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Home My WebLink AboutTR-5790 . . ..j. TERMS and CONDITIONS C'!. ".:\ ":\, 0", I.a", . The Permittee PP.tP.T K"t":::llnpc. residiog at 7400 PQsQRie B.., I3I.J. ~ ~ N. Y.. as pan of the coosideration for the ls$o"~ of die t' \Illdasta.Dd and prescribe to the fo!. 1owiog: 1. That the said Board of Trustees and the Town of SouchoId II<< released from my and aU damages, or cbims foe damages, of suIu arlsing ditecd1 or h1ditecdy as a ftSUk of my ~. atloa pedoaned pomuaot to chls pemdt, and the said p.. .l.~.e., wi1I, at his or he!: own bF '-. delead my and aU sUch lUllS 'Inlol.~ by chhd patties, and the said ~~ &SSI>""'f fall IiobIIlt1 with reSpect thereto, to the a>mpleteexdusloo of the Baud. of T~ of die TOWIl of ~ 2. That this Permit is \'a1id f<< a period of 24 mos. which is ~ to be the estimated time' required to alCIlpkte the 'I9'O<k in~ butiboald ~ warnar, teque$t for on exlaISlOD may be made to the Board at a later date. . 3. That this Permit should be reUiaed iadef'anitely, or as loag as the said P~ec wishCs to ,...,....In the sttuCtUte or project involved, to provide mdence to anyoae (:OlKIO[tled chat auch- .orization was origi.oally obc.iaed. 4. That the wodciarolved will be oubject to die in~ and appcoW of the Baud or its agents, and non-<lOf"{'ll.~with. the provisioos of the orl&/_fi..g applbtion, may be canse for revocation of this PemUt by resolution of the said Board. S. That tbete will be no """,,so<>.l>le intedereace with oavigadoa as . ftSUk of the wotk . beteia aUchorized. . ~ 6. That tbete sbaI1 be DO ioterfeceoce with the dj:ht of the pubIk to pass and repass aIDog the beach between bl8h and low walet marks. . :. 7. That if future opecatiODS of the Town of South91d require che remonI and/or a.keradoas in che location of the 'I9'O<k beteia ..cb<<P-M, or It; in die opIaioa of die Board of Tmsrees, die. work sha1I cause _able OOstnlCllOO to free ~ the said Petmittee will be RqUIred, upon due nodce, to remove or dter this work or project beteia stated wicbout ~ to die TOWIl . of Souchold. . 8. That the said Boatd will be notified by the Pc<mittee Of die COCl'l"edoa. Ol tbe wad: auth- orized. 9. That the Permittee will obtain .u other pecmics and c:orc-k &at may he required sap. p1ementd to this petmlt which may be oubject to teYoIce upon fa1lure to obtain -. , . " _~__......,___~____...._....._~....__.___________....- ..:.i:, .' . . 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 July 29,2003 Mr. Robert Herrmann En-Consultants. Inc. 1329 North Sea Road Southampton, NY 11968 RE: SCTM#126-11-12 PETER KRAMES 7480 Eeconic Bay Blvd. Laurel, NY Dear Ms. Herrmann: The Board of Town Trustees took the following action during a Regular Meeting, held on July 23, 2003 regarding the above matter. WHEREAS, En-Consultants, Inc. on behalf of Peter Krames applied to the Southold Town Trustees for a permit under the provisions ofthe Wetland Ordinance of the Town of South old, application dated June 30, 2003 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 July 23, 2003 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 standard set forth in Chapter 97-18 ofthe Southold . 2 . 