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Home My WebLink AboutTR-4619 Rai f ► i �, P . .+ ►,is iK .!> �tii ?ti Y •, ► y: 'x. �` ,Y ..,• • Y ! r i`� ti�• Board Of Southold . Town Trustees ; {; SOUTHOLD, NEW YORK r•. +� PERMIT NO. ......... DATE: ....6/27/96 E` ` a ISSUED TO DAVID MC .EI,ROY.......................................................................... ' c .................... .................. .....,... i a •�� Pursuant to the provisions of Chapter 615 of the Laws of 'r » ... I the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and the Southold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the \ REMOVAL OF SAND GRAVEL OR OTHER MATERIALS FROM r LANDS UNDER TOWN WATERS;" and in accordance with the I� } Resolution of The Board adopted at a meeting held on ....6./2.7./.9.6......Ni ' gal 19-9.6...., and in consideration of the sum of $.150.,00.......... paid by P.r.oper.-.T..-Servic.e.s....fox...D.AVID...M•c...ELROY...... �F= �i .......................... �..�; of .... ...d.................................................. ... N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, \ fai of Southold Town Trustees authorizes and permits the following: !' Wetland Permit to constr. a platform 3'X10', steps 3'X9' a fixe . oc dk 3'X40', ramp 3'X16',, float 6'X20' with 2 2-pile dolphins and ;4 a oc�� a 99 s.f. gazebo and ha bales placed at the 50' line. ' ta� Lo •Creek al in accordance with the detailed specifications as presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees Mere- 1; by causes its Corporate Seal to be affixed, and these presents to a be subscribed by a majority of the said Board as of this date. 1p _. s ;G :.... ...::: ....... Trustees '� � f `�, t�'.tiu,u3.-,. ' d�'i '�f�..s `m �r�w s a�7 �•+•� s�.w a. :ad.� s � � �+T�+r,��aa�seu�:r.�'� �l ,�A �" to f TERMS and CONDITIONS The Permittee DAVID McELROY residing at 2565 Long Creek Drive, Southold 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 for 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 expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability 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. S. 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. O��S�FFO(�co Albert J. Krupski,President y� Gy Town Hall John Holzapfel, Vice President c 1 53095 Main Road CA Jim paag P.O. Box 1179 �. n� Martin H. Garrell �,y �� Southold, New York 11971 Peter Wenczel ��j �`�� Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 28, 1996 Proper.-T Services Names E. Fitzgerald, Jr. P.O. Box 617 ril.tchogue NY 11935 Re: DAVID Mc ELROY SCTM #52-8-2 Dear Mr. Fitzgerald., The following action. was taken. by the Board of Town Trustees during its regular meeting held. on June 27, 1996, regarding the above matter: WHEREAS, DAVID Mc ELROY, applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated June. 11, 1996, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on June 27, 1996, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and. the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standard set forth in - Chapter 97-18 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED; that the Board of Trustees approves the application of DAVID Mc. ELROY to construct a platform 3' X 10 ' , steps 3 ' X 91 ; a fixed dock 3' X 40' , ramp 3 ' X 16' , float. 6' X 20' with 2- 2 pile dolphins and. a 99 s.f. gazebo and haybales placed at. the 50' line. Located: 2565 Long Creek Drive, Southold. BE IT FURTHER: RESOLVED that this determination 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.. Permit to construct project will expire two, years from the date it is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this. notification.. Two inspections are required and the Trustees are to be notified upon completion of said project. FEES: fixed dock: 3 ' X 25 ' = 75' X $3 = $225 ramp: 3 ' X 16' = 48' X $3 = $144 float 6' X 20' = 120' X $3 = $360 TOTAL: $729. 00 DUE. Very truly yours, �. - i ° Albert J. Krupski, Jr. President., Board of. Trustees AJK/djh cc. CAC DEC ACE Alt;rt J. Krupski,President Town Hall Jelin Holzapfel, Vice President ;.'� ;�. 53095 Main Road .. William G. Albertson CSI"' � ,.,; P.O. Box 1179 Martin H. Garrell c� `" Y t" Southold, New York 11971 Peter Wenzel �P;9l`j�- �.�� Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Onl Coastal Erosion Permit Applicatio Wetland Permit Application Grandfather Permit Application JUN I 11996 Trustee Lands Permit Application _ Received ApplicatWa io �� L er TOWN OF 1�- '�- Clerical Review: Completed Applicatio!! it/ Incomplete SEQRA Classification: Type I Type II_ Unlisted Coordination: (date s`e t CAC Referral Sent: o FDate of Inspection: .Receipt of CAC Report: (date) Lr-� _ Lead Agency� Determination: Technical Review: (date) Public Hearing: (date) 47 Q 0 .h1N Decision: Approved (Y/N (/date-) Application Fee:$/$V, o y Name of Applicant David McElroy. Address 2565 Long Creek Drive, Southold Phone Number: ( ) 765-9212 Suffolk County Tax Map Number: 1000 - 52-8-2 Property Location: 2565 Long Creek Drive, Southold (provide LILCO Pole #, distance to cross streets, and location) Agent: Janes E. Fitzgerald, Jr. / Proper-T Permit Services (If applicable) Address: P.O.. Box 6179 Cutchogue, NY 11935 Phone: 734-5800 r / 1 1 Boa _ of Trustees Application :- GENERAL DATA Land Area (in square feet) : 579200 Area Zoning: R-40 Previous use of property: Private residential Intended use of property: Private residential Prior permits/approvals for site improvements: Agency Date Southold Bldg Dept 1995 NYSDEC 1995 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary) : Construct docking facility consisting of- platform .3' x 10' , steps 3' x 91 , fixed dock 3' x 601 , ramp 3' x 161 , and float 6° x 201 , with two 2-pile dolphins to secure float. Construct walkway 3" x 1081 . Construct gazebo with footprint area 99 sq. ft. 2 Boa, , ' of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Provide docking for boat; pro- vide convenient access to :dock; provide nice place to sit and enjoy the view. Area of wetlands on lot: aAprox 109000 square feet Percent coverage of lot: approx 17 % 0 Closest distance between nearest existing structure and upland edge of wetlands: 91 " feet Closest distance between nearest proposed structure and upland edge of wetlands: -0- feet Does the project involve excavation or filling? X No-- Yes If yes, how much material will be excavated? N/A cubic yards How' much material will be filled? RA, cubic. yards Depth of which material will be removed or deposited: N/A feet Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: N/A Statement of the effect, if any, on -the wetlands and tidal waters of the town that may result by reason os such proposed operations (use attachments if appropriate) : It is expected that the project will have no significant effect on the wetlands and the tidal waters of the town. t NOTES 1. ALL STRUCTURES ARE"PROPOSED'. ' 2. PILES SUPPORTING THE WALKWAY,THE PLATFORM,AND THE FDCED DOCK ARE 8"-10"d.AND ARE SPACED 8'o.c. THROUGHOUT. 3. ALL DIMENSIONAL LUMBER TIMBER AND PILES ARE CCA-TREATED.ALL HARDWARE IS GALVANIZED. 4. THE DECK PLANKS OF THE WALKWAYAND THE FDCED DOCK ARE AT LEAST 4'ABOVE VEGETATED GRADE. _CAZc t�f� qq Sa. '?VTF6Q,4 3'X 10 - - -RAMP 3'x 16' Wit►K( `� 3` log �c 3'X40� - FT - —6410 - - - - - ANAW - - -� - �- - - -- - __ WETI.��S VEf�T�T10N kw q �} CORPS OF ENGINEERS DATA SECTION VIEW Application regarding pprropperty of PURPOSE: Construct fixed open walkway,hinged David McElroy, SCT1 #I000-5 -8-2 ramp, and floating dock for private recreational Represented by purposes. PROPER-TPERMIT StRVICES DATUM: I'dLW P.O. Box 617, Cutchogue,NY 11935 IN: Long Creek AT: Southold James E. Fitzgerald, Jr. 516-734-5800 COUNTY: Suffolk STATE:New York Revised May 22, 1996 r- s A Rs�aMO -8o z42o„� �1q Q�E l t�� S'�O�►a off F t DG ha`.k 1Sg 74. r r 0� N I �o O_ fi . I Lei � 5g�p2 s{ Lot 3 N .1 0 . ''ARED SURVEY FOR JEFFREY Q. FORCHELLI LOT 2 "LONG RON R ESTATES, SECT. i�r AT 50111a}-OLD DATE: SEPT. 3, 1966 1000-52-8-1 ,.� BARBARA CLAPS GQ '� DRIV 1%,L (/ 2715 LONG CREW YORKE11971 y urlE SOUTHOL.D, N W r L' I OF K STo►�a OR tL;ptt,KW � 3' ,f� wAY ACfCO`S W1- U � I Ai�-o�tA j O r XIST 7c: ; 3'x2 l-cNG- 7� � eY � w � G �� :: � 1. z �'�0�� 1ZAME floc E Fv Is -t i�l � W Q / � W 2I zl U �-r-avc� z 1000-52-8-2 sxlS(�- � �� O �.rt��raTloN� � 4 !: !; u J 1 DAVID McELROY 0 _ LO -FITZ�2AU-)� 2565 LONG CREEK DRIVE NS W �/Zq6 ORK 11971 ._ tI j f�NE Why-ter LL 1 J601 A-FPf�OX, ICC X,Z6-' 'r roc 2i Il i t0 AITQ0k S7 5 BUT w)kY uaI/) ; ON 4�A 0 'Onl t 1000-52-8-3 DANIEL SLATKIN 2415 LONG CREEK DRIVE CORPS OF ENGINEERS DATAFap,.. JECT PL<�il�! SOUTHOLD, NEW YORK 11971 egarding the property of PURPOSE: Construct fixed open walkway,hingedy, SCT1v1 #1000-52-8-2 ramp, and floating dock for private recreationalepresented by purposes. PERMIT StRVICES DATUM: I�4I W 7, Cutchogue,NY 11935 IN: Long Creek AT: Southold erald, Jr. 516-734-5800 ' COUNTY: Suffolk STATE:New York Revised Llay 21 1996 ARSHAMOMA t 36t 4 TIE UNE' AL Q UE POND D'gyp G.Z BY ALONG APP �_UNG a YOUNGRox ON E'6.MZQ 995RVEYEO 5S/ 02�— pp I k461 H W M `5 AS SHOWN ON FILED ASAP 0 I N 9.7, END M AS pRSCR�gEp -�. 10.7 l`• EN pEED �Kpp�-1C °� 6 g�3 S %N 6pwNEp K 7pppGE g62 / Ig51 PC e° 5 0 a�Bp IN pEgp 10 N 8 latl N_ L /r Mp A a269APAG 1 sp v2 ER mp r W �18 t r a 0 DAL Dc I441 O L • `3�1r// j0 ��361 /%/// 2 �tr1PS�27 "pj T1OA1' i d� IT , gY 1g95 — APR -DISIURBAN / 1 '1 `ANOWARpANp S KF�BY S p�.E.C•1 _ _ \ " TEp UNG N' o � L 0�NG EKIFIEO s n ro.7 11OeEv -- -- -- (53) (52) f 2 f s LIMIT OF BUILDING m m k49) ENVELOPE �J ) (% P�oT � t0— N OU�y —— —— —Lp _ tfD �PQ 35 OF•�'�4 I T 1 t�0 �- � —10 SIA0, 11 r.r, a {Fr.G FlnftSl-lED fa�4L7E \2•Z � — -- _ .--- � c�C. t2.1 6A5EMEnIT t•E.=9.'1 �� LP f ` ) / 1o. I.E.= t t•E._0 A J lL?