show the final approval of the administrator. 61 Z 2,0 Appenilix B Short Environmental A'ssessnzent F'orni Instructions for Completing Part I -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based oninformation currently available. If additional research of investigation would be needed tom respond to any item,please answer as thoroughly as possible based on current information. i� Ij� Complete all items in Part 1. You may also provide any additional information which y ' Le_E., to the lead agency;attach additional pages as necessary to,supplement any item. Part I -Project and Sponsor Information F11',FFEB 1 0 2017 1 Name of Action or Project. Southold Town MATTITUCK BREAKWATER BEACH SHADE SHELTER Boaid of 1rustees Project Location(describe;and attach a location map) NORTH TERMINUS OF BREAKWATER ROAD WHERE THE ROAD MEETS THE LONG-ISLAND SOUND DIRECTLY WEST OF THE MATTITUCK INLET. Brief Description of Proposed Action, THE MATTITUCK PARK DISTRICT IS PROPOSING TO INSTALL A 25'WIDE X 40'LONG STEEL(POWDER COATED LE WEATHER RESISTANT)SHADE SHELTER AT THE NORTH-WEST OF THE EXISTING LIFEGUARD ? BUILDING AND TO FURNISH TIMBER DECKING ON TOP OF AN EXISTING CONCRETE PATIO ATTACEHD TO EXISTING LIFEGUARD BUILDING AS AS SAFETY_ MEASURE TO PROTECT PARK PATRONS NO OTHER DISTURBANCE OF LAND IS NECESSARY OTHER THAN FOR THE SIX(6)FOUNDATION COLUMNS FOR THE PROPOSED SHADE SHELTER Name of Applicant or Sponsor- — —^ Telephone' 631-298-9103 MATTITUCK PARK DISTRICT E-Mail MATTPARKDIST@OPTONLINE NET Address. ~- -- --- ---------- -- 4 11280 PECONIC BAR BLVD P O BOX 1413 State, j Zip Codc: MATTITUCK I NY 11952 1. Does the proposed action only involve the Iegislative•adopt ion of a plan,local lar ,ordrnanc•e, Nd YES administrative rule or regulation? 1 If Yes,attach a narrative description of the intent of-the pohosed action and(lie environmental resources that may be affected in the municipality and proceed to Part 2 If no,contuxre to questr,n 2- 2. Does the proposed action require a pernn'a,approval or funding from any other governmental Agency.? i NO YES If Yes_ list agency(s)name and permit or approval: ❑ ❑ NYSDEC TIDAL WETLANDS APPROVAL RECEIVED l j 3 a Total acreage of the site of the i yopcsed action? 21 87 2cres b Total acreage to be physically disturbed? <010 acres c Total acreage(project site and any-contiguous properties)owned nr controlled by the applicant or project sponsor? 21.87 acr e;, 4. Check all laird rises that occur on, adjoining and,near the proposed action ❑Urban ❑Rural (non-agriculture) ❑Industrial ❑Commercial El Residential (suburb�m) ElForest ❑Agriculttuc El Aquatic ❑Other (specify): j ®Parkland — — - Page I cf'4 5, Is the proposed action, NO VF,S N/A a. A permitted use under the zoning regulations? ❑ X❑ ❑ b.Consistent with the adopted comprehensive plan? ❑ ❑X ❑ 6 Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ X❑ 7, is the site of the proposed action located'in,or does it adjoin,a state listed Critical Environmental Area? NO YES' If Yes,identify: — F I ❑ 8. a.WilI the proposed action re§alt in a-substantial increase in traffic above present levels? NO YES b. Are public transportation service(s)available at or near the site of the proposed action? ❑ ❑ c.Are any pedesti ian accommodations or bicycle routes available on or near site of the proposed action'' X 9. Does the proposed action meet a•exceed the state energy code requirements NO VES If the proposed action will exceed requirements,describe design features and t los` NOT APPLICABLE ! 10. VViII the proposed action connect to an existing public/private water suppl I FEB 1 O VES 1 2017 • If Na describe method for providing potable water NOTAPPLICA LE — El 1, 11.Will the proposed action connect to existing wastewater utilities" B ar of Trustees I NO V1LS If No,describe method fur providin-wastewatct Itcauncnt NOT APPLICABLE 12 a. Doe;;the sile,conlain a structure'that is listed on either the State or National Registe! of I lista is NO IIEIS, P1aLeti! I , b Is the propotiEd action located in an archcolo ict l scnsitnc area" ❑ ❑ 1; 1 Dees any portion of the site of the proposed action,or lauds adjoining tht: proposed action.contain� — NO _VES_ wetlands a ether watei bodies regulated by a federal,state or local agency? EXI b Would the proposed;fiction physically alter,or encroach into,any e\rsting wetland or watc-rlhnd� � rXul Elif 1'�s identity th, wetland of %vaterbody and ealew of alteialions in ;quare feet or acres __--- 14. Identify the fivpical habitat types that occur on,or arc likely to be found on the piojecl site Checl, all that apply: ®Shoreline ❑Forest ❑Agi tculluu al/grasslands ❑Eat lymid-successional ❑ WetlanJ ❑Urban ❑Suburban 15 Does,the site of the proposed action contan-,anv species of animal,c,r associated habitats. listed NO� VES by the State or Federal government as till catened a endan eied?, 16. is the.pr6lect site located in the 104 year flood plain? ISO YES 17 Will the proposed action create storm water discharge•cither from point or non-point sources? NO YES I f Yes. ! r� Ela Will Storm water discharges flow to adjacent properhzs? F-1NO OYES [X:1 b. Vilill steam water discharges be directed to establ!shed conveyance systems!runoff and storm drains)? If Yes,briefly describe: ❑NO OYES 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.ietention 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 of NO YES completed)for hazardous waste? If Yes,describe. — _ LJ I AFFIRM THAT TIME INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BF`T OF MY KNOWLEDGE CHRISTOPHER F DWYER,L K.MCLEAN ASSOCIATES Applicant/sponsor name: llatc. 1 I' Signature Fart 2-Impact Assessment. The Lead Agency is responsible foi the completion of Part 2. Ans%ver all of the following questions in Part 2 using the information contained in Part I and other materials submitted by t15e`project sponsor or otherwise available to the ieviewcr When answeiing(he questinnS the revre W> - ncept"Have my res oases been reasonable consider ing the scale and context of th pr{m. ' a ,nom t1 p U 1,V -- --- --- — 01A , or ModerateFEB 1 0 2017 1l to urge Em ad impact rna - .may I{ `-- -- _ Snirtttold Town OCC 11' OCCUt' -- I 1' II the proposed action cicite a material conflict with an ad pied land us dfRrf1 j g )� I � regulations" i Will the proposed action result in a change ill the use or intensity of use of land" — ❑ -- I I 3. Will the proposed action impair the charactei or Llualit} of the existing comnnmit�? 4 Will the proposed action have an inlpacl'on the envn-or,nlental chaiacteristres that caused the ( ❑ ❑ establishment of a Critical Environmental Area(Cf.A)? l - - -- - 5. Will the proposed action result in an adverse change in the existing level of u-aftic or (� affect existing infrastructure for mass transit, bikingEl of walkway? (—J 6 Will the proposedaction cause an increase in the use of energy and it fails to incorporate (� F1*ieasonably available'energy-con servation(or renewable energy oppoitun itiCS" L` l 7 Will lhe,pioposed action impact existing: f I a. public/private water supplies? ! b. public/pi ivate wastewater treatment utilrtieS? ❑ ; ❑ u. Will-the,proposed action impair the chWkterol quality of important historic.archaeological EJ El or aesthetic resouices? 9. Will the proposed action result in an adverse,change to natural resources(e.e, wetlands. ❑ —r ❑ wateibodies,groundwater,air quality,floia and fauna)? L-1 Page'3 ol'A No,or I Moderate small i to lnrge impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion;flooding or drainage + ❑ problems? 11. Will the proposed action create a hazard to environmental resources_of human health? F-1 n Part 3-Determination of significance. The Lead Agency is responsible for the,completion of fart 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. Pant 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 of will not be significant.Each potential impact should be assessed considering its setting,probability ofoccurring,, duration, irreversibility,geographic scope and magnitude Also consider the potential for short-term long-term and cumulative impacts n]D E C(1' E E FEB 1 0 2017 Southold Town Board of Trustee (� Check this box if you have determined, bused on the information and analysis above,and any supporting documentation, t� that the proposed action may result In one or more potentially large or significant adverse rnpact:and an J environmental impact statement IS required Check this boy ifynu h?ve deleimined,'based on the information and analysis above,-and any supporting documentation. that the piuposed action will not result in any significant adverse envnonmental impacts. Town of Southold Narne of Lead Agency Date President Print of Type dame of Responsible Ofiicei in (,cad Agency Title of Responsible Qfficei Signatufe of Responsible Officer in Lead Agency Signature of Pieparei (ifdifiereni from Responsible Officer) PRINT _I Page 4,of 4 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: C E I V E FEB 1 0 2017 & Southold Town Board of Trustees STATE OF NEW YORK COUNTY OF SUFFOLK COMMISSIONER MICHAEL RYAN _, residing at 11280 PECONIC BAY BLVD. P.O BOX 1413,MATTITLICK, NY 11952 , being duly sworn, deposes and says that on the day of _, 20 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at ,that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this Day of __ 20 Notary Public NOTICE TO ADJACENT PROPERTY OWNER D FEB 1 0 2017 BOARD OF TRUSTEES, TOWN OF SOUT_HOLD In the matter of applicant: Southold lows ar of Trustees MATTITUCK PARK DISTRICT-BREAKWATER BEACH SCTM#1000-099 02-19.001 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 SHADE SHELTER AND RE-FACE EXISTING CONCRETE PATIO WITH TIMBER DECKING 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows. NORTH TERMINUS OF BREAKWATER ROAD,WHERE THE ROAD MEETS THE LONG ISLAND SOUND DIRECTLY WEST OF THE MATTITUCK INLET 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: 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 OW NERS NAME: MATTITUCK PARK DISTRICT MAILING ADDRESS: 11280 PECO_ NIC BAY BOULEVARD P O BOX 1313,MATTITUCK,NY 11952 PHONE #: 631-298-9103 AGENT: L.K McLEAN ASSOCIATES, P.C. `u V MAILING ADDRESS: 437 SOUTH COUNTRY ROAD,BROOKHAVEN,NY 11719 PHONE #:_-631-286-8FL68 Enc: Copy of sketch or plan shoving proposal for your convenience. ',%rd of Trustees Idpplicat; D �' _'�. a =T_. ,t 4 r AFFEDAVIT F E B 1 0 2017 -+!- . _A SGUI i d ;n i'd1, BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SITE 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 VIR'T'UE 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 EN'T'ER 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 ISSUEID BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signa e f Pro e y Owner SWORN TO BEFORE ME THIS _ i DAY OF Notary Public DAVID B.PROKOP Notary Public,State of New York Qualified in Suffolk county No.4977533 My commission Expires Feb.04,20-A-1 -card of `trustees Applicatiir_:' AFFIDAVITFEB 1 0 2017 Scut; alci MATTTITUCK PARK DISTRICT COMMISSIONER N4GK DEEGAN BEING DULY SWORD (DEPOSES AND AFFIRMS THAT TIE/SITE IS THE APPLICANT FOR THE ABOVE (DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HER.EEN ARE TRUE TO THE BEST OF ITIS/BEER KNOWLEDGE AND BELIEF, AND THAT ALL WORD WILL BE(DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVEID BY THE SOUTHOLED TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUT'HOL D 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 INSPEC'T'ION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONEDETION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES (DURING THE TERM OF THE PERMIT. SiFnatureofPropertyiowncr SWORN TO BEFORE ME THIS DAY OF 20 I d jj- NotaryCPubliic VID State of New York Notary P ItC Qualified in Suffolk County No.4977533 My Commission Expires Feb.04,20_0 _f)ard of Trustees Applicati&—a -' Ej L AFFIDAVIT -------- FEB 1 0 2017 southo ('J'N —� MATTTITUCK PARK DISTRICT COMMISSIONER GERARD GOEHRINGER BErNG IDU _1Mrd of Truet�e,, DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRITE TO THE BEST OF HISMER KNOWLEDGE AND BELIEF,AND THAT ALL WORT{WILL BE DOME IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLID TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHHOL D 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 TENTER 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 ID RING THE TERM OF THE PERMIT. �ic J 2 Signature of Property Owner SWORN TO BEFORE ME THIS �1 {� DAY OF 5 t-� , 20 It CA Notary PB.PROKP lic Notary PubIID Sta a of New York Qualified in Suffolk County No.4977533 My Commission Expires Feb.04,2041 �--�ard of Trustees Applicati( - ! 1 AUTHORIZATION EB ; �(where the applicant is not the owner) 2017 w�! I, COMMISSIONER MICHAEL RYAN residing at 11280 PECONIC BAY BLVD. (print name of owner of property) (mailing address) P.O.BOX 1413,MATTITUCK, NY 11952 do hereby authorize (Agent) CHRISTOPHER F DWYER,L K MCLEAN ASSOCIATES to apply for permit(s)from the Southold Board of Town Trustees on my behalf. (Ow eat i —.ward of Trust®Has Applicati�.z+' AUTHORIZATION FEB 1 0 2017 � (where the applicant is not the owner) —_ SOU(! ,�1 ar of ifL—I 1, COMMISSIONER NICK DEEGAN residing at 11280 PECONIC BAY BLVD (print name of owner of property) (mailing address) P O BOX 1413,MATTITUCK,NY 11952 do hereby authorize__ _ (Agent) CHRISTOPHER F DWYER,L K.MCLEAN ASSOCIATES to apply for permit(s)from the Southold Board of Town Trustees on my behalf. (Owner's signature) _ward of Trustees Applicativ- E C ,s: ,T� n�' AUTHORIZATION (where the applicant is not the owner) F E 0 1 0 2017 SMUG lawn—' and of N.,s f; COMMISSIONER GERARD GOEHRINGER residing at 11280 PECONIC BAY BLVD (print name of owner of property) (mailing address) P O BOX 1413,MATTITUCK,NY 11952 do hereby authorize ^(Agent) CHRISTOPHER F DWYER,L K MCLEAN ASSOCIATES — to apply for permit(s)from the Southold Board of Town Trustees on my behalf. /' / wner's signature) 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 si uficant benefichd and adverse erects upon the coastal alr-a (which includ4s 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 u-i the consistency review law. Thus, each answer must be explained in detail, listing both sit pportina alid non- su2porting facts. If an action cannot be certified as consistent with the LWRP policy-standards aid conditions, it shall not be undertaken. 