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HomeMy WebLinkAboutKeiserman John M Bredemeyer III, President ,, fr SUFFO(K` Town Hall Annex Michael J Domino, Vice-President ���o� '~ oG 54375 Route 25 Glenn Goldsmith ` `� P.O. Box 1179 A. Nicholas Krupski ;':, Southold, NY 11971 Charles J. Sanders \44:9 - �oo� ' Telephone (631) 765-1892 , Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: ‘//f//1 Completed in field by: J Prc iarniA- En-Consultants on behalf of JOHN & KIMBERLY KEISERMAN request a Pre-Submission Inspection to discuss the existing in-ground swimming pool; existing pool deck with overhanging deck on bluff and steps down to existing deck landward of bulkhead. Located: 1170 Willow Terrace Lane, Orient. SCTM# 1000-26-2-23 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=1 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: kte/%1A/1,,&?- C& C — 1 ffrtf 1 r-}s rev/ew Ry{ I Present were: L—Bredemeyer M. Domino G. Goldsmith N. Krupski Sanders Other Page 1of2 John M. Bredemeyer Ill, President <<`ooFF04c Town Hall Annex Michael J. Domino, Vice-President sow `` � ;oG�� 54375 Route 25 Glenn Goldsmith f o ''' bn t ` P.O. Box 1179 A Nicholas Krupski o Southold, NY 11971 Charles J. Sanders i y,�j o� Telephone (631) 765-1892 '=�' •' Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: En-Consultants on behalf of JOHN & KIMBERLY KEISERMAN request a Pre-Submission Inspection to discuss the existing in-ground swimming pool; existing pool deck with overhanging deck on bluff and steps down to existing deck landward of bulkhead. Located: 1170 Willow Terrace Lane, Orient. SCTM# 1000-26-2-23 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: - D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support-of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* , A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. 5-25% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: • Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell - D. Di Salvo Other Page 2 of 2 John&Kimberly Keiserman 1170 Willow Terrace Lane,Orient SCTM#: 1000-26-2-23 6/15/16 :aft - ' in? t / 114 44 r - mosil 1. illt. 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Pk . - . .7.- ., / \ I , .. , • , , , r i': \ d, , ', . . . • t,.. ,. .• • , ./.', 1 O''‘ ''' / '.ri.'..1, if . I .,"',' / : \ r .' " I ' \ , • 1.C ' ! • . , ..' ..I . ,.. \ 1.,..., 'IX I,..„ •\ , \ , .. 1 . / . 1 • ' • '- . ' . • ,.:- \ , ,., / S . . ' { FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTM NT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No 215201 Date January 14 , 1987 THIS CERTIFIES that the building P 001 ' 1170 WILLOW TERRACE LANE ORIENT Location of PropertyHoose No. Street Hamlet County Tax Map No. 1000 Section 2 6 Block 2 Lot 23 Subdivision. .WIiai4W.TEREAf;E Flied Map No. 5407 Lot No. . 4 conforms substantially to the Application for Building Permit heretofore filed in this office dated May 18, 1982 ,pursuant to which Building Permit No. 1 17 3 7 2 dated June 22 , 1982 ,was issued,and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is Inground pool and fence. The certificate is issued to WILLIAM AICD LOUISE SE9ALIiIS (ownerNiAliffrIartialirn of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO N 5 7 9 26 1 PLUMBERS CERTIFICATION DATED: N/A ` Building Inspector nay.7187 EC E I1 V Via, JUN - 1 2016 Southold lain Board of Trustees i Y �f . (jif pF SDUp` - \ John M. l3tederae er ill,, PresidentTown Hall Annex � � � p Michael J Domino,Vice-President ~`O �O 54375 Main Road . f P.O. Box 1179 J<zmes F.King,Trustee 'Cip Southold,New York 11971-0959 Dave Bergen,Trustee -,r. , ' O v Q fr Telephone(631)765-1892 Charles J.Sanders,Trustee ICnU N Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1138C Date: July 16,2015 THIS CERTIFIES