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TR-3875 Amend
O�QS�FFO(�cOG TRUSTEES John M.Bredemeyer,III,President o SUPERVISOR Henry P.Smith,Vice President * SCOTT L.HARRIS Albert J.Knipsld,Jr. • John L.Bednosld,Jr. y�Jpl �aO� 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 December 13, 1991 Jacob Albert James Volney Righter Architects 58 Winter Street Boston, Massachusetts 02108 Re: Amendment of Permit No. -3875 Dear Mr. Albert: The following action was taken by the Board of Town Trustees during their regular meeting held on December 12, 1991 regarding your request to amend _the . above permit. RESOLVED that the Town Trustees Approve the request of James Volney Righter Architects on behalf of George DeMenil to amend permit number 3875 to- state -the following: to allow the addition to the existing garage/apartment to be on a conventional poured concrete foundation instead of sonotube piers. All other terms and conditions in the original permit granted shall remain. The amended permit shall take effect upon receipt of payment of the following fees: No additional fees truly7 Q 6*10-- '191 , Tl7^ John M. Bredemeyer, III President, Board of Trustees cc: CAC Bldg. Dep't. JMB:jmt �' %i .r ,.rr— —=saT�' �iv�'"e �b'�:1�'•�a'�'f'i r•r�z�„r+' �t��Yz��v,v�.' �T' •..'':�`:.." �-�.""yaC;r^ '�.a..�. 1 Board Of Southold Town Trustees SOUTHOLD, NEW YORK it - sI-= PERMIT NO. ......3.8.7.5. ............... DATE• ..Qctober...2.6.,. 1990 - ISSUED TO .........Geor.ge...E.....De...Menil...... ..... .... Pursuant to the provisions of Chapter 615 of the Laws of m� EMI the State of New York, 1893; and Chapter 404 of the Laws of the y. ' State of New York 1952; and the Southold Town Ordinance en- r titled REGULATING AND THE PLACING OF OBSTRUCTIONS : : IN AND ON TOWN WATERS AND PUBLIC LANDS and the EL; REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER. TOWN WATERS; and in accordance with the h Resolution of The Board adopted at a meeting held on ...Q.ctob.ex....z5 �` ?! 19...9.0. , and in consideration of the sum of $ • �, � ... ............................. paid by of N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, �� .•,, --1 of Southold Town Trustees authorizes and permits the following: P To renovate existing garage/apartment and construct an 800 s.f. wood frame addition on sono tube piers as per revised survey dated August 1, 1990. No excavation will be Es: done except for piers. 1 all in accordance 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 `a be subscribed b a majority of the said Board as of this date. �� } �l Y 1 Y IFyP ..... ... O . � I .. iYh .f ......................... Trustees 4 \ q + r r � 'Yi \ � -tj, �i may."' a1 A i •M7WM'� 11 TERMS and CONDITIONS The Permittee George E. De Menil residing at Fishers Island, NY Fronting Brickyard Pond N. Y., as part of the consideration for the issuance of the Permit does understand and prescribe to the fol- lowing: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims fa: damages, of suits arising directly or indirectly:as a result of any oper- ation performed pursuant to this permit, and the said Permittee will, at his or her own defend any and all such suits initiated by third parties, and the said Permittee assumes full L—Ility with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold 2. That this Permit is valid for .a period of 24 mos. which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an.extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that auth- orization was originally obtained. . 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application, may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work or project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of.the work auth- orized. 9. That the Permittee will obtain all other permits and consents that may be required sup- plemental to this permit which may be subject to revoke upon failure to obtain same. James Volney Righter a r c h i t e c t s i n c 5 December 1991 Board of Southold Town Trustees R Town Hall U P .O . Box 1179 Southold NY 11971 9 IM gy��pp;; Attention: John M. Bredemeyer III OW N f�n L . i . Re : Permit #3874, George E . De Menil, Fishers Island Gentlemen : We would like to request a slight amendment to the permit to allow the addition to the existing garage/apartment to be on a conventional poured concrete foundation instead of sonotube piers . We enclose copies of the D .E .C. permit with its conditions, the Health Dept . approval, and the FIDCO approval . We will be happy to take additional site protection precautions not outlined by the D .E.C. if you feel they are necessary in the case of a conventional foundation. Very truly yours, Jacob Albert Jacob D. Albert James V. Righter Brooke S. Trivas Cynthia N. War dell 58 Winter Street Boston • Massachusetts • 02108 • telephone • 617 • 451 • 5740 Fishers Island Development Corporation P.O. Drawer E Fishers Island, New York 06390 Robert B. Calhoun, Jr. Thomas F.Doherty, Jr. President Manager September 25, 1991 Dr. & Mrs. George DeMenil 120 East 70th St. New York, N.Y. 10021 Dear Dr. & Mrs. DeMenil, This is to inform you that the FIDCO Architectural Review Committee has inspected and approved your recent. building plans. Your are reminded however, that all Federal, State, County and local permits that may be necessary, are the responsibility of the homeowner. In addition, the Chairman of the Committee, Mr.Reynolds DuPont Jr., has asked me to pass along these feelings of the Board; "...it is an attractive improvement, and we wish to commend them." If we may be of further assistance, please feel free to contact us at anytime. rely, Thomas F. Doherty Jr. Manager cc: C. Rafferty S. Moody R. Calhoun J. Albert TRUSTEES _- r R SCOTT L. HARRIS John M. Bredemeyer, III, President � ® �� Supervisor Henry P. Smith, Vice President A �a0 Town Hall, 53095 Main Road Albert J. Krupski, Jr. P.O. Box 1179 John L. Bednoski, Jr. John B. Tuthill Southold, New York 11971 BOARD OF TOWN TRUSTEES Fax (516) 765=1823 Telephone (516) 765-1892 TOWN OF SOUTHOLD Telephone (516) 765-1800 October 26, 1990, Brooke Trivas James Volney 'Righter, Arch. . 