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HomeMy WebLinkAboutTR-5279 // ,,#- John M.Bredemeyer III,President ___-- Town Hall Annex 1�� �4= `" ® 54375 Main Road Michael J. Domino,Vice-President x ; P.O.Box 1179 Ez James F.King,Trustee ; ' ' ; Southold,New York 11971-0959 Dave Bergen, Trustee G � '- �� 1%(' ., �- 1 Telephone(631) 765-1892 Charles J. Sanders,Trustee �clY`,®UN * Fax Fax(631) 765-6641 ,• 0 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 21, 2015 Mr. and Mrs. John Keiserman 1170 Willow Terrace Lane Orient, NY 11957 RE: 1170 WILLOW TERRACE LANE, ORIENT SCTM# 1000-26-2-23 Dear Mr. and Mrs. Keiserman: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, October 21, 2015: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit#5279 and Coastal Erosion Permit#5279C from William and Louise Segallis to John and Kimberly Keiserman, as issued on February 23, 2001, Amended on July 25, 2001, and Amended again on June 17, 2015. 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, • - -- • John M. Bredemeyer III, President Board of Trustees JMB/dd L.1 f September 1,2015 John and Kimberly Keiserman 1170 Willow Terrace Lane Orient,New York 11957 Board of Town Trustees Town of Southold rrj= E ;` Town Hall Annex 54375 Main Road u �' P.O.Box 1179 i SEP 4 2015 �-•,/ Southold,New York 11971-0959 outfield own Dear Town Trustees: if 7 u ees On July 3,2015 we purchased a home at 1170 Willow Terrace Lane in Orient from William and Louise Segallis. Shortly after closing we received a copy of a Certificate of Compliance(Trustees Wetland Permit#5279), dated July 16,2015,that identifies Mr. and Mrs. Segallis as owners of the property. We have been advised by counsel that it would be prudent to have this Certificate reissued, identifying us as the property owners, and we are writing now to request that the Board of Town Trustees provide us with this reissued Certificate. Enclosed you will find a Copy of the Deed for this property,which identifies us as the owners; a copy of the existing Certificate of Compliance; and a check for$50, which we were advised by the Town Clerk's Office is the fee payable to have the Certificate of Compliance reissued. If you require any additional materials or have any questions for us regarding this request, please do not hesitate to contact John at(212) 940-6385 or iohn.keiserman@kattenlaw.com or Kimberly at(516)944-7225 or kimberlykeiseiman@gmail.com. Thank you very much for your attention to this matter. Sincerely, John and Kimber y Keiserman Enclosures: Copy of Deed - Existing Certificate of Compliance Check i —Bargain and Sale Deed,with Covenant against Grantor's Aots—Individual or Corporation(Single Sheet) CUR LAWYER BEFORE SIGNING THIS INSTRUMENT—THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. THIS INDENTURE,made the 3rd day of July,in the year 2015 BETWEEN William Segallis and Louise Segallis,330 East 43r1 Street,Apt. 1005,New York,NY 10017 party of the first part,and Kimberly G.Keiserman and John P.Keiserman,as husband and wife, 114 Mackey Avenue,Port i Washington,New York 11050 party of the second part, WITNESSETH,that the party of the first part,in consideration of ten($10.00)dollars paid by the party of the second part, does hereby grant and release unto the party of the second part,the heirs or successors and assigns of the party of the second part forever, ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected, situate,lying and being in the(as further described in Schedule A annexed) Also being the premises transferred to party of the first by deed dated 11/17/1977,recorded 11/22/1977 in Reel 8347 CP 417, made by Irving Bernstein and Diane Siegel,which premises is also known as, 1170 Willow Terrace Lane,Orient,NY 11957 TOGETHER with all right, title and interest, if any, of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof; TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises; TO HAVE AND TO HOLD the premises herein granted unto the party of the second part,the heirs or successors and assigns of the party of the second part forever, AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been encumbered in any way whatever,except as aforesaid. AND the party of the first part, in compliance with Section 13 of the Lien Law, covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose.The word"party"shall be construed as if it read"parties"whenever the sense of this indenture so requires. IN WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year first above written. IN PRESENCE F: I � / �/ '-'° --- .- - tV.A_,_ ' 'Yti iLeL.,z1- William Segallis >4.-/7 , ' Lo ise Segallis • , John Bredemeyer, President �''goFFa� Town Hall Annex Michael J. Domino, Vice-President °° �cIs; 54375 Route 25 James F. King 'ti P.O. Box 1179 Charles J. Sanders Southold, NY 11971 Dave Bergen y01 * �a°!�' Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: 0 " /</ - /7 JOHN & KIMBERLY KEISERMAN request a Transfer of Wetland Permit#5279 and Coastal Erosion Permit #5279C from William & Louise Segallis to John & Kimberly Keiserman, as issued on February 23, 2001, Amended on July 25, 2001, and Amended again on June 17, 2015. Located: 1170 Willow Terrace Lane, Orient. SCTM# 1000-26- 2-23 Typ%f area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part"of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Storm Water Management Review: Yes No Not Applicable Info needed: Modifications: Conditions: y yt- ( Present Were: 4. Bredemeyer /M. Domino / J. Kin ' D. Bergen C. Sanders Y g g Bay Constable Other ew( gri)( Form filled out in the field by J 6 J Mailed/Faxed to: Date: ,,, op3 SO(®p 51 John M. Bredemeyer III, President y ®� � ®� � Town Hall Annex Michael J. Domino,Vice-President t r °'t ® 54375 Main Road t4LEI ��' , P.O. Box 1179 James F. King,Trustee Southold, New York 11971-0959 Dave Bergen, Trustee ® ` @ // Charles J. Sanders,Trustee �� `e4Z0/ ao�1 Telephone (631) 765-1892 COUNrittgad Fax(631) 765-6641 ... .4'S' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1138C Date: July 16, 2015 THIS CERTIFIES that the re-sheathing of the 130' bulkhead on seaward side using treated lumber and armor with 500-1,000lb. rock; and for the+/-30"x54" cantilevered platform leading to aluminum temporary access stairs to beach. At 1170 Willow Terrace Lane, Orient Suffolk County Tax Map#26-2-23 Conforms to the application for a Trustees Permit heretofore filed in this office Dated February 1, 2001 pursuant to which Trustees Wetland Permit#5279 Dated February 23, 2001, was issued, and Amended on June 17, 2015, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the re-sheathing of the 130' bulkhead on seaward side using treated lumber and armor with 500-1,000lb. rock; and for the+/-30"x54"cantilevered platform leading to aluminum temporary access stairs to beach. The certificate is issued to WILLIAM & LOUISE SEGALLIS owner of the aforesaid property. be,- qt.% .sem Authorized Signature ®F S0117®� Town Hall Annex John M.Bredemeyer III, President ®�' • Michael J. Domino,Vice-President 1�� �,;'".'' •_• ; ` 54375 Main Road 4 Er) P.O. Box 1179 James F.King, Trustee ?.r= Southold,New York 11971-0959 x Dave Bergen,Trustee �� ••57,t•', ... �I Telephone (631) 765-1892 Charles J. Sanders, Trustee _l.�'®U����`L Fax(631) 765-6641 . •1sr* . BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 17, 2015 William Segallis PO Box 42 Orient, NY 11957 RE: WILLIAM & LOUISE SEGALLIS 1170 WILLOW TERRACE LANE, ORIENT SCTM# 26-2-23 Dear Mr. Segallis: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, June 17, 2015: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Wetland Permit#5279 for the +/-30"x54" cantilevered platform leading to aluminum temporary access stairs to beach; and as depicted on the revised site plan prepared by William Segallis, received on June 4, 2015, and stamped approved on July 15, 2015. 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 call our office at (631) 765-1892. • Sincerely, 69114— evv% eta1027761 John M. Bredemeyer, Ill President, Board of Trustees JMB:eac 1 ' . - / ... • ebb • . t-iihRBO'R • /4 oktwsir 04,1 flood C , . PfCCfr- • ,til 12i ' tO 1 PO a'ftli'V\ 61 'Se:" / * - fil'. . i osit gAtiZto MOOR et..:,.1 julp: . . ._..-.,• -.0.-?...:0";!. !et Ctit Sk -.:-,.la A s:',..• iiiirA • •gikei4 wilAist• ill 44 ' iiiiimager v.- , 4, 4. 1* r. • Mies i Water .1 eft 77,i,4 , , - ' APPROVED BY 11/1y= . Y31 ", • , ,, ', BOARD OF TRUSTEES . OF SOUTHOLD .. 5-76. -forir--‘1 -'''.' r•Ts . iy, smory PA ' ' Frtinte tt cage l.':.. : : .' 7-10 NM giAtii,u, . 0 F SEGALLIS LAND Se.TM4e l COD'AC-4-623 SCALE: 1 .-.m.40 ,----r----7---Th)------ ' .., , \kk\k ''.—_••••;...-..: F or'•;+:.1 ;. 7.:;.' z,;Pi If •:.-:•Lt t% . e • • wiLLoW TERRACELAN , s...\. !,-1-:=1 Prepared for: -----------------r--- %Wiliam&Louise Segallis 1170 Willow Terrace Lane Proposed.: 14sheath 1301+- bulkhead Orient, NY 11957 on seaward side using treated lumber and-ssmorwich 500-2000 lb. rock the Prepared.by: entire leigth Susan E. Long Permits - P.O.Box 46 East-Marion,NY 11939-0046 ' (631)477-3455 sheet 1 of 3 .TAN. 3o, 2,00t _ . . . • John Bredemeyer, President Town Hall Annex Michael J. Domino, Vice-President 0,44, ��°Gym; 54375 Route 25 James F. King i y P.O. Box 1179 Charles J. Sanders Is,6, 4.$ Southold, NY 11971 Dave Bergen �1 ,� �a°!�'' Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report /pi, h5 Date/Time: Nancy Cervelli on behalf of WILLIAM & LOUISE SEGALLIS request an Administrative Amendment to Wetland Permit #5279 for the +/-30"x54" cantilevered platform leading to aluminum temporary access stairs to beach. Located: 1170 Willow Terrace Lane, Orient. SCTM# 26-2-23 Typ of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: /hapt.275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Storm Water Management Review: Yes No Not Applicable Info needed: Modifications: Conditions: Present Were: J. Bredemeyer M. Domino J. King C. Sanders D. Bergen Bay Constable Other Form filled out in the field by - e vi e*G�-/ 1 Mailed/Faxed to: Date: = John M.Bredemeyer III,President ''�,�oiotfFOL4- _` Town Hall,53095 Main Rd. Michael J Domino,Vice-President p ti' ' P.O.". Box 1179 James F.King 'CA Southold,NY 11971 Bergen Dave '•G •V bt Telephone(631)765-1892 44Y 0"'0 Fax(631)765 6641 Charles J.Sanders 4 * ,, BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD INSPECTION: 5/? /h.