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HomeMy WebLinkAboutTR-10489E Glenn Goldsmith, President �O�F S®UI�q Town Hall Annex ®� 6!"� 54375 Route 25 A. Nicholas Krupski,Vice President ® P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: i1/1-7/23 INSPECTED BY: Ch. 275 - Ch. 111 INSPECTION SCHEDULE M er�enc y Perms• 1st day o�fJ construction 1/2 constructed Project complete, compliance inspection COMMENTS: ceeA q C> Dt�e �o xir" � � � en-��cP S�'z»c��J«: S�'+rvl�l � re- 1oGo:�eo�► )0"A,/0.�a Cus` "" S�cuc�us� '�s c�ac�•a`�y b �o�,/ M�©.c� �,iqh v✓a�P_S. CERTIFICATE OF COMPLIANCE: Glenn Goldsmith,President ®F S®�r�,, Town Hall Annex ®V� ®. 54375 Route 25 A. Nicholas Krupski,Vice President P.O. Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly Q Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD EMERGENCY WETLANDS PERMIT Permit No.: 10489E Date of Receipt of Application: November 17, 2023 Applicant: Mattituck Yacht Club, Inc. SCTM#: 1000-126.-5-8 Project Location: 9462 Great Peconic Bay Boulevard, Laurel Date of Issuance: November 21, 2023 Date of Expiration: 90 Days from Date of Issuance Reviewed by: Glenn Goldsmith, Trustee President Project Description: To temporarily surround the existing yacht club building by stacking sandbags around the base of the structure to be placed no higher than the bottom of the first floor elevation in order to try to stop further erosion of the beach/ground underneath it; and as per the plans prepared by David Warren, received on November 17, 2023. Findings: The project meets the requirements for issuance of an Emergency Wetlands Permit as determined by the Board of Trustees. The issuance of an Emergency Wetlands Permit allows for the operations as indicated in the application received on November 17, 2023. Special Conditions: A full Wetland Permit must be obtained within 90 days in order to conduct any further activity on or around the beach, or within 100 feet of the edge of wetlands. This is not a determination from any other agency. '�� tA" Glenn Goldsmith, President Board of Trustees 11/16/23, 1:07 PM IMG_3325.jpy i D ESE I NOV 17 2029 Southold'Town Board of Trustees �v BOARD OF 'i RUSTEES TOWN OF SOUTHOLD DATE Orr t, VA httDs://mail.gooale.com/mail/u/1/#inbox/FMfcgzGwHftwlTxnZVPnXWfNQIGTcnvZ?protector=1&messaaePartld=0.2 1/1 11/16/23, 1:08 PM 1000009813.jpg { Li t9 r Nov 17 2 Southold To Board of Truste 1 ., o .rte .i•. -''.x,, a` ee Ags _ Q 'J-:KUJ 1E .. 49, vom bev -a�, A. q htti)s://maii.gooale.com/mail/u/l/#inbox/FMfcgzGwHftwIScihkwcivGrrxCcNNXBrP?Proiector=l&messagePartld=0.9 1/1 SOUTHOLD TRUSTEES No. Il)� $9� -6refyerwty a� f Issued To&JhA„c.I� ��tti�- �/���� Date � �� �6a� Address B662,t-� ��8�,��. �► �����,.,: �I 7°FIIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION . TOWN TRUSTEES OFFICE TOWN OF SOUTHOLD SOUTFIOLD, N.Y. 11971 TEL.: 765.1892 Glenn Goldsmith,President �Q��DUTy Town Hall Annex A.Nicholas Krupski,Vice President e10� ��d 54375 Route 25 P.O.Box 1179 Eric Sepenoski Southold,New York 11971 Liz Gillooly N 5c Elizabeth Peeples � �. � Telephone(631) 765-1892 �; Fax(631) 765-6641 �y�0Ufi1T`1,��. ® C C E W E BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD N 0 V 1 7 2023 This Section For Office Use Only souln o owTrusteesn -- -- EMERGENCY PERMIT APPLICATION Board of Coastal Erosion Permit Application Wetland Permit Application Administrative Permit Amendment/Transfer/Extenion Received Application: P! 1 7 Received Fee: $ 5Z�cr Completed Application: 1 I 1711 Incomplete: SEQRA Classification: Type I Type H Unlisted Negative Dec. Positive Dec. Lead Agency Determination to. Coordination:(date sent LWRP Consistency sessment Form Sent: . CAC Referral Se Date of Inspe on: Receipt of AC Report: . Technirearing eview: Public Held: Reso tion: r Owner(s)Legal Name of Property (as shown on Deed): M 014 �0cV, yejc6f C lA I-A Mailing Address: t'() �SC9' l 12 6 VVkCV�V1V JCiL �- Phone Number: C1 I -+ 3-_�Li ! 