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Home My WebLink AboutTR-1578 Michael J.Domino,President 'of SOVTyOTown Hall Annex John M.Bredemeyer III,Vice-President �� 01 0 54375 Route 25 P.O.BOX 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G • Q Telephone(631) 765-1892 Greg Williams O Fax(631) 765-6641 coUN1y,� , BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1473C Date: May 22,2018 THIS CERTIFIES that the as-built 14'x14' wood deck on landward side of fixed dock leading to a 4'x12' landward fixed wood ramp to the 4'x40'fixed dock; as-built 3.5'x11' metal ramp to 6'x60'floating dock in lieu of the 4'x8' ramp; additional pilings; and as-built electrical and plumbing connections to deck and dock; with the condition that the existing 14'x14' wood deck is not to be rebuilt without a new permit from the Board of Trustees-, and that an Underwriters certificate is obtained for the electrical work; At 4170 Indian Neck Lane,Peconic Suffolk County Tax Map#1000-98-1-27.1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated October 19, 1982, pursuant to which Trustees Wetland Permit#1578 Dated February 8, 1983,was issued and Amended on May 16, 2018, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the as-built 14'x14' wood deck on landward side of fixed dock leading to a 4'x12' landward fixed wood ramp to the 4'x40'fixed dock; as-built 3.5'x11' metal ramp to 6'x60'floating dock in lieu of the 4'x8' ramp; additional pilings; and as-built electrical and plumbing connections to deck and dock; with the condition that the existing 14'x14' wood deck is not to be rebuilt without a new permit from the Board of Trustees-, and that an Underwriters certificate is obtained for the electrical work. The certificate is issued to INDIAN NECK I,LLC owner of the aforesaid property. g • Authorized Signature Michael J.Domino,President ��oF soUry� Town Hall Annex John M.Bredemeyer III,Vice-President h0 l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G • �Q Telephone(631) 765-1892 Greg Williams 'O Fax(631) 765-6641 Comm,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 16, 2018 David Dubin, Esq. Twomey, Latham, Shea, Kelly, Dubin & Quartararo LLP . P.O. Box 9398 Riverhead, NY 11901 RE: INDIAN NECK 1, LLC 4170 INDIAN NECK LANE, PECONIC SCTM# 1000-98-1-27.1 Dear Mr. Dubin: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, May 16, 2018: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit#1578 from Phil Marco to Indian Neck 1, LLC, as issued on February 8, 1983, and Amended on May 9, 1983; and BE IT FURTHER RESOLVED, that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#1578 for the as-built 14'x14' wood deck on landward side of fixed dock leading to a 4'x12' landward fixed wood ramp to the fixed dock; as-built 3.5'x11' metal ramp to floating dock in lieu of the 4'x8' ramp; additional pilings; and as-built electrical and plumbing connections to deck and dock; with the condition that the existing 14'x14' wood deck is not to be rebuilt without a new permit from the Board of Trustees; and that an Underwriters certificate is obtained for the electrical work; and as indicated on the site-plan prepared by Pinnacle Land Surveyors LLP, dated March 26, 2018, and stamped approved on May 16, 2018. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please contact our office at (631) 765-1892. Sincerely, Y &ex-a'ft'l Michael J. Domino, President Board of Trustees MJD/dd Michael J.Domino,President ��Zf so�riyo Town Hall Annex l 54375 Route 25 John M.Bredemeyer III,Vice-President �� 0 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G • Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction % constructed compliance Project complete, inspection. J p INSPECTED BY: r_-7r^ COMMENTS: (') P� � ` 3 , CERTIFICATE OF COMPLIANCE: The offsets or dimensions shown from structures to the property lines are for a specific purpose and use,and therefore,are not Intended to guide In the erection'of fences,walls,pools,patios,additions to buildings and any other construction Subsurface and environmental conditions were not examined or considered as a part of this survey Easements,Rights-of-Way of record,If any,are not shown Property corner monuments were not placed as a part of this survey Certifications on this survey signify that the survey was prepared in accordance with the current existing Code of Practice for Land Surveys adopted by the New York State Association of Professional Land Surveyors,Inc The certification Is limited to persons for whom the survey is prepared,to the title company,to the governmental agency,and to the lending Institution listed on this survey Said certifications indicated hereon are not transferable �0u / 49 I / I m �Np�Po I�pNE / 4 7 4 a ELECTRIC �pP \ TRANSFORMER O X9ELECTRICBOX & METER F 49 v y 49 Q 0 55 TAX LOT 27.1 �4 9 � I 49 / / m UNDERGROUND +53 ELECTRIC UNEtu I m60 // / ' z SITE 3 / / +55 ELECTRIC 7 Y Y = / BOX Q Z Y LJ 49 50 AIR TANK Y N & WELL m V--� v w / I 61 Iz +24 / / +58 / +5 3 4�'�:, KEY MAP LIGHT & , , +46 A APPRO 'ED' BY', _ ELECTRIC / 1 a=f 1000' BOX ON PILE WOOD RAMP / BOARD OFT FLOATING DOCK 4'x12) 48 (6'x60') RAISED WOOD WA K (4'x40' 4 8 i LIGHT & W TOWN,-OF SOUTHOLD PILE METAL RAMP ELECTRIC H w (TYPICAL) (35'x11') BOX ON PILE ON PILE (1DECK az14') W J W J 1 0 W �5 SUPPLY DATE Q +20 44 4 8 OVER GROUND ®ATE 4 6 W VIA 1PIp.ST1C HOSE ELECTRIC LINES 48 W +52 Date Revision J ATTACHED TO DECK Tax M a DISTRICT loon SECTION ss BLOCK of LOT 27.1& RAISED WALK UTILITY POLE — TERMINATE AT PILE WITH LIGHT, --- d PI NNA CL E ELECTRICCBOX O _ - & OUTLET LAND SURVEYORS LLP Ff 41 55 VETERANS HIGHWAY,SUITE 1 1 631 6489273 RONKONKOMA, NEWYORK 1 1779 WWW PLSLI COM �± 0 2M PINN0.CIE LW05nRVEY01bW . i ?` DOCK DETAIL APR 2 0 2718 `��"� �. CERTIFIED TO: PROPERTY INDIAN NECK I, LLC i SITUATE PECONIC O 20 4O TOWN OF SOUTHOLD SUFFOLK COUNTY,NY NOTESDate t,na thonzed a t—t—or addn to this s V I;a„Io1—, &S-10.7209 subEla—2 New Yor45tate Ed—t,on Law Feet 1) ELEVATIONS REFER TO NAVD 1988 MARCH 26,2018 2) SUBSURFACE UTILITIES WERE MARKED BY OTHERS Scale 3) THIS MAP WAS PREPARED FOR A SPECIFIC PURPOSE AND IS 1"= 20' NOT INTENDED FOR ANY OTHER USE. Sheet No i 1 Of 1 Project No c--,r th; nIad• veY— oe 180016 ,d=eybhe a VIEW: sem{ ,,"�'`�'•c Celebrating Our 45rhYar Twomey, b tnam, MAILING ADDRESS Shea, Kelley, Dubin & Quartararo LLP Post Office Box 9398 Riverhead,New York 11901-9398 Attorneys at Law MAIN OFFICE. Thomas A.Twomey,Jr 33 West Second Street (1945-2014) Riverhead,New York 11901-9398 Stephen B.Latham Telephone:631.727.2180 John F.Shea,III Christopher D.Kelley Facsimile:631.727.1767 David M.Dubin o mfinneganAsuffolklaw.com www.suffolklaw.com Jay P.Quartararo t Extension 265 Peter Mott Direct Fax: (631)574-1258 Janice L Snead Anne Marie Goodale Bryan C Van Cott Kathryn Dalli Laura 1.Dunathan April 24, 2018 Lisa Clare Kombrink Patrick B.Fife Martin D Finnegan, Reza Ebrahimi Jeffrey W.Pagano Bryan J.Drago Ms. Diane DiSalva BernadetteE Tuthill Southold Town Trustees Craig H Handler P.O. Box 1179 Alexandra Halsey-Storch Melissa S.Doris Southold,NY 11971-0959 Katenna Grinko Lorraine Paceleo Jessica Klersy Re: Indian Neck Lane I,LLC/Permit#1578 Terrence Russell Premises: 4170 Indian Neck Lane,Peconic,NY OF COUNSEL SCTM#1000-98-1-27.1 Kevin M Fox Kelly E Kinirons Karen A Hoeg Dear Diane: Patricia J Russell Jennifer P Nigro 0 NY&IA BABE Enclosed please find our firm's check in the sum of$50.00 representing the application t LLM INTAXAMN fee for the transfer of the Wetland Permit regarding the referenced matter that I delivered to you NY&NJ BARS o NY,NJ&PA BARS yesterday afternoon. 1 Thank you for all of your assistance. Very truly yo rs, 'n D�Finnegan MDF/lk Enclosure OTHER OFFICE LOCATIONS 20 Main Street East Hampton,NY 11937 631.3241200 51 Hill Street APR 2 6 2018 '11-- � ' _ Southampton,NY 11968 631.287 0090 � 490 Wheeler Road SCliil!0�{;J i'111""� Suite 150 t308C I Ui i1;�` M� Hauppauge,NY 11788 r --- 631.265 1414 56340 Main Road P.O Box 325 Southold,NY 11971 631765 2300 Michael J.Domino,President so Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G • �Q Telephone (631) 765-1892 Greg WilliamsycOU Fax(631) 765-6641 � NT`1,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD APR 202018 '; �--�---�0"rFPITC�ATION FOR A TRANSFER OF A WETLAND PERMIT DATE 41- 1 2-<---3 l OWNER �C��Gt-{�� , LLC— - PHONE MAILING ADDRESS CA(- AGENT Gt ADub n r PHONE ADDRESS PROPERTY LOCATION ' L lnc�c` 9CJL TAX MAP NO. Lc)c�� — I/We �� d QCt_ L"', - �'�'� request a Transfer of Permit# 5� from L ' r Signed By: 1` Michael J.Domino,President a�S011, y� Town Hall Annex John M.Bredemeyer III,Vice-President �� lQ 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski ® Telephone(631)765-1892 Greg Williams Fax(631) 765-6641 oI��o'��;,� ; BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD APPLICATION FOR AN AMENDMENT TO A WETLAND PElIMIT DATE April , 2018 OWNER Indian Neck I, LLC PHONE MAILING ADDRESS 1350 Ave. of the Americas, Suite 2300, New York, NY 10019 AGENT David M. Dubin, Esq. PHONE (631) 727-2180 Twomey Latham Shea Kelley Dubin & Quartararo, LLP ADDRESS 33 W 2nd Street Riverhead, NY 11901 PROPERTY LOCATION 4170 Indian Neck Lane, Peconic, NY TAX MAP NO., 1.000-98-1-27.1 Indian Neck I, LLC By: Ernest Scalamandre dated 2/8/1983 1578 I/We Managing Member- request an Amendment to Permit# ( ) for the "as-built" dock and dock area which was renovated by a prior owner to add a 4' x 12' wood ramp, a 3.5' x 11' metal ramp additional bilinas a_.1 4Lx 14' wood deck, and eleckrical and plumbing connections. Indian k I, LLC Signed By: By: Ernest Scalamandre, Managing Member i APR 2 3 2018 I e t Board of Trustees Applicat''',:F PAGE NOT APPLICABLE AFFIDAVIT Indian Neck I, LLC By: Ernest Scalamandre, Managing Member BEING DULY SWORN g 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 TRUS'T'EES,THEIR AGENT(S)OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, I 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. t Indian Nec I, -LLC i 5 t 4 Signature of Property Owner �ecclfix �tlt By: Ernest Scalamandre, Managing Member SWORN TO BEFORE ME THIS / DAY OF April 20 18 Notary Public JOCELYN NEWMOYER NOTARY PUBLIC STATE OF NEW YORK NASSAU COUNTY LIC. `!1 NE62/ 31 COMM.EXP. j Board of Trustees Applicat__- AUTHORIZATION (Where the applicant is not the owner) I/We, Indian Neck I, LLC = , owners of the property identified as SCTM# 1000-_ 98 - 1- 27 001 in the town of Peconic, Southold ,New York,hereby authorizes David M. Dubin, Esq. to act as my agent and handle all Twomey Latham Shea Kelley Dubin & Quartararo, LLP necessary work involved with the application process for permit(s)from the Southold Town Board of Trustees for this property. Indian NeckI, LLC Property Owner's Signature iesxceaut�tX�[ 3mcS' i By; Ernest Scalamandre, Managing Member ' SWORN TO BEFORE ME THIS_ DAY OF April 32018 /-ez� , V Not Public I JOCELYN NEWMOYER NOTARY PUBLIC STATE OF NEW YORK NASSAU COUNTY LIC.