HomeMy WebLinkAboutTR-6029Albert J. Krupski,
James King, Vice-President
Artie Foster
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 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
Pre-construction, hay bale line
1 st day of construction
¼ constructed
Project complete, compliance inspection,
Board Of Southold Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO....~.9 .... DATE: ..!.!./! 7¥~ .........
ISSUED TO FRANCES & JOHN DIVELL0
Pursuant to the provisions of Chapter 615 of Se Laws of
the Stele of New York, 1893; and Chapter 404 of the ~ws of the
State of New York 1%2; end the Soufheld 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.FJ~OM
LANDS UNDER TOWN WATERS;~. and in acco~lance wif~ fha
Resolution of 'l~e Board adopted afa meeting field on ~.~.....!..~.,. ......
. 2.Q.0.~.~., and in consideration of the sum of $...~.~..~..~.~ ........ paid by
Frances & John DiVe,lo
of .......... ~.~9~ ................................................ N. Y. and ~ubject to the
Terms and Conditions listed on the reverse ride hereof,
Town' Trustees authorizes end r)ermlts the following,.'
con~tru~ a fixed timber 'dock, consisting o~
4'X126' fixed c~twal~ elevated a ~in. of 3~.5' above grade of
m~h; a 3'X!8' ramp; and a~ 6'X 20' float secured by (2) 8" dia
pilings. Co~st~ct 4'~9'. ~l~t~or~/ste~s at landw~ end of
~'~ an~a~ as ~e~ g~z~e p~ ~ep~e~ ~y . , .
....... ~u',m ~ccoraence wnn lne oetelleCl $~GItlG6tlOfl$ ~S J:N~f~flT~(] in
.the appl~tica.
las~ dated Jul~ 29_'2004.
IN WITNESS WHEREOF, The ~ald Board Of Trustees here-
by causes its Corporate Seal to be a~xed, and these presen~ fo
be subsc~-ibecl by ~'mejority of the ~Ed I~rd es of this dais.
' TERMS ,,nd CONDmONS -!'
Frances ~ John DiVello ~
705.Meday Ave., Mattituck .... ~. ¥~ as
sa/al' ~ of Trustees and the T.? o~ 8outhold ate released ~om say ~d
,4,,~,.,, fm a.m..~s, of sulu ~ disecd.v m Im~e~c~y ~s a ggsult of ~ opet-
Albert J. Krupski, President
James King, Vice-President
Artie Foster
Ken Poliwoda
Pegg~ A. Dickerson ,
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-1366
November 17, 2004
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Mr. Robert E. Herrmann
En-Consultants, Inc.
1319 North Sea Rd.
Southampton, NY 11968
RE:
FRANCES & JOHN DIVELLO
1705 MEDAY AVE., MATTITUCK
SCTM#1 '13-9-8.1
Dear Mr. Herrmann;
The Board of Town Trustees took the following action during its regular meeting held on
November 17, 2004 regarding the above matter:
WHEREAS, En-Consultants, Inc. on behalf of FRANCES & JOHN DIVELLO 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 October 27, 2004, and,
WHEREAS, said application was referred to the Southold Town Conservation Advisory
Council for their findings and recommendations, and,
WHEREAS, a Public Hearing was held by the Town Trustees with respect to said
application on November 17, 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
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 FRANCES & JOHN
DIVELLO to construct a fixed timber dock, consisting of a 4'× 126' fixed catwalk (to be
elevated a min. of 3.5' above grade of marsh); a 3'X 18' ramp; and a 6'X 20' float
secured by (2) 8" dia. pilings. Construct 4'X 9' platform/steps at landward end of
catwalk, and all as depicted on the plan prepared by En-Consultants, Inc. last dated
July 29, 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: $1,292.00
Very truly yours,
Albert J. Krupski, Jr.