1� copy of the LWRP is available in the following places: online at the Town of Southold'Ts website(southoldtown.northfork.net), the Board of Trustees Of I F , local libraries and the Town. Clerk's office. D 1." en H. DESCRIPTION OF SITE AND PROPOSE,DI ACTION FEB 1 0 2017 SCTM4 1000 - 099 02 - 19001 Southold town PROJECT NAME MATTITUCK BREAKWATER BEACH SHADE SHELTER B and of Tr s ee The Application has been submitted to (check appropriate response): Town Board 0 Planning Board❑ Building Dept. ❑X 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: I X J Nature and extent of action: ,THE MATTITUCK PARK DISTRICT IS PROPOSING TO INSTALL A 25'WIDE X 40'LONG STEEL (POWDE ENORTI9=WE FEGUARDBU ILD I NG AND TO FURNISH TIMBER DECKING ON TOP OF AN EXISTING CONCRETE PATIO ATTACEHD TO EXISTING LIFEGUARD BUILDING AS AS SAFETY MEASURE TO PROTECT PARK PATRONS. NO OTHER DISTURBANCE OF-LAND IS NECESSARY OTHER THAN FOR THE SIX(6)FOUNDATION COLUMNS FOR THE PROPOSED SHADE SHELTER THE WORK IS PROPOSED SEAWARD OF THE COASTAL HAZARD EROSION LINE(CEHL)BUT DOES NOT INTERFERE WITH ANY-PReiff,-T1'dE-Dt NE-OR-C6AST* t=-E-AT-L RE-THAT -E ____INN`—' FEATURES IN FRONT OF AND BEHIND THE CEHL. THE STRUCTURE WILL BE PROPERLY MANUFACTURED,ENGINEERED AND INSTALLED BOTH TO EFFECTIVELY WITHSTAND CEHA AREA FORCES AND TO MAXIMIZE LIFESPAN MATTITUCK BREAKWATER BEACH,MATTITUCK Location of action: ❑ I`r i_, I l� �� l� �g, _ - ,la 21.87 ACRES Site acreage: IPPP F-H1 0 2017 a Present land use: PARK uafhcl�i��y�n ' Present zoning classification: R-80 8 and ti 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:-MATTITUCK PARK DISTRICT (b) Mailing,address: MATTITUCK PARK DISTRICT 11280 PECONIC BAY BOULEVARD,P 0 BOX 1413,MATTITUCK NY 11952 (c) Telephone number: Area Code( ) 631-298-9103 (d) -Application number, if any: Will the action be directly undertaken, require finding,or approval by a state or-federal agency? Yes Fx] No❑ If yes, which state or federal aecncy? NYSDEC TIDAL WETLANDS PERMIT APPROVED 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 completioano DEVELOPED'COAST POLICY Policy 1. )~ester a pattens of development in the Town of Southold that enhances community chef,#ter9 preserves open space, makes efficient use of infrastructure, mares beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III- Policies; Page 2 for evaluation criteria. [:x]Yes ❑ leo, ❑ Not Applicable THE PROP-0-SED SHADF SHELTER ANQ I NG_WILL INCREASE THE BENEFICIAL USE OF AN EXISTING COASTAL PUBLIC PARK BOTH WILL BE DESIGNED AND CONSTRUCTED INA MANNER THAT WILL HAVE NO ADVERSE IMPACT ON THE ADJACENT WETLANDS NOR INCREASE COASTAL EROSION THE AESTHETIC OF BOTH STRUCTURES WILL BE CONSISTENT WITH THE NATURAL ENVIRONMENT AND ENHANCE TF1)=C Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See I VVU Section 11I-Policies Pages 3 through,6 for,evaluation criteria 0 Yes 0 No 0 Not Applickb e f D ` a } Attach additional sheets if necessary 31301hof lows ar f Tr 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 ❑ Not Applicable THE SHADE STRUCTURE WILL BE AESTHETICALLY CONSISTENT WITH THE NATURAL ENVIRONMENT. IT FEATURES A SIMPLE CANOPY SUPPORTED BY SIX SLIM COLUMNS. IT IS NOT ANTICIPATED THAT THE SIZE,LOCATION OR DESIGN WILL IMPACT ANY SCENIC VISTA IN THE AREA OR ADJACENT NEIGHBORHOOD.THE TIMBER DECKING WILL REPLACE THE"MANUFACTURED"LOOK OF THE EXISTING CONCRETE L QUALITY OF THE PARK Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRPI Section I11—Policies Pages 8 through 16 for evaluation criteria ❑ x 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.111 —Policies Pages 16 through 21 for evaluation criteria ❑ `files ❑ Na El Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the 'down of Southold ecosystems includmi g- Significant Coastal Fish and Wildlife Habitats and wetlands. See LSP Section III—Policies; Pages 22 through 32 for evaluation-criteria. ❑l ❑ Ex] Yes No Not Applicable tsoluC E-n LF thold RTovvn IU FFY 10 Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town-of Southold. See LWRP Section RI — Policies Wages 32 through 34 for evaluation criteria. ❑ Yes ❑ No R Not applicable Attach additional sheets if necessary r 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 ❑ Into X 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 1,WRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ YeF] No❑ Not applicable THE MATTITUCK PARK DISTRICT SEEKS TO ENHANCE THE SAFETY OF PARK PATRONS, ESPECIALLY YOUNG CHILDREN,SENIORS,AND THOSE WITH MEDICAL CONDITIONS BY PROVIDING A SHADE STRUCTURE,USAGE AND ENJOYMENT OF EXISTING PUBLIC PARK WILL BE INCREASED THE TIMRER_DECKING WILL SERVE TO COVER THE EXISTING CONCRETE PATIO THEREBY REDUCING TRIP AND FALL HAZARDS AND THE POTENTIAL FOR SEVERE CONSEQUENCES SUCH AS HEAD INJURIES.A HANDRAIL AND ADA-COMPLIANT RAMP,DESIGNED TO BE IN HARMONY WITH THE NATURAL SURROUNDINGS W11-L;ALSO BE PROVIDED BOTH'OF THESE IMPROVEMENTS'IMPROVE THE ACCESSIBLITY OF THE PARK AND IMPROVE PUBLIC ACCESS TO THIS RECREATIONAL RESOURCE. _ Attach additional sheets if necessary, \ _ W®ItKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new `eater-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ leo 0 Not Applicable 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; Mages 57 through 62 for evaluationvmteria. —1 Yes 1:1 No ❑ Not Applicable C E r in FED M7 Southold Town_ _________ 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 0 Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No ❑ Not Applicable PREPARED BY CHRISTOPHER F.DWYER,L K.McLEAN ASSOC.TITLF,ASSOCIATEDATE 8-31-2016 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the par(of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: MATTITUCK PARK DISTRICT (Last name,first name,Middle initial,unless you are applying in the name of _ :- someone else or other entity,such as a company.If so,indicate the other person's or company's name.) t NAME OF APPLICATION: (Check all that apply.) FEB 1 --'1 Building O 2017 Tax grievance --- -- -- — Variance _ Trustee Change of Zone —_ _____ Coastal Erosion X , Southold-rbwn " Approval of plat __ _ Mooring _ Board of Trustee ffi �- Exemption from plat or official map ___ _- Planning — Other (If"Other',name the activity.) -- Do you personally(or through your c(impany,spouse,sibling,parent.or child)have a relationship with any officer or employee of theTown of Southold? -Relationship-includes by blood,marriage.or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town offices or employee owns more than 5%of the shares. YES NO X-- ---- ------ if you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply)- A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation): __I3)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)nn officer,director,partner.or employee of the applicant;or D)the actual applicant. DESCRIPTION Of RELATIONSHIP SubmitteZO hi S 2'Zotb SignaturPrint Na K��w� 1Z Form TS 1 OF KS DISTRICT ti P LIl'1 AN S/YAGEil`!.tL I A EPRESE V Jt A&I Y 1L TRANSACTIONAL DISCLOSURE FORM The T vn of S uthold's Codc of Ethics 12rolijbits,conflicls of interest on the part of town officers and em to nes_Theurpose of this form is to provide-information-which can alert the town of nossihle conflicts of hiterest and allow it to take whatever action is i I ner&ssaa to avoid same. YOUR NAME: MATTITUCK PARK DISTRICT :FE (Last name,first name,griddle initial,unless you are applying in the name ofsomeone else or other entity,such as a company.If so,indicate the otherperson's or company's name.) NAME OF APPLICATION: (Check all that apply.) 2Q1 Tax grievance _ Building Variance Trustee Change of Zone Coastal Erosion X fhoiac`+'.tApproval of plat Mooring of Trus Exemption from plat or official map Planning Other (If"Other',name the activity_) _ --- Do you personally(or through,your couppany,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,ntarringe,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 whichrllte town off icer or employee-owns mors than 5%of the shares. YES NO X IF you answered"YES",complete the balance of this form and,date and sign where indicated. Name of person employed by the Town of Southold Title or position of that,person -- Describe the relationship between yourself(the applicant/agenUrepre-setttative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applieant '(when the applicant is a corporation); B)the legal or benc_frcial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an ot"ficer,director,partner.or employee,of tine applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted . d of Signature Print Name I l D EG,N Form TS I r COMMISSIONER OF MATTITUCK PARKr$DISTRICT TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics Prohibits conflicts of inter est on the part of town officers and cmployees.The purpose 0f this form,is to rmvide information which can alert the town of nossible co Fl icts of interest and allow it to take whatever action is i necessary to avoid same. _ YOUR NAME: MATTITLICK PARK DISTRICT (Last name,first name,griddle initial,unless you are applying in the name of rjD someone else or other entity,such as a company.If so,indicate the other I person's or company's name.) E I � FEB 1 0 2017 NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Southold lo4t,n j Variance Trustee Boar of Trustees Change of Zone Coastal Erosion X Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you Iwi-sonally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the'1'own of Southold? "Relationship"includes by blood,marriage,or business interest "Business interest"means a business, including a partnership,in which the town officer or employce has even a partial ownership of(or employment by)a corporation in which the town OMccr or employee owns urore than 5%of the shares. YES _ NO if you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not it corporation); C)an officer,director,partner,or ernployce of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP *** Signatory is a member of the Town of Sou o. Zoning oar o Appea s�'— Submitted this K,da, }{ I t:L 2W7 016 signature.- � ,L Print Name GERALD Gg-W� e ear�,. e Form TSI COMMISSIONER OF MATTITUCK PARK DISTRICT t i i APPLICANUAGENUREPRESENTATIVE TRANSAC'T'IONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is torovide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOURNAME: — L.K.McLEAN ASSOCIATES, P.C. (Last name,first name,.giiddle initial,unless you are applying in the name of I Dsomeone 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.) i FEB 1 0 2017 i Tax grievance — Building Variance __ Trustee —_ Southold le�vb Change of Zone _ Coastal Erosion X Board of Trustee Approval of plat _ _ Mooring Exemption from plat or official map — _ Planning Other (If"Other',name the activity.).-- Do ctivity.)_—Do you personally(or through your company.spouse.sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationshili'includes by blood,nlatriage,or business interest."Business intefest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%.of'the shares. YES -- - NO X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between.yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): —A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation): _l3)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 day of_ 200_ Signature (77= Print Name CHRISTOPHER F.DWYER,✓ASSO_CIATE_— Form TS 1 L.K.McLEAN ASSOCIATES,P.C. TOWN OF SOUTHOLD SUFFOLK COUNTY, NY NIATTITUCK BREAKWATER BEACH SHADE SHELTER JUNE 2016 4 2 Peconic A2 Laug ny water- ij{�ha: Cr�rt cutc^oyue SITE LO Stator �#. ,a�•';� 25 :�f'BH1, Waterville CUtCh0gLie 3 p 1 48 D01i � a�rk r c CreEk „! o5u�ialk Aye Great PECO/UC 80y Matt�t�lc k iQ��daF_ I p" �f' Luce Land + 5a""d Ave X1 15 0 3 s d SHEET LIST TABLE LOCATION 8/31/2016 LFC ADD DIMENSIONS CFD I N.T.S. 16 1 SHEET NUMBER SHEET TITLE (� fl V E DAT DESCRIPTION AaaRov. BY D '�j (! T REVISIONS TOWN OF SOUTHOLD Y T1 LOCATION SHEET ! SUFFOLK COUNTY NY `o I CL • MATTITUCK BREAKWATER BEACH 1 PHOTO SHEET j U 9 SHADE SHELTER y 2 PROPOSED SITE PLAN i E • ( ;: LOCATION SHEET 3 CAMPION MODEL SHADE SHELTER DETAIL Scu„d,4 c o sown 0 l3oar of Tru tca L. K. McLEAN ASSOCIATES, P.C.0 4 TIMBER DECK DETAIL CONSULnI10 tiwlms an W"carni ID-MDWMVDL In YORK 11719 co I" SUFFOLK COUNTY REAL PROPERTY TAX MAP ei YCR/CF spa« AS NOTED S" "° j DISTRICT: 1000 SECTION: 99 BLOCK: 02 LOT: 19.1 Dom.,,%r. YCR Dot. JUNE 2016 T 1 _. .. _ - w Z'•-` '3-. „f,.,=`,•" + .. J`/ _ ", - ivy SIL - +.► 'i�.. Y�'-`,QIaT-.' _ _ + � _. -� PHOTO NO. 1 PHOTO NO. 2 PHOTO NO. 3 PHOTO NO. 4 PHOTO NO. 5 .PHOTO NO. 6 r , _pt PROPOSED f SHADE SHELTER d► d► PROPOSED TIMBER DECK (T0, VERLAY EXISTING - ;, CRETE PATIO) N 7 •I• ' O •, 1 L '•1, f a` ` ...;r- .r 8/31/20161 VC I ADD DIMENSIONS I CFD IDATE 8Y DESCRIFTON APPROV. BY REVISIONS TOWN OF SOUTHOLD N SUFFOLK COUNTY NY CL. *. F ' r/ S MATTITUCK BREAKWATER BEACH 's SHADE SHELTER J U SITE PLAN IL a LEGEND: SCALE:1"-W PHOTO SHEET E DIRECTION OF PHOTO TAKEN 0 80 160 FEB 1 0 2017 $ Feet L K. McLEAN ASSOCIATES, P.C. C06UUM otortas w MM mune W.MMMN o mac 11711 co ' Southold Town DMW wd%r. YCR/CF seek AS NOTED sh.9 Ne' jto boarTr Oran,ey. YCR Dot. JUNE 2016 1 am co.ue. 1 Rn7R nnn A OF BEA .0 01 00� baa ck, a« oom�y} PROPOSED 2 40' s33s ` 9 SHADE SHELTER % 2F a o FFE 0.5' ABOVE �vo 6ZaJ ADJACENT GRADE aF +sem + B�' +"'� u1u, FFE ESTIMATED AT 9.5 `�t . As M Q� s (SEE DETAILS) of ev \, ��C 0 � •Z.