Loading...
HomeMy WebLinkAboutBlack, John -r Glenn Goldsmith,President ®� s®(®�� Town Hall Annex ®� ®� 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 June 14, 2024 Cole Environmental Consulting 425 Montauk Highway East Quogue, NY 11942 RE: JOHN BLACK 1995 POINT PLEASANT ROAD, MATTITUCK SCTM# 1000-114-1-7.1 Dear Ms. Rummel: The Southold Town Board of Trustees reviewed the site plans prepared by Ward Brooks Land Surveyor, last dated March 5, 2024 as well as performing a site inspection of the proposed staked out project, and determined that the proposed construction of a single-family dwelling with seaward side patio and an I/A OWTS system is out of the 100-foot Wetland jurisdictional area under Chapter 275 of the Town Wetland Code and Chapter 111 of the Town Code. Please be advised, however, that no construction, sedimentation, or disturbance of any kind may take place seaward of the tidal and/or freshwater wetlands jurisdictional boundary, or within 100 feet landward from the edge of vegetated wetlands, without further authorization from the Southold Town Board of Trustees pursuant to Chapter 275 and/or Chapter 111 of the Town Code. 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/or 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. Sincerely, -4".— Glenn Goldsmith, President GG:ec DRAINAGE CALCULATIONS: r,. �' ' ROOF AREA =3400 Sq.Ft. _ DRIVEWAY =3294 Sq.Ft. DESIGN CRITERIA: -- 1 2"RAINFALL ROOF:1.0 y IMPERVIOUS DRIVEWAY:1.0 , 10'0 DRAIN RING CAPACITY=68.42 Cu.Ft./Ft. �ti, gas ) ROOF DRAINAGE REQUIRED: ROOF:3400 x 2"x 1.0=566.7 Cu.Ft.OF STORAGE 566.7 CLLFt.168.42 Cu.Ft./Ft.=8.3 Ft. CAPACITY PROVIDED: (3)10'0 x 3 Ft.EFFECTIVE DEPTH IMPERVIOUS DRIVEWAY: 3294 x 2"x 1.0=549 Cu.Ft.OF STORAGE ,. CESSPOOL 549 Cu.Ft./68.42 Cu.Ft./Ft=8.0 Ft. O CAPACITY PROVIDED: ' �' SUBJECT ,a4 (3)10'0 x 3 Ft.EFFECTIVE DEPTHQ''- 51 �� 4Q fPROPER7;j i! n .?` UP HOME PIKE . MPtt, `m, ✓ 0.ie Rd-" `a �6 (POINT PLEASANT ROAD) ry N 63015'00" E 68.00' IRo AR -0`dr ;Pad f Nartp Fa;k !%a L-_� lI ED CAP WA?ER v SET IN GRAVEL DRIVEWAY wV E/P1 17.8' Y6. 19.8, S �:•'r ,r ;I try RAIL CAD ^ �e �i mod♦ r 'jti:�\ �,, ; PATEN is. d0 O. a° DIR v SLf1 co2`�w STAKE KEY MAP M s o SEA 1"=600' 04 _ ; 17.1' N z Ak 100% J 10'01 BLUE FLAG � OR (WATER c� WA o TAP?) fbLINE �� , O Q 10.8' 3 g a� ry 7p.M/`v fY O a liool �'/1a0 Q �� �x3.i � / 4 STAKE O O ds. Q. ? SET CESSPOOL �� O W ° �OIV� ^� CESSPOOLS 15.4'W E!P 14.s O a <Q c3 ° Q C o LL °aJ �' Q 14 2 O O a a O ^^ Q O 35.3' 26 z +TEST O � HOLE Y a 0 N y _ V•^Q o � ct1 02 DSO -5G> RO PO - 0 0, - - FE.0.8'W STAKE `INCME p�Kt��pp01 9.0' REBAR SET �c� IPp�Nj pv.05PN I Zg`10 FD LANDWARD LIMITS