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Home My WebLink AboutTR-3912 James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall Annex 54375 Main Road 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 # 0834C Date: January 8, 2013 THIS CERTIFIES that the existing bulkhead with return and the repair/replacement of existing landings and steps to the beach using untreated lumber or composite with the upper platform and bench seating to be moved 3' landward At 205 West Road, Cutchogue, New York Suffolk County Tax Map # 110-7-12 Conforms to the application for a Trustees Permit heretofore filed in this office Dated February 20, 1991 pursuant to which Trustees Wetland Permit #3912 Dated May 3, 1991, was issued and Amended on September 19, 2012, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the existing bulkhead with return and the repair/replacement of existing landings and steps to the beach using untreated lumber or composite with the upper platform and bench seating to be moved 3' landward. The certificate is issued to PEQUASH RECREATION CLUB, 1NC. owner of the aforesaid property. Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Ch. 111 INSPECTION SCHEDULE ' Pre-construction, hay bale line/silt boom/silt curtain day of construction constructed ~/~ Project complete, compliance inspection. INSPECTED BY: COMMENTS: ~Oal~¢ /Cwp~k~ James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michnel J. Domino Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 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 I st day of construction ~ constructed __ Project complete, compliance inspection James F. King, President Bob Ghosio, Jr., Vice~President Dave Bergen John Bredemeyer Michael J. Domino Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 19, 2012 Pequash Recreation Club, Inc. C/O Mr. Walter J. Krupski, Jr. 315 Pat Lane Mattituck, NY 11952 RE: PEQUASH RECREATION CLUB, INC. 205 WEST ROAD, CUTCHOGUE SCTM# 110-7-12 Dear Mr. Krupski: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, September 19, 2012: WHEREAS, Walter J. Krupski, Jr. on behalf of PEQUASH RECREATION CLUB, INC. applied to the Southold Town Trustees for an Amendment to Wetland Permit #3912 under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated August 24, 2012, 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, 2 BE IT FURTHER, RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit #3912 to repair/replace existing landings and steps to the beach using untreated lumber or composite; with the condition of the upper platform and bench seating be moved 3' landward, and as depicted on the project plan prepared by Walter J. Krupski, Jr. received on September 4, 2012, and stamp approved on September 19, 2012. This is not a determination from any other agency. Sincerely, James F. King, Pm~ident Board of Trustees JFK:amn James F. King, President Bob Ghosio, Jr., Viee-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall Annex 54375 Route 25, P.O. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631 ) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated ~/7..q-/l~ t I has been reviewed by this Board at the regular meeting of ' ~/l~/l~ and your application has been approved pending the completioh 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) __ ½ Constructed ($50.00) v//' Final Inspection Fee ($50.00) __ 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: TOTAL FEES DUE: $ ~_~, D~ BY: James F. King, President Board of Trustees Peter Young, 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., September 12, 2012 the following recommendation was made: PEQUASH RECREATION CLUB, INC. to Amend Wetland Permit #3912 to repair and/or replace existing landings and steps to beach using untreated lumber. Located: 205 West Rd., Cutchogue. SCTM#110-7-12 The CAC did not make an inspection, therefore no recommendation was made. James F King. President Bob Ghosio, ,Ir. Vice-President Dave Bergen John Bredemeyer Michael J. Domino P.O Box I 179 Southold. NY 11971 Telephone (631 765-1892 Fax (631 ) 765-6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: Walter J. Krupski, Jr. on behalf of PEQUASH RECREATION CLUB, INC. requests an Amendment to Wetland Permit #3912 to repair and/or replace existing landings and steps to the beach using untreated lumber or composite. Located: 205 West Road, Cutchogue. SCTM# 110-7-12 TY,~sa of area to be impacted: Itwater Wetland Freshwater Wetland Distance of proposed work to edge of wetland P.,~c'~f Town Code proposed work falls under:' ' Chapt.275 Chapt. 