Loading...
HomeMy WebLinkAboutTR-6195 James F. King, President O~~QF S~UTjsrO Town Hall Annex Bob Ghosio, Jr., Vice-President ~ ~ 54375 Main 12oad P.O. Box 1179 Dave Bergen * T Southold, New York 11971-0959 John Bredemeyer G Q • ~O Telephone (631) 765-1892 Michael J. Domino ~OyC ~ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0893C Date: Au¢ust 29, 2013 THIS CERTIFIES that the construction of asingle-family dwelling with >;tttters to leaders to drvwells septic system pervious driveway and the 50' buffer to the east to be subsequently maintained. At 65390 Route 25, Greenport, New York Suffolk County Tax Map # 53-5-2 Conforms to the application for a Trustees Permit heretofore filed in this office Dated June 17, 2005 pursuant to which Trustees Wetland Permit #6195 Dated Au¢ust 24, 2005 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 asingle-family dwelling with gutters to leaders to drywells septic system pervious driveway' and the 50' buffer to the east to be subsequently maintained. The certificate is issued to KAROL FILIPKOWSKI owner of the aforesaid property. Authorized Signature lames F. King, President O~gOFF~(~CO Town Hall, 53095 Main Rd. Bob Ghosio, Jr., Vice-President ~ P.O. Box 1179 Dave Bergen ~ ; Southold, NY 11971 JohnBredemeyer ~y Telephone (631)765-1892 Michael 1. Domino 'y4j ~ ~.DO Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: ~ L O ~ ~ t~ ZS~ I I~ Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale linelsilt boom/silt curtain 15t day of construction '/2 constructed Project complete, compliance inspection. INSPECTED BY: ~ u' COMMENTS: ~t - ~ r''`) of v 0 c,-ty 6s-~ t~- ~ok a~ CERTIFICATE OF COMPLIANCE: ~v~^v ~ B/C ~ /~v ~l 3 J U • James F. King, President O~~QF S~UrjfrOl Town Hall Jill M. Doherty, Vice-President ~ 53095 Route 25 P.O. Box 1179 Peggy A. Dickerson ~ ~ Southold, New York 11971-0959 Dave Bergen G Q ~ ~O Telephone (631)765-1892 John Holzapfel O~yCOU~'~,o1 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 1, 2006 Karol Filipkowski 570 Pinewood Rd, P.O. Box 356 Cutchogue, NY 11935 RE: 65390 ROUTE 25, SOUTHOLD SCTM# 53-5-2 Permit # 6195 Dear Mr. Filipkowski: The above referenced permit requires a functional hay bale line during construction and until after the final inspection at the completion of the house and restoration. The hay bale lihe is no longer functional. The hay bales must be replaced with new staked hay bales within 7 days of receipt of this letter, and an inspection at the completion of their placement is required. Failure to comply with the above will result in a violation and fines. Please contact this office at the completion of the placement of the new hay bales for an inspection. Very Truly Y urs, o~ James F. ing, President Board of Trustees Albert J. Krupaki, President ~ 3 pFFO ~ ~ Town Hall James King, Vice-President $ ~Q'C 53095 Route 25 Artie Foster 0~ 0 P.O. Box 1179 ~j~ Southold, New York 11971-0959 Ken Poliwoda Peggy A. Dickerson ~ Z Telephone (631) 766-1892 Oy ~ Fax (631) 765-1366 'App ~ ~~O 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 APRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE v Pre-construction, hay bale line IC'IQ~cS Qa-Q..~ ¢ yak ~i~.«- ~ ~ ry'') ~S ec-har/ ~ AAC~1_~~ipyy, ISIS-rpra{-ion/~~An"hhy r Yz c~ounstructed `~rl~~ Project complete, compliance inspection. r •ka eR y l ~ ~ n R.~. r , r a Board Of Southold Town Trustees SOUTHOLD, NEW YORK q August 24 .2005 ~ PERMIT NO... ~_L.q.5....... DATE: ~ ! ' KAROL FILIPKOWSKI ~ ISSUED TO ,~u#l~axt~ttfin~n ` K 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 1452; and the Southold Town Ordinance en- tffled ."REGULATING AND THE .PLACING OF OBSTRUCIIQNS IN AND ON TOWN WATERS AND PUBLIC LANDS and--the REMOVAL OF SAND, GRAVEL-OR OTHER MATERIALS.F$OM ' LANDS .UNDER TOWN WATERS;". and. ib accordance with the Resolution of The Board adopted at a meeting held on Aug.,24_;._,._. . zoos F and in consideration of the sum of $ 250_.00__._. paid by Karol Filipkowslc.~... _ t _ of _Cutchogue N. Y. and, subject to the Terms end Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: < -:s Wetland Permit to construct asingle-family dwelling, septic d ? system, and pervious driveway with the conditions of the restor- ation/planting of a 50'buffer to the east,a haybale line along ` Tarpon Dr.,gutters and drywalls to-rat }n zoof runoff fan 11 as all is accordance with the detailed speci~~eatwns as presen a ifs .the orifginating application. depicted on the plan surveyed by John Metzger o Peconic.Surveyors last dated Sept. 16 2005. IN WITNESS WHEREOF, The said $oerd of ~frupstees here- t• be ubscn'bed byte rmajoi~ty of the~sai'd,e~6o~a d : is of this da{~,e•to sn O ~ Artie Foster _ f_ x..' i t' .s v, TERMS and: CONpITIONS Tlk Permittt Karol Filipkowski ~ Cutchogue N. Y ~ b_ of the coosideadoa for the Isauaoe of rho Permit dos hpdetstwd and pascibe to the foi- lotvu°'g; i. Thar the said j3oard o[ Trustees aad the Town of Soudtotd ate released from any std all damages, oc claims for damages, of ailtx arising: dtrecdy a lodicatiy a a tesuk of say opet- adoa performed putswar ~.'sbis_petmit; .a9d..the µid, iPelmltoet: w311, at bls or her own eapensq ' defend say aad all tauli sufti'initiated by ddtd Qatdes, and the aid ~tcer utsuoaes Fall liabdtity with respect thereto, {~o-Ihe;.eompiae'eulusioa of the Baud of Trusters of t1x Town of Southold. _ 2. That this pemcit Is valid foc a period of ,24 ~ . 8 ~ m ~ ~ admated time required o0 onmplete the work involved, !ut'thoald drdmbspmces warrant, request For an extension .may 1x atade to the Board at a .later date: 3. TLat this Penaic should be relalned iadefinierly, or as long as the said Petmittte wisher ro maintain the sttucaue or pmjea involved, to provide evidma m aayoae ooacetned that aadt- • . ot3rtdoa wu origlmlly obtained. 4. 'That the work itvolved will be atbjea co the Iaspecdoa and approval of the Board oe lts agena, aad aoa-compliance with the pcovisioas of the orlgtca$ng applitadoa, may 6e oust for ttivocadon of this Permit by resoludon of the uiA Board. 5. Thu there will be ao unreasonable interEeceaa with aavigatioa as a result of the wodc 6txeia atithon~red. 6. That there shall 6e ra iaterfereaa with the right of the publk to pass and repass tdattg ' the beach between #igfs and low water matkt. 7. Thu if future operadaas of the Iowa of Southold regalre tha removal and/or alandaaa is the Iocadoa o[ the wodc herein wthotittd, or 14 is the opitdon of tdie.Boaed of Trustees, tLe. vvotlc tha11 txuse nnteasoaable obsttucnoa to free mvigatloty the nid Permittee will 6e requited, . npoa due soda, to remove or after this work or pmjea 6etda uaeed withopt eta to the 1'own' • . of Soutiwld . }~~8~. Thu the eaid Boud wlll 6e aotifled by the Permitter of tlx oompledoa..of tlx work t~adt- otiLed. ~ ~ t 9. That the 'Permittee wlu abtaia au other petnilts aad aoaseata •~lnt may 6e mptirtxl lair p(eaxtttat a this ptrmit which may be mbj«t to revoke npoh fai4tro to obadn Lama Albert J. Krupski, President ~~OF SO(/~yO Town Hall James King, Vice-President ~O l~ 53095 Route 25 Artie Foster Jf. * P.O. Box 1179 Ken Poliwoda T Southold, New York 11971-0959 Peggy A. Dickerson ~ ~ O ~ Telephone (631) 765-1892 ~IyCOU~'~~ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 24, 2005 Mr. Karol Filipkowski P.O. Box 356 Cutchogue, NY 11935 RE: 65390 ROUTE 25, SOUTHOLD SCTM# 53-5-2 Dear Mr. Filipkowski: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, August 24, 2005 regarding the above matter: WHEREAS, KAROL FILIPKOWSKI 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 Southold, application dated June 17, 2005, 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 August 24, 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 se~~ortfi in UFiapter 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, 2 RESOLVED, that the Board of Trustees approve the application of KAROL FILIPKOWSKI to construct asingle-family dwelling, septic system, and pervious driveway with the conditions of the restoration/ planting of a 50' buffer to the east, a haybale line along Tarpon Drive, gutters and drywells to contain roof runoff, and all as depicted on the plan surveyed by John Metzger of Peconic Surveyors last dated Sept. 16, 2005. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, ahd 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: $150.00 Very truly yours, ~ ~ Albert J. Krupski, Jr. President, Board of Trustees AJ K/hc _ - • • TELEPHONES 765-3600 - 7653672 DOROSKI'S NURSERY, INC. GARDEN CENTER -NURSERY STOCK -LANDSCAPING 38400 COUNTY ROAD 48 SOUTHOLD, N.Y. 11971 CUSTOMER'S OR DER NO. DATE 1 'f7~ . 20 ~c- NAME ^ /y i.~ rL ~ STREET I( CITY & STATE ion use c. o. e. nuro~ OM ACCT. MDf~. pf0. LAID our I O°~^hIY D E S C g I P 7 1 0 N PgI~F AMOUNT r rC ~ C r. ? ~ a ( : ~ ~ I, l: TA% TOTAL All doims and returned goods MUST be accompanied by this bill. Rec'd by _ ~ • PROPOSAL DOROSKI NURSERY, INC. LANDSCAPE AND DESIGN 38400 COUNTY ROAD 48, SOUTHOLD, NEW YORK 11971 631-765-3600 FAX: 631-765-5129 Proposal submitted to: Date: Name: Marcv Filiokowski Type of Job: Landscaoing Street: P.O. Box 356 Street: Tarpon Drive & Main Road Cutchoque City: Cutchoque New York 11935 State: New York We hereby submit specifications and estimates for: 11 - 2 ''/z' - 3" October Glory @ $250.00 $ 2750.00 13 - Clethra Alnifolia (5 Gallon) @ $40.00 520.00 Topsoil 230.00 Planting Labor 1600.00 $ 5100.00 Sales Tax (8.625%) 439.90 Total $ 5539.90 We hereby propose to furnish labor and materials --complete in accordance with the above specifications, for the sum of Five Thousand Five Hundred Thirty Nine and ninety cents dollars ( 5539.90 )with payment to be made as follows: one-third down at signing of contract and balance due when iob is complete All materials are guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alterations or deviation from the above specifications involving extra costs, will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by Worker's Compensation Insurance. Authorized Signature: Note: This proposal may be withdrawn by us if not ac ed within 30 days. The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as spe ' d/Payment w//ill be made as outlined above.I, Accepted Signature: ` /~'?~7 _ Date: ~(~(r/~_ Signature: Date: l PROPOSAL DOROSKI NURSERY, INC. LANDSCAPE AND DESIGN 38400 COUNTY ROAD 48, SOUTHOLD, NEW YORK 11971 631-765-3600 FAX: 631-765-5129 Proposal submitted to: Date: Name: Marcy Filipkowski Type of Job: Landscaping Street: P.O. Box 356 Street: Tarpon Drive & Main Road, Cutchoque City: Cutchoque New York 11935 State: New York We hereby submit specifications and estimates for: 11 - 2 - 3" October Glory @ $250.00 $ 2750.00 13 - Clethra Alnifolia (5 Gallon) @ $40.00 520.00 Topsoil 230.00 Planting Labor 1600.00 $ 5100.00 Sales Tax (8.625%)' 439.90 Total $ 5539.90 We hereby propose to furnish labor and materials -complete in accordance with the above specifications, for the sum of Five Thousand Five Hundred Thirty Nine and ninety cents dollars ( 5539.90 )with payment to be made as follows: one-third down at sianing of contract and balance due when iob is complete All materials are guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alterations or deviation from the above specifications involving extra costs, will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by Worker's Compensation Insurance. Authorized Signature: Note: This proposal may be withdrawn by us if not ac ed within 30 days. The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as spe d/Payment w/i-ll be made as outlined above. Accepted Signature: ~ ` i/~~°~/ Date: ' - Signature: Date: Albert J. Krupeki, President ~~OF so~jyo Town Hall Jamea King, Vice-President l0 53095 Route 25 Artie Foster .IL Jf. P.O. Box 1179 Ken Poliwoda T T Southold, New York 11971-0959 Peggy A. Dickerson ~ • ~O Telephone (631) 765-1892 ~l,`C,oU~'~~ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES August 26, 2005 TOWN OF SOUTHOLD Mr. Karol Filipkowski 570 Pinewood Road, P.O. Box 356 Cutchogue, N.Y. 11935 Wetland Permit for KAROL FILIPKOWSKI was approved on August 24, 2005 to construct asingle-family dwelling, located 65390 Route 25, Southold, with the following conditions: 1. Applicant must submit arestoration/planting plan to create a buffer to the fresh water wetland area to the east of the parcel. The buffer will be a 50' from the property line and be mostly Red Maples (Acer rubrum), at least 10' - 12' tall, 2 1/2 - 3" 25 gallon trees, (October Glory is available from local nurseries), on 15' centers. Plant Clethra alnifolia or other from attached list in the under story. 2. The survey must show the following: A. 50' planted non disturbance buffer B. Haybale line on property line next Tarpon Drive C. Gutters into dry wells to contain all roof runoff 3. There will be 3 inspections; one at the completion of the restoration planting, one pre construction hay bale line inspection; one final inspection. 4. Inspections are $50 per inspection. See attached bill schedule. Please contact this office with any questions. Very Truly Yours, Heather Tetrault Environmental Technician Albert J. Krupski, President ~~pf S~UlyO Town Hall James King, Vice-President ,~O l~ b3095 Route 25 Artie Foster JL JL P.O. Box 1179 Ken Poliwoda T T Southold, New York 11971-0959 Peggy A. Dickerson ~ ~ p 6 ~ Telephone (631)765-1892 OIiJ 4~UlY 1 , Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD To- ~(il ro ( I . ~ k taus K; ) Please be advised that your application dated l©' ~1 I y S has been reviewed by this Board at the regular meeting of $ ~a,y SOS and the following action was taken: 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: ~S~"e~iaY~ ~ SQ i I °SQ i-+G~bale InS(~e~on ~~abl TOTAL FEES DUE: $ ~ r'd ~ ` SIGNED: PRESIDENT, BOARD OF TRUSTEES Albert J. Krupaki, President ~~OF ~~Ury~ Town Hall James King, Vice-President ~O l~ 53095 Route 25 Artie Foster .If. ~ P.O. Box 1179 Ken Poliwoda T Southold, New York 11971-0959 Peggy A. Dickerson ~ • ~O Telephone (631) 765-1892 DI~C~(f~ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF 50UTHOLD Wet tolerant Shrubs and Trees/Freshwatertyetlands and buffers Shadbush (Amelanchier Canadensis) Red Maple (Ater rubrum) Silver Maple (Ater saccharinum) Black Gum Willow (Salix spp.) Black ash Alder (Alms serrulata) Sweet pepperbush (Clethra alnifolia) Highbush blueberry (Vaccinium corymbosum) Sedges Arrowhead (Peltandra virginica) Pickerelweed (Pontederia cordata) Bur-reed Common Cattail (Typha latifolia) and Narrow leaved Cattail (Typha angustifolia) Buttonbush (Cephalanthus occidentalis) Spicebush Groundsel Tree (Baccharis halmifolia) Water Hemp (Acnida cannabina) Jewelweed (Impatiens capesis) Swamp Rose-mallow (hibiscus moschutos) SIZES Trees: 4' - 6' Shrubs: 12"' -18" Density: Plant trees 10 - 12' apart Plant shrubs 4' apart Use grasses, rushes, and sedges in-between trees and shrubs P., 07/29/2004_ 11:16 6314n--x272 - PAGE 01 X011113 (:OptrtlOQ WI:t~AIIli. PlYtifB Of r.OIIg l(8(aIIt~ Common Name Scientific Name Flower Color /Time Trees Iced maple Acer rub+wm Silver maple Acer aaccharhwm Shadbush Amelanchier