The URL can be used to link to this page

Home My WebLink AboutTR-5725Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy. A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax 1.631) 765-1366 August 16, 2004 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Robert E. Herrmann En-Consultants, Inc. 1319 North Sea Rd. Southampton, NY 11968 RE: KEVIN & DOREEN BARR 200 BASIN RD., SOUTHOLD SCTM#81-1-20 Dear Mr. Herrmann: The following action was taken by the Southoid Town Board of Trustees at their Regular Meeting held on Wednesday, August 18, 2004: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit #5725 to remove and replace (in-place) approx. 158 linear ft. of existing timber bulkhead with vinyl bulkhead and backfill with approx. 25 cy. of clean sand fill to be trucked in from an upland source. Remove existing beach steps and deck, and construct 4' boardwalk, 10'X 10' deck and platform and steps to beach, and all as depicted on the plan prepared by En-Consultants, Inc. dated July 27, 2004. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, Albert J. Krupski, Jr. President, Board of Trustees AJK:lms Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dicker~on BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 P, oute 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fsx (631) 765-1366 YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. Ke¥in & Doreen Bart INSPECTION SCHEDULE x Pre-construction, hay bale line Ist day of construction ½ constructed Project complete, compliance inspection, Board Of $outhold Town Trustees PERMIT NO. SOUTHOLD, NEW YORK 5~l~'~ DATE: March 18......2003 ISSUED TO .............. .D.~[~e~}...~...:~.'(~:~.. ~}5~'? ............................................... nt'hnrization Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and the Southold Town Ordinance en- titled ."REGULATINC~ AND THE PLACING OF OBSTRUOTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, C~RAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;!~. and in eceordeece with the Resolution of The B6ard adopted at a meeting held on 2.07.~.., and in consideration of the sum of $. 200...00 ..... paid by .E~-.-C°n.~.~p~ts ~...~.!~(L, op-....b~kalf...~f_ Doreen...~....Ke~.i.n...~',ae.r o~(~.?a.~P'~r~ ................... N. Y. and sabiect to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the followlncl: Wetlan,~ Pem~it to exeavate-~/- I 0' vqde area of existing bulkhead and h~stal} tie ro'J~ ~nd dead men - I. ~ckfill ~ it~ additional 25 cubic )ards of clean *and ill! to be Ir.eked itl [rom atl upland murce - consimct 4' timber walkway landward ofbutkheaJ reme',e e>.,sting 4.5'~ 10' deck construct 10'xl0' deck a.d const,uet 4 ;- 10 linear feet (.£timher rel.ainin~ wnll landward of new deck. all in accordance with the detai~ed specifications as presented in · the originating application. IN WITNESS WHEREOF, The said Board of Trustees ~re- by causes its Corporate Seal to be a~xed, and these presents to be subscribed by a majority of the setd Board as of th~s daf~. Albert J. Krupski, President James King, Vice-President \ Artie Fester Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 20, 2003 Mr. Rob Henmann En-Consultants, Inc. 1329 North Sea Road Southampton, NY 11978 RE: SCTM#81-1-20 Doreen & Kevin Barr 200 Basin Road Southold, NY Dear Mr. Herrmann: The Board of Town Trustees took the following action during a Regular Meeting, held on March 18th, 2003 regarding the above matter. WHEREAS, En-Consullants, Inc. on behalf of Doreen & Kevin Barr applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Toxvn of Southold, application dated February 27, 2003. 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 March 18th, 2003 at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standard set forth in Chapter 97-18 of the Southold Town Code. 