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TR-993
• • ,John M. Bredemeyer III, President ��� �„0� O�,1, Town Hall Annex Michael J. Domino,Vice-President dl 4 l0 �‘ 54375 Main Road P.O. Box 1179 James F. King, Trustee N Southold,New York 11971-0959 Dave Bergen,Trustee . pQ ',� . �' Telephone(631) 765-1892 Charles J. Sanders,Trustee • COUNfttk`' ' Fax(631) 765-6641 y BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 18, 2015 Mr. Mark D. King PO Box 1039 Mattituck, NY 11952 RE: 200 EAST MILL ROAD, MATTITUCK SCTM# 106-4-5 Dear Mr. King: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, March 18, 2015: RESOLVED, that the Southold Town Board of Trustees APPROVES the request for a Transfer of Wetland Permit#993 from Charles A. King to Mark D. King, as issued on October 1, 1973. If you have any questions, please contact our office at (631) 765-1892. Sincerely, dr4'. ‘P'N (l John M. Bredemeyer III President, Board of Trustees JMB:amn Mark D.King 220 East Mill Road, Mattituck ►CTM#106-4-5 �• /11/15 n• t , i C •'tic'I rip,. �i _ _ .._� dw �L �,. J;. u .,_ _. 1.�i����� �. _ a,,. _ _ 33 g —yip i. M00 '., '�R� . s• .., . - , _ d •40 l .6 '�••....._ .� .{,;. ' - 46 8/til/20115 1l5: Ul ark D.King 220 East Mill Road,Mattituck CTM#106-4-5 3/11/15 . . , , .' ,,,:,, • ' .f n,,11,„f.q., ..4 ".1 .' ' , •,.‘'. Ai 1 • , 0 ,,,-‘, 1 '' t 1' __ ---- 4.4-Aifitr-L," 9'#:: ,-;„, --' '1-9'• • -. -, /- 4- 111%i .1900— ,1 j , ..6.40 .,,A. ,:j.,..1 1 14 1 1 , 1! !!' -• '''.4. 0114 111A1111111 MN smamm•Mil , . . 1 __ -,. .,..-- , - • , - —II _ - - — _ '1" :,-- —._ ail I - — 4 Mikir - - , wr $ -.. .........— , ,* Nil , •-•.. ''4° -4Silligt 8/1111/20115 T5: 112 .., ., ,,..- ...„, ......, , .... S John Bredemeyer, President $uFFot,� Town Hall Annex Michael J. Domino, Vice-President 54375 Route 25 King James F. `' P.O. Box 1179 Charles J. Sanders Southold, NY 11971 Dave Bergen yo_* 1a00 Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Fi Id Inspection/Work Session Report Date/Time: /jbJ/c MARK D. KING requests a Transfer of Wetland Permit#993 from Charles A. King to Mark D. King, as issued on October 1, 1973. Located: 200 East Mill Road, Mattituck. SCTM# 106-4-5 Tywof area to be impacted: // Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Storm Water Management Review: Yes No Not Applicable Info needed: Modifications: Conditions: 4 6e d"` c4-e/L Y 2Z•1,.9 Present Were: J. Bredemeyer Domino '-‘1. King ' C. Sanders/ D. 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'' t �,�� , , ,' "" --o t cb.•-t3us.:permit,' the and',the p as ; 9onthold ' �$i, �, putsusz' • initiated b9,.. c. paw = .of the TOiwn ,i4E i ,1 such':,nuts BOA+ of''T 1 � Y _I',F _:�,� l4-:•-Tc�,. 11., I ,y ,w�'Q./�t� y .r }. - 1.3;i1.'"� ell.� ?A*�7!ry b "+t.. dr, hllc�' q r•1�, Yae��p r��,W VM _ 1, • .� 1 . ., �' a k, , whichtEet ii4., ,'",,,',...",,A'1 t 'iur r c ;"'` i , a.• g period•of. t L,,•r, °lOS' wariAO�. r i:t' 4' 11 I �r� r`��'T y,'a° o L ,1 R •flits uur 1$ ,��.involl' Sh011�' .... 