HomeMy WebLinkAboutTR-4883Albert 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) 765-18~2
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOW-N OF SOUTHOLD
March 23, 2000
Stephen L. Ham, III
Matthews & Ham
45 Hampton Rd.
Southampton, NY 11968
RE: WILLIAM D. REED
R.O.W.off Peninsula Rd.
SCTM~10-3-12
Dear Mr. Ham:
The following action was taken by the Southold Town Board of
Trustees on Wednesday, March 22, 2000:
RESOLVED that the Southold Town Board of Trustees grant the
one-year extension to Permit ~4883 to construct a single family
dwelling, sanitary system, water, driveway, patio and garage.
This is not an approval from any other agemcy.
If you have any questions, please do not hesitate to contact
this office.
Sincerely,
Albert J. Krupski, Jr.
President, Board of Trustees
AJK:lms
ST~n~ L. Itm'~, III
March 22:2000
BY FACSIMILE TO 765-1366
Southold Town Trustees
P.O. Box 1179
Southold, NY 11971
Attention: Diane
Re: VVitli:am :D~ Reed;
Permit No: 4883
Dear Diane:
In accordance with our telePhone conversation earlier today, I am
tranSm tt ng herew th a copy of the referenced permit which is due to expire on March 25.
On behalf of the permitee, William D. Reed, I hereby request that the Board
grant a oae~year, exter]sion ;a~/the expiration date of this permit to March 25, 2001.
I will enclose a check to the Southold Town Trustees in the amount of $10.00
with the original of this letter which I will mail to you later today. In the meantime, I would
appreciate it if you would place this request on your calendar for this evening's hearing.
Please advise me immediately if any further information or documentation
will berequired before thle requested extension can be approved.
One Page:to Follow Fax.
EnClosures by Regular Mail
Sincerely,
Stephen L. Ham, III
MAR-22-2000 89:42
March 22, 2000
BY FACSIMILE TO 765-1368
Southold Town Trustees
P.O. Box 1179
SouthoId, NY 11971
Attention: Diane
Re: William D. Reed;
Permit No, 4883
Dear Diane'.
In accordance with our telephone conversation earlier today, I am
transmitting herewith a copy of the referenced permit which is due to expire on March 25.
On behalf of the permitee, William D. Reed, I hereby request that the Board
grant a one-year extension of the expiration date of this permit to March 25, 2001.
I will enclose a check to the Southold Town Trustees in the amount of $10.00
with the original of this letter which 1 will mail to you later today. In the meantime, I would
appreciate it if you would place this request on your calendar for this evening's hearing.
Please advise me immediately if any further information or documentation
will be required before the requested extension can be approved.
One Page to Follow Fax
Enclosures by Regular Mail
Sincerely,
Stephen L_ Ham,
Board Of $outhold Town Trustees
SOUTHOLD, NEW YORK
ISSUED TO WILLIAM D. REED · . .............
Pursuant to the provisions of Chapter 615 of the Laws of
the State of New York, 1893l and Chapter 404; of the ~ws
State o( New Yor~ 1952; an~ fha Soufhold Town Or~)nance en~
filled "RE~U~TIN~ AND THE P~CIN~ OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC ~NDS and
REMOVAL OF SAND, ~RAVEL OR OTHER MATERIALS FROM
~NDS UNDER TOWN WA~RS;" and in accordance with the
Resolution of The Board adopted at a meeting held on ..... ~.~.~/.~ ....
19...9.B.., and ~n consideration of the sum of $...~SQ...Q.O ...... paid by
........ ~.H.~.Q,.....~.~]~g.~r...~LL~A~...~.,....~ ........... ~ ........................
of ........ ~.~.~...~.~.~ ........................................ N. Y. and subje~ to the
Terms and ConditiOns listed on the revere side he~f~
of Soufhold Town TruCes authorhes and pe~mi~ the foilowln~:
WetI~d Petit to construc~ a single fa~y dwe~ng, s~ary
~stem, water ~e, ~iveway, patio ~d g~ge. ..
all ;n a¢co~ance with the detailed speci;;cations, as printed ;n
the oHg;natin~ application.
