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Home My WebLink AboutTR-5640Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. ~,~[0. DATE:~c'~°~r ~-~'''''2002 GWYNETH KETTERER & MARY SYKES ISSUED TO .......................................................................... 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: end the Southold Town Ordinance en- titled ."RE~ULATINC= AND THE PLAGIN6 OF OBSTRUGTIONS IN AND ON TOWN WATERS AND PUBLIC: LANDS and the REMOVAL OF SAND, C=RAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS:!~. and in accordance with the Resolution of The Bbard adopted at a meeting held on ..~.~.9~~-.--~6' ?0(~.~ , and Jn consideration of the sum of $..2.5~.~ .... paid by En-Consultants, Inc. for Ketter~.~.yts~P ............................... of ......... ~Qt~r~p~'9''O ........... N.Y. and subject to the Terms end Conditions listed on the reverse side hereof, of SouthoM Town Trustees authorizes and permits the following: Wetland & Coastal Erosion Permit ~o construct second-story and two-story additions to existing one and two-story, one-family dwelling and install drywells & gutters, with the condition that hay bales areplaced down alor~g ihe bluff .line all in accord'ance with the defa~Tear spe~cahons as the originating application. IN WITNESS WHEREOF, The said Board of Trustees ~ere- by causes ifs Corporate Seal to b.e afl.ix.e.d, and thes.e.l~.res,en.fs fo be subscribed by 'a majority of t~ satd ISoara Ts ct ~ms ease. Trustee~ - /. TERMS and CONDmONS Gwyneth Ketterer & Mary SyI~I~ 052 Hudson St., Apt. 3 South, NY p~t of the coasiderafioa for Ihe issuance of the P,-rm~t does uacler~-_ n~l sad pve~:ribe to the foi- 1. Th~ the said Boaed of Tm~__~__ and the To, mt ot 8omhoid ~e t~lea~l from aw/ ~ ill damages, of .-l.~m~ fat damsge~ of mits szisiag dizecfly m/nd/zecdy ss a ze~Mt of my opez- with zeqaect thereto, to the eampleee exdmloa of the Board o~ Ttmtee~ ~ d~ T~m o~ 8ouChoM 2. That 0als Pennic is' valM for s pet'iod of 24 mos. ~d~id~ h conslde~d to be the for an '"-'"'.~on may be made to the Boetrd at a la~ .~-*~ 3. That this Permit should be t~-tsined inde~mitdy, or a~ long a~ the said p,-~doee wishes to m. lm'~ln the struc'mt'e or project involved, to provide evidence t~ anyone eom:el-ned ebbs- ~ 4. That the work involved will be mbje~z to the impectlo~ mad approval of 1~ ggen~ and non-mmpll~,~e with the provl.dom ~ff the ot~ha~ng ~wocatlo~ of thi~ Pem~it by re~olufio~ of dae ~ald ~ 5. That there will be no unreasonable interference with mvig~tl~__ ~ · remit of the w~k hetetn ~itlod~ed. 7. That if furze opetatiom of the Town of ~outhold requite t~e removal ~md/at altet~lom in the location of the wodc herein authorized, or if, in the op/nkm of the Bom~ o~ Tmstee~ the WO~ ~h. II tax, se ~le obsm~ct~on to free navigation, the ~aJd Penntlzee will be ~ upon clue notice, to remove or alt. et this work ot project herein stated without ~ to the T~m 8. That the said Board will be notified by the Pemaittee ot the ~ o~ tt~ work anth- orlzed. 9. That the Petmlttee will o~ain sll other pet, mlts and comems d~at may be requited sup- plemental to chis permit which may be subject to revoke upo~ f~lnte to obtdn Irene. 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 October 16, 2002 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Robert E. Herrmann En-Consultants, Inc. 1329 North Sea Rd. Southampton, NY 11968 GWYNETH KETTERER & MARY SYKES 1995 RYDER FARM LANE, ORIENT SCTM#15-3-1.1 Dear Mr. Herrmann: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, October 16, 2002 regarding the above matter: WHEREAS, En-Consultants, Inc. on behalf of GWYNETH KETTERER & MARY SYKES 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 September 26, 2002, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a Public Heating was held by the Town Trustees with respect to said application on October 16, 2002, 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 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 GWYNETH KETTEIRER & MARY SYKES to construct second-story and two-story additions to existing one and two- story, one-family dwelling and install drywells and gutters, with the condition that hay bales are placed down along the bluff line during construction. 