HomeMy WebLinkAboutTR-1011
Albert J. Krupski, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
.
.
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
October 30, 2000
Mr. Scott Schulman
210 East 15th st., Apt. 4-C
New York, NY 10003
Re: 1575 Pine Neck Rd., Southo1d
SCTM#70-5-41
Dear Mr. Schulman:
The following action was taken at the Southold Town Board of
Trustees Meeting held on Wednesday, October 25, 2000:
RESOLVED, that the Southold Town Board of Trustees grant the
request for an Amendment to Permit #1011 to re-deck the existing
fixed portion of the dock and replace 4" iron piles with 6" or
8" timber piles, with the condition that the piles are single,
timber piles. Float and ramp will remain the same; dock pilings
will remain the same.
This is not an approval from any other agency.
If you have any questions, please call our office at 765-1892.
Sincerely,
~ (J. /Ó--A~' (2.
~ I ."
Albert J. Krupski, Jr.
President, Board of Trustees
AJK: Ims
DEC
~ '/1 f&ð' J~",^
,¡./i.v...1"'P·J v, ~r NE~ YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
-
OEC PERMIT NUMBER
1-'738-02735/00001
FACILITY/PROCRAM NUMBER(S)
.
PERMIT
EFFECTIVE DATE
Sent ember 13 2000
EXPIRATION îfti'sì 3 21m
Sentember 13 2005
II TYPE OF PERMIT. New 0 Renewal 0 Modification . Permit to Construct 0 Permit to Operate ¡I
I I
Under the Environmental
Conservation law
SAPP
. Article 15, Title 5: Protection
of Waters
. 6NYCRR 608: Water Quality 0 Article 27, Title 7; 6NYCRR
Cert i f ¡cat i on 360: Solid Waste Management
0 Article 17, Titles 7, 8: SPOES 0 Article 27, Title 9; 6NYCRR
373: Hazardous Waste Management
0 ArticLe 19: Air Pollution
ControL 0 Article 34: Coastal Erosion
Management
0 Article 23. Title 27: Mined
land Reclamation 0 Article 36: Floodplain
Management
0 Article 24: Freshwater Wetlands
0 Articles 1, 3, 17, 19, 27, 37;
. Article 25: Tidal Wetlands 6NYCRR 380: Radiation Control
o Article 15. Title 15: Water
Supply
o Article 15. Title 15: Water
Transport
o Article 15. Title 15: long
Island Wells
o ArticLe 15. Title 27: Wi ld,
Scenic and Recreational Rivers
PERMIT ISSUED TO TELEPHONE NUMBER
Scott Schulman
ADDRESS OF PERMITTEE
210 East 15th Street Aot. '-C New York NY 10003
CONTACT PERSON FOR PERMITTED ~RK TELEPHONE NUMBER
Document Consulting Services Box 7'3 Matt i tuck NY 11952 (631) 298-5968
NAME ANO ADDRESS OF PROJECT/FACILITY
Schulman crooertv. Pine Neck Road Southold NY
LOCATION OF PROJECT/FACILITY
SCTM #1000-70-05-'1
COUNTY TOlIN ~ATERCOURSE NYTM COORDINATES
Suffolk southold
DESCRIPTION OF AUTHORIZED ACTIVITY:
Remove and replace, in kind, in place, deck on existing 3.2' x 18' timber dock. Remove (2) exisling iron piles and replace with (2) 6" diamet
timber piles. All work is to be done in accordance with the attached plans stamped NYSDEC approved.
By acceptance of this permit. the permittee agrees that the permit is contingent upon strict compliance with the
ECl, all applicable regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions included as
part of this penœit.
Stony Brook, NY 11790-2356
DATE
Se tember 13 2000
Page 1 of 4
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS
Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification
The permittee expressly agrees to indemnify and hold harmless the Department of Environmental Conservation
of the State of New York, its representatives, employees, agents, and assigns for all claims, suits, actions, damages,
and costs of every name and description, arising out of or resulting from the permittee's undertaking of activities or
operation and maintenance of the facility or facilities authorized by the permit in compliance or non-compliance with the
terms and conditions of the permit.
Item B: Permittee's Contractors to Comply with Permit
The permittee is responsible for informing its independent contractors, employees, agents and assigns of their
responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect
to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental
Conservation law as those prescribed for the permittee.
Item C: Permittee Responsible for Obtaining Other Required Permits
The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of-way that
may be required to carry out the activities that are authorized by this permit.
Item D: No Right to Trespass or Inteñere with Riparian Rights
This permit does not convey to the permittee any right to trespass upon the lands or intertare with the riparian rights
of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real
or personal property held or vested in a person not a party to the permit.
GENERAL CONDITIONS
General Condition 1: Facility Inspection by the Department
The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals
by an authorized representative of the Department of Environmental Conservation (the Department) to determine
whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended
pursuant to ECl 71-0301 and SAPA 401(3).
The permittee shall provide a person to accompany the Departmenfs representative during an inspection to the
permit area when requested by the Department.
A copy of this permit, including all referenced maps, drawings and special conditions, must be available for
inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon
request by a Department representative is a violation of this permit.
General Condition 2: Relationship of this Permit to Other Department Orders and Determinations
Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind
any order or determination previously issued by the Department or any of the terms, conditions or requirements
contained in such order or determination.
General Condition 3: Applications for Permit Renewals or Modifications
The permittee must submit a separate written application to the Department for renewal, modification or transfer
of this permit. Such application must include any forms or supplemental information the Department requires. Any
renewal, modification or transfer granted by the Department must be in writing.
The permittee must submit a renewal application at least
a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES),
Hazardous Waste Management Facilities (HIIIIMF), major Air Pollution Control (APC) and Solid Waste
Management Facilities (SWMF); and
b) 30 days before expiration of all other permit types.
Submission of applications for permit renewal or modification are to be submitted to:
NYSDEC Regional Permit Administrator, Region 1, SUNY Bldg #40, Stony Brook, NY 11790-2356
General Condition 4: Permit Modifications, Suspensions and Revocations by the Department
The Department reserves the right to modify, suspend or revoke this permit. The grounds for modification,
suspension or revocation include:
a) the scope of the permitted activity is exceeded or a violation of any condition of the permit or provisions
of the ECl and pertinent regulations is found;
b) the permit was obtained by misrepresentation or failure to disclose relevant facts;
c) new material information is discovered; or
d) environmental conditions, relevant technology, or applicable law or regulation have materially
changed since the permit was issued.
