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TR-4323
James F. King, President • ~QF ~QUry • Town Hall Annex Bob Ghosio, Jr., Vice-President ,\O~ Old 54375 Main Road P.O. Box 1179 Dave Bergen l~l ~ Southold, New York 11971-0959 John Bredemeyer H ~ Michael J. Domino '.Q` ~ Telephone (631) 765-1892 0~~,~ourm,~ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 19, 2013 Evelyn & John Braun 14 Long Bow Lane Commack, NY 11725 RE: 680 DEEP HOLE DRIVE, MATTITUCK SCTM# 115-12-9 Dear Mr. & Mrs. Braun: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, June 19, 2013: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit #4323 from Richard K. Frerking to Evelyn & John Braun, as issued on May 26, 1994. If you have any questions, please contact our office at (631) 765-1892. Sin rely, y o~ James F. King President, Board of Trustees JFK:amn ° SUFFO~,~- lames P. Ring. President Cpp-- P_0. Box 1179 Roh Ghosio, .Ir..Vice-President v'y .Southold. NY 11971 Dave Heroen ~ ? Telephone (631 765-1892 john RreAemeyer G ~ Fax 1631) 765-b64I Michael I. Domino y~of ~ ~aoT. Southold Town Board of Trustees Field InspectionNVork Session Report EVELYN & JOHN BRAUN request a Transfer of Wetland Permit #4323 from Richard K. Frerking to Evelyn & John Braun, as issued on May 26, 1994. Located: 680 Deep Hole Drive, Mattituck. SCTM# 115-12-9 Type of area to be impacted: ~!FEi~ urr ~ r Saltwater Wetland Freshwater Wetland -Sound -Bay ' Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: ?Chapt.275 Chapt. 111 -other Type of Application: Wetland Coastal Erosion -Amendment _Administrative_Emergency Pre-Submission Violation ~/>t ~-rs ~ Info needed: Modifications: Conditions: / ~ Present Were: J. King B. Ghosio D. Bergen, J. Bredemeyer Michael Domino D. Dzenkowski other r ~~i ~ Form filled out in the field by - ~ J F I ~ ` ~c ~ j Mailed/Faxed to: ~ ( ' ~ i Date: vl~ _ j i i \ \'y 0 ~ ~ ~t L _ ~ . _ L.:_...: ~ _ t Y ~ `:4..' s i B©ard of Southold. T~av~m .Trustees SOUTHOLD, NEW YORK PERMIT NO.:y.~.~ DATE:....51Z614.4......_ ~ 15SUED TO ......_i?LG#Ai?~ x FRERxT1VIG. , , ~utl~nr~~#~vn Pursuant to the provisions.of Chapter:blS of the. Laws of t i 'i Atha State of New York, 1893;. and Chap}ei 4Q4 of the Laws of the i ? State of New York 1952; and tl:e Southold Town Ordinance en- ; 'r ~ titled "REGULATING AND THE':PLACII~FG OF OBSTRUCTIONS 4:~' IN AND dN .TOWN WtATERS AND PuBGIC LANDS and the I' i. L REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS: FROM LANDS UNDER, TOWN' WATERS;" and' in accordance with the ~ ~ ~ Resolution of The Board adopted bta meeting haW on ...S/2te1.4.9:.... , P 19....2!t.., and in consideration of tka sum' of ...83Q OA id b j,,, S Pa Y 'a ,jtlCIip,RD , I4 FRERKING R i~ ji of ..:Ixiathtuck. N. Y. and subjeef to the ~i Terms and Conditions L"sted on fhe reverse side hereof, ' 11' of Southold Town Trustees- authorizes and permits the foAowing: ~R To cobnstruct a 3' X 50' catwallc; a 4' X 12'. ramp and a 6' X 12' .floating -dock in a "T" configuration. Catwallc to be elev. 4' ' above marsh, & project approved subjecb to sho;ten3ng if a pro avith vi atiou gole~C}~eek . ;~i: ~ e11 in eeortlence wiitl tfie detailed spe~wtions as presented iq i the originating appl'ieation. IN WITNESS WHEREOF, The.said Board of Trustees hart by causes itz Corporate Seal tc ba' aff'uced, and tMse ppnsanh 10 ~~F be subscribed by a majority of the said Board as of this date. s ~ h. i,,. _ . . I ~ i ;i: , o ~ j ' ~~j i , 4 4 I I I - I ICI i. ~ ~W (~mv f6[Fx14 I L6 W Ta ~.1%f MN Ib~y[~ag1 2N~m L~„x u!<~, ~ -tai [fy.K bt¢~j ~~iw~tw[ 'q ay ~'id YOaF![Jr6~ aN~rrl ! Cct OxTGO. y ~y WurWe /MMIM~MIyYyI/-, ~ II I~ yyy I ,1 ~ i 1 u!e1o ss+h 'TTY: ~TT"~ 1 h I i:l .11 ~ ._..m_. i f a i _ _ Yxanp6 ~ I maNK ~ r` NW~a w'~N Nags ~N.Fterµaxp ' I ~ ~ c i IS[~~ afTti .'.i +41er s, to I.I. _-°~.1`~.. Y~ ' ~ re. I ' i _ I - i ~ a L ~ _ : .a. i ~p'.e' I e [~_a u' . _ .I i t, I " f ~ as n c VM O 3: i .~I ^ I.w" _ ~ r _ 1 A M11x[ I ~ , 1 cleat 1 ' .•`ic_ - ~ L : ~ Ol xa~ lD/[p p0'F11[ga 11 ea.luaa I .1 -T~'~~) aaaul~eu _ ypo in _ fiM'TOi 2 cano¢w eenwx r ~1 il. of PNCK SxGnMp - LL, it I~ ~ - •~i S~xgM=. fe"W .wn' i I~ ~ ~ WNT' NJ s6a yaHOY MK1 nQ l1y MnYlrllfONr) 41NIf Nay W2fiVIYMM{A ~ ~ 'oa a ' 2l 41Y6sN2 A[C.{ NIO M[wN grxcMal WcNpelaS '3-4' Af prJRE F"7' A 1 ~ IBS. ei ' ' F.lfugrWN y E+a5(lu4 UNVSglp+6 canlnt(IoNS n.x c x I. r e c. r «I' ~ '~"l~ ~ ' iM""Ce' M.MSU- M1MRI'fIKK ~4)w YvICK_ cx~w ~lerr r~r~ .M~irYin ' ~ia°~°.me~ $.s WPr~ w~l~l~a=,:_:_ 1 a~ 1 - „ @e»o.a ~9_ >„m - aWq um~. 9 ae ~6~6 Q• ~~K ~ .wn ~ 8 ea a "~fi n.eeu.rne • e i ga.n „e„~. O awn sou S ~ry ~wx O d E \ t~ ^p me~.ivnu aVh t ~ 1~ ~Yal A S •m•wnm' nWY ~YW Y • ~ a ' 9UFF0.K mnm n ••v+y ~~n ..9~ •an :m ~ ^1 • r9 1 „ un ~ L ::iM 1 e / u'ya ~ • ~n~aa.: ~I a • a Se+ aaa¢ \ e.~o. I Np~` •~S e.ew E~ aic~in~ ,~~p n a n 3 ~amm~ q~ ei w ~xcc xa. 'F ~ • e ~ 4 J r e • f . _ _ i e e u nawp urt wrtn uwe • ~ vm r A SFY[.W..n ~ s°`°°5 n~ $@ w - r1onc¢ COUNTY OF SUFFOLK © a eouxxo _ _O-_ ~ s RraahMTr~SeMCeAPrcf 6 ti,___ ~ _ m e. TTS James F. King, President ~QF SO//ry Towa Hall Annex Bob Ghosio, Jr., Vic~President ,`O~ 0~ 5437b Main Road P.O. Box 1179 Dave Bergen J~[ J~[ Southold, New York 11971-0969 John $redemeyer Michael J. Domino ~ Telephone (6,91) 765-1892 ~y~~ ~ Fax (631) 766-6641 C 0~/~ hI BOARD OF TOWN TRUSTEE ~ ~ -J S ~ MAY 1.6 2013 J TOWN OF SOUTHOLD c,.~::~~~id'ov~ ~r tT. .~,i.-.- APPLICATION FOR A TRANSFER OF A WRTI.AND PERMIT DATE .iJ l'/~l3 ~ OWNER Gvclyn ~ John ~ra~~ PHONE G3~-36P -/53 3 MAILING ADDRESS / Lo r~ B~ (-~`"L- (A mm cock /yy 1J S"~ AGENT PHONE ' ADDRESS PROPERTY LOCATION G g~ I~ee ~ Llo jc, l~i~ ~e ~/Q ~ /-r c,~.