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HomeMy WebLinkAboutHart, Catherine & RichardA, lbert 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 August 7, 2003 Mr. & Mrs. Richard Hart 1900 Westphalia Rd. Mattituck, NY 11952 RE: 1900 Westphalia Rd., Mattituck SCTM#114-7-12.1 Dear Mr. & Mrs. Hart: · The Southold Town Board of Trustees reviewed the survey prepared by Joseph A. Ingegno dated May 5, 1999 and determined the proposed deck to be out of the Wetland jurisdiction under Chapter 97 of the Town Wetland Code and Chapter 37 of the Town Code. Therefore, in accordance with the current Tidal Wetlands Code (Chapter 97) and the Coastal Erosion Hazard Area (Chapter 37) no permit is required. Please be advised, however, that no construction, sedimentation, or disturbance of any kqnd may take place seaward of the tidal wetlands jurisdictional boundary or seaward of the coastal erosion hazard area as indicated above, without a permit. It is your responsibility to ensure that ail necessary precautions are taken to prevent any sedimentation or other alteration or disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction and Coastal Erosion Hazard Area, which may result from your project. Such precautions may include maintaining adequate work area between the tidal wetland jurisdictional boundary and the coastal erosion hazard area and your project or erecting a temporary fence, barrier, or hay bale berm. However, any activity within 100' of a Wetland line or seaward of the Coastal Erosion Hazard Area would require permits from this office. This determination is not a determination from any other agency. if you have any further questions, please do not hesitate to call. 2 Sincerely, Albert j. Krups i~,'jr~ President, Board of Trustees AJK:lms Seuthold Town Board of T~stees We are asking for considerati6n for a letter of non-jurisdiction from Southold Town Trustees for a deck we plan to build (see attached survey). Our house is on Mattituck Creek, the east side of the house facing the creek is 149 feet 9 inches from the apparent high water mark. The planned deck follows the east and south side of the home the dimensions on indicated in red on the survey. Please note that we also plan to convert a portion of the attic into living space but there will be no excavation or change in the footprint of the existing house. If you have any questions please contact us at 631 298-0009. Catherine/ and Richard Hart 1900 Westphalia Rd. Mattituck, NY 11952 o?qg'- <500 9 Board Of Southold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. ~/~ DATE: ...igar. Z2, 2000 ISSUED TO ......... ~,lJERII~E. & RICHARD HART .......... Pursuant fo the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of fha Laws of the State of New York 1952; and the Soufhold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;?. and in accordance with fha Resolution of The Board adopted afa meeting held on ..~,~.g ? ~.,... 1999 19_99., and in consideration of the sum of $.l;.359,00 .. paid by C.ath~r~p-.~. & Rich.ard Hart of ....... ga~ct.i:L~.ck ~ N.Y. and subject to the Terms and Conditions listed On the reverse side hereof, of Soufhold Town Trustees authorizes and permits the following: Wetland Permit to construct a ~'X75' cat., a 3'X20' ramp, to a 3'X5' platform & a 6'X20' fit. with 2 piles to hold float in place 2 tie off poles. all in accordance with the defai|ed 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 presen~ to be subscribed by a majority of the said Board as of this date. Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Pollwoda Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-18~2 Fox (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 22, 2000 Catherine & Richard Hart 67 Derby Place Smithtown NY 11787 Re: SCTM #114-7-12.1 Dear Mr. & Mrs. Hart, The following action was taken by the Board of Town Trustees during a Regular Meeting, held on August 25, 1999, regarding the above matter: WHEREAS, CATHERINE & RICHARD HART, applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated June 280, 1999 and, WHEREAS, said application was Conservation Advisory Council recommendations, and referred to the Southold Town for their findings and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on August 25, 1999, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standard set forth in Chapter 97-18 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 approves the application of CATHERINE & RICHARD HART to construct a 4' X 75' catwalk, a 3' X 20' ramp to a 3' X 5' platform and a 6' X 20' float with 2 piles to hold float in place and 2 tie off storm poles. Located: 1900 Westphalia Road, Mattituck. BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency which may also have an application pending for the same or similar project. Permit to construct and complete project will expire two years from the date it is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. FEES: Catwalk: 4' X 52' = 208' Ramp: 3' X 20' = 60' Platform: 3' X 5' = 15' Float: 6' X 20' = 120' TOTAL: X $3 = $624 X $3 = $180 X $3 = $ 45 X $3 - $360 $1,209 Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/djh cc. DEC Dept. of State ACE Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application, dated ~--~'' ? ~; has been re~v~wed by this Board, at the regular meeting of ~ - - and the following action was takeR[ (~) Application Approved (see below) ?.[!~,~ ~ ( ) Application Denied (see below) ~i~!ii JU~ I I : 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 fees will be necessary. fee must be paid within 90 days or re-application COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: SIGNED: PRESIDENT, BOARD OF TRUSTEES BY: CL~RK, B~A~D el~ ~RUSTEES' 4/98 February 6,2000 Dear Town Trustees, Ca, Oxex'Oae, V. Ra,,'C 900 Wea~qoho2ax, Ma.~hle, w York, 11952 Attached please find drawings as per your request. These are the same drawings sent to the DEC and Army Corp of Engineers. Sorry for the delay, Unfortunately ! had an accident and was unable to work on the catwalk and dock application. After your review 1 will look for the assessment of the fee I need ~ pay for the dock. Yours truly, / c~t~y ~ November 29,1999 Dear Town Trustees, Attached please find copies of what was sent to the DEC. Please note the requested downsizing of the floating dock to 6 x 20 feet and decreased length of catwalk. As per your recommendation our catwalk and floating will not extend further out then our next door neighbors (Stewart and Schleger) catwalk and dock. We have identified Mr. King as a contact person for the DEC as he has come out to our property on several occasions and knows the problem of the shallow water and ledge we must deal with in assuring us deep enough water for our boat at low tide. Any further questions please feel free to contact us at 724-0037. Yours truly, C~thy ,a,ffd Richard Hart CROSSViEW DIAGRAM Ty~e of Tidal W~ttand Dock Prepared PROJEGT PLAN Pmjact L.ocolion Place Map Here C~nsu!tant Name Dock Consiru _. lion 4 TRUSTEE KRUPSKI: As far as the final grade, well first of all the way the house was staked, we couldn't quite figure out the way it was on the site. It seems to be more of a catty comer. FRANCIS MURPHY: Because of the 75' wetland setback, the curve of the pond, is where you have to have the back of the house, or what we would consider the front of the house. If we made it parallel to the street, the building envelope would be that much smaller. And, what we're looking for is to be able to build a 2000 sq.ft, house without damaging the wetlands and to be able to fit it onto the property. TRUSTEE KRUPSKI: We didn't have a problem with it, we were just kind of unclear about the way it was staked. It seemed to be staked parallel to the road, not at a catty corner like this. FRANCIS MURPHY: No, it should be, according to the survey, catty corner. TRUSTEE KRUPSKI: Right, and also, you're going to be excavating then into the hill to put the house straight in? FRANCIS MURPHY: Probably half of the east side and the entire back oftb. e house will be at ground level. Similar to the house we built on Mat-tituck Inlet. TRUSTEE KRUPSKI: But, our concern is the fill. What are you going to do with the fill? I mean there's going to be all that material coming out. FRANCIS MURPHY: I don't you're going to have that much and by the time we grade to come in offthe road, I don't think there's going to be any surplus fill at all. As I say, we plan to have regular sized windows in the basement, just for light for the shop down there, or whatever. Basically, what we are asking for, is can we build closer than 75' to a small pond that kids have gone down to ice-skate for years. We still would do that, we have no imention of disturbing any of that ground. We would certainly stop any run-off from the construction going down towards the pond and iust from my experience, with shrubbery and that. We would make it quite attractive without having a lawn or anything back there. I'm too old to mow lawns. TRUSTEE KRUPSKI: ! think that would be the only condition we would put on this is the 40' buffer between the pond, which would give you about' 20' to work in the back of the house. FRANCIS MURPHY: No, I don't want a lawn. TRUSTEE KRUPSKI: Any other questions? Satisfied with that grading plan? TRUSTEE FOSTER: Yeah, it's pretty much what I figured it would be TRUSTEE KRUPSKI: Is there any other comment in favor or against the application? TRUSTEE SMITH: I'I1 make a motion to close the hearing. TRUSTEE FOSTER: Seconded. ALL AYES TRUSTEE SMITH: I'll make a motion to approve it. TRUSTEE POLIWODA: Seconded. TRUSTEE KRLrPSKI: With a condition ora 40' buffer between the pond and put haybales at the 40' mark during construction. TRUSTEE KRUPSKI: All in favor? ALL AYES CATItERI31E & RICHARD ltART'request a Wetland Permit to construct a 4'X 88' catwalk, a 32"X 20' ramp with a 5'X 5' "T" and a 6'X 40' float. Located: 1900 Westphalia Rd., off Sound Ave., Mattituck. SCTM#114-7-12.1 CATHERINE HART: Hi, we came back from last month. Mr. King had gone out and did the soundings, and I think they came up to be like maybe 6' deep. TRUSTEE KING: I was trying to drop the ball on this. I took a measurement from the edge of the marsh out to the stake and it was 35' but I don't have a measurement from where the catwalk is going to start after that stake. We can probably figure it out. There's 5' of water at that stake at low tide. I was surprised how much water there is that close to shore there. CATHERINE HART: So were we. TRUSTEE KING: It drops offpretty quick too. CATHERINE HART: We were told it had to be 88' from the beginning of the catwalk to where the ramp would start. TRUSTEE KING: Yeah, this is going to be a lot shorter. I was supposed to meet with Steve Pawlik and take a measurement so we know the length of this catwalk but we just didn't get together. CATHERINE HART: Someone left a float out there. There's a little float. It's on the beach now but someone staked it in the water. It's like a 5'X 4' float. TRUSTEE KING: It wasn't me. I just came up there the one day I saw you and took some soundings. What did you say you had, a main-ship? CATHERINE HART: Right. TRUSTEE KING: So it draws about 3 ½' ...you've got more than enough water. You've go enough water there for a 40' boat. CATHERINE HART: If anyone is missing a float, it's there. TRUSTEE KING: Unless Steve was there, I don't know. RICHARD HART: There was someone in there sounding again on Saturday morning, or Friday? TRUSTEE KING: Oh, that was the day I took the measurement. There was another boat. There was a young man. My boat draws too much water. I can't go fight to the beach. So, he took me up and I took my tape a~!d measured from the stake to the edge of the grass and it was 35'. RICHARD HART; It has to be from the top of the bank. TRUSTEE KING: Yeah, but I just took a measure from the top of the vA'ass because that really doesn't change much. TRUSTEE ICRUPSKI: So could we approve it based on a new drawing? TRUSTEE KING: Sure. TRUSTEE KRUPSKI: Is that okay? Come out there and get a measurement from that depth, 5' of water and... TRUSTEE KING: We talked about the size of the floats and all, and we wanted them to downsize them. TRUSTEE KRUPSKI: Alright, we can go with a 6'X 20' float. You have a 21' boat? RICHARD HART: No we have a 35' and a 21'. TRUSTEE KRUPSKI: Two boats. So you want to go straight out and put it ... CATHERINE HART: If we went straight out, I'm to understand, straight out from the catwalk, instead of turning the dock with a "T" coming that way. TRUSTEE KRUPSKI: You could put a boat on either side. CATHERINE HART: We'll we would be doing exactly what you don't want us to do. Right? Because you told us at the last meeting that...well one neighbor, the neighbor to the north side has a dock that goes this way and the neighbor to the south has a dock that goes this way, and you determined that our would be out as far as any of these docks. TRUSTEE KRUPSKI: From what Jim said, you don't have to go out that far to get to 5' of water. So you would get out to 5' of water and you'd have a boat on either side. TRUSTEE KING: In other words, you want to tie both boats there. CATHERINE HART: Right. TRUSTEE KRUPSKI: Would that be a problem? You'll need another pole for a 35' boat. You could put another pole in to tie off, bow or stern, whichever. CATHERINE HART: Can we just come up there and you could show us what you're talking about. Because I don't understand. TRUSTEE KRUPSKI: Yes. The dock would come out like this, to the shoreline, the ramp, and the float would come off' it like that and it would be in enough water so you could one boat on one side and the other on that side. RICHARD HART: You don't want to do this because of the Town ramp that's there. TRUSTEE KING: Even with this configuration, you're going to be inside of his dock. TRUSTEE KRUPSKI: He's out further here· TRUSTEE KING: That stake, if you line that stake up with the neighbor to the north and the one to the south, it's just about right at the end of his fixed dock, and I mean he's got a ramp and a float outside that. TRUSTEE KRUPSKI: And a boat. So you'll be inside of that. You'll be accommodate both boats in 5' of water. RICHARD HART: In other words, put the float this way, straight out. This fellow here has a floating dock, sticking out about 60' so then at low tide, the end of his dock is up on the land. That water does drop offvery fast. TRUSTEE KRUPSKI: You could put another stake here and tie your boat off CATHERINE HART: Another set of poles? TRUSTEE KRUPSKI: Just one pole. Would that be alright, Hemy? TRUSTEE SMITH: I would put poles fore and af~. TRUSTEE KING: They've got a pretty good reach across here· If you get a good northeas~ wind, you're going to want a pole on the outboard side. That would work. RICHARD HART: Another way it could be entertained, I guess, if we could put the float this way and back the two boats in stem to stem and put the poles out here. TRUSTEE KRUPSKI: I think this would be easier· RICHARD HART: And with this we wouldn't have to build as long as ... TRUSTEE KING: You could have a much shorter catwalk then this proposed one. This is 35' and you're back in here someplace in 5' of water. And that way there, you mn the floats this way, you're not going to even come out... RICHARD HART: Well that far back out here you're going to be, at some point, in 2' of water. TRUSTEE KING: No, I'm talking about where I put that stake. I don't know whal the scale is but this is 88'. I'm looking at this by eye, and the stake is about there. And then you're going to have a ramp and float and it's going to be like this. RICHARD HART: That drop-off.doesn't follow the shoreline either though. It drops off. more like here. 7 TRUSTEE KING: I went back and forth. I was fight in there, inside of that stake with no problem at all. Okay, I'll stop back and we'll need a new drawing. Do you know who is doing the work? CATHERINE HART: Steve Pawlik. TRUSTEE ICING: I'll see if/can get a hold of him and see if we can work it out. TRUSTEE KRUPSKI: Call him tonight and have him call Jim. CATHERINE HART: Okay, alright. RICHARD HART: The only reason why I was going in this direction was because of th way that the neighbors are. I don't care for this straight out business myself] When you get a bad wind from the northeast I'm afraid... TRUSTEE KING: With a northeast, 1 think you're further ahead with the configuration we're going to give you, if the wind is going to be coming this way. TRUSTEE KRUPSKI: Is there any comment on this application? Do I have a motion to close the hearing? TRUSTEE KING: So moved. TRUSTEE FOSTER: Seconded. ALL AYES TRUSTEE KRUPSKI: I'll approve the application based on a new drawing and Tpastee King's approval of that drawing, Do I have a second on that? TRUSTEE KING: Seconded. ALL AYES Patricia C. Moore, Esq. on behalf of RICtlARD SANSEVERE requests a Wetlan~l Permit for an as built fixed dock 7' in width. Located: 7433 Soundview Ave., Sodthold. SCTM#59-6-5.1 TRUSTEE KRUPSKI: Would anyone like to speak on behalf of the application? PATRICIA MOORE: Good evening. We had a pre-submission inspection for the ~lock as you recall from the last meeting, and the problem with the existing dock was tha~it was invested with rats and as a result ... [ TRUSTEE KRUPSKI: We were all out there. PATRICIA MOORE: Right, and I guess he explained the situation so the dock wa~ there.,. TRUSTEE KRUPSKI: I was just out there last week. I spoke with Mr. Sansevere. TRUSTEE KRUPSKI: Would anyone else like to speak, in favor of or against? PATRICIA MOORE: Mr. Bernstein is the neighbor. I promised him I would say t at he was in favor of the application. He called me specifically. TRUSTEE POLIWODA: I told him that it's built beyond what we normally wouk i give above a wetland. It's built 7' wide above the marsh. I said I w,.ouldn't be so strict t recommend that they have it ripped out because it maybe (can t understand) in the i [st probably 2 years. However, to get a proper permit possibly narrowing down the wa [kway to the end of the platform to 3' more or less taking a circular saw and cutting 4' ofi' off and put the poles on the side it. PATRICIA MOORE: I was under the impression that the Board would accept, sim e the dock has been built at this point, that at the time he would come back in the future t, rebuild, that at that point, that it would have to be reduced down to that size, rather than taking out .., TRUSTEE POLIWODA: I don't know how you would work that though. Do you give a Permit like that and then... Telephone (516) 765-1801 Town Hall. 53095 Main Road P.O. Box 1179 Southold. New York 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Monday, July 19, 1999, the following recommendation was made: Moved by Melvyn Morris, seconded by Richard Smith, it was RESOLVED to recommend to the Southold Town Board of Trustees DISAPPROVAL of the Wetland Permit Application of CATItERINE & RICItARD HART 114-7-12.1 to construct a 4'X 88' catwalk, a 32" X 20' ramp with a 5'X 5' "T' and a 6'X 40' float. 1900 Westphalia Rd., Mattituck The CAC recommends Disapproval of the application as submitted but would Approve a 6'X 20' float and with the condition that the structure be in line with the neighbors. New plans should be submitted. Vote of Council: Ayes: All Motion Carried *-' i Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-18,~2 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Waiver/Amendment/Chanqes ~ Recei'ved Application: ~-~-~f ~Received Fee:$/~--~ - ~ Completed Application ~ -~- ~ ~ Incomplete SEQRA Classification: Type I .Type II Unlisted ~ Coordination:(date sent) CACReferral Sent: Date of Inspection:~~ Receipt of CAC Report: Lead Agency Determination:__ Technical Review: Office Use Onl Coastal Erosion Permit Applicati¢~;~; ~Wetland Permit Application --Grandfather Permit Application ~Public Hearing Held:--~-~/~F~ Resolution: ~,, Name of Applicant Address ,Y~x~. Phone Number: Suffolk County Tax Map Number: 1000 Proper y Location: (provide LILCO Pole #, distance to cross streets, a~d'location) AGENT: (If applicable) Address: Phone: FAX#: · , ~ PR JECT I.D. NUMBER 617.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be comDleted by ADDlicant or Project s0onsor) SEC 1. APPLICANT/SPONSOR 3, PROJECT LOCATION: Municl0al[ty IS PRO BED ACTION: 5. ~Ne: [] Expansion ~ Mooifica. tlonlalterat[on 6. DESCRIBE PROJECT RRIEFLY: 7. AMOUNT OF LAND AFFECTED: Initially acres Ultimately [] No If NO, describe briefty [] Agricuit ure ~ ParX/Foresb'Ooen s~ace (-~ Other tO. DOES ACTION INVOLVE A P~-RMIT APPROVAL OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE O LOCAL}? ~Yes r~ No If yes, list agency(si and permftlaDp¢ovnls 11. DOES ANY ASPkSPF.