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Home My WebLink AboutTR-6285 . . James F. King, President Town Hall Jill M. Doherty, Vice-President 53095 Route 25 P.O. Box 1179 Peggy A. Dickerson Southold, New York 11971-0959 Dave Bergen John Holzapfel Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD EMERGENCY WETLANDS PERMIT Permit No.: 6285E Date of Receipt of Application: February 15, 2006 Applicant: John & JoAnne Gouveia SCTM#: 44-1.11 Project Location: 55404 Route 48, Southold Date of Resolution/Issuance: February 15, 2006 Date of Expiration: August 15, 2006 Reviewed by: Board of Trustees Project Description: Temporary emergency repair of approx. 20' of failed bulkhead by placing 3-ton rock armor toe of approx. 30' of bulkhead; straighten and secure failed portion as practical and continue rock armor. Findings: The project meets all the requirements for issuance of an Emergency Wetlands Permit as determined by the Board of Trustees. The issuance of the Emergency Wetlands Permit allows for the operations as indicated on the plan prepared by Catherine Mesiano dated February 27, 2006. Special Conditions: None. This is not a determination from any other agency. ~F.~,~t Board of Trustees . . James F. King, President Town Hall Jill M. Doherty, Vice-President 53095 Route 25 P.O. Box 1179 Peggy A. Dickerson Southold, New York 11971-0959 Dave Bergen Joho Holzapfel Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD COASTAL EROSION MANAGEMENT PERMIT Permit #6285C Date: February 15, 2006 SCTM#44-1-11 Name of Applicant/Agent: Catherine Mesiano, Inc. Name of Permittee: John & JoAnne Gouveia Address of Permittee: 55404 Route 48, Southold Property Located: 55404 Route 48, Southold DESCRIPTION OF ACTIVITY: Coastal Erosion Permit for the temporary emergency repair of approx. 20' of failed bulkhead by placing 3-ton rock armor toe of approx. 30' of bulkhead; straighten and secure failed portion as practical and continue rock armor. The Coastal Erosion Management Permit allows for the operations as indicated on the plan prepared by Catherine Mesiano received on February 27, 2006 Permit to construct and complete project will expire six (6) months from the date the permit is signed. SPECIAL CONDITIONS: (apply if marked) _ Bluff restoration through a re-vegetation plan is a necessary special condition of this permit. _ A relocation agreement is attached hereto and is a necessary special condition of this permit. _ A maintenance agreement is attached with application and is a necessary special condition of this permit. i=~~ 8ames F. King, esident Board of Trustees - - ""4J/~ ,r\ " .. --- r- ~~. I ~~~~ l -<' "'V' -~ ""'5<1 ISLAND cQ 1-, ~OUND FEB 1 5 2QOG Ile~ ~ ~HIY -;~~/l . .M. , o~ z--------------- a ~~' wi -'- - / ~ ~ . z o f a ~ ' ~ .t;\\ -; ~ ~ ffi >-' - r .t; 0 ~ =\.., 0 0 r- '-' _~. - . < 2' . ~ () .' El. 1.1_ I' \ ~ 1_ d ~~ l .