- TAX MAP NO. r/7 3 P 8`) //S~. ' " y I U~_ Cve I y„ a Jo tin /_jrakn request a Transfer of f Pennit# ~3 from Pt~char~ k. Fre~,~~ i Signed By: •t+ a�.�f�� � 4/ � »�� �'"�J" \�/ �♦ .'//��, Ott" tiJy. :.;�a�`�� Y�:�.�.ylir't= ..!�\"/,� N� F�'.v> ��1. V 3. ,Jr•':.,Y ..v . '. Jr/ � ✓ t �' �G �rr:�_—x►'a =�����.- �',.__._—;---�-y'�'�'i - ----------.-fir vsTy�•}'"cam"�._'^�7i"�'s?"r'�'" i Board Of Southold. Town Trustees r -{I SOUTHOLD, NEW YORK ' ......... DATE: ......5./.2.6./9.4........ t �. . �. PERMIT NO. �.�. .. ISSUED TO ........ ICHARD...K.......FRERKING........................................................ Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952, and the Southold Town Ordinance en- !: titled REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the kwi `l REMOVAL OF SAND GRAVEL OR OTHER MATERIALS FROM ' LANDS UNDER TOWN WATERS;" and in accordance with the 2 4 Resolution of The Board adopted at a meeting held on ....5./....6,/9........ a;` " '� i i i L. 19....9.4.., an in consideration of the sum of $...83.4..0.0........ paid by RICHARD K.. FRERKING .................................. ................................................................................................ ...... a of ....M.attitu.ck........................................................... N. Y. and subject to the `:.� >*. Terms and Conditions listed on the reverse side hereof, 4 ya of Southold Town Trustees authorizes and permits the following: i ? To cobnstruct a 3' X 50' catwalk, a 4' X 12' ramp and a 6' X P 12' floating dock in a "T" configuration. Catwalk to be elev. 4'1j�� above marsh, & project approved subject to shortening if a prob" < aj! with avigation. Deep Hole Creek alln in accordance with the detailed specifications as presented in the originating application. r " . ; IN WITNESS WHEREOF, The said Board of Trustees here- !4 . 6y causes its Corporate Seal to 6e affixed, and these presents to 'a be subscribed 6y a majority of the said Board as of this date. F. v J. Y o� i c i �^ ,a .. .. .../p ...... t ter.+" a' ��a 9c.� t.i��,r -ca.�'..�.-.';'wSG�a:..Ys-�+1'"'rt 4r A!:..£ic—.,i7.:iT-,�M7' a r,:T..�:�•it�7/ d s;+�s_i�. .rs-e�t s y �•' a' r 1 !� 2111 . " A pry t_ 4.�v,q+ ��w�J A .. ,s• ��y `bra* •, r A W,G.. ', y rr � ' , t A Albert J. Krupski,President a h�0 oGy Town Hall John Holzapfel, Vice President 53095 Main Road Jim King y = P.O. Box 1179 Martin H. Garrell O Southold, New York 11971 Peter Wenzel y?��l �a0� Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 10, 197 Richard & Pamela Frerking 680 Deep Hole Drive Mattituck NY. 11952 RE: SCTM #i15-12-9 Dear Mr." Frerking, The Southold Town Board of Trustees reviewed your survey, dated and received in this office September 29, 1997 and found that. the proposed project to construct a garden. shed is clearly out of the Trustee Wetland jurisdiction. This determination is not a determination. from any other agency. If you have any further questions, please do not hesitate to call. Sincerely, 9 Albert J. Krupski., Jr. President, Board of Trustees cc. Bldg. Dept. o��g�FFO(,�co Albert J. Krupski,President ,`y� Gy Town Hall John Holzapfel, Vice President c < 53095 Main Road y P.O. Box 1179 Jim Kin g Martin H. Garrell y �� Southold, New York 11971 Peter Wenzel �oj �`�� Telephone (516) 765-1892 Fax(516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD. 'r July 7 , 1997 Pichard & Pamela Frerking R-80 Deer Hole Drive Mattituck, NY 11952 Re: SCTM #115-12-9 Dear Mr. & Mrs. Frerking The Draposed construction. of an .addition to an existing house on the above referenced property was reviewed by this office and found to- be out of the Trustees jurisdiction for A Wetland. Permit as per survey dated and. received July 7, 1997. This determination is not a determination from any other agency. . If you have any further questions, please do not hesitate to call. Sincerely, i Albert J. Krupski, Jr. President, Board of Trustees AJK/djh cc. BLDG. DEPT. y Albert J. Krupski,President p�0 COG Town Hall John Holzapfel;Vice President �� y< 53095 Main Road William G. Albertson y z P.O. Box 1179 Martin H. Garrell Oy �� Southold, New York 11971 Peter Wenczel �JOl �a0 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 22, 1994 Mr. Richard Frerking 680 Deep Hole Drive Mattituck, NY 11952 Re: SCTM #115-12-9 Dear Mr. Frerking, The following action was taken by the Board of Trustees at their regular meeting of July 21, 1994: RESOLVED that the Southold Town Board of Trustees grant a 6 month extension on your Notice of Action, bringing the due date for payment of $684. 00 on April 1, 1995. If you have any questions please call our office. Very truly yours, FEB f 6 1995 e2a4owi 9. _..`_��� Albert J. Krupski, Jr. LD President, Board of Trustees AJK/djh Albert J. Krupski, President �O�' Op Town Hall John Holzapfel, Vice President y1 53095 Main Road William G. Albertson y Z P.O. Box 1179 Southold, New York 11971 Martin H. Garrell Gy • �� Peter Wenczel 'jlp! �.a� Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 27, 1994 Richard K. Frerking 680 Deep Hole Drive Mattituck, NY 11952 Re: SCTM #k115-12-9 Dear Mr.' Frerking, The following action was taken by the Board of Town Trustees during its regular meeting held on May '26, 1994 regarding the above matter: WHEREAS, RICHARD K. FRERKING applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town, of Southold, application dated Apr. 1, 1994, 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 Apri1. 26, 1994 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 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, r RESOLVED, that ,the Board of Trustees approves the application of RICHARD FRERRING to construct a 3 ' X 50' catwalk, a 4' X 12' ramp and a 6' X 12' floating dock in a 'IT" configuration. Catwalk to be elevated 4' above marsh. Project approved subject to shortening if a problem with navigation. Located. 