Loading...
HomeMy WebLinkAboutTR-4138 Jill M.Doherty,President 0��0f So yO Town Hall Annex Bob Ghosio,Jr.,Vice-President lQ 54375 Main Road II P.O.Box 1179 James F.King cn Southold,New York 11971-0959 Dave Bergen G Telephone(631) 765-1892 yCoUN1`1 John Bredemeyer O Fax(631) 765-6641 l ,� ' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 20, 2011 Mr. Stephen Latham P.O. Box 595 Southold, NY 11971 RE: 845 ROGERS RD., SOUTHOLD SCTM#66-2-40 Dear Mr. Latham: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., July 20, 2011: WHEREAS, STEPHEN LATHAM applied to the Southold Town Trustees for an Amendment to Wetland Permit#41.38 under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated June 22, 2011 and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, in accordance with Chapter 268, said application was found to be Exempt from the Local Waterfront Revitalization Program policy standards, and, WHEREAS, the project complies with the standards set forth in Chapter 275 of the Southold Town Code, and, WHEREAS, the Board has determined that the project will not affect the health, safety and general welfare-of the people of the town, and, NOW THEREFORE BE IT, 2 - RESOLVED, that the Southold Town Board of Trustees APPROVES the Amendment to Wetland Permit#4138 to replenish the beach with approx. 400 cy. of sand, as depicted on the site plan prepared by Dru Associates, Inc. last revised April 16, 2011 and stamped approved on July 20, 2011. This is not a determination from any other agency. Sincerely, YA Jill M. oherty, residen Boar of Trustees JMD:Ims Jul 20 11 01 :52p p. 1 Suffolk Environmental Consulting, Inc. Newman Village,Suite E.2322 Main Street,P.O.Box'200.3,Bridgehampton,New York 11932-2003 (631) 537-5160 Fax: (631)537-5291 Brace Anderson,M.S.,President VIA FAX D July 20, 2011 J U L 2 0 2011 Ms. Jill Doherty, Chairwoman Board of Trustees Southhold Town Town Hall Board of Trustees P.O. Box 1179 Southold, NY 11971 Re: KUCHNER PROPERTY Situate: 1726 Arshamomaque Ave., Southold BALL PROPERTY 1890 Arshamomaque Ave., Southold BEIXEDON ESTATES ASSOCIATION, INC. Arshamomaque Ave. Right of Way, Southold LATHAM PROPERTY 845 Arshamomaque Ave., Southold ILIBASSI PROPERTY 1728 Arshamomoque Ave. Southold Dear Ms. Doherty, This Firm represents Mr. John Nickels, who resides in Beixedon Estates and received various Notices in connection with the proposed Wetland Permit Amendments referenced above. I understand that each property owner proposes to replenish a beach area with 400-500 cubic yards of sand which sand would be substantially placed on top of'the existing toe armor installed along the continuous bulkhead line. I also understand that the deposited sand would be monitored by the NYSDEC and a private consultant representing the property owners. . I presume that the purpose for monitoring of the deposited sand is to determine whether or not the sand remains over time and, if the deposited sand it is lost to storm erosion, where it settles out. It is in the latter that I suggest that a marker be introduced into the deposited sand so that lost sand can be tracked in the field. Jul 20 11 01 : 53p p. 2 2 Sincerely, Bruce A.Anderson Cc. J. Nickles ti s� Peter Young,Chairman y Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1892 1�[ Fax(631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., July 13, 2011, the following recommendation was made: Moved by Derek Bossen, seconded by Audrey Horton, it was RESOLVED to SUPPORT the application of STEPHEN LATHAM to Amend Wetland Permit#4138 to replenish the beach with approx. 400 cy. of sand. Located: 845 Arshamomaque Ave., Southold. SCTM#66-2-40 Inspected by: Audrey Horton, Derek Bossen The CAC Supports the application with the Condition the beach, approx. 15' in width, is planted with Cape American Beach Grass to protect the shoreline. Vote of Council: Ayes: All Motion Carried Henry J. Latham 4 �� Beixedon Estates ED BY Shoreline Restoration Lot 8 `BOARD OF TRUSTEES Dru Associates, Inc. 40 Hitching Post Ln. n/o/f Glen Cove, NY 11542 James F. Travers TOWN OF SOUTHOLD 516-676-7107 Revised: 4-16-2011 ------ _ _ DATE at��i1 Prepared: 1-12-2011 � Scale: 1"= 60' 1 ! Existing Rock Armor at bulkhead Lot 7 ' Lot 6 to be rehabilitated 6` 1 n/o/f !' n/o/f Henry J. Latham Joan Kuchner 400' A f" r T.99.19 ,E.tge !� Q1] u _ 0.' sea.. ;.¢s _. a'..S3y s4n [a.o xp Bse9 se.ss 9 ewcF s s c,94' s s,Ens M»ro as • A09� • �_ _ EYr � SR90 �� NiMaP1,MDI YiHEftYnF.t Q(9EP40,9 \ O.1B Beach sand replenishment area = 10,000 sf e9Ce e1RKHEro re �� Sand volume approx. 2000 cyds —Y] _ _ N. s s� s°., s� s u ��1 •-2X w4`Po,y �R a u o as :LU � 2M 2M N#eEC APPROVED AS PEI!TERMS =4 L '' AND CONDITIONS OF BAY PERMIT N0.14-7sf—� J U L 2 2 2011 `: ' , pUTHOLO DAT Survey by Nathan Taft Corwin III February 11 2008 Sections by Dru Associates Inc. October 2010 by Transit Level Beixedon Estates Shoreline Restoration Dru Associates,Inc. A +4 40 Hitching Post Ln. Typical section: Latham Property Glen Cove,NY 11542 +3 " 516-676-7107 Revised:4-16-2011 +2 Prepared:1-12-2011 Rock armor Scale:V=20' +1 i ' to first � wafer 0 i 2 01 AH 2O08 100 200 Feet Proposed restoration 2010 bottom topo � B +4 �� ♦ ' + ,f. APPRO VED AS PER TERMS +2 AND CONDITIONS 3 Rock armor >4 PERMIT N /J to first +1 ! v� waler DAT 0 i --------- — --- ---- - - ` t/�' I �'o -2 i .a_K_ ,. B 0 AHW 2008 50 100 200 Feet Survey by Nathan Taft Corwin III February 11,2008 Restoration by re-setting surface stones after replenishing sand, Sections by Dru Associates Inc. with added sand as needed,followed by replacing stones,with added stone as needed. October 2010 by Transit Level New York State Department of Environmental Conservation Division of Environmental Permits, Region One SUNY @ Stony Brook, 50 Circle Road, Stony Brook, NY 11790-3409 Phone: (631)444-0362 Fax: (631)444-0360 Website; www.dec.ny.gov Joe Martens Commissioner May 24, 2011 Mr. Stephen G. Latham JUL Z 2 2p„ P.O. Box 595 Southold, NY 11971...,. .. soutWld -16M Board of Trustees Re: , ., Permit No.: 14738-00773/00005 Dear Permittee: In conformance.•with-the.requirements of•the.State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit. Please carefully read all permit conditions and special permit conditions contained in the permit to ensure compliance during the term of the permit. If you are unable to comply with any,conditions,please-contact us.•.at the,above address. Also enclosed is a permit sign„which is to be conspicuously.posted at..the..project site and protected from the weather. Sincerely, Mary .MacKinnon Agency,.Program Aide.-_. MAM/Is t t' NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION taboo Facility-DEC ID 1-4738-00773 PERMIT Under the Environmental Conservation Law ECL Permittee and Facility Information Permit Issued To: Facility: STEPHEN G LATHAM LATHAM.PROPERTY PO BOX 595 845 ROGERS RDISCTM#0-1000-66-2-4 SOUTHOLD, NY 11971 SOUTHOLD,NY 11971 (631) 765-3601 Facility Location: in SOUTHOLD in SUFFOLK COUNTY Village: Southold Facility Principal Reference Point: NYTM-E: 717.641 NYTM-N: 454932 Latitude: 41°03'57.7 Longitude: 72°24'34.9" Project Location: 834 Rogers Road - Watercourse- Great South Bay. Authorized Activity: Rehabilitate the rock revetment seaward of the bulkhead by installing a single row of stone approximately 1,000 pounds in size and underlain with filter fabric. Replenish the beach area with compatible (equal or larger) grain size sand. No sand shall be placed seaward of the mean low water. All work must be in accordance with the two page plan prepared by Dru Associates Inc., dated 1/1"2/1I"last revised 4/16/11 and-stamped NYSDEC approved 5/24/11. (MAM) Permit Authorizations Tidal Wetlands -Under Article 25 Permit ID 1-4738-00773/00005 New Permit Effective Date: 5/24/2011 Expiration Date: 5/23/2016 Water Quality Certification - Under Section 401 - Clean Water Act Permit ID 1-4738-00773/00006 New Permit Effective Date: 5/24/2011 Expiration Date: 5/23/2016 Excavation & Fill in Navigable Waters - Under Article 15,Title 5 Permit_ID 1-4738-00773/00007- New Permit Effective Date: 5/24/2011 Expiration Date: 5/23/2016" NYSDEC Approval By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, and all conditions included as part of this permit. Permit Administrator: JOHN A WIELAND, De egional Permit"Adminis ator Address: NYSDEC REGION 1 AD UARTERS S @ STO ROOK 0 CIRCLE RD S ON BRO ,NY 1 0 -3409. Authorized Signature: Datz l27l 0v Page 1 of 5 NEW Y'ORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 14738-00773 Distribution List Habitat - TW MARY A MACKINNON Permit Components NATURAL RESOURCE PERMIT CONDITIONS WATER QUALITY"CERTIFICATION SPECIFIC CONDITION GENERAL CONDITIONS,APPLY TO"ALL AUTHORIZED PERMITS NOTIFICATION OF OTHER`PERMI`I'TEE•OBLIGATIONS".:_. " NATURAL RESOUR•CEPERMIT•CONDITIONS Apply to the F6116wii g ,Permits: TIDAL WETLANDS; WATER QUALITY CERTIFICATION; EXCAVATION"& FILL IN NAVIGABLE WATERS 1. No Interference With Navigation There shall be no unreasonable interference with navigation by the work herein authorized. 