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 a Wetland Permit for PETER KRANES to resheath approximately 176 linear feet of existing timber bulkhead below the lower whaler with vinyl sheathing. per plans dated August 20, 2002 prepared by En-Consultants. Inc 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. If inspections are required, at a fee of$5.00 per inspection (See attached schedule). FEES: $5.00 Very truly yours, P~.I9- ~.t1_ Albert J. Kfupski, Jr. r . President, Board of Trustees AJK/cjc cc: DEC 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-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. t< rc.. ""'" R.J INSPECTION SCHEDULE Pre-construction, hay bale line 151 day of construction % constructed ./ Project complete, compliance inspection. ~ ,~ , 0'-> \ v~ ? \ ~ I . . , l ! )" ; \ ; '. , Q , , I \ ~ . I . ~ { ~ , >. . I I ~~ / , , f . 4 , . 1 , m J' , J . ~ . r ~ \ o o r t o o . <:..... ...., /, , , , o ~~.\ dl dl ^' ~",' ~ ~ J J 'f,'~ , N IJ IfI iri .. , , ., :J<I>~~ o*~"'~ ~pQ~~~"'" ~ t'l-~;"~ e' po # I I (~ .-,' ".~ ,~/ ~ ./ /~ /0 ~. '" -.r-'~~~ . <b3/ .;>- "",'" "Y" .--/ ~ ~Ir'-~ o~ vC-- <;? . ,C' EN-COMSUITt,MTS ".IC 1320 r'lf)PTH SF!' SOliTH/'MPT6~J, N.Y.11968 631-283-6360 - ~ 1J: J~ IE ~ , IE 2, C f , , '. \ \ \ ~V Slff (ACCf55 VIA 5UBJfCfP NZW-) ! ~ ~ ~ \SZ S( "-'-' 2Z ~ ~ ~ ~ C) ~ G tR C) I:L C) ~ I:L 'i2 ~ z C) \= '0 tR Suffolk CaJnI:q ~.tr"" /.kp 2'7 I" p :':..?OOO' '^ cw ~ ~ c ~ ~ ~ ~ oK 5' uo ;;,- D ~ 8 "'- Southo Town 80ard of rustees -1"1- ~ :i \t N ~ ~ iJSz ""~ "'lSZ ~C) . \- x~ uo II o "-' ~ Noi:e>: IJPurpo,;e: Maintain eJ<1%lrq ",,,,,'on conI:cd 5lnrlure 2) Oab.rn: fi-W ?) Bulkheacllo be re5heathed on 110 5ea>'lerd face, below the boi:Wm waler 4) New <l1eathirq 1:0 be vlY141 '7) Pr"l'eri4locatlon: 1480 PeCOlllc 13"4 Blvd Mattii:u:;K, SUM #1000-126-11-12 6) Adjacent owner.: I - Mattii:u:;k A55OCiate. 2 - Rui>lura PROP05W WI/'IfR BUL.K.rf,A!? R~5H~AfHINu fOR P~1tR KPv\N~5 ON u~AI P~CONIC BAY, L.AU~L., 5UffOL.K COUNiY, NY 5H~~11 Of I 8/20/02 Albert J. Krupski, President James King, Vice.President Henry Smith Artie Foster Ken Poliwoda . . Town Hall 53095 Main Road P.O. Box1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: Rn-rr'\'t,C!,,1+~'Y'l+C! I T......~ Q"Y'l QiilR.:alf sf Peter 1<.1 EH..e.a Please be advised that your application,.d~June 30,2003 has been reviewed by this Board, at the regular meeting of Tnl]'?~ ?nn~ and the following act [) (--X-) Application Approved (see below) (-) (-) Application Denied (see below) AUG 14 'W ~ fm "3 ~ Application Tabled (see below) Southold Town Board of Trustees 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: One Inspection @$5. 00 TOTAL FEES DUE: $ 5.00 , SIGNED: tlLt....1 ~ ;&~ ,.4.1.- 9; PRESIDENT, BOARD OF TRUSTEES ~~F(~ C{ I~ r 0 'j BY: 4/gR Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda - . Town Hall 53095 Main Road P.O. BoxH79 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD I TO: FTl_rnnc:n1+~:n....+C!. T......... QT"o b9R.alf sf Peter KI fiRe..J Please be advised that your application, dated June 30. 2003 has been reviewed by this Board, at the regular meeting of .Tll1y~' ~nn, and the following action was taken: , (~) Application Approved (see below) (____) Application Denied (____) Application Tabled (see below) (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: One Inspection @$5. 