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Home My WebLink AboutTR-5188 Michael J.Domino,President Qf SOUTH, Town Hall Annex John M.Bredemeyer III,Vice-President ,`O �� 54375 Route 25 P.O.Box 1179 Glenn Goldsmith 1�[ Southold,New York 11971 A.Nicholas Krupski G Telephone(631) 765-1892 Greg Williams �O �� Fax(631) 765-6641 �y0OUNV I BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 15, 2019 Lydia Giordano DeFeis 1970 NE 31St Court Lighthouse Point, FL 33064 RE: 1165 CEDAR POINT DRIVE WEST, SOUTHOLD SCTM# 1000-90-1-3 Dear Ms. DeFeis: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, May 15, 2019: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit#5188 from Douglas DeFeis, as issued on July 19, 2000 and Amended on October 25, 2000. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please contact our office at (631) 765-1892. Sincerely, Michael J. Domino, President Board of Trustees MJD/dd O�� t/jyol Michael J.Domino,Presidi rF soTown Hall Annex �F + 54375 Route 25 John M.Bredemeyer III,Vice-President ti P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G 0 Telephone(631)765-1892 Fax(631)765-6641 Greg Williams COUNTi BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD APPLICATION FOR A TRANSFER OF A "Nn� � E � I V E APR 8 2019 DATE Sn�t,to�d Lown ar of T tis'°i s OWNER l Y&A &A-66 PH ' MAILING ADDRESS /q70 nl�� 3/S-" eod� 4"""' � dSP fn,a-, AL 330,C 9' AGENT RI-CiOft Sri V V PHONE Va y 3�9 07 57 ADDRESS P 0 609" /f(W A' 1";71 PROPERTY LOCATION /l(.S- C-DA�Z {��N7' ��+► GJ� T -$�' A ` 1197/ TAX MAP NO. 16,60- 69&00 - - - - - ------ ----- -- - - I/We yD,A i5 request a Transfer o - - Permit#�/ from De64eis Signed By:/- 3oard of Trustee's Applicata AFFIDAVIT �t A DEF`91S BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF 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,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. "Q'a4 Signature o rope Owner - Signature of Vroperty Owner SWORN TO BEFORE ME THIS 1--DAY OF 4jkAJ 20� NRYgss Valerie L Howard Notar3 ublic c ��NOTARYPUBLIC - STATE OF FLORIDA Comm#GG074991 Expires 5/28/2021 Michael J. Domino, President ,�QS�FF�(,i-�oG Town Hall Annex John M. Bredemeyer III,Vice-President l �� 54375 Route 25 Glenn Goldsmith y P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams ��ol dap! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in field by: i LYDIA GIORDANO DEFEIS requests a Transfer of Wetland Permit#5188 from Douglas DeFeis, as issued on July 19, 2000 and Amended on October 25, 2000. Located: 1165 Cedar Point Drive West, Southold. SCTM#: 1000-90-1-3 CH. 275-3 - SETBACKS , WETLAND BOUNDARY: i Actual Footage or OK=� Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet; 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool andrelated structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 V1 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: oxo i I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino G. Goldsmith N.,Krupski G. Williams Other i i I Albert J. Krupski, President James King, Vice-President A. rtie Foster Ken Poliwoda Peg~' 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 CERTIFICATE OF COMPLIANCE # 0009C Date 10/1/04 At THIS CERTIFIES that the single-family dwelling 1165 Cedar Point Dr. West, Southold Suffolk County Tax Map # 90-1-3 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 6/21/00 pursuant to which Trustees Permit # 5188 Dated 7/19/00 Was issued, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is a single-family dwelling The certificate is issued to aforesaid property. Douglas DeFeis owner of the Authorized Signature Albert 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) 765-1692 Fax (631) 765-1366 YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALl. BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction ¼ constructed Project complete, compliance inspection. Albert J. Krupski, President James K/ng, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickersor Town Hail 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 June 18, 2003 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Douglas