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Home My WebLink AboutTR-5570 I.·!-.....~_-!......-:t_~._.~·_· . ._._' ~~. . ' . ~, .' .. . , . . . ~ ... . ,., ,~ TERMS and CONDmONS .." " "" ,Ii ., 'Jo.. I'em1Îtt1:c ,r;~<;"Q-'t ~ eRie residing at 1375 Pine Neck Road, Southold, N. Y., as part of the consideration for the isS1,.øœ of die Permit does IIØdenIaod and prescribe to the fol- lowing: 1. That the said Board of Trustees and the Town of Southold are released from my and all cIomages, or cWms fOl: cIomages, of suItI atWøg dItecd.y or IndUecdy as a resuk of my oper- ation performed pinoWIt to this pamit, and the Iåd 1'>-- 1140.- wII1, at his or her own ~ defend my aDd aIllliCh _1S·hdtIaœcI lIT tbkd patda, and the IÙd 1'--. 1.._.......... fuI1 BobUJtr wiIb reipect thereto, to the CIOGIpJeteadasioø. of the 8Qud, of TrœUes of the Town of ~d 2. That this Permit Io'....nd for . period of 24 moL wfdch is (l(1II1~1 ed to be the estimated time' required to coiDp1ete the work Jøwhed, but' iboa1d CÍfèIIIØSWICCS wamat, request for 111 exœøsiOl1 _y be made to the Board at a later cIaœ. ~. That this permit should be reiaiaed Jade&iœly, or as loog as the said PermIttee wishes to '",.;..../n the sa:uaure or project involved, to provide evldeøce to II1fODe concerned that 1Ulth- orization WIS origiøalIy obtoJøed. 4. That d>e work involved ..m be subject to the ~ and appronl of the Board or Its agents, and I1OI1-QXII{IIiance wid>, the provisioas of the or<gõ"'';'Ig app1katioa, may be CIUSe for revoation of this Permit lIT resolution of the said Board. 5. That Ihere will be no unreuoøable Jøterfereøce wid> aavigation as a result of the 'WOdr herein ...tborized. 6. That Ihere sbaI1 be no interference with the right of the pabUc to pass and tepus aIoog the bead> between high II1d low _ter marks. 7. That if ,future operations of the Town of Soutbold nc¡a1re d>& œmova1 aod/or aIœradoas Jø the location of the work heteIa ...thodze<i,. or if, in the opiaIoa of the Board of TrusteeS, the work shaI1 cause unreuonable obsttuctJ.OI1 to free navigation, the said PermIttee will be requh'ed. apoct due notice, to remove or alter this work or project bere1n stated wicboor ~~D'" to the Town of Soutbolcl. ' 8. That the said Boord will be notified lIT the Permittee ot the cocap1edoa Of the work IIdh- orI%ecI. 9. That the Permittee will obtain all other permits and c:oaseoci dIat œA1 be required lOp- plemental to this permit whkh _y be subject to revoke apon fåhue to obtain same. -.--" ._-._---~._-". - () . Albert J. Krupski, President. James King, Vice-President' ". Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTH OLD CERTIFICATE OF COMPLIANCE # 0003C Date 8/18/04 THIS CERTIFIES that the steps, platform & walkway. retaining wall & additions to dwelling and deck At 1375 Pine Neck Rd., Southold Suffolk County Tax Map # 70-5-39 Conforms to the application for a Trnstees Permit heretofore filed in this office Dated 3/27/02 pursuantto which Trustees Permit # 5570 Dated 5/22/02 Was issued, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is beiug issued is steps, platform & walkway, retaining wall & additions to dwelling and deck. The certificate is issued to Vincent Benic owner of the aforesaid property. i?Û ~ "~ K'1.~ ~J..' ff . ..c. tÎffior' ea S"ignat~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 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. INSPECTION SCHEDULE Pre-construction, hay bale line 151 day of construction Y:z constructed L Project complete, compliance inspection. fa [Is-I!>f \j I~ \0..+10 ". D~ \ ~ \\ '\- ~~V\.t~'^~ co..,J¿v~-'<JV'. ~I Iß (',K) r (+,'.,-k..l.-tcO é ~ C .--/ ~ . . Vincent Benic 1375 Pine Neck Rd. Southold, NY 11971-099 June 1,2004 Board of Town Trustees Town of Southold PO Box 1197 Southold, NY 11971-1892 ID)f ~"~ I ~è~~ \~ J'0" -' . southolÖ 1o~· ..I -t \n:s\ees BO'.\fl'l.l Re: Permit No's 5570 and 4378 1375 Pine Neck Rd. Dear Sir or Madam, Please be advised that the work for Permit No. 4378 to add to existing dock is completed and ready for inspection if required at this time. We are also requesting a 12 month extension to Permit No. 5570 since this work is in progress and is substantially completed except for the stair connection to the dock. - -.--- If you have any questions, please let us know at 516-933-9437. ~ ( ~ Vincent Benic 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 May 30, 2002 Mr. Robert E. Herrmann c/o En-Consultants, Inc. 1329 North Sea Road Southampton, NY 11968 RE: SCTM#70-5-39 Vincent Benic 1375 Pine Neck Road, Southold, NY Dear Mr. Hemnann:: The following action as taken by the Board of Town Trustees during a Regular Meeting, held on May 22, 2002, regarding the above matter. WHEREAS, En-Consultants, Inc. on behalf of Vincent Henic applied to the Southold Town Trustees for a pennit under the provisions ofthe Wetland Ordinance of the Town of Southold, application dated March 27,2002 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 May 22, 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 standard set forth in Chapter 97-18 of the Southold Town Code. . 