� /; \�ZQO / SEPTIC TANK E5SPOOL �,N•� EL=2.O 13• 2 GRouND 5EGT ION- SEWAGE DISPOSAL SYSTEM N.T.S• �3 S'{O03$ USE (3� POOL SYS-V--- / �� TEST HOLE DUG 3)2bI-J50•0 E EL•'IZ'S DA,r1K 6faow AVEN� t2 ` ONG a�� bon°n O �AONEV 1,0 MAIN ��; LJPLP LOAMY ER 33 5ANp FINE 'ro COARSE SANt7 r�ROUND EL,a 2.0 PALE 1O �' WATER ee avv.1 NOTE FINE -ro ELEVATIONS SHOWN HEREON ARE FROM ACTUAL SURVEY AND ARE COAI?SE REFERENCED TO N.G.V.D. ( MSL 1929). SANG t�,o SURVEY FOR LISA A. Mc ELROY LOT 2 "LONG POND -ESTATES, SECT. I APR. 13, 1995 MAR.23,1995 AT SOUTHOLD DATE: FEB. 23, 1995 TOWN OF SOUTHOLD SCALE: I" = 50' , SUFFOLK COUNTY, NEW YORK NO. 95-0072 *UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE �� NEW YORK STATE EDUCATION LAW NE *COPIES OF THIS SURVEY NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL �- eqp W. �. NOT BE CONSIDERED TO BE A VALID TRUE COPY *GUARANTEES INDICATED HEREON SHALL RUN ONLY TO rJ �,� Y� HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED ANO ON HIS BEHALF TO THE TITLE COMPANY,GOVERN- � = n► * NEAREST WATER MAIN—MI.± *SOURCE OF WATER% PRIYATE—PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED :THERE CO. TAX MAP DIET 1000 SECTION 02_G52 BLOCK_OR LOT 0 HEREON,AND TO THE ASSIGNEES OF THE LENDING *THERE ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OTHER THAN THOSE SHOWN HEREON. OWNERS * THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE OWNERS DISTANCES SHOWN HEREON FROM PROPERTY LINES WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT TO EXISTING STRUCTURES ARE FOR A SPECIFIC "'1tt711�� OF HEALTH SERVICES. PURPOSE AND ARE NOT TO BE USED TO ESTABLISH APPLICANT- PROPERTY LINES OR FOR THE ERECTION OF FENCES ADDRESS �/ �± TEL. YOUNG Ek YOUNG RIIVVERHEAD, NEW YORKE NOTE: ■ = MONUMENT FOUND ❑= MONUMENT SET SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK ALDEN W.YOUNG,PROFESSIONAL ENGINEER OF SUFFOLK COUNTY ON DEC. 27,1985 AS FILE NO. 8037 AND LAND SURVEYOR N.Y_S.'UCENSE NO.12845 (3B)•=NUMBERED LATH SET HOWARD W.YOUNG, LAND SURVEYOR LITHE LOCATION OF WELL(W),SEPTIC TANK(ST)&CESSPOOLS(CP)SHOWN HEREON N.Y.S.LICENSE N0.45893 ARE FROM FIELD OBSERMATIONS AMD OR DATA OBTAINED FROM OTHERS BRANDIS & SONS INC. 1046 PHOTO C: Looking NNW from top of bank. Orange stake marks center line of platform at top of steps down bank. (4/9/96; 1030 hrs) CORPS OF ENGINEERS DATA PROJECT SITE PIIOTOS Application regarding the property of- PURPOSE: Construct fixed open walkway, hinged I)atiid McElroy, SC'I'Xl #11000-52-8-2 ramp, and floating dock for private recreational Represented by purposes. PROPER-'I'PERMIT SERVICES DATUM: MLW P.O. Box 617, Cutchogue,NY 11935 IN: Long Creek AT: Southold James E. Fitzgerald, Jr. 516-734-5800 COUNTS": Suffolk STATE: New York June 10, 1996 PHOTO A: Looking E along shoreline. Orange stakes , mark location of sides F " of fixed dock. (4/9/96; 1030 hrs) 10 7 Q r -+�•. a. _ - _ PHOTO B: Looking WNW K along shorline. Orange •-,r "' f«,,., x.'x ,z stakes mark location of sides of fixed dock. (4/9/96; 1030 hrs) CORPS OF ENGINEERS DATA PROJECT SITE PHOTOS Application regardingg the property of PURPOSE: Construct fixed open walkway, hinged David McElroy, SCI�M#1000-52-8-2 ramp, and floating dock for private recreational p y purposes. PROPER-T PEFIAIT SERVICES DATUM: MLW P.O. Box 617, Cutchogue,NY 11935 IN: Long Creek AT: Southold James E. Fitzgerald, Jr. 516-734-5800 COUNTY: Suffolk STATE: New York June 10, 1996 5[F. SEE A0. OAI 1 SEE SFL N0.CMG SEE SEC.N0.044 -,5FPOO ,1 ��•` `t° YETCN LINE _ 4A(LN Z LILAC MATCH z LIME •A.OD CO `,,Za N LO ,. FOX PARCEL NO SEE SEC.NO.0♦G L FOR PARCEL Na J LG ♦.9 SEC SEC No ♦ FOR PARCEL Na SEE SEC.NO 044-04•003.1 �.. t♦� ti d a"a 7 e / A SIP 3JAId f Q /f 1 L� r ,l L '1 •'O N -�a yt ,•v '(e} w` roE SEC NO Na I fT' '!9 SEE ![C Na \V p. L• G♦IOER :. a>P •1.5 .01-001.1 3 /l`/♦•P4�o-� S t0.1 •O t ' , 1.3 3.,( s• +'�? �L F sL s`. -r G' S gip• FOR PARCEL O �{ a F' ,` a• , - M1 `ro'IP , ° ff++. ! •. - �` '! .> 1 • 0l7-01-001.2 :`� \ , 4 :�\ sf/. •. •�•te•ts'_ \ \G ♦s '•c ' '. A is �5 i'L-1 `4` "`� \=? a• � �. .. xDElel ..i' A +\ � 4' 5♦ '� �`.) ... LN� � ,>. !a1 �! act .''`:.^p.^\A b S ti• •\' • LIAW EL CATSOR n. .EYenn IDMct `'♦'+ ~,i a 3•C`� %• {•. 'o- tl •• 67d{.. !f 59.2 p I.lAte1 .� e.SE IFI :T •,..� IwmA..rw LA.S. �\ • ;,r? '.:'� ~, 14.0a ie:ttet tc) l Jro.N OF SOUTHOLO © \ d1 5E.4 ef.! _ p 15.70:1 TAIPI 47 ♦ - �J 1.3 s o °s • , FOR PARCEL Na!fE SEC No O!G-0♦-02♦ _W L FOR PARCEL N6!f[ !tCa M 0!G•01-OW FOR PARCEL NO SC[!Ea N0.OSE-OI-OOB>"•' � ' ,I MARCH z LINE - — YGTCN 1 LINE ,N LILAC ESMNMOSG ATCN LILAC ' �TCN \ S[ Y SEE SEC.40.0O0 \ RIME .n er._CR..Y, ALL wOP[FnFG OIIL[ 51'E SI.C.M4 059 APE IT.. 14 RNL.P.RE.E .1[rRICI[' NyR,dA•G[ L1.R•.WX,�[ b [caeca n• +[ ♦_—.� arl.w,s b roP,mN C ARSHAMOMA \3'o ` TIE LINE A' QUE POND , ® G AP Y YOUNG g yOUNGRON FEB 22a g95RVEYEO s 1 1 5 o Q2�� q S SHOWN ON FILED I N 9.2 141 T MAP o _ 1BEp o ENT AS pEgCR �. Io.T l 8 E,ASpE D 3 KApL1C / ti 1.°t56g�3 s. xN R 1C / Q EpwAEA KApLAGE 562 A e° 45) 0 a18�1N pEE-TK1N � 1 1421 1411 /Z N OAN1E4 LATK�E 1. 1 0 ARA 6 69 pA rP ... M ER 112 my� cr► (rl 1401 N cT pc 44) 1 0LAN05 ON ,50 T10AL WEAN LAN0WA0 ADD S0, OHKIF NB S20 E o* URBAN — — L p,-TOut% B(Ou% s q 6,7 _ 9 Nper{ b�� JL,` p� BE C-0 >a — PR,1EftIVED � 2 x T LIMIT OF BUILDING 1 m papNE IA. 3 I % 49) ENVELOPE l D --'1 �e Lam'�`- e' ` .i Lo co Ole P.Pa 1 �j U o F.F. �V. � -lo ,S►Fa : S�� HDL15E r.P. : ;Iu•G FIr1�FIaEo C�F24pE 2 12.1 11.o fp 12• _ ?�a��E� 5�\J(L�^��`•^�IC'�j, 1 1 OASEMrCNT I.E.=1 O.1 I.E.:9.'1 f 70 �i FL.: -I.O I.E.=9.7 1•E.:9. JJJ SEPTIG TAN* ESSPOOI. L �� / \ / \5vlo GROUND WATER o.5 seC.TI6W- SEWAGE 015P0SA_ SYSTEM N.T•5. \� S-�0�38y / QR\� USE (�) ?OOL SYSTEM / TEST HOLE V DuG 312 ®J50.0 DARK OROw Av ENS � NG -c7 UANC`/ E� /�. \Z• 0 GptJ LOAM 1.0 O �At1R �Ea � LJP �onMY � � Z SANG ar.0 3 1055• PA,t_E �� DRoWN FIt'IE. To C0A9-sc- SArlO C:ROUND 10.5 PA WATER L.E GROWN NOTE FINE To ELEVATIONS SHOWN HEREON ARE FROM ACTUAL SURVEY AND ARE coAaSe REFERENCED TO N.G.V.D. ( MSL 1929). SA^'° SURVEY FOR MAY 3 LISA A. Mc ELROY MAY 9, 1995 LOT 2 'ALONG POND ESTATES, SECT. I APR. 13, 1995 MAR.23,1995 AT SOUTHOLD DATE. FEB. 23, 1995 C5 Q TOWN OF SOUTHOLD SCALE: I" = 50' SUFFOLK COUNTY, NEW YORK NO. 95-0072 m4my / / *UNAUTHORIZED ALTERATION OR ADDITION TO THIS CERTIFIED TO ®� SURVEY IS A VIOLATION OF SECTION 7209 OF THE LISA A. McELROY .S NEW YORK STATE EDUCATION LAW 'I7V1 Of- *COPIES OF THIS SURVEY NOT BEARING THE LAND SCTIC, INC. ®�� SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY )(GUARANTEES INDICATED HEREON SHALT_ RUN ONLY M HEALTH DEPARTMENT-DATA FOR APPROVAL TO ZlKuk- I THE PERSON FOR WHO* THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERN- NEAREST WATER INAIN—MI.; *SOURCE OF WATER; PRIVATE—PUBLIC MENTAL AGENCY AND LENDING INSTITUTION LISTED N SUFF CO. TAX MAP DIST IOOO SECTION 052 BLOCK-Qf-LOT 91? HEREON,AND TO THE ASSIGNEES OF THE LENDING *THERE ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE OTHER THAN THOSE SHOWN HEREON. TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT N THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE OWNERS / *DISTANCES SHOWN HEREON FROM PROPERTY LINES WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT / TO EXISTING STRUCTURES ARE FOR A SPECIFIC OF HEALTH SERVICES. PURPOSE AND ARE NOT TO BE USED TO ESTABLISH APPLICANT, PROPERTY LINES OR FOR THE ERECTION OF FENCES ADDRESS TEL. 400 YOUNG a YOUNG RIVVER►�EAD", NEW YORKDER E NOTE: ■ = MONUMENT FOUND 0= MONUMENT SET SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK A W.YOUN PROFESSIONAL ENGINEER OF SUFFOLK COUNTY ON DEC. 2.7,1985 AS FILE NO. 8037 AND D LAND SURVEYOR YOR N.Y-S.LICENSE N0.12845 (38)8 =NUMBERED LATH SET HOWARD W.YOUNG, LAND SURVEYOR *THE LOCATION OF WELL(W),SEPTIC TANK(ST)SCESSPOOLS(CP•)SHOWN HEREON N.Y.S.LICENSE NO.45893 ARE FROM FIELD OBSERVATIONS AMD OR DATA OBTAINED FROM OTHERS BRANDIS & SONS INC. 1046 ��gUFFO(,�c Albert J. Krupski, President �Q OG Town Hall John Holzapfel, Vice President 53095 Main Road William G. Albertson y x P.O. Box 1179 Martin H. Garrell Oy �� Southold, New York 11971 Peter Wenczel '4 �.a0 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: DAVID McELROY Please be advised that your application, dated 6/11/96 has bee reviewed by this Board, at the regular meeting of 6/27/96 and the following action was taken: ( XXX) Application Approved. (see below) ( ) Application Denied. (see below) ( ) Application Tabled. (See below) If you application is approved as noted above, a permit fee is now due. Make check or money order payable• to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth int he sintruction sheet. The following fee must be paid within 90 days or reapplication including fees will be necessary. COMMENTS AND REMARKS: Application Fee: $150.00 PAID COMPUTATION OF PERMIT FEES: Fixed dock: 3' X 25' = 75' X $3 = $225 ramp: 3' X 16' = 48' X $3 = $144 float: 6' X 20' = 120' X $3 = $360 TOTAL DUE: $729 TOTAL FEES DUE: $ 729.0n SIGNED: PRESIDENT, BOARD OF TRUSTEES BY: f GL lO CLERK, By OF TO TR STEES F� /,5zp T�CF 6/95 Proper-T Permit Services POST OFFICE BOX 617,, CUTCHOGUE, NEW YORK 11935-0617 (516)734-5800 September 19, 1996 Sip 2 019T President Board of Town Trustees Town of Southold Town Hall, 53095 Main Road Southold, New York 11971 Re: David McElroy, SCTM#1000-52-8-2 Dear Sir: The fee for Mr. McElroy's permit, approved at the 6/27/96 meeting of the Trustees, is due on 9/27/96. We request a ninety-day extension for the payment of the permit fee. This would help with a current cash flow problem. I would very much appreciate your favorable consideration. cerely, ames E. Fitzger Jr. l a subsidiary of THE PECONIC EASTERN CORPORATION c ARSHAMOMAn O^ ,D t 6t TIE LINE ALONG V'UE D �o 'Z BY R 1 r v aPP _ �'LING a YOUNG ON FEB..AS1.S SURVEYED 1 5 I N•W.M 1a61 . �23.4$'� �ROj• . ` AS SHOWN ON FILED MAP - I N g 2 14T1 o _ 10Ep o �� Q pEgCR .-� �. ENZ AS 4s EA pEp _TKAp41C / ti ' LOt 6813 s.f -'_ `,°n Rp 1C // EpwA KApL 5g2 T Pao , 5 a10�A2pEEp 1N 8` 1451 Q 1421 1A0 �J ANN�E N• �A-TK1N 1 �2 MARA 0269 pAGO S 0- L1BER a 0 Tn 1A01 \ N v` a ' LkAllTJ,'�" s Wgt yANO �UP A ANDS o. � �13T1 `'.• / L1M,T OfSl �S"SO t9Gb - 'NON=DISIURBANJC pNDSED pN NG ON F ? E Y0\30 EK,FIEO 153) 1tOBE -- ---- in �1521 c 62- it n LIMIT OF BUILDING R (49) ENVELOPE F yJ 1 m 150) (50 --�) L� Qt' $� �3'Ot^ �1 1 ✓ tt 0 ° c� PJ �` �'O� p�L ➢o W 15 \0 �� 1 0`A�� ,0- N--- -- � tNF•0 rp.R�"' 35 NOOSE 0�-�`� t2- •I zi4.