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TR-8171
James F.King,President ��OF SU!/T�O Town Hall Annex Bob Ghosio,Jr.,Vice-President �� l0 54375 Main Road P.O.Box 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer G Q i�c► • a0 Telephone (631) 765-1892 Michael J. Domino OIy��UNTV Fax(631) 765-6641 s BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 11, 2013 Mr. Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 RE: MILDRED DAVID 3825 STILLWATER AVENUE, CUTCHOGUE SCTM# 137-1-3.1 Dear Mr. Patanjo: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, November 13, 2013 and again on Wednesday, December 11, 2013: WHEREAS, Jeffrey Patanjo on behalf of MILDRED DAVID applied to the Southold Town Trustees for an Amendment to Wetland Permit#8171 under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated October 17, 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 recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policy 9.3 of the Local Waterfront Revitalization Program to the greatest extent practical through the imposition of the following Best Management Practice requirements: with regard to the physical geography of the shoreline and the location of the adjoining docks in the area, the proposed dock will not exceed the existing pier line, and, 2 WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, and, 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 for the mitigating factors and based upon the Best Management Practice requirements imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, BE IT FURTHER, RESOLVED, that the Southold Town Board of Trustees APPROVES the Amendment to Wetland Permit#8171 for a proposed 4'x97' fixed elevated catwalk; new catwalk to have Thru-Flow decking over wetlands and remainder to be untreated lumber; a 3'x12' aluminum ramp; and a 6'x20'.floating dock with two 8" diameter piles in an "L" configuration, and as depicted on the site plan prepared by Jeffrey Patanjo, received on October 17, 2013, and stamped approved on December 11, 2013. This is not a determination from any other agency. Fees: $216.00 Sincere , o'er � Jame F. King President, Board of Trustees JFK:amn agqFF(k,-�p� James F.King,President y Town Hall Annex Bob.Ghosio,Jr,Vice-President P � 54375 Route 25,P.O.Box 1179 Dave Bergen .fi �' Southold,NY 11971 John Bredemeyer �ld1Q Telephone(631)765-1892 Michael J.Domino Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO:' eDow r^d Please be advised that your application dated. 7 A3 has been reviewed by this Board at the regular meeting of 2 1 3 . and your application has been approved pending the co mp[etlon-of`W following items checked off below. Revised Plans for proposed project. Pre-Construction Hay Bale Line Inspection Fee ($50.00) , 1st Day of Construction ($50.00) % Constructed ($50.00) Final Inspection Fee ($50.00). Dock Fees-($3.00 per sq. ft.). Permit fees are now due. Please make check or money order payable.to Town of Southold. The fee is computed.below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following.fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: ,C) x an = 7 2 s�. �� • x3ob �sq , Zfl�. U� TOTAL FEES DUE: $ I .D d BY: .fames F. King, President Board of Trustees ECEIV_ EOCTOCT1 7 20SOU13 02T `T199� LAND OF EDGARD EL CHAAR 1000-137-01-001 Till c4- LOT 19 RESIDENCE `�' `�.81' Z � c'- N 56°0 5'S4►►E R�0 �NC. PROPOSED OPEN—GRATE DECKNG TO BE 0.7'N L__ 0.6 N 1• �N \ ROW—THRU INTERLOCKING PANELS OR EQUAL ¢ 4 C.LF. PROPOSED FIXED ELEVATED PIER 97' LONG X 4' WIDE 0.9'S 4' POST do RAIL FENCE SUPPORTED WITH 6"0 PILES 0 8' O.C. (TYPICAL BOTH SIDES) OH v BDG. PROPOSED HINDGED RAMP p 86 4' 8.4 s / �� 9'5'S s I 12' LONG X 3' WIDE O PM Q]� � �CA �Z 11° 13° 14° 22 31 � �(1 ON L4 LOT 18 ch� � X co AP `v TT \V O m �. w 28.3' �co OO �� EARTH DRIVEWAY �— �1 1 13 1s z4 p 159.4 •PROPOSED 20' LONG X 6' WIDE FLOATING DOCK \ SUPPORTED WTH (2) B-0 PILES CO O LOT >7 REMOVE EXISTING PILES FROM DESTROYED PIER �..i �.. \ .-.. � EDGE OF TIDAL WETLANDS AS IDENTIFIED O I � MICHAEL K WICKS, L.S. . ON FEBRUARY 25, 2013 2' WIRE FENCE ON LINE W N If if if if O �-\ 4' STOCKADE FENCE S 57021 '01"W REST ENCE 1.6'S 340.00 ' \ LOT 16 APPROVED BY' -'-,- LAND OF VICTORIA M. URY 1000-137-01-5.1 BOARD OF TRUSTEES TO OF. SOUTHOLD DATE 12 11 T13 .` 3s° REPRESENTS WATER DEPTH IN INCHES BELOW MEAN LOW WATER NOTES: PROPERTY OWNER: 1. ELEVATIONS REFER TO N.G.V.D. 1929 DATUM MILDRED DAVID P roposed Dock & Float SCALE: 2. LOT AREA: 30,268 S.F. / 0.695 ACRES 29 EAST 64TH STREET T„_40' NEW YORK, NY 10065 3. PORTIONS OF PLAN FROM SURVEY PREPARED BY: PREPARED BY: PROPOSED PLAN DATE: MICHAEL K. WICKS LAND SURVEYING JEFFREY PATANJO REVISED: 200 BELLEVIEW ROAD, CTR. MORICHES, NY 11934 106 HEWITT BOULEVARD REVISE 3 SURVEY LATEST DATED FEB. 25, 2013 CENTER ITT BOULEVARD ES, R 1193425 STILLWATER AVENUE 4. ALL DECKING USED SHALL BE UN—TREATED 631-484-9332 OCUE, TOWN OF SOUTHOLD SUFFOLK COUNTY, NY SHEET: AP NO. 1000-137-01-3.1 1 OF 2 J CAI 5' x t _ 'C, I 1 n Ala.ssav Poi Im i In -� IS +'Ca - s, Haywafer - r,Y Cove '+,4 � ;j t` '`�` 1��, �,+•. 'ti, - ' 36, REPRESENTS WATER DEPTH IN INCHES BELOW MEAN LOW WATER PROJECT LOCATION MAP NOTES: N.T.S. 1. ELEVATIONS REFER TO N.G.V.D. 1929 DATUM 97' THRU-FLOW DECKING OVER WETLANDS 2. LOT AREA: 30,268 S.F. / 0.695 ACRES PROPOSED FIXED ELEVATED CATWALK 3. PORTIONS OF PLAN FROM SURVEY PREPARED BY: 45' 4' WIDE X 97' LONG ALL GREENHEART TIMBER MICHAEL K. WCKS LAND SURVEYING 4"x4" CCA POSTS 200 BELLEVIEW ROAD, CTR. MORICHES, NY 11934 10 OVER WETLAND LIMITS PROPOSED 6"x6" CCA POSTS TYP. SURVEY LATEST DATED FEB. 25, 2013 PROPOSED 3' WIDE X 12' LONG 4. ALL DECKING USED SHALL BE UN-TREATED 8 6 PROPOSED WIDE X 20 LONG rIDET-KIIJEART FLOATING DOCK PROPERTY OWNER: MILDRED DAVID 29 EAST 64TH STREET NEW YORK, NY 10065 -- — — — - - — — — - - — - - - - - - - -- -- 2 PREPARED BY: JEFFREY PATANJO EXISTING GRADE _ . APPROXIMATE M.L.W EL. O.Ot 106 HEWITT BOULEVARD 0 — — — — — — — — —— — — — —— —— CENTER MORICHES, NY 11934 631-484-9332 CCA (TC TAL OF 2) FTAX posed Dock & Float SCALE: 11 , 1 4" 22 31 AS NOTED —4 YPICAL SECTION & DATE: TYPICAL SECTION LOCATION MAP REVISE 3 REVISED: 7-31-13 25 STILLWATER AVENUE SCALE: H: 1"=20' OGUE, TOWN OF SOUTHOLD V: 1"=2' SUFFOLK COUNTY, NY SHEET: AP N0. 1000-137-01-3.1 2 OF 2 LINE OF PROJECTION TO NEIGHBORING DOCKS AND PARALLEL TO EXISTING SHORELINE ADJACENT DOCKS TO NORTH WITH POSSIBLE \ INSUFFICIENT WATER DEPTH AT LOW TIDE BASED ^=t ON RECENT BATHYMETRIC SURVEY 49 'r•Ir 3Zz \ APPROVED FLOATING DOCK LOCATION ,�rl'�, tea, ,yg'ri�� 4 fir``• Grp' rl,, I ,�Z� ii9 ,�* j� • fy I t: + C I �O9 ASSUMED LOCATION OF ADJACENT DOCK THAT IS ON SHORELINE AND REMOVED DUE TO STORM OR SEASONAL USE. LINE OF PROJECTION 10 NEIGHBORING DOCKS AND PARALLEL TO EXISTING SHORELINE o I � I 'Iry I d James F.King,President sufFot4- P.O.Box 1179 Bob Ghosio,Jr.,Vice-President �`Z �y Southold,NY 11971 Dave Bergen Telephone(631 765-1892 John Bredemeyer u, 1* Fax(631)765-6641 Michael J.Domino 'F zt-. Southold Town Board of Trustees Field InspectionMork Session Report Date/Time. t Jeffrey Patanjo on behalf of MILDRED DAVID requests an Amendment to Wetland Permit#8171 for a proposed 4'x97' fixed elevated catwalk; new catwalk to have Thru-Flow decking over wetlands and remainder to be untreated lumber; a 3'x12' aluminum ramp; and a 6'x20' floating dock with two 8" diameter piles in an "L" configuration. Located: 3825 Stillwater Avenue, Cutchogue. SCTM# 137- 1-3.1 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland P% f 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: -e^^�'" Present Were: e"--J. King, B. Ghosio D. Bergen, Bredemeyer "Michael Domino D. Dzenkowski other Form filled out ' the fi Id by Mailed/Faxed to: Date: ' FFO(�. James F.King,President ��gU P.O.Box 1179 Bob Ghosio,Jr.,Vice-President Gs�� Southold,NY 11971 Dave Bergen y - Telephone(631 765-1892 John Bredemeyer Fax(631)765-6641 Michael J.Domino Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: II 6 Jeffrey Patanjo on behalf of MILDRED DAVID requests an Amendment to Wetland Permit #8171 for a proposed 4'x97' fixed elevated catwalk; new catwalk to have Thru-Flow decking over wetlands and remainder to be untreated lumber; a 3'x12' aluminum ramp; and a 6'x20' floating dock with two 8" diameter piles in an "L" configuration. Located: 3825 Stillwater Avenue, Cutchogue. SCTM# 137- 1-3.1 Type of area to be impacted: _Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: _Chapt.275 Chapt. 111 other Type of Application: Wetland _Coastal Erosion _Amendment Administrative Emergency Pre-Submission Violation Info needed: Modifications: Conditions: Present Were: J. Kim B. Ghosio D. Bergen, -'7...Bredemeyer Michael Domino D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: Mildred David 3825 Stillwater Avenue,Cutchogue SCTM# 137-1-3.1 11/6/13 � t ! Aw _ 400 3825 Stillwater Ave, Cutcho 9ue, NY 11935, USA GooSk earth � � I r ' J v�d �/1 �` ^ •- r "1 _ fir'.alb' y ,��.= 3825 Stillwater Ave, Cutchogue NY 11935. USA ,! '��� `fit •: ,�"I •.; . GOO SIC earth i New York State Department of Environmental Conservation Division of Environmental Permits, Region One _ SUNY @ Stony Brook, 50 Circle Road, Stony Brook, NY 11790-3409 V Phone: (631)444-0372 Fax: (631)444-0360 - Website: www.deany.gov Joe Martens Commissioner September 25, 2013 C� C� C �liE Ms. Mildred David D - - ___-._��(- 29 East 64th Street New York, NY 10065 OCT 1 7 2013 I Re: Permit No.: 1-4738-04232/00001 souticl ;t;J,- ---� oa or'151K,s Dear Permittee: � In conformance with the requirements of the State Uniform Procedures.Act (Article 70, ECL) and its implementing regulations(6NYCRR, Part 621) we are enclosing your permit. `Please carefully�read all permit conditions and special permit conditions contained in the permit to ensure compliance during the term,�of the permit. If you are.unable to comply with any conditions please contact us at the above address. Also enclosed-is a-permit sign-which-is to be conspicuously posted at the project site and protected from the weather. Sincerely, Claire K. Werner Environmental Analyst CKW/Is 1 NEW YORK STATE DEPARTAI 'F OF ENVIRONMENTAL CONSERVAT Facility DEC ID 1-4738-04232 PERMIT Under the Environmental Conservation Law ECL Permittee and Facility Information Permit Issued To: Facility: MILDRED DAVID DAVID PROPERTY 29 E 64 ST 3825 STILLWATER AVEISCTM 1000-137-1-3.1 NEW YORK,NY-10.065 CUTCHOGUE,NY 11935 (516) 376-8334 Facility Application Contact: JEFFREY.PATANJO 106 HEWITT BLVD CENTER MORICH ES,NY 11934 (631)484-9332 Facility Location: in SOUTHOLD in SUFFOLK COUNTY Village: Cutchogue Facility Principal Reference Point: NYTM-E: 712.694 NYTM-N: 4543.318 Latitude: 41°00'48.0" Longitude: 72°28'14.1" Project Location: 3825 Stillwater Avenue - Watercourse - Eugene Creek Authorized Activity: Remove existing piles and construct pier, ramp and float. All authorized activities must be in strict conformance with the attached plans stamped NYSDEC approved on 9/25/13. (CKW) Permit Authorizations- - = - - - - - Tidal Wetlands -Under Article 25 Permit ID 14738-04232/00001 New Permit. Effective Date: 9/25/20:13. Expiration,Date: 9/24/2018 Water Quality Certification-Under Section 401 - Clean Water Act Permit ID 1-4738-04232/00002 New Permit Effective Date: 9/25/2013 Expiration Date: 9/24/2018 Page 1 of 6 NEW YORK STATE DEPARTP' 'r OF ENVIRONMENTAL CONSERVAT- Facility DEC ID 1-4738-04232 4. No Disturbance to Vegetated Tidal Wetlands There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activities. 