680 Deep Hole Drive, Mattituck. Permit 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 40' X $3 = $360 Ramp: 3 ' X 12' X $3 = $108 Float: 6' X 12' X $3 = $216 TOTAL $684 Very truly yours, Albert J. Rrupski, Jr. President, Board of Trustees AJK/djh cc. CAC l RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH STIPULATION of the Wetland Application of DONALD MAGGIO 86-2-11 to construct a dock as shown on submitted survey and plan of proposed dock. The CAC recommends approval with the stipulation that upland of the Mean High Tide Mark, the elevate the ramp to 4' above grade. ,. 3635 Wells Road, Peconic Vote of Council: Ayes: Bruce Loucka, Stephen Angell, Jack Hagerty, Patricia Isaksen, Robert Keith and Allan Connell Nays: Betty Wells Motion carried. No. 1131 Moved by Robert Keith, seconded by. Stephen Angell, it was RESOLVED to recommend ' to the Southold Town Board of Trustees DISAPPROVAL of the Wetland Application of RONALD STRITZLER 94-1-14 to construct a retaining wall 410' long, typically 6' above .grade, with returns at each end. Length of returns estimated from survey to be 12' at west end and 22' at east end; actual lengths to be determined during construction by intersection of top of retaining wall with face of bluff. Smooth face of bluff, in accordance with recommendations of Suffolk County Soil and Water Conservation District, to permit revegetation and minimize further erosion from run-off; use material resulting . from .smoothing as backfill behind retaining wall. The CAC recommends approval because there is no need. The CAC suggest the applicant stop" the runoff from the lawn and provide a buffer of natural vegetation or a berm to prevent the runoff. The Council also suggests the applicant stop throwing lumber and other materials off the cliff. 3055 Sound View Avenue, Mattituck Vote of Council: Ayes: All Motion carried No. 1132 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 RICHARD K. FRERKING 115-12-9 to erect catwalk and floating dock per submitted plans next to area, previously used as a boat mooring (stakes still exist. Catwalk 50' x 41; ramp 4' x 121; 6' x 12' float in "T" configuration. The CAC recommends approval with the stipulation that the catwalk be 3' wide and elevated 4' above the high tide mark; also the Council is concerned by the length of the project. The length of the project should be determined by need and must not extend beyond what is shown on the application. 680 Deep Hole Drive, Mattituck Vote of Council: Ayes: Bruce Loucka, Stephen Angell, Robert Keith, Betty Wells, Jack Hagerty, and Allan Connell Abstain: Patricia Isaksen No. 1133 Moved by Bruce Loucka, seconded by Jack Hagerty, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Wetland Application of CEDAR BEACH MARINE SCIENCE CENTER Page 3 ALL DOCKS AND BULKHE -3 MUST DISPLAY VISIBLE PE:_ T NUMBERS. ALL MOORINGS AND STAKES MUST DISPLAY VISIBLE MOORING NUMBERS. BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD , MAIN ROAD SOUTHOLD, NEW ,YORK 11971 NOTICE OF ACTION - NOT A PERMIT TO: RICHARD K. FRERKING. Please be advised that your application, dated April 1, 1994 has been reviewed by this Board, at a meeting of the Trustees held on April 26, 1994 and resulting in the action, as indicated below: ( XXX ) Application Approved. ( ) Application Denied. �. FEB 1 6 1995 � ( ) Application Tabled. L --'-_! t J Q COMMENTS AND REMARKS: Application Fee: $150.0OPaid Catwalk: 3' X 40' X $3 = $360. Due Ramp: 3' X 12, X $3 = $108 Due Float: 6' X 12' X $3 = 216 Due TOTAL DUE $684.00 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 90 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 TI1ME.:-IF T F E IS TAID BY MAIL, THE PERMIT WILL BE MAILED IN REPLY. C COMPUTATION OF PERMIT FEE: -$684.00 Due 9 FEB I ,6 19Q5 1M TOTAL FEE FOR THIS APPLICATION: $ 834.00i. . Signe • President, oard of Trustees y: erk, Board of Town- Trustees 10/87 Albert J. Krupski,President Town Hall John Holzapfel, Vice President �� y` 53095 Main Road William G. Albertson co z P.O. Box 1179 Martin H. Garrell Oy �� Southold, New York 11971 Peter Wenczel �j�! �a0 Telephone (516) 765-1892 Fax(516)765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 30, 1994 Chairman Southold Town Conservation Advisory Council Southold Town Hall Main Road Southold, NY 11971 Bear Chairman, Transmitted herewith are the following applications for wetland permit: RICHARD K. FRERKING SCTM #115-12-9 Please prepare a written report of findings and recommendations with respect to these applications. Very truly yours, Albert J. ..Krupski, Jr. President, Board of Trustees AJK/djh SUPERVISOR TRUSTEES �r`a�• ,.yam' SCOTT L.HARRIS 1 : '`I' 'w� Town Hall John M. Bredemeyer, III, President sF� ' :c Jr. Vice President f o z cn Albert J.Krupsla. a Z 53095 Main Road Henry •' P. Smith O,' :.- .r P0. Box 1179 John B. Tuthill Southold, New York 11971 William G. Albertson Telephone (516) 765-1892 ; Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only: DATE REC. N Coastal Erosion Permit Application Coastal Erosion Variance Application i]Ni�/Wetland Permit ApplicationWaiver from Chapter 97 (Application/perm APR I Trustee Lands Permit Application cation TOWN OF SOJTHOLD aGrandfather Permit Ap 4-�-9 N ./Completed App to 4� ✓Inspection date. 4- � /CAC comments-Date: Senty/`� f Rec. �Z Variance Required: (`�/N) rAPR a Neighbors notif ied-Date: SEQRA Type i Coord. : Date sent 9494 i �_SEQRA Determin. /date: i ublic Hearing/date: P ►, � Findings: Approved (Y/N) i Special Conditions: (Y/N) Application ee' . ( see file) i Permits) issuIt ed-date: '! 