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JI Albert J. Krupski;President p��SUfFU(�►`'O Town Hall John Holzapfel, Vice President �� Gyp 53095 Main Road Jim King _ y = P.O. Box 1179 Martin H. Garrell Oy Southold,New York 11971 Peter Wenczel Telephone (516)765-1892 Fax (516) 765-1823 i BOARD OF TOWN TRUSTEES March 28, 1996 TOWN OF SOUTHOLD JAMES FITZGERALD Proper-T Services P.O. Box 617 Cutchogue NY 11935 Re: DAVID CICHANOWI.CZ SCTM #66-3-16 Dear Mr'. Fitzgerald, The following action was taken by the Board of Trustees at their regular meeting of March 27, 1996: RESOLVED that the Southold Town Board of Trustees grant an Amendment to Permit 4483 to move the entire structure in a northerly direction and about 241 , shorten -the fixed walkway- from 351 to 34•' and shorten the. ramp from 16' to 121 . Located: 1425 Arshamomoque Ave. , Southold. If you have any questions, please feel free to call our office. Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/djh CC. CAC s ., \.//.,,A ,,air / ,�.:f /f�+,••.='.,i .z -ter/�. ' % s f:.r. _=.=' e^ a.� •�.r` '� .:��1� _56 g` ,MSs' 1� Board Of Southold Town Trustees �a; SOUTHOLD, NEW YORK - -.•., . PERMIT NO. ....... ....-[. .�3. DATE: .....6.1.29.L9. .......... a ISSUED TO ..........DAVID...C1G A1vOW1GZ............................................................ Pursuant to the provisions of Chapter 615 of the Laws of \ � the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and the Southold Town Ordinance en- !a > �b • f� titled REGULATING AND THE PLACING OF OBSTRUCTIONS - ( � IN AND ON TOWN WATERS AND PUBLIC LANDS and the \ 'l� REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM \ rI LANDS UNDER TOWN WATERS;" and in accordance with the Resolution of The Board adopted at a meeting held on .....612.9.1.9.5.... 19...95..., and in consideration of the sum of $.825•,.00• ... paid by ` \ ..Pr.o er..-.T....Serv.i,ce.s....for....D.AVID...CICHANOWICZ................................. }, p. �t . .......................... N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, a of Southold Town Trustees authorizes and permits the following: ;i To ccntruct a 3 X35 fixed open walkway, a 3 X16 hinged ramp, a a 61X20' float with 3- 2-pile dolphins to secure floatin dock. Petty's Pond " 1I all in accordance with the detailed specifications as presented in c 11 the originating application. � � :.:r,,,• . IN WITNESS WHEREOF, The said Board of Trustees here- i4. by causes its Corporate Seal to be affixed, and these presents to j;_. be subscribed by a majority of the said Board as of this date. I� bstaine ... .. ... Ik ... . .. . n c ul �. , / .... 1 j Trustees fit: t -,. .�`• � .. ♦ .' a r Td. l...T � A+4<r•Ar_+%�>ia'w�7t-vv�'.[d.-:�' ar iyr, �?1Fzr�wNs ,r•„„ ?� �'� Ma.+�:.8v.str.✓:�.�...�..n Sau�.�.,i:w'�r- :cwtS..:.d� - S., ::. ,s..t .er :..5. f it - -/ / � ` `J - � -+�"-�-� v ,. ��.� ��- — _-- // • r FFOJ/r Albert J. Krupski, President Town Hall John Holzapfel, Vice President c -�� 53095 Main Road `n P.O. Box 1179 Jim King �- � ^�+ • Southold, New York 11971 Martin H. Garrell y �� Peter Wenczel �Ol �►� Telephone (516)765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Jl1m--e 6 . 1996 Gus C. Klavas 166-07 14th Road Beechhurst, NY 11357 Dear Mr. Klavas, As per your letter dated May 6, 1996, the Southold Town Board of Trustees recently inspected the new dock on the west side of Petty's Pond. The day was May 15, 1996 at our regular field inspection and the tide was fortunately very low. Although I abstained on the permit application, I. was very pleased to see that the Board granted a permit for a dock in the. only location possible. At low water, the 'float sits on the bottom of the landward side.. Its size is very modest, being only functional in its location. and positioning. After inspecting the dock the Boardd did not see how its location. or size would be improved. If you have any questions, please don't hesitate to call. Sincerely, Albert J. Krupski, Jr. President, Board of Trustees AJK/djh. 166-07 14th Road Beechhurst, NY 11357 June 24, 1996 Mr. Albert J. Srupski President Board of Trustees Town Hall 53095 Main Road Southold, New York 11971 Dear Mr. Krupski, I wish to inform you that I did call Mr. Peter Wenczel as you had suggested. We were not able to meet, but he said he would go on site for an inspection of the docks. I am sending you photos and maps which visually show my complaint about the floating docks that were constructed. I still feel floating docks in that area should not be allowed because they make the channel too narrow. They prohibit the property owners in that area from having a free passage for their boats. After your inspection, kindly return to me photos and maps. Sincerely, Gus C. Klavas Gl Y 166-07 14th Road Beechhurst, NY 11357 May 6, 1996 �'f"({t l J ;I Mr. Albert J. Kru ski ? � President P �_ MAY - 616 =_ Board of Trustees - Town Hall 53095 Main Road Southold, New York 11971 Dear Mr. Krupski, The two permits that were issued for the floating docks (one recently constructed and the other proposed to be constructed) in Petty's Pond, Beixedon Estates, should have been examined closer and not have been allowed. The regulations, which other property owners were required to abide by (see copy of deed) , state that a dock should not exceed five feet East of the property line. These docks, with the boats to be docked on them, will be in the channel area, interfering with the passage of boats owned by eight other property owners who are entitled access to the channel. I would appreciate it if you look into this matter and respond to my concerns. Sincerely, Gus C. Klavas -q6 �l IrUs�ces — _ av-- C�eG�.�� ����ys Gee cvom Untpv` lVu� `l�e r_ev �rov c�i _ _oKP, vnA wr *ca I b(�e �b ��n�or�� avd w► lin 15 wwre �I tE41If"yll qo d��y'ce awwhdre Gam( prove F. Pr- � AV o�o \ FFDC,���G Town Hall, 53095 Main Road P.O. Box 1179 Telephone 0 • (516) 765-1801 �' �t" Southold, New York 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held March 25, 1996 the following recommendation was made: A-46 Moved by John Hagerty, seconded by Allan Connell, it was RESOLVED to recommend to the Southold Town Board of Trustees PARTIAL APPROVAL of the Amendment to Permit request of DAVID CICHANOWICZ 66-3-16 to amend Permit No. 4483 as follows: (1) Move the entire structure in a northerly direction about 24 feet. (2) Shorten the fixed walkway from 35' .to 34'. (3) Shorten the ramp from 16' to 12'. (4) Add a second float, 6' x 201. (5) Add a third two-pile dolphin. The Council recommends the Trustees amend the permit to ALLOW the structure be moved in a northerly direction about 24 feet; shorten the fixed walkway from 35' to 34'; and to shorten the ramp from 16' to 12'; and to__ DENY' the request to add a second -6' x 20' and a third two-pile dolphin. 1425 Arshamomaque Avenue, Southold Vote of Council: Ayes: All Motion carried. Proper--T Permit Services POST OFFICE BOX 617 CUTCHOGUE, NEW YORK 11935-0617 (516)734-5800 February 29, 1996 ;! `UL Ifjfl ' ' MAR - 1 1996 President Board of Town Trustees Town of Southold Town Hall, 53095 Main Road Southold, New York 11971 Re: Request for an Amendment to Permit No. 4483 Dear Sir: The property owner, David Cichanowicz, wishes to amend the referenced permit as follows: 1. Move the entire structure in a northerly direction about 24 feet. 2. Shorten the fixed walkway.from 35 feet to 34 feet. 3. Shorten the ramp from 16 feet to 12 feet. 4. Add a second float, 6 feet by 20 feet. 5. Add a third two-pile dolphin. There are two purposes for this change: to move the more visible parts of the structure toward the north property line to improve the view to the seaward, and to provide additional docking space for a larger, or additional, boat. New drawings showing the proposed amendment(s) are enclosed. If there are any questions, or if additional information is needed, please call me. Yo_ truly, ; J es E. Fitzgeral Enclosures: Project Plan(Rev 2/16/96) Section View(Rev 2/16/96) Amendment fee ($40) a subsidiary of THE PECONIC EASTERN CORPORATION -3/`1 lq,6> Albert J. Krupski,President O` OG Town Hall John Holzapfel,Vice President c� y1 53095 Main Road William G. Albertson P.O. Box 1179 • Southold, New York 11971 Martin H. Garrell Peter Wenczel y�lpl �.� Telephone (516) 765-1892 Fax(516)765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 2, 1995 David Cichanowicz P.O. Box 160 Peconic, NY 11958 RE: SCTM #p1000-66-3-16 Dear Cichanowicz: The Board reviewed the -above referenced survey dated September 1.3, 1995 and find that the proposed house is out of the Trustees jurisdiction. Any landscaping done within our 75' jurisdiction would require an approval from this office. If you have any further questions, please do not hesitate to contact this office. Si c rely 01 Albert J. Krupski, Jr. President, Board of Trustees AJK:jmd cc: Bldg. Dept. IrX : • i +j; s r �,• T -.. Via:,' ort .•�. r �+.x �. �r .f i io If :...1�!!O/ it-At 11 111�JJ J _t:_I a I - ^r .a . OSQFf�(�C Albert J. Krupski,President �Q�► OG Town Hall John Holzapfel,Vice President o y1 53095 Main Road William G. Albertson y Z P.O. Box 1179 Martin H. Garrell � "� Southold,New York 11971 • `� ., Peter Wenczel y�J Q� Telephone (516)765-1892 �! �a Fax (516)765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 30, 1995, Proper-T Services P.O. Box 617 Cutchogue NY 11935 Re: DAVID CICHANOWICZ SCTM #66-3-16 . Dear Mr. Fitzgerald, The following action was taken by the Board of Town Trustees during its regular meeting held on June 29, 1995 regarding the above matter: WHEREAS, . Proper-T Services, on behalf of DAVID CICHANOWICZ applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated June 7, 1995, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on June 29, 1995, at which time all interested persons were given an. opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and,. WHEREAS, the structure complies with the standard set forth in Chapter 37-18 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees .approves the application of DAVID CICHANOWICZ to construct. a 3 '`, X 35t. fixed open walkway, a 3' X 16.' hinged ramp and a 6' X 20 ' float with 3- 2-pile dolphins to secure floating dock. Permit to construct project will expire ,two ;years from the date it is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. FEES: Catwalk: 3' X 19' = 57' X $3 = $171 ,Ramp: 3 ' X 16' = 48' X $3 = $144 Float: 6' X. 20' = 1201, X $3 = $360 TOTAL DUE: $675 Very truly yours, Albert J. Rrupski, Jr. President, Board of Trustees AJR/djh cc. CAC C Proper-T Permit Services POST OFFICE BOX 617, CUTCHOGUE, NEW YORK 11935-0617 (516)734-5800 September 27, 1995 President Board of Town Trustees Town of Southold Town Hall, 53095 Main Road Southold, New York 11971 Re: Fee for Approved Permit: David Cichanowicz; SCTM#1000-66-3-16 Dear Sir: Enclosed is a check in the amount of$675.00, which is the amount required for the approved permit referred to above. If you will call me when the permit is ready, I will pick it up. may, mes E. Fitzgeral :' r. a subsidiary of THE PECONIC EASTERN CORPORATION � T G661 I 1 d33 . SEPTEMBER 11, 1995 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SOUTHOLD,NEW YORK 11971 THIS IS LETTER IS WRITTEN TO STATE THAT I AM PRESENTLY CLEARING MY LOT IN BEDMDON ESTATES (TAX MAP NUMBER: 66.