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HomeMy WebLinkAboutTR-5493John M. Bredemeyer III, President *pF SO�p�® Michael J. Domino, Vice -President James F. King, Trustee CA Dave Bergen, Trustee Charles J. Sanders, Trustee BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 CERTIFICATE OF COMPLIANCE Telephone (631) 765-1892 Fax (631) 765-6641 # 1098C' Date: March 13, 2015 THIS CERTIFIES that the construction of a 4'x12' fixed dock and 6'x8' fixed dock in a "T" confiuration At 130 Willis Creek Drive, Mattituck, New York Suffolk County Tax Map # 115-17-17.8 Conforms to the application for a Trustees Permit heretofore filed in this office Dated January 15, 2002 pursuant to which Trustees Wetland Permit #5493 Dated February 21, 2002, was issued and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the construction of a 4'x12' fixed dock and 6'x8' fixed dock in a "T" configuration. ation. The certificate is issued to ROGER K. SIEJKA owner of the aforesaid property. Authorized Signature John M. Bredemeyer 111, President gUFFD(4-c Town Hall, 53095 Main Rd- Michael dMichael J. Domino, Vice -President ��� �Gy P.O. Box 1179 C James F. King �C:)„ Southold, NY 11971 Dave Bergen Telephone (63 1) 765-1892 Charles J. Sanders l �Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: 'WrZ /,3 / 9 Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre -construction, hay bale linelsilt boom/silt curtain 1 st day of construction / %2 constructed V/ Project complete, compliance inspection. INSPECTED BY: COMMENTS: Go er-o e- Prix CERTIFICATE OF COMPLIANCE: r �• �_'.: R i ' �J 1�/ ;� TERMS and CONDITIONS mm pertnieft ROGER K. SIEJKA r'esidin8at 130 Willis Creek Dr., Mattituck N. Y, as part of the consideration for the issuance of the Permit does understand and prescribe to the fd- lavingc 1. That the said Board of Trustees and the Town of Southold are retried from any and all damages, at claims for damages, of oaks arising ditty* at hadlemody as a remk of say oper- ation pedomued pdrwunt to this permit, and the said Ae®itfs will, at his at Ler own expense, Mend any and all such suitriobiaoed by aided paries, and the sold Pp, miea, assumes fail NOW with respect thereto, to due oompiese mdualon of she Based of Trofes of the Tows of Souaitoid 2. TIM dais Permit M Valid for a period of 24 mos. which is aomideted to be the estimated than -required to conk the weds involved, bat'"M dromssnoces watrsat, request for as extension may be made to the Board at a later daft 3. That this Penmit should be retained indefinitely, or as long as the aid Penmktee wi" to maintain the strnaure or project involved, to provide evidence to anyone concerned that aath- mmdou was originally obtained 4. That the work involved will be subject to the iotpecdon end approvd of the Board at Its agents, and non -o mplience with. the provisions of the originating app8ndo% may be cm" fa revocation of this Permit by resolution of the said Board. 