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Drum, Henry Shelter Trust
Michael J Domino, Preside ' O�pS1�FFQ�,�-c�G Town Hall Annex John M. Bredemeyer 111, Vice-lrresiaent h� yJ, 1 54375 Route 25 Glenn Goldsmith y z P O. Box 1179 A.Nicholas Krupski 1� ® Southold,NY 11971 Greg Williams 'y p! Telephone(631)765-1892 ��l Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 3�1y�7S 2:55 Completed in field by: Twin Fork Landscape Contracting, Inc. on behalf of HENRY W. DRUM SHELTER TRUST requests a Pre-Submission Inspection to discuss the proposed addition of approximately 250 cubic yards of sand underneath the home in order to stabilize the compromised foundation/piles and chimney, water service and further secure the septic system, all due to recent storm events that caused extensive erosion. Located: 610 Park Avenue Extension, Mattituck. SCTM# 1000-123-8-28.6 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway. 1,00 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: 1,�, erJ +o OGt ,n dune I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer `� M. Dom G. Goldsmith N. Krupski G. Williams Other Page 1 of 2 gUFFO(�- Michael J. Domino, Presidf' Town Hall Annex John M. Bredemeyer III, Vice-President h�0 Gym 54375 Route 25 Glenn Goldsmith W z P.O.Box 1179 A.Nicholas Krupski 0 "� Southold,NY 11971 Greg Williams yho® �apl� Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: Twin Fork Landscape Contracting, Inc. on behalf of HENRY W. DRUM SHELTER TRUST requests a Pre-Submission Inspection to discuss the proposed addition of approximately 250 cubic yards of sand underneath the home in order to stabilize the compromised foundation/piles and chimney, water service and further secure the septic system, all due to recent storm events that caused extensive erosion. Located: 610 Park Avenue Extension, Mattituck. SCTM# 1000-123-8-28.6 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or�other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective val l es, existing erosion protection structures and natural resources: D. :525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams E. Cantrell D. Di Salvo Other Page 2 of 2 Henry W.Drum Shelter Trust 610 Park Avenue Extension,Mattituck SCTM#: 1000-123-8-28.6 3/14/18 *W Apfl 116. v K r rI y 1 Y i '} Henry W.Drum Shelter Trust 610 Park Avenue Extension,Mattituck —� SCTM#: 1000-123-8-28-6 3/14/18 F j{ hr - t a, 'mss y O o is; o r � art • a I c .7 Survey for + E Jlb MICHAEL DRUM 1 i p/o Lots 7 & 8, "Marratooka Point" At j j• ��� a Mattituck (/ Town of I "�J �G aJlt ,4 S Qaq So 1< uthampton 6�3Z�f & �P o Suffolk County, New York f0 S.C.T.G. 1000-123.00-08.00-028.006 0 cy 7) i •'.Oq SCAIE:I'-3V NaTEs: �Nc , •1,• 1.AREA-24.184 S.F 2. s-MONUMENT FOUND. O- PIPE FOUND. L) / ].64SUBDIMSIONErn NAP"GARRATOOKA PSUFF fAED 4 ' LV THE OFr10E OF THE CIERif OF SUFFDLi( Q ,'s=A�b• =v" .ee.�a`./ syr 'L. 'JJ COUNTY ON MAR.19.1921 AS331. , ELEVATONS 4OYHEREON ARE REFERENCED i TO N.C.V.DATUM(GSL 1929). <.- E>oSTWO CONTOUR. 00. • -dJ. DATE:FEB,23.2009 JOB NO.2009-027 j . x•04 � - n 19- � �a; J.1/ i � Pcf�X' 156���V1 1 {� 1 arm 438g47•E ' S85'017•W z Nj33 OAVD H.FaX LS P.C. N.Y.SLS.IW234 . �: y�ef•.?- FOX LUNO SURVFY2NC , 64 SUNSET AVENUE MESTH AVPTCN?EACH.N.Y.11978 } S84.O8'57•W (631)788-OG22 0AL 2(:09-071 MAR - 8 2018 Southold Town Boar of Trustee r 1 - 1 1 Survey for- MICHAEL DRUM p/o Lots 7 & 8, "Marratooka Point" XI At '' Mattituck t✓ ya Town of (�� ¢ 4, Qac 4 Southampton OV ry Se ' ow Suffolk County, New York I �F i ay o s.C.T.M. 1000-123.00-08.00-028.008 S40 Pl• i1 ti�p�O� ��•(/ �' ppO SCALE:1--30. a5"l• �' / //�,, !