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HomeMy WebLinkAboutTR-5409 . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0209C Date June 1 L 2007 THIS CERTIFIES that the timber retaining wall and armored return At 4630 Blue Horizon Bluffs. Peconic, Suffolk County Tax Map # 74-1-35.51 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 4/30/01 pursuant to which Trustees Permit # 5409Dated 5/1/02 and amended on 4/24/02 Was issued, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for a timber retaining wall and armored return. The certificate is issued to CHARLOTTE DICKERSON owner of the aforesaid property. r~~ Authorized Signature A lONú . 50tW .' - ~M--------- _~:; ~ ;~.)-i(i~ j~>1' t ~ j ~ Sv~ J ,/yJ': , . . ' '",_. ,<V', ~FfOI3I'FlLf~MI7I1-MIrI'~ ,:<¡.. c. 'c.. ~'. -.~:: - ~"~'. .,"- (~NOff5~'1) II- .v ~ ~ '60'/..}: ~ , C ." 'C,¡¡. ,62 c·... "O¡;'. ',"" '''' ,.... = - - - - 'V': : fJtlflfffOl3I' -""~.:=. '-",-~O~ :'~F~~v~~o~:'''~~ ;:<19 ~~ '. \~ atXA1l'~ ~i'WWNiI1 ,t., NæA VI' IJUJ'f atSf< m:M'~ ,-4 ~IP) rol3l' "'œ.>I7I:~ ('j":¡ NOff 6) (~¡ NOffS ~ . 1) ØCHr-Cf-WAY '...... ---...-___ ì , " 2. ',1..07 , -/WI ¡Jt ~ I3IUIVO - . N!JKlI!W renm 4 " .. --.':. - -~-... I ....¡ U\ 2B~ . -"'" ---------,..- , ~ .', , , :...;,t í.pl .. -- \ -. \. "--- --- -- ---- Notes,. I. P"""",,. ~Jf .œbjtzatlon & ,..wr"",,, 2. 11_ N-W '>. ftnÞ..-1e ¡" CCA-t.-.æJ 4. 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SOUTHAMPTON, N.Y. 11968 631-283-6360 \.::S Z ~ \.::S ~ ~ ~ U D ~ .J-\ \.::S Z ç: ~ -' I::L "- "- :::s -'- ~O -' II ~- s: -" \.::SID z..: z~ ~ ~ D ~ C) es \:\L I::L :::s \:\L ;;:: Z C) ç: u ~ PROP05f1l R~íAININC¡ WAl.-~ ANII BL-UFf RbíORA1l0N FOR CHARL-Ofíf IIICK~R50N ON WNC¡ I5L-ANII 5OUNII, MAíllíUCK, 5UFFO~K CO" NY 5fn-r2 Of 2. 4/16101,9128101, 1/6102 - " Agency 12 D,v.\.onIPrec,nct New York State 13. OR' "ijà 0". 5. C<'I!>e NO. 16. InCIdent No. 5c"vn~Lb loQl..AJ^-I "0",- INCIDENT REPORT Ny():n~ o Supp ~- O;tU 7. RE'POrt Day 18 D..O I O~ I ~~~O~.-.-~ T"T'~e. . I/O I 0:2. I-:;~" Occurred I ,13. Day ..I 14. O~le t I 5_ Time I 1/0 To' 'T¡.¡.u~ I -=-. T',W/L. I I J ( IO.:l II ;)."1 .... 16.~::T;; (JJb.F_ \Á~LI+Y-¡o~ 17 Bv\.ne\sl'liame 18 Weapon(s) Z A, W 0 0 19. Inctdent Addren (Street No_. Streot't Name, Bldg No . ~Ct ~o) lO.Cltv.State.z,p(oC 0 T DV) 111 lOCatIon Code B, i;!; '-I'=3J 'ߣ... ~ .Jð 2.~ 'ZL)f>,J 'f3Lu ¡: F- Çì,~o""'- NY Ii ~.sa b-.tS"" 22. QfF.NO. LAW SECTION SUB CL (AT OEG AIT NAME OF OFFENSE CTS 23 NO. of Vict,ms q, C, 1 "it" 3JA u.. V - C- . Út n... s 't-LC. ""..,,;,"1"" I 2 .24. No. of SuspK1\ D'i:.t 3 25 Person Type:CQ '" Complainant OT .. Other PI '" Person Interviewed PR ",Person Reporting WI z Wltnen NI. Not Interviewed Vt .. Victim I 26 VictIm also complain"nt 0 '( 0 N E, ~ TYPEINQ NAME (lAST, FIRST. MIDDLE. TITLE) Date of STREET NO.. STREET NAME, BLDG. NO., APT. NO., CITY, STATE. D' Telephone NO. Z 8irth 0 I rj::~Ir.;, ¡t,.:,J." :v.,- b< ~T 1 i'ì' I ?,:-- ,..... '- F, ~ '" "-0-, ~FMO'" 'ß11.u iVO r1..; '-' I?:I> r~'uTH<rL~ NY W .. ~ . . , 0 Ii'tS:l. G, W ~.é.-~(,)!J ~m:- " /~/~, ^ ." .. L",.... M"'.';)-1J"-I(" ,"V ¿,,_~_ u"'~, .... aT- ,-/(.,(J " 0 . , . , H, 0 ~ ~ " .. ~ 27. Date of 8irth 28. Age 29.Sb Ire.RlIce 3'-Ethn1C I :32. Handi.:ao 133 Res,dern:e Status 0 Temo Res. - Foreign Nllt. ~ , v I I o M 0 F 0 WI'I,te 0 Black. D Other o H ~parIlC 0 Unk. o Yes 8 Resident B Tounst 0 Student Fe! Other ;; - n u 0 Indian 0 A.sian DUnk.. o Non.HispanlC o No Commuter Military 0 Home eu 0 Unk. 34.Typel'\lo 35. Name (Last. FI~. Middle) 36 Alia!JNick.namelMalden Name (last. First. Middle) 37. Apparent Condition K, Z o Lmpalred" Drugs 0 Mental Dis 0 Unk.. 0 o Impaired Aleo o Inj/ III 0 AppNorm ~ '" I 39.ÞhoneNo. W 38. Address (Street NO.. Street Name. Bldg. No, Apt. NO . Citv. State. Zip) o Home 40. SOcial Security NO L. .. ....0 o Work VW 142 Age W.... AJ, Date of Birth I 43.Se. 44. Race 1 f5. EthniC, 146 Skin 147. OccupatIon ..::: I OM 0 F o Wl'llte 0 Black 0 Other o HispanIc 0 Unk.. 0 lIght 0 Dark 0 Unk.. M, ~'" OU o Indian 0 ASian 0 Unk.. o Non-Hlspan.c 0 Medium 0 Other ::>", ~" I SO Ha" 55Address " 4B.Helght 49 Weight 51 E~es 52 Glasses 53 Budd I SA EmployerlSchool N, Z I o Yes 0 Contacts o Small Olarge ¡;; o No o Medium ~ ~ 56. Scars.' Marksffattoos (De~rtbe) 57. M\s~ 0 ~~.Victl~or Proøerty Propert~ Quantity" n,,:,akeor Serial No. Dewptioo v~Jlue 0 Status T;~ Mo , '" T Model ŒJ >- GJ .... '" 59. Vehlcte 60 lie~nsePlateNo Full 0 61 State 162 E_p. Yr. 163 Plate Type 164 Value W [J .. Status Part,dlD 0 '" "' .. ... 65. V~h. Yr. 66. Make 61 Model 168 Style 169 VIN GJ V ;: "' > I" 172. VehldeNotes 0 70.Color(s} TO WE'd By TO >,. AT "T't+!' _ fI_o, T<."...... t:;, ""''''''' I):;,;.L",:,..",. ŒJ <"'r "T<>WII.J GJ 1>~~';"' r",,.,p~..._.h "TI+E_ I, ~ 'b,;"'. ., Fkof"........ ""'-"Q ßLue... I-kIIL'?.OIU "-L..J F'I=- Pto-.""",,;. _:",~ v.i. tLJL ~. ;^,,'~ ''tk,,,,. ,^-, 'T!:U' G W L', c:" ':. . ~OO~ .. ,,'-~u'- ~c..""-C". P.~.......... "'.....,:... "'- RY~ > . CJ ¡;:; """'dt- I>.õTClt....V< ¡.J.L w.."Lh R,or. .i ..I.... 1:<,<'., JE. . " '" GJ '" " z GJ W 74. InqUlrie (ChKk all that apply) 15 fIIYSPIN Message No 76. Complainant SIgnature -~..T > o DMV 0 Want/Warrant o ScoHla... ¡;:; o Cnm. History o Stolen property o Other " ...... '" 77. Reporting Officer SIgnature (Indude Ra",,) f2... ,~ I 18 lONe; 79 Supervisor's Signature (Include Rank) 180lDNa .... 54, !!! 'ß.c.._ l<--=t 5, f"' ~ 1"),- :L. I z .....ge :¡ 81. Status DOpen o ~o\ed (If (losed e!'lee bOx belOw) o Unfounded 82. Status Date I ð483. NOtlfledlTOT of I 0 o Vlct. Refused to Coop o Arrest 0 Pro" Deel.ned o Warrant Ad\llse<:l J I 1/ " Oesl o Juv .No Custody D.c.rrest·Juy r'lOtfc-nderDeaa CJExtr.td Deelln uunknown Pa9~ iJUS-3205 (2/97) ·FALSE STATEMENTS ARE PUNISHABLE AS A CR!ME. PURSUANT TO THE NEW YORK STATE PENAL LAW. Albert J, Krupski, President James King, Vice-Prp.sident Artie Foster Ken Poliwoda Peggy A. Dickerson . . ~,. Town Han 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 April 25,2002 Mr. Robert E, Herrmann En-Consultants, Inc. 1329 North Sea Rd. Southampton, NY 11968 RE: CHARLOTTE DICKERSON 4630 Blue Horizon Bluffs, Peconic SCTM#74-1-35.51 Dear Mr. Herrmaml: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, April 24, 2002: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to PemJit #5409 to include bluff plantings and bluff crest re-grading, This is not a detennination from any other agency, rfyou have any questions, please call our office at (631) 765-1 sn, Sincerely, (ll/. ~·I ~ /&.._;~1.,ß...~. Albert J. Krupski, Jr, President, Board of Trustees AJK:lms . . '...... . "". ,.-,. " '. .'" . '. . '. '. . ".- .',. . '. . ."a '.' . .. ,. '. .. . . . ,. . . '. . . . . . " . " .. .. " . " . ~, TERMS and CONDmONS The Permittee Charlotte Dickerson JC$idiog It 460 Paddock Way, Mattituck N. Y.. .. part of !be coasideratioa for !he ~..~ of the Pemdt docs uødcntaod and pœscribe to !be fol. Iówiøg: 1. 'I1w!be said Board of Trustees and the Town 01 SouchoId &Ie released &om ISJ' and aU damages, Of: claims fOt: damages, of suiø adsiag cIhecd.y Of: iÐdirecdy as . IaUIt of ISJ' oper. adoa perfoamed pinuaat to chis permit, and the said p.......¡.("" will. at his ot" own ~. defend ISJ' Ud aU IDCh Iaics'I";';~ br tbhd parties, and che aid P .1,,- ..- faUlWIIIiq wich mpea thereto, to !be ~ '~ of che Board 01 'ItusUa of che Town of 50.41 t'!I'" 24 2. 'I1w chis Penak Is wIJd f<X aptriod of mos. .mid> Is a-M ~ to be che estimated time'required 110 """'P'~ che wod< u.whed, butiboaJd~, warnat, request for on exœasion may 'be made to the Board at . bw: eWe. PermIt to expIre April 1, 2004.' 3. 'I1w Ibis Pemdt sbould be retained indeCmicely, 01: as long as the aid PermIttee 'fIÜbts to m.I....ln the suuccure or ptoject u.volved, to proYide eñdence to ""1""" rooœrDed thot aaeb- orizatioa wu originally obtaioed. 4, That the wodcinvol-'. will be subject to the iøspecdoo and appronI of the Board « lis agents, and DOO-O:IØIpJimœ with, the prcnisioøs ol1be oñgJ"''¡..g app1icatioa, may be ClOSe fOl: revocation of Ibis Pemdt br ~tioQ of the said Boatd. S. That there will be no _sooabIe u.terfereøce wich aavigatioa as . IaUIt of the 1ftIdc baeIa ...iborized. ' 6, Tbat there shall be DO Íllterfereaœ with the right of che (UbIic to pass and repus úoag the beach between high and low _ marks. ' 7, That ü future operations 01 che Town of SouchoId R<¡UÙe che ftßIOftl and/Of: aItendoas u. !be Ionotlnft 01 che wod< baeIa _0I_.t! d, or if, u. che <>pInloa 01 !be Board 01 Tmsœes, the, 1Vork Iha1I cause UDlCOsooobk obsttua1OO to free navigadoa, !be aid p..n..I-- will be nqaIred, apoa. clue notice. to remove Or alter chis work or project herein stated ~ C1j-el1Sel to the Towu 01 Souehold. 8, That the said Board will be nodfied br the P-nl.- ot the ~, Of the work aaeb- orized. 9. That the Pennitœe will obta1n .11 other permits and """'efti< that may be required sup; pIemental to chis permit .mid> may be subject to revoke upon failure to obta1n same. " " ....,....._ ..' .',.,'..,.,.'.\... . " a,,' " .." "'''.'''.'. ,. " " " . " " " ,,'.' ,'.' , . ..'. " ",. ... . . . 1f.....,If:. ,~,> Albert J, Krup.ki, Pre.ident James King, Vice-President Artie Fo.ter Ken Poliwoda Peggy A, Dicker.on . . 