HomeMy WebLinkAboutTR-5284Proper-TPermit Services P.O. Box 617, Cutchogue NY 11935
Phone: 631-734-5800
Fax: 631-734-7463
MEMORANDUM
DATE: February 28, 2001
TO:
Henry Smith - Trustees
FROM: Jim Fitzgerald
SUBJECT: Becker, SCTM #1000-86-1-9.6; Permit No. 5284
This permit, which was approved at the 2/21/01 meeting, requires a 75' no-disturb
area with haybales at the 75' line.
The NYSDEC requested a 65' no-disturb buffer, and at the hearing I thought that's what I
heard you say when you were making the motion to approve the application. As you may have
gathered at other meetings, my hearing is not up to par; but I know that's no excuse even
though the microphones were not on. However, if it would be possible to change the condi-
tions of the permit to coincide with the DEC requirement ora 65' no-disturb buffer, with the
haybales at the 65' line, it would be very much appreciated.
I'll try to listen more carefully in the future!
Board Of $outhold Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO. '~c~g/~/' DATE: ..~.~b' 26.,.. 20Ol
ISSUED TO SUSAN L. BECKER
Pursuant fo the provisions of Chapter 615 of the Laws of
the State of New YorE, 1893: and Chapter ~0~ of the L~ws of the
State of New Yore 1952: and the Southold Town Ordinance en-
titled ."REGULATING AND THE PLACING OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and the
REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS:'.'. and in accordance with the
Resolution of The Board adopted at a meeting held on .~.'. ~]~.~._
Z00.~., and in consideration of the sum of $..20.Q,.0.0 . peld by
.Prope~-.~....permi~ ..~grviq~s for .~.usan L.~.....~.~clk.~r .....................
of ........~}!~.Rg~!e ....... N. Y. and subject to the
Terms and Conditions lis~ed on ~e reverse side hereof,
of Southold Town Trustees authorizes and permits the following:
Wetland Permit to construct a single-family dwelling with on-site
sewage disposal and private well, in-ground swimming pool and
surrounding patio, wood deck or grade level patio behind a
wall, with the condition of drywells to contain the roof run-off
all in accordance with the detai~ed spec;ficafions as presented in
the originating application, the pool backwash, a 75' non-,
buffer and a row of haybaies to be placed down at the 75' buffer
during con~4. WITNESS WHEREOF, The said Board of Trustees Imre-
by causes its Corporate Seal to be affixed, and these presents to
be subscribed by a majority of the said Board as of this date.
Albert J. Krupski, Jr. - Absent
Artie Fqster - Absent
- Trustees
TERMS and C~NDmONS
The P~mi~
Susan L. Becker
~iai.g at 298 Bridgeport Ave. Olde Meford NY
part of the comideration fo~ the is~.,,~_ of d~e Pemdt does understand and p _~'be to the fol-
lowing:
1. That the said Boaed of Trustees ~ the Town of 'S°uthold aze ~lessed fram any ~
all tlam~ or elsJn~ for ~ of _a,J~_ Irk!n~ d~ m JlldJ.q~y I$ · _1~_,~! of ~ o~-
with reslx~t tbet~o, to the comple~ exclu~o~ of tbe Bo,a:1 of Trust.s of the Tovm of ~
2. That this Permit b' valid fo~ ~ pet~od of 24 mo~. which h coasldemcl to be the
estimated time ~.quired m comtde~ the work involved, but should cito.-m--~e* ~ teqae~
for an exmasion n~y be m~de to the Boe_.d at a ~ ~
3. That this Permit should be retaim~l imldinltely, or as long ~s the ~ Petmittee wis~s
to maifltaifl th~ stru~a~e or project in¥oI¥~ to provide er{de, ce to ~t/lyoi~e ~ that ~-
orlzation was originally obtained.
4. That the work involved will be subject to the inspection and app~val of the l~trd o~
its agents, and non-compILznce with the provisions of the ori~tlng application, may be cause for
revocation of this p~,rm~ by resolution of the said Bowel
5. That there will be flo unreasonable interference with navigation as , _~,_,lt of the ~
hetvAn authorized.
6. That there shall be no interference with the tight of the public to ~ ~ ~ ala~g
the beach between high and low water ma~ks.