5. That there will be no uarasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the pW& to pan ad repass along the beach between NO ad low water -dm 7. That if future %madom of the Town of Southold require the, removd and/or adseradoas in the location of the work herein andbodted, or if# in rhe opinion of the Board of Trustees, the. work shall case unreasonable obstruction to free navigation, the sold Permitsee will be regwired, upon doe notice, to remove or alter this work or project herein stated widuour espemes to the Town Of Southold . S. That the aid Board will be notified by the Petmkfe of the awfledon of the week aoth- oti ed. 9. That the Pecmkoee will obtain all other penin ad consents tbu may be required sup• plemeatal no this permit which my be subject to revoke tgwn falime to obtain ante i1 9 £685►'ON 35N3011'SA'N VOA3AMns ONVI 'sNnOA'M OMVAIOH 9►921'ON 3SN301I'S-A 'N MOA3AMn5 ONVI ONV M33N19N3 IVNOISS3dOMd'9NnoA M N301V HMOA A13N 3nN3Av !!39 31111 ONV9-14* '73 M NOW W00 NNV9 IVNOIIVN AINnOO Nl0ldnS 3Hi VHf 31S''A MR06 noA ,e JNnoA !a> TF -V-� 01 031AUU30 IL cre#,q� • Q'� -�-' , a _�jp�7 �t•�1�- - �aSC�cgcLt� E 1 931 'Oki SNOS 1 S10NYNS SYIN10110Mi 07MII1oo vivo mo OM SNOI1MWim (1311 NOW 3W MO7gN NIIONS (13)f10OdU33 VUS)MMVl 31"n'(11)IMA A NOUVOOI 3N1 M 'LL£8'ON 3114 SV i861'12'env NO A1Nn00 H10ddns d0 HM31O 31-11 d0 30Idd0 3Hl NI 0311d dVYI NOISIAIOBnS ONnOd 3HV1S=♦ m310N ,u K 3MOOr ,1NI31,ldn S731AM7f M11t7N 10 1N3M1MV13G A1MN03 )110iMf 31011 10 SOWOMVIS 3N1 Ol SIN01M03111Ik 33N3010111 SIMI vu N71SAS lIS0A10 BOVM31 OMI A,NMS V31TO 3X1 M 'NOUIN M^ON$ 3SON1 NVNl 111214110 A1117d OY/ SS11 10 1731 001 MIN11N 30111111111114 ON 3111V 3M7N1N -j'f`101 Z)- M301S -' ' N011*Is 'O67 Asm itN Xyl '03 1/M k 311Md 31MIIM1 -Ni1M 10 33Yf,OSN a IM NMP gAIA 1S7Y13141 M l Onsisw:) of IWAOMddV MOA VIVO- 1N3wtard30 H1IV3H 13S HIVI 03838WnN * Q(ZIM)-b 3SnOH d0 NOIIVD.OI 0390dOMd MOB AS HlVI 03838WnN : O (1) '6 £661'91 'Onv 031VO 1SVl 09110 £1809£ daevm -13NVd dVW 31V8 3oNVMnSNI 0001A N0.031VOIONI SV 0'8 NOUVA313 3SV8 ►V 3NOZ Wind NI 031VOOl SI l3OMVd SIHl'Z (6Z611'STO'O'A''J'N Ol 03ON3d3N 3MV ONV A3AMnS IVnlOV N08d 38V NO3M3H NMOHS SNOIIVA3I3 '1 S310N 341M Li 9)8 ONOI 13 9=)100(1 a3Xld 43SOdMid 13 Z6=)ITdM IVO 03SOdONd ZOOZ le6 Ajenjga:i m0Oa 2138WI1 VOO a3SOdO21d HOA ONrmvua a3aN3WWV mOf1mum m33210 310H d33a 3AR1a m33210 snim 086 vm 31S T Q jDv 70 01 N , j0 Xd0A A13N 3nN3Ad U39 M £68S►'ON 3SN3011'SA'N VOA3Avns ONVI'9Nn0A'M OMVMOH SIBZI'ON 3SN33n,s A'N MOA3AMns 0NV1 ONV N33NION3 1VN01SS3AOMd'9NnOA'M N301Y 31111 ONV9-W4 enMNOWW00 NNYB 1VNOI1VN kiNn00 N10AAnS 31-11 VNr31S'X 83508 nwe JNnoA f33M3W ID NOIA3393 3141 MOW NO f3N11 A1N310Nd IISII2V1S3 01 036n 32 01 ION 3NY OMV 3fOdYnd DWI3319 V MOd 3MV 03Mn13nNlf 9M11SIX301 Mon A1N310M1 NOVA "0311314 NMOIIS $33A1V1f10N f N3"A0 1M3n03fenS MO SNOI1n111fM1 1VMOIIMM Ol 312VN3iSIN11I ION 7YV S331MVNVn9 '11011n111f141 9NIGH31 3141 i0 933091%sv 3141 01 ONY'"03N3N 031411 MOIlnlll$MI 9"IOM31 ONV A3M3DV IVAN300 -NMiAOS'ANY1NO3 31JU 3141 Ol WlVH30 $IN NO OMV 03MV43N1 SI A3AMnf 3141 MON" MOW "O5N3d 3141 Ol AIND NnN "VMS NO3M7N 031r•310M1 8331NVNVII9N Ad03 3nN1 a11VA V 32 Ol 0311701SM03 30 IOM 1111`146 1V35 03Sf02f13 NO IV35 0SAMI f,M0A3AMn5 ONVI 7141 DMNV72 ION A3AWS $IIIA AD S31d03" NMI MOIIVN103 21VIS 111401 M3N Ol 031-1I1M303NI d0 GOU "011335 d0 MOUVlA V SI AIANnf f INI 01Ol NOI1100V NO NOIIVM711V 0331NON1nwon N £111 - 96 ON )MOA 1A3N `A.LNnOJ )no.idns ps =111 31VOS 0l0H1n0S d0 NMnL L661'9'NVr 31VO Non1111VW 1V L661 'z 100 „NOn1111VW 1V M31A 808HVH„'8'0N 10-1 vmr31S N 83908 m0ai amns .'I - H3\YM C u-311 CIL CCI I'C1 I C, s09L-l1 30YtO 03.61Ni1 35nOM5'1'N 1004 Z - w315AS IYSOdS10 30YM35 11V130 AaV11NVS 1N3Ay3Sb3 39bN1 y�.Z1 ;r B B/. /3 .091 ONYS NI N31YM Y1-13 ,I'll N33YM DWOOD ows "YOl ONY 1IDSd01 .0 SL1.13 dVw 0311-1 NOW 310H 1S31 'ONI SNOB r SIONYNB iMIN10 01OYI07MIY120 fireAIOOM SMO11MW3220 0131. 