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Home My WebLink AboutTR-5506Board Of $outhold Town Trustees ISSUED TO JAMES E~ & KAREN A HOEG ......... Pursuant to the provisions of Chapter 61!i of the I~ws of the State of New York, 1893; and Chapter ~ of the L~ws of the State of New York 19!~2; and the Southold 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 the Resolution of The Board adopted at a meeting held on -2002--.., and in consideration of the sum of $ _..2.00...00 ..... paid by' - Same$ -F,-,--.. &...-Ka~en--A.. 'Hoeg ............................................. : ................. ...... ~e,Y. and subject to the of ....... M~.t~.~cA .................... t reverse slde hereof, Terms and Conditions lided on of Soufhold Town Trustees authorizes and permits the following: Wetland Permit to construct a 4 foot x 74 foot catwalk supported by 4inch x 4 inch dimensional lumber straight off ~rade with ~'~neh dia~meter~l~iling ~ p~r ~menaed ~n. all in accordance with the detailed speclfication~ as presented in · the originating application. IN WITNESS WHEREOF, The said Board of Trustees J~ere- by causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority or__the said Board as of this date. TER~S and CoNDmoNs te~li~t 350 W~111,~ ~,~1~ rl,-.~o ~A++a+--~. N.Y., as the comide~tioa for d~e is~mance o! ~he P"~ doe~ eade~tand and pteacttbe to the fxd- l. Tht the ~kl Bo~I e~ Tn~ee~ ami the Towa ~ 8outbold ate ~iem~l hem my ma ~. That this Permit should be ~ indefinitely, or as long as the said p,M-miff~e ~ to -,*~.~- the stmcnu~ o~ project involved, to provide evidence to anyone ~ that ot~d~ w~ otlgimHy 4. That Rte wo~ .involved will be subject to the inspec~on and approval o~ the Boad or its ~ents, and nofx-e0mp!a~,~e with. the provisiom d the originating appflcation, may be _--.,-- tot zevoc~do~l Of chis pormlt by resolution of the said Bo~u'd. 5. That d~re will be no unreasonable interference with mv/gadoa as a t~alt of the week he~e~n a~tborlzed. 6. That there shaH be no intedeteace wit~ the ri&bt e~ the [mblic to p~m and te~m alee& the beach between M~ and low water msd~ york shall ca~e unreasonable eb~uucuoa to free navipdon, the said Pmnlttee ~11 be ~equl~k upon due aodee, to remove or alter d~ v~ ot project he,'da stated without expenses to the Town 8. Thfz the stld Board wUl be notified by the PeflnLff~__ or ~he ~. ~ dae w~d~ arab. orbed. 9. That the Permittee will (d2taln aH other peflnits and comefffs 4hat nay be required plemental to this permit which may be subject to revolve upon f,ik,~e to obtaha same. Albert J. Krupski~ President James King, Vice-President Ax'tie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095Route 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 January 23, 2003 Mr.& Mrs. James E. Hoeg 350 Willis Creek Drive Mattituck, NY 11952 SCTM#115-1 7-1 7.10 350 Willis Creek Drive Mattituck, NY Dear Mr.& Mrs. Hoeg: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, January 22, 2003. RESOLVED, that the Southold Town Board of TmsteesApprove an Amendment to Permit #5038 for a pool and shed with the condition of d~ell for the backwash for the pooL If you have any questions, please call our office at 765-1892. Sincerely, Albert J. Krupski, Jr. President, Board of Trustees cc: Building Department AJK:cjc Albert J. Krupski, President James King, Vice-President Artie Foster Ken Pollwoda Peggy A. Dickereon 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 March 22, 2002 Mr. & Mrs, James Hoeg 350 Willis Creek Drive Mattituck, NY 11962 RE: SCTM#115-17-17.10 Dear Mr.