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 the permit is signed. Fees must be paid, if applicable, and permit issued xvithin six months of the date of this notification. Inspections are required at a fee of $5.00 per inspection. (See attached schedule.) Fees: $5.00 Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/lms Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Route 25 P,O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 COASTAL EROSION MANAGEMENT PERMIT Permit #5640 Date: October 16, 2002 SCTM#15-3-1.1 Name of Applicant/Agent: Robert E. Herrmann/En-Consultants, Inc. Name of Permittee: Gwyneth Ketterer & Mary Sykes Address of Permittee: 652 Hudson St., Apt. 3 South, New York, NY 10014 Property Located: 1995 Ryder Farm Lane, Orient DESCRIPTION OF ACTIVITY: To construct second-story and two-story additions to existing one and two-story, one-family dwelling and install drywells and gutters, with the condition that hay bales are placed down along the bluff line during construction. Permit to construct and complete project will expire two years from the date the permit is signed. SPECIAL CONDITIONS: (apply if marked) __ Bluff restoration through a re-vegetation plan is a necessary special condition of this permit. __ A relocation agreement is attached hereto and is a necessary special condition of this permit. A maintenance agreement is attached with application and is a necessary special condition of this permit. President, Board of Trustees Telephone (631) 765-1892 Tovm Hall. 53095 Main Road P.O. Box 1179 Southold. New York 11971 SOUTHOLD TOWN CONSEI1VATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Monday, October 7, 2002, the following recommendation was made: GWYNETH KETTERER & MARY SYKES to construct second-story and two-story additions to existing one and two-story, one-family dwelling and install drywells. Located: 1995 Ryder Farm Lane, Orient. SCTM#15-3-1.1 The CAC did not make an inspection therefore no recommendation was made. Alber~ 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 YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN MENT FOR A PRE~ONSTRUCTION INSPECTION. FAILURE TO DO SO APPOINT ......... , AT~,, ^~ POSSIBLE REVOCATION OF THE SHALL BE CONSIDEI~I=u PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line Ist day of construction 1/2 constructed Project complete, compliance inspection. Albert J. Krupski, President James King, Vice-President Henry Smith Artle Foster Ken Poliwoda BOARD OF TOWN'TRUSTEES TOWN OF SOUTHOLD Office Use Only g'~oastal Erosion Permit Application ~etland Permit Application ~-' Major Waiver/Amendment/Changes '-ti~:eived Application: ~01 ~ ~Recelved Fee:$ ~ ~,.Gompleted Application~ Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) ~'~C Ref~i:ial Sent~ ,~l~ate of Inspection: Receipt of CAC Report: Lead Agency Determination: Technical Review: ~aublic Hearing Held: Resolution: Minor Town Hall 53095 Route 2:5 P.O. Box 1179 Southold, New York 11971-09:59 Telephone (63 I) 765-1892 Fex (631) 765-1366 Name of Applicant GWY]qETH KEI IERER& MARY SYKES Address 652 HUDSON STREET, APT. 3 SOUTH, NEW YORK, NY 10014 Phone Number:( 212 )9~4-0067 Suffolk County Tax Map Number: 10OO - 15-3-1,~ Property Location: 1995 RYDER FARM