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HomeMy WebLinkAboutTR-4478 ZW7 !�R-i % �I �4 Board Of Southold Town Trustee SOUTHOLD, NEW YORK ib PERMIT NO. ..q.q 7..r DATE: ....61291.95.......... ti ISSUED TO ............DORIS....C.Q.15.G.RQVE............... ................................................ IN 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 tiji IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS," and in accordance with the . . .... Resolution of The Board adopted at a meeting held on ...6/29`195...... 11 19..95..... and in consideration of the sum of ..00....... paid by Costello...Marin.e...Contr for...DORIS...COSGROVE........................... Nw, a. of .........Ff�PQ:qic .............................................................. N. Y. an d subject to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: ' '.., Construct a 3' X 40' catwalk, a 31 X 18' ramp and a 6 X 20' 4` 2-pile dolphins.I float and 2 Richmond Creek all in accordance with the detailed specifications as presented in ilk the originating application. is 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. A ....... .... ....................... ............. o C= ........ ........ ........ .......... ........ Trustees .......... Do r 7, ... ....... rn 4- 6- ">y � Albert J. Krupski, President Town Hall , : ��, S ::'c' ✓, John Holzapfel, Vice President 53095 Main Road P.O. Box 1179 William G. Albertson Martin H. Carrell v` Southold, New York 11971 Peter Wenczel '`�'• `''°'•- ,�� Telephone (516) 765-1892 f � Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Ir� tt11fp7 Coastal Erosion Permit Application _jt�etland Permit Application Grandfather Permit Application APR 1 819% Trustee Lands Permit Application / Waiver V Received Applicati n: y 1 Q TOWN OF ®��' ��� Clerical Review: y I Completed Application L1 -7 q.,F o Incomplete f F -SEQR& Classification: pe I X Type II _Unlis� d Coo dination: (date sent PR I El SAC Referral Sent: A Date of Inspection: Receipt of CAC Report: at ) Lead Agency Determination• f Technical Review: (date) � k-'Public Hearing: (date) G > ' ' Decision: Approved (Y/ ) 1 a7e Application Fee:$ /SW- Name of Applicant b QE. 1 S C'p S G f` 6y 1= Address RR 4fcQ H .0 RK E 'TR U-1 JAMDD ,,C 'R IS l-°0- 2 Phone Number: (516 ) Suffolk County Tax Map Number: 1000 cg G --- Property Location: _-j:M 1 N N EC L LA O (E TA X._-H&? AT_ Try c E TO . _PR�_X E C� (provide LILCO Pole #, distance to cross streets, and location) Agent: COS I ELLO tjkRj �,1 F C© t-, 1 �� CTIN G ( If applicable) Address: T,C) B Ox -11914 , C-71 KEEE 3 6R 1r Phone: { _ - 1 _ird of Trustees Applicatic__ GENERAL DATA Land Area (in square feet) : 2?c & I Area Zoning: t,ES I bFM-1I A L UU ATF K6 K)T Previous use of property: VA CA tJ -C Intended use of property: F—S lb E KI Q r L� E DOCK FA C [ L- (TV Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? No Yes If yes, provide explanation: Project Description (.}se attachments if necessary) : . X q1) CATW) & l_ X R 6 E LO AT [ o 1\)S 2 Dvard of Trustees Applicatica. COASTAL EROSION APPLICATION DATA Purposes of proposed activity: 'PRIVATE 1� E S l D E. W T/ 1)4 'FAQ I- (T\( FOR FRUPERM( owNEi;�S P6AT Are wetlands present within 75 feet of the proposed activity? No V Yes Does the project involve excavation or filling? No Yes If Yes, how much material will be excavated? (cubic yards) How much material will be filled? (cubic yards) Manner in which material will be removed or deposited: ,4 Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) C-&1W A1-k WILL BE Cb1\) S- UCTT-- D b O bAb S E :ZNtiRh c-1S AN71 C ( EATS-L . 5 Ord of Trustees Applicatic WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: IR 1 a A-I F— C K EAC I L 1 -1q F01` RRb F Ek T!�( (`ate 1�,1 F_'P.1� A6 AT Area of wetlands on lot: ZS ® square feet Percent coverage of lot: o Closest distance betwee nearest existing structure and upland edge of wetlands: �I/ feet Closest distance between nearest proposed structure and upland edge of wetlands: �,� feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? 