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 April I, 2002 Mr. Robert E. Herrmann En-Consultants, mc, 1329 North Sea Rd, Southampton, NY 11968 RE: CHARLOTTE DICKERSON 4630 Blue Horizon Bluffs, Peconic SCTM#74-1-35.51 Dear Mr. Herrmann: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, August 29, 2001 regarding the above matter: WHEREAS, En-Consultants, mc, on behalf of CHARLOTTE DICKERSON applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of South old, application dated April 30, 2001, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on August 29, 2001, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 97 ofthe Southold Town Code, 2 . . WHEREAS, the Board has detennined that the project as proposed will not affect the health, safety and general welfare ofthe people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of CHARLOTTE DICKERSON to construct a +/-117' timber retaining wall, 12' westerly return, 13' armored return on the east side, Approx, 250 cy, of clean sand to be trucked in ftom an upland source and used as backfill and planted with Cape American beach grass 12" on center, 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 Pennit to construct and complete project will expire April 1,2004, Fees must be paid, if applicable, and pennit 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, a!t.,-¡ ~ /~~'!J. Albert J, Krupski, Jf. President, Board of Trustees AJK/lms DEC ACE Dept of State Albert J, Krupski, President James King, Vice- President Artie Foster Ken Poliwoda Peggy A, Dickerson . . Town Hall 53095 Route 25 P,Q,Box1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD COASTAL EROSION MANAGEMENT PERMIT Permit #5409 Date: April I , 2002 SCTM#74-1-35.51 Name of Applicant/Agent: Robert E. Herrmann-En-Consultants, mc, Name of Permittee: CHARLOTTE DICKERSON Address of Permittee: 460 Paddock Way, Mattituck, NY Property Located: 4630 Blue Horizon Bluffs, Peconic, NY DESCRIPTION OF ACTNITY: Construct a +/-117' timber retaining wall, 12' westerly return, 13' armored return on the east side, Approx, 250 cy. of clean sand to be trucked in ITom an upland source and used as backfill and planted with Cape American beach grass 12" on center, Permit to construct and complete project will expire April I, 2004, SPECIAL CONDITIONS: (apply if marked) _ Bluff restoration through a re-vegetation plan is a necessary special condition of this permit _ A relocation agreement is attached hereto and is a necessary special condition of this permit _ A maintenance agreement is attached with application and is a necessary special condition of this permit ~ 0 /4.-¡ðJu'~, Albert J, Krupski, Jf. President, Board of Trustees . . 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 Jason Petrucci, seconded by Scott Hilary, it was RESOLVED to recommend to the Southold Town Board ofTrustees APPROVAL of the Amendment Request of CHARLOTTE DICKERSON to Amend Permit #5409 to include bluff plantings and bluff crest re-grading and a Coastal Erosion Permit to relocate the existing dwelling landward of the Coastal Erosion Hazard Area boundary, Located: 4630 Blue Horizon Bluffs, Peconic, SCTM#74-1-35,51 Vote of Council: Ayes, Nicholas Dickerson abstained, Motion Carried ~ . . ~ 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 , January 4, 2002 Albert Krupsk~ Chairman Board of Trustees Town of South old 53095 Main Road '7 Southold, NY 11971 ___n_~--,----k, ;': Re: Charlotte Dickerso~u...t!Ne'R' illlll'nlk., Dear Mr. Krupski: JAN - b As you are aware, the Board approved the wetland permit application of Charlotte Dickerson during its regular meeting of 29 August 2001, conditioned upon receipt of revised project plans fÌ'om En-Consultants, Inc, depicting the relocation ofthe proposed retaining wall and an armored return, Such plans were delivered to your office on or about September 28, 2001, The application fee has been paid in full and any and all other obligations required by Chapter 97 of the Southold Town Code have been satisfied to the best of my knowledge, To date, however, the wetland permit has not been issued, and your office has advised me on several occasions that the permit's issuance is now contingent in some way upon the Town Attorney's approvaL Although I was unaware of any such requirement, I explained the situation to my client several months ago and suggested that we wait patiently for the permit. As more than three months have now passed since we supplied you with the revised plans, however, we must respectfully request that the permit be released promptly, Should the permit's release be a continued problem, kindly have your office forward me a written explanation of the problem, which I can forward to Mrs, Dickersón, I thank you in advance for your anticipated cooperation and look forward to hearing fÌ'om you, Robert E, He nn Coastal Management Specialist cc: Charlotte and Alan Dickerson Gregory Yakabosk~ Town Attorney FROM ENCONSULTANTS . PHONE NO. 631 283 6136 . Jul. 03 2001 10:25AM Pi 1329 North Sea Road Southampton, NY 11968 Phone: (516) 2~360 Fax: (516) 283~136 Email: encon@peconic.net I En-CoDSultants, InC. I ~ ,. "' , Fax -,';" " J!lI1- .:.- ~ 1001: TtK Lauren Standîsh, SouIhoId Trustees ~- ........" Rob Henmann Fax: 765-1366 PageB: -,- ........ 