/� ' a NOTES: 1.AREA.24.194$.F 2. •-MONUMENT FOUND. O-PIPE FOUND, f 3.SUBDIVISON MM'MMRATOOKA POINT-FILED IN THE OFFICE OF THE'CLERK OF SUFFOLK R ,'` t COUNTY ON MA19,1827 AS FILE 140.331. x G I - � py,.r ✓. % .6 4. YM M ELEVATIONS SHOHEREON E REFERENCED $- � au q t` \ TO N.G.V.DATUM(MSL 1929). �. y+j{0 `�` r` ,.r '�`O a. S 5.---4---..�E)0SRNC CONTOUR. 1 1 )F j 0. OAM FEB.23.2009 JO8 140:2009-027 N n N N M O�j S85.33*17 W J� * IZ Nj3344 N�lA OAVIO H.FOX LS.P.C. N.Y•SIS.OW234 { { • VOX LAND SURVEYING •- P 32.45' e 64 SUNSET AVENUE E MFSTHAMPTOY BEACH,N.Y. 11978 v'SW -0022S84 �100 (631)tae _ I 1.--- _---'---.—----- DMC: 2009-021 , EGE � VE MAR - 8 2018 Souaidd Town Board of Trustees , , , , • . , , � G 1 a� t , rt. a w. aw i MAR - ,8 2018 Southold-iTwn Board Tfustees , 2018 _ old lown ' •�. a . ..fes.. � `, � S �,� -` i � Ww :`exp ',�Y f '+ g2 �.�•' 'r", s f•�7r y,4' '. f Q mill 000 -.44 1 06 •,,. rt r l � r C _ iv nrr% 7 '+ • � mom— I{vvY �N WOW- rr AAsdorw-fR� No ON"— mar.. �r♦V1 ,� ,:. —. ,.... `.. ,... ..:_ v.,...:,. _._ �s:-.- _ -.._ .t p .u,vt•:vrattrFULK (C. �� „l �:-»..;,. saJrs+rx as ..._ u__ v ... g. wtcll u,E w,avi —122 surc" FOR KL NO 06,E 4' 0N 11 _ It a ! ° ,a 1 ep W °axiom ° .t \,?� +o-xia � °•. a '�^+• u wU P °i > µsI o ,s ,,,'•4 .\ aY.aus qVI Se4. a f� 6J • v A ' / e1s�°I 1pMU� P,• s+ � / ° ' O � 1 JN° a s1 • � � / //. , gel / s s n1 +Y te. W n + ab /e '/ NIC r+ D�9 / /r t SCO ® A NOTICECOUNTY OF SUFFOLK © of SECTN°N NO E a.�o�s —�— (atl 3 wrr __.__ .... __.—_ E IOUbINLD Q _ __�_ ___�__ Real Property Tax Service Agency r E .r __— _� __a_— r—_•_— o web C�w,nweee•,xYnew �Z3 N ti` a r ,i. • r �__� oru. --•-- ,r--r�� P vv Fz-- ,eM PROPERTY IMP ,1,Nq �-- 0 a Twin Fork Landscape Contracts Inc. P.O. Box 460 , D ECEQVE Cutchogue, NY 11935 F 7 PH: 631-734-6643 FX: 631-734-83 L MAR - 8 2018 Email: twinforklc@optonline.net htt ✓/www.twinfork/andsca econtractin .cot 7 Southold Town B arTr March 8, 2018 RE: SCTM# 1000-123-08.00-028.006 DRUM, 610 Park Ave Ext., Mattituck, NY 11952 To the Board of Trustees, This letter has been constructed with regards to our visit on 3/6/18 to the Southold Town Trustees office requesting a site visit for the Drum Residence 610 Park Ave Ext., Mattituck. The recent Nor Easter on 3/2-3/4 has caused extensive erosion to the barrier beach and undermined the residence causing the existing structures to become unstable. During our visit to your office, we have provided both pictures and recent survey as required. TFLC, Inc acting as property owner's agent is requesting an emergency permit to replenish eroded sand as specified below. The lost sand, approximately 250 cubic yards, would be hauled in by truck and distributed with skid loader. The sand would be replenished underneath the home, stabilizing the presently compromised home foundation/piles as well as the chimney, water service and further secure the septic system. In addition, sand would be distributed on southside of home where it was drastically depleted facing Peconic bay. An on-site meeting with the trustees is crucial and imperative to review the damage and confirm the urgency to move on the above plan. We feel it is beneficial to review the site at "mid and high" tide to view the full impact of the situation, the extreme loss of beach has resulted in a compromised home and structure situation. I, myself would attend on behalf of the property owners as well as Henry Drum, one of the property owners. I can be contacted at 516-807-2575 Thank you. Best, W W. onathan Fabb Twin Fork Landscape Contracting, Inc. Board of Trustees Application .AFFIDAVIT. BEING DULY SWORN DEPOSE9 AND AFFIRMS THAT /SHE IS THE APPLICANT FOR THE ABOVE ; DESCRIBED PERMITS)AND THAT ALL STATEMENTS CONTAINED HEREIN i 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. 