Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
TR-5756
James F. King,President QF SOUTyo Town Hall Annex Bob Ghosio,Jr.,Vice-President ,`O l0 54375 Main Road Dave Bergen P.O. Box 1179 #i Southold,New York 11971-0959 John Bredemeyer 1. ,c Michael J. Domino �Q Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 23, 2013 Mr. James B. Kaminsky 75 Woodcliff Drive Mattituck, NY 11952 RE: JAMES B. KAMINSKY 100 EAST MILL ROAD, MATTITUCK SCTM# 106-4-4 Dear Mr. Kaminsky: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, January 23, 2013: RESOLVED, that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#5756 to replace any damaged decking boards and recap the entire dock with new un-treated lumber; with the condition that all treated lumber is to be removed, and all decking is to be replaced with untreated lumber; and as depicted on the revised project plan prepared by James B. Kaminsky, received on December 17, 2012 and stamped approved on January 23, 2013. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please call our office.at (631) 765-1892. Sincerely, Bob Ghosio, Jr. Vice President, Board of Trustees BG:amn APPROVED .g,�-- ��� �� ►� . BOARD QF TRUSTEES - 1.1� c Q• TO OF SQUTHOLD +RIDV J DATE r. 23 (3 t Suffolk County Hagstrom Map 24 y + Scale 1"=3,000' ti N MILL ROAD A SC.TM.N0. - y 1000-JOG-04-03 SCTM•NO, I -IO6-04-04 x9 Z �I L� DEC 17 2012 SFD a I OV O N• SQL+fi1CILl TGI:'7 Colo, O CCNO-1 Irregularly shaped 41'x 20'fixed dock to be reconstructed in p kind in place S yam` 511DNE D?,We Notes: L AHW,ALW,TWL and depths located by C Just 3APR'03 at low tide. O t AL n 2. Plans based on survey prepared q 5 c BLDG. by Joseph A.Ingegno L.S.26MAR'03 r 3. S.C.T.M.No.1000-106-04-03 is owned ky 'N, EX D YrOK• �E N F IK`aG by Cynthia 4. S.CT.M.No.1000-0 06-04-04 is owned m z A5 by James B.Kaminsky o G 5. Located at Mattituck Creek,Mattimck, f 67 az Town of Southold Suffolk County,N.Y. o 6.All materials to be CCA treated timber R 45'x 12,fixed dock ~ to be reconstructed in p rn, r kind in placea� rna S.C.TM.Nos.1000-106-04-03&04 - e Applicant Cynthia&James B.Kaminsky Purpose:Dock Reconstruction Z� sew�e:Y20' A—M er: ouwH er f owre:24A063 t Location:80&100 East Mill Road - Apparent Low Water oc�w,Nc ne,. Locus: 72655'41'04' Sb L)TN To C K MA•r.T1TUVIX rA A-f-r I TU K { BOARD OF TRUSTEES TOWN TF I.! ��r��s�S•KAM1�sKy TOWN OF SOUTHOLD DAM 31 AST Eho -APPAMMI:016,0 Wkl dYtt`u s e �., DEC 17 2012 j I Southold Tol'. hoard of Trus n c, Z ? ��P31t O F P111 N G QWcrR�nvN Nor lo' —Is l D E LLCll1l.S To ®ir 'il?ER AY w lasr GD AffAlteWo w w WON 7own Board(TIMTffdr- vAsr roa sepia I i f ti i L F i� i► x �, _ ^� _ /' •! ° .yam .�.,. , � / S ti 3 pgpf FO(k .lames F.King,President {� p� �p P.O.Box 1179 Bob Ghosio,Jr.,Vice-Presidentj� Gy Southold,NY 11971 Dave Bergen y Telephone(631 765-1892 John Bredemeyer ,F. Fax(631)765-6641 Michael J.Domino col � goo . Southold Town Board of Trustees Field Ins pection/Worksession Report Date/Time: J JAMES B. KAMINSKY requests an Administrative Amendment to Wetland Permit#5756 to replace any damaged decking boards and recap the entire dock with new un-treated lumber. Located: 100 East Mill Road, Mattituck. SCTM# 106-4-4 Type of area to be impacted: _Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland 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: 4" J. King B. Ghosio D. Bergen, J. Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: Board Of Southold Town Trustees , SOUTHOLD, NEW YORK t PERMIT NO. . DATt;: . y. 2t,. Zflfl3 ! ISSUED TO ...................