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HomeMy WebLinkAboutTR-7103 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0969 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 'HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction ¼ constructed Project complete, compliance inspection. BO & !~ I~ f~l~ ,~ITTHf~I .r~ TO~t,VN TRI I~TEES SOUTHOLD, NEW YORK PERMIT NO. 7103 DATE: MAY 20~ 2009 ISSUED TO: ESTATE OF EILEEN O. GOLDNER PROPERTY ADDRESS: 435 BAY HOME ROAD~ SOUTHOLD SCTM# 56-5-22 AUTHORIZATION Pursuant to the provisions of Chapter 275 and/or Chapter 111 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trnstees adopted at the meeting held on May 20, 2009, and in consideration of application fee in the sum of $250.00 paid by Estate of Eileen O. Goldner and subject to the Terms and Conditions as slated in the Resolution, the Southold Town Board of TrusteeS authorizes and permits the following: ~ Wetland Permit to construct a two-story, one-family dwelling with attached deck and steps; install drainage system of drywells; and establish a 50 foot Non- Disturbance/Non-Fertilization Buffer adjacent to tidal wetland boundary with a 4' wide access path to the water, with the conditions of the installation of a line of staked hay bales with silt fencing prior to construction along the 50' Non-Disturbance line. and as depicted on the site plan prepared by Nathan Taft Corwin III last dated May 22. 2009, and received on June 1.2009. IN WITNESS WHEREOF, the said Board of Trnstees hereby can~ s its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this date. TERMS AND CONDITIONS The Permittee Estate of Eilecn O. Goidner, r~idin? at 435 Bay Home Roa~d~.S. outhold, New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold. That this Permit is valid for a periOd of 24 months, which is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that authorization was originally obtained. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. That there will be no unreasonable interference with navigation as a result of the work herein authorized. That there shall be nO interference with the right of the public to pass and repass along the beach betWeen high and low water marks. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. Tlie Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Department of Real Properties Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within niffety (9ffj calendar days of issuance of this permit. That the said Board will b~e notified by the Permittee of the completion of the work authorized. That the Permittee will obtain all other permits and consents that may be required supplemental to this peimit, which may be subject to revoke upon failure to obtain same. James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hail Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 May 20,2009 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Robert E. Herrmann En-Consul~nts, lnc. 1319 North Sea Road Southamp~n, NY 11968 RE: ESTATE OF EILEEN O. GOLDNER 435 BAY HOME ROAD, SOUTHOLD SCTM# 56-5-22 Dear Mr. Herrmann: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, May 20, 2009 regarding the above matter: WHEREAS, En-Consultants, Inc. on behalf of ESTATE OF EILEEN O. GOLDNER applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, * application dated April 29, 2009, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator issued a recommendation that the application be found Consistent with the Local Waterfront Revitalization Program policy standards, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on May 20, 2009, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this aPplication, and, WHEREAS, the structure complies with the standards set forth in (.;l~apter z/o OT [ne 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 have found the application to be Consistent with the Local Waterfront Revitalization Program, and,. RESOLVED, that the Board of Trustees approve the application of ESTATE OF EILEEN O. GOLDNER to construct a two-story, one-family dwelling with attached deck and steps; install drainage system of drywells; and establish a 50 foot Non- Disturbance/Non-Fertilization Buffer adjacent to tidal wetland boundary with a 4' wide access path to the water, with the conditions of the installation of a line of staked hay bales with silt fencing prior to construction along the 50' Non-Disturbance line, and as depicted on the site plan prepared by Nathan Taft Corwin III last dated May 22, 2009, and received on June 1, 2009.. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees:S100.00 Very truly yours, President, Board of Trustees JFK/eac James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: ~-~ O, Oo/clo Please be advised that your application'dated /~f';' I c~9. c~ODO/ has been reviewed by this Board at the regular meeti&~g of /'~'t,3f~ o~'.2, <::~O[ and your application has been approved pending the completion ~)f the following items checked off below. V'/ Revised Plans for proposed project / Pre-Construction Hay Bale Line Inspection Fee ($50.00) __ Ist Day of Construction ($50.00) __ ~ Constructed ($50.00) J~&dJ Final Inspection Fee ($50.00) __ Dock Fees ($3.00 per sq. ft.) Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: $ ~) ~ I~-~ BY: James F. King, President Board of Trustees 05/15/2009 18:45 908730; DONNA BLANCHARD PAGE 01/01 May 15, 2009 $outhold Bom'd of Trasu~ via fnx: ~1- 765.6641 We nn~ wr~m in retnmme ~o tl~ infimnaO~n v~ nx~m~i by nmil ~ Lot SC'TM #1~ 56-$-22 from ~ Inc. We v~m~ n4vised in this c~m~imic~t~m ~nt ~m~ wt'll I~ a tO Ou~ own. Envimnmentslly, ~ lmve d~ep conceros ~ ~a~ ~ nm-offtrom ibis lSOl~ty to o~r ln~l; we an: nlso ~cl~ about the close pm~!mi~y of tl~ s~c system nnd nny n~ing problems. We tn~t tint ~he ~outhold Board ot Trus~ will consider rlt~ pmlmml v~ry cn~t~ly ~,ill., 15 ~ Dlivc, ~ NS 08867 and 325 Bay Home Road, Sou~old NY 11971 Board of Trustees Town of Southold In reference to the estate of Eileen Goldner: Bldg. Permit- DVTM#1000-56-522 This letter is to state our opposition of construction ora dwelling at 435 Bay Home Road, Southold, as it is designed. 1) The elevation is much higher than the adjacent homes. This would cause water runoff problems to those homes. 2) The raised front yard is an architectural blunder that would degrade the value of the neighborhood. ( Like the Old Mill Creek Restaurant.) 3) The cement wall enclosing the front yard is on the property lines. (What happened to the set back requirements? 4) The cement wall is 4 feet high. Our covenants restrict any front yard enclosure higher than 3 feet. 5) There are at least 25 existing home in our association, None of them have anything like the design of this home, as it is drawn. A new design that is more aesthetically pleasing, must be submitted before we could agree to its construction. Sincerely yours, Robert Gtmrriello Willow Point Association cc: Building Dept. Board of Trustees Town of Southold In reference to the estate of Eileen O. Goldner--SCTM#1000-56-5-22 This letter is to state my opposition to the construction of a dwelling at 435 Bay Home Rd., Southold. My house at 535 Bay Home Rd. is adjacent to applicants property. There are 33 homes in this neighborhood and none of them comes close to resembling this house as it is shown. The elevation is much higher than adjacent homes, (four feet higher than mine) and this would cause water runoffproblems. The raised front yard is so unsightly that it would devalue the existing homes. The cement wall enclosing the front yard has two walls on the property line. Have the set back requirements been forgotten in this case? The Willow Point Association's covenants, restrict front yard enclosures to 3 feet. These covenants are listed on all property owners deeds. I can only agree to a design that conforms to the elevations and restrictions that ail other homeowners have followed. Sincerely yours, Joseph Magagnin cc: Building Dept. Donald Wilder, Chairman Lauren Standish, Secretary Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 Telephone (63 I) 765-1892 Fax (631) 765-6641 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., May 13, 2009, the