14 r ) 4"y';` Sw :� r Vt .0„').:';'.tYlilted0� C[C. he date. ` �-_r 18ter:i , V 1 J-Y,. y a f < the Dt+d $t L • :` ., t, '"; 1 � I',. 0 M„tb, made to. 11,'•'. �'�4. '*`J 1b �d t*'n. 7 n r N ,on•tna� , < l : a., :. � p�1it!eC � ”' + it •FryD 'It'4 �,.,#; q ' - l•, •b indefia4t•JI' o:.as;long as the, ..• y `>k t11ts Petmtt should'be tttained w i kar,�P" cavo VC to prrnn emdena oo•ani• • T r; .t H �'' ',..-,7.';'.:02e r0 ; 17,i'',.., � 9 ;4y�d � 'fir. r'°D 1 'the .Stere,; '. . �'r Aft 4i '✓t' r"�'�W'.11�r, .`,F�Jy Ortglnalky,obi .�, royal of te' .. y�,.'�S 1 i;(11,4 , u.......*.,;l ,: ,. 1ved.•.,:',.,-....••:'...:".....;.,..Y.!;,':' ,l11 be subjet o'the,inspec ina sad' n, Y fot i `,. ', by y'r : .thee work imro , rovislaas of.file or °alias aPp i�r� �M ',.a �smd non-oompl>a4ce Rte' t Bodid. ',: 0404 ir K,` l ,: .,ten ,� 1 • �ernojt resolution � the oy� , y . � • of this . � ' with navigati°n s, .a•rest.of 4. It.,,.,iL„ easoaattle tnterferente ','4.4;_`� * 40' ". there 'wig be no nnr "14 tT F reed P t. ••-...••'.......•,:,.. ai �yj)rgg "�' '''',,l';',•••:.....::1 -the ` X �w K 4 +f A'Av. /r.Pit �t��'.., Lett` 1 �..•T- the .r t of, to T ` ��y _It ,i # ' yFr' r'y $. lattlbereshaII.ber , , .... .' �N�`-41?,, 1- 1 •bre high•and law.w•ater . 1 + itiblaad/or � • • .:.-- ,,,,,14,;4....,-.A.y ...,,e.,.,,,,,,.:(4,,,,,,,,',,,,,,,.:4,,,,,,,,..;.4.4.,, i;',;.!,/,..,74,.,..,,,„1„,„0„,,,.f' ,, , C } • I1.'.,,.'.';','•''t QIIS Of ibe'T".' Of t 1d +r"'.f� Of t11• ++ _ iF r, ,irR .+'`i4Y„14 It ,,x-A tf;foture pal. sutlsornFd,: Or.tf,;;t•n opinion,. will b!.....tnquite : �. t , ,ti ' , r,.r ., herein -: 3 !M,' h `t . : nr,c s„li.✓t3oh•df the ;obstruction to:free asTngatl°°l the.sad: •-?o`wa 1,:". :'''';4.?-144' 4 rad i t'��ka ;t , ,;: r cause,11Ll�a.i""o"le' .„. 'eL}L.herein State✓ i tb1S/v?7C I t :14,1' .';f# 4,ell 1 t' t .to remove°. alta „,1 or ro , 111 4',.,1 f, / J �1. , '^F,1 ... 1 1 ' ' ” I t f Y'. ..,c0 t ::N ; `l'f i �4•'0"I l� l� r. • I ,• :.''',-.;:'::: :1' .tea• the w���.l.��y .....7.1-.;..4:.,,.;•'2,;;;;,.. hr:,-t w^1 1 1 a1 ' �Iyp f 71yy1 '.P • N1 {aw1W'b�tiW.-�` 41• Y M1 i 1r 1y►^ 3y`;t 0,'Zt,t.:d� L 1'That elle 8 Board i ill e f. ;: t • iiec .; 4 .t9'...:'"---N:,,d'fl :ie,. ::'4 104.,` 1,,' i, ?' t,i •+f�Itt$ and yam, Y •.•� •. ,, w 141;... rl . cwt ', obtain S t `.•F� td'Ww..., Ir i .1' y'11 J��#Fo i'�i� i �.::'f'hat+:the 1sez $ to neYOke upotl I ;,r"1'' '.',7,s,•,': 1 i • .'.• • �: 1 i t i �'Ml;;••r4 ,, �tr,jvy� ;`,,_{Y t1E�lt Wgij outy, I I • i N t 91 1 t r41',+ 4, 1 i7� tb i__ ...,,,,,,,•,.....,,,,,,:-.•;•!,.„•,:....,•;;;.,.i.:,:...... I. ::..,..7,,,, ...,,,,:„. .... ..,..;„:„,.,,,::. ,,,,,,.....7......:.„ 11 1�hfF\ ", Rue� tvI •::`,.'.'......'....):•:' �y 4:s, jM Srr4F''>rr1 1 + l YI', , � l t:'V II 'A 'l I+s '4 -4 �,5i45? ri t '' 5 Y • e tr t ,.0'''.7:"1.1.„...l "" 10 htr. • �^�J' l r �.' "T t r^ 7"� lf!.: a ,'.,:,..',...:,,:s.,.: t,. 1 11•'r, ! r,}J .".;:j,''...:;.':',14'. 7. 1, -.,21-'÷.: t t--�'t ', • • . p 4' T sx t a O ‘,,,,,,,',..'•,,.y'. 6. 1 F + i ;,r ;'1, •• t -t • t_. d t r S {,, .il.; r,i ai, y�^ + '' • • t .