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Home My WebLink AboutWieczorek, RobertFI. AN VIeW ( fi~l~ 5~ *O~/N OF SOUTHO[D EY C,O',!F'C !'. l ~'%T,q, 51G-283-63~0 PROPO~I2120OK FOR ROI~RF ANI2 RITA I~IS Wlf~CZOI~K ON BOAT BASIN OFF ~*IF.U~R I~ANIP f:~gUNI~,.ffOLil'HOblg,F:~PPOLK CO,, NY ~f I OF 2 I0/2~/~9, 12/28199 51¢¢ RBfAIL P -, ,40' 176.38' ur SO~ ~T 4' X 42' BOAT BASIN OFF f:4CLfCR ISI.ANP SOUND 4'X12' ~CLNEPlO~/dP 11' 516-28363(;0 DEPARTMENT OF THE ARMY NEW YORK DISTRICT, CORPS OF ENGINEERS JACOB K. JAVIT$ FEDERAL BUILDING NEVV YORK, N,Y. '10278-0090 REPLY TO A'1-r El%rnoN OF: Eastern Permits Section January 26, 2000 SUBJECT: Department of the Army Permit Number 1999-12970 Robert and Rita Reis Wieczorek c/o En-Consultants, Inc. 1329 North Sea Road Southampton, New York 11968 Dear Mr. & Mrs. Wieczorek: We have completed our review of Application Number 1999- 12970-L2. Pursuant to Section 10 of the Rivers and Harbors Act of 1899 (33 USC 403), you are hereby authorized by the Secretary of the Army: ACTIVITY: To construct a 4 foot by 42 foot fixed pier, elevated a minimum of four feet above the grade of the marsh, a 3 foot by 20 foot hinged walk-ramp and a 6 foot by 30 foot float secured to two 2-pile dolphins. All work shall be performed in accordance with the attached drawings which are hereby made part of this permit. WATERWAY: an unnamed lagoon off Shelter Island Sound LOCATION: Town of Southold, Suffolk County, New York The activity authorized herein must be completed within three years of the date of this permit. This authorization is subject to the enclosed conditions. Please find enclosed two forms to be used to submit to this office, as required, the dates of commencement and completion for the authorized activity. Also enclosed for your information is a Notification of Applicant Options. The authorized activity must be performed in accordance with the enclosed plans. If any material changes in the location or plans of the subject work are found necessary, revised plans should be submitted to the District Engineer. These plans must receive the approval required by law before work begins. Notice is hereby given that the permittees should recognize that a possibility exists that the structures permitted herein may be subject to wavewash from passing vessels. The issuance of this permit does not relieve the permittees from taking all proper steps to insure the integrity of the structures permitted herein and the safety of boats moored thereto from damage by wavewash and the permittees shall not hold the United States liable for any such damage. If any questions should arise concerning this matter, please contact Denise Butts, of my staff, at (212) 264-3913. Sincerely, ~ B£HALF ~i~liam H. Pearce C~lonel, Corps of Engineers District Engineer Enclosures 2 Z.! · ~1~ ~fAIL 8" POI,~IN FI, Nfl5 (rfP) ' 4" 5~ BOAt BASIN OP~ 51~bll~l( I~ANP 5OtINP \. 1145b (Shelter Island Sound - Robert and Rita Reis Wieczorek - pier, ramp, floating dock) 175,58' fO AECOMMO~AfI[ I~MF £ ,-C..t 132P" PEOPO.51~P POCK POE :-F ON BOAf BASIN 07i 15LANP 50UNP, 50UI'HOUP, 5Ut~i¢OI..K, NY 5H~l~1' 2 OF' :2 I0/2¢/9g EN- CONSULTANTS, INC. 1329 North Sea Road Southampton, New York 11968 516-283-6360 Fax: 516-283-6136 E-mail: encon @peconic.net ENVIRONMENTAL SERVICES Board of Trustees Town of Southold 53095 Main Road Southold, NY 11971 11 ,! FF , RE: ROBERT & RITA REIS WIECZOREK February l6,2000 Members of the Board: Please fred attached copies of permits issued by the U.S. Army Corps of Engineers and New York State Department of Environmental Conservation (DEC) for the proposed dock to be reviewed again at your upcoming regular meeting of February 24, 2000. Given the determinations by these agencies that the proposed catwalk, ramp, and 6' x 30' float will not have significant navigational or environmental impacts at this location, we respectfully reiterate our request that the Board similarly grant approval for a 30' long float. Although we recognize the Board's established policy of limiting float length to 20' over publicly owned bottomlands, the bay bottom over which the subject dock would be constructed is privately owned by the applicant. Thus, in the absence of other demonstrable adverse impacts that wouM result fi.om employing a 30' versus 20' float at this location or language in Chapter 97 that would preclude the Board fiom granting such a float over privately owned bottom, the Board should approve the dock as proposed. Respectfully ours, ~ Coastal Management Specialist Attachments New York State Department of Environmental Conservation Division of Environmental Permits, Region One Building 40- SUNY, Stony Brook, New York 11790-2356 Phone: (516) 4~.~.~0365 · FAX: (516) 444-0360 Webslte: www. dec. state.ny.us Page John P. Cahill Commissioner January 26, 2000 Robert & Rita Reis Wieczorek 2 Montgomery Road Scarsdale, NY 10583 ,[ ..'i~, i~.~. RE: 1-4738-02477/00001 Dear Permittee: In conformance with the requirements of the State Uniform Procedures Act (Article 70, ECL) and its implementing regulations (6NYCRR, Part 621) we are enclosing your permit. Please read all conditions care- fully. If you are unable to comply with any conditions, please contact us at the above address. Also enclosed is a permit sign which is to be conspicuously posted at the project site and protected from the weather. Very truly ~yours, Darleen M. Gerb~ Environmental Analyst I DMG:cg enclosure DEC PERMIT NUMBER 1-47'58-02477/00001 FACILITY/PROGRAt4 NUMBER(S) NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION PERMIT Under the Environmental Conservation Law EFFECTIVE DATE January 26~ 2000 EXPIRATION DATE(S) January 26, 2003 iJ TYPE OF PERMIT · New [] Renewal [] Modification [] Permit to Construct [] Permit to Operate [] Article 15, Title 5: Protection of Waters [] Article 15, Title 15: Water Supply [] Article 15, Title 15: Water Transport [] Article 15, Title 15: Long Island Wells Article 15, Title 27: Wild, Scenic and Recreational Rivers PERM(T ISSUED TO Robert & RJta Reis Wieczorek [] [] [] [] 6NYCRR 608: Water Quality Certification Article 17, Titles 7, 8: SPDES Article 19: Air Pollution Con(roi Article 23, Title 27: Mined Lar~d Reclamation ~ Article 24: Freshwater Wetlands · Article 25: Tidal Wetlands [] [] [] [] [] Article 27, Title 7; 6NYCRR 360: Solid Waste Management Article 27, Title 9; 6NYCRR 573: Hazardous Waste Management Article 34: Coastal Erosion Management Article 36: Floodplain Management Articles 1, 3, 17, 19, 27, 37; 6NYCRR 380: Radiation Control TELEPBONE NUMBER (718) 403-3388 ADDRESS OF PERM[TTEE 2 Montgomery Road Scarsda[ef MY 10583 CONTACT PERSON FOR PERMITTED WORK EnConsultants, Inc. 1329 North Sea Roadr Sou(hartco(on NY 11968 N~J4E AND AODRESS OF PROJECT/FACILITY Wieczorek Property 835 Tarpon Road LOCATION OF PROJECT/FACILITY · Sou(hold COUNTY I TC~/N ~i Suffolk I SouthoId DESCRIPTION OF AUTHORIZED ACTIVITY: iWATERCOORSE Boat basin off Shelter s[and Sound TELEPHONE HUMBER (631) 283-6360 MYTH COORDINATES Install a 4' x 12' inclined rar~o leading to a 4i X ~ ~atw~[~ ~ ramp, a 6' x 30' float with a 4' x 4' extension, and 2 two-pile dolphins. Sy acceptance of this permit, the pormittee agrees that the pormit is contingent upon strict compliance with the ECL, all al~olicab[e regulations, the General Conditions.speD f~ed(see page 2 & 3) and any Special Conditions included as part of this permit. ' ~ PERMIT ADMINISTRATOR: George W. Hammarth DMG ADDRESS Bldg. f~40~ ~UNY., Stony Brook, NY 11790-2356 DATE January 26~ 2000 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION NOTIFICATION OF OTHER PERMIT'FEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, agents, and assigns for all claims, suits, actions, damages, and costs of every name and description, arising out of or resulting from the permittee's undertaking of activities or operation and maintenance of the facility or facilities authorized by the permit in compliance or non-compliance with the terms and conditions of the permit. Item B: Permittee's Contractors to Comply with Permit. The permittee is responsible for inform ng, jtS ~ependeht contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for v o at ons of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining 'a'ri~,'0the~i~ pe~rfiits, approvals, lands, easements and rights-of-way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permitt6-e ~riy ?ight t~tt~pass upon the lands or interfere with the riparian rights of others in order to perform the permitted worl~;nbr d6es. it.abth0i'i~e the impairment of any rights, title, or interest in real or personal property held or vested in a person not, a party to the perm t GENERA~.'CONDITIONS General Condition 1: Facility Inspection b~/'t'heDepar~ment The permitted site or facility, including relevant records, is Subject to inspection at reasonable hours and intervals by an authorized representative of the Department ~f Environmental Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71-0301 and SAPA 401(3). The permittee shall provide a person to ac~:o~pa~/th,~e Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit including all referenced ~psl drY,rings and special conditions, must be ava ab e for inspection by the Department at all times at th~. proje~:t~ s~te'br f~cility. Fa ure to produce a copy of the perm t upo~ request by a Department representative is a vib'afi0n'~f this permit. General Condition 2: Relationship of thi~'~6i;ifiit'to'~h~fDepartment Orders and Determinations Unless expressly provided for by the Department, ~ssuance of th~s permit does not modify, supersede or rescind any order or determination previously issued by th~ 'DepaF~ment or any of the terms, conditions or requirements contained in such order or determination. .... General Condition 3: Applications for Perm[t'R. eriewal$ dr Modifications The permittee must submit a separate wri~n~'i~l~iicat'iSh,t~)' the Department for renewal, modification or transfer of this permit. Such application must include any: f6rh~s or~'supplemental information the Department requires. Any renewal, modification or transfer granted by the D,epartment must be in writing The permittee must submit a renewal applic~tic~ a) 180 days before expiration of perh~its'~or'St'at~ Pollutant Discharge Elimination System SPDES). Hazardous Waste Management Facilities (HWMF) major Air Pollution Control (APC) and Solid Waste Management Facilities (SWMF);' a~ b) 30 days before expiration of all otl~t~ i~e'r~it: ~pes. Submission of applications for permit renewal or ,m, o~ification are to be submitted to: NYSDEC Regional Permit Administratd~':'l~e~ib~"i, ~L1NY Bldg I/t40, Stony Brook, NY 11790-2356 General Condition 4: Permit Modifications; Susp'e'ns ons and Revocat OhS by the Department The Department reserves the right to modify, suspend.or revoke this permit. The grounds for modification, suspension or revocation include: a) the scope of the permitted activi~'i~ ~¢~d~'d Or'a violation of any condition of the permit or provisions of the ECL and pertinent reguiati~n;s!is'found:"' b) the permit was obtained by misrepresentation Or failure to disclose relevant facts; c) new material information is discovereo: or d) environmental conditions, relevant,technology, O~ applicable law or regulation have materially changed since the permit was issued. DEC PERMIT NUMBER 1-4738-02477/00001 PAGE 2 OF 4 .Ew VORN DEP^R E" ' O 'E.V!R0.ME. ^L CO.SERV^ ,O. ADDITIONAL GENERAL CONDITIONS FOR'ARTICLES 15 (TITLE 5), 24, 25, 34 AND 6NYCRR PART 608 ( TIDAL WETLANDS) 1. If future operations by the State of New York r~quire an alteration in the pos t on of the structure or work herein authorized, or if, in the opinion of the Departn~r~t:0f Ed~/ir~nmental Conservation it shall cause unreasonable obstrucUon to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State