~ '.fIoO ~~ ,",- ~ " ecK . r<~ <')> o % ,'~~ c.i ,. m < (J) \'l-, : ~(). -, < ~ ~ ~ -. l1\...... >-" \'" C. ~ -;.' ~ ---\() m ~". ~. ~ Ie. 0"'\\ ,. () s:. () ~~ ;, s:. ')> ~ 5~' . .......s:. < ,.. ~..' en -z.. ')> J. Vi"!! ()o r-'~ (J) e. ,,0 ~, Z N o. \\ =- ~ N 0 o ---.l u. _ CORP. ' , x . TLE INSURANCE - \ . \ i ^. RK ',I~ .',' ," ,,\'. 'iee.. ,- 0, .., ~~ c ,j'-- , If- "'5 1> ~.----..... 11('" ~ ," \"I~"_< "'t" ':'," ,.iv-'- -rr-----::" '" ~ .co."" ____________ . -; '\'.,", 't ~_ - - 1,440t :\- \, " \ -<, - "" , \ \ '.'\. (TiC"'. \, ' .:I _ \ 50.03---------_., ~~6'03'2~\,j'/"O;G'c EL 48) ~ ~-' ~ '\~ '- R 14.8" ~/ c. ~AD (c. .---- - )> DL!:: ,5' R r- MID ~ ~ ____________------------ \'TI-I (J) . 0 ~----- ~ PLAN- FOR /d JO,HN GOUVEIA & JOANNE GOUVEIA FEll! ': 2005 0:-/ I/~' "--x 6 . ~e &/r.. f/.G.-~ .", . ~ / t',/ /('6 ;/ 1/'1'" / ~/#' ~ .x. I,~ 4/_ . ."~.e- _ '"1';";U!?aD ;14."" tt."... .' ---. _ , r _ . --... no" /. .'. 1~~M4}'/ .~ ." . LpL-/t;/ D~rl .: (} ^ J::1 A LM.oA.... /~r7 ~.4tEJ: ". I I ~ ,4) ~;; I , i , TiP/c!::,l f3(/!.J:lIZiJO StCT/DN S'C4LE.' ~{'.- r- o~ . l -<0:' "'" ' -- <;) -S<'t. ISLAND cO l-\ ~ ~OUND /Ie 1\1 ~''''l'''''''f.!--(w p:, ~~t!M' . LL ~ ~J I o \f)' l,i ~ ~ I " ,I Z o ;=--: P a ~ ! ~ ~ u, .f; \ \ " ''___ ~~ a> _ r . r-, 't. t '" (;) o - I_&, \,lJ, ~ fT\ mo \('0 " ,0 ~"JJ "JJ " < 'l> o 'i c \ ~ ,n'. 0 i m < (J) ~, "\\,"- '\ ~ ,{ '" . " <, ____ ~ r ... .,. ~ o-d-;;,.:! ~ rn ---'. >' ..- " l> rS> \ ()Ver '=- ~ . ~ \~ '" 4'" m I'- ',"" I" VI s~o \\ _ \~ C o~"\\"" ~ O~ () -,. ~\ ~ (' . - ~ ~ 'l> '.~4' "), " a" \j- < ,>-', :t:>- : ~~ (J)"Z. 'il" ,.. ~ ~ 'l> /, ," ,',:.' C ()\.IJ r- ,,_' Z (J) C. 0" ~ ." ,.,.., N \\ ~ ,~ . = ""- N 0 _ 0 ---< '" L CORP. -xc 7TLE INSURANCE - " IRK ' ,'-\ - j) )", ~.~: 1> ~____--, \ \~,\\,--.:~ -~ - \ \\" 1> ,- ~\ ). \\\ -<., ,"r '\, ,I I \ c' ~\\ o' 1(,' 'H '2 ' //--c~'~ 5,' 76'03 cI::--':':-'\ ,;co"' , 8) _--------- (. ",-" (, 4 ____---- .' '<", 48" _________----/ ~I:: (c R . --------------- c- R 0 AD' _/ p MIDDLE " ;.~ ZA) ____---- m --\ <.J\ _ 0 ,/ Z - .. /' /._ <.J\ ~. PLAN. FOR to tie JOHN GOUVEIA & JOANNE GOUVEIA -. .- F .~. ~X.6 , --%//&/::. f/-,a' ~ .-1' . " .~~t"/X6;/ IQ '''..x..I.~/ ~ ."(:>It. e.- _ ~",fE 1!'ra: . ~",'~1"I'N'. ...--: .. / . " j ~ Jm;PM..dN . . 6 ".k6'" p.. D.t:. tL . . . . /~", (o4~lEe A t..M.D..... , . . . I I x/41 ~~jXl S, . riPlc/,jl f3{/!.):RE/.JO 'SlCTIOA/ S"C<UE.' -}If".. r- 0* '. NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: JOANNE & JOHN GOUVEIA SCTM # 1000-44-1-11 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 162 sa. FT. ADDITION TO THE EXISTING SINGLE FAMILY DWELLING AND A .:t90 ' FT DECK EXTENSION 2 That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 55405 C R.48, SOUTHOLD 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 July 20, 2005, 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. OWNER. JoAnne & John Gouveia 55405 C. R.48 Southold, NY 11971 OWNER'S AGENT: Catherine Mesiano, Inc. 12 Mill Pond Lane East Moriches, NY 11940 631-878-8951 Enc.: Copy of sketch or plan showing proposal for your convenience . _(c:; ~-r,^-"~__~I..