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HomeMy WebLinkAboutTR-8222 James F.King,President gFD(�-c Town Hall,53095 Main Rd. Bob Ghosio,Jr.,Vice-President �� �¢y P.O.Box 1179 co Dave Bergen � Southold,NY 11971 John Bredemeyer Telephone(631)765-1892 Michael J.Domino Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1 st day of construction % constructed I Project complete, compliance inspection I .I i �-.�" rrTr r. ,� IiF`:-�'.,�7,ii�'o'ri"r -. . �- ,r. •o°r'vr .�.i'�rrr. '.:. v�0>DiYr. - .,,,C o ro� ,. ��,�'— Vr�ri rr -. /r �it °p . 111 °�. ,� °► , ./L Q1 1►° r V poi ► � .g,�l 1 l�� r l ' �\'�.�.'r�..�7'���+mxixTM��'.�, '��4i5�+:'#''> .3..'�'�. •,.•... .•..�°... ... ....a.>.�?T�. Tre .._....- ._ ':rt+'�''i3��i•Tl.�''.t-£Tf°.�..+ ve4?;BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK PERMIT NO. 8222 DATE: JUNE 19, 2013 g. ISSUED TO: ELLEN F. EMERY 1999 REVOCABLE TRUST ..�� ' PROPERTY ADDRESS: 5925 NASSAU POINT ROAD, CUTCHOGUE ` i , SCTM# 111-13-6 „ •�11•t� £- °•fir' �-� AUTHORIZATION -•` Pursuant to the provisions of Chapter 275 of the Town Code of.the Town of Southold and in A accordance with the Resolution of the Board of Trustees-adopted at the meeting held on June 19,2013,and in y, consideration of application fee in the sum of$250.00 paid by Ellen F.-Emery 1999 Revocable Trust and subject to the Terms'and Conditions as stated in the Resolution,the Southold Town Board of Trustees 1, authorizes and permits the following: ° �r A ` Wetland Permit to construct a±98' upper retaining wall with two (2) f3' returns using vinyl sheathing; construct a±98' mid-bluff wood retaining wall with two 9. (2)f3' returns; add clean fill to re-establish the entire bluff area as needed; construct a '1'1j4- ri platform at top of bluff leading to 4' wide bluff stairs and a 101x10' observation "�. platform along the mid-bluff retaining wall; re-vegetate all disturbed bluff areas using r° native plantings; and as depicted on the site plan prepared by Seacoast Construction y Inc., received on May 28,2013 and stamped approved on June 19,2013. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. C G :1� -jl tlEf'Y1� �7"iufiau ..�... ...:.... ... �"ra'isa2'G��.wei�5�� .w`ifid�'')i�` r�fnxi..i�Zr)s�'i&�'u��. ....�, � ✓ J�,'�Y��va7lw�cw.uu�;v�F-`� �16 rO pIF .. ..... _ ���.,r/o/ Io1iNr '=...rrA4..,w•„�.. ','r:ia�l or0�i:%'=_: r��.�.. •� r.i�r/o-`rl�;: ':!ai��irA1M _ r'�/rl:_o:�N - TERMS AND CONDITIONS The Permittee, Ellen F. Emery 1999 Revocable Trust,residing at 5925 Nassau Point Road, Cutchog_ue,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: l. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages,of suits arising directly or indirectly as a result of any operation performed pursuant to this permit,and the said Permittee will,at his or her own expense,defend any and all such suits initiated by third parties,and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved, but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely,or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by.resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low.water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein.:authorized,or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required;upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work authorized. 9. That the Permittee will obtain all other permits and consents that may required supplemental'to this permit,which may be subject to revoke upon failure to obtain same. James F.King,President ��0f SU y� Town Hall Annex Bob Ghosio,Jr.,Vice-President ,`O 0� 54375 Main Road P.O.Box 1179 Dave Bergen 1 Southold,New York 11971-0959 John Bredemeyer G ,c • O� Telephone(631) 765-1892 Michael J.Domino Fax(631) 765-6641 �yc4UN BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD, June 19, 2013 Mr. Richard Lark Lark & Folts, Esqs. PO Box 973 Cutchogue, NY 11935 RE: ELLEN F. EMERY 1999 REVOCABLE TRUST 6925 NASSAU POINT ROAD, CUTCHOGUE SCTM# 111-13-6 Dear Mr. Lark: The Board of Town Trustees.took the following action during its regular meeting held on Wednesday, June 19, 2013 regarding the above matter: WHEREAS, Lark & Folts, Esqs. on behalf of ELLEN F. EMERY 1999 REVOCABLE TRUST applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated May 28, 2013, 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, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on June 19, 2013, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding.area, and, 2 WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, 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, RESOLVED, that the Board of Trustees have found the application to be Consistent with the Local Waterfront Revitalization Program, and, RESOLVED, that the Board of Trustees approve the application of ELLEN F. EMERY 1999 REVOCABLE TRUST to construct a ±98' upper retaining wall with two (2) ±3' returns using vinyl sheathing; construct a ±98' mid-bluff wood retaining wall with two (2) ±3' returns; add clean fill to re-establish the entire bluff area as needed; construct a platform at top of bluff leading to 4' wide bluff stairs and a 10'x10' observation platform along the mid-bluff retaining wall; re-vegetate all disturbed bluff areas using native plantings; and as depicted on the site plan prepared by Seacoast Construction Inc., received on May 28, 2013 and stamped approved on June 19, 2013. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $0.00 Very truly yours, o� James F. King President, Board of Trustees JFK/amn ELLEN F. EMERY 121 Somerset Avenue Garden City,New York 11530 June 13,2013 Greenkeeper Maintenance and Landscaping 51020 Main Road rEJUN 1 9 2013 Southold,New York 11971Att: Jeffrey Clausen uthold Town Trusteesbrd of RE: Property Located at 5925 Nassau Point Road, Cutchogue,New York (Ellen F.Emery 1999 Revocable Trust) Dear Mr. Clausen: You are hereby requested not to trim or mow any grass seaward of the existing fence. I should have been clear in informing you not to mow or cut this area. This request is mandatory because the Southold Board of Town Trustees'permit requests this area to be left in its natural condition. Again, it is my fault in not properly informing you,but due to the confusion caused by the tremendous loss of my bluff in April and May as a result of Superstorm Sandy,as well as my health in not being able to come to the property on a regular basis,I never followed up on this with your workers. I apologize for not properly informing you. Very truly yours, Ellen F.Emery Peter Young,Chairman h Town Hall,53095 Main Rd. Lauren Standish,Secretary 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 12, 2013 the following recommendation was made: Moved by Peter Young, seconded by John Stein, it was RESOLVED to SUPPORT the application of ELLEN F. EMERY to install two additional retaining walls, one.(1) upper retaining wall 98' in length and one (1) mid-bluff retaining wall 98' in length, to prevent top portion of the bluff from completely failing. Located: 5925 Nassau Point Rd., Cutchogue. SCTM#111-13-6 Inspected by: Peter Young, Jack McGreevy The CAC Supports the application, however, the contemplated amount of clean fill is in excess of certification. Vote of Council: Ayes: All Motion Carried AM � �■ �, 5925 Nassau,,,Pt. Rd ' Arft rai S?7 Cuxs�4.5 NY MN�, 14. groree 7.4T�187G1 1�7�?fi . aver nw NOT TO SCALE } _ s - i •tr i t } � - . EXES INb ThITIN3 V AL g 3 TO CIF 'ILL FFoW ' - E 1 UPPE t Rsy�ET IN€ N ML 1 - i 4 g 'i � i i i � S i - i ! g•- � e i i 3 's 1 ss g $ 0 ' `MI —L LU 'F 11 _ 1RE 'AI�NIIRG nTA ,L i L—.X- 21i } � i 8 Ql 20# { RE g 3 2 g uthoW To t t 9 z P`RMTTED L _WE R TA N NGI W LLB _ S i i s ' = T US- E S - E : Ifi; .-80= 9 ; - i ! 3 z ii. i 3 i i E g = a ! $ 3 } ?PERM 'TT�D .p z 3 = 3 3 BU KIJEA TR S -EEC"1 I 04- @ ■� i . 3 ! P RHIT ED€ B:AC�i 3 - E AE I � 80�49 ' s ,. 1611 y 'L r • , rRaw I • , , RE E man SEE �r 2 � SAS=�� _, . : � _� ►��►�s \►� Kffin �►: - -• ME IFF SEE w l�Bill 5_issi, ii� �i�sssis■�1 ��� �r 111 y; iS M SSSRKIREMEME MERIKE Si=■; � isl■t=i`ii�!+►!'i�i��ti����i=, SEEMS �tSkiKERKER=E-MtE� NI ! %=��=��I�i�iiiii�' '�'i'i�:�s15-0 .t:.■:tsi�ii■�: DC- a.-ISSIRM Sam so IRSOR IS USERS MEN -soi=iitt SERUM E=02Ef IRERRi=t-��ice. r l / Nunn. SEEK Aill l �l!'��il �11��� ►� #���llrll�l�! Fes: - r t #��.�� 1i1lllli �#t! !l 1 #sulawl MEN BEEN i A Xl ll! !111 SEEM1111111 WORKERS l 111tl=! 1 # ! MRIB, lfltl l lRESUME al! Ir l l l- l ll111l� 1111 l 111 M ill ! SURVEY Of LOT 41 MAP OF PROPOSED SUBDIVISION SECTION A, NA55AU POINT CLUB PROPERTIES INC., N SITUATED ON NA55AU POINT, SUFFOLK COUNTY, NEW YORK, SURVEYED BY WALLACE H. HALSEY, C.E. , SOUTHAMPTON, NEW YORK JUNE 1919" e AND FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY L�ON 10-4-19 AS MAP NO. 745 D 2 C E p ��Yf// E w E SITUATE: CUTCHOGUE LC TOWN: 5OUTHOLD MAY 2 8 2013 S 5UFFOLK COUNTY, NY SURVEYED 05-14-2013 SUFFOLK COUNTY TAX# Southold Tow 1000- I I I - 13 - 6 ` O� 140 oar f T uste CERTIFIED TO: l� ELLEN EMERY O PROPERTY ADDRESS 3o�.G�9, E 5925 NASSAU POINT ROAD GE0.55 Ir CUTCHOGUE, NEW YORK 11935 �L U�PK Of P�pPE�(�UtSE c iM. o Q \N 2e.o = 4 Z 3G%?_0 o -- ' O UL 130A ~ ? _� N7 8 Lr4,r-------- �-� L m 1 - -- BRICK w STOOP p cn LIL 130X - - ----- - ----- -- --- (p LAWN �1 b_ t1 _ O` N 1 � EAT fo J OHOU�-i GARAMGE 'O IUNDER p 5.G 1 LAWN STOOP 0 22.a z O A5PHALT DMVEWAY O � Ln 5-7 8 'Unmthuts.d dtwattan or o�ddWo�n to a survey ® m warYp o f n72 bM d�7im..d u o NOTES: ¢ E� w�dtw.�or..anon��a,,�b-awls^�,.r m. MONUMENT FOUND N.w Yo*stet.Education um.' JOh N C . Eh LER5 LAND SURVEYOR a :ob o- o WOOD FENCE CO � N � eonp.a..a ddt w oondd�.d to CHAIN LINK FENCE Area = 30,379 Sct. Ft. * , •�� ti�m �;V& Area = O.G974 Acres G EAST MAIN STREET N.Y.S. LIC. NO. 50202 i.a,9 gad.o«dati«kr 4 9V-ado� GRAPHIC SCALE 1 "= 30i1901n o by eN x..rax slat. Uffou im ddmn m laid S�v.yon. Said owtifloctim.did nm mly to the pw.on rar mham the survey to= RIVERIH EAD, N.Y. 1 3G9-8288 Fax 3G9-8287 and on hi.Whdf to the t,ne aapm% m.n- yS,FO 5020 S J��1� // to a.aa.gn«:a ate,.°i�i,d.yvgw n"eutution 'iwa°nd Iong151andland5urveyor.com LAND tim.an not tron.r ob.fo d"Umd hdltutiane M'• � r A "-fr1 4 �' 77 AR Ellen F. Emery 1999 ' r . • M -0 5925 Nassau Point Road, Cutchogue ♦ • oil Ellen F. Emery 1999 Revocable Trust 5925 Nassau Point Road,Cutchogue SCTM#111-13-6 6/12/13 k r urr T a1 � t v n, o . Og�1F F0(,� James F.King,President P.O.Box 1179 Bob Ghosio,Jr.,Vice-President �j`r Gyp Southold,NY 11971 Dave Bergen y - Telephone(631 765-1892 John Bredemeyer µ. Fax(631)765 6641 Michael J.Domino y �� 'r Southold Town Board of Trustees Field I spection/VVork Session Report Date/Time: 1 C �3 Lark & Folts, Esqs. on behalf of ELLEN F. EMERY 1999 REVOCABLE TRUST requests a Wetland Permit to construct a ±98' upper retaining wall with two (2) ±3' returns using vinyl sheathing; construct a ±98' mid-bluff wood retaining wall with two (2) ±3' returns; add approximately 600 cubic yards of clean fill to re- establish the entire bluff area; construct a platform at top of bluff leading to 4' wide bluff stairs and a 10'x10' observation platform along the mid-bluff retaining wall- re-vegetate all disturbed bluff areas using native plantings. Located: 5925 Nassau Point Road, Cutchogue. SCTM# 111-13-6 Type of area to be impacted: _Saltwater Wetland Freshwater Wetland Sound _3,,/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: ,v,— r.-Y� — A r f Q Present ere: '�/ J. Ki �. Ghosio y D. Bergen, g , O!Bredemeyer Michael Domino D. Dzenkowski other Form fille out in the field by Mailed/Faxed to: Date: i r'x* g':�s "' '""'.:3+as`'"^ -��._�"n'J}�� 111�`+.'.1►•'�, .:"'a�'r. �,,""..�s---!w"a--�+1` -�`,.=_Sc.'wr..-: �.. �,iR7lrIR'il ,,;��"'a: sl.'� '�- _ �9�'�.�f �' -::;,r..•� js.�`lin_ lae�. '�'� ''�..,..�"`."'!� rt ' uc +c,.s+ eel°i"�"�„' -.-�`..�"•"`Wr�.s•.+- •e.+s _.�'�A ,., .:-�k'- +,. .r ,e.,...,,, 7.,C di A '�`. �"` ". fir- -.ar'+�.-a..±�sp�O,rwr � � •',g'.�,.. "� _ .0 F,# .r t "AIL 17 a' 37 Ik elf if - r 1 7~ � • n s - - - d r - i IN Al el x+ -t �9r.- `A• .,' Ste,. •� .. y.••- f' �� 'y���,r� }`.��' . ;� ?r��i' _ai',yiLrl, �� r s• .. "tr .t 4 - t74. z 'S S a Y •yr, m r 4000 PIT t y T 3 '�� 1 �� .s^ ,.k � .r, '� s yr• t W r + ,•.a•.tT i ,r Wyk x,l �% '�i•.-j• •r.: "y.3' � '!t � ' •Y'I Y , ., �•� ..x.�»� l fit• yp•g�� .�... - �'c 7.. � Y �`,. ,*', .�.� �' 4 � �s.,�� * ir7'� .:i �'a`° 1�� � -�l � "'�i •- ,mow. •' .,.�E I?N 4" �i-• '+� ."����` •T �t-,iW~/.r .Y'*II�Nt' J'�L i !r ' �r Y a'�"i f� � '.�• �y+t �'"��� ,� t 'rr �/ �``' r►k 'ti"�`• �. F�-t,�t�' � � �n J1 f!. Y� ;f" •l� +. 7 - r ti r v �. =n'��y r, .,� tea" � ,• v�, ; ; � i �,� ��.• � yyY �` `6 � a 't s 1 .,�„�� '. • _ •a` 4'. �,, .M,. „ _i may.' • , • m � n � ,� �;4a.., r ... ..