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Home My WebLink AboutTR-5085 Board Of Southold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. 5étS-- DATE: ..J:)ec. I, 1999 ISSUED TOu. PETER .~..J?HYLLIS GUNN Autqnrizutinu 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 York 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 WATERS;" and in accordance with the Resolution of The Board adopted at a meeting held on ..N.ov.. . 30., 1999 19 99, and in consideration of the sum of $150.00 paid by En-Consultants Inc., for PETER & PHYLLIS GUNN of .. Southold. N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, of South old Town Trustees authorizes and permits the following: _ Wetland Permit to constr. a 2 story house with attached deck, & , perv. drive., clear an upland area up to 40' landward of tidal wet¡ ~' boundary, establish and maintain a 40' wide non-dist. non-fert. ~. ., buffer adjacent to tidal wet!. bound. all depicted on the site plan ~ date",1I in accordance with the detailed specifications as presented in Nov.the originating application. 23, 1999. IN WITNESS WHEREOF, The said Board of Trustees ~re- by causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. Ken Poliwoda Trustees Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda . ~¡¿~ If.....~~ ~'"'. i'~' ~\" :::> ~", Q .. '~ . en =e ,;'1 /ð. ~,ì '.i . i':yÝ . Town Hall 53095 Main Road P,O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 1, 1999 En-Consultants Inc. 1329 North Sea Road Southampton NY 11968 Re: PHYLLIS GUNN SCTM #90-1-15 Dear Mr. Herrmann, The following action was taken by the Board of Town Trustees during a Regular Meeting, held on November 30, 1999, regarding the above matter: WHEREAS, PHYLLIS GUNN, applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated September 29, 1999 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 November 30,. 1999, 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, WHEREAS, the structure complies with the standard set forth in Chapter 97-18 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 approves the application of PHYLLIS GUNN to construct a two-story dwelling and attached deck and pervious driveway, clear an upland area up to 40' landward of the tidal wetland boundary and establish and maintain a 40' wide non-disturbance/non-ferti1ized buffer adjacent to the tidal wetland boundary, all as depicted on the site plan prepared by Joseph Ingegno, dated November 23, 1999. BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency which may also have an application pending for the same or similar project. Permit to construct and complete pro;ect will expire two years from the date it is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. FEES: None Very truly yours, t2lt~·1 9- /~~. Albert J. Krupski, Jr. President, Board of Trustees AJK/djh cc. DEC Dept. of State ACE . . ~ NOY 2 6 1999 1329 North Sea Road Southampton, New York 11968 516-283·6360 Fax: 516-283-6136 E-mail: encon@peconic.net EN- CONSULTANTS, INC. ENVIRONMENTAL SERVICES November 23, 1999 Board 0 f Trustees Town of South old 53095 Main Road Southold, NY 11971 RE: PHYLLIS GUNN. LITTLE PECONIC BAY LANE. SOUTHOLD Dear Board Members: As we discussed during our meeting at the Gunn property on Wednesday, November 17, please fmd enclosed (3) copies of a revised site plan, depicting a revised location of the tidal wetland boundary and 40' non-disturbance buffer located adjacent thereto. Please note that the proposed house and deck is now situated within your jurisdiction and the proposed well, which has been relocated to the southwest corner of the parcel, is now out of