-3-16). I AM CLEARING LOW UNDERBRUSH AS PART OF REGULAR MAINTENANCE AND FOR VIEW. NO MAJOR TREES OR VEGETATION WILL BE REMOVED THAT CAN CAUSE AN EROSION PROBLEM. SINCERELY, DAVID CICHANOWICZ STATE OF NEW PORK AUG 4 J995 DEPARTMENT OF STATEOF S�4 ALBANY, NY 12231-0001 ' JD ALEXANDER F. TREADWELL V'd, SECRETARY OF STATE August 21, 1995 Mr. James Fitzgerald, Jr. Proper-T Permit Services Post Office Box 617 Cutchogue, NY 11935 Re: F-95-500 U.S. Army Corps of Engineers/New York District Permit Application #10GP-95-08130 David Cichanowicz Town of Southold, Suffolk County Dear Mr. Fitzgerald: The Department of State has received the information you provided on August 3, 1995 describing the above proposed project. We have been informed by the U.S. Army Corps of Engineers that your project was authorized under an existing General Permit. Therefore, no further review is required by this Department. We appreciate your referring this information to the Department of State for review. Sincerely, William F. Barton Chief, Consistency Review and Analysis Bureau Division of Coastal Resources and Waterfront Revitalization WFB/WM/jtb cc: COE/New York District - Sophie Ettinger DEC/Region 1 - Robert Greene Town of Southold - Albert Krupski RECYCLED PAPER I 1 Proper7T Permit Services POST OFFICE BOX 617,, CUTCHOGUE, NEW YORK 11935-0617 (516)734-5800 August 18, 1995 s1 AUG 1 8 1995 1 President Board of Town Trustees T0jV-N Vt 3OLITIAOLQ Town of Southold Town Hall, 53095 Main Road Southold, New York 11971 Re: Permit No. 4483 (L)avid Cichanowicz) Dear Sir: Please note the attached Notice of Incomplete Application from the NYSDEC requesting in- formation concerning the designation of a lead agency and a SEQRA significance determination. I would appreciate it if you could provide this information to the DEC to the attention of Laura Scovazzo. If you have any questions, or if there is a problem, please call me. may, J es E. Fitzgerald,:. . a subsidiary of THE PECONIC EASTERN CORPORATION NEW YO1 -'--,'ATE DEPARTMENT OF ENVIRONMENTAL CONSERVAT NOTICE OF f )MPLETE APPLICATION —THIS IS NOT I RMIT ;M APPLICANT: OWNER ID NUMBER. 55891 DAVID CICHANOWICZ PO BOX 160 PECONIC, NY 11958 APPLICATION ID 1-4738-01169/00001-0 BATCH NUMBER 222836 PERMITS APPLIED FOR: 1 ARTICLE 25: TIDAL WETLANDS FACILrrY/PROJECT: CICHANOWICZ PROPERTY PROJECT IS LOCATED IN SOUTHOLD IN SUFFOLK COUNTY. ---- Your-Application-f�e�is-Incomplele, the Following Items are Required: i ■The`proiect is being reviewed pursuant to the State ' Environmental Quality Review Act (SEAR). A l� designation of Lead Agency and a determination of significance for the purposes of SEQR are necessary \ before your application can be considered complelee i NO�FUR:HER-ACTION-CAN-BE BEN UNTIL ALL OF THESE MATERIALS ARE RECEIVED CONTACT PERSON: LAURA .J SCOVAZZO SIGNATURE: NYS DEPT OF ENVIRONMENTAL CONSERVATION DIVISION OF REGULATORY SERVICES DATE: 08/14/95 REGION I STONY BROOK SUNY CAMPUS,BLDG 40.ROOM 219 TELEPHONE NUMBER 51 6-444-0365 STONY BROOK NEW YORK 1 1790-2356 �.C - �ro��� Per pi f Sins . E� O U New York State Department of Environmental Conservation HOW41agWY All" oboe Yaevglan 1 .isktf. 60 G;V JJ T sgany 1itr"16, IL I. &A"*-3556 q e Ty w5k e-S Thomas C. Jorling Vl �d v Commissioner �;��'e�►�Y�e� 0?OHj1�OS g0 �N1 �3©Rs �"'lalh � � 01 SOL'�fkoI NY 10-7I 96619 1 env Dear 6.1ne-6q C60�G�dllCv��� �' if RE: LEAD AGENCY COORDINATION REQUEST N1 The purpose of this request is to determine under Article 8 (State Environ- mental Quality Review - SEQR) of the Environmental Conservation Law and 6 NYCRR Part 617 the following: 1. Your agency's interest in acting as lead agency; 2. Your agency's jurisdiction in the action described below; and 3. Issues of concern which your agency believes should be evaluated. Enclosed is a copy of the permit application and a completed Part 1 of the Environmental Assessment Form to assist you in responding. Project Name: VaV_Jd OC� .unOLJ_I Z. fvo feMy Ar5koxw►o�6(gUe Aoe.nit Project Location: Y DEC Project Number: DEC Permits: Pec6rlic SEQR Classification: [ (] Type I [ ] Unlisted DEC Contact Person: LOLIAP, 5C6\4.z2a f �y1V���V1iMtv►fic.� ��� S� 1 DEC Position: [ ] DEC has no objection to your agency or another agency assuming lead agency status for this action, but reserves the right to comment on this action if a positive determination of significance is made. a �v ,q [ ] DEC has no objection to your agency or another agency assuming lead agency status for this action, but we have the following concerns regarding this project (see. "comments"below) . [ ] DEC wishes to assume lead, agency status for this action. The proposedd �actiton'has been identified by DEC as occurring wholly or partially within or substantially contiguous to a critical environmental area (CEA) that was designated by L)4A IV_ roLtyih4 CtTa It is the position of this Department that your age cy, if it has a juris- diction over the action, should assume the lead agency role based on the existence of the CEA and the fact that the anticipated impacts are primarily of local significance. [ ] Other. (See comments below) Comments (Optional ) : Response: Please respond to this request within 30 days of the date of this letter. If no response is received within 30 days, we will assume that you have no objection to DEC or another agency assuming the role of lead agency, and have no comments to offer regarding the proposed action at this time. If neither your agency nor any other involved agency, including DEC, has indicated a will- ingness to serve as lead agency within 30 days of this letter: [ ] We will petition the Commissioner of DEC to designate a lead agency for this action. We will petition the Commissioner of DEC to designate your agency as lead, presuming you have jurisdiction. Please feel free to contact this office for further information or discussion. Sincerely, IA6e LCL�r�` scv v�2Z� Enclosures ��f IrDVI ol cc: (see distribution list) Y 95.19.j(0/071-7e 1AC APPLICAI ,1UMI11R NEW YORK StA1E DEPAR1MENf Or EN1,',',ai;,.'MEN1Al CONSLRVAItUN _ Now JOINT APPLICATION FOR PERMIT U.S.ARMY CORi'S OF ENGINEERS APPLICAiION NO. Please rea\d ALL Instructions on back before completing this application. Please type or print clearly in Ink.Attach additional Inlotmallon as needed. DAR11CLE 9,1111E 1,ARTICLE 43 riNYCRR 646(LAKE GEORGE RECREATION 70NE) ❑ARTICLE 15,TITLE 3(AQUAIIC PESTICIDES CONTROL) 116NYCRR 327(AQUAIIC VEGEiAIION) E16NYCRR 120(11SI1) ❑6NYCRR 329(INSECiS) 3 ❑ARTICLE 15,7I11E 5 6NYCRR 600(PROTECTION Ur WATERS) T A Dror the construclion,reconslruclion,or repair of a DAM or other Impoundment structure. J II--II ❑for lire disturbance ofaSIREAM 0@D OR IIANKS or excavation In or fill of NAVIGAOI.E WATERS. ❑4111 WAIER QUAI.IiY CtRilFICAIION D E ART tt---tt ICLE 1S,TITLE is 1_I6NYCRR 60f!WATER SUPPLY) 1:1610CRR 602 Mow, ISI.ANU WELL) ❑ARTICLE 15,11TLE 27 6NYCRR 666(WILL),SCENIC AND RECRtArIONAL RIVERS) DAR11C1E 24 6NYCRR 662,66.1(rRFSIIWAiFR WETLANDS)DA1111CLE 25 6NYCRR 661 (11DAL WriL r--t ANDS) t_IARiICLL 74 6NYCRR 50S(COAStAI EROSION) --------------------------------------------------------------------------------------------------------'--1---------------------------------------- F 1❑SECTION it;(RIVrR AND IIARIIOR ACT or 1099)for structures and work In navigable waters of the U.S. EICOASiAL CONSISTENCY CERTIFICATION. 1)� E IJstctioN 4041CLEAN WATER ACT Or 1977)lot dispnsal of dredged or fill maletial In waters of the U.S. 0 ElSmioN 103(MARINE PROIECTION,RESEARCII AND SANCTUARIES AC I)for the tramporlallon of dredged materials for dumping Into ocean waters. 1. LIST PREVIOUS PERMII►APPLICAIION NUMUERS AND OAIES(If any) None 2. APPLICANT IS AMN r� Agentt-t D(Owner opetator El Lessee ❑tluulclpalilylGovenunenlal Agency (Check as many as apply) 3. NAME OF APPLICANT (Use Full Natnc) James E. Fitzgerald, Jr. / Proper-T Permit Services MAILING ADDRESS 1ELEP1IONE(Where can be reached during day) P.O. Box 617 t516 734-5800 Post oFria S1AlF ZIP CODE Cutchogue - NY 11935 4. NAME OF ®Owner DAgenllContaet Person (Cheek one.) David Cichanowicz MAIL 117oDDJ es E. Fitzgerald, Jr. lELEPIIUNE(Where can be reached during day) ( ) POST 0 SIAIE ZIP CODE Cutcho ue NY 11 935 5. PROIECTfrACILITY LOCATION(Mark location on map,see Number 1a on reverse side) County Suffolk I Town or city Soutold I Village Southold SiREF.i ADDRESS(If different(rain applicant) 1425 Arshasosa ue Ave Post olfla STATE ZIP CODE Southold ,p I 'NY 6. NAJOr,S1REJMetty e0.Coma F WAIER 7. iIA�-SyjYW'ORK DEGryryU��N ON PROIECII If YES, allach explanation on starling work without permit.Include dales. 0: Will PROIECJ tJIILIZE S1Alt LAND? Dyes MJNo Show work on map andlnr drasvings. . Dyes XJNo 9. PROPOSED USE: L�rry�ql� Privnlc 10. PROPOSED STARTING DAit: If. APPROXIMAIE COMPWION DAIS: 12. 1EE OF(NYS Permit Only) �-y u Public U Commercial 9/1/95 - .. 91M/95 s None Emdefed 1). PROIFCT DESCRIPTION: (e.g.quanlily and type.of"Interior to he excavated,dredged or used(or 1111 or rip rap,location of disposal slles;type of structure to be Installed;height of clam;size of Impoundent;capacities of proposed water sources;extent of distribution system;etc.) Construct fixed open walkway 3' x 291 , hinged rasp 3E x 161 , two float&ng docks each 6ii x 201 ; install three 2-pile dolphins to secure floating docks. 14. WILL THIS PROJECT REQUIRE AUDIiIONAL FEDERAL,StAir ANU/OR LOCAL PERM115T II Yes ❑ No if yes•please list: Permits required: NYSDEC, NYSDOS, USA CoE, Southold Trustees 15. CF.RilrICATION: I hereby affirm Thal under penality of per)ury that Information provided on this form and all allnchmenls subndlled herewith Is true to the best of my knowledge and belief. False,statements made herein arc punlshable.as a Class A misdemeannr pursuant to Section 210.45 of file Penal Law. Further.Ihr.applicant accepts lull responsiblllly for At damage,direct or Indirect,or whatever,nature, and by whomever suffered,arlslnR out of the project described herein and ngrres to 6mlenndly and live fanuless the Stale Iron s,acllom.damages and costs of every name and descripllon resulling from said prmjrcl. In addition. Federal Law, 10 U.S.C. section 1001 provides for a of ot- re Ilion 510d0(10 or Imprlsnomenl for not more Ilion five years,or both, whete an applic ill kno ngly and willfully fall s,colic4 als,br cove sr(i a .tell a • r knowin I okes or uses a false,ficillous or fraudulent statement. IJI hereby au rl lie agent named In Number . to su ails lio on my b lair. ee attached letter. Agent 3 , IUI(.,EASE itEAD All INSTfI T//IONS ON MEW SIDE 14.16-4(2167)—text 12 PROJECT i:D.NUMBER 817.21 SEQR Appendix C Stale Environmental Quality Revlew SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I—PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT(SPONSOR 2. PR ECT NAME James E. Fitzgerald, Jr. G��cha.nowicz dock 3. PROJECT LOCATION: Municipality Southold County Suffolk 4. PRECISE LOCATION(Street address and road Intersections,prominent landmarks,etc.,or provide map) 1425 Arshamonaque Ave, Southold (See attached naps) 5. IS PROPOSED ACTION: KI New ❑Expansion ❑Modllleallonlalieratlon 6. DESCRIBE PROJECT BRIEFLY: Construct fixed open walkway 3' x 291 , hinged ramp 3' x 161 , two floating docks each 61 x 201 ; .install three 2-pile dolphins to secure floating docks . 