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100 Park Ave Corp
� w I Kr rr EXISTINGDGRAVEL RIVEWAY 7 PVE UE N�0 00� 15 I IMIT OF CROSS BRACING \ I EXISTING STAIRS PROPOSED 8• DRIVEN GREENHEART PROPOSED DOCK STRUCTURE AS I _ , PILE (TYP.) DETAILED. SCT l 1000.-123M07-5.3\ \ / I 124.5' 10.0' 4 EXISTING GRADE (TYP.) _ __._.,_ __ __�_____�__�. - _ - _._. ......DOCft-ELEVATfON- 4:t30' _.__.. EXISTING BEACH AREA TO REMAIN UNDISTRUBED - MEAN HIGH WATER = 2.20'± , I I 0 ....MEAN LOW WATER = -1.20'± �ry� \\ I -5 r 11 ---- 11 -- r - F.- - - • SPROPOSED DOCK PROFILE 1000-123-23-o7-os HORIZONTAL SCALE: 1"=10' VERTICAL SCALE: 1"=5f SCTM: 1000-123-07-62 STAGGERED J"O GALV. TIMBER BOLTS W/ PLATE WASHERS AND HEAVY HEX NUTS CONNECT STAIR STRINGERS TO PILE 10'--0" MAX. _ EXISTING PARKING AREA IL0? PILES W/ 8"0 CAPS W/ GALV. SIMPSON H8 20' LONG GREENHEART o o SCTM: HURRICANE STRAPS (TYP.) TIP ,, EXISTING 1-1/ 1000-123-07-7.3 \ STORY DWELLIN4 3"X10" PRESSURE TREATED PILE CAPS 2"x 12„ GREENHEART LUMBER BLOCKING ® MIDSPAN JER t > 1 0 I'N P�o� V r \ n / Baa \ CONNECT 3x10 PILE CAPS TO PILE W/ A LAPPED SPLICING THRU BOLTED W/ p (2)-3/4"0 TIMBER GALV. THRU-BOLTS 20' LONG GREENHEART 0 1 \aa` \ - (TYP.) PILES W/ 8"0 TIP WASHERS AND WASHERSAND WITH PLATE 2"x12" GREENHEART LUMBER J „- J* / STRINGERS ® 12"O.C. (TYP.) EXISTING STAIRWAY �°aa TYPICAL DOCK PLAN VIEW H8 HURRICANE O o a __-=-,5 �, _ - N.T.S. STRAPS \ii_j _-- - �\_ - 0+00 - - - TYPICAL DOCK CONNECTION DETAILS mw APPARENT HIGH WATER N.T.S. i - - -_ EL.= 2.20± i \ _ 2"X6" CEDAR DECKING Q - / 1� 0\ / , P j 2"X12" GREENHEART STRINGERS W/ H8 HURRICANE STRAPS ® 16 O.C. MAX. PROPOSED DOCK - " - --�- DPW EL. 4.00 3X10 GREENHEART SPLIT PILE (SEE PROFILE) - oss _ -ASW CAPS THRU BOLTED W/ J"o VGALV. TIMBER BOLTS WITH PLATE = O /x-0.2s' x .26 P`_W-x-:99 X-2.53 -3 X-2.78 X-2.76 X-3.50 ° ° WASHERS AND HEAVY HEX NUTS O 1+00 - - P� -3.81 (TYP.) APPARENT LOW WATER ° EL.= -1.20± ° ° ° ° - 2 EL MAY 1 2017 X-2.41 -3.88 X-3.75 X-3.77 X-3.90 PROPOSED BOAT LIFT VA IES 3"X10" GREENHEART CROSS O -3.00 15.5' BRACING W/ 8"x8" BLOCK. PECONIC BAY (\j X-3.86 X-3.86 X-3.94 X-3.89 X-3.97 X-3.96 0 _ -3.91 ° ° ° ° GRADE / 4.0' 1+69 8"0 DRIVEN C) x-4.os x-4.15 x-4.o8 x-a.o4 x-4.o7 x-4.o7 x=4.o2 GREENHEART PILES DATE BY DESCRIPTION APPROV. BY REVISIONS TOWN OF SOUTHOLD C- SUFFOLK COUNTY NY 4-1 L� E 4- TYPICAL DOCK SECTION A-A 100 PARK AVENUE, MATTITUCK NY N.T.S. LoLn SCTM: 1000-123-07-03 Lo w SITE PLAN of "fw �o PROPOSED DOCK PLAN °Q SCALE: 1"=40' A CnS L. K. McLEAN ASSOCIATES, P.C. 0 O w CONSULTING ENGINEERS 437 SOUTH COUNTRY RD., BROOKHAVEN, NEW YORK 11719 N 0O Ago 391 Designed Designed By: MF/CFD scale: AS NOTEDCN sheet No. O FESS10 Drawn By: MF Date: MAY 2017 Approved By: RGD File No. 16029.003 n r I ' I ' » w Ply I EXISTING GRAVEL \ A EN-� 15 DRIVEWAY LIMIT OF CROSS BRACING PROPOSED 8" DRIVEN EXISTING STAIRS PROPOSED DOCK GREENHEART PILE (TYP.) STRUCTURE AS DETAILED. 10 SCTM: 10001-123-07-5.3 I \ \ 124.5' 10.0 EXISTING GRADE (TMP'1 \ \ \I I I I 5 OCK-Et VATION-4.0 ' EXISTING BEACH AREA TO REMAIN UNDISTRUBED MEAN HIGH WATER = 2.20't Y / I 0 �`" MEAN LOW WATER = -1.20't I I C\-% u.0( \� 0+00 1+00 \ � SCTM: 1000-123-07-06 PROPOSED DOCK PROFILE HORIZONTAL SCALE: 1"=10' I� \ I \ I I VERTICAL SCALE: 1"=5' SCTM: 1000-123-07- 2 I 1 � I I \\ I I \ I /�•/ STAGGERED O GALV. TIMBER BOLTS W/ PLATE WASHERS AND HEAVY HEX NUTS CONNECT STAIR STRINGERS TO PILE 10'-0" MAX. EXISTING PARKING AREA �o�oo �\ \ CAPS W/ GALV. SIMPSON H8 A - Rl \ HURRICANE STRAPS (TYP.) 20' LONG GREENHEART PILES W/ 8"0 SCTM: TIP �\s EXISTING 1-1/ \ ° •N \\ \ 1000-123-07-7.3 STORY DWELLING - \ 2"x12" 3"X10" PRESSURE TREATED PILE CAPS GREENHEAT LUMBER BLOCKING \ ® MIDSPAN \ CL o I\ // \o CONNECT";3x10 PILE CAPS TO PILE W/ 20' LONG GREENHEART LAPPED SPLICING THRU BOLTED W/ �� - - (2)-3/4 0 TIMBER GALV. THRU-BOLTS " (TYP.) PILES W/ 8 4s TIP WASHERS AND HEBEN BSLTS WITH PLATE ( 2"x12" GREENHEART LUMBER STRINGERS TYP. EXISTING STAIRWAY TYPICAL DOCK PLAN VIEW o - - - ` - - ^ N.T.S. H8 HURRICANE STRAPS TYPICAL DOCK CONNECTION DETAILS 4-1 -�- -%/ ; �, ;-.-= � � � ,• -� N.T.S. APPARENT HIGH WATER // t - �' EL.= 2.201 � � r� i � /��� � -tom / � 10' 2"X6" CEDAR DECKING Q ��� / ' =,Sj�p;7p'-ate ` �' �� 2"X12" GREENHEART STRINGERS W/ H8 HURRICANE STRAPS PROPOSED DOCK _ �' - _ - --,- - '.•! EL. 4.00 3"X1 O" GREENHEART SPLIT PILE n (SEE PROFILE) �;��'� _ CAPS THRU BOLTED W/ J"O X-o.26 X 26 /�c 9 X-2.53 X-_2.78 X-2�6 X-3.50 GALV. TIMBER BOLTS WITH PLATE EMAY 0 / 1+00 ,, - _ -3 / ° ° WASHERS AND HEAVY HEX NUTS APPARENT LOWWATER ° (NP•) EL.= -1.20 t / °° °2 EL - 1 2017 X-2.4 . -3. 