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HomeMy WebLinkAboutTR-6503 Jill M. Doherty,President ��OF SOUtyo Town Hall Annex Bob Ghosio,Jr.,Vice-President 54375 Main Road James F.King 1 P.O. Box 1179 Southold,New York 11971-0959 Dave Bergen G Q John Bredemeyer '0 �� Telephone(631) 765-1892 'CDUM(`I, Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 16, 2011 Mr. Fred Pollert 375 Lighthouse Lane P.O. Box 578 Southold, NY 11971 RE: 375 LIGHTHOUSE LANE, SOUTHOLD SCTM#70-6-29.2 Dear Mr. Poller: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., February 16, 2011: RESOLVED, that the Southold Town Board of Trustees APPROVES the Amendment to Wetland Permit#6503 to install a 12' wide ramp through the 10' non-turf buffer landward of the bulkhead and extended 19' landward of the buffer, using non-treated, lumber or grated fiberglass decking with 3/8" spacing, and as depicted_on the plan received on January 26, 2011 and stamped approved on February 16, 2011. This is not a determination from any other agency. Sincerely, Jill M oherty, Presiden Boar of Trustees JMD:lms a B 1 1J -- a oc; � l a C-L IIA it JA N 2 6 2011 I� ,-_----=-Boar, ofTisees w Pollert request,install1steps to make it easier to ease the transition over the non turf buffer to the bulkhead and dock, each step approximately 6 feet wide (width of dock)and 3.35 wide. Step area to be decked with non pressure treated wood per Town requirements,non turf pebbles under stair decking. 1 2 3 4 6 9 19 rr 10 11 12 d 13 14 15 i6 1e 19 R R A A A A R A A A 4 ; M A A A A .^, A A S a C 5 3 a 3 8 $ S & M A A S A A n R R 2 e 0 0 3 A 2 6 R 6 R 9 A A A A A R P: P 2 8 2 8 3 A 9 6 a P, $ ;, A R g N h1 g $ a ® 9 8 9@ § ^. 5 g ? S g TL- JA N 2 6 2011 _' r BcFrd of TrusiBES 5 14/ Pollert request,install.'steps to make it easier to ease the transition over the non turf buffer to the bulkhead and dock, each step approximately 6 feet wide (width of dock)and 3.35 wide. Step area to be decked with non pressure treated wood per Town requirements,non turf pebbles under stair decking. 1 2 3 5 pe 'Dr 6 7 10 9 11 11 12 13 14 ss 36 18 � 19 S 8 8 8 $ %3 c# i JA N 2 6 2011 ' F} Southh�l 7eF4-n.��..nk. J Bnarl of Trustees �o�Fat�r Jill M.Doherty,President p�� C4G P.O.Box 1179 Bob Ghosio,Jr.,Vice-President �� y Southold,NY 11971 James F.King 1511 Telephone(631 765-1892 Dave Bergen WO Fax(631)765-6641 John Bredemeyer y �, Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: FRED POLLERT requests an Amendment to Wetland Permit#6503 to either install a ramp or steps through the 10' non-turf buffer landward of the bulkhead. Located: 375 Lighthouse Lane, Southold. SCTM#70-6-29.2 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: Qlle mn <A I W Conditions: �S L /v Present ere: _J.King _J.Doherty—J. Bredemeyer D. Bergen_ B.Ghosio D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: s James F.King,President ��OF SU yo Town Hall Annex 01 Jill M. Doherty,Vice-President ,`O l0 54375 Main Road P.O.BOX 1179 Peggy A.Dickerson Southold,New York 11971-0959 Dave Bergen G Q Bob Ghosio,Jr. �� Telephone(631) 765-1892 �yCOUNTY,� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 18, 2009 Mr. John Costello Costello Marine Contracting Corp. P.O. Box 2124 Greenport, NY 11944 RE: FRED POLLERT 375 LIGHTHOUSE LANE, SOUTHOLD SCTM#70-6-29.2 Dear Mr. Costello: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., November 18, 2009: RESOLVED, that the Southold Town Board of Trustees grants the last One-Year Extension to Permit#6503,.as issued on December 13, 2006 and Amended on March 21, 2007. This is not an approval from any other agency.. Sincerely, CZ Jame . King President, Board of Trustees JFK:Ims s sue- •e ems• �-�, ear �--_._-- .. _ � � � �5�. Southold 1IZ— rzi [� e�O /aL� toJ 1► © °o'' � VIE /A//T 1- Ja L-0CA7'A0"A4,4P AP lee O ��INQI�/G�A?jQ� �QO�ERT O 3LL?NO� /NHS tNsoyOc.aS 343</ANT�sosrsa+G.aWr6 �OD G/4�`/TNOslS6 Gatrv6 ✓`ot��/or�-�. 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To ��ed P ' llfrfi Date - 12/' 6 Address � 7 � Lt91,-t 6us4 lineSco%xm0%cj - - - THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE,TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 TEL.: 765-1892 James F.King,President QF SI7!/ Town Hall Jill M.Doherty,Vice-President ,`O� lyOlO 53095 Route 25 P.O.Box 1179 Peggy A.Dickerson Southold,New York 11971-0959 Dave Bergen PIe G pQ Telephone(631) 765-1892 Bob Ghosio,Jr. '0� Fax(631) 765-6641 UNT`1,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 19, 2008 Ms. Jane P. Costello Costello Marine Contracting Corp. P.O. Box 2124 Greenport, NY 11944 RE: FRED POLLERT 375 LIGHTHOUSE LANE, SOUTHOLD SCTM# 70-6-29.2 Dear Ms. Costello: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, November 19, 2008: RESOLVED that the Southold Town Board of Trustees grants a One-Year Extension to Permit#6503, as issued on December 13, 2006 and Amended on March 21, 2007. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, James F. King President, Board of Trustees JFK:eac �k r�, James F. King, President QF SOUry Town Hall Jill M. Doherty,Vice-President �� Ol0 53095 Route 25 P.O. Box 1179 Peggy A. Dickerson Southold,New York 11971-0959 Dave Bergen G Q16- Bo'b Ghosio, Jr. Telephone(631) 765-1892 COUS 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 1 st day of construction '/2 constructed Project complete, compliance inspection. James F. King,President ��OF S0!/lyo Town Hall Jill M. Doherty,Vice-President 53095 Route 25 P.O. Box Peggy A.Dickerson Southold,New Yorkk 11971-0959 Dave Bergen p Tebephone(631)765-1892 Bob Ghosio,Jr. Q Fax(631)765-6641 �yCoUNT`I,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 21, 2007 Ms. Jane P. Costello Costello Marine Contracting Corp. P.O. Box 2124 Greenport, NY 11944 RE: FRED POLLERT 375 LIGHTHOUSE LANE, SOUTHOLD SCTM# 70-6-29.2 Dear Ms. Costello: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, March 21, 2007: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit#6503 to install 4 single 8" pilings for mooring dolphins. 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, James F. King President, Board of Trustees JFK:eac rz BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK f' PERMIT NO. 6503 DATE: December 13, 2006 ISSUED TO: FRED POLLERT ti r PROPERTY ADDRESS: 375 LIGHTHOUSE LANE, SOUTHOLD SCTM# 70-6-29.2 `;y ,� • rod a AUTHORIZATION ' '�• Pursuant to the provisions of Chapter 275 and/or Chapter 111 of the Town Code of the Town of Southold and in accordance with the Resolutions of the Board of Trustees adopted at the meeting held on NIA December 13,2006 and January 24,2007 and in consideration of application fee in the sum of$250.00 paid by ;p Fred Pollert and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: .,� Wetland Permit to construct 170' of new bulkhead in place of existing bulkhead with vinyl, a with 12' of west return, and replace 6" higher in-like and in-place, and install a 10' non-turf buffer with the condition of the placement of a silt fence during construction and all as depict on the plan prepared by Costello Marine Contracting Corp. revised January 15, 2007 t3�" IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. +� r- Je, u mg, �i� .•Ss� TERMS AND CONDITIONS The Permittee, Fred Pollert, 375 Lighthouse Lane, Southold, as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 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 operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant,request for an extension may be made to the Board. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if,in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee,permit has been recorded with the Suffolk County Department of Real Properties Office.as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90) calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. James F. King,President ��OF S0(/r Town Hall Jill M. Doherty,Vice-President ,`O l0 53095 Route 25 P.O. Box 1179 Peggy A. Dickerson J�t Southold,New York 11971-0959 Dave Bergen G Bob Ghosio,Jr. O Telephone(631)765-1892 �y'00UNT11 Fax(631)765-6641�c`� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 13, 2006 Jane Costello Costello Marine Contracting Corp. P.O. Box 2124 Greenport, N.Y. 11944 RE: FRED POLLERT 375 LIGHTHOUSE LANE, SOUTHOLD SCTM# 70-6-29.2 Dear Ms. Costello: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, December 13, 2006 and Wednesday, January 24, 2007 regarding the above matter: WHEREAS, Costello Marine on behalf of FRED POLLERT applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated November 8, 2006, 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, Public Hearings were held by the Town Trustees with respect to said application on December 13, 2006 and January 24, 2007 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 proposal complies with the standards set forth in Chapter 275 of the Southold Town Code, and, WHEREAS, the LWRP Coordinator recommends that the proposal is consistent with the policies of the LWRP, and, a WHEREAS, the Board determined that the proposal is Consistent with the policies of the LWRP, and, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of FRED POLLERT to construct 170' of new bulkhead in place of existing bulkhead with vinyl, and with 12' of west return, and replace 6" higher in-like and in-place, and install a 10' non-turf buffer with the condition of the placement of a silt fence during construction and all as depicted on the plan prepared by Costello Marine Contracting Corp. revised January 15, 2007 Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) This is not a determination from any other agency. Fees: $50.00 Very Truly Yours, 0 ' James F. King President, Board of Trustees JFK/hkc r James F. King, President So Town Hall Jill M. Doherty,Vice-President ,`O l0 53095 Route 25 Peggy A. Dickerson P.O. Box 1179Southold,New York 11971-0959 Dave Bergen Bob Ghosio, Jr. �l �� Telephone(631)765-1892 COU Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application dated ' has been reviewed by this Board at the regular meeting of Ca/131 dG and the following action was taken: �Cns sloes ( 1 ac aj, %1n rk ctcz ca ��1. -�^u\J S' 1 A ) Application Approved (see below) .,s+�,��e� dUc �9 �,stc�►�, �) Application Denied (see