58 Winter Street Boston, Massachusetts 02108 Re: Permit #3875 George De Menil Dear Mr. Trivas: - The following action was taken by the Board of Town Trustees during its regular meeting held on October 25, 1990 regarding the above matter: WHEREAS, JAMES VOLNEY RIGHTER, ARCH. IN BEHALF OF GEORGE DE MENIL applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated June 6, 1989, 1990 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 October 25, 1990 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 RESOLVED THAT JAMES VOLNEY RIGHTER, ARCH. ON BEHALF OF GEORGE DE MENIL BE AND HEREBY IS GRANTED PERMISSION UNDER THE WETLAND ORDINANCE TO: renovate existing garage/apartment and construct an 800 s.f. wood frame addition on sono tube piers as per revised survey dated August 1, 1990. No excavation will be done except for piers. Location: Fishers Island, fronting Brickyard Pond. Isis permit will expire two years from the date it is .signed if work s= not commenced by said date. Fees must be paid; if applicable, 4d 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. Please return to the Building Department for a determination on the need for any other permits which may be required for this project. Permit will be issued upon payment of the following fees for work to be done below Mean High Water Mark: Very truly yours, John M. Bredemeyer, III _ President, Board of Trustees JMB: jb cc: Bldg. Dept. Conservation Advisory Council file z FRANK A. KUJAWSKI, JR., President ALBERT J. KRUPSKI, JR., Vice-President C TELEPHONE JOHN M. BREDEMEYER, III - Qy ® (516)765-1892 JOHN L: BEDNOSKI, JR. HENRY P. SMITH i • f - -- - - - - BOARD OF TOWN TRUSTEES- TOWN OF SOUTHOLD Town Hall, 53095 Main Road i P.O. Box 728 Southold, New York 11971 j May 17, 1989 James V. Righter Architects 58 Winter Street Boston, Mass. 02108 E Re: De Menil - Fishers Island Dear Mr. Righter: Please be advised„that upon review of above mentioned file, the Trustees have determined that an application for this project will be necessary. An application form is enclosed, if you have any questions, please call this office at 765 1892. Very truly yours, Frank A. Kujawski, Jr. President Board of Trustees FAK: jas 9 -20-6(3189)-25c NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER EFFECTIVE DATE 10-89-0430 ® Aug. 8, 1990 FACILITYIPROGRAM NUMBER(s) PERMIT EXPIRATION DATE(s) Under the Environmental Conservation Law Aug. 31 , 1993 Article329: Aquat c P st Pesticides Water Quality Article Certification Tidal 328 Wetlands ArtProlcle 15,tection of Wle ater e Article Wat r SPDES 17' Titles 7, 8: Article 27,Solid Waste Title Management* 360: Art cle : Article 27 Article Supply le 15: Air Pollution Control* Hazardo s Waste 3. ste M nagement Water Article 15, Title 15: Article 23, Title 27: Article 34: Water Transport Mined Land Reclamation Coastal Erosion Management Article 15, Title 15: Article 24: Article 36: Long Island Wells Freshwater Wetlands Floodplain Management Article 15, Title 27: N—New, R—Renewal, M—Modification, Articles 1, 3, 17, 19, 27, 37; Wild, Scenic and Recreational C—Construct (*only), 0—Operate (*only) 6NYCRR 380: Radiation Control Rivers PERMIT ISSUED TO Mr. George deMenil BRso€PE v�nIb�rE. New York, NY 10021 AGENT FOR PER,MITTEE/CONTACT PERSON - TELEPHONE NUMBER Righter Architects, 5 Winter St. , Boston MA 02108 1617)451-5740 NAME AND ADDRESS OF PROJECT/FACILITY(If different from Permittee) Fishers Island SCTM 1000-0007-5-4. 1 LOCATION OF PROJECT/FACILITY COUNTY TOWN/CCk5XMXXQZ UTM COORDINATFS Brickyard Pond Suffolk Southold DESCRIPTION OF AUTHORIZED ACTIVITY Renovation of existing garage/apartment, and construction of an 800 square foot addition on foundation with basement, and a new septic system as per NYSDEC approved plan,attached GENERAL CONDITIONS By acceptance of this permit,the permittee agrees that the permit is contingent upon strict compli-, ance with the ECL,all applicable regulations and the conditions specified herein or attached hereto. 1 The permittee shall file in the office of the appropriate regional permit administrator,or other office designated in the special conditions,a notice of intention to commence work at least 48 hours in advance of the time of commencement and shall also notify him/her promptly in writing of the completion of the work. 2 The permitted work shall be subject to inspection by an authorized representative of the Department of Environmental Conservation which may order the work suspended if the public interest so requires pursuant to ECL§71-0301 and SAPA §401(3). 3 The permittee has accepted expressly,by the execution of the application,the full legal responsibility for all damages,direct or indirect,of whatever nature,and by whomever suffered,arising out of the project described herein and has agreed to indemnify and save harmless the State from suits,actions,damages and costs of every name and descrip Lion resulting from the said project. 4 The Department reserves the right to modify, suspend or revoke this permit at any time after due notice, and, if requested, hold a hearing when: a) the scope of the project is exceeded or a violation of any condition of the permit or provisions of the ECL and pertinent regulations are found:or b) the permit was obtained by misrepresentation or failure to disclose relevent facts;or c) newly discovered information or significant physical changes are discovered since the permit was issued. 5 To maintain a valid permit, the permittee must submit a renewal application, including any forms, fees or supplemental information, which may be required by the Department, at least 30 days prior to the expiration date of the existing permit(180 days prior for: State pollution discharge elimination system permits(SPDES), Solid waste management facilities permits(SWMF), or Hazardous waste management facilities permits(HWMF)). 6 This permit shall not be construed as conveying to the applicant any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work or as authorizing the impairment of any rights, title or interest in real or personal property held or vested in a person not a party to the permit. 7. The permittee is responsible for obtaining any other permits, approvals, lands,easements and rights-of-way which may be required for this project. 8 Issuance of this permit by the Department does not,unless expressly provided for,modify,supersede or rescind an order on consent or determination by the Commissioner issued heretofore by the Department or any of the terms,conditions, or requirements contained in such order or determination. 