following recommendation was made: Moved by Jack McGreevy, seconded by Peter Young, it was RESOLVED to SUPPORT the Wetland Permit application of ESTATE OF EILEEN O. GOLDNER to construct a two-story, one-family dwelling with attached deck and steps; install drainage system of drywells; and establish a 50' non-disturbance/non-fertilization buffer adjacent to tidal wetland boundary. Located: 435 Bay Home Rd., Southold. SCTM#56-5-22 Inspected by: Jack McGreevy, Peter Young, Doug Hardy The CAC Supports the application with the Condition the two large Maple trees located in the front of the property are maintained. Vote of Council: Ayes: All Motion Carried James F, King, P~esident Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr PO. Box 1179 Southold, NY 11971 Telephone (631 ) 765-1892 Fax {631 ) 765-66,~1 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: ESTATE OF EILEEN O. GOLDNER requests a Wetland Permit to construct a two- story, one-family dwelling with attached deck and steps; install drainage system of drywells; and establish a 50' non-disturbance/non-fertilization buffer adjacent to tidal wetland boundary. Located: 435 Bay Home Rd., Southold. SCTM#56-5-22 Determination of jurisdiction requested for installation of sanitary system with retaining wall and fill, pervious driveway and public water service. Type of area to be impacted: t~--S~twater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland .9~aapTOWn Code proposed work falls under: t.275 Chapt. 111 other Type of Application: C"~etland __Coastal Erosion __Amendment __Administrative__Emergency Pre-Submission __Violation Info needed: Modifications: Conditions: Present Were:~v~j. King -~,J.Doherty ~.Dickerson X,/~. Bergen~B.Ghosio, __ D. Dzenkowski ~/'Scott Hilary__other Form filled out in the field by Mailed/Faxed to: Date: CAROLINE FORD AND THE ESTATE OF GEORGE GOLDNER, BAY HOME ROAD, SOUTHOLD Figure l. Looking nortkeast into subject parcel from Bay Home Road and toward proposed construction. Figure Z Looking west from wetlands over area to remain natural as nondisturbance buffer and toward proposed construction. ~ y CAROLINE FORD AND THE ESTATE OF GEORGE GOLDNER, BA HOME ROAD~ SOUTHOLD Figure 3. Looliing northwest from location of proposed dwelling at adjacent dwelling to northwest. Figure 4. Looking southeast from location of proposed dwelling at ad}acent dwelling to southeast. EN-C0NSULTANTS, INC. ENVIRONMENTAL CONSULTING 1319 North Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 www. enconsultants.com May 27, 2009 James King, Chairman Board of Trustees Town of Southold P.O Box 1179 Southold, NY 11971 Re: Estate of Goidner~ 435 Bay Home Road~ Southold Dear Mr. King: As discussed during the 20 May 2009 public hearing on the captioned application, please find attached (3) copies of a site plan prepared by Nathan Taft Corwin III, L.S., last dated 22 May 2009, which has been revised to depict a 4-foot pathway through the proposed 50-foot nondisturbance buffer. Should you require anything further fxom me before the requested wetlands permit can be issued, please let me know. R~tfUlly yours, Robert E. Hel'mmnn Coastal Management Specialist Enclosures James F. King, President Jill M. Dougherty, Vice-Presid~l~ Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone(631) 765-1892 Fex (631) 765-1366 Office Use Only Coastal Erosion Permit Application ~etland Permit Application ~/~Major ~e.~eigaiver/Amendment/Changes ed Application: ~,eceived Fee:$ ~ f ~6mpleted Application Incomplete SEQRA Classification: Type l__Type II Unlisted Coordination:(date sent) --GAG Referral Sent: ,_~Erate o f Inspection: Receipt of CAC Report: Lead Agency Determination: Technical Review: ~blic Hearing Held: Resolution: Minor Name of Applicant ESTATE OF Vll .FF~I O. ~ Address C/OCAROLlNEFORD, 36321V~V~ERSCLUBBOULEVARD, SOUTHPORT, N C28461 & ESTATE OF GEORGE ~ EXEI2XJ1-ORS; C/O ROBERT F. HARPER, ESQ., 55 I-~LTON AVENUF~ GARDENCITY 11530 Phone Number: 910-253-3497 &516-248-1441 Suffolk County Tax Map Number: 1000 - 56-5-22 Property Location: 435 BAY HOIV~ ROAD, SOLri-HOLD (provide LILCO