President, Board of Trustees
AJK/Ims
8" PILE
6' X 20'
3' X 18'
,4-' X 126' FIXED
__ AL~W
~'-o' MAPES CREEK
(WIDTH > 200')
AHW
EN-CONSULTA~TS
1319 NORTH SEA RD.
SOUTHAMPTON, N.Y. 11965
631-283-6360
.:). 'BY
ADJ. STEPS
OF ~
PLATFORM
AND STEPS
+68'
1" = 40'
-- Sc',qh ¢¢-'
FP, OFQOP T?OCK FOR PP. ANCB5 ANt? JOHN
t?lVIf-bbO ON HOWAR, T?'5 E~P.X~CH OP
MATTITUCK CRBBK, MATllTLICK, 5UPPQLK CO,, NY
~BBTI QP 2 8/22/0% II/~/09. 7/29/04
EN-CONSULTANTS INC.
1319 NORTH SEA RD.
SOUTHAMPTON, N.Y. 11968
631-283-6360
PROPOSEP POCK PQR PP. ANCB5 ANP JOHN
PlVBI. I-O ON HQWARP'5 BP. ANCH OP
MATT~TIJCK CRUUK,/~A'FTIl%ICK. ~PPOUK CO. NY
GHUUT20P 2 5/22/0D, II/P/OD,-//29/04
Albert J. Kr~pski, 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
Please be advised that your application dated
reviewed by this Board at the regular meeting of
following action was taken:
has been
and the
( ..--O"Application Approved (see below)
( ) 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:
~ ..c~um ' vr'X~O' COr~t~
O.,e_ 042477
Address
~:~*llh~l~ HOW PAID
F A~ OF
11/15/04 Field Inspection
FRANCES & JOHN DIVELLO~ 1705 MEDAY AVENUE~ MATTITUCK
Figure I. Looking south at staked location of landward terminus of proposed dock.
Figure ~. LooMng east along subject shoreline, over location af proposed dock,
and at adjacent docks to east.
Te~phone
(631) 765-1892
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
CONSERVATION ADVISORY COUNCIL
TOWN OF SOUTHOLD
At the meeting of the Southold Town Conservation Advisory Council held Tues.,
November 9, 2004, the following recommendation was made:
Moved by Jack McGreevy, seconded by Don Wilder, it was
RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the
Wetland Permit application of FRANCES & JOHN DIVELLO to construct a fixed timber
dock, consisting of a 4'X 126' fixed catwalk (to be elevated a min. of 3.5' above grade of
marsh); a 3'X 18' ramp; and a 6'X 20' float secured by (2) 6" dia. pilings. Construct 4'X
9' platform/steps at landward end of catwalk.
Located: 1705 Meday Ave., Mattituck. SCTM#113-9-8.1
Vote of Council: Ayes: All
Motion Carried
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
Fex (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Office Use Only
Coastal Erosion Permit Application
.,~Wetland Permit Application -~-'-'-Major
Waiver/Amendment/Changes
~'~----~ved Application:
---'Received Fee:$ o~{~d~
J;?,omplated Application
Incomplete
SEQRA Classification:
Type I Type II.. Unlisted
Coordination:(date sent)
...-~AC Referral Sent:
.~-lg'ate of'Inspection:
Receipt of CAC Report:
Lead Agency Determination:
Technical Review:
_l~lblic Hearing Held: i[]t/~7/Otl
Resolution:
Minor
$outhold Town
-- 8oard o~f Trus..tees
Name of Applicant FRANCES & JOHN DiVELLO
AddressDRAWER 1402, MATTITUCK, NY 11952
Phone Number: 631-298-4635
Suffolk County Tax Map Number: 1000 - 113-9-8.1
Property Location: 1705 MEDAY AVENUE, MATI'ITUCK
(provide LILCO Pole #, distance to cross streets, and location)
AGENT: EN-CONSULTANTS, INC.
(If applicable)
Address: 1319 NORTH SEA ROAD, SOUTHAMPTON, NY 11968
Phone: 631-283-6360
of Trustees ApplicOn
Land Area (in square fee0:+/-63,764
Area Zoning: R-40
Previous use of property: RESIDENTIAL.
