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HomeMy WebLinkAboutTR-4460 s �,r,,yr ��,F.. ^� ,� d•32 �'tC.�jTa y �,fr ri �-'C.efz�ffL� `" ' '' `; �� ��Y ,, :�y�{hry r .ate► <;, � . a: V Board Of Southold Town Trustees a; SOUTHOLD, NEW YORK PERMIT NO. DATE: ...5/25/95........... c= ISSUED TO .......ANDREW...I'.A....FQ.ICKQLB...................................................... ��. Pursuant to the provisions of Chapter 615 of the Laws of 1 the State of New York 1893; and Chapter 404 of the Laws of the " State of New York 1952; and the Southold Town Ordinance en- !``a t; titled REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the !w 1 REMOVAL OF SAND GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with. the Iy Resolution of The Board adopted at a meeting held on .'...5./.25195..... 19...95..., and in consideration of the sum of $...1l..a.:...0.0. ... ... paid by t, ' AND.RE.W...T.. ..FOHRROLB.... ............... .................................................................. -t1 j ,.,. .. Q ...................................................... N. Y. and subject to the Terms and Conditions listed on .the reverse side hereof, . f a of Southold Town Trustees authorizes and permits the following: s . Construct a TX30' catwalk, TX6' ramp & 6'X20' float & stairs Ij subject to new drawing showing catwalk ends at MLW, and no ;►' ' disturbance of any vegetation from toe of slope out. a r7 j Cutc o ue Ha bor %t a] in accordrance with the detailed specifications as presented in the originating application. ` IN WITNESS WHEREOF The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to +` be subscribed by a majority of the said Board as of this date.. It k I` - a ees �C g \ r r .tom_x iS:u ..°, .a•Jue r.J 4+.Lr �. c, 01 y:.�� :['i��..\s. 7....:� �• A♦ Albert J. Kru ski, President p��SU�FOL�C4 Town Hall John Holzapfel Vice President _� G?` 53095 Main Road c William G. Albertson W � ' P.O. Box 1179 Southold, New York 11971 Martin H. Garrell • Peter Wenczel y'�Jp! �.ap! Telephone (516)765-1892 Fax (516)765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 26, 1995, Warren A. Sambach, Sr. Consulting Engineer & Planner 7675 Cox Lane P.O. Box 1033 Cutchogue NY 11935 Re: ANDREW T. FOHKOLB SCTM #137-4-30 Dear Mr. Sambach, The following action was taken by the Board of Town Trustees during its regular meeting held on May 25, 1995 regarding the above matter: WHEREAS, Warren Sambach on behalf of ANDREW T. FOHKOLB, applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated March 23, 1995, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on May 25, 1995, at which time all interested persons were given an opportunity to be heard, and, - WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standard set forth in Chapter 37-18 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approves the application of ANDREW T. FOHKOLB to construct a 3 ' X 30 ' catwalk, a 3 ' X 6 ' ramp and a 6 ' X 20 ' float and stairs, subject to new drawing showing that the catwalk ends at MLW, and no disturbance of any vegetation from toe of slope out. Located: 670 Holden Ave, Cutchogue Permit to construct project will expire two years from the date it is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. FEES :- Catwalk: 3 ' X 177 ' _ , ,-/' X $3 = $/,'3. 00 Ramp: 3 ' X�"6 ' = 18 ' X $3 = $ 54 . 00 Float: 6 '-"X 20 ' = 120 ' X $3 = $360 . 00 TOTAL DUE: $5'6-7.CEO Very truly yours, amt-.4-i 9. Albert J. Krupski, Jr. President, Board of Trustees AJK/djh cc. CAC ALL DOCKS AND BULKHV MUST DISPLAY VISIBLE PEP 'r NUMBERS. ALL MOORINGS AND STAKES MUST DISPLAY VISIBLE MOORING NUMBERS. BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD t MAIN ROAD SOUTHOLD, NEW YORK 11971 NOTICE OF ACTION NOT A PERMIT TO: ANDREW T. FOHRKOLB Please be advised that your application-, dated MARCH 23, 1995 has been reviewed by this Board, at a meeting of the Trustees held on , MAY 25, 1995 and resulting in the action, as indicated below:. ( XXX ) Application Approved. ( ) Application Denied. ( ) Application Tabled. COMMENTS AND REMARKS: Application Fee: $150.00 Paid Catwalk: 3' X iT = Sf' X $3 = $15-3 Ramp: 3' X 6' = 18' X $3 = 54 Float: 6' X 20' = 120' X $3 = 3_6 TOTAL - . $567. 00 IF YOUR APPLICATION IS APPROVED ABOVE, A PERMIT FEE IS NOW DUE, AND SHOULD BE MADE PAYABLE TO THE ORDER OF THE BOARD OF SOUTHOLD TOWN TRUSTEES. THIS FEE IS COMPUTED BELOW ACCORDING TO THE SCHEDULE OF RATES AS SET FORTH IN THE INSTRUCTION SHEET (Form 1/1) . THIS FEE MUST BE PAID WITHIN 40 DAYS OR REAPPLICATION AND ADDITIONAL FEE WILL BE NECESSARY. IF THE PERMIT FEE IS PAID IN PERSON TO THE CLERK OF THE BOARD,, THE PERMIT WILL BE OBTAINABLE AT THE SAME TIME. IF THE FEE IS PAID BY MAIL, THE PERMIT WILL BE MAILED IN REPLY. J. j. COMPUTATION OF PERMIT FEE: Total Paid: $804.00 Refund: $87.00 i&vo . . TOTAL FEE FOR THIS APPLICATION: $ 717.00 _ ' r i Signed: I{ Pre ent, Board of Trustees By: erk, d of own Trustees , 10/87 :, TRUSTEESG� z John M.Bredeeyer,III,President m SUPERVISOR E' Henry P. Smith,Vice President f:- ' k" SCOTT L.HARRIS Albert J.Kru ski Jr. " i.9 John L.Bednoski,Jr. �� � :gip Town Hall John B.Tuthill { 53095 Main Road P.O.Box 1179 Telephone(516)765-1892 BOARD,OF TOWN TRUSTEES Southold,New York 11971 Fax(516)765-1823 TOWN OF SOUTHOLD COASTAL EROSION MANAGEMENT PERMIT APPLICATION TOWN WETLANDS PERMIT APPLICATION TRUSTEE LANDS PERMIT APPLICATION Office Use Only: Coastal Erosion Permit Application Wetland Permit Application �( Trustee Lands Permit Application -- Grandfather Completed Apps. Date: 3 MAR 2 31995 Variance Required, Neighbors notifie Date: �.