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Home My WebLink AboutMUELLER, CHARLES HENRY P. SMITH, President JOHN M. BREDEIViEYER, Vice-Pres. Ln ` tx�� •. TELEPHONE PHILLIP J. GOUBEAUD t ' (516) 765-1892 ALBERT KRUPSKI, JR. ELLEN M. LARSEN ®1 �� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 October 1, 1987 Mr. RoyL. Haje, President En-Consultants, Inc. 1329 North Sea Road Southampton, New York 11968 Re: Charles Mueller Park Avenue, Mattituck Dear Mr. Haje: Please be advised that the proposed project for the above referenced has been reviewed and it was determined by the Bay Constable and concurred by me that in accordance with Chapter 97, Article I, 97-12 [5] no permit is required for this project. Your application will be placed in the files for future reference. Please note that this determination is not a determination for any other agency which may have jurisdiction in this matter. Should you have any questions or concerns, please do not hesitate to contact this office at the telephone number listed above. Very truly yours, Hen r �PSmith, President Board of Town Trustees HPS:ip Attachment: Check No. 3443 cc: Commissioner Thomas C. Jorling, D.E.C. , Albany Robert A. Greene, D.E.C. , Stony Brook Stephen Mars, Army Corps of Engineers Thomas Hart, Coastal Management John Holzapfel, Chairman, Southold Town C.A.C. Victor Lessard, Admin. , Building Dept. 11'ustees — file <„y TELEPHONE BOARD OF TOWN TRUSTEES (516) 765-1892 TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 APPLICATION IS HEREBY MADE TO THE TOWN TRUSTEES OF THE TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK FOR THE ISSUANCE OF A PERMIT PURSUANT TO THE LAWS, ORDINANCES AND REGULATIONS GOVERNING THE COASTAL AND INTERIOR WETLANDS, FLOOD PLAINS AND DRAINAGE AREAS OF THE TOWN OF SOUTHOLD, AND THE ISSUANCE OF PERMITS PURSUANT TO CHAPTER 32 OF THE CODES OF THE TOWN OF SOUTHOLD. APPLICATION NO. DATE OF APPLICATION September 22, 1987 ---------------- --------------------- IDENTITY OF APPLICANT-- Charles Mueller------------------------- ADDRESS OF APPLICANT Woodland Road ---------------------------------------------------- Glen Head, New York 11545 ------------------------------------------------------------------------ TAX MAP NO. 1000-123-8-11.1 ---------------- ------------------------------------------ AGENT En-Consultants , Inc. ------- 32-9-•Nor��--ems ,- UZT�amj-Ttalr--ice--:.-9-&8-------PHONE No .-- 516-283-6360 PERMIT REQUESTED TO ----------------------------------------------------- SEE ATTACHED ------------------------------------------------------------------------ LOCATION OF PROPERTY FOR WHICH PERMIT WANTED —Park Avenue, Mattituck — -------------------------- ------------------------------------------------------------------------ HOME ADDRESS OF PERMIT APPLICANT IF DIFFERENT FROM AFORESAID LOCATION Woodland Road, Glen Head, New York 11545 ------------------------------------------------------------------------ CREEK, BAY OR HARBOR FRONTING PROPERTY Peconic Bay ---------------------------------- SIZE OF PROPOSED WORK See project description -------------------------------------------------- n n n LENGTH n n n WIDTH ------------------------------------------------------------------ HEIGHT ABOVE HIGH WATER 0 ------------------------------------------------ DEPTH BELOW LOW WATER N/A YARDS TO BE EXCAVATED 0 --------=------------------------------------------ YARDS TO BE FILLED 0 ------------------------------------------------------ WIDTH OF CANAL , CREEK OR BAY FRONTING PROPERTY 5 miles DEPTH AT LOW: TIDE Variable= - 2 '. to 0 ' -------------------- ----------------------------------- AVERAGE RISE IN TIDE 2 '-6" DISTANCE TO THE NEAREST CHANNEL N/A