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HomeMy WebLinkAboutTR-4583 GF kl ..�ii•. �.aNr/.: VT- .Vier- �7 .•or-: ` /i ._•.s=___=_mot.��- °_r_ .►� _*yn�,r,-_r e,-. 1L�rP-:-_��dy� �__s':=-- - - - ��� � - --- ',•- �y r 1� Board 0 f Southol d Town Trustees1010 , •a; SOUTHOLD, NEW YORK .•. :... Ib �` _ 7 { 7 PERMIT NO. .... ... .... ... \ ; ...... ............. �. ISSUED TO ...........Ep.N.............................................................................................. A MC CALLION 1� 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- ,1 titled REGULATING AND THE PLACING OF OBSTRUCTIONS •, I<hal IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM j LANDS UNDER TOWN WATERS;" and in accordance with the fps: ' .-- Resolution of The Board adopted at a meeting held on ..... /.24[9.6.... 19....96,., and in consideration of•the sum of $...1.0.0...0.0........ paid by 4 .. .....Cons.ultx g .fox... _....._.......................................................................... J MO 'n EDNA MC CALLION li::. of ........G.atchogue ... .................... N. Y. and subject to the \ ' Terms and Conditions listed on the reverse side hereof, < A1 of Southold Town Trustees authorizes and permits the following: ' "i Grandfather Permit to resheath an exising timber functional groin. 1 Peconic Bay 4 ' all in accordance with the detailed specifications as presented in " ny� the originating application. ih IN WITNESS WHEREOF The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these presents to z be subscribed by a majority of the said.Board as of this date. .......... I ail �oG Ln �... i1, O - .......... ................................. .. ..................................... r/ j gj Trustees It'. Jew ••\ '�- a .iu � ,1,,.'f� '..,L'..1 u.IS..A�d6•.�,.".„^' �°'y�.:is vs� -:F :r '" cr �. ";a:+xc�-�y.a:t i 'Ilk 6. ,_ � •Mgpw�' i \� L '! '\ '"} y�.n..��-`�,��� `f'' yy�. o��c�UFFO(,��DG Town Hall, 53095 Main Road lephone P.O. Box 1179 16 Te (5Te phone01 Southold, New York 11971 pl ���� SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the-, Southold Town Conservation Advisory Council held Monday, April 22, 1996, - the following action was made: GF-20 Moved by Robert Keith, seconded by Betty Wells, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the request for a Grandfather Permit by EDNA McCALL10N 116-5-13 to resheath an existing functional timber groin.' 1100 Dean Drive, Cutchogue Vote of Council: Ayes: All ' Motion carried. Sqf FO(A-� Albert J. Krupski, Presidents O�O COGS n� Town Hall John Holzapfel, Vice President o= 53095 Main Road Jim King = P.O. Box 1179 Martin H. Ganell O Southold, New York 11971 y Peter Wenczel 'j1p1 �� Telephone (516) 765-1892 - Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Onlyl Coastal Erosion Permit Application Wetland Permit Application OR 1 3 9% Grandfather Permit Application Waiver/Amendment/C an es Received Application: 1'7/q G_ j `a_ � �L Received Fee: $ 0tJ. 00 l Completed Application a Incomplete a SEQRA Classificatik : Type I Type III/ Unlisted Coordination: (date s nt) CAC Referral Sent: t� Date of Inspection: Receipt of CAC Repor Lead Agency Determination: Technical Review: Public Heari y� H ld: FZ—Resolution: `� g �q& Name of Applicant Edna Mc .allion Address 459 Siwanoy Place , Pelham , N.Y. 10803 Phone Number: ( 914) 738-3447 Suffolk County Tax Map Number: 1000 - 116-5-13 Property Location: 1100 Dean Drive , Cutchogue (provide LILCO Pole # , distance to cross streets, and location) AGENT: Glenn E. Just/ J .M. Q. Qon it in8 ( If applicable) Address:- P. O. Box 447 Quogue . N.Y. 11959-0447 Phone: 653-0607 FAX# : same 1 ' Board of Trugtees ,Applic .ion GENERAL DATA Land Area (in square feet) : +; acre Area Zoning: R-40 Previous use of property: Existing single family dwelling Intended use of property: Existing single family dwelling Prior permits/approvals for site improvements: Agency Date XX No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? XX No Yes If yes, provide explanation: Project Description (use attachments if necessary) : Applicant proposes to resheath an existing functional timber groin. To .do this , existing nuts and bolts shall be loosened, existing walers unattached, existing sheathing removed and new sheathing C3 shall be jetted in. Existing walers shall be reattached and existing nuts and bolts retightened. 2 Board of Trustees Applici on WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Resheathing of existing functional groin. Area of wetlands on lot: n/a square feet Percent coverage of lot: n/a % Closest distance between nearest existing structure and upland edge of wetlands: +40 ' feet Closest distance between nearest proposed structure and upland edge of wetlands: a,1a feet Does the project involve excavation or filling? XX No Yes If yes, how much material: will be excavated? 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: 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. of such proposed operations (use attachments if appropriate) : nreFesed�L=eje^t Should havo no pega*.ive imparts upon the waters or wetlands of the Town of SotYthold. 3 )ard of Trustees Applicat. COASTAL EROSION APPLICATION DATA Purposes of proposed activity: Are wetlands present within 75 feet of the proposed activity? No 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: Describe the nature and extent of .the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) 4 Board of Trustees Applic ..on GENERAL DATA Land Area (in square feet) : acre Area Zoning: R-40 Previous use of property: Existing single family dwelling Intended use of property: Existing single family dwelling Prior permits/approvals for site improvements: Agency Date XX No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? XX No Yes If yes, provide explanation: Project Description (use attachments if necessary) : ' Applicant proposes to resheath an existing functional timber groin. To do this , existing nuts and bolts shall be loosened , existing walers unattached, existing sheathing removed and new sheathing shall be jetted in. Existing walers shall be reattached and existing nuts and bolts retightened. 2 Board of Trustees, Applic .on WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Resheathing of existing functional groin. Area of wetlands on lot: n/a square feet Percent coverage of lot: n/a o Closest distance between nearest existing structure and upland edge of wetlands: +40 ' feet Closest distance between nearest proposed structure and upland edge of wetlands: PTA feet Does the project involve excavation or filling? XX No Yes If yes, how much material will be excavated? cubic yards CD 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: 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. of such proposed operations (use attachments if appropriate) : As---pr-oposed prof@Et sko-'Ud haTTO D9 Q@A9tiyQ- imrtgts uP P LLQ waters or wetlands of the Town of Sotthold. 