The URL can be used to link to this page

Home My WebLink AboutTR-6023 < , TERMS and CONDmONS 11je I'ermiuIe MaltR GOfLdo 11 aesIcIIag at 63165 Coun.:tlj Rd. 48, Glteel1poJ¡;t '. . N. y~ as fUt· of the coœiduatioo lor the ¡........... of che PetmIt does ~ and pt=ribe to the £01. Iowio&: 1. '!bit the Aidlloud of TfVSteeS and che Towa of SouchoIcI ate rdeuod from 1111 and aU cIamap, oe claims foe cIamap, of lilies u:Wøg. cIIrecdr oe fadkecdr II a ~ of 1111 oper. adoa petloaœcl ...-at.~..pcauIt, ~ ~ IÚ!I ~ rml!/~.~ at Ids oe bet owa apcott. delead aoy and aU...œ suIcs-'n"'.~ brlbltdf'uda, and the Aid.... to... __ faUliIbmtr wfch ..aped thereto, to-the J.r·,.p1Þte exdusioa of the Ðøard of TIIISUa of the Towa of ~ 2. '!bit chis I'eaIIIt ,....ud lot . pedocI of Z 4 mos. wbkh Is ~ft! to be the _m·ted time· rec¡uited tommptete the work la'roI¥CCl, tx.t ihoa1d ~..,.... warnot, request lor an --'00 -r be mode to the ØoucI at a '- iIaœ. . ,. That düs PetmIt should be reIaioed iodelialtelr. or as loa¡ as the Aid PeubIttee wisbCs CD ....I_ln the _ or project Involved, to pto\'ide mdeace to ~ ooaœrøed chat UJdl· «fqdGQ was ocIJInaU1 obÞlned .(. That the wodc in'rolved will be IUbject to the ~ and appronl of «be Board or Its agents, and œa-œmpUaoœ with the prcmsïoos of the M8J""tIøg applkadoa, mar be cause foe moatioo of düs PetmIt br œsoludoo of the said Boud. s. '!bit there will be DO _,Ide Intedereoœ wfch aa'flaadaa as a ~ of the wodc bereIa .....diOdte!. . . 6. Tbat there IbaU be ÐCI lacerfereoce wfch the rip of the pdIIIc to pass and repass aJoag the belch LenI_II/P·and low _ awh . 7. Tbat If fucute op-"-' of the Town of SootdIøId npIre the. -.1 aø4¡oe llcaldoas ill the Irtlftn oE «be wodc berdD_o"¡'·~. or fl.1ø. the T"'oa oE. Boara oE ~ the. work $ball a_ _-.we obstracbOø to free øavIpdoa. the Aid II . ,¡- will be rec¡aIæd. II,IOC1due ÐOdœ, to remove or liter düs wodc or project LereIø ItaIIed ..kL..,.t czP .'(1 to the Towa . of So\IcboId. . . 8. That the Aid Board will be øotilIed br tbe 1W""cw oa the i,~Of the wodc auIh- orbed. 9. That the .,......,- will dIcaIn aU other petmIa and (!)I(1IIi 6It ..., be rec¡uited .p. ~, to chis pamIt ~ tDa'J'be RI>Ject to œwIœ II,IOC1 &Dan CD oIJcaIa -. .. e· . 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 J 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 17, 2004 Mr. Peter Sterling Plantings by the Sea, Inc. 5100 Cox Lane Cutchogue, NY 11935 RE: MARK GORDON 63165 COUNTY RD. 48, GREENPORT SCTM#40-1-14 Dear Mr. Sterling: The Board of Town Trustees took the following action during its regular meeting held on November 17, 2004 regarding the above matter: WHEREAS, Plantings by the Sea, Inc. on behalf of MARK GORDON 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 October 7,2004, 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 November 17, 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, 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 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. Ä .d CJV"\.. INSPECTION SCHEDULE Pre-construction, hay bale line 101 day of construction Yo constructed ~ Project complete, compliance inspection. 2 . . WHEREAS, the structure complies with the standards set forth in Chapter 97 of the South old 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, .~ . - ~OW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of MARK GORDON to replace the existing deteriorated stairs and landings to beach with new stairs and landings, and all as depicted on the plan prepared by Peter C. Sterling dated October 2004 and survey prepared by Joseph Ingegno last dated October 3, 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, ~·j9·~·t}· 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 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone í63l) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: l.