below) 2_0' �) Application Tabled (see below) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in Chapter 97 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: p � b99- TOTAL FEES DUE: $ J BY: James F. King, President Board of Trustees James F. King, President ��OF S�(/To Town Hall Jill M. Doherty,Vice-President �� yl0 53095 Route 25 Peggy A. Dickerson P.O. Box 1179Southold,New York 11971-0959 Dave Bergen Bob Ghosio, Jr. �l �Q Telephone(631)765-1892 UNT`1, 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 1 st day of construction / '/2 constructed V Project complete, compliance inspection. James F.King,President DF so Jill M.Doherty, Town Hall Vice-President 53095 Route 25 Peggy A.Dickerson P.O.Box 1179 Dave Bergen Southold,New York 11971-0959 Bob Ghosio, Jr. • �O� Telephone (631)765-1892 ly��UNTy,� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Southold Town Board of Trustees Field Inspection/Work session Report Date/Time: Costello Marine Contracting Corp. on behalf of FRED POLLERT requests a Wetland Permit to construct 170' of new bulkhead immediately in front of existing bulkhead. Replace 12' west return in-place. Fill void between old and new sheathing with approx. 21 cy. of trucked-in sand. Located: 375 Lighthouse Lane, Southold. SCTM#70-6-29.2 Type of area to be impacted: _Saltwater Wetland Freshwater Wetland _Sound Front Bay Front Distance of proposed work to edge of above: g Part of Town Code proposed work falls under: _Chapt.275 _Chapt. 111 _other Type of Application: Wetland_Coastal Erosion_Amendment_Administrative _Emergency Info needed: 6 Modifications: ��o �C C t a�-jj ye m&h YOUL12111 A15 Conditions: p7 Present Were: U4 King _J.Doherty_P.Dickerson D. Bergen_ B. Ghosio, Jr H. Cusack D. Dzenkowski other Mailed/Faxed to: Date: Environmental Technician Review Non 4V(_� 6LA"Cr OFFO�,��o Gyp Telephone p Town Hall (631)765-1892 C4 Z 53095 Route 25 • P.O.Box 1179 y 0� Southold,New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Wed., December 6, 2006, the following recommendation was made: Moved by James Eckert, seconded by Peter Young, it was RESOLVED to SUPPORT the Wetland Permit application of FRED POLLERT to construct 170' of new bulkhead immediately in front of existing-bulkhead. Replace 12' west return in-place. Fill void between old and new sheathing with approx. 21 cy. of trucked-in sand. Located: 375 Lighthouse Lane, Southold. SCTM#70-6-29.2 Inspected by: James Eckert, Peter Young The CAC Supports the application with the Condition of a 20' non-turf buffer. Vote of Council: Ayes: All Motion Carried 1 1. tl•� G P + I - `tat �� ` � �',�- y,• '� , _ �/_ _. 'i� -- �. .•t v `err ��„ r �y, 1 r r tiff,' 711 l a r NI, - ;��1,, �f"��� 7�._• v�` /fir' = � .- �_, _- yTed?011eTt Southolcl Bulkhead �Wl' -ffio�� �i �i'Y ��' �... •-ice.,,^ i 1 l 1 1• z. \ 1 ' ti t s 1fI?''L'°.: � \� - j'. 1. •� � � - !` a L � � � �{,�r�. t - l�j =o 9 sf alter 9 Twn CremY \ n ,ax or—T— o'1. 1.6Arm ,zumi mxt x.�vu Ar,,. s xrun ,e ,q,�y r ¢ •`{ to a O a.1 +x ess ...»r,x.,r,wa ue / ]W,xeLO Sr xl—i x01 O �d M1• � ,� �lil __ �� / L 13 l � x3 �W • Tit ...� �� W U.tO Alt Leal \]» �JL 3 t IS T :x a st ,u ;v 1] „ �u lµ v p riJ ri'1 `t's !' •..w` ° I=I t e )x Tt yY t-1�L SWrHOLD r 3 uua su ^]i,�]° x + T ao a o .lyi ©- a BAY 1 13 aw T x LTelcl L]uc, t _ ems• p„s 'N! 11 p ri 22 l.eMcl _ pt .. qz to ]i 4 It i3 >2 X 31 X X N i x -l9 w ' 11 T 16 T t! ]L41tN t 6 8 s )•t 12 11 O g6tE11 ° lYF. � M le Q 3. +R IT, , S t R^. 67 Q �. ., alF. k k r !! , x] • p St ��—� LiElfafe tX. J _ m 31 ST St I13 Tc N .U' ,...-, .17 ss 5 st e _ E se rwxl P.D.7 6 m+ TaM sp,a,r 1 NOTICE OF COUNTY SUFFOLK SOUTROLDaTa""a Red Property Tax Service Agency Frederick Pollen -` 375 Lighthouse Lane ]�'l..`� �•_.(C PO Box 578 r•�j=•;f ".�-_.-�,--.-... ._ �,. ' G Southold, NY 11971 JA N 2 6 2011 Board of Trustees,Town of Southold PO Box 1179 So�thhoG To;a��� ' Boar".! o,`7rus%ees T - Southold,NY 11971 - -•- .. The replacement of the bulkhead at the above premises authorized by Trustee permit#6503 dated December 13,2006(copy attached)was completed during the spring 2010. The contractor submitted a notice of completion with the NYS DEC but did not know of any form or notification process to the Town. The transition grade of the non turf buffer to the bulkhead and existing dock is steep. The grade drops 1.5 feet over 10 feet resulting in a 9 degree grade. It is somewhat difficult navigate under the best of circumstances. It is nearly impossible for my wife,who is permanently disabled as a result of a car accident,to transit. (She has had a permanent Handicapped parking sticker since 1992). I've tried several solutions to make the transition more manageable. Stepping stones have improved the footing, but if there are any pebbles or sand on the stones,it is like trying to walk on ball bearings. You office staff recommended that I request a_modification of the bulkhead permit. I would like to either install a ramp on the non turf buffer or put in several steps to make the grade more manageable. -Both options would keep the non-turf buffer intact. I think either solution would improve the safety of transiting the non turf buffer to the bulkhead and dock. Enclosed is a check in the amount of$50 for the permit modification request. Thank you for your attention to this matter. James F.King,President ��4�S®UryO Town Hall Jill M.Doherty,Vice-President G 53095 Route 25 Peggy A.Dickerson P.O.Box 1179 Dave Bergen G Southold,New York 11971-0959 John Holzapfel A �� Telephone(631)765-1892 Fax(631)7N65-6641 BOARD OF TOWN T'.R FrEESG `'1 TOWN OF SOUTHOLD J A N 2 6 2011 I � k � 1 $outhhold Town " Board of Trustees APPLICATION FOR AN AMENDMENT TO A �M.1 "ERI�IIT" DATE - '0�9 OW IMR. �iP„►c,� ! 