6 (D '5F I Suffolk County Tax Map Number: 1000- �)10 o Q0 ©� ®®� ®® � �' 000 Property Location: �` 0! Conkc- ?Z'G 0 tiklA fwt4A�JcL , NY f f I Is (If necessary,provide LILLCCO Pole#, distance to cross streets, and location) AGENT(If applicable) Mailing Address: Phone Number: ���Q �� s " �� Email: b��r re O6 ec-trT"1 v2 i o S Board of Trustees Application GENERAL DATA �j r Land Area(in square feet): V 9� Acre ✓/ ® , _ 0 ► 9P Area Zoning: ('oyed 1 G1 e S Previous use of property: 1 a Gam" c i u s Intended use of property: lit cwto Covenants and Restrictions on property? Yes No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes No If"Yes",be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes o Does the structure(s)on property have a valid Certificate of Occupancy? Yes No Prior permits/approvals for site improvements: �� ��,, Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?_k,No Yes If yes,provide explanation: Project Description(use attachments if necessary): U Se- Sin :�e^A ?QM6jS +o &6J? C C) n ,I Njc,-� 622-st o x)- 40 �e-e,EVr,J& vSauM- 0 C` H 1C.,ke-r Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ol� �d Area of wetlands on lot: 00 ob square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? cubic yards How much material will be filled? AJAP cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations(use attachments if appropriate): env W A 0 d� C'r-�- �'hk e em P0rc, � ,bt dr, -LOVN . Board of Trustees Application 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 Owner (� Signature of Property Owner Ck,kf_U, SWORN TO BE ORE ME THIS �� DAY OF 20 Z;3 PAMELA D.JENNINGS NOTARY PUBLIC,STATE OF NEW YORK Registration No.01JE6082703 Qualified in Suffolk County Notary Public Commission Ex fires December 11,20 ZL Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I C4 owners of theropertY identified as SCTM# 1000- -26 ,OC)"O cJ�0gin the town of P C�© n� New York,hereby authorizes A�d C r E?C'� 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. Property Owner's Signature pp Property Owner's Signature c,n ©F �e �c C�� SWORN TO BEFORE ME THIS /('* DAY OF /UDy&t1,e,1 ,20_22 PAMELA D.JENNINGS NOTARY PUBLIC,STATE OF NEW YORK Registration No.01JE6082703 Notary Public Qualified in Suffolk County Commission Ex fires December 11,20 APPLICANT/AGENT/REPRESENTATWE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and emolovees.The numosd of this form is to nrovide inforination which can alert the town ofnossible conflicts of-interest and allow-it to.take whatever actton.is neecssary to avoid same. 1 r YOURNAME:M (Last name,fust name,itiddle 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"(orthrbughyouncompany,spouse,:sililing,pargnt,.grchitd)have.a relationship.with anyofficer oi;employee ofthe;TownofSouthold?'Relationship^includes by blood,.maniage,or.buimess'interest."Businessinteiest".meansabusiness, including a•partnership,in which the town,officcroremployee has evcni partial ownership of(or employment by)'a corporation in which the to or'cmployee owns'more than;5%,ofthe 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 NlW6dn yourself(the.opplicanttagcnthepresentative)and the town officer or employee.Either check the appropriate.line A)throughD)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)tho.owner of greater than 5%of the shares of the corporate stock of the applicant , (when the applicant is Wcorpotd ion); $)'the.legal or beneficial owner of any interest in a non-corporate entity(when the' applicant is nta,ocorporatioq); C) aa officer,director,:partnec,or employee of the applicant;or D)the actual applicant, DESCRIPTION OF RELATIONSHIP Submitted this day of 20_ Signature Print Name Form TS 1 11/16/23, 1:14 PM IMG_6484.jpg j P Pj P-1 G0 1 pE % 1 to�s 3M. 3 I I o U v ao ioc �4 y N .i ! . rvw.aan.pcar�oe V p 7 .,Smm-�ane:.A„uw,lm°� •� IOt tlPl'w4.♦a.,44 mw.es VAR Yo Z ` caw p u.s sura._..for v..., S D a,y a y M tA+a wtnrory c.,:x.:ca UWifU 1SA11M;t lr.7 IS t)L 7 K0 y IDUAV.=IWt Z:71 J(1 L p'Y W..KI[tS tA.Y_♦tl♦Il;y. .It.r.. 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