�Z 119 NOTE: � 0HANDICAP ES 10 �,°1 � 1 s ,� _ - I.�0 © v �� �$ ����, a, AFTER THE CONSTRUCTION ION OF TIMBER ©y0� \ �a 441 1 ti yyi DECK. �{r?7* ACID- •,t�'28.� 7- "i9 ro 9 p1-�25 �1� - w �=► 0 SED APPROX, 24' X 12' LEGEND r �*��., ' _ SO �`` " TIM B R DECK TO BE FASTENED $ TO EXISTING 'CONCRETE SLAB. i �'� £ - `� • =PIPE SIZEC IN ACCORDANCE WITH 9`� o =UTILITY POLE i Z EXIST NG INSTALLATION b 9ry5 (SEE DETAILS) 3�pp,fi�'• =MONUMENT v� ® =PROPOSED PAVILLION POSTS a o 6gZ� g►S ' �� —_—_—_— = CHAIN LINK FENCE �y � b--o--•— = SPLIT RAIL / PICKET FENC En s , M / 9130-M �gE,65 ,O�� 1 = WOOD & VIYNL FENCE a-udMxv3&a •trxd) QvO2I gity 3 s o 8/31/20161 LFP ADD DIMENSIONS CFD f�7 8/25/2016 MCJ ADDED FINISHED FLOOR ELEVATION CFD `I DATE BY DESCRIPnON APPROV. EK L� REVISIONS E E V `= TOWN OF SOOTHOLD SUFFOLK COUNTY NY a' MATTITUCK BREAKWATER BEACH > SHADE SHELTER 'E F E B 1 O 2017 PROPOSED SITE PLAN SITE PLAN i g SCALE:1•=1sD Southold Town L K, MCLEAN ASSOCIATES, P.C. q 0 150 300 DINIMAM IGHM An am ID.ma"vol.Nm ym 11711 CO um m' Board of Trustee o Feet D-WAd er. YCR/CF scab: AS NOTED Shftt Na 0 Dmm Ey. YCR Date JUNE 2016 2 IL Aoam,-d On RGD Fh Na.16078.000 25.0' ` t 24 GA HR-36 STEEL ROOF 25.0' 24 GA HR-36 RAFTER BEAM STEEL ROOF ° 24 GA HR-36 4C•°' I 1 STEEL ROOF 10"x10" COLUMN 10� RAFTER FRAME RIDGE BEAM � 16• +/- ORNAMENTATION PERIMETER BEAM GUTTER & .MID BEAM GUTTER & +/- 4 DOWNSPOUTS 7-510"x10" COLUMN 4 DOWNSPOUTS 7.5 GUTTER RAFTER FRAME 10"x10" COLUMN EXTENSION BEAM PLAN VIEW DETAIL ELEVATION DETAIL END ELEVATION - DETAIL N.T.S. N.T.S. N.T.S. 10'00' COLUMN 10'x10' COLUMN EXPANSION MAT L HAND HOLE W/ COVER EXPANSION MAIL HAND HOLE W/ COVER CONCRETE SLAB HEX NUT, HEX NUT, FINISHED FLOOR WASHER & BASE WASHER & BASE ELEVATION SET 6' PLATE FINISH PLATE ABOVE ADJACENT GRADE SLAB 1}' GRADE (ESTIMATED "o ELEVATION 9.5') 0 a ♦. i .�L,: 4' a• • ♦ ... .. a :♦ a I� ♦ e , !Q 4'• ,♦ /p+ ♦ ♦ _ -�0 25' -x12' A-36 ALL THREAD CZ JR JR JR JR-f'I — ' OPTIONAL RCA -IIIII II- 2500 PSI CONCRETE BY CONTRACTOR � � 'x12'A-36- ,a A-BOLT W/ (2) HEX i e STUB ELEC ALL THREAD (6)(�5 VERTICAL REBAR NUTS & 8 MIN EMBED - ., y . A-BOLT W/ (2) CONDUIT PER s BY CONTRACTOR — _ I= LOCAL CODE 5.0' HEX NUTS & 8D BY e, #3 HORIZ REBAR TIES P "I I I I I I I_ SEE COL DTL MIN I CONNTREACT R a G TOP OF 10- OC (FOOTING• OC _ 8/31/2016 LFC ADD DIMENSIONS CFD NON—EXPANSIVE, 2500 PSIPLAN 8/25/2018 MCJ ADDED FINISHED FLDOR ELEVATION CFD UNDISTURBED OR CONCRETE BY (5) �5 REBAR ♦' , DATE BY DESCRIPTION APPROV. BY 95% COMPACTED CONTRACTOR EACH WAY TOP ♦. ♦ {��- REVISIONS .D SUBGRADE & BOTTOM ` a • I I- STUB ELEC L `% �' ' TOWN OF SOUTHOLD Y CAISSON FOOTING DETAIL 3- �ONDUIT PER D SUFFOLK COUNTY NY N.T.S. NON—EXPANSIVE, 13' F LOCAL CODE 11MATTITUCK BREAKWATER BEACH 95% COMPACTED4# DI° SEE COL. DTL �EB 0 201, 14SHADE SHELTER SUBGRADE SPREAD FOOTING DETAIL CAMPION MODEL SHADE E ' N.T.S. SHELTER DETAIL o SoutholdTown L. K. McLEAN ASSOCIATES, 0 P.C. B ar Of Trustee coteuLnto D10110= d,mum CW"ta..,m,,,,vt M1mc 1nu 'o DmIonW srYCR/CF seal. AS NOTED S"t N0' Drm BY., YCR Dot. JUNE 2016 3 'j 1 ' A.....r o. Dim rn.t,.. 1 Rf17f1 AAA -c 24' +/ 2"x6" PRESSURE TREATED ILS B 2"X6" PRESSURE TREATED 2"x6" ACQ SLEEPERS i RAILING CAP W/ 2"X6" FLOOR JOISTS CHAMFERED EDGE_ ® O.C. H8 I I TIMBER GUARDRAIL HURRICANE STRAPS 2"X6" PRESSURE TREATED RAILS A 2"X6" PRESSURE TREATED DECKING 4"x4" PRESSURE " TREATED RAILING 12 2"X6" FLOOR JOISTS ® 16" POST I I O.C. W/ H8 HURRICANE STRAPS 2"X6" PRESSURE A o TREATED DECKING - o 2"X6" ACQ SLEEPERS 2„ EXISTING CONCRETE SLAB ON GRADE SECTION B- B DETAIL N.T.S. TIMBER DECK PLAN DETAIL N.T.S. 2"X6" PRESSURE TREATED RAILING CAP W/ CHAMFERED EDGE TIMBER GUARDRAIL 01 I I 2"X6" PRESSURE i'—g" N TREATED RAILS •o 2"X6" PRESSURE TREATED DECKING 0, 2"X6" FLOOR JOISTS a, ® 16" O.C. W/ H4 _ 41 "9- 3HURRICANE STRAPS 0 STAGGERED j"0 GALV. a/3 016 LFC ADD DIMENSIONSFDTIMBER BOLTS ° DATE BY DESCPoPnON APP 1. BY W/ PLATE WASHERS REVISIONS 0 AND HEAVY HEX NUTS u u TOWN OF SOUTHOLD a 2"x6" ACQ SLEEPERS SUFFOLK COUNTY NY s ' 4"X4" PRESSURE TREATED'POST MATTITUCK BREAKWATER BEACH EXISTING MECHANICAL THRU BOLTED W/,j"0 GALV. SHADE SHELTER CONCRETE SLAB FASTENERS AS CARRIAGE BOLTS WITH PLATE E TIMBER DECK DETAIL ON GRADE REQUIRED WASHERS AND HEX NUTS SECTION A—A DETAIL L r, Mme, ASSOc1ATEs, P.C. C01611L7M0 DIiEFlf &A um fd"R NIMH%1af 10Bt 11719 c 0 N.T.S. Ds*md Br YCR/CF scow AS NOTED s No* Dmm Br YCR Defe JUNE 2016 4 o — AnWwnd Br. RGD Fh No. 16078.000 L11AAL. K. McLean Associates P.C. 437 South Country Road • Brookhaven • New York • 11719 CONSULTING ENGINEERS (631)286-8668 • FAX(631)286-6314 Associates EUGENE F DALY,P E,P T O E TM,PRESIDENT and C E 0 CHRISTOPHER F DWYER RAYMOND G DiBIASE,P E,P T O E TM,PTPTM,EXECUTIVE VICE PRESIDENT ROBERT A.STEELE,P.E. DANIEL P JEDLICKA,P L S,VICE PRESIDENT JAMES L DeKONING,P E STEVEN W EISENBERG,P E ANDREW B SPEISER MA LICKA,LEED AP December 1, 2016 HD ECEIVEf Mr. John Bredemeyer F E 0 0 2017 54375 Main Rd. P.O. Box 1179 Southold,NY 11971 Southold Town a of Trust RE: TOWN OF SOUTHOLD -MATTITUCK BREAKWATER SHADE SHELTER MATTITUCK,NEW YORK LKMA No. 16078.000 Mr.Bredemeyer: Thank you for consideration of the pending Wetlands Permit for our client, the Mattituck Park District. In response to your recent request, we are submitting, on their behalf, copies of a new proposed site plan, in support of the application for a Wetlands Permit to construct a shade shelter and a timber deck fastened to an existing concrete slab. The revised plan shows the 25'x40' shade shelter in a new, previously disturbed location. Enclosed herewith for your review,please find(2)copies of the following: 1. Drawing Set,including site plan and shade structure elevation details. If you have any questions or require additional information,please feel free to contact me. Very truly yours, CFD:kg Chnstopher F.Dwyer,Associate L. K. McLean Associates, P.C. Enc. (1) Cc: Commissioner Michael Ryan,Mattituck Park District w/enc. LKMA File Copy w/enc. r • Founded in 1950 • 25741 MATTITUCK PARK DISTRI �Pm��r e�►k MATTITUCK,NYY 11952 P.O.BOX Check Number: 25741 Feb 7, 2UYVIBER 1 50-791/214 Memo: G 250.00 8 DATE AMOUNT Two Hundred Fifty and 00/100 Dollars _ PAY TO THE Town of Southold ORDER 53095 Main Road OF Southold, NY 11971-0959 " 04Jf GFF THORIZEDSIGNATURE b9O SQL i ------------------- ----- MATTITUCK PARK DISTRICT 25741 E C E � V E FEB 1 0 2017 Southold Town Board of Trustees SF4001-7 REORDER FROM YOUR LOCAL SAFEGUARD DISTRIBUTOR,IF UNKNOWN,CALL 800323-2422 CSGSLD0010000 B13SF030547 a� LIKAIA L. K. McLean Associates P.C. 437 South Country Road • Brookhaven • New York • 11719 CONSULTING ENGINEERS (631)286-8668 • FAX(631)286-6314 Associates EUGENE F.DALY,P E,P T 0 E Tm,PRESIDENT and C E O CHRISTOPHER F.DWYER RAYMOND G.DiBIASE,P E,P.T.O.E TM,PTPTm,EXECUTIVE VICE PRESIDENT ROBERT A STEELE,P.E. DANIEL P.JEDLICKA,P L S,VICE PRESIDENT JAMES L DeKONING,P.E. STEVEN W.EISENBERG,P E D E 9 �p E ANDREW B.SPEISER f(�` `� MATTHEW C JEDLICKA,LEED AP DEC 2 2 2016 December 1,2016 Mr.John Bredemeyer 54375 Main Rd. $ovtlloldTown P.O.Box 1179 T Southold,NY 11971 RE: TOWN OF SOUTHOLD -MATTITUCK BREAKWATER SHADE SHELTER MATTITUCK,NEW YORK LKMA No. 16078.000 Mr.Bredemeyer: Thank you for consideration of the pending Wetlands Permit for our client, the Mattituck Park District. In response to your recent request, we are submitting, on their behalf, copies of a new proposed site plan, in support of the application for a Wetlands Permit to construct a shade shelter and a timber deck fastened to an existing concrete slab. The revised plan shows the 25'x40' shade shelter in a new, previously disturbed location. Enclosed herewith for your review,please find(2)copies of the following: 1. Drawing Set,including site plan and shade structure elevation details. If you have any questions or require additional information,please feel free to contact me. Very truly yours, CFD:kg Christopher F.Dwyer,Associate L.K. McLean Associates,P.C. Enc. (1) Cc: Commissioner Michael Ryan,Mattituck Park District w/enc. LKMA File Copy w/enc. •Founded in 1950 • .rte OFFICE LOCATION: q s® �® MAILING ADDRESS: Town Hall Annex °®® �® P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 Telephone: 631 765-1938 ® Fax: 631 765-3136 C®U ,� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: John Bredemeyer, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: October 12, 2016 Re: LWRP Coastal Consistency Review for MATTITUCK PARK DISTRICT SCTM# 1000-99-2-19.1 L.K. Mclean Associates on behalf of MATTITUCK PARK DISTRICT requests a Wetland Permit and a Coastal Erosion Permit to install a 25' wide by 40' long steel shade shelter supported by six (6) foundation columns over a proposed 4" (25'x40') concrete slab; and to install an approximately 12'x24' timber deck fastened onto the existing concrete slab that is attached to the existing lifeguard building. Located: 5155 Breakwater Road, Breakwater Beach, Mattituck. SCTM# 1000-99-2-19.1 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 me, it is my recommendation that the action is INCONSISTENT with the below listed Policy Standards and therefore is INCONSISTENT with LWRP. Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. Policy 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction. The proposed action does not comply with Chapter section 111-12 Beach Area. Q. All development is prohibited on beaches unless specifically provided for by this chapter The proposed action is not permitted on a beach pursuant to Chapter 111 Coastal Erosion hazard Areas of the Southold Town Code; neither actions are designed as open timber piles or other similar openwork supports with a top surface area of less than 200 square feet or which are removed in the fall of each year. 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,Chairmany Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1892 T 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 John Stein, it was RESOLVED to SUPPORT the application of MATTITUCK PARK DISTRICT to install 25'X 40' long steel shade shelter at the northwest of the existing lifeguard building as a safety measure to protect park patrons. No other disturbance of land is necessary other than for the six (6) foundation columns for the proposed shade shelter. Located: North terminus of Breakwater Road, where the road meets the LI Sound directly west of the Mattituck Inlet. SCTM#99-2-19.1 Inspected by: Keith McCamy, Jack McGreevy The CAC Supports the application, however, the project was not staked. Vote of Council: Ayes: All Motion Carried s John M. Bredemeyer III,President SO Town Hall Annex Michael J.Domino,Vice-President ® ,, l® 54 Main Road P.O..Box 1179 James F. King,Trustee Southold, New York 11971-0959 Dave Bergen,Trustee G a� Telephone(631) 765-1892 Charles J.Sanders,Trustee �O� UFax(631) 765-6641 NT`I,�� (1130satios A.o"os BOARD OF TOWN TRUSTEES •JAaQ f)NU(1r tMS TOWN OF SOUTHOLD To: Southold Town Building Department 910Z 6 Z d39 Re: Verification of Building Department Permit Requirements aafflAn,05z Q SCTM#: Property Owner Name: Ma_H kJC_ 100-r1 --__J S) Urfa-KWO]er 63�—A Date Sent to Bldg. Dept.: a// 9//(a The Office of the Board of Trustees is forwarding the above referenced application for verification of the Building Department's permitting requirements stated below: YES NO ill the proposed project require a Building Permit? 7wWill the proposed project require a variance determination from the Zoning Board of Appeals? Will any'part of this application be considered as Demolition as _V_/ described under Town Code? COMMENTS: ure of keviewer Date Cantrell, Elizabeth From: Chris Dwyer <cdwyer@lkma.com> Sent: Wednesday,October 05, 201610:31 AM To: Cantrell, Elizabeth Subject: Breakwater Beach Shade Shelter Good morning Elizabeth, Pursuant to our conversation relative to the proposed 4"concrete slab(25' by 40')that is to be installed underneath the 25X40 Shade Shelter at Breakwater Beach, please let this email serve as letter of clarification that although the concrete slab was not part of the project description it is in fact shown on the permit drawings and should be included in the scope of work in order to satisfy ADA requirements. Thanks in advance for your assistance relative to this permit application. Regards, Christopher F. Dwyer,Associate L.K.McLean Associates PC 437 South Country Road Brookhaven,New York 11719 Phone: (631)286-8668 Fax: (631)286-6314 Cell: (516) 779-4776 1 John M.Bredemeyer III,Presidentq�� �Qf 4S Town Hall Annex Michael J.Domino,Vice-President d 54375 Main Road P.O.Box 1179 James F.King,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee �p p j Telephone(631) 765-1892 Charles J.Sanders,Trustee lf'COU �a fS Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD / Office Use Only Coastal Erosion Permit Application Wetland Permit Application _Administrative Permit / Amendment/Tran�e Extension 'i/ Received Application: I,����D Received Fee:$ 5'00,�O Completed Application 2' D _Incomplete: _SEQRA Classification: Type I Type II Unlisted Coordination:(date sent): smL:Cuthol ^ 9 2016 VLWRP Consistency AssAser} Form: v"' CAC Referral Sent: //� TDate of Inspection: 10,//c/(� d Town — _Receipt of CAC Report: B td of Trusteo� _Lead Agency Determination: Technical Review: Public Hearing Held: 0•[ , I I lg I�� Resolution: Name of Applicant: MATTITUCK PARK DISTRICT Mailing Address: 11280 PECONIC BAY BOULEVARD P.O.BOX 1313,MATTITUCK,NY 11952 Phone Number: 631-298-9103 Suffolk County Tax Map Number: 1000- 9902-19.1 Property Location: NORTH TERMINUS OF BREAKWATER ROAD,WHERE THE ROAD MEETS THE LONG ISLAND SOUND DIRECTLY WEST OF THE MATTITUCK INLET. (provide LILCO Pole#, distance to cross streets, and location) AGENT: CHRISTOPHER F DWYER,L.K.MCLEAN ASSOCIATES (If applicable) Address: 437 SOUTH COUNTRY ROAD,BROOKHAVEN,NY 11719 Phone: 631-286-8668 CA Board of Trustees Applica61on GENERAL DATA Land Area(in square feet): 952,748 SF Area Zoning: RESIDENTIAL R-80 Previous use of property: PARK Intended use of property: PARK 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? X 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 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? x Yes No Prior permits/approvals for site improvements: Agency Date NYSDEC-1-4738-01061/00003 EFFECTIVE 8-24-2016 THROUGH 8-23-2021 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): THE MATTITUCK PARK DISTRICT IS PROPOSING TO INSTALL A 25'WIDE X 40'LONG STEEL (POWDER COATED I E WEATHER RESISTANT)SHADE SHELTER AT THE NORTH-WEST OF THE EXISTING LIFEGUARD BUILDING AND TO FUR CRETE TING LIFEGUARD BUILDING AS AS SAFETY MEASURE TO PROTECT PARK PATRONS NO OTHER DISTURBANCE OF LAND IS NECESSARY OTHER THAN FOR THE SIX(6)FOUNDATION COLUMNS FOR THE PROPOSED SHADE SHELTER THE WORK IS PROPOSED SEAWARD OF THE COASTAL HAZARD EROSION LINE(CEHL)BUT DOES NOT INTERFERE WITH ANY PROTECTIVE DUNE OR COASTAL FEATURE THAT WOULD DAMAGE THE EXISTING PEATURESIN-FRONT-OF-AND-BEHiNE)-THE CEI 11: F-AffURED,ENGINEERED AND INSTALLED BOTH TO EFFECTIVELY WITHSTAND CEHA AREA FORCES AND TO MAXIMIZE LIFESPAN. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: THE MATTITUCK PARK DISTRICT SEEKS TO ENHANCE THE SAFETY OF PARK PATRONS,ESPECIALLY YOUNG CHILDREN,SENIORS,AND THOSE WITH MEDICAL CONDITIONS BY PROVIDING A SHADE STRUCTURE,USAGE AND ENJOYMENT OF EXISTING PUBLIC PARK WILL BE INCREASED THE TIMBER DECKING VVItt SERVE TO COVER-THE EXIS I TVG-CONN AND THE POTENTIAL FOR SEVERE CONSEQUENCES SUCH AS HEAD INJURIES A HANDRAIL,DESIGNED TO BE IN HARMONY WITH THE NATURAL SURROUNDINGS WILL ALSO BE PROVIDED Area of wetlands on lot: ZERO square feet Percent coverage of lot: ZERO % Closest distance between nearest existing structure and upland edge of wetlands: ±383' feet Closest distance between nearest proposed structure and upland edge of wetlands: ±313' feet Does the project involve excavation or filling? No X Yes If yes, how much material will be excavated? 6 cubic yards How much material will be filled? 0 cubic yards Depth of which material will be removed or deposited: 3+/- feet Proposed slope throughout the area of operations: 1% Manner in which material will be removed or deposited: MATERIAL WILL BE EXCAVATED BY THE USE OF AN EXCAVATOR ALL EXCESS MATERIAL FROM FOUNDATION INSTALLATION SHALL BE REMOVED FROM SITE AND DISPOSED OF OR RE-USED IN ACCORDANCE WITH ALL APPLICABLE REGULATIONS 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 SHADE STRUCTURE TO BE INSTALLED HAS BEEN USED SUCCESSFULLY AND WITH NO ENVIRONMENTAL HARM NATIONWIDE IN COASTAL AREAS THE TYPE OF EXCAVATOR TO PERFORM ASSOCIATED EXCAVATION WILL BE SUITABLE FOR USE ON SAND WITH MINIMAL DISTURBANCE OF ADJACENT AREA CONSTRUCTION MEANS AND METHODS MLL-BE.IN.ACCORDANCE-WtT4i ALL-RELEVA ND-E DEL-IN€- AND REGULATIONS. THE TIMBER RE-FACING OF EXISTING CONCRETE PATIO WILL SERVE TO ENHANCE THE NATURAL AESTHETIC OF THE PARK AND DISTURB NO GROUND IT IS NOT ANTICIPATED THAT THERE WILL BE ANY IMPACTD VER 300'FROM PROJECT AREA,EITHER DURING OR AFTER CONSTRUCTION Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: TO ENHANCE THE SAFETY OF PARK PATRONS Are wetlands present within 100 feet of the proposed activity? X No Yes Does the project involve excavation or filling? No X Yes If Yes,how much material will be excavated? 6 (cubic yards) How much material will be filled? ° (cubic yards) Manner in which material will be removed or deposited: MATERIAL WILL BE DEPOSITED IN A TRUCK AND REMOVED FROM SITE AT TIME OF EXCAVATION Describe the nature and extent of the environmental impacts to the subject property or neighboring properties reasonably anticipated resulting from implementation of the project as proposed, including erosion increase or adverse effects on natural protective features. (Use attachments if necessary) THERE WILL BE NO ANTICIPATED EROSION INCREASE OR ADVERSE EFFECTS ON NATURAL PROTECTIVE FEATURES. � 1 John M.Bredemeyer III,President ��o� SO!lryD Town Hall Annex Michael J.Domino,Vice-President ,`O lD, 54375 Main Road P.O.Box 1179 James F.King,Trustee Southold;New York 11971-0959 Zhc Dave Bergen,Trustee Telephone(631) 766-1892 Charles J. Sanders,Trustee Ol�. Fax(631) 765-6641 CoUIYI�'9�`' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 30-YEAR MAINTENANCE AGREEMENT EROSION PROTECTION STRUCTURES CHAPTER 111-15 OF THE SOUTHOLD TOWN CODE I (We) COMMISSIONER MICHAEL RYAN,ON BEHALF OF MATTITLICK PARK;,DISTRICT The owners of record Of property at: BREAKWATER BEACH PARK SCTM#1000- 099.02-19.001 in applying for a Coastal Erosion Permit for an erosion protection structure do hereby agree to a 30-Year Maintenance program for a structure as described: PROPOSED SHADE SHELTER AND TIMBER DECK _, as shown on the attached licensed survey and/or site plan for the approved structure. It is my/our understanding that we are to maintain this structure with materials designed to endure 30 years and/or equivalent to the original approved structure. Any maintenance which involves more than 50% of the length of this structure requires approval of the Board of Trustees. We further understand that failure to maintain the structure could result in a requirement to-post a bond and/or have the repairs ordered as a lien against the property upon a finding by the Board of Trustees that said lack of maintenance would risk life, property or imports natural r our at s ariz si at of rec _­' Notary Public B.PROKOP Notary Pu ic,State of NewYoik Qualified In Suffolk County No.4977533 My Commission Expires Feb.04. This maintenance agreement shall only be valid upon the attachment of a licensed land survey/and or site plan made within one year of the original construction and validated to show the final approval of the administrator. �''.2a« "\Qt-Sd, ` Town Hall Annex John M.Bredemeyer III,President . ` �•; .. ley ' 54375 Main Road Michael J.Domino,Vice-President ",T .' P.O.Box 1179 James F.Kin ,Trustee , Southold New York 11971-0959 gx p .� , Dave Bergen,Trustee `" �►; Telephone(631) 765-1892 Charles J.Sanders,Trustees #! Fax(631) 765-6641 UIV t'i� 1, BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 30-YEAR MAINTENANCE AGREEMENT EROSION PROTECTION STRUCTURES CHAPTER 'I'11-15 OF THE SOUTHOLD TOWN CODE I (We) MATTITUCK PARK DISTRICT The owners of record of property at: BREAKWATER BEACH PARK - -- SCTM#1000- 099,02-19 001 in applying for a Coastal Erosion Permit for an erosion protection structure do hereby agree to a 30-Year Maintenance program for a structure as described: PROPOSED SHADE SHELTER AND TIMBER DECK as shown on the attached licensed surrey and/onsite plan for the^approved structure:, It is my/our understanding that we are to maintain this structure with materials designed to endure 30 years and/or equivalent to the original approved structure.Any maintenance which involves more than 50% of the length of this structure requires approval of the Board of Trustees. We further understand that failure to maintain the structure could result in a requirement to post a bond and/or have the repairs ordered as a lien against the property upon a finding by the Board of Trustees that said lack of maintenance would risk life, property or important natural resource features. �- �- .4-( 112.1^ ell, 1 �4 0 O&Nx4e"X It, d <1Pk Z Notarized signature of own0F of record Notary Pubrb DAVID B.PPOKOP Notary public,State of New Yo* Qualified In Suffolk County MY commiss'on NO. Expies Feb. 04,20/!, This maintenance agreement shall only be valid upon the attachment of a licensed land survey/and or site plan made within one year of the original construction and validated to show the final approval of the administrator. John M.Bredemeyer III,President �f \� rx� Town Hall Annex Michael J.Domino,Vice-President �d ` 54375 Main Road n,"Y , , P.O.Box 1179 ' t '. a' James F.King,Trustee �-� �.:Mu . �,�, Southold jai " s New York 11971-0959 Dave Bergen,Trustee ., Telephone(631) 765-1892 Charles J.Sanders,Trustees Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 30-YEAR MAINTENANCE AGREEMENT EROSION PROTECTION STRUCTURES CHAPTER 111-15 OF TIME SOUTHOLD TOWN CODE I (We) MATTITUCK PARK DISTRICT The owners of record of property at: BREAKWATER BEACH PARK SCTM#1000- 099 02-19.001 in applying for a Coastal Erosion Permit for an erosion protection structure do hereby agree to a 30-Year Maintenance program for a structure as described: PROPOSED SHADE SHELTER AND TIMBER DECK as shown on the attached licensed survey and/onsite plan for the approved structure. It is my/our understanding that we are to maintain this structure with materials designed to endure 30 years and/or equivalent to the original approved structure.Any maintenance which involves more than 50% of the length of this structure requires approval of the Board of Trustees. We further understand that failure to maintain the structure could result in a requirement to post a bond and/or have the repairs ordered as a lien against the property upon a finding by the Board of ees th sa' ck of maintenance would risk life, property or important nat resourc attares. arized signature of owner of re- rd Notary Public .PF OKOP No tate of NewWk Qualified uifolk county No.4 533 My Commission Expires Feb.04.21 h This maintenance agreement shall only be valid upon the attachment of a licensed land survey/and or site plan made within one year of the original construction and validated to show the final approval of the administrator. 617.20 Appendix B Short Environmental Assessment Form, Instructions for Completing Part I -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1 -Project and Sponsor Information Name of Action or Project:, MATTITUCK BREAKWATER BEACH SHADE SHELTER Project Location(describe,and attach a location map): NORTH TERMINUS OF BREAKWATER ROAD WHERE THE ROAD MEETS THE LONG ISLAND SOUND DIRECTLY WEST OF THE MA-MTUCK INLET Brief Description of Proposed Action: THE MATTITUCK PARK DISTRICT IS PROPOSING TO INSTALL A 25'WIDE X 40'LONG STEEL(POWDER COATED I E.WEATHER RESISTANT)SHADE SHELTER AT THE NORTH-WEST OF THE EXISTING LIFEGUARD BUILDING AND TO FURNISH TIMBER DECKING ON TOP OF AN EXISTING CONCRETE PATIO ATTACEHD TO EXISTING LIFEGUARD BUILDING AS AS SAFETY MEASURE TO PROTECT PARK PATRONS. NO OTHER DISTURBANCE OF LAND IS NECESSARY OTHER THAN FOR THE SIX(6)FOUNDATION COLUMNS FOR THE PROPOSED SHADE SHELTER. Name of Applicant or Sponsor- Telephone: 631-298-9103 MATTITUCK PARK DISTRICT E-Mail. MATTPARKDIST@OPTON LIN E.NET Address: 11280 PECONIC BAR BLVD PO BOX 1413 City/PO: State: Zip Code: MATTITUCK NY 11952 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that ❑X may be affected in the municipality and proceed to Pail 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. ElNYSDEC TIDAL WETLANDS APPROVAL RECEIVED 3.a.Total acreage of the site of the proposed action? 2187 acres b Total acreage to be physically disturbed? <0 10 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 2187 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban El Rural (non-agriculture) ❑Industrial ❑Commercial El Residential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ®Parkland Page 1 of 4 1 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? ❑ X❑ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: El F-1- 8. 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? ❑ ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ❑X ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: NOT APPLICABLE ❑ ❑ 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method foi•providing potable water: NOT APPLICABLE ❑ ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: NOT APPLICABLE ❑ I❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ❑ ❑ b. Is the proposed action located in an archeological sensitive area? ❑ ❑ 13.a. Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ ❑ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. Identify the typical habitat types that occur on,or are likely to be found on the project site Check all that apply: ®Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban ❑Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? ❑ 16.Is the project site located in the 100 year flood plain? NO YES_ X 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, ❑ Ela.Will storm water discharges flow to adjacent properties? ❑NO [:]YES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)9 If Yes,briefly describe: ❑NO ❑YES Page 2 of 4 4 I 8. 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: El ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: x F1 I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: CHRISTOPHER F.DWYER,L K MCLEAN ASSOCIATES Date: Signature: _ /C Of Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ F-1regulations? 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? 1:1 EL 4. Will the proposed action have an impact on the environmental characteristics that caused the 1:1establishment of a Critical Environmental Area(CEA)? El 5. Will the proposed action result in an adverse change in the existing level of traffic or El 1:1affect 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, El 1:1architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ Elwaterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 t 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? El 11. Will the proposed action create a hazard to environmental resources or human health? D 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 t Check this box if you have determined, based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental impacts Town of Southold Name of Lead Agency Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 John M. Bredemeyer III, President � o�OSUFFt7�,�cG Town Hall Annex Michael J. Domino, Vice-President 4 t. n y< 54375 Route 25 Glenn Goldsmith y r P.O. Box 1179 A. Nicholas Krupski Southold, NY 11971 Charles J. Sanders t��01 �a� �� 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 MATTITUCK PARK DISTRICT 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 residing at/dba L.o,„r,7- C r i7ecA a ,.