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Home My WebLink AboutTR-1767 GF Glenn Goldsmith, President ®��QF S®��® Town Hall Annex A. Nicholas Krupski,Vice President �® 54375 Route 25 P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly G � Telephone (631) 765-1892 Elizabeth Peeples �® °� Fax(631) 765-6641 Irou BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 19, 2023 Jacqueline Morley Twomey, Latham, Shea, Kelley, Dubin & Quartararo, LLP P.O. Box 9398 Riverhead, NY 11901 RE: CHARLES DiSAPIO & XANNE PEREZ 5780 NEW SUFFOLK AVENUE, MATTITUCK SCTM# 1000-115-10-7 Dear Ms. Morley: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, January 18, 2023: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit #1767 from Andrew T. Fohrkolb to Charles DiSapio & Xanne Perez, as issued on November 7, 1983. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please contact our office at (631) 765-1892. Sy, Li Glenn Goldsmith, President Board of T rustees GG/dd +.,;,s� ,�S�FFt�m_ Glenn Goldsmith,President f,Y�� 'ceel, Town Hall Annex A.Nicholas Krupski,Vice President j 54375 Route 25 0 Eric Sepenoski ,? P.O.Box 1179 Liz Gillooly �y • �� Southold,NY 11971 Elizabeth Peeples - 1 e I Av Telephone(631)765-1892 Fax(631)765-66411, i Southold Town Board of Trustees . Field Inspection- Report Date/Time: 1212 /27 Completed infield by: G. 490 1015,i+k Jacqueline Morley on behalf of CHARLES DiSAPIO & XANNE PEREZ requests a Transfer of Wetland Permit #1767 from Andrewt. Fohrkolb to Charles DiSapio & Xanne Perez, as issued on November T 1983. ;Located: 5780 New Suffolk Avenue, Mattituck. SCTA#: 1000-115-10-7 Typ of area to be impacted:' ; Saltwater Wetland Freshwater Wetland Sound --"Bay Part of Town Code proposed work falls under: ✓Chapt.275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: OK ko lsaT%5 Qe.< Present-Were: '� G. Goldsmith N.: Krupski E. Sepenoski L. Gillooly E. Peeples i i i f F["-----' atham Jacqueline Morley ■ � om' `. Associate 631.727.2180 x332 S `r;? l S!.L E Y', D U 6 I ht a la U R F 1 R A.Rd, t 4 ? Jmoriey@suffolklaw.com 33 West Sewnd St P.O.Box 9398 Riverhead.NY 11901 %,vvw suffclklaw.c om I hamas A.Twomey,Jr. (1845-2014) John,-.Shea,III December 14, 2022 Chlistoaher D.Kelley VIA BAND DELIVERY David RA.Dubin Jay P.c1uE.ctararo I Elizabeth Cantrell, Senior Office Assistant je`lc M.Mott s e L.Snead Town of Southold Board of Trustee Kathryn Cala 54375 Main Rd. Jaf'ev W.Pagano QP.O. Box 1179 Sema A.I-?o3g c 20�� Craig H.'l'i E.'IUtflfA Southold,NY 11971 `` DEC 1 5 Craig'r3.l-iAn filer Bryan J.Drago Daniel R.Darnard to SENIOR cCL earn Re: Transfer of WetlandsTermit#176) 4'dC�r�7hsn i✓.:.$uia1T � _...� .. .�.,_._.._.. ...._ - . �wSOClrTl=s 5780 New Suffolk Ave,Mattituck L.orrains f'Aoeleo SCTM No. 1000-115-10-7 7®I l ante Russell A.Chadwick rriedis � Niattha i=.Relcher_ Dear Elizabeth Man,KAte L Brigham ' Jacqueline M.Morley David L Harrill Our office represents Charles DiSapio and Xanne Perez in the above- 0. COUMSer_ referenced matter regarding their property located at 5780 New Suffolk Ave, Kevin c Clare KamSrinlMattituck(SCTM No. 1000-115-10-7). '""a'vicia J.'"tussal( Jennifer Imo.l',Rgro i, Craig Gibson We formally request that Wetland Permit#1767,originally dated ott fHarclAn ruicGiverr, Scott! 