HomeMy WebLinkAboutTR-44-1-25 *OF SO!/T
Michael J.Domino,President AN yOIO Town Hall Annex
John M.Bredemeyer III,Vice-President 54375 Route 25
P.O.Box 1179
Charles J. Sanders
N Southold,New York 11971
Glenn Goldsmith 0 ® �Q Telephone(631) 765-1892
A.Nicholas Krupski l�'C®U Fax(631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
# 1322C Date: March 24, 2017
THIS CERTIFIES that the construction of 103 11 of stone revetment against eroded bluff
and backfill with 75+c.y. of clean sand to be trucked from an upland source,and removal of existing
damaged deck;
At 56525 C.R.48, Greenport
Suffolk County Tax Map#1000-44-1-25
Conforms to the application for a Trustees Permit heretofore filed in this
office Dated March 16, 1995,pursuant to which Trustees Wetland Permit#44-1-25
Dated,May 25, 1995,was issued and conforms to all of the requirements and conditions of the
applicable provisions of law. The Project for which this certificate is being issued is for the
construction of 1031.f. of stone revetment against eroded bluff and backfill with 75+c.,y.of clean sand to
be trucked from an upland source,and removal of existing damaged deck.
The certificate is issued to MARIANNE CLARKE owner of the
aforesaid property.
e
o
Authorized Signature
03/09/2017 9'37AM FAX Z0001/0002
11rR1V1C1NRADLER-.
ATTORNEYS AT LAW
926 RXR PLAZA
UNIONDALE. NEW YORK 11556-0926
(596) 357-3000
FAX (516) 357-3333
www_rlvkinradler.com
FAX COVER MEMO
TO. Diane
FIRM NAME: Town of Southold
FAX#: (631) 765-6641
PHONE*
CITY: Southold, NY
FROM: David Leno
DATE: March 8, 2017
RE: Revetment Permit for 56525 County Road 48, Greenport, NY
FILE 4- 999999-901
COMMENTS. Please see attached letter.
1 PAGE(S) TO FOLLOW
IF THERE ARE ANY PROBLEMS CONCERNING THE TRANSMISSION OF
THIS MATERIAL, PLEASE CALL:
FAX DEPARTMENT: (516) 357-3392
THANK YOU.
RETURN TO: Donna Cohen
Room#: 1030B
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Confidential&Note
The documents accompanying this telecopy transmission contain information which is confidential or privileged.
The information is intended to be For the use of the individual or entity named on this transmission
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x
March 6, 2017
Town of Southold EM
EBoard of Trustees
53095 Main Road
P.O. Box 1179 3 20170
Southold,New York 11971
old Town
Attn: Diane Tr
RE: Revetment Permit for 56525 County Road 48,
Greenport,New York 11944 (SCTM 444-1-25) ("Premises")
Marianne Clarke
Permit Dated 5/25/95
Permit Number: 44-1-25
Dear Diane:
Please note that I am the homeowner for the above-captioned Premises.
When the permit was issued on May 25th, 1995, our original intention was to build a"4'
X 35' fixed walk and stairway over the revetment" in connection with the construction of the
revetment. Although the permit reflects that we have the ability to install the walk and stairway,
the work was never performed and I have no intention to build the walk or stairway at this time.
Accordingly, I would like to the have the permit amended to remove the reference to the "4' X
35' walk and a stairway over revetment" and to have the Town of Southold issue a Certificate of
Compliance to close out permit. I understand that if in the future any owner of the Premises
would like to install the walk or make any other modifications, they will have to obtain the
proper permits for same.
Thank you.
Very truly yours,
4�2u�e....rr-
Marianne Clarke
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John M.Bredemeyer III,Presid'nc
54375 Route 25
Michael J.Domino,Vice-President P.O.Box 1179
Glenn Goldsmith Southold,New York 11971
A.Nicholas Krupski ® p� Telephone(631) 765-1892
Charles J.Sandersyc4UNTY, Fax(631)765-6641
� ��
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
MArg
DATE OF INSPECTION: 13 l—
Ch. 275 Ch. 111
INSPECTION SCHEDULE
Pre-construction, hay bale line/silt boom/silt curtain
1 st day of construction
/ % constructed
V Project complete, compliance,'inspection.