9 Any modification of this permit grante a in writing and attached hereto EGULATORY AFFAIRS b the Dep tment must PERMIT ISSUANCE DATE PERMIT ADMINISTRATOR ADDRESS STATE UNIVERSITY OF NEW YORK Aug. 8, 1990 Christine J. Costopoulos Page 1 of AUTHORIZED SIGNATURE C. 95-20-5a(1(86)-25c ADDITIONAL GENERAL CONDITICfF1S FOR ARTICLES 15 (Title S), 24, 25, 34, 36 and 6 NYCRR Part 608[ • ) 10. That if future operations by the State of New York require an al- other 'environmentally deleterious materials associated with the teration in the position of the structure or work herein authorized, or project. if, in the opinion of"the Department of Environmental Conservation 14. Any material dredged in the prosecution of the work herein permitted it shall cause unreasonable-obstruction to the free navigation of said shall be removed evenly,without leaving large refuse piles,ridges across waters or flood flows or endanger the health, safety or wislfare of the bed of a waterway or floodplain or deep holes that may have a the people of the State, or cause loss or destruction of the natural tendency to cause damage to navigable channels or to the banks of resources of the State,the owner may be ordered by the Department to a waterway. remove or alter the structural work, obstructions,or hazards caused 15. There shall be no unreasonable interference with navigation by the work thereby without expense to the State,and if, upon the expiration or herein authorized. revocation of this permit, the structure, fill, excavation, or other 16. If upon the expiration or revocation of this permit,the project hereby modification of the watercourse hereby authorized shall not be com- authorized has not been completed,the applicant shall,without expense pleted,the owners, shall,without expense to the State, and to such to the State, and to such extent and in such time and manner as the extent and in such time and manner as the Department of Environmental Department of Environmental Conservation may require,remove all or Conservation may require,removeall orany portion of the uncompleted any portion of the uncompleted structure or fill and restore the site structure or fill and restore to its former condition the navigable to its former condition. No claim shall be made against the State of and flood capacity of thewatercourse.No claim shall be made against New York on account of any such removal or alteration. the State of New York on account of any such removal or alteration. 17 If.granted under Article 36, this permit does not signify in any way 11. That the State of New York shall in no case be liable for any damage that the project will be free from flooding. or injury to the structure or work herein authorized which maybe caused 18. If granted under 6 NYCRR Part 608,the NYS Department of Environ- by or result from future operations undertaken by the State for the mental Conservation hereby certifies that the subject project will not conservation or improvement of navigation,or for other purposes,and contravene effluent limitations or other limitations or standards under no claim or right to compensation shall accrue from any such damage. Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977 12. Granting of this permit does not relieve the applicant of the responsi- (PL 95-217)provided that all of the conditions listed herein are met. bility of obtaining any other permission, consent or approval from 19. All activities authorized by this permit must be in strict conformance the U.S.Army Corps of Engineers,U.S.Coast Guard, N8w York State with the approved plans submitted by the applicant or his agent as part Office of General Services or local government which may be required. of the permit application. ' 13. All necessary precautions shall be taken to preclude contamination James V. Righter of any wetland or waterway by suspended solids, sediments, fuels, Such approved plans were prepared by solvents,lubricants,epoxy coatings,paints,concrete,leachate or any Arch. on Aug. 1, 19 90 SPECIAL CONDITIONS 1. The permittee shall require that any contractor, project engineer, or other person. responsible, for the overall supervision of this project reads, understands, and complies with this permit and all its special conditions. 2. A copy of this permit, including all maps and drawings mentioned in special conditions, is to be available- for inspection by dEC at all times of active work at the project site. Failure to produce a copy of the permit upon request by a DEC representative is a violation of this permit and is sufficient ground for an order to immediately cease all work on the project. 3. Markers delineating the boundary of the wetland shall be left in place and shall remain undisturbed for ]. year following completion of the project. 4. Hay bales shall be staked end to end on the downslope edge of any areas of filling, grading or excavation. They shall be maintained in place until all disturbed areas are permanently vegetated. Trapepd sediments shall be removed to a suitable upland site before the bales themselves are removed. 5. All areas of soil disturbance resulting from this-project shall be seeded with an appropriate perennial grass and mulched with hay or straw within two days of final grading. Mulch shall be maintained until a suitable vegetative cover is established. 6. Disturbance to the wetland adjacent area shall be strictly limited to the work area identified in the approved plan as shown on Chandler, Palmer & King/Righter Arch. survey dated May 1, 1990 and revised Aug. 1 , 1990. 7. The storage of construction equipment and materials shall be confined to within the project work site and/or to upland (non-wetland) areas more than 100 feet distant from the wetland boundary. DEC PERMIT NUMBER (continued) 10-89-0430 PROGRAMIFACILITY NUMBER 2 - Page of 4 95-20-6f(7/87)-25c NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION • SPECIAL CONDITIONS (continued) For Article 24 r Freshwater Wetlands 8. All excavated material shall be disposed of on an upland site and be suitably stabilized so that it cannot reenter any water body, wetland, or wetland adjacent area. 9. No fill, excavated material, or sediment from runoff shall enter the wetland or its protected adjacent area. 10. Use of wood treated with pentachlorophenol or creosote is strictly prohibited. 11 . Any debris or excess materials from construction shall be immediately and completely removed from the wetland and adjacent area to an approved upland site for disposal. 12. 