your jurisdiction, Therefore, the project description for the subject application should now read as follows: Construct a two-story, one-family dwelling and attached deck and pervious driveway; clear an upland area up to 40' landward of the tidal wetland boundary; and establish and maintain a 40' wide non-disturbance/non-fertilization buffer adjacent to the tidal wetland boundary, all as depicted on the site plan prepared by Joseph Inegno, last dated 23 November 1999. Letter of non-jurisdiction requested for emplacement of a sanitary system to be located more than 130' landward of the tidal wetland boundary. Although I trust that a permit can be issued at your regular meeting 000 November 1999, please contact me should you require any further information. I thank you for your time and cooperation with this application. Robert E. Herrmann Coastal Management Specialist Enclosures cc: Phyllis Gunn . . The CAC recommends Approval with the following Stipulations: L All construction is to be 75' landward with no disturbance. 2, The driveway be re-routed to existing right-of-way in order to avoid a negative impact on the freshwater wetlands and fragmentation of the habitat. 3. A new site plan to be submitted prior to final Approval. Vote of Council: Ayes: All Motion Carried Moved by Scott Hilary, seconded by Richard Smith, it was RESOLVED to TABLE the Wetland Penn it Application of LISA EDSON 87-5-25 to clear an upland area up to 30' landward of the tidal wetland boundary and establish a 30' wide non-disturbance buffer adjacent to the wetlands, Letter of non-jurisdiction requested to construct a two-story, one-family dwelling, attached deck, and swimming pool, all on pilings and a pervious driveway; connect to public water; install a sanitary system and place 600 c,y. of clean sand fill for sanitary system, 9326 Main Bayview Ave" Southold The CAC Tabled the application because the property was not staked and had concerns regarding the wetlands delineation's to the west and the north within 75' of proposed structure. Vote of Council: Ayes: All Motion Carried Moved by Scott Hilary, seconded by Ken Meskill, it was RESOLVED to TABLE the Wetland Pennit Application of PHYLLIS GUNN 90-1-15 to clear an upland area up to 50' landward of the tidal wetlands boundary; establish a 50' wide non-fertilization/non-disturbance buffer adjacent to the wetlands; and install a drinking water well. Letter of non-jurisdiction requested for construction of proposed house, deck, and driveway and sanitary system, as all work will be conducted more than 75' landward of the tidal wetland boundary, Little Peconic Bay Lane, Southold The CAC Tabled the application because the property was not staked. Vote of Council: Ayes: All Motion Carried Moved by Richard Smith, seconded by Ken Meskill, it was . . Board of Trustees Town of Southold October 7, 1999 Ref. Bldg. Permit' sctm # 1000 90-1-15 Dear Sirs, We, the undersigned are the owners of the home on Lot # 130, Tax Map # 473889 90-1-14. In reference to the above building permit, we have one concern. The proposed location for the cesspool system is on a direct downward line with our well water. Since we use this water for all household purposes, we would like to be assured that any below surface sewage will not seep into our welL We feel that a cesspool in such a location might make our drinking water vulnerable. Our well is relatively shallow and we are well aware of the danger of run-off of E. Coli and other bacteria into our well, However, we'll leave it to the experts to determine, d r':\ , , , u\ [,', ( Sincerely YO,11rs-, ~ _ . < '_ l < Stan & Doni'Roilaski >¿/' <. ", ~ / " ' ,. , OCT - 8 /999 . . Telephone (516) 765-1801 Town Hal!, 53095 Main Road P,O. Box 1179 Southold, New York 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Monday, October 18, 1999, the following recommendation was made: Moved by Scott Hilary, seconded by William McDermott, it was RESOL VED to TABLE the Wetland Permit Application of PHYLLIS GUNN 90-1-15 to clear an upland area up to 50' landward of the tidal wetlands boundary; establish a 50' wide non- fertilization/non-disturbance buffer adjacent to the wetlands; and install a drinking water welL 2145 Little Peconic Bay Lane, Southold The CAC Tabled the application because the property was not properly staked and labeled. Vote of Council: Ayes: All Motion Carried ~ . . ~ EN- CONSULTANTS, INC. 1329 North Sea Road Southampton, New York 11968 516·283·6360 Fax: 516·283·6136 E-mail: encon@peconic.net ENVIRONMENTAL SERVICES September 22, 1999 '--~------ . Town of South old Board of Trustees Post Office Box 1179 Southold, New York 11971 Attn.: Diane Herbert II ~ ì ,I SEP ') 9 '" i Re: Peter Gunn Little Peconic Bay Lane, Southold SCTM #1000-90-1-15 ..' ( -----_: Dear Ms. Herbert: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: I. Three (3) Wetland Permit Applications, ( including Notice and Proof of Mailing to adjacent owners). 2. Three (3) Short Environmental Assessment Forms, 3. Three (3) copies of authorization & disclosure forms. 4. Three (3) work plans. 5. Three (3) copies of survey. 6, One (1) set of site photographs. 7, Application fee of$150.00 wetlands. I trust this information shall allow you to process our permit request. Should any additional information be required, please do not hesitate to contact our office. Sincerely, Robert E. Herrmann Coastal Management Specialist /khs Ene. , . ~~ ~~~UFFOL.t -"~ :7 ~"", "a '\. ù<~ ¡¿,. ';:, ,!--., ~'" ,l~ ::) ~ ~, ,~Q .'OJ ~rn ::e;J' ~./.i' . . Alben J, Krupski, President John Holzapfel. Vice President Jim King Martin H. Garrell Peter Wenczel BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only COdstal Erosion Permit Application ~Wetland Permit Application Grandfather Permit Application ---waiver/Amendment/9han~s eceived Application: /~9 99 '" Recei ved Fee: $ I <:r> - ~Completed Application ,/~/q~= Incomplete SEQRA Classification: Type I Type II Unlisted Coordination: (date sent) ---- OO"1:AC Referral SeI.1t: ~~iJ¡? ~ate of Inspect~on: Receipt of CAC Report: Lead Agency Determination: Technical Review: ....--Þublic Hearing Held: IOI.!J?/9Q Resolution: ITlof~;' , 1I~~r- -' IUt~ 19' "n!1"~.' , " , " -" . . .\.... ' Name of Applicant Phyllis Gunn 5~8 Avalon Gardens Drive Nanuet , NY 10954 Address Phone Number: (914) 371-3688 Suffolk County Tax MaB-- Number: 1000- , \1.-\'.:> Property Location: ~ Little Peconlc Bay 90-1-15 Lane Town Hall 53095 Main Road P,O, Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 .-: (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) En-Consultants, Inc. Address: 1329 North Sea Road Southampton, NY 11968 Phone: 516-283-6360 FAX#: 516-283-6136 1 ~ard of Trustees APPlicati~ GENERAL DATA Land Area (in square feet) : 21,666.35 Area Zoning: R-40 Previous use of property: Vdcant Intended use of property: Re<;1.aent.ial Prior permits/approvals for site improvements: Agency Date xx No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? XX No Yes If yes, provide explanation: Project Description (use attachments if necessary): SEE AT'fACHED ? . . PROJECT DESCRIPTION PHYLLIS GUNN LITTLE PECONIC BAY LANE SOUTHOLD, NY SCTM #1000-90-1-15 Clear an upland area up to 50' landward of the tidal wetlands boundary; establish a 50' wide