2 . WHEREAS, the Board has detennined 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 approved the application of Vincent Renic for a Wetland Pennit to construct 4'x20' wood steps including 4'x4' platfonn and 4'x22' wood walkway elevated a minimum of3.5' above marsh grade down bank to existing dock - construct +/-100 linear foot timberretaining wall (plus 18' westerly and 8' easterly returns) along top of bank - remove remaining portion of existing block and wood retaining wall along top of bank _ backfill with approximately 25 cubic yards of clean sand to be trucked in ITom an upland source and planted with native grasses - construct (2) story additions existing two story dwelling and expand existing second story wood deck. The northerly portion of the return will be constructed at an angle to face the retain wall as depicted on the plan dated 6-5-02 BE IT FURTHER RESOLVED that this detennination should not be considered a detennination made for any other Department or Agency, which may also have an application pending for the same or similar project. Fee must be paid, if applicable and pennit issued within six months of the date of this notification. Ifinspections are required, at a fee of$5.00 per inspection (See attached schedule). FEES: $5.00 Very truly yours, apt L' ¡ 0. /¿r--fJ-~ ~ Albert J. Krupski, fro . President, Board of Trustees AJK/cjc cc DEC Building Department . . ~ EN-CONSULTANTS, INC. 1329 North Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 E-mail: encon@peconic.net www.enconsultants.com ENVIRONMENTAL SERVICES Albert Krupski, Chairman Board of Trustees Town of South old 53095 Main Road Southold, NY 11971 m-¡'T r,:J '" -~-- ft ,-~-~L1Ë_ a r:; i3.. r)ì .. ---.-.... In' JUI JJN, 'WIot:: .1: . i I ' c.uuc . -'OI~·-:--;;::-:--;-:-; 'or . . _ . " \.J . ~.Î, t . f ','.. . ~ .' : -~ . '..-~.:. . .- 1 June 7, 2002 Re:Vincent Denic. 1375 Pine Neck Road. Soutbold Dear Mr_ Krupski: As discussed during the May 22nd public hearing on the captioned permit application, please fmd enclosed (3) copies ofa revised project plan, which depicts the westerly terminus of the retaining wall positioned an additional two feet east of the westerly property line. The purpose of this minor modification is to provide additional separation between the retaining wall and the black locust tree located adjacent to and west of the westerly property line. Consequently, the total length of the face of the retaining wall will be reduced fÌom 102 to 100 linear feet; the length of the westerly return will be increased fÌom 17 to 18 linear feet; and the northerly portion of the return will be constructed at an angle to the face of the retaining wall, as depicted on the plan. Should you require any additional information, please let me know. Respectfully yours, Enclosures cc: Vincent Benic )uØ~~ -rv~~ Robert E. Herrmann Coastal Management Specialist Albert J. Krupski, Preaident James King, Vice·President Artie Foster Ken Poliwoda Peggy A. Dickerson . . Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction. hay bale line 1st day of construction y. constructed ~ Project complete, compliance inspection. En-Consultants. Inc. on behalf of VINCENT BENIC . . \ INSPECTION SCHEDULE ---.! Pre-construction, hay bale line J J 1 st day of construction Yo constructed @ Project complete, compliance inspection. -r . June 7 2002 " CERTIFIED MAIL RETURN RECEIPT REQUESTED ~¡JN I 0 æü2 -_.- I ·1 I ¡ i...:...:..:._._ " - ""'11" ~.. ~\', ~ .: __.___..._L.. "i To A IberT(I, k('vf5\c::-~ This letter is to notify you that the Locust Tree on the West comer of 1295 Pine Neck Road will be damaged when the Timber Retaining Wall of 1375 Pine Neck Road is installed. As per the letter sent to The Board Of Trustees on May 22 2002.My Certified Tree Arborist has stated that half of the root system will be damaged when the wall is constructed. This will certainly cause great damage to my tree and land. You will be held personally responsible for any and all damage that will a cure. ~~\C +~ Sincerely, Laurence Sideris 1295 Pine Neck Road Southold NY 11971 , I , . . .;·.~~f:~~~.~~ '.' r '.~' ~ \: . Ap r i 1 '" , 2001 CERTIFIED MAIL - RETURN RECEIPT REQUESTED Department of the Army New York District, Corps ",1' Er,·;:jr"cer-: Jacob I~. Javits F'edrer"l h'.I;;,.I,' , New York, New York l0278-C~~0 .: '.. "'- "Att: James W. Haggerty Chief, Eastern Permits Section I I Re: Application No. 200l-004~5-~= ~y Lesli~ Windisch Dear Mr. Haggerty: I do not permit the Applicant, Leslie Windisch's recreational mooring project due to the safety issue it would cause for the navigation of Jockey Creek. The pile supporteci pullr.::') S~·SL~.:!n ',.,,)2.1..[1 :1:. c'-.Ln;.;t"¡ Jl3.n\l2ti.::!: I unlighted pile, together with the 15 feet of cable would cause a great danger to any boater at night. Additionally, the total length of the project WQuld also restrict boat traffic in Jockey Creek. II I Please do not isst..:e ô\..:r~horlzðr~·'.!:. f':,! '-~';_~ Ct(t~.