LANE, ORIENT (provide LILCO Pole #, distance to cross streets, and location) AGENT: EN-CONSULTANTS, INC. (If applicable) Address: 1329 NORTH SEA ROAD, SOUTHAMPTON, NY 11968 Phone: 631-283-6360 Board of Trustees ApplicOon Land Area (in square feet): Area Zoning: R-40 GENERAL DATA 73,758.49 Previous use of property: RESIDENTIAL. Intended use of property: NO CHANGE. Prior permits/approvals for site improvements: Agency SOUTHOLD TRUSTEES #5311 5-1-01 Date __ 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): CONSTRUCT SECOND-STORY AND TWO-STORY ADDITIONS TO EXISTING ONE AND TWO-STORY, ONE-FAMILY DWELLING AND INSTALL DRYWELLS. oard of Trustees ApplicOn WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: SECOND-STORY AND TWO-STORY ADDITIONS TO EXISTING ONE AND TWO-STORY, ONE-FAMILY DWELLING. Area of wetlands on lot: 0 _square feet Percent coverage of lot: 0 ~ Closest distance between nearest existing structure and upland edge of wetlands: 75 feet Closest distance between nearest proposed structure and upland edge of wetlands: 75 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 oftbe town that may result by reason of such proposed operations (use attachments if appropriate): CONSTRUCTION OF THE PROPOSED ADDITIONS WILL HAVE NO MEASURABLE EFFECT ON TIDAL WATERS OF THE TOWN, AND NO VEGETATED WETLANDS ARE PRESENT ON THE SITE. A DRAINAGE SYSTEM OF DRYWELLS WILL BE INSTALLED TO COLLECT AND RECHARGE ROOF RUN-OFF NOT ONLY FROM THE PROPOSED ADDITIONS BUT FROM THE ENTIRE DWELLING. THE ADDITIONAL CONSTRUCTION OF A TWO-STORY ADDITION MORE THAN 100 FEET LANDWARD OF THE LONG ISLAND SOUND IS BEYOND THE JURISDICTION OF THE BOARD OF TRUSTEES PURSUANT TO SECTION 97-20 OF THE SOUTHOLD TOWN CODE. Board of Trustees ApplicOn COASTAL EROSION APPLICATION DATA Purposes of proposed activity. SECOND-STORY ADDITION TO EXISTING ONE AND TWO-STORY, ONE-FAMILY DWELLING AND INSTALL DRYWELLS.Y. Are wetlands present within 100 feet of the proposed activity? No X Yes Does the project involve excavation or filling? X No Yes If Yes, how much material will be excavated? How much material will be filled? N/A Manner in which material will be removed or deposited: N/A N/A (cubic yards) .(cubic yards) Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) THE PROPOSED SECOND-STORY ADDITION WILL BE CONSTRUCTED ENTIRELY WITHIN THE FOOTPRINT OF THE EXISTING STRUCTURE, RESULTING IN A ZERO PERCENT INCREASE IN THE GROUND AREA COVERAGE OF THE EXISTING STRUCTURE. THEREFORE, THE ADDITION IS DEFINED AS 'q~ONMAJOR" BY SECTION 37-6 OF THE SOUTHOLD TOWN CODE AND ALLOWED IN A BLUFF AREA PURSUANT TO SECTION 37-17(BX4) OF THE SOUTHOLD TOWN CODE. THE ADDITION OF THE SECOND STORY WILL NOT A~'FECT ANY EROSIONAL PA'ITI~RN AT THIS OR ADJACENT SITES NOR HAVE ANY OTHER MEASURABLE ENVIRO~AL IMPACTS. A DRAINAGE SYSTEM OF DRYWELLS WILL BE INSTALLED TO COLLECT AND RECHARGE ROOF RUNOFF NOT ONLY FROM THE PROPOSED ADDITION BUT FROM THE ENTIRE DW~.l.t.r~o. THE ADDITIONAL CONSTRUCTION OF (2) TWO-STORY ADDITIONS ARE LOCATED ENTIRELY LANDWARD OF THE COASTAL EROSION HAZARD AREA BOUNDARY AND THUS BEYOND THE JURISDICTION OF THE BOARD OF TRUSTEES PURSUANT TO SECTION 37-11 OF THE TOWN CODE. NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of appllcant:G~NETHK~TI'ER~R&MAR¥SYKEs SCTM#1000- YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the Permit from the Board of Trustees to: undersigned to request a CONSTRUCT SECOND-STORY AND TWO-STORY ADDITIONS TO EXISTING ONE AND TWO-STORY, ONE-FAMILY DWELLING AND INSTALL DRYWELLS. 