FT. DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN THE AREA 0 FT. 15 THIS FOR PRIVATE OR BUSINESS USE? Private ------------------------------ ------ AREA ZONING Residential -------------------------------------------------------------- MANNER IN WHICH MATERIAL WILL BE REMOVED OR DEPOSITED -------------------- N/A ------------------------------------------------------------------------- INTENDED USE OF PROPERTY No change ------------------------------------------------- DESCRIBE ANY KNOWN PRIOR OPERATIONS CONDUCTED ON THE PREMISE Groins were built as part of overall groin field -------mTa-nYYea=-a7(T----------------------------------------------------- AND WHETHER ANY PRIOR LICENSE OR PERMITS HAVE BEEN ISSUED TO ERRECT STRUCTURES OR TO DREDGE OR DEPOSIT FILL ON SAID PREMISES AND WHETHER ANY PERMITS OR LICENSES WERE EVER SUSPENDED OR REVOKED BY A GOVERNMENTAL AGENCY None Known. ------------------------------------------------------------------- ------------------------------------------------------------------------- ------------------------------------------------------------------------- DESCRIBE FULLY THE REHABILITATION AND PROPOSED CONDITION OF THE PREMISES AFTER THE WORK IS COMPLETED INCLUDE AN ADDITIONAL SURVEY OF THE PROJECT SITE IF NECESSARY None -------------------------------------------- ------------------------------------------------------------------------- ------------------------------------------------------------------------- WRITTEN CONSENT OF THE OWNER OF THE PROPERTY, IF NOT THE SAME AS THE APPLICANT . See Attached ------------------------------------------- ------------------------------------------------------------------------- ARE THERE ANY COVENANTS OR RESTRICTIONS IN YOUR DEED THAT WOULD PROHIBIT THIS PROJECT? None Known COUNTY OF SUFFOLK j STATE OF NEW YORK ) SS: f/UV BEING DULY SWORN DEPOSES AND SAYS THAT HE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS, AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS KNOWLEDGE AND BELJIEF , THAT THE WORK WILL BE DONE 1N THE MANNER SET FORTH IN THISIAPPLICATION AND AS MAY BE APPROVED BY THE TOWN BOARD OF THE TO WN OF SOUTHOLD. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT, 1F GRANTED. .iIRC/ SIGNATiUR OF APP (CANT -SWORN TO BEFORE ME THIS DAY OF S e p �r �t�- 1 9 $° SHIRLEY A.HOLMES M-.-AW m mUC STATE OF NEW YORK �pp No.OIDU4715277 TERMFEXPIgES fICOUNTY j OTARY PUBLIC f1 EXAMINED APPROVED "WETLANDS" PERMIT (CHAPTER 97) APPROVED "BOAT, DOCKS, WHARVES" PERMIT ' (CHAPTER 32) DISAPPROVED "WETLANDS PERMIT" (CHAPTER 97) DISAPPROVED "BOATS , DOCKS, WHARVES" PERMIT (CHAPTER 32) CONDITIONS, IF ANY EXAMINING BODY SIGNATURE OF CHAIRMAN COMPUTATION OF FEES Approved 2/27/85 I � C Z Z �P 25/1I 1'1.1 R A r 0 Q a cFp K Q W Y �Y M y U n � y ►c im o n Z MATTIr CK ' d o= U `Ope � AIRPORT 0 CMc cYK o �� O / A L ocu Jura FEAT S. _ #, . ./ o as SvFFo[.t�o, Nf�65TRo�1' /)toTE.S •� , rp P a 3 i -300o i DA runt; J*7�.;`G✓ b � , PAR Pa 56.t._. ... 0 Z� 3 �-a k Cl 0 L-�(iST/N` ST/N l HHW C3) CX/.S /NG G20/N•S E1C/ST/NCB To L3E .?EPAJRBD 0 64-KD. Zo -yl �oH/N r3 PRo PoSEp GRoiN R. FP/9I/•2.S c - O L/T'roRAt ORiF'r �R Cf{/q RLE.S /�'(VEG.Lc/Q �d �N p,ECo.viL (3Atr T-T/ T'vc K I S�FFoLK �•�• �. Y SNP r 7' /. F Lit}? 114 . — L ................. ....... . .54 22 gj . o f 1 ii v a . f lA I - �k� �i..i � R i . �'� 1�10• �I f// I f / ��J � ti/ Y ti!•, .i/ 1 J l Gr LU 1 I ff'.:X!!X 1 l G' ! 'f o of n t,t' _ a f Wk 7 i.s To f Vey ?J y � SI7 ll1 J C 0 �fo 1crfl /.�'1 C�vf'C��'c1`�/-I.t:1l�'s 1 zS o-fvS- PROJECT DESCRIPTION Conduct repair work on (3) 70+' existing wood groins as follows: 1. East; remove outer 12 ' and replace. 2 . Center; remove outer 16 ' and replace. 