'k I LA cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: JA Manner in which material will be removed or deposited: Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason os such proposed operations (use attachments if appropriate) : isip F- FFrc om LiFTLA (jDs 6 - i County of Suffolk ) State of New York ) BEING DULY SWORN DEPOSES AND i AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENT'S CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER 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( S) , IF GRANTED. IN COMPLETIM THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(s) OR REPRESENTATIVE( s) , TO ENTER ONTO MY PROPERTY Td INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. S' NATURE SWORN TO BEFORE ME THIS DAY OF Apt' I , 19_� SUSAN E.Low NMM Public.State of New York Qualified io. n Sufffo k County qq em Commission Expires November 8,1alL NOTARY PUBL C iSuggested space for location Map i THIS IS NOT A PERMIT • I AUTHORIZATION FORM owner o r .HW_ s/proper, y name 1dCtited at /) / � ✓ _ do hstby giAre Costello Mtirihe Cohttactihq coup: the authority to Pict 6e agent in my belidlf Ili tipplying for till of the necessary petmite ih dtder for Work to be done on my ptoperty described tibo�e: _S gnature ti 14-16a 1-2iBI—Text 12 PROJECT I.D. NUMBER 617.21 SEaR Appendix C State Iinvironmental Quality Review > SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTPED ACTIONS Only PART I—PF10JECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANTdSPONSOR 2. PROJECT NAME Costello -Marine Contracting Corp. _ 3. PROJECT LOCATION: Mdnlclpallty County Suffolk A. PRECISE LOCATION(Street address and road Intersections, prominent landmarks,etc.,or provide map) r• , See Attached area map. , S. IS PROPOSED ACTION: XNe* ❑Expanslon ❑Modlllcallon/alteration 8. DESCRIBE PROJECT BRIEFLY: r � ( / f :4 NSTA ►- I_ 14 ' X�,/ C 1 w �.1� X D t ko f�T t 3 X 1 g }� ,u t►Stts R MP) a - A t LE ©L�+l ► N� 7. AMOUNT OF LANQ AFFECTED: 0 Initially U Acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? IN Yes ❑No It No,describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? IN Residential ❑Industrial ❑Commercial ❑Agriculture ❑Park/Forest/Open space ❑Other Describe: WATERFRONT 10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATE ORLOCAL)? IJ Yes No It yes, list agency(s) and permillapprovals NYS DEC, ACOE TOW1\ OF S® UTH 4Lj') It. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? El Yes 641a It yes,list agency name and permll/approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMITIAPPROVAL REQUIRE MODIFICATION? ElYes 0 t4o i CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE HEST OF MY KNOWLEDGE �s Applicant/soonsor name: COSTELLO MARINE CONTRACTING Date: J Signature: If the actlon Is in the Coastal Area, and you are a state.agency, complete the Coastal Assessment Form before proceeding with this assessment OVEn 1 PART III-ENVIRONMENTAL ASSESSM (To he completed by Agenry) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.12't If yes. coordliiate ilia review process and use the FULL EAF. ❑Yes ❑No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS Ill 6 NYCRR. PART 617.6? It No,a negative declaralion may be superseded by another Involved agency. ❑Yes ❑No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten, It legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood characler7 Explain brlelly: r. r C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted,or a change In use or Intensity of use of land or other natural resources?Explain briefly. C5. Growth, subsequent development,or related activities likely to be Induced by the proposed action? Explain briefly. C6. Long term, short term, cumulative,or other effects not Identified In C1•C5? Explain briefly. C7, Other Impacts (including changes in use of either quantity or type of energy)? Explain briefly. D. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑Yes ❑No If Yes,explain briefly PART III—DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect Identl fled above,determine whether It is substantial,large,Important or otherwise significant. Each effect should be assessed In connection with Its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) Irreversibility; (e) geographic scope; and (1) magnitude. II necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been Idenlified and adequately addressed. ❑ Check this box If you have Identified one or more potentially large or significant adverse Impacts which MAY occur. Then proceed directly to the FULL EAF aridlor prepare a positive declaration. ❑ Check this box if you have determined, based on the Information and