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Home My WebLink AboutTR-5959 Board Of Southold . Town Trustees SOUTHOLD, NEW YORK PERMIT NO. .. SfJ.s9 .' DATE: . July 2~,..2004 MARTHA & JOHN WATTS ISSUED TO ......................... 1\utl,nri~atint1 Pursuant to the provisions of Chapter 615 of the \.ews of the State of New York, 1893; and Chapter 404 of the \.ews of the . State of New Yor\: 1952; and the Southold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCI1QNS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS.F.8.QM LANDS UNDER TOWN WATERS;!'. and in accordance with the Resolution of The Board adopted at a meeting held on J,:,.I.Y..Z..l.~.... z..~º.~., and in consideration of the sum of $.?50,..ºO.... paid by Martha & John Watts ." .._......_........................... ........................ ........... ........................_n....................·..........·.·.....·_···......-..... of ...........Q.':.i..,.,,~................... ................ N. Y. and subject to the Terms and Conditions listed on the reverse s¡de hereof, of Southold Town Trustees authorizes and permits the foUowina: Wetland Pennit to remove and replace (in-place) approx. 140 linear ft. of existing timber bulkhead with vinyl bulkhead and backfill with approx. 50 cy. clean sand fill to be trucked in from an upland source, with the condition a 20' non-turf buffer is maintained landward of the bulkhead, the elevation does not exceed 6" below the top of the bulkhead, and all as depicted on the plan prepared by En-Consultants, Inc. last dated August 6, 2004. aU in accordance with the detailed specifications as presented in . the originating apptlClltion. . IN WITNESS WHEREOF, The said Board Of Trustees here- by causes its Corporate Seal to be affIXed, and these presents to be subscribed by .. . majority of the said Board as of this dat.e. 1n~'1 Artie Foster c2" '"ÿ\ ?J ,_ C)..; J,g. _. (Joe ""frIUI~" TERMS end CONDmONS Martha & John Watts The Ptt~ 1 Harbor River Rd., Orient ~u N~as pan of the coasìdetatioo loe Ihe I...,...... of «he PUm;t does IlØdetsIaOd &ad prescribe to Ihe f01· 1owIø&: 1. That Ihe Hid JIoud of Truscæs aacI «he Town of SouchoI.d _ rd~ from aøy aacI aU damages, oe claims for damages, of . uØIøg. ditecd7 oe Iodirec:d.y as . result of aøy opet- adoapedomaed f'I'1'I'\lt·*~ ¡.cøaIt. ~. ~ fIIcI ~.~ II( Ids oe her own are-. defend ey aacI aU IUCh 1II1cs-,nItI·~ ..,. lbûd..ucIa, aacI the IIIId ~ __ faIllåIIUIty wIch reSpect «hereto, W'«he ~.I ~we ........,.;00 of the Baud of TI\ISIftS of the Town of ~ . 2{ 2. ThaI chis J:IeaDk Is ftIid for . period of IDOS. wbkh· is ~ to be the csdmated time· requited toäÎinp1etc the wodi: In~bocd, ....Iihoald ~ wattIDt, request lor an exteÐSionmay be mode to the þocrd &I . bier ~ 3. That chis PeQn;1 sbould be ret.Iocd lndefio1ldy, or as long as the said P-Iuee wùbCs to . ....I....ln Ihe -.aure or project 1nvo1ved, to provide CYidenœ to anyone CXIDOOfIICCIILat mch- ~oa was odgúW1y ~""". .. That «he work imo1YCC1 will be IUbject (0 Ihe ~ aacI appranI of the Boud ell: Ju .gents, aacI DOQo(II)III>Uanoe wIch the prcnisioas of Ihe nrlgI"'tItog appUcadOll, may be CIIISe foe mocalÍoo of chis PeøDit by RSO~dOQ of the said Boud. S. That «here will be no _sooJble Io.tcrf_ wIch amgwoo as . redt of Ihe work heteio. aùmodzed. . . 6. 