3 . West; remove. outer 8 ' and replace with 161 . This will duplicate pre-existing con- dition as 8 ' was swept away in storms. No fill will be needed. BOARD .OF TOWN TRUSTEES. - TOWN. ..OF. SOUTHOLD SHORT ENVIRONMENTAL ASSESSMENT FORM Project Information (To be completed by Applicant or Project sponsor) 1. Applicant/sponsor 2. Project Name Charles Mueller by En-Consultants, nc. 3. Project location: Municipality Park Avenue, Mattituck County Suffolk 4. Is proposed action: ❑ New ❑ Expansion IN Modification/alteration S. Describe project briefly: Conduct repair work on (3) 70+1`- existing wood groins as follows: 1. East;. remove outer 12 ' and replace. 2 . Center; remove outer 16 ' and replace. 3 . West; remove outer 81 .and replace with 161 . This will duplicate pre-existing condition as 8 ' was swept away in storms . No 6. Precise location(road intersections,prominent landmarks,etc.or provide map) Park Avenue, Mattituck 7. Amount of land affected: Initially 1,5 acres Ultimately 'S acres 8. Will proposed action comply with existing zoning or other existing land use restrictions? KI Yes ❑ No If No,describe briefly 9. What is present land use in vicinity of project? 91 Residential ❑ Industrial ❑ .Commercial ❑ Agriculture ❑ Parkland/open space ❑ Other Describe: 10. Does action involve a permit/approval,or funding,now or ultimately,from any other governmental agency(Federal,state or local)? El Yes ❑ No If yes,list agency(s)and permitlapprovals DEC, DOS, COE 11. Does any aspect of the action have a currently valid permit or approval? ❑ Yes ® No If yes, list agency name and permit/approval type 12. As result of proposed action will existing permit/approval require modification? ❑ Yes T:1 No I CERTIFY THAT 7�FORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE ApplicanUsponsor name: Charleue1 er y En-Consultants, Inc. 9/15/87 Date: Signature: Roy 1 PART II Environmental Assessment (To be completed by Agency) A. Does action exceed any Type I threshold in 6 NYCRR, Part 617.12? If yes,coordinate the review process and use the FULLILONG FORM EAF. ❑ Yes ❑ No B. Will action receive coordinated review as provided for Unlisted Actions in 6 NYCRR,Part 617.7? If No,a negative declaration may be superceded by another involved action. ❑ Yes ❑ No C. Could action result in ANY adverse effects on, to,or arising from 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. Historic,archeological,visual or aesthetic,or other natural or cultural resources;agricultural districts;or community or neighborhood character?Explain brief C3. Vegetation or fauna,movement of fish 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. Secondary,cumulative,or other effects not identified in C1-C6? Explain briefly. C7. A change in use of either quantity or type of energy? Explain briefly. PART III Determination of Significance (To be Completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c)duration;(d) irreversibility;(e)geographic scope; and(f)magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show-that all relevant adverse impacts have been 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/LONG FORM 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 here, and on attachments as necessary, the reasons supportng this determination: Agency Name .Agency Preparer's Name Preparer's Signature:Title Date '. Charles S. Mueller 134 East 40th Street New York,N.Y. iom September 2,, 1987 To Whom It May Concern: Enconsultants, Inc. is hereby authorized to act as my agent to acquire the necessary permits to repair the jetties located at my premises on Park Avenue, Mattituck, Long Island. 