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Home My WebLink AboutTR-4986 GF Board Of Southold Town Trustees SouT,OLD. NEW YORK PERmiT NO. ~.? ~"('..~ DATE.' ...~..~.~.~-- ........ ISSUED TO ....... ~o~.E. pH...k JOAN CHISHOLM Pursuanf fo fha provisions of Chaplet 615 of fhe Laws of fhe Sfafe of New York, 1893; and ~apfer ~ of fhe ~ws o{ fke ~ Sfafe of New Yor~ 1952; and ~e Soufhold Town Ordinance eh- rifled ."RE~U~TIN~ AND ~E P~CIN~ OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and REMOMAL OF SAND, ~RAVEL OR OTHER MATERIA~ FROM LANDS UNDER TOWN WATERS:'.~; and in accordance wifh fha Resoluf~on o{ Tke Board adopfed afa meef~ng keld on ..~.~ ..... 19...~ ..... and ~n consideration o~ fhe sum o{ $..~.~2..~ ........ pald by .......... ~.7.G.~21tA=~.~....Inc ...... foz.~.O.S~H..CH~H.O~.: ..................... of ............ ~.~AT.~[ ...................................................... N. Y. and subiecf Terms and Condiflons lisfed on fke reveme side kereo{, o~ Soufkold Town Tru~ees a~hor[ze$ and permlfs fke G~andfatheT Permit to ~eplace inkind/inplace 63~ of low p~ofile jetty w~th the top of the landward end of jetty to be no 1ess 5~ below the top of bulkhead. ail in accordance wlfh fha derailed speci{~caflons as pre~nfed fke origlnafing appIicaRon. IN WITNESS WHEREOF, The said aoat~ o{ Trusfees ~re- by ~use[ ih Corpotafe Seal fo be a~xed, an~ fkese presenh fo be subscribed by a'maiod~ of fha said Board as Town HaH. 53095 Main Road P.O. Box 1179 Telephone Southold, New York 11971 (516) 765-1801 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Thursday, November 12, 1998 the following recommendation was made: GF-74 JOSEPH and JOAN CHISHOLM 128-4-26 to remove and replace (in-kind, in-place) existing 60' Iow-profile timber groin. 4170 PeconJc Bay Blvd., Laurel The CAC did not make an inspection, therefore, Jt has no recommendation. ///~ 1329 North Sea Road Southampton, New York 11968 516-283-6360 Fax: 516-283-6136 EN- CONSULTANTS, INC. E-maii:encon@peconic.net ENVIRONMENTAL SERVICES October 27, 1998 Town of Southotd Board of Trustees Post Office Box 1179 Southold, Now York 11971 'Alan.: Diane Herbert Re: Joseph 85 Joan Chisholm 4170 Peconic Bay Boulevard, Laurel SCTM #1000-128-4-26 Dear Ms. Herbert: In regard to the above referenced property, enclosed are the following for the Board of Trustees review: 1. Three (3) Permit Application forms, 2. Three (3) copies of authorization & disclosure forms. 3. Three (3) work plans, 4. Three (3) copies of survey. 5. One ( 1 ) set of sit~ photographs. 6. Application fee orS100.00. I trust this information shall allow you to process our request for a Grandfather Permit. Should any additional information be required, please do not hesitate to contact our office. Since, r~ly, ~,'~ Robert E. Hem~laffn Coastal Management Spt~ialist /klis E_nc. ,Albert J. Kmpski. President :,,. : ·, Town Hall. _ Jim King ~ ~ ~~ ~ P.O. Box 1279 ,~ ~ ~ l~ ~ ~ Southold, New York 11971 Martin H. Garrell -~ ~- '~' ~--~£~ %-'-,or ,.,. ,~'* ~.~"/"~~"~¥~J Telephone (516) 765-1892 Peter Wenczel '""~ Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Coastal Erosion Permit Applicati Wetland Pezmit Application ~Grandfather Pe'~mit Application Waiver/Amendment/Changes Received Application:/~ -~r F~ ~Received Fee: $ ~ ~ ~Comp leted Applzc~tion ~Incomptete ~, ~ SEQ~ C!a~fficat~on:' - ~ ~e I ~e II Unlisted Coordination: (date se~) ~Date of Inspection: l/ t~ ..Receipt of CAC Report: - .Lead Agency Dete~ination:__ "Technical Review: .... Resoiution: N~ne of Applicant Joseph & Joan Chisholm Address Post Office Box 313, Laurel, NY 11948-0313 Phone Number:(516) 298-9668 Suffolk County Tax Map Nun%her: !000 - 128-4-26 Property