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Home My WebLink AboutTR-5621Albert J. Krupski, President James King, Vice-Fresident Artie Foster Ken Poliwoda Peggy A. Dickerson Tox~m Hall 53095 Route 25 P.O. Box 1179 Souihold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. SUSAN BECKER INSPECTION SCHEDULE X Pre-constm. ction, hay bale line 1st day of construction ~ constructed Project complete, compliance inspection. Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggs' A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 September 22, 2004 BOARD OF TOWN TRUSTEES TOWN OF $OUTHOLD Ms. Susan Becker P.O. Box 289 Peconic, NY 11958 RE: 4483 WELLS RD., PECONIC SCTM#86-1-9.6 Dear Ms. Becker: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., September 22, 2004: RESOLVED that the Southold Town Board of Trustees grants a One-Year Extension to Permit #5621. Permit is to construct a 4'X 60' fixed dock with a 4' wide access pathway and 4' × 9' stairs at the seaward end. The dock will extend into the water approx. 29' from the edge of the marsh with no greater than 6" pilings. The docking facility and boat must not extend more than 1/3 across the lateral distance of the creek. Permit will expire on September 25, 2005. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, . Albert J. Krups i~,, ~lr~'~ President, Board of Trustees AJK:lms Board Of $outhold 'Town Trustees SOUTHOLD, NEW YORK PERMIT NO.. ~.1 ... DATE: ~.~.£~, ...~.,....~.~02 ISSUED TO SUSAN 8ECKER ut'l uriz ttiuu Pursuant to the provisions of Chapter 6IS of the Laws of the Stale of New York, 18931 and Chapter 404 of the ,La. ws of the State of New York 19S21 and the Seuthold To~n Ordinance en- titled ."REGULATING AND TIlE PLACING OF OBSTRUC;~ONS IN AND ON TOWN WATERS AND PUBLIC; LANDS and the REMOVAL OF SAND, GRAVEL. OR OTHER MATERIALS,.RILOK4 LANDS .UNDER TOWN WATERS?. and in accordance w~th the Resolution of The Board adopted at a meeting held on ...~l~.,..i~.~,. 20g.~......, and in consideration of the sum of $.~.0.~.,..~...0.. ........ paid by Susan 8~cker o~ ....... ~.9.~ ............................. i ........................ N. Y. and ,-,bieet ~o the Terms and Conditions listed on the reverse ride hereof, of SouthoJd Town Trustees authorizes end permits.the following:. Wetland P~n~t. t.o ¢o~t~u~ a 4',K60' ~ixed cLoch wZth ~ ,1' mid& ~¢uo6 p,u~l,u, ua~ and 4'X 9' .st.a~ ~ .~h¢ sem. uard ¢,d. will extend i~o the water app~o~ 29' ~rom the edge of the marsh, w~h no greater, t.han 6 pilings. The docking aU in accordance with the detat~ed specifications as pre.hied in the originating appelation, boat mus~ not ~xtend mo~ than I/3 across th~ ,~.E_.,,~' distance o~ ~he creek. IN WffNESS WHEREOF, The ~id Board Of Trustees h~e- ~c~s ~ Cx~ale Seal to be affixed, a~ ~em.~r. esen~ to subdued by a'maj~ty of the said Bead es ef ~is TERIdS ,.nd C, ONDmONS · 24~ . ~or an ~-~4on mty be made to the Board at · 5. Tt~t this P**~e should be t*etatoed f~defldtcly, o~ at loa8 as the todd p,~*,d _*~e sdslms m' msimain the ~,~u~e o~ pco~ject involved, to pmvtde evidence eo anyone co~cd dm nmb- Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax ~631) 765-1366 September 30, 2002 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Ms. Susan Becker P.O. Box 289 Peconic, NY 11958 RE: 4483WELLS RD., PECONIC SCTM#86-1-9.6 Dear Ms. Becker: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, September 25, 2002 regarding the above matter: WHEREAS, SUSAN BECKER applied to the Southold Town Trustees for a permit under the provisions of Chapter 97 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated July 29, 2002, 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 September 25, 2002, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 97 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, 2 NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of SUSAN BECKER to construct a 4'X 60' fixed dock with a 4' wide access pathway and 4'X 9' stairs at the seaward end. The dock will extend into the water approx. 29' from the edge of the marsh with no greater than 6" pilings. The docking facility and boat must not extend more than 1/3 across the lateral distance of the creek. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per ~nspection. (See attached schedule.) Fees:S588.00 Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/Ims Upon receipt of your check in the amount of Five Hundred Eighty Eight Dollars ($588.00) and copy of the incorrect Permit we will issue a corrected Wetland Permit for the dock. If you require any additional information, please do not hesitate to contact this office. Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJk:cjc Enclosure: Albert J. Krupski, President James King, Vice-President Henry Smith Arkie 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: Susan Becket Please be advised that your application, dated July 29, 2002 has been reviewed by this Board, at the regular meeting of e ................ 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 Southold 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 each $50.00 Additional .Field Inspeation (because it was not staked first time) TOTAL FEES DUE: $ 55.00 SIGNED: BY: PRESIDENT, BOARD OF TRUSTEES 4/98 - &lbert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson 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 September 30, 2002 Ms. Susan Becket PO Box 289 Peconic, NY 11958 RE: SCT~1#86-1-9.6~ 4483 XV, xells ~oad\ Peconic,~ 1958 ~irfo~:~,,~ienC~ii:tion was taken byt~hh on September 25, 2002, regarding the ~d of Town Trustees during a Regular Meeting, held matter. WHEREAS, SUSANBECKER applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated July 29th, 2002. WHEREAS, said application was referred to the Southold Town Conser,'ation Advisory Council for their findings and recommendations, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on September 25, 2002 at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar xvith the prenfises 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 9% 18 of the Southold 2 Town Code. WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approved the application of SUSAN BECKER for Wetland Permit to construct a fixed open walkway dock 4'x 6' with 4' xvide access pathway and 4'x 9' stairs at the seaward end. The dock will extend into the water approx. 