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HomeMy WebLinkAboutTR-4542 U S .T �a r�Ati/ 7l/l/� ya\v; �,..•'`r 6 ��.,�.�, 4� ,;� `S>*`:•�fc?,l,h� �� ° •��"� -��} i.F^y y.,1• �..0••�• i�,`..F•. \ � • a ��� � *fir, ,�, ;;�'�j,� � , s �;.z�.•'/r. ;.} '�'� r V� �;ii„y,�• �v, :�. W. A ! ._. -� ..:> a"' a,'�.�"-�'iy �• `'.r ,.` ..vs'�'"�_''�v�3!»'•.�"w''••`Tn'��+!%'r" `�`I Board Of Southold Town Trustees ,,� • ,.= SOUTHOLD, NEW YORK �". � ..:.,.• r PERMIT NO. .... Jr.. DATE: December....5•, 1995 ' .................................................... ......... a ISSUED TO ................Robert F. Coady � '. 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- !h } titled REGULATING AND THE PLACING OF OBSTRUCTIONS i. IN AND ON TOWN WATERS AND PUBLIC LANDS and the kti� REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM >` LANDS UNDER TOWN WATERS;" and in accordance with the !J, U Resolution of The Board adopted at a meeting held on ....Nov.emb.er 30 19......9.5,, and in consideration of the sum of $.....7.,3.5.,..Q.Q....... paid by .......Yours &....Yours. c�x�...behalf...of...R......G.oad. . ......................................... g.... g... y of .......................................................................................... N. Y. and subject to the .. z Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: ' to construct a single family dwelling and related improvements ?'�y �j including driveway, sanitary system, well, deck, shed and a !i4 It 3' X 110' catwalk, 3' X 25' hinged ramp and a 6' X 20' float F. , a Ha bales at 50' buffer line as per survey dated 12/4/95 and �? all in accordance with the detailed specifications as presented in the on inating application. : . DEC perm. ,. i 4 al IN WITNESS WHEREOF, The said Board of Trustees here- i�`•, 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. ................... `':: � ono �°y k� •\� �,�.� 4 o2m ....... .............. ...................................... �1 Trustees _ _ -.p ,w-''. ' ".u.:a,. .w:tyyr, `,✓3�:�d..'.:. .;r i..:�,. dU`IM-,d�.r c'.=^-ta�i,.s s"rr ,:�;-d;!e�y�.v�E`: ,?:r 'r 'Ve•`i;a;;4 tea••� Ji Tx"^' � �^ ',:•; ` .,`�� `A � �ir.�jt� � fly` ;� r�lt� ,^ iA ^ ` ► 01111,�� ��� �'��+��-S R`'�.� �1�!I1M��\+• _ J err ��� �::\ Albert J. Krupski,President O� CO Town Hall John Holzapfel,Vice President _� GZ� 53095 Main Road Jim King y Z P.O. Box 1179 Martin H. Garrell Oy Southold, New York 11911 Peter Wenczel Telephone (516) 765-1892 1 Fax (516)765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 25; 1996 Robert F. Coady 4 Cheryl Lane North Babylon, NY 11703 RE: SCTM #103-9-1 The following action was taken by the Board of Trustees at their regular meeting of November 22, 1996: RESOLVED that the Southold Town Board of Trustees approve the request for an Amendment to Permit #4542 to- move proposed dock, from original position to- about 45 feet to north on property. Located: 3150 Beebe Drive & Wilson Ave. , Cutchogue. If you have any questions, please call our office. Sincerely, Albert J. Krupski, Jr. President,. Board of Trustees AJK/djh cc. DEC ACE Dept.. of State o Town Hall, 53095 Main Road P.O. Box 1179 Telephone O Southold, IVew York 11971 (516) 765-1801 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the Southold Town Conservation Advisory Council meeting held Wednesday, November 13, 1996 the following recommendation was made: A-78 Moved by Robert Keith, seconded by Kenneth Meskill, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the request to amend permit by ROBERT COADY 103-9-1 to relocate dock on property. Beebe Drive, Cutchogue Vote of Council: Ayes: All Motion carried. Robert F. Coady 4"Cheryl Lane North Babylon,NY 11703 516-586-2805 Board of Trustees, Southold 53095 Main Road OCT Southold, NY 11971 : 8 l%6 Attention Jill October 16, 1996 Re: Relocate Dock on Property Sec 103, Block 09, Lot 001 Dear Jill: As per our conversation the other day, I have enclosed an amended survey of our property in Cutchogue showing the previously approved dock_and walkway, permit number 4542. The dock and walkway have not yet been built. The new position of the dock and walkway is located parallel to the original position and northerly about 45 feet so that the water is deep enough for my boat at low tide. The construction of the dock and walkway will be the same as previously submitted. Please contact me if you need further information or documentation. Thanks for your help. Yours truly, Robert Coady encl. 1 STATE OF NEW YORK DEPARTMENT OF STATE "-� p �`�I ALBANY, NY 12231-0001 {1��� � ALEXANDER F. TREADWELL SECRETARY OF STATE December 26, 1995 Mr. Thomas C. Wolpert, P.E. Young & Young 400 Ostrander Avenue Riverhead, NY 11901 Re: F-95-715 U.S. Army Corps of Engineers/New York District Permit Application #95-10500-L2 Robert F. & Barbara A. Coady Town of Southold, Suffolk County DEC #1-4738-01158/00001-0 Letter of Permission Issuance Dear Mr. Wolpert: The Department of State has reviewed the information received on November 13, 1995 describing the above proposed project. Based upon the information submitted, the Department of State has no objection to the authorization of this proposed project by Letter of Permission. No further review is required by the Department of State. We appreciate your referring this information to the Department of State for review. The U.S. Army Corps of Engineers is being notified of this decision by copy of this letter. Sincerely, � (t)AiM William F. Barton / - Chief, Consistency Review and Analysis Bureau Division of Coastal Resources and Waterfront Revitalization WFB:DAM:dlb cc: COE/New York District - Sophie Ettinger DEC/Region 1 - Robert Greene Town of Southold - Albert Krupski `* RECYCLED PAPER STATE OF NEW YORK 1"I n DC ' IIA �d i DEPARTMENT OF STATE ! Cl� ALBANY, NY 12231-0001 4` ALEXANDER F. TREADWELL SECRETARY OF STATE December 7, 1995 Mr. Albert J. Krupski, Jr. Trustee, Town of Southold 53095 Main Road P.O. Box 1179 Southold, NY 11971 Re: F-95-715 U.S. Army Corps of Engineers/New York District Permit Application #95-10500-L2 Robert F. & Barbara A. Coady DEC #1-4738-01158/00001-0 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 David A. MacLeod, 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 Chief, Consistency Review and Analysis Bureau Division of Coastal Resources and Waterfront Revitalization Enclosures WFB:dlb `J RECYCLED PAPER 9s 7/r YOUNG&YOUNG DEPAIRTr'b EN' STATE 00`gym Planning, Eng)neering&LandSurveging COAST,"t PROC,RAMS 4.00 Ostrander Avenue 0 y .11.;JSS Tak*m(516)727-2909 Riverhead, New York 11901 rnawie(516) 727-01" RECEIVED HOWARD W.YOUNG,Lend Swragw THOMAS C.WOLKRT,Pwa donel Engnm KENNETH E.ABRUZZO,Land Swragar JOHN SCHNURR,Lend Sw agn November 10, 1995 New York State Department of State Division of Coastal Resources and Waterfront Revitalization 162 Washington Avenue Albany, New York 12231 RE: ROBERT F. COADY & BARBARA A. COADY at East Cutchogue, T/O Southold, New York (95-0428) Army Corp Appl. No.: 95-10500-1-2 Dear Sir or Madam: Enclosed are the following items: 1. one (1) print - Survey for Robert F. Coady & Barbara A. Coady, last dated October 10, 1995, 2. one (1) print - Plan of Walkway and Dock Facility, last dated October 10, 1995 (Sheet 1-2); 3. one (1) copy each - five (5) representative photographs of the project area and surroundings; 4. one (1) copy - Portion of USGS Quad Map showing the project location; 5. one (1) - NYSDOS Coastal Management Program Federal Consistency Assessment Form and Attachment; and 6. one (1) copy - Joint Application for Permit. If you have any questions regarding this project, please advise. Very truly yours, --Mad Thomas C. Wolpert, P.E. TCW/nas Encl. cc: Army Corp of Engineers ATTN: James W. Haggerty, Chief & copy Federal Consistency Form Mr. Robert F. Coady 125 ROlh 25q, O,R P",Uw o*i nM TWghom(SlS)Zaa-2055 RmP6 of LEE LUTZ,Swam,P.C.' • November 10, 1995 ATTACHMENT TO FEDERAL CONSISTENCY ASSESSMENT FORM Policy 7 The proposed activity has been designed to result in little or no impact on significant coastal fish and wildlife habitats, eg, the elevated timber walkway and floating dock. Policy 11 The proposed activity has been sited to minimize damage to property and the endangering of human lives caused by flooding and erosion, eg. the proposed first floor elevation of 12.0 of the house is above the required flood elevation. Policy 12 The proposed activity has been designed to minimize damage to natural resources and property from flooding and erosion by protecting natural protective features. The existing tidal wetlands will be essentially undisturbed by maintaining a 50' buffer (no fill),75' minimum setback to all structures, and construction of the elevated timber walkway and floating dock. Policy 17 Non-structural measures are proposed to minimize damage to natural resources and property from flooding and erosion, eg, setbacks to structures and setting the first floor of the house above the base flood elevation. Policy 44 The proposed activity has been designed to preserve and protect the tidal wetlands and to preserve the benefits derived from these areas. A tidal wetlands permit has been obtained from the New York State Department of Environmental Conservation. A tidal wetlands permit is pending from the Town of Southold Board of Trustees. OEC APPLICATION NUMBER DISTRIBUTION' 45-19-3(t 11431-7e VE1V YORK STATEAw WHITE COPY Permit Administrator C,;NARY COPY Corps at Engine-_rs DEPARTMENT OF ENVIRONMENTAL CONS"! 'ION US ARMY CORPS OF ENG:NE=25 APPLlC;{ :NO A!NK COPY Program JOINT APPLICATION FOR FCSRMIT GOLDENROD Applicant Please read ALL instructions on back betare completing this application.?lease type or print clearly in ink.Attach additional infor manan as needed. CARTICLE 9.TITLE 1.ARTICLE a3 6NYCRR 6.*(LAKE C:ORCE REC•ZEATIO, ZONE C�-(ARTICLE is.TITLE 3(AQUATIC PESTICIDES CON TROL) F!6NYCRR 327(AQUATIC VEG cTATlON) 6NYCRR 329(Fi5H1 CSNYCRR 3Z9 INS"cCT51 S CIARTICLE IS.TITLE 5 aNYCRR 608(PRCTECTION OF WATERSI 1 C]For the construction,reconstruction.or repair of a DAM of other impoundment sttucrsre. A For the disturbance of a STREAM BEO OR BANKS or excavation in or fill or NAVlCABt_WATERS. :01 WAT"cR QUALITY CSRTIFIUTICN �- a (_ARTICLE 1S.TITLE 15 Q6NYCRR 601 (WATER SUPPL''1 6NYCRR 502(LONG ISL;NO wELLl GAR-ricu 15.TITLE J 5NYCRR 666(WILO.SCENIC ANO RECR:ATICNAL RIVERSI El ARTICLE 24 6NYCRR 662.663(FRESHWATER WETt.;NOSI �AR7icu 34 6NYCRR 205(COASTAL EROSINI KIARTICLE 7S 6NYCRR Sbi MOAL WETLANOSI -� -- FI SECTION 10(FIVER AMC HAR80R ACT OF 18991 for struc:sres ariawork in navigable waters of the U.S. CCOAS7AL CONSISTE`+C!C:3TlfIC;7lON. H� Cj SECTION 404(CLEAN WATER ACT OF 19771 far dfsoasai of dredged of flit material in waters of c1e US. 0 ❑5'cCT10N 103(MARINE PROTECINON. REST"eARC*X AMC SANG VARIES ACTT for .e transcorrationai dredged materials for dumping into ocean waters. IF OTHER THAN INOIVIDUAL PROVIDE 1. UST PRE'/IOUS PER,yuT1APPh_IUT10N NUMBERS ANO DATES(if arse) TAXPAYER ID NUMBER Apn1. Vc. 10-37-I270 approved' Feb. 12, 1958 2• APPLICANT IS AIAN Owner C0aerator G Lass ee rMunicpaji[vlCavemmencai Agency (Check as many as aooiv) 3. NAME OF APPLICANT(Use null Name) TELVHCNE(Where can be reached during day) MAILING ADDRESS d Che�^J1 Lae e I STATE I Z!P CODE �POST OFFlea N.Y. 11703 vcrth SabVicn, FMAILINC NAME OF ADDRESS Owner ®AgendCantae:Person (Check one! I2 ATIN: 'rhC c C_ GVO1 rc,r 7 v....r.... r v...--± I TELEPHONE(Where can be reached during day! ADD (516 1 1-2303 do0 Ost—nx.de'_' Avenue I STATE I ZIP CODE POST OFFICE 1 v i i crli Riverhead, 5. PROIECTIFACILITY LOG.;TION(Marie location an I ao.sr_Number is an reverse side! County suf fO1k Town x...Yr SCLL:'101d I Fall et Ea`L CUtC:.CCL'e S T BEET AOOR955(If different from applicant) Beebe DriVe y W3 1 SCIl AV2rlile STATE Z7 IP CODE POST OFFICE ?425 Cutcncgue 6. NAME OF STRE;M OR BODY OF WATER East Creek (Eucene's C_�'t) 7.E EC:1N ONPROIECTI If YES,attach a�pianauon an scatting work without permit.includes dates. 8 wItLLY;OIECT r!NzE STATE LANCt �1No Show work on mao and/or drawings.9. Si: o li 10. PROPOSED 5TARTING DATE 11. APPROXIMATE COMPLETION OATS: 1l FEc OF(NYS Permit Only) f. PrivateS . , Enclosed 01 C] Commercial A'LCL's;, y 1 CGrj DecE>~lce_, 5 13. PROTECT DESCRIPTION: (e.�quantity and tvoe at maceriai to be eacavacea.dredged or used for fill or rip rap.lacaaon of disoasal ulcer ,type of scrucure to be installed:height at dam:size at imooundenc caaacida of proposed water sources:es%semc of distribution system:eke) - ConstrLIC a single family dwe l SnC, drive%.av, 'sari=/`.='"v s7s`am, and well. NO rn,+. r'15'�'rLlGL eV_-,`ed '�-(nn6�,- W-zikl,(.cx� > -F�Gu1! 5 y_-- is rc_'_'_LT--_.. CG t 0171 `�'( r� 1 WILL THIS AROIECT REQUIRE ADDITIONAL F=DE•RAL STATE ANOIOR LOCAL ASmAITSi MI Yes No If yes•please lise +- — rNer 1 and pe Ili �LLCC!1{ COLSIL�7 Tcwn Of. Southold — S1L'�C=r:C pe:S!l�: SCL't:�:0?C `�'='�I.S�_95 Deot. of Eea-ith - p-99170val to Ccnst==c: Water & sanitwry Syst•-Is 15. C=RTIFICATION: I hereby affirm that under pena)itv at petiury thac information provided an this form and all attachments submicced herewith is true to the best of my knowledge whomever tuifered.uisinq out at the praiec: and belief.False statements made herein are punisiuole u a Cass A misdemeanor pursuant m sectfan 310.45 of the Pena Law. from said Further, the acalicanc aec=cs full resconsibiiiev for all damage direr or indireC at whatever nature and by described herein and agrees w indemnify and save harmless the State from suits.ad'ons.damages and costs at every name and more tdan resulting pealed' In addition.Federal Law,18 U.S.C.Sec:ion loot provides for a fine at not more than 510.000 or imprisonment for not more than five l years.s err mach. where an applicant knowingly and willfully falsifies.conceals,at covers uo a macethai faC err knowingly makes or uses a falser Fichdous err fraudulent statement 1 hereby authorize the agent named in Number 4 abo a suomr�acalicagan an m 'eihaif. s .--� r Ai tFirL_ �h vAhURE OA.c PLEASE READ ALL INSTRUCTIONS ON REVERSE SIDE DEPARTMENT OF THE ARMY y , NEW YORK DISTRICT. CORPS OF ENGINEERS ��C !' 'V� JACOB K. JAVITS FEDERAL BUILDING. � I 'i PPP NEW YORK, N.Y. 10278-0090 DEC I I I REPLY TO ATTrNT10NOF December 6, 199501 Eastern Permits Section SUBJECT: Application No. 95-10500-L2 by Robert F. & Barbara A. Coady To Whom It May Concern: The New York District, U.S. Army Corps of Engineers, has received a request for Department of the Army authorization for- the following activity: APPLICANT: Robert F. & Barbara A. Coady 4 Cheryl Lane North Babylon, New York 1170.3 ACTIVITY: Install a 3 by 110 foot timber pier elevated a minimum of 3 .5 feet above the grade of the marsh, a 3 foot by 25 foot hinged ramp and a 8 foot by 25 foot float. WATERWAY: East Creek, Great Peconic Bay LOCATION: East Cutchogue, Town of Southold, Suffolk County, New York. As this is minor in nature, authorization may be by Letter of Permission. This is in accordance with current Federal Regulations governing work in navigable waters of the United States. To accomplish the coordination required, prior to the issuance of a Letter of Permission, your review of the enclosed drawings is requested. Pursuant to Section 307 (c) of the Coastal Zone Management Act of 1972 as amended (16 U.S.C. 1465 (c) ) , the applicant has certified that the activity complies with and will be conducted in a manner that is consistent with the approved state coastal zone management program. To allow for the timely processing of the subject application, your comments are requested within 20 days of the date of this letter. Sincerely, �JI�mes W. Haggerty jCY ief, Eastern Permits Section Enclosures Young k Young, Land Surveyors 400 0.1—nd.T Ave-m. R(v..h.a t N.W York 11901 �aUng 516-727-2303 bong AM-F. You,.p,1••.,f LS.(190.-1994) A �� Z.1Ad., Yeun Land Surv.yo. EN Thane.C. .alp..1./7of...1en.'H ...... V S.John F. nu .•L Lend S,vo. r Jehn Sehnu.r,Lend Su.v.ye. 9 CO\' \ ".' �q-S EU6ENE•s ROpO a T 0 mO9 AN� g LANE o �q m � TRAIL � of �c � FAWN • l to I,pNE • • • • s' N AL ER AD 'A . • • • y$�9 T<<Wq 11• ,N,50N • • • L yO �4 q WII.SON It D I ^ • • • •�,71t y VE- stelle LACE V • • • a o,��.,; � '� SITE CIA ' • . 'i7 is , e( ' • • "�.� '� ,bra GpOQ WICKNAM cSI • • • . • • • • • • JIPA �P���p'l eQ4� CREEK \ era p� SCALE: 1" = 2000' \ �t� o elk oe o� 11 PLAN OF WALKWAY AND DOCK FACILITY * l? 'D°`* aq PREPARED FOR: o ROBERT F. COADY a BARBARA A. COADY At: EAST CUTCHOGUE Town of: SOUTHOLD PROPOSED : WALKWAY AND DOCK FACILITY Suffolk County, New York PURPOSE: PRIVATE MOORING OF A RECREATIONAL VESSEL OCT. 10, 1995 DATUM: M.L.W. DATE SEPT. 25, 1995 TIDAL SCALE I°= 60' RANGE: 2.6,± JOB NO. 95-0428 r SHEET NO. :1 OF 2 1 Young & Young, Land Survtyon 400 Oetrandrr Avmu., flfuohmt Now York 11901 yI�O*DU9 516-iY7-2JOJ y0LLU9 _ A1delnp.YeuR Lend (u.v.y'I/I) 11ewere 9 iAe,.n L'. /elAh ,Land S Rn/1n.n Rrnohn R,AArur�e,Lord @Vor ,yam„ leAn Sehnwr,Lend Surv.yer ' 4/Ywds/ . /••n"61 PROPOSED 3'x 25' PROPOSED 3.'x 110 'ELEVATED TIMBER WALKWAY UPLAND AREA HINGED RAMP (MINIMUM 3.5'ABOVE GRADE) PROPOSED FLOATING TIDAL WETLANDS in a DOC � AHWM 1 I -----_—_-- ALWM — i i i I � I I I j LIMIT OF TIDAL WETLANDS B��CCA DOCK PILE 6"CCA PILES 8'-10"O.C. W DEPTH OF PENETRATION(MIN.) W DEPTH OF PENETRATION(MIN.) PLAN OF WALKWAY AND DOCK FACILITY PREPARED FOR: . ROBERT F COADY & BARBARA A. COADY . At: EAST CUTCHOGUE Town of: SOUTHOLD PROPOSED : WALKWAY AND DOCK FACILITY Suffolk County, New York PURPOSE: PRIVATE MOORING OF A RECREATIONAL VESSEL OCT. 10, 1995 DATUM: M.L.W. DATE SEPT. 25, 1995 TIDAL SCALE NONE RANGE: 2.6'f JOB NO. 95-0426 SHEET NO. :2 OF 2 1 . STATE OF NEW YORK DEPARTMENT OF STATE ALBANY, NY 12231-0001 �/��Q4� � ALEXANDER F. TREADWELL SECRETARY OF STATE November 29, 199544 4 Mr. Thomas C. Wolpert, P.E. � �� � s Young & Young 400 Ostrander Avenue Riverhead, NY 11901 Re: F-95-715 U.S. Army Corps of Engineers/New York District Permit Application #95-10500-L2 Robert F. & Barbara A. Coady Town of Southold, Suffolk County DEC #1-4738-01158/00001-0 Acknowledgement of Federal Consistency Assessment Form Dear Mr. Wolpert: The Department of State received your Federal Consistency Assessment Form and supporting information on November 13, 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 David A. MacLeod 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:dlb cc: COE/New York District - Sophie Ettinger NYS DEC/Region 1 - Robert Greene Town of Southold - Albert Krupski `i RECYCLED PAPER �oSuFFOUr Albert J. Krupski,President �O p Town Hall John Holzapfel,Vice President c 53095 Main Road William G. Albertson y Z P.O. Box 1179 `'' Southold, New York 11971 Martin H. Garrell 40 • �� Peter Wenzel 'A �.�� Telephone (516) 765-1892 Fax (516)765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 5, 1995 Thomas Wolpert Young & Young 400 Ostrander Avenue Riverhead, NY 11901 Re: Robert F. Coady SCTM # 103-9-1 Dear Mr.Wolpert: The following action was taken by the Board of Town Trustees during its regular meeting held on November 30, 1995 regarding the above matter: WHEREAS, Young & Young 'on behalf of ROBERT F. COADY applied to the. Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated October 13,1995, 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 November 30, 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 grants a Wetland Permit to Young & Young on behalf of ROBERT F. COADY to construct a single . family dwelling and related improvments including driveway, sanitary. system, well, deck, shed, a 3 ' X "110' catwalk, 31. X 251 hinged ramp and a 6.' X 20' float: Haybales shall be placed at ' ' - the 50' buffer line. As per survey dated December 4, 1995 and DEC Permit. and, BE IT FURTHER RESOLVED that this determination 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. Permit to construct project will expire two years from the date it is signed if not started. 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: 7 35, vim. Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/jmd cc: CAC bldg. Dept. Albert J. I{rupski,President �O �p Town Hall John Holzapfel, Vice President y1 53095 Main Road n r William G. Albertson P.O. Box 1179 �. � Southold, New York 11971 Martin H. Garrell Oy • �� Peter Wenczel '�Ipl �.a0 Telephone (516)765-1892 Fax (516)765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: 1�O�Q C t' �Y• cs�+ Please be advised that your application, dated 10 -- has bee reviewed by this Board, at the regular meeting of 1 l��o-�� and the following action was taken: ( 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 sintruction sheet. The following fee must be paid within 90 days or reapplication including fees will be necessary. COM14ENTS AND REMARKS: COMPUTATION OF PERMIT FEES: X 3 = , V�oq� to X a-a fao x 3 TOTAL FEES DUE: $ S5; cxa:.. 5�- � ® Q 0 SIGNED: JAN 2'41996 PRESIDENT, BOARD OF TRUSTEES BY: CLERrOARD OF TOWN TRUSTEES YOUNG &YOUNG Planning, Engineering&Land Rufveging 400 Oshander Avenue DEC - 5 1M Telephone(SIB)727-2909 Riverhead, New York 11901 �. _ _ _. Facsimile(SIB) 727-01" R=.....�...,_.....y M.r s W.e`.r�-..a�>Lam-4✓�f HOWARD W.YOUNG,Land Surveyor T140MM C.WOLPERT,Professional Engineer MNETN E.ABRUZZO,Lend Surveyor JOHN 2CNNURR,Lend Surveyor December 4, 1995 ATTN: Jill Board of Trustees Town of Southold 53095 Main Road P.O. Box 1179 Southold, New York 11971 i RE: ROBERT F. COADY & BARBARA A. COADY at East Cutchogue, T/O Southold, New York (95-0428) Dear Jill: Enclosed are the following items for your review of our application for a wetland permit to construct a single family dwelling and related structures at the above referenced site: i 1. seven (7) prints - Survey, last dated December 4, 1995, amended to indicate walkway 15' from property line,. re-orientation of floating dock 900 and reduced to 6' x 20', and haybale at 50' buffer, and 2. one (1) copy - NYSDEC Tidal Wetlands Permit, effective October 16, 1995. If you have any questions regarding this application, please advise. Very truly yours, Thomas C. Wolpert, P.E. TCW onas Encl, cc: Mr. Robert F. Coady + Encl. i Rocky Point Office 129 Route 25A,Rocky Point,New York 1177T Telephone(M)744-20SS s Recoeds of LEE LUTZ,Surveyor,P.C. • NEWI K STATE DEPARTMENT OF ENVIRONMENTAL CONSER( ON - :j DEC — 5 DEC PERMIT NUMBER AmEFFECTIVE•;DATE�— 1-4738-01158/00001-0 October 16,^.19Q5!�,� +¢�r� ?`,; n--n;' • FACILITY/PROGRAM NUMBER(S) PPERMIT EXPIRATION DATES) -y`- ------ _ ,� Under the Environmental October 31, 1998 Conservation Law TYPE OF PERMIT I New 0 Renewal ❑ Modification 0 Permit to Construct 0 Permit to Operate I 0 Article 15, Title 5: Protection ❑ 6NYCRR 608: Water Quality 0 Article 27, Title 7; 6NYCRR 360: of Waters Certification Solid Waste Management 0 Article 15, Title 15: Water 0 Article 17, Titles 7, 8: SPDES 0 Article 27, Title 9; 6NYCRR 373: Supply Hazardous Waste Management ❑ Article 19: Air Pollution 0 Article 15, Title 15: Water Control ❑ Article 34: Coastal Erosion Transport Management 0 Article 23, Title 27: Mined Land 0 Article 15, Title 15: Long Reclamation 0 Article 36: Floodplain Island Wells Management 0 Article 24: Freshwater Wetlands ❑ Article 15, Title 27: Wild, ❑ Articles 1, 3, 17, 19, 27, 37; Scenic and Recreational Rivers f Article 25: Tidal Wetlands 6NYCRR 380: Radiation Control 0 Other: PERMIT ISSUED TO TELEPHONE NUMBER Robert and Barbara Coady (516) 484-3333 ADDRESS OF PERMITTEE 4 Cheryl Lane, North Babylon New York 11703 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER Young & Young, Mr. Thomas Wolpert, 400 Ostrander Ave., Riverhead, NY 11901 (516) 727-2303 NAME AND ADDRESS OF PROJECT/FACILITY Coady Property, Beebe Drive and Wilson Avenue LOCATION OF PROJECT/FACILITY Cutchogue, New York 11935 COUNTY TOWN WATERCOURSE NYTM COORDINATES Suffolk Southold Eugene's Creek CESMIPTICN CF A1.111-MIZM AL71VIlY Construct a single family dwelling with deck, shed, sanitary system, driveway, well,. dock, ramp and float. All work shall be in accordance with the attached NYSDEC approved plan. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General, Conditions specified (see page 2) and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR': ADDRESS George W. Hammarth Bldg. 40, SUNY, Room 219, Stony Brook, NY 11790-2356 AUTHORIZED SIGNATUURE DATE ��GU. gX4 October 17, 1995 Page 1 of 5 Inspections 1 . The permitted site or facility, including relevant records, is subject to in- spection at "reasonable hours and intervals by an authorized representative of the Cepartmrent of Envirorr2ntal Conservation (the Department) to determine ' Whether the permittee is carplying with this permit and the ECL. Such represen- t at i ve rray order the v-�o r k suspended pursuant to ECL 71-0301 and SaPA 401 (3) . COW of this permit, including all referenced rraps, drawings and special conditions, rrust be- ava i I ab I e for inspection by the Depa rtrr2nt at all t irres at the project site. Failure to produce a copy of the permit upon request by a Cepartmnnt representative is a violation of this permit. Permit Changes and PeneneIs 2. The Department reserves the right to modify, suspend or revoke this permit when: a) the scope of the permitted activity is exceeded or a v i o I at i on of any condition of the permit .or provisions of the ECL and pertinent regula- tions is found; b) the permit wes obtained by misrepresentation or failure to disclose relevant facts; c) nev rraterial information is discovered; or d) envirorrrental conditions, relevant technology, or applicable I&V or regulation have materially changed since the permit wes issued. 3. The permi ttee rrust sufmi t a separate wr i tten app I !cat ion to the Department far reneAel , modification or transfer of this permit. Such application rrust include any forns, fees or supple Bntal information the. Departrent requires. Any renenel , mDdification or transfer granted by the Deparvent must be in writing. 4. The permittee must submit a reneneI application at Ieast: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (S�CS) , Fbzardous ftste NbnagErmnt Facilities (1'MF) , ma j o r Ai r Po I I ut i on Cont ro I (APC) and So 11 d ftste NbnageTent Facilities (SMF) ; and b) 30 days before expiration of all other permit types. 5. UnI ess expressly provided for by the Deparirent, . issuance of this permit does not modify, supersede or rescind any order or determination perviously issued by the Department or any of the tears, conditions or requiremnts contained in such order or determination. Other Legal Cbl !gat!cns of Perrittee 6. The permittee has accepted expressly, by the execution of the application, the full legal responsibility for all da-rages, direct or indirect, of Whatever nature and by Wnarever suffered, arising *out of the project described in this permit and has agreed to indem ify. and save harmless the State frann suits, actions, da•rages and costs of every nary and description resulting fran this project. d. 7. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted v�ark nor does it authorize the irrpainTent of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. 8. The permittee is responsible for obtaining any other permits, approvals, lands, ease Tents and rights-of-wey that may be required for this project. Page 2 of 5 95.20.6a(7/92)-25c ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (Title 5), 24, 25, 34 and 6 NYCRR Part 608 ( Tidal Wetlands ) 9. That if future operations by the State of New York require an al- other environmentally deleterious materials associated with the teration in the position of the structure or work herein authorized,or project. if, in the opinion of the Department of Environmental Conservation 13. Any material dredged in the prosecution of the work herein permitted it shall cause unreasonable obstruction to the free navigation of said shall be removed evenly,without leaving large refuse piles,ridges across waters or flood flows or endanger the health, safety or welfare of the bed of a waterway or floodplain or deep holes that may have a the people of the State, or cause loss or destruction of the natural tendency to cause damage.to navigable channels or to the banks of resources of the State,the owner may be ordered by the Department to a waterway. remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or 14. There shall be no unreasonable interference with navigation by the work revocation of this permit, the structure, fill, excavation, or other herein authorized. modification of the watercourse hereby authorized shall not be com- 15. If upon the expiration or revocation of this permit,the project hereby pleted, the owners, shall, without expense to the State, and to such authorized has not been completed,the applicant shall,without expense extent and in such time and manner as the Department of Environmental to the State, and to such extent and in such time and manner as the Conservation m r ay require,remove all or portion of the uncompleted Department of Environmental Conservation may require,remove all or structure or fill and restore to its former condition the navigable any portion of the uncompleted structure or fill and restore the site and flood capacity of the watercourse.No claim shall be made against to its former condition. No claim shall be made against the State of the State of New York on account of any such removal or alteration. New York on account of any such removal or alteration. 10. That the State of New York shall in'no case be liable for any damage 16. If granted under 6 NYCRR Part 608, the NYS Department of Environ- or injury to the structure or work herein authorized which may be caused mental Conservation hereby certifies that the subject project will not by or result from future operations undertaken by the State for the contravene effluent limitations or other limitations or standards under conservation or improvement of navigation,or for other purposes,and Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977 no claim or right to compensation shall accrue from any such damage. (PL 95-217)provided that all of the conditions listed herein are met. 11. Granting of this permit does not relieve the applicant of the responsi- 17. All activities authorized by this permit must be in strict conformance bility of obtaining any other permission, consent or approval from with the approved plans submitted by the applicant or his agent as part the U.S.Army Corps of Engineers, U.S.Coast Guard, New York State of the permit application. Office of General Services or local government which may be required. Yours & Yours 12. All necessary precautions shall be taken to preclude contamination Such approved plans were prepared by 1; dated of any wetland or waterway by suspended solids, sediments, fuels, 6/ 15/95, last revised on 10/ 10/95 solvents,lubricants,epoxy coatings,paints,concrete,leachate or any SPECIAL CONDITIONS 1. Any debris or excess material from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved .upland area for disposal. No debris is permitted in tidal wetlands and or protected buffer areas. 2. There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activity. 3 . The storage of construction equipment and materials shall be confined to within the project work site and or upland areas . ' greater than 50 linear feet from the tidal wetland boundary. 4. All disturbed areas where soil will be temporarily exposed or stockpiled for longer than one (1) week shall be contained by a continuous line of staked hay bales/silt curtain (or other NYSDEC approved method) placed on the seaward side between the fill and wetland or protected buffer area. Tarps are authorized to supplement these approved methods. 5. All fill shall consist of "clean" sand, gravel, or soil (not asphalt, flyash, broken concrete or demolition debris) . DEC PERMIT NUMBER 1-4738-01158/00001-0 PROGRAM/FACILITY NUMBER Page 3 of 5 95-20-6f 17187)-25c NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS FOr ArtiCle 23 Tidal Wetlands 6• To protect the values of the tidal wetlands, a permanent vegetated buffer zone shall be established. There shall be no disturbance to the natural vegetation or topography within an area extending 50 linear feet landward of the tidal wetland boundary. 7• A row of staked hay bales or approvable erosion control devices shall be placed at the landward edge of the buffer area or 50 linear feet from the tidal wetland boundary, or as per NYSDEC approved plan, at commencement of regulated activities and . remain in place until project is completed and all disturbed areas stabilized with vegetation. 8• Roof runoff shall be directed to drywells a minimum of lo0 feet landward of the tidal wetland boundary for immediate on-site recharge. 9• Roads, driveways, and/or parkingshall be direct runoff away from tidalwetla dsrand protectedgraded bufferto areas. . 10. Dock or timber catwalk shall not exceed 4 feet in width and shall be a minimum of 32 feet abovegrade* wetland areas (* as measured from ground to bottom ofedockdal she thing) . 11. Floats and ramps may not rest on or be stored in an g) vegetated tidal wetland. Y 12. Docks/catwalks/floats may not (a) extend laterally beyond property lines, (b)' be placed so that docked boats extend over adjacent property line, (c) interfere with navigation, interfere with other landowners riparian rights. (d) 13 . Dredging is prohibited during any aspect of construction authorized by this permit. i y 14. Supplementary Special Conditions (A) through (F) attached. DEC PERMIT NUMBER 1-4738-01158/00001-0 FACILITY ID NUMBER PROGRAM NUMBER Page 4 of 5 i SUS ,EME.NTAR`I SPECIAL CONDITTC The following conditions apply to all Tidal Wetlands Freshwater Wetlands; Coastal Erosion Management; and Wild, Scenic, and Recreational Rivers Permits: A. A copy of this permit, including all conditions and approved plans, shall be available at the project site whenever authorized work is in progress. The permit sign enclosed with the permit shall be protected from the weather and posted in a conspicuous location at the work site until all authorized work has been completed. B. The permittee shall require that any contractor, project engineer, or other person responsible for the overall supervision of this project reads, understands, and complies with this permit and all its general, special, and supplementary special conditions. Any failure to comply precisely with all of the terms and conditions of this permit, unless authorized in writing, shall be treated as a violation of the Environmental Conservation Law. If any of the permit conditions are unclear, the permittee shall contact the Division of Regulatory Affairs at the address on page one or telephone (516) 444-0365. C. If project design modifications become necessary after permit issuance, the permittee shall submit the appropriate plan changes for approval by the Regional Permit Administrator prior to undertaking any such modifications. The permittee is advised that substantial modification may require submission of a new application for permit. D. At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion. of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of the permitted work, the bottom portion of that form shall also be signed and returned, along with photographs of the completed work and, if required, a survey. E. For projects involving activities to be undertaken in phases over a period of more than one year, the permittee shall notify the Regional Permit Administrator in writing at least 48 hours prior to recommencing work in subsequent years. F. The granting of this permit does not relieve the permittee of the responsibility of obtaining a grant, easement, or other necessary approval from the Division of Land Utilization, Office of General Services, Tower Building, Empire State Plaza, Albany, NY 12242 (516) 474-2195, which may be. required for any encroachment upon State-awned lands underwater. DEC Permit No. 1-4738-01158/00001-0 Page 5 of 5 t r Bureau a Marbse Habitat Protection New Tor'— .,late Deparhimit of Urnriromnental Cons&..lion Bldg. 40 -SUNY, Room 223 Stony Brook, NY 11790-2356 qfy 1 1) Mlohw n,zevete commkolwW EAMIT NO.: ISSUED TOt ' ONT11ACTOR NAME: ADDRESS: ' TELEPHONE: ear Sir: arsuant to.Supplemen1my Special Condition D of the referenced permit, you are hereby notified that die authorized :tivily shall commence on We certify pia( we have read Ito referenced permil id approval plans, and fully understand the authorized project and all permit conditions. We have Inspected the project le and can complete lie project as described Iu the permit and depicted on the approved plans in full compliance wills all Ian notes and permit conditions. Tier Permit sigh, permit, and approved plans will be available at the site for Inspection I accordance wilt (Jeneral Condition No. 1. PERMTITEH DATH CONTRACTOR DATE '111S NOTICE A(UST DR SENT TO T11E ADOVD ADDRESS AT LEAST TWO DAYS 1N ADVANCE OF COA(AIENCEAIHNT ON 171E Ro�rcr, FA1LURR TO RETURN THIS NOTICE, POST 171E PERAIIT SIGN, OR IIAVR 171E PERAIIT AND APPROYED PUNS Young & Young, Land Surveyors Voting 100 O.trand.r Avenue, Atv.rA.aL Neu, rart $#g0/ ati-ztr-t;ao� Vie Aid..I. Y.unp,P.S.Ar A.S.(U0a-.NI) N.v,.ra r. r.nnp eana J..- food) r TAo,n..C. I.Ip.r!rrohad.nal fnot.— i W.