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Home My WebLink AboutTR-17081� John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee March 18, 2015 U BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD David Krupnick & Lowell Blumenthal 34 Stuart Avenue Amityville, NY 11701 RE: 880 DEEP HOLE DRIVE, MATTITUCK SCTM# 115-12-13 Dear Mr. Krupnick: Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 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 #1708 from Scott D. & Julia A. Osler to David Krupnick & Lowell Blumenthal, as issued on October 25, 1983, and Amended on June 18, 2014; with the condition the "L" shaped groinretty is not to be rebuilt and left to deteriorate. If you have any questions, please contact our office at (631) 765-1892. Sincerely, 1 � i John M. Bredemeyer III President, Board of Trustees JMB:amn • John Bredemeyer, President F914r Michael J. Domino, Vice -President James F. King Charles J. Sanders Dave Bergeni • Town Hall Annex 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field InspectionMork Session Report Date/Time: A DAVID KRUPNICK & LOWELL BLUMENTHAL request a Transfer of Wetland Permit #1708 from Scott D. & Julia A. Osler to David Krupnick & Lowell Blumenthal, as issued on October 25, 1983, and Amended on June 18, 2014. Located: 880 Deep Hole Drive, Mattituck. SCTM# 115-12-13 Type of area to be impacted: �Itwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland 05 Part of Town Code proposed work falls under: /. Chapt.275 Chapt. 111 other Type of Application:y 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: ,(/p *d/ _ �,/p -V 1 S 7'7J oC(C 1±efA0A,'6b 4,42 8 sY M cations` Conditions:-�-`'�^-� 1�+ � b/4 �Ib Jnr - Present Were: Bay Constable J. Bredemeyer M. Domino—J. King C. Sanders Form filled out in the field by Mailed/Faxed to: Date: Other D. Bergen 4 John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD di Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 r j FEB 1 2 2015 r APPLICATION FOR A TRANSFER OF A WETLAND PERMIT DATE z/ /2.//'�) Caw Lo m �T� �- OWNERbhVib i�1, �K PHONE �ll� - to 2 y MAILING ADDRESS 3 q STy7�-1 AyE 4R IT ILL6� 11 W -r AGENT PHONE ADDRESS 0 oc'u � p L� �2 ` At,47 %Vet- PROPERTY LOCATION TAX MAP NO: �I S I �� . S�� 1� V LOCK- 1�2,• N) / OT 1-3-06 I/We 1J ky 1 b KRO-N31 C (+ , LOW E -t -L— aLUrn �� r#1 est Transfer of Permit # 1 -tot from SCID%% 6. 4 doll A 4 . 69LU_>_ Signed B John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee June 18, 2014 Scott D. & Julia A. Osler 2145 Haywaters Road Cutchogue, NY 11935 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD RE: 880 DEEP HOLE DRIVE, MATTITUCK SCTM# 115-12-13 Dear Mr. & Mrs. Osler: • Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, June 18, 2014: RESOLVED, that the Southold Town Board of Trustees APPROVES the request for a Transfer of Wetland Permit #1708 from John Kosloski to Scott D. & Julia A. Osler, as issued on October 25, 1983, and BE IT FURTHER RESOLVED, that the Southold Town Board of Trustees APPROVES the Administrative Amendment to Wetland Permit #1708 for the existing 4'x40' fixed dock with a 4' long ramp to dock; a ladder on southern side of dock; a +/-20"x40" bench and a railing with rod holder at seaward end of dock, and as depicted on the project plan prepared by Scott & Julie Osler, received on May 30, 2014 and stamp approved June 18, 2014. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please contact our office at (631) 765-1892. Sincerely, Jo n M. Bredemeyer III (Q� President, Board of Trustees John Bredemeyer, President �oo01`914rc Michael J. Domino, Vice -President°° James F. King Charles J. Sanders • Dave Bergen Date/Time: Town Hall Annex 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field InspectionMork Session Report SCOTT D. & JULIA A. OSLER request a Transfer of Wetland Permit #1708 from John Kosloski to Scott D. & Julia A. Osler, as issued on October 25, 1983; and for an Administrative Amendment for the as -built 4'x40' fixed dock with a 4' long ramp to dock; a ladder on southern side of dock; a +/-20"x40" bench and railing with rod holder at seaward end of dock. Located: 880 Deep Hole Drive, Mattituck. SCTM# 115-12-13 Type of 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 Type of Application: Wetland Coastal Erosion Administrative Emergency Pre -Submission Notice of Hearing card posted on property: Yes Storm Water Management Review: Yes No Info needed: Modifications: Conditions: Present Were Bay Constable Chapt.111 