INSPECTED BY: zs-' f-, ulki/J
COMMENTS:
\fJ0A\( \Wtk1w �kv v
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W Qat
CERTIFICATE OF COMPLIANCE:
Mar
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Board Of Southold Town Trustees
SOUTHOLD, NEW YORK . .
PERMIT NO. .... ......1...25.. ........ DATE: - 5.L25/.95..:......
Emergency Storm Damage Permit 12 24 9
44-
: . ISSUED TO .......MARIANNE...CLARKE...................................................................... i.
Pursuant to the provisions of Chapter 615 of the Laws of
» ' the State of New York, 1893; and Chapter 404 of the Laws of the : ;
State of New York 1952; and the Southold Town Ordinance en- >
titled "REGULATING AND THE PLACING OF OBSTRUCTIONS
{ � IN AND ON TOWN WATERS AND PUBLIC LANDS and the
REMOVAL OF SAND GRAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;" and in accordance with the
w3 Resolution of The Board adopted at a meeting held on ..5L25.L.9.5.......
1
r 19....9.5..., and in consideration of the sum of $..2.5.0-0.0........ paid b <
ti .
/ s� ..En_...C.onsultants... fox..MARZANN.E...C.L,AR.KE..............................
of ........5 uthoi.d.......................................................... N. Y. and subject to the
Terms and Conditions listed on the reverse side hereof,
A i of Southold Town Trustees authorizes and permits the following:
Construct 103 1.f. of stone revetment against eroded bluff
and backfill with 75+ c.y. of clean sand to be trucked from an
upland source, construct a 4' X 35' fixed walk and a stairway
lip '
over revetment & remove existing dama ed deck., L.I. Sound ,
all in accordance with the detailed speci 1cations as presented in ; :..,..
s the originating application. q
i4
IN WITNESS WHEREOF, The said Board of Trustees here-
by causes its Corporate Seal to be affixed, and these presents to
be subscribed by a majority of the said Board as of this date. i�r}
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9
ELE\!AT1QN5 R-CIP R TO MEAN SEA LEVEL.
A11ier'c J. Krupski, President Town Hall
John Holzapfel, Vice President �� �� 53095 Main Road
C cn =.Y;, `��`;;�r P.O. Box 1179
William G. Albertson pv: �-
N sY � F:`;�Vic;•. �
Martin H. Garrell n v - ;:w R`°;`' Southold, New York 11971
Peter Wenczel -0 =j ;�� Telephone (516) 765-1892
Orb 5 i ,, (�� J = Fax (516) 765-1823
!� BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Office Use Only D R M
X Coastal Erosion Permit Application 15 V
Wetland Permit Application 1 61995
Grandfather Permit Application
Trustee Lands Permit Application
--------j
Waiver TOWN OF SOUTHOLD
Received Applicati n: S D
Clerical Review:
Completed Applicatio 3 /6 ,-
Incomplete f16
SEQRA Classification: MAR
10
e I Z Type II Unlist d
Coordination: (date s t
CAC Referral Sent: ! g t q
Date of Inspection:
Receipt of CAC Report: (date)
Lead Agency Determination- 4 !
Technical Review: (date) 4 (�
Public Hearing: (date)
Decision: Approved (Y/N) (date)
Application Fee: $
Name of Applicant Marianne Clarke U)o Lei
Address 911 Covert Avenue, New Hyde Park, New York 11040
Phone Number: ( 516) 488-4225
Suffolk County Tax Map Number: 1000 - 044-1-25
Property Location: 56525 North Road, Southold
(provide LILCO Pole # , distance to cross streets, and location)
Agent: En-Consultants, Inc.
( If applicable)
Address : 1329 North Sea Road, Southampton, New York 11968
Phone: 516/283-6360
1
Bc` i of Trustees Application^
GENERAL DATA
Land Area ( in square feet) : 25,400±
Area Zoning: R-40
Previous use of property: one family dwelling
Intended use of property: no change
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 103± 1.f . of stone revetment against eroded bank
and backfill with 75± c.y. of clean sand to be trucked in from
upland source. Construct a 4 ' X 35 ' fixed walk to stairway for
pedestrian access over. revetment. _Remove existing damaged deck.
See also John Schlecht and Beryl Wilcox.
