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TR-5607
Michael J.Domino,President �*0 80(/ljfi0 Town Hall Annex John M.Bredemeyer III,Vice-President h0 l0 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631)765-1892 Greg Williams O Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 17, 2018 Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 RE: JAMES J. BAUMANN & PATRICIA A. PERRY 1625 GULL POND LANE, GREENPORRT SCTM# 1000-35-4-13 Dear Mr. Patanjo: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, January 17, 2018: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit #5607 from Alexandra Jones to James J. Baumann & Patricia A. Perry, as issued on August 21, 2002. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please contact our office at (631) 765-1892. Sincerely, Michael J. Domino, President Board of Trustees MJD/dd Michael J. Domino, Preside o��gUFFO��-coG Town Hall Annex John M. Bredemeyer III,Vice-Pre"ent �� y 54375 Route 25 Charles J. Sanders ro z P.O.Box 1179 Glenn Goldsmith %�_i Southold,NY 11971 A.Nicholas Krupski A p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: L // Completed in field by: e�ev Jeffrey Patanjo on behalf of JAMES J. BAUMANN & PATRICIA A. PERRY requests a Transfer of Wetland Permit#5607 from Alexandra Jones to James J. Baumann & Patricia A. Perry, as issued on August 21, 2002. Located: 1625 Gull Pond Lane, Greenport. SCTM# 1000-35-4-13 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey :5 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: .J--Bredemeyer M. Domino G. Goldsmith �. N. Krupski C. Sanders Other Page 1 of 2 uFFot Michael J.Domino,Preside O�OS � I Town Hall Annex John M.Bredemeyer III,Vice-Pre"ent �� y� 54375 Route 25 Charles J. Sanders o P.O.Box 1179 Glenn Goldsmith 'z Southold,NY 11971 A.Nicholas Krupski 4,- �apl� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Jeffrey Patanjo on behalf of JAMES J. BAUMANN & PATRICIA A. PERRY requests a Transfer of Wetland Permit#5607 from Alexandra Jones to James J. Baumann & Patricia A. Perry, as issued on August 21, 2002. Located: 1625 Gull Pond Lane, Greenport. SCTM# 1000-35-4-13 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. <_25% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 J December 6, 2017 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 DEC 1 1 2Q17 Southold, New York 11971 RE: 1625 GULL POND LANE -GREENPORT, NY Southold Town B ar of Tru s SCTIVI No. 1000-35-04-13 PERMIT TRANSFER Dear Trustees: Attached please check in the amount of$50 as required for transfer of permits to the new property owners as listed below: James J. Baumann Patricia A. Perry By way of this letter we hereby request all current permits be transferred into the new owner's name. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, Jeffrey Patanjo 106 Hewitt Blvd. Center Moriches, NY 11934 -' .��.�.�':._.�t_--.' ._tom. _.•�.-_r.-�-�+." ... _ . ._ .._y„ _ . 3 Board Of Southold Town Trustees SOUTHOLD, NEW YORK • PERMIT NO. 540-7 DATE: ...August 211_ 200 t ISSUED TO ...... ALEXANDRA JONES .. . � ,�u#1#ari�tt#inn a 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 .