1 3.88 X-3.75 X-3.77 X-3.90 `PROPOSED BOAT LIFT VA IES 0 � � 3"X10" GREENHEART CROSS u hold L"-3.00J \ -15.5' PECON{C BAY ° ° BRACING. r of Truss � F r N X-3.86 X-3.8 X-x.94 X-3.89 X-3.97 X-3.96 0 -3.91 10 CO ° GRADE <- - ' 8"0 DRIVEN X-4.06 x-4.15 x-4.08 x-4.04 x-4.07 x-4.07 xt4.02 /� GREENHEART PILES DATE BY DESCRIPTION APPROV. BY u \- _ ._ / REVISIONS Q) TOWN OF SOUTHOLD Cn SUFFOLK COUNTY NY TYPICAL DOCK SECTION A-A 100 PARK AVENUE, MATTITUCK NY a co r-- w N.T.S. SCTM: 1000-123-07-03 6� cn SITE PLAN SCALE: ,"=40' �P�e. aAx� o PROPOSED DOCK PLAN U)1 0- y Q►t d f 0 0 `�^ L. K. McLEAN ASSOCIATES, P.C. CV 0 C'> CONSULTING ENGINEERS 437 SOUTH COUNTRY RD., BROOKHAVEN, NEW YORK 11719 0 0 ' !. Designed By: MF/CFD Scale: AS NOTED Sheet No. T CO Drawn By: MF Date: MAY 2017 O - - - Approved By: RGD File No. 16 29.003 May 9,2017 D E Michael Domino, Board of Trustees President E , Southold Town Annex MAY 1 2 2017 54375 Main Road PO Box 1179 Southold Town Southold,NY 11971 a T u ees Dear Mr. Domino, I am writing in support of Paul Pawlowski's proposal to install a dock near his Park Avenue residence. I am the owner of both properties to the west of his home as well as the Mattituck Airport properties to the north. Collectively,these represent all of the surrounding lots within the extension of Park Ave. I have seen first-hand the fine work that Mr. Pawlowski does with all of his construction projects, including the development of his residence at 100 Park Avenue, which is absolutely stunning. I have also contracted with Mr. Pawlowski for renovation and cleanup work at the Mattituck Airport,the result of which is a significant enhancement to the property and visual appeal for surrounding neighbors. I am confident that a dock installed by Mr. Pawlowski would be constructed with the upmost care and concern for the waterfront properties nearby. As there are other docks,jetties,and bulkheads in the vicinity of the proposed dock, I also believe it would be consistent with the character of the surrounding waterfront community. Please do not hesitate to contact me at 917-572-4957 if you have any questions or if you would like to discuss the proposed dock installation. Sincerel , Stephen Marsh Michael J. Domino,Presid,� Town Hall Annex John M. Bredemeyer III,Vice-President ��� Gy54375 Route 25 Charles J. Sanders r® P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: SA A7 2-so Completed in field by: L. K. McLean Associates, P.C. on behalf of 100 PARK AVENUE CORP., c/o PAUL PAWLOWSKI request a Wetland Permit to construct a proposed 10' wide by 124.5' long fixed timber dock using untreated lumber with a proposed 15.5' wide by 25' long boat lift attached to the side of the seaward end of the fixed dock. Located: 100 Park Avenue, Mattituck. SCTM# 1000-123-7-3 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q 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 c/ 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: layov% �cl )8G1© �cc,�Y, �/raSt 4o eSS4 N�� �Ioe a mock Present were: J. Bredemeyer ✓ M. Domino //G. Goldsmith N. Krupski /C. Sanders Other J Page 1 of 2 Michael J. Domino,Presid f1 o�pSpFFQ(�Co�i Town Hall Annex John M.Bredemeyer III, Vice-President �Z � 54375 Route 25 Charles J. Sanders N P.O.Box 1179 ae Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski ? ®! }' Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: L. K. McLean Associates, P.C. on behalf of 100 PARK AVENUE CORP., c/o PAUL PAWLOWSKI request a Wetland Permit to construct a proposed 10' wide by 124.5' long fixed timber dock using untreated lumber with a proposed 15.5' wide by 25' long boat lift attached to the side of the seaward end of the fixed dock. Located: 100 Park Avenue, Mattituck. SCTM# 1000-123-7-3 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 o��gpFFOLq�cO Town Hall Albert J.Krupski,President �� �/y 53095 Main Road James King,Vice-President P.O.Box 1179 x Southold,New work 11971 Henry Smith Artie Foster ® �� Telephone(516)765-1882 Ken Poliwoda ,0 O Fax(516)765-1823 BOARD OF TOWN TRUSTEES � C TOWN OF SOUTHOLD b,X �n May 29, 1998 Susan Norris 2790 New Suffolk Ave. Mattituck, NY 11952 RE: SCTM #123-9-1 Dear Ms. Norris : The following action was taken by the Southold Town Board of Trustees on Thursday, May 28, 1998: RESOLVED that the Southold Town Board of Trustees grants an amendment to Permit #4479 to allow for the installation of boat lift on the east end of her dock. This is not an approval from any other agency. if you have any questions, please do not hesitate to contact this office. Sincerely, 0 l Albert J. Krupski, Jr. President, Board of Trustees AJK:jmd 9/ssc[siX� v � ��3f�'�Yavx�a1S / •. or 04 yU �. lsY�l No 1::(17-LVOQ ,QE- -1,v.