HomeMy WebLinkAboutSeodat, Vishnudat John M Bredemeyer III, Presir; atgUFFO(kCG b Town Hall Annex
Michael J. Domino, Vice-Presiaen / �V y� 54375 Route 25
Glenn Goldsmitho P.O. Box 1179
A. Nicholas Krupski o Southold, NY 11971
Charles J. Sanders Telephone (631) 765-1892
Ol � } Fax(631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Date/Time: 11 �� /1 :oo Completed in field by: G. Go l d sm A
Creative Environmental Design on behalf of VISHNUDAT SEODAT requests a Pre-Submission
Inspection for the proposed ground disturbance/earth moving and landscaping seaward of the
existing pool. Located: 580 Lloyds Lane, Mattituck. SCTM# 1000-99-3-4.2
CH. 275-3 - SETBACKS
WETLAND BOUNDARY: Actual Footage or OK=4 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: 1 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:
Plate 40 i1.,sla c��-a:a��ng walls 40 cv-&_0Je_ ala+ 2r-0Vna4 .
Present were: y/ J. Bredemeyer ,/ G. Goldsmith ✓ N. Kru ski
M. Domino p
+✓ C. Sanders Other
Page 1 of 2
John M. Bredemeyer III, Presi( ��S10F04 Town Hall Annex
Michael J. Domino, Vice-President Gym, 54375 Route 25
Glenn Goldsmithy $ P.O. Box 1179
A. Nicholas Krupski o Southold, NY 11971
Charles J. Sanders y,��l dao Telephone (631) 765-1892
Fax(631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Date/Time: Completed in Work Session by:
Creative Environmental Design on behalf of VISHNUDAT SEODAT requests a Pre-Submission
Inspection for the proposed ground disturbance/earth moving and landscaping seaward of the
existing pool. Located: 580 Lloyds Lane, Mattituck. SCTM# 1000-99-3-4.2
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. 525% Expansion/Calculation
Work Session Notes Application Complete
SEQRA Classification Confirmed Coordinated Review Y/N P,os/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
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From:EEFP 631 722 4426 10/28/2016 10:49 #919 P.003/003
Board of Trustees Application
AUTHORIZATION
(where the applicant is not the ovnier)
I, t}5 h A o M r S"�0 h AT- residing at 5 9c"'- t C 0 Yhs t,J9A W
(print owner of property) (mailing address)
Mqi19_5�� do hereby authorize David Cichanowicz, Pres.
(Agent)
Creative Environmental Design to apply for perrnit(s) from the
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Southold Beard of Town Trustees on my behalf. i
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From:EEFP 631 722 4426 10/2812016 10:48 #919 P.002/003
Board of Trustees Application
County of Suf folic
State of New York
0S�4 0 Dip r BEING DULY SWORN
DEPOSES AND AFFIRMS THAT HE/SI-1E IS THE APPLICANT FOR THE ABOVE
DESCRIBED PERNUT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE
TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK j
WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY i
BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT s
AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES i
HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING
UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS k
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 T IS APPLICATION.
F
ure
SWORN TO BEFORE ME THIS DAY-OF .20 l� r
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