>.o F1nItSNEoGQ&'DE ,22 - " - y -_ S`\ 12,1 Il.� 11.0 O PR•Op-0c�¢ �{ +5'r S \ „A 0AS5�OT 1•E=10.1 1.E.=9.2 V'E•'9 p JJ SEPTtG TANtC ESSdpooL � N•�� F� \'�i / �520 / 5EGTl0N- SEWAGE D%SPOSA\ SYSTEM N.V.S. -10 3 O� USCR ('s� PooL SVSTCVn TEST HOLE DUG 3I23IlJ50.0 gV_ EL, CAQW-SROW14 . � P,�Ig�J' t2•` ON�7 A�J"C� RLOAM 1 O 0 �AVRE/2R LJ PL \.GAMY 5ANp 105533 PA.LE FINE TO COARSE SA1.lp MROJND E\-•a 2.0 10.6 WATE:TY PALE P�FlOWIJ NOTE FIraE To ELEVATIONS SHOWN HEREON ARE FROM ACTUAL SURVEY AND ARE COARSE REFERENCED TO N.G.V.D. ( MSL 1929). SAND t-I_o SURVEY FOR LISA A. Mc ELROY LOT 2 'ALONG POND ESTATES, SECT. I " APR. 13, 1995 MAR.23,1995 AT SOUTHOL D DATE FEB. 23, 1995 TOWN OF SOUTHOLD SCALE: I" = 50' . SUFFOLK COUNTY, NEW YORK NO. 95-0072 *UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY M A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW*COPIES OF THIS SURVEY NOT SEARING THE LAND NEMy��p� SURVEYORS INKED SEAL OR EHDOSSED SEAL SHALLNOT BE TO BE A �y. 1� MGUA ANTEESOERED INDICATED MHE EONI SHALLERUNPONLY TO �0 THE PERSON FOR WHOM THE SURVEY IS PREPARED r+ v HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERN- o* z• If NEAREST WATER MAIN—MI.t *SOURCE OF WATER: PRIATE_PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED SUFF CO. TAX MAP DIST IQOQ SECTION 052 BLACK OB_LOT O02 HEREON,AND TO THE ASSIGNEES OF THE LENDING :THEME ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE OTHER THAN THOSE SHOWN HEREON. TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT M THE WATER SUPPLY AMD SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE OWNERS WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT TO DISTANCES SHOWN HEREON FROM PROPERTY LINES Q 0EXISTING STRUCTURES ARE FOR A SPECIFIC 8g OF HEALTH SERVICES. PURPOSE AND ARE NOT TO BE USED TO ESTABLISH APPLICANT, PROPERTY LINES OR FOR THE ERECTION OF FENCES ADDRESS TEL. YOUNG a YOUNG RI RHEOST DA NNEW YORK DER E NOTE: 0 = MONUMENT FOUND 0= MONUMENT SET P' SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK ALDEN W.YOUNG,PROFESSIONAL ENGINEER OF SUFFOLK COUNTY ON DEC. 27,1985 AS FILE NO. 8037 AND LAND SURVEYOR N.Y-S.LICENSE NO.12845 7L ,� (38)•=NUMBERED LATH SET HOWARD W.YOUNG, LAND SURVEYOR 1�'THE LOCATION Of WELL(W),SEPTICTAHK(ST)BCESSPOOLS(CP)SHOWN HEREON N.Y.S.LICENSE NO.45893 AN ARE FROM FIELD OBSERVATIONS AND OR DATA ONTAINED FROM OTHERS B BRANDIS & SONS INC. 1046 yp�F1,�`Iiy ttg'tin ":Fuy nI n 9 R 1 6u i) C ARSHAMOMA TIE LINE ALONG UE PC,n l BY YOUNC 8 YOIINGRON FEB W.ZA99URVEYED J'v D I13 7s 5�02�_ 5 1g61 •. � �23.4 Jr,� APPROx'H'WM. AS SHOWN ON FILED MAP -- 0 I N E ZK AADS 1C 0- 0 ESCB(BED � 1(46) ENMEPtK \C L°t S' Au) pEE 3 68 roDwAROLpGEA E .QC 2° A a JBE 1N DE �K�N a (a51414-11 0 k (411 y3 p K1 DA RA B.SLApAG �P;� •' 0 N►A ER 11269 �➢ W ' L,B moil a5 � (AO) Dc N (4a1LA O'Lr _CD_ WET LANDS / �L9 // i , (3 / ib po NOS _ (g71ENO (�Uo.t.tG WEB A W Of DpAY pOWAROpN01gTAKFE6 2 O 1995 iACATE9'INN1E eY p.Y•S o IOUpG VER1f D a n 6.7 x 6.9 (T06E _— --- (g31 • � N A ^ � � 2 x T LIMIT OF BUILDING ` 0 D 0 (49) ENVELOPE Ot 3 I� m (go) (g11 �P Pv �\ Pp 06Ltt ➢ c� o CA 15 r\0�P P`P o� 0— N _ `-ONovc'_ \[D.O�pR•= 3Gj O F•F'�� 0 HOUSE \2— / 12,1 11.'I 11.0 pROQpg � ' 6� ON BASEMENT 1.E.= 1 10. F1_•: 9.0 CE55POOL � H• i \G� // ` rf OO / SEPTIG TgNK / '� i / ��`• 2�_\\h EL-2.0 �' ` � /' �fi ti GRouND WATER o•5 \r�• a 0�/ \` 5 V 3EGTI0N- SEWAGE D15P05AL SYSTEM S'(cp use (�) POOL SYSTEM TES HOLE 9ufa 3I2�1'�50.0 ` �1"-12•S DARK®ROW A�ENj� N G �� SANo14 �AVRE�A Ea Mp\N �t t2 �O �JPL°'� GROWN 1 O O W 5 ANMpY 3 0 �•��O pQowN Floe TO COAfdSE $AN77 (51200wo EL,a 2.0 IO.5 wATE:R PALE Rv10\N NOTE FINE To ELEVATIONS SHOWN HEREON ARE FROM ACTUAL SURVEY AND ARE COARSE REFERENCED TO N.G.V.D. ( MSL 1929). SAND SURVEY FOR LISA A. Mc ELROY LOT 2 "LONG POND ESTATES, SECT.• I APR. 13, 1995 MAR.23,1995 AT SOUTHOL D DATE: FEB. 23, 1995 TOWN OF SOUTHOLD SCALE: I" = 50' SUFFOLK COUNTY, NEW YORK NO, 95-0072 *UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW *COPIES OF THIS SURVEY NOT BEARING THE LAND y� t I�iE'i✓�/\�� SURVEYORS INKED SEAL,OR EMBOSSED SEAL SHALL \\ NOT BE CONSIDERED TO BE A VALID TRUE COPY p� A{� 1, *GUARANTEES INDICATED HEREON SMALL RUN ONLY TO �\ W. THE PERSON FOR WHOM THE SURVEY IS PREPARED HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT * _�. *, AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERN- NEAREST WATER MAIN—MI. *SOURCE OF WATER% PRIVATE—PUBLIC— MENTAL AGENCY AND LENDING INSTITUTION LISTED * SUFF CO. TAX NAP DIST 1009 SECTION 052 BLOCK QA LOT D2 HEREON,AND TO THE ASSIGNEES OF THE LENDING *THERE ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION. GUARANTEES ARE NOT TRANSFERABLE OTHER THAN THOSE SHOWN HEREON. TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT * THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE OWNERS WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT *DISTANCES SHOWN HEREON FROM PROPERTY LINES OF HEALTH SERVICES. TO EXISTING STRUCTURES ARE FOR A SPECIFIC 4 APPLICANTS PURPOSE AND,ARE NOT TO BE USED TO ESTABLISH PROPERTY LINES OR FOR THE ERECTION OF FENCES ADDRESS \` TEL. 400 OSTRANDER AVENUE - YOUNG a YOUNG RIM R [ AP-j-,N w�OK . NOTE: ■ - MONUMENT FOUND O- MONUMENT SET SUBDIVISION MAP FILED. IN THE OFFICE OF THE CLERK ALDEN W.YOUNG,PROFESSIONAL ENGINEER C AND LAND SURVEYOR N.Y.S.LICENSE N0.12845 OF SUFFOLK COUNTY ON DEC. 27,1985 AS FILE NO. 8037 I G (3s)•=NUMBERED LATH SET HOWARD W.YOUNG, LAND SURVEYOR JUN 1 I � *THE LOCATI011 OF WELL(W),SEPTIC TANK(ST)B CESSPOOLS(CP)SHOWN HEREON 14 N.Y.S.LICENSE NO.45893 ARE FROM FIELD OBSERVATIONS AND OR DATA ONTAIMED FROM OTHERS k�lI _ '',. — BRANDIS 6 SONS INC. 1046 pp q IN T.7 1.ju lj U 1e Pryer Lu j Albert J. Krupski,President by goy Town Hall John Holzapfel, Vice President c 53095 Main Road CIOP.O. Box 1179 = Jim King Martin H. Garrell y �� Southold,New York 11971 Peter Wenczel �Oj �`a� Telephone (516)765-1892 Fax(516)765-1823 BOARD OF-TOWN-TRUSTE_E_ S TOWN OF SOUTHOLD r - BOARD OF TRUSTEES TOWN OF SOUTHOLD JUL 2 ------------------------------------ In the Matter of the Application 06 of _____ DAVID Mc ELROY ------ COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I,James E. Fitzgerald, Jrresiding at 385 Haywaters Drive, Cutchogue NY 11935 being duly sworn, depose and say: That on the 19thday of June , 1996, I personally posted the property known as 2565 Long Creek Drive, Southold NY 11971 by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for seven days prior to the date of the public hearing. (date of hearing noted thereon to be held 6/27/96 on or about 7:15 p.m. Dated: ignature) Sworn to before me this c 7 day of 1996 UNCA 0,TA WART 0fAWY0aNpAW Notary PuBlic +died in Sulfas*.*:aurally 00-09NIA, Edna mural ri,199 STATEMENT TO THE SOUTHOLD BOARD OF TOWN TRUSTEES County of Suffolk ) State of New York) I, David McElroy, being duly sworn, depose and affirm that I am the owner of the prop- erty located at 2565 Long Creek Drive, Southold, New York 11971, and identified by Suffolk County Tax Map No. 1000-52-8-2, and that all work will be done in the manner • set forth in the present application and as may be approved by the Southold Board of Town Trustees. I agree 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. I hereby authorize the Town Trustees or their agent(s) or representative(s)to enter upon my property to inspect the premises in conjunction with the review of the present application. j DtMl�roySworn to before me this l day of.... ....... ....... ....... .......... .............`.. ..... Notary Public ANN NESTOR NOTARY PUBLIC,STATE OF NEW YORK NO.O3 81212 U QUALIFIED IN SUFFOLK COUNTY C� COMMISSION EXPIRES AUGUST 311191 t 2565 Long Creek Drive Southold, New York 11971 February 9, 1996 President Board of Town Trustees Town of Southold Town Hall, 53095 Main Road Southold, New York 11971 Dear Sir: Please be advised that I hereby designate and authorize James E. Fitzgerald, Jr. of Proper-T Permit Services to act in my behalf as my agent'in the submission and processing of an appli- cations for wetlands permits for projects on my property located at 2565 Long Creek Drive, Southold, and designated by Suffolk County Tax Map No. 1000-52-8-2, and to furnish, upon request, supplemental information in support of the application. Yours truly, C Davi McElroy Z 027 7716. 948 Z .027. 776 949 Receipt fogy EI Receipt for Certified Mail - Certified Mail Nam No Insurance Coverage Provided No Insurance Coverage Provided UNITE® Do not use for International Mail I UNITED STATES Do not use for International Mail' i e STALSERVICE I e ST0.SERVICE I (See Reverse) I (See Reverse) i Sta°rbara Claps Sbaniel Slatkin Se�S1T `°Long Creek Drive � Lon g NCreek Drive Pg.,Statnd ddde PS.,Sta ZlddeYou oNY 11971 ouo 11971 Postage $ 32, Postage $ 3 z Certified Fee P Certified Fee 1 Special Delivery Fee Special Delivery Fee i Restricted Delivery Fee Restricted Delivery Fee co Return Receipt Showing Return Receipt Showing to Whom,jo ed p� to Whom red L Re ucU14,receipt hom, t Returaoreceipt horn, Dat and ressee Dat sse CIS c $ ems 4� $ E C/ c a O $ 1 0 P k at m OaD P tm k or Dat Q C I 1:0 CIO li E - s-'fj`�-t-� ILL d ! d - - - -- STATE OF NEW YORK COUNTY OF SUFFOLK James E. Fitzgerald, Jr. _, residing at 385' Haywaters Drive Cutchogue NY 11935 , being duly sworn, deposes and says that on the 11 th day of June , 1996 , 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 Cutchogue NY 11935 tha said Notices were mailed to each of said person (certi mail. Sworn to before me this % day of ,19�� a. Notary Pub i UN(A S.TAGGART Ndvj P ,Sww of Now York No.4948,►06 in Sadt&county CNiftton E s March go,180-,7 6 Date: June 10, 1996 TO: Barbara Claps Daniel Slatkin 2715 Long Creek Drive 241.5 Long Creek Drive Southold NY 11971 Southold NY 11971 BOARD OF TRUSTEES, TOWN OF SOUTHOLD NOTICE TO ADJACENT PROPERTY OWNER In the matter of. David McElroy, SCTM #1000-52-8-2 YOU ARE HEREBY GIVEN NO'ITCE 'THAT: 1. An application is being submitted to the Board of Trustees for a permit to: Construct docking facility consisting of platform 3'x 10', steps 3'x 9', fixed dock 3'x 60', ramp Tx 16', and float 6'x 20', with two 2-pile dolphins to secure the float. Construct walkway 3'x 108'. Construct gazebo with area of footprint of 99 sq. ft. 2. The project described above is proposed on property adjacent to yours. The street ad- dress of that property is as follows: 2565 Long Creek Drive, Southold NY 11971 3. The project, which is subject to Environmental Review under Chapters 32, 37, or 97 of the Town Code, is open to public comment. You may contact the Trustees Office at 765-1892 or in writing if you wish to comment. 