29' from the edge of the marsh with no greater than 6" pilings with the stipulation that the 1/3 rule apply - in reference to the boat and dock not extending more than 1/3 across the lateral distance on the waterwaj: BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency, which may\a~Xxave an application pending for the same or similar project. \ \ \ Fee must be paid, if applicable and permit issued within s's's~ 4onths of the date of this notification., ~f,~~~ ~x~ If inspections are required, at a fee ction (See attached schedule). FEES: $55.00 %3 Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/cjc cc DEC Board Of $outhold. Town Trustees SOUTHOLD, NEW YORK ISSUED TO ...........S U.SAN...~ EgK~ER .... DATE: .Sept.. 2Si. h,.- 200~ Pursuant to the pro¥i~~o~ of the L&ws of the State of New York, I~; and ~pter~ ~ the ~ws of the State of New York 19~; ~nd ~e ~ut~ld ~o' Ordinance en- titled ."RE~U~TIN~AND ~E P~ QF JBSTRUOTIONS IN AND ON TOWN WATERS AND RUBLI~ ANDS e~ t~ REMOVAL OF SAND, ~R~L OR OTNER ~ FERIALS FROM ~NDS UNDER.TOWN W~S;'~. ~ in ~c~ ,rdence with the Resolution of.~he Board ~o~," ~ ~efing h~,d on. S~P~t. ~.~.~h , ,~ ,~ ....... ~ ....... ~ ............. ~ .................. IN WITNESS WHEREOF, The said Boerd of Trustees here- by causes ifs Corporafe Seal fo be affixed, and fhese presenfs fo be subscribed by a majorlfy of fhe said Board as of fhis dale. ~rustee$ TER~S ,,nd C~NDmONS 4483 Wells Road, Peconic, pan of the consideration for the issuance of the p~rm~t does understand and pte~ct'~e to the lowing: t. That the said Board of Trustees and the Town o~ Southold ate t~__~d fv0m any and all d~uag~ or ~.~. f~ damages, of suits arising dL,~-dy or indlre~y ts · result of say ope~- with respect the. re~, to the emz~lete ,'~__d,,asion of the Bo~d of Trustees o~ ~ Town ~ Southold 2. That d~s Pctmlt is vtlkl fo~ a lx~'iod of mos. which is eoaskJeled to be die .-~mated ei~_ required m complete the wodt involved, I~t should cltcun~anc~ wamm~ request for an exxension may be made to the Bo~d at a latez ~n~-_ 3. That this Petmlt should be rexained inde~rm~tely, or as long as the sam pormittee wishes to ma~nln the stx'ucn~e or project involved, to provide evidence to anyone concerned ~nt auth- orizatlon was originally obtained. 4. That the work involved will be subject to the impectlon and ai, p~oval of the Boanl ot agents, s~d flofl-com~!;~,~e with the provisions of the o~/~nsfing application, mil be _~.~e fo~ zevocatioa of this permit by zesolution of the said Board. 5. That there will be no unreasonable interference wich n~v~_ti~ as a result of the work herdn au'd~dzed, 6. That there shall be no inw. rference with the t~t of the pul~c m pass and t~ss along the beach between high and low witer marks. 7. That if future operatim~ of the Town of 5outhold t~luite the vm~ral and/m alteva~o~ in the location of the ~tk hete/n nutho~ or if, in the op~ _i9~ of the Boat~ of T.____~ee~ the work r. hnll cause unt'e~onahle obstructton to free navigation, the said Petmlttee will be tecl~ upon due notice, to remove or alter this work ot project he~in ~ated without ex-pens~ to the Town 8. That the said Board will be notified by the Permittee ot ~he coml~eti~ of the wodt auth- orized. 9. That the Permittee wit[ o~tain aH other permits and consents that may be plemental to this pennlt which may be subject to revoke upon failure to obtab~ same. FROM : SLB Situate: F~X NO. : F~X NO. : S165375%9S ~p. 19 2002 02:54PM PS 2';~ 11:27P~ P3 Soundings Plan for ~ ~¢Y, ER Property ILO.W. off of Wells Road; Peconic, IN~ ~ - RICHMOND 'CR~K All sound~ pedOm~ ~ Suffolk Environmen~l Consulfin~ Inc. on August 24, 20~ ~ 1~ tide (~ :00 - Z:~ pm} and are to b~ rd~e~c~ eft of ~* indlut~ Agpa~n~ Low Water (A~) tine- 11:55 FAX Slfi 899 9106 GLOBkL PLANNING ~001/003 (516) R.E.C. REALTY CO. C/O BOB CUMMINS 18 ARLEIGH ROAD GREAT NECK, NY 11021 829-9100 FAX (516) 829-9106 FACSIMILE TRANSMITTAL SHEET TO FROM; Board of Trustees Bob Cummins COI~,{P ANY. DATE: Town of Southold August 12, 2002 631-765-1366 3 631-765-1892 SCTNI #1000-86-0l-9.6 - Susan L. Becket This is to advise you that R..E.C. Realty sold its property to Shembfi Homes. In any event, I am against any proposal that would be hamuful to the environment effecfing Richmond Creek 08/12/02 11:55 FAX 51.6 82g 91~0 GLOB%L PLANNING ~]002/003 NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES~ TOWN OF SOUTHOLD In the matter of applicant: sCTM# 1000r ~6--O1 -~ .~ YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned Permit from the Board of Trustees to: to request a 2. That the property which is the subject of Environmental Review--is located adjacent to your property and is described as follows: 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:~ You may contact the Trustees Office at 765-1892 or i~writ£ng. Tho above re£erenceo 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, PHONE Enc.: Copy of sketch or plan showing proposal for your convenience. 11:55 FAX 516 829 ~106 GLOBAL PLANNING ~003/003 0812'02 TOWA' OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 2759'7 Z Date SEPTEMBER 6, 2001 Permission is hereby granted to: SUSAN BECKER 350 KENlqY'S ROAD SOUTHOLD,NY 11971 ~or : NEW CONSTRUCTION OF A 5 BED. SING. FAM. DWELLING W/DECK&3 CAR GAR. AND ACC. IN GROUND SWIMMING POOL AS APPLIED W/TRUSTEES,DEC&PLAN.BD APP. 2 C/O'S at premises located at 4483 County Tax Map No. 473889 Section 086 pursuant to application dated JULY Building Inspector. WELLS RD PECONIC Block 30, 2001 0001 Lot No. 009.006 and approved by the Fee $ 3,382.90 /4%utq~o r £zed Signature COPY Rev. 2/19/98 ELIZABETH A. NEVILLE TOWN CLERI( REGISTER OF VITAL STATISTICS M 2.Aq. RI AG E OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road . P.O. Box 1179 Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 OFFICE OF THE TOY, tN CLERK TOWN' OF SOUTHOLD APPLICATION FOR PUBLIC ACCESS TO RECORDS INSTRUCTIONS: Please complete Section I of this form and give to Town Cli~rk's Office (agency Freedom of Information. Officerl. One copy will be returned to you in response to your request, or as an interim response. SECTION I. TO:' "~(~ ,T~ff__ ~' (Department or Officer., if known, that has the information you are requesting.) RECORD YOU WISH TO INSPECT: (Describe the record sought. If possible, supply date, file title, tax map number, and any other pertinent information.) Signature of Applicant:__ ., Printed Name:"~ (~' ' l/-'0~//~ ~-'"l ", i ~ i*,m'''~'.'