app, tiny birch Betuta popul~folia Atlantic white-cedar t~anwecyparir tJryoldes Sweetgum T.iquidambar srymc#Jttra Tupeto IVyssa syivatica Pitch pine Plturs rigida Willows Sal& spp. Shrubs Red chokeberry Aroma atfmt{folla White Buttonbuah Cephalanthus occidentalis Showy white ball-like /August Swcet pepperbush Ckthra alnifolia Showy white fragrant / lone Sillry dogwood Cornus amomum White umbels Winterberry litx verticlllata Small white Spicebush Lindens benzoin Small yellow Swamp azalea Rhadodeadron viscosum Showy white fragrant /June-July Puasywlllow Salix discolor Small grey ball-like /April Highbush blueberry Yaccfnium corymbaswn Small white /May Arrowood Viburnum recognitum Whfte umbels Herbaceous Plants Jce-Pye Weed 6upatorJum maculatum Purple umbels Boneset FStlwrorrum perfoliatum White umbels Soft rush lrarcus ea"wrus Cardinal flower Lobelia cprdina(is Showy red /June -August Sensitive fern Onocka sensibllis Cinnamon fern Osmunda cinnamomett Royal fern Osmunda regalia Chairrnalcor's rush Sctrpus amcticanus Softatemtned bulrush Sci?pus vaildtts ~ Wool grass Scopus cyperrnus Meadow rue Tlutlictrran polygam~m Aquatic and Semi-aquatic Plants Blue flag Iris versfcolar Showy purple /May -July White water lily Nymphea odorata Showy whit9 /June -August Yellow water dry Nuphar ltrtetun Yellow /May to Iuly Piekerelweed Pontederia cvrdttta Showy purple /lone -August Arrowhead Sagittatia app. Showy white /June -August Narrow-leaved cattail Typha angust~(otia Wide-leavod Cattall rypha Guifodia Note: Ali plants hated above era available commercially. This is only a partial list of native wetland plants. 7/15/04 Field Inspection • • ~ Legal Archives e< Press Releases ®Hudson Basics r Hudson History a Local Ecology ~,.,.ri G,++4 4 Gee 4th Plants Here is a selective list of the interesting plants that grow in or around the estuary, b ' Sensitive Fern (Onoclea sesibilis) This wetland fern has large and indelicate fronds that lend it a hardy appearance. It g 3E' `'a counter-intuitive name from the fact that it is always the first fern species to die with th Spicebush (Lindera benzoin) The fragrant leaves, branches and bright red berries of this moist-soil shrub provide v Fish food and cover for songbirds and other wildlife. Birds Invertebrates Clasping-leaved Pondweed (Potamogeton perfoliatus) Amphibians This submerged aquatic plant inhabits slow moving sections of the Hudson River and Mammals tributaries, where it helps filter the water, provides food for waterfowl, and lends esse Plants to young aquatic organisms. Water Celery (Vallisneria americans) Arguably the most important food source for migrating waterfowl in the Hudson Valley submerged aquatic plant has leaves that can reach up to 7 feet from the murky botto Hudson towards sunlight. Water Chestnut (Traps natans) The distinctive spiny nut hulls or "devil's heads" from this introduced plant are a Comm almost anywhere along the Hudson. They grow in shallow water and mud Flats where crowd out less common native wetland species. Arrowhead (Peltandra virginica) Named for its distinctive leaf shape, this low marsh plant is commonly called "Duck P because of waterfowl's affinity for its tender tubers, which can be a nutritious source o for humans as well. Wild Rice (Zizania aquatics) Once a favorite food of local natives, this 10-foot tall wetland plant is stilt a favorite fo Hudson River wildlife. Swamp Rose-mallow (Hibiscus moscheutos) This 6-foot tall plant has huge, light pink flowers and is found most commonly in the b waters south of the Highlands. 7/15/04 Field Inspection - _ Purple Loosestrife (Lythrum salicaria) Despite the beauty of its large purple flower spike, Loosestrife has become one of the popular plants of the Hudson wetlands because, like many introduced species, it com against more valuable native species. Narrow-leaved Cattail (Typha angustifolia) This familiar wetland plant provides valuable food and habitat for wetland lovers such muskrats and red-winged blackbirds. Common Reed (Phragmites australis) This tall, feathery flowered reed has become the dominant plant of Hudson River wet the dismay of wildlife enthusiasts because it offers little cover or food for animals. It is efficient at removing excess nutrients from the water because it grows so quickly in s stands. Jewelweed (Impatiens capensis) This common wetlands herb, with its beautiful flowers, gets its alternative common na Touch-me-not, from the seed pod that explodes at a touch to scatter the seed. Smooth Alder (Alnus serrulata) This shrub from the birch family borders wetlands along the Hudson, where it establis impenetrable stands of thin, gray barked branches. Red Maple (Acerrubrum) This maple is one of the most common around the Hudson estuary, where it lends a color to the fall foliage. Note: This section is adapted from: Hudson River Field Guide To Plants of Freshwater Tidal Wetlands, Illustrated by Linda Beckwith McCloskey. Published by the New York State Department of Environmental Conservation in 1998; Albany, NY The Hudson: An Illustrated Guide to the Living River, by Stephen P. Stanne, Roger G. Panetta, and Brian E. Forest. Published by the Rutgers University Press in 1996; New Brunswick, NJ The Hudson River: A Natural and Unnatural History, by Robert H. Boyle. Published by W.W. Norton & Company, Inc. in 1969; New York, NY Copyright ©2002, 2003 Rlverkeeper,lnc. (Contact Riverkeepgr I Site Mao Web Site by XO-IDCOM i Header Photo Credit: Cross River,©2002 Riverkeeper _ _ R ~ C - rn k; - _ ~ N O 'r7 ~v ~ CL ~ ~ ~ ~ + ~ n ~..i. - sue' ~'r~L _ w.. a -P!~ fir' ±T ~~f ~±•~p~ _ YVv~+a~~..i~~,p • _ ,-s _ a-.a . ~ .4::~ ` -:r, ~t" .s6-„~, _ - . `fit' =r ?rr„yw '.rr(.. ,w !_Sr~1i["-._'Y~~~ Siy ~ I? 3 ~.r"t~_Y r'` wL.r ~ r' / - ~ 4'r'. r ~6' ~ ~.k{ i- J~l~~ ~"`,,,"~cati ~ ~ . i fir. ~ gi ys • • ~M _~,fy X ~S , err <-Y ~ ::fir~Af'~_~!'~'' ~ } t`~. ~ `Y'~~'7~ -,;„.y~Y 7f i.F~'~I~ lam` ~Lf u Field Inspection ~ F~ ~ X171 ~S ==~~.tT :Z~ ~ ,ail _a .YF~ ~ 'w' - a ` * ~'',r ~ anti - I F ~ ~ ~7:;~ ~1 ; _ -,1 . - k. K- ~ ' ~~•r it ~ ~ _ _ _ f ti ? r .ire d• . r+n.~,• ~ ~ ~ ~ Field Inspection • 6!?fo5 y~ y.. y i ? • ~ .4 / r4 • , . - r-J ~f~~ ~o) t }fir .4~t_~ ~ ? . r •L ~~r . r t ~ y : / 'v-. ter, _ y'. ~ ~ • ~ - .1 fL~.='~/ • lY: "Sri ~ ~v ~ ~ ~ ~'9: '~~?r~ts: ~ :Y.t~-~ f ~ ~ v ~ Field Inspection • • ~I~~s fi' ~~1~'~V aka ~ _ r tr- r ~-jai. ss~~~ ~ ~ ~ K- , _ 11 .w ~~T~•1~.. ~ r1 ~ - ..mow ~ "~6. ~`~i,~r ~ -.J._- ~ ~ ~ ~S fir.. ~.try~. Z i •'~Ey'i~ I S~`r ` ~ _ ` cif f~•. ~ ~ ~r i~ ••i~ ~ - , r y. ~ ~•,.y1~i. t'Cl~~t~. _ •L ~w~:'a1~ ..a~~~ f 'Y. .+c` 4 ~ `~L psi , ~ ~ L• r-r Field Inspection ~ • ~f ~f oS - ~ may'. s [ _4~,•"•~•.~e• ~ - t ~ ` r y ~ . { ' ~ r. . ? ~ ~ ~ ~ ~ .t ~ ~ jar.. ~ - •.Y w.~ ~ ~ ~ y~,~~ ~.~.}t {~~1^} :wt "~.rc ~ * r t ~ ~ ,1 '•.i r.t~', mss'-. Yy , y : .5+. ~ ~ v.4 ~ ~ ? ~ / *'s.Fr~ ~ ` ....r !t ~ ~ iii M+t,. ~l; .'trF 1 --~s.~~'1 -t -•,~4. ~ • 4 ~ ~~~:1 C l'1 ~ AI~Field Inspection j,~s ~ ~~t~ ~ ` ; ~ _ ~ - _ y ~ S i ~ i K. ~ y ~ * t~ ~ ~ _ F_'. i l 0 L _ .y k ~ ~ ~ ~~o~~gpFFO(,~COGy Telephone ~ Town Hall (631) 765-1892 _ ~ ~ 53095 Route 25 O ~ ~ P.O. Box 1179 0~ Southold, New York 11971-0959 0,~ ~ ~a CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Wed., July 13, 2005, the following recommendation was made: Moved by Don Wilder, seconded by Jennifer Mannino, it was RESOLVED to TABLE the Wetland Permit application of KAROL FILIPKOWSKI to construct asingle-family dwelling, deck, and driveway. Located: 65390 Route 25, Sol~thold. SCTM#53-5-2 The CAC Tables the application because the wetland line was not on the survey. Vote of Council: Ayes: All Motion Carried t. Agency 2. /Precinct N6w YOA( SI2tB 3. ORIr 4. CJCOrig 5. Case No. 6. Incident No. I g0 INCIDENT REPORT NV J ~ ? supv ~ S feport Day 6. Date 9. Report Time Occurted 10. Day 11. Date 12. Tlme Qcvrtetl 13. Day 14. Date 15. Time r C,o 3 ~ °"lF ? Fic 3 e icti T-? ~ 'G ~7s~ F 16. Incbent Type t7. Business Name 18. Weapon(s) A. 2 m. 