Ba d of Trustees Applicatioi
County of Suffolk
State of New York
MariannEClarke BEING DULY SWORN
DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE
DESCRIBED PERMITS) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE
TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL
WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION
AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES.
THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN
TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS
ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S) , IF GRANTED. IN
COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,
THEIR AGENT( S) OR REPRESENTATIVES(S) , TO ENTER ONTO MY PROPERTY
TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS
APPLICATION.
Signatur
SWORN TO BEFORE ME THIS DAY OF ,19lr
Notary Pu lic
ELAINE Notary Public. state of New Yo
No. 4865445
Commission ExpiresNassau ulyC7 ui
3
AUTHORIZATION
(where the applicant is not the owner)
I, ------Marianne Clarke residing at 911 Covert Avenue,
(print owner of property) (mailing address)
New Hyde Park, NY 11040 do hereby authorize
(Agent)
En-Consultants, Inc. to apply for permit(s) from the
Southold Board of Town Trustees on my behalf.
,to
signature)
Boy of Trustees Application
COASTAL EROSION APPLICATION DATA
Purposes of proposed activity: To prevent continued erosion
presently causing severe scouring of owner' s upland.
Are wetlands present, within 75 feet of the proposed activity?
X No Yes
Does the project involve excavation or filling?
No x Yes
If Yes, how much material will be excavated? 0 (cubic yards)
How much material will be filled? 7S (cubic yards)
Manner in which material will be removed or deposited:
M Pan sand and ba _kfi 1 1 will be tru _kPd in and sl2read by pay oadpr.
Describe the nature and extent of the environmental impacts
reasonably anticipated resulting from implementation of the
project as proposed. (Use attachments if necessary)
The sub.i.ect parcel is one of three adjacent lots fronting Long
Island Sound, all of which are being severely scoured by ongoing
erosion. The seaward limit of the owner' s upland is characterized
by a steep, eroded bank whose drop is vertical in some locations,
and undermined- in others, with a change in elevation of 6 ' - 71 .
It is expected that the pro osed revetment will dissipate wave
energy currently scouring this bank and prevent its further
erosion.
See also Beryl Wilcox and John Schlecht.
5
$oard of Trustees Application
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations: To prevent continued erosion
presently causing severe scouring of owner' s upland
Area of wetlands on lot: 0 square feet
Percent coverage of lot: 0 %
Closest distance between nearest existing structure and upland
edge of wetlands: N/A feet
Closest distance between nearest proposed structure and upland
edge of wetlands: N/A feet
Does the project involve VAUM or _fillinQ?
No x Yes
If yes, how much material will be excavated? N/A cubic yards
How much material will be filled? 75 cubic yards
Depth of which material will be removed or deposited:
feet
Proposed slope throughout the area of operations: 1 :1 .5
Manner in which material will be removed or deposited:
Clean sand backfill will be trucked in and spread by payloader.
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) :
The proposed revetment is designed to control upland erosion and
will be located an average of 30± ' from AHW Therefore, it should
have no appreciable effect on coastal waters.
See also Beryl Wilcox and John Schlecht.
h
14-16-4(Y8)) 4ext 12
PROJECT I.D. NUMBER 617.21 SEAR
Appendix C
State Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
PART I—PROJECT INFORMATION (To be completed by Applicant or Project sponsor)
1. APPLICANT;SPONSOR 2. PROJECT NAME
Marianne Clarke by En-Consultants Inc.
3. PROJECT LOCATION:
Municipality Southold County Suffolk
4. PRECISE LOCATION (Street address and road intersections,prominent landmarks,etc.,or provide map)
56525 North Road, Southold
SCTM #1000-044-1-25
5. IS PROPOSED ACTION:
IsNew ❑Expansion ❑Modificationtalteration
6. DESCRIBE PROJECT BRIEFLY:
SEE ATTACHED
7. AMOUNT OF LAND AFFECTED:
Initially • 5 8 acres Ultimately • 5 8 acres
8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS?
Yes ❑No If No,describe briefly
9. WHAT IS PRESENT LAND USE IN VICINITY OFPROJECT?
LN Residential L�Industrial C Commercial ❑Agriculture ❑ParklForesVOpen space ❑Other
Describe:
10. DOES ACTION INVOLVE A PERMIT APPROVAL OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL.
STATE
OR LOCAL)?