(DATE OF S VCh. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, silt fence 1st day of construction 1/2 constructed Project complete, compliance inspection. INSPECTED BY: ../1 i'!e(€4 j) COMMENTS: gii/e4 64/4/ OK 4){ (-;.: G. A/-0 zive vek , 4 L m / 'v G,c[-ass J-1.4Art s' 4 ddC CERTIFICATE OF COMPLIANCE: 1 1 •""" - • '' ' . • ' . - . - - . . 2021121312.2 A.two,. , . .... :-. . . . . , .. .. 1 .. . . ge. V • . 0.01.89 1 ,* 02.09 D3 • On \ 2 07.10 00 ' 1 \ SEE SEC NO 025 10.30-00 1 II: w w45,222 ,, 2. c. 0 MATCH .... LINE MATCH _-, LINE,: Y 2115,210 04 22.02 A 0, ... FOR POL.NO' 6. 12.17.03 =',1.----...1 • SEE SEC NO 1 l'3A,„/ 0022 04, ." SEE SEC.1210. 6.2';:40"5 • ..S.;. °' ..' '`.. .r k°" , . 1111 2: 2. T2"t.fs Nse:e.2\ . .0 CO, siiiiii* - _ N : o ', •••z. ,„,' . 1 IIA V L ‘:• '„L. (1- . E 69 .. q, to 0 1111 (ver.090.2 • \4. .. 27 • \ 1 . $11111, ' 0 • ' ‘ . ....:, 11* K \ . ,,, ., . 11. . (i.32 , 10101100. `. ea ' 111*-% NN \„ \ 2 os i\ 2 n _.I, .2 02 39 12 1 9.4 • 0= 43 10 • \12 1.(% .4,• , ,2 1.1A(c):41/ ...3 = •2 .. . 39.13 2, 1 SA 39.1. 3 42.3 , 21 9. 2 IAA 8 2A T.4 2 . 0 • ..- . 39.11 0 \ 7 1 9.410 4\ 4414 65 .. L\ , . . Ne .2 I el ...."....t. , ' \ . ''..-.....'. ' ." . 29. • ii, I•S•.., N , 24 4.50,,, • . 0424 '442. ..,FY.-•,,,, ' i' I Bo, 27 1 3 WHO \ (41*11146 ... ,23".... 2 • .22... " 22 2\ / 71 111111r4.4111r ----... 2 • . Fib. .24 002 r...1 •---... - _ L 1 P...N.N.,-• N.*.. :„:.'• ...........- ,____ -. -,,,„„- -®-- ,.....- • „„_ ,, _ 24.0...-. 9,, ......R 012.122002 NOTICE eaCCOounUtyNpCenteyr ORlyFaeSUFFOLK mUae,FNrFvYOi1c1Le90K 1 gency vm Ds VIA,.02 SECTION NO _ (TO __ 26 22•22, '......TV”.....S..".... '' MAE.MI mi,m11.3 A P Ni 0121021. 1200 02222112.012 b.0.2.12 211. . " / •'• ebb • t4AR 8 oR /4 0 k Mt-ir • . opv flood 6 (44? Sffti iii.r- ff0Po 1 a oil EA 1 otito ASA,-- : ,t• It ' i 11311/i gi,j7.1r.k‘aAav, 11 1 I - -. • -..-.:::.•.,..-e-t-t--1 viva, 5k ,,....-...1.,........11.;;,..,......•-. , . 5j ---) • - - ' I liki.i.i * IV 4' 9.6514c41 rottit, ..• lik--------;--,4 t:Ng/. • • ..6,47)• a 4.4 Ilk----= \-- li y31 FFF I& story Few ate ti Ogg . IMO • F SE GALLAS 4k % L.AISP 0 f sertAttleb0-44,-4-023 SCALE: CI=40 - ...,,, i a . 1 i ! ) • I = - a --D ; . f EAR Ac iLLovi T E LANE • . s' Nr.f Prepared for: MIllliam&Louise Segallis 1170 Willow Terrace Lane PEGPosed; Itesheath 130'4--bulkhead Orient, NY 11957 on seaward side using treated lumber and-armor-with 500-1000 lb. rock the Prepared by: entire length Susan E. Long Permits P.O. Box 46 shee1 of East-Marion, NY 11939-0046 (631)47'7-3455 t 3 ,TAN., 30, a..00( V .s. i... /// John M. Bredemeyer III, President di V��O� o'1// -. Town Hall Annex Michael J. Domino,Vice-President 1,`O l0 ; 54375 Main Road P.O.Box 1179 James F. King,Trustee ; Southold,New York 11971-0959 Dave Bergen,TrusteeQ q $) s Telephone(631) 765-1892 Charles J.Sanders,Trustee --(4.- i'0 Fax(631) 765-6641 -f-,'. .-Lt.'':-Cs ri--::: V i''-:::: 'r', BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD ` �'' ,L)JUila4201§ APPLICATION FOR AN AMENDMENT TO A ETLAND=PERMIT DATE � / ' OWNER g/t`//L.CCr-fr1 //) - PHONE oil- 1,23- a, '7e / MAILING ADDRESS ✓ �DX -/e �/ fie/% ,/(1/' te/ /1 96-7 AGENT 7(4/atY ee/a2.///' PHONE 3/- 6b- a/02 %C ADDRESS // 7D V // ed Tec 'IGf 19 , (' iC,'r / /V/ //fr7 PROPERTY LOCATION //7D aY �//UGc) e/ez,q- /,4 /t, / ,!T TAX MAP NO. fig-® - a6 - al- g I/We bi„ request an Amendment to Permit# of 7 ,, to aP/J4 %z. /2.L, ✓S eXciPu/>,v,- A-/i, 'b/U/21 ix im/y aeefz /7/66e.,:tes ,/`it o ant-n.D 5'" v .Yo ''. /)>17R4K . - I1 Signed By: - � - E :d of Trustees Applicatio AFFIDAVIT Oil/ila/74 (�7P///5 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 BOARD OF 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,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Le.) f' • Signature of Pro s erty Ow. er SWORN TO BEFORE ME THIS 3 DAY OF 1-t4.. , 20 i5— • DANIEL RILA NOTARY PUpLUC-STATE OF NEW YORK NO.01R16265772 QUALIFIED IN SUFFOLK COUNTY Notary P blic COMMISSION EXPIRES 07/16/20 le rd of Trustees Applicatio , AUTHORIZATION (where the applicant is not the owner) I, G1/4/ll 4,14 (2,Q//%3- residing at 2a 8 (print name of owner of property) (mailing address) 9'//e/LT // /7067 do hereby author ze/a2/a (Agenf� eCed20) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. ► ' ,: (Owner's signature) corcoran 53795 Main Road, PO Box 235 Southold NY 11971 corcoran group real estate p' 6317651300 f. 631765.2607 corcoran.com May 15, 2015 brE i 11:;),E-; ..