OFT AL WETLANDS AS 33 99 LOCU T BY COLE ENVIRONMEN L SERVICES ON 12/15/23 FLAG FLAGFLAG FAG THE ON FLAG FLAG 9114 #15 #16 FLAG #18 oGj$0 CO ER FLAG 6.6' OF #11 #12 FLAG SON 6.T 4_2, #17� FLAG #10 #13 fG�O CONC. a_1' N.F FLAG #9 5.1' 3.6' S,D0 . V 04,001,vv w LAG F#� �' �� S 70028'06"W „\14 34.62, x o _ #6 2.6' __ pG 53. ,35 �_ ov N �,, FLAG FuG /�� -- 3.0, 02��� 31 S5�03� to #2 � COr0 Z Z STAKE ,- a�3p1" S 66036125"W 2 GRADE EL °3.a{ F�G� SET S 3$�3 6p 49.06'��`TVGK GFtEEK SA11DY1 - M EL TEST HOLE INFORMATION S 66001'36-W �1P BROWN cow lA N 15 PROPERTY 52.89' rJ IROWN Ily-'t LOCATED AT 1995POINr B PLEASANT RD LOAMY 5AND EL MATTITUCIC,NY 11952'. DATED3-262038 PALE BROWN DEPM OF TEST HOLE 1 5_O'± FINE TO ® I`I ILA} \IvjJ so. z.s'± 5rATW W. O wATEP:IN s A e'�` PALE DROWN -"T�LE-5tiOW5 GROUN17NATM PART OF LOT 19 & LOT 20 ON FINETO EICOUNTrw AT EL COAP.SE 2.8'rnGt1E5T "MAP OF POINT PLEASANT" APR 1 5 2024 a 5AND`9P) 2d:, `o AT&,EL-y' SITUATE AT MATTITUCK TGROUND WATER ENCOuureReD a s.a:t TOWN OF SOUTHOLD Southold Town SUFFOLK COUNTY, NEW YORK Board of Trustees TEST HOLE INFORMATION scAiY:Nrs FILED: MAY 17, 1916, FILE No. 720 - - CERTIFIED TO: ©COPYRIGHT 2024 WARD BROOKS.ALL RIGHTS RESERVED.DUPLICATION OF THIS DOCUMENT IS A VIOLATION OF FEDERAL COPYRIGHT LAW. SCALE 1"=50'(11"x17") THIS SURVEY HAS BEEN PREPARED IN ACCORDANCE WITH THE CODE OF PRACTICE ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. SCTM 1000-114•00-01.00-007.001 CERTIFICATION SHALL RUN ONLY TO THE PERSON,THEIR INTEREST AND/OR ASSIGNS. SURVEYED:NOVEMBER 14,2023 CERTIFICATIONS ARE NOT TRANSFERABLE. WETLAND FLAGS:DECEMBER 20,2023 THE EXISTENCE OF RIGHTS OF WAY,AND/OR EASEMENTS OF RECORD,IF ANY NOT SHOWN ARE NOT GUARANTEED. &WATER MAIN ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209-2 OF THE NEW YORK STATE EDUCATION LAW. DO NOT SCALE FENCES.OFFSETS SUPERCEDE. PROP.HOUSE LOCATION:JANUARY 27,2024 ELEVATIONS REFER TO NAVD'88INDICATED THUS O.Y..CONTOURS EVERY 1.0. REVISED:MARCH 5,2024 LAND SURVEY LONG ISLAND.COM I :.. e ._ -Z; WARD BROOKS LAND SURVEYOR 11 OCEAN AVENUE BLUE POINT, NY. 11715 _ (631 ) 576-7794 (631) 363-3179 ` WARDBROOKSOOGMAIL.COM FILE#11473 " '"'" CESSPOOL O 2% o HOME PIKE UP MP/ (POINT PLEASANT ROAD) N 63015'00" E 68.00' IRO DCAP WATER-R��.S oRN GR rEL Z WV 18.01 EIP 1 7 'EIP y6 19.8' s RAIL CAD SPI ES SE W 0 �O' �S- �� DIR �J 2�y STAKE OD f6• SET M EfP 1- = 17.1' N LUE FLAG ' co) ' ( TER �� TAP 0 10.8' Q Fffi 0 o �� � STAKE LL a0 N SET O CESSPOOL d 5.0' O a I.