���� �� �� ,��„���� SEQRA Type L W- a �� , Coord. Review-opt. ,mand. - �. fice Insp. comp. /date: Y,11- fr Q 0 SEQRA Determin. /date: Public Hearing/date: ).. Findings: WR 2 3 1995 Permit Vote: (Y/N) : Special Conditions: ( also see file) e: Application Number; SCTM #1000- 137-04-30 Project Name (If any) Date Prepared: March 1 1995 Applicant: Andrew T. Fohrkolb Address: P .O. Box 252 670 Holden Avenue Cutchogue NY 11935 Phone ( 516) 734-2,88. Interest: . (owner, e;� x) Owner of Property: Andrew T. Fohrkolb Address P .O. Box 252 670 Holden Avenue Cutchogue NY Phone ( 5 ) 7, `2889 Subject Property Location: 1335 Fleetwood Road, eastsid.e @ East Creek Cutchogue NY 11935 (Provide LILCO Pole #, distance to cross Streets if not on location map) THIS IS NOT A PERMIT J / J 1 ` Yds. to be excavated: none Yds. to be filled: none Manner in which material will be removed or deposited: N/A Width of canal, creek or bay fronting property: 80 , Depth at low tide: 3 . 0' + Aver. rise in tide: 3 . 0 ' ± Distance to nearest channel: 10 ' + Distance project extends beyond similar projects in area: none Area zoning: R-40 Land area in acres: 0 .4877 Is project for private or business use: Priva e Intended use of property: one family residence Describe known prior operations conducted on premises: Garage and one family residence , remains of. pier Has any prior license or permit been issued to erect structures, dredge, or deposit fill on said premises: no Has any license or permit ever been revoked or suspended by a Governmental Agency: no Project Description The project description must also include plans for reclamation of land disturbed during construction of the principle and accessory structures and underground structures. (i.e. , pipeline and septic system; make additional attachments if ,[�ecessar ) . Proposed to install stairway from top of slope to bot,om 01 slope, pier 3 ' x 261 , ramp 216" x 61 , 5 ' x 25 ' float Authorization (Where the applicant is not the owner) Andrew T. Fohrkolb 670 Holden Avenue I residing at (Print-owner of subject property) (Mailing address-phone) Cutchogue NY 11936 516-734 do hereby auoriz self to apply for o st l Er StI e mit(%.J from the Southold Town Trustees Signature THIS IS NOT A PERMIT j -4 COUNTY OF SUFFOLK ) STATE OF NEW YORK ) ANDREW T. FOHRKOLB BEING DULY SWORN DEPOSES AND SAYS THAT HE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS, AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS KNOWLEDGE AND BELIEF, AND THAT WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE TOWN BOARD OF THE TOWN OF SOUTHOLD. 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, IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT OR REPRESENTATIVE, TO ENTER- ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature of Applicant SWORN TO BEFORE ME THIS 1 DAY OF March 19 95 NOTARY PUBLIC EXAMINED BY APPROVED DISAPPROVED CONDITIONS (If any) - SIGNATURE OF CHAIRMAN COMPUTATION OF FEES Approved 2/27/85 -M f 47 ?+ TRUSTEES SCOTT L. HARRIS Supervisor John M. Bredemeyer, III, President Henry P. Smith, Vice President ' jam` Town Hall, 53095 Main Road Albert J. Krupski, Jr. = P.O. Box 1179 John L. Bednoski, Jr. Southold, New York 11971 John B. Tuthill BOARD OF TOWN TRUSTEES Fax (516) 765-1823 Telephone (516) 765-1892 TOWN OF SOUTHOLD Telephone (516) 765-1800 APPLICATION IS HEREBY MADE TO THE TOWN TRUSTEES, TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK, FOR THE ISSUANCE OF A PERMIT PURSUANT TO THE LAWS, ORDINANCES AND REGULATIONS GOVERNING THE COASTAL AND INTERIOR WETLANDS, FLOOD PLAINS AND DRAINAGE AREAS OF SOUTHOLD TOWN, AND THE ISSUANCE OF PERMITS PURSUANT TO CHAPTER 32 OF THE CODE OF THE TOWN OF SOUTHOLD. APPLICATION NO. DATE APPLICANT' S NAME: ANDREW T.' FOHRKOLB TEL. NO.516-734-2$09 MAILING ADDRESS- P.O. BOX 252 670 HOLDEN AVENUE CUTCHOGUE NY 11935 AGENT: WARREN A. SAMBACH SR. - TEL NO. 516-734-7492 AGENT ADDRESS: P •0 . Box 1033 7675 Cox Lane Cutchogue NY 11935 PERMIT REQUESTED TO: Install stairway top of slope to bottom of slope, pier 3 ' x 261 , ramp 2 ' 6" x 61 , 5 ' x 25 ' float in East Creek, Cutchogue NY. LOCATION OF PROPERTY FOR REQUESTED PERMIT: 1335 Fleetwood Road , eastside at East Creek, Cutchogue NY 11935 TOWN: of Southold TAX MAP NO: 1000- 137-04-30 CREEK, BAY OR HARBOR FRONTING PROPERTY: East Creek SIZE 'IF PROPOSED WORK: LEND-=i : Two stairways 3 ' x 151 + & 3 ' x 10"*, Pier 3 ' x 26 ' , ramp 216" x 61 , & 5 ' x 25 ' float WIDTH: App. Page 2. YDS. TO BE EXCAVATED: none YDS. TO BE FILLED: none MANNER IN WHICH MATERIAL WILL BE REMOVED OR DEPOSITED: N/A WIDTH .OF CANAL, CREEK OR BAY FRONTING. PROPERTY: 80 ' + DEPTH AT LOW TIDE: 3. 