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HomeMy WebLinkAboutLeis, David & Helen Glenn Goldsmith,Presiaen`t ���0 COGy -=' Town Hall Annex A.Nicholas Krupski,Vice President a 54375 Route 25 Eric Sepenoski ? P.O.Box 1179 Liz Gillooly �y�o �0�� Southold,NY 11971 Elizabeth Peeples Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: A 28 Completed infield by: Cole Environmental Services on behalf of DAVID & HELEN LEIS requests a Pre- Application Site Inspection to discuss installing a pool. Located: 1150 Grand Avenue, Mattituck. SCTM# 1000-107-8-44.1 TTof 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` Aneeded/Modifications/Cond\itions/Etc.: 1 ` ' lbnl \S �Lx< �Tnnn % /eA ln_c1As os poSS►J�IL� M,rJrnum 5O! KQeo `'PA n n \,j(X\\s O'ZNXRd 2 ' Present Were: ✓ G. Goldsmith ✓N. Kru ski ✓E. Sepenoski L. Gillooly E. Peeples 5URVEY -OF PROPERTY N 51TUATE: MATTITUCK l TOWN : SOUTH OLD w 7 E 5u FFOLK COUNTY NY SUPWEYED 01 -07-2015 SUFFOLK COUNTY TAX # �'10OF I 1000 - 107 - 8 - 44. 1 For 0- �,,5�° CERTIFIED TO: Nl����1s' DAVID LEIS \e G�P(��� HELEN LEIS FIDELITY NATIONAL TITLE INSURANCE SERVICES,.LLC 0 'b UBS BANK USA to- GO � 3 a M4MIE#toRY ° SU/LDINCCCO f �cal'c J I K•wf ,� O_ _.3.ze.- Y o HOUSE ccO 11 � .3Zw- - r9y sr i a I / 0 St i w Proposed pool ! equitment / W mY Proposed , P(}i4 `•-*Y, i fir :.. fn 1!z �--� 4x9l drywell � � �I 1 yrl/� ••��•���"" f .. Replace old/ Q... j tifjp.� °I un working !,� ! N. concrete _ - ..•.____:_,..`._ �.. - :.�(;j•S fountain QD ZExisting vinyl G fence and ! t hedge Proposes ! aluminum i fence t t _ i fxlstingchoinlink fenceondlreago I ' v G p p O PAS N58°00'20 10 ,\ 13.74' ` o J � ZNOo 1 Q, ti �alwotxaD V� II f CO+:G.Bf4DDG[ A9DiMCHT O fl / IJ 3' rs#i 5 1202312 1 l'W 52.54' O i °On (a� E C E I E ° ! � MAR 1 8 2n I ;J r Southold Town Board of Trustees FEMA FLOOD ZONE LINE AN140TATED FROM F.I.R.M. 36103CO 143H NnTFS� ..._ - •lMa:r!tarF:lJ arler Gt,,;:a G+JaJ9•FA 10 a sJ.sjt -.—.—+—.— C"AIN UkIC FENCP r �... - i'+aP aeur.q o `s„an�.a.sm,f wiw,va a1. -s.� JOHN C. EHLER5 LAND SURVEYOR `of ` °` ` '✓ a G.C:ht/�( r- E1uy c:c.a 4tn fin.uq-x tY•cJ o 9.r w�i S. >.> .tarn eJ set y w q ea>ih �zd se sd v-<I 6 EAST MAIN STREET N.Y.5, LIC. NO. 50202 ' n� a a -t� Ce• +�ti-o:a cuc m-ne._r aye-r wsa tip; •� �t� �•Kr•aa C'e Sc n cYf.3 lssCe.�to •u^; Area = 46,673 5a.Ft. RI1fERtiEAD,.N.Y. 11901 369-6288 Fax 369-8287 �M\jCea.Of VT +$r by t..h. .-. 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COUNTY OFSUFFOLK O �� NOr K'® Isom sccra+w.'_ ag-- —°—'- O _ Real Property Tax Service Agency vn_ txtNcl PstwNmavffrercrORMNO—E )m aOMGW E uom -- -- -- -- —_— ^� o� o tauGmnU•v.9mFm{MlI90e W E IFWIKMIRnYTMwr6rrw�Eo A . 1U7 p .Oe�—_.—_ --..-- u• —__— ri.•r (21) ew .. mmnn nwneti9a85w ne, p 'lm who 425 Montauk Highway East Quogue, NY 11942 Environmental Consulting (631)369-9445 Wetland Project Management Town of Southold Board of Trustees 54375 Main Road P.O. Box 1179 ® E C E V E Southold, NY 11971 Re: Pre Application Request LIAR 1 8 2025 David and Helen Leis : 1150 Grand Ave Southold Town s Mattituck, NY 11952 Board of Trustees To Whom It May Concern, Our clients, David and Helen Leis are looking,to install a pool on their property. The project will need a variance, but we would like to receive initial Trustee input on the project at this time. We kindly request a pre-application meeting to discuss the proposed project., We will be on-site for the meeting and can be contacted at 516.702.8172 or 551.206.8123. In addition to a check for$150.00 made payable to the Town of Southold, enclosed are two copies of each of the following: 1. Owner Affidavits for both David and Helen 2. Authorization Forms for both David and Helen 3. Site plan 4. Survey Should.you need anything further, please let me know. Sincerely, Cam} Kate Rummel Principal Cole Environmental Services, Inc. www.Co ?EnvironmentalServic( s.com Board of Trustees Application AFFIDAVIT C'e"(s 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 SOUTTHOLD 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 INSUFM COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Si re of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF Pr 3.20 Z:5' I 1" Notary Public WILLIAM RIVERS I NOTARY PUBLIC-STATE OF NEW YORK No. 01 RIO014367 _ Qualified in Bronx County Certificate Filed in New York County My Commission Expires 10-10-2027 aoard of Trustees Application AUTHORIZATION (Where the applicant is not the owner) UWe, � owners of the property identified as SCTM# 1000- 107.00-08.00-044.001 in the gown 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. Prop rty Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS DAY OF {"�/ 20 Z Notary Public WILLIAM RIVERS I NOTARY PUBLIC-STATE OF NEW YORK No. 01RIO014367 ,. Qualified in Bronx County Certificate Filed in New York County MY Commission Expires 10-10-2027 Board of Trustees Application AFFIDAVIT BEING DULY SWORN DEPOSES AND AFFIRMS THAT HIE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CO AINED HEREIN ARE '.TRUE TO THE BEST OF HIS/HER KNOWLEDGE ANTI BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN'PHIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLID AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PE4MIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE,THE TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVIES,INCLIUDING 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 6URING THE TERM OF THE PERMIT. Si4 re of Property Owner Signature 0f property Owner SWORN TO BEFORE ME THIS� _ DAY OF , 20_z5- Notary Public _ WILLIAM RIVERS NOTARY PUBLIC-STATE OF NEW YORK No. 01 R10014367 Qualified in Bronx County Certificate Filed in New York County My Commission Expires 10-10-2027 i i T Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, f . owners of the property identified as SCTM# 1400- 107.00-08.00-04 _ 4001 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. Prop tty Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS _DAY OF �' !? _ 20 Z _ Notary Public WILLIAM RIVERS I NOTARY PUBLIC-STATE OF NEW YORK No. 01 RIO014367 - Qualified in Bronx County ' Crirtiricate Filed in New York County omroission Expires 10-10-20"7 ... ~ ^