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Home My WebLink AboutTR-5993Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO ........................ DATE: Sept. 22, 2004 ISSUED TO ¢¢d~ 8each Park A~soeZa~Lon ................ Pursuant to the provisions of Chapter 615 of the Laws of the State of New YorE, 1893: end Chapter 404 of the ,L,~.. ws of the State of New Yore 19~12: and the Southold To~n Ord,nence titled ."REgUlaTING AND THE PLAC:ING O1~ C)BSTRUC]~C)blS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REIdOVAL OF SAND, GP~VEL OR OTHER IdATERIALS.F~OM LANDS ·UNDER TOWN WATERS:!~. end in accordance with the Resolution of The Board adopted at a meeting held on 2~.4.'.., and in consideration of the sum of $.~.~.~...0...0. ......... paid by of So~ho£d .................... N. Y. and subject fo the of Southold Town Trustees authorizes and permits th~ following: Wet. nd Permlt to repa~ the r~ident~il driveways, d~ roads, by grading and covering wit~ .bluestone chips, ~or ,.~ areas within I00' of tid~ or fresh~ wet. ntis, and all-as depict, ed on t~e map.fif.¢ed~_.~_~~44~n~ed in .the odg'm~ng IN WITNESS WHEREOF, The seld Board Of Trustees ~re- ~y_ ~u,,, ~ Coq~orete S,a~ to ~e a~.~ed, a~ th,se..~; to subsc~'bed by a 'majorlfy of the satd Board .as of this darn. 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 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 22, 2004 Ms. Theresa Prendergast, President Cedar Beach Park Association P.O. 409 Southold, N.Y. 11971 RE: CEDAR BEACH PARK SUBDIVISION AT BAYVlEW, SOUTHOLD SCTM #s 89,90,92 Dear Ms. Prendergast: The Board of Town Trustees took the following action during its regular meeting held on Wednesday September 22, 2004, regarding the above matter: WHEREAS, CEDAR BEACH PARK ASSOCIATION 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 August 27, 2004, 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 22, 2004, 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 CEDAR BEACH PARK ASSOCIATION to repair the residential driveways, currently dirt roads, by grading and covering with bluestone chips, for areas within 100' of tidal or freshwater wetland, and all as depicted on the map of Cedar Beach Park. 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 inspection. (See attached schedule.) This is not a determination from any other agency. Fees: None Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/hct TOWN CLERK REGISTRAR OF VITAL STATISTICS MARI~IAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 MA;n Road P.O. Box 1179 Southold, New York 11971 Fax (631) 76~-614& Telephone (631).768-1800 southoldtown.northi'ork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION FOR PUBLIC ACCESS TO RECORDS INSTRUCTIONS: Please complete Section I of this form and give to Town Clerk's Office (agency Freedom of Information Officer). One copy will be returned to you in response to ),our request, or as an interim response. SECTION I. TO: (Department or Officer, if known, that has the information you are requ~asting.) ' RECORD YOU WISH TO INSPECT: (Describe the record sought. If possible, date, file title, tax map number, and any other pertinent information.) supply Mailing Address (if different from above): Telephone Number: L.~--~ ~-~,~C~ Date: [ ] APPROVED DENIED~RECrcl~/F'D [ ] APPROVED WITH DELAY* [ ] ' Freedom of InfOrmation Officer Date * If delayed or denied ~ee rever~e aide for explanation. Telephone (631) 765-1892 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Tuesday, September 14, 2004, the following recommendation was made: Moved by Don Wilder, seconded by Doris McGreevy, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Wetland Permit application of CEDAR BEACH PARK ASSOCIATION to repair the residential driveways, currently dirt roads, by grading and covering with bluestone chips. Located: Cedar Beach Park at Bayview. Vote of Council: Ayes: All Motion Carried l[l, l:~:ll [~,.