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Home My WebLink AboutARNOLD, HARLEY B. Albert J. KlllpSki. President John Holzapfel. Vice President Jim King Martin H. Gan:ell Peter Wenczel BOARD OF TOWN TRUSTEES TOWN OF SOU~OLD Office Use Only Coastal Erosion Permit Application Wetland Permit Application Grandfather Permit Application [./Waiver/Amendment/Changes Received Application: Received Fee:$ Completed Application Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) CAC Referral Sent: Date of Inspection: Receipt of CAC Report: Lead Agency Determination: Technical Review: Public Hearing Held: Resolution: Town Hall 53095 Main Road P.O. Box 1179 Southold. New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 Name of Applicant /~/cRL&~ ~ ~%bJOLD Suffolk County Tax Map Number: !000 Property Location: ~O0 ~ ~V~. (provide LILCO Pole ~, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: FAX~: 1 ATTACH CERTIFIED MAIL RECEIPTS , TOWN OF SOUTHOL i Name: ' ~ Address: ~/Z~~k; ~/~ , being~ ~u~y sworn, ~eposes an~ says tha~ bn '~he-~ ~ ~day of ~~ ,19 ~, deponent mailed a 'true copy ~e Notice set forth in the ~oard of Trustees Application, directed to each of the ~hove 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 Southo!d; that said Notices were mailed at the United States Post Office at ~~3~~~, that said Notices were mailed to each of sa~d pe"~ons by (certified) (registered) mail. ~66~. t!Jd¥ 'O0~C u.uo.4 Sd 617.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART [mPROJECTINFORMATfON (To De ~ m ¢~=,~ vD O~ .... by APPlicant or Pro.ec'~ sponsor) F1. APPL1C.ANT /SPONSOR 2 PROJEO- NAME SEC 5. IS PROPOSED ACTION: ~ .'--x~ans on ~ Modification/alt station 6. DESCRIBE PROJECT BRIEFLY: AMOUNT CF L.ANO AFFECTED: - ~. '/JILL PROPOSED ACTION COMPLY WITH EX~ST1NG ZONING OR OTHER -~(ISTING LC, ND USE RESTRICTIONS? ~ No If Nc. ~escrioe brfetl~ WHAT IS PRESENT _AN',.3 USE iN VIC;NITY OF =RCJECT? j~Res,dentJ~, ~dncus,trial '~C. omm erci~ ~0. DOE~ ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERA STATE OR LOCAL)? ' -' ~ No If yes. ]is; agency s) and ~ermitlacprovais 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR ,-APPROVAL? Yes' ~NO If yes. list agenc7 name and permit/approval 12. AS A RESULT OF PROPOSED AC%ION WILL EX/STING PERMiT/APPROVAL REQUIRE MODIFICATION? CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE if the action'is in the Co;sial Area, and you are a state agency, complete the Coastsi Assessm_n: Form before proceeding with this a.s__.s, essment OVER ' ~oard of Trustees Applica~n WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ~/~'~7~.~U~?/~/ Area of wetlands on lot: /~ ~ square feet of lot: ~ % Percent coverage Closest distance between nearest existing structure and upland edge of wetlands: ~' feet Closes5 distance between nearesn proposed structure and upland edge of wetlands: ~ feet Does %he project involve excavation or filling? No ~ Yes ~ c~bic yards cubic yards If yes, how much material wilt be excavated? How much material will be filled? ~? 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 appropriate): Board of Trustees Applica~n ~E~ERAL DATA Land Area (in square feet): Area Zoning: ~ ~0 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 or suspended by a governmental agency? ~/ No Yes If yes, provide explanation: Projec~ Description (use attachments if necessa~y): OBoard of Trustees App!ica~n County of Suffolk State of New York ~~ ~, ~/O ~D BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE iS THE APPLICANT FORT HE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/H~R KNOWLEDGE A_ND BELIE~, .AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORE IN THiS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICkNT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES H~3d~LESS 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 HF~REBY 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 Notary Public Telephone (516) 765-1801 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town ConServation Advisory Council held Monday, October 19, 1998, the following recommendation was.made:, WR-122 HARLEY B. ARNOLD' 126-1-5 to construct a foundation for a single family dwelling. 200 Bray Avenue, Laurel The. CAC did not make an inspection, therefore, it has no comment. RICHARD ISRAEL Phone516-477-1300 Fax 516-477-0909 443 MAIN STREET P O BOX 2100 3REENPORT, NEW YORK 11944 October 15, 1998 Town Of Southold Board Of Trustees Main Road Southold, N.Y. 11971 RE: Proposal To Build House By Harley B. Arnold SCTM# 1000-126-01-05 Dear Trustees, I represent the Pollak Family as their agent and I have been requested to respond to your notice of application of Harley B. Arnold. The Pollak Family owns the adjacent 220 acre farm to the west. The subject property is a natural ravine which collects large quantities of rain water. The property is a natural wetlands and we have concerns on the proposed building site. The building is situated on a natural incline of water flow to the ravine. I fear that if the house is built, my client may be subject to future lawsuits due to the natural drainage. Eighth Street is currently a paper street. I question whether the owner is going to open this street. If so, then will it be built according to Town Specifications, will it be bonded and dedicated with the proper drainage? The Pollak Family would prefer that the house be relocated to the Bray Avenue side which would eliminate our concerns. Please keep us advised as to the progress of your decision and I would like to be notified of scheduled meeting or heating dates so that we may comment and be part of your decision making on said subject matter. If you are to allow this proposal, the Pollak Family would like to be indemnified by the owner for the natural peril this house is subject to. Very truly yours, ~---~