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Home My WebLink AboutTR-6066Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall Annex 54375 Main Road 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 # 0567C Date August 25, 2010 THIS CERTIFIES that the single-family dwelling-~ deck, driveway, sanitary system and 50' non-disturbance buffer At 145 Fleetwood Rd., Cutchogue Suffolk County Tax Map #137-4-10.1 Conforms to the application for a Trustees Permit heretofore fried in this office dated 5/2/02 pursuant to which Trustees Wetland Permit ~6066 dated 1/19/05 was issued and Amended on 8/18/10 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 a single-family dwelling~ deck, driveway, sanitary system and a 50' non-disturbance buffer. The certificate is issued to JUDIE LIZEWSKI owner of the aforesaid property. ~t~or~: S~i~atu~r James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel 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 APPLICATi6N FOR AN AMENDMENT TO A WETLAND PERMIT ADDRESS /q/O'-~/~Lr~d-~q/{O~ /~ AGENT PHONE ADDRESS PROPERTY LOCATION TAX MAP NO. /,~¢0 -/~ Ve to . request an Amendment to Permit Signed By:~ Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 August18,2010 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD Ms. Judie Lizewski 145 Fleetwood Rd. Cutchogue, NY 11935 RE: 145 FLEETWOOD RD., CUTCHOGUE SCTM#137-4-10.1 Dear Ms. Lizewski: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., August 18, 2010: RESOLVED, that the Southold Town Board of Trustees APPROVES the Amendment to Wetland Permit #6066 to reflect the single-family dwelling, deck, driveway, and sanitary system, as depicted on the survey prepared by Nathan Taft Corwin last revised August 19, 2008 and stamped approved on August 18, 2010. This is not a determination from any other agency. Sincerely, Jill . Doherty, Presid t Boa~l Do; TrusteeP~side~t JMD:lms Jill M. Doherty, President James F. King, Vice-President Dave Bergen Bob Ghosio, Jr. John Bredemeyer Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: /~- Ch. 275 Ch, 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain I st day of construction ~ constructed Project complete, compliance inspection. ~Z~ INSPECTED BY: ~"~, r~ e_~j ~.~, COMMENTS: CE.T,~CA~'E O~ COMPUANCE: O ~ .~ ~ ~[~ ~/~ SURVEY OF LOTS 8 & 9 MAP OF FLEETWOOD COVE FILE No. 1263 FILED JULY 1, 1958 SITUATED AT CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-157-04-10.1 SCALE 1 "=50' MARCH 15, 2001 APRIL 19. 2001 ADDED EXISTING SEPTIC SYSTEM MAY 10, 2001 REVISED SITE PLAN APRIL 29, 2002 ADDED WETLANDS & TOPOGRAPHICAL SURVEY AUGUST 22, 2002 REVISED PROPOSED HOUSE LOCATION DECEMBER 16, 2005 REVISED PROPOSED HOUSE FERRUARY 27, 2004 REVISED PROPOSED HOUSE APRIL 27, 2004 REVISED PROPOSED SEPTIC SYSTEM JULY 25, 2004 ADDED ADDITIONAL NOTES JUNE 1, 2005 ADDED PROPOSED ELEVATIONS AUGUST 15, 2007 FINAL SURVEY AUGUST 19~ 2008 ADDED SEPTIC SYSTEM & WATER LINE AREA = 25,949.79 sq. ff. (TO TIE LINE) 0.550 C~C. SHED 135' (30 SHED NOTESh 1. FLOOD ZONE INFORMATION TAKEN FROMt 94.83' FOUND CONC. MON, FLEETWO OD ¢OAD THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. APPROVED BY , £'ARD OF TRUSTEES ' /'?,'N OF SOUTHOLD N.Y.S. Lm No. 50467 Nathan Taft Corw n III Land Surveyor PHONE (631)727-2090 Fox (631)727-1727 James King, Vice-President Arkie 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. INSPECTION SCHEDULE X Pre-construction, hay bale line 1st day of construction % constructed x Project complete, compliance inspection. Judie Lizewski Board Of $outhold 'Town Trustees SOUTHOLD, NEW YORK JUDIE LIZEWSKI ISSUED TO ........................................... ~ .......................................................................................... the SIa~ of New Yor~ 1893; and ~,pfer ~ ot ~ ~ ot me · ~te of New Yo~ 1952; n,d ~e Sodhold To~ t~ .'