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TR-469 (3)
Jill M.Doherty,President SO Town Hall Annex Bob Ghosio,Jr.,Vice-President �� lQ 54375 Main Road P.O.Box 1179 James King Southold,New York 11971-0959 Dave Bee rgen G John Bredemeyer 'Q • �� Telephone(631) 765-1892 i �y�DUNTY,� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD t. July 20, 2011 Mr. & Mrs. Thomas Ball P.O. Box 1708 V `� Southold, NY 11971 �� RE: 1890 ARSHAMOMAQUE AVE., SOUTHOLD SCTM#66-2-46 Dear Mr. Ball: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., July 20, 2011: WHEREAS, THOMAS & BARBARA BALL applied to the Southold Town Trustees for an Amendment to Wetland Permit#469 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#469 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, Jill M. & go rCy;p Board f Trustees JMD:Ims Jul 20 11 01 : 52p p. l Suffolk Environmental Consulting, Inc. Newman Village,Suite E,2322 Main Street,P.O.Box 2003,Bridgehampton,New York 11932-2003 (631) 537-5160 Fax: (631)537-5291 Brace Anderson..M.S.,President VIA FAX ® E E d W 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 846 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. 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 ���9guFF0(�.Ca Peter Young,Chairman �► - Town Hall,53095 Main Rd. CAP.O.Box 1179 Lauren Standish,Secretary w O � � Southold,NY 11971 Telephone(631)765-1892 Fax(631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., July 13, 2011, the following recommendation was made: Moved by Derek Bossen, seconded by Audrey Horton, it was RESOLVED to SUPPORT the application of THOMAS & BARBARA BALL to Amend Wetland Permit#469 to replenish the beach with approx. 400 cy. of sand. Located: 1890 Arshamomaque Ave., Southold. SCTM#66-2-46 Inspected by: Derek Bossen, Audrey Horton 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 4 , osu�Foc,� Jill M.Doherty,President W C4 P.O.Box 1179 Bob Ghosio,Jr.,Vice-President Gy� Southold,NY 11971 James F.King Telephone(631 765-1892 Dave Bergen Fax(631)765-6641 John Bredemeyer Southold Town Board of Trustees Field InspectionMorksession Report Date/Time: 3� I THOMAS & BARBARA BALL request an Amendment to Wetland Permit #469 to replenish the beach with approx. 400 cy. of sand. Located: 1890 Arshamomaque Ave., Southold. SCTM#66-2-46 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: Prese ere: B. Ghosio King v /DBergen, . � mJ. Doherty J. Bedeyer D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: ' Jill M.Doherty,President Town Hall,53095 Main Rd. James F.King,Vice-President P.O.Box 1179 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 % constructed L/ Project complete, compliance inspection. Jill M.Doherty,President �\%,pF SO(/Tyo Town Hall Annex James F.King,Vice-President �� �� 54375 Main Road Dave Bergen P.O.Box 1179 Southold,New York 11971-0959 Bob Ghosio,Jr. A John Bredemeyer �O Telephone(681) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 16, 2010 Mr. & Mrs. Thomas Ball P.O. Box 1708 TO ' � Southold, NY 11971 RE: 1890 ARSHAMOMAQUE AVE., SOUTHOLD SCTM#66-2-46 Dear Mr. & Mrs. Ball: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., June 16, 2010: WHEREAS, BARBARA & THOMAS BALL applied to the Southold Town Trustees for an Amendment to Wetland Permit#469 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#469 to install rip-rap 'h to 1 ton stone armor in front of the existing bulkhead, and as depicted on the survey prepared by kathan Taft Corwin III dated May 14, 2010. This is not a determination from any other agency. Sincerely, #A Jill . Doherty, Presid t Boa d of Trustees JMD:Ims Jill M.Doherty,President Town Hall,53095 Main Rd. James F.King,Vice-President 0..� � P.O. Box 1179 Dave Bergen , �► ` Southold,NY 11971 Bob Ghosio,Jr. � �� Telephone(631)765-1892 John Bredemeyer 1 ' Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: haCbCL GL 4 7I'1amcl �o U Please be advised that your application dated q l aq`m has been . reviewed by this Board at the regular meeting of 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) 1 st Day of Construction ($50.00j '/2 Constructed($50.00) )3��C� Final inspection Fee{$50.00) Dock Fees ($3.00 .per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is.computed below according to the schedule of rates as set forth in Chapter.275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. '-You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ SO, 00 BY: Jill