5. Storage of Equipment,Materials The storage of construction equipment and materials shall be confined within the project work area and/or upland areas greater than 75 linear feet from the tidal wetland boundary. 6. Dock, Catwalk Size Dock or catwalk shall not exceed 4 feet in width and shall be a minimum of 3 feet above grade (as measured from ground to bottom of dock/catwalk decking) over tidal wetland areas. 7. Use of Treated Wood The use of wood treated with Pentachlorophenol or other wood treatment not specifically approved by the Department for use in wetlands and/or marine waters, is strictly prohibited in the construction-of structures that will be in contact with tidal waters:. S. Catwalk Decking The decking of the section of the catwalk that extends'over vegetated tidal wetlands shall be constructed with NYSDEC-approved fiberglass grating to reduce shading impacts on the marsh. 9. No Floats, Ramps in Vegetated Tidal Wetlands Floats and ramps may not rest on or be stored in any vegetated tidal wetland. 10. Float Installation The float shall be installed only at the approved location with a minimum water depth of 2%2 feet, measured at apparent low tide. 11. No Prop Dredging Prop dredging, or the act of utilizing and/or directing the propeller or propulsion system of a motorized vessel and/or the water-borne forces created by said propeller or propulsion system,to excavate or displace existing bottom sediment and benthic-habitat for the direct or indirect purpose of establishing or.increasing water depth, is:a regulated..activity and is not authorized.by this permit: Prop dredging is strictly prohibited without further written authorization (permit, modification or amendment) from the department. 12. No Dredging or Excavation No dredging, excavating or other alteration of shoreline or underwater areas is authorized by this permit, nor shall issuance of this permit be construed to suggest that the Department will issue a permit for such activities in the future. 13. No Permanent Structures on Dock No permanent structures shall be installed on dock/catwalk/float without first obtaining written Department approval (permit, modification, or amendment). -- 14. Docks at Property Lines Docks/catwalks/floats must not: a. extend laterally beyond property lines, b. interfere with navigation, or c. interfere with other landowners riparian rights. Page 3 of 6 NEW YORK STATE DEPARTI r OF ENVIRONMENTAL CONSERVAT Facility DEC ID 1-4738-04232 GENERAL CONDITIONS - Apply to ALL Authorized Permits: 1. Facility Inspection by The Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71- 0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area-when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. I 2. Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. 3. 'Applications For Permit Renewals,Modifications or Transfers The permittee must submit a separate written application to the Department for permit renewal, modification or transfer of this permit. Such-application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be'in writing. Submission of applications for permit renewal, modification or transfer are to be submitted to: .Regional Permit Administrator NYSDEC REGION 1 HEADQUARTERS SUNY @ STONY BROOK150 CIRCLE RD STONY BROOK,NY11790 -3409 4. Submission of Renewal Application The permittee must submit a renewal application at least 30 days before permit expiration for the following permit authorizations: Tidal Wetlands, Water Quality Certification. 5. Permit Modif cations, Suspensions and Revocations by the Department The Department reserves the right to exercise all available authority to modify, suspend or revoke this permit. The grounds for modification, suspension or revocation include: a. materially false or inaccurate statements in the permit application or supporting papers; b. failure by the permittee to comply with any terms or conditions of the permit; c. exceeding the scope of the project as described in the permit application; Page 5 of 6 NOTICE OF COMMENCEMENT OF CONSTRUCTION - RETURN THIS FORM TO:COMPLIANCE Or Fax to: 631-444-0297 Bureau of Habitat-i vd Iowa 50 Circle Road - Stony Brook, NY 11790-3409 PERMIT NUMBER: EXPIRATION DATE: PERMITTEE NAME&PROJECT ADDRESS: CONTRACTOR NAME&ADDRESS: TELEPHONE: Dear Sir: Pursuant to the special conditions of the referenced permit,you are hereby notified that the authorized activity shall commence on . We certify that we have read the referenced permit and approved plans and fully understand the authorized project and all permit conditions.We have inspected the project site and can complete the project as described in the permit and as depicted on the approved plans. We can do so in full compliance with all plan notes and permit conditions.The permit, permit sign,and approved plans will be available at the site for inspection in accordance with General Condition No. 1. (Both signatures required) PERMITEE: DATE CONTRACTOR: DATE THIS NOTICE MUST BE SENT TO THE ABOVE ADDRESS AT LEAST TWO DAYS PRIOR TO COMMENCEMENT OF THE PROJECT AND/OR ANY ASSOCIATED ACTIVITIES. FAILURE TO RETURN THIS NOTICE, POST THE PERMIT SIGN, OR HAVE THE PERMIT AND APPROVED PLANS AVAILABLE AT THE WORK SITE FOR THE DURATION OF THE PROJECT MAY SUBJECT THE PERMITTEE AND/OR CONTRACTOR TO APPLICABLE SANCTIONS AND PENALTIES FOR NON-COMPLIANCE WITH PERMIT CONDITIONS. Cut along this line x x NOTICE OF COMPLETION OF CONSTRUCTION RETURN THIS FORM TO:COMPLIANCE Or Fax to: 631-444-0297 _ Bureau of Habitat-TW Circle_Road St NNW Stony Brook, NY 11790-3409 PERMIT NUMBER: EXPIRATION DATE: PERMITTEE NAME&PROJECT ADDRESS: CONTRACTOR NAME&ADDRESS: TELEPHONE: ---Pursuant-to special conditions-of the referenced permit,you are hereby notified that the-authorized-activity was completed on We have fully complied with the terms and conditions of the permit and approved plans.(Both signatures required) PERMITEE: DATE CONTRACTOR: DATE THIS NOTICE, WITH PHOTOGRAPHS OF THE COMPLETED WORK AND/OR A COMPLETED SURVEY,AS APPROPRIATE, MUST BE SENT TO THE ABOVE ADDRESS WITHIN 30 DAYS OF COMPLETION OF THE PROJECT. F95-2O-1 -9d New York State Department. of Environment'-[ Co nservation :. NOTIC /,E' . : NEW The Department of Environmental Conservation (DEC) has .issued permit(s). pursuant to . the, Environmental Conservation ' Law for work - be ing conducted at this site.. For further information ' regarding the nature and - extent of work approved .and any Departmental conditions on it, contact the Regional Permit Administrator listed below. Please .refer to the. permit number shown when contacting the DEC. .' Regional Permit Administrator Permit Number . PY739- ROGER*EVANS Expiration DateWAR — NOTE: This notice is. NOT a permit LAND OF-EDCARD EL CHAAR \ro -1000-137-01-001 _ r, -_ LOT 19 - - - -- RESIDENCE-. . y z N 56°05 54"E - - - RHO CN� -._ _- -FlAW hIRU INi�FRLOCI MG PAN]STOR EQUAL 4•.POST do RAIL FENCE c� - 4 C.LF. �`: -- PORTED 0 P 0 9OM?ICAL' WIDE SIDES) 0.9 S BDG._- PROPOSED FlXED ELEVATED PIER SUP WITH, 6' ILES 8' D.C.0. BOTH E5 A o� 5HLU °H v 9:5 S - - - - -- RAMP 8.4 S ' 'xj• PROPOSED 3' WIDE m ! Co. c� 12' LONG x° c co NG ov .:._- .- S �n - - ' 10.... 93 . 14• 22 .. .3,. 3 _- - -- ---- -__ - - p _ m-_LOT 18 - cn �- �c�o__.\.. �N EARTH_DRIVEWAY - - 2fi3.• PROPOSED 20' LONG X 6':WIDE.FLOATING DOCK -SUP aoRTTED-012)-8-VP► -- b �- LOT >7 NG- ---- - -- _ - REMOVE-EXISTING-PILES-FROM-PILE�\FROM`:DE5IROYED PIER EDGE OF T1DAL•-WEILANDS\AS IDENTIFIED - :- - - - - .-. -�.==" -•- - ._--- - _- ==' =� �._ _„__ _ .:-.,- - - _.___.. . . ..- - .__ .-, . _--- -- --- - - - - - -- ---- - -MICHA_EL.K�WICKS L.S :_- _ _ - _ _�__ , - - - -- - _`2`WIRE`FENCE ONLINE=.,�.. - FF 1 ON�FEBRUARY:25 2013.�LL _• - 4 STOCKADE FENCE 1.5 STORY - ---- - RESIDENee------- —---- 4 0 0 0 --- - LOT- 16 - LAND OF VICTORIA M. URY - - - >000-137-01-5.1 - NY'SDEC `WPP =_'_�.---=-•---'-- ROVED A PER TERMS - ND ITIO AND CO OF �_`�8-�'�3a_'(}f�C:� REPRESENTS-WATER DEPTH AN INCHES BELOW__MEAN1-QW_WATER---------- - _--- _NOTES: -- PROPERTY - --- OWNER: - - 1•.-EL-E-VAT[O1�S-REFER—TO-N G 1LD---a-92-9-DATUM---- MI ORED DAV - - 29 EAST 64TH STREET _ :_ ProgaosedSCALE:-- 1 2. LOT AREA: 30,268 S.F. / 0.695 ACRES NEW.-PORK; NY 10065 - -- D _- =40' OCIiC �COdt 3. PORTIONS OF PLAN FROM SURVEY PREPARED BY: MICHAEL., K. WCKS LAND SURVEYING PREPARED BY: - PROPOSED PLAN DATE: 0.6 JEFFREY PATANJO 3-13-13 200 BELLEVIEW_ROAD, CTR. MORICHES, NY 11934 REVISED: SURVEY LATEST DATED FEB. 25, 2013 106 HEWITT BOULEVARD 382s I LL TE AVENUE 7-31-13 CENTER MORICHES, NY 11934 L STILL WATER R' 4. ALL DECKING USED SHALL BE UN-TREATED 631-484-9332 CUTCHOCUE, TOWN OF'SOUTHOLD SUFFOLK GOUNTY,=NY -\ - -- - SHEET-_ TAX MAP-NO."l000=137-01-3.1 1 of 2 Adlbk jan qlmv 6rypSt-_ k3at� [/ f, k\t 3fk jp w�_ �VA �N .,lC � 5 rya} ` 2, .s 7gi G v�; z 4wx :-w cc'4 s,X� .,� � x{P r';t �:; v s, dki''r'4 ti Mt + ,.rn k. R1�,y � .cw-, .wt'_ R\ x'" inn\� R `�.? � r ���L y .e ed�,-�s�.t•^ i t �� :. - - -- - -- - ' t rsY. ; tx Vt y �C fi Ys -n •, ?y a. +. `"`.+., '( „n k4 l a S' *< n`c fi tYj* :y }a _1 �'•*"?a h ., 33 h�, - w*9^,. _ --- - 9 .� ,,, 4�. —•ngjSr q �t r W t i ....� Y 1 > <T, ,`� n ✓ S GA ,+ +,. .;{ a. 3. "t l,S •, .�'^ i - 7':-�:t`�'.� syav,.r�_ LAt , t _ _ 7 ee --.as• , ._ r _r w+v c. � t,x.... "�' ..z, - _._. .�::' a..x5 ak�.'� ,a.�... s »::.. f -Yi�ld�`" x .+. y:< ,:.:. ,ty3..•s s{4�. t s2.;; -. k {{ 1 - - ;;�, - .... - �{ .mow W� f`. _.rj t :'''�+,'.,�t rti 'i•' ,F" :s� e.3 1 s't eJ�«�... a� F' :F' t � �ft s - - - �:, :t'tT Cd s t l: 2`:7, a �'`�• �.'su { t ry¢>r w'+s) E ro ..'.'.'j, 1.n: . . ,.„A ::•i*.4, ....-•.•.'A wj' 3 -'1 .? :a. iC� `..F 1 Yu$: ;? r t -.:�.:. �` _'fit- t...= x>S .t r , :'1 3 '`:13;..cJ +< - •SwCAw.n ;� h'Y N [W '� Y'f7 k 1.F a?< 'Y ""+1. k ) :#• { M .SJ � ,} �`��%� L`4�F .. .. _... ___ - _ _ "^.a. -s s _tiwc �^ _+y. -: ``�•2~ �sE, __ A-r zp s4 y Y .t7;e ... _ _... �- t - '�•�`,M.. � 4 .: -;_:: `4+. ... .. ...- ss:- v4. •...�:.. 1, ..-, .t ..=n•9 ^r �..: a s 9..,. .4_-.:#., rwY - - .. _ - u REPRESENTS W TE D IN INCHES — ,.;..^ -- - ------ - A R DEPTH BELOW MEAN--LOW, WATER PROJECT LOCATION 'MAP - - -- f.r -- - N:T.S. - - NOT - - _- - -° 1-:=��L�VATfONS 'REFER -TO`N G-V.D 1929 DATUM THRCI_-FLOVIr-DECICIKGu_OVERWEfCANDSr. -- -' - - -- - -- -- — . - = - 0:695 ACRES 3 45' _ PROPOSED FIXED_EI EVATED CAItiYALK _ 3. PORTIONS OF PLAN FROM SURVEY PREPARED BY: 4' WIDE X 97' LONG ALL.GREENHEART TIMBER MICHAEL K. WCKS LAND .SURVEYING 4"x4" CCA`POSTS - 200 ;BELLEVIEW ROAD,.,: R. MORICHES, NY 11934 1 O OVER WETLAND,WITS PROPOSED'6 x6 CCA POSTS-- TYP : SURVEY LATEST DATE FEB. 25, 2013 - _ _ -4. ALL DECKING USED SHALL BE UN-TREATED t. PROPOSED 3' IDE X _12' LONG. APPROVED AS PER TERMS AND CONDITIONS._ OF - — PROPOSED WIDE-X -20 LONG PERMIT No, *,)A)ATE PROPERLY OWNER: ., 4 MILDRED DAVID_ _ _ T 29-EAST 64TH STREET --- - NEW Y -- — -------- ---- -- - --:-- ----- --- - -- ---- — — -- — — ————— — ———— •� _ ,_ .- _. _: _.._:-PREPARED BY=: JEFFREY- PATANJO - EXISTING GRADE. - -. 1.06 :HEWITT BOULEVARD APPROXIM M.L. --&-I— —— HES, NY 11934 - . -.: . _ _ CENTER. MORIC ---------- -631-484-9332 _. CC:A (T TAL=OF=2 —`-- SCALE: _4. _ - - - AS NOTED TYPICAL_:SECTION & DATE: LOCATION MAP 3-13-13 TYPICAL SECTION REVISED: . H: 1"=20' 382.5 STIL_LWATER AVE - - NUE SCALE: CUTCHOCUE, TOWN OF SOUTHOLD- V: 1„=2, SUF'FOLK COUNTYt SHEET: ._ TAX MAP-NO. '1000-137--01-3.1 2 OF 2 i November 20, 2013 Town of Southold Trustees ., Town Hall Annex Building D ` .._`.:w•`'".