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HomeMy WebLinkAboutTR-5436 °;st..��/ '� y"' �1.. Y.Y'r,f.-wN ��.h ta ',�,••i�y,^'�' .1 �"r ,,j`j� /+'. '�yi� �"f. A� �%'!`-r��.. ' .•�' _ � sem'•. .q'.- s . . �� 7Si 333 / s IN ,,•Y � — , lj r s s�,�, 1+\j y� � _ , Imo/ i � _`_7L•J ���J Vii/ TERMS and CONDITIONS VIC Permittee Eugene Bolter. residing u 510 Bayberry Road, Cutchogue N. Y as part of the consideration for Abe issuance of the Permit does undersand and prescribe to the fol- lowing: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or dainss for damages, of suis arising directly or indirectly as a result of any opet- adoa performed pursuant to this petmiy and the said Permittee will, at his or Ler own e:pcose, defend any siud all such salts'hstiated by third pacde; sad the said Permittee assets= fall liaHliy with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold 2. That this Permit is valid far a period of 24 mos. wbkh Is considered to be the estimated time'required to complete the wodc involved, but should circumstances warrant, request for an erxasion may be made to the Board at a later date. 3. Thu this Permit should be retained indefinitely, or as long as the said Permittee wishes to maimain the str utum or project involved, to provide evidence to anyone concerned that soth- orhation was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board at its agents, and non-compliance with.the provisions of the odgim8tmg application, may cause for revocation of this Permit by resolution of the said Board. 5. Thu there will be no unreasonable Interference with mvigadoa as a result of the wodc herda authorized. 6. Thu there shall be no interference with the right of the public to pass and repass along the beach between high and low water marcs. 7. That if fugue operations of the Town of Southold require the removal and/or Aerations in the location of the work herein authorised, or if* in the opinion of the Board of Tmtrees, the. work shall Huse unreasonable abstraction to free navigation, the said Pettdttee will be required, apo due notice, to remove or alter this work or project herein stated without expenses to the Town of Southold 8. That the said Board will be notified by the Permittee of the completion of the work an& ached. 9. That the Permittee will obtain all otbet permits and consents mho may be required sap. plemental to this permit which nay be subject to revoke apo failure to obtain some. 5ufPdk Canm ty Kacf9tt KT 29 y .. ..... ._I __.RLFPR �. RIN4TpN C" tiV a° � NASSAU WUNNEWETA POND ;'`= 1T " Ro= POINT (WIDTH > 125') ��vV Wunneweta 8" PILING (TYP.) and 6' X 16' FLOAT oma ^!` 1 • �Q�^P ^LeP as ar 5hE(ACaSS w. n ,rami 510-ECT PROMMY) ^ 30' `f aroma I ,.f I ,r wuw j I 3' X 12' RAMP © I • �" a' I • 4' X 6' PLATFORM O /r x/ Ronin 1 '' '.J• . EK. FRAME -- ' / ,r w © aero �, . \ Y wawom v ` ' Rims ,I ww cmnY t°M% Notez: � f I. Private boat dodage 2. Datura:AW 3, All turd�er to 6e CCA-treated " 4. Prowt laati : 510 Dakeml Koad, EX rause _ Cutaw,5C7MNo. 1000-III-14-36.1 &363 a' 5. Water depths recorded olrkq Im t de at 11:40AM, 13 Jule 2001 Q 6. Adja e it ovners: Kurt Panily Pa tre1psr�¢r mm a [],'- 2) i W Mc9w q eloor - SLATE mr EMM -- I % li f W slax6oe � �T� � I 1 10.16' EN-CONSULTANTS INC. 2• M705eP POCK FOR Elft PaTeR 1329 NORTH SEA RD. ON WLMMfA POND. CM WG1f SOUTHAMPTON, N.Y. 11968 631-283-6360 51FFOLK COW N, NEW YGRK 5HMf I OF 2 9112101 CANIIL, VM9 PLATFOU I-F- 6' --WI 3' mr --I 6' FLOAT [-a-- ft --ft HOUSE *W - 2' - 61' ft I CK &W - o' - oil 2'5,, 3'-yn ' t G M PU lfAn ( 2) 8" PU5 5�C110N life MOP05N2 POCK Srp PWP05W POCK FOR RUN� PaTM ON WUNNEMfA POND, CIKCHME 5LfFaK COUNTY, NSW YOI& EN-CONSULTANTS INC. 13"9 NORTH SEA RD. 9f�f 2 OF 2 9112101 SOJTWA TTON, N.Y. 11968 631-283-6360 w 0 Albert J. Krupski, President gOFFO(I- Town Hall James King,Vice-President 53095 C� 53095 Route 25 Henry Smith =� GGA P.O. Box 1179 Artie Foster y Southold,New York 11971-0959 Ken Poliwoda x Telephone(631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 26, 2001 Mr. Robert E. Herrmann En-Consultants, Inc. '— 1329 North Sea Rd. Southampton,NY 11968 RE: EUGENE BOLTER 510 Bayberry Rd., Cutchogue SCTM#111-14-36.1&36.3 Dear Mr. Herrmann: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, October 24, 2001 regarding the above matter: WHEREAS, En-Consultants, Inc. on behalf of EUGENE BOLTER applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated September 25, 2001, 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 24, 2001, 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, 2 NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of EUGENE BOLTER to construct a timber dock to extend off existing bulkhead, consisting of a 4'X 6' cantilevered platform; 3'X 12' hinged ramp; and 6'X 16' float to be secured by(2) 8" diameter pilings. 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 applicably, 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: $468.00 Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/lms DEC ACE Dept. of State Albert J.Krupsld,President ��$UFFO(� C Town Hall James King,Vice-President �O OG 53095 Mein Road y P.O.Boa I179 Henry Smith o= Southold,New York 11971 Artie Foster cc Z Ken Poliwoda $ Telephone(516) 765-1892 Fax(516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: C��pn� I�DLE�y Please be advised that your application, dated 91dz1 0/ has been reviewed by this Board, at the regular meeting of _lata�Jd and the following action was taken: ( 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 fallowing fee must be paid within 90 days or re-application zees will be necessarv. COMPUTATION OF PERMIT FEES: �aA Cir .3' It rQ _. m4 = 3b'x9 � =�' tC�.iq� TOTAL FEES DUE: $ SIGNED: ! _ ' 0 ' PRESIDENT, BOAgRD, OF TRUSTEES BY: 1,.*1.L7 Q h CLERK, BOARD OF TRUSTEES • �Oc�VFFOurz, • 0 Town Hall. 53095 blain Road ' + P.O. Boz 1179 Telephone O,y,~ �� Southold, New Yak 11971 (631) 765-1892 SOUTHOLD TOWN CONSERVATION ADVISORY COUNC1L At the meeting of the Southold Town Conservation Advisory Council held Monday, October 15, 2001, the following recommendation was made: Moved by Bill McDermott, seconded by Melvyn Morris, it was RESOLVED to recommend to the Southold Town Board of Trustees DISAPPROVAL of the Wetland Permit Application of EUGENE BOLTER to construct a timber dock to extend off existing bulkhead, consisting of a 4'X 6' cantilevered platform; TX 12' hinged ramp; and 6'X 16' float to be secured by (2) 8" diameter pilings. Located: 510 Bayberry Rd., Cutchogue. SCTM#111-14-36.1&36.3 The CAC recommends Disapproval of the application until the applicant repairs the bulkhead and installs a 10' non-turf buffer, the length of the property. Vote of Council: Ayes: All Motion Carried 0 0 EUGENE BOLTER WUNNEWETA POND.CUTCHOGUE r, j, Figure 1. Looking north at subject bulkhead;location of proposed dock;and adjacent docks to north. IL { Figure 1. Looking south at location ofproposed dock I` EUGENE BOLTER WUNNEWETA POND,CUTCHOGUE Figure 3. Looking northwestfrom upland over location ofproposed dock and Wunneweta Pond I gq s i i pE�vNw i r \y a /\� ,\ \ �.�"•\i�� �O\�/�Y \\p.�' 3 �i'� Cts A � �'$3 `� _ �� �x.� _�aL1 iy; �� " a xs .� S\ •� 4'� �11�C' t_.... ny�F� ^� ,a a� '? 14 M� q ��� � � 1 Kae 6F� iia � Mila d { �r�L A s a✓ a a z > �V A v a 2 i a ' . .T F t `a_ "' - / 8 � 35 [611 Ih A nn axr��oi 11 1e IS 1111 / m a 1 � 'il 'Milli!i__. 11 -_ I Albert J, Krupski, PresidentSVFFD(� Town Hall James King,Vice-President • O�0 C� 53095 Route 25 Henry Smith �� J� P.O. Box 1179 Artie Foster Southold,New York 11971-0959 Ken Poliwoda 0 � Telephone(631) 765-1892 Fex(631)765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application ,4Wetland Permit Application / Major _Minor _Waiver/Amendment/Changes ,Received Application: 12 474)1 /Keceived Fee:$ _ ,ftmpleted Application —Incomplete SEQRA Classification: Type I Type II Unlisted _Coordination:(date sent) 5LP 2 5 , .rCAC Referral Sent: 9' elS'Qf ate of Inspection: ZJW2&I_ _Receipt of CAC Report: _Lead Agency Determination: Technical Review: �ftblic Hearing Held: --Resolution: Name of ApplicantEUGENE BOLTER Address 90 FOURTH STREET,GARDEN CITY,NY LL530 Phone Number.1516 )746-3770 Suffolk County Tax Map Number: 1000 - 111-14-36.1 &36.3 Property Location:510 BAYBERRY ROAD,CUTCHOGUE (provide LILCO Pole#, distance to cross streets,and location) AGENT:EN-CONSULTANTS,INC. (If applicable) Address: 1329 NORTH SEA ROAD,SOUTHAMPTON,NY 11968 Phone:631-283-6360 46ard of Trustees Applicat-0 GENERAL DATA Land Area(in square feet): 104,794 Area Zoning: R-40 Previous use of property: RESIDENTIAL,ONE-FAMILY DWELLING Intended use of property:NO CHANGE Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description(use attachments if necessary): CONSTRUCT A TIMBER DOCK TO EXTEND OFF EXISTING BULKHEAD,CONSISTING OF A 4'X 6'CANTILEVERED PLATFORM;Y X 12'HINGED RAMP;AND 6 X 16'FLOAT TO BE SECURED BY(2)8"DIAMETER PILINGS. eard of Trustees Applicati• WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: TO PROVIDE PRIVATE BOAT DOCKAGE. Area of wetlands on lot: 0 square feet Percent coverage of lot: Closest distance between nearest existing structure and upland edge of wetlands: 58 feet Closest distance between nearest proposed structure and upland edge of wetlands: N/A feet Does the project involve excavation or filling? X No Yes If yes, how much material will be excavated? N/A cubic yards How much material will be filled? N/A cubic yards Depth of which material will be removed or deposited: N/A feet Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: N/A 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 OF MINIMAL SCOPE;CONSISTENT WITH THAT OF ADJACENT DOCKS;AND HAVE NO ADVERSE IMPACT ON ADJACENT WETLANDS OR TOWN WATERS. 14-18-4(2B7)—Texl12 . PROJECT I.D. NUMBER 617.21 SEQR 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:EUGENE BOLTER BY 2.PROJECT NAME N-CONSULTANTS, INC. 3 PROJECT LOCATION: Municipality CUTCHOGUE county SUFFOLK 4 PRECISE LOCATION(Street address and road intersections,prominent landmarks,etc,or provide map) 510 BAYBERRY ROAD,TOWN OF SOUTHOLD,SCTM#1000-111-14-36.1 &36.3,MAP PROVIDED 6.IS PROPOSED ACTION ® Nes' ❑ Expansion ❑ Modi6ca6oNakeration 6 DESCRIBE PROJECT BRIEFLY: CONSTRUCT A TIMBER DOCK TO EXTEND OFF EXISTING BULKHEAD,CONSISTING OF A 4'X 6'CANTILEVERED PLATFORM;Y X 12'HINGED RAMP;AND 6'X 16'FLOAT TO BE SECURED BY(2)8"DIAMETER PILINGS. 7. AMOUNT OF LAND AFFECTED Initially 2.4 Saes Ultimately 2.4 acres S. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ®Yea ❑No N No,describe briefly a.WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ®Residential ❑Industrial ❑Commercial ❑Agriculture ❑Park Forst/Open space ❑Other Describe: to. DOES ACTION INVOLVE PERMIT APPROVAL,OR FUNDING,NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATE OR LOCAL)? ®yes ❑No If yes.list agency(s)and permWapprovels DEC,COE,DOS 11. DOES ANY AS T OF THE ACTION V A CURRENTLYVALI PERMIT OR APPROVAL? ❑Yes ®No If yes, list agency name and permit/approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? Ely" NNO I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name ROBFW FQWRRMAM,COASTAL MANAGEMENT SPECIALIST DATE SEPTEMBER I8, 2001 Signature: If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant :EUGENE BOLTER SCTM#1000- 111-14-36.1 &36.3 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 TIMBER DOCK TO EXTEND OFF EXISTING BULKHEAD,CONSISTING OF A 4'X 6' CANTILEVERED PLATFORM;Y X 12'HINGED RAMP;AND 6'X 16'FLOAT TO BE SECURED BY(2) 8"DIAMETER PILINGS. 2 . That the property which is the subject of Environmental Review-is located adjacent to your property and is described as follows: 510 BAYBERRY ROAD,CUTCHOGUE 3. That the project which is subject to Environmental Review under Chapters 32, 37, or 97 of the Town Code is open to public comment on: OCTOBER24TR 2001 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: EUGENE BOLTER MAILING ADDRESS: 90 FOURTH STREET GARDEN CITY,NY 11530 PHONE # : 516-746-3770 Enc . : Copy of sketch or plan showing proposal for your convenience. s 5"fdk Carty Hae m Map 29 `5 — `_, °• s,/Vv (Uj ^P - /� � � � V CI.RG INGTQV �6PP NASSAU WUNNEWETA POND POINT (WIDTH > 125 ) I1/ Wunnewe{a A 8" PILING (TYP.) and 6' X 16' FLOAT a 51rE(PLCR`hVIA ff ,r MCI S E�Cr pKGGGEEk Y) o4, 1mmmm[::= sr" I ,.t I it gun. 3' X 12' RAMPlew I �°• 4' X 6' PLATFORM p I /YM Se, mr ave i '• '.• + Swo OAItAdE .a" a.. , Y cOYram S1FP5 / + ,pj n ar SLATE NlR NOF.E`: so I. RrNate 60A daka�e 2. Dadra:ALW 3, A t4r&ff to be CCA-treated sltra 4. Rrakect bcabm: 910 bayberry Rand, ■r oc.t s \' \y� Cutdugie,5CfM K6. 1000-111-14-36.1 8 363 9. Water depths recorded dawq Im tide at 11:40AM, 13.km 2001 \. Q 6, Adkami oNrr rs: 2) Rust FaMly Rat erste p sp° Wprr 's a Mc` d wr"' STOW w6w WALLS lax 1 MOM I , , w � SMOMM FMMI � r � �_ as I i 107.16' 1329 ROM SEA Pa t'RO'0W t70CK FOR RaW 6(71.Tttz sOUTHAMP7m px "no ON WLNNEWEtA POW. CUr i%X 631.283.E WCU COI.Wfl/, NSW YORK 51EEt I Or 2 9112101 CAN1UMP PLATFOW 3' pAMp --s-1 6' FLOAT I-*-- M NOUS MW - 7 - 611 M I CK &W - o' - o" 2'r-5F , %y 3,-g.. EX. Gm ft DULKNM PILI�5 SECTION THPu MOP05Q9POCK MOP05W POCK FOP �U2N� l301 V ON WUNNMfA PONR CUTCH06T EN-CONSULTANTS IC SUFFOLK COUNTY, NSW YOLK sa ,NI "I" SNFfT 2 OF 2 9112101 631-2834= � t a PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address : HELEN RUST FAMILY PARTNERSHIP C/O REGISTER&CO.PA. 2600 DOUGLAS ROAD,SUITE 604 CORAL GABLES,FL 33134 JoANNE McSHERRY POST OFFICE BOX 1300 CUTCHOGUE,NY 11935 STATE OF NEW YORK COUNTY OF SUFFOLK ROBERT E.HERRMANN doing business atEN-CONSULTANTS,INC. 1329 NORTH SEA ROAD SOUTHAMPTON,NY 11968 being duly sworn, deposes and says that on the 20TH day of SEPTEMBER 120 01 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at SOUTHAMPTON , that said Notices were mailed to each of said person by (certified) X ) mail. 20TH ROBER TMQMANN Sworn to before me this COASTAL MANAGEMENT SPECIALIST day o SEPTEMBER 2001 Notary Pub is 70 =18 - - - - - - - - - -- - 81on 00 H.STEPHEN3 Pub'i:State of is�•:``.'