3 14,-16.4(2/87)—Text 12 PROJECT I.D.NUMBER 817.21 SEOR Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIQNS Only PART I—PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME Edna- McCallion 3. PROJECT LOCATION: Municipality Cutchogue County Suffolk 4. PRECISE LOCATION(Street address and road Intersections,prominent landmarks,etc.,or provide map) 1100 A.ean Drive S .C.T.M.No. 1000-116-5-13 Location map & survey enclosed `: ;•; , ,,.,.,c .,; ,r;,�:�-'a., 5. IS PflSED ACTION: New ❑Expansion ❑Modlllcatlon/alteratlon S. DESCRIBE PROJECT BRIEFLY: Please see attached description • ,,. ! . ! ,,;trod :% .r!l:',Sil! , ' ...fit i::. 7. AMOUNT OF LAND AFFECTED: Initially 0 acres Ultimately 0 acres B. WIL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? Yes ❑No If No,describe briefly g. Wne IS PRESENT LAND USE IN VICINITY OF PROJECT? ^� si dentiall ❑Industrial ❑Commercial ❑Agriculture ❑Park/Forest/Open space ❑Other Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING,NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY STATELOCA (FEDERAL. L)? Yes ❑No If yes,list agency(s)and permitiapprovals ,. ..,•r.ri n�yj}•.T;,l :r. (:"' `'i�.: lt�,' ' Southold Town Trustees , N.Y. S .D , '.C : N�Y.'S .D:O, S . & U. S .D.0 A.. 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Yes o If yes,list agency name and permit/approval 12. AS A RESULT R5,tROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? ❑Yes ONO 'I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO•THE BEST OF MY KNOWLEDGE ;�}!^• Applicant/sporisor name: a E• u s a S gent Date: 3` Signature: It the action is in the Coas a{ ea, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER .. and of Trustees Application _ County of STrffulP. State of' New York 6 C dti u , DEPOSES AND AFFIRMS-TREAT HE/SHE IS THE BEING DULY SWORN PERMIT '. S) AND THAT ALL STATEMENTS ICONTAINED THEREINHE VARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORM. WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION � AND AS MAY I3E APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES. TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S) , . IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY•AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S) , ''l.'O ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME 'TIiIS DAY OFIA OA66 - ,19 Notary 1 ' c "MARY PUBLIC,STKTE OF:NEW Yd* No,01BE5�149 Quet in W®�t • ��!t11i51� 3 ; 0 ;�.'/w1-ry«-���.3r mac,,.,'• �y ;PIA -✓INN--'.+� � ' ,/�_• �5r ._ •!': �' ��.���� .7�-�/`ter? ��;�`"•_..` ''t-i�•:.'li':7�"1 1•+ � �n� �:'r� ' b I i1✓��/ruouar C1tj � OS •'� L � J j �" v ! ` -A �S ` z� Q11. i• ' 96966161 ;JJ oo d Ln _ Applicant proposes to resheath an existing J O rn o functional timber groin. To do this , O r. a_o existing nuts and bolts shall be loosened U�� r� o existing walers unattached, existing c� a sheathing removed and new sheathing shall N d b ,4o ;� be jetted in. Existing walers shall be O �j d o 4 reattached and existing nuts and bolts �Sn,o, 7 d 4-4M -- retightened. — ae CO Cri cn LL LO O 4. LLJ -J°- < O — 41 NF CLAN �� " �._9e �� 0 c 3 � u Applicant : Edna McCallion (J Purpose : Groin resheathing Location: 1100 . Dean Drive , Cutchogue ' O Datum : Mean Low Water r S . C .T .M.No . 1000-116-5-13 G Location of AHW & ALW and all measurements G. Just , 1330 Hrs . , 2/15/96 QT n SEC11ON Applicant proposes to resheath an existing functional timber groin. To do this , existing nuts and bolts shall O be loosened, existing walers unattached, existing rq 0 sheathing removed and new sheathing shall be jetted in. IE LL 0 Existing walers shall be reattached and existing nuts and p r-, ) bolts retightened. ro LC) w � w 5 M I0� cn TOs S F D IL V / l —� Z A W 42' GRADE AL W 0 W GROIN TO EE RECON' O EXPOSURE OF SHEMNS — - z Applicant : Edna McCallion Q Purpose :- Groin resheathing U Location : 1100 Dean Drive, Cutchogue Datum: Mean Low Water Q S .C .T.M.No . 1000-116-5-13 Location\of AHW & ALW and all measurements by --� G. Just , 1330 hrs, 2/15/96 SCALE Applicant proposes to resheath an existing functional timber groin. To do this , existing nuts and bolts shall be loosened, existing walers unattached, existing sheathing removed and i new sheathing shall be jetted in. Existing walers shall be N reattached and existing nuts and bolts retightened. O LL O - - TOTAL LENGTH OF GROIN Ln w M J U z d 0 O T 30 R GROIN TO GE RECON . Z Applicant : Edna McCallion Purpose : Groin resheathing -Location : 1100 Dean Drive, Cutchogue Datum: Mean Low Water Z S .C .T.M.NO. 1000-116-5-13 O . Location of AHW & ALW and all measurements U by G. Just, 1330 Hrs, 2/15/96. §: _ O Q G Albert J. Krupski, President �0�. OG Town Hall John Holza Pfel, Vice President y 53095 Main Road Jim King y z P.O. Box 1179 ^' Southold, New York 11971 Martin H. Garrell � Peter Wenczel y'j1p1 �� Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD . office Use Only Coastal Erosion Permit Application Wetland Permit Application �.ti" 13 . .;1 Grandfather Permit Application c ` Waiver/Amendment/C an es (`",t `•, c Received Application: 3 /Z/q r Received Fee: $ Od. v d.. _ Completed Application Incomplete ), SEQRA Classificat' n: Type I Type II Unlisted Coordination: (dates en ) CAC Referral Sent: y / ` o Date of Inspection: Receipt of CAC Repor Lead Agency Determination: + Technical Review: :1. a Public Hearin He d: � Resolution: o'l•q ! _ .. Name of Applicant Edna M -Cal lion Address 459 Siwanoy Place , Pelham, N.Y. 10803 Phone Number: ( 914) 738-3447 Suffolk-County Tax Map Number: 1000 - 116-5-13 Property Location: 1100 '•Dean Drive', Cutchogue (provide LILCO. Pole # , distance to cross streets, and location) AGENT: Glenn E. Just/ J .M. O. Consulting ( If applicable) ' Address : P. O. Box 447 Quogue , N.Y*. 11959-0447 _ Phone: 653-0607 FAX# : same S . - . ��SUFFO(� Albert J. Krupski, President, �O G Town Hall John Holzapfel, Vice President y� 53095 Main Road Jim King = P.O. Box 1179 Martin H. Garrell O Pry k Southold, New York 11971 Peter Wenczel y't1p1 ���� Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application Wetland Permit Application Grandfather Permit Application Waiver/Amendment/Changes Received Application: Received Fee:$ Completed Application Incomplete SEQRA Classification: Type I Type II Unlisted Coordination: (date sent) CAC Referral Sent: Date of Inspection: Receipt of CAC Report: Lead Agency Determination: Technical Review: Public Hearing Held: Resolution: Name of Applicant Edna McCallion Address 459 Siwanoy Place , Pelham, N.Y. 10803 Phone Number: ( 914) 738-3447 Suffolk County Tax Map Number: 1000 - 116-5-13 _ Property Location: 1100 Dean Drive , Cutchogue (provide LILCO Pole # , distance to cross streets, and location) AGENT: Glenn E. Just/ J.M.O. Qon i1 ing ( If applicable) Address: P. O. Box 447 Quogue , N.Y', 11Q5q-11447 Phone: 653-0607 FAX# : same 1 14-.16.4(2/87)—Text 12 PROJECT I.D.NUMBER 617.21 'SEQR Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIQNS Only PART 1—PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT/SPONSOR , 2. PROJECT NAME t Edna• McCallion 3. PROJECT LOCATION: Municipality Cutchogue County Suffolk 4. PRECISE LOCATION(Street address and road Intersections,prominent landmarks,_etc.,or provide map) 1100 Dean Drive S .C .T.M.No . 