# E6206431 COMM.EXP. / �� , APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE.FORM The Town of Southold''s Code of Ethics piahibits eonflicts of intereshon the part of torn officers and emplovees-'The purnose of thls form is op yide inrorinrition which can alert the town of possible conflicts of interest and allow ifto take whatever action is ' necessnr�tg�void slime. , = ' YOURNAME: David M. Dubin, Esq. (Last name,first name,ipiddle initial,unless you are applyingin the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) r 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,or child)have a reliitionship,with-any officer or employee of the Town-cif Southold? "Relationship"includes by blood,ntairiag0,or business-interest."Business interest"means a bushiess, including•a partnersliip,in which tiie town officeror employee has.even a pectis!owiicrship of{or employment by}a corporation iii-which the town officer or employee owns more than•5%of the shares, s 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 th' day of I M2018 Signature Print Name David M Dubin. Esq. Form TS I r APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORA[ The Town of Southold's Code of Ethics prohibits conflicts of interest on the pari of town officers and empl0ecs.Thc°aurnese of this form is to provide inforination which can alert the to of possibly`conflicts of interest and allow it tatake whatever action is necessary to avoid same. YOURNAME: Indian Neck I LLG , (Last name,first name,jriddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the,other a person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance �_ Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibibig,•parent;or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes-by blood,rgarriage,or business interest"Business i>ZleresC'means a business, including a partnership,in which the town offrcer"employee has even•i partial•ownership of(oremployinent 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/agendrepresentative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. y The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner,ofgreater than5,%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal orbeneficial owner of any interest in a non-corporate entity(wheh the applicant is not a corporation); C)an officer,director,partnec,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this o April Svc 2018 Signature Print Name Indian Neck I, LLC' Form TS 1 p By: Ernest Scalamandre, Managing Member Indian Neck I, LLC 1350 Avenue of the Americas, Suite 2300 New York, New York 10019 April ,2018 Southold Town Building Department 54375 Route 25 Southold, NY 11971 Re: Board of Trustees Permit Application Premises: 4170 Indian Neck Lane,Peconic,NY S CTM#: 1000-98-1-27.1 To Whom It May Concern: I,Ernest Scalamandre, Managing Member of Indian Neck I,LLC owner of the property identified as Suffolk County Tax Map Numbers 1000-98-1-27.1 in the Hamlet of Peconic,Town of Southold,hereby authorizes David M. Dubin, Esq.,Twomey Latham Shea Kelley Dubin & Quartararo, LLP,to apply for a Dock Permit for the as- built dock on said property and handle all necessary work involved in the application process with the Board of Trustees. Indian Ne I,LLC By: Ernest Scalamandre, Managing Member to before me this )�" day of April,2018 U/� JOCELYN NEWIVIOYER NOTARY PUBLIC STATE OF NEWYORK tary P blic NASS U COUNTY LIC. NE6206 1 LCOMM.EXP. � � i n 61 Z20 Appendix B Short Environmental Assessment Form Instructions far Completing Part 1 -Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in 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: 4170 Indian Neck Lane Project Location(describe,and attach a location map): 4170 Indian Neck Lane, Peconic, NY Brief Description of Proposed Action: Amendment to Dock Permit No. 1578 (dated February 8, 1983), to include the "as-built" 4' x 12' wood ramp, 3.5' x 11' metal ramp, additional pilings, 14' x 14' deck, and electrical and plumbing connections. Name of Applicant or Sponsor: Telephone: (631) 727-2180 David M. Dubin, Esq. E-Mail: ddubin@suffolklaw.com Address: Twomey, Latham, Shea, Kelley, Dubin & Quartararo, LLP, P.O. Box 9398 City/Po. State: Zip Code: Riverhead I NY 11901 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] D 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 g6vernmental Agency? NO YES If Yes,list agency(s)name and permit or approval: 3.a.Total acreage of the site of the proposed action? 77 acres b.Total acreage to be physically disturbed? < .25 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 131 acres(subject lot and contiguous PMPBE 4. Check all land uscs that occur on,adjoining and near the proposed action. F1 Urban El Rural(non-agriculture) ❑Industrial ❑Commercial [MResidential(suburban) NForest NAgriculture ❑Aquatic ❑Other(specify): ❑Parkland Pagel of 4 5 Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations9 ❑' LEl 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? ❑ R 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: FRI ❑ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES I`INO� ❑ b.Are public transportation service(s)available at or near the site of the proposed action? ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: n/ ❑ 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 utilities? "NO YES If No,describe method for providing wastewater treatment: ® ❑ 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? ❑ X 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? F] FE If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: tt_--.�� The "as-built" dock is located along the_ahoreadjiar'_en1 to and in Little Creek. 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: MShoreline El Forest ❑Agri cultural/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 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, r\_71 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)? If Yes,briefly describe: E]NO ❑YES Page 2 of 4 i -r W 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- I—XI ❑ 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 1S TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicanornakne: David Ubinl Esa. Date:" Signature:. Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all ofthe,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 I. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? V, El 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 a reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: El a.public/private water supplies? b,public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, FA waterbodies,groundwater,air quality,flora and fauna)? El Page 3 of 4 1 ' 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. W ill the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. FJCheck 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. F-ICheck this box if you have determined,based on the information and analysis above,and ny su porting documentation, that the proposed action will not result in any significant adverse environmental impact Town of Southold-Board of Trustees Name of Lead Age pt), e PresidentI Print or Type Name Respo e 0 w r in Lead Agency. Title of Responsible Officer Sig�ureofesponsib fficer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 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 sit- scant beneficial'and adverse effects upon"the.coastal-area which hidludes 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 mustbe explained in detail, listing both-su porting and non- sunportitn�z.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 98 1 ._ - 027.001 PROJECT NAME 4170 Indian Neck Lane The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees Q 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: n Nature and extent of action: Application for a Board of Trustees Administrative Amended Permit for "as -built" dock renovations: wood deck 14' x 14', wood ramp 4' x 12' metal ramp 3.5' x 11'. additional pilings, and plumbing and electrical connections. NOTE: The 4 'x 40 ' raised wood walk (dock) , 6 'x 60 ' floating dock and 6 pilings were previously approved by Trustees Permit No. 1578 (278/1983 ) . Location of action: 4170 Indian Neck Lane, Peconic Site acreage: 77.6746 acres Present land use: Residential and agriculture Present zoning classification: Zone "A-C" 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: David M. Dubin, Esq. ; (b) Mailing address: Twomey Latham Shea Kelley Dubin & Quartararn, 1-1-P P.O. Box 9398, 33 W. 2nd Street Riverhead NY 11901 (c) Telephone number:Area Code( ) (631) 727-2180 (d) 'Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ❑ No'E 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 infrastructures makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. �X Yes ❑ No ❑ Not Applicable The Board of Trustees previously issued a dock permit for the subject lot on February 8.1 (P�rmit No 1578) for a 60' x 6' floating dock, 4' x 8' ramp 'cial use of the coastal location. Thereafter, a prior owner renovated the dock and dock area for a more__ efficient design. r 11 -built" wood 4eck (I 4'x 1-44T-wood ramn IA' X metal ramp (3.5' x 11') and additional pili ngss alorig with PlecLoral and plumUnq rnnnPrtinng These renovations also produced