� t State of New York 1952; and the Southold Town Ordinance an 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 August 2.1, 2002 200.00 t ......... and. in consideration of the sum of $... paid by Alexandra Jones . .... .. . .................................... ...... > of ...... .......Greenport N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the followinq: \t Wetland Permit to re-sheath 100'of existing bulkhead,with sheathing behind the existing bulkhead and backfill ` 1 excavated soil,install a 100'X 24'high rabbit/chicken wire fence on both right and left sides of property line, 1 n and all with the condition that a 10'non-turf buffer is installed landward of the bulkhead,and as depicted on the "D x � bulkhead section views dated April 2,2003 prepared by Proper-T Permit Services and the survey dated � September 18,2001,last revised May 15,2003 and prepared by Joseph A.Ingegno. p- ' an in accoraance with the detailed speciticatfons as presented in *' the originating application. { IN WITNESS WHEREOF, The said Board of Trustees hlere- 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. \ s Trustees S 'd. 1�1 \ P111111 TERMS and CONDITIONS ,The Permittee Alexandra Jones 1625 Gull Pond Lane, Greenport N. Y, as residing at part of the consideration for the issuance of the Permit does npdetstaad and ptesctibe to the fol- lowing: 1. That the said Board of Trustees and the Town of Southold are released from any and of asks arising directly a indrre cly as a result of any open p an damages, or pursuant for damages, at his or her own exPow- atioa performed pursuant to this permit, and the sold Pemdtox wlll, defend any and all such suits'isilds ed by third panes, and the said Pernik m assumes full liability with respect thereto, to the Complete exdusion of the Board of Trustees of the Town of Southold 2. T'hat this Pernik is valid for a period of 24 mos. which is cooddeted to be the estimated time required to complete the work involved, but should dremnsatim warrant. request for an extension may be made to to Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permiuee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that auth. orization was originally obtained. 4. That the work involved will be subject to the inspection and approval of tie Brd or its agents, and non-Compliance with the provisions of the originating aPPlicaaoq may be ttttoase for revocation of this Permit by resolution of the said Board• 5. That there will be no unreasonable interference with navigation as a result of the work herein adthoraed. G. That there shall be no interference with the right of the public to Pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alteratlons in the location of the wont herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Pem ittee will he reTz red, upon due notice, to remove or alter this work or project herein sated without ezpeOM t o the Town of Southold. S. That the said Board will be notified by the I'ermittee or the Completion of the work such. orized. 9. That the Permittee will obtain all o�to permits tend failure that may be required to to obtain tame cup' plemental to this permit which may be subjectPO° Alberti. Krupski,President . Town Hall James King,Vice-President P..O.O.=O�SOFFO(�- 53 Route 25 Box 1179 Artie Foster Southold,New York 11971-0959 Ken Poliwodaco Peggy A. Dickerson co 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 INSPECTION.APPOINTMENT FOR A PRE-CONSTRUCTION SHALL BE CONS DERED A VIOLAT ON AND POSSIBLEREV CATION OFT O HE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction % constructed Project P'6� fete, comp�ljiajnce inspection. .