DeFeis 2228 NE 2,5th 2:. Lighthouse Point, FL 33064-8349 1165 CEDAR POINT DR., SOUTHOLD SCTM#90-1-3 Dear Mr. DeFeis: 'lite following action was taken by the Southold Toxvn Board of Trustees at their Regular Meeting held on Wednesday, Jurte 18, 2003: RESOLVED that the Southold To~vn Board of Trustees grants the last One-Year Extension to Wetland Permit #5188 xvith the condition that gutters and d .r.ryxvells are installed to contain the "cc £ mn-o ff and as depicted on the survey' prepared ~,y John T. Metzer last dated December 3. This ts not an at,prvx .4 ti'om an? other agency. lfSoti h.ave :tiny quesnons, please do ao: b~slt¢.te :o cantact this office. Sincerely, Albert J. Krupski, Jr. President. Board of Trustees AJK: lms Albert J. Krupski, President James King, Vice-President Hen.,'y Smith Artie Foster Ken Poliwoda Town Hall 53095Ma/nRoad P.O. Box 1179 Southold, NewYork 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN "tRUSTEES TOWN OF SOUTHOLD Please be advised that your application, dated has been reviewed by this Board, at the regular meeting of ~//~/03 and the following action was taken: ( /~ Application Approved (see (__) 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. COS[PUTATION OF PERMIT FEES~ ~ TOTAL FEES DUE: $ lC,CO SIGNED: PRESIDENT, BOARD OF TRUSTEES BY: ~i~ERK, BOARD OF T~U-STEES 4/98 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 11971-0969 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 28, 2002 Mr. Douglas~ DeFeis 2228 N.E. 2~h Street Light House Point, Florida ~ 5 o Gq RE: 1185 Cedar Poim Drive, Southold, NY SCTM#90-1-03 Dear Mr. DeFeis: The following action was taken at the Southold Town Board of Trustees Regular Meeting on May 22, 2002. RESOLVED, that the Southold Town Board of Trustees grant a one year extension to Permit #5188 dated July 19, 2000 to include the existing patio, decking, stairway and dock. While maintaining existing foundation footprint on the survey. However, this determination is not a determination fi:om any other agency. If you have any questions, please contact our office at 765-1892. Sincerely, Albert J. Krupski, Jr. President, Board of Trustees AJK/cjc May 15, 2002 Board of Town Trustees, Town of Southold Town Hall 53095 Route 25 P.O. Box 1179 Southold, N.Y. 11971-0959 Re: Permit #5188 To Whom I5 May Concern: Enclosed is a check for $10.00 for the automatic extension of permit ~5188 as per my fax on May 15. Enc. Y o u r~ t rullc~ Dougl~ DeFels F'POtl : L !GHTHOUSE [NN NO. :9547859802 Ma ,S 2002 ll:04Af9 P1 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 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 30, 2000 Mr. Douglas DeFeis P.O. Box 1775 Southold, NY 11971 Re: 1165 Cedar Point Dr., West SCTM#90-1-3 Dear Mr. DeFeis: The following action was taken at the Southold Town Board of Trustees Meeting held on Wednesday, October 25, 2000: RESOLVED, that the Southold Town Board of Trustees grant the request for an Amendment to Permit #5188 to include the existing' patio decking stairway and dock, while maintaining existing foundation footprint on the survey. This is not an approval from any other agency. If you have any questions, please call our office at 765-1892. Sincerely, · 9. Albert J. Krupski, Jr. President, Board of Trustees AJK:lms DEC Telephone (516) 765-18q ~. Town Hall, 5309.5 Main Road P.O. Box 1179 Southold. New York 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Monday, October 23 2000, the following recommendation was made: DOUGLAS DE FEIS 90-1-3'to Amend Permit #5188 to include the existing patio decking stairway and dock, while maintaining existing foundation footprint on survey. 1165 Cedar Point Dr. West, Southold The CAC did not make an inspection, therefore no recommendation was made. 