765-1892 DIIt8c JIJy 3, 2001 Re:: Dickerson & Davison PosIponements ce, o u.ø- It! For R__ 0 PI_ C......._.Jt 0 Please Reply o PI_ Recycle . Comments: Lauren: As I will be unable to attend the Board's regular July meeting. would you kindly postpone until August the reopening of the Char10tte Dickerson public hearing, as well as the new hearing for Trevor and Allvson Davison, for whom we submitted an application in June_ Please call me if you have any questions, Thank you, Rob Herrmann FROM ENCONSULTANTS It PHONE NO. 631 283 6136 . J~n. 19 2001 12:27PM P1 , 329 North Sea Road Southampton, NY 11968 Phone: (516) 28Jµ6360 Fax: (516) 283.e136 Email: encon@peconic.net I En-Consultants, Inc. .....' ..-' .~ ~ ~ ~t-',' 'I' ,... r' .. ;' I, i Fax JUN I 9 2001 . ...;-\ tt- ')\'., "'!. ¡. l.____~~ ~:' "'--' 'IŒ Lauren standish, SouIhoId Tl\lSlees From: Rob Herrmar1n Fax: 765-1366 pag... -1- "'-- 765-1892 ~ June19,2001 ReI Dickerson eCI o u.,.- eJ For R8IIiew 0 "- Cotnm.... 0 PI_ Reply o Please Recycle . Comments: Lauren: As per Mr, Dickerson's conversation with AI Krupski, kindly postpone the scheduled reopening of the public hearing until July, As understand that Mr, Krupski wishes to coordinate our on-site meeting with slaff members of the New York State Department of State, who will be visiting with the Trustees on June 27", I would apprec:iate your scheduling a time at which Mr, Dickerson, Tom Samuels, and I can meet at the Dickerson site with the Board to discuss the project, As we would all be traveling to Southold from New York or Southampton specifically for this meeting, I would appreciate the scheduling of a firm meeting time, Please call with any questions and/or to inform me of the meeting time, Thanks. Rob Herrmann · , c ¡rt Y Telephone (631) 765-1892 Town Ha1l. 53095 Main Road P.O. Box 1179 Southold. New York 1197t SOt.JTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Monday, May 14,2001, the following recommendation was made: Moved by Bill McDermott, seconded by Melvyn Morris is was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Wetland Permit Application of CI; ARLOTTE DICKERSON 74-1-35,51 tò construét a +/_ 138' timber retaining wall and 21' easterly return; and backfill with approx, 300 cy, of clean sand to be trucked in from an upland source and planted with Cape American Beach Grass (12" on center), Westerly terminus of proposed structure will tie into face of adjacent steel retaining wall to west; and portions of existing 1-3 ton stone toe armor fronting adjacent return will be relocated to armor proposed return, 4630 Blue Horizon Bluffs, Peconic The CAC recommends Approval but suggests that the applicant considers re-vegetation as an alternative, There is also a concern about the access during construction, Vote of Council: Ayes: All Motion Carried . ~ 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 April 25, 2000 Town of Southold Board of Truslees Post Office Box 1179 Southold, New York 11971 Attn,: Lauren Standish Re: Charlotte Dickerson 4630 Blue Horizon Bluffs, Peconic SCTM #1000-74-1-35.51 Dear Ms, Standish: L_, APR ? .Î In regard to the above referenced property, enclosed are the following for the Board of Trustees review: I, Three (3) Wetland & Coastal Erosion Permit Applications, ( including Notice and Proof of Mailing to adjacent owners), 2, Three (3) Short Environmental Assessment Forms, 3, Three (3) copies of authorization & disclosure forms, 4, Three (3) work plans, 5, Three (3) copies of survey, 6, One (I) set of site photographs, 7, Application fee of $200,00, I trust this information shall allow you to process our permit request. Should any additional information be reqU~ed, please do not hesitate to contact our office, Sin Robert E, rrmann Coastal Management Specialist Ikhs Ene, . LONG I~.AND SOUND - ~ AC '<w -, --------- ItI/ý -- " " . 5tœ (NÜ55 WI I úGl-I15N111-111\1.HJ ~' :fH:S ~, " "',,",' ' ,fEJ,' 7~ 1m , ~l"'r ' (,eóli!Hrn I 'h£.tJ. I ,'1'-';:. , (. - -. t.: - .- - - -- .- PI.'œOsW I,' fa.¡ . Sfa.!' fœ tfflO? æ~<XAœ~ f~OM N1 J, "'nm ~~""8' "'~ .' . '- læf"",,,~ w¡O¡.~ '""",,< - ~'.~~~.~:~'~~,-~".~~-.<=~- ,.~~~ ,--'--;--~~ -" = - - ¡X~.. N-·" -;-_-V?:'_I~_"",-",.~--.'£'~-r: , .~ PJi'OF'O<.£D . ....I~I- ..- ...... - _. .:Þ --" ... '~~ .:.'¡¡ ""'= - - ~~ _ "c -_, ~ -.. _ "ll' a.: ß!H't~&"'fWJ " . _. -~,--'-I: h'-. '.': = "~" _':. - .-. ~fII:'N ~~:"'~IW ::~~, \:,~~~~;;;S~~··\T~ n[~ ~1 F ~~~ _-}, IW/OI1fU'ft7 C:,:: I1-~VllftHfJt~ArOIJ!' ..-, ,_.:00: : = : 6'" ~ : ::::: 7, ~ - ,~_ ~-': __ -. ~:'~'O~c.::. =. :',: ': ."=:: =: =::': : ~ !. ~ q"' -,,< -. : ~~~~~; -= -~ ~ Ut G '0 I STORY "C2\ ~, '~ FRAME ~ ~ 26 COTr .AGE .. ,,~ ~ '''' ÚI"II'l~ 1\': I"" 40' ~ k ~, --··~~-._____D,',f;¿T I. P""",,: ¡;1"fT ,,¡,, ,lllzai;lœ 2, t7a1u11: N-W ~, ílmkr to I:" CCA-hated 4, ~P'""matd4?OO cubic ,.,.