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Home My WebLink AboutTR-5882 TERMS end CONDITIONS I1e I'etmiuœ Madeline & Ronald Ribaudo cesr"~ lit 1920 The Strand, East Marion N. Y.. as .prt 01 the ~oa foe the I.....""C' of cbe Permit does ~ and pœsaibe to tbe fol- towIaø: 1. That the aid Boud of Tmstees and cbe Town 01 SoaIhoId ere råeased hem any and aU cIamoges, ot claims fot daIMges, 01 IUia uisiøg cIitecdy .. mdinc:dy as . -.It 01 any opec- adoa pedormed pullUlDt to chis penølt, and cbe aid J>-mI_ will, ( Ids (It bet own a¡>eDSC. defeød aay and aU IUCh IUitsl..kI~ by cbitd~ardes, and tbe aid 1\ '''!Iee ._ faUliabIIiq with Ripect cheteta, to the ~Þfe ~na of tbe Board 01 ~ 01 the Town 01 SoathoJd 2. That this PeaDIt is wJI4 for . period of 24 mos. wIIkh is Ø'Ir"""... ~ to be the esdmated time RCUÎted to mmpIete tbe woå: iag1'ed, bit shoaId œ.:.---- wunot, œquest for an exœosion ·III&Y be made to the Board lit . Wet a.re. 3. That this Pennit should be cetaiaed iadef'aaitely, or as loag as tbe aid Permittee wishes to m.I....;" the structure or project lagved, to provide evideoœ to anyoae cnocemed chat and>- orizatioa was odgIaaIIy obtaIaed. 4. That tbe wod< inTolved will be lUbject to tbe I~ and appmn.I of die Board ot its agents, and ooo-œmplJanœ with the pcovisioas 01 the origi""tI.., appIicrdO'\ may be cause fot œvocatioo of this Pemttt by resolutioa 01 the said Boud. 5. That there will be no wueasooable iaterfereøœ with aavigatioa as . result of tbe wed: beteIa IÙthorized. . 6. That there man be no intetfereoœ with the right of the public to pass and RpaS a10ag the bead1 betMeo III8b aad low water marks. 7. That if futute opendoas 01 the Town of SoI>d>oW ceqaire cbe œmonI and/ot alteradoas Ia tbe location 01 tbe wed: hetån 8U~~ or if, Ia tbe opIaIoo 01 die Board 01 Trustees, tbe . wod< sba1I ca_ allte"conohle obstruaJoo to free ønigadon. tbe aid ... I ,¡,.... will be ~ apoo due nodœ, to remove or ~ chis wed: ot project beteIa stated ..k1>...4 e..¡ !IIU to tbe Town . 01 SOIIthold. . 8. That the said Board will be notified by the l'etluluee at die ~.. 01 tbe wed: and>- orized. 9. That the Permittee will obWn aU other peauits and ......-fc chat may be required snp; pIemrnn' to chis permit whi<b may be subject to revoIre upon fallure to obWn ........ :' , ., . . 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 SOUTH OLD March 24, 2004 Mr. Robert E. Herrmann En-Consultants, Inc. 1329 North Sea Rd. Southampton, NY 11968 RE: MADELINE & RONALD RIBAUDO 1920 THE STRAND, EAST MARION SCTM#30-2-56 Dear Mr. Herrmann: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, March 24, 2004 regarding the above matter: WHEREAS, Robert E. Herrmann on behalf of MADELINE & RONALD RIBAUDO 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 March 4, 2004 and, WHEREAS, said application was referred to the South old 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 March 24, 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 MADELINE & RONALD RIBAUDO to construct a set of 4'X 90' timber stairs and platforms down bluff to beach, and as depicted on the plan prepared by En-Consultants, Inc. dated March 1, 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: $50.00 Very truly yours, Jl~~-f 9, ~'f}. Albert J. Krupski, Jr. President, Board of Trustees AJKllms . . 