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Home My WebLink AboutTR-5638 0��1�� jyo Michael J.Domino,President so1 Town Hall Annex John M.Bredemeyer III,Vice-President h 54375 Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski �pQ Telephone(631) 765-1892 Greg Williams �COUFax(631) 765-6641 � NT`I,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 13, 2018 Clifford & Karen Cid 675 Meadow Lane Mattituck, NY 11952 RE: 675 MEADOW LANE, MATTITUCK SCTM# 1000-115-5-7 Dear Mr. and Mrs. Cid: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, August 15, 2018: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit#5638 from Robert Lobick to Clifford & Karen Cid, as issued on October 18, 2002. Please be advised that on September 13, 2018 the President of the Trustees approved the planting plan submitted on this date. Please be advised that any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please contact our office at (631) 765-1892. Sincerely, Michael J. Domino, President Board of Trustees MJ D/dd Clifford&Karen Cid 675 Meadow Ln Mattituck, NY 11952 kbartell@optonline.net 631-924-4437 (H) 516-287-6662 (C) September 13,2018 Board of Trustees Town of Southold PO Box 1179 Southold, NY 11971 Dear Sir or Madam, We would like to submit a planting plan from Trimble's Nursery for our property located at 675 Meadow Lane,Mattituck, NY 11952. In the 30 foot non-disturbance area,native plants will be planted and any existing nonnatives will be removed including 15 privet All trees on plan are existing trees. Below is a list of native plants to be considered. Bayberry Aronia Hay-scented Fern Lady Fern Clethra Inkb erry Blueberry Baptisia Attached is a planting plan previously submitted. We are only looking to approve the planting of plants in the 30-foot non-disturbance area at this time. Thank you for your consideration. Sincerely, I D ,- c .- LI [_ ,; „_r SEP 1 3 2018 Karen Cid ' Fes'(�Py ?.. ,- f,•-�-�•,,� _ �.�N-2� i:,�1N�?F:�i��bF��'L'dt� .r, _r -'�"; �-- "'��r?'i1t+�<� �1�:{C,,.��''s•.: �, - ,.' ••2 h+�s��lrL�f�-- -.,,,,—�-_...� t�~ f - ,.,+; � ?{3�'��17r79� G~?�.r -- • _ -- `t'_'. <-`s-- _ �..--��---- -�_-1`` - -" "'°�� '�� -_-"-Cat-:"'.�,t�r`..�.;I�i�•`_ ```''�,,� - ., - PON To Por,(u 47 Ile— .ilY1P'�`i• WF�s�I� - T `it`f l'^. ` \5 �-�i�� (,•_✓ C-•� ~tea `• r-� __ ._ _ -' i �--. �- ` `tel -�f ,� Y`_��✓'.. r r•• J��U afJ ti �,:f "Gf� 4ty�„' 1!_f .. 'f';flVN AJi�l —AQ L r iff }, is �� s. t• l��t iff`-, s z P' �L'I��- t fJN� �lti !CJ _ - -- AC SEP 13 � ' - Michael J. Domino, 'resident Town Hall Annex aY"�� y��; John M. Bredemeyer, III, Vice-President N = 54375 Route 25 Glenn Goldsmith o -u P.O. Box 1179 A Nicholas Krupskiri Southold, NY 11971 Greg Williams � Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: _[� - '"" Please be advised that your application dated has been reviewed by this Board at the regular meeting of and your application has been approved pending the completion of the following items checked off below. P�u� _ P� Ivk 30" o� YAvv6- Vii rmg Revised Plans for proposed project— A-M6L.. -0 TH6- We —WO, Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1 St Day of Construction ($50.00) '/ Constructed ($50.00) Final Inspection Fee ($50.00) Dock Fees ($3.00 per sq. ft.) 30-Year Maintenance Agreement (complete original form enclosed and submit to Board of Trustees Office) The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ BY: Michael J. Domino, President Board of Trustees resides Michael J. Domino, P SOFFO(�¢ Town Hall Annex i `Q �'� J John M. Bredemeyer III,Vice-Prespent �� GyJ,Q 54375 Route 25 Glenn Goldsmith y P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: /0 Completed in field by: 39 kA&�p CLIFFORD & KAREN CID request a Transfer of Wetland Permit#5638 from Robert Lobick to Clifford & Karen Cid, as issued on October 18, 2002. Located: 675 Meadow Lane, Mattituck. SCTM# 1000- 115-5-7 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=� Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N /He Ch. 275 ACh. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: 0 I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: -,Zi. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other Michael J.Domino,President *rjf SID Town Hall Annex John M.Bredemeyer III,Vice-President �� lQ 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold,New York 11971 A.Nicholas Krupski G • Telephone (631) 765-1892 Greg Williams �O� Fax(631) 765-6641 CDU , JUL - 9 2018 � J BOARD OF TOWN TRUSTEES f TOWN OF SOUTHOLD 1 S�nt1�n,�C1 ipt"i(I Board of Tfi�knn� APPLICATION FOR A TRANSFER OF A WETLAND PERMIT DATE OWNERCuffoID `r V"QU ()�P PHONE 631 9a7" 7 MAILING ADDRESS 6Z57 f b '-J LA., a?AniCK lily 16-5:2 AGENT PHONE ADDRESS /�, PROPERTY LOCATION b7Y 051 btu j 141• (�(Bryn°cic �,j`f I l D ce TAX MAP NO. I/We Li'rrequest a Transfer of �Sa t Biu n-irrtlTz Permit# Signed By: )ard of Trustees Appat AFFIDAVIT C/i;' BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE BOARD OF 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, INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. _�& 6�1/ Signature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS q�h DAY OF TN 120 19 A4v9*vv_ Notary Public DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK No. OID1475593 Qualified in Suffolk county my Commission Expires April 30, 20 27- 1, is E _7 gat `'^— Clifford&Karen Cid ' J U L 9 2018 675 Meadow Ln - Mattituck,NY 11952 kbartell@optonline.net 631-924-4437 (H) L Bard of Tnist_rs -_..l 516-287-6662 (C) July 9, 2018 Board of Trustees Town of Southold PO Box 1179 Southold, NY 11971 Dear Sir or Madam, We would like to request the following Permits to be transferred into our names: Permit#452 -Trustee Wetland permit to build the house dated 7/17/85 from the name of Baumgartz to Clifford and Karen Cid. Permit#5638-Trustee Permit for sunroom dated 10/18/02 from the name of Robert Lobick to Clifford and Karen Cid. Sincerely, (� 21 7d*x- eez Karen and Clifford Cid Albert J.Krupski,President Town Hall James King,Vice-President yo�`(Ifi l'Q(�'C 53095 Route 25 Artie Foster ,ro �G P.O.Box 1179 Ken Poliwoda Southold,New York 11971-0959 Peggy A.Dickerson Z Telephone(631)765-1892 ip 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-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line is` day of construction /'/2 constructed Project complete, compliance inspection. Board Of Southold Town Trustees t SOUTHOLD, NEW YORK ` PERMIT NO. DATE: _October_18.,2002 ISSUED TO ._.. .......ROBERT LOBICK ........_. ...................................__....... __....._.._...__....... .......__._. `h 6 Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 'IW of the Laws of the State of New York 1952; and the Southold Town Ordinance on- fitted ."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;'...': and in accordance with the s Resolution of The Board adopted at a meeting held on _October 16, . 2002..:_, and in consideration of the sum of $ 50.00 paid by Robert Lobick _. .._ ................................. of Mattituck N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Southold Tnwn Trustees authorizes and narmi+e +1". fallowing: ? ' .1 WetivM?p it to ntmd anexisting wood deck 12'X I6'to 12'X 22'wide Wen bond* 12'X22'glass and screen...on 12'X22'dak.R 118wtc 30'fio the 1m warL R,} Wge ofd wetlands a long We wahm portion on We property mE U,v batwce dwelling iiA wetlands W be wva wild woodchips and"depicted on plan detect t Ocwber 8,2002 prVp by SvRolk Enviwnmentil CaosWting,Inc. all in accordance with the detailed specifications as presented in the originating application. a< IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, and these Presents to be subscribed by a majority of the said Board as of this date. 4. in �L - Trasteer Q. �.__ TERMS and CONDITIONS R The Permittee Robert Lobick residing at 675 Meadow Lane, Mattituck IV Ye as pan of the consideration for the issuance of the Permit does understand and prescribe to the fol- lowing: 1. That the said hoard of Trustees and the Town of Southold ate released from nay and all damages, or daims for damages, of suits arising directly or indite tly as a result of any *per- atioa performed pursuant to this permit, and the aid Pernatae will, at his or her own expense, defend any and all such sults-inidaoed by third parties, and the said Permittee atnmres full liability with respect thereto, to the complete emchnion of the Board of Trustees of the Town of Southold 2. That this Permit is'valid for a period of 24 moa. which is considered to be the estimated time required to complete the work involved, but should drAwnstimm warrant, req*at for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that auth- orization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board of its agents, and non-compliance with the provisions of the originating application, may be Huse for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the wade herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or altendons in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the. wait shall cause unreasonable obsttumoa to free navigation, the said Permittee will be requited, upon eke notice, to remove or alter this work or project bet-tin stated without expenses to the Town Of Southold 8, That the said Board will be notified by the Permittee of the compledoo of the work auth- orized, 9. That the Permittee will obtain all other permits and consents that may be requited sap elemental to this permit which may be subject to revoke upon failure to obtain tune. Albert J. Krupski,President ` . Town Hall James King,Vice-President ��FF��I�' 53095 Route 25 Artie Foster �o �/i P.O.Box 1179 Ken Poliwoda Southold,New York 11971-0959 Peggy A. Dickerson W Telephone(631) 765-1892 4y !� Fax(631) 765-1366 �yol � dao BOARD OF TOWN TRUSTEES October 18, 2002 TOWN OF SOUTHOLD Mr. Robert Lobick 675 Meadow Lane Mattituck,NY 11952 RE: 675 Meadow Lane,Mattituck SCTM#115-5-7 Dear Mr. Lobick: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, October 16, 2002 regarding the above matter: WHEREAS, ROBERT LOBICK 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 July 29, 2002, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on October 16, 2002, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 97 of the Southold Town Code, 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, 2 0 go RESOLVED, that the Board of Trustees approve the application of ROBERT LOBICK to extend an existing wood deck 12'X 16' to 12'X 22' wide then build a 12'X 22' glass and screen sunroom on 12'X 22' deck. Re-vegetate 30' from the landward edge of the wetlands along the southern portion on the property and lawn area between dwelling and wetlands to be covered with woodchips and as depicted on plan dated October 8, 2002 prepared by Suffolk Environmental Consulting, Inc. 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 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: $5.00 Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/lms P ropcos4ac1 P r Ejnt: , n!g P r .'e1''1 ® r F?. ®b� rt L®b i c k , � s r -r F= PLAN Situate: Meadow Lane, Mattituck Town of Southold, New York d10H1f10S JO NMOl S221SNf)K 40 (INd09 Cross Section View _ illFOR vsN f,ia,v�ySvuCc.c� �f'a••NDbEL —�'b.)�1-� NIL <1 - ury �vz PIant KPy 000-0 o o� ��O ':"p- a � J/yi•,/S o t._ ..��..�--5 a u.q.v T,TN .S-/Z E- -11) ILI O o _ _ .C—ol)NC6Se C_ �VCH Z i • /�� i/ �� ^ S � rJ • , I '( • ` • .� �VS� /CNC`/5'a�C�GL..�' �'� ��,� i A P of wN l a �r �ovt72 --0 !N w Oct T) Z. AN � Dow <} DT 9-c 0 7-- AinrA -rZ,4/y 7-1,^16-- I iN6-- SCAlE1_ . G APPROVED 1Y DRAWN BY DATE /4Ot REVISED /� $ oZ izcrv.�+r-.uI tr?NG#I /Nc 17 DRAWING NUA56EJt 0 0 Suffolk Environmental Consulting, Inc. Newman Village, Main Street,P.O. Box 2003, Bridgehampton, New York 11932-2003 (631) 537-5160 Fax: (631) 537-5198 Bruce Anderson, M.S., President September 16, 2002 HAND DELIVERED Southold Town Trustees Town Hall P.O. Box 1179 Southold, NY 11971 Re: Robert Lobick Situate: Meadow Lane, Mattituck SCTM #: 1000-115-5-7 Dear Trustees; This Firm represents Robert Lobick, who made application to your Board to construct a proposed sunroom and deck off the southern face of his existing dwelling. It came to Mr. Lobick's attention during the course of this application proceeding, that a 30 (thirty) foot buffer had been required in connection the initial construction of the dwelling. Mr. Lobick retained this Firm in connection with the construction of a planting plan to satisfy the buffer requirement. Attached herewith, is the proposed planting plan for Robert Lobick, prepared by this Firm on this date. The plan features the planting of native wetland and adjacent area species, adjacent to surface waters on Mr. Lobick's property. Kindly review said plan in connection with your field inspection to take place on September 18, 2002, as well as, your regular meeting to take place on September 25, 2002. Thank you for your consideration. ry truly your , Bruce A. Anderson BA/dkw Encl Cc: Mr. Lobick March 1,2000 Southold Board of Trustees P.O.Box 1179 Southold,New York 11971 Dear Trustees, On February 28,2000 I purchased a parcel of land(District 1000 ; Sec. 115 ; Block 5 ; Lot 8) from Gerard Hines.The property is adjacent to my husband's and my home at 675 Meadow Lane,Mattituck. I'm writing to request a field inspection for clearing the property. The property has typical vacant lot debris on it—dead trees, branches, bushes,tree stumps,thorny bramble, piles of leaves, and some garbage. I would like to clear-out the decayed vegetation and replace it with young trees and bushes. Perhaps you can suggest some varieties that grow in the area.My main objective is to keep people from dumping unwanted material on the property. Also,Mr. Hines mentioned that there is a dock(walkway)on the property.It is barely visible with all the overgrown vegetation. Hopefully,some access can be established to this dock. Please feel free to contact me so that I can be home when you inspect the property.Late afternoon is a preferable time for me. Thanking you in advance for your prompt attention to this matter. Sincerely, Marilyn J. Lobick Telephone: 298-5485 (Home) 548-6358 (Work) Field Inspection 1 s . J' s g a ct. v Field Inspection 1 5 � r ez- 1� �h i; x.: t s: z �5 i i Field Inspection 1 { - .1�¢d 3 e Field Inspection 1 -y1 4 3`r•' i L 4L re.--, , •1A rp � �xr.�tV't t ,r �� InspectionField : , , . . . . », i ��SUF %Ire' i s � Town Hall. 53095 Main Road P.O. Boz 1179 Telephone Southold. New York 11971 (631) 765-1892 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Tuesday, August 20, 2002, the following recommendation was made: Moved by Melvyn Morris, seconded by Bill McDermott, it was RESOLVED to TABLE the Wetland Permit Application of BOB LOBICK to extend an existing wood deck 12'X 16' to 12'X 22' wide then build a 12'X 22' glass and screen sun room on 12'X 22' wood deck. Located: 675 Meadow Lane, Mattituck. SCTM#115-5-7 The CAC Tables the application until all previous permits for the property are reviewed. Vote of Council: Ayes: All Motion Carried F v.uso F.c.es n`u.Ei__— e ; s—• x2;' dd w e e h A � •® Ou gp(! w s e e e n _ P f ♦ o�� 7 w a f P yg •M1�. '"'F° e i x� [e e e 0 n n �+—". y I ( �—' �i=FSy e \ iw _ e 9E�E\3� a b�o •'_—�•_ J•j�^'� y� b� .w:� 3E 3E11f r/ IIID a _ q it �^ `} ✓�� 4 �7` �a . ` .r,✓' ��1x1—, ., 'fix iil�l h e l l b , • VAA 4$ �0�� i J �E �s ITI}I'�II�1'-II�IIT IIfI�I11I{TII TII TII T'I II�I' II{TII EII TII w ^R J.I1.J.11..I.L1.