or cause loss or destruction 0f. th~ 'n~tura r~spurces of the State, the owner may be ordered by the epartment to remove or alter the structural work obstructions or hazards caused thereby w thout expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall ngt b.e completed; the owners, shaft, without expense to the State, and to such extent and in such time and manner a~ ~he. D~epaFtment of Environmental Conservation may require, remove all or any portion of the uncompleted structure 0r §Il and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New 'York on account of any such removal or alteration. , , ~,, , 2. The State of New York shall in no case be liable~for~any damage or injury to the structure or work herein authorized which may be caused by or result from ~'~t.g_[~e~.gRe~.t. ig_n~ undertaken by the State for the conservation or improvement of navigation or for other pu~ose~ a.q~ no,claim or right to compensat on sba accrue from an such damage. ~ ~'~, ?:,; ,~ ~ :L ~:'":;' ~. Y 3. Granting of this permit does not relieve the applicant of the. responsibility of obtaining any other permission, consent or approval from the U.S. Army Corps of Engineers, U.S. Coast Guard, New York State Office of General Services or local government which may be required. 4. A necessary precaut OhS she be taken to prec ude contamlnabon of any wet and or waterway by suspended solids. sediments fuels solvents lubricants, ep, O~ C"0a!in,g~','ip~n!s, concrete, leachate or any other environmentally deleterious materials associated with the p~(~j~,~.i~.;! ~; ;~-;., 5. Any material dredged in the conduct of thb:~/o~',~,reiln'~r~m'itted shall be removed evenly, without leaving large refuse piles, ridges across the bed cfa w~'t~a,~::~; fl~:lplain or deep holes that may have a tendency to cause damage to navigable channels or to the I~ah~k~'O~'h:W~t~y. 6. There shall be no unreasonable interference;With,~navigatiTn'by the work herein authorized. 7. If upon the expiration or revocation of this permit ,the project hereby authorized has not been completed the applicant shall, without expense to the Stati~',:'ah~'i~ $,",ch:exteht and in such time and manner as the Department of Environmental Conservation may require~ r~m0¥e all Or ahy portion of the uncompleted structure or fill and restore the site to its former condition. No claim.shall:'b~ made against the State of New York on account of any such removal or alteration. 8. If granted under 6NYCRR Part 608, the NYS D'~paftment of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitations Or Other limitations or standards under Sections 301,302, 303, 308 and 307 of the Clean Water Act of 19771(PL 95-2.17) provided that all of the conditions listed hereto are met. 9. At least 48 hours prior to commencement o~the project the permittee and contractor shall sign and return the top portion of the enclosed notification form ce~i~?~ tl~ti~h~Y ~ie fully aware of and understand ail terms and conditions of this permit. Within 30 days (~{~P ~t o~~ 0f Project the bottom port on of the form must also be signed and returned, along with photograp:~{:~)~' ihe 6drn~leted work a,nd, f requ red, a survey. 10. All activities authorized by this permit must?l~Um'stnct conformance with the approved plans submitted by the applicant or his agent as part of the permii a~li~a~i0n~. '. Such approved plans were prepared by Ed~C0r~§uitants ~n ;id/25/99 and last revised 12128199 . DEC PERMIT NUMBER : ,, ' ' ,~ ,,., 1-4738-02477/00001 IPAGE_3__ OF4.~_ NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAl' CONDITIONS 1. Any debds or excess material from constructioh of thi§ pr6ject Shall be completely removed from the adjacent area (upland) and removed to an approved uPiand a'r~a'for d sp0Sa No debris is permitted in tidal wetlands and or protected buffer areas. : "' 2. Dock or timber catwalk shall not exceed 4 feet ih w dth ~ndshall be a minimum of 3% feet above grade* over tidal wetland areas (* as measured from grouted to bottSm of dock sheathing). 3. The use of wood treated with pentachlor°phenoi in the COnstruction of structures that will be in contact with tidal waters is strictly prohibited. 4. Floats and ramps may not rest on or be storediin,any.vegetated tidal wetland. 5. No dredging, excavating or other alteration of shoreline or underwater areas is authorized by this permit, nor shall issuance of this permit be construed to suggest that the Department will issue a permit for such activities in the future. 6. No permanent structures may be installed on'8~;~ll~fi~at without first obta n ng written Department approval (permit, modification, or amendment). ~' ~: ~' ~ ..... '~ ~ ~ ~ ~ 7. ocks/catwalks/floats may not (a) extend late.rallY~ibeyond:p, rOperty lines, (b) be placed so that docked boats extend over adjacent property line, (c) interfere ~!!.~;~¢~!~t!~ (~)?iterfere with other landowners ripar an r ghts 8. Pilings may not: (a) extend beyond property I!nes (b).be.placed so that docked boats extend over property lines, (c) interfere with navigation (d) interfere w th other: and0wners r par an rights. 