IN WITNESS WHEE~F, ~e sa~d Boa~ of Tm~ees'-~r~
by ~use~ ~ Cor~rafe Sea[ ~o be e~ed~ an~ ~ese presen~ ~:
be subscr, bed by a'maior;H of t~ sa,d Board as of this date.
.....
T~tees
Albert J. Krupski, President
James I{ing, Vice-President
Henry Smith
Aztie Foster
Ken Poliwoda
Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 11971
Telephone (516) 765-18~2
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOW-N OF SOUTHOLD
March 23, 2000
Stephen L. Ham, III
Matthews & Ham
45 Hampton Rd.
Southampton, NY 11968
RE: WILLIAM D. REED
R.O.W.off Peninsula Rd.
SCTM#t0-3-12
Dear Mr. Ham:
The following action was taken by the Southold Town Board of
Trustees on Wednesday, March 22, 2000:
RESOLVED that the Southoid Town Board of Trustees grant the
one-year extension to Permit $4883 to construct a single family
dwelling, sanitary system, water, driveway, patio and garage.
This is not an approval 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:Ims
STEPHEN L. t~A24, III
March 22, 2000
BY FACSIMILE TO 765-1366
Southold Town Trustees
P.O. Box 1179
Southotd, NY 11971
Attention: Diane
Re: Wil[iamD:. Reedf
Permit No: 4883
Dear Diane:
In accordance with our telePhone conversation earlier today, I am
transm itng herewith a copy of the referenced permit which is due to expire on March 25.
On behalf of the permitee, William D. Reed, I hereby request that the Board
grant a om,e~year, extension af ~he expiration date of this permit to March 25, 2001.
I will enclose a check to the Southold Town Trustees in the amount of $10.00
with the original of this letter which I will mail to you later today. In the meantime, I would
appreciate it if you would place this request on your calendar for this evening's hearing.
Please advise me immediately if any further information or documentation
will be required before the requested extension can be approved.
One Page:to Follow Fax
Enclosures by.Regular Mai
Sincerely,
Stephen L. Ham. III
H~R-22-20D0 B9:42 P.D1
~A~PTON ]~0AD
NEw ¥oa~ 11968
March 22, 2000
BY FACSIMILE TO 765-1366
$outhoid Town Trustees
P.O, Box 1179
SoUthold, NY 11971
Attention: Diane
Re: William O. Reed;
Permit No. 4883
Dear Diane:
In accordance with our telephone conversation earlier today, I am
transmitting herewith a copy of the referenced permit which is due to expire on March 25.
On behalf of the permitee, Wiliiam D. Reed, [ hereby request that the Board
grant a one-year extension of the expiration date of this permit to March 25, 2001,
I will enclose a check to the Southold Town Trustees in the amount of $10.00
with the original of this letter which I will mail to you later today. In the meantime, I wou)d
appreciate it if you would place this request on your calendar for this evening's hearing.
Please advise me immediately if any further information or documentation
will be required before the requested extension can be approved.
One Page to Follow Fax
Enclosures by Regular Mail
Sincerely,
Stephen L Ham,
Board Of $outhold Town Trustees
ISSUED TO WILLIAM D. REED ·
Pursuant to +he provisions of Chapter 615 of the Laws of
the State of New York, 1893; and Chapter 404 of the Laws of +he
State of New York 19S2: and the Southold Town Ordinance en~
titled "REC~ULATING AND THE PLACING OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and the
REMOVAL OF SAND, GRAVEL OR OTHER IvIATERIALS FROM
LANDS UNDER TOWN WATERS;" and in accordance with the
ResolUtion of The Board adopted at a meeting held on .....~.~.f~.8. ....
I9.....9.8.., and in consideration of' the sum of $..15Q...Q.Q
......... ~T.~ .~ .~ ...O...:.... ~ ~.!~.g. io..~... ~VI~L I~... D.,.... ~]~' ....................................
of ........ ~.~..s.~.e.~...l~..!~.~ ........................................ N. Y. end subject
· Terms and Conditions listed on the reverse side hereo~,.
of Southold Town Trustees authorizes and pe.rmlts the following:
Wetla~d Permit to construct a single family dwelling, sanitary
~stem, water line, driveway, patio a~cl garage.
all in accordance with the detailed specifications as pre_<ected in
the originating application.
IN WITNESS WHEREOF, The said Board of Trusfees"here~
by causes its Corporate Seat to be affixed, and these presents
be subscribed by a maioritY of the said Board as of..thls date.