2 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 t TRUSTEES,THEIR AGENT(S) OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO 2 INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, A INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF A TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE ' COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL x EROSION PERMIT ISSUED BY'THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Sign re�o*fPropertCyOwner Signature of roperty Owner SWORN TO BEFORE ME THIS DAY OF ,20 D QSf=Y DINE�SN . Notary Public, State of New York (Z No.01 DI6156676 —� Qualified In Suffolk County Commission Expires 11/27/�� i MAR - 82018 Scu!�o!d Town Board of Trustees Application AUTHORIZATION (Where the applicant is not the owner) 11i' ll1A '-. rrAA I/We.. W ( l.. `c_.. �1 _ ..u,� U- ; i owners of the property identified as SCTM# 1000-_t23._--6.-t.ab—029 66&n the town of 1MA111_'TV C.tG -New York, hereby authorizes.W 7.To N A'-r 4L vk. GL-bb S C- C-6 Ca fl f14 to act as my agent and handle all necessary work involved with the application process for permit(s)from the Southold Town Board of Trustees for this property. 4Pro, wner's Signature Property bwnes Signature SWORN TO BEFORE ME THIS .. DAY OF ma'd ; 20 0 Notaly Public LYNDSEY DIMON Notary Public, State of New York VW No.01 D16156676 MAR - 8 2018 Qualified in Suffolk County Commission Expires 11/271' Scuthafd Town _ Fin rr pf T:�stoes APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM Tlu.Town(if Southold' Code of F'thics nmhibits conflicts of interestorr the part of town ofrcers and employees:I'he pto9se0f this form is to provide infoeination which can Alert the town of ssibic-conflicts of interest and allow it to take whatever action is nec.gary to avoid sam YOUR NAME: 1) (Last name,fiist name,Middle initial less you are applying in the name of someone else or other entity,s»ch a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievanceBuilding Variance Tice =. --- Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Ido you personally(or through your company,spouse,sibling,parent,or child)have axelationship.with.any officer or employee of-the Town of Southold? "llelitionship"includes by blood,.ntarringe;or business interest."Business intcr6f!means a.business, including a.partnership,.in which the town officer or employee has even a paitial ownership of(or employment by).a corporation in-which the town officer orcrnployed owns more than 5%of the shines. YES NO X 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/agcnt/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,of child is(check all that apply): A).tlio owner of greater than.5%ofihe shares of the corporate stock of the applicant E C ^(5 � .V E (when the applicant is a corporation); D B)the legal or beneficial owner of any interest in a non-corporate entity(wheel the (� applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. MAR - 