4. The project described above will be reviewed by the Board of Trustees of the Town of Southold. The project may require independent review and approval by other agencies of the Town, State, or Federal governments. PROPERTY OWNER'S NAME: David McElroy MAILING ADDRESS: 2565 Long Creek Drive Southold NY 11971 PHONE NO.: 765-9212 A copy of a sketch or plan showing the proposed project is enclosed for your convenience. 14-16.4(2/87)—Text 12 PROJECT I.D.NUMBER 617.21 SEOR 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 James E. Fitzgerald, Jr. 2' Croy Edock, walk, gazebo 3. PROJECT LOCATION: Municipality Southold county Suffolk 4. PRECISE LOCATION(Street address and road Intersections,prominent landmarks,etc.,or provide map) 2565 Long Creek Drive Southold NY 11971 See attached maps. 5. IS PROPOSED ACTION: XxNew ❑Expansion ❑Modiflcation/alteration 6. DESCRIBE PROJECT BRIEFLY: Construct docking facility consisting of platform 3' x 101 , steps 3' x 91 , fixed dock 3' x 601 , ramp 3' x 16' and float 6 ' x 201 , with two 2-pile dolphins to secure float. Construct walkway .3 ' x 1081 . Construct gazebo with area of footprint 99 sq. ft. 7. AMOUNT OF LAND AFFECTED: Initially approx 0.1 acres Ultimately N/A acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? UYes ❑No If No,describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? )Residential ❑Industrial ❑Commercial ❑Agriculture ❑Park/Forest/Open space ❑Other Describe: Large private waterfront .residences. 10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATE OR LOCAL)? )FYes ❑No If yes,list agency(s)and permit/approvals NYSDEC, NYSDOS, USACoE, Southold Trustees 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes DMo If yes,list agency name and permit/approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? ❑Yes No I CER{I T4AT T E I R I d� �EDV E IS TRUE TO THE BEST OF MY KNOWLEDGE v Applicantisponspr--nants, Proper t Servic June 10, 199 Date: Signature: If action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 - PART il—ENVIRONMENTAL ASSESSMENT (To be completed by Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617.127 If 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 legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly: C2. Aesthetic,agricultural,archaeological,hlsloric,or other natural or cultural resources;or community or neighborhood character?Explain briefly: C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly: C4. A community's existing plans or goals as officially adopted,or a change In use or Intensity of use of land or other natural resources?Explain briefly C5. Growth,subsequent development,or related activities likely to be Induced by the proposed action?Explain briefly. C6. Long term,short term,cumulative,or other effects not Identified in C1-05?Explain briefly. C7. Other Impacts(including changes In use of either quantity or type of energy)? Explain briefly. D. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑Yes ❑No If Yes,explain briefly PART III—DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect 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;(a) 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 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: Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer / Signature oT Re—sp-onsible Officer in Lead Agency Signature of Preparer(I i ferent from responsi e o icer) Date 2 Albert J. Krupski,President �O` OG Town Hall John Holzapfel, Vice President = y1 53095 Main Road William G. Albertson P.O. Box 1179 Martin H. Garrell � �' '? Southold, New York 11971 • � Peter Wenczel ?JOl �a0� Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD LABELING PERMIT NUMBERS The main two reasons we have you place your permit numbers on your structure(s) are; A. Should some emergency or need to locate the owner of a certain structure or mooring (if structure brakes loose) , the permit number clearly visible will enable the Bay Constable or others to locate the area. B. Each visible permit number displayed shows that you have followed the procedure necessary for the particular structure or mooring. Those who do not have a number will warrant investigation and possibly a fine. Numbers should be at least 3" high and printed in contrasting black and white. The numbers should be placed on bulkheads, on the fixed portion of the dock as well as the floating portion of the dock. Floats tend to get loose in storms and this way the owners can be found. The simplest way is to use a piece of Board painted black with the required 3" white letters painted on it. This then could be nailed to the seaward side of the structure so it can be seen from the land or the water. The -floating docks can have the numbers carved in them. This way it won't fall off. Moorings and .stakes can have the numbers painted on as well as the sticker that is handed out every year. Your cooperation is greatly appreciated. 6/95 3.140 21'10"E. 50.19' Z I cn / O°I I r Ip O W CD - W CJ1I 1u C71 O mLQ N w Ir U 8'-d.'DIA.x 4'-0" � �N � C.B.NO.4 STORM WATER LEACHING POOL Iq- w' T.G.=10.90 WITH 6 CONC.SLAB a CA.FRAME I.E:7.90 - O 8 GRATE (TYPICAL) I I i S_I4021'Id'E_ - _ I I n r -- 2- -� N.14 21 10 W. 65'OF 18"C.M.F i p I- /ASQ� I� c 12'GRASSED l 1 1 I I W C.B.N0.5 WATERWAY COLT.G.=10.90 I j i I Q ii jl cm- I.E.= 7.90 oil 1 i 11. I 1 1 N . z c O A I 10 Q C I B N0.1 STA.6-34 V T.G.=8.35 LE:5.35 s.8021'10"E. N.802F'10'W. 16: \\ C.B. NO.2 T.G.=8.35 I.E.=5.10 C 17d OF 18"C.M.P. 0.300% v O 12' GRl WATEe 7 'oop ' `9 F ;Sk R E[ �'iYiY�a .�.�::1' 39s, 'w�:.`-"3�.ce�... ."...vcs'..,ow�asv.•.a...e;�;af,+;c�.wraEuy�t*s..,.��t. -....«�.i,�.m..a.,�.s_wma:Fwriissr .�k�1`.' -.�z�.�w':��F �. h:: .n�.. �#! � JUN-24' 96 (MON) 14 34 CAMINITI & GIBBONS 516-765-5902 P. 001 L11W'&FICES r, sQ (:AMINI 'I &'?`GIBBONS 54075, MAIN'ROAD PO BOX 446 SO UTIOLD, NY 11971 FA' CM11TAL DATE: J9 cY16 t RE! l..1 � 11 �OY FAX TELECIOPIER NO: sEivnER TOTAL NUMBER OF PAGES: LNCLUDW,'G COVER: IF YOU D ' .NOT RECEDE ALL PAGES, . PLEASE Coh1TACT OPERATOR AT 765-590'.0 OUR RETURN FAX NUMBER: (5I6) 765-5902 'i ' COMMMS:P12A f' I � II N077C&;The information contained in this`7..facsimile mrr,sage is Attor»iey p6vilt'„ed and confidential information intrnded onlri for the use' Old individual or en64 n.,,r.led alone. The disseminatipn, distribution or copy of this c®mrululatfrif is sirii %li/ �p:�olaibt)`ea', If yore bate reeeiaed .ftgr communication in error, pleas(:;,notify,us l-nmediately btr teiephnre and refuni tire original we,ssage to as at the address abo6e:,via"the 11.5 Postal Senn:•e. JUN-24` 96 (MON) 14:34 GAMINITI & GIBBONS F;+:;,, ; ';,;,,.. 5.16- 165-590,1 . F. .99; G 9 2 DE.CLARAT±UN OF PROTECTIVE COVENANTS AND RESTRICTIONS LONG :POND ESTATES ,5 DECLAP_kTION OF 'PROTECTIVE COVENANTS made this cj �1 2�0 h day 'of January, 19 8 6 i by BAYS+IEtil LAND CORD. , a domestic t Q co potation with off ice`.'`.and. �prineipal place of business at 5 12 Mineola Boulevard, $+I .neo;la, New York 11501, hereinafter j ca led the Declarant. YTHEREAS, the De la,rant is the owner in fee simple of the following premise's` .' Map of Long ISland ,Estates Section Ir filed in � the .-Suffolk County Clerk':'s' ,0€fice, on 12/27/85 as map 48037 h Lots 1 through 24 inclusive;, and WHEP.EAS, the. -Declarant desires to make this oI 0 r �{ Declaration setting forth reservations , restrictions, covenants, conditions and ;agreements ; subject to which theMe . property shown on said U ..ais now held and shall be sold and i c nveyed_ NOW, THEREFORE'+ '.the .;aforedescribed premises shall j .... b subject to the following covenants and restrictions which shall 'run with the - 1. Definition of,F,lot. A "lot" is such parcel as - • ' ,. separately numbered' --;as '"a'%�lot on the aforesaid map. { JUN-24' 96 (MON) 14';35 GAMINITI & GIBBONS` 516-765-5902 P. 003 .2. No lot shall''-be subdivided, sold or conveyed, ex�c apt as a whole., without `the written consent of the ' .C� Dec aran6 and .the consent,,,of%:the Planning Board of the Town d of. outhold. Cz C� 3 . No lot shall be improved or have placed or ES M&A. tained thereon any structure other than a single family dwe.4i.ng 'not to exceed two';and one-half _stories in height With an attached private' .garage for not more than three, (3) automobiles.. A two-stcr .'-dwelling- shall contain F, first floor area of not less than 'LI, square feet and a one story dwelling shall�'� _ain: a floor area of not less y, than1,500 square feet .esclu's,ive of an attached garage, car. ort, open breezeway, ;.:pat'io'', terrace or basement. 4. No building,;-;o;r,;,!.structure shall be erected on any lot nor shall the exterior of any building or. structure be iltered except in accordance"with the plans and spe ifications therefore !"'hic4"have received prior written app oval of the Declarant : ' ,All dwellings and structures shall conform to all applicable crudes and regulations of .the Town of Southold, and no,:wariance thereof may be obtained wit out written approval`•'.of :the Declarant. No part of any dwe ling or garage , shall be,,-'constructed On any one lot wi+t�in. 50 of, the front; 7 ne'<+br 2.5' of the side lines, JUN-24' 96 (MON) 14;:35 'CAM IN.ITI' & GIBBONS 4; ``, 516-766-5902 P. 004 r� 1 Asbestos siding and flat roof construction shall not be used CC"i onlany dwelling or structute..l Two copies of proposed plans W AMC and specifications shall ,bereturred to the owner with such approval endorsed thereon;': 2!f; the Declarant shall neither '. CID approve or disapprove the plans and specifications within thirty (3 0.) days after they'_;have beers submitted to and received, the plans and speci' ications .shall Yee deemed . aPP zoved. . S. No mobile type;:home or trailer shall be kept, use , moved or allowed or`. said premises regardless of the size , with the exception of a' ,boat trailer or camper which i ahzil l be stored in. an enclosed garage_ This restriction doeC. not include contract r';strailers, etc. when used . during the construction of a_. house, providing same shall be removed from the premises up,vn completion of the house con truction_ h,Y 6. No lot shall b,e .used or maintained for any pur ©se other than a one-;fam 'ply, residence. No trade or bus iness shall be .conducted. ;on any. lot_ Specifically exc pted from this restriction. however, is the practice of law or, architecture, providinq the profession d.oet not exceed the licensed practitioner and one assi-stant. . 