HomeMy WebLinkAboutTR-5256
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TERMS and CONDmONS
The Permittee
Robert Haase
residing at Main Road,. Orient N. Y.. as
part of the coosidetatioo for Ibe issuance of the Permit does uoderslalld and prescribe ro the fol-
lowing:
1. That !he said Board of Trustees and the Town of Southold an. rdeued from my and
aU damages, or dahm for damages, of suits arlsiag direcdy or Indirecdy IS a result of my oper-
ation performed putlUmt to this permit, and the Did 1'0....1..... wIU, at hJs or bet own upeose,
defend any and all ouch lUllS· initiated by tbitd parties, and the said reu.Jt"", ,- fun IiabJIity
with respect thereto, to the complete exclusion of the Board of Trosœes of the Town of Southold
2. That this Pemút Is ftI1d for a period of 24 mas. wbIch Is C:O~fH!J..d to be the
estimated time required to complete the work in'90hoed. but should dtcumstonces wicrlD.t, request
for an exœnsion may be made to the Boad at a !arer da....
I
I
-,
3. That this Permit should be retained iadeftnite1y, or as loog IS the said PenDittee wishes
to maintain the structure or project in'90lved, to provide evidence to myooe concerned that anth.
orization was originally obtained.
4. That the work iawlved will be subject to the inspectioa and Ipproval of the Board or
ilS agents, and DOtI-<:ompllance with the provisions of the origiaating Ippllcatioo, may be cause for
rew<ation of this Permit by resolution of the said Board.
5. That there will be no unreasonable interference with navigation as a result of the work
here.in aùthorized.
6. That there shall be no interference with the rigbc of the pab1ic to pass and repass aloog
the beach between high and low water marks.
7. That if future operarloos of the Town of Southold require the IeDIOVaI and/or altetaâons
in the location of the work heteia aulhorized, or If, in the oplaioa of the Boad of Trustees, the
work shall cause unreasonable obstruction to free navigation, the said Pemúttee will be nc¡uIred,
npon due notice, to remove or alter this work or project bereia stated wlthoat e'lenses to the Town
of Southold.
8. That the said Board will be notified by the Permittee at the """'I"edoa of the work anth-
orized.
9. That the Permittee will obtain all other permilS and consents that may be required sup-
plemental to this permit which may be subject to revolœ upon failure to obtain ume.
Albert J. Krupski, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
.
.
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
December 27, 2000
Ms. Nancy Dwyer
Architechnologies
13405 Main Rd.
Mattituck, NY 11952
Re: ROBERT HAASE
SCTM# 15-9-8
Dear Ms. D~yer:
The following action was taken by the Board of Town Trustees during its regular meeting held
on Wednesday, December 20,2000 regarding the above matter:
W1-IEREAS, Architechnologies on behalf of ROBERT HAASE applied to the Southold Town
Trustees for a permit under the provisions of the Wetland Ordinance of the Town of South old,
application dated December I, 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
December 20, 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 area, and,
WHEREAS, the Board has considered all the testimony and documentation submitted
concerning this application, and,
WHEREAS, the structure complies with the standards set forth in Chapter 97 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 approve the application of ROBERT HAASE to build
an accessory building which will be used for additional storage and restroom facilities for the
manna.
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 project will expire two years rrom 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
Very truly yours,
~ ~ /6-~~'9a.
Albert 1. Krupski, Jr.
President, Board of Trustees
AJK/lms
cc: Building Dept.
DEC
Health Dept.
.
Telephone
(631) 765-1892
SOUTHOLD TOWN
CONSERVATION ADVISORY COUNCIL
.
Town HaU. 53095 Main Road
P.O. Box 1179
Southold. New York 11971
At the meeting of the Southold Town Conservation Advisory Council held Thursday, December
14,2000, the following recommendation was made·
ROBERT HAASE 15-9-8 to build an accessory building which will be used for additional
storage and restroom facilities for the marina.
