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TR-9039
4 Glenn Goldsmith,President ��0� soyo Town Hall Annex A.Nicholas Krupski,Vice President ,`O l0 54375 Route 25 P.O. Box 1179 John M. Bredemeyer III Southold,New York 11971 Michael J.Domino G • Q Telephone(631) 765-1892 Greg Williams '0 Fax(631) 765-6641 OOUNT`I,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE 1884C Date: December 20, 2021 THIS CERTIFIES that the removal of the existing fixed dock, ramp, floating dock and piles; acrd construct a 4'x50' fixed'dock using Thru-Flow decking; a 3'x14' adjustable ramp; and a 6-'x20' floating dock in an"L".configuration and to chock the 6'x20' floating dock so that it will renidin"at 2.5,' above the creek bottom; to install four(4) floating dock support-piles with two of the piles installed at each end of the float, and a"cross beam float support".would then be instal"led'between each of the two piles located at either end of the float; At 755 Lupton Point Road, Mattituck; _ Suffolk'County"Tax Map #1000415=.11=4:1: .. -"Conforms to the applicatioi►•for a,Trustees Nrmit.lier`etofore:fi_led in this office Dked Janti r,9, 201-7-pursuant to which Trustees Wetland Permit#9039 Dated June-21, 2017 was issued and"Amended on September 20,2017 and conforms to all of the requirements'grid conditions of the applicable provisions of law. The project for which this certificate is being issued is for the removal of the existingfixdd dock, ramp,floating"dock and piles; acid construct a 4'x50' fixed dock using"Thru-Flow"decking; a 3-'x14'-adiustalile ramp; wid-a 6'x20' floating dock in an"L-'_' configuration-and to chock-the 6'x20'floating dock so that it will remain at 2.5' above the'creek bottom; to install four(4) floating dock support piles with two of the piles installed at each end of the float; and a"cross beam float support"would then be installed between each of the two piles located at either end of the float. The certificate is issued to FRANK& PAULA DOKA owner of the aforesaid property. Authorized Signature ---- Glenn Goldsmith,-President - - QF SDUT - -- - - -T--own Hall Annex --- - - - -- �� y0 54375 Route 25 A. Nicholas Krupski,Vice President ,`O l0 P.O. Box 1179 John M.Bredemeyer III Southold,New York 11971 Michael J. Domino G Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: INSPECTED BY: Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, haybale-line/silt. boom/silt curtain 1St day of construction % constructed Project complete, compliance inspection COMMENTS: �u;o� �,-� acs�'�r�sG ,����.`- �i'�r^,} � qn�q an�1, �4a►15 s't,�r.P�,,1 �eCP;Je-A GG S AA-7 r CERTIFICATE OF COMPLIANCE: S I'd EET I OF 4 DeEP HOLF- CREEK *i;LGOD E i3 P - Cx F LpArt Hydrographic survey performed by Robert H. Fox, L.S. 5/30/14 Applicant: Frank Doka Purpose: Dock replacement Location: X55 Lupton Point Road „ Datum: Apparent Low Water Locus: 40059' S.13:P"-X2030' 56.5806" S.C.T.M.No. 1000-115-11-4.1 Applicant proposes to remove existing fixed dock, ramp, float and piles and to construct a 4'x50' fixed dock utilizing "Thru-Flow" decking, a 3'x14'ramp and a 6'x20' float to be secured by four piles and cross beam float supports (2). At Deep Hole Creek, • Mattituck, Town of Southold, Suffolk cj County, New York y � A ti N �� ✓ Z rU " p E0EIE AUG - 82017: ! Southold Town Board Trusteos iSCALE 11,20 AL-11110bt,6- du�*a -EXISTING /7yvjA,/,/ i JMO AVIRONMENTAL CONSULTING QUOGUE, N.Y. EX J fN Hydrographic survey prepared by E C E V Robert H. Fox L.S. 5/30/14 Applicant proposes to remove existing I UG - 8 2017 fixed dock, ramp, float and piles and Southold Town to construct a 4'x50' fixed dock Board of Trustees utilizing "Thru-Flow" decking, a — ---- _ . Yx14'ramp and a 6'x20' float to be secured by four piles and cross beam float supports (2). At Deep Hole Creek, ta4 Mattituck, Town of Southold, Suffolk 2.5X 12 X 22 .� Count New York X �� F i X ED DOC County, , FLO ATj ! M Applicant: Frank Doka Purpose: Dock replacement R Location: -755 Lupton Point Road y Datum: Apparent Low Water Locus: 4059' 5.13-7"-720309 56.5806" S.C.T.M.No. 1000-115-11-4.1 SCALA. 1'710" c� � ° ��_ � ��r���1� 51-� �' 2, 4 PROPOSED DEEP WLE MEEK ' 'FLWD EI31: WIDT!1a4.50 Applicant proposes to remove existing fixed dock, ramp, float and piles and to construct a 4'x50' fixed dock utilizing "Thru-Flow" decking, a 3'x14'ramp and a 6'x20' float to be Q� secured by four piles and cross beam float supports (2). At Deep Hole Creek, Mattituck, Town of Southold, Suffolk County, New York Hydrographic survey performed by Robert H. Fox, L.S. 5/30/14 4 TO Z;fir QL a 3 EC1EI V E 7 . D AUG 8 2017 � � . - Southold Town B a o Tru toe Applicant: Frank Doka Purpose: Dock replacement Location: X55 Lupton Point Road Datum: Apparent Low Water Locus: 40°59" 5.13T'-7.2 030' 56.5806" S.C.T.M.No. 1000-115-11-4.1 � SCALE 1 = 2{�J Off u�j SHEET 3 OF 4 JMO ENVIRONMENTAL CONSULTING QUOGUE, N.Y. PROPOSED Applicant proposes to remove existing E C E I V E Hydrographic survey performed by fixed dock, ramp, float and piles and D Robert H, Fox, L.S. 5/30/14 to construct a 4'x50' fixed dock ®� utilizing"Thru-Flow" decking, a AUG - 8 2017 >: ,;: =`APPROVED BY I 'x14' ram and a 6'x20' float to be 3 p _A:�O�ARD OF TRUSTEES. Southold Tovun secured by four piles and cross beam a -TOWN OF SOUTHOLD , float supports (2). At Deep Hole Creek, L. . �x Mattituck, Town of Southold, Suffolk p DATE � zv� 2 County, New York Gel i PROPF RO p, , PROP 4 X 5 y... 1 . G"y 20 X !4 FIXED DOCK WALL RAMP FLOAT AH .2/ -2, -2.2 - DOTfiON -7 P ' 'G �S� - RLE r 2 PILES 13 EAM FLOAT UPPC, 7 Applicant; Frank Doka Purpose: Dock replacement Location: 755 Lupton Point Road Datum: Apparent Low Water Locus: 40° 59"5.13T'--72030" 56.5806" S.C.T.M.No. 1000-115-11-4.1 SCALE 1-10 � �� �c,���' �� � SHEET 4 OF 4 :i Michael J.Domino,President �O��of SOUPyolO Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J.Sanders Southold,New York 11971 Glenn Goldsmith ® �Q Telephone(631) 765-1892 A.Nicholas Krupski COUNT`1� Fax(631) 765-6641,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 20, 2017 Glenn E. Just J.M.O. Environmental Consulting Services P.O. Box 447 Quogue, NY 11959-0447 RE: FRANK & PAULA DOKA 755 LUPTON POINT ROAD, MATTITUCK SCTM#: 1000-115-11-4.1 Dear Mr. Just: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, September 20, 2017: RESOLVED that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#9039 to chock the 6'x20' floating dock so that it will remain at 2.5' above the creek bottom; to install four (4) floating dock support piles with .two of the piles installed at each end of the float; and a "cross beam float support"would then be installed between each of the two piles located at either end of the float; and as depicted on the site plan prepared by JMO Environmental Consulting, dated August 1, 2017, and stamped approved on September 20, 2017. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, Michael J. Domino President, Board of Trustees MJD/dd f ' Michael J. Domino, Pre, t �QSC'� Town Hall Annex John M. Bredemeyer III,Vice-P-resident ��� GyJ, 54375 Route 25 Charles J. SandersN = P.O.Box 1179 Glenn Goldsmith %�s Southold,NY 11971 A.Nicholas Krupski ?' p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: zLi I-L_ Completed in field by: OK 2 � J.M.O. Environmental Consulting Services on behalf of FRANK & PAULA DOKA request an Administrative Amendment to Wetland Permit#9039 to-chock the 6'x20' floating dock so that it will remain at 2.5' above the creek bottom; to install four (4) floating dock support piles with two of the piles installed at each end of the float; and a "cross beam float support" would then be installed between each of the two piles located at either end of the float. Located: 755 Lupton Point Road, Mattituck. SCTM# 1000-115-11-4.1 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet d 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski VC. Sanders Other Page 1 of 2 S�FFO(,� r Michael J. Domino, Pre, ,t O�Q CSG Town Hall Annex John M. Bredemeyer III, Vice-President y_ 54375 Route 25 Charles J. Sanders h a P.O.Box 1179 Glenn Goldsmith 0 Southold,NY 11971, A.Nicholas Krupski y ® p! Telephone(631)765-1892 ��l �a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: J.M.O. Environmental Consulting Services on behalf of FRANK & PAULA DOKA request an Administrative Amendment to Wetland Permit#9039 to chock the 6'x20' floating dock so that it will remain at 2.5' above the creek bottom;,to install four (4) floating dock support piles with two of the piles installed at each end of the float; and a "cross beam float support" would then be installed between each of the two piles located at either end of the float. Located: 755 Lupton Point Road, Mattituck. SCTM# 1000-115-11-4.1 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. 525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 i r J.M.0. Environmental Consulting Services August 2, 017 p EIE Mr. Michael J. Domino, President Board of Town Trustees AUG - 8 2017 Town of Southold Southold Town Town Hall Annex Board 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Re: Wetland Permit #9039, Frank Doka 755 Lupton Point Road, Mattituck S.C.T.M.No. 1000415-11-4.1 Dear Mr. Domino: At this time we are seeking to revise this permit. The MY.S.D.E.C. is requiring the applicant to "chock" the float 6'x20' float dock so that it will remain at 2.5' above the creek bottom. With this they are requiring that the float be secured by four piles with two of the piles installed at each end of the float; a "cross beam float support" would then be installed between each of the two piles located at either end of the float. For the Board's review we have enclosed copies of our revised plans. Upon their review please feel free to contact me at any time with any questions or comments that the Board might have. Phone (631) 653-0607 - Email Gjustl 0215@aol.com 121 Jessup Ave - 2nd Floor - P.O. Box 447 Quogue, New York 11959-0447 Resp ctVJust Gle flD ECEI E AUG - 8 2017 ,U� Southold Towel r �pfr SOOT y Michael J.Domino,President Town Hall Annex�� Ol John M.Bredemeyer III,Vice-President 54375 Route 25 +[ l [ P.O.Box 1179 Charles J.Sanders COO Southold, New York 11971 Glenn Goldsmith ® y0 Telephone(631) 765-1892 A. Nicholas Krupski `�COUNTI, Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 19, 2017 Glenn Just J.M.O. Environmental Consulting Services P.O. Box 447 Quogue, NY 11959 RE: FRANK & PAULA DOKA 755 LUPTON POINT ROAD, MATTITUCK , SCTM# 1000-115-11-4.1 Dear Mr. Just: = The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, July 19, 2017: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit #9039 from Carolyn Ameen to Frank & Paula Doka, as issued on June 21, 2017. 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, Michael J. Domi o, President Board of Trustees MJD/dd � Michael J. Domino, Presid( 0�0SpfrFOj� Town Hall Annex John M. Bredemeyer III,Vice-President ,�� '�j, 54375 Route 25 Charles J. Sanderso P.O.Box 1179 Glenn Goldsmith d Southold,NY 11971 A.Nicholas Krupski Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 7/1-7/1.7 3-yS Completed infield by: G _Gn 1ZSm 'I+b J.M.O. Environmental Consulting Services on behalf of FRANK & PAULA DOKA request a Transfer of Wetland Permit#9039 from Carolyn Ameen to Frank & Paula Doka, as issued on June 21, 2017. Located: 755 Lupton Point Road, Mattituck. SCTM# 1000-115-11-4.1 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet_ TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 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: O< © Present were: J. Bredemeyer M. Domino ,/G. Goldsmith N. Krupski C. Sanders Other Page 1 of 2 fFot/ Michael J. Domino, Presid(: O�Q COG Town Hall Annex John M. Bredemeyer III,Vice-President 54375 Route 25 Charles J. Sanders C3 z P.O.Box 1179 Glenn Goldsmith "T Southold,NY 11971 A.Nicholas Krupski �' ply, Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: J.M.O. Environmental Consulting Services on behalf of FRANK & PAULA DOKA request a Transfer of Wetland Permit#9039 from Carolyn Ameen to Frank & Paula Doka, as issued on June 21, 2017. Located: 755 Lupton Point Road, Mattituck. SCTM# 1000-115-11-4.1 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters,of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. :525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski' C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 >. J *OF S®Ul/5' Michael J.Domino, President Town Hall Annex O� �� John M. Bredemeyer III,Vice-President O 54375 Route 25 P.O.Box 1179 Charles J.Sanders CA Southold,New York 11971 Glenn Goldsmith ® y0 Telephone(631) 765-1892 A. Nicholas Krupski �li�`+o Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1 st day of construction constructed Project complete, compliance inspection TERMS AND CONDITIONS The Permittee Caroler.Ameen, residing at 755 Lupton Point Road Mattituck, New York, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: l. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will,at his or her own expense, defend any and all such suits initiated by third parties,and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Pen-nit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized,or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required,upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit, which may be subject to revoke upon failure to obtain same. 10. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in reat or personal property held or vested in a person not a party to the permit. SHEET I OF4 DEEP 115LIE CREEK L¢�D 13 � [� F LOArt MDTH�45a' Hydrographic survey performed by Applicant: Carolyn Ameen Robert H. Fox, L.S. 5/30/14 Purpose; Dock replacement Location; 7-55 Lupton Point Road Datum: Apparent Low Water " - dAPPROVED BY Locus: 40' 59' 5.,13T" -72°30' 56.5806" BOARD OF 'I tZUSTEES S.C.T.M No, 1�=,115- -4.1 TOWN OF SOUTHOLD DATE :4vo Zi, z01 Applicant proposes to remove existing fixed dock, ramp, float and piles and to construct a 4' x' 501 fixed dock utilizing "Thru-Flow" decking, a 3' x 14' ramp and a 6' x 20' float. At Deep Hole Creek, Mattituck, Town of ° Southold, Suffolk County, New York e e E JUN 2 0 2017 Southold Town T SGAL E 1 '2 0 A A /I IA,h44 EXIS71NG /;tMA/ /;? 3M0AVIR' O' NMENTAL CONSUL'T'ING QUOGUE, N.Y. I N Hydrographic surveyprepared b p p Y Robert H. Fox L.S. 5/30/14 Applicant proposes to remove existing fixed dock, ramp, float and piles and to construct a 4' x 50' fixed dock utilizing "Thru-Flow" decking, a R 3' x 14' ramp and a 6'x 20' float. At Deep Hole Creek, Mattituck, Town of ° 25" 12' S` x 22, Southold, Suffolk County, New York X 22 P Afvc F(x ED DOCK FL0ATr C c A - ® V 13OT i 0 l I.2� —0'g a — 0.3� —01 m 2' 20 2.1' c Applicant: Carolyn Ameen w Purpose: Dock replacement rD-) Location: 755 Lupton Point Road ( E C Elb. Datum: Apparent Low Water p Locus: 4059' 5.137" -720 30' 56.5806" JUN 202017 S.C.T.M.No. 1000-115-11-4.1 I JO Southoid To+ n PROPOSED A ` DEEP HOLE CREEK LT a j Applicant proposes to remove existing � `� fixed dock, ramp, float and piles and to construct a 4' x 50' fixed dock ' utilizing "Thru-Flow" decking, a 3' x 14' ramp and a 6' x 20' float. At Deep Hole Creek, Mattituck, Town of Q Southold, Suffolk County, New York Hydrographic survey performed by Robert H. Fox, L.S. 5/30/14 9 1k 0 y ! q � 0; 201 , pE C EI V E JUN 2 0 2011 Southold Taft Board of hams Applicant: Carolyn Amben Purpose: Dock replacement Location? 7-55 Lupton Point Road Datum: Apparent Low Water Locus: 40 59' 5.137"' 72 30' 56.5808" S.C.T.M.No. 1000-115-11-4.1 SCALE k 20 _ 10-Tqow SHEET 3 OF 4 JMO ENVIRONMENTAL CONSULTING QUOGUE, N.Y. z. PROPOSED Hydrographic survey performed by Applicant proposes to remove existing Robert H. Fox, L.S. 5/30/14- fixed /30/14fixed dock, ramp, float and piles and to construct a 4' x 50' fixed dock utilizing "Toru-Flow" decking, a Y x 14' ramp and a 6' x 20' float. At Deep Hole Creek, Mattituck, Town-of Southold, Suffolk County, New York PROP , PROPto ,4 FIXED DOCK Pp� P, , PRO P 4 X 5ROCKRAMP �•� WALL ";A5 FLOAT -2" I3' -0.1 - [3OT70N - -2,9 ' - 25 5 -2.2 - p W O Applicant: Carolyn Ameen Purpose: Deck reconstruction D E C E I V Location: 7-55 Lupton Point Road Datum: Appaerent Low Water JUN 2 0 2017 : Locus: 40"59' 5.13T' -7 1'30`56.5806" S.C.T.M.No. 1000-115-11-4.1 _- Southold Town Board T SCALE 1.10 SHEET 4 OF Michael J. Domino, President ®�`v y�l� Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J. Sanders CA Southold,New York 11971 Glenn Goldsmith ® y@ Telephone(631) 765-1892 A. Nicholas Krupski ��COUfVTT`( Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 21, 2017 Glenn E. Just J.M.O. Environmental Consulting Services 121 Jessup Avenue P.O. Box 447 Quogue, NY 11959-0447 RE: CAROLYN AMEEN 755 LUPTON POINT ROAD, MATTITUCK SCTM# 1000-115-11-4.1 Dear Mr. Just: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, June 21, 2017 regarding the above matter: WHEREAS, J.M.O. Environmental Consulting on behalf of CAROLYN AMEEN applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated January 9, 2017, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policies 6.3 and 9.3 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: the issuance of a permit for the structures; the use of thru-flow decking on the entire fixed dock; seaward end of the float shall be located 10' landward of the seaward end of the existing float dock assembly located adjacent to the project site; and shortening the length of the dock, and 2 r' I WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on June 21, 2017, at which time all interested persons were given an opportunity to be heard, and WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of CAROLYN AMEEN to remove the existing fixed dock, ramp, floating dock and piles; and construct a 4'x50' fixed dock using Thru-Flow decking; a 3'x14' adjustable ramp; and a 6'x20' floating dock in an "L" configuration secured with two float piles; and as depicted on the site plan prepared by JMO Environmental Consulting received on June 20, 2017, and stamped approved on June 21, 2017. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $1136.00 V t�yurs, gg d" Michael J. Domino Vice-President, Board of Trustees MJD/dd i i i A'"SUFFO(k �. Michael J. Domino, President �o Town Hall Annex John M. Bredemeyer, III, Vice-President �� y<h, 54375 Route 25 Charles J. Sanders y P.O. Box 1179 Glenn Goldsmith oy • !��}'f Southold, NY 11971 A. Nicholas Krupski Telephone (631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD /Yy 'n TO: CAROLYN AMEEN c/o GLENN JUST Please be advised that your application dated January 9 2017 has been reviewed by this Board at the regular meeting of June 21. 2017 and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) '/2 Constructed ($50.00) X Final Inspection Fee ($50.00)— X Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: 4'x50' dock = 200 sq. ft.x $3.00 = $ 600.00 3' x 14' ramp = 42 sq. ft. x $3.00 = 126.00 6'x20' floating dock = 120 sq. ft. x $3.00 = 360.00 TOTAL FEES DUE: $1136.00 BY: Michael J. Domino, President Board of Trustees �� Michael Domino I President D Board of Trustees P.O. Box 1179 JUN 19 2017 Southold, N.Y. 11971 6/14/17 soutnold town —Pord of T Dear Mr. Domino, This letter is in reference to my neighbor's application for a dock permit at 755 Lupton's Point Road, Mattituck, N.Y. by Frank Doka. I currently share an existing dock just to the north of his with two other neighbors, Henry Loeffler and Gerry Diffley. The Board of Trustees visited the site and spoke to him on June 13, 2017. 1 spoke to Frank just after that meeting and he said that he agreed with the suggestion of the Board of Trustees to shorten the dock somewhat. . He also said that he would be willing to increase the separation of our docks from thirty feet to thirty-three or thirty-four feet to make it easier for Gerry -Diffley to get his boat in and out of his berth. said that; if and when he has two boats, he would put the larger,'one.:on the"side of his float that is further away from our dock. In my opinion, Mr. Frank Doka couldn't have been more cooperative in making changes to keep everyone happy. I feel he definitely deserves to have his application for a dock permit approved. Best regards, �� W" 14A Edward Hanus 6,35:'Luptons,.Pt.- Rd 'Mattituck, KY -111952 631=298 SURVEY OF PROPERTY N AT HATTITUCK TOWN OF S'OUTHOLD SUFFOLK COUNTY, N.Y. 1000-115—n-4-1 SCALE 1'=30' MARCH 12, 2013 Fgo NT1r OF SO 10- ssr s T OF WAY 147 10 t5RIGH - �- Ika � rya s Q Sl•' ' 'n a v m - m o 0 y EDGE(F PAK]W POINT pOAD' N�4 esu 'L 2U DE RIGHTOF WAY CER nRED.TO: CAROLYN R. AMEEN FIRST AMERICAN TITLE INSURANCE COMPANY TITLE #.SP 29126-S Of Heive FLOOD ZONE FR MAP NUMBER 35103CM2H AREA-22,570 SO. Fn -SEPTEMBER 25, 0 ,�� 4�p TO TIE LfNE 100%OF LOT EAREDi a ♦ e- N.Y.S LIC. NO. 49618 r. , 'C ._ n1+fOF2770 ��VM SrAIRSWCAAMN LAISA W. n' U YC1R5, P.G nW ` Ey LION 7209-S7W1190N 2 ALL CERARG47)ONS -5020 FAX(631) 765-1797 L. VAL FOR IMS MAP AND COPIES THEREOF ONLY IF 80X 909 most P PPBEAR4 HF SMA`'THE suRv S2�ao �VFL£R 5 9 T 13�29 JAN - 9 2017 I 4 Southold Town Q rc� fo Trust u- -A P Hydrographic Survey Surveyed: 05-30-14 J-q'y0 N SCT# 1000-115-1-4.1 CO����,o ,,k .� we � ��s�.P� Ic Town: Southold �y 5 Z Suffolk County, NY s 1 TX p IV V }� r• •ir I O �,,77 ' �• 7 4� \ 3.7 — — - �p� Ali \o •� ; L \ ;X\ \ r \\\\ V 1�•O K �? \,II I ' 0 'M -DDC,t'L rYla�re S `1(y �k `�n cl��.,.5 Sk��s �a f trv►�. 5GT# �1nr�, :s Inc;IMLw-s �J:c�o , 1000-115-1-4.1 O !laa�r c S ZO ke.cZk l\ons �y L4 vj s IL.-. X55 Lupton Point Road i SIVE EJUL2 2016 Southold Town ROBERT H. FOX �_�._8oar�}�f Truste NYS PLS#50197 PO Box#366 Aquebogue i NY11931 Michael J. Domino PresbgUFFD(� � 0 COG Town Hall Annex John M. Bredemeyer I11, Vice-President � 54375 Route 25 Charles J. Sanders P.O.Box 1179 Cn Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski Telephone(631)765-1892 HCl �a Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 6/1,1/17 3 L15' Completed infield by: (Z �o�olSM P` J.M.O. Environmental Consulting on behalf of CAROLYN AMEEN requests a Wetland Permit to remove the existing fixed dock, ramp, floating dock and piles; and construct a 4'x88' fixed dock with the first 25' of the landward end to be constructed using Thru-Flow decking; a 2.5'x12' adjustable ramp; and a 6'x20' floating dock in an "L" configuration secured with two float piles. Located: 755 Lupton Point Road, Mattituck. SCTM# 1000-115-11-4.1 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card/Posted: Y / N Ch. 275 Ch. 111 ✓ SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: Frap Se.A AaA C'XCI ne an� 61c� qNJ 1�; o40GK . Present were: ✓ J. Bredemeyer -ZM. Domino �G. Goldsmith N. Krupski _C. Sanders Other Page 1 of 2 Michael J. Domino,Presi ®�pSxifFOj�c®G Town Hall Annex John M. Bredemeyer III,Vice-President �� �1, , 54375 Route 25 Charles J. Sanders z P.O.Box 1179 Glenn Goldsmith P7 Southold,NY 11971 A.Nicholas Krupski �,�0 �p�r Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: J.M.O. Environmental Consulting on behalf of CAROLYN AMEEN requests a Wetland Permit to remove the existing fixed dock, ramp, floating dock and piles; and construct a 4'x88' fixed dock with the first 25' of the landward end to be constructed using Thru-Flow decking; a 2.5'x12' adjustable ramp; and a 6'x20' floating dock in an "L" configuration secured with two float piles. Located: 755 Lupton Point Road, Mattituck. SCTM# 1000-115-11-4.1 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters:. H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and-natural resources: D. 525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 _ Carolyn Ameen 755 Lupton Point Road,Mattituck SCTM#: 1000-115-11-4.1 6/13/17 ML �e t.'. Alum OPP— OL OW war ' �'� �` � IIIrM1lli;ll ,t i, e r - r; +q�, • s r• r a +W r k a F7+�n.T� �r ✓.r^.�i �.. ✓: jet .. s +�: 4" �4 Y .