M. Doherty; President Board of Trustees SUFFO(,� Jill M.Doherty,President ��� Cp P.O.Box 1179 James F.King,Vice-President a Gy� Southold,NY 11971 Dave Bergen ti Telephone(631)765-1892 Bob Ghosio,Jr. ,y Fax(631)765-6641 John Bredemeyer JSouthold Town Board of Trustees Field InspectionMorksession Report Date/Time: /X0 BARBARA & THOMAS BALL requests an Amendment to Permit#469 to , install rip-rap '/2 to 1 ton stone armor in front of the existing bulkhead. Located: 1890 Arshamomaque Lane, Southold. SCTM#66-2-46 Type of area to be impacted: _Saltwater Wetland Freshwater Wetland. Sound Bay Distance of proposed work to edge of wetland �. Part�f Town Code proposed work falls under: ;,6apt.275 Chapt. 111 other _Type of Application: r,�Wetland _Coastal Erosion _Amendment Administrative_Emergency Pre-Submission Violation Info needed: Modifications: Conditions: i /9� Present Were: 4XJ.King �Joherty J. Bredemeyer .Bergen_ B.Ghosio, D. Dzenkowskic--- other Form filled out in the field by Mailed/Faxed to: Date: 1-,,,PPROVED BY _��R® OF TRUSTEES 10 TOWN OF SOUTHOLD F , 1 ad l l Barbara J.Ball &Thomas J.Ball Shoreline Restoration Dru Associates,Inc. Lot 9 j 40 Hitching Post Ln. n/o/f Glen Cove,NY 11542 Edward W.Graham 516-676-7107 Revised:4-16-2011 Lot 6 Prepared:1-12-2011 n/o/f Lot 5 Scale:V=60' Joan Kuchner n/o/f ! Alma Ilibassi Lot 4 Lot 8 i &Bruno Ilibassi n/o/f N Y"S D E C n/o/f James F.Travers ! Barbara J.Ball APPROVED DI PER TERMS I &Thomas J.Ball A°dD CONDITIONS OF � 3 PERMIT NO. ' Ex ling Rock Armor at ulkhead DAT Lot 7 to rehabilitated i j n/o/f A•� f Henry J.Latham 400' Beach sand replenishment area=10,000 sf Sand volume approx.2000 cyds •,` � °'W°'`�gym_`ry'�:` ,� �" an Survey by Nathan Taft Corwin III 0 40 80 160 Feet February 11,2008 Sections by Dru Associates Inc. October 2010 by Transit Level Beixedon Estates Shoreline Restoration DruAssociates,Inc. A +4 N I Y S p E C 40 Hitching Post Ln. Typical section:Ball Property TERMS Glen Cove,NY 11542 +g APPROVED AS PER OF 516-676-7107 + 3; AND CONDITIONS Revised:4-16-2011 2 Prepared:1-12-2011 k oc armor+1 1 PERMIT NO.�� �l Scale:V=20' R to first wafer 0 r-9a Y-- -- ------- ----- DAT 1 i ......A ..>,._. .... .............A -2 J AH 2 8 50 100 200 Feet I Proposed restoration 2010 bottom topo B +4 I I +2 Rockarrnor to first +1 waler 0 I --------- — --- --- -1 I -2 1 ..... I AHW 2008 50 100 200 Feet Survey by Nathan Taft Corwin III February 11,2008 Restoration by re-setting surface stones after replenishing sand, October 2010 Sections Associates Inc. with added sand as needed,followed by replacing stones,with added stone as needed. b by Transit Level New York State Department of Environmental -Conservation Division of Environmental.Permits,'Region One SUNY @ Stony Brook, 50 Circle Road, StonyBrook _ Phone: (631)444-0362 Fax: (631)444-0360 ok, NY 11790-3409 Website: www.dec.nv gov _ Joe Martens Commissioner May 24, 2011 Mr. Thomas Ball P.O. Box 1708 Southold, NY ` [ �(n Re: . Permit No.: 1-4738-00148/00003J .t- J U 2 2 2011 Dear Permittee: s Soct{;old icwn Board of irest,�-, _ In conformance with the re (Article 70, quirementsof tfie-State Uniform Procedures Act 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, d% � - Mary A. MacKinnon MAM/Is Agency Program Aide STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION _.y DEC ID 1-4738-00148 PERMIT Under the Environmental Conservation Law CL Permittee and Facility Information Permit Issued To: Facility: THOMAS BALL BALL PROPERTY PO BOX 1708 1890 ARSHAMOMAQUE AVEISCTM#1000-66- 246 SOUTHOLD,NY 11971-0942 SOUTHOLD,NY t1971 (631) 765-4354 Facility Location: in SOUTHOLD in SUFFOLK COUNTY Village: Southold Facility Principal Reference Point: NYTM-E: 717.705 NYTM-N: 45449.399 Latitude: 41°04'00.2" Longitude: 72°24'32.1" Project Location: 1890 Arshamomaque Avenue-Watercourse- Southold 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 1-4738-00148/00003 New Permit Effective Date:5/24/2011 Expiration Date: 5/23/2016 Water Quality Certification-Under Section 401 -Clean Water Act Permit ID 1-4738-00148/00004 New Permit Effective Date: 5/24/2011 Expiration Date: 5/23/2016 Excavation & Fill in Navigable Waters-Under Article 15,Title 5 Permit ID 1-4738-00148/00005 New Permit Effective Date: 5/24/2011 Expiration Date: 5/23/2016 Page 1 of 6 J- x'`�i# t STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATIONIowa _.yDEC ID 1-4738-00148 NYSDEC Approval By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, a conditions m ded as part of this permit. Permit Administrator:JOHN A L eputy Regional Permit Administr or Address: - NYSD REGI 1 HEADQUARTERS - S STO BR K150 CIRCLE RD ' TO BRO K, .11 90-3409 Authorized Signature: Dat 20 . 