~ ,'~, ~ailing Address (if different from above): Telephone Number: '7 ~ V'-- ~ ~ 0 Date: /%- '3 - [ ] APPROVED " DEC 5 2001 [ ] APPROVED WITH DELAY* [ ] DENIED*''~, ~--,,m,~o *owe Clerk abeth A. Neville 'O~tte Freedom of Information Officer * If delayed or denied see reverse side for explanation. 1 If future operations by the ~,tate of New York require an alteration in the posit~n of the structure or work ~.erein a.r~J~dzed, or if, In the oplnfon of the Depad~nent of E~wironmer~tal Conservation it shall cause unreas:~nable obsttucttod :o the flee nawgatfon of said waters or flood tl~v~ or endanger the health, safe~ or wet,are of the peopte of the State. or ca, se foss or de,fruition of ~e natural resources of the State, the owner may be o~ered by the Oe~artment to rem~a er alter the s~.uctutelWerk, obstructionS, Or hazards caused thereby wY~out expense to the State. anti if, upon the expiration or mveoation Of tibia pe~nR, the Structure, flit. excavation, or other modifioatbn of the wat~urse hereby authorized ~nall not be compteted, the owners, shaU, without expense ~ the Grate, anc~ ~ such e~ant and in such time anc~ manner aa the Dapartmento! Environmental Cc~n~rva~on may requite, remove all or any portion of ~t~ uncorr~ieted ~,ructurs or fill and ~s~ore to i~ former condition the navigable and ilo<al capacity of the wster~our~e. No claim shall be made against the State of New York on account of any such ren~val or al'cesSion. 2. The 8tam of New York ahalt in no oase be liel~io for any damage or injury to ~e structure or work here~n authorized which may be caused by or result from future operation~ ur~edaken I~y the State for the c~nservat~on or improvement of navigeticm, or for other purposes, and no clam or d§ht to compensation shall accrue from any such damage. 3. Gra~ng of [his permit does not relieve ~e applicant of the responsibiltty ef obtaining any other pen'nisaion. consent or aporoval from the U.S. Army Corps of F. ngi~eem, U .S. Coast Gua~i, New 'York b"bate OffK;e of General ,Services or Ic~al government whk:h may be require, ~ 4. AJt neo~ary prece~,ttiOna ~hell t~e taken to preclt~da cotYl~'~nation of any wetland or wate~vsy ~ e,~spended ~ol[ds, sediments, fuels, aoh,'er',ts, lubdcaWla, epoxy coatings, paln~, concrete, {eechate or any other environmentally deleterious materials asacx~atecl with the project. 5. A~/materiel dredged in the conduct of the work herein permitted shall be removect evenly, without leaving targa refuse piles, ddges across me bed of a waterway or f[oodpisin or deep t~olas that may have a ter~dancy to cause damage to navigable channels or to the banks of a wate~eay. There al'taft ~e no unreasonable inten"ere~oa with navigatio~ ]Dy the work he~ebq authorized. upon the explral~n or revOCa~On of this permit, the pmj~ h~ authored h~ not been ~m~et~, ~e a~nt ~a,. w~t e~ ~ t~ S~e, ~ m ~h e~ant a~ m au~ ~me and ~nner ~ ~ ~pe~ent of E~mnm~l ~ns~n may r~uire, ~ve a~ or any p~ of ~e u~omp~ ~c~m or ~{ and restore ~ sl~ ~ ~ ~r~r ~nd~n No cl~m ~a~ be ~e ~al~ ~e S~ of N~ Yo~ on ~m of any ~h m~ or ~m~n. If gra~ted under 8NYCRR Part 608. ~e NY~ Department of Environmental Cor~ser~ation hereby certifies that the sul~ect prcject will not contravene e~uem limitations or attar Iknitations or s~d~ds und~ S~o~ ~1, ~2. 303, 3~ ~ 307 of ~e Cle~ ~r ~ of 1 g~ (PL 9~Z17) ~i~ ~ all of ~e ~n~t[~s ~ heroin am g, At lea~t 48 hours pri~r to ~omrnenceme~t of the project, the permRtee and coff~ra~or shall sign and return b~s top portion of the enclosed notification fort~l certifying that tt~y are fu~ly aware of and under~tand all terms and c. om:litions of this permiL 'WIth~ 30 days of col~pletlon of project, tha I~,'t~m portion of the form must alSO be signed an~ returned, along with photogret:~hs cf~,e completed work and, if require~, a survey. · 10. All acUvltiel authorized ~ [ha, parse must be in Strict ~onformance wittl the aper"~ved p{ans submitted by ~e applicant or hie agent as part o~ the permit a~plication. Such approved plans were pre,pared by: H~owar~ Younu. la~t rev!se~ March 1. 2001 wl~ dock olans (r~heeLs OOO 1 Q article ?.3, l~tte 27: No'r~FATtON OF OTHER PERMITrEE OBLIGATI~ Item A: Parmittea Aocapte Legal Re~ponaibilt~ and Agr~e~ to I~emn~o/tion ~e p~ee e~ agrees to ~demn~ and ~ld harmless t~ Oe~me~ of Env~me~l Con~ati~ of the $~m of ~w Yot~, ~s mpm~aves, empty. S, ag~, end as~ns ~r al cla~, su~. a~ns, d~, a~d ~s~ ~ eve~ ~ end d~Hp~n, ads~g out ~ or r~u~fing ~m ~e ~{~'s und~king of a~t~e~ ~on ~ maintenan~ of ~e faml[~ ~ ~cili~s sutho~ by the ~it in ~mp~a~e or non-~m~nce ~e te~ ~d ~s of the I~m B: Pe~e's C~tmc~ to Com~ ~th The ~ffee Is r~ponsi~e ~r in~ng its Indepen~ ~o~cmrs, ~lwees, aoen~ and ass~ns of ms~s~l~ ~ ~mPN w~ this perm,, In~d~g a~ Sp~ai ~n~OnS w~te ~fing ~ ~e ~'S ~ent ms~ to ~e ~i~ ~v~ies, and such ~ns sha~ ~ 9U~ ~ ~ sa~ se~o~ ~r v~ons of Env~mepml Co~w~(~ Law ~ ~ pm~d~d ~ ~e ~. ~m C; Pe~ R~slble ~r O~inl~ O~r R~ulmd ~e ~m~ ~s ms~s~ ~r ~taning any o~er pe~, a~mV~, ~ds. easem~ a~ r~ht~f~/ty ~at ~y ~ ~ui~ ~ ~ ~ ~e e~i~es ~at am ~odz~ by this pa~. ~ D: ~ ~ht to T~p~ or I~ w~ ~p~lan ~ ~it e~s ~ convw to ~e ~1~ any doht to ~ u~n the tan~ ~ mte~ w~h the d~nan ~hts of ~m in o~er [o p~orm ~ pe~i~ wo~ ~t ~es E a~ze ~e i~a~t of any rights, ~e, or interest in mai ~ ~nal pm~ hem ~ v~ in a pamon n~ a p~ to the GENERAL ¢oNDrnoNs General C0nditi¢~ t: FaGi{ity Ih~pa~'don by tI~ The pen~tted site or fecill~/, Including relevant recant, i~ subject f~ inspection at re. asuneble flours and intervals by en auti~3rized ref~"esentatlve of the Department at~ Environmental Conservation (the Oepa~ment} to whaler the pan'~i[lee is comp{yrng with ~h{s perrrt~t and the ECL. ~,~¢h repm~antatNe may order the wort(suspended pumuentto ECL?I-0301 and SAPA40q(3). Tine permittee sn,~# provide a person to accompany ~e D~f)admant's reprc~entatNe ~urfng an inspection to the permit area when requested by the Department, A copy of this permit, Including all referenced maps, drawings and special conditions, nlust be available for inspec~on I~y the Department at all times at the project s~te or faciilty. Failure to produce a copy of the perrmt upon reqaeet b,/a Depar~'nem representative is a violation of this perm~ O~neral Condition Z: Relationship of thi~ Pen-~it to Other I;)aplrtmeat Orders and Oetemtinaao~s U nie.'