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 approved the application of Eh-Consultants, Inc. on behalfofDOREEN 8: KEVIN BARR request a Wetland Permit to excavate +/- 10' wide area of existing bulkhead and install tie rods and dead men - backfill with additional 25 cubic yards of clean sand fill to be trucked in fi.om an upland source - construct 4' timber walkway landward of bulkhead - remove existing 4.5'x10' deck - construct 10'xl0' deck and construct +/- 10 linear feet of timber retaining wall landward of new deck. 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. Fee must be paid, if applicable and permit issued within six months of the date of this notification. If inspections are required, at a fee of $5.00 per inspection (See attached schedule). FEES: $5.00 Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/cjc cc DEC 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) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: ..En-Consult~nts~ Inc. on beh~f of Doreen & Kevin Barr Please be advised that your application, dated February 27, 2003 has been reviewed by this Board, at the regular meeting of March 18th~ 2~0~ and the following action was taken: ( X ) Application Approved (see below) (__) Application Denied (see below) Application Tabled (see below) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the Sou,hold Town Trustees. The fee is computed below according to the schedule of rates as set forth in the instruction sheet. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: One Inspection @$5.00 TOTAL FEES DUE: $ 5.00 -- APR -- 2003 SIGNED: BY: PRESIDENT, BOARD OF TRUSTEES CLERK, BOARD OF TRUSTEE~ 4/98 DECk ~, ~ 1!" ,:~,~%,?/5',.~' ¥1r-/.Pm~ ~ ,,,, ~-/ EN-CONSULTANTS INC. 1329 NORTH SEA RD. SOUTHAMPTON, N.~ 11968 631-283-6360 INS'FAL. LA'flON PO/~ POI~N ,ANP ~VIN ¢,A~, ON .f:,OLITIdOL,.P PAY, 50LJ'rHO~P. 5LJPFObK COIJNfY, NY ~¢P..1' [ Of I 2/2!/O~ Telephone Town Hall. 53695 Ma,h~ Road P.O. Box 1179 Southold. Ne~v York 11971 $OUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Wednesday, March 12, 2003, the following recommendation was made: DOREEN & KEVIN BARR to excavate +/-10' wide area landward of existing bulkhead and install tie-rods and deadmen. Backfill with additional 25 cy. of clean sand fill to be trucked in from an upland source. Construct 4' timber walkway landward of bulkhead; remove existing 4.5'X 10' deck; construct 10'X 10' deck; and construct +/-10 linear ft. of timber retaining wall landward of new deck. Located: 200 Basin Rd., Southold. SCTM#81-1-20 The CAC did not make an inspection, therefore no recommendation was made. 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 February25,2003 Town of Southold Board of Trustees Post Office Box 1179 Southold, New York 11971 Attn.: Lauren Standish Re: Doreen & Kevin Barr 200 Basin Road, Southold SCTM # 1000-81-1-20 Dear Ms. Standish: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: 3. 4. 5. 6. 7. Three (3) Wetland Permit Applications, ( including Notice and Proof of Mailing to adjacent owners). Three (3) Short Environmental Assessment Forms. Three (3) copies of authorization & disclosure forms. Three (3) work plans. Three (3) copies of survey. One (1) set of site photographs. Application fee of $200.00 wetland. 1 trust this information shall allow you to process our permit request. Should any additional information be required, please do not hesitate to contact our office. Robed I~ Hen'mann Coastal Management Specialist /kbs Enc. TERIdS ,,nd CONDmONS ~ p~ Doreen & Kevin'Barr l~r of ~ co~d~do~ fo~ ~h~ is~-ii ~'e-i'~mlt does u~mt~t ~d p~-n~ to ,.he ~. v,.'~'., t. eSL~Ct thereto, to d~e e0mpL.t_e eacclusion of ebe l~ard of T~ ~ d~e Town of .S,,,,~bald 2. That this Pe~nltis vslkl for a period of... 24 mo~. ~nk~b ~Metedto be the. estimated ~-'tequired to complete the wodc invol~d, but should ~'~s wammt, request for an extension may be made to the Bom'd at ~t ~ ~ 3. That this Permit should be ~-tained indef'mltely, or as long as the said p~-n~t~ee wishes to maimnin the structure or project involved, to provide evidence to anyone concem~! thst audz- otizadoa was originally obtained. 