HomeMy WebLinkAboutANDRIOPOULOS, MARIABoard Of $outhold Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO. t./Z~' DATE: ...6../;~0/97 ..........
~SSUED TO MA~IA AND~IOPOULO$ ..................................
Xnt-l orizatian
Pursuant +o +he provisions of Chapter 615 of the Laws of
the State of New York, 1893; and Chap+er 404 of the Laws of +he
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
REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;" and in accordance with the
Resolution of The Board adopted at a meeting held on 6./.Z5./97. .....
ICl .97., and in consideration of the sum of $..1,5.0... ~0. .... paid by
.................................. ~.¥.~....~U.P.~Q?Q.~J.~.O.~ ....................................................
of ....... ~.t..t~.t~c.k ............................... ' ........................ N. Y. and subject to the
Terms and Conditions listed on the reverse side hereof,
of Southold Town Trustees authorizes and permits the following:
Wetland Permit to extend an exist, deck to ~ total of 22'X25t an
add a 10'X22t addition to this deck, and f~r an exist. 75'
wall and to maintain a 10' non-turf buffer landward of bullkhead~
all in accordance with the detailed specifications as presented in
the orlgina+ing application.
IN WITNESS WHEREOF, The said Board of Trustees h~re-
by causes its Corporate Seal to be affixed, and these presents
be subscribed by a majority of the said Board as of this
Albert J. Krupski, President
John Hohapfel, Vice President
Jim King
Martin H. Garrel~
Peter Wenczel
Town Hall
53095 Main Road
P.O. Box 1 t79
Southold, New York 11971
Telephone (516) 765-t892
Fax (516) 765-t823
june 30,.1997
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Maria Andriopouios
4g-10 Auburndate Lane
Flushing, NY' 113.58
Re: SCTM $t07-7-9
Dear Ms. Andriopoutos,
The ~ollowing action was taken by the Board of Town Trustees
during its regular meeting held on June 25, 1997, regarding the
above matter:
WHEREAS, MARIA ANDRIOPOULOS,applied to the $outhold Town
Trustees for a permit under the provisions of the Wetland
Ordinance of the Town of Sou.thoid, application dated. April.
1997, and,
'WHEREAS, said application was referred to the Southo!d Town
Conservation. Advisory Council ~or their ELudings and
recommendations, and
W/qEREAS, a public Hearing was held by' the Town Trustees with
respect to said application-on June 25, 1997, at which t~ne all
interested persons were given an opportunity' to be heard, and,
WHEREAS, the BOard memabers have personally viewe~ 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 structume complies with the standard set-~orth in
Chapter 97-18 of the SouthQld Town' Code,
WHEREAS, the Board has determined that the project as. propose~
will not affect the health, safety and general welfare o~ the
people of the town,
NOW THEREFORE. BE IT,
RESOLVED, that the Board of Trustees. approves the application of
MARIA ~/~DRiOPOULOS to extend an existing deck to a total of
22' X 25' and add a 10' X 22' extension onto this existing~ deck
and for an existing 75' retaining' wall, and ma~tain a l0T n~n-turf buffer
landward of ~lkhead. -
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 a.n~ complete project will expire two years
from the date it is signed. Fees must hep aid, 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 o.f said project.
FEES: None
Very truly yours,
Albert J. Kr~Pski, Jr.
President, Board of Trustees
AJK/djh
DEC
Dept. of State
Telephone
(5t6~ 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 meeting of the Southold Town
Conservation Advisory Council held June 23, 1997:
No. 1465
RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL
WITH A STIPUATION of the Wetland Permit Application of MARIA
ANDRIOPOULAS 11)7-7-9 to extend existing wooden deck; repair/reinforce
existing retaining wall and stairs leading to dock.
1605 Westview Drive, Mattituck
The Council recommends approval with the stipulation that the applicant
maintain a nonturf buffer between the retaining wall and the bulkhead.
Albert J. Krupski, President
John Holzapfel, Vice President
Jim King
Martin H. Garrell
Peter Wenczel
Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 11971
Telephone (516) 765-1892
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF sOUTHOLD
~ay 29, 1997
Maria Andriopoulos
43-10 Aubnrndate Lane
Flushing, NYl1358
RE: SCTM 9107-7-9
.Dear Mrs. Andriopoulos:
:The following action was taken bY the. $outhold Town Board of
Trustees' on WednesdaY, May 28, 1997:
RESOLVED that the Southold Town Boazd of Trustees denies the
requests ~or a waives for a deck and requests a full application
for the deck and retaining wall.