DEC PERMIT NUMBER
1-4738-02735/00001
I
SAPP
PAGE20F 4
NEW YORK STATE DEPARTMENT OF ENVTRONMENTAl CONSERVATION
ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (TITLE 5), 24, 25, 34 AND 6NYCRR PART 608
( TIDAL WETLANDS)
1. If future operations by the State of New York require an alteration in the position of the structure or work herein
authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable
obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people
of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the
Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the
State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of
the watercourse hereby authorized shall not be completed. the owners, shall, without expense to the State, and to
such extent and in such time and manner as the Department of Environmental Conservation may require, remove
all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood
capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal
or alteration.
2. The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized
which may be caused by or result from future operations undertaken by the State for the conservation or
improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such
damage.
3. Granting of this permit does not relieve the applicant of the responsibility of obtaining any other permission, consent
or approval from the U.S. Army Corps of Engineers, U.S. Coast Guard, New York State Office of General Services
or local govemment which may be required.
4. All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids,
sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally
deleterious materials associated with the project.
5. Any material dredged in the conduct of the work herein permitted shall be removed evenly, without leaving large
refuse piles. ridges across the bed of a waterway or floodplain or deep holes that may have a tendency to cause
damage to navigable channels or to the banks of a waterway.
6. There shall be no unreasonable interference with navigation by the work herein authorized.
7. If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the
applicant shall, without expense to the State, and to such extent and in such time and manner as the Department
of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore
the site to its former condition. No claim shall be made against the State of New York on account of any such
removal or alteration.
8. If granted under 6NYCRR Part 608, the NYS Department of Environmental Conservation hereby certifies that the
subject project will not contravene effluent limitations or other limitations or standards under Sections 301, 302, 303,
306 and 307 of the Clean Water Act of 1977 (PL 95-217) provided that all of the conditions listed herein are met.
9. At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and retum the top
portion of the enclosed notification form certifying that they are fully aware of and understand all terms and
conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be
signed and retumed, along with photographs of the completed work and, if required, a survey.
10. All activities authorized by this permit must be in strict conformance with the approved plans submitted by the
applicant or his agent as part of the permit application.
Such approved plans were prepared by: Robert H Fox last revised 9/4/00
DEC PERMIT NUMBER
1-4738-02735/00001
SAPP
I PAGE 3 OF 4
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATlON
SPECIAL CONDITIONS
1. Pilings may not: (a) extend beyond property lines, (b) be placed so that docked boats extend over property lines,
(c) interfere with navigation, (d) interfere with other landowners riparian rights.
2. No structures are to be constructed on pilings without further authorization of the Department.
3. Floats and ramps may not rest on or be stored in any vegetated tidal wetland.
4. Docks/catwalks/floats may not (a) extend laterally beyond property lines, (b) be placed so that docked boats extend
over adjacent property line, (c) interfere with navigation, (d) interfere with other landowners riparian rights.
5. Any debris or excess material from construction of this project shall be completely removed from the adjacent area
(upland) and removed to an approved upland area for disposal. No debris is permitted in tidal wetlands and or
protected buffer areas.
6. The use of wood treated with pentachlorophenol in the construction of structures that will be in contact with tidal
waters is strictly prohibited.
7. Dock reconstruction or replacement or seasonal installation shall not involve expansion or substantial modification
of existing structures or facilities.
8. Installation of additional docks at marinas, boat basins, or other commercial facilities is not authorized by this
permit.
9. No dredging, excavating or other alteration of shoreline or underwater areas is authorized by this permit, nor shall
issuance of this permit be construed to suggest that the Department will issue a permit for such activities in the future.
DEC PERMIT NUMBER
1-4738-02735100001
SAPP
I PAGE40F4
New York State Department of Environmental Conservation
Division of Environmental Permits, Region One
Building 40 - SUNY, Stony Brook, New York 11790-2356
Phone: (516) 444-0365 . FAX: (516) 444-0360
Website: www.dec.state.ny.us
m~\al COt>",
! ~ ~
~ ~o
~
John P. Cahm
Commissioner
September 13, 2000
Mr. Scott Schulman
210 East 15th St., Apt. 4C
New York, NY 10003
RE: 1-4738-02735/00001
Dear Permittee:
In conformance with the requirements of the State Uniform
Procedures Act (Article 70, ECL) and its implementing regulations
(6NYCRR, Part 621) we are enclosing your permit. Please read all
conditions carefully. If you are unable to comply with any
conditions, please contact us at the above address.
Also enclosed is a permit sign which is to conspicuously posted
at the project site and protected from the weather.
KPK/ls
Enclosure
¡;~~
Kendall P. Klett
Environmental Analyst
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ALL DISTANCES TO WELLS AND CESSPOOLS
ARE BY LOCATIONS FROM HOMEOWNERS,
FIELD OBSERVATIONS, AND EXISTING
SURVEYS. SINCE MOST ARE NOT VISIBLE
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THESE DIMENSIONS ARE NOT CERTIFIED.
TAX \.D. No. 1000-7()..05...41.0
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SURVEY OF LOT 6
PLAN OF LOTS
BY MR. G. WELLS PHILLIPS
AT PINE NECK, TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
FILE MAP No. 297 11'BÐ9
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CERTlfI£O ONlY TO:
JOSEPH AND PAT GERGYES
SCHEMBRI HOMES
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LAND SURVEYOR
REV IN UBCGS DATUM
By DESTIN G. GRAF N.V.S. LlC NO. 500IfT
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---- -- --. - ----
---------.------
'"hull, Cahill
J -~1"'~ -() 1135 /oem/IS'UEO T~~ ~(1) 1t S.dl Itnf1^;-~··'
CONTRACTOR NAME: .
Jte~Juuul MUI&"",c."
1I"..e"lI ..r M"d". lI"bll,,1 ,·.."I.dl""
Ncw Yurk Slulc l)clmrluacl&l ur I!:lIvlnnullcnlul Cuuscrvutlul1
IIhl~. 40 - SUNY, 11""111123
Slu"y IIn,uk, NV 11790·1356
IIETlUIN TillS FOliA! TO:
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PERMIT NO.:
ADDRESS:
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Dear Sir:
Pursuanllo S/lpplemel/I"", Specit,1 Colltlillo/l f) of Ihe referenced permil. you are herehy nolified Ihallhe aUlhorized
aClivily shall commeuce on _. We ccrtify Ihal we have re¡III the rdcrcnccd perlllil alld
appnlved plalls, aaul fully IInderslaaullhe aUlhmi/.cd pnljecl aaul allpelluil coauliliuns. We have iusperled ¡he IlIujerl sile aud
cau cumplele Ihe prujecl as descrihed in Ihe permil 111111 depicled on Ihe approved plans iu filII complillllre wilh 1,IIplall noles
aud pellllil eoaulitions. Thcr 'ermil sigh, permil, aaul appmvClI plans will be availahle allhe sile 1<" iusperliuu iu aCCOnlall"e
wilh General COlldilion No. I.