~, Ill il :ll'~! IIII1~ llll: Il Il Il Il "I~! ,~Ii' ! " l:l ,II Cedar Beach Park Association P.O. Box 409 Southold, New York 11971 Board of Trustees Town of Southold P.O. Box 1179 Southold, New York 11971 September 6, 2004 SEP - 9 2004 $outhold TOwR Board of Trustees Re.: Right-of-way repair Map of Subdivision of Cedar Beach .Park at Bayview Map No. 90, Tax map #'s: 1000 - 89, 90, 92 To The Board: Our check for two hundred fifty dollars ($250.00) was submitted by Virginia Alessi, our Treasurer, on September 2, 2004 (receipt #.468). I have also enclosed copies of the vote forms for all (42) members in good standing, with the handwritten votes. They tally as follows: 36 in favor of the Association repairing the right-of-ways, 4 in favor of individuals repairing the right-of-ways, and 2 abstentions. There are sixty-six (66) properties affected by the proposed project, including those above, and all sixty-six will receive the requisite hearing notification by certified mail. We have also voted to amend our Constitution and By-laws to make right-of-way repair and maintenance the Association's continuing responsibility. This second confirming vote was conducted at a later date and was in full accordance with the stipulations of our By-laws for such amendments (min. 75% vote of 51% quorum, present or by proxy). A copy of the By-laws, amendments, and a tally of these votes will be provided to you, should you require it. Please understand that these repairs are being undertaken onlyto meet access requirements specified in Town Zoning Code 100-235 B and C in Part II- General Legislation, Chapter 100 -Zoning, Article XXVII, Supplementary Regulation. Because of the present condition of the right-of-ways, with multiple large potholes, they are a significant safety hazard to the residents of the community and an impediment to the passage of emergency, fire, and police vehicles. If there are any other questions or concerns, please feel free to contact me at 516-413-7209 or 631-765-3538. Thank you for your thoughtful consideration of our requests. Sincerely, President, Board of Directors Cedar Beach Park Association Cc: Patricia C. Moore, Esq. CODE OF THE TOWN OF $OUTHOLD, NEW YORK, vt35 Updated 6-5-2002 PART II GENERAL LEGISLATION Chapter 100. ZONING ARTICLE XXIB, Supplementar~ Regu~attone [Added 1-10-1989 by L.L. No. 1-1989] § 100-235. Access requirements. § 100-235. Access requirements. A. Street access. (1) No building shall be erected on a lot that does not have direct access to a public street in acccanhnco with § 280-a of~ha Town Law. ~ · ~ bu~d'~ ~halt be so located as to provide saf& and oonveni~t a~c~ss for servicing, fire and police protection and off-slxeet parking and/or loading. B. Residential rear or flag lots and accessways. Any rear lot or flag lot occupied or to be occupied by a one-family dwelling shall have access thereto by means ot~lill~i~ having a width oflll~[~...~[[~. ~'~[~se~ing only such lot. The area of the accessway shall not be in¢l~ in d~atflainin~ the are~ of any lot. The front yard of any lot having access to a street by means of an accesaw~ shall be th~reqaired froot yard specifw, d for the district in which the lot is located and shall be ~ ft~m th~ r~r lot line to th~ front lot. C. _ II II. _ I IIIII II I I II -" _ __ __., ~lll~lllll~ [Added 3-26J1991 by L.I~. NO. 8~1991; ar~ended (~-11-1996 by L.L. No. 10- 1996] § 100-236. Open storage. [Amended 3-26-1991 by L.L. No. 7-1991; 12-22=1992 by L.L. No. 35- ~9921 No tmenclosed storage, except parking of operable pmaenger vehicles capable of passing inspection or ~ vehicles or boats and commercial vehicles as set forth in § 100-191, shall be permitted in a residential di~hiCt. § 100-237. Prohibited uses in aH districts. [Amended 11-24-1992 by L.L. No. 26-1992] A. Any use which is noxious, offensive or objectionable by reason of the emission of smoke, dust, gas, odor or other form of air pollution or by reason of the deposit, discharge or dispersal of liquid or solid wastes in any form in such manner or amount as to cause permanent damage to the soil and streams or to adversely affect the surrounding area or by reason oftbe creation of noise, vibration, ele~humagnetie or other disturbance or by t~ason of illumination by artificial light or light reflection beyond the limits of the lot on or from which such light or light reflection emanates; or which involves any dangerous fire, explosive, radioactive or other hazard; or which causes injury, annoyance or disturbance to any of the surrounding properties or to their owners and occupants; and any other process or use which is unwholesome and noisome and may be dangerous or prejudicial to health, safety or general welfare, except where such activity is licensed or regulated by other governmental agencies. B. Artificial lighting facilities of any kind which create glare beyond lot lines. Cedar Beach Park Association P.O. Box 409 Southold, New York 11971 September 16, 2004 Board of Trustees Town of Southold Southold, New York 11971 Re.: Application for right-of-way repairs Map of Subdivision of Cedar Beach Park at