other Amendment Violation No Not Applicable Not Applicable J. Bredemeyer M. Domino J. King C. Sanders D. Bergen Form filled out in the field by Mailed/Faxed to: Date: Other 010 . r-7 GGG L' NVIAmA Scott D. & Julia A. Osler 880 Deep Hole Drive, Mattituck 2K N SCTM# 115-12-13 X 5/14/14 we:# Mm6k 'N • John Bredemeyer, President 0Mi Michael J. Domino, Vice -President �o fed James F. King H Charles J. Sanders Dave Bergen 41o! U Town Hall Annex 54375 Route 25 P.O. Box 1179 Southold, NY 11971 Telephone (631) 765-1892 Fax (631) 765-6641 Southold Town Board of Trustees Field Inspection/Work Session Report Date/Time: M* / `'' / y l �r" SO SCOTT D. & JULIA A. OSLER request a Transfer of Wetland Permit #1708 from John Kosloski to Scott D. & Julia A. Osler, as issued on October 25, 1983. Located: 880 Deep Hole Drive, Mattituck. SCTM# 115-12-13 Type of area to be impacted: e� Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland a Part of Town Code proposed work falls under: Chapt.275 Type of Application: Wetland Coastal Erosion Administrative Emergency Pre -Submission Chapt.111 other Amendment'. Violation Notice of Hearing card posted on property: Yes No ✓Not Applicable Info needed: t Conditions: Present Were: J. Bredemeyer VIM. Domino J. King C. SandersD. Bergen Bay Constable Other Form filled out in the field by Mailed/Faxed to: Date: -. 5,.,. : �"' JZ3: r,_,•i VIS -nu .:.r.v i::v ?:J?13�=J l Town T e t,t t�oaid Of Southold � uste s SCUTHCLD, NcVI YORK h1CCRING NO. jM- 1 �' PERMIT NO.. 1708 _.. ` DATE .-Qct., .;25�_ 198r3�}��+ eYi`. r _. John Kosloski _..._._M -...: >_-- ISSUED TO�_......- ............ - �, "Id -11114 I= Fill- t ... `S Pursuant to the Provisions of Chapter 615 of the Laws, of y.J'' ttr `; . the State of New York, 1893;.and Chapter 404ofthe. Laws of he State of New York 1952; ,and the Southold :Town Ordinance en-q,•�+�?`'. {itled "REGULATING AND THE PLACING OF OBSTRUCTIONS RUCTIONS �' �`• IN AND ON TOWN WATERS AND PUBLIC LAUDS and the'to;{.t i � ` s • ' ` " REMOVAL Or= SAND, G cAV"cr: OP, O ICER' ±vtATERIALS• FROM �,•; s t �'' s ry ` LANDS UNDER TOWN WATERS;" and rm accordance with .the "" I Resolution of The Board adopted at a meetlrg hel onOct l l r,,, tl� r� , v 19._83., and in conSleeratlon or the sum of paid by y`g - , . Rt of M tituck... N. Y. and suelect to t1he Terms and Conditions listed on the reverse side hereof, Yof Souihold Town Trustees authorizes and-permUs the following: M Application approved under the Grandfather Clause f to secure a permit for a dock and bulkhead in Deepis� u Hole Creek. El all in accordance with the detailed specifications as presented in i the originating applicafion. I r #fie? IN WITNESS WHEREOF, The said Board of Trustees here- fl by causes its Corporate Seal to be, affixed, and (hese presents to ? l �+ be subscribed by a majority of said Board as o this date. WVL to MI Triztccz .,0:- '-7"--V: 'E.s - -tit �� J� J ::+- `•ci, ti: ^•� r'a':: .+,4 "y,t : ,//=!''7]u` S� „�►,r�z ��'�"rrn.b.:`¢s,�' en.�-, .�,"s*:.ru.�'. "�"+�.."��;i-`' c:> ��n]� �v .. Y. %�;? c t '� ..-''.;i 7 ctw 7n.e.•`"".. t. .e. �r�i] F., -r! F 2i�.�.^' y. , y '.•..��" • Ar '-'� ='t � 'a .• � a�. /cry ..i;,�a- �z-� # � yy. '". Aly.•.�,",,•R ._�.r "'�*K'. ..e.'> � +2•' �-s '"`.: Board Of Southold Tovvn Trusties SOUTHOLD, NEW YORK MOCRZ::G NO. N/A Oct. 25 1983 Grandfather PERMIT NO. 1708 DATE:....... _.... Clause John Koslosk&L DOCKS AND BULKHEADS MUST ISSUED TO ..- ....................... _....••••--••DISPLAY' VISIBLE PERMIT NUMaERS I certify that the wozFL as authorized in this persit has been completed and is now ready for your insoec- ticr.. Also, the nu:er rewired on this ]rotiect is clearly visible. I further understand this permit is not valid until' this tear sheet - is returned to the Trustees. TERMS and CONDITIONS The Permiree John Kosloski i aI RFD #1, Box 85 E, Mattituck 4 residing at N. Y., as part of the consideration for the issuance of the Permit does understand and Pr --scribe to the fol- lowing: I. That the Southold Trustees Permit must be prominently disolaved on the premises effected thereby during the period o£ 2• Tnat the said Board of Trustees and the Town of Southold are released from any and work 3I all damages, or claims for damages, of suits arising directly or indireely as a result of any open- under N adon performed pursuant to this permit, and the said Permittee will, at his or her own e=ewse, is the �i defend any and all such suits initiated by third parties, and the said Perminee