- 15.4'W o� O CESSPOOLS Wm EfP 1as' Oo IL ?6 F Z O Y J - 0 o 4) 0 m N �`, Z "O� `` QOrOI FE.0.8'W STAKE `PO NON1E P�K P� ROPM 9.0' REBAR SET s govxo p-EpS � LANDWARD LIMITS OF TIDAL WETLAN S FLAGGED 33-°�9 LOCO T FD BY COLE ENVIRONMENTAL SERVICES O 15/23 f FLAG FLAG FLAG a G THE ON FLAG FLAG #15 #16 FLAG °5a�pp co ER FLAG 6.6' OF #11 #12 FLAG #14�pN 6.T q_2-� #17�#18 N CONC. FAG #10 q #13 ERO M ON.WN FLAG 5• 3.6' 878 ° W LAG #7�\b/#ri i �, S 70°28'06"W 34..2�r,W = to M G FLAG FLAG �� ,M `—.6' ` 3 01 G ° 7�� 53 31' � °1 96 I' Ln C? #2 CID #3 b/ fO' ,jt �J Z j STAKE _ _ ,p1"� S 66°3625"W 5� �� FLAG ser °�6� 49.06' �VCK CREEK S 66001'36"W MPfi� 52.89' ® EcE � �I � PART OF LOT 19 & LOT 20 ON "MAP OF POINT PLEASANT" APR 1 5 2024 SITUATE AT MATTITUCK TOWN OF SOUTHOLD Southold Town SUFFOLK COUNTY, NEW YORK I Board of Trustees FILED: MAY 17, 1916, FILE No. 720 CERTIFIED TO: OCOPYRIGHT 2023 WARD BROOKS.ALL RIGHTS RESERVED.DUPLICATION OF THIS DOCUMENT IS AI VIOLATION OF FEDERAL COPYRIGHT LAW. THIS SURVEY HAS BEEN PREPARED IN ACCORDANCE WITH THE CODE OF PRACTICE ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. CERTIFICATION SHALL RUN ONLY TO THE PERSON,THEIR INTEREST ANDIOR ASSIGNS. SCALE 1°=50'(11"x17") CERTIFICATIONS ARE NOT TRANSFERABLE. SCTM 1000_114.00-01.00_001.001 THE EXISTENCE OF RIGHTS OF WAY,AND/OR EASEMENTS OF RECORD,IF ANY NOT SHOWN ARE NOT GUARANTEED. SURVEYED:NOVEMBER 14,2023 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209.2 OF THE NEW YORK STATE EDUCATION LAW. WETLAND FLAGS DO NOT SCALE FENCES.OFFSETS SUPERCEDE. .DECEMBER 20 2023 ELEVATIONS REFER TO NAVD'88INDICATED THUS L.U.CONTOURS EVERY 1.0'. &WATER MAIN LAND SURVEY LONG ISLAND.COM WARD BROOKS LAND SURVEYOR 11 OCEAN AVENUE BLUE POINT, NY. 11715 (631 ) 576-7794 (631) 363-3179 ` `1 daz� • p�; -ter` WARDBROOKSOOGMAIL.COM t . c4a FILE#11473 kx"' Glenn Goldsmith,President ®F S®(/�� Town Hall Annex A. Nicholas Krupski,Vice President ,�®� ®�® 54375 Route 25 P.O.Box 1179 Eric Sepenoski J Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples ® ,® Fax(631) 765 6641 CUM BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD - NON-JURISDICTION INSPECTION DATE OF INSPECTION: INSPECTED BY: v Ch. 275 Ch. 111 COMMENTS: `l P�BeOs$� ( c�J►�.� c.s \DDT "C<D4^ �✓PiT`O��!!`S N `GT 10 tea ` 4t^.�a;•p Tru 425 Montauk Highway East Quogue, NY 11942 Environmental Consulting (631)369-9445 Wetland Project Management April 11, 2024 Board of Trustees 54375 Main Road ® V E J U P.O. Box 1179 Southold, NY 11971 APR 1 5 2024 Re: Letter of Non-Jurisdiction John Black Southold Town 1995 Point Pleasant Road Board of Trustees Mattituck, NY 11952 SCTM No.: 1000-114.00-01.00-007.001 Hi Elizabeth, Per our email exchange, please find the enclosed survey and site plan for this property. 