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MON O / 33NIB '1�1"1L Alia tiv t lN110 ). It a3N1 Qt9MONv l .0 tMOal hall /0 11111'1 91 / _ : / til �Ntl'113M i J .. Q/ 01�M) I s! C44o 4$ Q, LAD 17 Oy .lA •O -- O lm 04 m = : E� I O 0 r v o y t+9 N 2 Ul D m n `</S� ,o D r= /7 i a �l ?I a t � Oe \ ,A c o9 95 *t1�+sa p *i606 0d ,off 9 .], t �' a o m .'F• i Cv 0 A1 i co ' i Ay � • O J I 1 F' 3�yd31 / • I1- NItlnO 3%Nff ^ 3�ad � �.` �\_ MOLL l,ds E�053��1.N u �l ?I a t � Oe \ ,A c o9 95 *t1�+sa p *i606 0d ,off 9 .], t �' a o m .'F• i Cv 0 A1 i co ' i Ay � • O J I 1 I Ci jAN J suFFolxcouNrvHAos ROAI MAPt25scalF 3OOD+F 71FST f Z; JKA I(ik Ni4loo0 -Ilf LOT NaS,•'HARBOR VIEW AT MATTITUCK"�- AT MATTITUCK DATE JAN. 6, 1997 oI C e TOWN OF SOUTHOLD SCALE I"A 5d SUFFOLK COUNTY, NEW YORK NO. 96 - 1113 ALTERATION ON ADDITION TO THIS CERTIFIED TO: no" of SECTION 720E of THE )UCATIOM LAW NOT KARMS THE LAND ROGER K. SIEJKA SEAL OR EMBOSSED SIAL SMALL :D TO EEA VALID TRUE COPY THE SUFFOLK COUNTY NATIONAL BANK AllfAVEY GATED NEIIEOM SHALL RUN ONLY 70 COMMONWEALTH LAND TITLE ROM THE SUIMY IS PREPARED INSURANCE COMPANY r m w n'. • r. . .�AAr_ TRAMIN 'is MES O* NOT PWOPt TY LI E, TITUTIOMS ON SUBSEQUENT c mas A FROM A SPECIFIC P CIFI UMES C TUN[! M[ FOM A !P MOT TO R USED TO ESTABLISH iA1l1lM IN FOR THE ERECTION OF FENCE! YOUNG & YOUNG ALDEN W.YOUNG,PROFESSIONAL ENGINEER AND LAND SURVEYOR N.MUCENSE 140.12045 HOWARD W. YOUNG, LAND SURVEYOR N.Y.S. LICENSE 140.45093 400 OSTRANDER AVENUE RIVERHEAD, NEW YORK DEPARTMENT OF THE ARMY NEW YORK DISTRICT, CORPS OF ENGINEERS JACOB K. JAVITS FEDERAL BUILDING NEW YORK, N.Y. 10278-0090 REPLY TO ATTENTION OF Eastern Permits Section April 3, 2002 APR 4 ' r^ SUBJECT: Application No. 2002-00262-L2 by Roger Siejka The New York District, U.S. Army Corps of Engineers, has received a request for Department of the Army authorization for the following activity: APPLICANT: Roger Siejka P.O. Box 23 Mattituck, NY 11952-0023 ACTIVITY: Construct a 4' by 12' pier, a 2' by 4' step, and a 6' by 15' fixed pier in a "T" configuration supported by eight (8) 4" diameter timber piles. The purpose of this project is to provide recreational access to the adjacent waterway. WATERWAY: Deep Hole Creek, Great Peconic Bay LOCATION: Mattituck, Town of Southold, Suffolk County, NY As this is minor in nature, authorization may be by Letter of Permission. This is in accordance with current Federal Regulations governing work in navigable waters of the United States. To accomplish the coordination required, prior to the issuance of a Letter of Permission, your review of the enclosed drawings is requested. Pursuant to Section 307 (c) of the Coastal Zone Management Act of 1972 as amended (16 U.S.C. 1465 (c)(3)(A)), the applicant has certified that the activity complies with and will be conducted in a manner that is consistent with the approved state coastal zone management program. To allow for the timely processing of the subject application, your comments are requested within 15 days of the date of this letter. Sincerely, Marc Helman Acting Chief Eastern Permits Section Enclosures 6E� Ir.% 5, 2cnZ — -2-O r I i Lot 5 (DWELLING ) With Pveua. Water / R A �\ t ggh � I tNN 2 IJ =t �71 4reO / 1 13a (,JI((iS G('eCLOl kca+�cl- / 04l 115 c SpE' 97i "I. GO % /i4C4•y T/ J O �^�\ R414'4eE J '9T 9 p f aa• °J -Fo � �0� 2 J sfJYfa 3jq1 p, y rya,L¢/,4�pJ 41. e0 44f 8 \ a's fE\ S.f EL•�T.e• \\•r•N�s o /J.f a��Yf TEST HOLE FROM FILED MAP EL -12.5 D' TCPSpL ua lD.u, Sa' SMD MOUND RerM u.r EL. iA IrAXR IN S/NO •,^ /ppp S.88"\\I5�IO�YA� / EL•re.l I 12.