HomeMy WebLinkAboutTR-6049
Board Of Southold Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO. ._~Sl /,,y.4 DATE: Dec. 20.,. 2004
ISSUED TO .....INGEBURG........._............. MUELLER.................................................................................................
,11rit~i]~t~Mftrilt
Pursuant to the provisions of Chapter 615 of the Laws of
the State of New York, 1893; and Chapter 404 of the Laws of the
State of New York 1952; and the Southold Town Ordinance en-
titled ."REGULATING AND THEPLACING OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and the
REMOVAL OF SAND, GRAVEL OR OTHER MATERIAMF$OM
LANDS UNDER TOWN WATERS;!..'. and in accordance wifh'the
Resolution of The Board adopted at a meeting held on ..Dec..20.,....
2004. and in consideration of the sum of $ 250 00 paid by
Ingebong MueUeA
~ of ......_.Ma tti tucfz N. Y. and subject to the
Terms end Conditions listed on the reverse side hereof,
of Southold Town Trustees authorizes and aermits the following:
Wetland Permit to remove and replace (in-place) approx. 102 linear ft. of existing
timber bulkhead (and a +/-7• northerly return) with vinyl bulkhead and backfill with
approx. 15 cy. of clean sand fill to be trucked in from an upland source. Remove and
replace (inkind/inplace) 4'X 9' wood platform and 3'X 10' stairs to beach, with the
condition of a 15' non-turf buffer, and all as depicted on the plan prepared by En-
Consultants, Inc. dated November 3, 2004.
an in accordance wine .rro ...railed specifications as presented in_
the originating application.
IN WITNESS WHEREOF, The said Board of Trustees here-
by causes its Corporate Seal to be affixed, and these presents to
be subscribed bye majority of the said Board .as of this date.
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.fp„_ Peggy. DieizeLzan
Trrutar
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TERMS and OONDMQNS
Pamdttee Ingebang MueUv
tesidiagat 1435 WEs#view Dn., Matt tuck N. Y
tl
of the consideration for the ism.- of the Pamir does understand and prescribe to the fol-
~t
1. That the raid bond of Trustees and the Town of Southold are tdeaaed from any and
all damages, or daaimu for damages, of suits atisiog: directly or Indirectly as a result of any open,
adon performed pursuant *.Ads. , w4, *e old Pamittee srU4 at his or her own CTmse,
defend any teed all such adwioidated by third Tattles, and the vald Pam amgnq fall lbbMq
whh respect thereto, pt-theneomplete exhuion of the Board of Ttastees of the Town of Southold _
2. 't'hat this PeaWt is, Valid for a Oda of 24 mos. which is tJCktliilatsd to be the
estimated time'required to oouuplete the wodc involved, but should dtt m>snnca warrant, request
for an txmoslon •way be node to the board at a titer dace:
3. That this Permit should be retained ioddinitely, or as long as the said Peanittee wishes
m maintain the mucom or project involved, to provide evidence to anyone eonceroed that am &
odztdoa was origiaally obtained.
4. That the wodc involved will be subject to the ingwdoa and approval of the Bard at
Its agents, and ooa-eom Nance with the provisions of the originating app&adoa, may be arse for
revocation of this Permit by resolution of the said Board.
5. That there will be no unrasomble interference with mvigadon as a result of the mock
herein authorised.
6. Thu there shall be no Interference with the right of the pMk to pan and repass daog
the beach between high and low water ttasYt
't
7. That if future operations of the Town of Southold require the removal and/or daeem
in the baton of the wodc bench aadothed, or 14 in the opioioa of die Hoard of Tmsoeta, rite.
wock shall ruse unrasomhie obstmaon to free navigation, the said Peamittee will be regairod,
nom due notice, to remove or alter this work or project berda stated without erpwo to the Town
of Southold
e. That the said Board will be notified by the Permitter ot.the cumpietbn..of the We& awl.
otlaed.
