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Olsen, Sean & Leslie
Michael J. Domino ;ident o��SUfFQ(�1 Town Hall Annex John M. Bredemeyer III, vibe-President may` �� �} 54375 Route 25 Glenn Goldsmithy o } P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams � Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 2r :Completed in field b �'?' N Y En-Consultants on behalf of SEAN & LESLIE OLSEN requests a Pre-Submission Inspection to discuss a proposed swimming pool on the property. Located: 975 West Hill Road, Southold. SCTM# 1000-70-4-25 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=� Setback Waiver Required 1. Residence- 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet , 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: r I have read & acknowledged the foregoing Trustees comments: ��--- Agent/Owner: �lP�l� A Present were: J. Bredeme er ✓ M. Domino G. Goldsmith � N. Kru ski Y p `� G. Williams Other S U KV EY Of LOT 4 N AS SHOWN ON A CERTAIN MAP ENTITLED ' MAP OF CALVES NECK' FILED IN THE SUFFOLK COUNTY CLERKS OFFICE ON 2115/72 AS MAP NO. 5073 SITUATE : SOUTHOLD E TOWN : SOUTH OLD `4111SUFFOLK COUNTY, NY 5URVEYED 08-2 ) -2014 UPDATED 09-05-2017 SUFFOLK COUNTY TAX # 1000 - 70 - 4 - 25 CERTIFIED TO: SEAN OLSEN LESLIE OLSEN CHASE BANK, N.A. FIDELITY NATIONAL TITLE INSURANCE SERVICES LLC. II/EST HILL ROAD D asphalt roadway CONCRETE CURB UT S8 05 240T 85.00' POLE S080 \\ 3 53'S0„ .9S, F :w I o I LU =f - o- I LOT 4 I I Q ' PROPANE SHED rn I J TANKS WELL n , 1iii222 `V COVEREp "J PbRCH _ 98, N a m m f G 4 a CONC lD STEP O IGG J ACCd2 STO GEN � m FRA ARAGES,c 4r) FRAME DECK J 49 7 �8f STONE PATIO BELOW DECK I I I\I ml �I w I W � O 0. WOOD BULKHEAD O LO X 33" LO -49"X 53" x-44" -35"X -53" X-53" Lo WOOD X-GO" `v O O PLATFORM S'XIG'FLOAT X-57" CANALLO ; cr) X N8605 1120 11W 75.001 OCT 2 3 2019 LAND NOW OR FOR OF: GEORGE H. WELLS ESTATE Southold Toiiian Board of Trustees WATER DEPTHS RECORDED DURING LOW TIDE ON JUNE 13, 2017 o� �� "unauthorized alteration or addition la a survey NOTES: map bearing a licensed land surveyor's seal is a JOHN C. E H LE RS LAND SURVEYOR violation of section 72ork subte vision 2,of the ��® /+o i+s-_ �� New York Slate Education Law" ® MONUMENT FOUND V CV_� ..Only copies from the original or this survey ® NAIL FOUND marked with an original of the land surveyor's o SPLIT RAIL FENCE y ' stamped soul Shau be cons:dmed to be—I'd hue copies" 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 "Certifications indicoted hereon signify that this Area = 22 295 Sc�. Ft. survey was prepared in accordance with the ex- Area = 0.5 1 18 Acres, RIVERHEAD, N.Y. 11901 3G9-8288 Fax 3G9-8287 P t isting Code of Practice for Land Surveys adopted / Q by the New York State Association of Professional GRAPHIC SCALE 1"= 30' Land Surveyors Said certifications shall run only longi5lanclland5urveyor.com �y gd20 �� to the person for whom the survey is prepared, and on hisFQ behalf to the title company,governmen- CS� lot agency and lending institution listed hereon,and ANS to the assignees of the lending institution Certifica- 1 4-1 77 tions are not transferable to additional institutions WEST HILL ROAD Q w z 15' 15' 0 1 " = 30' O WELL V � ti [� LP TgNKS Q 0 w� O 2 STORY DWELLING O � V O EX. DECK Q w' PROP. 12'x 32'POOL ADJ. BLKHD. MLW/MHW E C E VE OCT 2 3 2019 CANAL JOCKEY CREEK) L+76' WIDE) Southold Town EBB Boardof Trustees LOOD N/F C. & P. MALONEY \ N nut�� - ---fes_--_ - - -,._=__ 'I21)�• ^' •.'