-LS7147 01 i t Wl ad 1551211 ��r NMi).1 tiNH Q--'90oojb9QlG-8FZ./7-1# 114v1?��d �3Q 5f1.1 G7L N91JX- 71-IlQQW r lII�-7//j C01 OF 9/Y.LCS�Xri 9 •- ' 17 a � r Aw o� sE d � 00%�9F7 / f L"J Z �� / _Qri A�Y/Cf► f�^v!/f10�7XC� a \ ��y ,..�Ir��y ��.m�:t�11. � '� /.,5 Y ��:�4+ ..� tl�•- /. �:,• I '•.J. �i'TT '" i-y� fy+-�-_��s•-o„ �p.�''17,-'s a_r_ ._a Be_ ..r_� a _+-"n ".�•"_�`c:� a" Y"r1i Board Of Southold Town Trustees �k SOUTHOLD, NEW YORK I PERMIT NO. .L4 71 DATE: .. r; 6429-/95 }: 4 ai ISSUED TO .. .......SUSAN..NORRIS . ZZ Pursuant to the provisions of Chapter 615 of the Laws of w the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and the Southold Town Ordinance en- E Y titled "REGULATING AND THEPLACING PLAC NG OF OBSTRUCTIONS IN AND ON-TOWN WATERS AND PUBLIC LANDS and the <= REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with the Resolution of The Board adopted at a meeting held on 6. 5. .. p g 12.919 19 95, and in consideration of the sum of $-_150.00 paid by ; ' Costello Maxine.QQntx..Jor SUSAN NORRIS. •• of Mattituck subject to the j N. Y. and sub .l , IES Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: " «' Reconstruct an 8' X 70' timber dock and add a 10' extension to it. Great Peconic Bay .5 all in accordance with the detailed specifications as presented in ,&A the originating application. <� ;' •3 L IN WITNESS WHEREOF, The said Board of Trustees here- �I by causes its Corporate Seal to be affixed, and these presents to tt Y be subscribed by a majority of the said Board as of this date. \ I r' z r 4 Trustees .: , �/. ` 7��-.1��r��,�'+:�.c.W�:..-T:=•.arr.'�rsu�� '".a�sT.ydJ'-±ti.,.�_a+e'`tuaia.;'+`�.E-.f�_— _� s ._—_`:�_.es�.d=f�,9v--�f� _•,a •;c`s,._t.R'�-i... �!tia,.: �' '�i,�?�.:�� :tN,•:�`R�''a"`c;�.-a�':�`� �!.- �..4 A ::'�...g�JEE►,,,,, � :% � 1 - ,� -��,.> `:.�rn..•�-�,ti':� `•?;/.:".•.:=fir • vti'-.� '.G-'7Y+�^..' i..�s`.� r,..,�lc•.•~"�13 � I �• r aa�ffs2�Y6ss ! ,06 PlOt/1//D.S-BOG/h�l�'s'/y101 �s a� 9rYi1SiX�'41/Y'o1� �iSC�> ' 99�'L1S/Y.� I �OIX�4r7G r' 100 Park Avenue Corp.c/o Paul Pawlowski --�- 100 Park Avenue,Mattituck :. SCTM#: 1000-123-7-3 5/9/17 Ei EXISTING 4'X25' STAIRWAY PROPOSED DOCK _ N / 100 P ARK AVE TO MEET EXISTING BEACH AT ELEV. 4.0 EXISTING 1 -1/2 STORY DWELLING, INGROUND POOL, GRAVEL DRIVEWAY, AND MASONRY PARKING AREAS (CONSTRUCTION AFTER 04/06/2011) 50 P ARK p VENUE 3 i 0 0 0 J y U L EST ATE - m - N EXISTING DOCK r a - E (� r= !+. ` SCTM: 1000-123-07-03 — .. 100 PARK AVENUE o d MATTITUCK,NY z PROPOSED DOCK AERIAL VIEW 0 EPrepared By: r- 2 .-, �f T y'` _ SUFFOLK COUNTY L.K. McLean Assoc., P.C. "s • GIS P I C TOM E TR Y Consulting Engineers 04/06/2011 437 So.Country Road,Brookhaven,NY i APRIL 2017 \ i Y ... #� �' .. .- --=..w.... - �"'�• - - ,\.. • • .- may'\-/� *` �J4t SIK r . 4 -•� � a e,,,�� .�; � ,��1_ h \ s. ' J Y • • III -07-03 100 PARK AVENUE . MATTITUCK, NY ` /7] tNEIGHBORING DOCK LOCATION PLAN Assoc.,L.K. McLean Consulting Engineers MAP SCALE \.. Y, FOR PCL NO SEE SEC N 2 FOR FCL NO M(.) 44 SEE SEC, 11 �(C) Ali, 16 TOM OF 21 WDA 2.2zoo, 6 't, rRE—. 1 Aw 251 �3 45 wpt6 56 83 413 P 25 4'�A 2 0 52W wa p 6 22 .. is"13 g V,0 1 sa a AG JOs 4A mt7 .,A FC 0,,jjG DAI Ei"s P lzsoex lit I COUNTY OF SUFFOLK SECTION 0 NOTICE (?Q K SOUTHOM Real Property Tax Service Agency Y ...... 123 Nal.121 M C.U.- T=—.,— m ewr A N.) 1—MOIER—EW11-1.1 P PROPERTY MAP 5/16/17 Reference: 100 Park avenue bock Proposal p E C E I V E Board of Trustees MAY 1 6 2017 Southold Town Oggrd of To Whom it May Concerns - "t Pain Pawlowski owner of property in reference would like to formally withdraw my wetland permit for the proposed dock and boat lift. i realized that there was an error is the width of the dock on the plan and that by code a boat lift is not permitted on a residential property. will submit an entirely new application with the width of the dock to be 4' and with no brut lift. appreciate your time with field inspections and I apologize that the above errors were made on the application Regards Paul Pawlowski �-1 tgUFFQ��.