11w «here abaU be GO iacedereoce wkh the rigbt of dae puWc CO pass aacI repus IIq the beach Lenil:eG. high aacllow water awb. . 7. 11w If ~ 9p""'IWM of the Town of ~ n¡aIre cbe. --' aacl/oc aI'''~' In the IQrotlnn of the work benIn .111 a I'el!, or If, In the opLoIoa of·che Board of T-. die. wock shall ause _""""'e obsttucÞoa co free aa'li:ldœ. the said p.r...;- will be ~ apoo.1Iøe aodœ, CO _ or'" chis work or ptoea heteio.lItúed "'~ errclIsn to che Towo . of 8oPcho1d. . . 8. That Ihe aid Board will be ((in..! by tbe p....dute at die ~II Of the work IIIIh- odaed. 9. that Ihe .~ w1I1 GbIaIa aU oCher pctmks aacI -.. CbIt -r be reqaIre4 . tJa--' to chis peaak ~ -r'be RIJfect to muIœ apoa fIIIuø to GbIaIa -. - . _, '_0' . . .. " ".' _To' . " . , .. ".. - ,- . __~____~__...:_~_.__~_:-___....___..u.~...._-;..... .. . . Albert J. Krupski, President .0_:. . 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 (63lì 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 21, 2004 Mr. Robert E. Herrmann En-Consultants, Inc. 1319 North Sea Rd. Southampton, NY 11968 RE: MARTHA & JOHN WATTS 1 HARBOR RIVER RD., ORIENT SCTM#24-2-8 Dear Mr. Herrmann: The Board of Town Trustees took the following action during its regular meeting held on Thursday, July 21, 2004 regarding the above matter: WHEREAS, En-Consultants, Inc. on behalf of MARTHA & JOHN WATTS applied to the Southold Town Trustees for a permit under the provisions of Chapter 97 of the South old Town Code, the Wetland Ordinance of the Town of Southold, application dated June 30, 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 July 21, 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 MARTHA & JOHN WATTS to remove and replace (in-place) approx. 140 linear ft. of existing timber bulkhead with vinyl bulkhead and backfill with approx. 50 cy. clean sand fill to be trucked in from an upland source, with the condition a 20' non-turf buffer is maintained landward of the bulkhead, the elevation does not exceed 6" below the top of the bulkhead, and all as depicted on the plan prepared by En-Consultants, Inc. last dated August 6, 2004. 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, ~·j9·~·f}· Albert J. Krupski, Jr. President, Board of Trustees AJKllms . . Ka-~ 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, July 13,2004, the following recommendation was made: Moved by Don Wilder, seconded by Jack McGreevy, it was RESOLVED to recommend to the South old Town Board of Trustees APPROVAL of the Wetland Permit application of MARTHA & JOHN WATTS to remove and replace (in- place) approx. 140 linear ft. of existing timber bulkhead with vinyl bulkhead and backfill with approx. 50 cy. clean sand fill to be trucked in from an upland source. Located: 1 Harbor River Rd., Orient. SCTM#24-2-8 Vote of Council: Ayes: All Motion Carried . . MARTHA & JOHN WATTS. ORIENT HARBOR. ORIENT . - -.-. ... . I .-/,"""",-' , , ,<, ~" " ~ " ..- , '....., -...... ., .... n.._u --------. ---- Figure 1. Looking south from State Street at existing bulkhead to be removed and replaced with vinyl bulkhead. " ~,. ~ä., "~'~ ',- -- ..... ..l. .oiI(. ~. ~~ ,._.....iYþ. ¡"- Figure 2. Looking southeast at face of existing bulkhead to be replaced with vinyl bulkhead. . . MARTHA & JOHN WATTS. ORIENT HARBOR. ORIENT I ~... ._-~, - - '--- -~' ," - ~ . ' ' . ,.'