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Home My WebLink AboutTR-5312 Board Of Southold Town Trustees SOUTH OLD, NEW YORK PERMIT NO. S3/J.. DATE: .~ay 1, 2001 ISSUED To...I~9~AS..I'.1')CI:lMJ\NN . Autltorilutiott Pursuant to the provisions of Chapter 615 of the Laws of the State of New York. 1893: and Chapter 404 of the Laws of the State of New York 1952~ and the Southold ToWn Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN. WATERS;.... and in accordance with the Resolution of The BOard adopted at a meeting held on ...I\:p:r.i.L2.<;.!.. . 20.lU., and in consideration of the sum of $.2.0.0.:..0..0. ... paid by En-Consultants, Inc. for Thomas Eschmann .............................. ......................-. of .......S.9.1J.t.h.ampton.... N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, Wetl~U~t~~1t Tfo~e~ra~es( ~~tR~iI!V>"da~~~~ J~5to~wl'i~~ting timber bulkhead with an 86.5' vinyl bulkhead and remove and replace (in-place)an exist. 34' timber return with a 34' vinyl ;. return. Approx. 50 cy. of clean sand backfill will be trucked.in frolI'at:rrn ~~8-a.re611Yiltn 11W ~sfI'Jtlr.C;<;;m3Ifs ~i"pl-~'aHted in the originating application. beachgrass (12" on center). IN WITNESS WHEREOF. The said Board of Trustees here- by causes its Corporate Seal to be affixed. and these presents to be subscribed by a . majority of the said Board as of this dat.e. Henry Smith -: Absent Truss..s ~ . . . . . . . , ~ '--'-_._'_._~._'-_._.__. . ! ~ -~._._" '--' . " ' ,>. ,. TERMS and CONDmONS The Petmittee Thomas Eschmann residiag at 46 Kenwood Rd., Garden City N. y~ as part of the coosidentioo for the loG,....... of the Permit does ul1"~ '1....1 and poescribe to the fol- 1owiag: 1. That the said Board of T~ and che Town 01 Soucbold ale Jdeaed from 1111 and aU cWaages, Ol' cWms fOl' damap, of sub uiIiag direcdy Ol' iDditecdJ as a result 011111 opec- adoo pedotmed pinuaat to chis pamlt, and the ... ..... M....... will, tIC Ids Ol' her own ClEf oM - delead 1111 and aUlUCb adts -1..J.l.-.l ..,. chlrd pardes, and the said 11 10._ .- faIIllIIllUtJ wich reipect thereto, to the COft'pI<<e' -..;"" of the Board 01 T_ 01 the Town 01 50 -41. oJd 2. That chis Permit is ...ud for a period of 24 IDOS. wbicb is cDllli4'1~4 to be the odi_ted time - requited eo coiDpIete the ..od< la~ butihoald ci1 '. (-"""'" wvraat, ~ for an ~OD may be made to the Board at a Ialu dale. 3. That chis Permit should be retalaed lade&ilely, or as long as the said ~ wUbes to ....1....1.. the 5ttUCtUte or project lavolved, to pI01'ide evideace to anyoae CXlfI(aIIeCl chat amb- odzadoo .... originally obtalaed. 4. That the wotkiam>lved will be subject to che j~ and approval 01 che Board Ol' la aplts, and 1I0000co..,pll..... wich. the provisioas 01 che orlfll-fffog appIicadon. -r be cause for revocation of this Permit by ftSOlutioo of che said Board. 5. That there will be 110 """,,SO<'."'e laterferen<:e wich navigation as a result of the wad< baein uichorized. . 6. That there .baU be 110 laterferen<>e wich the right of che pabIic to pass and repatI along' the beach between high and low water marks. . 7. That il future operations of the Town of Sou~ recpdre the -.I and/Of: a1teradons la the location of the ..od< beJdo ...