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 TO: '-1Y1í.tl'lð L( n'e q f1on~J d Ii{ ¡hI") 11/'"/ 'tJ Please be advised that your application dated reviewed by this Board at the regular meeting of following action was taken: .3/4/0(/ ,~!.:J~ lOl( has been and the ( ~ Application Approved (see below) L-) Application Denied (see below) L-) 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 according to the schedule of rates as set forth in the instruction sheet. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: ..!{,JV.OO- {1U1àJ l~ctú:YU -, ffJ , 041969 !:! , cno¡¡j_ ~...Jr--...... Address a:0Q)m t- J: r::: ..... >-0- Z:J..c . ;=00.->- '" . o ."z For I- u.. a:s - 00'" LI.. a:õ N o ~~~ QO::¡¡~ - £1:>-., m c( en ~ 0 u 0 ¡;¡ !XI AMI PAID BALANCE By DUE . . ~~ 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 Monday, March 22, 2004, the following recommendation was made: Moved by Tom Schlichter, seconded by Doris McGreevy, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH A CONDITION of the Wetland Permit application of MADELINE & RONALD RIBAUDO to construct a set of 4'X 90' timber stairs and platforms down bluff to beach. Located: 1920 The Strand, East Marion. SCTM#30-2-56 The CAC recommends Approval of the application with the Condition the trees are not removed from the bluff. Vote of Council: Ayes: All Motion Carried 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 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. I?.~ b~vJlo INSPECTION SCHEDULE Pre-construction, hay bale line 1 st day of construction Yo constructed V Project complete, compliance inspection. . . " SOUND ^ND G ISLt"' 1J.'II_- LON _--- - - - ~H'II 4' X 90' r::::fi£fTAIRS/PL4TFORMS SlUFF t:! ~ ~ ~ ~ I ~ I I + '3' I II 1M I II I I \ I I I I M I . . tlf : 40· ~ ~ 5Jf", ~ Ha,w"" Map 28 I" - :!-~OOO' Rocky Pt I I :>-œ ( KC1s5 VIA ! 5WJ:crpf>RW-) I',ate,: I. Purpose: P ede"tnan access to beach 2, I/atum: IiW :7. AJI timber to be CCA-treated 4 Project locatioo: 1920 The 'Strand. fast Ma-loo: 7CíM No, 1000-:70-:;'-56 ~~ ~R~~ ~,~,~ ~hÐI own APPR \fED Dall 01 1ro;le" BOARD C.· -RUSTEES TOWN ç ',OUTHOLD DATE .3 /.2. '-¡ I () '-I - PROPOSft7 BlUff SíAIRS fOR MAOfL.INf & RONAU? RIBAUt70 ON L.ONCi ISL.ANt7 SOUNt7, fASí MmON, SUffOL.K CO" NY SHffí I Of 2 "?/ 1/04 , - 0 \'-.I II - - - -- lD ~ ~ IJ\ ¿ ~ () ~ V\ :;;: --1 !;:IL s:L C) ~ ~ IJ\ --' ~ I:L ~ '--. V\ " !;:IL IJ\ ~ ~ ~ V\ -.J lD !;:IL :E I£:> >D es ~ ¿ :;;: ~ \= ç >D --' ~ D I:L lD ~ '< IJ\ - >< () 0 '< s:L ~ () -I- ~ ~ >< s:L - :::=s ~ ~ ~ Z () \= U Z lD IJ\ :E "'- -.J ~ = ~C() ~ - '< " ~ -.J " ~ -.J ~ V\ C) I:L ~ I:L ~ - '< >< G 1:r ~ JIJ/ èi - = 0 ~, , ~o II II I~ ~~~ z,z\3 >< '-1..1 T "' +1 1 "'- ~ ~ ~ "-' 2 ~~~~~Wl. Œ:rñì . .. I" i !vl"" ~b SIH]~II'"II'-1 'i RLl:I~-'__I__..__~. EN-CONSULTANTS INC. 1319 No,,,rH SEA RO, SOUTHAIJlP10N, N.Y. 11968 631-283-6360 PROPOSfD B~Uff 5í,AJR5 fOR MAl7WNf & RONAJ.,D RIBAUDO ON WNiA I5L-AND SOUND, fA5í MARION, 5UffO~K CO. NY 5fUí 2 Of 2 ? / 1/04 ~ L (J N 1-.-7 "~LAND I~ 10,00' t... 0) 0; '" - rp'I.L THI SET BL!,!£f ;/ STAKE TOI~ OF === ~ .-/ 80T .).A- ___ - _ :...---..__6- 8 - - __ /~---------- --- __10 ___ __ 12 - ___ -- ~ ---- NOTf: DOTS SHOWN HEREON INDICA T£ BLUE RIBBON !-.. AS SET BY EN-CONSULTANTS. g Ii! ~ k! " i!! ~ ~ ¡;: ., ~ T 1" ~ L f~l... I /__} /) / // / ~ " , ) / I / \ ( ~J~~ \ ~ BRICK U.C. ¿ , '" ~ " \~ Fa CM , I \~ 1'-' I I BRICK V.C. d dBCk VI/ woo tst fl. stepS 2nd. LEVn ONL y iJ.4' Î 0 STORY ~ II RESIDENCE : \ GARAGE - I FLOOR IEL. 52.2.6 SHOWER 'sl FL. OVeRHANGS FOUNDA TlON ,. 