°R4w4GE I EASEMENT W + I ti = is \ Lot F rr •e'ze I Y I VACANT) V' y'• v r N C K n J r im 8" TEST HOLE FROM FILED MAP EL -12.5 D' TCPSpL ua lD.u, Sa' SMD MOUND RerM u.r EL. iA IrAXR IN S/NO •,^ SANITARY DETAIL SEWAGE DISPOSALSYSTEM - 2 POOL N.T.S. MGUSE rmiMED LINK EnE.OS /ppp a / EL•re.l 12.°R4w4GE I EASEMENT SANITARY DETAIL SEWAGE DISPOSALSYSTEM - 2 POOL N.T.S. MGUSE rmiMED LINK EnE.OS CROSS SECTION 5('ale: 1"= 10' W. d Mn. Roper Si#A Post 0Mw Bac 23 MditK c, NY 11962 I ^PPId � PS Sr , M� Toren: of 50 Suffolk I RHvote M �MDOW": ion Tide flariye: (: 20 ' 40 60 60 u i An derhorWocnl kwbw. Proposed Fixed tkow a:e PH" are Dock (v X 15l r i An hcrdwo gotwMed Q u: --------ywY.l?i-, KAN(iF ou wM �I �'iJTi✓.G 96771.11 48 Albert J. Krupski, President James King, Vice -President Henry Smith Artie Foster Ken PoliwGda C� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application _Wetland Permit Application / Major Waiver/Amendment/Changes /Received Application: IPSIAV deceived Fee:$ _,completed Application _Incomplete _SEQRA Classification: Type I_Type II Unlisted —Coordination: (date sent) /CAC Referral Sent: Dy /Date of Inspection: Jvww _Receipt of CAC Report: _Lead Agency Determination: Technical Review: /Public Hearing Held:.? .�� Name of Applicant. 1� Sie�'k.4 Minor • Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax(631)766-1366 JAN 115 �1i31� �QkokT"* 6�W 600-'1'' Address uJ, I.LiS Ci • • Board of Trustees Application GENERAL DATA Land Area (in square feet): T<D�09 SCaV/« Area Zoning: Previous use of property:_ k4czl1 Intended use of property: CuV\ StYCTI 0 V\ n V i1✓tom y— Prior permits/approvals for site improvements: Agency , nJ /�►d- Date JAN 1 5 .. , prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspend'9d by a governmental agency? No Yes If yes, provide explanation: Project Description (use attachments if necessary): C1ff-6"+tA-- %J-7WE '0O'c� Board of Trustees Application• WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: 0 SmOI.( l b@ &-t Area of wetlands on lot: /../07ve square feet Percent coverage of lot: D % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? No Yes 0 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: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: 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): Board of Trustees Application• COASTAL EROSION APPLICATION DATA Purposes of proposed activity:—���iL`"�lG/ 6p-7 r Are wetlands present within No / Yes 100 feet of the proposed activity? Doe7No ject involve excavation or filling? Yes If Yes, how much material will be excavated? (cubic yards) How much material will be filled? (cubic yards) Manner in which material will be removed or deposited: Nkn e - Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) Albert J. Krupski, President • O- ptiUFFDI/( • James King, Vice -President .t. Henry Smith o Artie Foster o Ken Poliwoda ey01 # dao BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD ----------------------------------- In the Matter of the Application of COU. OU OF SUFF LK) STATE OF NEW YORK) AFFIDAVIT OF POSTING Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone(631)765-1892 Fax(631)765-1366 130 (_J ilk s, G.tel �ikQ' That on the 5 =` day of R_6r r,'Z 20 property known as 13� i A �1 �_ by placing the Board of Trustees easily be seen, and that I have has remained in place for eight nul,*c hoarirng;Daatte ,perhearing Dated: Sw�gF'n to before me this �Ihda of CJn 2002 Notar ublic N