a-more benefic' 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 El No © 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 X❑ Yes ❑ No ❑ Not Applicable The Board of Trustees previously issued a dock permit for the subject lot on February 8, 1 gR (Permit— No. ermit . No 1578) for a 60' x 6' floating dock, 4' x 8' ramp and a 40' x 4' raised wood walk (dock) Thereafter__. a prior owner renovated the dock and dock area to add the "as-built" 4' x 12' ramp and enlarge the previously approved metal ramp from 4' x 8' to 3.5' x 11' (resulting in a total increaGP of annrnximafely 54.5 s.f. along with the addition of,a small ns. These renovations were minor (the replacement dock only increased the square foofaae by apprnximately Attach additional sheets if necessary 54.4 s.f. and the deck is close to grade. Neither structure will affect the visual quality scenic resources located on or near Little Creek. NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes F] No ❑ Not Applicable The minor "as-built" renovations to the dock and dock area along Little Creek (described in response to No 3 above) will not affect the area's natural resources nor will it cause any flooding or ernsion_ Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LVW Section III --Policies Pages 16 through 21 for evaluation criteria ® YesC] No ❑Not Applicable None of the minor improvements and renovations to the dock and dnrk area will have-any impact on the water quality and supply in the Town 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. 0 o a Yes No Not Applicable l The dock is not located adjacent to any wetlands. 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 Q 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.L�J 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. ❑ YeN No❑ Not Applicable The dock is located upon private property. Attach additional sheets if necessary 2 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. El Yes ❑ No ❑ Not Applicable The subject lot is a suitable location for a dock as evidenced by the fact that a dock has existed there for the past thirty-five years. The Board of-Trustees granted a permit for_the_dock on February__8,.1983 (Permit No. 1578). The area around Little Creek has not significantly changed since that time. The addition of a slightly larger dock (increase of approximately 54.5 square feet) with a 14' x 14' close to gide deck platform are suitably located along Little Greek, and will not impact the adjacent area 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. 0,Yes ❑ No ❑ Not Applicable ` The minor improvements and renovations to the approved deck described above will not adversely affect living marine resources 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'[A Not Applicable PREPARED BY TITLE c ,n� DATE- 41t 71 I$ Twomey, Lan, MAILING ADDRESS: Shea, Kelley, Dubin & Quartararo LLP Post Office Box 9398 Riverhead,New York 11901-9398 Attorneys at Law MAIN OFFICE: Thomas A Twomey,Jr 33 West Second Street (1945-2014) Riverhead,New York 11901-9398 Stephen B Latham John F Shea,III Telephone:631.727.2180 Christopher D Kelley Facsimile:631727-1767 David M Dubin o www.suffolklaw.com Jay P Quarrararo t Peter M Mott Janice L.Snead dquick@suffolklaw.com Anne Marie Goodale Extension 294 Biyan C Van Cott- Kathryn Dallt Laura I Dunathan Lisa Clare Kombrmk Patrick B Fife Martin D Finnegan, Reza Ebrahimi April 20, 2018 Jeffrey W Pagano Bryan J Drago Bernadette E Tuthill Craig Handler VIA HAND DELIVERY `'`' Alexandra Halsey-Storch D E .:+) E� Melissa S Doris Daniel R Bernard•t Town of Southold Katenna Grinko Loirame Paceleo Board of Trustees APR 2 O 2018 OF COUNSEL 54375 Route 25. Kevin M Fox P.O. Box 1179 Kelly E Klnirons Southold loran Karen A.Hoeg Southold, NY 11971 Board of Trustee Patricia J Russell Jennifer Nigro. Donald L Mabry• Re: Owner: Indian Neck I, LLC oNYSLABARS Premises: 4170 Indian Neck Lane, Peconic } ILAi IN F XAnON • M,NJ BARS SCTM#: 1000-98-1-27.1 • G. S,WI BARS Dear Sir/Madam: Our firm represents the owner of the above referenced premises. A Trustees' Permit for the dock at the premises was issued on February 8, 1983 (Permit No, 1578). A copy of the permit is enclosed. We respectfully request an Administrative Amended Permit to reflect the "as- built" renovations to the dock and dock area, including electrical and plumbing connections. Enclosed please find the following application documents: 1. Original signed Application for an Amendment to a Wetland Permit; 2. Three sets of Dock Detail Plans showing the "as-built" dock renovations, OTHER OFFICE LOCATIONS dated March 26 2018 20 Main Street o ; East Hampton,NY 11937 3. An original and two copies (3 total) property surveys, dated February 8, 631.324 1200 2018; 51 Hill Street 4. Authorization letter and Board of Trustees authorization form signed b Southampton,NY L 1968 gney 631.287.0090 Indian Neck I, LLC granting permission to David M. Dubin, Esq. to file 490 Wheeler Road the amended permit application on their behalf; Suite 150 signed 5. Affidavit si d b Indian Neck I LLC in permission to enter Hauppauge,NY 11788 g y granting g 631.265.1414 property; 56340 Main Road PO Box 325 Southold,NY 11971 631 765.2300 L Page 2 6. Transactional Disclosure forms signed by Indian Neck I, LLC and David M. Dubin, Esq.; 7. Short Form Environmental Assessment Form; and 8. LWRP Consistency Assessment Form. Lastly, enclosed please find a filing fee check in the amount of$100 made payable to the "Town of Southold". Please let us know when this matter will appear before the Board of Trustees. If you have any questions or need any further information, please feel free to contact me. Thank you. Very truly yours, Dolores Quick Paralegal /dq Enc. - � r Twomey, Lati11 ><aLn, MAILING ADDRESS. Shea, Kelley, Dubin & Quartararo LLP Post Office Box 9398 Riverhead,New York 11901-9398 Attorneys at Law MAIN OFFICE Thomas A Twomey,Jr. 33 West Second Street (1945-2014) Riverhead,New York 11901-9398 Stephen B Latham John F Shea,III Telephone:631.727.2180 Christopher D.Kelley Facsimile:631.727.1767 David M.Dubin o www.suffolklaw.com Jay P Quartararo L Peter M Mott Janice L Snead Anne Marie Goodale ddubin@suffolklaw.eom Bryan C Van Cott• Extension 230 Kathryn Dalll Laura 1.Dunathan Lisa Clare Kombnnk Patrick B Fife March 14, 2018 Martin D.Finnegan. Reza Ebrahimi Jeffrey W Pagano VIA HAND DELIVERY Bryan J Drago Craig HBernadetteHE.Tuthill C Craig H Handler Town of Southold Alexandra Halsey-Storch Board of Trustees Melissa Dons Dani54375 Route 25 Darnel R.Bernard•t KatermaGrmko P.O. Box 1179 Loiraine Paceleo Southold,NY 11971 Or COUNSEL Kevin M Fox Kelly E Kmirons Re: Owner: 4170 Indian Neck Lane Holdings,LLC Karen A.Hoeg Patricia J.Russell Premises: 4170 Indian Neck Lane,Peconic,New York Jennifer Nigro. SCTM#: 1000-98-1-5 Donald L Mabry JNY&LA BARS I LL I IN TAXATION Dear Sir/Madam: • NY&NJ RARb I,Y.NJ&PA BARS • C.A&WI BARS Our office represents the owner of the above referenced premises. A Trustees' Permit for the dock at the premises was issued on February 8, 1983 (Permit No. 1578). A copy of the permit is enclosed. We respectfully request a final inspection and issuance of a'Certificate of Compliance for the dock. Our client grants permission for the Southold Trustees' Office to enter the subject lot and conduct an inspection of the dock. The dock is located at the southerly end of the property (see enclosed aerial photographs). Please let us know if you would like us to meet the Trustee at the property at the time of the inspection. Thank you. OTHER OFFICE LOCATIONS- 20 Main Sneer Very truly yours, East Hampton,NY 11937 631.324 1200 51 Hill Street FjjM " i Southampton,NY 11968 I; ^' G31 287.0090 % David M. Dubin 490 Wheeler Road site 150 1 4 2018 Hauppauge,NY 11788 DMD/d 6312651414 Enc. i 1 56340 Main Road PO Box 325 l dG t`c Southold,NY 11971 ------•----- � 631 765 2300 Y / U / UJ Z0 I Q� \ 0 ^� Z �� Pp p�/ / 0 BERM FE coQ `°_" / / P ` z.a'E LAND NOW OR \ 9 �Z�" / / o _ FORMERLY OF u Y u w°E E °GH.'JO, \ \1"� MARCO \ U Q O Z F LL ON-04 A,LINE FE 65 RPZ // �I m m �a M PATIO Y 1O'N / / / / BERM / BERM f4'S / 1.6'W S � --MONUMENT / / / 0 0 + / S 10, FOUND \ / 0.8 V` // NCE BULONG C / M CA DSEEETAIL �Q. CURB VINYLto CONIC.+ / 6 © °COVER FE " 0.6'S GPAS P0.7'SE P&R FE ON N ,A� -- N° `I 5.1'S •/ •y[.A"�1 / / 2 DRIVE`NAY LINE •1� (� + \ -NGE l 1 0.9•W DRI / / STORY I & PARKING G J �' / RPZ BERM / OWELUNG 1 AREA 54.3' SHED �O / �• / `HOTBOX / t BARN FE / ® Q O.TS a ' ��]' 0 1 0.3'E OtE 1 1 i a Ib / _GAl O• I / L!'J 1 11❑SHED 1 1 •//� FE v� �' X� \ 1 I O x 44 11'N OAC 1 X SPA SHEDS 1 �� / �� OO S1 // 1 1 0 'TENNISeREEII V r� � COURT m $ HOU E 15:) / A� �O. // 1 1 m X Pool 1 DETAIL >c HOUSE P / 661 S m GATE 1 1 3 X' ♦ . 04 / 1 1 JFE NORTHEASTERLY �� // �+9• /// 0 0.81E PROPERTY CORNER •� / // 1 1 0 1 1 d (NOT TO SCALE) STAKE I I o 1 1 Z / FOUND // 1 1 m a i 1 1 W ^�.%` TRANSFORMER E EUIKtC / / 1 1 I LEGEND ` - / FE _ I I 0.7'E X 1 I 1 MONUMENT FOUND ■ \ 1 \ BATHR� I ' STAKE FOUND A BURIEDPIPE FOUND 0 O / / / LP TANK / / ^ \\\ 1 OVERHEAD WIRES OH +�L/ SEWER VENT sv SUFFOLK COUNTY TAX MAP s 4 \ I \ DRAINAGE INLET DISTRICT 1000 / / / OO �Q0 ao•S'10,Q��zs \\\ I " 0 SECTION 98 I ( y� rS>, \\\ 1 // WATER VALVE BLOCK 01 1 / o. OFM El �� ( \ WATER MANHOLE Q LOT 2.1 FIRE HYDRANT -A A/C no, \ / ,�/ � UNIT/ \ \ / � � � BOLLARD • �PR0So 1 asp ` I \ /� 1 UTILITY POLE oQ, LIGHT POLE C� \ \ /// \ // p.2w GUY SIIGN TOP OO F \\\ WALL \ o / / 2.2' �O pl \\\ Se \ 7� / \\ x OR DIRT ROAD - - - - EDGE OF PAVEMENT 2.5'E � �O%• o o�� \\\ �qe'��^ /�/ p� ® � `\ \\ I J � DRAINAGE MAINLINE- D FENCE - POST/& WIRE X OR CHAIN LINK IF NOTED �t I SHE / �O.h \\\ // I \\ \ \ 'V S o.6'N ��o� FENCE - POST & RAIL- O \ / / s?J,o pos ` / \\ \\\ \ \ I I PADDOCK FENCE) \ RETENTION \ FENCE - STOCKADE ❑ l \ BASIN WOODS/BRUSH LINE vo \ I � BUILDING / \ gQ2S• \\\ \�. / i , 11 CONCRETE/MASONRY FE It/ \\ I / gzz 0.7'N \\ I �� 1 Q 0� SUFFOLK COUNTY TAX MAP \ ��• �. 