9. That the 'Pem ittee will . abuia all other peadu and =meob Aft any be required mp• .
piemental to this permit which may be subject to revoke upon faBure to obtain amt
OgpFFO(,~c
Albert J. Krupski, President Town Hall
James King, Vice-President 53095 Route 25
Artie Foster - P.O. Box 1179
H
Z Southold, New York 11971-0959
Ken Poliwoda
Peggy A. Dickerson
'yifJQ aQ~ Telephone (631) 765-1892
1 Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
December 20, 2004
Mr. Robert E. Herrmann
En-Consultants, Inc.
1319 North Sea Rd.
Southampton, NY 11968
RE: INGEBORG MUELLER
1435 WESTVIEW DR., MATTITUCK
SCTM#113-9-8.1
Dear Mr. Herrmann:
The Board of Town Trustees took the following action during its regular meeting held on
Monday, December 20, 2004 regarding the above matter:
WHEREAS, En-Consultants, Inc. on behalf of INGEBORG MUELLER 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
November 23, 2004 and,
WHEREAS, said application was referred to the Southold Town Conservation Advisory
Council for their findings and recommendations, and,
WHEREAS, a Public Hearing was held by the Town Trustees with respect to said
application on December 20, 2004, at which time all interested persons were given an
opportunity to be heard, and,
WHEREAS, the Board members have personally viewed and are familiar with the
premises in question and the surrounding area, and,
WHEREAS, the Board has considered all the testimony and documentation submitted
concerning this application, and,
2 0 0
WHEREAS, the structure complies with the standards set forth in Chapter 97 of the
Southold Town Code,
WHEREAS, the Board has determined that the project as proposed will not affect the
health, safety and general welfare of the people of the town,
NOW THEREFORE BE IT,
RESOLVED, that the Board of Trustees approve the application of INGEBORG
MUELLER to remove and replace (in-place) approx. 102 linear ft. of existing timber
bulkhead (and a +/-7' northerly return) with vinyl bulkhead and backfill with approx. 15
cy. of clean sand fill to be trucked in from an upland source. Remove and replace
(inkind/inplace) 4'X 9' wood platform and 3'X 10' stairs to beach, with the condition of a
15' non-turf buffer, and all as depicted on the plan prepared by En-Consultants, Inc.
dated November 3, 2004.
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.)
Fees: $50.00
Very truly yours,
Albert J. Krupski, Jr.
President, Board of Trustees
AJK/Ims
Albert J. Krupski, Pr *t r • • Town Hall
James King, Vice-President gpFFO(~-C 53095 Route 25
Artie Foster P.O. Box 1179
Ken Poliwoda = Southold, New York 11971.0959
Peggy A. Dickerson N Z
Telephone (631) 765-1592
Fax (631) 765-1366
poi ~ Sao
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-CONSTRUCTION INSPECTION. FAILURE TO DO SO
SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE
PERMIT.
Mtuf'r
INSPECTION SCHEDULE
Pre-construction, hay bale line
1 sc day of construction
%constructed
? Project complete, compliance inspection.
0
RESOLUTION
RESOLVED that the Board of Trustees of the Town of Southold hereby finds that the 7
application of INGEBORG MUELLER more fully described in the public hearing item Hof
the Trustee agenda dated Monday December 20, 2004, is classified as a Type II Action
pursuant to SEQRA Rules and Regulations, and is not subject to review under SEQRA.
=~o~~gpGFO(,rcOGy~
Telephone O Town Hall
(631) 765-1892 H Z 53095 Route 25
O 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 Tues.,
December 7, 2004, the following recommendation was made:
Moved by William Cook, seconded by Doris McGreevy, it was
RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH
A CONDITION of the Wetland Permit application of INGEBORG MUELLER to remove
and replace (in-place) approx. 102 linear ft. of existing timber bulkhead (and a +/-7'
northerly return) with vinyl bulkhead and backfill with approx. 15 cy. of clean sand fill to
be trucked in from an upland source. Remove and replace (inkind/inplace) 4'X 9' wood
platform and TX 10' stairs to beach.
Located: 1435 Westview Dr., Mattituck. SCTM#113-9-8.1
The CAC recommends Approval of the application with the Condition of a 30' non-turf
buffer landward of the bulkhead.
