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HomeMy WebLinkAboutTR-5918 Board Of Southold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. . 5'JJg DATE: "tv1~y26',2004 Christopher Milliken ISSUED TO .,,,..,,,,,,.. ",...,....,... , "................."............. , 1\utqorilutiou .............................. Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893: and Chapter 404 of the Laws of the State of New Yor\c 1952: and the Southold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN W A TERS{', and in accordance with the Resolution of The Board adopted at a meeting held on ,..!I:1ay,2.6,j", ,20~L, and in consideration of the sum of $,~s.~~~0 ... paid by ...c:;J:1:~i,,,~c:>Pl1e.r...l\4.i.llilc,,J:l,... ......,.......... ..................... ......'"..,........'., of .1!i."J:1".r.."",Is.~~J:lß N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the fonowing: Wetland Permit to construct a 28'X18' deck with pergola. and as depicted on the site plan prepared by Richard H. Strouse last dated October 20, 2003. aU in accordance with the detai\ed specifications as presented in . the originating application. . IN WITNESS WHEREOF, The said Board of Trustees here- by CðuseS its Corporat,: ~al to be aff]xed. and these P!'esenb to be subscn'bed by a malority of the said Board .as of this dab!. ø p,?- 14,--<,-'/ !I.~r.·'.~."""" .>.~.~._~~_.__._~~_~_.......!....-~_._._~_~__._. s. "_,.._ .. ~ " TERMS and CONDITIONS 'I1 e Permittee Christopher Milliken -a'''¡", at East End Rd., Fishers Island N. y~ as pan oC the consideradoo Cor the sa.o~ oC cbe Pam/t does uødersÞnd and pmaibe to the fol- lowing: 1. That the said JJoud of Trustees aad Ibe Town of SouchoId ate rdeued from Ill' and aU damages. « cWms for damages. of IUIts aåsi.og. cIiftcd, 01: Indirec:d, as a ~ oC Ill' opet"· adoa pedomlCd pursuant to Ihb permit. ~ tile I!åd p...,..¡-wi1I, lit Ids 01: her own ~. defend «0' aad aU JUCh lllies'I..It/otto' by lbI.td.,udeI, ucI the said PamIttee 1__ luI.1lioh11ity wiIh respect thereto, ~ Ibe ~'- e:ulusioo oE cbe IIøud of T_ of the Town of SouthoId 2. That cbis I'eöDit Is valid Eor a petiod oE 24 mos. whId1 Is (IO'øsi¡fettd to be the e<f/m.tM time· required Co roiDp1ete the work In~ butihoald ~nm waaant, request for III exœøsionma, be made to the Boud lit a bier d-. 3. That this Permit should be retained indefuúlel,. or as loog as the said Permittee wIsbCs to mo;n.o;n the ouuaure or projea in'fOlved, to provide evidenœ to anrooe coaœmed chat aath- .odzadoo was origina1l, obtIIned. 4. That the work Involved will be ....ject to the ~ aod approvd of the Boatd « ia agents, and non-compUanœ wilb the provisions of the ori&I"""..g app1icadoa, may be awe C« revoaâon oC this Permit by ~rioo of the said Board. 5. That there will be no unmoson.I>le interEerenœ wiIh navigadon as . result of the work bereIa auibodzed. . 6. That there dWJ. be no lnterCacøœ wiIh the right 01 the pubII.c to pass and repus a10ng the bead1 beno_ túgb aod low _ mark$. . 