2-1'r PHONE 7 61 s--zi o 2 ADDRESS 3 7S ,L/6<lTff��/dCe� 4/5��oF/ .�a►vTh°dy� AGENT PHONE ADDRESS PROPERTY LOCATION TAX MAP NO. -7o• 2-- (I/ Ve z 04 �. request an Amendment to Permit# 3 to O-v '740 Signed B • 'e, APPLICANT/AGENT/REPRESENTATWE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The puroose 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 NAME: /''J'LGE��iQ.FLL`!Ql c�� � ying in th:e name of (Last name,first name,middle initial,unless you are appl > �j someone else or other entity,such as a company.If so,indicate.the.other a �--u— 7' ;1 person's or company's name.) { �• �� i @ NAME OF APPLICATION: (Cheek all that apply.) I J A N 2 6. 2011 Tax grievance Building Variance Trustee ✓ Cm�hhr�� o,vn i Change of Zone Coastal Erosion Bas o;ro Sru;aess Y�_� l Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a 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 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 appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); 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,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP 2,011 Submitted this day of �j e' Signature Print Na Form TS 1 Board of Trustees Application County of Suffolk A N 2 6y State of New York I ? . 2a11 J li • Board or Trust' BEING DULY SWORN' POSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIB.ED.'PERMIT(S).AND THAT ALL STATEMENTS.CONTAINED HEREIN ARE TRUE TO.THE BEST;OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORD 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 BYVIlZTUE OF SAID'PERMIT(S); IF.GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY:AUTHORIZE THE TRUSTEES, THEIR AGENTS).OR REPRESENTATIVES(S) TO ENTER ONTO MY PROPERTY TO INSPECT THE ,PREMISES INCONJUNCTION WITH REVIEW OF THIS APPLI ATION. Signature SWORN TO BEFORE ME THIS (6 DAY I&do- Notary Public PENNY,:BEDELL - . Notary>Public �to of Naw York. . . . . Qualified in- uitolk County . : : CcmmiSsion Expires Sept•�9, 02(�/�.� . BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 6503 DATE: December 13,2006 ISSUED TO: FRED POLLERT PROPERTY ADDRESS: 375 LIGHTHOUSE LANE,SOUTHOLD SCTM#70-6-29.2 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 of the Town Code of the Town of `L Southold and in accordance with the Resolutions of the Board of Trustees adopted at the meeting held on ,r[ December 13,2006 and January 24,2007 and in consideration of application fee in the sum of$250.00 paid by Fred Pollert and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of j Trustees authorizes and permits the following: Wetland Permit to construct 170' of new bulkhead in place of existing bulkhead with vinyl, a with 12' of west return, and replace 6" higher in-like and in-place, and install a 10' non-turf buffer with the condition of the placement of a silt fence during construction and all as depiCtEl on the plan prepared by Costello Marine Contracting Corp. revised January 15, 2007 IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date.rjr r � . I - Tow, COSTELLO MARINE CONTRACTING CORPORATION DOCK BUILDING - JETTIES - BULKHEADING - STEEL& WOOD PILING - FLOATS 423 FIFTH STREET • P.O. BOX 2124 • GREENPORT, NEW YORK 11944 (631)477-1199/477-1393/477-0682 FAX(631)477-0005 October 19, 2009 EF Southold Town Trustees i PO Box 1179 - OCT 2 0 2Cu0 Southold,NY 11971 RE: Permit#6503 issued to Fred Pollert -- - - 375 Lighthouse Lane,Southold ' SCTM# 1000-70-6-29.2 Dear Trustees: I am requesting a One-Year Extension to the above-referenced permit which will expire 12/13/09. The work has not commenced and we don't anticipate construction until later this fall. I have enclosed a copy of Permit#6503 and check# 5436 in the amount of$50.00 representing the amendment fee. If any additional information needed,please do not hesitate to contact me. Sincerely, Jane P. Costello Permit Manager enclosures F O�QSoF CO Town Hall Albert J. Krupski,President h.Z. l/y 53095 Main Road James King,Vice-President c :c P.O.Box 1179 Henry Smith ti = Southold,New York 11971 Artie Foster Oy �� Telephone(516) 765-18g2 Ken Poliwoda �f�l � Fax(516) 765-1823 i BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD LETTER OF REQUEST—CrWA �nAMEN#N� j:EN'T' Z — 0 C1 1 4 200E DATE L . $GlStilOid j01'11 --__ Boaid 0�1GGs PHONE L31 • (67 -786/ ADDRESS : lquJd AGENT �� � (�1� 1 Ke PHONE (o. I 4-7"1^I ADDRESS� L fen-y f)Ac .044 PROPERTY LOCATION TAX MAP NO. I/We JpK equ k an Amendment to Permit#JL� allnu a, o eX �S Signed By: COSTELLO MARINE CONTRACTING