Vote of Council: Ayes: All
Motion Carried
INGEBORG MUELLER, 1435 WESTVIEW DRIVE, MATTITUCK CREEK
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Figure 1. Looking east from Mattituck Creek at face of existing timber bulkhead
to be removed and replaced (in place) with vinyl bulkhead.
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Figure Z Looking north along top of existing bulkhead to be removed and replaced with vinyl bulkhead
and at platform and stairs to be replaced.
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U IT OF BACKFILL/DISTURBANCE (b'9TAC_ F-fL
ADJ. BLKHD. - - - - ADJ. BLKHD.
AHW 'fs,
~W..._.. I UHx1 o
4' X 9' WOOD PLATFORM
AND 3' X 10' STAIRS TO V
BE REMOVED AND REPLACED x Notes
(IN-KIND/IN-PLACE) 1) Purpose: Maintain existlrq erosion cattrd structure
EX. ±102' TIMBER BULKHEAD PI 2) YJaham; ALW
TO REMOVED k REPLACED 5) New sheathirq to be vinyl; AI Camber to be CCA-treated, Arr) WIT, LKHEAD except lower wale to 6- creosote-treated
4) Approx. 15 cubic yards cleat said to be trucked
~f in from x approved upland sorce for backf ll
MA UCK 5) Most laidwad potlo, of exisbrq fixed dock to be
CREEK removed aid replxed, as necessitated N bulkhead
construction
Southold Town 6) Property location: 1935 Weetview nave,
MaWtuck. SCfM 1000-107-07-11
1319 NORTH SEA RD. ppOp05~P l3ULKHW PEWOVAL ANI
SOUTHAMPTON, N.Y. 1196E FMAaMT (P) FOp IN6WP,6 MTLLFp
631-283-6360 ON MA MLCK Ckl~FK, SUFFOLK COUNTY, NY
SHEET I OF I 11/3/04
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p = ? U .t>Da
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VIEW DRIVE.~A• U b ~ _ + ~ A
700.00' °t, StiE(f~55Wt
WEST 5.(CTPAk~~ )9
i 'y~A a \ s MAT17(IICK) OM) HS.y >
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U IT OF BACKFILL/DISTURBANCE
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SLY, D. - - - - ADJ. BLKHD. ~v
AHW
4' X 9' WOOD PLATFORM
AND 3' X 10' STAIRS TO U
BE REMOVED AND REPLACED x Q-\
Notes:
(IN-KIND/IN-PLACE) 1) purpose: Maintain existlrq erosion control Structure
EX. X102' TIMBER BULKHEAD ~c 2) datum: &W
TO BE REMOVED k REPLACED 3) New sheathed to be vin4h all timber to be CCA-treated,
(IN-PLACE) WITH VINYL BULKHEAD except lower Wale to be crecsote-treated
4) Approx. l5 cubic wads oleo, said to be trucked
ff~~ `1 in from an approved upland source fa backf(ll
D LS lUJ L5 U 5) Most laidwad patlcn of exiztirq fixed dock to 6e
ITUCK CREEK removed a-d replaced, as necessitated bw bulkhead
contraction
NG; Z L': 6) Property location: 1435We5tviewPrive,
Mattituck, 5CTM 1000-107-07-11
a NTS INC.
Bu RTH SEA D. MOP05R? PULKNEAP IaWOV& ANP
I
N.Y. 11968 FEFLAaM f ( IP) FOP, INGEI30 6 MUELLER
631-283-6360 ON MATT'ITUCK CREEK, 5UEEOLK COUNTY, NY
SHEET 1 OE I I i / 3/ Opt
Albert J. Krupski, President SVF F~(~ Town Hall
James King, Vice-President 53095 Route 25
Henry Smith ~Z' Gy P.O. Box 1179
Artie Foster O Southold, New York 11971-0959
N
Ken Poliwoda - ' Telephone (631) 765-1892
Fes (631) 765-1366
~Ol # Sao
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Office Use Only
Coastal Erosion Permit Application
7W'etland Permit Application Major Minor
Waiver/Amendment/Changes
Received Application:
,Received Fee:$ So
;Completed Application J,3
-Incomplete R V
SEQRA Classification: V W
Type I_Type II Unlisted
Coordination:(date sent) PvUV 2 3 Ri~
SAC Referral Sent: ///&3/a/
,!Date of Inspection: /a//,3/6V
Southold Town
Receipt of CAC Report:
_ Board of Trustees
Lead Agency Determination:
Technical Review:
/,/public Hearing Held: /
Resolution:
Name of ApplicantlNGEBORG MUELLER
Address 1435 WESTVIEW DRIVE, MATTITUCK, NY 11952
Phone Number: 631-2984907
Suffolk County Tax Map Number: 1000 - I13-9-8.1
Property Location: 1435 WESTVIEW DRIVE, MATTITUCK
(provide LILCO Pole distance to cross streets, and location)
AGENT: EN-CONSULTANTS, INC.