~U~TING AND ~E P~OING OF: OB~UG~NS IN AND ON TOWN WA~RS AND PUBLIO ~DS RE~OVAL OF SAND, G~VEL-OR OTHER ~A~~ ~DS .UNDER TOWN WA~RS:~. and in sC~ with 'the Resoldion of ~e B~rd adopted ef~ meeting he~ ~ ~.~.,....~. ....... ~0.0.~...L, end in cQn~der~tlon of the sum of $..~.~.~..,.~ ........ ~id by ~ud~e ~ze~s~ ....... . ......................... ~ ............ ~ ......... · ¢uCcho~ue' ' N Y. end subjed fo ~e oT .......................................... : ............................................ _, ~ve~e side ~f, Te~ and ~,dih~s tided on ~e of ~hdd To~' T~s authorizes end ~m~ ~ foxing:. ~y dock, ~th the aond~t~on~ oE ~ 50"non-d~tu~b~nce buEEe~ al ~ a~a~ ~ the defend ~s as ~m~ g~ g p by ~s ;~ ~at~ ~al to ~ a~xed, a~ ~e~h fo · . 4 TERk4S ,nd CONDITIONS' Judie Lizewski Depot La~e, Cutcho~ue ...... lganmt,l m ~ lmmlt ~ ta~-I~ sal~ect to tem~ Ul~n ~.m-e m e~.~, mm. 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 January 19, 2005 Judie Lizewski 320 Depot Lane Cutchogue, NY 11935 Re: JUDIE LIZEWSKI 145 FLEETWOOD RD, CUTCHOGUE SCTM# 137-4-10.1 Dear Ms. Lizewski: The Board of Town Trustees took the following action during its regular meeting held on Wednesday January 19, 2005 regarding the above matter: WHEREAS JUDIE LIZEWSKI applied to the Southold Town Trustees for a permit under the previsions of Chapter 97 of the $outhold Town Code, the Wetland Ordinance of the Town of Southold, application dated December 21, 2004, 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 January 19, 2005 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 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, RESOLVED, that the Board of Trustees approve the application of JUDIE LIZEWSKI to construct a single-family dwelling with on-site sewage disposal system and construct a 4' x 26' fixed walkway dock, with the conditions of a 50' non disturbance buffer, hay bales, and gutters and drywells on the house and all as depicted on the plan surveyed by Joseph Ingegno last dated April 29, 2002. 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 $50.00 per inspection. (See attached schedule.) This is not a determination from any other agency. Fees: None Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/hct Albert J. Krupski, President James King, Vice-President Artie Fester Ken Poliweda Peggy A. Dickerson Town Hall 53095 1%ute 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765o1892 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~ONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE x Pre-construction, hay bale line 1st day of construction ¼ constructed x Project complete, compliance inspection. Sudie Lizewski Telephone (631) 765-1892 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD TO: Southold Town Board of Trustees FROM: Southold Town Conservation Advisory Council DATE: January 11,2005 RE: Recommendations A meeting of the Southold Town Conservation Advisory Council was held Tues., January 11,2005. The following recommendations were made: DISCUSSION AND RECOMMENDATION OF WETLAND PERMIT & COASTAL EROSION PERMIT APPLICATIONS Moved by William Cook, seconded by Jack McGreevy, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH CONDITIONS of the Wetland Permit application JUDIE LIZEWSKI to construct a single-family dwelling with on-site sewage disposal system and private well, and construct a 4'× 26' fixed walkway dock. Located: 145 Fleetwood Rd., Cutchogue. SCTM#137-4-10.1 The CAC recommends Approval of the application with the Condition a landscape plan is submitted specifying what trees are to be removed and what trees are to remain, before the permit is issued, and a 50' non-disturbance buffer