0' + AVER. RISE IN TIDE: 3 .0' + DISTANCE TO NEAREST CHANNEL: 10 ' + DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN AREA: none AREA ZONING: R-40 IS PROJECT FOR PRIVATE OR BUS. USE: Private INTENDED USE OF PROPERTY: One Family Residence DESCRIBE KNOWN PRIOR OPERATIONS CONDUCTED ON PREMISES: Garage and one family residence , remains of pier HAS ANY PRIOR LICENSE OR PERMIT BEEN ISSUED TO ERECT STRUCTURES, DREDGE, OR DEPOSIT FILL ON SAID PREMISES: no HAS ANY LICENSE OR PERMIT EVER BEEN REVOKED OR SUSPENDED BY A GOVERNMENTAL AGENCY: no DESCRIBE FULLY THE REHABILITATION OF PROPERTY: Erect a one family residence DESCRIBE PROPOSED CONDITION OF PROPERTY AFTER WORK IS COMPLETED. INCLUDE AN ADDITIONAL SURVEY OF PROPERTY SITE IF NECESSARY: stairway, pier, ramp and float ARE THERE ANY COVENANTS OR RESTRICTIONS IN YOUR DEED WHICH WOULD PROHIBIT THIS PROJECT: no WRITTEN CONSENT OF OWNER IF NOT THE SAME AS APPLICANT: r . County of Suffolk ) State of New York ) ANDREW T. FOHRKOLB BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/ -IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT() AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/R 'KNOWLEDGE AND BELIEF, AND THAT 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(, IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(s) OR REPRESENTATIVE(s) , TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SIGNATURE SWORN TO BEFORE ME THIS FIRST DAY OF March �1995 NOTARY PUBLIC 20 26 aywater I' -� ' .-• SITE Cove J . •. '.. Cutch0 r arsh orseshoe.>::;� Pt:'.:- N Suggested space for location Map THIS IS NOT A PERMIT PhoJECT I.D. r s 17.21 S E4 f Appencllx C -- - AY 21995 Slate Environmental Quality lieview ;r IOnT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I—PROJECT 1 CFO R6 AT10'N,�(T �t coo^ Ipleled by Applicant or Project sponsor) 1. APPLICANT(SPONSOR 2. PROJECT NAME I; ANDREW T. FOHRKOLB stairway, pier, ramp & float J. PROJECT LOCATION: j Municluallty Town of Southold cgi,nly Suffolk. 4. PRECISE LOCATION(Street address and road Intersections,prominent landmarks•etc.,or provide map) 1335 Fleetwood Road eastside C' East Creek 5. IS PROPOSED ACTION: -• New ❑Expansion ❑ModificalldnialterWon 6. DESCRIBE PROJECT BRIEFLY: I,! Install stairway from top of slope to bottom of slope, 3.1 , wide x 251 + long, pier 31 x 261 , ramp• 21611 ,610"x 20, float 7. AMOUNT OF LAND AFFECTED: none acres Ultimately Y acres Ulllmaiely acres It. WILL PROPOSED ACTION CO14PLY WITH EXISTING ZONING On OTHER EXISTING LAND USE RESTRICTIONS? Oyes ❑No II No,describe brielly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? Fhesidenlial ❑Industrial ❑commercial ❑Agriculture ❑Park/Forest/Open space ❑Other i Describe: one family residences 10. DOES ACTION INVOLVE A PERMIT APPROVAL,On FUNDING,IIOVI on ULTIMATELY FROM ANY OTIIER GOVERNMENM Y( I.A0FNCFEDERAL.= f I STATE OR LOCAL)?p��Xy� l ❑Yes Li 10 It yes,list agcncy(s)and permlllapprovals ' F If. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes In Plo II yes,list agency name and permlt/approval 12• AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL nEOUIIiE MODIFICATION? ! ❑Yes No CERTIFY THAT THE INFonMATION PROVIDED ADOVE IS TnUE TO THE BEST of MY KNOWLEDGE , r 1 I Andr w Fo rkolb 3-1-95 APDlicant/sponso n me: Dale: Signature; If the action is in the Coastal Urea, and you are a state agency, complelo tho Coastal Assessmen! Form before ITruceeding with this assessment i OVEII . ' i STATE OF NEW YORK DEPARTMENT OF STATE OCT 191995 ALBANY, NY 12231-0001 - rein @ in ,IJ a . ALEXANDER F. TREADWELL (�(� 'I; SECRETARY OF STATE October 16, 1995 Mr. Warren A. Sambach, Sr. Consulting Engineer & Planner P.O. Box 1033, 7675 Cox Lane Cutchogue, NY 11935 Re: F-95-334 U.S. Army Corps of Engineers/New York District Permit Application #95-03770-L2 Andrew T. Fohrkolb Town of Southold, Suffolk County DEC #1-4738-01095/00001-0 Dear Mr. Sambach: The Department of'State has completed its evaluation of your Federal Consistency Assessment Form and certification that the above proposed permit activity complies with New York State's approved Coastal Management Program, and will be conducted in a manner consistent with this program. Pursuant to 15 CFR Section 930.63, and based upon the project information submitted, the Department of State concurs with your consistency certification. This concurrence is without prejudice to, and does not obviate the need to obtain all other applicable licenses, permits, and approvals required under existing State statutes. The U.S. Army Corps of Engineers is being notified of this decision by copy of this letter. Sincerely, �1 George R. Stafford Director Division of Coastal Resources and Waterfront Revitalization GRS:KV:dlb cc: COE/New York District - Sophie Ettinger DEC/Region 1 - Robert Greene Town of Southold - Albert Krupski tJ RECYCLED PAPER STATE OF NEW YORK DEPARTMENT OF STATE ALBANY, NY 12231-0001 ALEXANDER F. TREADWELL _ SECRETARY OF STATE ` September 14, 1995 SEP 1 9 1995 1 Mr. Warren A. Sambach, Sr. Consulting Engineer & Planner OFy �'FL��1 PO Box 1033, 7675 Cox Lane Cutchogue, NY 11935 Re: F-95-334 U.S. Army Corps of Engineers/New York District Permit Application - #95-03770-L2 Andrew T. Fohrkolb Town of Southold, Suffolk County DEC #1-4738-01095-00001-0 Status of Consistency Review Dear Mr. Sambach: The Department of State is required to notify you of the status