111 other __Sound Bay Type of Application: Wetland __Administrative__Emergency __ Coastal Erosion Amendment Pre-Submission Violation Info needed: Pres..e~qt Were: J. King B. Ghosio__ ~' J. Bredemeyer. Michael Domino Form filled out in t~e field by Mailed/Faxed to: Date: D. Bergen, D. Dzenkowski other Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO ..... 391g DATE: ...May 3, 1FJFJ1 ISSUED TO ....... Tt~e..l~eq,, 2~ k...Club .................................................................... Pursuant fo the provisions of Chapter 615 of the Laws of the State of New York, 1893; end Chapter ~t0e, of fha Laws of the State of New York 1952: and the Soufhold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBUC LANDS end the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with the Resolution of The Board adopted afa meeting held on .Ma.¥...g .... 19....c11 , end in consideration of the sum of $...150.~.(].Q ..... paid by ..... JOI~T~. G~idema.~..oa..behal~ o£...the...~eq~h...C;].~b ....................... of ........................................................................... N. Y. and subject to the Terms end Cond~tlons llsfed on the reverse side hereof, of Soufhold Town Trustees authorizes and permits the following: Construct a timber bulkhead 100f long with 1-10~ return. all in accordance with the detai~ed specifications as presented in - the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal fo be affixed, and these presents to be subscribed by a majority of the said Board as of this date. OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cot. Main Rd. & Youngs Ave.) Southold, NY 11971 MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Jim King, President Town of Southold Board of Trustees SEP 1 2012 From: Mark Terry, Principal Planner LWRP Coordinator Date: September 17, 2012 Re~ Wetland Permit for PEQUASH RECREATION CLUB, INC. SCTM# 110-7-12 Walter J. Krupski, Jr. on behalf of PEQUASH RECREATION CLUB, INC. requests an Amendment to Wetland Permit #3912 to repair and/or replace existing landings and steps to the beach using untreated lumber or composite. Located: 205 West Road, Cutchogue. SCTM# 110-7-12 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 LWRP review pursuant to: § 268-3. Definitions. MINOR ACTIONS item "G" which states: B. Replacement, rehabilitation or reconstruction of a structure or facility, in kind, on the same site (inplace), including upgrading buildings to meet building or fire codes, except for structures in areas designated by the Coastal Erosion Hazard Aroa (CEHA) law where structures may not be replaced, rehabilitated or reconstructed without a permit and shoreline erosion control structures (including, but not limited to, groins, jetties, bulkheads, filled piers) located within Groat Peconic Bay, Cutchogue Harbor, Little Peconic Bay, Hog Neck Bay, Noyack Bay, $outhold Bay, Shelter Island Sound, Pipes Cove, Orient Harbor, Gardiners Bay, Long Island Sound, Fishers Island Sound and Block Island Sound (excluding all creeks); Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Michael J. Domino Fax (631) 765-6641 BOARD OF TOWN TRUSTEES/!/ ~' ., .... ?o~o~o~.o~0 /~ ~i ~ ~ ~ ~01~ APPLICATION FOR AN AMENDMENT TO A WETLA~ DATE OWN ER ADDRESS AGENT PHONE eatrc~,o a,,~- x., 7 //?5_5" ADDRESS J/~- fl/~r Z,4~/e ,4t, vrr,rdc4e/ ~'. ~. PROPERTY LOCATION TAX MAP NO. /fOal -- --//~> - /'9- //?zf PROJECT ID NUMBER PART 1 - PROJECT INFORMATION I APPLJCANT / SPONSOR 3.PROJECT LOCATION: PRECISE LOCATION: Street Addess and Road Intersection~ IS PROPOSED ACTION: ~ New DExpansion ~i,cation/altoration 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2. PROJECT NAME Prominent landmarks etc -or provide map SEQR /x-lC. DESCRIBE PROJECT BRIEFLY: 7 AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 8. WIL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? [~Yes [] No If no, describe briefly: 9 WHAT iS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply) [~Residential [~]lndustrial E~]commercial E~]Agriculture ~]Park/Forest/OpenSpace [~Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (F d._.