2. That the property which is the subject of Environmental Review-is located adjacent to your property and is described as follows: 1995 RYDER FARM LANE, ORIENT 3. That the project which is subject to Environmental Review under Chapters 32, 37, or 97 of the Town Code is open to public comment on:OCrOBER[6,2002 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 does not reference any other agency that might have to review same proposal. GWYNETH KETTER OWNERS NAME: N[ARY SYKES MAILING ADDRESS: 652 HUDSON ST., APT. 3SOUTH NEW YORK, NY 10014 PHONE #: 212-924~067 Enc.: Copy of sketch or plan showing proposal for your convenience. 5 EN-CONSULTANTS, INC. 1329 North Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 E-mail: encon @ peconic.net www. enconsultants.com ENVIRONMENTAL SERVICES October l, 2002 Town of Southold Board of Trustees Post Office Box 1179 Southold, New York 11971 Attn.: Lauren Standish Re: Gweneth Ketterer & Mary Sykes 1995 Ryder Farm Lane, Orient SCTM #1000-15-3-1 In reference to the above referenced application, I enclose herewith the "Proof of Mailing of Notice" with attached certified mail receipts. Thank you in advance for your attention to this matter. Yours ~}-uly, Administrative Asst. Eric. Name: MARION FITZSLMMONS PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Address: 7 WATSON LANE SETAUKET, NY 11733 GYWNETH KErrERER 652 HUDSON STREET, APT. 3 SOUTH NEW YORK, NY 1O014 STATE OF NEW YORK COUNTY OF SUFFOLK ROBERTHERRMANN doing business atEN42ONSULTANTS, FNC. 1329 NORTH SEA ROAD SOUTHAN~TON, NY 11968 , being duly sworn, deposes and says that on the 27TH day of SEPTEMBER ,20 02 , 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 SOUTHAJMPTON~, that said Notices were mailed to each of said persons by (cortified) ~) mail. Sworn to before me this 27TH day o f SEFFEMBER .20 02 /~ Notary P~blic / I _ I:l~.l ~. STEPH~? ; '~\ f,?'~'-.' ~:.:'::;-St3.t~ [~ ' ' ':".k ~ CERTIFIED MAIL RECEIPT Hem r,- ~ Marion Fitzsimmons '~i;~i.'~'bi', 7 Watson Lane m.~.o B.x ~ Setauket, NY 11733 ~ C'ERTIFIED MAIL RECEIPT (Domestic Mad Only; NO Insurance Coverage Vo,tage ~ ~ T~I ~ge & ~ IS I 652 Hudson S~eet, Apt. 3South New York, NY 10014 Albert J. tCrupski, President James King, Vice-President Henry Smith Artie Faster Ken Poliwoda 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 In the Matter of the Application of COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING 137f ' " being duly sworn, depose and say: 631-283-~360 ~a~ on t~e g ,~ o~ ~. ~0~ ~ ~e~ona~ ~o.te~ t~. property known as /~?~ ~ ~ ~ by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date o~ public hearing. Date of hearing noted thereon to be held ~.1~,~ Dated: ( s igna-~e ) Sworn to befor~e me this /~ da~, of ~/~A ~oo No3~y Public . \ t. ,,- .-..._t0c ..... 14-1~'4 (2/B7)--Tex112 PROJECT I.D. NUMBER 617.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) FORM SEQR I APlaLICANT/SPONSOR:GWYNETH I~TTERER~ MARY ] 2. PROJECT NAME I .SYKES BY EN-CONSULTANTS, INC. 3 PROJECT LOCATION: MuniCil~llll~ ORIENT County SUFFOLK 1995 RYDER FARM LANE, ORIENT, TOWN OF SOUTHOLD, SCTM # 1000-15-3-1 CONSTRUCT SECOND-STORY AND TWO-STORY ADDITIONS TO EXISTING ONE AND TWO-STORY, ONE-FAMILY DWELLING AND INSTALL DRYWELLS. 7. AMOUNT OF LAND AFFECTED Initially 1.7 acr~ Ultimately 1.7 ac~s 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [~es [] No If No, deacl~be briefly ti. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? [] Residential [] Industrial [] Commercial [] Agriculture [] Park Forest/Open space [] Other TOWN OF SOUTHOLD BUILDING 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? No list 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? []Yes []No If the action is in the Coastal Area, and you are a state agency, complete the [ Coastal Assessment Form before proceeding with this assessment OVER PART II--ENVIRONMENTAL ASSESSMENT (To be completed by Agency) A. DOES ACTION EXCEED ANY TYPE f THRESHOLD IN 6 NYCRR, PART 617.47 rf yes, coordinate the review