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HomeMy WebLinkAboutTR-4936Board Of $outhold Town TrUstees SOUTHOLD, NEV~ YORK DATE: ....J. une 25.,....1998 ISSUED TO ............ Rober t.,.G~¢di.c.k ...................................... Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of fha Laws of fha State of New York 1952; and the Southold Town Ordinance en- titled "REGULATING AND THE PLACINC~ OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, C=RAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with the Resolution of The Board adopted at a meeting held on 19 ~., and in consideration of the sum of $ ..... ~(~.~0~ paid by Robot ~....Gre di~l~ of N.Y. and subject to fha Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: to Demolish existign 1 1/2 story residence on existing with a 16' X 20' addition and a 16' X 13' enclosed porch all in accordance with the detailed specifications as presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes ifs Corporate Seal to be affixed, and these presents fo be subscribed by a majority of the said Board as of this dat,e. .... Tmstees Albert J. KruI~ski, President Jame~ King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516)765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 25, 1998 Robert Gredick c/o BG Instruments 1 Crossways Park West Woodbury, NY 11797 Re: SCTM #118-4-6 Dear Mr. Gredick: The following action was taken by the Board of TOwn Trustees during its regular meeting held on June 24, 1998 regarding the above matter: WHEREAS, ROBERT GREDICK applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated June 4, 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 June 24, 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 37-18 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, Telephone (516) 765-1801 SOUTItOLD TOWN CONSERVATION ADVISORY COUNCIL Town Hall. 58095 Main Road P.O. Box 1179 Southold. New York 11971 The following recommendation was made at a meeting of the Southold Town Conservation Advisory Council held June 22, 1998: No. 1575 Moved by Melvyn Morris, seconded by Kenneth Meskill, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Wetland Permit Application of ROBERT GREDICK 118-4-6 to demolish existing 1 1/2 story residence to top of foundation wall; build a new two (2) story residence on existing foundation with 20' x 16' addition and 16' x 13' enclosed porch. 7825 Nassau Point Road, Cutchogue Vote of Council: Ayes: All Motion Carried ;~' Albert J. Krupski, President .~ James King, Vice-President ~//" Henry Smith ~rtie 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 TOV~N OF SOUTHOLD Office Use Only _~wCe~Stal Erosion Permit land Permit Application Grandfather Permit Application Waiver/Amendment/Changes _lz~eCeived Application: _~/Received Fee:$ /~ ~ompleted Application Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) ~ CAC Referral Sent: --Date °f Inspecti°n: ~i~ Receipt of CAC Report: __Lead Agency Determination: Technical Review: Public Hearing Held: ~.~ Resolution: Name of Applicant Address q2~% C~7Q~0~3~ ~,-~, Phone Number:( Suffolk County Tax Map Number: 1000 - Property Location: Iprovi. de.~L~II~qO~Pol_e_ ~, distance to cross streets, (If applicable) Address: and location) Phone: FAX~: B~ ~rd of Trustees ApplicatioL ~ GENERAL DATA Land Area (in square feet): Area zoning: Previous use of property: IntenHed 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 or suspended by a gcvernmental agency? ~//'No Yes If yes, provide explanation: Project Description (use attact{ments ~f necessary): Boa~ of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: square feet Percent coverage of lot: Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? No ~ Yes If yes, how much material will be excavated? ~ cubic yards How much material will be filled? cubic yards 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: 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 approp'riate): BOARD OF TRUSTEES, TOWN OF SOUTHOLD NOTICE TO ADJACENT PROPERTY OWNER In the matter of applicant: sc 000- 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. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 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 765-1892 or in writing. The above referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. OWNERS NAME: ~O~4_~ MAILING ADDRESS: HONE q/3q (qrT Enc.: Copy of sketch or plan showing proposal for your convenience. Bos'''~ of Trustees Application County of Suffolk State of New York .~ ~)~-~ql_--~ G~%_~[~.[[ BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR TlqE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATF24ElqTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AlqD BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTt{ 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 Dd~ISING 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 CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS Notar_y_ Public Boa~" ~ of Trustees Application AUTHORIZATION (where the applicant is not the owner) (print owner of property) %~ do hereby authorize residing at ~ ~7%~3 (mailing address) (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature) 1.4.!6.4 (2287~Taxt 12 "~R~JECT[.D, NUMBER 617.21 Appendix C State Environmental Quad'fy Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I~PROJECT INFORMATION ("To be completed by Applicant or Project soonsor) SEC 1. APPt~ANT /SPONSOR 3. PROJECT LOCATION: 4. PRECISK LOCATION {Street address and road intersections, prominent I~mar~s, etc., or 5. tS PROPOSED ACTION: ~"~ New ~ansian ~'"'Mo~dodi ficationialt erat ,on 6. OESCRIEE PROJECT BRIEFLY: 7. AMOUNT OF ~ND APFECTED: Initially acres Ultimately acres 8. WILL FROPOSED ACTION COMPLY WITH ~DqSTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? Yes [~ No If No. describe briefly 9. WH.