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Boxer, Gene & Macdermot, Molly
Michael J. Domin ;sident �OS�FFD(� - Town Hall Annex John M. Bredemeyer III, vice-President ��® �ti�k 54375 Route 25 Glenn Goldsmith N P.O.Box 1179 A.Nicholas Krupski 1�_ Southold,NY 11971 Greg Williams Il' ®Za Telephone(631)765-1892 dol Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: / '� Completed in field by: N En-Consultants on behalf of GENE BOXER & MOLLY MACDERMOT requests a Pre-Submission Inspection for a proposed fixed.dock structure. Located: 1035 Beachwood Lane, Southold. SCTM# 1000-70-12-17 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=q Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: 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: I have read & acknowledged the foregoing Trustees comments: 1 Agent/Owner: Present were: J. Bredemeyer M Domino G Goldsmith N. Krupski G. Williams Other r Michael J.Domino,President OF soyoTown Hall Annex John M.Bredemeyer III,Vice-President �� 0. 0 54375 Route 25 P.O. Box 1179 Glenn Goldsmith Southold,New York 11971 A. Nicholas Krupski Telephone(631) 765-1892 Greg WilliamsO Fax(631) 765-6641 COUNT`1,0c� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION /2t 6// : h. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction % constructed Project complete, compliance inspection. fes- -INSPECTED BY: COMMENTS: _a, A:6 t 5 � ` CERTIFICATE OF COMPLIANCE: Ro(3 t titHid Auks WoviQ5 AJqTL-.;!' Ram _ mvu• 'fi 'tb O ° ,Ay1 mU ryp 22 z 12m S -+ 0 14.9A(c) uo l /•8 3.A(C) V1\ 21 -N f tiy1�\s TC 10 G(°°Y m \y 2.1a lM � 7,Sti � 's � 5 3 •� m s 1 2pl 19.13" 19.12 ]BUIL) 1.2A(c) 1.IA(c) 19.4 26.2 28 uDss°• 15 16 17 18 19 21.1 20 w n 1 2AS.Afc) S.OA(c)" s 21.2' 1. 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TOWN°F "'z „ '� U S9 u loo v' us °` '°' m' -"^ „R SEE SEC NO 35/v�J rr N ti o N N m A 21 y, ,`9 ° OTB-OS-035 SOUTHOLD 651" 67 ,oa N k y 28.3 x29.1 , _ N 304200 1.2A 2628.2 284 S,OA(c) �_ °\50.1 "+ pOHw w LWE I6 - TOWN OF zq, ., i H U ,zn e \ ° 0E- MATCH SOUTHOLO xA, i \v 'O •' \�sw 53 s zoul' zo, 3 9'a Y 's � o•A" 52 „ � u, 1 62• z I° YSHDREUNE sre ,y tt- _sa NOTICE Q COUNTY OF SUFFOLK © E 060 °61 063 °64 65 SOUTHOLD SECTION NO -� Ny3'w}Oishkt LVre --H-- UNLESS ORA OTHERWISE, ALL PROPERTIES TOWN OF F/ ARE WITHIN THE FOLLOWING DISTRICTS R-- Real Property Tax Service Agency Y 133 070 SCHOOL 5 SEWER WW, MAINTENANCE,ALTERATION,SALE OR VILLAGE OF HST _ FIRE 26 WATER HYDRANT DISTRIBUTION OF ANY PORTION OF THECounty Center Riverhead,N Y 11901 M / PARK r0 REFUSE SUFFOLK COUNTY TAX MAP IS PROHIBITED A MASTEIIATER WITHOUT WRITTEN PERMISSION OF THE p0 ALE PI FEET s°p P 0T5 ora DSTRCT HO 1000 PROPERTY MAP REAL PROPERTY TAX SERVICE AGENCY. .:'�."-;...�°-'.m"„"�g„"'.*.r�a..6- _�M_,. ,._-yv., ,78�ra�::"'�a�.>�..,...__ _-�..1ca"a..-�rra�x.����s.-,.-__•<-��> +�;.-ns,rww. � '�.-e�s,tzsr�gg"� 'k-:"tu`-r•-, .:� 'ax _ �'.�-�ez`.t+.<+�^z � - � � - - _' -c9 r., ..,w>,.. .- _ ,E-Ss.`+rt�a �Z'.oaw� uNe �?e•:PRrewt*�.=_ J SEE SE4 NO.Ota y � 7 .'uLy - • H- 5++-------Zz----- � " -I~ tz oc fid" M* wEST Hiu Ro tsm g = Town creek •\1 fi =$ + q 9 s v 4�1 � i z3�0 z4E n � h ze +lo �]� d •" c3 � 41 t. ,°] m'I O m 2s 823.3 !, x • m TOWN OF SOUT1OLD 1 3 M1 O ` 5 sS Mm95 B >t 10 h ` +• ., m Z' bw d d• 1s w„+°'a " [ $ bih 14A(c) " q6.1 39 gi a`S5 3 4 m O$9 4• 1 �' $ 9""219 21 {.a n n n .n pD 16A(c) n 3A(Q do 50m M m �°�C'�a®J/6SM;Mry I:N0 E-ms•em _4 tNo 6 5 m SOUIHOLO SCOHOcO) 42 610 5 ] IA O /I 13 •` e 8 _ .yb 911` P a P, •� P f2 a Cye \ O) 9 p 11 s d 'V'Bp q : ^• 11� �i ��T 'D� i'mM3 1 .a \ \ // 21 S N m�202 .