`' `_ g " ToWn of Southold ; - ; Board of Trustees 111 Town Hall Annex Building g 2015 ` 54375 Route 25 1 I Southold, NY 11971 Southoldr:Tr, Re: 1170 Willow Terrace Lane, Orient Board of Truste A____.__._ SCTM#1000-26-2-23 We are requesting a Certificate of Compliance for the bulkhead work at 1170 Willow Terrace Lane in Orient. Enclosed, please find a check for$50.00 which covers the cost of the Certificate of Compliance for William and Louise Segallis. This property is being sold and David Olsen,the buyer's attorney is requesting this information. I am the Real Estate Broker for William and Louise Segallis and I have attached a copy of the file received from your office. If you have any questions, please contact me at any time. Sincerely, /-2f Nancy Cervelli Licensed Associate Real Estate Broker Corcoran Group Real Estate Southold, NY 11971 The Corcoran Group is a licensed real estate broker Owned and operated by NRT LLC. ` Cantrell, Elizabeth From: Louise Segallis <IseoaUis8gaoicom^ Sent: Friday, May 15, 2015 5:01 PM To: Cantrell, Elizabeth Subject: Permission to enter property Dear Elizabeth: This authorizes you to come onto our property at 1170 Willow Terrace Ln., Orient, NY 11957. This is to inspect The bulk-heading. Nancy told me e mail to you would suffice. _______________• _ ThankynusomuchBizabethfnrtakingcareofthisforus. . ' '� '. . / Best regards, MAY 4 % 2015 ' ~� Louise and William Segallis '— ' rFv£ i c ik ...., 4 Board Of Southold Town Trustees - `" A kt SOUTHOLD, NEW YORK < r PERMIT NO. Sail DATE: February 23, 20 , ., ISSUED TO WILLIAM & LOUISE SEGALLIS. "• �, 4 • I Autlwnrizatinu 7, 1 Pursuant to the provisions of Chapter 615 of the Laws of f , the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and the Southold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS N, -4. � gA 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 I- ... ==S o. Resolution of The Board adopted at a meeting held on ... 2001300.00 paid b 'r , and in consideration of the sum of $ Feb. 21, ...... Y a t,William & Louise Segallis 4t ? 1\ -:i' of Orient . N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, r. s of Southold Town Trustees authorizes and permits the following: Wetland Permit to re-sheath 130' bulkhead on seaward side x a using treated lumber and armor with 500-1000lb. rock. a = all in accordance with the detailed specifications as presented in - .N''..! ` the originating application. i 4, IN WITNESS WHEREOF, The said Board of Trustees here- , St l y, by causes its Corporate Seal to be affixed, and these presents to 1 N/0-1 .;;:' be subscribed by a majority of the said Board as of this date. ,f`, ',Jo. irrrr "a.. Albert J. Krupski,Jr. - Absent S' '' :, �''S�FFO(,j�`_ ����o�Q �pG_� g�e f s; .t' s t� /fr /2 . O �' v Artie Foster - Absent �Q` F it / 1 Jx[ NV'r ' Trustees l r .? ♦ ilii rrr,, _ _ .--F.: 7� i 7.44 s� F! " ‘, y _ ter . • � ,, � � .W. 4 1 il g. TERMS and CONDITIONS =pc 4 Permittee William & Louise Segallis i. 4 The residing at 1170 Willow Terrace Lane, Orient N. Y., as 3 part of the consideration for the issuance of the Permit does understand and prescribe to the fol- = lowing: is 4 . I. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of wits arising directly or indirectly as a result of any oper- i ation performed pursuant to this permit, and the said Permittee will, at his or her own expense, 4 4 defend any and all such snits initiated by third parties, and the said Permittee assumes full liability f': with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold 1 2. That tris Permit is valid fora period of 24 mos. which is considered to be the I estimated time required to complete the work involved, but should circumstances warrant, request • a for an extension may be made to the Board at a later date. S. 3. That this Permit should be retained indefinitely, or as long as the said Permittee 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 the Board or its agents, and non-compliance with the provisions of the originating application, may be cause 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 ° 1 herein authorized. 1 1 6. That there shall be no interference with the a. right of the public to pass and repass along the beach between high and low water marks. 1 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the i work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, I upon due notice, to remove or alter this work or project herein stated without expenses to the Town = 1 of Southold. • 1 8. That the said Board will be notified by the Permittee of the completion of the work "nth- orized. 9. That the Permittee will obtain all other permits and consents that may be required sup- plemental to this permit which may be subject to revoke upon failure to obtain same. C. ir 7 I -1 L,Ij I Ii-i --I = �j C: /,'. '.7It L'Ir1i-_ i ?5.'- ,.,—__ r� !' (,1 7KPi NAL"( r.IGli wk.' LR MAC,7--. 2 1 -J l ` ED�-i. c.GC'.. t. �/ �- r ;.: _1, J C I I/z 3fnr y / tn I�_I IN- `S7 CVV MC /for:ge i lµ 16 .\ it-_ . • zsz 'I l aa% Lil- it.