7. That If Mure operations of the Town oE s-fooLI require tbe. tenIOft1 aod/OI: dterldoas in Ihe 10--';"" oflhe work herein &II""'wl_~ or IE, in Ihe opiaIan of die Boud of Trusceer, die, wadi; shall oust anreasonob1e obsttucaon to Eree øniguion, the said po-I- will be rec¡aired, apoo due notice, to remove or ~ this work or projea herein stated without ~CD~ I to cbe Town of Southolcl. . , 8. That the said Board will be nocified by the Permittee ot Ihe ~ Of the wodc aad>- od2ecI. 9. That theJWmI- will Gbcain aU other peaaia and --.. 'dolt mar be requited ...p; p-"" to chis pemút wIùd1 _,be IIIbjea to rewire apoa laUaœ to obtain ame. c . . Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P,O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631; 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 26, 2004 Mr. Glenn E. Just J,M,O, Environmental Consulting P.O. Box 447 Quogue, NY 11959-0447 RE: CHRISTOPHER MILLIKEN EAST END RD., FISHERS ISLAND SCTM#1-1-3.15&3.16 Dear Mr. Just: .: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, May 26, 2004 regarding the above matter: WHEREAS, Glenn E. Just on behalf of CHRISTOPHER MILLIKEN applied to the Southold Town Trustees for a permit under the provisions of Chapter 97 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated April 13, 2004, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on May 26, 2004, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, 2 . . WHEREAS, the structure complies with the standards set forth in Chapter 97 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of CHRISTOPHER MILLIKEN to construct a 28'X 18' deck with pergola, and as depicted on the site plan prepared by Richard H. Strouse last dated October 20, 2003. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: None Very truly yours, ~..rl/~'~. Albert J. Krupski, Jr. President, Board of Trustees AJKllms . . Telephone (631) 765-1892 Town Hall 53095 Route 25 P.O, Box 1179 Southold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Tuesday, May 11, 2004, the following recommendation was made: CHRISTOPHER MILLIKEN to construct a deck with a pergola. Located: East End Rd., Fishers Island, SCTM#1-1-3.15 & 3.16 The CAC did not make an inspection, therefore no recommendation was made. .'I·t' ¡' . i' fi¡l. ' o ¡.- ."\1 II!! =,ml_IWi'IWW1W I II 1-mIW~IW~lïlïrlj¡ïlïriiliiil"¡¡mTŒm , . ¡ I ]:.1 . . . I ,.- - "'..... !~ :H ¡i! ..<0 ! ':11 ~ x GO -0 C¡ , 0. o :2 ' X o r- ;>-, +- L GO 0. o L G.- O GO 0:: --~--=- . -' -j e " " ,r--oj' ,t'. j7 ~~.,',.j cc;;;i ,",. ¡' i '\ -~ -' f:. ",""0 'c!ÞV/'~" ~::T3 ...~, I' ( . ~'.,' 'j ::;; -": ,--- ~ ~ \- ,',} .'. \ I.') ---..' I. . . '., "--' , " '~~.' "' \ \', ¡~ . ;+ , '<>Z , ---------- I~ ~ ~. ! i ~ , ; , ~ ...-" . + "%, 0.., " '.." oj " ~ C.~~/- .j .' ¡~ I ~ ,'~- f.D·"[ : '-."', // / ,¡...' ¡--- i! (~~\,¡!,'<¡I,~:;!j, f. 8(¡' ' '>-'ô'. _,J:! .. \, ' ~ ~~ ~, ~j:) m i ~~,\.\ ¡ - \", "--" ~-¡ . ~, ¡ , ¡ " , I " I, ( 111 l' . I; "'." I ·1 " (j(~~ "~J,/ -c~ + 1 ~ § ~ i ¡ ¡ . )~ \.1' /J~ ~~>- .:Ie"'- 8~ --~ õ.§- ~;Î. ¡~i¡ 0.<0, u~s o d'l ¡~..s " 1;'11 ¡¡¡ H~ ~ mf IW! !!{II~)' lill!11I ¡;jj I ¡".HI ilil i . ~ i ; = IIIII ~ ~ ! ~ ; II! II II II :iiii I ¡¡I;;; iliiii II J iJ J ie!!! I Iii II ;;1 II III . 15 q;~ " . f ~ 11:1 I~! I 1:)1': <I, :)! j II ì ¡ ........"'...