Loading...
HomeMy WebLinkAboutTR-684 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town H~lAnnex 54375MainRoad P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0430C Date June 12, 2009 THIS CERTIFIES that the 4'x 70' fixed catwalk with Flo-thru decking, 2.5'X 12' ramp, and 6'X 20' seasonal floating dock with 4"X 4" posts landward of MLW and 6" dia. piles seaward of MLW At 2130 Broadwaters Rd., Cutchogue Suffolk County Tax Map #104-9-13 Conforms to the application for a Trustees Permit heretofore filed in this office pursuant to which Trustees Wetland Permit #684 Dated 10/4/71 was Issued and Amended on 3/19/08 and on 11/19/08 and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for a 4'X 70' fixed catwalk with Flo-thru decking, 2.5'X 12' ramp, and 6'X 20' seasonal floating dock with 4"X 4" posts landward of MLW and 6" dia. piles seaward of MLW. The certificate is issued to SPIRO GEROULANOS owner of the aforesaid property. Authorized Signature James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD November 19, 2008 Garrett A. Strang, Architect 1230 Traveler St. P.O. Box 1412 Southold, NY 11971 RE: SPIRO GEROULANOS 2130 BROADWATERS RD., CUTCHOGUE SCTM#104-9-13 Dear Mr. Strang: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., November 19, 2008: RESOLVED, that the Southold Town Board of Trustees APPROVES the Amendment to Permit #684 to remove the existing dock and construct a new dock consisting of a 4'X 70' fixed catwalk using "Flow-Thru" decking, 2.5'X 12' ramp, and 6'X 20' seasonal floating dock, with 4"X 4" posts landward of MLW, and 6" dia. piles seaward of MLW, and as depicted on the site plan prepared by Garrett A. Strang, Architect last dated October 20, 2008. This is not a determination from any other agency. Board of Trustees JFK:lms ~'- NEW YORK $ DEC PERMIT NUMBER 1-4738-03349/00003 FACILITY/PROGRAM NUMBER(S) DEPARTMENT OF ENVIRONMENTAL CONSE PERMIT Under the Environmental Conservation Law EFFECTIVE DATE October 14, 2008 EXPIRATION DATE(S) October 13, 2013 TYPE OF PERMIT · New [] Renewal [] Modification [] Permit to Construct [] Permit to Operate · Adicle 15, Title 5: Protection of Waters [] Article 17, Titles 7, 8: SPDES [3 Article 27, Title 9; 6NYCRR 373; [] Article 19: Air Pollution Control [] Article 23, Title 27: Mined Land Reclamation [] Article 24: Freshwater Wetlands · Article 25: Tidal Wetlands Hazardous Waste Management [] Article 34: Coastal Erosion Management [] Article 36: Floodplain Management [3 Articles 1, 3, 17, 19, 27, 37; 6NYCRR 380: Radiation Control [] Article 15, Title 15: Water Supply [] Article 15, Title 15: Water Transport D Article 15, Title 15: Long Island Wells [] Article 15, Title 27: Wild, Scenic and Recreational Rivers · 6NYCRR 608: Water Quality Certification [3 Article 27, Title 7; 6NYCRR 360: Solid Waste Management PERMIT ISSUED TO TELEPHONE NUMBER Spiro Geroulanos (718) 491-6091 ADDRESS OF PERMITTEE CCI 2 0 ;13 128 Marine Avenue, Apt. 1L, Brooklyn, NY 11209 CONTACT PERSON FOR PERMITTED WORK Garrett Stran¢, P.O. Box 1412, Southold, NY 11971 NAME AND ADDRESS OF PROJECT/FACILITY TELEPHONE NUMBER (631)765-5455 2130 Broadwaters Road, CutchoCue COUNTY TOWN Suffolk Southold DESCRIPTION OF AUTHORIZED ACTIVITY: SCTM # 1000-104-9-13 IWATERCOURSE Haywaters Cove I NYTM COORDINATES Construct 4' x 70' fixed catwalk, 2.5' x 12' ramp, 6' x 20' float and three 8" piles to replace an existing dock which will be removed. All work must be in accordance with the attached plans prepared by Garrett A. Strang, last revised 6/23/08 and stamped NYSDEC approved on October 14, 2008. By acceptance of this permit, the permitted agrees that the permit is contingent Upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2 & 3) and apy Special Conditions included as part of this permit. . . PERMIT ADMINISTRATOR: I ADDRESS Acke/anrr~ ~ Ii, Region 1 Headquarters, SUNY @ Stony Brook, 50 Circle Road, Susan V. Stony Brook, NY 11790-3409 AUTHORIZE,.-/2,1UR,-~...~.~n ~/~'~'"r = I \ DATE Page 1 of 4 October 15, 2008 SPECIAL CONDITIONS 1. Any debris or excess material from construction of this project shall be completely removed from the adjacent area and removed to an approved upland area for disposal. No debris is permitted in tidal wetlands or protected buffer areas. 2. There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activities. 3. All areas of soil disturbance resulting from the approved project shall be stabilized with appropriate vegetation (grasses, etc.) immediately following project completion or prior to permit expiration, whichever comes first. If the project site remains inactive for more than 48 hours or planting is impractical due to the season, then the area shall be stabilized with straw or hay mulch or jute matting until weather conditions favor germination. 4. The storage of construction equipment and materials shall be confined within the project work area and/or upland areas greater than 75 linear feet from the tidal wetland boundary. 5. The use of wood treated with pentachlorophenol or other wood treatment not specifically approved by the Department for use in wetlands and/or marine waters, is strictly prohibited in the construction of structures that will be in contact with tidal waters. 