~ or if, la the opl..w. of the Board 01 n-, che. ..od< ahaI1 ause unreasoaable cbslrUCtlOD to free na~ the said P--I_ will be .~ upon clue notice, to remove or alter this work Of: project herela stated wichout ~ to che Town of Soucholcl. :. 8. That the said Board will be notified by the PermIttee ot che ~. Of the wad< amb- orized. 9. That che Permittee will Clbtain aU ocher pemUts and __a chat -r be requited sup- plemental to chis penuit wbicb may be subject to revoke upon fal1ure to obtain ame. 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 SOUTHOLD May I, 2001 Mr. Robert Hemnann En-Consultants, Inc. 1329 North Sea Road Southampton, NY 11968 RE: THOMAS ESCHMANN 495 Mesrobian Drive, Laurel SCTM#145-4-1O Dear Mr. Hemnann: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, April 25, 2001 regarding the above matter: WHEREAS, En-Consultants, Inc. on behalf of THOMAS ESCHMANN applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance ofthe Town of Southold, application dated April 2, 2001 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 April 25, 2001 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, 2 . . WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people ofthe town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of THOMAS ESCHMANN to replace (within 18") approx. 86.5' of existing timber bulkhead with an 86.5' vinyl bulkhead and remove and replace (in-place) an existing 34' timber return with a 34' vinyl return. Approx.50 cy. of clean sand backfill will be trucked in from an upland source and planted with Cape American beach grass (12" on center). 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 ofthe date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. Fees: None Very truly yours, tILt,-1 ~ /~.~. Albert J. Krupski, Jr. President, Board of Trustees AJK/lms cc: DEC ACE Dept. of State Telephone (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 Monday, April 16, 2001, the following recommendation was made: Moved by Melvyn Morris, seconded by Bill McDermott, it was RESOLVED to recommend to the South old Town Board ofTrustees APPROVAL of the Wetland Permit application ofTHOMAS ESCHMANN 145-4-10 to replace (within 18") approx. 86.5' of existing timber bulkhead with an 86.5' vinyl bulkhead and removed and replace (in-place) an existing 34' timber return with a 34' vinyl return. Approx. 50 cy. clean sand backfill will be trucked in from an upland source and planted with Cape American beach grass (12" on center). 495 Mesrobian Drive, Laurel Vote of Council: Ayes: All Motion Carried . . Figure I. Looking east at return along westerly property boundary to be removed and replaced (ip). Figure 2. Looking east at bulkhead to be replaced (w/in 18"). . . Figure 3. Looking west at bulkhead to be replaced (w/in 18~). Figure 4. Looking south over project site and toward Great Peconic Bay. . . ~ EN-CONSULTANTS, INC. 1329 North Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 E-mail: encon@peconic.nel www.enconsultants.com ENVIRONMENTAL SERVICES March 28,2001 Town of South old Board of Trustees Post Office Box 1179 Southoll!, New York 11971 Attn.: Lauren Standish Re: Thomas Eschmann 495 Mdsrobian Drive, Laurel SCTM #1000-145-4-10 APR - 2 Dear Ms. Standish: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: I. Three (3) Wetland Permit Applications, ( including Notice and Proof of Mailing to adjacent owners). 