1. One (1)stamped site plan by Ward Brooks Land Surveyor dated 11.14.23 REVISED 3.5.24 0 2. One (1)stamped survey by Ward Brooks dated 11.14.23 REVISED 12.20.23 The scope of the proposed work includes construction of a single-family residence,and I/A Sanitary System.All proposed work is more than 100'from the tidal wetland line and well outside Trustees' jurisdiction. Should you have any questions,please do not hesitate to contact us. Thank you. Sincerely, Amalz& ftzgavl� Amanda MacDonald Project Coordinator Cole Environmental Services info@ColeEnvironmentalServices.com www.Co[eEnvironmentalServices.com • Y i 425 Montauk Highway East Quogue, NY 11942 Environmental Consulting (631)369-9445 Wetland Project Management March 27,2024 Board of Trustees E E 54375 Main Road P.O. Box 1179 Southold, NY 11971 APR - 2024 Re: Letter of Non-Jurisdiction Southold Town JOhr) $Iac.K Board of Trustees 1995 Point Pleasant Road Mattituck, NY 11952 SCTM No.: 1000-114.00-01.00-007.001 To Whom It May Concern, We kindly request a Letter of No Jurisdiction for the proposed work at 1995 Point Pleasant Road in Mattituck. Please find enclosed the following items: 1. $50.00 application fee 2. Two(2)sets of the Authorization form—one original,one copy 3. Two(2)sets of the Affidavit form—one original,one copy 4. One(1)stamped site plan by Ward Brooks Land Surveyor dated 11.14.23 REVISED 3.5.24 S. One(1)stamped survey by Ward Brooks dated 11.14.23 REVISED 12.20.23 The scope of the proposed work includes construction of a single-family residence, I/A Sanitary System and inground pool. All proposed work is more than 100'from the tidal wetland line and well outside Trustees jurisdiction. Should you have any questions, please do not hesitate to contact us. Thank you. Sincerely, K e Rummel Principal Cole Environmental Services kate@ColeEnvironmentalServices.com www.ColeEnvironmentalServices.com CESSPOOL O 2% 0 HOME PIKE UP MA�� (POINT PLEASANT ROAD) � N 63015'00" E 68.00' IRO EDCAAR P TER v.SET IN GRAVEL VIA--- E/P 16.T DRIVEWAY WV 18.0' Z EIP 1 17.6' yd- 19.8' tS1� RAIL CAD ao' SEITEN DIR 1J S� O 2�v STAKE cM �s• SET EIP N r 17.1' ti� x N LUE FLAG � ( TER �O TAP. 10.8' nQ H LJ— ¢ �' a8 S O SET E O o J 15.0' CESSOPOOL = Y z 15.4 W $� O CESSPOOLS 0 W Q P 14.9' O � w OF- z 0 Y a 0 0 (O N cN z 0 ° �'` � ems° � .. 