X Yes CI No If yes, list agency(s)and permit/approvals
DEC, COE Letter of No Jurisdiction
11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
❑Yes IX No If yes.list agency name and permit/approval
12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMITIAPPROVAL REQUIRE MODIFICATION?
❑Yes 56 No
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Applicantisponsor name: — Date: Ma rr-h 1 4 1 9 5
Signature: (,�/q
• i
If the action is in the Coastal Area, and you are a state agency, complete the
Coastal Assessment Form before proceeding with this assessment
OVER
1
PROJECT DESCRIPTION
Construct 103± l.f. of stone revetment against eroded
bank and backfill with 75± c.y. of clean sand to be
trucked in from upland source. Construct a 4 ' X 35 '
fixed walk and stairway for pedestrian access over
revetment. Remove existing damaged deck.
See also John Schlecht and Beryl Wilcox.
A*
Albert J. Krupski,President �O�' OG Town Hall
John Holzapfel,Vice President y1 53095 Main Road
William G. Albertson "' 2
P.O. Box 1179
Martin H. Garrell 15 • �
Southold, New York 11971
Peter Wenczel c y'�Ipl �a�� Telephone (516)765-1892
Fax (516)765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
May 26, 1995,
En-Consultants Inc
Roy Haje
1329 North Sea Road
Southampton NY 11968
Re: MARIANNE CLARKE
SCTM #44-1-25
Dear Mr. Haje,
The following action was taken by the Board of Town Trustees
during its regular meeting held on May 25, 1995 regarding the
above matter:
WHEREAS, En-Consultants Inc. , on behalf of MARIANNE CLARKE
applied to the Southold Town Trustees for a permit under the
provisions of the Wetland Ordinance of the Town of Southold,
application dated March 16, 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 May 25, 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, which will be listed on
a separate page, and,
F
I
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
En-Consultants Inc. , on behalf of MARIANNE CLARKE to construct
103 l. f . of stone revetment against eroded bluff and backfill
with 75+ c.y. of clean sand to be trucked in from an upland
source, construct a 4 ' X 35 ' fixed walk and a stairway over
revetment and remove existing damaged deck. Located: 56525
North Road, Southold.
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: None
Very truly yours,
J
Albert J. rupski, Jr.
President, Board of Trustees
AJK/djh
cc. CAC
o��gUf F0(,�co
Albert J. Krupski, President ,may. oy Town Hall
John Holzapfel, Vice President c < 53095 Main Road
z William G. Albertson coP.O. Box 1179
�
Martin H. Garrell y �� Southold, New York 11971
Peter Wenczel ��j �a0 Telephone (516) 765-1892
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
S.E.Q..R.A.
NEGATIVE DECLARATION
NOTICE OF NO SIGNIFICANT EFFECT ON THE ENVIRONMENT
APPLICATION NO. 1000-44-1-25 Chapt. 97 - Wetlands
NAME:M. Clarke Chapt. 37 - Coastal Erosion
DATE: April 26, 1995
RESOLVED that pursuant to Article 8 of the Environmental Conservation
Law, State Environmental Quality Review and 6NYCRR Part 617 ,
Section 617 . 10 and Chapter 44 of the Code of the Town of Southold,
notice is hereby given that the Southold- Town Trustees, as Lead
Agency for the action described below, has determined that the
project will not have a significant effect on the environment.
Please take further notice that .this declaration should not be
considered a determination made for any other department or agency
which may also have . an application pending for the same or similar
project.
TYPE OF ACTION: Unlisted
DESCRIPTION OF ACTION: Applicant requests a Wetland Permit to
construct 103 l . f. of stone revetment against eroded bank and
backfill with 75+ c.y. of clean sand to be trucked in from upland
source. Construct a 4 ' X 35 ' fixed walk to stairway for pedestrian
access over revetment and remove existing damaged deck.
LOCATION: 56525 North Sea Road, Southold. SCTM #1000-44-1-25
REASONS SUPPORTING THIS DETERMINATION:
1 . An- on site inspection has been conducted by the Board of
Trustees .
2 . An environmental assessment, submitted by the applicant and
reviewed and completed by the Board of Trustees, has indicated that
no significant adverse effects to the environment are likely to occur
should the project be implemented as planned.