��G Peter Young,Chairman y -� Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 �► '1:►' Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., May 10, 2017 the following recommendation was made: Moved by Greg Williams, seconded by James Abbott, it was RESOLVED to NOT SUPPORT the application of PAUL PAWLOWSKI to construct a dock with boat lift, 5'X 120' with piles and boat lift will be dock mounted with four (4) support piles. Located: 100 Park Ave., Mattituck. SCTM#123-7-3 Inspected by: James Abbott, Peter Young, Greg Williams The CAC does Not Support the application based on the following: • The proposed width of the dock of 5' does not conform with Ch. 275; • The proposed dock will block lateral access along the shoreline; • Boat lifts are not permitted per Ch. 275-11; and • The proposed structure is too far out into Peconic Bay. Vote of Council: Ayes: All Motion Carried r ` ` LI®®���� L. K. 1VIcLe An Associates, P. 437 South Country Road • Brookhaven • New York I 1 r;� ; ;;��, j CONSULTING ENGINEERS (631)286-8668 • FAX(631)286-6314 LNT M AY - 1 2011 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.T"',PTPTm,EXECUTIVE VICE RESID ROBERTA.STEELE,P E DANIEL P JEDLICKA,P L.S,VICE PRESIDENT SoutholdTown __] JAMES L.DeKONING,P E STEVEN W EISENBERG,P.E ANDREW B.SPEISER MATTHEW C.JEDLICKA,LEED AP May 1, 2017 Town of Southold Trustees 54375 Main Rd. P.O. Box 1179 Southold,NY 11971 RE: TOWN OF SOUTHOLD— 100 PARK AVENUE -RESUBMISSION MATTITUCK,NEW YORK LKMA No. 16078.000 To whom it may concern: As Consulting Engineers for Paul Pawlowski, we are resubmitting, on his behalf, an application for a Wetlands Permit to construct a dock as shown on the updated drawings. Our office received comments via an email from your office dated April 28, 2017. Enclosed herewith for your review,please find (1) original and (3) copies of the following: 1. Revised Dock Plan Set with hydrographical topography performed on April 291h 2. Transactional Disclosure Forms completed by Paul Pawlowski and by L.K. McLean Associates PC. 3. A revised project-description. 4. An aerial showing the project plan dimensioning the various components of the proposed dock project including the nearby dock. If you have any questions or require additional information, please contact this office. Very truly yours, CFD:cfd Christopher F. Dwyer, Associate L. K. McLean Associates, P.C. Enc. (4) Cc: Paul Pawlowski, w/enc. LKMA File Copy w/enc. • Founded in 1950 • � L11AA L. K. McLean Associates, P.C. PROJECT DESCRIPTION: The applicant is proposing to construct 124.5 long by 10' wide timber dock structure (single vessel) into the Peconic Bay at 100 Park Avenue in Mattituck,NY(SCTM# 1000-123-07-03). A similar permitted dock exists on the property directly to the west of the applicant's property. The proposed single dock structure would be constructed at a finished elevation (timber decking) of 4.00 that would extend from the existing shore (el 4.00) and extend seaward 124.5 linear feet. No catwalks or ramps are being proposed with this application. All excess material from the installation of the pilings would be removed. The height of all piles are to be flush or level with the decking. All hydrographic topography and landward features are shown on the plan as obtained by.survey on April 29, 2017. There are existing stairs that are situated in the shallow bluff that is supported by beach grass vegetation. No treated wood would be used in the construction of the dock. No disturbance to vegetated area or to the beach area will be required for the construction of this dock structure. The dock will also contain a platform for a proposed boatlift system if allowed by the Board of Trustees. EEIE !"1 M Ay - 1 2017 f Sau001d Tann Board o`Trus e I Cantrell, Elizabeth From: Cantrell, Elizabeth Sent: Friday,April 28, 2017 12:24 PM To: Paul Pawlowski (pawlowskibiz@gmail.com) Cc: DiSalvo, Diane Subject: Missing information from application at 100 Park Ave., Mattituck Paul, As discussed on the phone,there is just too much necessary information missing from your proposed dock application to proceed with it for May's meeting. All of the following is required by Monday, May 1, 2017 in order to be considered for the May 17, 2017 public hearings. What is absolutely necessary in order for this to be considered complete enough for the Board of Trustees is: Transactional Disclosure Form to be completed by you as owner,and one by L.K. McLean Assoc. as your agent. The project description in the application is insufficient. The proposed dock must be described as length by width for each piece of the proposed structure (e.g. proposed LxW lanward ramp leading to a LxW fixed dock...) This updated project description can be done via a cover page. The project plans need to contain a side elevation view containing AHW from most landward end out_passed the end of proposed dock,ALW from landward end out passed the end of proposed dock,; length and width of each piece of dock(landward ramp,fixed dock, boat lift),the entire length of the proposed structure, beach area, and where the beach grass/vegetation begins on beach. A hydrographical survey is required for the look-down view for the average low water levels around the vicinity