- -`"� ?w 54375 Rte. 25 P.O. Box 1179 NOV 2 2 2013 Southold, New York 11971 RE: 3825 STILLWATER AVE. CUTCHOGUE, NY goii►;o`c�i�'v i s SCTM No. 1000-137-01-3.1 T AERIAL PLAN Dear Trustees: Attached please find aerial map of the above referenced project showing the location of the previously approved dock and the amended dock. As you will see, the amended dock extends 7' beyond the originally approved as required to meet the NYSDEC water depth requirement. I have drawn lines parallel to shore showing the projection of surrounding docks for your use. I hope you find this information usefull. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, Jeffr Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 :1 - James F.King,President ���agllFtQ(,I-`pG Town Hall,53095 Main Rd- Bob.Ghosio;Jr,Vice-President Dave B ett P.O.-Box 1179 ,n- Southold,NY 11971 . John Bredetney-er p �: ¢ ,t Telephone(631)765-1892 Michael L Domino Q Q 1 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN: APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO`DO. SO- SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1s day of Construction constructed Project complete, compliance Inspection .1/••/•�rr v..+�'1"�ry..�'. �'� :•7 r r`' v�`.rr _ ,.•.N•.rrr aii.�.r � �..i�� r? 'T1�,T/,gT1 ....,,,�•k,£°�T":>'�..'"ES.,�,+��....2'�"S°.,i;<'?3;�Y. a'W°:7£S�L"el!E'`-�.? &`�''3'i-�'" r �,°�:€'D�1'�STY'' "�."d,"M`4, n.'3'•�'Pn"° A",`",.G4.,d,..h'n`.� .,..�"'b"�''�k'',C�"fil L,°'!��4-*^,aZdT.�L54a7' ♦ 3 l BOARD OF SOUTHOLD TOWN TRUSTEES •Qtl•. SOUTHOLD,NEW YORK PERMIT NO. 8171 DATE: MAY 15,2013 ISSUED TO: MILDRED DAVID PROPERTY ADDRESS: 3825 STILLWATER AVENUE. CUTCHOGUE SCTM# 137-1-3.1 A ' 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 May 15,2013,and in 1� consideration of application fee in the sum of$250.00 paid by Mildred David or authorized waiver of Town Board and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of _. Trustees authorizes and.permits the following: +► Wetland Permit to replace timber 4''x76' catwalk; 3'x12' aluminum ramp; and , h' ' 6'x20' floating dock; new catwalk to have thru-flow decking over wetlands and remainder to be untreated lumber; and as depicted on the site plan prepared by Jeffrey ' -•,1 Patanjo, last dated March 13,2013, and stamped approved on May 15,2013. 1, IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, w and these presents to be subscribed by a majority of the said Board as of this date. Jim King-Nqy FDJ a y� _ t 1Il%%•3� - r �♦ "':�'�51 �. ��' 4Xy,''$`.fid78i� .u.� '�ifc t — m a. Ara.l.a'laut.� ��,l.li+i.leVii• �_ �.. •�',:llili.14•lil _-.x. - `' �Ir r/ N iL ..✓Ill 1 i�� �l+1 !1 ii� } ��/{ 1Ni ±�..:: _..`_-�_ ._.:� :_':• _.r. ♦...• �:::-:::.,.., _ .••-Cam.!:: I � LAND OF EDCARD EL CHAAR 'b 1000-137-01-001 LOT 19 RESIDENCE 3 1 2.81 ' N 56°0 5'S4"E =RN PROPOSED OPEN—GRATE DECKNG TO BE 0.7'N 1• :N ` FLOW THRU INTERLOCKING PANELS OR EQUAL 1� 4 C.LF. PROPOSED FIXED ELEVATED PIER 76' LONG X 4' WIDE p^ �+ ONS POST RAIL FENCE ❑H BDG. �i SUPPORTED WITH 6'0 PILES A 8' O.C. (TYPICAL BOTH SIDES) -� 4' 8.4'S �xj`� 9.5 S �, 12' LONG X PROPOSED 13 MD RAMP \�+ y 86. w.o Ut i S �� On 11' 13' 14 Q 31 p QN n=W� LOT 18 �y °' C> 28.3 O O QN EARTH DRNEWAY a �' 1 13• 16' 24' 159.4 I PROPOSED 20' LONG X 6' WIDE FLOATING DOCK d (� SUPPORTED WTH (4) B-0 PILES O REMOVE EXISTING PILES FROM DESTROYED PIER LOT 17 CM \ \ EDGE OF TIDAL WETLANDS AS IDENTIFIED MICHAEL K WICKS, L.S. O 2' WIRE FENCE ON LINE ON FEBRUARY 25, 2013 o 4' STOCKADE FENCE (p S 57021'01"W RE STORY 1.8's RESIDENCE 34 0.0 0 \ LOT 16 LAND OF VICTORIA-M. URY 1000-137=01 -5:1 PROV D 'BY. CCCOVC z-.. . .:.._:. 8►OARD, OF TRUSTEES TOWN OF SOUTHOLD MAR 2 5 2013 DA Southold Town Board of Trustees 37r REPRESENTS WATER DEPTH IN INCHES 3� BELOW MEAN LOW WATER NOTES: PROPERTY OWNER: 1. ELEVATIONS REFER TO N.G.V.D. 1929 DATUM MILDRED DAVID Proposed Dock & Float SCALE: 2. LOT AREA: 30,268 S.F. / 0.695 ACRES 29 EAST 64TH'-STREET 1"=40' NEW YORK, NY 10065 3. PORTIONS OF PLAN FROM SURVEY PREPARED BY: PREPARED BY: PROPOSED PLAN DATE: MICHAEL K. WCKS LAND SURVEYING JEFFREY PATANJO 3-13-13 200 BELLEVIEW ROAD, CTR. MORICHES, NY 11934 106 HEWITT BOULEVARD SURVEY LATEST DATED FEB. 25, 2013 CENTER ITT BOULEVARD R 11934 3825 STILLWATER AVENUE 4. ALL DECKING USED SHALL BE UN—TREATED 631-484-9332 CUTCHOCUE, TOWN OF SOUTHOLD SUFFOLK COUNTY, NY SHEET: TAX MAP NO. 1000-137-01-3.1 1 OF 2 iv , = LOCA "10N r CL tJs § D =x * � y �`"'�a ,r• }:> , g l f: 'fir' fU -s q; x ,' ��, �f' !t }tq r� r d✓ T -•.:� t �F �,n ¢ , REPRESENTS WATER DEPTH IN INCHES BELOW MEAN LOW WATER PROJECT LOCATION MAP NOTES: N.T.S. 1. ELEVATIONS REFER TO N.G.V.D. 1929 DATUM 76, THRU—FLOW DECKING OVER WETLANDS 2. LOT AREA: 30,268 S.F. / 0.695 ACRES 45 PROPOSED FIXED ELEVATED CATWALK 3. PORTIONS OF PLAN FROM SURVEY PREPARED BY: 4"x4" CCA POSTS 4' WIDE X 76' LONG ALL GREENHEART TIMBER MICHAEL K. WCKS LAND SURVEYING 200 BELLEVIEW ROAD, CTR. MORICHES, NY 11934 10 OVER WETLAND LIMITS PROPOSED 6"x6 CCA POSTS TYP. SURVEY LATEST DATED FEB. 25, 2013 PROPOSED " 4. ALL DECKING USED SHALL BE UN—TREATED 8 CCA (TOTAL OF 4 - PROPOSED 3' WIDE X 12' LONG 6 PROPOSED WIDE X 20 LONG PROPERTY OWNER: 4 M MILDRED DAVID 29 EAST 64TH STREET Xifft M.N.W.-- — — — -- — — - - ------ -- ---- NEW YORK, NY 10065 2 PREPARED BY: JEFFREY PATANJO EXISTING GRADE APPROXIM E M.L.W EL. O.Of 106 HEWITT BOULEVARD 0 — — — — ———— —— — —— — — CENTER MORICHES, NY 11934 631-484-9332 Proposed Dock & Float SCALE: 11" 1 14" 22' 31" AS NOTED —4 PROPOSED CCA FLOATING DOCK SUPPORT TYPICAL SECTION & DATE: TYPICAL SECTION TIMBER SET RATTO ION BETWEEN MAINTAIN ABMIN OF OF LOCATION MAP 3-13-13 H: 1" ' FLOAT AND CREEK BOTTOM AT ALL TIMES 3825 STILLWATER AVENUE SCALE: „— CUTCHOCUE, TOWN OF SOUTHOLD V: 1 =2 SUFFOLK COUNTY, NY SHEET: TAX NAP NO. 1000-137-01-3.1 2 OF 2 TERMS AND CONDITIONS The Permittee, Mildred David, residing at 3825 Stillwater Avenue,Cutchogue,New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages,of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will,at his or her own expense, defend any and all such suits initiated by third parties,and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board 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 be-required supplemental to this permit,which may be subject to revoke upon failure to obtain same. James F.King,President o��0f SU�j Town Hall Annex Bob Ghosio,Jr.,Vice-President 54 Main Road P..O.O.Box 1179 Dave Bergen Southold,New York 11971-0959 John Bredemeyer G Q • �O Telephone(631) 765-1892 Michael J.Domino O Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 15, 2013 Mr. Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 RE: MILDRED DAVID 3825 STILLWATER AVENUE, CUTCHOGUE SCTM# 137-1-3.1 Dear Mr. Patanjo: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, May 15, 2013 regarding the above matter: WHEREAS, Jeffrey Patanjo on behalf of MILDRED DAVID 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 March 25, 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 recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policies 6.3 & 9.3 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements: there is limited use of public access in area; and other docks of similar/larger lengths exist in adjacent area; and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on May 15, 2013, at which time all.interested persons were given an opportunity to be heard, and, r L WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the 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 for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of MILDRED DAVID to replace timber 4'x76' catwalk; 3'x12' aluminum ramp; and 6'x20' floating dock; new catwalk to have thru-flow decking over wetlands and remainder to be untreated lumber; and as depicted on the site plan prepared by Jeffrey Patanjo, last dated March 13, 2013, and stamped approved on May 15, 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: $ 1,406.00 Very truly yours, Bob Ghosio, Jr. Vice President, Board of Trustees BG/amn James F.King,President - Town hall Annex Bob,Ghosio,Jr.,Vice-President w r► 54375 Route 25,P.O.Box 1179 Dave Bergen P �' Southold,NY 11971 John Bredemeyer0,( yQ Telephone(631)765-1892 Michael Domino Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOL.D TO: �2 V`1, .,�)K t'114 Nw l Please be advised that your application dated. S12,543 has been reviewed by this Board at the regular meeting of . 6 1, . and your application has been approved pending the completion of the following items checked off below. Revised Plans for proposed project Pre-Construction Hay Bale Line Inspection Fee ($50.00) Is' Day of Construction ($50.00) Constructed ($50.00) Final Inspection Fee($50.00). Dock Fees($3.00 per sq. ft.). Permit fees are now due. Please make check or money order payable.to Town of Southold. The fee is computed.below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The foQowing fee must be paid'within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: �'nal pock- ke-S — co_4wa.lk `-t'x 7y (5eawarJ o� I-fWAO= ZqG � 3 `CLM p - 31 x I L I 3 to sq -4- -yc 0 3 per !gq,-C-. TOTAL FEES DUE: $' BY: James F. King, President Board of Trustees Peter Young,Chairman CO Town Hall,53095 Main Rd. Lauren Standish,Secretary ca 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., April 10, 2013 the following recommendation was made: MILDRED DAVID to replace timber catwalk 4'X 74', aluminum ramp 3'X 12' and 6'X 20' floating dock. Located: 3825 Stillwater Ave., Cutchogue. SCTM#137-1-3.1 Inspected by: Peter Young, Audrey Horton, William McDermott The project was not staked, therefore no recommendation was made. E C E VE D APR 1 5 2013 L __ I I James F.King,President �guFFUjk��� 0&G P.O.Box 1179 Bob Ghosio,Jr.,Vice-President y Southold,NY 11971 Dave Bergen � Telephone(631 765-1892 John Bredemeyer y, Fax(631)765-6641 Michael J.Domino G 'F Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: Jeffrey Patanjo on behalf of MILDRED DAVID requests a Wetland Permit to replace timber 4'x76' catwalk; 3'x12' aluminum ramp; and 6'x20' floating dock; new catwalk to have thru-flow decking over wetlands and remainder to be untreated lumber. Located: 3825 Stillwater Avenue, Cutchogue. SCTM# 137-1- 3.1 ZT pe of area to be impacted: altwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: "?�-Chapt.275 Chapt. 111 other Type of Application: _/1 Wetland _Coastal Erosion _Amendment —Administrative—Emergency Pre-Submission Violation Info needed: NO on I Modifications: Conditions: Present Were: J. King B. Ghosio D. Bergen, J. Bredemeyer / Michael Domino D. Dzenkowski other Form filled ou In the field by Mailed/Faxed to: ;- Date: 9 s V ow b r p • 0 UiJ U ar ,mil Wl Ise r !iAw it Jo AP Google earth feet 400 meters 100 Y142 ?1-20 0� s •+; r• •� A op vow + w t � r y all lip IL .t Google earth feet 400 meters 100 Y/I/ZC)ol auk FJ• / •�� ✓ h , /. ;�- 1 t a j J I � - H _ J Y •I . J 1, �. /•` ;yy f � .i -J/� �� �/ �_ yr ��/, .�+ } � ,�R ,� • .71 Google earth feet 400 meters 100 313016 Z�7 �7r�� � y y �• . ,t i 1 _ �.y 1 r ti •. ov le 3825 Stillwater Ave, Cutchogue, N,Y-1 1935. 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C'f y' a. T„ :a• v ..yr 6 rsuatit'# '.t a. "ro pis ons:cf.'Cli er 'ls 15 of.the Laws l:of Ae.-Stgte of New Yorks Ngg3, and Cjrapfer. 0.4:•af:thE±.l' { S#afe�'•of- NewW York 195 T anti'«the'Soiithald`7o+wn:brdiirance en- ;. t� v ' titled REGl1LA.TING ia'N THI~ pl AcjNG-.OF OBS.T,IWCTION$ IN.;AND.O:t TOWN: 'V1EATER5; P1JBI.1 LANDS 'and.fhe:. REMOVAL, OF S,atN t OR..0THE9.tv},ATERIALS FRO�vI .::. LANDS 'U.NDER TOV }:WATERS "i rid in..accordance Resolution:of The::Boari#;adapted•;at.:a, } 19......,.._ , And fie cori3rrJera�inii:::of the suirr;of. �...:..........:...:..;...