that the re-sheathing of the 130'bulkhead on seaward side using treated lumber and armor with 500-1,00016. rock; and for the "1-/-30"x54"cantilevered platform leading to aluminum temporary access stairs to beach. At 1170 Willow Terrace Lane, Orient Suffolk County Tax Map#26-2-23 Conforms to the application for a Trustees Permit heretofore filed in this office Dated February 1, 2001 pursuant to which Trustees Wetland Permit#5279 Dated February 23,2001,was issued, and Amended on June 17,2015,and conforms to all of the 1 requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the re-sheathing of the 130'bulkhead on seaward side using treated lumber and armor with 500-1,0001b.rock; and for the+/-30"x54"cantilevered platform leading to aluminum temporary access stairs to beach. The certificate is issued to WILLIAM& LOUISE SEGALLIS owner of the aforesaid property. AuthorizedSignature •..fin '. -.-.itr� N r�-- 4 r JUN - 1 2016 ,U Southold Torn Board of Trustees John M.Bredemeyer III,President ��• A.®F4,/60 Town Hall Annex r� °� % � ,; e 54375 Main Road Michael J.Domino,Vice-President , P.O.Box 1179 James F.King,Trustee Southold,New York 11971-0959 Dave Bergen,Trustee �'� { Telephone(631) 765-1892 Charles J.Sanders,Trustee �1,��, M' ,i� Fax(631)765-6641 , � BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 21, 2015 Mr. and Mrs. John Keiserman 1170 Willow Terrace Lane Orient, NY 11957 RE: 1170 WILLOW TERRACE LANE, ORIENT SCTM# 1000-26-2-23 Dear Mr. and Mrs. Keiserman: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, October 21, 2015: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit#5279 and Coastal Erosion Permit#5279C from William and Louise Segallis to John and Kimberly Keiserman, as issued on February 23, 2001, Amended on July 25, 2001, and Amended again on June 17, 2015. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please contact our office at(631) 765-1892. Sincerely, John M. Bredemeyer III, President Board of Trustees JMB/dd f) r C :1 ul JUN - 1 2n f '! `---Souiho Town :lam of Tr ee. • r pF SOUi, John M.Breclemeyer III,President 4,g' y , L7l Town Hall Annex 54375 Main Road Michael J Domino,Vice-President 4 d �g� .t P.O.Box 1179 James F.King,Trustee e./, ;141 , Southold,New York 11971-0959 Dave Bergen,Trustee ,r xaa.' U "tib. Telephone(631)765-1892 Charles J.Sanders,Trustee Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 17, 2015 William Segallis PO Box 42 Orient, NY 11957 RE: WILLIAM & LOUISE SEGALLIS 1170 WILLOW TERRACE LANE, ORIENT SCTM# 26-2-23 Dear Mr. Segallis: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, June 17, 2015: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Wetland Permit#5279 for the +/-30"x54" cantilevered platform leading to aluminum temporary access stairs to beach; and as depicted on the revised site plan prepared by William Segallis, received on June 4, 2015, and stamped approved on July 15, 2015. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please call our office at(631)765-1892. Sincerely, i John M. Bredemeyer, III President, Board of Trustees JMB:eac vIg 1111 JUN - 1 2016 ;U Soamhold Town :ua ,of Tr ee .. , •qp I • I I ebb CAterNr4 1 o 400d �� 16 i 4���YM.ti.BJH ��41�.J'1.. Y ► ��i !V.law votti sy A" r 4. w y + ca CIA ' Ilk .,,L,s1)*44 ft eir,5Z4 . ► y,, APPROVED BY ! r= . . BOARD OF TRUSTEES O _ TOWN OF SOUTHOLD .DATE rt.,. r St4�Y ."-l5`';-�O 1.5 . i=ro,ercc_t4 0� . qv-, ,te r. .. eyr ow • SAND of 5EGki-LAS • . 11A## Lobo-.24-4-923S `.. 