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HomeMy WebLinkAboutHerman, Ellen Michael J. Domino, Presi+ t oQ Town Hall Annex John M. Bredemeyer III,Vice-President y� 54375 Route 25 Charles J. Sanders wP.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski p! v Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: ` ", I-7 Completed in field by: C.` co/ e j 2 Sot"o(o<s Michael Kimack on behalf of ELLEN HERMAN requests a Pre-Submission Inspection for a proposed walkway with a fixed dock into Great Pond. Located: 1655 Lake Drive, Southold. SCTM# 1000-59-5- 8.1 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q 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 V' 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: 1-k x Lk C e-c\) OS S Present were: fv-_J�Bre emeyer VM. Domino . Goldsmith N ruK pski C. Sanders Other Page 1 of 2 Michael J. Domino,Presi' O�QS�GF0( Town Hall Annex John M. Bredemeyer II1,Vice-President may` �� 54375 Route 25 Charles J. Sanders P.O.Box 1179 Ze Glenn Goldsmith O Southold,NY 11971 A.Nicholas Krupski y,�ol ®! Telephone(631)765-1892 y Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Michael Kimack on behalf of ELLEN HERMAN requests a Pre-Submission Inspection for a proposed walkway with a fixed dock into Great Pond. Located: 1655 Lake Drive, Southold. SCTM# 1000-59-5- 8.1 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 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. 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M ash A r - - 1• - Michael A. Kimack ATTORNEY AT LAW P.O. Box 1047 ECEIu VE Southold,N.Y.11971 Cell No. 516-658-6807 MAR 2 9 2011 E-mail: mkimack2nverizon.net Southold Town March 24, 2017 To: Southold Town Trustees Subject: Pre-Application Site visit I respectfully request a pre-application site visit at 1655 Lake Drive, Southold. My client, Ellie Herman would like to install a walkway with a fixed dock. The property tax map number is 1000-59-5-8.1. Enclosed find my check in the amount of$50.00, made out to town of Southold for the pre application visit. Sincerely, Michael A. Kimack, Agent Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) I/We, owners of the property identified as SCTM# 1004- r'�p - J`^�- 8 / in the town of New York,hereby authorizes - 1� 311•444 A. A;Z.AM Com_ to act as my agent and handle all necessary work involved with the application process for permit(&)from the Southold Town Board of Trustees for this property. Property,Owner''s Signature Property Owner's Signature SWORN'TO BEFORE ME THIS--� ---DAY OF r� -- _. .__ ,20J Notary Public MICHAELA.KIMACK NOTARY PUBLIC,STATE OF NEW YORK Registration No.02KI5056823 Qualified in Nassau County Commission Expires Match 11,2018 _ Board of Trustees Application AFFIDAVIT e42Z6 /yi!! /R" /1/ 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 IWOWLEDGE 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 BOARD OF 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, INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE'PERMIT. Si re of Property Owner Signature of Property Owner SWORN TO BEFOREM9 THISDAY OF r 1 . 20 Notary Public MICHAEL A.K 'CK NOTARY PUBLIC,STATE~bF NEW YORK Registration 146.6F1 &823 Qualified in Nassau County , Commission Expires March 11,2018