-,. pad.b.Y: /'yam _ K.0 t �£oehler :.. :.........: e -�;':� '•' t4 �� _ .L1tCYl LlEr.� . ' N:' Y:".arid:.abject`fo• z Terms. and. Cohdjftfis. ,.[istad:.:cn. :'t{�e.. ce erse..: side'.. :hereof,.' E '' i of Svuthlc#-i'aWn Tru's1es authjonzes..arid :perrnr#s the fallowrgi plaeirFg..of ::dock: o ,pivate property a ::East.Gx'eek� :...iiri t11: conctitiorb tYs�t::..i't:. be:.;bult that ,f 18 inches' above :existing grass afl. in .auordairce :atith:the:detailed,s ec�ficatrons:.as. resented 'iri :' � i P P the..o�rgirwafi�ig`aPPjica ° u.. IN WITNESS:WHEREOF '.The said.Board-oof:.Trusfaes here- by onuses:ifs..Cprporate:Seat to_be affixes.:and..t}�ese.presenfs.:fo:` ':. be.subscribed b�;:ar:majacgy' :of the.:said-Board a �f fhrs.�afe:.: :.: Tq ... . ....:..... ,. ................ ' Trustees •:, ��:,.� •4.'.+''+�.��":;��.•-`�r*.+�f�'.i F.��..�.a.�.�.,,:a'x'�i 'e�rty��,�s�"ia�ra :bgy`'r,�2�, -19� 5 j ,� iStA,k l.�fh .�. f; �w�4��w ;�/ �' , lY yf ,S• f �� �. .�. .Y�S ! s •iggµ7���'Lha� �l,j.:�i `�•vY. ..?:'��wiun^S�ti5',..' ?vY.�,,�i �� " ?'TC'y��"{ �°1 r�`Ji'C,i .s4 y � =. +•.�nr,,z;1i; NO WIN !% Y _ ,tom '/n. w.lv.ea ;�Cf�i}• . TOWN OF SOUTHOLD TOWN CLERK'S OFFICE ' SOUTHOLD, N.Y. WETLANDS PERMIT This Wetlands Permit # 29 has been granted by the Southold Town Board according to information furnished in Application ',# 42 filed by Applicant Kurt A. Koehler, a/c Arthur and Mildred David on October 15 1979 A map of the proposed work will be kept on file in the Town Clerk's Office under the application number given. Permit granted to do the following work_ place a,36 ft. by 3 ft. wooden catwalk over a grass area at private property atEugene Creek, Cutchogue. Location of property on which work to be done Stillwater Avenue, Cutchogue, New York. Creek, Bay or Harbor fronting property. Eugene Creek Size of work: Length_ 6 ft. Width 3 ft. Height Above High Water 1 in. 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Sa. „k,.. •.,,. ,: c 3 t, .:: a o t.,yt• C: !if.. ;.: . ,. k x „f.l,, ,J„.-:.. .,:.., . .,,' J?fk`E ;I rtk / i .n,l.r- t f .] �,.g. .d'stir,:• . .. ..,,:.V .:,�..n 1 r;Ii ,.1.$ .. , :,. .t.: 5 ;:. r s.,tft J �F!y L yi J"f ,rt ::'m { {,..: t.. . .,, - :_,. tt. . . _ : : 0..-. 3 :YU.h 1- -Sr: '!r! %t.. }� sr ./ S > P. i' S ./ , h?e i. zr r v Ft. i' <'' OR a:, v5 J, -.c r.. v,. a YL r .rt- :'SOUTHOLD TOWN CONSERVATION ADVISORY.`COUNCIL :. ;. . Southold, N. Y.. November 28g 197�! wn d old To B .. . South " Maui Road -7 Southold, New York 11971 Gent lomen::e.' .: G , .: - . The followin :.action was: .taken by:;the: Southold' Town::, g . onservation. Advisory Council. at a- regular' ,meptizig held October. 230.::1979.: Resolved to- .recommend to, the Southold- Town`Board- approval of, Wetland Application .#42. `submitted by Mr..: Kurt A. Koehler on beYial' .of Mr: :and Mrs. . Arthur David. . The';application is `. for. permission to place' a :36a:. :x..3' wooden catwalk over. a grass: :: area. at private.'' at Eugene Creek; Cutchogue,. :.:. `..Yours truly, FRANK A. 'KUJAWSKIj JR. , CHAIRMAN SOUTHOLD TOV�N CONSERVATION :.. .. . ... _. . .. . , :�:;::•:. ADVISORY. COUNCIL... --~ oriel Tolman Secretar _ ` . ... 1 -------------------- 41 I c� 1 .s t' DEPARTMENT:.+Or. THE 'ARMY .` AU G 2 7 1980. . NEW.:Y!6iiK4-.6ISTRI:CY::CORRrs•..0f EPI13INE.ERS 76 .EEQERAL PLAZA NEW YORK.N.Y. 10007' i„..weer we►sw tre NANOP-E 25.August 1980 . Town Clerk ll Town-of Aduthdld I 53095'.Main Road Southold; NY 1L971 i Gentlemen:. �.. a haue. .received. a, request or Department•. of :the.Army auCbgri z'aCion far . the fbII_ ti.iig activity; $ubject:t0 maintaih a,ramp.And float arrangement with;associatet� piles: extending:.from,a'.previously•.suytlaYl zcd cata L. f Qx'xecre-at ioaal. Purposes: • In: .Eugg4*a Creek, Little .]Peconic. Bay At-, . . f Cutchogue Siaffolii.C ouraty, 'New York ;Application, by:. Arthur'&Mildred David ^ 369 Eaet.Road. Waodmere,. New`York 11598 *Ppli.cation No: 80-454 As. this.-work is: minor in.na:ture, :authorization,may be by Letter of Permission. This "is :accordi:ng .to .cur'rent:.Federa.l .Regulations goverriiug. s�iork in navigable waters of tine United States. 'To accomplish the-.degree'of-coordinati:on required fob the issuance of' '' Letter -.of Permission, your 'revieia, of, and comment:to.the .inclosed.of.the subject .-application, is requested. To ahow :for•the timely 'processing of the. se4bject..application,. your comments. •are.`:requested-<ri thin 20:days of,-.the date -of this. -letter,.*;, Sincerely yours., i PHIL Mc D OWT1 :Chie ,.:Regulatory Branch 40 .4 NADNY.'.FL-122 Jul 76 ' 3F � 7N►7Idn.HS C TELEPHONE- (516)t65-1882 . ..BOARD OF TOWN TRUSTEES . TOWN OF.SOUTHOLD Town Hall, 53095 Main Road . P.O. Box 728 Southold,New York 11971 CREEK STRUCTURES INVENTORY Current Owner's Name: !"if ,',fr! Index No.. 2 7. Address: - .* r.� A 1 Creek: Purchase Date: Telephone No. : Date of Field ,Work:' 7—g'-.�9y . Previous Owners: f _ i Permit Applicant, ' ` `` ; ,� ' Permit. No. q q „ Permit Specifications; , n y.3 ; i j Y�' f�Z: rG x ;f _ ` Specifications .Found:,- .��. rf.l .�,��= - 3i� -�4 Condition: Comments._ :. t">Jf ?,�/�,'.�1-' {''«' �'v,�r.• fi' .gry < ..i ,j ' l • March 23, 2013 NYS Dept. of Environmental Conservation SUNY @ Stony Brook 50 Circle Road Stony Brook, New York 11790-2356 Attention: Duty Analyst RE: 3825 STILLWATER AVE.CUTCHOOUE, NY SCTM No. 1000-137-01-3.1 APPLICATION FOR PERMIT Dear Sir/Madame: We hereby submit four(4)copies of the proposed plans, applications, deck, photographs and required data for permit approval for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 6314M-9332 or e-mail at jpatenjo@optonline.net. Very truly yours, ffr Patanjo 06 Hewitt Blvd. Center Moriches, NY 11934 cc: NYSDOS E C E 0 V E Town-of_Southold _-� Mildred David MAR 2 5 2013 Southold Town oar f Trustees 30INT APPLICATION FORM For Permits/Determinations to undertake activities affecting streams,waterways, „w waterbodies,wetlands,coastal areas and sources of water supply. US Army Corps of New York You must separately apply for and obtain separate Permits/Determinations from Engineers(USAGE) State each involved agency prior to proceeding with work.Please read all instructions. APPLICATIONS TO 1. NYS Department of Environmental Conservation 2. US Army Corps of Engineers 3. NYS Office of 4. NYS Depart- General Services ment of State Check all permits that apply: Check all permits that apply: ❑ Stream Disturbance ❑Coastal Erosion ❑ Section 404 Clean Water Act Check all permits that Check if this Management apply: a s: El Excavation and Fill in ❑ Section 10 Rivers and Harbors ❑State Owned Lands Coastal Navigable Waters ❑ Wild,Scenic and❑ Ac Under Water Consistency Docks, Moorings or Recreational Rivers Nationwide Permit(s)-Identify Concurrence ❑ Water Supply ❑Utility Platforms pp Y Number(s): Easement ❑ Dams and Impoundment ❑ Long Island Well (pipelines, Structures ❑Aquatic Vegetation Control conduits, ❑401 Water Quality cables,etc.) ❑Aquatic Insect Control ❑Docks Certification Preconstruction Notification- ❑ F eshwater Wetlands ❑ Fish Control ,�r Moorings or L� Y / ❑ N Platforms Tidal Wetlands Incidental Take of Endan- gered/Threatened Species ,�/ ❑ I am sending this application ❑ I am sending this I am sending Eli am sending this application to this agency. to this agency. application to this this application a enc . to this agency. 5. Name of Applicant(use full name) ApplicsO must be: 6. Name of Facility or Property Owner(if different than /� AA Owner Applicant) AA- UreiL De,jrGC. ❑Operator Mailing Address ❑ Lessee Mailing Address (check all that apply) ?. Post Office City Taxpayer ID(If applicant Post Office City is NOT an individual): Statue Zip Code State Zip Code Telephone(daytime) Email Telephone(daytime) Email 516- 3-7 7. Contact/Agent Je Name 8. Project/Facility Name Property Tax Map Section/Block/Lot Number ACre P&4an o Davtd C&4wv LlL I do0 . 137- o P— 3. 1 Company Name Project.Location-Provide directions and distances to roads,bridges and bodies of waters: 5ee �OGce TIC /is• • 4-r Mailing Address Street Address,if applicable Post Office City State Zip Code NY IDb fae /9LvcQ 3 ° �� 54cl�wwf`� �, C�feho5�c i1g35' Post Office City Town/Village/City County Ce-vi �er /Y1 or c�►cs �Sv.•-}-hdJA 5,-i- (,IL State Zip Code Name of USGS Quadrangle Map Stream/Water Body Name ij� 1.113 6..-t k.. I IL 6� en c- C t•eeIL Telephone(daytime), Location Coordinates: Enter NYTMs in kilometers, Latitude/Longitude L31 qy• 'q33a Email NYTM-E NYTM-N Latitude Longitude Pa-Fqv►i� aP�o•l1,nP.N�4- �1 'vo` � '� �a'a$'�3•06„ ;. _,,µ S y n 3 t y U` For Aaencv Use Only DEC,Application Number USAGE Num er a x <..,,. E. JOINT APPLICATION FORM 09/10 This is a 2 Page Application Application Form Page 1 of 2 Both Pages Must be Completed JOINT APPLICATION FORM-PAGE 2 OF 2 Submit this completed page as part of your Application. 9. Project Description and Purpose: Provide a complete narrative description of the proposed work and its purpose. Attach additional page(s) if necessary. Include: description of current site conditions and how the site will be modified by the proposed project; structures and fill materials to be installed; type and quantity of materials to be used (i.e., square ft of coverage and cubic yds of fill material and/or structures below ordinary/mean high water) area of excavation or dredging, volumes of material to be removed and location of dredged material disposal or use; work methods and type of equipment to be used; pollution control methods and mitigation activities proposed to compensate for resource Impacts;and where applicable,the phasing of activities. ATTACH PLANS ON SEPARATE PAGES. 6G 1W 0- Ccc-E"trGc t.IC. '4 LvM{N,.M 4"C" )41 d1 'T!i"g 1 � -I�oG(C. .lN11otiLt WLrc- e,_ L LuC-t GQurlNS r+ [ /4"lC 5-074L17 zt,✓ eP m4Aet, provcOJS ❑ Public Proposed Estimated G ^ _ Proposed Use: Private ❑Commercial :Date: 6- 1- is Completion Date: Has Work Begun on Project? ❑Yes ErNo If Yes,explain. Will Project Occupy Federal,State or Municipal Land? ❑Yes o If Yes,please specify. 