1000-116-5-13 & survey enclosed ,".,... i ;�;".�:� ::�:; .; •, Location map S. IS PRO SED ACTION: New ❑Expansion ❑Modification/alteration 8. DESCRIBE PROJECT BRIEFLY: Please see attached description 7. AMOUNT OF LAND AFFECTED: Initially acres Ultimately 0 acres 8. Wk_ 7PROPOSECTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? Yes IN No If No,describe briefly 9. W T IS PRESENT LAND USE IN VICINITY OF PROJECT? ; ese: Describe:enlial ❑Industrlal ❑Commercial ❑Agriculture ❑Park/ForesUOpen space ❑Other " �7 10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING,NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATELOCAL)? • ."♦,. 1 . Yes ❑No If yes, list agency(s)and permitiapprovals Southold Town Trustees , N.Y. S .D.E."C: , N:Y.'$ .D 10 S i�& U.'S+.rD. O�.A. 11. DOES ANY 4SVMT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Yea o If yes,list agency name and permitiapproval 12. AS A RESULT F ROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? ❑Yes ENO 'I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE j0•THE BEST OF MY KNOWLEDGE •Applicant/sponsor name: a E. u S a S ggent Date: 3 0i Signature: ( ' If the action is in the Coas al-A ea, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER Board of 'Trustees Application County of sutfTTIR � � State of' New York t , DEPOSES AND AFFIRMS THAT HE I HE/SHE IS THE BEING DULY SWORN DESCRIBED PERMIT(S) AND THAT ALL STATEMENTSC NTAINED FOR THEREINHE V '. ARE TRUE TO THE DES'T OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION { AND AS MAY ICE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES IIARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S) , IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBX.AUTIIORIZE THE TRUSTEES, ` HEIR AGENT(S) OR REPRESENTATIVES(S) , -,IO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME 'THIS DAY OF Notary 1: c WARY PUBLIC,STATE Cf NEW yd* No QIg053124 40Q„a094 In Y " 3 Board of Trustees' Application AUTHORIZATION (where the applicant is not the owner) I i _residing at 'j 12J S�, (.yG�\4 o aG� ' (print own of property) (mailing ads) r-�- do hereby authorize , ,( 1 (Agent) I of 1 > to apply for permit( s) from the Southold Board of Town Trustees on my behalf. C� (Owner' s signature) 4 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Doris Dean Address: 2870 New Suffolk Avenue Cutchogue , N.Y. 11935 �. co .� - C3 avia = J' -Z �,o L`7 i6 1 m O C i nJ U— V-3 t � y N 3 V Z0� N /� s W o W m > O WL° er ear �r 1 0-1 f �r � mro 0661 aun &D .�£W Sd I STATE OF NEW YORK COUNTY OF SUFFOLK 44,n6LV-,` , residing at -1 Z kd /by I I q ( being duly sworn, de oses and says that on the J day of {�}t[Ic , 19 Q/a , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at that said Notices were mailed to each of said p rsons by `(cert' mail. Sworn to bef o e me this day of ,19 RIO- Notlary Public BARBARA J.MITCHELL NOTI�Ry PUBLIC,state No.01M14 90 92,Sufl I k Term Expires Jan.31. 6 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: David Mears , Preston Mears- Address: 18-1 East Mountain Road Jr. , Mary Ann Mears , Thomas Belle Mead, N. J. 08502 Couse: & Marie Mears Qom_ ft a CU Ln a).o Ln m c G [� m .C >�c ru � u o N ' /r fot;.e °' C/3 F ' 3 W m Cp¢ C ° m ��m �? tr S d LL .Otm sy �. LT OJ m = E r .?may a N E �`, p�� `' °i E 8 m o 0 a m m3 d m ¢ri y c_..t Q m ¢ ¢g ¢o .a e 066L aunt ,008C WJOd Sd STATE OF NEW YORK COUNTY OF SUFFOLK residing at 0'] v 119U4 being duly sworn, de oses and says'-- that o the _/� day of yML .C�(1 , 1916, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that saiA Notices were mailed at the United States Post Office at that said Notices were mailed to each of, said p sons by (ce ' Tied) (r gistered) mail. Sworn to befo a me this day of ,19g . l No tar P lic BARBARA J,MITCHELL NOTARY PUBLIC,State of New York N0.01Term Mt res Jan.31. Term Expires Jan.31, , 6 � w NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEC PERMIT NUMBER EFFECTIVE DATE 1-4738-01299/00001 March 28, 1996 FACILITY%PROGRAM NUMBER(S) PERMIT EXPIRATION DATE(S) Under the Environmental March 28, 1999 Conservation Law TYPE OF PERMIT ❑ New 0 Renewal ❑ Modification ❑ Permit to Construct ❑ Permit to Operate ❑ Article 15, Title 5: Protection ❑ 6NYCRR 608: Water Quality ❑ Article 27, Title 7; 6NYCRR 360: of Waters Certification Solid Waste Management 0 Article 15, Title 15: Water 0 Article 17, Titles 7, 8: SPDES ❑ Article 27, Title 9; 6NYCRR 373: Supply Hazardous Waste Management ❑ Article 19: Air Pollution 0 Article 15, Title 15: Water Control ❑ Article 34: Coastal Erosion Transport Management ❑ Article 23, Title 21: Mined Land ❑ Article 15, Title 15: Long Reclamation ❑ Article 36: Floodplain Island Wells Management 0 Article 24: Freshwater Wetlands ❑ Article 15, Title 27: Wild, ❑ Articles 1, 3, 17, 19, 27, 37; Scenic and Recreational Rivers 0 Article 25: Tidal Wetlands 6NYCRR 380: Radiation Control 0 Other: PERMIT ISSUED TO TELEPHONE NUMBER Edna McCaLLion (914) 738-3447 ADDRESS OF PERMITTEE 459 Siwanoy Place, Pelham, New York 10803 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER Glen Just; JMO Consulting, P.O. Box 447, Quogue, New York 11959 (516) 653-0607 NAME AND ADDRESS OF PROJECT/FACILITY 1100 Dean Drive - LOCATION OF PROJECT/FACILITY Cutchogue COUNTY TOWN �WATERCOURSE NYTM COORDINATES Suffolk Southold econic Bay DESM I PT ICN OF AJTFM I Z® X,7 I V I TY Dismantle and reconstruct 70' groin. ALL work shall be in accordance with NYSDEC Approved plans. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2) and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: ADDRESS Charles T. Hamilton Bldg. 40, SUNY, Room 219, Stony Brook, NY 11790-2356 AUTHORIZED SIGNATURIEI DATE April 3, 1996 Page 1 of 4 - Nle* York State Department .of Environmental Conservation Building 40 -SUNY, Stony Brook, New York 11790-2356 Telephone (516) 444-0365 AM Facsimile (516) 444-0373 APR 2 21996 Mkhad C.zagau _� Conwilaskow. LD April 3 , 1996 Edna McCallion 459 Siwanoy Place Pelham, NY 10803 RE: 1-4738-01299/00001-0 Dear Permittee : In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit . Please read all conditions carefully. If you are unable to comply with any conditions, please contact us at the above address . Also enclosed is a permit sign which is to be ,conspicuously posted at the project site and protected from the weather. Very truly yours, Charles T. Hamilton Permit Administrator CTH/ls enclosure FAPR 22 1996 ` un J.M.O. Consulting P.O. Box 447 Quogue, N.Y. 11959-0447 516-653-0607 April 17, 1996 Mrs. Jill Doherty Board of Town Trustees Town of Southold Town Hall, 53095 Main Road P.O. Box 1179 Southold, N.Y. 11971-1179 RE: Property of Edna McCallion 1100 Dean Drive, Cutchogue Dear Mrs. Doherty: Enclosed please find a copy of the approval for this project which was recently issued by the N.Y.S.D.E.C. As always, please feel free to contact our office at any time should or any member of the Board have any comments or questions regarding this project. Most respec fully, enn E ust GEJ:ar Cam. ODD 1 Ti GS I spedtions 1 . The permitted site or facility, including relevant records, is subject to in- spection at reasonable hours and intervals by an authorized representative of the Depa r tmant of Ern i rorrranta I Conservation (the Department) to determine Whether the permittee is caTplying with this permit and the IZL. Such represen- tative may order the v,ork suspended pursuant to ECL 71-0301 and SaPA 401 (3) . copy of this permit, including all referenced naps, drawings and special cond i t i ons, rrus t be ava i l ab l e fo r i nspect i on by the Depa rtrr nt at a l l t in-es at the project site. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. Permit Changes and Fienene i s 2. The Department reserves the right to mod fy, suspend or revoke this permit v%hen: a) the scope of the permitted activity is exceeded or a violation of any condition, of the permit or provisions of the EEL and pertinent regula- tions is found; b) the permit vies obtained by misrepresentation or failure to disclose relevant facts; c) ne�vrraterial information is discovered; or d) environmental conditions, relevant technology, or applicable lam or regulation have rraterialIy changed since the permit vies issued. 3. The permi tree rrust sutmi t a separate wr i tten app I icat ion to the DeparttTent for reneneI , modification or transfer of this permit. Such application rrust; include any forms, fees or supp i errenta I i nfo rrrat i cn the Depa r=wt requires. any renenel , codification or transfer granted by the Department must be in writing. 4. The permittee mist sub­ni t a renena i application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination Systen (Sri) , Hazardous V%ste IVbnagemnt Fac i•I i t i es rra j o r 'Air Po I I ut i on Gant ro i (APC) and So I i d V%ste iVbnageTant Facilities (W41F) ; and b) 30 days before expiration of al other permit types. 5. L.!<h I ess expressly provided for by the Depa r trmnt, issuance of this permit does not modify, supersede or rescind any order or determination perviously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. Other , Legal CbIi gat icns of Permittee 6. The permittee has. accepted expressly, by the execution of the application, the full legal responsibility for all damages, direct or indirect, of Wiatever nature and by W•,amver suffered, arising out of the project described in this - permit and has agreed to inde=ify and save harmless the State fra-n suits, -actions, damages and costs of every ' nama and description resulting fron this project. 7. This permit does not convey to the permittee any right to trespass upon the lards or interfere with the riparian rights, of others in order to perform the permitted v%ork nor does it authorize the irrpa i mmnt of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. _ S. The permittee is responsible for obtaining any other permits, approvals, lands, easerents and rights-of-v%ey that may be required for this project_ 1 Page 2 of 4 95-20-6a(7192)-25c ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (Title 5), 24, 25, 34 and 6 NYCRR Part 608 ( TIDAL WETLANDS ) 9. That if future operations by the State of New York require an al- other environmentally deleterious materials associated with the teration in the position of the structure or work herein authorized, or project. if, in the opinion of the Department of Environmental Conservation 13 Any material dredged in the prosecution of the work herein permitted it shall cause unreasonable obstruction to the free navigation of said shall be removed evenly,without leaving large refuse piles,ridges across waters or flood flows or endanger the health, safety or welfare of the bed of a waterway or floodplain or deep holes that may have a the people of the State, or cause loss or destruction of the natural tendency to cause damage to navigable channels or to the banks of resources of the State,the owner may be ordered by the Department to a waterway. remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or 14. There shall be no unreasonable interference with navigation by the work revocation of this permit, the structure, fill, excavation, or other herein authorized. modification of the watercourse hereby authorized shall not be com- 15. If upon the expiration or revocation of this permit,the project hereby pleted, the owners, shall, without expense to the State, and to such authorized has not been completed,the applicant shall,without expense extent and in such time and manner as the Department of Environmental to the State, and to such extent and in such time and manner as the Conservation may require,remove all or any portion of the uncompleted Department of Environmental Conservation may require,remove all or structure or fill and restore to its former condition the navigable any portion of the uncompleted structure or fill and restore the site and flood capacity of the watercourse.No claim shall be made against to its former condition. No claim shall be made against the State of the State of New York on account of any such removal or alteration. New York on account of any such removal or alteration. 10. That the State of New York shall in'no case be liable for any damage 16. If granted under 6 NYCRR Part 608, the NYS Department of Environ- or injury to the structure or work herein authorized which may be caused mental Conservation hereby certifies that the subject project will not by or result from future operations undertaken by the State for the contravene effluent limitations or other limitations or standards under conservation or improvement of navigation,or for other purposes,and SLct)ons 301, 302, 303, 306 and 307 of the Clean Water Act of 1977 no claim or right to compensation shall accrue from any such damage. (PL 95-217)provided that all of the conditions listed herein are met. 11. Granting of this permit does not relieve the applicant of the responsi- 17. All activities authorized by this permit must be in strict conformance bility of obtaining any other permission, consent or approval from with the approved plans submitted by the applicant or his agent as part the U.S. Army Corps of Engineers, U.S. Coast Guard, New York State of the permit application. Office of General Services or local government which may be required. J.M.O. ConsultiII 12. All necessary precautions shall be taken to preclude contamination Such approved plans were prepared by g of any wetland or waterway by suspended solids, sediments, fuels, stamped NYSDEC approved on 3/28/96 solvents, lubricants,epoxy coatings,paints,concrete, leachate or any SPECIAL CONDITIONS 1 . Any debris or excess material from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal . No debris is permitted in tidal wetlands and or protected buffer areas . 