%0 . . Town Hall 53095 Route 25 P,O. Box 1179 Southold, New York 11971-0959 .Mbert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda , Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only . _Coastal Erosion Permit Application ......-wetland Permit Application ~ajor - Minor _Waiver! Amendment/Changes ~eceived Application: 'III 3.1 Or¡ -R:eceived Fee:$ 9.'S»' -COmpleted Application 1.//1.31 !:IV _Incomplete ~ æ A~R ~ : :~ æ ~ _SEQRA Classification: Type I_Type II_Unlisted_ Coordination:(date sent) -eAC Referral Sent:Vß/ eN -Date of Inspection: S'lJJ./D'j _Receipt ofCAC Report: Southold Town _Lead Agency Determination: Board of Trustees _Technical Review: \/ 101{ -ð'Ublic Hearing Held: . Resolution: Name of Applicant Christopher Milliken Address 1)11 ()aln.7nng AU9R'd9 Lalc: FeLl:c;jt IL 60045 Phone Number:( ) 847-295-7159 Suffolk County Tax Map Number: 1000- 001-1-,1, ¡;, , 1h c,~~ ~I.\\~V cp Property Location: East End Road, no #. Fish~rs Ts1~nn (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Glenn E. Justl JMO Envirnnm.ntm CQRiulting Address: P.O. Box 447 Ouogue, NY 11959-0447 Phone: 653-0607 . . Board of Trustees Application Land Area (in square feet): GENERAL DATA 62,290.8 Area Zoning: R-120 Previous use of property: Single family dwelling Intended use of property: same Prior permits/approvals for site improvements: Agency Date I No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspend~by a governmental agency? ~No_ Yes lfyes, provide explanation: Project Description (use attachments if necessary): Applicant proposes t o construct a 28£ - 6" 3 ·1 deck with pergola. . . Board of Trustees Application . WETLANDffRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: new deck Area of wetlands on lot: ± 1,000 square feet Percent coverage of lot: n/a % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? v/ No Yes If yes. how much material will be excavated? n / a cubic yards How much material will be filled? n/a cubic yards Depth of which material will be removed or deposited: n / a feet Proposed slope throughout the area of operations: n / a Manner in which material will be removed or deposited: n / a Statement of the effect, ifany, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): As proposed the project should havp nn npg.tiu~ im~Bets upon the adjacent freshwater wetlands located on thp applicant's property. . . 617.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT F~ORM For UNLISTED ACTIONS Only PART I . PROJECT INFORMATION !To be completed by A IPlicant or Proiect Soonsorl 1. APPLICANT/SPONSOR 2, PROJECT NAME Christonher Milliken 3, PROJECT LOCATION: Municipality F i she r s I s land County Su f f 01 k 4. PRECISE LOCATION (Street address and road Intersections. prominent landmarks, etc.. or provide map) East End Road, no # Location map enclosed Pronosed deck 5. PROP~SED ACTION IS,:.., 1,,[1 New Jil Expansion 6, DESCRIBE PROJECT BRIEFLY: Applicant propose3 to construct a 23'6" x 18' 3" deck with pergola onto an existing single family dwelling o Modification/alteration 7, AMOUNT OF LAND AFFECTED: Initially n n, aeras Ultimataly 0 . 