1 ' TlMBER'1¡ I'" . '" '" 0) '" Eß l' 24' NYTEL 5 4 o FIELD INLET' OCATV £L 4.5 45.23 sOUND ~ ë:; ~ ~ SURvEY OF U)T 774 IN MAP OF PEBBLE BEACH FARMS '" 51 TUA TE '" ij¡ [E ~lG [E ~ lnl¡" EAST MARIO/v Tclvt-N OF SOUTHOLD SUFFOLK COUNTy; N I. (Iñì 'U' . it..=) I ZONED .R4,,' , 8 ~'Ù!Ll!i ,Id -; J'!';! F: " :'''; êu ...... FE CORN£/? . ON LINE -~-- TA1 10C'O-OJO-C'2-56 FM " 6266 FiLEÒ JUt,IE 1/, 1975 FD CM I lie - I~ '" I I SUR I-E fED· 17 FE8RAURY 1999 SCALE 1 "= 30' AREA= 26,636.û68 SF OR ,1.61 I ACRES LOT 175 GUARANTEED TO RDNALD RIBAUDO MADELiNE RIBA UDO TC'IIN OF SOU THOLL' \~ ~ I~ \" '" \~ NOTE: ELEVA nONS SHOfl'N HEREON IN NCVO 1929 810.1= UJ25-1943 8.7' SURvnED FOR RONALD RIBAUDO MADELINE RIBAUDO I I I I 12.7' \ [ND F[NC[ ~ [0.6' >- ~ c..') <:: C) --.J 5376 I.u , " ;::; 00 N '" '" :ss VJ l¡J 2: R= 2.0.00' A= J7.42' CM 1,864.57' 49.Z6 HIE'" ~ .Pp~o'· LOC.A'fIO ".,~ 5 TR AN D SURVEYED Bf THE JR. NOTE: f. 24 o'AN, 2.000 LOCA TE POURED CONCRETE FOUNDA TION. 2. J NO V, 2000 LOCA TE SEP TIC TANK ANO CESSPOOL. J. 09 NOV, 2.001 FINAL SURVEY 4. 01 OCT, OJ SET STAKE ON WEST PROP. UNE, PLOT BLUE RIBBON 99C7745 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 Application .--wetland Permit Application .......Major Minor - Waiver! Amendment/Changes ........Received Application: :31'j!O'l .....-Received Fee:$ ~.- liiÌÉep. ~ ~ CC; ~ ~ WJ ~ ,.AComp""", A"H<~;on.!>· .-. ~ Incomplete -SEQRA Classification: Type I_Type II_Unlisted MAR -4 o. ilj-;- Coordination:(date sent) - :;;;'EAC Referral sent:~ SOtJtllold Town ;>"Úate of Inspection: J ð p. I ~,f Trust~~s Receipt of CAC Report: Lead Agency Determination: - Technical Review: ,.-public Hearing Held: 3/~fl/(J1/ Resolution: -- Name of Applicant MADELINE & RONALD RIBAUDO Address 36 JOANNA WAY, SHORT HILLS, NJ 07078 Phone Number: 973-564-{j273 r,It) ~~ \0" Suffolk County Tax Map Number: 1000 - 30-2-56 Property Location: 1920 THE STRAND, EAST MARION (provide LILCO Pole #, distance to cross streets, and location) AGENT: EN-CONSULTANTS, 1Ne. (If applicable) Address: 1329 NORTH SEA ROAD, SOUTHAMPTON, NY 11968 ---------- Phone: 631-283-6360 - tþBoard of Trustees APPlic~on GENERAL DATA Land Area (in square feet): 26,636.068 Area Zoning: R-40 Previous use of property: RESIDENTIAL. Intended use of property: NO CHANGE. Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes [fyes, provide explanation: Project Description (use attachments if necessary): CONSTRUCT A SET OF 4' X 90' TIMBER STAIRS AND PLATFORMS DOWN BLUFF TO BEACH. 4IÞsoard of Trustees APPlic~n WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: PEDESTRIAN ACCESS DOWN BLUFF TO BEACH. Area of wetlands on lot: 0 square feet Percent coverage of lot: 0 % Closest distance between nearest existing structure and upland edge of wetlands: N/A feet Closest distance between nearest proposed structure and upland edge ofwellands: N/A feet Does the project involve excavation or filling? x No Yes !fyes, 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 CONSISTS OF THE CONSTRUCTION OF A TYPICAL TIMBER STAIRWAY TO PROVIDE ACCESS DOWN A BLUFF FROM THE UPLAND TO THE FRONTING BEACH. IT WILL HAVE NO IMPACT ON THE TIDAL WATERS OF LONG ISLAND SOUND, AND THERE ARE NO VEGETATED WETLANDS PRESENT AT THE SITE. 14-16-4 (2IB7)-Texl t2 PROJECT I.D. NUMBER . 