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HomeMy WebLinkAboutKnise, Rosemary & DiGregorio, Frank Glenn Goldsmith, President ®��®f S®u� Town Hall Annex A. Nicholas Krupski,Vice President e` 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 ®l�C®U °1,� ' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 5, 2023 Robert E. Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: ROSEMARY M. KNISE & FRANK DiGREGORIO 5765 STILLWATER AVENUE, CUTCHOGUE SCTM#: 1000-137-4-5.1 Dear Mr. Hermann: The Southold Town Board of Trustees reviewed your letter dated January 30, 2023, along with the survey prepared by Kenneth M. Woychuk Land Surveying, PLLC, last dated January 21, 2023, and determined that the proposed construction of a 10.5'x13' shed on the captioned property is out of the Wetland jurisdiction under Chapter 275 of the Town Wetland Code and Chapter 111 of the Town Code. Therefore, in accordance with the current Wetlands Code (Chapter 275) and the Coastal Erosion Hazard Area (Chapter 111) no permit is required. Any construction activity or disturbance seaward of the limit of Trustee jurisdiction will require an application for full permit. Additionally, any structure proposed seaward of the line of jurisdiction will require a permit as well. With any future permits it would be looked favorably upon if there was a plan for tree replacement and a non-turf buffer. Please be advised, however, that no clearing, no removal of vegetation, no cut or fill of land or removal of sod, no construction, sedimentation, or disturbance of any kind may take place within 100' landward from the top of the bluff, or seaward of the tidal and/or freshwater wetlands jurisdictional boundary or seaward of the coastal erosion hazard area as indicated above, without further application to, and written authorization from, the Southold Town Board of Trustees pursuant to Chapter 275 and/or Chapter 111 of the Town Code. 2 It is your responsibility to ensure that all necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within-Tidal Wetlands jurisdiction and Coastal Erosion Hazard Area, which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and the coastal erosion hazard area and your project or erecting a temporary fence, barrier, or hay bale berm. This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call. Sincerely, ti, . Glenn Goldsmith, President Board of Trustees GG:dd Glenn Goldsmith, President �®F so Town Hall Annex A. Nicholas Krupski,Vice President ,�®� ®�® 54375 Route 25 P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 Cou Ti BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD NON-JURISDICTION INSPECTION DATE OF INSPECTION: 3�S lZ3 INSPECTED BY: V Ch. 275 Ch. 111 COMMENTS: S.C.T.M. NO. DISTRICT. 1000 SECTION: 137 BLOCK: 4 LOT(S):5.1 E A i � FEB 1 2023 DID /STILLWATER AVENUE ( EDGE OF PAVEMENT f I--- - - -- --5---- --- -------� .. ..: - w u.P. - N55"1500E — W.M. 150.00' PIPE -- , — �IIa ------ EL 3. \ ��- -- --- FIRM Zp�� W O MON. � i , E-� `r'�'�� �'ONE� (EL 6) TOWN OF SOUTHOLD LOT COVERAGE kko �'� Z(*E X UPLAND AREA: 10,068 S.F. wN LOT 15 ���- F 67\ J C LOT 16 EXISTING HOUSE W/COVERED PORCH: 1679 S.F. /� -11 it 0. LS] §......:::•::•:::: ::.:::.::. :•::.•::•: I LAND NIF REAR DECK: 195 S.F. DRY WELL71.4' ► EL 7 7 ::.GAR`:`E': `�:*:- :;** '* ! I / of SHED: 33 S.F. C 4'0X3' PROPOSEDI GAG I I I DOUGLAS & MICHELE GEROWSKI TOTAL EXISTING COVERAGE: 1907 S.F. or 18.99 '10 I :::cF s q;:;:::: :::::::;-j sTY ERM:......:::::::N I I r x � 1 STY SHED �?a, I ,r�:�?:�??