0 1 acras S, WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? Ei!l-Yas 0 No If No. dascribe briafly 9, WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? f7I Residential 0 Industrial 0 Commercial Dasci\'b:¡: o Agriculture 0 PBrk!ForestlOpen Space 0 Other single family dwellings 10, DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING, NOW OR UL TIMATEL Y FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? a.YeS 0 No If Yes. list agency(s) name and penniVapprovalS: Southold Town Trustees 11, DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? o Yes ~ No If Yes. list agency(s) name and permit/approvals: 12, AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? DYes Q.No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO. THE BEST OF MY KNOWLEDGE Applicant/sponsor name: .A G rénn E~. J. u~ t a s a ""n t Date: ? /:3£){ 0'-1 Signature ./ ~/b" dA J If the action is in the CoastäJ Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 . . PART II· IMPACT ASSESSMENT ITo be comnleted bY Lead Aaencvl A, DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes. coordinate the review process and use the FULL EAF. DYes DNo B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PAg'" 617,6? If No, a negative declaration may be superseded by another involved agency. DYes o No C, COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, W legible) C1. Existing air quality, surface or groundwater quality or quantity. noise levels. existing traffic pattern. solid waste production or disposal, potential for erosion, drainage or flooding problems? Exptain briefly: C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna. fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly: C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefty: C6. Long term, short term. cumulative, or other effects not Identified in C1·C5? Explain briefly: C7. Other impacts (including changes In use of either quantity or type of energy)? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? DYes o No If Yes, explain brlefty: E, IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? DYes o No If Yes, explain briefly: '. PART III . DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse e/fect identified above. determine whether n is substantial, large, important or otherwise significant. Each elfect should be assessed in connection with ils (a) setting (I.e, urban or rural); (b) probebillty 01 occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been Identifl8d and adequately eddressed, 1/ question Dol Part II was checked yes, the determination 01 significance must evaluate the potential impact ollhe proposed aelion on the environmental characteristics of the CEA, o o Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FUL EAF and/or prepare a positive declaration. Check this box if you have determined, based on the information and analysis above and any supporting documentation. that the proposed action WlL NOT result in any significant adverse environmental impacts AND provide. on attachments as necessary, the reasons supporting this determination Name of Lead Agency Date Pnnt or Type Name of Responsible Officer In Lead Agency Title o~ Responstble Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) OS/26/2004 15:18 ~\X 631 788 5582 AF'R-2'3-2004 12: 31 FROM: JMO CrnAING Allie RarJdon. Assoc :\1-\ ~001l001 6533348 rLsœ P.2 Albert J, Krupaki, President James King, Vice-PreBident ArtIe Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53096 Boute 25 P.O. Box 1119 Southold, New York 11971-0969 Telephone (631) 766-1892 F"" (631) 766-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOlITHOLD --,----.....