£ cl .O.,t,P P P 9 1+ +1Pe 10 OP / .�� $ / \ \/ �/ 21A / 12 � D FOR PCL NO m - •• •" $+♦ IM� sEE SEL NO 14 oMs� OE =I 9.Il,oT19 1`J1(0)=—'fi 9O ze 189 a 6 iB 10 1413 1912 1911 m Z 1fi 2 1] 18 a 13Nc) 11A(c) /1A(C) t tA(c) f 0A(c) tag 1 B 15 sa .» m m m m OR mm . s CREEK a^2 m ^•pL a m .m 213 211 Le �`� a ��� m - n'It u B _10 E t1 a tz 13 to ti is 16 17 to t9 13pA(c) �w,f � © •o ryf1 �1P e E 1� 1 'x m m ^•_ � ma ^• $ 1oF c'v I 1 w».v"\\ s\\ a � '" b� 20+P w .E I � I/e -z. mm'e ^ a:+ I1516�181 m \E 10 E 191 2p+9 m + I, 2211; 1 )n \� 22 om• T.00FSOUTHOID !y0 1®V • I ty tl 10OY�1 p 191 2 M 11P w 4 s 5 11A(j z5 5 w %7A(c� ` •� . 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B 46mP :Dn 65 0 ITA q 0 TNM OF 0 2B_ n �1 ?04 1c)o z9t 91•� ,,. m cj• J l w B _ A m ma m w N 1--- '✓9 _ - m SOUMOLD a F �,YJ L 53 Q ne MATCH -- UNE S `tel.mi J - �� �m•n tuwx orswNfoln N f Ott �iw 6'�cl Q M - _ 0 w "mom•'-7 m.� � a � L .a.•.m.u. uia m u.a -----_ w..•m --�-- w.su. --n-- © K m oat 6e a SOUTHOLD SECTION NO E ��� _�_ (21) �� -- �� --a-- NOTICE cn COUNTYOFSUFFOLK E G __�__ �„,�__,,,__ N,sN+NCEu,utma,BNsaA Real Property Tax Service Agency Y eEet E uu. �..- -_ �� —_ -- --•-- Cousry'CentelRNerMaE�NY11801 A O6H 9I0 ty 070 N sN.,sn. r oumu. • wmu. w ] O aver NO 1000 P 015 ma 0] PROPERTY MAP mmhnawa,enw n m�e �F� At EN-CONSULTANTS jE C � 0 9 i September 19,2018 Mike Domino, Chairman Board of Trustees SEP 1 9 2018 Town of Southold P.O Box 1179 Southold Town Southold,NY 11971 Re: Request for Pre-Application Meeting on behalf of Gene Boxer & Molly MacDermot, 1035 Beachwood Lane (aka 50 Crittens Lane), Southold, SCTM 1000-70-12-17 Dear Mr. Domino: En-Consultants has been retained by Gene Boxer & Molly MacDermot to pursue the permits necessary to construct a fixed dock structure over the vegetated tidal wetlands between their property and the surface waters of Goose Creek. Due to some unique site characteristics, we would like to receive Trustee input on the potential design of the structure prior to submitting a formal application. Therefore, I am writing to request that you accept this letter and enclosed check as a request for a pre-application site meeting at the Trustee(s) next available convenience. Of course, please contact me with a potential date and time for the meeting so that I can schedule accordingly. Enclosed in support of our request are"Board of Trustees Application" affidavit forms signed by both owners authorizing the Trustees to enter onto the subject property and "Board of Trustees Application" agent authorization form signed by both owners authorizing En-Consultants to act on their behalf; a copied portion of the Suffolk County Tax Map; and a reduced copy of a survey prepared by Kenneth M. Woychuk Land Surveying, PLLC, dated August 9, 2017. Should you require any additional information prior to meeting me at the site, please let me know, and I thank you for your attention to our request. Res ctfully yours, Robert E. Herrmann Coastal Management Specialist Enclosures 1319 North Sea Road Southampton,New York 11968 1 p 631.283.6360 1 f 631.283.6136 www.enconsultants.com environmental consulting Board of Trustees Application --� 1rE �f g.L L; SEP 1 9 2018 AUTHOWATION (Where the applicant is not the owner) S( uid Town ti and of Tru es I/We, Gene Boxer owners of the property identified as SCTM# 1000- 70-12-17 in the town of Southold New York,hereby authorizes En-Consultants 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. N/A Prop Owner's Signature,Gene Boxer Property Owner's Signature SWORN TO BEFORE ME THIS_ / _ DAY OF ,20 Id"�e o- 14'N'�otary Public Linda S Lieberman, Piotary Pubtic State of New York; No, 41-4843886 Qualified in Suffolk Countyrnl�q �// CCertificate Filed Ne York Count/ Board of Trustees Applications County of Suffolk .J1 SEP 1 9 2018 State of New York SouihddTown Board of cru•tees Gene Boxer BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE I 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. 0 Signature,Gene Boxer i SWORN TO BEFORE ME THIS DAY OF ZO r otary Public Linda S Lieberman, Notary Public State of New York; No 41-4043$86 ' Qualified In Suilfoik County Commissior Niras July 31, 20 Certificate Filed in New Yorlc County Board of Trustees Application ; _1 C' f V � 1ID j County of Suffolk iSEP 1 9 2018 State of New York - � Southa:d Town B ai`of Trustoos Molly MacDermot BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE I 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. ignature,Molly MacDermot SWORN TO BEFORE ME THIS DAY OF 241r otary Public Linda S Lieberman, Notary Public State of Now York; No. 41-4843886 Qua;ifled in Suftoik County 'Commission Expires Juiy 31, 20s/ Certificate aeo in New York County Board of Trustees Application C-3 A9 �t- !+- lt ; X43 1 1�/ AUTHORIZATION SEP 1 9 2018 (Where the applicant is not the owner) Q ars' it s'se 1/We, Molly MacDermot f owners of the property identified as SCTM#1000- 70-12-17 in the town of Southold New York,hereby authorizes En-Consultants 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. N/A Property t er's Signature,Molly MacDermot Property Owner's Signature SWORN TO BEFORE ME THIS ��DAY OF _ ,20 Notary Public Linda S Lieberman, Notary Public State of New York; No. 41-4843886 Qualified in Suffolk County Commission Expires duly 31, 20671-1-1 Certificate Filed in New York County -SC.T.M NO DISTRICT: 1000 SECTION*70 BLOCK: 12 LOT(S):17 t SEP 1 9 2018 L Southold Tom VON Boar of Tr stee 0 LOT 21 0,4_ ZONE (an o0ka m"n=—) etc> %sk" 1,1� MAIC AE EL .40 I/vp SIK0.7's LOT 20 Lll (27X C�tm-�StOM) TIE EL 7 ------------ Olts 1 71M 009 N CIO THE WATER SUPPLr, KELLS. ORYIWLLS AND CESSPOOL FIRM PANEL #36103CO166H LOCA DONS SHOW ARE FROM ncto DaSERvA noNs AND OR DATA OBTAINED FROM OTHERS. AREA:23,065.23 SQ.FT. or 0.53 ACRES ELEVA DON DATUM __---_—___._..----------- UNAUTHORIZED -------------------- UNAUTHORIZED ALTERATION OR ADD/170M TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EOUCARON LAW COPIES OF THIS SURVEY MAP NOT HEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARC NOT IRANSFERA&E. THE OFFSETS OR DIMENSIONS SHOW HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND 07HER IMPROVEMENTS EASEMENTS AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE DME OF SURVEY SURVEY OR LOT 20 CERTIFIED TO: GENE BOXER; MAP OF-SOUTHWOOD MOLLY MACDERMOT; FILED:NOVEMBER 24, 1953 No.2141 FIDELITY NATIONAL TITLE INSURNACE COMPANY, SITUATED AT.PINE NECK TOM OF:SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design P.O. Box 153 Aquebogue, New York 11931 FILE 117-113 SCALE:1"=30' DATE:AUG. 09, 2077PHONE (631)29a-1565 FAX (631) 208-1586 N.Y.S. LISC. NO. 050862 1 mInUlning the records of Rabut 1.Hemmemy&Xemoth M.Waychuk