non- fertilization/non-disturbance buffer adjacent to the wetlands; and install a drinking water wel~ all as depicted on the site plan prepared by Joseph Ingegno, dated 22 June 1999. Letter of non-jurisdiction requested for construction of proposed house, deck, driveway and sanitary system, as all work will be conducted more than 75' landward of the tidal wetland boundary, pursuant to Southold Town Code Chapter 97. ilÞard of Trustees ÀPPlicati~ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Development of vacant parcel. Area of wetlands on lot: 930 square feet Percent coverage of lot: ± 4 "- o Closest distance between nearest existing structure and upland edge of wetlands: n/a feet Closest distance between nearest proposed structure and upland edge of wetlands: 97 feet Does the project involve excavation or filling? x 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, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations ,(use attachments if appropriate): The project wi..11 not adversely impact the aajacent tlaal wetlands Or Town waters, as all proposed structures will exceed the reaulred wetland setbacks and tall beyond the Trustees' jurisdiction under Chapter 97. A permit is reauired onlv for clearina withln 75' but this clearing will occur no closer than 50' from the wetland boundary, and a 50' non-dlsturbance buffer will be maintained adJacent to the wetlands to mitigate any potential impacts of development. 3 14-16-4 (2I87)-Texl12 I :ROJECTIDNUMBER 61 7,21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I-PROJECT INFORMATION (To be completed by Applicant or Project sponsor) . I . SEQR 1 . APPLICANT ¡SPONSOR PHYLLIS GUNN BY I 2. PROJECT NAME EN-CONSULTANTS, INe. 3. PROJECT LOCATION: Municipality SOUTHOLD County SUFFOLK 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide map) LITTLE PECONIC BAY LANE, SOUTHOLD, NY; SCTM #1000-90-1-15 5. IS PROPOSED ACTION: 181 New o Expansion o Modification/alteration 6. DESCRIBE PROJECT BRIEFLY· SEE ATTACHED 7_ AMOUNT OF LAND AFFECTED: Initially +/- 0.497 acres Ultimatety +/- 0.497 acres 8 WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? 181 Yes o No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? g Residential o Industrial o Commercial o Agriculture o Park/Forest/Open space D Qthe' Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING. NOW OR UL TIMATEL Y FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? 181 Yes DNo If yes, list agency(s) and permiUapprovals iDEC, SUFFOLK COUNTY HEALTH DEPT. 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? DYes ~ No If yes, list agency name and permiUapproval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? DYes 181 No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE ^"Phcanusponso,rz:' ROY L. HA~, PRESIDENT FOR ROBERT E. HERRMANN Date: SEPT. 20, 1999 S'gnatu,e ~ ,/ i/~ V If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment nVI'R . . ... ,. ~ PROJECT DESCRIPTION PHYLLIS GUNN LITTLE PECONIC BAY LANE SOUTHOLD, NY SCTM #1000-90-1-15 Clear an upland area up to 50' landward of the tidal wetlands boundary; establish a 50' wide non- fertilization/non-disturbance buffer adjacent to the wetlands; and install a drinking water well, all as depicted on the site plan prepared by Joseph Ingegno, dated 22 June 1999. Letter of non-jurisdiction requested for construction of proposed house, deck, driveway and sanitary system, as all work will be conducted more than 75' landward of the tidal wetland boundary, pursuant to Southold Town Code Chapter 97. . . NOTICE TO Þ~JACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of Phyllis Gunn SCTM#1000- 90-1-1~ YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: SEE ATTACHED 2. That the property which is the subject Environmental Review is located adjacent to your property and is described as follows: Little peconic Bay Lane 3. That the property which is subject to Environmental Review under Chapters 32,37,or 97 of the Town Code is open to public comment. You may contact the Trustees Office at 765-1892 or in writing. The above referenced proposal is under review of the Board of Trustees of the Town of Southold and dose not reference any other adjacent that might have to review same proposal. OWNERS NAME: Phyllis Gunn MAILING ADDRESS: 558 Avalon Nanuet, NY PHONE #: 914-371-3688 Gardens Drive 10954 Enc.: Copy of sketch or plan showing proposal for your convenience. . . PROJECT DESCRIPTION PHYLLIS GUNN LITTLE PECONlC BA Y LANE SOUTHOLD, NY SCTM #1000-90-1-15 Clear an upland area up to 50' landward of the tidal wetlands boundary; establish a 50' wide non- fertilization/non-disturbance buffer adjacent to the wetlands; and install a drinking water well, all as depicted on the site plan prepared by Joseph lngegno, dated 22 June 1999. Letter of non-jurisdiction requested for construction of proposed house, deck, driveway and sanitary system, as all work will be conducted more than 75' landward of the tidal wetland boundary, pursuant to Southold Town Code Chapter 97, \ . . ?ROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: Stanley Rogalskl Box i9¿6, Little Peconlc Bay Lane ~outhold, New York 1197i 'i'homas Prokop 33 Rlclunond Boulevard Rockvil1e Centre, NY 11570 STATE OF NEW YORK COUNTY OF SUFFOLK aoing business En-Consultants, Inc. Roy L. Ha]e , <r~:I§.1t~ at 1.329 North Sea Road Southampton, NY , being dUly sworn, deposes and says that on the .;J<f,J.h.. day of September ,19~, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at Southampton , that said Notices were mailed to each of said persons bY~rtified) (<r~~~~) mail. /4 ' ~ ,~~ Roy L. Haje, presldent tor Robert E. Herrmann Sworn ~efore me this 025/~ day of .-,r:J.-n"b.." ,199'7 . I ~ '?~ 1Á 0/.. ~~ ~/ ~otary Public i,,':, H, STEPHENS ~ ::':;::-S~3tO of New Vert .:" f)" 50159,)1 . G:.::'-"t, . - ''::'3 L_. _ . _ _ -.r~- ?:.:: .'~~g~:: ;~~ 6 . . GVN'\ Z 385 220 013 us Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail (See reverse) Sen!!J-'; ( ---;;;~:J ~"n Oif1':¿ Street&Nu~r TS/L·/.. "'~"~ ¡-",eh,'ùo,) ~t Office, Slat~, & z~ Gode 1'1¡J 'I (7C' 1¡...."()._tvJ lie -F.,,*,,, Poslage $ ~ Certified Fee I "';Ù Special Delivery Fee Restricted Delivery Fee on 0> Return Receipt Showing to / 0> /. ~) ~ Whom & Date Delivered - "- Return "'Opt Showing 10 Whom, .. Date,&Adlkessee'sAdciess Q $ ; C> TOTAL Postage & Fees CD ... Posimark or Date v· E 0 "- en a. Gi<~" Z 385 220 012 us Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use lor International Mail 'See reverse ~)'%/] It'" Street & Num Pos!age $ Certified Fee 0 Special Delivery Fee Reslncled Delivery Fee on 0> Return Receipt Showing to 0> I ;:¿ '> Whom & Dale Delivered I- §. Return Aecetpt Showt1g10 Whom, « Dale, & Addressee's Address Q $ C> TOTAL Postage & Fees CD ... Postmark or Date E <5 "- en a. 3card of ~r~stees Application . . n .tc ':'~L u·h.; ., Coun~y of Stiffelk State of New York ()/ II /ì r ì ~ I ~ l-· L< h ,ì 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 APPLI CANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN 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 r S) OR REPRESENTATIVES ( S ).' T~~ ONT P OPERTY TO INSPECT THE PRD1ISES IN CONJUNCTIQN ~~n ~1I S APPLICATION_/ , / 7 /~, SWORH TO 3E?':::RE HE '!'P.:s DAY OF '--/,¡;...1\...c.. 1 Q 'ì 9 ,-...