& Mrs. Hoeg: The following action as taken by the Board of Town Trustees during a Regular Meeting, held on March 20, 2002, regarding the above matter. WHEREAS, JAMES E. & KARENHOEG applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated February 26, 2002 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 March 20, 2002 at which time all interested persons were given an oppommity 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 approved the application of James E. & Karen A. Hoeg to construct a 4 foot by 74 foot catwalk supported by 4 inch by 4 inch dimensional lumber straight off the grade one 6 inch diameter piling as per amended plans. 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. Fee 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 when project is started and on completion of said project. FEES: $240.00 paid 4/29/02 Very truly yours, Albert J. Kmpski, Jr. President, Board of Trustees x/cjc Cc DEC Building Department 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 TO: James E. & Karen A. Hoeg Please be advised that your application, dated has been reviewed by this Board, at the regular mee~I~gof ,~March.20, ~0~0.2 and the following action was taked: ( x~ Ap~lica-~ion 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 following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION, OF PERMIT FEES: Dock 4'x20' fixed dock (AHWM) 80x$3.00 $240.00 4~98 TOTAL FEES DUE: $ 240.00 BY: SIDENT, BOARD OF TRUSTEES C~LERK, BOARD ~F TRUST~ JAMES E. HOEG 350 Willis Creek Drive Mattituck, New York 11952 March 28, 2002 ,IAR 2 8 Southold Town Trustees Town of Southold Southold, New York As per our discussions at the meeting held on March 21, 2002, I have altered my plans as per your suggestions. Basically, the only change is at the landward end of the catwalk; the steps to grade have been eliminated and the catwalk now extends to meet the existing grade in the area. Sincerely, James Hoe/~ Tel.ephoue (63].) 765-1892 ~. 5,309,5 ~ Road P.O. Box 11'{'9 ,~..hoM. New York 11971 SOUTHOLD TOWN CONSERV&TIOI~ ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Monday, March 18, 2002, the following recommendation was made: Moved by Melvyn Mords, seconded by Scott Hilary, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Wetland Permit Application of JAMES E. 8, KAREN A. HOEG to construct a 4'X 74' catwalk supported by 4"X 4" dimensional lumber, access steps, a 3' wide stairway to grade, and one 6" diameter piling. Located: 350 Willis Creek Dr., Mattituck. SCTM#115-17-17.10 Vote of Council: Ayes: All Motion Carried ('631) 765-1892 P.O. Box $ OIJ'TKOLD TOWN CONSERVATION ADVISORY COUNart. At the meeting of the Southold Town Conservation Advisory Council held Monday, April 16, 2001, 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 JAMES E. & KAREN A. HOEG 115.17.17.10 to construct a 4'X 50' fixed CCA timber dock raised a min. of 3.5' above grade supported by (16) 4"X 4" posts or 6" diameter timber piles, a 7'× 25' fixed CCA timber dock approx. 3' above AHW and supported by (6) 6" diameter timber piles with a depth of penetration of 6' to 8'. A proposed4' w~de' natural wood chip access path will lead from grass lawn to project at landward end. 350 Willis Creek Dr., Mattituck Vote of Council: Ayes: All Motion Carried e~ REPLY TO A~TEN33ON OF Eastern Permits DEPARTMENT OF THE ARMY NEW YORK DISTRICT, CORPS OF ENGINEERS JACOB K. JAVITS FEDERAL BUILDING NEW YORK, N.Y. 10278~090: September 24, 2001 Section 5EP 2 7 SUBJECT: Application No. 2001-00690-L2 by James Hoeg To Whom It May Concern: 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:James Hoeg 350 Wlliis Creek Drive Mattituck, NY 11952 ACTIVITY Construct a timber stairway leading to a 3.5' x 50' fixed timber pier and a second stairway ending at a pile-supported 7' x 25' fixed timber dock. The purpose of this project is to provide water access for a personal recreational vessel. WATERWAY an unnamed creek off Deep Hole Creek, Great Peconic Bay LOCATION Mattituck, Town ~f ~.