00 TOTAL FEES DUE: $ 5.00 SIGNED: tlLJ..&.-1 ~ I&.~- t1'"d-l.: 9, PRESIDENT, BOARD OF TRUSTEES ~J:1:/:~R BY: <lIaR Albert J. Krupski. President James King, Vice-President Artie Foster Ken poliwoda Peggy A. Dickerson . BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town .t1all . 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 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-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. PETER KRANES INSPECTION SCHEDULE pre-construction, hay bale line 1 sl day of construction Yo constructed -X- Project complete, compliance inspection. - ,. . bltu/\ U "t :,e1ephone (631) 765-1892 Town Hall. 53095 Main Road P.O. Box 1179 Southold. New York 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Tuesday, July 15, 2003, the following recommendation was made: Moved by Bob Ghosio, seconded by Donald Wilder, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH A STIPULATION of the Wetland Permit application of PETER KRANES to re-sheath approx. 176 linear ft. of existing timber bulkhead below the lower whaler with vinyl sheathing. Located: 7480 Peconic Bay Blvd., Laurel. SCTM#126-11-12 The CAC recommends Approval of the application with the Stipulation that there is no dredging involved and a berm is established with native wetlands plantings in lieu of a non-turf buffer. Vote of Council: Ayes: All Motion Carried . . 1329 North Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 E-mail: encon@peconic.net www.enconsultants.com ~ EN-CONSULTANTS, INC. ENVIRONMENTAL SERVICES June 25, 2003 \5),1: !: Ii. U 'if IE ~ l~ JUN 3,: i~ Southold Town Board oj Trustees Town of South old Board of Trustees Post Office Box 1179 Southold, New York 11971 Re: Peter Kranes 7480 Peconic Bay Boulevard, Laurel SCTM #1000-126-11-12 Dear Board Members: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: I. Three (3) WetIand Permit Applications, ( including Notice and Proof of Mailing to adjacent owners). 2. Three (3) Short Environmental Assessment Forms. 3. Three (3) copies of autborization & disclosure forms. 4. Three (3) work plans. 5. Three (3) copies of survey. 6. One (I) set of site photographs. 7. Application fee of $200.00. I trust this information shall allow you to process our permit request. Sbould any additional information be required, please do not hesitate to contact our office. Sinc.9'f~' R!t~~~~;- Coastal Management Specialist Ikhs Ene. . .. . . Figure I. Looking northeast along top of""- bulkhead to be resheathed below lower w~/e with vinyl. Figure 2. Looking southwest along top of""- bulkhead to be resheathed below lower wale with vinyl. . . Figure 3. Looking southwest al face of ex. bulkhead to be resheathed below lower wale with vinyl. . , Albert J. Krupski, President .' James King, Vice-President . Henry Smith Artie Foster Ken Poliwoda ~ Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Te]ephone (63]) 765-1892 Fex (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Applicatism _Wetland Permit Application L Major Waiver/ Amend:eJ't/~~ _Received Applic~ion: ~ 0 Received Fee:$ drt j{J {..l. Completed Application 10) ~. _Incomplete ' SEQRA Classification: Type I_Type II_Unlisted Coordination:(date s t CAC Referral Sent: _Date of Inspection: _Receipt of CAC Report: Lead Agency Determination: - Te, chnical