7. No obno.cious °'o'= offensive .acti•vities shall be �,3, JUN-24' 96 (MON) 1415 CAM[NIT! & GIBBONS ; ';.;`:';:' ` ' ` ` ' 16-165-5901. P. 005 car ied' on upon any lot, 'ror 'shah anything be done on a 'lot C7) whi h may become an annoyanc'e;' .or nuisance to the neighboring- C` j J pro erties, Owners. will.°mz ntzin the pre:aises in a neat 11 Condition with grass not 'to exceed 6". in .height. 8_ No animals, or. ilv'estock of any kind shall be mai tained on the premises. except domestic animals: which sha 1 be housed in the dwelling. 9. No. fences or; ecposed clotheslines shall be ere ted .or hedges grown upon; _the property withvu.t pri6r wri6en approval of the Declarant, except a, fence extending fro the rear line of. the.-Jies 'dence to the rear of the lot and along the rear lime o.f,:`,tl e.'i.�lot-, but samfa shall. not . exceed 6 ' in. height. 10 . All exterior' dons tract i on, including roof,. ext rior walls, painting;'.windows , doors and landscaping sha l be completed within;r;one_° ..(1) year from the date con traction commences.. :;The :Declarant will provide curb cut in the center af . the.;Vlot but the road shoulder to be installed by. the Burchas1e= 'shall~' be paved of blacktop_ 11. The Declarants:reserves the ri5ht to dedicate ail streets, roads, drainage.+areas and, easements to the Town of Southold for highway aid''`drainage purposes . E 12. The Dec laraht'i,1bas set aside and reserves for - JUN-24' 96(MON) 14,36 CAMINITI & GIBBONS ' r r'. 616-165-590" P. 0.06 rec eational area, the parce.l'.,�,appearing on the Map of Leng I Po Estates ,as "Park'_' su�b�ect to the following conditions's' LdJ (a) The Declarant reserves the right to co ey the fee title to the;"aforesaid "Park" as shown an tIic G7 fil`ed mac as well as any Xights ,;and duties of this Declarant he sunder, to a duly incorporated association of the owners of .the real property a£fe�cted by these covenants and r.e tricti.ons 1 (b) Each _dwner•;of a. lot on said map shall au omatically become a member' of any property. owners as ociati.on hereinafter ,incq pc-jrated. Each lot on the filed mar shall be entitled toPoae (1). vote in said association. (c) The us'e ;o'f'ahe "Park" shall be in accordance with such rules and regulations as may be pr mulgated. by the Declar.ant,,_providing, however, that . 5aid "P rk" is. to be left in „`o.p,e,; :.,;space in it natural state. (d) Ther.'o"' ert owners association referred p_.. ,�R' Y . .1a . to shall be so , organized to,„.assure each owner of the .lots shown on said map a rig ht �to•,;ownership and right to use the roads . and ."Park" in common; ;with,,::all others entitled thereto. Each lot on the filed map,-'.;shall be subject to an annual ch rge for ,each .calendar,,'year and such amount fixed by the Declarant', or property owner, association as successor, not exceeding, however,. in any one (1) year the sump of $25. 00 t .f5.- JUN-24' 96 (MON) 14':36 CAMINITI & GIBBONS 4--� ' I` '516-765-5a02 P. 007 1 i unless agreed upon by a ma,3brity of the lot owners on laic! C.� map Such charge shall liecome;.due on the 15th day of Jan ary of each year. and. shall-., thereafter become a lien on C� sai property and shall cont;inuehto be such lien until fuliv pa . . Such charge shall�.b'e �p,ayable to the Zecl,%,rant, or the property owners association,'":'`.;and must be devoted to the mallitenance of the "Park":;'.and :.otgaer community purposes beneficial to the real property above described.. 1 13.. The owners 'o'f; ;lots in this Section One hereby con ent to the filing of fa map for,Long Pond Estate Section Two. and agree not .to. ob j e'ct' t.w'th.e filing of said map. 14. These co-vetant'i and restrictions shall r'un . f .J wit . the land hereby conveyed,'. and. shall bind and ::.nure to. the, benefit of the: said pzrties f;t :reto, their heirs, adin'nis.trators and assigns unt-i1 January 1, 2010 , and said "fi' cov nants .and restrictions ;tm'ay, be enforced by. action f'or dam. ges or injunctions or" both°' un' til the 1st day' of January, 201 . 15. The Decl.ara'nt hetzby reserves the right to alt r, modify, extend, terminate or annul any of these cov" pants in whole or in -part, without the consen of ,any per on. {ram' 16. Invali.dation( of, any of the for,--said 'covenants t it JUN-24' 96 (MON) 14�17 CAMINITI & GIBBONS. : : ?.I_+i 516-•765-5902 P. 008 ,1j v j and restrictions by judgin(int ,or, court order shall not affect_ �. any of the other provisions •wh'ich shall remain in full force , and effect. Failure to enforce any..provisions herein i : . con wined in any particular ,i;nstance shall not be deemed a C7 wai ,er of the right to do so" as .to any continuing, 4, sub eauent or other violati,dnli� The term Dec lai aint0's''shall.. be construed as if it read "Declarant, its succe.s5ors. and assigns . " IN WITNESS WHEREOF;` 'th'e Declarant has duly .exec uted this Declaratioi ;!,th',e day 'and year first above written. '" ;BAYVIEW LAND CORP. c; _ JE F E` D. FOR HELLI, 5. ' resident STA E OF NEW YORK) . COUNTY OF NASSAU ) On he 20th day of January , .l<9;.86, before me came JEF REY D. FORCHELLI to me. known,• who, .beinq by me duly sworn,, did depose and say ,th`at ;he resides at 1 JDF Court, Oys er Bay, New York 11771; tl '&t he is the -President 'of BA IEW LAND CORP. , the corporation described in and which executed, the foregoing instrument; that he knows .the seal of said corporation; thatt'h'e.'==sea-1 affixed to said instrument is such corpora;t'e,`seal,; . that it is so affixed by order of the Hoard. of Dirct'ors .o'f said corporation; and that he signed his, name thereto;.•by like order. . MAAG 4R Er a KtFrry Notary Public. NOTARY PUBLIC.State of N Na:b2-4768332 ew York Qualified in $uffo1F.County My ComeusGion Expires March i � 7,- Proper-T Permit Services POST OFFICE BOX 617, CUTCHOGUE, NEW YORK 11935-0617 (516)734-5800 July 10, 1996 President JUL 11996 11i Board of Town Trustees Town of Southold y tZ a --, v" Town Hall, 53095 Main Road Southold, New York 11971 Re: David McElroy, SCTM#1000-52-8-2 Dear Sir: Since on ounce of prevention is worth a pound of cure, and because of the demonstrated ad- versarial approach evidenced by the Slatkins (Mr. McElroy's neighbors to the west) at the last meeting, please be advised the Mr. McElroy has arranged to have the area between the wet- lands on his property and bluff fronting Long Creek maintained by David Cichanowicz's Crea- tive Enviromnental Design. Mr. Cichanowicz states that the work will involve maintenance pruning of mature trees, clean-up of detritus which may include dead/rotting stumps, loose branches, and objectionable undergrowth such as poison ivy and undesirable brambles. In addition, because of the suggestion by the Trustees that the narrow strip of land generally along the eastern property line be used for access to the area described above (rather than the denied walkway across the on-site wetlands), Mr. McElroy plans the establish a delineated path through this area. We presume that the Trustees would have no objection to this action. If you need additional information, or have questions or suggestions, please can. Sincerely, Ja es E. Fitzgerald cc: David McElroy a subsidiary of THE PECONIC EASTERN CORPORATION A STATE OF NEW YORK DEPARTMENT OF STATE ALBANY, NY 12231-0001, —� � _ ALEXANDER F. TREADWELL SECRETARY OF STATE July 3, 1996 JUL 81996 James E. Fitzgerald, Jr. a TO WN 6 F 417 o0UTHP D Proper-T Permit Services Post Office Box 617 Cutchogue, NY 11935-0617 Re: F-96-332 U.S. Army Corps of Engineers/New York District Permit Application #96-06570-L2 David McElroy, Long Creek Town of Southold, Suffolk County Letter of Permission Issuance Dear Mr. Fitzgerald: The Department of State has reviewed the information received on June 14, 1996 describing the above proposed project. Based upon the information submitted, the Department of State has no objection to the authorization of this proposed project by Letter of Permission. No further review is required by the Department of State. We appreciate your referring this information to the Department of State for review. The U.S. Army Corps of Engineers is being notified of this decision by copy of this letter. Sincerely, William F. Barton Chief, Consistency Review and Analysis Bureau Division of Coastal Resources and Waterfront Revitalization WFB:VAB:dlb cc: COE/New York District - James W. Haggerty DEC/Region 1 - John Cianci Town of Southold - Albert Krupski printed on recycled paper OgtFFO(,�c Albert J. Krupski, President �p� OG Town Hall John Holzapfel, Vice President o y1 53095 Main Road William G. Albertson ti x P.O. Box 1179 Martin H. Garrell O Southold,New York 11971 Peter Wenczel y'jlpl �a0� Telephone (516) 165-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: DAVID McELROY Please be advised that your application, dated 6/11/96 has bee reviewed by this Board, at the regular meeting of 6/27/96 and the following action was taken: ( XXX) Application Approved. (see below) ( ) Application Denied. (see below) ( ) Application Tabled. (See below) If you application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth int he sintruction sheet. The following fee must be paid within 90 days or reapplication including fees will be necessary. COMMENTS AND REMARKS: Application Fee: $150.00 PAID COMPUTATION OF PERMIT FEES: Fixed dock: 