}:�::�:;�::•}}:� DWELLING :;:`.�:�:�:':�:�:�`"-. REMOVE EXISTING SHED: -33 S.F. ti 20� ---1so'�- I :+::::. ::::.::::::::::: #5765 I ++ I o PROPOSED SHED: 137 S.F. Qt ` ,���� �'', Q�3 ; :::.FF 10:0::; i I oOsrrNG FRAME �•Q'l �� I '-•.0':::•::•: SHED TO BE TOTAL PROPOSED COVERAGE: 2011 S.F. or 209 Z �/ IED 7.3,y`� :•'•13.4': ::•:•'::::::::::: :::::::•:;3Q-.- 84 I REMOVED 0' "I w''' /7.0 p/::• / 1 .8' EL 3.0 NYSDEC LOT COVERAGE ^w^ MON• 357° 5'00"IP , 8 WOOD �%- , 0.SQUME SrONE �+1 '55.00 R„�.2 N DECK ��7 /' / / 2.1'E UPLAND AREA: 10,068 S.F. �' ' TIDAL WETLAND BOUNDARY 1 FILED MAP Sl 10pS 183' �i ���I/ % S AS DELINEATED BY EXISTING HOUSE W/COVERED PORCH: 1679 S.F. q LOT LINE BOUNDARY t4�e 10,.5. ` •'v EN-CONSULTANTS 06-02-22 REAR DECK. 195 S.F. -�� 0 P/0 LOT 14 /� SHED: 33 S.F. 3p 3 / �3g 1 T� s�s_o�'E_..- ASPHALT DRIVEWAY. 478 S.F. P/o LOT 14 REAR STOOP & BRICK WALK: 48 S.F. LAND N/F B \\ / _r .._.._.._.._.._.._.._.._.._..�.. 2„ RAINFALL DRAINAGE CALCULATION OF 5�e -I / �`� a° DEPTH SOUNDINGS, MHW&MLW TOTAL EXISTING COVERAGE: 2433 S.F. or 24.29 SHED: 137 S.F. x 0.166=22.74 C.F. or 170 GAL. MICHAEL& JOAN FURST l / / / I REFREENCE MLW 0.0 DATUM REMOVE EXISTING SHED: -33 S.F. PROPOSED 4'OX3'DEEP DRY WELL = 29 C.F. �� i/ PROPOSED SHED: 137 S.F. I �� ,�* TOTAL PROPOSED COVERAGE. 2537 S.F. or 25.29 EUGENE CREEK NOTE RECORDED DEED UBM 11246 PG. 378 DIFFERS FROM LOT UNE MODIFICATION. i REAL PROPERTY TAX SERVICE AGENCY OF SUFFOLK COUNTY DOCUMENTS DATED SEPT. 24, 1974 REFERENCE RETIREMENT OF PREVIOUS LOT NUMBER AND DIMENSIONS. CATWALK I {1—PTS L07 DIMENSIONS AS SHOWN ARE FROM FIELD OBSERVATIONS, COMPUTATIONS AND DATA OBTAINED FROM OTHERS. �Q i� THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL LOCA77ONS SHOWN ARE FROM FIELD OBSERVA77ONS FLOAT FIRM MAP #36103C0163H AND OR DATA OBTAINED FROM OTHERSIx AREA: 10,274 SQ.FT. or 0.24 ACRES ELEVATION DATUM: NAVD88 �'.� UNAUTHORIZED ALTERATION OR ADD1710N TO THIS SURVEY/S A VIOLATION OF SECAON 7209 OF THE NEW YORK STA 7E EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING 774E LAND SURVEYORS EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN .••- ONLY TO 7HE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF 70 THE TI7LE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION ”-•....................•- c� LIS7ED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE S7RUC7URES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE 7HE ERECTION OF FENCES, ADDITIONAL S7RUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE S7RUCMRES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF-- LOT 15 & P/0 LOT 14 CERTIFIED TO: FRANK DIGREGORIO; MAP OF, FLEETWOOD COVE FILED: JULY 1, 1938 No.1263 SITUATED AT.- CUTCHOGUE TOWN OF: SOUTHOLD KENNETH M 1POYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design P.O. Boa 153 Aquebogue, New York 11931 FILE14-161 SCALE: 1"=30' DATE:OCT. 24, 2014 PHONE (631)298-1588 FAX (631) 288-1588 ADD PROP. SHED 01-21-23 N.YS. USC. NO. 050882 mdntatntns the records of Robert J. Henneeq&Kenneth Y.Wayehak �F� At EN-CONSULTANTS D anuary 30, 2023 Glenn Goldsmith, President Board of Trustees FEB : 0 20 Town of Southold P.O. Box 1179 Southold Town Southold,NY 11971 Board of Trustees Re: Frank DiGrey_orio & Rosemary Mauri Knise, 5765 Stillwater Avenue, Cutchogue (1000-137-4-5.1) Dear Mr. Goldsmith: We represent Frank DiGregorio &Rosemary Mauri Knise, who propose to place a 10.5' x 13' shed in the front yard of their property at 5765 Stillwater Avenue, as depicted on