2. Three (3) Short Environmental Assessment Forms. 3. Three (3) copies of authorization & 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. Should any additional information be required, please do not hesitate to contact our office. Robert E. rmann Coastal Management Specialist /khs Ene. Ir ."'1 , ',. z -~~,,-. ___._ , -+~ % i "" '" 'i- '7>", % =~~- lTllIlIIT1J1JTITL I~ L ~ rt.l rz:l ::!/ ,I ~ 18.5' i ~ }. .. i i! ii 1 '" - 5u/ft>. i'J,q.trom Ma;> 26 I' - ~?()(X)' \...'2' RrGHT 0/1' FAY, EIlcE ~ "'~ SIt I ", ' LIMIT OF , , , :.. EX 34' TIMBER RETURN TO BE BACKFILL , ..' ," REMOVED & REPLACED (IP) \ ' ' WITH VINYL RETURN L ____~_-_......,., " , . , " :-::- ,r,.,.. ',EX. 86.5' TIMBER BULKHEAD. ' , ~ ',. J' , . TO BE REPLACED WITHIN 18 '. . . I"') . ~. . AI" , ", .:.. .. . 41.,.. .... '. ~:'.:' ~ . .' .' : J .. ... .. . " AHW 86.6 - -~ PROPOSED 86,S' VINYL BULKHEAD TO ALW BE CONSTRUCTED W/IN 18. OF EXISTING GREAT PECONIC BAY j) P""""" ~~ """ CGrII:roI~ 2) t'aIun: ~w ~) All t.m.r +.D be CCA-I:noatord 4) N6W ~kiwldtnq +.D be ~ of c-t.oc Vhf ohathtnq !?) ~~ !?O cWlc I!II"'" of d-. ..,.j t1Il 01; be tnIc:k.od 11'1 frnm .. ~ ........aI. us.od ., bed<.fil. _ pI..t...l with c., fmortca, J:..d.t.,.., (12" O.c.) 6) Pl'"rlpllIl"tIjloaltion, '19!1 M..,n,b18l """". I.ar.sl: 5CfM#ICXX)-14!?-'t-1 1) ~ Owr.ors, 1-~~CGrp, 2 - /Arlllo AHW ...-WATEll lIETER ..,.... :01 ~- c:...... ....... x~ go \C.~ ~ ...e' ..... -- , 1" = 20' ... "" >>. I. .....PI'CST WAU. 2, ~~ ~~ ~ L ? i! ~ 1 j 0- APR-? ~~ i ~! ~ II:! ~ co ~z 3: ~ : /:=:~:~~i i _ ~ ,~ "..~ i .............~.~.. ~: ~ ~ ~ ~ .. - 1......._~Il<'N ~ : ~ I 'jlil~~ ~b ...,.- -<: ----.-+r ._- iU I ~ . ~ ~ ' f'=::::::.:rf ~:::=-:: ==1 S ~ ~ s2~ =.. I" 'I .........- -"'1 r:::~...'1 _=~=::.i ~ ~ I-.......,Ij.. III ....\tl...._j 0:. s::I. ~ t~~~==;:~~::=~~~ ~ ~ ,-.....~.......................j l<' ~ ! ,.Ilf~ ~ Dt..""=...==...........................="" I . ~ G ',.\i' ~ X \~ \ Q'! ~ .. ~ - EN-CONSULTANTS INC. 1329 NORTH SEA RD, SOUTHAMPTON, N,y' 11968 631-283.6360 PROP05et7 mm:m RePlJaNe~ F~ 1HOMA5 eXHMANN ON f'eCONlC ~AY. ~.AJm.. 5tfFQ,KCO.. NY *en Cf I ~/14/01 Ii L ~ lZl r:J :1 ~. ,.... i ~ :: .. f. . IS 1 AD . EX. BULKHEAD .!!!2!!PoI 4' 5uffolk I1a:i5lrom ~ 26 I' ~ ~'CXXJ' \...'2' lUCHr OF WAY- ".-lOMlER IfE1ER ....... ::Ill 1 ,..- 1:....... ........ :t:!:!\ go ~~ ....' , 1" = 20' EIlG[ OF ''''--109lENr e. 22.5' -- Sl \ l 2. ~ ~ ,., .... LIMIT OF . . . :.. EX. 34' TIMBER RETURN TO BE BACKFILL ~ . . .. I REMOVED at REPLACED (IP) \ . . WITH VINYL RETURN L _____~-__.,... .... ....;-:-:r..... :'. EX. 86.5' TIMBER BULKHEAD." . . ~ ";" ..~. TO BE REPLACED !ITHIN 18. '. ., ..... ,:. ...... "'.~,".'. " '.. ': 4' ,. ~. . ....... . I) P~:~~c:lI'"05 C<IlInlI ~ 2.) t:1l1tun: ~w ~) All tITWr +.0 b.t CCA-tr.!ral:ed "t) ~ bulkMadir"l +.0 b.t ~ of C-!,."" vt1f ohaIl'Iir"l !?) ~l{!?O <>hie lllI"ds of d-. ,..,d t1Il at. b.t -trud<&::lln from .. ~ ""'"", .- ... bet:kfdl, ..,.j pI..t:.rd wttl1 c., ~ b.tac:h .,.., (12" 0[;,) 6) p~ 1acaI:ion, "19!? Mr.rmb1ll1 t:1r1w, L..ar..tJ SCfM#IOOO-I"t!?~"t~1 1) ~Own.r,: I - ~ RaIbj c..,.. 