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Home My WebLink AboutTR-5311 � �.,�K. �' o. . iZ `��.- `•l `' \��w S1 / ..y�y.�• h_ r�- A..'.!� Board Of Southold Town Trustees �. SOUTHOLD, NEW YORK « 5 DATE: May 1, 200. PERMIT NO. ... ... ........ ... ........ TE . V .. DOROTHY ABBOTT ISSUED TO ' Pursuant to the•provisions of Chapter 615 of the Laws of. „ the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and the Southold Town Ordinance en- ; titled ."REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the r: ".� REMOVAL OF SAND, GRAVEL-OR OTHER MATERIALS FROM . y. LANDS UNDER TOWN WATERS;!': and in accordance with ther'' A ril 25, Resolution of The Board adopted at a meeting held on ...P......................: x1 200 00 2001 d r . ..... and `in consideration of the sum of $. ........._�.............. paid by 1`�• Dorothy Abbott ..................................................... L H t=; of Orient ................. bject to the ................... N Y and su 4. Terms and Conditions listed on the reverse side hereof, ofdStholc Town Trustees authorizes and permits the following: ..' Wetlan ' ermi to construct a 581 westerly extension of an exist. ; rock revetment and a 15' westerly-return. Backfill will approx. 25 cy. of clean sand to be trucked in from an upland source and ._� planted with Cape American beachgrass (12" on center) .Proposed . n revet iEnt exte sion,i 1 in r t rn,e i#l�ca l s eiet�t rin aT in accordance w h 'the �tale� sp �. the originating application. quarry capstone and 50-100 lb. core. ti : stone to be underlain wiht Cathage 6o filter cloth. . ' IN WITNESS WHEREOF, The said Board of Trustees here- es its Cor orate Seal to be affixed, and these resents to ' i by caul p , p t : be subscribed by a majority of the said Board as of this date. F : Henry Smith Absent r �' � �� - • Trustees � S_'� .�.�:-y--- �.-R-�f--�•rf�_t4_. :�.dLit,�.:�s�^.;L�L-� -`_:�-__-�-�' �;r-'�ly%ei =�srL� •' ,:-'- :`- s.rn, ��1'ii�Y,G.�\'r ''�s�!\�` �l'y1e:�i� ✓�l`Y "�' �'F'� � '1�\ rim I TERMS and CONDITIONS The Pere Dorothy Abbott residing at 1995 Ryder Farm Lane, Orient N. Y., as parr of the consideration for the issuance of the Permit does.understand and prescribe to the fol- lowing: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any opeV ation performed pursuant to this permit, and the said Permittee will, at his or her ow expense, defend any and all such suits-initiated by third .parties, and the said Permittee assumes full liability with respect thereto, to the complete*exclusion of the Board of Trustees of the Town of Southold 2. That this Permit is valid .fora period of : 24 mos. whkh is considered to be the estimated time'required to complete the work involved, but'should draumtiances warrant, request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permitree wishes to'maintain the structure or project involved, to provide evidence to anyone concerned that with orization was originally obtained 4. 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 appli ation,.may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the.removal and/or alterations . in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the. work shall cause unreasonable obstruction 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 . of Southold 8. That the said Board will be notified by the Permittee of the completion,of the work auth- orized. 