the enclosed survey/site plan prepared by Kenneth M. Woychuk Land Surveying, PLLC, last dated January 21, 2023. As the shed will be located more than 100 feet from the tidal wetlands boundary associated with Eugene's Creek; there will be no clearing, grading, or other construction related ground disturbance associated with placement of the shed; and a project-limiting fence will be installed along the 100-foot wetlands setback to ensure same, I am writing to request that you please issue a Letter of Wetlands Non-Jurisdiction pursuant to Section §275-3(C)(5) of the Town Code, stating that a Town Wetlands Permit is not required for the proposed shed. In support of our request, I have enclosed two (2) copies of the above referenced survey/site plan; site photographs taken on May 10, 2022; a check payable to the Town of Southold for$50; and authorization forms signed by the property owners, authorizing En-Consultants to act as agent and the Trustees to access the property for the purpose of making the requested determination. Should you have any questions or require any additional information to process this request, please do not hesitate to contact me at your earliest convenience. Res4E. yours, Roberrmann Coastal Management Specialist Enclosures 1319 North Sea Road I Southampton,New York 11968 p 631.283.6360 1 f 631.283.6136 www.enconsultants.com environmental consulting Board of Trustees >lication AUTHORIZATION (Where the applicant is not the owner) I/We Frank J.DiGregorio owners of the property identified as SCTM# 1000- 137-4-5.1 in the town of Southold New York, hereby authorizes En-Consultants to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. 9//A N/A Property ' s 1 ature Property Owner's Signature Frank J.DiGre SWORN TO BEFORE ME THIS l DAY OF VC. I ,20 2-Z— Notary Public V V CARL® �a aoNeYNotuf w ork No.01 M06325218 Qualified in Suffolk County Commission Expires May 26,20 5 Board of Trustees ' )lication AUTHORIZATION (Where the applicant is not the owner) I/We Rosemary Maud Knise owners of the property identified as SCTM# 1000- 137-4-5.1 in the town of Southold New York, hereby authorizes En-Consultants to act as my agent and handle all necessary work involved with the application process for permit(s) from the Southold Town Board of Trustees for this property. 1 � N/A Property Owner's S' ature Property Owner's Signature Rosemary Mauri Knise SWORN TO BEFORE ME THIS 1� DAY OF U� ��V 20 6. NAit�� Notary Public CARL B MONCRIEPPE Notary Public,State of New York No.01 M0632521 a Qualified in Suffolk County . Commission Expires May 26.20 S.C.T.M. NO. DISTRICT. 1000 SECTION: 137 BLOCK: 4 LOT(S):5.1 FEB 1 0 2023 TILLWATER AVENUE EDGE OF PAVEMENT ----------- ---- W.M. 150.00, U.P. D15 00 E o__---- PIPE �T c(12 3. 4 ---w FIR- MON. ZONE AE(EL 6) r7 tv, '72-70ye-i TOWN OF SOUTHOLD LOT COVERAGE (A LOT 15 06 LOT 16 UPLAND AREA: 10,068 S.F. F ZONE X 6.7 1 0 ci .4 EXISTING HOUSE WICOVERED PORCH: 1679 S.F. . . ..... 12� LAND NIF REAR DECK. 195 S.F. 71.4' ....... ........... ................................... OF ... ............................................... DRY WELL EL 7.7 '-"C' I I SHED: 33 S.F. 4'OX3' I GF DOUGLAS&MICHELE GEROWSKI O PROPOSED I STY SHEDSTY FRIA................ ................ ...... TOTAL EXISTING COVERAGE. 1907 S.F. or 18.9% -p I I DWELLING P�t' - REMOVE EXISTING SHED: —33 S.F. k0 20' #5765 . ................... It '.*:"**,*...*.......... CA EXISfTNG FRAME -::.*.'.'.':.1.1.-..... ..:.:.In 1 O.c! . ...:. ........... .......... ........ PROPOSED SHED: 137 S.F. TOTAL PROPOSED COVERAGE. 2011 S.F. or 20-7. . . . —SHED TO BE 'EL 7. ....................... REMOVED I',, . ................ cA COW. 7.0 EL 3.0 MON.I $57" 5'00"1P8 WOOD G�SQUARE STONE NYSDEC LOT COVERAGE 55.00 DECK UPLAND AREA. 10,068 S.F. FILED MAP 16.3' 2XE TIDAL WETLAND BOUNDARY EXISTING HOUSE INICOVERED PORCH: 1679 S.F. LOT LINE BOUNDARY 100.5, AS DELINEATED BY EN—CONSULTANTS 06-02-22 REAR DECK. 195 S.F. P LOT 14 N56*19'07'E SHED: 33 S.F. ASPHALT DRIVEWAY: 478 S.F. LOT 14 REAR STOOP & BRICK WALK: 48 S.F. 2" RAINFALL DRAINAGE CALCULATION LAND NIF OFDEPTH SOUNDINGS, MHW& MLW TOTAL EXISTING COVERAGE. 2433 S.F. or 24.2% SHED: 137 S.F. x 0.166=22.74 C.F. or 170 GAL MICHAEL&JOAN FURST REFREENCE MLW 0.0 DATUM FFLqOA REMOVE EXISTING SHED: —33 S.F. PROPOSED 4'0X3DEEP DRY WELL 29 C.F. PROPOSED SHED: 137 S.F. I If EUGENE CREEK TOTAL PROPOSED COVERAGE. 2537 S.F. or 25.29 sP' ,-4 NOTE. ILI RECORDED DEED LIBER 11246 PG. 378 DIFFERS FROM LOT LINE MODIFICATION. REAL PROPERTY TAX SERVICE AGENCY OF SUFFOLK COUNTY DOCUMENTS DATED SEPT. 24, 1974 REFERENCE RETIREMENT OF PREVIOUS LOT NUMBER AND DIMENSIONS. rA7'W.4LX FLOAT LOT DIMENSIONS AS SHOWN ARE FROM FIELD OBSERVATIONS, COMPUTATIONS AND DATA OBTAINED FROM OTHERS. Aa THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS FLOAT FIRM MAP #36103C0163H AND OR DATA OBTAINED FROM 07HERS, a. AREA: 10,274 SQ.FT. or 0.24 ACRES ELEVATION DATUM: NAVD88 UNAUTHORIZED AL TERA 77ON OR ADDITION To THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCA 71ON LAW. COPIES OF THIS SURVEY .......................................... MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VAUD TRUE COPY GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TIME COMPANY GOVERNMENTAL AGENCY AND LENDING INS777U770N ......... LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT 7RANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES 70 THE S7RUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE 774E ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE S7RUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE AME OF SURVEY SURVEY OR LOT 15 & P/O LOT 14 CERTIFIED TO: FRANK DIGREGORIO; MAP OR FLEETWOOD COVE FILED: JULY 1, 1938 No.1263 SITUATED AT. CUTCHOGUE TOWN OF, SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design P.O. Box 153 Aquebogue, New York 11931 PHONE (631)298-1588 FAX (631) 298-1.588 ADD PROP. SHED 01-21-23 Fl! 14-161 SCALE: 1"=30' DATE:OCT. 24, 2014 N.Y.S. USC. NO. 050882 mantainins the recordB of Robert L Rennemy&Kenneth IL Woychuk I I Board of Trustees , >lication AFFIDAVIT Frank DiGregorio BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)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. N/A Signature� y er Signature of Property Owner Frank J.DiGregor' SWORN TO BEFORE ME THIS DAY OF © , 20Rd ZZ- T/ CARL B MONCRIEFFE Notary Public v Notary Public,State of Now York No.01 M06325218 Qualified in Suffolk County Commission Expires May 26,20a Board of Trustees , >lication AFFIDAVIT Rosemary Mauri Knise BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)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. \ ( s N/A Sign ture of Prope Owner Signature of Property Owner Rosemary Mauri Knise SWORN TO BEFORE ME THIS��` DAY OF ���U�-� , 20b. &Vd � 2Z CARL B 91A ®NCRIEFFS Notary Public V V Notary Public,State of New York No.01 M06325218 Qualified in Suffolk County Commission Expires May 2A 202:Z? 