HomeMy WebLinkAboutTR-5011
Board Of Southold Town Trustees
SOUTH OLD, NEW YORK
PERMIT NO.
ISSUED TO ......
5011
DATE: .. June 24, 1999
FRANK PIROLO
Autl1orti!atiou
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 . June 23
19 99, and in consideration of the sum of $150..00 paid by
En-Consultants. . rnc. for Fl'ank Pirolo ... ....... ..............
of So ut harIlP ton N. Y. and subject to the
Terms and Conditions listed on the reverse side hereof,
of SOJJtholçJ Town T rustee.s authorizes and permits the following: ,
Wetland Pernllt to replace mkmd/lllplace 123 +/- linear ft.of exist.
timber bulkhead with C-Loc Vinyl blkhd. Remove and replace
(inkind /inplace) exist. cement block wall as necessary. Approx. 60c. y'
of clean sand will be trucked in from an upland source for bac'kfil
all in accordance with the detailed specifications as presented in
the oriQ:'nating application. A 12'non-turf buffer will be installed
landward ð the bulkhead. Plans revised&approved 6/23/99 Reg. Mtg
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.
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Albert J. Krupski, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
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Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 11971
Telephone (516) 765-18<)2
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
June 24, 1999
Mr. Robert Herrmann
En-Consultants, Inc.
1329 North Sea Road
Southampton, NY 11968
Re: Frank Pirolo
SCTM#80-3-19.1
Dear Mr. Herrmann:
The following action was taken by the Board of Town Trustees
during its regular meeting held on June 23, 1999 regarding the
above matter:
WHEREAS, En-Consultants, Inc. on behalf of FRANK PIROLO applied
to the Southold Town Trustees for a permit under the provisions
of the Wetland Ordinance of the Town of Southold, application
dated MAY 28, 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 June 23, 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 of the Southold Town Code,
.
.
WHEREAS, the Board has determined that
will not affect the health, safety and
people of the town,
the project as proposed
general welfare of the
NOW THEREFORE BE IT,
RESOLVED, that the Board of Trustees grant a Wetland Permit to
FRANK PIROLO to replace inkind/inplace 123 +/_ linerar ft. of
existing timber bulkhead with C-Loc Vinyl bulkhead. Remove and
replace (inkind/inplace) existing cement block wall as
necessary. Approx. 60 c.y. of clean sand will be trucked in
from an upland source and used as backfill. A 12' non-turf
buffer will be installed landward of the bulkhead. Plans
revised and approved June 23, 1999 at regular meeting.
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 project 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,
~ ~ /4... -¡~z.-fl. 9
Albert J. krupski, Jr.
President, Board of Trustees
AJK/lms
cc: DEC
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Telephone
(516) 765-1892
Town Hall. 53095 Main Road
P.O. Box 1179
Southold. New York 11971
SOUTHOLD TOWN
CONSERV ATION ADVISORY COUNCIL
At 1he meeting of the Southold Town Conservation Advisory Council held Monday. June 21,
1999, the following recommendation was made:
Moved by Richard Smith, seconded by Scott Hilary, it was
RESOLVED to recommend to 1he Southold Town Board of Trustees APPROVAL WITH A
STIPULATION of1he Welland Permit ApplicalÍon of FRANK PIROLO 80-3-19.110 replace
within 18" +/- 123 linear ft. of existing timber bulkhead with C-Loc Vinyl bulkhead. Remove
and replace (inkind/inplace) existing cement block wall as necessary. Approx. 60 c.y. of clean
sand will be trucked in !Tom an upland source and used as backfill.
525 Lake Drive, Southold
The CAC recommends Approval with 1he Stipulation that the bulkhead be inkind/inplace only.
Vote of Council: Ayes: All
MolÍon Carried
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EN- CONSULTANTS, INC.
....... 1329 North Sea Road
ir"ì'0Qjfiâì~jpton. New York 11968
.' D;rl\ I~::.. I ..' 516-283-6360
I. ) - Pax: 516-283-6136
UU· ~fl:zncon@Peconic..net
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TOWN OF SÒUIÚ~I f'
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ENVIRONMENTAL SERVICES
May 26, 1999
Town of South old
Board of Trustees
Post Office Box 1179
Southold, New York 11971
Attn.: Diane Herbert
Re: Frank Pirolo
525 Lake Drive, Southold
SCTM #1000-80-3-19.1
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 (I) set of site photographs.