1 / 99'2 1 DISTRICT 1000 0�!PX-G 1 SECTION 98 x i� Q S `SSS RUN-IN BV�l��N BLOCK 01 / 03W FE S�. �ssy SHED LOT 27.1 WITH TYP CAL)O SUP K J T 5 / \ \ O�• ° J '9� ONE 0. E LINK FE W FE 0.1•W \ l / \ FE / ON- LIN \ FE OO CHA X - � LINK \ �ry0 p / S \S� \ `� 'S >09y CJ FE oya �9\ + v Q � LL QJ 150. CPQ�v� 01 CLF 0.5'E CLF cn o.s•W \ !y CLF 0.6'W SUFFOLKSTRICT 000 MAP / / \ N 1, �',5�� SECTION 97 �O '! / Z \ Oti c1P� BLOCK 09 \ �` �'`b F, o + Off• LOT 10.4 `' gyp, o CO / 00 to �.4F FE fp^/�� \ NIS \ 0.4'E Ilk, �2p� Lil + / 1 yO O "61 Q •�.o�/ a o 1 0 + + / NOTES \�� / \ oa 1) REFERENCE DEEDS & ACREAGE (AS DESCRIBED) + \ SCTM 1000-97-09-10.4 LIBER 12539 PAGE 596 9.9936 ACRES `V ROOF OVER SCTM 1000-97-09-12 LIBER 12539 PAGE 899 34.6402 ACRES } } / WELL SCTM 1000-98-01-2.1 LIBER 12539 PAGE 704 10.7097 ACRES MONUMENT \ / C FOUND FE SCTM 1000-98-01-27.1 LIBER 12539 PAGE 901 77.6746 ACRES 1.,s + DLNE 2 SUBSTANTIAL VISIBLE IMPROVEMENTS ARE DEPICTED, MINOR IMPROVEMENTS & FEATURES ARE NOT / \ \ Cb% / SUFFOLK COUNTY TAX MAP FE ) O' DISTRICT 1000 F� + 2.3'E 3 NECESSARILY SHOWN. SECTION 97 z.7 s \ BLOCK 09 LIInE + 3) SUBSURFACE & ENVIRONMENTAL INVESTIGATIONS WERE NOT CONDUCTED AS PART OF THE SURVEY. \ LOT 12 + M FE 4) WOODS/BRUSH LINES AND MARSH AREAS DEPICTED HEREON ARE APPROXIMATE. THE LIMIT OF S �V 1.9'E / FE " WETLAND AREAS ARE NOT IDENTIFIED ON THE SURVEY. NEW YORK STATE FRESHWATER WETLANDS AND + + NEW YORK STATE RS• O / ( 0,8'N - - FRESHWATER FRESHWATER WETLAND CHECK ZONE LINES SHOWN HEREON ARE APPROXIMATE AND SHOWN FROM THE \ +Aj p� + + ON NOw OR KE I WETLAND NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION ONLINE ENVIRONMENTAL RESOURCE O' REPUTED OWNER: \ O� �� LINE �,p10 OF 8�' MAPPER. FOR MORE INFORMATION VISIT WWW.DEC.NY.GOV/GIS/ERM/. �Oy GREAT PECONIC LLC �.� �� + + I �- 5+23" W F�RM ( 5) WATER BOUNDARIES ARE SUBJECT TO CHANGE DUE TO NATURAL CAUSES AND MAY OR MAY NOT t8 + + FENCE FE C, � OPENING ON- 97�J \ REPRESENT THE LIMIT OF TITLE. FE LINE ��\ OAO�• S +'�j0 A. 1.0'E �OG \ �y�T0P?OF / Y + _ + •O, 1te. 3.0'N qTo \Fc�rF'P�3`l + + , �� 9 . ~ ?O��GF / ' + +� + ED to (� \ WO CQRzo. ', / O.O' + O s LIMIT WETLAND �R D� / .0�O O ,---- O C NEW YORK STATE U 01 + /'j / / \ \ O + + + PLA FRESHWATER ZONE \ REPUTED OWNER: N 114]i]C5% ; •'\^ 00 �6�•� \ / / PETER WALKER + �1 a_ `w O9 �R �� • 'C�2?S�` \ / NEW YORLIMIT OSTATE ")I 0. �9 06 \ FRESHWATER WETLAND } ^ / ' Z CHECK ZONE \ 6��y / Z ( + + + 1 1 \ N 1Y 00. REPUTED REPUTED OWNER: REPUTED (OWNER: JUDY TEEVEN FE \ '\• / COUNTY OF SUFFOLK + + + + 1111 \ Q� S O 0.2.5 \ 3 \ Q"' 11� �• / \ / + + + + I \ o° CFiATN LINK 03 FENS' v A+ / �� \ PIPE �( FOUND A�.O / O •�/,hO 0.5'N + + + 10 ►� /` ON 10 0• I LINE ;n O0s,' �o _ REPUTED OWNER: ��Q 0` + + " I fn The offsets or dimensions shown from structures to the property lines are for a specific purpose and use,and therefore,are not cs N l LAUREN BECK o 0.\ N 9'34 07 W I \ ` intended to guide in the erection offences,walls,pools,patios,additions to buildings and any other construction. 00,0- LINE \ REPUTED OWNER: - +$ '05" W}_ 7.14' I I N ON-LINE \ CARL FRITSCHER � y�z + 02' N 33.09'08" W Subsurface and environmental conditions were not examined or considered as a part of this survey. Q • 2, 1,71E /\ \ �„/_ 43 POST &!jr + S 43'50'26" W + N 629.77 Easements,Rights-of-Way of record,if any,are not shown,unless otherwise noted. v V' � SIL � \ Property corner monuments were not placed as a part of this survey,unless otherwise noted. -c�-� 0.7 w 27.52' + 6�4 4' fy . `� \ �J0 A\\ FE - -, 0 MONUMENT S 12.38'38" W \ Certifications on this survey signify that the survey was prepared in accordance with the current existing Code of Practice for Land +J I0..7.yy \ �/p � 0.4'W \ 5Q•1 1 / / Surveys adopted by the New York State Association of Professional Land Surveyors,Inc.The certification is limited to persons for Oy \ whom the survey is prepared,to the title company,to the governmental agency,and to the lending institution listed on this • /�I ��• y + / `� Nc�\ S 24!01'11" E ; // N �3. \ survey. ,S,�' ��•� \ / !_ Q `�•06 // S7000 W \ Said certifications indicated hereon are not transferable. 03 FE • � \ / Q\� REPUTED OWNER: � '-� S 1T53'04" W N � / / FE \ �� o.z'N �L MICHELLE JEROLD N �� g �\ <y Oma 31.65' 1 + ILA ' � A� \ ,o.s'w -� yFj � pc O jy \ s/Q2 / �° � 1 � ? 5 67�j3• 85910 W � N c, � ifl � 5 � + FE ��. \ / � S 49'39 03 W � g 7 -� + �-- �'=4y 1 91 E �` + REPUTED OWNER: _,��- 7.59 N 02'41'28" W TRANSFORMER + '* • ��• + 47.80 } +\ + + REPUTED OWNER \ THOMAS S. COTTRELL DILIPATED FE REPUTED OWNER: COUNTY OF 58.91+ / ( ELECTRIC , -,0 $ 17'54'56" W • METERS \_ �J BUILDWG 3.5•N PAUL STOUTENBURGH SUFFOLK / 4 .07 + + + + G / f°.3w S� 02'W IRREVOCABLE TRUST �'- N 06'12'17" E / \ + + I%,? y Date Revision i 5• r0 pc0 ?, 58.09' / N + S *'00#51-"`[-W 29 + + + Tax Map: 1000-97-09-10.4,12 & 1000-98-01-2.1, 27.1 cls / ° y �G FLOATING WOOD WALK/ + .+ '+ s -T( - - - + - -�- -{- �-- WATER �s� 1 F� •�r / \ SEE DOCK DOCK TANK/ �' G ` FE �• O � � �� LAND NOW OR \ / DETAIL DECK WELL7gy3• 5," W + + �6'• `�t�A� ' + + + + + Z 9.4,N 0- 1� 0� p� C FORMERLY OF NEW YORK STATE / 70.'� !y '�p,�' �` • / 1 STOUTENBURGH FRESHWATER / \ / N 00'59 27 E Fly L + + !y 6� SAND N W OR FORMERLY SOF ..../` ✓ FE p4.Qop� WETLAND 95.27' - 7 '1 " N "Ob + SOUTHOLD BOARD OF TRUSTEES Ilo 28.2'WP1NNACLE x 6.9,W y�o y��a REP D OWNER: S 41'42'53" W 34,8 W + + '56-45-47" W + + + + + LAND SURVEYORS L L P I ROBER DICKERSON \ 59.21 T� I N 238 W (S 07'00'47 W�DEED) + + + + + + + + 4155 VETERANS HIGHWAY, SUITE 1 1 631 .648.927' O '' �� + N � 4 , S O 4078;7 E {- + + + + + + + RONKONKOMA, NEW YORK 1 1 779 WWW.PLSLI.CON 1 00 � ^k, S3" DILAPIDATED MARSH 2018 PINNACLE LAND SURVEYORS LLP ••M I �/ '�1 \ \ ��0'?� W 4, 0l'1 SHED + + + + + + + �`s?0' `/ S 1756'50" E + + + + + + + �• BOUNDARY Z 11 0 6EN /6 1 �oo O,t�?�+b + + + + + + + 7' SURVEY I= 1.2'W S REPUTED OWNER: �� 4, + + S 19.00'31" W + + + + PAUL STOUTENBURGH ��. SS " 27.00' I S • �N CERTIFIED T0: >> 7 r. 63$ + + INDIAN NECK I, LLC SITUATE I IRREVOCABLE TRUST 6x 60' FLOATING DOCK 14'x14• C/Q `��'`��/y c� 6562ti$ 3.5'x13' 4'x40' RAISED �RA DECK ON FF + INDIAN NECK II, LLC METAL WALKWAY GRADE `� INDIAN NECK III, LLC P ECO IU I C RAMP INDIAN NECK IV, LLC FIDELITY NATIONAL TITLE SERVICES, LLC � ----- - TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK Date Unauthorized alterat'f'on 6r d ition'jo this survey is a violatiol LITTLE CREEK I FEBRUARY 8 2018 of Section 7209,iul5-divlsiohl,'Nev 6&5tateEducation Law. DOCK DETAIL I (NOT TO SCALE) %�i ,,- , E I f"YR• ��4 0 2 Scale APRT ! 1" =100' N -� ��.�;:t•k°'��- � R, Sheet No. Project No. Copies of this survey map not bearing the land surveyor's VIEW: 180016 embossed seal and signature shall not be considered to be a true and valid copy Michael J. Domino,Presidents �pSVFF��xC� , Town Hall Annex John M. Bredemeyer III,Vice-President 54375 Route 25 Glenn Goldsmith o P.O.Box 1179 N 2 A.Nicholas Krupski Southold,NY 11971 Greg Williams �,�0� dap! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 2' Completed in field by: David Dubin, Esq. on behalf of INDIAN NECK 1, LLC requests a Transfer of Wetland Permit #1578 from Phil Marco to Indian Neck 1, LLC, as issued on February 8, 1983, and Amended on May 9, 1983; and for an Administrative Amendment to Wetland Permit#1578 for the as-built 14'x14' wood deck on landward side of fixed dock leading to a 4'x12' landward fixed wood ramp to the fixed dock; as-built 3.5'x11' metal ramp to floating dock in lieu of the 4'x8' ramp; additional pilings; and as-built electrical and plumbing connections to deck and dock. Located: 4170 Indian Neck Lane, Peconic. SCTM# 1000-98-1-27.1 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=� Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet - 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: C I have read & acknowledged the foregoing Trustees comments: Agent/Owner: " Present were: e J. Bredemeyer ' M. Domino G. N. Krupski _Williams Other Page 1 of 2 Michael J.Domino,President OFF®j�C®G J Town Hall Annex John M. Bredemeyer III,Vice-President �� 54375 Route 25 Glenn Goldsmith a `� P.O.Box 1179 cn a A.Nicholas Krupski Southold,NY 11971 Greg Williams p! Telephone(631)765-1892 ® r Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: David Dubin, Esq. on behalf of INDIAN NECK 1, LLC requests a Transfer of Wetland Permit #1578 from Phil Marco to Indian Neck 1, LLC, as issued on February 8, 1983, and Amended on May 9, 1983; and for an Administrative Amendment to Wetland Permit#1578 for the as-built 14'x14' wood deck on landward side of fixed dock leading to a 4'x12' landward fixed wood ramp to the fixed dock; as-built 3.5'x11' metal ramp to floating dock in lieu of the 4'x8' ramp; additional pilings; and as-built electrical and plumbing connections to deck and dock. Located: 4170 Indian Neck Lane, Peconic. SCTM# 1000-98-1-27.1 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 G. Williams E. Cantrell D. Di Salvo Other Page 2 of 2 � I � - ; � � .r �� ,•baa�+. a i ,,Y r 1 � } hk 4u ' • Y el Y. pt JV AV Or T I W' � "y^ rlr•l+ 4i io A. rs j•{ * '4 t *ww • N ' Y _ 4 r •r�: , fir- + i 4 �+ r r • i _ � r ,�� .�^"""— y .. . avow.,- w.•c..�. �.�,�, -., + � � _ , . +.k'}�t: `�.+- ti _ . k.- .v:,r� V,�;. •, �`l 4 moi" Y ,. i!'�"�.. "�'�'"''*-�.� .. a' r. 11 lz Of .1143 ti 'Fl_ - ._ , _ ,i 'r � "s S, r •� a_ ti's` AWL - - a ,r ,•qtr _.,,�Lx . �,y r * a; � { �_ � ` 7` f � 41701ndian Neck L---ie, Peconic (SCTM# 1 )-98-1 -5) - 2016 aerial E are y + X$ oil w t Ib Ilk ' • f Y f= a k I r � r l • > ♦ 1r. � ^ r �r l� • 1 r March 14, 2018 1:5,000 0 0.04 0.08 0.16 mi Parcel Data 0 0.0475 0.095 0.19 km Web AppBudderfor ArcGIS 4170 Indian Neck ne, Peconic (SCTM# 1 0-98-1 -5) - 2016 aerial _. - - : . 4 L ♦ 9 I -: I Y � 5..� �f• _.r 1` , 111 r k_ �r a• �" i.- t � .t a} r` �•� 1. � .i ` 1 lk$ � 4 r r R 1 I I I March 14, 2018 1:1,000 0 0.0075 0.015 0.03 mi Address Labels �, I I I 0 0.00750.015 0.03 km Parcel Data Web A ppB ui Ide r for ArcGIS ` ?C..n�.:a:= £a..�:u_- c...'.:°s''•-- __`�' _ ...=9�'a'fi:S.�_.�:zs�i__ __ - :. n,......_....,, .,<.,... ....�..�� '.•i':- - :. _ ...�._=i`'-.;L•._e`-• .. ,•.....,•.=-t"". -.. �I ALL [-:OO I::GS AND STAKES MUST DISPLAY VISIBL- I•:00RI�:G NUMBERS ALL DOCKS ANID BULr:HEADS MUST DISPL�,Y VISIBLE PEIFrIIT NUZ-1BERS h i "c i i; J.