Albert J. I{rupski, President
Jsmes King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
March 26, 1998
BOARD OF TOWN TRUSTEES
T0~rN OF SOUTHOLD
Town Hall
53095 M.in lqoad
P.O. Box 1179
$outhold, New York 11971
Telephone (516) 765-18W2
Fax (516) 765-1823
J.M.O. Consulting
Glenn E. Just
P.O. Box 447
Quogue NY 11959-0447
Re: WILLIAM D. REED
SCTM ~I0-3-12
Dear Mr. Just,
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, WILLIAM D. REED, applied to the Southold Town Trustees
for a permit under the provisions of the Wetland Ordinance of
the Town of Southold, application dated January 23, 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 saidapplication on March 25, 1998, at which time ali
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
WILLIAM D. REED to construct a single family dwelling, sanitary
system, water line, driveway, patio & garage. Located: ROW off
Peninsula Road, Fishers Island.
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/djh
cc.
DEC
ACE
Dept. of State
Bldg. Dept.
Telephone
(516) 765-1801
Town Hall. 53095 Main Road
P.O. Box 1179
Southold, New York 11971
SOUTHOLD TOWN
CONSERVATION ADVISORY COUNCIL
The following recommendation was made at the Southold Town Conservation
Advisory Council held Monday, February 23, 199'8:
No. 1530
o construct a single family dwelling, associated
~ I~ne, driveway, patio and garage.
Fishers Island
T .... ~lnerefore does not have a
ne ~ ilk
recomme
Alber! J. Krupski. Prcsidc.I
Joh. tlolzaprcl, Vice Preside.!
Mm'tin IL Ga.-ctt
Peter Wenczel
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Tow. llall
53095 Mai. Road
P.O. Box 1179
So.0~old, Ne~v York 1197 I
Telcpho.e (516) 765- 1892.
Fax (516) 765-1823
Office Use Only
Coastal Erosion Permit Applicatior
~)We'tland Permit Application
Grandfather Permit Application
~ Waiver/Amendment/Changes ~ved Application:
/---~ecelved Fee:$ /,~ ~- '..
--~mpleted Application
Incomplete
SEQRA Classification:
Type I .Type II Unlisted
Coordination:(date sent)
CAC Referral Sen't:
'Date of Inspection:
'Receipt of CAC Report:'
Lead Agency Determination:
Technical Review:
~Public Hearing Held:
Resolution:
Nmne of Applicant
William .D. Reed
Address 86 Greenhav.en Road, S[.onington, CT
Phone Number:(860) 535-4664
Suffolk County Tax Map Number:' 1000 - 010-3-12
Property Location:
R.O.W. off of Peninsula Road, Fishers
(provide LILCO Pole ~, distance to cross streets, and location)
AGENT; Glenn E. Just/ J.M.0. Environmental Consultin~
(If applicable)
Address:f21Jessup Avenue, P.O. Box 447, Quogue, N.Y. 11959-0447
Phone: 653-0607
FAX~: 6~3-3348
Uoard of Trustees Application
GENERAL DATA
Land Area (in square feet): 0.25
Area Zoning: R-40
Previous use of property:TM land
Intended use of property: single family dwelling
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): ~
Applican.t proposes to construct a sin§le family dwelling, associated
sanitary system, public water line, driveway, patio and garage.
Ail Work shall be in accordance with enclosed survey as prepared
by Chandler, Palmer & King last dated 12/8/97.
}~oard of Trustees Application
WETLAND/~USTEE LANDS APPLICATION DATA
Purpose of the proposed operations:
Proposed single family dwellin§
Area of wetlands on lot:
Percent coverage of 10t:
+350
19 %
.square feet -
Closest distance betwe~ nearest existing structure, and upland
edge of wetlands: feet
Closest distance between nearest proposed structure and upland
edge of wetlands: ~50 feet
Does the project involve excavation or filling?
No X Yes
If yes, how much material'will be excavaked? ~100
cubic yards
How much material will be filled?
0 cubic yards
Depth of which material will be removed or deposited:
feet .
Proposed slope throughout the area of operations: 1:1
Manner in which material will be removed or deposited:
Payloader and excavated material shall be regraded on site.