Review:~ Public Hearing Held: Resolution: Minor Name of Applicant PETER KRANES Address P.O. BOX 457, LAUREL, NY 11948 Phone Number: 631-298-5708 Suffolk County Tax Map Number: 1000 - 126-11-12 Property Location: 7480 PECONIC BAY BOULEVARD, LAUREL (provide LILCO Pole #, distance to cross streets, and location) AGENT: EN-CONSULTANTS, INC. (If applicable) Address: 1329 NORTH SEA ROAD, SOUTHAMPTON, NY 11968 Phone: 631-283-6360 4ItBoard of Trustees APPlic~n GENERAL DATA Land Area (in square feet): 35,486 Area Zoning: Previous use of property: RESIDENTIAL Intended use of property: NO CHANGE. Prior permits/approvals for site improvements: Agency Date X No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary): RESHEA THE APPROXIMA TEL Y 176 LINEAR FEET OF EXISTING TIMBER BULKHEAD BELOW THE LOWER W ALER WITH VINYL SHEA THING. ,tioard of Trustees APPlicat~n WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: MAINTAIN EXISTING EROSION CONTROL STRUCTIJRE . Area of wetlands on lot: 0 square feet Percent coverage of lot: N/A 0/0 Closest distance between nearest existing structure and upland edge of wetlands: N/A feet Closest distance between nearest proposed structure and upland edge of wetlands: N/A feet Does the project involve excavation or filling? X Yes No If yes, how much material will be excavated? N/A cubic yards How much material will be filled? N/A cubic yards Depth of which material will be removed or deposited: N/A feet Proposed slope throughout the area of operations: N/A Manner in which material will be removed or deposited: N/A Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): THE PROJECT ENTAILS THE ORDINARY AND ROUTINE MAINTENANCE OF AN EXISTING BULKHEAD AND WILL HAVE NO SIGNIFICANT ADVERSE IMPACT ON THE ADJACENT WATERS OR UNVEGETATED WETLAND AREAS. 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 BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- ;;~j~;;!;;~:;;i;;;;;;;;~~;;:":::~~~--~~~~~~~~ STATE OF NEW YORK) I, AFFIDAVIT OF POSTING 111 I J f _ ~ EN-CONSULTANTS INC. 1t.JJJ:Xrr tiJl.N7"'''I''''^ ,reBilling at 1329 tJORTl1 SEA RD. SOUTHAMPTON, NY 11968 631 283-G3G8 being duly sworn, depose and say: That on the 6~day of Jvtr ' 003, I~rsonallyposted the property known as D r:c~ t5lv",( . by placing the Board of Trustees offi ial poster where it can easily be seen, and that I have checked to be sure the poster has remained in pia e or eight days prior to the date of the public hearing. Date of hearing noted thereon to be held rl'v ~ 10~ftYJ Dated: Sworn to before me this .,;.'-?Jt1 day otCft-rOO3 ~~~,~'k) o lie t '- .. .. .. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: MA TTITUCK ASSOCIATES Address: ao WILLIAM BOWE 81 SEARVIEW BOULEVARD PORT WASHINGTON, NY 11050 AUDREY & DOMENICK RUTTURA P.O. BOX 164 POINT LOOKOUT, NY 11569 STATE OF NEW YORK COUNTY OF SUFFOLK ROBERTE.HERRMANN doing business atEN-CONSULTANTS,INC. 1329 NORTH SEA ROAD SOUTHAMPTON, NY 11968 , being duly sworn, deposes and says that on the 25TH day of JUNE ,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 Southold; that said Notices were mailed at the United States Post Office at , that said Notices were mailed to each of said perso s by (certified) ~~) mail. d5~ Sworn ~ore me this day of ( ~ ,20 0<- 1'-.. . ~ ~ ~/+-:C~ h~ "-.:------. Notary Pu lic b IIIH.s;:rn:1Ii IIlIIyPif'.