\·lt~· beCétlJSê of the danger it w:~l cause. A copy of this letter is also being sent to the United State Coast Guard and the Town of Soutncld Sucer-Visor. _s...~n~;Er"~.~., ~ J()JN(j/Y¡~¡11 ~ LAWRENCE M. SIDERIS 1295 Pine Neck Road ~;'.'unl'C>.I, 'Je'.'} Y·::>rk 11971 I , . . I , . DEPARTMENT OF THE ARMY 4~, NEW YORK DISTRICT. CORPS OF ENGINEERS I :.~ì'! JACOB K JAVITS FEDERAL BUILDING NEW YORK, N.Y. 10278·0090 10.\<.. _ ~ Eastern Permits Section I I , I ! , Dear Mr.Sideris The Army Corps of Engineers will not give authorization for the pile- supported pulley system for the applicant Leslie Windish # 2001-00495-L2. We also understand the totallenb'lh of the timber pier IS far too great for the waterway of Jockey Creek. We feel that recreational sakty IS an Issue here lhank you for your letter on this matter. , I Sincerely, James w. Haggerty Chiet: Eastern Permits Section. , I I , r , , I . MAY 16 2001 As per your letter, Section 183.200 of the Maritime Waterways Law on night navigation states: Any and all free standing pilings used in United States Waterways for the purpose of mooring must use an exterior lighting fixture with a 50 volt marine approved safety lens.Also stated: All mooring lighting must remain in the working position from sunset to sunrise or as weather conditions warent. A certificate of compliance will also be in order for such a project Captain Ted Coccia United States Coast Guard New London C.T. . 11- j , I '. I . . QuaJity Aft"ordable Landscaping ,...J Riverhead 631-727·3064 . , Quality AffordableLandscaping.com Visit us onlme fa! wwv.. . Westhampron 63 ·288-ó970 Southampton 631·283-ó970 1ë ¿"'~"'1 IT J./ "'1 CUlJ...¿¡¿¡J' 1:Jt /4;2 ÅFTé)¡ Rr!~ Of Th¡; ík~¿ ,;,/ CÎVC->1I.¡'/ IT IS D - t> .1 " 1~-f."r"O I,}I'/- L... lí '#I7....."" ð. ';é"frJJ 10 ué IN JG"<>tÐ'/. ,I' THe; ....~ J:z ðr TI/é R...~ s '( ~r E '1 ..,,~.. ÞI'I"tJl."r'· D 86 Wlt-CN ,IT" W~L,- u '-'~"C"O. re" .'Cc u.r~""f _, "vnu 0," "-, '."..., T.....". ,. 71t~ 17t..fi'é -r He TR." é IS' "'TV4TCD .'" 'f sn;c p 1<0"ð. Tft£" "1.<0" 71t""T W/~", ~ li lZ.e""ÞVCD Æ,,-c 0"; Îo P <>'" 77t-q ¡¡"'oP£: ~o ~;Jv~ ;V07" ""'<-7' TIt-if ¡Po.." 17>61.-ý 8"T"' A,,oJ , 1'1/ £lLdll"'¡ PI<.CV~'VT"N. ; ~A.I C-<f'R.61.,,·C ~þ /),U"R tIIV r¡".T><.va'Ul:~r . . s ~ "'.I °L ~ :rvIARINE CONTRACTINriG DOCK BUILDING . JETTIES' FLOATS' BULKHEADS' PILINGS P.O. Box 1611, Mattituck, NY 11952 631-298-5412 (FAX) 631-298-1814 May 13, 2002 Board of Trustees Town of Southold 53095 Route 25 Southold, N. Y. 11971-0959 Re: 1375 Pine Neck Road Southold, NY Dear Trustees: I am writin9 on behalf of the application made for the construction of a new retaining wall abutting the bank at 1375 Pine Neck Road. I have examined the plans prepared by En-Consultants Inc. and visited the site to detenTline the contractibility of the proposed retaining wall. Wrth many years of similar building experience, in environmentally sensitive areas, I find the construction to be feasible without any major impact on the embankment. In fact, once constructed the wall will prevent soil erosion that currently exists. In reference to the tree located along the \I\o'esterly property line, all work will be hand excavated in that area and any vertical pilings will be placed so as not to interfere with any major root system. This type of construction is doable and common in areas where environmental sensitivity is required. I hope this letter addresses all of your concerns. SJ#7!>'/ /tlifff~ Stephen Pawlik cc: En Consultants Vincent Benic fr)" '~;-'~:r-'- 1'1"/>··· - . '. : " ,',I .,4. I'· '. ..--.-.------ -..... . . ."'" - . ...... ., I' '. . '\.: ......... FPOM E~jCON5UL TANTS . PHONE NO. 631 283 6136 4IÞAPr. 242002 01:18PM P1 '329 North Sea Road Southampton, NY 11968 Phone: (631) 283-6360 Fax: (631) 283-6136 I I En-Consultants, Inc. Fax To: Lauren S1andish From: Rob Hemnann Fax: 76&-1366 Pases' _ 76&-1892 _ ApM124.2002 Rei: Vincent Benic CC, o Urgent ~ For RewIew 0 Please Comment 0 ..- Reply o Please Rec:y<:le . Comments: Please let this note confirm that Vincent Benic wishes the Board to delay discussion on his application to amend his existing dock permit until the public hearing on his retaining wall application is opened later in the evening, by which time both he and I can be present to address any questions or concerns the Board may have. Thank you, Rob Herrmann RobertE.Hernnann Coastal Management Specialist En-Consultan\::s, Inc. Southampton, NY Phone: 631-283.6360 Fax: 631-283.6136 Email: rhernnann@enconsultants.com tt . Telephone (631) 765-1892 Town Hall. 53095 Main Road P.O. Box 1179 Southold. New York 11971 _ SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Thursday, April 18, 2002, the following recommendation was made: Moved by Scott Hilary, seconded by Melvyn Morris, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Wetland Permit Application of VINCENT BENIC to construct 4'X 29' wood steps (including 4'X 4' platform) and 4'X 22' wood walkway (elevated a minimum of 3.5' above marsh (grade) down bank to existing dock. Construct +/-102 linear ft. timber retaining wall (plus 17' westerly and 8' easterly returns) along top of bank; and remove remaining portions of existing block and wood retaining walls along top of bank. Backfill with approx. 