- • 01 LI! -03 it 11-71 LI well -240 r0 $ 0 2 m _ V I s- Es „ :7 - : J ?CCC. E ICO.Qx - l f �" g rf. >> - > 1 rr 5 IF i > �iJ VIL it.� u'v iL-< i' _ _ ^1E u ' x £ F ° z Ib yPO0 liKl. T IY V I)i >r ry ll` I . . I I Q lr; ' D ti ,}: D .- , 1 k_ — — I k • Albert J. Krupski, President so oFFOit es.. Town Hall James King,Vice-President •PO�� CD 53095 Route 25 Henry Smith �/1 Gym L P.O.Box 1179 Artie Foster , Southold, New York 11971-0959 Ken Poliwoda : 0 s Telephone(631) 765-1892 11 1 Fax(631) 765-1366 'O.t BOARD OF TOWN TRUSTEES TOWI'T OF SO THOLD • July 30, 2001 Mi. Fred Anders Coastal Geomorphologist NYS —Dept of State Division of Coastal Resources 41 State St. Albany, NY 12231 Dear Mr. Anders: The Southold Town Board of Trustees will be conducting their routine field inspection on Wednesday, August 15, 2001, at 8:00 am. The. Board would like to coordinate with you on the inspection for the following applications: - William & Louise Ssgallis 1170 Willow T. race Lane. Orient SC[ivIN1000-26-2-23 Re: Rock Revetment - William A. Hands i:. 960 Willow Terrace Lane, Orient SCTM#1000-26-2-21 Re: Timber Groin If you can join us on the field inspection, please contact the office at (631) 765-1892. Thank you. Very truly yours, 0110_,u-u rt -rr?.. ai nd45 Lauren M. Standish, Clerk Board of Trustees cc: William &Louise SegaHis William A. Hands, Jr. William Daley—NYS DEC Chris Arfsten—NYS DEC Albert J. Krupski, President , S�FFO fr Town Hall � James King,Vice-President ��,0 Cok 53095 Route 25 Henry Smith P.O.Box 1179 Artie Foster o - Southold, New York 11971-0959 Ken Poliwoda h Z 4 Telephone(631) 765-1892 l �a v- / Fax(631) 765-1366 J*t •d BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 30, 2001 Crowley Marine Construction C/o Susan E. Long Permits P.O. Box 46 East Marion, NY 11939-0046 Re: WILLIAM & LOUISE SEGALLIS 1170 Willow Terrace Lane, Orient SCTM#26-2-23 Dear Mr. Crowley: The following action was taken by a poll by the Southold Town Board of Trustees following the meeting held on Wednesday, July 25, 2001: RESOLVED, that the Southold Town Board of Trustees Approve the request for an Amendment to Permit#5279 to reconstruct 130' bulkhead in the same location with CCA sheathing. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely,S/� (�Gi9ta•-f i2 -L$ r, Albert J. Krupski, Jr. President, Board of Trustees • AJK:lms DEC ACE Dept. of State • ' UFF0( • Albert J. Krupski, President s0'QS '� Town Hall James King,Vice-President I .Z.� Col/ 53095 Route 25 Henry Smith t y�` P.O.Box 1179 Southold,New York 11971-0959 Artie Foster Ken Poliwoda : G `F�1� Telephone(631) 765-1892 `�y?JCl u �a ��� Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 23, 2001 Ms. Susan E. Long S.E.L. Permits P.O. Box 46 East Marion, NY 11939-0046 RE: WILLIAM & LOUISE SEGALLIS 1170 Willow Terrace Lane, Orient SCTM#26-2-23 Dear Ms. Long: The following action was taken by the Board of Town Trustees during its regular meeting held on Wednesday, February 21, 2001 regarding the above matter: WHEREAS, Susan E. Long on behalf of WILLIAM & LOUISE SEGALLIS applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated February 1, 2001, 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 February 21, 2001 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 2 • • 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 WILLIAM & LOUISE SEGALLIS to re-sheath 130' bulkhead on seaward side using treated lumber and armor with 500-1000 lb. rock. BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency which may also have an application pending for the same or similar project. Permit to construct and complete project will expire two years from the date it is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. Fees: None Very truly yours, o ts Albert J. Krupski, Jr. President, Board of Trustees AJK/lms cc: DEC ACE Dept. of State •Albert J. Krupski, President /' 0 OFFO( $ /t Town Hall Co • James King,Vice-President �''y0� G \ 53095 Route 25 Henry Smith � P.O. Box 1179 Artie Foster a0.• ,; Southold, New York 11971-0959 Ken Poliwoda Telephone(631) 765-1892 V** �apl��� Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD COASTAL EROSION MANAGEMENT PERMIT Date: February 23, 2001 SCTM#26-2-23 Name of Applicant/Agent: S.E.L. Permits Name of Permittee: WILLIAM & LOUISE SEGALLIS Address of Permittee: 1170 Willow Terrace Lane, Orient Property Located: 1170 Willow Terrace Lane, Orient DESCRIPTION OF ACTIVITY: Re-sheath 130' bulkhead on seaward side using treated lumber and armor with 500-1000 lb. rock. SPECIAL CONDITIONS: (apply if marked) Bluff restoration through a re-vegetation plan is a necessary special condition of this permit. A relocation agreement is attached hereto and is a necessary special condition of this permit. _A maintenance agreement is attached with application and is a necessary special condition of this permit. E2w4.1 /l,.,i. ' Albert J. Krupski, Jr. President, Board of Trustees AJK/lms cc: DEC • '' �S�F F OLY�oG • t. Town