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TR-4165
...... .... Albert J. Krupski, President John Holzapfel, Vice President Jim King Martin H. Garrell Peter Wenczel 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 ·jll'1e 28, 1996 Arthur E. Torell, Jr. 460 Anthony Street Oceanside NY 11572 RE: SCTM *33-2-10 & 11 Dear Mr. Torell, The following action was taken by the Board of Trustees at their regular meeting of June 27, 1996: RESOLVED that the Southold Town Board of Trustees approve the request for a second and last I-year extension to Permit *4165 for a I-family dwelling. Permit to expire August 31, 1997. If you have any questions, please call the Trustee office. Sincerely, flu..c.-I ~ ~ 9, Albert J. Krupski, Jr. President, Board of Trustees ì>.JK/djh cc . CAC BLDG. DEPT ARTHUR R. TORELL ASSO~1. '. j ',:' , ", ,1' ,~" , ' I' t~~~", ~~,~,~" ¡ ~ ?y :~";~~"' ¡ - ì l' <t. f . é)~~ ' .~ 1 t ~'."' \ ~"')~~~¿¡(Í~ £~"" ;;." 'I" 1\: , I. ~~ r¡~,,~-~ , ": , '¡.' t::J.. ~ C-"'\,~ "f,,- .~ ~-~._..-t, ' !( ~Y--~""j ~ ~;., ~ C~ì'-J~~l-) ¡o ~~~~~~~~~~ nulJ/t~ 'fq ~4~ ~ ~, .~ '-¥ ~Y¥ ~'j~~ø--~. ~ 1{tL. ~ H jp ~ ~~fAJ Y4 ~tAj ~ (M. ~ø.7{f'l7 . ~u4( F"- ~ tI;1/, ~ j) ,~ C. (KA-~ OAJ ~ ~tJ ~, )(; ~ -~£'~~~ . Ë ~~c. ~ ItÝ i'(¡g~~. . . ~/!Jrii}~;:~ a;L"':¿(:;:::;t.~ 4 <fl 1- ~"" ~ '^ CA::! :t~JA"- '"7. "7:. ~J. 3tt¿:&, ~.:?£~ i¥tt~~¡~ '" <WI ~ "") Of M:x --< "" 4':: S' / ,L)f-~C ~ ~~ ~ ~ rr¡ ~~ 111 . ,t>!~(J~~ y/q ~ <'{ð ~'- ~WltÆ..z ~J ~ -dt(~itMV' c:7ìJI/P<..~ STRATEGIC COMMUNICATION DESIGN 114<. ~~ ~. 377 THOMA~OF~SE~~ . ,~0l-891-3043 ;;5Æ~~ . . Telephone (516) 765-1801 Town Hall. 53095 Main Road P.O, Box t179 Southold. New York It971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At 'the meeting of the Southold Town Conservation Advisorÿ Council held MONDAY. JUNE 24. 1996 the following recommendation was made: E-4 Moved by Allan Connell, seconded by Robert Keith, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Extension of Permit request of ARTHUR R. TOR ELL 33-2-10 & 11 to extend permit to build single family dwelling with driveway. Sound Drive, Greenport Vote of Council: Ayes: All Motion carried. · Siià ~.. ARTHUR R. TORELL 377 THOMAS PLACE. WYCKOFF, NEW JERSEY 07481-1035 (201) 891-3043 . FAX 1201)847-0407 . ~1) /} r~ r/\.u-v~ ~~k 0l~ . I I ?~ ~~~: 1(6S~' r::Ÿ-~ a v:, ~ ",^,,-.e k.\4.. h~ J, if Clud4( 'J ~ {[;~ t. J~7 u){.. '3V; ~~ Clk( rJ"'~ ~ç.vr( ~ - . ~ ~~{~~ ~ ~i' ~"1-- d !yt~ ~ ~~~ -?~ M ytj ..~~, ^ 0- . CtjU¡U~~ I~ (,fru~~ ~ ~~ v f -- - ~a ~AY '3. 'r4~~ 9-'K.J~ '-h ~ 460 ANTHONY STREET OCEANSIDE, L.I., N.Y. 11572 516-764-6443 ~-l¡J--7) ß-{ a<4"Ýee4- .ø-; T~ ~Y{,¡~. ~ ~~~-/cJ-11 .Df~4~ .iF~ ~ y;;~ Cu<.. ¿~ ~/ ~ (/'~y~ 'fIGS: oJ~f'4. "^^- 4uc"':cj ~ r~ ~ k' '~~C'V!ÛUM,['~ v<.J tf.-uI Ú / 'T--~~~-.( ~t~. ~ ~~L7~ ~ 'P?~ ") 7 · ..