(If applicable)
Address: 1319 NORTH SEA ROAD, SOUTHAMPTON, NY 11968
nL4ti'
Phone: 631-283-6360
Board of Trustees Applic•on
GENERAL DATA
Land Area (in square feet): 16,677.53
Area Zoning: R-40
Previous use of property: RESIDENTIAL.
Intended use of property: NO CHANGE.
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?
X No Yes
If yes, provide explanation:
Project Description (use attachments if necessary):
REMOVE AND REPLACE (IN-PLACE) APPROXIMATELY 102 LINEAR FEET OF EXISTING TIMBER
BULKHEAD (AND A +/-T NORTHERLY RETURN) WITH VINYL BULKHEAD AND BACKFILL WITH
APPROXIMATELY 15 CUBIC YARDS OF CLEAN SAND FILL TO BE TRUCKED IN FROM AN UPLAND
SOURCE. REMOVE AND REPLACE (IN-KIND/IN-PLACE) 4' X 9' WOOD PLATFORM AND 3' X 10' STAIRS
TO BEACH.
00ard of Trustees Applica&n
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations:
MAINTAIN EXISTING EROSION CONTROL STRUCTURE.
Area of wetlands on lot: 0 --square feet
Percent coverage of lot: 0 %
Closest distance between nearest existing structure and upland
edge of wetlands: N/A feet
Closest distance between nearest proposed structure and upland
edge of wetlands: N/A feet
Does the project involve excavation or filling?
No X Yes
If yes, how much material will be excavated? N/A -cubic yards
How much material will be filled? +1-15 cubic yards
Depth of which material will be removed or deposited: N/A feet
Proposed slope throughout the area of operations: N/A
Manner in which material will be removed or deposited:
APPROXIMATELY 15 CUBIC YARDS OF CLEAN SAND WELL BE TRUCKED IN FROM AN
UPLAND SOURCE AND USED AS BACKFILL LANDWARD OF BULKHEAD.
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):
THE PROJECT ENTAILS THE ORDINARY AND ROUTINE MAINTENANCE OF AN EXISTING
BULKHEAD, WHICH WILL HAVE NO ADVERSE IMPACTS ON THE ADJACENT TIDAL
WATERS OF THE TOWN.
14.18-4 (2187)-Text t2
PROJECTI.D. NUMBER 817.210 SEQR
Appendix C
State Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
PART 1-PROJECT INFORMATION (To be completed by Applicant or Project sponsor)
1 APPLICANT/SPONSORINGEBORG MUELLER BY 2. PROJECT NAME
EN-CONSULTANTS, INC.
3 PROJECT LOCATION:
Municipality MATTITUCK County SUFFOLK
4 PRECISE LOCATION (Street address and road adersections, prominent landmarks, etc, or provide map)
1435 WESTVIEW DRIVE, MATTITUCK, TOWN OF SOUTHOLD, SCTM #1000-107-7-11
1 PRO OSE ACT
New Expansion ? Modifts ion/alleraeon
e DESCRIBE PROJECT BRIEFLY:
MOVE AND REPLACE (IN-PLACE) APPROXIMATELY 102 LINEAR FEET OF EXISTING TIMBER BULKHEAD (AND A
1-7' NORTHERLY RETURN) WITH VINYL BULKHEAD AND BACKFILL WITH APPROXIMATELY 15 CUBIC YARDS OF
LEAN SAND FILL TO BE TRUCKED IN FROM AN UPLAND SOURCE. REMOVE AND REPLACE (IN-KIND/IN-PLACE) 4'X
WOOD PLATFORM AND Y X 10 STAIRS TO BEACH.