CC. CAC
Meeting of. 4/20/95
i
New Suffolk Road, New Suffolk
CAC was advised that the application was WITHDRAWN. No recommendation.
No. 1240
Moved by Stephen Angell, seconded by Allan Connell, it was
RESOLVED to - recommend to the Southold Town Board of Trustees APPROVAL
WITH STIPULATIONS of the Wetland. Application of JOHN SCHLECHT 44-1-24
to construct 110 +/- I.f. of stone revetment against eroded bluff and backfill
with 100 +/- c.y. of clean sand to be trucked in from upland source.
Construct 4' x 35' fixed walk and stairway over revetment for pedestrian
access. (See Marianne Clarke #1241 and Beryl Wilcox #1242)
56425 North Road, Southold
The CAC recommends approval with the stipulation that the sand buried rocks
be planted with beachgrass and plant any backfill with non-turf buffer.
Vote of Council: Ayes: All
Motion carried.
No. 1241
Moved by Stephen Angell, seconded by Allan Connell, it was
RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL
WITH STIPULATIONS of the Wetland Application of MARIANNE CLARKE
44-1-25 to construct 103+/- I.f. of stone revetment against eroded bank and
backfill with 75+/ c.y. of clean sand to be trucked in from upland source.
Construct a 4' x 35' fixed walk to stairway for pedestrian access over
revetment. Remove existing damaged deck. (Also see #1240 and #1241)
56525 North Road, Southold
The CAC recommends approval with the stipulation that the sand buried rocks
be planted with beachgrass and plant any backfill with non-turf buffer.
Vote of Council: Ayes: All
Motion carried.
No. 1242
Moved by Stephen Angell, seconded by Allan Connell, it was
RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL
WITH STIPULATIONS of the Wetland Application of BERYL WILCOX 44-1-23
to construct 103+/1 I.f. of stone revetment against bluff and backfill with
100+/- c.y. of clean sand to be trucked in from upland source. Construct a 4'
x 35' timber walkway to stairs for pedestrian access over revetment. (See
#1240 and #1241)
56305 North Road, Southold
The CAC recommends approval with the stipulation that the sand buried rocks
be planted with beachgrass and plant any backfill with non-turf buffer.
Vote of Council: Ayes: All
Motion carried.
Page 2
New York State Department of Environmental-Conservation
Ink"
a-�-- sk 1� P,t2a. � 0
4 / 7 Thomas C.Joriinq
W h S D U T- 4c p Commissioner
3 0 9 S h'l�c,c1�, o►�o - P.O. -7 T
So U -�A&eC4 h 7 /S -7/ APR _ � o_
l�x,t 319g5
Dear �p
OF T -J
RE: LEAD AGENCY COORDINATION REQUEST I'g 9
OLI
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: M6 t-!c�nv►1 e, C[a r kc Pr e,r��
Project Location: 4 SolS /V0 r 17k
soU 04
� �� ���
DEC Project Number: -y 3�, (�f D5� �000ID/-6
DEC Permits: A � �S ' / GC.Cc,P
SEQR Classification: [ ] Type I �(`] Unlisted
j �si�� '
DEC Contact Person: u ui,!-o_3 S�
� j�, ��21d11�0
% ViSIOn b � v/�r 7� '� �jr
rs
DEC Position:
DEC has no objection to your agency or another agency assuming lead agency
status for this acti.on, but reserves the right to comment,on this action if
a positive determination of significance is made.
�a .
t
-L- _
[ ] 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 proposed acti::on has been identified by DEC as occurring wholly or
partially withinor substantially contiguous to a critical environmental
area (CEA) that was designated by
It is the position of this Department that your agency, 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 wi:_thin 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 '1`etter:'
[ ] 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,
Enclosures
cc: (see distribution list)
PROJECT I.D. NUMBER 617.21 SEAR
Appendix C
State Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
PART I—PROJECT INFORMATION (To be completed by Applicant or Project sponsor)
1. APPLICANT 'SPONSOR 2. PROJECT NAME
Marianne Clarke bv En-Consultants Inc.