7. Application fee of$150.00.
I trust this information shall allow you to process our permit request. Should any additional information
be required, please do not hesitate to contact our office.
Sincerely,
Robert E. Hemnann
Coastal Management Specialist
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Enc.
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Albert 1. Krupski President
John Holzapfel. Vice President
Jim King
Manin H. Garrcll
Peter Wenczel
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
ùffice Use Only
COdstal Erosion Permit Application
~Wetland Permit Application
---Grandfather Permit Application
---Waiver/Amendment/Changes
..........Received Application: .51~'4')99
VReceived Fee:$ Jro-
~ompleted Application jí]~J11
Incomplete
SEQRA Classification:
Type I Type II Unlisted
Coordination:(d~sent) ----
........CAC Referral Sent: na-"J9~
~ate of Inspection: ~/J4(Q9
Receipt of CAC Repor~:
Lead Agency Determination:
Technical Review:
V"Puhlic Hearing Held: ftJ/; .3JQ,
Resolution:
Name of Applicant Frank pirolo
45 Hillside Lane
Address Syosset, NY 11791
.
Town Hall
53095 Mam Road
P.O. Box 1179
Soulhold. New York 11971
Telephone (516) 765-1892
Fax (516) 765-1823
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TOWN OF (,'-:11'1 ¡-:nl .
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Phone Number: (516) 682-5858
Suffolk County Tax Map Number: 1000-
Property Location: 525 Lake Drive, Southold
80-3-19.1
AGENT:
(If applicable)
En-Consultants, Inc,
(provide LILCO Pole #, distance to cross streets, and location)
Address:
1329 North Sea Road
Southampton, NY 11968
1
Phone: 516-283-6360
FAX#: :>lb-28J-61J6
Boa. of Trustees Application .
üENERAL DATA
Land Area (in square feet) : ±27,168
Area Zoning: R-40
Previous use of property: Residential
Intended use of propen:y: No Change
P~ior permits/approvals for site improvements:
Southold Trustees
Date
2/23/96
3/29/96
4/96
4/15/96
Agency
DEC 1-4738-01267/00001
COE 96-02040-L2
DOS F-96-142
No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a
governmental agency?
x
No
Yes
If yes, provide explanation:
Project Description (use attachments if necessary):
Replace within 18" +123 linear feet of existinq timber bulkhead
with C-Loc Vinyl bulkhead, Remove and replace (in-kind, in-place)
existing cement block wall as necessary, Approximately 60 cubic
yards of clean sand will be trucked in from an upland source and
used as backfill.
:
Boa. of Trustees Application .
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations: To maintaln existing
erosion control structure.
Area of wetlands on lot:
o
square feet
Percent coverage of lot:
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: n/a feet
Does the project involve excavation or filling?
No
x
Yes
If yes, how much material will be excavated? n/a
cubic yards
How much material will be filled?
60
cubic yards
Depth of which material will be removed or deposited: 2
feet
Proposed slope throughout the area of operations:
o - 10
Manner in which material will be removed or deposited:
Backhoe and truck.
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 replacement within 18" of the existing bulkhead with C-Loc
Sheathing will have no negative effect on the Southold tidal
waters, and there are no vegetative wetlands on site.
3
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)
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14-16-4 (2f87)-Text 12
I PROJECT I.D. NUMBER
SEQR
1 . APPLICANT /SPONSORFRANK PIROLO 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)
525 LAKE DRIVE, TOWN OF SOUTHOLD: SC1M#I000-S0-3-19.l: MAP PROVIDED.
5. IS PROPOSED ACTION:
g N.w o Expansion o Modification/alteration
6. DESCRIBE PROJECT BRIEFLY:
LACE WITHIN IS" +/-123 LINEAR FEET OF EXISTING TIMBER BULKHEAD WITH C-LOC BULKHEAD. REMOVE
AND REPLACE (IN-KIND, IN-PLACE) EXISTING CEMENT BLOCK WALL AS NECESSARY. APPROXIMATELY 60 CUBIC
YARDS OF CLEAN SAND WILL BE TRUCKED IN FROM AN UPLAND SOURCE AND USED AS BACKFILL.