9. No structures are to be constructed on p ng~ ~th0ut further authorization of the Department. DEC PERMIT NUMBER 1-4738-02477/00001 PAGE _4_ of 4 ragA1' CASIN 0~ 5t~!bll~R 15I. ANP 50UNP 176.38' 516-283 +1 PEOPOCP POCK FOE 1~0[~181' ANP BI'A 1~15 W1BCZOI~K ON BOAr BASIN OFP ~q~k11~l~ 15t. ANP ¢OUNP.5OUfl'IOLP,5WFO[.K 60,. NY 5t'1l~1' :20I¢ 2 I0/2.6/~)~), 12/28/¢) Albert J. Krupski, President .Iames King, Vice-President Henry Smith Artie Fester Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Souti~old, New York 11971 Telephone (516) 765-18~2 Fox (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD March 1, 2000 Mr Robert E. Herrmann ED-Consultants, !nc. 1329 North Sea Rd. Southampton, NY 11968 ROBERT WIECZOREK SCTM#53-5-8 & 57-1-39.2 Dear Hr. Herrmann: The following action was taken by the Board of Town Trustees during its regular meeting held on February 24, ~000 regarding the above matter: W~EREAS, En-Consultants, Inc. on behalf of ROBERT WiECZOREK a~plie~ to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of ~outhold.. application dated November 5, 1999, and, said Application was referred to the" ' Con~erva'tien Advisory Council for their findings recommeudations, a~d, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on February 24, 2000 at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members familiar with the premises and, have personally viewed and are in question and the surrounding area, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standard set forth in Chapter 97 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, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of ROBERT WIECZOREK to construct a fixed timber dock consisting of a 4'X 12' ramp to a 4'X 42' fixed catwalk, elev. 3 1/2' above marsh, a 3'X 20' hinged ramp and a 6'X 20' float with a 4'X 4' extension for ramp to be secured by (2) two-pile dolphins. 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 yea£s from the date it is signed. Fees must be paid, if applicable, and permit issued within six months of the 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, Albert J. Krupski, Jr. Presidentt Board of Trust~es AJK/Ims cc: DEC ACE Dept. of State FROM : ENCONSULTANTS~INC. IN 1. ~"5~7' $0'' ~,' ~ 2( PHONE NO, : 5162836136 I~OAT [~A~IN OPf ~I~L~I~ 15LANP 50tlNP \ 7 fO ^C(,O~O~A~ P4~P 3un. 02 2000 02:02PM P2 - 2 2000 FROM : ENCONSULTANTS~INC. PHONE NO. : 51628~6136 Jun. 02 2000 02:02PM Pi 1329 North Sea Road Southampton, NY 11966 Phone: (516) 263-6360 Fa~c (516) 283-6136 Email: encon(~pe~onic.net I l!ln-Consultants, Inc. Chart·rte From: ROb HerPmann · Comments: Chaff·Ire: Someone from Costello Marine may come by the office to pick up the original permit today, which is fine with us. Please mail me a copy for my records. Thanks, Rob. ,~ JAN - hampton, NewYork 11968 EN- CONSULTANTS,! ( Lpk'ma": ENVIRONMENTAL SERVICES December 28, 1999 Diane Herbert Board of Trustees Town of Southold 53095 Main Road Southold, NY 11971 RE: ROBERT & RITA REIS WIECZOREK (former ,ly FRANK & INGEBORG FLYNN) Dear Mrs. Herbert: Please be advised that the property known as 835 Tarpon Road, Southold, for which there has been a Wetland Permit application pending for Frank and Ingeborg Flynn, has been sold to Robert and Rita Reis Wieczorek (2 Momgomery Road, Scarsdale, NY 10583, (718) 403-3388). As the application should now be placed in their names, I have enclosed a letter signed by the Wieczoreks authorizing En-Consultants, Inc. to act as their agent; a copy of their deed; a set of Southold authorization forms; and (3) copies of a revised project plan reflecting the change in ownership. Moreover, as the public hearing on the application has been tabled until the Board's 26 January 2000 meeting, I expect that you will forward me a new sign for posting in the Wieczomks' names. Should you have any questions regarding this information, please contact me at your earliest convenience. Respectfully Robert E. Her uts, Coastal Managemem Specialist Enclosures ~EN- CONSULTANTS, INC. ENVIRONMENTAL SERVICES 1329 North Sea Road Southampton, New York 11968 516-283-6360 Fax: 516-283.6136 E-mail: encon@peconic,net TO WHOM IT MAY CONCERN: This letter will authorize En-Consultants, Inc, to represent me and act on my behalf with regard to enviroranental matters and/or permits. / s~i~e '1I Print Signature Dated: Boar~of Trustees Application .~ County of Suffolk State of New York DEPOS AND AFFi~a~S THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT AT.T. STA"£~m~NTS CONTAINED n~EIN ARE TRUE TO THE BEST OF HIS/HER KNOWr.~nGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SO~TnOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HAP/~LESS AND FRF~E FROM ANY AND ALL DAMAGES AND CLAIMS ARISINC ~NDER OR BY %~R~GE OF SAID PF~/~IT(S), IF G~T~. iN COMPLETING THIS APPLICATION, I HEP~Y AUTHORIZE THE TRUSTEES, THEIR AGF~NT(S) OR REPRESENTATIVES(S), TO E~T~R ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WIT~ REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS of Trustees ApPlication AUTHORIZATION (where the applicant is not the owner) (print 5wner of property) (mailing address) do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. APPLICANT TRANSACTIONAL UISCLOSUEE FOEH The~ Town of Southold's Code of Ethics prohibits con£1icts of interest on the. part of town officers and employees. The purpose of this form is 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. TOUR (Last name, first name, mid(lie initial, unless you are applying in the name of somsone else or other entity, such as a company. If so, indicate the other person's or company's name.) NATURE OF APPLICATIONm (Check all Tax grievance variance Change of zone A~p~oval Of plat Exelption from plat other (If "Other," name or official map the activity.) that apply.) Do you personally (or through Four ~ompany, ,pouts, ~ibling, parent, or child) have a r~la~loeehip ~lth any of£1eer or ~mployee oE She Teen oE Roubhold? 'Eelaklonship' includes by blood, sarriage, or bunineee interest. 'Business interest' m~ane a business, includln~ a partnership, in which the town officer or e~ploye~ has even a partial ownership or (or employment by) a corporation in which tho town officer or esployee owns more ~han 5~ o£ tile shares. · ES NO ~ If you answered 'YES,'. complete the balanee or this form and date and sign where lndioated. 