Location: 4170 Peconic Bay Boulevard, Laurel (provide LiLCO Pole ~, distance to cross streets, and location) AGENT: En-Consultan~s, Inc. (If applicable) Address: 1329 North Sea Road, Southampton, NY 11968 Phone:516-283-6360 F.AX~: 5i6-283-~±3~ Board of Trustees Application. GENERAL DATA Land Area (in square feet): 25,238 s.f. Area Zoning: residential Previous use of property: one( one-family dwelling Intended use of property: no change Prior permits/approvals for site improvements: Agency 'Date NYS DEC %1-4738-01991/00001 7/2i/98 USA COE %98-07940-Le 6/16/98 Southold Trustees 94935 6/25/98 No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a gover~enta! agency? X No Yes if yes, provide explanation: Project Description (use at=achments if necessary): Remove & reutace (in-kind, in-place) existing 60' low-profile timDer groin. Pr=CONIC BAY BLVD. ~ ~ Suffolk Hagstrom ~ Ma~ 25 1" = 3,000' z Iow-profile design 5. Proje~ Ioc~Jon: 4170 Peconic / PROPOSED GRO~ / ~ ~CONSTRUCTION FOR // ON G~T P~ONIC BAY~ ~U~L, S~FOLK ~ SHE~ 1 OF I 9/3/98 NOTICE TO .~DJACr~qT ?ROPERTY OWNLR BOA_RD OF TR. USTEES~ TOWN OF SOU?HOLD in the matter of Joseph and Joan Chisholm SCTM~1000- 94-1-12.2 YOU ARE HEREBY Gi¥~dq NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: Remove & replace (in-kind, in-place) existing 60' low-profile, timber qroin. 2. That the property which is the subject Environmental Review is located adjacent to ~our property a~d is described as follows: 4170 Peconic Bay Boulevarm, Laurel 3. That the property 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 ~ro~osa! is under review of the Board of Trustees of the Town of Southoid and dose not reference any other adjacent that might have to review same proposal. OWNERS NAME: Joseph & Joan Chisholm MAILING 'ADDRESS: P.O. Box 313 Laurel, NY 11948 PHONE ~: 516-298-9668 Enc.: Copy of sketch or plan showing proposal for your convenience. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: Leon Munier~ Jr. P.O. Box 577 Laurel~ NY 11948 Frederick Walterius 301 Beach Street Hackensack, NJ 07601 STATE OF NEW YORK COUNTY OF SUFFOLK doing business En-ConSui'aant s r Robert E. Herrmann , ~~g at 1329 North Sea Road __S..o_ut__h.ampton~ NY , being duly sworn, deposes and says that on the 27th day of October ,19 98 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed ~o each of the ~hove named persons at t. he addresses se~_ opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the cumrent assessment roll of the Town of Sour_hold; that said Notices were mailed at the United States Post O~fice at Southampton , that said Notices were mailed to each of said persons by (c~i~,i mail. Rob~r~-~ .. He ~ann -- Sworn to/before me this Notary Public 6 Z 514 943 ~67 Z 514 943 166 US Postal Service US Postal Service Receipt for Certified Mai~ Receipt for Certified Mail No Insurance Coverege Provided. No insurance Coverage Provided. Do not use for Intemetional t ~ail (See revere) Do not use for International Mail (See revere) . i~, Stye. & Z~P C~e p~ Office, S~te, & ZiP Code ~Fee S~c~ Delive~ Fee Re~um ~t ~g to ~m D~te & AddreSs Ad,sss Po~a~ or Date Board o~ Trustees Application. County of Suffolk State of New York DESCRIBED PERMIT(S) AND THAT AT.L STATEMk~%~S CONTAINED HEPJEIN ARE TRUE TO T!TE BEST OF HIS/HF~R KNOWI2~GE AND B~r~IEF, AND T!SAT ALL WORK WILL BE DONE IN THE MA~ER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY ~ SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD ~ TOWN OF SOUT~tOLD ~ TME. TOWN TRUSTEES ~ESE AND F!~EE FEOM ANY AND ALL DAMAGES ~ CLAIMS ~qi$iNG 'J~D~. OP. BY VIE'~JE OF SAID ~EP-MiT(S), IF GP~ANTE~. COMPLETING THIS AP-~LICATION, I HER~Y AUTI{ORIZE ~ TEUSTE~, THEIE AGF2qT ( S ) OR REPRESENTAT!