--- . S\WERV1SOR SCOII L. HARRiS , ---------- . lown Hall 53095 Main Road P.O. Box n79 southo\d. New '{ork n97\ _r~ 'fR\JS'f££S John M. Bredemeyer, Ill. president Albert J. l<!Upski, Jr., Vice pres\de1t Henrv p. smith JOhn' B. íuthi\\ ~\\\iam G. AlbertSon íelephone (516) 765-1892 fa" (516) 765-1823 ~o~lill OF 'fOWN 'fR\JS'f£ES 'fOWN OF So\JIHOLD c. MaY 26. 1993 Arthur Torell, Jr· 460 AnthonY street oceanside NY 11572 Re: SCTM ~33-2-10'& 11 Dear Mr. Torell, <he folloOing action wa' taKen bY the itS regular meeting held on Thursday, above matter: ~. RODett .",iltO~ ~p;,~i~et~e':,,~n~0'i,~1~n~~:~';;t~:n pero,t "",et the prov",on d SO"thold, application dated Feb· 17, 1993 an ' wHEREAS ,aid applicatiOn wa' referred , to ,he,SO"thOld ToO" d co..etvatiOn Advi'OrY council for the,r f,n"ng' and recomoen and, ~ a p,"lic bearing wa' held bY the ToOn ,,",tee, with to ,aid'apPlication on Tn""sda" .., '6.1993 at w..ch t,roe intere,ted per,on' were given an opOOrt"",t' to De heard, ~ ~, tbe Board _r' nave per,onalW vi~d and are .ith the premi,e' in ..e,tiOn and the ,""ro"",,,g area, an ~, the Board na' ~on'ide,ed ~1l the t..t_n, and d ,"""itted concerning th" appl,cat,on, and, ~, the BOard ha' determined that the project a' pr not affect the health, ,afet' and general welfare of t~ the town, Board of To~n Trustees during MaY 26, 1993 regarding the ."" """,,_ BE 1T ' ."sOL'TED that the Board of T",ste.. approve' the appl' Atth"" .. Torell to co..truet a one f,mil' dwelling · driv..a' as per revised plans dated April 9. 1993. pero't .ill exPire tWO ,ears frem.the date it i' ,iç he paid, if apn'iC,,'e~ and perm,t "sued .ithin S' Î . . ~ \,)0 z 1.1.1 '" 0 Iv; - I!- 1.1.1 GI u ::» ... r:.: Q t-- fa I!- .... «It 0 ~ Q z % 0 I!- U ::» -.I " 0 «It .-J Z u. - - .... ~ r:.: 0 0- ::» - Z - t-- Q .N ~ Q ~ ~O'I 0 .CO 1&1 Z'7 ~ I!- L!) - -(0 . j 1&1 Qr-- - U .... a. - 0': U. ....I :r «It u. %-' - I!-w Q 0 ::»~ 1&1 «It 0 III 1&1 I!- 1&1 «It . Ii; 0 «It Z ::» ::» ~ r:.: t-- .! 'I) 1&1 I!- 1"1) U Z - ~ VI I!- tit 0 0 -a Z I!- CIJ «It GI .. - % ~ :I -a I!- tit -a tit ~ - TRUSTEES John M. Bredemeyer. III, President Albert 1. Krupski, Jr.. Vice President Henry P. Smith John B. Tuthill William G. Albertson Telephone (516) 765-1892 Fax (516) 765-1823 . . SUPERVISOR SCOTT L. HARRIS Town Hall 53095 Main Road P.O. Box 1179 Soulhold, New York 11971 S.E.Q.R.A. NEGATIVE. DECLARATION NOTICE OF NO SIGNIFICANT EFFECT ON THE ENVIRONMENT APPLICATION NO. 1000-33-2-10 & 11 NAME: Arthur R. Torell, Jr. DATE: May 10, 1993 Chapt. 97 - Wetlands Chapt. 37 - Coastal Erosion RESOLVED that pursuant to Article 8 of the Environmental Conservation Law, State Environmental Quality Review and 6NYCRR Part 617, Section 617.10 and Chapter 44 of the Code of the Town of Southold, notice is hereby given that the Southold Town Trustees, as Lead Agency for the action described below, has determined that the project will not have a significant effect on the environment. Please take further notice that this declaration 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. TYPE OF ACTION: Unlisted DESCRIPTION OF ACTION: to construct a one-family dwelling with pervious driveway as per revised survey dated May 3, 1993. LOCATION:SCTM *1000-33-2-10 &11 REASONS SUPPORTING THIS DETERMINATION: 1. An on site inspection has been conducted by the Board of Trustees. 