-h1 NYBDEC L.nn.lA r.Atru...,l.na svrv,y.r J.A.S.Murt;lnnd Surv.y.r 1 APPROVED AS PER '1'ERI,IS II Mnkv AND CONDITIONS OF PERmvr NO. 1 -17 3 DATE l0h 5 PROPOSED 3'x 25' PROPOSED 3,'x I10 'ELEVATED TIMBER WALKWAY UPLAND AREA HINGED RAMP (MINIMUM 3.5'ABOVE GRADE) PROPOSED 8 x 25 ` 1. FLOATING TIDAL WETLANDS n ----AHWM J, 'ab, mb, Elie II ALWM _ II it I 11 i� I �I II t 11 1 I I LIMIT OF TIDAL 8:'CCA DOCK PILE �6"CCA PILES 8'-10°O.C. WETLANDS 6 DEPTH OF PENETRATION(MIN.) 6 DEPTH OF PENETRATION(MIN.) PLAN OF WALKWAY AND DOCK FACILITY PREPARED FOR: ROBERT F COADY a BARBARA A. COADY At: EAST CUTCHOGUE Town of: SOUTHOLD PROPOSED WALKWAY AND DOCK FACILITY Suffolk County, New York PURPOSE: PRIVATE MOORING OF A RECREATIONAL VESSEL DATUM: M.L.W. OCT. 10, 1995 TIDAL DATE SEPT. 25, 1995 RANGE: 2.6'f SCALE NONE JOB NO. 95-0428 • SHEET NO. :2 OF 2 95-20-1(8187)-9d New York State Department of Environmental Conservation NOTICE � s The Department of Environmental Conservation (DEC) has issued permit(s) pursuant to the Environmental Conservation Law for work being conducted at this site. For further information regarding the nature and extent of work approved and any Departmental conditions on it, contact the Regional Permit Administrator listed below. Please refer to the permit number shown when contacting the DEC. Regional Permit Administrator IROBERT A. GREENE Permit Number �"`' ••� Expiration Date NOTE: This notice is NOT a permit STATE OF NEw YORK DEPARTMENT OF STATE ALBANY, NY 12231-0001 ALEXANDER F. TREADWELL SECRETARY OF STATE November 29, 1995 r Mr. Albert J. Krupski, Jr. DEC _ Q �99J� Trustee, Town of Southold ` ' f P 53095 Main Road 1 � s -=-- P.O. Box 1179U" � y Southold, NY 11971 Re: F-95-715 U.S. Army Corps of Engineers/New York District Permit Application #95-10500-L2 Robert F. & Barbara A. Coady DEC #1-4738-01158/00001-0 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 David A. MacLeod, 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 Chief, Consistency Review and Analysis Bureau Division of Coastal Resources and Waterfront Revitalization Enclosures WFB:dlb `i RECYCLED PAPER F 9s- 7/r YO(1NG&YOUNG DE P/ ;TVEN,';OFSTATE 10 .*Pm Planning Engineering&Land Rurveging COAS.,-,t-PKIGRAMS 400 Ostrander Avenue N 0 y t .r ;J � Tak�heno(516)727-2303 Riverhead, New York 11901 RECEIVED Gw+vrte(518) 727-0144 NOWARD W.YOUNG,Land Swega TNONAS C.WOLPERT,Pmfewomi Engnw KENNETN F.ABRUZZO,LendSw wag& JONN SCHNURR,L4nd.2maga November 10, 1995 New York State Department of State Division of Coastal Resources and Waterfront Revitalization 162 Washington Avenue Albany, New York 12231 RE: ROBERT F. COADY & BARBARA A. COADY at East Cutchogue, T/O Southold, New York (95-0428) Army Corp Appl. No.: 95-10500-1-2 Dear Sir or Madam: Enclosed are the following items: 1. one (1) print - Survey for Robert F. Coady & Barbara A. Coady, last dated October 10, 1995, 2. one (1) print - Plan of Walkway and Dock Facility, last dated October 10, 1995 (Sheet 1-2); 3. one (1) copy each - five (5) representative photographs of the project area and surroundings; 4. one (1) copy - Portion of USGS Quad Map showing the project location; 5. one (1) - NYSDOS Coastal Management Program Federal Consistency Assessment Form and Attachment, and 6. one (1) copy - Joint Application for Permit. If you have any questions regarding this project, please advise. Very truly yours, TCW/nas Thomas C. Wolpert, P.E. Encl. cc: Army Corp of Engineers ATTN: James W. Haggerty, Chief & copy Federal Consistency Form Mr. Robert F. Coady Rados POW OHk. IS Roth 2SX Rode,Pw,9w Yank 1177T Ta mea(518)7"2055 Rom*of LEE LUTZ,SwF%p,P.C. Young & Young, Land Surveyors 7— 400 0.1rand.r A.mu•, AlwrAmd M•v� York ff/Of �e ng NO I c ' l / h� ��C+/'P. 5� •YY)ClY/%)� VI /� t'' ere-rtr-ttaa t G'f tA/ S Vd ng qrC approx. 4-00L YIOr'lh 01c Adzit. r•.nr.r.r. +LSIF061-8m) M•w.rd r r u L.:d rr ryr .. •C�/-'�pP✓�'�. 1 `E .-{� rA.n..•c. r.l�..[i�./ "n.l i j �' n\/EN � J•An drAnun,L.nd lurv.y.r I H V �i : � • +O1 • �,�• EyaENE.t ROPo y yf 1RA n at 11. •. l�,; • • t �� EMORf 'A . • o • ► i!i;i'.I. �V/ • • • • •L4�•`]?may rTJ<<1Y 1�1 R ON o • �o.n�s �� SITE L3 • y Q A- ` j \-J • • • • • • �4`�r-0w Aa • ,� a • g rr OOP vncxuAu �j1al;': / • • • • • • • • . P�;�P'l r V CREEK ;.,I I U e� JpgOQ SCALE: 1" = 2000' at °4 ' 3}�►�°J� Ot s• �" Ova .� o�E via sb PLAN OF WALKWAY AND DOCK FACILITY °oEo PREPARED FOR: . z?� ROBERT F. COADY a BARBARA A. COADY ` LOel}Tioiv OF FROPOSE� Q�pP��Noo°G� 9ECRc4T-10N�L V�SSE DRA r 9ff At: EAST CUTCHOGUE Town of: SOUTHOLD PROPOSED :WALKWAY AND DOCK FACILITY Suffolk County, New York �;. PURPOSE: PRIVATE MOORING OF A RECREATIONAL VESSEL DATUM: M.L.W. OCT. 10, 1995 TT i DATE SEPT. 25 1995 TIDAL f' I SCALE I a 60' RANGE: 2.6 t JOB NO. 95-0428 SHEET NO. :1 OF 2 MVP: . '� �1.• ` C;t I / `�`. i� ry a� W! 'a.. ,fry IM111Jill 111 om�r =d ry 1�r ; ••t• r', PHOTO • ROBERT F. COADY AT EAST CUTCHOGUE, TOWN OF • • JUNE • 1995 ' s PHOTO 1 ROBERT F. COADY AT . • TOWN OF • • JUNE • 1995 AT 1 : 47 ' • ' �r•':�����Fes` f•s`•711 „V, � RR � tr t A ir• 1L„I• � 4�'�;s h• t 1+tc. � !i� i(1.t 'tea�R '1 .. ���• ��tifyt.��A4� a^ t QJ't1 rRF � wJ, /ttt�,L�•itl�':�ti- �.• (' 2 \y•*t {�x�Y��r•4R�4'L} hlr A+ ���1�:F W lY YYr�t"1' la t •+# �"' 44� r ��'.�1tX }� , w J .,; r •!iF tS 1��j P f ;•� q jt �.ti t\ FF lr r tY-S•� a . :N. 1,4+�'./ir?Y'.„'o-. 4N. ��'�'i las Et.r..J _ r�� 'yy .�,` nR✓{•{. '.\ Y) t • a � x \ ' r .� t. tjC i4 !}+ >•rt of iris, i '' J J F ..fir J � fra ` J f - , r c• _ . I_ a a • •q� •�— .,. -9F'C.yo�•trh'" t �•'+<;F1,'�, ;.r:.<1�y�: - .��bk�`.:., r fir.�1 4� '�'�i�ls���1• q �p } • �� f�}}�it1S •M1=t.rr.' F F I .•1 j R{i�41 �Ki E - r ` •t f im i �`k R1:,1[ tYi;"y`k1iC+rrr V r.1te;6\, --a pec -N N- j� 7 ell. ............. \& fnp V fo to. 0 t VJG ........... CU—T'C'40gue M '10 7 Sacred-Hear: Cam . ......... 'assr % '109u '1Z C, F 27 200 000-7- nogue -Cutc 'P.0 4i Cut ckoq .7 Har b or Ra'seZjWe*----�..' North Park -M Z Country Club pt% 114 ----------- 71, 27'- -,v SU POLIC 00' M 2 e.20 cco 72-30' he Geaiagic2l SurveyJ� Mapped, edited, and pubfisned by t -(\�cs- Cantrol by USC&GS Tocograchy.frorn aerial pi-iotograons by Kels'n ;iotter and by ICU to planetable survey's iar-G. Aerial phatograohs taken 195'1 ' USC&GS chart 363 (19561 '3' Hydrograol"Y compiled from Z3114ILS, 1 1.11. polycanic projection. 1927 North American datum 30 MILS 10.000-foot grid based an New York coordinate system. Long island zone Transverse Mercator grid ticks. ICCO-meter Universal UTM G;;10 ANO t9'J6 M.GUErIC UCf_r" zone 13. shown in blue aFcjjr4^not4 Ar CZ.Ijrr-:t OF S14E�- Fr7mo rod dashed_lines indicate selected fence and field lines November 10, 1995 ATTACHMENT TO FEDERAL CONSISTENCY ASSESSMENT FORM Policy 7 The proposed activity has been designed to result in little or no impact on significant coastal fish and wildlife habitats, eg. the elevated timber walkway and floating dock. Policy 11 The proposed activity has been sited to minimize damage to property and the endangering of human lives caused by flooding and erosion, eg. the proposed first floor elevation of 12.0 of the house is above the required flood elevation. Policy 12 The proposed activity has been designed to minimize damage to natural resources and property from flooding and erosion by protecting natural protective features. The existing tidal wetlands will be essentially undisturbed by maintaining a 50' buffer (no fill), 75' minimum setback to all structures, and construction of the elevated timber walkway and floating dock. Policy 17 Non-structural measures are proposed to minimize damage to natural resources and property from flooding and erosion, eg. setbacks to structures and setting the first floor of the house above the base flood elevation. Policy 44 The proposed activity has been designed to preserve and protect the tidal wetlands and to preserve the benefits derived from these areas. A tidal wetlands permit has been obtained from the New York State Department of Environmental Conservation. A tidal wetlands permit is pending from the Town of Southold Board of Trustees. 95-19, 3(11I931-7e OEC APPLICATION NUMBER )ISTRIBUT)ON' WHITE COPY Permit Administrator NEW YORK STATE CANARY COPY Carps at Engineers DEPARTMENT OF ENVIRON3NENTAt CONSc -ION US ARMY CORPS OF ENC:NEERS APPLIC.4 NO PINK COPY Program JOINT APPLICATION FOR FtRMIT COLOENROO AaoRcant rNease read ALL instructions on back beiare conspiedog this acciicadon.Please type of print cieariy in ink.Attach additional iniomsacton as needed. TICLE 9.TITLE 1.ARTICLE a3 6NYC.ZR 6a6 MKE C:ORC:• RECREATION ZONE; TICLE 15.nTt£3(AQUATIC PEST(GOES CONTROL) L!SNYCtR 3'u'(AQUATIC VEO:TATION) C6NYCaR 32s(F1SH) 5NYCRR 329 INSECTS) TICLE 15.TITLE 3 6NYCRR 60a(PROTECTION OF WATERS) 'I Q For;.he conscnsction,reconstruction,or=air of a OAM or Other impaundmenc s[ruc:are. A r T I For the disturbance ai�a STREAM BED OR BANKS or excavation�-m or flit of NAVICABL:WATc35. 1:01 WA-MR QUALITY CERTIFICATION el CARTICLE 15.TITLE 15 Q6NYCRR 6W(WATER SUPPLY) C6NYCRR 502(LONG ISLAND WELL) QARTICLE 15.TITLE 27 6NYCRR 666(WILD.SC:NIC ANO REC.E.i,ICNAL RIVEt51 CARTICLE 24 6NYCRR 662.663(FRESHWATER WETLANOSI CARTIC'LE 34 6NYCZR:05(COASTAL'.ROSIN) &ARTICLE S 6NYCRR 661(TIDAL WET LANOSI F �-SECTION 10(RIVER AND HARBOR ACT OF 18991 for stnrc:•ares and work in navigable waters at the U.S. ❑COASTAL CONSISTENCY C=RTIFICjTION. QSECTION:a4(C EAN WATER ACT OF 19771 for disposai of dredged or::il material in waters of .'le U.S. 01 CSECTION 103(MARINE PROTECTION.RES'cARCH AND SANCTUARIES AC-1 tar:tie�ansoora[ian Oi dredged materials for dumping into or waters. IF OTHER THAN INDIVIDUAL PROVIDE S. LIST PRE`/IOUS PER.%sIT1APPLICATION NUMBERS AND GATES(IE any) TAXPAYER 10 NUMBER Acpl. No. 10-37-I270 approved net. 11, 1958 Z. APPLICANT IS AIAN G1Owner l c1munic-aaiii:wCovernmencai Agene, (neck as many as aooiv) 'pl COOefaCaf C�ZSSN 3. NAME OF APPLICANT(Use Full Name) • ,�.sAILING ADDRESS TELEPHONE(Where can be reached during day) (Sl F I d anery! Lane STATE ZIP CODE POST OFFICE 111703 Ncr'-t:°L Baby lcn, 4. ,tA.ME OF El owner ®AgendContar.Person (Check one- v.,.,.... v.,. FZr 'N RsnCnlpm C_ Gv0 TELEPHONE(Where can be reje..ed during dav) MAILING ADDRESS �00 Ost_Y 5 arder Avenue (5l6 I 727 A STATE ZIP CODE POST OFFICE v �1cn1 Riverne=_d, S. PROIECTIFACILITY LOC1,TION(Mark location an Mao.see Number la on reverse side; �—= I Town d �G, SCL't�:C i d I max �ainlet: C.aSt C'•:tchccua County SIB—Ol.1S STREET ADDRESS(If different from applicants Beede Drive, Wilson Avenue STATE ZIP CODE POST OFFICE v 11Q�5 N. Cstczcgue 6. NAME OF STREAM OR 300Y OF WAIVE East Creek (Eucene is Creek) T. HAS WORK SEC UN ON PR01EC-7 It YES.attach etaianauan an starting wasic without permit includes daces. I 8. WILL PROTECT UTILIZE STAT"c LANC? Show work an map andlor drawings. CYesINo QYes T1No 9. PROPOSED USE: v lI a. 10. PROPOSED STARTINC CATE: I 11. APPROXIMATE COMPLETION OArE: 11Z F :OF(NYS Permit Only) o Cl- nvace. C Public Commercial AL3gus r 1 CCg Decr:ncer r 199E s y.1L. Enc?used 13. PROTECT OESCRSPTION: (e.�quantity and tvpe of macenai cc be excavacea.dredged or used far till or rip rao. location of disaasal sites:type Of structure to be installed:height of dam size of imaounderse caaacides of pr000sed water sources:extent of distribution system:etc.) Ccnst_act a single L2.IIlil V d7;`e?inC r Cr�°i a?vZV r Se.*1_' —J 5':5t?tit r and well., NO s fill is rvcu=ram. ' Consrru�?- en eI va ecd '�-fm ,- 14. WILL THIS PROIECT REQUIRE AOOITIONAL FcDERAL STATE ANDIOR LOCAL PER.,nITS7 yes C] No If yes.please lase Town CL SCL'thold — Building CeYM t: Southold Mr.—tees � rNetland P?riili�Suffcj1C COLnt r De'Ct. OL Be?1 L`h — ADDrovz� t— C nE;t=_,c- 'dater & S'c�nitar Si7�LesI1� I hereby affirm that under penaiity of penury aiac information provided on this toms and all attachments a t herewith is rue to the bat of m 1S. C=RTIFiCATION: y knowledge and belief. False statements made herein are punishable as a Gass A misdemeanor pursuant o Section 31and y the Penal Law. Further. the aoolfcanc acc=cs full resoansiciiicv far all damaqe.direr or indirect.of whatever nature.and by whomever suffered.arising out of he proir_: described herein and agues to indemnify and save harmiess the Stace from suits.ac Otis,damages and costs of every name and description resultear from said projeG In addition.Federal Law.18 U.S.0 Section 100'I provides far a fine of not more than s1o.00o or imorisanmenc far not more than five Years.ar bads. where an applicant knowingly and willfully falsifies.conceals.or covers uo a material lac`at knowingly makes or uses a false.fictitious or fraudulent statement I hereby authorize the agent named in amber j-aaav a submit his aoollnaon an m �eisa{E. Gi st L���AsURE OAic PCP.ISE READ ALL INSTRUCTIONS ON REVERSE 51DE STATE OF NEW YORK DEPARTMENT OF STATE ALBANY, NY 12231-0001 ALEXANDER F. TREADWELL SECRETARY OF STATE November 29, 1995 Mr. Albert J. Krupski, Jr. Trustee, Town of Southold 53095 Main Road P.O. Box 1179 Southold, NY 11971 Re: F-95-715 U.S. Army Corps of Engineers/New York District Permit Application #95-10500-L2 Robert F. & Barbara A. Coady DEC #1-4738-01158/00001-0 Dear Mr. Krupski: i 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 David A. MacLeod, 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 Chief, Consistency Review and Analysis Bureau Division of Coastal Resources and Waterfront Revitalization Enclosures WFB:dIb `J RECYCLED PAPER � pp STATE OF NEW YORK DEPARTMENT OF STATE ALBANY, NY 12231-0001 ALEXANDER F. TREADWELL SECRETARY OF STATE November 29, 1995 Mr. Albert J. Krupski, Jr. Trustee, Town of Southold 53095 Main Road P.O. Box 1179 Southold, NY 11971 Re: F-95-715 U.S. Army Corps of Engineers/New York District Permit Application #95-10500-L2 Robert F. & Barbara A. Coady DEC #1-4738-01158/00001-0 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 David A. MacLeod, 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 Chief, Consistency Review and Analysis Bureau Division of Coastal Resources and Waterfront Revitalization Enclosures WFB:dlb 10 RECYCLED PAPER STATE OF NEW YORK DEPARTMENT OF STATE ALBANY, NY 12231-0001 ALEXANDER F. TREADWELL SECRETARY OF STATE November 29, 1995 Mr. Albert J. Krupski, Jr. Trustee, Town of Southold 53095 Main Road P.O. Box 1179 Southold, NY 11971 Re: F-95-715 U.S. Army Corps of Engineers/New York District Permit Application #95-10500-L2 Robert F. & Barbara A. Coady DEC #1-4738-01158/00001-0 Dear Mr. Krupski: 1 a 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 David A. MacLeod, 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 Chief, Consistency Review and Analysis Bureau Division of Coastal Resources and Waterfront Revitalization Enclosures WFB:dlb RECYCLED PAPER AEW YORK STATE DEPARTMENT OF STA _j► "r.�Ut E.� j{. ., ,, - F-96 1r COASTAL MANAGEMENT PROGRAM '00AST A!. IA(( ey)IC-® Federal Consistency Assessment Form ri RECEIVEDAn applicant, seeking a permit, license, waiver, certification or similar type of approval from a federal agency which is subject to the New York State Coastal Management Program (CMP,. shall complete this assessment form for any proposed activity that will occur within and/or directly affect the State's Coastal Area. This form is intended to assist an applicant in certifying that the proposed activity is consistent with New York State's CMP as required by U.S. Department of Commerce regulations (15 CFR 930.57). It should be completed at the time when the federal application Is prepared. The Department of State will use the completed form and accompanying information in its review of the applicant's certification of consistency. A. APPLICANT 1. Name: Robert F. Coady & Barbara A. Coady (please print) 2. Address: 4 Cheryl Lane, North Babylon, New York 11703 3. Telephone: Area Code ( ) (516) 484-3333 Ext. 21 B. PROPOSED ACTIVITY 1. Brief description of activity: Construct a single family dwelling including elevated timber, walkway, gangway, -and floating dock 2. Purpose of activity: The purpose of the walkway, gangway, and floating dock is to establish a private mooring for a recreational vessel. 3. Location of activity: at East Cutchogue, Beebe Drive Extension, Suffolk Town of Southold Wilson Avenue County City, Town or Village Street or Site Description Army Corp of Engineers 4. Type of federal permit/license required:Section 10 of the Rivers and Harbor Act of 1899 5. Federal application number, if known: 95-10500—L2 6. If a state permit/license was issued or is required for the proposed activity, identify the state agency and provide the application or permit number, if known: NYSDEC Tidal Wetlands Permit No. : 1-4738-01158/00001-0 C. COASTAL ASSESSMENT Check either "YES" or "NO" for each of the following questions. The numbers following each question refer to the policies described in the CMP document (see footnote on page 2) which may be affected by the proposed activity. 1. Will the proposed activity result in any of the following: YES NO a. Large physical change to a site within the coastal area which will require the preparation of an environmental impact statement? (11, 22, 25, 32, 37, 38, 41, 43) . . . . . . X b. Physical alteration of more than two acres of land along the shoreline, land under water or coastal waters? (2, 11, 12, 20, 28, 35, 44) 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) . . . . . . . . . _ X 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) . . . . . . . . . . . . . . . . . _ X h. Mining, excavation, or dredging activities, or the placement of dredged or fill material in coastal waters? (15, 35) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X i. Discharge of toxics, hazardous substances or other pollutants into coastal waters? (8, 15, 35) . . . . . X j. Draining of stormwater runoff or sewer overflows into coastal waters? (33) X k. Transport, stroage, treatment, or disposal of solid wastes or hazardous materials? (36, 39) . . . . . . . . _ X I. Adverse effect upon land or water uses within the State's small harbors? (4) . . . . . . . . . . . . . . . . . 2. Will 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 area? (11, 12, 17,) X _ c. State designated significant fish and/or wildlife habitat? (7) X d. State designated significant scenic resource or area? (24) . . . . . . . . . . . . . . . . . X e. State designated important agricultural lands? (26) . . . . . . . . . . . . . . . . X f. Beach, dune or barrier island? (12) g. Major ports of Albany, Buffalo, Ogdensburg, Oswego or New York? (3) X h. State, county, or local park? (19, 20) — X i. Historic resource listed on the National or State Register of Historic Places? (23) . . . . . . . . . . . . . . . X -1- 1 Lb NO 3. Will the proposed activity;rennin-. / of the following a. Waterfront site? (2, 21, 22) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X— b. Provision of new public services or infrastructure in undeveloped or sparsely populated k sections of the coastal area? (5) — c. Construction or recor)struction of a flood or erosion control structure? (13, 14, 16) . . . . . . . . . . . . . _ X d. State water quality permit or certification? (30, 38, 40) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . — X e. State air quality permit or certification? (41, 43) . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . — X 4. Will the proposed activity occur within and/or affect an area covered by a State approved local X waterfront revitalization program? (see policies in local program document') . . . . . . . . . . . . . . . . . . . . . _ — D. ADDITIONAL STEPS 1. If all of the questions in Section C are answered "NO", then the applicant or agency shall complete Section E and submit the documentation. required by Section F. 2. If any of the questions in Section C are answered "YES", then the applicant or agent is advised to consult the CMP, or where appropriate, the local waterfront revitalization program document'. The proposed activity must be analyzed in more detail with respect to the applicable state or local coastal policies. In the space provided below or on a separate page(s), the applicant or agent shall: (a) identify, by their policy numbers, which coastal policies are affected by the activity, (b) briefly assess the effects of the activity upon the policy; and, (c) state how the activity is consistent with each policy. Following the completion of this written assessment, the applicant or agency shall complete Section E and submit the documentation required by Section F. E. CERTIFICATION The applicant or agent must certify that the proposed activity is consistent with the State's CMP or the approved local waterfront revitalization program, as appropriate. If this certification cannot be made, the proposed activity shall not be undertaken. If this certification can be made, complete this Section. "The proposed activity complies with New York State's approved Coastal Management Program,or with the applicable approved local waterfront revitalization program, ane will be conducted in a manner consistent with such program." Applicant/Agent's Name: Young & Young ATTN: Thomas C. Wolpert, P.E. Address: 400 Ostrander Avenue, Riverhead, New York 11901 Telephone: Area Code( ) (516) 727-2303// / J Applicant/Agent's Signature: �i/ZZ�Y�Zli10 L: l/�/l1�% � Date: Nov. 10, 1995 F. SUBMISSION REQUIREMENTS 1. The applicant or agent shall submit the following documents to the New York State Department of State, Division of Coastal Resources and Waterfront Revitalization, 162 Washington Avenue, Albany, New York 12231. a. Original signed form. b. Copy of the completed federal agency application. c. Other available information which would support the certification of consistency. 2. The applicant or agent shall also submit a copy of this completed form along with his/her application to the federal agency. 3. If there are any questions regarding the submission of this form, contact the Department of State at (518) 474-6000. "These state and local documents are available for inspection at the offices of many federal agencies, Department of Environmental Conservation and Department of State regional offices, and the appropriate regional and county planning agencies. Local program documents are also available for inspection at the offices of the appropriate local government. FCAF Revised 12/6/93 -2- 1� GAIT E K:\ :-&,&A11 v N ti D I K wr1 U�. W ILSON RQ � o � m m IOo+1 z o ca 1 DWELLING NVE v,a 1.2 + O N 3 aA w @Or- v W�LS� Fp°''l' 79�135° E• 14110 III(/ oa@p Q`pE o;,e.h?� N• �� c°yv 0 mp0 A� i� 60.5�-� m o 0- h Da w� z sz��3 2 6•°j Ha�� U U o.0 Q1 -q I 0+ L0l �l O/ W �� O. // 1N0V 6� �/ 03-i i 6 1\ 1 � oGp•S�DII (L 4� c 3 6 1 1 I J `� p6+ 0�`DN°��?'�° �oh�` 0. 0 0• N `9 hCO Q I 1\ `ass ol+ I of `� 1 1\\ ? 1\� �` vv \\\ \ QQ°Q `tl \ G! Qc moo/ J.N I A6Oc EXIST. GO+JTOUR N % ky �� ��` / \ —_gam— n PROP. C-ONTOUIC O a 6 \ a Fj.� �• \ GooQezotitie o II 4 \ \\ geQr 49F1 OAS C�6 Jpl�k �o � OC AREA of UPLAI.ID = 310Co 1 S.F. f y ph�0 ? PERGf=1JIT OF UPLAND LOT LaVEFLAC�E a HOUSE s 2I Z S.F. OK &.0 0/0 + W. S �`,Av,F `j Q� `� o DEGiC = 4 5 6 S.F. 012 1 .6 0/0 S.84°14 49 La,,, ,,1Pa�h (� SHED = 100 S.F. OR 0.3 °/o 26.841 a P�v0 DRIVEWAY = 1 '+00 S.F. ep + 0�> �'100 ^AL• ��EPrIC. ;�t•!K TOTAL = 45$O S.F. OR 14.1 3/0 0Q0% hfc��+ pQ�pP� Dgo a 9D i Apo` QQ TEST HOLE WO 12.0 l]�2.__..-•_ K DUG 8-16- EL 7.2 0.0' ���° DEL="B.0 11 ! ' = LOAM �{ -7.0- r' �7NESANDYLOAM 0: I IE. , lT� Y COARSE ?_, MIh1. (1� SAND &ROUND-\N/A•fr_R -- F-L.� 1.O GR.WATER 6•2' SEASONAL HIGH = _ COARSE GROUND WATER ELz1.0 I SAND ��TAI 5AN I TARE ` 'I �/ crr F�1589, LAND' SURVEY FOR ROBERT F. COADY 81 BARBARA A. COADY OCT. 10,1995 SEPT. 25,1995 AUG. 2, 1995 AT EAST CUTCHOGUE DATE: JUNE 15,1995 TOWN,"OF' SOUTHOLD _ _SCALE: I"=50' _ SUFFOLK" COUNTY, NEW YORK NO. 95-0428 i1 UNAUTHORIZED ALTERATION OR ADDITION TO THIS CERTIFIED TO : SURVEY IS A VIOLATION OF SECTION 7209 OF THE ROBERT F. COADY NEW YORK STATE EDUCATION LAW BARBARA A. COADY If COPIES OF THIS SURVEY NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SMALL FIRST AMERICAN TITLE INSURANCE NOT BE CONSIDERED TO BE A VALID TRUE COPY COMPANY OF NEW YORK KGUARANTEES INDICATED HEREON SHALL RUN ONLY TO HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERN- NEAREST WATER MAIN—Ml.! N30URCE OF WATER; PRIMATE_PUBLIC MENTAL AGENCY AND LENDING INSTITUTION LISTED SU M FF CO. TAX MAP DIST 1000 SECTION 103 BLACK 09 _,LOT 001 HEREON,AND TO THE ASSIGNEES OF THE LENDING )♦THERE ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE OTHER THAN THOSE"SHOWN HEREON. TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT * THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR THIS RVAIDENCE OWNERS WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT *DISTANCES SHOWN HEREON FROM PROPERTY LINES OF HEALTH SERVICES. TO E><ISTING STRUCTURES ARE FOR A SPECIFIC APPLICANTi PURPOSE AND ARE NOT TO BE USED TO ESTABLISH • PROPERTY LINES OR FOR THE ERECTION OF FENCES a ADDRESS TEL. OSTRADER YOUNG & YOUNG RRIIVOERHEAD"NEW YORKE NOTE:6 Ul =NUMBERED LATH SET I. ELEVATIONS SHOWN HEREON ARE FROM ACTUAL SURVEY ALDEN W.YOUNG,PROFESSIONAL ENGINEER AND ARE REFERENCED TO N•G.V.D. ( M.S.L.1929) . AND LAND SURVEYOR N.Y.S.LICENSE NO.12845 2. SOUNDINGS SHOWN HEREON THUS(o•eu) HOWARD W.YOUNG ARE REFERENCED TO MEAN OW WATER. , LAND SURVEYOR *THE LOCATMOFWILL(W),SEPTICTANXISTIRCEUPOOLS(CP)SHOWN HEREON N.Y.S.LICENSE NO.45893 ARE FROM FIELD 08SERWATIO03 AND OR DATA OBTAINED FROM OTHERS BRANDIS & SONS INC. 1046 Al-A o Town Hall, 53095 Main Road P.O. Box 1179 Telephone • (516) 765-1801 0�' Southold, New York 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Thursday, November .28, 1995, the following action was taken: No. 1310 Moved by Stephen Angell, seconded by Robert Keith, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH STIPULATIONS of the Wetland Application of ROBERT F. COADY and BARBARA A. COADY 103-9-1 to construct a single family dwelling and related improvements including driveway, sanitary system, well, deck, shed, elevated timber walkway, gangway, and floating dock. The Council recommends approval with the stipulation that the applicant move walkway 15' from the property line and turn the proposed floating dock so it is straight and not in a "T" formation; also place hay bales at the 7' contour line. Wilson Avenue and Beebe Drive Ext., Cutchogue Vote of Council: Ayes: All Motion carried. econic Peconic o•. Ise \,.. .• l T� f \�?°: \• � \ � .� 1. •�'\ i° o \- _ '-. a••a ,37 \ \ F •FQ \ a '� \ \A ;° BM 29 asps 56 CO 2iff East- . •. ! ..... 1\. (l`' �2 �' :.� ' ,y � .- a �"`• 2-hogue Sta " 45gQ ri: ;\ 1i 1Q \) )F,.:' 1S� z �'• LZtf Sacred-Heart o.. t iti• �:. Cemmi 24 1. ` :_,. :.�:.�' ��,,. �0.:"(�1'-Y\ '. ••. !p�l�li Xas..SaU '�';••; '\:� '�I;C�. f . - `•. �\I 20/� •.\_..�\� _gip- .••��\!;•` �•.'-` Gutchogue 33 290 00o r ,1 1.... �,�. - FEET'__A_`_... _ _ '�� ,�• 1. o ` �Jl r �� �,•�%1::\� .: -CutchogueUIatCT •)I a i• \' --= .•� BM 32 • .• •,^2...0.'r.. F2 ••� \:•�' so ......:•�,,�_�_��' ..;� . oCutch ue, � '• 3 '� - .:� ague _ ` - ��._Harbor Horseshoe`s::' " ,�.• _ •o� North Fok— `- h zW= o ars opCountry Club Pt 20. t v, =� \ - 714 41 a 00' 711 2 420 000 FEET •\NEw SUFFOLK 5.7 MI 1713' 27'30" 72°30' �10 Mapped, edited, and publisned by the Geological Survey Control by USC&GS Topography from aerial photographs by Kelsh plotter and by rAN_- GN lDoo _ planetable surveys 1956. Aerial photographs taken 1954 Hydrography compiled from USC&GS chart 363(1956) 13• 231 MILS 1'41' Polyconic projection. 1927 North American datum 30 MILS 10,000-foot grid based on New York coordinate system, Long Island zone 1000-meter Universal Transverse Mercator grid ticks, DE zone 18, shown in blue ll DECLINATION AT CENTER OFM GRID AND 1956 C SHEET H Fine red dashed lines indicate selected fence and field lines aerial nhotoaraohs. This information is unchecked-- YOUNC&YOUNG Punning, Eng)neeting&(.and Rutveging 400 Ostrander Avenue Tew►on@ 1516)727-2909 Riverhead, New York 11901 r eaiwie(516) 727-01" NOWARD W.YOUNG,Land Suweva TNOMM C.WOLKRT,Pw1imaonal 6ngnm KENUM r.ABRUZZO,Lind Sm+iew JOHN SCNNURR,Land Smiga November 7, 1995 ATTN: Jill Board of Trustees Town of Southold NOV 1 3 199 i' I 53095 Main Road P.O. Box 1179 Southold, New York 11971 - - - RE: ROBERT F. COADY & BARBARA A. COADY at East Cutchogue, T/O Southold, New York (95-0428) Dear Jill: Enclosed are the following additional items for your review of our application for a wetland permit to construct a single family dwelling and related structures at the above referenced site: 1. one (1) copy - Negative Declaration, dated October 5, 1995 issued by NYSDEC; and 2. application fee - appli ,ant's check in the amount of One Hundred Fifty Dollars j/Dam f�, , faoeo � - We understand that an inspection of the property will be made on November 21, 1995, and that the'seaward limits of the proposed structures should be staked by then. If you have any questions regarding this application, please advise. Very truly yours, Thomas C. Wolpert, P.E. TCW/ as Encl. cc: Mr. Robert F. Coady + Encl. Rudy Pafat Ofea 125 Rout@ M Rody Pact,Nw Yolk 11779 T.I.tbo w(516)744-2055 Roo&of LIN LUTZ,Suwgp,P.C. YOUNG&YOUNG COPY Planning,Engineeting&Land Surveging 400 Oshander Avenue Takw"(516)727-2909 Riverhead, New York 11901 Faedmia(516) 727-01" HOWARD W.YOUNG,LandSwveya THONAS C.WOLPERT,Pmfudtmi Eng war KENNO N F.ABRUIIO,Lad Sunagw ° JOHN SCHNURR,Lad Swayer November 7, 1995 ATTN: Jill � � _ o ' Board of Trustees Town of Southold Jj=' 53095 Main Road P.O. Box 1179 � �. Southold, New York 11971 TOWN OF S1L RHULD RE: ROBERT F. COADY & BARBARA A. COADY at East Cutchogue, T/O Southold, New York (95-0428) Dear Jill: Enclosed are the following additional items for your review of our application for a wetland permit to construct a single family dwelling and related structures at the above referenced site: 1. one (1) copy - Negative Declaration, dated October 5, 1995 issued by NYSDEC; and 2° application fee - applicant's check in the amount of One Hundred Fifty Dollars We understand that an inspection of the property will be made on November 21, 1995, and that the seaward limits of the proposed structures should be staked by then. If you have any questions regarding this application, please advise. Very truly yours, `Ih&m� G Thomas C. Wolpert, P.E° TCW/( as Encl. /cc: Mr. Robert F. Coady + Encl. R0*Pear ONia 125 Rab 2S&Raft Pot,Uw Yak 117N TWW aw 1516)7"2055 Raw&of LX L=Swaim Pt. =2-7(ZM*7�—ae • SEOR APpw+aIx F State Envi=mentsl Grainy Review NEGATIVE DECLARATION J - Notice of Deterrninaticn of Non-Significance Project Number 1-4738-01158/00001-0 Date I0/5/95 This notice is Issued pursuant to Part 617 of the implementing regulations pertaining to Article S (State Environmental Quality Review Act) of the Environmental Conservation Law. The New York State Department- of Environmental 'Conservation lead. agency, has determined that the proposed action described below will not have a significant effect oa the environment and a Draft Environmental Impact. Statement will not be prepared. Name of Actk= Robert and Barbara Coady property SECR Status Type I Q Unlisted Q C=c:Utlaned Negative Deciamflara: Q Yes Q No - Description of Acdarr. Construct a single family dwelling, driveway, deck, shed., and sanitary system. Install a catwalk,. ramp, and float. Loeatiorc (Include street address and the name of the municipailtyfcaunty.A'location map of appropriate scale is also recommended.) z Southwest corner of Beebe Drive and Wilson Avenue, Cutchogue, Southold, 11935.. SEOR Negative Declaration page 2 - Reasons Supporting-This Determination: (See 617.6(g) for requirements of this determination;see 617.6(h) for Conditioned Negative Ceciaratian) !! 1. The impacts during construction will be temporary and minor in nature. In addition, t they will be reduced to non-significant levels through the use of erosion 'control I devices. l 2. Project is consistent with. surrounding land uses. There will be no significant impact to. agricultural, archeological, historic or cultural resources as the construction impacts are temporary and site disturbance is minor. I 3. The setbacks/buffer zones will reduce any impacts on wetlands and.wildlife habitats to a non-significant level. No threatened or endangered species were identified at -this site. 4. This project is not expected to induce any subsequent, activities, area is currently developed with similar structures. 5. No long term or cumulative impacts will result if constructed in accordance to the approved plans and conditions. If Conditioned Negative Declaration,provide on atiachrnent the specific mitigation measures imposed. Far Further Information:: NYS Dept. of Environmental Conservation; Division of Regulatory ' Services I ,antact Feraon: Darleen M. Gerbino Address: Building. 40, SUNY, Stony Brook, NY 11790-2356 Telephone Number. (516) 444-0358 For Type I Actions and Conditioned Negative Dedarations, a Co" of-this Notice Sent to: Commisslcner, Oepartrment of Environmental Conservation,50 Wolf Road.Albany,New York 122334MI Appropriate Regional Offlce of the Department of Environmental Conservation Office of the Chief Executive Officarof the political subdivision in which the action will be principally .located. Applicant Of any) Other inrolved agencies Of any) COUNTY OF SUFFOLK ®� NOy - 3 � r ► J. SUFRFOLLK OBERT CO NTYYGAFFNEY EXECUTIVE TOWN 0h DEPARTMENT OF HEALTH SERVICES MARY E. HIesERD, M.D., M.P.H. COMMISSIONER November 1, 1995 Albert Krupski,President Board of Trustees Town of Southold Town Hall 53095 Main Road P.O.Box 1179 Southold,New York 11971 RE: Robert Coady SCTM# 1000-103-9-1 Dear Mr.Krupski: The Suffolk County Department of Health Services (SCDHS; "Department")has received your letter dated October 16, 1995, concerning the above-referenced project. The Department has no objection to your designation as lead agency. Based on a review of the subject coordination,the Department offers the following comments. However,the Department wishes to reserve its right to provide more detailed information within the comment period(s)established for this action. These comments should not be construed as an implicit SCDHS approval or rejection of the project. All applications are reviewed thoroughly with respect to Suffolk County Sanitary Code concerns by appropriate departmental personnel when SCDHS applications are completed. Article VI ApiRlication Status: Our agency has no record of a current application for the proposed action as required by Article VI of the Suffolk County Sanitary Code (SCSC). We recommend that the project sponsor submit an application to our agency's Bureau of Water and Wastewater at the earliest possible date so that a complete technical assessment of this proposal can be undertaken. DIVISION OF ENVIRONMENTAL QUALITY COUNTY CENTER RIVERHEAD, N.Y. 1 1 901-3397 852-2100 Letter to Albert Krupski November 1, 1995 Page 2 Sanitary Waste/Storrnwaiter)Runoff: We are concerned with the proposed sanitary system with respect to the shallow depth to groundwater which exists at the site,which may hinder the operation of a sanitary system. Diminished treatment of wastewater can result in increased bacteriological,virological, and nitrogen(and phosphorus)loading to groundwater and/or surface water. Our concerns with the proposed sanitary system are magnified by the shallow depth to groundwater and the proximity of the proposed project to surface waters. The surface waters of this area are stressed by stormwater runoff and septic system effluent pollution contribution created by past and present development pressure. In general, septic systems near surface waters can result not only in increased bacteriological and virological contamination,but also in elevated .BOD, solids, and nutrient(nitrogen and phosphorus)loading to surface waters. Such loading could result in adverse effects on a surface water ecosystem and,ultimately,in the accelerated pollution and/or eutrophication of the system. In addition,a reduced leaching pool setback could result in an increased risk of channelling of septic system effluent flow into a surface water as well as a stormwater runoff risk in the event of septic system failure. Thus, any project which may have an adverse impact on these surface waters deserves close scrutiny to examine measures to mitigate the potential adverse impacts to the maximum practicable extent. In the case of the proposed project,this scrutiny should extend to an evaluation of impacts of stormwater runoff and septic system effluent on on-site and neighboring wetlands and natural resources in addition to groundwater and surface water. The loss of vegetation,wildlife habitat, and open space should also be carefully assessed(, as should any available hydrogeologic and surface water quality data. NATURAL RESOURCES: The SCDHS fully supports all efforts to maximize protection of natural resources which may be impacted upon by construction and development activities. It is the position of the department that the SEQRA review process provides the greatest opportunity for comprehensive consideration of these resources, and that all practicable planning measures should be employed to help ensure their protection. Of particular concern to department is the adequate protection of wetlands, surface waters, natural communities,contiguous natural habitats, and rare,threatened and endangered species. In addition,efforts to protect sensitive physical resources such as groundwater and shorelines are fully supported and encouraged by the SCDHS. Letter to Albert Krupski November 1, 1995 Page 3 In general,the department encourages the following land use measures be considered(where appropriate)to actions being reviewed pursuant to SEQRA. 1. Maximum practicable setbacks from all wetlands and surface waters. 2. Non-disturbance buffers between wetland limits and required structural setbacks. 3. Stringent clearing limitations which can reduce potential impacts to wildlife habitats, vegetative communities, and unconsolidated soils. 