10. List Previous Permit/Application Numbers(if any)and Dates: 11. Will this project require additional Federal,State,or Local Permits including zoning changes? Yes ❑No If yes,please list: I- M' D'PS I -r' - a v4�- So -) h�C[Q Tr, I.0-eef 12. Signatures.If applicant is.not the owner, both must sign the application. I hereby affirm that information provided on this form and all attachments submitted herewith is true to the best of my knowledge and belief. False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the Penal Law. Further, the applicant accepts full responsibility for all damage, direct or Indirect, of whatever nature, and by whomever suffered, arising out of the project described herein and agrees to indemnify and save harmless the State from suits, actions, damages and costs of every name and description resulting from said project. In addition,Federal Law, 1S U.S.C.,Section 1001 provides for a fine of not more than $10,000 or imprisonment for not more than 5 years, or both where an applicant knowingly and willingly falsifies, conceals,or covers up a material fact;or knowingly makes ori; es a false,fictitious or fraudulent statement. R'-C_ Z1_e_1i/ ��1 I��C' c� JCtU Do,,�N��- 3 , Signature of Applicant P in ed N m Title Date lej & ra Signature of Owner Printed Name Title Date -Tc(*(e �a �AN) o fl�cr-F 3 3- 13 n u ee of A e n t Printed Name Tie Date Fnr`d'ni+nrvSe OnIV� " �' DETERMIIVAi'ION OF NO PERMITREQUiREDz ;L f Agency Project Numbers t.fias determinedt that No Permit is required from this Agency for thetproject described in (AgencyNarne)C r this'ap�pljication ti r F k Title Agency Representative =Narne=(printed) z � r Signature Date ; JOINT APPLICATION FORM 09/10 Application Form Page 2 of 2 New York State _ Department of Environmental Conservation oboe 1W PERMISSION TO INSPECT PROPERTY By signing this permission form for submission with an application for a permit(s)to the Department of Environmental Conservation("DEC"),the signer consents to inspection by DEC staff of the project site or facility for which a permit is sought and,to the extent necessary, areas adjacent to the project site or facility. This consent allows DEC staff to enter upon and pass through such property in order to inspect the project site or facility,without prior notice,between the hours of 7:00 a.m.and 7:00 p.m.,Monday through Friday. If DEC staff should wish to conduct an inspection at any other times,DEC staff will so notify the applicant and will obtain a separate consent for such an inspection. Inspections may take place as part of the application review prior to a decision to grant or deny the permit(s)sought. By signing this consent form,the signer agrees that this consent remains in effect as long as the application is pending, and is effective regardless of whether the signer,applicant or an agent is present at the time of the inspection. In the event that the project site or facility is posted with any form of"posted"or"keep out"notices,or fenced in with an unlocked gate,this permission authorizes DEC staff to disregard such notices or unlocked gates at the time of inspection. The signer further agrees that during an inspection,DEC staff may, among other things, take measurements, may analyze physical characteristics of the site including, but not limited to, soils and vegetation(taking samples for analysis),and may make drawings and take photographs. Failure to grant consent for an inspection is grounds for, and may result in, denial of the permit(s)sought by the application. Permission is granted for inspection of property located at the following address(es): v e C u'de- k tf93 � By signing this form, I affirm under penalty of perjury that I am authorized to give consent to entry by DEC staff as described above. I understand that false statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the Penal Law.* Print Name and Title Signature Date *The signer of this form must be an individual or authorized representative of a legal entity that: • owns fee title and is in possession of the property identified above; • maintains possessory interest in the property through a lease,rental agreement or other legally binding agreement;or • is provided permission to act on behalf of an individual or legal entity possessing fee title or other possessory interest in the property for the purpose of consenting to inspection of such property. Permission to Inspect Property Application Supplement 12/08 617.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I -PROJECT INFORMATION To be completed by Applicant or Project Sponsor) 1. APPLICANT/SPONSOR p 2. PROJECT NAME A A i l d!`C Gl 3. PROJECT LOCATION: Municipality J m 4 k o t o County 4. PRECISE LOCATION(Street address and road intersections,prominent landmarks,etc.,or provide map) S4-ctlwA7t-e 5. PROPOSED ACTION IS: ❑ New Expansion Modification/alteration 6. DESCRIBE PROJECT BRIEFLY:/ [L&p lace Ccr'f w �,1G (Lrti ek ( S--t et 5�u rl t S. 7. AMOUNT OF LAND AFFECTED: Initially •d! acres Ultimately t acres 8. WILL PR9POSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? Yes ❑ No If No,describe briefly 9. WHAT ISiPRESENT LAND USE IN VICINITY OF PROJECT? QResidential Industrial Commercial Agriculture Park/Forest/Open Space Other Describe: Q 10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING,NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FED RAL,STATE OR LOCAL)? Lvj Yes No If Yes,list agency(s)name and permit/approvals: Ll 11. DOES ANY ASPECT OF T CTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Yes to !A If Yes,list agency(s)name and permit/approvals: 12. AS A RESULT OF PROPQ.%ED ACTION WILL.EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? Yes No I CERTIFY THA T E INFO MAT ON PROVID ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: L/ � � Date Signature: If the action is in the Coastal Area, and you area state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 3 PART II - IMPACT ASSESSMENT To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617.4? If yes,coordinate the review process and use the FULL EAR ❑Yes No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration may be superseded by another involved agency. Yes No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,if legible) C1. Existing air quality,surface or groundwater quality or quantity,noise levels,existing traffic pattern,solid waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly: C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly: C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly: C4. A community's existing plans or goals as officially adopted,or a change in use or intensity of use of land or other natural resources?Explain briefly: C5. Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly: C6. Long term,short term,cumulative,or other effects not identified in CI-05? Explain briefly: C7. Other impacts(including changes in use of either quantity or type of energy)? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA(CEA)? Yes No If Yes,explain briefly: E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? El Yes M No If Yes,explain briefly: PART III-DETERMINATION OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determine whether it is substantial,large,important or otherwise significant. Each effect should be assessed in connection with its(a)setting(i.e.urban or rural); (b)probability of occurring; (c)duration;(d)irreversibility;(e) geographic scope; and(f)magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question D of Part II was checked yes,the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. Check this box if you have determined,based on the information and analysis above and anysupporting documentation,thatthe proposed action WILL NOT result in any significant adverse environmental impacts AND provide,on attachments as necessary,the reasons supporting this determination Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(If different from responsible officer) NEW YORK STATE DEPARTMENT OF STATE COASTAL MANAGEMENT PROGRAM Federal Consistency Assessment Form An applicant,seeking a permit,license,waiver,certification or similar type of approval from a federal agency which is subj ect to the New York State Coastal Management Program(CMP),shall complete this assessment form for any proposed activity that will occur within and/or directly affect the State's Coastal Area. This form is intended to assist an applicant in certifying that the proposed activity is consistent with New York State's CMP as required by U.S. Department of Commerce regulations(15 CFR 930.57).It should be completed at the time when the federal application is prepared. The Department of State will use the completed form and accompanying information in its review of the applicant's certification of consistency. A.APPLICANT (please print) 1.Name: /LA I 1{ J- - D AU 6lX 2.Address: a Ews-F 6Y4-1 S�- : w �u21L4 tOOG !5-- 3.Telephone: Area Code( ) 57 6 3'7 B.PROPOSED ACTIVITY 1.Brief description of activity: S-f e„rt�� 2.Purpose of activity: �k r S4 1^' �� C G C t'1 L 1 J wl/.- s 3.Location of activity: 5v� LIIL C-4 ,k 5uc 3 g 2 5-- S�r County City,Town,or Village Street or Site Description 4.Type of federal permit/license required: �✓L�I'� �-/ '('Yl 5.Federal application number,if known: 6.If a state permit/license was issued or is required for the proposed activity,identify the state agency and provide the application or permit number,if known: �K 5 0E— C.COASTAL ASSESSMENT Check either"YES"or"NO"for each of these questions. The numbers following each question refer to the policies described in the CMP document(see footnote on page 2)which may be affected by the proposed activity. 1.Will the proposed activity result in any of the following: YES/NO a.Large physical change to a site within the coastal area which will require the preparation of an environmental impact statement? (11,22,25,32,37,38,41,43). ..... ... ... . .. . b.Physical alteration of more than two acres of land along the shoreline,land under water or coastal waters? (2, 11, 12,20,28,35,44).. . ... .. .. .... ... . .. ...... 11 El' c.Revitalization/redevelopment of a deteriorated or underutilized waterfront site? (1). . .. .. d.Reduction of existing or potential public access to or along coastal waters? (19,20). ..... E e.Adverse effect upon the commercial or recreational use of coastal fish resources? (9,10)... f.Siting of a facility essential to the exploration,development and production of energy resources in coastal waters or on the Outer Continental Shelf? (29)..... . .... .... ..... g. Siting of a facility essential to the generation or transmission of energy? (27).... .... .. . r h.Mining,excavation,or dredging activities,or the placement of dredged or fill material in coastal waters? (15,35).. .. .... .. .. . . .... . ........... .... .. .... .... ...... .. i.Discharge of toxics,hazardous substances or other pollutants into coastal waters? (8, 15,35) E j.Draining of stormwater runoff or sewer overflows into coastal waters? (33).... .... .... EL k.Transport,storage,treatment,or disposal of solid wastes or hazardous materials? (36,39). 1.Adverse effect upon land or water uses within the State's small harbors? (4).... .. .. .. .. ri 2.Will the proposed activity affect or be located in,on,or adjacent to any of the following: YES/NO a.State designated freshwater or tidal wetland? (44).. ....... . . ... . . .... .. .... .. ... . 0 b.Federally designated flood and/or state designated erosion hazard area? (11, 12, 17,). ... . c.State designated significant fish and/or wildlife habitat? (7). ... .. ..... ...... .. .... . d. State designated significant scenic resource or area? (24). ... . .... .. .. .. .. . ..... ... 1 e.State designated important agricultural lands? (26)... . . .. . . .. .. . ..... .. ...... .. . . 