assumes full liability i- with respect thtreto; to the complete exclusion of the Board of Trustees of the Town of SonthoidPer._'1i . I 3. That this Permit is valid for a period of AR which is considered to be I sufficient time required to complete the work involved, but should circumstances warranty :eQucsst for an extension may be trade to the Board at a later date. t 4. That this Permit should be retained indefinitely, or as ]ong as the said Permirree wishes to maintain the structure or project involved, to provide evidence to anyone concernedthat auth - orization was originally obtained, dr!Z. That the work involved will be subject to the inspectioa and approval of the Board or �J! its agents, and non-compliance with the provisions of the originating appiieatioa, may be cause for _ revocation of this Permit by resolution of the said Board. 6. That rhere will be no unreasonable interference with navigation as a result of the work'_ 3 herein audiorized. 7. That there shall be no interference with the right of the public to pass and repass along t') the beach between high and low water matin, _ 8.. That if future operations of the Town of Southold require the removal and/or alteradoas in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the {� work shall cause unreasonable obstrucnon to free navigation, the said Permittee will be required, upon, due notice, to,remove or alter this work or project herein stated without expenses to the Town _ 9 of Southold '• 9. That the said Board will be. notified by the Pe-tmictee of the completion of the work aura- orued. (See tear off sheet.) ;I 10. That the Permittee Will obtain all other permits and consents that may be rtoutir_d. sup- tl plemental to this permit which may be subject to revoke upon failure to obtain same. 4. IFFF ..... .. .. .. ._ .. _ _ ALL DOCKS AND BU1.KH+UST gA.*-1 OF C.^ -K .o. DISPLAY VISIBLE PERMIT 11111-11,11+ BERS 3 04 BOARD OF MTN TRUSTEES Town Of Southold ! g� Main Road-% Southold, New York 11971 APPLICATION FOR FT.IrD and/or FLOATING I. Applicant's name and address �:l. r. .F.: »6 S ............. I... ... ................................5 2. Ccntrector's name and cddress:.........................,........................................................... ...... ............ ............................................................................5...............y�.......... Z!ea 1�r%....,...................... 3. Briefly explain the purpose of this cpplicction:.L.a..f :� v./'. .... ....1. !!. tk G�l........: ............. .....bi .' ............................................. ........... ...... 4.A`.ter issuance of a Permit, work must be co;npletec within one year. LA? G:: 5. Secure the correct Area Mop from the Clerk of this Bcard, and by using a/ X WITHIN A CIRCLE indicate as closely as possible the location of this deck. On the reverse side of this mop, provide a SCALE DRAWING which will show Ordinary High Water Mark, the shape crr-� size of the dock and any supplemental pilings which are needed to hold e flcotirc Cada or tie-up a boot. Give all dimensions necessary to determine the erec of the Mack surface Fi?i_TC EX= -NDS OFFSHORE from the 0. H. W. M. If adjacent property owners have docks, specify location and length to scale. - 6. Will any portion of this construction extend offshore into Town Wcters beyond en imcginary line or boundary formed by other similar structures clang the area's shoreiinv? YES oir NO. If it does extend beyond this so-called dock line indicate by how for, cppreximately........... 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. (c� Shcrt En•rironmental Assessment form. (d tv�tlands Appl.icati,on 8. %,,d,f the ccnstructren require the Filling of any lord offshore of the Ordinary High Water Mark or the Dredging of any material from Town Lard. under water? YES or NO. If it does, Form A/ (Applic.e:ion for Dredging/Filling! must be completed and attached as pert of this application. 9. In requesting approval of this cpplicotirr, I submit that: the tnforr :tion present!d herein is true cnd correct to tha i:esr of my �no•.,ledgc and belief; I em the pe•crm for the performcncc of ncc work in accordance with Orris ans and speciiic rt'; ns attached; I have read. or am rcmmcr wirh t.-,a'provisions cf any Sou;^aid Town Crd:nor•ce =arrinenr to ine work involved; and further, I intend to cohere to and abide by the Tarrns end Ccnciticns of the Permit, when and if issued to me. 10. To expedite finding specific location for inspection, indicate by using a temporary marker.z> A/7 Rev. 2/87. :. L. S ...