4. That d~e work involved will be subject to the its agents, and non-compliance with the provisions of the otlginating application, may be ~,,~. fo~ tevocatlo~ of this P~'mlt by resolution of the said 5. That there will be no unreasonable interference with n~vlgztioo as · result of the work het~n ad&orized. 7. That if future operatiom of the Towa of Southold requite t~ nsnowl and/or sh~zat~om inthe loc~tion of thz ~od~ hzre~ nnd~ or tr, in the olgnl0n z~ fl~e Bo~d o~ Tmstee~ ~e. wink shall cause unreasonable obstracnon to free navigation, the said Pennittee ~11 be ~ ~x~ due nod~e, to rem(~e ot alter this work ot project berdn stated ~vidxmt eat'l~sm~ to the Town 8. That the said Board will be notified by the Petmittee ot the c0~ale~n Of the work anth- orlzed. That the Pe~mittee will ob~n aH other lXStmlt~ ,nH ~onsents d~tt n~ty be teqult, ed mp- ldemental to this permit wh~,4, may be subject to revoke upon failure to obtain same. ~,TE?% Tr, BE PEMC,,EC' EN-CONSULTANTS INC. 1319 NORTH SEA RD. SOUTHAMPTON, N.Y. '11968 631-283-6360 dUL 2 7 2034 $outhold Town Buar~ of Trustees }: L;, ,,,X 9uFFOLf- GOUNT¥ TAX ~ Lo~ 2 N ti'= ~0' IoHN C. EHLERS LAND 6 EAST ~ s~ET ~E~AD, N.Y- ll~1 se~efid~ROSX02-343-pr° 369-8288 F~ 369-8287 ~F Albert ]. Krupski, Preside~ll~a James King, Vice-Presidenlq~' Henry Smith Artie Foster Ken Poliwoda BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631 ) 765-1892 FAx (631) 765-1366 DATE JULY 28, 2004 OWNER LE'I'I'ER OF REQUEST FO KEVIN & DOREEN BARR Southold Town Board of Trustees PHONE 203-222~5905 ADDRESS I I DIRKSEN DRIVE, WILTON, CT 06897 AGENT EN-CONSULTANTS, 1NC. PHONE 631-283-6360 ADDRESS 1319 NORTH SEA ROAD, SOUTHAMPTON, NY 11968 PROPERTY LOCATION 200 BASIN ROAD, SOUTHOLD TAX MAP NO, 1000-81-1-20 l/We EN-CONSULTANTS, INC. requ~t an Amendment to Permit # 5725 REMOVE & REPLACE (IN-PLACE) APPROXIMATELY 158 LINEAR FEET OF EXISTING TIMBER BULKHEAD WITH VINYL BULKHEAD AND BACKFILL WITH APPROXIMATELY 25 CUBIC YARDS OF CLEAN SAND FILL TO BE TRUCKED IN FROM AN UPLAND SOURCE. REMOVE EXISTING BEACH STEPS AND DECK, AND CONSTRUCT 4' BOARDWALK, 10' X 10' DECK AND PLATFORM & STEPS TO BEACH. Si~ed BY:~B~RT E' ~~A~,, COASTAl' MG~T. SPECIALIST Name: JOHN & PATRICE KEITT PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Address: 300EAST56THSTREE~ #290 NEW YORK, NY 1~22 .IOAN & JOHN SINNING P.O. BOX 724 SOUTHOLD, NY 11971 STATE OF NEW YORK COUNTY OF SUFFOLK ROBERT E. HERRMANN 1319NORTH SEA ROAD SOUTHAMPTON, NY 11968 doing business atEN~ONSULTANTS,~C. · being duly sworn, deposes and says that on the 2~h day ofJULY ,2o ~ , 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 addressesset 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 $OUTHA]VIPTON , that said Notices (certified) were mailed to each of said pers~%ns by mail. ROBERT E. HERRMANN COASTAL MANAGEMENT SPECIALIST Sworn to before me this28th day ofJULY .2o04 Notary Public U.S. Postal Service,. CERTIFIED MAILr,., RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) 0.37 2-]0 lerk~ 4.42 0'~/"~0~" ' JOHN & PATDICE 300 EAST 56TM STREET, ~29G NEW YO~, NY 10022 U.S. Postal Serwce CERTIFIED MAIL,,., RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) E I 0.3? Return Recledt Fee ~ (Ef~dorsemeot Required) m JOAN ........... fflf~" ' AUTHORIZATION (where the applicant is not the owner) II ~/~3~J D~ ~t%n~-~A% ~- ~A6~ ~h ~;%/~L residing at ~9 u~0 C~-, o6~7 (print owner of property) (mailing address) (Agent) to apply for per. it(s) from the Southold Board of Town Trustees on my behalf. (Owner' s s~gna~ure) ~ of Trustee~ AD~ County of Suffolk State of New York {4~_~'~rh~J ~, ~fl.4~ BEINGDULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF H/S/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN TH/S 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), ll= 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 CONJIJNCTION WITH REVIEW OF TJrl/S APPLICATION. S'gnature -'~ SWORN TO BEFORE ME THIS DAY OF Notary Pu~ic / SHIRLEY O. SPORTINI NO 2',~.