4. Maximum use of native species for landscaping purposes. SCDHS Compliance Requirements and Jurisdiction: The applicant must comply with the requirements of the Suffolk County Sanitary Code and relevant.construction standards for water supply and sewage disposal. Design and flow specifications, subsurface soil conditions, and complete site plan details are essential to the review of this project. These considerations are reviewed completely at the time of SCDHS application. SCDHS maintains jurisdiction over the final location of sewage disposal and water supply systems. The applicant,therefore, should not undertake the construction.of either system without Health Department approval. Thank you for the opportunity to review this application. If you have any questions,please feel free to contact the Office of Ecology at 852-2741. Sincerely, Y)� wl— � Kimberly Shaw Sr. Environmental Analyst Office of Ecology KS/amf cc: Vito Minei,P.E. Stephen Costa,P.E. S.oa STATE OF NEW PORK �I'����►��� �u� DEPARTMENT OF STATE ._._. R Q ALBANY, NY 12231-0001 ALEXANDER F. TREADWELL SECRETARY OF STATE October 24, 1995 Mr. Albert J. Krupski, Jr., President Board of Town Trustees Town Hall P.O. Box 1179 Southold, New York 11971 Re: Lead Agency Coordination Request for Proposal by Robert Coady,3150 Beebe Drive,Southold. (Tax Map #1000-103-9-1). Dear Mr. Krupski: Thank you for submitting the above mentioned Lead Agency Coordination Request to the Department of State (DOS). Please note that DOS does not object to Southold Town Trustees assuming Lead Agency status. If during the course of your review it is determined that a federal permit or federal funding is required for any portion of the proposed project (such as the proposed catwalk and floating dock), please instruct the applicant to submit a Federal Consistency Assessment Form (FCAF) and supporting information to the U.S. ACOE/NY with a copy to Ms. Diana Boos at the Department of State. Upon receipt, we will determine if the submitted information is adequate to commence a formal review of the project. If you have any questions, do not hesitate to call me at (518) 474-6000. Sincerely, Walter F. Meyer Coastal Resources Specialist Consistency Review Unit Division of Coastal Resources and Waterfront Revitalization Attachment WFM/wfm c. U.S. ACOE/NY - Sophie Ettinger file RECYCLED PAPER l Albert J. Krupski, President �O�D��FFU(�COG .: Town Hall John Holzapfel, Vice President y� '� ("' nO9,5 Main Road ' dPIO. Box 1179 'William G. Albertson ti � � Sou o , New York 11971 Martin H. Garrell O,y • ��, y OCT 17 I995 ;'it! Peter Wenczel �!®1 �.a� Telepho e (516) 765-1892 emu•�� �. Fax (516) 765-1823 MEC Regulatu y� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD OCT 2 3 TO OF S_ LEAD AGENCY COORDINATION REQUEST TOWN�-O���A s, SOUTHOLD TO: WHOM IT MAY CONCERN DATE: 10 %9`5"'"- Enclosed is a permit application and a completed part I of the Environmental Assessment Fotm. Southold Town Trustees are interested in your ageny' s comments in acting as SEQRA Lead Agency for: NAME: ROBERT COADY LOCATION: 3150 Beebe Drive, Southold TAX MAP: 1000-103-9-1 PERMIT # Pending DESCRPTN: (See attac ed) PERMIT REQUIRED: TOWN. WETLAND ( ) OTHER SEQRA CLASSIFICAT ON: ( ) . Type I ' ( ) Type II (. ) UNLISTED ) CEA Please contact Albert J. Krupski, Trustee President, wi 30 days and be advised that the Southold Town Trustees (WANT)/(DO NOT WANT) to assume lead agency. SENT TO: DOS ( 4* DEC ()� DOH qr(l PB ( ) ZBA ( ) BLD ( ) ACE CAC _Please complete, detach and return this form to expedite pros sing. Involve gency: Project N Location: SCTM: We at Have/No) objection to Southold Town AGENCY Trustees assuming Lead Agency. �1 �� Comments/Reasons:D /� 5 b fi� �jJ,, /_• �. 1 Sk>/a /L?S-„ Signature f Authorized Representative 1d�Z'Tk-oo s�Tst SEAR APPendix F State Envkonmentsl Cuality lterlew OCT ' 0 1995 NEGATIVE DECLARATiON _ Notice of Determination of Non-Significance Proiect Number 1-4738-01.158/00001-0 Date 10/5/95 This notice is Issued pursuant to Pact 617 of the implementing 8 (State Environmental Quality Review Act) of the Environmental Conservation Law. rcaininQ to article The New York State Department of Environs-ntal ,Conservation has determined that the proposed action described below wilt nat have a significant effas'leect age the, environment and a Draft Environmental impact Statement will not h prepared. Name of Action: Robert and Barbara Coady property - SEOR Status Type i Q _ Unlisted Q Conditioned Negative Dedaratiarr Q Yes Q Nv Description of Action; Construct a single family dwelling, driveway, deck, shed a sanitary system. Install a catwalk, ramp, and float. nd Location: (include street address and the name of the municipality/caunty.A location map of appropriate scale is also recommended.) Southwest corner of Beebe 'Drive and Wilson Avenue, Cutchogue, Southold, 11935.. SEAR Negative Declaration Page.2 Reasons Supporting-This Determination: 1 (See 617.6(g) for requirements of this determination;see 61 T.6'(h) for Conditioned Negative Declaration) t 1 . The impacts during construction will be temporary and minor in nature. In addition, I they will be reduced to non-significant levels through the use of erosion control I devices. 2. Project is consistent with surrounding land uses. There will be no significant impact to agricultural, archeological, historic or cultural resources as the I construction impacts are temporary and site disturbance is minor. 3. The setbacks/buffer zones will reduce any impacts on wetlands and wildlife habitats - to a non-significant level. No threatened or endangered species were identified at -this site. 4. This project is not expected to induce any subsequent- activities, area is currently developed with similar structures. 5. No long term or cumulative impacts will result if constructed in accordance to the approved plans and conditions. I.f Conditioned Negative Declaration,provide an attachment the specific mitigation measures imposed. Far Further Information: NYS Dept. of Environmental Conservation; Division of Regulatory IContact Person: Darleen M. Gerbino Services Address: Building 40, SUNY, Stony Brook, NY 11790-2356 Telephone Number. (516) 444-0358 1 For Type I Actions and Conditioned Negative Declarations, a Copy of this Notice Sent to: Commissioner, Department of Environmental Conservation,50 Wolf Read.Albany, New York 1 1 Appropriate Regional Office of the Department of Environmental Conservation Office of the Chief Executive Officer of the political subdivision in which the-action will be principally located. . . Applicant (if any) Other int-alved agencies (it any) �oG Town Hall Albert J. Krupski,President yam► 53095 Main Road John Holzapfel,Vice President o = P.O. Box 1179 CA William G. Albertson Southold,New York 11971 Martin H.Garrell • Peter Wenczel pl � �� 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: 10/16/95 Enclosed is a permit application and a completed part I of the Environmental Assessment Form. - Southold Town Trustees are interested i.xi your ageny' s comments in acting as SEQRA Lead Agency for: NAME: ROBERT COADY LOCATION: 3150 Beebe Drive, Southold PERMIT. # Pending TAX MAP: 1000-103-9-1 DESCRPTN: (See attac ed) OTHER PERMIT REQUIRED: TOWN WETLAND. ( ) SEQRA CLASSIFICAT ON: ( j UN e I �} TCppe II Please contact Albert J. Krupski, Trustee _ President, w ' 30 days and be advised that the Southold Town Trustees (WANT)I (DO NOT WANT) to assume lead agency. SENT TO: DOS DEC DOH PB ( ) ZBA ( ) BLD ( ) ACE W" � 6-. ERd�o 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 YOUNG&YOUNG Planning, Engineering&Land Surveying 400 Oshander Avenue Tab*n®$16)727-2909 Riverhead, New York 11901 raedwis(516) 727-01" HOWARD W.YOUNG,Land Smagot THOMM C.WOLPERT,Pr ktdonal Engneer KENNETN r.ABRUZZO,Lind Sw aga 6 J014H SCNNURR,Land Su agar October 12, 14 OCT 13 1995 1 Board of Trustees . g Town of SoutholdTOWN OF SOU THOLD 53095 Main Road P.O. Box 1179 Southold, New York 11971 RE: ROBERT F. COADY & BARBARA A. COADY at East Cutchogue, T/O Southold, New York (95-0428) Dear Members of the Board: Enclosed are the following items for your review of our application for a wetland permit to construct a single family dwelling and related structures at the above referenced site: 1. one (1) original and six (6) copies - Wetland Permit Application, including Authorization Form and Data Sheet, 2. seven (7) prints'- Survey for Robert F. Coady & Barbara A. Coady, last dated October 10, 1995, 3. one (1) original and six (6) copies - Plan of Walkway and Dock Facility, dated October 10, 1995 (Sheet 1-2); 4. seven (7) copies - Location Map (portion of USGS Quad Map); 5. one (1) original and six (6) copies - five (5) representative photographs of the project area and surrounding; and 6, one (1) original and six (6) copies - Long Environmental Assessment Form. Please advise us of the amount of the required application fee. If you have any questions regarding this application, please advise. Very truly yours, ��,f2�mra G'. Gam Thomas C. Wolpert, P.E. TCW/nas Encl. cc: Mr. Robert Coady + Encl. RoeN Point Omm 125 Route 25A,Raft Point,Nw Yak 11779 Tebpfim(516)744-2055 Rmmh of LEE LUTZ,SweW,P.C. 5 New York State Department of Environmental Conservation show j O(uq� k4) 1(7 � Thomas C. Jorling Commissioner AUG 2 8 1995 Dear � ��A OWN OF� U RE: LEAD AGENCY COORDINATION REQUEST " 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: cd u� ®�rdy Project Location: z k)ju� DEC Project Number: DEC Permits SEQR Classification: [)6_Type a� ] Unlisted DEC Contact Person: DEC Position: [4 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. r [ ] 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 idtion -has been identified by DEC as occurring wholly or partially within or 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 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 Commissi'oner .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, lad.C.re-"vv l Enclosures cc: (see distribution list) 95-19-3(11J93)-7e r DEC APPLICATION NUMBER DISTRIBUTION' NEW YORK STATE NW WHITE COPY Permit Administrator DEPARTMENT OF ENVIRONMENTAL COI" 'ATION• CANARY COPY Corps of Engineers US'ARMY CORPS,OF ENGINEERS APPL;�-r,ON NO PINK COPY Program JOINT APPLICATION FOR PERMIT GOLDENROD Applicant Please read ALL instructions on back before completing this application. please type or print clearly in ink.Attach additional information as needed. ❑ARTICLE 9,TITLE 1,ARTICLE 43 6NYCRR 646(LAKE GEORGE RECREATION ZONE) ❑ARTICLE 15,TITLE 3(AQUATIC PESTICIDES CONTROL) 116NYCRR 327(AQUATIC VEGETATION) 06NYCRR 328(FISH) 116NYCRR 329(INSECTS) S ❑ARTICLE 15,TITLE 5 6NYCRR 608(PROTECTION OF WATERS) T A ❑For the construction, reconstruction, or repair of a DAM or other impoundment structure;-----------,��II---II`�� T ❑For the disturbance of a STREAM BED OR BANKS or excavation in or fill of NAVIGABLE WATERS, ,T1J 01 WATER QUALITY CERTIFICATION ARTICLE 15,TITLE 15 ❑6NYCRR 601 (WATER SUPPLY) ❑6NYCRR 602(LONG I�LANDWECtr -E ❑ `-- " ❑ARTICLE 15,TITLE 27 6NYCRR 666(WILD, SCENIC AND RECREATIONAL RIVERS) ❑ARTICLE 24 6NYCRR 662.663(FRESHWATER WETLANDS) ❑ARTICLE 34 6NYCRR 505'(COAST U E+4)1995 -: i vvv�L.. ® a ARTICLE 25 6NYCRR 661 (TIDAL WETLANDS) :! -- ------------------------------------------------------------------------------------------7--_------------I----f-------_-----------{----------------------- F ❑SECTION 10(RIVER AND HARBOR ACT OF 1899)for structures and work in navigable v atersiof'tRe'U:•5^:.-.*07:OxST-*.CQJ�SISTENCY CERTIFICATION. ❑SECTION 404(CLEAN WATER ACT OF 1977)for disposal of dredged or fill material in waters of-the..US;.-_­: s 2 ❑SECTION 103(MARINE PROTECTION, RESEARCH AND SANCTUARIES ACT)for the transportation of dredged materials for dumping into ocean waters. 1. LIST PREVIOUS PERMITIAPPLICATION NUMBERS AND DATES(If any) i IF OTHER THAN INDIVIDUAL, PROVIDE TAXPAYER ID NUMBER Appl. No. 10-87-1270 approved Feb. 12, 1988. 2. APPLICANT IS A/AN ®Owner ❑Operator El Lessee ❑Municipality/Governmental Agency (Check as many as apply) 3. NAME OF APPLICANT(Use Full Name) Robert F. Coady & Barbara A. Coady MAILING ADDRESS TELEPHONE(Where can be reached during day) 4 Cheryl Lane ( ) 48 POST OFFICE STATE ZIP CODE North Babylon, N.Y. 11703 4. NAME OF ❑Owner INAgent/Contact Person (Check one) ATTN: Thomas C. Wol MAILIN ADDRESS TELEPHONE(Where can be reached during day) 400 Ostrander Avenue (516 ) 727-2303 POST OFFICE STATE ZIP CODE Riverhead 5. PROJECT/FACILITY LOCATION(Mark location on map,see Number 1a on reverse side) County Suffolk Town of=y Southold i xxDw Hamlet: East Cutchogue STREET ADDRESS(If different from applicant) Beebe Drive, Wilson Avenue POST OFFICE STATE ZIP CODE Cutchogue N.Y. 111935 6. NAME OF STREAM OR BODY OF WATER East Creek (Eugene's Creek) 7. HAS WORK BEGUN ON PROJECT? If YES, attach explanation on starting work without permit, includes dates. 8. WILL PROJECT UTILIZE STATE LAND? Yes ®No Show work on map and/or drawings. ❑Yes �No 9. PROPOSED USE: 11 private 10. PROPOSED STARTING DATE: 11. APPROXIMATE COMPLETION DATE: 12. FEE OF(NYS Permit Only) ❑ Public ❑ Commercial TAugust , 1995 December, 1995 g N.A. 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.) Construct a single family dwelling, driveway, sanitary system, and well. No offsite fill is required. 14. WILL THIS PROJECT REQUIRE ADDITIONAL FEDERAL,STATE AND/OR LOCAL PERMITS? ®. Yes ❑ No If yes,please list: Town of Southold - Building Permit; Southold Trustees - Wetland Permi t,Suffolk County Dept. of Health - Approval to Construct Water & Sanitary Systems 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 provides for a fine of not more than $10,000 or imprisonment for not more than five years, or both, where an applicant knowingly and willfully falsifies,conceals,or covers up a material fact;or knowingly makes or uses.a false,fictitious or fraudulent statement. I hereby authorize the agent named in Number 4.abo to submit this application on behalf. g-'eQ l- 23 , Owner DATE IGNATURE TITLE PLEASE READ ALL INSTRUCTIONS ON REVERSE SIDE �h„`f.,-+.<r., ..�f :�°•t'"�... �'+�':,�s�a`rp,�p�l."��ae `so�:nx,.re- ',y. i��j,,...�..:ua,&F�,;sgMir,{�+ 'ss; .:,� sffi^ "k t..a�ii,�+1r�3�:. -"�a'y =�did'r�'F3if1�.5C�ri`'`r."aaV s��:+..�, 1A-16-2 (2(91)-7c 617.21 SEOR Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a project or action may be significant. The question of whether an action may be significant is not always easy to answer. Frequent- ly, there are aspects of a project that are subjective or unmeasureable. It is also understood that those who determine significance may have little or no formal knowledge of the environment or may not be technically expert in environmental analysis. In addition, many who have knowledge in one particular area may not be aware of the broader concerns affecting. the question of significance. The full EAF is intended to provide a method whereby applicants and agencies can be assured that the determination process has been orderly, comprehensive in nature,yet flexible enough to allow introduction of information to fit a project or action. a Full EAF Components: The fu11 EAF is comprised of three parts: Part 1: Provides objective data and information about a given project and its site. By identifying basic project data, it assists a reviewer in the analysis that takes place in Parts 2 and 3. Part 2: Focuses on identifying the range of possible impacts that may occur from a project or action. It provides guidance as to whether an impact is likely to be considered small to moderate or whether it is a potentially- large impact. The form also identifies whether.an impact can be mitigated or reduced. Part 3: If any impact in Part 2 is identified as potentially-large, then Part 3 is used to evaluate whether or not the impact is actually important. . DETERMINATION OF SIGNIFICANCE—Type 1 and Unlisted Actions Identify the Portions of EAF completed for this project: ❑ Part 1 ❑ Part 2 ❑Part 3 Upon review of the information recorded on this EAF(Parts 1 and 2 and 3 if appropriate), and any other supporting information, and considering both the magnitude and importance of each impact, it is reasonably determined by the lead agency that: ❑ A. The project will'not result in any large and important impact(s) and, therefore, is one which will not have a significant impact on the environment, therefore a negative declaration will be prepared. ❑ B. Although the project could have a significant effect on the environment, there will not be a significant effect for this Unlisted Action because the mitigation measures described in PART 3 have been required,. therefore a CONDITIONED negative declaration will be prepared.* ❑ C. The project may result in one or more large and important impacts that may have a significant impact on the environment, therefore a positive declaration will be prepared. * A Conditioned Negative Declaration is only valid for Unlisted Actions Name of Action Y 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(If different from responsible officer) Date 1 PART 1-PROJECT INFORMATION Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effect on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be considered as part of the application for approval and may be subject to further verification and public review. Provide any additional information you believe will be needed to complete Parts 2 and 3. It is expected that completion of the full EAF will be dependent on information currently available and will not involve new studies, research or investigation. If information requiring such additional work is unavailable,so indicate and specify each instance. NAME OF ACTION Robert F. Coady & Barbara A. Coady LOCATION OF ACTION(Include Street Address,Municipality and County) S/W Corner — Beebe Drive & Wilson Avenue, East Cutch e, T/O Southold, New York NAME OF APPLICANTISPONSOR BUSINESS TELEPHONE Young & Young ATTN: Thomas C. Wol rt, P.E. (516 ) 727-2303 ADDRESS 400 Ostrander Avenue CITY/PO STATE ZIP CODE Riverhead, N.Y- 11901 NAME OF OWNER(If different) BUSINESS TELEPHONE Robert F. Coady & Barbara A. Coady (516 ) 369-5590 ADDRESS 4 Cheryl Lane CITY/Po STATE ZIP CODE North Babylon N.Y. 11703 DESCRIPTION OF ACTION Construct a single family dwelling, asphalt driveway, sanitary system and water supply well. Minor regrading is proposed, however, no fill from'- off—site sources is required. Please Complete Each Question—Indicate N.A. if not applicable A. Site Description Physical setting of overall project, both developed and undeveloped areas. 1. Present land use: . []Urban ❑Industrial ❑Commercial ❑Residential(suburban) K]Rural (non-farm) ❑Forest ❑Agriculture ❑Other 2. Total acreage of project area: 1.1 acres. APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow or Brushland (Non-agricultural) 0 acres 0 acres Forested 0.8 acres 0.5 acres Agricultural (Includes orchards, cropland, pasture, etc.) 0 acres 0 acres Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) 0.3 acres 0-3 acres Water Surface Area 0 acres 0 acres Unvegetated (Rock, earth or fill) O acres n acres Roads, buildings and other paved surfaces 0 acres 0.13 acres Other (indicate type) Lawns & Landscaping 0 acres 0-17 acres 1 . TM — Tidal Marsh 3. What is predominant soil type(s) on project site?Pl R — P117r,n„f-h 1nAmy Ga„tJ RdA — Riverhead sandy loam a. Soil drainage: nWell drained 70 % of site LlModerately well drained 20 % of site $]Poorly drained 10 % of site b. If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NYS Land Classification System? N-A- acres. (See 1 NYCRR 370). 