�.A. ME5...KAMIUSXY.. .. . ......... .. .. . .... iL Pursuant to the provisions of Chapter 61.5 of the Laws of ; the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1962; and the Southold Town Ordinance on- 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 r� Resolution of The Beard adopted at a meeting held on .May...21,••.• 2003- and'in consideration of the sum.of $..Zoo.00 .. ... paid by James...Ka minsky............. . ........ ... .............. ...................................:.................... .. ; of ............Mattituck.............. .... .................. ... N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: ' Wetland Permit to reconstruct deteriorating dock + : as per plans submitted. y. al in accordance with the detailed specifications as presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees hare- by causes its Corporate Seal to be affixed, and these presents to to be subscribed by a majority of the said Board as of this dafa. �1 J**t � 0 0 puslee, \ -�- .�.titi... �a.� .7 lie.- :.� .r •�• ` ` r TERMS and CONDMONS 432?1 The Permittee dames Kaminsky rowing at ino East A4ii1— ieaej7--ltllrreir N. Y, as pan of the coosideratloa for the issuance of the Pen� does understand and prescribe to the fol- lowing: 1. That the said Board of Trustees and the Tows of Southold an released from any and all damages, or calms for damages, of wits arising directly or Indirectly as a result of any oper- ation performed pursuant to this permit, and the said Pamltoee will, at his or her awn expeo9e, defend any and all such suits Inklafed by third patties, and the said Peaooitfee assumes fA liability with respect thereon, to the Complete'emcludon of the Board of Traso n of the Town of Southold 24 2- That this Permit is valid for a period of mess which Is considered to be the estimated time required to complete the work involved, but should drevmsaotes warnw, request for an extension may be made. to the Board at a later daft 3. That this Permit should be retained indefinitely, or as long as the'said Permittee wishes to mainuin the structure or project involved, to provide evidence to anyone Concerned that auth- odeadon was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or Its agents, and non-complis with.the provisions of the originating appliatioe,may be case for revocation of this Permit by resolution of the said Board. S. Thac there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low wafer marks. 7. That if future operations of the Town of Southold require the removal and/or sheradow in the location of the work herein enthodzed, or if, In the opinion of the Hoard of Trustees, the work shall cause unreasonable obstrucaoa to free navigation, the said Permittee will be required, upon.due notice, to remove or alter this work or project herein stated vridxw akpeasa to the Town of Southold. & That the said Board will be notified by the Permittee of the aompledon of the work aath- orized. 9. That the Permitter will obtain all other permits and consents that may be required sup- plemental to this permit which may be subject to awoke upon failure to obtain same. SOUTH Toci.4 N1hT,,T.t-rUC-I< 1rct_E-r Z M,AT-rJTO c.K Ar ME5�$•KAM I NS Ky Q g + ti 3t fE'ST E+JS .AP ARF lE Wh'i� �AST�nh dwxbu isDc�Rs z i z J ��pTFt of P+�1N6� P�Nt�rR�tnoN fay _!Sr p E �C IALS To gf TRERTO AY T e to 193T CAD APPAlleVr LOLJWffffi Sout 1d Town VAST�aD J�sd-3 N Sou'rH ToCIC .SAMES3•KAMIAUI j M ATT{TUCK INLET _MATTITVCK I I LBNGTH i15 -1 t I II , � I � I [Q I I FY 163` HIGH WATER � AvvARENr _ LOW WATER lO!" DEPTH OF PILING PENETRATION 4L.L MATERIAL$ r{ To 13E CCA TREAT" T, TIMIR ft SCALE I" = 51 y Town of Southold Suffotk Ct , NY oun Y :._.. The People of the Statebf New" LAST SAVE(DEFENDANT) - FIRST NAME MIDDLE INITIAL K14 Yr 1>).6k'§; r ' STREET ADDRESS 7..: APT.No. f 7 n aa�r I 1 i '2 CITY ...STATE ZIP �Z -LICENSE QRAEGISTRATION NUMBER ' STATE '.'TYPE OF CENSE DATE EXPIRES SEX DATE OF BIRTH 'OPERATOR " MO-NNN�777HHH7DAty// YEppp 'OWNS VfiHICLE ,tl.. - i�rY�'`.5...