-........ NAZIL: OF CREEK VUr BOAIM OF TOiN MUSTUES Town Of Southold Southold, New York 71971 Alain Loud r APPLICATION FOR A BULI IIEAD. DIKE, OF JETTY 1. Does this project involve the use of WETLANDS as -defined in the Southold Town Wetlands Ordinance? YES or NO. If it does, you must file through the Town Clerk's Office. 2. Is the, proposed work entirely. within the boundaries of your own property as substantiated by your Deed or :$urvey? YES or NO. if it is, a Permit is NOT required from '.itis Board,: but the Town Build(rg Inspector should be const ctedf for full details 3. Applicant's Home and address. !/ d .. ... .C............................................................ `� T�. ..�..PAX ..�s..�``...!'..!!� ?"1.': r�c1 r i�`LTei;2 g Contrcctcr's name and cddress:........................................................._......................................... ........................................................................................................................ i.:...................... R Ito 5. Explain briefly the p pcse of this application TO.s tC nN b 13 N........ �.....A...�.... .....:...�r�`�...�..g.`.,k..z�..`....�nsl�e��a . (_.....7..............I........................................................................................................ ........................................................................................................................................................ 6. After issuance of Permit,work must be completed within one year. r LAP= 7. Secure the correct Area Map from the Clerk of this Board, and by usirga/ X `N!TFilN A CIRCLE as a mark, indicate as closely as possible the location of this project. On the reverse side, provide a SCALE DRAWING which will show Ordinary High Water Mark as well as the size and shape of the structure or work to be done, Also include all dimen;iuns for porticns which extend offshore from tho 0. H. W. M. State Adjacent property owners. $. Provide the following documents: , (a1 . �.� (b) A cony of the Contractor's Plan and Specifications. (c), Short Environmental Assessment Form. 9. Coe: this project extend into Town Waters beyond on imaginary line or bcundory formed by existing works of a similar nature along this area's shoreline? YES or NO. If it docs, state tl.e approximate distance beyond . ............ ft. 1C. Will this construction require the Filling of ony land offshore of the Ordiriary High Water Mark. or the Dredging of any material from Town Lands under wct:ir-' YES or NO. If it Jocs, Form A/4 (Application for Dredging/Filling) must be completed and attached as port of this application. 1 i. In rcouesting epprrnal of this app!ication, I submi' that: thrr inforrnoti::n presented kerein is true and correct to the best of my knowledge and belief; 1 am t'te person occountoht_ for the performance of the work in accordance with the plans and s:)tcifica�rans attached; I hove recd or am familiar with the provisions of any Southold Down Orlinunce pertinent to the work invotvcd; and iurther, I intend to adhere to and abide by the Terms and Ccndaians of the Permit, when -.nJ if issued to me. 12. TO EXPEDITE FINDING SPECIFIC LOCATIO.' FOR INSPECTION, INDICATE BY USING A TE,%IPORARY MARKER.. A/3 Rev. 2/82 L. rS. ,................. .............. ! .6,1t # .]\( . �. _ \ � | - . . Al Af4 rF P � » . CONSULT YOUR LAWYE*ORE SIGNING THIS INSTRUMENT -THIS INSTR&T SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the 9th day of May, 2014 BETWEEN JAMES KOSLOSKI, residing at 18 Beech Street, Huntington N.Y. 11743 and JOHANNA OLMSTED, residing at 1300 Westphalia Road, Mattituck N.Y. 11952 party of the first part, and SCOTT D. OSLER and JULIA A. OSLER, his wife, residing at 2145 Haywaters Road, Cutchogue N.Y. 11935 party of the second part, WITNESSETH, that the party of the first part, in consideration of SEVEN HUNDRED THOUSAND and 00/100 ($700,000.00) dollars 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 at Mattituck, Town of Southold, Suffolk County, State of New York, bounded and described as follows: BEGINNING at a point on the westerly side of Deep Hole Drive, 864.28 feet southerly along said westerly line from New Suffolk Avenue from its intersection with the southerly line of New Suffolk Avenue being the southeasterly corner of land of Connor and running along said westerly line of Deep Hole Drive, South 2 degrees 40 minutes 40 seconds West 110.00 feet; RUNNING THENCE along land now or previously of Wendt North 87 degrees 19 minutes 20 seconds West, 187.11 feet, the high water mark of Deep Hole Creek; THENCE northerly along the high water mark of Deep Hole Creek the following two tie line courses and distances: 1) North 07 degrees 44 minutes 35 seconds East 52.34 feet; 2) North 24 degrees 33 minutes 36 seconds West, 65.09 feet to land now or formerly of Connor; -3.)