3' X 25' = 75' X $3 = $225 ramp: 3' X 16' = 48' X $3 = '$144 float: 6' X 20' = 120' X $3 = $360 TOTAL DUE:' $729 TOTAL FEES DUE: $ 729.00 SIGNED: PRESIDENT, BOARD OF TRUSTEES BY: f CLERK, BEMD OF TOWN TRUSTEES 6/95 DEPARTMENT OF THE ARI, `f NEW YORK DISTRICT, CORPS OF ENGINEERS - JACOB K. JAVITS FEDERAL BUILDING NEW YOR.K. N.Y. 10278-0090 Q (7 REPLY To June 24, 1996 A TTENTION OF Eastern- Permits Section SUBJECT: Application Number 96-06570-L2 by David RMcElro To Whom It May Concern: The New York District, U.S. Army Corps of Engineers, has received a request for Department of the Army authorization for the. following activity: APPLICANT: David McElroy 2565 Long Neck Road Southold, NY 11971 ACTIVITY: Construct a 3 foot by 60 foot fixed pier, elevated a minimum of 3 feet above the grade of the tidal wetlands, a 3 foot by 16 foot ramp, and a 6 foot by 20 foot float secured to two 2-pile dolphins. Construct a 3 foot by 108 foot fixed walkway crossing a tidal lagoon. WATERWAY: Long Creek, Shelter Island Sound LOCATION: Town of Southold, Suffolk County, New York As this is minor -in nature, authorization may be by Letter of Permission. This is in accordance with current Federal Regulations governing work in navigable waters of the United States . To accomplish the coordination required, prior to the issuance of a Letter of Permission, your review of the enclosed drawings is requested. Pursuant to Section 307 (c) of the Coastal Zone Management Act of 1972 as amended (16 U.S.C. 1465 (c) ) , the applicant has certified that the activity complies with and will be conducted in a manner that is consistent with the approved state coastal zone management program. To allow for the timely processing of the subject application, your comments are requested within 15 days of the late of this letter. Sincerely, lq J mes W. Haggerty C ief, Eastern Permits Section sures ri 49 ` w •?s�. \G (j/\L� MAJnAMO MI'CM Pf a( •� S ( m �' �a o a^ro 1 Ltd\�y P�' 1 s 'olu OI PIPES COVE 1 V PARK o i O FannE- r % m � oM� .11 P.dds 1� I 0 F„a is s'"-U T H 0_L E PROPOSED THE AREA OF TH PROJECT IS CIRCLED F/' Ms�'i �srIEXEDON 4: ��d 7 J� /• cwr Q won . • �� C;' Foun dcrs F �n TEAAH tv ,o. N°ryn Lardtn9 - - 9 a PI /0 5• h i4 •o c Cf -µ d SO UTHOLD J`•�r-�- �� E{y(r e``re �,W d / VPl`\i_-f JJ ( I �.�;��• `\ WEST NECK BAY I3 A Y �.. c �/�j g 1 4,.° \ ` (;[2E-.AT %NOGda — W E SST NE �k,.. r t° d"`."�_',�. _ _.— '`w•'r r', /� Frraa(se 1 L �� '`„ .� 'fit s•r;lf.. °;al � 4 3 � f'o(nL ` ° re.._`` �•• ° N F '� �� r'. n•` 1 ..$nuli,ol6 E C K �'•'n E: � U Y.0 ' (reekF! ' i 0 0-A Y,V E�W. \��• 2 � coley y � �I ,;;' �� '` ° ��•"`,�p�� d Vic:�..Fr �.'I`.R;• ��{�,�� ' '� �`R W �`y `�r^�C`EDA�::l CEDAR BEACH fl \s'i:.;nK I EfFAC IVY• "r1`1 COUNTY PARK � I • fi CORPS OF ENGINEERS DATA VICINITY MAP ingg the ppropperty of Application regard 1• Construct fixed walkway,hinged o David McElroy, SC1'M #1000-52-8-2 . PURPOSE: Co P ramp, and floating dock for private recreational Represented byy ES PROPER-T PERMIT SEXY 11935 purposes. P.O. Box 617, Cutchogue, DATUM: NEW James E. Fitzgerald, Jr. 516-734-5800 IN: Long Creek AT: Southold Apri18, 1996 COUNTY: Suffolk STATE:New York S 3 . f NOTES 1• ALL STRUCTURES ARE"PROPOSED'. 2. PILES SUPPORTING THE WALKWAY.THE PLATFORM.AND THE FVED DOCK ARE 8'-10'd.AND ARE SPACED 8'o.c. THROUGHOUT. 3. ALL DIMENSIONAL LUMBER TIMBER AND PILES ARE CCA-TREATED.ALL HARDWARE IS GALVANIZED. 4. THE DECK PLANKS OFTHE WALKWAYAND THE FIXED DOCK ARE AT LEAST 4'ABOVE VEGETATED GRADE. _CTAZEW rIR ZQ.+7 '1)I.ATRCEM 3'X 10' -fAip z--AII,� �ct_r�tlN� WALr,U 4Y 3'X log' I 21�I`'1P_T;, FixEb -CC'C �'X 4C, - - - 101, AtAW 401 WE t AKl)S VEC-CETATiCt`( - -- - - - - - Auk) 0„ IETT+ 5 AT-AU0 W-A kF-; CORPS OF ENGINEERS7DATA SECTION VIEW FIN: Long E: Construct fixed open walkway, hinged Application regarding the operty of David McElroy, S�#�p00-SZ-g_2 1935 floating dock for private rec Represented by DATTUN VPROPER-T PER.NffT SIERVICES reek AT: SoutholdJams E. Fitzgerald,1Jr ogue5�;4-5800 : Suffolk STATE: Ne Revised May 22, 1996 1000-52-8-1 A� BARBARA CLAPS IVpeiN / 2715 LONG CREEK DRIVE e z-4• R� O?EEW QNE SOUTHOLD, NEW YORK 1197 ell .1 s•: AP 004 ICI 16' �TON��IlJt=1�lA{ uj 0 - IJA► rwAY 3' Go' tU / ,�:: s I-ON6— w O `7 ? i to 3'xZC' t�C� txlStrl� to o w / : �/ x:_.• 1 �$. �f APB p > J00 w __]RN17VJ1t�ha CIYzE Or Tiu�tr Y "' �l.ANTDc [5� YDL)N(�- - W U) W l W - Cr cr- 00 _ VrATIDhI I 1000-52-8-2 D ,� SibNE U�ALL pQ Or I DAVID McELROY �f�f,6G S6b Z 'T.E TIT75=P:hLJil 2565 LONG CREEK DRIVE A r/Zz�l� I SOUTHOLD.NEW YORK 11971 jv/i5 1.� s) jLO CC (D _ N N II �Zr�� QNF— 111 ter-ALL / 1001. AiPfOK l ',< Zr ; :FoC rjR21NT K LO AF?2 '4 2 .�EQ,+I• ZSfscLJN 2CT pv)kY VaK✓) ON 'I"N 'V.;ccb -Po'-F 1000-52-8-3 DANIEL SLATKIN 241'5 LONG CREEK DRIVE CORPS OF ENGINEERS DATA SOUTHOLD, NEW YORK 11971 PROJECT PLAN Application regarding the property o PURPOSE: Construct fixed open walk-way,,hinged 2 P Y g David DTcElro}�, SCTIv1#1000-�_ 8 .. ramp,and floating dock for private recreational purposes. Represented by DATUM'NII W PROPER-T PERMIT SERVICES P.O.Box 617,Cutchogue,NY 11935 IN:Long Creek AT: Southold James E.Fit7gerald,Jr. 516-734-5800 COUNTY: Suffolk STATE:New York S (3.�3 Revised May 211996 STATE OF NEW YORK DEPARTMENT OF STATE ALBANY, NY 12231-0001 ALEXANDER F. TREADWELL SECRETARY OF STATE June 17, 1996 M ,T`,� �7 LS (�lJ _� I(�I L �lJ James E. Fitzgerald, Jr. Proper-T Permit Services =11 JUN 2 11996 Post Office Box 617 Catchogue, NY 11935-0617 TOVtIN OF ISO U TH O U Re: F-96-332 U.S. Army Corps of Engineers/New York District Permit Application David McElroy, Long Creek Town of Southold, Suffolk County Acknowledgement of Federal Consistency Assessment Form r: Dear Mr. Fitzgerald: The Department of State received your Federal Consistency Assessment Form and supporting information on June 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 call Vance A. Barr at (518) 474-6000 if you have any questions. Sincerely, William F. Barton G Chief, Consistency Review and Analysis Bureau Division of Coastal Resources and Waterfront Revitalization WFB:dlb cc: COE/New York District - James Haggerty NYS DEC/Region 1 - Robert Greene Town of Southold - Albert Krupski i� printed on recycled paper e.-cc STATE OF NEw YORK DEPARTMENT OF STATE ALBANY, NY 12231-0001 ALEXANDER F. TREADWELL SECRETARY OF STATE June 17, 1996 Albert J. Krupski, Jr. JUN 2 Q 1996 Trustee, Town of Southold 53095 Main Street P.O. Box 1179 TOWN� '�` �y'!�"T H O L Southold, NY 11971 � Re: F-96-332 U.S. Army Corps of Engineers/New York District Permit Application David McElroy, Long Creek 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 Vance A. Barr, 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, �'r� . &�6� - William F. Barton Chief, Consistency Review and Analysis Bureau Division of Coastal Resources and Waterfront Revitalization Enclosures WFB:dIb printed on recycled paper Proper-T Permit Services POST OFFICE BOX 617,, CUTCHOGUE, NEW YORK 11935-0617 (516)734-5800 June 7, 1996 President Board of Town Trustees 'JUN I I I9% Town of Southold Town Hall, 53095 Main Road VVAJm �Southold, New York 11971 ' �� H f � Re: Application for Permit on Behalf of David McElroy Dear Sir: Attached are documents which have been prepared in support of the application for a permit to construct a walkway, dock, and gazebo on the property of David McElroy in the.Town of Southold. Proper-T Permit Services represents Mr. McElroy in this matter, and a letter of authorization is part of this submission.. If there are any questions, or if additional information is needed, please call me. Yours truly, r. - Applicationes E. FitzgeraldEnclosures: Fee ($150) Letter of Authorization Notarized Statement of Applicant Notice to Adjacent Property Owner Proof of Mailing Notice Application Form(3 copies) Short EAF (3 copies) Vicinity Map (3 copies) Tax Map (3 copies) Survey of Property(1 original, 2 photocopies) Project Plan(3 copies) Section View(3 copies) Project Site Photos (1 set) a subsidiary of THE PECONIC EASTERN CORPORATION A* �SUFFO(,�c Albert J. Krupski,President �0�. OG Town Hall John Holzapfel, Vice President o 53095 Main Road William G. Albertson y Z P.O. Box 1179 • Southold, New York 11971 Martin H. Garrell Peter Wenczel y'�1p1 �.a0! Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 31, 1995 Ken Abruzzo Young & Young 400 Ostrander Ave. Riverhead, NY 11901 RE: Lisa McElroy SCTM 52-8-2 Dear Mr. Abruzzo: The above referenced property was inspected and the proposed single family dwelling is out of the Trustees jurisdiction. A staked row of haybales shall be placed at the 75 ' line and no activity shall take place seaward of that line as per map dated May 30, 1995 . If you have any further questions, please do not hesitate to contact this office. incerely, Albert J. Krupski, Jr. President, Board of Trustees AJK: jmd cc: Bldg. Dept. L 01/26/1992 08:55 516-7?"S10 THE MAPVELDAF C-n- PAGE 02 MEMORANDUM 49 na TO: Town of Southold Board of Trustees MAY 3 1 gw FROM: Lisa McElroy TOWN OF DATE: May 30 ,1995 -- ` To Whom It May Concern: Would you kindly issue a letter of non jurisdiction pertaining to the survey prepared for Lisa McElroy (Lot No. 2 - Long;Pond Estates- Section 1) for the construction of a single family residence and wood deck. Respectfully yours, 41, ��c ��, 7 Lisa McElrov U 6 MAY I T M:1 JV TOWN OF SO 1637 BROAD HOLLOW ROAD UTHOL© FARMINGDALE,NEW YORK 11735 516 249-5800 FAX 516 249-5804 May 16, 1995 Town of Southold Town Hall Main Road P.O. Box 1179 Southold, New York 11971 Attention: Ms. Diane Herbert Re: Lisa McElroy - 1, 055 ft. e/o Laurel Avenue, Southold, NY SCTM # 1000-52-8-2 Job No. 95-105 Dear Ms. Herbert: The Suffolk County Department of Health Services has reviewed the above-referenced residential application and is . requiring approval from the Town Wetlands Department (SCDHS comments are enclosed) in order for us to obtain approval for water supply and sewage disposal systems, and ultimately from the building department. Enclosed is the current survey indicating the proposed house located beyond the 75 ft. minimum "Non-Disturbance Buffer" from the wetlands