- i , ;1,[ J J)' 1 ¡L, J ~'~(J Nc-:a.rj." ?!.l.Ci.:..= ::.-\N M. COHEN No. 4823436 r':"3~ Pub:i~, State of New Vorlc _ Qualified in 90Cklend County / r OJ ,.. ~m'Sõ'onExp'''Man:h30',7-.JJ ......... tìÞard 0= ~=~=~~es ~PP1~ca~4ïÞn AUTHORIZATION I, fI. Y /, /.. J 5. ~f//,( . (pr~n~ owner of proper~7) residing at (¡So? AI/A /..DIÝ ÇA~DE'I-/S' IJ f(, (ma~ling address) tfA II VET: tI, Y. /0,/ JY J do hereby author~ze (Agen,::) to apply for pe~it(s) from the Sou~hold 3card of my behal.:. ......... . >,,¡,;è~úfFDlÀ /'¡~JI~ t'~'\ i1 .:!§ ~, '" l' ~ ~ ~¡ ,Q =- N '~i en .:æ: (';' S'ð ~# \'., ~ . ~.y '" <Of" ,...<::> 'Î '~~t./ . 't."O,,'\.1Y ~~ . Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poli\\'oda Town Hall 53095 Main Road P,O, Box 1179 Southold, New York 11971 Telephone (516) 765-18f2 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD ----------------------------------- In the Matter of the Application of _~~\L~~_~~tlV)_________________ COUNTY OF SUFFOLK) STATE OF NEW YORK) I , fmr ff~"rtJfJ AFFIDAVIT OF POSTING -pe,Â E',' ,'n"0' II T WTS lNG, , ~C.::3':"'J..i.IlY a"C 1!:~'[',· ~': \ -r¡! ~¡-r, RD. sn; UJ:' "'~f1'J, N,Y. 11968 being duly sworn, depose and say: That on theZorH. day of ~ 1991, I personally posted the property known as t,c.m 1Jb. 1~lJ)- fo - /- I'i L-Im-t ?£r .5A'T uv', S'ùvpto\..ì) by placing the Board of Trustees orficial poster'where it can easily be seen, and that I have checked to be sure the poster has remained in place for seven days prior to the date of the public ~earing. (date of hearing noted thereon to be held ()Ct.ól~lt~ (1')1\ DrOJ)ðÅ-t 'l'Œ ~ . 516·283·6360 Dated: Sworn to befor~e this ~ T"-- day of rJ/LI 199 r:,' ~ 1/ vi ~~~ 'N~~ubliC J t(~~ : L ":T=î-W::NS @' ,'.....,<' ,.,,,·,.¡.'o..,.v... .. .. . rU. ,..-, ;..... ';:.':. ....110 ~., ,_....... ·0," .) ... - ".,. ~'.I~- "'91"':.... .c",::. -~-::~, 1..,. .... _" ~X:;I"~; O~ ~- . . I\I'PLtCI\NT TRI\NSI\CTIONAL DISCLOSURE FORM The Town of Southo1d's Code of Ethics prohibits conflicts of interest on the part of town officers and employees. The £!!!:pose of this form is to provide informa!;ion which can aler!; !;he town of possible conflic!;s of in!;erest and allow It to take whatever action is necessary !;o avoid same. YOUR NAHlh GUr-lrl P(.,YU¡S A (Last name, first name, mldd~e initial, unless you are applying in the name of someone else or other en!;i!;y, such as a company. If so, indicate the other person's or company's name.) NATURE OF I\PPLICI\TION. (Check all that apply.) Tax grievance variance Change of zone ^p.p~Dval of þlat Exe~ption from plat or official map O!;her (If "Other," name the activity.) Do you personally (or through your company, opouoe, oibllng, parent, or child) have a relationship vith any of ricer or employee or the Tovn or Southold? -Relationohip" includes by blood, marriage, or business interest. "Dusiness interest" means a busineßs, Including a partnerßhlp, In vhlch the town officer or employee has even a partial ownership of (or employment by) a corporation in which the tovn officer or employee ovnß more than 5% of the shares. YES NO v If you ansvered ·YES,· complete the balance of this form and date and sign where Indicated. name of person employed by the Town of Southo1d Title or position of that person Describe the relationship between yourself (the applicant) and the town officer or employee. Either check the I appropriate line 1\) 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 tha!; apply). 