---..-------------...-------- In the Matter of the Application of __CbJL~\aQ<c_~ ,\\~ n___________ COUNTY OF SUFFOLK) STATE OF NEW YORK) [,~ ~ðJM AFFIDAVIT OF POSTING being duly swam, depose and say: That on the 12dayof MA '( ,201rt I pcr:romilly pœtcd the property known as . residing at \ P:fuM~ 3~ ~~ NY C{,~qð J by placing the Board of Trustees official poster whete it can easily be seen. and that I have checked to be sure the poster bas remained in p for ei t days prior to the date oftbe public hearing, Date of hearing noted thereon to be held Dated: ~ &À~~~M (signaturo) Swo to before me this J'J d ,of 1-10/2001 VERONICA HAMilTON NOTARY PUBLIC STATE OF NEW YORK NO,01HA6067785 QUALIFIED IN SUFFOLK ~U!.Wf TEAM EXPIRes... /J-j/7¡ð'> '1ll' ,I .-~.s.'- _.' ,\ \ '\. \c...eV\. ~ ~ ~~ U.S. Postal Service CERTIFieD ,MAIL RECEIPT (Domestic Maif Only; No Insurance Coverage Provided) fT1 ~ rr."';~ ISLAND, NY 06390 fT1 ..J] ~ '" IT1 Rel'_,,,-, ~ C,", " If" - o IEnj·..r""'-,,-r-,r~c"_I'·" o o 0.83 2.30 1.75 H_::'-.U,.:kd [,." ..or ¡:.. t--- ,t::nc.lur,,,",,-,-,-,·F·-'l"cc', ~-- .. ..--i , $ 4.88 I --, o o Total Postage & Fet·s .=ï ---- rr1 uam""f"'<F.e F"r,,-,r .~,.,-¡" ,r: .:'" _~,"';;";o'.,,,:, ;-.. ,n,õ;, ",r uFt::>W a- c¡'t-'" 'r'! ,',-, -, ¡:v.:;, .-.:- -- ~ 1¥C~~r:;G,^ ·/).\J~C\'¥2- r'- i ç~,:,~...<,. ..I.::"\G.'\.~I t-J'-'-l, _...... I Ii 'Ii 'C ~ ~)t õ DO ~ * ~ t is. ,~ = ~!!" H "æ= ~! ~"tJ c....._ . ;;:.. i! -gõf! .'- ~ 13 E ~.i'C~i 1J. æãSi-Œl~ ,"C'C§=[ .:a!aËS" ~ï~"~~ . U,,~..,g G) a: 5 ~:.c: Q) 1ii'" 0 -= ê.o¢ :>-œ.c: q'é=~§ ð..ifß..t5 . . . ~~ DO ,W 'C ~ œ =- ~ 15. 'ã .~ ih ODD ~ OIo~q>C) .._y___DII.,....._..~ ~ o ~ ;¡¡ ~ 51 rf\ ¡ -S "- Y !c.5) - ¡ 'iiI =.- =-p ~ !'8..'!! '8 ~~H ¡ ÆDDD a: c .; ~ ç <oJ J ~ .2 -.9 > 6 jj <::J /) ~ 0 ~ u iu 1í fA !t}å r 81 ~ ~ J r> i E <J' 8 cr' ~ o 0-' r1 .9 Q o J ~ J~ u:: ~1 ~ ~ ,f oi g: ~ r I .-L S \ Clv"'c- . U.S, :Postal Service CE~TIFIED MAIL RECEIPT (Dom~stic Mail Only; No Insurance Coverage provided) fT1 - ~~1.1' r'- I WllJUNGT[J¡, Œ 19890 I -------------------- fT1 0.83 I UNIT l~-·, ~ ---: /..~,,\ -', '" ., " _ 2.30__ j /{j c.",-" ~~ ITl 8_1 ',f'- '-"I,lf-- 1.75 ! 11,..,,' ,'t= o "",e ,..' -,., ".-._., --- J, cr', . ~«'Y7 o R..,,[,.,:r.'-IL'-I'" o ,L',-I,-'-oc-'-'-"'f',c",,", I I \ o ,- - -4.811 -1 05/1 .~ D TotaIPostaqe&Fee<; c~ ___ __ ___.1 ^'" ~ .--------- -----------------~--- ~ M'J;b75!~~~;,::,,;;,~""'>'1 I'- Lc;'.\('-,-,~('-bV\. ~,\Q0<{ù"-o<.').9\. : ~-...,..._1Í.,'-""' ~ I I,-~ ...lmIln.......~ OS/26/2004 15:30 FAX 631 TBB 55B2 FROM:JMO CONS~rNG Allie Rarldon. Assoc APR-29-2Ø04 12:31 6533348 AlA .f70055B2 @OOliOOl P.2 Albert J, Krupski, Pre.ident Jame.e King, Vice--Prø&ident Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD ______a_______________._________________________________------- In the Matter of the Application of ._Chn~~MC_~~\~\~_~_________________ COUNTY OF SUFFOLK) STATE OF NEW YORK) [.