Hall. 53095 (Wain Road 'T P.O. Box 1179 Telephone _Off, � �O ,� Southold. New York 11971 (631) 765-1892 _ J0 y 1e SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Thursday, February 15, 2001, the following recommendation was made: Moved by Scott Hilary, seconded by Bob Ghosio, it was . RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Wetland Permit Application of WILLIAM & LOUISE SEGALLIS 26-2-23 to re-sheath 130' bulkhead on seaward side using treated lumber and armor with 500-2000 lb. rock. 1170 Willow Terrace Lane, Orient The CAC recommends Approval of the bulkhead repair but recommends DISAPPROVAL of the rock armoring because of the potential negative impact of a permanent, hardened, unnatural structure. Vote of Council: Ayes: All Motion Carried t ebb oRlE,Nr NikR8OR zet ora/e�^ flood H„Ham. , ny Hog f y ITA r y Y r = r,~ r t �' w y t_ r ta, REi►sN'N4...00.1. Y4. /3' IlairP . il I& story ' s Frusta sag iiii LAND of SEG ALLIS SCT K4pteb0-a6-4-a3 SCALE , I �= 40 ThrtILLOW TERRACE LANE " u . Prepared for: William &Louise Segallis 1170 Willow Terrace Lane Proposed: Rgsheath 130'+- bulkhead Orient, NY 11957 on seaward side using treated lumber ndarmorwith 500-2000 lb. rock the Prepared by: entire length Susan E. Long Permits P.O. Box 46 East Marion, NY 11939-0046 sheet 1 of 3 (631)477-3455 .3-AN. 30, aoot • . • Ad' FEB i u\ 0 ELF- ss P.f, EE Vit.c.RA SE0. - I� 1 tA as qiii. 20 1 t. Ir <' "t�oN(CC)1 11/114#11 �q I � SAC." Wd� 10 /All I 4 PCP = /Ij IL r�.�. i — I. S �b Ill 81106 tiff 1 � ` il a;ji i , %, / AHq! 8i 21sa i H_ figil New; cC.fr TREATED ‘ % , SNER?NIN6 eEUETttAZ oN q ,/ n ,{ (oitothk 77_41, r(tte (-fail S/_ Pq / / Prepared for: GG CROSS- SECTION William & Louise Segallis 1170 Willow Terrace Lane RESHEftTH 3UCKFtEAD wattOrient, NY 11957 Rocis ARMOR Dtt FRoN T Prepared by: Susan E. Long Permits P.O. Box 46 East Marion, NY 11939-0046 (631) 477-3455 sheet 2 of 3 TAW, 3°, zoo I — - -- --- • • r —_ • / vs FY} v 7gL/i RI �\ O nC¢EC —1 WklovJ TERRACE. 1—iits4 /e^'o.' /7 :rte I V' i 11 i°° \kbJ ^ 4 e %�s rax,u. 2 „„„„. �\ 9P •it t�`C� Orient YC O1.,'Nt . y�Z O o MEN T NARea K N T 3 n�( NTNG "' \\1/2, xave eee 0Helen Keith 're o gtizire.? 995 Willis Creek Dive werah 0 R d�' •ai,l'i Mattituck, NY 11952 a 0 Hulsman Living Trust 64 Willow Street Floral Park, NY 11001 0 Marie-Use Gazarian 80-15 Main Street � •16� a �: Jamica, NY 11435 '. '' \ z\ t. 't W �►. ,..„ ,, \\ , .. .. ._., / r . o ., .0, Prepared for: ,. . Ili \< C z/ \ r • William & Louise Segallis P1 1170 Willow Terrace Lane ! Orient. NY 11957 ....„„„.4... 1,,7 Prepared by: x. I x _ \' Susan E. Long Permits / P.O. Box 46 \ East Marion, NY 11939-0046 \` (631) 477-3455 sheet 3 of 3 \< SgN,3a cool ti t 8.L I'd Oflod S210fl ;_ L 1 ,S1,i‘ $' ---Vrai w r. r .i L c3 fr,s, ��; .Iw� 1 'AO 6 S 'lr \�` '2 ,y - u s i, , r ;J _ -� Q. O '?' [r LA W �p zS �T �3 . � r— �� 1 •SP 0� G4 I. CD w ell `rS CO El `t I �► N OO O4 SAO, Q Y W 0.1S b -oo S .r �r n �` 6,-; t kt ccYkJ S \ ec. ti4. °e r.4 f a' / �a tit / r Q AL J f 051 G 111 : s l V O f' ,P L. C. pc✓ O* O "' / 4 If W _` Et) / if 'J / ° ta 1 CIM ESC � 0) �6a ° I . . f reicE.,.., + 1 O p Z O�� 1 m Cal CC 0 >4.1 CDitli c Mr � � tx 00 0 � � r ::. W � O 'a Ei � m T W I.A 1' L kJ CO '1 _ t Jul 16 01 03: 22p Sus E. Long 511:77-3455 p. l SUSAN E. LONG SUSAN E. LONG PERMITS P.O. 80X 46 EAST MARION, NY 11939-0046 PHONE 6 FAX(631)477-3455 July 16, 2001 • Albert J. Krupski, Jr., President • Southold Town Board of Trustees JI J 1 P.O. Box 1179 6 ZUU� Southold, NY 11971 Re: William & Louise Segallis - _ . Willow Terrace Lane, Orient Permit#5279 Dear Mr. Krupski: The Southold Town Board of Trustees issued the above referenced permit February 23, 2001. The permit authorized the reconstruction of 130' bulkhead within 18"and install 500-1000 lb. rock armor along its entire face. Subsequent to my receiving the Trustee permit and the NYS DEC permit, I have been struggling to obtain Certification from the NYS Department of State(NYS DOS)that would allow the issuance of the Army Corps permit. Unfortunately, the NYS DOS have ruled that they will only issue approval for the bulkhead to be reconstructed in the same location. Due to the significant reduction in the scope of the project, we respectfully request that the Board of Trustees allow us to proceed with the bulkhead reconstruction under the existing permit(#5279). My client is extremely concerned about losing his bulkhead if a severe storm makes its way to ow area. Would you please give this matter your attention at the July 25, 2001 meeting. Thank you for your review and professional assistance. Please call me if you have any questions. Very truly yours, ---‘)P,4•61'4) Susan E. Long >.' V,* STATE OF NEW YORKDEPARTMENT OF ENVIRONMENTAL CONSERVATION ALBANY, NEW YORK 12233-0001 '' ,2x HENRY G. WILLIAMS FEB 2 • •C S eau AUG 19 1986 Dear Mr. and Mrs. Hulsmann: This is in response to your letter of May 1, 1986, regarding your application number 