7. That if future operations of the Town of 8outhold teclulre the n~moval and/o~ altexatioos
in the location of the ~ork bexe~ aut~otlzed, or i~, in the opinion of the Board of Trustee%
work shall cause unreasc~.h!e obstruction to free navigatioo, the said Peemiltoe will be requix~ds
upon doe notic~ to remove or alter this work or project herein stated without mrpezses to the Town
of Southold.
8. That the said Board will be notified by the Permittee ot ~he completioa of the wo~ mth-
orized.
9. That the Permittee will o~..~in aH other permits and consents d~at may be required sup-
plemental to this permit which may be subject to revoke upon failure to ~ same.
Albert J. Krupski, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-1366
February 26, 2001
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Mr. James E. Fitzgerald, Jr.
Proper-T Permit Services
P.O. Box 617
Cutchogue, NY 11935
RE: SUSAN L. BECKER
4483 Wells Rd., Southold
SCTM#86-1-9.6
Dear Mr. Fitzgerald:
The following action was taken by the Board of Town Trustees during its regular meeting held
on Wednesday, February 21, 2001 regarding the above matter:
WHEREAS, James E. Fitzgerald, Jr. of Proper-T Permit Services on behalf o f SUSAN L.
BECKER applied to the Southold Town Trustees for a permit under the provisions of the
Wetland Ordinance of the Town of Southold, application dated February 2, 2001, and
WHEREAS, said application was referred to the Southold Town Conservation Advisory Council
for their findings and reconunendations, and,
WHEREAS, a Public Heating was held by the Town Trustees with respect to said application on
February 21,2001 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 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 approve the application of SUSAN L. BECKER to
construct a single-family dwelling with on-site sewage disposal and private well, in-ground
swimming pool and surrounding patio, and wood deck or grade-level patio behind a retaining
wall, with the condition of drywells to contain the roof run-off and the pool backwash, a 75' non-
disturbance buffer and a row of hay bales to be placed down at the 75' buffer during
construction.
BE IT FURTHER RESOLVED that this determination should not be considered a determination
made for any other Department or Agency which may also have an application pending for the
same or similar project.
Permit to construct and complete project will expire two years from the date it is signed. Fees
must be paid, if applicable, and permit issued within six months of the date of this notification.
Two inspections are required and the Trustees are to be notified upon completion of said project.
Fees: None
Very truly yours,
Albert J. Krupski, Jr.
President, Board o f Trustees
AJIGlms
cc: DEC
Health Dept.
Building Dept.
(631) 765-1892
Town H.all. 53095 ~ P.~3ad
P.O. Boz I179
Sour. hold. New Yo~k I1971.
$OUTHOLD TOWN
CONSEHVA. TION ADVISORY COUNCIL
At the meeting of the Southold Town Conservation Advisory Council held Thursday,
February 15, 2001, the following recommendation was made:
Moved by Scott Hilary, seconded by Bill McDermott, it was
RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH
A STIPULATION of the Wetland Permit Application of SUSAN L. BECKER 86-1-9.6 to
construct a single family dwelling with on-site sewage disposal and private well, in-
ground swimming pool and surrounding patio, and wood deck or grade-level patio
behind a retaining wall.
4483 Wells Rd., Peconic
The CAC recommends Approval with the Stipulation that a minimum 100' non-
disturbance buffer be maintained.
Vote of Council: Ayes: All
Motion Carried
Proper-T Permit Services
POST OPFICE BOX 61Z CUTCHOGUE, NEW YORK 11935-0617
1516i 734 -5800
January 31, 2001
President
Board of Town Trustees
Town of Southold [~ 2
Town Hall, 53095 Main Road
Southold, New York 11971
Re: Application for Permit on Behalf of Susan Becket, SCTI91~i 000-86-1-9.6
Dear Sir:
Attached are documents which have been prepared in support of the application for a permit to
construct a single family dwelling with on-site sewage disposal and private well, in-ground
swimming pool and surrounding patio, and wood deck or grade-level patio behind a retaining
wall on the property of which she is the contract vendee in the Town of Southold.
Proper-T Permit Services represents Ms. Becker 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.