9. That the Permittee will obtain all other permits and consents that may be required sap- plemental to this permit which may be subject to revoke upon failure to obtain same. Albert J.Krupski,President �OSufF®(�CO Town Hall James King,Vice-President ��O �j�� 53095 Route 25 'Henry Smith P.O.Box 1179 Southold,New York 11971-0959 Artie Foster Ken Poliwoda `�' Telephone(631) 765-1892 �y��l �aO! Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 1, 2001 Mr. Robert Herrmann En-Consultants,Inc. 1329 North Sea Road Southampton,NY 11968 RE: DOROTHY ABBOTT 1995 Ryder Farm Lane, Orient SCTM#15-3-1.1 Dear Mr. Herrmann: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, April 25, 2001 regarding the above matter: WHEREAS,En-Consultants, Inc. on behalf of DOROTHY ABBOTT applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated April 3, 2001 and WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on April 25, 2001 at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed.and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 97 of the Southold Town Code, 2 s WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED,that the Board of Trustees approve the application of DOROTHY ABBOTT to construct a 58' westerly extension of an existing rock revetment and a 15' westerly return. Backfill with approx. 25 cy. of clean sand to be trucked in from an upland source and planted with Cape,American beach grass (12" on center). Proposed revetment extension, including return,will consist of 3-5 ton quarry capstone and 50-100 lb. core stone to be underlain with Cathage 6% filter cloth. BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency,which may also have an application pending for the same or similar project. Permit to construct and complete project will expire two years from the date it is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. Fees: None Very truly yours, Albert J. Krupski, Jr. President,Board of Trustees AJK/lms cc: DEC ACE Dept. of State Town Hall; 53095 Main Road m P.O. Box 1179 Telephone Oy,. Southold:New York 11971 (631) 765-1892. � SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Monday, April 16, 2001,. the following recommendation was made: Moved by Bob Ghosio; seconded by Bret Hedges, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the DOROTHY ABBOTT 15-3-1.1 to construct a 58' westerly extension of an existing rock revetment and a 15' westerly return. Backfill with approx. 25 cy. of clean sand to be trucked in from an upland source and planted with Cape American beach grass (12" on center).;Proposed revetment extension, including return, will consist of 3-5 ton quarry capstone and 50-100 lb. core stone to be underlain with Carthage 6% filter cloth. 1995 Ryder Farm Lane, Orient The CAC has a concern with the access. of heavy equipment during construction regarding the nesting shorebirds and the potential negative impact of the beach environment. Vote of Council: Ayes: All Motion Carried DOROTHY ABBOTT LONG ISLAND SOUND ORIENT P f rJ 'h Figure 1. Looking east from westerly property line along location of proposed revetment extension. 1 �ZA Y) i Q Figure 2. Looking wes?from westerly terminus of e-risting rock revetment at location of revetment extension. DOROTHY ABBOTT, LONG ISLAND SOUND, ORIENT r .'2,4 ' f , - l .K� Figure 3. Looking west at entire bluff toe, existing revetment, and location of proposed wester(y extension. Q_ Y '`1M�C��r.Y++..-`'"��+t..�. r�5 i �``r!'A^ � .'