2.• Conformance With Plans All activities authorized by this permit must be in strict conformance with the"approved plans submitted-by the applicant-or applicant's agent as part of the permit•application. Such approved plans were prepared by Dru Associates Inc. dated 1/12/11 last revised 4/16/11. .3. State Not Liable for Damage The.State of New York,shall.in no case be.liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim orright to-compensation shall accrue-from,any such damage: ,•.•. 4.•'State•May Require Site Restoration If upon the expiration or-revocation of this permit, the project hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. 5. State May Order Removal or,Alteration of Work If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State,the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if,upon the expiration or revocation of this permit, the structure, fill, excavation, or other Page 2 of 5 tt L. NEW YrJRI:STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-00773 modification of the watercourse hereby authorized shall not be completed, the owners, shall, without expense to the State, and to .such extent'and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 6. Precautions Against Contamination of Waters All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project. 7.:Notice of Commencement .At least 48 hours prior to commencement of the project, the.permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work. 8.-No Construction Debris in Wetland or Adjacent Area Any debris or excess material from construction of this project shall be completelyremoved from the adjacent area(upland) and removed to an approved upland area for disposal. No debris is permitted in wetlands and/or protected buffer areas. 9. No Disturbance to Vegetated Tidal Wetlands There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activities. io. Storage of Equipment,,.Materials . The storage of construction.equipment and materials shall be confined to the upland area landward of the bulkhead or on a barge. 11. No Beach Excavation For Fill No excavation of the beach is authorized for the purpose of obtaining fill or stone materials. 12. No Dredging or Excavation No dredging, excavating or other alteration of shoreline or underwater areas is authorized by this permit, nor shall issuance of this permit be construed to suggest that the Department will issue a permit for such activities in the future. 13. Bulkhead Armoring The authorized bulkhead armoring shall consist of a single row of stone approximately 1,000 lb-in size and underlain with filter fabric. 14: 'Material All�material deposited'on the beach shall be of compatible (equal or larger) grain size fo the naturally-occurring beach. No sand shall be placed"seaward of mean low water. WATER QUALITY CERTIFICATION SPECIFIC CONDITIONS 1. Water Quality Certification The NYS Department of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitations or other limitations or standards under Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977 (PL 95-217) provided that all of the conditions listed herein are met. Page 3 of 5 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-00773 GENERAL CONDITIONS - Apply to ALL Authorized Permits: 1. Facility Inspection by The Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71- 0301 and SAPA 401(3). The permittee shall provide a person to accompany,the Department's representative during an inspection to-the`permit area when requested by,the Department. A copy of this permit, including.all,referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is.a.violation of this permit. 2. 'Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or'any of the terms, conditions or requirements contained in such order or determination. 3. Applications For Permit Renewals,Modifications or Transfers The permittee must submit a separate written application to the Department for permit renewal,modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. Submission of applications for permit renewal,modification or transfer are to be submitted to: " Regional Permit Administrator NYSDEC REGION 1 HEADQUARTERS SUNY @ STONYBROOK150 CIRCLE RD-" STONY BROOK,NY11790 -3409 4. Submission of Renewal Application The permittee must submit a renewal application at least 30 days before permit expirati on—for the•foll owing-pen-nit authorizations: Excavation 8&Fill in-Navigable- Waters, Tidal Wetlands, Water Quality Certification. 5. Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to modify, suspend or revoke this permit. The grounds for modification, suspension or revocation include: a. materially false or inaccurate statements in the permit application or supporting papers; b. failure by the permittee to comply with any terms or conditions of the permit; c. exceeding the scope of the project as described in the permit application; d. newly discovered material information or a material change in environmental conditions,relevant technology or applicable law or regulations since the issuance of the existing permit; Page 4 of 5 j 'NEW VORK STATE DEPARTMENT.OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-00773 e. noncompliance with previously issued permit conditions, orders of the*commissioner,. any provisions of the Environmental Conservation Law or regulations.of the Department related to the permitted activity. 6. Permmt Transfer Permits are transferrable unless specifically prohibited by statute, regulation or another permit condition. Applications for permit transfer should be submitted prior to actual transfer of ownership. NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee,excepting state or federal agencies, expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, and agents ("DEC") for all claims, suits, actions, and damages, to the extent'attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in connection with, or operation and maintenance of, the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent or intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible'for informing its independent contractors, employees, agents and assigns of, their responsibility to comply with this permit, including all special conditions while acting as the ."permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible.for,obtaining.any.other"_<permits, approvals, lands, easements and rights-of- way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This-permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Page 5 of 5 Henry J. Latham Beixedon Estates Shoreline Restoration Dru Associates,Inc. Lot 8 40 Hitching Post Ln. n/o/f Glen Cove,NY 11542 James F.Travers 516-676-7107 Revised:4-16-2011 ---- Prepared: 1-12-2011 Scale:1"=60' Lot 7 ' Existing Rock Armor at bulkhead Lot 6 to be rehabilitated Noll n Henry J.Latham ' Joan Kuchner 400' A• ' a •w dil y •u 'qv - = o uwot eNn •� `�rrveurr •vre,o eeet�erdwal,uw,d�s+nwue `� u� 4b .�.,,� •� •� Beach sand replenishment area=10,000 sf Sand volume approx.2000 cyds NYSDEC APPROVED AS PER TERMS AND CONDITIONS OF _ PERMIT NO. OPT) p SOUTHOLD gAY DATES , by Nathan Taft Corwin III February 11,2008 Sections by Dru Associates Inc. October 2010 by Transit Level y, Beixedon Estates Shoreline Restoration Dru Associates.Inc. A +4 40 Hitching Post Ln. Typical section: Latham Property Glen Cove,NY 11642 +3 516-676-7107 € =_ Revised:4-16-2011 ±2; Prepared:1-12-2011 '''• Scale:1"=20' Rock armor+1 to first I waler 0 r- --- -------------- 1 E .......A............ .............A -2 I AH 2 8 50 100 200 Feet Proposed restoration :_, _e:,:;*,c _;, 2010 bottom topo +a NYSDEC + APPROVED AS PER TERMS +2 -. AND CONDITIONS OF to first nnor +1 T'•.-0 PERMIT NO.I 3Q water I -- ''• ——_——_ DATE- 0 I ---------- _1 I -2 ._. . B' 0 AHW 2006 50 10D 200 Feet ^ Survey by Nathan Taft Corwin III February 11,2008 Restoration by re-setting surface stones after replenishing sand, Sections by Dru Associates Inc. with added sand as needed,followed by replacing stones,with added stone as needed. October 2010 by Transit Level osu�Fot,� Jill M.Doherty,President �� CpG P.O.Box 1179 Bob Ghosio,Jr.,Vice-President y� Southold,NY 11971 James F.King Telephone(631 765-1892 too Dave Bergen ,y Fax(631)765-6641 John Bredemeyer Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: STEPHEN LATHAM requests an Amendment to Wetland Permit U11to replenish the beach with approx. 