PBnMI1TEE
DATE
CONTnACTon
DATE
HilS NOHCII AI/IS1" 111I SllNl' TO HIli M { I'II.4IJIJII/òSS ' 'r 1./ì,IS/" HI'O IHI'S IN AOVANCII OF (.'OAIAIIINCIi.llIIN/" OJ: Hili I'HrfllJ. "',
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IIIdg. 40 - SUNV, 1tllllllllB
SillilY \I,,""k, NV 117911-2JS6
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PERMIT NO,: I,LJ13~-ð17 35bL ISSUED TO: ~GDtt ScÁv.J K\ftrJ
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CONTRACTOR NAME:
ADDRESS:
TELEPHONE:
Dear Sir:
Pursualltlo Supplemel/III'" Spec/III Co//(lIt/ou II uf Ihe referelleed permil, YOII are herehy uulific<llhallhe alllhurizcII
a~livily was cumplelel. 011
Wc have fully eompliell with the terllls ami cUllditiulls uf Iher penllil 111111 a('pfUved ('Ialls.
I'EnMITl1m
DATE
CONTltAC'J'on
DATE
/"III.~ NonccI, IVIHI/'lIm"(J(; LU'IIS OF l'OAII'l./irti/J IVm/K IINlJf()H A COAI/'IÆ1"/iIJ S/lI/I'III' " ,IS ,II'/'Hm'HM m, AI/I.~'" II/I
SUN/" HJ Hili ¡j IOV/I MJ/JHliSS IVIHUN JO 0,1 r.~ IW I.'OAU'I./il'ltlN OF nllt I'HtJJUIT. I'MI.IIHII HJ IJO SO 11'1/.1. HIISIIU' IN ,\
{"OMl'I./ANC.'/t IN!JI'/ìCHON III' NfS ) i(.' .HII"C.'.
'NiU~ AIlIU-6uUI nl""'1 I. "fulfill/or III, fIJUuwi", ,al,.o'¡" uJ ,,'w ""UIT."døm ¡In,l, ¡""dl,l1wull'I,J Mm aJdillølu. Itpllc 'YI',m" duA., ,,,Db, bulUmw.
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(516) 765-189l
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Town Hall. 53095 Main Road
P.O. Box 1179
Sonthoid. New York 11971
SOUTHOLD TOWN
CONSERVATION ADVISORY COUNCIL
At the meeting of the Southold Town Conservation Advisory Council held Monday, October 23,
2000, the following recommendation was made:
Moved by Ken Meskill, seconded by Melvyn Morris, it was
RESOLVED to recommend to the Southold Town Board of Trustees DISAPPROVAL of the
Amendment Request of SCOTT SCHULMAN 70-5-41 to Amend Permit #IŒII to re-deck the
existing fixed portion of the dock and replace 4" iron piles with two 6" or 8" timber piles. Float
and ramp will remain the same; dock pilings will remain the same.
1575 Pine Neck Rd, Southold
The CAC recommends Disapproval because of the age of the permit. The Trustees should review
the policy of the time limits for amendable permits.
Vote of Council: Ayes: All
Motion Carried
-.
.
.
PERMITS & DRAFTING UNLIMITED
P.O. Box 743
MA TTITUCK. NY 11952
163 I) 298-5968
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July 30. 2000
Mr. Albert Krupski. Jr.. President
Town Trustees
53095 Main Road
P.O. Box 1179
Southold. NY 11971-0959
Re: Schulman 1000-70-5-41
Dear Mr. Krupski:
The owners are planning to repair their existing dock which would involve
replacement. in kind - in place of four (4) timber piles, replacing the existing tour timber
piles, and new boards at the ramp area, also in kind. and in place. The float will not be
repaired.
Is a permit required tor this type of maintenance project? The Schul mans were
issued a Transfer of Permit #1011 (formerly Ventrudo or Geryes) at your July 19,2000
meeting, and has had a recent inspection. Thank you.
Very truly yours.
~..,-/ tdeh·
- I'( ð11/
.r. Kowalski
Cc: Mr. and Mrs. Scott Schulman
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-
Albert J. Krupski, PreSide'-
James King, Vice~President
Henry Smith
Artie Foster
Ken Poliwoda
.,
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
July 20,2000
Mr. Scott Schulman
1495 Pine Neck Road
Southold, NY 11971
RE: SCTM#70-5-41
Dear Mr. Schulman:
-
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-1366
The following action was taken at the Southold Town Board of
Trustees Regular Meeing on July 19, 2000.
RESOLVED, that the Southold Town Board of Trustees approve the
request for a Transfer of Permit #1011 from Fred Ventrudo to
Scott Schulman.
If you have any questions, please contact our office at 765-1892.
Sincerely,
Alb~.iki~1;:J.1 9-
President, Board of Trustees
AJK:cjc
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PERMITS & DRAFTING UNLIMITED
P.O. Box 743
MA TTITUCK, NY 11952
(631) 298-5968 (ph/fax)
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-
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Mr. Albert Krupski, Jr., President
TO\\TI Trustees
53095 Main Road
P.O. Box 1179
Southold, NY 11971-0959
JUL - 5 2000
I,
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Re: Transfer of Pennit Gergyes to Schulman 1000-70-5-41
Dear Mr. Krupski:
Mr. and Mrs. Scott Schulman are the new owners of above-referenced property,
and are requesting authorization to Transfer the pennit of record for this property issued
under Penn it No. lOll in the name of Fred Ventrudo for a dock, float and pilings. The
property is known as 1495 Pine Neck Road, Southold, and fronts along the south side of
Jockey Creek. Enclosed is a recent survey of the dock, float and pilings and photos for
your records.
Also, the property owners are interested in replacing structural portions of the
dock, float and ramp in kind and in-Dlace due to required upgrade and main1enance
purposes.
Thank you for your review and reply.