~ ~ PIT~ ~-~C My, Commission Expires Juno 30, 2005 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics nrohibits conflicts of interest on the oart &town offcers and emnlovees. The pu~ose of this form is to nrovide information which can alert the town ofvossible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOU NA E: , //q (Last name, first name, middle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, ihdicate the other person's or company's name.) NAME OF APPLICATION: (Check ali that apply.) Variance Change of Zone Approval of plat Exemption from plat or official map Other (lf"Other", name the activity.) Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any off~cer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a parmership, in which the town officer or employee has even a partial ownership of(or employment by) a corporation in which the town officer or employee owns more than $% of the shares. YES NO ~ If you answered "YE", complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself (the applican~/agentRepresentative) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): A) the owner of greater than 5% of the shares of the corporate stock oftbe applicant (when the applicant is a corporation); B) thc legal or beneficial owner of any interest in a non-corporate entity (when thc applicant is not a corporation); __.C) an officer, director, parmer, or employee of the applicant; or __.D) the actual applicant. DESCRIPTION OF RELATIONSHIP Albert J. Krupski, President James King, Vice-President ltenry Smith Artie Foster Ken Poliwoda BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631 ) 765-1892 Fex (631) 765-1366 Office Use Only Coastal Erosion Permit Applieat~n Wetland Permit Applicationl/ Major Waiver/Amendmen~(~ ha,nli~e s Received Applicati/¢n: ~S-~f[O Recetved Fee:$ ~ Completed Application -~//~ Incomplete SEQRA Classification: Type I Type II Unlisted .Coordination:(date sen..t )~tr~__ CAC Referral Sent: Vl,~t--I I U _'__ 'ateof,nspection: Receipt of CAC Report: Lead Agency Determination: Technical Review: Public Hearing Held: ..~!],3 Resolution: Minor Name of Applicant DOREEN & KEVIN BARR Address 11 DIRKSEN DRIVE, WILTON, CT 06897 Phone Number:203-834-0288 Suffolk County Tax Map Number: 1000 - 81-1-20 Property Location: 200 BASIN ROAD, SOUTHOLD ~ts. and locat,on, Address: 1329 NORTH SEA ROAD, SOUTHAMPTON, NY 11968 hone: Board of Trustees Applic ~n Land Area (in square feet): 29,128 Area Zoning: R-40 GENERAL DATA Previous use of property: RESIDENTIAL. Intended use of property: NO CHANGE. Prior permits/approvals for site improvements: Agency Date __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? f yes, provide explanation: Project Description (use attachments if necessary): EXCAVATE +/-10' WIDE AREA LANDWARD OF EXISTING BULKHEAD AND INSTALL TIERODS AND DEADMEN. BACKFILL WITH ADDITIONAL 25 CUBIC YARDS OF CLEAN SAND FILL TO BE TRUCKED IN FROM AN UPLAND SOURCE. CONSTRUCT 4' TIMBER WALKWAY LANDWARD OF BULKHEAD; REMOVE EXISTING 4.5' X 10' DECK; CONSTRUCT 10' X 10' DECK; AND CONSTRUCT +/-10 LINEAR FEET OF TIMBER RETAINING WALL LANDWARD OF NEW DECK. ~ard of Trustees Applicat' WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: TO MAINTAIN THE INTEGRITY OF THE EXISTING BULKHEAD. Area of wetlands on lot: 0 square feet Percent coverage of lot: 0 O/o Closest distance between nearest existing structure and upland edge of wetlands: 0 feet (BULKHEAD) Closest distance between nearest proposed structure and upland edge of wetlands: N/A feet Does the project involve excavation or filling? tao X Yes If yes, how much material will be excavated? * How much material will be filled? 