•. 1 '•-.. �' • i at i.+r r e Jit ,,A;4 arty e ` / ,_ • • •.;- t 4 6r f t v'•; 1 ....,,,,,;',",.r,:;!. :M . D ', 3F hn�t �e� -..,':::'-,..!'...',.',.....i.';.:• :',--:.,...1''.••',.••••';`;:.•;i:•:!. 1 HM "yy Al,• ." ir9C f' .1'• ` . I :'+ t r .i i ff r� t ,','y v .',.;;;Li,-,;.',,,,,z;':, )Y-'Tl 1L : i.2�+ate xF1 7 l q. i. { • , , t yy � `` ,ij lJ � r � T + s -C• �Y;�'+7, tF F 1 �`,1�1 tr u�l;y+ '"{ Mrw{r h� 4 1 a 4 4 -1 (, ...,'r =1T>^Y D•4n "^''� c1•+.. �h l' '�U�I , 1 t1. eF ISIS �.��' �FI!A S M1�� r+�w. `^' 1,,.-,...,pc ,,,5,Pp , ri.:': i a '�h`1 . Jr' Ix w' ?tit X M1 t. `f 1 .... ♦ ::p�: w ..1 w•s.:a;•te.. ..Irk.. .,r,`x... (y: :.y :,w • • A/2 BOARD OF TOWN TRUSTEES Town Of Southold • Main Road Southold;New York 11971 • APPLICATION FOR FIXED and/or FLOATING DOCKS 1. Applicant's name and address: .. .>< •5 t6, LA(G .:! 14RS ....4 q 9 nes( h:_Rrtia.P .AX...��V 2. Contractor's name and address: 3E L - • 3. Briefly explain the purpose of this application: 19 X i§Ii 'J G ;)).Ql l.`r:t) jAt.A� TQ....... .T.N..D tE.F .1141.x. 14.N'-f/ 4. After issuance of a Permit, I expect to: (mark by an X) (a) Commence work—AT ONCE X ; ASAP ............: UNKNOWN (b) Complete work in 1 DAY 1 MO. X....;'1 YR. ; FUTURE 5. Secure the correct Area Map from the Secretary of this Board, and by using an X WITHIN A CIRCLE Indicate as closely as possible the location of this dock:On the reverse side of this mop, provide a SCALE DRAWING which will show Ordinary. High Water Mork, the shape and size of the dock and any supplemental pilings which are needed to hold a floating dock or tie-up a boat. Give ail dimensions necessary to determine thearea of the dock surface which extends offshore from the O. H.W.M. 6. Will any portion of this construction extend offshore into•Town Waters beyond an imaginary line or boundary formed by other similar structures along the area's shoreline? ill . NO , If it does`extend beyond this so-called dock line indicate by how far,approximate ft. 7. Provide the following documents: (a) A Licensed Engineer's Survey of the property involved. (b) A copy of the Contractor's Plans and Specifications. • 8. Will this construction require the Filling of any land offshore of the Ordinary High Water Mark or the Dredging of any material from Town Lands under water? or NO. If it does, Form A/4 (Application for Dredging/Filling) must be completed and attached as part of this application. 9. In requesting approval of this application, I submit that: the information presented herein is true and correct to the best of my knowledge and belief; I am the person accountable for the performance of the work in accordance with the plans and specifications attached; I have read or am familiar with the provisions of any Southold Town Ordinance pertinent to the work involved; and further, I intend to adhere to and abide by the Terms and Conditions of the Permit, when and if issued to me. L. S. n. .Q.4 ...C. ;:t-eptegs..11Dated:�.e 7C� Z j /9 y 3 • • . .. _ -! 