400 cy. of sand. Located: 845 Arshamomaque Ave., Southold. SCTM#66-2-40 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: -UJ. Doher. U& Ghosio King D. Bergen, �,a�redemeyer D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: Jill M.Doherty,President ti - Town Hall,53095 Main Rd. James F.King,Vice-President y. P.O.Box 1 179 Dave Bergen , ► Southold,NY 11971 Bob Ghosio,Jr. �/� �� Telephone(631)765-1892 John Bredemeyer 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 $O SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction /2 constructed Project complete, compliance inspection. APPROVED BY PLAN FOR PLACEMENT OF BOARD OF TRUSTEES 1/2 to 1 TON STONE RIP RAP TOWN OF SOUTHOLD LOT 7 MAP OF 00 DATE BEIXEDON ESTATES Ogg' BLOCK 7 pp r SITUATE SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK J+ S.C. TAX No. 1000-66-02-40 SCALE 1"=40' UI L� gS + MAY 14, 2010 O• s DES �5 AREA = 11,765 sq. ft. 1 (TO BULKHEAD) 0.270 ac. d yoz NOTES: a�a+ 1. ELEVATIONS ARE REFERENCED TO HIGH WATER BEING ELEVATION 0.0' Op �y0 •c-e 6p 0 .::::-i EXISTING ELEVATIONS ARE SHOWN THUS: 5.0 ' T.8. — TOP OF BULKHEAD r� --•�- B.B. — BOTTOM OF BULKHEAD . O�G1 :.•=y�q �' �y T.J. — TOP OF JETTY -l•c��T, UNAUTHORRFD ALTERATION OR ADDITION °J ��y "•• V; TO THIS SURVEY IS A VIOLATION OF - Z N -(�g'1/' - ' ++ SECTION 7209 OF THE NEW YORK STATE . 0 0 -:i:•:::::.- +��+ EDUCATION LAW. �� �`C� .::-::•Q : COPIES OF THIS SURVEY MAP NOT BEAMING 9m `SSSINKED SI foW HALL NOT BE CONSIDERED �. +O °O 5 „Q,�L TO BE A VALID TRUE COPY. ...F::c.:. -._` CERTIFICATIONS INDICATED HEREON SHl V RUN ? .: 0��°15 i ;lu ` !`,, I'_' ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED,AND ON HIS BEHALF TO THE TITLE COMPANY.GOVERNMENTAL AGENCY AND + LENDING INS�N LISTED HEREON.AND •� _ o° IN TO THE ASSIGNEES OF THE LENDING STI— _ - ti TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE } NAY 2 0 2010 $ / i ,I THE EXISTENCE OF RIGHT OF WAYS p4 �/�\ AND/OR EASEMENTS OF RECORD, IF 1pO (8' "" // ��J \\ J ! ANY. NOT SHOWN ARE NOT GUARANTEED. NQj c ( l _. _-. . PREPARED IN ACCORDANCE WITH THE MINIMUM f b i �t L.I s.Ali SUASESTABT. M(� 1T7'DNEW�Y�ORK DTA�WID X PROPOSED CROSS SECTION OFAW RIP RAP PLACEMENT /,E � AFrc e SCALE 1 "= 10, g� ' �°° PROPOSED RIP RAP .k. J ��� N.Y.S. Uc. No. 50467 Lh (1/2 TO I TON ROCK) HI6H WATER ,i LOW WATER I�iatl'iat11 t Corwin III EXISTING �' Land Surveyor BULKHEAD Title Surveys — Subdivisions — Site Plans — Construction Layout PHONE (631)727-2090 Fax (631)727-1727 OFFICES LOCATED AT MAILING ADDRESS 1586 Main Road P.O. Box 16 Jamesport, New York 11947 Jamesport, New York 11947 Jill M.Doherty,President QF S0(/�yO Town Hall Annex James F.King,Vice-President ,`O . 54375 Main Road Dave Bergen P.O.Box 1179 Southold,New York 11971-0959 Bob Ghosio,Jr. G Q John Bredemeyer Telephone(631) 765-1892 COUNV I Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 16, 2010 Mr. Stephen Latham P.O. Box 595 Southold, NY 11971 RE: 845 ROGERS RD., SOUTHOLD SCTM#66-2-40 Dear Mr. Latham: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., June 1.6, 2010: WHEREAS, STEPHEN LATHAM applied to the Southold Town Trustees for an Amendment to Wetland Permit#4138 under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated April 29, 2010, and, WHEREAS, said application was referred.to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, in accordance with Chapter 268,.said application was found to be Exempt from the Local Waterfront Revitalization Program policy standards, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, ` 2 RESOLVED, that the Southold Town Board of.Trustees APPROVES the Amendment to Permit#4138 to install rip-rap '/2 to 1 ton stone armor in front of the existing bulkhead, and as depicted on the survey prepared by Nathan Taft Corwin III dated May 14, 2010. This is not a determination from any other agency. Sinc rely, Jill . Doherty, Presid t Board of Trustees JMD:Ims ell Jill M.Doherty,President y - Town Hall,53095 Main Rd. James F.King,Vice-President �. P.O.Box 1179 Dave Bergen ► ` Southold,NY 11971 Bob Ghosio,Jr. �'1yr ��' Telephone(631)765-1892 John Bredemeyer �' Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: P�1 L- 1Ct r�► Please be advised that your application dated ; . 029, ?0/0 has been ,.reviewed by this Board at the regular meeting of Oc une_1, Z/e and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale. Line Inspection Fee{$50.00) 1st Day of Construction ($50.00) '/2 Constructed ($50.00) Final Inspection Fee ($50.00) .Dock Fees ($3.00.per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter.275 of the Southold Town Code. The.following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: 00 TOTAL FEES DUE: $ ' BY: Jill M. Doherty, President Board of Trustees Jill M.Doherty,President Off' C4 P.O.Box 1179 James F.King,Vice-President a Gy� Southold,NY 11971 Dave Bergen Telephone(631)765-1892 coo Bob Ghosio;Jr. .+, Rom, Fax(631)765-6641 John Bredemeyer 'F Southold Town Board of Trustees Field Inspection/Worksession Report J I Date/Time: STEPHEN LATHAM requests an Amendment to Wetland Permit#4138 to install rip-rap '/2 to 1 ton stone armor in front of the existing bulkhead. Located: 845 Rogers Rd., Southold. SCTM#66-2-40 Type of area to be.impacted: �twater Wetland , Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part o f-Town Code proposed work falls under: �ia pt.275 Chapt. 111 other Type of Application: ✓ Wetland _Coastal Erosion _Amendment —Administrative Emergency' Pre-Submission Violation. Info needed: Modifications: Conditions: cz Present Were: _J.King _�J.Doherty_J. Bredemeyer . . Bergen_ B.Ghosio, D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: G ' _ tr. 06/09/2010--- 10 * 50 y '.tit•.e. v _ t 4 i i • i 0 i r j r i -y �10 4 �.q�-ha ►m 4/28/2010 18.15.55 1 of 1 g+4f FBI Ir aye Peter Young,Chairman y Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 �a� fl Telephone(631)765-1892 Fax(631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., June 9, 2010, the following recommendation was made: STEPHEN LATHAM to Amend Wetland Permit#4138 to install rip-rap Y2 to 1 ton stone armor in front of the existing bulkhead. Located: 845 Rogers Rd., Southold. SCTM#66-2-40 Inspected by: Audrey Horton, Doug Hardy The CAC determined that there is insufficient information to make a final recommendation. There is an indication that an environmental impact statement should be developed addressing the impact of the existing jetty and public access. Albert J. Krupski,President �SI1FF04�o0 Town Hall John Holzapfel,Vice President �� y� 53095 Main Road William G. Albertson P.O.Box 1179 uy. +? Southold,New York 11971 Martin H. Garrell • ; Peter Wenzel y��l �.a�! Telephone (516)765-1892 Fax(516)765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 28, 1994 En-Consultants Roy Haje 1329 North Sea Road Southampton, NY 11968 Re: Henry Latham SCTM #66-2-40 Dear Mr. Haje, The following action was taken by the Board of Trustees at their regular meeting of October. 27, 1994: RESOLVED that the southold Town Board of Trustees grant an Amendment to Permit #4138 to place 100-300 lb. armor stone immediately seaward of 57' of bulkhead. Located 845 Rogers Road, Southold. If you have any questions, please call our office. Very truly yours �Z-ea- g., Albert J. Krupski, Jr. President, Board of Trustees AJK/djh cc. CAC 3- �' .\V/F• .. .: 1. /b'.. .•��.,r� �-. •• � . '��' ., .. p.. % _ �• l! A,,s�i 'y.�+t"aev ��I!+ tPr„rv."'�.. \\ s Board Of Southold Town- Trustees rc SOUTHOLD, NEW YORK 'I � 4/ 9/93..PERMIT NO. 4138 DATE: ...---... .. ......... \ w. .................. ISSUED TO HENRY LATHAM Ant4orization \ �I 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- 4 titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON' TOWN WATERS AND PUBLIC LANDS and they °' REMOVAL OF.SAND, .GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with the r, ..:......... .......... �f. 4 Resolution of The Board adopted at a.meeting held an ....,4..�29 �`���•' •_. `4 19......93, and in consideration of the sum of $ ........................... paid by .,: it Of .................................................................................... subject to the L .... N. Y. and sub' h �: - "!' aI Terms and Conditions listed on the reverse side hereof, ` of Southold Town Trustees authorizes and permits the following: P Grandfather Permit to replace bulkhead within. 18". }{ l _ 4. all in accordance with' the detailed specifications as presented in f .: Ysf. ,`f if the originating application, The said Board of Trustees here- I' IN WITNESS WHEREOF, by causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of a aid Board as of this datfe. j ..... j1 R sC�_ 'fit L J N �! (yol Trustees T./'ATZ .,z4:�.a—�i,r:�_ "!y r x t"rRc � �a' f� , �. �r a: is ss •t 113 ' R r, �•y, .fix<a mac e_g+s tea.. ,>J7Ay� cy�SqniJ V i AMIT NUMBER EFFECTIVE DATE �a-00773/00001-0 .