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Home My WebLink AboutTR-5860 Glenn Goldsmith, President ®�®F ®U� Town Hall Annex 54375 Route 25 A. Nicholas Krupski,Vice President ® P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly G � Telephone(631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 CpUiVT�,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1967C Date: October 18, 2022 THIS CERTIFIES that the existing deck; At 380 Deer Drive,Mattituck Suffolk County Tax Map#1000-114-10-3 Conforms to the application for a Trustees Permit heretofore filed in this office Dated January 14, 2004 pursuant to which Trustees Wetland Permit#5860 Dated February 25,2004,was issued and conforms to all the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the existing deck. The certificate is issued to Dennis &Linda O'Connor owner of the aforesaid property. 9 q 'Aw ut oriz Signature Glenn Goldsmith, President ' _ Town Hall Annex 54375 Route 25 A. Nicholas Krupski, Vice President P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly G Telephone (631) 765-1892 Elizabeth Peeples Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 10/1$ /?_2 INSPECTED BY: G.GOIo�St�s�� Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, haybale line/silt boom/silt curtain 1St day of construction % constructed X Project complete, compliance inspection COMMENTS: OK hoc G 02 C - 1/144Z 4 CERTIFICATE OF COMPLIANCE: Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO..~ .... DATE: .~.e.~.t ..~5.,._.~.~.04 ISSUED TO ........ ~.~.N .N..~...~...~.N..D.~...?.~.~ ~N?.~ .......................................... Auth rizali Pursuant to the provisions of Chapter 6lB of the Laws of the State of New York, 1893j and Ohepter 404 of the ,l~.ws of the State of New York 19~2: and the Southolcl ToWn Ord,nence en- titled ."REGULATIN~ AND THE PLACINg, OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REIvlOVAI OF SAND, ~RAVEL OR OTHER IvlATERIALS FROlvl LANDS UNDER TOWN WATERS~. and in a¢cordence with the Resolution of The Boerd adopted et a meeting held on ....~b..,....~.~..~. ~00~........., and in consideration of the sum of $.....~.0..,..q~ .... paid by Dennis & Limta .Q'~onrmr of Mattltuck .... N. Y. and subject to the Terms and Conditions listecl on the reverse side hereof, of Southold Town Trustees authorizes and permits .the following: Wetland Permit for the e.xisting' deck, as depicted on the survey prepared by John C. Ehlers dated 12/22/03. all in accordance with the detailed specifications as presented in the originating application. IN WITNESS WHEREOF, The seid Board of Trustees here- ' ~ causes ifs Corporate Seal to be affixed, and these.j~?sents to subscribed by amaiorfly of the said Board as of this dutn. Artie Foster (.absent) - ' Tn~ees TERIWS and CONDITIONS The P~ Dennis & Linda. O'Connor 380 Deer Dr., Mattituck ~N. ~.~ ~ ~or an ~_~lon may be .Im~le to the ~ at · JaM, d'~_ That ~ Permit should be tet~t~'~d i~defioltely, or as long ~ the ~bl .p,~nbeee wishes ~*;,~;- the structure or p~oject involved, to prowl& ca&ace to aaroae eoo~eraed that euth- o~atio~ was originally obtaJaed. 4. That d~e wodc iavolved will be mbject~to the inspectio~ and ~ of ~e Bee~d e~ ks agents, aad wa-complb~:e wi~ the provisions ~ the edgiaatizg appli~aon. ~ ~e cruse fo~ tevoc~tlon of ~L~ eermit by ~esolufioa of the saki ~ That there will be no unzeaso~e interference wi~ navl~_~_~ as · tesuR of the w~k .poe due ~x~ke, to remove or alter d~b wod,~ ot project herein statea wklmet es:~ to the Town 8. Tha~ the ~d t~atd w~ll ~ not~fi~l I~ the l~'~ttee m d~ ~ ~f the w~k auth- 9. 'ghat the Petmktee will e~;- ~ o~et p.,~,~ ~xl ~o,-~ dar m~7 be teq.;~ e~. elemental to ads pezmit whkh .~y be mbject to revoke upoa f~'~e to eb~a szme. Albert J. Krupski, President James King, Vice-Prepident Artie Foster Ken Poliwoda Peggy A. Dickerson Town HaQ 53095Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 February 25, 2004 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. & Mrs. Dennis O'Connor P.O. Box 4561 Mooresville, NC 28117 RE: 380 DEER DR., MATTITUCK SCTM#114-10-3 Dear Mr. & Mrs. O'Connor: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, February 25, 2004 regarding the above matter: WHEREAS, DENNIS & LINDA O'CONNOR applied to the Southold Town Trustees fo.r a permit under the provisions of Chapter 97 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated January 14, 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 February 25, 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, 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 DENNIS & LINDA O'CONNOR for the existing deck. 