of the entire proposed dock. The look-down view of the project plan is missing the length and width of each piece of the proposed dock project,AHW line,ALW line, beach area, and existing beach vegetation. Also,we have an aerial depicting various docks within the town, but one of the requirements is showing a look-down view of the proposed dock and any docks next to the proposed (eg.the existing dock to the west). As there is a dock nearby please have a look-down/aerial done showing the proposed dock and the existing dock. Also, I just need to advise you that according to Ch. 275-11C(c) [i]—residential boatlifts,floating for fixed, are prohibited, except in privately owned basins on private property at the discretion of the Board of Trustees. With the submission of the above,your application should be sufficient enough to be able to continue on May's public hearing agenda. Please be advised that the Board has the right to request further information during the application process. Senior Clerk Typist Town of Southold Board of Trustees 631-765-1892 1 7� so Michael J.Domino, PresidentTown Hall Annex ti0 l0 John M.Bredemeyer III,Vice-President54375 Route 25 P.O.Box 1179 Charles J.Sanders _1h= Southold,New York 11971 Glenn GoldsmithOl� S Telephone (631) 765-1892 A.Nicholas Krupski COW NI Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permit Zeceived endment/Transfer/Extens on a� Application: 1317 �! Et,R � i Received Fee: $ 250,0-0 I `Completed Application: 4.1-7 Incomplete: APR 3 2017 r; SEQRA Classification: Type I_ Type R _- Unlisted Lead Agency Determination: Coordination:(date sent): S�g 1 Scnthofd Town WRP Consistency Assessment Form Sent: 7 ®_._..._._Baarci of Tnis+ees 1 CAC Referral Sent: Date of Inspection: 5 L Receipt of CAC Report: Technical Review: V" ublic Hearing Held: ,17 1-7 Resolution: Legal Name of Property Owner(s): Paul Pawlowski Mailing Address: P.O. Box 783, Mattituck, NY 11952 Phone Number: pawlowskibiz@gmail.com Suffolk County Tax Map Number: 1000- 123-07-03 Property Location: 100 Park Avenue„ Mattituck NY 11952 (If necessary,provide LILCO Pole#, distance to cross streets, and location) AGENT(If applicable): L.K. McLean Associates PC Mailing Address: 437 South Country Road Brookhaven NY 11719 k Phone Number: 631-286-8668 J" Board of Trustees Application GENERAL DATA Land Area(in square feet): 74, 052 SF Area Zoning: R-40 Previous use of property: Residential Intended use of property: Residential 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 Wetlands Permit Southold Trustees Permit USACOE Permit 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 proposed project will include a proposed dock (1,010 SF) with boat lift. Access o to the dock will be from an existing stairway. �dc� wt�'L- �e- X '� /- i Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: The purpose of the project is build a dock with stairway access from the bluff to the dock (1, 010 sf) . Area of wetlands on lot: 15,000 SF square feet Percent coverage of lot: 20.25 % Closest distance between nearest existing structure and upland edge of wetlands: 75 feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? x No Yes If yes,how much material will be excavated? cubic yards How much material will be filled? cubic yards Depth of which material will-be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations(use attachments if appropriate): There will be limited disturbance during the installation of the dock. The existing beach grasses will be protected during the construction phase. There are numerous docks similar in construction that have been constructed in the area and one a few hundred feet away from the subject parcel (see plan showing the numerous permitted docks installed along coastline) . 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 l based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part I -Project and Sponsor Information Name of Action or Project: 100 Park Avenue Project Location(describe,and attach a location map): 100 Park Avenue, Mattituck, NY 11952_ Brief Description of Proposed Action: The proposed project will include a proposed dock (1,010 SF) with boat lift. Access to the dock will be from an existing stairway. Name of Applicant or Sponsor: Telephone: 631-445-4348 Paul Pawlowski E-Mail: pawlowskibiz@gmail.com Address: P.O. Box 783 City/PO: State; Zip Code: Mattituck New York 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 F] may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval• NYSDEC Tidal Wetlands Permit 3.a.Total acreage of the site of the proposed action? 1.70 acres b.Total acreage to be physically disturbed? 