4. Are there bedrock outcroppings on project site? ❑Yes tNo a. What is depth to bedrock? N-A_ (in feet) 2 5. Approximate percentage of proposed project site with slopes: 1210-10% 100 % ❑10-15% 0 % * ' 915% or greater 0 % 6. Is project substantially contiguous to, or contain a building, site, or district, listed on the State or the National Registers of Historic Places? ❑Yes 13No 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? ❑Yes EINo 8. What is the depth of the water table? 0'-9' (in feet) 9. Is site located over a primary, principal, or sole source aquifer? ®Yes ❑No 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? -'nYes ❑No 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered? ❑Yes INNo According to Younq & Young Identify each species 12. Are there any unique or unusual land forms on the projectsite? (i.e., cliffs, dunes, other geological formations) []Yes INNo Describe 13. Is the project site presently used by the community or.neighborhood as an open space or recreation area? ❑Yes . ®No If yes, explain 14. ; Does the present site include scenic views known to be important.to the community? ❑Yes No 15. Streams within or contiguous to project area: Eugene's Creek a. Name of Stream.and name of River to which it is tributary 16. Lakes, ponds, wetland areas within or contiguous to project area: N.A. a. Name b. Size (In acres) 17. Is the site served by existing public utilities? %]Yes ❑No a) If Yes, does sufficient capacity exist to allow connection? INYes ❑No b) If Yes, will improvements be necessary to allow connection? INYes []No .,18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? ❑Yes ffNo. 19. Is the site located in or substantially contiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 617? :]Yes ❑No 20. Has the site ever been used for the disposal of solid or hazardous wastes? ❑Yes NNo B. Project Description 1. Physical dimensions and scale of project (fill in dimensions as appropriate) " a. Total contiguous acreage owned or controlled by project sponsor 1.1 acres. b. Project acreage to be developed: 1.1 acres initially; 1.1 acres ultimately: c. Project acreage to remain undeveloped 0 acres. d. Length of project, in miles: N-A_ (If appropriate) e. If the project is an expansion, indicate percent of expansion proposed N-A_ %; f. Number of off-street parking spaces existing 0 ; proposed 2 g. Maximum vehicular trips generated per hour 2 (upon completion of project)? h. If residential: Number and type of housing units: One Family Two Family Multiple Family Condominium Initially 1 Ultimately 1 is Dimensions (in feet) of largest proposed structure 351 height; 50' width; 100' length. j. Linear feet of frontage along a public thoroughfare project will occupy is? 413 ft. 3 2.,How much natural material (i.e., rock, earth, etc.) will be removed from the site? —0— tons/cubic yards s 3. Will disturbed areas be reclaimed? ®Yes ❑No ❑N/A y purpose is the site being reclaimed? Lawns & Landscaping a. If es, for what intended g b. Will topsoil be stockpiled for reclamation? '�]Yes ❑No c. Will upper subsoil be stockpiled for reclamation? ;]Yes ❑No 4. How many acres of vegetation (trees, shrubs, ground covers) will be removed'from site? 0.3 acres. 5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project? ❑Yes K]No 6. If single phase project: Anticipated period of construction 12 months, (including demolition). 7. If multi-phased: N.A. a. Total number of phases anticipated (number). b. Anticipated date of commencement phase 1 month year, (including demolition), c. Approximate completion date of final phase month. year. d. Is phase 1 functionally dependent on subsequent phases? ❑Yes ❑No 8. Will blasting occur during construction? []Yes [NNo 9. Number of jobs generated: during construction 6 after project is complete 0 10. Number of jobs eliminated by this project 0 11. Will project require relocation of any projects or facilities? ❑Yes IINo If yes, explain 12. Is surface liquid waste disposal involved? ❑Yes No a. If yes, indicate type of waste (sewage, industrial, etc.) and amount - b. Name of water body into which effluent will be discharged 13. Is subsurface liquid waste disposal involved? K]Yes ❑No Type 14. Will surface area of an existing water body increase or decrease by proposal? Oyes ANo Explain 15. Is project or any portion of project located in a 100 year flood plain? 4]Yes ❑No 16. Will the project generate solid waste? Z]Yes ❑No a. If yes, what is the amount per month 0.2 tons b. If yes, will an existing solid waste facility be used? ( Yes ❑No c. If yes, give name Sou _hold T anGfP 9tat J nn location Cutchogue d. Will any wastes.not go into a sewage disposal system or into a sanitary landfill? ❑Yes I'K]No e. If Yes, explain 17. Will the project involve the disposal of solid waste? ❑Yes nNo a. If yes, what is the anticipated rate of disposal? tons/month. b. If yes, what is the anticipated site life? years. 18. Will project use herbicides or pesticides? INYes ❑No ie. Lawn Maintenance 19. Will project routinely produce odors (more than one hour per day)? ❑Yes �1No 20. Will project produce operating noise exceeding the local ambient noise levels? ❑Yes [NNo 21. Will project result in an increase in energy use? INYes ❑No If yes , indicate type(s) Electric 22. If water supply is from wells, indicate pumping capacity 5 gallons/minute. 23. .Total anticipated water usage per day 300 gallons/day. 24. Does project involve Local, State or Federal funding? ❑Yes K]No If Yes, explain 4 s ' ''25. Approvals Required: Submittal Type Date City, Town,.Village Board []Yes ®No City, Town, Vi!lage Planning Board ❑Yes InNo City, Town Zoning Board ❑Yes (NNo City, County Health Department nYes ❑No Sewage Disposal & Water Supply ° 8/95 Other Local Agencies X]Yes []No Town Building Permit Local Trustees Wetland Permit -- Other 4� Agencies ®Yes ❑No State Agencies NYSDEC Eyes ❑No Tidal Wetlands 7/95 Federal Agencies ❑Yes K]No C. Zoning and Planning Information 1 . Does proposed action involve a planning or zoning decision? ❑Yes ®No If Yes, indicate decision required: ❑zoning amendment ❑zoning variance ❑special use permit ❑subdivision ❑site plan ❑new/revision of master plan ❑resource management plan ❑other 2. What is the zoning classification(s)of the site? R-40 3. What is the maximum potential development of the site if developed as permitted by the present zoning? 1 — Single Family Residence - 4. What is the proposed zoning of the site? No Change 5. What is the maximum potential development of the site if developed as permitted by the proposed zoning? N.A. 6. Is the proposed action consistent with the recommended uses in adopted local land use plans? ®Yes ❑No 7. What are the predominant land use(s) and zoning classifications within a '/• mile radius of proposed action? Land Uses: Residential, Zoning: R-40, R-80 8. Is the proposed action compatible with adjoining/surrounding land uses within a 1/< mile? ®Yes ❑No 9. If the proposed action is the subdivision of land, how many lots are proposed? N.A. a. What is the minimum lot size proposed? N.A. 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? ❑Yes ®No 11 . Will the proposed action,create a demand for any community provided services (recreation, education, police, fire protection)? S]Yes ❑No a. If yes, is existing capacity sufficient to handle projected demand? X]Yes ❑No 12. Will the proposed action result in the generation of traffic significantly above present levels? ❑Yes I9No a. If yes, is the existing road network adequate to handle the additional traffic? ❑Yes ❑No D. Informational Details Attach any additional information as may be needed to clarify your project. If there are or may be any adverse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them. E. Verification I certify that the information provided above is true to the best of my knowledge. Applicant/Sponsor Name Young //& Young ATTN: Thomas C. Wolpert ' Date August 15,1995 Signature 4 Uy6r� Title Professional Engineer if the action is in the Coastal Area,and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment. 5 / `O\ eeoni( Ii ,� ) ✓�-•,.�•.�a� ;''•:.,•:y----,•.;nab(' � E j! - _ \ - ti• Sc 2'30rr �• \ \Y\ O \\ \\ `rrO�,rB \�.\`','•. \\ \ BM 29 4545'w- G: co+ ` 0�.�/ \. 1 as -. 30 "o'.�/:•- Bi'oMj° .ELGEpI'Ei�U 4544 1 6 -bogeSf3 V. Sacred-kJeart � r. ,.,. ••°, '�-�.� Ip-,%"�-� ,� .,� � � �'�;� 1..0� rMn ,^ � �"RSI'I11 - •�•�Nec utchogue SCIV,• .o�O `•�,�-- - _ .• M `{ 290000 FEET --CutChOg'Lle�:: �. o �o / �/ \_ `, d f water I �... ��P.O \.. q` :-•ter•^`—'� �n Cove o• f U •";\`.;::: `tom+. '� \;�;. vys - BM 32. ... -z o'� „r: �� ••%�' ° '•. G ;F:lrjS..: :� ar,_ Cutcho ue C B �, ``. m• � r ass '� '�9 'zs. - _�\�•..,'` - .•r• Cutchogue �Qa tiv =N I' _ �s �' :, ! - � ; �' Harbor Q Horseshoe w ..a\ ••s oy North Fotk ! x — BM G'r _L=>`3rfarsh z s .I;.b o�,Countr Club = �_ 2' ,ram r{Ili. Lj 41°00' 1711 2420000 FEETI NEW SUFFOLK 0.7 Mr. 1713. 27r30rr 714 72°30' G�� Mapped, edited, and publisned by the Geological Survey KK\K 1�, Control by USC&GS * _ 1�b�6h Topography from aerial photographs by Kelsh plotter and by GN 1000 planetable surveys 1956. Aerial photographs taken 1954 Hydrography compiled from USC&GS chart 363(1956) 13• 231 MILS 1.41' Polyconic projection. 1927 North American datum 30MILS 10,000-foot grid based on New York coordinate system, Long Island zone 1000-meter Universal Transverse Mercator grid ticks, DEF zone 18, Shown in blue UTM GRID AND 1956 MAGNETIC NORTH DECLINATION AT CENTER OF SHEET Fine red dashed lines indicate selected fence and field lines I,lo.,n aerial nhoto¢raDhs. This information is unchecked �Og�FFO(�co Albert J. Krupski,President hy� Gy Town Hall John Holzapfel, Vice President c < 53095 Main Road cc William G. Albertson �? P.O. Box 1179 Martin H. Garrell • Southold,New York 11971 Peter Wenzel yOl , �,ap� ' Telephone(516)765-1892 Fax(516)765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 10, 1995 Mr. Robert Coady 4 Cheryl Lane North Babylon, NY 11703 Re: 103-9-1 Dear Mr. Coady, This letter is in response to your letter .of 316/95. 1. While I cannot guarantee the approval of a dock without fully reviewing a complete application, the sketch which you have submitted.. is "generally approvable". 2. The purpose or intent of the catwalk is to provide the boater access to his floating dock without harming the marine environment. 3 . . The standard width of the catwalk is 3 ' and New, Y,�rk State Department of Environmental Conservation specifies that it must be 3 ' above grade. 4. As far as actual building requirements, the Building Department would be a more appropriate source of information for that. Also our jurisdiction for any activity is 75 ' upland of the wetland. This includes clearing, grading and building. If you have any further questions, please call at 734-7841. Sincerely, Albert J. Krupski, Jr. President, Board of Trustees From LEWIS REALTY GROUP, INC- PHONE No. 734 5756 Feb.28 1995 11:25AM P02 ;YIN / „ ti "y t. 'rig l�k� 1 �N rplT[j�:41,wRokr •``gyp, `� 'ram e�`� ���- �• r \E` ou Lp Al i tf Il/ CA f ` 04 r in 0. Uk 00 Y EL / ) �)�\ _ 6' Ev.7i, LA -t�:YN OF S-�j::17L� lT ,.1tt .sk` no+�d ► 1 LL(10 R = Sp jam. (d ---" �BLS %• �,o�, Q - a BEEBE R DRIVE EXTENSION d�. 176 70' 5.7S*46)p'E• i 146 02 � 30 68 In Lr2l.3:9 ;J r30 ►b•'�� r� !� 00' Mso - 0 z lilt 'OTii+ IL V Vol s Ian Dal 4 ►, ; L �AECWM fj lw•" i l w•floods �.L'! rf �s\'t o° WWOR su8a�tlstd+ 4 b °t �' �'f`,ot��t°� p...r AtlG�35T 1 L� QG �` ` �• a� �.�,,t �N° ;.:.u%''►� EAS K•OF 5J- fit!?. `- -- _ ?!� r �� } �"'w,. :r �, ,+`�� SVFF. �. �•� ,_ E_ • 3 `'{ �' .Os St� po,,,.•�._ �"; }UmE 12.1965 p E O LL W 9 L%5 TOWN OF•SOUTHOLD C 91 D -- - - S°'-"rAp`Y K'"& Icl n TOWN OF SO HOLD 26 r-II,J- T - N rr CL•LLO _. rISTMOLL d p •Z`� Ej,.?.a ` m Le" s' r - I I.e.•a o 1�..�.o N SA1OMAY C7 I C..4Jv T1Mle�. v Cok"r S LJ L l! - GIL'MATER A"� OV�D ; DCCAkM �TAa�, — �jANJFA. D�yPo`�A.t, 5Y5TEf'I r RVEY FOR DEC. is, 19eT �, UTN BORN s�PT.w, r9a7 dLNE 2G. 198T � DATE APR_ 23, IMT EAST CUTCHOGUE ' SCALE' Cisd TOWN Of SOUTHOLO Np• a7-045L - SUFFMK wuNTY, NEW PORK 0 aUMAufl1MZED ALTII1ATI00 00 ADDITION tD 7IIt$ GUARANTE i f ANTY CO- Z $ECU au+wEY sa,rlaAnoN or Sic Tta!or THE L w ME+FYa"STATE E&XArIos LAW '- ZO 41COO$&I Or rma Sun VtI Mat or" TMt LAMt+ ! = sun vtvca s wa o KAL On EMsoas[e ate SMAu =o G d Mot Ec COMalo"go To SEA VALID 71IuE Ca rO1/AIIANtlZa ro1CAt[O MLREO■1= RUN Y A 711 MASON roa fMo+ n1t SURVEY la►RE 60yu * , H£/L7t1 DEPART KA APPRQ+AL M ccMMUCT AND MEN�wS,gXM&ALF I* MwiTMLe�COMA PI�on•us d i�[AHt1 s� iatA 11L fS01JAt[ Or 1b4t�� MV$n--bpt x— "MON.AND TO TUC AfSiSidELf Or Tug tEM01M{ S It CQ TAZmAp O—w-R:M Kcrm In �DC1 Ot LAT�� wlriTurlOr. OUAIIAMTEII Llt[ NOT TNAN3r[RAi1.E *7111M LOW MD Oa(LLl"s U1lmd 100 My a inn IROK11T7 l9 AMPONAL W1tTtUT OII RJSILONEMt , ~0 iyaps V a"ex rim Aid T*Osr IN 641% N LR(old. Ov"E A a �D Z a DI STANCES SHO3A MCA(ON rl tool ►00►E11rY UNeS �S M TOCUITIN aJMV AMO SCI SU MlafAL SVSTLI t�relit S�IOtKZ TRUCTURIKS _ 1<111 Caore M TO TMC SlaNOAADS Or IM[StMROLM iaU1rY pt?AArML1IT �PQSI WN AMC NOT TO M US(O TO(STAK1131 ofvl&{Ti IV"KAI- ~GATT LIMES on roa fm (AECTIOM Or f9MC9t 0 4W OSTRAWER AYEHU E 1, + >~ t=L. YOUNG & YOUNG RtvERHEASS�Fw rroRx cr cr NO:E d■LATH ALDEN W.IOUNG pftOFESStOIIAL ENGIKER AND I D SURYE1fOR N.YSU'ENSE No.12a43 cn 3 - - E}OWARO lid YOUNG, LAND SUIRVtYOR w KxI LKENSE NC+.4Sa93 . J a rM1 L.ocs"or+at•w%swm IA w4sT1■p(1a►*,"m"wo+:IQEaAI .. „r(.*an na.a w.er+Tlral( A�ooswn oarAlr[as!�oa orxtAa E 0 IL Robert Coady VFW 4 Cheryl LaneIV North Babylon,NY 11703515-586-28059 1% t� March 6, 1995 OWN OF SOUTHOLD Town'of Southold n ' Southold Board of Trustees ;�/L Southold NY Re: Request for Inspection and Information Dear Diane: As per our conversation, I am requesting an inspection of a piece of waterfront property that my wife and I are.considering purchasing on Beebe Drive and Wilson Avenue in Cutchogue. I hope that the inspection will provide us with the following information: 1. If applied for will a dock be approved? 2. If a dock is approved, is a catwalk to the dock mandatory? 3. If it is required what height and width must the catwalk be? 4. Is the property in a"Flood Zone", and if it is, can fill be used to raise the level of the house so that it would be safe from flood effects? The property number is 1000-103-9-1. Enclosed is a copy of the property.survey on which I have drawn the tentative location of a future dock and catwalk over the wetlands to it. The other information on the survey is from a while back and I believe that the permits have expired. We would appreciate receiving any other information that you may be aware of that could impact our decision to purchase this property and also any recommendations you can make as to how to proceed cautiously. Our intentions are to build and live in a year round home on that site. I have enclosed a check for$40.00 for the inspection. We appreciate your help. Thanks. Yours truly, Robert Coady encl. Albert J. Krupski,President - Town Hall John Hoizapfel, Vice President �,; • 1 03095 Main Road - P.O. Box 1179 William G. Albertson Southold, New York 11971 Martin H. Garrell Peter Wenzel ; %�d �y� Telephone (516) 765-1892 G--1 st Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use OnLI -FS 6 ` _ Coastal Erosion Permit Applicati 1 Wetland Permit Application1995 Grandfather Permit Application .� Trustee Lands Permit Application �HOL Waiver eceived Applicatio :'(0 /3 t Clerical Review: /0 /a s" Completed Application 1, Incommlete SEQassif ication: e 1-K Type II Unliste ' coordination: (date sent) �O / CAC Referral Sent: Date of Inspection: f 11 491 eceipt of CAC Report: (date) I- Lead Agency Determination: . f t Technical Review: (date) C ,fle_gi LPL- I 9S� Public Hearing, (dattYN) . `30- • OCT 13 Decision: Approved (date) Li ,Application Fee:$ Name of Applicant Robert F. Coady & Barbara A Coady Address 4 Cheryl Lane North Bablyon, New York 11730 phone Number: ( 516) . 484-3333 Suffolk County Tax Map Number• 1000 - 103-9-1 '31S-0P.' Property Location: Southwest corner of Wilson Avenue and Beebe Drive Extension at East Cutchogue, T/O Southold (provide LILCO Pole tt , distance to cross streets, and location) Agent: . Young & Young ATTN: Thomas C. Wolpert, P.E. ( If applicable) Address: 400 Ostrander Avenue Riverhead, New York 11901 Phone: (516) 727-23na 1 L , Board of Trustees Application GENERAL DATA Land Area (in square feet) : 46,448 sq. ft. Area Zoning• Residential (R-40) Previous use of property: ' Vacant Intended use of property: Single Family Residence Prior permits/approvals for site improvements: Agency Date .NYSDEC Permit No. 10-87-1270 February 12, 1988 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 a single family dwelling and related improvements including driveway, sanitary system, well, deck, shed, elevated timber walkway, gangway , and floating dock. No off site fill is required. 2 _ Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Construct a single family residence and related structures including elevated timber walkway, gangway, and floating dock. Area of wetlands on lot: 15,387 square feet Percent coverage of lot: 33.1 v 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 80 feet Does the project involve excavation or filling? No X Yes If yes, how much material will be excavated? 650 cubic yards How much material will be filled? 0 cubic yards Depth of which material will be removed or deposited: 3'-6' feet Proposed slope throughout the area of operations: Less than-_ 2o Manner in which material will be removed or deposited: Excavations for house foundation and sewage disposal system will be completed using a backhoe, bulldozer, and/or excavator 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) : No adverse impact on the wetlands and tidal water of the Town is anticipated (refer to 50' buffer and 75' min. setback to proposed structures shown on survey) . 6 Young & Young, Land Surveyors 400 Ostrander Avenue, Riverhead, New York 11901 19URng 516-727-2309 O Rg Aldm I. Young,Aff.h L.S.(190e-1994) R--d I. Y—g,Land Surv.yor 7Aoma.C. Ie1P•rl ProJ..rlonal 6+W_ „s.• /C UL Rmohn/.Ab .L Land Sayv V L John Sehnurr,Lm.d Surv.yor �•ewaW O\V W ?Op 41• i EUOENE•3 ItOA0 iO O� y9?Ao9 / A m _ c9 at ` • • pa � ,,pHE (/V1 • • • . 7 sT�4 A R o OAO • • • `�_fl FR A WILSON W�OAOH • • • � T'Y 7 N E. LACE • • • •• • • • • �PiP}G F`�� Cq,EENT • �cL°$ tiSITE TOP • oVp • �d�} 3y p`l G� ACKHAM CREEK r^ • • • ,Mgv��' JOgBP SCALE:' 1" = 2000' 011 `c* * , 3 * PLAN OF WALKWAY AND DOCK FACILITY + e pppgE�pGR + �� ���j6�p PREPARED FOR: rt \9 ROBERT F. COADY a BARBARA A. COADY PR ppP Mp Cp At: EAST CUTCHOGUE Town of: SOUTHOLD PROPOSED : WALKWAY AND DOCK FACILITY Suffolk County, New York PURPOSE: PRIVATE MOORING OF A RECREATIONAL VESSEL OCT. 10, 1995 DATUM: M.L.W. DATE SEPT. 25, 1995 TIDAL SCALE I"= 60' RANGE: 2.6'# JOB NO. 95-0428 SHEET NO. :1 OF 2 Young of Young, Land Surveyors 400 Ostrander Avenue, Riverhead New York 11901 g 516-727-2303 Igo ng Amen I. Young,P.L.k L.S.