in order to protect water quality. Vote of Council: Ayes: All Motion Carried 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 November 3, 2004 Ms. Judie Lizewski 320 Depot Lane Cutchogue, NY ~1935 Re: 145 Fleetwood Road, Cutchogue Dear Ms. Lizewski: I am writing concerning your permit for above referenced property. · ' ' office on lane 1, The application for an extension to your permit was received m th~s reapply for a new 2004. The permit expired on May 22, 2004. We will need for you to permit, tions olease make an appointment to meet with the Trustees on If you have any ques r ~ -~;~,, which begins at 6 pm. N~vember 17 at their next wortc s~,~,, Very Truly Yours, Albert Krupski, Jr. President, Board of Trustees AK/ht 320 Depot Lane Cutehogue,N.Y. 11935 Board of Trustees Main Road Southold, NewYork July 11,2002 Dear Sirs; Thank you for granting my permit for my waterfront property on Fleetwood Road in Cutchogue. Since the permit process has been interrupted by the Water Authority momtorinm, I would ask that you please delay the beginning of this permit until my Building Permit is in place. Thank you for your consideration in this matter. Sincerely, Joe Lizewski Board Of $outhold Town Trustees SOUTHOLD, NEW YORK Pursuant to the provisions Laws of the State of New YorE. 1893~ ~ of the - State of New Yore 19621 and Ordinance titled ."REGULATING AND OF C IN AND ON TOWN PUBLIC; LANDS end~.__ REMOVAL OF SAND, OR OTH.ER MATE:.RIA~.~.,, O, Ivl LANDS UNDER TOWN an~J-tn ~ witch, the Resolution of The B6ard adopted a~a me m~tmg hekl on ...M.-..~.~....-~.~-~ ...... 2~.0.~..., and In consideration of the sum of $....~l~q.:.q.Q ....... paid by ?to er T Permits on beha]£ o£ JUDIE i,TZE~/$K! ............. Of G~tc.~ol~..e..~..~ ...............' ............... N.Y. and subject to the Ter~""~ ~ndd,ons tided on the reverse side hereof, of Southold Town. Trustees authorizes and permits the fo~owlng: Wetland permit to construct a single family residence vath on site sewage disposal system and private well - house plans ~n hue w~th the homes to the east - the house w~ll not extend no fiuther seaward - construct a 4'x26' fixed walkway dock - 50 foot non-disturbance buffer. aff ln accordance with the deteik~l Specif'mafions as presented in .the orlglnafing appl'mafion. IN WITNESS WHEREOF, The said Board of Trustees here- causes ifs Corporate Seal fo be affixed, and thesa ~-.esonts fo ~ subsorlbed b¥-~'majorflY of the said Board as of this darn. TERMS and CONDmONS ~udie Lizewski 145 Fleetwood RoadT Cutcho_~ue. N. Y~ es fo~ ~ exteaston smybe made to ~he Boesd es · ~ ~ e~'~.,,.~,- ~be ~ oc project imrolvec~ to pemrkle ~ m ~m/o~e em~c~am~ ~ ~ ~tt~on wss ot~,~dly ~ tevocatio~ of d~ Pennlt by ~esolution of d~e sam Board. plemem~l m ~ pem~ ~ n~y he mbject to revoke upoa ~b~e to ~ 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 May 30, 2002 Mr. James E. Fitzgerald, Jr, c/o Proper-T Permit Services PO Box 617 Cutchogue, NY 11935 SCTM#137-4-10.1 Judie Lizewski 145 Fleetwood Road, Cutchoguc, NY Dear Mr. Fitzgerald: The following action as taken by the Board of Town Trustees during a Regular Meeting, held on May 22, 2002, regarding the above matter. WHEREAS, Proper-T Permit Services on behalf of Judie Lizewsld applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated May 2,2002. WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on May 22, 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 standard set forth in Chapter 97-18 of the Southold Town Code. 2 WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT. RESOLVED, that the Board of Trustees approved the application of Judie Lizewski for a Wetland Permit to construct a single family residence with on site sewage disposal system and private well - house plans in line with the homes to the east - the house will not extend no further seaward - construct a 4'x26' fixed walkway dock - 50 foot non-disturbance buffer. 