6. Floats and ramps may not rest on or be stored in any vegetated tidal wetlands. 7. The authorized ramp and float must be installed and removed seasonally. These seasonal structures may not be installed prior to April 1 of each calendar year and must be removed by December 1 of each calendar year. 8. The float shall be installed only at the approved location with a minimum of -2.5' water depth measured at apparent Iow tide. 9. No permanent structures shall be installed on docks/catwalks/floats without first obtaining written Department approval (permit, modification or amendment). 10. Docks/catwalks/floats shall not a) extend laterally beyond property lines, b) be placed so that docked vessels extend laterally over property lines, c) interfere with navigation, d) interfere with other landowner's riparian rights. 11. At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of, and understand all terms and conditions of, this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work. DEC PERMIT NUMBER i-4738-03349/00003 PAGE 2 of 4 ADDITIONAL GENERAL CONDITR3NS FOR ARTICLES 15 (TITLE 5), 24, 25, 34 AND 6NYCRR PART 608 ( TIDAL WETLANDS) If future operations by the State of New York require an alteration in the position of the structure or work i~erein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed, the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made againstthe StateofNewYork onaccount ofanysuch removal o~ alteration. The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project. Any material dredged in the conduct of the work herein permitted shall be removed evenly, without leaving large refuse piles, ridges across the bed of a waterway or floodplain or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a waterway. There shall be no unreasonable interference with navigation by the work herein authorized. If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. If granted under 6NYCRR Part 608, the NYS Department of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitations or other limitations or standards under Sections 301,302, 303, 306 and 307 of the Clean Water Act of 1977 (PL 95-217) provided that all of the conditions listed herein are met. At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work and, if required, a survey. All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or his agent as part of the permit application. Such approved plans were prepared by: Garrett A. Strang last revised on 6/23/08. eec P£RM~T NUMBER PAGE 3 of 4 1-4738-03349/00003 NEW Y TATE DEPARTMENT OF ENVIRONMENTAL CONSERVA item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee, excepting state or federal agencies, expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, and agents ("DEC") for all claims, suits, actions, and damages, to the extent attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in connection with, or operation and maintenance of, the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not ex[end to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent or intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, includin9 all special conditions while actin9 as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of-way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others ir~ order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or p~.rsoh~/property held or vested in a person not a party to the permit. GENERAL CONDITIONS General Condition 1: Facility Inspection by the Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71-0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. General Condition 2: Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. General Condition 3: Applications for Permit Renewals or Modifications The permittee must submit a separate written application to the Department for renewal, modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. The permittee must submit a renewal application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES), Hazardous Waste Management Facilities (HWMF), major Air Pollution Control (APC) and Solid Waste Management Facilities (SWMF); and ~,} 30 days before expiration of all other permit types. Submission of applications for permit renewal or modification are to be submitted to: NYSDEC Regional Permit Administrator, SUNY @ Stony Brook, 50 Circle Road, Stony Brook, NY 11790-3409 General Condition 4: Permit Modifications, Suspensions and Revocations by the Department The Depadment reserves the right to modify, suspend or revoke this permit in accordance with 6 NYCRR Part 621. The grounds for modification, suspension or revocation include: materially false or inaccurate statements in the permit application or supporting papers; b) failure by the permittee to comply with any terms or conditions of the permit; exceeding the scope of the project as described in the permit application; d) newly discovered matedaf information or a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; e) noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. 