- ", ,...... " ~ _.' -.' .;J' -, ~¡j "":;' . .~.,',' ~, ',' . , . . , . -.~ :i ' ~ -. - - '" ." .",<1 ,·4- ··C 1.!", :C'Þ· ~". '1~ ..;:: ~q ] . . .~.... -'''''~l ..; ~_.i~. ' . '-'~" Figure 3. Looking northwest from adjact!1lt property at existing bulkhead and southerly return to be removed and replaced wllh vinyl bulkhead. . . ~ , ,,~ ~ ':1"'1- :iJi _,._¿~:=f~._ -;~,. - " ...,~~..)", , ,·'P;;i:.:, ..:~,; ",:~. " .'. ':,. :~'::·.:;::~:t ;:::', .:. ,~{' .. ," . '. ;Y';~~~:~L' ,i. ., " '., \.::~ ··i.~:·-!-~lt .; ,,' .. I '.:' , ,'.~ 1" "'.-;"',;. .. .- L' '- Figure 4. Looking north along face of existing bulkhead to be removed and replaced wllh vinyl bulkhead. . ~ + + . ~ ~' ~ 0 ':'H-' ., * , -<:::>-Z c i ~ ~ .. " i " I -J ej , B " ;;!J:i- ~ ~';' :~I~ 1 ~¡.¡ ~ ¡ êji G ~ .if ~~, -, ell' l ¡", . a ,Iii , .... II!; ! · "II , Iii! !I ~ II ¡ ,llln, I;jjji! ~ .---- M'il ilill ·"Ii"; Illil I ~ II 1111 II I, I" ,I!! I." IIII III! jllI ,II i I le,1 I II .,1 I,I. I~' I 1,'1 ~ ,: I I, I, I' , I, , , ~ . ~- ,/"", // / { ì'\ . '--...j ,,~ ""-'-... I " <i" / I , , ---~ ,........- , ( í ~, ~ ,~~ . " ~j~'"'' -------, I ) i i / // ~( ~' ;~)I ! I ,I +/,,(~' . /' , --~, + , :III,'" ~ II ~~ ----,.. "; J I~ili : I!it-" 111 ; :)d "1 ¡¡Ii 'I, "-0 ømm ¡ , ~ EN-CONSULTANTS, INC. 1319 North Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 www.enconsultants.com ENVIRONMENTAL SERVICES Lauren Standish Board of Trustees Town of Southold P.O. Box 1179 Southold, NY 11971 w ~u~_\,:,~ ~ August 9, 2004 saU"\Old 10"n Board 01 1[U'\'" Re: John Watts Dear Mrs. Standish: As per your request. please find enclosed (3) copies of a project plan revised to notate that a 20-foot non- turf buffer will be maintained landward of the bulkhead and that the elevation of the backfill will not exceed 6 inches below the top of the bulkhead. Robert E. Herrmann Coastal Management Specialist ORIENT HARBOR AHW/ALW EXISTING + 140' TIMBER BULKHEAD ~~T~EVI~~~O~5~K~EARJPLACED (IN-PLACE) tlotes: I;' r urpos.e' Maintain eX6ti~ er05lc:rt control structure 2) 17atum, Pi-W -;) New sheathi"'1 to be vl",l: "I timber to be ee'\-treated 4) ,Açpnn. ?O cubic ljards clea1 sa1d to be trucled in from æ uplæd ""rœ fc,. backfill <?) flevatlOl1 of backfill not to exceed 6 Inch" bel"" top of bulkhea:l 6) 20-foot ron-tuf buffer w be maintained lædw.....d of bulkhea:l -.~ ,', F:'ropertA1localIO": I Ha-bcr River K'oa.:::l. Orient 5CíM'1+':),)()-24-2-8 .~ _rr .,.................._, "-'¡-JbIII'I' ....- ~ ~ t-\ ~~ r_.... ~\ 'ç. ~ Â ~ ..-- / "- / I / f / I / I / I / I // I / I ..-/",'/ ~ ..- / / / / / '" ..- --- 1" = 40' ----- " - ~ :J: ~ ::> CD _1,!.~:~Q.F_~f~~L ~.__ :< ..' .~':.:..: ::"~: ':.'.:}:.::..': . . . ..; ~ ..' 5~CíION íHRU PROP05~r;:' BULKf-V\D R~PLÞŒM~Ní (lfHLACf: SCf\l.X I" ~ 10' crt5 14" . ,;;: :!: C", mlr,;' ---, ::' N,P Of B'.:KfII-L:' r'I51URl3? JeI' ::: I 15' I -~ 2" Ci"f < 2> 6" ~ 61' '"VALES .' "~ 0;:,1)(' '." 'i- 1-"1 ,,~ /'HVV"" ':='~6" ..~L\N,,:. (i'-CII' PROPO"W'NJ,L BllfJ-f'C III Ph]: Of ¡'I"WIC, W.'.IXf fl,rHl' ""'11 .; I(:Y' \ 6' ,,/It'~'yl *,;.íHlr~L:i 1':."ffl.J, I'~-'·" ~ ~~'~I' eu:.; :;uTTOIK'~ na".15trom l"'I.3;'"/.L 1 errv J-'t III '* ~7()-:JO' .. ~, 1 ~iI' IU 4 --- ! _~-o " z 8 PROP05fD BUL.KH~At7 F?i.MOV/i. ,AND F?i.PL.NXME:Ní ( IP) fOR M.ARrJ1A AND JOHN WÞJí5 ON ORlfNí HARBOR, ORlfNí. SUffOL.K COUNtY, NY 5Hrrí I Of I 6/22/04 ß/ 6/ 04 . A.iTTm r~OJnt.lj na-;;¡strom IVla; :.:¿ Jerry Ft II' * ~7000' .