'Heavy equipment, including bulldozers, backhoes, payloaders, etc. , shall not be oeprated in the wetland. Supplementary Special Conditions (A) thru (J) attached. DEC PERMIT NUMBER 10-89-0430' FACILITY ID NUMBER PROGRAM NUMBER Page 3 of 4 SOUTHOLD T.RUSTEES No.. . . . v: k ` •�\\ �� � -/ � _ � - _ DateIssued © z \ . % . Addres ■- . f �. , a w . a . , . . . . °THIS NOTICEMUST BE DISPLAYED . , z . CONSTRUCTION TOWN TRUSTEES OFFICE . , TOWN: OF SOUTHOLD SOUTHOLD, , ar cr TRUSTEES56 � SCOTT L. HARRIS John M. Bredeme er, III, President r Supervisor Henry P. Smith, Vice President Albert J. Krupski, Jr. '' Town Hall, 53095 Main Road John L. Bednoski, Jr. P.O. Box 1179 John B. Tuthill Southold, New York 11971 BOARD OF TOWN TRUSTEES Fax (516) 765-1823 Telephone (516) 765-1892 TOWN OF SOUTHOLD Telephone (516) 765-1800 t October 26, 1990, Brooke Trivas James Volney Righter, Arch. 58 Winter Street Boston, Massachusetts 02108 Re: Permit #p3875 George De Menil Dear Mr. Trivas: The following action was taken by the Board of Town Trustees during its regular meeting held on October 25, 1990 regarding the above matter: WHEREAS, JAMES VOLNEY RIGHTER, ARCH. IN BEHALF OF GEORGE DE MENIL applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated June 6, 1989, 1990 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 October 25, 1990 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 RESOLVED THAT JAMES VOLNEY RIGHTER, ARCH. ON BEHALF OF GEORGE DE MENIL BE AND HEREBY IS GRANTED PERMISSION UNDER THE WETLAND ORDINANCE TO: renovate existing garage/apartment and construct an 800 s.f. wood frame addition on sono tube piers as per revised survey dated August 1, 1990. No excavation will be done except for piers. Location: Fishers Island, fronting Brickyard Pond. This permit will expire two years from the date it is signed if work has not commenced by said date. 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. Please return to the Building Department for a determination on the need for any other permits which may be required for this project. Permit will be issued upon payment of the following fees for work to be done below Mean High Water Mark: (�© e Very truly yours, John M. Bredemeyer, III President, Board of Trustees JMB:jb cc: Bldg. Dept. Conser ation Advisory Council file TRUSTEES ee� �. `^y. v SCOTT L. HARRIS John M. Bredemeyer, III, President " w ,k Supervisor Henry P. Smith, Vice President ®� ��®� 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 S.E.Q.R.A. NEGATIVE DECLARATION NOTICE OF NO SIGNIFICANT EFFECT ON THE ENVIRONMENT APPLICATION NO. 6-2-89-7-5-4.1 NAME: GEORGE DE MENIL DATE: SEPTEMBER 27, 1990 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: DESCRIPTION OF ACTION: Renovate existing garage/apartment and construct 800 s.f. wood frame addition on sono tube piers as per revised survey dated 8/1/90. No excavation will be done except for piers. LOCATION: Fishers Island, NY fronting Brickyard Pond. Tax map No. 1000-7-5-4. r 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. 3 . Because there has been a response from the Southold Town Conservation Advisory Council indicating that this project would not have a significant effect on the environment. cc: Planning Dept. Building Dept. Zoning Dept. C.A.0 N.Y.S.D.E.C. Army Corps of Engineers Y f �J CM James Volney Righter § ' = a r c h i t e c t sMilo r i n c TOWN OF SOUTHOLD August 24, 1990 Ms. Jane Blados P.O. Box 1179 53095 Main Road Southold NY 11871 RE: George de Menil Dear Ms. Blados: The enclosed plan will serve as an addendum to the previously submitted Town Trustees application for the George de Menil renovation/addition on Fishers Island. This revised plan has been approved by the Department of Environmental Conservation-Application#10-89- 0430. The addition has been moved to a location as far from the wetlands as possible. If you have any questions or are in need of any additional information in order to issue an approval please phone me at your earliest convenience. Thank you for your close attention to this application. Ve truly yo s, Brooke Trivas Jacob D. Albert James V. Righter Brooke S. Triva s Cynthia N. Wardell 58 Winter Street Boston • Massachusetts • 02108 • telephone • 617 • 451 . 5740 '1 95-20-1 (8(87)-9d New York State Department of Environmental Conservation oboe NOTICE The Department of Environmental Conservation (DEC) has issued permit(s) pursuant to the Environmental Conservation Law for work being conducted at this site. For further information regarding the nature and extent of work approved and any Departmental conditions on it, contact the Regional Permit Administrator listed below. Please refer to the permit number shown when contacting the DEC. Regional Permit Administrator in 0 30 Permit Number Expiration Date 'W131113 NOTE: This notice is NOT a permit s c ,. TELEPHONE (51.61.765..,18 2 ,. r. n�' BOARD OF TOa N TRUSTUS ?;i. Juw TOWN OF SOUTHOLD �1 -- - Town Hall. 53095 hiain Road �'(,°JWV1 °v o �OUTHP P.O. Box 728 _�- Southold, New York 11971 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 23 May 1989 /( APPLICANT'S NAME. Mrs-.- George de Menil,, trustee TEL. NO. 212-744-5334 MAILING ADDRESS: 120 East 70 Street New York , NY 10021 AGENT: James Vol.ney Righter Arch' ts . TEL NO. 617-451�5740 AGENT ADDRESS: 58 Winter Street Boston , MA 02108 PERMIT REQUESTED TO: Renovate existing garage/apartment . Construct 800 sq.. ft . wood frame addition on sono tube piers. No excavation will be done except for piers. LOCATION OF PROPERTY FOR REQUESTED PERMIT: Town of Southold HAMLET: - Fishers Island , NY 06390 TAX MAP NO: 1000- 007-5-4 . 1 CREEK, BAY OR HARBOR FRONTING PROPERTY: Brickyard Pond SIZE OF PROPOSED WORK: LENGTH: 40 ft . . WIDTH: 31 ft . App. P& 2. YDS. TO BE EXCAVATED: 20t YDS. TO BE FILLED: 14t MANNER IN WHICH MATERIAL WILL BE REMOVED OR DEPOSITED: Backhoe/dumptruck WIDTH OF CANAL, CREEK OR BAY FRONTING PROPERTY: 400 ft .t DEPTH AT LOW TIDE: NA AVER. RISE IN TIDE: NA DISTANCE TO NEAREST CHANNEL: NA DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN AREA: NA Residential/ AREA- ZONING: Agriculture IS PROJECT FOR PRIVATE OR BUS. USE: Private INTENDED USE OF PROPERTY: SEASONAL Residence DESCRIBE KNOWN PRIOR OPERATIONS CONDUCTED ON PREMISES: Residence HAS ANY PRIOR LICENSE OR PERMIT BEEN ISSUED TO ERECT STRUCTURES, DREDGE, OR DEPOSIT FILL ON SAID PREMISES: Not to our knowledge HAS ANY LICENSE OR PERMIT EVER BEEN REVOKED OR SUSPENDED BY A GOVERNMENTAL AGENCY: Not to our knowledge DESCRIBE FULLY THE REHABILITATION OF PROPERTY: Renovate existing garage apartment . Construct 800 sq . ft . addition on piers. . DESCRIBE PROPOSED CONDITION OF PROPERTY AFTER WORK IS COMPLETED. INCLUDE AN ADDITIONAL SURVEY OF PROPERTY SITE IF NECESSARY: Property will be improved . Wetlands will remain undisturbed . ARE THERE ANY COVENANTS OR RESTRICTIONS IN YOUR DEED WHICH WOULD PROHIBIT THIS PROJECT: Not to our knowledge WRITTEN CONSENT OF OWNER IF NOT THE SAME AS APPLICANT: 1446.4(21M—Text 12 PROJECT I.D. NUMBER . 