Very truly yours,
Enclosures
(LKfw~·
l. Kowalski
---
.·\lL UbrAN....I:.:j ru WHL~ ANU LU>~i-'iJUb
~RE BY LOCATIONS HOM ·HOMEOWNERS. ... . ..
w:;'ELD OBSERVAtIONS; AND. EXISTING
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PlAN OF lOTS
BY MR. G. WELLS PHillIPS
AT PINE NECK, TOWN OF SOUTHOlD
SUFFOLK COUNTY, NEW YÖRK
FILE MAP No. 297 1118109
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"'..... ","'TO JOSEPH AND PAT GEllGVES
SCHEMIR/ HOMES
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TERMS and CONDITIONS
residing at
patt of the
lowing:
1. That the said Board of Trustees and the Town of Southold are released from any and
aU damages, or claims for damages, of suilS arising directly or Indirecrly IS a result of IDY oper-
ation performed punuaot to this permit, and the aaid Permi_ will, at his or her own expense,
defend any and all such suilS initiated by tbitd patties, and the aaid Permittee ,.......... full liability
with respect thereto, to the complete e>:cluslon of the Board of Tnutees of the Town of Southold
N. Y., IS
considetltion for the issuance of the Pennit does undenland and pleSCribe to the fol-
46- 30 241st St. Douglaston
JOSEPH GERGYES
The Permittee
2. That this Pennit Is valid for a period of mos. which Is considered to be the
estimated time required to complete the work involved, but should circumstances Wàrrant, request
for an extension may be made to the Board at a later dace.
3. l1,at this Pennit should be retained indefinitely, or IS long IS the aaid Permittee wishes
to maintain the structure or project involved, to provide evidence to anyone concemed that IUth-
orization was originally obtained.
4. That the work involved will be suhject to the inspection and approval of the Board or
ilS .g"'I5, and non-compliance with the provisions of the originating .ppliCltioo, 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
herein au·thorized.
6. That there shall be no interference with the right of the public to pass and repass along
the beach between high and low watet marks.
7. That if future operations of the Towo of Southold rec¡uJre the removal and/or alterations
10 the location of the work herein authorized, or If, In the opinion of the Board of Trustees, the
work shall Close unreasooable obsttucnon to free navigation, the said Permittee will be requIæd,
apon due notice, to remove or alter this work or project hereio stated without expenses to the Town
of Southold.
~~ ,
8. That the said Board will be notified by the Permittee ot the completion of the work auth-
orized.
9. That the Permittee will obtain all other pennilS and consents that may be required sup-
plemental to this permit wblch may be subject to revoke upon fallure to obtain same.
.
.
Albert J. Krupski, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
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Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 11971
Telephone (516) 765-18't2
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
December 17, 1998
Mr. Joseph Gergyes
46-30 241st Street
Douglaston, NY 11362
Re: SCTM#70-5-41
Dear Mr. Gergyes:
The following action was taken by the Board of Town Trustees
during its regular meeti~g held on December 16, 1998 regarding
the above matter: .
WHEREAS, JOSEPH GERGYES applied to the Southo1d Town Trustees
for a permit under the provisions of the Wetland Ordinance of
the Town of Southold, application dated November 30, 1998 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 December 16, 1998, 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 37-18 of the Southold Town Code,
WHEREAS, the Board has determined that the project as proposed
will not affect the health, safety and general welfare of the
people of the town,
NOW THEREFORE BE IT,
.
.
RESOLVED, that the Board of Trustees grant a Wetland Permit to
take down the existing house and rebuild 2300 sq. ft. colonial in
the same place with the conditions that the new construction be
shown on a survey, the house shall not extend no further north
and in line with the other houses, haybales will be placed at
the edge of the construction area, the lot shall not be regraded
and should be left in it's natural elevation after construction,
and drywells and gutters are to be installed to contain the roof
run-off.
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,
ltu-4.·1 ~ ~0!h.
Albert J. Krupski, Jr.
President, Board of Trustees
AJK/lms
cc: DEC
Dept. of State
Building Dept.
.
.
Telephone
(516) 765-1801
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
Tuesday, December 15, 1998 the following recommendation was made:
No. 1613
Moved by Kenneth Meskill, seconded by Richard Smith to TABLE the Wetland
Permit Application of JOSEPH CERCYES 70-5-111 to take down existing house
and in same place build a two-story colonial approximately 2300 s. f.
1575 Pine Neck Road, Southold
More information is required before the CAC can make a recommendation. The
CAC requests the Board of Trustees TABLE its decision until the CAC
receives and reviews: a) site survey and plans, and b) a complete application.
Vote of Council: Ayes: All
Motion Carried
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ARE BY LOCATIONS FROM HOMEOWNERS,
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1---..- ------.-.------- ~___SURY£'LS.S1J·:!C~_MO_ST ARE NOT VISIBLE
JOI No. 98-55 REV'2I2MIO THESE DIMENSIONS ARE NOT CERTiFiED.
------- ----- --
TAX 1.0. No. 1000-7(1.05.41.0
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SURVFtOF:
LOT 6
PLAN OF LOTS
BY MR. G. WELLS PHILLIPS
AT PINE NECK, TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
FILE MAP No. 297 11\6\09
l.Ot,
CERTIfIED _'TO. JOSEPH AND PAT GERGYES
SCHEMBRI HOMES
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'/DEC 3 0 1998 illi
DESTIN G. GRAF
LAND SURVEYOR
ELEV IN uBCGS o.\T\JM
73__
__Nt,.....YarIt, "718
51U21-1442
By DESTIN G. GRAF H.Y.S. UC NO. 50007
J
,
~
"
.
,
.
..
Albert J. Krupaki, President
James Kin¡. Vlce·President
Henry Smith
Artie Foster
Ken Poliwoda
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Off ce Use Only
Coastal Erosion Permit Application
Wetland Permit Application
___~~ndfa~~T P~~..~ Application
~a~ ver /~endmen!;P::..N-n9.~_ .
~ëëived APPh.Cauon:~'1uqICD
~eceived Fee:$ ~j - __
mpleted ApplIêãtion
Incomplete SEP J 9
SEQRA Classification:
Type I Type II Unlisted t
Coordination: (date~t ~____
~AC Referral Sent: __
~ate of Inspection:
Receipt of CAC Report:
Lead Agency Determination:
Technical Review:
Public Hearing He~
Resolution:
Name of Applicant
Address
Scott Schulman
210 East 15th St, Apt 4-C
Town Hall
63096 Main Roe.d
P.O. Box 1179
Southold.NewYork l1971
Telephone (616) 766 18,~
Fax (616) 766· 18:,!3
New York, NY 10003
Phone
Local #765-3177
Nwnber: (212) 2U: 416-2426
212-505-9465
1000 - 70-S-- '1/
Suffolk County Tax Map Number:
Property Location:_1575 Pine Neck Road. Snnt,hn1 rI IIIV 11071
(formerly 1495 Pine Neck Rd)
800 ft.=west of Oaklawn Ave.