7. AMOUNT OF LAND AFFECTED:
Initially 0.60 acres Uttimately 0.60 acres
8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USe: RESTRICTIONS?
g Yes o No If No, describe briefly
9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT?
~ Residential Dlndustrial D Commercial D Agriculture o Park/Forest/Open space o Oth.r
Describe:
10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR UL TIMATEL Y FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL,
STATE OR LOCAL)?
g Yes DNo If yes, list agency(s) and permit/approvals
DEe. COE, DOS
11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
DYe. ~ No If yes, list agency name and permit/approval
12. AS A RESULT OF PROPOSED AC"ON WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION?
Dyes g No
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Applicant/.ponsor n"(e' TO~D W ASKUCH. ENVIRONMENTAL ANALYST Date: MAY 26,1999
Sign.tur.......---- =ú) / 1 ~ pi /... ~ ,
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If the action is in the Coastal Area, and you are a state agency, ~ piEtIlA"'! 8 Igs ~ ¡0¡
Coastal Assessment Form before proceeding with this ass ent
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NOTICE TO ~~JACENT PROPERTY OWNER
BOARD OF TRUSTEES. TOWN OF SOUTHOLD
In the matter of Frank pirol0 by
En-Consultants, Inc, SCTM~lOOO- 80-3-19.1
~OU ARE gE~BY G:'VEN NOTICE:
1. ~hat it is the intention of the undersigned to request a
?~rmit from the Board of Trust~~S to: Replace within IS" +123
linear feet of existing timber bulkhead w~th C-Loc v~nyl bulkhead.
Remove and replace (in-kind, in-place) existing cement block wall
as necessary, Approx~mately 60 cub~c yards of clean sand will be
trucked in from an upland source and used as backfill.
2. ~hat the property which is the subject Environmental Revi~w
is located adjacent to your property and is described as
:ollows: S2S LakE'> I1r;vE'>. SOlJTholrl
3. ~hat 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
',¡r i ting ,
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: Frank pirolo
MAILING ADDRESS: 45 Hillside Lane
Syosset, NY 11791
?HONE #: 516 682 5858
Ene,: Copy of sketch or plan showing proposal for your
convenience,
.'
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PROOF OF MAI~ING OF NOTICE
ATTACH CERTIFIED MAIL RECEIP~S
Name:
Address:
Frank pirolo
40 Hill Top Road
Syosset, NY 11791
Gene M. Rotert
231 Canterbury Drive
Ramsey, NJ 07446
S~ATE OF NEW YORK
COUNTY OF SUFFOLK
doing business En-Consultants, Inc.
Todd Waskuch , ~~Etù1nçxat 1329 North Sea Road
Southamvton. NY I being duly sworn, deposes and says
tha~ on ~he ~nth day of May ,19~, deponen~ mailed
a ~rue copy of ~he Notice 5e~ forth in the Board of Trustees
Applica~~on, directed to each of the above named persons at ,-he
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
Sta~es Post Office at Southampton , that said Notices
were mailed to each of said persons by (certified) ~~§ßð~ä4)
mail.
~~
/~~~
Todd Waskuch
Sworn to before me this ..;;....(p~
day of ~ ,19 7'1
~~.~~
No~ary Public
rf;i1. r r
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KIM H. STEPHENS
@ 1::to'1 Publlc-S1a18 01 Now YOIII
Í'A:r';r_,?'~'!1miS~lon No. 5015931
~.. _._...._d In . SuIId
Countin 9",
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Albert J. Krupski, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 11971
Telephone (516) 765-18ft2
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
BOARD OF TRUSTEES: TOWN OF SOUTHOLD
-----------------------------------
In the Matter of the Application
of
-lJc~~~~j_~QJ_Q________________
COUNTY OF SUFFOLK)
STATE OF NEW YORK)
I,YoUt1 ~t\t.rN
AFFI~AVIT OF POSH~~NSUL1ANTS INC.
, r'ii¡:~ª at 1329 NORTH SEA RD.
SOUTHAMPTON, N.Y. 11968
516·28363G8
being duly sworn, depose and say:
That on the I b TH. day of :fvN!t , 199ct I personally posted the
property known as 52'? LA-~ ï::Iú..... ~n-tIiL~
by placing the Board of Trustees official pos er 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 ~he
public hearing, (date of hearing noted thereon to be held JI)..~ ~~ 1,£:¡Iqt¡
Dr\ t'\'f' abQú.-\ ,,)',00 P I'C\ .