Pole #, distance to cross streets, and location) AGENT: ~>bCONSULTANIS, INC. (If applicable) Address: 1319 NORIH SEA ROAD, SOJII~IX~FON, NY 11968 Phone: 631-283-6360 Board of Trustees Applimion GENERAL DATA Land Area (in square feet): 13,835 SQ. FT. Area Zoning:. R40 Previous use of property: VACANT RESIDENTIAL Intended use of property: RESIDENTIAL, ONE-FAMILY DWELLING Covenants and Restrictions: X No__ Yes If "Yes", please provide copy. Prior permits/approvals for site improvements: Agency Date NYS DEC #1-4738-03482/0001 3/16/06 SOUTHOLD WETLANDS #6160 7/20/05 __ 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 TWO-STORY, ONE-FAMILY DWELLING WITH ATTACHED DECK & STEPS LOCATED PARTIALLY WlTHlN 100-FOOT JURISDICTIONAL AREA; lNSTALL DRAINAGE SYSTEM OF DRYWELLS; AND ESTABLISH A 50-FOOT NON-DISTURBANCE/NON-FERTILIZATION BUFFER ADJACENT TO TIDAL WETLANDS BOUNDARY, ALL AS DEPICTED ON THE SITE PLAN PREPARED BY NATHAN TAFT CORWIN III, LAND SURVEYOR, LAST DATED APRIL 9, 2009. 'DETERMINATION OF NON-JURISDICTION REQUESTED FOR INSTALLATION OF SANITARY SYSTEM WITH RETAINING WALL AND FILL, PERVIOUS DRIVEWAY, AND PUBLIC WATER SERVICE, WHICH WILL BE LOCATED MORE THAN 100' FROM TIDAL WETLANDS AND THEREFORE BEYOND CHAPTER 275 JURISDICTION. Board of Trustees Applicjon WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: IMPROVE PROPERTY WITH SINGLE-FAMILY DWELLING Area of wetlands on lot: +/-160 _square feet Percent coverage of lot: +/-1 % Closest distance between nearest existing structure and upland edge of wetlands: N/A feet Closest distance between nearest proposed structure and upland edge of wetlands: 75 feet Does the project involve excavation or filling? No X Yes If yes, how much material will be excavated? TBD cubic yards(FoR HOUSE FOUNDATION) How much material will be filled? N/A " . (FILL FOR SANITARY SYSTEM LOCATED cumc yaras BEYOND CHAPTER 275 JURISDICTION) Depth of which material will be removed or deposited: Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: N/A N/A feet 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): ANY POTENTIAL EFFECTS OF THE PROPOSED CONSTRUCTION LOCATED WITHIN (AND ADJACENT TO) THE TRUSTEES 100-FOOT JURISDICTIONAL AREA WILL BE MITIGATED THROUGH THE ESTABLISHMENT OF A 50-FOOT NON-DISTURBANCE/NON-FERTILIZATION BUFFER ADJACENT TO THE TIDAL WETLANDS BOUNDARY; THE INSTALLATION OF A DRAINAGE SYSTEM OF DRYWELLS; AND THE ERECT1ON OF A PROJECT-LIMITING FENCE AND STAKED HAYBALES DURING CONSTRUCTION, 14-16~4 (2/87)--Text 2 PROJECT I.D. NUMBER Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT For UNLISTED ACTIONS Only PART I -- PROJECT INFORMATION (To be completed by Applicant or Project sponsor) I APPLICANT/SPONSOR: ESTATE OF £1LEEN O. coOLDNEE I 2. PROJECT NAME BY EN-CONSULTANTS, INC. I 3 PROJECT LOCATION: Municipality SOUTHOLD County SUFFOLK FORM SEQR 4 PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc, or provide map) 435 BAY HOME ROAD, TOWN OF SOUTHOLD, SCTM #1000-56-5-22; MAPS PROVIDED. 5. IS PROPOSED ACT [] New [~]N Expansion [] Modification/alteration 6 DESCRIBE PROJECT BRIEFLY: CONSTRUCT A TWO-STORY, ONE-FAMILY DWELLING WITH ATTACHED DECK & STEPS LOCATED PARTIALLY WITHIN 100-FOOT JURISDICTIONAL AREA; INSTALL DRAINAGE SYSTEM OF DRYWELLS; AND ESTABLISH A 50-FOOT NON-DISTURBANCE/NON-FERTILIZATION BUFFER ADJACENT TO TIDAL WETLANDS BOUNDARY, ALL AS DEPICTED ON THE SITE PLAN PREPARED BY NATHAN TAFT CORWlN III, LAND SURVEYOR, LAST DATED APRIL 9, 2009. DETERMINATION OF NON-JURISDICTION REQUESTED FOR INSTALLATION OF SANITARY SYSTEM WITH RETAINING WALL AND FILL, PERVIOUS DRIVEWAY, AND PUBLIC WATER SERVICE, WHICH WILL BE LOCATED MORE THAN 100' FROM TIDAL WETLANDS AND THEREFORE BEYOND CHAPTER 275 JUPdSDICTION. Initially 0.318 acres Ultimately 0.318 ac~ ~]Yes [] NO If NO, describe briefly [] Residential []Industrial [] Commercial [] Agriculture [] Park Forest/Open space [] Other NYS DEC, SCDH 12~ AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQU,RE MODIFICATION? []Yes []N o I CERTIFY THAT'iAT T~4~ INFT iNFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE ROBERT E~,RMANN, COASTAL MANAGEMENT SPECIALIST D A T E APRIL 23, 2009 Applicant/sponsor name Signature: ~ ~ 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 DTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD ;~ . [. - . ._if_~L___h___ In the matter of applicant:ESTATEOFEILEENO-GOLDNER !'