1-4738-03349/00003 PAGE 4 OF 4 New York State Department of Environmental Conservation NOTIC The Department of Environmental Conservation (DEC) has issued permit(s) pursuant to the Environmental Conservation Law for work being conducted at this site. For further information regarding the nature and extent of the approved work and any Department conditions applied to the approval, contact the Regional Permit Administrator listed below. Please refer to the permit number shown when contacting the DEC. Permit Number Expiration Date Regional Permit Administrator ROGER EVANS NOTE: This notice is NOT a permit Garrett A. Strang Architect 1230 Traveler St., Box 1412 Southold, New York 11971 Telephone (631) 765-5455 Fax (631) 765-5490 October 20, 2008 James King, President Southold Town Board of Trustees~ POB 1179 Southold, NY 11971 OCT 2 0 2_008 Re: Geroulanos, 2130 Broadwaters Road, Cutchogue, NY SCTM #1000-104-09-13: Permit #684 Dear Mr. King and Members of the Board: Subsequent to your issuance of an amendment on 3/19/08 to the above referenced permit, The New York State DEC has required that we alter the design of the dock as follows: The Catwalk/Dock has been reduced to 70' in lieu of 95' in length. "Flow-Thru" decking, has been clearly noted on the drawings The proposed float has been noted "seasonal" 4"x 4" posts have been shown landward of the mean low water mark 6" diameter piles will only be seaward of the low water mark In addition we have lowered the height of the Catwalk/Dock to 2' above MHW from the 4' previously proposed as well as making the support posts and piles flush with the surface of the walkway. For the record, the utilities servicing the dock being replaced will be reinstated and installed in compliance with Chapter 275 section 275-11 C 2 a 12 of the Southold Town Code. I am therefore submitting 2 copies of the revised dock plan together with one copy of the DEC permit, approved drawing and check in the amount of $50.00 and respectfully request that the above referenced dock permit be amended accordingly. I regret any inconvenience this may have caused and thank you for your consideration in this matter. If you have any questions or require any additional information please contact my office. Garrett A. Strang, R.A. Architect Encs. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765~1592 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 __ 1st day of construction ½ constructed Project complete, compliance inspection. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 March 19,2008 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD Garrett A. Strang, Architect P.O. Box 1412 Southold, NY 11971 RE: SPIRO GEROULANOS 2130 BROADWATERS RD., CUTCHOGUE SCTM#104-9-13 Dear Mr. Strang: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., March 19, 2008: WHEREAS, Garrett A. Strang, Architect on behalf of SPIRO GEROULANOS applied to the Southold Town Trustees for an Amendment to Wetland Permit #684 under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated February 22, 2008, 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, in accordance with Chapter 268, said application was found to be Exempt from the Local Waterfront Revitalization Program policy standards, and, WHEREAS, the. structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit #684 to remove the existing dock, replace catwalk, dock, and floating dock in same location; dock to be landward so as to be above high water depth at float. All work must be done in accordance with the approved plans prepared by Garrett A. Strang last dated February 20, 2008. This is not a determination from any other agency. Sincerely, Oar~s F. King, Presi~CCrnt Board of Trustees JFK:lms TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES MAIN ROAD SOUTHOLD. NY 11971 50-446/214 PAY TOTHE 1389 ~ DOLLARS NORSTAR BANK "00 & :),,q, qll' m-'O 8 ~,hOhqP, Sm.' Il'? i. ]'"DO ~,O~,ll' Donald Wilder, Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., March 12, 2008, the following recommendation was made: Moved by James Eckert, seconded by Don Wilder, it was RESOLVED to SUPPORT the application of SPIRO G£ROULANOS to Amend Permit #684 to remove the existing dock, replace catwalk, dock, and floating dock in same location; float to be landward so as to be above high water depth at float. Located: 2130 Broadwaters Rd., Cutchogue. SCTM#104-9-13 Inspected by: James Eckert, Jack McGreevy The CAC Supports the application with the Condition of a 10' non-turf buffer, non-treated pilings, and a grated catwalk. Docks should not inhibit the lateral access in accordance with the Public Trust Doctrine. Vote of Council: Ayes: All Motion Carried James F. King, President Jill M. Doherty, Vice-President Pegg~ A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 27, 2008 Garrett A. Strang, Architect P.O. Box 1412 Southold, NY 11971 RE: SPIRO GEROULANOS 2130 BROADWATERS RD., CUTCHOGUE SCTM#104-9-13 Dear Mr. Strang: The following action was taken at the Southold Town Board of Trustees Regular Meeting held on Wed., February 27, 2008: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit #684 from Howard G. Meinke to Spire Geroulanos, as issued on September 20, 1971. If you have any questions, please contact our office at (631) 765-1892. Sincerely, President, Board of Trustees JFK:lms James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Applicant: Agent: Southold Town Board of Trustees Field Inspection/Work session Report Location and SCTM#: Description of Activity: Type of area to be impacted: Saltwater Wetland Freshwater Wetland __Sound __.Bay Distance of proposed work to edge of above: Part of Town Code proposed work falls under: __ Chapt.275 __ Chapt. 