�l-1l LIJIIJ Iia . Trustee Inspection File Report Name �—o t c k- Address 61 S Meodovy Lg �Yla-1�-1-uc.k SCTM# 1St Insp 2nd lnsp 3rdlnsp Final Insp _am u.x4-t 4a— p aj- shown ah lct q Notes Albert J.Krupski,President �$UFFOL�CO Town Hall James King,Vice-President .Z.� a 53095 Route 25 Henry Smith c P.O.Box 1179 Artie Foster vi x Southold,New York 11971-0959 Ken Poliwoda Oy �.F Telephone(631)765-1892 �Ol �a0 Fax(631)765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only , I 1410"4- :I _Coastal Erosion Permit Application U MCI ' Wetland Permit Application _Major %Minor i Waiver/Amendment/Changes _Received Application: 7� %'O "Received Fee:$ � ,Completed Application l lei►Iv1� `Incomplete SEORA Classification: —Type I_Type 11Unlisted _Coordination:(date sent .CAC Referral Sent: Q .Date of Inspection: 1 0 Receipt of CAC Report: _Lead Agency Determination: _Technical Review: ...-Public Hearing Held: Q .7l 01✓ Resolution: Name of Applicant_ �)T1 L f)C)tC.V Address 5 MPl;�cl l —n. 'T U(� ko f/ Olsl Phone Number:( )� �s f Suffolk County Tax Map Number: 1000- SLC. Property Location:-Q,0/ Uai LI , eCIA &L 41 LA (provide LILCO Pole#11, distance to cross sireetoos, and location) AGENT: 8,e, dl t.✓ l " TrJ L) I R i c S (If applicablee)' tt � )) + ++ l ' i Address: W3 Lg/L lr b�,Ave, �II��IG� �V� 01 Phone: Board of Trustees Application GENERAL DATA Land Area(in square feet): 23� l O 1 Area Zoning: Previous use of property: �� J✓C c I✓GEPIntended use ofpropertyle,5517 LFA/Cg- Prior rior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? No Yes If yes, provide explanation: Project Description(use attachments if necessary):1rTOYP %O RAI' ExIST4'6 GUoob /.ZX/l Tn /2X42 W)066- )3Z,91 )DE32,91 Jun/ P;�onNj 4JV l °x .221-✓rCj Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: —V/L A SC�•c/ �oon� lZXz2 or/ C,Yis%� iyG ��Ck Area of wetlands on lot: Z square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands:_ I feet Closest distance between nearest proposed structure and upland edge of wetlands: 3 Z feet Does the project involve excavation or filling? No V Yes If yes, how much material will be excavated?_, ' '_cubic yards How much material will be filled? _ cubic yards Depth of which material will be removed or deposited: 3 feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: As T 1402 L PIG6kZ - 3r-- r TIC,6�'P. FLl - SOTVIG IiO&E5 APYT �oNGiZET %0 5F not)l2tr_0 fo NJA/Z ST/ZvGTv,r?i; 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): ��F Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: ��Tg)_L )A/6 I Z X Z O Sun/ -R,00/7'1 veu ExlS IrrI.)y _;F�k Are wetlands present within 100 feet of the proposed activity? No ✓ Yes Does the project involve excavation or filling? i/ No Yes If Yes, how much material will be excavated? (cubic yards) How much material will be filled? ZQ (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) /✓o Ale Albert J. Krupski,President �gUFFO(� Town Hall James King,Vice-President h.Z� C�Gy .53095 Route 25 Henry Smith o= P.O.Box 1179 Artie Foster co = Southold,New York 11971-0959 Ken Poliwoda Oy 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 --- -kik------------------ COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING / I, 71aL`i��P% �OL�/Gk residing at J�/ '90-0 k/ C/9nE being duly sworn, depose and say: That on the 3 qday of ` , 2007, I personally posted the property known as 1� 73 /%E.4-Nkj lA�� 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 hearin ;Dtattee at hearing noted thereon to be held �4,eqj1Awi% Dated: 11�� (signature) Sworn to before me this GERgsi Jii 200L NOTUA� x:iS'MOS�MOS uafiflsd in 5u6if03 MNew York Oommission Expires Marche` Not liC PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: Ruth Knudsen & Isern J. Boeckman 680 Meadow Lane/PO BOX548 Mattitu ck,IW11952 Marilym Lobick 675 Meadow Lane Mattituck,NY 11952 Patricia Herser & Jennifer Heriser 200 Tulip Ave Floral Park, NY11001 STATE OF NEW YORK COUNTY OF SUFFOLK 04441V, K TEN EA- residing at K 0 6e-wj a�-t i AU-'' ./ f Jt�l b(',G being duly sworn, deposes and says that on the day of 20oL, deponent mailed a true copy of the Notice set forth in the Board ofTrustees pplication, 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''F_ao by ry '( -dt✓ , that said Notices were mailed to each of said persons by (certified) (registered)mail. Q Swom t efore me this Day ot`�`ter . 