� �•ti��s _,.r ;,�, ` �' ti `• ;r-�s�� .Ns'`- �.,?j� ..r?+�w•,r,.'f..�.. �.r `A�- � '-r, 7 ��,•,;,�'y ".i F,--:��,"�' E j-a�_ ,'+ :� ir7 �_,�-i. r•..%�`,o�a..,�.r ��1 ��• ��! �gf• T'1��;/f�r,', ;g� 'f'� Ste" �'�J.t:� ... �.-.�•1 tF-i' ` "�.'�:t::.'.. ^' `Tr="Jt.,.��•`.`.i:iJ:�.�� -�ti�a�:JY "� '..' r• t - -• j I'^-�- - �-- -%-�-`• __ :I r: �::' �z?. - :�.-.1 L:+Cry= ��>,ti•rr --�::.:...Yl� -" `.� .'^�_, '•�=�� ='� Board �f - so ut' of T ov�� n Trust I►:�;�:�-@ ,� •�; ! r SOUTHOLD. NEW YORK < —; f�~ .• �',,�.: MOORI_:G NO. N/A Pc�c'�f1T NO. ��•'_:. =��, •~�` E+ I 157.8. .. . ... DATE: . a.LLJ ..�, 8 983 r `''-_• - - ISSUED '' - , �• l m a ,i . :�!,; D TO ..... r.cra..............._.....--•---.......--........ ...................... .................... 4 ': r ;� '' cam 111y(4� v7 ', a </' ,C-• 1 Pursuant 1 the ns of Y `';> 0 Provisions of Chapter 615 i ;�;-; 1893; 3• Ar the Laws of �;.. V ,f �.;J ;;' the Stare of New Yo4 P' q and C}h A r •' �' )`�,4: O d Y�•-••:;�� C, r � p' �0-T of in Laws of the !"•'�:Cc�,�' J , a r„r e rate or New YorK 1462; and the Soutnold Town Ordinance en- J x„ titled "REGULATING ING AND THE PLACING OF OBSTRUCTION �;_ ' �.' IN AND ON TOWN WATERS AND PUBLIC S �LlC LANDS and �`"i' REj.IOVAL OF SAND, GRAVE OR o the CIL ,' • • L OTHER MATERIALS- FROM • , !I'� LANDS U TOWN WATERS and the �== UNDER, :; in accordance with _ Resolution of ' eheld ;;�::: •�-;,� Tn Board acopted at a meets on - - - •� 19..8-3, and in ecnsideration of the sum of 1680.00 b t C^-• ` h �.;;• ��-, � paid y •r:.. �- . .tom _ ..-Pe-conic....................... N. Y. and sudjecl to the Terms and Conditio;�sQ listed on the reverse side hereof, :,� • ��;;., of Southold Town Trus, s au+norizes and permits the following: Toconssttruct f 60 X 6 Ft. floating dock 4 X 8 ft. (',,_ �= Pe t. dock and to install 6 piles a.l � LTA x �;': :;.: in Little creek, Peconic. ;`= -•=7� all in accordance with the detailed specifications as presented in r the originating application. j =-� IN WITNESS WHIc �. ;;}•.�-__, I +�t R"SOF, The said Board cr' r Trustees here- ,r='- �'>�"�•�` by causes its Corporate Seal to be affixed, and these presents to > �' , 1 ' be subscribed by'a majority of the id 'car ' s of this d n j \� �.. ,� r• / . ... .................... a• ,'� " • fir:. y `^ ru fs - ;:aim .' � 'terF1i 1 Ate' ��ILf�Cr-+� _- r _ �..� � � ..��^_r'_�-'•• = .-.��_.Z1_ -. :-�,_rte ,I. - 1� C4^ .4,.-ii 1i j1 /%-r, %ll•'-. - T��If��o ss7fi�" r, s1 ryTI'f, `4�. 7 - 4 .✓� * .___liV�( per. •� .� w.ali'-'•. .��5 .�':,, z -.,��E -T'L F(- .''3+ i�.j„E Fly:✓ :�.' k'=� --- =i.- �.,.�_ _ at��-�y��-,'�-:=z ,�:��-�i-.,"��;.E��.7a�-`u.. std�'2`-"^ �-o:;'L��r•. -xs�•i / -•r``• �.��.`�-..._..''^.yr \�`''��' � '"',��`�-�"'�.�-`'`�''`�• �..."'cc�' ��'��'�`-?'° iii Bocard Of Southold Town Trustees SOUTHOLD, NEW YORK MOORING NO. N/A PERMIT NO. .1578 DATE: .. ... ISSUED TO ...... 1:1-ti1 _Marco ” I' certify that the work as authorized in this per,-tit has been completed and is now ready for your inspec- tion. Also, the number required on this Dro ect is clear I further understand this permit is not vol until visible. p id until this tear sheet is returned to the Trustees. .,...`:`±S�s4y Yr',.,'..r;ry,'� .. C',Frrr.+.,.7 ;r\._-_- I,r -, .._. A4 -. ., • n - i � _ 1. .. r4 �� Yq lllllSy TERMS and CCNDITICNS �I a' The Permittee Mr. Phil. Marco a residing at apo ne;,�@3�--p�Een}E N. Y., as part of the consideration for the issuance of the Permit does understand and prescribe to the fol- lowing: 1. That the Southold Trustees Permit must be .prominently disolayed on the premises effected thereby during the period of 2. That the said Board of Trustees and the Town of Southofd are released from any and all damages, or claims for damages, of suits arising directly or indirectly, as a result of any ops_ work ation performed pursuant to this permit, and the said Permittee will, at his or her own e--pease, under defend any and all such suits initiated by tbird parties, and thesaid Pezmittee assumes full liabili the with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southoldpermit. 3. That this Permit is valid for a period of -QNE Y-E—ARwhich is considered to be sufficient time required to complete the work involved, but should circumstances warrant, zequest for an extension may be made to the Board at a later date. 4. That this Permit should be retained indefinitely, or as long as the said Permitree wishes i i =� to maintain the structure or project involved, to provide evidence to anyone concerned that auth- orization was originally obtained,Pi j 5. That the work involved will be subject to the inspection and approval of the Board Zr its agents, and non-compliance with the provisions of the originating application, may be rause for revocation of this Permit by resolution of the said Board. 6. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 7. That there shall be no interference with the right of the public to pass and repass along s a the beach between high and low water marks. t_ $.• That if future operations of the Town of Southold require the removal and/or alterations �I in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work or project herein stated without expenses to the Town Of Southold. ?� 9. That the said Board will be notified by the Permittee or the completioa of the work auth- orized. (See tear off sheet. ) kl10. That the Permitree will obtain all other permits and consents that may be required sup- plemental to this permit which may be subject to revoke upon failure to obtain same. F-�- 1 _. Wit.nzr:rte• r.�'. ..- .. �., .,..--.t V,r *;;- TELEPHONE (516)765-1801 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 January 14, 1983 Mrs . Judith T. Terry, Town Clerk Town Hall Southold, New York 11971 Dear Mrs . Terry : The following action was taken by the Board of' Southold Town Trustees at a regular meeting held January 11, 1983 : RESOLVED to recommend to the Southold Town Board approval of the wetland application #112 of Phil Marco to construct a 60 x 6 ft . floating dock, 4 x 8 ft. ramp, 40 x 4 ft. stationary dock and six piles in Little Creek, Peconic. Yours truly, Paul Stoutenburgh, President Southold Town Trustees FILE s. 4y TELEPHONE (516) 765-1892 BOARD OF TOWN 'T'RU'STEES TOWN OF SOUTHOLD Town Hall, 53095 Dain Road P.O. Box 728 Southold, New York 1 1971 May 9, 1983 Peconic Associates, Inc. 54655 Main Road P.O. Box 318 Southold, New York 11971 RE: Permit No. 1578 - Phil Marco Gentlemen: This -letter is in reply to your recent request for approval to put two additional spiles in the floating dock, for Mr. Marco, in Little Creek, Peconic. At the Trustees regular meeting, held on May 3, 1983 it was RESOLVED to approve your request, thus amending your permit with the addition of two spiles. Very truly yours, Board off Trustees Paul Stoutenburgh President PS/ip Copy to Phil Marco ,i :e u T s ul L Tn ST ES u H4, 0 u E NO. 1_ ISS UAftCl 2 1 Matc , /Q 2.3 Neck POK 323 : r THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN 'TRUSTEES OFFICE, TOWN OF SOUTHOL® TOWN SOUTHOLD, Nv Y. 11971 ��' ' TEL.. 765.180:! ,,r, NAME OF CREEK LITTLE CREEK RE: APPLICATION DATED s October 19, 1982 BOARD OF TOWN TRUSTEES REVISED : DECEMBER 1 , Town Of Southold 1952 blain Road / Southold, New York 11971 APPLICATION FOR FIXED and/or FLOATING DOCKS 1. Applicant's name and address: .Mr.:...Phil...Marc. . o , Indian. . ...Neck. . ...Farms. ., ................... .... . ........... ...... .... .... . .. .... ...... . ..P...... .....Box..383 , Peconic., L....I... ...New..York...:.. :?:9.5g..........:..Tel.:..�5? 6.�...73! ;6559 . ... 2. c'ontractor's name and address: ...........Not__Selected............................................................. ................................................................................................................................T e 1.. .......................... 3. Briefly explain the purpose of this application•To construct a floating dock in accordance with the.,attched..p,.an,. o oorin ..ot...private .2 .. x°�, Plan revised based on meeting and discussions wi ......................... ....th members of the Board of Trustees and local residents . .................................................................................................................................................................. 4. After issuance of a Permit, work must be completed within one year. LARGE 5. Secure the correct Area Map from the Clerk of this Board, and by using a/X WITHIN A CIRCLE indicate as closely as possible the location of this dock. On the reverse side of this mop, provide a SCALE DRAWING which will show Ordinary High Water -Mark, the shape and size of the dock and any supplemental pilings which are needed to hold a floating dock or tie-up n boat. Give all dimensions necessary to determine the area of the dock surface WHICH EXTENDS OFFSHORE from the O. H. W. M. If adjacent property owners have docks, specify location and length to scale. 6. Will any portion of this construction extend offshore into Town Waters beyond an imaginary line or boundary formed by other similar structures along the area's shoreline? YES or NO. If it does extend beyond this so-called dock line indicate by how for, approximately;..........ft. 7. Provide the following documents: (a) A Licensed Engineer's Survey of the property involved. Previously submitted . (b) A copy of the Contractor's Plans and Specifications. �c Short Environmental Assessment Form. Previously submitted. J. Wetlands Application 8. Wil this construction require the Filling of any land offshore of the Ordinary High Water Mark or the Dredging of any material from Town Lands under water? YES or NO. If it does, Form A/4 (Application for Dredging/Filling) must be completed and attached as part of this application. 