.rk rc7_ai:n No. 5os�e:I h- ^.'Vk CWffiOa OE Irea eta uat K' A CERTIFIED MAIL RECEIPT (Doinestic Mail . , Inswance Coverage Provided) r-q Article sent TO: .A O r9 .S _- Postage $ � tr) , amL-' Certified Fee �• ( � 0 as) y� Postmark rl Retum Receipt Fee O Here � tlo (Enrsemnt Requeiretl) _... 2a Y Q Restrictetl Delivery Fee d C3 (Entlorsement Requiretl) y Total Postage&Fees 111 l -�Cr` IUName P as Print Clearl y(To pleted by mailer M O --- �rn . ----- e--.----_ rm- ---- ------ ------ C t.No. O Box No. -_....-- tr --- - �a � /3 C3 6 ----------------------------- CERTIFIED MAIL RECEIPT (Don7estic Mail Only; No insurance Coverage Provided) 0 rq rq S Postage $ `9i ul Certifled Fee } O�a ' ` � l Lr) Postmark G Retum Receipt Fee Here r9 (Endorsement Required) 0 Restricted Delivery Fee •Itl'H 1„, C3 (Endorsement Required) _ O Total Postage&Fees $3, 2, G tU IL {y�ap..r�e(Please Prl; Clearly)(To a ompleted"tier) fn `-.'P Q. Street,Apt.No.;04PO Box NoC B' t` cii�spi.:nP e Albert J.Krupski,President ��gUFF01/r • Town Hall James King,Vice-Presidenth.Z.� am 53095 Route 25 Henry Smith o= P.O.Box 1179 Artie Foster y, Z Southold, New York 11971-0959 Ken Poliwoda 4 'F Telephone(631) 765-1892 y�ol �aO� 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) WV _ 2 LUPI AFFIDAVIT OF POSTING y I 1329 NORTH SEA RD. being duly sworq, depose and say: 80WHAMPTONAY 1103 1` 631-283-6360 That on the /7 day of ate, 2001, I perso a 1 posted the property known as S'io aet4' y-e,.-,,, L �Q L&-k by placing the Board of Tru tees 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 public h arin%,%Date of hearing noted thereon to be held t e tbx44,.-W Dated: (u (sign Sworn to bef�an m,�e'�,this g`I�` day of lS/(�"' ` 200 ) No Public - - --- - - - --- - t.C'.I H.tt MEN3 .f:.-Rate of 1!Zv ynk, .:n ta. 597T_:I i-1 vVV'I\ S•" Boa*of Trustees Application • County of Suffolk State of New York BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/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 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 AGENTS) OR REPRESENTATIVES(S) , TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS S� DAY OF 1 } otary P lic =1i' EP ENSaM of Nam YorkNo.60159,Suffolk.Oes p,res Au ust OL z Boarof Trustees Application . AUTHORIZATION " I , y �"'�e�2 Sv`� 1 residing at ( print owner of property) (mailing address)- do hereby authorize (Agent) to apply for permit( s ) from the southold Board of Town Trustees on my behalf . i ( Owner ' s signature) CIO 1329 North Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 EN-CONSULTANTS, INC. E- ail: encon@peconic.net m M www.encconssutanntscom ENVIRONMENTAL SERVICES September 18, 2001 Town of Southold r Board of Trustees Post Office Box 1179 SEP 2 5 Southold, New York 11971 Attn.: Lauren Standish L` Re: Eugene Bolter 510 Bayberry Road, Cutchogue SCTM#1000-111-14-36.1 & 36.3 Dear Ms. Standish: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: 1. Three(3)Wetland Permit Applications, ( including Notice and Proof of Mailing to adjacent owners). 2. Three(3) Short Environmental Assessment Forms. 3. Three(3)copies of authorization& disclosure forms. 4. Three(3)work plans. 5. Three(3)copies of survey. 6. One(1) set of site photographs. 7. Application fee of$200.00 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. 