2 . The storage of construction equipment and materials shall be confined to within the project work site and or upland areas greater than 75 linear feet from the tidal wetland boundary. 3 . Equipment operation below apparent high water is strictly . prohibited. 4 . All repairs to existing structures shall be confined to replacement of existing elements with no change in design, dimension, or materials, unless specifically authorized herein. 5 . No excavation of beach is authorized. G . Sheathing is to be jetted in, trenching is prohibited. n 7 . Dredging is prohibited. Supplementary Special Conditions (A) through (F) attached. DEC PERMIT NUMBER .1-4738-01299/00001 PROGRAM:FACILITY NUMBER Page 3 of 4 The following conditions apply to all Tidal Wetlands; Freshwater Wetlands; Coastal Erosion Management; and Wild, Scenic, and Recreational Rivers Permits: A. A copy of this permit, including all conditions and approved plans, shall be available at the project site { whenever authorized work is in progress. The permit sign enclosed with the permit shall be protected from ` the weather and posted in a conspicuous location at the work site until all authorized work has been completed. B. The permittee shall require that any contractor, project engineer, or other person responsible for the overall supervision of this project reads, understands, and complies with this permit and all its general, special, and supplementary special conditions. Any ' i failure to comply precisely with all of the terms and conditions of this permit, unless authorized in writing, shall be treated as a viblation of the Environmental Conservation Law. If any of the permit conditions are unclear, the permittee shall contact the Division of Regulatory Affairs at the address on page one or telephone (516) 444-0365. C. If project design modifications become necessary after permit issuance, the permittee shall submit the appropriate plan changes for approval by the Regional Permit Administrator prior to undertaking any such modifications. The permittee is advised that substantial modification may require submission of a new application for permit. D. At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of the permitted work, the bottom portion of that form shall also be signed and returned, along with photographs of the completed work and, if required, a survey. E. For projects involving activities to be undertaken in phases over a period of more than one year, the permittee shall notify the Regional Permit Administrator in writing at least 48 hours prior to recommencing work in subsequent years . F. The granting of this permit does not relieve the permittee of the responsibility of obtaining a grant, easement, or other necessary approval from the Division of Land Utilization, office of General Services, Tower Building, Empire State Plaza, Albany, NY 12242 (516) 474-2195, which , may be required for any encroachment upon State-awned lands under-water. DEC Permit No. 1-4 738-0 1 299/0000 1 page 4 of 4 i i� t�• f rI � � Ir' I' _ ��•��rru_; �I��� APR r STATE OF NEW YORK B� o I"'� ;L DEPARTMENT OF STATE ALBANY, NY 12231-0001 ALEXANDER F. TREADWELL SECRETARY OF STATE April 2, 1996 Glenn E. Just J.M.O. Consulting P.O. Box 447 Quogue, NY 11959-0447 Re: F-96-140 U.S. Army Corps of Engineers/New York District Permit Application #96-02460-L2 Edna McCallion, Peconic Bay Town of Southold, Suffolk County Dear Mr. Just: The Department of State has received the information you provided on March 14, 1996 describing the above proposed project. We have been informed by the U.S. Army Corps of Engineers that your project was authorized under an existing Nationwide Permit. Therefore, no further review is required by this Department. We appreciate your referring this information to the Department of State for review. Sincerely, William F. Barton Chief, Consistency Review and Analysis Bureau Division of Coastal Resources and Waterfront Revitalization WFB:WF:dlb cc: COE/New York District - Denise Butts DEC/Region 1 - Robert Greene Town of Southold - Albert Krupski L>printed on recycled paper OR 2 0 1996 STATE OF NEW YORK DEPARTMENT OF STATE `6" = JI ALBANY, NY 12231-0001 ALEXANDER F. TREADWELL ' SECRETARY OF STATE March 15, 1996 Albert J. Krupski, Jr. Trustee, Town of Southold 53095 Main Road P.O. Box 1179 Southold, NY 11971 Re: F-96-140 U.S. Army Corps of Engineers/New York District Permit Application Edna McCallion, Peconic Bay Dear Mr. Krupski: Enclosed is a copy of the information submitted to the Department of State for review of the above-referenced project with respect to its consistency with the Coastal Management Program for your information and preliminary review. Please contact William Feldhusen, the DOS reviewer assigned to this project, at (518) 474-6000 to discuss your concerns and any additional information which may be necessary to assist you in reviewing this project. Any comments you may have will assist the Department in reaching a decision as to the consistency of the proposed action with the approved NYS Coastal Management Program. Please note, however, that if we do not hear from you within 45 days of the date of this letter, we will presume that you have no objections to the proposed project. Sincerely, k yh"��J"/0 William F. Barton Chief, Consistency Review and Analysis Bureau Division of Coastal Resources and Waterfront Revitalization Enclosures WFB:dlb L.*printed on recycled paper 95-20-7 (5/93) New York State Department of Environmental Conservation AM Supplement to Joint Application for Permit STRUCTURAL ARCHEOLOGICAL ASSESSMENT FORM (SAAF) PART 1 -- APPLICANT COMPLETES APPLICANT INFORMATION 1 . Applicant Name Edna M 2. Applicant Address 459 Siwanoy Place Pelham, N.Y. - 10803 PROJECT INFORMATION 3. Project/Facility Name Bulkhead resheathing 4. Project/Facility Location 1100 Dean Dr. 5. Is the proposed project adjacent to, or does it contain a I ❑ Yes building or structure listed in the State or National gNo Register of Historic Places? 6. Are there any buildings or structures built prior to 1940 ❑ Yes adjacent to or within the proposed project area? If the answer to question 5 and/or 6 is yes, provide the following information for each building and structure (use attachments if necessary): a. Name of structure b. Location c. Type of structure (ex. house, outbuilding, barn, bridge, dam, ruins) d. Approximate age or date of construction 7. Might the proposed project have any impact ❑ Yes (physical/visual) upon any buildings or structures listed in 4Z_No the State or National Register of Historic Places or built prior to 1940? If yes, describe briefly (use attachments.if necessary): yO(I/'S�la�.Jq' S� Qyyy- ° °" APPLICANT SECTION CONTINUES ON REVERSE SIDE SAAF (5/93) PART 1 -- APPLICANT COMPLETES 8. Provide photographs of every building and structure that may be impacted by the project as described in number 7, on the opposite side of this page. The following standards are recommended: • Minimum of 2 photographs • Minimum size 4" X 4" prints from negatives preferred; polaroid. photos are acceptable • Photos