2 - lArlllo AHW AHW - - PROPOSED 86.5' VINYL BULKHEAD TO BE CONSTRUCTED W/IN 18. OF EXISTING GREAT PECONIC 86.6 ~LW BAY - ~~ ~~ ~ ~~ ;Q lit;&: >< i! 1 i ~ ~ ~~i ~~~ ~ ~(i:) ~ :z ~ ~ ~ I I~=~~~ ~ j ~ i :=~::=="~ I ~I N .; ~~ i:.~:.=~ ~: ~ ~ 5 I -:ar ' I~- ~ ~ . ~~~dIU i~ ~ ~ ~~ ~ ~~ ~ ~ ._..~ ~ i2 ,c. ~ I ~ , ~ ~ ! '" G '" ~ ~ .. ~ ~ g- ~ di >< \1'; EN-CONSULTANTS INC. 1329 NORTH SEA RD. SOUTHAMPTON, N.Y. 11968 631-283-6360 ~~r; mKIiWJ Ia::I'lJaM!:Nf FOR 1HOW6 eXHWNN ON F'eCONIC ~AY. ~m<e~. 5LfFaK CO., NY ~~IOfI ~/I'l/Ol ...1'> ::III ~- c....... "'1'> ~I sc;!\ t ~ ;;; c:0 ~~ b. \(\~ 22.lI' ....' -- !i '0 >< , 2 1" - 20' I) P~:Ma~~""", ~ CllI1InJI~.. 2) t:llIIun: It-W 2. !>) All ~ l:o b.t CCA-trut:...I -t) New bullWadlnq l:o b.t ~ of C-l..cc vrqIlIhatj,lnq i) !?) ~~ !?o able If'I"ds of 1 d-...,.j I ot. b.t ~ In f...... .. ~ ""'ce. L-.:l 8 1:.od<f111. .... pI..I:.rd wtth Cap.. ~ beac:I1.,..,., (12" O,C,) 6) P~ Iac&ion, '19!? M.r.r.b.. t:/r"". I..arel, SCfM# 1<XlO-I-t!?-"f-1 ~ 1) ~ Owr.sr-5, I - ~ Ii!aIbj e..", - .. "" 2 - tKlllo .... ~ Ii L ~ fIJ ~ 5uffolk ~om May 26 !. - 2:..~CXX)' \...'2' lUCHl' OF irA}:; EIlG[ 01' ~ .......""IER lIE1ER ,.... -- ; ~ :: . f ~ IS 1 Cl . EX. BULKHEAD '!!!!!!!lu"" 4' AHW LIMIT OF . . . :.. EX. 34' TIMBER RETURN TO BE BACKFILL ;. . :, REMOVED '" REPLACED (IP) \ . . WITH VINYL RETURN L ______-_---,0. .'. ". '.' ';,. .--: :r... '. EX. 86.5' TIMBER BULKHEAD. . ...;.,' .~. TO BE REPLACED !ITHIN 18 . '" ~.. . .... .:. '''':.' .:. ..:.... '. ": 4" .. .. . .. . . . . AHW 86.6 --=--:;'LW - - - PROPOSED 86.5' VINYL BULKHEAD TO BE CONSTRUCTED W/IN 18. OF EXISTING GREAT PECONIC BAY ~ ~ ~~, ~ ~ ~ 0;) ~ :z ~ ~ 1 !.~~.~::-~i i ~ .' ~ !"':':: ~~i ~ ~ I'~ ,:."t I HM'._.,_~_.._ 1"'- - ~ . - ,.....-. !li I'l SI... ..~' ~~i~~~~o ~-~ it1:id-:~ ~ ' ,- i i ~=.::~:::~ S ~ u -4 =.. c:...;! ~ '::::~=:J ~ BS:>ll I---ct.. lb -"'1b -'-j <C '" r---'.J;-- ,- . -. !li ...,. '~~~~J ~ ~ 0- \).', ~ EN-CONSULTANTS INC. 1329 NORTH SEA RD. SOUTHAMPTON, N.Y. 11968 631-283-6360 PROP05e17I~IIJJt:fO RePLJaNeNf fOR 1POWO ~~~N ON PeCONIC rjAY, ~.AJ.m... 5I1fCt-KCO.. NY 5ft:m a: 1 ~ / 1-1/ 01 l!! 5< :I: ~ - ,;ubert 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 SOUTHOLD Office Use Only _Coastal Erosion Permit Application ./'Wetland Permit Application /Major _ W aiver/ Amendment/Changes ~eceived Application:~ .........Received Fee:$~OO"" LCompleted Application ~O, _Incomplete _SEQRA Classification: Type I_Type II_Unlisted_ _Coordination:(date sent) ~AC Referral sent~O\ ......-Date ofInspection: 01 _Receipt ofCAC Report: _Lead Agency Determination: Technical Review: :?Public HearingHe~ Resolution: Minor APR - 2 Address Thomas Eschmann 46 Kenwood Road Garden City, NY .L1530 Name of Applicant Phone Number:( ) 516-742-0680 Suffolk County Tax Map Number: 1000 _ 145 - 4 -1 0 Property Location: 495 Mesrobian Drive, Laurel (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) En-Consultants, lnc. Phone: 631-283 -6 3 6 0 ~v" .