~, State or Local) I~Yes ].~o If yes, list agency name and permit / approval: 11. DOES A YI~SPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? r~Yes J~No If yes, list agency name and permit / approval: 12. AS A RE:~ULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? E~Yes I CERTIFY THAT xT,~E INFORMATION PROVIDED ABOVE IS TRUE TQ THE BEST OF MY KNOWLEDGE Applicant/ Spons,~ Nam'"~/5~"¢-4)~. /]~--C/~/~) C{6J/~/ ]1~, Date: 2- If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proeeedin~ with thi~ assessment PART II - IMPACT ASSESSMENT ~To be completed by Lead Agency} A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If yes. coordinate the review process and use tha FULL FAF. I--I Ye. 171"o B. W~LL ,~CTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative dectarafion may be superseded by another involved agency. C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED W~TH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwater qualib/or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain bdefly: fi C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or cemmunity or nstghb~hond character? Ex~laln btie y: C3. Vegetation ~r fauna, fish, shellfish or wlldlite species, significant habitats, ~ threatened or endangered species? Explain briefly: C4. A cemmunlty's existing plans or goals as officially adopted, or a chenge in use or intensity of use of land or other natural resources? Explain bfletly: C5. Growth, subsequent development, or related activities likely Io be induced'~y {he p~-opesed acti~)n~ I C6. Long tern1, short term, cumulative, or other effects not identif'~-=~d'in"~'-~5? Explain brieflyl C7. Other impacts (inc~oding changes in use of either quantity or t),pe of ener~ly? Ex~lain briefly: WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL ARFA fCEJ~? Ill ~tes, ex~lain briefly: E. IS THERE, OR IS THERE LIKELY TO B[~i CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes ex~)tain: I--I Yes 1'71.o PART III - DI= i ~.RMINA'nON OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effec~ identified above, determine whether it is substantial, large, important or ofhen,~se significanL Each effect should be assessed in connection with its Ia) setting (i.e. urban or rural); (b) probability of ocuun'ing; (c) dumtlen; Id) irreversibility; (e) geographic scope; and If} magnitude. If necessa~, add attachments or retemnce supporting materials. Ensure that explanations contain sufficient detail to show that ail relevant adverse impacts have been identified and adequately addressed. If question d of pad ii was chect(ed yes, the determination of signlf~,,an ce must evaluate the potential impact of the proposed action en the · nvironmental cha rac~e~sti=s of {he CEA. ~C~aad/~xthla box if you have Ideal, ed one or more potentially large or signlf~ant adverse impacts which ~AY occur. Then pro~end dire~Jy to the FUU prepare a positive deciaratien. Check this box If you have tieta~mleed, based on the Inf0~Tnstien and analysis above and any suppe~ng denumentatise, that the~ actor 1NILL NOT result in any significant adveme envtrenmental impacts AND provide, on attachments as necessary, the masons Supp~xilng thl~ determination. Board of Trustees Name of Lead Agency Print or T~pe Name of Responsible Officer in Lead Agency Siv~ature ~f Responsible Officer i~ Lea~A'ge ncy Date President [] Title of Responsible Officer Signature of Preparer (If different fi'om responsible officer) James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemcyer Michael J. Domino Town Hall, 53095 Main Rd. P.O. Box 1179 Southold, NY 11971 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 PEQUASH RECREATION CLUB~ 1NC. COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING being duly sworn, d p y: That on the ¢ da,, of ~~ 201 ~ nersonally posted the prop~y known as by placing the Board of Trustees 6fficial poster where {t c~ easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of heating noted thereon to be held Wednesdav~ September 1% 2012. Sworn to before me this /~/day of/~20/,9- Notary Public PATRICIA RICHERT Notary Public, State of New York No, 30-4741154 Qualified in Nassau / Sufftl~ C~pti.e$ Commission Expires ,lO/.,]/ PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS / STATE OF ~W CO~Y OF S~FOLK ~lJ,~6/%r~, Z~, ]~t~d?..f£,'t 7/~. , residing at ".