2. An environmental assessment, submitted by the applicant and reviewed and completed by the Board of Trustees, has indicated that no significant adverse effects to the environment are likely to occur should the project be implemented as planned. cc: CAC . . Tetephone (516) 765-1801 Town Hall. 53095 Main Road P.O. Box 1179 Sonthold. New York 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL TO: Southold Town Board of Trustees FROM: Southold Town Conservation Advisory Council DA TED: April 27. 1993 RE: Recommendation of Wetland Applications Moved by Bruce Loucka. seconded by Stephen Angell. it was RESOLVED to TABLE Wetland Application No. 92-1-8 of ANTHONY VITALE to dredge approximately 100 c.y. of sandy material at entrance to Fair Haven Inlet to provide boating access to pt·opertyowners. Ten (10) year maintenance to dredge 50-70 c.y. each year. The CAC is unable to make a recommendation without the following information: 1) Delineation of area to be dredged and bottom profile. 2) Depth sounding is needed. 3) Proposed slope of dredge project. I.¡) Site for spoil. Inlet Way. Southold. Vote of Council: Ayes: All Motion carried. Moved by John Holzapfel. seconded by Bruce Loucka. it was RESOLVED to recommend to the Southold Town Trustees DISAPPROVAL of Wetland Application No. 33-2-10 & I.¡ of ARTHUR ROBERT TOR ELL. JR. to build a single family dwelling. The CAC recommends disapproval because the project is too close to the wetlands; the septic system would have a dramatic influence on the pond water. 365 Westwood Lane. Greenport Vote of Council: Ayes: All Motion carried. Moved by Bruce Loucka. seconded by Patricia Isaksen. it was RESOLVED to recommend to the Southold Town Trustees DISAPPROVAL of Wetland Application No. 51-1-2 of KATIE NICKOLAUS to construct a wood bulkhead structure at toe of existing bluff slope. The CAC recommends disapproval because there are no other walls within the area. The Council feels the bluff . ., . COUNTY OF SUFFOLK (j) . - . ROBERT J. GAFFNEY SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF HEALTH SERVICES MARY E. HIBBERD. M.D.. M.P.H. COMMISSIONER April 12, 1993 Albert Krupski, JI., Vice President Board of Town Trustees Town of SouthoId 53095 Main Road P.O. Box 1179 Southold, New York 11971 fõJŒ©~O\VJŒfñì Uù APR I 9 1993 æJ TOWN OF SOUTH OLD RE: Arthur Torell SCTM#: 1000-33-2-10 & 11 HD Ref. #93-50 009 Dear Mr. Krupski: The Suffolk County Department of Health Services (SCDHS; "Department") has received your letter dated March 25, 1993, concerning the above-referenced