(009-1994) Howard A Young Land Surveyor , 7homae C. Mperl, Profeeebnal LngiMer L.nn.lh A Amato,Land Surveyor 9�. John Sehnurr,Lend Surveyor a—Rift PROPOSED 3'x 25' PROPOSED 3_'x I1O `ELEVATED TIMBER WALKWAY UPLAND AREA HINGED RAMP (MINIMUM 3.5'ABOVE GRADE) PROPOSED B x 25 FLOATING TIDAL WETLANDS Q , gDOC AHWM I I ALWM ---------- — I it li II II LIMIT TIDAL 8"CCA DOCK PILE 6"CCA PILES 8'-10"O.C. WETLANDS 6'DEPTH OF PENETRATION(MIN.) 6'DEPTH OF PENETRATION(MIN.) PLAN OF WALKWAY AND DOCK FACILITY , PREPARED FOR: ROBERT F COADY a BARBARA A. COADY At: EAST CUTCHOGUE Town of: SOUTHOLD ! Suffolk County, New York PROPOSED : WALKWAY AND DOCK FACILITY PURPOSE: PRIVATE MOORING OF A RECREATIONAL VESSEL OCT. 10, 1995 DATUM: M.L.W. DATE SEPT. 25, 1995 TIDAL SCALE NONE RANGE: 2.6'f JOB NO. 95-0428 SHEET NO. :2 OF 2 i i 14-16-2 (2I91)—7c 617.21 SEQ1 Appendix A State Environmental Quality Review FULL ENVIRONMENTAL ASSESSMENT FORM Purpose: The full EAF is designed to help applicants and agencies determine, in an orderly manner, whether a projec or action may be significant. The question of whether an action may be significant is not always easy to answer. Frequen- ly, there are aspects of a project that are subjective o.r unmeasureable. It is also understood that those who determin significance may have little or no formal knowledge of the environment or may not be technically expert in environments analysis. In addition,many who have knowledge in one particular area may not be aware of the broader concerns affectin: the question of significance. i The full EAF is intended to provide a method whereby applicants and agencies can be assured that the determinatio: process has been orderly, comprehensive in nature,yet flexible enough to allow introduction of information to fit a projec or action. a Full EAF Components: The full EAF is comprised of three parts: Part 1: Provides objective data and information about a given project and its site. By identifying basic projec data, it assists a reviewer in the analysis that takes place in Parts 2 and 3. Part 2: Focuses on identifying the range of possible impacts that may occur from a project or action. It provide guidance as to whether an impact is likely to be considered small to moderate or whether it is a potentially large impact. The form also identifies whether an impact can be mitigated or reduced. Part 3: If any impact in Part 2 is identified as potentially-large, then Part 3 is used to evaluate whether or not the impact is actually important. DETERMINATION OF SIGNIFICANCE—Type 1 and Unlisted Actions Identify the Portions of EAF completed for this project: ❑ Part 1 ❑ Part 2 ❑Part 3 Upon review of the information recorded on this EAF(Parts 1 and 2 and 3 if appropriate), and any other supporting information, and considering both the magnitude and importance of each impact, it is reasonably determined by the lead agency that: ❑ A. The project will not result in any large and important impact(s) and, therefore, is one which will not have a significant impact on the environment, therefore a negative declaration will be prepared. ❑ B. Although the project could have a significant effect on the environment, there will not be a significant effect for this Unlisted Action because the mitigation measures described in PART 3 have been required, therefore a CONDITIONED negative declaration will be prepared.* .- ❑ C. The project may result in one or more large and important impacts that may have a significant impact on the environment, therefore a positive declaration will be prepared. * A Conditioned Negative Declaration is only valid for Unlisted Actions Name of Action •r 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(If different from responsible officer) Date 1 PART 1—PROJECT INFORMATION Prepared by Project Sponsor NOTICE: This document is designed to assist in determining whether the action proposed may have a significant effec on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be considere, as part of the application for approval and may be subject to further verification-and public review. Provide any additiona information you believe will be needed to complete Parts 2 and 3. It is expected that completion of the full EAF will be dependent on information currently available and will not involvi new studies, research or investigation. If information requiring such additional work is unavailable, so indicate and specif, each instance. NAME OF ACTION Robert F. Coady & Barbard A. Coady LOCATION OF ACTION(Include Street Address,Municipality and County) S/W Corner — Beebe Drive & Wilson Avenue, East Cutch ue, T/O Southold, New York NAME OF APPLICANT/SPONSOR BUSINESS TELEPHONE Young & Young ATTN: Thomas C. Wol rt, P.E. (516 ) 727-2303 ADDRESS 400 Ostrander Avenue " CITY/Po STATE ZIP CODE Riverhead, N.Y. 11901 NAME OF OWNER(If different) BUSINESS TELEPHONE Robert F. Coady & Barbara A. Coady (516 ) 369-5590 ADDRESS 4 Cheryl Lane CITY/PO STATE ZIP CODE North Babylon N.Y. 11703 DESCRIPTION OF ACTION Construct a single family dwelling, asphalt driveway, sanitary system and water supply well. Minor regrading is proposed, however, no fill from off—site sources is required. Please Complete Each Question—Indicate N.A. if not applicable A. Site Description Physical setting of overall project, both developed and undeveloped areas. 1. Present land use: []Urban ❑Industrial ❑Commercial ❑Residential (suburban) K]Rural (non-farm. ❑Forest ❑Agriculture ❑Other 2. Total acreage of project area: 1.1 acres. APPROXIMATE ACREAGE PRESENTLY AFTER COMPLETION Meadow or Brushland (Non-agricultural) 0 acres 0 acres Forested 0.8 acres 0.5 acres Agricultural (Includes orchards, cropland, pasture, etc.) 0 acres 0 acres Wetland (Freshwater or tidal as per Articles 24, 25 of ECL) 0.3 acres 0.3 acres Water Surface Area 0 acres 0 acres Unvegetated (Rock, earth or fill) 0 acres 0 acres Roads, buildings and other paved surfaces 0 acres 0.13 acres Other (Indicate type) Lawns & Landscaping TM — Tidal Marsh 0 acres 0-17 acres 3. What is predominant soil type(s) on project site?21 R 21=n,lth 1 narn Gana RdA — Riverhead sandy a. Soil drainage: ]Well drained 70 % of site ®Moderately well drained 20 % of site KPoorly drained 10 % of site b. If any agricultural land is involved, how many acres of soil are classified within soil group 1 through 4 of the NY`_ Land Classification System? N-A- acres. (See 1 NYCRR 370). 4. Are there bedrock outcroppings on project site? ❑Yes tNo a. What is depth to bedrock? N-A• (in feet) 5. Approximate percentage of proposed project site with slopes: (N0-10% 100 % ❑10-15% 0 % L15% or greater 0 % 6. Is project substantially contiguous to, or contain a building, site, or district, listed on the State or the National Registers of Historic Places? ❑Yes ONO 7. Is project substantially contiguous to a site listed on the Register of National Natural Landmarks? ❑Yes nNo 8. What is the depth of the water table? 0'—9' (in feet) 9. Is site located over a primary, principal, or sole source aquifer? EYes ONO 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? -nYes ONO 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered? ❑Yes No According to Yount & Youna Identify each species 12. Are there any unique or unusual land forms on the project site? (i.e., cliffs, dunes, other geological formations) ❑Yes No Describe 13. Is the project site presently used by the community or neighborhood as an open space or recreation area? ❑Yes ENO If yes, explain 14. Does the present site include scenic views known to be important to the community? ❑Yes 91No :. 15. Streams-within or contiguous to project area: Eugene's Creek a. Name of Stream.and name of River to which it is tributary 16. Lakes, ponds, wetland areas within or contiguous to project area: N.A. b. Size (In acres) a. Name 17. Is the site served by existing public utilities? ®Yes ONO a) If Yes, does sufficient capacity exist to allow connection? ®Yes ONO b) If Yes, will improvements be necessary to allow connection? LNYes ONO 18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law, Article 25-AA, Section 303 and 304? ❑Yes 12INo 19. Is the site located in or substantially contiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 617? Yes ONO 20. Has the site ever been used for the disposal of solid or hazardous wastes? ❑Yes IRINo B. Project Description 1. Physical dimensions and scale of project (fill in dimensions as appropriate) a. Total contiguous acreage owned or controlled by project sponsor 1.1 acres. b. Project acreage to be developed: 1.1 acres initially; 1.1 acres ultimately.. c. Project acreage to remain undeveloped 0 acres. d. Length of project, in miles: N-A- (If appropriate) e. If the project is an expansion, indicate percent of expansion proposed N•A• %; f. Number of off-street parking spaces existing 0 ; proposed 2 g. Maximum vehicular trips generated per hour 2 (upon completion of project)? h. If residential: Number and type of housing units: One Family Two Family Multiple Family Condominium Initially 1 Ultimately 1 i. Dimensions (in feet) of largest proposed structure 35' height; 50' width; I On'— length. j. Linear feet of frontage along 4 public thoroughfare protect will occupy is? 413 ft. 2. How much natural material (i.e., rock, earth, etc.) will be removed from the site? —0— tons/cubic yards 3. Will disturbed areas be reclaimed? ®Yes ❑No ❑N/A a. If yes, for what intended purpose is the site being reclaimed? Lawns & Landscaping b. Will topsoil be stockpiled for reclamation? )�7Yes ONO c. Will upper subsoil be stockpiled for reclamation? ]]Yes ❑No 4. How many acres of vegetation (trees, shrubs, ground covers) will be removed' from site? 0.3 acres. 5. Will any mature forest (over 100 years old) or other locally-important vegetation be removed by this project? ❑Yes MNo 6. If single phase project: Anticipated period of construction 12 months, (including demolition). 7. If multi-phased: N.A. a. Total number of phases anticipated (number). b. Anticipated date of commencement phase 1 month year, (including demolition). c. Approximate completion date of final phase month. year. d. Is phase 1 functionally dependent on subsequent phases? ❑Yes ONO 8. Will blasting occur during construction? ❑Yes ®No 9. Number of jobs generated: during construction 6 ; after project is complete 0 10. Number of jobs eliminated by this project 0 11. Will project require relocation of any projects or facilities? ❑Yes �LNo If yes, explain 12. Is surface liquid waste disposal involved? ❑Yes LNNo a. If yes, indicate type of waste (sewage, industrial, etc.) and amount b. Name of water body into which effluent will be discharged 13. Is subsurface liquid waste disposal involved? ®Yes ONO Type Sc�n:f�7ry 14. Will surface area of an existing water body increase or decrease by proposal? ❑Yes ANo Explain 15. Is project or any portion of project located in a 100 year flood plain? �LYes . ONO 16. Will the project generate solid waste? X]Yes ❑No a. If yes, what is the amount per month 0.2 tons b. If yes, will an existing solid waste facility be used? INYes ONO c. If yes, give name Srn,thn1 d Transfer Scat;nn ; location Cutchogue d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? ❑Yes ENO e. If Yes, explain 17. Will the project involve the disposal of solid waste? ❑Yes I�No a. If yes, what is the anticipated rate of disposal? tons/month. b. If yes, what is the anticipated site life? years. 18. Will project use herbicides or pesticides? INYes ONO ie. Lawn Maintenance 19. Will project routinely produce odors (more than one hour per day)? ❑Yes �]No 20. Will project produce operating noise exceeding the local ambient noise levels? ❑Yes ONO 21. Will project result in an increase in energy use? LYes ONO If yes , indicate type(s) Electric 22. If water supply is from wells, indicate pumping capacity 5 gallons/minute. 23. Total anticipated water usage per day 300 gallons/day. 24. Does project involve Local, State or Federal funding? ❑Yes KlNo If Yes, explain 25. Approvals Required: Submittal Type Date City, Town, Village Board ❑Yes ®No City, Town, Village Planning Board ❑Yes No City, Town Zoning Board ❑Yes INNo City, County Health Department ]Yes ❑No Sewage Disposal & Water Supply 8/95 Other Local Agencies K)Yes ❑No Town Building Permit -- Local Trustees Wetland Permit -- Other M�Agencies ®Yes ❑No State Agencies NYSDEC 91Yes []No Tidal Wetlands 7/95 Federal Agencies ❑Yes li]No C. Zoning and Planning Information 1 . Does proposed action involve a planning or zoning decision? ❑Yes MNo If Yes, indicate decision required: ❑zoning amendment ❑zoning variance ❑special use permit ❑subdivision ❑site plan ❑new/revision of master plan ❑resource management plan ❑other 2. What is the zoning class ification(s)of the site? R-40 3. What is the maximum potential development of the site if developed as permitted by the present zoning? 1 — Single Family Residence 4. What is the proposed zoning of the site? No Chance 5. What is the maximum potential development of the site if developed as permitted by the proposed zoning? N.A. 6. Is the proposed action consistent with the recommended uses in adopted local land use plans? ®Yes Cl 7. What are the predominant land use(s) and zoning classifications within a '/4 mile radius of proposed action? Land Uses: Residential; Zoning: R-40, R-80 8. Is the proposed action compatible with adjoining/surrounding land uses within a '/. mile? ®Yes ❑� 9. If the proposed action is the subdivision of land, how many lots are proposed? N.A. a. What is the minimum lot size proposed? N.A. 16. Wil I proposed action require any authorization(s) for the formation of sewer or.water districts? []Yes jar 11 . Will the proposed action create a demand for any community provided services (recreation, education, polic fire protection)? 8]Yes ❑No a. If yes, is existing capacity sufficient to handle projected demand? g)Yes []No 12. Will the proposed action result in the generation of traffic significantly above present levels? []Yes LInN a. If yes, is the existing road network adequate to handle the additional traffic? ❑Yes ❑No D. Informational Details Attach any additional information as may be needed to clarify your project. If there are or may be any adver impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate avoid them. E. Verification I certify that the information provided above is true to the best of my knowledge. Applicant/Sponsor Name Young & Young ATTN: Thomas C. Wolpert Date Laust 1 5,1995 Signature �'m� Title Professional Engi nPPr If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceedi With this as_cPss.ment. Part 2—PROJECT IMPACTS AND THEIR MAGNITUDE Responsibility of Lead Agency General Information (Read Carefully) • In completing the form the reviewer should be guided by the question: Have my responses and determinations bee reasonable? The reviewer is not expected to be an expert environmental analyst. • Identifying that an impact will be potentially large (column 2) does not mean that it is also necessarily significant. Any large impact must be evaluated in PART 3 to determine significance. Identifying an impact in column 2 simpl asks that it be looked at further. • The Examples provided are to assist the reviewer by showing types of impacts and wherever possible the threshold c magnitude that would trigger a response in column 2. The examples are generally applicable throughout the State an for most situations. But, for any specific project or site other examples and/or lower thresholds may be appropriat for a Potential Large Impact response, thus requiring evaluation in Part 3. • The impacts of each project, on each site, in each locality, will vary. Therefore, the examples are illustrative an have been offered as guidance.They do not constitute an exhaustive list of impacts and thresholds to answer each questior • The number of examples per question does not indicate the importance of each question. • In identifying impacts, consider long term, short term and cumlative effects. Instructions (Read carefully) a. Answer each of the 19 questions in PART 2. Answer Yes if there will be any impact. b. Maybe answers should be considered as Yes answers. c. If answering Yes to a question then check the appropriate box (column 1 or 2) to indicate the potential size of th impact. If impact threshold equals or exceeds any example provided, check column 2. If impact will occur but threshol is lower than example, check column 1. d. If reviewer has doubt about size of the impact then consider the impact as potentially large and proceed to PART . e. If a potentially large impact checked in column 2 can be mitigated by change(s) in the project to a small to moderat impact, also check the Yes box in column 3. A No response indicates that such a reduction is not possible. Th must be explained in Part 3. 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By IMPACT ON LAND Impact Impact Project Change 1 . Will the proposed action result in a physical change to the project site? ❑NO OYES Examples that would apply to column 2 • Any construction on slopes of 15% or greater, (15 foot rise per 100 ❑ ❑ []Yes ❑No foot of length), or where the general slopes in the project area exceed 10%. • Construction on land where the depth to the water table is less than ❑ ❑ ❑Yes ❑No 3 feet. • Construction of paved parking area for 1,000 or more vehicles. ❑ ❑ []Yes ❑No • Construction on land where bedrock is exposed or generally within ❑ ❑ []Yes []No 3 feet of existing ground surface. • Construction that will continue for more than 1 year or involve more ❑ ❑ []Yes El No than one phase or stage. • Excavation for mining purposes that would remove more than 1,000 ❑ ❑ ❑Yes ❑No tons of natural material (i.e., rock or soil) per year. • Construction or expansion of a sanitary landfill. ❑ ❑ ❑Yes []No • Construction in a designated floodway. ❑ ❑ []Yes ❑No • Other impacts ❑ ❑ ❑Yes []No 2. Will there be an effect to any unique or unusual land forms found on the site? (i.e., cliffs, dunes, geological formations, etc.)