-1Yl('((J_ --.J,J (JYIII fìf\ ) Please be advised that your application dated reviewed by this Board at the regular meeting of following action was taken: /o/r¡/ot¡ /II {'7/0~ has been and the ( ~pplication 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: .& :"SÜ . (b - 6 (0.(Ü U1A p.Ù·<t {,r::n, TOTAL FEES DUE: $ 5('). 00 SIGNED: ~.j- 9· Ä··7s~·9-. PRESIDENT, BOARD OF TRUSTEES . . Telephone (631) 765-1892 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 CONSERV A nON ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Tues., November 9, 2004, the following recommendation was made: Moved by Don Wilder, seconded by Jack McGreevy, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH A CONDITION of the Wetland Permit application of MARK GORDON to replace the existing deteriorated stairs and landings to beach with new stairs and landings. Located: 63165 County Rd. 48, Greenport. SCTM#40-1-14 The CAC recommends Approval of the application with the Condition the stairs and landings are replaced, in-kind. Vote of Council: Ayes: All Motion Carried 10/13/04 Field Inspection . , \ ~ .. ,- ,I ~, , \ i' " { ¡ 'r:r -r.' ,1! ',I'.... .. , , . II, I~j \:-,..-_ \. " ~ \\ {t- ,.,J.~ (,"'¡ ;: I' i: '. , ~ " ~'.' , "," " " .~~.:~': ~ .." /: ,.. ~. VI '-. -' . ".' '- .~. , , W I-II .~: ,,\;.~. ~ ~'/i! '. .~- - . . - --- - - It, ( ( Ð I.' '4,'.._ " I ~ I· ". <-.; ".d.... ",.... '-::I"'~ 10/13/04 Field Inspection. . ~.......-._'''''''''''' ~,,,'" ,:..., -.. .. '-.'~.#'";r:._ _" ,'. ..f. ~jüYJ ." - < W",~".~~,:,~ .<.,....-,,-~ -':--'~--::-"'~"-'~- - '- ...-. ~ - -.> .~--- ,.:.:....:.~ '" .~. !.- . ... '....'" :.:;~-:: -'-~. . .~. , ".""\- '. ., ':, ; rt ,- " ~-_. .-, -¡;~"7:~ .-:-~. ~ ~ :ð ....-- .,.~I' - - -- ...~' <·1 . .~ , 'i~ I" : i'qi .. ~ ., if .~ ,." - - ~'" -- --'~~-=. ~-....-_.. -~~- .~~- ~:~~~~--~=-"-. -~." ~.'.." '4·il~:·~. ~ . ~--<,. . - , - :-. iit -", ,', ÿ; '!t.:. - I ¡. ";:: -', I . , ~ ,:1: ': i' " 'I ~ i , , , ~ -~(.:;--,--{-!';:: ' ~.,. .J ,',;;-, ~'~~J~'" ''1''- .7J~.' '~ ~iI'; . "~ ~\ ,:"-;". .,":..' =-~, " ~ . .j.. ~.", -I'I'~ ~,;Fª'~~~'~ /I~"~~r)~,·~ "__, - --- ¡ ~1; ..., .j(: ,. ,'if ·ÎI ......d; .r. ._ ... ""~..._~.~~-- .~ '''¡ t' "~1. ---,.....;.:...~.- ,- , :--~... . v!f' Ii .,...' ~.." ~- ., " '" ~ "1\ ~_ W~ -=... .~,-:_- ,,,...... , c, , , ¡II i " . t' ' ., ;.; ~I"~ :~ '11l1 Ir ~ . "¡.!~'. .~' .. . _ ,~ . L t' ·.:?/·.-\'t·' . . ':. : ~ : ,I :.~ .;¡ .-. ,. -..' . .' . '1" . ." _ ~ _ .hi . .!' :f\'. . - . 't- ·t· . ". +~' -11,r ... ,II to' t'!-1:'J'!~' ; I~:d': " . ·'w·.· _~ ':"~f1 it '.. ¡S{~~'~I; :~~! .~-;,~~:. ~~..' i ~I! ( / I,. ,.-' " ·r·'" . ,,~0I11 . I" ., ". .,¡ L . ;.' '. '. I, , "1'1'''1 ...","'.- ...._~; tJ.~.. . ~r: \' --<1'\ \ -' I,' -- ~ :'1 ..-~ ,. I , "' .... .- . .- ~ '. ------- /... ~ " ~ ,. ,ii: . iIJ~:- - H - t" .\ .~ I I I, - , , , au'!!...." ------ +h~ ~ 0 Ii \ :<! ' ! Ii Ui ¡ ::! ~ G Ji ul I ' ~·--1 Itr,t '~ ~~n1 '¡\\ ¡ 100N Of s~ - 1 ~ eJlE.E.tWOR VILLf.GE OF c.· ':1' " , ~ I ' ,I 'I,i '1,,1 1,111 'I , 1,·1, ill III,! ~ I'll I" ~ ~ II ¡I, !I "/'ø"~ ~/\, c.£.C~O ." Ü ~~~~ <:'C\J"í\"lC\.! ~p,... " ~- liD i . ,; -",Co , I' " -j I; II ¡ '¡ "Ï Ii ...... il ~.ß...'a.J .......,..... a~ "oJ·; ...... " o~"" O~J/ , , j , ð't>;. + '~~,.,' . '.\."0,' ;.",~:~'_ ~;::"~' .~~, ,) ~ <i . ~ ~ ~.. I.J ....j r: ~ ... \¡¡ ::>. '" 1£ ....."? .';'" .\1 ..4. 'j.. .~~ "'..... ..J,-..j'~. $.f'"o! " .~:·i't~~,;' "...- ',.' , :;í¡i;.(.·..-:.