Loading...
HomeMy WebLinkAboutUlmet, Marie r olviing-u 3--ite-imm Icl- ' N F7ECE � VE 2 0 2017uthold Town j } "d r of Tr t I ;( Lu 10 jf _•1 •�\ ,�•.. ��,-' ••' 'Liv,r: (i - .l' 1 } } 'j I" 1 . .,�,. .y�/ ! r.• t`R 5'i i"'>r s?vgv 5'i•^-il Y•"��,...,r..,, i — f- 1•2a r„ y. T"�' ,�. ,r''�. �/' 'qc7L'r�f FI •-rs=:liur•riv�?inkr,; � �t¢,:f_ j ;' ly crons'ms: ? to n vsiid truo copy. L9 I / CV fi-j-t}:a per.-Ton for�auhn;ze \\ 1 Ct ;I. , ! t' F:�'"•':'e�,and an his V, C-gwernmont-51 It, N Y S D is C ` ``���`` It/`i l ^.SB ii:; '_:'..' .•y :aalirans or r APPROVED AS PER TERMS AND CONDITIONS O PERMIT N[)./-4 739'-Ooa8wv000 r—u DATE _ _ � t i... I 1 '1' �' t• �t Y •c'vs--e- F --^•.Y"'�- 's �U F CO i�J� F f�f . ,._ .— v " ( r�LS25t'i., tkl-''E S V. 4 �_• _. L ,,i4 s _— - ---- -- — — -- s 3 Michael J. Domino,Presid,� ell Town Hall Annex John M. Bredemeyer III,Vice-President �� ya 54375 Route 25 Charles J. Sanders cm P.O.Box 1179 Glenn Goldsmith 0 Southold,NY 11971 A.Nicholas Krupski per` Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: /17 2=5S-) Completed in field by: MARIE ULMET requests a Pre-Submission Inspection to discuss a proposed low-sill bulkhead and dredging to -4' below water line. Located: 4600 Ole Jule Lane, Mattituck. SCTM# 1000-122-4-33 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 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: y1 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: Nj a,r -Vo S4row s Present were: J. Bredemeyer v M. Domino G. Goldsmith ✓ N. Krupski '/C. Sanders Other Page 1 of 2 Michael J. Domino, Presk, �uFFO(�- CO' , ,� Town Hall Annex John M. Bredemeyer III, Vice-Preskient �� 'G�� , 54375 Route 25 Charles J. Sanders C* P.O.Box 1179 Glenn Goldsmith O Southold,NY 11971 A.Nicholas Krupski p! Telephone(631)765-1892 �Ol Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: MARIE ULMET requests a Pre-Submission Inspection to discuss a proposed low-sill bulkhead and dredging to -4' below water line. Located: 4600 Ole Jule Lane, Mattituck. SCTM# 1000-122-4-33 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. Di Salvo Other Page 2 of 2 ��'' •� .r 'yam�.. 11 :1- 1 • l C.l �<•e��y t-. r •�4.. \. ��� .� 111 �i. - •.1� •s.tT.��+ r-f ..`i ,r �'a '�V - 111 ... . - ��_ ^v_ ,� .. � - f .�� '. •'Z.� •'/• tok , F 'r �c Y is-•�-' � � ,.. ILI roe M. r8 . 8 14 : 57 20*17 . ►: s►*rl 0'�! APs"y1r : '�`--� }' ''�• 7 t f A I' r 6 t�G SEE SEC NO 116 �� S 4'p SEE SEC N0116 au2 6FESE4HD 1u n ro 25 / -- ✓/ MATCN —UNE NA�CN. __� uN umtam �. j, —�--— zv w 21 a B]A Y Sd 4 16 — 4 28A oFmungtn 51 161A(C) ' S� 1 1 I °"uwr`ar"nst a taP®w alza,a I 3 wl n Y O PVE a y 111 1 16 } M 9OO QO21A(C) ^ a z c p 23 J tOA� m * B2 d 16 y� __ >M • } 'M1 a m OLENIE �I SOUNd D 1 t 2 m o"01 O 3�`°•, A�ZB � � � ^c .6'�/x]�� O ��$ � d.. 1bAl°) 21 266 89A - m O A 9< %L5� a 0e 04'\\ y L' ( tro p •� 2_ 361e 1D� `v 6 8 ,n m m gpI dGe S T e 6 IO a 9 C s ND �1 N o >A Su=V e n. 9 o y to 1 +y$ a e• F n mar,,, 12A(q \� ,,, n +9 � �J SMR PCL NO EE SEC NO t"�1,o' •8 , ' - a �� 19A� ',+a\1b \\p c 13] g m ro dm 1 e p 34 42 121-0 .s I I ,��P 1 / � b•d 0 � 23 5• � ) a "ry^e b,\ a ♦\�,e\y b\\ a/� / � �s ,•+'� '$ � w, �� ]t6 { I � � © �\e1 � ` ' 1 � ��3\ a •dry�, 1?A SUFFOLK COUNry /S1Mc wATERaT+Hown O / l vy . \ \ . I 3DA(di� / m 4 186A(c) // 13 amc)MM OF � O t1A I 9 +0 9 m o D SEE F SG BOO FOR PCL NO '�• ]'� 15A 9b 1 SEE SEC NO E� O 1 t 5A(C) 1 1z1-0sms-1 { sa � tic) � s1.en b 6 ♦�•a.ir „`y' a n - oP{ wNPa xo F s e"� o' Ec.