❑NO OYES • Specific land forms: ❑ ❑ ❑Yes ONO G 1 2 3 IMPACT ON WATER Small to Potential Can Impact E 3. Will proposed action affect any water body designated as protected? Moderate Large Mitigated By (Under Articles 15,24,25 of the Environmental Conservation Law, ECL) Impact Impact Project Chang ONO DYES Examples that would apply to column 2 • Developable area of site contains a protected water body. ❑ ❑ ❑Yes ❑Nc • Dredging more than 100 cubic yards of material from channel of a ❑ ❑ []Yes ❑Nc protected stream. • Extension of utility distribution facilities through a protected water body. ❑ ❑ []Yes ❑Nc • Construction in a designated freshwater or tidal wetland. ❑ ❑ []Yes ❑Nc • Other impacts: ❑ r ❑ ❑Yes ❑Nc 4. Will proposed action affect any non-protected existing or new body of water? ONO DYES Examples that would apply to column-2 • A 10% increase or decrease in the surface area of any body of water ❑ ❑ []Yes ❑Nc or more than a 10 acre increase or decrease. • Construction of a body of water that exceeds 10 acres of surface area. ❑ ❑ ❑Yes []No • Other impacts: ❑ ❑ ❑Yes ❑No 5. Will Proposed Action affect surface or groundwater quality or quantity? ONO DYES Examples that would apply to column 2 • Proposed Action will require a discharge permit. ❑ ❑ []Yes []No • Proposed Action requires use of a source of water that does not ❑ ❑ []Yes ❑No have approval to serve proposed (project) action. • Proposed Action requires water supply from wells with greater than 45 ❑ ❑ ❑Yes [:]No gallons per minute pumping capacity. • Construction or operation causing any contamination of a water ❑ ❑ ❑Yes ❑No supply system. • Proposed Action will adversely affect groundwater. ❑ ❑ ❑Yes ❑No • Liquid effluent will be conveyed off the site to facilities which presently ❑ ❑ []Yes ❑No do not exist or have inadequate capacity. • Proposed Action would use water in excess of 20,000 gallons per ❑ ❑ []Yes ❑No day. • Proposed Action will likely cause siltation or other discharge 'into an ❑ ❑ ❑Yes El No existing body of water to the extent that there will be an obvious visual contrast to natural conditions. • Proposed Action will require the storage of petroleum or chemical ❑ ❑ []Yes ❑No products greater than 1,100 gallons. • Proposed Action will allow residential uses in areas without water ❑ ❑ []Yes ❑No and/or sewer services. • Proposed Action locates commercial and/or industrial uses which may ❑ ❑ []Yes ❑No require new or expansion of existing waste treatment and/or storage facilities. • Other impacts: ❑ ❑ ❑Yes ❑No 6. Will proposed action alter drainage flow or patterns, or surface water runoff? ONO DYES Examples that would apply to column 2 , • Proposed Action wpVld change fl_r``wa+Q�Eh:.,vc p r1 M Mv. I-1NJ , 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project Change • Proposed Action may cause substantial erosion. ❑ ❑ []Yes []No • Proposed Action is incompatible with existing drainage patterns. ❑ ❑ []Yes ❑No • Proposed Action will allow development in a designated floodway. ❑ ❑ ❑Yes []No • Other impacts: Cl El []Yes []No IMPACT ON AIR 7. Will proposed action affect air quality? ONO OYES Examples that would apply to column 2 ❑ ❑Yes ❑No • Proposed Action will induce 1,000 or more vehicle trips in any given ❑ hour. ❑ []Yes []No • Proposed Action will result in the incineration of more than 1 ton of ❑ refuse per hour. ❑ ❑Yes []No • Emission rate of total contaminants will exceed 5 lbs. per hour or a ❑ heat source producing more than 10 million BTU's per hour. ❑ []Yes []No• Proposed action will allow an increase in the amount of land committed ❑ to industrial use. ❑ []Yes []No • Proposed action will allow an increase in the density of industrial ❑ development within,existing industrial areas. (] ❑ ❑Yes ❑No • Other impacts: IMPACT ON PLANTS AND ANIMALS 8. Will Proposed Action affect any threatened or endangeredONO (]YES species? Examples that would apply to column 2 ❑ []Yes ❑No • Reduction of one or more species listed on the New York or Federal ❑ list, using the site, over or near site or found on the site. ❑ []Yes []No • Removal of any portion of a critical or significant wildlife habitat. ❑ [I []Yes ❑Nc • Application of pesticide or herbicide more than twice a year, other ❑ than for agricultural purposes. ❑ ❑ ❑Yes []No • Other impacts: 9. Will Proposed Action substantially affect non-threatened or non-endangered species? ONO OYES Examples that would apply to column 2 []Yes ❑Nc • Proposed Action would substantially interfere with any resident or ❑ ❑ migratory fish, shellfish or wildlife species. ❑ []Yes ❑Nc • Proposed Action requires the removal of more than 10 acres ❑ of mature forest (over 100 years of age) or other locally important vegetation. IMPACT ON AGRICULTURAL LAND RESOURCES 10. Will the Proposed Action affect agricultural land resources? ONO ❑YES Examples that would apply to column 2 ❑ Dyes ❑N, • The proposed action would sever, cross or limit access to agricultural ❑ land (includes cropland, hayfields, pasture, vineyard, orchard, etc.) IMPACT ON TRANSPORTATION Small to Potential Can Impact Be 14. Will there bean effect to existing transportation Systems? Moderate Large Mitigated By ENO OYES Impact Impact Project Change Examples that would apply to column 2 • Alteration of present patterns of movement of people and/or goods. Cl ❑ []Yes ❑No • Proposed Action will result in major traffic problems. ❑ ❑ ❑Yes ❑No • Other impacts: ❑ ❑ []Yes ❑No IMPACT ON ENERGY i 15. Will proposed action affect the community's sources of fuel or I energy supply? ONO OYES i Examples that would apply to column 2 • Proposed Action will cause a greater than 5% in in the use of ❑ ❑ []Yes []No any form of energy in the municipality. • Proposed Action will require the creation or extension of an energy ❑ ❑ [I Yes ❑No transmission or supply system to serve more than 50 single or two family residences or to serve a major commercial or industiial, use. • Other impacts: ❑ ❑ Yes []No NOISE AND ODOR IMPACTS 16. Will there be objectionable odors, noise, or vibration as a result of the Proposed Action? ONO OYES Examples that would apply to column 2 • Blasting within 1,500 feet of a hospital, school or other sensitive ❑ ❑ ❑Yes No facility. • Odors will occur routinely (more than one hour per day). El []Yes ❑No • Proposed Action will produce operating noise exceeding the local ❑ ❑ []Yes []No ambient noise levels for noise outside of structures. • Proposed Action will remove natural barriers that would act as a ❑ ❑ ❑Yes El No noise screen. Yes ❑No • Other impacts: ❑ ❑ ❑ IMPACT ON PUBLIC HEALTH 17. Will Proposed Action affect public health and safety? ❑NO OYES Examples that would apply to column 2 • Proposed Action may cause a risk of explosion or release of hazardous ❑ ❑ ❑Yes []No substances(i.e.oil, pesticides, chemicals, radiation, etc.)in the event of accident or upset conditions, or there may be a chronic low level discharge or emission. • Proposed Action may result in the burial of"hazardous wastes" in any ❑ ❑ [--]Yes No form (i.e. toxic, poisonous, highly reactive, radioactive, irritating, infectious, etc.) • Storage facilities for one million or more gallons of liquified natural ❑ ❑ [:]Yes .[]No gas or other flammable liquids. • Proposed action may result in the excavation or other disturbance ❑ ❑ Yes NO within 2,000 feet of a site used for the disposal'of sojid.or hazardous waste. ❑Yes ❑No • Other impacts: ❑ ❑ 1 2 3 Small to Potential Can Impact Be Moderate Large Mitigated By Impact Impact Project ChangE • Construction activity would excavate or compact the soil profile of ❑ ❑ ❑Yes No agricultural land. • The proposed action would irreversibly convert more than 10 acres ❑ ❑ ❑Yes []No of agricultural land or, if located in an Agricultutal District, more than 2.5 acres of agricultural land. • The proposed action would disrupt or prevent installation of agricultural ❑ ❑ ❑Yes ❑No land management systems (e.g., subsurface drain lines, outlet ditches, strip cropping); or create a need for such measures (e.g. cause a farm field to drain poorly due-to increased runoff) • Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON AESTHETIC RESOURCES 11 . Will proposed action affect aesthetic resources? ONO DYES (If necessary, use the Visual EAF Addendum in Section 617.21, Appendix B.) Examples that would apply to column 2 • Proposed land uses, or project components obviously different from ❑ ❑ []Yes ❑No or in sharp contrast to current surrounding land use patterns, whether man-made or natural. • Proposed land uses, or project components visible to users of ❑ ❑ ❑Yes ❑No aesthetic resources which will eliminate or significantly reduce their enjoyment of the aesthetic qualities of that resource. • Project components that will result in the elimination or significant ❑ ❑ ❑Yes ❑No screening of scenic views known to be important to the area. • Other impacts: ❑ ❑ []Yes ❑No IMPACT ON HISTORIC AND ARCHAEOLOGICAL RESOURCES 12. Will Proposed Action impact any site or structure of historic, pre- historic or paleontological importance? ❑NO DYES Examples that would apply to column 2 • Proposed Action occurring wholly or partially within or substantially ❑ ❑ ❑Yes ❑No contiguous to any facility or site listed on the State or National Register of historic places. • Any impact to an archaeological site or fossil bed located within the ❑ ❑ []Yes ❑No project site. • Proposed Action will occur in an area designated -as sensitive for ❑ ❑ ❑Yes ❑No archaeological sites on the NYS Site Inventory. • Other impacts: ❑ ❑ ❑Yes ❑No IMPACT ON OPEN SPACE AND RECREATION 13. Will Proposed Action affect the quantity or quality of existing or future open spaces or recreational opportunities? Examples that would apply to column 2 ❑NO DYES • The permanent foreclosure of a future recreational opportunity. ❑ ❑ []Yes ❑No • A major reduction of an open space important to the community. ❑ ❑ ❑Yes ❑No • Other impacts: 0 0 ❑Yes ❑No i 1 2 3 IMPACT ON GROWTH AND CHARACTER Small to Potential Can Impact Be OF COMMUNITY OR NEIGHBORHOOD Moderate Large Mitigated By 18. Will proposed action affect the character of the existing community? Impact Impact Project Change ❑NO ❑YES Examples that would apply to column 2 • The permanent population of the city, town or village in which the ❑ ❑ []Yes []No project is located is likely to grow by more than 5%. • The municipal budget for capital expenditures or operating services ❑ ❑ ❑Yes ❑No will increase by more than 5% per year as a result of this project. • Proposed action will conflict with officially adopted plans or goals. ❑ ❑ ID Yes []No Proposed action will cause a change in the density of land use. El ❑ -]Yes ❑No • Proposed Action will replace or eliminate existing facilities, structures ❑ ❑ []Yes []No or areas of historic importance to the community. • Development will create a demand for additional community services ❑ ❑ [I Yes ❑No (e.g. schools, police and fire, etc.) • Proposed Action will set an important precedent for future projects. ❑ ❑ []Yes []No • Proposed Action will create or eliminate employment. ❑ ❑ []Yes []No • Other impacts: ❑ ❑ []Yes ❑No 19. Is there, or is there likely to be, public controversy related to potential adverse environmental impacts? ONO OYES If Any Action in Part 2 Is Identified as a Potential Large Impact or If You Cannot Determine the Magnitude of Impact, Proceed to Part 3 Part 3—EVALUATION OF THE IMPORTANCE OF IMPACTS Responsibility of Lead Agency Part 3 must be prepared if one or more impact(s) is considered to be potentially large, even if the impact(s) may be mitigated. Instructions Discuss the following for each impact identified in Column 2 of Part 2: 1 . Briefly describe the impact. 2. Describe(if applicable)how the impact could be mitigated or reduced to a small to moderate impact by project change(s). 3. Based on the information available, decide if it is reasonable to conclude that this impact is important. To answer the question of importance, consider: • The probability of the impact occurring • The duration of the impact • Its irreversibility, including permanently lost resources of value • Whether the impact can or will be controlled • The regional consequence of the impact • Its potential divergence from local needs and goals • Whether known objections to the project relate to this impact. 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Coady 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. i Signdture SWORN TO BEFORE ME THIS T DAY OF AG,L)a ,19 9� JOSEPH M.ZEOLLA Notary Public,State of New York No.Ol ZE5040588 Qualified in Suffolk County Notary Public Certificate Filed in Nassau County Commission Expires March 13, 199 3 Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) I Robert F. Coady residing at 4 Cheryl Lane (print owner of property) (mailing address) North Babylon, New York 11763 do hereby authorize (Agent) Young & 10oung, Land Surveyors tc apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner' s signature 4 r NEW YORK STATE DEPARTMENT OF S'19:-7/��. COASTAL MANAGEMENT PROGRAM •DOAST !.l'�;1; fA( fIC�-pm Federal Consistency Assessment Form An applicant, seeking a permit, license, waiver, certification or similar t RECE 6'"type of approval from a federal agency which is subject to the New York State Coastal Management Program (CMP, shall complete this assessment form for any proposed activity that will occur within and/or directly affect the State's Coastal Area. This form is intended to assist an applicant in certifying that the proposed activity is consistent with New York State's CMP as required by U.S. Department of Commerce regulations (15 CFR 930.57). It should be completed at the time when the federal application is prepared. The Department of State will use the completed form and accompanying information in its review of the applicant's certification of consistency. A. APPLICANT 1. Name:_ Robert F. Coady & Barbara A Coady (please print) 2. Address: 4 Cheryl Lane, North Babylon, New York 11703 3. Telephone: Area Code ( ) (516) 484-3333 Ext. 21 B. PROPOSED ACTIVITY 1., Brief description of activity: Construct a single family dwelling including elevated timber, walkway, gangway, and floating dock; 2. Purpose of activity: The purpose of the walkway, gangway, and floating dock is to establish a private mooring for a recreational vessel. 3. Location of activity: at East Cutchogue, Beebe Drive Extension, Suffolk Town of Southold w;1 gc,n pyFrn,P County City, Town or Village Street or Site Description Army Corp of Engineers 4. Type of federal permit/license required:Section 10 of the Rivers and Harbor Act of 1899 5. Federal application number, if known: 95-10500-L2 6. If a state permit/license was issued or is required for the proposed activity, identify the state agency and provide the application or permit number, if known: NYSDEC Tidal Wetlands Permit No. : 1-4738-01158/00001-0 C. COASTAL ASSESSMENT Check either "YES" or "NO" for each of the following questions. The numbers following each question refer to the policies described in the CMP document (see footnote on page 2) which may be affected by the proposed activity. 1. Will the proposed activity result in any of the following: YES NO a. Large physical change to a site within the coastal area which will require the preparation of an environmental impact statement? (11, 22, 25, 32, 37, 38, 41, 43) . . . . . . . . . . . . . . . . . . . . . . X b. Physical alteration of more than two acres of land along the shoreline, land under water or coastal waters? (2, 11, 12, 20, 28,`35, 44) 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) . . . . . . . . . X 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) . . . . . . . . . . . . . . . . . X h. Mining, excavation, or dredging activities, or the placement of dredged or fill material in coastal waters? (15, 35) X I. Discharge of toxics, hazardous substances or other pollutants into coastal waters? (8, 15, 35) . _ X j. Draining of stormwater runoff or sewer overflows into coastal waters? (33) . . . . — X k. Transport, stroage, treatment, or disposal of solid wastes or hazardous materials? (36, 39) . . . . . . . . X I. Adverse effect upon land or water uses within the State's small harbors? (4) . . . . . . . . . . . . . . . . . 2. Will 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 area? (11, 12, 17,) . X _ c. State designated significant fish and/or wildlife habitat? (7) %X d. State designated significant scenic resource or area? (24) . . , . . . . . , , . . . . ,— X e. State designated important agricultural lands? (26) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X f. Beach, dune or barrier island? (12) — g. Major ports of Albany, Buffalo, Ogdensburg, Oswego or New York? (3) X h. State, county, or local park? (19, 20) — X I. Historic resource listed on the National or State Register of Historic Places? (23) . . . . . . . . . . . . . . . X -1- • I L-z, ICU 3. Will the proposed activity;renuire Sf the following X. a. Waterfront site? (2, 21, 22) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ — b. Provision of new public services or infrastructure in undeveloped or sparsely populated }C sections of the coastal area? (5) . . . . . . . . . . . . . . . . . . • • . . " ' — c. Construction or reconstruction of a flood or erosion control structure? (13, 14, 16) _ X d. State water quality permit or certification? (30, 38, 40) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . — x e. State air quality permit or certification? (41, 43) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . — X 4. Will the proposed activity occur within and/or affect an area covered by a State approved local X waterfront revitalization program? (see policies in local program document') . . . . . . . . . . . . . . . . . . . . . — — D. ADDITIONAL STEPS 1. If all of the questions in Section C are answered "NO", then the applicant or agency shall complete Section E and submit the documentation required by Section F. 2. If any of the questions in Section C are answered "YES", then the applicant or agent is advised to consult the CMP, or where appropriate, the local waterfront revitalization program document% The proposed.activity must be analyzed in more detail with respect to the applicable state or local coastal policies. In the space provided below or on a separate page(s), the applicant or agent shall: (a) identify, by their policy numbers, which coastal policies are affected by the activity, (b) briefly assess the effects of the activity upon the policy; and, (c) state how the activity is consistent with each policy. Following the completion of this written assessment, the applicant or agency shall complete Section E and submit the documentation required by Section F. E. CERTIFICATION The applicant or agent must certify that the proposed activity is consistent with the State's CMP or the approved local waterfront revitalization program, as appropriate: .If this certification cannot be made, the proposed activity shall not be undertaken. If this certification can be made, complete this Section. "The proposed activity complies with New York State's approved Coastal Management Program,or with the applicable approved local waterfront revitalization program, ane will be conducted in a manner consistent with such program." Applicant/Agent's Name: Young & Young ATTN: Thomas C. Wolpert, P.E. Address: 400 Ostrander Avenue, Riverhead, New York 11901 Telephone: Area Code( ) (516) 727 2303 Applicant/Agent's Signature: U�2�'�?1D (/(/�tP_��'Gf.4� Date: Nov. 10, 1995 F. SUBMISSION REQUIREMENTS 1. The applicant or agent shall submit the following documents to the New York State Department of State, Division of Coastal Resources and Waterfront Revitalization, 162 Washington Avenue, Albany, New York 12231. a. Original signed form. b. Copy of the completed federal agency application. c. Other available information which would support the certification of consistency. 2. The applicant or agent shall also submit a copy of this completed form along with his/her application to the federal agency. 3. If there are any questions regarding the submission of this form, contact the Department of State at (518) 474-6000. 1 "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. FCAF Revised 12/6/93 -2- ,...