of our review of this project for its consistency with the New York State Coastal Management Program if a decision has not been issued within three months following commencement of our consistency review. We cannot complete our consistency review for this project until a joint Public Notice has been published by the Corps of Engineers and the Department of State. A copy of this letter has been sent to the Corps of Engineers. Please call Kevin Vienneau at (518) 474-6000 if you have any questions. Sincerely, Wil�iam F. Barton Chief, Consistency Review and Analysis Bureau Division of Coastal Resources and Waterfront Revitalization WFBVtb cc: COE/NY District - Sophie Ettinger NYS DEC/Region I - Robert Greene Town of Southold - Albert Krupski 10 RECYCLED PAPER AIN 5 M LOWi- t STATE OF NEW PORK TOWN OF SOUTHOLD DEPARTMENT OF STATE ALBANY. NY 12231-0001 ALEXANDER F. TREADWELL SECRETARY OF STATE May 31, 1995 Mr. Warren A. Sambach, Sr. Consulting Engineer & Planner P.O. Box 1033, 7675 Cox Lane Cutchogue, NY 11935 Re: F-95-334 U.S. Army Corps of Engineers/New York District Permit Application #95-03770-L2 Andrew T. Fohrkolb Town of Southold, Suffolk County DEC #1-4738-01095/00001-0 Acknowledgement of Federal Consistency Assessment Form Dear Mr. Sambach: The Department of State received your Federal Consistency Assessment Form and supporting information, and additional requested'ihf6rination on May 26, 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 Kevin Vienneau at (518) 474-6000 if you have any questions. Sincerely, -William. F..Barton Chief, Consistency Review and Analysis,Bureau Division of Coastal Resources and Waterfront Revitalization WFB/jtb cc: COE/New York District - Sophie Ettinger NYS DEC/Region 1 - Robert Greene Town of Southold - Albert Krupski �.J printed On recycled,paper - t A . STATE OF NEW YORK IJ DEPARTMENT OF STATE ALBANY, NY 12231-0001 0- 5 ALEXANDER F. TREADWELL T®��J� SECRETARY OF STATE 9 (/� May 24, 1995 F S®(f OLD Mr.Mr. Warren A. Sambach, Sr. Consulting Engineering & Planner P.O. Box 1033, 7675 Cox Lane Cutchogue, NY 11935 Re: F-95-334 - U.S. Army Corps of Engineers/New York District Permit Application #95-03770-L2 Andrew T. Fohrkolb Town of Southold, Suffolk County DEC #1-4738-01095/00001-0 Request for Documentation Dear Mr. Sambach: The Department of State has received your Federal Consistency Assessment Form, along with your COE application. However, in order to commence our review of your proposed project it will be necessary for you to send us a copy of all supporting documentation. This information is necessary for consistency review purposes. Once we have received the application materials, 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 Kevin Vienneau at (518) 474-6000 if you have any questions. Sincerely, William F. Barton Chief, Consistency Review and Analysis Bureau Division of Coastal Resources and Waterfront Revitalization WFB/jtb cc: COE/New York District - Sophie Ettinger DEC/Region 1 - Robert Greene `J RECYCLED PAPER �L! JUN ,T - 5 STATE OF NEW YORK �� ®F Slj�ld T DEPARTMENT OF STATE OLD ALBANY, NY 12231-0001 ALEXANDER F. TREADWELL SECRETARY OF STATE May 31, 1995 Mr. Albert Krupski President Board of Town Trustees Town Hall P.O. Box 1179 Southold, NY 11971 Re: F-95-334 U.S. Army Corps of Engineers/New York District Permit Application #95-03770-L2 Andrew T. Fohrkolb DEC #1-4738-01095/00001-0 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 Kevin Vienneau, 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/jtb Wprinted.on recycled.paper 95-19.3(h193)-7e of DEC APPLICATION NUMBERDISTRIBUTION - NEW YORK STATEFr WHILE COPY Permit Administrator DEPARTMENT OF ENVIRONMENTAL CONSERVATION CANARY COPY Corps of Engineers US ARMY CORPS OF ENGINEERS APPLICATION 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 'LONE) ]ARTICLE 15,71TLE 3(AQUATIC PESTICIDES CONTROL) ❑6NYCRR 327(AQUATIC VEGETATION) ❑bNYCRR 328lFISff) ❑6NYCRR 329(INSECTS) S ❑ARTICLE 15,TITLE 5 6NYCRR 608(PROTECTION OF WATERS) T ElFor the construction, reconstruction,or repair of a DAM or other impoundment structure. A T ❑For the disturbance of a STREAM BED OR BANKS or excavation in or fill of NAVIGABLE WATERS. 407 WATER QUALITY CERTIFICATION E ❑ARTICLE 15, TITLE 15 ❑bNYCRR b01 (WAIER SUPPLY) ❑6NYCRR 6U2(LONG ISLAND WELL) ❑ARTICLE 15,TITLE 27 6NYCRR Ebb(WILD,SCENIC AND RECREATIONAL RIVERS) ❑ARTICLE 24 6NYCRR 662,(6.)(FRESHWATER WETLANDS) ❑ARTICLE 34 bNYCRR 505(COASTAL EROSIN) ®ARTICLE 25 6NYCRR 661 (TIDAL WETLANDS) ------------------------------------------------------------------------------6------------------------------------------------------------------- F ❑SECTION 10(RIVER AND HARBOR ACT OF 1899)for structures and work in navigable waters of the U.S. ❑COASTAL CONSISTENCY CERTIFICATION E ❑SECTION 404(CLEAN WATLR ACT OF 1977)for disposal of dredged or till material in waters of the U.S. D ❑SECTION 103(MARINE PROTECTION, RESEARCH AND SANCTUARIES ACT)for the transportation of dredged materials for dumping into ocean oaten. l: LIST PREVIOUS PERMITIAPPLICATION NUMBERS AND DATES(If any) If OTHER THAN INDIVIDUAL, PROVIDL TAXPAYER ID NUMBER r - 2. APPLICANT IS AIAN Jbbwner ❑Operator ❑Lessee Municipality/Covernmental