4o` �--_1 .x. u ytto,OW TMp,zA.CE LAME x• - rr Prepared for William&c Louise Segallis 1170 Willow Terrace Lane Proposed. Rgsheath 130'+- bulkhead Orient,NY 11957 on seaward side using treated lumber and- aor-vvih 5004000 lb.rock the Prepared by. entire length Susan E.Long Permits P.O.Box 46 East..Marion,NY 11939-0046 sheet I of 3 (631,)477-3455 xAN. 3c, tool ca. .r - v r"-,4rr.. --- -- 1f li 311.....,) JUN - 1 2016 ' Southold own Pnard of Trustees _AO ,,,,,,, • Albert.1.Krupski.President , ' g�@FO(� = Town Hall James King,Vice-President ,s' CSG 53095 Route 25 HenrySmith �'ma y P.O.Box 1179 % Southold,New York 11971-0959 Artie Foster ; N Ken Poliwoda 0 evi,; Telephone(631)765-1892 �a0�-� Fax(631)765.1366 „11 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 30,2001 Crowley Marine Construction C/o Susan E.Long Permits P.O.Box 46 East Marion,NY 11939-0046 Re: WILLIAM&LOUISE SEGALLIS 1170 Willow Terrace Lane,Orient SCTM#26-2-23 Dear Mr. Crowley: The following action was taken by a poll by the Southold Town Board of Trustees following the meeting held on Wednesday,July 25,2001: RESOLVED;that the Southold Town Board of Trustees Approve the request for an Amendment to Permit#5279 to reconstruct 130'bulkhead in the same location with CCA sheathing. This is not a determination from any other agency. If you have any questions,please call our office at(631)765-1892. Sincerely, ae.1.44.41 /!), /4„..)444(1. �. r• -- —Albert J.Krupski,Jr. President,Board of Trustees AJK:1ms DEC ACE Dept.of State EC LIFJ p JUN - 1 2016 E Southold Town Board of Trustees I es ,-----7"-------/--------!--,,-----„,... " '' ‹" r .yy : f '`- .. � _ "'":::>':: < . t � ` :.!--ifri. . 111 ' 7 r Board Of Southold Town Trustees J� 4 NEW YORK ... >((„„, ti SOUTI-4OLD, _ r `` � DATE: ,February 23, 20 p: ., : � PERMIT NO. S�� ;, _=: ` WILLIAM .&. ...L. OUISE SEGALLIS ' ISSUED TO . ,fj � , utit1rization ,�r • Pursuant to the provisions of Chapter 615 of the Laws of ,. ti the State of New York, 1893; and Chapter 404 of the Laws of the 4 ; •�% State of New York 1952; and the Southold Torun Ordinance en- c N ' titled "REGULATING AND THE PLACING OF OBSTRUCTIONS �- ('\-71.- `> IN AND ON TOWN WATERS AND PUBLIC LANDS and the Z., s'_ ti REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM J ,, l: v " = LANDS UNDER TOWN WATERS;" and in accordance with the } .'.-i,ai, ' • -� : Resolution of The Board adopted at a meeting held on ..Feb. .21,•.• it. ° and in consideration of the sum of ,300.00 paid by 2001 ' rg •'. William & Louise Segallis .,. ... .._. .... . r . , Orient } ~. N. Y. and subject to the 1 .. • �k Terms and Conditions listed on the reverse side hereof, , .- 1-..,-;; of Southold Town Trustees authorizes and permits the following: t' 1-.!:!_-•'<.::. Wetland Permit to re-sheath 130''bulkhead on seaward side .' c 'z using treated lumber and armor with 500-I0001b. rock. (K ;_;` all in accordance with the detailed specifications as presented in a" ,- t '> r" ) the originating application. _ {:` IN WITNESS WHEREOF, The said Board of Trustees hare- 11to be affixed, and these resents to fi • 1 , by causes Its Corporate Seal x� p �i;�a� t ;�: be subscribed by a major idly of t6�e said Boerd as of this date• � r ,�' -: •' „ ,",��•• Albert J. Krupski,Jr. - Absent , ,,c0Ffi . � r M \ � = .T Artie Foster - Absent ( • N =I V' .1 ..)Ii '., •:-ft,.,::• tt \7 ` .i '•_�zs;�`?�-. '�✓ ” `; ..;'til ":r�`?4' .1- cirri". 4-1 �:. •:•}�;. (...... "s---- ,........,' --....----- "••••'- ', " - iii:-. -----' 0-----....:1-_,..- _..... k _ ..=/ ri ------4 JUN — 1 2016 f SotiUiofr i5'wn Bon QJ a t i • F. TERMS and CONDmONS The Permittee William & Louise Segallis ff residing at 1170 Willow Terrace Lane, Orient N. Y. asi. put of the consideration for the issuance of the Permit does understand and prescribe to the Ed- -- lowing: 1. 