1 • i • •i., x ~� : -,f.-„•-..,.....,,,:`,1- 3 • I �t SCi/�Y4Y�p FFC 253 d u r New Ya - t . ' S..ffL E /r ' s 6 • � 11 fI� -i. . .2;,-;--•._y. 41 `A }`Lr. \`z!, i •,, 3 (›lees s-4 Z/l7%G7 `Ii .k, ' . c-lr., , 7r i `ter cr r?�s ; f• ..a_/:..b'N••t'C7 4'�'fly J`�Y•C.V•C.�l7,�j'- -. -- �- 'A�4-NF-�r,N: >! • I: ar • • • • • • • • y CJs + { r • .,. ,p,, V x�9,rt••j inn h #a.'Rtr_r,_ -i' `y"'+v±.r' '1;1.14 f� . .,y , i_. fN . S " GYj �`.,.x +F `•_„^��� .y RANt, '''''''Z'S"! ?;,,,?... ,-.7.71'.-77,7,--.7,5,,‘:::.1-7,,,:- Y` IM{�+ " wtts kT .jIpti •-'' tF '^, A,.+' + ',/,'''..r-• , y 'z .13$Vi r 1 .yY1Mw 4 Y r };� �*..'�3i2.s rH "fir •P TN r a • fro,t}a. a ` 4,1,41-0,71,1-4,1-..7, ` a .r<�F. , 'c;�. „• , q1}�^ ?y±y ,, ; +yd smac si ytd `;gssi • .;y�.� i 'y - ',-A-mt� .,; y, .,,•x ' ,,,' .tjt ;" c�` r --k -tv .� yl . yr' na ...P°W.-0`a', u.i r ,." <:. ' ' 3 yusF_• 1..4.....----....a•.•b 4��;cn�, � �7ii:.3 s'Yr. 't+t.�;,'f�`:�."+S, .. ' e 't�.rteia':+,^'`& "a NNmN m°ras c i5 CO R 99.1129.NO.°M {r ,Wc, wTLM SCE aEt.No A g_ .1CN - LWE ma03 bm no 29 on it 2101 .+:?-÷22 Al° 0 11/1 � 44-- 401::4*`, ' VC) 1 ;.o, /\01 / .4St.),,,,,..:2,) Altio, t..., 4\ ±�,. Nal1� , , 03 29 03 rigslk 02004 I1 ,m 0 � © NTM^`°". ice, ..0, it-swum l 03.03-03 it.' •lot ,� .., ..� roi yroa ' ''�}.� (1P) Y e _-_ I! �S 1 04 20 PT " ���ngt on 060 _VO iVE I n37 1 � - WN S �� ,as i •;''''' ",o.' 401:1111$1161014111“ i lifr-%IV '9 la!en 0111 I ilt 23 I 23 ONO ;01,41374".egtlipanimpinditillalaiglig .! 0 its s a I Town.- nor 4.; -:' .... 8 0011011 1 20 SOU1NIXD.#, 0 14 '''' *Zak o.,a' ,IP ,wa� ,W 1 »1 20, t:itIOVAI‘ " i'#: �ti,, m40 10, 11 $iLa, J Maillall PIM N. , 4 3 tea, 211 1 y itik% °" in"Id vWy 0 l 13 PG No SEE SEC NO 4,4 FsEE sec Ho OR PG NO C 6, 011111\ z WD,dppO a M C/. \ 32Nd LOgc)�' lift 39 wTON a--IEN: _.„.... >z--eNE \3 ux a0.40,0 l% \ ,. 1 i 'R SEE SEC NO n0 �% \ fWc, p'a�a c � -+- -- 1444 in111‘111% r.4. - --�"--� --^-- NOTN;E w ' .o""' COUNTY OF SUFFOLK C N '°"" sourNOLo SECT DN NO �' rv.._ --,-- — Rea`Property TaS ce en .A� 2 rAm .... WO 98 moo OY - I'.I�,-. ..erre __ _ � Q SOU • • James F.King,President Town Hall Annex � �' Bob Ghosio,Jr.,Vice-President � y� `\ 54375 Main Road 40$.40'v ; P.O. Box 1179 Dave Bergen ; * * Southold,New York 11971-0959 John Bredemeyer �; i��� Telephone(631) 765-1892 Michael J. Domino Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD ! FEB 1 7 2015 APPLICATION FOR A TRANSFER OF A WETLA(1D PERMIT, DATE �i� 1 2-o( OWNER AAcLk PHONE CO3/- 1'!3- 4i/9 MAILING ADDRESS ?c�, Sok gc1 V \"/Y 4L,LA ' NI, (SS ?— AGENT 11/4./f/ PHONE ADDRESS I PROPERTY LOCATION 7.