~/~ ! ff?5'Z' lT~n- _ being duly sworn, deposes and says that on the /7/ ~:~ day of .5'Cp~m, tg, oz~ ,20~ deponent mailed a tree copy of the Notice set forth, in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the. United S .tares Post Office at/rp//~ r--rFvtJcK~ ~.J .t~, , that said Notices were mailed to each of said persons by (cerfified)~ait. ' Sworn to befOre me this 4 Dayof ~O "Y- , 20l~' Notar~ Public Irt ~ Posta;e $0.~1~ Certified Fee $2 · ~ (Eedorsement Required) $2.~ $0.~0 ~ TOtal Postage & Fee~ SS .'~ ~r~° ~IC//o~,~ ~ ~$/.~oz~- ~-~,o~ I i~ [_o_r_~O..~o.~..~.o..__r-] '~t, AptY~? ......................... '~ ~2~,~ ~......,~.~. , ........; r,.....~ ! ......... Postage Certified Fee Return Receipt Fee (Endorsement Required) Restricted Deliver~ Fe (Endorsement Requlrec Total Postage & Fee or PO Box NO. $0.~5 $2.95 $2.35 $0.® $S. 7~ 0910412012 Certified Fee (Endo~ement Required) $ $0.45 $2.95 $2.35 $0.00 $ rt-i Postage -g Certified Fee Return ReCeipt Fee ~ (Endorsement Requked) ~ Restricted Dellve~ Fee (Endorsement Required) $0.00 Total Postage & Fees$ $5.~S 09/0~/2012 2/ .,To 1 m ~-~ ~i:~:z ..................... , ........ //~_ Board of Trustees Application County of Suffolk State of Now York BEING DULY SWORN DEPOSE8 AND .AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOX/E DESCRIBED P~(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO-THE BEST'OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL V~ORK WILL BE DONE IN THE MANNER SET FORTH.INTHIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES, THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOY~glq TRUSTEES HARMLESS AND FREE FROM ANY AND. ALL DAMAGES AND CLAIMS ARISING ~UNDER OR BY VIKTUE OF SAID'PERMIT(S), 1~ GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S)~ TO ENTER ONTO MY PROPERTY TO INSPECT ~ PREMISES IN'CONFtJNCTION WITH REVIEW OF TI-HS APPLICATION. ,20 Notary Public APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics nmhibits conflicts of interest on the cart of town Officers and emnlovees. The ouroos~ of this form is to vmvide information which can alet~ the town of vossible conflicts of interest and allow it to tal(e whatever action is necessary to avoid same. (Last name, first name, middle initial, u~lcss you are applying~n 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 V~iance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (lf"Other', name the activity.) Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship ~vith any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interesL "Basines~ interest'~ means a business, including a parlnership, in which the town officer or employee has even a partial ownership of (o~ employment by) a corporation in which the town officer or employee owns more than 5% oftbe shams. YES NO ~ If you answered "YES", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title Or position of that person Describe the relationship between yourself (the applicant/agent/representative) and the town officer or employee. Either check the appropr ate ne A) through D) ancttor describe in the space pm',qded. The town officer or employee or his or her spouse, sibling, parent, or child is (cheek all that apply): __.A) the o~vner of greater than 5% of the shares of the cerporate stock of the applicant (when lhe applicant is a cov0oratinn); __.B) the legal or 'beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); __.C) an officer, director, pastnei'~,or employee of the applicant; or __.D) the actual applicant.. DESCRIPTION OF RELATIONSHIP Form TS I t Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 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 supplemem 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. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 3~ If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus~ each answer must be explained in detail~ listing both supporting and non- suooorfin~ facts. If an action cannot be certified as consistent with the LW~R.P policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold ' s website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION /lo PROJECT NAME /d>~cph g'/¥ /'2~ cl~wto,t~ ! The Application has been submitted to (check appropriate response): Town Board ~ Planning Board ~-] Building Dept. [-~ Board of Trustees ~ 1. Categopj 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: Nature and exlgnt of action: Site acreage: A/~/O//tX. ~.