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 oper- - dim performed pursuant to this permit, and the said Permittee will, at his or her own eapease, defend any and all such sults'lnitiated by third parties, and the said Pesmdttee assumes fall liability with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold 2. That this Pemaic is valid for a period of 24 moa. which is =deleted to be Ilse ?. estimated time required to complete the work involved, but should eiroomsrrsr.ces warrant, request is for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Peco iatee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that meth- i. orisadon was originally obtained. ?, . 4. That the wotk involved will be subject to the inspection and approval of the Board or g its agents, and aoa oompliaoce with the provisions of the originating application,may be cause for ii revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the wick i. j herein authorIYed. G. That there shall be oo interference with the right of the public to pass and repass along the beach between high and low water marks. t, 7. That if future operations of the Town of Southold require the removal and/or alteration in the location of the work herein see d, 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, i. upon due notice, to remove or alter this work or project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the permittee or the oomnpledon of the 'exit to&- oraed. i. 9. That the Permittee will obtain all other permits and ..,� .4' �h—l-� :, 1in plemental to this permit which may be subject to revoke upon 1 `ssntE' x i€ JUN - 12016 f. ii carr, o + �� i Albert J.Krupski,President �' S11FF0(� Town Hall ,�' 0�►®James King,Vice-President ` P.O.Box 1179 Henry Smith Southold,New York 11971-0959 Artie Foster 0.• M Ken Poliwoda �► Telephone(631)765-1892 We,/ * .07011' Fax(631)765.1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD COASTAL EROSION MANAGEMENT PERMIT Date:February 23,2001 SCTM#26-2-23 Name of Applicant/Agent: S.E.L.Permits Name of Permittee:WILLIAM& LOUISE SEGALLIS Address of Permittee: 1170 Willow Terrace Lane,Orient Property Located: 1170 Willow Terrace Lane,Orient DESCRIPTION OF ACTIVITY: Re-sheath 130' bulkhead on seaward side using treated lumber and armor with 500-1000 lb.rock. SPECIAL CONDITIONS: (apply if marked) _Bluff restoration through a re-vegetation plan is a necessary special condition of this permit. _A relocation agreement is attached hereto and is a necessary special condition of this permit. A maintenance agreement is attached with application and is a necessary special condition of this permit. c ,i Ji �. Albert J.Krupski,Jr. President,Board of Trustees AJK/Ims D EES rcc: DEC JUN � 1 2016 Souihold Town i1. , 1 . i . •+ / ebb off' flood 4 tib i% wat I Imo • _ `• i11 yrot N ROCK -7-- t ''''.".e.-.at 4. d r i% vlNA- gar 1\I �G R6suttir / I Y3' - ��slto� FI` froung,%Ogg ANP of SEGAL4t5 SCALE: 1":4 4o sen-141' 1600-44-4-.13 \k'1\ 0.WILLOW T RR�'►.CE LANE `•. Prepared for: William it Louise Segallis 1170 Willow Teerace Lane Propose& 1Cesheath 1301+bulkhead Orient,NY 11957 on seaward side using treated lumber and-armor-with 500-20001b.rock the Pared by: entire lain: � Susan E.Long Permits i=' FII �� �� , P.O.Box 46 1 Eastislarion,NY 11939-0046 IL) (631)477-3455 sheet 1 of 1,-)1 J U N m 1 2016 XAN. 30, a.00! Immo Soirchoid lawn f�,,-r1 of h tggS x > • r f 1 ,iE a *' L '. 9. t h „ , a ,;.� _ , . 4i it w y,7 i t r ' .'. ilhi . ' +.. .r , .. ; e — • k f r + .s - ;eaS i ,* 1 ' • ,• . -:t' jr, , 40 ilio , _p,:ktiltirietoot_t,# , -._.. .p, 00* .......w..._ rie c b. } N. I .: a 4 to Psi-4.„...11,:•14 Tt T� + r �. r. .4 S, 'i,.,."--"S".'' y lie+ . - 1104 S1 :-/4:4--;-‘ 2 T"RFFTTT^^' •. ocop .,, k. 13„i' �...tK J 4 - I. i irg ''- 41';':i4.0.' '.'.,'".itIPti it . C.'7 fi.r ':Op , , t2 12'� r .'r{i poet,-'+•4 r t FF.>.•yx ..il • `r ' ;1 r• r f:.�1♦r ! �' b # _ 1 fg + pk{� , - f ^huE R1 Yn„It t Ili, ,it N , 1;, 1 9.1� I.” ' - t70 -{. 