~A.~ PRESENT LA¢4D USE IN VICINITY OF PROJECT? [~,'¢~'~ ee i~en t t at [],!ndustrial ~ Commermsl Describe: [] Agricuiture ~ ParklForest]Oeen soace ~ OU~er :0. DOES ACTION INVOLVE A PERMIT APPROVAL OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR [] Yes I"'l No If yes, llst agency(s) and permJ~lapprovals 11. DOES ANY ASm.,.~T OF THE ACTION HAVE A CURRENTLY VALle PERMIT OR APPROVAL? [] Yes' L.~ No If yes, list aeency name and permit/approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMiT/APPROVAL REQUIRE MODIFICATION? r-] Yes [] NO If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment . /, OV~ER ,/ PART II--ENVIRONMENTAL AS'.... JSMENT(To be completed 0y Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYGRR, FART 617.127 if yes, cooromale the review srocess anc use Ihe FULL DAF. [] Yes [] No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN B NYCRR, PART 517.57 if NO, s negative dec!arctic may be superseded by another involved agency, [] Yes [] No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WiTH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or' groundwater quality or quantity, noise levets, existing traffic patterns, sodd waste production or dlsDos~ potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, historic, or ot~er natural or cultural resources; or community or neicj~ortqood character? Explain bdo C4. A community's existing plans or goals as officiatly adopted, or a change in use or intensity of use of land or other natural resources? Explain brio Long term, short term. cumulative, or other effects not identified in Cl-C57 Explain briefly. C7. OIher impacts (inclUding changes in use of either quantity or type of energyJ? Explain briefly, 0. iS THERE, OR IS THERE LIKELY TO SE. CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL iMPACTS? ~ Yes [] No If Yes. explain briefly PART iII--DETERMINATiON OF SiGNIFiCANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, [mportant or otherwise signified Each er(eot should be asseased in connection with its (a) setting (i.e. urban or rurai); (b) probability of occurring; (c) duration; irreversibitity; (e) geographic scape; and (f) magnitude. If necessary, add Attachments or reference supporting materials. Ensure ti exalanations contain sufficient delail to at, ow that all relevant Adverse [mpa'cts' have been identified and adequately addressed. [] Check this box if you have identified one or more potentially large or significant Adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive-declaration. [] Check this box if you have determined, based On the information and analysis above and any supporting documentation, lhat the proposed action WILL NOT resuit in._4.ny significant Adverse environmental impacts AND provide on attachments as necessary, the reasons suppot:ting this determination: · Albert J. Krupsld, President James t{ing, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1882 Fax (516) 765-1823 TOV~N OF $OUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD BOARD OF TOWN' TRUSTEES In the Matter of the Application of __ .......... COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I,~[l~Q~-~\f_~(, residing at ~ ~~k~K) ~Ol~--- being duly sworn~ depose and say: That on the ~0 day ~f ~, 1~9~, I persona~iy posted the property known as ~<. Q~ ~ ~lClC (~ ~CV by placing the Board of Trustees official posuer where it can easily be seen, and that ! have checked to be sure the poster has remained in place for seven days prior uo the date of the p~lic hearing. (daue of hearing noted thereon to be held Dated: Sworn to before me this _ D~--day of~~ 199~ COmmi~ ~pir~lY31, Ig~ ( signature ~ame: PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Address: Z 296 · 77 ~7.~ US Poslal Service Receip for Certified MaJ No Insurance Coverage Provided. Do no! use for International Mail (See reveme) Z 29~ 777 ff77 STATE OF NEW .YORK COUNTY OF SUFFOLK that on the 5 day of a true copy of the Notice set-forth in Application, directed to each of the' above ~,named addresses set opposite' there ~respective names.; that 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 said Notices were mailed at the United States Post Office at ~J~5~_k~t)~~ , that said Notices - ~" (.~ertif~) (registered) were mailed to each of s~ ~. . mail ~ ~ · addi~onal 'e~rse of fhie ~rm so ~at we ( ~rmltI. this fo~ to ~e fret of ~ ~lp ecs or on m. ~ _... mW~te'Retor~ R~ t Sworn to before me this ~ '!~.t~"t"~";~'"~'°"th"m~"-' = u~,vered. ~ ......ow to Whom the a~;~ ~°w.~e shale ~ was delme¢ed and fhe ,, / r 8 ...... · 'own-controT~e-~-~t-ers O0 ).wish to receive the )ervices (for an 1. ~ Actdressee,s Adohr( 2./-7 Restricted Deliver~ for fee. ~ ~nSurec J~ COD