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 informafion which can alert the town of pgssible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOURNAME: DiGregorio,Frank J. (Last name,first name,griddle 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 X 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 intcresC means a business, including a partnership,in which the town.olrcer or employ cc 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/agcnt/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 applicant is not a corporation); G)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this v ay C`�`e 20 7 z Signature Print Name Frank J. ' i orio Form TS I APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Toum of Southold's Code of Ethics prohibits conflicts of interest on the part of town.officers and employees.Thepur�ose of this form is to provide information which can alert the town of ppssible conflicts of mterestand allow it to tale whatever action is necessary to avoid same. YOUR NAME: Knise,Rosemary Mauri (Last name,first name,ipiddle 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 X 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 toy fi officer or employee has even apartial 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 applicant (when the applicant is acorporation); B)the legal or beneficial-byvner of any interest.in a non-corporate entity(when the applicant is nota corporation). C)an officer,director,partner,or employee of-the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted t v day o �, r 20 Signature Print Name Rosemary MK Form TS 1 APPLICANT/OWNER 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. YOUR NAME: Herrmann, Robert E. (Last name,first name,middle 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.) TYPE OF APPLICATION:(Check all that apply) Tax grievance Building Permit Variance Trustee Permit X X Change of Zone Coastal Erosion Approval of Plat Mooring Other(activity) Planning 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 X 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 that 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 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 1st of February2c 23 Signature Print Name Robert E. Herrmann FRANK DIGRI RIO& ROSEMARY MAURI KNISE,5765 STI LLWATER AVENUE,CUTCHOGUE F as '• sr �' ,_',.`�, �Ly _ •+Q .t Figure]. Looking east from Pequash Avenue toward existing dwelling and location of proposed shed to be located in front yard,between Pequash Avenue and dwelling. Oil lk WPM} 77 a qtr IrM er Figure I Looking west from Eugene's Creek at tidal wetlands and existing dwelling. FRANK DIGR] TRIO&ROSEMARY MAURI KNISE,5765 STILLWATER AVENUE,CUTCHOGUE iN I•a ff ����� . nye,�r:x -•t !R� - _ t •a._ .,� -; 7X � �~ -�. .,: �`. •� Y�"�ts�'_ `moi �• _�,.^�..�'✓urt�� ....r' -'tr+-+,!Y�ni►��.2_.�rY/ir:�3" - n.•-�"�--'sit ."r.• y Figure 1. Looking east from Pequash Avenue toward existing dwelling and location of proposed shed to be located in front yard,between Pequash Avenue and dwelling. i h i '1D ;N- �LL ���`� 5•`�+� �tT , 417�V i'I g �r �rk' r, ��. s + t� .p ,lij(t 1 �.G� ����`'n. �{�iQM'•� a i�� „9 is�f�F 1�y '� k .'r�" �i*,� -Yy„'"' � S1K�e a► - S'°�"ti�``�-f� �}t� .�11 'I `.e� r } Figure 2. Looking west from Eugene's Creek at tidal wetlands and existing dwelling. , f , 4 � 1 , NFA 4���' aF` •* �� �yr�l 1t k .. � � % \ •.�,. ' COUNTY OF SUFFOLKsFcnc«�_- � heal t'ruperry'Ia:Service Agency o _ µ o D +om�ao 137 +M n/rlw,la.nwt.w'NWI W E �� arrn r Patxr,ka r ,mwrt ftAYeo1¢a!E p !Rn $ a4uCE raeL