analysis above and any supporting documentation, that the proposed action WILL NOT result In any significant adverse environmental Impacts AND provide on attachments as necessary, the reasons supporting this determination: i Name of Lead Agencv T'nnl or rvpe Narne o Responeirie OlfFerin Lea U-Agency --�ir�ie Refponsi e 61ficer gnalure ot'Kesprmst�je(Jl icei r In teaar .lgencv Signature o Preparer t cal lerent from responsi e o icerl Dale 2 STATE OF NEW YORK SEP 1 4 1995 ¢I 0�h# DEPARTMENT OF STATE L�_- ALBANY, NY 12231-0001 - �J�j�i ALEXANDER F. TREADWELL SECRETARY OF STATE September 11, 1995 Ms. Susan Long, Permit Manager Costello Marine Contracting Corp. P.O. Box 2124 Greenport, NY 11944 Re: F-95-367 U.S. Army Corps of Engineers/New York District Permit Application #95-04760-L2 Doris Cosgrove Town of Southold, Suffolk County DEC #1-4738-01129/00001-0 Dear Ms. Long: 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, George R. St ord r Director Division of Coastal Resources and Waterfront Revitalization GRS/DM/jtb cc: COE/New York District - Sophie Ettinger DEC/Region 1 - Robert Greene Town of Southold - Albert Krupski `� RECYCLED PAPER STATE OF NEW YORK DEPARTMENT OF STATE ALBANY, NY 12231-0001Q ALEXANDERF. TREADWELLSECRETARY OF STATEiJune 26, 1995 i-iI JUMs. Susan Long, Permit ManagerCostello Marine Contracting Corp. TO O P.O. Box 2124 - Greenport, NY 11944 Re: F-95-367 U.S. Army Corps of Engineers/New York District Permit Application #95-04760-L2 Doris Cosgrove Town of Southold, Suffolk County DEC #1-4738-01129/00001-0 Acknowledgement of Federal Consistency Assessment Form Dear Ms. Long: The Department of State received your Federal Consistency Assessment Form and supporting information on June 7, 1995 and has determined that the submitted documentation is adequate to commence our review of your proposed project. We will contact you if additional information may be necessary for consistency review purposes. You and the Corps of Engineers will be notified of our decision when we have completed our review of this project for its consistency with the New York State Coastal Management Program. The Corps of Engineers cannot issue a permit for this project unless the Department of State concurs with your consistency certification. Please call David MacLeod at (518) 474-6000 if you have any questions. Sincerely,��// �� // , &'klkl4o 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 (App. No. 1000-86-5-9.4) i, RECYCLED PAPER Albert J. Krupski, President �0�. �G Town Hall John Holzapfel, Vice President o y1 53095 Main Road William G. Albertson y 9 P.O. Box 1179 Martin H. Garrell Southold, New York 11971 � � _ � Peter Wenzel y'�1p1 ��®� Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: DORIS COSGROVE Please be advised that your application, dated 4/18/95 has bee reviewed by this Board, at the regular meeting of 6/29195 and the following action was taken: ( XXX) Application Approved. (see below) ( ) Application Denied. (see below) ( ) Application Tabled. (See below) If you application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth int he sintruction sheet. The following fee must be paid within 90 days or reapplication , including fees will be necessary. COMMENTS AND REMARKS: Ramp: 3' X 18' 54' X $3 = $162.00 Float: 6' X 20' .= 120' X $3 = $360.00 COMPUTATION OF PERMIT FEES: $522.00 DUE TOTAL FEES DUE: $ 5 as 00 SIGNED: PRESIDENT, BOARD OF TRUSTEES BY: C ERK, ARD OF TOWN TRUSTEES 6/95 � ,�c Albert J. Krupski,President Og�FFO( �Q� OG Town Hall John Holzapfel, Vice President c y1 53095 Main Road William G..Albertson y x P.O. Box 1179 Martin H. Garrell O Southold,New York 11971 Peter Wenczel y�lJp! �a0� Telephone (516) 765-1892 Fax (516)765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 30, 1995 , Costello Marine Contr. P.O. Box 2124 Greenport NY 11944 Re: DORIS COSGROVE SCTM #86-5-9. 4 Dear Mr. Costello, The following action was taken by the Board of Town Trustees during its regular meeting held on June 29, '1995 regarding the above matter: WHEREAS, Costello Marine, on behalf of DORIS COSGROVE, applied tothe Southold Town Trustees for a permit under ,the provisions of the Wetland Ordinance of the Town of Southold, application dated April 18, 1995, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on June 29, 1995, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standard set forth in Chapter 37-18 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approves the application of DORIS COSGROVE to construct a 3 ' X 40' catwalk, a 3 ' X 18' ramp and a 6' X 20' float and 2- 2-pile dolphins. 