Bayview (map #90) Tax map #: 89, 90, 92 To The Boa~: Enclosed please find a copy of the letter recently sent to our neighbors on Orchard Lane and Clearview Road. Apparently, there is a misconception on the part of the property owners on those right-of-ways that they were to be included in the Park Association's repair plans. Because only one property owner on those right-of-ways expressed interest in membership in our organization, we did/do not plan to include either street. This is evident in our application, and was also explained to Mr. Krupski. Apparently, they have gathered a petition to the Board of Trustees to prevent our repairs because of the confusion. The letter enclosed reiterates and confirms what is and always has been our intention (i.e. EXCLUSION of Orchard Lane and Clearview Road, except as diagrammed in our application) and what I discussed personally with Mr. Krupski on September 8. Please take this information into account upon receipt of the petition and upon review of our application. I deeply apologize for any confusion. Respectfully suhrniffed, Theresa M. Prendergast President, Board of Directors Cedar Beach Park Association cc: Patricia C. Moore, Esq. Cedar Beach Park Association P.O. Box 409 Southold, New York 11971 September 16, 2004 Dear Neighbor: We recently received a letter from a member of the community expressing concern about the repairs planned for the right-of-ways in the Cedar Beach area. There appears to be considerable confusion and misunderstanding. The Cedar Beach Park Association plans to repair the following right-of-ways: Cedar Beach Drive - south of Park Association sign Private Road West Orchard Lane Oakwood Drive/Court Clearview Road - cleared portion b/w Oakwood & Private Rd Lakeside Drive North Cedar Point Drive East Lakeside Drive South Inlet Way Cedar Point Drive West Midway Road West Lake Drive - east of West Lake Inlet The application to the Board of Trustees clearly defines, on the maps required with the application, that the above referenced right-of-ways are the ONLYones involved in the application. This point has been discussed at length by Mr. Krupski, President of the Board of Trustees and our President, Terri Prendergast. The application and attached maps are available for your review in Town. As only ONE(l) property owner on Orchard and Clearview Lanes responded with interest in membership in our Association, we have NO INTENTION of including either of those right-of-ways in our repairs. Obviously, there is NO FINANCIAL RESPONSlBILITYto the property owners on Orchard or Clearview Lanes (east of the Cedar Beach Park Association sign), and there will be NO ASSESSMENT. Please direct any questions you may have to our President, Terri Prendergast (cell # 516-413- 7209) or Chris Schowalter (765-4106). Board of Directors Cedar Beach Park Association cc: Board of Trustees Patricia C. Moore, Esq. 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 Office Use Only Coastal Erosion perrmt Application .~Wetland Permit Application __ Waiver/Amendmept/Changes ~eceived Applica2~"' __Received Fee:$ ~'~' ~Completed Application __Incomplete __SEQRA Classification: Type I Type II Unlisted dination:(date se[~_ Referral Sent: e of ection: Receipt of CAC Report: __Lead Agency Determination: Technical Review: __V, blic Hc ng Held: __Resolution: ~" Major __ Minor AU6 2 ~ 2004 Snuthold Town Board of Trustees NameofApplicant ~ '{~:moaz~ '~t'~ Address ~0. ~>cr~ ~4Oq ~,~.t4,,toid , N.~. Phone Suffolk County Tax Map Number: 1000- rropertyLocation: ~o4 of ~g~bddn'gt'~ o'~ ~dov fx.'nrk~ Pack (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: · " ' " OBoard of Trustees Application GENERAL DATA Land Area (in square feet): Area Zoning: regid t/a h'tt I Previous use of property: V(~lal- -0[ ' ~tt~/ Intended use of property: 5amt ~s tllo0vg 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? ,,~ No Yes If yes, provide explanation: Project Description (use attachments if necessary): oard of Trustees Applica ;1on WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose ofthe proposed operations: '1~ (e~O~e" I~o~'ho1¢$ ~lAp h> 12-t'n. Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling7 I~ No q Yes If yes, how much material will be excavated? 0 cubic yards How much material will be filled, fo ao¢~ n~t~f- cubic yards of- Depth of which material will be removed or deposited: O. ~ Proposed slope throughout the area of operations: '0 Manner in which material will be removed or deposited: wil smoo h riOm-of- feet 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): none e ?eeted . PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 1. APPLICANT I SPONSOR 3.PROJECT LOCATION: Muni~pa,ty ~UVho ht 617.20 APPENDtX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2. PROJECT NAME ReDa(r' ol Rib~- of-~ays County 3~.~fo ~ ~ 4. PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc -or provide mad Rio $~bdt;,,'~¢;r- of cect~v ~-a~ Pack a+ P~,lV~, ~4~,(, 7o SEQR 5. is PROPOSED ACTION: [~ New [~ Expansion [~Modification / alteration DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: ~ '~J GZ,O00 ~.~, ~ ~q~ht-of-way Initially acres Ultimately acres 8.1~ PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? I~lYes [] No If no, describe briefly: RAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as manyas apply.) .sidential [-'-]Industrial r'-~Commercia, [~Agrica~tur, [~Park/Forest/OpenSpace [~ther (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) E]TMuJ-~N° If yes, list agency name and permit /approval: 11. DOES A~..~..~PECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ['~Yes L_..~o if yes. list agency name and permit / approval: 12. AS A RESJJI.T OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? I CERTIFY THAT THE INFORMATION PROVIDED ABO~E IS TRUE TO THE BEST OF MY KNOWLEDGE AD~llcant / Soonsor Name~~' ~;~ ~'~'~' ~4:~7~'t:;t4%{:3f'~' ,~ r If the action la a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT (To be completed by Lead Agency) ~ A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If yes, coordinate the review process and use the FULL EAF. E. WiLL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative declaration may be supereeded by another involved agency. C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if laglble) C1 Existingairqua~ity~surface~rgr~undwaterquaIityorquantity'n~ise~eve~s~existingtra~cpattem's~idwastepr~ducti~n~rdisp~sa~' potantial for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, hisfodc, or other natural or cultural resoumes; or community or neighborhood ~haracter? Explain~bdefly: I C3. Vegetation or fauna, fls~, shellfish or wildlife species, significant habitats, or threatened or endangered species~ ~:xpi~ln briefly: I. C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use ot land or other natural resources? Explain briefly: l C5. Growth, subsequent development, or related activ~fles likety to be induced by the proposed action? Explain briefly: C6. Long 'term, short term, cumulative, or other effects not identified in Cl-C57 Explain bdefly: I I C7. Other impacts (including changes In use of either quantity or type of energy? Explain bdetiy: I I D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? (If yes, explain bdeify: r~Yes [~No E. I$ THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: r--lYes r--INoI PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adveme effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the environrnental characteristics of the CEA. Check this box if you have identirmd o~e or more potentially large or significant advorse impacts which MAY occur. Then proceed diroctiy 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 actior WILL NOT result in any significant adverse environmental impacts AND provide, on aflachments as necessary, the reasons supporting thi.~ determination. Name of Lead Agency Date Pdnt or Type Name of Responsibla Officer in Lead Agency Ti6eofResponsibleOfficer Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) Albert J. Krupski, President James King, Vice-President Artie Fester Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Rotate 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) AFFIDAVIT OF POSTING / being duly sworn, depose ~d say: That on the iZ~y of ~ 20~, I personally pos~ ~c prope~ ~o~ ~ by placing ~e Bo~d of T~tees official poster where it c~ e~ily bc seen, and that I have checked to be s~e the poster h~ rem~ned in place for ci~t ~ys p6or to ~e d~c of~e public being. Date ofhe~g noted thereon to be held ~.,~ .