If you have any questions, please, do not hesitate to contact
this office..
S incer elY,
Albert J. Krups , Jr.
President, Board of Trustees
AJK: jmd
cc: Bldg.. Dept.
Telephone
(5~6) 765-180!
Town Hall. 53095 Main Road
P.O. Box 1!79
Southold. New York 11971
SOU"'r!IOLD TOWN
CONSERVA.TION ;LDVISORY COUq'qCIL
The following recommendation was adopted at the April 28, t997 meeting of the'
Southotd Town Conservation Advisory Council:
WR-64
~ by Robert Keith, seconded by Mary Griffin, it was
RESOLVED to recommend to the Southold Town Board of Trustees ':APPROVAL
'~/:ITH ;A :STIPULATION of the Waiver Request of :MARIA ANDRIOPOULOS
107'7'9 'to add an extension to wooden deck.
1605 Westview Drive, Mattituck
The Council recommends approvai with the stipulation that applicant install a
Vote of Council:.. Ayes: All
M~tion Carried
.i
Maria Andriopoulos
1605 Westview Drive
Mattimck, Long Island 11971
Board of Trustees
Southhold Town
pO Box !179
Southhold, Long Island 11971
Re: WAIVER REQUEST
Dear Sir/Madam,
I, Maria Andriopoulos, am the owner of the home located at 1605 West View Drive
in Mattituck, Long Island. I would like to request a waiver in order to construct a/:C-s'~ x
' deck addition to the already existing deck. i am enclosing a copy of the survey of my
home and the drawings for the proposed deck.
Should you have any questions please do not hesitate to contact me at my office at
(212)505-1515.
Thanking you in advance for your anticipated cooperation and understanding in
regards to this matter, I remain
Truly yours,
Maria Andriopoulos
NOTICE
Police Dept. - Bay Constable
Town of Southold
Peconic-, New York 11958
NOTICE 'OF VIOLATION
To:
Address:--
(O~n&r or ~a~horizea.a.g~n~ of owner)
(Address of owner or authorized agent of owner)
Please take notice there exists a violation of the Code of the
Town of Southold, Chapter 97 Article ...... Secti°n"
at premises hereinafter described in that .......
j__~-__~ ......
You are therefore directed and ordered to co,mp!Y with the
following:
on or before ........... day of
, 19
The premises to which this Notice of Violation refers are situated at:
...... _ ...... fPown of $outhoid,
suffolk county, N'.%o (suff~ County Tax Map Designation: Dist.
Section: .... 2----~---Block~ ........ Lot: k
Failure to comply with %he applicable provisions of the law may
constitute an offense punishable by fine or imprisor~n~ent or both.
NOTICE: You have the right to apply for a hearing before the Board
of Trustees of 'the Town of Southold~ provided that ~ou file a written
request with' the Clerk of the Trusnees within 10 days after service'of
the'Notice of Violation. Such request shall have annexed thereto a
copy of the Notice of violation upon which a Hearing is requested and
shall set forth'the reasons why such notice of violation should be
modified-or rescinded,.
·
~Constable, Town of thold, NY
APPEALS BOARD MEMBERS
Gerard P. Goehringer, Chairman
Serge Doyen
James Dinizio, Jr.
Robert A. ~511a
Lydia A. Tortora
BOARD OF APPEALS
ToWN OF sOUTHOLD
Southold Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone ¢16) 765-1809
FINDINGS, DELIBERATIONS AND DETERMINATION
ADOPTED AT REGULAR MEETING OF FEB. 25, 1997
PARCEL 1000-107-7-9
Appi. No. 4448- M~ii~ 'AN. DR:iOPOI)LOS-;
STREET ADD RESSi~,.~B. OS_~.-we~iVi~w i~rive, Mat~tuck, NY
DATE OF PUBLIC HEARING: February 6, 1997
FI_ND~S (P. ROPE~TY FACTS):
DESCRIPTION: Property is located ~ an ~40 Residential District.
tot is sRuated on the west side of West~ew Drive with 75 ft. frontage on
Mat%ituek Creek. It contains a total lot area of 11,761 sq. ft. and is'
improved with a one-story frame dwet~ng (ref. survey dated Feb. 3, 1997).