- THENCE along land now or formerly of Connor South 87 degrees 19 minutes 20 seconds East 212.28 feet to the westerly line of Deep Hole Drive at the point or place of BEGINNING Being and intended to be the same premises as described in deed made by John Kosloski, as surviving spouse of Stella Kosloski, recorded 05/01/12, Liber 12692 page 59. 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 premises herein granted unto the party 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" when ever the sense of this indenture so requires. IN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above written. IN PRESENCE OF: Standard N.Y.B.T.U. Form 8002 - Bargain and Sale Deed, with Covenant against Grantor's Acts — Uniform Acknowledgment Form 3290 TO BE USEUMLY WHEN THE ACKNOWLEDGMENT IS MAIN NEW YORK STATE State of New York, County of Suffok ss: State of New York, County of On the 91h day of May in the year 2014 before me, the undersigned, personally appeared JAMES KOSLOSKI and JOHANNA OLMSTED personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the indiyidual(s) acted, executed the instrument. (signature and offZe of individual taking acknowledgment) MARY KOIAKONSK] Notary Public, State Of New York No. 01 KO4870006 Qua;H'.ed in &rffolk County J Comm. Exp. Sep • - %. / On the day of in the year before me, the undersigned, personally appeared ss: personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. (signature and office of individual taking acknowledgment) TO BE USED ONLY WHEN THE ACKNOWLEDGMENT IS MADE OUTSIDE NEW YORK STATE State (or District of Columbia, Territory, or Foreign Country) of State of On the day of ss: in the year before me, the undersigned, personally appeared personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument, and that such individual made such appearance before the undersigned in the in (insert the City or other political subdivision) (and insert the State or Country or other place the acknowledgment was taken) BARGAIN AND SALE DEED WITH COVENANT AGAINST GRANTOR'S ACTS Title No. T STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERS Distributed by IR Commonwealth A LANDAMERICA COMPANY COMMONWEALTH LAND TITLE INSURANCE COMPANY (signature and office of individual taking acknowledgment) SECTION 115.00 BLOCK 12.00 LOT 013.000 COUNTY OR TOWN SOUTHOLD STREET ADDRESS 880 DEEP HOLE DRIVE Recorded at Request of COMMONWEALTH LAND TITLE INSURANCE COMPANY LARK & FOLTS, ESQS. PO BOX 973 CUTCHOGUE N.Y. 11935 0*rifs 0 John M. Bredemeyer III, President �0(/jiyo 01 Town Hall Annex Michael J. Domino, Vice -President �� W 54375 Main Road P.O. Box 1179 James F. King, Trustee Southold, New York 11971-0959 Dave Bergen, Trustee G Telephone (631) 765-1892 Charles J. Sanders, Trustee y`OU Fax (631) 765-6641 BOARD OF TOWN TRUSTEES D E C. F p TOWN OF SOUTHOLD AY 2 3 2014 APPLICATION FOR AN AMENDMENT TO A WETL N I MIT - .! T DATE OWNER c 0,L 3 I -e! PHONE `/ - 2 S 4 MAILING ADDRESS c --)Lf 53�- AGENT PHONE ADDRESS l \ PROPERTY LOCATION TAXMAPNO. f Qoy - (/S- od ---/2.00 - o/3 I/We y � i O5 (,n request an Amendment to Permit # 1-4p$ v� sfirc b clf- -W;,e to a Cc- ,A CNka1,.C,cs � � �% � ,,�ic�. i 5 vias �19fJ -Ft �4- rCO, Signed By: cl, MW c :.� rid 1��1 c - IL JOIN ►'� % i CLR L) civ CL BJW of Trustees Application* County of Suffolk State of New York JDS I� 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 DONEIN 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. Owner SWORN TO BEFORE ME THIS 2�4'4 DAY OF� ,20 &CM , -P U Notary Public CONNIE D. BUNCH Notary Public, State of New York No.OIBU6185050 Oualitled in Suffollkp °14 Commission Expires APPLICANT/AOENT/REPRESENTA.TI" TRANSACTIONAL DISCLOSURE FORM necessary to avoid same. YOUR NAME: 05 )—Q r ) l (Last name, first name, griddle initial, unless you 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 Change of Zone Coastal Erosion Approval of plat Mooring Exemption f plat or official map Planning Other (If "Other', name the activity.) 7,a v, g�" �G� O c own 1L�S int 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°fo of th ares. 