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 =NATURALSOURCE PERMIT CONDITIONS - Apply to the FollowinL WETLANDS; WATER QUALITY CERTIFICATION;.AVATION.& FILL IN NAVIGABLE WATERS 1. No Interference With Navigation There shall be no unreasonable interference with navigation b the work herein authorized. Y 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 4116111. 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. Page 2 of 6 AM STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION ' -ty DEC ID 1-4738-00148 4. State Ma y 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. S. 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 t o o the free navigatin 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 expenseto the State, and if,upon the expiration or revocation of this permit,the structure, fill, excavation,or other 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. Page 3 of 6 STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION o ,r DEC ID 14738-00148 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. 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.a renewal application at least 30 days before permit expiration for the following permit authorizations: Excavation&Fill in Navigable Waters, Tidal Wetlands,Water Quality Certification. :. Page 4 of 6 ATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION r �ry DEC ID 1-4738-00148 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; . 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 Iprohibited 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 perinittee. 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. Page 5 of 6 a ` br ��E DEPARTMENT OF ENVIRONMENTAL CONSERVATION �y DEC ID 14738-00148 ' y 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 intdrfere 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 6 of 6 Lot 9 n/o/f Edward W. Graham Lot 6 n/o/f Lot 5 Joan Kuchner n/o/f assi Lot 8 & Bruno unoma l Ilibassi Lot 4 AppR®V0 n/o/f n/o/f AND CONDITIONS ARMS ames F.Travers Barbara J. Ball PERMIT NO. OF &Thomas J. Ball DAT Ex ting Rock Armor at ulkhead �h.-- Lot 7 to a rehabilitated n/o/f A�,� enry J. Latham 400, Sim - YypDDDL �435 :iEM 4 M G u . u w 0]«. i••�MUDD BI SDi• l s 4'y J N n.. ,,—_ `DD .+s _fl;� v���E��.�. MCKDENTNIDN IC"QR4MIf W JMttIMf34t00t ltl �`�"-ur"inilrw v@.iu+yygrQltE_�D, tom' \� nooD ` b'En9 •.LIZ "EhFEtliM�lYY"iEglEigK W.3F1[y�FH]410D � M.._ �. Beach sand replenishment area= 10,000 sf lII" " ° "" """�'°^"O 1°°"~ De�Yh_III Sand volume approx. 2000 cyds `� ►:Dss �:vt ®iEt bus ut ar\ r'M bD.� Stu •.I°' 3„ LU •�V"REMT lOy/ry"i}A„�F iEDPUAgv f t,t0pp 329 \q. w"4gpr4 p� IV"�9 y\y,\ SD :21.t W b..c.4EHt.,rDirsy�� 2II a� t71 LZ s,yz szi iT] :!L Survey by Nathan Taft Corwin III 0 40 80 160 Feet February 11, 2008 I I 1 , , I Sections by Dru Associates Inc. October 2010 by Transit Level i Beixedon Estates Shoreline Restoration A i DruAssociates,Inc. NYSDEC 40 Hitching Post Ln. +4 I Typical section:Ball Property APPROVED AS PER TERMS Glen Cove, 11542 +3 516-676-7107 AND CONDITIONS OF Revised:4-16-2011 /+2� Prepared:1-12-2011 / 1 PERMIT NO Scale:1"=20' Rock armor+1 to first <, DATE— a [/) z waler � 0 I --- ---------- , w� ... A, -2 1 0 AH 2 08 50 100 200 Feet Proposed restoration 2010 bottom topo B I +4 1 2 Rockarmor I to first +1 r waler -1 I -2 I -- B. I AHW 2008 0 50 ' 100 , ' 200 Feet Survey by Nathan Taft Corwin III February 11,2008 Sections by Dru Associates Inc. Restoration by re-setting surface stones after replenishing sand, October 2010 by Transit Level with added sand as needed,followed by replacing stones,with added stone as needed. t - i 1/2 PLAN O 1 TO PLACEMENT O STONE RIP RAP �� � .. LOT 4 O�go spy. MAP OF BEIXEDON ESTATES F BLOCK 7 F, SITUATE LOT o ' s SOUTHOLD z APPROVED BY. 1; �AoPs rc b:�$� E�z TOWN OF SOUTHOLD - �;o,, SUFFOLK COUNTY, NEW YORK 15 EAgE>� BOARD OF TRUSTEES S.C. TAX No. 1000-66-02-46 SCALE 1"=40' TOWN OF SOUTHOLD j- MAY 14, 2010 DATE /� �� s / v' ,9 AREA = 19,282 sq. ft. �O+ 1 9, (TO BULKHEAD) 0.443 ac. o o 0" F ;:a' M AY 2 0 2010 LOR O j NOTES: 89 �41 ( i 1 . ELEVATIONS ARE REFERENCED TO HIGH WATER BEING ELEVATION 0.0' EXISTING ELEVATIONS ARE