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Home My WebLink AboutTR-275 Amend a Glenn Goldsmith,President F ®�/�� Town Hall Annex 54375 Route 25 A.Nicholas Krupski,Vice President h®� ®�® P.O. Box 1179 Eric SepenoskiR Southold,New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples �� Fax(631) 765-6641 C®UNV BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 24, 2024 Donna Fragola ADF Ventures, LLC 138 Oregon Avenue Medford, NY 11763-3750 RE: 1775 PLEASANT POINT ROAD, MATTITUCK SCTM# 1000-114-1-6 Dear Ms. Moore: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, May 15, 2024: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit#275 from James Meskouris to ADF Ventures, LLC, as issued on April 24, 1986, and Amended on March 27, 1986. If you have any questions, please do not hesitate to contact this office. Sincerely,, Glenn Goldsmith, President Board of Trustees GG/ec Glenn Goldsmith,Pr&sident ~�O�pS�fFO(,�COGy Town Hall Annex A.Nicholas Krupski,Vice President �'� 54375 Route 25 0 Eric Sepenoski W ,x P.O.Box 1179 Liz Gillooly �y • o�� Southold,NY 11971 Elizabeth Peeples �Ol '�� Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: Completed in field by: Donna Fragola on behalf of ADF VENTURES, LLC requests a Transfer of Wetland Permit#275 from James Meskouris to ADF Ventures, LLC, as issued on April 24, 1986, and Amended on March 27, 1986. Located: 1775 Point Pleasant Road, Mattituck. SCTM# 1000-114-1-6 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: Chapt. 275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: 41XAo/ XP_A J'A 6' Ca,pi Present Were: //G. oldsmith N. Kr pski °� E. Sepenoski L. Gillooly E. Peeples J ✓ i ADF Ventures LLC 138 Oregon Avenue Medford,New York 11763-3750 Email:Adfventures(&gmail.com (631)654-1771 APR 16 2024 Southold Town April 12, 2024 Board of Trustees Board of Trustees Town of Southold 54375 Main Road P.O.Box 1179 Southold,NY 11971 Re: 1775 Point Pleasant Road Mattituck,NY 11952 Tax Map: 1000-114.00-01.00-006.000 Dear Board of Trustee's, I am requesting a transfer of.names on Wetlands permit#275. Currently it is in the name of James Meskouris. (Attached copy) The new owner is ADF Ventures LLC. I've enclosed copy of deed transfer and the articles of organization for ADF Ventures LLC Yo/1 � Do r Ventures,L Board of Trustees Applicatj__- AFFIDAVIT BEING DULY SWORN DEPOSES AND AFFIRMIS 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. s i Signature o roperty O er Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF Tl,%rl l , 20 CONNIE D.BUNCH Notary Public,State-of New York -• I No.01BU6185060 Not Public Qualified in Suffolk County Commission Explres April 14, � 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 pumose 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: Last name,first name,-iiddle iQ%al,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 ven a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%oft 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 L` 200 Signature, s Print Name e-6 Form TS I �,rticles of Organization -of e ADF VENTURES, LLC Under Section 203 of the Limited Liability Company Law FIRST: The name of the limited liability company is: ADF VENTURES, LLC SECOND: The county within this state in which the office of the limited liability company is to be located is: i Suffolk THRD: (Optional)The latest date on which the limited liability company is to dissolve is: FOURTH: The Secretary of State is designated as agent of the limited liability company upon whom process against it may be served.The post office address within or without this state to which the Secretary. of S$ate,shall mail a copy of any process against the limited liability company served upon him or her is: ADF VENTURES, LLC 138 Oregon Avenue Medford, NY 11763 