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Board Of Southold Town Trustees , 4
SOUTHOLD, NEW YORK
DATE
PERMIT NO. DATE: ... ....1.......1999 •
. .. Nov..... ;
DANIELC. .MOONEY ....... ................................................... }
ISSUED TO :..........................................................................
si
Pursuant to '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 Town Ordinance en- =
titled ."REGULATING AND THE PLACING OF OBSTRUCTIONS n ;
IN AND ON TOWN WATERS AND PUBLIC LANDS and the
REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM
r LANDS UNDER TOWN WATERS;'.'. and in accordance with the.
:.; Resolution of.The Board adopted at a meeting held on .Oct. 27..
r
...150...00 , « .
}, 19.....9.9., and in consideration of the sum of �.. ..................... paid by
j�;
Permits & Drafting Unlimited for Daniel C...•.Moony..........
................................... .....
East Marion
;yam y of ................................................I.......................................... N. Y. and, subject to the A.
• \@'+;� _" •. Terms and Conditions , listed on the reverse side hereof, � >i
of Southold Town Trustees authorizes and permits the following:
Replace pipes, floating dock and ramp. Dock 3'X 18' and ramp '
2 Z'X 81.
�Il J.':.:.:•
\ all in accordance with the detailed specifications as presented in
the originating application.
p
IN WITNESS WHEREOF, The said Board of Trustees Mere '
by causes its Corporate Seal to be affixed, and these resents to !
be subscribed by a majority of the said Board as of this date. ,s
ay 'ti
10,
Trustees
s' ram,��"` �6;���°' s. �ti ,yY,e ` 'ir � yyy,•�z,y�
ly���•:. ?�r�s�'� '?���•�!N►•���,R�is'�-'����;•e "�:��r a•�' ."i'�r .. � •�.+,<#im►rn• .�;:�rc•
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i
1
TERMS and CONDITIONS
The Permittee DANIEL C. MOONEY
residing at 575 Pine Place, East Marion N. Y., as
part of the consideration for the issuance of the Permit does understand and prescribe to the fol-
lowing:
1. That the said Board of Trustees and the Town of Southold are released from any and
all damages, or claims for damages, of suits arising directly or indirectly as a result of any oper-
ation performed pursuant to this permit, and the said Permittee will, at his or her awn expense,
defend any and all such suits-initiated by third parties, and the said Permittee assumes full liability
with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold
r
2. That this Permit,is valid for .a period of 24 mo& which is'considered to"be the
estimated time required to complete the work involved, but should circumstances warrant, request
for an extension may be.made to the Board at a later date.
3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes
to maintain the structure or project involved, to provide evidence to anyone concerned that auth-
orization was originally obtained.
4. That the work involved will be subject to the .inspection and approval of the Board or
. its agents, and non-compliance with the provisions of the originating application, may be cause for
revocation of this Permit by resolution of the said Board.
5. That there will be no unreasonable interference with navigation as a result of the work
herein authorized.
G. That there shall be no interference with the right of the public to pass and repass along
the beach between high and low water marks.
7. That if future operations of the Town of Southold require the removal and/or alterations
In the location of the work herein authorized, or if, in the"opinion of the Board of Trustees, the.
work shall cause unreasonable obstruction to free navigation, the said Permittee will be required,
upon due notice, to remove or alter this work or project herein stated without"expenses to the Town
of Southold.
8. That the said Board will be notified by the Permittee of the completion of the work auth-
orized.
9. That the Permittee"will obtain all other permits and consents that'may be required sup-
plemental to this permit which may be subject to revoke upon failure to obtain same.
i
{
DANIEL C. MOONEY, P.C.
ATTORNEY
11700 MAIN ROAD
P. O. BOX 702
MATTITUCK, NY 11952
DANIEL C. MOONEY (631) 298-1100
FAX (631) 298-4998
JEANNE FITZGERALD
PARALEGAL dcmoad6y-g6ptorffliine.ne-f
July 26, 2000
Town of Southold, Town Hall
53095 Main Road
P.O. Box 1179
Southold,NY 11971
Attention: Board of Town Trustees
41F s�s ? JUL 2 7 2000
RE: Permit No. 5080
Daniel C. Mooney
575 Pine Place, East Marion
L01
Dear Madam/Sir:
Please be advised that in accord with the permit granted that the construction of
the dock, ramp and pilings has been completed.