project. The Department has no objection to your designation as lead agency. Based on a review of the subject coordination, the Department offers the following comments. However, the Department wishes to reserve its right to provide more detailed infonnation within the comment period(s) established for this action. Also, these comments should not be construed as an implicit SCDHS approval or rejection of the project. All applications are reviewed thoroughly with respect to Suffolk County Sanitary Code concerns by appropriate departmental personnel when SCDHS applications are completed. The proposed project has been reviewed by the Office of Water and Wastewater Management and deemed incomplete pending the submission of test boring data, a revised survey indicating the proposed sanitary system and water supply and area for 50% expansion of the sewage disposal system and surface waters within 300 feet of the parcel. This department recommends shifting the location of the sanitary system, parallel to the northern pOlperty line. This alternative maximizes the setback from the on-site freshwater wetland and allows for improved access for maintenance of the system. DIVISION OF ENVIRONMENTAL QUAL-ITY COUNTY CENTER RIVERHEAD. N.Y. 11901-3397 852-2100 . . TRUSTEES John M. Bredemeyer, 111, President Albert J. Krupski, Jr., Vice President Henry P. Smith John B. Tuthill William G. Albertson SUPERVISOR SCOTT L. HARRIS Telephone (516) 765-1892 Fax (516) 765-1823 Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mat"ch Z5, 1993 Mr. John Holzaphel, Chairman Southo1d Town Conservation Advisory Council Southold Town Hall Main Road Southo1d, NY 11971 Dear Mr. Holzaphel: Transmitted herewith are the following applications for a wetland permits: Varujan Arslanyan Laurence Niebling SCTM 52-1-8 SCTM 119-1-18 SCTM 92-1-8 SCTM 33-2-10 &11 SCTM 51-1-2 SCTM 76-3-31 & 12.1 Part of block 21 SCTM 70-6-31 Anthony Vitale ~Arthur Torell Katie Nickolaus Robert Hamilton Town of Southold-Rocky pt Road John Burns Please prepare a written report of findings and recommendations with respect to this application. ;p;er truly yours, -:::>/ - r-J-r./J2-~ J!l: John M. Bredemeyer, III President, Board of Trustees - . . ~ . TRUSTEES John M. Bredemeyer, Ill. President Albert J. Krupski, Jr., Vice President Henry P. Smith John B. Tuthill William G. Albertson SUPERVISOR SCOTT L. HARRIS Telephone (516) 765-1892 Fax (516) 765-1823 Town Hal! 53095 Main Road P.O. Box 1179 Southold, New York 11971 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD LEAD AGENCY COORDINATION REQUEST TO: uEC DATE: .3 -::25 -'73 Enclosed is a permit application and a completed part I of the Environmental Assessment Form. Southold Town Trustees are interested in your ageny's comments in acting as SEQRA Lead Agency for: NAME: -A, ~"'" ("" "\0 ,e-\\ S,. LOCATION: 3'-5 ~+....,,,~ LA..nL &çc.c"Ï"',t TAX MAP: 3:'-¡¡"-IO <l-l' DESCRPTN: s.