0 °cp 8 �O PO FE.0.8'W STAKE Cp CMS P\\< ROp01 9.0' SET 0S� P M �SpNj R FDAR ���Zqq LANDWARD LIMITS OF TIDAL WETLAN S FLAGGED BY COLE ENVIRONMENTAL SERVICES O !15123 LOCU T FLAG FLAGFLAG THE ON FLAG FLAG #15 #18 FLAG CO ER FLAG 6.6' #11 FLAG #14 ON ` #1V#18 N %A.15 #10 OF #12 3 R�$ 6.7 a_2' CONC. FLAG 4_1' N. #9 WN FLAG 5.1' �80 0 V 04'0 „ F# #8 �i b- S 70°28'06"W � 34.62 i - vv LAG Lf�j rNi •� FLAG — 2.6' —— a�`�°G ��p 53.31' 'a• N V' G FLAG =� -1p t�` �j n�Dt• Ln lb Z CCU M #2 � �' J N °i —— _ %% S 66°3625"W Z / STAKE o r�i FLAG / SET a s 49.06' #, 6 P��1TUGK CREAK S 66TV36"W M 52.89' PART OF LOT 19 & LOT 20 ON "MAP OF POINT PLEASANT" APR — 1 2024 SITUATE AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK Southold Town FILED: MAY 17, 1916, FILE No. 720 Board of Trustees CERTIFIED TO: ©COPYRIGHT 2023 WARD BROOKS.ALL RIGHTS RESERVED.DUPLICATION OF THIS DOCUMENT IS A VIOLATION OF FEDERAL COPYRIGHT LAW. THIS SURVEY HAS BEEN PREPARED IN ACCORDANCE WITH THE CODE OF PRACTICE ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. CERTIFICATION SHALL RUN ONLY TO THE PERSON,THEIR INTEREST AND/OR ASSIGNS. SCALE 1"=50'(1 1"X17") CERTIFICATIONS ARE NOT TRANSFERABLE. SCTM 1000-114.00-01.00-007.001 THE EXISTENCE OF RIGHTS OF WAY,AND/OR EASEMENTS OF RECORD,IF ANY NOT SHOWN ARE NOT GUARANTEED. SURVEYED:NOVEMBER 14,2023 ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209-2 OF THE NEW YORK STATE EDUCATION LAW. DO NOT SCALE FENCES.OFFSETS SUPERCEDE. WETLAND FLAGS:DECEMBER 20,2023 ELEVATIONS REFER TO NAVD'88INDICATED THUS 0.0'.CONTOURS EVERY 1.0'. &WATER MAIN LAND SURVEY LONG ISLAND.COM ,p �_. M sr 7 z� WARD BROOKS LAND SURVEYOR � � L 11 OCEAN AVENUE. BLUE POINT, NY. 11715 r �1. (631 ) 576-7794 (631) 363-3179 WARDBROOKSO@GMAIL.COMY:�t� • V}0.;�L��y �i FILE#11473 r _ y , 3 DRAINAGE CALCULATIONS: r .t, ROOF AREA =3400 Sq'.Ft. DRIVEWAY =3294 Sq.Ft. DESIGN CRITERIA: 2"RAINFALL - ROOF:1.0 v - IMPERVIOUS DRIVEWAY:1.0 10'0 DRAIN RING CAPACITY=68.42 Cu.Ft./Ft. ROOF DRAINAGE REQUIRED: ROOF:3400 x 2"x 1.0=566.7 Cu.Ft.OF STORAGE 566.7 Cu.Ft./68.42 Cu.Ft./Ft,=8.3 Ft. CAPACITY PROVIDED: , t 4 (3)10'PJ x 3 Ft.EFFECTIVE DEPTH IMPERVIOUS DRIVEWAY: 3294 x 2"x 1.0=549 Cu.Ft.OF STORAGE J 'r CEOSSPOOL 549 Cu.Ft./68.42 Cu.Ft./Ft.=8.0 Ft. CAPACITY PROVIDED: SUBJECT sa == 3 10'0 x 3 Ft.EFFECTIVE DEPTH " ( ) kd t«'. PROPERTY,° "` = _ HOME PIKE O MP\� �a� Ahaia�y `a L O (POINT PLEASANT ROAD) N 63°15'00" E 68.00' IRO AR ED CAP r, BET IN GRAVEL EIP 16.T DRIVEWAYWV 1 EIP 1 17.6' yd 19.8' HP 14.0' RAIL CAD re_ �� Y N SPI ES ^1s. 711d 0. 27 SETIN O r' _ - 8ow STAKE, KEY MAP M l6' c SEA 1"=600' > _ ; 17.1' 04 Z j\ 1,` BLUE FLAG ^� OP, {\ x3/ (WATER ' WA b? ' TAP?) LINE Q10,8' v �` 3 a { \ ° " �os FOP O/ Q �a �x3/ �x3'/ 8' STAKE O L7- O m f 3S Q' /2 SET CESSPOOL �� O C 1. io 1 U Z I Q� CV 15.4'W Elp 14.7 O CESSPOOLS I_ a 1 �" o �y W Q IO 14' O L L 0O , O ry. Qr IL 35.3' ?'d z ) TEST Y O 70%IN o LO o 04 y� z / (P IO' Q ONO Od add, FE.O.B'W STAKE ° lNON1E S N�ROPO� 9.01REBAR SET StS1 lP0\�� pVEp CI d)�O FD LANDWARD