20 yPU-LJL ATtOi11R wro^k rk��v sreTrorxewao�uc r S' ssuEroixcn�rar� Notary Public SENDER: ••MPLETr 'IS SECTION COMPLETE ■ Complete items 1,2,and 3.Also complete A R v&1 b (Please P Clearly) B. Date of Delivery item 4 if Restricted Delivery is tlesired. � 2/5�'_ el ■ Print your name and address on the reverse so that we Can return the card to you. C. S' ature ■ Attach this card to the back of the mailpiece, X or on the front if space permits. 0 dressee .=1. Artidwodressed to: D, s del. d17 r]yes i If YE B enter tlsilvery address belo 0 No Rll�T t5� AUG - 62002 3. Service Type Certified Mail ❑ Express Mail ❑Registered ❑Return Receipt for Merchandise Out -yvt,r/ Y �� 11Insured Mail ❑C.O.D. , (!T�� I r p P 4. Restricted Delivery?(Eyes Fee) ❑Ves 2. Article Number(Copy/turn sarwce�•u•--- T ! 7001 1940 0000 4939 5766 P$Form 3811 Jul 1999 f , Y Domestic Return Receipt 102595.00-M-0952 ii SENDER: / ■ Complete items.l.2,and 3.Also complete A Received by se t CQlean) B. Dat of ivory item 4 If Restricted Delivery is desired. ��;�L jV ■ PrintY our name and address on the reverse so that we can return the card to you. Cwre ■ Attach this card to the back of the mailpiece, ` ❑Agent on the front If space permits. ❑Addressee` i1. Article Addressed to: D. Is delivery ad illerent from Item 14 0 Yes If YES,enter delivery address below: ❑No POL 3. mice Type ;Certified Mail ❑ Express Mail 0 Registered ❑ Return Receipt for Merchandise I ❑Insured Mail ❑C.O.D. 5 4 Restricted Delivery?(Fxtra Fee) ❑Yes 2. Article Number(Cq._.—._.__....�,. 7001 1940 00_00 493B 5773 Ps Form 3811,July 1999 Domestic Return Receipt T 102595-O M-0952 SENDER: CO • IN Complete items 1,2,and 3.Also complete A Received by(Please Print Clearl B. item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. 0. Signature ❑ t ■ Attach this card to the back of the mailpiece, X or on the front R space permits. > D. Is delivery address different from 1? C3 Yes Article Addressed to: If YES.enter delivery address below: 0 No �NU'�j Se04 a .L ma J - -80tC4Yu6 b� He&ybD j Lbw Q. 3. Service Type Certified Mail 0 Express Mail '�• Q, �j b-X 5�-� Registered 0 Return Receipt for Merchandise- v 0 Insured Mail 0 C.O.D. (-FLr 4- 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Nu bar frw— I I i l., 7001 1940 0000 4938 57813 , PS Form 3811,July 1999 Domestic Return Receipt 102595-DO-M-0952 I.. B�d of Trustees Application County of Suffolk State of New York RoQn2 M 1eIL BEING •DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS TEE APPLICANT FOR THE ABOVE DESCRIBED PERMITS) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALI, DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SASD PILR IIT(S) , IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY ALt'THORIZE THE TRUSTEES, `.THEIR AGENT(S) OR REPRESENTATIVES(S) , TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Sig o ure SWORN TO BEFORE ME THIS DAY OF_ Ft -� Notary P is DONNA G.REILLY NOTARY PUBLIC,State of New vorl, No.52-4634159 Qualffled in Suffolk Cou.ity Commission $I3t�0� 7 Ward of Trustees Applicata AUTHORIZATION (where the applicant is not the owner) 6,66�rl—ly „(vial LAe- residing aty 7 /'1�r99Cw �i vE (print owner of property) (mailing address) � c 1 &' / " do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owe s signature) DONNA G. REILLY NOTARY PUBLIC,State of New York No. 52-4634159 Qualified in Suffolk County Comm on Expires oz 8