7. AMOUNT OF LAND AFFECTED
Initially 0383 acres Ultimately 0.383 aues
8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS?
211'ea ? No N No, describe briefly
9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT?
®
Residential ?Industrial ?Commercial ?Agncutture ?Park FOresVOpen apace ?Otfter
Describe:
10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL,
STATE OR LOCAL)?
® Yes ? No If yes, list agency(s) and permit/approvals
DEC, COE, DOS
11. DOE ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
?Yes ® No If yes, list agency name and permit approval
12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION?
?Yes ®No
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Applicarmsponsor name ROBERT E. ANN DATE: NOVEMBER 17, 2004
Signature:
If the action is in the Coastal Area, and you are a state agency, complete the
Coastal Assessment Form before proceeding with this assessment
OVER
and of Trustees Applicat
AUTHORIZATION
(where the applicant is not the owner)
I, 1)ti(34 0PG C Vk6LLE2 residing at 1435' WEstV1EM) D2
(print owner of property) (mailing address)
a1~1'a,,~ek N y ICaS2- p'~Q(p~ do hereby authorize
(Agent)
h -(!MsLtp S Zee . to apply for permit(s) from the
SoutholdBoard of Town Trustees on my behalf.
441661 G I rl.CCJJ-U_.
wne s signature)
8
gUFFO(~
Albert J. Krupski, President Town Hall
James King, Vice-President h`t` Gy 53095 Route 25
Artie Foster p P.O. Box 1179
Ken Poliwoda. W T Southold, New York 11971-0959
Peggy A. Dickerson Telephone (631) 765-1892
y Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
BOARD OF TRUSTEES: TOWN OF SOUTHOLD
In the Matter of the Application
of
-c Gzo_ t~ Y)11 i t
COUNTY OF SUFFOLK)
STATE OF NEW YORK)
AFFIDAVIT OF POSTING
sn-A 2eo...~~ t nG lan- ~ ~P U l
being duly sworn ; depose aand~ say:
That on the ~~day of Of-e. , 2004, I personally posted lth property known as
1 135 (~4Vlew Tl, yr ~'h
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 place for eight days prior to the date of the public
hearing. Date of hearing noted thereon to be held `tn D 0 . , CPC. ~C) c (V
tv1 ®1 a LI0 t M I-P-)
Dated:
(signa e
Sworn to before me this
day of _7k 200
Nmla y ublic v
gIRSI@IBB
NdrypdGo-ShlldNsYpY
CaduN~501911
Uu~d'e9AalCartl S
Cu~stiaErytwlu~dZ-
.Board of Trustees ApplicaMon
County of Suffolk
State of New York
1AA't q G M (tie l IPA BEING DULY SWORN
DEPOSES Al~b 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/I-1ER 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.
9". C., G
gnature
SWORN TO BEFORE ME THIS DAY OF 120
t Publ'
MARIE A. WOODS
Notary Public, State of Newvb*
No. 01W0503two
Qualified in Suffolk County
W ComMSelon EVbw Aug. 15.20
NOTICE TO ADJACENT PROPERTY OWNER
BOARD OF TRUSTEES, TOWN OF SOUTHOLD
In the matter of applicant:INGEBORG MUELLER
SCTM#1000- 107-7-I1
YOU ARE HEREBY GIVEN NOTICE:
1. That it is the intention of the undersigned to request a
Permit from the Board of Trustees to:
REMOVE AND REPLACE (IN-PLACE) APPROXIMATELY 102 LINEAR FEET OF EXISTING TIMBER BULKHEAD
(AND A +1-T NORTHERLY RETURN) WITH VINYL BULKHEAD AND BACKFILL WITH APPROXIMATELY 15
CUBIC YARDS OF CLEAN SAND FILL TO BE TRUCKED IN FROM AN UPLAND SOURCE. REMOVE AND
REPLACE (IN-KIND/IN-PLACE) 4'X T WOOD PLATFORM AND Y X 10' STAIRS TO BEACH.