process and use the FULL [] Yes [] No B. W'ILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNMATED ACTIONS IN 6 N¥CRR, PART 6t?.67 may be superseded by another involve~ agency. C. COULD ACTION RESULT IN ANY ADVERSE ~-I-P~:~TS ASSOCIATED WITH THE FOLLOWING: (Answem may be handwritten, if legible) potential for erosion, drainage or flooding problems? Explain briefly: C2. Aeslhetlc, egrlcuJtural, archaeological, historic, or other natural or culture resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wtldlife species, slgntflcant habitats, or threatened or endangered species? Explain briefly: Ct. A community's existing plans or goals as officially adopted, or a change ]n use or intensily of use of land or other natural resources? C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly. C6. Long term, short term, cumulative, or other effects not identified In Cl-C57 Explain briefly. C7. Other impacts (including changes in use et 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 CEA? [] Yes [] No E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSy RELA~'ED TO POTENT~A"~'~ ADVERSE ENVIRONMENTAL iMPACTS? [] Yes [] NO If Yes, explain briefly PART Ill--DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether tt is substantial, large, important or otherwise significant. Each effect shou[d be assessed in connection with Its ia) setting (i.e. urban or rural); (bi probability of occurring; (c) duration; id) irreverslbllity; (e) geographic scope; and (fi magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse Impacts have been identified and adequately addressed. If question D of Part Jl was checked yes, the determination and significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. [] Check this box if you have Identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive decJaratlon. [] Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: Name of Lead Agency .-. ,- ~d of Trustees Applicatio~ AUTHORIZATION (where the applicant is not the owner) ! (~ri'nt owner oft property)/' - (mailing address) On~.~q do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. 8 Board of Trustees Application County of Suffo,.~ State of New York BEINO DU Y swo E(EPOSES AND AFFiI~MS TlqAT HE/~H~ IS 1/I41} 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 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(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. /-~v' Signature SWORN TO BEFORE ME THIS /~.-~7}., DAYOF ~Lt~ ,20CZ- NANCY L. JACKSON Notary Public, State of New York No. 30-4875322 Certified in Nassau County Certificate Filed in New York County APPLICANT TnANSACTIONA~ DISC~OSUE~ FOHH Tile Town of Southold's Code of Ethlca prohibits conflicts of interest on the parg of town officers and employees. 7'he purpose of this form is to provide information which can alert bile town of possible conflicts of lnbsrest and allow it to take whatever action is necessary to avoid same. (Ua'et name, 'filet/name, middle initial, unless you are applying in the name of someone alee or other entity, such aa a company. If so, indicate tile other person's or company's name.) NATURE OF APPLZCATION~ (Check ali that apply.) Tax grievance Var[anus Change of zone Approval of plat r E~e~ption ~rom pla~ or o~icia! map (I~ "Other," name the ac[ivity,) pa~ent, o~ child) have interest" means a business, including a partnership, in oanerehip of (or employment by) a corporation in which tile toMm o£fice£ or employee oenn more ~han 5~ of the YES -- NO ~' IE you answered "YES," complete the balance of this form and date and sign where Indicated. Name of person employed by the Town o~ Soutbold Title or position of that person Describe the relationship between youreelf (the applicant) and the to~n of[leer or employee. Either