r'OFMER NOTARY PUBLIC, STATE OF NEW YORK OUALIPED IN SUFFOLK COUNTY NO. 01 -NO4872994 COMMISSION EXPIRES OCTOBER 6, a1 I personally posted the official poster where it can checked to be sure the poster days prior to the date of the noted thereon to be held b, X j @0ati �z (si na e) NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: T-06 4-T4-4404 t30 W I LLrf C2 OQs✓-e SCTN#1000- I tS- Il -I-7•8 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: c��ati ; dJ` O F CC 4 2. That the property which is the subject of Environmental Review -,is located adjacent to your property and is described as follows: /3o wtL4S C/L��V4✓-2 " i .petwy Q AWA%< (/Sew ^,� % 7 vc� 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: 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. M showing proposal for your 0.14 U 2.10 y` 1.5 J4N Pos�adt \_ r� 1 r0? JAN 15 C 0" Se_nfJo ri M s tiles L�rfs�Ff Vc�v v�+E ........................................... ... ...................................... rAPL N. orPOBox No,.t� \l Lam% / t � 6< ate! or PC 0 O Clty, State, ZIP. 4 A 'A Jr / J S L` (rNi ATTITUM A 11952 [�- Postage $ [M1 Certified Fee iUReturn Receipt Fee Requlred) O (Endorsement - p Restricted Cehvery Fee [ C3 (Endorsement Required) r G Total Poetage 8 Fees 1--31 showing proposal for your 0.14 U 2.10 y` 1.5 J4N Pos�adt \_ r� 1 r0? JAN 15 C 0" Se_nfJo ri M s tiles L�rfs�Ff Vc�v v�+E ........................................... ... ...................................... rAPL N. orPOBox No,.t� \l Lam% / t � 6< ate! or PC 0 O Clty, State, ZIP. 4 A 'A Jr / J S L` `14-16.4 12/871—Text 12 • PROJECT LD. NUMBER 617.21 SEG Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART [—PROJECT INFORMATION (To be completed by ADPlicant or Project sponsor) 1. AP ANT (SPONSOR 2. PROJECT NAME ik � r� J.PRO�ECT LOCATION: s--+ J Municipality County a. PRECISE LOCATION (Street address and road intersections, prominent IandmarKS. etc., or provme mapl 3c� Wr LC,ts-� 5. IS PRO ED ACTION: N. ❑ Expansion ❑ ModificatioNalteratlon 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: � Initially acres Ultimately acres a. Wit L . OPOSED ACTION COMPLY 'WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ....,, Yes ❑ No If No, describe briefly 9. WHAT PRESENT LAND USE IN VICINITY OF PROJECT? Res,denllal ❑•!noustrial rCommercial ❑AgnWrture UPark/ForesdDoen space L_ Other Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL STATE OR LOCAL)? / ❑ Yes No If yes. list agency(s) and permit/approvals 'i 11. DOES ANY ASPF,(:T OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes' No If yes, list agency name and permwaporoval ' 12. AS A RESULT OF P POSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE .MODIFICATION? ❑ Yes No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLED NIV J Applicant/socnsor name: '� Date: Signature: Rni�� If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this as;essment OVER 1 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: S ICrisIiV1 �,,,,� X30 (�Illk-CrffL DIC Yl4 IIgSZ P7i � 1 a- Ltd. JL�Vdv�cL STATE OF NEW YORK COUNTY OF SUFFOLK 169c) nwolb aenck Une W-�jNC� nj 1195 residing at (yj w[is CyeeK- Dei 1'VcLuly C 1 , being duly sworn, deposes and says thato the �— day of ,16 , deponent mailed a true copy of the Notice se forth in the Board of Trustees Application, directed to ea h 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 Notice were mailed at the United States Post Office at that said Notices were mailed to each of said persons by (certified) (registered) mail. day • f �.1 �..t 1 ► ..1�. 