` 6/20/94 :!CITY/PROGRAM NUMBERS) PE I i EXPIRATION DATECS) 8/31/96 Wrier the Envirarental Conservatf an Lary TYPE OF PERMIT 13 New 0 Renewal I Modification 0 Permit to Construct 0 Permit to Operate I Article 15, Title 5: Protection Ii 6MYCRR 608: water duality 0 Artiele 27, Title 7; 6NYCRR 360: of Waters Certification Solid waste Management 0 Article 15, Title 1S: Water 0 Article 17, Titles 7, 8: SPOES 0 Article 27, ?itie 9; 6NYCRR 373: Supply Nasardous Veste Management 0 Article 19: Air Pollution 0 Article 15, Title IS: water Control 0 Article 34: Coastal Erosion Transport Management 0 Article 23, Title 27: Mined Lard 0 Article 15, Title 15: Long Reclamation 0 Article 36: Ftoodplain Island Wells nd Management 0 Article 24: Freshwater Wetlands 0 Article 15, Title 27: Mild, 0 Articles 1, 3, 17, 19, 27, 37; Scenic and Recreational Rivers I Article 25: Tidal Wetlands 6NYCRR 380: Radiation Control 0 Other: PERMIT ISSUED TO TELEPHONE NUMBER Henry Latham ADDRESS OF PERMITTEE 37 Renwood Rd Garden.Cit , NY 11530 CONTACT PERSON FOR PERMITTED WORK En-Consultants 1329 North Sea Rd. Southampton, NY 11968 NAME AND ADDRESS OF PROJECT/FACILITY Latham Property 845 Rogers Rd. LOCATION OF PROJECT/FACILITY ' Southold COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southold CESMIPTICN CF ALITFM17M X71VIlY Place 100-300 lb armor stone immediately seaward of a new 570 portion of bulkhead. Stone will be placed east of the existing stairway. ALL WORK SHALL BE DONE IN ACCORDANCE WITH THE NYSDEC APPROVED PLAN. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2) and any Special Conditions included as part of this permit. DEPUTY REGIONAL PERMIT ADMINISTRA- ADDRESS TOR: Roger Evans Bldg. 40, SUNY, Room 219, Stony Brook, MY 11790-2356 AUTHORIZED SIGNATURE DATE 6/27/94 Page 1 ot4 4 i I 1 • t i i L n..n.nu. f:wr.m. -® euP. --• re..uvu u. -- ems+.. !— �. .,� �i°f'. t ` Nl1TICL -. 4wp�i ur aur.i .�. .%V : a E�.�.e� —�— .�e°"•"°"*}`.�1231 e..., - '2 .::"' ;.am... ... :... afa �mm�utr, muteg,suY:o- ,.Reprf-capert a„Qx.:SE 1CB�4anCy£S sY- st .__-7 MteaM_ .i+,,.u(Evatm�+EKnEAr :.GnIAr aT 0 ff J y''a'"•Yua ,:;,a ::., y� ,.�rv.. � -�. :: .._�-..�—`-E:�, ;,.�v--},>..:,.�.v�, "�='; "✓a�. ems'- MEMO ���a'�3 • a �.i. �r'?�..� �n .. .,-:n_, ;,s, -.� ::�'.. �1cax..,c*€"�,.�Jr+'s+`x't�; 'S',^,r�3�'�.'�v,'.,,•' r.:.:�zr�.�"a..,ya �j sr .a ���'"�,..�",�u T'�. 3`':"'s fs^ect`^�id.. '�`*.LS�b '�"-"�,'.�..s?i•�n��� ,.asnet' -,=4 .t �"�. .. .. an® .so tmt PC.ra Y: sec sce:w i a ae SM1 � 056-CS-OO1J zftutl ! M1�O y'•` Aet+f � ^� ' �a�' �� ern• .r aleBa a5 O Q W � A P.nyt �A a�M i e A Pore P � !�•. \1 AA �a _ _ _ rioTicE COUNTY OF SUFFOLK QC E 01"" SOUTHOLD SECTION ND -- — _- '"` vunexsaLartAnas'e u a ° Rem Property Tax Serv(ce Agency r Lamy Cadx prerrooq x T A� r E in u. rei+w v ..�marttA .. �.— w .SIFiLLa caNR'ta.uu ma®Im 4 0 SGIeYRRrz __ _ ermxr a00 ,.r.a . PROPERTY MM J n.uvn u. - .rau rawmrr r.a mn�sm¢+. P. warn 1}S 1}tl .Y�u• ��� iw.vmn u. -e-- - . IN .;A A 7 v 7-L.9 W_-.r evpav�rll �N1 '200UL-1 b �SdS. .9 n&>tj I 9 :L ad o l�rd ,zfx mix •�.,..�lej-9/ x $6 "i,Wijw k1 3N�,a•S �7?to•7 a a!�'37 rob+►+►�- :_Jy5 od ZJnd �oo��r �• C'+''`/�,, I_ . - ob - ;,�.. r s��.ss,•ixt� OFI�'Kh'vn�cl Or�oJ.rbt/ gtvii�tx� 5 1�J or as► t yotJ d 9V2�7a3� � 4 _ 07soeV?Jd el off G1 `Oq r Sr d vl-/ 'oe_L9IS> bH •off o 2V —7Xl v ssapurtoz ;� , 31'1 S ;e 4 ,��/ /4'/�r7 l J✓ L,/ �N78'?2y 4 V�/�+'�17��a �rf moo 3 � " ,a� �► -VOW 11VW3t+.i,,.. //�•� b d 6 ss �'4Q�£_OOr - NfJrfJ�y�V i M j j lw o ' �, v PLAN FOR PLACEMENT OF 1/2 to 1 TON STONE RIP RAP g,1�E LOT 7 MAP OF OBE � BEIXEDON ESTATES BLOCK 7 IpYo SITUATE SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK 0 S.C. TAX No. 1000-66-02-40 � u T SCALE 1"=40' �a 1.0 F Ito + o MAY 14, 2010 AREA =F• 5 ft. (TO BULKHEAD) 0.270ac. d yoT O NOTES: '00. 1. ELEVATIONS ARE REFERENCED TO HIGH WATER BEING ELEVATION 0.0' 6p e EXISTING ELEVATIONS ARE SHOWN THUS: 5.0 T.B. — TOP OF BULKHEAD B.B. — BOTTOM OF BULKHEAD T.J. — TOP OF JETTY OF yfC9 UNNIT}IORIZFD ALTERATION ERATION OR ADDITION NOS O9ti ... / + r --- -- J-- - -,�-`----"`---- ' TO THIS SURVEYIS A VIOLATION ON OF Z (• ::':: — In L SECTION 7209 OF THE NEWW PORK STATE :.-..:.. �� ._III �� IL' �, '�\„ Ir EDUCAMON LAW. t 1• J_^L.-. COPIES OF THIS SURVEY MAP NOT BEARING TMEMBOSSEED SURVEYOR S INKED OTT BEECCONSSIIDERED �O,' `TT� �i i•' '. TO BE A VAUD TRUE COPY- '1(}I CERTIFICATIONS INDICATED HEREON SHALL RUN ••G ' p5 t' M A I/ C LLUU 0 ONLY TD THE PERSON FOR WHOM THE SURVEY O�� 1 IS PREPARED,AND ON HIS BEHALF TO THE G O TITLE COMPANY.GOVERNMENTAL AGENCY AND � •a'- ""' � 0 + LENDING INSRRlTiON LISTED HEREON,AND • ry00 _ _ - _ TO THE ASSIGNEES OF THE LENDING PNSTI- {:i':} MION. CERnFICTIONS ARE NOT TRANSFERABLE. C THE EXISTENCE OF RIGHT OF WAYS CPO AND/OR EASEMENTS OF RECORD, IF S8' ANY, NOT SHOWN ARE NOT GUARANTEED. ' C �0 P� �. PREPARED IN ACCORDANCE WITH THE MINIMUM y>P� BY THEI-L&L.S AND APPROVED RVEYS ANESTABLISHED T ID�. RX PROPOSED CROSS SECTION OF FORE USE BY THE NEW YORK STATE LAND RIP RAP PLACEMENT SCALE 1 =10 co �-cP�Fr c®,<1 PROP05ED RIP RAP A - (1/2 TO I TON.ROCK) HI6H WATER N .S. Lic. No. 50467 Low WATER Nath�il " -orwin III ' EXI5TING �' Lan III rveyor BULKHEAD Title Surveys — Subdivisions — Site Plans — Construction Layout PHONE (631)727-2090 Fox (631)727-1727 OFFICES LOCATED AT MAUNG ADDRESS 1586 Main Road P.O. Box 16 Jamesport, New York 11947 Jamesport, New York 11947 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Adh Facility DEC ID 1-4738-00773 PERMIT Under the Environmental Conservation Law CL Permittee and Facility Information Permit Issued To: Facility: STEPHEN G LATHAM LATHAM.PROPERTY k I r (, E PO BOX 595 845 ROGERS RDISCTM#0 1,QOOf6=2=4----1.---�----f F SOUTHOLD,NY 11971 SOUTHOLD,NY 11971 j` ), s (631) 765-3601 �� J U N 10 2011 Facility Location: in SOUTHOLD in SUFFOLK COUNTY Village: Soutl old outsold To in Facility Principal Reference Point: NYTM-E: 717.641 NYTM.-N: 4549 32 --Board of Trustees Latitude: 41°03'57.7". Longitude: 72°24'34.9" Project Location: 834 Rogers Road- Watercourse- Great South Bay Authorized Activity: Rehabilitate the rock revetment seaward of the bulkhead by installing a single row of stone approximately 1,000 pounds in size and underlain with filter fabric. Replenish the beach area with compatible(equal or larger) grain size sand. No sand shall be placed seaward of the mean low water. All work must be in accordance with the two page plan prepared by Dru Associates Inc., dated 1/12/11 last revised 4/16/11 and stamped NYSDEC approved 5/24/11. (MAM) Permit Authorizations Tidal Wetlands-Under Article 25 Permit ID 1-4738-00773/00005 New Permit Effective Date: 5/24/2011 Expiration Date: 5/23/2016 Water Quality Certification -Under Section 401 -Clean Water Act Permit ID 1-4738-00773/00006 New Permit Effective Date: 5/24/2011 Expiration Date: 5/23/2016 Excavation & Fill in Navigable Waters-Under Article 15,Title 5 Permit ID 1-4738-00773/00007 New Permit Effective Date: 5/24/2011 Expiration Date: 5/23/2016 NYSDEC Approval By acceptance of this permit,the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, and all conditions included as part of this permit. Permit Administrator:JOHN A WIELAND, De egional Permit Adminis ator Address: NYSDEC REGION 1 AD UARTERS S @ STO ROOK 0 CIRCLE RD S ON BRO ,NY 1 0-3409 Authorized Signature: DateCJJ 19-71QO1 Page 1 of 5 Am NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-00773 Distribution List Habitat-TW MARY A MACKINNON Permit Components NATURAL RESOURCE PERMIT CONDITIONS WATER QUALITY CERTIFICATION SPECIFIC CONDITION GENERAL CONDITIONS,APPLY TO ALL AUTHORIZED PERMITS NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS NATURAL RESOURCE PERMIT CONDITIONS -Apply to the Following Permits: TIDAL WETLANDS; WATER QUALITY CERTIFICATION; EXCAVATION & FILL IN NAVIGABLE WATERS 1. No Interference With Navigation There shall be no unreasonable interference with navigation by the work herein authorized. 2. Conformance With Plans All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or applicant's agent as part of the permit application. Such approved plans were prepared by Dru Associates Inc. dated 1/12/11 last revised 4/16/11. 3. State Not Liable for Damage The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. 4. State May Require Site Restoration If upon the expiration or revocation of this permit,-the project hereby authorized has not been completed,the applicant shall,without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. 