Enclosures:
Application Fee ($200)
Letter of Authorization
Notarized Statement of Applicant
Survey of Property/Project Plan
Application Form (3 copies)
Short EAF (3 copies)
Vicinity Map (3 copies)
Tax Map (3 copies)
itzgerakL~
a subsidtary of
THE PECONIC EASTERN CORPORATION
11958
THE AREA OF THE PROPOSED
PROJECT IS CIRCLED
HOG NECK
BAY
LITTLE
flOG
NECK
NASSAU
POINT
/
/
/
/
VICINITY MAP
Applicaiien regarding the proper~y of
Susan Becker, SCTM #1000-86-1-9.6
Represented by
PROPER-T PERMIT SERVICES
P.O. Box 617, Cutchogue, NY 11935
James E. Fitzgerald, Jr. 516-734-5800
January 31, 2001
THE SITE OF THE PROPOSED
PROJECT IS SHADED
TAX MAP
Application regarding the property of
Susan Becket, SCTM # 1000-86- 1-9.6
Represented by
PROPER-T PERMIT SERVICES
P.O. Box 617, Cutchogue, NY 11935
James E. Fitzgerald, Jr. 516-734-5800
January 3 I. 2001
0~
~,o'~ ~'°~6
? ~c
Lo
(5 BEDRO0~¢)
FF-17.O
LANDWARD LIMIT OF -'
WE~.ANDS AS "
DETERMINED BY YOUNG ."
RICHMOND
CREEK
Albert J. Krupsld, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (6~1) 765-1892
Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Office Use Only
Coastal Erosion Permit Application
7Wetland Permit Application ,~'Major
Waiver/Amendment/Changes
~Received Application: ~}~C21
-,'~eceived Fee:$ ~1~0'~
~mpleted Application.~}_[~_
Incomplete
SEQRA Classification:
Type I Type II Unlisted
Coordination:(date sent)
.,~CAC Referral Sent: ..9.~
of Inspection: ,, llqlOt
Receipt of CAC Report:
Lead Agency Determination:__
Technical Review:
~l~ublic Hearing Held: ~--~-~01
Resolution:
FEB
Minor
2
Name of Applicant Susan L. Becker ~-
Address 298 Bridgeport Avenue, Olde Medford ~Y
Phone Number:( ) 477-2469
Suffolk County Tax Map Number: 1000 - 86-1 -9.6
Property Location: 4483 Wells Road, Southold
(provide LILCO Pole #, distance to cross streets, and location)
AGENT:
(If applicable)
Address:
James E. FitzEerald, Jr. / Prooer-T Permit Services
PO Box 617, Cutchogue NY 11935
Phone: 73~_52~
Board of Trustees Application
Land Area (in square feet):.
Area Zoning:
GENERAL DATA
104,923
R-80
Previous use of property:
Intended use of property:
Undeveloped
Private residence
Prior permits/approvals for site improvements:
Agency Date
Trustees (dock)
3/22/00 (for Philip Allbright)
__ 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 a single family dwelling with on-site sewage disposal
and private well in-ground swimming pool and surrounding patio, and wood deck or grade-
level patio behind a retaining wall.
SBoard of Trustees Application
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations:
Construct single-family private residence.
Area of wetlands on Iot:approx 8,000 square feet
Percent coverage oflot:appre× 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: 109 feet
Does the project involve excavation or filling?
No X Yes
If'yes, how much material will be excavated? -0- cubic yards
How much material will be filled? 1,400 cubic yards
Depth of which material will be removed or deposited: max 3 feet
Proposed slope throughout the area of operations: avg a}prox 3%
Manner in which material will be removed or deposited: truek/bulldo z er
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):
It is expected that the project will have no significant
effect on the wetlands and tidal waters of the Town.
14-16-4 (?./87)~Text 12
IPROJECT I.D. NUMBER
617.21
Appendix C
State Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
PART I--PROJECT INFORMATION (To he completed by Applicant or Project sponsor)
t. APPLICANT/SPONSOR 2. PROJECT NAME
James E. Fitzgeraldr Jr. Becket house
3. PROJECT LOCATION:
Mun*clp..~' Southold . County Suf£olk
SEQR
4. PRECISE LOCATION (Street address and fda0 intersectmns, promment landmarks, etc.. or provide maD)
4483 Wells Road
Peconic New York 11958
See attached maps.