Thank you for your courtesy.
Very truly yours,
6Da4U- 0- 1!
d—
Daniel C. Mooney
DCM:mn
Albert J.Krupski,President ®SUFFOL/�'C Town Hall
James King,Vice-President 53095 Main Road
Henry Smith y P.O.Box 1179
Artie Foster ca a Southold,New York 11971
Ken Poliwoda
S � Telephone(516) 765-1892
Fax(516) 765-1823
i
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
November 1, 1999
Mr. John Kowalski
Permits & Drafting Unlimited
P.O. Box 743
Mattituck, NY 11952
Re: DANIEL C. MOONEY
SCTM#37-4-16
Dear Mr. Kowalski:
The following action was taken by the Board of Town Trustees
during its regular meeting held on October 27, 1999 regarding
the above matter:
WHEREAS, Permits & .Drafting Unlimited on behalf 'of DANIEL C.
MOONEY applied to the Southold Town Trustees for a permit under
the provisions of the Wetland Ordinance of the Town of Southold,
application dated September 21, 1999, 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 October 27, 1999, at which time
all interested persons were .given an opportunity to be heard,
and,
WHEREAS, the Board members have personally viewed and are
familiar with the premises in question and the surrounding area,
and,
.WHEREAS, the Board has considered all the testimony and
documentation submitted concerning this application, and,
WHEREAS, the structure complies with the standard set forth in
Chapter 97 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 Board of Trustees approve the application of
DANIEL C. MOONEY to replace `pipes, floating dock and ramp. Dock
31X 18 ' and ramp 2 1/21X 81 .
BE IT FURTHER RESOLVED that this determination should not be
considered a determination made for any other Department or
Agency which may also have an application pending for the same
or similar project.
Permit to construct and complete project 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.
Fees : None
Very truly yours,
Albert J. Krupski, Jr.
President, Board of Trustees
AJK/lms
cc: DEC
ACE
Dept. of State
_c
Town Hall. 53095 Main Road
P.O. Box 1179
Telephone Q Southold. New York 11971
(516) 765-1892
SOUTHOLD TOWN
CONSERVATION ADVISORY COUNCIL
At the meeting of the Southold Town Conservation Advisory Council held Monday, October 18,
1999, the following recommendation was made:
Moved by Scott Hilary, seconded by Bret Hedges, it was
RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the
Wetland Permit Application of DANIEL C. MOONEY 37-4-16 to replace pipes, floating dock,
and ramp. Dock 3'X 18' and ramp 2 '/2'X 8'.
575 Pine Place, East Marion
Vote of Council: Ayes: All
Motion Carried
<� ADu (Rpf,,a�e
79' x IS T-ttAiR���
Ana R �*s c Zva
ion/Rcnkac G
8 0�
$" Cs�coKo� PIPE
C12DSS__
ADD �ReP� �JB`x 3 F�, iniG pocK
ADD 8" PI PIF O�G
3a'D
o°P
,• alti �x�:rlaa
8 a g'15 U LK H EAD
7 rroA
House SEP 2 I
inH s„ 1999
/L4 LW
IF
TI�vG po,a tiav
/P � w l 001, - 3 7-�-
/ d'F �ORMeR ! 1t APPROVED BY:
SCALE: ! Zp DRAWN BY
FtoR7ine- b rye r
DATE: 9 f f-9 REVISED
Pro Pos D (7.�'PLQCEM 0 F ;=bR.-4€P-ie FLZla►0G boCK Mnn RAtLk
575 Pi lv L. PLACE
6�STT MA/216W eL N .Df 3c uTMGi.D
P(l_.P(,W&9 BY PEeM►TS .1- -bjCf1p7j$dC, UPJl-lAtiT9-b DRAWING NUMBER
7fi T L � L157)6).298-59(08 `�
PROFILE TO BUILD NEW
FLOATING DOCK AND RAMP. (2) 8"o/c wood pilings 20'
Raiing--,,
3'x�fl.dock Existing grade
Existing bulkhead. Dwelling is 57
MHW MHW 2.5 ft.by 8 ft.ramp ✓ft.distant south of bulkhead.
No vegetation in area of prop.
floating dock with ramp. 48" 48"_ 46"
_ HOUSE: 57 ft. setback
between bulkhead and-----
SPRING POND MLW 78' MLW 2'6" MLW 2'6" existing dwelling.