9. In requesting approval of this application, I subrriit that: the information presented herein is true and correct to the best of my knowledge and belief; I am the person accountable for the performance of the work in accordance with the plans and specifications attached; I have read or am familiar with the provisions of any Southold Town Ordinance pertinent to the work involved; and further, I intend to adhere to and abide by the Terms and Conditions of the Permit, when and if issued to me. 10. To expedite finding specific location for inspection, indicate by using a temporary marker. A/2 Rev'.- 2/8 2 l.. S. .......... .. ................ ............_. ........................ NAI'IE OF CREEK T.TTTT,- BOARD OF TOWN TRUSTEES Town Of Southold Alain Road Southold, New York 11971 APPLICATION FOR FIXED and/or FLOATING DOCKS 1. Applicant's name and address: .Mr,,...Phi1.•Marco.,... -m r:.....�ons.:....... i...+.°se�3ea New York -- 9&1� Tel. ...?P, .��.6 .. . . .... G .e . . :... . .. ............... .�..� .................. ... .� T 2. Contractor's name and address: ....Not Selected ................................................................................................. ............................................................................. ..................................................Te!.......................... 3. Briefly explain the purpose of this application: lo...constn.uct. . . ..a..floating. . ...dock. .... .... .... . .. ... .. ...... ......... ...... .. in accordance with the attached plan for mooring of private boat . ................................................................................ ................................................................................ .................................................................................................................................................................. .................................................................................................................................................................. 4- After issuance of a Permit, work must be completed within one year. LARGE 5. Secure the correct Area Map from the Clerk of this Board, and by using a/X WITHIN A CIRCLE indicate as closely as possible the location of this dock. On,theTreverse side of this map, provide a SCALE DRAWING which will show Ordinary High Water Mark, the shape and size of the dock and any supplemental pilings which are needed to hold a floating dock or tie-uo q boat. Give all dimensions necessary to determine the area of the dock surface WHICH EXTENDS OFFSHORE from the O. H. W. M. If adjacent property owners have- docks, specify location and length to scale. 6. Will any portion of this construction extend offshore into Town Waters beyond on imogi paQl line or boundary formed by other similar structures along the area's shoreline? YES of NO. If it does extend beyond this so-called dock line indicate by how for, approximately,.......... 7. Provide the following documents: (a) A Licensed Engineer's Survey of the property involved. (b) A copy of the Contractor's Plans and Specifications. Will be submitted after 4c Short Environmental Assessment Form. approval . ld Wetlands Applieat�ion 8. Wi I this cons ruction require the Filling of any land offshore of the Ordinary High Water Mark or the Dredging of any material from Town Lands under water? YES or NO. If it does, Form A/4 (Application for Dredging/Filling) must be completed and attached as part of this application. No. 9. In requesting approval of this application, I subrrSit that: the information presented herein is true and correct to the best of my knowledge and belief; I am the person accountable for the performance of the work in accordance with the plans and specifications attached; I have read or am familiar with the provisions of any Southold Town Ordinance pertinent to the work involved; and further, I intend to adhere to and abide by the Terms and Conditions of the Permit, when and if issued to me. 10. To expedite finding specific location for inspection, indicate by using a temporary marker. _- A/2, RP,-a. 2/8 2. L. 5. ........................................................................ FILE ' COPY PECONIC ASSOCIATES, INC. Engineering, Marine & Energy Consultants �...K-••� r��-f' ""' Environmental Planning 54655MainRoad P.O.Box318 Southold,New York 11971 (516)765-2669 April 15 , 1983 Board of Town Trustees Town of Southold Town Hall 53045 Main Road P. 0. Box 728 Southold, L. I . New York - 11971 Re : Permit No . 1578 - Issued to Phil Marco, Indian Neck Farms . Gentlemen: The Contractor building subject dock has recommended that an additional pair of spiles be located in the middle of the floating dock (see sketch) to provide additional lateral stability in case of a wind condition that could exist during boat docking operations . We concur with this recommendation and request approval for the additional spiles . This additional work will in no way change length and location of approved floating dock . In anticipation of approval I have enclosed the additional fee of $10 . 00 . Sincerely, PECONIC ASSOCIATES, INC. Merlon E . Wiggin President MEW/iw Enc . c-- P/1 Revl4 BOARD OF TOWN TRUSTEES Town of Southold blain Road Southold. 1\T,ew York ]1971 NOTICE OF ACTION — NOT A PERMIT To: .....................Ph Q Marco 1. Your application, dated .......December 3 1982 „• has been reviewed by this .................3.........19.82................... Board, at a meeting of the Trustees held on .........J �,1, y;,•11, , 1983,, , •,. .................................... and resulting in the action, as indicated below: (.. X ..) Application approved. (............) Application denied. �•.•....•....) Application tabled- 2. Comments and remarks: le A PERMIT FEE 3. If ycur cnolication is aor�rove�l above - rmr•t-=t is now due and should be mode payable to the order of the Board of Southold Town Trustees. This fee is computed below accordingto the.Schedul pf R tes s set forth in the Insrruction ghee Fgrm 1/11 This ust e paid wit in �0 days or re—applying anc7 atd rim fee will �e necessarl If the Permit Fee is paid in person to the Secretary of the Board, The Permit will be obtainable at the some time. If the fee is paid by mail, the permit will be mailed in reply. Computation of Permit Fee: 60 x 6 ft = 360 sq ft @ . 25 per sq �t . . . . . . . . • . . . . . . . . $90. 00 Floating dock 8 x 4 ft ramp 32 sq ft @ . 25 per sq ft . . . . . . ... . . . . . . . 8.0-0 . 40 x 4 ft dock = 160 sq ft @ . 25 per sq ft. . . . . . . . . . . . .• 40 .00 6 piles @ $5. 00 per pile. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30. 00 �� $168. 00 • - /sem- / Total Fee for this168.00 aPP(ication .............................:.............................. $ ........................................ fSigned ...... ....:. ................................. Pres. Board of Southold Town Trusi s. .^_,w;">A ? ;': =•_. -a:' z r::: ^a".; ',:,., off............. . .�t�fi a. BOARD OF TOWN TRUSTEES Town of Southold Main Road Southold, Nety York ]1971 NOTICE OF ACTION — NOT A PERMIT ...........Philao ..Mrc ................................................................................................................... To: 1. Ycur a r' Ott dh, dated ......Letter of April .. 1983 ............... .......•...1 1 ••r.•••.•............... has been reviewed by this Board, of a meeting of the Trustees held on ...............` a,Y...�,..J. $. ................................................... and resulting in the action, as indicated below: �••..........) Application approved. (.......... .) Application denied. (............) Application tabled. 2. Comments and remarks: A PERMIT FEE 3. Ifvcur cno i ahon 'is an rov d,abovQ. �t--arYmrt- r is now dug, and should be mode payable to the order of the Board of Southold Town Trustees. This fee is computed below according to ,he.SchequI pf R tes s set forth in the Instruction �4iee E rm I 1 'his A ust be pain wit�iin �0 �ays or re—applying aiicl' atdc�i-ior�aI ee wiY� !A necessa; y If the Permit Fee is oaid in person to the Secrerury of the Board, The Permit will be obcainc6le at the some time. If the fee is paid by mail, the permit will be mailed in reply. Computation of Permit Fee: Total Fee for this application .............................t.............................. � ........................................ Signe' ...................... Pres . Board of Southold Tcwn Trustees. by ......�Jerk......................................................,. PI OE r Q7 _ G o { I ZQ 3jY wi,ckhom 9 Cree co -MIDVJOOD w w _'3 7 00 LU IV BAY 3 w 10�° A VF a w a SOUTHERN' CR SS. 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'-Ar •t� -R ' October 6, 1982 • �,}t� `.J" { y1. a-:;"�_-,r :° /_'�,1.-ty _ •i, �, �` ;•'f' f_c ',��,iLr" ;-E;;:•,:, ',i� __ 1 , , - - - � �,)-;3w �•'�'`� '•,;",,ea ,•i;t n'', •�. ,.,r tpp .sou, ..f':?rr`}.r - , i Mr.`Merlon:E• Wl ,_ i s'r;1%1,11 .1Y 3 4:. ,t.` t _ hF>- el'r ,.'Y a'•:3',1.F""F '. r 1`- - Pecoi�ie`As'sociates 54655 Ukii Road '[c t•f! � ir..�Ij,°e - :1';l P:O. `Box°318 =<.'r_ Southold;'New York 11971-t To Whom It May Concern: This letter authorizes Merlon Wiggin and his agents to act on our behalf in all transactions pertaining to the app_ lication and:_ installation,of a dock in Little Creek, which borders the South- Side of''our, property in Peconic. Thank you, S' erely " _ t f Phi ';M_ arco '- ,r`:'!";.<,"-•f>;'''`=s'�' r'a�'�i ,t'^ PHii MARrn PPnni IC:T4nhJc dNC. 104 d:)FTH nvFN4IF NFw vnPK NFw vnRK 10n>>(9,P)499-RnR2 TR4>=y 99nnt7 E Al PEC®NIC ASSOCIATES, INC. Engineering, Marine & Energy Consultants Environmental Planning 54655MainRoad • P.O.Box318 Southold,New York 11971 October 18, 1982 (516)765-2669 Mr . Paul Stoutenburgh, President Southold Town Trustees Town Hall 53095 Main Road P. 0. Box 728 Southold, L. I. New York - 11971 Dear Paul: Re: Indian Neck Farms Application for Boat Dock. Dimensions of ramp have been added to the preliminary plan (4' X 8' ) . Dock width is 6 ' . Enclosed is Application Fee of $5 . 00. A Wetlands Application is being submitted to the Board. Sincerely, PECONIC ASSOCIATES, INC. Merlon E. Wiggin President MEW/iw a t Ln TELEPHONE (516)765-1801 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 October 15, 1982 Peconic Associates , Inc. 54655 Main Road P . 