~~O\ -Jr" \ Address: 1329 North Sea Road Southampton, NY 11968 4toard of Trustees ApP1icatitt GENERAL DATA Land Area (in square feet): 18,871.12 Area Zoning: R-40 Previous use of property: Residential Intended use of property: No change Prior permits/approvals for site improvements: Agency Date ~ 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): Replace (wi thin 18") approximatley 86.5' of existing timber bulkhead with an 86.5' vinyl bulkhead and removed and replace (in-place) an existing 34' timber return with a 34' vinyl return. Approximately 50 cubic yards clean sand backfill will be trucked in from an upland source and planted with Cape American beach grass (12" on center). ~ard of Trustees APPlicati~ WETLANDtrRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Maintain existing erosion control structure. Area of wetlands on lot: o square feet Percent coverage oflot: o % Closest distance between nearest existing structure and upland edge of wetlands: nl a feet Closest distance between nearest proposed structure and upland edge of wetlands: nla feet Does the project involve excavation or filling? No x Yes If yes, how much material will be excavated? nla cubic yards How much material will be filled? 50 cubic yards Depth of which material will be removed or deposited: nla feet Proposed slope throughout the area of operations: nla Manner in which material will be removed or deposited: Approximately 50 cubic yards clean sand fill will be trucked in from an upland source, dumped, and graded as backfill. 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 will consist of the maintenance of an existing erOSlon control structure and will have no adverse impact on adjacent Town waters; there are no vegetated tidal wetlands present on-site. Albert J. Krupski, President James King, Vice.President Henry Smith Artie Foster Ken Poliwoda . . Town Han . 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 ~~-f~~rocl~~____--------- COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, ~~ 4~ , Eesl:~ljJ at (;.;- G-,.s....L..\Th.J\"i., \t-.It... I ~ Z9I t-l. ~ ,fl.."D, J 5ovn\ A-M.~ being duly sworn, epose and say: That on the lit- day of ~\ \ , 200\, I personall,y posted the property known as~S ~('dol8V\ \)rlvC I Laur-eJ 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 th~ l2..u.~lls. ~Ef~Ei!l" Datll of hearing noted thereon to be held ~ i (ilC01 ~1;oo\'1lL Dated: Sworn to before me this ~y Ofc;~ 200' ~ p "'-. Nay Public ~ KIiIIL STEPHENS ~ Notary Publlc-S1a\ll of N"." Yom ~~. Cemm~s:i:m No. 5!)1::'~,~.:< I l\!:?.q ,......'\.1~,.. I ,~_",'J,l ~~~~~J _~...a'.~~,:' ~::-.':_; .~. 'tIll." c--- ---- , ll"rJ"'J. ..d'.J.J-: .,.:,,~"~~,:':'.. \I ~""""<-~ y~ . . NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: Thomas Eschmann SCTM#1000- 145-4-10 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: Replace (within 18") approximately 86.5' of existing timber bulkhead with an 86.5' vinyl bulkhead and remove and replace (in-place) an existing 34' timber return with a 34' vinyl return. Approximately 50 cubic yards clean sand backfill will be trucked in from an up- land source and planted with Cape American beach grass (12" on center). 2. That the property which is the subject of Environmental Review~-is located adjacent to your property and is described as follows: 495 Mesrobian Drive Laurel, New York 3. That the project which is subject to Environmental Review under Chapters 32, 37, or 97 of the Town Code is open to public comment on:April 25, 200ITou may contact the Trustees Office at 765-1892 or in writing. The above referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. OWNERS NAME: Thomas Eschmann MAILING ADDRESS: 46 Kenwood Road Garden City, NY PHONE #: 516-742-0680 11530 Enc.: Copy of sketch or plan showing proposal for your convenience. s ..,..., .