(provide LILCO Pole *, distance to cross streets, and location ¡:-
AGENT: for ~stinq of siqn and leqal notices - 298-5968 Permit,,, I:...Draftinr
(If applic Ie) Unlimited
Address: (please call when sign is ready to be picked up. Thank .Y.9u.)
Phone: 298-5968
FAX*: 298-5968 (after messag
record!
1
;
,
~rd of Trustees APPlicat~
GENERAL DATA
Land Area (in square feet):
49,000+- sq. ft.
Area Zoning: R-40 Residential
Previous use of property:
Intended use of property:
residential with private dock
same
Prior permits/approvals for site improvements:
Agency
Town Trustees
Date
Permit 1011 (Fred Ventrude)
No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a
governmental agency?
x
No
Yes
If yes, provide explanation:
..,nno
--\t)
Project Description (use attachments if necessary): n~ð~ ~~~I()ll
411 ~~;J"
Re-deck existing fixed portion of dock and replac~ iron piles wit~~o~
8" timber piles. Float and ramp will remain the same; dock pilings
will remain the same,
2
~d of Trustees APPlicati~
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations:
private use by owners and
guests in conjunction with residential use of property.
Area of wetlands on lot: 4800+- sf
Percent coverage of lot: 9.6% +-
square feet
%
Closest distance between nearest eXisting structure and upland
edge of wetlands: 63' tn dn~k ieex from dwelling
Closest distance between nearest proposed structure and upland
edge of wetlands: 15+- feet
Does the project involve excavation or filling?
4"
No x Yes Limited to replacement of iron pilings with
8 inch timber pilings
If yes, how much material will be excavated? 0 cubic yards
How much material will be filled?
none cubic yards
Depth of which material will be removed or deposited: none removed
feet
Proposed slope throughout the area of operations:
0-10% slope
Manner in which material will be removed or deposited:
none removed or deposited. Drilling for pilings only.
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 effect on the environment because all pilings have existed
TwO ¡¿'''IJR..
and only two are proposed to be placed with new^8" pilings.
Better support of dock will exist with new pilings as proposed.
J
4IPard of Trustees APplicat~
COASTAL EROSION APPLICATION DATA
Purposes of proposed activity: To upqrade and maintai~ existing
fixed portion of dock and replace two pilings.
1 d ·th" 1~O f t f th d t· ·t ?
Are wet an s present w~ ~n· ~ ee 0 e propose ac ~v~ y.
No
x
Yes
Does the project involve excavation or filling?
No x Yes for piling replacement only
If Yes, how much material will be excavated? 8" x 12(cubic yards)
How much material will be filled?
none
(cubic yards)
Manner in which material will be removed or deposited:
none removed or deposited
Describe the nature and extent of the environmental impacts
reasonably anticipated resulting from implementation of the
project as proposed. (Use attachments if necessary)
No impacts will result; pilings exist and will be replaced
size increased from 4" as exists, to 6" or 8" round pilings 12' L.
4
.. .
Albert J. Krupski, President
James King, Vice-President
Henry Smit.h
ArtiE' Foster
Ken Poliwoda
.
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.
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
r: '. '. ',.
,
BOARD OF TRUSTEES: TOWN OF SOUTHOLD
:--;----:--I-··~
, ,
-----------------------------------
OCT 2 3 2000
In the Matter of the Application
of
- S~.o_t\ _Sc_~~o..\\_ _ _ _ _ _ _ _ _ _ __
COUNTY OF SUFFOLK)
STATE OF NEW YORK)
,
I
L'
AFFIDAVIT OF POSTING
I,
,T nQn__KoJf.al "k;
, residing at
--------
930 Ole Jule La, Mattituck, NY 11952
being duly sworn, depose and say:
That on the q-flo. day of GeT, 2000, I penwnally posted the
property known as 1575 PinEw Neçk Rd, SouthGld
by placing the Board of Trustees official poster where it can
easily be se~n, 2nd that I have checked to be sure the poster
has remaineC: in place for eight days prior to the date of the
publL:::J\earing. Date of hearing noted thereon to be held CC:t,~S d.Cm
cncr-~ f)'.ccP~
--------
Dated; Otj¿7lJf?> el!:.. I Go, ¿"o-0o
Sworn to before me this
Ilç day of Oc.TõI3UC-- 2000.
~.-u-P.nLL
r/'S'ignature)
¿''''L£~~
~liC
UNDA r: KOWALSKI
Notary Public, Stale of New Yo,'
No. 62-462477'
Qualified In Suffolk Cuu;'
Commission Expires Nov. 30 -%.tJCIO
.
.
NOTICE TO ADJACENT PROPERTY OWNER
BOARD OF TRUSTEES, TOWN OF SOUTHOLD
In the matter of applicant:
~rn.+ ~rh1)'m~n
SCTM#1000-70-5-41
YOU ARE HEREBY GIVEN NOTICE:
1. That it is the intention of the undersigned to request a
Permit from the Board of Trustees to:
re-deck existing dock, replace iron pilings with 8010" timber pilings,
as shown on attached map.
2. That the property which is the subject of Environmental
Review--1s located adjacent to your property and is described as
follows:
1575 Pine Neck Road, Southold at Jockey Creek.
3. That the project which is subject to Environmental Review
under Chapters 32, 37, or 97 of the Town Code is open to public
comment on: 10/25/00 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: Mr. & Mrs. Scott Schulman
MAILING ADDRESS: 1575 Pine Neck Road
Southold, NY 11971
PHONE *: 1-212-416-2426
Ene.: Copy of sketch or plan showing proposal for your
convenience.
s
.
.
.
PERMITS & DRAFTING UNLIMITED
P.O. Box 743
Mattituck, NY 11952
(631) 298-5968
~8
September ~OOO
Dear Mr. Breitstadt:
We are assisting Mr. and Mrs. Scott Schulman in submitting applications regarding an
upgrade and maintenance of their existing fixed dock structure located at 1575 Pine Neck Road,
Jockey Creek, Southold. The property is highlighted on the enclosed area map for your
convenience.