� Iv.,y f19-3 S_ 1wole1z.'r �� L•,�. Mc,Ce,p� �StSac. !'o s ��. being dul sworn, depose and say: That on the rorAday of Ocra bg_, , 2016, I personally posted the property known as 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: Oc-�6bj;2. /8/ zo®� (signature��-"� S orn to o e me this / d 0/ otary Public CHRISTINE WIEGAND NOTARY PUBLIC,state of New York No.O1WI6210359,Suffolk County Commission Expires August 17,2017 ' I O. .T � 1 1 tid•a'M "�!• ' �' � � :: ��' � 1`` .fir ,� ,��;'• _y J +. f. SSS `'.. .. C a �'• • ` v .� Christine Wiegand From: trackingupdates@fedex.com Sent: Tuesday, October 18, 2016 10:19 AM To: Christine Wiegand Subject: FedEx Shipment 777480860750 Delivered Your package has been delivered Tracking # 777480860750 Ship date: Delivery date: Mon, 10/17/2016 Tue, 10/18/2016 10:13 Christine Wiegand am L.K. McLean Associates, P C Christine&Richard Rivera Brookhaven, NY 11719 k Delivered 250 Sound Beach Drive US MAT f ITUCK, NY 11952 US Shipment Facts Our records indicate that the folloAuving package has been delivered Tracking number: 777480860750 Status: Delivered- 10/18/2016 10:13 AM Signed for By: Signature not required Signed for by: Signature not required Delivery location: MATTITUCK, NY Delivered to: Residence Service type- FedEx Priority Overnight Packaging type: FedEx Envelope Number of pieces: Weight: 0.50 lb Special handling/Services: Deliver Weekday Residential Delivery Standard transit: 10/18/2016 by 12:00 pm Plemse do-v.)t respone,"o this Inossage,mmhis email WPP, from.an i.nanft,-nfod inalbox his iopo,t was qmefaled at app,oxmiately 110 AM�'-"DT on 10011&'2016 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: Christine & Richard Rivera 250 Sound Beach Drive Mattituck, NY 11952 Betty Clausen 235 Sound Beach Drive Mattituck, NY 11952 Barbara & William Demarino 50-33 186th Street Fresh Meadows, NY 11365 Donald & Nancy 'Cocks P.O. Box 884 Mattituck, NY 11952 William Beyer 88 South Country Road Bellport, NY 11713 Emily & Michael Kavourias 45 Van. Arsdale Place Manhasset, NY 11030 Viola Deluca 53 Green Avenue Madison, New Jersey 07940 Town of Southold P.O. Box 1179 Southold, NY 11971 State of New York Albany, New York 12233 Town of Southold P.O. Box 1179 Southold, NY 11971 STATE OF NEW YORK COUNTY OF SUFFOLK Christopher F. Dwyer ,residing at 437 South Country Road Brookhaven, NY 11719 , being duly sworn,deposes and says that on the //-*4 day of ®�>v�,�;, ,20-K4, 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 Brookhaven, NY ,that said Notices were mailed to each of said persons by CERTIFIED MAHMETURN RECEIPT. Sworn e r me this Da CHRISTINE WIEGAND Notary ubli NOTARY PUBLIC,State of New York No.01W16210359,Suffolk County Commission Expires August 17,2017 i I ' e - CERTIFIED MAILO RECEIPT a ■ Domestic Mail Only ru rl- Ln co x •Y Ln U E2 U1 rU Certified Mad Fea rU Certified Mad Fee ` M $ �� r:1 $ m Extra ServicesReceipt $Fees(check box,add fee as 14 Extra Services$Fees(check box,add fee ropdate), ❑Return Receipt(hardcopy) $ S ❑Return Receipt(hardcopy) $ ��' `�,� „�'} �5�'1 ❑Return Recelpt(electronic) $ '�� �? ❑Return Receipt(electronic) $ ;Postmark po 0 ❑Certified Mail Restricted Delivery $ �:! Hefa ❑Certdled Mall ResWcted Delivery $ 3 tO\gtrgark C-3 - 0 []Adult Signature Required � Hare []Adult Signature Required $ _ $ ��" E]Adult Signature Restricted Delivery$ .S�'` 1, ❑Adult Signature Restricted Delivery$ r 0 Postage _ O Postage = 7 $ 0.d` ...q $ � �;• C3 Total Donald&Nanc Cocks Total P o $ New York State Dept. �� Ln $ enrro PD Box 884 b��u Ln Sent Tc Environmental Conservatf �() ' , ra625 Broadway o Slee----- Mattituck, NY 119 �* �L�+ C3 Sfjoee[e r� Albany,NY 12233-3505 C�fy___ ___. __________ Stal City,St -------- P ------- r r• :.. i ,0 ' Postal ■ , V B• 'Only r9 a I• 0 LO C3 Ln r�� (/({//^^��;; • {}(j{ yp •}tt'�}d fj� �flp• -13 -9 • p\ • )j(�"'-,,• i{ry ..I • ° �-V— hu/ f,t 6f t ° �, � •f"� � I rU Certified Mall Fee ° � $ ��Z N Certified Mail Fee M Extra Services$Fees(check box,add fee as v ? M $ appropriate) ® �, �� rrl EXtra Services$Fees(check box,add/ee as nate) ❑Return Receipt(hardcopy) $ $ O`' �� ❑Return Recelpt(hardcopy) �� 5' ❑ Return Receipt(electronic) $ 7Postmar , �, Postn)�s Q �,� ❑Return Receipt(electronic) $ •.' ,\J .`- ❑Certified Mail Restricted Delivery $ F{era F� He Q _y'�,} El Certified Mall Restricted Delivery �• 0 Adult Signature Required $ �a�` fiy�� �`� r � []Adult Signature Required $ ti' •` �"�• ❑Adult Signature Restricted Delivery$ �(`, {� N I� �'• w+ ti\ i $� :]Adult Signature Restricted Delivery F3 Postage v `5 ,' ���- O Postage v^, r, E3 Total Post Barbara&William D\m�rino �v,��, -� Tcta1F \c^ �� C3 Betty Clausen �( Ln Sent To 50-33 186t1i Street \��� Ln sanr7 235 Sound Beach Drive(--1. 67,_1 / Fresh Meadows NY 11365 `�C _ Mattituck 0 Sfieef and ' C3 street NY 11952 Cdy,State, - CERTIFIED Cfry 5 © . ■ Ln(` Pptiriiestic Mail Only Ln CO rU Certified Mad Fee 11-9 $ a�g?� M Extra Services$Fees(checkbox,add fee as epp ��?l3 e� ❑Return Receipt(hardcopy) $ ry .� M ❑Return Receipt(electronic) $ Postmark��3 3 ❑Certified Mall Restricted Delivery $ r� Here *3 [:3 ❑Adult Signature Required $ r� []Adult Signature Restricted Delivery$ LJ Postage i7 ' 1`a $ 0 Total Pos9 Viola Deluca I -- Q� r� Ln Sent To 53 Green Aven E3 Madison,NJ 079 �'Z'L®� � ------- N ---------- c�ry,ware ------- IPTC3 D• 0 m DI B Ln Ln • f.� •#(a J�"5{• �( 1r�7 1 y'm:� •(('j"..:� w • F'"~SS tj��il �� � {f�"l'1 !➢ jj�1} � �f (((¢'''???� "�.f C::S Ln C13 S J (4.7 L .i IL• b P Y'� 3 t:� Ln m $ MI Fge Certified Mad Fee rn $ a $ �1�.2O,Zy Extra SetVi s& (ch ck box,add fee ate) Extra Services&Fees(check box,add fee as ap ❑Retum ece eop $ y ❑Return Receipt(hardcopy) $rq 0 ❑RetumSgna (elect c) $ "? pow ❑Retum Receipt(electronic) $ } OStmark 0 ❑Certtflri a Delivery I - HBrO � r3 ❑Certified Mall Restricted Delivery $ `• .Hero � ❑Adult Re�'red �=•-' Yom, Q ❑Adult Signature Required $ Adult Rbstdc -livery f� []Adult Signature Restricted Delivery$ g �.l Postage Postage - W iTJ f_ `D To El P°5t Christine& yard Rivera - �1 `° C3 $ Y ,, M $ta1 Pe William Beyer I �t" 250 Sound Be - Drive �1n 88 South Country u1 Sent TO LO Sent To �u+ Ln �i�eeiana. Mattituck,NY 1 ��� �� sfieefar Bellport,NY 11713 ��� jtyti� ----------- --------- -------- City, :oe r o0 oor.o :oo r oo 'a TM RECEIPT C3 De O ®I Ln Ln CO CO rU Certified Mad Fee rU Certified Mad Fee r� J r, $ _ RI Extra Services&Fees(check box,a s appropdate)� m Extra Services&Fees(check box,add fee as approp ❑Retum Receipt(hardcopy) ❑Retum Receipt(hardcopy) $ 0 ❑Retum Receipt(electronic) ,�Postmar ❑Retum Receipt(electronic) $ P O ❑Certified Mail Restricted Delivery �� _ f S- Here 0 ❑Certified Mall Restricted Delivery $ �i f; H�er 0 [3 Adult Signature Required '_� `_F � E]Adult Signature Required $ E]Adult Signature Restricted Dellve ? []Adult Signature Restricted Delivery$ >y O Postage err n � Postage ,1 V `y $ G C3 Total Poi Emily &Mieha� avourias� i o Total P, Town of Southol �� $ I $ PO Box 1179 ��1 Ln Sent To 45 Van Arsdale Pla y"�'SLC Ln Sent Tc 53095 State Route z'�l l X41 j o Stwjjl r ,NY 11030 ""'___ Manhasset o §iFeei� Southold,NY 11971 /- N t City$fai C)ry �g 9 5 �� :11 1 I I 011•1 :11 I 11 111•I e , ® ® A p on n N Ds • Q' L COLn (1c _ = • I ��' I r U Certified Mad Fee W m $ Extra Services&Fees(check box,add tappropdate) El Return Receipt(hardcopy) i$ t, ❑Retum Receipt(electronic) $ ' !postmark M ❑Certified Mail Restricted Delivery $ -f Here 4121) [I Adult Signature Required $ ❑Adult Signature Restricted Delivery$ L O Postage Ax!d $ ° o Totat Pesta9 Town of Southold $ u7 Sent To PO Box 1179 a 53095 State Route 25 sie®iandq Southold,NY 11971 Ciry�State;a •---- :or t rr r,r•r PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS -Name: STATE OF NEW YORK COUNTY OF SUFFOLK residing at being duly sworn,deposes and says that on the day of , 20__, deponent mailed a-true copy of the Notice set forth in the Board of Trustees Application,directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at ,that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this Day of , 20 i Notary Public t 1, SENDER: • At DELIVER TION COMPLETE s ® Complete items 1,2,and 3. A. Signature 411 ■ Print your name and address on the reverse so that we can return the card to you. X ❑Agent © Attach this card to the back of the mailpiece, B. Received by(Printed Name ©Addressee or on the front if space permits. ) C. Date of Delivery 1. Article Addressed to: D di ere fro i#em ? Yes Town of Southold I YES,enter delivery a ress e o No PO Box 1179 OCT � � 20'6 53095 State Route 25 Southold,NY 11971 outhol Hill IN 11111111110111F1111INIA11 1 D AAdult Sinature 11 dult Signature Restricted DeliveryD Registered MaaiilTTM ss® D Certified Mail® D Registered Mail Restricted Delivery 9590 9403 0165 5120 2198 23 D Certified Mail Restricted Delivery D ReturnReceipt for erchandise 2. Article Number ransfer from service label)_- - ❑Collect on Delivery Restricted Delivery O Signature Confirmation- -N015 onfirmation- 7 15 6640 0 ], 312 5 8 5 9 5 Mail D Signature Confirmation Mail Restricted Delivery Restricted Delivery PS Form;Jb 11,April 2015 PSN 7530-02-000-9053 00) --- Domestic Return Receipt • COMPLETE SECTION ON DELIVERY ■ Complete items 1,2,and 3. A. Signature ■ Print your name and address on the reverse so that we can return the card to you. X ❑Agent ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name El Addressee or on the front if space permits. ) C. Date of Delivery 1. Article Addressed to: - Isa dr di er ro Yes Lt Town of Southold - - - -- ---- - -- -- - If�,e de ad� ss low No � PO Box 1179 53095 State Route 25 I OCT 1 3 Southold,NY 11971 2016 Se 111111111 IIII IIIA I11111113,dul -q-ntupe UI:_h,7 own D Priority all Express® 9590 940 VIII IIIII IIII III D Certified Mall a D Register dd WIT" Mail Restricted 3 0155 5120 2198 09 o Delivery D Certified Mail Restricted Delivery Return Receipt for artiriA Ni imhar?ransfer from service/abe0_______ Collect on Delivery Merchandise 7 015 0640 O Collect on Delivery Restricted Delivery D Signature ConfirmationTM D❑D 1, 3125 8564 lured Mad D Signature Confirmation lured Mail Restricted Delivery Restricted Delivery PS Form 3$11,April 201er$soo) 5 PSN 7530-02-000-9053 i Domestic Return Receipt NUTIC .t U 'I;m Ht: ARING 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: MATTITUCK PARK DISTRICT SUBJECT OF PUBLIC HEARING : For a Wetland Permit and a Coastal Erosion Permit to install a 25' wide by 40' long steel shade shelter supported by six (6) foundation columns over a proposed 4" (25'x40') concrete slab; and to install an approximately 12'x24' timber deck fastened onto the existing concrete slab that is attached to the existing lifeguard building. Located: 5155 Breakwater Road, Breakwater Beach, Mattituck. SCTM# 1000-99-2-19.1 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 Hoard of Trustees Applic ;Lon AFFIDAVIT BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signa e f Pro e y Owner SWORN TO BEFORE ME THIS DAY OF �P 4 Notary Pub l ee DAVID B.PROKOP Notary Public.state of New York Qualified in Suffolk County No.4977533 ° My Commission Expires Feb.04,"4 Board of Trustees Application AFFIDAVIT ,v:oRolas MATTTITUCK PARK DISTRICT COMMISSIONER N1GK DEEGAN 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 PropertybOwner SWORN TO BEFORE ME THIS DAY OF 20116 DAIAD Notary Public, ta a oKNew York Notary P lic Qualified in Suffolk County No.4977533 W Commission Expires Feb.04,20 Board of Trustees Application AFFIDAVIT MATTTITUCK PARK DISTRICT COMMISSIONER GERARD GOEHRINGER BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS TIE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS'ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES D RING THE TERM OF THE PERMIT. r Signature of PropertyOwner SWORN TO BEFORE ME THIS -1 I1� _ DAY OF 20 %6 Notary P lic NotaPublic, ta a oKNeAVID B. wYo* Qualified in Suffolk County No.4977533 My Commission Expires Feb.04,21) j Hoard of Trustees Applic, on AUTHORIZATION (where the applicant is not the owner) I, COMMISSIONER MICHAEL RYAN residing at 11280 PECONIC BAY BLVD. (print name of owner of property) (mailing address) P.O.BOX 1413,MATTITUCK,NY 11952 do hereby authorize (Agent) CHRISTOPHER F.DWYER,L.K.MCLEAN ASSOCIATES _to apply for permit(s)from the Southold Board of Town Trustees on my behalf. (Ow e ' at e Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) I, COMMISSIONER NICK DEEGAN residing at 11280 PECONIC BAY BLVD - - g (print name of owner of property) (mailing address) P O BOX 1413,MATTITUCK,NY 11952 _ do hereby authorize --_. - - (Agent) CHRISTOPHER F.DWYER,L.K.MCLEAN ASSOCIATES to apply for permit(s)from the Southold Board of Town Trustees on my behalf. (Owner's signature) Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) I, COMMISSIONER GERARD GOEHRINGER residing at 11280 PECONIC BAY BLVD (print name of owner of property) (mailing address) P O BOX 1413,MATTITUCK,NY 11952 do hereby authorize (Agent) CHRISTOPHER F DWYER,L K.MCLEAN ASSOCIATES to apply for permit(s)from the , Southold Board of Town Trustees on my behalf. wner's signature) APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL]DISCLOSURE FORM _Thc Tmvn of Southold's Code of Ethig groltibits conflicts of interest on the part of town officers and employees Tlie purpose of this o s to rovide inforination wi ich can alert the town f possible c nflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: L.K.McLEAN ASSOCIATES,P C. (Last name,fast name,Middle initial,unless you are applying ill 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 X Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally�(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or.employee owns more than 5%of the shares. YES NO X if you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shams of the corporate stock of the applicant (when the applicant is a corporation); R)the legtil or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an offiicerAirector,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 64Y day o�DW 2 Signature Print Name CHRISTOPHER . ER,ASSOCIATE Form TS I l L K.McLEAN ASSOCIATES,P.C. i APPLICANVAGLNUREPRESENTATIV TRANSACTIONAL(DISCLOSURE FORM i 'The Town of Souklriild'c Code of Fthics�aro}yiliits coriflicis of interest on'tiid Bart of tbwn'officerc a--Ir d enin1gyees The7nurnose•of (. this form is to nrovide inforinatron which can alert the town of possibid'conhictsof intdregt anilallow'it to talre whatever.aciron is j ne%ssary to avoid same. I{ YOURNAME: -MATTITUCK PARK DISTRICT = (Last name,first name,ipiddle 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 X Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.)