boundary. We are hereby requesting a "Letter of Non-Jurisdiction", from your office. Please call me if you .have any questions. Thank you. Si nce ely fn ^ FSH3 T IER, R.A. Encl. BAF/gy cc: David McElroy • off• T b WWM=042 (Rev. 1/92) �,,,, iY SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES 'Hy BUREAU OF WASTEWATER MANAGEMENT SUFFOLK COUNTY CENTER RIVERHEAD, NEW YORK 11901 ►' 516-852-2100 NOTICE OF INCOMPLETE APPLICATION - RESIDENTIAr-- ,- TO: , H.S.REFERENCE NO.: h PROPERTY LOCATION: (_O.T .2 The plans for your propos6e&sewage disposal and water supply systems have been reviewed and the following will be required prior to further rocesshl of the application for approval to construct. PLEASE RETURN A COPY OF THIS FORM WITH ANY RESUBMISSION. NOTE: CHANGES TO PLANS MUST BE MADE BY A LICENSED DESIGN PROFESSIONAL(I.E.,SURVEYOR,ARCHITECT QR ENGINEER) I. PRELIMINARY APPROVALS-OTHER AGENCIES [ }� N.Y.S.Dept.of Env.Cons. [ ] Sewer District Approval [ ] SEQRA Determination [� Town Wetlands/ ,g[ ] S.C.D.H.S.Vector Control [ ] Other II. PLAN DATA AND INFORMATION REQUIRED [ ] 3 prints of Ian required with [ ] Indicate on plan the specific [ ] Indicate any surface waters within design professional's original location(s) [with measurements] 300' of plot;show wetlands limit stamp and signature of all water supply wells&septic as flagged by NYSDEC and/or systems(within 150'of all Town [ ] Application Fee:$ property lines)or state if dwell- ings are connected to public water [ ] Show area for 50%expansion.of [ ] Name,address,phone no. required sewage disposal system . [ ] Show proposed house/driveway ( ] Statement signed by applicant location on plan [ ] Show test boring&location on plans [ ] Indicate area of lot(sq. ft.) [ ] Show proposed sewage dis osal system/water supply wellTwater [ ] Test boring inadequate. See ( ] Corner elevations service line on plan Remarks below. [ ] S.C.'Tax Map Number required [ ] Test well required on your lot as [ ] Grading plan showing invert per attached bulletin elevations of sewage disposal [ ] Surrounding property-vacant or syystem,foundation and final grade s_ improved (within 15 of all [ ] Submit letter from water district (by licensed design professional) property lines) indicating distance to nearest public water main and availability [ ] Public sewer stub location from [ ] Retaining wall must be designed sewer district shown on plans by P.E.or R.A. III. OTHER/REMARKS yL ` .t,V 7 3 CA� 7 FURTHER INFO RMATJJDW--N1A-Y-M"E'C� Date Prepared By o. 18.1146.. 12191 IT% '5 APR 1 3 1995 Now York State Department of Environmental ConserV ti nn .a d - IT i M SOUTH N OF SOUTH V_V _ Thomas C. Jorling Mtl.'kl dc�_d Commissioner L5'3 o q 5- 56�_fwd ) iJy De,,, 3(�wft RE: LEAD AGENCY COORDINATION REQUEST The purpose of this request is to determine under Article 8 (State Environ- mental Quality Review - SEQR) of the Environmental Conservation Law and 6 NYCRR Part 617 the following: 1. Your agency's interest in acting as lead agency; 2. Your agency's jurisdiction in the action described below; and 3. Issues of concern which your agency believes should be evaluated. Enclosed is a copy of the permit application and a completed Part 1 of the Environmental Assessment Form to assist you in responding. Project Name: L'i:5o� c-G I ra y Pro ro sed Pwq I G el 0 p,0,,xd t�S44fe'..) �, V% I Lo 4; 5e_4 Project Location: Lan 50 th a i d I iv r o aQ � l�a��o DEC Project Number: R- . DEC Permits: ed 4V 4 SEQR Classification Type I Unlisted C��I� DEC Contact Person: Lomro, Scov�,--z�O DEC Position: Er\v 1 iron P",+�t /AKOtr DEC has no objection to your agency or another agency assuming lead agency status for this action, but reserves the right to comment on this action if a positive determination of significance is made. f 72- [ ] DEC has no objection to your agency or another agency assuming lead agency status for this action, but we have the following concerns regarding this project (see "comments" below) . [ ] DEC wishes to assume lead agency status for this action. ,VThe proposed action has been identified by DEC as occurring wholly or "partially within .or substantially contiguous to a critical environmental area (CEA) that was designated by S-OL."t- ou `Tdwir\ It is the position of this Department that your agency, if it has a juris- diction over the action, should assume the lead agency role based on the existence of the CEA and the fact that the anticipated impacts are primarily of local significance. [ ] Other. (See comments below) Comments (Optional ) : Response: Please respond to this request within 3,0 days of the date of this letter. If no response is received within 30 days, we will assume that you have no objection to DEC or another agency assuming the role of lead agency, and have no comments to offer regarding the proposed action at this time. If neither your agency nor any other involved agency, including DEC, has indicated a will- ingness to serve as lead agency within 30 days of this letter: �We will petition the Commissioner of DEC to designate a lead agency for this action. [ ] We will petition the Commissioner of DEC to designate your agency as lead, presuming you have jurisdiction. Please feel free to contact this office for further information or discussion. Sincerely, // LO�� Enclosures endirmmtn cc: (see distribution list) SvoCe y�-19-s(11/93)-7e ®- DEC APPLICATION NUMBER _ DISTRIBUTION NEW YORK STATE �( ` C�C- o _ DEPARTMENT OF ENVIRONMENTAL CON gTION �3 0 moo! d ` f jju -' WHITE COPY Permit-Administrator CANARY COPY Corps of Engineers uS.ARMY.coRPs-OF ENGINEERS APPLI,n-_JN NO PINK-COPY . '_-___ -Program--, JOINT APPLICATION FOR:PERMIT .--- GOLDENROD- Applicant Please read ALL instructions on back before completing this application. Please type or print cleariv in ink-Attach additional information as needed. ❑ARTICLE 9, TITLE 1,ARTICLE-43 6NYCRR 646(LAKE-GEORGE RECREATION-ZO-NET - -' ARTICLE 15,TITLE 3(AQUATIC PESTICIDES CONTROL) 06NYCRR 327(AQUATIC VEGETATION) ❑6NYCRR 328(FISH) 06NYCRR 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 ❑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 ❑6NYCRR 601 (WATER SUPPLY) - ❑6NYCRR 602(LONG ISLAND WELL) ❑ARTICLE 15,TITLE 27 6NYCRR 666(WILD, SCENIC AND RECREATIONAL RIVERS) gg❑P�ARTICLE 24 6NYCRR 662,663(FRESHWATER WETLANDS) ❑ARTICLE 346NYCRR 505(COASTAL EROSIN) 14ARTICLE 25 6NYCRR 661 (TIDAL WETLANDS) -------------------------------------------------------------------------------------------------------------------------------------------------- F ❑SECTION 10(RIVER AND HARBOR ACT OF 1899)for structures and work in navig able waters of the U.S. ❑COASTAL CONSISTENCY CERTIFICATION. E D ❑SECTION 404(CLEAN WATER ACT OF 1977) for disposal of dredged or fill material in waters of the U.S. ❑SECTION 103_(,MARINE PROTECTION, RESEARCH-AND_SANC.TUARIES ACT)-for the-transportation of dredged materials for dumping into ocean-waters.- 1. LIST PREVIOUS PERMIT/APPLICATION NUMBERS AND DATES(If any) IF OTHER THAN INDIVIDUAL, PROVIDE TAXPAYER ID NUMBER � us��n � —r^1 c 'Mc •'G Ati 1 2. APPLIC NT IS AIAN ;3aC� rrqq�� Qwner ❑Operator L�`i.Lessee ❑Municipality/Governmental Agency (Check as many as apply) 3. NAME OF APPLICANT(Use Full Name) MAILING ADDRESS TELEPHONE(Where can be reached during day) �l - POST OFFICE N STATE ZIP^C�O'DE 4. NAME OF ..�J _ ❑Owner Ag nt/Contact Person (Check one) � 5 � _MAILING ADDRESS -- — -- - --- - TELEPHONE(Where can be reached during day) POST OFFICE STATE ZIP CODE 5. PROJECT/FACILITY LOCATION(Mark location on map,see Number 1a on reverse side) _ County U� I Town or city Village STREET ADDRESS(If different from applicant) POST OFFICE STATE ZIP CODE 6. NAME OF STREAM OR BODY OF WATER N ""ce 7. HAS WORK BEGUN ON PROJECT? If YES, attach explanation on starting work without permit, includes dates. 8. WILL PROJECT UTILIZE STATE LAND? ❑Yes %. Show work on map and/or drawings. ❑Yes o 9. PROPOSED USE: Private 10: PROPOSED STARTING DATE: 11. APPROXIMATE COMPLETION DATE: 12. FEE OF(NYS Permit Only) ❑ Public ❑ Commercial _T g 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.) 14.'/'WILL THIS PROJECT REQUIRE ADDITIONAL FEDERAL, STATE AND/OR LOCAL PERMITS? Yes ElNo If yes, please list: Pei, ,:+ -T 1.,.),�. a�F Sou.--tic l�e N e 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 misdemeanor pursuant to Section 210.45 of the Penal Law. Further, the applicant accepts full responsibility for all damage, direct or indirect, of whatever nature, and by whomever suffered, arising out of the project described herein and agrees to indemnify and save harmless the State from suits, actions,damages and costs of every name and description resulting from said project. In addition. Federal Law, 18 U.S.C. Section 1001 provides for a fine of not more than 510,000 or imprisonment for not more than five years, or both, where an applicant knowingly and willfully falsifies, conceals,or covers up a material fact;or knowingly makes or uses a false,fictitious or fraudulent statement. ❑1 hereby authorize the agent named in Number 4. above to sub it this application on my behalf. - - - -g� -- i� DATE SIGNAT RE TITLE PLEASE READ ALL INSTRUCTIONS ON REVERSE SIDE 1 4RT 1—PROJECT INFORMATIt Prepared by Project-Sponsor _ -NOT-ICE: This document is-.designed to assist in determiningwhether the action proposed-may_have-a-significant effect=-= := on the environment. Please complete the entire form, Parts A through E. Answers to these questions will be considered %L as part of the application for approval and may be subject to further verification and public review. Provide any additional information you believe will be needed to complete Parts 2 and 3. It is expected that com letion or the-full-EAF will be dependent on information currently available and will.not involve f new studies, research or investigation. If information requiring such additional work is unavailable, so indicate and specify each instance. ._. NAME OF ACTION LOCATION OF ACTION (Include Street Address, Municipality and County) NAME OF APPLICANT/SPON OR 8 SINESS TELEPHONE C � ISly) - 6 q� ADDRESS CITY/P6 STATE ZIP CODE Is NAME OF OWNER(If fferent BUSINESS TELEPHONE wkp=A � � C_ (cS7la) —7 ADDRFSS, UI � CITY/PO STATE ZIP CODE Lai it a DESCRIPTION 6F ACTI N r. 21 4.f ti Please Complete Each Question—Indicate N.A. if not applicabler A. Site Description Physical setting of overall project, both developed and undeveloped areas. 