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HomeMy WebLinkAboutVan Duzer, Deborah Glenn Goldsmith,Preside_ � 419, Town Hall Annex A.Nicholas Krupski,Vice President ;2 54375 Route 25 0 Eric Sepenoski W „? P.O.Box 1179 Liz Gillooly �y ® ��� Southold,NY 11971 Joseph Finora � �a Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: a\&3Z2L Completed in field by: Shiela Izzo on behalf of DEBORAH VAN DUZER requests a Pre-Application Site Inspection to discuss locations for a pool. Located: 2795 Arrowhead Lane, Peconic. SCTM# 1000-98-2-22 Type o rea to be impacted: altwater Wetland Freshwater Wetland Sound vliay Part of Town Code proposed work falls under: Chapt. 275 Chapt. 111 other Type of Application: Wetland Coastal Erosion Amendment Administrative Emergency _�: re-Submission Violation Notice of Hearing card posted on property: Yes No V Not Applicable Info needed/Modifications/Conditions/Etc.: 40, �. !� Present Were: L.,,/G. Goldsmith /L,-,N. Krupski E. Sepenoski - C Gillooly ��d: Finora yuatf'"� - ' t,� g 3 oesaao .s .2�ro 6yn .t` • b'&\bb \ m-:ne-0m 1 al !� `4e z� m ''ge i y y°° o n`�' ,,o \• .X osao] � / � �. ' .. 9 �'. ��e m �2 ax y�°a� �.-'' a",,. m ° ° yt ° °O �'\ �O �',♦ n� ��� f� `. , oea°a] � t r az'� ,?at 4%`�.a m,�••s'... ..a .� 5 �\ /' ' - _ o].taae t� f � t'.1 U' a a �� tt �/� e\• 4 \1 y�.a e'� ,e 'y §s e .'�� o •,♦e� . - 0.ste-os Y `5,..�,\ ♦ P •r2'e ✓ p e 6`e 15 p�Q •Y,;15 ` `,\�.` " " - ol-xsl° i�, i ' 1 i • � ��G�t a e^y,. `� \� °' R . `L0 ` - onatFt° m.rz.ze �! t �! • r--= p�a1��y a w' � �a m ,� ,a .• �' f��� - ° . � .\,� tee. e,` �O ,za ® a ^,ye•s � / l y , °p cl < a ,S 6 I �\l � ti• ` /\-/�P��' fl � y l.s�� s'i � yyip - - " t 1�✓` •� tip° ' -nF;�g 1� \^�^m,,�:.. ;� � � �� ��' �� _j - - - ... • �,.., ./�� >a � ,� �lea '�`wt ..-t- �� �V`, ��� I 'j. 8 t _\\�/\ •� �it"., is a a��' �. ,.-;^_--,.:.� r '\r �'�f , +,< °.,�,° •""°•1zA°°"�""�"�' ", — cOUNTY or-SUFFOLK O N tancs a Real�Pmr ocpme,rotynmTa.z.°ServiceAgency Agency nxu.na zv W o. l000 sEc0n9w8b w.q (21) ae u S aEx puHinT Sarno=K&z F _ n � 1 ^� n Mop �►rrowha�d �.au�" �� fve nex, 3S.LO 10 ti Y 7 ;l+�1s.lyyc.'BIT'z 6 t�j� �y v r S �ti t' �, may,�`•, � � L i .. i r •t , i „ t -' :A'il [ •.f A. YC. .ti=� :'V � .Y, <;J-.'S i- .7 .4-.1. ! - r{ 1' Y iu_ r i t, tti1. 7o� 39•z o' W ' Y • G4rn,n�or�ier,'• ry�et s r o 17) SEC ON a . 'f©WfV Q� SJUT- ;4, 1 Guarejnteed'.•,t.o tE1e Secure+q Tide i+;lE'�1.Y�2K eared the Cul�chogve cameferg Assoc a6 s'urvegad AL'gvs+ 6, 1965 VAM T JIYL 4. SON a+ 'tf'tt7rlunlet't t.:ctn.sed Land Ifurverl 1 Ga"e�rs -wf , Ncw' Yoric i,4tra.p.4 Arro\khcad -i;.o '6. S-Ijjfaik tea, ,.iip no. 3810 '"f6+-..,s,�� - 'i:r i `+'1L k..'. 4 � Z' � .l -d✓X' CrW~T.r i. � 3 1 ;"...�L I LZ �� • - sT 1 = l t J `"y ''�Vr .r` Y d Y g" t2 ` _ • `7'7yef ' 3 * j y ^ Lei _ r f , �.E e r . - Gorn �or�ers . gar s rr t A.. RF_.C.0N .; C . 'COW N OF so..LU 43LiD �Uararifeed:,�o �E�e �ecuri+4 Ti{ie I NEW YOtCK avid +he Cu+choqua Cameirn-9 Assoc Ct5 ged Auqust '6, 1965 �,( -- t]+ 11tC}t1Ut11GY: ' L.tctn'sed Land iL.rV 01 tiYdw York: _. oard of Trustees Applicat AFFIDAVIT e' d&alt Vd-A /D tt2e2 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 BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S),IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property Owner Signature of Property Owner SWORN TO BEFORE ME THIS DAY OF bJq 20j2La k ublic EVE L GAU-SCHWAMBORN NOTARY PUBLIC.STATE OF NEW YORK Registration No.OIGA6274028 Qualified in Suffolk County Commission Expires Dec.24,20 0A8 E _oard of Trustees Applicat AUTHORIZATION (Where the applicant is not the owner) I/We Vail hV kl? owners of the property identified as SCTM# 1000 0 ' 9)- in the town of New York,hereby authorizes • y 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. ,47 Property Owner's Signature Property Owner's Signature SWORN TO BEFORE ME THIS_ O�`7 DAY OF T(A I , 20 ace Td�r Public EVE L.GATZ-SCHWAMBORN NOTARY PUBLIC.STATE OF NEW YORK Registration No.OIGA6274028 Qualified in Suffolk County Commission Expires Dec.24,2028