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 appliclttt (when the applicant is a corporation); . B) the legal or beneficial owner of any interest in a non -corporate entity (whets the applicant is not a corporation); C) an officer, director, partneigor employee of the applicant; or D) the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 3 of I 0[q 2014 Signature. Print Name f Form TS i " • John M. Bredemeyer III, President Michael J. Domino, Vice -President James F. King, Trustee Dave Bergen, Trustee Charles J. Sanders, Trustee BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD APPLICATION FOR A TRANSFER OF A WE DATE May 9, 2014 Scott D. Osler and OWNER Julia A. Osler Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax(631)765-6641 f�_ M AY - 9 2014 PHONE (631) 734-2575 MAILINGADDRESS 2145 Haywaters Road, .Cutchogue, NY 11935 AGENT N/A ADDRESS N/A PHONE . N/A PROPERTY LOCATION 880 Deep Hole Drive, Mattituck, New York TAX MAP NO. 1000-115.00-12.00-013.000 i/We, Scott D. Osler and Julia A. Osler Permit# 1708 from John Kosloski request a Transfer of Scott & Julie Osler 880 Deep Hole Drive Existing Dock Plan View E C Matbtuck, NY 11952 ... -. -. 5/30/2014 Rev A 3 MAY 3 0 2014 O L J QJ APPROVED BYfu C: - - BOARD OF TRUST S TOWN OF SOUTH !d I --- 21•_0•• _- L I a.., 3 I 15'-2,1 I � � Ladder I Ci 4'_0,1 51_5f' _..__......--.... I Bench 41.011 ',E 401_011 Ramp ` Dock E ` 441-111 Overall Ramp & N Dock yG � , DATE D73_'Y 717S:EL� 1_==-G Nu2na V-�S:7,L� nvn.171 lqu'.J: ALL A�:D "UST DISP!�� s r1 e. f Tr Df -rd OSoutho!d lov uste SOUTHOLD, NEW YORK PERMIT N O 1708 .............. DATE: 1988A ". John Koslo8ki ISSUED TO ......... ... .......... ............ . ...................... ........ ..... . ................ ........ 77_... _kL V Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 40A Of fln T e Laws o F the State of New York 19523; and the Sou ih0!d Town Ordinance an - filled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN' AND ON TOWN WA AND PUELIC LANDS � and the A� - , EL OR 01 _R MATER REMOVAL Cr - SANDGRAVr RIALS, FROM LANDS UNDER, TOWN WATE41S;" and in accordance with the Rescluilon ofTla Board adopted at a rneeiir,3 held on Oct .... 111.... 19.11., and in consideration OF the sum of paid by jl. .. .......... ..... I . ............ ....... .. .... . ............ ...... ...... . ........ Of MLttituck ........... .... ............. N. Y. and subjecl to fh e lir Terms and ConC 'Icis listed on the reverse side hereof, A y. g" of Southold Town Trustees aufhorizLs and permits the following - 'PIS Application approved under the Grandfather Clause 1,4 �P �Z-;o to'secure a permit for a dock and bulkhead in Deep .,oKK Hole Creek. n spacincaTions as �q"%, all in ac ant wit' "-a detailed r)resenfed in the Originating appl: Oaiicn. IN WITNESS WHEREOF, The said Soprd of Trustees here - 7 n. by causes its Corporate Seal to be ac' ffixe, and these Pr -s , enf s to be subsci�ed by a majorifly of said Board as Of this dare; Grandfather Clause z-4 En Wk, I 77msfe,s Bocird Of Southold Town -1rusteneDs SOUTHOLD, NEW YORK 14003 I'7 G NO. N/A PERMIT NO, 1708- Oct. 25-, 1983 .1 .. ......... DA T . ...... .. ISSUED TO ,_._John Kos.1- skDOCKSliL DOCKS AND BULKHEADS MUST ........ ....... ....... ........-- b15PCXYI VISIBLE PERMIT NUMBERS cer it;r that the work as authori=ed- in -.."Is permit has i-_een completed and is nc,.q read: acr you= '4 nspec- t- -!Dar required on this nrojec- t ic, I Also, the num is clear -1v visible. valid until' this tear sheet I ,`her underst--nd this permit is not Is returned to the Trustees. TERMS and CONDITIONS. Y RSI The Perhtrttee John Kosloski RFD #l, Box 85 E, Mattituck to residing at N. Y., as C=I part of the consideration for the issuance of the Permit does understand and Prescribe to the fol- lowing: 1. That the Southold Trustees permit must be prominently rl displaved on the premises effected therebv during the period of 2. Tnat thesaidBoard• of Trustees and the Town of Southold are released from any and Work all damages, or claims for damages, of suits arising directly or indirectly as a result of any oper-Under anon performed pursuant to this permit, and the said Pe.