„ -c. viS N'ILL Z-➢. TAX MAP NO. 4473 01 /O6 9'e INtA,t_L K request a Transfer of Permit# 9 5 3 from Ch L4, c /1 / /'#•,-%6 A4 , Signed By: Bed of Trustees Applicatior. • County of Suffolk State of New York Irl Ard(- 17 , Vt 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 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 TOWN 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(S),TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature Property Owner SWORN TO BEFORE ME THIS l`i DAY OFF-ct r tA_o r� ,20 I S 4bA^-eli/V- Notary Public CONNIE D.BUNCH Notary Ptiblkt,Sated Now Yolk No.01130111 85060 OudIlled In SO*County , Conwn on AmO 1*, Ke • 1111 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on thei,art of town officers and emploveees.The purpose of this form is to provide information which can alert the town ofpossiblc conflicts of interest and allow it to take whatever action is necessary to avoid same. • �A YOUR NAME: K‘Ni., , l `' (Last nAm►v l Le,first name,middle Initial,unless you are applying id the name of someone else or other entity,such as a company.If so,indicate,thc.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 1' 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 D jDV 1 v Do S Title or position of that person 41(.,LA tvmA 5 p f PC•./(Jv wwyo • 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 hi a non-corporate entity(when the . applicant is not a corporation); • • C)an officer,director,partnec,,.or employee of the applicant;or D)the actual applicant DESCRIPTION OF RELATIONSHIP pq ti• t 1l✓ w rt P a S A IAAA r. .. D. Kira. .1A ru4. • '(rt.7c'trtiJ i, i L r. • Submitted this day of • 24_ Signature. - Print Name Form TS 1 S • APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM • The Town of Southold's Code of Ethics prohibits conflicts of interest on the Dart ottown Officers and emolovees.The purpose of this form is to provide information which can alert the town of vossiblc conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: 14 I U(? Ag-K (Last name,first name,Inidtdle initial,unless yob are applying id 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 ' ti 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 V 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 diet',A s S e, (clay& Title br position of that person Ta.0 S T rr • . Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either checic 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 applicont (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,partnec,.or employee of the applicant;or • D)the actual applicant DESCRIPTION OF RELATIONSHIP Ll �UARA-.D, leir.1(, . At2C 73,rtit146/v r° - F• 1u K,6 • • Submitted this day of 20____ Signature - Print Name Form TS 1 SURVEY OF PROPERTY MILL ROAD N SITUATE: MATTITUCK 585°05'2o,tE 0 TOWN . SOUTHOLD - ---._ 25.35, . W E SUFFOLK COUNTY, N .Y. C, k. , 0 SURVEYED 10-15-20 13 p i — SUFFOLK COUNTY TAX # cs• •m csS 1 000 106 - 4 - 5 oN �i O I op I ® rn C ERTI FI TO: \,. (1*. \. o . " 414 . ' c2-0 ( Ir. ' MARK D. KING o\o �si 5 • C3 52 ' , I 1 \A� g` Z I t cn t O " I i ° -e' \� U1 1 NO ,fi M5�P \%- u0•.'' v r--;,,i \ o Dn= rn 'li o f ;� gn rn N O I STORY r Z 70 coG co -1 Z Z \ ,' NG.BUILDIN \ �p C rZi1 423 • • Z RAP N, _2`�9_ 70KCCK7o 0ONI t9 mZKKDm • 1 ' x.