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Home My WebLink AboutDecarolis, Frances & Patrick Glenn Goldsmith,President 4v OG 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 1 ,j[ry Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Daterrime: )2 11 2 4 Completed in field by: Sol Searcher Consulting Ltd. on behalf of FRANCES & PATRICK DE AROLIS requests a Pre-Application Site Visit to discuss either cutting back vegetation along the west side of the boat basin, and/or installing a low ill bulkhead along the west side of the boat basin. Located: 1700 Glenn Road, Southold. SCTM# 1000-78-2-35 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 �L'oastal Erosion Amendment Administrative Emergency V Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: C rvS'-se I\/ �d S vP Sao r Q lC 't& i 0 VIMA ( `'ctt c Lt Present Were '✓G. Gol�mith '✓ N. Krups �Sepenoski ✓L. Gillooly �. Peeples I N^P z \x, ".ffiz:R" SEE _L�NE -IR Z. N �,q I,\301, V?Z SLEEPY HOLLOW 0.6 117a D-.o �m.ol 0 T, 40 10.3 Yb",)) nm.) -x` 7--14 X,N "'M ,OA 21 -r5o A, Tf-A 4 'A q A� H 4 A \\� z �Doi N N 2,- A R'.n ei x 'N s 1410 17 > 13 K IS F _�v 21.1 '",Mf ev 14 41 ri L! 't, A st 7 "A�'l"4, P.V) al ol,k el, J "o. W,j X, Allso • --s q o�0. lw 0 e 71 0 w N', 'Z4' a 71' �5; � 12Af, 31 4" .1A ,1 2,,; ,s 4 og. Af 66 12, N oh cji z sEcnm W COUNTY OF SUFFOLK D NOTICE 'Do. E ba G Real P-p-iy Th.S—i.Ag.ncy -.0 w SOMOLD 'N 078 D 3 N SURVEY OF PROPERTY AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. 1000-78-0-34, 85 8 38 ScAtm It--so, SEPMWER Ja 2010 • I I otmmr d o l ac1��9 urm. to• � a � 1` oCT 26 2011 cS" Caen• 5��'D N74OD�E �qv e7 1� �, p0 p —�meeola iuvo NBT301001E 9 BOild OI iN51lp 14a00' 2� 46 oaAo �t $ 6 LwDEW 4�, 2rf:AR.STY.1R.HSY namO aw. CeffiY a � wIi PAm O S 1009-78-D2-34 �g g LOT 18 TO RE ONES A farm AREA-21,090 sa FL s A°1r'"ao,"D� air rAro err.evu 1000-78-02—JB LOT 19 AREA-24508 SO.FT. TO 11E LINES ULNT BASIN !RA SL AIV p 1000-79-02-35 UI AREA-43.481 SO,FT. TO T/E LINES 9.22 N 578b21ido- mot 4 j 61y9J9•W 58820'3�'W 93T38'W 1J898' S88K9J7'W5"}8.10 / L 10 59' / ~`�ti ...�y,p tl A'O�H=/RdD W:.—.�.� --�—".'��/ =�\ I •Iy�`1 I ' '� N0. 496f8 ANY AL W?A RDV DR ADD117ON TO INIS SURLY fS A NO2A77ON �PECON/C TOTAL AREA-MO79 SO,FT. Lr EXCEPT AS S?M720W THE 720NEW roUB STA O 2 ALLCA Cv uw LOT NUMBERS REFER TO'MAP OF AES'CREEK FZC 7O PER SEf.'INE T209MW ST SION 2.ALL CE LAW nON5 (631)765-5t 20 wo 765-1797 TO TIE LINES RLED IN 1NE SUFFOLK COUNTY CLERK'F OFFICE tZWON ARE VAUD FOR TMS NAP AND COMES 7W OF ORLY 6 P.a 90K 9CE ON AUOLIST 19 1963 AS RLE Na J84R SAVO MAP OR COPIES 9EA4 THE LYPRESSED SEAL OF ME S4RW)M 12J0 ?RAVELR STREET WYOSE NSNATLIRE APPEARS NFREON. SOUTHOLD,14 Y. 11971 10-188 Box 1008 Cutchogue, NY. 11935 November 22, 2024 Southold Town Trustees Southold Town Annex Box 1179 Southold, NY. 11971 Ref: Decarolis Presubmission Request Dear Trustees, I am requesting a presubmission conference for a proposed project at the property of Frances and Patrick Decarolis SCTM 1000-78.-2-35 located at 1700 Glenn Road We wish to engage in a discussion regarding either cutting back vegetation along the west side of the boat basin, and/or installing a low sill bulkhead along the west side of the boat basin. Please let me know when the conference is scheduled for. It would be helpful to receive a call about 30 minutes prior to meeting at the site. You may contact me at daveberaen78@omaii.com or 516-848-6438. Thank you for your consideration of this request. Sincerely, HUE�ECEIVE0 David Ber n, Sol Searcher Consulting OV 2 2 20e Agent for Frances and Patrick Decarolis soumoldTown BOW of Trustees Board of Trustees Apple ..;ion AUTHORIZATION (Where the applicant is not the owner) I/We, 9t/9/ C & G�r/J r441vices beati/ s- , -7 0, 2 -14-' owners of the property identified as SCTM# 1000-_1700 in the town of SCE L�_�u 1C.- ,New York, hereby authorizes b 01ye� SP(—(I en__ 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. CegqW� roperty Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS tl DAY OF Atoym-lb-cr .120 a KATHY BARON Notary Public,Slate of New York i Reg.No.41-494798o Qualified In Queens County, ' /o� Commission Expires March 6, otary Public Board of Trustees Appl:_ ,lion AFFIDAVIT PAri< i C,l< Csn d ��2g,NcU /�P.i�Gro 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. C6 Si nature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF /N(mb{- , 2p Notary Public KATI-iY BARON Notary Public,state of New York Reg.No.41-4947M) Qualified in Queens County commission Expires March 6,20-6/-q APPLICANT/AGENTIREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and emplovees.The pumose 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. / n YOUR NAME: �e(Cis/�'S f f-r.(Z C/C Crn 0( G/ 1✓I/G[� (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 NO 21— 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): _aA)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(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 �' d of n d ✓ 20? Signatureo,j(Q Go z Print Name �q/yCe f cc/zi Form TS 1 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of souihold's.Code of Ethics orohibits conflicts of inteieston tfie uert oftown officers and emnloyees The purpose of this form is m provide information.which can alert the town ofgossible conflicts of imterest end allow It to take whateveeaction is necessary twavoid same. YOURNAME: David Bergen (Last nairre,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.) NAME OF APPLICATION. (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval ofplat 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)nave a relationship with any officer or.employee of the Town ofSouthold? "Relationship"inclades by blood,marriage,.or business interest.."Business inter mr means a:business, including a,parfnerWpjn which the townofficer or employee_has even.a.partial ownership of(or employment by)a corporation in which the town officer or employee owns more than A of tiie 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 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): fjA)the owner of greater than 55/o 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,partnec,or employee of the applicant;or D)the actual applicant. " DESCRIPTION OF RELATIONSHIP Submitted this 22 ay of November 20 24 Signature U Print Name David Bergen Forth IS 1