5. State May Order Removal or Alteration of Work If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State,or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if,upon the expiration or revocation of this permit, the structure, fill, excavation, or other Page 2 of 5 Iowa NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-00773 modification of the watercourse hereby authorized shall not be completed,the owners, shall,without expense to the State, and to such extent'and in such time and manner as the Department of Environmental Conservation may require,remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 6. Precautions Against Contamination of Waters All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings,paints, concrete, leachate or any other environmentally deleterious materials associated with the project. 7. Notice of Commencement At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also,be signed and returned, along with photographs of the completed work. 8. No Construction Debris in Wetland or Adjacent Area Any debris or excess material from construction of this project shall be completely removed from the adjacent area(upland) and removed to an approved upland area for disposal. No debris is permitted in wetlands and/or protected buffer areas. 9. No Disturbance to Vegetated Tidal Wetlands There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activities. 10. Storage of Equipment,Materials The storage of construction equipment and materials shall be confined to the upland area landward of the bulkhead or on a barge. 11. No Beach Excavation For Fill No excavation of the beach is authorized for the purpose of obtaining fill or stone materials. 12. No Dredging or Excavation No dredging, excavating or other alteration of shoreline or underwater areas is authorized by this permit,nor shall issuance of this permit be construed to suggest that the Department will issue a permit for such activities in the future. 13. Bulkhead Armoring The authorized bulkhead armoring shall consist of a single row of stone approximately 1,000 lb. in size and underlain with filter fabric. 14. Material All material deposited on the beach shall be of compatible(equal or larger) grain size to the naturally-occurring beach. No sand shall be placed seaward of mean low water. WATER QUALITY CERTIFICATION SPECIFIC CONDITIONS 1. Water Quality Certification The NYS Department of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitations or other limitations or standards under Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977 (PL 95-217)provided that all of the conditions listed herein are met. Page 3 of 5 Am NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-00773 GENERAL CONDITIONS - Apply to ALL Authorized Permits: 1. Facility Inspection by The Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation(the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71- 0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions,must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. 2. Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms,conditions or requirements contained in such order or determination. 3. Applications For Permit Renewals, Modifications or Transfers The permittee must submit a separate written application to the Department for permit renewal,modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal,modification or transfer granted by the Department must be in writing. Submission of applications for permit renewal,modification or transfer are to be submitted to: Regional Permit Administrator NYSDEC REGION 1 HEADQUARTERS SUNY @ STONY BROOK150 CIRCLE RD STONY BROOK,NY11790-3409 4. Submission of Renewal Application The permittee must submit axenewal application at least 30 days before permit expiration for the following permit authorizations: Excavation&Fill in Navigable Waters, Tidal Wetlands, Water Quality Certification. 5. Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to modify, suspend or revoke this permit. The grounds for modification, suspension or revocation include: a. materially false or inaccurate statements in the permit application or supporting papers; b. failure by the permittee to comply with any terms or conditions of the permit; c. exceeding the scope of the project as described in the permit application; d. newly discovered material information or a material change in environmental conditions,relevant technology or applicable law or regulations since the issuance of the existing permit; Page 4 of 5 tame • NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION J Facility DEC ID 1-4738-00773 e. noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. 6. Permit Transfer Permits are transferrable unless specifically prohibited by statute,regulation or another permit condition. Applications for permit transfer should be submitted prior to actual transfer of ownership. NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee, excepting state or federal agencies, expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, and agents ("DEC") for all claims, suits, actions, and damages,to the extent attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in connection with, or operation and maintenance of, the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent or intentional acts or omissions,or to any claims, suits, or actions naming the DEC and arising under Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees,agents and assigns-of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of- way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does.it authorize the impairment of any rights,title, or interest in real or personal property held or vested in a person not a party to the permit. Page 5 of 5 , r 4 New York State Department of Environmental Conservation Division of Environmental Permits, Region One SUNY @ Stony Brook, 50 Circle Road, Stony Brook, NY 11790-3409 Phone: (631).444-0362 Fax: (631)444-0360 Website: www.dee.ny.gov Joe Martens Commissioner May 24, 2011 Mr. Stephen G. Latham P.O. Box 595 „ Southold,,.NY 11971, Re:..., Permit.No.: 1-4738-00773/00005 Dear.Permittee: 3 In conformance with..the..requirements of.the State,Uniform.-Procedures-Act 5 (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit. Please carefully read all permit conditions and special permit conditions contained in the permit to ensure compliance during the term of the permit. If you are unable to comply with any conditions.please,.co.ritact.-us.at.the.,above.address, Also enclosed is a permit sign which is to be conspicuously posted at the project.. site and protected from the weather. Sincerely, Mary :MacKinnon Agency,Program Aide MAM/Is r NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION . � ,Facility DEC ID 1-4738-00773 PERMIT Under the Environmental Conservation Law ECL Permittee and Facility Information Permit Issued To: Facility: STEPHEN G LATHAM LATHAM PROPERTY PO BOX 595 845 ROGERS RD1SCTM#0-1000-66-2-4 SOUTHOLD,NY 11971 SOUTHOLD,NY 11971 (631) 765-3601 Facility Location: in SOUTHOLD in SUFFOLK COUNTY Village: Southold Facility Principal Reference Point: NYTM-E: 717.641 NYTM-N: 454932 Latitude: 41°03'57.7". Longitude: 72°24'34.9" Project Location: 834 Rogers Road - Watercourse- Great South Bay . Authorized Activity: Rehabilitate the rock revetment seaward of the bulkhead by installing a single row of stone approximately 1,000 pounds in size and underlain with filter fabric. Replenish the beach area with compatible (equal or larger) grain size sand. No sand shall be placed seaward of the mean low water. All work must be in accordance with.the two page plan prepared by Dru Associates Inc., dated 1/12/11' last revised'4/16/11 and stamped NYSDEC approved 5/24/11. (MAM) Permit Authorizations Tidal Wetlands - Under Article 25 Permit ID 1-4738-00773/00005 New Permit Effective Date: 5/24/2011 Expiration Date: 5/23/2016 Water Quality Certification -Under Section 401 - Clean Water Act Permit ID 1-4738-00773/00006 New Permit Effective Date: 5/24/2011 Expiration Date: 5/23/2016 Excavation & Fill in Navigable Waters - Under Article 15,Title 5 Permit•ID 1-4738-00773/00007 New Permit Effective Date: 5/24/2011 Expiration Date: 5/23/2016 NYSDEC Approval- By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, and all conditions included as part of this permit. Permit Administrator:JOHN A WIELAND, De egional Permit Adminis ator Address: NYSDEC REGION 1 AD UARTERS S @ STO ROOK 0 CIRCLE RD S ON BRO ,NY 1 0 -3409- Authorized Signature: ;%� Datee/27/2.6 Page 1 of 5 AM j NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1=4738-00773 Distribution List Habitat - TW MARY A MACKINNON Permit Components NATURAL RESOURCE PERMIT CONDITIONS WATER QUALITY CERTIFICATION SPECIFIC CONDITION GENERAL CONDITIONS;APPLY'TO ALL AUTHORIZED PERMITS NOTIFICATION OF OTHER PERMITTEE-OBLIGATIONS NATURAL RESOURCE"PERMIT CONDITIONS` .Apply to the Following Permits: TIDAL WETLANDS; WATER QUALITY CERTIFICATION; EXCAVATION•& FILL IN NAVIGABLE WATERS 1. No Interference With Navigation There shall be no unreasonable interference with"navigation by the work herein authorized. 