Dated:
Sworn to before me this
d)ylAday of Jc/4....( 1997
~>rt ~~
Not . Public
KIM It. 8I'EPIIEN8
@ Notary PublJo.llltll of New YoIII
~ Q"O!~:;~~'~lon No. SOIS~lk
Counll8l
Cc:::m;.sion EmÎ;" Auoult 2. 'ZJ.
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Z 505 468 n24
us Postal Service
Receipt for Certified Mail
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Postage
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Special Delivery Fee
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Restricted Delivery Fee
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US Postal Service
Receipt for Certified Mail
No Insurance Coverage Provided.
Do not use for International Mail See reverse
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34iÞrd of ~=~stees APPlicati4jþ
County of Suffolk
State of NÏRZ? fJ;fò/D
JIM frt&Lù
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 HF~Y AUTHORIZE THE TRUSTEES.
THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPE.~TY
TO INS?ECT THE P~!ISES IN CONJUNCTION WI~EW OF THIS
APPLICATION. ~ <-~A-
~~ði-~/ L
BEING DULY SWORN
Signature
S;';ORN ~O 3E?CRE 11£ TI::S
d9'4 DAY OF ~
, 19.:!:f-
~a(!;·?~:r
RAfAEL A. ORTIZ
Notary Public, State of New York
No. 41-5011344
Qualified ¡n Queen~ coun~O I
Commission Expires AprIl 12, ~
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.
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(pr':'nt: owner of
AUTHORIZATION
residing
at Irs- ¡)¡ß¡iJ(!fj. Sf!Jssr1'>J.ý
(mailing address) 1/79/
proper1:YJ
do hereby au~hor,:,ze
£ft~ t()/r./ÇÙL UAf1(
(Agen-::.)
/ N C to apply for per;:¡i 1: (s) from ~he
SOU-::'~3~ari ~f TO"~ Trus-::'ees
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BOARD OF TRUSTEES
AKE DRIVE
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EN-roNSI IU ANTS INC.
1329 NORTH SEA RD.
SOUTHf\MPTON, N.Y. 11968
516-2836360
Nota:
1) PurpoM: Maintain existing ero.ion-control stnICture
Z)Datum: ALW
3)New Bulkhead to be C-Loc sheathing
4) Property location: 5Z5 I..ake Dri....
Southold; SCTM #1000-80-3-19.1
5)Approx. 60 c.y. of cleon sand to be t"",ked in from
CI'I uplCl'ld source and used as backfill
6) Adjocent owners:
1. Kuo
Z. Rotert
PROPOSED BULKHEAD REPLACEMENT
(IP) WITH C-LOC FOR FRANK PIROLO
ON YACHT BASIN OFF SOUTHOLD BAY,
SOUTHOLD, SUFFOLK CO., NY,
SHEET 1 OF 1 5/11/99,6/22/99
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Notes:
1) Purpo8e: Maintain existing cro.ion-control st'rocture
2) Datum: ALW
3)New Bulkhead to be C-Loc sheathing
4) Property location: 525 Loke Drive.
Southold: SCTM #1000-80-3-19.1
5)Approx. 60 c.y. of clean -.d to be trucked in from
on uplond source ond UKd os backfill
6) Adjacent owners:
1. ICuo
2. Rotert
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EN-CONSULT ANTS INC.
1329 NORTH SEA RD.
SOUTHAMPTON, N.Y. 11968
516·283-6360
PROPOSED BULKHEAD REPLACEMENT
(IP) WITH C-LOC FOR FRANK PIROLO
ON YACHT BASIN OFF SOUTHOLD BAY,
SOUTH OLD, SUFFOLK CO., NY,
SHEET 1 OF 1 5/11/99,6/22/99
LAKE DRIVE
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Notes,
1) Purpo"", Maintain existing erosion-control stNcture
2) Datum: ALW
3) New Bulkhead to b. C-I.oc sheathing
4)PropeMy location: 5251.ake Dri....