7. AMOUNT OF LAND AFFECTED: Less than 100 sQ Initially acres Ultimately acres 6. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? Yes ❑No It No,describe briefly 8. W T IS PRESENT LAND USE IN VICINITY OF PROJECT? Residential ❑Industrial ❑Commercial ❑Agriculture ❑ParklForesllOpen space ❑Other Describe: Medium-sized private residences. 10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING,NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATE OR OR LOCAL)? OdYes El No If yes,list agency(s)and permitlapprovals No approvals t0 date Permits: NYSDE09 USACoE, NYSDOS, Southold •Trustees 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes ld No If yes,list agency name and permitlapproval 12. AS A RESULT PROPOSED ACTION WILL EXISTING PERMITIAPPROVAL REQUIRE MODIFICATION? ❑Yes No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE 18 TRUE TO THE BEST OF MY KNOWLEDGE Janes E. tz eaald, Jr./Proper-T• Pernit Services ApplicanUeponsor narn�e r own �� ' Cichanow c Date: June 6, 1995 Signature: 1 �. C•'" ' It the action is In thg`661astal Area, and you are a state agency, complete the • Coastal Assessment Form before proceeding with this assessment OVER a 1 PART II—ENVIRONMENTAL ASc �MENT (To be completed by Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.12? If yes,coordinate the review process and use the FULL EAF. ❑Yes ❑No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN&NYCRR,PART 617.6? If No,a negallve deelarallon may be superseded by another Involved agency. ❑Yes ❑No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwrlllen,II legible) Cl. Existing air quality, surface or groundwater quality or quantity, nolse levels, existing traffic patterns, 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 bristly: 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 Ct-05? Explain briefly. C7. Other Impacts(Including changes In use of either quantity or type of energy)? Explain briefly. D. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑Yes ❑No It 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;(a)geographic scope; and(1) magnitude. II necessary, add attachments or reference supporting malerlals. Ensure that explanations contain sufficient detail to show that all relevant adverse Impacts have been id6ritllled and adequately addresadd. ❑ 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 declaratloh.. ❑ Check this box If you have determined, based on the Information and analysis above and any supporting documentation, that the proposed action WILL NOT result In any significant adverse environmental Impacts AND provide on attachments as necessary, the reasons supporting this determination: Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Til e of Responsible O ice; / Signature of Responsi ficer In Lead Agency g Y Signature of Preparer(11 different from responsible-officer) Date 2 --- LIY [ � j�d7 ... •L 11971 e , ... •• P� ;•i,5 � et+� � �C •,•1 OVN(d:l, QDVNn' L Q � V N o•,�r `�a ei�7W i Pddd I o m , y . e `. t r • • UTHO ,•r'M1•s , - : °ts H.ppadrem. e� - .._ .-. .. -.-_-___-_- tx a t,�••.•n 4 '. °�� ' e THE AREA OF THE,PROPOSED ,�..,�, .. �. El DON PROJECT IS CItZCLED 25 Founders Mal �� �6 . x°rpv • Landing PC a ockey Cc S O U1 T H O L D Q 44, f d v e \ uthoid B A Y '�,•� hest 8 ,. Q '+ ■ Y.C. '\ va6 0$, D GOek t �`/•js r so \ �� , e•O a ,y " t '� •' • GREAT HO + ` NECK ,+ 1 w v _s =DV,••' 0 a ra y " �B °4� a Paradise O� �' , ..a Poinz I �7`��nt0ga•p'�Cn Nog N�k -`�ry mil'`",a O�� �� � r w 8 1 I Bay � �;�% r � B.A Y I JW ,C% C Care] 0 '� I 4 A • � f o• •414 1 4 r _-__---- •r EDA ° ° Ey 4fKl CEDAR BfACW H O G N E C K A Yj{I COUNTY PARK IV B A Y ' Cedar Beach Poin! CORPS OF ENGINEERS DATA VICINITY MAP Application regard' the property of PURPOSE: Construct fixed open walkway,hinged David-Cichanowicz, SM�1000-66-3-16 ramp, and floating dock for private recreational Represented by purposes. PROPER-TPERMIT SERVICES DATUM: MLW P.O. Box 617, Cutchogue,NY 11935 IN:Petty's Pond AT: Southold James E. Fitzgerald,Jr. 516-734-5800 COUNTY: Suffolk STATE:New York June 6, 1995 __..ef-.__. ,..•9. .,.. u11Cu_LIM .ltu LIS! M1y 1 •bq•• ^'et.. .J • u.lcl a ,.\. G •6•p•ec a !a—Pob \! aV/ I�Yl1 r.6ye1 d•• �.". ( 4 I . �^Aa�;\ .• i , 1 :1b. ill' "\f J � r • bb7/ THE SITE OF THE PROPOSED PROJECT IS CROSS-HATCHED CORPS OF ENGINEERS DATA TAX MAP Application regarding the property of PURPOSE: Construct fixed open walkway,hinged David Cichanowicz, SC"i M#1000-66-3-16 ramp, and floating dock for private recreational Represented by purposes. PROPER-T PERMIT SERVICES DATUM: MLW P.O.Box 617, Cutchogue,NY 11935 IN: Petty's Pond AT: Southold James E.Fitzgerald, Jr. 516-734-5800 COUNTY: Suffolk STATE: New York June 6, 1995 STATE OF NEW YORK DEPARTMENT OF STATE ALBANY, NY 12231-0001 ALEXANDER F. TREADWELL SECRETARY OF STATE August 8, 1995 Mr. Albert Krupski, Jr. AU.G J President 1995 Board of Town Trustees `u A Town Hall � � OLD P.O. Box 1179 Southold, NY 11971 Re: F-95-500 U.S. Army Corps of Engineers/New York District Permit Application David Cichanowicz Dear Mr. Krupski: Enclosed is a copy of the information submitted to the Department of State for review of the above-referenced project with respect to its consistency with the Coastal Management Program for your information and preliminary review. Please contact Walter Meyer, the DOS reviewer assigned to this project, at (518) 474-6000 to discuss your concerns, and any additional information which may be necessary to assist you in reviewing this project. Any comments you may have will assist the Department in reaching a decision as to the consistency of the proposed action with the approved NYS Coastal Management Program. Please note, however, that if we do not hear from you within 45 days of the date of this letter, we will presume that you have no objections to the proposed project. Sincerely, William F. Barton Zo Chief, Consistency Review and Analysis Bureau Division of Coastal Resources and Waterfront Revitalization Enclosures WFB/jtb " RECYCLED PAPER Proper-T Permit SG, ,rices POST OFFICE BOX 617, CUTCHOGUE, NEW YORK 11935-0617 " (516)73,4-5800 DEPAR i ML ; uF STATE July 28, 1995 COASTAL PROGRAMS, RECEIVED Consistency Coordinator Coastal Management Program Office of Local Government Services New York State Department of State 162 Washington Avenue Albany, New York 12231 Re: Application for Permit on Behalf of David Cichanowicz Dear Sir: Attached are documents which have been prepared in support of the application for a permit to construct a docking facility on the property of David Cichanowicz in the Town of Southold, Suffolk County. Proper-T Permit Services represents Mr. Cichanowicz in this matter, and a letter of authoriza- tion is part of this submission.. If there are any questions, or if additional information is needed, please call me. Yours truly, L >>'James E. Fitzgerald;Jr. Enclosures: Letter of Authorization ENG Form 4345 NANY Form 201 Short Environmental Assessment Form ' Federal Consistency Assessment Form Vicinity Map Tax Map Survey of Property Project Plan Section View Project Site Photos a subsidiary of. THE PECONIC EASTERN CORPORATION . Post Office Box 160 Peconic, New York- 11958 February 24, 1995 Consistency Coordinator Coastal Management Program Office of Local Government Services New York State Department of State 162 Washington Avenue Alban, New York 12231 Dear Sir: Please be advised that I hereby designate and authorize James E. Fitzgerald, Jr. of Proper-T Permit Services to act in my behalf as my agent in the submission and processing of a permit application for the construction of a bulkhead on my property located at 1425 Arshamomaque Avenue, Southold, and designated by Suffolk County Tax vlap No. 1000-66-3-16, and to furnish, upon request, supplemental information in support of the application. Yours truly, David Cichanowicz APPLICATION FOR 'ARTMENT OF THE ARMY PERMIT OMB APPROVAL NO. 0702-0036 (33 CFR 325) Expires 30 June 1992 Public reporting burden for this collection of information is estimated to average 5 hours per response for the-majority,of cases,including the time for reviewing instructions,searching existing data sources,gathering and maintaining the data needed,and completing and reviewing the collection of information. Applications for larger or more complex projects,or those in ecologically sensitive areas,will lake longer. Send comments regarding this burden estimate or any other aspect of this collection of information,Including suggestions for reducing this burden, to Washington Headquarters Services,Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway,Suite 1204,Arlington,VA 22202-4302;and to the Office of information and Regulatory Affairs,Office of Management and Budget,Washington,DC 20503. The Department of the Army permit program is authorized by Section 10 of the Rivers and Harbors Acl of 1899,Section 4b4 of the Clean Water Act and Section 103 of the Marine, Protection,Research and Sanctuaries Act. These laws tequire permits authorizing activities m-or affecting navigable waters of the . United Slates, the discharge of dredged or fill material into waters of the United Slates,and the transportation of dredged material for the purpose of dumping it into ocean waters. Information provided on this form will be used in evaluating the application for a permit. Information in this application is made a matter of public record through issuance of a public notice. Disclosure of the information requested is voluntary;however,the data requested are necessary in order to communicate with the applicant and to evaluate the permit application. If necessary information is not provided,the permit application cannot be processed nor can a permit be issued. One set of original drawings or good reproducible copies which show the location and character of the proposed activity must be attached to this application (see sample drawings and instructions) and be submitted to the District Engineer having jurisdiction over the location of the proposed activity. An application that is not completed in full will be returned. 