2aich��c��1:or• November 7, 1983,and transferred to Andrew T.Fohrkolb by action of the 5a Kovir,Handwerkar Southold Town Board of Trustees on October 19,2016,be transferred at this time „iEisan Singh from Andrew T.Fohrkolb to Charles DiSapio and Xanne Perez,the new owners ALM IN.A::.noN of the above-referenced property. + MY&PU 0.10a6 a ITI,W t:CC MARZ `v'N"a,n MARS We have included with this request a check for the$50 fee and the MaiMain M Office n t w;ce'Ond�� requisite authorization forms. Please reach out with any questions regarding this Ro.mcn 90i?'E matter and we thank you for your consideration at this time. 631.727.2180 - suf#olklaw.corn Very truly your Jacqueline Morl i Board of Twustees Appli4q -.on AFFIDAVIT Charles DiSapio and Xanne Perez 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 BOARD OF 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,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property 6vmer gignature of Property er\ SWORN TO BEFORE ME THIS DAY OF Det' 20 ZZ AMw gpjr Notary Public DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK No. 01D1475593 Qualified In Suffolk County 2& My Commission Expires April 30, 20__ I Board of Trustees Applin ion i AUTHOR ZATION (Where the applicant is not the owner) I/We Charles ®iSapio and Xanne Perez , owners of the property identified as SCTM# 1000- 115-10-7 in the town of Mauituck,Town of Southold . New York,hereby authorizes Karen A. Hoeg., Esq. to act as any agent and handle all necessary work involved with the application process for permit(s)from the Southold Town Board of Trustees for this property. QA5 Property Owner's Signature Property Owner's Si e SWORN TO BEFORE ME THIS DAY OF 52042, Notary Public DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK No. O1 D1475593 ®uolified In Suffolk County My Commission Expires April 30, 20 s _ APPLICANTIAGENT/REPRESEWrATM TRANSACTIONAL DISCLQSI=FORM "-of-southold's Co&of l thiis aloho6�ts ioniltgs of- 116pa6 of d I iodsafid T an is '1 he naansnaeof this farm is infoten 'ss rr3�ieh Baa'alert it 'tocv�t ofsil�4e wniiia �f'sr�te�est and alins�it to ta9ce asiarisT flay to avoid same:' Xanne Perez... . YOUR NAME: (I.M name,first m nae;Middle initial,unless you ate applying in'the°name of someone else or other entity,such as a company.If co,indica0z the other person's or company's name.) NAME OF APPLICATION:(Check all that apply.) Tax grievance _,._.,_,._ Building -- -. Variance Trustee Change of Zonae Coastal Erosion Approval of plat _, .-,:_. Mooting. r.., . ............,-,:..-.. Exemption ham pieoroflhcial map Planning Other (If"Other=,name the adivny) Do u: trona! or4iir =..-.. Xo h�.>,- - tY.( pcoY, ;st'bii?ig;Paa�tt;or cMla�`lme�t lrrlat�nsh?P vdth'amY ot�ioeror eutpioy of.the Totma lrfSouthmhh?"Rctetio iF"iaa tiadea tty'.lrtood,rajazzieg or busine it t st "Iii ynte�t"means a twsittc�s;' including a partnership;in which,the'16 offter r employee has even a partial ownessttipot( r employment by)a corporation in wliich the lowh o =nos employee owns more,duk 5ofo shaics: YES NO Ifyou answered"YES",complete the balance of this faumu and date and sign where indicated. Name of perm employed by the Town of Southold Title or position of that person Descrihie`the relationship hdW=yoursslf(tiie sppfditW' -ve)and the town ohm or employee.Either check the appropriate line A)duough D)mWoc descdbe in rho space prariided. , The townofficeaoremployeeorhisorherspmmsibling,patent,oIrchildis(check alli tapply)- A)theowner ofg r ater than S9h of the shares of the corporate stock oftheapplic wr (v�lteti'the Opplicent qs a corporation}; B)the Icgd ofb=ftcia!ownerofa»y in in anon-corporate entity(whenthe .. applicant isrotacorp i;n); C)an offrear,due aw.pasta,or=VIM=of the apphicaut;or D)the actual applicant. DESCRII!'IION OF REI.ATIONSW Submbed this * day of G 2022...._. 