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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~ EEK~