~ 5~(~C, ~.~Fc,'A[~'~ Present land use: ?~ l tJA:~-~ ~--~CdT..c. qk770,~ Present zoning classification: If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Nameofapplicant: P~-~/~ 5'/-/ ~.6-~...t~7o~ ~ Lot~/ /~C. (b) Mailing address: C/~ f.~JA-c~eR xfl'~, ~/2~ ?~'~4' ~"~. (c) Telephone number: Area Codi~;-~-"fg--:f" -2~ ('/~.) (d) Application number, if any:. Will the actio~directly undertaken, require funding, or approval by a state or federal agency? Yes [] No I.LY'- If yes, which state or federal agency?. C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. Yes No Not Applieahle Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III - P~lieies Pages 3 through 6 for evaluation criteria [~ Yes ~'] No~l,/-l'.Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III - Policies Pages 6 through 7 for evaluation criteria [] Yes [-~ No ~7~ Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III -Policies. Pa. ges 8 through 16 for evaluation criteria ~ Yes ~] No[-~ Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III - PoliCies Pages 16 throu~gh 21 for evaluation criteria ~ Yes [] No~lAxINot Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section HI - Policies; Pages 22 through 32 for evaluation criteria. Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III - Policies Pages 32 through 34 for evaluation criteria. [] Yes [] No ~ Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and w~_~s. See LWRP Section III - Policies; Pages 34 through 38 for evaluation criteria. ~ Yes ~-~ No ~Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. [] Ye? No ~ Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. S~e LWRP Section III - Policies; Pages 47 through 56 for evaluation criteria. [--] Yes ~ Nok'~L~Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. ~ Yes ~-~ No ~ Not Applicable ~ Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. t Yes ~-~ No CNot Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. ~ Yes ~-~ No ~ Not Applicable TITLE .~c.//~ r. ('cv~ /,,.lc. ? DATE 0~)~/o~ ~ {'~ APPROVED BY j BOARD OF TRUSTEES J SEP -4 2012 So~lhhold Town B~ard of Trustees -.. o/,)EK ?t./~ o /(-- FI o-ffES · F'ou/K A'JG 2 4 2012 M&p OF L~,VD ._C UTQLIOG..UE - Id F=~'_V._ .AT CUTCLJOGUg TO',VU OF ~OU"[I-IOLD, N.y. 6CALF=: ID .= I i~OLl ~IpE- GUIZVF=y~:b '. JUL~C- Z6, 1966 VALi TUYL ~ 50LI eOA b kUG 2 4 2012 / Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO 3912 DATE: ..May 3, 1991 ISSUED TO ........ T. he...I? eqttas.l'~...Clnb ............................................... Pursuant fo the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and the Southold Towr Ordinance en- titled "REGULATING AND 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 accordance with the Resolution of The Board adopted at a meeting held on .May 2 ...... 19....91 , and in consideration of the sum of $... 150..~0 paid by .2ohn. Gcideman,_on behalf of the .Peqnash...Glub .... of ............................................................. N.Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: Construct a timber bulkhead 100' long with 1-10' return. all in accordance with the detailed specifications as presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees h,ere- by causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this dat,e. !~Tuesday~~ Ju~e 21 @ ~0 4 ~edneSday, June 22 9 12 2 JULY $ M T W T ~: S TRUSTEES JohnM. Bredemeyer, III, President Henry P. Smith, Vice President Albert I. Krupski, Jr. John L. Bednoski, Jr. John B. Tuthill Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SUPERVISOR SCOTT L. HARRIS Town Hall 53095 Main Road P.O. Box 1179 Southold, New Yolk 11971 May 9, 1991 John H. Geideman P.O'; Box 416 East Marion, NY 11939 Re: Pequash Club Dear Mr. Geideman: The following action was taken by the Board of Town Trustees during its regular meeting held on May 2, 1991 regarding the above matter: WHEREAS, John Geideman IN BEHALF OF Pequash Club applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated February 20, 1991 and, WHEREAS