-d. of de", smJ /;0 "" trucked In fr"" ,., upl<'l'd mece: u,;ed as b",krlll: <'I'd plæl:ed w'¡¡' C,..,e /m,r~,., I:"",h 'f"'" (12"OU ~, Retalnl"'l w,,1 /;0 "" ~ed Into f æe of ""%''''1 .tee! Þulkhead to we9t: '" I.-? ton.tone toe amJr f,,,,,,,"'I adja:en< ret<rn to I:" ,e!ocated /;0 P''I'O'''d eæterlu ,eI;um "",; a' b..-ted behind P''I'O'''d ,etalnl"'l w"I 6 Projec< locai;lœ, 46?O Blue I-\:Jr."", BhJlf; Matuu.-:k. NY, 5CfM No, 100ú-14-lj'7,'71 1, ,ÄJjaCen< """"''' I) t?ena,,,t-, 2) Wick. ?) P'¡O':1p1 APR' J ,} EN-CONSULTANTS INC. 1329 NORTH SEA RD, SOUTHAMPTON, N.Y. 11968 631-283-6360 '" ... / ~ ~" 1"0 ('1> ,~ , 15; -6 PROP05fI/ RHAlNINú WAl.-l fOR C~Of-æ DICKrR50N ON WNú I5L-ANt7 SOUND, PE:CONIC, 5UffOl--K CO" NY 5I-fEf I OF 2 '1- / \6/ 01 . õ . \ Õ Õ \ , IS\ 3: , ~ ~ EN-CONSULTANTS INC. 1329 NORTH SEA RO, SOUTHAMPTON, N.Y. 11968 631-283-6360 ~S! ~~ x ~ S!..... >U ~ i~! '.:::5 s:.¿ ~ ~~~ ~¡ ~Î>- \J'\ ~ ~ \:5 ~I~ x ::z i~~ ö§ R ::z ~~ ~~ x ~ ~~~ XX § ~ Õ ~~~ ~~~ iC'I~ ~- ~~ ~ ~~~ 'r ~O +1 ~=\\ 'i ~~ ~~ $! ~ ~ .. ~ ;¡¡ c:o 1 ~ ~ G " ~ T- - ,¡'\ ... ~ i!i PROP05E:I? ~f,AJNINú W/'i,~ fOR Cl-tA2..or-æ I?ICKE:RSON ON ~ONú ISL-ANI? SOLINI?, MAfl11UCK., 5UffO\,K CO" NY 5rf~f2 Of 2, 4/16/01 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 Fex (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD LETTER OF REQUEST FOR AN AMENDMENT DATE MARCH 25, 2002 MAKL7 OWNER CHARLOTTE DICKERSON L PHONE 631-298-4956 ADDRESS 460 PADDOCK WAY, MATIIruCK, NY 11952 AGENT EN-CONSULTANTS, INe. PHONE 631-283-<í360 ADD"" '''' NORTH '" ROAD, ,"UTHAMYroN, NY ~ PROPERTYLOCATI~i'.UALoWb'þ~,!.tA"ffI1'\ I '\ TAX MAP NO. 1000-74-1-355 I/We EN-CONSULTANTS, INC, request an Ameudmeut to Permit # 5409 TO INCLUDE BLUFF PLANTINGS AND BLUFF CREST REGRADING, AS REQUIRED BY DEC AND DEPICTED ON PROJECT PLAN PREPARED BY EN-CONSULTANTS, INe. LAST DATED 1/6102, ~ Sigued By: ROBE NN, COASTAL MGMT, SPECIALIST ~ ~. ....,~ . ..... . ..... .. ~ . ... ..... .. ....-......-.... _. ..._......·...~._..·._.~·__··..·u_._·_.·.··__.· ..._-'..--".._...-.-..,..;.....~ . . ~ 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 March 25, 2002 Town of Southold Board of Trustees Post Office Box 1179 Southold., New York 11971 Attn,: Lauren Standish , Re: Charlotte Dickerson 4630 Blue Horizon Bluffs, Peconic SCTM #1000-74-1-35.51 .J ~,' .~/"'~,\ .:... Dear Ms, Standish: ~.. In regard to the above referenced property, enclosed are the following for the Board of Trustees review: l. Three (3) Coa.~tal Erosion Permit Applications, 2, Three (3) Request for an Amendment Applications, 3, Notice and Proof of Mailing to adjacent ùwners, 4, Three (3) Short Environmental Assessment FortY'.5, 5, Three (3) copies of authorization & disclosure forms, 6, Three (3) work plans, 7, Three (3) copies of survey, 8, A~plication fee of $90,00 ($50.00 coastal erosion ¡.:ermit, $40,00 permit amendment), 1 trust this irJormation shaH allow you to pmcess C'Jf p=i( request Should 'lny additional information be required., please rlo not he·;itate [ù CO'1:itc( our off'c~, Sincerè,l¥,: I' R~í:~nn Coastal Management Specialist Ikhs Enc, Albert J, Krupski. President . James King. Vice· President Henry Smith Artie Foster Ken Poliwoda , Town Hall 53095 Route 25 P,O, Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fex (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Applicati9n _Wetland Permit Application L Major Waiver/Amendmen Cha es Received Application: ;)() 0 ( Received Fee:$ ~(h) " I , Completed Application '1/ ÒO /0 I Incomplete 'I ~ t> 1)J-\D\ _SEQRA Classificatioy o¡3; ~~.-éd" Type I_Type U-LUnlisted ~ _ Coordination:(date se.n9~ I CAC Referral Sent: 'if I 0 ~Ó / Date ofInspection: ;¡7' It I _Receipt of CAC Report: I Lead Agency Determination: Technical Review: Public Hearing Held: Resolution: APR 3 0 ?¡~;: , " l ~ I Sf '1/01 , Name of Applicant CHARLOTTE DICKERSON Address 460 PADDOCK WAY, MATTIruCK, NY 11952 Phone Number:(63I )298-4956 Minor Suffolk County Tax Map Number: 1000 - 74-1-35.51 Property Location: 4630 BLUE HORIZON BLUFFS, PECONIC (provide LILCO Pole #, distance to cross streets, and location) AGENT: EN-CONSULTANTS, INe. (If applicable) Address: 1329 NORTH SEA ROAD, SOUTIIAMPTON, NY /1968 Phone: 631-283-636!ffi ~, ¡ J , "'^~ \ V'l$ ~oard of Trustees APPlica1lJn GENERAL DATA Land Area (in square feet): 1.7 ACRES Area Zoning: RESORT RESIDENTIAL Previous use of property: RESIDENTIAL, ONE-FAMILY DWELLING Intended use of property: NO CHANGE Prior permits/approvals for site improvements: Agency Date X No prior permits/approvals for site improvements, Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes Ifves, Drovide eXDlanation: Project Description (use attachments if necessary): CONSlRUCT A +/-138' TIMBER RETAINING WALL AND 21' EASTERLY RETURN; AND