BASIS OF ~P~: Building Inspector's Nov~m¢%r 21, 1996 Notice of
~. ] - ~ch reads as follows: under Article XXIiI, Sec~on
D~approy~.~ ~ ..... ~ ~onstruction is mt~n 75 feet of an exis~g bulkhead,
100-239.4, ' pru~u==~ ~
concrete wall, riprap or si~lar st~cture adjacent to a tidal water body
R~[E~ R~pyESTED BY ~PLIC~T: To construct deck addition to a
s{~gle-family dwel~ng ~s shown on m~p sketched in red i~ by app~cant,
~th a setback co~irmed on 2/t3/97 to be 52 feet (previously sketch
~diCated proposal at 48 feet on a rough sketch) to the "wood bulkhead
along mean ~gh water.
REASONS FOR BOARD ACTION, DESCRIBED B~OW:
.Grant of re~ef as requested will produce ~ undesirable change in the
~eneral setbacks established in the neighborhood-
Gra~r of alter~ve re~ef ~tt not produce undesirable change or adverse
effect in the general character of neighborhood w~ch would be si~larty
line with others ~ the neighborhood of sitar-sized lots.
~'enefit cannot be ac~eved without a vari~ce because of nonco~orm~g lot
'/Size, as welt as ~Sdth and depth.
The location as requesZed is not the m~imum.
ge5ef requested is substantial, when weighed against the li~ted size of
~ke property.
Off-street paring ~ll be provided for ve~cles by applicant.
RESOLUTION/ACTION: On motion by Member Tortora, seconded by
Ch~rman Goehringer, it was uested b)- applicant between 48 and 52
N the relief req ..... m.~ ~, ~n~Honed
~ESOLVED, to DE Y ....... ~TIVE R~I~ as aescr~'~-~d
:feet, and ~o GRANT ~T~mta~ '
Page 2 - ~jpp]. #4448
Decision Rendered 219.5/97
Re: Maria Andriopoutos
1. Conditional alternative relief for proposed open-deck construction shall
be with the following (-minimu~ setbacks:
a) not closer than 13 feet to the northerly side yard;
b) not closer than 55 ft. lo most outward bulk_head (along mean
high water mark);
c) side yard at the northerly side must remain open (not be closed
or obstructed).
2. No outside storage of construction supplies or materials for more than
14 days at any time in the front yard.
3. No steps shall protrude into tile side yard area.
--AYES: Members Goehringer, Dinizio, Villa and Tortora (4-0). Member
Doyen of Fishers Island was absent.
Actions. ZB/1077-9
Board of Town Trustees Town of Southold
Town Hall
53095 Main Road
PO Box 1179
Southoid, N.Y. 11971
January29, 1997
Re: 1605 WESTVIEW DRrVE MATTITUCK, N~;w YORK
Dear Sir/Madam,
I, 2~ ~X'~ g ~r/'/~;/~,~g4g~,4~, own a home located at /d ~ Westview
Drive in Mattimck, Long Island. I am familiar with the property located at 1605
Wesrview Drive (sec. 107; block 7; lot 9) because my home is next door. To the best of
my knowledge the bulkhead behind said home was built over 25 years ago.
Board of Town Trustees Town of Southold
Town Hall
53095 Main Road
PO Box. 1179
Southold, N.Y. 11971
January29, 1997
Re: 1605 WESTXqEW DRIVE MAT~CK, NEW YORK
Dear Sir/~adam,
I, '-~7~<~ ~TI 0 t ~f~ · , own a home located at/o~5~,5 Westview Drive in
Mattimck, Lon~g Island. I a/fi familiar with the property located at 1605 Westview DriVe
(sec. 107; block 7; lot 9). To the best of my knowledge the bulkhead behind said home
was built sometime prior to the Town's Wetlands Law which was enacted on June 29,
1971.
FORM NO, 1
TOWN OF SOUTHOLD
BOARD OF TOWN TRUSTEES
TOWN CLERK¢$ OFFICE
SOUTHOLD, N. Y.
Examined ........... , ...................... 19 ...... Application No ...................
Approved .... ~. ~.../. ~ .~.~.' ......... Permit ~o ,~..-.q /
J~isapproved a/c .................. ~ .t2 ............. J ...................................................
,APPLICATION FOR PERMIT
A. This application to be completely filled in by typewriter or in ink and submitted to the Town Trustees in dup-
licate.
B. Plot plan showing location of lot and buildings on 1)remises, rel~tion to adjoining premises, public streets, parks.
etc., and giving detailed description of proposed layout of project must be drawn on diagram which is part of this
application.
C. The work covered by this application may not be commenced before the issuance of a permit.
D. Upon approval of this application, Town Trustees will issue a permit to applicant. Such permit shall be kept on
the premises and available for inspection at all times.