- _ ,* 4. Cantrell, Elizabeth From: Ed and Trudy <boatlover2001@gmail.com> Sent: Monday, February 13, 2017 1:07 PM To: Cantrell, Elizabeth Subject: Proposed dock- Carolyn Ameen Michael Domino President Board of Trustees P.O. Box 1179 Southold, N.Y. 11971 2/13/17 Dear Mr. Domino, I want to list my concerns about my neighbor's application for a dock permit at 755 Lupton's Point Road, Mattituck, N.Y. by Carolyn Ameen. I currently share an existing dock with two other neighbors, Henry Loeffler and Gerry Diffley. I am very familiar with docks and hazards to navigation in that- in the 1980's I was issued a 100 ton masters license from the U.S. Coast Guard and I owned one half of Seatow Eastern L.I. with Joe Frohnhoeffer. In addition to our towing business, Joe and I built and repaired many docks in the area. First- In reference to the current pending application -the clearance given on this application is only approximately fifteen feet between our floats and the proposed six foot by twenty foot float. We currently have two eight and one half foot wide boats tied on the side of our dock that is next to the proposed 4 foot by 89 foot fixed dock. It would be impossible for the second boat, (Mr. Diffley's) to have enough clearance to leave his float. About six feet of clearance is not enough to get through. He would be completely blocked. Using fenders when tying to the float would also add six inches. The clearance should be at least 25 feet. He has to either back in or back out of his berth which necessitates even more clearance. Second - If the proposed 6 foot by 20 foot float is approved, chances are a boat of greater length would be tied to this float. For example'- if a 26 to 28 foot boat is there, it would be possible that this boat would extend an additional 8 feet, narrowing the distance between our docks even more. Third - In addition, this property has been for sale quite some time and in our opinion the sole purpose of the application is to make the property more appealing to any future buyer so the listing can say"permitted dock" as it now says "permitted swimming pool." Fourth - Ms. Ameen's proposal seriously infringes on the extension of my property line into the water. I only mention this because when we applied for a dock permit more than forty years ago, the Board of Trustees at that time required us to get a letter from Mrs. Avant who owned the property adjacent to us on the north side because our dock partially infringed on her property line. I would hope the same consideration be given to this application. I would definitely have an objection to this. Fifth - It would not be a hardship for her to move her proposed dock and float over towards the middle of her property. I had mentioned this to Mr. Forbes, who is part owner of this property a number of times but for some reason he refuses to change his mind and consider moving his dock further away from ours. Sixth - I do not know if it is my purview to comment on the construction of the proposed dock but I can make several comments. There is a freshwater spring just north of our docks. As you know, freshwater freezes before saltwater. As the tide rises, the whole end of Deep Hole Creek swirls counter clockwise and thus drives the thicker ice toward our docks. Many other docks in the area have triple pilings on each end of their floats In my opinion, two 4 by 4's 1 sitting in the pudding mud simpiy will not do the job and will be wiped out the first time the thickened ice starts to swirl. In addition, the mud in this area is extremely deep. It has the consistency of pudding. If you want to put a 20 ft. x 2 inch pipe into the mud, you have to be very careful not to shove it in too hard because if you do, it will completely disappear. 4x4s simply won't hold. In closing, I strenuously object to the size and placement of this dock proposal. Best regards, Edward Hanus Sr. 2 Feb 101702:00p Jerry- —-y 1-631-298-4393 p.1 486 -Aa&�Oc VIA FACSIMILE C E February 10,2017 ! Board of Trustees FEB 1 0 2017 Town Of Southold 54375 Main Road Southold Town r Post Office Box 1179 9oard fTrost �s _J Southold,New York 11971 RE: In the Matter ofApplicant Carolyn Ameen SCTM# 1000-115-11-4.1 Scheduled for Public Comment on 15 February 2017 To Whom It May Concern: 1 write to you to voice my objection to the above captioned matter requesting Trustee approval to cpnstruct/reconstruct a fixed dock on Deep Hole Creek, Mattituck,New York I would first like to refer you to the Hydographic survey attached to the application, which was performed by Robert H. Fox,LS,some three years ago. I would argue that a more recent,updated survey be required. Secondly,I call to your attention the existing docks that are illustrated to the left (north)of the proposed construction. This dock is actually three separate docks owned by three separate homeowners: Edward Hannas,Hank Loeffler,and Gerard Diffley(formally owned by Sam Ganshaw). Mr. Hannas owns a total of 40 feet consisting of two twenty feet segments, Mr.Loeffler a twenty-foot segment,and my wife and I of a twenty-foot segment. The proposed construction by Ms.Ameen only leaves 15 feet of navigation space between our existing dock and the proposed construction. Assuming that a typical 19-foot outboard boat is 8 feet wide and assuming that a boat is docked at both docks,you quickly have a problem wherein you seek to utilize 16 feet of space when only 15 feet exists. At any given time two boats can be docked at the dock owned by Mr.Hannas,Mr.Loeffler,and myself. It is already a difficult feat to navigate past a boat docked in front of me requiring nae to swing out towards the proposed construction. If the construction were permitted,and assuming any type of vessel Feb 1017 02:01 p Jerry^'"',-)y 1-631-298-4393 p.2 were to be docked on the north side of the proposed dock,that would make it a navigation hazard for any vessel putting property and life at risk. Public records show that captioned property is currently on the market for sale. One must wonder if this proposed construction is only meant to increase the market value of the property. I believe this should be taken into consideration. For the reasons stated above, I urge you to denied the application as proposed. I apologize,in advance,that I am not able to testify in person,however, travel plans prevent me from being with you on February 15tk. I ask that my letter be entered into the public record on this matter. Should you have any questions,please call me on my cell at 631-987-5130. I also invite you to visit the property location this spring when our dock is in the water to see the issue for yourself. Sincerely, Jerry Diffley Feb 1017 02:01 p Jerry^"ny 1-631-298-4393 p.3 .421 4: R Ica,P c -- � - `��•,^�•__: � •cit'-�:?:- rA ; .- -� -:- •.�'� - �: eq' „ a. - � - - . . . . -.. ,_��::-� - -.�Q;-: .;:--•::-;:: �::-. �:•,, o-':o-rte. - Al?PMm Carob= :+pec LOC � :.. :AFpaet-Lvv' `titer X-:S_ =x'59? $0 Cantrell, Elizabeth From: Nancymloe@aol.com Sent: Thursday, February 09, 2017 1:26 PM To: Cantrell, Elizabeth Subject: Construction of dock at 750 Lupton Point, Mattituck, NY 11952 Dear Trustees, Henry and Nancy Loeffler, residing at 535 Lupton Point, Mattituck, NY have just been made aware of the proposal before the trustees of the construction of a new dock at 750 Lupton Point, Mattituck, New York. We are presently out of the country, our mail has been stopped and we will not be returning until the middle of March We would like it noted that we are opposed to this new, longer and wider dock since it will be a navigation hazard for all three owners that own the dock next to the proposed one. The meeting should be postponed until all involved parties are able to be present and their voices heard If there are any formal forms to be filled out and submitted we would need to be informed and then have them scanned to the email address provided. There is no building going on probably until the spring so there is no logical reason to have a meeting in February. A reply to this email would be appreciated. Thank you, Nancy & Hank Loeffler 535 Lupton Point Mattituck, N Y. 11952 nancvmloe(a.aol.com 1 Michael J. Domino, Presid ®�QSQFFOCx�Ob Town Hall Annex John M. Bredemeyer III,Vice-President 54375 Route 25 Charles J. Sanders i y x P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski 2 �O!•�r` Telephone(631)765-1892 1 � Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 1 4-Li Dafe/Time: 21-2/17 t 3c, Completed in field by: G, co )d Sm J.M.O. Environmental Consulting on behalf of CAROLYN AMEEN requests a Wetland Permit to remove the existing fixed dock, ramp, floating dock and piles; and construct a 4'x88' fixed dock with the first 25' of the landward end to be constructed using Thru-Flow decking; a 2.5'x12' adjustable ramp; and a 6'x20' floating dock in an "L" configuration secured with two float piles. Located: 755 Lupton Point Road, Mattituck. SCTM# 1000-115-11-4.1 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: .4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 ✓ Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission- Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: plcf Q`en v t9q V'/a�ev exie—on�ion Lac4_ ll 1 o,5 pd,5'. Present were: J. Bredemeyer /M. Domino ✓ G. Goldsmith L,-� N. Krupski V/ C. Sanders Other Page 1 of 2 Michael J. Domino,Presid o�QSUFFQ1'�-CO ,L Town Hall Annex John M. Bredemeyer III,Vice-Presi ti� G� 54375 Route 25 Charles J. Sandersm P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski y p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: J.M.O. Environmental Consulting on behalf of CAROLYN AMEEN requests a Wetland Permit to remove the existing fixed dock, ramp, floating dock and piles; and construct,a-4'x88' fixed dock with the first 25' of the landward end to be constructed using Thru-Flow decking; a 2.5'x12' adjustable ramp; and a 6'x20' floating dock in an "L" configuration secured with two float piles. Located: 755 Lupton Point Road, Mattituck. SCTM# 1000-115-11-4.1 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I-.,Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. :525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 l Carolyn Ameen 755 Lupton Point Road,Mattituck SCTM#: 1000-115-11-4.1 2/7/17 '`z _ - - - .Z _.. , _' y ..�.,.��.v..ASF .•wry. " Y L. ' s John M.Bredemeyer III,President o��QF S®(/�yol Town Hall Annex Michael J.Domino,Vice-President ~ 54375 Route 25 P.O. Box 1179 Glenn Goldsmith CA Southold,New York 11971 A.Nicholas Krupski Telephone(631) 765-1892 Charles J.Sanders �lyC®U Fax(631) 765-6641 BOARD OF TOWN TRUSTEES August 17, 2016 TOWN OF SOUTHOLD Mr. Deaneal Forbes Ms. Carolyn Ameen 755 Lupton Point Road Mattituck, NY 11952 RE: 755 LUPTON POINT ROAD, MATTITUC.K SCTM#: 1000-115-1-4.1 Dear Mr. Forbes and Ms. Ameen: The Board of Trustees had an opportunity to more fully review your application to expand your docking facility at our monthly field inspections on August 9, 2016. Based on our review and the scope of the work you propose the Board has determined that you need to upgrade the application to a full wetland application as I have elaborated below. Due to the complexity of the application process and the current standards in the Wetlands Code you may wish to retain the services of a competent permit expeditor to assist you: 1) The Trustees previously were unable to transfer the existing permit into your names as it did not conform to the approved plan and permit on file for the prior owner. Our field inspection on the 9th revealed a similar condition as we noted piling supports that are not approvable (over-sized) and a small section of decking,that appears to be toxic/treated lumber; both may constitute an unauthorized repair. Without a wetland permit in your name you are not authorized to perform any repairs. Please perform no further work without a wetland permit from this office. These deficiencies may be corrected through the permit process, provided you agree to remove the unauthorized materials upon receiving a permit, and provided your plans include proposed pilings that are no larger than "4X4" with non-toxic decking over the water and "Thru-flow" style decking for the first 20-25'. 2) Your plans may include no more than one 6'x20' float (or a maximum of 120sq. ft. for all floats) as this is the maximum allowed by code at this time. (FYI: Your neighbor's docks were issued permits prior to this requirement when the standards were more lax.) Because of the proximity of neighboring property lines and docks you may wish to consider a modified "L" or"dog-leg" shaped configuration with a 5'x24' or 4'x30' float that may be more appropriate/beneficial for your site. The area of any jet-ski float must Y j be included against the 120 sq. ft. total float allowance. Floats should be located at least 15'from neighboring docks. 3) Your plans need to be neater and to an accurate scale. This office cannot grant approvals on plans that do not meet minimum standards. 4) To honor the existing pier line the proposed dock and plans should project no further seaward than a line connecting the nearest corners of the 'Us" of the neighboring docks. 5) The noticing requirements and public hearing provisions of the Town wetland code are all applicable. 6) You may reuse your existing floats as part of the 120 sq.ft. float total and reuse non- toxic decking. 