HomeMy WebLinkAboutTR-87 Michael J. Domino,President rjf serif Town Hall Annex
John M.Bredemeyer III,Vice-President �� l0 54375 Route 25
P.O.Box 1179
Glenn Goldsmith Southold,New York 11971
A. Nicholas Krupski Telephone(631) 765-1892
Greg Williams �CDUNT`I,
O Fax(631) 765-6641
� ��
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
March 20, 2019
Ellen L. Hufe
3195 Wells Avenue
Southold, NY 1971
RE: 3195 WELLS AVENUE, SOUTHOLD
SCTM# 1000-70-4-9
Dear Ms. Hufe:
The following action was taken at the Southold Town Board of Trustees regular meeting
held on Wednesday, March 20, 2019:
RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a
Transfer of Wetland Permit#87 from Inez B. & Carl E. Vail, as issued on November 30,
1959.
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,
Michael J. Domino, President
Board of Trustees
MJD/dd
Michael J. Domino, >ident ��OF soyoTown Hall Annex
John M. Bredemeyer III, Vice-President �� 01
0 54375 Route 25
P.O. Box 1179
Glenn Goldsmith Southold, New York 11971
A. Nicholas Krupski G • Q Telephone (631) 765-1892
Greg Williams Ic Fax(631) 765-6641
�ycoum,�
D �
BOARD OF TOWN TRUSTEES DD
TOWN OF SOUTHOLD JAN 1 1 2019
�011flx"H?cern
R�Xa of Tri^tc'es
APPLICATION FOR A TRANSFER OF A WETLAND PERMIT
DATE
OWNER f Ie 0 4 PHONE �.��— , �5�� ,� 7
MAILING ADDRESS
AGENT PHONE
ADDRESS
PROPERTY LOCATION VL--
TAX MAP NO. 4,L
I/We 'E_/Af �-) k - �y�� request a Transfer of
Permit Y1Z from C,Q r Tn e,7—
E L L EW
Signed By: .
Board of Trustees Appl "ation
AFFIDAVIT
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 Ownef Signature of Property Owner
SWORN TO BEFORE ME THIS ` DAY OF :*NvMe1 , 20 I Tp
Notary Public
DIANE DISALVO
NOTARY PUBLIC-STATE OF NEW YORK
No. O1 D1475593
Qualified in Suffolk County
My Commission Expires April 30, 20�_
APPLICANUAGENUREPRESENTATIVE
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 p9ssible conflicts of interest and allow it to take whatever action is
necessary to avoid same, /
YOUR NAME:
(Last name,first name,iiiddle 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,sibling,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 town 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 applicant/agent/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 applicuit
(when the applicant is a corporation);
B)the legal or beneficial owner of any interest in a non-corporate entity(when the
applicant is not a corporation);
C)an officer,director,partner,or employee of the applicant;or
D)the actual applicant.
DESCRIPTION OF RELATIONSHIP
Submitted this day of fq_y�_ 20_L9
Signature _
Print Name / e
Form TS 1
Town Hall Annex
Michael J Domino, F ent ��yy�SyFFI�(k l
�,
John M. Bredemeyer 111, Vice-rresident 4��� y�`y 54375 Route 25
Glenn Goldsmith N z P.O Box 1179
A Nicholas KrupskiSouthold,NY 11971
Greg Williams �'y� �p Telephone(631)765-1892
t.} Fax(631)765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Date/Time: WAA-t-4 �� 1.0 Completed in field by: WX
ELLEN L. HUFE requests a Transfer of Wetland Permit#87 from Inez B. & Carl E. Vail, as issued on
November 30, 1959. Located: 3195 Wells Avenue, Southold. SCTM# 1000-70-4-9
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
Surveys 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:
I have read & acknowledged the foregoing Trustees comments:
Agent/Owner-
Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski
G. Williams Other
TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
PERMIT NO ........ ~../. .....
/
Pursuant to the provisions of Chapter 615 of the Laws of 1893 of the State of
New York and Chapter 404 of the Laws of 1952 of the State of New York and in accordance
with the resolution of the Board of Trustees of the Town of Southold adopted at a meeting
of said Board on ,<~o¥~.oez 30~ ]La~5~ and in consideration of the sum of
$ ..... ~.~.,..,?..0. ............... , lawful money of the United States, paid b,, ?..a..~..~...&....~..~..e...~...i?.9~.~..
residing at ........ }?.~.~§...?~.¥..~..t.e....~.°.J.~.~.?.¥.~....~z.~.~..~..¥!.~..Z.®. ..................... , New York,
the said Board af Trustees of the Town of Southold, Suffolk County, New York, hereby
auChorizes and permits said~..~.~.'~...~...~....~...?..~..~..~..~z...~.~ ............................................ to
~e~ an~ ~uil~ a ~ock in front of their property ~Lot 9)
all in accordance ~ith the application subnitte~,
for the issuance of this permit does hereby release the said Board of Trustees and the
Town of Southold from any and all damages claims for damages or suits that may arise or
occur directly or indirectly as a result of any operation carried on under and pursuant to this
permit, and will at his own expense, defend any and all suits which may be brought by third
parties os o result of any operation carried on pursuant to or in accordance with the terms of
this permit, and assume full liability with respect thereto to the complete exclusion of
said Board of Trustees and the Town of Southold.