111 other Type of Application: Wetland Coastal Erosion __Amendment __Administrative __Emergency __Pre-Submission __Violation Info needed: Modifications: Conditions: Present Were: "'~.King ~.Doherty P.Dickerson ~"~. Bergen __ H. Cusack D. Dzenkowski Mark Terry other Form filled out in the field by: L~B. Ghosio, Jr Mailed/Faxed to: Date: Environmental Technician Review: ~'~ / 104 N C,° . -~ Town: Souff~old Datum: Low Water Hydrographic Map Prepared for:, Spire Geroulanos ~~ Surveyed: 05-11-07 -q'~ SCT# 1000-104-9-13 Situate: Nassau Point SEA LEVEL MAPPING 331-722-3390 ?,O. Box e 538 ~dvedtead, NY 11901 ROBERT H. FOX NYS PLS~ 50197 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM COORDINATOR TOWN OF SOUTHOLD MEMORANDUM Tol James King, President ,, Town of Southold Board of Trustees p( Mark Terry, Principal Planner x~X~J) LWRP Coordinator"-" Date: March 18, 2008 Re~ Proposed Wetland Permit for SPIRO GEROULANOS SCTM#104-9-13 SPIRO GEROULANOS requests an Amendment to Permit #684 to remove the existing dock, replace catwalk, dock, and floating dock in same location; float to be landward so as to be above high water depth at float. Located: 2130 Broadwaters Rd., Cutchogue. SCTM#104-9-13 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is exempt from review pursuant to Chapter 268-3, Exempt Minor Actions, item B which states: "Replacement, rehabilitation or reconstruction of a structure or facility, in kind, on the same site, including upgrading buildings to meet building or fire codes, except for structures in areas designated by the Coastal Erosion Hazard Area (CEHA) law where structures may not be replaced, rehabilitated or reconstructed without a permit". James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD APPLICATION FOR AN AMENDMENT TO A WETLAND PERMIT ADDRESS ~ ~ It, liP. PROPERTY LOCATION TAX MAP NO. I/We ~/0tO &eW/~,~OS request an Amendment to Permit Signed By~//~- ' James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095Route 25 P.O. Box 1179 Southold, New York 11971-0959 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 .... ................. COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING being duly sworn, depose and say: That on the '7 day of/'~ff ~, 200 , I personally posted the property known as by placing the B~ard of Trustees official poster whereat can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public heating. Date ofllearing noted thereon to be held ~od, ~&./~. ~ ' Dated: (si~ature) Sworn to before me this /,'-day of ;~e~)00~ //zKlotary Public Barbara A, 8tran9 NOTARY PUBLIC, New York No. 4730095 Qualified - Suffolk County Comm~ Exp res July 31,/~.~/_~ PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAlL RECEIPTS Name: Address: 128 Marine Avenue, Apt IL Brooklyn, NY 11209 $t.14 Sa.lo Total Postage & Fees $ $5.% 0971 / o3/04/Zb~/~ 75 Clinch Avenue Garden City, NY 11530 80 First Avenue NY, NY 10009 Traveler Street, Southold, New York, being duly f__.Z~ ,0 ~.~_ c. I ,ailed a true copy of the Notice set forth in the Board of ~b~tbU ....................... 2222 ........................................ [or~O~ox~. ~ ~/~S~ ~ ] I above named persons at the addresses set opposite [~~"~ .......... ] ] pposite the name of each person is the address of said .............. dl of the Town of Southold; that said Notices were a es Vos~fllce at Southold, ~, that said Notices were mailed to each of said persons by (ce~ified) mail. Sworn to before me this 04th day of March 2008 Qualified - Suffolk C.ounty Comm, Expires July 31 ,Z'~/._o. ure PROJECT ID NL~M~}E~ PART 1; PROJECT iNFORMATION 11PBC~N_T I SPONSOR 617.20 APPENd)IX C STATE ENVIRONMENTAL QUALITY REV!EW SHORT ENVIRONMEI~rrAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( TO be completed by Applicent or Project Sponsor) 2. PROJECT NAME 8EOR I. AIvIOUNT 0.~ ~DANO AFFECTED: In~l~ .]c:~ acres Ultimately · ~" ~cres WHAT IS PF~SENT LAN{) USE IN V~CINITY OF P~OJECT? (Choose as many a~apply.} '~'~'~e~'~a.ai F]#,du..i.i J--~Commercim i~g_ncul'[ure j~Par.,t-oi'esUOpen~ipece 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL ~'~Yes F-~No {f yes. I~S~ agency ne.me se~ ~e':rtIR ! ap0t'ovaf: GERT[FY THAT THE iNFORMATION PRC~hDED ABOV{~ IS fRYE lrJ r~E EEST OF MY KN~EDCE ~mplete ~e Coas~l ~sessment FO~ before proceeding web this assessment PART Ii - IMPACT ASSESSMENT ~o be completed by Lead B WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If NO. a negaUve C6. Loe, gtw~r~shor~te~m, ct.,~m~atl,m, oroltmrefle~snotidenlifiedi~C.I.CS? Eq~nbrlefty:. PART Ill. De: ~et~dtNATION OF SIGNIFICANCE [To be (x~q~p~elecl by Agency) effec~ Shotdd ~e assessed Itl connectimq with ~ts (a) setting (i,e. u~ban ;x rural); (b) ptobabir~ of OccmTing; (C) duration: (d) irreversibility: (e) TitM o[ Respor~lble Off. er Board of Trustees Apphcat]on County of' Suffolk State of New York BEING DULY SWORN 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 liE.' APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES, THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOI,D AND THE, TOWN TRI JSTEES HARMI,ESS AND FREE FROM ANY AND Al,I, DAIVIACiES AND CLAIMS AR/SIN(.