<.~--::;.-> . ,{I -:,\\FFDL,f' ~'~ r"W:l :!al: \lhf'r~ .r !<:t-'-l!hkl, ]Jrpc;: j.~,' '~.' "~ <::::., ,');i(I~I;) r(, ,d!~ ~,~'; r:\ 'fl' ,__ !(: T1F:. \. r't' -I':,'~ :' !,., :' :\'V~ ~~ !' () Ik,;,: ll~il s ::::, .....:. '; >\r'~IC F,)::;t~" ''''0 - " ~'I\lt l](II,i ~'('\' )''.IrK 1 : ~I': 1 1,)~1,',q ~ en ~:; h.,!. J'<i:W:)Uii :.:~ rr-r:' \)n~f~' .\ r;j('k('rs'I:: ~\O. ~.)' Tp]t'phrl::t. ;,1;:3 j 'itj;) l ,"((~ '" ~ ~~ ,', '~'c;?./ + ~'l>;,<' Fax 'ii~-;: I,i;-.- 1 :\tii; ....,......;>];_... .1- BOARD OF TOWN TRUSTEES T(j\\">\ IJF .~I)I ~Tlf()l.D (HTirt' (iSl' ()llh ~ls:di:'r()Sll'r.J)'_'!r~llt:\;:i-):Ii.",jllr)I1 \1 \T1,'1 (ru;rql.l$.lj ~t~jr ("\\"'t:anl1 J)~':-m]! :\;'r:~:';lll(lll \'1~jl'J: \\':J 1",',')'\ r11~'n:ll~llTjl C :n;.(n!2c~ ,/f<r,',,'CI\.t.(j '\r';li]\';,I!()r: _ J./Jt70k _L.-1?!..cc~',rd f'c~',\ ()Oor ~.H\JO~ ,..-r"clll'lc'I",l -\1':' ,d .. !:h,or'"1r("k Sf()i<.:\ tii1~S]r'],. d!]('!' . ;P(' I 1\1" 1! I::,' FEB 1 5 2005 ",l]',li;;,:I!iIJ] ,b!t' "';:' " )~ l'(('f1 II' ')CIlt 10:1'" .jllh!'" .-._- ",;'1;! { _\l )-\(;,: 1 '-.~ :,,: \ ~t:]h': " ;I~' It :r;:1I .;'1 L \' : c,:hnJ:':,! f.?"., 1 '.\ _."t',,-;-;;,!:, lk_l; :i,-' i!c:,: d-./' DoG. '!"t '\.,ti,i(' r .\ ~_;p [i ~ :ii; Jo A""e 4- ,.J C rpJ G_ov";~lk k'rJ l-e> hj~..b (1c1..g E... , y-re.J - :\ddrl:~'; 35 t<d Nw, /v if i I:"; i- J ~ 422..- '3355 Phi 'ill' ~'ill1ll1L': ?Ir.: - ~:lr;'ln I 1;,]111'" 1:1.' \1:11' "--':lJ:ltlll': :'11)1' 4-A. - I - \ I !l.-,\,1(Tl\ tell':!l,: 'T, 55 4() 4- K-t- 4.~ So u+hoJd ... 1L..t..c Y-Jl A \ $ "--<i ::', c. ~ I ~,......- 'TfCI\'i:L-' i II t"( i )\IL,:; ,11Sta[ll~' ro ,~':','S.'; ',IJ~_':':~~ dfll! I'Wall<):1 I .\ ( ; [' >< ,hie I CfrTHffitNf-MESlA-ND, INC. I I ~ r1; ~ pI: 12 MILL POND LANE \.];]:-, \JY 11940-1222 t, MOR1CHES Ph<,):H' 0.31.~7? 1$ 't. ::Sf - . . . Board of Trustees Application GENERAL DATA Land Area (in square feet) : 6137 sq. ft. Area Zoning: R-40 Previous use of property: Intended use of property: SINGLE FAMILY DWELLING Prior permits/approvals for site improvements: Agency Date NYSDEC 8/17 /05 TRUSTEES 7/05 BLDG DE?T 9/05 ____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: TEMPORARY EMERGENCY REPAIR OF APPROX. 20' FAILED BULKHEAD: 3-TON ROCK ARMOR TOE OF FUNCTIONAL BULKHEAD (APPROX 30') STRAIGHTEN AND SECURE FAILED PORTION AS PRACTICAL AND CONTINUE ROCK ARMOR 'ERMENJI..NT REPAIR: IN-PLACE REPLACEMENT OF APPROX. 20' FAILED BULKHEAD WITH AND 16' X 10"PILES; ADD SIX 16' X 10" BATTER PILES TO REMAINING FUNCTIONAL BULKHEAD; BACKFILL OPEN STORAGE AREA LANDWARD OF NEW BULKHEAD Wi APPROX. 1000 C.Y.FILL . . Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: 0 square feet Percent coverage of lot: 0 % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: N/A feet Does the project involve excavation or filling? No X Yes If yes, how much material will be excavated? -0- cubic yards How much material will be filled? +/ 1000 cubic yards Depth of which material will be removed or deposited: MAX.8 feet Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: PAYLOADER, HYDRAULIC EXCAVATOR ACTIVITY TO BE STAGED FROM THE UPLAND BETWEEN THE SUBJECT SITE AND THE PROPERTY TO THE EAST,SUBJECT TO APPROPRIATE AUTHORIZATION. PLACEMENT OF ROCK ARMOR WILL NECESSITATE ACTIVITY SEAWARD OF BULKHEAD AT LOW TIDE 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) : NEGATIVE IMPACT IS NOT ANTICIPATED AS A RESULT OF THE PROPOSED ACTIVITY. APPROPRIATE MEASURES WILL BE EMPLOYED TO CONTROL SILTATION AND AVOID RUNOFF INTO THE SOUND 3 . . Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: EMERGENCY REPAIR OF FAILED BULKHEAD Are wetlands present within 100 feet of the proposed activity? No X Yes Does the project involve excavation or filling? No_X_ Yes If Yes, how much material will be excavated? -0- (cubic yards) How much material will be filled? +/-1000 (cubic yards) Manner in which material will be removed or deposited PAYLOADER Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) NEGATIVE IMPACT IS NOT ANTICIPATED AS A RESULT OF THE PROPOSED ACTIVITY. APPROPRIATE MEASURES WILL BE EMPLOYED TO CONTROL SILTATION AND AVOID RUNOFF INTO THE SOUND FRO!'1 : . FAX N.J. : 631-342-1281 . F=b. 1S 2306 135:2&P~ P3 . AUTHOR'ilATION . 3$ \("'sh'hl:n".l,~ 1<. I, J 0 A" I"'\~ 9q"Mt~afng at g ruJ- fJ~ NV do hereby authorize Catherine Mesiano, Ino. to apply for permits from Southold Board ofTown Trustees New York State Department of Environment! Conservation Town of Brookhaven Division of Environmontal Protection on my behalf. :tltnw fj.nu~l.fL (~I'$)/ ~~~~". #';; v' I FROM: . FAX NO. : 631-342-1ge~ Feb. 13 2086 1l:04P11 FI 55405 Route 48 Southold, New York 11971 February 13, 2006 Catherine Mesiano, mc. 12 Gull Pond Lane East Moriches, New York ] 1940 We..1o Anne and John Gouveia the owners ofche properly looattd at 55405 Route 48, Southold, New York hereby authorize Catheriae Mesiano, Ine to make application for an Emergency Wetlands Permit to the New Yorl<: State Department ofEnviromnental Conservation and the Southold Town Boanl of Trustees. ~ [Jrn1'lJ.... h~~ Jo Amte Gouveia John A. Gouveia . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 24, 2007 Ms. JoAnne Gouveia 55405 Route 48 Southold, NY 11971 RE: 55405 ROUTE 48, SOUTH OLD sCTM# 44-1-11 Dear Ms. Gouveia: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Tuesday, July 24, 2007: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit # 6161 & Coastal Erosion Permit # 6161C to construct a 2.5' x 6' wide railroad tie wall behind deck post to stabilize soil from running into existing splash pad, and as depicted on the application prepared by JoAnne Gouveia, received on June 25, 2007. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, }:::K;': ~ President, Board of Trustees JFK:eac . . Telephone (631) 765-1892 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Mon., July 16, 2007, the following recommendation was made: Moved by Don Wilder, seconded by Jack McGreevy, it was RESOLVED to SUPPORT the Amendment application of JOANNE GOUVEIA to Amend Wetland Permit #6161 and Coastal Erosion Permit #6161 C to construct a 2.5X 6' wide railroad tie wall behind deck post to stabilize soil from running into existing splash pad. Located: 55405 County Rd. 48, Southold. SCTM#44-1-11 Inspected by: Don Wilder, Jack McGreevy The CAC Supports the application with the Condition the storm-water on the north side of the property is directed into a drywell. Vote of Council: Ayes: All Motion Carried . James F. King; President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. . . Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone-(631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Southold Town Board of Trustees Field InspectionIWork session Report Date/Time: 7 ~ III 0 1 JOANNE G UVEIA requests an Amendment to Wetland Permit #6161 and Coastal Erosion Permit #6161 C to construct a 2.5X 6' wide railroad tie wall behind, deck post to stabilize soil from running into existing splash pad. Located: 55405 Route 48, Southold. SCTM#44-1-11 Type of area to be impacted: Saltwater Wetland Freshwater Wetland - - / Sound _Bay Distance of proposed work to edge of above: pjlit of Town <j'de proposed work falls under: ~Chapt.275 _Chapt. 111 _oth:/ Type of Application: ~etland _Coastal Erosion ~ Amendment Administrative _Emergency _Pre-Submission _Violation Info needed: ?.. f"\ I ( \I _ f ~Q: ~ \E\Wr\ 0 i , aIi'" ^,/ Modifications: Conditions: prt%t Were: v1King ~Dohert. _P.Dickerson V{. BergenJ B. Ghosio, Jr H. Cusack_ D. Dzenkowski _Mark Terry_other Form filled out in the field by MailedIFaxed to: Date: Environmental Technician Review ~ LONG ISLAND SOUND lie " (hOng ""-Ii. ----- 5~ . .H:A,f. __ ell. 0/' -- ----- -- ______ ______ I ------- --:: --- APPROVED F" BOARD OF TRU.~,; TOWN OF SOUTHO!~) DATE ~/lJ.cJ7 ---- -!!"3I'OO- C. ----- .----- ---- ~ , ~..~. __J '" 0'" Wo ..'c "'"~ 0= _0 ....'" ~2 ~'" ~~ .. ~ <::.-- c:: ;Z N oJ' lffiI ~ lffiI = '" ? ~ cg;z - lffiIO - t~~-iJ ~ o z ')> r- o ~ (I ~ \ \ \ (J) " ,.. ." ')>:-' ~ r- · j;' ~ "' tsn! o...t'l-. WOOD flLKO . _. om rL. 10.4' rop -- z - o - "'T\ !'\ 'Zoo' '- .,.J~ '- relit , ,. 1...>- I').. ti)~ 'tJf.l\\ "'0 ffi~ <')> "'< <. "':-\ -\() :t.c. .<t.~ '1)~ (J)Z oti) z(J) ~ '+ u J-'~ CERTIFIED TO' JOHN GOUVEIA JOANNE GOUVEIA CONTINENTAL CAPITAL CORP. FIDELITY NA TlONAL TITLE INSURANCE COMPANY OF NEW YORK 201 1880 () ')> < ')> r- C. N N . r ~ ~ ~",,\. c.""'. o '0 -!. t - ~ ~ €t..1~5' 111;:<7" ' ..:.----: - / \ -- j.44~ \ \ . '" O' \ \ \.' \ 50.0 ~--'.' \ \ R ,.fa: 48) '> r-r- '>~ Z7J "'~ U) <:> Z , U) AREA = 6137 sq. ft. to tis lins SURVEY FOR JOHN GOUVEIA & JOANNE GOUVEIA AT ARSHAMOMAQUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NY 1000 - 44 - 01 - 11 Scale: 1" = 20' Oct. 4, 1994 MARCH 15, 2004 AUGUST 27,2004 lJec /.::" 'Z.oo4-(r",,/JjM~ ,",y."." nM' 'I'D AS "Ell. T . APPRO" ..' 01' /J 'DlTIONS ....NO CO~ [j_0I0ciJ Q<JtI '7 1-"-7!1 - "~MI~O. . ...... ,'~- OAT8 I:;..l..- P' LOT COVERAGE fisc., De"I<~, Sh._ 1'924- ~?JI A$pJ,,,,,;t "r",:A wa.!J:.J, "~/h:MID wa.l!:. ~ t:''''''G sl...,b ::c 84tJSt./t e)(/.$."'''3 '2771. 59. /I -z,77 '2-/"'/3 7 ~ 4:;..z it. Af'ler COo5/ruGhD" 280'7' = 4-S.tb/D (P137 ELEVA noNS AND CONTOURS ARE REFERENCED TO N.G.V.D. ANY AL TERA TION OR ADDITION TO THIS SLfiVEY IS A VIOLA TION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAWL._.._ EXCEPT AS PER SECTION 7209-SUBDIV1SIO 2. ALL CERTIFICA I KJN:i HEREON ARE VALD FOR THIS MAP AID COPES THEREOI' fNL Y IF SAID MAP OR COPIES BEAR THE IMPflCSSED SEAL OF THE SURVEYOR WHOSE SIGNA TURE APPEARS HEREON. ADDITIONALL Y TO COMPLY WITH SAID LAW THE TERN "AL TERED Br /JUST BE USED BY ANY AND ALL SURVEYORS UTILIZING A COPY OF ANOTHER SURVEYOR'S MAP. TERNS SUCH AS "INSPECTED' AND "BROUGHT-To-DATE" ARE NOT IN COMPLIANCE WITH THE LAW. N. Y.S. LlC. NO. 49618 N. Y. 1/97/ 94 - 304 . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel Town Han 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD APPLICATION FOR AN AMENDMENT T . \yETI;XND 'PERM1 I 1[". . .I. I., ' II ' U Lq J 0. ~ J 0-01 -,' L- _--.J South old Towo Board oj Tn:5t€~S OWNER ~ ~v\'lM:. bOU UUC< , ADDRESS 55' If 0 SIT, 4~ PHONE h~I-1(P5'~ ~36:L So QJiw \cL ~ \l. 1l'11 L AGENT PHONE ADDRESS PROPERTY LOCATION S-~q.oS; tt, 4~ ~o~lcL fJ'/IIQ-71 TAX MAP NO. I/We ~ ~ ~ \I e.I 'CL. request an Amendment to Permit # 61 h \4 bib I t.. to~ (~~~u~~~(Lbd~ LYLX"( ~~ ~ I ~ 'e.- W ~ t: Vln-t io sfLb \l j.~ ~ \ l. noVYI r-l-tV\f\\nl) '\Ai\,\-o ~tA~ ~ p~ S'",oJ BY!} ~ ~ltL ~ ~': {~'J01 . . Permit Application for ............... .........................10 Anne and John Gouveia 55405 Route 48 Southold. New York 11971 Amend Permit # 6161 and 6161 C (Southold Town) and Permit #1-4738-01047/00003 (DEC) I. Final Clean up underneath new deck extension to include 2 y,' high by 6' wide Railroad tie wall to stabilize soil from running into existing splash pad landward of new bulk head. V n. I \\\0'1 t'- 2 J- .~lA~'" ~\-a.dL 0 t- Q..e.. -\-\12.<; \).Q.\AM~~ VO ~ \- CL~"l\ ~tUW, '" ..... .........---- -~ --- -- -- ---- -- > ~'}...... .. .<l1::.-:~....... . '<'-~' ..". . '~ -. - _.r'"' .. . ""'f'... . . James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jf. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of __=(.tLa.D.rlL__~{JW,,/J!'{'Jl________m____________ COUNTY OF SUFFOLK) ST ATE OF NEW YORK) AFFIDAVIT OF POSTING I, ~ ~~..{'O,..residingat ~Sc.fos ~~ ~{,tf-M l~ I N~ \\ql \ being duly sworn, depose and say: That on the [3 day of TU';l, , 200 '7, I py,rSOl,1if!!( posted the property known as ~Lj.Of;; ~:rl \(,9., ~~\a N \ \q 1 \ by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held ~- ~J (}4, ~/- Ot1. CVlQ 'w/3 0 'frI, Dated: 7 It 3107 ~'fUuu /J~4- ignature) Sworn to before me this /3 dayof::r~200 7 ~~. ~ Not ublic :. . / N IIARIlARASWARrz NoOS'g~~IMtale of New York rommi"inn F'Oi,p,7\SIJ!foI~Counly .