5igeattu ` PrW NaIW Xanne Perpz Form IS I APPLICANT/AGENUREPRESENTATIVE TRANSACTIONAY,DISCLOSURE FORM The 1 own-of Southoid's-92dC-of F:thics-nrohibits-conflicis of-inteiestonihe narl-or town olTiccis and em !Duces.The numose of- this farm is to!m®vide infarinatian wlticir can alert thc'town of pus i ft,cDnfliets of inla=and allow ilip-Ift wi Mover-aalm-is- necessnry to avoid Rama. YOUR NAME: Charles DiSapio (Last name,first name,4dddle Initial,unless you are applying in'the name of some else or other entity,such as a comp W.If so,indican the other perm's or company's name.) NAME OF APPUCA'ITON:(Check all that apply.) Tax grievance - - Building Variance Trustee Change of Zone Coastal Erasion Approval ofplat Mooting _ Exemption from plat oroflieial map Planning - - Other (if"Other",name the activity.) Do you personally(ortlrrough your company,spouse.sibling paaon%or child)have ai relationship with any of cer or employee of the Town of Southold? "Relationship"includes by blood.marriage,or btemoss interest."Ilusimss interest'r means a business, including a partnership,in which the town ofrww or employee haseven a partial ownership of(or employment by)a corporation in which the town�oflicer or employee owns more thea 5% - shares. YES NO -- If you answered"YES",complete the balance of this form and date and sign where indicoed. Name of person emplayed by the Town of Southold True or position of that person Describi the relationship between yotuself(the applicanttagenthepresentelive)and the town oMccr or employ=Either check the appropriate line A)through D)andfor describe in the space prodded. The town officer or employee or his or herspouse,sibling,parent,or child is(check a!f,dist apply): A)the owner of greater then Sib of tine shares of the corporate stock of the applicpnt (whin the applicant is a corporationk B)the legal or beneficial owner of any interest in a entity(wh*the applicant is not a corporation); C)an officer,direr,partrsec,or employe of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this d y�f 2022_. Signature' Print Name c ..api Form TS 1 John M.Bredemeyer III, President ��f SQUjj' Town Hall Annex Michael J.Domino,Vice-President h0 lQ 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G ® O Telephone(631) 765-1892 Charles J.SandersO a Fax(631) 765-6641 Ir®UNTV,� . i BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 19, 2016 Andrew T. Fohrkolb P.O. Box 645 Mattituck, NY 11952 RE: 5780 NEW SUFFOLK AVENUE, MATTITUCK SCTM# 1000-115-10-7 Dear Mr. Fohrkolb: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, October 19, 2016: I RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit #1767 from Russell & Helen D. Tuthill to Andrew T. Fohrkolb, as issued on November 7, 1983. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please contact;our office at (631) 765-1892. Sincerely, John M. Bredemeyer III, President Board of Trustees JMB/dd John M. Bredemeyer III, Preside ¢�fp'sofol't Town Hall Annex Michael J. Domino, Vice-Presidern 54375 Route 25 Glenn Goldsmith o P.O. Box 1179 A. Nicholas Krupski o 'hI Southold, NY 11971 Charles J Sandersy�j01 V�o� � Telephone (631) 765-1892 rx. r``` Fax (631) 765-6641 1 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD I ' /. Date/Time: 10/16 lS Complieted in field by: . I ANDREW T. FOHRKOLB requests a Transfer of Wetland Permit #1767 from Russell & Helen D. Tuthill to Andrew T. Fohrkolb, as issued on November 7, 1983. Located: 5780 New Suffolk Avenue, Mattituck. SCTM# 1000-115-10-7 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 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 ��1k1,��1 .s alM®s� non—exisTer�+ � A�� Gor►o}�'��I v non - ��ncTron�n9 r O K +d -'rar,s Var of of a Present were: J. Bredemeyer M.i Domino \G. Goldsmith , N. Krupski C. Sanders Other i i Page'1 of 2 r u F John M. Bredemeyer III, Preside, pS Town Hall Annex Michael J. Domino, Vice-Presidern �Gy� 54375 Route 25 Glenn Goldsmith } o '` P.O. Box 