1 sinceyply, Robert arm Coastal Management Specialist /khs Enc. 0 APPLICANT TRANSACTIONAL DISCLOSURE PORN The Town of Southold ' s Code of Ethics prohibits conflicts of interest on the parL of town officers and employees . The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME s ( Last name , f ret name , middle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person ' s or company ' s name. ) NATURE OF APPLICATION: (check all that apply . ) Tax grievance variance Change of zone App ,oval of plat Exe ption from 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, marriage, or business interest. "business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO� 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 ) 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 noncorporate entity (when the applicant is not a corporation ) ; 0 an offinpr: d1ronFn_r . partnnr, or cmployea of "ha applicant ] or D) the actual applicant . DESCRIPTION OF RELATIONSHIP Submitted tril l day oe 1 i Signature Print name TOPOGRAPHICAL SURVEY OF PROPERTY SITUATED AT NASSAU POINT TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000- 111 - 14-36. 1 1000- 111 - 14-36.3 SCALE 1 "=30' OCT. 8, 1991 FEB. 12, 1992 (ADDED PROPOSED DECK & POOL) JUNE 19, 2001 UPDATE SURVEY AREA = 104,794.34 sq. ft. C I- tN WOAD po nE uxes) 2.4058 acres WGNNfN j0 yq5 z S 63'34'10" E 30.44' E 80.76 / S 89'38'20" E N 78.21'20 60.00' WUNNEWETA PONDh" � WUNNEWETA POND i . S 22.02'21" W N 30'09'17" W ''"'°' 61 .08' 13.69' 3� m.� © j d . .• i . r S X3.33,06 , F .' I N 30'19'26" E 0 a L§ 5.43' i / mxr- / N 56'27'17" W % prrO / . II 3.53' 1 ohm •` ' I y� i''// 1 �$' FRAM / a GAR1GE 84 a L n ED �4� S 43'34'06" E m 31.50' I p� / ` UONO 51Ers t I F `GAJ ns wMx 01 � I YI 5 `�Q, <v r \ ` 7 g•43'0 „ E 63. 8 c� ,lb � — ar vx sulE�� `Jb ��. sr sirs qxa © n,v oW © 1 s*DRv FRAME HOUSE ez-Ka iw K r/ WAIEH MIRk _ — p / HIGH .,1 4339 , NS\\\\ � " fuix,UORNURxw -_ _ - 15YJ 3• sATY w.w.s suit MHOnx SB.e'm rc"e, I� „ E. � S 77.53 I ._ ✓� 5 ' 72296. VAS soo 'ENE �,'n I I� M• N. rl, •'� r' a'�ya�^ �,. wa, i 1 5 4-P aa.e0' I 0. 0 0 I�y ✓�' \ n N 86'29'44" W NO 52' N N 86'56'10'• W a (As Prn oEFO uem ecu PIaE 2se) I M y f- PER DEED HOUR 102.1 PAGE x,0 o, 301.92' ACTUAL al ' I-•�I \ o\\ -ON wAllrnwm�*emb b° 308.00' DEED m d\\ -� 1p9 p5 I 01%\ ,, WUNNEWETA POND N/O/F McSHERRY UN GRIM ALTEMTON OR AOOMON TO THIS SURxLY IS A MOUTON OF SECTION 7209 OF THE NEW YORK STALE EDUCATON UW. COPIES OF THIS SURVEY IUP NOT BEARING THE NANO SURVEYOR'S INKED SEAL OR NOTES: EMBOSSED SELL SHALL NOT BE CONSIDERED 1. ADDITIONAL WETLANDS, IF ANY, ARE NOT SHOWN. TO BE A vw0 TRUE tour 2. ADDITIONAL UNDERGROUND STRUCTURES, IF ANY, ARE NOT SHOWN. CERRE1CATaNS INDICATED HEREON SHALL RUN 3. WETLANDS LINE INSPECTED BY SOUTHOLD TOWN TRUSTEES SEPT. 26, 1991. ONLY TO THE PERSON FOR WHOM THE SIJF Y IS PREPARED. AND ON HE BEHALF TO THE TIRE COMPANY, 00'JERNMQRAL AGENCY AND -ENDING INSHIUNON USDD HEREON. AND TO THE ASSIGNEES OF THE (ENDING INSO- TTION. CERTIFlGTtONS ME NOT 1MNSFEIUBIE THE EXISTENCE OF RIGHT OF WAYS ANO/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. PREPARED IN ACCORDANCE WITH THE MINIMUM STMDARDS FOR 9HR.Evs ,S E�TARHBHED Joseph A. Ingegno RV THE "A L, O MPRGV- MD ADOPTED FOR SUCH USE 1HE NEW YORK STATE -ANO Land Surveyor \,\a, 4 Stle Surveys — Subdivisions — Site Plans — Constmction Layout Ix a ^` PHONE (631)727-2090 Fax (631)727-1727 \ter j OFFICES LOCATED AT MAILING ADDRESS N Y S U.. No 49668 1380 ROANOKE AVENUE P.O. Box 1931 RIVERHEAD, New York 11901 Riverhead, New York 11901-0965 91 -151D