HomeMy WebLinkAboutMelillo, Carolyn S.C.T.M. N0. DISTRICT: 1000 SECTION: 75 BLOCK: 6 LOT(S): 13.1
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SERVICES.09/19/23
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TOWN OF SOUTHOLD
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Glenn Goldsmith,President ��p�0 COGy.` Town Hall Annex
A.Nicholas Krupski,Vice President < 54375 Route 25
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Eric Sepenoski W ,x P.O.Box 1179
Liz Gillooly �y • ��� Southold,NY 11971
Elizabeth Peeples �Cl �a Telephone(631)765-1892
Fax(631)765-6641
Southold Town Board of Trustees
Field Inspection Report
Date/Time: 3Vrte D 24 Completed in field by: EV174 OAX Pe P4(e,J
CAROLYN MELILLO requests a Pre-Submission Inspection to discuss a proposed
swimming pool in the back yard of the property. Located: 1235 Wells Road, Peconic.
SCTM# 1000-75-6-13.1
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.:
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Present Were: VG. G�o smith yN. Kra: i ✓ E. Sepenoski
L. Gillooly E. Peeples
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Board of Trustees
:ard of Trustees Applicatill
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AFFIDAVIT
V� lV li BEING DULY SWORN
DEPOSES AND AYFIRMS 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.
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Signatu f Property Owner Signature of Property Owner
SWORN TO BEFORE ME THIS h J DAY OF M ' , 20
SABRINA M BORN
gtary Public,State of New York
ry No,01B00317038 '
Rpuaiified in Suffolk County
.ppmissioq Expires Dec.22,20
Notary Public
oard of Trustees Applicat, 1
AUTHORIZATION
(Where the applicant is not the owner)'
I/W e, zo k2V
owners of the property identified as SCTM# 1000- 12 3-!�_Lua_544 in the town of
_ C /Lj t New York,hereby authorizes J Tr A1,q:jf 6
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.
Prope " Owner' h Signature Property Owner's Signature
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SWORN TO BEFORE ME THIS X—L-" DAY OF 20
SABRINA M BORN
(Votary Public,State of New York
No.01B06317038
Qualified in Suffolk County J
Commission Expires Dec.22,20_An{p
Notary Public