+y�" ,� s.,'!a, - •ter =..- °A i� .. f• '1• 74- I It T ,�teye {' M ♦ g t + t aye,. * 4 al c u d - r' a ,'•4 �' ;� 'tM.-�Y�. y .. cif.+t�r"�'{ 'l .f -f# � .. �'` �' .f f,� "$kr x r� , It Y T k < P x , r. r c to 1 A66 ��F ,Aa.,- a �°+ �.T t��.- Y „y 7 r`►\��'- f�:ri FA 4 = NEW YORK STATE DEPARTM OF ENVIRONMENTAL CONSERVATI' , Geheral Permit Number GP-0- w-,,6 PERMIT Under the Environmental Conservation Law (ECL) { GENERAL PERMIT GP-0-12-006 Hurricane Sandy General Permit I Vm`i&e and Facility Infor>nr 9,q r' f� Permit Issued Ta" Facility: it . Affected. ndowner Location Listed. on Notice of Intent ~. } 40 Al Applicable DEC Region(s): 1,2,3 GenJal Permit Authorized Activity:. General Permit for repair of damages resulting from Hurricane Sand. IN e`L.uTM"k�F a'ut�c:?x.ca Description of Authorized Activities: 1. Stabilization Q£exlstiilig`f Ronal-jorm-damaged dwellings, decks and walkways with tempor ^y% Ktgx» bracing andgpiluigs; 2. destruction of a single 4'wide access walkvVay to access damaged dwellipgs;`a " 3. I stallation of up to four rows of sandbags or 1'cu''@"Yrd sand.�4ube ,1&t e toe of storm damaged r str4hures or eroded escarpments;' 4. P14pement of sand and/or material equivalent to existing material at the toe of eroded escarpmentsy 5. Repair or reconstruction of stairways that were functional before Hurricane Sandy; A 6. Re-'gxade eroded dunes, 7. In-1a&ia-p1aceu:Tepair xe oustruco e functional before Hurricane Sandy sr� o-ahrF N; ;, kSfx. r x� ;zr,.:::hxx: . �r..; r"ut,a>,>...:j _, y .8. Repair o �reconstruction of existing"public roads,bridges,utilities and other public mfrastrttcture. � F Aa'a All work shall'b done according to the permit conditions contained herein.. ` r Permit Authorizations t Tidal Wetlands- Under Article 25 ,�� Effective Date: 10/31/2012 .Expiration Date:`1�6%3�1'%2013� Excavation& Fill in Navigable Waters -Under Article 15,Title 5 Effective Date: 10/31/2012 Expiration Date: 10/31/2013 Water Quality Certification-Under Section 401 -Clean Water Act Effective Date: 10/31/2012 Expiration Date: 10/31/2013 Coastal Erosion Management-Under Article 34 Effective Date: 10/31/2012 Expiration Date: 10/31/2013 Page 1 of 6 I NEW YORK STATE DEPARTMI' 3F ENVIRONMENTAL CONSERVATIh s; Geheral Permit Number II � 3 { 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. . s General Permit Authorized by q'' rraf Permit Administrator:JOHN J,XERGUSON, Chief Permit Administrators Address: EC HEADQUARTERS 25 BROADWAY ,y ALBANY,NY 12233 Authorized Signature: Date: 10/31/2012., 610 i" 4'�i n } Permit Components ;. NAiJRAL RESOURCE PERMIT CONDITIONS 1, WAA�TERiQUALIT Ca A, GEN :R1 CONDITIONS,APPLY TO ALA A�>aJTHORIZED PERMITS NO IFICATION OF OTHER PERMITTEE OBLIGATIO��"' `''" ti F NATURAL RESOURCE PERMIT CONDITIONS - Apply to the Following A" COASTAL EROSION MANAGEMENT; WATER QUALITY .rA ti CE �,. DAL 1. Confornihnce With Plans. All activities authorized by this permit must be.in strict conformance with the approved plans submitted by the applicant or applicants agent as part of the pert application. Such approved pls were prepared by the applicant and/or an authorized representativd: 2. In-kind,In-place Repair or Reconstruction Existing bulkheads,waikw 0 .rid shoreline erosion structures that were fimctio&ng at the time of the storm damage may bet e'd or reconstructed in- kind and in-place of the existing s apatu es No expansion or seawa 4i d Pension of bulkheads or F sX shoreline structures is authorized by this pet'mit, t� �- 3. Repairs to Structures All repairs to existing structures shall be confined to replacement of existing elements with no change in design,dimension or materials, unless specifically authorized by this permit. 4. Stairway Design The stairs and landings shall be a maximum of 4 feet,in width and constructed a minimum of 3 feet above grade over the dune/bluff face. Page 2 of 6 •1VEW YORK STATE DEPARTM` OF ENVIRONMENTAL CONSERVATI G&ieral Permit Number GP-0-1`'__, 6 5. Baekfilling All peripheral berms, cofferdams,rock revetments,seawalls, gabions,bulkheads or, other approved shoreline stabilization structures shall be completed prior to placement of any fill material behind such structures. 6. Equipment Operation Equipment operation below the-high tide line is strictly prohibited. The storage of construction equipment and materials shall be confined to the project work area and areas more than 100 feet from the high tide line. 7. Sanitary Systems This per t7does not authorize filling or re gr 'dlug of exposed sanitary systems. Landowners must apply fo, i8e arate permits to perform repairs or reconsirdthpn to sanitary systems. 8. Hydraulically-filled Sandbags, Sand Cubes and Geotubes Hydraulically filledsandbags, sand cubes and geotube's are strictly prohibited. " ,sky 9. Beach Eeavation Prohibited for Fill Excavation of the beach or dune for the purpose of obtaining a fill materif�is prohibited. Sandbags may not be filled using sand from the beach or dune areas. SandbagAnust be filled with clean sand;no debris or deleterious materials are allowed. lo. Sojdbag and Sand Cube Installation Sandbags and sand cubes must be installed no more&�n four r 'ws deep and a maximum of three rows high. ,. "A 11. emoval of Sandbags and Sand Cubes Sandbags and sand cubes must be removed within 120) dayQf utaat , gseparate DES pet to allow the structures to rmaper�mnetlyrr�ust be `j k •�u,.Ya3.v.3s;v...:+'u_w 3_..w"a..,n@...f..".ti..,,x.",u..A=.4m,•.,'C2:Tai. }...1.,M.'xarF,.'+"z£d...x?rist..,tr r'�,.%f Gas, e.rw':i..�r•'� 't.....i...+.�.�..,i,A.w}. obtained. 12. Tidas gWetland Vegetation There 11ral) a no disturbance or damage to vegetat tida"'wetlands N r dur}e vegetation as a result of the work performedim I r this permit All necessary recautions must b take to prevent damage or disturbance to these vegetME are: . ;y,w s; 13. ( onstruction Debris All construction debris shall be cleaned up at the end of each work day Ad dispo°ed properly.No debris is permitted in tidal waters or the beach areas. 14. Asizin10! ?1 ghY' ;Z � ,:. ; , . . , . , . .., ,. ... ,shall be dioe.o by dipping oess than inch in any two cmensions;then used as mulch, erosion control,bn;3ldmggett oh: ttia hcs�ed�Be�tle q��r�ntine areas under permit from the NYS Department of Agriculture and Markets „ll d (http://www.adrjculture.ny.gov/PI/alb.html). s 15. Least Terns t Piping Plovers All recovery and repair work occurring in op sandy beach areas must cease on%x h 31, 2013 to protect potential habitat for Least Tern a4d-J ping Plover,unless otherwise authorized in Writing by the Department. y'' 16. No Dredging or Excavation X"dr clg}n�g, excava ing Ly��,othor" 1"teration 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. 17. No Interference With Navigation There shall be no unreasonable interference with navigation by the work herein authorized. .� �� Page 3 of 6 VIEW YORK STATE DEPARTMF r )F ENVIRONMENTAL CONSERVATII' General Permit Number GP-0-12"" 18. 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. j19. 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_ gird loh o' irevo�"lion of this,permit,the structure,fill, excavation, or other modificatipi dge watercourse hereby authorized,?§hall,not be completed,the owners, shall,without expeffk to the State,and to such extent and in such ti,i�-ggd manner as the Department of Envirg iental Conservation may require,remove all or any portio4 f the uncompleted structure or fill an4V� store to its former condition the navigable and flood capacity q the watercourse. No claim shallbe"made against the State of New York on account of any such removal oz alteration. 20. State ly Require Site Restoration If upon the expiration or revocation of this pertmthe project hereby authorized has not been completed,the applicant shall,without expense to the Sete, and to such "tent and in such time and manner as the Department of Environmental Conservation may lawfull"require,remove all or any portion of the uncompleted structure or fill and restore the site to its formed"condition. No claim shall be made against the State of New York on account of any such " re al or alteration. h 21 precautions Against Contamination of Waters All necessary precautions shall be taken to pre ud�ciiritatriiitioriaf Tai�y�:vetlirid or vtiabyuspoiiilsilld ditheiit fvel ;at�'lei�ts; lubricants, epoxy cotings ;pai �, concrete, leachate or any other environmentally deleterious0matgpals associated with"fie project. 0 WATER QUALITY CERTIFICATrON�4SI�E i,7IFI'C"CONDITIONS 3 tr 4' 1. later Quality Certification The NYS Department of Environmental Conservation hereby cer lies that theUsubject project will not contravene effluent(imitations or other limitations or standards un�;er SectiorYs 301, 302, 303, 306 and 307 of the Clean Water Act of 1977 (PL 95-217)provided that alI of the t+�7�.,„i?!'T•SC.�s..H m':""..x'S`i4"Y.s..a ' .4L 4,.. hR..:-i'--';.'.s.a-h,�k,.,�"'S5F�Y`�:.3v�ee?kJ'y'>_,4^".�a.�...Y:�ffi. �• :rr.+. ..:. ,� :c:+L..:�4�,7�.. 3,.�...�',:�rR:r.:.$'.' K7�yr°L^L'f�'h,7.r lv�il�' conditions'hsled"`hereln ire met. ' ,,�}C'..:.:;v7.r.5;h:S!.=v.£'x,fzxa.t.. �i :r. y.F,<•'0rw. r:.."y .ng:,,s. +sway:.„w•A....« � yy �,r �..x f r^:.^.k c e.<�,,,33}-;..'"u`a^13`x:..1rFa:A`�a..�.:,..,.._. s:..,:..!s�,..,._.'&,�a�`m.:/..'n.i:,.....f:o»i:�.,;.',:��...: �i t..:xti...:a.....:{`"5::.1c✓�.:;.,,n....._t...�`.i� ,_`€,'.zY`+t '&n -Kk. G` NERAL CONDITIONS - Apply to ALL Authorized Permits: 1 1�X Nt 1. Facility Inspection by-The Department The permitted site or facility,.,' ' t ding relevant records, is subject to inspection at reasdnal.1e hours and intervals by an authori ed Pcpresentative of the Department of Environmental ConsertittQ ;�theDepartmet),to�de�termme 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). �k �� Page 4 of 6 �� H NEW PORK STATE DEPARTMI DF ENVIRONMENTAL CONSERVATI! • G6neral Permit Number GP-0-1: i 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�t�te Dp "end otay3of the terms, conditions or requirements t contained in such order or deter uuuuation. .. 3. Applications For4Wrmit Renewals,Modifications or Transfers The penffiftep must submit a separate written a pl cation to the Department for permit renewal,modification or tr er of this permit. Such a placation must include any forms or supplemental information the DepaAment requires. Any renewal, riodification or transfer granted by the Department must be in writing. Subission of application§ or permit renewal,modification or transfer are to be submitted to: b" 10 Regional Permit Administrator s , F' 625 Broadway , Albany, NY 12233-1750 �x =8 X -Itubml sioh`'of Renewal Appl�eatiof� The pe tt�e'mustFfsi t5ii t"'a"r v�a1 lie t bit at leas days before permit expjrlxono �the,following.permit authorizations:Tidal Wetlands,ExcavatioArai Fill in Nav gabli' iers, Water Qua t Qrti fication, Coastal Erosion Management. F $S: r... y p -+fix•'' 'I C • • G 4U.''A{4 • G +MCP 5 hermit Modifications, Suspensions and Revdektio by the Department`The Department ,:;.:1'aa eft.K/.,.... resetrves the right to exercise all available authority to modify,susprtd 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; AT ,s5 ��•y,?yak ..-.�+1' t �M'.' .t.+.... -`+-y�z ml+'.hu t Jv. � b. fl lire by th Pe tt ep t'o�coiripl r tht''an teh'r�`dt�conditiot `of 1i' 4 p^rytct t..+„Y<.a a3_.uc��:,x,:...0.'4`.,lc%153..�rk..u•ni.=z9T�ay..eKs✓'F k.E,�«...+�e?'.,e zK+3.'?�E;.v,.i_:_>��.... ..&:t,.:b:";fs�"�`._r..��t...,�,Yt;�G:�.3r�� �M ��.� s:.}2 ti c. exc`e_ding the scope of the project as described in the permit application; .. ,Y d. newly Acovered material information or a material change in environmental corid'itions, relevant tec ology or applicable law or regulations since the issuance of the,;�xist. g permit; e. noncompliance w%teviously issued permit conditions, orders of to.commissioner, any provisions of the Enviro Sm. tal Conservation Law or regulationsw6f 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. Page 5 of 6 NEW YORK STATE DEPARTMF.' )F ENVIRONIGIENTAL CONSERVATI(''-- w' G"eneral Permit Number GP-0-11`'• 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 maintenanceg,theaoility oracilitios'dnthoxized by the permit whether in compliance or not in complianceth the terms and conditions of the porinit._ This indemnification does not extend to any claims, stiffs, actions, or damages to the extent attributable tci QEC's own negligent or intentional acts or omissions, or to any. claims, suits, or actions naming the DEC a ,Arising under Article 78 of the N W York Civil Practice Laws and Rules or any citizen suit or civil fights provision �-IY� under federal o.,rstate laws. IN n kys Item B: Prmittee's Contractors to Comply with Permit The perrtee is responsible for informing its independent contractors, employees, agents and assigns of zn their re "onsibility to comply with this permit, including all special conditions while acting as tli permits e s agent with respect to the permitted activities, and such persons shall be subject to the some sanctions for violations of the Environmental Conservation Law as those prescribed for the permitt�ee. J -�A Itenp°C: Permittee Responsible for Obtaining Other Required Permits The' e re bl orb of e e is ro a s d e ents a d ri hts a e p si? ' �z e 3422 x qp t .r p, a ?:a Y,y ,,lap s-, gs, g w r ,..0 ".t •.. „r. C w..3. YY.