'Tow U e a.J o, U ' 19. IMtlent Adtlress (Street No., Street Name, Bbg. No., Apt. No.) 20. CM. State, Zip C ? T ? h 21. Location Cotle B. 22"f~e` LAW - ,SECTK3NA ' SUB«. ,T;Y TJCA7" DEii'' ATT"Y .NAME OF OFFQISExr ~ T 23. No. d Yxiims C.. 1 2 2d. No. d Suspecds D. ~3 y' X25 Pawn `COs , ,-~y~e: CimplalreM, OT=bMei ?.PI Peid~lwad ~H`><Pes_m'Rejiortklg':WI~V'Mrem "NI=Nd Inbn4awe0 NJ VlLalil"%'.; 26. Victim also complainant ?Y ?N E. 2; ,TYPEINO% v: .NAME MST, FlRSY MIDDLE, TRLE) , ~ STREET NO.: STREET'NAME, BLDG. NO., APT. NO, CM,"£iA7E; TIP - ` ~ ,Tg{ep4gne No. ' O F. N a.. C o ~ S o wr,? :arsine>~:.. .m,r G. W r,T~ ~ d.ll: 114/L4 Sao w Cu ~ ~~-a£ra a- _``qq yy p yJ ~ ~ r H. ~~4 R~J V ~-T ~0 ?//LO~~ RESID@!rE N; ar BUSINESS I. RESIDEPoCE p'~' 2]. Date d Birth 26. Age 29. Sex 30. Race 31. Ehnic 32. Handrap 33. Residarx:e SUNS ? Temp Res. -Foreign Nat J. O. ? M ? F ? While ? BUCk ? Other ? Hispenk ?Unk. ? Ves ? Resident ? Tourist ? SUMent ? ONer Sr- ? U ? Indian ? Asian ?Unk. ? Non-Hiapanb ? No ? Canmuler ? MifiUry ? Flprrleless ?Unk. ;Z 3d. Type/NO. 35. Name (Last, First, Middle) 36. Alias/Nickname/Maiden Name (Lest, First, Middle) 37. AppereM CandiEOn K. .C~ -I Af~F ? Impaired Dnrge ? MenUl Dis. ?Unk. ? Impaired Ako ? Inj/111 ? App Norm 'd 38. Atldress (Street No.. Sheet Name, BMg. No., Apt. No., City, SUte, Zip) 39. Phone No. 40. Social Security No. L. ? Home F W ? Work W N 41. Date of Birth 62. Age 43. Sex 44. Race 45. Ethnic 46. Skin 47. Occupation M. ~ G ? M ? F ? White ? Black ? Other ? Mispank ?Unk. ? LigM ? Dark ?Unk. =Q ? U ? Intlian ? Asian ?Unk. ?Non-Hispanic ? Metlium ? Other NQ 46. Height 49. Weight 50. Hair 51. Eyes 52. GUsses 53. Builtl 54. Employer/SChocl 55. Atltlress N. ~ ? Yes ? Contacts ? Small ? Large - 2 - ? No ? Metlium N 56. Srars/Marks/Tattoos (Describe) 5]. Misc. f s6,v(mrq a '-Par,' TP*'Y°pB1~,i ~ J d:.=~MOde1° q, t t ~serml No: ~ ~ s: a,~*~s ` "»w° y~Y~x°~ > . , {,eke. „ AS ~ TABI~F } 3 F W 59 Vehicle 60. License Plate No. 61. SUte 62 Exp. Yr. 63. Plate Type 64. Value p, Status Full ? ly'. +.V * 65. Veh. Vr. 66. Make 67. Motlel 68. Style 69. VIN. S W ? ]0. Colags) ]t. ]2. Vehicle Ndes ] Towed By: x To: Eq+L ipA,,.7 ..,~.co//s.! G.FJTcs.~ T- Z / S S - 9. qi c e ~o WOR- ..J 00' ~ ~ w 10 w ~S ~T-2 C..~ SSI'i wsrr« I'7t v ~A~ E? ? ' 11 Q OT I ~ OWnI SO S Sv~y. Iw O«l N a F~..,:.4 ~ ~r,~a-- a...r ~r- ,2 13 Toa W i 74. Inquiries (Check ell mat eppty) ]5. NVSPIN Message No. 76. Compaainam Sgndure „~`~a-~:+` y ? DMV ? Wanl/Wertan[ ? ScoNUw Q: ? Crim. Hisrory ? Sbien PmpeM ? Omer F Tl. Repo S' Indude Ran ]8. ID, ,N.o,., / ]9. Superveols Signature (Include Rank) 60. 10 Na. 6y, N Y /,7 Page Z ~ 1. 6faWa ? Open ? Cbsed (II Cbsetl, check box bebw) ? Unlounded 82. Status Date &9. NotRed/TOT of Q ? Nid. Relusetl W Coop. ? Arrest ? Pros. Oeclinetl ? Warrant AMised ? CBI ? Juv. - No Custody ? Artesl - Jw. ? OMender Dead ? Extract. pectin. ? Unknown Pages ocJS-0zps (10/03) 'FALSE STATEMENTS ARE PUNISHABLE AS A CRIME. PURSUANT TO THE NEW VORK STATE PENAL LAW. - _ T~--_ ~ Town of Southold - _A- 2121 Suffolk County, NY The people of Ike State of Ner Ymk vs. woaE vnAL NAME VST / ~ Apr. ND. sm~ D P,N Lr Lu A9n ~o+ cm 1 ~~I1.~ LICENSE OP IIEGISTMNON NUMBEfl DATE DF BIRM OPEMTOR BTATE TYPE GF LICENSE DAZE E%%flE5 EK MC~ ~ OVIIIS VEHgLL OVES ?NO THE OPEAAIDR Ofl REG151ERED OWNER OF VEWCIE DESCWBED BELOW DAi£ EXPIflES PUTE ND. PIAIEIYPE STATE ~ ? PARS ? OOMM ? ? N.Y. ? NJ. ? N.Y. ? NJ. ? ? DODGE VEWCIE MAIG: ? CAOILUD ? PON VL ? BUgA( ? CHEV ? f~D ? OLDS ? PLYM ? TOYOTA ? VIX%3 ? ? IDR ? BUS ? MCY ? B.W. _ ~y ? 2pfl rypE ? TRUOK ? NiNLEfl ? VAN ? VIN NUMBER 9/~ THE PERSON DESCRIBED ABDYE IS CHARGED AS FOLLOWS iY;f ~63~'/0~ 2 Seb~'h+o N TTT~~~ pFF~S AM nME PM Ptt.TOAn YYIA~ByEdi siii'IXNCIXNtt Nr V1 os IN NOIATKMI DF SECTION SUED. dF THE ? VEHI[tf AND TPPFIC ? 0.3, ?~CpJ ? BUS ? HAZ VE1I MAT ?DTHERL T^ 9-1-~ Off . ? SPEEdNG y DTHEn OFFENSE ? MPH INA MPH ZONE n'U IL - FACTUAL PART (NOT FORTYB) ..l•wl n~ THE ABOVE NAMED pEFENDAM DB) ON1NE STATED pATE.TIME AND %ACE s~ N F ' I T 1 ...mav Tly Fani^N`O,FMm(~b~Owlb~t~W ma V CONTAC(COIMT? PARgNG SGIEDUIETI FlNES TMEP6180N pESCRUIED ABOVE U: gUMMONED ro~~NY 110]1 SOITTHOID TOW N JUSTICE O W RT. 6006 R W IE x6. SOIJDK%D• W1ECfMKWWA>: MT~MI DN AT 73d AsAG/%t;AML5C4A~A~flPUM1SI.W~rro9EC.lIGNx1n15 CFTYE V.LN.r.s. FAISE9TATEVFMSIEflBN TAE %IA4IMBIE OAI~ COMPLARUNT b Q BADGE COURT COPY a ~ Town of Southold - .q 212 0 Suffolk County, NY The People of the Stale of New York va. a y~ FlRST NAME MIDOIE wDNL IAST NyI~(NE~IIQNG rix~iA l~~.1L s 3J`9{-J3V,~o ~r yfs suTE na ~O~• AO del N`I t1CBSE OR ~GISTMTKw NUMBHi MATE TYPEDRUCENSE wTEEfPwES Fx ....wreaPaxm .DVEnATnR I _ MONiN .;ANY MEAN ~V6?~lE TMEOPERATpi OR PEGlRTERFD OhNFJt of VFHCIE OE9CRBED BEllJY1 MTE NO.- _ DAIEEWRES f STATE RATETYI'E - ?N.Y. ?NJ. ON.Y. ?N1 ? ?PA55 ?CWM ? VEHCLE MAKE ? OODGE ? EUMX O CHEV ? caduAC ? PIX1MC ? FpID ? QD^a ? 0.YM ? TOYOTA ? VIXKS ? BODY ? 2DR ? <D11 ? BDS ? MCY ? S.W TYPE ? TRUCIt ? 1FWlER ? VN1 ? NN NUMBER lNE PEIKON OFSCRIBFDABWE Bi CHMBEB AS Fd19MS PCf po/~yE7~/p_9~T~T.'!.S 5o~1,e loj ~1 c7/ol E ~ TIME PM aTr. wADeaRwAa~~~ sl~Fraucm~Nlr rrc _ ? yap x ~';,,-rl,. a? wvlawnoN aF SECnon susD. OFniE?VEWtlE AMTRAFTC UwDFTTE MATE OF NEwrauc ?OTYFYI ?OS. ?COM ?&19 f (J ~(J Dff YEN o sPEEOrxt pj~~..~o i MPNwA MPH ZIXE ~1 FACRIPL PPRf (NOT F011 TVBI w/ THE ABOY£NIJI®DFFFH[1NR DID aN nE MATED WTE. n1AEItO AAOE ~I`~' , wuadel /e~ /S'N.caG /~/~iNew.s.~Z' lvJOS i.v /ao' OG ~vs~r~c W~sf~ ~~o6j,/~..r.v~/} G..r~' m.Fdi'~tV Y~erCan bwM~y ~ ~ ~j / 11-2h'.J1~ a~Ma 6~8~ 1~s° i PMUW BCHEDIAED flNEi COHTADT COURT? THE wBaox BEBfJiIBED ABOYE R BMMYDNFOTONPFAR AT fOU11101D 1OM'lI JUSTICE COURT. %006 ROM1E Z0. B W I1101L, 1!111%1 G K OUT TY j ~ ~ ~s- AT y.~ a.~ FNBEmAIBBIIBNOB~MEA1lLMiEbAaIBAIIOBFAM~W~MNTro9 TT~~~IG1:16f aTEPLLYS wMxAVMNr °"~8~as- i NOTICE Police Dept. -Bay Constable Town of Southold ~`Z C~~ Peconic; New York 11958 NOTICE OF VIOLATION / Date: ~l / j (Owner or authorized agent of owner) Address: k~ ~ (Address of owner or authorized agent of owner) Please take notice there exists a violation of the Code of the Town of Southold, Chapter 97 Article II, Section 97-20 a premises hereinafter described in that ~ _ %,t~,- You are therefore directed and ordered to comply with the following: C >•,E4"- ~v,~ ~J- - ~ i ~ i ,x. 1~j.V i./ : ,9"~„_ '7 ~ '~-:'i ,J' !7 ~ ~ (.mac' on or befole the day of -T.M<'- , 20 S The premises to which this Notice of Violation refers are situated at: Town of Southold, Suffolk County, NY (Suffolk County Tax Map Designation: Dist. 1000 Section: Block: Lot: ) Failure to comply with the applicable provisions of the law may constitute an offense punishable by fine or imprisonment or both: NOTICE: You have the right to apply for a hearing before the Board of Trustees of the Town of Southold, provided that you file a written request with the Clerk of the Trustees within 10 days after service of the Notice of Violation. Such request shall have annexed thereto a copy of the Notice of Violation upon which a Hearing is requested and shall set forth the reasons why such notice of viola- tion should be modified or rescinded. i Bay Constable, Town of Southold, NY Albert J. Krupski, President ~~OF SDUTjfrO Town Hall James King, Vice-President l~ 53095 Route 25 Artie Foster .IL .IL P.O. Box 1179 Ken Poliwoda T Southold, New York 11971-0959 Peggy A. Dickerson ~ ~ O ~ Telephone (631) 765-1892 ~lifC~~~ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Board ofTrust/ees Field Inspection Date /V~~InS Address (~5 3 Arta.. °ZS So~n~~l Owner ~°An~ ~ Fl I ~ ~ ~ W K, " SCTM# S 3 ~ S Z Inspected by ,~~~~p~j - r,~~'e~4 11' Findings ' ~ t tom? ~d % ~ u S ~ l Zv~.l q,.