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 $5.00 per inspection. (See attached schedule.) Fees: None Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/Ims Telephone (631) 765-1892 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Monday, February 23, 2004, the following recommendation was made: Moved by Don Wilder, seconded by William Cook, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Wetland Permit application of DENNIS & LINDA O'CONNOR for the existing deck. Located: 380 Deer Dr., Mattituck. SCTM#114-10-3 Vote of Council: Ayes: All Motion Carried IL SURVtE¥ O:1= LOT 1'"'7' HAP OF DEER PARK. FILE[2 JULY' 25, Iq(:;,O FILF No. ¢204 SITUATE: MATTITUOK TOINN, 50UTHOLP 5,L,q=t=OLK COI.)NT~, N'r' ..~.¢)RVFYE E) 12-22-O9 SUFFOLK. COUNTY' TAX IOOO-II4-10-~ National l.smd Teamm ~y, CLC Mortga~ ~ ~ US Mo~ag~ Boarrl o! Trustees N W S E /' NOTE,~: · 1,4ONDIViENT FOUND ELFV'ATION~, ~.EFEF~FNOE N~V'[2:2q AF~EA = 20,7~7 st: or' O.4¢ ocr'¢5 ®P-.APHIC. ~C..A/E I"= 90' JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369- 8287 REF.\hHp server\d~PROS\03-318.pro Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only ~letlantal Erosion Permit Application d Permit Application . Major __ W aiver/Amendmqnfft~l~ang~ s ~,~'R'~ c eived Application: ~.~:eived Fee:$ ]~ ~[~' ompleted Application ~Incomplete __SEQRA Classification: Type I Type II Unlisted Coordination:(date scnt)~.~.~.~_ ~5~AC Referral Sent: I ]! ~te of Inspection: ~'/'~J~/~ __Receipt of CAC Report:-- __Lead Agency Determination: Technical Review: ~l~lic Hearing Held: ~t~ ~ ] ~1/ Resolution: JAH 1 4 2004 Name of Applicant Address Suffolk County Tax Map Number: 1000- II q - lO -I~ Property Location: .~r) ~D~.~ Dall)e - (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: Board of Trustees Application GENERAL DATA Land Area (in square feet): lq ~_~_ qO Area Zoning: ~'~co% ~d ~oJ~tO 12, Previous use ofproperty: '~e~;~ c{~x~ J~ Intended use ofproperty: ~-~t~-X.c~ to4c,.q-4~ 0 Prior permits/approvals for site improvements: Agency Date Noprior permits/approvals improvements. for site Has any permit/approval ever been revoked or susp~nde~}y a governmental agency? Yes If yes, provide explanation: Project Description (use attachments if necessary): Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose ofthe proposed operations: ~ t~'~Ft,~ ('~6~O~C'~ O_~/(~) Area of wetlands on lot: Percent coverage of lot: square feet Closest distance between nearest existing structure and upland edge of wetlands: ~ ~ feet Closest distance betwe~.n n.~u-est proposed structure and upland edge of wetlands: ~9 ~'~ feet Does the project involve excavation or filling? ~ No Yes If yes, how much material will be excavated? O .O How much material will be filled? Depth of which material will be removed or deposited: Proposed slope tl~oughout the area of operations: Manner in which material will be removed or deposited: cubic yards cubic yards (~ feet 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 Rou~e 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) AFFIDAVIT OF POSTING I, e~ff~~o~r~ , residing at ~-:f~ ~y/./I~'~4A~ being duly swum, depose ~ say: That on t~ day~ t~ ,200~ I pgrsonally posted ~e prope~ ~om as by placing ~e Bo~d of Trustees officifl poster where it c~ e~ily be seen, ~d ~at I have choked to be s~e ~e poster h~ remmed in place for ei~t days prior to ~e date of ~e public he~g. Date ofhe~ng noted thereon to be held (~.. . Dated: Swum to before me this day of F-b, 200q- (signature) FEB 2 3 2004 JOAN A, JACOBS Notap/Public, State of New York No. 4702900 Qualified in Suffolk County Commission Expires March 31, 2007 Southuld Tewe Board of Trustees PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS (Endorsement Requlre~) ~ R~ ~ Restr E:3 Res~ed Oe [very Fee (EM ~ (Endol ~t (EndomementRequirecl) rn U.S. Postal Service .... CERTIFIED MAIL,,, RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) /' O.T/ Uffi[T ID. 09~2 '~i~: '-~i~;~ '~;~-~;~[~. ~u-.--~-~.J~_.L.~J~_l_~.~.. ..... · -- . ~c~ t~) ~) ........... '-' ~" .............. '..~,..,.