1\) the owner of greater than 5% of the shares of the corporate stock of the appllc~nt (when the applicant is a corpora!;ion), B) the legal or beneficial owner of any interest in a noncorporate'entity (when the applicant is not a corporation), c) an offi~pr: ~I_r~~to~i pgr~ne~, C~ c~pl~yeG ~f ~ha applicant, or D) the actual applicant. DESCRIPTION OF RELI\TIONSIIIP 5"","'''"d{4 Ld., ~ signature ~ L- Print name /1/1./../5 bc¿dCi.- ~ . z 0 :0£ ~ ,.... ~ a:: .,., ~,,; ...... ~ 0 - ~~ P:: o>-l;~ <:r:: ö --.J 0 ik:~ 0... N 0 ~ I ~8 [5h IWO u~ !D ~> f-ZO'l~o~<.::!L..J :s: ¡;;;>:::J I.q- mZ:¡j ~C:¡~O>-"'O II'-~a.. w ~ t--I 0 A C h::> (/) I- 0 :... Ñ~~ c "'C ~ Z..-- N~O ~ ~ U-::> ~ :ñ~ ¡:: h <I: 00 Ó ... \î!w~ .......~ u z U::::)(f1O:: o CI:I Z VI ""(JI~ 0'1 ~ ~ X g:~ Ó 0 --.J <t: ~ z I- 0 f- gj"~ ~ l.L U' ~~ u... 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I i~ ! g ~ i; ! & ~ <i ~ ~ ~ l~' ~ ï i !~M~: ~ . ê",' " m m~~~~ ~ ; I'~~~~~~ u ~~ ;p.~~ ~ ~~ ~;~ ~~~ In rB.~!io~ ~~~;:~'~i !'!¡f~~~ ~~;¡Mii~ ~~. <0 ~_ ¡n~~~ .' :-:."~. ~." ~ ::~' .' -: ,- ......,..-... . . .:.:~,):/.'.,...:-:. I'· " ',' ! !~~ . ~~o S! ~ . i~ ! I~ ~~~ ~! ~h ~" I ~~ o Vi ~ .' ~þ- ~8~ ,~~ ª. ').~~~()c; ~ S 06'39'33" W S ').v';;{ ~ "__ 86.07' /~.J ~~_T---- ____ --- ----------......: --- 1 _ __ _ ~ ~E,¿,lb.o:rn ~¡/.;1 <:> ~ -_ _ .,f _ 'i.IQH~AIPr '" _ --.¡ £tI '" S33.!s0!I.L :::: ,_ .,j '4- - - - ;¡¡K:..;;(, _'¡-- - -2 ,,' """'008 ~~~ eno'<lOOS ~ o:i .,j lei -- -- - SO.n .,j- ~ - - -- - - -. - - 1-, '" "'M 10'()" ,J"j,J, ~~,~sa"'''os~g~~ 'ú "38"3.01 ' ;; .,j 5- f} __ oj __ -.;¡- _1.3~ ':'9'" .,j.,j.,j .,j. '" NVl -10 NOI1~~e3 03NII'I';;'3Jg 6 <'0 4J ~- __ i.;j -- - -4 :¡ It'''''Jl:O~dc:l'lP' -:¡; -- -=J """ .,j -- ." .,j .,j tJ].:J.:Jn8 3JN'r. NDIl rzr~2,~5jJ::gff ~ l:Y:i< þ2 ~.;' "" o ~ ø:1 ~ ,10, ~ ..; ",..,...", ,þ ~~ d WEST LAKE (UNDERWAT 'ER LAND) fI{ (¡j~ _....~tJ , , , , ~':.-:'-..... , " , ,....-' '....-{.-.... r'-....~I, ) --' --',) .J'''Iv'Þ¡ :IN¡tY,.'l{,Clf]J''' _ -37..-. ~"/a " V.30 ONt) J/lfrPC/:} ... -'f,) ·'2 (~ \Y¡ þ2 ~~ '-I" ~ Q\/ERI1EAD WlRES- .(,¡.~ "~~ .Y-~',:"7': '.·'.N Ó'lERH[.A.D WIRES .IiJi ." /' EDGE or OIRT :' &: GRAvEL ROAD.....AY / PRIVATE ROAD ~ , "'" "" ~/"'..... </;~~ <!;// "00 ~ " " <>J "'~v \b:i ci w ~ VI!:!::::!: ~ .:! .0. '.0 _o~ o~... ~.o "_z ~o... . . -. ::S'ž;z: 1oI'5:J; u~o zØz ~~VI ø ~ s<~!i w, ....c> ~~~ ~ ~ I: li i~ I~ .~ b " i CD N :;,. a ;z on 0 -' uJ 0 uJ .:1 l- X on I- ::> ::> :.u œ 0 ~ l- on ~ \¿ u.. <;).. 0 0 u.. 0 IX. 0 0 ~ ,,~- tX: Z ~. l.. « ~ . " ") r 0 <.') OuJ ~ , I- I- , « ~ \ 0 L ~..., 5: I > g: :: ! 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" . , I:: ~ ,~^:)\ 'i r -- ~ I 2£18J ',,): I..:_'¡ c./) .. ; L " ~ \'.,.,-- ~ I~~-'~;: i I .~ I , i! -Ii i I! I E I~~~ ~ æ ~iri .1· 1° i~ã ~~~ Irei:. i; ~~~ ¡¡I~ 1111;~i 8~ ~ª; ¡h~ êUI~!~ 18: I~ii~ ~I;i I!;tdl ;p ~~e :~i; e~~~lr~ ~~i e~~ ~de §øø~ e~ !U I I! n II II "0 b Id ø ~~ I i ~.; i I· ~ ~~. ~ . §;¡ ~ ; ;loll!¡ ¡ II~I·~:; . . I~'I ~~Iilië; i~h~i'l! I' U:·i2¡ ~Mildl'¡i ¡ii m.! _~i.a!; z T ,; I ~ IIi I i§ª ~ · ~il ~ I 1& n! ~ !3 If¡ ~ I ~J i; (II ,i i i=l. ;1 i i I I I ': ¡ ~~; ~ 11;111 ! ~i~Hmi i Bh 5 ~ i~ h ! 8~'! i ;5 ! I I 118HI ~ ~~~ I I 5'de®lij !U~U I~ I ~ NN ~ ~ ~ I II .1 rl . Ii ~ ...; . ~ ~ I ~ I I ~ 0 I I ~ ,;I~I' r.¡ ...: ~ .... - ~ Iõ · .... ~ WEST LAKE ¡ (UNDERJI'ATE ~ R LAND) ~ ~ " ,,~ i .~ ðS .~~. ~ " S 06'39'33" W S '.\~~~ /. ~ '-1_- 86.07'./ .- -- __-- ~~ __I -'I£.U¡'UD"/ -.... '. _ .. - ~ """"Ttfi-.f . ~ ~ 1- - --, ". -.- ",,vv ~ " , ~ \~~fE~:Wnp , . _ "oi ..,,¡ .; I ¡a . ~ N ,; """~EDG£", '" EN-co. ~ SUtTANTs. ,~ F1AGG£D 8'r ' -- JON( 19t9 .. ~4-_ - nJ.slO-ÑÕÑ - - -- .. __ _-~N_~ _._ _ ., -- -----.:,:-..- ~¡ Æ-::t .:::1 . '~S"'OII< ""'.,,-~ ..,,, .. ,00, /I ~_. \ )-, ~- -, \ ) ~)\} , ,I ! 'I 1'__' .-^ " 'J """"'-'" ..... ROAD @ #;J ~§