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HomeMy WebLinkAboutTR-4896Albert J. Kmpski, President John Holzapfel. Vice President Jim King Mm-tin H. Garrell Peter Wenczet BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 Office Use Onl~2--':r-~% Coastal Erosion Permit Applzcatio~ Wetland Permit Application Grandfather Permit Application ~-Waiver/Amendment/Changes ~_Received Application:~-~ -~ Received Fee:$/6~0 ~Completed Application3-~''~' Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) CAC Referral Sent: ~Date of Inspection: 3 '~' ~". Receipt of CAC Report: Lead Agency Determination:__ Technical Review: ~Public Hearing Held:3-~-~ Resolution: TOWN OF :,, Na~ne of Address Suffolk Property Location: (provide LILCO Pole County Tax Map Number: ~000 - q--/5~'q -7 ~,~ - 9-- ~, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: FAX~: 1L!6.J, /2,"~Te×t 12 PROJECT I.D. NUMBER SHORT Appendix C State Environmental Quality Review ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be comoleted by Aoolfcant or Project sponsor) SE I'. APPLICANT /SPONSOR i 2. PROJECT NAME 4. PREC;SE 'LOCATION (Street ~ooress and road intersections, prominent f~ndmar~s, etc., or 5, IS P.~._~SED ACTION: V__J New ~ Ex~ansien ~ Modification/alteration AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres ~. WI.~,_,,~OPOSED ACTION CCMPL'! WITH ~(IST~NG ZONING OR OTHER EXISTING LAND USE RESTRICT;ONS? ~F-~'/~v, es ~ No I! No. ~escnbe briefly Agriculture ,~: ~ ParklForestlOcen s:ace L..,J Otr~er ~0. ODES ACTION INVOLVE A PERMIT APPROVAL OR PUNOING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY , STATE O~ LOCAL)? [] Yes ~ No if 'les, list agency(s) and oermitlaopravats FEDERAL, 11. DOES ANY AAP~HE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes' L'.~o li yes, list ao_epc't name and permitlaoprova ., 12. AS A RESULT, OSED ACTION WILL ~<ISTfNG PERMIT/APPROVAL REQUIRE MOOIF!CAT~ON? { cERTIFY THAT THE INFORMATION PROVIDED AeOVE fS TRUE TO THE BEST OF MY KNOWL--DGE Signature: [~ the action is in the Coastal Area, and you are a state ac~enc'/, compte~e the Consist Assessm~n-. Form before proceeding with ,'his assessment OVER ! Bo ~ of Trustees Application GENERAL DATA Land Area (in square feet): Area Zoning: -'~ Previous use of property: Intende~ use of property: Prior permits/approvals for site improvements: Agency Date 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): JO A3 ~ 'T--,~ a~' ~;_'7--l O n_~' 0'r-- L/~ ~ / ~3 ) )~ ~ ~ ~ ~ Bo 1 of Trustees Application, WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations:-~--d~%'27~''( L / ;/~ T~' Area of~wetlands on lot: ,~(~0 square feet -/ Percent coverage of lot: % Closest distance between nearest existing structure and upland of wetlands: ~ feet edge Closest distance~twe~n nearest proposed structure and upland edge of wetlands~,DO6~/~ f~) feet Does the project involve excavation or filling? ~ No Yes If' yes, how much material wilt be excavated? ~//~ cubic yards / How much material will be filled? A/ /{) cubic yards Depth of which material will be removed or deposited: L./~ feet Proposed slope throughout the area of operations: ~/~ Manner in which material will be removed or deposited / 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): Albert J. Krupski, President James King, Vice-PresidenT Henry Smith Artie Foster Ken Poliwoda Town Hail 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-18~2 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, ~'~-o%a~~itTqha/%<w~3 , residing at ~D ~(~JA~ being duly sworn, depose and say: That on the day of _ , 199 , I~ersonaliy posted the property known as by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for seven days prior to the date of the public hearing. (date of hearing noted thereon to be heid~.~' Dated: Sworn to before me this ~5~% day of ~Oi~(J'X 199 NOTARY PUBLIC, Sate ~ New York No. ~m~s~ ~P~ M~ 27, ~' re) TRAN~ACTION~[~ DISCLOSURE FORH The Town of SoUthold's Code of ~tltte.~ p~ohlbtb~ inberesb on bhe pa~k of town office~s and e~loyees. The purpose of ~his form ts ~o p~ovide information which ~an ale~ the town ~f possible conflic~s of tn~e~es~ and allow lb to take whatever action ts necessary bo avoid same. you nrc app.tying in th~ oth~r pereol~'~ or eompany'~ NATURE OF APPI, ICATION~ (Check all kltat aPplF. ) Tax gr tevanc~ Vartane~ Chang~ of ~on~ AEp~val of plnb Ex~mp~ton from pla~ or official map by blood, ~har~. YEs NO If you an.vor~d "YE3,~. eomplot~ tho balan~ o~ ~hto ~orm and date and ~tgn whore indicated. Nama of p~r~on ~mployed by th~ To~ of Sou~hold Ttkle or po~i~ion of ~hab per,on Describe the rala~lonahip babween youraalf (Mm applicant) and the town officer or ~mployea. Either check tho appropriate line A) through D) and/or damcrlb~ in the ~pac~ provided. 