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: $10.00 Ve~ truly yours, Albert J. Kmpski, Jr. President, Board of Trustees nn cjc cc DEC Building Department Alber~ J. Krupski, President James King, Vic~President Hern~ Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application, dated May 2, 2002 has been reviewed by this Board, at the regular meeting of May 22, 2002 and the following action was taken: ( x) Application Approved (see below) ( ) Application Denied (see below) ( ) Application Tabled (see below) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is'computed below according to the schedule of rates as set forth in the instruction sheet. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION, OF PERMIT FEES: Two Inspections @$5.00 each $10.00 TOTAL FEES DUE: $ 10.00 SIGNED: BY: PRESIDENT, BOARD OF TRU5T~:ES CLE , BOA 4/98 INSPECTION SCHEDULE ~re-construction, J hay bale line 1st day of construction ~ constructed Project complete, compliance inspection. Te],ephone (631) 765-1892 To~t Hall. 53095 Main Road P.O. Box 11T9 Southold, New Yo~k 1197i SOUTHOLD TOWN CONSEI~¥ATION ADVISORY COUN(~II, At the meeting of the Southold Town ConseNation Advisory Council held Monday, May 20, 2002, the following recommendation was made: Moved by Scott Hilary, seconded by Jason Petrucci, it was RESOLVED to recommend to the Southold Town Board of Trustees DI,~!I,_PpROVAL of the Wetland Permit APplication of JUDIE LIZEWSKI to construct a sff~rrtlly dwelling with on-site sewage disposal system and private well; construct 4'X 35' fixed walkway dock with mooring pile. Located: 145 Fleetwood Rd., Cutchogue. SCTM#137-4-10.1 The CAC recommends Disapproval of the application because the proposed house and dock were not staked. The CAC recommends that the proposed drywells and access path to the dock be staked and a cross-section submitted for the dock. The project requires a 50' non-disturbance buffer. Vote of Council: Ayes: All Motion Carried P, op r-T Permit Services POST OFFICE BOX 617, CUTCHOGUE, NEW YORK 11935-0617 (631) 734-58OO April30,2002 President Board of Town Trustees Town of Southold Town Hall, 53095 Main Road Southold, New York 11971 Re: Application for Permit on Behalf of Judie Lizewski; SCTM #1000~ 137-4-10.1 Dear Sir: Attached are documents which have been prepared in support of the application for a permit to construct a single-family dwelling on the property of Judie Lizewski in the Town of Southold. Proper-T Permit Services represents Mrs. Lizewski in this matter, and a letter of authorization is part of this submission. If there are any questions, or if additional information is needed, please call me. Enclosures: Application Fee ($200) Letter of Authorization Notarized Statement of Applicant Survey of Property (3 copies) Application Form (3 copies) Short EAF (3 copies) Vicinity Map (3 copies) Tax Map (3 copies) Project Plan (3 copies) a subsidiary of THE PECONIC EASTERN CORPORATION 320 Depot Lane Cutchogue, New York 11935 President Board of Town Trustees Town of Southold Town Hall, 53095 Main Road Southold, New York 11971 Dear Sir: Please be advised that I hereby designate and authorize James E. Fitzgerald, Jr. of Proper-T Permit Services to act in my behalf as my agent in the submission and processing of a permit application for the construction of a house and a dock on my property located on Fleetwood Road in Cutchogue and designated by Suffolk County Tax Map No. 1000-137-4-10.1, and to furnish, upon request, supplemental information in support of the application. Sincerely, STATEMENT TO THE SOUTHOLD BOARD