Intended use of property: NO CHANGE.
GENERAL DATA
Prior permits/approvals for site hnprovements:
Agency Date
NYS DEC # 1-4738-03256/00001 1_~1/26/03; 10/22/04
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 FIXED TIMBER DOCK, CONSISTING OF A 4' X 126' FIXED CATWALK (TO BE ELEVATED
A MINIMUM OF 3.5' ABOVE GRADE OF MARSH); A 3' X 18' RAMP; AND A 6' X 20' FLOAT SECURED BY
(2) 8" DIAMETER PILINGS. CONSTRUCT 4' X 9' PLATFORM/STEPS AT LANDWARD END OF CATWALK.
~oard of Trustees Applica ~n
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations:
PRIVATE BOAT DOCKAGE.
Area of wetlands on lot: +/-10,900 square feet
Percent coverage of lot: +/-17 o/o
Closest distance between nearest existing structure and upland
edge of wetlands: +/-85 feet
Closest distance between nearest proposed structure and upland
edge of wetlands: 0 feet (DOCK)
Does the project involve excavation or filling?
X No Yes
If yes, how much material will be excavated? IFA cubic yards
How much material will be filled? N/A cubic yards
Depth of which material will be removed or deposited: IFA feet
Proposed slope throughout the area of operations: IFA
Manner in which material will be removed or deposited: IFA
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 PROPOSED DOCK WILL BE CONSISTENT WITH OTHERS PRESENT ALONG THE
ADJACENT AND OPPOSITE SHORELINES AND WILL HAVE NO SIGNIFICANT ADVERSE
IMPACTS ON THE ADJACENT TIDAL WETLANDS AND WATERS OF THE TOWN.
_ 14-16~4 (2/BT)---TeXl t2
617.21
Appendix C
State Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT
For UNLISTED ACTIONS Only
PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor)
I APPLICANT/SPONSOR: I 2. PROJECT NAME
FRANCES & JOHN DiVELLO BY EN-CONSULTANTS, INC.
I
3 PROJECT LOCATION:
M~pamv MATrlTUCK County SUFFOLK
4 PRECISE LOCATION (Street address and road intersectio~s, promir~nt landmarks, etc. or provide map)
FORM
SEQR
1705 MEDAY AVENUE, MATFITUCK, TOWN OF SOUTHOLD, SCTM # 1000-13-9-8. t
lS PROPOSED ACTION
New ~] Ex~anN00 [] Modtflcaflo~/elter~flon
6 DESCRIBE PROJECT BRIEFLY:
CONSTRUCT A FIXED TIMBER DOCK, CONSISTING OF A 4' X 126' FIXED CATWALK (TO BE ELEVATED A MIN1MtYM OF
3.5' ABOVE GRADE OF MARSH); A 3' X 18' RAMP; AND A 6' X 20' FLOAT SECURED BY (2) 8" DIAMETER PILINGS.
CONSTRUCT 4' X 9' PLATFORM/STEPS AT LANDWARD END OF CATWALK.
7. AMOUNT OF LAND AFFECTED
Initially ] .4~ acres Ultimately 1.46 ms
8. WILL PROPOSED ACTION COMPLY W1TH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS?
~YeS [] NO If No, del~cribe briefly
9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT?
[] Re.ldentiel [] Indusf~'iel [] Commercial F-~ ~riculture [] Park Fo~estJOpen space
]Other
to. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUN~NG, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL,
STATE OR LOCAL)?