� C�[�:tiX CYi /_t�Q`CU�S�11.E n I � hd4 : 4 GQC� ( GG` _LCIMi� CLg1C7 .liar ,•v l • SVFF�(� • Town Hall Albert J. Krupski, President James King,Vice-President ti'Z =y 53095 Route 25 Artie Foster o P.O. Box 1179 va = Southold, New York 11971-0959 Ken Poliwoda Peggy A. Dickerson �.f. ��� Telephone(631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 30, 2003 Ms. Alexandra Jones 1625 Gull Pond Lane Greenport, NY 11944 RE: 1625 Gull Pond Lane, Greenport SCTM#35-4-13 Dear Ms. Jones: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, August 21, 2002 regarding the above matter: WHEREAS, ALEXANDRA JONES 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 July 28, 2002, 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 August 21, 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, 2 • • NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of ALEXANDRA JONES to re-sheath 100' of existing bulkhead, with sheathing behind the existing bulkhead and backfill excavated soil, install a 100'X 24' high rabbit/chicken wire fence on both right and left sides of property line, and all with the condition that a 10' non-turf buffer is installed landward of the bulkhead, and as depicted on the bulkhead section views dated April 2, 2003 prepared by Proper- T Permit Services and the survey dated September 18, 2001, last revised May 15, 2003 and prepared by Joseph A. Ingegno. 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$5.00 per inspection. (See attached schedule.) Fees: $10.00 Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/lms Albert J. Krupski, President �O$UFFO(�CO Town Hall James King,Vice-President hy0 (jy 53095 Main Road P.O.Boa 1179 Henry Smith C2 Southold,New York 11971 Artie Foster Z Ken Poliwoda WO Telephone(516)765-1892 �.fJol �a0� Fax(516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: _ >7 a (a ryOQ S�!JoYl oaj Please be advised that your application, dated has been reviewed by this Board, at the regular meeting of qj\N_0y and the following action 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 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: Date YJI/ '�lCf7i 041427 W m EM 1I F Received From Address F- o Dollars$ Zpar 3p "o Z For F O 0 32 o LL Z , £ 0 3 'm O ACCOUNT HOW PAID 0 AMT OF m Q O ACCOUNT CABH mN AMT PAID /` CHECK i 1 � BALANCE lJ MONEY ORDEP V By DUE GBEI)TCPAp 1 � l 4/98 • i 1625 Gull Pond Lane Greenport, NY 11944 April 23, 2003 Reeve' s Creek Dock Building P.O. Box 2666 Aquebogue, N.Y. 11931 Dear John: This letter is to confirm my phone call to you regarding my re-sheath work on the dock listed above. It has been some ten months since you began and I was extremely patient, but I have hired someone else at this time. My approved Trustee hearing was July 2002. Please send my survey work and photos to the above address. Thank you kindly. Sincerely, Alex dra Jo es Field Inspection 8/14/02 • Field Inspection 8/14/02 • _ I = Town Hall. 53095 Main Road P.O. Box 1179 Telephone Off. Southold. New Yak I1971 (631) 765-1892 �( SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Wednesday, July 17, 2002, the following recommendation was made: Moved by Bob Ghosio, seconded by Drew Dillingham, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL VKTH A STIPULATtNN of the Wettand Permit application of ALEXANDRA JO44ES to resheath 100' of existing bulkhead, remove existing rotted sheathing, and backfill excavated soil, and DISAPPROVAL of the request to instal 100' X 24" high rabbitichicken wire fence on both right and left side of property line and to install a 3' walkway in back of the bulkhead out of CCA. Located: 1625 Gull Pond Lane, Greenport. SCTM#35-4-13 The CAC recommends Approval of the bulkhead replacement with