Southold; SCTM #1000-80-3-19.1
5)Approx. 60 c.y. of clean sond to b. t"",ked in from
on upland source and used CIS backfill
6) Adjacent owners:
1. Kuo
2. Rotert
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ENrQfI SllUANTS INC.
1329 N0RTH SF A RO.
SOl ITHAr...,PT0N, NY. 11968
516·283-6360
PROPOSED BULKHEAD REPLACEMENT
(IP) WITH C-LOC FOR FRANK PIROLO
ON YACHT BASIN OFF SOUTHOLD BAY,
SOUTHOLD, SUFFOLK CO., NY,
SHEET 1 OF 1 5/11/99, 6/22/99
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'( ACHí EN-CONSUL TANTS 1Në: fi~\' 2. 8
1329 NORTH SEA RD, \ 1'1;
OUTHAMPTON N Y 119S-À L--.,-.
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LAKE ORIVE
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\) P\rpoN: Maintain .,.¡otlng __I otnJct\n
2)0atum: ALW
3)New Bulkhead to be C-Loc: sheathing
4)Propcrty location: 525 Lake Driw.
Southold: SCTM #\000-80-3-19.1
5)Approx. 60 c.y. of 01.... ..."c to be tNCkcd in from
(J"' upland .-urc:e and u.ed " backfill
6) Adjocent owner.,
1. Kuo
2. Rot£M
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PROPOSED BULKHIC~ REPLACEMENT
WITHIN 18" WITH C-LOC FOR FRANK
PIROLO ON YACHT BASIN OFF SOUTHOLD
BAY, SOUTHOLD, SUFFOLK CO., NY,
SHEET 1 OF 1 5/11/99
LAKE DRIVE
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\,\1 aT\.SIN loff EN-CONSULTANTS INC. ŒrŒ ®_~ 0 I
'( T\.C 1329 NORTH SEA RD.
SOUTHAMPTON, N.Y. 11968 LM.AY 2 8
516-283-6360 ..
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tI21ø:
1) P\rpoM: MaIntain CJd-'ing _an-control otnJct\re
2) Datum: ALW
3)New Bulkhead to be C-Loc sheathing
4) Property location: '2' Lake Dri"".
Southold: SCTM #1000-80-3-19.1
')Approx. 60 c.y. of cI_ oond to be t"",ked in from
CI'1 uplmd "'UI"Cf: and uad a. backfill
6) Adjocent owners,
I. I:uo
2. Rotert
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PROPOSED BULK H w.ID REPLACEMENT
WITHIN IS" WITH C-LOC FOR FRANK
PIROLO ON YACHT BASIN OFF SOUTHOLD
BAY, SOUTHOLD, SUFFOLK CO., NY,
SHEET 1 OF 1 5/11/99
LAKE DRIVE
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\'Ii Bþ<SIN tOff S EN·CONSULTANTS INC.
'( þ<C 1329 NORTH SEA RD.
SOUTHAMPTON, N.Y. 11968
516-283-6360
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Z) Datum: AL W
3)New Bulkhead to be C-Loc: lheathing
4) Property location: ~Z~ l.Gkc Dri"".
Southold: SCT'" #1000-80-3-19.1
~)Appl'O"- 60 c.y. of cI..., oond to be tnJCkcd in f...m
an uplmd .,urce and u..d ctI backfill
6) Adjacent Ownct's,
I. Kuo
2. Rotert
PROPOSED BULK" IC~ REPLACEMENT
WITHIN IS" WITH C-LOC FOR FRANK
PIROLO ON YACHT BASIN OFF SOUTHOLD
BAY, SOUTHOLD, SUFFOLK CO., NY,
SHEET 1 OF 1 5/11/99
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I\I'PLICI\NT
TRI\NSI\CTIONAL DISCLOSURE FORH
The Town of Southold's Code of Ethics prohibits conflicts of
interest on the part of town officers and employees. The
!Œ.!:pose 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.
YOUR HAMS.
kJ. tj J /ftrÚ ¿. P£ÒW
(Last mime, 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.)
NATURE O!" API'LICI\T.!ON. (CI\lwk al t t.hat. apply.)
Tax grievance
variance
Change of zone
^p.Píoval of þlat
Exemption from plat or official map
other
(If "Other," name the activity.)