~' OF THE ACTION HAVE A CURRENTLY VAUD PERMIT OR APPROVAL? [] Yes' ~No If yes. list agency name and permitlaDproval 12. AS A RESULT OF OPOSED OF,~ ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? Yes If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this a~essment OVER 1 II--=NCtRO MEN L cSSMENT(To ~ be comoleted ~y Agency) Yes ~ NO WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS iN 6 NYCRR, PART 5~7.E? if No. A negalive dec~aratlc may Pe subersedecl by another involved agency. C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be nanewri/ten, if legible) O1. Existing air quality, surface or groundwater buality or buantity, flOise levels, existing ~ralfic patterns, solid waste proquctiorl or dlsDos8 C7. Omar imoacts (incl~Jding changes ~n use bi either quantity or type of energy)? Explain brietiy. O. IS THERE, OR IS THERE LIKELY TO SE CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ~ Yes [] No If Yes, explain 0rietly PART III--DETERMINATION OF SIGNIFICANCE (To be comoleted by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherWise significs Each effect should be assessed in connection with its (a) setting (La. urban or rural); (b) probability of occ~g; (c) duration; irreversibility: la) geographic scope; and (0 magnitude. If necessacy, add attachments or reference subportlng materials. Ensure tf explanations contain sufficient detail to show that all relevant adverse impacts have 13een identifieo and adequately aqdresseci. Check Ibis box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive-declaration. Check this bOX if yOU have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in..~!.ny signific,a~t adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determ~ation: NOTICE TO ADUACENT PROPERTY OWNER BOARD OF TRUSTEESt TOWN OF SOUTHOLD In the matter of applicant: SCTM#1000- 1~4 - ~- ~'~ YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: /%0 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. 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: =~.~,~F_~(' ~c~ ~/'~~ MAILING A~DRESS. ~ 714¢¢ / PHONE ~: ~/~ 7~OOg~ Enc.: Copy of convenience. sketch or plan showing proposal for your TRANSACTIONAL DISCLOSURE FORH The Town of Sou~hold's Code of.~thics~prohibibs..con[!lc~s og inteces~ on ~he pact of town officers sP~d employees. The ' purpose of.this form is bo provide ~nforma~on whic~ can alert ~he town of possible.confl~cts.o[.interes~ and a~low l~ to bake whatever action is necessary bo avoid"same. (~aeL name,/~FsL name~/midd.le inL~al~ you are appl~in~ In thdname og someone else o~ o~her en~i~y, such as a company. I~ so~ ~d*ca~e ~he o~her pe~8on*g o~ ~ompany°e name.) NATURE OF APPLI~ATIONt (Check al~ ~ha~ apply.) Tax grievance Variance change of ;one . Ap. PJ~9~'~I oE plab , , , Exen3ptton from pla~ or official map ... Obher ~/ /~ · Do you pereofla~y (or through you~ ~penyp spO~ee; sibling, paren~ or ehl~d) have a rela~lonehip wl~h any officer or employee o~ ~he Town of Sou~hold? 'Relationship' ln~ludee by b~ood, mar£1age~ or business ln~eree~. "Business Interest" means a bueineee~ including a par~nership~ in vhich ~he ~ovn o~lcer or employee has even a pa£~la! ovnership o~ (or employmen~ by) a corPora~ion in vhich the ~ovn officer or employee oven more ~han 5~ o£ the eha~ee. NO ~, you anevered 'YgS,#.~omple~e ~he balance o~ da~e and sign uhere ln~lca~ed. form and Name of person employed by the Town oF 8oubhold Title or position of thab person Describe ~he relationship betveen yourself (~hs applicant) and the ~own officer or employee. RiCher check appropria~e line A) ~hrough D) and/or describe in ~he space provided. The ~own offleer or employee or his or her spouse; sibling, parent, or child is (check all bhab apply)t __.A) the owner of grea~er ~han 5% og the shares o~ the corporate shock of the applic~nb (when the applicant is a corporabion)l __8) the legal or bbneficial owner cE any interest in a noncorporabe'en~iby (when the applicant is nob a corporabion); __C) an of~icet~ ditecbor~ pS~tner; or employee appllca,t~ or __D) ~he actual app~ican~. DESCRIPTION OP RELATIONSII~P : ~ submi~ed ~ Sighs tub's. 'Print uame SURVEY OF PROPERTY S£TUA TED A T MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-114-07-12.1 SCALE 1"=30' MAY 5, 1999 AREA = 73,958.83 sq. ff. ( TO TIE LINE ) 1.697 Z CERTIFIED TO. FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW GE CAPITAL MORTGAGE SERVICES, INCORPORATED RICHARD J. HART CATHERINE V. HART YORK / / / dosepli A. Ingegno Land Surveyor N,Y,S. Uc, No 49661] Fax (516)722-5093