'rim town officer or employee or ht~ or her parenk, or child is (check all ~ha~ apply)~ __~) tim ownor o~ greater than 5% of tim shar~ of the corporat~ atock o~ the applicant (~hen th~'appiicant' i~ a oorporation)~ __B) tim legal or b~neflclal owner of ~,~ noncorporate'enttty (when the applicant l~ not a corporation)l c) an officer, director, partner, or ~mplo?~ appltcankl or __D) tim actual applicant. P rd of Trustees ApPlicatior County of Suffolk State of New York SWORN TO BEFORE ME THIS .... ~ ....... -~ ~n~ n~.l~ iS THE APPLI~--~ 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 IVLANNER 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 CONJL~CTION WITH REVIEW OF THIS APPLI CATION. ~ignature DAY OF__.___.~Z~/C a i~"' , ! 9_~_-' .PUBLIC, Sta~ Name: PROOF OF MAILING OF NOTICE ATTACH CERTIFIED ~LAIL RECEIPTS Address: STATE OF NEW YORK COUNTY OF SUFFOLK that on the ~'~T,__ ~=~= , belng fluly sworn,, deposes and sa -- a true co ~ the ~+~ ~-~ = ~ · f~9_~; deponent malled PY .... ~'= ==u zortn in ~e Board of Trustees Application, directed to each of the above n~ed persons at the addresses set opposite there respective n~es; that the addresses set opposite the n~es 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 were mailed to each of said person~ Sworn to before me this Notary p~bli~~ ARDENE PUBLIC, ~ Of Ne~ SENDER:. · Complete items 1 and/or 2 for additional services. · Complete items 3, Aa, and 4b. a Pdnt your name and address Un the reverse of this form so that we can return this card to you. · Attach this form to the front of the mailpiece, or on the back if space does not permit. · Write"Return Receipt Requested" on the mailpiece below the article number. · The Return Receipt will show to whom the article was delivered and the date delivered. 3. Article Addressed to: il-~i'Received By: (Print Name) 6. Sigpat~(~e'.~Addressce or,gent) PS Form 3811, December 199~ I also wish to receive the following services (for an extra fee): 1. [] Addressee's Address 2. [] Restricted Delivery Consult postmaster [or fee. 4a. J~fticle Number ,,,~ ??.5/ 4b. Service Type [] Registered [] Express Mail [] Insured [] Return Receipt for Merchandise [] COD 7. Date,Of De, ivory ~1,~I I 8. Addres~ee~$ Address (Only if requested and fee is paid) SENDER: · Complete !terns 1 a, nd/or 2 for additional secvices. · Complete items~;~, Aa, and 4t~. · Print your name and address on the reverse of this form so that we can return this card to you. : · Attach this form to the front of the mailpiece, ~Ron the back if sp. ace does not permit. ~Wr te"Return Receipt Requested" on the mailpiece below the article number. · The Return Receipt will show to whom the article was delivered and the date delivered. I also wish to receive the following services (for an extra fee): 1. [] Addressee's Address 2. [] Restricted Delivery Consult postmaster for fee. 3. Article Addressed to: 5. Re~qeived By: (P~rint Nam. e) 6. Signature: (~Ofessee or Agent) PS Form 3811, December 1994 4b. Service Type [] Registered [] Express Mail [] Insured .- ~ · [] Return Recei.~t for Merchandise [] COD ee's Address (Ont~ ff requested and fee is paid) I-' Domestic Return Receipt SENDER: · Complete,items 1 e, nd/or 2 for additional se~ices. · Complete items 3, 4a, and 4b. · Pdnt your name and address on the reverse of this form so that we can return this card to you. · Attach this form to the front of the mailpiece, or on the back if space does not permit. · Write"Return Receipt Requested" on the mailpiece below the article number. · The Return Receipt will show to whom the article was delivered and the date delivered. 3. Article Addressed to: 5. Re i ea 6. SignatU e: ~d~ ss e ~gent ~ PS For~ 3811, December 1994 ~ I also wish to receive the following services (for an extra fee): 1. [] Addressee's Address '~- 2. [] Restricted Delivery Consult postmaster for fee. .-~ 4a. ,Al:riCe NLr~be~=~ 4b. Sew]ce T~pe a Registered ~ Express Mail ~ Return Re~ipt for Memhandise 7. Date of Delivery 8. Addressee's Address (Only if requested and fee is paid) Domestic Return Receipt SENDER: · Complete items 1 and/or 2 for additional services. ~ mCompl~te terns 3, ~a, and 4b. '~ ~ · Print your name and address on lhe reverse of this form so that we can return this card to you. · Attach this form to the front of the mailpiece, or on the back if space does not permit. · Write"Return Receipt Requested" on the mailpiece below the article number. · The Return Receipt will show to whom the article was delivered and the date delivered. ;: I also wish to receive the following services (for an extra fee): 1. [] Addressee's Address 2. [] Restricted Delivery Consult postmaster for fee. -o 3. Article Addressed to: ~ 6. Signatu~y(Addressee_ _/-r,:.' ,~, orA~ge~t,),, ,;: / 4a. A[ticle, 4b, Servite ~ype · [] Registered [] Express Mail [] Insured [] Return Receipt for Merchan_di~..e~l-'l COD 7. Date of Del~j~ and fee is paid) Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 