LIMITS OFT AL WETLANDS AS f 33 99 LOCU T BY COLE ENVIRONMEN L SERVICES ON 12/15/23 FLAG FLAG FLAG O�' G THE ON FLAG FLAG F#, #15 #16 FLAG/#18 CO ER LA 6.6' OF #11 #12 FLAG 4 ON 6.T 442,E` #17� N FLAG 4_11 #13 ER CO NC. #9 MON.WN FLAG 5.11 `3.s' S';;'80 04' „W W vc FL �'� `S 70028-06"W 34.620 _ � M FLAG #5 - 2.6' -- 30. ��pG r1 53.31' S� 96 C\l '�Y G FLAG #4 1 / N� y� 0 LL7 #2 b/ •J z N -_ =-' �f `rl S 66°3625"W C �$ z / STAKE ° r pl r f G?AJE EL, 13,0'- FLAG / SET 3`� �` g0� 49'06' C�GG� -N75_ TE5T HOLE INFOFkfATION S (k`j• `-c•UCj1� BP.O'uVN FPOVIDED15YNATHAN S 66001'36"W MAIE 1 5AUDY LOAM EL COR'WIN S PP.OPEP.TY 52.89' 'rOt BROWf I2.5'-` LOCATED AT 1.995 FONT LOAMY SAND. FLPA5ANT RD hSATti T UCI,NY 1 1952. 5M - I O.0't DATED 3-2U-20I a "1 PALE 5POWN DEPTH OF TEST HOLE 15"O'- FINE TO ':0AP5E-5AN EL HI[.`1=5TENPECiE'D 'I9?} L E,.,_ GFOUNDWATOR QnFiNrTO .5 TEM -7`�0=5roN5 GPCUN�NATE° PART OF LOT 19 & LOT 20 ON EJICOUNTFPED AT EU_S'HIMIEST "MAP OF POINT PLEASANT" Crt G;�V ATQ EL-3' SITUATE AT MATTITUCK GROUND WAr? ENCOUNTEPM.EL 5.0'= TOWN OF SOUTHOLD SUFFOLK COUNTY NEW YORK TEST HOLE INFORiyiATfON ' scale:NTs FILED: MAY 17, 1916, FILE No. 720 CERTIFIED TO: ©COPYRIGHT 2024 WARD BROOKS.ALL RIGHTS RESERVED.DUPLICATION OF THIS DOCUMENT IS A VIOLATION OF FEDERAL COPYRIGHT LAW. SCALE 1"=50'(1 1"x17") THIS SURVEY HAS BEEN PREPARED IN ACCORDANCE WITH THE CODE OF PRACTICE ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. SCTM 1000-1 14.00-01.00-007.001 CERTIFICATION SHALL RUN ONLY TO THE PERSON,THEIR INTEREST AND/OR ASSIGNS. SURVEYED:NOVEMBER 14,2023 CERTIFICATIONS ARE NOT TRANSFERABLE. WETLAND FLAGS:DECEMBER 20,2023 THE EXISTENCE OF RIGHTS OF WAY,AND/OR EASEMENTS OF RECORD,IF ANY NOT SHOWN ARE NOT GUARANTEED. &WATER MAIN ANY ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209-2 OF THE NEW YORK STATE EDUCATION LAW. DO NOT SCALE FENCES.OFFSETS SUPERCEDE. PROP,HOUSE LOCATION:JANUARY 27,2024 ELEVATIONS REFER TO NAVD'88INDICATED THUS 00.CONTOURS EVERY 1.01. REVISED:MARCH 5,2024 LAND SURVEY LONG ISLAND.COM1" :, WARD BROOKS LAND SURVEYOR D E C V rTrza-44:: .' 11 OCEAN AVENUE APR 2024 � BLUE POINT, NY. 11715 f (631) 576-7794 (631) 363-3179 SOUtho)d Town WARDBROOKSO GMAIL.COM Board of Trustees FILE#11473 Is Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, - owners of the property identified as SCTM# 1000- 114.00-01.00-007.001 in the town of Mattituck .New York, hereby authorizes Cole Environmental Services 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. P y Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS 16 DAY OF. IyYA , 20 2A _ MARIA PRIKAS GANLEY Notary Public-State of New York Notary