HomeMy WebLinkAboutSiejka, Roger
Albert J. Krupski, President
James King, Vice-President
Artie Foster
Ken Poliwoda
Peggy A. Dickerson
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTH OLD
June 27, 2002
Mr. Roger Siejka
130 Willis Creek Dr.
Mattituck, NY 11952
RE: 130 WILLIS CREEK DR., MATTITUCK '() (\)
SCTM#115-17-17.8 0 Q \\v'V
Dear Mr. Siejka: 1'0' \'
The Board of Town Trustees took the following action during its regular meeting held on
Wednesday, June 26, 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 South old, application dated May 28,2002,
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
June 26, 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 ofthe 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 ROGER SIEJKA to install
an in-ground swimming pool15'X 27', with a fence, with the condition that drywells are
installed to contain the pool backwash.
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 ofthis notification.
Inspections are required at a fee of$5.00 per inspection. (See attached schedule.)
Fees: $5.00
Very truly yours,
/L/'L'.I ~ /df.,.-/).~' CA.
It"
Albert J. Krupski, Jr.
President, Board of Trustees
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01
TERMS and CONOmONS
The Pe<mittee
Roger Siejka
130 Willis Creek Dr., Mattituck
~u ~~u
pan of the coosideration for the us.'.n~ of the Pem>it does UIlderslaOd and prescribe to the fol-
lowing:
1. That the said Board of Trustees and the Town of Southold are releued hem Il1'f and
all damages, or cWms fOf: damages, of suks arising dhectly or lndirecdy u a result of Il1'f op<<-
atioa pedoaued pmuaat to this peaolt, and the said p.r.n;_ will, at his or her own upen~.
defeud Il1'f and all such ..,;ts"l"lH."'" by tbltd parties, and the said ~ ",'c .-- fullliablllty
with respect thereto, to the complete exclusioo of the Board of Trusua of the Town of ~ld
" 24
2. That this Penuit is 'Valid €oJ: a period of mos. wbicb is coasld-ed to be the
~~.ted time" required to complete the work ifl'90hed, but should ciraaDstaDceS warnot, request
for an exIe<ISion may be made to the Board at a later date.
3. That this Permit should be retained ifldeflOitely, or u long u the said Petmittee wlsbCs
to ",.;nto;n the stl:UCtUtC or project iflvolved, to provide evidence to anyone coocemed that anth-
orization was originally obtaifled.
4. That the wodeifl'OOlved will be subject to the inspecHnn and approval of the Board Of:
its agents, and non-<omP1iance with" the ptovisions of the orlglnofl..g application, may be cause for
revocation of this Pem>it by raolution of the said Board.
s. Thu there will be no unreasonable iflterference with aavigatioa u a result of the wod<
bereifl authorized. "
6. That there shall be no interference with the right of the p>blic to pass and repm aloog
the beach between high and low water marks.
7. That If future operations of the Town of Soutbold require the removal and/or alteratioas
ifl the location of the work bereifl aad>c<:l-d. or if. ifl the opialoo of the Board of TmsteeS, the"
work shall cause un.reasonable obstrualO<l to free oavigatioa. the said l'em1iuee will be requlred,
upoct due notice, to remove or alter this wade or project bereifl stated withouc espeoses to the Town
of Soutbold.
8. Thu the said Board will be notified by the Pem>ittee ot the ~" of the work anth-
orized.
9. That the Permittee will obtaifl .ll other permits and coasePts that may be required sup-
plemental to this permit which may be subject to revoke upon fallure to obrala --
Albert J. Krupski, President
James King, Vice-President
Artie Foster
Ken Poliwoda
Peggy A. Dickerson
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES
72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN
APPOINTMENT FOR A PRE-CONSTRUCTlON INSPECTION. FAILURE TO DO SO
SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE
PERMIT.
INSPECTION SCHEDULE
Pre-construction. hay bale line
1 st day of construction
Yo constructed
~roject complete. compliance inspection.
0.. /2-<< /0 2.
No.
Issued To f)o~ s\ (~
Address ~
Date~
THIS NOTICE MUST BE DISPLA YED DURING CONSTRUCTION
TOWN TRUSTEES OFFICE ,TOWN OF SOUTHOLD
SOUTH OLD, N.Y. 11971
TEL.: 765-1892
.
.