40200 Main Rd, Orient
The CAC did not make an inspection, therefore no recommendation was made.
.
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Albert J. Krupski, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 11971
Telephone (516) 765-18.'12
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Office Use Only
Coastal Erosion Permit Application
~etland Permit Application
Grandfather Permit Application
---waiver/Amendment/Changes
...-rtece~ved APPlie~-_Y~1
ece~ved Fee:$
Completed Applica ~on I
Incomplete
SEQRA Classification:
Type I Type II Unlisted
Coordination: (date sent) ----
CAC Referral Sent: ~~
v'Date of Inspection: l D
Receipt of CAC Report:
Lead Agency Determination:
Technical Review:
ublic Hearing Held: I~~OJDD
Resolution:
DEr. - I
Name of Applicant LO\?Jt;¡,.t.i=--HA-ÞbG-
Address_rO. /'?o)(. ~"B3 J..Mj..; tv.
Phone
ote.JW"Ç-fòiq ¡J~
Number: (IP3\) 3~3· J.4.::::..4
1000 - 15-4 - 2>
Suffolk County Tax Map Number:
Property Location: Iv\Ad¡,J. 12-1/. Dle-it:>r-Jf
Orz.-\~ f->~ tHt;;: ~ OAMl-/ .}A-
(provide LIico Pole #, distance to cross streets, and location)
AGENT: ~Mí. 1;:;.Â/¡JOVOlrìø?
(If applicablB
Address :_I'?ttOQ IJ\A¡V ~D. UA-~
Phone:~'I ~
FAX#: . II
4Ihrd of Trustees APplicati~
GENERAL DATA
Land Area (in square feet):
~"c~ð1rù
- 1
Area Zoning: MI
Previous use of property: M~µA LVL il-1&.1' AVrz-AiJf
I
Intended use of property: Uui tJA ¡µ/ ~MJtz.-AY
I
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?
X:J No
Yes
If yes, provide explanation:
Project Description (use attachments if necessary):
1D
twü..v Þ<.0 ~o4 Ybuivd06- WHIW wiw
1}%D f()¡t- AOD'rWÞd/ SrO~ AIJD
FAt:Àv]r-~ rot.-- tHl:2 M~µP<.
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dltrd of Trustees APPlicatio4IÞ
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations:
A:~.mbS0'1
(1:¡ù ¡ Vt;'¡,.)C?-
~ì
TD f:;>l!1L.-D p.vJ
fttt<: Ml\1(A rJ'3.:
Area of wetlands on lot:
square feet
Percent coverage of lot:
%
Closest distance between nearest existing structure and upland
edge of wetlands: 500 feet
Closest distance between nearest proposed structure and upland
edge of wetlands: .::;cro feet
Does the project involve excavation or filling?
No
)()
,
Yes
If yes, how much material will be excavated? \.;to
cubic yards
How much material will be filled?
cubic yards
Depth of which material will be removed or deposited:
feet
4PL
Proposed slope throughout the area of operations:
Manner in which material will be removed or deposited:
~~rz.1A-~ LVI'l¡\., ~G ~x.u-V~17 >i- ~t7(::;~t"'D OLÀ~
t11t2: Sì~
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):
~
f\-
~10
f7Ul,olL\1~
~ oL ~ 't1Øtiµ¡;
..)() ~ 010 LU~.
3
B~d of Trustees APPlicatiodlt
COASTAL EROSION APPLICATION DATA
Purposes of proposed activity:-5ó f?:¡Ull.,IJ kJ..) J'l.u(;;S">Q/'l!. -
~\..hvDì.vCr tL--:fUe UML-I~
Are wetlands
present within 75 feet of the proposed activity?
)C) Yes
No
Does the project involve excavation or filling?
No
)0
,
Yes
If Yes, how much material will be excavated? /.;¡.o
How much material will be filled?