Agency (Check as many as apply) 3. NAME OF APPLICANT(Use Full Name) Andrew T. Fohrkolb MAILING ADDRESS TELEPHONE(Where can be reached during day) P.O. Box 252 670 Holden Avenue (516) 734-2889 POST OFFICE STATE ZIP CODE Cutchogue NY 11935 4. NAME OF ❑Owner :Rikgenl/Contact Person (Check one) Warren A. Sambach Sr . Consulting Engineer & Planner MAILING ADDRESS TELEPHONE(Where can be reached during day) P.O. Box 1033 7675 Cox Lane (516) 734-7492 POST OFFICE STATE 'LIP CODE. Cutchogue NY 11935 5. PROJECT/FACILITY LOCATION(Mark location on map.see Number la on reverse side) County Suffolk I Town or gaX Southold I Village STREET ADDRESS(If different from applicant) 1335 Fleetwood Road POST OFFICE STATE ZIP CODE Cutchogue NY 11935 6. NAME OF STREAM OR BODY OF WATER East Creek off of Great Pecon ' c Ba 7, HAS WORK BEGUN ON PROJECT? If YES,attach explanation on starting work without permit,includes dates. 8. WILL PROJECT UTILIZE STATE LANDr ❑ RYes o Show work on map and/or drawings. ❑Yes A2No 9. PROPOSED USE: 10. PROPOSED STARTING DATE: 11. APPROXIMATE COMPLETION DATE: 12. FEE OF(NYS Permit Only) Private s soon as possibl July 1995 El Public Commercial $ 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 darn;size of impoundent;capacities of proposed water sources;extent of distribution system; etc.) Install stairway from top of slope to bottom of slope, 31 x 261 pier , 2 ' 6" 6 x ' ramp, 51 x 251 float with piles . 14. WILL THIS PROJECT REQUIRE ADDITIONAL FEDERAL. STATE AND/OR LOCAL PERMITS? RkYes ❑ No If yes, please list: Board of Trustees , Town of Southold 15. CERTIFICATION: I hereby affirm that under penality of perjury that information provided on this form and all attachments subruioed 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 but 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 hereby authorize the agent named in Number 4.above to submit this applica ion on my behalf. March 21 1995 _ � �f owner UAT� I .NAIUK --- —owner TI(L -..... . PLEASE READ ALt"INSTRU£FIONS ON REVERSE SIDE • File No: 5592 WARREN A. SAMBACH, SR. } �. j V CONSULTING ENGINEERS•PLANNERS DEPARTMENT OF STATE COASTAL PROGRAMS P.O.BOX 1033•7675 COX LANE MAY 2 91995 CUTCHOGUE,NY 11935 RECEIVED (516)734-7492 May 24 1995 `� 5 O �®UTHOLD Kevin Vinneau T® � New York Department of State Division of Coastal Resources and Waterfront Revitalization . 162 Washington Avenue Albany NY 12231 Re: Andrew T. Fohrkolb 1335 Fleetwood Road C East Creek Cutchogue NY 11935 Mr. Vinneau: Enclosed are two (2) sets of drawings and a picture descripton for the above . The original pictures were in color and sent to the New York State Department of Environmental Conservation and the Department of the Army. If you need colored pictures , kindly let me know and prints will be made. Si nc rely, a a, Vie . Warren A. Sambach Sr . P .E. was:df encls cc: Fohrkolb PICTURE DESCRIPTION FOR ANDREW T. FOHRKOLB PROPOSED INSTALLATION OF STAIRWAY, PIER, RAMP & FLOAT AT 1335 FLEETWOOD ROAD EASTSIDE @ EAST CREEK CUTCHOGUE NY 11935 Warren A. Sambach -Sr. Consulting Engineer & Planner 7675 Cox Lane P.O. Box 1033 Cutchogue NY 11935 PICTURE DESCRIPTION Picture No: 1 Looking northwest towards property. Approximate property lines shown on picture. Picture No: 2 Close up view showing float tied back. Picture No: 3 Looking in a southwesterly direction, showing existing piles from a pfrevious structure, float, adjoining property with piles and walkway, storage and changing shack. Stairway is on adjoining property. Picture No: 4 Shack on application property. Used for storage and changing of clothes by previous owner. Andrew T. Fohrkolb 1335 Fleetwood Road Cutchogue NY 11935 Warren A. Sambach Sr_ Consulting Engineer & Planner 7575 Cox Lane P.O. Box 1033 Cutchogue NY 11935 Applicant proposes to construct stairwats from top of bank 0 'N to beach area , a fixed pier 31 x 261 , a hinged ramp 31 x 61 Farms,W. 1-10 and a 61 20 , floating; dock . k 41 SITE C.V,, utchogz ar H -bt-r -5. Horseshoe. ....... :Marsh pt... N Cove-` ri U.S.GEOLOGICAL SURVEY MAP c>7 #?pit ocie 0 ,relp P 1 17 1 Inv XQ) gaig-r6pli ALFv4"1-y7 .4� \11C,(no N�l l� � �02,5 \ s q� � &L 0 0 ti NO 00 �o ,- GL 31.9 EL 3a4 GLIB.,\ GL 1.9 &AP L­0 T P L A N 0 —fd7leVojapl H.y. flfj�r SCALE: 1"=40' PROPOSED PIER, RAMP" & FI;OAT..;- EAST CREEK CUTCHOGUE NY 11935 • ANDREW T. FOHRKOLB WARREN A. SAMBACH SR. P.E. TAX MAP No. 1000-137-04-30 MARCH 1 1995 zEv: *LOT PLAN FROM SURVEY BY PECONIC SURVEYORS, PC D toV�L i +29•d r t 1 �i 1 I ' II ' � lit SA NO �v I I I I MEAN HI6N I I 1 I WATCP-. JJ I MEAN Lml I I W/iTet+, eta i l I I VEPTW of PLY14ETEAT109 to I r C R O S S S E C T I O N SCALE: 1/8'=1,0' PROPOSED PIER, RAMP & FLOAT EAST CREEK CUTCHOGUE NY 11935 ANDREW T. FOHRKOLB WARREN A. SAMBACH SR. P.E. •' MARCH 1 1995 OF 1 . Meeting of 4/20/95 No. 1243 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 K. SIMON 86-6-3.1 to build 23' x 32' garage on westerly portion of property with access bridge across wetland area. Approximate size is 10' wide x 50' long, raised 8' above wetland area, supported by concrete piers on each end. 379 Wood Lane, Peconic The CAC recommends approval with the stipulations that the applicant use sediment