25 cy. of clean sand to be trucked in from an uplal'Jd source and planted with native grasses. Located: 1375 Pine Neck Rd., Southold. SCTM#70-5-39 Vote of Council: Ayes: All Motion Carried ~ . . April 11 2002 , CERTIFIED MAIL BOARD OF TRUSTEES RETURN RECEIPT REQUESTED fi,~~ R (iJ r~ n I,! LS ) !; !I I, '. r'~ , ' APR I 6 200l Board Of Trustees Town Of SouthoId ._~-~-.~- ~ Re: Application Vincent Benic SCTht# 1000-70-5-39 Dear Board Of Trustees, I do not perm~ the Applicant, Vincent Benic Timber Retaining Wall project because of the many unknown construction related questions. I have listed my many questions below: " 1: How close to my property line will this Retaining Wall corne? 2: What type of Timber will they be using for this Project? 3: What will hold up this Timber Wall? 3: How much above and below the ground will this Timber Wall be? 4: Will it be painted to blend in with the natural grass? 5: What damage will this Timber Wall cause to the tree that is on my property? 6: What damage will this Timber Wall project cause to my Land? 7: Who will be responsible for the Timber Wall that is near my property line? I will also ask Vincent Benic to have a complate plan of this Timber Wall project showing What will ~ look like when the project is complete sent to my homa. I was sent a POOR copy of a Land survey, which shows very little on this project. I have enclosed photos of the land to show the tree and area in question. I do not permit the Applicant, Vincent Benic sctm# 1000-70-5-39 Timber Wall project because Of the many unknown question on the project. Ç)Sincerely, C0 - /_ -;;¡.~111 ~ Laurance M. Sideris 1295 Pine Neck Road Southold, New York 11971 . . ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall. 63096 Main Road P.O. Box 1179 Southold. New York 11971 Fax (631) 766-6146 Telephone (631) 766-1800 southoldtown.nørthfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPliCATION FOR PUBLIC ACCESS TO RECOftDS .. INSTRUCTIONS: Please complete Section I of this form and give to Town Clerk's Office (agency Freedom of Information Officer). One copy will be returned to you in response to your request, or as an interim response. ====---=---=======--- -=- -================---=======--==----== SECTION I. TO: B rd O+- !(€l;+ees (Department or Officer, if known, that has RECORD YOU WISH TO INSPECT: (Describe the record sought. if Possible, date, file title, tax map number, and any other pertinent information.) U i r1 U' rYÎ ß e...·,,' C ( ::s 7 ~ If " t1é" 11 <:':(.. \, e "" o,J_ f<Q¡[y): 4.. ±:l l.{ ~ 78' . SUpply . ~.... Signature of Applicant: a~c-L Pr6lted Name: kvre'1éé:. ç; de,.-, So Address: l;;)C7S- P;()C'~ck" t<CIG-¡J Mailing Address (If different from above): Telephone Number: '7 C:J <) .. S 0 '1 Y Date: ~ _ S- _ cJ l( ---~-=------- ~ ( ] APPROVED ( ] APPROVED WITH DELA Y* ðr4œlflLþviM Elizabeth A. Neville Freedom of Information Officer - ----- ==--===--==- ------ --======= ( ] DENIED* RECEIVED _AUß 9 ?£101 ate * If delayed or denied He reverse side r.r n,lanetion. -.. lY "." .. Solllhold Town Clerk - . Albert J. Krupski, President Jámes King. Vice-President Henry Smith Artie Foster Ken Potiwoda BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Pennit Application /\Vetland Pennit Application ~ Major Waiver! Amendment/Changes _ iCeceived Application:~ ~eceived Fee:$ ~ .. Completed Application _Incomplete SEQRA Classification: Type I_Type II_Unlisted_ Coordination:(date sent) ~AC Referral Sent:~ ,B'"ate ofInspection:~ _Receipt ofCAC Report: Lead Agency Determination: Technical Review: ..,..Public Hearing He~D~ Resolution: Minor ~IAk ¿ 7 Name of Applicant VINCENT BENlC Address 334 ACRE LANE. mCKSVlLLE, NY 11801 Phone Number:(516 )933.9437 Suffolk County Tax Map Number: 1000 - 70-5-39 Property Location: 1375 PlNE NECK ROAD, SOUTHOLD (provide LILCO Pole #, distance to cross streets, and location) AGENT: EN-CONSULTANTS,INC. (If applicable) Address: 1329 NORTH SEA ROAD, SOUTHAMPTON, NY 11968 Phone: 631-283-6360 . Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fex (631) 765-1366 Y-lIì V-I. muST ioe stOYLOd /~~ ~ ~~t FRon E~<,:orE.UL TA~n':::, 4IÞ PHONE NO. : 631 283 6136 tit Apr. 18 2002 09:08AM PO Board of Trustees Application ,. ---- -. - , t \ ~ ~l] \ I :',¡ ,LO \' '. 8?nIYJ ¡: ',\ API( \ ~UUL LL -.... ~-.~ -.:..