} UNDER OR ElY VLKTUE OF SAID PERMIT{S), ~' CiRANTED, IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVE(S)~ TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES tN CONJUNCTION WITH REVIEW OF THIS APPLICATION. ---Si~' 'ignatuj ...... SWORN 'I'OBEI~'OREIVIE'iHiS ~O~t.~. DAY Ok' //Notary Public Barbara A. Strang NOTARY PUBLIC~ New York No. 4730095 Qualified - Suffolk County Comm. Expires July 31, [ o / LETTER OF AUTItORIZATION RE: Premises, Broadwaters Road, Cutchoguc, NY SCTM #1000-104-9-12 I, SPIRO GEROULANOS, HEREBY AUTHORIZE GARRETT A. STRANG, ARCHITECT TO ACT ON MY BEHALF WHEN MAKING APPLICATION TO THE UNITED STATES OF AMERICA, STATE OF NEW YORK, SUFFOLK COUNTY, TOWN OF SOUTHOLD OR ANY OTHER GOVERNMENTAL AGENCY IN CONNECTION WITH THE ABOVE REFERENCED PROJECT. SPIRO OEROULANOS Sworn to before me this State of New York GEORGE LILIKAKIS Notary Public, State of New Yot~ No. O1 !.16022t~33 Qua?ifiod [n Kin~s County Comm;~s[on Expires Apr. 05.20{~ APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of $outhold's Code of Ethics nmhibits conflicts of interest on the Dart of town officers and employees. The vumose of this form i~ to provide information which can alert the town of oossible conflicts ofintem~t and allow it to take whatever action is necessary to avoid same. YOUR NAME: ~ZAI~IaS, 219]'~0 (Last name, first name, middle initial, unless you arc applying in the name of someone else or other entity, such as a company. If so, indicate thc other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooting Exemption from plat or official map Planning Other (If"Oth&', name the activity.) Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or buginess interest. "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of(or employment by) a corporation in which the town officer or employee owns more than 5% oftbe 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 A-~O c~, ~.t ~ Title or position of that person Describe the relationship between yourself (the applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): __A) the owner of greater than 5% of the shares of the coq:orate stock of the applicant (when the applicant is a corporation); __B) the legal or beneficial owner of any interest in a non--cmpomte entity (when the applicant is not a corporation); __C) an officer, director, partner, or employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS 1 Submitted this ~/~day o~'~t~ ~ tY~a q' 200~ Signature To~n of Southold A. INSTRUCTIONS All applicants for permits' indc;,~ihtg l,,;~n t~i' S~mh~ld agcacics, si~ail complc[c dfi:, t'kAF ibr proposed actions that are suk~jcct to thc i,.5~ a ofSouthold ~Vatcrl)'ont Coi~sistcncy t(c~ ,c;~ ia~v. Ibis assessment is intended to sul)plk-lllClii otllcf illlblllKait)ll used by ~ 'l'OWll of Southold agcllcy in nl~illg a determination oi' coll:~i~[cnc', 'i.~t~7~l .~u/,:/' .'.gc.q~/ ttc:l/otix /nc[t~ding /h,,/h///~/ ]*crtniL~' Betbre mlswermg the qucstk,.: ;,: '4.:~t.,.~i ,.:, tl;c p~clx,:c~ of this tbm~ should l'cxlc,5 tiic cxcnlpt minor action list, policies trod ,:xt&tl~ations of eadl policy contained in tile Town of Somhold Local Waterfront Revitalization Program. ~k__proposcd action ,.viii be evakmted as to its significant beneficial ~md adverse eltbct=sS~N_n_t!A, c_9'astul ar~gt__kwhid~ ittcludes all of Southold Tt,'odl I. 3. If rely qnestion in Section C o. rids lbna is ansxxclcd "5cs" or "no", then the proposed action will affect tile acl~evemcnt of thc i. WKP ?~dlc)stamim'ds :tlld conditions contained i~ thc consistency review law. Wllus~ each a.a~cc ili[I~I..DC cxlflait~cd in del:all, listi,g both stlp{)ot'{ill~ alld llOll- conditions, it shall not bc [;4)>i,::;.i,:a. website (southoldtown.aorthtbilt..ct). [i;c iSk;:a'd ol~ t'ttistccs ()i21cC, thc Planning i)C~)ktitlHCh[, all local librm'ies and tile To;xn < 1.1 . > o;;::c DESCRIPTION OF SITE AND l'l(t.,l'o.$1.]~, SCTM#/ooo - lye O ~ ~. ~3 PROJECT NAME The Application has been submitted to (check alq>t,,pt'iat,z ~c~,t~onsc): Town Boara [~ l'hmning l.~oaJ'd ~7] l;uildi,,g Dq,,. ~ l,o:,,'d of Trustees [] Category of Town of Soutbold agent) acti,_,a hon.:ok apl>/Cq>datc response): (a) Action m~dert~en directl) ~5 i ox~n age,cS'/c.~, capimi constrtlction, plalming acti~ ¥ agone> :%,ulxtlvn. land traiksactioa) Site acreage:. Presentland use: Preseut zoning classification: If an application for the proposed action has bccn lilcd with the Town of Southold agency, the tbllowing information shall be provided: (a) Name of applicant: (b) Mailing address: (c) Telephone umnber: Area Cock ("7)~_0 : __'~- ~]./-~.~ ~ff / (d) Application number, if any: Will the action be directly undert,o&cn, require funding, or approval by a state or federal agent.v? Yes [] No ~ if yes, which state or federal agency? C. Evaluate the project to the following policies by aualyzing 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 remrued for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances com~nunity character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWPd' Scctiou III - Policies; Page 2 for evaluation criteria. 