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Glenn Goldsmith` 'esident O�OQWFQ(�-p�_ j Town Hall Annex A Nicholas Krupski, \,ive;-President „� �,A 54375 Route 25 Eric Sepenoski o ` P.O. Box 1179 Liz Gillooly o Southold, NY 11971 Elizabeth Peeples y ©! Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in field by: ROBERT SHELTON requests a Mooring Permit for a mooring in Haywaters Creek for an 18' motor boat, replacing Mooring #4. Access: Public CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q 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 5 years: Y/N Wetland Line by: C.E.H.A. Line r Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: E. Peeples L. Gillooly G. Goldsmith N. Krupski E. Sepenoski Other DiSalvo, Diane From: Bob Shelton <b_shelton@comcast.net> Sent: Thursday, November 18, 2021 9:03 AM To: DiSalvo, Diane Subject: RE: Mooring Permit in Broadwaters Cove Hi Diane: Hope all is well with you. Just an update regarding mooring for next year. I just bought the boat! It is a Cape Dory Typhoon Weekender sailboat, 18 1/2 feet long. I am in the process of registering it in Suffolk County, and am hoping to have the registration in a couple weeks. For now, the hull ID number (HIN) is: CPDD1300M76M. Please keep me on both Haywaters and Broadwaters Cove mooring lists. Thanks and have a great Thanksgiving holiday, Bob Shelton On 10/26/20213:07 PM DiSalvo, Diane<diane.disalvo@town.southold.ny.us>wrote: OK Diane From: Bob Shelton<b_shelton@comcast.net> Sent:Tuesday, October 26, 20213:05 PM To: DiSalvo, Diane<diane.disalvo@town.southold.ny.us> Subject: RE: Mooring Permit in Broadwaters Cove Thank you Diane! Yes, that was the area I was originally thinking of! Please add me to both lists at the appropriate time! Thank you so much! Bob Shelton On 10/26/20213:00 PM DiSalvo, Diane<diane.disalvo@town.southold.ny.us>wrote: See attached map of Haywaters Cove. Would you like your name on that list as well? vg ('� Glenn Goldsmith, President Town Trustees A Nicholas Krupski, Vice-President H 54375 Route 25 Eric Sepenoski o • �� P.O. Box 1179 y Liz Gillooly 3 �a� Southold, NY 11971 Elizabeth Peeples Telephone (631)765-1892 .._� . � � � Fax(631)765-6641 OAN 2) 5)7-02-7- swthold Town BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD APPLICATION FOR A MOORING/STAKE&PULLEY IN TOWN CONTROLLED WATERS APPLICANT'S NAME: ROBERT SHELTON LOCAL ADDRESS: 275 OAK DRIVE PHONE: 617-510-3486 CUTCHOGUE.NY 11935 MAILING ADDRESS: 5 EDEN RD PHONE: 617-510-3486 WAYLAND.MA 01778 EMAIL ADDRESS: B SHELTONgCOMCAST.NET DO YOU OWN_XX RENT LEASE A PROPERTY IN THE TOWN OF SOUTHOLD? (See Chapter 96-24 of the Town Code-Boats,Docks and Wharves for requirements) IS THERE CURRENTLY A DOCK ON YOUR PROPERTY?: NO DEPTH OF WATER AT END OF YOUR DOCK: N/A NAME OF CREEK FOR MOORING/STAKE: HAYWATERS CREEK#4 MAKE/MODEL OF BOAT TO BE MOORED/STAKED: CAPE DORY TYPHOON REGISTRATION#: IN PROGRESS(SEE ATTACHED) LENGTH(up to 35 ft.): 18'6" COLOR OF BOAT: WHITE BOAT NAME: POLKA DOT POWERED BY(Inboard,Outboard,Sail): SAIL WITH OUTBOARD AUXILIARY METHOD OF MOORING(mark with an"X"in appropriate space) - 1 - (X) OFFSHORE MOORING—MUSHROOM ANCHOR ONLY-WEIGHT: 100 LB ( ) ONSHORE STAKE WITH OFFSHORE PULLEY SYSTEM ( ) TIE UP BETWEEN PILINGS(Number of Piles) ( ) OTHER METHOD (Describe): ACCESS TO BE USED FOR PROPOSED MOORING/STAKE: PUBLIC: XX PRIVATE: OWNER OF PRIVATE ACCESS: If private access other than on your property,a letter of consent from property owner and location of access will be necessary. If applying for a new mooring/stake: Secure correct area map from clerk of this Board,or make a copy of a survey of your property if applying for a private stake,and indicate with a large colored dot as close as possible to proposed location of mooringistake. On reverse side of map,provide a scale drawing showing Ordinary High Water Mark,stakes,pilings or other anchoring devices to be used,and all distances used between moorings/stakes. At mooring/stake location: HAYWATERS#4 Approximate distance to channel: 100 FT Number of boats moored vNRthin 100 feet of proposed mooring/stake location: 0 In making this application,I declare that the placement of this mooring will not be an inzpedirnent to the nonnal needs of others. Applic is Signature • Permit,when issued is valid for one year ending December 3111 of each year,at which time annual renewal is necessary. • Boat must be registered under applicant's name. • Permit fees are based upon length of boat. • No mooring permit will be issued for boats over 35 feet in length. • No stake and pulley system will be issued for boats over 18 feet in length. • Sharing,renting,leasing are prohibited uses for Town issued moorings and the permit will be cancelled. -2- C.%_ __._.--'-- 6 y x.4._ .� - .... �«w>.-ram.-..�-..`. .r.....�a.�•� ^ .ram w b m ��rad svec 1Y�f •ram ,�� � w.� ,.. Rd RQ r Y Googl earth 'L • � • Ulf