[] Yes [] No If yes, list agency(s) and permWapprovais
DEC, COE, DOS
11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
]Yes [] NO If yes, list agency name and permit/approval
DEC TIDAL WETLANDS #1-4738-03256/0000, DOS GENERAL CONCURRENCE #F-2003-0706
12. AS A RESULT OF PROPOSED ACTION ~/ILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION?
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
/t~41c~lnt/sponeor nanle ROBERT E. I~, COASTAL MANAGEMENT SPECIALIST DATE OCTOBER 26, 2004
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
NOTICE TO ADJACENT PROPERTY OWNER
BOARD OF TRUSTEES, TOWN OF SOUTHOLD
In the matter of applicant:FRANCES&3OHNEM~/ELLO
SCTM#1000- H3-9-8.1
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 FIXED TIMBER DOCK, CONSISTING OF A 4' X 126' FIXED CATWALK (TO BE ELEVATED A
MINIMUM OF 3.5' ABOVE GRADE OF MARSH); A 3' X 18' RAMP; AND A 6' X 20' FLOAT SECURED BY (2) 8"
DIAMETER PILINGS. CONSTRUCT 4' X 9' PLATFORM/STEPS AT LANDWARD END OF CATWALK.
2. That the property which is the subject of Environmental
Review-is located adjacent to your property and is described as
follows:
1705MEDAYAVENUE, MATIITUCK
3. That the project which
under Chapters 32, 37, Or
comment on :NOV. 1% 2004 ~ 7:00 pm
765-1892 or in writing.
is subject to Environmental Review
97 of the Town Code is open to public
You may contact the Trustees Office at
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: FRANCES & JOHN IMVELLO
MAILING ADDRESS: DRAWER 1402
MATrlTUCK, NY 11952
PHONE ~: 631-2984635
Enc.: Copy of sketch or plan showing proposal for your
convenience.
5
Name:
THOMAS GALLIGAN
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
Address:
1605MEDAY AVENUE
MA'ITITUCK, NY 119~
JEAN SAUNDERS
4322 WESTPHALIA ROAD
MATI'ITUCK, NY 11952
JOHN & FRANCES DIVELLO
P.O. BOXI~2
MATTITUCK, NY 11~2
RAYMOND & AILEEN RADIGAN
363 SPLIT ROCK ROAD
SYOSSET, NY 11791
STATE OF NEW YORK
COUNTY OF SUFFOLK
ROBERTE. HERRMANN
1319NORTHSEAROAD
SOUTHAMPTON, NY 11~8
doing business atEN~ONSULTANTS,~C-
· being duly sworn, deposes and says
that on the 27TH day of OCTOBER ,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 addressesset 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 SOUTHA]Vfl~FON , that
said Notices were mailed to each of said persoDs by (certified)
~1~) mail.
Sworn to before me this27TH
day of OCTOBER ,2o ~
~,~/~ ~ '/N~C t a~l ~CI
U.S. Postal Service
"" CERTIFIED MAILT,, RECEIPT
Lq (Domestic Mail Only; NO Insurance Coverage Provided)
(Endomement Required)
r-3
~ s,.tro John & Frances DiVello
'ei~,:-~:2r~ Mattituck, NY 11952
U,S. Postal Service
D CERTIFIED MAILT=~ RECEIPT
Lq (Domestic Mail Only; No Insurance Coverage Provided)
U.S. Postal Service,,,
CERTIFIED MAIL,,,, RECEIPT
(Domestic Mail Only; No Insurance Coverage Provided)
Jean Saunders
4322 Westphalia Road
Mattituck, NY 11952
U.S. Postal Service
CERTIFIED MAIL~i,, RECEIPT
(Domestic Mail Only; No Insurance Coverage Provided)
Thomas Galligan
1605 Meday Avenue
Mattituck, NY 11952
of Trustees Applicat~
County of Suffolk
State of New York
~'~]-/t~/ /6'/, Df' ~/~LL~ BEING DULY SWORN
DEPOSES ~ ~F~S THAT ~/S~ IS T~ ~PLIC~T FOR T~ ~0~
DESC~ED PE~T(S) ~ T~T ~L STATE~NTS CONT~D ~ ~
~ TO T~ BEST OF ~S~R ~O~EDGE ~ BEL~F, ~ T~T ~L WO~
~LL BE DO~ ~ T~ ~R SET FORTH ~ T~S ~PLICATION ~ AS MAY
BE ~PRO~D BY T~ 80UTHOLD TO~ BO~ OF TRUSTEES. T~ ~PLIC~
AG~ES TO HOLD T~ TO~ OF $OUTHOLD ~ T~ TO~ TRUSSES
~ESS ~ F~E FROM ~ ~ ~L D~AGES ~ CL~S ~S~G
~ER OR BY ~T~ OF S~ PE~IT(S), · G~TED. ~ CO~LET~G T~S
~PLICATION, I ~BY AUTHO~E T~ ~US~ES, T~ AGENT(S) OR
~P~SENTATI~S(S), TO EN~R ONTO ~ PROPERTY TO ~SPECT T~
P~SES ~ CON~CTION ~TH ~W OF T~S ~PLICATION
Signature
SWORN TO BEFORE ME THIS
DAYOF ~ (~"N ,200~
of Trustees Applicatio~
AUTHORIZATION
(where the' applicant is not the ownor)
(print o~er of pro~ert~) (ma;ling ad.ess)
do hereby authorize
(Agent)
to apply for permit(s) from the
Southold Board of Town Trustees on my behalf.