5. IS PROPOSED ACTION:
~] New [] Expansion [] Modification/alteration
6.
PROJECT DESCRIPTION: Construct a single family dwelling with on-site sewage disposal
and private well, in-ground swimming pool and surrounding patio, and wood deck or grade-
level patio behind a retaining wall.
7, AMOUNT OF LAND AFFECTED:
Initially 2 * ~- acres Ultimately N/A acres
9. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [] Yes [] No If NO, deaCr~be I~rlefly
9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT?
[] Re$.dentlal [] Industrial [] Commercial [] Agriculture [] Park/Fore~UOpen space [] Other
Oe,criSe:
Several med_ium-large private waterfront residences, bounded by
protected agricultural land.
10. DOES ACTION INVOLVE A PERMIT APPROVAL OR FUNDING, NOW OR ULTIMATEI~Y'FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL.
STATE OR LDCAL)?
[] Yes [] NO If ye~ list agency(s) anO Dermlt/&Dgrovll8
Required: h~SDEC, NYSDOS, USACoE, Southold Trustees
11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Ye, [] No If ye~. list agency name and Dermal/approval
12. AS A RESULT OF PROPOSED ACTION WILL EX]STING PERMITIAPPROVAL REOUIRE MODIFICATION?
[] Yes [] No
I CERTIFY THAT THE tNF. G~MATION PROVIDED ABOVE iS TRUE TO THE BEST OF MY KNOWLEDGE
James
Al~phcantls~Onsor -~O per-T/~r~ Servi c~e~
/
II.f th~,,~_ ction is in the Co~
' Coastal Assessment
al Area, and you are a state agency, complete the
Form before proceeding with this assessment
OVER
1
PART ti--ENVIRONMENTAL ASSESSMENT (To be completed by Agency)
A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR. PART 617.127 If yes, coorurnate the rewew process and use t.he FULL EAr
B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCI~R, PART 617.87 If r~o. a negatwe ceclaration
may De supersede(3 by another involved agency·
[] Yes ~ No
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be hanowrltten.
C1. Existing air qUaJlty, surface or groundwater dualdy cr quantity, noise levelS, exlstlr)g traffic patterns, sol~(3 waste proctuCtlO~l or ciisposal.
potential for erosion, drainage or flooding problems·? Explain briefly:
C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly:
C3. Vegetation or fauna, fish. shellfish or wildlife species. Slciniflcant habitats, or threatened or endangered species? Explain briefly:
C4. A commumty's existing plans or goals as officially aclopted, or a change ~n use or intensity of use of lano or other natural resources? Explain briefly
C5. Growth, subsequent development, or related activities likely to De induced by the proposed act(on? Explain briefly.
C6. Long term. short term, cumulative, or other effects not ~dentlfie(3 in C1-C57 Explain briefly.
C?. Other Imbacts (including changes in use of either quantity or type of energyl? Explain briefly.
D. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS?
[] Yes [] NO if Yes, exblain briefly
PART Ill--DETERMINATION OF SIGNIFICANCE (To be completed by Agency)
· INSTRUCTIONS: For each adverse effect identified above, determine whether it Is substantial, large, important or otherwise significant.
Each effect should be assessed in connection w~th ~ts (al setting (i.e. urban or rural); (bi probability of occurring; (c) duration; (d)
irreversibtltty; (el geographic scope; and (fl magnitude, rf necessa~/, add attachments or reference supporting materials. Ensure that
explanations contain sufficient detail to show that all relevant adverse impacts have bee)n identified and adequately addressed.
[] Check this box if you have identified 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.
[] Check this box if you have determined, based on the information and analysis above and any supporting
documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts
AND provide on attachments as necessary, the reasons supporting this determination:
298 Bridgeport Avenue
Olde Medford, New York 11763
President
Board of Town Trustees
Town of Somhold
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 on property of which I am the contract vendee, a dwelling and
associated structures and facilities, and a dock. The property is located at 4483 Wells Road,
Peconic, New York 11958, and designated by Suffolk County Tax Map No. 1000-86-1-9.6
(Richmond Creek Farm, Lot No. 3).