121 f.Beach,dune or barrier island? (12). .. ... ... . ...... . .... . . . ... .. .. . . .... ...... g.Major ports of Albany,Buffalo,Ogdensburg,Oswego or New York? (3)... . ..... .. .. . . h.State,county,or local park? (19,20). . ... .. ... . . . .. .. .. .. ... . .... .. .... . .... . . i.Historic resource listed on the National or State Register of Historic Places? (23)... ... . . - 3.Will the proposed activity require any of the following: YES/NO a.Waterfront site? (2,21,22).. . .. . . .. .... .. . ... .. . .. . .. . . .. .. . . . . . . ..... . .. .. — — b.Provision of new public services or infrastructure in undeveloped or sparsely populated ®sections of the coastal areal 5( . .. ... . ... . .. .. ... ... . . .. . ... . . .. .. .... .. c.Construction or reconstruction of a flood or erosion control structure? (13, 14, 16).. .... . d.State water quality permit or certification? (30,38,40). ... .. .. ... . . .. . .. I... . . . ... e.State air quality permit or certification? (41,43) 4. Will the proposed activity occur within and/or affect an area covered by a State approved local waterfront revitalization program? (see policies in local program document).. . . ... . .. .. . . j D.ADDITIONAL STEPS 1.If all of the questions in Section C are answered"NO",then the applicant or agency shall complete Section E and submit the documentation required by Section F. 2.If any of the questions in Section C are answered"YES",then the applicant or agent is advised to consult the CMP,or where appropriate,the local waterfront revitalization program document*.The proposed activity must be analyzed in more detail with respect to the applicable state or local coastal policies. On a separate page(s),the applicant or agent shall: (a) identify,by their policy numbers,which coastal policies are affected by the activity,(b)briefly assess the effects of the activity upon the policy; and,(c)state how the activity is consistent with each policy. Following the completion of this written assessment,the applicant or agency shall complete Section E and submit the documentation required by Section F. E.CERTIFICATION The applicant or agent must certify that the proposed activity is consistent with the State's CMP or the approved local waterfront revitalization program,as appropriate. If this certification cannot be made,the proposed activity shall not be undertaken. If this certification can be made,complete this Section. "The proposed activity complies with New York State's approved Coastal Management Program,or with the applicable approved local waterfront revitalization program,and will be conducted in a manner consistent with such program." Applicant/Agent's Name: Jl f-.Fre-!l .0wA641 1 0 Address: /Db +1aw1 &.16Q- Ce-114ee- 1 ib/IcA,S. Telephone: Area Code( ) .3 `7 s q- 3 3 Applicant/Agent's Signature: Date: 3 •13-/ '3 F. SUBMISSION REQUIREMENTS 1.The applicant or agent shall submit the following documents to the New York State Department of State,Office of Coastal,Local Government and Community Sustainability,Attn:Consistency Review Unit,1 Commerce Plaza,99 Washington Avenue-Suite 1010,Albany,New York 12231. a.Copy of original signed form. b.Copy of the completed federal agency application. c.Other available information which would support the certification of consistency. 2.The applicant or agent shall also submit a copy of this completed form along with his/her application to the federal agency. 3.If there are any questions regarding the submission of this form,contact the Department of State at (518) 474-6000. *These state and local documents are available for inspection at the offices of many federal agencies,Department of environmental Conservation and Department of State regional offices,and the appropriate regional and county planning agencies. Local program documents are also available for inspection at the offices of the appropriate local government. eyt]-tn 04y68y 0~ ]e ny O ry i `'e n Pt P \ Otf 2y��\ �• \ a 9� 4a� � 1�•P t `,�r f �1n x1 ax � xa z. eB x] ]�(c T p iyA y a y . ` e 1 9 f � Nay e 0 1e :..r. w cllc�; COUNTYOFSUFFOLK ar SEC ON NO E err-ems —"z— '� Cttl e...w --.-- oww -- -- ©. K SWTNOI➢ e e�uw ------ . O2 --T-- w Real Property TaxService Agency v • f E ti-..• w �_� --.-- e.:e --.-- ti Cewry Cfmv r]mra.NY11M M 1.31 A Iru rmfixo y ^ drr rr ..re RiruRmarnwwr9rmmifo wm m as w11w]wrmfnmlmf�xtPn¢ u.r �— wr.m wtnwvr. tm a :m tm r r.s P pe tW0 PROPERTY MAP OFFICE LOCATION: o��rjF so yo1 MAILING ADDRESS: Town Hall Annex 0 P.O. Box 1179 54375 State Route 25 l Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) Southold, NY 11971 Telephone: 631 765-1938 Fax: 631 765-3136 Irou LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM D E To: Jim King, President Town of Southold Board of Trustees NOV 1 3 2013 From: Mark Terry, Principal Planner LWRP Coordinator �u+► -.+ Boad 0t.ilLq� Date: November 13, 2013 Re: Proposed Wetland Permit for MILDRED DAVID SCTM#1000-137-01-3.1 Jeffrey Patanjo on behalf of MILDRED DAVID requests an Amendment to Wetland Permit#8171 for a proposed 4'x97' fixed elevated catwalk; new catwalk to have Thru-Flow decking over wetlands and remainder to be untreated lumber; a 3'x12' aluminum ramp; and a 6'x20' floating dock with two 8" diameter piles in an "L" configuration. Located: 3825 Stillwater Avenue, Cutchogue. SCTM# 137-1-3.1 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is INCONSISTENT with the LWRP and listed policy standards provided below. -9.3 Preserve the public interest in and use of lands and waters held in public trust by the state and the Town of Southold A. Limit grants, leases, easements, permits or lesser interest in lands underwater in accordance with an assessment of potential adverse impacts of the proposed use, structure, or facility on public interest in public lands under water. The dock structure will extend into public water and result in a net decrease in public access to/on public underwater lands. The applicant en'o s access to public water via an existing permitted dock structure. 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 Peter Young,Chairman ti 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., November 6, 2013 the following recommendation was made: Moved by William McDermott, seconded by Jack McGreevy, it was RESOLVED to SUPPORT the application of MILDRED DAVID to Amend Wetland Permit #8171 to install a 97'X 4' wide fixed pier, 12' X 3' wide aluminum ramp and 6'X 20' floating dock in the same location as the original, using Thru-Flow grating above the limits of wetlands and the remainder will have untreated decking. Located: 3825 Stillwater Ave., Cutchogue. SCTM#137-1-3.1 Inspected by: William McDermott Vote of Council: Ayes: All Motion Carried r October 15, 2013 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 D �a P.O. Box 1179 b � f Southold, New York 11971 RE: 3825 STILLWATER AVE. CUTCHOGUE, NY OCT 17 2013 in SCTM No. 1000-137-01-3.1 PERMIT AMENDMENT O�};.'.�'-x. - T Dear Trustees: Attached please find the following items: 1. Six(6) copies of revised plans 2. Four(4) copies of approved NYSDEC permit 3. Check no. 220 in the amount of$50 4. LWRP Consistency Assessment Form By way of this letter we request an amendment to the previously approved application submission. The proposed scope of work has been modified based on the request of the NYSDEC (permit enclosed) and revised plans included for your review. The new scope of work is as follows: The proposed project includes the installation of a 97'long x 4'wide fixed pier, 12'long x 3'wide aluminum ramp & 20'long x 6'wide floating dock in the same location as the original which have been lost during storms. The proposed fixed pier will have Thru-Flow grating above the limits of wetlands and the remainder will have un-treated decking. The proposed scope of work was revised per comments by the NYSDEC and their requirement to meet the minimum water depth of 30"at mean low water. This was accomplished by rotating the floating dock 90 degrees and extending the pier 21'. These revisions to the layout extend the seaward edge of the float a mere 6'further into the water body but allow for the minimum water depth. This is mainly due to the orientation of the floating dock. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very ly yours, J reEPatanJo 06 Hd. Center Moriches, NY 11934 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: CIO I LX e46At (byp VkYa M. ary �h�1 v�lG�� �h4�. Nk clj"'C C fmY ,Pzte*- &OA I )luokr ue, 02P U'S ) 75 E STATE OF NEW YORK � raa9 COUNTY OF S nUFFFOLK Jr-ffyt Nam , residing at o (p -1-(�I�\ . ,g��d Vl Il being duly sworn, deposes and says that on the 30 day of 0GECkDul", 201 Z), 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 assessmeV '� oll of the Town of Southold; that said.Notices were mailed at the United States Post Office at I CkV,,S ,that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. i Sworn to before me this Day of ('�-Q��Q�,20 �5 Notary Public Loriann Patanio Notary.Public State?fl ew York Qua hfied:•in Suffolk County No:01 PA6150861 Commission Expires 20'7/20 j ■ • • rn Ln •. °zr rA Ln ,Y,. ;'t�.� �`' °^�1• '-""*.•� S A L "^�'� ems+ �,,, Postage . ,C:, ru $ 4�.L}u a`C H�S ! Certified Fee LU Postage )- A s [` I Return Recel t Fee ^_-^ 55 O Here `~T.iG C3 O I I � P o �, Certified Fee postma M (Endorsement Requi t� red) r� J ^ �` T O 2b�3 Restricted Delivery Fee �' 'i U5Q5 Return Receipt Fee $22.55 QC1 J �V°�� M (Endorsement Required) C7 (Endorsement Required) Restricted Delivery,Fee U,Vv W 0 (Endorsement Required) Total Postage&Fees [�- � +'��,i� I Sent To Total Postage&Fees U I ---------------- rq - Sent To __--,___---= 0 Street,Apt.No.; N r or PO Box NO. r^� - -- Streef,Apt.No.; --"---"'""" State,ZIP+4 o ------------------ [`- or PO Box No. i . City,State,ZIP; ru PostageLn Qo �j Postageri Certified Fee postmark Certified Fee ,,}.L( �Cjr, ^ 55 Post rk � � Return Receipt Fee Vie„,�,� ri O (Endorsement Required) C] Return Receipt Fee J `a uC� Restricted Delivery Fee ;�;�; (? (Endorsement Required) �� C] (Endorsement Required) Restricted Delivery Fee $0.10v � r`- � d:i y',.R 1-, O (Endorsement Required) 3•:,..�..I. 1{;�•v,�C�J �" Total Postage&Fees r`- d/ � �:^^:1z C3 Total postage&Fees $ N Sent To s o '-------------------- rq f1J Sent To ----------- O Street,Apt.No.; ----------- r or PO Box No. ----------------- ------------------------- C7 Street Apt.No.; City Efate,ZIP+4 (�- or PO Box No. City,State,ZIP+4 -a' ' o�Qg�FF,U(k�d James F.King,President C Town Hall,53095 Main Rd. coo Bob Ghosio,Jr.,Vice-President %81 P.O. Box 1179 Dave Bergen Southold,NY 11971 John Bredemeyer 'fj Off` Telephone(631)765-1892 Michael J. Domino ¢x �`� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of MILDRED DAVID COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR EIGHT DAYS I, 2 PK'I(.CJf 1• , residing at/dba 10(p �� o- �V-d _ C. MDY►ckys NJ I i q�!)4 being duly sworn, depose and say: That on the 8 day of/]0�(18 r,110'W 20 13, I personally posted the property known as � �.31—r►1 water Ccye �oa�.�..2. by placing the Board of Trustees official poster whit 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,November 13, 2013. Dated: (/na ffe) Sworn to before me this �,5 day ofAJOV. 2013 Notary Public Lodann Patanl10 Notary Public State ofNew York Qualfied in Suffolk County No:01 PA6150861 Commission Expires 0&07/20d lar U TI -1w- E -ior F HEARI ***4 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. OWNER(S) OF RECORD. SUBJECT OF PUBLIC HEARING: Amendment to Wetland Permit #8171 for a_proposed 4'x97' fixed elevated catwalk; new catwalk to have Thru-Flow decking over wetlands and remainder to be untreated lumber; a 3'x12' aluminum ramp; and a 6'x2O' floating dock with two 8" diameter piles in an "L" configuration. TIME & DATE OF PUBLIC HEARING: _ C, J1411ses,4mv4ove bey 13 20 t3, - 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 during normal business days between the ours o 8 a.m and 4 p.m. - BOARD OF TRUSTEES. * TOWN OF SOUTHOLD * (631 ) 765- 1892 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 evaluatect as to its sig ufg� ficant 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 e�launed in detail, listing both supporting and non- ..sunportiag facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at website(southoldtown.northfork.net), the Board of Trustees Office, e e local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION VL1 1 7 2013 SCTM# 13 7 b 1 - 3• ! 7w, oar PROJECT NAME 38as 5ftI1we,+ef Ave, , hVgve The Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate-response); (a) Action undertaken directly by Town agency(e.g.capital ❑ -construction,planning activity,agency regulation,land transaction) ❑ (b). Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: �Q�PIa�t -1-i.�.�btr ea-1-w.. CIL i name "�► �k l®� ��9 �oeIC. fobf �u.ir+� S-�or'.r1 w.-th nyew R'l� 1."2 x 1l'4VIde PIG2 ovt2 w�-E'�u.►IOCS 4v hAV-e. et-ec Gt p1 ndl < V"-Irf ar ` ir&4'6lr cif ec4,j g - (! Location of action: Site acreage: • 6`t S Present land use: '2e 5 i d'CAiq-&'C Present zoning classification: J,CS,1P z-m 2. If an application.for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: p (a) Name of applicant: -n/1 + l I c e& 0 O V 1 � (b) Mailing address: ail Ea 5 4- (�`I t S 1006 5- (c) Telephone number: Area Code( } S 16 - 3 7 6 -g 3 3 y (d) Application number,if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes No❑ If yes,which state or federal agency? N'ls0EG 1 Ate^+-y C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space,makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III-Policies; Page 2 for evaluation criteria. [2�res ❑ No ❑ Not Applicable -T' mo ec.A tt(lke.-.S e-n4wc.t-11 cQ .Fl- -'� v l(I C a,A 2 an&- Gi. l l o wS -(V < < S S -�s w u�t It f LAI t Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III-Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ � No !� Not Applicable 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 dyes ❑ No ❑ Not Applicable ProilL is GDNsc hbo2�,..y Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No E Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of.Southold. See LWRP Section In —Policies Pages 16 through 21 for evaluation criteria ElYes El � No ID Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the'quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. �❑ ❑ ✓Yes No Not Appli; �e C n P of c eu.�wu(,(L to[ (� u t G G c —f�i f y- +�Cmw o�-ee. !.✓C-� 4✓I�S -�'o ,PihCo�`s..�je 6f�f�w��. �-�-��w� Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III -- Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria.. ❑ Yes ❑ No E 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. Ye� ❑ No Not Applicable froler-+ Pi'yvitkes (1—r-1e,L vt� vF wu-}.r ...� -. ..� �► � 'k ��e �K�NS mF Hsu-�-s Attach additional sheets if necessary r WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies;Pages 47 through 56 for evaluation criteria. E1' Yes ❑ No ❑ Not Applicable rfe►IZC4 'sr..+5 -1Of -eeess ±D t.✓w're rw 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 U loot 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 E Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. 'See LW'RP Section III—Policies;Pages 65 through 68 for evaluation criteria. El yes 1-1No C_J Not Applicable PREPARED BY Tart ti �a-��� 1 TITLE DATE October 25, 2013 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE: 3825.STILLWATER AVE. CUTCHOGUE, NY SCTM No. 1000-137-01-3.1 CHECK Dear Amanda: As discussed, attached is check No. 223 in the amount of$1,406.00 for the original permit so as to allow processing of the amendment. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Ve ruly yours, �� Jeff ey Pata 1 1 Hewitt Blvd. OCT 2 8 2013 Center Moriches, NY 11934 ... . I December 31, 2013 Town of Southold Trustees - •- Town Hall Annex Building 54375 Rte. 25 JA N - 6 2014 P.O. Box 1179 Southold, New York 11971 � •/.T RE: 3825 STILLWATER AVE. CUTCHOGUE, NY SCTM No. 1000-137-01-3.1 CHECK Dear Trustees: Attached please find check No. 260 in the amount of$216.00 for the permit fee. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly.yours, Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 { OFFICE LOCATION: ��g so yo MAILING ADDRESS: Town Hall Annex ,`O l0 P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) � ,e Telephone: 631 765-1938 Southold, NY 11971 G Q . Fax: 631 765-3136 cou LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM p ECEIME To: Jim King, President Town of Southold Board of Trustees APR 3 0 2013 From: Mark Terry, Principal Planner Southold Town LWRP Coordinator Board of Trustees Date: April 30, 2013 Re: Proposed Wetland Permit for Mildred David SCTM#1000-137-01-3.1 Jeffrey Patanjo on behalf of MILDRED DAVID requests a Wetland Permit to replace timber 4'x76' catwalk; 3'x12' aluminum ramp; and 6'x20' floating dock; new catwalk to have thru-flow decking over wetlands and remainder to be untreated lumber. Located: 3825 Stillwater Avenue, Cutchogue. SCTM# 137-1-3.1 The applicant is proposing the replacement of a catwalk/dock. A permit (1446)was issued in 1980 for a dock structure with a.catwalk length of 36'; a 12' ramp and 10.418 float. The current proposal does not conform to the permitted catwalk/dock dimensions. The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is INCONSISTENT with the LWRP and.listed policy standards provided below. Policy 6. Protect and restore the quality and function of the Town of Southold ecosystem 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions i The dimensions of the proposed dock do not meet the dimensions of the permitted structure (Permit 1446) and therefore the action is not a replacement. 9.3 Preserve the public interest in and use of lands and waters held in public trust by the state and the Town of Southold. A. Limit grants, leases, easements, permits or lesser interest in lands underwater in accordance with an assessment of potential adverse impacts of the proposed use, structure, or facility on public interest in public lands under water. The dock structure will extend into public water and result in a net decrease in public access to/on public underwater lands. The applicant enioys access to public water via an existing permitted dock structure. 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 Office Use Only ___,coastal Erosion Permit-Application Wetland Permit Application Administrative Permit / _Amendment/Transfe L5/Exte sion D E V "Received Application: 312611 3 eived Fee:$ K Vompleted Application MAR 2 5..2013 Incomplete _SEQRA Classification: Type I Type II Unlisted �oordination:(date sent) Southold Town 092W ncy Asse sment Form oa f use s nt:n:Report: Lead Agency Determination: �echnical Review: Public Hearing Held: Resolution: Name of Applicant M+I of t e k Address a +Eas4 6g4h 5T. /Jew yd(lL, MN 9 0065 Phone Number:( Suffolk County Tax Map Number: 1000- )3 7 - 01 Property Location: 3 0 85' 54. 1f w,.-f'Cr -AyL . C �'�h� 4ue . c�►�-1 (provide LILCO Pole#,distance to cross streets, and location) AGENT: r e (If applicable) Address: l R 3 N Phone: b 3 l �I Q y' 9 3 3 S�`� Board of Trustees Application GENERAL DATA Land Area(in square feet): 3 n, ►2 6 s r- Area Zoning: Jz 5 Previous use of property: Rc s, �' '�-C- Intended use of property: Covenants and Restrictions: Yes ✓ No If"Yes",please provide copy. Does this project require a variance from the Zoning Board of Appeals Yes ✓ 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 ✓ No Does the structure(s)on property have a valid Certificate of Occupancy ✓ Yes No Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ✓No Yes If yes,provide explanation: Project Description(use attachments if necessary): Q CLa-�W�t,L.1L C�l01 ?ly1q/V�NC.)� ��VM�N t>M '`!*fir ��.! � --.- 9 L✓�/.0 qrtcQ Y�+��IiN� pOL� ` L ,k Zr 14cfi4 b epe- A Zvs-1 / E(V,r l ftuVL T��v��low � �j fu f "� 5 • N 11w tctAf-w a.(,I L 'to e,14e A' OVevc- wG-II-I k✓ZGGS a r► c2 (L �it�tal.w�/z ✓N �T,�CctiTt� { II14 e Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: /�!✓.wcnfv.v, fLkM �12`Lo 3 t °���. Ci✓ndZ (-10'A 'i,vQ Ocit �o�?c ao '� w �i��� r,✓e✓,- R.IL ccc4 -Lv hav-L G-��witt�S an� (C/�'►u t N�� r('t Area of wetlands on lot: 2 3 3 o square feet Percent coverage of lot: -7 % Closest distance between nearest existing structure and upland edge of wetlands: o feet Closest distance between nearest proposed structure and upland edge of wetlands: D feet Does the project involve excavation or filling? No Yes If yes,how much material will be excavated? "'l A cubic yards How much material will be filled? 144 cubic yards Depth of which material will be removed or deposited: IV I'* feet Proposed slope throughout the area of operations: +��A- Manner in which material will be removed or deposited: N 1 A 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): —r A,lit ,,,, l( ;e y.[. "L� /,.r S 2 w � � e�,-�o,.� - u(� �l+d✓ ��G�W �Z G`L[,J c� . 617.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I -PROJECT INFORMATION To be completed by Applicant or Project Sponsor) 1. APPLICANT/SPONSOR p 2. PROJECT NAME AAA tdf'teQ 3. PROJECT LOCATION: Municipality J o ✓�'Lt o �� County 4. PRECISE LOCATION(Street address and road intersections,prominent landmarks,etc.,or provide map) -j S 2 S S att.c. Awe cv-t~c' L"'c 5. PROPOSED ACTION IS: New Expansion Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: (LG l e4 e, Cu-�w.. 04, (Lk,►., � � 1Gr!�w� L" S� 7. AMOUNT OF LAND AFFECTED: Initially •n 1 acres Ultimately f acres 8. WILL PR9POSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ff s EJNo If No,describe briefly 9. WHAT I RESENT LAND USE IN VICINITY OF PROJECT? Residential Industrial Commercial Agriculture Park/Forest/open Space Other Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING,NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FED RAL,STATE OR LOCAL)? Yes No If Yes,list agency(s)name and permittapprovals: —taw 4w .. La 1 r,--4'�0 oS 11. DOES ANY ASPECT OF T CTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ElYes [ "o If Yes,list agency(s)name and permit/approvals: 12. AS A RESULT OF PROP D ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? Yes I LrNo I CERTIjF�Y THA T E INFO MAT ON PR?OVID ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE p Applicant/sponsorname: /,/6 / G% z/s, Date. Signature: R e=:� �z If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 E Res®t= j PART It- IMPACT ASSESSMENT o be com feted by Lead Agency). A:DOES ACTION EXCEED ANY TYPE t THRESHOLD IN 6 NYCRR,PART 617.47 If yes,coordinate the review process and'use the FULL EAF. ❑Yea Q No 13. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration may be superseded by another involved agency. ❑ Yes Q No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answer;may be handwritten.If legible) C1. Existing air quality,surface or groundwater quality or quantity,noise leveis,existing traffic pattem;solid waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly: C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly: C3. Vegetation or fauna,fish,shellfish•or wildlife-spedes,significant habitats,or threatened or endangered spedes?Explain briefly: C4. A community's existing plans or goals as officially adopted,or a-change in use or intensity of use of Land or other natural resources?Explain briefly: C5. Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly: C6. Long term,short.term,cumulative,or other effects not identified in C1 C5? Explain briefly: C7:Other impacts(indudin2 chap es in use of either 9pantitz or!yEe of ener ? Ex lain briefl : — D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CEA 7 If Les,explain bdefl : Yes Q No E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes lain: •❑•Yes Q No PART III-DETERMINATION.OF SIGNIFICANCE(To be completed by Agency) INSTRUCTIONS: For each adverse effeatidentified above,determine whetherit is substantial,Large,important or otherwise significant Each effect should be assessed in connection with its(a)setting(i.e.urban or rural);(b)probability of occurring;(c)duration;(d)irreversibility;(e) geographic scope-,and(0 magnitude. If necessary,add attachments or reference supporting materials. Ensure that explanations contain- . - sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes,the determination of significance must evaluate the potential Impactofthe proposed action on the environmental eharactedstics of the CEA. Cheek this box If you have Identified one or more potentially large or sidnificantadverse impacts which MAY occur.Then proceed directly to the FU FAF and/or prepare a positive declaration. Check this box if you:have determined,based on the information and analysis above and any supporting documentation,that the proposed acdo WILL NOT result in any significant adverse environmental impacts AND provide, on'attachments as necessary, the reasons supporting(Ohl! determination. Board of Trustees 7 �—O !3 ,f Name of lead Agency t Date ri/,� 11`/�� r`• ��1 President Lrl Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer ignature of Responsible Officer in Lea gency Signature of Preparer(If different from responsible officer) J PROOF OF MAILING OF NOTICE . ATTACH CERTIFIED MAIL RECEIPTS Name: Address: El Chaar ��t�F �J B1shrp.� 6mic A vel. mm. VIODkia 021 1,5 jh 4L4C, CA&4tA 10,5 U-e� Jose h E Iranc.�.o ,t try /'7�l �' y e, o�►� r P STATE OF NEW YORK COUNTY OF SUFFOLK .v , residing at& t c81 y-d . 34 , being duly sworn, deposes and.says that on the Gj day ofAaln 1 , 20_L5, deponent mailed a true copy of the Notice set forth in the BoarA 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 C,Q mpri that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. Sworn to before me this Day ofAvyd. , 20 Notary Public Lodann Patanl10 Notary Public State of1w York Qualified in Suffolk County No:01 PA6150861 Cnrn.ntission Expires 08/07/200 . �a4�Qg>JF FO(k�dG James F. King,President Town Hall,53095 Main Rd. Bob Ghosio,Jr.,Vice-President 2 , P.O.Box 1179 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 BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of MILDRED DAVID COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING TO BE COMPLETED A FTER POSTING REMAINS IN PLACE FOR EIGHT DA IS I, JO�� ?A-I arL Q , residing at/dba f kW 1 &, BI VG) . NAr nnor C►g s Ny I I g 3 being duly sworn, depose and say: That on the day of , l'I I , 201-1 I personally posted the property known as ,5&5 Shl wadfie. W-choaue Ny I IQ55 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,April 17, 2013. Dated: s'gn ure) Sworn to before me this ` 1 day of-n I A 3 Notary Public Notary Public Sta eeppfio 7Vew York Qualified in Suffo o Commission Expires 007 p_ NOTICE OF ' HEARING 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. OWNER(S) OF RECORD: � I rec( SUBJECT OF PUBLIC HEARING: To replace timber 4'x76' catwalk; 3'x12' aluminum ramp; and 6'x20' floating dock; new catwalk to have thru-flow decking over wetlands and remainder to be untreated lumber. TIME & DATE OF PUBLIC HEARING: e5da, hor;) 17 aZol3 - a-I- o� a�bo ' S-'30 P10 tA)CCIA , . 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 during normal business days between the ours o 8 a.m and 4. p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631 ) 765 1892 z. Boars. of Trustees Application County of Suffolk State of New York M cef c d- a4V e cC BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. `v Signature SWORN TO BEFORE ME THIS v DAY OF '�' 20 l Notary Public Loriann Patanl10-- Notary Public State of�Vew York Quallo�n S 61oIk �unty Commission res 120 f Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) I, M , Wired— Da.V c tt residing at d°6 6451- 6 gl t!� sT (print owner of property) (mailing address) do hereby authorize Wcect (Agent) &-��ha to apply for permit(s)from the Southold Board of Town Trustees on my behalf. (Owner's signature) APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The pumose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessM to avoid same. YOUR NAME: ID a.v i c , All �-- (Last name,first name,middle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest.`Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 1°0 day of A,'0-9^ 20d 13 Signature < Print Name ^e c4 12a',", Form TS 1 Town of Southold (DI-b=Strot Erosion, Sedimentation A Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.CT.M.M THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF A I0DO 137 oI 3.I STORM•WATER,GRADING,DRAINAGE AND EROSION CONTROL PLAN section oc of CERTIFIED BY A DESIGN PROFESSIONAL IN THE•STATE OF NEW YORIK. SCOPE OF WORK - PROPOSED CONSTRUCTION ITEM# / WORKASSESSMENT Yes No a. What is the Total Area of the Project Parcels? Will this Project Retain All Storm Water Run-Off (Include Total Area of all Parcels located within �e�aL$ p,lv 15- Generated by a Two(2")inch Rainfall on Site? the Scope of Work for Proposed Construction) (This item will include all run-off created by site (S.F./Awes) clearing b. What is the Total Area of Land Clearing 9 and/or construction activities as well as all and/or Ground Disturbance for the proposed P y ,p p'7• Site Improvements and the permanent creation of construction activity? (S.F.lAcres) impervious surfaces) 2 Ddes the Site Plan and/or Survey Show All Proposed PROVIDE-BRIEF PROJECT DESCRIPTION IProvldaAddidonalPagesasNeeded) Drainage Structures indicating Size&Location?This Item shall Include all Proposed Grade Changes and 12 k 3 Slopes Controlling Surface Water Flow. 3 Does the Site Plan and/or Survey describe the erosion (1•G/kP a vt.R and sediment control practices that will be used to control site.erosion and storm water discharges. This toSt ot„e- .6, 14L1 rr)t 4-n c 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 — of Material within any Parcel? Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000 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 General DEC sWPPP Recluirements; I or within One Hundred(100')feet of a Welland or El 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 Existing Grade Slopes Elare 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 Including Construction activities involving soil disturbances of less than one(1)acre where One Hundred(109)of Horizontal Distance? the DEC has determined that a SPDES permit 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 1.The SWPPP shall be prepared prior to the submittal of the NOI.The NOl shall be into and/or in the airection of a Town right-of-way? submitted to the Department prior to the commencement of construction activity. 2.The SWPPP shall describe the erosion and sediment control practices and where 9 Will this Project Require the Placement of Material, F-1 / required,post-construction storm water management practices that will be 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-of-Way or Road Shoulder Compliance with the terms and conditions of this permit In addition,the SWPPP shag Area?(MI3 item vAH NDTInclude the Installation of Driveway Aprons.) Identify potential sources of pollution which may reasonably be expected to affect the NOTE: If Any Answarto Questions One through Nine is Answered with a Check Mark quality of storm water discharges. In a Box and the construction site disturbance is between 5,000 S.F.&1 Acre in area, 3.Ali SWPPPs that require the post consWction stone water management practice a Storm-Water,Grading,Drainage&Erosion Control Plan is Required by the Town of component shall be prepared by a qualified Design Professional Licensed in New York Southold and Must be Submitted for Review Prior to Issuance of Any Building Permit. that Is knowledgeable in the principles and practices of Storm Water Management. (NOTE: ACheck Mark(j)andlar Answer for each Question is Required fora Complete Applieavon) STATE OF NEW YORK, COUNTY OF...........................................SS rCt..„ ,V�. .............being duly sworn,deposes and says that he/she is die applicant for Permit, That I,.............. (Name of Individual signing Document) ( ., And that he/she is the ......................... w�ec'tcr ngeni;co�io'r�ie oit;i e�;ei�j.............................................................. Owner and/or representative of the Owner or Owners,and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his knowledge and belief;and that the.work will be performed in the manner set forth in the application filed herewith. Sworn to before me this; ,{ ! .6.. .day of...1.!'j... . �...............201 ...... _ G.C.. .�.....�....`. Notary Public: ... A..121 ... ........... ........ (Si gnature of Applicant) FORM - 06170 onann a anio� Notagt P blip Sate ofNew York Quahft An uffolk County. No:01 PA6150861 Commission Expifes 08/07/20�? Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes",then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. D E 0 V E B. DESCRIPTION OF SITE AND PROPOSED ACTION MAR 2 5 2013 SCTM# 13? - b 1 - 3. 1 The Application has been submitted to(check appropriate response): Southold Town Board Trustees- Town Board 0 Planning Dept. 0 Building Dept. 0 Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g.capital construction,planning activity,agency regulation,land transaction) (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: Nature and extent of action: I fLcplkee '- mbt/L (-Ib �k� �v6G►� ) /�(yM�ruv/Y� �i'iv6Y" (�Z for/Lel ?l 3 < w�ctt ) c�n&iL 41 d.,c, k ),0, (f Location of action: 3 o Z 5-� ' l `'�wfiti Ave - Site acreage: P. b 1 5� Present land use: tZ c S`ef e-vj+)4,L- Present zoning classification: e 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: A4 r cl r e k (b) Mailing address: -t- 57" � 00 G!�' (c) Telephone number:Area Code( ) 3 " `9ts 3 3`i (d) Application number, if any: Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes ® No❑ If yes,which state or federal agency? ' �sD� `� 4°!11IN Ll DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. 9Yes No Not Applicable Pt'slc c {- ZoS-f 4-A c- Vt $V�,ll �i�Q�a.itN rscw SG (ut: 'E'v/'{ . 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 El Yes 0 No U Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria Ff Yes 0 No 0 Not Applicable P(g eC-E �S (A.� S ^-f )6J C 6 y � 6.�r i Au y Pr ajee fz---f I GS 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 through 16 for evaluation criteria Yes 0 No Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section III —Policies Pages 16 through 21 for evaluation criteria 0 Yes 11 No �Notpplicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ®Yes F� No M Not Applicable ?rwpo5,eA cx-Ew. L([.. wr I we --(•co c2 5 Cu 2vt rote r•r. e— (o,.. 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�ot Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No 19 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. Rr"'Ye l No❑ Not Applicable Pf sI c c -� P r �,�.,1�s �. (J IS A, s Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. Yes 0 No ❑ Not Applicable �r9 e e- w( t-V c c e 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 LW" 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 El No U Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies;Pa 65 through 68 for evaluation criteria. Yes ❑ No Not Applicable Created on 5125105 11:20 AM f March 23, 2013 Town of Southold Trustees Town Hall Annex Building '_�� 54375 Rte. 25 -!t! I� �— P.O. Box 1179 Southold, New York 11971 MAR 2 5 2013 RE: 3825 STILLWATER AVE. CUTCHOGUE, NY Southold Town SCTM No. 1000-13701-3.1 Boar of Trustees APPLICATION FOR PERMIT Dear Sir/Madam: We hereby submit one original and three (3) copies of the proposed plans, application, check, photographs and required data for permit approval for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, PET ie rey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934