barriers (silt fence; hay_ bales) during construction; any driveway surface be pervious to rainwater; and all disturbed ground be regraded and planted. Vote of Council: Ayes: All Motion carried. No. 1244 Moved by Jack Hagerty, seconded by Bruce Loucka, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH STIPULATIONS of the Wetland Application of ROBERT MALLCRAF 79-1-4 to remove and replace 75 I.f. of existing bulkhead. Bulkhead will attach to and be same height,as new bulkhead to east. Backfill with 15 c.y. of clean fill to be trucked in from upland source. If necessary a 10' return will be built on west side if proposed wall of Keely is not constructed shortly. Repair an existing 9' x 12' deck by replacing decking, railing, etc. as needed. Remove existing deteriorated 3' x 32' fixed pier and replace with 3' x 25' fixed section (minimum 4' above grade)' 3' x 12' hinged ramp' 6' x 16' float secured by (2) pilings. 500 Goose Creek Lane, Southold The CAC recommends approval provided the lawn between the retaining wall and bulkhead is removed and replaced with a non-turf buffer. Vote of Council: Ayes: All Motion carried No. 1245 Moved by Robert Keith, seconded by Patricia Isaksen, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH STIPULATIONS of the Wetland Application of ANDREW FOHRKOLB 137-4-30 to install stairway from top of slope to bottom of slope, pier 3' x 261, ramp 216" x 6", 5' x 25' float. 670 Holden Avenue, Cutchogue The CAC recommends approval provided the stairway is elevated 3' off the face of the bluff; replant to stabilize; and stop mowing the spartina at the base of the bluff (violation of Town Code) . Vote of Council: Ayes: All Motion carried. No. 1246 Page 3 gpFFO�,�co Albert J. Krupski,President �� Gy Town Hall John Holzapfel, Vice President c < 53095 Main Road William G. Albertson 0 P.O. Box 1179 Martin H. Garrell y �� Southold, New York 11971 Peter Wenczel ��j �`a� Telephone (516)765-1892 Fax(516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 29, 1995 Stephen Angell, Chairman Southold Town Conservation Advisory Council Southold Town Hall Main Road Southold, NY 11971 Dear Mr. Angell: Transmitted herewith are the following applications for. a Wetland Permit: Susan Norris SCTM#123-9-1 (Grandfather) Thomas G. Rafferty SCTM# 20-3-11.8 Alexander Harvey SCTM# 11-1-12 Andrew Fohrkolb SCTM# 137-4-30 Please prepare a written report of findings and recommendations with respect to this application. Very truly yours, Albert J, Krupski, Jr. President, Board of Trustees AJK:djh MAR 2 31995 OF 0 � COL f PICTURE DESCRIPTION FOR ANDREW T. FOHRKOLB PROPOSED INSTALLATION OF STAIRWAY, PIER, RAMP & FLOAT AT 1335 FLEETWOOD ROAD EASTSIDE C EAST CREEK CUTCHOGUE NY 11935 Warren A. Sambach Sr. Consulting Engineer & Planner 7675 Cox Lane P.O. Box 1033 Cutchogue NY 11935 PICTURE DESCRIPTION Picture No: 1 Looking northwest towards property. Approximate property lines shown on picture. Picture No: ' 2 Close up view showing float tied back, Picture No: 3 Looking in a southwesterly direction, showing existing piles from a pfrevious structure, float, adjoining property with piles and walkway, storage and changing shack. Stairway is on adjoining property. Picture No: 4 Shack on application property. Used for storage and changing of clothes by previous owner. Andrew T. Fohrkolb 1335 Fleetwood Road Cutchogue NY 11935 Warren A. Sambach Sr. Consulting Engineer & Planner 7675 Cox Lane P.O. Box 1033 Cutchogue NY 11935 t }2g.d i - r• SAND SANG vv� � N Nt�All H16N 1 i 1 WAorca-, 1 1 LorJ Lia 1 1 i 1 Wazca,__— PEFTN -Of P ETeATfog l0 I 1 CROSS .. SECTION SCALE: 1/8"=1'0' PROPOSED PIER, RAMP & FLOAT_ EAST CREEK CUTCHOGUE NY 11935 ANDREW T. FOHRKOLB WARREN A. SAMBACH SR. P.E. MARCH 1 1995 2 of REY; 5-z3-q5 4 7- Il5 s ] __ CRONMENTAL QUALITY REVIEW COX SION ;.i ENVIRONMENTAL ASSESSMENT FORM (EAF) Please- complete the entire Data Sheet. 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. It is expected that completion of the EAF will be dependent on information currently available and will not involve new studies, research or investigation. If information re- quiring such additional work is available, so indicate and specify' each instance. .NAME OF PROJECT: NAME AND ADDRESS OF LEGAL RESPRESENTATIVE Stairway, pier, ramp & float Andrew T . •Fohrkolb (Name) P.O. Box 252 '67.0 Holden Avenue (Street) ADDRESS AND NAME OF APPLICANT: Cutcho ue T__ DTY 1 ,, 11935 ' Q. u (P.O.) - - (State) (Zip) Andrew T. Fohrkolb (Name) Business Phone: 516-734-"t(SK9: P.O. Box 252 670 Holden AVENUE (Address) j Cutchoauev NY 11935 (P.O.) (St-ate) .(Zip) DESCRIPTION OF PROJECT:. (Briefly describe type of project or action) Stairway from top ofL• ' slope to bottom of slope, pier ,3 .0 ' x � 61 , ramp 2 �6" x 61 , 5 ' x 25 ' float in East Creek, Cutchogue NY 11935. A. SITE DESCRIPTION (Physical setting of overal project, both developed and undeveloped areas)', - 1. a) General character of the land: Generally uniform slope Generally rolling or irregular X b) Approximate percentage of proposed project site with slopes: 0-10% greater than 15% 2.. 