Sincerely,
Susan Becker
STATEMENT TO THE SOUTHOLD BOARD OF TOWN TRUSTEES
County ofSutfolk )
State of New York )
I, Susan L. Becket, 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. 1000-86-1-9.6, 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 flee fi.om 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 agem(s) or representative(s) to enter upon the property to inspect
the premises in conjunction with the review of the present application.
Sus~ L. Becker
Sworn to before me this ................ day oF .................................... ,
Notary Public
TO:
Date: February 7, 2001
Adjacem Property Owners
(Names and addresses are Hsted on the attached sheet.)
BOARD OF TRUSTEES, TOWN OF SOUTHOLD
NOTICE TO ADJACENT PROPERTY OWNER
In the matter of.' Susan Becker, 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 a single family dwelling with on-site sewage disposal and private
well, in-ground swimming pool and surrounding patio, and wood deck or
grade-level patio behind a retaining wall.
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 heating will be held at Town Ha/d,
53095 Main Road, Southold, New York 11971 at or about 7:00 PM on Wednesday,
February 21, 2001. 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 Town of
Southold. The project may require independem review and approval by other agencies of
the Town, State, or Federal governments.
PROPERTY OWNER'S NAME:
MAILING ADDRESS:
PHONE NO.:
Susan Becker
298 Bridgeport Avenue
Olde Medford, New York 11763
631-447-2469
A copy ora sketch or plan showing the proposed project is enclosed for your convenience.
SUSAN BECKER: 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
,/
~'-~7.0
LANDWARD UMIT OF ,,"
RICHMOND CREEK
Su~ Becket
100~Y-86-1 - 9 · 6
PROOF OF MAILING OF NOTICE
U.S. Postal Service
CERTIFIED MAIL RECEIPT
=~l (Domestic Mail On/y; No Insurance Coverage Provided)
~ r" ~ n~t~ ~rI
..-hi
~ ':¢"~ / ~.~ / ~
~ o~c.~ .LLC ................
U.S. Postal Service
CERTIFIED MAIL RECEIPT
(Do/nestle Mall Only; No Insurance Coverage Provident#
l~a~lg~, 5anti 9~ru s t
...- - ~ '- ~e.co nz c_..zmz~z...:l'mus t .................
?0 Box 1776
;outham
STATE OF NEW YORK
COUNTY OF SUFFOLK
James E. Fitzgerald, .Ir., residing at 385 Haywaters Drive, Cutchogue, NY 11935, being duly sworn, deposes and sa~s
that on the1 2 th day of February , 2001 , 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 their respec-
tive names; that the addresses set opposite the names of said persons are the addresses of said nrsons as shown in the
current assessment roll of the Town of Southold; that said Notices were mailed at the~ ~.~tes Post office at
Cutc~gue~NY~935~thatsaidNoticeswerema~edt~ea~fsa~id4~rsonsbyC~/~f~Nl~l'~ ~, ~;7~
d y. or ' , 200 .
--r / \ ~ I' ~' ~, I .¢~')2:%v.>.~ NOTARY PUBHC, State of New York
N'ot~a'y ~Public ~ NO. 01806020932
Qualified in Suffolk County
Term Expires March 8, 20::DZtL
BOARD OF TRUSTEES: TOWN OF SOUTHOLD
In the matter of the Application of
Susan Becker
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 12th day of February, 2001,, I personally posted the
property known as 4483 Wells Road, Peconic, 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
thereon to be held on February 21, 2001, at or
of hearing noted
about 7:00 PM.
Dated: 3/3//~f
Sworn to befo~e me this
~/~1- day of ~u~u~, 2001
Notar~ Public --
LYNDA M. BOHN
NOTARY PUBLIC, State of New Yod{
No. 01BO6020932
Qualified in Suffolk Count~
Term Expires March 8, 20(~
298 Bridgeport Avenue
Olde Medford, New York 11763
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 ora permit
application for the construction on property of which I am the contract vendee, a dwelling and
associated structures and facilities, and a dock. The property is located at 4483 Wells Road,
Peconic, New York 11958, and designated by Suffolk County Tax Map No. 1000-86-l-9.6
(Richmond Creek Farm, Lot No. 3).
Sincerely,