0.02 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 1.70 acres 4. Check all land uses that occur on;adjoining and near the proposed action. ❑Urban E:1 Rural(non-agriculture) [—]Industrial ❑Commercial ❑%Residential(suburban) ❑Forest ❑Agriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 of 4 5. is the proposed action, NO YES N/A a. A permitted use under the zoning regulations? ❑ ❑ ❑ b.Consistent with the adopted comprehensive plan? [—] ❑ [:] 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ ❑ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify: a ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES 177-1 b.Are public transportation service(s)available at or near the site of the proposed action? E ❑ 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: ❑ F]N/A 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: ❑ ❑ 11.Will the proposed action connect to existing wastewater utilities9 NO YES If No,describe method for providing wastewater treatment:Y ❑ 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? F-1 ❑ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ ❑ If Yes,identify the wetland or water body and extent of alterations in square feet or acres- _ There will be limited disturbance to the existing wetlands area to install a dock. If needed access can be limited to a barge. 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 0 Wetland x❑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 endangered9 ❑ ❑ 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, 7:7-11 Ela. Will storm water discharges flow to adjacent properties? E]NO DYES b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: ❑NO AYES Page 2 of 4 18.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: ❑ ❑ 19. Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: F F-1 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: ❑ ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Paul wlo i Date: Z Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the.following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur 1. Will the proposed action create a material conflict with an adopted land use plan or zoning Elregulations? 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? ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or affect existing infrastructure for mass transit, biking or walkway 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: ❑ a.public/private water supplies? b.public/private wastewater treatment utilities? ❑ 8. Will the proposed action impair the character or quality of important historic,archaeological, FA ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e g.,wetlands, ❑ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 i 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 ❑ problems? 11. Will the proposed action create a hazard to environmental resources or human health? El 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. F1Check 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-Board of Trustees �" G ` Lead A e ,� , Date ((� v I,,o President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer T_ c '7 Signature of Responsible fficer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 Michael J. Domino,Pre' rtS�o4S�fFDjkCOG Town Hall Annex John M. Bredemeyer III,Vice-President 1954375 Route 25 Charles J. Sanders P.O.Box 1179 Cn Glenn Goldsmith1J Southold,NY 11971 A.Nicholas Krupski . �✓ p! 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 100 PARK AVENUE CORP., c/o PAUL PAWLOWSKI 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 I ' � lh,7"1/'V''t f°'> A"k "A"residin at/dba being duly sworn, depose and say: That on the K day of *7 , 2017 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, May 17, 2017. Dated: AI- (signatur Sworn to before me this ��. day of fAj0 l? C®IVNIE D.BUNCH t L Notary Public,State of Nov York No.01 BUS185050 QuaMW In Sutfotk County Notary Public Commission Expires April 14,2 Gad J PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK /�,a►til /'A�/l�lr S�— , residing at X60 4ve� being duly sworn,deposes and says that on the day of YT , 20�7, deponent mailed a true copy of the Notice set forth in the Board of T tees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at M��4 , that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. i Sworn to before me this 0 Day of Notary Public CONNIE D.BUNCH Notary Public,State of New York No.01 BU61"NO QuaWW In Suffolk County ''Commission Expires April 14, TM POsta le. • IVIE1 © ■ i MAW ■ 1 RECEIPT ®• • 1�, • m 1 Er ®• Er M ' M °f9AI�IIJ!!CK (VY,"I If 15 r, - ,NEt��,%K y Ry ;-I 0173 f '- iaT -;; '�► .