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 tbr evaluation criteria 71 ¢ Not pplica lc Attach additional sheets if necessary Policy 3, Enhance visual quality and In'Otto[ scenic resources throughout the Town of Southold. See LWRP Section Ill - Policies Pages 6 through 7 for evaluation criteria ~ Yes ~ No ~ Not Applicable Attach additional sheets if n:cessary NATUIL4. L COAS~I POLICIES Policy 4. Miuilnize loss of life, structures, ;md ls:,tar:d resources from llooding and erosion. 5c¢ LWRP Section 111 - Policies Pages 8 through 16 for cvnluatiun criteria Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the 'fm*n of Southold. See LWRP Section 111 -Policies Pages 16 through 21 for evalundon crilt'~'i:, ~ Yes ~ No ~NotAl, l,licable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Signiticant Coastal Fish and Wildlife ltabilats and ~vethmds. See LWRP Section III - Policies; Pages 22 through 32 for evaluation criteria. .~ No plicablc Attach additionalsheets if necessary ~ ............. . . ~ Policy 7. Protect and improve air quality itl thc 'linen of Suuthold. Sec LWRp Sec ira, ,ill Policies Pages 32 through 34 for evMuation critcri:,. [] Yes ~ No~ Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous subslances and wastes. SeeLWRPSeclion Ill-Policies; Pages34 through38 for evaluation criteria. ~ Yes ~ No ~ Not Applicable p UBLIC COAST POLICIES Policy 9. Provide for public access to, and recrealiunal use ol', coastal waters, public lands, and public resources of the Town of Southold. See LWI,[P Scctim~ Ill - Policies; Pages 38 lhrough 46 for cvalaatlon criteria. [] YeJ--~ No[] Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent u~cs and promote siting of new water-dcpeodent ases in suitable locations. See LWP~P Section 111 - Policies; Pages 47 through 56 for evaluation crileria. ~ Yes [] No ~ Not Al, plicablc t r-''*t,-- r..e'5/~Cz.,...~Cd . __-- Attach additional sheets if necessary Policy 11. Promote sustainable usc of liviug mat'mc resources in Long Island SOlll~tl, tile Peconic Estuary and Town waters SeeLWRPSectiou 111-1' ' ' · ohc~cs; Pages 57 through 62 for evaluation criteria. ~ Yes ~-] No [~] 3,rot Apl, licablc Attach additional sheets if necessary Policy 12. Protect agricultural lands ill thc 'l'tmii of Sotttholtl. Sec LWRP Section 111 -- Policies; Pages 62 through 65 for evaluation criteria. [~ Yes [~ No [~ Not Apl, licablc Attach additional sheets if necessary Policy 13. Promote appropriate usc and devclupment of c/lei'g), and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 I'm- cvMuation criteria. ~--] Yes [] No ~] Not Applicable Garrett A. Strang Architect 1230 Traveler St., Box 1412 Southold, New York 11971 Telephone (631) 765-5455 Fax (631) 765-5490 r eumar? 2 l, 2008 James King, President 5outho!d Town Board of !'mstees POB ! ! 79 Southol& ?~f 11971 Southhold hwfl 8oard of Trustee~ ~c,tL lvn. t~m¢_ alld ~wembe~n o.c+~'..e ~m}mu.~ Enclosed is al! required infiormatio.n, together with a check .n the amount of $250.00 in connection with the abov,, eterenceu property. have any ouest ons re~ardin s matter please 1¢¢~ very Ltb. l.~ yom,',. ~A Strang, R A, Garrett A. Strang Architect 1230 Traveler St., Box 1412 Southold, New York 11971 Telephone (631) 765-5455 Fax (631) 765-5490 January l7, 2008 James King, President Southold Town Board of Trustees POB 1179 Southold, NY 11971 Re: Geroulanos, 2130 Broadwaters Road, Cutchogue, NY SCTM #1000-104-09-13 Amended Permit #684 Dear Mr. King and Members of the Board: We respectfully request a presubmission conference and on-site assessment at the above referenced premises for the purpose of amending the existing dock permit. Specifically, the existing dock is in need of significant repairs, is very narrow and difficult to access at high tide. My client would like to remove the existing dock structure and replace it with a new 4' wide by +/-75' long elevated catwalk/dock, 2.5' wide x 12' long ramp and 6' wide x 20 feet long "T" float in a new location approximately 20' east of the existing. This location will provide more water depth and be higher above the surface of the water than the existing. If the Board is not agreeable to the above, as an alternate (although less desirable), we propose to remove and replace the existing in the same location with a new 4' wide x +/-95' long elevated catwalk/dock, 2.5' wide x 12' long ramp and 6' wide x 20 feet long "L" float. Both of the above have the catwalk extended landward so as to be beyond the average high water mark and edge of wetlands. I have enclosed a copy of the preliminary site plan for your review and reference showing each of the above as alternates "A' & "B" respectively. Also enclosed is my check in the amount of $50.00 for the fee together with a copy of a letter of authorization to act as the Owners agent. I look forward to hearing from your office as to the earliest date and time this conference can take place so we can make the formal application. Thank you for your consideration in this matter. Garrett A. Strang, R.A. Architect Garrett A. Strang Architect 1230 Traveler St., Box 1412 $outhold, New York 11971 Telephone (631) 765-5455 Fmx (631) 765-5490 January l7, 2008 James King, President Southold Town Board of Trustees POB 1179 Southold, NY 11971 Re: Geroulanos, 2130 Broadwaters Road, Cutchogue, NY SCTM #1000-104-09-13 Permit #684 Dear Mr. King and Members of the Board: We respectfully request that the above referenced dock permit # 684 issued on 9/20/71 to Howard G. Meinke be transferred to the present Owner Mr. Spiro Geroulanos at your earlier convenience. I have enclosed my check in the amount of $50.00 in payment of the fee for this transfer. If you have any questions or require any additional information please contact my office. Thank you for your consideration in this matter. Very truly yours, Garrffa A. Strang, R.A. Architect LETTEI4 ()F z~,C)'l't tOkiZz~TiON RE: Premises, Broadwaters Road, Cutchoguc, NY SCTM #1000-104-9-12 1, SPIRO GEROULANOS, HE. BY AUTHORIZE GARRETT A. STR~G, ARCHITECi T,o ACT ON MY BEHALF ~EN MAKING ~PLiC/~ i'IGN TO T~ UNITED STATES OF ~ERIL':x, S ~ ~'l'i:~ OF Ni:iW YORK, SUFFOLK COUNTY, TOWN OF SOUTI-IOLD OR ANY OTHER GOVE~NT~ AGENCY IN CONN~SCTION WITH TttE ABOVE REFE~NCED PROJECT. Sworn to before me this '%1 ,; ~ [l~ay ~ ~*~, 2007 Notary PulSli¢ State of New York GEORGE LILIKAKIS Nol~ry Publk:, State of Now York Qualified in Kings County Commission Expires Apr. 05, 20~ ~ TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES PERMIT NO. ~.~4 Pursuant to the provisions of Chapter 615 of the Laws of 1893 of the State of New York; Chapter 404 of the Laws of 1952 of the State of New York; the pro- visions of an ordinance entitled"Southold Town Ordinance Regulating the Placing of Obstructions in and on Town Waters and Public Lands, and the Removal of Sand, Gravel or other Materials from Lands under Town Waters", and in accord- anee with the resolution of the Board of Trustees of the Town of Southold adopted at a meeting of said Board on Sep.t~mber..20,..1971~ and in consid- eration of the sum of $ .2.3.,.5.0. , lawful money of the United States, paid by . .~r..d..G.:. ~ .~.i.n.k..e ..... residing at .B.r..°~. J.dl~...t.e.r.s...P~..-. ~ · Cu.~q~-°g-~4? New York, the said Board of Trustees of the Town of Southold, Suffolk County, New York, hereby authorized and permits said . .~o~-=u:d. ~.,..l~eimke ...... to rebuild and enlarge an existing dock to 47 ft. by 2~ ftc, ali in accordance with the application sut~itted. Location of dock: }Iay~a~er$ Cove, Cutchogue~ ]~ew York. The said ~toward G. Meinke as part of the consideration for the issuance of this permit does hereby release the said Board of Trustees and the Town of Southold from any and all damages, claims for damages or suits that may arise or occur directly or indirectly as a result of any operation carried on under and pursuant to this permit, and will at his own expense, defend any and alt suits which may be brought by third parties, as a result of any operation carried on pursuant to or in accordance with the terms of this permit, and assume full liability with respect thereto to the complete exclusion of said Board of Trustees and the Town of Southold. 2. 3. 4. THIS PERMIT is subject to the following terms and conditions: That there shall be no unreasonable interference with navigation as a result of the work herein authorized. That there shall be no interference with the right of the public to pass and repass along that portion of the beach between low and high water mark. That the work shall be subject to the supervision and approval of the said Board of Trustees or its agents. That if future operations of the Town of Southold require the removal and/or alteration in the location of the work herein authorized, or if, in the opinion of the Board of Trustees of the Town of Southold, such work shall cause un- reasonable obstruction to free navigation, the said ... Howard..~. I~Iaink~ will be required upon due notice from the said Board of Trustees, to remove or alter the location of the work hereby authorized without expense to the Town of Southold, so as to render navigation reasonably free and unobstruct- ed. The authority conferred by this permit may be terminated by the B°erd of Trustees for o failure on the part of the said ....... .~...o...~...~.~...G...~...~.~...~..~...~. ...................................... to comply with the terms and conditions herein iml~osed. In the event of such termination, 'this permit shall be deemed revoked five (5) days after the date when the Board of Trustees shell mail to the said ................. ~o~'¢L.G.,,.~e,i,n3~ ............................ at the address given in his application, (3 certified copy of a resolution of the Board of Trustees directing such termination. IN WITNESS WHEREOF, the said Board of Trustees of the Town of Southold has caused its corporate seal to be hereunto affixed and these presents to be subscribed by o majority of the said Board of Trustees, the day and year above written. seal · . (L. S.) (L. S.) STATE OF NEW YORK ) SS: COUNTY OF SUFFOLK ) oersonally appeared Aivah B, Goldsmith, John F~ [4c~Nulty, Frank Da~son~ Douglas ~. Rob~rtson~ George Ao Si~$on, all .personally known to me, who, being by me duly sworn, severally said that they each resided in the Town of Southold, County of Suffolk, State of New York, and were members of the Board of Trustees of said Town of Southold and constituted a majority of the same; that they knew the corporate seal of said Town of Southold; that the seal affixed to the foregoing instrument wes such corporate seal; that it was so affixed thereunto by order of the Board of Trustees of said Town of 5outhold and that each one signed his name thereto as FILED= October 5 ~ t971 o E-~f~mJ~.