the Stipulation that a 10'-15' non-turf buffer is installed behind the bulkhead. The CAC recommends Dhwpprova[(*# ec fiem*because it will impede the migratory corridor for waterfowl. The CAC recommends Disapproval of the walkway because it would set a bad precedence. Vote of Council: Ayes: All Motion Carried Albert J. Krupski, President Town Hall James King,Vice-President �g�FFU(/c 53095 Route 25 Artie Foster �O % P.O.Box 1179 Ken Poliwoda Southold, New York 11971-0959 Peggy A. Dickerson W Telephone(631) 765-1892 'F Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 20, 2002 Ms. Alexandra Jones 11 A Bayview Lane Huntington, NY 11743 Re: 1625 Gull Pond Lane Greenport, NY Dear Ms. Jones: Please contact this office as soon as possible regarding the above noted property. We have tried to reach you by telephone several times but have not been able to do so. It has come to our attention that you have conducted work in the wetland area. Thank you.for your immediate attention to this matter. ' azlotte Cu ngham O Jerk �t� •T',n •� ��Y' a Z, �. I O 9�✓r '" 'ss.t e ,� .\ '�. • s � a � � �y\D 'q,�r e Jr "T.r� ulaT,? 4 A ,b �0S 'F � rd �e d°� �� '? • J^( l� ' ���� g O, r� � a,�" eJl �� al s•� O 1 • f. . � o a •n a �, E � �, � , yea �a coo• / n A� p°`' �e\ � ` `` V �Q\4: i�• O �. � 1p� I / Y �I Jtn� AO' zi d rR \ AAA • 'v O Fv-1-MN& K*EeS NEW CAP ,Z,( Lx15T1NCr 2x SHEATHIN NEW 3415WHIM& ` / l}w ------ _ _ 2x10 TttSc V LCWCV i Auu------ - --- �- I NOTE:THE SIZE, CONFIGURATION AND EXACT LOCATION OF EXISTING MEMBERS AND COMPONENTS WHICH CAN- NOT BE DIRECTLY MEASURED ARE DRAWN TO SCALE BUT ARE ESTIMATED AND TYPICAL. SECTION VIEW - BULKHEAD Application regarding the properly of Alexandra Jones,SCTM#1000-354-13 Drawing Prepared by PROPER-T PERMIT SERVICES P.O.Box 617,Cutchogue, NY 11935 James E.Fitzgerald,Jr. 631-734-5800 ADti12.2003 fXISTINCt�II.,ES IO^—IZ'�. -Ec15TIN& KAke-as r leto CAP z,( Lx15T1NCr zX SHEATHIN NEU) 34EATNIN& A}w I 2410 T#c� 1p' kw �d I ALW------ - - -- —�— N NOTE: THE SIZE, CONFIGURATION AND EXACT LOCATION OF EXISTING MEMBERS AND COMPONENTS WHICH CAN- NOT BE DIRECTLY MEASURED ARE DRAWN TO SCALE BUT ARE ESTIMATED AND TYPICAL. 5644JE: '/z I' SECTION VIEW- BU1KRF'AD Application regarding the property of Alexandra Jones,SCTM#1000-35-4-13 Drawing prepared by PROPER-T PERMIT SERVICES P.O.Box 617,Cutchogue,NY 11935 James E.Fitzgerald,Jr. 631-734-5800 April 2.2003 titer �auaaR> C�CRnER. 6" F�l&FE dcAT=--0q- FEIkT*4 WAUCu1A1 A-ANTM -aANK., ra R6707-ZCI aL b-D' SELECTED ELEVATIONS Application regarding the property of Alexandra Jones.SCTM#1000-35-4-13 Drawing prepared by PROPER-T PERMIT SERVICES P.O. Box 617,Cutchogue.NY 11935 James E. Fitzgerald,Jr. 631-734-5800 April 2.2003 sl OF tI0U5E. CCNCVt.E'f� "t�GOPK. UaRI_�-S StATc-eN•E-AQ WAOCWAY 'x.Anr6D "aANIC `` N6Jb-2(1' F--L 0.0' 3u1ICr1E� SELECTED ELEVATIONS Application regarding the property of Alexandra Jones,SCTM#1000-35-4-13 Drawing prepared by PROPER-T PERMIT SERVICES P.O. Box 617. Cutchogue, NY 11935 James E. Fitzgerald,Jr. 631-734-5800 April 2.2003 Albert J. Krupski, PresidentQ�OS�FFO4cOG • Town Hall 53095 Route 25 James King,Vice-President may` y P.O.Box 1179 Henry Smith co Southold,New York 11971-0959 CAArtie Foster Ken Poliwoda Op !