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HomeMy WebLinkAboutVitrano, Scott OS�Ff01�-�0,, ' Glenn Goldsmith,President �. Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 Eric Sepenoski y P.O.Box 1179 Liz Gillooly �y • ��� Southold,NY 11971 Elizabeth Peeples lr Mary Telephone(631)765-1892 Fax(631)765-6641 i Southold Town Board of Trustees j Field Inspection Report Date/Time:Fe6yvra J ,PV Completed in field by: �i' 4e4% Pe n 6 David Bergen on behalf of SCOTT & LEA VITRANO requests a Pre-Submission Inspection to discuss a proposed dock replacement at the property. Located: 3875 Main Bayview Road, Southold. SCTM# 1000-78-2-15.1 Type 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.: S � a fixtA jock Present Were: ✓G. Goldsmith ZN. Krup ski E. Sepenoski ✓L. Gillooly ✓ E. .Peeples II i LAND N,,F jt,,-MCy r, unf LAND FL—, CANAL 3d s I Z30— M I FD=VR=M W.,-rvlml MOW-'M�%CN 4 APME-OTTLAOM SITE PLAN PROPERTYOwNER_ LEA&SCCrrT),1"RAtt0 SITUATE SOUTHOLD.TOWN OF SOUTHOLD SUFFOLK.couN-jy,N.Y. U30DYOFWATER: DUG CANAL-GOOSE CREEK o AX MAP NO., I C�078.0—,02.00-0 S 5.03 I LO T AREA 43.516.67 S.F.(1.000 ACRES) DATE SURVF-Y—.D:JAN,16,2020 41, 0 1 Sf TIE PLAN'MAY 21,2020 0F:3 -ELEVATIONS REFr-R-,o NAvDa8. -WATER DEFrHS REAR To MEAN Low wATER ACCESS BY LAND AND BARGE. 0 60 120 p Feet -Aj- SCALE'I INCH 60 FEET @ C E W E 'R F E 0 2024 Southold Town Board of Trustees OIL E A za '?OAC) ammi A L: NUNEMET L I Box 1008 Cutchogue, NY. 11935 February 5, 2024 E C E � n� Southold Town Trustees FN V Southold Town Annex Box 1179 f E B - 5 2024 Southold, NY. 11971 Ref: Vitrano Presubmission Request Southold Town Board of Trustees Dear Trustees, I am requesting a presubmission conference for a proposed dock replacement at the property, of Scott and Lea Vitrano SCTM 1000-78.-2-15.1; 3875 Maine Bayview,Road We wish to engage in a discussion regarding a previously submitted plan for a proposed dock structure in advance of filing a formal wetland application. Please let me know when the conference is scheduled for. You may contact me at daveberaen78@gmaii.com or 516-848-6438. Thank you for your consideration of this request. Sincerel David Bergen, 6�ntfor Scott and Lea Vitrano I I i hoard of Trustees Application" AFFIDAVIT Scott J. Vitrano and Lea G. Vitrano BEINC 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 SOUTHOLDD 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 ro Owne S gnnaA, �) g p y g of Property Owner SWORN TO BEFORE ME THIS DAY OF -cLn U o- u ,.20 a`+ Notary ublic GEORGE rlEORTOS Notary f=ublic, State of New York No. 02NE508100V0 /4(1� Ouzlified ink Count 2� („omu,issioa Expires Jug+a 30, i i zoard of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, Scott J. Vitrano and Lea G. Vitrano owners of the property identified as SCTM# 1000-78-2-15.1 in the town of Southold ,New York, hereby authorizes David Bergen 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 Pr perty Owner's Signature SWORN TO BEFORE ME THIS DAY OF TG.Y1UQL J_, 20 a`+ i otary P'u6lic GEORGE PlEORfTOS Notary Public, State of Netiv York No. o_`\E5081C?0 Su 'IC Clualified in C-.':ty C,osrrni�_ivri Expires Juloo 50, Z� I APPLICANVAGENT/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. YOURNAME: VitranO,Lea C, (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 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 F-1 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): LIA)the owner of greater than 5%ofthe shares of the corporate stock of the appliewit L2 (when the applicant is a corporation); 11)the legal or beneficial owner of any interest in a non-corporate entity(when the T4applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or 1))the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 3011^ day of-'CtYWCAr 20 d`f Signature_WYVA yj _ Print Name Form TS 1 1 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold',$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 some YOUR NAME: Vitrano,SCOtt T (Last name,first name,4riddle 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 F NO Fy 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 br 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): E,A)the owner of greater than 5%of the shares of the corporate stock of the applicant _n (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(wherial►e . 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 3 day of at lnU G�_20 a%+ Signature Print Name iSCo fir. Form TS 1 � � APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southolds Code of Ethics prohibits conflicts of interest on the vart oftown 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: David Bergen (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 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 ofSouthoid? "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 50/9of the shares. YES NO n . 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 Self ' Title or position ofthat person Boat 012eratOr Describe the relationship between yourself(the applicant(agentfrepresentative)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): f,A)the owner of greater than 5%ofthc 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 p 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 5 day of February 20 24 Signature Print Name David Bergen Form TS I ' V &I t1-2aav `' ',, c.`., ., , :. .. "v .j .,5._r•, _ .�r�.• ;¢1 h c l� � ...... "'I No 9 1C ..sEE-ssd`i.o 070,•� - � i •:93._L.' - - ,-e.�*----"'-"...yr.c.:._._...:......-.....__.-+--:.._.q,.•' G! .. 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