'Sincerely yours, Charles S. Mueller s � i Public Notice US Army Corps of Engineers in replying refer to: New York District 26 Federal Plaza Public Notice No. 13500-87-1150-1-2 New York,N.Y.10278 ATTN:REGULATORY BRANCH Published: 28 NOV 88 Expires. 28 DEC 88 To Whom It May Concern: This District has received an application for a Department of the Army permit pursuant to /77 Section 10 of the River and Harbor Act of 1899 (33 U.S.C. 403); /7 Section 404 of the Clean Water Act (33 U-S.C. 1344). CC 6 1�"� � APPLICANT: Charles Mueller Woodland Road Glen Head, New York 11545 ACTIVITY: Groin replacement and reconstruction WATERWAY: Peconic Bay, Great Peconic Bay LOCATION: Mattituck, Suffolk County, New York A detailed description and plans of the applicant's activity are inclosed to assist in your review. The decision whether to issue a permit will be based on an evaluation of the probable impact including cumulative impacts of the activity on the public interest. That decision will reflect the national concern for both protection and utilization of important resources. The benefit which reasonably may be expected to accrue from the activity must be balanced against its reasonably foreseeable detriments. All factors which may be relevant to the activity will be considered including the cumulative effects thereof; among those are conservation, economics, aesthetics, general environmental concerns, wetlands, cultural values , fish and wildlife values, flood hazards, flood plain values, land use, navigation, shoreline erosion and accretion, recreation, water supply and conservation, water quality, energy needs, safety, food production and, in general, the needs and welfare of the people. ALL COMMENTS REGARDING THE PERMIT APPLICATION MUST BE PREPARED IN WRITING AND MAILED TO REACH THIS OFFICE BEFORE THE EXPIRATION DATE OF THIS NOTICE, otherwise it will be presumed that there are no objections to the activity. Any person may request, in writing to the district engineer, before this public notice expires, that a public hearing be held to collect information necessary to consider this application. Requests for public hearings shall state, with particularity, the reasons why a public hearing should be held. It should be noted that information submitted by mail .is considered just as carefully in the permit decision process and bears the same weight as that furnished at a public hearing. NAVY FL-129 May 83 Regulatory Branch Public Notice No. 13500-87-1150-L2 Pursuant to Section 7 of the Endangered Species Act ( 1 h U.S.C. 1 S31) allcl based upon a review of the latest published version of the threatened and endangered species listing, a preliminary determination is that the activity under consideration will not affect those species listed or their critical habitat. Based upon a review of the latest published version of the National Register of Historic Places, there are no known sites eligible for or, included in the Register within the permit area. Presently unknown archeological, scientific, prehistorical or historical data'may be lost by work accomplished under the required permit. Reviews of activities pursuant to Section 404 of the Clean Water Act will include application of the guidelines promulgated by the Administrator, U.S. Environmental Protection Agency, under authority of Section 404(b) of the Clean Water Act and the applicant will obtain a water quality certificate or waiver from the appropriate state agency in accordance with Section 401 of the Clean Water Act prior to a permit decision. Pursuant to Section 307(c) of the Coastal Zone Management Act of 1972 as amended (16 U.S.C. 1456(c)), for activities under consideration that are located within the coastal zone of a state which has a federally approved coastal zone management program, the applicant has certified in