-~~.... ~ . , L. . GENERAL DA T A Land Area (m square feet): 44.739.23 Area Zoning: R-40 Previous use of property: RESIDENTIAL, ONE-FAMILY DWELLING Intended use of property: NO CHANGE Prior permits/approvals for site improvements: Agency NYS DEC #1-4738-02761/00001 Date SOUTHOLD TRUSTEES #4378 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ~No Yes If yes. provide explanation: Project Description (use attachments ¡fnecessary); CONSTRUCT 4' X 29' WCKm STEPS (INCUffiING 4 X 4' PLATFORM) AND 4' X 22' WOOD WALKWAY (ELEVATED A MINIMUM OF 3.5' ABOVE MARSH GRADE DOWN BANK TO EXISTING DOCK. CONSTRUCT "'/-102 LINEAR FOOT TIMBER RETAINING W ALL (pLUS 17' WESTERLY AND 8' EASTERLY RETUR-NS) ALONG TOP OF BANK: AND REMOVE REMAINING POR-nONS OF EXISTING BLOCK AND WOOD RETAINING WALLS ALONG TOP OF BANK. BACKFILL WITH APPROXIMATELY 2S CUBIC YARDS OF CLEAN SAND TO BE TRUCKED IN FROM AN UPLAND SOURCE AND PLANTED WIT/-! NATIVE GRASSES. CONSTRUCT (2) TWo-STOR-Y ADDITIONS TO EXISTING TWO-STORY DWELLING AND EXPAND F;XISTlNG SECOND-STORY WOOD DECK. FPOM El'jCOt~SUL TH~n,=, . , Board of Tru~tees App~içð~lcn PHO~~E NO. : 531 283 5135 Apr. 18 2002 09: 08Ar'1 P6 WETLAND/TRUSTEE LANDS APPUCA nON DATA Purposo: of tne propos~d operations: EROSION CONTROL AND PEDESTRIAN ACCESS TO DOCK; EXPAND EXISTING DWELLING. Area of wetlands on lot: +1-340 .....__square feet Percent coverage of lot: <I % Closest distance between nearest existing structuTe and upland edge of wetlands: 47.8 feel Closest distance between nearest pTOposed structure and upland edge of wetlands: 45 feet Does the project involve excavation or filling'l No x Yes If yes. how much material will be exoavated? N/A cubio yards How much material will be filled? +1-25 oubic yards Deplh of which material will be removed or deposited: "'/-1 reel PToposed slope throughout the area of operations: 1:6 Manner in which material will be removed or deposited: APPROXIMA 1EL Y 25 CUBIC YARDS CLEAN SAND TO BE DUMPED AND GRADED LANDWARD OF RETAINING WALL TO LEVEL SLOPE AND THEREBY DECREASE FLOW VELOCITY OF RUNOFF DOWN VEGETATED EMBANKMENT; FILL TO BE PLANTED WITH NATIVE GRASSES AS INDICA TED ON PROJECT PLAN. Stalement of tne effect. if any, on the wetlands and tidal waters of the town tnat may result hy reason of such proposed operations (use attaonments if appropriate): THE PROPOSED RETAINING WALL AND AREA TO BE PLANTED WITH NATIVE GRASSES WILL SERVE TO DECREASE THE FLOW VOLUME AND VEl.OCITY OF RUNOFF DOWN THE VEGETATED EMBANKMENT. THF:REBY DECREASING THE EROSION OC.cURRING AT THE TOP OF THE BANK. UiE PROJECT WILL THEREFORE AID IN THE LONG-1ERM SUSTENANCE OF THE VEGET A 1ED TIDAL MARSH PRESENT AT THE TOE OF TH~~ EMBANKMENT. THE PROPOSED HOUSE AND DECK ADDiTIONS AND WILL HAVE NO SIGNIfICANT EFFECTS ON THE ADJACENT WETl.ANDS OR TOWN WATERS. FRO~1 EIKONSUL TANE. . PHONE NO. 6.31 283 6136 4IÞ Apr. 18 2002 09:06AM P2 NOTICE TO ADJACENT PROP~RTY OWNEM BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: VINCENTBENIC SCTI'1#lOOO- 7(}'5-39 YOU ARE HEREBY GIVEN NOTICE: 1. ThaL it ~s the intention of the undersigned to request a 2ermit from the Board of Tr.ustees to: CONSTRUCT 4' X 29' WOOD STEPS (INCLUDING 4 X 4' PLATFORM) AND 4' X 22' WOOD WALK WAY (REY A TED A MINIMUM OF 3.5' ABOVE MARSH GRADE OOWN BANK TO EXISTING OOCK CONSTRUCT +/-1 02 LINEAR FOOT TIMBER RETAINING WALL (PLUS 17' WESTERL Y AND 8' EASTERLY RETURNS) ALONG TOP or BANK; AND REMOVE REMAINTNG PORTIONS OF EXISTING BLOCK AND WOOD RETAINING WALLS ALONG TOP OF BANK. BACKFILL WITH APPROXIMA TEL Y 25 CUBIC YARDS OF CLEAN SAND TO BE TRUCKED IN FROM AN UPLAND SOURCE AND PLANTED WITH N ^ DYE GRASSES. CONSTRUCT (2) TWO-STORY ADDITIONS TO EXISTING TWO-STORY DWELLING AND EXPAND EXISTING SECOND-STORY WOOD DECK. 2. That the property wh~ch is the subject of Environm@ntal Review~i3 located adjacent to your propp.rty and is described as follows: 1375 PINE NECK ROAD, SOUTHOLD 3. That Lhe project which is subject to Environmental Review under Chapters 32~ 37. or 97 of the Town Code is open to publLc comment on: APRIL 24, 2002 765-1892 or in writing. You may contact the Trustees Office at The above referenced proposal is under review of the Board of Tr.usteas of ~he Town of Southold and does not reference any other agency tnat might have to review same proposal. OWNERS NAME, VINCENTBEN~ MAILING ADDRESS: 34 ACRE LANE HlCKSYlLLE, NY 11801 I?HONE #: 516-933-9437 Ene.: Copy of ske~ch or plan showing proposal ~or your convenience. 5 FPIJrl ENCONSUL THcH3 . PHONE NO. 631 283 6136 . Apr. 18 2002 09: 0-;'>'<11 F3 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: LAURENCE SIDERIS Address: 3 FRANKLIN COURT WEST GARDEN CITY, NY 11530 JAMES WILLS 1]9 GARFlELD STREET GARDEN CITY, NY 11530 STATE OF NEW YORK COUNTY OF SUFFOLK ROBERT HERRMANN doing business atEN-<::ONSULTANTS,INC. 1329 NORTH SEA ROAD SOUTHAMPTON, NY 11968 , being duly sworn, deposes and says that on the 16TH day of APRIL ,20 ~, deponent mailed a true copy of the Notice set forth in the Board of Trustees ApplicaLion, direc~ed to each of ~he abo~e named persons a~ the addresses set opposite there respective names; that the addresses set opposit@ the nam@s 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 SOUTHAMPTúN that said Notices were mailed to each of said per ons by (certified) ~~) mad. Sworn to before me this 16TH day of APRiL .2002 ~~~j7. ~l. Notar Publi~ KIM H. STEPHEN3 . ,r~'-.; . ~!Ol~,! PU,~I!