(cubic yards)
(cubic yards)
Manner in which material will be removed or deposited:
m~i\-(.., unlit., ~~ !:::o)Cc"Mltl.tt<D .. \'4?Deþ-r' /) ó u~
{11j¿ <SI'~
Describe the nature and extent of the environmental impacts
reasonably anticipated resulting from implementation of the
project as proposed. (Use attachments if necessary)
_~_-þ ß¡ji/....-D A:rJ
_~ Vi ~,Jt2-.
__I-Aì~ ¡ Iv\AcL- ì M ~t
11-\12 <SU~ bf-i1-\~ s~~ .
í S Mt..-\4\la\tì\8), .~ ~ou
lP~.
~sso,e.~ (-bUlt....-oiiV(9...
tH-12 ~ wi u... t?~
:fH~ sì1E
0G.<'-AU~ Or
fHt:'; ~'1
~;U& 11-f(£
oµ
4
617.21
Appendi" C
State Environmenta! Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
PART I-PROJECT INFORMATION (To be completed by ADplicant or Prolecr SDonson
~·.~Õ..,\ f2f871-I~.'(! 12
I PROJECT 1.0. ,WM8¿'1
.
.
SEC
Munrdoallty
&-I~.....
I 2. ~ROJEC:- ,'IAtJlE
~lVft
1. APPLICANT ¡SPONSOR
J. PROJECT LOCATION:
tJ
C.Juntv
~
4. PAEC:SE LOC~nON \Street aadres c:lons. j)rcmlnent lanomarKS. ~[-:..
!.A1l-''''''' 2.0A Ç>
P¡2- ì-e'1' f'0..--'t
o l1-ì Go- '0ý tH~ ~~A !v1A1e-i,vA
5. :.s ~POPOSE¡) AC-:-¡ON:
ew
J-"'; ::xoanslOl1
r-: .',Iao,fica¡ion,ai!€rõtron
Õ. !:ESCRI6E .=>'1CJE·:-:- 3RIE.....l i:
to f-,vìl,!7 AI--' IWÆ6SOr:z-j '!>vilrDlµ& Þ<-T tHl<- ~r-JA-
.":'MOUNT ,JF '-.J..NO ';FF:::CT!:J.
initIally WO ¿ acres Ultlma¡el"
~ 'f,'IL:,. .=90r'tJSEiJ ,.¡,C-:-ION C:JI\.IPL':' ',\IITH ~XIS7ING Z'::NING GR CThE.;:;¡ :::XISTING
~es G No If ~Jo. JeSC~IOe ;:.rJerly
3C'es
'''';',''0 uS':' .=.E:.s7HIC:-:CNS';'
3. ':/hAT IS ?RESENT LAI";Q '.1:;;;: iN '/¡C:NITY OF ,JqOJECT"
~ :=1es.Qen!lal r,JnOlls:nal 1- ":,:¡mmerCIô.1
Jesc~IDa;
L ..;gnclI.:ure
--..: ::;¡3r,"!Fcr~S¡/OOen scace
~ther
lAb.t2-i u ~
10. DOES ACTION INVOLVE A =>r:RMIT .....PPROVAL. OR FUNDING, .'IOW OR ULTIMA ìEL:' ....ROM ANY OTHE~ GOVERNME....ìAL AGENCY \F:::iJERAL,
STA-:-E e;:¡ LOC';L)?
~Yes 0 No It yes, lisl agency(s ana Dermillapprovals
V¡¿c...
f-:>V¡L-bir..J6- 1)B
". DOES ANY ASPECT OF THE ACTlOH HAVE A CUR ENTLY VALID PERMIT OR APPROVAL?