OF TOWN TRUSTEES County of Suffolk ) State of New York ) I, Judie Lizewski, being duly sworn, depose and affirm that I am the owner of the property located at 145 Fleetwood Road, Cutchogue, New York 11935, and identified by Suffolk County Tax Map No. 1000-137-4-10.1, and that all work will be done in the manner set forth in the present application and as may be approved by the Southold Board of Town Trustees. I agree 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 l~mit(s), if granted. I hereby authorize the Town Trustees or their agent(s) or representative(s) to enter upon my property to inspect the premises in conjunction with the review of the present application. Sworn to before me this .....~.. ......... day of...~.~....Df..F.~ ........... ,200...&.... Notary Public Monlca Cerise Ouhlified I. S[J~f~"k County z'l ~ Commission Expires May29, 20~_...~.~ SURVEY OF LOTS 8 & 9 MAP OF Ft,EETWOOD COVE FILE N~. 12~3 FILED JULY 1, I SITUATED AT [ 4 CUTCHOGUE TOWN OF SOUTHOLB SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-137-04-10.! ~f SGALE 1 '=40' ~.~,~ MARCH 13, 2001 .~ . -. ~ / //./' ~ ~_ ~ ~ / I '~..T~ i '~/:[]2 ~:~;! +,x~ ~ / ~ , x '..:~'x~ x.~ I~ ~ / ~ ,,, ',,/7,, ~, -~-~ ~.- ~ FLE~TW u u L~ ~vey~ ~ (~t~-~ F= (~)~-~ Proper-T Permit Services POST OFFICE BOX 617, CUTCHOGUE, NEW YORK 11935-0617 May 21, 2004 (631) 734-5800 President Board of Town Trustees Town of Southold Town Hall, 53095 Main Road Southold, New York 11935 Re: Request for Extension of Permit//5568, Judie Lizewski; SCTM #t000-137-4-10.1 Dear Sir: Because of planning changes, it is necessary that we ask for a one-year extension to this permit which expires on 5/22/04. The $10 fee is enclosed. ~...{. ,55'0.0,3 o lc ////~/JoF JUN - 1 2004 Southold Town Board o! Trustees a subsidiary of THE PECONIC EASTERN CORPORATION PROOF OF MAILING OF NOTICE ATTACH CERTIFIED M31I, RECEIPTS Address: STATE OF NEW YORK COUNTY OF SUFFOLK ~r~~ ~ ~ ~ , berg duly sworn, d~os~ ~d sa~ ~at on ~e , /~ ~y of~ 20~ d~on~t m~l~ a ~e copy of ~e Notice set fo~.in ~e Bo~d of T~t~ ~plicafio~ dk~t~ to ~ch of ~e above nm~ perso~ at ~e ad~esses set op~site ~ere red.five roes; ~at ~e M~esses set op~sito ~e n~ of s~d pe~ ~ ~o M~ of s~d pe~om ~ sho~ on ~e c~t ~s~sment~ll of ~e Tom ~ S ou~old; ~at s~d Notices w~e.~l~ at ~ey~ S~es?ost Office at ~~ ~' ~ , ~at s~d Nofi~ w~ mml~ to ~en o~ sma p~ nY (certified) (registered) mail. Sworn to before me this Dayof ~{~)z~.~,~ ,20 SUSAN J. NAGY Notary Public State of N~ No. 4896735 Qualified In Suffolk tour Commission Expires M~ Bo~:d o~ Trustees 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 In the Matter of the Application of COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF P~ , residing at ..~Zca being duly sworn, depose and say: That on the ~ day of .d,4~. ,20057,1 personally posted the property known as 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 heating. Date of hearing noted thereon to be held . ~ t:~ Or} o aOOd't 0:03 Dated: Sworn to l~fore me this /~c~ day o~/200~6~' /Notar;y~hblic / / - ff-/[ ( (J ~J SUSAN O. NAGY Notary Public Stato of New York No, 4896735 Qualified In Suffolk County Commission Expires May 201~.~ Albert J. Krupski, President\ Jazhes 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 SOUTHOLD Office Use Only Coastal Erosion Permit Applicati?