~,;s!a!ll of N~;', ':',!II _"'\".ì. ...·.:r:rr;.;,....._n NQ. 6fJ1o~,~J ',. ' I ," ~.~:.::~: ~j t.1 . 2.:Jf!o!c ,../ (;·;:,,¡r.tieG ~ ~......."'" _ ::c:.--,,:..:.!;;::!~ E;;-¡ro:=; Æ:J Ufo! 2 FPOM E"COt ~';UL TAcHS . PHONE NO. 631 283 6136 . Apr. 18 2002 09:0-;W1 P4 U.S. -··).-hl ~...,. r '¡'.-~ CERTIFIED MAIL RECEIPT tD....,,-n"':.rK l.i-J/!lJnl¡ IJ,' /¡1~"/..in,:-,-· l._" "'._H]': Pr'.1lldr'"d} U1 ru IT! .., .., ~ .... U1 Postage! $ CertifIed Fee M Return R8Ce/pt Fcc (En~OI'88I'nel'1tRIilquftd) o o Fle&1rioI~ )q!.vwY Fee 1:1 ~ndcrT,;l)morn R9qUI~ <:] ...IJ ~ Sent o 1'øt.öI1 PDarage & F_s S ~ « " I'}(~S Mr. Laurence Sid...is ru &ñi91~-. 3 Franklin Court West o ,,,POI c;:¡ -------- Garden City. NY 11530 ['- Clty,sr, - 1I ':;. I--',~·o I..j ':''''0'-' " .' CERTIFIED MAIL RECEIPT IO()/TI/:!~rlr: IlJ,1i1 Ol//~ No:, 1¡¡";I/f.J'!LoO' C.1lr-'f_ig... Pr""'Ir:J~rl} ru IT! m ~ .., Pœiizge $ ~ .... Ce!tif/¢d Fee U1 ..... RøbJm Ro~ F9IiI D (Endorsement. RoQulTedJ <:] A"""-'~f\oo D (EhÓOf'"'...cmcntReqUlÆld) Ttrœl..~~~~.~ $ <i'i'--'" .< .p-_c :<G,9\ .,~ .~~, -~! .""1'> . 0.:.:.' '-' I ....... . <:,} Hg¡a I ~ '~.Z ~¡ ."-' /4' "'--_n_ \,~~:r -- n...__~_.___ ·_.~.._~e~~ Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda er .. 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 __Ulf\CO~~__~~lC.________________ COUNTY OF SUFFOLK) STATE OF NEW YORK) I,~~t AFFIDAVIT OF P~~:tfi.'3lJLT;mS INC. p - h ~b.:- 1328 NJRTH SEA RD ''rIU'f'Mb..\I\V\ , r9faà1l'11j at SOUTHArH'TON .' v ,N.Y. 11966 631-283-6360 being duly sworn, depose and say: That on the 16'" day of Ji'l'IlIL, 2002.., I personally posted the property known as 3ìÇ y\V\(. ~C~ \2&. "':'Y,I^~\~ 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. DaXe of hearing noted thereon to be held ~('\~/~a. O~ m-llÐO\l:t 1itO \Jf<\ . ¡í Dated: ¡ (signature) Sworn to before me this .;)c¡~ay of ~--.L-- 200óL 10,. ~::: /1. (2 ~ No Public f1 . KIM H. STEPHENS v Notar¡ Pub:i~~Statø of N;':'I~ .:rt C~mrr.:::¡:ln No, 5,)1.;;.~' J 1.~ -!,~I:·\~.I 1:\ ",::.;¡,Qj) '..-:......¡,Gõ.I . Co.r.;;". ð\ . Cc;;,,:mlsllan Ex-Ire'! À'J utt 2 -' FPOM ENCONSIJL TA~ HS. . PHONE NO. 531 283 5135 . Apr. 18 2002 09: 05A~1 PI 1329 North Sea Road Southampton. NY 11968 Phone: (516) 283-6360 Fax: (516) 283-6136 Email: encon@peconic.nel I , En-Consultants, Inc. Fax To: LAUREN STANDISH F_ KIM Fax: 631-785-1366 Pages: 6 (INCLUDING COVER) DBter 4/1712002. - 631-76&-1892 lie: VINCENT BENIC cc: o u.._ 0 For __ 0 PI_ C.."._.t 0 Please Reply D PI_ Reqcle e Comn_._ PER YOUR DISCUSSION WITIl ROB HERRMANN, FOLLOWING ARE TIlE REVISED NOTICE TO ADJACENT OWNER AND PROOF OF MAILING FORMS. ALSO INCLUDED ARE REVISED GENERAL DATA AND WETLAND/TRUSTEE LANDS APPICATION DATA FORMS REFLECTING TIlE INFORMATION REGARDING TIlE ADDITIONS. THANK YOU. r Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT For UNLISTED ACTiONS Only PART I-PROJECT INFORMATION (To be completed by Applicant or Project sponsor) . I . 14-1&-4 (2JB7)-Texl t2 I PROJECHD. NUMBER 617.21 SEQR FORM 1 APPLICANT/SPONSOR, VINCENT BENTC BY I 2. PROJECT NAME EN-CONSUL TANTS, INe. 3 PROJECT LOCATION: Munldpality SOUTHOLD County SUFFOLK '" PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc, or provide map) 1375 PINE NECK ROAD, TOWN OF SOUTHOLD, SCTM # 1000-70-5-39; MAP PROVIDED 5 IS PROPOSED ACTION ~- o Expansion o Modification/alteration 6 DESCRIBE PROJECT BRIEFl V, CONSTRUCT 4' X 29' WOOD STEPS (INCLUDING 4' X 4' PLATFORM) AND 4' X 22' WOOD W ALKW A Y (ELEVATED A OF 3.5' ABOVE MARSH GRADE) OOWN BANK TO EXISTING ¡XXX CONSTRUCT +/-102 LINEAR FOOT TIMBER RET AINlNG WALL (PLUS 17' WESTERLY AND 8' EASTERLY RETURNS) ALONG TOP OF BANK; AND REMOVE REMAINING PORTIONS OF EXISTING BLOCK AND WOOD RET AINlNG WALLS ALONG TOP OF BANK. BACKFILL WITH APPROXIMA TEL Y 25 CUBIC YARDS OF CLEAN SAND TO BE TRUCKED IN FROM AN UPLAND SOURCE AND PLANTED WITH NATIVE GRASSES. 7. AMOUNT OF lAND AFFECTED Initially 1.03 acres Ultimatety 1.03 ""'.. 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ~o. DNa if No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ~ Residential o Industrial o Commercial o Agricultu... o Park ForesVOpen space OOthO' Describe' 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNr)NG, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL. STATE OR LOCAL)? ~V_ ONO Jf yes, list agency(s) and permitlapprovals NYS DEC 11. DOES ANV ASPECT OF THE ACTION HAV. A CURRENTL V VALlu P.RMIT OR APPROVAL? DYes ~ No If yes, list agency name and permit/approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAl REQUIRE MODIFICATION? Dve. ~No I CERTIFV:r1 THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MV KNOWLEDGE Appllcant/opanoor name ROBE", ~I q. uoRRMANN, COASTAL MGMT. SPECIALIST DATE MARCH 22 2002 rIA c-I , ) Signature: - V if the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER ~REWoINS OF' CONC. BLOCK WALL -- o DOoR ~~- N .. 