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: Ramp: 3 ' X 18' = 54' X $3 = $162 Float: 6' X 20 ' = 120' X $3 = $360 TOTAL DUE: $522 DUE Very truly yours, Albert J. rupski, Jr. President, Board of Trustees AJR/djh cc. CAC F A♦ Albert J. Krupski,President �p� OG Town Hall John Holzapfel, Vice President cm 53095 Main Road P.O. Box 1179 William G. Albertson cc ® • Southold, New York 11971 Martin H. Garrell Peter Wenczel �l'tl�l �a0� Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD S.E.Q.R.A. NEGATIVE DECLARATION NOTICE OF NO SIGNIFICANT EFFECT ON THE ENVIRONMENT APPLICATION NO. 1000-86-5-9 .4 Chapt. 97 - Wetlands NAME: Doris Cosgrove Chapt. 37 - Coastal Erosion DATE: May 26, 1995 RESOLVED that pursuant to Article 8 of the Environmental Conservation Law, State Environmental Quality Review and 6NYCRR Part 617, Section 617 . 10 and Chapter 44 of the Code of the Town of Southold, notice is hereby given that the Southold Town Trustees, as Lead Agency for the action described below, has determined that the project will not have a significant effect on the environment. Please take further notice that this declaration should not be considered a determination made for any other department or agency which may also have an application pending for the same or similar project. TYPE OF ACTION: Type I DESCRIPTION OF ACTION: Applicant requests a Wetland Permit to construct a 3 ' X 40 ' catwalk and 3 ' X 18 ' ramp and a 6 ' X 20 ' float with (2) 2-pile dolphins . Located Indian Neck Lane, Peconic. LOCATION: SCTM #1000-86-5-9 .4 . REASONS SUPPORTING THIS DETERMINATION: 1 . An on site inspection has been conducted by the Board of Trustees . 2 . An environmental assessment,� submitted by the applicant and reviewed and completed by the Board of Trustees, has indicated that no significant adverse effects to the environment are likely to occur should the project be implemented as planned. cc. CAC DEC Meeting of MAY 18, 1995 No. 1252 Moved by Allan Connell, seconded by Bruce Loucka, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH STIPULATIONS of the Wetland Application of FRANK PASSARO 44-1-26 to construct 102 =/ I.f. of stone revetment against eroded bank and backfill with 75 +/- c.y. of clean sand to be trucked in from upland source. Construct a 4' x 35' fixed walk and stairway for pedestrian access over revetment. (Project with Clarke, Schlecht, and Wilcox) The CAC recommends approval with the stipulation that the sand buried rocks be planted with beachgrass and plant any backfill with non-turf buffer. 5665 North Road, Southold Vote of Council: Ayes: All Motion carried. No. 1253 Moved by Bruce Loucka, seconded by Robert Keith, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Wetland Application of LOUIS MOORE BACON 134-3-5 to Dredge approximately 2700 c.y. 10-15o brick, 20% gravel and 65% sand to 5' below MLW. Material to be trucked away to approved upland site. Ferry berthing area to be maintained at 7" below AMLW. Robins Island Vote of Council: Ayes: All Motion carried. No. 1254 Moved by Robert Keith, seconded by Patricia I saksen, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Wetland Application of DORIS COSGROVE 86-5-9.4 to install 4' x 40' catwalk, 6' x 20' float, 3' x 18' aluminum ramp, and two (2) 2-pile dolphins. Indian Neck Lane, Peconic Vote of Council: Ayes: All Motion carried. No. 1255 Moved by John Hagerty, seconded by Betty Wells, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH PROVISIONS of the Wetland Application of MYLES SCHNEIDER 37-5-11 to 1 . Construct deck 16 x 16 and 3' wide catwalk on south end of house. 2. Remove existing dolphins (approx. 25' from bulkheading) and construct a platform (4x4 and a ramp 3'x10' wide) to a floating dock 5' x 261. Floating dock to have 2 pilings. 