E. Applicant shall notify the Board of Trustees upon completion of the xvork covered by pemit.
APPLICATION I8 HEREBY MADE to the Board of Trustees of the Town of Southold, Suffolk County, New
York, for the issuance of a permit pursuant to the la~vs, Ordinances and regulations governing construction of: (locks,
piers, bulkheads, jettys and dredging in, under, and oyer the waters of Town of Southold. The applicant agrees
to comply xvith all applicable laws, ordinances, regulations and conditions specified by said trustees, and to hold the
Town of Southold, and all Town officials free from liahility and damages of any kind.
Name of Owner of Premises .... ?. ~¢r4,~.~)....~..~.a/.,'F. :4). ..... ~...?..~.c..g.~?....~f.~.:'.~,f:4c.'/re. ....................
Street Address of Property .... ~,'.~..r/.--.././a.,~.~...L/). zf/.'v<.~...?..~..~../~-/.--f.~./.~-.~/.<:.r.C ...........................
Home Address If Other Than Location .......................................................................
Creek, Bay or Harbor Fronting Property ...L~f~. ~.~. ~.2.~.~A~ .~, .... f./?..q (~.r.~ ....................................
Permits Requested To: ...... ~k~. ¢,-. ~ f'.t?... ~..ra .C 5:[ ......................................
Size of Proposed Work: Length ..... .7.<9 ........ Width ..... .~. ..... Heighth Above High Water .... ~.[ ......
Depth Below Low, Water .............. Average Rise In Tide .............. Yards to Be Excavated ............
Width of Canal, Creek or Bay Fronting Property ...... 3['?.q.". ........... Depth at Low Tide ..................
Is This For Private or Business Use? .... ?~i~.~U/~ ........................ Area Zoning ....................
Complete plot plan to be drawn on reverse side of this application.
STATE OF NEW YORK )
)s.s.
COUNTY OFl ..-e~, )
~.f-AC.~ZC~.~.~... L,'.~:..¢~..~.~.. being duly sworn deposes and says that he is tbe applicant ~or the above described
' permit, and that all statements contained herein are true to the best of his knowledge and belief; that the work
will be done in the manner set forth in the application and as approved by the Board of Trustees of the Town of
Southold, and the applicant agrees to hold 'the Town of Southold and said trustees harmless and free from any and
all damages and claims arising under or by virtue of said permit. '
.......
~ (applican~
Sworn to before me this ~ day of-¢~~ 19~ ~4~~
.........;L'.':'.'.'; L'.'.'... ..
~olary Pllhlic, Slate of New YorR
z
~ o
z
~ 0
'~ C
-I
'1'
0
PROOF OF M_~ILING OF NOTICE
ATTACH CERTIFIED FLAIL RECEIPTS
P 209 700 556_ ~
US Postal Service
Receipt for Certified ~ai[
No Insurance Coverage Provided.
Do not use for International Mail (See
Street & Number
¢,State, & ZIP
CeAified Fee
Spedal Delive~ F~
Rest~ De~[vew Fee
Return R~eipt ~ow~n9 to
Whom & Da~
- _
C( ~
.Address: .... p 209 700 558
US Postal Service
Receipt fo[' Certified Mait
No Insur~ce Coverage Provided.
Do not use for International IViail
Postage
Ce~ie0 Fee
Sped, al Pelive~ Fee.
y Fee
Raturn Receipt'Showing
Whom & Dgte Deiiverect
~ b_?ing duly sworn, deposes and says
that on ~- day of ~¢~.~ ,19 ~7 , deponent mailed
a %rue 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 roil .of the
~own of Southold~ that said Notices were mailed at the United
~tates Post Office at ~~ ,~ ~,~_ , that said Notices
were mailed to each of said ~rsons by (certified) (registered)
mail.
Sworn to before me this
day of -~.~ ;19 q7
Notary Public
8
· Complete items I and/or 2 for ~ddifiona] services.
· Complete items 3, 4a a_nd 4b.
· Print your name and ~ ~s on the reverse ol this fon~ so Ihat we can return this
card to you.
~'Attach this form ID the ~vnt of the mailplece, or on the back if space does not
permit,
· Write'Return Receipt Requested' en the mailpiece below the a~ticle number.
· The Return Receipt will show to whom the a~ticle wa~s delN'ered and the date
delivered.
3. Article Addressed to:
5. Received By: (Print Name)
..h 6. Signature: (Addressee orAgent)
o
~ X
PS Form 3811, December 1994
I atso ~vish to receive ~e
folio ..... 1 services (for an
extt, ~):
1. [] Addressee's Address
2. [] Restricted Delivery
Consult postmaster for fee.