2 STORY '" F'RA"'E HOUSE DOoR SILL ~ 37.2' 288' ,., '.. .. '.~ N ~.:> 1"I?Ø000v A/?f?tr¡a¡ 12]' Ò :>i " () () C\ C\ ~ /2.';: ~I ~';5' ,~ '18.0' \i\ \\ 12.0~ ~ \ ..3' :¡ F'RA"'E· , '" GARAGE ~ ... ~ ~ ~ ...-WELL ¡" - ro' ..' _ 4 . . )i rJ ~ :::¡ ::s ..... . .' . .: . . . 4 .. . LOT@ .... '.. ,'. ." .' . ..'.4:\. '. ... '" >=> ",0 0:<: >- "'... ::r -: ... ~ g " i~ b ......O-;,ø .¡,e¡J- ". - . ··i . " '" () ~ 'M' 100.00' ROAD unUTY POl£: 112 . / TELEPHONE POLES WAIl.. EX. STEPS/WAU< TO BE REi,!OI/ED ~~OPOSfD 8' !æ1U1N I WETAI. SH£o WI.. :;mr V) "I V)~ ~"" ~ -.: r.;~ V)~ ~§ CJ::J ~~ b 'd& ;,.. ~ ~ ø d ,.,.".1' Suffolk Hagstrom Map 28 1"=3000' Notes I Purpose' erosion controL pedestrian access to dock ¿ Datum M5L (1929 t'JGVD) ~ fimber tD be C(A-treated 4 Pçpro"matel4 2S cubic wyds of dean sand w,1 be trucked in frem an upland scurce. used as back fill landwa-d of retalnine¡ wall; and establIShed WItl1 native '-1raSse5. Irldudlnc: p1antll'lC1 of little bluestem ( 5d1/zach!rt!Jm 5cop¿rltJm) and seedlne¡ of white oatc¡rass ((Janf.J¡onø 5./?Icata) & hair'-1raS5 I.. {JeSCat77Þ51.3 t7exrJ.?5aJ Sf,. dock to be modified pursuant to 1~'6DfC Permit "H1'7B-02161.· 01 and Scuthdd frustees Permit "4?1B 6 Pre-pc,ed strucwres landward of I:q:> of ban,. approved pIJC5uant to WSDfC fldal WelJands lNJ "1-47?8-02161 02 Project lOcation' 1?7S Pine Neck Road. 5ruthdd. Ny. SUM "IOOJ-10-S-?9 EN-CONSUlTANTS INC. 1329 NORTH SEA RD. SOUTHAMPTON. N.'! 11968 631-283-6360 PROPOSfD R~íAININcA WAL~, 5íAIR5; AND WALKWAY íO DOCK fOR VINŒNí B~NIC ON JOCK~Y CR~~K, SUffOL.K COUNíY, NY 5H~~íl Of 2 1/26/00 -:. . .~~ !!:J" -~ '<>~::> ~'" : 1 ~.~ . r :::~ , ~'" ~ "'. . r _J JSnŒ'J ( >- ~ ~ ~ ~ '" " ~ '" "- ~ ~ ~ Ä " . +1 \'- c;s . CQ :;: . ì ~ ~ ~ ¡§ g <= § ~ ão ,. ~" +1 ,.¿ III 1 IU III " '" ~ Ì g ($0$ \>ò ~~ ~......, '" ~ ~ ~ . ~ . z '" .~ .' ~ . ¿:¡ ,. . <= ~ . ~ ~ . " <>.' ""- ~ . .' ""-,. ~ ~ " ?:ë' ~ ~ ES' ~o <;:>, ?J:= -1.u:i ~~ ~~ :z ~ \ìZ "" ~ ª~I ~ §3 ò! ~ ~ (5?J: 5~1 tr\1~. -'I ~, , \'\ ~ , ~~ ! " i £!~ ~ f <;:> :::i~~- ~ ' - ~~ <: ~ \1\, ~~~ ~ lEI \ 1 \'!S~ =-.' ~;: ~~, ~~ ~~ ' <~ ~ ~~ ""'I ~I ~I EN-CONSULTANTS INC, 1329 NORTH SEA RD, SOUTHAMPTON, N.V. 119 631-283-6360 . \f'\ s:L ~ N >< >u - - - ~' '3 ~ ~ >< 0 >< - N .~ '~ ~ 'tI, PROP05W RfíAININC1 WÆ~· 5íAIR5; AND WÆKWAY íO DOCK OR VINŒNí B~NIC ON JOCK~Y ,'::R~~K, 5UffO~K COUNíY NY 5H~~í 2 Of '2 I; 26/00 . . PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: LAURENCE SIDERIS Address: 3 FRANKLIN COURT WEST GARDEN CITY, NY 11530 JAMES WILLS 119 GARFIELD STREET GARDEN CITY, NY 11530 STATE OF NEW YORK COUNTY OF SUFFOLK ROBERT E. HERRMANN 1329 NORTH SEA ROAD SOUTHAMPTON, NY 11968 , being duly sworn, deposes and says that on the 22th day of MARCH ,20 ~, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office atSOUTHAMœTON , that said Notices were mailed to each of said persops by (certified) ~) mail. doing business atEN-CONSULTANTS, INC. í'v j/ Sworn to before me this 22TH day 0 f MARCH ,2002 ~~~~~. ~ IlIll H. STEPHEN3 ' '<~. "O"ry. PUb::". Slate of ,':0'.' 'bk~ ¡¡,"2f' _,~;"'I!:I..:on No, &aI59~!, I *.\,,,,,1. ""..."od 1.1 . v.ffo,k ''':: ~...' ClJur.:Jel ,I C « "'~--.-..-~: :1E"-ir~" "·-~:J..t'" UJ ...... ...--....:...: ~~ ~~r.ç .:J"~':""'" ROBERT c. NN COASTAL MANAGEMENT SPECIALIST . . . U.S. Pos!.'!! SerVIc.p CERTIFIED MAIL RECEIPT (Domestic Mail Only: No Insurance Coverage Provided) 0 Postage $ I"- ru Certified Fee 0- .... Re!urn Receipt Fee 0 (Endorsement Required) 0 Restncted Dalivery Fee 0 (Endorsement Required) 3'1 ~, Ii> I ,-J 1. Postmark He.. C Total Post....A A ¡:......!t '& /1 .lJ rT1 Sent To SOd ' D Laurence I ens r-=I siiëëi.-Ã-i 3 Franklin Court West o o,POBo, Garden City, NY 11530 o ëitŸ,·siãiE I"- U.S P'¡~,I.JI Jt.:i ,,,....1.. CERTIFIED MAIL RECEIPT (DomestIc Mail Only: No Insur.1l1ce COl/arage Provided) 0 Postage $ I)t~ I"- ru ; ¡J '< 0- Certified Fee ,'/(V Postmark .... Return Receipt Fee '. , He.. 0 (Endorsement Required) 0 Restricted Delivery Fee 0 (Endorsement Required) 0 Total Postage & Fees $ .3 N' .lJ IT! Sent To 0 James Wills .... sirëët~-Ã-pt: 119 Garfield Street 0 or PO Box Garden City, NY 11530 0 ...----------. I"- CIty, State, Boa4IÞof Trustees App1ication 4IÞ .'. AUTHORIZATION (where the applicant is not the owner) !, IJ/AJ~I 'f3£Wt6 (print owner of property) residing at 1~'1š frlJ£ /¡/£ejt Ø/ (mailing address) o/lJd r#tJt¡; A/ZI do hereby authorize (Agent) ßj- (¿)l!f;cJL-7;ð¡¡i¡'5 /-</c-, to apply for permit(s) from the southold Board of Town Trustees on my behalf. ~ß (OWner's signature) ----- 8 B~d of Trustees APPlication4IÞ County of Suffolk State of New York V k /V C £' /V T 8 E /V Z C 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 illS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN TillS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. 