3. Create an enclosure on the east side of the garage 30" wide for garbage cans and storage. Page 3 t� ®��gOFFO�,��, - , Albert J. Krupski,President �� O�Z� ®EPARTMENT OF STATE Town Hall John Holzapfel, Vice President o= 1 53095 Main Road COASTAL PROGRAMS P O:Box 1179 William G. Albertson 0 Martin H. Garrell y �� MAY 119%outhold,New York 11971 Peter Wenczel �Oj �►a� RP CEMalephone (516) 765-1892 Fax(S16) 765-1823 •r BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD � ` LEAD AGENCY COORDINATION REQUEST MAY l995 TO: Whom It May Concern DATE: V21P OF Q� T OLD Enclosed is a permit application and a completed part I of the Environmental Assessment Form. Southold Town Trustees are interested in your ageny' s comments in acting as SEQRA Lead Agency for: NAME: DORIS COSGROVE LOCATION: Indian Neck Lane, Peconic TAX MAP: (1000-86-5-9.4 PERMIT # Pending DESCRPTN: (See attach-d) PERMIT REQUIRED: qg TOWN WETLAND ( ) OTHER SEQRA CLASSIFICAT ON: OV Type I ( } Type II UNLISTED CEA Please contact Albert J. Krupski, Trustee President, w' 30 days and be advised that the Southold Town Trustees (WANT /(DO NOT WANT) to assume lead agency. SENT TO: DOS DEC hf/Q DOH ( ) PB ( ) ZBA ( ) BLD ( ) ACE ()L) CAC ( Ar sl3 �q s- Please complete, detach and return this form to expedite processing. Involved Agency: Project Name: Location: S CTM: a'1� cS ��1S We at L" (Have/ objection to Southold Town AGENCY Trustees assuming Lead Agency. Comments/Reasons: f C'(ts = Signature of Aidthorized Representative V U MAY 1 1 1995 "=``�� TOFU flF �flUTHOLD STATE OF NEW YORK DEPARTMENT OF STATE ALBANY, NY 12231-0001 ALEXANDER F. TREADWELL SECRETARY OF STATE Mr. Albert J. Krupski, Jr May 3, 1995 President Board of Town Trustees Town Hall P.O. Box 1179 Southold, New York 11971 Re: Lead Agency Coordination Request for Proposal by Doris Cosgrove,Indian Neck Lane, Peconic. Tax Map # (1000-86-5-9.4). Dear Mr. Krupski: With regards to the above mentioned application, please note that the Department of State has yet to receive a Federal Consistency Assessment Form (FCAF) and supporting information for this proposed project. During your review, if it is determined that a federal permit U.S. Army Corps of Engineers, is required for any portion of the proposed action, please instruct the applicant to submit a completed Federal Consistency Assessment Form (FCAF) and supporting information to the U.S. ACOE/NY with a copy of the information to Ms. Diana Boos at the Department of State. Upon receipt, we will determine if the submitted information is adequate to begin review of the proposed project for consistency with New York State's Coastal Management Program. If you have any questions, do not hesitate to call me at (518) 474-6000. Sincerely, Walter F. Meyer Coastal Resources Specialist c. U.S. ACOE/NY - Sophie Ettinger Costello Marine Contracting - P.O. Box 2124, Greenport, N.Y. 11944 file Qprinted on recycled.paper O- SsSFFO(�c Albert J. Krupski,President y goy . Town Hall John Holzapfel, Vice President 53095 Main Road William G. Albertson = P.O. Box 1179 Martin H. Garrell Southold, New York 11971 Peter Wenzel y�4,( �►'a ' Telephone (516)7.65-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD LEAD AGENCY COORDINATION REQUEST TO: Whom It May Concern DATE: 4/27/95 Enclosed is a permit application and a completed part I of the Environmental Assessment Form. Southold Town Trustees are interested in your ageny' s comments in acting as SEQRA Lead Agency for: NAME: DORIS COSGROVE LOCATION: Indian Neck Lane, Peconic TAX MAP: (1000-86-5-9.4 PERMIT # Pending DESCRPTN: (See attach d) PERMIT REQUIRED: TOWN WETLAND ( ) OTHER SEQRA CLASSIFICAT ON: Type I ( ) Type II UNLISTED %X CEA Please contact Albert J. Krupski, Trustee President, 1n 0 days and be advised that the Southold Town Trustees (WANT) (DO NOT WANT) to assume lead agency. SENT TO: DOS DEC (-//N) DOH ( ) PB ( ) ZBA ( ) BLD ( ) ACE ()L) Mfirytg_ CAC Please complete, detach and return this form to expedite processing. Involved Agency: Project Name: Location: SCTM: We at (Have/No) objection to Southold Town AGENCY Trustees assuming Lead Agency. Comments/Reasons: Signature of Authorized Representative o�Og�FFO�,�cO -i Albert I Krupski,President y Gy Town Hall John Holzapfel,Vice President c 53095 Main Road William G. Albertson z P.O. Box 1179 Martin H. Garrell • � Southold,New York 11971 Peter Wenzel Martin � Telephone (516) 765-1892 Fax(516)765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 18, 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: Doris Cosgrove Please prepare a written report of findings and recommendations with respect to this application. t ly yours, Albert J. 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