~ SCTM#1000-- 56-5-22 ] ~ ~!'~~; YOU ARE HEREBY GIVEN NOTICE: ~ "~?,~77J ~ I 1. That it is the intention of the undersigned~-~--r~_~~ CONSTRUCT A TWO-STORY, ONE-FAMILY DWELLING WITH ATTACHED DECK & STEPS LOCATED PARTIALLY WITHIN 100-FOOT JURISDICTIONAL AREA; INSTALL DRAINAGE SYSTEM OF DRYWELLS; AND ESTABLISH A 50-FOOT NON-DISTURBANCE/NON-FERTILIZATION BUFFER ADJACENT TO TIDAL WETLANDS BOUNDARY, ALL AS DEPICTED ON THE SITE PLAN PREPARED BY NATHAN TAFT CORWIN Ill, LAND SURVEYOR, LAST DATED APRIL 9, 2009. DETERMINATION OF NON-JURISDICTION REQUESTED FOR INSTALLATION OF SANITARY SYSTEM WITH RETAINING WALL AND FILL, PERVIOUS DRIVEWAY, AND PUBLIC WATER SERVICE, WHICH WILL BE LOCATED MORE THAN 100' FROM TIDAL WETLANDS AND THEREFORE BEYOND CHAPTER 275 JURISDICTION. 2. That the property which is the subject of Environmental Review--is located adjacent to your property and is described as follows: 435 BAY HOME ROAD, SOUTHOLD 3. That the project which is subject to Environmental Review under Chapters 32, 37, or 97 of the Town Code is open to public comment on:MAY20TH, 2009~6:00P.M. 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 does not reference any other agency that might have to review same proposal. OWNERS NAME: MAILING ADDRESS: PHONE #: ESTATE OF EILEEN O. GOLDNER C/O CAROLINE FORD & ESTATE OF GEORGE GOLDNER, EXECUTORS 3632 MEMBERS CLUB BLVD. SOUTHPORT, NC 28461 910-253-3497 C/O ROBERT F. HARPER, ESQ. 55 HILTON AVENUE GARDEN CITY, NY 11530 516-248-1441 Enc.: Copy of sketch or plan showing proposal for your convenience. 5 Nathan Taft Corwin Land Surveyor NOTES: 51 '20" E 7 LOT 2(2~ (VACANT) b'~'lqVE Y OF LOT 20 MAP OF SUBDIVISION WILLOW POINT FILE NO. 4652 FILED JUNE 15, 1965 SITUA TED A T CERTIFIED TO CAROLINE FORD ESTATE OF GEORGE GOLDNER ARSHAMOMAQUE TOWN OF SOUIHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-56-05-22 SCALE 1"=30' MARCH 30, 2003 FEBRUARY 25, 2005 ADDED PLOT PLAN MAY 17, 2005 UPDATE FOR BULKHEAD JANUARY 30, 2006 ADDED PROPOSED DECK APRIL 9, 2009 UPDATESURVEY & LATH PROPOSED STRUCTURES AREA = 15,834.65 sq. ft. PROPOSED CONC. RETAINING WALL DETAIL (NOT TO $C~) I \ TEST HOLE DATA _7/' HOUSE ELEV 1~ TO' PROPOSED SEPTIC SYSTEM DETAIL (NOT fO SC. ALE) II ....... II ~,.v E~. JI - ~ ~1 / SEPTIC TANK (1) LEACHING POOLS (5) Name: DONNA BLANCHARD PROOF OF MAILING OF EH CERTIFIED MAIL RECEIPTS Address: 15 ALEXANDRIA DRIVE PITTSTOWN, NJ 08867 JOSEPH MAGAN1N 535 BAY HOME ROAD SOUTHOLD, NY 11971 ROSAMOND & CHRISTINA BAIZ P.O. BOX 726 SOUTHOLD, NY 11971 STATE OF NEW YORK COUNTY OF SUFFOLK Sworn to before me this day of APRIL ,2o09 ROBERTE. HERRMANN doing business atEN-CONSULTANTS, INC. 1319NORTHSEA ROAD SOUTHAMPTON, NY 11968 being duly sworn, deposes and says that on the 30th day of APRIL ,20 09 , 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 (certified) ~d~xx~) ma i 1 . ~ ROBER~E HERRMANN 3 0 th COASTAL MANAGEMENT SPECIALIST OFFIClA. USE Donna Blanchard 1 $ Alexandria Drive Pittstown, NJ 08867 Postage OFFiCiAL cO ~ Rosamond & Christina Baiz m P.O. Box 726 r-- Southold, NY 11971 m m m I,~, OFF CIAL Postage Certlf[ed Fee Jos~h Maganin 535 Bay Home Road Southold, NY 11971 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY 11971 Teleph6ne (631 ) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of ESTATE OF E1LEEN O. GOLDNER COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, ~)t~/~ ~yfttlAtt [4 Ox ,-tq~idi'ng'~/dba being duly sworn, depose and say: That on the (O day of fY~/~, 200 ~,, I personally posted the property known as by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wed., May 20~ 2009 on or about 6:00 PM. Dated: Sworn to before me thiso~ day of ~ 200.?- (si~ature~ ~ard of Trustees Applicati~ AUTHORIZATION (where the applicant is not the owner) (print owner of property) residing at._~ (~ .-~2 ~.W.$.~?