� Telephone(631)765-1892 �OI �aQ Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Applicati _�— _Wetland Permit Application Major _Minor Colo Welland Ch nges � _Received Application: ° ('wac9- vKC _Received Fee:$ C to r _Completed Application _Incomplete _SEQRA Classification: lK� Type I_Type II Unlisted _Coordination:(date sent l {J _CAC Referral Sent: _Date of Inspection: (o 0 _Receipt of CAC Report: _Lead Agency Determination: _Technical Review: _Public Hearing Held: 1/ Resolution: Name of Applicant t2 es I Address Co uLv LAN,Q 3 / ,-, Phone Number.(� Suffolk County Tax Map umber. 1000 - 35 2) 9 L 0 L7c� i /� Property Location:: bA \}} II h 1' 1�m I -fro r o uTti 7K (provide LILCO Pole #, distance to cross streets, and location) AGENT: �b(If applicable) Address: Phone: 9 Board of Trustees Application GENERAL DATA Land Area(in square feet): 3141 1 2 J Area Zoning: T r yv, t Previous use of property: Intended use of property: Prior permits/approvals for site improvements: Agency Date —1240 prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended-tfy a governmental agency? (/ No Yes If yes, provide explanation: Project Description(use attachments if necessary): T D (Re s h etl , I _0001 of P, xtS _` Iti kvI,K kegA . aN� u9Cj1-KWaLwJ N 6t C ic 0 bu '..Pck nl © JT 01 C , -lpr` M0y 7C15-1 i�Jl l�NSia ��- tool, X cat{'` �'� i (l roAbiT GhiCVneO Were e. otj boT-k n���r 4- 1 e i Ire r nj rr (T Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: T 0 3�e �1 ee1i bT— Q-A l S T 6 u L-Ac 12 Loll d 3 Ci Area of wetlands on lot: y d 0 U square feet Percent coverage of lot: /� Closest distance between nearest existing structure and upland edge of wetlands: L( 2_ feet Closest distance between nearest proposed structure and upland edge of wetlands: —feet Does the project involve excavation or filling? ex No i/ Yes -T` cYeen If yes, how much material will be excavated?__j3 `Wftbic yards �,�9 How much material will be filled? ( r ' tubi yards SnmQ 0.S C coove� Depth of which material will be removed or deposited: Cre P K feet 36 rro r v-% Proposed slope throughout the area of operations: e y; , c. T r ri c. Manner in which material will be removed or deposited:_)Q ! r T t i'T I ►J & es }�- UAL_i r", tw 1 L t� LTG 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): ue * 0 00 7 Board of Trustees Application COASTAL EROSION APPLICATION DATA /9 Purposes of proposed activity: R2 S kJfa 41 �x i S "T�E?uLKLeaa Are wetlands present within 100 feet of the proposed activity? No I Yes Does the project involve excavation or filling? No V/ Yes If Yes, how much material will be excavated? V70 rf CYN(cubic yards) How much material will be filled? S nn, a Yea: cubic yards) hw e rt t _Lfi D Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) Albert J. Krupski,President �gUFFO[,�'�, • Town Hall James King,Vice-President GG,y� .53095 Route 25 Henry Smith c P.O.Box 1179 Artie Foster Southold,New York 11971-0959 Ken Poliwoda G 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 SUFF ) STATE OF NEW YORK) AFFIDAVIT OF POSTI/NG I , AL 6)egpj jt VOA1_6 residing at Gas ( o t�LtJ �dNA La !e ( o ceCtJ42OPC being dul sworn, depo a and say: That on the /Z day of JV1_ 20O Z I pe�onally posted the property known as /l ^ r c v C,l. ON) �N Go, _r Aj by placing the Board of Trustees official poster where it can VV / 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 the �L ublic hearing. Date of hearing noted thereon to be held '7 dc_� `JU t GEd7�' Q 01 Dated: (signatu e) Sworn to before me this day of 2002- Notar Public �1�Sd RAND wk No.M 1834 ": 6�6p Dec 27, NOTICE TO ADJACENT PROPERTY OWNER j/ BOARD OF TRUSTEES TOWN OF SOUTHOLD 11 ( the matter of applicant: ALgxr) 1D rt. oyes SCTM#1000- U ; J OD - C� -r)(� 015 �[7b YOU ARE