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Home My WebLink AboutTR-6219Albert J. Krupski, President James King, Vice-President Artie Fester Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route25 P.O. Box 1179 Southold, NewYork 11971-0959 Telephone(631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD 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~ONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE t~Pre-construction, hay bale line 1st day of construction ¼ constructed /-'""/Project complete, compliance inspection. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0136C Date July 26, 2006 THIS CERTIFIES that the single-family dwelling, sanitary system & pervious driveway At 110 Second Ave., Peconic Suffolk County Tax Map # 67-4-20.6 Conforms to the application for a Trnstees Permit heretofore filed in this office Dated 9/23/05 pursuant to which Trustees Permit # 6219 Dated 10/19/05 Was issued, and conforms to all of the requirements and conditions ofthe applicable provisions of law. The project for which this certificate is being issued is for a single-family dwelling, sanitary system & pervious driveway The certificate is issued to ALLEN KRAUS owner of the aforesaid property. ro<~ Authorized Signature Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMff NO....~2...J .~ ........ D ATE: ...°.c..~.~b.~ L. J-..9..,. 2 0 0 5. Allen Kraus ISSUED TO .......................................... ~ ......................................................................................... nI'l rizalimt Pursuant to the provisions of Chapter &IS of Se Laws of the. State of blew Yorl~ 18,93; and Chapter 404 of the Laws of the State of New Yo& 1952, and the Souihold To~n Ordinance en- titled .'REGULATING AND THE.PLACING OF OBSTRUC~I~IS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL-O,R, OTHER MATERIALS.FJ.~C)M LANDS .UNDER TOWN 'WATERS?. and in accordance with 'fha Resolution of The Board adopted at a meeting held on ...o.~..,..~.~.~ .... · :~9..0..5..:., and in consideration of the sum of $..~.~......0..0. ........ paid by Allen Krau$ o~ .......... ~..°..°,.~,7.". ....................... :........' ...................... N. Y. e,d. ,~Nect ~o *he md Conditions listed on the reverse side hereof, Town' Trustees authorizes and permifs fha following: single family dv~llJng, on site savage dispossl system, sfid pervious property line and the west side of the ~uffer, and roof drains and drywetls to contain all run off, and ell as depicted on the plans with the detailed specifications as presented in apl011caflon. WITNESS WHEREOF, The said Board Of Trustees here- Corporate. S?I to be affixed, and these presenh to by ~'meloriB/of the said Board as of this date. . ~absant) . -m Allen Kraus Brooklyn .... ~ N.Y~ 4. That the wodt involved wil~ bo ml~ to t~ ~ and t~zoval o~ d~ Bo~d o~ am~cadoa of d~ ~ b,/r~olud~ of d~ Mid ~ 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) 765-1692 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 19, 2005 Mr. Allen Kraus 145 Kicks Street, A-54 Brooklyn, NY 11201 RE: 110 2nd AVENUE, PECONIC SCTM# 67-4-20.6 Dear Mr. Kraus: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, October 19, 2005 regarding the above matter: WHEREAS, ALLEN KRAUS 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 September 23, 2005, 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 October 19, 2005 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, RESOLVED, that the Board of Trustees approve the application of ALLEN KRAUS to construct a 28' x 60' single family dwelling, on site sewage disposal system, and pervious driveway with the condition of a line of staked haybales on the northern property line and the west side of the project, 50' non turf buffer, and roof drains and drywells to contain all run off, and all as depicted on the plans surveyed by John Ehlers and last dated 1/22/03. 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: $50.00 Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/hc Telephone (63 l) 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 Wed., October 12, 2005, the following recommendation was made: Moved by Don Wilder, seconded by Jennifer Mannino, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Wetland Permit application of,ALLEN KRAUS to construct a 28'X 60' single-family dwelling, on-site sewage disposal system and pervious driveway. Located: 110 Second Ave., Peconic. SCTM#67-4-20.6 Vote of Council: Ayes: All Motion Carried STAGE I ARCHIVAL SEARCH and ARCHAEOLOGICAL SURVEY for the KRAUS PROPERTY PECONIC, TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK Prepared by: David J. Bernstein, Ph.D. Michael J. Lenardi, M.A., R.P.A. Allison J. Manfra The Institute for Long Island Archaeology Department of Anthropology State University of New York at Stony Brook Stony Brook, New York 11794-4364 May 2003 ELIZABETH A. NEVILLE TOWN CLERK REGISTKAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS 1VLAIqAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.nor thfork.net OFFICE OF THE TOWN CT,F, RK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK Or CESSPOOL Permit No. 3245 R Fee $ 100.00 PERMIT ISSUED TO: Name : Address 1: Residential X Non-Residential Septic x Cesspool KRAUS, EMIL ALLAN 145 HICKS STREET A 54 city St zip BROOKLYN NY 11201 Descripton of Proposed construction or Alteration NEW CONSTRUCTION OF SINGLE FAMILY RESIDENCE FINAL APPROVAL REQUIRED FROM SUFFOLK COUNTY HELATN DEPARTMENT ALSO INCLUDING LOT 67 Name of Owner Mailing Address KRAUS, EMIL ALLEN HICKS STREET A 54 (:~ty St zip Property Address 1 BROOKLYN NY 11201 SECOND AVE city St zip 'Fax Map NO. section Cross Street Building Permit Number PECONIC NY 11958 670.00 block 4 lot 2.003 HUNTINGTON BLVD Cross Reference: issue Date: 1/26/05 Elizabeth A. Neville southold Town clerk (TOWN SEAL) 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 February 21,2002 Ms. Catherine Mesiano Catherine Mesiano, Inc. 12 Mill Pond Lane East Moriches, NY 11940-1222 RE: ALLEN KRAUS S/E Comer Second Ave. & Huntington Blvd., Peconic SCTM#67-4-20.3&20.4 Dear Ms. Mesiano: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, February 20,2002 regarding the above matter: WHEREAS, Catherine Mesiano, Inc. on behalf of ALLEN KRAUS applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated January 31,2002, 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 February 20, 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, .,,:, .. .. 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 BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application ~J ------------------~~---------------------------- COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, 'J"er1;1fir fS6'aJJ.oJ , residing at !'Z:r']o'1rw.?tlYl's. pttJk. miff. mlllJtM ~ being duly sworn, depose and say: ~ That on the , I day of~~20~, I personally posted the propertY kno~ as, s/e ('6("",...~'31'()()dAl%1lAQ+ Hu()l,(I!l-v,Bllnl U?..p(ltO/J1l. Iboo-1.7-tf-7DH2D4 by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in Plac~t days prior to the date of the public hearing. Date of hearing noted thereon to be held { .~. )p7J -3 /l< tIV 0 It.if 7to~ ~ - Dated: a ,-'),If-7...oo'S (.~ Sworn to before me this ~y1J-t day 0~12oo0 , Public .".,. LINDA . ~~., ,', -..yPulllla. ilfNewYwtl . 0/( No. 4e42-.l\IIfolk Ceu'lW _~ :.... ......... 0II0Mr 3, .avu lo [Q' A.n ~tA c; - pP,fYl )t QPQ\AO~ .. tlo I Qrt1l{1d~ Cf {LV (2003. APPLICANT/AGENTIREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics orohibits conflicts of interest on the oar! of town officers and enmlo-.. The D\D1)()SC of this form is to orovide infonnation which can alert the town of nossible conflicts of interest and allow it to take whatever action is necessarY to avoid same. YOUR NAME: _~I\Id., Jp()"'l~r e,. (Last name, first name, middle mitial, unless you are 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 all that apply.) Tax grievance Variance Change of Zone Approval of plat Exemption from plat or official map Other (If "Other", name the activity.) *- dYl'X'-(} (h'-Ii!" -f +c +"'11 ~ pq rm,f- . Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO x . Name of person employed by the Town of Southold Title or position of that person ' If you answered "YE", complete the balance of this fonn and date and sign where indicated. tv/a-.. Describe the relationship between yourself (the applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) andlor describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): _A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); _B) the legal or beneficial owner of any interest in a non-<:orporale entity (when the applicant is not a corporation); _ C) an officer, director, partner, or employee of the applicant; or _D) the actual applicant. DESCRIPTION OF RELATIONSHIP =~~~ Pnnt Name X- l -c . ~ ~rd of Trustees APPlidllldlt WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: C t'> (\...-hr lld,;' '" o-P ~l ""\ I -e ~i:Lm,\~ dl.1.njll~,? Area of wetlands on lot: o - square feet ... Percent coverage of lot: - \~ % Closest distance betwe~n nearest existing structure and upland edge of wetlands: VI j c.... feet Closest distance between nearest proposed structure and upland edge of wetlands: ,.5 ' feet Does the project involve excavation or filling? No 'J.. 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: Ei c.."-VoJ-io" tor '0".."-"""-"-\ ... S~+l<.. "')'5+~._ .....bIa +,II~ h<" fE'-rfvlV,," A of 11 AJeJ. 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): ni\ .t.{;g..,+..fo IU...J..1.u....J U GUd;r~ P' 1>..? CI1f\5J-vvJ..('~ IS ()'f'trp05 4 1 '5' brt)(V\ eJ.5" of we;!- 0, ..It.. We of~......II L..,fo..a...r ~ b~ 4-., be. ~J r9,~ ~J.........=r~ .l>Y''(~ S~If-~ +<> ~ ~~ ~'1h "b~ ':Ji: ~ b't \.A'.4 "'t'JW .. 3 .. .. NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant E. ALLEN KRAUS SCTM # 1000-67-4-20.3 & 20.4 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: CONSTRUCT A 28' X 60' SINGLE FAMILY DWELLING, ON-SITE SEWAGE DISPOSAL SYSTEM AND PERVIOUS DRIVEWAY 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: SOUTHEAST CORNER OF SECOND AVENUE AND HUNTINGTON BLVD., PECONIC 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 February 20, 2002. You may contact the Trustees Office at 765-1892 or in writing. The above referenced 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. APPLICANT'S NAME: MAILING ADDRESS: E. Allen Kraus 45 Hicks Street Apt. A 53 Brooklyn, NY 11021 OWNER'S AGENT: Catherine Mesiano, Inc. 12 Mill Pond Lane East Moriches, NY 11940 631-878-8951 Enc.: Copy of sketch or plan showing proposal for your convenience. .. .. 14-16-4 (12/97)-q rROJECT 10 ~IUM8ER I 61720 APPENDIX C STATE ENV:RONMENTAL QUALITY REVIEW SEOR SHORT ENVIRONMENTAL ASSESSMENT FORM lor UNl.ISTED ACTIONS Only PART I-PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) ,. ~PPlICANTISPONS~R) 12 PRO.iE::r NAME b Ll..c N K (CA.\P . \ \ () S eLo (\J :.t PROJECT L.OCATION' I () I <c --0 MunIcipality r e Lv Y\ \ L I County ...::J t.J r- r-- L- K. 4 PRECISE LOCATION: ($IJaet address and road interseetion!i, prominent landmar'-<s, ale.. or pr Jvide map) Sf6" (..orY"'e4 Sec.o>".c\ Av€- O-Y'-d \-t~"~+.o,,, ?':'Ivd. \ n Id (lv\Iu...) R,0c...4 I Pe..(...<.)(\ \L Avf'. :'100'W( S. 1$ PROPOSED ACTION. tf New C Expam.lon 0 Wodiricationfalteralicn 6. DESCRIBE PROJECT BRIEFLY: r I C.Of\:;-h-vcl-\o"" of c: ,).'+00 4J \ :;+y .51"j1e. ~'\I d~I'''3'' " {. ( +."'" .... Oe...ArV'I(JV.,:) d(~,,~I....Io-'l~ J.e<.o.>"-je <=i\SpO""""",, .sys -",- , o (\ ~-l te, 7. AMOUNT OF LAND AFFECTED Initially - LI ~ acres. Ultimately . '1.3 acres 8, WILL PROPOSED ACtiON COMPI.Y WI;H EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ~ '''-.s :J No II no, dEit5cribe briefly 9. WIoIAT IS PRESENT LAND USE !N VICINITY OF PROJECT? pr R..idential C Industrial :J CommerCial ;: Agriculture Oelcnbe: C Pari'JFo'~st!Open Space Q Othef - - .--- 10. DOES ACTION INVOLVE A P_ERMIT APPfl:QVALrOR FUNDING. "lOW OR ULTIMATELY FRO~' ANY OTHER GOVERNMENTAL AGENCY (Federal. State or Local)? - - jm Ve, Cl No tt yes. il5t a~ncy(s} &nd permitlappro...a!s :S<>-ibol~ Cuu'I-\.y 1>"1>+' i!..u+h. 6e..-" 'G<!5 ? ~v+1, ol<{ T(v>i-~ ~~ / V'Je.;/-l~ Pe-r ,;. It I I --t rJ'/5DE!c...- ~ 500--n-+-OLV ?"vl\dl.~ ~4f - O\~~.....",,;t I , 1. ooes ANY ASPEC' OF THE "CTION .,AVE A CURRENTLY VAliD PERMIT OR APPROVAL? C! Ves po !f yes, iist agency name and ~rrniVappro"'al 12. AS A RESULT OF PFlQPOSED ACTION WILL EXISTING PERMIT'APPROVA.L RECUIRE MOCiF1CAT10N? DYe, ONe ^\<... I CERTIFY l~tT THE INFORMATION PROV~DED ABOVe is TRUE TO THE BEST OF MY KNOWLEDGE ) I :~::sr:zi~~: K(~J-v~_a ~\~U l~ro~s.,oif. ~It-'-. 0 '- If the action Is In the Coastal Area, and you are a state agency. complete the Coastal Assessment Form before proceeding with this BlseSlment OVER Thursday, Dec,mb,' 27,2001 827?M -0 _lOt F'011 CO:"''''''''''",O. ~""5C Page 2 of 2 CONSENT RE SCTM #1000-67-4-20.3 & 20A 100 Second Avenue, Peconic, New York We, Ronald M Winkler, Elliot W Stone and Rhonaa Sexer. clo Winkler & Co., 345 Seventh Avenue. 21 s: flcDi, :'-Jew York NY 10001, the owners of the above referenced property, consent to our contract vendee, E. Allen Kraus, and his representative, Catherine Vlesiano, l'lc., or either of them, to make applications necessary for the approval Of construction of a single family residence, including but not limited to the New York State Department of Environmental Conservation, Suffolk County Department of Health Services, Town of Southold Board of Trustees and the Town of Southold Building Department, and all matters relating thereto Dated' T ',cv/j.v7 "- 200 2- , '- ( 7" ,tJ/ {J(,'. --.. ,r,'--'L L(CI'- /3C(..:~I<c--<- /1; -r r- ,--~^_,-, c-y """""- --- 01/22/2002 10:37 FR01 : C i'ESI~ IH: 6314.60. JENNIFER B GOULD4IJQ PAGE 03 FAX i'D. : 631-878-8951 . Jan. 21 2002 11: 53f'M P2 ~e'. SCTVl1# IO{)O~b1~4-..20.~.J..20.4 IDe ~(o/ld ~~..~t"Dj,)"C.~1 County of 1'- II. N~ YoU.. . State of New York E. A 11(> t'I f( rQ u ~ BEING DULY SWORN DEPOSES AND AFFIRMS THAT HEI SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF H1SIHER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN T1'IE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOlD fOWN 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 ARRISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVE(S) , TO ENTER ONTO ~Mll' PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. :r (I"'.....\AQ roYJJroH vp"deL. \.Jl-H'l r~p("" -+ 0 -+/A..P a b:)yQ. d(l,S(r. ~cl ~'~9!o. lIle. C~~rJ~~~ E. . ^I~o K RA- \A.? SWORN TO BEFORE ME THIS J..).,. DAYOF~.200~ ~~ IMACln .AI &AI~N NtJrNif'( PUBUC. _ of New Yor. No. 01Bi>.5065681 ". - "InNewYot1<County .... - ~.... Tuesday, January 22, 2002 8:43 AM To:.rau" From: Catherine MeSi. . 878-8951 Page; 2 of 2 APPLICANT TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and emplovees. The purpose of this form is to provide information which can alert the town of possible confiicts of interest and aUow it to take whatever action is necessary to avoid same. YOUR NAME E. ALLEN KRAUS NATURE OF APPLICATION: (Check aU that apply.) Tax grievance Variance Change of zone Approval of plat Exemption from plat or official map Other (If "Other," name the activity) WETLANDS PERMIT Do you personaliy (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in which the town officer or employee has even a partiai ownership of (or empioyment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO x 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) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent or child is (check aU that apply): _A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); the legal or beneficial owner of any interest in a noncorporate entity (when the applicant is not a corporation); an officer, director, partner, or employee of the applicant; or the actual applicant. B' _J _C) _D) DESCRIPTION OF RELATIONSHIP Submitted this Signature Print name 2 Z- dayofJ/l"'''':;;Z 2002 E. -1-(".. ~ I 1/2. 5 ,. E. ALLEN K~AUS 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) 765-6641 TO: BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD A \\G t(W.-t~j Please be advised that your application dated Se,p-J-.:2 3, ~oS reviewed by this Board at the regular meeting of ()c.. +. {q, ?oO S following action was taken: ~APPlication Approved (see below) . has been and the <-) 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: CDS h.o vJ h...'1 (,,, k; _ .?(JJ. dY'jwf. ((J GJ F,kd {"fre~+1"'" 5r, I'\Orf),U-h "" f' (~^j 6150 j>rVf' {,,,,,- 0,,( c..Xf+ J ,h TOTAL FEES DUE: $ So STGNED: ~-j 2...~'~, PRESIDENT, BOARD OF TRUSTEES . . 