~~~ AFFIDAVIT OF POSTING being duly sworn, depose and say: That on the li'dayof fv1A '( ,2001, I persònally posted the property known as . residing at , p~ ~ 3~ ~~ NY CG~qð I by placing the Board of Trustees officia] poster where it can easily be seen, and that I have checked to be sure the poster has remained in plac for ei t days prior to the date of the public bearing, Date of hearing noted thereon to be held. Cl.t - o r Dated: ~ ~~~~~ (signature:) Swo to before: me tbis J5 d ,of Mð/ZOO" VERONICA HAMILTON NOTARY PUBLIC STATE OF NEW YORK NO, 01 HA6067785 QUALIFIED IN SUFFOLK C?9U!ßY TERM EXPIRES... 1J-j/7¡ð') o'4"ð6/~fJ4U~ :~FVlœP utlbe UTTICe 50lutions .43824611 l4Joo~. s , BOARD OF TRUSTEES APPLICATION AUTHORIZATION (Where applicant is not the owner) I, C.W/Sflld'ElL/1(WKtN residing at fill ØM-4I4/f? 4-- tAt.f£" ~4oq Ii.. Æ.Q/I<; (print owner of property) (mailing address) do hereby authorize J.M.O. Environmental (agent) ~;;;¡:&=tie__dl_ Owner's Signature (j4"'06/~OÙ4UI15 :'Sf 'F'ß'P ~4Ibe UTT10e Solu~1ons .438246fl BOARD OF TRUSTEES APPUCATION County of Suffolk State of New York 141001>.4 " Cl1lUS'J.'OffiBR MTT.L11ŒN Being duly sworn deposes and athms that heJshe is the applicant for the ab&æ described P81Tni1(s) and that all statments contained herein are true to the best of his/her knowledge and belief. and that all worlc will be done in the manner set forth in thi5 application and as may be approved by the Southo/d Town Board of TfUS16~. The appIicaot agrees to hokf the Town of Southold and the TOWn Tru~ hannless and free from any and art damages nnd daims arising under or by virtue of said perrnit(s), if granted. 111 completing this application, I hereby aut· Tl'U$tees. their agent(s) or rep~s). to entler onto . ~,peGt . .... ......-.. """'nction - - 01 . l~ S' ature Sworn to before lme this t k: Day of A¡M. ~2 ~1K+w. ~t. Notary Public - " Ü<ll"ð6¡'tob4U/P¡j :'Sf' IF'J(RP ~~~ OFFice Solutions . .438246(1 l4Joo~. 6 , APPI.ICANT/AGENTIRRPRESEN1' A TIVE TRANSACTIONAL DISCLOSURE FORM :rheTOWI1ørSnut~·~ Cð.ip-otRrh'r.<cDrðb.ibiU_Q2l'OIÍŒo; otitftr!9l1.tn EhclÞÐtl ofto'WIII o4\aera and (WJ~_1'be ðurnMlO_9t tJ1i!!;..1ønn tllito DroyJsl£.jpfoll'l1llfint. wbl~..I«rthll!l fawn or-~ftir.f5of~ .~. talc~wUlr\'w!r~i01'l. Î5 ~, .~lI!3I.i,~, 111 ILLllä:1CI t:lhel~fbllld- e . _.. . ,...~ (Loot ...,." tin! ......., middl. mili.1, ......,.,. .... ~ ill che ""'no of ~ eke 01' otber encity, :Þl.U:'h U . c.orrtJMY. If SO. izwt&cale the. od~ por_·.or~._) VOUR NAME: NNIoW 01' AI'PUCA lTON: (Cbook aI"....l IpIy.) 1'¡þx giCWiU'tt v......., ~orZane l\p wowIorplOl .... !:Jœmprlan tr"'n pi.. orollicjoJ .~" Ocher ~-- (1f"OlN:/", ......'Ioc _ivi.".) .......- _.. . --- Do)'Ou ~Y(or duooIeb JII'W'-.pany, lI»Ouse, sibling, _ o,dlild) """.,. ",lidilllMlhip wilb "~om.......empJu,.,. .r..., Town ofSouthoId? "RdadOo>cIIiP" incIudeo I>y blood, u.m.~ or business j_. "8usioao ia....... __ . -. ...:I..<l1Io ..,.,..,..,..".. m ".1"''''''__ or.......~ bas.- 0 poma¡ _ipor(... ..""loY_br}aC«¡>OrB"o. in wbldo 'he '..... omcorcrell llo)'tle owns-Ih""7'''' _., YI!S _... NO ._ ICyou "S_"" "V!iSft. O"...plel'''.. b.'