the permit application that the activity complies with and will be conducted in a manner that is consistent with the approved state coastal zone management program. By this public notice, we are requesting the state's concurrence with, objection to, or waiver of the applicant's certification. No permit decision will be made until one of these actions occur. For activities within the coastal zone of New York State, the applicant 's certification and accompanyipg information is available from,, and any comments on, should be addressed to the New York State Department of State, Division of Local Government and Community Services, Coastal Management Program, 162 Washington Avenue, Albany, New York 12231_ Telephone (518) 474-5063. In addition to any required water quality certificate and coastal zone management program concurrence, the applicant has obtained or requested the following governmental authorizations for the activity under consideration: Town of Southold Permit New York State Department of Environmental Conservation Tidal Wetlands Permit It is requested that,you communicate the foregoing information concerning; the activity to any persons known by you to be interested and who did not, receive a copy of this notice. If you have any questions concerning this application, you may contact this office at t( 'ephone (212) 264-3912 and ask for Mr. Michael Infurna. 2 Incls: Marion L. Caldwell , Jr. 1. Description of Work Colonel, Corps of Engineers 2. Drawing(s) District Engineer 2 I4ANY NI,129-1 May 83 CENAN-OP-RE APPLICATION NO. 87-1150-L2 PUBLIC NOTICE NO. 13500-87-1150-L2 DESCRIPTION OF WORK The applicant, Charles Mueller, requests Department of the Army authorization to replace and reconstruct timber groins in Peconic Bay, Great Peconic Bay, at Mattituck, Suffolk County, New York for the stated purpose of erosion control. The work on (3) 70 foot existing timber groins would consist of the following: 1. East; remove the last 12 linear feet and replace only to mean low water. 2. Center; remove the last 16 linear feet and replace only to mean low water. 3. West; remove the last 12 linear feet and replace only to mean low water. No fill would be needed for the above mentioned activity. r o � O Z 25 01� 0 J [� .,•,^ R i\ A vim"' J 6r o f ° W i �v N O v u = MATTITU K F PA AIRPORT16 � U °O, CMI O , arra Locus 4-4 FEET S�fl�oc�t Co, H/96�TR®N o so ri tiA P.�3 /��3no®' c �1 o TES ® v OA TU11: l`96 a PuRPoSE' V u� C o t � Ro S/ i./ CoNTRo L- ,9OJAc--- -(T h W� �v • ?� :k! .�5 3 op C)K vQ( 21- opc k ac x WZ HHW Tv b� Q-6PAjRAF0 q F� 4b pL000 PtGUN/G r5Ar �y� PROPOSED GRoiN Rd PAIRS _ QoH/NAMT LirroRA� ORiF'r )-A nCK^ RLES /�'T(JELLc�Z dO vnf r.EGON/G aAy' G i'1 T /`7RT"Ti TvC K I SaE.c 7- /•F/ s/i3/97 cv�FOL� o TELEPHONE (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 APPLICATION 1S HEREBY MADE TO THE TOWN TRUSTEES OF THE TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK FOR THE ISSUANCE OF A PERMIT PURSUANT TO THE LAWS, ORDINANCES AND REGULATIONS GOVERNING THE COASTAL AND INTERIOR WETLANDS, FLOOD PLAINS AND DRAINAGE AREAS OF THE TOWN OF SOUTHOLD, AND THE ISSUANCE OF PERMITS PURSUANT TO CHAPTER 32 OF THE CODES OF THE TOWN OF SOUTHOLD. APPLICATION NO. DATE OF APPLICATION September 22, 1987 IDENTITY OF APPLICANT Charles Mueller P E ---------------------------------2t-2-M-M72-- ADDRESS OF APPLICANT Woodland Road Glen Head, New York 11545 ---- -------- MAP NO. 1000-123-8-11.1 AGENT En-Consultants , Inc. ------- 9 -N-o `t-IF �C-� �------PHONE NO. _ 516-283-6360 PERMIT REQUESTED TO SEE ATTACHED ----------------------------------------------------------------------- LOCATION OF PROPERTY FOR WHICH PERMIT WANTED Park Avenue, Mattituck ---------------------------- -------------------------------- HOME ADDRESS OF PERMIT APPLICANT IF DIFFERENT FROM AFORESAID LOCATION Woodland Road, Glen Head, , New York 11545 CREEK, BAY OR HARBOR FRONTING PROPERTY Peconlc Bay ---------------------------------- SIZE OF PROPOSED WORK See project description -------------------------------------------------- n n n LENGTH n n n WIDTH ----------------- HEIGHT ABOVE HIGH WATER 0 PROJECT DESCRIPTION Conduct repair work on (3) 70+' existing wood groins as follows: 1. East; remove outer 12 ' and replace. 