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Home My WebLink AboutSTYPE, BARBARAAlbert J. Krupski, President John Holzapfel, Vice President Jim King Martin H. Garrell Peter Wenczel BOARDOF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Main Road P.O. Box 1179 Fax (516) 765-1823 Office Use Only Coastal Erosion Permit~Appl Wetland Permit Application ~Grandfather Permit Application Waiver/Amendment/Chang~ ~: ~_Received Application:~-/~- ~- ~__Received Fee:S/0~ ~Completed Application ~ /&'~ ~ It. ~Incomplete [ i~SEQRA Clas~~ [ ~pe I ~e II Unlisted [Coordination:(d~ sent) _ ~CAC Referral Sent: ~-~-~ ~Da~e of Inspection:~--~- ~ [ Receipt of CAC Report: ~Lead Agency Determination: ~Technical Review: ~P~lic Hearing He~: ~-~.~~ ' '.Resolution: - N~ne of Applicant~~M ~'l'q."P F-.. Phone Number: Suffolk County Tax Map Number: 1000 - Property Location: (/o~,.5 C-~.I..~F----% N£C_~ ROB_lb (provide LILCO Pole ~, distance~o cross streets, and location) AGENT: ~fi~TELL~ M,A~I~ CON?~ACWt<C CORP. (If applicable) Phone: FAX~: ff 7- 1177 '-/'77 - rbc~ D 5"' Bo~d of Trustees Application GENERAL DATA Land Area (in square feet): .. Area Zoning: R~-~{5~[ Previous use of property: ~; Intended use of property: ~O Prior permits/approvals for site improvements: Agency Date No prior permits/approvals fbr site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? / No__Yes If yes, provide explanation: Project Description {use attachments if necessary): 2 Boa~rd of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: ~ square feet Percent coverage of lot: ~/~ % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? ~ No Yes If yes, how much material will be excavated? Now much material will be filled? N/~ ~//4 cubic yards cubic yards Depth of which material will be removed or deposited: Nih feet '- Proposed slope throughout the area of operations: ~/~ Manner in which material will be removed or deposite : Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason os such proposed operations (use attachments if appropriate): County of Suffolk ) State of New York ) ~O~ ~ ~O~T~£10 BEING DULY SWORN DEPOSES AND AFFIRMS T~AT HE/~II~ IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT{S) AND THA~ ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/~ KNOWLEDGE AND BELIEF, AND THAT WORK WILL BE DONE IN T~E 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 ~IE TRUSTEES, THEIR AGENT(s} OR REPRESENTATIVE{s), TO ENTER ONTO MY PROPERTY TO-INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS SIGNATURE DAY OF _~13 ~ D3 q'- ,19~ ~ Public, Stme of New Yo~ No. 011.04958343 OlltlfltlQtllllfled in Suffolk County .. ~ Expires November 6, 19..1.Z Suggested space for location Map THIS IS NOT A PERMIT 7 ~oar~ of T~tees App~cation AUTHORI ZA~ION (where the applicant is not the owner) I, ? ~/~ C~- J~¢~_m3~ ~ (print owner of property) (mailing address Southold Board of Town Trustees on my behalf. owner, s ~i~natur~') ..... Telephone (516) 765-1801 Town Hall. 53095 Main Road P.O. Box 1179 Southold. New York 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the Southold Town Conseravation Advisory Council meeting held Monday, September 21, 1998 the following re¢omemndation was made: CF-69 Moved by Scott Hilary. seconded by Sharon Shine. it was I~ESOLVED to recommend to the Southold Town Board of Trustees APPROVAL ,of the Grandfather Permit Request of BARBARA STYPIF 70-)-q9 to resheath 130' timber bulkhead {wood on wood}, 16q5 Calves Neck Road. Southold Vote of Council: Ayes: All Motion Carried ~_L~TELLb M/i~INF_ ~'6NT~,. D4.4' Z Z ~z LU< ~l.u ._1 ,ir ~l