-micree will, at his. or her own e-a—se, A tai .defend nay and all such sats initiated by third patti:s, and the saidPetmittee assumes full 1i:�iliry the ,r,;f with respect thereto, to the complete e ciusion of the Board of Trustee of the Town of SouthoidPer-lit. a- 3. That this Perm t is valid for a period of 01, =R which is considered to be 1 sufficient time required to complete the work involved, but should arct•.mstahces warrant; reque;c for an extension may hemadeto the Hoard at a Iater date. 4. That this Permit should be retained indefinitely, or as long as the said Pe-mrree wishes 54 to maintain the. strucure or project involved, to provide evide:.ce to anyone concerned that auth- - - orization was originally obtained, 5. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application, may be cause for KIjrevocation of this Permit by resolution of the said Board. Ai -"' 6. That there will be no unreasonable interference with navigation as a result of the work - 7I herein authorized. %. That there shall be no interferent_ with the right of the public to pass and repass along rI t`:e beach between high and low water marls, 3I G.. That if future operations of the Town. of Sottthcld require the removal and/oz altemtioMs t?; is thelocation of the work herein authorized, or if, is the opinion of the Board of Trustees, the work shall cause unreasonable obst ucnon to free navigation, the said Permittee will he requir-ed, s l upon, due notice, to,remove or alter this work or project herein stated without expe:ses to the Town S of Southold- 9. outhold9. That the said Board will henotified by the Pe_mirttee of the completion of the work auk- prized. (See tear off sheet.) ;I 10• That the Pe mircee will obtain all other permits and consents that may be revuul ed sup - C( pkemental to this permit which may be subject to revolve upon failure to obtain same. a4� � TELEPHONE (516) 765.1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 October 25, 1983 Mr. John Kosloski RFD #1 Box 85 E Mattituck, New York 11952 Dear Mr. Kosloski: Transmitted herewith is your permit which was granted under the Grandfather Clause, for your structure. Please post your permit number on your structure, so that it can be seen from the water. Thank you for your co-operation, in regard to this matter. Very truly yours, Board of Town Trustees 0 F Ilene Pfifferling G Clerk to Trustees Attachment : /t ::ev7er=r2 BO_kRD Or TOWN TRUSTEES Town of Southold Main Road Southold, ?beau York 11971 NOTICE OF ACTIOIN — NOT A PERMIT To. John Kosloski L Your application, dated ........9%6/83 ........... ......... ................. has been reviewed by this Board, at a meeting of the Trustees held on gctober 11 , 1983 and resulting in the action, as indicated below: (MMApplication approved. ............) Application denied. (............ Application tabled. 2. Comments and remarks: Application approved under the Grandfather Clause to secure a permit for a dock and bulkhead in Deep Hole Creek. A PERMIT FEE 3. If v^ur r^clic^tion is n � P� dove .r—Onrmrt tin is naw due and should be made payable to the orcer of the Board of Southold Town Trustees.' This fee is computed below according to the, re u! pf Rtes s set forth in the tnstr�ct,on ghee llF rm I/7 This ust be paid v t n 0 ays or re -applying a, atde(J- Iona fee ws.I� Ce necessa�c If the Permit Fee is oaid in person to the Secretory of the Board, The Permit will be obtainable at the some time. If the fee is paid by mail, .the permit will be mailed in reply. Computation of Permit Fee: Total Fee far this application .........................CJ - e --o ✓' ..............I.................... 5 ............. .. Sign .. ... �,7........ /� P,.:ejjs Board of Southold Town Trustees. by ..LKC �....� / ......:. f _-.-- _ Clerk ;ni CF C.FCALL DOCKS AND BULKHEADS MUST �_� DISPLAY VISIBLE PERMIT NUMBERS BOARD OF TOtt'Y TRUSTEES Town Of Southold Main Road Southold, New York 11971 r ii APPLICATION FOR Fn -:',:D and/or FLOATING DOCK z 1. Applicant's name and address: 2. Contractor's name and address: ........._................................................... .................. ........ ....... ....................... .......................................... mol 3. Sri:try explain the purpose a. this cpplicla,icn:.1.,�.f �� .� .. ....(.'� i., —11 ... .=? , � .... s'1 ....... .................................................... ............ d. Af-1 er issuance o= a Permit, work must be co:'::plezed wi-Lh:in one year. LARGE 5. Secure the correct Area Map from the Cler . of this Sccrd, and by using a/;\ `NITH;N A CIRCLE indice:e as e!csciv as ccssib!e the !cceticn of this dock. On the reverse side of this map, provide a SCALE DRAWING which will show Ordinary High Water Mack, the shcae cr..d size or the dock .and any supplemental pilings which are needed to hold a f!aa;irg aaCk or tie•uo h boot. Give all dimensions necessory to determine the area cf the r4crtr urfcce [11_:ilC:4_ EXTENDS Or FS -04S from the O. H. W. M. rA adjacent property owners have docks, specify loc-tion and length to scale. 