5S095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1882 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD April 23, 1998 Joseph & Elizabeth Brittman 80 Glenn Road Southold, NY 11971 RE: Joseph & Elizabeth Brittman ..... SCTM ~78-2-1 Dear Mr. & Mrs. Brittman, The following action was taken by the Southold Town Trustees on Wednesday, April 22, 1998, at their Regular Meeting: RESOLVED, that the Southold Town Board of Trustees grant a Waiver to construct a 15' X 38' deck attached to existing house as per drawing submitted April 8, 1998 with the condition that the turf be removed from area prior to construction. Located 80 Glenn Road, Southold. However~ this approval does not constitute approvals from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, Albert J. Krupski, 'Jr. President, Board of Trustees AJK/jmd cc. Bldg. Dept. Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-18ff2 Fax (516) 765-1823 BOARD. OF TOWN TRUSTEES TO: ~0S ~ ~ ~ ~ f 7.~'~'f~F SOUTHOLD ~ -- has bee reviewed by ~is Board,. at ~e re~ ~--~--~ ~ ~d the fol!owin~ actio~ w~ t~e~: ( ) ( .) Application Approved. (see below) Application Denied. (see below) Application Tabled. (See below)- If you application is approved as notes above, a permit fee is now due. Make check or money order payable to the $o~thol~ Town Trustees. The fee is comDuted below according to the sche~ule of rates as set forth iht he sintruction sheet. The following fee must be paid within 90 daI~ or reappl 4cation including fees will be necessary. C0~TS AND ~: SIGNED: PRESIDENT. BOARD OF TRUSTEES CLERK, /~OAHD'. OF TOWN 6/95 Board Of $outhold Town Trustees SOUTHOLD, NEW YORK DATE: ,..3../.2.51.9 8. ............ ISSUED TO .......... ~'q ~:~.P.:B....k.. ~:b.~;!:.[ A.~.]~.T.H....~ ~!~ M A Z::,]' ...... Authorization Pursuant to the provisions of Chapter 615 of the Laws of: the State of New York, 1.893; and Chapter 404 of the Laws of fha State of New York 1952; and the Soufhold Town OrdlnanC~ eh, rifled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND .ON TOWN WATERS AND PUBLIC LANDS and fha REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance wlfh 'fha Resolurion of The Board adopted afa meeting held on .... 3./.25,/.98..'.!. .19_...9:8 .... and in consideration of the sum of $..1§.0,.0.0.. i ..... paid by of .......... .S...o..~.t.~..o..1.,d.. ....................................................... N. Y. and subject fo the ..... Terms and Conditions listed on the reverse side hereof, of Soufhold Town Trustees authorizes and permlfs the following: Wetland Permit to construct a 4' X 30' dock with condition 6 or 8' non,turf b~ffer be placed alor~g edge of creek:in, stead a lawn going right down into the creek. ~ ' all in accordance with the detailed specifications as presented in fhe originaflng appllcarion. , : :~,:: IN WITNESS WHEREOF, The said Board of Trusfees'~here- by causes ifs Corporate Seal fo be affixed, and fhesepresenfs fo be subscribed by a maiorify of the said Board as of this date. Trustees Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda .Town Hall 53095 Main Road P~O. Box 1179 Southold, New York 11971 Telephone (516) 765-1852 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 30, 1998 Joseph & Elizabeth Brittman 80 Glenn Road Southold NY 11971 Re: SCTM ~78-3-10 Dear Mr. Brittman, The following action was taken by the Board of Town Trustees during its Regular Meeting held on March 25, 1998, regarding the above matter: WHEREAS, JOSEPH & ELIZABETH BRITTMAN, applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southo!d, application dated March 5, 1998 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 March 25, 1998, 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 standard set forth in Chapter 97-18 of the Southold Town Code, 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 approves the application of JOSEPH & ELIZABETH BRITTMAN to construct a 4' X 30' dock, with condition that a 6 or 8 foot non-turf buffer be placed along edge of creek instead of lawn going right down into creek. Located: 80 Glenn Road, Southold. 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: Dock: 4- X 20' = 80' X $3 = $240.00 Very -truly yours, Albert J~ Krupski, Jr. ~ '"' President, Board of Trustees AJK/djh cc. DEC ACE Dept. of State Telephone (516) 765-1801 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL The following action taken at a meeting of the Southold Town Conservation Advisory Council held Monday, March 23, 1998: No. 15q3 Moved by Betty Wells, 'seconded by Sharon Shine, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Wetland Permit Application of JOSEPH and ELIZABETH BRITTMAN 78-2-10 to construct a IRS" wide x 30' long open piling dock. The Council's approval contingent upon neighbor's navigation. Council also suggests a non-turf buffer be installed. 80 Glenn Road, Southold Vote of Council: Ayes: All Motion Carried