'j+:. O 'T S-/•2 - Date:. u Application Number;SCTM#1000- p k / a u -heP Applicant: �G a+- �I / ,,� A !/ NC Address: D-e P 6 2 7 S�6 z V 3 Qus Phone ( ) 0300 x307 Interest: (owner, consultant,lessee., etc Owner of Property: • SG � � 4,J 45 v Address Phone ( ) ' , P a �ovf • subject Property Location: al de LILCO Pole #; Distance to cross Streets if not on (Provi ' location map) THIS page 1 IS NOT A PERMIT 'Fds. to be excavated: VIA Yds`:.:,,to be f illed: IVIA Manner in which material will be removed-.or deposited:.-&&-- Width of canal, creek or bay fronting pro pertyi-- Depth at low tide• MaIN4 Aver. rise in tide: �7-•1� Distance to nearest channel: . Distance project . extends beyond similar projects in area: tA Area zoning: 21 Land area in acres: Is project for private or business use.: �h�yat Intended' use of property: /i e e p Co to Describe known prior operations conducted on premises: Has any prior license or permit been issued to erect structures:, dredge, or deposit fill on. said premises: Has any license or permit ever been revoked or suspended by a Governmental Agency: /V6 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 .necessary) . L rCC a� o� + wA. A a.% /oaf`+ e N &Xdej ( f&kW t �rll e XIJ THIS IS NOT A PERMIT -Page 2 - .t Authorization (Where the applicant is not the owner) I residing at (Print-owner of subject property) (Mailing address-phone) do hereby authorize to apply for Coastal Erosion permit(s). from the Southold Town Trustees Signature THIS IS NOT A PERMIT Page .3 :: SUPERVISOR TRUSTEES %� �^ v��, SCOTT L.HARRIS John M. By redeme er, III, President Jr. Vice President M �,•� " z Town Hall Albert J. Krupski, Henry P. Smith '~ '` n ': 53095 Main Road John B. Tuthill ''r,,` = 4�L P.O. Box 1179 William G. Albertson Southold, New York 11971 Telephone(516) 765-1892 Fax(516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 30 year Maintenance Agreement ; Erosion Protection Structures Chapter 37 Southold Town Code Southold Trustees as Administrator ` / l i I oG! Ciw� huMd S I (we) type or print name(sLa_612e the own s of recO o� p�operty At: (type or print street address) SC #1000- in applying for a Coastal Erosion permit for an Erosion Protection Structure do hereby agree oas a0 yea �rK- �ntenance program fo structure commonly known of as shown on the attached feet of length licensed survey of the as-built structure. It is my/our understanding that we are to maintain this structure with materials designed to sendurere0andathatnforrany equivalent to the original approved maintenance which involves more than 5%nin lengthtof this structure we are to. he givef r approval in all but true administrator, waiting for their h would seriously endanger life emergency situation' s whic , property and important coastal natural resource features such as bluffs or wetlands. . We further understand that failure to maintain the structure could result in..a requirement to post a as a bond and or have the repairtherTrusderetees thatesaidalack ofe property upon a finding by maintenance would risk life, property rare or a rr imp othreatened resources features including protected, animals and plants. l jNotajrize1dSigatugr7e of owner of r ord `SWORN TO BEFORE ME THIS 3� DAY OF ,19- UNDA L ENTREES Notary Public,State of New York No.4621964 NOTARY PUBLIC Qualified in SL#folk County �( Commission Expires June 30. 19q ` Please submit three copies of a licensed land survey made within one year of - the original construction. This maintenance agreement shall onlSbeenloW administrator. Subenersnmayeapplyltoptv al of. e heSoutholdTown Trustees to re-authorize this maintenance agreement. County of Suffolk ) State of New York ) A@� k1 ., BEING DULY SWORN ,DEPOSES AND ( Lr aT FOR CRIBED AFFIRMS THAT HE/SHE ALL STATEMENTSACONTAINEDEHEREIN DARE TRUE TO PERMIT(S) AND THAT WORK WILL BE THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND S MAY DONE IN. THE MANNER SET FORTH I THIBOAR �APPLICATIOF TRUSTEES. _ ND. -AAPPLICBANT APPROVED BY THE SOUTHOLD TOWN AGREES TO HOLD THE FROM ANY S�ALLD�G�EAND CLAIMS ARISING HARMLESS AND FREE USTEES FR UNDER OR BY VIRTUE OF SAID PERMIT(S) , IF GRANTED. IN COMPLETING THIS APPLICATION, H, TOYENTERORIZE ONTO MYEPROPERTYS' THEIR AGENT( s) OR REPRESENT TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SIGNA R SWORN TO. BEFORE ME THIS DAY OF�\�� ,19� LINDA L. ENTRESS Notary Public,State of New York No.4621964 Qualified in SLffolk Coup ttyy__2CC�� Commission Expire&June 30,19 -4 NOT PUBLIC Suggested' space for location Map THIS IS NOT A PERMIT :. MNT TO ENGO •a-SUPPLE i - ---- -- Coisiplie-:e and .si;. i'a; 'eZ:ola taib saaeriahs �equEs'ted .bao�s-ind_executed pIG Form-4345, "Application for a DA.permit'°. If necessatyveontieue item on an idditi.mal sheet. Identify entry by. item'number. 'GENERAL =_ 1. Period of time rgquired to complete. the proposed work..:.-..Both actual"work time_ and duration of_the project are4re wired (ire., thr a weeks.o work time over too- month-period), a h M� a Qr wet r` m- t- 2. Information eharacteristic ;of neighborhood .(i.e.V high, medium, or low density; residential; eoa:mercial, or industrial). 3. Types of adjacent marine structures and approximate distance from the project site. ivo Cal ffll l " fwq��- ;�s�.._�`laa.t_'�ti. ��_c� �Q�:�f_��►ON ro ,_.3 S� � ..- -----"- «-- Sark �e�� " 7d �t �.