14a. Article N[jmber
J4b. SerVice Type "~""'~-' ~:~
/Registered J~ CerlJfied
Express Mail [] Insured
Rstum Receipt for Merchandise [] COD
7. Date of DelNery
o
~:~
8. Addressee's Address (Only if requssted
and fee is paid)
I02595-97-B-0179 Dom~turn Receipt
P 209 700 556
US Postal Service
Receipt for Certified Mail
No Insurance Coverage Provided.
Do not use for Inlernationai Mail (See reverse
Street & Number .
Oflice, Stale, & ZIP Code
Postage
Certified Fee
Special Deliver' Fee
Restricted Delivery Fee
Return Receipt Showing to
W~om & Date Delivered
Return Receipt Showing to W'nom,
Date, & kddressee's Address
~JToTAL Postage & Fees I P0stmark or Dale
P 209 700 556
SENDER:
=Complete items 1 and/or 2 for addiP--~l se~cee. I also wish to r~,--ive the
· Complete items 3, 4a, and 4b. -" ,~ollow;n~ servi ,~or
an
· Pdnt your name and address on th~ ~eme of this form so that we c~ return this
~rd t~ you. e~ fee):
=~ach this fo~ to the front of the m~lpi~, or on the ba~ if ~a~ ~os not 1
=Write'Return Re~i~ RequestS' on the mail~eco below the adicle numbe[ 2.
· ~e Return R~eipt ~11 show to whom ~ aAide was delivered ~ the date
delivered. Consult pos~aster for fee.
3. Adicle Addressed to: 4a. A~icle Number
~ ~ 3~ 4b. Sewico Typo
~~C~ .~ ~ ~Expre~Mai[
I ~ Return R~ipt for Memhandi~
7. Dato of Dolive~
5. Received By: (PfintName) 8. Addressee's Address (Only if mquested
and fee is paid)
6. Signature: (Addressoe or AgenO
X
PS Form 3811, December 1994
Domestic Return Receipt
P 209 700 558
US Postal Service
Receipt for Certified Mail
No insurance Coverage Provided.
Do not use for International Mail (See reverse~
Sent to
t Office, State, & ZIP Code
Postage S
Certified Fee
Spedal Deliver' Fee
Restricted Delivery Fee
Relum Receipt 8hewing
Whom & Date Delivered
Retm R~I
Date, &
¢~' TOTAL ;ostage & Fees
iPostmark or Date
P 209 700 558
Is your E. ~=~s your RETURN ADDRESS completed on the~ide?
Thank you for using Return Receipt Service.
~pouios .
~dale Lane
~w York 11358
6/30/97
~rn receipts of the notice given to the
Theodore and Catherine Marangas) of
1 for the deck and the retaining wa~l~
Drive in Mattituck, New York.
Sincerely ~{s,/ ~
Maria Andriopoulo~
'd of Trustees Application
County of Suffolk
State of New York
DEPOSES ~D AFFIRMS TH3L~OH / HE IS THE APPLICANT FOR TTtE ABOVE
DESCRIBED PERMIT(S) A~ND THAT ALL STATEMENTS CONTAINED HEREIN ~/{E
TRUE TO THE BEST OF HiS/HER K/~OWLEDGE AND BELIEF, .AND TEAT ALL
WORK WILL BE DONE IN THE MANNF~R SET FORT~ IN THIS APPLICATION
AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES.
THE APPLICANT AGREES TO HOLD TPiE TOWN OF SOUTHOLD AND THE TOWN
TRUSTEES F~KRFiLESS 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 PR~MISES IN CONJUNCTION WITH REVI~ OF THIS
APPLICATION.
- Signature / ~
/
SWORN TO BEFORE ME THIS
DAY OF ~~ ,19 q7
Notary Public
Pu o, State of Yo k
Board of Town Trustees Town of Southold
Town Hall
53095 Main Road
PO Box 1179
Southold, N.Y. 11971
January 29, 1997
Re: 1605 WESTVIEW DroVE MATTITUCK, NEW YORK
Dear Sir/Madam,
I, ~r~ ~a>gi q. ('/-r]-/~,~$~ ~J~g-~,}'~;/~, own a home located at /A leX" Westview
Drive in Mattituck, Long Island. I am familiar with the property located at 1605
Westview Drive (sec. 107; block 7; lot 9) because my home is next door. To the best of
my knowledge the bulkhead behind said home was built over 25 years ago.
yours, g/~/~
Albert J. Krupsld, President
John Hotzapfe!. Vice President
Jim ~ing
Martin H. Garrell
Peter Wenczel
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 1197t
Telephone (516) 765- t 892
Fax (516) 765-1823
Office Use Only
~Wetland Permit Application i'IDjI-~-'~'-~"~=--~!i
Grandfather Permit Appiicationl~n%t
~'~'~r ~'~'~aive r / Amendment / Change_s IUU!