~.1~ ~ ~n~ ~ I q,52 , berg duly sworn, d~oses md ~a~ that on ~e I ~ day of 4afitB~q ,20~ d~onent m~l~ a ~c copy of~e Notice · set fo~.in ~c Bo~d of Trust.s Application, ~rccted to each of~e above n~ p~so~ at ~c M~csses set op~sitc ~ere rcsp~tivc nmos; ~at ~e ad~csses set op~site ~e nmcs of s~d pcmom ~e ~e M~css of s~d p~ ~ shorn on ~e c~mt ~s~smcnt roll of ~c Tom of Sou~old; ~m s~d Notic~ were m~l~ at ~e Unitod S~tes Post Office at ~g~ .{[~ ck ~ I ( ~ 5g ~at shd Nofice~ ~ to each of s~d pc~om by (colitiS) (~st~) mail. Sworn to before me ~s '~ PR~3JECT I.D, NUMaER 617.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT/SPONSOR j 2. PROJECT NAME 3. PROJECT LOCATION: SEQ 5. IS PROPOSED ACTION: [] New [] Exl~ansion 6. OE$cRlaE PROJECT aRIEFLY: [] Mocfi ficationlalt oration Inilially acres Ultimately acres 8. WIL~ PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING ~--4ND USE RESTRICTIONS? l~ye$ [] No if No. describe briefly WHAT IS PRESENT LAI'4D US~ IN VICINITY OF PROJECT? [] Agriculture ~ParklForesUOoen space L-~Other ID. DOES ACTION INVOLVE A PERMtT APPROVAL, OR FUNDING, NOW OR ULTIMATELY PROM ANY OTHER GOVERNMENTAL AGENCY (FSDERAL, STATE QR LOCAL)~o ,~Yes If yes, llst agency(s) and 0ermitlapl3rOValS 11. DOES ANY ASPECT OF THE ACTIOt~ HA{/E A CI~RENTL¥~J~AI~ PERMIT OR APPROVAL? 12. AS A RESULT OF PROPOSED ACTION WILL E~IST]NG PERMIT/APPROVAL REQUIRE MODIFICATION? []Yes '~No I CERTIFY THAT THE INFORMATION PROVIDED AaOVE IS TRUE TO THE ~EST OF MY KNOWLEDGE If the action is in the Coastal Area, and you are a state aqency, complete the Coastal Assessment Form before proceeding with this as_~s, essment OVER ! PART III--0ETERMINATICN OF SIGNIFICANCE (To ~e completed by Agency) INSTRUCTIONS; Cur eacrl adverse effect idemif[ed a~ove, determine whether it is sul=sta~ltial, la, ge, imcor~nt or ogler, vise sJgni fic. E~c.~ effect s~ould be assessed in connection ,~villn its {a) setting (i.e. urban or rural); (b} ~rooaDility of occ~"~,lg; (c) duration: irrevers~dility; (el geographic Souse; and (0 magnitude. If necessa~, add a[tac.~ments or reference supoor~ing ma£erials..~nsure exo~anadons canteen sufficient de~aii Is snow that all relevant adverse impacts have been iclendfied and adeCuately ~Cdressed. Chec.~ ;his box f you have identified one or more sotendally large or significant adverse impacts which MAY ,_.,/occur. Then ~roceed directly '.o ~he FULL -~AF ~ndlor prepare a positive'declaration. - ~ Check,( this box ii' you have determined, based on the information and analysis above and any suo~orth,c documenla[ion. :ha[ :he 2roDosed action WILL *NOT result in -_¢.~y significant adverse environmental imcact2 AND provide on a;ta. cnments as necessary,. :he reasons surnoorting this determination: Board of Trustees Application County of Suffolk State of New York [-I [~t~J~ O'CO/,~ L~Ok BErNGDU~YSWO~ DEPOSES ~ ~FnmS X~X ~S~ XS ~ ~mC~ ~O~ ~ ~O~ ~ TO ~ BEST OF ~S~R ~O~EDGE ~ BEL~F, ~ ~T ~L WO~ ~L BE ~ ~ ~ ~R SET FORTH ~ ~S ~PLICATION ~ AS MAY BE ~PRO~D BY ~ SO--OLD TO~ BO~ OF ~US~ES. ~ ~PLIC~ AG~ES TO HOLD ~ TO~ OF SO--OLD ~ ~ TO~ TRUSTS ~ESS ~ ~E ~OM ~ ~ ~L D~AGES ~ CL~S ~S~G ~ER OR BY ~ OF S~ PE~T(S), ~ G~D. ~ CO~LET~G ~S ~PLICATION, I ~BY A~O~E T~ ~US~ES, ~ AGENT(S) OR ~P~SE~ATI~S(S), TO E~R O~O ~ PROPERTY TO reSPECT T~ P~SES ~ CON~CTION ~ ~W O[~S ~PLICATION. ~/~ Signature ,2o ~~ ~ / APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southotd's Code of Ethics prohibits conflicts of interest on the vart of town officers and employees. The purpose of this form is to provide information which can alert the town ofcossible conflicts of interest and allow it to take whatever action is necessary to avoid san~e. YOm E: t-ltOOA 0'('.DLgDg)/ (Last name, first name, middle initial, unless you are applying in the name of someone else or other entity, such as a company. Ifso~ indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Variance Change of Zone Approval of plat Exemption fi-om plat or official map Other (If "other', name the activity.) 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, mamage, or business interest. "Business interest" means a business, including a partnership, in which the town officer or employee h~s even a partial ownership of(or employment by) a corporation in which the town officer or employee owns more than 5% of/~a)e shares. YES NO f 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/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