1. Present land use: ❑Urban El Industrial ❑Commercial -444:Residential (suburban) ❑Rural (non-farm) ElForest. ❑Agriculture []Other 2. Total acreage of project area: acres. APPROXIMATE ACREAGE PRESENTLY AFTERL OMPLETION Meadow or Brushlan (Non-agricultural) '@ //'a- acres ± l acres Forested ,� acres acres_ Agricultural (Includes orchards, cropland, pasture, etc.) acres acres Wetland (Freshwater or tidal as per Articles 24,•25 of ECQ 01 acres + 7 acres Water Surface Area acres + S acres Unvegetated (Rock, earth or fill) acres acres Roads, buildings and other paved surfaces ,� acres acres Other (Indicate type) acres acres 3. What is predominant soil type(s) on project site? i ")-y '�','s� rt'1yJ �cy�.��T �0�0,�-( a. Soil drainage: Well drained % of site []Moderately well drained % of site ❑Poorly drained % of site X b. If any agricultural land is involy d how many acres of soil are classified within soil group 1 through 4 of the NYS Land Classification System? _hJ171 acres. (See 1 NYCRR 370). 4. Are there bedrock outcroppings on project site? ❑Yes Po ., ---- - a. What is depth to bedrock? ti` (in feet) 2 �' 5. Approximate percentage of propose )ject site with slopes: A@A0% _% 010-15% % Q15% or greater 6. Is project substantially contiguous to, or contain a building, site, or district, listed on the State or the National - Registers-of Historic Places - ❑Yes - - 7. Is project substantially contiguous to a site listed op the Register of National Natural Landmarks? ❑Yes o kDel w 8. What is the depth of the water table? 1L�_(in feet). 9. Is site located over a primary, principal, or sole source aquifer? [--]Yes >.No 10. Do hunting, fishing or shell fishing opportunities presently exist in the project area? ❑Yes ONO 11. Does project site contain any species of plant or animal life that is identified as threatened or endangered? ❑Yes �lo According to Identify each species Are-there any unique-or -o-nusual- land -forms on the project -site? (i:e cliffs, dunes, other ge logical f rmations) �( es cribe " t /�i 13. Is the roject site presently used by the community or neighborhood as --an open- space or recreation area? ❑Yes P � If yes, explain 14. Does the present site include scenic views known to be important to the community? ❑Yes ";?NO 15. Streams within or contiguous to project area: a. Name of Stream.and name of River to which it is tributary 16. Lakes, ponds, wetland areas within or contiguous o project area: -- a: Name d —b. Size (In acres) PP ✓�( '/+� - 17. Is the site served by existing public utilities? >fyes ONO a) If Yes, does sufficient capacity exist to allow connection? - es ONO b) If Yes, will improvements be necessary to allow connection? es ❑No' x18. Is the site located in an agricultural district certified pursuant to Agriculture and Markets Law' Article 25-AA, Section 303 and 304? ❑Yes /NZNo 19. Is the site located in or substantially contiguous to a Critical Environmental Area designated pursuant to Article 8 of the ECL, and 6 NYCRR 617? ❑Yes Flo 20. Has the site ever been used for the disposal of solid or hazardous wastes? ❑Yes eN 0 B. Project Description 1. Physical dimensions and scale of project (fill in dimensions as appropriate) a. Total contiguous acreage owned or con olled by project sponsor l� acres. b. Project acreage to be developed: XR Icres initially; ��M� acres ultimately. c. Project acreage to remain undevelope acres' d. Length of project, in miles: (If appropriatL-) e. If the project-is an expansion, indicate-percent of-expansion-proposed %; -- -- - -- --- -- - f. Number of off-street parking spaces existing.; proposed g. Maximum vehicular trips generated per hour N) (upon completion of project)? h. If residential: Number and type of housing units: One Family Two Family Multiple Family Condominium Initially Ultimately i. Dimensions (in feet) of largest proposed structure_ height; width; length.(Vfp}L) '9 j. Linear feet-of frontage-along a public tharoughfare--project will-occupy is?- - --ft: - - --- — - - - - - 3 --- %L 2. How much natural material (i._e_, rock, earth, etc.,) will be removed from the site? tons cubic yards 3. Will disturbed areas be reclaimed? El Yes ❑No A a. If yes,- for what intended purpose is'the site=being-reclaimed? - -- xb. Will topsoil be stockpiled for reclamation? ❑Yes ❑No K x-c. Will upper subsoil be stockpiled for reclamation? ❑Yes ❑No 44 /Q. 1 -4. How many acres of vegetation (trees-shrubs, ground-covers) will be- removed from site? � acres. 5. Will any mature forest (over 100 years old) or other local ly-im ortant vegetation be removed by this project? ❑Yes 7Vo 1-4 6x - .t 6. If single phase project: Anticipated period of construction months, (including demolition). 7. If multi-phased: a. Total number of phases anticipated (number). b. Anticipated date of commencement phase 1 � month year, (including demolition). c. Approximate completion.-date of final phase p month. 15 year. - d. Is phase 1 functionally dependent on subsequent phases? ❑Yes �V 8. Will blasting occur during construction? ❑Yes Ala 9. Number of jobs generated: during construction after-project is complete 10. Number of jobs eliminated by this project 7Rep ht'ey� 11. Will project require relocation of any projects or facilities? ❑Yeslo If yes, explain i? 12. Is surface liquid waste disposal involved? ❑Yes a. If yes, indicate type of waste (sewage, industrial, etc.) and amount b. Name of water body into which effluent will be discharged 13. Is subsurface liquid waste disposal involved? ❑Yes Type 14. Will surface area of an existing water body increase or decrease by proposal? ❑Yes Flo - Explain — - -- - 15. Is project or any portion of project located in a 100 year flood plain? ❑Yes XNo ' X16. Will the project generate solid waste? ❑Yes Z'11 a. If yes, what is the amount per month tons b. If yes, will an existing solid waste facility be used? ❑Yes ❑No +'c. If yes, give name location d. Will any wastes not go into a sewage disposal system or into a sanitary landfill? ❑Yes ❑No e. If Yes, explain 417. Will the project involve the disposal of solid waste? ❑YesAt o a. If yes, what is the anticipated rate of disposal?Ptons/month. b. If yes,-what is the anticipated site life? _.years. x18. Will project use herbicides or pesticides? ❑•Yes °moo _ _19_ Will project routinely-produce-odors (more than one hour per day)? ❑Yes 'PTlo 20. Will project produce operating noise exceeding the local ambient noise levels? ❑Yes ��No �41. Will project result in an increase in energy use? Yes ❑No If yes , indicate type(s) �.� i *(1 ^c� o 1 1 22. If water supply is from wells, indicate pumping capacity Imo _ gallons/minute. 23. Total anticipated water usage per day _ gallons/day. 24. Does project involve Local, State or Federal funding? ❑Yes 'C�No --- If-Yes,-'explain --- ----- � � 4 ✓3 25. Approvals Required: " -_ - - ,. - Submittal . Type Date City, Town, Village Board >Yes ❑No �11� � �� fJ ��✓ City, Town, Village Planning Board ❑Yes :S�lo City,-Town-Zoning Board — ❑Yes- Itto --- - - .&� f; County Health Department PYes ❑No I PT Other Local Agencies ❑Yes Flo Other Regional Agencies []Yes Zlo State Agencies k-�Les ❑No �— Federal Agencies C. Zoning and Planning Information - - 1 . Does proposed action involve a planning or zoning decision?.. ❑Yes Xo If Yes, indicate decision required: -❑zoning amendment- - -0ronin-g variance Especial use permit ❑subdivision ❑site plan'- ❑new/revision of master plan ❑resource management plan ❑other X 2. What is the zoning classification(s)of the site? XJ. What is the maximum potential development of the site if developed as permitted by the present zoning? X4. What is the proposed zoning of the site? - 5. What is the maximum potential development of the site if developed as permitted by the proposed zoning? N1 6. Is the proposed action consistent with the recommended uses in adopted local land use plans? RYes ❑No y4,7. What are the predominant land use(s) and zoning classifications within a '/4 mile radius of proposed action? rs}d PV\A 8. Is the proposed action compatible with adjoining/surrounding land uses within a '/4 mile? 54es []No 9. If the proposed action is the subdivision of land, how many lots.are proposed? N a. What is the minimum lot size proposed? (� !: 10. Will proposed action require any authorization(s) for the formation of sewer or water districts? ❑Yes 7' -11 . Will the proposed action cre t�e„a demand for any community provided services (recreation, education, police, fire protection)? ❑Yes j�11Vo } a. If yes, is existing capacity sufficient to handle projected demand? ❑Yes ❑No } 12. Will the proposed action result in the generation of traffic significantly above present levels? ❑Yes Z5461 a. If yes, is the existing road network adequate to handle the additional traffic? ❑Yes ❑No D.- Informational Details - - -- — - - — --- Attach any additional information as may be needed to clarify your project. If there are or may be any adverse impacts associated with your proposal, please discuss such impacts and the measures which you propose to mitigate or avoid them. E. Verification I certify that the information provided above/is true to the best of my knowledge. / Applicant/Sponsor Name X �� C�r� Y Date 1` 1�716— __Signature_ Title If the action is/in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment. 5 1 - 42 -..� 43 44 L , Inlet Pt «.t 00r1°Q01I E �l_Jp �z I - rsOv1NDLQYG ISLAND � „n.1F.51 Cf•Og1- INI.F-r POIN i CO PARK - `o- f z p ��4e P 4In „i M I'Anm - m ,GREENPORT HASH B E 1 RE DII I/�� (' -� f--• n I r.S O AMOMUCK �R si oRr s'—o rP U u �, _- ORWrNs \.C•y ,Vn L ND RO l:. 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W NGUARANTEES INDICATED HEREON SHALL RUN ONLY TO vY r �T +TA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY 15 PREPARED AND ON HIS BEHALF TO THE TITLE EOMPANY,GovEpm- vJ,r•. �7. ��