F9TR- (Optional)The name and street address within this state of the registered agent of the limited liability company upon whom and at which process against the limited liability company can be served is: S)xigl: The effective date of the Articles of Organization, if not effective upon Sling,is: SEVENTH: The limited liability company is to be managed by(check appropriate-box) 0 One or more members ❑ A class or classes of members ❑ One or more managers ❑ A class or classes of managers- IN WITNESS WHEREOF, this certificate has been subscribed on November 7th, 2003 by the undersigned who affirms that the statements made herein 3are true under the penalties of perjury. Frederick Fragola Donna Fragola Organizer Organizer r ❑❑ •• '�_ RECORUCL, Numberofpages 2LI7 Kar 19 10:30-23 AN UiPIMiT Pi L EU CLERK IF This document will be public S�LFD0001320 record. Please remove all- P 54.F Social Security Numbers DT# 2 i-2347"� prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 31 FEES Page/Filing Fee Mortgage Amt 1.Basic Tax Handling 20. 00 2. Add'dionai Tax TP-584 Sub Total Notation C �} Spe rAsslt FA-5217(County) / (J Sub Total ' Spec./Add. EA 5217(State) r �-V�+ TOT.MTG.TAX Dual Town Dual County RP.T.S.A. Held forAppoin nt Comm.of Ed. 5. 00 Transfer Tax U Affidavit Mansion Tax, `� e � The prop e covered by this mortgage is Certified Copy Q or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. k Stib.Total YES orNO Other Grand Total 4 o o• If NO,see appropriate tax clause on page# ofthisinstrum t. 4 Dist 9 24006770 1000 11400 0100 006000 )00 5 Community Preservation Fund Real Proper P T S u Consideration Amount$ TaxService Agency Rr as I IIIIIIIIIIIIIIII IIIII IIBI III CPF Tax Due $ ,o►! Verification Improved 6 Satisfactions7Disoharge�s a eases s Properly Owners ail ng Address RECORD&RETURN TO, Vacant Land Larry R.Davis, Esq. TD 10 Davis&Prager,P-� 175 Oak Street,#2928 '/ TD Patchogue,NY 11772 y TO . Mail to: Vincent Puieo,Suffolk County Clerk 71 7T&Company Information 310 Center Drive, Riverhead, NY 11901 Co.Name Regal Title Agency -wwwsufPolkcoantyny.gw/cieW — Tft1e#RT-Q090 L 8 Suffolk County Recording & Endorsement Page This page forms part of the attached Deed made by: (SPECIFYTYPE OF INSTRUMENT) Aaron W.Ford The premises herein is situated in SUFFOLK COUNTY,NEW YORK. TO In the TOWN of Southold ADF Ventures,LLC In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BETYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. over 1 lflllll III!11111 Iflll f flll.11lff 1111E Iffll IIIII flll lfll . - 1 if fill fll[I flfll lffl llll SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEED Recorded: 03/19/2024 Number of Pages: 5 At: 10:30:23 AM Receipt Number : 24-0034871 TRANSFER TAX NUMBER: 23-23478 LIBER: D00013240 PAGE: 547 District: Section Block: Lot: 1000 114 .00 01.00 006.000 EXAMINED AND CHARGED AS FOLLOWS Deed AmQant: $1, 67.5,000.00 Received the Following Fees For Above Instrument - Exempt Exempt Page/Filing $25.00 NO Handling $20.00 NO COE $5.00 NO NYS SRCHG $15.00 NO EA-CTY $5.00 NO EA-STATE $125.00 NO TP--584 $5.00 NO Notation $0.00 NO Cert.Copies $0.00 NORPT $200.00 NO Transfer tax $0.00 NO Comm.Pres $36,875. 00 NO Fees Paid $37,275.00 TRANSFER TAX NUMBER: 23-23478 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL VINCENT PULEO County Clerk, Suffolk County Afmo SW BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS(INDIVIDUAL OR CORPORATION) STANDARD NYBTU FORM 8007 CAUTION:THeS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND P,[1RCHASER JBOJE SIGNING. THIS INDENTURE,made day of co q1�` 2024 between AARON W.FORD residing at 210 Fairview Road,Palm Beach,FL 33480 party of the first part,and ADF VENTURES,LLC,a New York limited liability company, having an address at 138 Oregon Avenue,Medford,NY 11763 