7)The Clerks may credit your$50.00 administrative application fee towards the $250.00 full wetland application fee, provided your submission honors all the above items. 8) It is recommended that you apply for a tidal wetland permit from the NYS Dept. of Environmental Conservation in addition to the Town as there is concurrent jurisdiction in these matters. I hope this information will assist you in a successful application. If you have any questions please feel free to contact me. Very truly yours, John M. Bredemeyer, III President JMB/dd yrcrahic Survey - Surveyed: 05-30-14 N SCT# 1000-115-1-4.1 ?j-0.00 S.-�, b;o Lv, Ar� h W w E Town:Southold I Suffolk County, NY s Datum: M L L W 20' �. ` r l `I d/ r j x�� ' CILL 40 kk LooTi SGT# '755 ptonllPoint Road E c E � V LA 'I" JUL 2 6 2016 j Southold Town ROBERT H. FOX NYS PLS#50197 PO Box#366 Aquebogue N Y 11931 20 i �0x � { l John M. Bredemeyer III, President Town Hall Annex Michael J. Domino, Vice-Presidentep 54375 Route 25 Glenn Goldsmith o P.O. Box 1179 A Nicholas Krupski o Southold, NY 11971 Charles J. Sanders y �p Telephone (631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: :96bg Completed in field by: t�sP•-► CAROLYN AMEEN & DEANEAL FORBES requests a possible Transfer of Wetland Permit 1705 from Jack Drobet to Carolyn Ameen & Deaneal Forbes, as issued on October 24, 1983; and for a possible Administrative Amendment to Wetland Permit#1705 to expand the existing docking facility further seaward by constructing a 60' fixed dock extension off of the existing 26' long fixed dock; install a 12' long ramp; and install two 6'x20' floating docks with one positioned in an "I" shape off of seaward end of ramp, and the most seaward floating dock positioned in an "L"'shape off of first float. Located: 755 Lupton Point Road, Mattituck. SCTM# 1000-115-1-4.1 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet -5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 ✓ Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment ✓ Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: 4 1A10-1e,:vK a,4 7Z',Ol& :1Z eSP y Z ZI n� Ayt been 6,,,r 411 Present were: �✓ J. Bredemeyer A. Domino G. Goldsmith ✓ N. Krupski C. Sanders Other Yv P Cv ,r vZv A�4,,j D vBl— /�/u�c r/j/ a, was--G)0o m Page 1 of 2 LOT COVERAGE SURVEY OF PROPERTY HOUSE - 1007 sq ft. D i'? " - it N ,DECK - .386,sq.ft. BRICK - '360 sq:fl. AT MATTITUCK SHED - 113- sq:1 TOWN OF SO UTHOLD Iss6 a ft 1666122570 - .82% MAR 2 4 2014 PROPOSED SUFFOLK COUNTY, N. Y. HOUSE - 1570 sq.ft. DECK - 386 m.ft. 1000-115-11-4.1 BRICK - 360 sq,1t• SCALE.• 1 =e3� I f Tr a e . POOL - 630 sq.fl. DAMAGE - 700 s4.11., • MARCH 12, 2013 364s . 16.11% AUG. 14, 2013 (PROPOSED ADDTNS.) - + 1 3646/22570 ' AUG. 24 2013 (ADDTNS) OCTOBER 22 2013 (Top•ography)- ��RQO�E� BY . NOV. Zt, 2a3 (SOT COVERAGE) VAN. 92 2014 (SEPTIC SYSTEM) 66ARD-OF TRUSTEES. FEB. 25, 2014 (revldonc) �0 TOWNOF•SOUTHOLD ATE Z 5. l • �� OF FOLK 9, � - ��•� `A im COUNTY . 0 • _ •�47,�4�E ���• o SRS WAY °' N7 r �� '>, 5� RIGHT OF ��';, k cp- x`\10., \ ��\\ 4: �2 p C41, 00 1I \Jo� \ Dy, ,�' • q� PROP. 2nd. 0FLR DECK aD 2STY. ` ` s OVER EX STNG 6� &� ION(41Nf < 4 ryF Z Dw `\h�ri �\ ���- 1 `Z< gJFO �qN `l4 9y as OP\`° \ Fqf 10 -,O N� d ADDITION \26.3' `\\�gsyjyc `\ 3S. �+3, m a,,, s• ry6� Ab , ——— -- ----- �� 4°�a 2STY. \\� lot - - — - -- - - - -- - ri G� '-.` :U 15.2' J r 14 m PROP. `• Z. :70 .a 1 STY. �• o G7 w Aw ADDITION °�, �,..�j6 RAIN RUNOFF CONTAINMENT: q ab 8, Dw �y�o 7i, G�`����- DWELLING: 1,528 Sq. Ft. m �' ��, +` 4- 1,628 x 0.17 x 1260 Cu.Ft. D �'�—fie__ 8= Np Z. Provide 3 DWs. 6'Zx 6 Deep Z m o O Connected by Gutters & Leaders C= ?� \ '78•. �i 20' 25.0' j Urt15n POLE � 'X N .\ PROP• m O GARAGE n z to GAVEL DRIVEWAY m o '� \\ 4. C CP \ --1'f• \16 30 g;5 g•q 5 T ROAD. ---- -EDGE OF PAVEMENT . upT POWWA - 0 Y P. A1738L WISE RIGHT OF * 20' CERTIFIED TO: _<SOP NEloje CAROLYN R. AMEEN FIRST AMERICAN TITLE INSURANCE COMPANY ELEVATIONS AND CONTOU L rAi � CED TITLE # SP 29126—S TO N.G.V.D. DATUM. z FLOOD ZONE FROM FIRM A. M P , U36103C04&2H SEPTEMBER 25, 2009 t c;, tl J-4 a AREA=227570 SQ. Fr- ' TO TIE LINE • °��. 100% OF LOT CLEARED N. YS. LIC. NO. 49618 ANY ALTERATION OR AD0177ON TO THIS SURVEY IS A VIOLA77ON CONIC EYORS, P.C. OF SECTION 7209OF THE NEW YORK STATE EDUCATION LAW. (631) 765-5020 FAX (631) 765-1797 EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CER 77FICA 77ONS P.O. BOX 909 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR1230 TRAVELER STREET WHO: IGNATURE APPEARS HEREON. }, SOUTHOLD, N. Y. 11971 la-7,129 John M. Bredemeyer III, President 1 �OSUFFO(kco Town Hall Annex Michael J Domino, Vice-President ;��° Gy�q - 54375 Route 25 Glenn Goldsmith o P.O Box 1179 A. Nicholas Krupski o Southold, NY 11971 Charles J Sanders Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: CAROLYN AMEEN & DEANEAL FORBES requests a possible Transfer of Wetland Permit 1705 from Jack Drobet to Carolyn Ameen & Deaneal Forbes, as issued on October 24, 1983; and for a possible Administrative Amendment to Wetland Permit#1705 to expand the existing docking facility further seaward by constructing a 60' fixed dock extension off of the existing 26' long fixed dock; install a 12' long ramp; and install two 6'x20' floating docks with one positioned in an "I" shape off of seaward end of ramp, and the most seaward floating dock positioned in an "L" shape off of first float. Located: 755 Lupton Point Road, Mattituck. SCTM# 1000-115-1-4.1 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. 5525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 r r .YM +�� ..� '. � '-- .r ....,±rte tr -,"y 4� r� � -$a ",• -- �'' '•rte. .� /►�`�4'Y Carolyn Ameen&Deneal Forbes .► 755 Lupton Point Rd.,Mattituck CTM#: 1000-115-1-4.1 t . t '� ��'� �fes. .« ;_f+ -. *, •" ', 8/9/16 - �7� N. .7 •ly � f w, N AY - M" i • - il. .`►din 11•��.: ... 1, � .: '' ri�`.~i/ ! iw' �. iii - r�-s•. n. 9 � ,`L� �/�, '" 'ty- fjT�l +�I�0' i. �t,.. tit _ �x ' tee �t AV.. r "7C 'sem.- rt'j"'y - .vim � , •.f 1.0 � �+w ,!, !'...�,` "'�1w � ��i.'> ,�.,. j ,� • 6"fT•�. � � r!"I'� , .��v Y: �•• �"e.•��F� � r -w�;.y .. FF _� 40* Al ,T,' �• � _ `,gyp-]\.. arolyn Ameen&Deaneal Forbes 55 Lupton Point Rd.,Mattituck CTM#: 1000-115-1-4.1 /9/16 /rid .1 ,,i:. � ,•��Gr�l1 • '..Seim,w',�an�• - ".. .. 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Environmental Consulting Services June 7, 2017 I-E--C E I V E Mr. Michael Domino, President JUN 14 2017 Board of Town Trustees Southold Town Town of Southold Board fTrustees Town Hall Annex - 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Re: Ameen, 755 Lupton Point Road, Mattituck S.C.T.M.No. 1000-115-11-4.1 Dear Mr. Domino: Please be advised that this property has recently been sold. It was purchased by Frank and Paula Doka on May 12, 2017. We are requesting that if and when this project is approved that the permit be transferred into the new owners names. For your review and files we have enclosed a copy of the deed for the property as well as a signed and notarized Authorization form, Applicant/Agent/Representative Transactional Disclosure Form and Affidavit. Please feel free to contact me at any time should you or any member of the Board have any questions or comments regarding this request. Phone (631) 653-0607 • Email Gjustl 0215@aol.com 121 Jessup Ave . 2nd Floor • P.O. Box 447 Quogue, New York 11959-0447 IIE. )us E JUN1 4 2011 gau�r�oId Town Boar of Tr s yes I it i I I I I i i I _ iard eS f 3p i i AUTHORIZATION (Where the applicaot is not the owner) � owners of the property identified as SCTM# 1000- t 5- _ in the town of New York, hereby authorizes JMa Environmental Consulting { to act as nay agentandhandle all necessary work involved with the application.process for Perni.{s)from the Southold Town _ � f Board of Trustees for this property. 3 1 1 f Property Ownees Signature - -Property Owner's Signature_ i SWORN TO BEFORE ME THIS��DAY OF2{�C`7 I 4 i f oE EIVE s F Rotary Public JUN 1 4 2017 f CHRISTINE RolviAfjQ Notary Public,Stats of New,York Southold Town ' No.01RO61974 6 Boar of Trustees Qualified in Queens County - i COmmissir rl C-*!es NOverri er 24,2020 3 11} f + 3 APPLICAN 1A ENTMPR SENTATM 4 TRANSACTIONAL DISCLOSURE FORM � f i e Tm dhies,P-rdibas cong#cts ori terw on the mut or InNan officers and emnlovemeu f . this a to firovk1a` t which tg[j,the town ofMgft n of intemdl w it Ig toke,whikveraction isi necessary amid saint,- _ SOUR NAME, . ._. � ` tG` D o 4 (Fast name,forst name,rpiddle initial,upless you am apply=ingtu the name of someone also or outer entity,such as a company.if so;Indicate the other person's or Compaq's name.) NAME OF APPLICATION: (Check all that apply,) Tax$rlevanc a Variances Trustee ►°; ,� Change of Zone Coastal Erosion Approval of'plot � Mooring exemption from plat or official reap � planning Other (if"Othere,,nat}ie the activity.) Do you personally for throitgh y mr company,spouse,sibling,parent,or child)Marro a telationsiiip with any ofr=or employee , of the Tmvo of Southold? "Relationship"Incltetics by blood.marriaM ar busitsoss interest,"Business interest"tureens a business, including a partneollip,In which th;town offtr or cniptoyco has even a partial ownership of(or employment by)a curitoration in which lite town oM, r or employee gwos inore titan 5%or the shy. , YES .� XO If you answered"YES;.c ompie to the balance of this form and date and sign where indicated. Name ofp on employed by the Town of Southold 'title brposltion ofthat person DescrIN tho relationship bait c;en youtsolf tlt:Raplaticrtrtftegctitt pr€ssetitatCrre and the town offccoF or,ernployce.Either check the appropr#ate:line A)through,la)onftr dcscrlbc in the space provieled. Them"officer or employee or his lir her spouse,sibllnZ pint,or child is(check all that apply), k A)dies o%viter of greater than 5%oftete shares or the coTporitc stock-o€Ute applicant EE (when ttie oppticant'is a corporation), D - I V E -I)the legal of beneEe:ial owner of any iriterest in a non corponite,entity(when the applicant is not a corporation), oo ofrtccr,director,Itafte~r,or employee of tha upplicctnt;or p)'the actual applicant. JUN 1 4 2017 ' DESCRIPTION OF RELATIONSHIP Southo;d Town Boar of Trus ees Submitted this d ,y of � ff iStsature Form TS I } a �'aard of Trustees appliaat I 9 { k ��j }� i C'9� g .t $ S VIT i t f {{i 5 i f fes- BIN DULY SWORNy i DEPOSES AND AFFIRMS THAT ITE�SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BUST OF /HER KNOWLEDGE AND BELIEF,AND THAT ALL NVORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. I THE APPLICANT AGREES TO HOLD THE TOWN OF soUT OLD AND THE BOARD OFTRUSTEES ITAII LESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING LEER OR BY"VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR,AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO Y PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, y x INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER+(INT®my PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH,ANY CONDITION OF ANY WE'T'LAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM Or THE PERMIT. Signature of Property Owner Signature of Property Owner SWORN TO BEFORE No THIS� —�DAY OF e4-� 20 tom_ E C E_I Notary Public JUN 1 4 2017 , CHRISTINE ROMANO Nota ry Public,State of*i� t York Southold Town No.01 R06197036 Board of Trustees Qualified in a(t�ens County (30"Onlission Expires F f S � Y f i .BE USED ONS_JHEN TILE ACK OWLEDGIVIENT IS MADE i"rviveui York STATE State Of New York,County of Suffolk,ss-- State of New York,County of 9"SP°' ,ss: On the A day of May, in the year 2417 On the �� " day of May, in the year 2017 befog:me;the under 'rfzaftd N.YB.TU.Fam M-Sargattt afar Sale Oeed.VA'01 Gtenant agaittsi Pam 3290 Co"sut-T YOUR L/,*ER BeForm SIGNInG-ails INSIC�RUt.IUNT-THISWSTRUMENT$IioUto Sk USW Sy.LAWVM�S OULY THIS INOENTURE,made ttie f daYotclay,2015 9MVM CAROL'YN R.AMEEN AND DEANEAL CARLTONY FORBES,each as to an undivided 50%Interest residing a1755 Lupton's Point Road,Mattituck,New York 11952,partyof he t Tics# part,and FRANK OOKA AND PAULA DOKA,husband and wife,residing at 27 SO Glenn Road,Southold, ,Ne%,v York 11971,party of the second part, WITNESSETH,that the party of the first part,In consideration off Ter t and 00/1bo—($10.00)—ooliars,and othet good and valuable consideration paid by the Party Of the second part,does hereby grant and release unto the party of the second part,the heirs or successors and assigns of the