o Yes' ~o II yo!!s, lisl agency name ana permrlfapproval
.--
12. .~S A RESUL7" OF PFiOP0SED ";CTION WIL!... =::(JSTING ,JERMITIAPpqOVAL RE':JUIRE ...10DIFIC';,!CN~
O'Yes 0
I CEiìTIFY THAT THE INFORMATION P'10VIOE!J -'eaVE IS TRUE 7"0 T!-1= :3ESï OF "-1Y KNCWl'=:CGE
Applican!/s,Jansor
Äæ-GHI ~c...I-JOL-O&ì ~S Om
II· a"l·DO
Srgna!ure:
If the action is in the Co~s!al Area, and fOU are a state agency, complete the
Coas~âl Assessm€nt Form before proceeding with this a~~essment
OV'ÕR
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~xclanallcns c::maln sut:ic:ent JelaJl (0 snow that all ~e!e'lan{ J.av8rse Impacts nave been idemifiea and adecuatelY accressi.:
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NOT1CE TO ADJACENT PROPERTY OWNER
BOARD OF TRUSTEES, TOWN OF SOUTHOLD
In the matter of applicant:
~OI'?I&ì2.'Í -HA~
SCTM#lOOO- 6 -4 - ~
YOU ARE HEREBY GIVEN NOTICE:
1. That it is the intention of the undersigned to request a
Permit from the Board of Trustees to:
þVl\...{) A.I/ Þ-.tC.I::-St7oe-y 'tvivl'/Ii->&-.
2. That
Review is
follows:
the property which is the subject of Environmental
located adjacent to your property and is described as
o ~ \\2:.. vJT 'f.:A/ t'1 ;;¡ <.SeA. !.AM!-] ;-.) A
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
wri ting,
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: ¡e..or.>I::-'t--:ç ./M4:,~
MAILING ADDRESS: /?r)¡<. ~?Q
orz.ìa->~ ,/J~ 11'18
PHONE *: 3,;} - .:;lA
Ene.: Copy of sketch or plan showing proposal for your
convenience.
-'
.
.
PROOF OF MÄILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
Name:
Address:
\.l\Ý. WOltMlJ:v ~lh~i
404~ 5 UA-l~ ~Þ.
o¡e.¡e"-'T ,0'f llots1
~u !-\OJe.rJt;::1?-
54~O i-J. OCe(>I' AÚG.
'!x.:I(vt) ~&.' A."
~~A -DeÄl!+f. f'-L. ~340<=(
PLiJM IS¡"A-"":>Þ ~Þ.6-0Ur-
U~. C-DVl
Wfo<SI1I......"'&-Î0ov ìX..- ért)()OO
t.,.. I· 'ST~
Al,P.Au~ µ~
(Acl!-i£/ c.-ò1AM16Si o..J
I,) d- m)
STATE OF NEW YORK
COUNTY OF SUFFOLK
W~tJ~.,\ DW\J~ìG- , residing at LAI\:tiltJ}[. U
1 t , being duly sworn/'ëièposes and says
that on the \ day of ~,JÆd-01t:!1 deponent mailed
a true copy of the Notice s~the-šõãrd 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 roll of the
Town of Southold; that said Notices were mailed at the United
States Post Office at L.-~~();:.;' , that said Notices
were mailed to each of sa persons by (certified) (registered)
mail.
)~
Sworn t9rÞefore Z this
day ofº~ -,-~Qoo(>
/)¿~¡J)~
Notary Public
'--/1 ~.~ (1. £'71
(
HELENE D. HORNE
Notary Public, Stat,: of New York
No. 4951364
Qualified in Suffolk Coun!i
CommiSSion Explr.s May 22. 'o2ð(J I
Ij
~rd of Trustees APPlicati~
County of Suffolk
State of New York
_~)1\d¡J{~ buJ\.I~~ BEING DULY SWORN
DEPOSES D AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE
DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE
TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL
WORK WILL BE DONE IN THE MANNER SET FORTH 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
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 PREMISES IN CONJUNCTION WITH REVIEW OF THIS
APPLICATION.
SWORN TO BEFORE ME THIS
/~
-
~~~£L £J()
DAY OF j j¿" ,~ ,-n r6Q::?C
~d)~
Notary Public
HELENE D. HORNE
Notary Public. Stale of New York
. No.4951364
~^.,.,o?~~I,i!!,e~:,~,~,U~~I~.C"O~Q'c>o /
· ,
~d of Trustees APPlicatiOIe
AUTHORIZATION
(where the applicant is not the owner)
"
I,
t2-o~~t:e..