~s expressly p[oVlded for Dy tile Oepartmer~, iss~ce of thl~ permit dees not modify, supe~ede or any radar o~ determination previeu~ly issued by t~e Department ~ any of the terms, conditions or requirements contained i~ such order or determination. General Con<l~tton 3: AplNfoattona fo~ permit Re,newMa or ~lflcat~ns ' the permittee must submit a separate wd[ten applica~on to the Deparb'nent for rer~ewal, mo~3tficafion of this pem~t, Such applicat~:m mu~t include any ~orms or aupf~ementa~ infOrrr~t~on the Department requires. Any renewal, modltlcation ot transfer g~ented by ~e Departn~n~; n'~st be in wring. The ~rroi~e must submit a rer~ewal apelic~tior~ a~ ~ast: a) 180 days bare,re expiration or pen'nits for Stew pmlut~nt Discharge Et{ruination Systefft (SPDES), Hazan3ous Waste Management Facilities (HW~F), maior Air Pol~tfon Control iAPC) and ~olid IVlanagemem F~ilifles (SV~F); D) 30 daye before expiration of al{ o~1e¢ esrm~t t,jpee. SubmisW, on of appli~tions for permit renews{ or nlodiflcation am to be submitted to: NYSOEC Reg{rma~ Permit Administrate', Region 1, SUNY l~,ldg ~f.40, Stony Brook, NY 11 General Condition 4: Permit i~o~iflcationa, 8u~l~n~ion~ and ReV'oeattona by lite Department The Oepartrnent re~e~es ~e n~cjht to modify, su{,pa~d o¢ revoke this permit. The grouncls for moctlflcation, e) tt~ ~cope of the perrr~tted aCtM~ is exceeded or a violation of any cond~ion of the permit or provisions of th~ ECL ~d per~nent regulations is found; D) the permit was ob[eir~¢J by mi~'epresenta'(ion or failure to di$ctose re{event facts; c) new mamri~ information is discover~; or d) envY'or, mental cond~ons, relevant technology, at epD~¢able law or regulation have metar';i~y changed s~ce ~e permit was issued. 738-02545/00001 1. During con~truc[~3n, co~lcrete (~r ~achete stlal~ not escal3e or be clischerged, nor shall washing5 from b'snsit mix trucks, mixers, or a~her devices enter tidal wetlands and or protected buffer Any debris or ex=ess materiel h,om const~tion of this ~ shat1 ~ complexly re~v~ ~m ~e edjacent ama (up,nd) a~d removed ~ an a~mv~ uplan~ ama ~ didst. N~ deb~ is ~ in fi~( we~nds and or pr~e~ ~ffer ames. 3. There sl~atl be no disturl3ance to vegetated tidal wounds m' protected buffer areas aea result of the permitted active. 4, The storage of constructlor~ equipment and materials shall be confined to w~hln the projec{worK site and or uplar~ areas grealar than 100 li~eer f~et from the tidal weUand Oounda~, 5. All fill shall consist of"clean" sand, gravel, m soil (not asphelt, flyash, broi~n concrete or demolition debris). 6. Dock or timber catwatk ~.hell not exceed 4 feet in width end shall be a minimum of 3~ f~,,et above gra~e* over tidal watlar~d areas (* as measu(ed I?om ground to bo{tom of dock sheathing). 7. The use of wood treated with pe~achlomphenol in the ~nstmction of structures that will be m c~3ntact with tidal watem is s~ctly prOhlblt~l. · * 8. Do~k recor~truction Or replacerr;ent or seasonal i~ statlation si3all r~ot in'volvo ~pan$ion or substantial modifica~on of exi~§ng structures or faciliUes. g. All cepsirs to existing sl~uct[lr~ s~all be confined to ~placement of eyasttng elements with no change in design, dimension, or mai:oriels, unless specifically authorized h~. 10. Ne dredging, excavating or Other alteration of shoreline or underwater ar~s Js authorized by this permit, nor shall issuance of this permit be c4~s~ued to sugge~ ~hat ~ De~eKmant wiR Lssua a permit fo~ such actNitJes in the futura. 11. A row of staked ,hay beles o~ epprovable ero$ian control devioe~ shall be placed at ~e landward edge of ~e buffer area or ~5 llnea~ feet from ~e tidel wetland I~oundary. or es per NYSDEC approved plan. at commencement of regulated actlvi~e aaa remain in piece u~l pmj~=t is ~n331eted and all dictated areaS stabilized with vegetation. 12, Roof run~f shall ~e dlmc'~a to ~ryw~is a rnimmum of 100 feet landwa~ bf the tidal Wetland bounda~j Imm~iete on-site recharge. · 13. D~y w~lls fo~ pool filter backwash shaft be located a minimum of 1 do feet ISI~N~a'~I d fie t~al weB~d ~u~a~. t 4. ~em shall ~ no ~in~ ~ ~mmi~ ~l~ d~ ~ i~ite~y ~ ~d~ w~n~s or ~ bu~ are~. 15. D~e~ys a~ ~i~ emes sh~{ ~ ~n~c~d ~ ~io~ m~l. 16. Sani~ sys~m (b~m ~ ~nk a~ I~g ~s) shal~ ~e ~d a minimum of 2' The pe~mlffee shal~ incorporate the followitl9 lengua~e as a norms covenant to the deed;. "Regulated tktat wetiamfls assoc{ste(t with Richmond Creek am ~cated st Suffolk Coun~ Tax Map Number: D~s~ct 1000, Section 88. 8lock 01, Lot 9.6, otherwise known as the Pmbedles of Susan L. Beck~' and her heirs, Sss~Jns, or successom. This propeffy is subje~ tD the provisions of N~w York ~tate Environmental Conserva~on Law {ECL) Article 25 m' its Successor, and the conduct of regulated activities rney occur on~y pursuartt t~ ECL At, cie 25 if pri~ apl3rovel is given by the N~ York Sb~te Department of [=nvir~lmental Consen/atio~ (N¥$1)EC) or ~ts successor. Regulated aC, tNitle~ Include, but are not lirn~ed to the a'ection of'any struc'aJfe(s); excavatmfl; dredging g~ding end flJling; closing of vegetation; end application of chemicals.' 1-4738-02646/~0001 ~PECIAL ~ON~)r110H$ ramp or ttoat is authorized witt~ the pet'm.i~ted ~locK P, or st'~oul~ i~uance of this p~fmit be constued ~:o suggest the Oegsrtment wifl issue a permit for SuCh ~l~ctures in the fuwm. 1-4738-D2.1~/,00001 PAGE., 5 OF ~ Telephone (631) 765-1892 Tow~ H~J.[. 53095 ~ Road P.O. Box 117~} ~outhold. Neg~ Y<xk 11971 $OUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Tuesday, August 20, 2002, the following recommendation was made: Moved by Melvyn Morris, seconded by Bill McDermott, it was RESOLVED to recommend to the Southold Town Board of Trustees DISAPPROVAL of the Wetland Permit Application of SUSAN BECKER to construct a fixed open walkway dock 4'X 60' with 4' wide access pathway and 4'X 9' stairs at the seaward end. The dock will extend into the water approx. 29' from the edge of the marsh with no greater than 6" pilings. Located: 4483 Wells Rd., Peconic. SCTM#86-1-9.6 The CAC recommends Disapproval of the application because the project was not staked and labeled. V. ote of Council: Ayes: All Motion Carried Albert J. Krupski, President James King, Vice-President 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 July 30, 2001 Propcr-T Permit Services Post Office Box 617 Cutchogue, NY I 1935-0617 RE: Albright - Becker SCTM#86-1-9.6 Permit #5131 Dear Mr. Fitzgerald: The following action was taken at the Southold Town Board of Irustees Regular Meeting on July 25, 2001 RESOLVED, that the Southold Town Board of Trustees approve the request for a Transfer of Permit #5131 from Philip Albright - to - Susan Becker. If you have any questions, please contact our office at 765-18?2. Sincerely, Krupski, Jr. President, Board o£Tmstees AJK:cjc Board Of Southold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. ' DATE: ...