Incomplete
SEQkA Classification:
~/pe I Type ii Unlisted
Coordination:(date sent)
__CAC Referral Sent:__~~~L__
~-~ate of Inspection:
__Receipt of CAC Report:
Lead Agency Determination:
__~T~chnicai Review:
~Public Hearing Held: ~r~.~?
Resolution:
324- l ~ ~ o
£
Phone Number:
Suffolk County Tax Map Number: !000 -
Property Location:
(provide LiLCO Pole ~, distance to cross streets, and location)
AGENT:
(If applicable)
Address:
Phone: -
B~rd of Trustees Applicatio?
GENERAL DATA
Land Area (in square feet): ti i7 ~
Area Zoning: ~ MO
Previous use of property:
Intended use of property:
Prior permits/approvals for site improvements:
Agency Date
No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked
governmental agency?
-/
~/ No
or suspended by
Yes
If yes, provide explanation:
Project Description (use attachments if necessary_):
B'~' rd of T~astees Appticatior'~
Purpose of the proposed operations:
WETLAND/TRUSTEE LANDs APPLICATION DATA
Area of wetlands on lot: f) square feet
Percent coverage of lot: %
Closest distance between nearest existing st~cture and upland
edge of wetlands: ,,~5' feet
Closest distance between nearest proposed structure and upland
edge of wetlands: ~,S- feet
.Does the project involve excavation or filling?
'~ No Yes
If yes, how much materia! wi!! be excavated?
;
How much material will be ~i!led? A~/~
Depth of which material will be removed or deposited:
feet
Proposed slope throughout the area of operations:
Manner in which material will be removed or deposited:
~/~ cuJoic yards,
cubic yards
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 attackments i~ appropriate):
3
9 1997_
NOTICE TO ADJACENT_ PROPERTY OWNER
BOARD OF TRUSTEES, TOWN OF SOUTHOLD
In the matter of applicant:
SCT iO00- 07'-
YOU ARE HEREBY GIVEN NOTICE:
1. That it is the intention of the undersigned to request a
Permit from the Board of Trustees to:
2. Thag the property which is the subject of Environmental
Review is located adjacent to your· property and is described as
follows: %G~S- ~j:~a~v~ ~ . .~ ·
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. You may contact the Trustees Office at 765-i892 or in
writing.
The above referenced proposal is under review of the Board of
Trustees of the Town of Southoid and does not reference any
other agency that might have to review same proposal.
EnC.: Copy of sketch or plan showing proposal for your
convenience.
817.?~
Appendix C
Slate ,'--nvir~nmentaJ Quality' Revfew
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS
PART [~PROdECT !NFC, RMATTON ...q'o be c.cmo[e.,ed by Ao.plicant or Proiec; sponsor)
SEC
2- PROJECT NAME
5. IS PROPOSED ACTION:
~ New I~ :_x:~ansion ~ Modificadon/'alteradon
,AMOUNT OF LAND AFFECTED:
g. W~LL ~ROPQSE'D ACTION COMPLY wtTN EXISTING 7.QN~NG OR OTHER -~(1ST~NG LANe USE .=,EST,'~tCTiC~S?
;...~'~ 'Yes ~ No if ~1o. describe brieCty
Describe:
10. DOES ACTION !NVGLVE A P~_.=,M~T APPROVAL. OR FUNDING. NOWOR ULTIMATELY PROM ANY QTHE.R GQV~-RNM~-NTAL AGENCY,
STATE GA LOCAL)?
~ Yes ~ N~ ~f yes, Ifs~ ~ency(s) ~nO ¢erm~t~a~orcv~l~
~OES ANY ASP~,~T OS H~ ACTION HAVE CURREN. L, CAUD FE.,~OR AP, ROYAL. ·
PBDERAL
If the action' is in the Coss:aJ Area, .~nd you are a state sqency, comcie~e the
Ccastat Assessment Form before ~, ~'
~.cc~-~nc with th~s~-~m:~*~ ,~,,,
z~
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