...., of Ihts ronn iIIIII doIund llip-. ¡..I1..-..1, N""", or """".n """,l"')'Cd by Ibe ~ ofSoottllold TItle:: or pt'.$ÌUQft or... pantM1._~. _. _.. . Describe 11M: nobdionahip btIw<œ)'OllnOlf (Iho 1 J c1lll"~iw:) oncIlIM: IOWD om_ or cm¡>Ioytoo. Eitlttr cbe"" II><: __c I..... ^' thrøu¡!l\ D) -.,..deÞiI>t In lite _ ptOYtdcd. The: - øIlI_ or tmpr.,.....his... .... _.lIbli.... poI'OII~ ... ohM d (dIec:k 011 IIuoI 'wlr): - - ._") the owmcr o1_r_ '" oflho........ oflbe-.o....""'"""'" of....appltc:aÐc <- the II Ip&am i. . to>tpar:ohon); - _8) ....1"StIf or "'-IIeial.,...,... .r"")' W-l in . non~CI1CIfy(wt1t>n lite oppI....., " 110\ . <OI >Ct'IIion); ,__C}.., ""'-. d'_. _, or ~ Of"'. appIk",,, or _D)""'..waIoppIi"""'- DŒCltJP'l10N ()¡I RIiI.ATfONSlIIP --..... --...-..... --- ...~._-..- -..........-- .......----..".... .- ~~~'::- ~OV\l<r; ~""~ \~\-~\I<r; ~\~,,~ , 2-5 LOCATION MAP SCALE 1 "=400' 400 200 o 400 , GRAPHIC SCALE IN FEET \ $(' ç§' () ~ f & t! ~ ~ ,) , <Þ f ë ,.. <Ò, .'d '" '" " ..... C' ^~ <ô q~ -,.-"--_.._----"------,. . ~ ,,/--- /--- ~ ---~' _,co{ \-\\I<~ ~ _____,' S\J~~9~,B~~ ---S=;ð;06'':-------' ' ----- ' ' 1-5 2-4 " '\ ~ ~--- --- " ------- ,~ ----- ' "" --- ----- --- ----- / I~ PIPE ___ \ \ \ \. ~ \ ,--- ,~ ,--- fÇ~ , ' _____ S"O~~ 0 _ :€. ,So ,. ~\.\"::":::"---- (j)~O'?€ - Ar~-);. .-:-- ~ --- " --- - - --- - - --- - \...~ - BLOCK 3 LOT 6 AREA = 1.03± ACRES DELTA 39'34',30" DIUS = 230,71' ARC LENGTH 159,36' IRON PIPE , \26,72 NBr~5'20"~ NOTES 1 ,) THIS SURVEY WAS PREPARED FOR THE PARTIES AND PURPOSE INOICATED HEREON, ANY EXTENSION OF THE USE BEYOND THE PURPOSED AGREED TO BETWEEN THE CLIENT AND THE SURVEYOR EXCEEDS THE SCOPE OF THE ENGAGEMENT, 2,) IT IS A VIOLATION OF THE STATE EDUCATION LAW FOR ANY PERSON, UNLESS ACTING UNDER THE DIRECTION OF A LICENSED LAND SURVEYOR, TO ALTER AN ITEM IN ANY WAY, 3.) ONLY COPIES OF THIS SURVEY MARKED WITH THE LAND SURVEYOR'S SIGNATURE AND AN ORIGINAL EMBOSSED OR INK SEAL ARE THE PRODUCT OF THE LAND SURVEYOR, 4,) COORDINATE OISTANCES ARE MEASURED FROM U,S, COAST AND GEODETIC SURVEY TRIANGULATION STATION "EAST END 2", S,) SITE IS IN THE TOWN OF SOUTHOLD, COUNTY OF SUFFOLK REF, DIST, 1000 SEC, 001 BLOCK 1 LOT 3,15 & 3,16 QUALITY CONTROL CERTIFICATION GROUP REVIEWED DATE PROJECT MANAGER I (çA -;Ø.p, SURVEY 4- ç¡.1#'......, eNvIRONMENTAL CIVIL STRUCTURAL ARCHITeCTURAL 6,) SITE IS LOCATED IN R-120 ZONE, 7.) APPLICANT: WILMINGTON TRUST COMPANY (CHRISTOPHER MILLIKEN) c/o ALLIE RARIDON, FISHERS ISLANO, NY 06390 9,) SITE IS SERVICED BY ON-SITE WELL AND ON-SITE SEWAGE DISPOSAL SYSTEM, 10,) BASE FOR LEVELS: NGVO 1929, 'If.". ¿7 FILE J4713 ~~ ~R~l ~ :O!¡~ I~ ,.~.._-_..._---- __.,_ ,,_______,__,_,_ ,__~___. ___... __u _ _..___ _ ~-- --. --~._------_.- ---..-- ,-----,-,---_.- ".-- .. .. --------- ./' ,/ ~ /~-~, /"" ... ... ... '- (>so "- ~~. . . . . ." .;:. ... ... ... .... .... ... "" '" / / ~ \ \ \ \ / /' ,~ . . . ,.\ '\ \ \ . . . . . . . . . . . . . \, \ . . . . . ~\ '\" . . \ IRO~ ___ \ PIPE "" / / /. . / / / / - /. . . . . - - . - . . / / . / - / IRON /' PIPE '-- '-- '-- '-- '-- '-- '-- '-- '-- '.. '.. . '.. . '.. '.. '.. '.. " '\.. '.. 