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):
As Proposed, project~ should have n0 negative impacts on
the wetlands or waters of the Town of Southold.
APPLICANT
TR~CTIONAL DISCLOSURE FOHH
The Town of Southold's Code of Ethtc,~ prohibits conflicts of
interest on the part of town officers and..em_ployees. The
purpose of this form is to provide information which can
alert the town of possible conflicts of interest and allow
it ~o take whatever action is necessary to avoid same.
(bast name, [1 name, m i, unless
you are apply~dg In the n~me of someone else or
other entity, -such as a company. If so, indicate
the othsr per~on's or company's name.)
NATUR~ OF APPLICATION, (check all tha~ apply.)
Tax Grievance
Variance
Approval of plat .
bY blood, m~rria~, or l)ll~in~ in~r~..
ownermhip of (or employm~n~ by) a eocpora~ion In which
{
da~ and s~gn ~h~r. indicated.
~m~ o~ p~r~on ~mploy~d by ~ho Town
Title or peri,ion o~ that p~rson
Osscribe the relationship between yourmel~ (%h~ 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 empioyee Or his or her spouse, sibllnu,
parent, or child is (check all that apply)t
__A) the owner of greater than 5% of the shares of the
corporate stock of tile applicant (when the applicant
· is a corporation);
B) the legal or b~neflcial owner o~ any interest in a
noncorporate'entity (when tile applicant l~ not a
corporatio~);
__~) an officer, director, partner, or employee of
applicant; or
14-16-4 (11t95)--Text 12 ~
PROJECT I.D, NUMBER 617,20
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)
SEQR
I. APPLICANT/SPONSOR
William D. Reed
3. PROJECT LOCATION:
Municipality Fishers Island
PROJECT NAME
Pro~posed single family ,dwellin~g
county Suffolk
PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide map)
R.O.W. off of Peninsula Road
S.C.T.M.No. 1000-010-3-12
Location map & survey enclosed
5. IS PROPOSED ACTION:
~¢,~ e w [] Expansion
[] Modification/alteration
6. DESCRIBE PROJECT BRIEFLY:
Applicant proposes to construct a single' family dwelling, associated
sanitary system, public water line, driveway, patio and garage. Ail
work shall be in accordance with enclosed survey as prepared by'
Chandler, Palmer & King last dated 12/8/97.
7. AMOUNT OF LAND AFFECTED:
lnftially .~+U~ · 0 5 acres Ultimately .~_+0~. 0~5 acres
8. WiLL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS?
'~Yes [] No If No, describe briefly
9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT?
[~-Residential [] Industrial [] Commercial
Describe:
Agriculture
[] Park/Forest/Open space [] Other
10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL,
STATE OR LOCAL)?
[]Yes [] No If yes, list agency(s) and permit/approvals
S0uthold Town Trustees, N.Y.S.D.E.C.
and S.C.D.H.S.~
11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
[]Yes ~-No ,.If yes, list agency name and permit/approval
12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION?
[]Yes ' ~o
CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
[/
If the action is in thb~_C_p~stal Area, and you are a state agency, complete the
Coastal Assessment Form before proceeding with this assessment
OVER
1
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
/
Address:
Barry ~ Marilyn R0senber§ 17 W. 67th St, New York
New York 10023
STATE OF NEW YORK '
COUNTY OF SUFFOLK
~~/~h~ ~ff$,q~eing duly sworn, depo§es and says
~ha%'o~the ~ ~ day of ~k~._~ ,19~f, 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 perso~]s as shown on the current assessment roll of the
Town of Southold; that sai~otices were mailed at the United
states Post office at (~'~0 ~,Z,~.~._ , that said Notices
were mailed to each of Said pe~ons by (certifJ
mail.
Sworn to before me this
day of ,19
Notary Public
Name:
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED ~LAIL RECEIPTS
Anita Edwards
Address:
c/0 01iveri
9908 0xley Rd, Athens, OH
45701
STATE OF NEW YORK '
COUNT~ OF SUFFOLK
kl~x..~tr, r~'3,~ 'll~q~ , being duly sworn~ depdses and says
/t'~a~bn the~_ day o~ ~ ,19 ~, deponent mailed
a true copy. of the Notice set fdr[h 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 persoiis as shown on the current assessment roll of the
Town of Southold~ that said N~ices were mailed at the United
States Post Office at ~LD-~..~<....." ~ , , that said Notices
were mailed to each of said pers~Yhs by
mail.