Uo you perøonally (or through your company, npOllne, nlbllng,
parent, or child) have a relationship with any officer or
employee 01' the '('ovn 01' Southold1 -R.Hationøhlp- includes
by blood, marriage, or buniness intereøt. -ßusiness
interest- meann a businesn, including a partnernhip, in
vhich the tovn officer or employee has even a partial
ovnernhip of (or employment by) a corporation in vhich
the tovn officer or employee ovnn more than 5% of the
shares. j
YES NO
If you annvered -YES,- co~plete the bal~nce of this form and
,late and sign vhere '..ndic¡¡¡ted.
rlame of person employed by the Town of Southold
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 that apply).
1\) the owner of greater than 5% of the shares of the
corporate stock of the applic~nt (when the applicant
is a corporation),
B) the legal or beneficial owner of any interest in a
noncorporate'entity (when the applicant is not a
corporation),
c) an offt~prr ~1_rgC~~ri par~~g~, c= cmpl~ye6 of Lha
applicant, or
D) the actual applicant.
DESCRIPTION OF RELI\TIONSIIIP
Submitted ~ day of 199_
signature --7<-#.-- ~¿u¡¿
¡¿ 7 I ¿,òl.O
Print name~ . ~ /
ul.,(fïC( L /'/r&/o
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ID( :~~ ~ je
TOWN OF SOUTHOLDj
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Mt OFFSETS 1$1t IMt""SION$¡
'MO.....N HEII:!ON fll:OM TliE
,TlWLTUJUIi TO THf I'ffOP'EIHV
II'M ARE fOl " mOfK PUIl_
''OeI ANIII Uif AND rHER~OW:E
\ME NOT INtJNOED TO QUID( THE
:RICTION Of FrNns, RETAINING
NAllS, POOLI. PATI06. PlANTING
ð,ltfAl. ADDITION TO BV14.0lNGS
)1tAN'f 0'I't-H CONSrftUCTION.
JNAfJl'HOlUZtD AlTiltATlON OR
\DOmQN 10 THI$ :k!ItVEY IS A
'IotA-noN Of secTION 7209 Of
HE NItW 1"'()WW "TATF !'OUÇATI()N
ow.
GUARANTEED ONLY TO
(I,.-r rTo,to-
QOLD F. TRANCHON JR.
camant
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Fe o7'E;
wall 3.4'E.
waI13.2'E·
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= 203'
0
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F.C.0.2 E.
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DRIVE
fhe eX!qf:'ncc of ri~::ht of \\!c1YS and or ea'jemenr~
of record, if any, not shown are not guaranteed.
GIJAkAf'oTEE5 II'IIUI"::AId... 11~~;uf\,
SHALL IlUN ONlY TO "* ÆRSON
FOR WHOM THf su.lV!Y 15 PRI-
PAllED, AND ON HI6 !SfHAlF TO
tHe TlTL.': (¡t)NJ>ANY, OO'II'ERNMfN
TAL AGENCY Af'.&') tENDING INSTI-
TUTION LISTED H.EIlEON. Þ.ND TO
THE AS6IGNfES Of THE LE'NDIN(,
INSTITUTiON ü-UÞ.RÞ.NTEES ARt
NOT TRAN6F£R.4BlE TO AOOITtQNA.
INSTITUTIONS O~ '>UBSEQUEN
OWNf:I1S
C'OPti.S OF ~IS ~'( M.AP NG
BEAR'NG THE LAÑD 5UI!VEYO~'
t....kW SEAL 01/ 'iff
JOB NO. 95-160 FILE NO.REYDON SHORES
SURVEYED FOR FRANK and DIANA PI ROLO
LOT NUMBERS 2 and 3 RESUBDIVISION OF
BLK."F· MAP OF REYDON
SHORES
NY
SITUATED AT SOUT HOLD
TOWN OF SOUTHOLD ,SUFFOLK COUNTY,NY
SCALE 1" ; 30' DATE 5 - 8 - 1995
FILED MAP NO. 1215 DATE 10 - 7- 1936
TAX MAP NO 1000-80-3-19.1 ralanly disk 135
HAROLD F. TRANCHON JR. P.c.
LAND SURVEYOR
SUCCESSOR TO WILLIAM G MEIER
NORTH COUNTRY ROAD - WADING RIVER
NEW YORK 11792
1516\ 929-4695
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