~, ~. . Dated: (signature) Sworn to before me this day of ~p4.200~ Notary Public MELISSA M,~3OWAN Public, State O! N~w Y~d~ bio. ~91S Ou~lltled In Suffolk ~,o~r~ni~ion Expires May NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD l_n the matter of applicant: SCTM#~'~ YOU ARE HEREBY GIVEN NOTICE: ~ 1. That it is the intention of the unders~ed to request a Permit from the Board of Trustees to: / 2. That the property which is the su ~ject 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, and/or 97 of the Town Code is open to public comment on: . You may contact the Trustees Office~ 765-1892 or in writing. / The above-referenced proposal is un~lt~r review of the Board of Trustees of the Town of Southold and does not reference any o~ncy that might have to review same proposal. PHONE #: Enc: Copy of sketch or plan showing proposal for your convenience. of Trustees Applicat~on' County of Suffolk State of New York -[hOre¢ct M. ~c~n~,~{, 17rgr-~de, rlt- BEING DULY SWORN DEPOSES AND AFFIRI~S THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BESI OF I-IlS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO B .FORE ME THIS DAYOF . Notary Public ~rd of Trustees Applicat~ A~'£uOP/ZATION (where the applicant is not the owner) (print owner of property) residing at ~O.~C~ flrOq (mailing address) do hereby authorize (Agent) to apply for permit(s) from the 8 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM Tbe Town of Southold's Code of Ethics vrohibJts~conflicts of interest on the part of town officers and emolovees. The nurpose of this form is to urovide informatio~ which can alert thc town of possible conffic~ of intorest and allow it to take whatever action is necessary to avoid same. YOUR NAME: (Last name, fu'st name, middle in,al, unless you am applying in the name of someone else or other entity, such as a company. If so, indicate the other person's or company's name.) NAME OF APPLICATION: (Check nil that apply.) Tax grievance Building Variance Tros~e Change of Zone Coastal Erosion Approval of plat Mooring thfion from plat or official map Planning er", name the activity.) f'~l'~' t~t ~i~h~.,~ (l'~ht-O/~- s"400¥~ Do you pemounlly (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee oftbe Town of Southold? "Relationship" includes by blood, man'inge, or business interest "Business interest" means a business, including a partnership, in which the town officer or cmployne has even a partial ownenhip of(or employment by) a coq~oration in which the town officer or employee owns more than 5% oftl~ shares. YES NO ,~ If you answered "YES", 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 applicant/ngent/representative) 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, paronl, or child is (cheek nil that apply): __.A) the owner of greeter than 5% oftbe shares of the corporste stock of the applic4mt (when the applicant is a corporation); B) the legal or ~ceficini owner of any interest in a non-corporate entit~ (when applicant is not a corporation); __.C) an officer, director, parm~i', or employee of the applicant; or __.D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I Submil~ed mis tb ~.y_o~Aug~4' 200 q- Print N~e ~ M. ~~ Cedar Beach Park Association c/o Oinny Alcssi P.O. Box 123 Southold, New York 11971 July 28, 2004 Board of Trustees Town of Southold Main Road Southold, New York 11971 Att'n.: Albert J. Krupski, President Re.: Road repair and maintenance Map of the Subdivision of Cedar Beach Park at Bayview AUG - 3 2004 Southold Town Board of Trustees Dear Mr. Krupski and Members of the Board: We are writing to request assistance in the management of the right-of-ways within the Map of the Subdivision of Cedar Beach Park at Bayview, Map No. 90, filed December 19, 1927. The members of the Association recently approved the assumption of the repair and maintenance of our right-of-ways by the Association. The roads involved are highlighted on the map enclosed, and include: - Cedar Beach Drive West - Cedar Point Ddve East & West - Pdvate Road - West Orchard Lane - Oakwood Drive - Lakeside Drive North & South - Clearview Road - Inlet Way - Midway Road - West Lake Ddve, east of West Lake Inlet - Orchard Lane The costs of the repair and maintenance of the right--of-ways will be borne by equal assessment of all property owners whose property faces on to one or more of the roads highlighted on the map. For a small association, the costs of this maintenance are high, and as such would like to keep them to a minimum. Page 2 We are requesting that any building permits issued for properties adjacent to these roads be required to post a bond to repair any and all damage to the repaired roads. I will be happy to provide any documentation, legal or otherwise, we may have available that may be of assistance to you in coming to a decision regarding this matter. I look forward to your favorable response. Thank you. Sincerely,~/~ ,~-, - .-~. Theresa M. Prendergast President cc: Building Department Zoning Board of Appeals