~ :lD' ~ 0." ,..- \,.. ~...... ......, ~~ :l:~ t. ~. go h i \(\~ 2Ul' 3'..' -- ;0 tii >< , ;3 ;0 1" - 20' , 1 I) P"",,", Matltooln ~ ...-m calInlI ~.. 2) t:1a1un, I'l..W 2. ~) All ttnI.r to 1:00 CCA~ -t) N.swl:dkhrad"",tol:oo~ ofC-l..<<:~~"", i'l !>) ~::ffl\ !>o able 1lW'" of ! d...,,,...,.j l""I:oo~1n m.n.. ~~, .-d.. boodd1Il. ..,.j pIaUd wll:k c.p, ~ "-:h.,.. < 12" O.cJ 6) P~ ~I '19!> ~1111 t:1rlWl, L.anlJ SCfM#IOOO-I-t!>--t-1 ~ 7) ~ Ownor" I - ~ II!M!af Cup, ~ .. ..., 2 - cArillo .... ~ LIMIT OF , , , :.. EX. 34' TIMBER RETURN TO BE BACKFILL ;' , .. I REMOVED &. REPLACED (Ip) \ ' ' WITH VINYL RETURN 'L _____~-_---,o, ,', ',.' '..::- :f, .0:. ':', EX. 86.5' TIMBER BULKHEA1D8" ' ~ ' " ".. ','. TO BE REPLACED WITHIN ~.....:.~:....::~.r;2.. ~ ." :..... .... .:. '.~: '>~:".:' j~ L ~ rn l':ril ::!l . :wolk~~26 I' - :!:,'OOO' \...'2' lUeNT OF rAY. EIlGE OF ~ ...-lOMlER lImR .1 ,.... ! ~ ;: .. ; . II (l) - - AHW 86,6 ~LW - -PROPOSED 86.5' VINYL BULKHEAD TO BE CONSTRUCTED W/IN 18" OF EXISTING GREAT PECONIC BAY ~ ~ i! ! ! ~ ili ~iiJ ~:z ~ :z ~ I l~=_ ~ i ~ ;:' : !::-::.::::=- ~ ! ~ I'~ ',; ~~ !:::=.::::-::: ~ i i ~ ~ ... I ~I",;:c ~ ., !:~~:E ~b ..::j I<=:::'~~- :~=~:::~ ~ ~ ~ ~ =~- L~.._' I ~ ~::::..~~=3 ~ ~ ~~ ~:::=::::#=-&, =~"-::J:l ~ 1::1. ---r,--' ~- ~ ,------.-: ll!--I ~ a 'ie ,.~ ~ ~ 0- ,~ -CONSUlTANTS INC. 1329 NORTH SEA RD. SOUTHAMPTON. N.Y. 11968 631-283-6360 - mil'CY.i!? m~ ra:FVaMeNf f~ 1HOfMS e501WNN ON PeCONIC rjAY, ~JJ.m., 5I.ffa.K co" NY ~e-rl Of I ~/I~/Ol . . PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: Joseph Grillo 54 Elm 'l'ree Lane Jericho, NY 11753 Ravatone Realty Corp. 522 South Oakwood Drive Laurel, NY 11948 STATE OF NEW YORK COUNTY OF SUFFOLK doing business Robert E. Herrmann , ~~~ at ::;outnampton, NY 11968 En-Consultants, Inc. L329 North Sea Road , being duly sworn, deposes and says that on the 28t-h day of March ,k!k2001, 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 Southampton , that said Notices were mailed to each of said perso s by (certified) (~8~~BXBXBd) mail. Sworn to before me this 28th day of March ,x9 2001 Rober rrmann Coastal Management Specialist ~ ot KIM H. STEPHENS . ,,~.~ r.I~.~." F.,.":!t~.''''''l. of ",.., v...~t. .I "":"/,\ .~. J ,""..., ....,~"1 ... ,__ .. . _.1\ , ",'il '=c:;';;'/;; ~:~.::~:.5J; ~:":' CC;7,miu!on E "'I;;; A;:. UEt 2 '" . . U.S Postal Service CERTIFIED MAIL RECEIPT (Domestic Mall Only, No Insurance Coverage Provided) '" Cl l'- Cl Certified Fee I '7 () -_.-- (\,0 /'cj7':-':-, / .............."'-..:.;,1 l/~ < v' I postrrlar'k \ Her~ r-<) ~ :T '" '" II""' Cl .-'l Cl Cl Postage $ Return Receipt Fee (Endorsement Required} Restricted Delivery Fee (Endorsement Required) Total Postage & Fees $ ~7 Cl ru nJ Name (P/~8se Print Clearly) (T(!;COmPI8ted by matter) m m~On~~St',).nm__n~_Jf_' j(cL_ nmmmm nnmmm ~ :;;g;~~:O~:17j~-~7?-(3-------------------- .1 US Postdl SUVIU CERTIFIED MAIL RECEIPT (Domestic Mall Only, No Insurance Cove/age ProvICled) ru .