•t f�z`s�. ��.trt„yws�4'ay.... ..? r r.iir t,;..." Figure 4. Looking south at existing revetment, up bluff,and at subject dwelling. 1329 North Sea Road Southampton, New York 11968 631-283-6360 A-� Fax: 631-283-6136 EN-CONSULTANTS, INC. E-mVailw V.encon@sultants com ENVIRONMENTAL SERVICES April 2, 2001 Town of Southold Board of Trustees Post Office Box 1179 _ Southold,New York 11971 Ann.: Lauren Standish Re: Dorothy Abbott { APR 1995 Ryder Farm Lane, Orient SCTM#1000-15-3-1.1 ,6 Dear Ms. Standish: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: 1. . Three(3) Wetland Permit Applications, (including Notice and Proof of Mailing to adjacent owners). 2. Three(3) Short Environmental Assessment Forms. 3. Three(3)copies of authorization& disclosure forms. 4. Three(3)work plans. 5. Three(3)copies of survey. 6. One(1)set of site photographs. 7. Application fee of$200.00. I trust this information shall allow you to process our permit request. Should any additional information be required, please do not hesitate to contact our office. Since , Robe E. ann Coastal Management Specialist /khs Enc. r ALCt55 < 50dk Hagst-oii Map-52 - 5000' pRTH EA Ro) r RD m rn s p�J "S LA n ROSE g y nU�H G7q IOaal�+ FA VIA Au a P QNG P OE OF ��V D EXTENSION EX. ROCKOO EVETMENT PROPOSE TMENT A pF g�uFF O`F`55 SOp 2 3.50 Notes: 1) Purpose: extend existinq erosion control structure LIMIT 2) natum: &W BACKFILL 3)—dyit'------ ae.e Proposed revetment will consist of 3-5 ton — -- PROPOSED RETURN 1 quarry capstone; 50-100 Ibl core stone; and 140 SE will be underlain with Carthage 6 oe filter clog EX. Hou4) Approximately 25 cu61c yards of clean sand fill will be trucked in from an upland source N - 14T 2n2,e' for backflll and planted with Cape American `" 1 = 40 - �,, beach grass ( 12" O,C,) P. ,� 50 �x[stlnq revetment,constructed pursuant to `"- NY5MC Permit No. 10-89-1076 6) 51te: 1995 Ryder Farm Lane, Orient; 5C1'M 1000-15-3-I.I 7) AdjacertB-Owners: - r itzs1mmons 2 - Swanson, Abbott, Steele 100.00, LAMM �p N YPOOD .•• s, W=Mwo DRIVEWAY TO RYDER FARM • 4 "r am 200.00 LANE/SOUND VIEW AVENUE bb %C11ON IM PROPOW USN51ON EN-CONSULTANTS INC. OF rX, ROCK M&AW FN 1329 NORTH SEA RD. I' MY ti POR APPOTT ON LONG 151 ANn SOUTHAMPTON, N.Y. 11968 APR _ 3 ' ` SOS, Of?M, 51, FaK CO,, NY 631-283-6360 5 of 10l� 2 5129101 ft HOUSE '�--- 88 & VAR, - . 70 PACKS LI AMA TO P� PLAN912 W TH MACH 6M5 3 - 5 fON 3,5' QUAY 5' 21' & VAS cff%ON� - 5o - IOo Lp, COM 5f ONE :' AHW- 2' -6 F ILlu CLOTH 8 —� Imo-io' -I ,� �x, at; � z N � 7z � o _ o W � W z %clioN '1 WU ROPOS�n �MWON N Q n, �ic'�'oc� -� w D o -Z OF SOCK MV�TWNf `w � � c � � SCA,� :I 5 N En � Z: � O ozm � G, \ � yN 1,25 p o M 00 �z' `� APR 3 2001 A Bert J. Krupski, President OSVFF��C _ Town Hall James King,Vice-President =�0 O�jy� 53095 Route 25 Henry Smith P.O.Box 1179 o Southold, New York 11971-0959 Artie Foster W = Ken Poliwoda �� Telephone(631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Application ✓Wetland Permit Application `Major Minor _Waiver/Amendment/Changes deceived Application: q13b1 _,,Aeceived Fee:$cZW ' ✓completed Application 441 3 �I _Incomplete _SEQRA Classification: r__ APR - 3 CUlll Type I Type II Unlisted Coordination':(date sent ..-'CAC Referral Sent: -- /Date of Inspection: (-111A101 _Receipt of CAC Report: _Lead Agency Determination: _Technical Review: _, Public Hearing Held: 01 Resolution: Name of Applicant Dorothy Abbott Post Office Box 415 Address Orient NY 11957 Phone Number:( ) 631-323-3866 Suffolk County Tax Map Number: 1000- 15-3-1. 