party of the second part, WITNESSETH,that the party of the first part,in consideration of Ten Dollars and other lawful consideration,lawful money of the United States,paid by the party of the second part,does hereby grant and release unto the party of the second part,the heirs or successors and assigns of the party of the second part forever, ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected, situate,lying and being in the Town of Southold,County of Suffolk and State of New York. SEE SCHEDULE`A'ATTAG4ED HERETO AND MADE A PART HEREOF Being and intended to be the same premises conveyed by deed dated December 31,2020,recorded January 14, 2021,in Liber 13087 CP 17,made by Joseph Romano and Robyn Romano Party of the first part shall have a Right of First Refusal to purchase the property in the event the party of the second part elects to sell it in the future. In the event that the party of the second part elects to sell the property at any time(by either assignment of sales contract or)after taking title,the party of the first part shall have the right to match any bona fide offer from a third-party within 15 days written notice(which such notice shall include any and all documentation supporting and detailing said offer). In the event party of the first part fails to give written notice within 15 days after party of the second part sends written notice of a bona fide offer then party of the first part shall have waived its right to a right of first refusal. Party of the first part shall also be informed at least 1 week prior to party of the second part offering or marketing the property for sale privately or publicly and should party of the second part and party of the first part come to agreement on price prior to the end of I week following such notice to party of the first part,no brokerage commission shall apply or be paid. t TOGETHER with all right,title and interest if any,of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof, TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises, TO HAVE AND TO HOLD the Premis_eos3eUira.granted-W.QAh�arty of_the Second part,the heirs or successors and assigns of the party of the second part forever. AND the party of the first part,covenants that the party of the first part has not done or suffered anything whereby the said premises have been encumbered in any way whatever,except as aforesaid. AND the party of the first part,in compliance with Section 13 of the Lien Law,covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The word"party"shall be construed as if it read"parties"whenever the sense of this indenture so requires. NYSBA Residential Real Estate Forms on HotDoeso(9/00) Copyright Capsoa®Development - TELEPHONE (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hail, 53095 Main Road P.O. Box 728 Southold, New York 11971 · March 31, 1986 Mr. Glenn E. Just Land Use Company N. Country Road Box 361 Wading River, New York 11792 Re: Wetland Application No. 363 Dear Mr. Just: The following action was taken by the Board of Trustees at a regular meeting held on March 27, 1986 regarding the above captioned matter. Moved by Trustee Larsen seconded by Trustee Krupski it was RESOLVED to Amend the Wetland Application No. 363 for James Meskouris to reflect a 4' x 90' fixed dock and to be a minimum of 4' over any existing marsh. If you have any questions or concerns, please do not hesitate calling this office at the telephone number listed above. Very truly yours, Henry P. Smith, President Board of Trustees Clerk to Board HPS:ip cc: Trustees File TOWN OF SOUTHOLD BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK WETLANDS PERMIT This Wetlands Permit No ...... .2.~.~. ........ has been granted by the Town Trustees according to information furnished in Application No....3J5~ .......... filed by Applicant Meskouris ................................ ........................................ on Feb 6~ ....1986 ... A map of the proposed work will be kept on file in the Trustee Office under the application number given. Permit granted to do the following w0rk ....~.q...~D. TtD.~.~.~G:k...~....~......;c...9.9......f.;zce. cTL..do~k., .......... ....a,....3..'....~... !.5..].....r...a~.. P,....a..n..d.....a....,8..'.....x.....2..O..L ...f.%~.~.~ ........................................................................ Location of property on which work to be done ........ .~.~.~¢...~,~k~..~,o.~l,...~a,~tit~k ............ . ..... Creek. Bay or Harbor fronting property ..... ..M...a._t.t..i...t..u...c..k.....C..r..e...e..k. ......... ~ .............................................. Size of work: Length ....... 'f'~'.x.~.e~.d.~'d.'~.~9~'k~.9..~.~.r..a.`m.~.~..a..n.~.d.~.f~%~.~ ............................ Width .......~..i..x..e...d.....d..o..c...k.....6. :. ~ ....r...a..m.p....3..'.....a...n..d.....f..1. ~ ~... ~. ~ ................................... Height Above High Water ......... .4.....f..t..: ..................................................................... :... Depth Below Low Water ............ .r.r.r.~..r ......................................................................... ~Yards to be Excavated ..................................................................................................... Yards to be Filled ...................... -..':.':..':.~ ......................................................................... Manner in which material is to be removed or deposited ..... .n./..a. ............................... .............................. Intended use of property ............?..r..i..v...a..t...e.....r..e..c..r..e...a.~.i.~.~t.a.. ]. ............................................................. Conditions if any ......~.U.U.J.T.T..U.LT.Z.T..-:. ................................................................................ ;....i ............. Expiration Date ~'~A~p~r~'~i~.~.2"4~:~.'~''9'.8'.~7..~..i~`f~.~..w..~r.~k~.~h..a'~s..~n~.t~c.'~D.~.~id~e .... - · 2-Trustees are to be notified ' Number of Inspqctlons Required ............................................................................ of the wor~. Inspection ~ees .$.'..5.:..0...0. ......................................................................................................................... · Liab{lity Policies in the Amount of ......................................................................................................... The validity of this permit is or may be subject to the approval of other governmental or municipal authorities. The Town accepts no responsibility in applying for or obtaining such approval. In the · event that such approval is necessary, the holder of this permit shah not commence operations here- under until such approval has been obtained in writing. The failure to obtain such other approval when required shall subject this permit to immediate revocation by the Trustees upon receipt by the Trustees. of written notice from such other governmental or municipal authorities of its refusal or disapproval. The applicant does by the acceptance of this permit, assume all responsibility for operations under- taken pursuant to this Bermit, and shall take all precautions for the prevention of injuries to persons and property resulting from such operations. By such acceptance, the applicant a~so agrees to indem,qi- fy and save harmless the Town, and its officers, agents and employees from any and all claims arising from operations under this permit and any and all acts or omissions of applicant, his agent and employees. The applicant and the owner and occupants of the premises