SHOWN THUS: 50 - T.B. — TOP OF BULKHEAD 5 UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY Is A VIOLATION OF B.B. — BOTTOM OF BULKHEAD LOT O SECTION 7209 OF THE NEW Yam STATE T.J. — TOP OF JETTY qp Lfl EDUCATION LAW. 9 coPlEs of THIS SURVEY MAP NOT eEaraNc THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. Ix 41L RUN �� +� �ERLfYI TO THE PERSON INDCATED PERSOH FOREREON WHOM THEE SURVEY rr9� IS PREPARED.AND ON HIS BEHALF TO THE 4�0+ 'o TITLE COMPANY.GOVERNMENTAL AGENCY AND �Nr OQ F� LENDING INSTITUTION LLSMI HEREON.AND TDING WSTI- O THE C CEERnRCATTIONS IGNEES OF�NOT TRANSFERABLF- �� ASS O/ PVpN THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEWENTS OF RECORD, IF �• �lTf%i ANY, NOT SHOWN ARE NOT GUARANTEED. PROPOSED CROSS SECTION OF RIP RAP PLACEMENT s� o PREPARED IN ACCORDANCE Y THE MINIMUM �p0 �`J�' � STANDARDS FOR TITLE SURVEYS AS ESTABLISHED BY THE LIALS.AND APPROVED AND ADOPTED SCALE1 " = 10' } = gg 5, THE NEW YOPoC STATE LAND 1o. je co PROPOSED RIB' RAP � `:`:: ��'�;y% r013 ... ..:,.. (1/2 TO I TON ROCK) HIGH YdATER S <� N.Y.S. Uc. No. 50467 LOW YVATER. 5'.. 1„rip Na �' ift Corwin III EXISTING BULKHEAD �y Land Surveyor O TrHe Surveys — Subdivisions — Site Plans — Construction Layout 0 \� PHONE (631)727-2090 Fax (631)727-1727 OFFICES LOCATED AT MAILING ADDRESS �Q 111��� 1586 Main Road P.O. Box 16 Jamesport, New York 11947 Jamesport. New York 11947 Peter Young,Chairman y Town Hall,53095 Main Rd. Lauren Standish,Secretary u• P.O.Box 1179 Southold,NY 11971 Telephone(631)765-1892 Fax(631)765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., June 9, 2010, the following recommendation was made: BARBARA & THOMAS BALL to Amend Wetland Permit#469 to install rip-rap Y2 to 1 ton stone armor in front of the existing bulkhead. Located: 1890 Arshamomaque Lane, Southold. SCTM#66-2-46 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. NNW. "' 4"01- b r ,;ar 06/09-/2010-.10 50 p S ►•r p a i M, I) r ic AVOW fall 4/28/2010 17'54'57 1 of 1 � ,� +� 1, .� � _ i �.n �' � � New York State Department of Environmental Conservation Regulatory Affairs Unit - Region I B1dy. 40, SUNY, Room 219 - Stony Brook, NY 11794 (516) 751-7900 Thomas G J64ing Commissioner . . AMENDMENT TO PERMIT Z Former Permit # (if any) : RE_ Permit No_ & Location: 's-Fasr� t- ���e\u►nG'�• (�vu v►c��s�j S j C" J - Dear �-- Your recent request to extend the above permit has been reviewed pursuant to 6NYCRR, Part 621. It has been determined that there has not been a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; therefore, the expiration date is extended to 1'i (A-- j� Your recent request to modify the above permit has been reviewed pursuant to 6NYCRR, Part 621. It, has been determined that the proposed modifications will not substantially change the scope of the permitted actions or the existing permit conditions. Therefore, the permit is amended to authorize: ram► .�� G41nck,,& pl w' D� Z f� tt G S-�,�.w�.�uc� �, ,r-�,�,cp (gam /v�(S• / ��' a� c,.z� as Lj fe�e[fC.V� '�1CC0,VC.-R�-� �/Vliil�s�,(��.UtC�e �eiv►t� C l 1mnel net Fl/1/ This letter is- an amendment to the original permit and as such, shall be posted at -the job site. All other terms and conditions remain as written in the original permit. Very truly yours, Deputy Regional Permit Administrator Sent r 011 H P t TOWN OF SOUTHOLD 80'913 16F:S66T•N01 D jTRUSTEES :,:. .•.:::...... . ....: :>:s^.- , .:.:-.:•• . :.,': ,., - ...: . .:,._ :';$OHT, :'1&�1; according to.. Fhi§1Ne11ads 3? natt'Nni•...«..„.....;..es,:�aas:beeh=zdr�nted;6 ,xhe"T wn rustee$.. . 5.".b: Eii Gonsizl�ta,i ^`orisfi rnfsfjedart^4 lieaz of ifdo.•,..:?.; a i filed b i pplica ,....,..i f;..;_::h pig �':: G foYreemari;. Iiibassi anct:;1a11.: :� ..2&. :...:.,'t9»8?.....Anna :ofifte:pcoposedworkwilL:bekept, on fife iristhe T.i ustee,0 Ffice'';ariBerYh appCieation riutlbe.'r.• iiren.' : •'. •> ::Petrriitgcanted:tq.do•tliefold::oWinglprOKk'.T�o;construetatim ,,,titan???ig..tiY?>rl,.??t�?: Lx1: ler'X. :. and- to axraor-with:-stone and fp Mill. ........ ............... ........ . . .I.. ::.:. .. ... , .. ................................. ..,.... ........ .... ........... ............................... .. logatiori.of piop:erty'aa whichiwprk to be:done:.:°;rsliaa.omacve:Ave Southold ........»............................................................................: ............... -.Creek;.Rayt.o�.Harbor-frvntiny. property. Southold..B..Iav........................................ ..... Size of Work: 'Length...360±:hn...ft:.:witfr:...... 10' return. . ............. ......... ..........I Width .................................................................................. ............ ................. Height Above High Water :..................... .................................... .......I..:...... . : Depth Below-Low-Water .....................................................................:............................. Yards:to be Excavated......:.............................................. .................................................. Yards to.be Filled ................. ......... Mannee in Which-material is.to be remgved or deposited :..................... ..........i... ................ ................................ ........................................... ................. ......I Intended-use of property.. Residential......................... ......................... , . . ...... . . _.............................................................................................................................................................. Conditions if any....::::-.::...-.-..:..:.. -::-- .......... ....................................... .................... Expiration Date-..March„28r,1990 if,work,has.r gt cgrnmenced by,,;said„date:.... ......... Number of Inspections:Required:...�:Trustees,arg,to be notified ugon,-completion of,the I. .. work. .. Inspection Fees. $10 OO..Eaza......................... ........................................ f Policies in the Amount of ......------------------------- Liability ....................... . ..................... The'validity-of this permit is or maybe subject to the approval of other governmental qr.municipal authorities. The Town accepts'no responsibility in applying'for.or obtaining such approval: In the event that such approval is necessary,the holder of this permit shall not commence.,operations here under until such approval has-been obtained in writing.The,failure to.obtain such other approval when required.shall subject this permit to immediate revocation by,the Trustees opon receipt by the. Trustees• of-writteii notice from such other governmental or-municipal authorities of its refusal or disapproval. HENRY P. SMITH JOHN M:BREDEMEYER.;- TII',. President ' , TELEPHONE John-Bednoski, Jr ALBERT KRUPSKIi.JR; Vice-President BOARD-'OF TOWN TRUSTEES TOWN OF SOUTHOLD Town.Hall, 58095 Main Road P.O.Box 728 Southold, New York 11971 Jarivary 25, 1988 Mr.. Roy L-. Haje, Ptes-dent En-Consultants, Inc. 1329 North Sea-Road Southampton, New York ll968 Re: Freedman, Ilibassi & Ball j Application No. 575 Dear Mr: Haje: The following action was- taken by the Board of Town -Trustees during their regular meeting held on January.21, 1988- regarding. the above matter: RESOLVED that the Southold Ton Trustees Amend the approval granted on November 2.4, 1987 on. behalf:of En-Consultants; Inc. .for Freedman, Ilibassi,-: , and Ball to reflect a ti-mber bulkhead to b6 placed 5 feet landward of the escarpment with-plarithig in front 'of- the. wall and the return on the East -side: is -to be- armored with -z ton stones. • Property is•located on Arshamomaque Avenue, Southold. y Very truly .Yours, John M. Bredemeyer, III, President` _ Board of Town Trustees JMB:ip CC _Commissioner Thomas C. Jorling, D.i:; C., Albany Robert -A.. Greene, D.E C::, Stony-'Brook Stephen 'Mars Army Corps of Engi;eers : Thomas.' H4.rt ; Coastal'Management ' - John.Holzap eT;'. Chairman= Southold.:Town 121) , ROglr' op@OvTox Service en G r Aa ftMtr -RV NY E — TyA d A0 I NOTICE COUNTY -SUFFOL SOUTHOLD SECTION NO L rr. JE Red Property Tax Service Enrt 0.w mw.Amy mot 066 OE P mrm� 1000 =PU.=,.=TY-=-j N James F.King,President ��OF SU(/T�O Town Hall Jill M.Doherty,Vice-President 0 53095Route 25 Peggy A.Dickerson P.O.Box 1179 Dave Bergen Southold,New York 11971-0959 N ae John Holzapfel �� Telephone(631)765-1892 COU '� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD APPLICATION FOR AN AMENDMENT TO A WETLAND PERMIT DATE � _. JUf1i 2 2 20111 OWNER 5 Cq RQr`64 M PHONE J r` ADDRESS �o 966170<9 SoU+k0 AGENT PHONE ADDRESS PROPERTY LOCATION ]qq D Arska mo rm O U e Ave aL4 TAX MAP NO. �GTM �p (p- Z — �o I/We Tho►mp+Ba 6an, ;a-1 request an Amendment to Permit# w q to mv.