~/( Owner ' s signature )
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 of
..... ......
COUNTY OF SUFFOLK)
STATE OF NEW YORK)
being duly sworn, depose and
AFFIDAVIT OF POSTING
say:
That on the ~ day of ~t~V- , 200¢, I personally posje4 the property known as
by placing the Bo~d of Trustees official poster where it c~ easily be seen, ~d that I have
checked to be s~e the poster has remained in place for ei~t days prior to the date of&e public
he~ng. Date ofhemng noted thereon to be held ~., ~, IQ 2 ~
Dated:
(signamre~ -
Sworn to before me this
/~day of fl/o'/' 200~
C'~-:'- 1N~otar~Public
Tile Town of Southold's Code of Ethics prohibits conflicts of
interest on the part of town officers and employees. The
purpose of this fo~m is to provide information which can
alert the town of possible conflicts of interest and allow
it to take whatever action is necessary ko avoid same.
(Last name, first name, middle initial, unless
you are applying in tbs name of someone else or
other entity, such as a company. If so, indicate
tile 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 or official map
other V/'
(If "Otter," name the activity.) {,A~{~
interest' means a business, lnmluding a partnership, in
which the town officer or employee has even e partial
osnership of (or employment by) a corporation in ~hich
tile town officer or employee cans more than 5~ Of the
If you answered "YES," complete the balance of this form and
date and sign where indicated.
Name of person employed by the Town of SoUb}lold
Title or position of thst person
Describe the relationship between yourself (the applicant)
and the town officer or employes. Either cheek the
appropriate line A) through D) and/or describe in the space
provided.
The town officer or employee or his or her spouse, s~bling,
par,hi, or child is (check all that apply).
A) the owner of greater than 5% of the shares of the
corporats stock of the applica~%t (wbs~l the applicant
is a corporation);
~) the legal or beneficial owner of any interest in a
noncorporste'entity (when the mpplioent is not a
corporation);
, C) an officer, director, partner, or employes of the
applioantl or
, D) the actual applicant.
DESCRIPTION OF RELATIONSHIP
Submitted this ~' day Of %r'l~3
signs ture/~'--'~ ~~~
Print name ~2{d~7~ /~t, ~ ¢~0
EN-CONSULTANTS, INC.
ENVIRONMENTAL SERVICES
1319 North Sea Road
Southampton, New York 11968
631-283-6360
Fax: 631-283-6136
www. enconsultants.com
October 27, 2004
Town of Southold
Board of Trustees
Post Office Box 1179
Southold. New York 11971
Attn.: Lauren Standish
Re:
Frances & John DiVello
1705 Meday Avenue, Mattituck
SCTM # 1000-113-9-8. I
Dear Ms. Standish:
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 authorization & disclosure forms.
Three (3) work plans.
Three (3) copies of survey.
One (1) set of site photographs.
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.
Sing~r~ ely, .
Coastal Management Specialist
/khs
Enc.