►o:� �o��or�j�% r - 4. Distance to .noise sensitive areas (i.e.,",schools, hospitals, etc). l� fb $c(e o I h o h ea»6 or :p� q r _ _ - S. Types of construction equipment to be-used during construction and number of each type (i.e., bulldozers, trucks, cranes, etc). P&1•4,s aid 4f.,J too/J 6. Submit representative photographs-,- color if possible,.of the project area. Identify pictures (i.e., view from north, east," etc., time and d to t en). out- N 7. Indicate on your project plans and on photographs of the sites) the location of any wetlands vegetation (such as cordgrass, reedgrass and ce tell ) in the construction area. . Identif ... hoto ra hs as indicated in box 6. •� !J 8.. Indicate 'the location of. any known historical or archaeological aite(s) within the .Rrojeci,.limita t 9. Submit copy of any completed environmental studies or reports on the proposed project. 10. Discuss alternatives to the proposed project which Were investigated including alternrtive locations, disposal areas, construction techniques etc. and why they were rejected. - I t. I �,t /�J . e ��I.yvlt wi�, OY aKtlt Id IV rJ 0�,� r� ��•.!• f�" /Al-fit4ve Ad* 11 MANY FORM-201_ �[ Feb 78 Q•�T • DREDGING UPLAND DISPOSAL 11. S`:bmiE a�e c_ == `== - _-- - ��.��-�Y„�, So6i01 is Iry avae` of the proposed sites) To.r the d�epoai ��on o µre Sed a terial.�I gntffy all photographs as 1.4 ------------ 12. Describe the .present land use of t e aposal site(,). All 13. Indicate physical nature of dredged saterial- (i.e., sand, gilt, clay etc). . Give percentages of the carious fractions, if available. - 14. f'or maintenance dredging, DA permits are generally issued fora 10 year period. indicate the number of times dredging is anticipated over a 10 year period and the total capacity (cubic yards) of the proposed disposal site(s) which will be used to accommodate the dredged.:material.. 15. Describe method of dredged-material•don tainment_(i•.e.,' embankment, bulkhead, etc). DREDGING z 0PEN WATER DISPOSAL ` 16. For maintenance dredging, DA Permits are generally issued for a 10 year period. Indicate the number of times dredging is anticipated over a 10 year period. C 17. Submit required testing data (testing criteria will be furnished upon- iequest . 18. 'Discuss alternatives to opera water disposal of dredged material and why they were rejected. MOORING FACILITIES 19. Number of water daft usin the present marina facility. Are pumpout facilities available? �� --� 20. Number and type' of eater craft which will utilize the proposed marina or docking facility. Wil tp out f fi�jiti be provided for? z lecrju-`f e" -Up* ,l Dace 20�eaf�arr•J� -' N,�u��wf r-e u!^!..{ 1 LAND FILL 21. Indicate type of structures to be built on the proposed fill. 22. Type of fill to be used (i.e., sand, stone, rubble, earth, .etc). 23. Method of fill placement-. 24. Describe any proposed methods for controlling turbidity during.filling operation. t .. MANY FORM-201 Feb 78 (back) -7✓4—Gil'' I h� 7 ...G6c>tRla D ua --ITS C7rv.)—� o ��W T.(n j — 2r8 CLc t rucc4r. 9 ;n •' eroa_ 7•Mrnt>-- II —"2i6 ctq GL'cTc ;'n'ri waa[b ' Jnl^,�S �l•L.wnw•' 2a4 CRest 6vlrC• '�-- .� •e ._!<., •EdfEo.... ! In y /VVV �'•''l' I I tle.Tam ill I �'�LO eAT1oVf �_' 'MQnf7110H—..• AO 02 mqL--L 1 I I � _ 2t.oit) 2teYt1 �= �'���• ' !� I� I is .� ��� • •I I: � • .. LI-1_'I•f_ _.: _•3a_11._.1. .i Iv 77 fl I ; ! I {IJ YI - �'�• I tl (I�I Irl kfll t;III I li 1+1 L!L?_l10.�GflCE1L � � �r:iau a �'7xIST4y A/IL'fr. _M•fCL ur+E 4H.&A A•'A Ir _Iu:U:%; Tzl It ' yne roeT( � «� � � =-Rn)S TAr•PJ•I Re.. . � .,• r trrp �j ._+_ I -tol -.�levGt�%TA ki.�y Cf. I. _ Q _AK5EN6 VS!f 1 y=—Co o 1e0 3UMI •II II II'� ��i..4 HI�N 'e 4f✓el�f *-N. 'A Ion.I I E,k snN4 •T(I��• ! I' IS +' li' I I •... - r. .- r�'s-•}•v4EfC3 q A!�IDGtK M1UmrtN �.�I t.�I aL er. • iU: ( I .II {�' 1 I,I�. 1 •' MNea•{;,.T•�_, - Y-�++-Tlo .. _ ol_OGe a a n' (� h �" ! I••I�il '�• 'I'+:� 'III. Lt I I( ),.Ir{ I; �:I. I ... __ — � I i�. I'I. 1•� 'I�l:�l :( •.,+ I( �!'i�;.11ll'.I 1, ��rl�i?Vi I:I; 3�i�aa _ed-Ee:e� 'I f_ .I:IGHT,leul_76.1'•- "--g,l.NDy—. ..-OAeeHAQ1S-N•1LIr11rOUj - aHNePNIU-6R.EVILI4UG.lf/1 �.. 'I" �• � , '• t -_ _._____ ___.�_—._......._ •2.1, GR.teees_ A4CA ANO MfC1CAV SAC b coif .- ..66AeH 4"Cf •7 -- Ln �ftr�.2W1JGi RES��riFi 6l EUnOhl,,.."J/FXI;qj 1JQ LAMO5U1 M-COt V n1 ON$ A..R C H I T E C.T G1C6)o Fbl E fG�Nlsi .61 Reatdentlal WAIN T1.�It NtW`folm Cemmarttal Indufltld 279 C1e.rAm Ae of Mark K.&h"du AI.A FgCOI-Y-W X a to IMN • S-0.1d,My York 11971 (516)766•4775 4.-i S-71 ttII • RN_q/11J,] S D1' OWF"s J IVI ;do 11-4 d 13 , WO t NY iou 7/? 2 27 337 1� prth / 00a � I`o h NI , QI 71P 2 q- 12 2 �� Apr T3 - 12- ( 70 -12 r NE RK STATE DEPARTMENT OF ENVIRONMENTAL CONS ION EFFECTIVE DATE DEC PERMIT NUMBER 9X FACILITY/PROGRAM :NUM:181E:R(S) PERMIT EXPIRATION DATE(S) (TW S P 1 under the Ernni r«,mertta l Conservation Law TYPE OF PERMIT 8 New ❑ Renewal ❑ Modification ❑ Permit to Construct ❑ Permit to Operate a 6NYCRR 608: water Quality ❑ Article 27, Title 7; 6NYCRR 360: a Article 15, -Title 5: Protection Solid waste Management of Waters Certification ❑ Article 15, Title 15: Water ❑ Article 17, Titles 7, 8: SPDES OticLe_ Hazardous7WastelManag6ementR 373: Supply ❑ Article 19: Air Pollution Control D. Article 34: Coastal Erosion ❑ Article 15, Title 15: Water Management Transport ❑ Article 23, Title 27: Mined Land ❑ -Article 36: Floodplair. ❑ Article 15, Title 15: Long Reclamation Management Island Wells ❑ Article 24: Freshwater Wetlands ❑ Articles 1, 3, 17, 19, 27, 37; ❑ Article 15, Title 27: Wild, a Article 25: Tidal Wetlands 6NYCRR 380: Radiation Control Scenic and Recreational Rivers ❑ Other: TELEPHONE NUMBER PERMIT IS ED TO ADDRESS OF PERMITTEE - r- TELEPHONE NUMBER CONTACT PERS N F PERMITTED WORK NAME AND ADDR OF PROJ T/FA ITY LOCATION OF PROJECT/FACILITY COUNTY CITY WATERCOURSE NYTM COORDINATES N: DESCRI ON OF AUTHORIZED ACTIVITY Construct, reconstruct, replace or repair open pile catwalks ordocks having a maximum surface width of 4 feet; and instal or replace flo ting docks and ramps. NOTE: Add t onal acttvtties described on page (3) are also approved under this per it if the ad�otntn box is checked and the proposed work is shown on the approved plan. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the Environmental Conservation Law (ECL), all applicable regulations, the General Conditions specified (see page 2) and all applicable Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: ADDRESS Bldg. 40, SUNY, Stony Brook, New York 11790-2356 AU7HGRI ' IGNATURE DATE Page 1 of 6 r • • • be This conspicuously displayed at the site of work. United States Army Corps of Engineers January 6, 19 94 A permit to install a non-commercial mooring structure IN: Deep Hole Creek, Great Peconic Bay at : Mattituck, Town of Southold. Suffolk Cbunt.y. New York has been issued to Richard K. Frerking -on. Jan. 6, 1994 Address of Permittee 680 Deep Hole Drive, Mattituck, New York 11952 Permit Number Thomas A. York Colonel , Corps of Engineers 10GP-9312670 District Commander ENG FORM 4336 , Jul 81 (33 CFR 320-330) EDITION OF JUL 70 MAY BE USED (Proponent: CECW-O) r E 'r o r- CO S- e— • � U Ste,. _ Z) O t, ` • E U ]G a1 zp o • � 1.U � S. 00 W W O d N U o 1. fA r O N . .. • Q. Q cc0 3 a--� Q LL Vf C�~ ro Q O = +�+ a 75 ID C }' co Q. .. .. � Ca Ca Q) p +, Z +- C Q H ca L Q LL z w r NEW YORK ST r ')EPARTMENT OF ENVIRONMENTAL'CONSERVATION i EFFECTIVE DATE DEC PERMIT NUMBER _ ' _ i6/c 6 / . FACILITY/PROGRAM NUMBER(S) PERMIT EXPIRATION DATE(S) (TWS P 1) Under the Environmental Conservation Law TYPE OF PERMIT a New p Renewal ❑ Modification ❑ Permit to Construct 0 Permit to Operate e 6NYCRR 608: Water Duality ❑ Article 27, Title 7; 6NYCRR 360: e Article 15, •Title 5: Protection Solid Waste Management of Waters s Certification ❑ Article 27 Title 9. 6NYCRR 373: p Article 15, Title 15: Water ❑ Article 17, Titles 7, 8: SPDES _ Hazardous Waste Management Supply p Article 19: Air Pollution Control p_ Article 34: Coastal Erosion ❑ Article 15, Title 15: Water Management Transport 0 Article 23, Title 27: Mined Land ❑ -Article 36• Floodplair. 0 Article 15, Title 15: Long Reclamation Management Island Wells ❑ Article 24: Freshwater Wetlands p Art.icle 15, Title 27• Wild, ❑ Articles 1, 3, 17, 19, 27, 37; Scenic and Recreational Rivers 9 Article 25• Tidal Wetlands Scenic 380: Radiation Control 0 Other: TELEPHONE NUMBER PERMIT IS ED TO / K S� /� i ADDRESS OF PERMITTEE /71 vZ 6 TELEPHONE NUMBER CONTACT PERS N F PERMITTED WORK NAME AND AD DR OF PROJ T/FA ITY LOCCATION OF PROJECT/FACILITY COUNTY CITY WATERCCURSE NYTM COORDINATES ' E: N: DESCRI ON OF AUTHORIZED ACTIVITY Construct, reconstruct, replace or repair open pile catwalks or docks having a maximum surface width of 4 feet; and install or replace flo ting docks and ramps. -Q�* `�'�J- �j �'�— cl ROTE: Add t onal activities described on page (3) are also approved under this per it if the adjointn boz is checked and the proposed work is shown on the approved plan. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the Environmental Conservation Law (ECL), all applicable regulations, the General Conditions specified (see page 2) and all applicable Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: ADDRESS Bldg. 40, SUNY, Stony Brook, New York 11790-2356 AUTHORIZED . IGNATCURE DATE Page 1 of 6 Richard K. and Pamela Frerkineg SEP 2 9 1997 680 Deep hole Drive TOoJ OFZk! Mattituck, NY 11952 Telephone 516-298-3267 Board of Trustees Town of Southhold Town Hall Southold,NY 11971 28 September 1997 Gentlemen: Enclosed please find a copy of our site survey, and a proposed plot plan for the addition of a garden shed to our property. The proposed construction will be more than 75 feet limit from mean high tide and higher than 10 feet above mean high tide. We are therfore requesting a letter of non jurisdiction from the Board of Trustees for this project. I am not sure if this project requires such a letter, but have requested one in the interest of minimizing the time required for the issuance of a building permit. If you have any questions, my daytime telephone number is 516 468 9307. Thank you for your consideration Sincerely yours k Richard K. Frerking L SEP 2 91997 U N OF SOUTH0XD Neon High T ide 81 ' 6'' 0 12 ' 0" 16 ' 0' ' 16 1 -`,,Cesspo I � SHED r , — r T,S�ti c�k i i Bi-Level 12 ' 11" i 8 ` 0" i 8 ' 11" 10 ' -1"J 8 ' 2" �l 91 �' 6" 3 ' 11" 32 ' 0"EX I ST I NG SETBACK 25 ' 0' 28 0" PLOT PLAN 16 10 11 TITLE: tle«GorAenshetl DRAWN BY RKF DATE: 9/21/97 SCALE : 1 32"= 1'0" SHEET NO. t OF 8Y 211 HATCHED AREA -----• NEW 3' OVERHANG CONEW S RUCTI -----SONOTUBE FOR SUPPORT POST 15' 6". 32' 0"EXISTING SETBACK 13' " 16- 1 " wo- 19' 'INEW SETBACK PLOT PLAN TITLE:MOBBY AND WORKSHOF DRAWN BjtKF DATE:5/30/97 SCALE : 1/32"= 1'0" SHEET N04: OF �uL � 21994 Richard K. & Pamela Frerking 680 Deep Hole Drive Mattituck, NY 11952 Phone [516] 298-.3267 11 July 1994 Albert J. Krupski President, Board of Trustees Board of Town Trustees Town of Southold Main Road Southold, NY 11971 Ref. Catwalk, ramp and float application for 680 Deep Hole Drive Mattituck Dear Mr. Krupski: I am in receipt of the Notice Of Action regarding our application for a catwalk, ramp and float. The fees came to more than I anticipated, and unfortunately I've recently had to pay out an additional $5,000 in income tax, and also, our refridgerator gave out two weeks ago, leaving us temporarily a bit tight for funds. As we are anxious to begin the project, we were wondering if you would consider issuance of the permit, if we were to provide 6 checks for $114, each dated the first of each of the next