►mrl- a��I- 0 ze4 bV .te G Rep len i sh beack LO I'+h 0i pr0xi ►rely q 0 cu.yds j Oa.'nd 1 n a cca�a nce E' co14h DE 5peci APca-P0nS \1 n Siger ��, ned By:' (It lz `Obl h Og4fFO�,� Jill M. Doherty,President Town Hall,53095 Main Rd. Bob Ghosio,Jr.,Vice-President : yy. P.O. Box 1 179 James F. King ; Southold,NY 11971 Dave Bergen 4J�� �' Telephone(631)765-1892 John Bredemeyer �` Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD yam- r In the Matter of the Application of a—: THOMAS & BARBARA BALLCOUNTY OF SUFFOLK STATE OF NEW YORK) AFFIDAVIT OF POSTING residing at/dba g -5 6W-16 M ct Q C AVe,- being duly sworn, epose and say: That on the ?*day of Jet ly , 2011, 1 personally posted the property known as s 9 0 Ars k a rn D H'►dc Yt l vv z7�z�.�'��D I G I N V by placing the Board of Trustees official pos er 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: AA (signature) S om to before me this ( day of)41. 2011 _&L4�X_ Notary Public PENNY BEDtLL Notary Public,State ot.New York No.01BE6 993,17 Qiialrfied in S I> Corinty E C E W E � JUL 1 1 2011 PROOF OF MAILING OF NOTICE Southhold Town ATTACH CERTIFIED MAIL RECEIPTS Board of Trustees Name: Address: Berk N� f1�1�� -45 18runa4 Almatek bxis5 i � 11360 5c.►M (c91���-3 l 1 erg�c C'�s ell ah� K) II'q_r I ne�l-e zzxe �© �Z 7, ®,L*oW I iQ7 l Grp c� STATE OF NEW YORK COUNTY OF SUFFOLK n Ol l I ,residing at, T1V . a 6 a being duly sworn, deposes and says tha on the 7 day of tA 1 , 20 j,deponent mailed.a true copy of the Notice set forth.in the Board of T stees Application, directed to each of the above named set opposite there respective names; that the addresses.set persons at the addresses. opposite the name's 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 p�, 4. h , that said Notices were mailed to each of said persons.by (certified) (registered)mai . Sworn to before me this Day of)to 20__LL_ Notary Public PEN Y BEDE,L ew York Notary PAU e No.O1�EfiQq9 -t Qualifiedin°Suffolk6' ty 1 Commission Expires Sept.29,� to ��OF SoUryo MAILING ADDRESS: OFFICE LOCATION: O l0 P.O. Box 1179 Town Hall Annex Southold,NY 11971 54375 State Route 25 (cor.Main Rd. &Youngs Ave.) va ,c Telephone: 631 765-1938 Southold, NY 11971 • �� Fax: 631 765'-3136 o�ycoU0,* LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM E C 'To: Jill Doherty, President f f Town of Southold Board of Trustees �4 JUN 1 4 2A --' From: Mark Ter Principal Planner `�`��"o� ►Y, P Scutnold Tov,;n LWRP Coordinator Board of 7rusiees Date: June 14, 2010 Re: Proposed Wetland Permit for BARBARA & THOMAS BALL SCTM# 1000-66-2-46 BARBARA &THOMAS BALL requests an Amendment to Wetland Permit#469 to install rip- rap '/to 1 ton stone armor in front of the existing bulkhead. Located: 1890 Arshamomaque Lane, Southold. SCTM#66-2-46 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 } Jill M.Doherty,President ti Town Hall,53095 Main Rd. James F.King,Vice-President ,yam P.O.Box 1179 Dave Bergen d ` Southold,NY 11971 �, Bob Ghosio,Jr. 4 Telephone(631)765-1892 John Bredemeyer Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Application Wetland Permit Application Administrative Permit 2Amendment/Transfer/Ex ension -01G-ceived Application: Ill Received Fee:$ _,._Cpleted Application __jncompletq S-1 I UQ1 _SEQRA Classi cation: - --- - -- -I_ -- --f Type I Type II Unlisted s �' LE.._1�.. `1�J7 L' _Coordination:(date sent) -hMW Consistency Assessment Form ly )q W6 r SAC Referral Sent: APR 2 9 2010 �te of Inspection: - _Receipt of CAC Report: I^__T _Lead Agency Determination: Technical Review: L v G'czrd of iru IrHS' --.P-ublic Hearing Held: Resolution- 'Name of Applicant �Y �- V'0. , Address I o 7rt1r� h n---m O ry l 0. 1A:t?. - U`� . �f� D I O Phone Number:(,r.?/) Suffolk County Tax Map Number: 1000 - SP-J- B Property Location:_- I d AV'6 i1C�IY)pY_y;LQ LR e, Ave_ 1 - (provide LILCO Pole#, distance to cross streets, and location) AGENT: (If applicable) Address: CD'-` Phone: Board of Trustees Application GENERAL DATA Land Area(in square feet): d Area Zoning: Previous use of n3'=ro e ' P p Intended use of property: Covenants and Restrictions: Yes _No If"Yes",please provide copy. Prior permits/approvals for site improvements: N s E� z 1)at9$ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? No Yes Tf yes,provide explanation: Project Description(use attachments if necessary): . Y2, Board of Trustees Application 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? V No Yes 140 If yes,how much material will.be excavated? cubic yar s 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: 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): PROJECT ID NUMBER 617.20 SEQR APPENDIX , 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 I SPONSOR 2.PROJECT NAME do r 4a/pa d-7-lo zV 'F I&II &PROJECT LOCATION: Municipality 1 5'0 County �V�AV/A� 4.PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide map F L?c) A r1r4 a e4 04q 0�.q VC o_ L71Zc,1J A/h -7 5.IS PROPOSED ACTION: ® New ❑Expansion ❑Modification/alteration' 6.DESCRIBE PROJECT BRIEFLY: U v��'��e�r� �✓I'pi I t�l�ed/Ct vm C ��/^1/��d' U✓i /0rt "O L v�y AQ,4, 7.AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres U/ 8.