?`i=.. 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ZZ on m 9_aa ry ,mt3 O a m a a B - a � m 0.E,RWEW u ,A - 19 AVE 47A ,� - 5 i B - �7 9 t2 .° o- - e 59 �B e 37 51 3 `'0 m w 3 u• w,72 S ° SEG N0./ /ill ��� mm96 ® +• .n ., ° m c7q wi V w ,n ll s i � � b ,. ,s ryvl m y s _ cw.ul � 11FAIMEIY AVE _ ^,OYbf of +' 4l 4T ,a�1 i`•�_—��1LJ---HNE g 51 BBq 49 48 3m swnian0il ��_ BT m m d S m2 2g4 1054.) 2B d Y _ Y _ taw > TowN of B 9Z7 ks g r wwicti \ I7IFIOLO SECTION NO N SD _ --�-- �� -- -- NOTICE wry COUNTY OF SUFFOLK © E ® wMO L "'^tee, —�— (211 0 o.w -- -- -----"-- - °NxxN=cKxouicNs�w Real Property Tax SernceAgency Y 070 ..n.r _ __ __ _ G�M(Inhf PinrBUE,NYt1F9, M xo PROPE wsn �O `..'_ r.. -..-.n o..+1 . 'd —__ o�u. --•-- o.....--w.-- _ A ier 1mvseru.crena mu E RTY P MA -- ztlfq M EN-CONSULTANTS October 21, 2019 r Mike Domino, Chairman OCT 7 q 2019 Board of Trustees Town of Southold S;I' -"„gin P.O Box 1179 Southold, NY 11971 Re: Request for pre-submission review on behalf of Sean and Leslie Olsen, 975 W. Hill Road, Southold, SCTM 1000-70-4-25 Dear Mr. Domino: Please accept this letter and enclosed owner authorization forms; survey; check for $50 payable to the Southold Town Trustees; and site sketch depicting a proposed swimming pool as a request for a pre-submission review by the Trustees for the purpose of evaluating the potential approvability of constructing a swimming pool on the above captioned property. Should you have any questions or wish to be supplied with any additional information in support of our inquiry, please let me know. If it is determined that the site will be inspected by the entire Board during a monthly field inspection, please let me know the date, as I would want to meet the Trustees there. Res'�ctfully yours, Robek. Herrmann Coastal Management Specialist Enclosures 1319 North Sea Road Southampton,New York 11968 p 631.283.6360 1 f 631283 6136 www.enconsultants.com environmental consulting EN-CONSULTANTS TO WHOM IT MAY CONCERN: This letter will authorize En-Consultants to access my property for the purpose of evaluating and/or delineating wetlands and other environmental features and/or making official inquiries on my behalf and/or representing me and acting as my agent for the purpose of securing regulatory approvals and related matters. setOI en Date Leslie Olsen a e' � t Y-- 1319 North Sea Road I Southampton,New York 11968 1 p 631.283.6360 1 f 631.283.6136 w ww.enconsultantS cam environmental consulting Board of Trustees Application County of Suffolk State of New York Leslie Olsen BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. A"-& ` a& Signature ,Leslie Olsen SWORN TO BEF RE ME IS a�`( DAY OF !1 kLS 20 i i 1 FNotary IER BLAS Public nnecticut Notary Ub11C n Expires Sep 30,2022 Board of Trustees Application County of Suffolk State of New York Sean Olsen BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW O THIS APPLICATION. �Iijiiaiture,Sean Olsen SWORN TO BEFORE ME THIS 2,3 DAY OF 20a o Publi MAVBL.YN BL ANCO NOTARYPUBLIC W COMMISSION EXPIRES NOV.30,2022