8 2018 DESCRIPTION OF RELATIONSHIP 1 LSouthold Town r Submitted thi day ofS� LJ20 z0 / S ig'naturc Print NameC Form TS I / APPLICANUAGENU/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM ilre Town of SouEiiold'c'Code of Ftliiixiroliitiits conflicts of iriteniston"the nart of town officers•and,emnloveec:.Ttie`auiriose'of' this form is to riLgvidc infbimii[ioii which`can`alert the town of pocsbieconMl is of interest and allow-iH take whatever action'�5: necessiirV'fo:flvoid same. - - YOUR NAME: (LMnameRistfiame,qfiddI6 initis_,unless u are applying iri the name of someone else or other entity,such as a company.If so,indicate the,other t person's or company's name.) r ' NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance '— Tnutee Change of Zone Coastal Erosion ` Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.).. . _-__ } . s Do you,personally.(oa,through your:company;spouse,sililirtg parent;or'child),hayc t!.n;lationship:witfi iuiy officer or-:employee of the;Town of Southold? "Relatignshijl"'incluilcs`by blood;.cgarringe,or business bttcrest "I3usiness interest";nic�ii�s a,busidess,• including a;partnership,in wh�ch;the town offiai,or employee has even a psi tyal-owrieiship:of(or,employment,by)`acorporation 3 in which theaown:officcr'or.employee:owns more than 5%`of the;stianes; YES' NO _, r If you answered"YES",complete the balance of this form and date and sign where indicated. t Name of persomemployed by the Town of Southold Title or position of that person- Des_cribc the relationship.tictw6en'yourseV(the applic gVig"gN epresentative)and the town officer or employee.Either check the appcopriatc;linc A)through D)and/ordcseiibe"irc.thespacc proJided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)_thb owner.of greater,tham5°ko.ofAvshares of the corporate stock of the applicant 2 11 (,when the applicantis.a c rporatibn); D E CE Q (� 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. MAR - 8 2018 DESCRIPTION OF RELATIONSHIP Southold Town ffSubmitted this > day of 200,,;70/4 - Signatuio _.:. . .. ..-- Print Name Form T'S 1 APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM Thc.Towndf Southold's Code of Ethics prohibits conflict§of interest on the pari of town olTcers and employices.'llic pirrposm of this form is to provide inforinaiion.which can alert the town of possible connicts of nttcrest and allow it to take whatever action is neccssary to avoid same. 2 YOUR NAME: 141jo N ffwoj 7 (Last risme,first name,ipiddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee —Change-of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,.parent,_or child)have a relationship with any officer or employee of the Town of.Southold? "Relationship"includes by blood,.olarriagc,or business interesL- 13usiness intcicst'•means ti business, including p partnership,i.nwhich-die town officer or employee has.even a partiaLownersltip of(or.employment by)a corporation in which the town of_ficcr orrenrploycc owns more than 5%of the shares. YES NO x 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/agcnt/reptrsentative)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 orbenefrcial owner of any interest in a non-corporate entity(when the Fr- E.applicant is not a corporation); Q an officer,director,partner,or employee of the applicant;_or D)the actual applicant. MAR — 8 2018 DESCRIPTION OF RELATIONSHIP t Sot ihe!d Tcwn Submitted this EJ dy of 201& Signature Print Name An fa&G Form TS 1