Bottom
Bottom_ Bottom
New 8"o/c 20'piles(2)
Note:All timber material
CCA&hardware trot-dip
galv.,Styrofoam float
16 ft.penetration
Build new floating dock and
fps• , �: ramp. DATE: Oct. 10, 1999
Tax: Dis 1000 S-37 B-4 L-16.
Datum: MLW
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tam;" Li
� Prepared fo/forss by: Scale: 1"=6"
Permits&Drafting Unlimited Li
p P.O.Box 743,Mattituck,NY Owners: Dan and Maureen
11952 (516)298-5968 Mooney 575 Pine Place at East
00
Marion DEC Ref.
' C.0 1-4738-02435100001
SURVEY OF
LOTS 145 & P/O LOT 146
MAP OF SECTION TWO
GARDINER'.S BAY ESTATES
FILE NO. 275 FILED: SEPTEMBER 23, 1927
SIT UA TED A T
EAST -MARION
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-37-04- 16
SCALE 1 "=20'
JULY 29, 1999
AREA = 10,298.47_,_s-q, ft.
S'pRT (TO TIE LINES) 0.236 ac.
• , NG POND
N 89.13'56" E
S
68.
1 2 ,
09
.` y G�• / TIE LINE \'"\
SULKH QyO� / / O�U�HEIO VHE
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BRICK ° . d q 4 e O O' Oj (�
STEPS SLA
N WAALLKK STEPS
I' LOT ® de
O.D
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p ~ �r110 � ALONG °
�t
a PA. N81•22 0., 4V — D UNE of
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e LAUP
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q .4 S 68 25 49 W �__!'_� ��`w I 'a
�I �../ ' e e ° e e ° e d °, d ° 1 0.320 D
-PL,A C.E ° 1999
CERTIFIED TO: 'I n �- ��
DANIEL C. MOONEY
MAUREEN C. MOONEY
IUED 4STTKHJ OR.ADDITI°"
YIRVEY Joseph A In a no
-sTS;,AA VIOLATION OF. PREPARED IN ACCORDANCE WITH THE MINIMUM
7209:•OF`THE NEW-YORK STATE'' STANDARDS FOR TITLE SURVEYS AS ESTABLISHED ■
1 LAW. 9Y THE LIA.LS. AND APPROVED AND ADOPTED
FOR'SUCH USE'BY THE NEW YORK STATE LAND Land Surveyor
F 7HTS.SURVEY MAP NOT BEARING TITLE ASSOCIATION.
suRVETOR'S INKED,..sEAL oR:. . .
1;SEAX_,SHALL NOT'-
BE CONSIDERED
VAtJq. WE.COPY'; ;
rONSwINDICATED.HEREON SHALL"RUN LAND
THE PERSON'FOR WHOM THE,'SURVEY O
2ED;:ANQ'ON,HTS;;BEHALF TO.THE. 5 Title Surveys — Subdivisions — Site Plans — Construction Layout
IPANY;''I;IONERNMENTAt,AGENCY;ANT)'. ��5�p�A.IN G�
1wSTTrmI1 ,-LISTED HEREON;AND
SSIF1 'Sr OF.:THE LENDINGRE INSTT'•:• V �p .G PHONE 516 727-2090 Fox 516 722-5093
J p
ERTn6NS-A NOT TRANSFERABLE.
1' NCE..OF•..RIGHTS.OF WAY.:
* OFFICES LOCATED AT MAILING ADDRESS
=eSrkgT.z Ac'-REMRsj: 10 n it One Union Souore P.O. Box 1931
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�� TOWN OF SOUTHO 6 ,
Q if o 0 3 q'3 0" w It Z.
u Raeb MRLjRC-&4 C. /%AbC a P.V, < NO
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675 101Aic pc. 6Aea►tles any &s7s,:Q:.