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ®yes ❑ No If no,describe briefly: 9.WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) aResidential ❑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) F AYes ❑No If yes, list agency name and permit I approval. N Y`r �E C 11.DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes F"UNo If yes, list agency name and permit/ approval: 122.. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? ❑Yes ❑No I CERTIFY THAT THE INFORMATION PROVIDED OVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant` / Sppj ns,�t.Name Date _ SLg' Lure ! , _ _ Z-1r2 7 2 0/CJ i the action 1s 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 EAR Yes ❑✓ No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.E? If No,a negative declaration may be superseded by another involved agency. QYes ' allo 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,6oise 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: Lo— C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly: No 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 C5. Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly: No C6. Long term,short term,cumulative,or other effects not identified in CI-05? Explain briefly: E:� C7. Other Impacts,(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(CEA)? jif Yes,explain briefl : Yes a No E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: 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.orotherwisesignificant Each effect should be assessed in connection with its(a)setting(i.e.urban or rural);(b)probability of occurring;(c)duration;(d)irreversibility;(a) geographic scope;and(0 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 CEA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur.Then proceed directly to the FUL 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 actin WILL NOT result in any significant adverse environmental impacts AND provide,on attachments as necessary,the reasons supporting thi determination. Board of Trustees Name of Lead Agency Date Jill M. Doherty President P nt or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer jw- 6�— Signature of R spo si le Officer Lead.Agency Signature of Preparer(If different from responsible officer) PROOF OF MAILING OF NOTICE. ATTACH CERTIFIED MAM RECEIPTS Name:. Address: SCTM ���3�iZ ox 0,7 56 +ho fly. dcTM' fl 36A �7-1 - ohn N ickles - - _ N 1 b 2 —y5 .. :. :. a 3.6 3604 . IVY wy�G��r�C •.� l l D�d SGT Pru no Al - �l rbass i � -B NY Eleha _'Ca:s�'ellana 209 �33 2� STATE-OF NEW Y•ORK . COUNTY.OF SUFFOLK . .residing at, g . vV10 Vv1 (.0 e - -: .,being duly sworn, deposes and says that on•the h clay of c;ch�: : - ,:.20/D;dcponent mailed a true copy of the Notice set forth-in the:B.oard of Trustees Application,Airected to each of the above named- persons at the..addresseq'set opposite there•respective names; that the,-addresses.set opposite the.name's of said persons.are-the:address of said persons as.shoyrn on.the current assessment roll oflhe'To of So thold; that Said•Notices were mailed at-the-.United States Post Office-at �pl l'-�l0 N' ,that saidNotices were-mailed to..each of said persons by certifi _(registered)'maii: STAN©ISH' Sworn to before me this l 18r iu. VONNew York Day of 2010 i : �' (64 08 ci of wolkCoun{�� ;lrl:caia� April 9,20r- -Notary Public ��gg�yFF04�dG Jill M.Doherty,President 4 - Town Hall,53095 Main Rd. P.O.Box 1179 w James F.King,Vice-President � © • '� Southold,NY 11971 Dave Bergen Bob Ghosio,Jr. ��� �! Telephone(631)765-1892 John Bredemeyer y' Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of BARBARA & THOMAS BALL COUNTY OF SUFFOLK) STATE OF NEW YORK) l- aA6M AFFIDAVIT OF POQSTING I, l�.Y'D�Y ,residing at/dba I A-shamom a L( �55u4bl , �j � v being duly sworn, depose and say: That on the 2 day of j Lkyl`p , 2010, personally osted the pro erty kn wn as to 6 9�.,��4- t9 M� by placing the Board of Trustees of9cial 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: ( jwj10 (signature) Sworn to before me this day o'QQ200 NotaryNa l O1SMT,G 1TANOISH o. So �N Yolk ■py'�`'pQu�pfied in o�Q thry Public Board of Trustees Appl: —ion County of Suffolk State of New York Qr�a rQ J & J I 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 HISMR KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signatu SWORN TO BEFORE ME THIS DAY OF �10 e �otary Pu c M4111NA yoKKINOS Notary public-State 01 NewYoelc No,01 KO6191941 Qualls;e in S`lt k CoWs tv 9©12 APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provideinformation which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: BQ C I I In r b G KA, (Last n me first name,diddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate_.thb.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 Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this a� 'day of e7 1 204 a Signature. Print Name av- Form TS 1 r 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#-,e173i-f-9 PROJECT NAME 13A LL The Application has been submitted to (check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees l. 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: Y. — ���P_ P . _ n oc� Location of action: -1 © VYl 0 vy,a u e `e so(.1 Site acreage: Present land use: Ric,l 1p 0�k GL I Present zoning classification: k_9 0 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: 2 Q r U a Ir a M- I Y�--(� �O yn a s 'Ba l I (b) Mailing address: 7C d g Sou,4\ 6 16 , Q I lq '-/ I (c) Telephone number: Area Code( ) 40 — 7(®'S_— 3 (d) Application number,if any: Will the action be directly undertaken,require funding,.or approval by a state or federal agency? Yes No® If yes,which state or federal agency? J D9C /— y739'-03779 Dood� C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. ❑Yes ❑ No Not Applicable P 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 0 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 4-or V 1,0 L't S V in Op Vn 0 g=d — n 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 ❑ Yes ❑ No V\I 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. y � ❑ ❑ �. Yes No < 1\oI ph'cabl� Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LNVRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ 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 FLOIU 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. © Yeo No❑ Not Applicable 3eixeJt)n i�s.U4;es 61 a�tc�y� C1CCG55 -�l�l�e Co►rnmurii C e, end . e. ccnd Kwers Main n Attach additional sheets if necessary WORIINNG COAST POL N 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 M 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 LA Not Applicable ` Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III —Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes ❑ No 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 1�71 Not Applicable PREPARED BY 'Barba V-6- +��(I TITLE c)uj►'1 per DATE � Z /b i TOPOGRAPHICAL SURVEY OF BEACH SITUATE SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK SCALE 1 "=409 EEBRUARY 119 2008 NOTES: 1. ELEVATIONS ARE REFERENCED TO HIGH WATER BEING ELEVATION 0.0' EXISTING ELEVATIONS ARE SHOWN THUS: 5.-Q T.B. - TOP OF BULKHEAD B.B. - BOTTOM OF BULKHEAD T.J. - TOP OF JETTY q o _,T���lS�'�' _ BALL $rAsse.., � xA p T.B. , zs � p 8.e_1 q - LAT.MAt4 _ so+�� r.e 4 sr�s w+ID"M i�� /Ip stirs re 7 e /, APPARENT HIGH WATM MARK ON FEERUARY 11. 200E P Q ' ° 5 Er r.e . 1.- -1.06 � x-1 31 ?�.�� x x_0.94 � TB x LANOM c 2 o3 X-1-1 x_0.az ram STEPS x2 to NOOD >e x kcT'i� x m uNplG 10 Q.0 x_f.05 x 2M STEPS x-1.97 x_�7 x=12¢ x=1'Z� le 2.2l x 21L7 x-0.9/ x.1�.i1 - cow x -2.08 t0 ti � -t.os x=I.�4 m x x -211 x= =2.JZ -�m -2.14 x�52 aM X. 1.52 �� _2�.I I -2.J4 x2B7 APPARENT LOW WATER MARK ON FEBR1 W 11. 2000 2.24 y x2'8,4 9.0 x-Z45 2.23 -222 .-2-13 `� � �0,4 dA x -"I y � .11►t�� -2.J0 2.23 1.28 ,2.55 1'24 2.25 x 2.46 �`� -2.47 x-0.24 -2.29 -2.23 H m x 0.92 x-0.25 i3AY x-1-01 �'°SOUT14OLD ,. _ _229 00 1�uAW 2� APPARENT La'a VW MAR+ ,��OF NEW)Y g�P�-jAFT Cp,Q '� * z ? SO4 [AND SV N.Y.S. Uc. No. 50467 Nathan Taft Corwin III Land Surveyor Title Surveys - Subdivisions - Site Plans - Construction Layout PHONE (631)727-2090 Fax (631)727-1727 OFFICES LOCATED AT AMUNG ADDRESS 322 Roanoke Avenue P.O. Box 1931 Riverhead, New York 11901 Riverhead, New York 11901-09W