~ ~/~'~ /~o'~ (mailing address) do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. "(Dwner's signa~_~) Board of Trustees Application (print owner of property) (where thAeUa~pI'~iOcanRIt~sAnT°IttSNe°wner) ~ £ ,I ~L~, ~//)] /) 3p C '~b residingat '~ 70 5[Y[iaf l-'~ ~)rl//7'F-~! (mailing address) do hereby authorize (Agent) ir,( to apply for permit(s) from the Southold Board of Town Trustees on my behalfi (Owne.r~ signature) Board of Trustees Application (print owner of property) (where the applicant is not the~owner)e~x]~/~ ~(-. ~}~}~C~ ~ ~ t~~ ~,~or (mailing address) do hereby au~orize 6 ~ (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature) Board of Trustees Application AUTHORIZATION (where the applicant is not. the owner) residing at 5: ~ W' L~ (print owner of property) (mailing address) (Agent) to apply for permit(s) from the Southokl Board of Town Trustees on my behalf. (Owner's signature) County ofS~d~-rn~ ~{'~'1~,~o ~c.R- State of Nc,. '~%rk ~OC~-P--.~m lv~.~ ff'//7[Ir O I I'D 8 ~' FO~-c~ 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/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR pRI~R EPMRI~I SS EE SN ITNA ~ ~3VNEjfi (u~S)~ TT IOoEN ~ n RE.yNTE R"J)~OI EMwY O[FROT }~IEsR ~ PYP~ IOcIAlX TS 1Po~ .TINE SWORN TO BEFORE ME THIS /~7~/~DAY OF .~_/~/-~ ,20 / o"' ,' NOTARY Not~ mt~lic -- '% Board of Trustees Application State of New York 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/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. ~,1 Signature ¥ Board of Trustees Application State of New York BEINGDULYSWORN DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH R~VI~t~W~OF THIS APPLICATION. ' ~ - Signature SWORN TO BEFORE ME THiS ~ bv/d DAY ~F~f~Lc~ ,20~~ Board of Trustees Application County of~ ~ % O. AJ. State of New York DEPOSES AND AFFIRMS E,S I T E DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS ~ %¥ 0 DAY OF~/V~ CL4/~k APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics orohibits conflicts of interast on the hart of town officcm and emolovees. The ouroose of this form is to vrovide information which can alert the town of oossible conflicts of interest and allow it to take whatever action is necessary to avoid same, YOUR NAME: ] ~' '~ ! ~ (Last name, first name, middle inifia, un ess you are app ythg 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 ~_ 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 &the Town of Southold? "Relationship" includes by blood, marriage, 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 lfyou 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 p~rson Describe the relationship between yourself (the applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or descdhe 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 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); B) the legal or beneficial owner of any interest in a non-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 Form TS I APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethlcs nrohibits conflicts of interest on the oart of town officem and eroolovees. The ouroosc of this form is to orovide information which can alert the town of oossible conflicts of inlerest and allow it to take whatever action is necessary to avoid same. ~ (Last name, first ~ame, middle initial, uMess 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.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Truste~ Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official roap 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, marriage, or business interest. "Business interest" roeans a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employroent by) a corporation in which the town officer or employee owns more than 5% of the shams. YES NO ~'~ If you answered "YES", complete the balance of this form and date and sign where indicated. Name of parson employed by the Town of Southold Title or position of that parson Describe the relationship between yourself (the applicant/agent/representative) 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 5% of the shares of the corporate stock of thc applicant (when the applicant is a corporation); B) the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); C) an officer, director, partner, or employee of the applicant; or D) the actual applleant. DESCRIPTION OF RELATIONSHIP Form TS I APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics t~rohibits conflicts of interest on the t~art of town officers and emnlovees. The ~mmose of this form is to nrovide information which can alert the town of ~ossible conflicts of interest and allow it to take whatever action is (L~st name, first name, middle initialo/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.