+ .' , "!k� ❑YES.❑NO-.- THE-.OPERATOR OR REGISTEREROWNER OF VEHICLE DESCRIBED BELOW- . ... - ... .. ..PLATE NO: DATE.EXPIRES STATE r ;. •: -. PLATE TYPE.., - ❑NY-:,�'N.J, .0 N.Y.. O N:J. ❑ I].PA$$';,❑.COMM ❑' -VEHICLE MAKE - - -. - .:. -❑ DODGE BUICK• ❑ CHEV, ❑:� -,CADILLAC -❑ PONTIAC ❑�:r FORD .❑ OLDS ❑: PLYM - T :❑ VOLKS :❑ _BODY. ❑ 2 DR ❑ 4 DR —El❑ BUS ❑ MCY ❑ S.W. ' TYPE..:.-: 0.TRUCK=... ❑. TRAILER: ,.-❑. .VAN ❑ _YIN NUMBER ' - THEPERSON'.DESCRIBEb;ABOVE IS.CHARGED;AS,FOLLOWS PCACEOF OCCUpRENCE -_ - PCT OATEpf O&FENSE AM "TIME PM CITY TOWN VILLAGE OR HAMLET SUFFOLK COUNTY NY IN:VIOLATI0 :OF SECTION �SUBD :"OF THE'❑VEHICLE AND TRAFFIC LAW OF THE STATE OFNEW_YORK .6 ER(SPECIFY) /- :�` ❑;O>, ❑COM Q BUS I ❑HAZ .r i..-+'.` ,"� •, DEF VEH MAT , k =❑ ,SPEEDING _O1HER OFFENSE - - MPH IN A MPH ZONE .. MISDEMEANOR❑ ;FACTUAL PART(NOT FOR RVB)". THE ABOVE NAMED DEFENDANT DID ONTHE STATED.DATE,TIME AND PLACE -f� Ar- The Fofegoing�Is pb ed on.(poraonal knowledge)yldJofe{IrAomulkw$;,gg)ief)rt c e - ^�s)OI c.'43: _ ;raO�l't�\n�::G•:#w-""'f' - dated .�7 �.� C•._.. .PARKING SCHEDULED FINE ES - - _ &CONTACT COURT❑ THE PERSON DESCRIBED ABOVE IS SUMMONED TO-APPEAR AT SOUTHOLD TOWN JUSTICE COURT;53095 ROUTE 25;SOUTHOLD,NY 1.1971- - DATE.OFAPREARANCELNOTFQR 7VB) bN � / AT / nnn ... FAISESTATEMENTS HEREIN AfiEPULE AS A CLASS A-MISDEMEANOR PURSUANT TO SECTIOTd2Y0 45 OF THE,P.L.N.Y.S.' CQMPtAINANT, `- PATEr � er - BADGE JI Plea by Mail (NOT FOR VTL VIOLATIONS) FINE $ TO PLEAD GUILTY: COMPLETE THIS FORM AND MAIL OR DELIVER TO: Town of Southold Office of the Town Attomey P.O. Box 1179 Southold, NY 11971-0959 Att. Lori M. Hulse, Assistant Town Attomey Check payable to: Southold Town Justice Court TO THE PRESIDING JUSTICE AT THE SOUTHOLD TOWN JUSTICE COURT:• I, residing at oo ; have been charged with a violation of��"-S under the Code.of the Town of Southold I hereby elect to.dispose of this matter without appearing in open court. I hereby waive arraignment in open court and the aid of counsel and understand that a plea-of guilty is the equivalent to a conviction after trial. I hereby plead guilty to the offense as charged and elect and request that this charge be disposed of and.a fine/penalty be fixed as agreed!to below. I understand that the agreed upon penalty is contingent upon the Court's approval, and that my appearance may be required on a future date if the negotiated disposition is not accepted by the Court. ty • I Date: 107 SIGNED: a Ticket/Summons #: oAj 7 In Satisfaction of- Fine/Disposition Recommended: 0 f CK)'7 y A/S-Rev.13/72 BOARD OF TOWN TRUSTEES Town Of Southold Southold,New York 11971 Main Road APPLICATION FOR A BULKHEAD, DIKE, OR JETTY 1. Does this project involve the use of WETLANDS as defined in the Southold Town Wetlands Ordinance? YES or NO. If it does, you must file through the Town Clerk's Office. 2. Is the proposed work entirely wi a boundaries of your own property as substantiated by your Deed or Survey? YES o NO f it is, a Permit is NOT required from this Board, but the Town Building Inspector show d be contacted for full details. 3. Applicant's name and ... address: .. ... !u�" v .................................................... .1rs ........ :.... .. :G ._.... � �:.............. 4. Contractor's name and add ess: ..... '!.l. ...: lJ... ... ..................................... i ....... ......... ......... ..r t...... //5'(9............................ 5. Explain briefly the purpose of this application: ... ----- ................... .: ........................... .......................................... ................................................................................................................................................................ 6. After issuance of Permit, I expect to: (mark with an X) (a) Commence work — ATOM......; ASAP ... UNKNOWN TIME ............. (b) Complete work in— 1 BAY ............: ) MO. ............; 1 YR. ............; FUTURE ............. 7. Secure the correct Area Map from the Secretary of this Board, and by using an X WITHIN A CIRCLE as a mark, indicate as closely as possible the location of this project. On the reverse side, provide a SCALE DRAWING which will show Ordinary High Water Mark as well as the size and shape of the structure or work to be done. Also include all dimensions for portions which extend offshore from the O. H. W. M. 8. Provide the following documents: (a) A Licensed Engineer's Survey of the property involved. (b) A copy of the Contractor's Plan and Specifications. 9. Does this project extend into Town Waters beyond an imaginary line pry- pundary formed by existing works of a similar nature along this area's shoreline?YES o NO if it does, state the approximate distance beyond. ............ ft. 10. Will this construction require the Filling of any land offshore of the Ordin igh Water Mark or the Dredging of any material from Town Lands under water?YES r NO If it does, Form A/4(Application for Dredging/Filling) must be completed and attached as part of this application. 11. In requesting approval of this application, I submit that: the information presented herein is true and correct to the best of my knowledge and belief; I am the person accountable for the performance of the work in accordance with the plans and specifications attached; I have read or am familiar with the provisions of any Southold Town Ordinance pertinent to the work involved; and further, I intend to adhere to and abide by the Terms and Conditions of the Permit, when and if issued to me. L. S. ..... :........................... .Accepted by: Dated: p$�0aF •4 -9 I16:7 /.. oils,3om a ' S�oMr ice r 1 �W .. FLohYL� OA G �. ix -25 w VNAtiFFIOR7Zr77 ALTERATION OR,ADDIW\ ..- _. . MAP •. II 70 THIS SURVEY IS A VIOLATION OF - Cr�� tt �r• SECTION 72D9 OF THE NEW YORK STATE .-_ ✓V PV .QED !-.�� ; - •n _ . i FDUCATION LAW. �..: _•. - . COPIES OF T:IS Slj- EM,TAP NOT BEARING } y I.. a5}'� i \ "'^� ��• '��,� _ y�-y1 }° THE LA' sUr".VEYOI:'S1N'S2D SEAL OR • '�F. fit'_l(,,,,y3 FatEOsSED SEAL SHALL NOT BE CON5IOERED .. - � � �- `'�7 t r kk� �"TO 6°A VAUD T:XM CM, - . �' ��,J F t EIS[) GUARI,NT-:S i;:�,.hT•'3 I:.'.ON SHALL RUN- - � � � I'1 t',r r 1 1 U� ���"�•.:��'i PIPE - 01•tLY TO T::?'rcT�_'sS F0=VFrv:h TBE suRVeY. - - '• f Is*PArrASfD.AND 01;Ii5 L:1il.LF TO TRE ... ! .1•G�'•S�`J�"HC"LI3f}+`lY, cv.-.,G.mNI AL AGENCY AJWD' LF1�:NG i<STiTL�:3t;L:S'fiv.H:iuCNyAND TO THE ASSN,.4M OF T:iE LEND114G INSTI; 7UTION.G:lnR..T3s ARE NOT iRANSFEM B:E .. . TO ADDITIONAL 1WITUTICN5 OR SUBSEQUENT. . i - GUA�A-NIT-EEI)1-GT�; c;rlc! J i it 1'!.!�y f NS-TE: . P.5 5Lj2VEYEG JAN.�II� rv�=�_�:c�.r :NL• �cs►�r �{;�v �? '�F� `�!�. i.�YL RC. = ci5�1aC 5-CT 05,�L:4 LOTr. _U WENSErL- GPEENP02 s,NY. i . .r '.� 3n. !�' D,��?�(14��. � � Ct��'ef ram• 37 is /T ff f � �y�i�.'.,�`. �',,�,X rf� �' �{,vy� � � .. "VJl�! j/ra�. '"'�^�` �a:l� II •. �P.. t y ' ,�{N�' ',�°Ua+'��1,�,�.'�dc�3:� .;:1g1,$,��� .�i�ao!/�''• z'vd�/,�' �. - � 17 sl�fl?,; qg I S/ � 141 G. , s Daum T SEE SEG N0.B[B a SEE SEG ND.O89 nN s WTCN,�--- ��NE xmo•m m 1p4 e° m4,a yob ' ,�j` 4�'J r� '�� ` M1 ry �4 x i][ r �'\ a�N' /' --__ ____ 1BbNq �`\r L' �x •3 s Ae®_ ax ,� ) 4� 4+\,•,'�. 5 r Ersl tB_° e�^;? ��fl _ _=-II .xM � osi-twiBo]] � �/ � o ;7,� (�) .b tt�°• 1 3: . ® r n' ry Rt � �,; 'o "'18y,o,.mn, - �I • "ems ` t.mew ('12) I I b ��''q ��a `y 4 p0.r a .ae v _ss �' ^ " �s xM Z' I� •\ .1 ` m1BO] U'G V� G<'" Y C33_ u na5 R8 •A 00. 6 ^ c • f " ^'A Qa ,y � q<N„ Y4 5 1x .. ", r `° `° �r� � m• � y •t�F ��' �. £ "+�+ ,§ (73."� ;� �P,"•n�Taq '+�. '6nn �.' ,° lT 1B ^..� 2J © I� I °°y1\ 1� mw• 1 +�1�^ " " 3] n � f - 1Q.1 II 11 3'S \ a a;�l �, � � 'a1 3B x° 1m� • � SnA r • �µ<t r n'° `II a15 tb 1fi 1r [ tiyl m e "-_- ,➢A(c � $ 2 - I w / .a o"rv�0 50 6� � 3A� � < eBA wrta �J �? z0 • ! a ,SPy��• "'a ' a. rvye• s 6 amp P Vie_ o� ,y, F ], • B I I .� ?, O 5t 5 n• �T '¢O 1dA @ TOWN OF SOU.. N` 9a sa " • era r.n� ', y tr.1.. 1AAte)M.4• "i r fF I. n 'hJ. * faO' Y• •�Y 51 5 ^ _ '° ? " f /t�0 3.1A1c) " 13 ��,�tE� m • pp, .p� 3Ba F at a.e •.) a.e � -+ � „5..to '(W- rA ^9 � t°p1' 0.M(cl [ •SELN1 a BAIMEW P 1), ` �' 1T�c) m \I lJ a • rvl �f ;Yy.. YO•W\ ).B,n f 3 ° 1,'�£J py€€,' O ' � '1N<)� 'a 5S ro ®A �.N� x 2fvycl y 1.♦ 0,e Y • 1yl<I �''. 1TA dd`•,e TB[ i' ]aNcl Nz £+ �'.':€ :i� � ti I.U{c) w � ST y L%ycl F 21 [ � 8 1uNc) p'�' B' t� ,•,' x. 9 imn«t §I 4 u ry B0 � ;- tlq(�) [ � .!�. 's�: !.�m;• b / r 1 a ��cl )S) 2aN(c1 RAHq ' 21.1 z.1' A•a /., I 9 .Y 1y� >A y°jcA f zaNU 1�a°N<7 1�<7 �\ 1 M1•"•y �t <� `' P`e/ ' 8 FOR PLL NO. s aa3 •V] r.10 141 r +,y \J ,�+ �`Y' ! `,\' FOR PCL NO. ° ry SEE bEG NO. • ccc SEG NO. "•. 1103a012 J�(O 1M(<I tBAlc) 1c 13 1B� ' � aid WTLN—� IWE fdT�-1Z— NE 1 II ..AII SFE SM.O.113 A ry NOTICE COUNTY OF SUFFOLK © K bwm,oln SECTION NO Real Property Tax Service Agency ff K E aunwm muom $' a muB. M r �@ � rertm A r ..�m.�nr• -. .wn .. ♦ ...-. �.. -"I ..'.a 14fitx'-}>fr"...` Y+..�'9(+� Y+1�a r - ..yyyy 's4r •+')�A7:r�.vMN- '.. -YW.p� '�'T*F. -+...i'Sr � �� '. "• 'SF'Y°P'�;`>Pf N^+' - . - h77 OFFICE LOCATION: fiF SO(/TyO MAILING ADDRESS: Town Hall Annex Q �� P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 G Q Telephone: 631 765-1938 • �O Fax: 631 765-3136 c4UNT`I,� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM E C E VE To: Jim King, President ='22 Town of Southold Board of Trustees From: Mark Terry, Principal Planner Southold Town Trustees LWRP Coordinator oard f Date: January 16, 2013 Re: Proposed Wetland Permit for JAMES B. KAMINSKY SCTM# 1000-106-4-4 JAMES B. KAMINSKY requests an Administrative Amendment to Wetland Permit#5756 to replace any damaged decking boards and recap the entire dock with new un-treated lumber. Located: 100 East Mill Road, Mattituck. SCTM# 106-4-4 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"B" 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 Area (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 Great Peconic Bay, Cutchogue Harbor, Little Peconic Bay, Hog Neck Bay, Noyack Bay, Southold Bay, Shelter Island Sound, Pipes Cove, Orient Harbor, Gardiners Bay, Long Island Sound, Fishers Island Sound and Block Island Sound (excluding all creeks); The proposed action is not located within the CEHA. 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 QF SO(/ry Town Hall Annex Bob Ghosio,Jr.,Vice-President ,`O Ol0 54375 Main Road P.O.Box 1179 Dave Bergen l�[ Southold,New York 11971-0959 John Bredemeyer N G ® pQ Telephone(631) 765-1892 Michael,J.Domino 'Q Fax(631) 765-6641 COWN BOARD OF TOWN TRUSTEES E TOWN OF SOUTHOLD F dEC 17 2012 Sa0liold Toth APPLICATION FOR AN AMENDMENT TO A WETLAI PTuses _ DATE OWNER � � h�i Yl S PHONE ADDRESS J� �,1� 0 or, l T J)r• IV I 6�fffl'a, , � t I �� AGENT PHONE ADDRESS PROPERTY LOCATION I ( I Rd•, m -to CL# (I Q Ste. TAX MAP NO. I o ( 4 4 I/We_��yip g d , �� w, i. S��i request'an Amendment to Permit#-aIS4 to Signed By: I • II Town of Southold i�. LWRP CONSISTENCY ASSESSMENT FORM . A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its 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- ' supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall.not be undertaken. ' I A copy of the LWRP is available in the following places: online at th'-Tf%- 1website(southoldtown.northfork.net), the Board of Trustees Offic nepartrr3ent;1 all local libraries and the Town Clerks office. ?_ T B. DESCRIPTION OF SITE AND PROPOSED ACTION S =• C 4Y SCTM# �� Southold Tovni Bnrd of Tru,si.. PROJECT NAME XQLM ( 4Sk—k1 o The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g. grant,loan,subsidy) .(c) Permit,approval,license,certification: Nature and extent of action: n I&AAh 6&3:�k lttx� LAM � I �.i Location of action: aSrt M 1 R J• , C.k, I y l I Site acreage: D ( J i Present land use: Present zoning classification:_ r 2. If an application for the proposed action has been filed with the Town of Southold agency, the following t i information shall be provided: (a) Name of applicant: Q m e-S �{� L Osk V (b) Mailing address: �,6T- �a6d 1� --Dr., difiiIack N et Qs� (c) Telephone number: Area Code( i (d) •Application number,if any: Will the action be directly undertaken,require funding;or approval by a state or federal agency? Yes ❑ No❑ If yes,which state or federal agency? 1( C. Evaluate the project to the following policies by analyzing how the project will further support or I l 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. I 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. Oyes ❑ No ❑ Not Applicable j i Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III=Policies Pages 3 through 6 for evaluation criteria 11 Yes ❑ No Not Applicable �I I� II Attach additional sheets if necessary Policy 3: Enhance visual quality and protect scenic resources throughout the Town of Southold. See j LWRP Section III—Policies Pages 6 through 7 for evaluation criteria Yes ❑ No ❑ Not Applicable i I f Attach additional sheets if necessary t it NATURAL COAST POLICIES ' Policy A. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria t�r,Yes ❑ No ❑ Not Applicable I i I. • I I 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 through 21 for evaluation criteria ❑ Yes El No INot Applicable f Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ Yes No Not Applic i' i r it j� I Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LNVRP Section III — Policies Pages 32 through 34 for evaluation criteria. f ❑ Yes ❑ No NotApplicable ` i i Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. Yes ❑ No ❑ Not Applicable i 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 LWR.P Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ YesEl No ZNot Applicable i i r Attach additional sheets if necessary � I WORKING COAST POLICIES I Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III Policies; Pages 47 through 56 for evaluation criteria. Yes ❑ No ❑ Not Applicable Attach additional sheets if necessary j 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 i �f . I � i � Attach additional sheets if necessary i it Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No Not Applicable ; j. I I Attach additional sheets if necessary r ' 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 LJ Not Applicable PREPARED BY TITLE DATE I