1. APPLICATION NUMBER(To be assigned by Corps) 3. NAME,ADDRESS.AND TITLE OF AUTHORIZED AGENT f James E. Fitzgerald, Jr. PROPER—T PERMIT SERVICES P.O. Box 617 Cutchogue, NY 11935 Telephone no.during business hours 2. NAME AND ADDRESS OF APPLICANT A/C( ) 51 6-'734-7424 (Residence) David• Cichanowicz A/C( ) - 3 - 00 (011ice) c/o James E. .Fitzgerald, Jr. P.O. Box 617 Statement of Authorization: I hereby designate and authorize Cutchogue, NZ .11935 to act In my Telephone no.during business hours behalf as my agent in the processing of this permit application and to furnish,upon request,supplemental information in support of the application. A/C( ) (Residence) SIGNATURE OF APPLICANT DATE A/C( ) (Office) (See attached letter. ) 4. DETAILED DESCRIPTION OF PROPOSED ACTIVITY 49. ACTIVITY Construct fixed open walkway 3' x 2919 'hinged rasp 3' x 161 , two floating docks each 6 ' x 201 ; install three 2-pile dolphins to. secure floating docks. 4b. PURPOSE Provide access to the water from private residential property for private recreational purposes; provide docking apace for private boat. 4c. DISCHARGE OF DREDGED OR FILL MATERIAL Dredging'or filling is not proposed. ENG FORM 4345, Aug 89 EDITION OF APR 86 IS OBSOLETE lPropurwrd: CECW ON r , 5. NAMES AND ADDRESSES OF ADJOINING PROPERTY OWNERS,LESSEES,ETC..'WHOSE PROPERTY ALSO ADJOINS THE WATERWAY Edward Jablonski Virginia Cropper & others 1345 Arshamomaque Ave 6200 Indian Neck Lane :'.. . Southold, NY 11971 Southold, NY 11971 6. WATERBODY AND LOCATION ON WATERBODY WHERE ACTIVITY EXISTS OR IS PROPOSED On the westen shore of Pettyle .Pond, Southold, NY, 7. LOCATION ON LAND WHERE ACTIVITY EXISTS OR IS PROPOSED ADDRESS: 1425 Arshamomaque Ave . Southold STREET,ROAD,ROUTE OR OTHER DESCRIPTIVE LOCATION Suffolk New York 11971 COUNTY STATE ZIP CODE LOCAL GOVERNING BODY WITH JURISDICTION OVERSITE --- Town of Southold B. Is any portion of the activity for which authorization is sought now complete? ❑ YES ❑ NO , If answer is'yes'give reasons,month and year the activity was completed. Indicate the existing work on the drawings. 9. List all approvals or ceriffications and denials taceived from other federal,interstate,state or local agencies for any structures,construction,discharges or other activities described in this application. ISSUING AGENCY TYPE APPROVAL IDENTIFICATION NO. DATE OF APPLICATION DATE OF APPROVAL DATE OF DENIAL Applications submitted to NYSDEC, NYSDOS, USACoE. Have permit approval from Town Trustees: No. 44830 6/29/95 t 10. Application is hereby made for a permit or permits to authorize the activities described herein. I certify that I am familiar with the information contained in the application,and that to the best of my knowledge and belief such information is true,complete•and accurate. I I rth�r ce lily that I.pussess the authority to undertake the proposed activities or 1 am acting as the duly authorized agent of the applicant. (f J mes Fi erald r / SIGNATURE OF APPLICANT DATE SIGN ATUR� AGENT ATE The application must be signed by the person who desires to undertake the proposed activity(applicant)or it may be signed by a duly authorized agent if the statement in block 3 has been filled out and signed. 18'U.S.C. Section 1001 provides that: Whoever,in any manner within the jurisdiction of any department or agency of The United Stales knowingly and willfully falsifies,conceals,or covers up by any trick,scheme,or device a material fact or makes any false, fictitious or fraudulent statements-or representations or makes or uses any false writing or document knowing same to contain any false fictitious or fraudulent statement or entry,.shall be fined not more than$10,000 or imprisoned not more than five years,or both. SUPPLEMENT TO ZX YORM-045 Complete and submit, along with materials requested below and executed LMG form-414'k "Application for a DA permit". If necessary, continue item on an additijnal sheet. Identify entry by items number. GENERAL 1. Period of time required to complete the proposed work. loth actual work time and duration of the Project are required (i.s., three weeks of work time over a two- month period), One week of work over a one-week period . 2. Informntion characteriatic of neighborhood (i.e., high, medium, or low density; residential, commercial, or industrial). Medium-density residential. 3. Types of adjacent marine str-ictures and approximate distance from the project site. Bulkhead/dock approx 50' — 150' to north. Walkway, ramp, float proposed by neighbor to south; approx 75' 4. Distance to noise sensitive areas (i.e., schools, hospitals, etc). No noise-sensitive areas in the neighborhood. 5. Types of construction equipment to be used during construction and number of each type (i.e. , bulldo2trs, trucks, cranes, etc). No motorized earth moving equipment; barge with crane and pump for setting piles . 6. Submit representative photographs, color if possible, of the project area. Identify pictures (i.e. , view from north, east, etc., time and date taken). Out- 7. Indicate on your protect plans and on photographs of the site(s) the location of any wetlands vegetation such as cordgrasi, reedgriss and cattails) in the construction area. Identify photographs as indicated in box 6. 8. Indicate the location of any known historical or archaeological site(*) within the pro jec, A'Imi ts: No known historical or archaeological sites with project limits . 9. Submit copy of any completed environmental studies or reports on the proposed project. No studies or reports exist to the best, of knowledge. 10. Discus? alternatives to the proposed project which were investigated including alternrtive locations, disposal areas, construction techniques etc. and why they were rejected. No alternatives were considered, since the proposed project provides the desired access to the water in the least obtrusive manner and is of the minimum practical size to accomplish this end. NARY PORN-201 Tab 78 Q'�T DREDGING - UPLAND DISPOSAL 11. S,:bmit specific locations and. photoraphs, color if possible of the proposed e sits) for the position of dredged material. Identify all photographs an at ad fn haN 12. Describe the present.' land use of the disposal site(s). Questions 11 - - 18 are not applicable- since dredging is not proposed. 13. Indicate physical nature of dredged material (i.e., sand, silt, clay etc). Give percentages of the lartous fractions, if available. 14. For maintenance dredging, DA permits are generally issued for a 10 year period. lndicste the number of times dredging is,. anticipated over 'a 10 year, period and the total capacity (cubic yards) of the proposed disposal site(s) which will be used to accommodate the dredged material. 15. Describe method-of dredged material containment (i.e. , embankment, bulkheads etc). DREDGING - OPEN WATER DISPOSAL M For maintenance dredging, DA Permits are generally issued for a 1(, year period. Indicate the number of times dredging is anticipated over a 10 year period. 17. Submit required testing data (testing criteria will be furnished upon request). 18. Discuss alternatives to open water disposal of dredged material and why they were rejected. . M0ORING FACILITIES 19. Number of water craft using the present marina facility. Are pumpout facilities available? Facility -does not now exist. 20. Number and type of water craft which will utilise the proposed marina or docking facility. Will pumpout facilities be provided for? It is expected that two small pleasure boats will be docked; no pumpout facilities . LAND FILL 21. Indicate type of structures to be built on the proposed fill. 22. . Type of fill to be used (i.e;, sand, stone,, rubble, earth, etc). 23. Method of fill placement. Questions 21 - 24 are not applicable since filling is not proposed. 24. Deieribe'any proposed methods for controlling turbidity during filling operation. NARY PORM-201 Feb 78 (back) July 28, 1995 Re: Application of David Cichanowicz COASTAL ASSESSMENT, Item 2A(POLICY 44): The proposed walkway will be open and supported by piles, with the decking no less than two feet above ordinary high water; three 2-pile dolphins will secure the proposed floating dock, which will consist of two joined floats. These structures will not affect or interfere with tidal flow and currents. The proposed project will have no adverse effect upon wildlife, fish, or shellfish or their habi- tats; nor will it adversely affect flood and stone control. There will be no adverse effect upon natural pollution treatment, groundwater protection, educational and scientific opportunities, or the aesthetic appeal of the area. It will provide recreational opportunities for the owner of the private land, and will not interfere with those of others. The proposed activity, therefore, is not in conflict with Policy 44. ames E. Fitzger .. Jr. Proper-T P ✓ ervices t 14.18"4,(2/87)—Text 12 PROJECT I.D.NUMBER 81J.21 SEAR Appendtx C Slate 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 2. PR ECT NAME James E. Fitzgerald, Jr. G� cha.nowicz dock 3. PROJECT LOCATION: Municipality Southold county Suffolk 4. PRECISE LOCATION(Street address and road intersections,prominent landmarks,etc.,or provide map) 1425 Arshamomaque Ave, Southold (See attached maps) 5. IS PROPOSED ACTION: New ❑Expansion ❑Modillcallonlalleralion 8. DESCRIBE PROJECT BRIEFLY: Construct fixed open walkway 3' x 291 , hinged ramp 3' x 16' , two floating docks each 6 ' x 201 ; install three 2-pile dolphins to secure floating docks .- .,, 7. AMOUNT OF LAND AFFECTED: Less than 100 sq Initially acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING.LAND USE RESTRICTIONS? Yes ❑No II No,describe briefly 9. W#AT IS PRESENT LAND USE IN VICINITY OF PROJECT? Residential ❑Industrial ❑Commercial ❑Agriculture ❑ParldForest/Open space ❑Other Describe: Medium-sized private residences. 10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING,NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATE OR LOCAL)? ®Yes ❑No II yes,list agency(s)and permitlapprovals NO approvals to date. Permits: NYSDEC, USACoE, NYSDOS, Southold Trustees 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes M No It yes,Ilsl agency name and permitlapproval 12. AS A RESULT PROPOSED ACTION WILL EXISTING PERMITIAPPROVAL REQUIRE MODIFICATION? ❑Yes 0 No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE iS TRUE TO THE BEST OF MY KNOWLEDGE A IlcanUe onsor James E. tz� ,exald, Jr./Proper-T. Permit Services pp p � r own � �r ' Cichano c Date: June 6, 1995 Signature: If/he action Is in IW-Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER ' 1 " PART II—ENVIRONMENTAL ASs; _ ,,MENT (To be completed by Agency) A. DOES ACTION EXCEED ANY TYPE I �, -,:SHOLD IN 6 NYCRR,PART 617.127 II yes,cooW" ": the review process and use the-FULL EAF. ❑Yes ❑No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.67 It 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 handwrillen,II legible) Cl. Existing air quality, surface or groundwater quality or quantity, notes levels, existing traffic patterns, solid waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly: C2. Aesthetic,agricultural,archaeological,hislorlc,or other natural or cultural resources;or community or neighborhood character?Explain bristly: 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 bristly. C5. Growth,subsequent development,or related activities likely to be Induced by the proposed'acllon?Explain briefly:. C6: Long term,short term,cumulative,or other effects not Identified In CI-057 Explain briefly. C7. Other Impacts(Including changes In use of either quantity or type of energy)? Explain briefly. D. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑Yes ❑No II Yes,explain briefly PART 111—DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect Idenlllled above,determine whether It Is substantial,large,Important or otherwise significant. Each effect should be assessed In connection with Its (a) selling.(i.e. urban or rural); (b) probability of occurring; (c) duration; (d) Irreversibility;(e) geographic scope; and (1)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. ❑ 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 fbe Information and analysis above and any supporting documentation, that the proposed action WILL NOT result In any significant adverse environmental Impacts AND provide,on attachments as necessary, the reasons supporting this determination: _ Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer'flITTIRefent from responsible officer) Dale 2 ram_ PHOTO A. Looking NNW along shore from site of proposed walkway. ( 6/5/95 ; 1 1 45 hrs ) ti ,.VI& y. n PHOTO B: Looking SSE along shore from site , - of proposed walkway. ( 6/5/95 ; 1145 hrs ) CORPS OF ENGINEERS DATA PROJECT SITE PHOTOS Application regardin�gg�the property of PURPOSE: Construct fixed open walkway, hinged David Cichanowicz, SC1'M #1000-66-3-16 ramp, and floating dock for private recreational Represented by MI purposes. PROPER-T PERT SERVICES DATUM: MEW P.O. Box 617, Cutchogue,NY 11935 IN: Petty's Pond AT: Southold James E. Fitzgerald, Jr. 516-734-5800 COUNTY: Suffolk STATE: New York June 6, 1995 N PHOTO C. Looking WNW from water ' s edge toward bank. Orange stakes mark land- ward end of proposed ' ;► "* i � r� ;;:, a !. _ �` r'U ,` ..:,,,_� walkway. i ( 6/5/95 ; 1145 hrs) CORPS OF ENGINEERS DATA PROJECT SITE PHOTOS Application regarding the property of PURPOSE: Construct fixed open walkway,hinged David Cichanowicz, SC #1000-666-3-16 ramp, and floating dock for private recreational Represented by purposes. PROPER-T PERMIT SERVICES DATUM: MLW P.O. Box 617, Cutchogue,NY 11935 IN: Petty's Pond AT: Southold James E. Fitzgerald, Jr. 516-734-5800 COUNTY: Suffolk STATE: New York June 6, 1995 Albert J. Kru ski, President p��SUFfO(,�CO� Town Hall p � John Holzapfel, Vice President �� y1 53095.Main Road ti a P.O. Box 1179 William G. Albertson Southold, New York 11971 Martin H: Garrell °� r Peter Wenczel �'11p1 �.a0� Telephone (516) 765-1892 Fax (51.6) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: DAVID CICHANOWICZ Please be advised that your application, dated 6/7/95 has bee reviewed by this Board, at the regular meeting of 6/29/95 and the following action was taken: ( XXX) Application Approved. (see below) ( ) Application Denied. (see below) ( ) Application Tabled. (See below) If you application is approved as noted above,. a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth int he si.ntruction sheet. The following fee must be paid within 90 days or reapplication including fees will be necessary. COMMENTS AND REMARKS: 3' X 19' = 57' X $3 = $171 Catwalk 3' X 16' = 48' X $3 = $144 Ramp 6' X 20' = 120' X $3 = $360 Float TOTAL DUE: $675 COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ zo Y, SIGNED: PRESIDENT, BOARD OF TRUSTEES BY: r.J C ERK, O OF TOWN TRUSTEES 6/95 71' Albert J. Krupski,President OOG Town Hall yid John Holzapfel, Vice President o 1 53095 Main Road P.O. Box 1179 William G. Albertson ti x O Southold,New York 11971 Martin H. Garrell Peter Wenczel y?�pl �a0� Telephone (516) 765-1892 Fax (516)765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 30, 1995, Proper-T Services P.O. Box 617 Cutchogue NY 11935 Re: DAVID CICHANOWICZ SCTM #66-3-16 Dear Mr. Fitzgerald, The following action was taken by the Board of.. Town Trustees during its regular meeting held on June 29, 1995 regarding the above matter: WHEREAS, Proper-T Services, on behalf of DAVID CICHANOWICZ applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated June 7, 1995, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on June 29, 1995, at which time all interested persons were given an. opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standard set forth in Chapter 37-18 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed t will not affec the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approves the application of DAVID CICHANOWICZ to construct a 3 ' X 35 ' fixed open walkway, a 3 ' X 16 ' hinged ramp and a 6 ' X 20 ' float with 3- 2-pile dolphins to secure floating dock. Permit to construct project will expire two years from the date it is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. FEES: Catwalk: 3' X 19' = 57' X $3 = $171 Ramp: 3 ' X 16 ' = 48 ' X $3 = $144 Float: 6 ' X 20' = 1201 X $3 = $360 TOTAL DUE: $675 Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/djh cc. CAC June 21, 1995 300' x 100'. New pond to be connected to old pond (on northern edge), 20' connector, with a 40' berm in the middle as shown on submitted plans. Narrow River Road and Platt Road, Orient Vote of Council: Ayes: All Motion carried. No. 1276 Moved by Bruce Loucka, seconded by Stephen Angell, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH CONDITIONS of the Wetland Application of DAVID CICHANOWICZ 66-3-16 to construct a fixed open walkway 3' x 35'; hinged ramp 3' x 161; two floating docks, each 6' x 20'; and install three 2-pile dolphins to secure floating docks. The CAC recommends approval provided that application reduce the project to ONLY ONE 6' x 20' FLOAT. Also the catwalk should be 3' wide and elevated to 3' above the grade. Vote of Council: Ayes: All Motion carried. RECOMMENDATION OF AMENDMENTS A-15 Moved by Stephen Angell, seconded by Betty Wells, it was RESOLVED to recommend to the Southold Town Board of Trustees DISAPPROVAL of the Amendment Request of RICHARD MAUTNER 53-4-12 to construct a 20' x 35' deck addition to existing- home. The Council recommends disapproval of this as an amendment. The project does not amend and is out of the scope of the permit issued. The Council recommends that the Trustees require that Mr. Mautner apply for a permit for the deck. The CAC would recommend approval for that permit. 2055 Bayshore Road, Creenport Vote of Council: Ayes: All Motion carried. 6/2 Prop&-T Permit Services POST OFFICE BOX 617, CUTCHOGUE, NEW YORK 11935-0617 (516)7;34-5800 JUN 2 91995 June 28, 1995 T0WN OF So, THOL PJ President Board of Town Trustees Town of Southold Town Hall, 53095 Main Road Southold, New York 11971 Re: Application for David Cichanowicz; SCTM#1000-66-3-16 Dear Sir: As was suggested by the Board, the project has been revised so that the total area of the float(s)is 120 square feet and the project may therefore be classified as Type H under the Trustees'guidelines. A revised"PROJECT PLAN" drawing.reflecting this change, dated 6/28/95, is enclosed and should be used to replace the drawing dated 6/6/95 submitted originally with the application. o rs truly, J es E. Fitzg Jr. a subsidiary of THE PECONIC EASTERN CORPORATION Proper'-T Permit Services POST OFFICE BOX 617, CUTCHOGUE, NEW YORK 11935-0617 (516)734-5800 June 65 1995 President Board of Town Trustees Town of Southold Town Hall, 53095 Main Road Southold, New York 11971 Re: Application for Permit on Behalf of David Cichanowicz Dear Sir: Attached are documents which have been prepared in support of the application for a permit to construct a docking facility on the property of David Cichanowicz in the Town of Southold, Suffolk County. Proper-T Permit Services represents Mr. Cichanowicz in this matter, and a letter of authoriza- tion is part of this submission.. If there are any questions, or if additional information is needed, please call me. Yours truly, es E. Fitzgeral Enclosures: Letter of Authorization Application Fee ($150) Application Form Notarized Statement of Applicant Short Environmental Assessment Form Tax Map Survey of Property Project Plan Project Site Photos a subsidiary of THE PECONIC EASTERN CORPORATION Albert J. Krupski,President tin? ' ECG Town Hall Jchn Holzapfel, Vice President '_* 53095 Main Road William G. Albertson y P.O. Box 1179 �: n Southold, New York 11971 Martin H. Garrell d cj . Peter Wenczel ��� Telephone (516) 765-1892 r Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application U Wetland Permit Application Grandfather Permit Application JUN - T 10 Trustee Lands Permit Application Waiver TOWN OF SOUTHOLD Received Appl1cat4 n: 6 7 Q S' Clerical Review. 7 f._ Completed Applicatio Incomplete SEQRA Classification: Type I - Type II_2<_Unlisted Coordination: (date sent). CAC Referral Sent: 6 Date of Inspection: Receipt of CAC Report: (da e) Lead Agency Determination: Ln1 Technical Review: (date) Public Hearing: (dat G T W Decision: Approved / ) ( ate) Application Fee:$ Name of Applicant David Cichanowicz Address P.O. Box 160, Peeonic, NY 11958 Phone Number: ( ) 734-7923 Suffolk County Tax Map Number: 1000 - 1000-66-3-1.6 Property Location: 1425 Arshamamoque Ave, Southold (provide LILCO Pole #, distance to cross streets, and location) Agent: Janes E. Fitzgerald, Jr. / Proper-T Permit Services (If applicable) Address: P.O.. Box 617, Cutchogue, NY 11935 Phone: 734-5800 �/ ,ard of Trustees Applicati,- - GENERAL DATA Land Area (in square feet) : 19,763 sq. ft. Area Zoning: R-40 Previous use of property: Private residential Intended use of property: Private residential Prior permits/approvals for site improvements: Agency Date X No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X . � No Yes If yes, provide explanation: Project Description (use attachments if necessary) : Construct fixed open walkway 3' x 35". hinged ramp 3' x 161 , two floating docks ea.ch .6' x 201 ; instal three 2-pile dolphins to secure floating docks. r c� J 2 ird of Trustees Applicatii. WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Provide docking for boats, and access to water for private recreational purposes. Area of wetlands on lot: None square feet Percent coverage of lot: '0' o Closest distance between nearest existing structure and upland edge of wetlands: N/A feet (property is not yet developed) Closest distance between nearest proposed structure and upland edge of wetlands: * feet Structure . crosses edge of wetlands. Does the project involve excavation or filling? X No Yes If yes, how much material will be excavated? N/A cubic yards How' much material will be filled? N/A cubic yards Depth of which material will be removed or deposited: N/A feet Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: N/A Statement of the effect, if any; on the wetlands and tidal waters of the town that may result by reason os such proposed operations (use attachments if appropriate) : It is expected that the project will have no significant effect on the wetlands and tidal waters of the Town. 5J 6 14.16.4(2/87)—Text 12 PROJECT I.D.NUMBER 617.21 SEOR Appendix C State Environmental.Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART 1—PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT(SPONSOR 2. PROJECT NAME James E. Fitzgerald, Jr. Ci0 anowiez dock 3. PROJECT LOCATION: Municipality Southold County Suffolk 4. PRECISE LOCATION(Street address and road intersections,prominent landmarks,etc.,or provide map) 1425 Arsharnomaque Ave, Southold (See attached maps) 5. IS PROPOSED ACTION: FU New ❑Expansion ❑ModificationlalteratIon 6. DESCRIBE PROJECT BRIEFLY: Construct fixed open walkway 3' x 351 , hinged ramp 3' x 161 , two floating docks each 6' x 201 ; install three 2-pile dolphins to secure floating docks. 7. AMOUNT OF LAND AFFECTED: Less than 100 sq ft Initially acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? tO Yes ❑No If No,describe briefly 9. W#AT IS PRESENT LAND USE IN VICINITY OF PROJECT? Residential ❑Industrial ❑Commercial ❑Agriculture ❑Park/Forest/Open space ❑Other Describe: Medium-sized private residences. 10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATE OR LOCAL)? 12 Yes ❑No If yes, list agency(s)and permit/approvals No approvals to date. Permits: NYSDEC, USACoE, NYSDOS, Southold Trustees 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes No It yes, list agency name and permlUapproval 12. AS A RESULT q PROPOSED ACTION WILL EXISTING PERMITIAPPROVAL REQUIRE MODIFICATION? El Yes No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Janes E. 'tz a ald, Jr./Proper-T. Permit Services Applicantisponsor n e: r Own Cichano Date: June 6, 1995 Signature: If tie/ action is in th oastal Area, and you are a state agency, complete the • Coastal Assessment Form before proceeding with this assessment OVER 1 PART II—ENVIRONMENTAL ASSESSMENT (To be completed by Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6,NYCRR, PART 617.12? If yes,,coordinate the review process and use the FULL EAF. ❑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 patterns, 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 C1•C5?Explain briefly. C7. Other Impacts(Including changes In use of either quantity or type of energy)?Explain briefly. D. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑Yes ❑No If Yes,explain briefly PART III—DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect Identified above,determine whether it Is substantial,large,Important or otherwise significant. Each effect should be assessed In connection with Its (a) setting (Le. urban or rural); (b) probability of occurring; (c) duration; (d) Irreversibility;(a) 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. ❑ 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 any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental Impacts AND provide on attachments as necessary, the reasons ,supporting this determination: Name of Lead Agency Print or Type Name of Responsible Officer in Lea Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(If i i ferent rom responsible officer) Date 2 Post Office Box 160 Peconic, New York 11958 February 24, 1995 President Board of Town Trustees Town of Southold Town Hall, 530951VIain Road Southold, New York 11971 Dear Sir: Please be advised that I hereby designate and authorize James E. Fitzgerald, Jr. of Proper-T Permit Services to act in my behalf as my agent in the submission and processing of a permit application for the construction of a bulkhead on my property located at 1425 Arshamomaque Avenue, Southold, and designated by Suffolk County Tax Map No. 1000-66-3-16, and to furnish, upon request, supplemental information in support of the application. Yours truly, David Cichanowicz STATEMENT TO THE SOUTHOLD BOARD OF TOWN TRUSTEES County of Suffolk ) State of New York) I, David Cichanowicz, being duly sworn, depose and affirm that I am the owner of the property located at 1425 Arshamomaque Avenue, Southold, New York 11971, and identi- fied by Suffolk County Tax Map No. 1000-66-3-16, and that all work will be done in the manner set forth in the present application and as may be approved by the Southold Board of Town Trustees. I agree 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. I hereby authorize the Town Trustees or their agent(s) or representative(s)to enter upon my property to inspect the premises in conjunction with the review of the pre- sent application. David Cichanowicz Sworn to before me this .....Z.6..... day of.........:t�4� �........... 19.�� ........ .. '.......�. ......... Nota bhcg n O 7 nw, q Q 0 THE SITE OF THE PROPOSED PROJECT IS CROSS-HATCHED CORPS OF ENGINEERS DATA TAX XUP Application rqgardin the rogeT of t PURPOSE: Construct fixed open walkway,hinged David Cicharim M X10 0- 6-3-16 ramp, and floating dock for private recreational Represented b Z purposes. PROPER-T PERMIT SERVICES DATUM: NCW P.O. Box 617, Cutchogue,NY 11935 IN: Petty Pond AT: Southold James E. Fitzgerald, Jr. 516-734-5800 COUNTY: Suffolk STATE: New York June 6, 1995 NEW YORK STATE DEPARTMENT OF SRTMENT��F STAj TATE DEPA COASTAL NANACEMENT PROGRAM COASTAL PF{OGRAMS ��•�r� Atiq 3 t95 Federal Consistency Assessment Form RECEIVED An applicant, seeking a permit, license, waivers certification or similar type of approval from a federal agency which is subject to the New York State Coastal Management Program (GNP), shall complete this assessment form for any proposed activity that will occur within and/:m:•directly affect the State's Coastal Area. This form it 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 1. Name: James E. Fitzgerald, Jr. Proper-T Permit Services&e print) 2. Address: P.O. Box 617, Cutchogue NY 11935 3. Telephone: Area Code ( ) 516-734-5800 B. PROPOSED ACTIVITY 1. BNff des riftion of activity: Construct fixed open walkway 3 ' x 29' , hinged ramp 3 x �6 , two float � . -CaliInsee -p e o p ins to secure floating dock. 2. Purpose of activity: Private recreation 3. Location of activity: Suffolk Southold 1425 Arahal<o>rague Ave County City, Torn or Village Street or Site Description 4. Type of federal permit/license required: Corps, of Engineers 5. Federal application number, if known: Not known .at this time „ 6. If a state permit/license was issued or is required for the roposed activity, identify the state agen Xand ` provide the application or permit number, if known: .NYSDE�; number not known at this €ime C. COASTAL ASSESSMENT Check either "Yes" or "No" for each of the following questiontI The numbers following each :;uestion refer to the policies described in the CMP document (see footnote on page 2) which may be affected by the proposed activity. YES NO 1. Will the proposed activity result. in any of the following': 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, 4% 43)........... X b. Physical alteration of more than two acres of land along the shoreline, land under water or coastal waters? (2, 11, 12, 20, 26, 35, 44)......... X c. Revitalization/redevelopment of a deteriorated or underutilized waterfront site? (1)........ X d. Reduction of existing or potential public access to or along coastal waters? (19, 20)....... X 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).................... ...... _X g. Siting of a facility essential to the.generation or transmission of energy? (27)............ . . h. Mining, excavation, or dredging activities, or the placement of dredged or fill materials in coastal waters? (15s 35)................... I. DiAcharge of toxic&, hazardous substances or other pollutants into coastal waters? (15, 35). _X j., Draining of stormwater runoff or sewer overflows into coastal waters? (33)....0............. �y Its Transport, storage, treatments or disposal of solid wastes or hazardous materials? (36, 39). _X 1. Adverse effect upon land or water uses. within the State's small harbors? (4)............... _ y 2. Witi ,the proposed activity affect or be located in, on, or adjacent to any of the following: a. State designated freshwater or tidal wetland? 44 X b. Federally designated flood and/or state designated erosion hazard areal c. State designated significant fish and/or wildlife habitat? (7)............a......... �������� d. State designated s1'gnificant scenic resource or,area? (24)..........................::...... �. e. State designated important agricultural land&? (26) f. Beach, dune or barrier island? (12).....................:................................... _� g. Major ports of Albany, Buffalo, Ogdensburg, Oswego or New York? (3)......................... IX h. State, county, or local park? (19, 20)...................................................... _7 i. Historic resource listed on the National or- State Register of Historic Places? (23)........ YES NO 3. Will the proposed activity require any of the following: ! a. Materffrrt •sitb? (2, 2;1� 22)................................................................ X b. Provision o(" new public services or infrastructure in undeveloped or sparsely X populated sections of the coastal area? (5)................................................. c. Construction or reconstruction of a.il.00d;or„ol;os on,cpntrol. structure7 (13, 14, 16)........ X d. State water quality permit or certification? (30, 36, 40)................................... 1( e. State air quality permit or certification? (41, 43)... 