must be clear and focused • Clearly label photos so it is obvious what is being illustrated; key photos to map or plan, if possible • Photo 1: show both the entire front and side of the structure in a single shot from as close to the building as possible. Be sure the structure is not partially of fully blocked by trees or other obstructions • Photo 2: show relationship of building or structure to roadway or surroundings 9. Has the land within the proposed project area been. ; -Yes previously disturbed or altered (excavated, landscaped, ❑ No filled, utilities installed)? If yes, describe briefly, including depth of disturbance (use attachments if necessary): 10. Approximate percentage of proposed project area with 0 - 10% 10z) % slopes: 10 - 15% 15% or greater % 11. Approximate percentage of proposed project site with the Well drained % following drainage characteristics: : Moderately well drained Poorly drained 1 C5D . % Prepared By (Print or typ ) Signature: Date: -3 —Eb . U ENVIRONMENTAL QUESTIONNAIRE This is intended to supplement ENG Form 4345, Application for Department of the Army Permit, or the Joint Application for Permit used in the State of New York. Please provide complete answers to a# questions below which are relevant to your project. Any answers may be continued on separate sheet(s) of paper to be attached to this form. PRIVACY ACT STA TEMENT The purpose of this form is to provide the Corps of Engineers with basic information regarding your project. This information will be used to facilitate evaluation of your permit application and for public dissernination as required by regulation. Failure to provide complete information may result in your application being declared incomplete for processing, thereby delaying processing of your application. GENERAL--APPLICABLE TO ALL PROJECTS 1. Explain the need for, and purpose of, the proposed work. r•� Groin r?sheathing 2. Provide the names and addresses of property owners adjacent to your work site (if not shown on the application form or project drawings). enclosed (Please note that depending upon the nature and extent of your project, you may be requested to provide the names and addresses of additional property owners. proximate to your project site to ensure proper coordination.) 3. Photographs of the project site should be submitted. For projects in tidal areas, photographs of the waterway vicinity should be taken at low tide. Using a separate copy of your plan view, indicate the location and direction of each photograph as well as the date and time at which the photograph was taken. Provide a sufficient number of photographs so as to provide a clear understanding of conditions on and proximate to your project site. ' enclosed 4. Provide a copy of any environmentalimpact statement, oily other environmental report which was prepared for your project enclosed (continued on next page) Page 1 r 5. Provide a thorough discussion of alternatives to your proposal. This discussion should include, lout',Oot necessarily be limited to, the "no action" alternative and alternative(s)resulting in less disturbance to waters of the United States. For filling projects in waters of the United States, including wetlands, your alternatives discussion should demonstrate that there are no practicable alternatives to your proposed filling and [fiat your project meets with current mitigation policy (i.e. avoidance, minimization and compensation). No alternatives have been-discussed i DREDGING PROJECTS Answer the following if your project involves dredging. 1. Indicate the estimated volume of material to be dredged and the depth (below mean low water) to which dredging would occur. • Would there be overdepth dredging? n/a 2. You can apply for a ten-year permit for maintenance dredging. .If you wish to apply for a ten-year permit, please provide the number of additional dredging events during the ten-year life of the permit and the amount of material to be removed during future events. n 3. Indicate of your drawings the dewatering area (if applicable) and disposal site for the dredged material (except landfill sites). Submit a sufficient number of .photographs of the dewatering.and disposal sites as applicable so as to provide a clear indication of existing conditions. For ten-year maintenance dredging permits, indicate the dewatering/disposal sites for future dredging events, if known. 4. Describe the method of dredging (i.e. clamshell, dragline, etc.) and the expected duration of dredging. 5. Indicate the physical nature of the material to be dredged (i.e. sand, silt, clay, etc.) and provide estimated percentages of the various constituents if available. For beach nourishment projects, grain size analysis data is required. n/a C7 (continued on next page) Page 2. 6. Describe the method of dredged material containment (i.e. .hay bales, embankment, bulkhead, etc.) and whether return flow from the dewatering/disposal site would reenter any waterway. Also indicate if there would be any barge o verflo w. n/a MOORING FACILITIES Answer the following if your project includes the construction or rehabilitation of recreational mooring facilities. 1. It is generally recommended that any fixed piers and walk ramps be limited to four feet in width, and that floats be limited to eight feet in width and rest at least two feet above the waterway bottom at mean low water. Terminal floats at private, non- commercial facilities should be limited to 20 feet in length. If you do not believe your proposal can meet with these recommendations,please provide the reason(s). n/a 2. Using your plan view, show to scale the location(s), position(s) and size(s) (including length, beam and draft) of vessel(s) to be moored at the proposed facility, including those of transient vessels) if known. n/a 3. For commercial mooring sites such as marinas, indicate the capacity of the facility and indicate on the plan view the location(s) of any proposed fueling and/or sewage pumpout facilities. If pumpout facilities are not planned, please discuss the rationale below and indicate the distance to the nearest available pumpout station. n/a 4. Indicate on your plan view the distance to adjacent marine structures, if any are proximate and show the locations and dimensions of such structures. (continued on next page) Page 3 5. Discuss the need for wave protection at the proposed facility. Please be advised that if a permit is issued, you would be required to recognize that the mooring facility may be subject to wave action from wakes of passing vessels, whose operations would not be required to be modified. Issuance of a permit would not relieve you of ensuring the integrity of the authorized structure(s) and the United States would not be held responsible for damages to the structure(s) and vessel(s) moored thereto from wakes from passing vessels. n/a BULKHEADING/BANK STABILIZA TION/FILLING ACTIVITIES Answer the following if your project includes construction of bulkheading (also retaining walls and seawalls) with backfill, filling. of waters/wetlands, or any other bank stabilization fills such as riprap, revetments; gabions, etc. 1. Indicate the total volume of fill (including backfill behind a structure such as a bulkhead) as well as the volume of fill to be placed into waters of the United States. The amount of fill in waters of the United States can be determined by calculating the amount of fill to be placed below tine plane of spring high tide in tidal areas arid below ordinary high water in non-tidal.