-'l l'- Cl . I ~n_ '2LJ_____ /> ,~, Postage / 7u , " Certified Fee I \0 Postmark Return Receipt Fee H'rn (Endorsement Required) Restricted Delivery Fee (Endorsement Required) -- u3 7l( - Total Postage & Fees $ ..~ :T '" '" II""' Cl .-'l Cl Cl Cl ru ~ :t<~V;;};';Z:"'71/~27:.et:?Jif-_~__nm_nmmm D""" Stree!L Apt. NO.;Sc.O Box No. () ~. --.!A ~ ___S;n~<2_nnn~'C:tLnnn_gn_~_~dun:uJ::~0:::mmn I"- Cfty, State, ZIP+ 4 I N l I ( <; l/ " B1Ifd of Trustees APPlicatio~ county of Suffolk State of New York /" A r /" r" ,/ I t+o yY/ (l..,S . Q- f t./ N o~ r; t, t 5'C(-J ~ Po tV f<l BEING DULY SWORN DEPOSES MID AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLEss AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT ( S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT ( S) OR REPRESENTATIVES ( S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. ~' 7~~ ~r;,~ S~gnature SWORN TO BEFORE ME THIS J.) 4i: DAY OF ~P.......j..L'1./ ,_~() '77l~~, ~I/i CM N01:ary Public . iT MARTHA P1NON-INTRIAGO Notary Public. State of New YOIll No. 41-499~659 Qualified in QueensCoun~ ~ Commission Expires Apnl 27. V1 ........ 3 Btlfd of Trustees APPlicati~ AUTHORIZATION I~O""^,J ~ [,c I-itvlP-N/'J l/{lI~Ilt; (b'II'" ~siding (pr~nt owner of property) at~ /(';/III/Jood f(tJ (mailing address) (tV, tJAJ C:"-r ~ IV. Y / /~3 C? ! do hereby authorize ,.- t:1V~ C -tJ ~ l.> L T A rV~ I tJ L t (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. -jf!::r/~' (Owner'S signature) ........ . . APPLICANT TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the art of town officers and em 10 ees. The ur ose of this form is to rovide information wh ch can alert the town of possible conflicts of nterest and allow it to take whatever action is necessary to avoid same. YOUR NAHlh Es C d- fV} f\ tJ tv ~HoWJ Last name, first name, you are applying in the other entity, such as a company. If so, the other person's or company's name.) unless else or indicate NATURE OF APPLICATIONs (CheCk all that apply.) Tax grievance Variance Change of zone ApPtoval Of plat Exemption from plat or official map other (If "other," name the activity.) Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship vith any officer or employee of the Town of Southold1 "Relationship" Includes by blood, marriage, or business Interest. "Business Interest" means a buslnens, Including a partnership, In which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the tovn officer or employee ovns more than 5% of the shares. YES NO X If you ansvered "YES," complete the balance of this form and date and sign where Indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself (the applicant) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that applY)1 A) the owner of greater than 5% of the shares of the corporate stock of the applic~nt (when the applicant is a corporation), B) the legal or beneficial owner of any interest in a noncorporate'entity (when the applicant is not a corporation), c) an offf"~r: d{rgctor; par~nsrt c: crnpl~ye6 of the applicant, or D) the actual applicant. DESCRIPTION OF RELATIONSHIP G~ -;t~ l:CIA/O;e.& F t:JC-IIN,.o.)/U '""". ".~. h ~ I day oA~1JlI.J ~ Signature ct. ~ Print nam 1f+<>WlM A. ['5;'1:- H fVJAtJrJ