'I�111 ''►111_. KAREN r'OVFMBER NOTARY PURL It. STATE OF NEWYORK QUALJF EO SUFFOLK COUNTY PlO.Ot-N04872834 COMMISSION EXPIRES OCTOBER B, ,�060- County of Suffolk State of New York A r Board of Trustees Application S lel l Q BEING DULY SWORN DEPOSES AND AFF"S 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 AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS__J� _DAY OF KAREN ''OVFMBER NCFn_RY Pj;^I iC, STATE OF NEW YORK ; F -C LK COUNTY COMPAIS6iQF! EXPIRES OCTOBER 6; 4^ E 0 tl0 - dox d,3 — 1 � NAAJA ( AP Of? f ? 631- zc� &-- (&?vim Albert J. Krupski, President James King, Vice -President Henry Smith Artie Foster Ken Poliwoda TO: Woor 21 BOARD OF TOWN TRUSTEES TOWN OF SOUPHOLD i Town Hall 63096 Main Road P.O. Box 1179 Southold, New York 11971 Telephone(516)765-1892 Fax(516)765-1823 Please be advised that your application, dated IIID k a, ' has been reviewed by this Board, at the regular meeting of _4af)jb2> and the following action was taken: ( ✓ Application Approved (sce below) ( ) Application Denied (see below) ( ) Application. Tabled (see below) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in the instruction sheet. The following fee must be paid within 90 days or re-application fees will be nee':essary. COMPUTATION OF PERMIT FEES: i v S z - 14' L TOTAL FEES DUE: $ _ A;(.ob SIGNED: 9- Aow_ea' l`, PRESIDENT, BOARD OF TRUSTEES BY:�_U_11211 WQr7 CLERK, BOARD OF TRUSTEES 4/98 Albert J. Krupski, President • James King, Vice -President Artie Foster Ken Poliwoda Peggy A. Dickerson February 21, 2002 Mr. Roger K. Siejka 130 Willis Creek Drive Mattituck, NY 11952 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD RE: 130 Willis Creek Dr., Mattituck SCTM#115-17-17.8 Dear Mr. Siejka: • Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax(631)765-1366 The Board of Town Trustees took the following action during its regular meeting held on Wednesday, February 20, 2002 regarding the above matter: WHEREAS, ROGER SIEJKA applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated January 15, 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 February 20, 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, r • NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of ROGER K SIEJKA to construct a 4'X 12' fixed dock and 6'X 8' fixed dock in a "T" configuration. 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: $288.00 Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/lms DEC Telephone (631) 765-1892 1111/11I/INI�//_I'I 1 I ,1r 1 _ i 1 0 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL Town Hall. 5=5 Main Road P.O. Box 1179 Southold. New York 11971 At the meeting of the Southold Town Conservation Advisory Council held Tuesday, February 12, 2002, the following recommendation was made: Moved by Melvyn Morris, seconded by Bill McDermott, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Wetland Permit Application of ROGER SIEJKA to construct a 4'X 12' fixed dock with stairs leading to a 6'X 15' fixed dock. Located: 130 Willis Creek Dr., Mattituck. SCTM#115-17-17.8 Vote of Council: Ayes: All Motion Carried • �l _ 11 Lo 19 a�a b'�'�k' „mss' xells "[REEK �yu�e , e + + e 3 ••� `� if • N\ • f e a T. e d a R - h g� \� , Y: a Pp i iaJel( rli 9� � /! •fy�4✓ Sv-y0 a e j 1 e� Ip d �� � �•' .' ZA9 Z e� I��� ' a1 k Q a egg p + IFS1F nit 9 • � \ N pV a n 91 c. j JwUwZ• ae=,o ,R 1T 1I1ITI1TfTiTIIIIII�IID 1=1 T[m 1