'a) Present land use: Industrial. Commercial Residential X , Open Space Recreation , Office , Other b) Surrounding land uses: Industrial , Commercial , Residential X , Open Space , Recreation , Office , Other 3. Total acreage of project area: 0 .4 acres. After ;After Approximate acreage: Presently Completion Presently, Completion i Meadow or Brushland acres acres . Surface Waters acres acres, ;.., Unvegetated (rock, Forested 0.4 ccres• 0.4 acres earth or fill) acres acres., i. Wetland (Freshwater or Roads, buildings Tidal as per Articles and other paved 24, 25 of E:C.L.) Tidal acres _acres surfaces acres .� acres ; • (include areas contiguous to Other (indicate project area) Fresh acres acres type) acres acres 4. What is predominant soil type (s) on project site? sand 5. What is the depth to the water table? 6.01 ft. 6. Will surface area of existing lakes, ponds, streams, bays other surface waterways be increased. or decreased by proposal? Yes 'No. -1- R% PROJECT DESCRIPTION 1. Physical dimensions and scale of project . (fill in dimensions as.-appropriate) a. Total contiguous acreage owned by project sponsor 0 .4 acres. b. Project acreage currently developed: 0 .0 acres, proposed 0.0 acres ultiaiatelyO. 0 acres c. If project is an expansion of existing, indicate percent of expansion proposed: d. Number of off-street parking spaces existing 6 ; .proposed 6 e. Maximum vehicular trips generated. per hour vary (upon completion of project). f. If residential: Number and type of housing units: initial 0.0 ultimate g. Total height of tallest proposed structure N/A ft. h. Zoning: i. What is dominant zoning classification of site? (within ' mile radius) Residential One family residential ii. Current specific zoning classification of site. One family R-40 iii. Is proposed use consistent with present zoning?yes iv. If no, indicate desired zoning. C. SITE PREPARATION I. How-much natural material (i.e. rock, earth, etc.) will be removed from the sites • 0 .Otons 0.0 cubic yards 2. How many acres of vegetation (trees, shrubs, ground covers) will- be removed-.from site2 0.0 acres. ' 3. Will any mature trees (greater than 8 inches in diameter) or other locally important vegetation be removed by this project? Yes • X No. 4. Are there any plans for re-vegetation to 'replace thattemoved during construction? Yes X No. 5. If single phase project: Anticipated period of construction 3 months (including demolition) . 6. If multi-phased project: a. Total number of phases anticipated 1 b. Anticipated date of commencement phase I -i _month 99 year; :. (including demolition) . c. Approximate completion date final phase 8 Month 9`year d. Is phase I financially dependent on subsequent phases? Yes. X No. 7. Will blasting occur during construction? Yes X No. 8. WI.11 project require relocation of any projects or facilities? Yes X No. If yens, explain: D. WASTES 1. a. Is surface or subsurface liquid waste disposal involved? Yes X No. b. If yes, indicate type of waste (sewage, industrial, etc.) c. If surface disposal, name of water body into which effluent will be discharged. 2. a. Does project involve disposal of solid waste? . Yes No.X Estimated daily volume N/A b. If yes, will an existing solid waste disposal facility be used? Yes No._ c. If yes,' give name: location d. Will any wastes not go into the County sewage disposal system or into a sanitary landfill? Yes No. N/A ' E. OTHER CONSIDERATIONS 1.* Will project use herbicides or pesticides? Yes X No. 2. Will project routinely produce odors (more than one hour per day)? Yes X No. 3. Will project produce operating noise exeeding the local ambience noise levels? % Yes X No. 4. If water supply is from wells, indicate pumping capacity. N/A gals./minute. 5. Total anticipated water usage per day. N/A gals./day. F. APPROVALS a. Is any federal permit or approval required? Yes XX No. b. Does;:project involve State or Federal funding or financing? Yes XX No. ., I _ EW YORI< STATE DEPARTMENT OF S'I"A COASTAL MANAGEMENT PROGRAM COASTAL pgoGFIAMS OPP, X I/ Federal Consistency Assessment Form MAY 2 2 1995 An applicant, seeking a permit, license, waiver, certification RECEIVED ect to the New York State Coastal Management Program (CMP, shall complete this assessment form for oval from a any proposed al agency activ activity thch is lat 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 0 5 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: Andrew T. Fohrkolb (please print) 2. Address: P.O. Box 252- 670 Holden Avenue Cutchogue NY 11935 3, Telephone: Area Code ( 51�-734-2889 B. PROPOSED ACTIVITY 1. Brief description of activity: Install stairway top of slope to bottom of slope, pier 3 .0' x 26 . 01 , ramp 2 . 5 ' x 6. 01 , 6 .0 ' x 20. 0 ' float 2. Purpose of activity:anchor my boat at my property 3. Location of activity: Suffolk Cutchogue, NY 11935 1335 Fleetwood Road, eastside County City, Town or Village Street or Site Description 4. Type of federal permit/license required: Joint NYSDEC & Dept . of Army Tidal Wetland 5. Federal application number, if known:_ Dept . of Army 95-03770—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: New York State Department of Environmental Cons . 1-4738-01095/00001-0 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 docurnent (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? 