4. Mill the proposed activity occur within and/or affect an area covered by a State approved local waterfront revitalization prografnt (see policies in local program document*).... ADDITIONAL STEPS 1. If all of the questions in Section C are answered "No", then the applicant or Agent 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. In the space provided below or on a separate page(&), 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 agent shall complete Section E and submit the` doc umentetion required by Section F. CERTIFICATION The applicant or agent must certify that the proposed activity is consistent with the State'& CMP or the approved local waterfront revitalization program, as appropriate. If this certification cannot be bide, 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: James E. Fitzgerald, Jr. / Proper-T Permit Services Address: ' P.O. Box 617 tc ogue, N 11935 Telephone: Area Code ( ) 16-7 4-58 �-- Applicant/Agent's Signature: Date: `F. SUBMISSION REQUIREMENTS / 1. The applicant or agent shall submit the following documents to the New York State Department of State, Office of Local Government Services, Coastal Management Program, 162 Washington Avenue, Albany, New York 12231. a. Origihal 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) 474-3642. *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. i - 2 - FCAF Revised 6/84 Standard N.Y.B.T.U.Form 8002•12-71-70M—Bargain and Sale Deed,with Covenant against Grantor's Acts-Individual or COronratlnR(Single sheet) CONSULT YOUR LAWYER BEFORE SIGNING' INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. l 0994 FAGE 16. . THIS INDENTURE,made the 30th day of January , nineteen hundred and seventy-six BETWEEN ARMAND C. HOVELL and LILLIAN HOVELL, his wife, residing at 6770 Candlewood Drive, Ft. Myers, Florida 33901 party of the first part, and GUS KLAVAS and ANGELA KLAVAS, his wife, residing at 166-07 14th Road, Beechurst, Queens, New York 11357 _ party of the second part, WITNESSETH,that the party of the first part, in consideration of Ten Dollars and other valuable consideration paid by the party of the second part, does hereby grant and release unto the party of the second part, the heirs or successors and assigns of the party of the second part forever., ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon•erected, situate, lying and being in the Town of Southold, County off"lying folk- and.- State of New York, known and designated as Lot No. 15 ,in• Bloek';2, ,on, a oertairl map entitled "The Map of Beixedon Estates, Town of Southold, Suffolk County, N.Y. , Property of Grace R . Nickles, formerly Grace Rogers De- Beixedon, made ,by Otto Van Tuyl, Licensed Surveyor" , - and filed in the fi bfce of the Clerk of the County of Suffolk on March 16,1946 as Map No.. . 14 7 2. TOGETHER with the right to pass and repass over the roads str s 1 and avenues shown on said map, - and . the right, in ''common with other owners of the lots shown on said map, to use .the beaches designated on said map as Plot A and Plot B res ectivel• p y, solely for recreation > and not for commercial purposes. TOGETHER with a non-exclusive right to dredge (for the sole ' purpose of facilitating access by boat to and from Southold Bay) in Petty' s { Pond on the westerly side of the line running, South 22-0 21 ' 00" East and South 430 05 ' 30" East (as indicated on said Map) , to within five feet of the easterly boundary of all lots southerly of lot ! 14 in Block 2 on said Map. Grace R. Nickles has reserved to herself, her heirs and assigns, all the right, title Arid interest to the ' lands under water of Petty' s Pond. �� I j BETNG AND INTENDED TO BE .the same premises as wasconveyed to the party of the first part herein by L1oyd4htandley and Josephine A. Standley, by deed recorded in Liber 4473 at' Page 1.32, and known as and by Street Number 965 Arshamomaque Avenue. There has been delivered to the party of the first part, by the party',of the second part, a purchase money mortgage in the sum of $28, 000, intended to be recorded simultaneously herewith. y�••'� �,v.witll.W uPgL L11C. P42 L�Vr--mic-.11r5C pal Isa., riut. uu⁢ vr--sunerea anytning 1' whereby the said premises have been encumbered in any way whatever, except as aforesaid. AND the party of the first part, in compliance with Section 13 of the Lien Law, covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consid- eration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other•purpose. The word "party" shall be construed as if it read "parties" whenever the sense of this indenture so requires. IN WITNESS.WHEREOF,the party of the first part has duly executed-this deed the day and year first above wr;tten. IN.PRESENCE OF: VC � _ -� , Armand, CrHvvell 1./�G ,•V Y/•`L.`. I Y✓'�'� .,� 1�. _V� SJ" ^ 11 WW Lillian Hovell ti .t - _-[000 -66-3-8 W00-0 3ULt441-�- EbWAIK-r�, �A3t^OHsrc� . 1345 A IMMOMAQUE AVE. _CebttfAQY Wrrx IUA-r� -Wuvo►:N' NY IIG'1f ?R6 mm-kv u Ne— Z 77.0' d CeDi NA 2Y ►.ow wA75L - � � Ap�a2ox •300 � ioo0-66-3-16 (No-wE�r� V1a'ETAMON 1 t� QIG4iANOIVtGz Ex IS'f`s IN t �C7 S(1't-) t 1 ,JVo--- iA t �i-EL'Or�1C�N'( IIQ�$ 47 1 FLOAT U DEVEt,Or"�� �I�6P�RT`� I 6 <Z LJ pQ 2 51 �� I Qo _W.ALKWA`( O y—iy' 7/_ f MP -Z4! ' � �) 8 Z AT P�O�f E21Y 1,l N E MCI 1 peDl 41eY WP _ViPaINIA aRC�S�e +0(-,- \ 6zoo I Hjvt R NE0K.- I-ANt= SIC,rlY il�sg 0 5 10 za ea CORPS OF ENGINEERS DATA PROJECT PLAN PURPOSE: Construct fixed open walkway,hinged Application regarding the property of P Y ramp,and floating dock for private recreational David Cichanowicz, SCTM#1000-66-3-16 purposes. Represented bY- DATUIVL MLW PROPER-T PERMIT SERVICES P.O.Box 617,Cutchogue,NY 11935 IN.Petty's Pond AT:Southold James E.Fitzgerald,Jr. 516-734-5900 COUNTY:Suffolk STATE:New York June 6,1995 b�zs�9s 8-�0"7r�tiLPiCES -DMV 7DIEArMW ltae.nleawour 3'fa tkRA IN _ _mac 7w1D=PItc�CL�INS /`.7Q41M FWAZ amp 11,X-V ihb FUA75 Al ALL W - FEE �tLVAli1Z7111 APPft MAIM'a6M Ar AW CORPS OF ENGINEERS DATA SECTION VIEW " Application regard C'i1Vie pprropperty of PURPOSE: Construct fixed open walkway,hinged David Cichanowic S1000- 6-3-16 ramp,and floating dock for private recreational Represented by , purposes. PROPER-T-PERMIT SERVICES DATUM: MLW P.O.Box 617, Cutchogue,NY 11935 IN: Petty's Pond AT: Southold James E.Fitzgerald,Jr. 516-734-5800, COUNTY: Suffolk STATE:New York July 10, 1995 -,'.+g F;,.... ..v ,:.tvi-.... ..,.yy+r �% "... ..:,,::.:.,Fv:L.�, ,aa-...u.;;,.. gym• r_aY:vL- .,,�"..-.r..--..t-:x-i4:^:pti.:. �/yy''t " ---•- .fit �:`..�. .d .. .. "� CEM 11971 t + a a .• � Fadd 9 t ( d , UP- a �i �° THE AREA OF THE PROPOSED tK """'°� 4 `w •e+ PROJECT IS CIRCLED `•O= a EkEDON 25 ,Q. tn `+ FoundersLanding ' " • w o. ., ockeyCr It SO UTHOLD n.0 jfutholdB A Y� • west d t Q 1 ■ Y.C. `\ e GREAT 1 wt ^ , ,� ;• °_n NECK F I t f Pa iJt r Point I <<S „� .. :may �r� ao f•�'rr �o. ° °�< <.•ce�oncf ,+ n If Nerk S ;G<•<,� ��/� e Q "� r ' Bag t "'•�� A Y `I Sorel C '\ I pjr' o �• a. 1 r' FDA CEDAR BEACN f H 0 G N E C K , A , Of, CoNNrr PARK IV B A Y •w r Ceddr Beach Point ! A t. ! CORPS OF ENGINEERS DATA ' VICINITY MAP ! Application regarding the pprropperty of PURPOSE: Construct fixed open walkway,hinged Uavi Cichanowicz, S1000- 6-3-16 I ramp,and floating dock for private recreational Represented by purposes. PROPER-T PERMIT SERVICES DATUM:MLW P.O. Box 617,Cutchogue,NY 11935 i IN: Petty's Pond AT: Southold James E. Fitzgerald,Jr. 516-734-5800 I COUNTY: Suffolk STATE:New York June 6, 1995 1 __.. at[a[c b ms•of•ow.a/J J„•w pl\lt „ ? � ` 4. •,l a. J 1 1p bJ , dP ityy •••• p. p' � ' 4 I,• [ �:�` '�'`••. . �•.. . � ' �;.� a gyp{ 241 [,, ,•t • 1p i. a[r Stc w iv . 6.•-6A • - •/ J�a 0 ...,..9y4eo� •� , - - .. THE SITE OF THE PROPOSED PROJECT IS CROSS-HATCHED t o r CORPS OF ENGINEERS DATA _ TAX MAP Application regazding the pprropperty of PURPOSE: Construct fixed open walkway,hinged David Cichanowicz, SCTM X1000-66-3-16 ramp, and floating dock for private recreational Representedy - P�Po PROPER T PERM SERVICES DATUM:NEW P.O.Box 617, Cutchogue,NY 11935 IN:Petty's Pond AT: Southold James E.Fitzgerald,Jr. 516-734-5800 COUNTY: Suffolk STATE:New York June 6, 1995 I i pnrnr'6- ia00-66-3-6 WOO'O 3JuWCZAt'� =',hWAP-b 7Ab4hSKI f34S N2-1iAntowi4E We ORDfWY Hf&d R AMP- :OJTT+Oi-�. NY iA91 -RaeRT' uNE Z77V of3+wRY"W pNTEQ. l 1 1 AYkD7 100' To ICo0-E6-5-f6 ' +, dT�OSiT� 3i�yf� ('/17 uJEllAfIDS VS:t£7ATi0N (.10KAN0 Ulla- i •rl7�Wil 16C r�ctrTS M r`WEC'T Srfc) V � _ OAM T. oy� Ui+DEyELOr D i�OPcRTY I 1 F.4m 9 A70 l� ���s wAixxl�Y 3'xZ9' 1DOHIr+S i 14' ZS pedpMT`( WNE. Zgna, i000-66-3-q , i wer, ok Miele toles. \ l am iNDM f EO:INNS . , t5wNiC,NY A* 4o' CORPS OF ENGINEERS DATA PROJECT PLAN PURPOSE: Construct fixed open walkway,hinged 'Application regarding the property of ramp,and floating dock for private recreational David Cichanowicz, SCTM#1000-6b-3-16 purposes. Represented by DATUM: MLW PROPER-T PERMIT SERVICES P.O.Box 617,Cutchogue,NY 11935 IN:Petty's Pond AT: Southold James E. Fitzgerald,Jr. 516-734-5800 COUNTY: Suffolk STATE:New York • Rev July 10, 1995 - '1 SUFFdLK CO. HA(-Si KOM HAP 28 P,ETTYS pool D pox.widk=30o!') )�.• 6 K20 FLOAT i 'I'4k:•. ✓'u�i� �Jn eS µ•$'GLOAT, ••kryr•: �.. ..".. �%,::!"" } 3'AI4'RAMP,�tv/ALK 11 eo �,oi t oundcr rrandin9 PL S a' /IC��ill 'Key Cr 6D -e S 0 U T H 0 L D I BAY I S ArP1D' N „ V) b . in 0 ej - (41 /• ._FEET �1 � � cc TT { jd - s''` " A a J =Y � - ISZ{ 1.DATUM 'PLrinl_N.G.V•D,j CROSS= ALW 2.PVRPOSE:r •'. PRIVATE DGCK APPROX. #0 L.Y.�EAiJ SAND 7U 8E7RU496D I81- d U58D A5 Br9CKFlu. ,W- 5•PKalECT 4-OeA-nO,.1:No-4)AR5HIlMoNAQJEQYE. ,q ScTM-*/0O-66-03-09 !0 Q G.ADJACENT Ow/./ERS vl �7 �� 2),T NlC-kr-ES J NOV— SED O r5 ,�v �cv/S/D1.J � 16 �R��SE �l 2 _,r / Re A(o� e au l e A �-C h n N f t C�g Tca,q I !c /gam_ ----- �� ! 3 vN S N - ° PROPOScD 14OUSE ANC. Dx< FOP c�cEUA KEMnt-rn QND Ao VX6INIA CROPPER O�J En S PO�JD 5NP N p Y P CL A7- SOvT N0/-P f SUFrOLK CO.,/kl Y. s PEE'T i OF i l7 l�5 STATE OF NEW YORK DEPARTMENT OF STATE ALBANY, NY 12231-0001 ALEXANDER F. TREADWELL SECRETARY OF STATE August 8, 1995 Mr. James E. Fitzgerald, Jr. Proper-T Permit Services Post Office Box 617 Cutchogue, NY 11935 Re: F-95-500 U.S. Army Corps of Engineers/New York District Permit Application David Cichanowicz . Town of Southold, Suffolk County Acknowledgement of Federal Consistency Assessment Form Dear Mr. Fitzgerald: The Department of State received your Federal Consistency Assessment Form and supporting information on August 3, 1995 and has determined that the submitted documentation is adequate to commence our review of your proposed project. We will contact you if additional information may be necessary for consistency review purposes. You and the Corps of Engineers will be notified of our decision when we have completed our review of this project for its consistency with the New York State Coastal Management Program. The Corps of Engineers cannot issue a permit for this project unless the Department of State concurs with your consistency certification. Please call Walter Meyer at (518) 474-6000 if you have any questions. Sincerely, William`F. Barton Chief, Consistency Review and Analysis Bureau Division of Coastal Resources and Waterfront Revitalization WFB/jtb cc: COE/New York District - Sophie Ettinger NYS DEC/Region 1 - Robert Greene Town of Southold - Albert Krupski A PAPER RECYCLED PAoN A0 � e ti OQ_g4; ►,AENT QF I-IE11.' ERVICES so- SINGLE Fa wQv2NL Appm °ire SuNap djsant and beater sup:fy fac"as b, ^ this totatW haw bean InspErrW end/crr o I b 0 Co ogtj by this Department or o"r agandes - L_ __ s✓�ti„ �( �bd found to be rratttftmory. 6 A.Costa,P.E.,CtM Offt a of Water and Wastewater Mm emerd 0 Y Un Acmized alteration oradd(aon to INN swm la.%40mon of Seedon 7m of do"M Yak Stall Eduaaon Law. N tMlandOriiwe hlyd"war Mn0 v v 0mbotNd iN111 i not b e m iddwnd N to bra.eW tnw at/!