We are sending this letter as a Town Code requirement to neighboring landowners in order to
confinn the application is being considered and that a date and time of the public hearing has been
scheduled by the Town Trustees. Your attendance is not required, although the hearing is held to
receive written letters or for appearances. This application is scheduled for 7:00 p.m. on
Wednesday, October 25,2000 at the Southold Town Hall, 53095 Main Road, Southold, NY 11971.
If you have any questions, please feel free to call either our office or Mr. Schulman directly
at 765-3177 (weekends). (The Trustees' Office may also be contacted at 765-1892; their office is
located in Feather Hill Plaza, Main Road, Southold).
Very truly yours,
Pennits & Drafting Unlimited
Enclosures
Certified Mail
Return Receipt Requested
dr' .
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~d of Trustees APPlicati9IÞ
County of Suffolk
State of New York
Scott Schulman
BEING DULY SWORN
DEPOSES AND AFFIRMS THAT HE/S1ü 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 APPLI CANT 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 WIT"rl REVIEW OF THIS
APPLICATION. .~
signature
SWORN TO BEFORE ME THIS
18th
DAY OF. September
;Qt9!000.
/7ß/}'/~ ¿¡ ç~/ /7 /ð4.-
Notary Public
UNDA F. KOWALSKI
"*" Public\. S1ate 01 N... YO<k
No.Ii2-4&24771
Qualified In SulfDlk County
Commission expires Nov. 30.,)G ~
7
·
.,
SHEET 1-A
SEPTEMBER 19, 2000
SEP 9,,"
PROJECT DESCRIPTION FOR SCOTT SCHULMAN:
¡,
L '..
Location: 1575 Pine Neck Road, Southold, Town of Southold, County of Suffolk.
CTM #1000-70-05-41.
Body of Water: Jockey Creek
Applicant-landowner proposes to:
1) Rebuild in kind, in place deck portion of fixed dock;
"
() ¡( 8'
2) Remove two existing 4" iron pilings and replace with two new 6" timber pilings,
in the same place.
Purpose: Mooring facility with safe access for private residential use of the owner.
Material list:
v"
ii,ð
Pilings: (2) S" rd. x 12' timber; (3) 2xS stringers with one in the middle.
Only Fixed dock section, deck, to be replaced in same locetion and size (in kind, in
place) with CCA timber, or with plastic/vinyl as alternative decking material. Existing
ramp and float and related pilings to remain.
.
.
'.16-4112/911-<1.
~OJECT ID NUMBE~
I
SEaR
817.20
AÞl'ENDIX C
STATE ENVIRONMENTAL OUALITY ~EVlEW
SHORT ENVIRONMENTAL ASSESSMENT FORM
for UNLISTED ACTIONS Only
ART I-PROJECT INFORMATION (To be completBd by Applicant or Project Sponsor)
~LD
,. APPUCANTISPONSOR 2. P~OJECT NAME Deck on
Scott Schulman. ADDlicant Reconstruction of! Fixëd Dock & tw
3. P~OJECT LOCATION, p1lings replaced.
T'..QjC~¡Q,U t ho 1 d at Southold Countv Suffolk
.. PRECISE LOCAnON: (Street address and road intlll'HCtiona, prominent landmark.. "co, or provide map)
HO&~~W#Hî~B~)#l~íR~ Neck Road, Southold 799' west of int ersection of
Pine Neck Road and Oaklawn Avenue.
;. IS PROPOSED ACTION:
~New o Emonlion [J Modlflcation/allerallon
I. DESCRIBE PROJECT BRIEFLY: de1k 80áti~n of -f<.ð 0
Reconstruct / f xe oc in existing location; replace"pilings with
timber (instead of iron) .
-
'. AMOUNT OF LAND AFFECTED:
InKloJ1y .008+- o':r.. Ultimlle)y .008+- ""'"
'. WIll. PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS?
XI Y.. o No If no. delcrlbe briefly
'. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT?
1DR"1den1lol 01_1 o Com_Ii [J Agrlc:uhure o ,,",IcJFonootlOpon Spooco. o Other
1>ooatOo.
o. DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (F_li, S_ '"
Loco/ ?
jj1Yes o No If YR, llat agency(.) and permlllapprovaJI
NYS DEC, Town Trustees, US Army Corps , NYS DOS Coastal Div.
,. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VAUD PERMIT OR APPROVAL?
llYN ONo ~ yea, 11oI1I 0I1Cy nom" ond _U_
~own Trustees Permit No. 1011 dated May 6, 1974.
2. AS A RESULT OF PROPOSED ACTION WIll. EXISTING PERMIT/APPROVAL REOUIRE MODlFICo\TlON?
flv.. o No
p-0Bsibly add two piles for a total of six.
I CERTIFY THAT THE INFORMATION P~OVIDED ABOVE IS T~UE TO THE BEST OF MY KNOWLEDGE
'PPIIcantISPONlot Name Scott sC~L _ DOlO 6/ /<:{ /00
iigMtur. ~
If the lICIIon .. In the eoa.tal A..... .nd you .... . 8I8te .1I.noy.
complete the eoa.1II1 A.....ment Form befo... Proc..dlng with thl. ......ment
OVER
11"J~~
.
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
Name:
Adjoining Landowners:
Address:
1000-70-5-42
Mr. John P. Deitzel
Trustee
P.O. Box 1958
Southold, NY 11971
1000-70-5-40
~Æ.. ..... 1....
..
'.
U S Postal Service
CE·RTlFIED MAIL RECEIPT .
(Domestic Mail Only; No Insurance Coverage Provided)
ru
n1 I¥r.
""
D
U"l
~
ru
U"l
n1
D Restricted Delivery Fee
D (Endorsement Required)
D $
Total Postage & Fees
D .
~ ~b_;'S_·ê':'.7i-;/!Z;~~_'·ted.:::'s. _~ ...._m.........m \ ;~~i~~l;t SW~::, J~~;o;:s and says
Str1l..et. Apt. No.; or PO Box No. g/
~ ëX-~i~¡f:i~x·..Lj.~_mfj·ïj"""i,-q":;ii......m...._....m__- :¡g;t~~°tt:XBO~d d~fO~;~t::;led
r- 0 T '. '.:J See Reverse for Instructions of the above named persons at the
. "
~.....a:esses 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 Mattituck, NY , that said Notices
were mailed to each of said persons by (certified) (~~
mail. _ ~_
~ohn Kowalski
Sworn to before me this 19th tI J
day of September ,~~ ¿uuu
UNDA!'. KOWALSKI
Notary Public, State 01 New York
No. 62-4624771
QU81Wied in Suff~lk County l.oCJð
Commission Expires Nov. 30. 108_
UNOA!'. KOWALSKJ
"-Y Public. State 01 New Vorl<
No. 62-4624771
Qualified In Suffolk County
Commission Expires Nov. 30. 44I~
ØVðL ~//1 ~i¿'
Notary Pu1:ì c
6
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.