1179 A Nicholas Krupski o �A Southold, NY 11971 Charles J. Sanders o�� Telephone (631) 765-1892 �a Fax (631) 765-6641 Cr BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD I Date/Time: Completed in Work Session by: ANDREW T. FOHRKOLB requests a Transfer of'Wetland Permit #1767 from Russell & Helen D. Tuthill to Andrew T. Fohrkolb, as issued on November 7, 1983. Located: 5780 New Suffolk Avenue, Mattituck. SCTM# 1000-115-10-7 Ch. 275-12 - STANDARDS FOR ISSUANCE OF;PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase,the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or,the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. :525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By. G Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 a QF S0 John M.Bredemeyer III,President �� /yo Michael J.Domino,Vice-President h® lTown Hall Annex' 54375 Main Road P.O.Box 1179 James F. King,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee • Q Charles J.Sanders,Trustee BOARD OF TOWN TRUSTEES SEP 1 2 2016 TOWN OF SOUTHOLD Southold Town 6' Board f Trustees APPLICATION FOR A TRANSFER OF A WETLAND PERMIT DATE =� _ •�"`d oma ' S3 •, j g• 2,"1,3 OWNER PHONE MAILING ADDRESS "5- " 'v` t!�- ' AGENT PHONE ADDRESS PROPERTY LOCAT N TAX MAP NO. I/We request a Transfer of Permit# from 00 Signed By: Board of Trustees Applica`",?n AFFIDAVIT 49pawq: 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 BOARD OF 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,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF , 20 KIM S.FiiRW18" Notary Public, State of Nm York No.4611709 Qualified In SWOolk Cou Cama icsien rook"April 30 z Notary Public APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. q�A YOUR NAME: ` 1 "N{7 A • (Last name,first name,diddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sililing,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest"Business interest"-means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the to officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicantlagent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the 3/ applicant is not a corporation); C)an officer,director,partner,or eyee of the applicant;or r —D)the actual applicant< DESCRIPTION OF RELATIONSHIP Submitted th' %--day o2a�b Signature Print Name Form TS 1 ALL MOORINGS AND STAKES MUST DISPLAY VISIBLE MOORING NUMBERS ALL DOCKS AND BULKHEADS MUST DISPLAY VISIBLE PERMIT NUMBERS r i. ayy5 9 _ ` °�/r .r ,.��.-— s,�✓-' ---.ti,r " - t� Board Of Southold Town Trustees ; SOUTHOLD, NEW YORK Mooring ## N/A ,� 1767 7 , 1983 % I�� PERMIT NO. . .............. ............. Nov.DATE: ......... . .... ............ ISSUED TO ..... Russell and Helen D. Tuthill - �` :� Pursuant to the provisions of Chapter 615 of the Laws of t 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 t � REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance .with the � r� Resolution of The Board adopted at a meeting held on .....,Nov. 2 19.........5.E and in consideration of the sum of $..5..�..P Q..... ... paid by a fi ............................Russe.l..1....and....Helen....D.......T.uthil.l..................................... `[3 N of ..Matti.tuck...................................................... N. Y. and subject to the �, , Terms and Conditions listed on the reverse side hereof, `- ; �� ► of Southold Town Trustees authorizes and permits the following: Application approved under .the Grandfather Clause to secure a permit number for a dock in Deep Hole Creek. all in accordance with the detailed specifications presented p sasp e d in `' + the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- ` a 1 ; by causes its Corporate Seal to be affixed, and these presents to �. !f be subscribed by a majority of the said Board as of this date. 5 r� �01 '' .d .... Dom, oG �...