upon which the operations authorized by mis permit are being conducted, do, by the acceptance of this permit, give consent to the Town, its officers and employees to enter upon the premises where such operations are being conducted to make such inspections as the Town may deem necessary to insure that~uch operations are being con- ducted in conformity with this permit. This operation will not substantially: A. Adversely affect the wetlands of the town. B. Cause damage from erosion, turbidity or siltation. C. Cause saltwater intrusion into the fresh water resources of the town, D. Adversely affect fish, shellfish er other beneficial marine organisms, aquatic wildlife and vege- tation or the natural habitat thereof. E. Increase the danger of flood and storm-tide damage. F. Adversely affect navigation on tidal waters or the tidat 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 taterat support of other lands in the vicinity. I. Otherwise adversely affect the health, safety and general welfare of the people of the town. .~/ President - · ' ' '. Board of Southold Town Trustees Date ....... ................ HENRY P. SMITH. President TELEPHONE JOHN M, BREDEMEYER, Vice-Pres. ~516~ 765-1892 PHILLIP J. GOUBEAUD ALBERT KRUPSKI, JR. ELLEN M. LARSEN BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall. 53095 Main Road P.O. Box 728 S kotd, New York I 197 ! April 29, 1986 Mr. Glenn E. Just Land Use Company Route 25 A Box 2521 Wading River, New York 11792 Dear Mr. Just: The following action was taken by the Board of Trustees at their regular meeting held on April 24, 1986 regarding Wetland Application No. 363. Moved by Trustee Larsen seconded by Trustee Krupski WHEREAS, The Land Use Company on behalf of James Meskouris applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated February 6, 1986 , and WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on April 24, 1986 at which time all interested persons were given an opportunity to be heard, and WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area; and WHEREAS, the Hoard considered all testimony and documentation submitted concerning this application; and it is noted for the record that there has been no public opposition; and WHERHAS, the Board has determined that the project as proposed will not affect the health, safety, and general welfare of the people of the Town, NOW, THEREFORE, BE IT RESOLVED that The Land Use Company on behalf of James Meskouris be and hereby is granted permission to construct a 4' x 90' fixed dock, a 3' x 15' ramp leadingtto a 8' x 20' float dock to be secured by two spiles. Property is located on Home Pike Road, Mattituck. This permit is granted under the provisions of the WetIand Ordinance of the Town of Southotd. This permit will expire on April 24, 1987 if work has not commenced by same. There are two inspections required and the Trustees are to be notified upon completion of the work. -2- The following fees are now due and payable. Upon remittance your permit will be forwarded by mail. 4' x 90' fixed dock = 360 sq. ft. @ .25 = $90.00 3' x 15' ramp 45 sq. ft. @ .25 11.25 8' x 20' float 160 sq. ft. @ .25 = 40.00 2 spiles @5.00 = 10.00 S5.00 Wetland Inspection Fee 5.00 $5.00 Trustee Appl. Fee 5.00 Total Due $161.25 Very truly yours, Henry P. Smith, President Board of Town Trustees Ilene Pfifferling, Clerk HPS:ip cc: Commissioner Herny G. Williams, D.E.C., Albany Charles Hamiltonf D.E.C, Stony Brook Corps of Engineers Southold Town Building Dept. Trustees Fil~ Town Hall, 53095 Main Road P.O. Box 1179 TELEPHONE Southold, New York 11971 (516) 765-1801 SOUTItOLD TOWN CONSERVATION ADVISORY COLrNCIL March 20, 1986 To: Southold Town Trustees From! Linda J. Cooper, CAC Secretary The following are recommendations made by the CAC at their regular meeting