~{ '~-~o (/~k ~v~ ~$o m~ -~-ac ~ s ~t~' 2i, S . _ ~C ~ 1'lkz ~ ~ Sv, ~ 5~,.,r (tn ~S~ C.~,-tom ~I~ Mw. f t, Ntis B~ £ ~ Photos \ taken `f Y' Y 1 ~ !IC Ifl * 11 ~ File Vlew Toolbar Help ~~~~9`~~li 1 ?~?I~O~~~ - - - - - '~E ~ aE '#t tl sq::s ICE ~E~! 20051 sm s;a §s,~ sE~ ,41 ' 1 r E. ~ ° Q 59 aSfeS ' .e . I ~ 6 ~ "~3E SS't~`~~ ~ sl~ t fi : 3 gg ,i ~ i i R t $a s}s ~j1 i?~ i R 'S ~ ? ~ i i E sr ~i Iry} ~+s4l ~~t5ii yid E t E E!' Eii 1 ~ s, ! ~ ! ~s 3E~~ F!~s(~~~ `~i ~ iE~ E ~ hl~h E ~S h E'i63g } ~ it . z 9 Fl1 ! r @ N ! .v ~F 1 t ~ E i~ EE E~ i~; ~ ~ ~ ~ I i , vE ~ ~ ~ .9E E ~ I 2 . E ,~gl, h~~e ~ i sI! iFiZ ~l~ r, ~ ~ 1. 1 E n'' 3 i ~ ~ k ~I+~E~;#E I EEC ~ E 5 V 1 ~ E ~ E #~Y ~j ! i 1 , .I ~ 'ifi-0 1 3 3 p i Ppltt+ei'~hq sc[yren . . v.i. , t ~ : ~ _.t. V I ~ c~~ . _ , g ~ 6 0 ~ a ~ fl~~o ~I I 1 tiiO/F y gpE.F~Y F~ ~ sti ~ ~ ~ 4~~Tti ti~TY ~ 10 lti JsO- f NC I , r ~P sy 9 8- J0~ h~ QO~ Q `Ol A S ii gyp. ~ 'J O~ (--i'~ ~/9 ~ p`0 ~ D ~O' ;p i i ~ / l ~j ~ / J(. 4. O F 3n S ~a ~ ~ ~i uY, ~ P 0 . fi! ~y` ti 6~ S~-~~ ~ Po TEST HOLE 6/06/02 BY McDONALD GEOSCIENCE l? - ~ - el l2 3 2 ~ a/v ;?,~A v` a 1$~OO <i~ ~'qT FR,N S~.rp~ RFFT a/ 4.4:. 1~ ~P - ~ f/ . qC F,- ~~l q,~,TJ . G2-20 ,o Y.~~m h°r . o_ ..Q sx ' ~ r ~,.W.~ ~ a' u.,., _n_ ~ I "~~„g~ ~ a ss.. T i o u r • ~P. LLBEplSxx _ i - `T~ ~ r s ~kENI,K.°~~h ail dy ~tu~a O ~ ~ I 4V 9 ~ t n m y` ~ J n ii ~ ~..i ..Jc ~a sonwn PIPES LFEfK i F• ~i. ~ o / Cwt i. ? u. ~I L P3 C B/} 3 N 4 P _ BLVe. _ 5 ~ ~ a.'ib ry~ 4 ~ 4 'P p y yh 4 F { I fa ~St _ A L.~' ~ ~ wa 4a ~ ~ ' , ~ mac s ~ ~ .m.., Qs ASP ,x x 4~~~ ~ ~ ~ awl 4A I s. ,v ~ a ~ ~ri ~ ' d a ~ u i 't aiP Y 9' ° ` ,ate - n"~ ,e m c~. , ixei e 0 _ xonce CUUNTY OF SUFFOLK © E SWiHOtU sscnox xo .w.~ y, u : „ E w .A..d~. ed Properf iax Service A ercy r . on x .Y,..~,... _ ~ ~.o Rwnr [.nay s.mi.m,xr mn e . _ ~ _ 053 P iooo PxOPEFiI" x,~ O~g~FFO(,~~o ELI7.ABETH A. NEVILLE Gy~ Town Hall, 53096 Main Road TOWN CLERK e3~ P.O. Box 1179 ~ Southold, New York 11971 REGISTRAR OF VITAL STATISTICS 0 MARRIAGE OFFICER ~ ~ ~ Fax (631) 76b-6145 RECORDS MANAGEMENT OFFICER y~Ql ~aO~ Telephone (631) 766=1800 FREEDOM OF INFORMATION OFFICER ~ southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION FOR PUBLIC ACCESS TO RECORDS INSTRUCTIONS: Please complete Section I of this form and give to Town Clerk's Office (agency Freedom of Information Officer). One copy will be returned to you in response to your request, or as an interim response. SECTION I. TO: % ~USiE~ (Department or Officer, if known, that has the information you are requesting.) RECORD YOU WISH TO INSPECT: (Describe the record sought. If possible, supply date, file title,. tax map number, and any other pertinent information.) _ ~ ~c - S~ ~h ~ 3 _ S- - z Signature of Applicant: ~a,«'~ Prihted Name: ~a~i,c ~ '7GliiiyyE~.¢ Address:• ~~G %f1-.Q/l~ti /yFT>m~T~a~~/CiY ~ q Mailing ,Address (if different from/above):_~D/~X ~~'Tjf~~d /I', l~/7/ Telephone Number: ~/~0-~.2~-(o~D' Date:~7 ~°a-'~-~~~ --------------------------------------------====~EE#5f##k-------___ [ 1 APPROVED [ l APPROVED WITH DELA~~Y*~~ [ ] DENIED* JUL 2 7 2005 ~y~....""'-t Elizabeth A. Neville --ateC(er6 Freedom of Information Officer * If delayed or denied see reverse side for explanation. ' A1berCJ. Krupski, President -``~~F S~UJyO Town Hall James King, Vice-President ~0`i` l~ 53095 Route 25 Artie Foster ~ ~ P.O. Box 1179 Ken Poliwoda Southold, New York 11971-0959 ~c Peggy A. Dickerson G ~ Telephone (631)765-1892 ~yCOU~ Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: Linda J. Cooper, Deputy Town Clerk FROM: Board of Trustees DATE: July 28, 2005 RE: Foil Request of Robert Schiavetta The file of Karol Filipkowski - SCTM#53-5-2 is available for review in the Trustees office during normal business hours, Monday-Friday between 8:00 AM - 4:00 PM. o~~pF SOUTyoI ELIZABETH A. NEVILLE ~ Q Town Hall, 53095 Main Road TOWN CLERK # # P.O. Box 1179 REGISTRAR OF VITAL STATISTICS N ~ Southold, New York 11971 MARRIAGE OFFICER ~ ~ ~O Fax (631) 765-6145 FREE OM OF INFORMA ION OFFICER OI~CQU~,N~ southoldt wn.northfork.00t OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Board of Trustees FROM: Linda J. Cooper, Deputy Town Clerk DATE: July 27, 2005 RE: Foil Request of Robert Schiavetta Transmitted herewith is a FOIL request of Robert Schiavetta. Please respond to this office within five (5) business days. Thank you. JUl ~ ~ Z~JS Southold sown Board of Trustees O~S~fFO(~co ELIZABETH A. NEVII,LE ti~ Town Hall, 53095 Main Road TOWN CLERK ~ P.O. Box 1179 REGISTRAR OF VITAL STATISTICS ~ n:f Southold, New York 11971 MARRIAGE OFFICER O, fr ~ Fax (631) 76b-6145 RECORDS MANAGEMENT OFFICER ~QI .#a~ Telephone (631) 766-1800 FREEDOM OF INFORMATION OFFICER ~ southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION FOR PUBLIC ACCESS TO RECORDS INSTRUCTIONS: Please complete Section 1 of this form and give to Town Clerk's Office (agency Freedom of Information Officer). One copy will be returned to you in response to your request, or as an interim response. SECTION I. TO• i~uS~,~ (Department or Officer, if known, that has the informatwn you are requesting.) RECORD YOU WISH TO INSPECT: (Describe the record sought. If possible, supply date, file title, tax map number, and. any other pertinent information.) _ SG %y ~ 3 - S-- - 1 i ~ l~,d~5 Signature of Applicant: ~ - Pr]hted Name: ~ab.~r~ SGLi~ivvE~.yL Address- ~~G %~,t?/lo.t~ l~i2/ vF i/7~a/p~ /(9 Mailing Address (if different from/a~bove):~~~~' Telephone Number: ~/~o-~.2ro-(o~l'/• Date•~Z/ ~c~Q~~ . [ 1 APPROVED [ ] APPROVED WITH DELAY* [ ] DENIED* JUL 2 7 2005 ~~J I Elizabeth A. Neville ate Freedom of Information Officer * If delayed or denied see reverse side for explanatron. dT - • MATTING ADDRESS: .LD MEMB WOODHOUSE ~OF S~Ul P.O. Box 1179 'y0~ Southold, NY 11971 Chair ~ l~ ~ OFFICE IACATION: .LIAM J. CREMERS Town Hall Annex ~NNETH L. EDWARDS G Q 54375 State Route 25 MARTIN H. SIDOR ~ O GEORGE D. SOLOMON ~ ~ (cor. Main Rd. & Youngs Ave.) y~DUNTY,~`~ Southold, NY Telephone: 631 765-1935 Fax: 631 ?65-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD To: Town of Southold Board of Trustees --r From: Mark Terry, Senior Environmental Planner I ~ LWRPCoordinator `LJ i - ? ~ Date: August 23, 2005 ~ i FoG L Re: Request for Wetland Permit for Kazol Filipkowski - s: SCTM#1000-53.-5-2 F._;,, T__`"'-- KAROL FILIPKOWSKI requests a Wetland Permit to construct asingle-family dwelling. The proposed action has been reviewed to Chapter 95, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Fonn submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is generally CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP provided that the following standard best management practices are implemented. 1. Require water quality protection measures for aeeas generating runoff (gutters, downspouts, dry wells and pervious driveways) post construction. To further Policy 5 and protect surface and ground water quality and conserve water supply to the greatest extent possible it is requested that the Board require the following best management practices for landscaping and lawn establishment post construction: 1. Require native landscaping to minimize irrigation and avoid fertilizer applications. 