/. p oumewo o Wood b NFm shill en ^ybtfn NdatMebvWbb I N tide= penr,00voommMal�e�elrWW p e 1000 a WWkvq ftido'lewd 1.e d�aq+andMullMon. 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P TO BE REPLANTED WITH BEACH GRASS el' ty, t \\ 2 ON CENTERS /� I itoSPG J�GE14 ll \\� 0�9 e �poJ�E �,-' KEY.MAP_ %.''`BOt Ile G� � lo SCALEi I -I'w 600' met's h el 5.& el , �O�F Q� 0f0 BEP�RENN ` .'%' k* i enveg ed 1 0 FRB p� P , -%;m =;�' P�:�. _�.- -' :/• gcl ' 1, .435 �°� ;� �' � r � Q� �°�/ DREDGED SPOIL /S TO BE NO CLOSER THAN y �� �.�N l D' FROM TIDAL WETLAND VEGETA TION. GREPMpTE �� ALL REPLANTING AND SEEDING TD BE COMPLETED M p�KEpGEp �R�'�. sO \ \ \ � \ FOLLOWING D BEFORE NEXT GROWING SEASON _pR � a �\ � e�. ISTURBANCE. , Q T f . W N H A R tR l Unauthorized alteration or addition —� I I i N to this survey Is a violation of f ( Section 72La of the New York State .. U? v 1AT E 1 F. Education LavtJUN Copies ofthis survey map not J he land surveyors Inked seal or bearing embossed seal shall not be considered H 0 L D o (� to be a valid true copy. TOWN O F �O OJT ---� I Guarantees Indicated hereon shall run 2 sT�2v #� only to the person for whom hesurvey F2. HQ, is prepared,and on his behalf to the title z SEPTIC TANSL f i — lending governmental agency and GA2. {'-- i g Institution listed hereon and to the assignees of the lending instf- I-___�___ j J tution.Guarantees are not trangferable to additional Institutions or subsequent \ bt 1 owners. 1 �G-MW Aj �t 1 ` N M— �VACANTi' } J Q \Ct i'1 STAkE5 N 7- co 1 FL �, - --- FLOOD r ONE5:: „G,. f� � �- `C) \ C VACAt,4T) Ff?_,.10=. n OV N W iI qVX,O I - LAND (! (TO .Tlc LiNi=) O [•L0 1 `�, ! F=jR.TC; 8,�0 r w _-01, M A,.#P F BE,S �:C 1 E j�r� S1 71 5 Atit�E�DEr� Ji�N� � �y� �AIZAt�1T�rO TO THE ©WN�rc "F N_AT(ONS T17-E_ 1N_5U_QAf� 'E CO-PEN.Y. AS SL}R VEYE,D NOS/ 22 [ qt� a ' 1 0 N Tt- i Q5, PLE:Ff,t •?'�'} r'''Ira�i`� �31� ,...��r �.:'t�,t�l.r.�f;%,, ROD RFCK VAN �UYL, .C. .'— 3. S .� MAP Iti '.= iOCzG-roC�----•-- --••--. _ � LICENSED LAND SURVEYORS �. . GREENPORT NEW YORK �. 7ELEDYNE POST NS1329 .. 0 , 08�' \ �EPQ��5�Q�� `N ,' , SITE P eb \ DISTURBED VEGETA TlO �� s TO BE REPLANTED b S WITH BEACH GRASS I e�.��w. oh 4- - (P 12 ON CENTERS �� KEY.MAP \� ` t FO 0\ ' �' (LD SCALEI'� 600 ers p a-� E N L �e� S TpED PER ) ro`,J. Vege 6N N v� p PREO RAPT '°$' %' -� -- 01. / K Z E R ' Z � FRB PP . ''% � -- '' P �., " �_ �- b ;• - PO N WI w� .01 0 SRP L 435 cuy� — �Q ��'/ DREDGED SPOIL IS TO.BE NO CLOSER THAN O ��� , / 10 FROM TIDAL WETLAND VEGETATION. ALL r GREPMPTE / �= / COMPLEETED BEFORE NEXT DGROWING SEASON p1KE FOLLOWING DISTURBANCE.DW At} bU�Kh \ hPR \ 4 0 0 / Q Q T O W N H A R t R 1 ° DIKE CREATED WITH DREDGED MATERIAL EXISTING PLAN FOR _ _ "'"'""' ,r s P O I L ,� SLOPE DREDGED MA TERIAL CONTAINMENT cRossEcriOnr- DREDGED A T BEIXEDON ES TA TES OGEQ MATERIAL CONTAINMENT A T SOUTHOLD - AREA ( TYR ) r-ii ( aty a .i' i ■ ri 010H1n0S J0 Nit a- 6 - Nnr _ lao0 -66-2- 8 WOOD COL KREA6- EboUAk SAKI-TA \ _1345- Mc6AMDMAQJE AVM --50L)Tt-t of " NY IILI41 _02�1r�A�Y Nl&N u�A�fZ t'�CSI'E�r! 4.1 f�lE z7�0 ceiw-iARY !O ) wme(- 1 A-P-'OX Zoo' -F too0-66-3-16 (NO -WEMANICS V5a-FE-TATCH 1 � �� 7i AVID L'lL�_+ANO I,I�ICZ �x(5 I� ►N l_"1P.Os'ECT StTt-) � �1 v� JoN iC= N i lg5g 47' I U� ' � FJQG r�y o0 + 2 j' all WA-1 A -. ?QO-'E2.TY LINE- 290.0' ` - plNAeY 620o i NDIPtN t ECK- IANF "+ IC, NY IlqS8 - SCALa. I" =.Zo' CO1 PS OF ENGINEERS DATA PROJECT PLAN PURPOSE: Canstruct fixed open walkway,hinged Application regarding the property of ramp, and floating dock for private recreational David Cichanowicz, SCTM#1000-66-3-16 purposes. Represented by DATUM: MLW PROPER-T PERMIT SERVICES P.O. Box 617, Cutchogue,NY 11935 IN: Petty's Poncl AT: Southold James E. Fitzgerald, Jr. 516-734-5800 COUNTY: Suffolk STATE:New York June 6, 1995 6MAK --� 8=ro"">xa}t ILES... _... 7 Cq ldPEAT. .._._.__. t 0.0.11Ipax lod T TJO Flcc 1CG�IMS AX�KuJAY 34'X 3' _ Swope Fi IS . � .-:?i AMP LZ"A3' -/V1kI Tkb FUA75 rb o�nANu5 Ben 5) 58CN 6'c to' ALW -ALL kWb 1D 1F_ a-TREATE.Z... 1_ALL.WJZDuY�'E To'W-CvQVNNIZE ___. I 4 _APPeax MJ'E!P_W4" Ar AL10 CORPS OF ENGINEERS DATA SECTION VIEW PURPOSE: Construct fixed open walkway,hinged Application regar ing theproperty-3 P Y� g David Cichanowic� of SC%#1000-66-3-16 ramp,and floating dock for private recreational purposes. Represented by PROPER-TPERMTT SERVICES DATUM: NEW P.O:Box 617, Cutchogue,NY 11935 IN:Petty's Pond AT: Southold James E. Fitzgerald, Jr. 516-734-5800 COUNTY: Suffolk STATE:New York Rev Feb 16, 1996 Unauthorized akeration or addition j to this survey is a violation of tV Section 7208 of the New York State } E Education Law. Copies of this survey map not bearing d surveyors Inked seal or the embonssed seat shall not be considered to be a valid true Copy. Guarantees indicated hereon shalt run 7 only to the person for whom the survey ,C 2Y I is prepared,and on his behalf to the 'FP P. HO. ; this company,governmental agency and lending institution listed hereon and z SEPTIC rr�h�+L GA(C. "� , 4 \ to the assignees of the tending insti- tution.Guarantees are not transferable O ... ` \ 11, \ To additional institutions or subsequent T_- / M CP y \ c ? � �W. ` a ` 250.0 fir' FL000 :ANE5,�: ��t� 0---� �—A-4 I.EL. VACANT) / k1VAA D*/-\\\ /1 Pi r-A TRI pF NIC - 1 TIJ\10 1 `Y•' ".;{>� I F ::,+1_u r ,tr• 0 4. 6 ,° / Q=i�4C?N_'1��?t ! -T — — — Ftis� 1 O LAND SJ -- — -- -- _..._. — - _ �� _._. F:V?1 N: 19,7G.3 SQ-.� C To. TIC�LINE) i KQTE5 F,-":t'f� O BCQCk:-2 CYO; 11111A,P o F3'l5!�: 14 AM�NOED JUNE P.lTEEG TC7 THE OV,INE2 d'e� TC7 1•.�_�� t _ 4yU�c ? , �R a;?!l`�- f�P= �. '" •"�+' E'-<f�i.l�', ' NATIONS TITLE_. tN5UC?.AW—E CO.OF N.Y. -IF -\Nl :-EA. L ��E L, ,<\5 U2�1F'�(E D Nov- 22 94d �, F�[Cziy lt-F ���. Q. ti —_ ,t _._. ._�. ���.` ROD RICK VAN TUYL. P.C. �, SUF�. 1-0.TAK MA,P t'10.�1000-66-3_ I ,� LICENSED LAND SURVEYORS 6 GREENPORT NEW YORK . ;EUDYNE POST N81329 i r [000 -6 h-,3-8 ISTI N� �wAR� SA31,OP45K� W00� CULK��1) _L346- ARS}{AMOMAaJE AVE. 50�1'N0�-l� N Y I[,qq t t 0KbWAQY 4414 c�qr� t r l d�ERTY k'NF— . z77.0' CeDtNARY l.WJ w�t7E2. _ l -:F000-A6-3-16 ; o+�i os►t �r4o 'DAVi-b O(ORANOW167- (NOW&7kANDS V�TAT(0r4 PC 3oX Z.0 r.�c is i s iN tID1cC"C � ��,� o IC► NY 1(��8 41 l o � UNDEVEL OrFE� �i�P_R7y • � r� � �� - ( � -T GtJ�.+ , ATS � Z� 'G 0� ' j 6 )(.7z l� ap , I 00 �G WALKWAY` O x 29 + + 1,�.. i ?� t�l-k a ATr Pen-PERT' I Nam. 2�0.0' ; pepar eY ( — +2fz►NI ._CRl3F�i Rom.+ORS. r � SCALE: CORPS OF ENGIlVEERS DATA PROJECT PLAN PURPOSE: Construct fixed open walkway,hingedFDa pplication regarding the property of ramp, and floating dock for private recreational d Cichanowic� SCTM#1000-66-3-16 purposes. Re Y - DATU112 NEW PROPER-T PERMIT SERVICES IN:Pettis Pond AT: Southold esOBox Fit geraldJ hogueSNY 11935 345800 COUNTY: Suffolk STATE:New York Rev July 10, 1995 ,� '.f. z. st�•'",•57-cia\r.f_�, ..Tsp .v.war-".. �:=w'` .:r. .F' _ - _ MAR -- 1.000 -66-3- 8 WOOD -�v L.KAEA� _ _ t=�wAiZ� SA3� I�Of�SK� __I-34S' ARSHAMOMAaja AVa -500TI[ia~ ' NY 11G9I o2�Ir�A�Y NICN �A � jPR6PEakv WI-IF- Z77,0' CeDINARY I.aw WA7E2 �5 -P-POs t i F jhoRF- IooO (NO -WERANTDS vE&�-E TATIGN 'IAvFb 01C4-AN LO167— 5x Is Ts IN r�rCT "'r o-2"0x Ito -- I 7 ��A or�1C NY Il��g LN 2r UND�VELOi l -Pt?6i'�92T'>' �ALXCkAY 3',434' TKO �-10A15 j o � ��30 I L f i 14' Z� ' Q" ► � ATr PeO E2TY 1.l Na 2O,O' -V1paINIA C'R0-15�2 +025- 62oO i NDIP rR -RECK` -�AOE= _ P50C IC, NY I1'158 SCALE=-: I" =90' CORPS OF ENGINEERS DATA PROJECT PLAN PURPOSE: Construct fixed open walkway,hinged Application regarding the property of David Cichanowicz, SCTM#1000-66-3-16 ramp, and floating dock for private recreational purposes. Represented by PROPER-T PERMIT SERVICES DATUM: MLW P.O. Box 617,Cutchogue,NY 11935 IN:Petty's Pond AT: Southold James E.Fitzgerald, Jr. 516-734-5800 COUNTY: Suffolk STATE:New York Rev Feb 16, 1996 i s i 8=10"bAR prr.ES —Lwx►{{&&z 3E Ar Lsacr �nc.T R 1r 31 RaovE dRA-W- IN �E TiJO=FICEZICC+�IMS Q'Xj' l &HP/l'A3' Tab FUA75 1tb aETI.AN 6 fib- d) At-W ALL kWb in-W-CM-TREATED } A"KAft4d E —F-6WvANIZIE1 � 0 APPP.vx Wn-tZ WrlN AT AL10 f i 9 _ 2 • i CORPS OF ENGINEERS DATA SECTION VIEW Application regarding_the ppropperty of PURPOSE: Construct fixed open walkway,hinged Davidd Cichanowicz1 S #.1 6-3-16 i ramp, and floating dock for private recreational Represented by ' 6 purposes. PROPER-T PERMIT SERVICES DATUM: NEW P.O.Box 617, Cutchogue,NY 11935 IN: Petty's Pond AT: Southold James E.Fitzgerald, Jr. 516-734-5800 I COUNTY: Suffolk STATE:New York July 10, 1995 5 , tP, IDIA p� '� Gip % y,,� .moo zo 00J�E -' lK J '� KEY,-MAP... Ib f too scALEta.'N 60o' Q�. 1 h 44 e°' �1 0 DREDGED SPOIL IS TO BE NO CLOSER THAN l 0 FROM TIDAL WETLAND VEGETATION. � \\ / ALL REPLANTING ANDS ?SEEDING TO BE 0 COMPLETED BEFORE NEXT GROWING SEASON FOLLOWING DISTURBANCE. ��iI.�ii•..raiu al�•x•«Ion•a ur;w�An.:iia u.. nn.n — u—roam —. wdrai iiaa•ua.r.nT Qa xrrx aanaau.n•urroa aN. .:xa• ]n --..)• 0• � 1L•Y1r0II rT 'a1�Uix.O MxrYO'n)l.N °vo'aN •mc �3c C� I d J l b r'� a cog IN 039 gas eo 16 • • i roc , " sY •d •Gr c .,, r �r •� '� '. 7 G y6 li).gI MwI a0 � ^d • Y 9 4,,v' s �2 • • I S a•s• w.ca �at�t d•� t tiG Olva" (! 91 I o• a l\�i c larn -0Al . � •fit•••' I,•a.� 4b i ra 9•100-90-1K°'°N'979 77° `4 u _ Zvva S10, ° +' 7M-7i1�1�1i! -- -- ld6rc ]vca lI ryr-li . - -. id•crvi _ _ thmremired ahomflon oreddMoa t0 this stmmYIsa f New o$edior1720ti of the .. F.duentbn LavL Copies of this sunray map not bearfnp the land maveyoes hiked seal or ambossed sealsoal"not ba fired =-95pOot-s - -- r to be a valid oue topic ._ { � tndkatw tvtraon shall nm - - - aura . person survey onN i 2 4 t'ft:t 2.2;`tdii<i t•t`,,, _ STOP - � Z behalf ,.2'i;t;;fy�� j,i�ttitf 2T s•.. :�#,:;jai;' � ; kprapared.andonhia t�t• f j,,,t,: ' `•i;,i F ..t-t0triocmwa"ooveffemitaiacerWmid t# Ei#£#tI # tff tt j{ f{tt ttt£Et{{ €£t tcf3l ♦ 4' ;. nsirtrrtiatlmed hereonandii;;f?sl;ttiE>:rt?tt2#if,Y.kt,i# t4;t4?tf E}t £ 2 Y i t ienrfnp fr>,'t itf:k jtkt kij 2itt if k i J--4 5EPnc TAN V- GAla. ;----1 1 �eassi� �not�tru��ab t Guarantees are L t to addaionel insfatmons«wbseq`ue+ff ovmers, o \ -7f N.73`OOtE. i Z-7-7-0 ° ` -► LP =mom a- IS { i ! =z i� to •r (!VACANT] Z11 2 '#it' G Z #t& 2•#`;?i#22tt'i� t#jf'itt;l;,#j Elt; {C ,j t# t` V� i kit t f t# #t fi st. 2 t fittj t'S# 3 t#Itit ttj sS ;it#is> 2t t'#'i �' \ _ t T 4 t �� •� - } / 4 ! D •��l' 'i> I , t s St S 4. >t t,• s t t s sit t�i a ij t t t•. T r 140-24 ROOD ZONES' �G� �0 —A-4 6E'--S). 1 \ (VACANT) i Mn P OF PROPERTY fn l��V 0CPA! . _�J t. I i storm ; o ; J / SCALE ? N_ .PY 70L)Tr{OLD rVY• ��SFO CAND55 P, Q'F!�VIvU11�7J ENT O%PIPE FE IE trENt� A—MDED .1111JE S,19�5 nUA 2AWMEC-2._70 THS owtJE2 46 D T7 I " _ NATIONS TITLE tN5t.1t?AtJGE Co.OF N.Y. tq - — AS SURVEYED tiov_ 22,}49t� �. v ROQF,Rt MA N YL. C . .. _. . 3 _ ;"• ;iF� GO TAXiA� �-;---- _. - LICENSED LAND SURVEYORS } :.. - - - _ - • _ _ - NEW YORK GREENPORT