said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a public hearing was held by the Town Trustees with respect to said application on May 2, 1991 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 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 JOHN GEIDEMAN ON BEHALF OF PEQUASH CLUB BE AND HEREBY IS GRANTED PERMISSION UNDER THE WETLAND ORDINANCE TO: construct a timber bulkhead 100' long with 1-10' return. This permit will expire two years from the date it is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. Please return to the Building Department for a determination on the need for any other permits which may be required for this project. Permit will be issued upon payment of the following fees for work to be done below Mean High Water Mark: Very truly yours, Bredemeyer, III President, Board of Trustees JFiB: j t cc: Bldg. Dept. Conservation Advisory Council file Page 2 On a motion by Betty Wells, seconded by John McCormick, it was RESOVLED to recommend to the $outhold Town Trustees approva of Wetland Application No. 103-10-28.1 of Henry A. Boczek to install a 6' x 20' floating dock and 12' x 4' ramp and two mooring piles at end of existing dock. 1370 Strohson Road, Cutchogue Vote of Council: Ayes: All Motion carried. On a motion by Stephen Angell, seconded by Cynthia Sturner, it was RESOVLED to recommend to the $outhold Town Trustees conditional approval of Wetland Application No. 70-13-20.3 and 20.4 of Joseph Cornacchia to construct 308 I.f. of bulkhead within 18" of existing functional bulkhead, including 20 .f. to close opening to naturally filled channel; drede lagoon to average 4' below MLW yielding estimated 3900 c.u. of spoil; use spoil to backfill behind new bulkhead, to backfill non-functional channel and to nourish beach. The Council approves the bulkheading as submitted. The Council approves the dredging with the condition that the project "link up" with the Koke dredging project after it receives DEC approval. The dredging should not be done if there will be no link up because it would create a "pothole" and prevent proper flushing. The dredging should not commence until the Koke project is complete. Of course, recommendation of conditional approval is to be considered only after the ownership of questionable areas s established. Kimberly Lane, Southold Vote of Council: Ayes: All Motion carried. On a motion by John HO~zapfel, seconded by Bruce Loucka, it was RESOVLED to recommend to the $outhold Town Trustees disapproval of Wetland Application No. 110-7-12 of Pequash Club to construct a timber bulkhead 100' long with a 10' return. The Council recommends disapproval because the bulkhead may destroy the beach in front of it. The beach should be stabilized by planting natural vegetation (beach grass, etc.) and keeping people off the beach. Concrete only exacerbates the situation. Fleets Neck Road, Cutchogue Vote of Council: Ayes: All Motion carried. On a motion by Stephen Angell, seconded by Bruce Loucka, it was RE$OVLED to recommend to the Southold Town Trustees approval of Wetland APplication No. plo 122-3-14 (lot 3) of Alarn Cardinale to construct a catwalk, platform ramp and float to piles. The Council suggests the applicant extend the catwalk and send the ramp from the catwalk to float and eliminate the stairs. Vote of Council: Ayes: All Motion carried. SOUTHOLD TR JSTEES Issued To~ D~te '~..~.~_ Address - ~~ ----.- :_:---_ THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE,TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 TEL.: 765-1892 TRUSTEES John M. Bredemeyer, III, President Henry P. Smith, Vice President Albert J. Krupski, Jr. John L. Bednoski, Jr. John B. Tuthilt Telephone (516) 765-1892 BOARD OF TOWN TRU TOWN OF SOUTHOLI- SCOTt L. HARRIS Supervisor OWN OF, SOUTHOLD Town Hall, 53095 Main Road ~.O. Box 1179 Id, New York 11971 ~ (516) 765-1823 tone (516) 765-1800 APPLICATION IS HEREBY MADE TO THE TOWN TRUSTEES, TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK, FORTHE ISSUANCE OF A PERMIT PURSUANT TO THELAWS, ORDINANCES AND REGULATIONS GOVERNING THE COASTAL AND INTERIOR WETLANDS, FLOOD PLAINS AND DRAINAGE AREAS OF SOUTHOLD TOWN, AND THE ISSUANCE OF PERMITS PURSUANT TO CHAPTER 32 OF THE CODE OF THE TOWN OF SOUTHOLD. APPLICATION NO. APPLICANT'S NAME: MAILING ADDRESS: AGENT ADDRESS: PERMIT REQUESTED TO: ~F~D~ DATE 5 TEL, NO. TEL NO. LOCATION OF PROPERTY FOR TOWN: TAX MAP NO: CREEK.. BAY OR HA!RBOR FRONTING PROPERTY: REQUESTED PERMIT 1000- /1~ ~ SIZE OF PROPOSED WORK: WIDTH: Page YDS. TO BE EXCAVATED: ~ YDS. TO BE FILLED: MANNER IN WHICH MATERIAL WILL BE REMOVED OR DEPOSITED: WIDTH OF CANAL, CREEK OR BAY FRONTING PROPERTY: DEPTH AT LOW TI~E: AVER. RISE IN TIDE: DISTANCE TO NEAREST CHANNEL: DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN AREA: ZONING: ROJECT FOR RIV TB OR BUS. USE: INTENDED USE OF PROPERTY: ~.