01, 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) . d. Reduction of existing or potential public access to or along coastal waters? 0 9, 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, develnpmenr and production.of energy Y„ ., X resources in coastal waters or on the Outer Continental Shelf? (29) -- g. Siting of a facility essential to the generation or transmission of energy? (27) . X h. Mining, excavation, or dredging activities, or the placement of dredged or fill material in — x coastal waters? 0 5, 35) . . . . . . . . . , L 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) 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) x 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) b. Federally designated flood and/or state designated erosion hazard areal (11, 12, 17,) x — c. State designated significant fish and/or wildlife habitat? (7) x d. State designated significant scenic resource or areal (24) X e. State designated important agricultural lands? (26) . . . . . . . . . ' ' ' ' ' ' ' x f. Beach, dune or barrier island? 0 2) . . . . . . . . . ' ' ' ' ' " ' ' ' 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 x I. 3. Will the proposed activity reauirL, f/ of the following x a. Waterfront site? (2, 21, 22) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b. Provision of new.Odblic services or infrastructure in undeveloped or sparsely populated _ x sections of tl gq coastal areal ;(5) • • • • • . • • • • • . . . . . . . . . . . . . . . . . X C. Constructi'pri oi},e66'� trlJctiori of a flood or erosion control structure? (13, 14, 16) . . . . — d. State water quality permit or'certification? (30, 38, 40) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ x e. State air quality permit or certification? (41, 43) • • • • • • • • • • • • • • • • • • . • ' . • ' ' . • • • • • ' • . 4. Will the proposed activity occur within and/or affect an area covered by a State approved local waterfront revitalization program? (see policies in local program document) . . . . . . 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 e. If this certification cannot be made, the proposed activity shall not be waterfront revitalization program, as appropriat 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." XI#X(MM/Agent's Name: Warren A'. Sa.mbach Sr . Address: P .O. Box 1033 7675 Cox Lane Cutchogue NY 11935 Telephone: Area Code( 51C-734-7492 tZ N Date: May 17 1999 Applicant/Agent's Signature: 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 ofthe appropriate local government. FCAF Revised 12/6/93 -2- c. Local and Regional approvals: s Approval Required Submittal Approval (Yes, No) (Type) (Date)` (Date) ; i Town Board Town, Planning Board Town, Zoning. Board County Health Department ; I County D:P:W. State 'Agencies NYSDRC Permit OtherTown Trustees X Permit 'i C. INFORMATIONAL DETAILS i Attach any additional information as may be needed to clarify your project. If there are or may be any other adverse impacts associated with he proposal, please discuss such impacts` and the measures which can be taken itig e r id them. p • REPARER'S SIGNATURE: � .TITLE: Owner Andrew T. Fohrkolb REPRESENTING: .. Self - � DATE: March 1 1995 ' 1 -. -3- 1995 a ? i S n,•nen 1 2-aqT • f-ia.tt R I.t EIt r /\• f•rf•kl p !f}•ef nstref / / '• / •••i xuo,rfo e.e,.al. i / / / • f.0-13Jf /• / / / / �. fr30• / / / LUIS /f f/ / e / =' ♦ /i / 4 yL S[[ SEC.x0. .33 1\ r 1 O r P � •� k o .e '2 IN ' 6.4 I � � Lukl 7 R� to. 4 t Wr is to eq an sf 50 C 11.a` ` .`• � e tD k ss fE _ I,; 4 +• ,i faq f �I. e Y•am orxa•nrt, Yrtu•(a / b .\ QO• - ••t RnwR�rxt—rmLoan,a trfrnna• •ohet .• ,P ' ,�' fcxooa. L... t(.n_ ••r _ . . ••..nnca. •vna. • wrt a. f �." f•+s A rw( �• rr•. �..fYr•o�a• yard rio �. NNr - ...11.__.. •r1• R r.OrL�lix,i llH�itt CIS �` °%I •an_ B _.•K•m •r,".rR Legend KEY MAP © COUNTY OF SUFFOLK To'Mof SOUTHOLD ettTtoMwo. ■KMAEL e.kRER,IN. r"�b.R■Lr e...rl� ��� r•.01..U. __.r.—_ Mr•�rpmlo 4v--.M•—• fw.lx.•LwM Iar LI _ im t.�..ate.• T.wlw H.G—L'+• __��-- Re...a.w�x tW_ R.—_ ar ow.rw. .' Real Property Tax Service Agency vlw,ctof 137 .f.et).ar —�— r ° t...J"E.r.... _... i RMn%►w•d.•.b • --•L---F-1 0 Y.Irbw..W erf Count conler R.wr f ttMll.l, ►.LdWa•LI.. ��.._—. I...IM a o.rJw ILl/t 110 ba scactwraT y DISTWTV0.1000 Aw _� S.Y.•04~LW 5...0-0Lw _—,)_—_ S"..r eMM Illl da.lr.t x•w Htld Riverhead,L.I.,New York PROPERTY MA - o.+rc...l.n� — - ---T- — _ - — — - - — — — - - -11, ;I* , .. ' I -rt, -, stair from top p of bank -Nassau Applicant proposes to construct F 31 x 61 a t each area , a fixed pier 31 x a hinged ramp '20 o b 2- and a 61 X 20 ' floating dock . A •41'- aywaxter SITE 'Cove K u t c h o g i,e arb H,,,eshoi a..rs V. LID U.S.GEOLOGICAL SURVEY MAP TOWN � t �°��- nit Li & 167 tj L A� < 0S, r-L 1312-\.41�0.1Q, 0 0 N GL ---L�Q-T L_-'A N 0 ­,j7,c1taozw, H,�I. tlmr SCALE: 1'=40' PROPOSED PIER, RAMP'-& FLOAT- EAST CREEK CUTCHOGUE NY 11935 ANDREW T. FOHRKOLB WARREN A. SAMBACH SR. P.E. TAX MAP NO. 1000-137-04-30 MARCH ' 1 1995 Dwrz A z .PLOT PLAN FROM SURVEY BY PECONiC SURVEYORS-p— C. 1a �-��- !�'=� ��-i`•���1—`�_!' ram.. —� IT- �r. !'!����—'�_ � �r-ram`•r t sRM. iw � ;y.yflc y �♦ :w2�a:� 'r .i.! �.t ••--sue_fr �ti .rS4�*v - -