~ .ocørt .,...." ~....-- ~"fi¡MII.I ...fØI!L 1 _~e¡- --0.~ r- / " / I / I / , / I / I I I /1 I / I r//.r ~ / / / I / / / rr -- ~ ~ ~\\ ~'a.\ ~\\ ~ ~ Â ~ -- / / / ..- ..- I \ "- , ------- 1" - 40' ----- " - 3 3 ::> .. --- ~ ~ ~ -tf-< z 8 .; ~ _i¿~~~Qf_~f~.!!:L _.__ :. - ...~>:>:.:: :.':;~.>:'.'::. ...... ORIENT HARBOR AHW/ALW EXISTING .± 140' TIMBER BULKHEAD ~~T~EVI~~~O~5eK~EARJPLACED (IN-PLACE) .; o ... ""G 'Ç(oíJ .,.,\i.,'I'"\ '.,\- 8"1 CE ,~rMN~ ,AHI/'v''"' 2' ~¿,I' Note-" I:' Purpose. Mal!1t:aln e~l;.tl~ cr05I01 control 5>trucwr,; 2) Datum ,N-W ?) ~h sheathlr'<1 to be vl~l. "I timber to be CU-treakd 4) i'wrCf<, '70 cubiC 4",d. de", .æd to be trucked In fr<>11 ", uplæd 5aJrce for """fill ?) flevatlOl1 of b",kflll rot to e=ed 6 ,nche. bel"" tc1' of bulkhead 6) 20-fwt ron-turf buffer to be malntal""d lædward of bulkhead -::' F'ropertl1locatl~ I Ha-txx River Road, Ort~m: 5CíM "1000-24-2-8 SfCíION íHRU PROP05W BULlHfi'D RfPL.h~fMfNí (N-Pl.,AŒ', SO/.J I" ~ 10 <!'"t; ¡;;,: 1 .:!:: 148' (mlri.J ---, ;AIV, Of !?~[Kflkc ' DI51\JRl7NJŒ ......... I 1/ I . --~ 2'1 CrP ( 2> 611 ~ 6" W.AtX5 rt-VV~ ,J' ~O" P,OPOSW'/IIJ,L !?LLKIt~f' IIJ Pc"Œ Of f\ISíIIJC fiMfœ r'tnr' '. ~RAOr:: ¡ ¿:-' rll.f.~ PROPOSED BUL.KHff\D r.?iMOVP-t AND r.?iPL.KfMfNí (IP) fOR MARíHA AND JOHN WAíí5 ON ORlfNf HARBOR, ORlfNí 5UFFOL.r, COUNtY NY , ., SHeff I OF I 6/22/04 8/6/04 2" ".IC'" .j, 6' Vlr,JÜ, *;"íHl~~C; I~' Pftl ORIENT HARBOR AHW/ALW EXISTING + 140' TIMBER BULKHEAD ~~T~E VI~~~O~5eK~difPLACED (IN-PLACE) f~otes: ¡;, Purp076. Maintain eY.¡;;tl~ erosiOl1 control 5tructur~ 2:, ratum nw ~) New sheatl1,,"I W be 'ln~l; "I timber W be CCA-tr,oted 4 ) Awn", 00 rublc ~".d. de", .",d w be trucKed In from '" uplæd 50Jrœ for bôCKflll 0) flevatlO'1 of bôCKfl1l rot w e"",ed 6 ,rches bel", top of bullhead b> 20-foot ",,-turf buffer w be rT1ðlntalned ¿njwacd of bulkhead -, Prcpertl1locatlCfl I Harm- River KOW. Orient 5r~JM -++ICOú-2+2-B .~ ....... ..,....-~-) .¡¡bIIl" ........ ~ 1 ~~ ~.~ ~- / "- / I / I / I / I / I / \ // I / I ",.r ~ ~ I / / / / , ~~ ~ ~ ~-\ ~~ ~~\ 'C' ~ & ~ , , ;- ~ , / \ "- .... ----- 1" - 40' ~ ~ i .'=!.Þ.!!.T_ Q.F _~CKFILL '. . ,': .:.: ,.-::: :: ;::c;:.;.; .."."::,, . ....-_..~-::...:..-... ..; ~ 5rCílON íHRU PROP05W BUL.KHrÞD RrPL.ÞCrMrNí ': IN-PL.Acr> SCAlf I" ~ 10 \J" "" "" x .+ 148' ':mltl,> --¡ 2" c.p-p Aff', Of BfCKfll..l..,' rlSnJRI3NKl' 1:7' (:> 6" ~ 6" Wti-f:5 . .... ^ ("v'lO'Q , ',~ 1.-: ..1.- ,~/...2'_¿'1L E,"Ir:'tÞCMNI ..ð.l\V" C"-O' \ ':¡RA7f 2" :<.10" '{ 6' VIN~L. 3-£.,¡'·fHIN{; IC','F'ff-J mJP05l'r VWI.. BUlX.rf'C IIJ Pl,'Œ Of UISlll~':¡ ílM~rr BI.f!1r 'C," 2U neb :::'I.ITTm [~t1a:15tTcrnlV\ap:-'¿ Jerry:-'t 1'1.. .:!:..,COO' ~, I ~il' In 4 -- ::! ., ~ ~ -...- !i :3 PROP05fD BUl..KHt:AD f?iMOV/1. AND f?iPL./{TMrNí (IP) fOR M/lRfHA AND JOHN WAfíS ON ORlrNí HARBOR, ORlrNí 5UFTOL.K COUNíY NY , . 5Hœí I Of I 6/22/04 8/6/04 Albert J. Krupski. President . James King, Vice-President Henry Smith Artie Foster Ken Poliwoda . Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fex (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Applicr ~Wetland Permit Application _ Major Waiver/Amendment/Changes ~ed Application:~ ~eceived Fee:$ ~~... ..