¢ ~ DESCRIBE KNOWN PRIOR OPERATIONS CONDUCTED ON PREMISES: ~/~.~ HAS ANY PRIOR LICENSE OR PERMIT BEEN ISSUED TO ERECT STRUCTURES, DREDGE, OR DEPOSIT FILL ON SAID PREMISES: HAS ANY LICENSE OR PERMIT EVER BEEN REVOKED OR SUSPENDED BY A GOVERNSIENTAL AGENCY: ~p DESCRIBE FULLY THE REHABILITATION OF PROPERTY: DESCRIBE PROPOSED CONDITION OF PROPERT~ AFTER WORK IS AN ADDITIONAL SURVEY OF PROPERTY SITE IF NECESSARY: COMPLETED. INCLUDE ARE THERE ANY COVENANTS OR RESTRICTIONS IN YOUR DEED WHICH WOULD PROHIBIT THIS PROJECT: ~ WRITTEN CONSENT OF OWNER IF NOT THE SAME AS APPLICANT: % J T_OWN OF SOUTHO_LD NUMBER 617.21 SHORT ENVIRONMENTAL A~S~SSMENT F~M~ For UNLISTED ACTI~ 4, PRECISE LOCATION (Street addtes~and road intersection~ prominent fan'marks, etc., or prowQe map) 5. IS PROPOSED ACTION: ~New []Expansion []Ueditication/alteraiJort ' ' B. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED; Initially acres Ultimately acres WiLL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER F~XISTING LAND USE RESTRICTIONS? [] NO If No. describe briefly g. WHAT IS PRESENT LAi'~D USE IN VICINITY OF PROJECT? [~Res,dential [] !ndustrial ~ Commercial [] Agriculture E~ ParldForestlOpen space [~ Other' 10. DOES ACTION INVOLVE A PERMIT APPROVA~ OR FUNDING,.NOW OR ULTIMATELY PROM ANY OTHER GOVERNMENTAL AGENCY (FEDgRAL. STATE OR LOCAL)? .. ~Ye. UNo If ye~, lis, agency(s) and oermi~approvals ~-~ ~. q~ C - ~~ 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? I CERTIFY THAT THE INFORMATION PROWDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER ;--'AH ~ H--~:NVIRONMENTAL ASSESSMENT (To be completed by Agency) A, D~S ACTION EXCEED ANY ~ E I THRESHOLD ~N S NYCRR, pART 617.127 It y 3or, mate ~ne rewew process an~ use ~ ~ULL ~F. ~ ~o B. WILL ACTION RECEWE COORDINATED REVI~ AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 6~7.67 C6. Long term, short term, cumulative, or other effects nor identified in C1-C57 Explain Priei[y. C7. Other impacts (including changes in use of either quantity or type of energy)? Explain briefly. O. IS THERE, OR IS THERE LIKELY TO BE. CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? [] Yes [] No If Yes, explain briefly PART III--DETERMINATiON OF SIGNIFICANC~. (1'o be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether if is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b} probability of occurring; (c) duration; irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. [] Check this box if you have identified one or more potentially large or significant adverse impacts which occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration· [] Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determinstion: 516-477-2421 JOHN H, GEIDEMAN Consulting £ngiueer ~'vil-lndustrial-Marine P,O. Box 416 East Marion. New York 11939 TOWN OF SOUTHOLD To Whom It Hay Concern, ~~~ a~thorize * John H. Geideman, PLS to acz as my ag~n~' in~pplying for permits to con~t~r, uct a on ~ property at OwneP To be included ~ N.Y.S DepT. of Environmental ~onservazion. ~.S. Army ~orps. of Engineers * N.Y. Sta2e Bic. Land Surveyor COUNTY OF SUFFOLK ) STATE OF NEW YORK ) 'OWN OF $OUTHOLD BEING DULY SWORN DEPOSES AND SAYS THAT HE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS, AND THAT ALLSTATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS KNOWLEDGE AND BELIEF, AND THAT WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE TOWN BOARD OF THE TOWN OF SOUTHOLD. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT, IF GPJ%NTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT OR REPRESENTATIVE, TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS NOTARY PUBLIC EXAMINED BY APPROVED DISAPPROVED CONDITIONS (If any) SIGNATURE OF CHAIRMAN COMPUTATION OF FEES Approved 2/27/85