_ } Do you per"sonall"y(or through your company,spouse,siblhig,,parent,or child)have a relationship with any officer or employee of the'6wil bf Souilrold? "Relationship'.'includes by bib6d,marriage,or business interest."Business interest"means a business, including a partncrshio in which Ute town offrcer or dmpl'oyee lias:even a partial ownership of(or employment by)a corporation in which the'tiitvtt pfFiccror,employee owns.more titian 5%vCthe shares. YES NO I 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 i 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. 1 The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)ahc pwner of greater than 5%of the sbares of the corporate stock of the applicant 4 (wlren-the'apFlicantJs a,corpbration);. B)ae legal'or liencficial owner of any interest in,a non-corporate entity(when the I applicant is not a corporadon}, 4an 46r,director,partner•or`e'mployee`of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP *** Signatory is a member of the Town of Sou o Zonin oar o A ea s Submitted this �idayg� { Zvf� Signature �i-� Print Name GERALD Form TS I COMMISSIONER OF MATTITUCK PARK`DISTRICT APPLICANT/AGENU/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM J The ToMn of Southold's Code of Fthies RroblVts conflicts of interest on the#art of town officers and eninloyees The ptrraosd o this"foim'is to arovide information—which can alert the town of nossi a conflicts of ihterest aitd nitow il to-take whatever action is= necessary to avoid same. YOUR NAME: MATTITUCK PARK DISTRICT (Last name,first name,1piddle 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 X — Approval of plat Mooring Exemption from plat or official map Planning ? Other (if"Other'',name the activity.) I" Do you persoiialiy(or.through your company,spouse,,sibling,parent,or child)have a relationship with any officer or employee Gtood,in 'inge,or business interest."Business interest"means a business, of the Town oP,Soudiotd? "Relntionship"irioludes by including -partncrship,'in�'ahicli'llle town.o'ffider or•employee has:even a partial ownership of(or employment by)a corporation in which'•dic,to%vn'officcr or°emoloyce owns more than,5%of,the shares. YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check f 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): i S A)1he owner,of,greater thai5%6f-the shares bfilie•corporate stock of the applicant (when,the applicant is t corp+iration); ; B)'the legal•or iiencf1cia1 9wrier,orany interest-in a non-corporate entity(when the ,applicant.is not a',corporation); n•officer,director,partner,.oreriiployeeofthe'applicant;or Dj the actual applicant. DESCRIPTION Or RELATIONSHIP Submitted w" jdofw"rSignatwV %PrintName I D E Form TS 1 COMMISSIONER OF MATTITUCK PARK$DISTRICT APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics nrohibits conflicts of interest on the part of town officers and emnl-ovees.The purpose of this form is toQrovide inforination which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: MATTITUCK PARK 'DISTRICT (Last name,first name,Viddle 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 X Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest."Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO X If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)'the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted iG ay f 24W Zot{ Signature Print Nae Form TS 1 CO IS I R OF MATTI UCK PARKS DISTRICT Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject,to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its si gificant 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 explain®d in detail, listing both supporting and uon- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website(southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 1000 - 09902 - 19 001 PROJECT NAME MATTITUCK BREAKWATER BEACH SHADE SHELTER The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. 0 Board of Trustees ❑ 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(a•g• capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g. grant, loan,subsidy) (c) Permit,approval, license,certification: a Nature and extent of action: THE MATTITUCK PARK DISTRICT IS PROPOSING TO INSTALL A 25'WIDE X 40'LONG STEEL (POW DE FEGUAFZD-BUILDING AND TO FURNISH TIMBER DECKING ON TOP OF AN EXISTING CONCRETE PATIO ATTACEHD TO EXISTING LIFEGUARD BUILDING AS AS SAFETY MEASURE TO PROTECT PARK PATRONS. NO OTHER DISTURBANCE OF LAND IS NECESSARY OTHER THAN FOR THE SIX(6)FOUNDATION COLUMNS FOR THE PROPOSED SHADE SHELTER THE WORK IS PROPOSED SEAWARD OF THE COASTAL HAZARD EROSION LINE(CEHL)BUT DOES NOT INTERFERE WITH ANY PROTECTI EXIS'nN FEATURES IN FRONT OF AND BEHIND THE CEHL THE STRUCTURE WILL BE PROPERLY MANUFACTURED,ENGINEERED, AND INSTALLED BOTH TO EFFECTIVELY WITHSTAND CEHA AREA FORCES AND TO MAXIMIZE LIFESPAN e Location of action: MATTITUCK BREAKWATER BEACH,MATTITUCK Site acreage: 21.87 ACRES Present land use: PARK Present zoning classification: RESIDENTIAL R-80 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: MATTITUCK PARK DISTRICT (b) Mailing address: MATTITUCK PARK DISTRICT , 11280 PECONIC BAY BOULEVARD,P.O.BOX 1413,MATTITUCK NY 11952 (c) Telephone number: Area Code( ) 631-298-9103 (d) Application number,if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes 0 No❑ If yes, Which state or federal agency? NYSDEC TIDAL WETLANDS PERMIT APPROVED C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Rest 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 0 Not Applicable THE PRnpnsFn SHAnF SHEI R AND TIMB R DECKING WILL INCREASE THE BENEFICIAL USE OF AN EXISTING COASTAL PUBLIC PARK. BOTH WILL BE DESIGNED AND CONSTRUCTED IN A MANNER THAT WILL HAVE NO ADVERSE IMPACT ON THE ADJACENT WETLANDS NOR INCREASE COASTAL EROSION THE AESTHETIC OF BOTH STRUCTURES WILL BE CONSISTENT WITH THE NATURAL ENVIRONMENT AND ENHANCE THE CHARACTER OF THE PARK 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 0 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 F] Yes ❑ No ❑'Not Applicable THE SHADE STRUCTURE WILL BE AESTHETICALLY CONSISTENT WITH THE NATURAL ENVIRONMENT IT FEATURES A SIMPLE CANOPY SUPPORTED BY SIX SLIM COLUMNS. IT IS NOT ANTICIPATED THAT THE SIZE,LOCATION OR DESIGN WILL IMPACT ANY SCENIC VISTA IN THE AREA OR ADJACENT NEIGHBORHOOD THE TIMBER DECKING WILL REPLACE THE"MANUFACTURED"LOOK OF THE EXISTING CONCRETE PATIO AND ENHANCE THE VISLIAI QUAQUAI ITY OF THF PARK 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 E Yes 1:1 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 0 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. ❑ ❑ R 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 U Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No El 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. 0 41 No❑ Not Applicable THE MATTITUCK PARK DISTRICT SEEKS TO ENHANCE THE SAFETY OF PARK PATRONS,ESPECIALLY YOUNG CHILDREN,SENIORS,AND THOSE WITH MEDICAL CONDITIONS BY PROVIDING A SHADE STRUCTURE,USAGE AND ENJOYMENT OF EXISTING PUBLIC PARK WILL BE INCREASED THE TIMBER DECKING WILL SERVE TO COVER THE EXISTING CONCRETE PATIO,THEREBY REDUCING TRIP AND FALL HAZARDS AND THE POTENTIAL FOR SEVERE CONSEQUENCES SUCH AS HEAD INJURIES A HANDRAIL AND ADA-COMPLIANT RAMP,DESIGNED TO BE IN HARMONY WITH THE NATURAL SURROUNDINGS.WILL ALSO BE PROVIDED BOTH OF THESE IMPROVEMENTS IMPROVE THE ACCESSIBLITY OF THE PARK AND IMPROVE PUBLIC ACCESS TO THIS RECREATIONAL RESOURCE Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No 0 Not Applicable 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 X❑ Not Applicable ` Attach additional sheets if necessary Policy 12. Protect agricultural lands-in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No El Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No ❑ Not Applicable PREPARED BY CHRISTOPHER F DWYER,L.K.McLEAN ASSOC TITLE ASSOCIATE DATE 8-31-2016 LIURA w _ L. K McLean Associates, P.C'. 437 South Country Road • Brookhaven • New York 11719 CONSULTING ENGINEERS (631)286-8668 • FAX(631)286-6314 Associates EUGENE F.DALY,P E,P.T O E.TM,PRESIDENT and C E O CHRISTOPHER F DWYER RAYMOND G DIBIASE,P.E.,P.T O.E TM,PTP TM,EXECUTIVE VICE PRESIDENT ROBERT A.STEELE,P E DANIEL P JEDLICKA,P L S,VICE PRESIDENT JAMES L DeKONING,P E -STEVEN W.EISENBERG,P.E. ANDREW B SPEISER August 29,2016 Mr. John Bredemeyer AUG 3 0 2016 54375 Main Rd. P.O. Box 1179 SouthoId Town Southold,NY 11971 RE: TOWN OF SOUTHOLD -MATTITUCK BREAKWATER SHADE SHELTER MATTITUCK,NEW YORK LKMA No. 16078.000 Mr. Bredemeyer: Thank you for consideration of the pending Wetlands Permit for our client, the Mattituck Parks District. In response to your request, we are submitting, on their behalf, copies of proposed site plans and existing site survey, in support of the application for a Wetlands Permit to construct a shade shelter and a timber deck fastened to an existing concrete slab. Enclosed herewith for your review, please find(4)copies of the following: 1. Drawing Set, including site plan and shade structure elevation details 2. Property Survey performed by Peconic Surveyors,P.C. Now that we are aware that this project will further require a Wetland-Coastal Erosion Permit, additional supporting application materials will follow in the near future. If you have any questions or require additional information,please feel free to contact me. Very truly yours, CFD:Ifc Christopher F. Dwyer,Associate L. K. McLean Associates, P.C. Enc. (8) Cc: Commissioner Michael Ryan,Mattituck Parks District w/enc. LKMA File Copy w/enc. • Founded in 1950 L11,AAL. K. McLean Associates, P.C. 437 South Country Road • Brookhaven • New York 11719 CONSULTING ENGINEERS (631)286-8668 • FAX(631)286-6314 Associates EUGENE F DALY,P.E,P T O ETM,PRESIDENT and C E O CHRISTOPHER F DWYER RAYMOND G DiBIASE,'P.E,P T.O E TM PTPTM,EXECUTIVE VICE PRESIDENT ROBERT A STEELE,P.E DANIEL P JEDLICKA,P L S,VICE PRESIDENT JAMES L DeKONING,P E. STEVEN W EISENBERG,P E ANDREW B.SPEISER September 1,2016 MATTHEW C JEDLICKA,LEED AP Mr.John Bredemeyer 54375 Main Rd. � ORIGINAL�� d P.O.Box 1179 Southold,NY 11971 RE: TOWN OF SOUTHOLD-MATTITUCK BREAKWATER SHADE SHELTER MATTITUCK,NEW YORK LKMA No. 16078.000 Mr.Bredemeyer: Thank you for consideration of the pending permit for our client, the Mattituck Parks District. In response to your recent determination, we are re-submitting, on their behalf, a complete application package, in support of an application for a Wetlands/Coastal Erosion Permit to construct a shade shelter and a timber deck fastened to an existing concrete slab. Enclosed herewith for your review,please find the following: 1. Completed Wetlands/Coastal Erosion Permit Form 2. Signed 30-Year Maintenance Agreement 3. Short EAF 4. Draft Mailing Notice&Notice to Adjacent Property Owner(will be finalized and sent out when hearing date is assigned) 5. Application Affidavit 6. Agent Authorization 7. LWRP Consistency Assessment Form 8. Drawing Set, including site plan and details/dimensions of proposed structures(4 copies) 9. Property Survey performed by Peconic Surveyors,P.C. (4 copies) If you have any questions or require additional information,please feel free to contact me. Very truly yours, CFD:Ifc Christopher F.Dwyer,Associate L. K. McLean Associates, P.C. Enc. (8) Cc: Commissioner Michael Ryan,Mattituck Parks District w/enc. ® E C E U V E LKMA File Copy w/enc. SEP ® 9 2016 -7outhold Town _B0td Tri lees •.Founded in 1950 • DAVID B. PROKOP ATTORNEY AT LAW 131 ROUTE 25A, SUITE 2 ROCKY POINT, NY 11778 TELEPHONE(631)821-1314 FACSIMILE (631)821-1190 ALSO ADMITTED IN DISTRICT OF COLUMBIA AND PENNSYLVANIA April 21, 2016 John Bredemeyer, President lµ �q Southold Board of Trustees D F D Box 1179 j Southold, NY 11971 APR 2 6 2016 Re : Mattituck Park District Breakwater Beach Southold Town 1000/99/2/19 . 