2. That the property which is the subject of Environmental
Review-is located adjacent to your property and is described as
follows:
1434 WESTVIEW DRIVE, MATTITUCK
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•DEC.15,2004 @7:00 pm 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.
OWNERS NAME: INGEBORG MUELLER
MAILING ADDRESS: 1434 WESTVIEW DRIVE
MATTITUCK, NY 11952
PHONE 631-298-4907
Enc.: Copy of sketch or plan showing proposal for your
convenience.
5
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
Name: Address:
GLORIA & JOHN HURLEY 1535 WESTVIEW DRIVE
MATH UCK, NY 11952
JOSEPH MOISA P.O. BOX 815
MATTITUCK, NY 11952
DAWN BAILIE 11 WOODCREEK COURT
DEER PARK, NY 11729
VINCENT & GALE PORCELLI 56 TIPPIN DRIVE
HUNTINGTON STATION, NY 11746
STATE OF NEW YORK
COUNTY OF SUFFOLK
ROBERT E.HERRMANN doing business atEN-CONSULTANTS, INC.
1319 NORTH SEA ROAD
SOUTHAMPTON, NY 11968 being duly sworn, deposes and says
that on the 22nd day of NOVEMBER 20 04 , 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 , that
said Notices were mailed to each of said persons by (certified)
'X. *1W mail.
Sworn to before me this 22nd -
day of NO ER 2004
Notary Public
`Pr.;PuCI&9ateolNa~YaA
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CERTIFIED I
ru (Domestic MaH Only; No 3 Insurance m S (Domestic Mail only; No Insurance Coverage Provided)
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S Postage $ 0.37 UN S Postage $ 037 ' UN
S Cerlfied Fee S
P -.7A M p Certilled Fee dis
1:3 rk
Return Reciept Fee re N O Return Reciept Fee
(Endorsement Required)
1.75 O (Endorsement Required) 1.75 y
C3 Restricted Delivery Fee 1 O Restricted Delivery Fee e~.•4 Y
(Endorsement Requiretl) (Endorsement Required) '
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r-q Total Postage n 4.42 11 tall N Total Postagr a• 4.42y q
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Sent To Gloria & John Hurley C3 cant To 0 C3
Joseph Moisa
r` 'Sreei 6r' v6:; 1535 Westview Drive r` s ~tavr: Nr P.O. Box 815
orPOeoxNa or PO BOX No
City, Stare, 2%Pi Mattituck, NY 11952 Mattituck, NY 11952
Ciry State, Zll
Postal Servim. U.S. Postal Service,,,,
CERTIFIED RECEIPT CERTIFIED MAIL,, RECEIPT
to I S
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ra Total Postage 8 e• 4.42 11/22/04 ra Total Postage g Fees G 4.42 11
S
en r Vincent & Gale Porcelli C3 Sent To Dawn Bailie
°
7
° 56 TiPlyin Drive r b eer,a xro.t" 11 Woodcreek Court
r eet Avi No.;
o.PO
or PO Box No. Huntington Station, NY 11746 BOxNO.
C!ry Stare. ZIP+4 ciN, state: zr~«: Deer Park, NY 11729
APPLICANT/AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold's Code of Ethics prohibits conflicts of interest on thr cart of town officers and emolovee The pumo of
this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action i
necessary to avoid same
qe~ p
YOUR NAME: 3LiW>a( iNG~eOR6 6
(Last name, first name, middle initial, 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
O
Other
(If ther ~&Llvt~ 5 I 1
"Other", name the activity.) l~ CX~ L4^^P~'
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 V
If you answered "YE", 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/agent/representative) and the town officer or employee. Either check
the appropriate line A) through D) and/or describe in the space provided.