BACKFILL WIlli APPROXlMA TEL Y 300 CUBIC YARDS OF CLEAN SAND TO BE lRUCKED IN FROM AN UPLAND SOURCE AND PLANTED WIlli CAPE AMERICAN BEACH GRASS (12" ON CENTER). WESTERLY TERMINUS OF PROPOSED SlRUCTURE WILL TIE INTO FACE OF ADJACENT STEEL RETAINING WALL TO WEST; AND PORTIONS OF EXISTING I - 3 TON STONE TOE ARMOR FRONTING ADJACENT RETURN WILL BE RELOCATED TO ARMOR PROPOSED RETURN, 4Ifoarct of Trustees APPlica~n WETLAND/TRUSTEE LANDS APPLICA nON DATA Purpose of the proposed operations: STABILIZE ERODING BLUFF, Area of wetlands on lot: o square feet Percent coverage of lot: N/A 0/0 Closest distance between nearest existing structure and upland edge of wetlands: N/A feet Closest distance between nearest proposed structure and upland edge of wetlands: N/A feet Does the project involve excavation or filling? No x Yes If yes, how much material will be excavated? N/A cubic yards How much material will be filled? 300 cubic yards Depth of which material will be removed or deposited: N/A feet Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: APPROXIMA TEL Y 300 CUBIC YARDS CLEAN SAND FILL WILL BE TRUCKED IN FROM AN UPLAND SOURCE; DUMPED; GRADED AS BACKFILL; AND PLANTED WITH CAPE AMERICAN BEACH GRASS (12" ON CENTER), 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): THE PROPOSED RETAINING WALL WILL STABILIZE THE TOE OF THE ERODING BLUFF SIMILARLY TO THE ADJACENT STRUCTURE TO THE WEST, WITHOUT ADVERSELY IMPACTING ADJACENT TOWN WATERS; THERE ARE NO VEGETATED WETLANDS LOCATED ON OR ADJACENT TO THE SITE, Ai->,; 4Iroard of Trustees APPlica~n COAST AL EROSION APPLICA nON DATA Purposes of proposed activity. TO STABILIZE TOE OF ERODING BLUFF, Are wetlands present within 100 feet of the proposed activity? No X Yes Does the project involve excavation or filling? No X Yes If Yes, how much material will be excavated? N/A (cubic yards) How much material will be filled? 300 (cubic yards) Manner in which material will be removed or deposited: APPROXIMA TEL Y 300 CUBIC YARDS CLEAN SAND FILL WILL BE TRUCKED IN FROM AN UPLAND SOURCE; DUMPED; GRADED AS BACKFILL; AND PLANTED WITH CAPE AMERICAN BEACH GRASS (12" ON CENTER), Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed, (Use attachments if necessary) AT PRESENT, THE SUBJECT BLUFF IS ERODING LANDWARD AND THE EXISTING BEACH corr AGE IS PRECIPITOUSLY SITUATED LESS THAN 10' FROM THE BLUFF CREST. THE PROPOSED STRUCTURE WILL STABILIZE THE POSITION OF THE BLUFF IN A MANNER CONSISTENT WITH THE ADJACENT STEEL RETAINING WALL TO THE WEST, OBVIOUSLY WITHOUT IMPACT TO THAT PARCEL TO MINIMIZE ANY POTENTIAL IMPACT TO THE EASTERLY ADJOINING PARCEL, THE EASTERLY PORTION OF THE STRUCTURE WILL TERMINATE WITH AN ANGLED RETURN TO BE ARMORED WITH 1 . 3 TON STONE, IN THE SAME F ASION AS THE ADJACENT RETURN TO THE WEST, IT IS ANTICIPA TED THAT THE PROJECT WILL PRESERVE THE EXISTING DWELLING WITHOUT IMPACT TO ORADJACENT TO THE SITE, Albert J, Krupski, President James KingJ 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 BOARD OF TRUSTEES: TOWN OF SOUTHOLD ----------------------------------- In the Matter of the Application Cft~~ ' ---------------~------ OUNTY OF SUFFOLK) STATE OF NEW YORK) I, ~~ ~"''' AFFIDAVIT OF POSTING FN-CONSULTANTS 1He. , ~Q8~fI!J at 1~~~lnORTHSEARD. S' ,I ,,(jt'N!PION, N.Y. 11968 631-?RH36Q being duly sworn, depose and say: -t- That on the ~ day of property known as 30 by placing the Board of Trustees official pos easily be seen, and that I have checked to be has remained in place for eight days prior to public hearing. Date of hearing noted thereon posted the I er where it can sure the poster the date of t~e, to be held ~ol Dated: S~2£n.to before me this ....:2/-fJ"-day of ~ 200' ~Lm 0J~-&-~ No , Publ ic ,/ Kill H. STEPIIENS @' ' NOlary PubliC-State, of N.)'.' Y:rII , 1Y:\:~ Co",",'::!," No. 5Q13,;\ LfH ...~',::,:.:~ ." ' ~'jro k . ~--::;/ ~C'7.fil;~S¡~í1 ~~ ;';{~~~ ~~ utI Q.L .... . . NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant:CHARLOTŒ D~KERSON SCTM#lOOO- 74-1-35,51 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: CONSTRUCT A +/-138' TIMBER RETAINING WALL AND 21' EASTERL Y RETURN; AND BACKFILL WITH APPROXIMA TEL Y 300 CUBIC YARDS OF CLEAN SAND TO BE TRUCKED IN FROM AN UPLAND SOURCE AND PLANTED WITH CAPE AMERICAN BEACH GRASS (12" ON CENTER), WESTERL Y TERMINUS OF PROPOSED STRUCTURE WILL TIE INTO FACE OF ADJACENT STEEL RETAINING WALL TO WEST; AND PORTIONS OF EXISTING 1 - 3 TON STONE TOE ARMOR FRONTING ADJACENT RETIJRN WILL BE RELOCATED TO ARMOR PROPOSED RETURN, 2. That the property which is the subject of Environmental Review-is located adjacent to your property and is described as follows: 4630 BLUE HORIZON BLUFFS, PECON~ 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: MAY24,2001 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: MAILING ADDRESS:460PADDOCKWAY CHARLOTTE DICKERSON PHONE #: MATIITUCK. NY 11952 631-298-4956 Ene.: Copy of sketch or plan showing proposal for your convenience. 