25 *AS NECESSARY TO INSTALL cubic yards TIERODS AND DEADMEN cubic yards (ADDITIONAL FILL) Depth of which material will be removed or deposited: +/-3 feet Proposed slope throughout the area of operations: N/A danner in which material will be removed or deposited: ~ [~ ~ [~ ~ ~ ~.REA LANDWARD OF B~KHE~ ~LL BE EXCAVA~D BY BAC~OE ffi EXTENT gECESS~Y TO ~ST~L TIERODS & DE~N ~D ~N BACilLI ~ ] 2003 ~REA TO NA~ G~E. Southold Town boaTd u[ .ustees 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 PROJECT ENTAILS THE ROUTINE MAINTENANCE AND REPAIR OF AN EXISTING BULKHEAD AND WILL HAVE NO SIGNIFICANT IMPACT ON ADJACENT WETLANDS AREAS OR TOWN WATERS. t4-1 ~4 (2/BT)--Texl t2 I PROJECTI.D. NUMBER I SHORT 617.21 Appendix C State Environmental Quality Review ENVIRONMENTAL AS Sw.S SMW. NT For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) I APPLICANT/SPONSOR: DOR~EN AND KEV]N BAPJ~ BY 2. PROJECT NAME EN-CONSULTANTS, [NC. 3 PROJECT LOCATION; Municipality SOUTHOLD County SUFFOLK 4 PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc, or provide map) :)00 BASIN ROAD, SOUTHOLD; SCTM # 1000-81-1-20; MAP PROVIDED. 5. IS PROPOSED ACT [] New ~ Expansion [] Modification/alteration S DESCRIBE PROJECT BRIEFLY: FORM SEQR EXCAVATE +/-10' WIDE AREA LANDWARD OF EXISTING BULKHEAD AND INSTALL TtERODS AND DEADMEN. BACKFILL WITH ADDITIONAL 25 CUBIC YARDS OF CLEAN SAND FILL TO BE TRUCKED IN FROM AN UPLAND SOURCE. CONSTRUCT 4' TIMBER WALKWAY LANDWARD OF BULKHEAD; REMOVE EXISTING 4.5' X 10' DECK; CONSTRUCT 10' X 10' DECK; AND CONSTRUCT +/-10 LINEAR FEET OF TIMBER RETAINING WALL LANDWARD OF NEW DECK. 7. AMOUNT OF LAND AFFECTED Initially 0.67 ac~s Ultimately 0.67 ~c~s 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [] No W NO, describe briefly 9 WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? [] Residential [] Industrial [] Commercial [] Agriculture [] Park Forest/Open space [] Other Describe: t o. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? ]Yes [~J No If yes, list agency(s) and permit/approvals DEC 11. DOESANYASPECTOFTHEACTION HAVEAGURRENTLYVAMDPERMITOR APPROVAL? []Yes [] No If yes, liat agency name and permitrapproval 12. AS A RESULT OF PROPOSED ACTION WILL EXrSTING PERMW/APPROVAL REQUIRE MODIFICATION? []Yes []No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE ApplicanUsponsor ,._~/R/~BERT E. HERRMANN, COASTAL MANAGEMENT SPEC IALIST DATE FEBRUARY 25, 2003 Signature- /< ~f~'~ . 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 NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant:DOREENANDKEV~NBARR SCTM#1000- g1-[-20 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to Permit from the Board of Trustees to: request a EXCAVATE +/-10' WIDE AREA LANDWARD OF EXISTING BULKHEAD AND INSTALL TIERODS AND DEADMEN. BACKFILL WITH ADDITIONAL 25 CUBIC YARDS OF CLEAN SAND FILL TO BE TRUCKED IN FROM AN UPLAND SOURCE. CONSTRUCT 4' TIMBER WALKWAY LANDWARD OF BULKHEAD; REMOVE EXISTING 4.5' X 10' DECK; CONSTRUCT 10' X 10' DECK; AND CONSTRUCT +/-10 LINEAR FEET OF TIMBER RETAINING WALL LANDWARD OF NEW DECK. 2. That Review-is follows: the property which is the subject of Environmental located adjacent to your property and is described as 200 BASIN ROAD, SOUTHOLD 3. That the project which is subject to Environmental Review under Chapters 32, 37, or 97 of the Town Code is open to public corament on: MARCH[9,2003 You may contact the Trustees Office at 765-1892 or in writing. The above referenced proposal is under review of the Beard 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: PHONE DOREEN AND KEVIN BARR 11 DIRKSEN DRIVE WILTON, CT 063897 203-834-0288 Eric. : Copy of sketch or plan showing proposal for your convenience. Albert J. I{rupski, President James King, Vice-President Henry Smith Artie Poster 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 ...... STATE OF NEW YORK) AFFIDAVIT OF POSTI~tc0~,,.~:i:T~!TR ~ C ~'~i~,~! ..i i r' ,,J~. 5,31 -,.