-eõmpleted Application ~ Incomplete SEQRA Classification: - Type I_Type II_Unlisted_ Coordination:(date sent) .,;RAC Referral Sent:~ -Pte ofInspectton:~ Receipt of CAC Report: Lead Agency Determination: Technical Review: .;1'ublic Hearing He~ Resolution: Minor - rö)~~~~\'!7~ lJll JUN 3 0 2004 L.... Southold Town Board of Trustees - Name of Applicant MARTHA & JOHN W A TIS Address 2 PIERREPONT PLACE, BROOKLYN, NY 11201 Phone Number: 212-681-3007 Suffolk County Tax Map Number: 1000 - 24-2-8 Property Location: I HARBOR RIVER ROAD, ORIENT ~ ~"rð 9- ,\\l\d} (provide LILCO Pole #, distance to cross streets. and location) AGENT: EN-CONSULTANTS, 1NC. (If applicable) Address: 1319 NORTH SEA ROAD, SOUTHAMPTON, NY 11968 Phone: 631-283-6360 4Þ Board of Trustees Applic~on GENERAL DATA Land Area (in square feet): 32,564.18 Area Zoning: R-40 Previous use of property: RESIDENTIAL. Intended use of property: NO CHANGE. Prior pennits/approvals for site improvements: Agency Date No prior penn its/approvals for site improvements. Has any penn it/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary): REMOVE & REPLACE (IN-PLACE) APPROXIMA TEL Y 140 LINEAR FEET OF EXISTING TIMBER BULKHEAD WITH VINYL BULKHEAD AND BACKFILL WITH APPROXIMA TEL Y 50 CUBIC YARDS CLEAN SAND FILL TO BE TRUCKED IN FROM AN UPLAND SOURCE. - - 14-16-4 (2IB7)-Texl 12 I PROJECHD, NUMBER 617.21 SEQR 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 1 APPLICANT/SPONSOR, MARTHA & JOHN W A TIS BY I 2. PROJECT NAME EN-CONSULTANTS, me. 3 PROJECT lOCATION, Municipality ORIENT County SUFFOLK 4 PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc, or provide map) I HARBOR RIVER ROAD. ORIENT, TOWN OF SOUTHOLD, SUFFOLK COUNTY, SCTM #1000-24-2-8, MAP PROVIDED 5,.iS PKOPusED ACTEr o ModificaUon/alteration ~ New Expansion 6 DESCRIBE PROJECT BRIEFLY: REMOVE & REPLACE (IN-PLACE) APPROXlMA TEL Y 140 LINEAR FEET OF EXISTING TIMBER BULKHEAD WITH VINYL BULKHEAD AND BACKFILL WITH APPROXlMA TEL Y 50 CUBIC YARDS CLEAN SAND FILL TO BE TRUCKED IN FROM AN UPLAND SOURCE. 7. AMOUNT OF LAND AFFECTED Initially 0.748 acres Ultimately 0.748 acres 8, Will PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? IZIv es DNO If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ~ Residential o Industrial o Commercial o Agriculture o Park ForesUOpen space DOther Describe: 10, DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDNG, NOW OR UL TIMATEL Y FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR lOCAL)? IZI Yes DNo If yes, list agency(s) and permiUapprovals DEC, COE 11 DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID eERMIT 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 ~NO I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE ApplicanUsponsor name ROBERT HERRMANN, COASTAL MANAGEMENT SPECIALIST DATE JUNE 29, 2004 Signature: ./1 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 . 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 In the Matter of the Application of --------------------------------------------------------------- BOARD OF TRUSTEES: TOWN OF SOUTHOLD --tMn-M--*-~f\~_~_H~_________________ COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING £' A_ Al#r I/uvw."~ ,~~".~'-- s:=- It" ... being duly sworn, depose and say: Ut-283-e3cii That on the 1 ~y of -:rVL r , 200+, r personally posted the property known as _ 0 I~ by placing the Board of Trustees official p ster where it can easily be seen, and that r have checked to be sure the poster has remained in place for eigþt days prior to the date of the public hearing. Date of hearing noted thereon to be held tLQI. ~ll( .g", ~~_ OC\6r cut I'~CO I\\.. r, Dated: (signature) ~worn to ~fore me this ..;;/\ dayo{+~200-1 ~d ~Y" btic- ., III1IIIIB Illy,. .. ." ~-- ~~~ CniIiI~~ SWd of Trustees APPlication. ... AUTHORIZATION (where the applicant is not the owner) ;J2 z, Jd\V\ (\'1'<0\ \'\'\C"lt~"<', Ùi.t\s (print owner of property) residing at -!t-2.. PI f'nt' go nf ,1?1æ.- (mailing a dress) ßrcvkl'2t N·~· 11Zpl do hereby authorize tN-~ItAJB II\lC. (Agent) to apply for permit(s) from the , Southold Board of Town Trustees on my behalf. J,~~~\ I~J~ '¥ 7JrClÑ1J4~ . Jkø:t:. ¡(OWner's signature) 8 ~ard of Trustees ApPlicati~ County of Suffolk State of New York ,jD~V\ ~ (Yì¿:.\\-i,c'~ LrJ2th BEING DULY SWORN DEPOSES AND AFFIRMS THAT HElSHE IS TIlE APPLICANT FOR TIlE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO TIlE BEST OF IllSIHER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN TIllS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. TIlE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND TIlE 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 TillS APPLICATION, I HEREBY AUTHORIZE TIlE TRUSTEES, THEIR AGENT(S) OR REPRESENT ATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF TillS APPLICATION. CjCD ~\A~Jèt1r'{' L../lA,tM7J" tJ.. ~ . ~ Signature SWORN TO BEFORE ME TIllS 5"111 DAY OF m~ ,20~ ~ JdJC!t1,ne-- r1JOrk:44CL NOTARY PUBLIC, SI,I. If New York No. 31· 2769848 Qualified In New York County r.ommission Expires Apríl ~/;)D07 . . APPLICANT TRANSACTIONAL DISCLOSURE FonH The Town of Sou~hold's Code of E~hice prohibits conflids of in~eres~ on the art of town officers and em 10 ees. The ur cse ot this form is to rovide information wh ell can alert tile town of ass ble contl eta of nterest and allow it to take Wlt8tever action is necessary to avo d same. . YOUR HAHK. , w· a+\s ~ IY\~J.~ uZ.~ <D LBBt name, ( rst name, m dd~e n t aI, unless you are applying in the name of someone else or ot118r entity, Buell as a company. It so, indicate the other person's or company's name.) NATURK OP APPLICATION. (Check all tha~ apply.) Tax grievance Variance Change of zone ^p'pJjDva'l of plat ~ Exe'¡¡ption from Plat;..or offlcial map other ~ D/ (If "Other," name the activlty.) j,Véf1..A-rJ ':> Do rOU perøonBJ.ly (or through your company" spoune, ølb.1lng, parent, or child) have B relntionship vith any officer or employee of the 'l'avn of Southo1.d? "nelationship. includes by b1ood, marriage, or business interest. -Dusiness interest- ..eans 8 business, including a partnership, in which the town officer or employee has even a partial ovnership of (or employment by) a corporation in vhich the tovn officer or employee ovn" more than 5% of the shareB. YES NO L If you answered -YES,- complete the balance of this form and date aod sign where indicated. Name of paraon employed by the Town of Southold Tihle or position of that person Describe the relationship between yourself (bha applicant) and the town officer or employee. Either check the appropriate line A) tl1~ough 0) and/or describe in the space provided. parent, _h) The town officer or employee or 11i8 or her spouse, sibling, _8) _C) _D) or child is (cl1eck all that apply)! the owner or greater than 5% of the shares of the corporate stacie or tile applic~r1t (wl,en the applicant i. a corporation), the legal or beneficial owner or any interest in B noncorporate'entity (when the applicant is not a corporation) , an officer, director, partner, or employee of the applicant I or the actual applicant. DESCRIPTION OF R~L^TIONSIIIP Submitted thle -'s-'day of~~'p-{)Of Sign.ture~7U~'-rr¡. Ua1;t.. Print: name-lo,^V\\-\Wd'\1;. 