1 &ardafT isim Dear Mr. Bredemeyer: I am counsel to the Mattituck Park Disrtict . The park district commissioners have expressed an interest in constructing a pavilion at Breakwater Beach. In furtherance of this proposal enclosed is a current survey with the proposed pavilion location. At this time we respectfully request ,a pre-submission inspection at the property. To perform this inspection the Mattituck Park District hereby grants access to the Board of Trustees . At the present time I have all three commissioners available the week of May 8, 2016 except for Monday, May 9th, if any day that week is convenient for the Trustees . Plesae call my office to suggest availability by the Trustees and then I will confirm the date and time with the three park commissioners . Thank you for your courtesy. Sin e ly, David okop James F.King,Presidentoa sUQr�o Town Hall Annex Bob Ghosio,Jr.,Vice-President 54375 Main Road P.O.Box 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer igs Michael J.Domino '®! Telephone(631)765-1892 c0UFax(631)765-6641 f+9T���' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Application _Wetland Permit Application Administrative Permit D _Amendment/Transfer/Extension Received Application: ; _Received FeeS JUL _Completed Application _Incomplete t _SEQRA Classification: Southold awn ',y Type I 'Type 1I Unlisted 1 Coordination:(date sent) �LWRP Consistency Assessment Form _CAC Referral Sent: _Date of Inspection: _Receipt of CAC Report: ( T _Lead Agency Determination: P,,k ✓o ri _Technical Review: _Public)'fearing Held: vu\ Resolution: NarneofApplicant Commissioner Michael Ryan Mailing Address 11280 Peconic Bay Blvd. , Mattituck, NY 11952 Phone Number:( ) G31-298-9103 Suffolk County Tax Map Number: 1000- 099-02-1.9 . 1 Property Location: The zt� `ect is in 1�1at t±tuck at the no cth te- minus of Breakwater Avenue (E,. I . Sound) (provide LILCO Pole#, distance to cross streets, and location) AGENT: Christopher F. Dwyer (If applicable) Address: 437 South Country Rd. , Brookhaven NY 11719 —Phone:-631-286-8668 drd of Trustees Applicatii GENERAL DATA Land Area(in square feet): 952, 748 S F Area Zoning: Residential R-80 Previous use of property: Park Intended use of property: Park 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? X 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 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? X Yes No Prior permits/approvals for site improvements: Agency Date NYSDEC - 1-4738-01061/00001 expired 2/28/98 X 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): The Mattituck Park District would like to install a 25'wide by 40' long steel (powder coated)shade shelter north and west of the existing Lifeguard Building The project also includes the completion of a timber deck that would extend directly north off of the existing Lifeguard Building. No other disturbance of land is necessary other than for the six(6)foundation columns. The work is proposed seaward of the Coastal Hazard Erosion Line (CEHL) but does not interfere with any protective dune or coastal feature that would protect the existing features in front of and behind the CEHL. B -d of Trustees Applicatim WETLAND/TRU§TEE LANDS APPLICATI®N DATA Purpose of the proposed operations: to provide shelter to the patrons using the Mattituck Park District ' s beach facility. The deck that is to be installed over the existing concrete is for safety purposes . Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed stricture and upland edge of wetlands: feet Does the project involve excavation or filling? No X Yes only a maximum of three feet below surface for footings (6). If yes,how much material will be excavated? 6 cubic yards How much material will be filled? 0 cubic yards i Depth of which material will be removed or deposited: 3+/- feet i Proposed slope throughout the area of operations: 1 Manner in which material will be removed or deposited: i Material will be excavated by the use of an excavator. All excess material from foundationiinstallation shall be removed from site. I 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): I I i i i own of Southold Erosion, Sedimentation & St® -Water Ran-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T.M.#: THE FOLLOWING ACTIONS MAY REQUIRifa THE SUBMISSION OF A 1000 99 02 19 . 1 STORA&WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN Piisli t Sect on Block— Lot CERTIFIED BY A DESIGN PROFESSIONAL III THE STATE OF NEW YOM SCOPE,OF WORK - PROPOSED CONSTRUCTION YIEM# / WORK ASSESSMENT Yes No a. What Is the Total Area of the Project parcels? 1 Will this Project Retain All Storm-Water Run-Off (Include Total Area of all Parcels located within Generated by a Two(2")Inch Rainfall on Site? the Scope of Work for Proposed Construction) 21 - 8 7 Ate„ (This item will include all run-off created b site b. What is the Total Area of Land Cloarin (S.F./Acres) Y X 9 clearing and/or construction activities as well as all El and/or Ground Disturbance for thera osed Site Improvements and the permanent creation of construction activity? p p 1000 S F provemen � IS F./acres} impervious surfaces.} 2 Does the Site Plan and/or Survey Show All Proposed PROVIDE BRIEF PROJECT DESCRIPTION (ProvideAddigmal Pages asNeedad) Drainage Structures Indicating Size&Location?This El Item shall Include all Proposed Grade Changes and — Work is for excavation and installation Slopes Controlling Surface Water Flow. 3 Does the Site Plan and/or Surrey describe the erosion of six (6) concrete columns to support and sediment control practices that will be used to Li control site erosion and storm water discharges. This — the D=osed shade shelter 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 X Existing Grade Involving more than 200 Cubic Yards — of Material within any Parcel? 5 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand X (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 X General DEC SINPPP Requirements: or within One Hundred(100')feet of a Weiland or Submission of a SWPPP Is required for all Construction activities involving sail Beach? disturbances of one(1)or more acres; Including disturbances of Fess than one acre that 7 Will there be Site preparation on Existing Grads Slopes are part of a larger common plan that will ultimately disturb one or more acres of land; which Exceed Fifteen preparation feet of Vertical Rise to including Construction activities involving soil disturbances of less than one(1)acre where One Hundred Fifteen (100' of Horizontal Distance? X Me or has determined that a SPOES permit is requaed for storm water discharges. El (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-Permit No.GP-0-10.0011.) Surfaces be Sloped to Direct Storm-Water Run-Off X 1.The SWPPP shall be prepared prior to the submittal of the NOL The NOI stall be into and/or in the direction of a Town right-of-way? — submitted to the Departmentcommencement prior to the commenment of construction activity, i 2.The SWPPP shall describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material, 1 required,post-construction storm water management prac0ices 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 X compliance with the terms and Conditions of this permit-In addition,the SWPPP shall Area?(This item will NOT include the lnstOWon ororiveway Aprons) j identify potential sources of pollution which may reasonably be expected to affect the quality of storm water discharges. NOTE: If Any Answer to Questions One through Nine is Answered with a Check P&rk 3.All SWPPPs that require the post-construction storm water management practice In a Box and the construction sNe 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 I S that is knowledgeable in the principles and practices of Storm Wrier Management.Management. outhold and Must be Submitted for Review Prior to issuance of Any Building Permit. (NOTE: A Check Mark(4)andfor Answer for each Question is Required fora Complete Apprmlzn) i i i STATE OF NEW YORK f COUNTY OF S.� IIS...... SS If )0d-t& That i, ...L...............�.. ...................being duty sworn,deposes and says that he/she is the applicant for Permit, (Name of&tdividual sig//ingD,vcvment) ae !� Andthat he/she is the ...........1,..lk. .�.. ,? �:U .! .............................................................................................. J (Owner,Contractor,Agent,Corporate Officer,etc) Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to 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; J q� // r ..(.L. af .. ......................24Z.!4 NotaryPub ....... ,. .. Eve L.6XTZ S'CHWAMV it1. .i . ............... or pplimnt) FORM - 06/1 -0Registratio n No.0IGA6274028 Qualified in Suffolk County Commission Expires Dec.24,2016 E' .d of Trustees Applioatio7 County of Suffolk State of New York Commissioner Michael Ryan BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HISIHER 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 WTI RE OF HIS APPLICATION. << e f Property Owner J SWORN TO BEFORE ME THIS ll DAY OF� AJ E Not P li E -SCHWAMBORN STATE OF NEW YORKo.o 1GA6274028n Suffolk Countyxpires pec.24,2016 i I I i _ I i _ APPLICANT/AGENUREPRESENTA'TTVE TRANSAC'TIONAL DISCLOSURE FORM � The Town of Southold's Code of Ethics prohibits oonfli c s of interest on the part of town off vers and employees.The purpose of this for is to provide i forination which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to Mid same. = � YOURNAME: Michael Ryan j (Last name,first name, riddle 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 Trus Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning i Other i (If"Other-,name the activity.) Wetlands Permit I Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,rnarriage,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 %of the shares. i Yes NO - {{ lfyou answered"YES",complete the balance of this form and date and sign where indicated. 1 - - I Name of person employed by the Town of Southold Title br position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply)_ A)the owner of greater than 511/o of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); j C)an officer,director,partner,or employee ofthe applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP I SubmittedI day off � 200 Signature Print N Form TS 1 Y11IC04tL -V- A 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 supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website(southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. D. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 1000 - 099- 02 - 19.1 PROJECT NAME Breahwater Beach-Propsed Shade Shelter&Deck The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. X❑ 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: a Nature and extent of action. Need approval to build shade shelter in area seaward of the coastal erosion hazard line. Met with Trustees at site on May 11, 2016 and they understand that project does not impact any coastal erosion barrier or would it create any erosion•to the beach area. i Location of action: Matt ituck Site acreage: 21.87 Acres Present land use: Park Present zoning classification: Residential R-80 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: Commissioner Michael Ryan (b) Mailing address: Mattituck Parks District 11280 Peconic Bay Blvd. P.O. Box 1413~Mattituck NY 11952 (c) Telephone number:Area Code( ) 631-298-9103 (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes FLI No❑ If yes,which state or federal agency? NYSDEC- Letter of No-Jurisdication 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 POLI 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 L] Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III-Policies Pages 3 through 5 for evaluation criteria ❑ Yes ❑ 1l�0 1 Not Applicable t 1 J Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No [j] Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria Yes ❑ No -X❑- Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of.Southold. See LWRP Section In —Policies Pages 16 through 21 for evaluation criteria ❑ Yes ❑ No 0 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. ❑ Q 0 Yes No Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the 'Town of Southold. See LWRP Section IlI -- PoIicies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No I xJ Not Applicable Attach additional sheets if necessary Policy S. 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 evaluatiop criteria. ❑ Yes ❑ No R 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=PoIicies; Pages 38 through 46 for evaluation criteria. �---� ElYe❑ No Not Applicable 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 LVVRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑Yes ❑ No X❑ Not Applicable 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. ❑ Not Applicable Yes 11 No ` 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 0 Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies;Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable PREPARED BY Christopher F. Dwyer TITLE - Associate DATE 6-08-16 617.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I -PROJECT INFORMATION To be completed by A 3plicant or Project Sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME Commissioner Michael Ryan ; MA Ti-rUCK '51Zf V-WA1�r,-R__5HAD6 5A£,(,Tf., 3 PROJECT LOCATION. Municipality Mattituck County Suffolk 4. PRECISE LOCATION(Street address and road intersections,prominent landmarks,etc.,or provide map) 5155 Breakwater Avenue Mattituck NY 11952-the precise location is at the north terminus of Breakwater Avenue where the road ends at meets the Long Island Sound and is just west of the Mattituck Inlet. 5 PROPOSED ACTION IS. ❑✓ New Expansion Modification/alteration 6 DESCRIBE PROJECT BRIEFLY The Mattituck Park District would like to install a 25'wide by 40'long steel(powder coated)shade shelter north and west of the existing Lifeguard Building. The project also includes the completion of a timber deck that would extend directly north off of the existing Lifeguard Building. 