HEREBY GIVEN NOTICE : 1 . That it is the intention of the undersigned to request a Permit from the Boardof Trustees to: n RC' � F� T�1 QX IsT / IJL �ULK ��Pacl 2 . That the property which is the subject of Environmental Review_is located adjacent to your property and is described as follows : -TAx ( baZ� �?,SDU �Z c� •OC3 LLoi 16 TO r-Jb I.:-e 3 . That the project which is subject to Environmental Review under Chapters 2 37 , or 97 of the Town Code is open to public comment on: �- 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 . OWNERS NAME : � lr ,y lk5 MAILING ADDRESS : G'rPe i 11 PHONE # : Enc. : Copy of sketch or plan showing proposal for your convenience. I 60-0 Jp&. ProPosE9 hUNNic' C�LC � • I Ioo` x aw, 'RlczrpLace - -ReS{ ( arh Bo-rh s l 1 ProI I CGND NOW 31 LJALKWR� cy- I s T I l.1 G W pC)D DOc K QhSS> (� 1c..1NGS reY�\Gi�i�i � U � s m 6QreE'ti1(�O�2 S'� N V . y . �-F.�cAN1�rfl �0�.1 eS • i r r • ! NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In nn the matter of applicant: Auc xnyae °t oes SCTM#1000- 500 - 0y -1)(() ' p 1 S •6)Ob YOU ARE HEREBY GIVEN NOTICE : 1 . That it is the intention of the undersigned to request a Permit from the Board of Trustees to: n Ke ItG�AT{1 Q X IS T / nl 6 bU!-K Pa 2 . That the property which is the subject of Environmental Review--is located adjacent to your property and is described as follows : `� , -Tax � ( �try 3 S DU �L a�f•O!3 L-.07 O ( 5 1 GQ.S GUI,• TO Jb "-0-E 3 . That the project which is subject to Environmental Review under Chapters 2 , 37 , or 97 of the Town Code is open to public comment on: You may contact the Trustees Office at 765-1892 or in ri ing. 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 . M OWNERS NAME: /"f ► irs Wobe4i ADebe ,e MAILING ADDRESS : /52r 601, 1±n;J/4N/ Gr2,e�t_r, /`/TY PHONE #- Enc. : Copy of sketch or plan showing proposal for your convenience. S I hII loo` x aw" �p�n�e - f�Es�nC�ath wLaorh s , �XiS I"a bJLvQ�Ar+I of AND NQW '31 WALKWA � CXIs i In1G VpC)D 'DocK Z a,sa � Il�/NG,S rer+-%gItj I /� m 6p,reesl ar, �( V . y . Ac.�canl�jr-H �orfe�, I i NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: AL_Gxnt3i) ft 5-we SCTM#l000- o oo - t)tf_off o ►3 •OOfJ YOU ARE HEREBY GIVEN NOTICE: 1 . That it is the intention of the undersigned to request a Permit from the Board of Trustees to: ge s Q x IS T i i1 bu LK hea �Q 2 . That the property which is the subject of Environmental Review--is located adjacent to your property and is described as follows : 74)c 44 ( aZ-z) c'3500 52- ay-.00 L-oi Q f j .00a I Goo S IOUVv '?aNb LGa1-e 3 . That the project which is subject to Environmental Review under Chapters32 37, or 97 of the Town Code is open to public comment on: You may contact the Trustees Office at 765-1892 or in w ing. 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. OWNERS NAME: hf r / Olo �•obe ADe� p MAILING ADDRESS: /52S VUL, . �•ivJLy�r/ Cir,peA✓ DAr E #• "�n/ N i/yvy, PHON — Enc. : Copy of sketch or plan showing proposal for your convenience. i l f �ANcVol 106 I Pror0sEi, av 11 h l9UNNicC�IC W I re loo ' x Lace - 'Re-slNear6 3oTh s i NIS Wel 01 �o�ea G^iD N9W '3 ' WALKWP* (,OKISTWe _ WnvD 'Doc►G Qw> f iL-iwes rer�4i� I R\ A FORS Ac,E,cA�ar� ToNes � If Y 0 Board of Trustees Application County of Suffolk State of New York LI-6 , a rql� `H \70 BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE 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 F THIS APP ION. Sig ture +h SWORN TO BEFORE ME THIS a� DAY OF 200, Notary Public susM K RMO Nfty of NM VIM �oiM19i9341 ownba M s�nak Cllln on 6mkeS Dec.27, U 1.e-16-a 1218T1—Tex( 12 • • 'PROJECT I.D. NUMBER 617.21 SEC 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. APPLICANT PONSOR --�� 2. PROJECT NAMry�E ONO h1bir -fot.YPS I G�>°�6.PaTIt EXrSff►.]c $Ut OQ 1. PROJECT LOCATION: /1 /1 p Municipality County \JU-T a. PREC:SE LOCATION(Street aadres and road intersections. prominent landmarks, etc.,or provide map) iba�S � �►.