2., Conformance With Plans All activities authorized by this permit must be in strict conformance with the-approved plans submitted by the applicant or applicant's agent as part of the permit-application. Such approved plans were prepared by Dru Associates Inc. dated 1/12/11 last revised 4/16/11. .3. State.'Not Liable for Damage The State of New York shall in no case.be.liable for any damage or injury to the structure or,work herein authorized which maybe caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim-or-right to compensation-shall accrue from any such damage. a. 4 State"May Require Site,Restoration If upon the expiration or revocation-of"this permit,*the project hereby authorized has not been completed, the applicant shall,without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. 5. State May Order Removal or Alteration of Work If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or,welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other Page 2 of 5 i NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-00773 modification of the watercourse hereby authorized shall not be completed, the owners, shall, without expense to the State, and to such extentand in such time and manner as the Department of Environmental Conservation may require,remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 6. Precautions Against Contamination of Waters All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, Iubricants, epoxy coatings, paints, concrete, leachate or any other'environmentally deleterious materials associated with the project. 7. Notice of.Commencement.At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also,be signed and returned, along with photographs of the completed work. 8.-No Construction Debris in Wetland or Adjacent Area Any debris or excess material from construction of this project shall be'completely'removed.from the adjacent area(upland) and removed to an approved upland area for disposal. No debris is permitted in wetlands and/or protected buffer areas. 9. No Disturbance to Vegetated Tidal Wetlands There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activities. 1o. Storage of Equipment;Materials The.storage.of construction equipment and.materials shall be confined to the upland area landward of the bulkhead or on a barge. 11. No Beach Excavation For Fill No excavation of the beach is authorized for the purpose of obtaining fill or stone materials. 12. No.Dredging or Excavation No dredging, excavating or other alteration of shoreline or underwater areas is authorized by this permit, nor shall issuance of this permit be construed to suggest that the Department will issue a permit for such activities in the future. 13. Bulkhead Armoring The authorized bulkhead armoring shall consist of a single row of stone approximately'1,000 lb. in size and underlain witl 'filter fabric:" 14.-'Material All-material deposited on the beach shall be of compatible(equal or larger) grain size to the naturally-occurring beach. No sand shall be placed-seaward of mean low water. WATER QUALITY CERTIFICATION SPECIFIC CONDITIONS 1. Water Quality Certification The NYS Department of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitations or other limitations or standards under Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977 (PL 95-217)provided that all of the conditions listed herein are met. Page 3 of 5 r NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-00773 GENERAL CONDITIONS - Apply to ALL-Authorized Permits: 1. Facility Inspection by The Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71- 0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection 'to the permit area when requested by the Department: A copy of this permit, including all referenced,maps,,drawings..and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a,Department rep resentative is.a.violation.of.this..permit_ 2. Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or'any of the terms, conditions or requirements contained in such order or determination. 3. Applications For Permit Renewals, 'Modifications or Transfers The permittee must submit a separate written application to the Department for permit renewal,modification or transfer of this permit. Such aFFlicatiorf must-include anY' or.ms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. Submission of applications for permit renewal,,modifrcati'on'or transfer are to be submitted to: Regional Permit Administrator"`' NYSDEC REGION 1 HEADQUARTERS SUNY @ STONY-BROOK150'CIRCLE RD" ' STONY BROOK,NY 11790 -3409 4. Submission of Renewal Application The permittee must submit a renewal application at least 30 days before;permit expiration-fort the following permit,authorizations: Excavation & Fill in Navigable. Waters, Tidal Wetlands, Water Quality Certification. 5. Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to modify, suspend or revoke this permit. The grounds for modification, suspension or revocation include: a. materially false or inaccurate statements in the permit application or supporting papers; b. failure by the permittee to comply with any terms or conditions of the permit; c. exceeding the scope of the project as described in the permit application; d. newly discovered material information or a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; Page 4 of 5 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION -- Facility DEC ID 1-4738-00773 e. noncompliance with previously 'issued permit conditions, orders of the commissioner;any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. 6. Permit Transfer Permits are transferrable unless specifically prohibited by statute, regulation or another permit condition. Applications for permit transfer should be submitted prior to actual transfer of ownership. NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The pennittee,excepting state or federal agencies, expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, and agents ("DEC") for all claims, suits, actions, and damages, to the extent'attributable to the permittee's acts or omissions in,connection with the permittee's undertaking of activities in connection with, or operation and maintenance of, the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent or intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The pen-nittee is responsible for informing its indeperident contractors, employees;agents and assigns of.. their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining,any other-permits, approvals.,Jands, easements:and rights-of- way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Page 5 of 5 Beixedon Estates Shoreline Restoration ' A DruAssociates,Inc. +4 # 40 Hitching Post Ln. Typical section: Latham Property Glen Cove,NY 11542 +3 516-676-7107 Revised:4-16-2011 +2 Prepared:1-12-2011 ""• Scale:1"=20' Rock armor+1 to first # waler 0 �— ---- --- -- ----- -- -- 1 I ...... ........... •.... A, -2 # AH 2 08 50 100 200 Feet Proposed restoration _; ;a ",rear, ; .: 2010 bottom topo B +41 �y + ARRR®V ®A5 PFR _RMS ION OF /+2 AND O®N�e� S Rock armor r• PEFI I T NO. to first +1 , y� water DA�f 0 I "4 -2 I _ g, I qAHW 2008 50 100 200 Feet Survey by Nathan Taft Corwin III February 11,2008 Restoration by re-setting surface stones after replenishing sand, Sections by Dru Associates Inc. with added sand as needed,followed by replacing stones,with added stone as needed. October 2010 by Transit Level Henry J. Latham Beixedon Estates , Shoreline Restoration Dru Associates, Inc. Lot 8 40 Hitching Post Ln. n/o/f Glen Cove, NY 11542 James F.Travers 516-676-7107 Revised: 4-16-2011 ----- Prepared: 1-12-2011 Scale: 1"=60' Existing Rock Armor at bulkhead Lot 7 , Lot 6 to be rehabilitated n/o/f n/o/f Henry J. Latham t Joan Kuchner 400' A•U2 Asa, u _ "�a_]3` a 'woos a c..." oa� .,+»� Diu d B iT9065 W� w `1:3�J O•G "�- V Qq a _0.�=' 17 .firi5�—�� �,,ppy+E"r`rw=lEnu"nK cx J,wuury le.mod V.Q 27b �:8.�':•ru u.i V J N.a v. . —� "ErK.uTaGx 1�� Wfpy,p N000 .I.1I �'M — —MY�.I�— _ P3 \ � T8 ay1 'FIN!s •- �RRv.R w .<EPM TNRae MRN KaRgR,E-29 aeo \ 122• J.rBeach sand replenishment area = 10,000 sf Sand volume approx. 