-areas. n/a 2. Indicate the source(s) and type(s) of fill material. n/a 3. Indicate the method of fill placement (ire. by hand, bulldozer, crane, etc.). Would any temporary fills be required in waterways or wetlands to provide access for construction equipment? If so, please indicate the area of such waters and/or wetlands to be filled, and show on the plan and sectional views. n/a The foregoing requests basic information on the most common types of projects requiring Department of the Army permits. It is intended to obviate or reduce the need for requesting additional information; however, additional information may be requested above and beyond what is requested in this form: Please feel free to add any additional information regarding your project which you believe may facilitate our review. .. Page 4 Mc Callion 1100 Dean Drive New Suffolk 1330 Hrs 2/15 /96 i - C� r a J d } - - • i ry� or , I N Y C53-060 J MO CON OUL=1-I NG QUOGUE) Me Gall-ion 1100 Dean Drive New Suffolk 1330 Hrs 2/15 /96 f + 1 ri J Iv10 CON OUL1-I NG QUOGUE) NY 653-0607 • Me Call,ion 1100 Dean Drive New Suffolk 1330 Hrs 2/15 /96 7) C� r'1 A . i .{Z l J N10 CON SULK-I NG QUOGUE, N Y 653- 7 Mc Call•ion , 1100 Dean Drive ' New Suffolk t 1330 Hrs 2/15/96 OOPWOW- A7 . 1 t f J Iv10 CONSULTING QUOGUE) NY 653-0607 Mc Cal-lion , 1100 Dean Drive ' New Suffolk t 1330 Hrs 2/15/96 r �( • ' qW r v• ,Imo' � �. J Iv10 CON OUL-r I NG QUOGUE ) NY 653-0607 • • 1 • • ,1p, , 41 :A A R. 11 . 1 - . • 1 • 1 • • . M 144 PROJECT DESCRIPTION Applicant proposes to resheath an existing functional timber groin . To do this , existing nuts and bolts shall be loosened , existing walers unattached , existing sheathing removed and new sheathing shall be jetted in . Existing walers shall be reattached and existing nuts and bolts retightened . • Mc Callion 1100 Dean Drive New Suffolk •, 1330 Hrs 2/15/96 mom y\ c N s _ J Iv10 CON OUL(-I NG QUOGUE) NY C 53-0607 2 NEW YORK STATE DEPARTMENT OF STATE DEPAR-RiENT OF STATE F-9�-1 yQ COASTAL MANAGEMENT PROGRAM r.�t• z)TAL PROGRAMS 1 Federal Consistency Assessment Form MAR 4 1996CCElyE® An applicant, seeking a permit, license, waiver, certification or similar type RECEIVED federal agency which is subject to the New York State Coastal Management Program (CMP), shall' le.te.,shis assessment form for an activity that will occur within and/or directly affect the State's Coas"f► ' Y Proposed applicant in certifying that theo assist an proposed activity is consistent with New York State's CMP as required by U.S. Department of Commerce regulations (15 CFR 930.57). It should be completed at the time when the federal application is prepared. The Department of State will use the completed form and accompanying information in its review of the applicant's certification of consistency. A. APPLICANT 1. Name: Edna ylcCallion (please print) 2. Address: 459 Siwanoy Place , Pelham, id Y 10803 3. Telephone: Area Code ( 914 7 3 8-3 4 4 7 B. PROPOSED ACTIVITY 1. Brief description of activity: Please see attached project description 2. Purpose of activity: Groin resheathing 3. Location of activity: Suffolk _ Cutchogue 1100 Dean Dative County Ctty, Town or Village 9 Street or Site Description 4. Type of federal permit/license required: U. S . D. 0.A. 5. Federal application number, if known: Unknown at this time 6. If a state permit/license was issued or is required for the proposed activity, identify the state agency and provide the application or permit number, if known:NYSDiEC Tidal Ret lands , AppId No Unknown C. COASTAL ASSESSMENT Check either "Yes" or "No" for each of the following questions. The numbers following each question refer to the policies described in the CMP document (see footnote on page 2) which may be affected by the proposed activity. 1. Will the proposed activity result in any of the following: YES NO a. Large physical change to a site within the coastal area which will require the preparation of an environmental impact statement? (11, 22, 25, 32, 37,.38, 41, 43).....:....................'... _✓b. Physical alteration of more than two acres of land along the shoreline, land under water or c coastal waters? (2, 11, 12, 20 . Revitalization/redeve.lopment of a deteriorated or underutilized waterfront site?•.(1)........... .d. Reduction of existing or potential public access to or along�9 coastal waters? (19, 20)............ Adverse effect u pon the commercial or recreational use of coastal fish resources? (9, 10).......f. Siting of a facility essential to the exploration, development and production of energy resources in coastal waters or on the Outer Continental Shelf? (29)............................. g. Siting of a facility essential to the generation or transmission of energy? (27)............... _ _✓h. Mining, excavation, or dredging activities, or the placement of dredged or fill materials in coastal waters? (15, 35)...........:............. 1. Discharge of toxics, hazardous substances or other•Pollutants.into.coastal•waters?..(15,.35)..... _ ✓J. Draining of stormwater runoff or sewer overflows into coastal waters? (33)...................... _k. Transport, storage, ,treatment, or disposal of solid wastes or hazardous materials? (36, 39)..,..1. Adverse effect u — pon 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: f a. State designated freshwater or tidal wetland? (44).. b. Federally designated flood and/or state designated erosion. hazard.area?••(11, 12, 17)..•. .c. State designated significant fish and/or wildlife habitat? (7). .... — d. State designated significant scenic resource or areal — . .................... e. State designated important (24)................................... .. 9 mpo tent agricultural lands? (26)......... • — — f. Beach, dune or barrier island? (12), """"'•"""""" g. Major ports of Albany, Buffalo, Ogdensburg,.Oswego.or•New•York? •.(3).... .. ... ... .... — h. State, county, or localpark? """""•""•'•••••••••• i. Historic resource listed 0n the National or State Register.of•Historic•Places?•(23)..............•...... — / YES NO 3. Will the proposed activity require any of the following: a. Waterfront`'site?- (2,21,22)...................................................................... v — b. Provision of new public services or infrastructure in undeveloped or sparsely populated sections of 'the;coagtal ar-ea? �-(5)............................................................... — c. Construction or reconstruction of a flood or erosion control structure? (13, 14, 16)............ _ d. State water quality permit or certification? (30, 38, 40)......................................... _ _✓ e. State ai't quality%permit••or cer•Ei'f'-iddb on? (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 a(' the questions in Section C are answered "No", then the applicant or agency shall complete Section E and submi !.,he documentation required by Section F:- 2. If an, the questions in Section C are answered "Yes", then the applicant or agent is advised to consult the CMP, or --,rare appropriate, the local waterfront revitalization program document*. The proposed activity must be analyzed in more detail with respect to the applicable state or local coastal policies. In the space provided below or on a separate page(s), the applicant or agent shall: (a) identify, by their policy numbers, which coastal policies are affected by the activity, (b) briefly assess the effects of the activity upon the policy; and, (c) state how the activity is consistent with each policy. Following the completion of this written assessment, the applicant or agency shall complete Section E and submit the documentation required by Section F. E. CERTIFICATION The applicant or agent must certify that the proposed activity is consistent with the State's CMP or the approved local waterfront revitalization program, as appropriate. If this certification cannot be made, the proposed activity shall not be undertaken. ,If this certification can be made, complete this Section. "The proposed activity complies with New York State's approved Coastal Management Program, or with the applicable approved local waterfront revitalization program, and will be conducted in a manner consistent with such program." Applicant/Agent's Name: Glenn E. Just/ J.M. O . Consulting Address: P .O . Box 447 , Quogue , N.Y. 11959-0447 Telephone: Area Code ( ) 516-6 5 3 0 6 Applicant/Agent's Signature: C oat.: 31 -()06 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. "As proposed , project shall have no negative impacts upon Coastal Management Zone Policy Nos . 2 , 21 , 22 or 44 . " *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 MAR 2 0 1996' J.M.O. Consulting r, P.O. Box 447 Quogue, N.Y. 11959-0447 516-653-0607 March 16, 1996 Mrs. Jill Doherty Board of Town Trustees Southold Town Hall 53095 Main Road P.O. Box 1179 a- Southold, N.Y. 11971-1179 RE: Grandfather Application for Edna McCallion 1100 Dean Drive, Cutchogue . Dear Mrs. Doherty: Enclosed please find a copy of the approval for this project which was recently issued by the Corps of Engineers. As always, should you or any member of the Board have any comments or questions regarding this matter, please feel free to contact the office at your convenience. Most sinc rely, enn J GEJ:arh 1 — , DEPARTMENT OF THE ARMY ' \ NEW YORK DISTRICT. CORPS OF ENGINEERS (1. 1 JACOB K. JAVITS FEDERAL BUILDING NEW YORK, N.Y. 10278-0090 ; REPLY TO I ATTENTION or March 14, 1996 is Eastern Permits Section SUBJECT: Application Number 96-02460-L2 by Edna McCallion Edna McCallion. , c/o J.M.O. Consulting P.O. Box 447 Quogue, New York 11959-0447 Dear Ms. McCallion: On March 14, 1996, the New York District, U.S. Army Corps of Engineers, received a request for -Department of the Army' . authorization for the resheathing of an approximate '106 foot, timber groin. The site is .located in Great Peconic Bay at New Suffolk, Town of Southold, Suffolk County, New York.: Based on information submitted to this office, our review of the project indicates that an individual permit is not required. It appears that the activities within the jurisdiction of,- this office could be accomplished under an existing Department of the Army nationwide general permit. The nationwide permits are ' prescribed in Title 33 of the Code of Federal Regulations (33 CFR 330, Appendix A, Part B, No. 3) . The work may be performed ' without further authorization from this office provided the activity complies with the permit conditions listed in Appendix A and any applicable regional conditions added by 'the State of New York. A public notice issued from this office which describes the nationwide permits and conditions for New York is enclosed for your review. This determination covers only the work described in the submitted material. Any major changes in the project may require additional authorizations from the New York District. Care should be taken so that construction materials, ! including debris, do not enter any waterway to become drift or pollution hazards. You are to contact the appropriate state and local government officials to ensure that the subject work is performed in compliance with their requirements. ; This verification is valid for a period of two years from the date of this letter, unless the Nationwide Permit is modified, suspended or revoked. This verification will remain valid for two years from the date of this letter if the activity;: complies with the terms of any subsequent modifications of the Nationwide Permit authorization. If the Nationwide 'Permits are suspended, revoked, or modified in such a way that the activity would no longer comply with the terms and conditions of a Nationwide Permit, and the proposed activity has commenced, or is under contract to commence ,the permittee shall have 12 months from the date of such action to complete the activity. . If any questions should arise concerning this matter, please contact Denise Butts, of my staff, at (212) 264-3913 . Sincerely, 'W. I a es W. Haggerty Ch ef, Eastern Permits Section Enclosures l is 2 �n 4, fl 747474j STATE OF NEW YORK DEPARTMENT OF STATE ALBANY, NY 12231-0001 ALEXANDER F. TREADWELL SECRETARY OF STATE March 15, 1996 MAR 1 8 1996 Glenn E. Just J.M.O. Consulting P.O. Box 447 Quogue, NY 11959-0447 Re: F-96-140 U.S. Army Corps of Engineers/New York District Permit Application Edna McCallion, Peconic Bay Town of Southold, Suffolk County Acknowledgement of Federal Consistency Assessment Form Dear Mr. Just: The Department of State received your Federal Consistency Assessment Form and supporting information on March 14, 1996 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 be advised that the Corps of Engineers may authorize the proposed project under an existing nationwide permit (#3). If the Corps of Engineers does determine that this project could be authorized under an existing nationwide permit, no further review of this project by the Department of State would be necessary. Please call William Feldhusen at (518) 474-6000 if you have any questions. Sincerely, William F. Barton / Chief, Consistency Review and Analysis Bureau Division of Coastal Resources WFB:dlb and Waterfront Revitalization cc: COE/New York District - Jim Haggerty NYS DEC/Region 1 - Robert Greene Town of Southold - Albert Krup�i printed on recycled paper ' '-^• OREGON �~ 1193 m m � o� CUT�HOGUE STA. h 84 a EAST N TTITUCK T r��-- J. �. _ ... ._. .�r,..�,Qc• Ctarmo CEMETE AV CUTCHOC7'UE J P°p 11 9 .. 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