� t�oNDi..v�►� - 5. IS PROPOSED ACTION: ❑New ❑Expansion Moaification,alteration 6. DESCRIBE PROJECT BRIEFLY: RPsheath ex ,s7 I PJ6 bo ,c arc 44, 7. AMOUNT OF LAND AFFECTED: initially, acres Ultimately acres a. wit' 90PO SErD ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? Yes No If No, describe briefly 9, VJHAT4 PRESENT LAND USE IN VICINITY OF PROJECT? . esidentlal ❑•!ndusinal 'Commercial [I Agriculture J ParklForesuCoen space Other Describe: 10. DOES ACT19N INVOLVE A 4ERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATE 0 LOGAU?++'�ss Yes DNo if yes, list agency(s) and permit,aoprovais 'row .t 0 J 1 "t UL. b 7 YU!& S7 11. DOES ANY ASP T OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes No If yes, list agency name and permitfaoproval 12. AS A RESULT OF PRbPOSED ACTION WILL EXISTING PERMIT,APPROVAL REQUIRE .MOOIFICATICN? ❑Yes CiKNO I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE -0 THE BEST OF MY KNOWLEOGE Applicant/sponsor name: w • 't,v� \ Dale: Z �� 4 Signature: 'V If the action is in the Coastal Are , and you are a state acency, complete the Coastal Assessment Form before proceeding With this assessment OVER ?ART II—EN)/IRONMENT^ WSSMENT ,:o DecomoiereD oy .=.Sent JCES ACT:CN E:iCEE -NY ,?E . CYRES�G LJ IN i N�CFF. YFT o./..c. II yes, cacralnate me review ❑rocess and ise the ---FILL .-7.,,s 7. o 2. 1VILL ACTICN REZZ:VE ACED REVIEW AS PR.CVIDED =CR UNLSTED ACTICNS :N 3 .NYC=R, aaRT i:7.i7 if No. a negative aec:arz .nay pe sueerseceo - inomer :nvaNea agency. L yes o C. COULD ACTICN RESULT :N ANY ADVERSE EFPESS ASSOC:A.3D 'LAITY. -=E FOLLJwING:.Answe,s may ❑e tancwnnen. .t :eglclei Ct. Existing air ouanty, surraca or groundwater cuality or ouanuty, noise .evels. exis:mg :.a;fic patterns, scud .vaste oracucacn or ofsac potenuai for erosion. drainage or iloacing proolems? E;plaln dnetty: ►v10- C2. Aesthetic, agncuitural. arc`aaeeological, historic. or other nat'Jrai at cuiturat resources: or community or neignocrn000 cnaracteC Explain o. //K Ifr CC. Vegetation or .'auna. 'Isn. sr.eufisn or.vddlife species. significant tiaoaats. or :nrealaned or encangered scenes? Exclatn onany: C3. A community's existing plans or goats as officially aaootea.or a change in use or intensity or use of land or other natural resources7 Explain Jr 1 v I o Cs, Growth, suoseouent zeveloomint, or related activities Iikey !a me Induced ay :he ]rodosea action? Expiam pretty. Cs. L m muiapve,Long ;arm. snort :ar . ou or other edc es not Icenufied In C:LS? Explain pnetly. Z. Ctr.er inoaas inc:ac:ng cdanges in ose at dither cuanit y or type or energy)? Exalam :neily. I D. S_ER.E. DR :S -:KE-'f 70 3E. COfITRCVE?SY RE'�Tc7 TO POTE)!T!AL AOV ERSc cVVIFC NM E.'I TAL i6:P4C'S^: —'.'es o 't "es. explain onettv ?ART I11-00 ERMINATION OF SIGNIFICANCE (To be comoleted by Agency) INSTRUCTIONS: For eac adverse erfect identified above,determine whether it is substantial,large. imconant or omeraise signific =ach effect should be assessed in connection with Its (a) setting ti,e. urban or rural); tbl probability of