617.21 SEQR Appendix C State Environmental•Ouality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I—PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT/SPONSOR 72. PROJECT NAME James Volney Righter Architects I GeorIze de Menil ara e a artment 3. PROJECT LOCATION: Municiballty Fishers Island County Suffolk 4. PRECISE LOCATION(Street address ana road intersections.prominent lanamarks,etc_,or provide map) RE: attached tax map # 1000, 007 , S , 4 . 1 5. IS PROPOSED ACTION: tJ New 1 Eirpansion =K Modll Ica imnlalteration 6. DESCRIBE PROJECT BRIEFLY: Renovation of existing garage/apartment . Construction .of 800 sq . ft . wood 'frame on sono tube piers addition . No excavation will be done except for .;,piers . 7. AMOUNT OF LAND AFFECTED: Initially 6 . 2 acres Ultimately 6 • 2 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? XJ Yes G No It No,describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ®Residential ❑Industrial ❑Commercial' ❑Agriculture r ParklForesVOpen space ter;Omer Describer 10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATE OR LOCAL)? F_Yes ❑No It yes,list agency(s)and permiUapprovals Town of Southold building permit Fishers Island Town Trustees permit 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes D No It yes,list agency name and permlUapproval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? ❑Yes No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE AppllcanVsponsor name: L.T. Thorn c/o James Volney Righter Archittgips 6 March 198 - - - Signatures If the action is In the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER PART 11=ENVIRONMENTAL ASSESSMENT (To be completed by Agency) A DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.12? It yes,coordinate the review process and use the FULL EAF. ❑Yes ❑No B. .WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration. 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, If legibley 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,arc haeologlcat,'hlstoric,or other natural or cultural resources;or community or neighborhood character?Explain briefly: C3. Vegetation or-fauna. fish, shellfish or wildlife species,significant habilats,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,snort term,cumulative,or other effects not identified in C1•C57 Explain,briefly, C7. Other impacts linclutbng 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 identified 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(f) magnitude. if necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identlfied 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 and/or prepare a positivedeclaration. ❑ 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: Name of Lead Agency Print or Iype.Name of Responsible Officer in Lea •Agency Title of Responsible Officert. Signature of Responsible Officer in Lead Agency Signature of Preparer(if difterent from response e officer), _z Date . - r, FRANK A. KUJAWSKI, JR., President ((� =L TELEPHONE ALBERT J. KRUPSKI, JR., Vice-President (516) 765-1892 y., JOHN M. BREDEMEYER, III JOHN L. BEDNOSKI, JR. HENRY P. SMITH d BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 June 6, 1989 Mr. John Holzapfel, Chairman Southold Town Conservation Advisory Council Southold Town Hall Main Road Southold, New York 11971 Dear Mr. Holzapfel: Transmitted herewith is application No. 6-2-89-7-5-4. 1 for a Wetland Permit submitted by Mrs. George de Menil. Please prepare a written report of findings and recommendations with respect to this application. Very truly yours, Frank A. Kujawski, Jr. President Board of Town Trustees FAK:jas cc: Bldg. Dep' t. JAMES V. RIG#R ARCHITECTS LIEUTE OOLF *MSMUML 58 Winter Street BOSTON, MASSACHUSETTS 02108 DATE JOB NO. (617) 451-5740 ATTENTION RE: TO mot' \C/1 i T9+v✓�. �1tit.5�f'� 4� �•4 WE ARE SENDING YOU XAftached ❑ Under separate cover via °�. "° y'the follo`.wl items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION Ejl%ll l �3 _ o0 THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution xAs requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS 14 Ejea 14,4&"— C_>1 z" 6' loses. L T T 14 0'r I& Cc+ J4C-e �e COPY TO i SIGNED: PRODUCT240-2 � Inc,Gmlan,Mas 01471. if enclosures are not 1s noted, kindly notify us at once. i or pages. APPLICATION CHECKLIST _ NOTE: APPLICATION MUST INCLUDE:. STANDARD FORMS - Ap�r_opua.t_e_�pp'lication for Permit. -or t Env Li. Assessment Form, Structural Assessment Form. NOTE: . For all projects-requiring Wfld, Scenic & Recreational Rivers Permits and for commercial, industrial or multi-residential pro- jects-, submit a long Environmental Assessment Form. �2. APPLICATION FEE: Refer to enclosed fee schedule $10 .00 minimum, Check or Money Order- payable to NYS DEC: You will be notified of additional fees, if any.. �. Authorization letter from the owner where the applicant is not f the owner . f4 . Staking and labeling of the seaward/wetland side of the proposed structure or fill area. V5. Photographs of the staked project: area mounted on a, separate and labeled page. V6. County Tax .Map Numbers: Photo of Tax Bill will suffice. Suffolk : Dist. J000 Sect .C?2"7 Blk. 05-Lot Z}J Nassau: Sect. Blk . Subblock Lot ✓7 . Project Plans (four copies), : Plans must clearly show the pro- posed project and include all appropriate dimensions, elevations and must be at a scale of 1" to 100 ' or larger. Address of project location ( if vacant land; telephone pole # or other identifying landmark ) . MINIMUM PLAN REQUIREMENTS (FOUR COPIES REQUIRED) PROJECT te_rations and/or Extensions -- 1 5 6, 7, t 8 New house s ruction 1 , 3, 5, 6,. 7 , & 8 Accessory Structures 1 , 3, 5, & 6 Repairs to Existing Structures. 2, 3, & 4 Dredging . 2, 3, 4, 5, & 6 Catwalks and . Docks 2, 3, 4, & 5 Subdivisions 1, 2, 3, 5, & 6 Bulkheads 1 , 2, 3, 4 , 5, 6, 9, & 10 Groins and Jetties 2, 3, 4 , 5, 9,, & 10 Filling 1, 4 , 5, & 6. •KEY: � Stamped Sealed Survey Plot Plan Location Map 4 . Sectional View (3). Wetland Line or Mean High Water , as appropriate 6 ' Fill and Clearcut Area - xE: F-+J4►aE6n-s MA-P Sanitary System Location - p=F_-F_yKTNq- Test Hole and Data 9. Profile View 10. Distances -from fixed structures OTE: IF YOU wISH, CONFIRMAT.ION-.OF RECEIPT OF YOUR APPLICATION; PLEASE SUBMIT A SELF=ADDRESSED, STAMPED POSTCARD. ' /f .•1mr•. "ITT I. nr.DtoT nnT-(7C,- mft VT-C` wm T T.•�Cm rT'7TTn` /.