5 PROP<Y.f~ I"~ fa¡ - 5fCU rœ /Iffla miXAœ~Ff1OM ";'J "'ruRN _ ' '~ ~~---~ ~V;, "" ',:,'1> ~.::-~ :: - þ ,: iV,: - ;ROP<Y.fr ----""L1:Jd-<-', ',-- ,e:=",- - "1"'1lß.J ;~~œ"'~œ~ '~~:<M~;;; ,~'~~--_ ~ :.'_ ~ ,~~ :,'¡ :~1 := ~V~::-~ ~ r=" _/~BIft~ "- .,,~ KKFHMI'ArOiJf' ' _-3':; - : ': ' , .. , 3, - -"P"'_''''r-OW1HO:U::£rI~ - - - 61' - - - - - --:r. '- , ~'~'CIò'65(¡2" - '- " = : ,- - I. ~ \: '" -"',--= - ::O_c~ :'~':4,~J~:,J =~~ ~ I STORY .Q\ ~ FRA,HE a'\ t-.) 23 con A0E · . k . lONú 1Si..AND 50UND ~ - ...c ~.I'I - ~, --~-- IrlN - - ..; . - -. --,..-, Pr!tJpO</'r'I~' "'rNNl"" w;u nMØ(;r ~Inrœ ". .' 0Hw ,-'- II.!. 2, Note" I Pu'l'05'" Bluff .iAo,liza!;,on 2 tJatan:/iW ?, flmbet- to be CCA-lTeated 4, ApprOlllmatd4 XX) QJb~ ,..-tb cf de", 7a'I<J to be trucked In [,,,,, '" ,p/æd ","ree: ,,,,d æ ba:Kflll, æd p/æk:d wttl1 Cape hœrlC'" be",h Cfæs (12"0 CJ ", Retalnl"1 w¿J1 to be tied Into [a:e cf eJ.1%1"1 .teel bulKhead to we5t: eJ. I-~ ton 7tone toe æoor f,ont<~ ad)æenL reLm to be rdocated to pr<J?O"'ld eæterl" ,etum æd! a w"d behind pr<J?O"'ld ,ek¡lnl~ w¿J1 6, PmJect locat"': 46?O Blue I-b--tzon 17kif, MatttwcK, NY, 5CíM No,ICXXJ'74-1-?~,"1 7, Ad)æenl; ''''''e,,, I) tJen¿¡, j-, 2) W"" '5) Pnnclpl D,'~-,- -. é . SIn: ( NX£.55 vilA úCU'5M1l11101-W <ii'!Il~¡'¡'S "''''''',- ''''"'"'''"''', " ""0.;1f"';-·"';'",,, ~t\t~ ¡~OtIN,I'Y}' ¡ I17l(A . , ' / {. EN-CONSULTANTS INC. 1329 NORTH SEA RD. SOUTHAMPTON, NY 11968 631-283-6360 / tif ~. 1"0 ç.(> 'tt- ''éY' 0 ... '" PROP05fDl<EfAlNINú WAI.-l- fOR c~oræ DICKfRSON ON WNú 151-AND SOUND, P~CONIC. 5UFfOI-K CO" NY 51-Uf I Of 2 4/16/ O! . õ . \ Õ 0 \ , ~ 3: \ ~ ~ EN-CONSULTANTS INC. 1329 NORTH SEA RD. SOUTHAMPTON, N,V. 11968 631-283-6360 ¡~ >U~ X ~ ~"- ~ ~ h ¡~I ~ ~~~ J~ ~ ~ \3 >< :z: ~i~ ~>- O~ ~ :z: ~I- ~ ~~ § ~ ~~ >< ~!i >< >< Õ ~~ ~~~ ~- ~ ~O ~oG 'r .. ~I\ \j '0= ~~ ~~ :2 ~~ ~ ~ .. ~ 'â 1 ~ G ~ " ~ T- - 11'1 ~ ¡.. ~ ~ ~ ~ PROP05ftì ~rAlNINú WÆ~ fOR cHMl.-oræ tìICKE:RSON ON ~ONú I5l.ANtì SOUNtì, MAf111UCK, 5UffaK CO., NY 5'fer 2 Of 2. 4/16/01 . . PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: RICHARD PRINCIPI Address: 104 MIANKOMA LANE POST OFFICE BOX 495 AMAGANSETI, NY 11930 WARREN WICKS POST OFFICE BOX 314 SOUlHOLD, NY 11971 ELINO DENA, JR 21 GRAMERCY PARK SOUTH, APT2B NEW YORK, NY 10003 STATE OF NEW YORK COUNTY OF SUFFOLK ROBERTE,HERRMANN doing business atEN-CONSULTANTS,INC. 1329 NORTII SEA ROAD SOUTHAMPTON, NY 11968 , being duly sworn, deposes and says that on the 26TII day of APRIL ,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 at SO~ON , that said Notices were mailed to each of said pers ns by (certified) ~) mail. Sworn to before me this 26TH day of APRIL ,2001 f oJ::/ ~Ix: ,..?- ~/ " Notary Public ROBERT E. HERRMANN COASTAL MANAGEMENT SPECIALIST 14-16-4 (2IB7)-Text t2 I', PROJECT 1,0, NUMBER . . 817.21 SEQR 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) FORM 1 APPLICANT/SPONSOR: CHARLOTfE DICKERSON BY I 2. PROJECT NAME EN -CONSULTANTS, 1Ne. 3 PROJECT LOCATION: Municipality County SUFFOLK 4 PRECISE LOCATION (Street address and road intersections. prominent landmarklS, etc. or provide map) ~30 BLUE HORIZON BLUFFS, PECONIC, TOWN OF SOUTHOLD; SClM #1000-74-1-35.51; MAP PROVIDED 5, IS PROPOSED ACTION 181- D Ex¡¡onsion o Modffication/alteratlon 6 DESCRIBE PROJECT BRIEFlY: CONSTRUCT A +/-138' TIMBER RETAINING WALL AND 21' EASTERLY RETURN; AND BACKFILL WITH APPROXIMA TEL Y 300 CUBIC YARDS OF CLEAN SAND TO BE TRUCKED IN FROM AN UPLAND SOURCE AND PLANTED WITH CAPE AMERICAN BEACH GRASS (12" ON CENTER), WESTERLY TERMINUS OF PROPOSED STRUCTURE WILL TIE INTO FACE OF ADJACENT STEEL RETAINING WALL TO WEST; AND PORTIONS OF EXISTING I - 3 TON STONE TOE ARMOR FRONTING ADJACENT RETURN WILL BE RELOCATED TO ARMOR PROPOSED RETURN, 7 AMOUNT OF LAND AFFECTED Initially 1.7 ..... Ultimately 1.7 ..... a WILL PROPOSED ACTION COMP~Y WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? \Xlv e. DNO If No, describe briefly 9 WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ~ Residential o Industrial o Commercial o Agricutture o Park Forest/Open space o Other Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR UL TlMATEL Y FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? g Yes DNo If yes, list agency(s) and permit/approvals TOWN OF SOUTHOLD " DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? DYe. 181 No If yes. list agency name and permit/approval 12 AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? DyOB ~No I CERTIFY AT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWlEDGE ApplicanUsponsor name R: E, HERRMANN, COASTAL MGMT, SPECIALIST DATE APRIL 24, 200 I Signature: i1~1 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 ~rd of Trustees APPlicatitIÞ County of Suffolk State of New York C ~JI(!