~O{O .. . , . PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: f . bddress: IVilhan1 ttc! €.'L \qo'l N.t: I \C{'\Y\ St. Ft. ~I 333D~203 MA-tUL +~IlV'~ t'u.fc,~jeo-\i,j s9f~.s -RI, ~ 8 ~utUcld I~q~ I c STATE OF NEW YORK COUNTY OF SUFFOLK , residing at 5SL/VS RIo '-1'6 Sot.lttuld I N~ 1'~11 , being duly sworn, deposes and says that on the '! day of -:::JU 1.-1/ ,2007, 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 South old; that said Notices were mailed at the United States Post Office at So UiH 0 LJ7 , that said Notices were mailed to each of said persons by (certified) (registered) maiL CTdAw. ~U7A/(;-il.tL- :fcAVlt\i qO"Ui~\tL Sworn to before me this '6 Dayof :JuLy ,20~ f IlARBARA SWAInZ :8'~ SlIle of New VarIl Ilwmisslcd ~5, ~~~ 0 I . . Board of Trustees Application County of Suffolk State of New York ~~ BEING DULY SWORN OSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE D SCRIBED 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 REPRESENTATlVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. c1tZw- ~( Signature SWORN TO BEFORE ME THIS d. s"- DAY OF =f 1. "''-- ,20 07 ~11A ." '-111 . ~(1t".tl.o, , . Notary Public LAUREN M STMDlSH NOla/}' Public, siate at Hew lbrlc Q .MP.Jl~ST61~ Commr..IOn~~~~JL . . '. APPLICANT/AGENTIREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of South old's Code of Ethics orohibits conflicts oeinteres! on the n~ of town officers and emoJovees. The numose of this fonn is to orovide information which can alert the town ofoossible conflicts of interest and allow it to take whatever action is necessary to avoid same., .. : YOUR NAME: J6 A-Y\N GO fAUe1 C\ (Last name, fust name, J)1iddle 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.) " NAME OF APPLICATION: (Check all that apply.) Tax grievance Variance Change of Zone Approval of plat Exemption from plat or official map Other (If "Other", name the activity.) Building Trustee Coastal Erosion Mooring Planning x Do you personally (or through your company. spouse, sibling, parent, or child) have a relationship with any officer or employee of tile Town of Southold? "Relationship" includes by blood. marriage, or bus'iness 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 ansv.'ered "YES'" complete the balance of this form and date and sign where indicated. Name of person employed by dIe Town of Southold ritle or position offhafperson- ----- _n Describe the relationship between yourself(the applicant/agent/representative) 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 apptic~t (when the applicant is a corporation); . B) the legal or beneficial owner of any interest in a non-corporate entity (when the - applicant is not a corporation); _C) an officer, director, partner, orempJoyee of the applicant; or _D) the actual applicant. DESCRIPTION OF RELATIONSHIP Fonn TS I S~bmitte~~~ 2001 S 'gnature All' Print Name P VlrU ,(}(,LV e \ Cc..