<?1 1.7 T?T;;1Ll i • r D.E.C. Permit Application Applicant : James Volney Righter Architects , Inc . Agents for , George de Menil , Owner . Project Location: Fishers Island , NY lot# 36-3 of tax map # 1000 ,007 , 005 , 4. 1 . Date : 6 March 1989 Aerial photograph of proposed Project Site showing Wet Lands boundary. rib 1 IL str .ctural-Archaeological Asslessment Form (Addendum to EAF) Applicant Name: George de Menil Project Location:. Fishers Island , NY Part 1: project Information (Applicant) 1. Is project continguous to, or contain. a structure or archaeological site listed in the State/National Register of Fistoric Places? yes x no 2. Approximate percentage of p.r000sed project site with slopes; 0-10% 40 %; 10-I5`S 20 %; 15% or greater 40 %. 3, approximate percentage of proposed project site vith the following drainage charac.- teristics: well drained °5; moderRtely well drained °v: poorly drained %. (Use the Soil Survey classifications for your county). 4. Nas the land within the proposed project area been previously disturbed/altered (excavated, mined, landscaped, filled, utilities installed)? ves x no If yes. hriefly describe each. A garage/apartment exists on the project site with car drive and existing septic system. 5.. Are there anv buildines/str►zctures built orior 'to 1940 and;or listed on the State Pegister of Historic places within or adjacent to the proposed project area? yes x no Built prior to 1940 not on on the- State Re sCCer, of .H ' stor.ic Places If "yes", provide theg�following information for each building/structure (use attachments if needed): a.) type of structure (eg% house, outbuilding, barn. bridge, dam tunnel), single family home b.) location, On lot adjacent to project site : lot # 36-4 of tax map # 1000 ,007 , 5 , 4 . 1 e.1 Approximate age. 50 to 60 years Photo?raohs which illustrate the general nature of . the proie_ area can assist the environmental analyst in his/her review. Submittal of photos is optional and not .a required component of the initial EAF. part 11: Evaluation (Environmental Analyst) 1. Archaeological Concerns a.) Is the proposed action within-a circle or square identified on the OPRHP maps? yes no b.) Is' the area under review apparently undisturbed? yes no (Please :ontact CRS `or assistance in evaluating disturbance:) e.) will the proposed action include a physical disturbance of the area? ves no d.) . Is the sloe in the area less than 15%?* ves no Unless on limestone/flint escarpments. If the answer is yes to all of the preceding questions, refer to the Cultural Resource Section. ?. Structural Concerns Will the nroiect alter the phvsical character or sikhtline of any bu;ldin; or structure built prior to 1940 or listed on the State/National Resister of Historic Places? -If "ves", refer to the Cultural Resource Section and provide photographs for each historic structure affected. Part III: Determination Refered to the Cultural Resource Section for review. No referral to the Cultural Resource Section. SHPA Review complete. Date Signature of Preparer DEC. Permit Number • DEC 3/85 , 114.16-4(2J6T-7•.I 12 PROJECT LID.NUMBER 617.21 SEAR Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I—PROJECT'INFORMATION (TO be completed by Applicant or Project sponsor) 1. APPLICANT[SPONSOR 2. PROJECT NAME James Volne Righter Architects Geor a de Menil garagelapartment ]. PROJECT LOCATION: Munrclpalllr Fishers Island County S u f f o l k a• PRECISE LOCATION IStreet address and road intersections,prominent IandmarKs.etc..or Drorrde map) , RE: attached tax map # 1000, 007 , S , 4 . 1 5 IS PROPOSED ACTION. New X••ExDansrdn -2 Modlitcalrorvalteratton 6. DESCRIBE PROJECT BRIEFLY Renovation of existing garage/apartment . Construction of 800 sq . ft . wood frame on sono tube piers addition. No excavation will be done except for piers. 7. AMOUNT OF LAND AFFECTED. initially 6.2 dens Ultimately 6 •2 acres a. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS' JCJ Vas L-1 NO II NO.cescrlDe Drlelly 9. WHAT IS PRESENT LAND 11 USE IN VICINrTY OF PROJECT? - ^.�J Residential LJ Industrial ❑Commercial ❑Agriculture J Park/ForestlOoen sDace Omer Descrloe: . 10. DOES ACTION INVOLVE A PERMIT APPROVAL OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATE OR LOCAL)? z:yes J NO 11 yes,list agencyls)and permtusD Drown Is Town of Southold building permit Fishers Island Town Trustees permit 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? LJ Yes L]7 NO 11 ym Itst agency name and permtuapproval 12. AS A RESULT OF PROPOSED ACTION MLL EXISTING PERMrTIAPPROVAL REQUIRE MODIFICATION? J Yes ER No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE L.T. Thorn c/o James Volney Righter Archit%;tXs 6 March 198 Appllcanusponsor n Mir Signature: • • It the action Is in the Coastal Area, and you are a state agency, complete the ; Coastal Assessment Form before proceeding with this assessment : . . ..._. :.�•_ OVER PART II—ENVIRONMENTAL ASSESSMENT(To be completed by Agency) A. DOES ACTION EXCEED ANY TYPE 1 THRESHOLD IN 5 NYCRR,PART 617.127 it yes,coordtnais Ine review process and use the FULL EAF. LJYta ❑No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR.PART 617.6? 11 No.a negative oeclaralton may be superseded by snolner ihYOMed agency. J Yes ❑No •C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:#Answers may be nanowritten.11 legible) Cl. Existing au ouaUty, surface or groundwaler Quality or quantity, noise levels. existing tfaille patterns, solid waste production or disposal. Potential for erosion,drainage of li000ing problems?Expiarn briefly. C2 Assinetic.aoricWlural,arcnaectogical,historic.or other natural or cultural resources:or.community or neignbornood cnaracler?Explain bnelly7 C7 vsoetauon or tauna fish.snellltsn or wddtde species.significant nabitais.or threaleneci or endangerea species,)Explain briefly. Ct A community s exgling plans or goals as officially adODted.or a cnainge In use or intensity of use of rand or oina►natural resources?Explain briefly C5 Gfowln.subsequent Oavelopment,or related activities tipely lb be to Ouced by Ins DrODOsed action?Explain briefly, C6. Long tern,snort term.cumulative.of other effects not identified In C1•C57 Explain briefly. C7. Otner tmoscts linciuorng changes in use 01 sliner Quantity or type of energy)?Explain briefly. D IS THERE.OR IS THERE LIKELY TO BE.CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? L!Yes ❑No It Yes.explain briefly _ PART III—DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect tdeilltied above.determine whether it is substantial,large,imponant or otherwise significant. Each effect should be assessed in connection with its fa) selling (i.e. urban or rural); (b) probability of occurring; (c) duration• (d) irreversibility;(e)geographic scope;and(1)magnitude. It necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show trial all relevant adverse impacts nave been identified 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 and/or 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: hams pi lead Asrncy pelt of "*hMM of Res tKe►rel Wild.AVMCV ... _ s. fltL�•'iii.