3. PROJECT LOCATION:
Municipality Southold County Suffolk
a. PRECISE LOCATION(Street address and road intersections,prominent landmarks,etc.,or provide map)
56525 North Road, Southold
SCTM #1000-044-1-25
5. IS PROPOSED ACTION:
(XNew ❑Expansion ❑Modification/alteration
6. DESCRIBE PROJECT BRIEFLY:
SEE ATTACHED
7. AMOUNT.OF LAND AFFECTED:
Initially . 58 acres Ultimately •5 8 acres
6. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS?
Yes ❑No If No,describe briefly
4. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT?
Residential Q Industrial ❑Commercial ❑Agriculture ❑Park1Forest10pen space ❑Other
Describe:
1Q. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING,NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL.
STATE OR LOCAL)?
19 Yes ❑No If yes, list agency(s)and permit/approvals
COE Letter of No Jurisdiction, Southold Trustees Coastal Erosion
11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
❑Yes ONO If yes.list agency name and permitlapproval
12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMITIAPPROVAL REQUIRE MODIFICATION?
Q Yes 5i No
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Applicantisponsor name: — Date: Marc-h 14 , 1 9 5
Signature:
If;the action is in the Coastal Area, and you are a state agency, complete the
Coastal Assessment Form before proceeding with this assessment
OVER
1
PROJECT DESCRIPTION
Construct 103± l.f. of stone revetment against eroded
bank and backfill with 75± c.y. of clean sand to be
trucked in from upland source. Construct a 41 X 35'
fixed walk and stairway for pedestrian access over
revetment. Remove existing damaged deck.
See also John Schlecht and Beryl Wilcox.
JOIN i" APPLICATInN, FOR PERMIT U.S.ARMY CORPS OF ENGINEERS APPLICATION NO.
Ple#e read ALL instructions on back before ubmpleting this application. Please type or print clearly in ink.Attach additional information as needed.
❑AitTICLE 9, TITLE 1,ARTICLE 43 6NYCRR 646(LAKE GEORGE RECREATION ZONE)
❑ARTICLE 1S,TITLE 3(AQUATIC PESTICIDES CONTROL) ❑6NYCRR 327(AQUATIC VEGETATION) 06NYCRR 328(FISH) 06NYCRR 329(INSECTS)
S ❑ARTICLE 1S,TITLE S 6NYCRR 608(PROTECTION OF WATERS)
A ❑For the construction, reconstruction,or repair of a DAM or other impoundment structure.
T ❑ ❑
For the disturbance of a STREAM BED OR BANKS or excavation in or fill of NAVIGABLE WATERS. 401 WATER QUALITY CERTIFICATION
E ❑ARTICLE 1S,TITLE IS 136NYCRR 601(WATER SUPPLY) 06NYCRR 602(LONG ISLAND WELL)
❑ARTICLE 1S,TITLE 27 6NYCRR 666(WILD,SCENIC AND RECREATIONAL RIVERS)
❑1�tARTICLE 24 6NYCRR 662,663(FRESHWATER WETLANDS)
- IZARTICLE 25 6NYCRR 661 (TIDAL WETLANDS) ❑ARTICLE 34 6NYCRR SOS(COASTAL EROSION)
F ❑SECTION 10(RIVER AND HARBOR ACT OF 1899)for structures and work in navigable waters of the U.S. ❑COASTAL CONSISTENCY CERTIFICATION.
E ❑SECTION 404(CLEAN WATER ACT OF 1977)for disposal of dredged or fill material in waters of the U.S.
D
❑SECTION 103(MARINE PROTECTION,RESEARCH AND SANCTUARIES ACT)for the transportation of dredged materials for dumping into ocean waters.
1. LIST PREVIOUS PERMIT/APPLICATION NUMBERS AND DATES(If any)
2. APPLICANT IS AIAN
®Owner ❑Operator ❑Lessee ❑Municipality/Govemmental Agency (Check as many as apply)
3. NAME OF APPLICANT(Use Full Name)
Marianne Clarke
MAILING ADDRESS TELEPHONE(Where can be reached during day)
911 Covert Avenue (516) 48$-4225
POST OFFICE - STATE ZIP CODE
New Hyde Park NY 11040
4. NAME OF Downer ®Agent/Contact Person (Check one)
Roy L. Ha 'e En-Consultants Inc.