10-85-1112 for a Tidal Wetlands Permit. During severe storms, especially when these occur at high tide, wave action causes scour and erosion to the beach below vertical faced bulkheads. This scouring may not be evident for many years, but eventually the bulkhead is undermined and collapses and the beach is often lowered or lost completely, as well. Department staff must take the long view regarding shoreline stabilization and its side effects. It is for this reason that our current requirements are for protecting against scour by armoring the bulkhead base with large rocks. Please also consider that Hurricane "Gloria" passed over Long Island at low tide. If the neighboring bulkhead has been there for only five or ten years, it is likely that the effects of scour are not yet noticeable. Please feel free to contact my Region 1 staff if further questions or concerns arise during their review of your application. Sincerely, 1 Ire G. Williams Mr. and Mrs. Robert Hulsmann 64 Willow Street Floral Park, N. Y. 11001 1 .i • � x • Albert J Krupski, President }Ji0SUFF0(itC • Town Hall .Jame; Fin„ Vice-President �'�O� OGy ry 53095 Route 25 Henry Smith & P O. Box 1179 C y M Southold. New York 11971-0939 • Attie Foster N W Ken Pohwoda r. y Telephone '631, 765-1892 7=- `tti Fax ;631; 765-1366 ORIGINAL BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only ✓Coastal Erosion Permit Application ./lt'etland Permit Application ....."'Major Minor WaiverAmendmentiChanger /Received Application.� � .2///0/M/�t/ L'Receiv�ed Fee:$} N /Completed Application a-/l/0/ Incomplete SEQRA Classification Type 1 Type Il Unlisted _ FEB Coordination (date sent) _ ,/CAC Referral Sent g2 h/01 werg to of Inspection:aQM 0j Receipt of CAC Report Lead Agency Determination Technical Review tee-Public Hearing Held 411 I/0) Resolution Name of.Applicant_UIILL IAM LOUISSEG 81..1 is Address Phone Number.( ) Suffolk County Tax Map Number 1000 - ace- Property Location. ♦ , . - R -- DRlFt4T NI 114 S'7 - (proyide LILCO Pole #, distance to cross streets, and location) AGENT' CROW1F1 Mpout.1F CbN5TRucTioN l It applicable) C/o SUSAN E . 1„oN6 pEnit Address .o .ge._A �--- EA S-r fitARmm NAL I l q 39 - `F Phone /03 I - 'LZ2 - 3 VSs_._ . •rd of Trustees Application GENERAL DATA Land Area (in square feet): I Z 90 O Area Zoning: RF,SIDENT/AL sinALE - FAMit,4 IUATl=fCFR()Nr Previous use of property: EXLST1 N( 5INCLE FA til1Ly DW tLLN6 Intended use of property: No C N A NC F _=/4, p eo r p_r t)SF Prior permits/approvals for site improvements: Agency Date ISNkNotAInl No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? V No Yes If yes, provide explanation: NIA Project Description(use attachments if necessary): RESNEA--r I-1 IRO BULkHE-AD ON SEAWARD SIDE LSING, TREATED AND RMniOt Lk.)t-t It Sao — /g000 IR Roc k • • Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: 51-A$I L I Z F 1 P L A N h ?f RoPF_t_T1 ANvD STFZueTuQEc . Area of wetlands on lot: O - square feet Percent coverage of lot: - a _ % Closest distance between nearest existing structure and upland edge of wetlands: (S' feet Closest distance between nearest proposed structure and upland edge of wetlands: a5 ' feet Does the project involve excavation or filling? ,7 No Yes If yes, how much material will be excavated? -o- cubic yards How much material will be filled? -o _ cubic yards Depth of which material will be removed or deposited: - O - feet Proposed slope throughout the area of operations: Nn CI+An g _ Manner in which material will be removed or deposited: ND FILL - ROCK RGUETMFNit ?LACED WCTEt C.Z.PtNE 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): No DISTURSflNCE ifD WETLANn VE6ErA-T,014— NON F_ FIST�Nr SEgWaRD CF $l)LK \ EAD VEGETATION LP}NMUAR- b o f $ULKHEAbb TO I E RFUEGtF _VEC_E55t) 1`W • Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: STA 3i I L I2_F UPL A M D PEO". F 11-cl A-14 O STZUQXOS Are wetlands present within 100 feet of the proposed activity? No V Yes Does the project involve excavation or filling? No V Yes Roe,K - SDO- Z&OO 18. If Yes, how much material will be excavated? (cubic yards) How much material will be filled? 130 X toI Rocks (cubic yards) Manner in which material will be removed or deposited: ROCKS PI-ACED $ G1Zf�NE _ _ Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) Nb t.1CaRT1\1E. zMPACTS - gOncs PLAc.FD 131 C,IZA NE- Bliod of Trustees Application. 