~aIe.III"Y,' c.m.1lI,5111~31 QIIIioIOSdolCOInIy 1'AmilII1IEl!m.~~ 617.21._ Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART !-PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 14-16-4 (2JIl7)-TexI t2 PROJECTl.D. NUMBER SEQR 1 APPLICANT/SPONSOR: I 2. PROJECT NAME PETER KRANES BY EN-CONSULTANTS, INe. 3 PROJECT LOCATION: -IV LAUREL County SUFFOLK 4 PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc, or provide map) 11480 PECONIC BAY BOULEVARD, LAUREL, TOWN OF SOUTHOLD, SClM #1000-126-11-12; MAP PROVIDED. 5. IS PROPOSED ACTEr o Modificationlatlefation !:81 ..... E>cpanskln 6 DESCRIBE PROJECT BRIEFLY: RESHEA THE APPROXIMA TEL Y 176 LINEAR FEET OF EXISTING TIMBER BULKHEAD BELOW THE LOWER W ALER WITH VINYL SHEATHING. 7. AMOUNT OF LAND AFFECTED Initially 35,486 S.F. acres Ultimately 35,486 S.F. ...... 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ~e. DNO rt No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ~ Residential o Industrial o Commercial DAgncu""", o Park Forest/Open space DOthef Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDiNG, NOW OR Ul TlMATEl Y FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAl)? !:8IVes DNo ff yes, list agency(s) and permit/approval. DEC, COE 11. DOES ANY ASPECT OF THE ACT10N HAVE A cURRENTlY VAUD PERMIT OR APPROVAL? DYes ~ No If yes, list agency name and permit/approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? Dyes i:8INo I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWlEDGE Applicant/sponsor name ROB T E. HERRMANN, COASTAL MANAGEMENT SPECIALIST DATE JUNE 25, 2003 Signature: ; VI If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER . . . NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN 0.' SOUTHOLD In the matter of applicant:PETERKRANES SCTMfllOOO- 126-11-12 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: RESHEA TIIE APPROXIMA TEL Y 176 LINEAR FEET OF EXISTING TIMBER BULKHEAD BELOW THE LOWER WALER WITH VINYL SHEATHING. 2. That the property which is the subject of Environmental Review-is located adjacent to your property and is described as follows: 7480 PECONIC BA Y BOULEVARD, LAUREL 3. That the project which is under Chapters 32, 37, or 97 subject to Environmental Review of the Town Code is open to public may contact the Trustees Office at comment on: JULY 23, 2003 765-1892 or in writing. You The above referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. OWNERS NAME: PETER KRANES MAILING ADDRESS: P.O. BOX 457 LAUREL, NY 11948 PHONE fI: 631-298-5708 Ene.: Copy of sketch or plan showing proposal for your convenience. 5 .. .. -- IT" ::T I:J IT" "- <0 "- "- u.s Postdl St'rVI( l' CERTIFIED MAIL RECEIPT (Domestic Mall Only No (nsurancc Coverage Provided) ::T I:J I:J I:J Postage $ Certified Fee 2. ":,\ , 1.75~, _, <~ """ .- '~ilRrlFo ru I:J I:J "- t:J Retum Recelpt Fee ....[J (Endorsement RequIred) cO Restricted Delivery Fee o (Endorsement Requlrtld) _,.._ &.... S 06/25/03 Mattituck Associates c/o William Bowe 81 Searview Boulevard Port Washington, NY 11050 entTo SiiNi;Api:-N orPOBoxM c;i;;s,.;;':-iJ " ru m I:J IT" "- <0 "- "- U S Post<.J1 SerVlCL CERTIFIED MAIL RECEIPT (Domestic Mall Only, No Insurance Coverage Provided) QOIii uliwt, If; I.,A 0.37 Postage $ L IItIT <S\} .' \.:;Sl '. "'\ ('~ '~.:! "> ,~ """"""'" ~.