0. Box 318 Southold, N. Y. 11971 Gentlemen : Enclosed you will find the application you submitted to this Board for a dock , ramp and floating dock. Also enclosed is the check of Mr. Phil Marco in the amount of $210 .00 . If the application is approved, we will bill you at that time . Please state the length and width of the ramp and the width of the dock -and return the application to this office along; with the application fee of $5 .00. Also, a wetlands application must be submitted to the Town Board for this project . Yours truly, Paul Stoutenburgh , President --------- - - --------------------------S.outho1d, Town, -- INDIAN NECK FARMS, INC. P. 0. sox 383 1320 PECONIC, NY 11958 . ^ 1-12/280 THIS CHECK IS IN SETTLEMENT OF 1 � THE FOLLOWING INVOICES 1 DATE AMOUNT PAY TO T E /)/D ORDER DOLLARS TOTAL 51300 MAIN ROAD DISCOUNT SOUTHOLD, NY 11971 ' NET IF INCORRECT PLEASE RETURN. NO RECEIPT NECESSARY ---,; '1"10 0 1120ii ;a0pY280CIO 12 b1® 131-. S111033421" " _ A Z o S � E�b � RECEIPT BOARD OF SOUTHOLD TOWN TRUSTEES TOWN of SOUTHO;LD N? 1630 SUFFOLK COUNTY, NEW YORK .. -� ....1. ..... . ..... 197 Received of -'moi. . .. �HnfJ DOLLARS For i ... . .../�-4-�?. . .. ... ... ... �/. . ...... . . ........ ...... ..... ... .. .. . ....... .. . .. . ............. . .... .... .... . ...... .. . .. ... . .. . .. By .. .. ` .. Title .... ...... . . . . ... .. ..... — SECRETARY ES71CI /6 ��v I'v (Z p F"A- -1-ve Pack. / s ffe -FO .9 y 2,,p ' FS7-1,Ai is- X12- b A- J'c 1S Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 JUDITH T TERRY TELEPHONE To«+N CLERK (516)765-1801 REGISTRAR 01'VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD October 22_; , 1982 Mr . Paul Stoutenburgh, President Board of Southold Town Trustees Southold Town Hall Southold, New York 11971 Dear Mr. Stoutenburgh: Transmitted herewith is application no. 112 for a wetland permit submitted by Phil Marco. Please prepare a written report of findings and recommendations with respect to this application. Very truly yours, Judith T. Terry Southold Town Clerk Attachment Town Of Southold Town Clerk's Office Southold, N. Y. APPLICATION FOR WETLANDS, PERMIT Application No. ..f..Jcl Date of Application .0 /0?9/ ............... Identity of Applicant ....INDIAN NECK FARMS — MR. PHIL MARCO .............................................................................. Address of Applicant „INDIAN NECK LANE, P. 0- BOX 383 , PECONIC N. Y. ................................................................................. .......................... INSTRUCTIONS FOR PERMIT A. This application is to be completely filled in by typewriter or ink and submitted to the Town Clerk in quadruplicate, accompanied by writter permission from the owner of the property if not the some as the applicant. B. Pilot Plan must be drawn to scale on the reverse Fide of this application showing the location of property, the names and locations of owners of adjoining properties, and a detailed description of proposed project. (Note: Copies of the Pilot Plan may be made by a copy machine and attached to the Permit Application.) C. No operation shall be initiated by the applicant until oil permits that are required are issued. D. A detailed statement of the rehabilitation and proposed condition of the premises after the work is completed must be given, including a survey if required. E. If permit is being sought for a more sizeable excavation Than the construction of a private single dock or jetty, then this application must be accompanied by a survey and topographical map certified by a registered land survey or Professional Engirieer. The horizontal control of survey shall be based upon an approval local coordinate sys'rem. The vertical control for elevation and sound- ings shall be based upon United States Coast and Geodetic Survey and/or United States Geological Survey datum. F. A statement must- accompany the application describing any known prior operations conducted on the premises in question and whether any prior licenses or permits have been issued to erect structures or to dredge or deposit fill on said premises and whether any such permits or licenses were ever revoked or suspended by a governmental agency. G. A filing fee of $25.00 shall accompany the application. This filing fee includes one inspection. there is a $5.00 fee for each additional inspection. H. The Town Board upon request capplicant for a permit, may waive in whole or in part the provisions of Arricle 11, Section subdivisions (h and 0 where it finds that nature of the proposed operations are such that the requirements of such provisions are not necessary for a proper consideration of a permit application. I. Upon approval of this application the Town Clerk will issue a permit to the applicant. Such ermit shall be available for inspection at any time, upon request. ei??n,. .. >=`t=•'a's,.,� ,, i:.:: y4;" ..�a\;:J�`��r,�y`'tii^r'j','+, _.+�.^;.. ...- .._.,s?'� r:'_._ ..._,. ..�'rn,%=i3•`.�::�ir��;��...-� +cr ... .. •r'.•. ss�;i> =-ice`Z. 4f..v..T'�.:-C','l;,lt.�_.XL.::�:•v:_a..,,tS;C.•,•a 4r� Examined .................................................. 19....... Approved ................................................................ Disapproved ........................................................... Conditions, if any ................................................................................................................................. .. .............................................................................................................................................................. ................................................................................................................................................. ExaminingBody ..................................................................................................................................... Signatureof Chairman ......................................................................................................................... APPLICATION IS HEREBY MADE to the Town Board of the Town of Southold, Suffolk County, New York, for the issuance of a permit pursuant to the Laws, Ordinances and Regulations govern- ing the Coastal and Interior Wetlands, Flood Plains and Drainage Areas of the Town of Southold: Permit requested to ...Construct a Dock for Private Boat . See Attached Plan. ............................................................................................................... .................................................................................................................................................. Location of property for which permit wonted.....Indian Neck Lane - Little Creek ...................................................................... Peconic , New York. ; . ................................................................................................................................................. , Home address of permit applicant if different from aforesaid location ...Indian..................Neck.............-Lane............ B. 0. Box 383 , Peconic , L. I . , New York .......................................................................................................................................................... Creek, Bay or Harbor fronting property ....................Little..........Cree..... k ......:......................................................... ............................................................................................................................................................ Size of proposed work: 40r _ Length ...........................110 Ft . - See Attached Plan ��d /Sa / .... .... . ...... .... .......................... ... . . . ...................................................................... Width ......'.................A.4-.6 E:.:.......See... ttached..Pl an....... ................................................... Height Above High Water .........2 Ft ............................................................................................................ Depth Below Low Water N/A ......................................................................................................................... N/A Yardsto be Excavated ......................................................................................................... .................. Yards to be Filled ............ N/A .... ..... ................................................................... . ............................ Width of canal, creek or bay fronting property................ .00 Ft;,,,,,,,,,,,,••••••.....•• ................... Depth at Low Tide2 t o 5 Ft . ................................................................................................................................. Average Rise in Tide2 Ft ............................................................................................................................. ?,N,,^Y-,itid;'`•>7�re'��+..,i.�.S�.2^�:...r:•.�1c.�j,��c'•'?.^:-�r [ic�xfait,:. ;'moi'•;'�n..� r 1wS::n:r:Y-is:.:�i;-•.;t:�::•a,;;.- -n'.1,.;�-�v�:;, r'?,"r"�.:�- _ =^„�j"}-y,��+;-s�,in@;.r:l!."".',''.F"r.:<t:,yriR':.�i'.w'�.S-Y�,.�v Cs:� t t Is this for private or business use? ..........Private Area Zoning ........A.........RPs.7 ...?ia..Age cult s ........................................................ Manner in which material will be removed or deposited .............N/A.............................................. . .................................................................................................................................................................. Intended use of property .....Farming and Woodland .......................................................................................................... .... ............................................................................................................................................................. Written consent of owner of property, if not the some as the applicant CIle d .................................................................................................................................................. ............................................................................................................................................... COUNTY OF SUFFOLK ) STATE OF NEW YORK ) SS: 6 1E L � Q o �4E-- W aJ /cy .... �,✓ .................... .............. ................ ............................................ being duly sworn deposes and says that he is the applicant for the above described permit, and that all statements contained herein are true to the best of his knowledge and belief; that the work will be done in the manner set forth in this application and as may be approved by the Town Board of the Town of Southold. The applicant agrees to hold the Town of Southold and the Town Board harmless and free from any and all damages and claims arising under or by virtue of said permit, if granted. .. ... .. ..... . ..... .. ..................... Signature of Applicant Sworn to before me this .......?t''.�.................. dayof .................................................. 19. ,i "' IARdARA A. StRANG NOTARY PUBLIC,State of New York No. 4730095 ......... . ......................t .... QuIifiey in Suffolk County Notary Public Culis*sIon Expires March 30, 19...`� ?q i 'ci. r, r ,^-jF+L'_h� Se:ir,cY r _r-r u� X.�'•`e<"`,= t .r n ,. + - 1"+3�3, �!• C'_ �t xr;.-`.;^:c :t'. ,.�` +-e'x��+�,'r+i"i";`- :`,�rr-s"-":':�`:i^... _M..,-. .. �;':. ,,rJA:1. +:fn+v=zs��,� `t`:c.�{: .- � �:,a;.:r. ;�•.:r'•�.T: '•"r.•�_. .t" ,•..°'�C=�c.�. PECONIC ASSOCIATES, INC. IX-41f 2---- Engineering, Marine & Energy Consultants Environmental Planning 54655MainRoad • P.O.Box318 Southold,New York 11971 October 28, 1982 (516)765-2669 Mr. Al Hewitt New York State - Department of Environmental Conservation Regulatory Affairs Unit Building 40 - SUNY - Room 219 Stonv Brook. L. I . New York - 11794 Dear Mr. Hewitt : Re : Application # 10-82-0926 Indian Neck Farms - Mr. Phil Marco . As per our telecon the stationary section of the dock will be four (4) feet wide and three (3 ) feet above grade . Sincerely, PECONIC ASSOCIATES , INC . Merlon E. Wig(j President MEW/iw cc : Mr. Phil Marco Southold Town Board of Trustees October 6, 1982 Mr. Merlon E. Wiggin Peconic Associates, Inc. 54655 Main Road P.O. Box 318 Southold, New York 11971 To Whom It May Concern: This letter authorizes Merlon Wiggin and his agents to act on our behalf in all transactions pertaining to the application and installation of a dock in Little Creek, which borders the South Side of our property in Peconic. Thank you, Sincerely � Phil Marco PHIL MARCO PRODUCT I IONS 114,; 104 F!f- H io.117 J,IE NFIA;YORK 1!FVJ 11: 10011 (212)929 V0,,2lE_L� ;2^017 TOWN' OF .SOUTHOLD ; SHORT ENVIRONMENTAL ASSESSMENT FORM INSTRUCTIONS : (o) In order to answer the questions in this short EAF it is assumed that the preparer will use currently available information concerning the project and the likely impacts of the action. It is not expected that additional. studies, research or other investigations will be undertaken . (b) If any question has been answered Yes the project may be significant and a completed Environmental Assessment Form is necessary . (c.) If all questions have been answered No it is likely that this project is not significant . (d) Environmental Assessment 1 . Will project result in a large physical change to the project site or physically alter more than 10 acres of land? . . Yes X No 2 . Will there be a major change to any unique or unusual land form found on the site? . . . . . . . . . . Yes X No 3 . Will project alter or have a large effect on existing body of water? . . . . . . . ... . . . . . . . . . . . . . . Yes X No 4. Will project have a .poien.tiallylar,ge impact , on groundwater quality? . . . . . . . . . . . . . . . . Yes X No 5 . Will project significantly effect drainage flow on adjacent sites? . . . . . . . . . Yes X No 6 . Will project •affect any threatened or endangered plant or animal species? . . . . . . . . . . . Yes X No 7 . Will project result in a major adverse effect on air quality?.. . . . . . . . . . . . . . Yes X No 8 .- Will project have a major effect on visual, character of the community or scenic views or vistas known to be important to the community? Yes X No 9 . Will project adversely impact any site or structure of historic, prehistoric or paleontological importance or any site _ designated as a critical environmental area bya local agency? . . . . . . . . . . . . : . . . . . . . . . . . . . Yes X No 10 . Will project have a 'Major effect on existing or future recreational opportunities? . . . . . . . . . Yes X No 11 . Will pro je•ct -result in ma j_o.r t.-r.af fic problems or cause a major effect to existing transportation systems? . . . . . . . . . . . . . . . . . . Yes X No 12 . Will project regularly cause objectionable odors, noise, glare, vibration, or electrical disturbance as a result of the project ' s operation? . . •. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes X No 13 . Will project have any impact on public health or .safety? . . . . . . . . Yes' X No 14. Will project affect the existing community by directly causing a growth in permanent population of more than 5 percent over a one year period or have a major negative effect on the character of the community or neighborhood? . . . . . . . . . . . . . . . . . . . . . . .; . . . . . . . . Yes X No 15 . Is there public controversy concerning the project? . . . . . . Yes X No PREPARER ' S SIGNATURE { �t � Lt., Fp � rT REPRESENTING INDIAN NECK FARMS - MR. PPTk- MARCO DATE OCTOBER 18 , 1982 TOWN OF SOUTHOLD SHORT ENVIRONMENTAL ASSESSMENT FORM INSTRUCTIONS : a In order to answer the questions in this short EAF it is assumed that the preparer will use currently available information concerning the project and the likely impacts of the action. It is not expected that additional studies, research or other investigations will be undertaken . (b) If any question has been answered Yes the project may be significant and a completed Environmental Assessment Form is necessary . (c) If all questions have been answered No it is likely that this project is not significant . (d) Environmental Assessment 1 . Will project result in a large physical change to the project site or physically alter more than 10 acres of land? . . Yes X No 2. Will there be a major change to any unique or unusual land form found on the site? . . . . . . . . . . YesX No 3 . Will project alter or have a large effect on existing body of water? . . . . . . . . • . . . . . . . . . . Yes X No 4. Will project have a potentially large impact , on groundwater quality? . . . . . . . . . . . . . . . . . Yes X No 5 . Will project significantly effect drainage flow on adjacent sites? . . . . . . ... . . . . . . . . . . . . . . . . Yes X 'No Will project affect any threatened or endangered plant or animal species? . . . . . . . . . . . Yes X No 7. Will project result in a major adverse effect on air quality? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .__Yes X No �. Will project have a major effect on visual character of the community or scenic views or vistas known to be important to the community? Yes X No 9 . Will project adversely impact any site or structure of historic, prehistoric or paleontological importance or any site designated as a critical environmental area / by a local agency? . . . . . . . . . . . ...: . .,; . .-. . . •. . . Yes X No /10 . Will project have a major effect on existing or future recreational opportunities? . . . . . . . . . Yes X No V11 . Will project result in major traffic problems or cause a major effect to existing transportation systems? . . . . . . . . . . . . . . . Yes X No 12 . Will project regularly cause objectionable odors, noise, glare, vibration, or electrical disturbance as a result of the project ' s operation? . . . . . . . . . . . YesX No 13 . Will project have any impact on public health or .safety? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YesX No U14. Will project affect the existing community by directly causing a growth in permanent population of more than 5 percent over a one year period or have a major negative effect on the character of the community or neighborhood? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YesX No 15 . Is there public controversy concerning the project? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YesX No 0 - PREPARER ' S SIGNATURE , l • REPRESENTING_ MR. PHIL MARCO DATE OCTOBER 1.2 , 1982 P/1 Revg7LW BOARD OF TOWIN TRUSTEES Town of Southold Main Road Southold, New York 11971 NOTICE OF ACTION - NOT A PERMIT Peconic Associates Inc for Phil Asarco To: ...................................................:..........:..._................................................................................ 1. Your application, dated ....October 19 , 1982 has been reviewed by this ............................................... Board, at a meeting of the Trustees held onNovember 9 1982 .................................:........................................................... and resulting in the action, as indicated below: (............) Application approved. (............) Application denied. (2ax--)) Appljcation tabled. f 2. Comments and remarks: Tabled for further review. 3. If A PERMIT FEE �,.aur__ cpnlicot�on is aonrovg2d cbove A-+1-rrm;-t is now due and should be made payable to the order of the Board of Southold Town Trustees. This fee is computed below according to the.Schec(ul pf R tes s set forth in the Insrruction 1zhee F rm I/1 This £ ust be paid witin �0 days or re-applying and aa� Fjr o /1�. fez wielg �e neeessa� If the Permit Fee is paid in person to the Secretary of the Board, The Permit will be ob'aincble at the some time. If the fee is paid by mail, the permit will be mailed in reply. Computation of Permit Fee: Total Fee for this application .............................:. SigneP ...........tc ................. ... ....4. 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