~o-u,~uO being duly sworn, depose and say: That on the /~day of ~, 2~ I~er~ly posted the property known as by placing the Board 6f Trustees 6f~icial poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of ~th~ p~blic hearing. ~ate of hearin~ noted thereon to be held ~/~ Dated: Sworn to before me this /~-day of ~A/~_ 200 ~y Publ ~c Name: PATRICE & JOHN KE[TT PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Address: I CENTRAL PARK WEST, #27B NEW YORK, NY 10023 JOAN & JOHN SINNING P.O. BOX 724 SOUTHOLD, NY 11971 STATE OF NEW YORK COUNTY OF SUFFOLK ROBERT HERRMANN 1329 NORTH SEA ROAD SOUTHAMPTON, NY 11968 doing business atEN~ONSULTANTS, [NC. , being duly sworn, deposes and says that on the 25~ day of FEBRU~Y ,2o 03, 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 addressesset 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 $OUTHA~TON , that said Notices were mailed to each of said person~ by (certified ~f~) mail. Sworn to before me this 25~ ~ da o f FEBRUARY ,20 03 ~/'~ Notary"Public ard of Trustees Applicati~ AUTHORIZATION (where the applicant is not the owner) I, ~i~ .~, ~{~-~ residing at 1; (print owner of property) (mailing address) ~i I~, C+. 0~ do hereby authorize ( Agent ) ~H'~_h~g~!~[~; _'~0_ . to apply for permit(s) from the Southold Board of Town Trustees on my behalf. ( Owner ' s signature ) Southold T,)wn ~osrd of Trustees ApDlicat~n County State of~k Jl/~ O, ,q ~. ~ tar r' BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND TJEIAT ALL STATEMENTS CONT.affNED HEREIN ARE TRUE IO THE BEST OF HIS/ItlER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE 1N THE MANNER SET FORTH IN IHIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUIHOLD 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 IHIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENI(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES 1N CONJUNCTION WITH RE,¥~W OF Tills APPLICATION. Signature SWORN TO BEFORE ME THIS ~,¢a~ DAY OF '~~ ,20 Notary Pu~hc / SHIRLEY O. SPORTINI ~'O~'.~Z~r L:' TTRT., X C My Commbsion Expires June 30, 2005 APPLICANT The Town of $outhold'a Code of Ethics prohibits conflicts of interest on ~l~s parL of town o~ficers and employees. 7'he purpose Of this form is to provide Information which can alert tile town of possible conflicts og interest and allow it to take wllatever action ia necessary to avoid same. YOUR NAMe, ~' n ~ ~aet name, fir 't name, mid initial, unless you are applying in the name of someone else or other entity, such aa a company. If an, indicate the other person's or company's name.) NATURE OF APPLICATION, (Check ali that apply.) Tax grievance Variance Change of zone App{oval of plat = Exemption from plat or official map (if "Othsu," name the activity,) ~ D~i65 interest' meann a bueine~o, including a partnership, in which the town officer or employee has even a partial ovnerehip of (or employment by) a corporation in which the town officer or employee owns more titan 5% of the YES NO / If you answered "YES," complete the balance of this form and date and sign where indicated. Name of peraon employed by the Town o~ Southold Title or position og that person Describe tho relationship between yourself (the applicant) and the town office~ or employee. Either check the appropriate line A) thuough D) and/or describe in the Bpacs provided. Tile town officer or employee or Ilia or her spouse, sibling, parent, or child is (check all that apply), __A) the owner of greater than 5% of the shares of the corporate stock Of the applic~I~t (when the applicant ia a corpo~ation); B) the legal or beneficial owner of any intereat in a noncorporate'entity (when the applicant ie not a corporation)l __C) an officer, director, partner, or employee of the applicant~ or .D) tl~e actuat applicant. DESCRIPTION OF RELATIONSIIIP Submitted this Signature Print name .day of__199 F'FCP. OEN' ,L~X~, '~ ' 'LIhlIT ~,l- ,:,FE~ i,, BE E"£z,zTEE' ,, FC,P IrI%T~LL"Tu-'2'H ,Z,F ~ E,E,SE, I,IEI~ Afjp E~ikFILLE[, FN-CO~ISULTANTSINC. 1329 NORTH SEA RD. SOLITHAMPTON, N.~ 11968 631-283-6360 T} EE 1 INSfAt. LAflON POF~ I¢OP$1~N raVIN BAt~ ON 50UlldOLB BAY, ¢OUfHOLP, 5UPPOL. K COUNfY, NY 151.¢¢~f I OP I 2121/0~