~ien Ex;~ires March 30, TOWN OF SOUTHOLD BOARD OF TOWN TRUSTEES TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Examined ................................ 19 ..... Application No. ~ ................. Approved . ................. Permit ·.. chairman, Board of Trustees APPLICATION FOR PERMIT A. This application to be completely filled in by typewriter or in ink and submitted to the Town Trustees in dup- licate. B. Plot plan showing location of lot and buildings on premises, relation to adjoining p~emises, public streets, parks. etc., and giving detailed description of proposed layout of project must be drawn on diagram which is part of this applica'tion. C. The work covered by this application may not be commenced before the issuance of a permit. D. Upon approval o{ this application, Town Trustees will issue a permit to applicant. Such permit shall be kept on the premises and available for inspection at all times. E. Applicant ghall notify the Board of Trustees upon completion of the work covered by permit. APPLICATION IS HEREBY MADE to the Board of Trustees of the Town of Southold, Suffolk County, New York, for the issuance of a permit pursuan't to the laws, Ordinances and regulations governing construction of: docks, piers, bulkheads, jettys and dredging in, under, and over the waters of Town of Southold. The applicant agrees to comply with ali applicable laws, ordinances, regulations and conditions specified by said trustees, and to hold the Town of Southold, and all Town officials free from liability and damages of any kind· wo~,r~'_~ G. Meinke Name of Owner of Premises . .%-../. ............................................................................ ~ ~' ~ * ~D~d~ i~S~ ~ Ol~u~ ~tl~;C~.~l~ ............................ Street Address of Property ....B._~.~.?~.%~a. 7.e?.8. · ~ '~ ~ ~' ~ ' ~ ~ ' ~-.~' ~ ~- w ~ Home Address If Other Than Location ....................................................................... Creek, Bay or Harbor Fronting Property .. Ha-~waters Cove Permits Requested To: ...... ~.~.b.u~.-d dock .; ..... Size of Proposed Work: Length . 47~ Width 2½~ Heighth Above High Water 2~ Depth Below Low Water .............. Average Rise In Tide .... ~ .......... Yards to Be Excavated ............ Width of Canal, Creek or Bay Fronting Property ~0© ~ Depth at Low Tide .................. Is This For Private or Business Use? ........ .~...z~'.'-~ .+~. ....................... Area Zoning . :~.,~.s..i¢.e.n.}i..a~..~..~. Complete plot plan to be drawn on reverse side of this application. STATE OF NEW YORK ) )s.s. COUNTY OF~/~ ) ~~eing~y swor~-3 nd says that he is the applicant for the above described 'permit, and 'that all statements contained herein are true to the best of his knowledge and belief; that the work will be done in the manner s~ forth in the application and as approved by the Board of Trustees of the Town of Southold, and the applicant agrees to hold the Town of Southold and said trustees harmless and free from any and all damages and claims arising under or by virtue of said permit. . ~ (applicant) Sworn to before me thi~.../.'~.~..., day of J;JD~T ~ . ~ N"~ ~ ~ '''' ..... ................... Commission SITE SITE AREA TAX MAP # FILED MAP DATA ZONING FLOOD ZONE WATER SUPPLY USE EXISTING PROPOSED BROADWATER$ CQVE ,L 2008 DATA 0.98ACRES - 42,714SQ. FT. 1000 - 104 - 09 - 13 AMENDED MAP "A" OF NASSAU POI FILED AUGUST 16, 1922, FiLE No. 15 NASSAU POINT, TOWN OF SOUTHOI SUFFOLK COUNTY, NEW YORK APPROVED BY BOARD OF TRUSTEE: TOWN OF SOUTHOL DATE ~J//'~'/Z/~ R - 40/RESIDENTIAL "AE" (e!,- 8) & "X" SUFFOLK COUNTY WATER AUTHORITY SINGLE FAMILY DWELLING SINGLE FAMILY DWELLING NOTE: THIS SITE PLAN WAS PREPARED WITH INFORMATION TAKEN FROM A SURVEY MADE BY JOHN C. EHLERS, LAND SURVEYOR~ RIVERHEAD, NEW YORK DATED: NOVEMBER 30, 2006 TOPO: FEBRUARY 3, 2007 ALL ELEVATION AND COUNTOUR LINES ARE REFERENCED TO N,G.V.D. THE EDGE OF WETLANDS AND LOW WATER LINE WAS DETERMINED BY ROBERT H. FOX, PLS, OF SEA LEVEL MAPING, RIVERHEAD, NEW YORK DATED: MAY 11, 2007 GA E TT A. architect 1230 Traveler Street Southold STRANG N,Y, 11971 631 765- 5455 I Z/// 9 il," ;%. NOTE: THIS SITE PLAN WAS PREPARED WITH INFORMATION TAKEN FROM A SURVEY MADE BY JOHN C. EHLERS, LAND SURVEYOR, RIVERHEAD, NEW YORK DATED: NOVEMBER 30, 2006 TOPO: FEBRUARY 3, 2007 ALL ELEVATION AND COUNTOUR LINES ARE REFERENCED TO N.G.V,D, THE EDGE OF WETLANDS AND LOW WATER LINE WAS DETERMINED BY ROBERT H. FOX, PLS, OF SEA LEVEL MAPING, RIVERHEAD, NEW YORK DATED: MAY 11, 2007 GAlqlR ETT A. STI~ANG architect 1230 Traveler Street Sou/hold N.Y. 11971 631- 765- 54,55 SITE DATA SITE AREA TAX MAP # FILED.MAP DATA ZONING FLOOD ZONE WATER SUPPLY USE EXISTING PROPOSED 0.98 ACRES - 42,714 SQ. FT, AMENDED MAP "A" OF NASSAU POINT FILED AUGUST 16, 1922, FILE No. 156 NASSAU POINT, TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK R - 40/RESIDENTIAL "AE" (e!. - 8) & "X" SUFFOLK COUNTY WATER AUTHORIT~ SINGLE FAMILY DWELLING SINGLE FAMILY DWELLING ~ATE f. OARD 0,':' l ,.:-: .... ~ ToWN OF sOUTHOLD . Idffi/o% OCT 2 0 2O08 Sm~r¢ al Trustees