� L --U Certified Mad Fee 7c t19ti 0 Certified Mad Fee $�•3� C19�2 O $ $3.3-t $ .J ~} , Lr, �7 Extra SeNIceS&Fees(check box,add e? te) Extra Services&Fe eS(check box,add lee a to :7 �'" ❑Return Receipt(hardcopy) Return Receipt(hardcopy) $ Y -� ap ❑Return Receipt(electronic) h,t tkr�, �t� '•. 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Sworn to before me this Day of , 20 Notary Public Cantrell, Elizabeth From: paul pawlowski <pawlowskibiz@gmail.com> Sent: Wednesday, May 10, 2017 9:07 AM To: Cantrell, Elizabeth Attachments: IMG_1331.JPG;ATT00001.txt Hello Please share with trustees as they were here yesterday and didn't see this. Thank you • y5 .,ti �v f v. iv y.lth. tALF ,t: t s i_ r. , 1�•ti... ` y �� low 46 7r F - _--_ • ' r hL AL Who r _i ri v T 1 I I H 't' AtiING NUTILL Uim 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: 100 PARK AVENUE CORP., c/o PAUL PAWLOWSKI SUBJECT OF PUBLIC HEARING : For a Wetland Permit to construct a proposed 10' wide by 124.5' long fixed timber dock using untreated lumber with a proposed 15.5' wide by 25' long boat lift attached to the side of the seaward end of the fixed dock. Located: 100 Park Avenue, Mattituck. SCTM# 1000-123-7-3 TIME & DATE OF PUBLIC HEARING : Wednesday, May 17, 2017 — at or about 5 :30P. M . If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 ' Board of Trustees Applic Lon AFFIDAVIT PAUL PAWLOWSKI 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 roperty Owner Signature of Property Owner f +h SWORN TO BEFORE ME THIS / DAY OF I �_ 20 Notary Public TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK - NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2Ql.0 Board of Trustees Applic aon AUTHORIZATION (Where the applicant is not the owner) I/We Paul Pawlowski owners of the property identified as SCTM# 1000- 12 3-0 7-0 3 __ _-_ - _ -in the town of Southold ,New York,hereby authorizes L.K. McLean Associates to act as my agent and handle all necessary work involved with the application process for permit(s)from the Southold Town -Board of Trustees for this property. roperty wne?s Signature 4 Property Owner's Signature SWORN TO BEFORE ME THIS = 7 _ DAY OF_ _ / 20 rl otary Public TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2 t APPLICANT/AGENT/REPRESENTATIVC TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethicsprohibits conflicts of interest on the part of town iiffieers and employees.The ourn-ose 0 this fo is to rovide information which can alert the to of ossible conflicts of interest and allow it to take whatever action is necessga to avoid same. YOURNAME: Pawlowski, Paul - (Last name,first name,qiiddle 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 X Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other !. (if"Other'',name the activity.) Do you personally(or through your company,spouse,sibling,,parent,onchild),have a relationship with any officer or employee of the Town of Southold? "Rcldtionship"includes,by blood,njarriagc,or business interest.'Biusiness interest"means a business, including a partnership,ifi,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 i Describe the relationship between yourself(the applicartt/agenthepresentative)and the town officer or employee.Either check lite appropriate line A)through D)and/or describe in(lie 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%ofthe shares ofthe corporate stock of-the applicpnt (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 thisday of 20/7 Signatur ' Print Name Form TS 1 1/`' ,I APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethicsrohibits conflicts of interest on the nart of town officers and em�oyees _The purpose-of chis form is to Davide information which can alert"the town of ossible_conflict. of interest and allow it to take whatever action is necessaa,to avoid same. YOURNAME: _ Dwyer, Christopher F (L.K. MQLean_._Bssociates PC) on behalf of (Last name,first name,griddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other Pawlowski, Paul person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building X Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,,parent,or child)have a relationship with-any officer or employee of the Town of Southold? "Relationship"includes by blood,nlarriage,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 applic@nt (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this S%day of �'0 20 t7 Signatut F. Print Name ��✓Y �- Form TS 1 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action, will be evaluated as to its sitnificant beneficial and adverse effects upon the coastal'atea(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 expiainW 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. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 1000 _ 123-07 - 03 . 00 PROJECTNAME 100 Park Avenue - The venue -The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees x❑ 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: 0 Nature and extent of action: The proposed action is to construct a dock on the property located at 100 Park Avenue in Mattituck. Location of action:- 100 Park Avenue, Mattituck NY, 11952 Site acreage: 1 . 70 Presentlanduse: Residential Present zoning classification: R-4 0 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: Paul Pawlowski (b) Mailingaddress: P.O. Box 783 , Mattituck, NY 11952 (c) Telephone number: Area Code( ) 631-445-4348 (d) Application number,if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes ❑ No El If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LV;" Section III—Policies; Page 2 for evaluation criteria. 0 Yes ❑ No ❑ Not Applicable As stated earlier, the proposed dock would follow others in the same area that were given approval by the same Town & State agencies . 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 ❑ Yes ❑ No x❑ 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 0 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 ElYes m No ❑Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria, ❑ ❑ a y 1 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 0 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—P__oIicies; Pages 38 through 46 for evaluation criteria. ❑ Ye2 No❑ Not Applicable 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 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. ❑ Yes ❑, No x❑ Not Applicable l 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 M No® 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 Q Not Applicable PREPARED BY Christopher F. Dwyer TITLE Associate DATE 4/12/17 Property : 100 Park Avenue Mattituck Date: 4/13/17 Subject : Proposed fixed Dock Dear Board Members I am submitting this application for the proposed dock mainly to see if it is possible to do and to have an open discussion about this proposed dock. I am aware that this board'is concerned about docks in high energy environments so I respect your thoughts comments;and understanding with this proposal. The reason I would like an open discussion about it is that there is roughly 30 plus docks most of which are residential from'Mattituck to Greenport that are directly into the bay in a high energy enovirment that were approved by Southold town trustees over the years. My neighbor two properties to the West was approved for a fixed dock with a boat lift with many permits along the years to repair and replace as well. I am wondering what they proposed to get their approval and what I may be able to do and come to a compromise with you in order to potentially get this permit. As for high energy areas I understand the concern for the dock to be strong enough , we would build-it strong enough even while using the most environmentally friendly materials that are available, the proposed boat lift would also help environmentally as the boat would not be sitting on the bottom in low tide etc. If the boat lift is not allowed I can still have it so the boat is secure enough. One question I have is isn't a dock into the bay less of an impact then in a creek because the ground is constantly changing anyways? Again I look forward to an open discussion with the proposal Regards Paul Pawlowski APR 3 2011 Sou#'7cic!Tt,t°.n • 1 LKAA 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. M,PRESIDENT and C E 0 CHRISTOPHER F.DWYER RAYMOND G DiBIASE,P.E,P T O.E TM,PTPT1,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 April 11,2017 MATTHEW C.JEDLICKA,LEED AP Town of Southold Trustees 54375 Main Rd. P.O.Box 1179 Southold,NY 11971 RE: TOWN OF SOUTHOLD— 100 PARK AVENUE MATTITUCK,NEW YORK LKMA No. 16078.000 To whom it may concern: As Consulting Engineers for Paul Pawlowski, we are submitting, on his behalf, an application for a Wetlands Permit to construct a dock as shown on the attached drawings. i Enclosed herewith for your review, please find(1)original and (3)copies of the following: 1. Board of Trustees Application. 2. Short Environmental Assessment Form 3. Survey 4. Photo Sheet 5. Proposed Dock Plan 6. Check in the amount of$250.00 made payable to the Town of Southold. If you have any questions or require additional information,please contact this office. Very truly yours, AT� CFD:mf Christopher F. Dwyer,Associate L. K. McLean Associates, P.C. Enc. (6) Cc: Paul Pawlowski,w/enc. LKMA File Copy w/enc. 1 Imo' ': 1 I APR 3 2017 z ;riath�ld fe%-in •Founded in 1950 •