MAILING ADDRESS TELEPHONE(Where can be reached during day)
1329 North Sea Road POST OFFICE (516) 283-6360
STATE ZIP CODE
Southampton NY 1196$
5. PROJECT/FACILITY LOCATION(Mark location on map,see Number 1a on reverse side)
County Suffolk I Townorcity Southold I Village
STREET ADDRESS(If different from applicant)
56525 North Road
POST OFFICE
Southold
STATE ZIP CODE
NY 11971
6. NAME OF STREAM OR BODY OF WATER Long Island Sound
7. HAS WORK BEGUN ON PROJECT? If YES,attach explanation on starting work without permit,include dates. 8. WILL PROJECT UU�TIILIZE STATE LAND?
❑Yes 12INo Show work on map and/or drawings. ❑Yes R1No
9. PROPOSED USE: ® Private 10. PROPOSED STARTING DATE: 11. APPROXIMATE COMPLETION DATE: 12. FEE OF(NYS Permit Only)
❑ Public ❑ Commercial
S ———— Enclosed
13. PROJECT DESCRIPTION: (e.g.quantity and type of material to be excavated,dredged or used for fill or rip rap, location of disposal sites;type of
structure to be installed;height of dam;size of impoundent; capacities of proposed water sources;extent of distribution system;etc.)
SEE ATTACHED
14. WILL THIS PROJECT REQUIRE ADDITIONAL FEDERAL,STATE AND/OR LOCAL PERMITS? - ® Yes ❑ No If yes,please list:
COE Letter of No Jurisdiction, Southold Trustees Coastal Erosion
15. CERTIFICATION:
I hereby affirm that under penality of perjury that information provided on this form and all attachments submitted herewith is true to the best of my knowledge
and belief. False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the Penal Law.
Further, the applicant accepts full responsibility for all damage, direct or indirect, of whatever nature, and by whomever suffered,arising out of the project
described herein and agrees to indemnify and save harmless the State from suits, actions,damages and costs of every name and description resulting from said
project. In addition, Federal Law, 18 U.S.C. Section 1001 pro v' a for a fine of not more than$10,000 or imprisonment for not more than five years,or both,
is
or overs up material fact;or knowingly makes or uses a false,fictitous or fraudulent statement.
where.an applicant knowingly and willfully falsifies,conce
❑1 hereby authorize the agent named in Number 4.ab ve submit is lication on my behalf.
March 14 , 1995 42President
DATE R Y J§IGNRKUE �1 TITLE
PLEASE READ ALL INSTRUCT? NS ON REVERSE SIDE
r Al
PROJECT DESCRIPTION
Construct 103± l.f. of stone revetment against eroded
bank and backfill with 75± c.y. of clean sand to be
trucked in from upland source. Construct a 4 ' X 35 '
fixed walk and stairway for pedestrian access over
revetment. Remove existing damaged deck.
See also John Schlecht and Beryl Wilcox.
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Albert J. Krupski,President Town Hall
John Holzapfel, Vice President c 53095 Main Road
0 = P.O. Box 1179
William G. Albertson �+,
Martin H. Garrell y �� Southold,New York 11971
Peter Wenczel ��j �`a� Telephone (516) 765-1892
Fax(516)765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
LEAD AGENCY COORDINATION REQUEST
TO: Whom It May Concern DATE: 3/21/95
Enclosed is a permit application and a completed part I of the
Environmental Assessment Form.
Southold Town Trustees are interested in your ageny' s comments
in acting as SEQRA Lead Agency for:
NAME: MARIANNE CLARKE
LOCATION: 56525 North Rd. Southold
TAX MAP: 1000-44-1-25 PERMIT # Pending
DESCRPTN: (See attac d)
PERMIT REQUIRED: ) TO WETLAND ( ) OTHER C.#r
SEQRA CLASSIFICAT ON: ( Type I ( ) Type II
( ), UNLISTED ( ) CEA
Please contact Albert J. Krupski, Trustee President, w' 0
days and be advised that the Southold Town Trustees (WANT) (DO
NOT WANT) to assume lead agency.
SENT TO: DOS DEC DOH ( ) PB ( ) ZBA ( ) BLD ( ) ACE )
CAC
Please complete, detach and return this form to expedite
processing.
Involved Agency:
Project Name:
Location:
SCTM:
We at (Have/No) objection to Southold Town
. AGENCY
Trustees assuming Lead Agency.
Comments/Reasons:
Signature of Authorized Representative
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