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Albert J. Krupski, President
James King, Vice.President
Henry Smith
Artie Foster
Ken Poliwoda
Telephone (631) 765-1892
Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Office Use Only
_Coastal Erosion Permit Application
::;:;'Wetland Permit Application ~ Major
_ W aiverl Amendment/Changes
"LReceived Application:~
_Received Fee:$
_Completed Application
_Incomplete
_ SEQRA Classification:
Type I_Type II_Unlisted_
_ Coordination:(date sent)
_ CAC Referral Sent:
_Date of Inspection:
_Receipt ofCAC Report:
_Lead Agency Determination:
Technical Review:
_Public Hearing Held:
Resolution:
Minor
I MAY 2. 8 2002
k'" ~ .
r . _ _ _,__-..--,'~
-ro,': .~-"";-- ~rS' !', '
1011. 1 i..L. ",
~'._.":._...,.__'_"_' -.~~
Name of APPlicant~ Q,V
Address 100 W\\t \ ~
g'181LC(.,
en -e L () ('. \II.L
tJ\ <do -h ~ Jet..
Phone Number:( ) '" 3/- 2- q 8 -/0 2~
Suffolk County Tax Map Number: 1000 - \ 15 - 11 - l'l . t
Property Location: \-1u. V" loot- \=Q. y ~ s. - L--~ "f"'-'i$'"
\~O W~\\\.1> Co('~-e.L O'("",~-~,~J~
(provide LILCO Pole #, distance to cross streets, and location)
~r!~Y
AGENT:
(If applicable)
AdA
I
Address:
Phone:
.
.
Board of Trustees Application
GENERAL DATA
Land Area (in square feet):
Area Zoning:
Previous use of property:
Nc>^E
--r
Intended use of property: J..n 5r\rt Q~
J? I( ;) 7 (A.A'~ ((VM?_
O(j~
\
Prior permits/approvals for site improvements:
Agency
S u ,~c9. \ vv;.+fl .e.l
Date
~ \ on \ 0<--
_ No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a governmental agency?
""""'---No_ Yes
If yes, provide explanation:
Project Description (use attachments if necessary):
Small '''sn)u,,-J SufllY\yYt'Illl.S fO<'1 1);<;)7
Lvl% re(\LC-
. .
Board of Trustees Application
U ~~'f &'(I)Jvd-----e;n~
WETLANDffRUSTEE LANDS APPLICATION DATA
1. \'\ <., \~ S mct..ll
I 'i I< ~ -, W:\~ ~I'\(L
Purpose of the proposed operations:
Area of wetlands on lot: ,JtJAE"
square feet
Percent coverage oflot: 0
%
Closest distance between nearest existing structure and upland
edge of wetlands: feet
Closest distance between nearest proposed structure and upland
edge of wetlands: feet
Does the project involve excavation or filling?
No . /' Yes
If yes, how much material will be excavated?
?
~ S0<"'~~~
cubic yards
How much material will be filled? NoNe
cubic yards
Depth of which material will be removed or deposited:
feet
Proposed slope throughout the area of operations:
Manner in which material will be removed or deposited:
B\J\\~(\1JAr ~ TNcLO
CM.VC{L/
I
~)
Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by
reason of such proposed operations (use attachments if appropriate):
NI:.Nf
. .
Board of Trustees Application
COASTAL EROSION APPLICATION DATA
Purposes of proposed activity:
\ i\~()\>,-J ~ae.-t
Are wetlands present within 100 feet of the proposed activity?
c~ '7> tv' u c.l-\ 0""' \) Y-- ~~o.U
1)\(';).1 v01~ C<","te-
No /'Yes
Does the project involve excavation or filling?
No /' Yes
If Yes, how much material will be excavated?
7
(tot Su'a J ~.-\-
(cubic yards)
How much material will be filled? Ai 0 IJ i3
(cubic yards)
Manner in which material will be removed or deposited:
13..)\\ d~l.l.' v ~ d'\\r~
co 'rvc1
OV)l'o
Describe the nature and extent of the environmental impacts reasonably anticipated resulting
from implementation of the project as proposed. (Use attachments if necessary)
NoNE
.
.
PROOF OF MAILING OF NOTICE
ATIACB CERTIFIED MAIL RECEIPTS
U.S Postal Sl1 \ ,( t
CERTIFIED MAIL RECEIPT
(DomestIc Mati Only. No fnsurance Coverage Provided)
U.S Postal Service
CERTIFIED MAIL RECEIPT
(Domestic Malt Only, No InslIrance Coverage ProvIded)
..D Ad m
l'- ru
'"" :W IT"
..D CI
m Postage r'l
'"" 3"
..D Certified Fee CI
3" ru
3" Return Receipt Fee ru
(Endorsement Required)
c:J c:J
c:J Restricted Delivery Fee CI
c:J (Endorsement Required) CI
c:J Total Postage & Fees $ CI
3"
IT"
'""
Postage $
l.-
MATTITUCK, NY 11952
Certified Fee,
R.'em Roo"p' 'eo ~
(Endorsement ReqUired)
Restncted Delivery Fee
(Endorsement Required)
- :;tu
Total Postage & Fees $ . ,
Sent 1:3,. L
ru -Street:APf~-No,;-
CJ or PO Box No
CI
l'-
-(;ity,-siaie:ziP~4-
\.. u ../tO~k...
~~<?.-9,~O:;;~rf
7C 4./ I ( 'f I))....
I/lAJ>
STATE OF NEW YORK
COUNTY OF SUFFOLK
~V" OS, ~ ~ '-"- . """",,g" \"30 ,-"" \ l" Gt.....l Dc,v<...
S;,e.~ ~ , being duly sworn, deposes and says that on the
day f ,20---, 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 ~ ~ JJ-{ . that said Notices were mailed o' d persons by
(certified) (registered) mail.
~b
Sworn to before me this ~ \
Day of , 20{}2-
KAREN !"OVEMBER
NarARY PUBLIC. STATE OF NEW YORK
QUALIf't:'D IN SUFFOLK COUNTY
NO. 01.N04872994
COMMISSION EXPIRES OCTOBER 8. W
.
.
Board of Trustees Application
County of Suffolk
State of New York
~~ ~~ BEING DULY SWORN
DEPOSES AFF THAT HElSHE IS THE APPLICANT FOR THE ABOVE
DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE
TRUE TO THE BEST OF mS/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
REPRESENT ATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE
PREMISES IN CONJUNCTI~~W OF THIS ~ TION.
/ ~
~ ....
..'~
'. ~nature .
,
SWORN TO BEFORE ME THIS :l \
DAY OF
,20~
KARE\"-"\ <:' ,~pL:P
N RY PIK',.!C,
QUAUF"0U. H\ ' -, <
, NO. Ol "'''' .' ' " ",,\}
COMM1SSiON E:X}'tht~~ U\"I vo..I..:Ji v, f)JlJL.
.
.
Albert J. Krupski, President
James King, Vice.President
Henry Smith
Artie Foster
Ken Poliwoda
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 SOUTH OLD
BOARD OF TRUSTEES: TOWN OF SOUTHOLD
-----------------------------------
In the Matter of the Application
of
~~~~~~~~fl----------------
STATE OF NEW YORK)
AFFIDAVIT OF POSTING
I, ~o~r S:t'2\X-"'- , residing at '3D uJill.S( vef' l Or~~
\J.o.-\-~\J0( I IV-1
being duly sworn, depose and say:
That on the J ,[) day of ~o.1{.- , 200Z., I P rsonally posted the
property known as ~o \.,P-J; \1 Ie> (Y-eci( V' 0...Q - Lc+ 1'<' 'i3'
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 o~.t?f I.. . .
public hearing. J2..a~ of hearing noted thereon to be held ~ntJ(p~~
()'f\. ~o.'tntt.,~OO l'\Y'l- .
Dated:
-- ~ --.--
si~n~tu:~~? -~
Sworn to
'S,dd
KAREN ,~OVEMBER
NOTARY PUBLIC. STATE OF NEW YORK
QUALlf'W II~ SUFFOLK COUNTY
NO. 01-N04872.994 ...Cl
COMMISSION EXPiRES OCTOBER 6.dCJlQ7"-
..
.
,....~6.4 1218n- Text 12
I PROJECT 1.0. NUM8Eil
617.21
Appendix C
State Environmental Quality Review
SHORTEN~RONMENTALASSESSMENTFORM
For UNLiSTED ACTIONS Only
PART I-PROJECT INFORMATION (To be completed by Applicant Dr Project sponsor)
SEa
1.
I 2
PROJECT NAME
3.
~ ffi\ lc
Municlpallty County
4. PAEC:SE LOCATION (Street address and road intersections, prominent landmarks. etc., or proviae map)
\30 lJ.S,,\\-~ ~ Q-\\~
ACTION:
o Expansion
6. DESCRIBE PROJECT 6RIEFL y;
5.
o Modification/alteration
\ '" <; \-ct-QJ
~ ~l "~voJ....J. ~utrt
/)KJ-/
\AlIi-" Q Vl~
7. AMOUNT OF LAND AFFECTED:
---"
Initially / acres UltimatelY acres
a. W~LyqO?OSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS?
~Yes 0 No If No. describe briefly
9. VJ~T YAESENT LA~~D uSe IN VICINITY ~F PROJECT?
~sldential O.!noustnal [J Commercial
Describe:
o Agricuiture
i I Park/ForesUOoen soace
L.J Other
10. DOES ACTION INVOLVE A PERMIT APPROVAL OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (F=DERAL.
STATE O~ LOCAL)? ~
DYes ErNo If yes. list agency(s) and permiUaoprovals
-:r-
11. DOES ANY A~E3rOF THE ACTIO'~ HAVE A CURRENTLY VAllO PERMIT OR APPROVAL?
o Yes. ~o If yes, list agency name and permit/approval
12. AS A RESULT ~ P~SEO ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE .'v10QIF1CATION?
DYes ~ ...
I CERTIFY THAT THE INFORMATION PROVIDED AeOVE IS TRUE 70 THE 3EST OF MY KNOWLEDGE
Applicant/sponsor name:
\<~I\ \<- . ~\q'~
Dale:
5
-0'2-
SIgnature:
If the action is in the COllstal Area. and you are a state agency, complete the
Coastal Assessment Form betore proceeding with this a:?~essment
OVER
PAMT 11_::NV[RO~JMENIA'
. J. -~l-'I-, -0 '" .......-,..'e'en '""1 ., ,........c.
.';:'11 c.: L' '..Ie c....."..,1 . ~ ...., ......':::t~"
.
.... OOES ;.C7:C,'l '::;(C2~J ':','1Y L L ..:::;: 7i-i2ESHOLJ ~N 5 ,\l':'C2R. ;1';;:.15:7. ::;:?
n.fas C,"IO
3. 'Nlll... ..:.C7:CN :1-E':2:V=:8CP.OINA.~:J .~EVIEW":"$ ?P.C'./IOE:J .=.:;:1 UNL;$.2:J ~C7;CNS iN:3 .'\!YS2R. ;l,Q,;;, 5,7.37
may be sucersedec ~ ~not~er involVed agency.
L2 Yes cY~o
;t yes. coorOlnate :ne reView :rocess ana 'Jsa !r.e .=:JL:... ::"AF.
it .'10. :l. .,eqat:ve -:::ec:ar.=.
C. C::::ULO ":'C7.iCN QESUL7 ,N .lr.NY AOVERSE :.~:=:-:75 ASSCC:;.72:J 'NIT~ ~:..,=. ~':JLLCI,NJNG; :Answers :nay::e _,anC!wrn:en." :eglcleJ
Cl. ::;cisting air quality. iurtace or 'Jrounowaler c:ualily or :t.:anoty. ,10lse ,eveis. ~x:s:lnq :,affic ::alterns. sOlic .vaste proccc::::n or JIsc:::
pOtenllal ler erosion. ;;ralnage or :looc!inq :lroblems? :':'l:olaln ::lrieily:
C2.. Aesthetic. agric:Jttural. 3.rc:1aeoloqical. ;,istoflc. or :liner ~atlJ(al or cuiluraJ ~esources: or communlly or '-lelgOlOcrnood c:-:arac:er? S::cDlaln _'
C::l. Vegetation or :auna. ~lsn. sr:ellflsn or 'Nlldlife species. ilgnHicant :"Iaoitats. or :nreatened or ~nc.anc;erea 3cec:es? s.:ctaIOJrlally:
c..:.. A ccmmunit'l's existing jJlans or goals as oiflc:allY adooted. or a cnange in use or intensity ot usa ot land or other natural resources? Explain :r
cs. Growtn. subseouent ,:eveloomenl. or related ac:ivilies likelY to be induceD by !he :::roooseo action? Solam arleflv.
C3.
!..cng :erm. snort :erm. 'C:Jmulative. or other ':311ec:s nOI iClemifieCl in C-:-C5? ::x.:1l31n Jrlefly.
Str:e~ imoac:s ,inc;~Cil'1C; :~anl;:es In ~se of ~!ther quantity or :yt:e or =nergYJ? ::xOiam :.rieily.
'J. S :-HE:=lE.:JR:S 7i-iERE '...:!<E:!.::' 7"0 3E. C:::NT:=tOVE_~SY ~ELAT20 70 ?QTENT!AL "':'QVS~SE =~IVIRONMENT;'L :t.1P~C7S?