0ÎCi¡th., f\.¡.j~'t\S . . APPLICANT TRANSACTIONAL DISCLOSORR PORH The Town or Southold's Code or Ethics prohibits conrlicts or interest on the art or town orricers and em 10 ees. The ur Dae of t.his form Is to rovide "format.ion which can alert tile town of ass bIe conflIct.s of "tarest and allow it. to take wllBtever action is JleCessarv to avo d same. . YOUR NAHR. Herrmann, Robert E. (Last. name, ftrst name, midd~e initial, unless you are applying In the name of Bomeone else or other entit.y, Buell 88 a company. If so, indIcat.e the other person's or company's name.) NATURR OF APPLICATION. (Check all that apply.) Tax grievance VarIance Change of zone Ap'pçovsl or Plst _____ Exemption from.Þlat. or official map other X (If IIOther," name the activIty.) Trustees Permit Do you per.on.lly (01." through your co.panr, spoune, sibling, pUE'ent, 01." chIld) hove. relationship vitia any offIcer or e..ployee or tr~e 'I'ovn of Southold7 -Relationship- includes. by blood, Marriage, or business interest~ -Dusiness interest- Means a business, including a partnership, in which the town officer or employee has even a partial ownerehip of (or e"ploy.ent by) s corporation in vhich the tovn orficer or e.ployee ovnø .ore than 5" of the shares. YRS NO x If you answered -THS,- complete the balance of this form and date and sign vhere indicated. Name or person employed by the Town of Southold Title or position of thst person Oeecribe the relstionship between yoursslf (the spplicant) and the town officer or employee. Either check the appropriate line ^) through D) and/or describe in the space provided. The town officer or employee at' his or her SPOU.8, sibling, parent, or child is (check all that apply). _A) the owner of greater than 5" ~f the shares of the corporate stacie of the applicant (when the applicant Is a corporation), _B) the legal or beneficial owner of any interest in B noncorporate'entity (vlJan the applicant Is not a corporation), _____C) an officer, director, partner, or employ.. of the apPlicant, or _0) the sctual sppl1csnt. O~SCRIPTION OF R~L^TIONS"IP Submlttsd this2~y or~lW:gc_ 2004 Signature -m Print nams Robert E. Herrmann . ~ EN-CONSULTANTS, INC. ENVIRONMENTAL SERVICES June 29,2004 . Town of South old Board of Trustees Post Office Box 1179 Southold, New York 11971 Attn.; Lauren Standish ~ IE (k --íf-'~'-~ -- ~-Tr ,:\ ¡--UI JUN 3 [1 L0j4 ~' ! Re: Martha & John Watts 1 Harbor River Road, Orient SCTM # 1 000-24-2-8 Soutbold 10wo Board 011rustees Dear Ms. Standish: 1319 North Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 www.enconsultants.com In regard to the above referenced property, enclosed are the following for the Board of Trustees review: 1. 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$250.00 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. Robert . Herrmann Coastal Management Specialist /khs Enc.