party of the second part forever, Ail that oert"plot,piece cw parcel of land,situate,lying and being on Lupton's Point in MattitudkJown of Southold,C04*Of Suffolk and State of Now York.bounded and described as follows: BEGINNING at a Point on the northerly tide of a 20 foot right of way distant 720 feet easterly as measured along the.northerly side of saidright of way from the comer formed by the intersection of said northerly side&right of vvay with the easterly;-side of Marratooka Roxi: RUNNING THENCE along the land now or formerly-of Hanus,North 4 degrees 03 minutes 40 seconds Wast,208.48 feet to the southerly side of a 16 foot rignt of way, THENCE along the southerly side of said right of vnay and through a monument North 78 degrees 47 minutes 10 seconds East 110.79 feet to the mean high water flne of Deep Holo Greek; THENCE southeasterly Mang Deep Hole Creek measured on a tie line bearing South 49 degrees'00 minutes 57 se=4 East,4418 feet toland now or formerly of Kreifln_q; THEE-ICE a;org said land now or formerly of Kreiling the following two,(2)courses and distances, (11, South 26 degrees 44 minutes 00 seconds'Nest,98-24 feet (2) South 10 degrees 14 minutes 50 seconds East,10MOO feet to the northerly side of the said 20 foot ' right of way: THENCE along the northerly side of said 20 foot fight Of way the following two(2)courses and ciistanoes, (1) South 79 degrees 45 minutes 10 seconds'Nest,95,24 feet; (2) Thence North 73 degrees-28 minutes 50 seconds West,4,76 feet to the point or place of BEGINNING, TOGETHER WITH a r-ght of way over the 20 foot wide private road to and from the premises hereby conveyed to Marmtooka Road.,and to and from'Deep Hole Croak at the end of said 20 foot private road where It adjoins Deep Hole Creek on the'easterly end of Lupton's Point. BEING AND INTENDED TO BE the sante Premises conveyed to theP artyoftl-w,� ra b deed in 12823 page 165,the grantors herein being the same persons as the grantees in Liber 12823 page 165. J UN 1 4 2017 1 OGE71 HER with 80 right,title and interest,if any,of the party of the first part in rid to ray streets a.ad roads abutting the abuVe described premises to the-center lines thereof,TOGS ER appurtenances and all the estate and rights of the pa qt of the first part in,and to aid Premises-Southold Town TO HAVE AND'T6 HOLD the premises herein granted unto the party of the se Tru successors and assigns of the party of the second roar:forever. AND the party of the first part covenants that ft-party of the first part has riot done or suffered anything whereby the said+premises have been encumbered in any way Whatever,except as aforesaid. AND the party of the first part,in compliance vtfith Section 13 of the Lien Law,,covenants that the party of the first part will receive the consideration for this conveyance and will hold the-right to receive such consideration as a trust fund to be applied first for the purpose of paylirig the cost of the improvement and Will'OpPlY the same first to the payment ulfthe cost ofthe improvement before using any part of the twat of the same for arty other purpose.The word"p", *shaft be construed as if it read"part'Ise whenever the sense of this indenture so requires_ INWITNESS WHEREOF, the party of the first part has duty exacuted this deed the day and year first above written, IN PRESENCE OR Deaneq Caritony Forbes f J. M.0. Environmental Consulting Services June 16, 2017 p Mr. Michael Domino, President CEflVE Board of Town Trustees JUN 2 0 2017 Town of Southold Town Hall Annex Southold Town Board of Trustees 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Re: Application for Carolyn Ameen 755 Lupton Point Road, Mattituck S.C.T.M.No. 1000-115-11-4.1 Dear Mr. Domino: I am presently writing you as a follow up to my recent telephone conversation with you and Board's staff regarding this application. As discussed I have revised the project. At this time the applicant is proposing "to remove the existing fixed dock, ramp, float and piles and to construct a 4' x 50' fixed dock utilizing "Thru-Flow" decking, a 3' x 14' ramp and a 6' x 20' float." The seaward end of the proposed float shall be located 10' landward of the seaward end of the existing float dock assembly located adjacent to the project site. For review I have enclosed copies of our revised plans (sheets 1-4) last dated June 16, 2017. As always, please feel free to contact me at any time should you or members of the Board have any questions or comments regarding this matter. Phone (631) 653-0607 • Email Gjustl02l5@aol.com 121 Jessup Ave • 2nd Floor • P.O. Box 447 Quogue, New York 11959-0447 � F Mfull D � � � I �� E G11. JUN 2 0 2017 Southold Town J. M.O. Environmental Consulting Services . I E June 16, 2017 } D) ECE � E ' 1, Mr. Michael Domino, President JUN 1 6 2011 Board of Town Trustees Southold Town [` Town of Southold Board of Tr es Town Hall Annex 54375 Route 25 P.O. Box 1179 Southold, NY 11971 3, Re: Application for Carolyn Ameen ! 755 Lupton Point Road, Mattituck S.C.T.M.No. 1000-115-11-4.1 t, E` Dear Mr. Domino: ff' I am presently writing you as a follow up to my recent telephone conversation with you and Board's staff regarding this application: As discussed I have revised the project. At this time the applicant is proposing "to remove the existing fixed dock, ramp, float and { piles and to construct a 4' x 50' fixed dock utilizing "Thru-Flow" decking, a 3' x 14' ramp and a 6' x 20' float." The seaward end of the proposed float shall be located 10' landward of the seaward end of the existing float dock assembly located adjacent to theproject site. For review I have enclosed copies of our revised plans (sheets 1-4) last dated June 16, 2017. I As always, please feel free to contact me at any time should you or members of the Board have any questions or comments regarding I this matter. F Phone (631) 653-0607 ® Email Gjustl 0215@aol.com 121 Jessup Ave . 2nd Floor ® P.O. Box 447 I Quogue, New York 11959-0447 Most s ctfully, G1 . ust ECEI E JUN 1 6 2017 Southo{o Town Board of Trustees .i SHEE-T 1 01 ' ;'Ki Art VVIDf 45C Hydrographic survey performed by Applicant: Carolyn Ameen Robert H. Fox,L.S. 5/30/1.4 Purpose; Dock replacement Location; 7-55 Lupton Point Road Datum:Apparent Low Water Locus: 40'59' 5.137" -7-230' 56.5806" S.C.T.M.No. 1000-115-1-4.1 Applicant proposes to remove existing fixed dock,ramp, float and piles and to construct a 4'x 50'fixed dock utilizing"Thru-Flow" decking, a Y x 14'ramp and a 6'x 20' float. At =� Deep Hole Creek, Mattituck, Town of Southold, Suffolk County,New York ,2• E FIVE JUN 1 6 2017 Southold Town Board of } TrusteOs i 1, 1 -.'��,.li 1 '!�'�•.l' If Pt/t ;'/� T ��i' f� S EXI.� -�✓ �.r/0/ JMO AVIRONMENTAL CONSULTING QUOGUE, N.Y. EX kST1 f NG Hydrographic survey prepared by Robert H. Fox L.S. 5/30/14 Applicant proposes to remove existing fixed dock, ramp, float and piles and to construct a 4' x 50' fixed dock U utilizing "Thru-Flow" decking, a ' 3' x 14' ramp and a 6' x 20' float.-At Deep Hole Creek, Mattituck, Town of 121 5 x zz' Southold, Suffolk County, New York -5'X 2 2 R ANr Fix F [) [,0 CK x FLOAT � o 13QT0N'9 I 0.3� -0j C_- -2.2' M00 � � N O � Applicant: Carolyn Ameen O Purpose: Dock replacement Location: 755 Lupton Point Road Datum: Apparent Low Water Locus: 40'59' 5.137)1 -72030' 56.5806" S.C.T.M.No. 1000-115-11-4.1 SCAL[_ 1 10/ tF�f� .�._...�._ �(o�u, �/� Sl~IE ::� 2 � F PROPOSED r-1 , DEEP HOL F C;R_`--LK 'FLOOD E! 3- i W!DT!-!; 4Jp. Applicant proposes to remove existing fixed dock, ramp, float and piles and lto construct a 4'x 50' fixed dock /R1utilizing"Thru-Flow" decking, a� f%� 3'x 14'ramp and a 6'x 20' float. At ; Deep Hole Creek, Mattituck,Town of Southold, Suffolk County, New York f D �' I i `� Hydrographic survey performed by Robert H. Fox, L.S. 5/30/14 JUN ;1 6 2011 BOO UT Trusloes { ,e v,r� y'\,k \ I O' ' 0� -57 f QQ L, u Applicant: Carolyn Ameen Purpose: Dock replacement `1 Location 755 Lupton Point Road Datum:Apparent Low Water Locus: 40 59' 5.137" 72 30' 56.5808" S.C.T.M.No. 1000-115-11-4.1 SCALE I - ?O fJ_i;� 1 SHEET 3 01-- 4 JMO ENVIRONMENTAL CONSULTING QUOGUE, N.Y. PROPOS ) Hydrographic survey performed by Applicant proposes to remove existing Robert H. Fox L.S. 5/30/14 fixed dock, ramp, float and piles and z `� 1m to construct a 4' x 50' fixed dock = _a{ Cn _ h utilizing "Thru-Flow" decking, a _ ^D CD Y x 14' ramp and a 6' x 20' float. At Deep Hole Creek, Mattituck, Town of Southold, Suffolk County, New York PROP , PPOP, , PROP 11X 50i 3 X 14 ROC l( 7 Gr X 2O �RAMP Ff XED L)OC VIA j-,1 FLOAT U i r�CW C_) T^ _ _._......-_____._ _.. ... _. .. ..... - � i,! it %.::r,� r -wi' x Z i -2, 5 2 -2 7 w Applicant: Carolyn Ameen j Purpose: Dock reconstruction 1 Location: 7-55 Lupton Point Road Datum: Appaerent Low Water Locus: 40"59' 5.137 -72`30'56.5806" S.C.T.M.No. 1000-115-11-4.1 Cantrell, Elizabeth From: Cantrell, Elizabeth Sent: Thursday,June 15, 2017 10:27 AM To: 'gjust10215@aol.com' Subject: RE:Ameen/Doka 755 Lupton Point Road, Mattituck Hi Glenn, I showed Mike Domino your email and plans. At this time Mike is determining that the fixed dock and floating dock must be pulled back 12'from the most seaward end of the neighboring dock with the float in an "I" shape. The most seaward end of your client's float to be situated no closer than 12' in from the most seaward end of the neighbor's dock. Please note that this is one trustee out of five. This proposal may not be approved by the other 4 trustees given the fact that discussions happened for something different than described above during field inspections. If you want to draft what Mike offered, send me a copy for Monday's work session and bring originals to the meeting. Liz From: gjust10215@aol.com [mailto:gjust102150)ao1.com] Sent: Thursday, June 15, 2017 8:59 AM To: Cantrell, Elizabeth Subject: Re: Ameen/Doka 755 Lupton Point Road, Mattituck Great. If you look at the depths on the plans you can see that the depth of-2.5'ALW is closer to shore on the left hand side of the dock next to the neighbors that had concerns; where on the right side of the dock the depth of-2 5 'ALW is further off shore. I believe that the difference is that there a couple of boats on the neighbor's dock and with the muddy bottom prop wash has probably created the difference. We are trying to stay away from the neighbors dock so we are trying to place the dock as far away as possible and lastly since they want the float dock in -2.5'ALW I have attached two separate sketches. One has a 4'x71' fixed dock, ramp and float in an "L"configuration and one with a 4'x54'fixed dock, ramp amd float straight out Glenn -----Original Message----- From: Cantrell, Elizabeth <elizabethc(cD_town.southold.ny.us> To: 'gjust10215@aol.com' <giust102l5(a aol.com> Sent: Wed, Jun 14, 2017 3:23 pm Subject: RE- Ameen/Doka 755 Lupton Point Road, Mattituck I understand. I'll talk to Mike and get back to you as soon as I can. Be advised, Mike may say the new plan may need to be discussed at the public hearing with the other board members. Nick Krupski and Charles will not make it to this month's board hearings, so it will be a board of 3 next week who will be looking at this. From: gjustl02l5(@aol.com [mailto:gjust10215(a)aol.com] Sent: Wednesday, June 14, 2017 3:19 PM To: Cantrell, Elizabeth Subject: Re: Ameen/Doka 755 Lupton Point Road, Mattituck Thanks Liz- I would like to put this one to bed, so I am trying to work with you and explain it all at once to the new owner. Glenn -----Original Message----- From: Cantrell, Elizabeth <elizabethc(a)-town.southold.nv.us> To: 'giust10215(d-)aol.com' <giust102l5(aD-aol.com> Sent: Wed, Jun 14, 2017 3:11 pm Subject- RE: Ameen/Doka 755 Lupton Point Road, Mattituck Hi Glenn, I see what you are suggesting on your plan. I could not answer that question as I know at the last meeting it was to be shortened. I expect Mike Domino in tomorrow, if you like I will show him the plan and get back to you. Liz From: gjust10215('0aol.com [mailto:gjust102150)aol.com] Sent: Wednesday, June 14, 2017 2:41 PM To: Cantrell, Elizabeth Subject: Ameen/Doka 755 Lupton Point Road, Mattituck Hi Liz- When I spoke with Mike this morning we briefly discussed this application as well. He said that I should get the float in at -2.5' ALW. I have attached a sketch of another lay out. This time I have increased the length of the fixed dock to 71' instead of 6', but have put the float on an "L". Would this be okay or would they prefer the fixed dock reduced in length and keep the float straight out ? Thank you- Glenn 2 \ \ � y [ LOQ W `�� s _ C � � — �v . � SCALE l"/0- JMO ENVIM N AlyCANyL lLNG QUOG2£,I Y EX �LQA1 v Q� P ,0� SCALE 12Q JMO ENVIRONMENTAL CONSULTING QUOGUE,N.Y. t rY, Cantrell, Elizabeth From: gjustl02l5@aol.com Sent: Wednesday,June 14, 2017 2:41 PM To: Cantrell, Elizabeth Subject: Ameen/Doka 755 Lupton Point Road, Mattituck Attachments: Doka - Dock.pdf Hi Liz- When I spoke with Mike this morning we briefly discussed this application as well. He said that I should get the float in at -2.5' ALW. I have attached a sketch of another lay out. This time I have increased the length of the fixed dock to 71' instead of 6', but have put the float on an "L". Would this be okay or would they prefer the fixed dock reduced in length and keep the float straight out ? Thank you- Glenn i r Hydrographic survey performed by Robert H. Fox L.S. 5/30/14 Applicant proposes to remove existing fixed dock, ramp,piles and float and .44 to construct in a 4'xrfixed dock utilizing "Thru-Flow" decking, a DEEP HOLE CREED; Y x 14'ramp and 67x 20'float. At FLOOYZ-- Q� Deep Hole Creek,Mattituck, Town of WI D7� x q 5O Southold, Suffolk County,New York 0b 7, ri Applicant: Frank Doka v ! Purpose: Dock replacement , Location: X55 Lupton Point Road Datum:Apparent Low Water Locus: 40059' 5.13721-7,2030, 56.5806" S.C.T.M.No.1000-115-11-4.1 i - J t {r 1 , SCALE \LE 1' 2 1 t�rl i� •i :f J S; or- I t JMO ENVIRONMENTAI,CONSULTING QUOGUE, N.Y. i J .M.0. Environmental Consulting Services June 5, 2017 Mr. Michael Domino, President E C E 0 V E Board of Town Trustees Town of Southold JUN - 8 2017 Town Hall Annex Southold Town 54375 Route 25 —130ad of Trustoes P.O. Box 1179 Southold, NY 11971 Re: Application for Carolyn Ameen 755 Lupton Point Road, Mattituck S.C.T.M.No. 1000-115-11-4.1 Dear Mr. Domino: At the present time we are seeking to revise this project. The proposed revision is based on comments and questions from the Board and adjacent property owners that arose at the public hearing on project which was held on February 17, 2017. For your review we have enclosed copies of the revised project plans (Sheets 1-4). The proposed project revision is to remove the existing fixed dock, ramp, piles and float and to construct in a different location a 4'x 62' fixed dock utilizing "Thru-Flow" decking, 3'x14' ramp and a 6'x 20'float. Kindly note that Sheets 1 of 4 and 2 of 4 depict the existing conditions with a 5'x 22' fixed dock, 2.5'x 12' ramp and 5'x 22' floats. Note the depths that depict the landward end of the float at - 0.9'ALW, the seaward end of the float at -1.7'ALW and the float Phone (631) 653-0607 • Email Gjust10215@aol.com 121 Jessup Ave • 2nd Floor • P.O. Box 447 Quogue, New York 11959-0447 located 18' from the existing float dock to the north. We have enclosed photographs of the existing conditions at low tide which note that the float currently sits on the creek bottom at this stage of the tide. Sheets 3 of 4 and 4 of 4 depict the proposed revisions with the proposed 4'x 62' fixed dock, 3'x 14' ramp and 6'x 20' float. The depth at the landward end of the proposed float is -2.2' ALW to -3.0'ALW and the depths at the seaward end of the proposed float is -2.6'ALW to -3.4'ALW and the distance to the existing float to the north is 30'. It is felt that the proposed plans will enable the homeowner to use the dock throughout all of the stages of the tide and where the float and any boat attached to it would not sit on the creek bottom. It is also felt that the revised plans now lessen any safety or navigational issues that arose with our original plans. Upon the Board's review of this matter please feel free to contact me at any time should there be any questions or comments regarding this matter. RfJuGCEIVE LJUUN - 8 2017 --_7 Southold Town ar Tr OFFICE LOCATION: �" ®f S®Ur�® MAILING ADDRESS: Town Hall Annex �® �® P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) N S � ® �Q Telephone: 631 765-1938 Southold, NY 11971 O Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From: Mark Terry, LWRP Coordinator Date: February 10, 2017 Re: LWRP Coastal Consistency Review for CAROLYN AMEEN SCTM# 1000-115-11-4.1 J.M.O. Environmental Consulting on behalf of CAROLYN AMEEN requests a Wetland Permit to remove the existing fixed dock, ramp, floating dock and piles; and construct a 4'x88' fixed dock with the first 25' of the landward end to be constructed using Thru-Flow decking; a 2.5'x12' adjustable ramp; and a 6'x20'floating dock in an "L" configuration secured with two float piles. Located: 755 Lupton Point Road, Mattituck. SCTM# 1000-115-11-4.1 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my determination that the proposed actions are INCONSISTENT with the below listed LWRP policy and therefore are INCONSISTENT with the LWRP: 6.3 Protect and restore tidal and freshwater wetlands. A permit for the dock proposed to be replaced could not be found. The applicant has not demonstrated that the following dock standards pursuant to § 275-11. Construction and operation standards have been met. The proposed vessel to be moored at the dock has not been identified. 9.3 Preserve,the public interest in and use of lands and waters held in public trust by the state and the Town of Southold. A. Limit grants, leases, easements, permits or lesser interest in lands underwater in accordance with an assessment of potential adverse impacts of the proposed use, structure, or facility on public interest in public lands under water. The proposed dock structure will extend further into public trust waters. Further, the dock structure would result in a net decrease in public access to public underwater lands and the nearshore area. The applicant currently enjoys access to public water via an existing, private, dock structure. The incremental and segmented extensions of permanent, private, dock structures into public trust waters does not meet this policy. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed actions. J ���gIDFFOt,�-fid Peter Young,ChairmanH Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., February 8, 2017 the following recommendation was made: Moved by Greg Williams, seconded by John Stein, it was RESOLVED to SUPPORT the application of CAROLYN AMEEN to remove existing fixed dock, ramp, float and piles and to construct a 4'X 88' fixed dock with the first 25' landward end constructed utilizing Thru-Flow" decking, 2.5'X 12' ramp and 6'X 20' float. Located: 755 Lupton Point Rd., Mattituck. SCTM#115-1-4.1 Inspected by: Greg Williams Vote of Council: Ayes: All Motion Carried John M.Bredemeyer III,President �Y',��, f�� Town Hall Annex Michael J.Domino,Vice-President �4 ® _ 54375 Route 25 P.O.Box 1179 Glenn Goldsmith ;; Southold,New York 11971 A.Nicholas Krupski %- Telephone(631)765-1892 Charles J.Sanders �� � �� i. Fax(631) 765-6641 - E C3 E V E BOARD OF TOWN TRUSTEES -JAN _ 9 2017 TOWN OF SOUTHOLD Office Use Only Southold Lown a Tu oastal Erosion Permit Application Wetland Permit Application Administrative Permit AReceived Amendment/Transfe��xtension Application: Received Fee:$ Z®0 OV ts6,lJt7 Pte_✓ldtl5t ) 7Completed'Application _Lj?12.L_] _Incomplete _SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) ZLWRP ConsistencyAssessment Form CAC Referral Sent: � 4511 `, Date of Inspection: 2,7`11 _Receipt of CAC Report: _Lead Agency Determination: Technical Review: 1/ Public Hearing Held: ZZ 1S l 7 Resolution: Name of Property Owner(s). Carolyn Ameen Address 755 Lupton Point Road Mattituck, NY1195PhoneNumber:( ) � r 7� !9 10 - Suffolk County Tax Map Number: 1000- 115-v,-4 .1 Property Location: 755 Lupton Point Road, Mattituck (provide LILCO Pole#, distance to cross streets, and location) AGENT: Glenn F. Just ' JMOFnvi-ronmental Consulting (If applicable) Address: P•O.Rox 447 Ouoque, NY 11959-0447 Phone:653-0607 1 oard of Trustees Applicat;� i ,1 GENERAL DATA Land Area(in square feet): 22,570 Area Zoning.R-40 Previous use ofp�'�'ro Single family dwelling with dock p - - Same Intended use of property: Covenants and Restrictions on property? Yes x No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes x No If"Yes",be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project,require a variance from the Zoning Board of Appeals? Yesx No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes x No Does the structure(s) on property have a valid Certificate of Occupancy? x Yes No Prior permits/approvals for site improvements: Agency, Date Toan Trustees 10/24/1983 Toan, Trustees 2013 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? x No Yes r If yes,provide explanation: Project Description(use attachments if necessary): Please see attached r Applicant proposes to remove existing fixed dock, ramp, float and piles and to construct a 4' x 88' fixed dock with the first 25' (landward end) constructed utilizing "Thru-Flow" decking, 2.5' x 12' ramp and 6' x 20-' float. oard of Trustees Applieat' i WETLAND/TRUSTEE LANDS APPLICATION DATA Dock reconstruction Purpose of the proposed operations: Area of wetlands on lot: 12 0 square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: 0 feet Closest distance between nearest proposed structure and upland edge of wetlands: 0 feet Does the project involve excavation or filling? x No. Yes If yes,how much material will be excavated?_ _cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: Statement of the effect,if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations(use attachments if appropriate): As proposed the project should not have any negative impacts upon the wetlands or caters of the Toan r I Short Environmental Assessment Form Part I -Project Information Instructions for Completing Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1-Project and Sponsor Information Name of Action or Project: Dock reconstruction Project Location(describe,and attach a location map): 755 Lupton Point Road,Mattduck location map enclosed Brief Description of Proposed Action: Applicant proposes to remove existing fixed dock,ramp,float and piles and to construct a 4'x 88'fixed dock with the first 25'(landward end) constructed utilizing"Thru-Flow"decking and 4"x 4"posts,2.5'x 12'ramp and 6'x 20'float. 1 Name of Applicant or Sponsor: Telephone: 631-839-8099 Carolyn Ameen E-Mail: Address: 755 Lupton Point Road Road City/PO: State: Zip Code: Mattituck NY 11952 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: ❑ N.Y.S.D.E.0&,Southold Town Trustees, 3.a.Total acreage of the site of the proposed action? 0.51 acres b.Total acreage to be physically disturbed? 0 acres c.Total acreage(project.site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.51 acres 4. Check all land uses that occur on,adjoining and near the proposed action. 0 Urban m Rural(non-agriculture) [:]Industrial ❑Commercial ❑Residential(suburban) OForest DAgriculture ❑Aquatic ❑Other(specify): ❑Parkland Page 1 of 3 1 C 5. Is the proposed action, NO YES I N/A a.A permitted use under the zoning regulations? _ ❑ ❑ b.Consistent with the adopted comprehensive plan? ❑ F-7 ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ 10 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:peconic Bay ❑ ❑✓ 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed action? ❑✓ El- c. c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? ❑✓ ❑ 9.Does the proposed action meet or exceed the state energy code requirements? NO YES If the proposed action will exceed requirements,describe design features and technologies: ❑ ❑ 10. Will the proposed action 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 r If No,describe method for providing wastewater treatment: a ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? ❑✓ ❑ b.Is the proposed action located in an archeological sensitive area? ❑✓ ❑ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ElIf Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: Qeeo Hole Creek 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: m Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional m 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 TT_FV7T 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? ❑NO ❑YES ❑✓ ❑ b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: []NO AYES Page 2 of 3 r' 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: Pr] ❑ 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: W] ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsorAe: n E.Jut as a Date: % Signature: -4 Alln l i PRINT FORM Page 3 of 3 18. Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: ❑ ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: ❑ ❑ 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: F] ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Date: Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part I and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur I. Will the proposed action create a material conflict with an adopted land use plan or zoning 11regulations? [q 2. Will the proposed action result in a change in the use or intensity of use of land? 4 ❑ 3. Will the proposed action impair the character or quality of the existing community? M, ❑ 4. Will the proposed action have an impact on the environmental characteristics that caused the ❑ establishment of a Critical Environmental Area(CEA)? 5. Will the proposed action result in an adverse change in the existing level of traffic or ❑ affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: ❑ a. public/private water supplies? b.public/private wastewater treatment utilities? ❑ 8. Will the proposed action impair the character or quality of important historic,archaeological, ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage ❑ problems? 11. Will the proposed action create a hazard to environmental resources or human health? Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should, in sufficient detail, identify the impact, including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration, irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental im cts. Town of Southold-Board of Trustees „A r Name of Lea Agency Date l I' O-M� President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Resp Bible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 Board of Tr usteez-Applications (:Q- ,>t n cne, ,< l� �;e t �I--�c�n epi c•-�`'BEING DULY SWORN DEP S AND AFFIRMS THAT RE/SIZE IS TILE APPLICANT FOR THE ABOVE . DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED)HEREIN ARE'TRUE TO THE BEST IDI.+'HISMERKNOWLEDGE AND BELIEFS AND THAT ALL WORK WILL BE DONE INTHE MANNER SET FORTIS IN'l HIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOL D TOWN BOARD OF TRUSTEES, THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTH OLD AND TI' E BOARD OF-TRUSTEES HARMLESS AND FREE MOM ANY ANID.ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PE (S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE T-IE TRUSTEES,THEIR AGENT(S).OR REPRESENTATIVES INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO ICY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH TIM APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER.AIT HORIM 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. e of Property O�err, -G ~ SWORN TO BEFORE ME THIS f,�DAY;OF .'20 Notary Public DARLENE M.ROTH Notary Public,State of New York No.4881014 Qualified in Suffolk Count Commission Expires Dec.29. 0 /F--�) F ' - F APPLICANUAGENUMPIRSEN'rA TiiE T1tANSACTI®NAI.DISCLOS,P"FDS 1 he Town of Southold's Code of Ethics nroWbitr conflicts of interest onthe part of town officers and employees The Purpose of action as this form is to n mvide ifomiation which cin alert ti,e town of ossthle conflicts of i terist and allow it to take whatever neecss•gy,to avoid.saine. YOUR NAI\ �— (Last name,first name,"O dle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building r Variance Trustee r - Change of Zone Coastal Erosion i Approval of,plat Mooring Exemption from plat or oKcial map Planning ? — Other , (If"Other'',name the activity.) , Uo you personally(or through-your contpatp•;Spouse,sibling,parent,or child)have a relationship with any officer or employee- Do mployee Dthe Town of Southold? '`Relationship'`includes by blood,marriage,or business interest.'-13+�,siness interest"means a business, including a partnership,in which the town officer or en+l)loycc has even a partial owticaship of(or employment by)a carpvration in which.the town officer or employee owns more than 5°!0 or the shares. YES _ NO if you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between}•ouiself(the applicant/a gent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided, I The town officer or employeeorhis 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 0tfthe applic4nt (when the applicant is a corporation); r 13)the legal orb- owner of any interest in a non-corporate entity(whet,the ;applicant is not a corporation); C)a officer,director,partner,or emplovea of the applicant;or D)the actual applicant. . l A i F DESCRIPTION OF RELATIONSHIP t F F. Submitted this day of 200_ Signature Print Name Form TS I i i Board of Trustees AP piication AUTHORIZATION (where the applicant is not the owner) L 60M IV n /C. AM e4-,(1 residing it- 76.5 L q kw 20r. Me,pf o ,n perty) (mailing address) t�) GK A/ do hereby authorize (Agent) Glenn F. Just JMO Environmental Consulting M to apply for permit(s)from the P Southold Board of Town Trustees-on my behalf. . f t p (Owner' signature) t - t - Notary Public,State ROTH'ff w York No.4881014 ttyy Commission ExpirSuffolk s Dec.2�n20 - APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on tb"art of town,officers and employees.The purpose of,, thisform is to ptovide"infororation which can alert the town of possible conflicts of rer action is necessaro avoid same. YOUR NAME: Just, Glenn, F � - (Last name,fust name,-niddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building _ Variance Trustee x Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) - Do you personally(or'through your company,spouse,sibling,parent,or child)have a rdiationship.ivitlt anyofficer or employee of the Town'of Southold? "Relationship''includes by blood,njar•iage,orbusiness interest."Business interest"-means a business, iocluding a partnership,in which the town ofticcr,or employee has even a"partial ownership of_(or-employment by)a corporation, ,in which the town officer or employee owns more than 5%of the shares. X YES NO If you answered"YES",complete the balance of this form and bate 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 applicaitt/agenthepresentative)and the town officer or employee.Either check ,the appropriate line A)through,,D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A),the owner of greater than 5%of the shares_ of the corporate stock of the applic*n.t (when the a--plicant is a corporation); -B)the legal or,beneficial owner of any ii terest in a non-corporate entity(whett the applicant is nota corporation);_ C)an;officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this ay 200 6 Signature01 Print Name F Form TS 1 y � . PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: 4 F A Hanus & O R Family- Trust 635 Lupton Roint ,Roat9, Mattituck 119 Kreilinq Famiy 2007 Irv. Trust P.O. Rox 757 Mattituck, NY 11932-0 Janet C n Mitchell Rev, Trust 750 'Lupton point Road, Mattituck, N F A Hanus & O R Family Trust 635 Lupton Point Road, Mattituck, NY STATE OF NEW YORK COUNTY OF SUFFOLK qgin 7r�cf , residing at j� �G- &qo � amp �L being duly sworn;deposes and says that on the day TTRE2 A , 20deponent mailed a true copy of the Notice set forth,in the Board of Trustee Application,directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons-are the address df said persons as shown on the current assessment roll of the Town of Southold; that said No ices ere mail t the United States Post Office at - .p; Vq that said Noti w mail to each of said persons by CERTIM D MUL/kETORN RECEIPT. Sworn t2j§efore me this /6 Day of -i b 20 / 7 J Notary Public P'.TMCIA N9, MC CHESNEY !otary Publl -Uv York �t�� ��; •t.,,� X90 Q, al,f;r,1 .n Suffolk COUn,+ .Omm„ ._,ras senS6 O f t F-1 TM U.S. Postal.Service ceTM I I U.S. Postal Servi r-1 � CERTIFIED MAIV RECEIPT ■ ® MAILO RECEIPT rU Domestic Mail.,only, Ln Domestic mailpttjy nI R� WPM r,-rl MA MIA ZO., : Ln $ rr fU *3.3-5 rU ertified M Uee Ext 0 1 $3.35 7 Ln 88 Gas&Fees(checOkb $ �.Ziz I - zt- ❑Return Receipt(hardeopy) 0 EKtrma CBS&Fees(chec�kbcw,ad Fee P 03 tel El Return Receipt(electronic) $ Retum Recelpt(hardeopy) Oertiffed Mall Restricted Delivery $ POEtqark, El Return Receipt(eledronic) I $ 490 qq �E lc:"j ostff — E]Adult Signatu're Required $ Law- Certified Mail Restricted Delivery $ _prk E]Aclult Signature RestricatedDellu$ LQ OAdult Signature Required $ = quy _X El Adult Signature Restricted Dallvmery$ —0 $Postage $0.70 Postage Total Postage and $0.70 $61.80 '02/02/ 0 ::]Iz:�i 1pi:� $ aa and'fr. r=1 S nt To - $ Ac Lr,!ti Sent To 171% v est an APLQ��f ox a ---------------- ------------- S ------------------------------------------------- v- Pb�11 ------------- -------------- iCeTM 4� U.S. Po stal Sery rV M S � :Posta , I e I ice' CERTIFIED MAIL(� RE:C,EI.P,--'T Domest' OCERTIFIED MAIL@REC �c Mail- nlyLE];PT id stic Dome, ih a, MA TOT PC Certified Mall Fee r•U- a &5, Certified Mall so Lr) $ 9 M. $ F�draServices&Fees(chs...., - 2017 Ln $ ❑Return Receipt Qlardeopy) ori Retunn Receipt(electron1c) Q- Zt- 0 Return Receipt(hard.py) $ kNI, 0" $PS A ost GOrtiffed Mall Restricted Delivery $ El Return Receipt(electronic) $ He Postmark 0 E]Adult Signature Required i 'a, Here ❑ll� 0-nffl-d Mall Restricted Delivery $--4. Adult Signature Restricted Delivery$ OAdult Signature Required $ Postage - E]Adult Signature Restricted Delivery$ $ $0.70 - Postage M Total Postage and Fees - !02/2017 I $ $ $6.80 Total Pasta-go and Ff 0 02/1012/ Ln 0" Sent To 0 k 179 Lr) rq 5 nt NO a.,a ----------------- 4019, ------ ---------------- ----AL ,-qs- ------------ c. ------ Chu&scarst. Boa. ------------- PS-S YN-------Ani- ---------------------------------------- Ell COMPLETE THIS SECTION ON DELIVERY COMPLETE THIS SECTION ON DELIVERY .�ENDER: COMPLETE THIS SECTION SENDER: COMPLETE THIS SECTION A Signature ■ Complete items 1,2,and 3. A. Signature 0 A I ■ Complete items 1,2,and 3. ✓'tel —6 ❑Agent ■ Print your name and address on the reverse X ❑A ■ Print your name and address on the reverse ❑Addressee 14 so that we can return the card to you. so that we can return the card to you. eceived y(P nt d ) C.Date Lf Del ery ■ Attach this card to the back of the mailpiece, B• Receive by(Printed Name) C.Date of ■ Attach this card to the back of the mailpiece, nature or on the front if space permits. or on the front if.space permits. j 1. Article Addressed to: D.Is delivery address different from item 1? 0 Ye 1. Article Addressed to: D. Is delivery address different from item 1? E3 Ye l F. A Hanu s & 0 73 'Family Tr U +- If YES,enter delivery address below: ❑N If YES,enter delivery address below: No j Janet C'. ID Mitchell- 635 Lupton Point Road Rev. Trust 60- 970 Mattituck, NY 11952 750 Lupton Point Road Mattituck, NY 11952 j 3. Service Type ❑Priority Mail Exq 3. Service Type ❑Priority Mail&prr s® II I IIII II IIII III II I I I II I IIII I II I I II I I I I I II 11 Adult❑Adult Signature istered MaIITm Restricted Delivery q Registered Mail II I IIIIII IIII III I II II I I II I Ilill I II I II III II I III 0 Adult❑dult Signature Restricted Delivery ❑tjeggl�tered Mall Restricted 9590 9402 1938 6123 6120 37 Certified MaIIO Delivery M 13 Certified Mall® Delivery ertified Mail Restricted Delivery ❑Return Receipt f 9590 9402 1938 6123 6120 44 13 Certified Mail Restricted Delivery ❑Returnrch ndisReceipt far ❑Collect on Delivery Merchandisq I ❑Collect Gp Delivery Merchandise ❑Signature Confir _ ❑Collect on Delivery Restricted Del ivery [3 Signature ConfirmationTM' 2. Article Number(Transfer from service labe ❑Collect on Delivery Restricted Delivery 9 i; q Signature Confirmation �_ — 13 Insured Mal ❑Signature Confir 2 Article Number(Tra,�sfer from SeNiCe label)_ -f Insured Mall; Restricted Delivery, Insured Mail Restricted Delivery Restrict- - 7 15::0 6 4 0 0 0 4 -5 2 9 2• i 7 5 21' ' �Insur% ail Restricted Delivery A 701.5 0640 -0004 '5291 9052 - (over$500) (over$5oo) u y PSN Domestic Return Redeji�t i. 7530-02-000-90531Domestic a n i PS Form 3811,July 2015 PSN 7530-02-000-9053 1iIorll ' li 1 iii i ti i ' ft iff ' i 1 • , COMPLETE THIS SECTIONON• ■ Complete items 1,2,and 3. A. i nature ■ Complete items 1 2,and 3. A. Signature I ❑Agent p ❑Ag ■ Print your name and address on the reverse 1 ■ Print your name and address on the reverse X ❑Ad� so that we can return the card to you. 13 Addressee so that we can return the card to you. ®11 1 GBa3 bei d b ( rin#ed Name) C.Date of Delivery ■ Attach this card to the back of the mail lece, B. Received by(Printed Name) C. Date of ■ Attach this card to the back of the il�ite e, _"5 P j or on the front if space permits. or on the front if space permits. i. Article Addressed to: D. Is delivery address drfferentfrom item 1? 