2. Require disease-resistant and drought-tolerant plants (where possible). 3. Retain existing vegetation within non-disturbed buffers to minimize lawn areas. Pursuant to Chapter 95, the Boazd of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Please contact me at (631) 765-1938 if you have any questions regazding the above. - ~ ~g~FFO(,~~, Albert J. Krupski, President QG Town Hall James King, Vice-President = 'f/~ 53095 Route 25 Artie Foster - P.O. Box 1179 H Z Southold, New York 11971-0959 Ken Poliwoda Peggy A. Dickerson y ~ Telephone (631) 765-1892 ~a Fax Is31) 7s5-~aee~nb4l BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Ofrice Use Only -Coastal Erosion Permit Application .Wetland Pemvt Application Administrative Permit Amendment/'I'ransfer/Exjension ~keceived Application: ~Aeceived Fee:$ iCompleted Application (p tt ((s (r-~ ~ -Incomplete D l6 ~ L_=._.`_ ~ '_~_I,''u1~1 _SEQRA Classifid'dt~on: i Type IType IIUnlisted_ _ ~ Coordination:(date se/~nt~) ~ ~ ~'~'i~ I r i--CAC Referral Sent:: (_1L1_ 1.-- i~Date of Inspection: ,3 O~ rn -Receipt of CAC Report: 5c ; f, -Lead Agency Determination: g0`~` 1rus.~~ s -Technical Review: public Hearing Held: ")a~~ Resolution: Name of Applicant l~}~! + ~ ~W 5 K ~ Address ,7 7D el/1'E!9/DDIJ ~ y l~U ~DX 3~~ (/.l 1! l/~'C»G!E Phone Number:(b~n 73'y - ~ ~ ~ 3 ~ ~ z Suffolk County Tax Map~Njumber: 1000/- /3 - 0 S ° C7,z, Property Location: ///Qil/1 ~'Y G3rc~;Y ~CJ//~/.~~/1 i ~~2~Dr~ (provide LILCO Pole distance to cross streets, and location) AGENT: /l~/'~r (If applicable) ~ ~ ~,`~a Address: Phone: ~oard of Trustees Applicat• GENERAL DATA Land Area (in square feet): r2 /!U S_i= Area Zoning: t3ESiL)F~T/FiL Previous use of property: /y'D/yc- Intended use of property: .S//YGL~ ~{~//.~/L ES/~Er~l~ Prior permits/approvals for site improvements: Agency Date c~ C CG , ~rG No prior permits/approvals for site improvements. Has any permit approval ever been revoked or suspended by a governmental agency? No_ fL_ Yes If yes, provide explanation: /t eea~s an a ~~~f~n f~sf h~/,~~ ~cl~~ru°55 f~Y ~u f~f[" n Pte, ~ffi avE'OGY ~~r!?~'iY? Project Description (use attachments if necessary): ~~s ;g 3 /F;~i~c~Zaas ~/~s~ , .Si/yp~e ~Gi/yGS~ /~'siO~c~'/~G~ ~oard of Trustees Applicat• WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: f'PRoP056D ~ aEORonms nyc~r= Area of wetlands on lot: square feet Percent coverage of lot: Closest distance between nearest existing structure and upland edge of wetlands: ~ feet Closest distance between neazest proposed structure and upland edge of wetlands: 9Q feet Does the project involve excavation or filling? No Yes If yes, how much material will be excavated? cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: ° Manner in which material will be removed or deposited: C~r~ Vl ~ %ps} /ale aril/ 6r o~ia l~ ~ ~ aa~i ~ 1~7~ ~i a~~r~cz6l~ ~or~~ s ~ 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 appropriatUe)': N • sn.2o • SEAR PROJECT ID NUMBER APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 -PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 7. APPLICANT/SPONSOR 2. PROJECT NAME KAR~t- ~i,~iPi~cdc~~ski 3.PROJECT LOCATI/O~N: CC Su~F~~~ Municipality ~~R ~ ~~L` ~~v~ County 4. PRECISE LOCATION: SVeet Addess and Road Intersections. Prominent landmarks etc -or provide map 65390 ~~-2>~a ~ ~~~U' TF~RP~=/Y,~l~ ~EFiY/~~R T 5. IS PROPOSED ACTION : ~ New ? Expansion ? Modification /alteration 6. DESCRIBE PROJECT BRIEFLY: 7~~i0PU5ED 3 ~CO+~Udm3 /fOG~SE, S//Y6LE rA~i15~ r1E5i/~E/~`C F, 7. AMOUNT OF LAND AFFECTED: j~ Initially acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? Yes ? No If no, describe briefly: 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) ~tesidential ? Industrial ? Commercial ?Agriculture ? Park I Forest /Open Space ?Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State or Local) 'Yes ? No If yes, list agency name and permit / appro S a l/ Gou ,c~~ ~ /-kr~-C~~ 5~~~~'s 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ?Yes Flo It yes, list agency name and permit /approval: 12. AS A F:€ISI~JLIT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? es No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsot~larrfg Da Signature / I * If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment • !1c PART II - IMPACT ASSESSMENT To be tom leted b Lead A enc A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL EAF. Yes ~ No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative declaration may be superseded by another involved agency. Yes ~ No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) Ci. Existing air quality, surtace or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, tlrainage or Flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, signifcant habitats, or threatened or endangered species? Fxplain briefly: C4. A communitys existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain brieFly: C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: C6. Long term, short term, cumulative, or other effects not identifed in C1-C5? Explain briefly: C7, Other impacts (including than es in use of either quanti or t e of ener ? Ex lain brtefl D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA CEA 7 If es, ex lain briefl Yes ~ No E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If es ex lain: Yes ~ No PART III -DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above,determinewhetheritissubstantial,large,importantor otherwisesignificant.Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations wntain sufficient detail to show that all relevant adverse impacts have been identifed and adequately addressed. If question d of part ii was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics ofthe CEA. Check this box if you have identified one or more potentially large or signifcant adverse impacts which MAY occur. Then proceed directly to the FUL EAF and/or prepare a positive declaration. Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed acflo WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi determination. Name of Lead Agency Date riot or ype ame o esponsl a Icer In ea gency Title of Responsible Offcer Signature of Responsible Icer in Lead Agency Signature of Preparer (If different from responsible officer) _e.v 9/2004) • ~ SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES ' OFFICE OF WASTEWATER MANAGEMENT SUFFOLK COUNTY CENTER RI V ERHEAD, NEw YORK 11901 (631)852-2100 I NOTICE OF INCOMPLETE APPLICATION -RESIDENTIAL ' TO: Karol Filipkowski H.S. REFERENCE NO.: R10-04-0186 ?.O. Box 356 PROPERTY LOCATION: Main Road and Tarpon Cutchogue, New' York 11935 Drive ~ The plans for your proposed sewage disposal and water supply systems Gave been reviewed and the following will be required pnor to funhc~ processing of the application for approval to construct. PLEASE RETURN A COPY OF THIS FORM WITH ANY ~i RFSCB~IISSIO\ \OTL CHA\GES TO PLANS ~ILST BE MADE BY A LICENSED DESIGN PROFESSIO\AL (LE. ' SURVEYOR ARCHITECT ORLNGINEER). 