CORPORATION DOCK BUILDING •JETTIES • BULKHEADING STEEL&WOOD PILING • FLOATS 423 FIFTH STREET • P.O. BOX 2124 • GREENPORT, NEW YORK 11944 • (631)477-1199/477-1393/477-0682 • FAX(631)477-0005 October 10, 2008 1I ! E ;i OCT 1 4 2008 Southold Town Trustees I PO Box 1179 Southold,NY 11971 Fca d of Trus'el`___ RE: Permit#6503 issued to Fred Pollert—375 Lighthouse Lane, Southold Dear Trustees: I am requesting an one year extension on the above-referenced permit. The permit will expires 12/13/08 and we don't anticipate completing the work until early next spring. If any additional information is needed,please do not hesitate to contact me. Sincerely, Jane P. Costello Permit Manager enclosures * 7 �O�OSVEFO(�CO . Town Hall Albert J. Krupski, President Gy 53095 Main Road James King,Vice-President c 1 P.O.Box 1179 Henry Smith Southold,New York 11971 Artie Foster p • � Telephone(516) 765-18g2 Ken Poliwoda y��l Fax(516) 765-1823 i BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD LETTER OF REQUEST FOR AN AMENDMENT MAR - 5 2007 DATE „2 O-7 OWNER Fed 6 Ilet?4-% PHONE &31�6�9 - -78 J� ADDRP,SS 14 Mudd goad 5P-1aa IVY //735 AGENT 51P arine PHONE 4:7 - /�Q9 6 ADDRESS �yX s2/�?4 C��P���e r /��Y /l94-' PROPERTY LOCATION 37 S4U f- a/ TAX MAP NO. l000— 70 —6 I/We k1bkari request an Amendment to Permit# a,To In�,&/I AM, Signed By: COSTELLO MARINE CONTRACTING CORPORATION DOCK BUILDING •JETTIES • BULKHEADING • STEEL& WOOD PILING • FLOATS 423 FIFTH STREET • P.O. BOX 2124 • GREENPORT, NEW YORK 11944 • (631)477-1199/477-1393/477-0682 FAX(631)477-0005 January 9, 2007 Southold Town Trustees PO Box 1179 Southold, NY 11971 RE: Inspection Fees Dear Lauren/Heather: Enclosed are three checks # 25835, 25836, 25837 to cover the inspection fees for Breezy Shores Community, Pollert and Erey. I will be submitting revised plans for Poliert in another day or two. Sincerely, Jane Costello Permit Manager Enclosures J A N 1 0 2007 MAILING ADDRESS: PLANNING BOARD MEMBERS QF S0(�jy P.O. Box 1179 JERILYN B.WOODHOUSE �OV� Old Southold,NY 11971 Chair OFFICE LOCATION: KENNETH L.EDWARDS Town Hall Annex MARTIN H.SIDOR G • 0 54375 State Route 25 GEORGE D.SOLOMON Ol (cor.Main Rd. &Youngs Ave.) JOSEPH L.TOWNSEND ylrouffm Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD To: Jim King,President Town of Southold Board of Trustees From: Mark Terry, Senior Environmental Planner LWRP Coordinator Date: December 1,2006 Re: Proposed Wetland Permit for Fred Pollert SCTM#1000-70-6-29.2 FRED POLLERT requests a Wetland Permit to construct 170' of new bulkhead immediately in front of existing bulkhead.Replace 12' west return in-place. Fill void between old and new sheathing with approx. 21 cy. of trucked-in sand. Located: 375 Lighthouse Lane, Southold. SCTM#70-6-29.2 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 CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP. Pursuant to Chapter 268,the Board shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action.. d � �'', DEC 1 2006 �� NOV - 8 2006 Office Use Only Coastal Erosion Permit Application :!Wetland Permit Application Administrative Permit Amendment/Transfer/Extension /Received Application: i ( IS TWo _-Received Fee:$ 6M1 'Gompleted Application JO _Incomplete _SEQRA Classification: Type I Type II Unlisted _Coordination:(date sent) CAC Referral Sent: / _:DateofInspection: /5 1 _Receipt of CAC Report: _Lead Agency Determination: _Technical Review: jablic Hearing Held: Resolution: Name of Applicant Address old ��� QQ Azef"b.T , IVY V J Phone Number:( ) 63 6 l9 c( -7a,5 Suffolk County Tax Map Number: 1000- (o — 0?9. Property Location: 37 5 b qld house L n e_ hold AY I1971 (provide LILCO PoledI#, distance to cross streets,and location) AGENT: (If applicable) �j Address: I✓� Y I -1 44_ Phone: 1t31 477�` -Board of Trustees Appli.catL___ GENERAL DATA Land Area(in square feet): 4l am Area Zoning: l26"al Previous use of property: G Intended use of property: ,j(�P Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes,provide explanation: Project Description(use attachments if necessary): (�YY�fU-C� 0` WVJ blk[Ueddt LM� tOM DYMWkY (Ub(C N/6LVJ&, X-':�;n Board of Trustees Applicati WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations-0 Iel766 Yl1UYC� a. Area of wetlands on lot: UDD square feet Percent coverage of lot: R• % Closest distance between nearest existing structure and upland edge of wetlands: /3q feet Closest distance between nearest proposed structure and upland edge of wetlands: R feet Does the project involve excavation or filling? No Yes If yes,how much material will be excavated? 1(eO cubic yards How much material will be filled? 1612 cubic yards Depth of which material will be removed or deposited: — �{ feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: buc& -uc� Caw 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): aim 4-1 1 hkf Wtl 617.20 Appendix C` •. State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT;FORM . For UNLISTED ACTIONSOhly PART I-PROJECT INFORMATION o be com leted b licAht or Project Sponsor) 1. APPLICANTISPONSOR 2: PROJECT NAME Co��o M i �o vnt vcT'i vC,��io !