�,.._:;L: ..;. _ n e of kesDonu Tice/ ranaeure O e leafy an LIVad Aticyen - .- _ .�w�-�r..r• _ w__•, rligattrf?O ref fit ,different frorn rftponuW@ offlcefj .- Uate - FOQ- Aj o `r{ TELEPHONE �, •"� (516)765-1892 , : l -I z, i BOARD OF TORN TRUSTEES JUN - 5 1989 9 TOWN OF SOUTHOLD Town Hall, 53095 1liain Road TOWN, On r 0UT[,�OL0 P.O. Box 728 .�.. Southold, New York 11971 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 23 May 1989 x APPLICANT'S NAME: :. M.rs . George de Menil , trus_tee TEL. N0. 212-744-5334 MAILING ADDRESS: 120 East 70 Street New York , NY 10021 AGENT: James Volney Righter Arch' ts. TEL NO. 617-4515740 AGENT ADDRESS: 58 Winter Street Boston , MA - 02108 PERMIT REQUESTED TO: Renovate existing garage/apartment . Construct 800 sq . ft . wood frame addition on sono tube piers . No excavation will be done except for piers . LOCATION OF PROPERTY FOR REQUESTED PERMIT: Town of Southold HAMLET: - Fishers Island , NY 06390 TAX MAP NO: 1000- 007-5-4 . 1 CREEK, BAY OR HARBOR FRONTING PROPERTY: Brickyard Pond SIZE OF PROPOSED WORK: LENGTH: 40 ft. WIDTH: 31 ft . 1 . App. 2• YDS. TO BE EXCAVATED: 20± YDS. .TO BE FILLED: 14t MANNER IN WHICH MATERIAL WILL BE REMOVED OR DEPOSITED: Backhoe/dumptruck WIDTH OF CANAL, CREEK OR BAY FRONTING PROPERTY: 400 ft .t DEPTH AT LOW TIDE: NA AVER. RISE IN TIDE: ' NA DISTANCE TO NEAREST CHANNEL: NA DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN AREA: NA Residential/ AREA ZONING: Agriculture IS PROJECT FOR PRIVATE OR BUS. USE: Private INTENDED USE OF PROPERTY: SEASONAL Residence DESCRIBE KNOWN PRIOR OPERATIONS CONDUCTED ON PREMISES: Residence HAS ANY PRIOR LICENSE OR PERMIT BEEN ISSUED TO ERECT STRUCTURES, DREDGE, OR DEPOSIT FILL ON SAID PREMISES: Not to our knowledge HAS ANY LICENSE OR PERMIT_EVER BEEN REVOKED OR, SUSPENDED BY A GOVERNMENTAL AGENCY: Not to our knowledge DESCRIBE FULLY THE REHABILITATION OF PROPERTY: Renovate existing garage apartment . Construct 800 sq . ft. addition on piers . DESCRIBE PROPOSED CONDITION OF PROPERTY AFTER WORK IS COMPLETED. INCLUDE AN ADDITIONAL SURVEY OF PROPERTY SITE IF NECESSARY: Property will be improved . Wetlands will remain undisturbed . ARE THERE ANY COVENANTS OR RESTRICTIONS IN YOUR DEED WHICH' WOULD PROHIBIT THIS PROJECT: Not to our knowledge WRITTEN CONSENT OF OWNER IF NOT THE SAME AS APPLICANT: COUNTY OF SUFFOLK ) STATE,,OF .'NEW YORK ) Lois de Menil ( Mrs . Georges, de; Menil) TrusteftING 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 DAY OF 19 NOTARY, P BLIC WI'L'LIAM KLASS Notary'Public, State of New York No. 41-7287010,0 Queens County Certificate Filed in New York Co. EXAMINED BY Term Expires February 28, 1991 APPROVED DISAPPROVED CONDITIONS (If any) SIGNATURE OF CHAIRMAN COMPUTATION OF FEES Approved 2/27/85 95-19-3(5,88)-7e DEC APPLICATION NU 4 NEW YORK STATE ORTMENT OF ENVIRONMENTAL CONSERVATION is JOINT APPLICATION FOR PERMIT U.S ARMY CORPS OF ENGINEERS APPLICATION NO. Please read ALL instructions on back before completing this application. Please type or print clearly in ink.Attach additional information as needed. ❑ARTICLE 9,TITLE 1,ARTICLE 43 6NYCRR 646(LAKE GEORGE RECREATION'ZONE) ❑ARTICLE 1S,TITLE 3(AQUATIC PESTICIDES CONTROL) ❑6NYCRR 327(AQUATIC\'I.GfTATION) ❑6NYCRR 328(FISH) ❑6NYCRR 329(INSECTS) S ❑ARTICLE 15,TITLE 5 6NYCRR 608(PROTECTION OF WATERS) T A ❑For the construction, reconstruction,or repair of a DAM or other impoundment structure. T El For the disturbance of a STREAM BED OR BANKS or excavation in or fill of NAVIGABLE WATERS. ❑401 WATER QUALITY CERTIFICATION E ❑ARTICLE 15,TITLE 15 06NYCRR 601 (WATER SUPPLY) 06NYCRR 602(LONG ISLAND WELL) ❑ARTICLE 1S,TITLE 27 6NYCRR 666(WILD, SCENIC AND RECREATIONAL RIVERS) ❑ARTICLE 24,6NYCRR 662.663(FRESHWATER WETLANDS) ❑ARTICLE 25 6NYCRR 661 (TIDAL WETLANDS) ❑ARTICLE 34 6NYCRR 505(COASTAL EROSION) ----------------------------------------------------------------------------------------------------------------------------------------------- F ❑SECTION 10(RIVER AND HARBOR ACT OF 1899)for structures and work in navigable waters of the U.S []COASTAL CONSISTENCY CERTIFICATION. H ❑SECTION 404(CLEAN WATER ACT OF 1977)for disposal of dredged or fill material in waters of the U.S. D ❑SECTION 103(MARINE PROTECTION,RESEARCH AND SANCTUARIES ACT)for the transportation of dredged materials for dumping into ocean waters 1. LIST PREVIOUS PERMIT/APPLICATION NUMBERS AND DATES(If any) NONE 2 APPLICANT IS AiAN �I--11 ©owner ❑Operator ❑Lessee L_.fltunicipaiitv;Gcvernmenial Agency (Check as many as apply) 3. NAME OF APPLICANT(Use Full Name) Mr . George de Meriil k MAILING ADDRESS TELEPHONE (Where can be reached during day) 120 East. 70 Street (2121 7.44-5334 POST OFFICE STATE ZIP CODE New York NY "10021 4. NAME OF ❑Owner �Agent/Contact Person (Check one) L .T. Thorn c/O James Volney Righter Architects , Inc . MAILING ADDRESS TELEPHONE(Where can be reached during day) 58 [linter Street (�617) 451-5740 POST OFFICE STATE ZIP CODE Bost'o' n " MA 02108 S. PRO►ECT(FACILITY LOCATION(Mark location on map,see Number 1a on reverse side) County S u f folk I Town or city S p -h I Village STREET ADDRESS(If different from applicant) Tax map # 1000 , 007 , 5 , 4,. 1 POST OFFICE STATE ZIP CODE Fishers Island NY 106390 6• NAME OF STREAM OR BODY OF WATER Brickyard Pond 7. HAS WORX BEGUN ON PROJECT? If YES. attach explanation on starting work without permit, includes dates. 8 WILL PROJECT UTILIZE STATE LAND? ❑Yes )B i es Show work on map and/or drawings. ❑Yes ©No 9. PROPOSED USE: 10. PROPOSED STARTING DATE: 11. APPROXIMATE COMPLETION DATE: 12. FEE OF(NYS Permit Only)- Private ❑ Public ❑ Commercial October 1989 May 1990 $ 10 0 E0 Enclosed 13 PROJECT DESCRIPTION: (e.g quantity and type of material to be excavated.dredged or used for fill or rip rap, location of disposal sites type of structure to be installed;height of dam;size of impoundent;capacities of proposed water sources;extent of distribution system: etc.) Renovat-ionof existing garage/ap,artment . Construction of 800 sq . ft . wood frame addition on sono tube piers . No excavation will be done except for piers'. 