held ~ednesday, March 19, 1986: No. 344 - Bernard Kirsch M.D. Recommend approval No. 345 - Diana Tendler - Recommend approval No. 346 ~ Martin & Florence Gellman - Recommend approval No. 347 - Arnold Blair - Recommend approval No. 348 - Mattituck Inlet Dryland Marina, Inc. - Recommend approval with the stipulation that applicant cannot dig in front of the bulkhead. Also provisions should be made for a pump-out station for..treatment of waste from boats and fisherman. No. 349 - Village Marina - Recolnmend approval No 350 - James F. King - Recommend approval No 351 - Gerard Gallian - Recommend approval No 353 -Goldsmithts Boat Shop, Inc. - Recommend approval No 354 - James Gray - Recommend approval No 355 - Tovey C. Lesnikowski -Recommend approval No 356 - Port of Egypt - Recommend approval No. 357 - Budd~s Pond Marine No. 359 - Arthur D. Sarkisian - Recommend approval No. 360 - Philip L. Friscia -Recommend approval No. 361 - William D..MeCabe - Recommend disapproval. Too close to ~etland. No. 362 - Gustave C. Bickert - Recommend approval with th~ stipulation that the bulkhead is built IN PLACE and not allow the 18" leeway. . No. 363 - James Meskouris - Recommend approval. No. 364 - Dorothy A. Raynor - Recommend approval. If you have any questions, please do not hesitate contacting me. .BOARD OF TO~'N TRUSTEES TOWN OF Sotrrlio~ Town Hall, $3095 M~ Road P.O. Box 728 Sou~old, New York J 1971 APPLICATION Ii HF. qEBY MADE TO,THE TOWN EOUTNOLD, SUFFOLK COUNTY, NEW YOJ~JC FOR THE ISHU.q~fCE OF A PERMIT PUNEIJANT TO THE ~AW8~ O~I~GK8 ~D REGULATIONS GOVK~ING THE GO~TAL ~D INTERIOR WKTL~88 OF THE TOWN Of 80UTHOLD, AND THE TO G~TKR al OF THE CODE8 OF THE TOWN OF ~O~T~LD, ~PLI~TION NO,- ~ DATE OF ~PLIGATION 1986 (718]-225-2412 ~;N~Ty ~ ~~ James M~skouris ~ ~ ~g~ 40-08 Morgan TAX MAP NO,. 1000-'114-01-~6 (516)-929-3575 AGENT Glann~E. Just of the ~and Use Company PHONE NO, PERMIT NE~UKHTED TO Applicant proposes to construct a'~'x90' fixed dock, leading to a 3'x 15' ramp, leading to 8'x ~0' float dock. Home Pike Road, Mattituek ~OGATION OF PROPERTY WOR W~IGH PERMIT WAHTED HOMK ADDRESS OF PgRbilT APPL4CANT ~F DIFFERENT FROM AFORESAID LOCATION , Mattituck Creek GNEgK, RAY .OR HAR]iG~. F~I;TIA~ PROPg~TY ............ ' ...... ~'x 90' fixed dock, 3'x 15' ramp~ and a 8'x 20'flo~t Fixed dock 90', ramp 15' and float 20' ~KNGTH fixed dock 6', ramp 3' and float 8' WIDTH HEIGHT ABOVE HIGH WATE~ ~i~ad doc~ 4' YARDI TO BE I~CCAVATED -YARDI TO BE FILLED n/a RIDTH OF CANAL, GREEK OR BAY FRONTING PROPERTY appro×imately DEPTH AT LOW. TIDE n/a AY[RAGE Rile IN TIDE 100 DIETANGE TO THE NEAREST CHANNEL DISTANCE PROJECT EXTEND8 BEYOND SIMILAR PROJECTS IN THE AREA il THIS FOR PRIVATE QR BUSINESS AREA ZONING residential NANNER IN WNICN RA?ERIAL WILL RE REMOVIO OR DEPOSITED n/a INTENDED USE OF PROPERTY Private doekin~ and recreation DEIGRIIE ANY KNOWN PRIOR OPERATIOHS ¢ONDUCTRD.ON THE PRr3418E none kno~ ANY PEP. Jd]TI OR LECENSEE WER~ EVER SUSPENDED OR REVOKED BY A GOYERNM~NTAL AGENCY none known DEGGRIBE FULLY THE REHABILITATION AND PROPQIED CONDITION OF THE PREMi~E~ AFTER THE WORK II COMPLETED INCLUDE AN ADDITIONAL DURVEY OF THE PRO4EGT ~ITE IF NECESSARY none necessar~ RRITTEN CONSENT ~F THE OWNER.OF ~NE PROPERTY, If NOT THE SAME Al THE APPLICANT, enclosed COUNTy OF SUFFOLK ) STAT~!OF NEW YORK )SS: AND ~AYS THAT ME 15 TNE APPLICANT FOR THI~ A~OVE DESCRIBED PFRMIT~, OF HIS KNOWLEDGE AND BELIEF, THAT THE WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS A~PLICATION AND AS MAY BE APPROVED BY HOLD THE TOWN OF SOUTHOLD AND THE TO~N TRUSTEES HA~LE~S AND ~IGNA~R~ OF APPLI~T SWORN'TO SEFOR~ ME THIS EXAMINED APPROVED "WETLANDS~ p~RMIT (CHAPTER 97) DISAPPROVED "WETLANDS PERMIT" (CHAPTER 97) DISAPPROVED "BOATS,DOCK$~ WHARVES" PERMIT CONDI+IONS, IF ANY ApproEed 2~7/85