[~rch 22 2000 ISSUED TO ........... ~.H.~LIP... ~L.B]3,IG HT .................. Xnfl orization Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the .L~. ws of the State of New York 1952: and the Southold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and th~ REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in aooordanoe with the Resolution of The Board adopted at a meeting held on -~[~r...22.,..2000 -I-9'. ~O0, Oand in consideration of the sum of $..498 ,.(~. paid by PH.II~!P ALB PC[GHT ....................................... of .....~.0pthpld ..... N.Y. and subiect to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: PHILIP A~BRIGHT to construc~ a fixed oven walkway 4' X 60' with 4' wide steps down to water on both sides, dock will extend into the water 29' from edge Of ~arsh, ~o greater than 6" pilings, meaning low profile pilings, and there cannot be anything at the end of the dock like a boat that wo~ld restrict the distance of more than 1/3 across a creek and the proposed house and garaqe is outside of our Jurisdiction, however, there should be fled in no disturbance to anything within our jurisdiction which ls 75' during construction of house, as per revised drawings dated and received in our office March 22, 2000. Located: 4483 Wells Road, 8outhold. ....... ~s kote- by causes its Corporate Seal to be affixed, and these presents to be subscribed by a majori'ry of the said Board as of this date. '- / Trustees Albert J. Y~upski, Presiden~ James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 5:]095 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 Please be advised that your application, dated_~_~ O has been reviewed by this Board, at the regular meeting of /~. ~ I~ ~ and the following action was taken: (~) 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 Southold 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 FEES: BY: PRESIDENT, BOARD OF TRUSTEES C~RK, BOA~U ~F~TRUSTEEs 4/98 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 March 24, 2000 Proper-T Services Inc P.O. Box 617 Cutchogue NY 11935 Re: PHILIP ALBRIGHT SCTM #86-1-9.6 Dear Mr. Fitzgerald, The following action was during a Regular Meeting, above matter: taken by the Board of Town Trustees held on March 22, 2000, regarding the WHEREAS, PHILIP ALBRIGHT, applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated February 4, 2000 and, WHEREAS, said application was Conservation Advisory Council recommendations, and referred to the Southold Town for their findings and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on March 22, 2000, 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 approves the application of PHILIP ALBRIGHT to construct a fixed open walkway 4' X 60' with 4' wide steps down to water on both sides, dock will extend into the water 29' from edge of marsh, no greater than 6" pilings, meaning low profile pilings, and there cannot be anything at the end of the dock like a boat that would restrict the distance of more than 1/3 across a creek and the proposed house and garage is outside of our jurisdiction, however, there should be no disturbance to anything within our jurisdiction which is 75' during construction of house, as per revised drawings dated and received in our office March 22, 2000. Located: 4483 Wells Road, Southold. 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: dock: 4' X 29' = 116' X $3 = $348 Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/djh cc. DEC Dept. of State ACE W Z ',3 12:00a 0.6 It ~ 3:30a 2 4 ft 4:00a 2.6 it 12:00p 0.1" .o.~ Proper-T Permit Services POST OFFICE BOX 61Z CUTCHOGUE, NEW YORK 11935-0617 516 734-5800 January 24, 2000 President Board of Town Trustees Town of Southold Town Hall, 53095 Main Road Southold, New York 11971 L %4 2003 "'.'"" Re: Application for Permit on Behalf of Philip Albright; SCTM #1000-86-l-9.6 Dear Sir: Attached are documents which have been prepared in support of the application for a permit to construct and private residence with on-site sewage disposal and a private well, and a dock, on property of which he is the contract vendee in the Town of Southold. Proper-T Permit Services represents Mr. Albright in this matter, and a letter of authorization is part of this submission. If there are any questions, or if additional information is needed, please call me. Sincerely, Enclosures: Application Fee ($150) Letter of Authorization Notarized Statemem of Applicant Survey of Property Application Form (3 copies) Short EAF (3 copies) Vicinity Map (3 copies) Tax Map (3 copies) Plan View; Sea Level Mapping, 1/23/00 (3 copies) Cross Section; Sea Level Mapping, 1/23/00 (3 copies) Project Site Photos a subsidtary of THE PECONIC EASTERN CORPORATION Ill .-' 0¢0 ,! JUN :/ 6 ~.,)Ji I u Albert J. Krupski, President Jar~es King, Vice-President Henry. Smith Artie Fester Ken Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application t,e Wetland Permit Application ~ Major Waiver/Amendment/Chances l~ceived Application: --"l~eceived Fee:$ ,~J~ ' ' ~O~mpleted Application~2~_~ Incomplete .SEQRA Classification: Type I Type II Unlisted__ Coordination:(date sent) ~fi, C Referral Sent: 7~[~]~ --.~ate of Inspection:_~t~ Receipt of CAC Report: Lead Agency Determination: Technical Review: ,~ePublic Hearing Held:~ Resolution: Minor Name of Applicant_N~l~(,~/~ [.. ~._~-~ [r~ Address ~.o..P'Dov ~'~' 0e-c-o~ I I c/ ~-~ Phone Number:( ) ~ '3 I - Suffolk County Tax Map Number: 1000-. ~(o'-- I - ~ G Property Location: F3/~3 t.~c~ B'~ ~,~'; C-~-~ ~o~c~[ ~O Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: Board of Trustees Application GENERAL DATA Land Area (in square feet): j 0 ~-I Area Zoning: ~- ~;0 .. Previous use of property: Intended use of property: Prior permits/approvals for site improvements: Agency Date __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspend/ed by a governmental agency? ~,/ No Yes If yes, provide explanation: Project Description (use attachments if necessary): (-~o m '~z-~c -r,g ~ o~ ^ ~', ~,--~ Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: t~/9~a~ ~O~ square feet Percent coverage of lot: -7 · (o Closest distance between nearest existing structure and upland edge of wetlands: /L) //1 feet Closest distance between nearest proposed structure and upland edge of wetlands: - C) - feet Does the project involve excavation or filling? No J Yes If yes, how much material will be excavated?