617.21 SEQR 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) 1 APPLlCANT/SPONSORMADELINE & RONALD RlBAUDO 1 2. PROJECT NAME BY EN-CONSULTANTS, INe. 3 PROJECT lOCATION: Municipality SOUTHOLD County SUFFOLK 4 PRECISE LOCATION (Street address and road intersections. prominent landmarks, etc, or provide map) 1920 THE STRAND, EAST MARION, TOWN OF SOlITHOLD, SCTM #1000-30-2-56 5. IS PROPOSED ACTON 0 ~ New Expansion Modification/alteration 6 DESCRIBE PROJECT BRIEFLY: CONSTRUCT A SET OF 4' X 90' TIMBER STAIRS AND PLATFORMS DOWN BLUFF TO BEACH. 7. AMOUNT OF LAND AFFECTED Initially 0.61 ac<es Ultimately 0.61 acno. 6. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? IZIv .. DNa If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ~ Residential D Industrial D Commercial o Agriculture o Park Forest/Open space o Other Describe: w. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? g Yes ONe If yes, list agency(s) and permit/approvals NYS DEC 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Ove. ~Na If yes, list agency name and permit/approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? OVes ~No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWlEDGE Applicant/sponsor name ROBERT HERRMANN, COASTAL MANAGEMENT SPECIALIST DATE MARCH 2, 2004 ~ Signature: K 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 BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter ofthe Application of _IDo.da~~M~_~_~_~~º__~~P__~~_~_____ COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, ~.,-t ~~L..,~t \;/q ~ ~ ~) being dU~~~S~ say: f-,1 \ It ttk c¿ That on the Ib ";ay of ~H.f 200t! personally posted the property known as t-'2i) ~ çj.n.-e! (;..Lt p.AA.Vì,CM by placing the Board of Trustees official þoster where it can easily be seen, and that I have checked to be sure the poster has remained in place for ei t days prior to the date of the public hearing. Date of hearing noted thereon to be held h - CU:t f)' Dated: (signature) Sworn to before me this d '-("<-day of1 !.P.,;QOO+ \---~~~(~~ ;/'-\ '--- I' . / t blic - , ~ IIRSISØ r., ~... \ IlctJlfPiit....... I C.;_1II.1I8II '.:::"SdoI. t.iwl4'·J~.;::ts_ . . PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: MIRIAM KLOTZ Address: 76 COUNTRY RIDGE C[RCLE RYE BROOK, NY 10573 ELENI & DEON[SIOS DRAKA TOS [45-56 17TH ROAD WHITES TONE, NY 11357 STATE OF NEW YORK COUNTY OF SUFFOLK ROBERT E. HERRMANN doing business atEN-CONSULTANTS,INC. 1329 NORTH SEA ROAD SOUTHAMPTON, NY [1968 , being duly sworn, deposes and says that on the 3RD day of MARCH ,20 ~, 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 (certified) ~) moHo -fIii Sworn to before me this3RD day 0 f MARCH .2004 ~~G/~ lu Notary pUbffc . . -- n.J .., m .., U.S. Postal Service CERTIFIED MAIL, RECEIPT (Domestic Mail Only; No Insurance C~vera.ge p"rovided) Lr I'- n.J Lr .... ,u" """ ,=,' '. Pos.... $ 0.37 UNIT ID: 0968 ? PooImarl< 1. 75 He", Clerk: KF04QM 4.42 03/03/04 .. Mariam Klotz 76 Country Ridge Circle Rye Brook, NY 10573 U.S. Postal Service g: CERTIFIED MAIL" RECEIPT ~ (Dome.stic. Mail Only,' No In~urance Covera9..e Provided) ij '--," J;= d'-- F_j - t.,.".. 0.37 UNIT ID: 0%8 ? 7 1.'75 "-no'" Ho", ~ 07- .. 4.42 03/03/04 E1eni & Deonisios Drakatos ¡:¡;¡¡';';'A¡;[Nö:i 145-56 17'" Road ~'::!,~,'!'::n Whitestone, NY 11357 CIty, State. ZIP+- Clerk: KF04QM tlrrd of Trustees APPLicati1lÞ AUTHORIZATION M~n (w~re the applicant is not I' wve.LlIJ"t=-- ¡c:¡ Bjj4j;Jð !, ~JJ¡µ¿) J2i8.tJvb 0 (print owner of property) ... the owner) residing at /r2tJ '$ S""fMtJj) (mailing address) pp l30Y 63 PP.sr-"1~,.J //933 UtJt tlMtid jJ . jJ Ý 11939 , I do hereby authorize Ó\¡-(a-ðllt.