‘..1‘'- �ZZD Z p 36 A , 9-- CO "ONG. 1 ➢ Z Z -C e OOGK • . a' 22-4 ;1 0� X9.9 � � c'� 0 - 0,- _ // U e t 95� FRpOV��tN __---- 22.4 1 ^�11�W e°C: GONG• aVi�g1NG i k ,` Jlt<� Qc e V�� W I STORY �� It fn ��, •� e �o cw� X11\' nO se5, g I m V(Lll)` u, y C� F.F. t 22.2 " I i/je, ; St1ED I ; • 579°p 55.001 N86°00/1/001 8G°60'OOItW 45.00' °��'�_ ,: 90.00' DvSwp,Y I o oN , IA �hpUSt ' FEMA FLOOD ZONE AE (EL 8) LAND NOW OR FORMERLY OF: F.I.R.M. PANEL 143 OF 1026 DIANE COTUGNO MAP NUMBER 36 103C0 I 143,1 �_ OF NE NOTES: 'Unauthorized alteration or addition to o survey ++Q+��`C.E `i map bearing a licensed land surveyors seal is a ♦ ���(\ 0 violation of section 7209, sub—division 2,of the . ♦ \ 1 � MONUMENT FOUND ��� O <ta 'Q JOHN C . E h LE RS LAND S U RV EYO(� New York;::. E:; :; ,, C• ELEVATION REFERNCENAVD. 1988 _i7 a`from theal ,i a\moh an original e i ,.{_ stomped seal shall be considered to be valid true ; �� . ,��r))1 7t Area = 22,972 Sa. Ft. 'V �v, \ 'Cerlificotions indicated hereon signify that this <i �rfji�,/1w Q' Area = 0.527 Acres sur G EAST MAIN STREET N.Y.S. LIC. NO. 50202 e,was prepared in or Land Su with the e- C� p . is Ung Code of Practice for Land Surveys adopted =\`i}_ /� GRAPHIC SCALE 111_ 30' by the NaeYork State Association of Professional 6 SO2. ``A, ,++ RIVERI-1EAD, N.Y. I190 I 369-8288 Fax 369-8287 Lolo then r» for'whomi'liztwrvesholl run only, : Fp ++ _ and on his behalf to the title company,,governmea r,LAN,,�'/+ longislandlandsurveyor.com tat agency and lending institution listed hereon,and to the assignees of the lending institution. Certifica— tions are not transferable to additional institutions Va0,013 1c37:m,w a\ux..\kr.nWx,.,..,r,\My...mo.\l3\l3-tol.ao -PERMIT NO.. 993 DATE: +hr Sf~e 0f..N~ Yo~k~ ~18~: ~d O~pfe'r ~0~ of ~he L~ws 0f ~fe of Ne~ York 19~2: ~d-fhe Southold Tow~ Ordinance e~- hfled ~E~ULATIN~ AND THE PLACIN~ OF OBSTRUCTIONS IN AND-ON TOWN WATERS AND PUBLIC LANDS~d fhe RE~VAL OF SAND, ~RAVELOR OTHER MATER ALS ~ROM ' LANDS]UNDER TO~N W~TERS:" ~nd ]~ ~cqord~nce w~th the Res0bt[o~ ~f Th~ Bo~"~a0pt~a ~t'.~ ~eetin~ held o~ o~iderati0~ of fhe sum of $...~.:~ N. Y~ ~nd subject ta the ~-fhe rqverse s~de %~d per'ifs the foll0win~.~ ~ttituck, New~ Yorkl as pre~n~ed in t til"I'te„.ri77e.„,_ ..,,,,,,,•,,,,v511,tr'.. ..:-...V." :"ii.,:;',•<sd-it-'....';irfir..;,ill ' : ' - ' - • s7 , 4'17 . ..:' ' . . , 1,,..,. cit..,_-- ,,,.A-4,:omi!,:a•tit .:ti:,•il ti,,;:i,, , • /ti,,Ayi .;10?tj (4,14p:,y 'riS11.,21,2.'A:' ,.*' ,,2': t- , • .TERM p'...;1' ',1174rsi'' '44-ffir',$;14j.tisHI-:-H--' '''. , ';,• itr '10;:42.4 zeNti19:!tll'';P;":;r:;(`''''' \ 1''''.t. .j.-ft"i'lk:,41 :4,&*12.:1/1;1!;'444,*:,;%11,fr:1:',.".Q‘4[F,I; . '":, ' . . • . ' . it A ' King r,`40,4-i",.4H,.c.:.i t°1:''.974„le,',:;4{:ij'•'''1:1: 14:1:7&4 4n :' les • ' 1c 'prescribe N.',,, ,•.,„4,:,?..,•;.- wrecia,}•,,,,,,v...difiv,,,ltii,z.lCilif4,y, ,y(,;•-•, . phar S and CONDITIONS paa Mattituc veiiiiittee .,_,,,,,,,d and ic:, Permit does Illinna— i . ' . , 'cl• ': ,L.