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