~uth~ld, Suffolk County, New York 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 USC 1465 ~c) (3) (AIl, the applicant has certified that the activity complies with and will be conducted in a manner that is consistenE with the approved state coastal zone management program. To allow for the timely processing of this applica5lon, your comments are requested within ?ur[, days of the date of this letter. 5incerel Har~ He!man, Actinc Chief, Eastern Permits Enclosures JAMES E. HOEG &: KAREN A. HOEG LOT 10 'HARBOR VI£W AT MA'FTITUCK" At: MATTITUCK Town of: SOUTHO{.D ~(~ffolk C~Jnty. New Yo~'k 11958 COUNTRY JlRPORT Field Inspection 3/13/02 IF~CILITY/PROGRAM NUMBER(S) PERMIT Under the EnvironnentaL Conservation Law EFFECTIVE DATE January 31, 2002 EXPIRATION DATE(S) January 30, 2007 F i TYPE OF PERMIT · New .~D Renewal [] Modification [] Permit to Construct [] Permit to Operate i [] Article 15, Title 5: Protection of Waters · 6NYCRR 608: Water Quality Certification [] Article 27, Title 7; 6NYCRR 360: Solid Waste Management [] Article 15, Title 15: Water [] Article t7, Titles 7, 8: SPDES Supply [] Article 19: Air Pollution [] Article 15, Title 15: Water Control Transport [] Article 23, Title 27: Mined [] Article 15, Title 15: Long Land Reclanmtion Island Wells [] Article 24: Freshwater Wetlands [] Article 15, Title 2?: Wild, Scenic and Recreational Rivers · Article 25: Tide( Wetlands [] Article 27, Title 9; 6NYCRR 37~: Hazardous Waste Manag~nt [] Article 34: Coastal Erosion Management [] Article 36: Floodplain Manag~nt [] Articles 1, 3, 17, 19, 27, 37; 6NYCRR 380: Radiation Control PERMIT ISSUED TO I TELEPHONE NUMBER James E. Hoeg I (631) 298-7439 ADDRESS OF PERMITTEE $50 Willis Creek Drive, Mattituckr NY CONTACT PERSON FOR PERMITTED WORK 11952 TELEPHONE NUMBER NAME AND ADDRESS OF PROJECT/FACILITY Noeg propertyf 350 willis Creek Driv% Mettituck LOCATION OF PROdECT/FACILITY SCTM #1000-115-17-17.10 CDUNTY ITCR~N WATERCOORSE NYTM COORDINATES Suffolk I SouthoLd ~,I~/6f'~:~ ~e¢ff//t~/~ ~¢~ E:709.8 N:4540.~ DESCRIPTION OF AUTHORIZED ACTIVITY: Construct a 4 foot by 74 foot catwalk supported by 4 inch by 4 inch dimensional lumber, access steps, a 3 foot wide stairway to grade, and one 6 inch diameter piling. All work must be performed in accordance with the attached pla~EE~F-4~~ approved on 1/30/02. By acceptance of this permit, the pormittee agrees that the permit is contingent t~on strict con~oliance with the ECL, all applicable regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions included ae part of this permit. PERMIT ADMIN ATOR: John i (MRP) II AUTH~~(r~/GN TURE ADDRESS Stony Brook~ NY 11790-;'356 " January 31, ~o0~ Page 1 of 4 NEW Y~TATE DEPAR3MENT OF ENVIRONMENTAL CONSERV~J NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification ' The permittee expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, agents, and assigns for all claims, suits, actions, damages, and costs of every name and description, arising out of or resulting from the permittae's undertaking of activities or operation and maintenance of the facility or facilities authorized by the permit in compliance or non-compliance with the terms and conditions of the permit. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of-way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. GENERAL CONDITIONS General Condition f: Facility Inspection by the Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71-0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. General Condition 2: Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. General Condition 3: Applications for Permit Renewals or Modifications The permittee must submit a separate written application to the Department for renewal, modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. The permittee must submit a renewal application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES), Hazardous Waste Management Facilities (HWMF), major Air Pollution Control (APC) and Solid Waste Management Facilities (SWMF); and b) 30 days before expiration of all other permit types. Submission of applications for permit renewal or modification are to be submitted to: NYSDEC Regional Permit Administrator, Region 1, SUNY Bldg #40, Stony Brook, NY 11790-2356 General Condition 4: Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to modify, suspend or revoke this permit. The grounds for modification, suspension or revocation include: a) the scope of the permitted activity is exceeded or a violation of any condition of the permit or provisions of the ECL and pertinent regulations is found; b) the permit was obtained by misrepresentation or failure to disclose relevant facts; c) new material information is discovered; or d) envir~nmenta~c~nditi~ns're~evanttechn~I~gy~~rapp~icab~e~aw~rregu~ati~nhavemateria~~y changed since the permit was issued. -4738-01485/00003 I I !: STATE DEPARTMENT OF ENVIRONMENTAL CONS,-: ~-)N AI~DITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (TITLE 5), 24, 25, 34 AND 6NYCRR PART 608 ( TIDAL WETLANDS) If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free niavigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the ~xpiration or revocation of this permit, the structure, fill, excavation, or other modification of the watemourse hereby authorized shall not be completed, the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. Granting of this permit does not relieve the applicant of the responsibility of obtaining any other permission, consent or approval from the U.S. Army Corps of Engineers, U.S. Coast Guard, New York State Office of General Services or local government which may be required. 4. All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project. Any material dredged in the conduct of the work herein permitted shall be removed evenly, without leaving large refuse piles, ridges across the bed of a watenvay or floodplain or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a wate~vay. 6. There shall be no unreasonable interference with navigation by the work herein authorized. If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. If granted under 6NYCRR Part 608, the NYS Department of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitations or other limitations or standards under Sections 301,302, 303, 308 and 307 of the Clean Water Act of 1977 (PL 95-217) provided that all of the conditions listed herein are met. 9. At least 48 hours prior to commencement of the project, the permittee and contrector shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work and, if required, a survey. 10. All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or his agent as part of the permit application. Such approved plans were prepared by: James Hoeq on 1/8/02. DEC PERMIT NUMBER I PAGE 3 OF 4 1-4738-01485/00003 I NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS 1. The seaward terminus of the catwalk shall not exceed five (5) feet past the edge of the vegetated tidal wetland. 2. No ramp or float is authorized by this permit, nor shall issuance of this permit be construed to suggest that the Department will issue a peri, it for those structures in the future. 3. Docks/catwalks/floats may not (a) extend laterally beyond property lines, (b) be placed so that docked boats extend over adjacent property line, (c) interfere with navigation, (d) interfere with other landowners riparian rights. 