•;'.12',:1-: 11: 1.r.:;'br!t Vk,:h,th,bit:,/,'''1,1,4:1';'i';:;{,11,tr';'T P. u- -- e of die f etie-kdii,kiA3e-;:' , . for the issuanc , , • , and t , f!C4;frPal::#4141;F's.91-1•'' iltHr•e Consideration . ramsfrom any . ,, . lowinW 1••1:4‘:it.'419-73 •D(4,10.;•1::,;'%/temt.,1-4-e.: -,:htl'4-(•.,:, , of Trustees and . . directly or Indirety as a relt of any oper- his or her own ,. . ..... 4, .4•\• *:424•44' the said Saar° of suits arising nee Will, at es fedi tY 7-lz, rti,illV,;11141. 1 „..047,4.0,,trisZ'Itle.lti:tiTilar . for damages, and the said P , .a pettnitcee f Southold t; i „,s,,t„,,,,,I.,..,,,,,,Q,ek.w..,, - , t ,,,or dawn this permit, parties and the said of the Town ° • ..- e v•viaclt:Ifairdaraages,, to flsei 1kii4I' Perf°‘..r such suits untta 1 ion of the Board •dered to be the .. ; aetn'cl,in'ttli3Oad all 'ect thereto, to the dompkte exc us which is tong est 1"4 -,,, ,4 Siy. , a tier( 1 k'I!10121,j''',C1 NtiO4fr^4fro.111 ,:y, 1..,""+1, n . is +alid for r— involved ,,..44_, t, this Permit the work, data i-VCZ4,:)../%41".C.14140.P4t14;".;;.''.4'rEitri. ' required 1:13 completethe Board at a' later ' ' •d Pent 'ensues \14 ;T:472;SN'ICfriE41te411'itie may 13e de to as long as the said erfled that an& V; t4 ••"•,.:4„Xt$174Oi tail extension. , t • ed indefitlitelY, " •dence to anyone aal 05:34,4y,a,t;;;i,;;314,74.7, 0 .t should be retain/ ed, to provide evi ettft:tlagodePtM;:2:,:til'ar Otis Lerorte or project irrv°v 1 -) , , Board or A 1( \•;i:,•rE;5!)1.lt.:•;;.".‘1i,ilkir4,0,40.4!ifirl' ialt% the atm obtained. approvd of we rause for \P -t[•;;•}!•Pi:-':%114Tha'alf.4,ttl.sp.W ,,,„ originally i;,spection and • •on, maY be — \kil• ,,,•'!;r- ttv:-...,,,lyti•tx,:i0:15:4,latrizatiorllt, wect to the IL- • • applican 1-t1 $••'•'lltcr•r-114.4,,I•J•kalt4S'''';';';2[1V t involved will be au j • - of the °Eiginating: ! . -.•i 4?:•;',1•40.1„1,14"47:3:11PA.VI,,,t the work -th the provianni! i Board • lgrit...Nayr,,,,,,,`4::17,÷r7,- _compliance 'Nil of the said • , of the work - t. i41•ttit-;,,rs.'l,l)and ll°n• .- b resolution 1 dOn as a 'result ..? it$E111,4- rt,41'4,•A*4`‘`';',;ata•,tr-770 Of this Permit Y ' ce with naviga !:•/4S.•,,,:i,4,Y,c/ftli,t-ili:41.44'.1]•14710call ' hie foterferen ‘^':4-,ks-•7;“:.-4kit'i-4,1^..i-vstr•Alte,,,•,,-,,,,,,,',:,, siti -will no unreasona .,, along 1.4••("0,42.?? ktils-Xth.sSli,,f,/,',7,•;,41,4 t there be , , - • • 'or the public to pass and repass 1,,It'i•iltil'a.••1;4 *relP,,,, , 4 ence with the i. li .A ,,,.. ,Np-inyt,gdsz.." 4 , 1 . . be rio inter'ter , alterations TILVil.i,NYWSZApititikc;L.tt,pirEat there shalt th d low water mar"' est andiur the 4s",I‘e$' L.-4 '4%.",' ' ',...1' 3..ift, een high and id require the Board of ii,'4+;;;Fttiti '114%.•6;k4,1iiii.'laid-141 4/Yaw ' Town of-Sotrdte n,„,• •on of the sn''"--vau be requited, YirCf•••?-'74.1k4ii;C:;}4;k2f0,;friaNkl••••,i;•:•••.:''*; }i . ' ! operarirala of the • ed, Or if, in dr °1--ti-i-e said Pennittee to the Town \ ',trOkol•ifil tfr,54,3";;;;444t,w, Thi If future- work herein eetkunz f navigation,herein stated without expenses I i'hr-i4Zt-rl441. I•tlPY•-•lp 40.l.44,,c,1„''.. -on 'of the nucoon to tee 134;:;1114:'?I'l'it'‘;'Itif'54tilorn:;'ftei'itlj ticau4e uareasunSblealuurers this work or projectth. i 7q0C 4,14 to re131°Tde or - a the work " Yi.C;',,r4V.Y4llIcil°-- ",§Zifilid,:bi;S?,#, nonce' , t the coinPletwn i,,,cyytati,1;firvA.14,:tkwsaow: lI be . ed by the perththee o the said Board r_. ' ,sna.