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O 11x. • v 9 0 s rN :i:II m 15A 3910 m 5 a2] 1. 9A 432 \\ 3915 %•"`�40 .' i 19A0 • '19` 3911 ' r • .. ! 9 �4 ' ( au e •� J ° 29AR1 '13 t ,Aa1 , 4 441111144 a s ]Bt . ^(0„,9 1 inti ./ 1 a fo. ya \ ' 0 4 4144 4 6,‘ ce 4ip: ,, .s \ 221 "I \ Nm, \ ilkReGR rv.�� 0 ,4150 eo R \ 'i 'i" rs0 \ 3 r L ^ommon"• *Lam m AAA. - .m.mmw --101-- w.u. --"-- NOTICE a0vo COUNTY OF SUFFOLK © K x.,.. SOUTHOLD SECTION NO E _iz..— `.` (21) O t..w ."' 77_: w. "r. =E".*1"""°`°""t^ •AA Real Property Tax Service Agency v C E __ .,� �„• "'" ' ___ "'__ ___ __ __ _ P C, CanterNherlrecGN1911901 M �muGE� 2Y N ...m w 2s ..w-21 Ne,012IA •^•• —-- ..,w.w --.-- m.�erw--.w__ Ammon s N9u2n0e.mrws9NsnC3 Ot* � •• trry mos h, . .. A OM.NO 1000 us..... r21"p www —___— sew __•__ a0somr0 d s'�� P V° PROPERTY MAP / / EN-CONSULTANTS DC E V 4' Chairman �t1 ; May 31,2016 John Bredemeyer, " "Ij JUN - 1 2016 � Board of Trustees Town of Southold Southold Town P.O Box 1179 Board of Trustee,._,,.,__ ._._ Southold,NY 11971 Re: Request for Pre-Application Meeting on behalf of John and Kimberly Keisermanl 1170 Willow Terrace Lane, Orient, SCTM 1000-26-2-23 Dear Mr. Bredemeyer: • Please accept this letter and the enclosed check for $50 payable to the Southold Town Trustees; owner authorization forms; survey prepared by Kenneth M. Woychuk Land Surveying, PLLC, last dated May 16, 2016; and other supporting documents referenced below as a request for a pre-application site meeting with the Board during field inspections on Wednesday, June 15, 2016. Below is a brief explanation of the site's permitting history and circumstances surrounding our request. This property was previously the subject of Wetlands Permit #5279 and Coastal Erosion Management Permit#5279C (copies enclosed), which were issued in February 2001 to the prior owners, William and Louise Segallis, for the resheathing and toe armoring of an existing bulkhead. In June-2013,Mr.-and Mrs. Segallis secured an amendment to Wetlands Permit#5279 (copy enclosed) to permit a cantilevered platform and beach access steps located on the seaward side of the bulkhead. Both permits were subsequently transferred to the Keisermans in October 2015 (copy enclosed). There also exists on the property an inground swimming pool and surrounding deck, which are located partially within the Coastal Erosion Hazard Area but were constructed prior to the adoption of the Town of Southold Coastal Erosion Hazard Area Law in 1991. Historical documentation of the structures is provided by Certificate of Occupancy #Z15201, which was issued for the swimming pool on January 14, 1987 (copy enclosed); and the enclosed aerial photograph, which depicts the swimming pool and deck in their present location and configuration on February 25, 1988. However, after executing due diligence through their attorney and purchasing the property with the understanding that these structures therefore pre-dated the Trustees' permitting jurisdiction and that the decking was an"on grade" structure not requiring a Building Permit or inclusion on the Certificate of Occupancy, the Keisermans were advised by the Building Inspector that the 128 sf seaward protrusion of the pool deck (labeled on the survey as "deck overhang") is in fact situated above grade and that the entire pool deck is therefore considered to be a "raised deck addition" requiring legalization through a Building Permit. And as a requirement of completing 1319 North Sea Road I Southampton,New York 11968 I p 631.283.6360 I f 631.283.6136 wwwenconsultants corn environmental consulting the "as built" permitting process, the Building Inspector is requiring that Trustees approval be secured for the deck. Due to the demonstrable preexisting nature of the pool and decks that have been in place