1 Property Location: 1995 Ryder Farm Lane, Orient (provide LILCO Pole#, distance to cross streets, and location) En-Consultants, Inc. AGENT: C\ (If applicable) `'\O 1329 North Sea Road Address: Southampton, NY 11968 y Phone: 631-283-6360 d joard of Trustees Applicat�,,a GENERAL DATA Land Area(in square feet): 73 ,758 . 49 Area Zoning: R-4 0 Previous use of property: Residential Intended use of property: No Change Prior permits/approvals,for site improvements: Agency Date x No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? x No Yes If yes, provide explanation: Project Description(use attachments if necessary): construct a 58 ' westerly extension of an existing rock revetment and a 1.5 ' westerly return. Backfill with approximately 25 cubic yards of clean sand to be trucked in from an up- land source and planted with Cape American beach grass (12" on center) . Proposed revetment extension, including return, will consist of 3-5 ton quarry capstone and 50-100 lb. core stone to be underlain with, Carthage 6% filter cloth. hoard of Trustees Applicat�.,,,,. WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Extend existing erosion control structure to stem chronic erosion to the west of existing structure. Area of wetlands on lot: 0 square feet Percent coverage of lot: 0 % Closest distance between nearest existing structure and upland edge of wetlands: N/A feet Closest distance between nearest proposed structure and upland edge of wetlands: N/A feet Does the project involve excavation or filling? No x Yes If yes, how much material will be excavated? N/A cubic yards How much material will be filled? 25 cubic yards Depth of which material will be removed or deposited: N/A feet Proposed slope throughout the area of operations: 1: 1. 2 5 Manner in which material will be removed or deposited: 2ipproximately 25 cubic yards clean sand backfill will be trucked in from an upland source, dumped, and planted with Cape American beach grass (12" on center) . Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations(use attachments if appropriate): The proposed project consists of an extension of an existing rock revetment for the purpose of stemming the continued erosion and landward transgression of the unprotected portion of bluff on the owner' s property. It will not result in any adverse impact on Town waters , nor are there any vegetated wetlands present on-site. 14:16-4(2/87)Text 12 PROJECT I.D.NUMBER 617.21 SEQR Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I—PROJECT INFORMATION(To be completed by Applicant or Project sponsor) 1 .APPLICANT/SPONSORDOROTHY ABBOTT BY 2.PROJECT NAME EN-CONSULTANTS, INC. 3.PROJECT LOCATION: Municipality ORIENT County SUFFOLK 4.PRECISE LOCATION(Street address and road intersections,prominent landmarks,etc.,or provide map) 1995 RYDER FARM LANE,ORIENT,TOWN OF SOUTHOLD;SCTM#1000-15-3-1.1;MAP PROVIDED 5.IS PROPOSED ACTION: ®New ❑Expansion ❑Modification/alteration 8.DESCRIBE PROJECT BRIEFLY: CONSTRUCT A 58'WESTERLY EXTENSION OF AN EXISTING ROCK REVETMENT AND A I T WESTERLY RETURN. BACKFILL WITH APPROXIMATELY 25 CUBIC YARDS OF CLEAN SAND TO BE TRUCKED IN FROM AN UPLAND SOURCE AND PLANTED WITH CAPE AMERICAN GRASS (12"ON CENTER). PROPOSED REVETMENT EXTENSION, INCLUDING RETURN WILL CONSIST OF 3-5 TON QUARRY CAPSTONE AND 50- 100 LB.CORE STONE TO BE UNDERLAIN WITH CARTHAGE 6%FILTER CLOTH. 7.AMOUNT OF LAND AFFECTED: Initially 1.7 acres Ultimately 1.7 acres 8.