THIS PERMIT is subject to the following terms and conditions:
That there shall be no unreasonable interference with navigation as a result of the
work herein authorized.
That there shall be no interference with the right of the public to pass and repass
along that portion of the beach between low and high water mark,
That the work shall be subject to the supervision and approval of the said Board of
Trustees or its agents.
IN WITNESS WHEREOF, the said Board of Trustees of the Town of Southold has
caused its corporate seal to be hereunto affixed and these presents to be subscribed by
a majority of the said Board of Trustees, the day and year above written.
seal ~,.~.,.,~,~,~,b~--~ ........ ~z:~.;~ ..... .~,.~,~...( . S.)
/ .-j :'
......... :: .... >.~: ...... ;: ..... :..: ................ ~. s.~
..... : .... ?:~: ....... : .... : :": ......... ~ ...... ~?~,
........... ~;:~.:.::. .............. ~:, .... '::..: ....... ;...m.S.)
STATE OF NEW YORK )
SS:
COUNTY OF SUFFOLK )
ON THIS .......~...~. .... day of .......... .D...~.g..e.~..e.~' ......................... , 19..~..D. ..... , before me
.personali? apPeared Em~ons Dean, of Greenport, ~.~SY; ?hi!ip Weiler,
of O~ient~ iCY~ Frank Dawson, of New Suffolk~ NY} John P~c~ult~
of La~el~ ~v and Ai~ah B Goldsmith, of $ou~Id_~ ~
~ ~ ~ dff personally kMown
~o me, who, being by me duly sworn, severa~Jy said that they each resided in the Town
of Southo[d, County of Suffolk, State of New York, and were members of the Board of
Trustees of said Town of 5outhold and constituted a majority of the same; that they
knew the corporate seal of said Town of Southo]d; ,hat the seal affixed to the foregoing
instrument was such corporate seal; that it was so affixed thereunto by order of the
Board of Trustees of ssJd Town of Southo[d and that each one signed his name there?o as
a Trustee and by like order.
..... ..............
Notory Public
FOP~ l~O. 1
TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
TOWN CLERK'S OFFICE
SOUTHOLD, N, Y.
Disapprov~/c
AP UCAT 0
A. This app~cation to be comp]e.te]y fi]led in. by type~'i~er' o.r ~n ink and submitted to. the Town Trustees ~
licate.
B. ~t plan showing loca~ien of lot a=d buildings on premises, relation to adjoining premises, p~blic s~reets~
pa~ks, e~c., a.n~ g~ving detailed description of proposed ~yo.u~ of project must be drawn, on. diagram ~hich is pa~t of
this a,pplic~tio.n.
C. The work covered by ~his ~,pplication may not be co~mence~ before the issuance, o.f a, permit.
D. Upon ,appro,~a] of ~is spp]ication, Town ~ru~tee.s wi~ ~ssue a permi~ to applicant. Such p.erm~ shall be kep~
E. Ap~ca,~ sha~ notify ~he Bo~d of Trus~es ~_~o,n. comp~o~ of ~e wor~ covered, by permit.
APPL~C'A~0~ ~S HE,~E,B~ ~ADE to the Boa~ of Tr'as~es of the Town of S,o~ho]~, S.~ffo]k C~o.un~y, New yo~k,
for the~ ~ssuance o.f ~ permit pursuant to the laws, 0r4~nces ~n~ r'egula~ons governing constr'Uc~ion o,f: docks,
piers, bu]~head.s, jettys a.n6 ~redg~ng ~n; under, an~ o~er the ~ter's of Town of S,ouitho]d. The a.p,p~ca~ agrees
t.o. comply w~th all a.~p!ica~le laws, ordin~nces, reg~a~io=s a=~ condltions s~ec~fied by sa~ trustees, and t,o ho~d
the= To,~n o,f Southo]d, a,n~ ~ ~o.~ o~cia]s free from ~b~l~y a=n~ damages of any kind.
Horn9 ~dre,ss If 0~her ~h~,n L.o,cat~on ....................................................................................... ~ .................................................................................................................................................
S~ze of ~rop,osed Work: Length .................................... ~'~ .................................... ' - ' ................................
De,p~h Below Low Water .............................. Average Rise ~n Tide .................................. Yards to Be Excavated .................................
Complete ~lot plan ~o be drawn on reverse side of this application. ;
STATE OF NE~ YORK)~ Z{ ~~'~' ' · ~ ~/
OU~ ~, ~ ~ ~ S $~2~ .... being duly sworn, deposes and ssys that he is the applic.an~: for the above de-
sc,mbed'~erm~, and that a~ statements contained hereto are true to the best of his knowledge and belief; that the
work wi~ be done in the m~nner se~ forth in. the application and as a,pproued by the Bo.ard o,f Trustees of the T'own
of S.o.uthold, a~d the applicant agrees to, hold the Town. of So.uthold and said trustee~ harm~ss and free from any
and a~ damages and claims arising under' or by virtue of said permit. ~~ ~ ~
(apphcant)
Res[dinE ~n Suffolk Co. Off. No. 52-15250~0 Commission ~p~res ~arch 30, 19~ f