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Siejka, Roger
Michael J. Domino,Presid, QS, COG _ Town Hall Annex John M. Bredemeyer III,Vice-President �� �1 54375 Route 25 Charles J. Sanderson z P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski ??,hCG p Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: /i311-2 2:2o Completed in field by: G•��/oSaa,`k ROGER SIEJKA requests a Pre-Submission Inspection to determine the landward edge of wetlands and a location suggestion for a possible dwelling on the vacant lot. Located: 955 Blossom Bend, Mattituck. SCTM# 1000-115.-6-22 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: iJ✓jIgne) 10re— as ��a;�,al on Sorye.V IS o.cCUT-CL Present were: ✓ J. Bredemeyer i/ M. Domino v G. Goldsmith N. Krupski J C. Sanders Other Page 1 of 2 Michael J. Domino, Presid, r' O��g4Fat/(Gov& Town Hall Annex John M. Bredemeyer III,Vice-President �$ 2.� 54375 Route 25 Charles J. Sanders P.O.Box 1179 Glenn Goldsmith Southold,NY 11971 A.Nicholas Krupski '1' 04 Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: ROGER SIEJKA requests a Pre-Submission Inspection to determine the landward edge of wetlands and a location suggestion for a possible dwelling on the vacant lot. Located: 955 Blossom Bend, Mattituck. SCTM# 1000-115.-6-22 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: r Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 '� ?', �'' r'!.. �.� �/t.• V a ��'• ls� f�j •'� s•., �,. �� fir. ' r, � '1 � r 1 � Jam.,. r/� • Alp c fir. • r r r C or is r r' off M ,T Aar �I • A r� r y,. 47 4 1 � � / 2- .+It.+'j� .'- L e �,� .yreS.�'. }1 ��K�♦ y, 1 _ ' •£ y+ r •T'�_yI, Ort m :g r. 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Gunt7GnteFRNeHma0,NY119at 115 116�u=E� 115 N «+ aala+x,A u. _— rtvw Fu anoaFmv.ai s6Nxc9nOExcr "E1 M P f72 123 rmer NO 1000 13a 0 PROPERTY MAP Roger Siejka Post Office Box 23 1075 Blossom Bend Mattituck, NY 11952 516-429-5737 cell 631-298-1422 home shakeradio@aol.com May 26, 2017 Southold Town Board of Trustees 54375 Main Rd. P.O. Box 1179 Southold, NY 11971 Dear Sirs: In regard to Tax map#1000-115-06-22 which is listed as 955 Blossom Bend, Mattituck. I would like to have the Board determine if the lot is buildable. Sincerely, Roger Siejka r � ..... .. ...... 1 i! M AY 2 6 2017 5 U Kv EY Of LOT 22 N AS SHOWN ON A CERTAIN MAP ENTITLED"MAP OF MATTITUCK ESTATES,INC." FILED IN THE SUFFOLK COUNTY CLERKS OFFICE SEPTEMBER 8, 1965 AS MAP NO.4453 SITUATE : MATTITUCK W e E TOWN : 5OUTHOLD SUFFOLK COUNTY, NY SURVEYED 06-03-201.5 SUFFOLK COUNTY TAX # 1000 - 1 15 - G - 22 CERTIFIED TO: ROGER SIEJKA FIDELITY NATIONAL TITLE INSURANCE COMPANY LAND NOW OR FORMERLY OF: MCS MORTGAGE BANKERS INC. O� TOWN OF SOUTHOLD 0����P�� S87°203011E 1 28.74 1 �O� X 3.2 O X 3.2 FRESHWATER v WETLANDS X 2.8 XI G.5 O LOT 23 ° EDGE OF FRESHWATER WETLANDS LOCATED ON MARCH 15, 2015 O I �I BY NATHAN TAFT CORWIN III XI G.5 1 2.9 X5.4 X9.9 LOT 21 \,14 \1/ 25 XI 1.4 X 7.4 LOT 2 2Z° _ z. 2.9 -VACANT- X1 4.7 VACANT-X14.7 ' XI 3.0 X14.4 X 3.2 XI 4.5 VA3 /✓},,01 X22.4 z 0 .0 MAY 6 2017 0 X21.8 �1Q X 22 8 Southold`o'wn X21.e A X21.2 lbv X21-3 a5 P ELEVATIONS REFERENCE NAVD'88 DATUM NOTES "Unauthorized alteration or addition to a survey [.� map bearing a licensed land surveyor's seal is a MONUMENT FOUND F N &V violation of section 7209, sub–division 2, of the ® JOHN C. E H LE R5 LAND 5 U RVEYO ° New York Stole Education Low" C. Eye YO n "only copies from the original of this survey �o Rs marked with an original of the land surveyor's stamped seal shall be considered to be valid true copies' G EAST MAIN 5TREET N.Y.S. LIC. NO. 50202 ' "Certifications Indicated hereon signify that this 1 , survey was prepared in accordance with the ex Area = 40,831 Sq. Ft. RIVERHE'AD, N.Y. 1 1901 3G9-8288 Fax 3G9-8287 sing Code of Practice for Land Surveys adopted • �'� by the New York State Association of Professional Area = 0.9374 Acres Land Surveyors Said certifications shall run only Ion6jI51andIan d5urveyor.com ti N ti `� to the person for whom the survey Is prepared, GRAPHIC SCALE 1 30' J l�,(� )tet and on his behalf 10 the title company, governmen- tal agency and lending institution listed hereon, one iy f to the assignees of the lending institution Certifieo- 1 5–1 4 1 - —;,,�:, Lans ore not trn asferable to additional institutions