� .0 laepsae4 a 9 _ ___ qI Nzasam 1 ro. xIDs daze " !� MATCH —_—_---- -----�-------------------INE— SEE SEC NO IR NDTE.ANAPPM OVER MNDRION EmSTS WITHIN BLOCK tm BETWEEN _ _ w.acFv_s�s-daasa NOTICE COUNTY OF SUFFOLK © K solrTNOEn _ sEcnoN No Property Agency T x Sarvlcev - _ Ir - - y116t• LcNo SEC 6-15 - r--_SEESEC NO 115 r\ ;^• M -----UNE` ® SEESEC NB ns -- N302ee1 y . ,t ¢—UNE ale � fdATCH ----- H July 19, 2017 To Southold Town Trustees: I am writing to request a pre-submission inspection for a wetland project, at 4600 Ole Jule Lane in the town of Southold. I am proposing to install a low sill bulkhead and dredge in front of proposed bulkhead to a maximum elevation of 4'below low water line. Enclosed is a$50 check made payable to the town of Southold, along with the most recent survey and proposed project. I would like my contractor, Tim Hough of Shore Marine Construction to be present at the meeting along with myself or on my behalf. The Town of Southold is granted access to my property in order to complete this inspection. My contact info, along with my contractors, is located at the bottom of this letter. Thank you, Marie Ulmet H-631-298-4520 Timothy Hough Shore Marine Construction shoremarine @yahoo.com c-631-617-2800 U ECEI V JUL 2 0 2017 Southold own f �� 3oard of Trustees Applica' _ on r AFFIDAVIT H vA t L 1 --lz;� BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS) 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 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. Signature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF J U 20 �I CHELSEA L. CHALONE Notary Public,State of New York Not Pu i1C Registration #01 CH6287106- Qualified in Suffolk County Commission Expires August 5,2017 bard of Trustees Applicat,._ _na AUTHORIZATION (Where the applicant is not the owner) I/We, YY)CAV-u- U-)"yyuj owners of the property identified as SCTM# 1000- 1 Z 7 13 in the town of New York,hereby authorizes S"f.E fA49.,��E ��,s�Rw��� �� to act as my agent and handle all necessary work involved with the application process for permit(s) 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 —, 2 CHELSEA L. CHALONE cldz Notary Public,State of New York N aryPublic Registration #01CH62871.G& Qualified In Suffolk County Commission Expires August 5,2017 --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 i)uWgse 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: ��r llqk, (Last name,first name,xiiddle 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 ,rgarriage,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 applicantlagent/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 day of 200_ Signaturee L, U Form TS 1 x Print N � 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 ppssible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: (Last name,first narrie,ipiddle 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 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 - day of 200 Signature Print Name �.. i Form TS I