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Home My WebLink AboutTR-5167 , . P . ~~~ Town Hall Alber~ J, Krupsm, resident 53095 Main Road J~nes King, V~ce-President ~ P.O. Box 1179 Henr3 Smith Southold, New York 11971 Arkie Foster Ken Poliwoda Telephone (516) Fax (516) 76~-1828 BOA/{D OF TOV~N TRUSTEES TO~VN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application ~.Wetland Permit Application Grandfather Permit Application Waiver / Amendment / C~Gagesz I Received App.lic~tion: /~/~19 Received Fee.$ /~--~ Completed Application~/~X~/~ ~ Incomplete ~ SEQ~ Classification: ~p i ~e ii Unlisted ~oor~tion: !date ~CAC Referral =ent: ~ate of Inspection: Receipt of CAC Report~ Lead Agency Determination: Technica! Review: _ (provide LILCO Pole ~, distance to cross streets, and location) AGENT: (If applicable) Addr e s s: ~"~ Bo~ ~ of Trustees Application, ~. GENERAL DATA Previous use of property: Intended use of property: ~! [j ~-~_ Prior permits/approvals for site iEuprove~ments: 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 Has any permit/approval ever been revoked or suspended by a governmental agency?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: Droject Description (use at%,achuents if necessary): 'E_ Boa~-~ of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA ~urpose of the proposed operations: Area of wetia/%ds on lot: square feet Percent coverage of lot: % Closest distance between nearest existing structure and upl~qd edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wet!a/Ids: ~feet Does the project involve excavation or filling? ~ No Yes If yes, how much material will be excavated? cubic yards ~ow much material will be filled? cubic yards .b.ate~a_ be removed or deposited: Depth of which m ~ ~ will feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: Statement of the ei~ec~ if any, on =ne wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): 3 , ," ' PROJECT I.D. ,'~UMSE~ ~17.2! Appendix C Stats Environmental Quality Review For UNLISTED ACTIONS Only PART I--PROJECT iNFORMATION (To be completed ~y A~pl~c~nt or Project sp0nso~ ~" NO If Ho, ~scri~e briefly If the action is in the Coastal Area, and you are a state agency, compiem ~he Coastal Assessment Form before proceeding with this as__..sessment PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: ?? STATE OF NEW YORK CO~/NTY_ OF SUFFOLK ~_~9~ , be~ng~duly sworn, deposes and sa.ys the% On the ;_~Sday of '~%1 / ~PR~L ,~g~ deDonen= malled a true copy of the Notice set forth in the ~oard of Trustees Application~ directed to eack of the above named per~ons at the addresses set opposite there respective names~ that the ~ddresses set opposite the names of said persons are ~he of said persons as shown on the current assessment roll of the Town cf Southo].d; that said Notices were mailed at the States Post Office at ~c~ , that said Notices were mailed to each of said persons by (certified) mal~. sworn to before me t~is day of ~ ,~?~ Notary Public EDYTHE V. MULLEN No. 4895183 Qual~ied ~n ~uff0ik C0~nty 6 Boaz~ of Trustees Application County of Suffolk State of New York #£1D E S s, swoRN DEPOSES AND AFFIRMS THAT ~/SHE IS ~ ~PLIC~ FOR T~ DESC~B~ P~IT(S) ~ ~T ~ ~f~S CO~AI~ ~N ~UE TO ~ BEST OF~/~ ~O~GE ~ B~!~, ~ ~T WO~ Wt~ BE DO~ IN ~ ~ SET FOR~ IN ~!S ~PLI~TION ~ AS ~Y BE ~PROV~ BY ~ SObT~O~ ~ BOA~ OF ~UST~. ~E ~PLiC~ AG~ES TO HO~ ~ TO~ OF SO~T~O~ ~ '~ TO~ ~USTEES ~ESS ~ ~E ~OM ~ ~ ~L D~GES ~ C~ ~ISING ~ OR BY ~zR~ OF SAID P~!T(S), IF G~T~. IN CO~LETING ~IS ~PLICATION, I H~Y A~ORIZE ~ ~US~M, ~IR AG~( S ) OR ~P~S~ATI~S( S ), TO ~ 0~O ~ PROP~ TO INSPECT ~E PR~MISES IN CON~ION WI~ ~ OF ~IS ~PLICATION. S~nature SWORN TO BEFORE ME TI{iS ~--~ DAY OF ~ ~I~3~~ EDYTHE V, ~V)ULLEN PUBLIC, State of New Yo"k No. 4895193 Qualified ~n Suffolk County~ Commission ~p~res May ZS, ~f APPh~ANT .