2 . Center; remove outer 16 ' and replace. 3. West; remove outer 8 ' and replace with 16 ' . This will duplicate pre-existing con- dition as 8 ' was swept away in storms. No fill will be needed. DEPTH BELOW LOW WATER N�A YARDS TO BE EXCAVATED 0 YARDS TO BE FILLED 0 WIDTH OF CANAL, CREEK OR BAY FRONTING PROPERTY 5 miles ---------------------- DEPTH AT LOW- TIDE Variable - 2 '. to 0 ' AVERAGE RISE IN TIDE 2 '-6" DISTANCE TO THE NEAREST CHANNEL N/A FT . DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN THE AREA 0 FT. 1S THIS FOR PRIVATE OR BUSINESS USE? • . . . . Private AREA ZONING Residential MANNER IN WHICH MATERIAL WILL BE REMOVED OR DEPOSITED ___ N/A INTENDED USE OF PROPERTY No change DESCRIBE ANY KNOWN PRIOR OPERATIONS CONDUCTED ON THE PREMISE Groins were built as part of overall groin field ------- Y ---------------------------- AND WHETHER ANY PRIOR LICENSE OR PERMITS HAVE BEEN ISSUED TO ERRECT STRUCTURES OR TO DREDGE OR DEPOSIT FILL ON SAID PREMISES AND WHETHER ANY PERMITS OR LICENSES WERE EVER SUSPENDED OR REVOKED BY A GOVERNMENTAL AGENCY None Known. DESCRIBE FULLY THE REHABILITATION AND PROPOSED CONDITION OF THE PREMISES AFTER THE WORK IS COMPLETED INCLUDE AN ADDITIONAL SURVEY OF THE PROJECT SITE IF NECESSARY None ------------------------------------------- ------------------------------------------------------ ------------------ ------------------------------------------------------------------------- WRITTEN CONSENT OF THE OWNER OF THE PROPERTY, IF NOT THE SAME AS THE APPLICANT.---------------- See Attached ---------------------------------- ------------------------------------------------------------------------- ARE THERE ANY COVENANTS OR RESTRICTIONS IN YOUR DEED THAT WOULD PROHIBIT THIS PROJECT?' None Known BOARD .OF TOWN TRUSTEES TOWN .OF SOUTHOLD SHORT ENVIRONMENTAL ASSESSMENT FORM Project Information (To be completed by Applicant or Project sponsor) 1. Applicant/sponsor 2. Project Name Charles Mueller by En-Consultants, nc. 3. Project location: Park Avenue Mattituck Suffolk ' ' Municipality i County 4. Is proposed action: �yy ❑ New ❑. Expansion f_1 Modificationfalteration S. Describe project briefly: Conduct repair work on (3) 70+' existing wood groins as follows: . 1. East;. remove outer 12 ' and replace. 2 . Center; remove outer 16 ' and replace. 3 . West; remove outer 8 ' -and replace with 161 . This will duplicate pre-existing condition as 8 ' was swept away in storms . No 6. Precise location(road intersections,prominent landmarks,etc.or provide map) Park Avenue, Mattituck 7. Amount of land affected: Initially 1.5 acres Ultimately 1'S acres 8. Will proposed action comply with existing zoning or other existing land use restrictions? fJ Yes ❑ No If No,describe briefly 9. What is present land use in vicinity of project? 