14 WILL THIS PROJECT REQUIRE ADDITIONAL FEDERAL,STATE AND/OR LOCAL PERMITS? ❑ Yes ❑ No If yes,please list: Town of Southold .. Building Per,mi.t Township Trustees Permit F 15 CERTIFICATION: I hereby affirm that under penality of perjury that information provided on this form and all attachments submitted herewith is true to the best of my knowledge and belief'False statements made herein are punishable as a Class A mio-demeaner pursuant to Section 21045 of the Pena(Law. Further, the applicant accepts full responsibility for all damage, direct or Indirect, of whatever nature, and hy.whomever suffered, arising out of the project' ..,..described herein,and agrees to indemnify and save harmless-the State from suits,actions, damages aii sts of every name and description resulting from said project In addition, Federal Law, 18 U.S.C. Section 1001 provides for a fine of notfmore than I or 'ntptisonment for not more than five.years, or both, where n applicant knowingly and willfully falsifies,conteaals7b�covers up a material fact,or kn ingly ma es or uses a false,fictitous or fraudulent statement hereby authorize the agent named in Number 4.above tb submit this application on my' ehalf.S'': Property owner 4 _ _j_ :.I U TITLE DATE 1 JAMES V. RIGH& ARCHITECTS LIETT[EM VF *kRZEUTTIL 58 Winter Street BOSTON, MASSACHUSE17S 02108 DATE / q _ JOB N�& (617) 451-5740 ATTENTIO // E: , TO45eW1 AI�6 r WE ARE SENDING YOU b4ittached ❑ Under separate cover via &Z=eZ101 the following items:, ❑ Shop drawings ❑ Prints ❑ Plans ❑�-Samples El Specifications El Copy of letter El Change order __i�n� IJ7 "F'e` 1 �� COPIES DATE NO. DESCRIPTION c 4 6 f THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval &- r your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints 6-5or review and comment ❑ ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS 4��' f%/'t— r G ^ COPY TO SIGNED: PRODUCT 240-2 InG,Groton,M=Glatt. If enclosures are not as noted, kindly notify us once. ..Middle [ Cluma �1.• • [..�, - 3c p i/' _ -' - ____ - - _ - - •• ,'1:; • +• . I ---..--' _ - '.r•a G••��)r l�i���.`W�Z�,KVL r�t^'\` . "/•�-•'���_-.�.t•f'i—J''iA 1 p�dr•�hfod CBMd Point / v Pond West PaClump North Co nd Dumpling Pulpit � �=Li hthouss . oc r" O . �1 l 1�. ,i • N. �; '•• East ' `pOrnt Harbor !`i �. ,ti....! -•• 0 - - r [ �� _ .'�� [ Hungry ! a • /Foul•• �11.. ;i ,,,�,,,i� - ,"C. -.•.r 7-_'•r 'Flat ►., 6 i c. �` •'' 'f'Oln .tti J• f• i- Douth "' Hammock • .• `, _i� ��� • Coast Guard• ��^ - um piing o,r0 �.:' :r_✓� r^ Sty>', ��_ i _• .Wreck p ng ,. I �1• n• • �LOUrTLt COVe .rG� \ J � '1� _J )l \L •�� '\_� j� • .island 'Clgy- - - GO ' •<`• - -i%i; Chocomcunt� °, '[ ''_,"C,:g eac ' ;o �'.: :• Point f'- \ /�rLo - •. � �-,. ' ' r': .. •-.] .G ••�,i ".-� • O,. ,_. Irp CSBtvWt�`;' A . �., -/'yi`�.•:�Y J O ••,•u... - ••• _ - 0 C •: . . . 1 e �-fir'- v- ��� ;r.a,�, �P r•, 4 - ;PL' g-;a - ,S� .a.- •:. . L '`. G� ■' .]a�C [- r �.*-moo .■ + •: r�'moo O S •?lLl■ f.Trt�it+,re OGO. •. • Pond Nort _ Hu __- /. :• ti �. • _ Barlo'w� �: taci`/�.•�.• s-:iti'' -- • , cS2' r20_. Hawks Nest Po;�Id .;,7 C/ u ( �f /�"��► - `� POlnt .� ,C, •�:-�- N :.tf Beach, -:-:V,"r• ---- -- _ �'J�I �_ �1b'�: �v •- ��.'yi C>t Pond - i % `' Island ;:7 Pan d f�J'�•'' "rtd �. r't..�-sue: West • •- ;iY ��°,; Harbor o ,�r= ��l �j ^' ' - z•;�!% 57- fJSeH�E � � g�a a t�;V PAOJFy1" '•4 Hay:. • . \`\tea o���;\ '- •,` ; ���� _� �• r��.._ j �`n SITPi 1ti ` "{�• Harbor p ,, 0 "[: y�..• •�""� - :.i•, �• .'J•Q�r tsp r r •�• �:d�,�l , �,' /� .-, `� T•At-7C µ� � �g•:9p , des? 7 p5 7 0°� •- :Y�,:=. C) (,ti , -�z�fS'' Nfl -..•�•.. .. �, 1 �L; l ,r (�¢- Ord- 3 7 .I O \'O'^,��'••�\>�? , _ �3,�„\.�r�--� O �b'� ��~�••t� .' I:f�"i\ '`Jn `g - L - - - COtY '; j =" CaurSt�e ...;q ao �_�'A✓l �j Pt� 4a•�:�• r.,L,:�'• `�•AY•Or �. �• .��,, � r,.Mt/I i t EI=Janetn A•r,reld Wilderness //— BLOCK ISLAND Point j SO(A,� _ ... I I 540OW FEET (N.Y.)749 i • "'T[.row-a[uoocwt wwv[• w.a«rnaro,. 0C-.••• T51�*E 249 1810000 FEET(CONN.) 2 560 000 FEET(N.Y.); 2525713011 I z53 - =55 55r 72•�a Mapped, edited, and published by the Geological Survey SCALE 1:24000 ROAD CLASSIFICATION Control by USGS, USC&GS, USCE, and Connecticut Geodetic Survey * t } 0 1 MILE Heavy-duty Light duty Topography by planetable surveys 1942. Revised 1958 MN cN 1000 0 1000 2000 30DO 40o0 soon 6000 70DO FEET Medium-duty �� Unimproved dirt .........Hydrography compiled from USC&GS charts 358 (1957}359 (195bl 1 5 0 1 KILOMETER _ .-- and 1211 (1950) 14• i I U.S. Route i State Route z49MILS t'�' CONTOUR INTERVAL 10 FEET J (.' Polyconic projection. 1927 North American datum 34MILS DATUM IS MEAN SEA LEVEL CONNECTICUT 10,000-foot grins based on Connecticut coordinate system DEPTH CURVES AND SOUNDINGS IN FEE--DATUM IS MEAN,LOW WATER Interstate Route New York coordinates system, Lon Island zone,and Rhode Island y5 g SHORELINE SHOWN REPRESENTS THE APPROXIMATE LINE OF MEAN HIGH WATER coordinate system THE MEAN RANGE OF TIDE IS APPROXIMATELY 2.7 FEET >vADRANGLE LOCATION NEW LONDON, CONN.—N. Y.1�•meter Universal Transverse Mercator grid ticks, UTM GRIDr on A97 NAGNOFCSNO SHEET zone 19,shown in blue . N 4115—W 7200/7.5 'Revisions shown in purple compiled in cooperation with THIS MAP COMPLIES WITH NATIONAL MAP ACCURACY STANDARDS 1958 Connecticut Highway Department from aerial photographs taken 1970 FOR SALE BY U.S.GEOLOGICAL SURVEY,WASHINGTON.D.C.20242 • PHOTOREVISED 1970 this Information not (field checked A FOLDER DESCRIBING TOPOGRAPHIC MAPS AND SYMBOLS IS AVAILABLE ON REQUEST AMS 6566 1 SE-SERIES Velti 02 4.0..E 17Q.C�' - - l -4- 1qA \� P Wj �.l:� �2, GEDA�-. �', %CC� ,S 0,� e�• `� o� Avv► � `; pia � - • . _ ' IT L O'r• i 15 l P.I'4 p41 SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES i FOR APPROVAL OF CCNSTRUiCTION OF. . i f �F i 7- Single Single Family Residel►cP y _ DATEN QT 15 1 HS REF. APPROVED C�4 4 L _ - ��G� EXPIRES TWO YEARS®ROMTi OF APPRGVAL 33o��r as- _ T . D L . .. 32Ilk s, L oT 49 A,1q �,�go' S r N 02'�E:Zo"E 10(o.G1' ` 6•0l' w - N 02' 40"E�j�l�' �7'4,GYM ` ' O•0"r-ry,6 k'"'" ` ..`+ \ �`� `. ``\ � �, ° Elm,-�� • �� " vo 0 pp9vo 1'fi TP ' i 1 • .� p r o !�- T f �I1!.T D RAGS. S TAI D �Y. . Z t.�i�-�Y peN:r-IY- Figt�r-r-t isl.Ar�n erIvI P-oNM e;(4TAL GON51�L.'('At-1'r: PjASFi Fob l.w>EL5 t1G.�/D tj-Z �A G 13& I O t� TAB•E LO G A DLL rALH J!�,n fi IL( �G ' 1Lo T 3 t.oT 2 / SGAI. i'• = ZO 1 1 JA I,5 V. SIG A G#'- AP 12t t? P D I I S �. I� l✓ L LA Erb", . �h I I d tb � E o ArrLIr,^TIv>-� TOWN OF S®d THO,I..I� I '