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 apace provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply)~ A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation)/ __B) the legal or beneficial owner of any interest in a noncorporats'entity (when the applicant ie not a corporatton)l C) an officer, director~ pa~tner, or ~plsyee Of tho applicantl or __D) tile actual applicant. DESCRIPTION OF RELATIONS{lIP ~ec-zg-99 07:35A O0 0 000 P.O~' CO~ULT YOUR ~ER BE~ SIGNING THIS INSTRUMENT- THIS [N~RU~ENT SHOULD BE USED BY ~E~ ~Ly THIB I~DE~URE, mBd~ th~ BE~EEN F~ N. FLY~ and ~N~E~O~g L. ~YHN, husband a~d ~s~ ~es~d~ng ~ 8~5 Ta~pon D~ve, ~o~c~d, ~ ~9~1 pan~y of the first per~, ROBERT R. WIECZOP. EK and RITA ~ WIECZOREK, husband and wife, reeiding at Montgomery Icad, Scarsdate, NY 10583 party of tbs second par~, WITNESSETH, that the pan'y of the first part, in considerat/on ofTen Dollars a~d other valuable comslderation paid by the pan'y ortho second pa.~, does hereby grant and releaec unto the path/of the second pan, the heirs or successors and assigns of the party of the second part forever, ALL that certain pict, piece or parcel of land, with the buildings and improvements thereon erected, situate, [yin§ and being in the SEE SCHEDULE "A" ATTACMED HERETO AN9 MADE A PART REREOF The grantors herein are the same persons as the grantees in Deed dated 7/9/85 recorded 10/17/8~ In L~ber 9895 cp. 32. TOGETHER with nil fi~t, title ~xt intorest, ifany, of thc pa-,'[7 of thc first part of, in and to any str~'~ and roa4s abutting the abovs-described promises to tha center lines thercot~ TOGETHER with the appunenancos and all the e~tate and rights of tbs party of tbs first ptrt in and to said p~emises; TO HAVE AND TO HOLD the premises herein lFanted unto the party o f the second part, the heirs or successors and assigns of the party of the second pat forever. AND the paxty of the f~t part covenants that the party of the first part has not done or suffered anything whereby the smd prami~s have b~-n incumbe~d in any way whatever, except as aforesaid. A.ND the party of the first part, in compliance with Section 13 ofth¢ Lien Law, covenants that the party of the tint pm't will receive the considerntion for this conveyance and will hold thc fight to receive such consideration as a ~mst fund to be applied first for the pu~ose of paying the cost of the improveman! ~nd will apply tho Same fu'st to the payment of the cost of the impro¥~mant before using any part of the total of the same for any other pu~ose. The word "party" shall be consm~ed as if it md "parties" whenever the sense of this indenture an requires. I~ WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above FRANK ~:fFLYN~ Dec- 20-9g O7: 36A -~' ...... $1aleefNew Yer~ Co~ ~ ~uf~olk } ~ ~/~of December Frank ~. ~l~rm and In~eborg L. FI~n , ~ ~ ~of~b ~ t ~ Public // ~UZ~A Nfl. 52-795~250 ~UALFIE~ iN SUF[OL~ CO. S~t~ of N~w Yor~ Co~U of O~ ~e ~y of in ~e y~ ~fore me, ~e ~de~i~ed, perso~ly a~ · e ~ubscfibing w~es$ to ~e fo~go/na im~mem ~tth ~, ' ~ ~lyacquaml~,who ~m~bvme6ulww~ ~:~ - ~y/ha h~sh~cy ~ide(s) in ' - .- .......... ue~sc (~ the ptace of ~t~nae ~ in ~ ci~, ~clude the ~e~ ands/reel be t~ indjvidu~ ~esc~ in ~d who ~xecu~ the foregom~ in~ment; ~t ~id ~ub~bieg wimesl wal pre~ ~ ~w ~id ex<ute ~e ~e; ~d that ~d wlmess m t~ same time hi~ff/~eir n~ga) ~$ a wimm~ {Ou~ of itat~ or Forel~ ~.~ d c~o~t ~e ~ih S~e, , P~v~ce ar thc ~y of in ~fo~ me, ~e underst~, pe~naHy evide~e to ~ ~e ~vidu~(~) whose names) ~ (~) aub~c~bed ex.tea me ~e m hl~er/~e~ cap~(i~) ~t by hi~er/ si~a~s) on ~ ms~ ~ individual(s), ~ ~e beef of which the iadivid~ (s} ac ~ ~xecut~ ~e imprest, ~a~souch ~.dlvidual m~e ,~ ~.,m.ce befo~ ~. un~.i~ (~.nso., t. Ae ~i~ or otfier political subdivision and the ztate or cotmtry or o/nee p/ace the acknol4~eo~rment wa~ taken) TITLE NO. PLYNN BARGA/N & SALE DEED TO WIECZOREK FIDELITY NATIONAL TITLE INSURANCE ~ COMPANY OF NEW YORK DISTraCT $1~CTION BLOCK COLr~rry OR Tovm Pid~ Na~nal Tl~e Insu~n~ Company ofN~ Y~ Jennifer Gould, Esq. P. O, Box 177 Greenport, NY 1~966 07: 37A Fidelity National Title I,~sut'ance Comp:my of New York TITLE NO. 99-370a.23~80-SU~:F P. 04 SCHEDULE A-i ALL that certain ploL piece or parcel of land, situate, lying a~d bcmg in lac Town of Sou~ho[d, Coun~ of S~ffo[k State of New York ~o~ and dc~ign~[~ a~ lot 51 on a certain map cmmce M;q~ cf Somhold Shores at ~d fil:d in ~e office of the Clerk of S~folk County on 08-29-63 as ,na~ m.nbcr 3S53 and pan cfa boa~ b~in l~a~ ne~ ~e ~s~ly map line of said map and when ~ken t~g~cMr am boundzfl and dcszr{bcd as follows: sine o~[~on ~vc ~m mc comer xom~cd by the intersection of d~c northerly side o FTa~on Drive and o~Man Road; ~NCE No~ 18 deDees 57 minutes 30 seconds East 17538 fcc: to la:~d now or fo~rIy of Br~ ~co~omdon; ~E~CE South 63 dc~ces 52 m/nmos 30 s~conds ~st a',ong thz last mcm~aned had 192.72 fo~t to a point; ~ENC~ Sou~ 34 de~ces 24 mina~cs 10 s~conds Eas~ 378.59 feei :o a palm: ~CE No~ 03 dc~e~ 41 minutes 30 seconds East 50.65 l%et ~ a ~CE N~ 48 dc~e:s 05 minutes 20 ~cconds Eas: 88.59 ~%et m a ~CE No~h 77 de.cea 00 minutes 0G seconds We~t 160.00 i%e: ta :i TX~ ~ENC~ North 25 de~ees 00 minutes 0O s~onds We~t I00.00 !~c~ tua poh.; ~NCE Sou~ 79 de.ecs 30 minutes 00 se:onds west along fl~e nort:~rly ~ide of Tut3*on Drive 100.00 feet to a point; ~NCE South 63 de~e~ 52 minu~es 30 seconds West st~[I along the mmhzdy iid~ ef Ta:¥on Bnve 63.00 feet to point or place of BEG~G. J~OR CONFEY,4NCING OIVL I~' Tosether ~ith all the rl~ht, ddt, and b:tere*'t of .qw #,~,.O, of d~e fira't par , of in and w the land lying in the.ttre,t in flont of and aa[/okdng said premi~. /J 3UIIOIK county liecoralne l nclarcom ant I-J~ar- FLYNN - SOUTHOLD 11/19/99 FLYNN - SOUTHOLD 11/19/99 DONALD M. BAYLES 785 Albacore Ddve P.O. Box 396 Southold, NY 11971-0396 Telephone 516-765-1896 E-mail: dbayles@northeast.net DEC - 6 December 2, 1999 Albert J. Krupski, President Board of Town Trustees Southold, NY 11971 Dear Mr. Krupski; Tuesday evening I attended a public hearing at the town hall with respect to applications for permits under the Town wetlands ordinance. Normally I do not attend such meetings. However fbr a number of years I have been president of the Southold