for nearly thirty years and the fact that the Keisermans are not proposing any regulated construction activity in connection with the pool or deck, it is my understanding that a Coastal Erosion Management Permit is neither required nor possible for the Trustees to issue. However, we plan to pursue the further modification of Wetlands Permit #5279 to include the pool deck as well as the lower deck (and associated stairs) located behind the bulkhead so that all structures not already authorized by a Town of Southold Wetlands and/or Building Permit can be permitted as needed. To that end, we wish to meet the Board at the site with the hope that providing you with an opportunity to inspect the decks, consider these somewhat unusual and complex circumstances, and offer your opinion prior to our filing a formal application will help to make the permitting process as efficient as possible. Should you wish to be supplied with any additional information prior to our meeting,please let me know, and I thank you for your attention to our request. Res •tfully yours, I9 c --------------- Robe E.Herrmann Coastal Management Specialist Enclosures 2 t -:,-,41!: ',.:;f1 ZL/•L j ' ' YSYy� wt fti;,, ✓7 t� f ,ky EN-CONSU1_T ANTS �-.7 r� fn• ,-a p_'M fit^ (1 ".,pj 17 D [4 YY L K.�. 0 . \ JUN - 1 2016 Southold Town ;,, , ifTr " . TO WHOM IT MAY CONCERN: This letter will authorize En-Consultants to access my property for the purpose of evaluating and/or delineating wetlands and other environmental features and/or making official inquiries on my behalf and/or representing me and acting as my agent for the purpose of securing regulatory approvals and related matters. 4/.4,----- 1ViAttad0 l Etzil� John Keiserman Date fi .erly Ketserm: Date J ) 4 _ ____ ______ ________ Sou �i i' ./. i6136i tl tit 11' if;I ;_'f i, _-___,._.._.....y___-.T�wr '-. 1319 North Sea Road�,oulhampton,hks� York it l 68 I p 631283.6360�f 63.28, •.rrr;c ----______---____ r.n'f ronrnental consulting Board of Trustees Application County of Suffolk State of New York John P.Keiserman 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 REPRESENTATIVES(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature,John P.Keiserman /IL SWORN TO BEFORE ME THIS ! DAY OF 20/c I eTIFFANY SIHEVONNE L IAL Notary Public - State of New York �, NO 01016285147 Nr, : Pur !C Qualified in Queens County My Commission Expires Jul 1, 2017 S. I ' 1 • y -- MA16101 . Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) I, John P.Keiserman residing at 114 Mackey Avenue (print owner of property) (mailing address) Port Washington,NY 11050 do hereby authorize (Agent) En-Consultants to apply for permit(s)from the Southold Board of Town Trustees on my behalf. (Owner's signature),John P.Keiserman TIFFANY SHEVONNE DIAZ Notary Public - State of New York v ' 1 NO 01016285147 r.# Qualified in Queens County My Commission Expires Jul 1 2017 st..„A 0-6 , A v APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts 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. YOUR NAME: Keiserman,John P. (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 X 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 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 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 Submitted this / da (fr-e 200 /6=,.Y Signature Print Na Jon P.Keiserman Form TS 1 4 TIFFANY SHEVONNE DIAZ 4 Notary Public - State of New York . NO 01D16285147 Qualified in Queens County owupvk- 4 My Commission Expires Jul 1,2017 //// / Board of Trustees Application AUTHORIZATION (where the applicant is not the owner) j Kimberly G.Keiserman residing at 114 Mackey Avenue (print owner of property) (mailing address) Port Washington,NY 11050 do hereby authorize (Agent) En-Consultants to apply for permit(s)from the Southold Board of Town Trustees on my behalf. 