%rE$ (S), TO ENTER ONTO TO INSPECT THE PP3-M!SES iN CONJUNCTION WITH REVIEW OF THZS APPLICATION. ~ S'WORN TO BEFO.RE M2E TEiS DAY OF / ~cuar¥ Punl£c / ~ 'rd of Trustees Applicatic i' AUTHORI ZATI ON (where the applicant is not the owner) (print owner of property; " (mailing address) ~ f/~o hereby authorize / ( Agent ) ~ ~( ) ~. to apply for pe,2~it(s) from the Southo!d Board o~ Town Trustees on my behalf. Owner' s' signature) , Town Hall Albert J. Krupski, President 53095 Main Road James King, Vice-President P.O. Box 1179 Henry Smith ~ ~t~ ~' Southold, New York 11971 Al'tie Foster ~ Ken Poliwoda Telephone (516) 765-18~2 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING SOUTHA~P~N, N.~ 11968 being duly sworn, depose and say: That on the~~' day of ~. , !99~ I personally posted the property known as ~Q~ ~,~ ~ by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for seven days prior to the date of the public hearing. (date of hearing noted thereon to be held~~ nO , :0o Dated: ~~ (sighk~e) ~ ~ sworn to before me this / _day of APPLICANT TRANSACTIONAL DISCLOSURK The Town of Southold's Code of Ebhics prohibits conflicts of interes5 on the parb of town officers and employees. The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. (Last name, firmt ~ame, middle' tntt~, Unites you are applying in the name of someone else or other'entity, such as a company. If so, indicate. the other person's or company's name.} NATURR OF APPLICATION% (Check all that apply.) Tax grievance Variance Change of zone Approval of plat , Exemption from plat o~ official map Other (If "Other," name the activity.) Do you personally (or through your company, ~pouse, eiblJng, parent, or ~hll. d) have a relntton~hip with uny officer or employee of the Town of Southold7 "Relationship" includes by blood~ marriage, or business interest. 'Business interest' means a buslnens, including a partnereitip, itl which the town officer or employee has even a partial ownership of {or employment by) a corporation in which the town officer or emplqyee own~ mor~ 5hen 5~ of 5h~ shares. YES NO ~ If you answered "¥ES,~. complete the balance o~,~ht~ form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself (the applicant) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. Tile town officer or employee or Ilia or her spouse, sibling, parent, or child is (check all that apply)s __A) the owner of greater than 5% of the shares of the corporate stock of the applic~nt (when the applicant ts a corporation)I ....... B) the legal or beneficial owner of any interest in a noncorporate'entity (when the.appliuan~ is not a corporation); __C) an officer, director~ partner, or ~mpl~ye~ Of the applica~t~ or __.D) the actual applicant. DESCRIPTION OF RELATIONSlllP Submitted /g~ie ,da~g of ~ 199_ PROPER T Y A T LAUREL TOWN OF SOUTHOLD SUFFOLK COUNTY, N Y. 1000 -728 - 04 - 26 Scale: 1" = 40' April 2, 1997 ', J .~' 0 ZERTIFIED 70, JOSEPH G. CHISHOLM JOAN R. CHISHOLM ~ ~ ~P~ ~ COMMON~EA'L TH LAND TITLE INSURANCE COMPANY O_ ~ ~o RH970438 ~ · ~ t ~' 0 ~' AREA = 25,238 scft ~., to tio lino ; :[:: ANY ALTERATION OR ADDITION TO THIS SURVEY IS ~ VIOLATION '. ~=.~ . ~ OF S~CTION 7E09 OF TH~ NE~ YORK STATE EDUC~ TION LAW~ "./~ . ~. ~ ' .~.~. LQ O. 49618 EXCEPT ~S PER S~CTION 7zog-suBDIVISION 2. ~bL CERTIFICATIONS 'LoN/C S~ SAID MAP OR COPIES BEAR THE IMPRESSED SEaL 0p THE SURVEYOR ~ ~,'~ ,HOSE SIGNATURE APPEARS HEREON. ',, BOX 909 · -- ' ADDIDONALLY TO COMPLY WITH S~IO L~ THE TERM "~LTERED BY' .~ TRAVELER STREET MUST BE USED BT ANT AND ALL SURVEYORS UTILIZING A COPT ~'FHOLD, N.Y. 11971 OF ANOTHER SURVETOR'9 MAP. TERMS SUCH AS "INSPECTED' AND 'BROUEHT-TO-D~ TS' ~RE NOT IN COMPLIANCE ~ITH ~F L~.