Sworn'to before me this
day of ,19__
ified~) ~ /,,(%~tered)
Notary Public
ronmental Consulting Services
To whom it may concern:
Please be advised that we have authorized the firm of
J.M.O. Environmental Consulting Services to act as our agent
on our behalf in applying for certain approvals through your
agency and others involved with this project. J.M.O.
Consulting Services have been retained to coordinate all
approvals necessary through your and other involved agencies,
as well as our architect, engineer and contractors, we
request that all communications, correspondence, notices,
approvals and calls be addressed directly__ ~ ,--~ ~,t° the offices of
J.M,O. Consulting Services.signature w~/l'' ~''~/ ~ ~/~t ',~u~J
Dated ,T~nl]~r~ ~ . lqgR
Phone (516) 653-0607 · Fax (516) 653-3348
121 Jessup Ave · 2nd Floor · P.O. Box 447
Quogue, NewYork 11959-0447
ard of Trustees Applicati~
County of New London
State of Connecticut
William Reed
BEING DULY SWORN
DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE
DESCRIBED PERMiT(S) ~]D THAT ALL STATEMENTS CONTAINED HEREIN ARE
TRUE TO THE BEST OF HIS/HER Fd~OWLEDGE 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 }{OLD THE TOWN OF SOUTHOLD AND THE TOWN
TRUSTEES HA/~4LESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS
ARISING UNDER OR BY VIR~JE OF SAID PEP~MIT(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 CONJUNCTION WITH REVIEW OF THIS
William Reed
SWORN TO BEFORE ME THIS
DAY OF .T~n~y
,1998
Notary Public
7
Board of Trustees Application
AtrI~RIZATION
(where the applicant is not the owner)
wi 31 i~ R~d residing at 14 ~hurch Street
(print owner of property) (mailing address)
do hereby authorize'. Glen.n E. Just/
(Agent)
J.M.O. Consulting
apply for permit(s) from the
Sout Trust?e
(Owner's signature)
William Reed
on my behalf.
OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
< ~0~ I~ Address:
Barry ~ Marilyn Rosenber§ 17 W. 67th St, New York
New York 10023
STATE OF NEW YORK
COUNTY OF SUFFOLK
~C/~~~Vft~,q~bexng duly sworn, deposes and says
~ha%'or~the ' U day of J~ ,19q~ , deponent malled
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 sai~Notices were mailed at the United
States Post Office at __~U~.~ , that said Notices
were mailed to each of ~aid pe~ons by (
mail.
sworn to before me this
day of .,19__
Notary Public
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
< ~{ It~ Address:
Anita Edwards c/o Oliveri
9908 0xley Rd, Athens, OH
45701
STATE OF NEW YORK '
COUNTY OF SUFFOLK
/~z~QvgW~MP,~V ~IQ ~ , being duly sworn,_ depdses and says
/t~a~bn the P day o~ ~ ,19 ~ deponent mailed
a true copy. of the Notice set f6rth in the 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 N~ices were mailed at the United
States Post Office at ~o~ . , that said Notices
were mailed to each o~ said pers~s by
mail.
Sworn 'to before me this
day of ,19 .
Notary Public
NOTICE TO ADJACENT PROPERTY OWNER
BOARD OF TRUSTEES~. TOWN OF SOUTHOLD
In the ma~ter of
SCTM#1000-
010-3-12
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 single family dwelling~sanitary system: p~,hlic
w=t=z line, driv'eway, patio and garage.
2. That the property which is the subject Environmental Review
is located adjacent to your property and is described as
follows:
' R.O.W.'O~f of Peninsula Road: ~h~r~ !~!and
3. That the property which is subject to E~vironmental Review
under Chapters 32,37,or 97 of the Town Code is open to public
comment. 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 $ou~hold an~ dose not reference any
other adjacent that might have to review same proposal.
OWNERS NAME: William D. Reed
MAILIN~ ADDRESS: 86 Greenhaven Rd
Stonlngt0n, Ct
PHONE #:
Eno.: Copy of sketch or plan showing proposal for your
convenience .