2. :---.. . . / / /' ___ 7' ¿ --- ",,/. --- -/'~ ",,/""- "" / /. /' // // / .' / ~ "" / -"" . . . . --- / . . . . . . . ---,¿ :--- ././ N7B' S~Nt . ./-.. 1~6'-- ./ "- / .. "-.* WLF" ..---- WLF WLF ..__- _'2---- .___----- -- -- ------ ---- ---- --- LIMITS OF FRESHWATER WETLAND.s--vrGEfATION LOCATED 03/18/03 __-- AS FLAGGED BY, S;--LeRENCE N,Y,S,O,E,C, _D-1f94i()2-~~ . · . . . ~ - . . . . . WLP '-- '-- '-- '-- '-- , . . . . . . . . . . WLP . . · -- - '.. '.. . " ~ . . . . . · . WLF .-----16- -- -- .-- -- -- :--- '-- '-- '-- '-- --. -- " " " " " " " ...... ...... ...... '" " ~ ------.----- -- 18------ ~ " " WLF ...... . "" · . · . ." .. ~ ______ 0 -----------~ ~"----- 20- -- ---. '.. " " \ \ , " ...... ...... ...... ...... ", '\ \ . . . --- /2'2.- " .-----. ---------- '-- ------... "\ '\ ............ '" '\, o \ \ · -- .W {l ,'" ",. .o~ " , .r'\¡ ;; U)'" ¡;; EDGE OF LAWN~ ..,............... ....\.. " ___--,';"7'""""-'-------_ -- .... -- ", -- ..--7-ð.- " -" " ...... '.. '.. " \ \ \ - ---. " \ ...... ...... '.. '.. \ ," '\ -z. o _<0. "'- 0>-1 .,'" -a> . ¿ WLP - ./ / -- - ---. . 10' tlMlT OF " DISTUR8ÌìN~ '... "", PROPOSED \ STEPS : )., ". \ , -- , -- " _~,,- PROPOSED ',," STEPS /-'7"_ .--¡--' .-- .--.-- / , .-- / . "'0--- '.---" / , , / , EXISTING p RES'OENCE p ELE:v 31.80 , -.1.--. I _ PROVIDE '" MAINTAIN A / -, ~ CONTINUOUS UNE OF , '<ð~, SILTFENCE THROUGHOUT / '; CONSTRUCTION / /~EDGE OF LAWN I --_..J IRON PIPE IRON PIPE 856,83 W 151,65 Q '--- \ & --I , \ 2 - @'X8'" 1 DRY WELLS ___ ~ ----.--------"f?=-'-i;" - __ 'Ø/ " ,/ \ -~ ", Á,! -, ". /" \ ...... 0'~ -)(._', \ __ " I ..... // -~~n900 ~Ù:o)J....... '\: __-~ ;/'ë-J SEPTIC TANK " /~\ ,i ) r / -----'\ \ ! I I \ \~ I, \ 'I I I \ \ ,I \ "'\ I \ \ \ I I \ \ I I ~LTA - "4'56'34" I' " OIUS = \ B3,08' ARC GTH = 2:~,47' / / \ " / I " , / " , " I' , , I " I ,'- I '- ' " '-_ r , ............... -----1 \ , \ ................ ~ \ '" 7- \ '- -' \ '....... 0 \ , ~ '- ~ \ , 'þ \ , "'b \ " Ö \ '\,,\ \ " \ \ \ \ IROO \ PIP~ \ \ \ \ \ \ GRAPHIC SCALE IN FEET -- BLOCK 3 LOT 5 AREA = 1.43± ACRES ,.., I-.. a '-I ,.., is a èij SouHwltl Tuwn BüJrtlQITrllstees +WELL LEGEND N/F SF -10- -10- -~- MAP REFERENCE SURVEY MAP PREPARED FOR CHRISTOPHER MILLIKEN, BLOCK 3, LOTS 5 & 6, FISHERS ISLAND, NEW YORK, SCALE 1 "=40', PREPARED BY CHANDLER, PALMER & KING, NORWICH, CQNNECTICUT, NOVEMBER 11. '9B8 REVISED 6/14/B9, NOW OR FORMERLY SQUARE FEET EXISTING CONTOUR PROPOSED CONTOUR BUILDING SETBACK LINE 20 10 o 20 , bD e.. 0 - ,S ..... \0 0 >-. ~§ t2 ~ OJ~ Q ~ ~ § Uoo" ¡:: C? ob (/) ,~ off (¡J ,S ~ '" '0: 00 ~ " ~ S ~,~ g" '""I Z ~ c ~ ~~ ~ ~ ~~8q 3 :ç~~~~ e 00 Fi U - 'D ¡:¡ - 00 0 ,~ ~ 6 --I-~ ~~ ~ ~ ..,.. ~'3 g bE ffio h ,§ IIJi. ~~ ;1 ,~ rUt I~ i~ , i :<I ~ '" o 2"- ::50 "-w ~~ U1W '" "- (f) CL Z W I- W (f) ~ - ",,, -I '" ~ -I o'ð~ - ~ "'~ ~ ~2 Ü ~ g - w w '" 0 12 J: 1::5 CL U1 0 n 0 U1 W "'" I- uw (f) (f) OI 0 -'U1 - CD¡¡: ~ CL J: 0 Ü ~ CL " U1 z 0 2 ~ '" 0 ~ ~ irl Q 0 U1 0 w ~ > ~ ~ w ~ 0 a:: ~ ~ , 0 N , 0 d z « " I- " 0 « 0: ~ ~ 0 '" '" - - ro u; ro '" " ~ '" 0 r -; r 0 0 ci ci 0 m N -; N 0 0 Q ~ t; Q Z W w G: ~ w z z ~ , ~ " " u 0 Q Q ¡¡j 05 w " w œ 0 w I Q ~ " m Q 0 U u G: DATE: 04/07/2003 SCALE: 1 " - 20' SHEET 1 OF 1