0 Yes 1. Article Addressed to: �-! g" b. I dES,, address-differen from item 1? ❑Yes 7 ,� F, ry Zreiling Family N ��� If YES,,.en essbelow: ❑No If YES,enter delivery address below: ❑No I T E A panus R O amily Trus : I r -,t co 635 Lupton Point goad 2007 Irv. Trust e;;, rlattituck, QTY 11952 j P.O. Box 757 Aj 1 Mattituck, NY 11 452 0757 4 >9 II I IIIIII IIII III I III I(IIII III II I`I III I II I II III ri II IIIIIIIIIIIIIII II II I I II I (IIIIIII I IIIII l�fI�9Z q(sefvi&Type 13 Priority Mail ressO p•Mult Signature ❑Registered MaIITM q AdSigna 3, Service Type ❑PdontyMad Exp ❑Adult Signature ❑Registered Mal^ signal Reeticted Delivery E3 Registed MolRestricted ❑Adult Signature Restricted Delivery ❑Registered Mad Fi 9590 9402 1938 6123 6120 51 Che fled Mails Delivery 58�ertified Mail® Delivery I ❑Certified Mail Restricted Delivery E3 Return Receiptfor 9590 9402 1253 5246 0551 78 ❑Certified Mail Restricted Delivery ❑Return Receipt 15 ❑Collect on Delivery Merchandise ❑Collect on Delivery Merchandise ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTm ❑Collect on Delivery Restricted Delivery [I Signature eoosa!_2._Article Number(Transfer from service label) El Insured Mail 2. Article Numberransfer from service lobeOSignature Confirmation -insured Mail Cl❑Signature q _ c Q� -( q Insured Mail Restricted Delivery Restricted Delivery 'Insured Mail Restricted Delivery Restricted D '7015 `� � � t7—'T �_ (over$500) 7,01'5 ;0640 0004: .52911".9014, (over$500) ry I`Ps Form 3811,July 2015 PSN 7530 02-000 9053 i i Domestic Return' +P�S,Form 3811;JUIy 2015 PSN 7530 02-000 90531 i ( Domestic Return Receipt 6f Michael J.Domino,PresidentO�Q COG Town Hall Annex John M.Bredemeyer IIl,Vice-President , i�� y� 54375 Route 25 Charles J. Sandersy P.O.Box 1179 Glenn Goldsmith 1 Southold,NY 11971 A.Nicholas Krupski ® p� +� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of CAROLYN AMEEN COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE residing at/dba mC) by rpr� y` C 0 being duly sworn depose and say: That on the day of f 0Q1A , , 20 L�I ers.Tonally posted the property known as t � c I Af' —C by placing 0 Board of Trustees official poster where it can easily be seen, alld that I have checked to be sure the poster has remained in place for eight days rior to the date of the public hearing. Date of hearing noted thereon to be held Wednesdav, iAr 'ary 15 2017. r' Dated: signatu Sworn to before me this day of N 20 I otary Public DENISE MICHALOWSKI Notary Public, State of New York Qualified in Suffolk County No.01 M16233362 My Commission expires 11UTILL Ulm Ht: A K- I 'llu NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: CAROLYN AMEEN SUBJECT OF PUBLIC HEARING : For a Wetland Permit to remove the existing fixed dock, ramp, floating dock and piles; and construct a 4'x88' fixed dock with the first 25' of the landward end to be constructed using Thru-Flow decking; a 2.5'x12' adjustable ramp; and a 6'x20' floating dock in an "L" configuration secured with two float piles. Located: 755 Lupton Point Road, Mattituck. SCTM## 1000-115-11 -4.1 TIME & DATE OF PUBLIC HEARING : Wednesday, February 15, 2017 — at or about 5 :30P. M . If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Town of Southold LWRP CONSISTENCE(ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits` including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its si nificant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action-will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both Supporting and non- supnorting 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: ordine at the Town of Southold's websitc (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department,all local libraries and'the Town CIerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 115 _ 1 4.1 PROJECT NAME Dock reconstruction The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees I. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g. grant,loan, subsidy) (c) Permit, approval, license,certification: 0 Nature-and extent-of action:- ---- - - --- - - - -_--_- --- --- - - - Please see attached Location of action: 755 Lupton Point Road, Mattituck Site acreage: 0 .51 Present land use: Seale family dwelling Present zoning classification: same 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: Carolyn Ameen (b) Mailing address: 755 Lupton Point Road Mattituck NY 11852 (c) Telephone number: Area Code( ) 631 -839-80c19 (d) Application number,if any: unknown Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes 0 No❑ If yes, which state or federal agency? N.Y.S.n.F.C. 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 POLICE' Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, ,preserves opera space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LVVRP Section III—Policies; Page 2 for evaluation criteria. a Yes ❑ No ❑ Not Applicable Proposed dock w� 1 1 nc�t impact tti.e—cl�a-Tactor—off the—cam It is felt that this project_is—consist-end-with-- h3s—pow%e 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 0 'Yes ❑ No ❑ Not Applicable The project shall have no im act upon any historic or archaeological resources It is felt that this oro!ec-t is consistent with this Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LVW Section HI—Policies Wages 6 through 7 for evaluation criteria L__i Yes [:] �Tsi —1 Not Applicable —The project ro ' ect will have no im acts u _ r nor impact the visual duality of the—To•am Tt is felt that i Attach additional sheets if necessary ' 5 NATURAL COAST POLICIESWRP 'ff I Policy 4. Minimize loss of life, structures, and natural resources from loading and erosion. See L Section III=Policies Pages 8 through 16 for evaluation criteria x1:1 -1 FYes 0 No Not Applicable The project will not cause_arcel Prated erosion of adacent - o _ - Ghal l hp nn 1nss of marl ne or,� and i-hara -ai no loss of publiv recreational resc Tt J -_ felthat this i project is consistent .with this policy Attach additional sheets if necessary .Policy 5. Protect and improve water quality and supply in the Town of Southold.See LMW Section M —Policies Pages 16 through 21 for evaluation criteria y Yes ❑ No ❑Not Applicable The project --will have no negative impacts upon the aliality of l or the..auaatity -A7A'& Pr- It is fpIt That this project is consistent with this policv r I F 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 LN7MP Section 1H—Policies; Pages 22 through 32 for evaluation criteria. 11 Yes NO ,Not Applicable The project shall have no negative impacts upon the quality or function of any wetlands, ecosystems or areas' of Significant - Coastal ignificanCoastal Fish and Wildlife Habitats it is felt that this project is -consistent with this policy Attach additional sheets if necessary PoNey 7. Protect and improve air quality in the Town of SouthoRd. See LWRF Section M -- FoRries - Pamps:�Z through 34 for evaluation criteria. Yes M NO Not Applicable The project shall have no impact upon air duality. It is felt i. that this project is consistent with thisolicy _ I Attach additional sheets if necessary i e. PoRCY S. Minimize environmental degradation in T omm of Southold from solid waste aid hazardous substances and wastes. See 10, � Section ITH—pofieies,mages 34 through 38 for mluatiog crivitr a9 Yes ❑ NoPlot 1SaItcabl The project does not involve the use of or the disposal of solid waste or hazardous substances and wastes. It is felt that this project is consistent with this policy { - 1 f PUBLIC COAST POLICES Policy 9> Flirovide for public access to, and recreational use of9 coastal eaters, public lauds, and public resourccs of the Town of Southold. See lr-- �Section TY-1 —PoUciess PAges 38 through 46 for evaluation � criteria. ; r YeO No 0 leo$Applicable r _ The project will have no impact upon public access to, and 'the recreational use of coastal waters, public lands or the public resources of the Town. It is felt that this project is consistent with this policy Attach additional sheets if necessa-y WGR143NG COAST POLICIES Folic' 10. Protect South-old's water-dependent asses and piomee siting of new water-dependent uses in svdtable locations. See LWRP Section -Policies; Pages 47 through 56 for eveRuadon criter?a. 0 Yes ❑ No El Not Applicable The project will have no impact upon Southold' s water-dependent uses of or thesiting of nPw water-dependent uses in suitable locations Tt is felt that this project is consistent with this policy Attach additional sheets if necessary Polliey 11. Promote sustainable use of living maAne resoureces in Long Island Sound, the Peconie Esft.27 mad'down waters.Bee 1. `R�Sectio-a I—- Policies; Pages 57 through 62 foe�raluatnon crsteAa. ❑Yes ❑ Ido❑ Not Appucabie ` The project will have no impact upon the cubs;tai nahls- use of ti living marine resources It is felt that this project- is � consistent with this policy i Attach additional sheets if necessary PoRcy 12. Protect agricultural lands-in the T o tin of Southold.. See 1 WPX Section M--Policies; Page 62 through 65 for evaluadon criteria. ❑Yes ❑ wo x I ®tI ppc��ie j The Project does not involve agri mi 1 i-iira I 1 ants T-L ; cz fPl t that this policy is not applicable to this project t i - 4 A tach additional sheets if necessary pulley 13. _3roraote appropriate use and development of energy and neral resourew. See LWIRP Sermon M--JFoReies9 Pages 65 throa,igh 68 for evaluation crIateria. ❑Yes ❑ iqo ❑ tTqot k-w came The _nroiect does not involve the _use of or development of energy or mineral resources It is felt that this policy is not applicable to this project John M. Bredemeyer III,President �x®f S®u Town Hall Annex Michael J. Domino,Vice-President '`® �® 54375 Main Road 2, P.O.Box 1179 James F. King, Trustee '�d� Southold, New York 11971-0959 Dave Bergen, Trustee G a® Telephone(631) 765-1892 Charles J. Sanders,Trustee l Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD APPLICATION FOR AN AMENDMENT TO A WETLAND PERMIT DATE 2 5 JA7 ok 6 OWNER A-W-SeS PHONE �� I OK255 COS l MAILING ADDRESS !�S L +o n AGENT NE ADDRESS PROPERTY LOCATION 755 TAX MAP NO. Coo— / Is /I 1-+s � n -o �We 1 on� � a4l request an Amendment to Permit# � 70 S to FJ'ULeu ' J U L � � ��16 Ll 2016 thold own John M. Bredemeyer III, President ®� So(/��Ql Town Hall Annex Michael J. Domino,Vice-President O 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold, New York 11971 A.Nicholas Krupski Telephone(631) 765-1892 Charles J. Sanders o�yCouNI Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD APPLICATION FOR A TRANSFER OF A WETLAND PERMIT DATE J VI t4 2S'- 00 Ito OWNER �I r�5 I/V'a-2- PHONE MAILING ADDRESS -755 5 L,)I q12 AGENT PHONE l DJ� � l ADDRESS PROPERTY LOCATION -765 LJ' In IL TAX MAP NO. ( 000 &WeDzA-,,\a �r3e-s request a Transfer of Permit# f-705 frome'--� Signed By: -` ` I f`' \LI' �. is i 1 JUL 2 2016 Southold Town Roarr'of Trustees f ..Board of Trustees Applical _ 'n AFFIDAVIT Affs*"% � PES Fo"66 BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Sign at re of P operty Owne ("/ SWORN TO BEFORE ME THIS DAY OF , 20/6 Notary Public LJ LIZ DIANE DISALVO J U L 2 6 2016 DU NOTARY PUBLIC-STATE OF NEW YORK g 4 No. OID1475593 ) Southold Town Qualified in Suffolk County J �(5 (®___M_baro Qf Trysteec _ My Commission Expires April 30, 2 _ James F. King, President ��OF SQ(/TyO Town Hall Annex Bob Ghosio,Jr.,Vice-President 54375 Main Road P.O.Box 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer N Michael J. Domino Telephone(631) 765-1892 - CoU01� p107R614V E BOARD OF TOWN TRUSTEES MAY 2 0 2013 TOWN OF SOUTHOLD Southold Town Board f Tru e APPLICATION FOR A TRANSFER OF A WETLAND PERMIT DATE OWNER QIP PHONEC3/ MAILING ADDRESS 765 (L(//V A n AGENT C.��r�`�e S PHONE l e ) 9017 ADDRESS PROPERTY LOCATION 15_5 TAX MAP NO. I/We 06 AMLeo request q st a Transfer of Permit# 1 705 from J GK 4-0 6 7 vCf k)� Signed By. rel 4" J Board of Trustees Application AUTHORIZATION •- (where the applicant is not the owner) I, residing ,at (print owner of property) (mailing ad ess} nn f do hereby authorize Jea C'r" �23cij (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Ow er' s signature)