Shores Association which is the owner of Tarpon Drive and the application of Frank & Ingeborg Flynn involves property adjacent to Tarpon Drive. The Association did not receive any notice of this action and therefor I was prepared to object to the hearing. As it turned out that item was postponed anyway. I thought that I would write to you and give you a little bit of local history which I could not do at a public hearing. Most of it you probably already know. The Map of Southold Shores was filed Aug. 29, 1963 by Harold and Frederick Reese. At that time I was a civil engineer living in the Town of Brookhaven where no subdivision map could be filed until the roads were built according to Town specifications and dedicated to the Town. Unfortunately this was not a requirement in Southold and the roads here remained the property of the developer who did little to maintain them. I bought a lot in 1972 because it was on a bulkheaded canal. About 1976 we formed the Southold Shores Association in order to have control over the roads and also the "park lot" and "beach lot". Finally about 1994 I was able to get the roads, with the exception of Tarpon Drive, token over by the Town. The main reqmrement under state law was that lot owners representing over 50 pement of the road frontage had to sign statements approving of the action. This requirement could not be met with respect to Tarpon Drive because the Reeses still owned several lots and the owners of three other lots would not agree. One of those was Frank Flynn. Shortly after the Flynns arrived Frank appeared at one of our meetings and announced that he owned half of the road in front of his home and would arrest anyone who trespassed on that side of the road. When I tried to point out that the road was the property of the Association he would not listen and thereafter I tried to ignore him. About 1973 one lot owner placed a small section of floating dock at the end of Blue Marlin Drive. Some time later other lot owners wished to extend this dock. Some of the early owners had obtained a sales map from Reese which indicated a boat basin at the end of Blue Marlin Drive and they were led to believe that the Association owned such a basin. I pointed out that the deed to the Reeses for the Southold Shores property was described as bounded by the high water mark and as the "boat basin" was still owned by Sage no piles could be driven there. Several of the boat owners formed a separate corporation and obtained a deed to land under the water so they could extend their dock. I was not involved because I had no need for a dock. At the time Henry Weismann was a member and immediately he and Flynn obtained a deed from Sage for land under the water at the end of Tarpon Drive fearing that we might do something there. Both of the men raised objections to the extension of the dock. This was about the same time that they were objecting to expansion of the marina owned by Howard Zehner also in Sage Basin. This went on for a number of years and must have cost Howard thousands of dollars. Now the Flynns are requesting a permit to build a dock, not for themselves, but for a party buying their home. Their concerns for pollution by boats and all the other detrimental effects on ecology cited in the past seem to have suddenly disappeared. In advertising the sale of their home they have had the audacity to use a photograph of Brick Cove Marina as one of its attractions.. I am sure thast this application will be approved and we are happy to see the Flynns moving to another part of the country. The Weismanns left 2 or 3 years ago. So the neighborhood is slowing improving. There is much I could tell about our area and would be glad to at any time but I know that your position as a Town Trustee requires your time in all areas of the Town. My best regards to you and the other members of the Board. Sincerely, RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH A CONDITION of the Wetland Permit Application of MICHAEL J. CORDASC! 59-9-4.2 to construct a single-family private dwelling. 435 Private Rd. off Soundview Ave., Southold The CAC Approved the application with the condition that there be a 50' non-turf buffer. ~: Ayes: All Motion Carried Moved by Scott Hilary, seconded by Richard Smith, it was RESOLVED to recommend to the Southold Town Board of Trustees DISAPPROVAL of the Wetland Permit Application of FRANK & INGEBORG FLYNN 63-5-8 to construct a fixed timber dock, consisting ofa 4'X 12' inclined ramp, leading to a 4'X 42' fixed catwalk (to be elevated 4' above marsh grade); a 3'X 20' hinged ramp; and a 6'X 30' float (with a 4'X 4' extension for ramp), to be secured by (2) two-pile (8" diameter) dolphins. Dock will be constructed over owner's privately-owned underwater pamel, known as SCTM# 1000-57-1-39.2 835 Tarpon Rd., Southold The CAC recommended Disapproval because the structure is too excessive as per Trustee's policies. ~: Ayes: All Motion Carried Moved by Richard Smith, seconded by Abby Cocltran, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Wetland Permit Application of WILLIAM BAYLIS 66-3-1 to construct approx. 91 linear ft. of vinyl low-sill bulkhead and create approx. 930 sq. ft. of intertidal marsh landward thereof by placing approx. 75 c.y. of clean sand fill to be trucked in from an upland source and planted with Spartina altemiflora (12" on center) on a 1:7 slope. Remove existing 10'X 35' fixed timber dock and associated pilings and construct a fixed timber dock, consisting ora 4'X 28~ fixed catwalk (elevated a minimum of 4' above proposed marsh grade); a 3'X 14' ramp; and a 6'X 20' float to be secured by (2) 8" diameter pilings. 