1. PRELIMINARYAPPROVAL$-OTHER AGENCIES I~ \ }'S. Dept. o(Em~. Cons. ~ ? Sewet District Approval ? SEQRA Determination- Town Town N'ctlandsDramage/Zoning ? S.C.D.H.S. Vcetor Control ? Other. PLA\' DATA A\D INFORMATION REQUIRED }prints of revised plan required with Indicate on plan the specific location(s) [with Indicate any surface waters within :00' design professional's on final stain measurements] of all water supply wells and of plot; show wetlands limit as flacecd ' g p sc tics terns (within I50' of all property by NYSDEC and/or Town ' ' and si¢naturc P Ys rading Ian, etc.. I ! :lpplicanon form incomplete. lines) or state if dwellings are connected to Survey, plan, test hole, g p ublic water must be based upon NGVD f 19?9). Scc noidsl below P USC & GS Datum -gpplicanon Fee. S~ Minimum separation distances not maintained: Sewage disposal system unders¢cd u for ro osed number of bedrooms Submit floor plans Show area for 50% expansion of sewage Retaining wall must be des gncd by P.E. ~I~ or R.A. dis osal s stem lam, Jur: ens must be no larger than Show highest recorded groundwater and Comer elevations lest hole cle~auon - calculations its: _ nd location on ola w test borin a Sho g Indicate nrca of lot lsq flJ Shaw proposed sewage disposal system/ _ water supply well/ water service line Test bonng inadequate Sho« proposed houscrdnveway location(s) on plan see below See remarks below ! on Ian S.C. Tax ytap \'umber required Test well required on your lot as per attached o~ase'wagc adisposal nsystemr folundation I bulletin ' and final grade (by licensed design ' Public sewer stub location from Show location of existing water/sanitary professionaq ' sesacr distrct shown on plans facilities i .Surrounding progeny - vacant or Submit letter from water district indicating Slope exceeds standards. I S"/ maximum within 20' of sanitary system, including improved (within I50' of all distance to nearest public water main and ex ansion ro crtv lines) availabilit - ' ~ Sce enclosed Form W`P'M-043, Show sanitary system design based upon ~ Scc additional comments or. markni-up ! hi hest ex ected roundwater elevation surve ~ enclosed ' ~'\oticc of A'on-Confor;nancc _ 3. OTHER/REMARIGS: When proposing a shallow system using 2 fi high rings propose 1200 Qallon round septic tank w ith the 6 cesspools If the house is 3 bedroom maxlmtun the proposed system Is acce table. ~ REVIEW OF THE ADDITIONAL INFORMATION REQUESTED MAY RESULT IN THE NEED TO MODIFY THE PROPOSED WATER SUPPLY AND/OR SANITARY SYSTEM DESIGN. FURTHER INFORMATION MAY ALSO BE RE UIRED FOR REVIEW BY THIS DEPARToMENT. D:~,TE PREPARED: March 23, 2005 REVIEWED BY: Alan Brancik J 1 ,ooa) SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES OFFICE OF WASTEWATER MANAGEMENT SUFFOLK COUNTY CENTER RIVERHEA D, NEW YORK 11901 (631)852-2100 NOTICE OF NON-CONFORMANCE -RESIDENTIAL 0: Karol Filipko~aski H.S. REFERENCE NO.: R10-04-0186 P-0. Box 356 PROPERTY LOCATION: Main Road and Tarpon Cutchogue. Ne~c York 11935 road This application is not being processed for approval as submitted because it does not appear to conform with the standards%re~mrements of the Suffolk Count~~ Sanitar~~ Code as indicated'. 1. ? The installation of a subsurface sewage disposal system(s) is not permitted when: The proposed system will be Less than 100' from neighboring well(s); proposed well: surface waters and/or wetlands. The eztsting subsoils on the site contain meadow mat, bog, silts, clays or other impervious materials ~shich', extend below the groundwater table or existing subsoils in the area are unsuitable for the proper funcuonmg of the svstem. ? The groundwater or drainage conditions are unsuitable for the proper functioning of the system. ? The population density equivalent exceeds the limit of one single-family residence per one-half and~or one acre. ? :A public Se~.'er svstem is available. 1 'U The installation of a private water supply' well is not ocrmitted when: ? A public water supply is available. ? The gmund~~ ater supply in the area is inadequate for individual water supply wells. The proposed ~~'ell will be an insufficient distance from proposed or existing sewage disposal system(sl ~I 3. ? The parcel(s) being applied on are apparently part of a realty subdivision or development, as defined in Article 6 of', the Suffolk County Sanitary Code, which has not been approved by the Department for the method of sewage disposal and water supply. Prior to further processing of the application, it will be necessary that the owner(s) of the overall ~I property 51e a realty subdivision or development map with this office. Application forms are enclosed. 4. ? The proposal is not in conformance with the conditions of the approved realty subdivision or development map. S. ? OTHER/COMMENTS: Application will not be approved until an acceptable test hole witnessed by the Health Department is dus, Test hole may be dug in area where sanitary svstem will go and backfi_lled with clead sand and Qravel if acceptable sand is reached. I'~ f matter cannot be resolved, ou may re nest a variance from these standards by applying to the Departments Board of Revie~o I this Y 9 it (forms and instructions enclosed) Prior to applying to the Board of Review, the residential application must be completed. ~I DATE PREPARED: March 23, 2005 REVIEWED BY: Alan Brancik Board of Trustees Application County of Suffolk State of New York fI Al C~~. l P/~C('JIiJSK / BEING DULY SWORN DEPOSES AND 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/I~R 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 CONNNCTION WITH REVIEW OF THIS APP CATION. ~ gnature SWORN TO BEFORE ME THIS~DAY OF ~ ,20 D Notary Public Notary ~ ~~S e~ of Ne'r+'~ No.0tBE6099311 ~ poal'fied m ~itolk C2 JhL=7f-(J , ~,ommly~^ Ejtpires Sept• APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethic prohibits conflicts of interest on the part of town officers and employees The ouroose of ~hts form i to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same.' / YOUR NAME: KT7/IC7L ~/L/P/.C~JIJSKI (Last name, first name, middle initial, unless you aze applying in the name of someone else or other entity, such as a company. If so, indicate the other person's or company's name) NAME OF APPLICATION: (Check all that apply) Tax grievance Building Variance Trustee L. Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map ~ Planning Other (If"Other', name the activity) Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, mazriage, or business interest. "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns 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 Southold Title or position of that person Describe the relationship between yourself (the applicanUagentlrepresenta[ive) and the [own officer or employee. Either check [he 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 allttiat apply): A) the owner of greater than 5% of the shares of the corporate stock of [he applicant (when the applicant is a corporation); B) the legal or beneficial owner of any interest in anon-corporate entity (when the applicant is not a corporation); C) an officer, director, partner, or employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of _ 200 _ Signature Print Name L / ! / Form TS 1 y ,t. Town of Southold ~ ~ ~ n~ 1. p LWRP CONSISTENCY ASSESSMENT F D U Is_ JUL, 1 2 2005 ~ A, INSTRUCTIONS dd 1. All applicants for permits* including Town of Southold agen ies, sha110pt~~eEhis CC for proposed actions that are subject to the Town of Southold Water ont onsrstency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other' ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area (which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes", then the proposed action may affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, the action should be analyzed in more detail and, if necessary, modified prior to making a determination that it is consistent to the maximum extent practicable with the LWRP policy standards and conditions. If an action carmot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF' S[TE AND PROPOSED ACTION SCTM# i00(~ -__~~-_OS-OZ The Application has been submitted to (check appropriate response): ~y Town Board ? Planning Dept. ? Building Dept. ? Board of Trustees LJ 1. Category of Town of Southold agency action (check appropriate response): (a) Action undertaken directly by Town agency (e.g. capital ? construction, plarming activity, agency regulation, land transaction) ? (b) Financial assistance (e.g. grant, loan, subsidy) (c) Permit, approval, license, certification: r7j Nature and extent of action: r2 ~ J Location of pn~: ~/rd f2.