1 40:Rr AI/1,_'.._. • °An . .I 'v 41, (l'wner's - '•-re)K5...en .K:iserman is TIFFANY SHEVONNE DIAZ Notary Public - State of New York #. i NO 01016285147 Qualified in Queens County 61 My Commission Expires Jul I, 2017 K 4 1fr yi.-(u q to 14 tip . Board of Trustees Application County of Suffolk State of New York Kimberly G.Keiserman 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 REPRESENTATIVES(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. s 4. 0 is Li : r- i a-rly G.Keiserman / - SWORN TO BEFORE ME THIS I DAY OF ,20 /l0 ii tir lie A. Notary P clic 41 TIFFANY SHEVONNE DIAZ Notary Public -State of New York NO 01016285147.- Qualified in Queens County • My Commission Expires Jul 1.2017 S' /0) 1 l 0111(ijki - , cia 1 • I APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts 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. YOUR NAME: Keiserman,Kimberly G. • (Last name,fust 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 X 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 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 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 r TIFFANY SHEVONNE DIAZ D)the actual applicant. ' Notary Public F State of New York NO 01DI628b147 Qualified in Queens County DESCRIPTION OF RELATIONSHIP My Commission Expires Jul 1. 2017 Submitted di' day of " 20A Signature 'l � 4,1 Print Nam Kimber ei - m Form TS 1 S.C.T.M. NO, DISTRICT: 1000 SECTION: 26 BLOCK: 2 LOT(S):23 /111 1 • I HIGH WATER MARK AT TIME OF SURVEY. LOT 3 ORDINARY HIGH WATER f I MARK AS INDICATED ,__ ON FILED MAP. 154.5 I 549.12'00"W • �i r__, - 1_— 185.80' 0.5'S 0.5'N ' .._Z �-� �� —SI 4 VINYL - • P/0 LOT 4 c • �� �� FLAG WELL •U.P. ,o,, C d-0 r p 111. IPl*A SPI` ' o rZ+, C N p ri �p g N n 18m N i — z Ar r c A m g ;;,42.2':::::,:.;'•,:.,::,,::::,:y 4. � -A 0 I 4, R ct __, m H in ' ,o o P/O LOT 4 d —I—, , W : W W •..:.11.9 :•;'•1 1/2 STY•:F;':.•::e.0' ` 63.6' _ m I I x x I FRM. :: n T /\J DWELLING ;:i:i''i,2 '� WOOD DECK r:.....,/1 170 CI�,, ' OI 'N;r::•:i•:i:;ii'?v;i:.ti.•r:•i:::N C \\ > —, >._.• , dd I EL 17.3 ,N::•:.::::..:.:.....':;;..� B 0 b P1 (D---' p DECK o^ , 0;...,,..:,4 .1',, ,4J \,o& ��_ I N. gin J /____J ,__ OW O V: •: +' �\ Z O rilr(WTI r § OVERHHAANG ,,;•;..•i X . U1 c (128 S.F. 4o I :,:,. ;"••"•':;'': ^ 0 O �, • _ Io CT MON. '' O 1' T -j I N- :1 �U.P, v E W I I ' W 0..'N ' ,� r 4' VINYL PICKET , n 180.91 1.3'N r o— S3817 00 W 151.8' I LOT 5 ,___. I COASTAL EROSION HAZARD BOUNDARY I AS SHOWN ON MAP #26 BUILDABLE LOT AREA: 13,065 S.F. --� (AREA LANDWARD OF THE IECE 11 F COASTAL EROSION HAZARD LINE.) ] . LOT COVERAGE: JUN - 1 2016 --, DWELLING, FRONT PORCH: 1,965 S.F. or 15.0% POOL DECK: 1,436 S.F. or 11.0% 1! POOL DECK OVERHANG: 128 S.F. or 1.0% Southold Town SWIMMING POOL: 648 S.F. or 5.0% Board of Trustee$ TOTAL: 4,177 S.F or 32.0% REVISED 05-16-16 REVISED 04-16-16 THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL FIRM MAP 36103C0068H LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS AREA: 21 ,435.79 SQ.FT. or 0.49 ACRES ELEVATION DATUM: UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICA TED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE. THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY SURVEY OF: LOT 4 CERTIFIED TO: KIMBERLY G. KEISERMAN; MAP oF:WILLOW TERRACE SECTION ONE JOHN P. KEISERMAN; FILED: AS #5407 CHICAGO TITLE INSURANCE COMPANY; CITI MORTGAGE; SITUATED AT:ORIENT TOWN OF: SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design ect,,,„.,,,"/,APA Poyloa P.O. Box 153 Aquebogue, New York 11931 FILE PHONE (631)298-1588 FAX (631) 298-1588 # 15-64 SCALE: 1"-30' DATE: MAY 2 6, 2015 N.Y.S. LISC. NO. 050882 maintaining the records of Robert J. Hennessy & Kenneth M. Woychuk