_~55~'- cubic yards How much material will be filled? - O ~ _cubic yards Depth of which material will be removed or deposited:_ ~.~ feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: 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): Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: Q ~., ~ ~-,-,~,_w, ,,~ Are wetlands present within 100 feet &the proposed activity? No / Yes Does the project involve excavation or filling? No Yes If Yes, how much material will be excavated? How much material will be filled? -- 0 -0 Manner in which material will be removed or deposited: --Cb ~ (cubic yards) _(cubic yards) Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) PR~DJECT i.D. NUMBBB ~ .m ~ ~ 617.21 ~RT ENVIRO~ENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART P--PROJECT INFORMATION ~o be completed by Aaplicant or Projec= sponsor) SEC i2. PROJECT NAME 1. APPLICANT /$PON OR 3. PROJECT LOCATION: $. DESCRIBE PROJECT BRIEFLY: ~ qes,den~la~ ~.'nous:rml ~:, Cammerc=al ~ .Agnct~dure DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELf FROM ANY OTHER GOVERNMENTAL AGENCY ~FEDERAL, STATE CR LOCALLY '~ Yes ~ NO [f yes, ~isl agencyfs) and ¢ermit/aDprovals 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 ! PART IlI--OETE.RMINATICN CF SIGNIFICANCE ~To ;e cmmatetecl my Agency) iNSTRUCTIONS; FOF each a{3verse erfec: identltled accve. =etermine whether ~t is Substantial large. :,mcor~ant oF odler, vise sic~nific Ezc.q ~Jfec', Snoulcl be assessed in comneclion wllh ,ts ~a) Setting (,i.e. urban Or rural); fbi ~rabaedit¥ of occ~3-','-Lng; (cl dur&tJon Albert J. Krupski, President James King, Vice-President Hem-y 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 of COUNTY OF SUFFOLK) STATE OF NEW YORK) AUG - 928[R AFFIDAVIT OF POSTING I, Sm ~ ~ ~ , residing at ~. 0 '~.~ ~ being duly sworn, depose and say: That on the ~ day of ~ ~90~ ~ personally poste~ the property known as ~ ~[~- F~~ ~V ~ ~ by placing the Board of Trustees official poster wher~ it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the ~~g~ ~aring noted thereon to be held ~.~', Dated: Sworn to before me this qddLday, ot (.d~. 200bl-- Notary' P~-bl~c Signature NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRU~S~TEES, TOWN OF SOUTHOL~ In the matter of applicant: SCTM#1000~ YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: 2. That the property which is the subject of Environn~ental Review--is located adjacent to your property and is described as follows: 3. That the project which is subject to Environmental Review under Chapters 32, 37, or 97 of the Town Code is open to public ent nt Yo comm o ~ u may contact the Trustees Office at 765-1892 or i~writing. The above referenced proposal is under review of the Board of Trustees of the Town of $outhold and does not reference 'any other agency that might have to review same proposal. Enc.: Copy of sketch or plan showing proposal for your convenience. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS STATE OF NEW YORK COUNTY OF SUFFOLK Address: I~ F-bralA~. ~4hF~~ ~j¥ z~6 ~,~ ~ C~~:q~ llqb~~ ~mond Cr~ ~rm U.S, Postal Service CERTIFIED MAIL RECEIPT 119~ C~_w_.D ~/~ , residing at ~.~0- ~ ~' ~ I [ i~ ~ j j , being duly sworn, deposes ~ind says that on the ~ . day bf ~ ,2~, deponent mailed a ~e copy of the Notice set forth in the Bo~d o~tees Application, directed to each of the above rimed persons at the ad~esses set opposite there re~ective names; that the addresses set opposite the names of s~d persons ge the ad.ess of said persons ~ sho~ on ~e c~ent ~sessment roll of the To~ of Southold; ~at said Notices were mailed at the U~ted States Post Office at ~~ , that s~d Notices were mailed to each of said persons by 09:39 FAX 518 705 1S88 $ourhold ?o~n ~c~ounting County of Suffolk Stat~ of New York UNDA J. COOPER Notary Public, State of New Yor~ The.Town oF S~u~hcld's code of Ethics prohibits con{licts o~ interest on the part of town officers and employs~s. The purpose of this form is to pro~ide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAMRs (Last name, ~i~st name, middle initial, unless you are applying in the name o~ someone else or other entity, such as a company. I~ So, indicate the other person's or company's name.) NATURE OF APPbICATION~ (check all that apply.) Tax grievance Variance change of zone of plat '% , Exe~ption from plat or official map other (I~ "other," name the activity,) parent, or child) havn a relationship with any oEfieer or employee of the Town o~ Southold? "Relationship" inclndes by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in which ~he to{n oE[tcer or employee has even a partial ownership cE (or employment by) a corporation in the town o[[lcer qr empluyee owns more than 5% o~ the YES NO If you anevere~ aXES," complete the balance o~ thie ~or~nd date and sign where indicated. : -g~ Name of person employed by the Town oE Bouthold Title or position of that person "' Describe the relationship between yourself (the applicant) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The parent, A) town officer or employee or his or her spouse, sibling, or child is (check all that apply), the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant· is a corporation)~ B) the legal or bkneficial owner of any interest in a noncorporata'entity (when time applicant ia not a corporation)~ __C) an officer, director, pa~tnsr, or employss, o~ the ' applicsnt~ or __.D) the actual applicant. DESCRIPTION OF RELATIONSHIP Proper-T Permit Services POST OFFICE BOX 61Z CUTCHOGUE. NEW YORK 11935-0617 (516) 734 - 5800 June 20, 2001 President Board of Town Trustees Town of Southold Town Hall, 53095 Main Road Southold, New York 11971 Re: Request to Transfer Permit No.5131; Susan Becker, SCTM #1000~86-1-9.6 Dear Sir: Susan Becker, the present contract vendee of the referenced property, asks that Permit No. 5131, issued by the Trustees to Philip Albright on March 22, 2001, he transferred to her name. A check in the amount of $10, the transfer fee, is enclosed. E. Fitzgeral~ a subsidiary of THE PECONIC EASTERN CORPORATION Proper-TPermit Services P.O. Box617, CutchogueNY 11935 Phone: 631-734-5800 Fax: 631-734-7463 MEMORANDUM DATE: 6/15/01 TO: Southold Trustees [~"~ r:- ..... FROM: Jim Fitzgerald SUBJECT: Susan Becker; SCTM #1000-86-1-9.6 Here is Ms. Becker's check for the dock permit fee, $348. For your records, I'm enclosing the authorization letter from Ms. Becker, and the most eurrem drawings of the dock project, dated 5/22/01. Albert b Krupski. President John Holzapfel, Vice President ,Tim King Mart. in H. Gan-ell Peter Wenczel BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Main Road P.O. Box 1179 Southold. New York 11971 Telepholle (516'} 765-1892 Fax (516) 765-1823 Office Use Only Coastal Erosion Permit Application ,,'Wetland Permit Application Grandfather Permit Application Waiver/Amendment/Ch~_. ~,-Received Application: ~.