--gem 3. PROJECT LOCATION: Municipality 5Pe,77 vz.-0 County 4. PRECISE LOCATION(Street address and road Intersections,prominent landmarks,etc.,or provide map) 375' L/GaHTi'�DuSE G.r�iv�' .. • ,. , . : Joor�, Y. //97/ 1!5r--7,W /000- 70 -6-OR 0- 6. PROPOSFD ACTION IS: New Expansion Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: p,,�STi4LN--7- /1:7- ,`�+ oF' is/dFkr !sy F'iaovT of E ws7'�•v r-i_ 13Gr✓c Neset/a _,'�'��_4cEr_:X�.•'—` -- -- !�✓/rt1 �GEsl.•f 77¢�G�ces�• /.�.� S�w�. ��Ip-�¢cac. � c�.y�s.� 7. AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONIN&OR OTHER-EXISTING LAND USE RESTRICTIONS? •. Yes No If No,describe briefly 9. WHAT IS P ESENT LAND USE IN VICINITY OF PROJECT?, WHAT Industrial Commercial Agriculture Park/Forest/Open Space Other Describe: ��vA7S �cSi/.�S�v cC - Lc/d7�a'7�f110�►.7— 10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING,NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDE L,STATE OR LOCAL)? lk'yes El.No If Yes,list agency(s)name'arid permit/approvals: � f : NyS Z�, :v'vs ra 5, oE, ,,bw,�/ G 11. DOES ANY ASPECT OF E ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Yes• No If Yes,list agency(s)'ripi.- and permiUapprovals: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? ❑Yes Q No I CERTIFY T THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Date: Signature: If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER PART II- IMPACT ASSESSMENT o be completed by Lead`A en A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCIit?,PART 617A7 If yes,coordinate the review process and use the FULL EAF. Yes No e B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTIip ACTIONSJN 6 NYCRR,PART 617.6? If No,a negative declaration may be superseded by another Involved appincy"'o I Yes No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,if legible) C1. Existing air quality,surface or groundwater quallty'or quantity,'nolse levels,existing traffic pat*m,solid waste"production or disposal, potential for erosion,drainage or flooding problems?,t7 plain briefly:f C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly: C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly: C4. A community's existing plans or goals as officially adopted,or a change in use or Intensity of use of land or other natural resources?Explain briefly: C5. Growth,subsequent development,or related activities likely,to be Induced ray the proposed action?Explain briefly: C6. Long term,shoit term,cumulative,or other effects not identified in C1-05? Explain briefly: C7. Other Impacts(Including changes In use of either quantity or."of energy)? Explain briefly: ti D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA(CEA)? , Yes No,, •If Yes,explain briefly. E. 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 SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: For each adverse effect Identified above,.dotermine whether It is s6bitintlal,large,important orotherwise significant. Each effect should be assessed In connection with Its(a)setting(I.e.;urban or rural);(b)probability of occurring;(c)duration;(d)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. If question D of Part II was checked yes,the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Chock this box If you have identified one or more potential Iaye orsignifioi>intadverse impacts which MAY 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 determination Name of lead Agency Date Print or Type Name or Responsible Officer In Lead Agency Responsible Officer Signature of Responsible Officer in L9ad AgerlCy.,• :. . nature of Preparer(If different from responsible officer) •• " UQ COSTELLO MARINE CONTRACTING CORPORATION DOCK BUILDING •JETTIES • BULKHEADING • STEEL& WOOD PILING • FLOATS 423 FIFTH STREET P.O. BOX 2124 GREENPORT,NEW YORK 11944 (631)477-1199/477-1393/477-0682 FAX (631) 477.000 AUTHORIZATION FORM owner.of (Name) �^ (Business/Property Name) located at �7� . G!¢�' J�s� �,•��,z Jv�: rnL� i'�t �( do hereby give Costello Marine Contracting Corp. the authority to act as agent in my behalf in applying for all the necessary permits for work to be completed at my above referenced property. /0 2 0� GCS Date - Signature t James F. King,President SO Town Hall Jill M. Doherty,Vice-President �OVv Old 53095 Route 25 P.O. Box 1179 Peggy A.Dickerson Southold,New York 11971-0959 Dave Bergen �Q Telephone(631) 765-1892 COUrm,��' Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN - - - - - -------- - ---------- - --- f F SOUTH OLD In the Matter of the Application of DEC 1 3 2006 , 01 Zt ------ P -------------------------- a COUNTY OF SUFFOLK) STATE OF NEW YORK) _.. . ....--_--... "..=' ��"" G4�b AFFIDAVIT OF POSTINGS iI, ](�a , residing at 3n0 a �t ed �\4��7 wf lza� being duly sworn, depose and say:That on the-rj day of.1xC"C,, 20A I personally posted the property known as 3`7 5 L,Q k fh 06.9e //aup S fh Y lA?71 by placing the Board of Trustees official poster wh e it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held uj� 1., .r00(7, 13. 