2000 cyds MENTNIdw.",ERN��MT1S iBe9 elm 28I �� 04 • �� £ • jA' iarwEnrEawwnme unwcweEeRu.Rv ,Qeae za •� •u ww�vT�\ °y,gsEoe a 'as'�,�` 3r 'Uq�ge sN2�ON zm 3u 3$ 3..3 z"r NYSDEC APPROVED AS PER TERMS AND CONDITIONS OF TH��-� gAY PERMIT NO.1-� '3 �// 3 Soo Survey by Nathan Taft Corwin III February 11, 2008 Sections by Dru Associates Inc. October 2010 by Transit Level James F. King,President *OF SUUr�o Town Hall Jill M. Doherty,Vice-President �� l0 53095 Route 25 P.O.Box 1179 Peggy A. Dickerson Southold,New York 11971-0959 Dave Bergen G • �� Telephone(631)765-1892 John Holzapfel OCOn � Fax(631)765-6641 e BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD APPLICATION FOR AN AMENDMENT TO A WETLAND PERMIT DATE / / ` :`'` J UN 2 2 2011 Y. OWNER ADDRESS t":70: 4 o5<' sue;S' S a�,/�fG.� A) y l 9 7/ AGENT PHONE ADDRESS PROPERTY LOCATION 12 o/�7 S e'/iT, C.L 7> /V y >i TAX MAP NO.�4- /Poo 4e - Z I/We %Tw,1/.%/V request an Amendment to Permit S" to /2�/=,_ fG7- Tlfo/L/: =7J AAA0v x ado Y12r /N �GGo27j a�tick .I_VI771 / ,v r�f1-r 2y,T Signed By: l Caw �g+�FFO��- Jill M. Doherty,President -� Town Hall,53095 Main Rd. Bob Ghosio,Jr.,Vice-President ,�. P.O. Box 1 179 James F.King Southold,NY 11971 Dave Bergen Telephone(631)765-1892 John Bredemeyer Q� �'� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of STEPHEN LATHAM COUNTY OF SUFFOLK) `�� STATE OF NEW YORK) AFFIDAVIT OF POSTING /,47?�4,4f , residing at/dba /2OG being duly sworn, depose and say: That on the // day of y-a,4 �/ , 2011; 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 eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wed, July 20, 2011 on or about 6:00 PM. Dated: �nate Sworn to before me this h, a of �wG� 201( Notary Public Notary Public,S.ata W.Nev'`tarn NO.0 a DA6113Q67 Q�a'ia ad_.ii�tqe tchester County C0mra?S81on Expires July 19,20W PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: -:rHO AS 6'fT,�G Si,ci o l Zo . s�� ��Su4LY 2D, �f+��r,v c i u 1.1-S`3 0 �iOH�V. �t Ci/ DUFF P. o. 6OX 2. 9�// SG T�G1/l�r, MY �7-,o } N c%c 1 S °- P.C. g �S7-TF. Q) G�1jc'F.�.tFwis h • - - �/H�2�� z , _S'ou 7 xiY i 9 7i STATE-OF NEW YORK COUNTY OF SUFFOLK �9�M residing at ��. /20G LS 12P being duly sworn, deposes and says that on-the Z day of 3Gi c y „ 0.//,fleponent 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 77%(f� a Al 1' /f9;Y that said Notices w re-mailed to:each of said persons by (certified) (registered)'mail. Sworn o efore me this % Day of , 20__/�__ Notary Pu lic MARILYN DALY Mdt2r}c Public,State of New Yorit No.01 D A6113067 QuOrlec III Westchost-er County coP7 missidn Ex*03 July 19,2069" • c GOP ru _n I�asie�ps $ ".44 ml C Postage a $O. t owl ru !ertPfed Fee $2.0 76 j cerMed Fes COS o Retum Re p2 Fee P Ff r 7b Q (Er;omZe - Reamed) $1.30 La (ens reM 2.30 P here 13 Reslrtc:ted Delivery Fee (Endo serrrr+M Required) 10.00 Restsnted Delivery Fee CI (Endomemeiil Raqulrad) $0.00 rUTotal Postage a Fees $ f.5.J9 07/11/2011 Ir rjj Total Postage&Fees $ $5.59 07/11/2011 Sear To l L/ _ ll uiiCd- ins o dio: � _____________��__..._.__._._ Q or P0r8=No. P G.!�D X Z CJ/ LZ st'ees' -. _.! / /U G.�_._.._- -._ - :.__... - ------- ------......._..... -- �` -- r or Po soX Na .f °f ru U'l m m �- Q-r.- P S $0.44 owl � s f0.44 om `° cemtsed Fes $2.85 76 citdffim Fee $2.85 76 (U Pastfrmfk C3 RetumipA Fee poste 62. o p (EndorsemeMntRequlF ) $2.30 Her® C3 (F_ndor amens RegsArmd) tiara CI j Rued De rvery Fee (EndarsementI'loqulre() 30.00 C7 (EndorsemeMRequired) 10.00 tt9 rU Total Postage Fees $ $5.59 07/11/2011 sru Tatar Postage 8 Fees $ $5.59 07/11/2011 C) Q- Sent 0 Sent To I Ca Ct Wit,Apt.tom.; 'or PO Box No. t?X t� or Box Na. � GC �- - ---------- P.�� - ...... ----_--- , ------ ---- - cny;state. � 19 i/ OFFICE LOCATION: l 0�*rjf S��r/S�l MAILING ADDRESS: Town Hall Annex Q P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) N Southold, NY 11971 Q Telephone: 631 765-1938 Fax: 631 765-3136 LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM 1� -- - To: Jill Doherty, President �E 1 Town of Southold Board of Trustees Sf JUN 1 4 2010 ,� I From. Mark Terry, Principal Planner `'— Southold Town LWRP Coordinator Bond of Trustees Date: June 14, 2010 Re: Proposed Wetland Permit for STEPHEN LATHAM SCTM# 1000-66-2-40 STEPHEN LATHAM requests an Amendment to Wetland Permit#4138 to install rip-rap '/to 1 ton stone armor in front of the existing bulkhead. Located: 845 Rogers Rd., Southold. SCTM#66-2-40 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is EXEMPT from LWRP review pursuant to: § 268-3. Definitions. MINOR ACTIONS item "EE" which states: A. Maintenance or repair involving no substantial changes in an existing structure or facility; Cc: Lori Hulse, Assistant Town Attorney r . Jill M.Doherty,President cz - Town Hall,53095 Main Rd. James F.King,Vice-President P.O.Box 1179 Dave Bergen � *► ' Southold,NY 11971 Bob Ghosio,Jr. ��0 ��� Telephone(631)765-1892 John Bredemeyer Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application et an Permit Application Administrative Permit Amendment/Tra s er/Extension _/Deceived Application: deceived Fee:$ ?C�Ompleted Application Incomplete �� (. Lo _ _....... SEQRA Classification: -- - - -- Type I Type II Unlisted i�r1 -_ Coordination:(date sent) - -MRP Consistency Assessment Form %.-- C Referral Sent: APR 2 9 2010 - $ate of Inspection: Receipt of CAC Report: _Lead Agency Determination: i c•c,'„ '.:' Technical Review: __:�_'Public Hearing Held: to 1111 Resolution: 'Name of Applicant 5 T I A—/ 67, 1­-,�'77-49 i Address f d-M-' s_95_14<0 Phone Number:(G3/) 7Zs— G Suffolk County Tax Map Number: 1000 - 7 3 6� 9-g .0,ell, Z— Z16 Property Location ed4-r2-S PT)_ So 77/0--' 7-,> A) 97 i (provide LILCO Pole#, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: bard of Trustees Applicafi' -a 1 GENERAL DATA Land Area(in square feet): 1 �a 9 9 r—T Area Zoning: .12 ZIU Previous use of property: g& Intended use of property: 112 S! 72 6-'%/.W Covenants and Restrictions: Yes No If"Yes",please provide copy. Prior permits/approvals for site improvements: Agency D to No prior permits/approvals for site improvements. Has'any permit/approval ever been revoked or suspended by a governmental agency? ;v\No Yes If yes,provide explanation: Project Description(use attachments if necessary): 15(/zwZ��T2 /-ZAr y i'/-� J�'�C>� )3�/ 0-/P6PI2 o v%7 „2>P /2,4 G' -3oard of Trustees Applica"-n WETLAND/TRUSTEE LANDS APPLICATION DATA. Purpose of the proposed operations: Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? No Yes l'2�v�o--us,�y �-��Po���� /z�� ✓'�I� �'rY- � roe. AnHo"Z) If yes,how much material will be excavated? cubic yards How much material will be filled? 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: 13 d 1 e 4 7- 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): 617.20 SEQR PROJECT ID NUMBER APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 -PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 1.APPLICANT/SPONSOR 2.PROJECT NAME 3.PROJECT LOCATION: S rr4/TtiJ D Municipality County 4.PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide map ivy IYY7/ 5.IS PROPOSED ACTION: rj New ❑Expansion ❑Modification/alteration 6.DESCRIBE PROJECT BRIEFLY: X ILV#-/Al r-.vel a c'•� r,v �z��s�viz:A-' ��� I/ s� 7.AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres i 0// 8.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? Yes ❑ No If no,describe briefly: b9.rResidential T IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) ❑Industrial ❑Commercial. ❑Agriculture ❑Park/Forest/Open Space ❑Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) 24yes ❑No If yes, list agency name and permit / approval: A;YS 'l��C' yi n 1`rfT / 7��1—L►G7�3/ 0000/— 0 11.DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes 2Jo If yes, list agency name and permit / approval: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? ❑Yes ❑No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE 7 Applicant / Sponsor Nq j / Date: Signature / L If the action is a Costal Area,and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II- IMPACT ASSESSMENT(To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617.4? If yes,coordinate the review process and use.the FULL EAF. Yes a No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration may be superseded by another involved agency. E3 Yes [Z] 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 quality or quantity,noise levels,existing traffic pattern,solid waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly. No C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly. No C3. 1.Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly: N.o 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: No G C5. COMM,subsequent development,or related activities likely to be Tnauced by the proposed action?Explain briefly: No C6. Long term,short tern,cumulative,or other effects not identified in C1-05? Explain briefly: No C7. her im acts,(including changes in use.of either quantity or type of energy?.Explain briefly: No . D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA OEM if yes,a lain briefly: Yes M No E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: E]Yes a No PART III-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,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 mustevaluate the potential impact of the proposed action on the environmental characteristics of the CF.A. Check this box if you have identified one or more potentially large or significant adverse Impacts which MAY occur.Then proceed directly to the FU 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 actlo WILL NOT result in any significant adverse environmental impacts AND provide,on:attachments as necessary,the reasons supporting thl determination. . Board of Trustees Name of Lead Agency Date _Jill M. Doherty President Pn or Type Name of Respor ible Officer in Lead Agency Title of Responsible Officer Signature of Responsible 0 r in Lead,Agency Signature of Preparer.(If different from responsible officer) �Dg�FFO��c Jill M.Doherty,President Q Town Hall,53095 Main Rd. ti P.O.Box 1179 James F. King,Vice-President Dave Bergen � �► Southold,NY 11971 T Bob Ghosio,Jr. �'fJa Telephone(631)765-1892 John Brederneyer Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of STEPHEN LATHAM COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, 4'T�n11�Al 1,47wAH,residing at 1dba Gd' 96Crej , <061 7) /V`/ If9 ? , being duly sworn, depose and say: That on the 2�ay of 7-o N r , 2010, I personally posted the property known as g '}S A0,1Z.525- AP, 50&7wOAa MY /1921 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 eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wed.,June 16,2010 on or about 6:00 PM. Dated: a re) Sworn to before me this t LAday of JUNJ20�0 KHALID M.CHAUDHARY Notary Public,State of New York No.01 CH6164382 Qualified in Suffolk County Commission Expires April 16,2011 N tary Public PROOF OF MAILING OF NOTICE. ATTACH CERTIFIED MAIL RECEIPTS. Name: Address: tAV1r/3G�/zy�D �...(�i?,QP itl 0i7 A,y Jf0AA" .. %C N Cff avG'2 !'O. 'd30X Z $o// 'SC;Tr¢yf(.S'7- J ORN "AC.Me�s �o: 63cX S'G � S ell rt/ocrp� 11r`/ M azy TQ v�o�s P.o. �6x .7rrz/ svur�,rac�l y i197/ STATE-OF NEW YORK COUNTY OF SUFFOLK . SlePaq-o J -ZATN residing at, !0 06�E2s• /z-D Soar;fo., r� being duly sworn, deposes and says.that on the Z day of, �G1iy ,::20.moo,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 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.Uriited States Post. . Office at S„aTti euY /ire/, that saidNotices wer ailed to:each of said persons by . (certified) (registered)mail: j bwoin to before me this 2O KHALID NI. CHAUDHARY Day of �. Notary Public,state of New Yorl< No.01 CF16164382 Qualified in Suffolk County Q t Commission Expires.April 16, 2011 Notary ublic Y Board of Trustees Applic_ _1on County of Suffolk State of New York S+e BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS 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 OFF-THIS AP I TION. Signature SWORN TO BEFORE ME THIS �' DAY OF 4Lp ,20/a Notary Public DORIS D.MOORE NOTARY PUCLIC,STATE OF NEW YORK QUALIFIED IN SUFFOLK COUNTY NO.01 M04663699 MY COXMISSION EXPIRES 10.20-2,01e) i I April 12, 2010 To Who it May Concern: I hereby give approval for the Beixedon Estates Association and Steven Latham to install "riprap" against the bulkheads located on parcels known as Plot A do B on the Filed Map of Beixdon Estates, Southold, New York. Sin ere C� Z John . Nickles For himself and the Estate of G. R. Lewis 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 oumse 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. �J p YOURNAME: f7ri (Last name,first nam ,middle initial,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.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion 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 CC'-7— Title or position of that person 5y26:-1Z9,"-1f SOC/:t/OJ 7j 6oZ/Cis 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 � C7 tl Submitted this �iA _ a/G Signature. ` Print Name Form TS 1 J Town of Southold 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. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# PROJECT NAME LA-MAM 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: &9614EAD MAINTE MCer - RF5TDP,!1 ]6- 'PREV1DU5LV 1 P-R M> -r©1d 5-nN' a AeM oeO P Location of action: W© D�-� S a �'u v LA ; N y l Site acreage: • Q 1 Present land use: -Res id en4r`a � Present zoning classification: K—q 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: (b) Mailing address: _P 6 -16 x 5- 957' S O U 7-46 LD l i q`11 (c) Telephone number:Area Code( ) to 31— 7 (o 5 — 3 fO (3 (d) Application number,if any: Will the action be directly undertaken,require funding,.or approval by a state or federal agency? Yes FX1 No❑ If yes,which state or federal agency? 60773/QOpD C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. ❑Yes ❑ No FO 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 b� Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic.resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria ❑ Yes ❑ No ' 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 i vb veS lout c t' navlc�e +or c v � S — r If -r 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 ElYes ❑ No �Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. Yes No (::�oo pli ac b el ) 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 IV 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.© Yet n I No❑ Not Applicable Dei ljbn Iaa4A4s 46,s0CI'qP0' y)' access -In 4.2 com mun 1 ' Y e, end . le. QNla ae-iss PI o-I- o t V i`5 to 1 -e_ Attach additional sheets if necessary WORKING COAST POLI S 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 FO. Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters.See LWRP Section III-Policies; Pages 57 through 62 for evaluation criteria. ❑Yes ❑ No rL A Not Applicable ` Attach additional sheets if necessary Policy 12. Protect agricultural lands-in the Town of Southold. See LVWRP Section III—Policies; Pages 62 through 65 for evaluation criteria. El Yes ❑ No M 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 r71 Not Applicable PREPARED BY S-PN-I-L-A1W TITLE c)uJ 1rl per DATE T Z R/b APPLICANT/AGENU/REPRESENTATIVR TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of toyrn ofriicers 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 NAME: (Last name,first name,4iiddle initial,unless you are applying mi the name of someone else or other entity,such as a company.If so,indicate_the.other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion 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 fi lterest.`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 X - 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. 9 C O Z Title or position of that person 55✓Z(ri`'ti T 0,C/0 7 7-tv.L n C-z 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 Submitted this Sr/da /e) Signature. Print Name Form TS 1' TOPOGRAPHICAL SURVEY OF BEACH SITUATE SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SCALE 1 "=409 FEBRUARY 11 , 2008 NOTES: 1. ELEVATIONS ARE REFERENCED TO HIGH WATER BEING ELEVATION 0.0' EXISTING ELEVATIONS ARE SHOWN THUS: -5-Q W T.B. - TOP OF BULKHEAD B.B. - BOTTOM OF BULKHEAD T.J. - TOP OF JETTY O O CQ w O/L/i1AlJl� - 41---_ �» x M xI 1 \J T.B. T.B. , .�0 2.52 q B.B.,. T PD 2.23 l.!!r/-/A T.B .41 STEPS LANDING STEPS COD O re --- woOD eu'""�° B1s� T.B. M APPARE HIGH WATER NARK ON FMMjARy QQ 11, 2008 /� ,y CK x�¢ WOOD x-'� C7 7 � x�¢ T' x=�� Q,p T B� ►yp�y� 2 4j x STEPS x� T. wooD x' $ Pc7��Q ko _,. x_0.82 waao � Bu 7B # x--12 Qp �1p LANDING WOOD4 Q _ .0STEPS 5 x x��7 x 0"91 x-�.9 x-7.6 x�.2� x .4:4 j. -221 x mm x4.90 -1.a �B d?.4 x to H x� m x= x-2.02 x _Z.0 kQ -2.03 �y -2.37 x �m aD� O" x-1.52 , a/t -2.14 x x.�51 W► x 2.33 -2.41 2.3 ` 2B7 � APPARENT LOW WATER NARK ON FEBRUARY f x x-2.19 11, 2008 �� g 9Q x-2.4 - Q c x�2 Odb ��. ``.T x-2.21 2.23 -2.22 =2.1� 9 4 COX -2.3 x 1.28 2.2J 2.2 rl► 0 0.06 =255 �.ZJ � ►�� ��dP Q 4 x �¢ �Q -2.46 =�$ -2.47 x-0.24 -2.29 -2.23 x-0.92 x-0.25 -i m x Y DA -,� SOUTHOLD -2 14 - -2.29 FOWLI,R( ,1. 2008 Low WATER � ON OF NEy,Y 5�P�ZAFT C0 'Q,f SO4 O �ptAND SV N.Y.S. Lic. No. 50467 Nathan Taft Corwin III Land Surveyor Title Surveys - Subdivisions - Site Plans - Construction Layout PHONE (631)727-2090 Fax (631)727-1727 0MCES LOCATED AT U41UNG ADDRESS 322 Roanoke Avenue P.O. Box 1931 Riverhead, New York 11901 Riverhead, New York 11901-0965