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 TH1S 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 TillS APPLICATION. « ~~A~. í Sign ture SWORN TO BEFORE ME TillS ¿ 5'-rt.. DAY OF T 0---- ~ ~ y - 2002.- '- J/~c Notal)' Public ?L.... T ..., STEVEN C KOPSICK No ¡ry Public, State of New Yor" No 4991212 r.usli1ier1 in Nassau CounTY /. ~.')nllnISSlon E.lCotres Januarl/ 27m. 2- 0 (") b . . APPLICANT TRANSACTIONAL DISCLOSURE FORH The Town of Southold'. Code of Ethic·. prohibits conflicts of interest on the arL of town orficers and em 10 ees, The Q!!£ cae of this form is to rovide information wh eh can alert ttle town of possible conC! cts of nterest and allow it to take wltatever action Is ')seaseary to avoid same. YOUR NAHK. 13£J)(¿.. 1/ /AJC£N~ (Last name, fllfet name, midd·le in tla1, unless you are applying in the name of someone else or otl19r entity, suell as 8 company. If so, indicate t119 other person's or company's name.) NATURK 01' APPLICATION. (Checlc 011 that apply.) Tax grievance Variance Change of zone ^P'P£ov.l or plat _____ Exemption from plat or official map Other (If "OtI1er,n name the activity.) Do you perBonally (or through YOUr cOMpany, øpOURe, øibl1ng, pDrent, or child) hovA a re.lntionshlp wil:h any officer or employee of the 1.'own of Southold? "Relationship" incJ.udes by bloo~, ma~~iage, o~ business interest. -Ðusiness interest· meann a business, inclutllng D pa~tnerRhlp, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee ownn more than 5% of the shares.. YKS NO -d If you answered ·YES,· complete the balance of this form and date and sign where indicated. Name of pereon employed by the Town of Southold Title or position of that perøon Describe the relationship between youraelf (the applIcant) and the town officer or employee. Either check the appropriate line A) tllrough 0) and/or describe In the space pt"ovlded. pat"ent, -^) Tile town officer or employee or 1118 or her spouse, Sibling, ot" child is (clleck all tllat apply), the owner of greater than 5% of the shares of the corporate stacie or tile applic~nt (wllel1 the applicant is a corporation), the legal or benericial owner of any interest in a non corporate' entity (wl1en tile applicant is not a corporation) t an officer, director, partner, or employee of the applicant, or tile actual applicant. _B) _C) _D) DESCRIPTION O~ REL^TIONSIIIP Submitted this 1:1.ßay of O( ~~:z.. Signature 1,/ ~.:5--- - Print name t//#J~r ¡;W¿c.....- . _---7------- 1<: - ----- i2~f. ..... /' 1M EX. 4' X 10' CJ."':;...-- i'~ WOOD DOCK <{ ....."'" C1<-~ ,.... >õ,",,,ø JO..... /J'3''' ~Q ..... ':>IIÐ .",'1\ / ""'" '(\QI"'"'" P-'''': /' /' . - RÐ.wNS OF CONC. BLOCK wAU.. To£ OF" PRCf'Q5E:t? .<if' 'f... 22' WPL-KWÞ.Y PROPC5W 4 , 29' WOOD snfs (INCL.. 4' PL.AffORM) VI\? . PROPOSED DECK Ö !' o " .. 2 STORY " fRAME HOUSE DOoR SILL ~ 37.2' 2BB' PROPOSED mDI~DN 12.5' Ò '!1 to to C'\ C'\ '<t 12;1 ~ z ~~ ~~ ~ ¡;¡ ~ <>¡ ~ t1 ~ § ::s ...-WELL I" - ~O' .' 4' . . . .... ,.' . .. ,\ \ \ 'ù\ '. .4 .' Lor 0 '. '. ." . .' . ...'4. .' . ,., VI ,..,=, <>:0 0:1: I- VI,., ~ -ï:! ... ~ , g~ b """07' '!lEU- '" to '<t . '. .,. ,.... 100,00' ROAD UTIlITY POLE '12 . .. ~ 1~' '. PINE NECK / TELEPHONE POLES WAlL EX. STEP'3/WAU< TO BE REMOVED PROPDSED B' RE11RN ~ i OW WIRE UTll1TY POLE >- ~ C w > o ~ Q", Q", « , <>¡;::¡ :::jlti ~. "<: r.:i:¡ <>¡r.¡ ~ § C:i) ::!i~ ;::; ~~ > ~ £ ~ ~ o ~ '\~\ '" (I ur¡::-,C'? ç'r..~1 I c rtr~. pedestn.3n acc.e~ to d,:¡.: en Q Datum M . 9 r,JC;VD) ~ ø í,mb t: ,,^. eated :;; :z ."ppr uhe 4ard. cr clean to- =:) :) sand In from 311 :?: 0 uplan US aó baà ¡,II LI.. en "¡if 0 r tal 'n.:; wall; and e.taHlshed o Õ '.0:.11 atl~'~ 55;' In.:ludlt1Gj plar1t.lr\.?¡ of Q Ìij:.le I~ I... cnza¿¡"',"",v....5.::X¿r"'.-''') ~ ~ ..td e.~n.:; Ik ",aurass \ C_fl:Jf'a o ;» ,~.::;a) h Ir -551 :::e:3'::.3n7p5ò'ðt",csa,' m g aIt e ,difd pursuant to ~I_ f"'- emit #1-475'E-C¡-;'éli <) and ~ru ír keó Permit "4:575 r r,'''' C, :.Jf r~5 land-.....ard cf tcp d~ ran, 3rpw"ed pf"ant to ~J ,SDfC í,dal 'V\:.:"tÜnd5 LJ·Jj *+1-4-;';-·B-,::12761 <Z:: ~rcje.:t IJCatIOr1~ I :5'-::;:- Pine ¡'Jeek Read. :;·cuthold. r~i ::{-:,,\1 +f-,::)·:::X:1-Î<>S-:-1 EN-CONSULTANTS INC. 1329 NORTH SEA RD. SOUTHAMPTON, N.Y. 11968 631-283-6360 PROPOSED KtíAlNINú WAll; 5íAlR5; AND WAlKWAY íO DOCK fOR VINŒNí I3fNIC ON JOCKEY CRE:rK, 5UffOlK COUNiY, NY 5tfH I Of 2 1/26102 6/0/02 ,. . +1 ¡.... c;i . i'Q ~ , ~ì ~ ~ ~ ~ ib ~I 1 ~ :Y g >- '" ~i!S 3§ !~ '" ~ ~ Ñ " ::;:- ~ ~ ~ ~o D, ::¡:= \c,..... "':;w ~ ~~ \! ~ ~ :z ltI ~ 8 . ~ ~ ¡.. . § ~ ~ . ~ ~ ~. . ~ ~ ~ ~I . - "~§ ~ ~ I)ó <>:: ~ ¢~ ~ - 0;='" U"- ~I):; oJ'. "- :;; ~ ¡!:) . .~~ , IIi . I~! . ] ::~ . !t1" Ñ ~ ~ ÕË . . '" 1 ~ ~: ~ "~i ~ ,,' f ~~ ~J ~I\r- ~~~ ~ ~I=', 1 ~~ ¡a', ¡! ! "'" ~i ~I EN-CONSULTANTS INC. 1329 NORTH SEA RD_ SOUTHAMPTON, NY 11968 631-283-6360 , 1.:5' ~ ~i Oð ¡ -' ~ 1 \C\ --r -;a::;:::::J , ><, >< - õ' IJ'\ s:L ~ >< - Ñ ~ . ~ I ~ ~ N :\Q" ~ PROP05f1? REfAlNINú WAlL: 5fAlR5: ANI? WAlKWAY íO I?OCK fOR VINCENí BENIC ON JOCKEY CREfK, SUffOLK COUNíY, NY 5It'E:í 2 Of 2 1/26102