6. Will any portion of this construction extend offshore into Town `,voters beyond an imaginary linear boundary formed by other similor structures along the area's shoreline? YES or NO.. If it does extend beyond this so-called dock line indicate by how far, cpprcximotcly,.......... ft. 7. Provide the foilcwing documents: (a) A Licensed Engineer's Survey of the prcper'v involved. (b) A copy of the Contractor's Plans end Specifications. ((cj Shcr r^rir amental Assessment Form. (d Wetiands Application S. Wi f this cmnsrru.,.icn require the Filling of eny carr? offshore of the Ordinory, High V"gter Mcrk or the Drcdgir.g of any material from Town Lards under water? YES or NO. If it does, Form (Appliconon for Dredging/'Filling) must be cornaletea cnd attached as pert of this application. 9. In requesting cpprovni of this cpplicznnr., I submit that: the infcrr:tzon pro^n"d 'herein is true and correct to the •nestymy kr.o,,dedge and belief; I em the pe-ccn c ebie for the performance of the wor incccordonce with the pions and specmcc`;;;ns etta.iied; i have read cr am fcm,iicr wit^ t",e provisions of cry Sour^oid Tcwn"Crdincnce a rtincnt .o 1ne work involved; cid further, I ir,r=n^ to cohere to and aide by the Terra, cr.J Ccnaiticns of the Permit, when and if issued to me.. 10. To :cpedite finding sceciHc location for lns7ect on, indicate by using a temporary mar}:ers A/2 R _ir...2/82 C: S. .. f'f�W L'O;UD OF TOWN TRUSTIES Town Of Southold Southold, `sew York 11971 Alain Road APPLICATION FOR A BULKHEAD, DIKE, 01 JETTY 1. Does this project involve the use of WETLANDS os, defined in the Southold Town Wetlands Ordinance? YES or NO. If it does, you must file through the Town Clerk's Office. 2. Is the proposed work entirely within the boundaries of your o++n, property as 5UbStartiated by your [Deed or (Survey? YES or, NO. If it is, a Permit is NOT required from this Board,, but the Town Building Inspect --r sh ro�uld b const cted% for full details B. Applicant's no/me oral address ...c1. l ko.j"01,'S.1o. t �r Tel Contrcctar's name and address'.........................................................:.. Te 5. Explain briefly the P p ,e of this application: ¢ S c U . !.T.' .............. ...:.......... .Ir........................................................................................... b. After issuance of Permit,work must be completed within one year_ LARGE 7. Secure the correct Area Map from the Clerk of this Board, and by using a/ X `rY;TFiIN A CIRCLE as a -mark, indicate as closely as possible the location of this protect. On the reverse side, provide a SCALE DRAWING which will show. Ordinary High Wotc. Mark as well as the size and Shope of the structure or work to be done, Also include all dimerricns for portionswhich extend offshore from the 0.. H. W. M. State Adjacent property Owners. Z. Provide the following documents: -(a1 g rr'�L (b) A cony fof the Contractor's Plan and Specifications. (c; Si.ort Environmental Assessment Form. 9. Coes this project extend into Tov n Waters beyond an imaginary line or boundary formed by existing works of a similar noture along this oreo's shoreline? YES or NO. If it does, state the approximate distance beyond . ............ ft. 10. Will ;his construction require the Filling of any land offshore of the Ordinary High V'eter Mark or the Dredging of any material from Town Lands under •nct::r; YE5 or NO. If it does, Form A/A (Application for DredginglFilling) must be completed and attached as pert a' this applicarion. I i. In requesting epprmul of this application, I submi' that: the mfo:rnati::n presented herein is true and correct to the best of my knewiedge and belief; 1 am t:ie person occountatile for tt•e performance of the work in accordonce with the plcr.s and so_cifiracions ottarhed; I hcva recd or am Familiar with the provisions of any Southold town Oriinunce pertinertto the work involved; and further, I intend to adhere to and abide by the Terms and Conditions of the Permit, when ,nd if issued to me. 12. TO EXPEDITE FINDING SPECIFIC LOCATIO. FOR INSPECTION, INDICATE 8Y USING A TEMPORARY MARKER., A/3 Rev. 2/82 L. S... .. 2./�... ............... l' __ -. _ _. C 7 p c— '�.`i.3 s ",s i (M4 I