~ '~ ::T I:J I:J I:J Certified Fee 2.JO I. Retum ReceIpt Fee o (Endorsement Required) ..n t:O Restricted DelIvery Fee o (Endorsement RequIred) ru Total Poatage & ~ S I:J I:J "- entTo Audrey & Domenick Ruttura P,O, Box 164 Point Lookout, NY 11569 S;;.Hi:iiPt:Nc or PO Sox No. ciii;Si..;;ii> . , T B~Of Trustees APP1iCatio~ .' AUTHORIZATION (where the applicant is not the owner) I, :p~ $~n (print owner of property) residing at-..J4l$O ?~\'- \$1t'f (mailing address) _~I ,,$ ({?,,^ '-\51) \ I .M.(--1... do hereby authorize Gv- ~fwn4wl';.. 1,.;(. (Agent) to apply for permit(s) from the southold Board of Town Trustees on my behalf. ~ ~ Owner's \-~ signature) 8 4Ia~d of Trustees APPlicat~ County of Suffolk State of New York f eTIef \(l!."""-I B BEING DULY SWORN DEPOSES AND AFFIRMS THAT HEf5HE"IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HISfHER.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 CONJUNCTION WITH REVIEW OF THIS APPLICATION. ~ ~~- ~~ Signature SWORN TO BEFORE ME THIS 00'/-1--- DAY OF C::frl d-- ,20 03 ~~~L Not Pu'c " ~ . .--' .. .. hPPLIChNT TRhNS^CTIONhL DISCLOSUR<< FOnH I~e Town of Southold's Code of Ethics prohibits conflicts of interest on the art of town officers and em 10 ees. The ..b'..!!.f.pose ot this form is to provide information wh ell can alert tile town of possible conflicts of interest and allow it to take wllatever action Is )leCeSsarv to avoid same. YOUR NhHR. ~e:WL \c((l.A.NG5 Lest name, first name, middle initial, unless you are applying In the name of someone elee or atller entity, suell as a company. If so, indicate tI,e olher person's or company's name.) NATURR OF APPLICATION. (Checl, all that apply.) Tax grievance Var!ancQ Change of zone ApP1Dval of plat _____ Exemption from p18t~ official map Other L- (If "other," name the activity.) \J.JR'f1.A.Nl>1 ?~'I Va you pecsonB11y (or through your company, SpOURe, sibling, parent, or child) have B re1ntionsltip witll any officer O~ employee of the 1'ovn of SOllthold? .ncHationship. includes by blood, ma~riage, or business interest. -DuBiness interes~- means a busineos, including a partnernllip, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the t:.ovn officer or employee ovnn more than 5% of the shares. YES NO~ If you answered -YES,. complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Sou~hold Title or position of that person Describe the relationship between yourself (~hs applicant) and the town officer or employee. Either check the appropriate line h) through D) and/or describe in the space provided. The town officer or employee or 1119 or her spouse, sibling, parent, or child is (check all that apply) I ^) the owner of grea ter than 5% of the shares of the ----- corporate stocle of the applicant (when the applicant is a corporation), _____8) the legal or beneficial owner of any interest in a noncorporate'entity (wilen the applicant is not a corporation), _____C) an offIcer, director, partner, or employee of the applicant, or _D) the actual applicant. DESCIU PTION or- rn:L^TIONSIII P SUbmitted thi"';;day of KPri ~ 7r;o3 Sign.tu~ >c:.- d, """--./ Print name~~ ~ , <?-o ..JI'"" V ...>..... e.0 ,c- 0'-> ~c- <? ) ~ . , , , ~ I , l ~ ( / ::Z ~ 0- N , \ , ~ ~ '~, ~ ~ [ , I I ~ll>.~ ~, . c:..",,'C;t OJ "'<:.aE:.!J ~...-.... Suffdk CGllr1tlj Ha;.tr0lTl ~ 27 I" ~ 2:-?OOO' 0 I, , , D aJ OJ '" 0 ~ , ' , N IJ If! , . 2, ' qi I, i ':i1 c ~ '" , i ~ Gl \\ ,2 '" i :z "-' ><' '> ~ "-' 'r '" '" <r\ >< CJ '" 8 "- SIfISllIllO pl8lll1 81MllIIIGq1llO$ -1"1- ~ ;L ~:z ""~ tlS"" ~CJ \- ><~ "-' rr? ,..},)V o E ~mr ~~~ <t>* tlJ\O""~",t'l- 'I-~"oit'l- po.-( t~~ e' \ \ \ ./"'~ Nole.: IJPurpose: MaintaIn "'i""~ er",,"" conI:rd 5>t..ruchre 2) DaWn: fiW ?) Bulkhead to be r""heathed '" rIo seaN..-d face, below 1l1e boUm waler 4) New ,,"eathi~ to be villjl 7) Prq>er~ locat",,: 7480 p""",", 1?"4l?lvd, MattiW:;k, SCfM ,'*1000-126-11-12 6) Adjacent ".,.....: I - MattiW:;k Aosociate5 2 - RutbJra "'~ ,c::.- ~I 0'-> ~c:.- <;? , "",' ~,~ ,"""'-- ./'" ,.---:;t ~ ~--,/ '" /~....- ,<;;::/ I .;? ",,'" ~ II ...--...-- Iy o \3 Z ~ ~ \SZ ~ ~ :j ~ I:IL ~ ---' G ~ C) !:L C) I:IL !:L '::::S I:IL ~ Z C) >= '-.l ~ II "--' ~ EN-CONSULTANTS INC, 1329 NOflTH <;:=/J, RO ~OlirH!;'F)mN NY. 'llQ68 031-283-6360 ~ PROPOseD WI/iitR I?UL-KrfAJ? Rf5ffA-rHlNu fOR PE:ffR KRANb ON uRfA-r PE:CONIC I?AY, L-AURfL-, 5UffOL-K COUN-rY, NY 5f-fE:-r I Of I 8/20/02 vO .;76' -' <e:> ~ ~ ,c, ,..;o~""- .",..> \,.p"b <:? ~ ...JI? ~ ...,,- ~O ~.~ --'" "'~ 12'" --< c-~ ~. .-': ~'" .,J":' <;0" ......... ~ '--~ ':/ J 0 J J 4 1 ul ~ iJ J IJi d d J 1 U 0 ~ ~ 0 kl - r a r 4 n } ~ n 0 <Jt n n 1 r d J - il J iii J I - 0 J cO n iJ f tIl 0 1 / .0_ -.JolO~'l:. - '" ~ ~ v L ~ \ "\l , f ~ 4 . ~ ! ~ ~ , ( . , Il ~ l ~ \ \ , , ~~ . oS' ".. " o o iJI rI' rl' ~'Q,.. (lJ ill c..Q"q.....c..E. ~ c:~......<:.. '-..-...-:.~ c...O........~ '... "..,,~t:. .,ct l? JU~. 20 .,. "!>~."'" "-"""""~ C:::>~ P'c::::;z.<::)~E:...~-<, 'il IU c 1 If1 w " . 2, . .~ " ~ 1 Z J 1 . 4 J V , , """ ~\"''-J.co...~e:.. A,. L- A. LJ ~ E:.. ~ =..- c::=..o~__-"",~,--c:::>>. c::a,,--,c::-~C)\--...::. Olt,-.J,-..o-r"""-o(" "'-I~---., ~C)(:;iL,"",,=- As;;itE-p... t,- e...........w.........E.t:lo.Qo)"" -:'S,4ec...:a.c::...F. e..: ","e::...~Q...'-.)_'C::l.~ '2.~,\~'3Uo c:..c.......'--E... \"", ~o' DATE SuRVEY F=E.B,Z4-, '200\ 4' q --<" . o ,.... v '''/ ..... ~ '" I .i.d -\L~ -'0: Af'.ooI\EfZ.ICAt-l ltlt"'t.-E- IN5u~ANCE. Otv\PANY OF NEy..,j YaRI4, E No. NNOOOO 7357 NY-:=' (2.. M. l"'.."'-ANEo5 S881S"'1 10 pJlog UMOl PIO'll"OS C/ , O~, C; f?tV ~ /....../ "" <.-' /~.. .' .::::>.5Y -)Y .-..;>€> ~ / m~ seoz 0 E Nnr ~~ ~~31~ I I ~/ ~ Of oddItIan to tilt...,rwy c-tIoro 7208, a.ib-dMalon 2, of the ""","law. ..-< .vP- ~ C? y ,",up not beonolg tn. lond ::nboeeed Mol Itloll not ~ \IIlII1d w. cap)'. eel h...... ...ny thot th18 .........y ...Uiiictl wfttl the ect.tfng Code of ~ Qdopted by tNI New Yonc ""6f........ll '--d ~ SaId '" only to the per--. for wftom 3'-.ond on h.. ~, to the tHI. tol oger'IG)' and lencIng InRftutlon . the _~ and/or~_ 'tIon for the pur'pOM of th_ ~(.) for wftom th.. _nowy _ -,. ore not lronafwGble to oddftlQ'lol ~-.!..t own.. oth.. than obCMI PREPARED BY SCHNEPF & MURRELL, P.C. LAND SURVEYORS - LAND PLANNERS 126 MAIN STREET SA YVILLE, NEW YORK 589-1322 j- ~.~ 1\ W ~ o '" \\ I ~ l \ n ~ I. ~ \ jl 1 o ~ (' ~ V jl \ \ ~ \. ;<> ~ ~ A VA ~ , a ~ \ ~ y \ ~ ~ ~ JI .r!' ~ ~ o (, t ~ ~ V G ~ A ~ ~ oz.'" 't ~ - A 1 ('\ ~ ~ ~.~ .' e? -A ~ \ \ \ ) 'l--,'"" y ,'l? / I~r"'.'^ 1'~i ~/ n TAX MAP DESIGNATION NUMB DISTRICT SECTION BLOCK 0\'0'00 \-''-0 \\ ALE NO.