~Received Fee:$ /~' w, Completed Application~l/~/OO Incomplete SEQRA Classification: ~/pe I Type II Unlisted Coordination:(date sent.) ~-~CAC Referral ~-Date of Inspection:~r&//A/OO' , Receipt of CAC Report: ' Lead Agency Determination:__ ' Technical Review: --~Public Hearing Held: Resolution: Nmne of Applicant Philip Albright Address 23132 La Cadena Drive, Suite. G, Laguna Hills, CA 92653 Phone Number:{949) 454-9696 Suffolk County Tax Map Number: 1000 - 86-1-9.6 Property Location: N/N Wells Road, $outhold (See attached maps.) (provide LILCO Pole $, distance to cross streets, and location) AGENT: Ja~es E. Fitzgerald, Jr. / Proper-T Permit Set, rices (If applicable) Address: .' Post Office Box 617, Cutchogue, NY 11935 Phone: 734-5800 FAX$: ard of Trustees ApplJ~ti~ GENERAL DATA Land Area (in square feet): 104,923 s.£. Area Zoning: R-gO Previous use of property: Intended use of property: Undeveloped Sin~le-famil~ ~rivate residence 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 If yes, provide explanation: PROJECT DESCRIPTION: Construct fixed open walkway 4' x 40', hinged ramp 4' x 16', and floating dock 6' x 20'; install two 2-pre dolphin~ to secure floating dock. Construct one- family private residence with on-site sewage disposal and private well and a detached three- car garage. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Oonst~uct single-family private residence. Area of wetlands on lot: Approx 8~000 square feet Percent coverage of lot: Approx 7.6 % 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: -0- feet Does the project involve excavation or filling? No X Yes If yes, how much material will be excavated?Est ~00 cubic yards How much material will be filled? -0- cubic yards Depth of which material will be removed or deposited: 5' feet Proposed slope throughout the area of operations: Unchanged Manner in which material will be removed or deposited: Bulldozer; front-end loader Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason os such proposed operations (use attachments if appropriate): It is expected that the project will have no significant effect on the wetlands and tidal waters of the Town. 6t7.21 Appendix C State Environmental Duality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT/SPONSOR I 2. PROJECT NAME James E. Fitzgerald, Jr. I Albright dock and house 3. PROJECT LOCATION; Municipality Peconic County Suffolk SEQR 4. PRECISE LOCATION (Street aclgreee and roaci intersections, prominent land'merke, etc., or provide map) N/N Wells Road, Peconic See attached maps. 5. IS PROPOSED ACTION: [] New [] Expansion [] Mo<tiflcationlaltaration 6. PROJECT DESCRIPTION: Construct fixed open walkway 4' x 40', hinged ramp 4' x 16', and floating dock 6' x 20'; install two 2-pile dolphins to secure floating dock. Construct one- family private residence with on-site sewage disposal and private well, and a detached three- car garage. 7. AMOUNT OF LANe AFFECTED: Initially 2 · 4- acme Ultimately 2.4- acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRIC"~I~'N'~'~ [~ Yes [] No It No, describe briefly / 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? [] Roe/dent/al [] industrial [] Commercial [] Agricultul~ [] Perk/ForesUOpan space [] Other Dascrtl~a: Several medium-large private waterfront residences, bounded by protected agricultural land. 10. DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL}? [] No If yes, list agency(s) and permit/approvals Required:~SDEC, NYSDOS, USACoE, 'Southold Trustees ~o. aoprovals to date 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes ~ No If yes. list agency name anti permlt/aggroval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? [] Ye, [] NO I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF ~Y KNOWLEDGE James E~_t~gerald, Jr. ~Proper~ ~m~S er~i~e s 1/24/00 ' Appticant/$ponsor ~m~,~. J ~~ ~,7c, Date: __ . If~e action Is In the Coastal Area, and you are a state agency, complete the Coasts Assessment Form before proceeding with this assessment OVER 1 APPLICATION OF PHILIP ALBRIGHT, SCTM # 1000-86-1-9.6 PROJECT DESCRIPTION: Construct fixed open dock 4' x 60', with steps to water on both sides of seaward end resulting in a "T" configuration; the overall length of the "crossbar" being 15' with the steps 4' wide. 23132 La Cadena Drive, Suite G Laguna Hills, California President Board of Town Trustees Town of Southold Town Hall 53095 Main Road Southold, New York 11971 Dear Sir: Please be advised that I hereby designate and authorize James E. Fitzgerald, Jr. of Proper-T Per- mit Services to act in my behalf as my agent in the submission and processing of a permit application for the construction of a house and associated structures and facilities, and a dock, on property of which I am the contract vendee located at 4483 Wells Road, Peconic, and designated by Suffolk County Tax Map No. 1000-86-1-9.6, and to furnish, upon request, supplemental in- formation in support of the application. STATEMENT TO THE SOUTHOLD BOARD OF TOWN TRUSTEES County State of California ) I, Philip Albright, being duly sworn, depose and affirm that I am the contract vendee of the property located at 4483 Wells Road, Peconic, New York 11958, and identified by Suffolk County Tax Map No. t000-86-1-9.6, and that all work will be done in the manner set forth in the present application and as may be approved by the Southold Board of Town Trustees. I agree 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. I hereby authorize the Town Trustees or their agent(s) or representative(s) to enter upon the property to inspect the premises in conjunction with the review of the present application. ....................... Pl~ip Albright Sworn to before me this .../...~...?..~. day of.~..~...&.~....., 19...~..~ Notary Public OFFICIAL SEAL MARK FAIMAN Notary Pubiic-Califor nia 1219003 -Comm.# ORANGE COUNTY My Commission Expires · .. _ .r?,: ~ o~ -.,o:.