o LUG (,a CttsyM f}RLitsnl� T16LU N OF 5 ouTff 0tD
SCALE:
9` �C)1 APPROVED BY:
DRAWN BY
DATE:
13 7191C9 � REVISED
sHebPOse 0 FL-06T)N6 Dc.k +IV D RAMP REPLFgC&16WT
r - PERAiT5 t bR.Ai-4i9C-, UAjkjMiT-,�D DRAWING NUMBER
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�, i .:�:y.� aystr�s'-.a'?ta�F.��.i":°k�4�•xJtC.o't;::.:r,.c�i•.ax'<:a`'�','' ''� �� �� ,`� < >t,�;.. i
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C'� Town Hall
Albert J. Krupski, President ��� l/� 53095 Main Road
James King,Vice-President o 1 P.O.Box 1179
Henry Smith y = Southold, New York 11971
Artie Foster p
Ken Poliwoda 4,' Telephone(516) 765-18,92
��( Fax(516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Office Use Only
Coastal Erosion Permit Application
Wetland Permit Application
Grandfather Permit Application � �
Waiver/Amendment/C an es
✓Received Application: 22
✓deceived Fee: $ /%W E;
ompleted Application / �9 !
Incomplete SEP 2 19
SEQRA Classification:
T e. I T e II Unlisted ��
Coordination: (date sent) To ss
yp "
r/CAC Referral Sent: q c1
ate of Inspection:
Receipt of CAC Report:
Lead Agency Determination:
Technical Review:
Public Hearing Held:
Resolution-
Name of Applicant D 11 A) 1 et,
Address S 7s tif5 / L 14 e-� �
NY 11939 Phone Number: (3 16 ) e `�
Suffolk County Tax Map Number: 1000
Property Location: Iva A-&&,6_:
11.144 0/1- elo1 D r ��LV C/
(provide LILCO Pole #, distance to cross streets, and location)
AGENT: Permits & Drafting Unlimited
(If applicable)
Address- P.O. Box 743
Mattituck, NY 11952 Phone: 298-5968
FAX* _
1 /
i
.z,. /
Bc d of Trustees Applicatior
GENERAL DATA
Land Area ( in square feet) : 10 , C'� ,C —
Area Zoning: 2s� 0i:-r_ Pl724�
Previous use of property:
Intended use of property: «
Prior permits/approvals for site improvements:
Agency Date
✓�c.9r4) G APT � 5.1`? + c
No prior ,permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a
governmental agency?
No Yes
If yes , provide explanation: W./A
Project Description (use attachments if necessary) :
�- r Pi,A c E E -t Hf c e_rc '4 4ab Arm P,
2
Bo 1 of 'Trustees Application
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations: -b be- lC Bd A T for owner ' s
uses .
Area of wetlands on lot: N0m1i= square feet
Percent coverage of lot: 0 %
Closest distance between nearest existing structure and upland
edge of wetlands: `3 3 t feet
Closest distance between nearest proposed structure and upland
edge of wetlands: j2o / r feet
Does the project involve excavation or filling?
No Yes
If yes, how much material will. be excavated? N/A cubic yards
How much material will be filled? none . cubic yards
Depth of which material will be removed or deposited:Place pipe for
feet dock at 12+- ft. depth. No material otherwise would
be moved , removed or deposited. ,,/
Proposed slope throughout the area of operations: 1/0 14 0-5/
Manner in which material will be removed or deposited:
N/A
Statement of the effect, if any, on the wetlands and tidal
waters of the town that may result by reason of such proposed
operations (use attachments if appropriate) :
Re
I;Ia /0 . Owner wishes toAreplace former floating
dock with ramp, and pipe (pile) .
3
Bc i of Trustees Application
COASTAL EROSION APPLICATION DATA
Purposes of proposed activity: Floating dock replacement.
Are wetlands present within 75 feet of the proposed activity?
No Yes N/A
Does the project involve excavation or filling?
No Yes
If Yes, how much material will be excavated? none (cubic yards)
How much material will be filled? none (cubic yards)
Manner in which material will be removed or deposited:
N/A
Describe the nature and extent of the environmental impacts
reasonably anticipated resulting from implementation of the
project as proposed. (Use attachments if necessary)
/Ll��✓�Nl/�� - Oy�./ �'o P%yf��-��� ��o�-�,Ei< �o r.�iL � �2/��P
r/2,9vk i-J 6-T t . AwDS and near existing bulkhead. )
4
•' Bc i of Trustees Application
County of Suffolk
State of New York
Daniel C. Mooney BEING DULY SWORN
DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE
DESCRIBED PERMITS) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE
TRUE TO THE BEST OF HISAHE& KNOWLEDGE AND BELIEF, AND THAT ALL
WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION
AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES.
THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN
TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS
ARISING UNDER OR BY VIRTUE OF SAID PERMIT( S) , IF GRANTED.. IN
COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,
THEIR AGENT(S) OR REPRESENTATIVES(S) , TO ENTER ONTO MY PROPERTY
TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS
APPLICATION.
Signature
SWORN TO BEFORE ME THIS loth DAY OF September 11999
Notary Public
UNDA r KOWALSKI
Not"public,Stele of New Yolk
No.52-4624771
Qualifier!to Suffolk County ��d
Commission Expires Nov.30,'iB—
7
rr A
• I
1a-!6-ef2187)—Text 12
PROJECT I.D. NUMBER 617.21 SEC
Appendix C
State Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
PART I—PROJECT INFORMATION (To be completed by Aoplicant or Project sponsor)
1. APPLICANT/WA�c4ft 2. PROJECT ,NAME
Daniel C. Mooney Floating Dock Replacement
3. PROJECT LOCATION:
Municipality Town of Southold East Marion County Suffolk
4. PRE--:SE LOCATION (Street address and road intersections, prominent landmarks, etc., or'prov!de nap)
575 Pine- Place, Gardiners Bay Estates Sec. II, East Marion
1000-37-4-16
5. IS PROPOSED ACTION: rr--��
KI New [--IL�Expansion Modificationialteration
6. DESCRIBE P90JECT BRIEFLY:
Request to replace former floating dock (31 x 181 ) and
ramp (2 .5 ' x 81 ) and pipe (pile) , for docking of owners
.boat.(s) and owners uses.
7. AMOUNT OF LAND AFFECTED:
Initially 0 acres Ultimately n acres
S. 'NiLL PROPOSED
ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE =ESTRICTiONS?
Yes ❑No If No, describe,brierly
l 9. `:THAT is PRESENT LAND USE IN VICINITY OF PROJECT?
X Residential ❑.!ndustrial r`Commercial L Agricuiture !ParklForestlOoen scace l— Other
Describe:
10. DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING, .NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL,
STATE OR LOCAL)?
RI Yes U No If yes, list agency(s) and oermitlaoprovals
NYS Dept. of Environmental Conservation, Southold Town Trustees,
US Army Corps. of Engineers
11. �I---1DOES ANY ASPECT OF THE ACTIO14 HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
t_:Yes CNo if yes, list agency name and permitlapproval Preexists (grandfathered) With
respect to existing pipe of former dock.
12. AS A RESULT OF PROPOSED ACTION rNILL EXISTING PERMIT/APPROVAL REQUIRE .MODIFICATION?
�'(es CYNo
I CERTIFY THAT THE INFORMATION PROVIDED ABCVE IS TRUE TO THE 9EST OF MY ,KNCWL=DGE
Daniel C. Mooney 9/10/99
Applicant/sponsor name: Date:
Signature:
W1 (P
j If the action is in the Coastal Area, and you are a state ae ) ,complete the j
i Coastal Assessment Form beiore
i proceeding with 'h� LLal"_Idse�Pe 2' 1 1999
a _ =NVI _
• P.vi ll— .R CN;,".E.l S i:' : i.MENT , 0 De ccm.cie`eC
i JCcS AC-1CN E iC EE� _NY _. ,r.-.c5 GL'� .rJ `J''C==. 'gin? 9:7.._. yes. cot, ate :tie review r:ocess and use ..^.e
'as —No
❑_ 1VILL.:CT;CN .9c=:V= ::CP.CINA 7=D REVIEW JI -` --C--�CNS :N 3 NYC;R. ?Any :.?.J. if No, n ne-,at:ve
:may ne sucersedec cy _r,ctner involved agency.
Yes No
jC. CCULD AC71GN SUL7. :N ANY ADVERSE ==FE--TS ASSCC;.,TED 'NITH -tic r OLLC`rJING. :Answers may ce ..ancwrwen. J :eglclel
C1. cxlsting air Quality. surface or groundwater cuality or puantity, .noise levels, ex:st:ng :,affic �attems, solid :jas;e prccuc::en or jlscc
i -
I potential !c, erosion, prainage or ;locoing pfoolems? =;olain Jnedy:
I
a. Aesthetic, agricultural, afcnaeological, nls;cric, or other natural or ruitufai ;eSCUfCes: or pommunity or nelg^Ocfnccd anaracter? 1-plain
_C. Vegetation or fauna, flsn. ;neilfisn or Nlidlife soecies, significant nacitats, or threatened or encangered _oec:es? c cla!n or'aily:
C-:. A community's exisvng plans or goals as officially aeooted,or a change in'use or intensity or use of!and or other natural resources? Explain o
I
j C . Growtn, suoseduen,t :evelooment, of related activities likely to be induced oy the crocosed ac:ion? Exdlain or:eily.
CS. Long :erm, snort :ern%cumuiadve, or airier eifec:s net icentified in C;•C5? Exoialn crlefly.
j -
I
:;7. Ctner*moat's onc:ucing changes in use of airier quantity or :yce or enercyl? =:ola!n crierly.
I
J. :S -yER.E, CR ES '�E^E _:Kc_. -C 3E. JTRGVERSY .=L TED O .^'CTE:.IJT AL ACV==S`c E.'JVInCiWAE !T AL :PACTS
—, !es ,_No a ''es, exclain prierty
i
I
PART III—OC,ERMINATION OF SIGNIFiCArNCE 7,o be completed by Agency)
!NST=IUC'IONS: =cr each adverse eifec:identified.above,determine whether it is substantial,large. :mccnant or otnenvise signifi
-ac,1 eifec: snou!d be assessed in connection with its (a) setting (i.e. urcan or rural); (b) probanility of occa,ing; Vic) duratio.
irreversibility; (e! geogracnic sccce: and !f) magnitude. If necessary, add attachments or reference supporting materials. Ensure
excianations contain sufficient detail to snow that all relevant adverse impacts have been identified and adequately acCressec
_ C~eclx :his box if 'you nave identified one or more potentially large or significant ncversa lrncacts which ?.1.:
occur. Then 0receec cirec:ly to :he FULL E.-AF anclor prepare a positive'dec!araticn.
i
Checx ,his cx :f you have determined, based Cn :he information and analysis ab0`Je and 3nV SUCCCfiSr
i
documental:CG. :hat :he OroaoScd action ';BILL NOT result Iny?n;/ Significant adverse ?nVifCnmental !mpaC
AND -rcvice Cn attacnments as necssSarV, the reasons SuuCOrttng this determination:
i
i
i
—.nt it ::cC `:."tie Ji ...Rif Cr ,n l 0 +ticn C': :We of lim oon SOld l)ifiCBr
i
,gn.;iure )r lr5ec—o:e i;-Car .n _,,a .";vnc•r :,gn�t�re Jr 'r•.•:Jdrr1',It �u:P!+tit ::Om ;CSoonvpi r. J(riCrn
� 40f F00,00, Town Hall
Albert J. Krupski,President s 53095 Main Road
James King,Vice-President 1 P.O.Box 1179
Henry Smith � r" Southold,New York 11971
Artie Foster
Ken Poliwoda � Telephone(516) 765-1892
��l � Fax(516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
BOARD OF TRUSTEES: TOWN OF SOUTHOLD
-----------------------------------
In the Matter of the Application
of
c,_M0=q-------------
COUNTY OF SUFFOLK)
STATE OF NEW YORK)
AFFIDAVIT OF POSTING
F L
I, �flu✓i 6G•.� �O�J ���•y residing at U"f sl/
.�7 � �-
� . 14 ,W&' Pvt./
being duly sworn, depose and say:
That on the 8 day of Ocl 1997 , I personally posted the
property known as
by placing the Board of Trustees official poster where it can
easily be seen, and that I have checked to be sure the poster
has remained in place for seven days prior to the date of the a7, 'qq
�
public hearing. (dat)_ of hearing noted thereon to be held OCt.
rir1 ,
Dated: O
(signature)
Sworn to before me this
rg day of 199
Notary Public
JEANNE FITZGERALD
Nobly Pu*,State of New Yak
No.01 R5034584
Oue led In Suffc„&County
Commission Expires 0,w6ar 11,19_ J
2�
r
NOTICE OF HEARING
NOTICE IS HEREBY GIVEN that a public hearing will be held by the
SOUTHOLD BOARD OF TRUSTEES at the Town Hall, 53095 Main Road,
Southold, New York, concerning this property.
OWNER(S) OF RECORD: MoLlmat CS mune 4
SUBJECT OF PUBLIC HEARING: 'ixyK * ROAnq
TIME & DATE OF PUBLIC HEARING: oe
g% lqqq
on or abwt 17'M Pm.
If you have an interest in this project, you are invited to view the Town file(s)
which .are available for inspection prior to the day of the hearing during normal
business days between the hours of 8 a.m and 4 p.m.
BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (516) 765- 1892
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
Name: Address:
Mr. Dan Abbott, Box 143 , West Hempstead, NY 11552
Gardiners- Bay Association, P.O. Box 4, East Marion, NY 11939;'
Mr. Thomas J. Aprea, Jr. , 172 Golden Beach Dr, Golden Beach, FL 33160
STATE OF NEW YORK
COUNTY OF SUFFOLK
Daniel C. Mooney , residing at Pine Place,
Bast Marion, NY 11939 ,being duly sworn, deposes and says
that on the 13th day of October ,1999 , deponent mailed
a true 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
States Post Office at Mattituck, NY , that said Notices
were mailed to each of said persons by certified) Wr �
mail.
Sworn to before me this 13th
day of October 119 99 LINDA E KUWALSKI
Notary Public,State of Now York
� No.52-4524771
Qualified in Suffolk County b
Notary Public 6mmission Expires Nov.30,$�3�.
6
r
-. NOTtCE To AD;IACENT
PROPERZ'y OWIV8R
LA `. BOARD OF TRUSTEEWN
S TO
,r
In the WN OF SOU'I'HOLD
matter of applicant:
Daniel C. Moone
SCTM#1000- 37-4-16
YOU ARE HEREBY GIVEN NOTICE:
1 • That it is the intention of
Board
Permit from the the undersi
Of Trustees to; fined to request a
replace former floating dock with ramp for owner 's b
owners ' private use.
boat(s) and
2 • That the property which is the subject of Environmental
Review is located adjacent to your property and is described as
follows:
575 Pine Place, East Marion, Town of Southold
3 . That the project which is subject to Environmental Review
under Chapters 32, 37, or 97 of the Town Code is open to public
comment. You may contact the Trustees Office at 765-1892 or. in
writing.
The above referenced proposal is under review of the Board of
Trustees. of the Town of Southold and does not reference any
other agency that might have to review same proposal.
OWNERS NAME: Daniel & Maureen C. Mooney
MAILING ADDRESS: 11700 Main Rd:,, P.O. Box 702
Mattituck, NY 11952
PHONE # : 298-1100
Enc . : Copy of sketch or plan showing proposal for your
convenience.
s
APPLICANT
TRANSACTIONAL DISCLOSURE PORN
The Town of Southold" s Code of Ethics Ofohibibe conflicts of
interest on the part- of town officers and employees. The
purpose of this form is to provide' information which can
alert the town of. possible conflicts of interest and allow
it to take whatever action is necessary to avoid same.
YOUR NAHE t a .
Last name , first name , middle Inibidl, unless
you are applying in the name of someone else or
other entity, such as a company. If so, indicate
the other person ' s or company ' s name. )
NATURE Oh APPLICATIONt (Check all that apply. ) ,.
Tax grievance
Variance
Change of zone
App�pvai of plat
Exemption from plat or official map
other
( If "other, l' name the activity . ) _ '-T1?43T"f!�J I' A-W4J
Do you personally (or through your company# spouse, oibling,
parent, or child) have a relationship with any officer or
employee of the 'Town of Southold? "Relationship" includes
by blood, marriage, or business interest. "Business
Interest" Means a business, including a partnership, in
which the town officer or employee has even a partial
ownership of (or employment by) a corporation in which
the town officer or employee owns more than 5% of the
shares.
YES NO
if you answered "YES, ". complete the balance or thin 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)
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 Ilia or her spouse, sibling,
parent, or child is (check all that apply ) t
A) the owner of greater than 5% of the shares of the
corporate stock of the applicant (when the applicant'
is a corporation) l
B) the legal or beneficial owner of any interest in a
noneorporate 'entiry (when the applicant is not a
corporation) j
O) an officer, director, partner, or employee. of the
applicants or
D) the actual applicant .
DESCRIPTION OF ftELATIONS11tP
submitted thin �`a.,,dny ofgg
sign taro �' . •�, , •
-Print name
.• ' ,. .. .. ..".�e��,,;'�!i aF."s S�t'1."i'�rse a .'f•idA;`,`.�k•,. .. •'/