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 October 5, 2000 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Douglas DeFeis P.O. Box 1775 Southold, NY 11971 RE: 1165 Cedar Point Dr., West Southold SCTM#90-1-3 Dear Mr. DeFeis: Your revised plans to replace the existing structure with a pre-manufactured structure on the same exact foundation, with an approximate 4.5 inch overhang in the front and rear, conforms to ' the permit issued. However, you must apply for an Amendment to the permit to include the deck and the stairs. If you have any questions, don't hesitate to call. Very truly yours, Albert J. Krupski, Jr., President Board of Trustees AJK:lms Sep !5 OO 01: 35p Ci~ol Arnold 95,4-785-9802 agn nonse ann Elite &ted Mr Albert Krupski, Pres. Southold Town Trustees Town Hall, Southod N.Y. September 15, 2000 Dear Al; I am writing this letter to respond to a clarification request that the Bulding Dept. has asked .of us. We had obtained a Trustees Wetlands Permit to Ceplace our existing structure with a 2 story structure on the same foundation footprint.(Permit #5188).We are exploring the option of swinging a quality, pre-manufactured stucture on the same exact foundation footprint that was approve~in July. The foundation footprint is 25 foot three inches deep, and the new structure would be 26 ft. deep, which woud mean that there would be an approximate 4,5 inch overhang in the front & rear. The Building Dept recognizes that it is common for overhangs of structure over exist ing footprints (& soffits typically overhang from 10' to 20' around structures) & this will not effect the lot square footage as appears on the existing survey,as approved. However, they suggested it would be a good idea to confirm this with you before we go ahead & place our order. They also pointed out that we had evidence in their files of a prc cxisting deck in the rear which measures 14 X 11 ('154' area) in the rear w/steps accessing the pre-existing dock & Seawall, but that is considerably less than the area quanity we have now. We have concluded that a deck & steps of the pre-existing size would be sufficient for qur needs. We wre hoping to clarify this as well. Just to keep you informed, we spoke with Mr. Frank Cempenelli regarding our interest in his lot for presevation & he stated that the lot is still tied up with someone who is attemping to develope it. I can't do much more than I already have for now. I thank you in advance for your consideration in these metiers, 1020 N. ltJ. verside Drive ~ Pompano Beach, FL 33062 ,0~ (954) 943-6318 ~ FAX (954) 785-9802 S~p I5 00 0]:35p Carol Arnold 954-785-9802 p. 1 An Elite Assisted Living Residence FAX COVER SHEET TO: FAX # FROM: FAX # DATE: (954) 785-9802 PAGES SENT (&c~ding Cov~Sheet) COMMENTS: 1020 N Riverside Drive ~. Pompano Beach. FL 33062 ~. (954) 943-6318 ~, FAX (954) 785-9802 Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. .~"~/~'~' DATE: ...(~ly .19~.~.~0.0 ISSUED TO DOUGLAS DE EElS ' Pursuant to the provisions of Chapter 615 of the Laws of the. State of New York, 1893~ and C~apter.404 of the ~ws of the · State of New York 1952~ and the .Soufhold ToWn Ordinance en- titled ."REGULATIN~o AND THE PLAC;IN~o OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, ~oRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS:.'~ and in accordance with the Resolution of The Board adopted afa meeting held on ...~.~!~....{~..t.~. ,..~.(~.~.0, and in consideration of the sum of $.......15.0...00..... paid by - .PECONIG-.-A.SS.OGt-A-TE.S ;..-INC. · ........................................... : ..................... of ............. C~.~p.~.~ ........................................ N. Y. and subject to the Terms and Conditions listed on the reverse slde hereof, of Southold Town' Trustees authorizes and permits the following: Wetland Pe~'mit to replace existing residential dwelling on same foundation (subject to review' by an architect or structural engineer) v~[tt~ 'a 'two story dwelling. Building . fo?print to be identical to existing... . all m accordance with the detailed spec,flcat,ons as presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes, lfs Corporate. Se. al to be affixed, and these presents fo be subsc.bed by a 'malordy of the sa~d Board as of this date. AR. TIE FOSTF, P (A~n+) "' Trustees TERMS and ¢ONDmONS Tke pD~r~eLAS DE FEIS residing at Cedar Point Drive West.