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 January 21,2004 Jennifer B. Gould Attorney at Law 210 Main St. P.O. Box 177 Greenport, NY 11944 RE: ALLEN KRAUS 110 SECOND AVE., PECONIC SCTM#67-4-20.3&20.4 Dear Ms. Gould: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, January 21,2004: RESOLVED that the Southold Town Board of Trustees grants a One-Year Extension to Wetland Permit #5501. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, Jl~,- i tJ. ~.. 7'O-J... t}. Albert J. KrupsJ<{ ir. President, Board of Trustees AJK:lms Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda . . Town Hall 63095 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 : {)JJ.Ln Ylnt.lll" J Please be advised that your application, dated ,191.0~ has b~n feviewed by this Board, at th.e regular ~eting of ; t-l-' LOti and the following action was taken: (~ Application Approved (see below) -D/U---yr. 4Uf\0~ (____) 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: .:B/O.DD ~(tu)~ctLct'\ ~ TOTAL FEES DUE: $ 10, OD SIGNED: ~ ~ ~'i~.A..' 9-, PRESIDENT, BOARD OF TRUSTEES BY: . r-9" CL.Lu. 4. n -1-tttridu. L ~, BOARD OF TRUSTEES 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 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 25, 2003 Jennifer B. Gould, Esq. 210 Main Street PO Box 177 Greenport, NY 11944 RE: SCTM#67-04-20.3 & 20.4 Allen Kraus 110 Second Avenue Peconic, New York Dear Ms. Gould: The Southold Town Board of Trustees at their Regular Meeting held on Wednesday, September 24th, 2003 took the following action. RESOLVED, that the Southold Town Board of Trustees Approve an Amendment to Permit #5501 on behalf of ALLEN KRAUS to relocate well to the southwest comer of premises. If you have any questions, please call our office at 765-1892. Sincerely, d't~.~J.tf4u~Jr. ..Q...J... 11_ Presiden( Board of~stees r. AJK:cjc Qlt.~~~. . . Telepbone (631) 765-1892 Town Hall. 53095 Main Road P.O. Box 1179 Southold. New York 11971 _ SOUTHOrD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the South old Town Conser\iation Advisory Council held Tuesday, September 23, 2003, the following recommendation was made: Moved by Bob Ghosio, seconded by Drew"Dillingham, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Amendment application of ALLEN KRAUS to Amend Permit #5501 to re-Iocate the proposed well to the southwest corner of the property. Located: 110 Second Ave., Peconic. SCTM#67-4-20.3&20A Vote of Council: Ayes: All Motion Carried - 09/23/2003 12:04 2128767825 \ . PAGE 02 , . To: The Board of Trustees-Town of Southold From: Sara aDd David Evans RE: In the Matter of Allen Kraus-SCTM#1000-067.00-04.00_020.003 and 020.004 September 23, 2003 Tl? the Southold Board of Trustees: Regarding the above matter, which the Board is conSidering tomorrow, September 24, we wish to reassert our belief that proposed action, and all the proposed construction for lots 78, 79, 110. and 111 in Peconic will negatively impact the environlllent of the area. The proposed well and construction are very closed to Autu/3l.n Pond, a freshwater pond that provides drainage for a large catchment area. We believe that this construction is too clo~ to this important freshwater wetland, and should therefore not be built. A sluice pipe runs between Autumn Pond and Goldsmith Inlet exactly in front of the proposed CODstruction. The last time building took place on Second Avenue. the sluice pipe was damaged, and residents of the area experienced significant flooding for many months. As heavy machinery will have to cross the pipe system for this proposed constructioD, it is likely, it not inevitable, that the pipe will again be damaged, resulting agllin in significant flooding for tbe residents of Second Avenue, and for major Town expenditure to repair it. ~reIY, -:"\. ._ .~" ,.~ Sara and David Evans 230 Second Avenue Peconic, NY 11958 ~ 8EP 2 3 2003 ....... 1M " TnsIIII 1'1'3/23/21'11'13 08/03/03 ii~ 1'14 2128;~ 7825 . , 22;00 FAX II 18 .1388 PAGE 1'13 ~. ,\J;J4 SOUtbold T _ " OllU Acco n., NO'l'.rCt '1'0 ' ~ ADJACDlT QF nus- ' PROPER'I'Y 0 . ~....S.l TOWN WNER In the IllAtts:r . 'OF: SOt1'1:fJOLD ' . o~ a9'''1" .' All .. ...can t - en [raus' ~ . 5C'1'JfllOOO- 067.00-04 '00- . . 020.003. and! 020.004 ,I tt; V'v~ " f . .. YOU !RE' aEMBY Gr"';'" , y -., NO'l'Ic:e; 1. That, it 1. the i ' " Pemit froll the .._.-aJ1tentlon of the unci ' 1 ~\4 of 'l:l:U$te exsigned re ocate die proposed well from h E1S t:o; . to :requelit 81 amended corner,of the premises to conformtw~t~o~~:eaS$CDtHcsorner of the premises Existi' and DEC' to the souchwes" .. p"'" t. n~'.' 5501. ,....,n. . 2. That the prop~y whi.ch i -rtl....... _fS lo,.,'t-" .. · the sl1bject of E ' .' -foll:':'" _. .... r;w. Cl:\4j~CEmt to yow:: property -.and J?-Vi.rod nment.l ... .. ~=ib" nn · 110 Second Avenue, Peconic. New York ,. .-at thO _,"'"' wldeb " _,- t. "".""......., _1_ __ Cha....... ," 37. or " ., \h. ..... <.de ~. ..en t. ....", _, 00' ..."."" ."" .,.y.con"'" the .....te.. oW"" ot i6~-1~92 01: in ",:r...t.1J1q' ' ... _. ""n."",,"" _el. .1' ....." ._1"" of tho 1lO0t4 of .-_. 0' thO ....... of ...th01. .... doe- n.' r...renoe .., ot:ler agency that JD1ght ba'" t.o revi.ew slllll1e' propose-i. ". ~ oll1fE.tU3 SJUOt: Allen i.raus . _n.Il'iG i\D1)USS I' 145 Ricks St:reet Brooklyn. N'l 112Ql jBOta: .,.. 718_920-9245-= InC-; CopY of Bketc:h or i21an shOW1.1'l9 p:J:oposal fal: your CQ1'lvenience. ::. , I' II , l'Iii Ihier I.'" ~~ '.. I ~ . \ ~ ~ \~I\\\\W III \11 t ~~ illj'hlii'l \l!\:\l II ~ -< I'l j"l' 'II", I' '",~ !lnml\i,\Ui 1;\\ .- ,,- . , , ~ ' //~\' o ~ ~ .~~ \ . PAGE 04 , . !IUai~t~ -9dr- ii1~1l~ lj8 !"j ;1\'~~-i:~ ~, tJ ~ lVII' .. ' ~ r>n:~b' =out ' If! ~ -.I . ~("I 0> . ilJ~~.: --m ...-D I' ~ ~ 0 i "R:U'~ ~ ,J: =.. /__'- 0 \~'. ,~;. 8S '.,' i ., .\ < r > s ~ " ~ ~ ~ .' I I ~ ~ 1. ". Q ~ . . " I I ;, 1,' ,l' 5'" I G~ I~ I I ~ ..L .. \.. ,'":"l; 'e;?:. \ I I ,;' :~ >~ ',. I ,~___.--:----J ,.,...' ,... .......@. ,. ,', '. ,;. . " "',',, ,_'''' .-to '<I , , , "" ,~ ~\ It!, 1:\ i'i I ... '. ....... " \ ,It.~t; '" ....... ,',.~' ."" ....~..... l, \i~ \- " " ." " .,'..... ... \ I."r , , " '. t<3d,O JPN ~~i"s11~a ~ ~~ f ';I' ~ ~ F~ 9 .--- ----- ,~.\ <. > \ ---.---.--- < ~ '> ~ iN"''''''' 88 0t<1;"9~1Cl c ~ ~ ['___' 1,;" l\d ._...~.-;; i---- ~_I~.:.I_..jl~~~ \ II i1 ~?~~, t '" +' ._.._,;111>Qf . ~ -~~-~~ n, . ~. . ~~~ '" J .~ ~ Eln 0 . JENNIFER B. GOULD SEP 1 2 2003 ATTORNEY AT LAW 210 MAIN ST., P.O. BOX 177 GREENPORT, NEW YORK 11944 PI/ONE 631-477-8607 FAX 631-477-2601 ,.... 8aIld" FACSIMILE TRANSMITTAL SHEET TO: ChaeloNe... COMPANY: Solrllndd "lown TelJse~s. FAX NUMBER: 1(,5- t3b'=> PHONE NUMBER: 1("S - 1~2... RE: Allell r(({uS FROM: JENNIFER B. GOULD, ESQ. DATE: CJ -IS -20 0 '3. TOTAL NO'6 PAGES INCLUDING COVER: DURGENT 0 FOR REVIEW 0 PLEASE COMMENT 0 PLEASE REPLY 0 PLEASE RECYCI.E NOTES/COMMENTS: o fl..' ~I l-.:)oG CUJl... . YI -t \A.Q vYI CM.' \ 1::> ~-:llA..- ~Df-€ '_ plJfO='C'~ wet!, ":. h'bV,Il~ f('o",",- uoe:ttlPas-l: -to $p~WQ3+ (or.-\.Or of P{'()fW~j- ty)~ l-eilP r SlH-I ~oHl.?wpS+ C'OfA.9r,.... {'nur. t l-ta clll/)- ~ .JMPORTANf NanCE: a law office is sending the infomlation contained in this facsimile transmission and it may contain information t1ut is privileged and/or confidential. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient or an employee or agent responsible for delivering this facsimile to the intended recipient, please be advised that any unauthorized dissemination, distribution, disclosure or copying of this communication is prohibited and may be punishable urider applicable laws. . JENNIFER B. GOULD Attorney at Law . 2 to Main Street. P.O. Box 177 . Greenport, New York 11944 Telephone631-477-S607. Fax631-477-2601 September 3, 2003 Southold Town Trustees Town of Southold PO Box 1179 Southold, NY 11971 RE: Trustee Permit No. 5501 - Issued to Allen Kraus on February 21, 2002 Premises: SCTM # 1000.67.4.20.3 & 20.4 Dear Trustees: I now represent Allen Kraus with regard to the above matter. Enclosed please find copies of the following: I. Trustee permit no. 5501 and resolution dated 2/21/2002; 2. DEC permit dated 8/26/2003 with conditions and copies of approved map; 3. survey of the above premises stamped by SCDHS on 1/27/2003, survey last amended 1115/2003; 4. survey of the above premises stamped by DEC, last amended 1/22/2003; and 5. survey of the above premises approved by the Southold Town Trustees, last amended 10/31/2002 to depict the 30 ' non-disturbance buffer and 50" non- turf buffer. Please note that both the SCDHS and the DEC have issued permits with the prnFg~d well re-located to the southwest corner of the premises. On the survey approved by the 'r rustees, the proposed well was located in the northwest corner of the premises. If the existing Trustee permit requires an amendment and/or extension, please contact me as soon as possible, and I will complete the necessary paperwork on behalf of my client. Thank you for your prompt consideration of this matter. e ifer B. Gould Enclosure cc: Allen Kraus HAND DELIVERED 9/3/2003 ~ ~t;y 10/23/2002 ~fQ...~ 12:03 631~2.601 ~ -h..rW )f( us.J!II! JENNIFER B GOULD E~ I(.S"~ IsH AH~,. ~121~",- PAGE 01 ~ 7' Y , ~(J ~5 Hicks Street, A-54 ~ - Brooklyn, New York 11201 718/624-519 W.21.2002 Southold Town Trustees Town Hall Main Road Southold, New York 11971 Re: E. Allen Kraus Trustee Permit Application To the Trustees: I am writing to announce that Jennifer Gould will replace Catherine Mesiano as my representative before the Town Trustees. This replacement is already in effect. I ask that you release to Ms. Gould copies of the files relating to my matter before the Trustees. Sincerely, F~ Vf4Q E. Allen Kraus 8 2 . . WHEREAS, the Board has detennined 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 ALLEN KRAUS to construct a 28'X 60' single-family dwelling, on-site sewage disposal system and pervious driveway, with the condition of a 50' buffer consisting of 30' non-disturbance from the edge of the wetlands and 20' non-turf landward of that, and gutters and drywells to contain the roofrun- off. 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 proj ect. 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, a!/. L .1 (l /4.-bJ:,,' Go. / I '" Albert J. Krupski, Jr. President, Board of Trustees AJKIlms DEe Bldg. Dept. Health Dept. 02/20/2002 15:55 2128757825 . . PAGE 02 J-w i. u February 20, 2002 To: Lauren Southold Board of Trustees Re: In the matter of E. Allen Kraus L~ SCTM# 1000-67-4-20.3 & 20.4 We wish to go on record regarding the above matter. The information submitted by Catherine Mesiano, applicant's "expediter,>> is incorrect in the following ways: 1. The house adjacent ro the proposed construction at 230 Second Avenue is not, as listed, a ~Seasonal residence." It is a fully heated, year-round home, used frequently during winter months. 2. "Well and septic unknown.>> This information is a matter of record, and is available on town maps in the Southold Town Office. In addition, we, as owners, supplied Mr. Kraus With this information, showing him the exact location of theSe systems. We cannot attend tonight'S meeting, but wish to go on record that, like many of our fellow citizens of Southold, we are concerned about the limitations on potable water in the area. Second Avenue has significant drainage problems, and is subject to flOOding. We are also concerned about the environmental impact of an additional dwelling close to Autumn Pond, a designated wetland. Each structure in the area has the potential to inflict environmental damage on what is an extremely sensitive and critical environment. Sincerely, _ li,. CLC '-/ .U<.MA ~Vtt<..tL-... Sara and David Evans 230 Second Avenue. Peconk, NY 11958 .""~:''-'---'----'-''"'''''''''''~-'-''-'~''~'--~~~'~''''''-''''.~.'._Y'C~,'''Y''''"c-':-.,_""Cl,~"'f"'~-:-'?1;.:'-:.:....-.""."?"'" -'.._-~.. ,""."'~~~"7 .' . , ' ;;.1).ofO;L ide.. 1.1 u~,~,3DU:tAQJJ fOiAJr) {rusks ttOn1'~.,. ~ili UorD3!c.; ~c.: g,/fIJ~ j(y4t(s ;pro/'o~ .t;i?.JIe,...~;7 ~ell,'1 tLf ~-Jrh"45feornC/" 0+: ~cD'1d /tv c. ~cl IItu, Ii "Jfo"f3/tJ rI. ~r{}.h 1('. " "" --- ~<;-''it'( ~ l.vill he. tLI1,ab!c: +0.. alk-/'ld'-fl1t'._~~ .-. .!m~eJi^4.1oY)'Jhf:r ~o~ lei flit" 1oB1LP/CSS /V-Ju_ ;~lY)Cf!/~5fo'#Ae, -Iv~11 frq<:kd~. r7!fArhfle/-IZ- '. /_. l.:lI2 de,r I - ~ ' i#(jJaren-r ~t'__ f'rtf>e/Iy U/1 e0I1.s1Hi!'/~ . 0\0- . . J ,. . '.'. _ ~-_;nu ' .- "'$ ".., '., il ". / ... -It; 10 Lor ! lLlr-D III r, , .IrH 107 <L lor:, J ~ 1'-on~t"/Y\rd atJor.....'I-'ft"r _. I ~ .. ! re;/ Jilt nr ~c .~r6fJosc::d h /) L1.s~ ~rL... Id--iC~(!:/' i~('f '"f/1L 'hl.J..sAes; *tz5 or b/t..(5A 011 TAr- LIB '0 i/), c:t nOIA h ,hi' __ :1 tT.~~::-r~-.-~-"7- .. , : ..-.. .- ,.......-------- - .il~~"-"::....'"""'"_~~,~.:..,,.:,,;"''';._:...~.:;,_.L"''".......,..:......'''''_''_c..:l.~.............~..ii..~...,._._.~,...."""_~=.~_...L._...;..;.-_,:::,_..._~"""'_."""_~_...:..i.,"'_'.."".'~,~":"",,,:,__,".. :.J;"""~"_'" "...__...",,~'r, . . Telephone (631) 765-1892 Town Hall. 53095 Main Road P.O. Box 1179 Southold. New. Yorlc 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the South old Town ConserVation Advisory Council held Tuesday, February 12, 2002, the following recommendation was made: Moved by Drew Dillingham, seconded by Jason Petrucci, it was RESOLVED to recommend to the Southold Town Board ofTrustees DISAPPROVAL of the Wetland Permit Application of ALLEN KRAUS to construct a 28'X 60' single-family dwelling, on-site sewage disposal system and peNious driveway. Located: S/E Corner Second Ave. & Huntington Blvd., Peconic. SCTM#67-4-20.3&20.4 The CAC recommends Disapproval of the Application because the project was not staked. Vote of Council: Ayes: All Motion Carried ""'{:j . . JENNIFER B. GOULD Attorney at Law 210 Main Street - P.O. Box 177. Greenport, New York 11944 Telephone 631-477-8607 . Fax 631-477-2601 January 8, 2004 Ms. Lauren Standish Southold Town Trustees PO Box 1179 Southold, NY 11971 RE: E. Allen Kraus - Permit # 550 I !'remises: SCTM # 1000-67-4-20.3 & 20.4 Dear Lauren: This is a request to extend the above referenced permit for an additional one-year period. The original permit was issued on February 21,2002; however, due to delays in obtaining the NYSDEC permit for the premises, The Southold Town Building Department has not yet issucd its permit. Enclosed is my attorney's check in the amount of $10.00 for the extension. Kindly schedule this mattcr on your January 21, 2004 calendar. Very truly yours, C .\!' ~ ~J: ~,B,~, ~I~ Thank you for your cooperation and attention in this matter. Southold Town Board of Trl,-,te,.s Enclosure cc: E. Allen Kraus 09/03/03 WED 22:00 FAX ~002 Town Hall 53095 Route 25 P.O. Box 1179 Soutbold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD APPLICATION FOR AN AMENDMENT TO A PERMIT try ~'? dt\ DATE September 8, 2003 OWNER Allen Kraus - co.ttrncl vp...dl?~ PHONE. 1-718-920-9245 ADDRESS 145 Hicks Street, Brooklyn, New York, 12201 ~,G~ Jennifer B. Gould, Esq. PHONE 631-477-8607 ADDRESS 210 Main Street, P.O. Box 177, Greenport, NY 11944 PROPERTY LOCATION 110 Second Avenue, Peconic, New York TAX MAP NO. 1000-067.00-04.00-020.003 and 020.004 I~<<X Jennifer B. Gould request an Amendment to Permit # ';501 Permit to be amended to relocated the proposed well from the north~ast corner of the premises to the southwest corner ,of the premises Signed, By: ~~_l e niter B. Gould to conform with SCDHS and DEC permits. 09/03/03 WED 22: 00 FAX 5'7i11ii Southold Town A.. ~004 I " ; . NOTICE TO ADJACENT PROPERTY OWNER .' .. BOAlW OF TRUSTEES, TOWN "OF -_ sourHOLD In the~tter of appllcant~ Allen Kraus SCTHtlOOO- 067.00-04.00-020.003 and 020.004 yOU ARB ar:REBY GIVEN NOTICE: 1. ~at it is the intention of the undex:signed to request 1Il amended permit from the Board of TrUStees to: relocat,e the proposed well from the northea/lt corner of the premises to the southwes:t: corner,of the premises to conform with the SCDHS and DEC permits. Existing permit is number 5501. , 2. That the property wh.ich is the subject of En-.iirOnmental ,.,. $aview is located adjacent to yow: property -and is described as follows: 110 Second Avenue, Peconic, New York 3. '!'hat the project which is subject to EnvirOnmental Review ',Ulder Chapters ~2, 37, or 9-1 of ~he TOWn Code :'5 open to pub:i.:: CD_ant on: 9-24-2003 YOU may,contac;:t the T:rusteelil office at ' 76S...1eS2 Olr j.,n \o,Xitinq.. The above re:fe:cenced proposal ,is under review of th;;t BOatd of Trnstees of t4~e Town of southold and does not reference any otaer agency that might have to review sama' proposal. ... OWNERS Nl\ME: Allen Kraus ~ CDII-fnict \J~..d-ea.. MArLiNG ;wnRESS: - 145 Hicks Street Brooklyn, NY 11201 PHONE t:- 718-920-9245 ~' Ene.:: Copy of sketch or plan showing proposal for your convenience. . 09/03/03 WED 22:00 FAX 5l1116~ Southold TOllll A.fIII' 141 003 PROOF OF MAfi,lNG OF NOTICE A'ITACH CERTIFIED MAIL RECEIPTS Name: Address: SEE ATTACHED RIDER STATE OF NEW VORK COUNTY OF SUFFOLK Jennifer B. Gould ,Tesidingat 1820 Truman's Path, East Marion, NY , being duly sworn, deposes and says that OD the ~~ day of September, 2<Xl3 ,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 lllIIDes; 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 South old; that said Notices wcre mailed at the United States Post Office at Greenport , that said Notices were IDail~ to each of said persons by (certified) ~_<<JU) maiL Sworn to before IDe this .~ Day of September20 03 ~I ~d ~~ Notary Public JOSEPH L TOWNSEND JR. Nolary PublIc, Stale of New York Qual. SuIfoIk County No. 9366335 Commission Expires Feb. 28, 20 6? .- ." RIDER TO MAILING OF NOTICE PERMIT NUMBER 5501 Name Address David cmd Sara Evans 1000-67-4-3 436 East 88 Street New York, NY 10028 Hugh Lee Switzer Irrevocable Trust 1000-67-4-21.1 4651 Sentinel View Drive Atlanta, GA 30327 Andrew G. Bindner III and others 1000-67 -2-18 58-20 202 Street Bayside, New York 11364 Kathleen Chamberlain 1000-67 -3-5 PO Box 406 Peconic, NY 11958 Randall M. Kelly 1000-67-4-6 12 East 86 Street New York, NY 10028 Dorothy and Real Boucher 1000-67-2-16 35 Harp Lane Sayville, NY 11782 Marilyn Holliman 1000-67-2-19 Box 452 peconic, NY 11958 Stanley and Shirley Officina 1000-67-2-17 19 Simpson Drive Old Bethpage, NY 11804 Gail ])oroski and Bruce Murphy 1000-67-4-20.5 PO BOx 781 cutchogue, NY 11935 8 SOuthold Town oard of Trustees ~ t1I' .:: ~ ,- ... ITIP:~ .:;; - . '.J7 ITn:~ m ~ -,. 2.~ :: ~-- 2. ~ - ,- :;; -'-'. I." - ......._F. I." ,- "'--- .-- g --'" ltrk:KlRQJY --'" IM1c:K1RQJ'( -- -- --..- .... 100I0J __"- S .... 100I0J N ~ ~ ~ m ~ ~ ,- ... 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CIH1WledF.... 2.30 RetutntllK;IHplFee Postmark (EndorllementRequlmd~ 1.15 "~ ReslrlcledDllllvaryF.... 1m: X1RIIJV (EndoroemantRaquirad) Tot.. Poeiagoll & f... $ 4.42 09/06103 Rec./pIlWI~..N.",.(PIeasePri"rCIurly)(tobtJCOmpler.dbyma'ler) .iih.9.~.~J..p.Q~.QJ~k.J....and...Br_uc.e .Murph, lrMlPoAprBO~or18ix No_ ..... 'CiiY,tiiii:ZIP+4m.m........... ..m. ........ -.-. _.mmm... m..m........m utchogue. NY 11935 CIJTOIJIlE e- m .., ... e- N C C c c ... c c c c e- QQ', AI~ rm.lA ~ - pP eM )t . 9;0 I Q ('I'11fla ~ GPOtAO~ q {LV (ZOo~ AJ>PLlCANT/AGENTIREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM ~ The Town of South old's Code of Ethics hibits iets ofinteresl on the oftown ffieers 10. of this fOlm is to nrovide information which can alert the town of nossible conflicts of interest and allow it to take whatever action is necesslfV to avoid same. YOURNAME: _-.60l\ld, Spllt'lJ~r ~. (Last name, first name, middle mitial, unless you are applying in the name of someone else or other entity, such as a company.lfso, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Variance Change of Zone Approval of plat Exemption from plat or official map Other (If"Other'',nametheactivity.) *- Q'fl')(l-()dm.l'>I-I- -to +rll~ pecm.j.... Do you personally (or through your company, spouse, sibling, paren~ or cbild) bave a relationsbip with any officer or employee of the Town of Southold1 "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in whicb the town officer or employee bas even a partial ownership of (or employment by) a corporation in whk:h the town officer or employee owns more than 5% oCthe shares. YES NO x . If you answered "VE", C01Dplete the balance of this form and date and sign where indicated. Nt~ Name of person employed by the Town of South old Title Of position of that person Describe the relationship between yowseIf(the applicantlagentlrqnsentative) and the town officer or employee. Either cbeck the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or bis or ber spouse, sibling, paren~ or cbild is (cbeck all that apply): __A) 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 beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); __ C) an officer, director, partner, or employee of the applicant; or __D) tbe actual applicant .' DESCRIPTION OF RELATIONSHIP E.~~~ Albert J. K.ruV,ki, President James King, Vice.Prl'sidclll Henry Smith Artie Foster Ken Poliwoda .. .~fFO -ceo. ~;,J 'l,\) l,t ~Cc. ]SS.~ C'a ."'. ~ ~':\ ==> ""~ Q :"'-' ,,(I;) .;eS ",~ ~-"I \C:::> ~ ~i) .,,+.... ~~.<;Y ~..."(}.t .... i-~ -:';, ~ .....2.)- ~-..'v -~...J .. 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 T( l\VN OF SOllTHOLD J \\ 3(D.) ~(Q'{\ T ffS{J .- Office Use Only 5D\ bv~(: .-- I' 30' c'(.:) n --\U..r, 1r ;)0' nD\I' d-(~-\J.rw..nl Coastal Erosion Permit Application ~etland Permit Applicatl'.n ..~ Major ~Inor Waiver! Amendmcnt/Cha:i.lcs _~. eceived APPlicatio.n.'.Z ...... .... ~..L.. . "'~. _.""Received Fee$l'Str. ..'.~ ~~\~ __...€ompleted Application. .___ .~Jncomplete ..._.__...____ SEQRA ClasSification Type '__Type II.... UlIlisTed Coordination (date senl) .3AC Referral Sent_ll~4J - ._--mite of Inspection_..ilj~Q.~ Receipt ofCAC Repon ____ Lead Agency Determination _ Technical Review .~l1blic Hearing Held.~~~== Resolution JAN j I l Name of Applicant __ A L.L€;_N..J(R ttl,J.5... Address-LLi.5 r+J~-i._Sl'.~_ B_1L&Q~,.SN . J\J'i- 112,_~ Phonc' Number ( ) Suffolk County Tax Map t\ilmber ,)00 - _..(Q.J_-u<-t..:: ~o..:._~ "".E:._O.:L.__ 110 j'-~~ & H' Propeny Location~L~.co('" 'e.(_ d.. n'..Jlr..Lc ~__. u.....,.-tr"5 t"", ~l:v.d..+E~~()f'''- ____ . _...~_u .--....-...---- (provide LlLCO Pole #, distance to .''':is streets, and locali,lIl) AGENT (I I' app I i c~b~-CA'fHERtNE-MESIANG;--lN€; 12 MILL POND LANE Address -~-.t;--MORtCHfS_;tN11~22-2 ___n___P hone. . ~~_L-:-,?1~ -_~.'l~_._ ~~'Y ,-~~~~.>;\\\J .- Board of .- Trustees Application GENERAL DATA Land AJrea (in square feet): '6, S?qs Area Zoning: R-40 Previous use of property: vo-.c...o.. "'-+ Intended use of property: C'...o t'\.5 +-r l.J c..+ I ~ V\ of :s ""41 e +C\...-m"\y d we.II.'V\.~ Prior pe:rmits/approvals for site improvements: Agency Date ----1- 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): C.O A.5+r uc..t I" 1\ 0+ ;;J..l? ' ~ ,;, O' ~ ; n.~1 e C (V\. \) d l..U <<..11 ; >\.~ I 0 fl - oS I ~e .sew'~f! cl\5f>OSo.../ ~Y5.j.-e.VV\ ~ p-e......VIOU5 dnVfLoVltr' JENNIFER B. GOULD Attorney at Law , /I I 4 I 2-() dViJV I 3 2O!J2 ~.. re. I( nw <, - {Pr(VI d .J.t SSo I S('1r'Y1-#- 1000-<0'7-4-10.:;" 20y. CL1MIO#f - f>f1( lospc! I,> SUPl>C'-j p6,(I{ sh')cC,llc1 ~u' buf(pr (/..)u!.;- r/1'>tV,(ot,{1IQ) d- <;0 I buff" (uoJ.:; ~(),i') (;V) fY'r Tfu~ ,frM1t . \GQMV1fl~ -6'~ alJ 'I--:t!( lfiv~_ S7 (\~)..J,,\-- ~)AV',- &'v\.;L P JI\( 10> co\., '-.0 210 MAIN STREET P.O. BOX 177 GREENPORT, NEW YORK 11944 TELEPHONE 631-477-8607 fax 631-477-2601 PLANNING BOARD MEMBERS JERILYN B. WOODHOUSE Chair WILLIAM J. CREMERS KENNETH L. EDWARDS MARTIN H. SIDOR GEORGE D. SOLOMON PLANNING BOARD OFFICE TOWN OF SOUTHOLD MAILING ADDRESS: P.O. Box 1179 Southold, NY 11971 OFFICE LOCATION: Town Hall Annex 54375 State Route 25 (cor. Main Rd. & Youngs Ave.) Southold, NY Telephone: 631 765-1938 Fax: 631 765-3136 To: Town of Southold Board of Trustees From: Mark Terry, Senior Environmental Planner LWRP Coordinator Date: October 18, 2005 Re: Request for Wetland Permit for Allen Kraus SCTM#1000-67-4-20.6 ALLEN KRAUS requests a Wetland Permit to construct a 28'X 60' single-family dwelling, on- site sewage disposal system and pervious driveway. Located: 110 Second Ave., Peconic. SCTM#67-4-20.6. THE TAX MAP ON THE SURVEY IS INCORRECT. The structure is located in the AE elevation 11 flood zone. The lowest proposed elevation of the structure is approximately 7' NGVD. Surface and subsurface hydrologic flow is expected to be towards Second Avenue. THE LOCATION OF THE PERVIOUS DRIVEWAY APPEARS TO BISECT WETLAND VEGETATION IN AN AREA THAT THE 2001 AERIAL PHOTOS SHOWS ALSO AS FLOODED (ATTACHED). ADDITIONALLY THE DRIVEWAY IS LOCATED OVER A DRAIN PIPE NOT ON THE SUBJECT PROPERTY. The proposed action has been reviewed to Chapter 95, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is INCONSISTENT with the following Policy Standards and therefore is INCONSISTENT with the LWRP. The Board should assess any adverse impacts to the adjacent properties and require any necessary amendments to make the action consistent with the LWRP. The proposal does not support Policy 4.1 "Minimize losses of human life and structures from flooding and erosion hazards." The following management measures to minimize losses of human life and structures from flooding and erosion hazards are recommended: A. Minimize potential loss and damage by locating development and structures away from flooding and erosion hazards. Pursuant to Chapter 46 of the Town of Southold Town Code, FEMA Flood Insurance Rate Map (FIRM) and the Flood Insurance Rate Map for Suffolk County, New York; THE BOARD SHOULD HAVE THE APPLICANT DETERMINE WHETHER ANY PROPOSED DEVELOPMENT/GRADE CHANGES IN AN AREA OF SPECIAL FLOOD HAZARD MAY RESULT IN PHYSICAL DAMAGE TO ANY OTHER PROPERTY OF LOWER ELEVATION. 2. Additionally, pursuant to Chapter 46 of the Town of Southold Town Code: C. Encroachments. (1) Within Zones A1 - A30 and AE, on streams without a regulatory floodway, no new construction, substantial iml~rovements or other develooment (including fill) shall be I~ermitted unless: (a) The applicant demonstrates that the cumulative effect of the proposed development, when combined with all other existing and anticipated development, will not increase the water surface elevation of the base flood more than one (1) foot at any location; or (b) The Town of Southold agrees to apply to the Federal Emergency Management Agency (FEMA) for a conditional FIRM revision, FEMA approval is received and the applicant provides all necessary data, analyses and mapping and reimburses the Town of Southold for all fees and other costs in relation to the application. The applicant must also provide all data, analyses and mapping and reimburse the Town of Southold for all costs related to the final map revision. THE APPLICANT HAS NOT DEMONSTRATED THE ABOVE AND SHOULD BE REQUIRED TO DO SO. 3. The proposal does not show erosion and sediment controls (haybales, silt fencing) for the non-disturbance area during construction. Pursuant to Chapter 95, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Please contact me at (631) 765-1938 if you have any questions regarding the above. · ¸ Use Only Coastal Erosion Permit Application ,..,,,~[Tetland Permit Application ...... Administrative Permit Amendm~ntJTrans~er/l~xte~sion Application: ~.C~mpleted Application~ Incomplete SEQRA Classification: Type I Type II Unlisted '~AC°°rdinati°n:(date sent) Receipt of CAC Report: .... Lead Agency Determination:__ Technical Review: .72~l~tlblic Heating Held: __Resolution: t. uJe_P SEP ~.~ 2005 Southoid Town Board of Trustees $oalsm£ t0 Name of Applicant RI} ~,,,/ ~(~ ~9 Address PhoneNmnber:('( b 2, t'1/-5 9 Suffolk County Tax Map Number: 1000 - 0(o"/- I.~ ~. ~[ O. ~> (.provide LILCO Pole #, distance to cross streets, and location) AGENT: p/'o e4 ¢.~ (If applicable) Address: Phone: GENERAL DATA Land Area (in square feet): /% ~ ~ ~- Area Zoning: ~'~ q ~) Previous use of property: ]/~-~ C'/I ~V' Intended use of property: CO ~.r ~,-/c/2. ~A- c.--~ 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 attachn,~,ents if necessary): ~O/~l'.~tt~ bl~ ~J 0¢ ~o&rd of Trustees Applicati~ ~ WETLAND/TRUSTEE LANDS APPLICATION DATA P~ose of the proposed operations: ,'?O,a 9'/"~' ~C~o ~ O ~ Area of wetlands on lot: - 0 -- square feet Percent coverage of lot: ~ I 2.- % Closest distance between, nearest existing structure and upland edge of wetlands: Nff~c feet Closest distance between nearest 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? cubicyards --- 3 O-5,%' ffr~ ~'~'~ 4t/ How much material will be filled? cubic yards Depth of which material will be removed or depo, sited: '--"'" 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): 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-~,~4~ ~0~/ 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 I, f~.~ll~dkf2lvot~ , residing at )Ii.5~ ]'~k~c~.s ~'t/~'~c-/ p say: That on the ff~ay of Oc~z~, 20~I perspnally posted the prope~y ~o~ as by placing the Board of Trustees official poster where it can easily be seen, ~d that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of being noted thereon to be held O1~)~ ~, [9 ~ ~(~- ' Dated: (signature) Sworn to before me this ~5~"clay ofe-.~ 200q' BARBARA ANN RUDDER Notaw Publl;, State of New York No. 4855805 Qualified in Suffolk County., Comml~,,ion Expimt April 14,<;~:~ PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Address: OCT - 5 2005 Southold Town Bo3r~l of Trus'~ees STATE OF NEW YORK co T¥ ov SU vOLK l'J¥ t vo t , residing at ] ¢~' lq t c~J~3 -~L12~%~L, /~ , being duly swom, deposes and says that on tl'/e ,20o ~'~ deponent mailed a true copy of the Notice set forthin 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~n~g/~ z.'~. ~o ~/~that said Notices were mailed to each of said persons by (certified) (registered) mall. ! t~tY Sworn to before me this ~ q~"~ Day of (~c_.~' ,200~- Notary Public BARBARA ANN RUDDER Not~ry Public, Stata of New York No. 4855805 Qualified In Suffolk County . OommllllOn ~xplrll April 14, RIDER TO MAILING OF NOTICE Trustee Permit Application for 1000-67-4-20.6 Name a~d Lot # David and Sara Evans 1000-67-4-3 436 East 88t" Street New York, NY 10028 Hugh Lee Switzer Irrevocable Trust 100-67-4.21.1 4651 Sentinel View Drive Atlanta, Georgia 30327 Marilyn and Anthony Fazio 100-67-2-18 58-58 188th Street Flushing, NY 11365 Kathleen Chamberlain 100-67-3-5 PO Box 406 Peconic, NY 11958 Frank and Kacey McDonald 100-67-2-15 29 West Drive Manhasset, NY 11030 Randall M. Kelly 100-67-4-6 12 East 86th Street New York, NY 10028 Real and Dorothy Boucher 100-67~2-16 35 Harp Lane Sayville, NY 11782 Madlyn Hoffman 100-67-2-19 Box 452 Peconic, NY 11958 Stanley and Shirley Officina 100-67-2-17 19 Simpson Drive old Bethpage, NY 11804 Gail Doroski and Bruce Murphy PO Box 781 1000-67-4-20.5 Cutchogue, NY 11935 ~LS~ LTED 2000 0T52 hOOL 095~ &TED 2000 0T52 hDOL 5h9~ &TED 2000 0~52 hOOL qhc;,'r ~'~n ;~nnn n"rc;~ hnn~ 225~ ~EO 2000 0~52 hO0~ IL bE5'[ q NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES. TOWN OF SOUTHOLD In the matter of applicant: SCTM# / ~)OO-- ~'7~ t~ _ ~2.0. YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 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 at 765-1892 or in writing. The above-referenced 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. Enc: Copy of sketch or plan showing proposal for your convenience. RIDER TO MAILING OF NOTICE Trustee Permit Application for 1000-67-4-20.6 Name a~d Lot # David and Sara Evans 1000-67-4-3 Addruss 436 East 88~ Street New York, NY 10028 Hugh Lee Switzer Irrevocable Trust 100-67-4.21.1 4651 Sentinel View Drive Atlanta, Georgia 30327 Marilyn and Anthony Fazio 100-67-2-18 58-58 188th Street Flushing, NY 11365 Kathleen Chamberlain 100-67-3-5 PO Box 406 Peconic, NY 11958 Frank and Kacey McDonald 100-67-2~15 29 West Drive Manhasset, NY 11030 Randall M. Kelly 100-67-4-6 12 East 86th Street New York, NY 10028 Real and Dorothy Boucher 100-67-2-16 35 Harp Lane Sayville, NY 11782 Madlyn Hoffman 100-67-2-19 Box 452 Peconic, NY 11958 Stanley and Shirley Officina 100-67-2-17 19 Simpson Drive old Bethpage, NY 11804 Gall Doroski and Bruce Murphy PO Box 781 1000-67-4-20.5 Cutchogue, NY 11935 ~o&rd of Trustees Applic&ti~ County of Suffolk State of New York iL I I ,d BEIN D YSWO 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 PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS ,~'/ DAY OF~/~ de ,20 ,ac B.