7. AMOUNT OF LAND AFFECTED: Initially 1000 SF or 023 acres Ultimately 023 acres 8 WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? Yes ❑ No If No,describe briefly 9 WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ✓0 Residential ❑ Industrial Commercial Agriculture 1:1 Park/Forest/Open Space Other Describe* 10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING,NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL,STATE OR LOCAL)? Yes No If Yes,list agency(s)name and permit/approvals, Southold Town Trustees 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? nYes z No If Yes,list agency(s)name and permit/approvals, 12 AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? Yes 0✓ No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor me: CommissionerMike Ryan Date' --� r Signature % If the ac " is in a Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER PART II - IMPACT ASSESSMENT : completed by Lead Agency) A DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617 4? If yes,coordinate the review process and use the FULL EAF Yes ❑ No B WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No,a negative declaration may be superseded by another involved agency. D Yes E] No C COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING (Answers may be handwritten,if legible) C1 Existing air quality,surface or groundwater quality or quantity,noise levels,existing traffic pattern,solid waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly. C2 Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources,or community or neighborhood character?Explain briefly, C3 Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly. C4 A community's existing plans or goals as officially adopted,or a change in use or intensity of use of land or other natural resources?Explain briefly C5 Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly: C6 Longterm,short term,cumulative,or other effects not identified in C1-05? Explain briefly- C7 Other impacts(including changes in use of either quantity or type of energy)? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA(CEA)? 1-1 Yes ❑ No If Yes,explain briefly- E IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑Yes ❑ No If Yes,explain briefly PART III-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant Each effect should be assessed In connection with Its (a)setting(i.e. urban or rural); (b)probability of occurring; (c) duration; (d)irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed If question D of Part II was checked yes,the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA ElCheck this box if you have identified one or more potentially large or significant adverse impacts which MAY occur Then proceed directly to the FULL EAF and/or prepare a positive declaration Check this box if you have determined,based on the information and analysis above and any supporting documentation,that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide,on attachments as necessary,the reasons supporting this determination Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(If different from responsible officer) LKAKA L. K McLean Associates, P.C. 437 South Country Road • Brookhaven • New York • 11719 CONSULTING ENGINEERS (631)286-8668 • FAX(631)286-6314 Associates EUGENE F DALY,P E.P T O E.Tm,PRESIDENT and C E.O. CHRISTOPHER F DWYER RAYMOND G.DiBIASE,P.E.,P.T.O.E.Tm,PTP-,EXECUTIVE VICE PRESIDENT ROBERTA.STEELE,P.E DANIEL P JEDLICKA,P L.S.,VICE PRESIDENT JAMES L.DeKONING,P.E. STEVEN W EISENBERG,P.E. ER July 1,201 D 61A T E1E. D IKEE Mr. John Bredemeyer JUL 54375 Main Rd. P.O.Box 11971 Southold,NY 11971 oufhold n RE: TOWN OF SOUTHOLD-MATTITUCK BREAKWATER SHADE SHELTER MATTITUCK,NEW YORK LKMA No. 16078.000 Mr.Bredemeyer: As Consulting Engineers for the Mattituck Parks District, we are submitting, on their behalf, an application for a Tidal Wetlands Permit to construct a shade shelter and a timber deck fastened to an existing concrete slab. Enclosed herewith for your review,please find(2)copies of the following: 1. Board of Trustees Application. 2. Erosion, Sedimentation&Storm-Water Run-Off Assessment Form. 3. Authorization Form. 4. Transactional Disclosure Form. 5. LWRP Consistence Assessment Form. 6. Short Environment Assessment Form(SEAF). 7. Check in the amount of$100.00 made payable to the Town of Southold. If you have any questions or require additional information,please contact this office. Very truly yours, ,- CFD:yrc Christopher F.Dwyer,Associate L. K. McLean Associates, P.C. Enc. (7) Cc: Commissioner Michael Ryan,Mattituck Parks District w/enc. LKMA File Copy w/enc. • Founded in 1950 - TOWN OF' SOUTHOLD SUFFOLK COUNTY, NY EL MATTITUCK BREAKWATER BEACH SHADE SHELTER iown rl JUNE 2016 loo, CYPr 125 I Peconic G r moat d r fi 1A Laugh •-c: Water. krchrnoaN/ Creek Cutchogue SITE LOCATION Station tilde Creek Nassau Farms zs,l Waterville Cutchogu - Z "16 F. es New Suffolk f Wast o [reek 0 Suf folk Ave Great Peconic 8 Mattltuck Ne NevuSu$of► AI,,, 3 Ave #A sourk Poe. Hate CrF k i Luce Landing 9W 25 1 0 3 m SHEET LIST TABLE LOCATION MAP 8/31/2018 LFC wo DUIENS10N5 CFD DATE BY DESCRIPTION APPRM. 8Y C SHEET NUMBER SHEET TITLE REVISIONS 0 TOWN OF SOUTHOLD s T1 LOCATION SHEEP SUFFOLK COUNTY NY E MATTITUCK BREAKWATER BEACH aCL 1 PHOTO SHEET SHADE SHELTER (0 y, N 0 0 2 PROPOSED SITE PLAN LOCATION SHEET is 3 CAMPION MODEL SHADE SHELTER DETAIL L. K. MCLEAN ASSOCIATES, P.C. 4 TIMBER DECK DETAIL CamxTMo DiONSM a1 aW W calWr m..MDMM"a im TM Intl oD.*b By. YCR/CF Sedr. AS NOTED Sit NO SUFFOLK COUNTY REAL PROPERTY TAX MAP o j DISTRICT: 1000 SECTION: 99 BLOCK: 02 LOT: 19.1 Drawn W YCR Dat. JUNE 2016 T1 a Maw By RGD TTb No. 16078.000 Y-Y' - ,--r.,..�.�,�,_,y r -` •. ..i.� - � - -'�ql�-"•�:'' _ �,,; _ �s.� `. � _ � __ .moi .`, _ - - - I • ^ - -... � _, kE PHOTO NO. 1 PHOTO NO. 2 PHOTO NO. 3 PHOTO NO. 4 PHOTO NO. 5 PHOTO NO. 6 1 ,p PROPOSED SHADE SHELTER ;GY \\ � 4 5 ai PROPOSED TIMBER DECK TO OVERLAY EXISTING CRETE PATIO) r N O 0 , N / P �`... 0 AO 0 a 8/31/20181 LFC ADD DIMENSIONS CFD DATE BV DESCRIPTION APPROV. @Y ! REVISIONS [] jt► J / TOWN OF SOUTHOLD Y �:,; ♦ SUFFOLK COUNTY NY ad • �*+'� �< MATTITUCK BREAKWATER BEACH SHADE SHELTER o LEGEND: SITE PLAN o SCALEa•-ISD' I PHOTO SHEET to�!' DIRECTION OF PHOTO TAKEN 0 8160 2L o G Feet �E Sl ? 2 016 L. K. Me' ASSOCIATES, P.C. N 0 g CE11611LTW EMONE a 4v mm coons m.NOM MVEK a►YM 11711 no o Southold Town D..q..a By: YCR/CF oo&.sAS NOTED o o+j8f (I',`11 ''C D.-W. YCR Db. JUNE 2016 1 !_1a Mwoved By. RG D n.No. 16078.000 • APF : VED BY _ BOARD OF TRUSTEES. TOWN OF SOUTHOLD uoayo'2C�1 d , Loi � � 2�'0� � ' � tip• �- - ti v- - 'r; OL F 0 L 1 Fye J?' �►'/ �o ��� r - o F % © 6Zd PROPOSED APPROX, 24' X 12' '►��, ��'' TIMBER DECK TO BE FASTENED TO - �9 EXISTING CONCRETE SLAB. 1�OF SIZED IN ACCORDANCE WITH y\ ' EXISTING INSTALLATION `' \ (SEE DETAILS) \ �� \ �� ��Z �• �� "� \ NOTE: X019 6 L01 9! 1 PROPOSED 25'X40' 1�i -40 AFTERHANDICAP ND HE CONSTRUCTION BE OF INSTALLED TM ER SHADE SHELTER +vy'�' -26 �r DECK. L0� VP y m ` FFE 0.5' ABOVE ' moi• s)$4 Q .o 96 �` ADJACENT GRADE �o,�e uE �g'S $ FFE ESTIMATED AT 9.5 WITH A.D 2 _ Nl cl 441' p�0 �, WA KWAY.A. WOOD 3, .0t•�ZS LEGEND rA 0 - -*Ne�',d s-N (SEE DETAILS) '�► $ 9 i �� ��.R � • =PIPE rn `� X00 o =UTILITY POLE M=MONUMENT 0,41 - �,oa{ } ® =PROPOSED PAVILLION POSTS c �a a c ,65 � 8�5 "� ■-■-_- = CHAIN LINK FENCE $ `$�� + • = SPLIT RAIL / PICKET FENCE 90*6 s .M _ 3 oC. 6` - ' $ �� i I •-•--�- = WOOD & VIYNL FENCE vxv) avog StI�H.LA? M.Oo zi os ¢ ,9Z.£u. y��yygit N (avow �y1 LI _ 11/17/2016 LMY RELOCATED SHADE SHELTER - CFD 6/31/2015 LFC I ADD DDAENS04S CFD d - 6/25/2016 MC.L ADDED FINISHED FLOOR ELEVATION CFD j ^ DATE BY DESCRIPTION APPRW. DY E REVISIONS � r��-~ TOWN OF SOUTHOLD a o D E E� SUFFOLK COUNTY NY MATTITUCK BREAKWATER BEACH 0 0 SHADE SHELTER 1-0 1 DEC 2 2 2016PROPOSED SITE PLAN SITE PLAN SCALE:17-150• L- K. MCLEAN ASSOCIATES, P.C. N Y 0 150 300aauu m� 'a' m 11mg Feet Southold Town Dedgrod W. YCR/C S.I. AS NOTED sne.t Na j Trustees Dm Dy. YCR Dae JUNE 2016 2 A -*d D. RGD FD.Na 16076.000 — o, 24 GA HR-36 STEEL ROOF 25.0' 24 GA HR-36 RAFTER BEAMSTEEL ROOF •0' 24 GA HR-36 4C 0' STEEL ROOF 10"x10" COLUMN RAFTER FRAME 1 RIDGE BEAM 1B' ORNAMENTATION PERIMETER BEAM GUTTER & MID BEAM GUTTER & �•s.+/- 4 DOWNSPOUTS '-s• 10"x10" COLUMN 4 DOWNSPOUTS GUTTER ` RAFTER FRAME I TF 11 11 11 L11 10"x10" COLUMN EXTENSION BEAM PLAN VIEW DETAIL ELEVATION DETAIL END ELEVATION DETAIL N.T.S. N.T.S. N.T.S. 10'x10' COLUMN 10•x10' COLUMN EXPANSION MAT'L HAND HOLE W/ COVER EXPANSION MAT'L HAND HOLE W/ COVER CONCRETE SLAB HEX NUT, HEX NUT, FINISHED FLOOR WASHER & BASE WASHER & BASE ELEVATION SET 6" PLATE FINISH PLATE ABOVE ADJACENT GRADE 1�' GRADE (ESTIMATED o ELEVATION 9.5') 24 A. 2 5' •z12' A-36 ALL THREAD T- OPTIONAL RCA I , I I— 2500 PSI CONCRETE BY CONTRACTOR A-BOLT W/ (2) HEX — 8"x12*A-36 � e o NUTS & B MIN EMBED •.iT• i STUB ELEIT PER A-BOLT W/ (2) (6)#5 VERTICAL REBAR Y BY CONTRACTOR — — 7 —CONDLOCAL CODE 5 0' HEX NUTS & 8 .••', #3 HORIZ REBAR TIES .I I I =III— MIN EMBED BY e e 10' OC (3) O 5' OC O 8/31/2018 UFC ADD DIMENSIONS CFD E. —I SEE COL DTL CONTRACTOR TOP OF FOOTING m NON-EXPANSIVE, PLAN 8/25/2018 MCJ ADDED FINISHED FLOOR ELEVATION CFD 2500 PSI DATE BY DESCRIF'OON APPROV. EY UNDISTURBED OR CONCRETE BY (5) #5 REBAR 95� COMPACTED CONTRACTOR EACH WAY TOP ` .• :•� REVISIONS & BOTTOM 3- e , N suecRADE •� , TOWN OF SOUTHOLD CAISSON FOOTING DETAIL jUc7cSTUNDUREPERSUFFOLK COUNTY Y o.a N.T.S. NON-EXPANSIVE, 13' FSEE CO ODE RD[ MATTITUCK BREAKWATER BEACH m s UNDISTURBED OR ' D PLAN SHADE SHELTER o y 95% COMPACTED SPREAD FOOTING DETAIL CAMPION MODEL SHADE SUBGRADE SHELTER DETAIL N.T.S. DEC 2 2 2016 0 o L K• McLEAN ASSOCIATES, P.C. N g X.10 14371M�W®.MMMYDLMTM11719 a °' D..WW er. YCR/CFE scaim AS NOTED V \ $OVtil0lil T04JTi D,,,.,,Dr. YCR Deter JUNE 2016 3 B08-d of Trustees App wm ey. RGD m Na 16078.000 24' +/ 2"x6" PRESSURE TREATEDLS B -11 m m 2"X6" PRESSURE TREATED 2"x6" ACQ SLEEPERS RAILING CAP W/ CHAMFERED EDGE 2"X6" FLOOR JOISTS ® 16" O.C. W/ H8 I I TIMBER GUARDRAIL HURRICANE STRAPS 2"X6" PRESSURE TREATED RAILS 3'-6" I I 2"X6"-PRESSURE q TREATED DECKING 4"x4" PRESSURE - 12 +/— 1 — r got I I TREATED RAILING I 2"X6" FLOOR JOISTS ® 16" POST 1 O.C. W/ H8 HURRICANE STRAPS 2"X6" PRESSURE ° 2"X6" ACQ SLEEPERS TREATED DECKING ° 2" �' a •a P EXISTING CONCRETE SLAB ON GRADE SECTION B-B DETAIL N.T.S. TIMBER DECK PLAN DETAIL N.T.S. 2"X6" PRESSURE TREATED RAILING CAP W/ CHAMFERED EDGE TIMBER GUARDRAIL I I 3 2"X6" PRESSURE 1'-9" N TREATED RAILS o 0 2"X6" PRESSURE I I 3'-6" 41- TREATED DECKING 0, 2"X6" FLOOR JOISTS „ ® 16" O.C. W/ H4 1 —9 3 HURRICANE STRAPS I I Y O m STAGGERED "0 GALV. ° 8/31/2018 VC ADD DIMBSIONS CFD TIMBER BOLTS DATE BY DESCRIFnON NPRW. 13Y W/ PLATE WASHERSA: 2" REVISIONS o AND HEAVY HEX NUTS r D ( TOWN OF SOUTHOLD y 2"x6" ACQ SLEEPERS + , .a SUFFOLK COUNTY NY a° 4"X4" PRESSURE TREATED POST MATTITUCK BREAKWATER BEACH 00 SHADE SHELTER EXISTING MECHANICAL THRU BOLTED W/ "0 GALV. oCONCRETE SLAB FASTENERS AS CARRIAGE BOLTS WITH PLATE DEC 2 2 2016 '{3 TIMBER DECK DETAIL 1 ON GRADE REQUIRED WASHERS AND HEX NUTS # - L K. MCLEM ASSOCIATES, P.C. SECTION A-A DETAIL I m �MM �.�AX W,YM11n• co g SouihclJ Torn oa of Trus ees •Ia DM ey YCR/CF sm" d5 NOTED N' N.T.S. o Dr�Dg YCR Dda JUNE 2016 4 a I wFt, kip eeC`va q,}r,, -: >c�>. .at., AppraM%, RGD Fne Nm 16076.000 SURVEY OF PROPERTY FOR y MATTITUCK PARK DISTRICT N lir �� A T MA TTITUCK TOWN OF SOUTHOLD TrnRI SUFFOLK COUNTY, N. Y. u�rn�uacicrP as ' 1000-99-02-19.1 SCALE: V=1001 100' Larry _ MARCH 23, 2016 Yaccorino 03-31-2016 APRIL 5, 2016 (REVISIONS) SOS 32 65. 8 _ 3 ��N�• KEY MAP a� F � APR 2 6 2016 N.T.S. N N N N �'. 5cc �<v O ��5LTcvvn gbh/ w a 'Trus Ee �Y .�/ , Cn �ry O. 02 c w 0 0 pS 1/ V 6 �0 •L � M° �GJ P,59 \A0ao °�/ Rosa` ° + C9 tt Sp pp pa GrJ�°(LP� gEPCkA SPNO\ GRP55 tflco G � uj \ - z W -A O w 56 50• e <o-A N o 0 4 L EROSION HAZARD UNE i� V 1 ON O CEHL SER P -NG cP No g u � POLE 01� i� MP p�5 NN. .' Jap oe �� ��y4J 50 l�0 row 'oma - L �POFP� uPOLE- 11,C) y � rn� m O`v► 6' urnm O ::F- POLE- m Boa o O \ O W p �� a? `. q{AIN UNK FENCE cm �!F— 350.00' �F RIVE N83'40'00"E N I purr P� NA UGLES o� <o Fo DELUCA WILLAM I 5 • =PIPE o =UTILITY POLE - r] =MONUMENT =PROPOSED PAVILLION POSTS —X—=—x— = CHAIN LINK FENCE --0— = SPLIT RAIL / PICKET FENCE ° WOOD & VIYNL FENCE ANY AL TERA 770N OR ADDITION TO THIS SURVEY IS A VIOLA TION `� ti•: :1V:.�YS; l LOT & BLOCK NUMBERS ARE REFERENCED TO O. 49618 TOTAL AREA= 21.872 ACRES PECON10-S RVEYORS, P.C. OF SECTION 72090E THE NEW YORK STATE EDUCATION LAW. "MAP OF CAPTIN KID ESTATES" EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF FILED IN THE SUFFOLK COUNTY CLERKS OFFICE OR 9527748 80. FT. (631) 765-5020 FAX (631) 765-1797 ON JAN 19, 1949 AS MAP NO. 1672 P.O. BOX 909 SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR To Tie Lines P. 0. TRA 1909 STREET WHOSE SIGNATURE APPEARS HEREON. SOUTHOLD, N. Y. 11971 16-009 i S4/ VRy O0 TO MA TTITUCK TRK DISTRICT A T MATTImUCK 1 TOWN ' OF SOUTHOLD K SUFFOLK COUNTY, N. Y. 1000--99--02--19.1 4 SCALE: 1 !=100' MARCH 23, 2016 Y12y d. 03-31-2016 APRIL 5, ,2016 (REVISIONS) ol too)0 KEY MAP N.T. A �s s� p 7r- s 4$ A� IlA b- ,h6 \ �SANO GRN55 -a J \ p O� UNE 4 ' �c`N�� OL P UTIM POLE- tic- �o� ��'• � UILFTY POLE- "o � y a u a o ' ,t w o • � �4� 350.00 D�ry�; N83•�00 E NA UNIOIF �� ' icy UCA WILLAM R OEL ,�, k_- - /C9 ry E 1 0 2017 Sousile''lawn =PIPE o =UTILITY POLE - =MONUMENT 0 =PROPOSrD PAIIILLION POSTS --x--x--x-- = CHAIN LINK FENCE ; 4444 Y --�—�— = SPLIT RAIL PICKET FENCE K � -�—a—•— = WOOD & MYNL FENCE . � slsl.` `�. O. 49618 ANY ALTERATION OR ADDfT10N TO THIS SURVEY IS A WOLA770N LOT & BLOCK NUMBERS ARE REFERENCED TO '�'' � ,. �" 210.872 ACFES PECON1 .SURVEYORS, P.C. OF SEC770N 7209OF THE NEW YORK STATE EDUCATION; LAW. "MAP OF CAP77N KID ESTATESv OR 95 '"�" (631 76��5024 .FAX (631} 765--1797 EXCEPT AS PER SE'C770N 7209-�SUBDIWSION 2. ALL CER77FICA770NS FILED 1N THE SUFFOLK COUNTY CLERKS OFFICE P.O. BOX 9079 HEREON ARE VAULT FOR THIS MAP AND COPIES THEREOF` ONLY IF ON JAN 19, 1949 AS MAP NO. 1672 To Tia Urm SAID MAP OR COPES BEAR 7HE IMPRESSED SEAL OF THE SURVEYOR 1230 TRA VILER STREET . 16-009 WHOSE SIGNATURE' APPEARS HEREON. SOUTHOLD, N. Y. 11971 i i