(print owner of property)
residing at_f;:o)C ::?:>33 lUA-ì,J te-b.
(mailing address)
Oll-\taJr I LJ i \ \~'5'1
do hereby authorize
(Agent)
I\-tWl ~c...LJ OL-Oc,...ìç S
to apply for permit(s) from the
Southold Board of Town Trustees on my behalf.
Q2
(Owner's
~
signature)
8
.
.
Albert J. Krupski, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
Town Hall
. 53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
BOARD OF TRUSTEES: TOWN OF SOUTHOLD
-----------------------------------
In the Matter of the Application
of
_flO~~_k1CU3~________________
COUNTY OF SUFFOLK)
STATE OF NEW YORK)
AFFIDAVIT OF POSTING
I , e be.- + \.-~au:t.S L...
(!) t-, ,.uv-r
being duly sworn, depose and say:
~\.
That on the /0 day o.(D~c , ;/000, I personally posted the
prcperty knovln as URJe.v+ {¿if -rLe S=-.
by placing the Board of Trusteés official poster where it can
easily be seen, and that I have checked to be sure the poster
has remained in place for eight days prior to the date 0L the
pub lic hearing. Date of hearing noted thereon to be held ~ .d.O,ólODO
()'\ C'I("" II bcu. + Î ~OO ~ .
, residing at
In a //1/
µ
Dated:
~~
(s gnature)
Sworn to before me this
if-''''''day of ~200o
Not~c~
UNDA J. COOPER
Notarv Public. Slate of N_ Vorl:
'Ii Noi:~22563, Suffolk c,."ntv .
arm -.-IrOS December ;jl. ~c.u
. .
APPLICANT
TRANSACTIONAL DISCLOSURE FORM
.
.
The Town of Sou~hold's Code of E~hics prohibi~s conflicts of
inberesb on the ar~ of bown officers and em 10 ees. The
ur ose of this form is to rovide information wh ch can
alert the town of poss ble conflicbs of nteresb and allow
it bo take whatever acbion is necessary to avoid same.
" '::'~F;~\ '
tOUR NAMEI ¡..\ ').V1SI:;, ~()f'Ja ç
Last name, first arne, unless
you are applying in the someone else or
other entity, such as a company. If so, indicate
the other person's or company's name,)
NATURE OF APPLI~ATION, (Check all bhat apply.)
;(.)..
1,',· . ,~-
Tax grievance
Variance
Change of zone
Ap.P1~a1 of plat
Exemption from plat or official map
other
(If "Other," name ths activity.)
Do you personally (or through your cOMpany, spouRe. sibling,
parent, or child) have a relationship vith any officer or
employee of the Town of Southold1 "Relationship" includes
by blood, marriage. or business interest. "Dusiness
interest" means a business, including a partnership, in
which the town officer or employee has even a partial
ownership of (or employment by) a corporation in which
the town officer or employee owns more than 5% of the
shares.
YES
NO
::&
If you answered "YES," complete the balance of bhis form and
date and sign vhere indicated.
Name of person employed by the Town of Sou~hold
Title or position of that person
Describe the relationship between yourself (ths applicant)
and the town officer ør employee, Either check the
appropriate line A) through D) and/or describe in the space
provided,
The town officer or employee or his or her spouse, sibling,
parent, or child is (check all that apply), .
A) the owner of grsater than 5% of the shares of ths
corporate stock of the applicant (when the applicant
is a corporation),
B) the legal or beneficial owner of any interest in a
noncorporate'entity (when the applicant is not a
corporation) ,
C) an officer, director, partner, or employee of the
applicant, or
D) the actual applicant.
DESCRIPTION OF RELAT10NSIIIP
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Submitted
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Signature
Print name
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