/ff' Wetland Permit Application ~' Major Walver/Amendmen~ha~g_e~ Received Applicati,~on: -a ["~,'/ Received Fee:$ ~/~' Completed Application Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date CAC Referral Sent: d'L,'-,q 0 Date of Inspection: .X']j Receipt of CAC Report:" Lead Agency Determination: __ Technical Review: ,Public Hearing Held: Resolution: ' Minor MAY - 2 2002 Name of Applicant Address Judie Lizewski 320 Depot Lane, Cutchogue NY 11935 Phone Number:( ) 631-734-7556 Suffolk County Tax Map Number: 1000 o 1 37-4-10.1 Property Location: 145 Fleetwood Road, Cutchogue (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: James E. Fitzgerald, Jr. / Pro~er-T Permit PO Box 617, Cutchogue I~Y 11935 Phone: ?3a-sann Board of Trustees Application Land'Area (in square feet): Area Zoning:. GENERAL DATA 25~950 scift R-40 Previous use of property: Intended use of property: Undeveloped Single-family residence Prior permits/approvals for site improvements: Agency Date X No prior permits/approvals for site improvements. MAY - 2 2002 Has any permit/approval ever been revoked or suspended by a governmental agency? × No Yes If yes, provide explanation: PROJECT DESCRIPTION: Construct single-family residence with on-site.sewage disposal system and private well; construct 4'x 35' fixed walkway dock with mooring pole. Board of Trustees Application WETLANDfFRUSTEE LANDS APPLICATION DATA ~ose of the proposed operations: Construct private single- family residence with dock for private recreation. Area ofwetlands on lot: est 1'550 squarefeet Percent coverage of lot: 5,6 % Closest distance between nearest existing structure and upland edge of wetlands: -0- feet Closest distance between nearest proposed structure and upland edge of wetlands: -0- feet Does the project involve excavation or filling? No X Yes (house foundation) If yes, how much material will be excavated? 900 · How much material will be filled? -O- Depth of which material will be removed or deposited: Proposed slope throughout the area of operations: cubic yards estimated cubic yards 8 feet approx Manner in which material will be removed or deposited: backhoe ~ etc 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): It is expected that the project will have no significant effect on the wetlands and tidal waters of the Town. 14-16-4 ;2/BTI--Text 12 PROJECT LD. NUMBER 617.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNMSTED ACTIONS Only PART I--PROJECT INFORMATION (To be compietecl by Applicant or Project sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME James E. Fitzgerald? Jr. Lizewski house 3. PROJECT LOCATION: Mun~o~psl~ Cutchogue , Cou~W Suffolk SEQR 4. PRECISE LOCAT1ON (Street a`+drees and roaP intersections, prominent ian`+ma~a, etc., or provide map) 145 Fleetwood :Road Cutchogue NY 11935 See attached, maps. 5. IS PROPOSES ACTION: ~] New [] Expansion [] Modillcationlelt eraUon s. PROJECT DESCRIPTION: Construct singE-family residence with on-site sewage disposal system and private well; construct 4'x 35' fixed walkway dock with mooring pole. 7. AMOUNT OF LAND AFFECTED: Initially 0.6 ~m. Ultimately 8. WILL PROPOSED ACI1ON COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [] Yes [] NO If No, dll~tli~e $flefly g. WHAT IS P~I~ENT LAND USE IN VICINITY OF PROJECT? [] Re~i`+entlal [] In`+uBtrlal [] Commercial [] Agriculture Medium-size private residences. 10. DOES ACTION INVOLVE A PERMIT APPROVAL OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL STATE OR LOCAL)? ' [~] Yes [] NO If y#, list agency(s) aha permit/approvals Required: krYSDEC, ~TYSDOS, USACoE+ 'Southold Trustees 11. DOES ANY A"P;CT OF THE ACT1ON HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Ye~ [] NO if yea, list agency name an,+ pennit/appro?ai 12. A8 A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? []Y. m.o I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEef ~I~I~¥.I~I~E James E. Ft~-v~er~ld, Jr. ' ~= '; - ' .App,ic..t/Bpo.so~ .ame. Th2~.°Oer-T ~/~r~t/S~S--e-~"~'±ces.