· Southold N. ¥, as part of the consideration for the issuance of the Permit does understand and prescn~ to the fol- lowing: 'L Th-, the said Board of Tn~tees nad the Town of Southold tm released f~c,~ any and all damages, or ~l~tm, for d*mge~ of suits arising directly ne lndimxl7 as a result of any oper- atlon performed pursuant to this permit, and the ~aid Petm/etee ~ at b/s ot her own expense, defend nay' and all' such su/ts'in/da~ed by thL'd pard~ and the saki Petmittee assumes ~ lhbiflty with respect thereto, to the complete exclusion of the Bnezd of Tmstt~ of the Town of ,qouth01d 2. That this Permit is valid for · period of 24 . mo~ which is comtdeted to be the estimated time' requited to complete the work involved, but should citmmst~ces warrant, request for na ~c~sion may be made to the Bo~d at a later date. 5. That thi~ Perm/t should be zeal.ed indefialtd7, or as long as the sdd Pe~mittee wishe~ to maLntain the structure or project involved, to provide evidence to anyone concerned that auth- orization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board ot it~ agents, and non-compliance with the provisions of the otl~nndng application, may be _~1~ fo~ revocation of this Permit by resolution of the said Board. 5. That there wiH be no unreasomlble interfe~nace with navigation as · tv~_,lt of the ~ herein authorized. 6. That there shall be no interference with the right of the public to pass and tepa~ ~lo~g 7. That if future operations of the Town of Southold requite the removal nad/or alterttlom in the location of the work herein nathotised, or if, in the opinion of the Board of Tmst~% the. work shah cause unreasonable obstmcaoa to free navigation, the said Petmktee will be teq~ upon due nodce, to remove or alter this work or project herein stated without ezlw. ases to the T~.... of Southold. 8. That the said Board wLU be notified by the Permit'tee ot the completion of the work antil- orizecL 9. That the Permittee will obtain aU other pet'mi-- and consen~ d~t may be requited plemental to this permit which may be subject to revoke upon failure to obt~, same. 7], Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hail 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 July 20, 2000 Mr. Merlon E. Wtqgin Peconic Associates, Inc. One Bootleg Alley Greenport, NY 11944 Re: DOUGLAS DE FEIS SCTM#90-1-3 Dear Mr. Wiggin: The followin9 action was taken by the Board of Town Trustees during its regular meeting held on July 19, 2000 regarding the above matter: WHEREAS, Pec~nxc Associate~, Inc. on behalf of DOUGLAS DE YEIS appii~d to th~ Southold Town Trustees for a permit under the provisions of the Wetland OrdJ. nance of the Town of Southold, application dated June 21, 2000, and WHEREAS, said application was referred to the Southold Town Conservation Ad.visory Council for their findings and recommendations, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on July 19, 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 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 DOUGLAS DE FEIS to replace the existing residential dwelling on the same foundation (subject to review by an architect or structural engineer) with a two-sto~-f dwelling. Building footprint to be identical to existing. 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 of Trustees AJK/cjc cc: DEC Dept. of Health Building Dept. Telephone Tovm H',dl. 511095 ~ Road P.O. [~ox 1179 3ouchold. New Y~'k 11971 $OUTHOLD TOWN CONSERV~.TION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Tuesday, July 11, 2000, the following recommendation was made: Moved by Richard Smith, seconded by Bill McDermott, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAi~ WITI{A CONDITION of the Wetland Permit Application of I)OUGLAS DE FEIS 90-1-3 to replace existing residential dwelling on same foundation (subject to review by an architect or structural engineer) with a two-story dwelling. Building footprint to be identical to existing. 1165 Cedar Point Dr. West, Southold The CAC recommends Approval with the following conditions and concerns: 1. Non-turf buffer. 