1, County of Suffolk State of New York 5u54 N E . hO N & 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 OF THIS APPLICATION. r ak_alAmar A / Signature SWORN TO BEFORE ME THIS *lL_C DAY OF /vfr4-rL ( 7-1-9-40-07) (°(aoff Notary Public CI 419E (3LtTW Notary Pub`s.State ar New Yr.. Na OIGL4tV 95PTh Gualthea nt SaltC..ur yy.,-U 7 4111 �•�UFFOC Town Hall Albert J. Krupski, President �� S �CO . Route 25 James King,Vice-President �',!t` Gyy > 53095P.OBox 1e 2 Henry Smith o Southold, New York 11971-0959 9 Artie Foster : ti try t - Ken Poliwoda ‘ `I6 rte Telephone(631) 765-1892 0 l y �a0lrtr Fax(631) 765-1366 jg BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES : TOWN OF SOUTHOLD In the Matter of the Application * JI of ( XX\(Q-N1 * Se•_S cpIULS COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I , IAN CRZ0u1LEy , residing at C FEN PORT NEW yDRK being duly sworn, depose and say: That on the ci s day of FEBROAHy 2001 , I personally posted the property known as 11'/C W11-1 !IL" TEKCA C F LAN F 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 let 1.1801 f on oc-obn�t 1:0) 0 . Dated: aiAi'1ol 7signatur Sworn to before me is cotday ofFEMAR1 200( SUSANE.LONG Notary Public.State of New York No.01104958343Co Qualified in Suffolk County l Commission Expires November 6,3S.Ai Notary Pub is 4110 _s I d $ s c c� `a {- a 6E -� $ c' C• " o oma' 0 N � � tZ c TvAte _c11/: L � Z r coNo .� 0 ._' Lo o C � � co c •co * 6 Ore� _ eci 7 9 LU sc . . ZL cod � O >, ; 22 a I— �° a. Z ‹ c a V D- CD . . g Wp DO -a 0 LL- LI— ° moo o V � ° E O '6cn a W = O 0 - Lu O =kJ coD o 'L co L (� Q c O Z W jce Dc cp W J strz uL .= m LL c O O **- LL LL O •4- t to V to mOc O w " E w _ 3a)= Q OrY !. � 0 a s N I- 0 NQS w0a� Zw ao O� o � 0 of Ce � oNOZOz oO (/) F - = -5 cZ s V . co sO o -0V) V) • • AUTHORIZATION FORM Date / - 7 - [ , c ..icbekt-L-( t owner of -'i ; (! r"%C u: !<�EAr-ic (name) (street address) located at ;ti' ; do hereby give (town & state) v (contractor) and Susan E. Long the authority to act as agent on my behalf in applying for all necessary permits for work to be done on my property described above. �'�//5 Sign4kure i • III FEB i PROOF OF MAILING OF NOTICE U.S. Postal Service Name: CERTIFIED MAIL RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) Article Sent To: Ln r4 MATTITLICK, NY 11952 U.S.Postal Service 0" CERTIFIED MAIL RECEIPT l NNIS (Domestic Mail Only; Arl t . , - PI Postage $ 1.90 �`5-q�"-9 ' Coverage Provided) _ _ Certirred Fee •,C-1' Ply �\t D S _ ___.__.__-___ ( / `w Ostmark 1� m Return Receipt Fee 1 I ru JAMAICA,.NY 11435 0 IEndorsemenRequreal _-- -_--_-- c4,kk: K� it, O Restricted Delivery Fee i i p�y u'O (Endorsement Required; ._ R m Postage $ J T 224 0 d3/ N r1 LINID- n_ n93, o Total Postage a Fees $ \ SCen'�Ired Fee 1.907'e. Rl ..? -73r4 t R I Name(Please Print Clearly)(To be completed by mailer) O rf r Return Receipt Fee •4 m 1 q ISI C T ��, (Endorsement Reguirenl - — ���CCC4 H-E-5.1..).x--... .1.�-L-\- Street,Apt.No.:or PO Box No. O Enaarsem Delivery Fee I Q' lerl':: a O (Endorsement Requrred) _ nr 9.9 S WA-W.5 G I,F-E--)& D.RAV F O Total Postage&Fees $ `•2lA\se .i M1 City.State.ZIP+4 C 19 S.2- A . I,D ru Name(Please Print Clearly)(To be completed by Name(Please Print Clearly)(To be completed by mailer) N19-RL&.- L.LS.E. G7f3.,i)..RIA.1�1 rn H U L 5 M A Ni a-MIK-+---I�1RS.,---RQ BERT .. Street,Apt. o.;or PO Box No. P. Street,Apt.No. or P B x Na. ir 8O-[S MAIN STREET inc" 0.q WILL 5 City,State,ZIP+4 City,late,Zl a w ----.TKErfcr RMICA N\! 11435oo - IL_ PARK . NV llOmm STATE OF NEW YORK COUNTY OF SUFFOLK pAu L $A K E , residing at N1.1rpFoni> ( N`( , being duly sworn, deposes and says that on the ,ZNo day of FEEnhir, ,3SOp , 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 EAST NARIon4 N"( , that said Notices were mailed to each of said persons by (certified) (registered) mail . (11:73...U.S._ Ca Q.9.- ____. NI 9 Sworn to before me this a SUSAN E.LONG day of FEI3RUAR`I York 4958343 Qualified in Suffolk County \ Commission Expires November 6,1SIIl Notary Publ • •ICE TO ADJACENT PROPERTY •ER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: WILLJAM t 1AU1SE SEcMLLIS SCTM#lOOO-02(0-A -,73 YOU ARE HEREBY GLVEN NOTICE : 1 . That it is the intention of the undersigned to request a Permit from the Board of Trustees to: RESHEATH EXISTiNC, IiuLkHEAD - - ARMoR, W LTH r.ocK 2 . That the property which is the subject of Environmental Review-is located adjacent to your property and is described as follows : 11,'70 W 1LLaW TERRACF 1-ANE en1ENT 1,1\1 3 . That the project which is subject to Environmental Review under Chapter 2 , 37 , or 97 of the Town Code is open to public comment on: al 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 : \1JLL.L( AM LOUISE 5F_CALLIS MAILING ADDRESS : clo SUSAN E LONG PERMrr5 13•0 •L30X `l(o - CAST MARION Nf 11939-ooY PHONE # : (a,3I ''(72 - Enc . : Copy of sketch or plan showing proposal for your convenience. fEB 1 2 • • / ebb NA128OR tihory flood FEB D 1..:�:s..1: .y.wry 1:.:: %J.;15:`' ='r• r �yI tING ;;f, J' y r r i' y4' 4, t ' 42' RETaI,NG�µL brill- ilk 1- r �� —1,4 --nuts natl. pare Y3' I–SWIM pee 11 Ots story Frame %own Wili LANG OF SEGALLtS , serH4hl000-aG-A-a3 SCALE; 11C-- 40 u WILLOWTtRRA.r� LANG w Prepared for: William & Louise Segallis 1170 Willow Terrace Lane Proposed: Aesheath 130'+- bulkhead Orient, NY 11957 on seaward side using treated lumber and-armor-with 500-20001b. rock the Prepared by entire leiigth Susan E. Long Permits P.O. Box 46 East Marion, NY 11939-0046 sheet } (631)477-3455 .TAN. 30, aoot