~--. ~ ~:' If th~ctlon is In the Coastal Area, and you are a state agency, complete Coastal Assessment Form before proceeding with this assessment OVER 1 S~AST CUTC~OGUE THE AREA OF THE PROPOSED PROJECT IS CIRCLED ~OG BA NEC Y NEW SUFFOtK NORTH RACE ISLAND CORPS OF ENGINEERS DATA PURPOSE: Construct fixed open walkway for private recreational purposes. IN: East Creek COUNTY: Suffolk DATUM: MLW AT: Cutchog~¢ STATE: New York CUrCHOSUE HARBOR LITTLE NECK NASSAU POINT L TT LE PE VICINITY MAP Application regarding the property of Judie Lizewski, SCTM # 1000-137-4- I0.1 P,~pr~-nted by PROPER-T PERMIT SERVICES P.O. Box 617, Cutchogue, NY 11935 James E. Fitzgerald, Jr. 631-734-5800 April 30, 2002 C THE SITE OF THE PROPOSED PROJECT IS SHADED CORPS OF ENGII~EERS DATA PURPOSE: Construct fixed open walkway for private recreational purposes. IN: East Creek COUNTY: Suffolk DATUM: MLW AT: Cutchogue STATE: New York TAX MAP Application regarding the property of Judie Lizewski, SCTM # 1000-137-4-10.1 Represented by PROPER-T PERMIT SERVICES P.O. Box 617, Cutchogue, NY 11935 James E. Fitzgerald, Jr. 631-734-5800 Aoril 30. 2002 I,IZEWSKI: ADJACENT PROPERTY OWNERS May 9, 2002 NOTICE NOT SENT (PROPERTY OWNER) 1000-137-4-10.1 Joseph & Judie Lizewski 320 Depot Lane Cutchogue, NY 11935 NOTICE SENT 1000-110-4-1 Charles G. & Judith Magul 4905 Pequash Avenue Cutchogue, NY 11935 1000-137-4-8 Pauline W. Thurm 105 Fleetwood Road Cutchogue, NY 11935 1000-137.4-12.1 Neal A. McCarroll 5322 Avenue M Brooklyn, NY 11234 AFFIDAVIT OF POSTING TO THE SOUTHOLD BOARD OF TOWN TRUSTEES IN THE MATTER OF THE APPLICATION OF: Judie Lizcwski STATE OF NEW YORK COUNTY OF SUFFOLK I, James E. Fitzgerald, Jr., residing at 385 Haywaters Drive, Cutchogue, NY 11935, being duly sworn, depose and say that on the 10th day of May, 2002, I personally posted the property known as 145 Fleetwood Road, Cutchogue, by placing the Board of Trustees' o~clal poster where it can easily be seen, and that I have checked to be sure the poster has remains.ed in place for eight days ~;; t~ oth;adabotteto7f., tch0eppuM.blic hearing, which date is ,note~hereon~0~b~,/W.~/dnes,/ I [l,~ ~"/. ~-~Y' M~ay.2~2, :es E. Fitzg~rald,/~ · /~ Sworn to before me t~s ~.r~ day of'~Xl~O, Af ,2002. Notary Pub~' ~'~ v AFFIDAVIT OF MAll,lNG TO THE SOUTHOLD BOARD OF TOWN TRUSTEES IN THE MATTER OF THE APPLICATION OF: Judie Lizewski STATE OF NEW YORK COUNTY OF SUFFOLK James E. Fitzgerald, Jr., residing at 385 Haywaters Drive, Cutchogue, NY 11935, being duly sworn, deposes and says that on the 13th day of May 2002, deponent mailed a true copy of the attached Notice set forth in the Board of Trustees Application, directed to each of the named per- sons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the addresses of said persons as shown in the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at Cut- chogue, NY 11935, that said Notices were mailed to each of said perso~..ns by Certified Mail/Return Receipt Requested. Fitzgerald, Sworn tg,_before me this ~ dayof ~ lx~XJ~ ,200")., . Notary Public '" ~o ~ (k~TEE. 'I cORPS OF ENGINEERS DATA PURPOSE: Construct fixed open walkway for pri,~ate recreational purposes. DATUM: MLW IN: East Creek AT: Cutchegu¢ COUNTY: Suffolk STATE: New York PROJECT PLAN Application regarding the property of Judie Lizewski, SCTM #1000-137-4-10.1 Represented by PROPER-T PERMIT SERVICES P.O. Box 617, Cutchogue, NY 11935 James E. Fitzgerald, Jr. 631-734-5800 Aoril 30, 2002 SUEVEY OF , LOTS 8 & 9 MAP OF FI,~,ETWOOD COVE i FILl No. 1265 FILED JULY 1, SITUATED AT ~ I CUTCHOGUE IO~N O~ ~OUIHOtD SUWOtK COUNTY, NE~ YORK S.C. TAX No. 1000-137-04-10.1 ~f ' SCALE 1"=40' ~)~ MARCH 1~, 2001 ~ ~RIL 19, ~1 ~ ~t~NG S~C ~ ~ ~RIL 29, 2~2. ~ w~ a TOP~ SU~ ~.~ ~' ~.~ = 2~.,~.7~ ,q... _... -...~__- .~ ~ >/~~/~~/ ~ ~ ~< ~ ~ ~ - ,.:A,'.;~ ; ' LOT ~2 i o~ ~ ~ ~~~ ~~;:.~1 ¢,. ~ ~ ~_,.,. ',~~,i ~11~ ~ '~//'~ L I-l-~:~ ~ _ ~~~ L~d .Surveyor ~. ~ ~ ~ ~ ~ (~)7~-2~ Fax (~1)7~-1727