2. Concern about the condition of the septic as to whether or not it can handle the increased flow. 3. The CAC questions the removal of the large tree and the removal of the decking. Vote of Council: Ayes: All Motion Carried PECONIC ASSOCIATES, INC. ENVlRONNEN'~A.~ PLANNERS & CONSULTANTS One Boo~legA. lley - P.O. Box 672 Gx~enpox'~, Mew Kook 119d~ ~elephone (631)477-0030 Fax (631)~77-0198 June 21,2000 Board of Trustees Town of Southold P.O. Box1179 Southold, NY 11971 Gentlemen: RE: Douglas De Feis Application Cedar Point Drive West, Southold Tax Map # 1000-90-01-03 The applicant requests approval to replace the existing single story residential structure with a new two story residential structure with an identical footprint. It is anticipated that the architect for the replacement structure may require some repair and reinforcing of the existing concrete block foundation. As it is anticipated that this project would have no environmental impact a waiver is requested. Reference is also made to the recently approved Southold Town Trustees permit, number 5141, for replacement of bulkhead and dock. Sincerely, PECONIC ASSOCIATES, INC. President PECONIC ASSOCIATES, INC. ~NVIRONMENTAL PLA.NNER~ & CONSULTANTS One Bootleg Alley - P.O. Box 672 ~reenport. ~ew ~ork 1196~ Telephone (631)~77--0030 ~ax (63l)477-0198 June 21,2000 Board of Trustees Town of Southold P.O. Box 1179 Southold, NY 11971 Gentlemen: RE: Douglas De Feis Application Cedar Point Drive West, Southold Tax Map # 1000-90-01-03 The applicant requests approval to replace the ex'isting single story residential structure with a new two story residential structure with an identical footprint. It is anticipated that the architect for the replacement structure may require some repair and reinforcing of the existing concrete block foundation. As it is anticipated that this project would have no environmental impact a waiver is requested. Reference is also made to the recently approved Southold Town Trustees permit, number 5141, for replacement of bulkhead and dock. Sincerely, PECONIC ASSOCIATES, INC. President / / , ® NECK '% III 530~ ~' -P--o,..,'b.c_ ,2% SCT~ ~ qo- -'rh,~,-, b qou t i~ p,,_d dc~ ',"~ C' yGUF O.~ ~.S ide_i-o..'(-, o(1 JUN ! 2 20c,,, .L.~/! $oufhold Town Board of Trustees $OlYl ll FIIGILII'I' (9,:'54.) T8l-,5880 TCb Ce C95ae) T83-231T 9'¢qT6 ~ p'¢l~'~ &C~NT (Ineludin8 Co~¢:r ~h¢¢t) _ 3305 S.E. 5'" Street ~ Pompano Beach, FI. 33062 ~ (954) 783-2317 ~ Fax (954) 781-5880 A]ber~ J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 1197! Telephone (516) 765-18.~2 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application Wetland Permit Application randfajLh~c~Rm-r~lit Applicatio~ aiver~Amendmen~Changes ,/Received Application:/~/~.~ /Received Fee:$ ~ ~ompleted Application Incomplete ...SEQRA Classification: Type I Type II Unlisted ~7~ ~ordination: ( date sent) CAC Referral Sent: /0~-~ --w-D~te of Inspection: · Receipt of CAC Report: Lead Agency Determination: Technical Review: -- --~--ublic Hearing Held: /~)/~ Resolution: Name of Applicant Address II &~ Phone N~er Suffolk County Tax Map N~er: 1000 Property Location: h ~%- C~ ~i~ (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: FAX#: B~ of Trustees Applicatione Land Area Area Zoning: Previous use of property: Intended use of property: GENERAL DATA (in square feet): 710~ Prior permits/approvals for site improvements: Agency 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): Z of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: /~¢n~ p¢~,'+ 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/aearest proposed structure and upland edge of wetlands: ~ feet Does the project involve excavation or filling? / No Yes If yes, how much material will be excavated? cubic yards How much material will be filled? 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): B~ of Trustees Application County of Suffolk State of New York ~c~%i~> ~D~i~ BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPRO~ED BY THE SOUT~OLD 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 HERRRY 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. Si~ture Notary Public PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: U.S. Postal Service CERTIFIED MAIL RECEIPT (Domestic Mall Only; No Insur.