~._j BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the matter of the Application of PHILIP ALBRIGHT, SCTM #1000-86-1-9.6 % COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, James E. Fitzgerald, Jr., residing at 385 Haywaters Drive, Cutchogue, New York 11935, being duly sworn, depose and say: That on the ninth day of February, 2000, I personally posted the property known as 4483 Wells Road, Peconic, New York 11958 by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure that the poster has remained in place for seven days prior to the date of the public hearing, the date of hearing noted thereon to be held on Thurs- day, February 24, 2000 at or about 7:15 PM. Dated: February 24, 2000 Sworn to before me this twenty-fourth day of February, 2000. Notary Public ~qONNIE W. N'AZZ~FERWo TO: Adjacent Property Owners (Names and addresses are listed on the attached sheet.) February l0.2000 BOARD OF TRUSTEES, TOWN OF SOUTHOLD NOTICE TO ADJACENT PROPERTY OWNER In the matter of: Philip Albfight, SCTM #1000-86-1-9.6 YOU ARE HEREBY GIVEN NOTICE THAT: 1. An application is being submitted to the Board of Trustees for a permit to: Construct fixed open walkway 4' x 40', hinged ramp 4' x 16', and floating dock 6' x 20'; install two 2-pile dolphins to secure floating dock. Construct one-family private residence with on-site sewage disposal and private well, and a detached three-car garage. The project described above is proposed on property adjacent to yours. The street ad- dress of that property is as follows: [ 4483 Wells Road, Peconic, New York 11958 ] The project, which is subject to Environmental Review under Chapters 32, 37, or 97 of the Town Code, is open to public comment. A public hearing will be held at Town Hall, 53095. Main Road, Southold, New York 'I 1971 at or about 7:15 PM on Wednesday, February 23, 2000. You may contact the Trustees Office at 765-1892 or in writing if you wish to comment. The project described above will be reviewed by the Board of Trustees of the Toxvn of Southold. The project may require independent review and approval by other agencies of the Town, State, or Federal governments. PROPERTY OWNEWS NAME: I MAILING ADDRESS: PHONE NO.: Philip Albright 23132 La Cadena Drive, Suite G Laguna Hills, California 92653 949-454-9696 A copy of a sketch or plan showing the proposed project is enclosed for your convenience. PHILIP ALBRIGHT: ADJACENT PROPERTY OWNERS 1000-86-1-9.3 Pellegrini Peconic, LLC 23005 Main Road Cutchogue, New York 11935 1000-86-1-9.5 Peconic Land Trust Post Office Box 1776 Southampton, New York 11969 PROOF OF MAILING OF NOT~ Philip Albright ATTACH CERTIFIED MAIL REC~TPTS 1000-86-1-9.6 Z 275 199 &79 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail ,E Z 275 199 880 US Postal Sen~ice Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail (See reverse Street & Number Postage ~om & Date Delivered ] -~ STATE OF NEW YORK COUNTY OF SUFFOLK James E. Fitzgerald, Jr. , residing at 385 Ha.Twaters Drive Cutcho~q/e, NY 11935 , being duly sworn, deposes and says that on the __~ day of February , 2000 , 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 6h/tcho~ue, NY 11955, that~said. Notices were mailed to each of said persons by (certif~e~) mail. Sworn to before me this /h / ~ ~ -" day of ~~ BONNIE W. MAZZAFERRO ' '" NO. 52 ~6C7~Z2 · ~th~L · ¥o: Date: February 10, 2000 Adjacent Property Owners (Names and addresses are listed on the attached sheet.) NOTE CORRECTED DATE OF MEETING BOARD OF TRUSTEES, TOWN OF SOUTHOLD NOTICE TO ADJACENT PROPERTY OWNER In the matter of: Philip Albdght, SCTM #1000-86-1-9.6 YOU ARE HEREBY GIVEN NOTICE THAT: 1. An application is being submitted to the Board of Trustees for a permit to: Construct fixed open walkway 4' x 40', hinged ramp 4' x 16', and floating dock 6' x 20'; install two 2-pile dolphins to secure floating dock. Construct one-family private residence with on-site sewage disposal and private well, and a detached three-car garage. o The project described above is proposed on property adjacem to yours. The street ad- dress of that property is as follows: 4483 Wells Road, Peconic, New York 11958 The project, which is subject to Environmental Review under Chapters 32, 37, or 97 of the Town Code, is open to public comment. A public hearing will be held at Town Hall, 53095 Main Road, Southold, New York 11971 at or about 7:15 PM on Thursday, February 24, 2000. You may contact the Trustees Office at 765-1892 or in writing if you wfsh to commem. The project described above will be reviewed by the Board of Trustees of the Town of Southold. The project may require independent review and approval by other agencies of the Town, State, or Federal governments. PROPERTY OWNER'S NAME: MAILING ADDRESS: PHONE NO.: Philip Albright 23132 La Cadena Drive, Suite O Laguna Hills, California 92653 949-454-9696 A copy of a sketch or plan showing the proposed project is enclosed for your convenience. ·. ' PHILIP ALBRIGHT: ADJACENT PROPERTY OWNERS 1000-86-1-9.3 Pellegrini Peconic, LLC 23005 Main Road Cutchogue, New York 11935 1000-86-1-9.5 Peconic Land Trust Post Office Box 1776 Southampton, New York 11969 ?ART II--~.NVIRONMENTAIsE~ENT I~'o De comD:etea Dy Age A DOES ACTION EXCEED ANY '-'tPE I THRESHOLD IN 6 NYC~R o&RT 617 ~27 ir 'yes. cooramate Ihe r6'¢iew process and Lse [he FULL EAF. C COULD ACTION RESULT rN ANY ADVERSE EFFECTS ASSOGrATED WITH THE FOLLOVdNG. iAns~ers rT-a~ ce rano,¥r~tten ,: Jeq~Dlel O. ]S THERE, OR lS THERE L~KELY TO EE. CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL ~MPACTS? ~ Yes '~ No If Yes, explain briefly FART Ill--DETERMINATION OF SIGNIFICANCE ~To be completed by Agency) INSTRUCTIONS: For eacl~ adverse effect idemifie(] above, determine whether ~t ~s suDstantlal, large, important or otherwise sJgnJbcaRt. Each effect should be assessed in connection with ~ts (a) setting (i,e. urban or rural); (b) proPability of occurring; (c) duration; (d) irrevers~Difity; (el geographic scope; ano (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that exDlanatlORS contain sufficient detail to stlow that all relevant adverse impacts have been ~clentlfieo an~ adeQ[JateJy addressed. [] Check this box if you have identifiee one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. I~ Check this box if you have determ~necL based on the information and analysm above and any supporting documentation, that the proposed act~Dn WILL NOT result in any significant adverse environmental impacts AND provide on attachments as necessary, :ne reasons supporting this determination: