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Home My WebLink AboutTR-5178 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall Annex 54375 Main Road 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 # 0453C Date: July 29, 2009 THIS CERTIFIES that the construction of a new two story_ dwelling with attached garage, sanitary system and a 4' wide access path to the beach with a Non-Disturbance Buffer to be maintained from the no~th side of the dirt road seaward; driveway and attached deck are not being constructed At R.O.W. off Wunneweta Road, Cutchogue, New York Suffolk County Tax Map # 111-14-28 Conforms to the applications for a Trustees Permit heretofore filed in this office Dated 4/24/00 pursuant to which Trustees Wetland Permit # 5178 Dated 6/23/00 was Issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certffieate is being issued is for the construction of a new two story dwelling with attached garage, sanitary system and a 4' wide access path to the beach with a Non-Disturbance Buffer to be maintained from the north side of the dirt road seaward; driveway and attached deck are not being constructed The certificate is issued to RICHARD ANDERSON owner of the aforesaid property. Authorized Signature James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax (631 ) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: ~/Ch. 275 Ch. 111 INSPECTION SCHEDULE __ Pre-construction, hay bale line/silt boom/silt curtain __ 1st day of construction ½ constructed Project complete, compliance inspection. INSPECTED BY: COMMENTS: // . CERTIFICATE OF COMPLIANCE: Plo LOt AREA--S6,0?9 SE). FT. TO TIE LINES DREi~TED CHANNEL SURVEY OF PROPERTY AT NASSAU POINT TOFN OF SOUTHOLD SUFFOLK COUNTY, N. K 1000--111--14--28. SCALE: 1~40' JUL Y 21. 2004 ~ ~' Plo Lot ELEVA ?7ONS REFERENCED TO N.G. V.D. ANY ALTERATION OR ADDITION TO THIS SURVEY IS A WO~ATION OF' SECTION 72090F THE NEW YORK STA TiE EDUCATION LA W, EXCEPT AS PER SECTION 7209-SUBDIVISION 2. ALL CERTIFICATIONS HEREON ARE VAUD FOR THIS MAP AND COPIES THEREOF' ONLY IF SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF' THE SUR~/EYOR WHOSE SIC. NATURE APPEARS H£REON. Trustees LOT NUMBERS REFER TO " .~MENDED MAP A OF NASSAU POINT" FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON AUGUST 16, 1922 AS MAP NO. 156. ~IC, NO. 496h~ ?ECO~9#s/,~..,t. 6631) ~.,{,631) 765-1797 P.O. BOX~ 1230 TRA VEL~REET SOUTHOLD, N.Y. 11971 I ~.~-r'--~.,~,~, Albert J. Krupski, President James King, ¥ice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53096 Reute 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 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 c'/'Pre-construction, hay bale line __ 1st day of construction % constructed __ Project complete, compliance inspection. Albert J. Krupski, President James King, Vice-President Attic Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Seuthold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 June 18, 2003 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Robert E. Henmann Eh-Consultants, Inc. 1329 North Sea Rd. Southampton, NY 11968 RICHARD ANDERSON R.O.W. OFF WUNNEWETA RD., CUTCHOGUE SCTM#111-14-28 Dear Mr. HeHlxlanll: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, June 18, 2003: RESOLVED that the Southold Town Board of Trustees grants the last One-Year Extension to Wetland Permit #5178. Permit is to construct a two-story, one-family dwelling with attached garage, deck, pervious driveway and sanitary system, to install a drywell, connect to public utilities and water well located in the fight-of-way, and for a 4' wide cleared path down to the water, all with the condition that there is no disturbance on the north side of the dirt mad. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, Albert J. Kmpski, Jr. 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 May 28, 2002 Mr. Rob Hemnann c/o Eh-Consultants, Inc. 1329 North Sea Road Southampton, NY 11968 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Richard Anderson Wunneweta Road, Cutchogue, NY SCTM#111-14~28 Dear Mr. Hen'ltiarm: 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 #5178 dated June 23, 2000 for a two story one family dwelling and attached garage, deck pervious driveway and sanitary system to install drywell, connect to public utilities and connect to drinking water well located in right-of-way and for a 4' wide cleared path down to the water with the condition that there is no disturbance on the north side of the dirt road. However, this determination is not a determination from any other agency. If you have any questions, please contact our office at 765-1892. Albert J. Krupski, Jr. President, Board of Trustees AJK/cjc EN-CONSULTANTS, INC. 1329 North Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 E-mail: encon @ peconic.net www. enconsultants.com ENVIRONMENTAL SERVICES July 19, 2000 Albert Kmpski Board of Trustees Town of Southold 53095 Main Road Southold, NY 11971 Re: Richard Anderson~ SCTM No. 1000-111-14-28~ Cutcho~ue JUL 2 0 2000 Dear Mr. Krupski: As discussed during the public hearing on the captioned application held 21 June 2000, please fred attached a final site plan depicting the revised sanitary system design and location; buffer zones; and cleared access paths to Wunneweta Pond. Although I trust that this information will allow the Board to issue its permit, please contact me should you require any additional information. Robert E. Hett~j~anrl Coastal Management Specialist Attachment Board Of $outhold Town Trustees SOUT~OLD, NEW YORK PERMIT NO. 5190~ · June 23, 2001 DATE ................................ ISSUED TO ..,..~.~..o.,~,.A..~'.~...,A,N..~,~S..(~ ................................................... i ........... Aul'horizaliou Pursuant to the provisions of Chapter 61S of the Laws of. · the State of New York, 1893; end ~C~_apter 404 of the Laws .of the 'State of New York 19S2~ end the Southold ToWn-Ordinance en- titled ."REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS end the REIvtOVAL OF SAND, GRAVEL OR OTHER IvIATERIALS FROM LANDS UNDER TOWN WATERS;.,';: end in accordance with the Resolution of The Board adopted at a meeting held on ......~T..u..~...~..1...: I~.~.0._..., and in consideration of the sum of $....~.~.°.....O.g ....... pald by Eh-Consultants, Inc. for Richard Anderson of ................. ~.~:?.~..o.,~ ..................................... N. Y. and subiec:t to the Terms and Conditions listed on the reversesidle hereof, w_,,oJ[$o~thold, Town' Trustees. authorizes and permits the following: ~L~atnurerml~ to cons~ruc~ a twoTstory, one-tamily dwelhng and attached garage, deck, pervious dPiveway and sanitary system,to install drywell, connect to public utilities and connect to water well lOcated in right-of-way and for a 4' wide cleared dOW~ljt~n th~eccoraanceWater wit3aw~rn {~J~ee aCeOt~c~et~f~.~a{~i~l?~spiP4lef~lu~ance the originaflna application. on the north sicle o¥ the dirt road. ' IN WITNESS WHEREOF, The sald Board of Trustees here- by causes ifs Corporate. Se. al fo be affixed, and fhese ~).resenfs fo be subscrlbed.bY a:malor,ty of the sa , ti~/./~.~h,s dais. '-' Tmsiee$ TERMS and CONDITIONS Richard Anderson tesldlng at 333 East 30th St., Apt. 19N, New York N. Yq ts pan of the constderatioa for the ismance of the p*r~k does understand and pn~-ibe to the ~ol- Iowin~: 1. That the said ~ of Trustees and the Town of Southold an released lmm say nnd all damages, of ~w,l~- fo~ damagu, of su~ ad. sing dhectl? o~ indlte~y as · teaslt of any ope~- ddend ~ 'nd Ill such I~ts'~nk~e~ by tMt~ ptrt~ and the mild ]PemgRce .(eu,n~_ ~ wkh respect there., lo the complete exclusion of the Board o.; Tm.qees of the Town of 2. That this Petmk b'valtd for · period o~ 34 mo~ which is condda~ to be d~e estimated time'required eo complete 6~e wofk involved, but should dtauie.+.-,'es w,atra~ request for an ~slon may be made to the Bo~xl at · I~m,,. date, That this Permit should be retained imtef'mkely, or as long as the sa~d Pemdttee withes to maimain the structure or pro~ect involved, to ptovlde evidence to anyone concerned that aud~. ofi~tfion was originally obtained. 4. That d~e work involved will be subject co the inspection and approval of the Bo~d or its agents, and non.~otn?innce with the ptovidons of the odg~ttng application, may be _~,,~ fof fevofation of d~;_~ Permit by resolution of the said Board. : / ~. That there will be no unreasonable interfe~eofe with nsvigation as · t~__,!t of the work hetetn at~thorlzed. ' ~ 6. That there shall be no interference wkh the right of the public to p~ua and repros along' the beach between high and low water marks. 7. That if furore opet'adons of the Town of Sout~old requite the removal and/of alteradom in the location of the w~tk heteta mthodzed~ or If, in the opinion of the Boani of Tmstee~ the. wofk shall cause un.reasonable obsttucuon to free navigation, the said Pe. tm~ee will be tequlted~ upon due notice, to remove or alter this work of project heteln stated without ezpenm to the Town of Southold. S. That the said B°Std wm be flotlfied by';the Permittee ot lhe ~ed°n:iOf the work tuth- 9. That the Petmittee will obtain all Other petmlts and coments dist rosy be tetluited ~ plemental to this permit wldch may be subject to revoke upon fallofe to obtain asn~ 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) 765-1356 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 23, 2000 Mr. Robert E. Herrmann Eh-Consultants, Inc. 1329 North Sea Rd. Southampton, NY 11968 Re: RICHARD ANDERSON SCTM#111-14-28 Dear Mr. Herrmann: The following action was taken by the Board of Town Trustees during its regular meeting held on June 21, 2000 regarding the above matter: WHEREAS, En-Consultants, Inc. on behalf of RICHARD ANDERSON applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated April 24, 2000 and, WHEREAS, said application was Conservation Advisory Council recommendations, and, referred to the Southold Town for their findings and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on June 21, 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 ITt RESOLVED, that the Board of Trustees approve the application of RICHARD ANDERSON to construct a two-story, one-family dwelling and attached garage; deck; pervious driveway and sanitary system, and to install drywell; connect to public utilities; and connect to drinking water well located in right-of-way to Wunneweta Rd. and for a 4' wide cleared path down to the water with the condition that there is no disturbance on the north side of the dirt road. 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/lms cc: DEC Health Dept. Building Dept. · J~t4 Telephone (516) 765-18q~ Town Hall. 53095 Main Road P.O. Box 1179 Southold. New York 11.q71 $OUTHOLD TOWN CONSERVATION ~DVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Monday, May 22, 2000, the following recommendation was made: Moved by Scott Hilary, seconded by Melvyn Morris to TABLE the Wetland Permit Application of RICHARD ANDERSON 111-14-28 to construct a two-story, one-family dwelling with attached garage, deck, pervious driveway, and sanitary system, and install drywell, connect to public utilities and connect to drinking water well located in right-of-way to Wunnewets Rd. R/O/W off Wunneweta Rd., Cutchogue The CAC Tabled the application because the property was not staked. The CAC would recommend a 50' non-disturbance buffer. Vote of Council: Ayes: All Motion Carried EN-CONSULTANTS, INC. 1329 North Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 E-mail: encon@peconic.net www. enconsultants.com ENVIRONMENTAL SERVICES June4, 2002 Town of Southold Board of Trustees Post Office Box 1179 Southold, Now York 11971 Attn.: Lauren Standish PERMIT EXTENSION REOUEST Re: Richard Anderson r.o.w, off Wunncwcta Road, Cutchogue SCTM #1000-111-14-28 Permit #5178 Dear Board of Trnstees: Thc above referenced pc~ait expired June 23, 2002 and was extended until June 23, 2003. As thc approved work has not been undertaken, we hereby request that the permit be extended for another one year period. A copy of the permit, extension and fee of $10.00 are attached. Thank you in advance for your attention to this matter. iy, hens ~' Administrative Asst. Eric, et, EN-CONSULTANTS, INC. 1329 Nor[h Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 E-mail: encon@ peconic.net www. enconsultants.com ENVIRONMENTAL SERVICES May 3, 2002 Town of Southold Board of Trustees Post Office Box 1179 Southold, New York 11971 Attn.: Lauren Standish PERMIT EXTENSION REOUEST ,\ Re.' Richard Anderson r.o.w, offWunnew~a Road, Cutchogue SCTM #1000-111-14-28 Permit #5178 Dear Board of Trustees: The above referenced permit is due to expire June 23, 2002. As thc approved work has not been completed, would you kindly extend your permit for a period of one year. The permit fee of $10.00 and a copy of the permit are attached. Thank you in advance for your attention to th~s matter. Yours Ituly, Robert E. He~'m~aun Coastal Management Specialist Enc. /~Ibert J. Krupski, President James King, Vice-President Henry Smith Axtie 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 June 23, 2000 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD Mr. Robert E. Herrmann En-Consultants, Inc. 1329 North Sea Rd. Southampton, NY 11968 Re: RICHARD ANDERSON SCTM#111-14-28 Dear Mr. Herrmann: The following action was taken by the Board of Town Trustees during its regular meeting held on June 21, 2000 regarding the above matter: WHEREAS, En-Consultants, Inc. on behalf of RICHARD ANDERSON applied to the Southold Town Trustees for a permit under.the provisions of the Wetland Ordinance of the Town of Southold, application dated April 24, 2000 and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and reco~mendations, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on June 21, 2000 at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members familiar with the premises and, have personally viewed and are in question and the surrounding area, 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 RICHARD ANDERSON to construct a two-story, one-family dwelling and attached garage; deck; pervious driveway and sanitary system, and to install drywell; connect to public utilities; and connect to drinking water well located in right-of-way to Wunneweta Rd. and for a 4' wide cleared path down to the water with the condition that there is no disturbance on the north side of the dirt road. 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/lms cc: DEC Health Dept. Building Dept. Board Of $outhold Town Trustees SOUTI~IOLD, NEW YORK PERMIT NO....~'.)r~ DATE: ~Tune 23, 200, ISSUED TO ...,..~.~..,~D,_~)~.~(~ Au horiza io Pursuant to the provisions of Chapter 615 of the Laws of the State of New York 18.93; e~d Chapter 40~ of the Laws .of the · State of New York 19521 and the"Southold ToWn Ordinance en- titled ."REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;~L and in accordance with the Resolution of The Board adopted at a meeting held on ......~.U....n.~...~.~.~ I~.~.g....., and in consideration of the sum of $....~.~.g.~.~.? ...... paid by Eh-Consultants, Inc. for Richard Anderson of ................. ~.o.,.u.,t.~.c~ N.Y. and subject to the Terms and Conditions listed on the reverse side hereof, ~etlCj~$o~thold~T~>wn Trustees authorizes and permits the followlng: ~ erm~ ~o construct a two-story, one-family dwelhng and attached garage, deck, pervious d~iveway and sanitary system,to install drywell, connect to public utilities and connect to dri~k.jn8 water well located in right-of-way and for a 4' wide cleared path dOW~llt~n th~accoraanceW~ter wi,t,}.w,tn J~ee cJ:e°t~i°s~e~ajCjl~ea~~ t~e· or;g;nafina ap~lJcat;on. on north sic~e o~f the dirt road. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these p.resents to be subscribed by a'majorlty of the said J~oard as of thss date. · - · Trustees ~ 8 Albert J. Krupski, Presidem John Holzapfel, Vice President Jim King Martin H. Garrell Peter Wenczel Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only ~oastal Erosion Permit Application etland Permit Application Grandfather Permit Application Waiver/Amendment~ Received Application:' Received Fee.$--_~~i~ Completed Applfcation~ Incomplete SEQRA Classification: cType I____~e II ~nlisted ordination:(date .%e~t)~' C Referral Sent: ~/~/~ Date of Inspection:' f'/]?;~'g Receipt of CAC Report:;' ' Lead Agency Determination: Technical Review: :~ Public Hearing Held Resolution: TOWN OF SOUTHOLD Name of Applicant Address Richard Anderson, Contract Vendee 333 East 30th Street, Apt. ±~N New York, NY 10016 Phone Nunlber:(212) 686-6078 Suffolk County Tax Map Number: 1000 - 111-14-28 Property Location: r/o/w off Wunneweta Road, Cutchogue (provide LILCO Pole #, distance to cross streets, and location) AGENT: En-Consultants, Inc. (If applicable) 1329 North Sea Road Address: Southampton, NY 11968 Phone: 631-283-6360 FAX%: 631-283-6136 1 Boaru ~f Trustees Application GENERAL DATA Land Area (in s~uare feet): Area Zoning: Previous use of property: Intended use of property: 36,426.88 vacant residential Prior permits/approvals for site improvements: Agency 'Date X No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary): Construct a two-story, one-family dwelling and attached garage; deck; pervious driveway; a~d sanitary system, and install drywell; connect to public utilities; and connect to drinking water well located in right-of-way to Wunneweta RoadQ/all as d~picted on the site plan prepared by Stanley J. Isaksen, Jr., dated 20 December 1999. Name: PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Address: Roger Coombe Richard Anderson 1050 Park Avenue New York, NY 10028 333 East 30th Street, New York, NY 10016 Apt. ~N · STATE OF NEW YORK COUNTY OF SUFFOLK Robert E. Herrmann Southampton, NY 11968 that on the 21st day of doing business En-Consultants, Inc. , X~si~i~ at 1329 North Sea Road · being duly sworn, deposes and says April ,~9 200Q deponent mailed a true copy of the Notice set forth in the Board of Trustees Application· directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at Southampton , thq~ said Notices were mailed to each of said' persons by (~~ (x~X~E~) mail. ~ob~t E. ~mann Sworn to befQ~re me this 21st day of Apr.- ,~ /~ Not ar~'Pub'~ c~ EN-CONSULTANTS, INC. 1329 North Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 E-mail: encon @peconic.net www, enconsultants.com ENVIRONMENTAL SERVICES April 21, 2000 Town of Southold Board of Trustees Post Office Box 1179 Southold, New York 11971 Attn.: Diane Herbert Re: Richard Anderson (Contract Vendee) r/o/w off Wunneweta Road, Cutchogue SCTM #1000-111-14-28 Dear Ms. Herbert: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: 3. 4. 5. 6. 7. Three (3) Wetland Permit Applications, ( including Notice and Proof of Mailing to adjacent owners). Three (3) Short Environmental Assessment Forms. Three (3) copies of author'~ation & disclosure forms. Three (3) work plans. Three (3) copies of survey. One (1) set of site photographs. Application fee of $150.00. I trust this information shall allow you to process our permit request. Should any additional information be required, please do not hesitate to contact our office. Sincerely, A Coastal Management Specialist /khs Enc. Z 218 041 4~3~' US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail (See revers~ Z 218 04~42 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for Intemaflonal Mail (See reverse W,, Smplue P. ~ md Libby Hoaw~z, m ~ ~ of~ SCI'M ~ lO00-i i l. O0,1tO0-O21.O00. We hereby Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1~ Fax (516) 765-1823 BOARD OF TOVfN TRUSTEES TOWN OFSOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of ............ COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING being duly s~orn, depose an~/ say: ' That on the ~7~day of ~, ~, I personally posted the property known as ~ [~ ~;; ~ ~ by pla~ing the Board of Trustees 6fficial ~oster where it can easily be seen~ and that I have checked to be sure the poster has remained in place for seven days prior to the date of the public hg~ri~9. (date of hearing noted thereon to be held ~,~ Dated: Sworn to before me this ~ day of ~a ~%9'~3~D / · B~ oi Trustees Applicat~' County of State of New York WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS A~PLICATION AND AS MAY BE APPROVED BY ThE SOb'z~nOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD ~-~ TOWN OF SOUl--OLD AND THE TOWN TRUSTEES HARMLESs AND FREE FROM ANY AND ALL DAMAGES AND CLA/MS ARISING UIFDER OR BY VIRTUE OF SAID PEP_MIT(S), IF GRAY, TED. IN COMPLETING THIS APPLICATION, I HE~RB¥ AUTHORIZE TH~ TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER 0~0 MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH RE%F/EW OF THIS APPLICATION. ~ Signathre ~- swo~ ~o SESO~S ~ THis /P~ DA~ OSl ~~'-- ,Z~ ee Board of Trustees Applicat~n AUTHORIZATION Richard H. Anderson {print owner of property) residing at 333 Eastl 30th (mailing address) Street, New York, NY 10016 En-Consultants, Inc. do hereby authorize (Agent) to apply for permit(s) from the Sou~hold Board of Town Trustees on my behalf. / ( Owner' s signature) APPLZCANT TRANSACTIONAL DISCLOSURK FORH The Town of Southold's Code of Ethics prohibits conflicts of interest on the pare of town officers and employees. The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAHRt Anderson, Richard (Last name, first name, mid~.le {ni~[al, unless ' ' you are applying in the name of someone else or other entity, such aa a company. If SO, indicate. the other person's or company's name.) NATURE OF APPLICATION, (Check all that apply.) Tax grievance Variance Change of zone~' Approval Of plat Exemption from plat o~ official map Other _Wetlands (If "Other," name the activity.) Do yon personally (or through your company, spouse, parent, or ~hild) have a relationship with any officer or employee oE the Town oE Southold? 'Relationship' includes by blood, marriage, or business interest. 'Business interest" means a business, including a partnership, in which the town officer or employee bas even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5~ of tile shares. X YES NO If you answered 'YES,'. complete the balance of this form and data and sign where indicated. Name of person employed by the Town of Soubhold TiLl, or uoeition of that person N PROPOSED ANDERSON P/o £or 2~5 RESIDENCE PROPOSED 50% zoN~ zoN~ ^~ CL. WuNNEWETA $2' 33' 31" E 714'46~ pOND W 5 81' wUNiqEWETA 110,44' pO lO ITDAL WETLANDS BOUNDARY AS FLAGGED BY EN-CONSUL TANTS, INC, 11/17/99 3-4 $ 79' 04' 35~ W 26.50' 4-5 S 77'56' 29" W22.42' 17DAL WETLANDS BOUNDARY AS FLAGGED BY EN-CONSUL TANT~,INC. 11/17/99 ,T.-2 N 77' 57' 01" E $5.85' 2-3 N 87' 24' 58' E 28.93' IMPERVIOUS COVERAGE OF UPLAND AREA HOUSE - 1,[~90 £F OARAOE = 484 SF DECK = 182 SF TOTAt IMPERVIOUS AREA = 2J5~ SF WHICH IS 6, 7BX OF NON-WETLAND AREA FOR S.C, DH, S. USE ONLY SURVEY OF PlO LOT 245 AMMENDED MAP A OF NASSAU POINT SITUATE CU TCHOGUE, TOWN OF SOU?HOLD SUFFOLK COUNTY, N. Y: SURVEYED FOR RICHARD ANDERSON GUARANTEED TO RICHARD ANDERSON FIDELITY NAITONAL ~ITLE INS. CO TOWN OF SOUTHOLD ZONED R-40 TEST HOLE DATA (2 DEC., 1999 PERFORMED BY McDONALD GEOSCIENCE DEPTHS SHOWN ARE ACTUAL ELEVARONS EXISTING GRADE TYPICAL CESSPOOL SYETEM TYPICAL SEPTIC TANK oot NOT~' WA~ER TO BE PRODDED FROM WELL ON R.O. ~ ON CELLA PROPERTY 150' ~/0 WUNNEW£TA DA ELEVA liONS BASED ON BM NO. 8-19~ NEW SUFFOLK 1929 NVGD WETLANDS LOCATED BY EN CONSULTANTS, SOUTHAMPTON, N. K HOUSE WILL BE SITUATED IN PORTION OF PROPERTY LOCATED IN FLOOD ZONE AE (EL 8? AS SHOWN ON FLOOD INSURANCE kATE MAP NO. J6105CO502G MA Y, 1998 ZONE AE (ELS): BASE FLOOD ELEVATIONS DETERMINED FILL EXCA VA TED FOR FOUNOA TION WILL BE USED FOR REORADINO AS INDICA TED. SURVEYED BY STANLEY J. ISAKSEN, JR. P.O. BOX 294 /CN'NTNCy~N$[C/ LA~VD,/~RVEYOR C. NO. 4 75 N/F ANDERSON PlO LOT 245 RESIDENCE cHANNEL N 82' 33' 31" E WuNNEWETA 714.46' pOND PA TH ''~ ¢~'~o ?¢ ,, ~. W 110.44' S 81 --CLEARED 2 STORY DWELLING WuNNEWETA pOND TIDAL WETLANDS BOUNDARY AS FLADD£D BY EN-CONSULTANTS, IND, 11/17/99 2-3 S 86' 01' 52" W 22.59' 4-5 B 77'56'29" W 22.42' 6-7 S 60' 27' 0#" W 21.40' 7-8 S 42" 01' 15" W 25.83' G 10' ST 8' MIN. 5 LP EL 4.7 LEDEND ST - 1000 GAL, SEPTIC TANK LP - 8' DIA, LEACHING POOL 2' SIDEWATER DEPTH oct SYSTEM PROFILE SCALE 1'= 10' TIDAL WETLANDS BOUNDARY AS FLAGGED BY EN-CONSULTAN)TS, INC, II/l?/99 ~-2 N 77' 57' 01" E Jg. g5' 2-3 N 87' 24' 58" E 26.93' 5-6 S 75' 14' 17' E JI.17' PlO LOT 246 VACANT .) JUL 2 0 2000 SEWAGE DISPOSAL SYSTEM P/O LOT 24~ AMENDED MAP NASSAU POINT CUTCHOGUE, TOWN OF SOUTHOL~ M K FOR RICHARD ANDERSON LOT 227 7~ N FOR S.C.D.H.S. USE ONLY NOTE: WATER TO BE PROVIDED FROM WELL ON ON CELLA PROPERTY 150' RIO WIJNNEWETA DR ELEVATIONS BASED ON BM NO 8-19ZJ NEW SUFFOLK 1929 NVGD WETLANDS LOCATED BY EN CONSULTANTS, SOUTHAMPTON, N.K HOUSE WILL BE SITUATED IN PORTION OF PROPERTY LOCATED IN FLOOD ZONE AE (EL 8') AS SHOWN ON FLOOD INSURANCE RA 775 MAP NO. J61OJCO502D MAY, 1998 ZONE AE (ELS): BASE FLOOD ELEVATIONS DETERMINED FILL EXCAVATED FOR FOUNDATION WILL BE USED FOR REGRADINO AS INDICATED. SURVEY OF PlO LOT 245 AMMENDED MAP A OF NASSAU POINT SITUATE CU TCNOGUE, TOWN OF SOUTNOLD SUFFOLK COUNTY, N. ~ SURVEYED FOR R/CHARD ANDERSON FILED AUO, 16, 1922 SURVEYED 20 DECEMBER, 1999 SCALE I"=40' AREA= J6,426.88 SF OR 0.836 ACRES OUARANTEED TO ~CHARD ANDERSON FIDELITY NA flONAL TI~E iNS CO, TOWN OF SOUTHOLD ZONED R-40 OIOHIO0 JO N/ OI ~]1~1 JO (]~VOg Ag O::lAO ddV TEST HOLE DATA (2 DEC, 1999 PERFORMED BY: McDONALD GEOSCIENCE DEPTHS SHOWN ARE ACTUAL ELEVATIONS SURVEYED BY STANLEY J. ISAKSEN, JR, P.O. BOX 294 NEW* SUFFOLK NY 119~56 99C848 ANDERSON RIO LOT 245 RESIDENCE PROPOSED SOX EXPANgON cHANNEL N B2' 55' YPERVlOUS DRIVE LIMIT AND SUFFER W 110.44' 4' ACCESS PATH TIDAL WETLANDS BOUNDARY AS FLAGGED BY EN-GONSULTANTS, INC, E-2 N 77' 57' 01' E 5585' 4-5 N 80' 47' 18" E 22.64' LOT 227 PlO LOT 248 VACANT TIE DA TA L S 74' 24' 20" W 558.30' Z Z IMMEDIATELY TO THE EAST AND TERMINATING BE T~WEEN LOTS 226 AND 227 SURVEY OF PlO LOT 245 AMMENDED MAP A OF NASSAU POINT CU TCHOGUE, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR RICHARD ANDERSON TM 1000-111-14-28 FILED AUG. 16, 1922 SURVEYED 20 DECEMBER, 199§ SCALE 1"--40' AREA= 56.426.88 SF OR 0.856 ACRES GUARANTEED TO RICHARD ANDERSON FIOEUTY NATIONAL 17FLE IN~ CO. TO~V OF SOUTHOLO ZONED R-40 wUNNEWETA pOND ~DAL WETLANDS BOUNDARY AS FLAGGED BY EN-CONSULTANTS, INC. 11/17/99 f~-2 S 65' 25' 55" W 21.15' 4-5 S 77' 56' 29" W 22.42' 7-B S 42' 01' 15" IlI 25,85' 8- f~ S 53' 36' 13" W 42.77' 2 STORY DWELLING S 10' ST 8' MIN. 5 LP I - 4"Dia. SC PiPE ., ~o.$ -% @ 1/4" f ~R Ft. (MIN.~ -~1 -EXIST, &7 GROUNDWATER INV. EL, rINK EL. Z41NK EL, 6,9~~ EL, 1,7 LEGEND ST - lOOO GAL. SEPTIC TANK LP - 8' DIA. LEACHING POOL 2' $1DEWATER DEPTH SYSTEM PROFILE SCALE I'= 10' SEWAGE DISPOSAL SYSTEM LOT 245, AMENOED MAP NASSAU POINT CUTCHOGUE, TOWN OF SOUTHOLD, N. ~ 1000--111--14-28 FOR R/CHARD ANDERSON FREDREtCK KEITH P,E LIC.~I J9959 IMPERVIOUS COVERAGE OF UPLAND AREA HOUSE: ~6gO SF GARAGE = 484 SF DECK = 182 SF TOTAL IMPERIOUS AREA = 2556 SF WHICH IS ~7S~ OF NON-WE~AND AREA FOR S.C,D.H.S. USE ONLY SUFFOLK COUNTY DEPARTMENT OF H~ S~(JLE F~Y ~S~ENC] LTI-I $ERVICBS 3CT~ON FOR A ONLY APPROVED EXPIRES THREE YEARS FROM DATE Approval. in acco~anca ,~ fh B o~1. ot dated -N~Tc: ~7 JUNE, 2000 REWSE SANITARY, SHOW EXISTING WELL LOCA770N. 2. 11 JULY, 2000 UPDATEVE~ SUFFER, 4' ACCESS PATH, J. 05 DECEMBER, 2000 UPDATE VEG. BUFFER, ADD PROP· MUN. WATER BERt4, REt4 DECK. 4. ~3 DECEMBER. 2000 REWSE PROP. DECK· 5, 15 APRIL, 2001 ADD ROW NOTE TEST HOLE DATA (2 DEC., 1999 PERFORMED BY: McDONALD GEOSClENCE DEPTHS SHOWN ARE ACPJAL ELEVATIONS EXIS~TNG DRADE J EXCAVATION INSPECTION REQUIRED FOR SANITARY, SYSTEM SY HEALTH DE AeT ENT NOTE: WATER TO BE PROWDED FROM MUN. SERWCE WUNNEWETA DR, ELEVATIONS BASED ON BM NO. 8--1955 NEW SUFFOLK 1929 NVGD WETLANDS LOCATED BY EN CONSUL TANTB, SOUTHAMPTON, N. Y. HOUSE ~LL SE SITUATED IN POR770N OF PROPERTY LOCATED IN FLOOD ZONE AE {ELB') AS SHOWN ON FLOOD INSURANCE RATE MAP NO. $$105C0502G MAY, 1998 ZONE AE (ELD): BABE FLOOD ELEVAtiONS DETERMINED FILL EXCAVATED FOR FOUNDATION tWLL BE USED FOR REGRADINO AS INDICATED. SURVEYED BY STANLEY J. ISAKSEN, JR. P.O. BOX 294 NEW, SUFFOLK. NY 631 ~ 734 - 5a~5 / LI.CEN.SfD/ LAND ~IRVEYOR NYS ~C. NO. 4~J 99C848