<4.._t..t_,i..>., 2YS'f'f.:'L47rr a.us+v:.3,�..:...,�n w" m+i...: f a way that may be required to carry out the activities that are authorized by this permit. Item DNb'Right to Trespass or Interfer'e: th Riparian Rights n T s'p�eimit does not convey to the permittee anyNg4 to trespass upon the lands-06 interfere with thep riparan rights of others in order to perform the permitted`wvirkrnor:dae's^if authorize the impairment o anytghts,title,or interest in real or personal property held or vested in a person not a party to the perrr{t. k s+;PoMx:.^Sa3x ' SF T?4 icA�4+fl Fkr%�.e<^!•.e9::AYt .. %f"�•., Page 6 of 6 G� ' F1tC1UTYlPROCRAM NUbteFR(sl PERMIT %PN AR noivL)Aifisl Under the Environsnental.Conservation Lai% C b.0 7 3 I fsf�lJf�`�'�"6 December 3), 1992 ' Article i s Tlttf: 3 BtV 0 YCRR 327, 6NYCRRC Article 25: 328. 329.,•Aquatic Pestictdes Nater Ouality•Certillcatidn N Tidal Wetlands Article 15, •Title 5: Article 1.7, Titles 7, 8: Article 27, 1'ille 7: 6NYCRR 36o- 1 N 1 Protection of Water E ,.rJ SPDES Solid Waste Management' Article i5. Title 15'.. Article 19: �Water 9p Article 27,-Title 9: 6NYCRR 373: a jSply Air Pollution .Controls Hazardous Waste Management 'i Adlcie.t5, Title 15: Article 23, Title 27: Article 34: Water.Transport Milled land Reclamation Coastal Erosion Management Article 15, Title 15: Article 24: Article 36: Long Island Wells Freshwater Wetlands Floodplain Management Article 15, Title 27_ N—New, A—Renewal, M--Modification, Articles 1, S. 17, 19, 27, 37; Wild, Scenic and Recreational C—Construct ("only), 0—Operate ("only) 6NYCRR 380: Radiation Control Rivers PERMIT ISSUED?p ' .• ADDRESS Of PERMITTEE s.9as, N Y 11935 AGENT FOR PBRMITTEEiCOr4TACT kRSON a TELEPHONE NUMBER CmAta-Wo mmeI Dol NAME ANO ADDRESS OP PRO)ECTIFACIt.ITV(If different from Permittee) LOCATION Of PRO)ECYi11ACILiTY COUNTY 1\ T,0WN1&*W4YFLAGi;,— UTM COORDI14ATIS DEkRiPTiON Of AUTHORiZeO CTIVITY Cons ruct wi thip 1811 of exi 5tin functiorial bulkhead / linear feet of bulkhead and place. 5,0 . cu. ds. ' of backfill. � 6.1 k �o �ari e it b C�S+e I, ne. ai+NERAL CONDITIONS By AcceptasnCe of this permit,the patnsittee agreed trim the permit 1s contingent upon strict compil- ante with the ECL,all applicable regulations and the etindltlons specified herein of attached hereto. : 1. The;permitteeshall fit*in the office of the appropriate regional permit administrator,or othet office destsnated in the eaecial conditions,a notice of iritentionto camnrence work at Itaast 40}spurs to advance of tiv:N►pe of sommancerrient and shill slso notify hfm►her promptly in writing of the completion of the work x. 'the permNted work shell btr Wbieat to inspection by an authorized reoresentative of the Department of$nvitoamontaf Conservation which may order the work s.,rpcnded i1 the public Interest sat r"uhes pursuant to ECL 171413(r end SAPA 1401(3), 3 The permitteabat accipted expressly,by the exo ttion of the application,the full I"' I responsibility far ell damages tinsel or Indirect.of whetevtir nature,and by�4romevor suffered,aftsing out of the ptoiect described herein and has agreed to Indemnthr•and'save harmless the State ftom suits,actions,damages and costs of every name sift destlip lion tesultiolt from list said project. . ....�.,. �., 4 The Department reaarves.the tight to modify,suspend or revoke this permil at any,timV after due notice,.and,,iF requosted,•hold a hearing when' a)the scop6 at-the project Is exceeded or a violwtton of any condition of the permit or provisions of the ECt.and pertinent-roguiations are found;9f b)the 06mitt was.obtahred bYtmi:representation or faihrte to disclose►elevent facts;or „, �• ` cl rm++iy dtleeviluid information or Agnifieam physical changes are discovered since the permit was;Issued. „_ _ " ' S"": •• ,s,•the permittee N responsible for keepimf the permit polve by submitthis a renewal application,IncluB(ng yq fgrms,tees nr supplemental infnmtaticn whlelt may iie!equf!ea by the 04pistiotint,no 1atOr chain 30 days(160 days fat SPD15 or Solid or ltazardaous Waste Masnige'Meni peimti`si pitcr to'the expirdtioH"datc.�„' ,.. .: 6; This permit shall not be construed as conveying to she applicant any right to trespass upon the lands or interfere with(fit 00ifl in Tights of others-in order to pedornl the permittkd work dr sis authorizing the Impairment of any rights,title or Interest In real'or possonat property-held x vetted in a poison rigs a,pirtl!tq,ehe permltta,, 7 The perniittos ls'/epondwe for obtaining any other,permits.apptovefs,lands,easements and tightsof-way which may be requires!for this prolcct. , • a issuance of this permit by the Deportment does not,un(gir,expressly provided far.modify,supersede or rescind an order on wnsent or determination by the Commissioner Isstred heretofore by the Department or anv of the terms.Conditions,or requirements contained in.such order or determination. - 9 Any modification of this permit granted by the Department must be in writing and attached hereto. toay. bfip�li7r -POWIT ISSLIANCe DATE "RMIT ADMINISTRATOR ADDRESS step!an 1G•8140. 40 S t1 Et y Xiobert A. O eene -Stonvv Brook. AUTHORIZED SIGNATURE 3 Page 1 of — /.;atlon iat!N UAnvTatrrr,it Bred ed rnehe... 'oferutlon nr the svorkhdpPrn cerm,tt`'ll.[sit a;ireascnabfe obseructrCn to th, nav�gatton of lard• shall be removed evenly. tr�eaving large r6dufe urtes,nr}gefJcnar: sQC flows or endangO the heal fgty or welfate,of the bed of a%voiefway c dpfarn or deep holes that may h,t.r.1 r&Ie of the State, or cause loss Or d.estrucrrnn or the natural tendency to cause.dampge to na.tgable channels 9r to cis'nanki attces of the State,the owner may be Ordered by the Department to a waterwayve or alter the structural work,Obstructions,or hazards caused bv}++!!trout expense to the Sta=e. +nd if,upon the a eptratton or . 13 Thereshall be nounreasonable interference%nh na%igationby the%o►k herein authorized• ¢vp of this permie. the structure, ills, a+cavetlon, or other 16 if upon the expiration or revocation of this permit.the p►ofect herrbv moification of rho%atereourse,hereby authorited shall nor he com. authorized has not been completed,the apptreant thatl..vithoiit es ns< plated,the awriers.shalt:without expense to the State, and t0 such Pr ek(ent and in such time and rrfanner'as the Department of Environmental to tho State.and.to such extent and in such tlrtre and manner as the • Department of Environmental Conservatinn may repurre,remove all or tonserv,7tloA may require,remove all or any portion of the uncompleted anv portion of the uncompleted structure of fill and restore the sae structure or fill and restore.to it; former condition the navigable to its former condition,No claim shaft be made against the State of and flood csj achy of the watercourse.No claim shall be made against New York on account of any such removal or alteration the State of New York on account of any such removal or alteration. 17 If granted.under At field 36, this permit does not signify in any wsY ar 11 That the State of New Yorlt shall in no case be liable for amy damage that the piolect will be free from flooding, or Injury to thestfdcture or work herein authorized which may be caused " t8 ff granted under 6 NYCRR Part 608,the NYS Department of 8nviron- bv.or result from future operations undertaken by the State for the mental Conservation hereby certifies that the subject project will not conservi'Won or Improvement of navigation.Or jot other purposes,And contravene effluent limitations or other limitations of standards under no claim or right to coinperfsatioA shaltacerue from any such damage, Sections 301, 302,303.306 and'307 of the Clean water Act of 1977 1a. ctanting of thls•ptrmit does riot relieve the applicant of the responsi• (Pl.99-217)provided that all of.the gonditions listed herein are met bility of obtaining any other pefrntssion. conslint or approval from 14 All activities authorized by this permit must be in strict conformance the U.S.ArMy Cotes of Engineers,U.S.Coast etiard,Now York State with the approved plans submitted by the applicant or his agent as part Office of 06ner81 Stdivices airlocal government which may be required. of the permit application, 13 All necessary precautions shall be taken to preclude contaminiltion Such approved plans were prepared by of any wetland or waterway by suspended solids, sediments, fuels, solvents.lubricants,epoxy.coatings.paints,CoArete,leachate or any , _ _ On SPECIAL CONDITIONS -1. A copy of.-this permit with -supplementary conditions and approved plans must be available at the project site whenever authorized work is in progress. 2. The permit sign enclosed with the permit or a copy of letter of approval must be protected from the weather. and .posted in a conspicuous location at the work site until completion of authortzed work. S. At least 48 hours prior to commencement. of the project, the permittee must complete and . return the top portion of the enclosed receipt form • certi fyi ng that he i s ful ly aware of and. understands al 1 -provi Si ons .-.and . conditions of , this permit. Within' one. ,week ' of campl etion - of the • permitted- work, the bottom portion of that fivrm mUat,•a1so *be completed and returned, • 4. -If the. permittee intends to undertake any project design modifications after. permit issuance, the permittee must submit the appropriate plan - changes for, approval by the 'Regional --Permit Administrator prior' to undertaking any 'such '. modifications. --The "permittee - is advised that= subetantiel modification may require."subiliission .of A.new applicatfion for, -, _.. . :permit. .. ,' •' '. 5.''' '8utkhead must be constructed within 10 ' of the ' existing ; structdre . ..measured, from the face of old sheathing to the facia of:.new sheathing.; •- s Constructi Qn of. bul khead jpil�r4turif WhI l A mUst,'be , completed�pr3 or p l acement.'of any fill'material' bah nd siicti'sirtactu'rsts 7.. .Use ' of� timbers (wood) treated "with �pentach]orophenol - prohibited. . F ' 01C PERMIT NUMBER PROCRAmPACii1TY NUMBER +r\'.,.•°_^".'. .,•I':'?`,n}'•`j 1V,li:1•p.gN•...r..t...r.••y R;` ,. t.�',r.,. 1• —rV.,. � .,,.,r,r .., ..yw.,y,. »,•�r1`. t•l ` Y•, "'_. ra••1•. .i r .. :• /•. •v.n vrrirr vc ri"i I"'i" ,c i.VAnWr1MC191 At.LIJN3CKVA11Vn. s WkIAL CON131TIONS • For Artict" 1. At 25 (.Protection -of Rater„JJsator Quality Cett,,,a . & 7�aZ Wetlands 8. All fill must be obtai.ned 'from an approved source and consist p,f clean gravel, j sand, and soil. Use o£. asphalt, slag, £lyash, broken Contrete or demolition debris is prohibited. 9.. Contamination of"tidal wetlands and• the waters of New York State by suspended solids sediments fuels solvents, 'lubricants a oxy coatings,,' , , ,. ppaints, concrete, leaahate or. any.ather environmentally deleterious material's associated with the ' project ie prohibited. 10. Any debris or excess material £rots construction of this project must be immediately and completely removed from, the project area at�d disposed of at an approved upland -site.. Disposal of debris in tidal wetlands is prohibited. 11; Any bulkhead constructed directly adjacent to vegetated- tidal wetlands is to be jetted in with minimal, disturbance to•the tidal wetland. Trenching is strictly i prohibited. '! 12. This. permit autgiorizes the use of filter fabric behind the bulkhead sheatbins to i� retain backfill . Scour protection consisting of a 6 to 12 inch layer of 10 to 20 pound stones covering the• backfil.l is also authorized, 'provided that the scour protection is underlain by filter fabric. 13. No mi.nino, excavation or grading of beaches. or, other areas seaward of the bulkhead is authorized. In-particular, backfill material may not be obtained from these • areas. '. • • • • •' • •••• • • , , , • 1. •' ' •. CSC KRAA1T NUMBER FACIF,ITY Ib HUMPO PROGRAM HUMBtR Pane CC03 \ �� lY• � - � � ��� .sir.. i .. WSW 04 Ciao 4. tz �t�1�WQti 4T f Mrs _ � v ti•*a • U urc3 PLO Svc . �. . ETOW.N OF, � �.Ep Cg 5ACK F CL u:• :' :t:M::bc:'s &kow-r tee+ - " ;• cl-F�:V Fll.L. �I r 2CX �r� per.. - 7 QJ sroenoorL xy ll84 - •- -rn . AMA •'`C�. 