�i ...................... ............ ............ . �► m fit" 5� Trustees................... A .. A t ,yam►� A` ',, A� `A`, �, � `p :`p ; ~ a�� Please tear off and return to the Trustees ,� , ,, . Q rd.s .Of Southold Town Trustees 'ALLISPLA'9` ``,: xuLE .�"E '"'atIVB' Ne. Pv1 mS SOUTHOLD, NEW YORK MOORING NO. N/A PERMIT NO. 1761 DATE: Nova 7 , 1983 Russell and Helen D. Tuthill Grandfather ISSUED TO Clause I, , certify that the work as authorized in this permit has been ccmpleted and 'is now ready fcr your inspec- tion. Also, the number reguired on this rroiect is clearly visible. I further understand this permit is not valid until this tear sheet is returned to the Trustees. TERMS and CONDITIONS The permittee R 7 s G 1 1 and H P 1 an 17 T,i t h i 1 1 residing at New Suffolk Ave, Mattituck N. Y., as pan of the consideration for the issuance of the Permit does understand and prescribe to the fol- lowing: 1 . That the Southold Trustees Permit must be prominently displayed on the premises effected thereby during the period work That the said Board of Trustees and the Town of Southold are released from any and or k ? all damages, or claims for damages, of suits arising directly or indirectly as a result of any oper- he 13tion performed pursuant to this permit, and the said Permittee dex will, at his or her own expense, termi defend any and all such suits initiated by third parties, and the said Permittee assumes full liability P with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold 3. That this Permit is valid for a period of 12 mos, which is considered to be the sufficient 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. 4.; 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. 5'; 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. 6. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 7.. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marcs. 8, 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. 9 . That the said Board will be notified by the Permittee of the completion of the work auth- orized. (See tear off sheet. ) 10. That the Permittee will obtain all other permits and consents drat may be required sup- plemental to this permit which may be subject to revoke upon failure to obtain same. 1 ALL DOCKS AND BULK- P/1 HEADS MUST DISPLAY - - VISIBLE PERMIT NUMBERS. BOARD OF TOWN TRUSTEES TOVJN. .OF SOUTHOLD ALL MOORINGS AND Main Road Telephone STAKES MUST DISPLAY (516-765-1892) VISIBLE MOORING NUMBERS. Southold,. New York 11971 NOTICE OF ACTION - NOT A PERMIT To. . Russell_ &_ Helen ,Tuthill. . . . .. . . . . . . . . . . . . .. . .. . . . . . . . . . . .. . . . . . . . . . . . . . . . 1. Your application, dated. . , . .10/18/83. . . .. . . . ... . . , , ,,has been reviewed by this Board, at a meeting of the Trustees held on. ..November, ,2 c , 1983,, , . , , . , and resulting in the action, as indicated below: Application approved. —_ (. . . . .) Application denied. (. . . ..) Application tabled. 2. Comments and remarks: Application approved under the Grandfather Clause to secure a permit for a dock in Deep Hole Creek. 3. If your application is approved above, a Permit Fee is now due, and should be made payable to the order of the Board of Southold Town Trustees. This fee is computed below according to the Schedule of Rates as set forth in the Instruction Sheet (Form 1/1) . This fee must be paid within 90 days or :reapplication and additional fee will be necessary. If the Permit Fee is paid in person to the Clerk of the Board, the Permit will be obtainable at the same time. If the fee is paid by mail, the Permit will be mailed in reply. 4. Computation of Permit Fee: Total Fee for this application. . . . . . . . . . . . . .. . . . . . . . .. $,5 . 00 Paid , . , S i g n ed.�f`' ?t�S .�. . . . . . . . . . . . . . . . . . President, Board of Southold Town Trustees By. . . . ,.. A. . . ..�. . . . . . . • .. . .. Clerk, Board of�Sou o Town Tru ees spa TELEPHONE (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 November 7, 1983 Mr. Russell Tuthill 5650 New Suffolk Ave. New Suffolk, New York 11952 Dear Mr. & Mrs. Tuthill : Transmitted herewith is your permit which was granted under the Grandfather Clause, for your structure. Please post your permit number on your structure, so that it can be seen from the water. Thank you for your co-operation, in regard to this matter. Very truly yours , Board of Town Trustees Ilene Pfifferli g Clerk #j to Trustees Attachment I BOARD OF TOWN TRUSTEES Town Of Southold Main Road SoutI.old, New York 11971 /TP - ` APPLICATION FOR FIXED and/or FLOATING DOLT' 5 j1. Applicant's name and address: ....1 .4? .� ff .c 2. Contractor's name and cddress: ...... . �_.............................................................................. ............................................................................. ..................................................TE ......................,.... 3. Srief'y explain ,he purpose of ;his applicction: ,. . After issuance o= a Permit, work must be op p"etea wit:iin one year. LAFGE 5. Secure the correct Area Mcp from the Clerk of this Beard, and by using a/X WITH!N A CIRCLE indicate as closely as possible the location of this deck. On the reverse side of this mcp, provide a SCALL DRAWING whic'n will show Ordinary High Water Mark, the shape cnd size of the dock and any supplemental pilings which: are needed to hold a ficcring dock Or tie-uo 7 boat. Give oil dimensions necesscry to determine the area1 dthe doo surfcce P=:�C E:t:S`DS CFS S ORfrom the G. n. W. :�1. if adjacent prope�yowners have docks, specify location and length to scale. 6. Will dnv portion of this construction extend oa shore in to Town Waters s bA ycnd cn im g inc rY1•ne or boundary formed by other sinii!qr structures along the area's shopes• e? YESor NO If it does extend beyond this so-called dctx line indicate . b ho�.v f }e Ly for, ao�rox:ma«! .. , 7. Provide the following documents: (b) copy of the Contractor's Plons and Specifications. ((c Si:crt Environmental, Assessment Form. lc Wetlands Application 8. vVi I this ccnstructien- require the Filling of any land offshore of the Ordinary High Water PJIar • 9 Mork or the Dred inc of an material i � V al from Town Lands under water? YES or NO. If it does, Form A/4 (A;Criiccnon for Dredging/Filling; must be completed gnd ancched as pert of this cpplicaticn, requesting a PU Jd, , r this P applicct..,n, ! subrriit that, the ,nrarmation presented herein is true cnd ccriect to the best of my knowled,e and belief; I cm the person the �rfermance of the p n cccountebi_ for p work in accordance with the plans and specificc"ions attached; I hove read or em ferniliar ,yith the pr,^,yisions of an;,Sout;,aid Town Ordinance Pertinent to the work involved; oral further, I intend to adhere to dna aGide by the Terms and Conditions of the Permit, when and if issued to me. 10' To expedite finding specific location for ins ection indicate b P _. using t .. < ,'�I .. ... Y 9 eraaorary _ � mar>,e� .� `:A%':. Fev: 2/82 L. 5. .............:................. J D a m 3 k 49 J .. i LQ,{�e MAIN t C ft Som � E _ J Z Q Dooms � Jam' � V O ` 1 v Q' xkr �'r 4V x Q 4v bps 17 4 V R ��.��- � 3 � air = �f��fl��' �1�N� �lr 09�9: �,�-:• F 3 w i