~l~ce Cover~ge Provided) U.S. Postal Service CERTIFIED MAIL RECEIPT IDomest~c Marl Onl[z; No Insurance Coverage Prowded) STATE OF NEW YORK COUNTY OF SUFFOLK /)c~o~ [D~---[~ ., residing at ~%~ ~],~ ~6~, ~ ~ , being duly sworn, deposes and says L~+~o'~ ,o~, ~,_ ,~?j~o, deponent mailed t~at on the __~ Qay of Oc~w 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 , that said Notices were mailed to each of said persons by (certified) (registered) mail. Sworn to before, me this day of ~19~--~ 6 Albert J. Krupski, President James King, Vice-President Henw Smith A_~ie Foster r(en ?oliwcda Town Hall .53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephene (,331) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Mat%er of the Application of COUNTY OF SUFFOLK) STATE OF NEW YORK) F :DAVIT Or POST:.G f,_.~oQ_~q_~___~__~l~_~_, residing at ZZ?.~ ~J~ L, being duly sworn, depose and say: Thc- c.~ ~:n~ [O day cf ~' , 200~, ri ~ ~_ r.'~-~_. ~.._ ... t~,-.,. _ 5card of Trustees official poster where easil'.3 Li~ 3een, an~.~ tkat I have checked to be sure th~ pcstcr ha~ r:~mai~':ed in place for eight days prior to the date of the pu~ ..... D~ar~ng. Date of hearing noted thereon to be held Sworn to before me this /o~n ~ay o f Oc ~k~ 2000 Notary Public (signatu~) ' - OCT 05 '00 87:28PM SOUTHOL~ Tg~N HR1L 516 ?6.5 .- 0¢? _ FAX COVER sHEET ,5 FAX ii (9:54) 785--~$02 DATE: 102~ ~. ~3Avcr~ide Drive ~ Pompano ~each, FL 3306:Z ~ (954) 945-6a18 ~ FAX (95~) 785-9802 Albert J. I{rupski, President James King. Vice-President Hen~' Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-189'2 Fax (516} 765-1823 BOARD OF TOV~qW TRUSTEES TOWN OF SOUTHOLD Office Use Only _~oastal Erosion Permit Application etland Permit Application ~randfather Permit Application . Waiver/Amendment/C,h~nge~ Received Application:~ Received Fee:$ '---Completed Application~-~ ~Incomplete ' ' SEQRA Classification: Type Z__Type II Unlisted Coordination:(date~ ___CAC Referral Sent: Date of Inspection: Receipt of CAC Report Lead Agency Determination: .... Technical Review: .... Public Hearing Held:~ Resolution: Nan,c: of Applicant ~d76/~.~$ Address /~. dP. /~ I gf.~., Phone Number: (~/) ~-- ~ ! / Suffolk County Tax Map Numbcr: 1000 Property Location: ~D~O~ (provide LILCO Pole 9, distance to cross streets, AGENT: /m~-~_~,~//,. ,/'~-5'o~./,~2-~"5'. -~--,n/C. - ~ ~ ~ ~ (If applicable) Address:~ ~~ ~ ~.~ ~7~ and location) ~rd of Trustees Applicati Land Area (in square Area Zoning: Previous use of property: Intended use of property: ~ENERAL DATA feet): ~ ~g~ 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): Albert J. Krupski, Pres;dent James King, Vice-President Henry Smith Artie Fns~e~' Ken Poliwoda Town Hall 53095 Main Road P.O. I{ox 1179 Southold, New York 11971 Telephone (5161 765-18~2 F~x (51.6) 765-1823 BOARD O19' TOWN TO~,VN OF SO1) BOARD OF TRUS~T~,ES: TOWN OF SOUTHOLZ, In the Matter of the A%~plication ~TATE O~ NEW YORK) AFFIDAVIT O[' ' depose and ..nay: That oil the ~$h day o~ ~ , {-99 , i persona!±~ p~.~sted t :e by placing the Boar~ 0f Trustees official poste~ where it can easily be seen, and that I have checked to be s,.:~e the poster has remained in place for seven days prier to the date o~the . Dated: Swo:z,n t~o before me this ~/~)tary Publi.~' Veronica F. Oldone Notary Public, State of New York No: 52-4661406 Qualified in Suffolk Courtly Commission Ex[~ires Dec. 31 ~/ Oard of Trustees Applicat~ County of Suffolk State of New York ~3~ ~_~ BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE 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 PR~ISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS ~ O~DAY OF ~ Notary Public Rebecca A. Wolfram Notary Public, State of NewYor~ No: 01W06039106 Qualified in Suffolk County Commissio~ ':~-~;ms March oard of T~ustees Application (where AIYI~{ORIZATION the applicant is not the owner) (print owner of property) residing (mailing address) do hereby authorize~//~ (Agent) ~C_~pT~-~. ~Tm~.~/~. ~/~ ~". to apply for permit ( s ) from the Southold Board of Town Trustees on my behalf. ( c~'ner 's,/signatur~ )