Public No.01PR5003206 Qualified in Suffolk County My Commission Expires Oct 19,2026 Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) z I/We, 4 owners of the property identified as SCTM# 1000- 114.00-01.00-007.00,E in the town of Mattituck New York,hereby,authorizes Cole Environmental Services 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. Pro ert Owner's Si nature P -ty Owner's Signature p Y g SWORN TO BEFORE ME THIS . DAY OF,. I�/�Ul� 20 2' "RIA PRIKQS GANLEY Notary Public-State of New York Notar Public NO:O1PR5003206 Y Qualifiedin Suffolk,County My Commission Expires'Oct 19,2026 i d i r 4 Board of Trustees Application AFFIDAVIT o h l2 �11-1 CK--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. �gnatureof Property Owner SignatA of Property Owner SWORN TO BEFORE ME THIS }`_.,DAY OF. 20 MARIA PRIKAS GANLEY Notary Public-State of New York NO.01PR5003206 Qualified in Suffolk County Notary Public My Commission Expires Oct 19,2026 Board of Trustees Application AFFIDAVIT F _ f} o k K- �bl BEING DULY SWORN DEPOSES,�AND.A IFF MS 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 TI3AT ALL WORK WILL BE TONE IN-THE MANNER SET FORTH IN THIS APPLICATION AND AS' MAY BE APPROVED-BY THE SOUTHOLDTOWN`BOARD OF TRUSTEES. THE APPL°ICANT.AGREES TO HOLD-THETOWN OF SOUTHOLD;AND THE BOARD OF TRUSTEES HAkRMLE85 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;HERESY AUTHORIZE THE TRUSTEES,THEIR AGENTS) OR,:REPRESENTATI•VES;INCLUDING THE CONSERVATION ADVISORY COUNCIL;'TO ENTER ONTO'MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS,'A�PPLICATION, INCLUDING A FINAL]INSPECTION: I FURTIIERAUTHORIZIE 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. gnatur Hof Property Owner Signatur of Property Owner SWORN TO BEFORE ME THIS I b -- .DAY OF. ► A ,20 Z MARIA FRIKAS,GANLEY Notary Public-Stati of New York 14&•o4PRS603206 ,. Qualified in Suffolk Cuanty ;,.Notary Public My Commission Expires.Oct 19,7026 R— I N4 SEE SEC 107 (4 LIM LINE 4� A SEE SEC* H.,In L, ',b 12 M 14 "j- :v ova Al C6) J ;,09 -T"s 40U. ------7 • SCHUNION FREE .—SINICT9 TOM OF SOUTHOLD V, IT (E, 8 If IT%, -, nucK ,5 '0 ..1TH.T 411 9) 4-3 ae IT, PARK DISTRICT S, 1 ,,'..'* "'o 41 E\` t, n i zy. - ±/ ,'d!" I c ^,'•P /• j 1 \ /hyf/f <J \ v r� "%.. ,fi-1- -7 4a M, I(q)I .%t ri CATHOLIC % CHURCH zL- It ­9 1; 13 ri ........ .. ........ ':i L N, ;223. 1, F.,IV' —1L I 221 • 'SEE 162 N 1. 141-j� A'(0, 42 FOR S�'.L N'.''I SEE 4.1 114 F.OR NO N 1 9A 32 SE—C.0 - UNE� 2 1WOaasaa`Cq 141 91 -,7 131 IN LIM IM 2 4W) SECTION NO 7K COUNTY OF SUFFOLK NOTICE K 1.0 E N OF THE m SALEOR G ------- E SOU11HOLD IN lb", 7T— Property'f-Servic,,Agency W#j 114 (21) p