91 Residential ❑ Industrial ❑ Commercial ❑ Agriculture ❑ Parklandlopen space ❑ Other Describe: 10. Does El involve a permitlapproval,or funding,now or ultimately,from any other governmental agency(Federal,state or local)? El Yes ❑ No If yes, list agency(s)and permitlapprovals DEC, DOS, COE 11. Does any aspect of the action have a currently valid permit or approval? ❑ Yes ® No If yes,list agency name and permit/approval type 12. As result of proposed action will existing permitlapproval require modification? ❑ Yes KI No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Charles Mueller by En-Consultants, Inc. Date: 9/15/87 Signature: PART II Environmental Assessment (To be completed by Agency) A. Does action exceed any Type I threshold in 6 NYCRR, Part 617.12? If yes,coordinate the review process and use the FULLILONG FORM EAF. ❑ Yes ❑ No B. Will action receive coordinated review as provided for Unlisted Actions in 6 NYCRR,Part 617.7? If No,a negative declaration may be superceded by anotht involved action. ❑ Yes ❑ No C. Could action result in ANY adverse effecu on,to,or arising from 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 erosior drainage or flooding problems?Explain briefly: r C2. Historic,archeological,visual or aesthetic,or other natural or cultural resources;agricultural districts;or community or neighborhood character?Explain brie C3. Vegetation or fauna,movement of fish 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. CS. Growth,subsequent development•or related activities likely to be induced by the proposed action? Explain briefly. C6. Secondary,cumulative,or other effects not identified in C1-C6? Explain briefly. C7. A change in use of either quantity or type of energy? Explain briefly. PART III Determination of Significance (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting(i.e. urban or rural); (b) probability of occurring; (c)duration;(d) irreversibility;(e)geographic scope; and(f)magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been 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/LONG FORM 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 here, and on attachments as necessary, the reasons supportng this determination: A4encv Name Agency Preparer's Name Preoarer's Signature:Title Date COUNTY OF SUFFOLK ) STATE OF NEW YORK ) SS: 's BEING DULY SWORN DEPOSES AND SAYS THAT HE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS. AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS KNOWLEDGE AND BEL. EF. THAT THE WORK WILL BE DONE IN THE MANNER SET FORTH IN THISIAPPLICATION AND AS MAY BE APPROVED BY THE TOWN BOARD OF THE TRWN OF SOUTHOLD. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT, IF GRANTED. SIGNA UR OF APP (CANT SWORN TO BEFORE ME THIS DAY OF 19 SHIRLEY A.HOLMES NOTAN PUBLIC,STATE OF NEW YORK NO.01dU474715277 Q TERM EXEP IN COUNTY' O OTARY PUBLIC EXAMINED APPROVED "WETLANDS" PERMIT (CHAPTER 97) , APPROVED "BOAT. DOCKS. WHARVES" PERMIT � (CHAPTER 32) DISAPPROVED "WETLANDS PERMIT"CHAPTER 97) DISAPPROVED "BOATS . DOCKS. WHARVES" PERMIT (CHAPTER 32) CONDITIONS. IF ANY EXAMINING BODY SIGNATURE OF CHAIRMAN COMPUTATION OF FEES Approved ?/27/$5 Charles S. Mueller 134 East 40th Street New York,N.Y. 10016 September 2, 1987 To Whom It May Concern: Enconsultants, Inc. is hereby authorized to act as my agent to acquire the necessary permits to repair the jetties located at my premises on Park Avenue, Mattituck, Long Island. Sincerely yours, Charles S. Mueller � c z i c.c • 0 < o 00 AFC K v W S 7 y V / D C D / n� h.Ilu ° �Z MATTIT,UC K = / AIRPORT 0 arro� 4-4 FEET Locus fi /�/oTES o, as so ap JStrFFo[�G moo: HA6srRcll 1�1 tlA P a 3 OA-r011; ML G►J b v ,� O d . CoNTRo L 'U °V t9.OJMC-6- (7'.. VW Oc✓,l�/cRs: isToR�, � �� , R e4/9-1-F o � a ` qr �a0 of Q o, "P o v q • SLc pF � 4-� � k� CX/ �i. Q 7•' e.I/gLL Gao/Ns VI HHW (3) .Ex/S /n/G Gr2o/�vS Z BX/ST/.v` Tv L'�E REPAlR�O , 0 4LKA. 1's MtW h� eye pLocp Pccv/.I/c (3/v Y 'y� PRo PoSEO GRO&( R.c Pfi lRS DOH/.VAN-r p L/7'ro q^e- aR/FT FoR CKA RLES /'((!E4./-E2 Gd C>N P.EGON/L r3A Y i9 T /`7RT-T/ TUG K I S N.E AFT- /. f