-MNTS, lNG, (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. &fl~' --- ~~ (OWner's signaturj¥ 8 ~Board of Trustees APPlicat~n County of Suffolk State of New York L tJ ù 'IPS BEING DULY SWORN DEPOSES AND AFFIRMS THAT /SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND T AT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF IDS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN TIDS 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 REPRESENT ATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF TIDS APPLICATION I ~~~ Signature SWORN TO BEFORE ME TIDS d'í 'fr" DAY OF -.JU (:t ,20123 L &\\"""""""'" .t~~, ~ ;:: wr"'~~ : :$ AUG ~-...= -*, , - =, 1 '*= -' 20 ,- ::~ 07::: ~~.~~ ~.. ~ ~O;:':':COuN!'''''~CI,f '''////''IF/Ÿ'p'u'Õ\,,'' /1111/111111\\\ - . . ¡/ . APPLICANT TRANShCTIONhL DISCLOSURB FORK The Town of Southold'e Code of Ethics prohibits conflicts of interest on the arL of town officsrs and em 10 eas, The j¿!!£ 08e ot this form is ~o rovide information wh ell can alert tIle town of ass ble conCl ets ot "teresl:. and allow It to take wllstever action Is J18cessorv to avo d same. ....) unless else or indical:.e YOUR NAHlh NATIJRI! 01" APPLICATION. (Chscl, all that apply.) T8X grievance Variance Change oC zone ApP£oval of þlat _____ Exemption from Pia?!:. or o~rlclal map Other _ (If "Ot-her," ".!!lIme the a.ctivlty.) lIVé'fLA-N'Oj" Do you perøonally (or through YOur COMpany, .pOURe, sibling, parent, O~ chIld) have a relnl:.lonøl,ip viti. any officer or employee of tlae Town of Southold? -Relnl:.lonshlp. includes by bloo~, marriage, or business inter88t~ -DuøinesB intereet" 11'18anR a busines8, inclUding a part.nernhip, in which the town officer or employee has eVen a par~ial ownership of (or emptoyment by) a corporation in which the t.own officer oc employee owns liarD t;han 5% of the shares. YRS NO ~' It you answered ·YES,R complete the balance of this form and date and sign where indicated. Name of pereon employed by the Town of Southold Title or position of that person Describe ths relationship between youeself (the applicant) and the town officer or employee. Either check the appropriate line A) tllrough D) and/or describe in the space provided. Tlle town officer or employee or 11is or her Spouse, Sibling, parent, or child is (check all that apply) -^) the owner of grea ter than 5" of the shares or the corporate stocle or the applicant (when the applicant is a corporation), _8) the legal or beneficial owner of any interest in a noncorporate entity (wilen the applicant is not a corporation) , _____C) an officer, director, partner, or employee ot the applicantr or _0) the actual applIcant. DESCRIPTION O~ R~L^TIONSIIIP ßt/~ /1. 12,'óa.udv Submitted ~daY o~~"2.cJÐ3 Signatues ~< ~ _ pelnt nams' µ --~ /4-~ #.Jcù . . ~ EN-CONSULTANTS, INC. 1329 North Sea Road Soulhampton, New York 11968 631-283-6360 Fax: 631-283-6136 E-mail: encon@peconic.net www.enconsultants.com ENVIRONMENTAL SERVICES March 2, 2004 Town of Southold Board of Trustees Post Office Box 1179 Southold, New York 11971 Attn.: Lauren Standish ~~ ~,,~-: ~co~ ~ Re: Madeline & Ronald Ribaudo 1920 The Strand, East Marion SCTM #1000-30-2-56 Sculhn1d lown t\1:.i',i,tlrustees Dear Ms. Standish: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: I. Three (3) Wetland Permit Applications. 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 $200.00. ;:;¡O~ =V(IJ 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. Ro e . Herrmann Coastal Management Specialist /khs Ene. J