ocCoz-10g; (C) duration irreversibility: (e) geographic scope: and (f) magnitude_ if necessarv, add attachments or reference supporting materials. Ensure explanations contain sufffc:ent derail to show that all relevant adverse impacts nave been identified and adequately addressec. CXecx this box ;f you ;nave idenrified one or ,-tore potentially large or Significant adverse imoaC:s whic;t MAY occur. Then DrOCeeO directly t0 :he FULL _AF anclor rreoare a Dosilive''7eclaration. ►�' Checx ;his box J you have determined, based on the information and analysis above and anv su000rtir.c ooc:,mentaucn. :hat ;he pr000s2o action '.YIL! NOT result in_3ny significant adverse envtrdnmental imcac:= AND orcviee on attachments as necessarv. the reasons surcorting this determination: rinl J/ L'C l,.,nC JI 2:)aantniC'..I IBC?r n �a'JO i4t'n C'/ :Ille JI 2a:00n5�OIC 'JI(<tr :I\nJ1Y1C JI !C{Can{�O�C �I:Ii C!.n ,CJd A�Cn CY lCnd::/eC )r lr+OJ!?I:Ir �J:2'Cn! :(Om /C)OOn{IOI? 11�ICEr JJtC SURVEY OF APPROVED BY LOT 4 BOARD OF TRUSTEES MAP OF TOWN OF SOUTHOLD FORDHAM ACRES SECTION No. 1 DATE s'IZ 7 l o 3 FILE No. 3519 FILED MARCH 7, 1962 SITUATED AT (S.R. 25) GREENPORT - AI� READ TOWN OF SOUTHOLD M SUFFOLK COUNTY, NEW YORK o da �Da . \ S.C. TAX No. 1000-35-04- 13 °d �'"gip e SCALE 1 "=20' SEPTEMBER 18, 2001 " 4� o aoAh " "`ba"�wfo'?y r� DECEMBER 20, 2002 UPDATE SURVEY 4Wc CK e+o 44a 4i"nD \`4y+ MARCH 31, 2003 UPDATE SURVEY % d� e `°o , MAY 7, 2003 CORRECTED CONIC BLOCK BOARDER LOC ,TION .�`E'_t2 `dp _ "`tb Yl MAY 15, 2003 ADDED NON—TURF BUFFER / �e Y �o , 'R fq 6 fa AREA = 31 ,181 .65 sq. ft. f CHIMNEY / 'f apICK %AUy OEGN y�4 K'4 ZWe. k�a\ (TO BULKHEAD) 0.762 EC. VI WER OR ENTER IN �6 AWN M6 9a CON4 PORCH =o\ D� ti a° 70 Q NI E'ADST ss . ,f. H000 Nf� xo6 OAE 1,a flYgW .. �S cRfft� KbA 2 STORY FRGARA AME 2 pp �f.0. HOUSE k c pp l5 f2 I 1�1 2 N F Of p W f WO IS D I�s' EL�rii 6 D n / NB9' \ RAY 1 g 11)03 E aD 16e land of Tm TNshM IS 2 0 �o Vf \ Gf C2y f'J` y,. n 110f rod 4I ^ j ' Te OaY fCY F3` cA� von co„c ,ao's°eA Wp� CUITB RE 2 eD LOT +`�' NOTES. a 1 . ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM P1 O / tP.f .Pl EXISTING ELEVATIONS ARE SHOWN THUS: '^ O„ 5 TOP OF BULKHEAD O y�D�Sg�SDVO S r� NIP D�4 pP fi OCR A • G N ti / �1 / % V f �l ,/ wff,Acf dr,ol UNAURIORIZEO ALTERATION OR ADDITION f �4� TO ells SURVEY Is A VIOLATION EWYO KOF "K11 SECTION OF THE NEW R STALE ✓1 • 222 COUGnON uw v v caRc CURS THE IEtNND SUWPYOR5 INKEEY D sGL ORRI"c EMBOSSED SEAL SHAu NOT BE CONSIDERED TO BE A VAUD TRUE COPY d sP ONLY TO TIHE INDICATED HEREON SHALL RUN v SU Y IS PREPARED. ANDS ON ON HIS BEHALFFOR WHOMTHE TO THE • p Tfi,w NRPf C1^ TITLE COMPANY. GOVERNMENTAL AGENCY AND LENDING INSTITIIRON USTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INS➢- • J TUTOR CERTIFICATIONS ARE NOT TRANSFERABLE O • \ O f A, .GO K{s 0o THE EXISTENCE OF RIGHTS OF WAY CP AND/OR EASEMENTS OF RECORD, IF 60°OO ANY, NOT SHOWN ARE NOT GUARANTEED. PREPARED IN ACCORDANCE WITH TH MINIMUM STANDARDS FOR TITLE SURVEYS AS STABLISHED BY THE H U E AND APPROVED D ATE UNIT Joseph A. Ingegno . TATTLE 5A9H U$I&T � Ta STATE LAND 4 Land Surveyor C CERTIFIED T0: ALEXANDRA ,TONES ' � -. " �� Title Surveys — Subdivisions — Sde Plane — Construction Layout BARRISTER LAND SERVICE, Inc STEWART TITLE INSURANCE COMPANY �'SF. " 6 PO�� PHONE (631)727-2090 Fax (631)727-1727 ND SU/ OFFICES LOCATED AT MAILING ADDRESS N.Y S. La No 49668 1380 ROANOKE AVENUE P.O. Box 1931 RIVERHEAD, New York 11901 Riverhead, New York 11901-0965 21-47OR