check the appropriate Line ~) through D) and/or describe in the apace p~ovided. __B) the legal or beneficial owner of any interest in a __D) tile actual applicant. DESCRIPTION OF R~LATIONSIIfp EN-CONSULTANTS, INC. 1329 North Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 E-mail: encon @ peconic,net www, enconsuRants,com ENVIRONMENTAL SERVICES September 25, 2002 Town of Southold Board of Trustees Post Office Box 1179 Southold, New York 11971 Attn.: Lauren Standish Gwyneth Ketterer & Mary Sykes 1995 Ryder Farm Lane, Orient SCTM #t000-15-3-1 SEP/- 6 07_ Dear Ms. Standish: [n regard to the above referenced property, enclosed are the following for the Board of Trustees review: I. Three (3) Wetland & Coastal Erosion Permit Applications, ( including Notice to adjacent owners). (Proof of mailing to follow9. Three (3) Short Environmental Assessment Forms. Three (3) copies of authorization & disclosure forms. Three (3) work plans. Three (3) copies of survey. Application fee of $250.00. ! 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. Sin~rIly~ Coastal Management Specialist 3. 4. 5. 6. /kbs Eric. r Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 8outhold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TOI'.1:Jl.Ul./ tLJ L-K.J fulIpu_b <f-TYl(L'LLf [,LJ/1.QJ0 Please be advised that your application, dated 9Jdb1D~ has Qeen reviewed by this Board, at the regular meeting of /Oljlt>llYJ'''' and the following acticn was taken: ( ~ Application Approved (see below) (____) Application Denied (see below) (____) Application Tabled (see below) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below accordin9 tL, the schedule of rates as set forth in the i.nstruction sheet:. The following fee must be paid within 9Q days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: ~4z.nOJ L I\.D{uCtl-Bv0 -SSDD ,I- ......TT:l. . /":)J'[) me; Ul..J ;:)0,,;::: 1=!:;J: l!!!!! o~ ;of> OUl"z t- LL 8 -0 For 11.0<1:0 oz.~~ e3=::;;tl ~~8 o g m It) AMT.PAID IlAlANCE DUE 040971 "'"-....... dlQQ James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0106C Date May 1, 2006 THIS CERTIFIES that the renovation/ additions to existinl'l dwelling At 1995 Ryder Farm Lane, Orient Suffolk County Tax Map # 15-3-1.1 Conforms to the application for a Trustees Permit heretofore filed in this office Dated9/26/02 pursuant to which Trustees Permit # 5640 Dated 10/16/02 Was issued, and conforms to all of the requirements and conditions of the applicable provisions oflaw. The project for which this certificate is being issued is for renovation and additions to the existing dwelling The certificate is issued to GWYNETH KETTERER & MARY SYKES owner of the aforesaid property. ~ G?'7 Authorized Signature . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1 st day of construction % constructed / P<Oj"" "mplete, compB"", '",PO"'005\' I" ole} ~ Z CONC u~S 8-8'26'00" W -~'~100.00' LAMp~ S BBt26'O0" W N/O/~ MARION D FITZSIMMONS NOTES: 1. ELEVATIONS ARE REFERENCED TO N,G,V.D, 1929 DATUM EXISTING ELEVATIONS ARE SHOWN THUS:~ EXISTING CONTOUR LINES ARE SHOWN THUS: - ' 2. DISTRICT USE ZONE R-40 N Y,S, Lic, No 49668 Joseph A. Ingegno Land Surveyor PHONE (651)727-2090 Fox (631)727-1727 THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD. IF ANY. NOT SHOWN ARE NOT GUARANTEED. z ~/o/~ CWqZNETH M, KETTERER NORTH SEA _ :~',1~'~u _~ ss'~6'o0" E S 88"26'00'" W CE__RTIFIED_ TO: GWYNETH M, KETTERER MARY B. SYKES SURVEY OF PROPERTY SITUATED AT ORIENT POINT TOWN OF' SOUTFiOLO SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-15-03-1.1 "30' SCALE 1 -- FEBRUARY 26, 2001 OCTOBER 18, 2001 ADDED TOPOGRAPHICAL SURVEY JANUARY 24, 2002 ADDED PROPOSED POOL S£PTEMBER 25, 2002 ADDED PROPOSED ADDITIONS AREA 75,758,49 sq. (TO T~E UNS) 1.6§3 2 DRIVE 162.00'