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trastee Change of Zone Coastal Erosion Approval &plat Mooring Exemption from plat or official map Planning Other (If"Other", name the activity.) Do you personally (or through your comp~my, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a parmership, in which the tom 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% &the shares. YES NO >~ If you answered "YES", complete the balance of this form and date and sign where indicated. Name &person employed by the Town of Southold Title or position &that person Describe the relationship between yourself (the applican',gagen~Jrepre sen t ative) 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 5% of the shares of the corporate stock &the applicant (when the applicant is a corporation); B) the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); C) an officer, director, partner, or employee of the applieant; or D) the actual applicant. DESCPdPTION OF RELATIONSHIP Form TS 1 l0 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics vrohibits conflicts of interest on the oart of town officers and emvlovees. The tmmose of this form is to provide information which can alert the town of oossible conflicts of interest and allow it to take whatever action is necessary to avoid same. (Last 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.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee 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, marriage, 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 applicant/agent/representative) and the town officer or employee. Either check the appropriate llne 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 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); B) the legal or beneficial owner of any interest in a non-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 Form TS I EN-CONSULTANTS, INC. ENVIRONMENTAL CONSULTING 1319 North Sea Road Southampton, New York 11968 631-283-6360 Fax: 631-283-6136 www.enconsulta nts.com April 24, 2009 Town of Southold Board of Trustees 54375 Main Road Post Office Box 1179 Southold, New York 11971 Attn.: Lauren Standish APR 2 Re: Estate of Eileen O. Goldner 435 Bay Home Road, Southold SCTM # 1000-56-5 -22 Dear Ms. Standish: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: Three (3) Wetland Permit Applications including a) Short Environmental Assessment Form; b) Authorization & Disclosure Forms; and c) Site plans/surveys One (1) set of site photographs. Application fee of $250.00 wetlands. Three (3) LWRP Consistency Assessment Forms including a) Site plan/survey. 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. Coastal Management Specialist /khs Enc. \ PROPOSED SEPTIC SYSTEM DETAIL SEPTIC TANK (1~ LEACHING POOLS (5] PROPOSED CONC. RETAINING WALL DETAIL TEST HOLE DATA SURVEY OF LOT 20 MA? 0F WILLOW POINT FILE No, 4652 ~-ILED JUNE 16, 1966 SITUATED AT ARSHAMOMAQUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-56-05-22 SCALE 1"=30' MARCH $0, 2003 FEBRUARY 23, 2005 ADDED PLOT PLAN MAY 17 2005 UPDATE FOR BULKHEAD JANUARY ~0, 2006 ADDED pROPOSED DECK APRIL 9, 2009 UPDATE SURVEY & LATH ,PROPOSED STRUCTURES MAY 22, 2009 ADDED 4 PATH CAROLINE FORD ESTATE OF GEORGE GOLDNER NOTES. APPROVED BOARD OF TRUS]F~ TOWN OF SOUTHOLg DATE UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEy IS A VIOLATION OF THE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED, Nathan Taft Corwin III Land Surveyor N,Y s Lic, No 50467 Fax (531)727-1727