670M Cn 04 a oufi &%30 , Dated: Plature) Sw�x to efore me this f -day of PDX•200�p Notary P b 'c EM HEALY Notary No 101 HE60592 0 York Qualified In Suffolk County Commission Expires July 23, 20Q, 1 . r •b a Jf N40TICE OF HEARING OWNEP 1 0 , imt IL had •1 \•DATE OF PUBLIC ElAPIM . • _ ► ,. T . fe' _ rl J • .• 7ES*TOWN OF • • . i 4j Zvi h. i air., �� tii�tf '('•�•} S � ` err It firw. :. � t' +.,���'�.�31. f, 1,.. �, ... •` i ;P' j' Z' • Ai r ti NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: Fred Pollert SCTM # 1000-70-6-29.2 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: ➢ Construct 170' of new bulkhead immediately in front of existing bulkhead ➢ Replace 12' of west return in-place. ➢ Backfill void between old and new bulkhead with approximately 2 cubic yards of clean trucked in sand. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 375 Lighthouse Lane, Southold, NY 11971 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 on December 13, 2006 at 6:30pm. 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: Fred Pollert MAILING ADDRESS: 24 Mudd Road Setauket, NY 11733 Enc. : Copy of sketch or plan showing proposal for your convenience. 1�1 It�' ow)� V L.efKp�/E4@ t RO�ERT O 3sf,QNO� �NGc$t/5/iCNOGSB" �:J 24S-L/4N�'i�R�f/,�.G�J�76 /00 G/CjMTNC!!S6 GsINS' �osjlsroKO i Y+ �/1�►7! ✓�'ou7l,�a-r-a ./vy //'17/ O�sis�• H�.u•io�t ✓.an.�S ® , oo�'ssoir•r.,..)QpSA - -�4'ar+7Xarr,�,..�vy. I/�7/ 3vr+rJ+�oc-�.^�•y //�7l =�Q t--w5newc.T .L.70`f.OF,'4&&c! 1f 5 v4w-4t4.G,4-C7 lA4,Wg e4,- _LA/F.G�e�+rl" .O/� @�e�3TuvNs i3we�eFsastr�. l�el?e.4e� J=Gd CG. 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T.Irsws.?/ii yGtI+IM* ScTtit loco-?O-G-%Z9.Z fisr.31 4"-II" ��eEs 2 of 5 Z'iL "7'oG�OpQ/ h1G,L�S oz of o 1 Np'J/7oc c-11� C� -?Sr dW o , 6 q/ ivi .�791�iGaiVrv/ G�rDr+liropnqw M�n� Uo moo,;,oGi .c�na�1 cn►�� :o�s��ld�d lot 1-4 r �ycoo,, r 1 ./ •yV'S 1'is�����_ _ter fr 67 3 e 7 f ' � F j'O ell i TV fA p e�1JR71'S1���i•r�CG�_J 3 �"7-Q/NClsER� peo�pSE,p PJi?Of-�SE��GGcch - � � 9 3 a s1J�AL�C.4�J7' ' �c�Ea �ot�.ER7" 2 4 ;ZZo.4a S e'rAc.-i eT Av y. A733 ZAAAE losracco.wraw�Gw�n�t�cn•..�asC�ap �'c M Ooo0--70- CG3/1 477- r/99 ocr. rl.2oo�v _ E�r�v�rre As RBp�ce sts Ficc Vale/ES 5'{To i FICI,. Ir0/�l3�Zc/E�N / oc,n st�v�rsEw SNE�TH/NC-� f�//77'•F To�of f CAP 2/vIAT-�T�RoX EL-t7•o i� �/�l-E�RLItsE �# GG4NPp 251-=4c.44 -�.M ; � •STR/NHGfzS �,8� Jc2S�LOw:-, ffdlZ/�aNTL3L- QMf{fiY fL bj� Ip aG►sa0 .5�fsiK 3 !®.. �FFEltE+�CC � EJ�T/NEB S��J�S�C�NC-r - Sf/ep.Ti'/fi�v�s /�LlC,L�/R/h�/ram AAMLW= O.o �4NG� Gt.MIp �o`O_G. it j o,>Z�M4�i�t �G-Loc"gy'oo I I /o• G��c-�. LOiYC-,�IGES 1 1 - i � O.C. I 1 �X/5T/N�� �/GE✓ I 1 � v BC/L/Gf--lELI.T� CT-�oSS S�GT/Ole./ ALP.PLle.�NT /cT2Ea T-�OGGERT .375 c are+. M*~ 1p%moic almA AwV.uowl. C&SO 477-fil" o-7717 2oe%r- mil,/ - of Board of Trustees Applicati._ _ County of Suffolk State of New York C�%%G DULY SWORN DEPOSES AND AFFIRMS tHAT HE/SHE 19 THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE 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 3 DAY O ,20_p� to Pub is CYNTHIA M. MANWARING NOTARY PUBLIC, STATE OF NEW YORK NO:01 MA6100507 QUALIFIED IN SUFFOLK COUN COMMISSION EXPIRES OCT. 20 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCA.F for proposed actions1hat 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 G;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", then the proposed action may affect the achievement of the LWRP policy standards aind.'conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the'maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is,available in the following places:online at the Town of Southold's website (southoldtown.northfork.ne't), the Board of Trustees Office,the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION. NOV - 8 20000 SCTM# The Application has been submitted to (check appropriate response): Town Board ❑ Planning Dept. ❑ 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: e- t 14d Ae&#eA and a,, )neu ��'hA rtiifGr Clean & d&W w Location of action: Site acreage: Present land use: Present zoning classification: le 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: W/jpr� (b) Mailing address: TNY !!7 ;S (c) Telephone number:Area Code(. ) L?89 7a �l (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 agenc}r1z �, <; [��C 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 usb of a coastal location, and minimizes adverse effects of development. See LWRP Section,III—Policies; Page 2 for evaluation criteria. Yes No Not Applicable 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 ❑ Yes ❑ No Not Applicable ti Attach additional sheets if nece&, 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 ❑ 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 Pages 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 1.6 through 21 for evaluation criteria ❑ Yes ❑ No VNotAppIicable 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. N1 Yes ❑No❑ Not Applicable 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 wastes. 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. Yes❑ 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. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. Yes ❑ No ❑ Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound,Me Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes 3 No ❑ ]Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LW"Section III— Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ NoT� Not 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 Created on 5125105 11:20 AM Date: November 6, 2006 To: Southold Town Trustees and Mark Terry Proposal: Construct 170'of new bulkhead immediately in front of existing bulkhead. Replace 12'of west return in-place. Fill void between old and new sheathing with clean trucked in sand (approximately 21 cubic yards). DEVELOPED COAST POLICIES Policy i 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. The existing bulkhead on this property is beginning to fail. The owner has made effort to patch certain areas of this structures but a new bulkhead is needed. The owner would like to build a new bulkhead directly in front of the existing bulkhead so that the creosoted preservative is not disturbed and allowed to enter the waterways. It is believe that more damage will be done if the existing bulkhead is remove than to build a new bulkhead directly in front essentially burying the existing bulkhead. Policy 2 Preserve historic resources of the Town of Southold. This property has no significant historic resources. Policy 3 Enhance visual quality and protect scenic resources throughout the Town of Southold. The bulkhead at this location is existing. The present condition of this bulkhead is becoming unstable threatening the integrity of the upland property. As the photos show there are small sump holes which will become larger and more apparent as this bulkhead ages. A new bulkhead is just an attempt of the upland property owner to maintain his property. There is an existing bulkhead so the visual quality and scenic resources will remain the same. NATURAL COAST POLICIES Policy 4 Minimize loss of life, structures,and natural resources from flooding and erosion. The existing bulkhead is needed to protect the upland property. The new bulkhead will not increase flooding or erosion in this area. Policy 5 Protect and improve water quality and supply in the Town of Southold. This proposal will not have any impact on the water quality and supply of the Town of Southold. Policy 6 Protect and restore the quality and function of the Town of Southold's ecosystem. This proposal will not have any impact on the Town of Southold's ecosystem. Policy 7 Protect and improve air quality in the Town of Southold. This proposal will not have any impact on the air quality of the Town of Southold. Policy 8 Minimize environmental degradation in the Town of Southold from solid waste and hazardous substances and wastes. This proposal will not degrade the environment with solid waste or hazardous substances. 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. Our proposal will not limit public access to the coastal waters or public resources of the Town of Southold. There is a bulkhead presently existing and we are proposing to construct a new bulkhead immediately in front of the existing bulkhead. This structure will extend no more than 18" seaward of the existing bulkhead. i Page 2 of 2 LWRP for Fred Pollert WORKING COAST POLICIES Policy 10 Protect the Town of Southold's water-dependent uses and promote siting of new water- dependent uses in suitable locations. Our proposal is to reconstruct a failing bulkhead. The present condition of the bulkhead is poor and is unsafe. This property is used by the upland property owners to engage in water dependent activities such as boating, fishing and swimming. These activities will Continue at this site. Policy 11 Promote sustainable use of living marine resources in the Town of Southold. During the initial construction there will be a slight disturbance. Once construction is complete, the area will be allowed to re-establish itself which will take normally one complete season. Our proposal will not impair the marine environment after construction. Policy 12 Protect agricultural lands in the Town of Southold. This proposal has no impact on the agricultural lands in the Town of Southold. Policy 13 Promote appropriate use and development of energy and mineral resources. This proposal has no influence on the development of energy and mineral resources. ICU � I COSTELLO MARINE CONTRACTING CORPORATION DOCK BUILDING •JETTIES • BULKHEADING • STEEL&WOOD PILING • FLOATS 423 FIFTH STREET • P.O. BOX 2124 • GREENPORT, NEW YORK 11944 • (631)477-1199/477-1393/477-0682 • FAX(631)477-0005 January 16, 2007 . i ' Southold Town Trustees �11 JA N If - 1 8 2007 PO Box 1179 Southold, NY 11971 .,: d IV:. 7:i it RE: Pollert Property m 375 Lighthouse Large, Sout1fd1d`--SCTM# 1000-70-6- 29.2 Dear Trustees: As per your on-site inspection on Monday, January 15, 2007, enclosed are three copies of revised drawings showing the proposed bulkhead 6"higher than original bulkhead and a 10'non-turf buffer. If the any additional information is needed regarding this application, please do not hesitate to contact me. Sincerely, Jane P. 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