- wee be racer ,,/,':fir,,,‘,,Q44;,•:,c41.ZWIttic..- ...0H4•-'' 4.''That d eonseols.wat .'obtain '';'•?;•"•ivt••rcil'l45g,i1/4140l."'*a • all other permitspon failure to 1 1 7 i W",4140-14];Y]c7Yi4 '"ttee will ebta°1 subject• to revoke u ' ' '' ed sup 17i14:91tk -.. 41? re.riteli,; ';' I-That the Pe t which uta 'be \ %ittat to this peim 'I's,Z;;;Alf:,r'-s.-- ,,; Itiii r;ise,«qt,.1,, ; ' • - '- ,, , . - : . ' ' ' ' ' - '" '; . ..; ' ' •i'‘•1;'ff ';:stiitairevi al.e1:4,*.r0s,,,2,14,2i .ip A/2 - rim g/72 2 BOARD OF TOWN TRUSTEES Town Of Southold Main Road Southold, New York 11971 APPLICATION FOR FIXED and/or FLOATING DOCKS 1. Applicant's name and address: .. .94 A E., A k i N - tb?L.. 6Kat;?:..Bo/4I?:...... 2, Contractor's name and address: 3' f • 3. Briefly explain the purpose of this application: To .1..A. .6 E. x i S la N G 4. After issuance of a Permit, I expect to: (mark by an X) (a) Commence work — AT ONCE X ; ASAP ; UNKNOWN (b) Complete work in — 1 DAY • 1 MO. .....X ; 1 YR. ; FUTURE 5. Secure the correct Area Map from the Secretary of this Board, and by using an X WITHIN A CIRCLE indicate as closely as possible the location of this dock. On the reverse side of this map, provide a SCALE DRAWING which will show Ordinary Highh Water Mark, the shape and size of the dock and any supplemental pilings which are needed to hold a floating dock or tie-up a boat. Give all dimensions necessary to determine the area of the dock surface which extends offshore from the O. H. W. M. 6. Will any portion of this construction extend offshore into Town Waters beyond an imaginary line or boundary formed by other similar structures along the area's shoreline? War NO. If it does extend beyond this so-called dock line indicate by how far, approximately, ft. 7. Provide the following documents: (a) A Licensed Engineer's Survey of the property involved. (b) A copy of the Contractor's Plans and Specifications. 8. Will this construction require the Filling of any land offshore of the Ordinary High Water Mark or the Dredging of any material from Town Lands under water. or NO. If it does, Form A/4 (Application for Dredging/Filling) must be completed and attached as part of this application. 9. In requesting approval of this application, I submit that: the information presented herein is true and correct to the best of my knowledge and belief; I am the person accountable for the performance of the work in accordance with the plans and specifications attached;. I have read or am familiar with the provisions of any Southold Town Ordinance pertinent to the work involved; and further, I intend to adhere to and abide by the Terms and Conditions of the Permit, when and if issued to me. Lr L. S. C• iepted }yeAL. Dated: eter j f 9 7.3 ecfro 1 • Y , 3t ' .: