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Home My WebLink AboutTR-5842 . . 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 CERTIFICATE OF COMPLIANCE # 02l8C Date: July 24, 2007 THIS CERTIFIES that the construction of a new vinyl bulkhead in front of the existing bulkhead At 4510 Peconic Bay Boulevard, Laurel, New York Suffolk County Tax Map # 128-4-21 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 11/25/03 pursuant to which Trustees Permit # 5842 Dated 12/17/03. Was issued, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the construction of a new yinyl bulkhead in front of the existing bulkhead. The certificate is issued to Monte & Carolyn Redman owner of the aforesaid property. ror~ Authorized Signature AlbertJ. 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-GONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. 1< -ecd vv, ~ Y/ INSPECTION SCHEDULE Pre-construction, hay bale line 1 sl day of construction Yo constructed ~project complete, compliance inspection. 7/;),,:')0"1 (J tj~ Albert J. Krupski, President . James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD . Town Hall 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. 1< -e c1- ~""- "'- Y/ INSPECTION SCHEDULE Pre-construction, hay bale line 1 sl day of construction Yo constructed ~project complete, compliance inspection. . . ..1. . TERMS end CONDrt1QNS The Pennlme Monte Redman . (ts'~l.'6;" 69 Third St.. Garden City 1153() . No y.. as pat. C1flbe roQfL1eradcla fGr lbe ......""" ot cbe l'Cmit .. ~c.ad ..... ~ fA) lbe fol- Iowlo,g: 1. n.. lbe said ~ 01. Tnstees ad cbe Town d Sococ/o()ld aft released mm I/JI.f ..... all cIamIga, Illt dabs lor lIIamop, 01. .us u:iskIg'dlrecdy or JacIincdy .. . reAIk or 1/JI.f" adoa J.ledormed pmuaat to thls pemdt. ..... cbe.aid 1'0-. lJ~e.- wDI, Ie Ids or I>er OWD. ~. delead..., ..... aIllliCh _1~"'" br cbildt>adcs, aad lbe said, 1'0. 1.1.... __ lull JWllIJq .mh Jeifed d!erelo. co-the ~ .~ -01 cbe &ud 0I1'lusUes 01. cbe TOWIi 01. ~ 2. n.. Cbls PedlIIt is....ud fOe . fIedod of 24 -. wfaIctlls ,^~n:d ~ lie lbe ~....ted dme' RqUked to ooinpIoele lbe 'lIOd< laYOhecl, -batihoalcli:W..: (....... -ar. ..... fM ... e=osioo _y be ... fA) cbe Bo&rd" at . -- date. 3. n.. thls Permit should be reialoed Jndef"micely, or: as loag as lbe said ~ wkbCs fA) . ~1_ln cbe ft[UCtUte I)C project lavolvec!, to provide nicIeoce fA) anyoae .......cLacd that mcb- ~ ..... origlnally abalncd. 4. 'Jbat cbe 'lIOd<imol-t will be subject fA) 'cbe ~ aad appmva10f lbe 80atd (jC ks ageaa. aad _Ilf''l'''-'''''' . with . cbe .prcnisioas 01. the orl&1noflo,g application, may be ClOSe lor RVIlC&lica of tbJs Peauit br ~tioo of cbe said Boatd. s. That tbe<e will be 00 uorasooable laterfercocc with ~ as . result 01. the wodl: . . badn ..di>otheof. . . 6. 'Ibat tbe<e shall be DO interfaeoce with the ritJ1t of lbe pubIk fA) pass aad repaIS aIoa$ lbe beach between bIgh ..... low _ter matks. 7. That if future opentioas 01. Ihe Town of Soutb!>>Id reqaUe cbalaDOftl aad/ot: ahvr~ . in lbe Ioal..... of lbe wod< badn "'''-~l-~ odf, la lbe oplaloo oIlbe Boatd 01. T.-, lbe. ,..xk sbaIl ause 1III!eISCIUbI~ obstlucuoa fA) free ~"'" cbe said p.-t- will be ~ upoo due oodce, to remcm or alter tbJs wodc or project badn stated wilLout ""'ial"l" fA) lbe TOWD. . . 01. Soucbold. . . 8. That the said Board will be aodfied br the hwluee Ok cba ~. Of cbe -" mcb- orbed. 9. That Ihe Permittee wiI1 obtain all ocber permics ..... COt'<el'U dial may be requlmI ~ pI_"" to tbJs perP>lt .mid> _y be subject to ~ upoo fallure to obcaln -. .. , :. ;> , . . 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 December 17, 2003 Mr. John Costello Costello Marine Contracting Corp. P.O. Box 2124 Greenport, NY 11944 RE: MONTE REDMAN 4510 PECONIC BAY BL YD., LAUREL SCTM#128-4-21 Dear Mr. Costello: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, December 17, 2003 regarding the above matter: WHEREAS, Costello Marine Contracting Corp. on behalf of MONTE REDMAN applied to the Southold Town Trustees for a permit under the provisions of Chapter 97 of the Southold Town Code, the Wetland Ordinance of the Town of South old, application dated November 25,2003, 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 December 17, 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 docwnentation submitted concerning this application, and, 2 . . WHEREAS, the structure complies with the standards set forth in Chapter 97 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare ofthe people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of MONTE REDMAN to construct 100' of bulkhead (with C-Loc Series 9000 vinyl sheathing) IS" face-to-face in front of existing bulkhead, and as depicted on the site plan prepared by Costello Marine Contracting Corp. dated November IS, 2003. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$5.00 per inspection. (See attached schedule.) Fees: $5.00 Very truly yours, P~--f O. ~.t}. Albert J. KrupsI6, iI. President, Board of Trustees AJKIlms . . Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO : \-1'Ylon tz, f3...J Ii I'fVl. () Please be advised that your application, dated I has been reviewed by this Board, at the regular meeting of 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: 41 S',DD - QLrU-t ln1~{) TOTAL FEES DUE: $ 5.("'X.) SIGNED: tllJ......I ~ ~~- ~,....I... 9, PRESIDENT, BOARD OF TRUSTEES BY: ~aulA~n ~L ~RK, BOARD OF TRUSTEES 4/98 . . Lj--lrf' Telephone (631) 765-1892 Town Hall 53095 Route 2S P.O. Box 1179 Southo1d, New YoR: 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Monday, December 8, 2003, the following recommendation was made: Moved by Don Wilder, seconded by Tom Schlichter, it was RESOLVED to recommend to the Southold Town Board ofTrustees APPROVAL WITH STIPULATIONS of the Wetland Permit application of MONTE REDMAN (AS CONTRACT VENDEE) to construct 100' of bulkhead (with C-Loc Series 9000 vinyl . sheathing) 15" face-to-face in front of existing bulkhead. Located: 4510 Peconic Bay Blvd., Laurel. SCTM#128-4-21 The CAC recommends Approval of the application with the Stipulation the bulkhead is replaced in-place only, a 10' non-turf buffer is installed behind the bulkhead, and there are no changes on the bluff. Vote of Council: Ayes: All Motion Carried . . " .~""-.....,-.- Current Littoral Drift : Looking West At Low Profile Jetties East Neighbor's Jetty (High Profile) 8" Piling 6" x 6" Stringers 2" Sheathing 2" Clamp Monte Redman 4510 Great Peconic Bay Blvd. Laurel, NY 11948 Bulkhead Replacement } . . Neighbor's High-Profile Jetty .:. Monte Redman 4510 Great Peconic Bay Blvd. Laurel, NY 11948 Bulkhead Replacement . o. -, =- ~""'- --~ ~. .-:~~- . ;, ~, 19-8" Steps To Existing Upper Platform . r; < ." Low-Profile Jetties To West --;a... 1# 1'\'_ I \ .. ~ '\ lIt Monte Redman 4510 Great Peconic Bay Blvd. Laurel, NY 11948 Bulkhead Replacement -r- . . '. . Existing Stairs, Platform, Handrails & Bench. Monte Redman 4510 Great Peconic Bay Blvd. Laurel, NY 11948 Bulkhead Replacement ---...- -,~~, ~ro: ~ . - - .. N ~ rl "~ 0 <I ~ ~I, . . f i ! . . t:) ~ eEl d ~~ ~:i' ~ .Jl ~:. . -f- :Ojll 1l~1 0 "'''' I 4+ -'I I r" -- I <":>z--==::::::: I ., " " I,: f i .11. f I' f I ~ I ! ;J: I I I + --L'i I I , /', 0' ~ j if " li. ". In " Iii ;: ill " .." I' ,. .1'4to,)'cI -, ,~,- -, I I [ . ,v o~ YiU ~~~eCT LOCATION ^ Yit f9~ VICINITY MAF . o 2.!> +000 ~T. ).. t ~ ). 'f () v " ~ (J ~Iq PROJECT LOC-AiION "- i o LOCATION MAP ADJACeNT PltOPERT1' 0\NNE~5' (j) FAIR WINDS LLC @ EItIC ALe.XANDER 225 MOUNTAIN AVE. ~70 PECONIC e,A'( e.LV JtIDGEWOOD, N.J 07-4-50 LAURE.L, NY 11'i!I+e (-4-522. PECONIC e.AY e.LVD.) 5AND~ ~ TeRRENce SULLIVAN 4452. f'ECONIC e.A.... e.1...YO. LAUREL NY ll'i!l48 (4510 ~ '44~0 peCONIC e.AY e.LVO.) @@ - - - - o 400. D Ii: t lEi 1<1 IE ~ NOll 2 5 LCV 110 Sout:lOld Town Boan\ 01 Trustees PROPOSED' CONSTRUCTING> 100' OF e.ULKHEAD (wJ C-LOC SEJtIES ~OOO VIN'(L SHEATHING) IS" FACE-TO-FACe. IN FIlON, 01" eXISTING e.ULKHEAD. Ac.cE55 , e...... LAND WITH CIeANe: AND EQUIPMENT. PI'tEf'ARED e.y, COSTE.LLO MAJtINE. CO'-lTRACTING CORP. p.o. e.OX 212.+ GIlte:ENPOIltT, NY 11'i!l44 (Go~I) 4-77-119'" APPLICANT: MO~Te REDMAN G9 THIJtD ST. GARDEN CITY, Ny 115?>O (4510 PECONIC f>Aye.LVO.,LAURJ:L) 5.C.T.M.1000-128-+-21 NOV. 15, 2003 ~.I__""- / II / .J.. / / I()'r / / ,u / o~ / (j ~ / l; l f ^ i' t 'l" ~0 o }./ v (} )... '( I (} I (j ..... d> !JJU Il. ~ 1- 'i. \ () '" .,.~ \ \ 't \ \'" \ '=- l.. ~ 1.~ f" {'A 51TE . . o -40' ad PREf'AR~D e>Y' COS"T'~LLO MARINE CONT~CTING CORP. ~O. e.ox 212+ GREE.Nf'OR.-r, NY 119+4- (G.!l1) +77- 1199 ~ "1> ~ ~ "'i. t- o \J' \ \ 'f- {'~ ClQ ^'~"r ,"':,.-r "'+>lv 't> ~ ~ \ "', \ '" . \l' C. \'" \'" {. .,. 1- - ~Io r-' I:J~ "'-<.. ~. , ~~.. ",-'r -<.'.1>... ,f(J,(.~- _:I- r y(v () Jq'r J:~ ....~ .:).../)....!!':! - ().1~' o l..... .....o~~ (. l"f.:rJ- 1l.~,Jf () \-VJ.# \ 4: ~ o I(,Y ~ ..I... ^ t t I() It; 0'f' / / ~ / ~ .l 'l" / / .; l' t' F'LAN , . o 201 401 ~ ~ N: ~ 5" )~" ~ ~ Sou/hold Town Illlard of Trust.es AI"f'LICAN ' MONTI<: REDMAN G.~ THIRD ST. GA"-OE'.N CITY, NY 11530 (+510 I"ECONIC e.A...... 6LVll/ LAUREL, NY) NOV.IS/aoo;!. SHE-ET 2 OF ?, EXIST PILES TO e>E: RE.MOVE.D PROP-Id</) PILE II If EXIST. a. "Go STRII'JGERS TO REMAIN EXIST -rtG SHEATHING TO REMAIN \ , , \ , / PRO~ ~IX~I STRING,"RS PROP. "C-LOC" VINYL SHEATHING (j,' o. C. BULKHEAD RE5HEATHING (TOP VIEW) AMHW ... 2.5 . o PROPOSED FIL.L. (2.7 C.Y. OF CI..EAN TRUCKED-IN S/l.ND) EL.+lI.O Idtj; PI L.E e,....,...c.H BULKHEAD CROSS SECTION . o z' D~~~~W~ NOV 2 5 2003 Southold Town Rr,~~rl f)f Trustees COSTELLO MARINe CONTRACTING CORP. P.O. e.oX ZIZ..... GREEN PORT, NY 119.......... (Go?>I) 477-1199 7'+ 1 " , 2.' exCAVATE AND RE-USE A5 FIL.L 11/+"" 10' TIE ROD 15" FAcE-To-FAce a..xC: STRINGERS s"rj" e; ~CKING PILE IO"rfJx 25' HOIi!IZ. DE^OMAN "C-LOc." VINYl.. SHEATHING PPLI CANT' ONTE REDMAN '" TH I Rt' 5T. AROEN CITY, NY II '5~0 '310 f'ECONIC 5AY 5L.VD., LAUREL,NY""'.....8) NOV. IS, ZOO?> CI,"-r..__" __.... .,.-,-, , C'.: ~ ,I I / I I x~ 0', " , , /t/' (f/"" : '-- : /1 ,. ", .., ~'/.. " j:" ,',). /0/ ." '~:CS I , ' I,.. 'Ii'" I"~ cf.~'" "";',', ", ~"'t"~ :,' "/,",',, ~ ",~' ,'l," ... ",'.,' .,.. , ,'\ ,~ ' .~, t~ '~ 'tl r " I" 3- " ~ ;: ,:Ii, .-... :J, ), r ;i: ~ " \J ~, , " " I, ~ ! ", ~:' ' "',", ", ;;,::'/, ",,.,.rJ',':,. ".1:)", 'J"' , If;':I',;_>._ , ~llt'l.rt:!l, \1 ~(~ I':~ ~ $. '", " ~,\~;P71<~'" I I' .... f', f ' \\ \l ~,. "'~1~ '~'(' , ;r lS1 "~, ""V /,'1 , 'I 'I: , , ,t;. ,'I, ':", I,' "" "" , . . Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-18.'!2 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application ~etland Permit Application ---Grandfather Permit Application ---Waiver/Amendment/~q~~es Arecei ved Application: ~ I ~ eceived Fee:$ a..oa..... ~ IE ~ IE ~ W IE ~ ompleted APplication~~ ~~~:P~~=:sification: NOV 25 2U r~J Type I Type II Unlisted ~ Coordination: (date sent) ---- ~C Referral sent:~ SoutholdTown ate of Inspection: ,~ Board of Trustees Receipt of CAC Repor : Lead Agency Determination: Technical Review: ~blic Hearing Held:~q) Resolution: Name of Applicant ffnl1k 1tdW1f1n (rorzf111cf 1tHd~~) . Address_~9 -Jh;ytj .5~I-; aard'-h ~'v I NY I/Jj3D Phone Number: (6/IP) 74;; - 0857 Suffolk county Tax Map Number: 1000 - /:18 - 4 -,:}/ Property Location: 45/D ~roYlic ~ 8/vd. Lo.u.nl ,NY 11948 (provide'LILCO Pole ~, distance to cross streets, and location) AGENT: ~skl/tJ ~r/~t ~ frllchnr IlL/). (If applicable) I Address: 'PO.&;x tJ/t14; hqln'porf, Ny //91'1 Phone ~fJ31 (47'7 - /I vr FAX~'_(l3~ 477-{)oOS v' ~I '-;':c.~\&' \\ 1 ~oard of Trustees APPlicat~ v GENERAL DATA Land Area (in square feet):~O.CoO Area Zoning: ito 81-q.l;;-RItv\l~~tdL.,c.Q Previous use of property: ~~~e~\AiAtc...O Intended use of property: ~IML 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? :)C No Yes If yes, provide explanation: Project Description (use attachments if necessary): &ns.j.yut:f. 100 I n/ hult:.htlld (* -I.LJL 9t'~l'5 qooo IIt~,/1 '5ItI~afJlfj,9) I~ /I .jQC~ - Ie -IQCe. I;' ~fJnf of ext<;..J.i <<1 b"1 tJrlOr/. 2 BOa of Trustees APPlication. WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: -J;; n>/~;;yce an eXIsftn9 pu li:i1~t2d. Area of wetlands on lot: /~C) Percent coverage of lot: ~,~ square feet % closest distance between nearest existing structure and upland edge of wetlands: 0 feet Closest distance between nearest proposed structure and upland edge of wetlands: (1 feet Does the project involve excavation or filling? No x , Yes , If yes, how much material will be excavated?~CubiC yards How much material will be filled?' 1:t cubic yards deposited:~ Depth of which material will be removed or feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: ~ {XaN 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): ScL( . 3 'PROJECT ID NUMBER 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORTEN~RONMENTALASSESSMENTFORM for UNUSTED ACnONS Only (To be completed by Applicant or Project Sponsor) 2. PROJECT NAME Monte Redman (Contract Vendee) . SEQR PART 1 - PROJECT INFORMA nON 1. APPLICANT I SPONSOR Costello Marine Contracting Corp. 3.PROJECT LOCATION: Southold Suffolk Municipality County 4. PRECISE LOCATION: Street Adde.. and Roed Intersection., Prominent landmarks ete - or provide map 4510 Great Peconic Bay Blvd., laurel, NY 11948 SCTM # 1000-128-4-21 5. IS PROPOSED ACTION: ~ Now 0 Expan.ion 0 Modification latteration 6. DESCRIBE PROJECT BRIEFLY: Construct 100' of bulkhead (w/C-lOC series 9000 vinyl shaathing) 15" face-ta-face in front of existing bulkhead. 7. AMOUNT OF LAND AFFECTED: Initially acres Uttlmetely Icres B. WILL PROPOSED ACTION COMPLY VvtTH EXISTING ZONING OR OTHER RESTRICTIONS? ~ Ye. 0 No If no, describe bnofly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choo.e as manya..pply.) ~ReSjdential DlndUstrial DCommerci81 DAgrlculture DPark/Fore,t/OpenSpa08 Dother (describe) 10. OOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNOING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, state or Local) ~Yes D No If yes, list agency name and permit I approval: ACOE, NYSDOS, NYSDEC, Southold Town 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? o Ya. ~ No If ye., list agency neme and permit I approval: ULT OF PROPOSED ACTION VvtLL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION? " No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDr.E, J h, Permit Manager @ CMCC Date 1/1 /q/4:; 1lJt4 Si nature If the action la a eoatal Area, and you are a atate agency, complete the Coaatal Aaae..ment Form before proceeding with thla a.....ment Applicant . . NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: Monte Redman (Contract Vendee) SCTM # 1000-128-4-21 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 100' of bulkhead (with C-LOC 9000 series vinyl sheathing) 15" face-to-face in front of existing bulkhead. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 4510 Peconic Bay Blvd., Peconic, NY 11948 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. 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 an does not reference any other agency that might have to review same proposal. OWNERS NAME: Monte Redman (Contract Vendee) MAILING ADDRESS: 69 Third Street Garden City, NY 11530 Ene.: Copy of sketch or plan showing proposal for your convenience. " 0006 4064 937~r"''''"'''''-' 7001 2510 0006 4064 I 7001 2510 0006 4064 ~ m~ m ~ m~ m o. 0 a~ a g-!!t ~ o~ ~:!. H' ~!i .~ .0 ~ .a ~!( 3. 3, .l!. .~ .0 0 i .0 0 3" ;~ . a 3.li ;~ . :n= ~ . JJ= ~ .< ~~. ~ ~~ .2:l!. ~ ~ n. . .. . 0 oC< ~ ~ 0" ~ ~ .~ ~ii' ~ I ~if ~~ ~ . ~. $ . D ~. . -. . . 0 m;o m all) &. ~ s: S:D ([I!l CD!!. ~ ~ ~ 3 i~ ;g ~ ~~ ~~ [ g iif ~if if .f o " ";:0'" ,'.' :0/ ~ ~' .OIl'A 25' _fr~ .. " - it21 ~ z ,~ ~J #ii~ YJ ";\.-('- <D ~ ,.g/ ) '" \;SJ/ .'7 STATE OF NEW YORK COUNTY OF SUFFOLK , residing at .Jlnf) C~esk9 ~ c::::.....\Jlllt..... NY II"7B~ , being duly sw?~!l!.. deposes and says that on the 1'\ day of '. No,\!. ..... I ~, deponent mailed a true copy of the Notice~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; th~sai N tices were mailed at the United States Post Office a , that said Notices were mailed to each 0 sai perso s by (certifi d) (registered) lI1ail. Sworn t~before me this () day of 1!W~hec... ,~OO3 ~A::lpld~e&.' Notary Public REBECCA A. VILARDI NOTARY PUBlIC, STATE OF NEW YORK QUALIFIED IN SUFFOLK COUNTY NO: 01W06039106 / COMMISSION EXPIRES MARCH 27, d<t1dr,p 6 ~oard of Trustees APPlicatltn < County of Suffolk State of New York . t BEING DULY SWORN DEPO THAT E/SHE IS APPLICANT FOR THE ABOVE DES AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TR TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WO 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 OF /;~--.b" . , yf 61oQ,3 ~AJ dlA.(di, Notary Public REBECCA A. VILARDI NOTARY PUBLIC, STATE OF NEW YORK QUALIFIED IN SUFFOLK COUNTY NO: 01W00039106 c5200 (p COMMISSION EXPIRES MARCH 27, - 7 . . . " COSTELLO MARINE', CONTRACTING '"CORPORATION DOCK BUILDING 0 JETIlES o BULKHEADING 0 STEEL, & WOOD PILING 0 FLOATS - , 423 FIFTH STREET . P,O,BOX2124' GREENPORT, NEW YORK 11944 . (631)4n.1199/~n.1,393/4n'0682' FAX (631)477-0005 AUTHORIZATION FORM I f10Jm f!,fOI7,q~ , tp~Vdf'J().#.. ~of BusinessIProperty Name located at .fO'/O fJ~t::>;.Ji~ 8t1'Y ~ ~y /000 ~/~i'-</-zl , ~ . do hereby give Costello Marine Con1raoting Corp. the authority to act as agent in my behalf in applying for all of the necessary permits for work to be completed at my above referenced property. ~~ ~; " ~~. Signature ASTORIR FEDERAL SAVIN~ax:516-32i'-7860 COSTELLO MARINE CONT.. PHJNE NJ. : Nov 20 2003 l:>:~ 1". U~ 516 477 IilOO5 . Nov. 20 2003 1l:56R1 P2 FROM- : , APPLlf:. :~,. '.~.l.:1:i~-I;~..jj.;;;Ii;<<1'", TJV1> i'llANSACTlONAL t ;'lLt::J F'U_~,~ __ ncTGWrl~r!!-"-1A'&CadIlOf'W.__~_tdItIIt.a1""""t.IuIi~~.. .. 'Yh _ thia bitt. it. 1IIIWida,,,. . ..:::::.:: So _... .. 'U jb lIll....wt~.~..<f~t~t'~.cedLsc~i,,...~~.._~::.-:.;.;:....._........ n ~L~A j} ( . ~ YOUaNAMI!: -d~__Y11..ma4J_ . {l-= ~."""-MW,"";"'-II'PI.JinI"''''_oI .......oa.cr...,: .....~~, rfn. ~ift'~t:1Iii: ...4,.11' :rr.-w..'r:~/Hh'..-;t::c:!~; "'....11 Of' APPl.ICI.nOl\l, cc>.tctlll ~,t>\'l!II:f,~ ........-- V_ a..:=;);i .u.... AppmaI oIp1oJ .....on~~.J:;:Gr~1S'Wp - ~ ~"':-'''"'''~''-'''''''~'J-11Lcf(~Vrijl f _._.a_ Do 1'"': JaGIIII')' ,... ~ !,o"!~ji......... "*-I......... or<lUld) _ .1IlIIItlIIIhip willi OIlY..... ...__ or.......... orSlllllhol4'1 ":RetaIla.Wp._llyllloed,........or~ ,.._.~ "'!;':._ ;~.- .__""'"-0 ~....- "JI.~..,.,..tQ\It..,....,......;l :t:~~.tI\iIIIt.pMIai n.~_of(or .~I ,...1Iy)a~~ .. "'..... '-'-L tAu.........~___"'of..._ y. YIS NO rr_ -.n;;.......,..1Ilc "'-or.... _.... _1IUI.........,iod.... N-.ol...- ~ loylldT_ ofSoaIhold TI""OI'r......... 01__ _ __: ........_.... _ DaoorlIoeIk.... ,"ll''""-JCIIdIIf(lilcIllol' ..:lI'.....---<l"')a'1d!Illc_~..~...u._ lhc....._1io. A\~ D)....."" <'o=:t, ir \1-,' 'I"~'"~ 1""'Ji,d. ne... ::'~l:..- ~~t~..".o)'!.C-=I.l..... ~ ~~"'PICQII..~iI(abeat:all dtalIpplY): _~Ibe_of.... ...."'ofl.........!'.\o .........-* >"~......- (~lb If' lis..,.. ...~: ____.J filS ~~..1~.k' i'ltl~tol OWMtel.., ___ ".8011--..-_ ~(.... ~ ~k......_,... '!la); _C)_ofIiow,6ecIar."""~.C1...)...DfIht:T$\ t. . ~or _Dl1he -.J...,ciMal . J)IlSCR/PTI()N or lU!lA'I1QHSW' _lIIilIodflllll~4'" ,,:=:..c:.. ,~/ 2ClOJ. . . ~. APPLlCANT/AGENTIREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The To of South Id's Codo ofEthies ibilS nIIicts ofin on e t "'" officers and I ,:-':_~OO;;'- m~' _0 :-a 0 ... -.. YOUR NAMB: (Last ~first .!!,,"!:J!:u~t~l,r!!.':l are ~f'g in the rwne of someone else or other entity, such as a company. If so, iildicate the other person's or companys name.) e 0 whatever . on is NAME OF APPUCATlON: (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.) Do yon personally (or through your company, spouse, sibling, parent, or child) bave a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood. marringe, or business interest. "Business interest" means a business, including a partnership, in which the town officer or employee bas even a portia! ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. -1 YES NO 'f. If you answered "Ylf;, complete the balance of this fonn and date and sign where indicated. Name of person employed by the Town of South old Title or position of that person . Descrihe the relationship between yourself (the applicanIlagenIlrepreSelltative) and the town officer or employee. Either check the appropriate line A} through D} and/or desClibe in the space provided. The town officer or employee or bis or ber 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 applicant (when the applicant is a corporation); _B} the legal or beneficial owner of any intereSt in a non-colpOrate entity (when the applicant is not a corporation); _ C} an officer, director, partner, or employee of the applicant; or _D) the acIual applicant. . DESCRlPTION OF RELATIONSHIP ~=thisb:,~200~ Print~ ~ X(