six subsequent months. Alternatively, if such an arrangement is unacceptable, we would appreciate if you would extend the period for the.permit fees for six months without our having to re-apply. Thank you for your assistance and kind consideration. Sincerely yours Richard K. Frerking N �, c SOUTHOLD TRUS T- EES Na . Issued Date s2' AddreNOA �r r�rr. THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 TE L.: 765-1892 ..T SEE SEC. NO. 108 160 c ZZ LINE RD. 7.4 O 10 OpEEtIPORi 27.BAIc1 3.7 29.OAIc1 4 7 6 11.OA1e1 27.7AIc1 2B.SAfc1 1L 'w 31• w y It^" 14 w lJ C] - f l0 17.E s ,w• Y � N 999 w • A E4 l66'1 , °1 5 avimyLL_r E ,a i " .f lJ CJ '^ 17 Ea 1• a np5l�rµ �"1:Ald wp � 9 7JAk1 c E!m i 5 91 f „ ♦t a��` \ ^ ; 6 � b y u M19 0 e r��s b t O G 6 t 21.1" 1 p i 10 4,P � �E"` - ' O x5.1-tA1c1 Yi O LSO t1E 1 � N7( P9 b a8" p l2iD 1 F 21 22 y, ti 27 E a •� � 17F i A 1Af i s F a na 24 p 7 °• F ry' �� 7 aV�rf�•'lL_ ob 20�\ u zl,n 8.5 6 F O 7].xa 'ry A.M.) >A �v R 29 r l v i 5 1 i l 112 sl'1 25 ,m 26 F D 6 �ca+unv.T t7�6 r F 7Lt Q . i8 r y 13.1 LOAIc1 • rn s 16.BAIc1 17F 71 .a xl F E t O u a a 27 a 15 y i 23 w i SBS 5 n• •20 w. 1.2AW ]].7 -- ].BAlel 16 i u'+® 29 8.4 10.7 ' f 1.8 AIJ w' • q 9r " SUF DLK .+• ^ \, . 11 i i so ¢. 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O 1.04f01 8 20- 1t9 c1 tt�1 i]E a y6 •l to ae t.1Pl ° .5AIc1 t +•s •w w �� w ` 6 E i m l6 i^�F tO au m 1 6 9 6.t B • r°w y •E 7 f, .9 a•195 N d E t 9 27 ��n,` 2 E 4a SE 6 ', .w ,l0 c 14E t6• Fit yr E ¢ J ` ^ n , ] A.1 F • w li Q .f 1p a •15 F Sl ®° $i 7 Y na tl hod f'f •T t6 ! 1 f M 0 21 2�0-N19 ^ " °• l5 1° t]ygu 4 15 q'".i • 11^'Fc,m Is E'.'i 6Bw1� S.1Nl 4 t' i;"l�. �Jf�. �� , 9 A Ey 18 1T nl6 'i t6 .•12 m �• 4 1 a NrN ll.t p t p i y w 5 a L7 wv Fv� ll E 09• t nw t 15 F 9 •25 r'N E 11 • w SUN[ 11.2 i t2 / e�v � k 1 {5 ¢,1tiAw t7PlJ lJAlcl ` 4 ,,p19 ep 5S ti•` l'�y ,9 av 2 m r ill Ap 5[t[.n•Oo.F 10 o M10 Y 4a P M1 "Y to E 2 j1 I5 1n a le •"4 12]-"I-D01 26 Ow nab Cfral r 1 a,r Ff i Ix "^S1.71 MAW, FOR PCL.NO. 9 SEE SEC.NO. e p MAIC1 a SEE SEGO °d � 'C, k O Y � ,+• ,• s I7 y 123-01-001 112 'i 127-0 C.NO A n�ti k la, a 5 6 l i b 9 F E 1 N a --.�-- n N• MATCN __--- ----IME •pYM1' g9 o, m m 511 1NE c "n i xx:.2o I Q , y i S' A,p 1't M1p u . p 15 F a O , YEn sFe.ea t`i� a 51 16 16_Il.l 15 14 d ow�ra llL S,tpIJ !)J•c P• IEgxL nlc.n $jq�� A]".-,1H --Aa- rpml Vwrt,lti--�1-i F55. •t iHF^;5[• All Tp I�HSi N0110E © COUNTY OF SUFFOLK rr SOUTHOLD 1 A11E. ITXNt THE -1.11N. F- E 10ENOF $EC11. �j e�mbtl�n ^� `�_ Eel FwT Real Property Tax Service Agency Y YABI7ENANLF,ALiEMTq!{SALE OR •�� lq,Aa,rtl If• --l-- 4A.a-+a• mt,lte--•- .A,w 061118 C OF INY FRliO1 OF T,E 1 YLLIIF OF Efu;t 61AT014 COUNIT TAX,eP 5-AfyiFe County Center Riverhead,N Y 11901 M 1S 1 •_� raw e.eq Iv. --P-- rmV e,ntl All-u- AwAlvNz AIRUT6r "I'M,6PoITFR FER10559N OF TNF o..ew.kl lb - RfAL FRBP 1 1AX SE-f-1.1. SCAE N FEEh F Ixx m ,1, dSTEB:T NO100Q PROPEL Wlvpy011DAM xa+.xl.nra '.,..d-xn'...t..`r-d•:.:y+.f.._a...._.. .s.�r._a-._t..w.:1i..ds.s.�tvJ.,v....--..u..._.i..-._.....'�:...ww......._....._xs.�.-r..•.......�........w....�...-�,...�;'•s=_^='.l•_ �� �l 1A 1 ! J ��\�~ NEW YORK STATE DEPARTMENT OF STATE F COASTAL MANAGEMENT PROGRAM 4' (�%^1 t Federal Consistent Assessment Form w 5� /U1 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 an activity that. will occur within and/or directly affect the State's Coastal Area. This form is intended to assistosan applicant in certifying that the proposed activity is consistent with New York State's CMP as r u' Department of Commerce regulations (15 CFR 930.57). It should be e9 aped by u.S. prepared. The Department of State will use the c completed at the time when the federal application is �Pleted applicant's certification of consistency. form and accompanying information in its review of the A. APPLICANT of 0 1. Name: I r 6 e h I /�D O (please print) 2. Address: r► �u � 111//J` 9J .2 D Iv/•f 3. Telephone: Area Code t�/() z �p 32 B. PROPOSED ACTIVITY Svc 1. Brief description of activity: k ------------- 2. Purpose of activity: u 3. Location of activity: t County ` f h+t°v f a 10 ve aclij+rf1 City, Town,or Village Street or Site Description 4, Type of federal permit/license required, ' 5, Federal application number, if known: e 3� ' G�•j .b Lz 6. If a state permit/license was issued or is known:required .fo the ro Provide the application or permit number,.I if � n: poste activity, identify he state agency and C. COASTAL ASSESSMENT Check either "Yes" or "No"--for each of the following questions. The numbers following question refer to the policies described in the CMP document (se proposed activity. e footnote on page 2) which may be affectedby each 1. Will the proposed activity rem 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 b. Physical alteration of mo � 32 37 38 41 43)............................. _ v re than two acres of land along the shoreline, land under water or coastal waters? (2, 11, 12, 20, 28, 35, 44)....... . c. Revitalization/redevel """"••••••••••••••••..or Pot of a deteriorated or underutilized waterfront site?••(1)........... _ (i d. Reduction of existing or potential public access to or al e. Adverse effect upon the cortmercial or recreational use of coaong staltfish waters? resources?, (9, 10)........ � f, Siting of a facility essential to the exploration, development — -� resources in coastal waters or on-the Cutar-continental-SS ?-�9p Production of energy g. Siting of a facility essential to the generation or transmission of energy? (27) h. Mining, excavation, or dredging activities, or the ll materials """' coastal waters? (15, 35)................. Placement of dredged or fill materials in i. Discharge of toxins :... ............ r runoff substances or other ••*•"" v r J. Draining of stortnvater runoff or sewer overflows intolcoastal waters?oastal waters?•.(15,.35)..... _ C� k, Transport, storage, 'treatment, or disposal of solid wastes or hazardous materials? (36,•39)..... !/ 1. Adverse effect upon land or water uses within the State's small harbors? (4).................... _ �/ 2, Will the proposed activity affect or be located in, on, or adjacent to any of the following: a. State designated 'freshwaterI r or tidal wetland? (44),,,,••.;•.. b. Federally designated flood and/or state desi ......•..,"..............'"•••••• Y c. State designated•significant fish and/or wildlifee habitat? hazard area? (11, 12, 17)............ d. State designated significant scenic resource ""••••••••••••••••••••• _^ t/ e. State designated or area? (24)...................................... _ _v - grated important agricultural l f. Beach dune ands? (26),,,,,,,,,,,,,••• or barrier island? (12) •• •••••••••••••••......... _ ............................................................. _ g. Major ports of Albany, Buffalo, Ogdensburg, !/ h. State, county, or local park? (19 Oslo or New York? (3)............. _ v 2nal.......o .. ............. i. Historic resource listed on the National or State Register of Historic Places? (23).............. v YES NO 3. Will the proposed activity require any of the following: a. Waterfront site? (2,21,22)........................................................ b, Provision of new public services or infrastructure in undeveloped or sparsely populated sections of the coastal area? (5)............................................................... c. Construction or reconstruction of a flood or erosion control structure? (13, 14, 16)............. _ v d. State water quality permit or certification? (30, 38, 40)....................................... _ 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 Fr 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 iri 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 activi•ty,,(b) bri•efly 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 4ection E and submit the documentation required by Section F. E. CERTIFICATTON The applicant or,agent must certify that the proposed activity..is consistent with the State's CMP or the approved Local waterfront revitalization program, . as appropriate.. If this-certification cannot be made, the proposed activity shall not be undertaken. If this certification can be made, complete this Section. "The proposed activity complies with New York State's approved Coastal Management Program, or with the applicable approved, local,waterfront revitalization program, and will be conducted in a manner consistent with such program." . ... r . ., //'gyp , Applicant/Agent's Name: ! N r i"e h / /� Address: p 6 a• �G r Telephone:' Area Code Applicant/Agent's Signature:, ✓ Date: F. SUBMISSION REQUIREMENTS 1. The applicant or agent shall submit the following documents to the New York State Department of State, 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) 474-3642. *These state and local documents are available for inspection at the offices of many federal agencies, Department of Environmental Conservation and Department of State regional offices, and the appropriate regional and county planning agencies. Local program documents are also available for inspection at the offices of the appropriate local government- 2 - FCAF Revised 3/89 II Ij. — --. .. I V. ��I7��V• . . , 1 II ;ia I. III, I� 1 I 1� >f ; Flid.: t�..; :,,-rtv ti-u�•' ..... ��•«..;...,w'""",•. 1 PosEn LUCIG . I �.Y.�, ;.'. .: i' ... � I � '" �• '"�`R Id'll'I is r I� j r tr.r �6 �i i i�. \ 1 1'.. .- F�'1 4.� �• _ i<b".!l A � ) y If ,� \ 14�.7� �R' \ p 1(j, �" .... .'o-,..-, s.• r i.r AA iM I \ � 1:! b•"1. -"Y '. L � 1 \ -'fix-. 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W + _ _ YATCIi_� - ._ :-. .tom fEL'.IW.rnf - i- 'o�SS- -�'z �s7�:PS.z �t x:,•r, _ _ _ ICI, NneELL NQ I ,,. SEE SEr: 110.111f .. I - .03 m s ' s } DEEP HOLE CREEK �� 8O G 9Ap 5 0 NIGH WA R 33 A O 2 A. �O�ELINE E POST FD 5 � 6 _ _/ /. /V 31032' W , 14.3' —B- - 2. N14.42'E 13.5' J. N 220 04' W 18.2' 4. lV 49°39' W 11.8' _ /0 5. N64053' E 2.7' -IO Z m o CESSPOOL LOCATION O z BY OTHERS CESSPOOL O � Z y y a o J � I4 �i 5' 3.4' 8.2 Z 2 P STORY r DATUM FOR ELEVATIONS: WOOD FRAME USC G DATUM rn s 6k STRUCTURE J66428 Q SOURCE: SUFFOLK COUNTY DEPT. OF PUBLIC WORKS P. 76 NV WATERWAYS DIVISION i I a� /�4' O `Q GWrantees indicated here on shall run VtJ only to the person for whom the survey O is prepared, and on his behalf to the ` title ccmpcny, C over,,ent, , �.gency, Funding insritution, if lis!�rj l;erecn, and 3LB POST�6'W /4.B PEL to the cssignees of the le-12i;ig institution.Guarantees are not transfcr�hle to S 020 .40'40 W 50.0' additional institutions or subsequent owner. Unauthorized alteraiic:n r:°c;iti�n to }�)g DEEP HOLE DRIVE - suft6r f; o violation of Section 7,,09 of EL /J.5/ fL EL =/4.62 Nsw York State Education Law, TM /000-115-12-09 SURVEY OF SURVEYED B AUG.,I99/ DESCRIBED PROPERTY SCALE : /"= 30' CM FD = Concrete Monument AREA =9,912 SF or 0.23 ACRES Found S/TUATE Coples of this—survey map not bearing MATT/TUCK, TOWN OF SOUTHOLD the Land Surveyors embossed seal shall SUFFOLK COUNTY, N.Y. not be considered to be a vc'id true copy. SURVEYED FOR R/CHARD and PAMELA FRERKI/VG GUARANTEED TO SURVEYED BY RICHARD FRERK/NG STANLEY J. ISAKSEN, ✓R. PAMELA FRERKING P.O. BOX 294 EMPIRE ABSTRACT CO. NEW SUFFOLK, N.Y., 1/956 T/TL E NO. 335// (5/6), 73 - 8 TOWN OF SOUTHOL D NSED A D SURVE OR N.Y.S. L/ NO. 49273 9/R 46/ 30 JUNE /993 Show renovoted structure .