-·' ':.. . "....,:, .. ..... ~'~~?""~'~" . ~~~ <:t Q It- ~ ~ ~ , \.: Ç1 t . Iu ~ ~ ::¡:::¡ \-. ~~~ '" ~ \..'-1 ~ ..~.~ ~ ~"1 ~ .. ~.'\I \9 (L lb!!dJ ~ .' , _ _______J 5) , . . (- --~.~ ¡ -.-- --r~':--"" ¡. I. .' , " \ \ ,: I', i ! -.j- C::J U '.... M ;j ~:g ..."" j'ëi "S"E ~~ GO = r-- lb!!dJ ~ lb!!dJ ~ ,. I . ././ ,/ .~ r oS.. :.\\ \ II \ / i \ I " I \ \ / , / ! l >-- u o , / .' ¡ ',. / "' .'.- 't!..' I J.:' " ,( \ .' / ,. I" ..- . / ,0' 11 ;' \\1 f;-~71\~- ~~~_w___ - c_ //;/ I 1\ .---.- j ; I l ,---'--'- ¡f ¡ J, /\\ /:~I ! :¡/~ 1 1/ ~ , .-' . ::.f·_,'~rr~ \.t~': ._;:"t: ,.f._: . I.¡ ,', :::.' ,~ f'\ (- ) l;- .) ,t tt.. ¡,¡ .\ " , :p; ~"C ¡.: v¡ i I " I , { / . r.:r ~~ V h !3 Q: j . I, .'. ~ Iv ..¡ ~ c; , í ( , _. ,.)t~-~? . "iIf.I;,~' ...- :,'~:þ4l!"; . .~ e·"~·,;j···· , .. ,.".-;,;.-:;¡'" f 'r·· ".... . ",'{"f, '>-, ' / - . . Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Application .....-\'Tetland Permit Application _ Major _ W aiver/ AmendmenUChanges _-Received Application: I 0 /0 ...deceived Fee:$ a'S!J - . ....,..completed Application fO/' J _Incomplete ' _SEQRA Classification: Type I_Type II_Unlisted Coordination:{ date sent) ......s;.AC Referral Sent: I 0/') ~ate of Inspection: 1///<:>' _Receipt ofCAC Report: ' _Lead Agency Determination:_ Technical Review: _-Public Hearing Held: II /17 . Resolution: Minor - Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 ~[u~¡~:H,~ Soulh::'¡rJ Town Bo.~ rd of Tr\1~t",,~ Name of Applicant Mark Gordon Address 146 Central Park West Apt. 24E New York, NY 10023 Phone Number:p ~ 877-8954 Suffolk County Tax Map Number: 1000 -40-01-14 Property Location: 63165 County Road 48 Greenport, NY 11944 (provide LILCO Pole #, distance to cross streets, and location) AGENT: P1antings by the Sea, Inc. (If applicable) Address: 5100 Cox Lane Cutchoque, NY 11935 Phone: (631) 734-6755 j tc1 ~~\'ù\~ . . Board of Trustees Application GENERAL DATA Land Area (in square feet): 115,389.41 sq. ft. Area Zoning: Residential Previous use of property: Private Residence Intended use of property: Private Residence Prior permits/approvals for site improvements: Agency Date ---!..... No prior permits/approvals for site improvements. can be found Has any permit/approval ever been revoked or suspended by a governmental agency? No_ Yes If yes, provide explanation: Project Description (use attachments if necessary): Replacement of Exisitng Deteriorated and Unsafe Stairs ånd. Landinqs to Beach With New Stairs and Landings - - PROJECT 10 NUMBER . I . PART 1 - PROJECT INFORMATION 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) SEQR ,. APPLICANT I SPONSOR Plantings by the Sea, Inc. 2. PROJECT NAME Greenport Residence of Mark Gordon 3PROJECT LOCATION: 63165 County Rd. 48 Municipality Greenport County Suffolk 4 PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks ete _ or provide maD 63165 County Rd. 48 5. IS PROPOSED ACTION· 0 New O Expansion 0 Modification I alteration I t Rep acemen 6. DESCRIBE PROJECT BRIEFLY: Replacement of Existing Deteriorated and Unsafe Stairs and Landings to Beach With New Stairs and Landings 7. AMOUNT OF LAND AFFECTED: 4' Wand Length To Beach Initially acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTiNG ZONING OR OTHER RESTRICTIONS? U Yes D No If no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY ~ Residential D Industrial 0 Commercial OF PROJECT? (Choose as many as apply.) DAgricu,ture 0 Park I Forest I Open Space DOther (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) ~Yes DNa If yes, list agency name and permit f approval: NYS DEC 11. DOES DYes ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR D No If yes, list agency name and permit I approval: None Found APPROVAL? 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION? es DNa Applicant I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE Peter C. Sterling, Pres. PI ntings by the Sea, Inc. BEST OF MY KNOWLEDGE Date 8/3/2004 Signature If the action Is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment . . PART 1\ - IMPACT ASSESSMENT (To be completed bv Lead Aaencv\ A DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR. PART 617.4? If yes. coordinate the review process and use the FULL EAF. DYes DNo B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative declaration may be superseded by another involved agency DYes DNo C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality. surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal. potential for erosion, drainage or flooding problems? Explain briefly: I I C2. Aesthetic, agricultural. archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: I I C3. Vegetation or fauna, fish. shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: I I C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly: I I C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: I I C6. long term, short term, cumulative, or other effects not identified in C1-C5? Explain briefly: I I C7. Other Impacts (includina chanaes in use of either Quantity or e of enemv? Exolain brieflv: I D. WlLL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? (If yes, explain briefly: I DYes D No I E. IS THERE. OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes exolain: DYes DNo PART III· DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) 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 ii was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box jf you have identified one or more potentially large or significant adverse Impacts which MAY occur. Then proceed directly to the FUl EAF and/or prepare a positive declaration. Check this box If you have determined, based on the Information and analysis above and any supporting documentation, that the proposed actio WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi determination. Name of lead Agency Date Pnnt or Type Name of Responsible Officer In lead Agency Title of Responsible Officer Signature of Responsible Officer in lead Agency Signature of Preparer (If different from responsible officer) I . . PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS U.S: Postal Service"" ;:;¡ 7 CERTIFIED MAIL"" RECEIPT I ...II (Domestic Mail Only; No Insurance Coverage Provided) ,..c For delivery information visit our webslte at www.usps.com.". Address: ington Ave. New York, NY 10170 YœI(; MY 10110 n Pt. Lloyd Harbor, NY 11743-1008 '" '" '" ru postage $ 0.37 2.30 UNIT ID: 0935 n Rd. Rockville Centre, NY 11570 1<=1 1<=1 1<=1 1<=1 1<=1 L'" ,.... 1m Return Reciepl Fee (Endorsement Required) Restricted DeloveryFee (Endorsement Requireo¡ Postmark Here ¡tho st. New York, NY 10019 Clerk: KKZRIIF Total Postage & Fees $ 2.67 10/22/04 ::e:°;;Jôo,.I_~-~·~&...s.1P),.N.........··................. \ ~::Os":~:7,/¡~·ft~~f¡~~;rt·:_·-_...···..·..·..·_··· . . :11 . III« ~,':!f'~"PJ...,~.i'.UIlr.,l/"m,.. _'~::'oL' VI' ~\J!<!<ULK Peter C. Sterling, Pres. Plantings by the Sea, Inc., residing at 5100 ('(w Tn Cut rnng"''' MY 11 Q~a ' being duly sworn, deposes and says that on the 22 day ofOctober ,20 04, 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 South old; that said Notices were mailed at the United States Post Office at cutchog"" ' that said Notices were mailed to each of said persons by (œrtillod)(regm.red)..... ¡;& f! ~ ;;:L, Peter C. Sterling, President I ru [<=I t<=l [['- Sworn to before me this ~ Dayof µõ,¡-i. V1'\hu;20£y- /"\ c( ..d /!01v{ /)£t:[LU Notary Puþ15,é' PENNY BEDELL Notary Public" State of New YorII No. DlaE6099317 Qualified in Suffolk Countr ,/) Canvnission Expires Sept. 29. ~(J , e . 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 of the Application of -----~~-~~~~~-------------------- COUNTY OF SUFFOLK) ST ATE OF NEW YORK) AFFIDAVIT OF POSTING Peter,C. Sterling, Pres. I, Plantlngs by the Se<¡lresidingat '11 nn !'nx U¡np Cutchogue, NY 11935 being duly sworn, depose and say: That on the 2 9 day of OctobEj iOO 4 I personally posted the property known as 63165 County Rd. 48 Greenport, NY 11944 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 of the public hearing. Date of hearing noted thereon to be held I1.JRð. "1I1PlJ, I')" ó(OO~- Or¡ thaO[Y.Lf ,,);OD '111, Dated: áf?~!k. (signature) Sworn to before me this ')+<0. day of ~.) c J 200 ...¡ - C_G.Lî L--1 L..-L.::J Notary Public /'X-'/A' / '(.(..UL ( PENNY BEDELL NoIIIy Public.New 'IbIk ~1 17 CanInIUiøI ~IIIS r? oç11 .ard of Trustees APplicate AUTHORIZATION (where the applicant is not the owner) .. I. Mark Gordon (print owner of property) residing at 146 Central Park West Apt24E (mailing address) New York, NY 10023 do hereby authorize Peter Sterling, Plantings by the Sea, Inc. (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. ~~- (OWner's signature) 8 . . Board of Trustees Application County of Suffolk State of New York Mark Gordon 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 REPRESENT ATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. 2/~ Signature SWORN TO BEFORE ME THIS "'7 -t'" 7 DAY OF ¡J:JZJ~__ 20 {[7,-/ '- ~~ (J Notary Public JESSE GORDON Notary Public - State of New York No.02G06092877 Qualified In New York County My Commission Expires May 27, 2007 ........ . . APPLICANT/AGENTnREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM d' C e fEth'cs t' 0 vi e' nformation w ic nece~oœrv to avoid same. hibit confli caneeD ofine sto th of s ib con ft n ffice d m I fin re d lIow't e. e e wha ver f tioni YOURNAME:sterling, peter c./plantings by the Sea, Inc. agent (Last name, first name, .¡piddle initial, unless you are applying in the name of - someone else or other entity, such as a company. Ifso. indicate the other person's or company's name.) for Mark Gordon NAME OF APPLICATION: (Check all that apply.) Building Trustee Coastal Erosion Mooring Planning x Tax grievance Variance Change of Zone Approval of plat Exemption from plat or official map Other (Jr"Other", name the activity.) Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" ¡ncludes by blood, marriage, or business interest. "Business interest" means a business. including a partnership, in which the town officer or employee has even a partial ownership of(o£ employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO x -- If you answered "YES", complete the baiance of this fonn and date and sign where indicated. Name of person employed by the Town of South old Title or position of that person Describe the relationship between yourself (the applicantlagenUrepresentative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or ber spouse, sibling, parent, or child Is (check all that apply): ~) the owner of greater than 5% of the shares of the corporate stock of the appli~t (when the applicant is a corporation); _B) the legal or ·beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); _ C) an officer, director, partner, or employee of the applicant; or _D) the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this _day of Signature PrintName?eter ~ _ ~t-pr' ; n'J 200 Fonn TS I