~ ~gr/XJl? y C~ ;o~M' ~ ia~..: ~ r2` _ _ f_ Site acreage: o S ~ qG/Z s .~uu / Presentlanduse: UU.i~t~1T ~/q'/yJ~/ Present zoniclassification: I-p,S/C7~°/9Tr~ 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: / (a) Name of applicant: ~'t ARdL /~~~G'6elSK / (b) Mailing address: /~27 ,L~.Y 3S"G GG~ TCHOI l~E, /1r /I ~'3 .S (c) Telephone number: Area Code 73 t/ - ~/J`~d (d) Application number, if any: Will the action~b~eydirectly undertaken, require funding, or approval by a state or federal agency? Yes ? No U If yes, which state or federal agency? DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III -Policies; Page 2 for evaluation criteria. ?Yes ? No ~NotApplicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III -Policies-fP~ages 3 through 6 for evaluation criteria ? Yes ? No L~ Not Applicable . ' Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III -Policies Pages 6 through 7 for evaluation criteria ? Yes ? No Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III -Policies Pages 8 through 16 for evaluation criteria ? Yes ? No Not Applicable A[tach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Towu of Southold. See LWRP Section III -Policies Pages 16 through 21 for evaluation criteria ? Yes ? No ~NOt Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III -Policies; Pages 22 through 32 for evaluation criteria. ? Yes ? No Not Applicable 1 Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III -Policies Pages 32 through 34 for evaluation criteria. Yes ? No ~ Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and w(ast~es. See LWRP Sectiou III -Policies; Pages 34 through 38 for evaluation criteria. ? Yes ? No LJ Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III -Policies; Pages 38 through 46 for evaluatiou criteria. ? Yes ? No ~ Not Applicable Attach additional sheets if necessary WORKING COAST POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III -Policies; Pages 47 through 56 for evaluation criteria. ? Yes ? No Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters.~Sye LWRP Section III -Policies; Pages 57 through 62 for evaluation criteria. ? Yes ? No LJ Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III -Policies; Pages 62 through 65 for evaluation criteria. ? Yes ? No ~NOt Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III -Policies; Pages 65 through 68 for evaluation criteria. ? Yes ? No Not Applicable Created on 5/25/05 11: 20 AM S~1'.~~'Y OF PROP. Y • • A A~rSHAM011lAQ~U~ J N~Qi TO ~N OF SOUTHO.L 8 SUF1~'OLK COUNTY, NE ~1' YORK i ~F / 1000 53 ,05-02 w,~ 6,~. o,~ ~Fs SCALE: 1 =30 ~~o, c'•'s e JUNE 13, 2002 , F '6''IT~ `~NlTy 1 So, f NC ~1 ~ I ~A98~ V~ ~ LP / `Or f f Sr~e / \ '"a7 B / / / i 2 ~ / 2 ~ Rb 2,x'1 /i,?. f< a, ~ / ~ f(, ~ \ ti ~ ~ TEST HOLE o b BRDVN CLAYEY LOAN OH Z 2 PALE BROVN FINE SAND SP ~ ~ ----157- VATER !N PgLE BROVN Fh4 SAND SP 10' \ ~ ISO ~ VA7ER !N BRO VN C(AY AND OOH SANDY CtAY CN t CL f~ ~ ~ Sr9'rf I~~arliliar with the STANDARDS FCR APPRUVAL ~V~9C NE AND CENSTRUCTIUN ?F SUBSURFACE SEWAGE 9NTj tatE'~ rAe~w ~,y~ NoR ISPPaLEFTN£ ro NEDru DISFU,SAL SYSTEMS FOR SINGLE FAMILY RESIDENCES S r'' i^ and will abide by the conditions set forth therein and on the perr,it to construct. /2 ~`3 ~ r, ~t a.s ~ ppII~ 'l The location of wells and cesspools shpwn hereon are Lar NurraERS REFER ra •NqP aF saurHpLD ;-;;~ZES ~P c ~Jv a~ from field observntions and or data obtained front others. auc 29N1963 asFF~~e ~ sessELErm~s OFF,. D,.` \ vb~-Yd~'' IC. NO. 49618 • '9C,yN ECONl P.C. Elevations are referenced to an ~ ANY ALTERA77(~' OR ADD1rmN rD rNls suRVer is +,viptArtnrt TJ ~63ll 765 FAX (631) Z65-1797 _ aF sccrmN 7en9 ~ rNE NEV roaK srgrE EDUC,~' vA~; P. 0. BMX 909 ExCEPT AS PER SEtTliM 7209 SUBDIVISION P H tMfOATjIXS ¦=MONUMENT AREA=25,810 S.F, NEREON ARE vAtID FOR THIS NAP qND COPIES T w.r ~ 1230 TRAVELER STREET SAID NAP tJR CFB'lES BEAR rhE B~"RESSED SEAL ;Y ~t/E SUPYEM%P vtnsE stcNgrcmE APPEaes NEREtBA SNt,'THC7C P,. N Y 7; 97' ~ _ PLANTING SCHEDULE 5CDN5 ~c/ /2/D- O 0/ 8 ~ Q ll -Red Moples 10'-12' loll 2 I l2- OF PROPERTY 3" 25 gal. bees SURVEY ® October Glory 15- O.C.s AT ARSHAMOMAQ UEI "'°i~ - Clelhro Alnilolia For Cover RAW RUNOFF OF S D UTHOLD HSE,PORCH 8 DECK - 2014 sq. 11. fi. yr Poc (N° RFF21' _ T 0 WN 2014 • 0.17 " I- 342 cu./I. F c2 s ~~<<,r ° s'yO,pF,I, NEW YORK 342/22.3 ~ IS VF ~~r V r4a 6~, SUFFOLK COUNTY, Provide 4 .drams 6'0 " 4 a °Q°OI ,y lqf S~s . Cps CO AfN 1000-53-05-02 1 ~ ~fTtir NlTy r SCALE: 1 "=30' b ~ ® ~ ® F N rso~ ~ JUNE 13, 2002 ~ 'Cs` Q s~o' SEPT. 9, 2002 I cerlilicallon 1 Q NOTES 20105 Q o A ~ ~ ® ~ 6 U ® Ig49g, SUBSURFACE SEWAGE h1~. 9 (c~rs,,,,,~ ` ,2' ,r DISPOSAL SYSTEM DESIGN M,r /G Zoos (r 'C' ~ ~ Q BYE JOSEPH FISCHETTI, P.E. Sept. l6, 2005 Iaddilionsl ~ ~ F R HOBART ROAD ? ® ~ ~ Q F` 'i, r'~^~e SOUTHOLD, N.Y. 11971 Q' ~ OT a I 1631) 765 - 2954 ,P tt 4. It ~ S ® ~ I Lr PROPOSED sEwABE i sPOSAL Q' ~ ~ ~w 1000 E SYSTEM B POOL DOLLAR lal sr ao d J _SAND / ~ TE TIC -t II ~ c~le. r rot I ~ PRECAST C 1 ~ TALK. BOTTOM OF LEACMrB , ~°o' ! ~ ~ O~ pOq.S TO BE P' ABOVE ~ / ~ ~ CERTIFIED TOE ~0U'DwATER. / ~ ~ ~ sr -n. 3 <v ~ ~ N ti KAROL FILIPKOWSKI C~~__-_._Cr~- ~ FIDELITY NATIONAL TITLE INSURANCE _ S-~nC SYSTEM b ~ 77B COMPANY OF NEW YORK ~ K b a s '/J ~ r ~ o a r. ~ ~~~rr~ ~/7~~ r~R ~ 6 2i8 _ ~ ~ 1 ~ ~ / r. ,fir.. c= _-----;II` f< i ~o / ly 7EST HULE ~ 6 P of ~ p ^ 6/06/02 BY McDONALD GEOSCIENCE 1 , J 205 ~ S~~O. / Q~ F \y A 01 IZ BROWN CLAYEY LOAM OH I ~ e L S'~~ i ~v' ~ ~ ~ ~b ~ 2~ PALE BROWN FIVE SAND SP n~ ; ~ 6 (7 llt7 5'7~ VATER IN PALE BROVN FINE Soutiiald Town ~ VVO \ ~c SAND sP ~ / VATER IN BRDWN CLAY AND Board of Trustees 9 1 .AO~ ISOOO/ f SANDY CLAY LH 8 LL <l~, g'(ATE OF ~<rc' K, ~ r ,rrq~f ~ ~OY1N T ~a~~~ A~'pGys,~ll~~? \el 39' 51~ nr+ sPP ' m (VA RE'FT sr ai ~ FOR APPROVAL CAN~7 ARDS ~i art Farnlllar with the STAND AGE ~ ~ ~ , I W ~ TRUCTIUN OF SUBSURFACE SE Kfiyig AND CONS zoN~g ck DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES su I and will abide by the conditions set Forth therein and F hL g~103G0159G ~Q Iw- N.Y.S. L1C, i8 'i iz o PRQ P, P-E`/hT1~N ~ - on the permit to construct. ~ ~ ECONIC S VEYORS, P.C LOT NUMBERS REFER TO 'MAP OF SOUirOLD SHORES' SAC FAX~C631) 765-1797 FILED 1N THE SUFFOLK COUNTY CLERK', OFFICE ON ANT (63ll 765 - 5020 The location of welts and cesspools shown hereon are AUG. 29, 1963 AS FILE N0. 3653. J P, p, BOX 909 ' prod Field observations and or data obtained Frorn others ANY ALTERATION OR ADDITION Ta TM/s sur•v[r Is A VIOLATION 1230 TRAVELER STREET nr cFCTION 7209 OF iNC NCV YORK STA ii' CDUCALLfO CRTIFICATIONS SOU THUL D, N. Y. 11971 0 2 2 lr, ~•fr'r rn~ed to on ' (•I i•Vf~ ~~i H-1'. '\~~r' I' EKCLI'I AS PCK SLC f10N 7209-S000IVISIUr THCREDF ONLY IF _ p c SAD DMAP OR LOP CS BEAR ITME Ai!"°.i. SSETO ISCAL OF THE SURVEYOR I 11=Mpr~/UMEN7 AREA-25,810 S.F' VHOSC SIGNATURE APPEARS HEREON.