'_':'as
~No
:f '~es. =xclain orieity
PART III-DETERMINATION OF SiGNIFICANC:: ITa oe comoleted by Agency)
INSTRUCTIONS; For eac:'l adverse effect identified atove. determine whettler it is substantial. large. important or ottlerNise signific,
:.ach effect silouJd be assessed in connection with its (a) setting (Le. urban or rural); (b) probability of occ~g: (C) duration.
irre'lerslbilily; (el geoqracnic scope: and (t) magnltuae. If necessary, add attachments or reference supporting materials. ::1sure
eXOlanations contain sutfic:ent derail !o snow that all relevant adverse impacts have been identified and adequately accressec.
C;'eck this box if :/OU have identifiea ene or more ;:::otenrially large or significant acversa imoac:s whicn MA'f
oC::::Jr. Then ;Jrcceea directly to :he r=ULL =AF and/or prepare a positive" declaration.
,-' C;'ec:< :his ~ox :f you have determined, ~ased on the information and analysis above and any suoocrtinc
coc:..Jmematlcn. :i1at :l1e ;JroOosed ac:ion WILL NOT result in...;;.f1Y significant adverse envircnmemal imcac::
AND ;lfollice en ,HtaC:1fnents as necessary, ehe reasons supconing this determination:
,"4..",~ '1/ .e..HJ ,,",,<:t'nc.,
,.'f1nt '.11 . "1.:<: .....Hnf!' ,)1 -(~'H,cn\'OIt' ";Il,c::r ,I'l ~e..O -"".;ene',
"Uo: 01 O<,,"~OOI'l\'OIO: Off,cer
;''lI'lJlt.:lC' ')1 -(t'~con"ou~ ''':I;,c..r.n ~o:Ja .",,>:t'I1CY
).~n.i:urt!' )f r'~"~Jter ~Ir :":ll:t'~t'nl :rom n~Soon\'o'l'!' ::III,czr,
JJIC
~
"-
Albert J. Krupski, President
James King, Vice-President
. .
Henry Smith
Artie Foster
Ken Poliwoda
.
.
Town Hall
63096 Main Road
P.O. Box 1179
SouthoJd, New York 11971
Telephone (616) 766-1892
Fax (616) 766-1823
.
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
TO: 1)09(' A ---2t 0, Ko
J -
Please be advised that your application, dated :)J~fJOJJ
has bl)el\ reviewed by this Board, at the rogular meet ng of
In/J~ID~ and the following action was taken:
(~ Application Approved (see below)
(____) Application Denied
(____) Application Tabled
(see below)
(see below)
If your application 1s 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:
" j'o('(J"
(1ornp{cQnu.. (fl,/)fRC~ Vr U
TOTAL FEES DUE: $ S 00
~\)
~ ,ill S ~ ~ \ Otp
\;
o.SO
tlaA.~1 '1 /&.. ~~.A..' 9,
SIGNED: y.
PRESIDENT, BOARD OF TRUSTEES
BY:
~f1A.vu n --J-:ta ~ lu
. ,BOARD OF TRUSTEES
4/98
c'\" '
~ 'Ro<u-r..)1 eJ ~
i3D<J ()J"U:.} Cu.-R-Ic (;h u..e...
l'v\uttl-fJcJ<., /J1 II?~
- p::j - ~\-() fPSlctl 'V~ ~OO\
15 ~ ;;r7 wJt." f~
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Dro'
If/O
ge
4reo
Lot5
(DWELLING)
Wit h Public
Water
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NOTES:
J. ELEVATIONS SHOWN HEREON ARE FROM ACTUAL SURVEY
AND ARE REFENCED TO N.G.V.D. (M.S. L 1929).
2. THIS PARCEL IS LOCATED IN FIRM ZONE A4 BASE
ELEVATION B.O AS INDICATED ON FLOOD INSURANCE
RATE MAP PANEL NUMBER 36081301160 LAST DATED
AUG. 16,1993.
3. (I) Gl ' NUMBERED LATH SET FOR PROPOSED LOCATION
OF HOUSE
4. (WL2) C!l , NUMBERED LATH SET
HEALTH DEPARTMENT -DATA FOR AP?RCNIll. TO CONSTRUe T
"N(A"IST WATII': .'IN~~~ ..CUltCI 0/1.,,1", ",I"TE ~-'JIM..lc;_
. ..., co. TAX II.' DtIT .IllDOL.IC liON ...11L M.DC:K ~ LOT .J.LL
It THIM AM fiI) DWELLI'" WITHIN 100 fl'EET 0' ftlS ""O'lfllT't
OTHE" THAN THOSI IMOW" HE"IO".
.. THE WAT[R .U.......Y MID ..-.& DlPOIAL "ITEM flOR THII ItDIDlNCE
WILL CQNP'O"" TO TME IT"NOMOI 0' THE SlWl'OLK COUNTY Or.ltAIItTM[NT
Of' HIEAL TH IQN'ICII.
AWl-leNlT.
ADO"ISI
T1tc.
NOTE' .= STAKE FOUND
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF
SUFFOLK COUNTY ON AUG. 21,1981 AS FILE NO. 8377.
. nc LOCATlCII Of' WlLL(W),SUTIC rANK(ST). CCIWOOUCCP)...... ....CC'M
AM. ItIItOM "ILD .......'1011. AND 0" DATA "'''fICO'''' OTMI'"
BRANDIS & SONS IHC.
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MAY 2. ~HOOL
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Lot9
( VACANT)
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12'
DRA.II'/A.GE: E:45E:^,E:1'/7
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3
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TEST HOLE
FROM FILED MAP
EL-12.5 o'
ToPSOIL
AND LOAM
5-.0'
SANO
GROUND 'itA lER 11.1'
fL-1."
WATER IN
SAND
15.0'
~
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SANITARY DETAIL
SEWAGE DISPOSAL SYSTEM - 2 POOL
N,T.S.
HOUSE
rF..160t
nNISH(O GRADE
12..
1.11
\.13
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CROUNO WATER _ 1.4
- - -
-
-
SURVEY FOR
ROGER K. SIEJKA
LOT NO.8, "HARBOR VIEW AT MATTITUCK"
AT MATTITUCK
TOWN OF SOUTHOLD
SUFFOU< COUNTY. NEW YORK
OCT. 2, 1997
APR. 2, 1991
JAN. 6, 1991
1"= 50'
DATE
SCALE'
NO.
96 - 1113
.. \JHllUTHOftlZr.O' ALT'ElItATION Oft AODlrIO". TO THIS
tUftV!,. . A vlOl..AnON (:# neTID,. 720. ()tII' THE
NEW VOlltK ITATE EDUCATION L.AW
.. COttI[l " ,"IS SURVEY NOT ."'''''0 THE LAND
su"v[YO,fs INKE 0 HAL 0" ENIOIS(O I[AL SHALL
MOT II CONIIOE"lD TO II A VALID TRUE COpy
ltGU.."ANT[U INDICATED HEMON SHALL "UN ONLY 10
THE: ~"ION 11'0" WHON THE SUIIN'IEY IS P"I.PA'UD
AND ctr HIS HHALF TO THE nTL[ CONNIIlY, GOVlltN-
MENTAL AG[NeT AND LE.HDING INSTITUTION L.ISTED
H[fItEOM, AND TO THI &IIIGHUS OF TH! LENDING
INSTITUTION. GU.,....NTUS "'''E NOT TIUlHS"E"....LE
TO AOOtTIOfiI"'L INSTITUTIONS 0" SU.SEQUENT
owH EftS
* 01 STANCIS SHOWN HE"EON '''OM ""OIJEftTY UNIS
1O[X'11INI ST"UCTUftn ARf 11'0" A "'fCI'IC
,utt'O'f "'ND "'''E NOT TO .E USEO TO [STAILISH
"'OIl[RT'f' LIN[S Oft FOflt THE ['UCTION OIF II'fNC[1
CERTIFIED TO:
J
ALDEN W. YOUNG, PROFESSIONAL ENGINE ER
AND LAND SURVEYOR N.Y.S. UeENSE NO. 12845
HOWARD W. YOUNG, L.AND SURVEYOR
N.Y.S. L.leENSE NO.45893
Z.I.
.
.
Telephone
(631) 765-1892
Town Hall. 53095 Main Road
P.O. Box 1179
Southold. New, York 11971
. SOUTHOLD TOWN
CONSERV AnON ADVISORY COUNCIL
At the meeting of the Southold Town ConserVation Advisory Council held Monday, June
24, 2002, the following recommendation was made:
Moved by Melvyn Morris, seconded by Bob' Ghosio, it was
RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH
A CONDITION of the Wetland Permit Application of ROGER SIEJKA to install an in-
ground swimming pool 15'X 27', with a fence.
Located: 130 Willis Creek Dr., Mattituck. SCTM#115-17-17.8
The CAC recommends Approval of the application with the Condition that drywells are
installed to contain the pool backwash.
Vote of Council: Ayes: All
Motion Carried
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