~]AN KEk,'K'Y J~. Notary Public Stat~ of New No. 01KE8122954 Qualified in Que~ns Count~ Commission ~p~res Febru~ry 28, 7 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM ~ Town of Southold's Cede of Ethias orohibits confli~s of interest on th~ part of town offieers and emolovees. Thc purpose of this form is to provide information winch can alert the town of possible conflicts of interest and allow it to take whalever action is necessm'y to avoid same. (Last name, first name, middle initial, unless you arc applying in the name of someone cise ur other entity, such as a enmpeny. If so, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Variance Change of Zone Approval of plat Exemption from plat or official map Other (If "Otbef', name the activity.) Buildin~ Tnlsl~ Coastal Erosion Mooring Planning Do you personally (or through your company, spouse, sibling, pa~nt, or child) have a relationship with any officer ur employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Busincas interest" menus a business, including a partnership, in which the town officer or employee has even a pa~ial ownersinp of (or employment by) a corporation in winch the town offieer or employee owns mom than 5% oftbe 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 relationsinp between yourself (the applicant/agent/representative) and the town officer or employee. Eitber check the appropriate line A) through D) and/or describe in the space provided. The town officer or omployee ur ins or her spouse, sibling, peseat, or cinld is (ch~k all that apply): __.A) the owner of greater than 5% of the shares oftbe corporal stock of the applicant (when the applicant is a corporation); B) the legal or beneficial owner of any interest in a non-oorpomte entity (when the applicant is not a corporation); __C) an officer, director, partner, or employee of the applicant; or D) the actual applicant. DESCRH~TION OF RELATIONSHIP Form TS 1 Submittcdthis ~,0 daygf F: ,v - Print Name ~' f~ l l ~ i~f Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necossapj, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION /~ oo _ &-7 - q - 20. {o The Application has been submitted to (check appropriate response): Town Board [] Planning Dept. ~-~ Building Dept. ~'~ Board of Trustees [] Categopj of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital [] construction, planning activity, agency regulation, land transaction) [] (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: Nature and exXent of action: r Location of actiun: Site acreage: Present land use: Presto zoning If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: ~t'vx [ L- //3( I I ~rd' ~//f~ ~'- t.~ ~ (0 Telephone num~: ~ Co~e ( ) -7 ~ % ' ~ 7~ C/~ 5 1 ? ~ (d) Application number, if any: Will the action be directly undertaken, require funding, or approval by a s~me or federal agency? Yes [~ No[-~ Ifyes, whichstateorfederalragency?~(~- /~?~/L~qE4M~ DEVELOPED COAST POLICY d~: ~ - q7~3 - 02~q~33]t~oo0 Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III - Policies; Page 2 for evaluation criteria. [] Yes ~ No ~ Not Appl,icable . Attach additional sheets if necessary Policy 2. Protect and pr~,~.rve historic and archaeological resom-ces of the Town of Southoid. Se~ LWRP Section IH - Policies Pages 3 through 6 for evaluation criteria Yes[~ No ~'] Not Applicable O ' ' ' Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. Sec LWRP Section III - Policies Pages 6 through 7 for evaluation criteria [] Yes [] No No, Applicable Attach additional sheets if necess~y NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III - Policies Pages 8 through 16 for evaluation criteria --~ Yes [] No Iq Not Applicable ^ttach additional shocks if nec~ssa~'y Policy S. Protect and improve water quality and supply in the Town of Southold. Sec LWRP Section IH - Policies Pages 16 through 21 for evaluation criteria ~ Yes [] No ~'~ Not Applicable At~ach additional sheets if necessary Policy 6. Protect and res~re the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. Sec LWRP Section III - Policies; Pages 22 through ;32 for evaluation criteria. ~Yes ~ No[] Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southuid. See LWRP Section IH - Policies Pages 32 through 34 for evaluation criteria. ~-~ Yes [] NoJ~ Not Applicable Attach additional sheets if necessary Policy 8. Minlm~ze environmental degradation in Town of Southold from solid waste and hnzurdous substances and wastes. Sec LWRP Section HI - Policies; Pages 34 through 38 for evaluation criteria. ~yes r~ No [] Not Applicable -, - ~ - PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III - Policies; Pages 38 through 46 for evaluation criteria. ~ Yes~ No ~. Not Applicable At~ach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section IH - Policies; Pages 47 through 56 for evaluation criteria. R Yes ~-] No~'Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Ear,tory and Town waters. See LWRP Section III - Policies; Pages 57 through 62 for evaluation criteria. Yes [] No ~. Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southoid. See LWRP Section III - Policies; Pages 62 through 65 for evaluation criteria. [] Yes ~] No ~Not Applicable Attach additional sheets if neeessaty Policy 13. Promote appropriate use and development of energy and mln~ul I~'~aouiN~. S~ LWRP Section III - Policies; Pages 65 through 68 for evaluation criteria. Yes [-'] No ~ Not Applicable Created on 5/25105 l1:20 AM SURVEY .OF LOTS 18, 1'1, 10'1 c$ 110 "MAP No.2; PECONIC SHORES" FILED SEPTEMBER 13, IGf30 FI SITUATE: PECONIC, APPROVE BY ~troU~.w NY BOARD Of TRUSTEES SCT# 1000-61-4-20.3 4 20.4 WN Of SOUTHOLD SURVEYED 12-10-01 TO AMENDED 10-31-02 DATE II .....c:D-nt::Il::n Tr'\ ......,.....,....., " .1.-...... ,,-,,. E. ALLEN KRAUS COMMONI"lEAL TH LAND TITLE INSURANCE COMPANY AREA = IB,B'1S SF OR 0.43 ACRES ELEVATIONS REF. N6VD '2'1 PROPERTY IS IN ZONIN6 DISTRICT R-40 BUILDIN6 ENVELOPE BASED ON ZONIN6 FOR NONCONFORMIN6 LOTS FEMA MAP NUMBER 36103COl61 6 EFFECTIVE DATE MAY 4, 1'1'1B AUTUMN LAKE IS INFLUENCED BY AN UNDER6ROUND PIPE I"lHICH CONNECTS TO 60LDSMITHS INLET AND CONTAINS SALT I^lA TER SPECIES , , , , , , , , , , ~, c. ' \ ~ i" NOTES, . MONUMENT o PIPE GRAPHIC SCALE ~.' .- 1"=30' r Woler ,,, Pole Bro...n ,~ Fine ,,, (,ooc",,,, ~,,' I NOV I 3 2002 i I I 1-cC"TJ \3 Q oc.i" . \'0-..--e--- c.d\\G 0'-' \.::-.0"" Q--<\(.J J 0'f1 ~ /-/ ~~\ ",ip--UI ,..C ,~Gr \ '-i" :;;;: ~_<:~E-'f2_c.J ".p u' <1..0" 'lc"e~~ v' ,~\.--\.-:-;/ \f"v - \ \'00 vV~'vY- 02. .------- ~ ~~~/~/ ..~/~ // ~:,;:;/~~/ / QOi'V ____ . ~ -f" ' ',_____- ..-/ 11\K' ~ ~ V ___--------I ../ ,c~b /J.. -" ~ 00<\'\"V ? " C; ~ -1:\\.5' c '::':" ~\\\ ~'0 '0'>\ 1-'9'\6~ S-'s.~-t- '5aC'T _?0' O'j. 0. " '" 0\;,,06\\ \\fl00,'0 ; 60 \'r\ ~/ (>.'" 00 00 /' 0\\00 <(Of.- __-' 0\0 ~?-. ,,- (0\\ ()po ,-,- ~'i\o0 ,.--- ~.. .. .. .. '@ ~ ~~ \~\~ t/'~~;Y~ . ~ ~L...\. /\\\ 0 "= c/ ~~ n ~'6\ ~-- ~- 'f ,. ...."h -'i: ~ ~ \.0\ \\0 \ .\ 1;g \ '.--10"\ \ -S~0(L\J , '~oi..\O(\ ,01.1(\ /-:::-<~ -~ I I: ; ~-, ~ " , , , , , , , , , , / I , I ~ / / .~"-/ o~<:'-\\l <.S) 'V(<-Y -r ,~li ;:"~ // ~~. _~ / '~~~i ,':":'tiI L" I ~ ,-> ' /"'u/ / / 0'>/ I ' , ' ~ ' , ' , ' I I , ' , I , ' , , , ~ , ,-0\ 1PJ I ff5 >-</J -----~ ""'/ 1;'8 - ..:.. _ ,: O!/5e . " - __ --,c-drOl 'PtIC-_-( I ,--- - -,-JOo~ to k <:t- - -/-- :' .... JFyet~::'-O~ _ '-_YOIm.....-O -- - ''''Cr'f 11/ 1Ql-/ 151:(/ iJ1i tri~/ 1$ I il) '1 , >' 0, ./ e- ,I .!!"- ~~ o.J" . 0 R,~ ,-0\ 19 ,-0\ \Op, , I I , ( 574"28'54'W 99.10' V"'ELLlN0 no Hell Found Hithin iOO' ,-0\ \01 ,-0\ p,0 0<\'1..1.. ,. , IV w*v/". '''. , " . E: s ---S':.;,=:- I-~ole 12- :-0: MIID()NAI_D S:::OSCIENC:: ~ I ~,,' I GOO ! Lo"'" ;-----Pelle- 5 ~~~n iSH i c.o~~~e Son" Ei L JOHNC. EHLERS LAND SURVEYOR N.Y.S. LIe. NO. 50202 6 EAST MAIN STREET RIVERHEAD, N.Y. 11901 369 8288 Fax 369 8287 REF. l\lIp server\dIPROSIOI 312G.pro 11.--....'2.,"",5".,...' __~""_.'2"'O SURVey OF LOTS 18/ 1cr/ IOcr -i 110 "MAP No. 2/ PEGONIG SHORES II FILED SEPTEMBER 13, 1'f30 FILLE No. 654 51TUA TEl PEWNlc. I JBWou~O~~-W NY I SeT" 1000-67-4-20.3 4 20.4 SURVEYED 12-10-01 AMENDED 10-31-02, 11-18-02 01-08-03,01-15-03,01-22-03 Dv'iELLlNG r:FRTIFIED TO- =. ALL-EN KRAUS COMMONHEAL TH LAND TiTLE "iSUR...ANCE COMPANY AR::A = 18,8QS Sr OR 0.43 ACRES , , , , ELEVATIONS REF. NGYD '2<=1 PROPERTY IS IN ZONING DISTRICT R-40 , , , , , .--"<cf',,/ , Q" , " BUILDING ENVELOPE BASED ON ZONING FOR NONCONFORMING LOTS rEMA MAP NUMBER 36103COl61 G ' EFFECTIVE DATE MAY 4, ICICle II , ' AUTUMN LAKE IS INFLUENCED BY AN UNDERGROUND,' ,,' PIPE WHICH CONNECTS TO GOLDSMITHS INLET '.' / / / AND CONTAINS SALT Y'iA TER SPECIES , , .J'~~ " &J..}~ :' t--..) - - - /' / NOTES: . MONUMENT o PIPE GRAPHIC. SC.ALE _.._u.. - -- n,,,,,\' 1"=30' UG ,. .. T"\' ----_._-~~~-- S;::Pi'rc-\N- \/.AC;',:'-i7 [, I I I i ~E~L ;::~c i I ":'l::, , I - 1 ~tlond~ j .' ,Fre-s.hlMote .---- limit 0 ________-- ___ .- .-.- ------- / ~. . _ ,;_ _.. ___~~~.-_-~_./~--D~~-.~.--~-- ..."-; : ~ /--:.----0-------- iJ:~~ / . , N~ , ;",:,"'/ ~ , . ...,; ,L .' /........ ~~ 1- / .r:':B / ;-- 76' ~ I - - ' -'- , / / . .~?; l. ~-RJ "- -. -tf':{f",,- O....J- ,;- / if"'fl' "~ // - ~~~..- /' /, ..-1.0; (XCi ...-- :-..(""~(, .'" i./i',~-:- , - v-:S" ~;(, p;.f . "-~,f' ~;~~::~-'-_. ',' lI)i'li I -'~___.:~__. ". -...., ~.:;.?' / / I --'-_~.~>:::::~~~~;~:.- ,LOT , . 79 , .. . ~ LOT 80 . /0_ ,0, :.o'E s=.=-'::' ':5<]-' :::'(^lE,-_'~,S /.;=~ . .-----.----..--. I I I i i I \ : Ii SEP \ 2 J ?005 'Jl . I OY'<F' L1NJ SOU 'IJid Town BCJ3rd of Trustees U: L v r-..GAi'-l I V.A.C NT ; \. --{r:,~)y'~~ I, i' I-L' , tv W--.4..\j" " ""r-8 s _ S}ECCQND_ "' " ':, ~~ - A V1EN1Q1E __ "'I I -;:)F . . / _ 0a~-H7C. _, )0'" V '( /..._. , "o-'7~~/L-?6.' ::;:7'U ""'L/<./c;C!/ \' ....j,..' I" ,-.":,/_Y'3()jC -,.>....:.1' 144,85' 153.20' /-.=:. --). > LOT_ , 109 . (j1 <.l) " ';0. ~~~ _':::>J_ PROPOSED' HOUSE . ;'l.~::;~~ {e:.~~;i ~;or::.. '~.."C::::;::C"" ,..,~" r;:;:-?;,;,:::::::::' ::::;::;:e",:","'So- . ~::::; ~c~c~e-- ~ ,..:'"J ~ _o-re~r.,;;:- \ 'cr- \ ''''',''C;::::;~;C'' \ I s,-'-- -.-.-~- --~'- - (j1 <.l) S54":32'56'W ,;/_,SL:-.;7 LOT 108 <.. , ~ LOT 107 is ~ * ""W ~_'" Z ~ e ()1 C)/D_~ Iii -l\J\~ ~ W \3l c. -" -' () ~ -0)>- I=Q .... ::m ?,; r \ ~;..e '_/Z Z > 1-7~~Cfr~ ;,/ .~ t) 1.0~: ' 1U./, '- (D /- .~ / ~~.. .- ~.. / / ~ ~ ,/ '<0 G :2 m r r Z (J> LOT 110 I , , i- 35' 00 00 98.80' . < > " > Z -i _,~~~I~L~r~~,--" (:, F.t.,~_,~;... . '?~I;:""'<;z'O(~':;2\ ". "... ..<- ~\~, ~ w, Qc ~, \- ~-~. 0 -, 0-' . ,'. <.(~ "'i~~/l. \~";:\: "',-... 50'\.: - .>" 1./\ NO ~.>. '~., ~_._ _ - ._~.)-f_' ~ I'<;:::"'~ Test ~cie 12-1-0 MGDONA~_::) GEOSGI :'....c.:' ~ '~:7 L"'''~ ; - ! ,~~~~ i --":' C:;~""> I~-" II' ;:: F'r" '0 i c"c~s., I 5o:~:: i , L__. s" _'0"-'''.0-'0"'--- ".," '~7 -_~., . O~. ."'~ "c.J_' -, e. -.,' '.,'~ '--. ->,-,' JOHN C. EHLERS LAND SURVEYOR N.Y.S. Lie. NO. 50202 6 EAST MAIN STREET RlVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF. -1\Hp serverldIPROS\Ol- 3121. pro -'-;.;';,~;"'-,.;n-v<;"" '..:;;'--;;;.;:_';",,,,,~.::":. ." ..;; - SUR'" "MAF FILED SITUA- TOWN: SUFFC SG TU 100< I. SURVEYE[ AMENDED 01-OB-03 . CERT!F!EC E. ALLEN , COMMON" INSURANCE AREA = Ie ELEVATIOI PROPERT) BUILDING> E FOR NONC FEMA MAF EFFECTIVE I. AUTUMN LP PIPE "HICI AND "ONT NOTES, . MONU o PIPE GRAPHIC ;;.~ SURVEY OF LOTS 18, lc{, 10C{ t 110 "MAP No.2, PEGONIG SHORES" ~:~~ 13, '''30 F'ItE No. 654- TOWN: SOUTHOLD DHELLlN0 SUFFOLK COUNTY, NY SCTU 1000-61-4-20.3 ! 20.4 SURVEYED 12-10-01 AMENDED 10-31-02, II-IB-02 01-OB-03,01-l5-03 -'---~--sEPTte-tH-REAR SEPTIC 150' ~ VACANT f'.lE_L- i=i<OM OTHERS D~^lELL!N0 DHE~,J~: c, CERTIFIED TO, E. ALLEN KRAUS COMMON"EAL TH LAND TITLE INSURANCE COMPANY OlBf" y.4BtlonO:. ~ LirnitOf F,.e~.__.......-. .....--- --- D!RT RO(\DHAY ----------- , , , , , , /- I ,- AREA = IB,B'l5 SF OR 0.43 ACRES , , , , , , , , , , FEMA MAP NUMBER 36103C0161 0 ' EFFECTIVE DATE MAY 4, IqqB : , / / AUTUMN LAKE IS INFLUENCED BY AN UNDERG>ROUND/ / / / PIPE "HICH CONNECTS TO 00LDSMITHS INLET '. - / / / AND CONTAINS SALT Y'lATER SPECIES r-- ~ :~ I f,:; ,,' I ~ ~'T ,;:'l ; 'tV _,. ~; - '-J '- I '." .l I ";; \) I ,l/J'" '"- i -., j S '.- j 'c., ,., ,-", ! ;~; . I' ,", :\"'" , ~--rr- I C; I ::::. t'_:, -j" I ~, 1-- ! ;] o -< ;.- t"' ELEVATIONS REF. N0VD '2Q ".""1 PROPERTY IS IN ZONING> DISTRICT R-40 / / / BUILDING> ENVELOPE BASED ON ZONING> FOR NONCONFORMING> LOTS / ". "'c}:' -,,-" ,,-" (f"'/-" - /- .;34' , , , .: -.)-~,: ;"",~v. ,/ 'i:)'\'f ; , ~... , , ~:J i~ " Cl' PROpeS . -HOUS _ ~2.5 Stor'lj (3 rm) ReI.. Fir. E!ev 12 - '::J-<"onf. fOlJ/'ldatlo ...Ith h~dro'!:>tzrti(. ape Ifllngs no 9or09 1-- \' 1--- I' '- ! <-- --.4 ~ :-,' S64":32'56'W , '-~) .., .. VACANT :, ~ I -'6- .~. " > t- -' -' ,- ~ LOT 80 LOT 108 , . ~l ~-') (;, ~l, t!1 .~, ~ (3 -, ~ () : I ;> ('.1 ~ 1;;." 1 Ct.' :,''1l'/,'AJ1S' 1'\:P111}? S~;:-i~.\'~-= ~"h;' _-,,1_'";'5 --( ;., , O(J)/ / '-" , , /. ,0 ,6, , .. , " .. / LOT 107 / \ \ :'1"" r:"7 / ".I c: to' \ ... -, , .,.J .... / <" .... - OjJ \"i~i,..:L:;I~ :. ~ :)';~50' 0 o 'C.' j y~ELL , / / ~ , I \ I I I HE~L..,. \ \/i~[,ANT SJECCON1D A VENUJE :.'i'-.----- .. c ','to '" OJ (5 ~ III ~ --.ro z~e ~1\l3 td -flS\ ~ ~ ~/~ . -0- / !!i Q.)> 9J ~u<t==l \~}~~~ ~c / ~c (1 \j- / m / '- // / [Xl ~ / / - / ~ll)/ . / // LOT 110 35' '" OJ / / / 98J!1i1/ / / / / ,/ / : / / / / / / / / / / / / / 1/ / / > r-.. .Q tv w*~ s VACANT D0lELLiNS ~~ ~~- . ".,-.,,\~~~-~.r\ ..,)J. _--~;~..,\.;. :!C~~:V-I tU; ./ .. ..' -...1 ~,~- !'"''!';'-''''/ ._<~\2;;~'r;~'~,';-" ': ~;' J nnnnn '~.'~' '.;.:,rt::C?" ~' . ~.y:!-- '.;.>' .On.n. ,\. V'lELL'1. t'~. '~~ ':/ \ ,,/ \.../r \J :i m ~ t z G' Test Hole 12-1-01 McDONALD GEOSCIENCE !=i I~ '0= 00 00 , Pale n'''':;'''' '0 ~ 50nd 6 4' I~I '" ~,. ~.~ 5" < )> " )> Z -< Fi"" i~1 I.... U13 -~_:.c=",,~ .~"""~"""' ~, """0":'" ,~ 0 "..,v~ ~,"" """"'ng a ,.~~n,.,,,, ,""~ .-,"v..."".. ..,,,, '. ~ v 0 ""~r~' .~~""., C~C'. '''''.''''''''''0 ~.~, "'''' .....~ Y,.-, S'",,,, ~",c"t;~o_"", "0", ~~~"'. r,~~ "," ~"","", of 0;.,. .....-...... -".-,,,,, ~.". "" ~';~""'~' ,;,~ '''''' .....-...~"",'. "'''""~'''' """, .....c' ~~ ';'-""'d~,~" ,,, C~ vo".~.",~ ,";':~':~'~~:'::'O:~o:-=-:~'3"~:;:' %": ::~ >t'."~ C.O~~ ~, p"",,,",, ,~_ ~"",,;,.,.-......,. ~""",..,,' '" c.... ,,"w -~,~ ~'''''' "'"""0'""",, c' p,-~......~"", 'c"",, 0..,..,,,,,,,,,. """" ~"-""~"'IDO' ~"'" "'.<> ""," '-0 cee "'....-.Gn ''''- "'"""" """ ,.'v..~ ,. ~'~o","e"- ""~O-";"""""Co""""'eoo""'''''''J,9<'''<'~- ;0 ~"".o."""'""";,,,;n,,':.,_';"sd_~,,".""" .~ ,";~;~~~:~":-,:;';;::;:'':'':; ;~~~~~, ,~:;.;;~~ JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y,S. UC. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.-\lHp server\d\PROS\Ol-312Lpro ".~" - SURVey OF LOTS 18, let, 10et ~ 110 "MAP No.2, PECONIC SHORES II FILED SEPTEMBER. IB, IGfBO FilE No. 654- SITUATE: PECONIC, TOHN: SOUTHOLD SUFFOLK COUNTl", NY SCT# 1000-61-4-20.3 a 20.4 pf'\. \D SURVEYED 12-10-01 U AMENDED 10-31-02, 11-18-02 01-08-03.01-15-03,01-22-03 SEPrlG II' r ., . DNElLlNG VACA.NT ",ELL FRO~ C' '<.'0 , DfiELI ...~t?"""r:::'''''..... ..,....... '-'..........'" IL........ IV: ;'" oter \o"W3tlcn:i~.i L1mil of Fre.",'~ _____.....- _ ...-.......~ E. ALLEN KRAUS COMMONY'lEAL TH LAND TITLE INSURANCE COMPANY ------- AREA = 18,DQS SF OR 0.43 ACRES ELEVATIONS REF. N0VD '2Q , , , , , , '" .' , DRAIN\. BOX )< "0,,.....'.."'.. 16 W'E PROPERTY IS IN ZONIN0 DISTRICT R-40 ,/ / / ~ ' -r~/ ,/ ~g,- 0..01 , /~ /6' " , - - ' -'- , - ..' ,/ , ~OT ,78 , -, ~ , BUILDIN0 ENVELOPE BASED ON ZONIN0 FOR NONCONFORMIN0 lOTS , , , , , , , / AUTUMN lAKE IS INFLUENCED BY AN UNDER0ROUND.' . / PIPE Y'lHICH CONNECTS TO 00lDSMITHS INLET ',.' /' AND CpNT AINS SALT Y'lA TER SPECIES ,,"'Lf' ,,"- " ~'\ .- . Q.' FEMA MAP NUMBER 3bl03COlbl 0 EFFECTIVE DATE MAY 4, 1'l'lB ,/ . , L~ iI'~b'~/ ~.~""d_ / _ ~.,;U ~J ..~/ , ~,~-- .It ". -cf- ~' ,a- '1./-- :-..cPij ~ ..../ 6~d" rf./ /\" ~ ......0~ ",I /" , , V-{5.- ,/ #~~ / ~ ' , , , I /k , , ~ h ,0, LOT 80 /0 .6. NOTES. . MONUMENT o PIPE GRAPHIC SCALE -~... 1"=30' 00 ---~ ~ " , ::.2.Qf.\:JViF':'- , , ,.- . , D:<,Ai:-. --,.--" ~ 153.20' , C J lOL- ~~~ 109 c -<,a~ ' c <J', , /' /,..- SE;::JT\G 150"" Dl^iCL..i....!Nb P'P:: " ------ " 144.85' -:c~ /~, ~\-L ~ 11f'.... - r- __cO~ ~-.."u..f;." " PROPOSED HOUSE 2.5.sr~~J (3 borm) =<.8'_ F,,..-. E!ev_ 12 __ ::'0l"1::'_ ;01j"O:o~;cn ...it" h,;::r~'3~t::::ti(. o.=,e"""'"<:::. . na 9c:roge~ ~ _o-rerbt ~ _______________- ;or -;'-~~ _--_ .....:.::....nQotion 554~2'56'W V ACAN~ LOT 108 LOT 107 I';=~~ , (jl OJ N V,ALANT V ACA,NT ~t s;;c~~ ~~.D5 :~ dV'iEL.LIN0 I ..-- SCU:"'-"[I':'il 8r"(1 "l'( ;M~~ 'f: rlEl...L'! SECOND ""'Y!l!n~C ~ pn't"\'h) :\3 PFR TERMS ,;-::\ ~'\I.'"lllit\.L";~ OF /- ~l'" _ <r_., )r.l.?'? /-.._., . AJ/Emm:.~:';\\ "~~l:;%;r~CZTU ~'~~CO/ -_0..-- '- V'iEI: /. '0, () " '.." ",gJ z~e: ~?r~~ 35' Gl / ClJ -\ ~ ~ " 1-'- -~()" t;; \",> ~ /~~FQ \ .S [>-,,":,- }i~ ~ S; --- ;~\..JY -;" ~""" 61 "O"':'1~~/ / ,~W ~ / /,/ ~ / I."'J 0'<./ ...: / ~~. 11). . / . Pole 0'0_ ,^ F"'" -0 COO~5e 'o~ I I L-- Test Hc:e 12-1-0' McDONAL:J GEOSCIENCe: U> ~ <:) 2: m r r:: z Ci' ~h,.." - \ I LOT 110 ~ ~, 1..-"0"" 00 00 POi" B-,,~n I Fi": ~^ G""",~.. i "'ono -, ~;;- i I I ~.- '" OJ / 98.ao' / < )> " )> Z -i / ,~ .Q ,~'"" '7 ~'O- ,-.. or~ 0"".0_" c. '."~ "." '.C"O" -~~ ~~""C> ~ ,~.,~" ~"' ,o'~:'c- '0' '~"C_' -;;"., '-"^-o-. ';;-', CO~,,> '-"" ."-~ c _.,,,~, A'_~ "'" O. '^~. 'C' ,,=-~,,~ ,~~ ~,~" <~ ,-=_d,,_'_ :~,,",~,~"> -~.,.,,~~" JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 N.Y.S. LIe. NO. 50202 REF. -I\Hp serverldlPROSIO I. 312Lpro '~nnoo~ .,.~~-,.".... """---"""",,,,,,,"'::""";Q