4. No permanent structures may be installed on docldcatwalk/fioat without first obtaining written Department approval (permit, modification, or amendment). 5. Pilings may not: (a) extend beyond property lines, (b) be placed so that docked boats extend over property lines, (c) interfere with navigation, (d) interfere with other landowners riparian rights. 6. The storage of construction equipment and materials shall be confined to within the project work site and or upland areas greater than 75 linear feet from the tidal wetland boundary. 7. Dock or timber catwalk shall not exceed 4 feet in width and shall be a minimum of 3~ feet above grade* over tidal wetland areas (* as measured from ground to bottom of dock sheathing). 8. No dredging, excavating or other alteration of shoreline or underwater areas is authorized by this permit, nor shall issuance of this permit be construed to suggest that the Department will issue a permit for such activities in the future. 9. The use of wood treated with pentachlorephenol in the construction of structures that will be in contact with tidal waters is strictly prohibited. 10. Any debris or excess material from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal. No debris is permitted in tidal wetlands and or protected buffer areas. DEC PERMIT NUMBER 1-4738-01485/00003 PAGE 4 OF 4 N8§'15'IO"E Lo[ 9 268.80' NOTICE TO ADJACENT PROPERT~ OWNER BOARD OF TRU$'r~ES, TOWN OF. soUTHOLD In the matter of applicant: Q AI F.S , sc lOOO-, YOU ARE HEREBY GIVEN NOTICE: l. 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 _~.eview is located adjacent to your property ~nd' is described as follows: 3. That the project which is subject to Environmental Review dnder Chaptars 32, 37, or 9.7 of the Town Code is open to public comment on: You Ray contact the Trustees Office at 76=~-1~92 or An ~.:-riting. The -~_bove refeu-=nced proposal is under review cf the Board of Trustees of the T'ow~ of Southotd and does not reference any other agenc-ff that might have to review same proposal. Enc.: Copy of sketch or plan showing proposal for your convenience. Albert J. Krupski, President James King, Vice-President Henry Smith Artie Fester Ken Poliwoda Town Hall .53095Route 25 P.O. Box 1179 Southold, New York l1971-0959 Telephone(631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application STATE OF NEW YORK) AFFIDAVIT OF POSTING bein~-dul~ swo~n, depose ~nd s~y: That on the day of ~200~ I personally.posted the ~ property known as ~ ~%%~[[]~~ ~. ~6~: ~ by placing the Board of Trustees~fficia~ po~ter 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 hearing. Date of bearing noted thereon to be held ~~ Dated:~ Sworn to before me this ~"~,~day of~,,A,11CL~ 200'?_,, J~KAREN: 'OVFMBER N~ARY PUBLIC, S~ATE OF N~ YORK QUALIF'ED ~N SUFFOLK COUN~ NO. 01-N04872994 COMMISSION ~PiRES OCTOBER PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Sal~e; Address: STATE OF NEW YORK COUNTY OF SUFFOLK ~J'~r-'~3~q 'J~- ,residingat~ ~t[~ ~r~ ~1~ ~ ~ C 1~ , berg duly sworn, deposes ~d sa~'~at on ~e ~ day o~ ~ ~ 1 , 2~Z, deponent m~led a ~e copy of ~e Notice set fo~h in the Bo~d of Tmstees~Application, ~r~ted to e~h of the above nm~ pe~ons at ~e ad~esses set opposite ~ere re~ective nines ~at ~e ad~esses set opposite the names of said persons are the address of said (certified) (rogi~x'~"&~m ail. /q ~ersons as shown on the current were mailed at the United States Post ed to each of said persons by Sworn to b.~4~ore me this - Notary Public' x m no5 ~5 o-~'~m,<~'~ 99~!who '--'"' ~ - G~d ~N ~A~ PUBLIC~ STATE OF NEW QUaFfED IN SUFFO~ COUN~ --~ NO. 01-NO~72994 COMMISSION ~IRES OCTOBER Town Hall 53095 Main Road P.O. Box 1179 Se,,thold, New York 11=971 Telephone (516) 765-18,~2 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application _~,-Wetland Permit Application Grandfather Permit Application Wa i ve r / ~nendmen ~ / ~ ges ~-'~c-~ved Application. u,-Received Fee: ~-~ompleted Application~__ Incomplete . SEQRA Classification: Type I.__'" .~yt.e II Unlisted Coordination:(date.~e~t) -~'t~C Refe~;re.). Sent: ~Oate of Inspection: ~!l~lOI Receipt '-~ __ _ ,.,~ CAC Report: Lead Agency Determination:__ Techr.ica]_ Review: ~ublic Hearing Held: Reso].ution: /~PR 5 Suffolk County Tax Map N~ber: 1000 ~%~-- %~- ~.%o Property Location: ~ ~,u~,~d~ ~-,~- ~X~c~ {provide LILCO Pole ~, distance to cross streets, and location) AGENT: (If applicable) Address: I~k[~ Phone: FAXg: Trustees Applicatio~ GENERAL DATA La.nd Area (in sguare feet):._~_~_qlO_~_._$~?. <~%~00 $~,.r~?%~ ~¢~.~_ Area ZonJ rig: ~ ~~ ~ Previous use of property:__~c~'~ Intended use of property: ~~ --~%~WIQ~ Prior peimits/approvals for site improvements: · Da~e No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental, a~ency? ~_No__ Yes If yes, provid.~ explanation: Project Description (use attachments i~ necessary¥ :__~.~,~%~ d of Trustees A.?pl Purpose of the proposed operations: ~shrut ~%~_ .. o~ Area of wetlands on lot: \\%-~O~b ~%~%.square feet Percent coverage of lot: ~.~ % Closest distance.between nearest existing structure and upland edge of wetlands._ ~ ,~ feet Closest distance between nearest propgsed ~tructure and upland edge of wetlands: %-; feet Does the project involve excavation or fi].ling? ~ No Yes If yes, how much material will be excavated? 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: ~e~ Manner in which material will be removed or depo~'].ted: ~l~ cubic yards Statement of the effect, if an~, on the wetlands and tidal waters of the town that may result by reason of g..'.ch proposed operations (use attachments if appropriate): NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES~ TOWN OF SOUTHOLD In the matter of applicant: ~,!~ SCT, 000- l-7-1'7,10 YOU ARE 1. That it is Permit from the HEREBY GIVEN NOTICE: the intention of the undersigned to request a 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: 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. MAILING ADDRESS: PHONE ~: Enc.: Copy of sketch or plan showing proposal for your convenience. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YOM COUNTY OF SUFFOLK ~S ~ , residing at~ ~I~S ~f~X~ O , being duly sworn, deposes and says that on t~e ~_~_ day of .... ~O~ ~ ~[, deponent mailed a 'true copy df'the Notice set forth in the ~oard of Trustees ~plication, directed to each of the ~ove named persons at the addresses set opposite there respective n~es; 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 ~.~~hat said Notices were mailed to each of s~d pers~s by ('d~rtffied) Sworn to b%for_e, me this ~ ~' day of.~.~l ,~' ,~ ~90L ~ [Notai~ P~blic ' ' - of Trustees AF;~licatio~ County of Suffolk State of New York BEING DULY SWO DEPOSES AND AFFIRMS THAT HE/&~-IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER Ki~OWLEDGE 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 IPROJECT I.D..~UMSE~ I 617.21 Appendix C StatR Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT iNFORMATION (To be completed by ApPlicant or P"oject sponsor) SEC IS PRO OSED ACTION: w [] Exoansfon r"l Moclification~alter~tron $. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LA D AFFECTED: gOES ACTIOFI INVOLVE A P¢-RM!T APPROVAL. OR PUNOIHG. NOW OR ULTIMAt'ELY FROM ANY OTHER GOVERNMENTAL AGENCY (PSDERAL. STATE OR kOCALi? DOES ANY ~SPECT OF THE ACTION HAVE A CURRE~'ITL'f VALID PERMIT OR APPROVAL? Yes' J~No If '/es list auer~c¥ name and permit/approval ~2. AS A RESULT L.~ Yes If the action is ir'3 the Co~stal .,\rea, and '/o,J are a state 2~nc'¢: complete the Coast2, i Assessment Form before pro,';eedinq v,,ith this as__,~essment OVER 1 ~ART Ill--OETE.