- in~r~st on ~h~ par~ of ~o~n o~fi~rs and ~mp~oy~s. Th~ purpos~ of ~his [orm Is ~o pro?id~ information ~hieh al~r~ the town of possible conflicts of fn~er~st and allow t~ 5o take whatever action 1~ necessary to avoid same. you ar~ applying tn th~ nam~ of som~on~ other enttby, such as a company. kh~ okb~r porson'~ or eomp~n~'~ NATURR OF APP~I~ATION~ (chee~ all apply',) Tax gri~vano~ ._ Varianc~ chan~a of 2onu_ app~al o~ pla~ _ ~x~mp~io, from pta~ or of~lutal map obher (Ir "o~h~r," name ~ha activity.) --. . ...... Do ~ou p~r~onally (or ~hrou~h ~our eo~pany~ ~pou,~. ~tblln~. in~uruu~' mua.~ a bu~inu~s, inuludin~ a pargnur~hip~ vhieh ~h~ Lorn of flour or ~mplo~n~ baa ~v~n ovneruldp of (or omploym~nL by) a eorp.oratton in uhich ~har~n. ~am~ of p~r~on ~mploy~d by Ehu To~n of ~oU~hold Till. or po.i~un of ~ha~ D~crib~ eh~ rmla~iun~hip b~w~n your.~lf {~h~ appropriat~ ltn~ A) through D) and/or d~ser{be in ~he space provided. parent, or child ts (cheek all ~hak apply)~ ,.A) Lhe ownor of groaLer khan 5% of Lhe corporate ~ouk of ~he appltu~ue (whe~ ~ho appZiuan~ i~ a noneorporabe'enbibr (when Lhe appl{uanL is nob a corporation ) t appl luanL ~ or D) ~he actual appl~cank, DESCRIPTION OF R~LATIONSH~P Albert J. Krupskl, President ~_~u~ ' ~r~T .~ Town Hall James King, Vice-President ~ 53095 Route 25 Henry Smith P.O. Box 1179 Artie Foster Southold, New York 11971-0959 Ken Poliwoda Telephone (631] 765-1892 Fax (631t 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD May 26, 2000 Mr. Aristides M. Giosasi 775 Wood Lane Peconic, NY 11958 Re: 775 Wood Lane SCTM ~86-6-9 Dear Mr. Giosasi: The following action was taken by the Board of Town Trustees during a Regular Meeting, held on May 24, 2000, regarding the above matter: WHEREAS, ARISTIDES M. ~IOSASI, applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated April 26, 2000 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 May 24, 2000, 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 areas 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 97-18 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, RESOLVED, that the Board of Trustees approves the application of ARISTIDES M. GIOSASI to construct decks with drywells on corners of house. 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 and complete pro~ect will exDire two years from the date it is signed. Fees must be paid, 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 of said project. FEES: None Ver~v~truly yours, Albert J. Krupskt, Jr. President, Board of Trustees AJK/cjc cc. Building Dept. Board Of $outholdJOwn Trustees SOUTHOLD, NEW YORK PERMIT NO ........... DATE: Pursuenf fo fb provisions of Chaplet 61~ of ~e bws of~ fhe Sf~fe of New York, 189~j ~ ~pfer ~o~ fhe Sfefe of New York 1952t end fhe Soufhold Town.. Ordlnen~ en- flfled ."R~U~TIN~ AND ~E P~OIN~ OF OBSTRUOTIONS IN AND ON TOWN WATERS AND PUBLIO ~NDS end RE~OVAL OF SAND, ~VEL OR O~ER ~ATERIA~ FROM LANDS UNDER TOWN WA~RSt~.t~ end in ~c¢o~ence wffh fhe Resoluf]on of ~he Board ~dopfed ~f ~ meeting held on .....~... ~.~ Aris~des G[os~si Terms and Conditions li~ed on the ~ve~e side he~f. "of Southold To~ Trus~e~ authorizes ~nd pe~mi~ the following: corners of house. e~ in ~cord~nce ~ith the def~ed s~ec~fic~fions es pre~nfe~ the originating application. JN WITNESS WHEREOF, The said Board of T~sfees ~re- by causes ~ Corporafe Seal fo be a~xed, and fhesep~esen~ fo be subscribed by a 'ma[od~ of f~ ~d Board as of ~s date. ITEILM~ a d CONDITIONS ~a~.g~ 775 Wood Lane, Peconic, NY 11958 p~' o~ ~e co~on for ~e ~ o~ ~e P~t d~ ~d~ l~g: L ~ ~d B~ o~ T~ ~e T~ ~old ~ ~o~=~tm~t~ ~e~ to ~.~-~ ~ ~e or pmj~ ~olv~ to ~ · ~t ~e wo~ ~ol~ ~ ~ ~j~ to ~ I 5. ~t &~ ~ ~ no ~le in~ ~ o~ ~o1~ i ~~ ?own Hall, 53095 Main ~oad Telephone ~ P.O. Box 1179 (516) 765-18~Z Southold. New York 11971 SOUTHOLD TOWN CONSERVATION ~kl)VISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Monday, May 22, 2000, the following recommendation was made: Moved by Abby Cochran, seconded by Jaclyn VanBourgondien, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Wetland Permit Application of ARISTIDES M. GIOSASI 86-6-9 to construct decks with drywells on the comers of the house. 775 Wood Lane, Peconic Vote of Council: Ayes: All Motion Carded