535 Arshamomaque Ave., Southold Y_alg_of_C. mm~: Ayes: All Motion Carried DISCUSSION AND RECOMMENDATION OF AMENDMENT REOUEST.E CONSULTANTS, INC. ENVIRONMENTAL SERVICES November 4, 1999 1329 North Sea Road Southampton, New York 11968 516-283-6360 Fax: 516-283-6136 E-mail: encon @ peconic.net , ,ov - 5/999 Town of Southold Board of Trustees Post Office Box 1179 Southold, New York 11971 Attn.: Diane Herbert Re: Frank & Ingeborg Flynn 835 Tarpon Road, Southold SCTM #1000-53-5-8 (upland) SCTM #1000-57-1-39.2 (underwater) Dear Ms. Herbert: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: 3. 4. 5. 6. 7. Three (3) Wetland Permit Applications, ( including Notice and Proof of Mailing to adjacent owners). Three (3) Short Environmental Assessment Forms. Three (3) copies of authorization & disclosure forms. Three (3) work plans. Three (3) copies of survey. One (1) set of site photographs. Application fee of $150.00. I trust this information shall allow you to process our permit request. Should any additional information be required, please do not hesitate to contact our office. Since~ly, ~/) Coastal Management Specialist &hs Eno. Albert J. Krupski, President John Holzapfel, Vice President Jim King Martin H. Garrell Peter Wenczel BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hail 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 Office Coastal Erosion Permit Applica Wetland Permit Application Grandfather Permit Application[i ~i Naiver/Amendmen~/Chan~es Received Application./f-~ ~ ~ Received Fee:$/~ O · Completed Application ~-~-~ Incomplete SEQRA Classification: Tlrpe I__.Tlrpe II Unlisted Coordination:(date sent) ~._CAC Referral Sent:~ ~ Date of Inspection: · Receipt of CAC Report: ..Lead Agency Determination: Technical Review: ~Public Hearing Held://o~- Resolution: N~me of Applicant Address Fra.~k & ~weborg ~'lyTTrr-- Phone Number:(631) 477-0698 Suffolk County Tax Map Number: 1000 -53 - 5 - 8 (upland) 1000 -57 - ± - 39.2 {unOerwater) Property Location: 835 Tarpon Road, Southold (provide LILCO Pole ~, distance to cross streets, and location) AGEIqT: En-Consultants, Inc. (If applicable) 1329 North Sea Road Address: Southampton, NY 11968 Phone: 631-283-6360 FAX%: 631-283-6136 ~ard of Trustees Applicati~ GE~ERALDATA Land Area (in square feet): 60,323.85 Area Zoning: R-40 Previous use of property: Intended use of property: Residential No Change Prior permits/approvals for site improvements: Agency 'Date X No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary): Construct a fixed timber dock, consisting of a 4' x 12' inclined ramp, leading to a 4' x 42' fixed catwalk (to be elevated 4' above marsh grade); a 3' x 20' hinged ramp; and a 6' x 30' float (with 4' x 4' exten- sion for ramp), to be secured by (2) two-pile (8" diameter) dolphins. Dock will be constructed over owners' privately-owned underwater parcel,known as SCTM #1000-57-1-39.2. ~ard of Trustees ApplicatiO WETLAND/~RUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Private boat dockaqe. Area of wetlands on lot: ~1,186 square feet (upland parcel) Percent coverage of lot: ±4.5 % (upland parcel) Closest distance between nearest existing structure and upland edge of wetlands: ±51 feet Closest distance between nearest proposed structure and upland edge of wetlands: Does the project X No 0 feet (dock) involve excavation or filling? Yes If yes, how much material will be excavated? How much material will be filled? n/a 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: n/a cubic yards cubic yards n/a n/a n/a Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations~(use attachments if appropriate): The entire dock structure will be constructed over the applicants' privately owned land, and the portion constructed over tidal wetlands will be elevated a minimum of 4' above marsh qrade. There will be no significant adverse effects on the subject wetlands or town waters. t (ACC~55 ViA 5UPJECI' ?EO?BI~Y) PLAN VIP. W Of 5UBJgdl' P,~dgb5 (~ 511Z PI~-YAIL, 5H~f 20P 2, POE POCK PROPOSAb) Not/ - 5 1999 3 PI~OPOGI~P POCK FOR PRANK g, INGI~I~ORCi PLYNN ON F, OAI' I~,~IN OP? 5HI~LI~E 15LANP 50LINP, 50U1TIOLP, ~LIPPOLK, NY 5Ht~l~f 10P 2 I0/29/9e tSO' 176.38' +1 4' X 42' t~I(¢P kinV - 5 1999 ? :t?? PI~OPOSI~P POCK POI~ P,~,,¥,IK S INd~F,O~6 PUYf,,IN Oki BOA1' BASIN OPt¢ ISLAHP 50UNP, 50UfHOLP, SUPPOUK, NY 5Hgl~f 20P 2 I0/2¢/9¢ TArN DRIVE~ SO~THOLD Figare L l/~ki~g southea:~! a;~rr pr(~pa~ed dock ~ite and ~mler~:ater ~Jrca! ~n4 m~d b.~ 2:~ r~s; FI~ANK & [NGEB@RG FLYNN T~N DR~VE2 SO~JTH@LD of Trustees Applicati, .. Coun=y of Suffolk State of New York ~R4N~ M. * IN6~ L. ~A/_~ BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/Mn~ IS T~M APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STAT~ENTS CONTAINED akh~EIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MASrNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY 'l'n~ SOb'£nOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOL~UHOLD 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 HERFnY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS ~rd of TrusUees Applicati$ AUTHORIZATION I, ~ ~ ~ 1~66~ k0 FL~ff residing at ~0 ~ I~q ~vr~-~ (print owner of property) imailing address) do hereby authorize ~N -~T~NT~ ( Agent ) to apply for permit(s) from the Southoid Board of Town Trustees on my behalf. 14-16-4 (2/87)~Text 12 - PROJECTLD. NUMBER 61 7.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) I . APPLICANT/SPONSORFR~ ~ 1NGEBORG FLYNN BY' [ 2. PROJECT NAME EN-CONSULTANTS, INC. I 3. PROJECT LOCATION: Municipality SOUTHOLD County SUFFOLK SEQR 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide map) 835 TARPON ROAD, SOUTHOLD, NY; SCTM #1000-53-5-8 (~PLAND) & #1000-57-]-39.2 (UNDERWATER); MAP PROVIDED 5. IS PROPOSED ACTION: [] New [] Expansion [] Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: CONSTRUCT A FIXED TIMBER DOCK CONSISTING OF A 4' X 12' INCL]NED RAMP, LEADING TO A 4' X 42' FIXED CATWALK (TO BE ELEVATED 4' ABOVE MARSH GRADE); A 3' X 20' HINGED RAMP; AND A 6' X 30' FLOAT (WITHIN 4' X 4' EXTENSION FOR RAMP), TO BE SECURED BY (2) TWO-PILE (8" DIAMETER) DOLPHINS. DOCK WILL BE CONSTRUCTED OVER OWNERS' PRIVATELY-OWNED UNDERWATER PARCEL, KNOWN AS SCTM #1000-5%1-39.2. 