~MIi'.IAT!Cr~ CF SIGNIFICA,~,~CE ~To :e comoleted by .Agency) INSTRUCTIONS: ~ar each ~dverse effect identified aCove, determine whether ~t is substantial, ~arge, [mco~an[ or o[ner~ise si~ni~ic E~c~ ~fec: Should be assessed in connection .,vit~ it~ (a) settinG ti.e. urDan cr rural); (b) 2roOeDllit'f Of occ~g; i~) duration' irrevers~bdity; [e~ ~eograonic scoce: and (~ magnitude. I~ neces=a~, ad~ attachments or reCetence succoring ~alerials, Ensure · · '-- Check ~is uox if '!au have idenUfiee one or "note ~otendally large ar S~gr~ificant ~dverse imoacts ',vmcn MAY ac=ur. The,'t 3rcc_~ed direc:l'/ ~a :he FULL --AF :and/or ~.reaare a positive, declaradcn. '% Check :h~s uox :t '..'au ,have de:ermined, based cn the 'nfcrmation :znd analysis above and any suooort¢~ The Town of Southold's Code of Ethics prohibits con~licts o[ interest on the part 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. TOUR N{~HEt · "" ...... (Last name, first name, midd.ie 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.) NATURI{ OF APPI, I~ATIoNe (Check all tha~ apply.) Tax grievance Variance Change of zone App~l~val o~ plat , Exe~ption from pla~or official map other ',other," by blood, marriage, or business lnteresh" m~ana a businens, i.eludin~ a par~nervhlp~ which hhe town officer or employee ha~ oven a partial ownerghlp or (or employmen~ by) ~ corporation in which If yo~! anevered #YES,~ complete ~he balance of date and sign ~here lndioated. ~hi~ form and N~me of person employed by the To~n of Southold Title or position of that person Describe the relationship between vn,,~ ~L,.- ., N88'15'10"E I I t 193.80' I SB~.o0'O0"~N NOTE: B-MONUMENT FOUND /~-STAKE SET ~)=REBAR FOUND itl -MONUMENT SET 1. SUBDI~SION MAP FILED IN THE OFFICE OF THE CLERK OF SUFFOLK COUNTY ON AUG. 21, 1987 AS FiLE NO. 8577. 2. THIS PARCEL IS LOCATED INI FIRM ZONE AE BASE ELEVATION 8.0 AS INDICATED ON FLOOD INSURANCE RATE MAP PANEL NUMBER 360813 0482C O LAST DATED MAY 4, 1998 ZONE A4 IS CONTIGUOUS WITH THE 8 CONTOUR SHOWN HEREON. 278' 12.o' 268.80' 75.00' Alden ff. Youl~g, P.£ & L.S. (f908-t994) Hou~ard ff. You~,g, Land Surveyor John Soh~, LG~ Su~or FINAL SURVEY :JAN. 8. 2001 SURVEY FOR: JAMES E. HOEG &: KAREN A. HOEG LOT 10 "HARBOR VIEW AT MATTITUCK" At: MATTITUCK Town of: SOUTHOLD Suffolk County, New York 1000 115 17 17.10 Suff. Co. Tax Map: ~ I I I CERTIF3ED TO. JAMES E. I~OEG KAREN A. HOEC FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK LOCATED FOUNDTION :JAN. 3, 2000 ~ENERAL AMENDMENTS :DEC. 15, 1999 0 /IvJO iV~.-DfR. R--OI~.OSED HOUSE :AUG. 27. lgg9 :MAY 20, 1999 DATE :NOV. lS, 1996 SCALE : 1"-40' JOB NO. :96 - 0961 SHEET NO. 11 OF 1 i=~ #HOEG-961.DWG' I* OL'/l L~. gU. 0001, : doff xoj. 'o0 'j;n~ HJoA MeN ',(~.uno0 >llOJ4nS (}qOH.Lf'iOS :~.o uMoI NOClIIIIVI,~ .)lOl'tLIllYfl IV /~][A ~OS~VH. OL O3OH 'V N':I~I¥)I :~ O3OH '~3 'NO':IU"4H NMOHS 9 3I''u- H.LIM $~OflOLLNO3 SI t,V 'aNOZ 8661, '~' AY.Iq 30NYUnSNI 000'1.1 NO O'~.V:DIONI SV O'g NOU. Y^3'13 'LL~g 'ON TILl SV JO M~I3'lO ':IH& JO ~:)lJJO 3HJ. NI O~'tlJ o~fl'q NOISL~J(JSI'~ 'L ONrIOJ UY831:I-~ 13S 3~V,LSm~I' ~t~Oj LN3flflNOfl' · :3LON >HoA AaN ',C~unoO ~llO~)nS G-IONINOS :.~o uAoI ~IONIIII¥IAI :~¥ ,,~lONlllIVFI 1V A31A 8OS~VH,, 0!. 103 03C)H. 'V N3~VH ::? O3OH '3 S3~VP :~O_~ A3A~JNS ~00~ '~ 'NVP: A3A~NS "IYNIJ ~.~oAa~n£ PUV7 ,~unoX .,~ ~unoZ 'NO2~J3H NMOHS ~I'IOJ. NOD 9 3HI H.L~ srloflOl/NOD SI a31VO IS¥'1 0 O~gt, O ~L909~ W3814qN ]3NVd dV~ 31¥W 3ON¥~nSNI O00'bl NO O21¥OIQNI SV O'g NOLLYA3'I3 '4SV8 3¥ 3NOZ Yt~lJ NI O~J.¥O0'; $l 133~¥d $1HJ. 'LL[g 'ON 3'11.:1 ONflO-~ ~V83~,-® ~,,oo,oo.~s Z 3,,0 t,g't.ggN .f f- C) JAMES E. HOEG LOT 10 "HARBOR VIE' At: MATTITUCK , Suffolk County, New