,
NOT1CE TO AD~ACENT PROPERTY OWNER
BOARD OF TRUSTEES, TOWN OF SOUTHOLD
In the matter of applicant:
Scott Schulman
SCTMtIlOOO- 70-5-41
YOU ARE HEREBY GIVEN NOTICE:
1. That it is the intention of the undersigned to request a
Permit from the Board of Trustees to:
re-deck existing fixed portion of dock; replace pilings in
same location with either 6" round or 8" round pilings
(ru~lacing iron pilings)
2. That the property which is the subject of Environmental
Review is located adjacent to your property and is described as
follows:
15~5 Pine Neck Road, Southold at Jockey Creek.
3. That the project which is subject to Environmental Review
under Chapters 32, 37, or 97 of the Town Code is open to public
comment. You may contact the Trustees Office at 765-1892 or in
writing, bekre. óc,_ 2-S-; 2-.00
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: Scott Schulman
MAILING ADDRESS: 210 East 15th St, Apt 4-C
Møw Vnrk. NY 1nnOq
PHONE *: 1_?1? ~n~_qd~~ nr ~<1-7~~-3177
Enc.: Copy of sketch or plan showing proposal for your
convenience.
""
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.
.
Albert J. Krupski, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 11971
Telephone (516) 765-18,'/2
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Office Use Only
Coastal Erosion Permit Application œ Œ &
~Wetland Permit Application
___Grandfather Permit Application
Waiver/Amendment/Changes
Received Application: 1/-.sO -ry mWN OF S
Received Fee:$ OUTHOLD
Completed Application
Incomplete
SEQRA Classification:
Type I Type II Unlisted
Coordination: (date sent) ----
CAC Referral Sent: 11- J~
Date of Inspection:~
Receipt of CAC Report:
Lead Agency Determination:
Technical Review:
Public Hearing Held: /,jl_/~
Resolution:
D Wi Œ fñì,
--, ¡ 'I
1,,111
NOV3018 S
Name of ApplicantJ{" S (> P h c; e i"GJ t e c'\
Address J.j & - ? 6 ~ Y / S ì. ,
.
Vou..¡ Ja s to.,., N Ii II ~ C. ~ Phone Number: (/. / ~ 'j,;;¡ ~ - a <j q ;)...
) I
Suffolk County Tax Map Number: 1000 - 7 (J _ ~-- 'II
J~roperty Location: .!~-7::'-- P/ne Aleck A'd") SO/¿7ho/d,IV_Y//77/_
J:;j C- 3 0 - ~ - - (J~ I 3/?7!.<.: 13
(provide LILCO Pole #, distance to cross street, and location
AGENT:
(If applicable)
Address:
Phone:
FAX#:
1
·ard of Trustees APPlicati.
GENERAL DATA
'/15, Î 00 ~. þ./L:-
I?- '10
Previous use of property: ~/Aby7;~ / (t:ùY>f./"í hòtLS e....
Intended use of property: IVe w ¡Q~" I den f I ~ /
11 (J 1I S e.--
Land Area (in square feet):
Area Zoning:
'ftf..')y¡'/Y
Prior permits/approvals
for site improvements:
Agency
Date
81.11Id/71'j
.fur Pool
)-y¡ a.. yo c.--- It
/q 9 7
be /Ja. "f~ol t-
.
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 if necessary):
To. ki e
do urn
I -y¡ ç Q. ?r1 e..
S -J-tJr,/
~ ~ "0
(It)
ex sfJ7?7 /¡/)t{S~ ~
¡)Ja~e htLl/d c¿ a...-
,
)o-rJ ìa.../ C2.f ¡J fox nna. re. I v
, /
f f- .
S¡.
. ~:"
: :i'~~'r:~
:r. . :~:
2
-'
B~d of Trustees APPlicatiodIÞ
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations: -t ú -)- ea ,...
old
!JfJUc,e.
'" bCLI Id
]. ~ ()-() ~
71 ~ )1/
~ S TO}--Y
fT'
dowYJ
hOt(
<:..e...
CJ~nlJ
I ,
l'ð'Á I 7Yla fp /v
f
Area of wetlands on lot: ú~þ~ square feet
Percent coverage of lot:ti.:nY'>'>bu>"" %
Closest distance between nearest existing structure and upland
edge of wetlands: Ú." /I.,.,,, y, -r:¡ feet
Closest distance between nearest proposed structure and upland
edge of wetlands: (¿,.".J,~~--.A feet
Does the project involve excavation or filling?
No /' Yes
If yes, how much material' will be excavated? c::'ÓO cubic yards
How much material will be filled? IVOì1 e
cubic yards
Depth of which material will be removed or deposited: I{ I
feet
Proposed slope throughout the area of operations: to to e.:mo...rn S Cl h1 e...
Manner in which material will be removed or deposited: ba.. ~Nf/JIJ?1í)
or il'a.dJì1;j / Na need. -pð/" Y'eyY ÒYéJ-1 +Aa...f
I.¡) e ca 11 ~ ee .
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):
3
.'
'.4·16-4 (2IB7)-Text 12
I PROJECT 1.0. NUMBER
.
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617.21
Appendix C
Slate Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
PART I-PROJECT INFORMATION (To be completed by Applicant or Project sponsor)
SEQ
v OS e
3. PROJECT LOCATION:
Munlclpalltv County S
4. PAEC:SE LOCATION (Street addres.s and road inters ctjons. prominent lanamarks. elc., or provlae
/s 75- Pr7>€.. lvec..J< Roa..o/
S" C<.- th ð / dIN -y'. / I q 7 I .
be.-frv<Z.e71 00..../(1<%..'-</")1" 130.. VieW,
s. IS P~"9SEO ACTION:
CSH'iew 0 expansion 0 MoaiflcaUOn/alteratlon
6. OESCRIBE PROJECT BRIEFLY:
"lJe.)Y¡bll'S}¡ t=- )lIS-t,-n¡ h"t<.se. oj.. bu.-, lei. 7).eI'V
~."':,TOY'1 Colo"Y)J<L/ /71 5o-..Ì?1e. pla.l1..e
2. PROJeC~ NAME
7. AMOUNT OF LAND AFrECTED:
rnilially acres UllimateJy acres
a. W~L. ßROP~SEù ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND use RESTRICTIONS?
~es 0 No It No. de.scribe briefly
9. W~T)S ~~ESENT LAND lJS.ë IN VICINITY OF PROJECT?
~es denUal O.!naustriaJ 0 Commercial
DesctlÞe:
o Agriculture
o ParklForesUOoen sgaC8
Oo,nor
10. OOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNOING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEOERAL.
ST A T~9R LOC,o.L¡?
9" Yes 0 No If yes, list agency(s and permlUagprOvals
Bt<.llcl/71'} Dep"'-.....T;r,e?17 5ulLThtJlof
11.
Does ANY A~E9T OF THE ACTION HAve A CURRENTLY VAUD PERMIT OR APPROVAL?
o Yes· ~o U y~s, list age"cy name and permlUapprov81 ,
12. AS A RESULT OF ß.Â0poseo ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MOOIFICAilON?
Dves CS"No ....
I CERTIFY THAT THE INFORMATION PROVIOED ABOVE IS TRUE TO TJ..IE aEST OF MY KNOWLEDGE
ApgHcanUsøonsor name:
JOS(¿fh
G-e.r"5je.:s
0"0: IvvV'3b 1'1'7 ¡¡-,
,
Slgnalure:
If the actionÎs in the CO¿Jstal Area. and you are a state agency, complete the
COastal Assessmen! Form before proceeding with this a.§J1essment
OVER
1
.
.
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
Name:
Address:
;. JuA ì1
p. (J. r3 tri- / 9 S~
SOl<..Tholdl IV-V. IJ 97}.
d,
JQ...yY\e. s'¥- w F W, I IS
lie¡ GOI- -Ple/d sr·
G a. t-d e"71 C ¡ TÝI N - Y II S--:3 0
é:- ha...t- Ie s ß rei +s -!-a.d.. T'
7810 5edclo"Y! Dr.
Du....b/'ì?; OhtO '~ð/b,
STATE OF NEW YORK
COUNTY OF SUFFOLK
;jos €..f) ~ ~~/"~2 <; , residing at - +1 (" - -3 0 . .. .:z "1/5 T .
7:>01.< "!).... -/"" . . , being duly Sworn, deposes and says
that on the'~7 day of ~~~-,19~,' deponent mailed
a true copy of the Notice~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 L¡ ++ Ie. Nec/( ()~, that said Notices
were mailed to each of said persons'by (certified) (registered)
mail.
3.
Sworn to before me this (J. 7 <:;P-.
day of '¡ýor¡) ,19
'- e7' £. )y;~
Notary P"k,1ic
'-"'I 1-_,;7'".'.
No¡ary f-wiJi,;. ';';:1:.;; 0f r ~··:.,; ""':'f~'
jj......:::' Ir·.~I_;¡¡'C'G~3-p.!::
O":.1¡;fl~,~ ;11':-Hj,)e;·I~. C....l.:I ~·/
Ccmmlssion E;(~jrG$ 0612212000
.
.
Board of Trustees Application
County of Suffolk
State of New York
DEPO~.s~f ~IRMS ~~ ~;}~;S 'THE APPLICANTB~~~G~L~~~RN
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.
'..
SWORN TO BEFORE ME THIS
~7
DAY
OF lr..~
,19 9'1
~~~
I~.;·" . - - , . - .,.
FUJii!,;, '.;'.a:·) vf r ::·";..; 1'.·,....
No. 0 1 t-1ü60(/~h.~r.ß
Qualified in Quaens C(Jun~y
COmmission Expire. 0612212000
.. - ,
ublic
7
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.
lI.PPLtClI.N'l'
TRhNShCTIONhL DISCLOSURE FORM
The Town of Soubhold's Code of Ethics prohibibs còntlicts of
interest on the part of town officers and employees. The
ur ose of this form is to rovide information which can
alert the town of oss ble conflicts of nterest and allow
it to take whatever action is necessary to avo d same.
.
YOUR NAHRt
Scot t Schulman
(Last name, first name, midd~e initiai:"~nless
you are applying in the name of someone else or
other entity, such as a company. If so, indicate
the other person's or company's name.)
. r . .,. ~ .~..¡¡.., .:... ~
. . -,\,: ',~.' ,;'"l1!·,,~?\iI,
,~. . ,"', .,.~~-,
NhTURE OP hPPLIClI.TIONr (Check all that apply.)
:' ,.:.?~vj : _. ,~. .ï:.';:." ,t.~:·
Tax grievance
Variance
Change of zone
hp'p~~al of plat .
~xe~ption from plat or official map
othsr Wetlands Permit
(If "other," name the activity.)
.'
Do you personally (or through your COMpany, spouse. sibling,
parent. or child) have a relationship vi"" any officer or
employee of "he Tovn of Sou"hold? "Rela"ionship" includes
by blood. marriage. or business in"eres". "Dusiness
in"eres"· Means a business. including a parl:nership, in
vhich I:he I:ovn officer or employee has even a parl:ial
ovnership of (or employmen" by) a corpora"ion in vhich
"he "ovn officer or employee ovns more "han 5% of "he
shares.
YES
NO X
If you ansvered ·YES.· complel:e I:he balance òf I:hiø form and
da"e and sign vhere indica"ed.
Name of person employed by I:he Town of Soul:hold
Title or posi"ion of that person
Describe "he relationship between yourself (the applicant)
and the "own officer ør employee. Either check the
appropriate line h) through D) and/or describe in the space
provided.
The town officer or employee or his or her spouse, sibling,
parent, or child is (check all that apply) I
h) the owner of greater than 5% of the shares of the
corpora"e stock of the Bpplicånt (when the applicant
is a corporation)1
B) the legal or beneficial owner of any interest in a
noncorporate'entity (when the applicant is not a
corporation) I
C) an officer, director, partner, or emplòyee ot the
applicantl or
D) "he actual applicant.
DESCRIPTION OF RELhTIONSIIIP
','\"
.. 'ï'~'~' .. ,-, ,.,.. .'~ .,....~"'~i·...~
," h...,,_..
I'
" ~~
none
submi Hed
. ::::·rt~(;1>~!1N.
Þ1.I 2000:
Signature
Print name .': ,;.s<,lt':··_L:.~:;:-.,.,~;:~ii;'1:
't:;"~à:;~;i;';:Iií;~~:'¡t¡,1j:f.:ji_hIk\J:·.
. . :;' 1.\., '. . ....~ ", ·.';D'~'~~~t~~..~:: ~..,:~~~~~_.
", ...~·~:~~i·