3 AC D /Y.L' .�/��1?/rat'!'. �'✓.%' /.•�i.•Mf.c•'r,Tie�7 Wt�Fi -1115 0(- BI STI NC . 15ut KMTA b top( " f „d Ap ay.jds �. ...a:......_ .. -;ram n�iL�eCr 14 - ~ /y, ^Nip e4�% -W-7)VAS! ter. r .v r,••,r:j;'ir ,,,� ROPF111E F F *fir-/ice 6c%s. .�c!h::�- c v rc H 6.6 v ��, i1cz x'f �� �� ' �'.�'�N�•A.C.C"�• arc .•rf.3-�irsart .,/�::. r;.�i,,�t c•.;�:�� • or �XIST'IIVG Bu�KHr� ll ,.. �f"S�%i�'� '. /CSC• ,j+,` 7.hY r .f� •��f''t f ` „� e. r t• V +,iq,Ylt�+ �.' Fi'/lit�It 4�/I-ri�..��•t'y7^� 'T G '10 SA17 r �.. ,%r,�• !' t�e'f.�E'7' �.�."!�!s'!/J`Y`'�•!•'7�t/ / 'r ys=sa 10, Cu.ids• t7. r At. k mot: Fc�- �rtSt' '�Ld "fire .�tCf • r � v ...��,�:.•:,�yii1•� rk61zr-Arc r' T. I FCC'Y g ,'i i�'1t XC cu;cHOSU NASsAu nvr HAPROf7 .< s y�' 'fi�' POINT �. ..••..,TES••• 1 nn r�la�.j' � /, . e -fit c 7.•t •?�i:v��•�tl, ' ;+a `•4. ' Nassaa 1'oe►If, • a r .. 0 N I �7 , r , Oil If it Au .r• ;y�, ,�s �'yL'" • •' � ill At ,�' .�,•���� 7 '�'t-•, � �., :�,i 'ir.t•+ IVh {Gb4rr� �, �af�' I1!\ �. L v A •� !• � .x3' 'i , ti h y,s5:�I �� ` Vie. I( - c '. Ott ?1? }�• � 'r •q7�.1 ,<•Y R�QSs'A t� : '•/ lYeatr,'.' Ioo jam..• ��a�a Ir ��' • r' 1 ,` �c o w • rr P, IA / rllI41II 11t .44)1W, coo., .r alp/ ,.,.its"I^ f l � 19.76 ah, ��7a�� �• + NORTH SFAN. I1rJ t1KFP/ Ifl.O ! .)?>�+'.��;x sfr:"r,,.'iC•":"sSE;k?` ':4t-7 '!:'--• .r.vru• vl i.u• v t i7,Qil ' dk�'NetN'Yark�1 7 (5i6.) 751-.7900 A''14DMENT TO Thomo�'C.Jorliq Comri�isslanar SePiz�.. .� RE: Permit .N6. & Location: Dear 4:'�v-.p t ~^ Yodr recent .request ,to extend the .above pex tit .has been reviewed pursuant. to '6NYCRR, Part 621. The expiration date is extended t0 Xour 'recent request to'modify. the abo�re permitIiaa been ievit;+wdd pursuant to 6NY•CRR, Part 621.. It -has been d.eterm3 ned that the proposed modificat Ions will not. substatit•ially change the scope of the permitted . actions or the "existing permit conditions. . Therefore, tthe permit is amended- to authorize: Ct4 � . `�''?u�' S-�Prt�C. s�. Sr 'SG l�ol.' r+��C� 'e �1o2r►. ► p G cC.CC c,i• Acc�, Rrat•.cx ►..:49, 'i 44lqz- P5 j r+►.d?a Grstlro W?►Au�.:�t ,t. Ae'WA5 @sC�SiCi��S't+�ia�rarwP �-eiLe'v% lo-6iaa�.3.G4aa..tF N��c PF.�utf.s►in1� b6 ' 2Q�.os;d •Pt�(1/A �. $1}.p, 14N�'R@Vlodde� -�. 14•A1 t(•�p�fCu��v(�t/br4� 'S'i'fe. I � qii •RC�l�.irt3 }o •�^+psl-c�.s :S:�Rv��'•uot�. 9.ttult+ �ir� CaaFt.,aer3 Lo 2"eepZaeernp�s#•e� zte�/aus ,J•nu�1..�:� . . ' !e�@vwRal;i ti.'lS.�..IVG +,`.h4.r�.e.. � 6t,.�.5ar�„ e��►wMr+9■n.., oR. rwalerr..y�a. 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 youks, Deputy Regional Permit Administrator 'cc: 14—♦ •t v;,;; -•• »x aD Cyr C �- TZ ma Co NIAP re CC CA L Alt .7 \09TW $ G ,",. S MIDDLE �5_ +c�airt� rGw, �p �t«�c�tb ,;- - PLl4T -ORiA 3 7Z� `i47 i M .. ��'•`'•S- T��i~;'itl"�[w�a I��~ �.:"�M�SY.iC; .T+Cti7T;' v:� '= • Qom^1� � ,►ice�iiba .� •�• r �. - -- . V ats..at; Fcric�;" •'��_ fQ �d•:4�c�rb� �- � • srtEEr i 1 1 i/ 7fi d'B' -V.4CWA-,V dAmp riCt�yr r� X H VA ii xVYSDEG - ' APPRON'ED AS i'S'R TBRMS Q AND CONDITIONS OF, Uft� PERMIT No.: nl 7lw410 t?A E —I[dLI L.,.4.04— klo cdsr�rl�r.� �ak'ir/�' ['e��•�.4c�.f�S �Qa,� ���� � !�l' err-�!�.�►r,�a�y' - - FI,aRMCIE Bl � AT 'tdW N OF Sn.,Ys It o L A S5tAltE< a NEW ��oit� 1 9S?iQ•6(1t;•+Jlq�'45 �F1s',YC :►TE QRPART-'AgNT,OP @NVIRONME.vrAL CON}tRvA, - - QE?PEkMIT-(G�iNER { SfPECTIVE DATE t-q-y3g.-oo3a. 00 ;o vac v a fAGILtTYYROGRAni NUMBERrsI PERMITE�(xPfRAT10K ATH Under the Environmental cip"4 Vatlad JAW(ECL) .1QvvVA ! oZ`hj t 194- y . Type OP PERMIT(Cheek Alt Applieaele l;'= r,++�, �aw ❑R"'.&I Omwikoatwn I. 4IP mR to CaMuvct ❑P mt to O to aArticle 16, Tkte.5: Article 17, Tities 7. 8: Article 27,Tine 9: ONYCRR $73: Protectiort at'Water . SPDBS I,_.,.� Hazardous Waste Management Ardctt3 15. Title 15: Article 10: Article 34: Water Supply i I Air P6iludon Control 'Coastal F.rostcn Management (�"� "cis 15. Title 15: Article 23. Title 27: Arftle:38: L...�.I Water Transport � Mined Land Reclamation t 1 Floodplain Management AMOS 15,,Title IS: Artier 24: Articles 1, 3. 17, 19, 27, 37: I.cng Island Wells 1_,.,:—,,J Freshwater Wetlands _ .BNYCRR 380., Radiation Control Ardele 16, Tine 27: Article 25: Other- ;_..,) Wild, Scenic and Recreational Tidal Wetlands Musts ArO.We 21, Title 7: 6NYCRR 360: DtiNYCRA 608: solid Waatei Management Water quality Certification PERMIT 155UED TO TELEPHONE NIJMBLR AOORESS OP PERMITTEE Sow use iA;r.--. CA- Y 1530 CdNTACr PERSON MR.PE TTE WORK r4LIPHON11 NUMBER NAME AND ADDRESS Op PROJECUFACrLITY LOCATION 0%PROIEGTIFACtLITY COUNTY TOWNIE WA1E COURSErWETLANQKO NYTMCQORDINATES 1+4 DESCRIPTION OF AUTHORIZED ACTIVITY O r n �. o - 6 eacd e 10 - <. an n o Ate,ne. coaaAza aa e:wt e W,C I-m--U--YJ ey acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance wM the 904 all applicable regulations,the General Conditions specified(See Reverse Side)and any Special Conditions included as part of this permit. P OAIT ADMINISTRATOR ADDRESS AUTHORIZED SIONATt1R@ DATE /9 Paget of _ ", . Ap 9WERAL CONDI.TiQH$:;.F09 ARTICLE, '15.: 24 25 d [YIt le.9J,. , ,3 ,36 And 6 NYCRR Part 600 l ) . .9: ThaF if future bperatfons by the.State of New York require an al• other, unvironmentaliy 'deleterious materials associated with the . ,. .. tetation:in:the gositlon'of.the 5tfucture or woik harem authorized,of proiect.. if,.in the dpfntorf;b.iili>i Departmene of.Lnvlronmentrtf Conservation 13: Any material dredged in the prosecWtion of the work herein permitted ltsHail Cerise unreasonable obot urtloe.to'tfi@ free navigatlon.of salt! shall be removed evenly,without leaving large refuse piles,ridges across v 2At6rs or flood flows or endanger the health,'safety or welfare of the bed of a waterway or floodplain or deep holes that may have a the people of.the State;or Cause loss or.deseructioA.of Lhe natural tendency to cause damage to navigable channels,or to the banks of -resources of the:State,tfie owner may be ordered by the Department to a waterway. remove or after the structural work;obstructions or hazards caused 14. There shall be no unreasonable Interference with navigation by the work thereby without expense to the State,and if,upon the expiration or herein'8ulhorized. revocation of this perinit, the structure, fill, excavatlon, or other 75. If:upon the.expiration or revocation of this permit,the project hereby mod(ficptionofthewatercoursehereby,authorizedsh eotbecoW authorizedhas.not been com' pieted,the applicantshall,wlfhoutexpense Dieted,the.owners,shall,without expense to the State,and to such to the.State,and to such extent and in such,time,and manner as the extent and fn'such time and Mariner as the Departmept of Environmental Department of EnKirppmetttai Conservation may require,remove allot Coatservatlon rttay require,remove all or any.poitjon of the uncompleted any portion of the uncompleted structure Or fill and restore'the site structure or fill and restore,to its former -condition the nayigable to Its former condition,N.o claim shall be made against the State of and flood capacity of the watercourse.No claim shall be rgade against New York on account of any such removal of atteratlon. the State of New York on account of any.sirch Yernoyal or attefetion. 16. If granted:under Article.36,thls permit does not-signify in any way •10. That the State.of New York shall In no case be jiable•for any damage ' that the project will be free from flooding. orinJuryto the Alru6tureor work herein>luthorizedwhichmay.hecaused 17. If granted Under 6 NYCRR:Pa4WS,the NYS Deparlment.of Lnviron- by or result from future operations.unde'rtalcen by the-State for the mental Conservation hereby certifies that the subject project will not conservation or Improvement of navigation,or for other purposes,slid contravene effluent limitations or other limitations or standards under no claim or right to compensation shall acanie from grry.such damage. Sections$01,301,303,306 and 307 of the Clean Water Act of 1877 11. Granting of this permit does not relieve the applicant of tha>responsi. (FL 99-7t7j provided titan all o4 the conditions listed herein are met billty.of obtaining,any other permission;consent or approval from 18. All activities authorized by this permit must be in strict conformance the U.S.Army.Corps of EnglhOrs,U.S.Coast Cuard,New York Rita with the.approved plans submitted.by the applicant or his agent as part. Office of General Servlces.or local government which may be required. of the permit application. 12. All necessary precautions shell be taken to preclude 0rita inination Such approved.plans were at any wetland or waterway by suspended solids, sediments,fuels, 9 solvents,'16hricants,epoxy coatings,paints,"concre£e,leachete or anY u on SPECIAL CONDITIONS w 4 C1111\1 o-F AN\e o awit\ s fJ►ec i e s ot�. I a'� . c e✓t�r�s : ' base '"' �Meficart ��oa,�,A CgsS . a. .�tCova�►oan o bA\ soi;ks � et�ave� or s`�'on�s ► s na DEC PERMIT NUMBER 7 2—Ob ct- �006 O. C PROCRAMIRACILiTY NUMBER SUPPLEMENTARY SPECIAL CONDITIONS The following conditions apply to all permits: A. If any of the ppomit- conditions are unclear,the permittee .shall. con- fact the Divis3�on of Regulatory. Affairs at the address and *telephon.e noted below. B. A copy of this. permit with supplementary conditions and approved . plans shall be available at the project -site whenever authorized work is in progress. C: The permit sign enclosed with the .permit or a copy of letter of approval. shall be- protected from the weather. and posted.in a con- .8 location at the work site until completion af. authorized work. D. At least 48 hour, prior 'to commencement of the project, the permittee shall complete and return the top portion of the enclosed receipt form certifying that he is fully aware of and understands -all provisions and conditions, of this permit. . within one week 'of -completion of- the . permitted work, the bottom portion of that form shall also 'be com- pleted and returned. E. For projects involving activities, to be accomplished over a period of more than one year, the permittee shall notify the Regional Permit Administrator in writing at least 40 hours. prior to the commencement of tesumpt ion of work each year. F, if project design modifications take place after permit issoance, the permittee shall submit the appropriate plan changes for approval- by the Regional Permit Administrator prior to undertaking any such modi- fications. The permittee is advised that substantial. modification may require submission of a. new application for permit. G. All necessary precautions shall be taken to. preclude contamination -of any wet.l.ands. or waterway by suspended solids, sediment,. 'fuels, solvents, lubricanta, epoxy coatings, -paints, - concrete, le'achate or any other environmentally deleterious materials associated with' the project work. H. ' . Any failure to comply precisely with all of the terms and conditions of this permit, unless authorized in writing, shall be treated as a violation of the Environmental Conservation 'La*. is The permittee is advised to obtain any permits or approvals that may be required from the U.S. department of Army Corps of Cngineers,. NY District, 26 Federal Plaza, New Yorks NY 10278, (At.tenLlone Regulatory Functions hranch) , prior to commencemen.V of "work authorized herein. J. The granting of this permit. does not relieve the permittee .of the responsibility of obtaining a grant, easement, or other necessary approval from the Division of Land Utilization, Mice of General Services, Tower Hui.lding, Empire State Plaza, Albany, NY 12242, which may be required for any encroachment upon share-owned landed underwater. Regional. Permit Administrator a) NA.5 S A U P O - N•ygn11 , Ar,pR<)VF;n A;; ��rrt rs;�r;•tcJ . DATV ' EXTEN b F-V 6TI m o SVL kit IrA b RFTVIL14 . 14' /AND P F V14 rOkC:t W►T11 lmoo 1-3 nsP ROCIL.. WYMLL e66 JDS 1 S tdRy f R . AIR I G A W House S"gtQS NASSAV VbIWT hDA c,utel�GUE, N�I IIq�S 5yPFoL K Couw 4► /000-11!