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? M Yes ❑No If No,describe briefly 9.WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? N Residential ❑Industrial ❑Commercial ❑Agriculture ❑Park/ForestlOpen space ❑Other Describe: 10.DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING,NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATE OR LOCAL)? N Yes ❑No If yes,list agency(s)and permittapprovals DEC 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Dyes N No If yes,list agency name and permitlapproval 12.AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? ❑Yes ®No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: B E.HERRMANN,COASTAL MGMT.SPECIALIST Date: APRIL 2,2001 Signature: If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS 9 2001 � - Name. Address . Marion. Fitzsimmons 7 Watson Lane Setauket, NY 11733 Dorothy Abbott, Lucy Steele P.O. Box 655 & Janet Swanson Orient, NY 11957 STATE OF NEW YORK COUNTY OF SUFFOLK doing business EobertvE;L:;Herrmann zaakdxng at En-Consultants, Inc. 1329 North Sea Southampton, NY 11968 , being duly sworn, deposes and says that on the 5th day of April , k9:2oul, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at Southampton , that said Notices were mailed to each of said person by (certified) mail. 0 Rober H rmann Sworn t";before me this Coastal Mgmt. Specialist day of Notar Public NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: Dorothy Abbott SCTM#1000- 15-3-1. 1 YOU ARE HEREBY GIVEN NOTICE : 1 . That it is the intention of the undersigned to request a Permit from the Board of Trustees to:Construct a 58 ' westerly extension of an existing rock revetment and a 15 ' westerly return. Backfill with approxi- mately 25 cubic yards of clean sand to be trucked in from an upland source and planted with Cape American beach grass (12" on center) . Proposed revetment extension, including ret.ur;n, will consist of 3 - 5 ton quarry capstone and 50-100 lb, core stone 'to- be underlain with Carthage 6% filter cloth. 2 . That the property which is the subject of Environmental Review--is located adjacent to your property and is, described as follows : 1995 Ryder Farm Lane, Orient 3 . That the project which is subject to Environmental Review under Chapters 32 , 37, or 97 of the Town Code is open to public comment on:Ap.ril 2-5, .200i. You may contact the Trustees Office at 765-1892 or in writing. The above referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal . OWNERS NAME : Dorothy Abbott MAILING ADDRESS : P.O. Box 415 " Orient, NY 11957 PHONE #: 631-323-3866 Enc. : Copy of sketch or plan showing proposal for your convenience. .S - `r�'•;..n��":<:511t°;�- HLLC�55 �:';°`:_�� : SuFfdk Nagstran Map 32 Z, I" = 3000' r r � SLAN {, • r ui...i 50 N rVIRD 'I'A ROSE D aUH �y ngOi , G VORT PF KV1fH PA RR✓� r.'+ /�OY'I vV'V1 � p ND CEn. A a N / TSr / s, Los P O� Q` O� VV ED EXTENSION E(. RACK REVETMENT PROPOS 100 OF 8`vFF OF EX. REVETMENT Z 5a' TpP Notes; 0 8). 1) Purpose: extend existing erosion ca*,rd �xucture LIMIT LIMIT F 2) t9 ' AI.W BACK— ---�------ 36e S) Proposed reve ter*,will conmA of 3 tan PROPOSED RETURN & quarry caps one; 50-100 16. core stone; and 40 will be underlain with Carthage 6 7- filter cloth EX. HOUSE 4) Approximately 25 cu61c yards of clean sand fill will be trucked In from an upland source N ,,r �,• for backflll and planted with Cape American 1 = 40 beach grass ( 12" O.G.) � ,� 50 �xi-Aing revetment comAmded pursua&to NY5MC Permit No. 10-89-1076 6) 51te: 1995 R24der Farm Lane, Orient; 5C1'M 1000-15-3-Ll W. 7) Adjacemb-Owners: 41h- I - F Itzmmmons 2 - Swanson, Abbork, Steele 2 t oo.00' unm `ANDM DRIVEWAY TO RYDER FARM 4 MaNG 200.00' LANE/SOUND VIEW AVENUE o 51 010N M PROP05W MN510N EN-CONSULTANTS INC. 21-0uI OF U, ROCK I V�1'M�N1'FOR 1329 NORTH SEA R0. APR 3 PROWAPPO`r'ON LONG 15LANn SOUTHAMPTON.N.Y. 11968 5OUNn, OUNT, 5LFFOLK CO,, NY 631-283-6360 5ftf I OFF 2 5129101 HOU5� 'T---- 88' & VAS, 13ACKf ILL AAA TO M PLANTn 3 - 5fON QuPwy 5' 21' & VAS---1i`�----�I CAP5fM 50 - 100V3. C0m 51"OW ANW. 21 ,611 8 --� r Lsk CLO'I'N ALW- 0' -O' �- - 10'--! ------- ZO' -�� -t N % lldku Mopo%12 �MN510N (m c m C�10N ►� ' N OF WCK MV�TWNT 5CA1,� ;1 Z: � 0 cszmz I,ZS � n � � )ard of Trustees Applicat Z County of Suffolk State of New York �d�a`-F RN DEPOSES AND A FIRMS THAT HE/SHE IS THE APPLICANTBEINFORGTHE 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,COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEE IN S, THEIR AGENT(S) OR REPRESENTATIVES(S) , TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS IZ DAY OF d Notary Public DEBORAN D07Y Notary Public,Stete d New Yak No.02D048M78-Suffdk Cam Corwni m Er=February 28.-244r2- 3 and of Trustees Applicat AUTHORIZATION residing at (pr7nt owner of property) (mailing address) C) o hereby authorize (Agent) to apply for Permit( s) from the Southold Board of Town Trustees on my behalf . ( Owner ' s signature) Albert J.Krupski,President �OSVFFOIlr Town Hall James King,Vice-President ��O ��jy .53095 Route 25 Henry Smith C P.O.Box 1179 Artie Foster * Southold,New York 11971-0959 Ken Poliwoda G Telephone(631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD ----------------------------------- In the Matter of the Application of -Qor-A-ab ------------------ COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, rzeg4rd4ng at e(Q- being duly sworn, dep se and sa That on the (4-day of pir , 2001 , I personally posted the property known as Pwdu P-rvn La�At., Orlei by placing the Board of Tr stees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Dclite of hearing noted thereon to be held aviWS,o7col onorftQat Dated: (si ) Sworn to before me this -�� day of 2001 N ry Public KIM H.STEPHENS Notary Public-State of Naa Ycrh Commission No.6013931 C+uZ!!f!ed la Suffolk Courfias Co::imiaslan Ex lres Au ust Z A APPLICANT TRANSACTIONAL DISCLOSURE PORN The Town of Southold ' s Code of Ethics prohibits conflicts of interest on the part of town officers and employees__The . purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAHE: (Last nanfe , first name , middle initial, unless you are applying in the name of someone else or other entity, such as a company. . If no, indicate . the other person ' s or company ' s name. ) NATURE OF APPLICATION: (Check all that apply . ) Tax grievance Variance Change of zone ApprDval of plat . Exemption from plat or official map Other ( If "Other, " name the activity. ) ,�'d!/17-FDG/a ��1`.ecS>6�5-,tJ •4�filJS �1// 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 NO If you answered "YES, ", complete the balance of this form and slate 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 ) 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 stoc)c of the applicant (when the applicant' ' is a corporation) ; B) the legal or beneficial owner of any interest in a noncorporate entity (when the. applicant is not a corporation) ; C) an offIr-er: di.reci:orb rt:ns . l� �—�a.. , v� �cs ii��ii.11 C� or v11'C applicant ; or D) the actual applicant . DESCRIPTION OF RELATIONSIIIP Submitted is &day of "7*A00 f Signatu -Print name . D0VTHy U.S.Postal Service CE.RTIFIEDM. AIL (Domes.tic Mail I 1 Insurance • -/- • / 1 ✓ f p^ Article Sent TO, fU Iti C3 Postage $ Ln Certified Fee Er Y -'� (7` Postmark Return Receipt Fee / (/� �® Here (Endorsement Required) -4PR o C r-9 5 1 i CO O Restricted Delivery Fee p (Endorsement Required) 0 Total Postage&Fees M rU Name(Please Print Clearly)/(7a be completed by mathO, -------- -------------- -------------------------- --- ---------- Er Street,Apt.No.;orfz BoxNo. Q' 7 /0 cQ th /t_2. -------------------- C3 ------------------------------------------ Clty, te, P+4 :�r 1 / / / Postal (DomesticCERTIFIED MAIL RECEIPT I No Insurance Coverage • /"• m I C3 l/ -r Postage $ 3 / c�QU (yr Lrl ct a � Certified Fee I �O Postmark Z C3 Return Receipt Fee Here (Endorsement Required) O Restricted Delivery Fee p (Endorsement Required) M Total Postage&Fees $ a ru I1 1 ame(Please Print learly)(To be completed b maller) j -------------- --- ------------- Er t,ApL• r PO Box No. Ir EZI 0 / X C take,ZIPS 4 ! // / C 7 July 1999 Se e Reverse for Instruations 4'� SURVEY OF PROPERTY 15� SI T UA TED A T tjND ORIENT POINT S0 - N TOWN OF SOUTHOLD AND S SUFFOLK COUNTY,� NEW YORK ONG f E ,��'' NpNG �pIR S.C. TAX No. 1000- 15-03- 1 . 1 �EUNE SCALE 1 " \A =30' 5a•43' m FEBRUARY 26, 2001 1 _ _ — 6e 50,36" E ' �pE OF g�Uff N _ APR AREA = 73,758.49 sq. ft. (TO TIE LINE) 1 .693 Qc. Z f� b �• E O ROCK REyEfMNT n '1 '� W tOP of BW CSC -3 a � o CERTIFIED TO: O m DOROTHY ABBOTT to 0 BAY WOOD WINDOW DECK FENCE - - - - - - - 87.4 — — —— — — 38.6' 7.0'W. U 14.1' 14.0' 1 & 2 STORY S VI R 10.2' FRAME HOUSE ROOF OVER WOOD DECK a TRELLIS ROOF OVER o O BRICK LANDING 1518' _ � 14.7' 22.9' - - - - - - - - _ — CELLAR - i 1O WOOD O ENTRANCE STEP p 20.3' I b ` ELECTRIC 11 METER LAMP POST LAMP ( z o POST POST �F777"'t � z• N 5.1' pplE �J (p mm 5. 2.2m O Z POST FOUND VAf pLLT RAIL CONC. MON FENCE S 8°26'00" W 100.00' LAMP O POST O r1n� mrn 122'3 P N O � POST �� 4 " � .• . ` 14 L4 D1FrT DR SPLIT RAIL Z c� �• FENCE m BRICK LANDING 5.6' I e v v O r m WOOD it STEPS WELL W m o 2nd STORY '`' v Ell x ro < WOOD LANDING I ? 0 u (JT 3.8, CONC. I f? o N/OIF J 7-1 23.9' w LANDING O JANET T. S,WANSON, " 1 J DOROTHY I. ABBOTT v IRREGULAR WIRE FENCE FENCE FOUND 4.6'N. 0.7'E. , " NC. MON. & LUCY A. STEELE S 88°26'00" W 200.00 m Z PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLE SURVEYS AS ESTABLISHED BY THE . L. AND APPROVED AND ADOPTED m v+ FOR SUCH US BY THE NEW YORK STATE LAND A o TLE ASSOC I N. MARION D./FITZSIMMONS U. ' Ci O (O' O O 150.00' S 88.26'00" W N.Y.S. Lic. No. 49668 FOUND CONC. MON. UNAUTHORIZED ALTERATION OR ADDMON TO THIS SURVEY IS A VIOLATION OF SECTION 72LA LA OF THE NEW YORK STATE Joseph . I e a n EDUCATION W. COPIES OF THIS SURVEY MAP NOT BEARING IQV THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. Land Surveyor CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND Title Surveys - Subdivisions - Site Plans - Construction Layout TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE. PHONE (631)727-2090 FOX (631)727-1727 OFFICES LOCATED AT MAILING ADDRESS THE EXISTENCE OF RIGHTS OF WAY 1380 ROANOKE AVENUE P.O. Box 1931 AND EASEMENTS OF RECORD, IF ANY,, NOT SHOWN ARE NOT GUARANTEED. RIVERHEAD, New York 11901 Riverhead, New York 11901-0965 N 21 -121