The town officer or employee or his or her spouse, sibling, 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-corporate 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
SubrnittedAMs ( day f 59P+ 2004
Signature- e ~
Print Name In r o! G uctt
1319 North Sea Road
Southampton, New York 11968
M 631-283-6360
Fax: nconsultant com
EN-CONSULTANTS, INC. wwwe
ENVIRONMENTAL SERVICES
November 17, 2004
Town of Southold
Board of Trustees
Post Office Box 1 179
Southold, New York 11971
Attn.: Lauren Standish
Re: Ingeborg Mueller
1435 Westview Drive, Mattituck
SCTM #1000-107-7-11
Dear Ms. Standish:
In regard to the above referenced property, enclosed are the following for the Board of Trustees review:
1. Three (3) Wetland Permit Applications,
( including Notice and Proof of Mailing to adjacent owners).
2. Three (3) Short Environmental Assessment Forms.
3. Three (3) copies of authorization & disclosure forms.
4. Three (3) work plans.
5. Three (3) copies of survey.
6. One (1) set of site photographs.
7. Application fee of $250.00 wetlands.
I trust this information shall allow you to process our permit request. Should any additional information
be required, please do not hesitate to contact our office.
SincCrWy,
Rob rt .Herrmann
Coastal Management Specialist FECEM
/khs ~
Enc.
OU 2 LJ
Southold Town
Board of Trustees
l
SURVEY OF PROPERTY
z m G SITUATED AT
N W MATTITUCK
G TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-107-07-11
N/0/F EY JR' a SCALE 1"=20'
JOHN FIyyNNB HURLEY 157.97' 97 SEPTEMBER 10, 2004
GLORIA p l pgg'
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p,45 y 0.3 N ~I b
N 7g 42140" E wu el cc oe5 ON CDNC p . • n p y No 1 ' V < AREA = 16,677.53 sq. ft. 1 a 0.383 ac.
TE wlll SfEP`' PP. •
21 i APR N ~P m
Z aU1Y,'NFIll £ ? TE ANP O 0.15 ~+'Y i c WW- • l% PM1VP ~ vavn 1 a •
D OERHFAp WIRES DVERH
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ITF-~ W O ~ee G N %a I 6 ~ tN^ O 4
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11 INGEBORG G. MUELLER
1~ 13.3 ~.n R Y P
PwUIFSIflN L m 50
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Ayll of 41 p~ 1~ p 1
P' ~ SP111~C[
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Z P FlLL co 1w_ o v Cao' oo ?
175.27
ae.}" Ti N m 1
/1 I I ~ W ~ ~ m5 J
l 1 A J ~ ~ i a\ N o90.
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try S 7$•42.40~~ W JpSEPHNBG/HIGISA. JR'
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PREPARED IN ACCORDANCE W11H THE MINIMUM
STANDARUS FOR TD SURVEYS AS ESTASUSHED DY THE L.IAL.S. AND APPRO AND PIED
MR SUCH U5E DY THE NEW YORK UND TffLE A55OLIAT pF N, " 50.0
NA inlc
k
w
f r` N.Y.S. Lic. No. 49666
UNAUTHORRED ALTERATON OR ADDITION
TO THIS ECTION 700 7209 " YNEW YO OF SE LXn OF THE NEW YORK STALE
Joseph A. Ingegno S EDUCAMN LAW
THE SLMD SEC SURVEYORS INKED SEAL OR
Land Surveyor COPIES OF UTHIS W SORVE MM NOT BORING TO B SEAL SHALL NOT BE E CONSIDERED ESEO TO BE A VAL10 TRUE COW
CERTIFICATONS INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM ME SURVEY TIHe Surveys - SubCiWslons - Site Plans - Construction Layout IS PREPARED. AND ON HIS 9ElUI.F TO TIE
ITT LE COMPANY, GOVERNWENTAL AGENCY AND LENDING INSTINTON LISTED HEREON, AND
PHONE (631)727-2090 Fax (631)727-1727 TO THE ASSIGNEES OF THE LENDING INSTI- TRION. CERDFlCATONS ARE NOT TRANSFERABLE
OFFICES LOCATED AT MAILING ADDRESS
322 ROANOKE AVENUE P.O. Box 1931 THE EXISTENCE OF RIGHTS OF WAY
RIVERHEAD, New York 11901 Riverhead, New York 11901-0965 ANY. , N AND EASEMENTS OF RECORD, IF NOT SHOWN ARE NOT GUARANTEED.
24-311