_13-,� ,� ,e,X?k^ Y— ,. L41* TOP 0 g VpF� p COSULLb • MARINE CCNTi?hc'T106 t 4et;L 156A AIM • 6e��u��T, Ny Ilp�l� «rs row 4 I PROQ�SPD ly ffYtENSroA+ RBPtnC Ro ut BA¢nML otJ R�TvaN�Rettu�A,cerr � Y WITH(;k) Arc Krsfl G ,gvtkli�r�A�, Fil.i. EY15T►ta6 fS - � . RF7VRW �tl 5.0� l.f.'CT6I; P�CorJrQ 8A� • b��l�M��R ��� I�qZ . . :. Dew6en tr CAM �l�r o scA L K- OV E'n mi �s•T'�C,�b �}�R� N i�. Gel i� . ' 5' �S WrS-56v POINT R0" ��" N 1 trill C-TrQ106 v E�f N �s�6� 4774011 New York site#e u Department of Environmental Conservation ........... ..... ... ... ... ... low N. OT The 'Department of Environmental Conservation (DEC). has issued- permit(s)- , pursuant to the Environmental '',Conservation Law s for work being conducted at .this site. Por further - information regarding the , nature and extent of" work approved.. and any . Departmental conditions •on it, contact the Re*tonal Permit , Administrator listed. below. Rlease refer to the permitnumber shown when contacting the DEC. Regional Per It.Administrator Permit. Number 1_4-738-oota-3��cooa—o c� Exp ration Date TAAS20. ���I,c'`� Y - NOTE: This notice is NOT a permit �1 M' ff44 I yy .. • M Mir s Board Of Southold Town Trustees SOUTHOLD, NEW YORK ,. n PERMIT NO. ...:0.1:' ..l1-.'1,.6: DATE: „ ...... .......-..... ISSUED TO ..... .1..Osr .\tr....•...F..r..IK ...... ........::.:................................... ;+ Aut4ariza t t jolt Pursuant to the provisions of Chapter 616 of the Laws of , the State of New York, 1 893; and Chapter 444 of fhe Laws of fhe State of New York 1952; and the Southold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS ?_ -IN AND -ON TOWN WATERS AND PUBLIC LANDS and.the " c. REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS. UNDER TOWN WATERS;" and 'in accordance with. fhe Resolution-of The Board adopted at a meeting held on .1-..11 :`11...... 19...:....., and in consideration of the sum of $..::. K �paid by i ,1•, Yl�`+ ::.• .. ....:..:..•.....::...::.....................::...........••....:•:......•....:::.•................................ i. of ................ N. Y. and subject to the Terms and on 'the reverse side hereof, of Southold Town Trustees authorizes and permits the following: all in accordance with the detailed specifications as presented in t the originating application. IN WITNESS WHEREOF, The said Board of Trustees here. . by-causes its Corporate Seal to be affixed, and,these presents to be subscribed by a majority of the said Board as of this date................ J:�► .�1J. ..i: .. ......... ............: ... 4 i� tij► ;�� ............................... ............................................ '. �7'st�st��s �D �� BOARD OF.SOITTHOLD-TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO.7652 DATE: SEPTEMBER 21,2011 ISSUED TO: ELLEN F.EMERY PROPERTY ADDRESS: 5925 NASSAU POINT ROAD.CUTCHOGUE SCTM# 111-13-6 AUTHORIZATION Pursuant to the ptovisions'of Chapter 275 of the Town.Code'of the Town of Southold and in accordance with the lesolution of the Board of Trustees adopted at the meeting held on Spptember 2 f.2011, and inconsideration of"application fee in the sum of$ 0� 0.00 paid by. 11en F.EmerY and subject to'the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: i Wetland Permit to repair-and'replace existing stairs and platform in the same location;trim and remove dead and overgrown vines and non-native vegetation on bluff; build terracing and install erosion control mats at top of the bluff; replant.bluff with native.plant material; replace the existing fence along'the top of the bluff;andfor . the existing flagpole;'with the conditions-that the platform is reduced to.32 square-feet; the use of non-treated..lumber on the.:deckirig;'the fence'is moved back-to the flagpole; the area between the fence and the top of bluff is to remain un-mowed aitd left in its � natural condition; and as depicted on the site.plan prepared by Ned Harroun,received on December 29;2011; and stamped approved on January 11,1012. IN WITNESS WHEREOF,'the said Board of Trustees hereby causes its Corporate Seal to be affixed, and'these presents to be subscribed by a majority:of the said Board as of this date. of rot. : ,i 1 M ohe y Dave Ber en — Recused .. . a. BOARD OYSOUTHOLD.TOWN TRUSTEES SOUTHOI.D,ivEw'Yoltx PERMIT NO.7706 DATE: JANUARY 18,2012 .. ISSUED TO: EUEN F.EMERY PROPERTY ADDRESS: 5925 NASSAU POINT.ROADXUTCHOGUE SCTM#111.13=6 ' AUTHORIZATION ' Pursuant to the provisions of Chapter 275 of the.Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on January 18,2012,And in consideration of application,fee in the sum of$2 0.00 paid by E1166 F,Emery and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to construct a 32 square foot observation platform in conjunction with the existing stairway system; and as depicted on the site plan prepared by Ned Harroun,last dated January 12,2012,and stamped,approved on January 18,2012. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. ajiri Dave Bergen -- Abstained � i � ,K •�F'T,.� � � _\V� I�Y✓'�Y,<r;� •> `� �✓T'�~s' �. ,' � r:.,i fl y`. F ,r ,1r ...V'rl tt: •S : .. ,•),'' tY' .ii:.:r„ ... ...•r1 .. ,F,..,ar r.r YRr..t Y i lr.c .// � T. BOARDOF a e t .TOWN TRUSTEES SOUTHOLD,NEWYORKv s L � r ISSUED 1 PROPERTY . 11 ADDRESS: ' POINT 1 1 CUTCHOGUE. rr 1 AUTHORIZATION LC � ' • • • • Chapter • • Code Of • of • • 1 1 • 1 suant • / 2013 and 1 J — held on a t " in consideration ofapplication1- sumof$250.00 paid 1Lark . Foltsor • -• o Town Board and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of 07�� "A 7 't ` Wetland Permit to replace 100' of failed bulkhead with two . returns; replacer=ems = ts - of failed and replace beach access stairs,all destroyed 1 Hurricane Sandy;withn that a spring1 1 1 1 1 t ` 1 1 1 1 I 1 1 1 1 1 1 1 1 •1 •1 1 1 1 „��r's'y �• x ' Seacoast Construction, last dated on Februaryand stamped approved on February IN WITNESS�WHEREOF,the said Board of Trustees hereby causes its Corporate Sea]to be affixed, ubs the said Board as of this date. and these presents to be s cribed by a majority of �> cope . x , AN / NO,yw...,�X. ;I C;ontnrmation Receipt re:ELLEN F.EMERY -5925 Nassau Point Rd _ Page 1 of 2 From: SandyR1 <SandyR1@gw.dec.state.ny.us> 1 ; _ To: larkandfolts<larkandfolts@aol.com> I Subject:'Confirmation Receipt re: ELLEN F. EMERY,5926 Nassau Point Rd Date: Wed,Jan 30,201311:46 am Attachments: General—Permit GP-0-12-006.secure.pdf(71 K) i Subiect: General Permit GP-0-12-006 Hurricane Sandy General Permit This cohfirms our receipt of your Notice of Intent for GP-0-12-006 which is the General Permit authorizing recovery and repair work associated with storm damage from Hurricane Sandy. A copy of the General Permit is attached and it is also available on DEC's webpage, littp://www.dec.ny.gov/public/76659.litml. Please ensure that those doing the actual work understand and comply, with all terms and conditions of the General Permit.Any failure to conform with the scope of activities and conditions of this permit shall be treated as a violation of the Environmental Conservation Law If you have questions or encounter unforeseen problems during the course of the work,contact the Regional Permit Administrator for your county: For Nassau and Suffolk Counties: NYS DEC REGION 1 Regional Permit Administrator SUNY @ Stony Brook 50 Circle Road Stony Brook,NY 11790-3409 (631)444-0365 fax:(631)444-0360 email: rldep2� wg dec.state.ny.us Or Contact: NYS DEC Division of Environmental Permits 625 Broadway Albany,NY 12233-1750 (518)402-9167 fax: (518)402-9168 email: deV=n1@gw.dec.state.ny.us >>>Sarah Evans 1/30/2013 9:50 AM >>> Came to me,directly because I spole to heron the phone. Please process as usual. Thanks, Sarah >>> <Iarkandfoltsoaoi.com> 1/29/2013 2:07 PM >>> Dear Ms. Evans: Please see the attached letter and Notice of Intent for General Permit. If you have any questions, or need further information, please do not hesitate to call. Very truly yours, Mary D. Holland Secretary http://mai.1.aol.dom/373 09-111/aol-6/en-us/MaiUPrintMessaLe.asDx 1/30/201 n IVE 8 2013 Id Town Trustees t t 1 F � itit y.—� .. �� u,N..uu �.� —__— r.....� -- ..�� an,artnar,•,r�rao�o�. A y .o ,mc •-- �.------ - � P�iO�•F R1Y nuP m,xa ooax.~ ,+ . � � w'„1 Q Iwq r z•r zr � 1 ♦ 1 ♦ • _ M1' � � ♦, „M1 �„' � ^I ost�w 4' ,Q " M ----- ' m„tea � i -. � � 1 P' � �, + '� Iaap mum ��..+ + + .. 2 ,a'r_lq-i ^ -,•�_ 1 ♦♦ � ♦ 4 ,M `1 1p 21. ,o h1 �,� \\�'"♦ •y '• �i.}� ,"32 zr' P `,aua ID ♦ 9 f 12 4 x7 °1 �Q "� r w "M ...-a°' „ a • • n rs1 •fv o tWU r r 1 1{ w„ r r • ©^If I.rNq a M 'ate r 'iY4c1 ,f • �' y tWq"-'M '4 h ,•Q�a fa )��,. -'E % ^ '1 M1 f NU � s I' � � I� a s r" 'pia"' 1( a __„�w--------- If` r • • p _- '� "- '+ ♦ „,, Its a & �x•rra `„ • '$ \ a r ��.-," `� '� � r M •M1 f If, '111�4 ♦ r y �.fz'aw Iiro--o'" a •ti r'� ''� I:r'iiq "I,4u M � Mai 0 aM1 tW4 • M1 r �iA sd,u.rq M � riilo as a • (,� y` 1. ,v+q rvo*icE COUNTYOFSUFFOIK © x o anae aECTgry rvO Real Property Tax Service Agency v E...��,� -�--- � - �- --- ----- �—'�--�-- � r ..„u,cw„ww.w•...s.w.1 a ^' acorn N�••� , �, —��—� „„ ---- �r--w-- R '� PROf2fnY IMP 1 LARK&FOLTS Attorneys at Law 28785 MAIN ROAD FR — PO BOX 973 '� � Q �nCUTCHOGUE,NEW YORK 11935-------------------------------------Tele. No. (631) 734-6807UN 2 1 2013 Fax No. (631) 734-5651 E-mail: LarkandFolts@aol.com SoutholdTo%vn Board of Trustee RICHARU F. LARK MARY LOU FOLTS June 21, 2013 Elizabeth Cantrell, Clerk Southold Town Board of Town Trustees 54375 Main Road P.O. Box 1179 Southold, NY 11971 RE: Application of Ellen F. Emery, Trustee SCTM #1000-111 . 00-13 . 00-006. 000 Dear Ms . Cantrell : At the meeting on June 19, 2013, the above-captioned matter was approved. I am enclosing my Check No. 2302 .payable to Southold Town Trustees in the amount of $50 . 00 for the final inspection fee. Kindly send me -the permit at your earliest convenience. Very truly .yours, ichard F. Lark RFL:mdh Enclosure OFFICE LOCATION: q SUUl MAILING ADDRESS: Town Hall Annex �� lQ P.O.Box 1179 54375 State Route 25 Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY 11971 G Q Telephone: 631 765-1938 Fax: 631765-3136 �lyCOU LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM , E C E V E JUN 1 9 2013 To: Jim King, President Southold Town Town of Southold Board of Trustees Board 0f hstee From: Mark Terry, Principal Planner LWRP Coordinator Date: June 18, 2013 Re: LWRP Coastal Consistency Review for ELLEN F. EMERY 1999 REVOCABLE TRUST SCTM#1000-111-13-6 Lark & Folts, Esqs. on behalf of ELLEN F. EMERY 1999 REVOCABLE TRUST requests a Wetland Permit to construct a ±98' upper retaining wall with two (2) ±3' returns using vinyl sheathing; construct a ±98' mid-bluff wood retaining wall with two (2) ±3' returns; add approximately 600 cubic yards of clean'fill to re-establish the entire bluff area; construct a platform at top of bluff leading to 4' wide bluff stairs and a 10'x10' observation platform along the mid-bluff retaining wall; re-vegetate all disturbed bluff areas using native plantings. Located: 5925 Nassau Point Road, Cutchogue. SCTM# 111-13-6 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 actions are CONSISTENT with LWRP Policies and therefore, CONSISTENT with the LWRP provided that the Board consider the following conditions: 1. Require that the plans and erosion control methods be certified by a licensed Engineer. 2. Require that the species Russian olive be omitted from the re-planting plan. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Lori Hulse, Assistant Town Attorney 9 r,; _ James F.King,President ��0�so yo Town Hall Annex Bob Ghosio,Jr.,Vice-President 54375 Main Road 'Ile P.O.Box 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer Michael J. Domino �l �Q Telephone(631) 765-1892 Fax(631) 765-6641 Mum,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only stal Erosion.Permit Application etland Permit Application Administrative Permit _Amendment/Transf r/Ext nsion __�ceived Application: S 3 ceived Fee:$ ,J) _Completed Application 13 (ra I� p _Incomplete , luJ LS J r _SEQRA Classification: j Type I Type II Unlisted ' ;` ordination:(date sent) MAY 2 8 2013 WRP Consistency Asse sme t Form 3 I 10C C Referral Sent: -- Southold °,,n ate of Inspection: Boar of Gastees � _Receipt of CAC Report: - Lead Agency Determination: chnical Review: _Public Hearing Held: Resolution: Name of Applicant Ellen F. Emery (Trustee of the Ellen F. Emery 1999 Revocable Trust) Mailing Address 121 Somerset Avenue, Garden City, New York 11530 Phone Number:( ) (516) 746-4038 Suffolk County Tax Map Number: 1000- 111.00-13.00-006.000. Property Location: 5925 Nassau Point Road, Cutchogue, New York 11935 590' northerly of intersection of Wunneweta Road (provide LILCO Pole#, distance to cross streets, and location) AGENT: LARK & FOLTS, ESQS. (Richard F. Lark, Esq. and Mary Lou Folts, Esq.) (If applicable) Address: 28785 Main Road, P.O. Box 973, Cutchogue, New York 11935 Phone: (631) 734-6807 CUB �I13 1 �� i Boa, of Trustees Application S GENERAL DATA Land Area(in square feet): .83 acres' (35,900± sq. ft.) Area Zoning: R-40 (Residential Low Density) Previous use of property: One-family dwelling Intended use of property: One-family dwelling Covenants and Restrictions on property? Yes x No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes x No If"Yes",be advised this application will be reviewed by the Building'Dept.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes x No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes x No Does the structure(s)on property have a valid Certificate of Occupancy? N/A Yes No Prior permits/approvals for site improvements: Agency Date NYS DEC 1-4738-00432/00001-0 December 7, 1991 ITEM A NYS:'DEC Hurricane NYS DEC Amendment September 14, 1992 ITEM B Sandy General Permit - NYS DEC 1-4738-00432/00002-0 January 25, 1993 ITEM C January 30, 2013 - ITEM H Southold Town Trustees - 111-13-6 January 14, 1993 •- ITEM D Southold Town Trustees - 7652 September 21, 2011 ITEM E Southold Town Trustees- 7706 January 18, 2012 ITEM F Southold Town Trustees - 8049 February 20, 2013 ITEM G No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? x No Yes PROJECT DESCRIPTION C5ee a-(- 6Lr-hed) Due to the massive loss oT soil due to erosion as a result of Superstorm Sandy, the lower seventy (70%) percent of the bluff has completely eroded and the lower obi ervatMi deck andk tairs have been completely destroyed. In addition, the upper observation deck has been severely:compromised. To protect the bluff, two additional retainin walls will have to be installed in ordero prevent the top portion of the bluff from completely failing. ITEM I - Specifications and construction plans of Seacoast Construction, Inc. ITEM J - Photographs'::of:-.the::damaged bluff •and.structures. . ITEM K - Survey by John-C. Ehlers, dated May 14, 2013. �d,J�, a SEACOAST CONSTRUCTION, INC. P.O. Box 893 Sayville, NY 11782 www.seacoastdocks.com Christopher M. Gentry Phone (631) 472-7616 Supervisor Fax (631) 472-7618 May 23, 2013 Ms. Ellen F. Emery 5925 Nassau Point Road Cutchogue,NY 11935 (516) 746-4038 Dear Ms. Emery: Due to the severe erosion that the bluff on your property suffered after Superstorm Sandy, I was required to rethink the entire project. I am enclosing an outline of what is proposed in order to save your bluff in the future from further erosion. As you know, Seacoast has already constructed the bulkhead at the shoreline and is in the process of replacing the failed retaining wall. This work is being performed under the permits received from the DEC and from the Southold Town Trustees. The work to be done,which will require permits, is as follows: 1. Construct an"Upper Retaining Wall" across the width of the bluff, 98'±in length with a 3'±return on each end to the property line. This retaining wall will be located approximately 3'to 4' below the crest of the existing bluff on the northerly side, and on the southerly side a T to 4' distance from the existing retaining wall. Construction will consist of 10" by 20'poles placed 6' on center. The sheathing will be Shoreguard 425 Vinyl Series, 36" by 12'. Whalers will also be installed which will be 6 by 8' structural timber. Pile penetration will be 12'to 14't. 2. Construct a"Mid-Bluff Retaining Wall",which will be 98':L in length with 3'f returns on each end to the property line. This Mid-Bluff Retaining Wall will be located approximately 20'± seaward of the upper retaining wall. Construction will consist of piles 8" by 20', installed 6' on center. The sheathing will be 3'by 10' structural wood. Whalers will be 6 by 8' structural wood. The pile penetration will be 14'to 16'f. 3. After the erection of the two retaining walls, approximately 600 cubic yards of clean fill will be brought in landward via a conveyor belt on a Telebelt. The fill will be put in place landward of the bulkhead to the first retaining wall to obtain a level area between the bulkhead and the retaining wall; and then fill will be placed from the lower retaining wall to the mid-bluff retaining wall on an angle of approximately 60°. Fill will then be placed from the mid-bluff retaining wall to the upper retaining wall trying to maintain an angle not to exceed 60°. Finally, the clean fill will be tamped down. 4. After settlement of the fill has been achieved, stairs will be constructed starting from the bottom of the bluff. The stairs will be 4'wide and will consist of 3'by 12" stringers attached to 8" by 16'piles. The railings, supports and stair treads will be Timbertech. The depth of the piles along the stairway will be 10'±. 5. A 10'by 10' observation platform will then be constructed adjacent to the stairs on the northerly side at the Mid-Bluff Retaining Wall, which will support the majority of its weight. The platform will be recessed back onto the hill with 8" by 20'piles. The pile penetration will be 14'f. 6. Hardware: All fasteners to structural timbers and piles will be hot dipped galvanized. The fasteners for the decking and stair treads will be#10 x 2.5" stainless steel screws,which will be predrilled and countersunk. 7. Within six months of the completion of the above construction,there will be planted on the bluff area between the retaining walls the following: American Beach Grass, Rugosa Rose and Russian Olive. Attached hereto are construction plans for the above-mentioned work. Sincerely, Christoph entry ev, Boars f Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Rebuild the bluff, observation dark and stairs destroyed and compromised due to Superstorm 9akdy.. Area of wetlands on lot: -0- square feet Percent coverage of lot: -0- % Closest distance between nearest existing structure and upland edge of wetlands: N/A feet Closest distance between nearest proposed structure and upland edge of wetlands: N/A feet Does the project involve excavation or filling? No x Yes If yes,how much material will be excavated? -0- cubic yards How much material will be filled? 600 cubic yards Depth of which material will be_TgzWySAff deposited: 4 feet Proposed slope throughout the area of operations: 60° Manner in which material will be removed or deposited: Via Telebelt from the top of the bluff. 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): NONE Pit PROJECT ID NUMBER - 617.20 SEQR 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 Ellen F. Emery 2.PROJECT NAME Ellen F. Emery Residence - (Trustee ofTthe Ellen F. Emery 1999 Reconstruction of Bluff 3.13ROJECT LOCATION: Municipality Town of Southold County of Suffolk 4.PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks ,etc-Or Drovide map 5925 Nassau Point Road, Cutchogue, New York (SCTM #1000-111.00-13.00-006.000) 5•IS PROPOSED ACTION: �. New ❑Expansion ❑Modification/alteration 6.DESCRIBE PROJECT BRIEFLY: To rebuild the bluff, observation- deck and stairs that were destroyed and compromised due to Superstorm Sandy. 7.AMOUNT OF LAND AFFECTED: Initially .83 acres Ultimately - .83 acres 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.) ®Residential ❑Industrial El 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) ®Yes ❑No if yes, list'agency name and permit ! approval:' NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION 11.DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ®Yes ❑No If yes, list agency name and permit/ approval:. Southold Town Trustees Permit #8049; NYS DEC Hurricane Sandy General Permit GP-0-12-006. 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? ❑Yes ONO I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / S ,sor NameqUt F. EMERY (Trustee) Date: 5/93/13 Signature If the action is a Costal Area,and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment SEACOAST CONSTRUCTION, INC. P.O. Box 893 Sayville, NY 11782 www.seacoastdo-eks.com Christopher A Gentry Phone (631) 472-7616 Supervisor Fax (631) 472-7618 May 23, 2013 Ms. Ellen F. Emery 5925 Nassau Point Road Cutchogue,NY 11935 (516) 746-4038 Dear Ms.Emery: Due to the severe erosion that the bluff on your property suffered after Superstorm Sandy,I was required to rethink the entire project. I am enclosing an outline of what is proposed in order to save your bluff in the future from further erosion. As you know, Seacoast has already constructed the bulkhead at the shoreline and is in the process of replacing the failed retaining wall. This work is being performed under the permits received from the DEC and from the Southold Town Trustees. The work to be done,which will require permits, is as follows: 1. Construct an"Upper Retaining Wall" across the width of the bluff, 98'f in length with a T±return on each end to the property line. This retaining wall will be located approximately 3'to 4' below the crest of the existing bluff on the northerly side, and on the southerly side a 3'to 4'distance from the existing retaining wall. Construction will consist of 10" by 20'poles placed 6' on center. The sheathing will be Shoreguard 425 Vinyl Series, 36" by 12'. Whalers will also be installed which will be 6'by 8' structural timber. Pile penetration will be 12'to 14't. 2. Construct a"Mid-Bluff Retaining Wall",which will be 98'±in length with T f returns on each end to the property line. This Mid-Bluff Retaining Wall will be located approximately 20'f seaward of the upper retaining wall. Construction will consist of piles 8" by 20', installed 6' on center. The sheathing will be T by 10' structural wood. Whalers will be 6'by 8' structural wood. The pile penetration will be 14'to 16'-±. i 3. After the erection of the two retaining walls, approximately 600 cubic yards of clean fill will be brought in landward via a conveyor belt on a Telebelt. The fill will be put in place landward of the bulkhead to the first retaining wall to.obtain a level area between the bulkhead and the retaining wall; and then fill will be placed from the lower retaining wall to the mid-bluff retaining wall on an angle of approximately 60°. Fill will then be placed from the mid-bluff retaining wall to the upper retaining wall trying to maintain an angle not to exceed 60°. Finally, the clean fill will be tamped down. 4. After settlement of the fill has been achieved, stairs will be constructed starting from the bottom of the bluff. The stairs will be 4'wide and will consist of 3'by 12" stringers attached to 8" by 16'piles. The railings, supports and stair treads will be Timbertech. The depth of the piles along the stairway will be 10'±. 5. A 10'by 10' observation platform will then be constructed adjacent to the stairs on the northerly side at the Mid-Bluff Retaining Wall,which will support the majority of its weight. The platform will be recessed back onto the hill with 8"by 20'piles. The pile penetration will be 6. Hardware: All fasteners to structural timbers and piles will be hot dipped galvanized. The fasteners for the decking and stair treads will be#10 x 2.5" stainless steel screws,which will be predrilled and countersunk. 7. Within six months of the completion of the above construction,there will be planted on the bluff area between the retaining walls the following: American Beach Grass,Rugosa Rose and Russian Olive. Attached hereto are construction plans for the above-mentioned work. Sincerely, Christoph entry �� a4 PART it- IMPACT ASSESSMENT(To be com ieted by Lead A end . .A.DOES ACTION EXCEED ANY TYPE t THRESHOLD IN 6 NYCRR,PART 617:4? If yes,coordinate the review process and-use the FULL EAR Yes. 0 No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? if No,a negative dedaration may be superseded by another involved agency. ❑ Yes 0 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: C2. Aesthetio,agricultural, chaeologlMl,hlstoria,or other natural or cultural resources,or communl"ty or neighborhood character?Explain briefly: C3. Vegetation or fauna,fish,shelifish'or wildlife-species,significant habitats,or threatened or endangered specles? �cplain briefly: C4. A community's existing plans or goals as officially adopted,or a-change.in use or intensity of use of land or other natural resources?Explain briefly: - --- - — 05. Growth,subsequent developm8nt or related.activities likely to be induced by the proposed action?Explain briefly: C6. Long term,short term,cumulative,or other effects not identified'in CI-05? Explain briefly: _.... __. ...... ... ....... ._.. - --._..._r. . C7 Other impacts indudin chap es in use of either uantit.or t e of ener ? Ex lain brief) :- - - ......... ......... .......... D.WILL THE PROJECT HAVE AN IMPACT QN THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL: ENVIRONMENTAL AREA CEA 7 Jlf Les.ex lain brief : Yes Q No E. IS THERE,OR IS THERE LIKELY To BE,CONTROVERSY REIATFA TO POTENTIAL AD-VERSE ENVIRONMENTAL IMPACTS? If .es lain: 0 Yes M No PART IN-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) tNSTRUCTIONS:. For each adverse effecidenfrfied above,determine whether It is substantial,large,important or otherwise significant. Eadt effect should be assessed in connection with its(a)setting(Le.urban or ruraq;(b)probability of occurdni g;(c)duration;(d)irreversibility;(e) geographic scope;and(f)magnitude. If nl:gemty,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 . !f question d of part ti was oedced yes,the determination ofsigniflcance mustevaluate the potential lmpactvfthe proposed acion on the environmental Characteristics ofthe CEA Checc this box if you have Identified one ormore potentially large orsignificantadverse impacts whkh MAY occur.Then proceed directly to the FULI FAF and/ar prepare a positive declaration. Check this box ifyou have determined,based on the information and analysis above and any supporting documentation,that the proposed acdo VVILL NOT result in any signficant adverse environmental impacts AND provide,on'attachments as necessary,the reasons supporting thi determination. Board of Trustees © j 61 N Name of Lead Agency'/ L 7 Date President Print or Type Name of Responsible Officer Lead Agency Title of Responsible Officer fprC� r Sig ature of Responsible Officer in Lead4kgency SianatUre of Prrnarar flf rfiffPnarj from LARK&FOLTS Attorneys at Law 28785 MAIN ROAD PO BOX 973 CUTCHOGUE,NEW YORK 11935 Tele. No. (631) 734-6807 Fax No. (631) 734-5651 E-mail: LarkandFolts@aol.com RICHARD F. LARK MARY LOU FOLTS June 17, 2013 Elizabeth Cantrell, Clerk Southold Town Board of- Town Trustees 54375 Main Road D E V 2 P.O. Box 1179 I5 Southold, NY 11971 JUN 1 7 2013 RE: Application of Ellen F. Emery SCTM #1000-111. 00-13. 00-006. 000 _ soat6�+d ro----w� Dear Ms. Cantrell: of trustees In connection with the above-captioned matter, I am enclosing the Proof of Mailing -of Notice with attached certified mail receipts. Also enclosed is the Affidavit of Posting. Very truly yours, Richard F. Lark RFL/mdh Enclosures James F.King,President � � Town Hall,53095 Main Rd. Bob Ghosio,Jr.,Vice-President %d ,, P.O.Box 1179 Dave Bergen $' Southold,NY 11971 John Bredemeyer �'1J►,Q �4 Telephone(631)765-1892 Michael J.Domino 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 ELLEN F. EMERY 1999 REVOCABLE TRUST COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR EIGHT DAYS I� Richard F. Lark , residing at/dba 550 Birch Lane, Cutchogue, New York, 11935, being duly sworn, depose and say: That on the 8thday of June , 2013, I personally posted the property known as 5925 Nassau Point Road, Cutchogue, New York (SCTM 1000-111-13-6) 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 Wednesday,June 19,1013. Dated: June 17, 2013 (signature) Richard F. L rk Sworn to before me this 17tlOay ofJune, 2013 Notary Aublic kli;-—Y"D HOL AND Notary PiUuli. State of New Yak N10.Ri06Z6 w fled In DiftCommission Exores&MA F� LARK& FOLTS Attorneys at Law D � � 2E O Q, 2 E 28785 MAIN ROAD �Y PO BOX 973 CUTCHOGUE,NEW YORK 11935 ------------------------------------- J U N 1 8 2013 Tele. No. (631) 734-6807 Fax No. (631) 734-5651 Southold Town E-mail: LarkandFolts@aol.com -Board RICHARD F. LARK MARY LOU FOLTS June 18, 2013 Elizabeth Cantrell, Clerk Southold Town Board of Town Trustees 54375 Main Road P.O. Box 1179 Southold, NY 11971 RE: Application of Ellen F. Emery SCTM #1000-111. 00-13 . 00-006. 000 Dear Ms . Cantrell : In connection with the above-captioned matter, I am enclosing the green signature cards from the certified mailings . Very truly yours, R' chard F. Lark RFL/bd Enclosures NOTICE OF HEARING' i NOTICE IS HEREBY GIVEN that a public hearing will be held by the SOUTHOLD BOARD OF TRUSTEES at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. Eller, F 6v)efy /9q? OWNER(S) OF RECORD: SUBJECT OF PUBLIC HEARING construct a ±98' upper retaining wall with two (2) ±3' returns using vinyl sheathing; construct a ±98' mid-bluff wood retaining wall with two (2) ±3' returns; add approximately 600 cubic yards of clean fill to re-establish the entire bluff area; construct a platform at top of bluff leading to 4' wide bluff stairs and a 10'x10' observation platform along the mid-bluff retaining wall; re-vegetate all disturbed bluff areas using native plantings. TIME & DATE OF PUBLIC, HEARING: WTn19Po ) 3 -o3-or'"oc�" `j Fedn , 3o I7 y If you have an interest in this project, you are invited to view the Town file(s) which are available for ins ection rior to the day of the hearing dui normal business days between the ours o 8 a.m and 4. p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631 ) 765- 1892 f _ PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: Krupski Family Limited Partnership 95 Laurel Hill Road, Northport, NY 11768 (SCTM #1000-111.00-1.3.00-007.000) Daniel P. Orlando and 30 Hillcrest Drive, Pelham Manor, NY 10803 Sandra L. Orlando (SCTM #1000-111.00-13.00-005.000) Curt Koch 6030 Nassau Point Road, Cutchogue, NY 11935 (SCTM #1000-111.00-12.00-005.005) STATE OF NEW YORK COUNTY OF SUFFOLK Mary D. Holland , residing at 400 Short Road., Cutchogue, New York , being duly sworn, deposes and says that on the 7th day of June , 20 13, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at Cutchogue, New York; ,that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. VOMi Mar D. Holland Sworn to before me this 11 th Day of June 12013 Notary Public BARBAm mACHUN Notary pubAc,Stab of Nrw York No 01D140190-S&Ik Commisslon Expires Oct 31, a/q Boar' f Trustees Application County of Suffolk State of New York ELLEN F. EMERY BEING DULY SWORN DEPOSES AND AFFIRMS THAT DM/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF IHER 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(3), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature otProperyowner Ellen F. Emery (Trustee) SWORN TO BEFORE ME THIS oZ 3✓'4 DAY OF May ,20 13 N t ry Public MARYCD.HOWIND � No �1HCQ e266863w Yor�. comm""oWn FicprrSuffe.�oloero a ul Boax >f Trustees Application AUTHORIZATION (where the applicant is not the owner) I, ELLEN F. EMERY (Trustee) residing at 121 Somerset Avenue, Garden City, NY 11530 (print owner of property) (mailing address) do hereby authorize Richard F. Lark, Esq. or Mary Lou (Agent) Folts, Esq. of LARK & FOLT S,� ES QS. to apply for permit(s)from the Southold Board of Town Trustees on my behalf. (Owner's signature) Ellen F. Emery (Trustee) APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the M of town officer;and emnloyees.The purpose of this form is to provide information which can alert the town of nossible conflicts of ihti rest and allow it to take whatever action is necessary to avoid same. YOUR NAME: FOLT S, MARY LOU (Last name,flirt name,#riddle initial,unless you are applying iii 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 _ X' Change of Zone _ CoastalErosion 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,rgarriage,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 X Ifyou 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 None Submitted this day of a 2013 Signature• Print Name Mary TA, Form TS.I �a ,C 3 Town of Southold Erosion, Sedimentation & Storilt>t-Water Run-off ASSESSMENT"FORM PROPERTY LOCATION: s.c T.M.#: THE FOLLOWING.ACTIONS MAY REQUIRE THE SUBMISSION OF A 01 j STORM-WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN Dis Se on -6 or cr Lot CERTIFIED BY A DESIGN PROFESSIONAL IN THE STATE OF NEW YORK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITFX# / WORK ASSESSMENT Yes No a. What is the Total Area of the Project Parcels? 1 Will this Project Retain Ali Storm Water Run-Off (Include Total Area of all Parcels located within- .83 Generated by a Two(2'7 Inch Rainfall on Site? Within- the Scope of Work for Proposed Construction) (This item will include all run-off created by site b. What is the Total Area of Land Clearing (S.F./Acres) clearing and/or construction activities as well as all El— and/or Ground Disturbance for the proposed 1,500 s q. f t. Site Improvements and the permanent creation of construction activity? impervious surfaces.) (S.FJArxes) Z Does the Site Plan and/or Survey Show All Proposed PROVIDE BRIEF PROJECT DFSCMMON (ride Additional Pages as Needed) Drainage Structures Indicating Size 8 Location?This item shall include all Proposed Grade Changes and To rebuild the bluff, observation decks Slopes Controlling Surface Water Flow. 3 Does the Site Plan and/or Survey describe the erosion and stairs that were destroyed and and sediment control practices that will be used to D control,sfte erosion and storm water discharges. This — compromised due to Superstorm Sandy. item must be maintained throughout the Entire Construction Period. 4 Will this Project Require any Land Filling,Grading-or Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yards �L of Material within any Parcel? 5 Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand a (5,f)00 S.F.)Square Feet of Ground Surface? 6.Is there a Natural Water Course Running through the Site? is this Project within the Trustees jurisdiction X General DEC SWPPP Requirements: or within One Hundred(100')feet of a Wetland or Submission of a SWPPP is required for all Construction activities involving soil Beach? disturbances of one(1)or more acres;including disturbances of less than one acre that 7 Will there be Site preparation on Nsfing Grade Slopes are part of a larger common plan that will ultimately disturb one or more acres of land; which Exceed Fifteen(15)feet of Vertical Rise to a Including Construction activities Involving soil disturbances of less than one(1)acre where One Hundred(100')of Horizontal Distance? the DEC has determined that a SPDES perrrft is required for storm water discharges. (SWPPP's Shall meet the Minimum Requirements of the SPDES General Permit 8 Will Driveways,Parking Areas or other Impervious for Storm Water Discharges from Construction activity-Permit No.GP.0.10-001.) Surfaces be Sloped to Direct Storm Water Run-Off X 1.The SWPPP shall be prepared prior to the submittal of the Not.The NOI shall be into and/or In the direction of a Town right of-way? F-1 submitted to the Department prior to the commencement of construction activity. z The SWPPP shell describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material, required,postconshuctlon storm water management practices that will he used and/or Removal of Vegetation and/or the Construction of any constructed to reduce the pollutants in storm water discharges and to assure Item Within the Town Right-0f-Way or Road Shoulder a compliance with the terms and conditions of this permit.In addition,the SWPPP shall Area?(This item vdrr NDr Include the Irutailatten of Driveway Aprons.) Identify potential sources of pollution which may reasonably be expected to affect the quality of storm water discharges. NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark 3.An SWPPPs that require the post-construction storm water management practice in a Box and the construction site disturbance is between 5,000 S.F.&1 Acre in area, component shall be prepared by a qualified Design Professional Licensed in New York a Storm-Water.Grading.Drainage&Erosion Control Plan is Required by the Town of that is knowledgeable In the principles and practices of Storm Water Management. Southold and Must be submitted for Review Pdor to issuance of Any Building Permit (NOTE A C heck Mark(.f)and/or Answerfor each Question is Required fora Complete Application) MIT OF NEW YORK, COUNTY OF........................SUFOK SS ELLEN F. EMERY (Trustee) being duly sworn,deposes and says that he/she is the applicant for Permit, ........................................................ (Name of individual signing DowmenQ And that he/she is the ...SJ1mex......................... ... ... .. .... .. .......................... ........ ...... . (Owner,Contractor,Agenr,Corporate Officer eta} Owner a& cxQpffi4e]16T tb9L 1m=,and is duly authorized to perform or have p rformed the said work and to make and file this application;that all statements contained in this application are trite to the best of�fiEnowledge and belief;and that the work will be performed in the manner set forth in the application filed herewith. Swom to before me this; .......... day f ..�? .........................2U.. 3 NotaryPublic:4vb..... ..4)1........ ........................................................ ............................ ............ ELL' F. EMERY (signature of ppOcant) Tru s t e e FORM - 06/10 Notary Pub/ State of New York No. 11CI ses3 In SuffoHc Coun eof res os�+os (14 3 SEACOAST CONSTRUCTION, INC. P.O. Bog 893 Sayville, NY 11782 www.seacoastdocks.com Christopher A Gentry Phone (631) 472-7616 Supervisor Fax (631) 472-7618 May 23, 2013 Ms. Ellen F. Emery 5925 Nassau Point Road Cutchogue,NY 11935 (516) 746-4038 Dear Ms. Emery: Due to the severe erosion that the bluff on your property suffered after Superstorm Sandy, I was required to rethink the entire project. I am enclosing an outline of what is proposed in order to save your bluff in the future from further erosion. As you know, Seacoast has already constructed the bulkhead at the shoreline and is in the process of replacing the failed retaining wall. This work is being performed under the permits received from the DEC and from the Southold Town Trustees. The work to be done,which will require permits, is as follows: 1. Construct an"Upper Retaining Wall" across the width of the bluff, 98'±in length with a T±return on each end to the property line. This retaining wall will be located approximately 3'to 4' below the crest of the existing bluff on the northerly side, and on the southerly side a 3'to 4'distance from the existing retaining wall. Construction will consist of 10" by 20'poles placed 6'on center. The sheathing will be Shoreguard'425 Vinyl Series, 36"by 12'. Whalers will also be installed which will be 6'by 8' structural timber. Pile penetration will be 12'to 14'f. 2. Construct a"Mid-Bluff Retaining Wall",which will be 98'f in length with 3'f returns on each end to the property line. This Mid-Bluff Retaining Wall will be located approximately 20'±seaward of the upper retaining wall. Construction will consist of piles 8"by 20',installed 6' on center. The sheathing will be 3'by 10' structural wood. Whalers will be 6'by 8' structural wood. The pile penetration will be 14'to 16'f. 1 3. After the erection of the two retaining walls, approximately 600 cubic yards of clean fill will be brought in landward via a conveyor belt on a Telebelt. The fill will be put in place landward of the bulkhead to the first retaining wall to obtain a level area between the bulkhead and the retaining wall; and then fill will be placed from the lower retaining wall to the mid-bluff retaining wall on an angle of approximately 60°. Fill will then be placed from the mid-bluff retaining wall to the upper retaining wall trying to maintain an angle not to exceed 60°. Finally, the clean fill will be tamped down. 4. After settlement of the fill has been achieved, stairs will be constructed starting from the bottom of the bluff. The stairs will be 4'wide and will consist of T by 12" stringers attached to 8" by 16'piles. The railings,supports and stair treads will be Timbertech. The depth of the piles along the stairway will be 10'-+. 5. A-10'by 10' observation platform will then be constructed adjacent to the stairs on the northerly side at the Mid-Bluff Retaining Wall,which will support the majority of its weight. The platform will be recessed back onto the hill with 8"by 20'piles. The pile penetration will be 14't. 6. Hardware: All fasteners to structural timbers and piles will be hot dipped galvanized. The fasteners for the decking and stair treads will be#10 x 2.5" stainless steel screws,which will be predrilled and countersunk. 7. Within six months of the completion of the above construction,there will be planted on the bluff area between the retaining walls the following: American Beach Grass,Rugosa Rose and Russian Olive. Attached hereto are construction plans for the above-mentioned work. Sincerely, Christoph entry ��ov, 0-4 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 sigraficant 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- supportink 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: o a�h o 0 website(southoldtown.northfork.net), the Board of,Trustee , t, all local libraries and the Town Clerk's office. MAY 2 8 2013 B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# 111.00 - 13.00 - 006.000 Southold Town Tru e PROJECT NAME ELLEN F. EMERY RESIDENCE - R•ECONSTRUCTION OF BLUFF 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: f x❑ Nature and extent of action (se-e- �`t' C Rebuild the bluff,. observation deck and stairs-destroyed and compromised due to Supers.torm Sandy. pad�. � J SEACOAST CONSTRUCTION, INC. P.O. Box 893 Sayville, NY 11782 www.seacoastdo-eks.com Christopher M. Gentry Phone (631) 472-7616 Supervisor Fax(631) 472-7618 May 23, 2013 Ms. Ellen F. Emery 5925 Nassau Point Road Cutchogue,NY 11935 (516) 746-4038 Dear Ms. Emery: Due to the severe erosion that the bluff on your property suffered after Superstorm Sandy, I was required to rethink the entire project. I am enclosing an outline of what is proposed in order to save your bluff in the future from further erosion. As you know, Seacoast has already constructed the bulkhead at the shoreline and is in the process of replacing the failedyetaining wall. This work is being performed under the permits received from the DEC and from the Southold Town Trustees. The work to be done,which will require permits,is as follows: 1. Construct an"Upper Retaining Wall" across the width of the bluff,98'±in length with a 3'f return on each end to the property line. This retaining wall will be located approximately 3'to 4' below the crest of the existing bluff on the northerly side, and on the southerly side a 3'to 4'distance from the existing retaining wall. Construction will consist of 10"by 20'poles placed 6'on center. The sheathing will be Shoreguard 425 Vinyl Series, 36" by 12'. Whalers will also be installed which will be 6'by 8' structural timber. Pile penetration will be 12'to 14't. 2. Construct a"Mid-Bluff Retaining Wall",which will be 98'f in length with T f returns on each end to the property line. This Mid-Bluff Retaining Wall will be located approximately 20't seaward of the upper retaining wall. Construction will consist of piles 8" by 20', installed 6' on center. The sheathing will be 3'by 10' structural wood. Whalers will be 6'by 8' structural wood. The pile penetration will be 14'to 16'±. 3. After the erection of the two retaining walls, approximately 600 cubic yards of clean fill will be brought in landward via a conveyor belt on a Telebelt. The fill will be put in place landward of the bulkhead to the first retaining wall to.obtain a level area between the bulkhead and the retaining wall; and then fill will be placed from the lower retaining wall to the mid-bluff retaining wall on an angle of approximately 60°. Fill will then be placed from the mid-bluff retaining wall to the upper retaining wall trying to maintain an angle not to exceed 60°. Finally, the clean fill will be tamped down. 4. After settlement of the fill has been achieved, stairs will be constructed starting from the bottom of the bluff. The stairs will be 4' wide and will consist of 3'by 12" stringers attached to 8" by 16'piles. The railings,supports and stair treads will be e Timbertech. The depth of the piles along the stairway will be 10'+. 5. A 10'by 10' observation platform will then be constructed adjacent to the stairs on the northerly side at the Mid-Bluff Retaining Wall,which will support the majority of its weight. The platform will be recessed back onto the hill with 8"by 20'piles. The pile penetration will be 14'f. 6. Hardware: All fasteners to structural timbers and piles will be hot dipped galvanized. The fasteners for the decking and stair treads will be#10 x 2.5" stainless steel screws,which will be predrilled and countersunk. 7. Within six months of the completion of the above construction,there will be planted on the bluff area between the retaining walls the following: American Beach Grass, Rugosa Rose and Russian Olive. Attached hereto are construction plans for the above-mentioned work. Sincerely, Christoph entry `�� �a4 4 Location of action: 5925 Nassau Point Road, Cutchogue, New York Site acreage: .83 acres Present land use: One-family dwelling Present zoning classification: R-40 (Residential Low Density) 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: Ellen F. Emery (Trustee of the Ellen F. Emery 1999 Revocable Trust) (b) Mailing address: 121 Somerset Avenue, Garden City, New Yorki.. 11530 (c) Telephone number:Area Code( ) (516) 746-4038 (d) Application number,if any: None Will the action be directly undertaken,require funding,.or approval by a state or federal agency? Yes 0 No❑ If yes,which state or federal agency? NYs Dept. of Environmenal Conservation 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. Fbster 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 _Replacement is necessary not only to protect Applicant's property but also adjacent properties which have bulkheads. 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 oL3 e— 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 0 Yes ❑ No ❑ Not Applicable Prevent future bluff erosion 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 0 Yes ❑ No ❑ Not Applicable Additional retaining walls necessary_.to. prevent future bluff erosion. Attach additional sheets if necessary Policy S. 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 0 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. ❑ ❑ a i Yes No Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. Yes No Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluatiop criteria. ❑ Yes No 0 Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the.Town of Southold. See LWRP Section III;Policies; Pages 38 through 46 for evaluation criteria. Yes[] No Fxl Not Applicable Attach additional sheets if necessary . 0 WQRE NG COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III--Policies; Pages 47 through 56 for evaluation criteria. ❑Yes ❑ No Q 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 ❑ 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 Q Not Applicable PREPARED BY RICHARD F. LARK TITLE Attorney DATE 5/13/13 dye APPLICANT/AGENT/REPRESENTATNE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The uuroosd of this form is to provide information which co alert the town of nassible conflicts of interest and allow rt to take whatever actton rs necessary to avoid same. YOUR NAME EMERY, ELLEN F. (Last name,flist name,giiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicata thb.other person's or company's name.) NAME OF APPLICATION: (Check all that.apply.) 'Tax grievance Building Variance Trustee X 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 X lfyou 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/aggnt/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 NONE, Submitted t ' 3^1 d f M l 2013 Signature. Print Name Ellen F. Emery Form TS 1 r APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the 00 of town officers and emaloYees.The n_uraose o_f this form is to provide inforination which can alert the town of nossible conflicts of interest and allow it to take whatever�on is necessary to avoid same. YOUR NAME: LARK, RI CHARD F. (Last name,first name,griddle initial,unless you are applying id the name of someone else or other entity,such as a company.If so,indieatq•thb.other persores or company's name.) NAME OF APPLICATION: (Check all that.apply.) 'Tax grievance Building _ Variance Trustee X 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,rnarriage,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 X ifyou 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/aggnt/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 shaves 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;dr D)the actual applicant. DESCRIPTION OF RELATIONSHIP .None Submitted is 3 dof ay 2013 SignatureRPrintName ichard F. Lark Form TS.I D LARK&FOLTS Attorneys at Law 28785 MAIN ROAD PO BOX 973 CUTCHOGUE,NEW YORK 11935 Tele.No.(631)734-6807 RICHARD F.LARK Fax No. (631)734-5651 MARY LOU FOLTS E-mail: LarkandFolts@aol.com May 28, 2013 Southold Town Board of Town Trustees 54375 Main Road P.O. Box 1179 Southold, NY 11971 RE: Application of Ellen F. Emery (Trustee of the Ellen F. Emery 1999 Revocable Trust) SCTM #1000-111. 00-13. 00-006. 000 Gentlemen: In connection with the above-captioned matter, I am enclosing four copies of the following: 1. Board of Town Trustees Application with D E E Q V E 1 Items A through K. IF JU 2 . Short Environmental Assessment Form. MAY 2 8 2013 ; 3. Town of Southold Erosion, Sedimentation SouthoidTavn Storm-Water Run-off Assessment Form. Board of Trustees 4 . Authorization of Ellen F. Emery (Trustee) . 5. LWRP Consistency Assessment Form. 6. Applicant/Agent/Representative Transactional Disclosure Forms for Ellen F. Emery, Richard F. Lark and Mary Lou Folts. 7 . Check of Ellen F. Emery 1999 Revocable Trust to the Town of Southold in the amount of $250 . 00 for the filing fee. If you need any other information, do not hesitate to contact me. Kindly let me know the date and time of the hearing as soon as it is scheduled. Very truly yours, RFL:mdh ` Encs. chard F. Lar