õit e,l)~(.,kus(),^ DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT ( S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTBOLD 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 WITH REVIEW OF THIS APPLICATION. BEING DULY SWORN C~ B¡æ~ Signature SWORN TO BEFORE ME THIS 18' VIr- ."";'\ DAY OF '.deWAA¡. ~( ò:'9 ¿.oM '- )'?LL 7I?~ / Æ.. Notary Public '117 ~~~:Ycrk SuIfoII CouIIY. No. 4708364 ~ &pII'I8Ma¡S1..~ 1) oJ, ....... 5 ~rd of Trustees APPlicat~ AUTHORIZATION !, C \!\.M k\\-e Ì)'\Lle>(w", (pr~nt owner of property) residing at (m l~AAt-r\--IÀ<l f'.J{, II o PAd J oc.l iling address) Ilq~¡, do hereby authorize ~ N-' ~MsJh~ T~{.. (Agent) to apply far permit(s) from the Southold Board of Town Trustees an my behalf. (~~ [;:J¡'~ (Owner's signature) " APR 3 Ci . . APPLICANT TRANSACTIONAL DISCLOSURE FORK The Town of Southold's Code of Ethics prohibits conflicts of interest on the parL of town officers and employees. The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to ta~e whatever action is necessary to avoid same. YOUR MAHRt indical;e . NATURE OF APPLICATION. (Check all thaI; apply.) Tax grievance variance Change of zone Ap'p~oval of plat Exe~pl;ion from pial; or other (If "Other," name the activil;y.) official map C ()Ii\<,f-.(ti-e\'M Ð ~ r;;e\\\'(~I¡1"J " t...r SoIo\",Lf\¡..-<. . Do you perBonally (or I;hrough your company, BpouBe, sibling, parenl;, or child) have a relationship vith any officer or employee of I;he Town of Southold? "Relationship" includeB by blood, marriage, or bUBineBB intereBt. "DusineBs inl;ereBI;" means a business, including a parl;nership, in vhich the I;ovn officer or employee has even a partial ovnership of (or employment by) a corporation in which the town officer or employee ovns more than 5% of the shares. YRS NO '{. If you answered "YBS," complete the balance of this form and date and sign vhere indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself (I;he applicanl;) and the town officer or employee. Eil;her check the appropriate line A) I;hrough 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), A) the owner of greal;er than 5% of the shares of the corporate stock of the applic~nt (when I;he applicant is a corporation)¡ B) I;he legal or beneficial owner of any inl;erest in a noncorporate'entil;y (when I;heapplicanl; is nol; a corporal;ion) , c) an offi~~r: ~tr~ctor¡ par~~e~, 0: c~pl~ye& of th~ applicant, or D) the actual appli~an~ u.s. Postal SerVIce CERTIFIED MAIL RECEIPT (Domestic Mall Only, No Insurance Coverage ProvIded) I'- ..n I'- I:J SIlITIO.D, NY 11971 Postage $ 0.34 Certified Fee 1.90 Retum Receipt Fee 1.50 (Endorsement Required) Restricted Delivery Fee (Endorsement Required} Total Postage & Fees $ 3.74 04/26/01 :r U'1 U'1 IT" I:J '"" I:J I:J I:J ru ru Name P a. se Print Clearly) (fp pe comp!etpl by mafler) m f, I 0 '/" tV (C ,K..J .m ....nt'.kcn't1nn....n..'...n.nnn'....n..nn......nn...nnn...nn..... ~ :;~~r;;,~f~T:.Jjt)(nFjl'n........n.nn...... :11 .. -.. . . U.S. Postal Service CERTIFIED MAIL RECEIPT (Domestic Mall Only; No Insurance Coverage Provided) I:J U'1 I'- I:J NEW YlRI<, NY 10003 Postage $ 0.34 Certified Fee 1.90 Return Receipt Fee 1.50 (Endorsement Required) Restricted Delivery Fee (Endorsement Required) Total Postage & Fees $ 3.74 :r U'1 U'1 IT" I:J '"" I:J I:J I:J ru ~ .!;!~~; i!~1~;~b;:J*;:=a~~~'1~......~n...!sn I:J ..n...n."n.'f<.nnn.....m"nUL......nm.nnnn.....L....n+.r2...nnn I'- C'J.J'p"(3 4 'if DO () S u.s. Postal ServIce CERTIFIED MAIL RECEIPT (Domestic Mall Only; No Insurance Coverage Provided) :r I'- I'- I:J AHAIlIIH5ETT . NY Postage $ 0.34 Certified Fee 1.90 Retum Receipt Fee 1.50 {Endorsement Required} Restricted Delivery Fee (Endorsement Required) Total Postage & Fees $ 3.74 :r U'1 U'1 IT" I:J '"" I:J I:J I:J ru ~ :J?:~ (pJ;e :?nt fJr;~(~(be CO~Pfeted by mailer) ...nn....nnn....n. ...n....nn...f.nn...mnnnn.nnnn.nnn........nn n. g:: fJ.~')APt'dS')'Of{(t /0'( /l(1(("ft)/I< <" e o Cii..nisie~.ziP-.;4.....n~-/---.r~--i....---.._--..-----.......____~.__1._..__)..__ l'-- ' ~'C;~l . r, IV . , = = '" o (Y) cr: D.. <:C . I . CHARLOTTE DICKERSON. LONG ISLAND SOUND. PECONIC ... - '. I ~ --. '" ~, "~~, '~-c" ~. , - "'" " ~...' :1--'''''''' ". .... " CI =:.., - ~. -:f .~":" or _~_. ~~,~ o. '! . Figure I. 1.(HJkillg eu.\'l ulollg emdillg crest of,mbject bluff. , Figure 2. Luukillg ,nmtlrwestfmm beuclr utfuce of subject bluff; lucutitm ofpmpo..ed retuillillg wull; (l/ul udjucellt retuillit,g wull & urnwred return to west. . . l :- ,. It_ .. Looking we~1 along toe of bluff & locatiol/ of pmpoud retail/il/g wall al/d at adjacel/t retail/il/g wall to we..t.. I - ~=r - l~ ...,.... .A "",," Figure 4. Lookil/g ea..t alal/g lo"atitm ofpropoud retaining wallfmm adjacent armored return.