7. AMOUNT OF LAND AFFECTED: Initially APPROX. 1.4 acres Ultimately APPROX. 1.4 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [] Yes [] No If No, describe bdefly 9. WHAT IS PRESENT LAND USE ~N VICINITY OF PROJECT? [] Residential [] Industrial [] Commercia, [] Agricu.ure [] Park/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(s) and permk/appl'ovals DEC, COE, DOS 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [~]Yes [] No If yes, list agency name and permit/approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? [] Yes [] No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor n~_~ ~E~RRMANN, COASTAL MGMT. SPECIALIST Date: NOV. 3, 1999 If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER NOTICE TO ~DJACENT PROPERTY OWNER BOARD OF TRUSTEESr In the matter TOWN OF SOUTHOLD of Frank & IngeDorg Flynn SCTM91000-53-5-8 & 1000-57-1-39.2 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to:Construct a fixed timber dock consisting of a 4' x 12' inclined ramp, leading to a 4' x 42' fixed catwalk (to be elevated 4' above marsh grade); a 3' x 20' hinged ramp; and a 6' x 30' float (with 4' x 4' extension'for ramp), to be secured by (2) two-pile (8" diameter) dolphins. Dock will be constructed over owner's privately owned underwater parcel, known as SCTM #1000-57-1-39.2. 2. That the property which is the subject Environmental Review is located adjacent to your property and is described as follows: 835 Tarpon Road, Southold 3. That the property which is subject to Environmental Review under Chapters 32,37,or 97 of the Town Code is open to public comment. You may contact the Trustees Office at 765-1892 or in writing. The above referenced proposal is under review of the Board of Trustees of the Town of Southold and dose not reference any other adjacent that might have to review same proposal. OWNERS NAME: Frank & Ingeborg Flynn MAILING ADDRESS:P.O. Box 144 Southoldt NY 11971 PHONE 9: 631-477-0698 Enc.: Copy of sketch or plan showing proposal for your convenience. 2 ~tfl'olk Hagstrom Map 28 PLAN VIeW OF GLIBJ[~CT PARCP. L9 (GEE 9111~ 12~fAIL..SH~Y 2 Of: 2, [:OR POCK P~O?O~Ab) EN-CONSU~ANTSINC. ]329 NORTH SEA RD. SOUTHAMPTON, N.~ 11968 516-283-6360 '*t8';57'30" £ 176,58' 4' X 12' BICLNI~P,~? 4' × 42' fIXI~P 20' HN~E[? EN-CONSU~ANTSINC. 1329 NORTH SEA RD. SOUTHAMPTON, N.[ 11968 516-283-6360 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Breezy Shores, Inc. Michael Dileone Robert Chilton Address: c/o J. Sage 350 Marine Place P.O. Box 38 Greenport, NY 11944 P.O. Box 1123 Southold, NY 11971 Beachwood Lane Southold, NY 11971 STATE OF NEW YORK COUNTY OF SUFFOLK doing business En-Consultants, Inc. Robert & Ingeborg Ftynn , ~x~at 1329 North Southampton~ NY 11965~ , being duly sworn, deposes and says that on the 4th day of November ,19 ~ , 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' persons by (c~ertif~ed) mail. e~r~-- Ro rman~ Sworn to before me this 4th day of November ,19 99 6 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail {See reverse Stre Number Po Office, State~ & ZIP Cede , Spedal De[ive~ Fee Rest~cted Delivery Fee Whom & Date Deli~red Z 385 217 ~10 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail (See reverse US Postal Set;ice Receipt for Certified Mail No Insurance Coverage Provided Do no, use for Inte na onal Ma~(See reverse) & ZiP Code Po$1age Certified Fee Special Delivery Fee Restricted Delivery Fee Relum Receipt Showing Io Whom & Date Delivered Date, & Add[essee's Address TOTAL Postage & Fees I/~ ?/ f Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-18~2 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF pOeTIC9 , ~ 516-283-6360 being duly sworn, depose and say: ~e~yt~o~a~aY~ ~/~W/~~.'. I~ally posted the by placing the Board of ~rdstee~ official ~oster where it can easily be seen, and that I have checked to be sure the poster has remained in place for seven days prior to the date of the public hearing. (date of hearing noted thereon to be held ~.~o~, Dated: (signa~ Sworn to before me this Not~r y Public APPLICANT TRANSACTIONAL DISCLOSURE FORH The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees. Thn purpose of this form is 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 NAMRe (baSt name, first name, middle initial, unless' you are 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.) NATURE OF APPLZCATION~ Tax grievance Variance Change of zone App{ova! of plat Exemption from pl~t Other ,.,~; (Check all that apply.) or official map (If "other," name Ehe activity.) Do ~ou personally (or through ~our company, spouse, sibling, parent, or ~hild) have a relationship vlth any officer or employee of the Town of Southold? "Relationship# includes b~ blood, marria~e, or business interest. "Business interee~- means a business, ineludin~ 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 tile shares. YES NO If you answered 'lg$,"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), __A) the owner of greater than §% 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'enttty (when the applicant is not a corporation); C) an offi~r, d{,rector~ partner, or cmplsye~ of the applicant; or . D) tile actual applicant. DESCRIPTION OF RELATIONSHIp Submitted this~day of/~ 199 /? 1. LOT NUMBERS SHOWN THLL~: LOT ~ REFER TO FILED ~N THE OFFICE OF THE CLERK OF SUFFOLK COUNTY 2. METES & BOUNDS DESCRIPTION OF S.C. TAX LOT No. 1000-57-01-59.2 IS REFERENCED TO GEEG LIBER 11812 PAGE 730 / / / / / / / SURVEY OF PROPERTY SITUATED AT ARSHAMOMAQUE TOWN ~OF SOUTHOLD SUFFOLK COUNTY, NEW YOEK S.C. TAX No. 1000-55-0.5-08 1000-57-01 -59.2 SCALE 1"--50' SEPTEMBER 20, 1999 LOT CERTIFIED TO: FRANK M. FLYNN INOEBORG L. FLYNN LOT AREA DATA S.C. TAX No. 26.185.9t 1000-55-05-08 0.$01 S.C. TAX N~. 54,157,9~ 1000-57-01-59:1 0.784 TOTAL a0,523.85 1.385 N N.YJL UCr NO, ¢9668 TH~ E~m'TENCE Or llam~ ~ WAY Lot ~ j cANAL 16 0. C~ Z