=. At\<ti-h<2<: PERMIT REQUIRED: (~TOWN WETLAND ( SEQRA CLASSIFICATION: ( ) Type I (I/Í UNLISTED PERMIT * Per.L~ ) OTHER ( ) Type II () CEA Please contact John M. Bredemeyer, III, President, w~30 days and be advised that the Southold Town Trustees ~/~ H8'f ~"~T"') to assume lead agency. SENT TO: DOS ( ) DEC (v) DOH (t.¡? PB ( ) ZBA ( ) BLD ( ) K. :>"H1w ~/'lf9J cAt '1/.20J Please complete, detach and return this form to expedite processing. Involved Agency: Project Name: Location: SCTM: We at (Have/No) objection to Southold Town AGENCY Trustees assuming Lead Agency. Comments/Reasons: Signature of Authorized Representative I;' ¡O W ,.1 1 i ..!~ ¡;r~ rii {) ;'{ 17!L-n¡:'"Þ-" I I ( '¡'I ~.' I \.1 ~ _-"1 _ ~ - ~ f"" to ¿"" "{-}.¿., -, i.: ,r~-: ¡ . ! .C,,..,, 1~} , k ¡'¡~~~-1'-'. -' : ~} / ~...... r ,f . ,,/' r ~'.\ mini ~ .) , , ,,- " '- .' 'l= ,..J \)'. -,' '" "" \ " ~, ...Inl ...~ r :r.¡n. ,1' :> . 1" ,/\ To 'J' L r n~ ~ 1. ):- T.. , . {~ {~i;~'~ , PO:: t-, , 1>11' I ~. \' rr¡! 5- I rlZ - ,ú:¡.,,» ~' m -/<1- ..c ~ì, :"''' )" II .. , , i~ ,- " , !~ I: ¡z -~--- -- ---- -- -- --- 1" ~ r. 'L I~~ '.J I , IMj'O . ¡) :\ It: ;.. -n.-. 'n <: '" þ " t1 <:> 111 .; / rT¡ ........ r- n ,', " - , ~ -~ , 1 r., , -,.. " . rt (H ,ì t rr, . , f~' , --~------ --- ----------- --.------. --- ------ .. "' '...) T'r dO (;"" ,'.! ':') 'IT. \¡"':tJi '" Z -., -.-- , ..1 ',1 . ...!:. 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(! < Z > :I! > .....r .. ~ ,... n -i 1/1 r iD !!.il -i IT! :I: r » Co :III :I: ~ 1'1 ,... ,... ,~~, - --- ;~ - .J . . TRUSTEES John M. Bredemeyer, III, President Henry P. Smith, Vice President Albert J. Krupski, Jr. John L. Bednoski, Jr. John B. Tuthill SUPERVISOR SCOIT L. HARRIS Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 COASTAL EROSION MANAGEMENT PERMIT APPLICATION TOWN WETLANDS PEill1IT APPLICATION TRUSTEE LANDS PERMIT APPLICATION Office Use Only: Erosion Permit Application Permit Application Trustee Lands Permit Application randfather 3/" ._ ..dúf Completed ì>.pps . Date: JD ~7,J,. .' ariance Required, j't-"'.. ·7' eighbors notifi~ ~ate: SEQRA Type ~1Ir\.M; J~~ Coord. Review-op~. mr,nd. Insp. comp./date: :5·1r~.CJ) SEQRA Determin./dat;!\ 1..f-J-Cf-'h .k"j. D~C Public Hearing/date :$-)..74' Findings: Permit Vote: (Y/N): Special Conditions: (also see file) rö) Œ © lU.J7 Œ ~ un FEB i 7 1993 æJ N OF SOUTHOLO. . îcê ~~ Application Fee: Application Number; SCTI1 #1000- ;) 3. - J- - 10 IT II Project Name (If any) Date Prepared: ~~~~~, (f~ Applicant: /l~-:IIÍ(/rz.. 'l.1Jt5'í/l../ /t'IZ.EIL .lit. Address: '/(;() ¡<¡'''Y/U)Ñ'I SY:,(?ç~ Ot;["~ItI,r¡~ £. e>Y-J /I"-l;:z... , Phone (96) }M¡- 6f ~ .;¡ 0 I - 8-i j - 10 l' 'î ¡J¡ Interest: (owner, consultant,lessee,etc.) ~1-~_?Dq3 Owner of Property: 5Àn1f- ç¡.)l)..c)ll"'11-t'JI-(Cï Address Phone ( Subject Property Location: "j/p 5" t,u~~ìWO"M j..,q;vè G-'\=-f\~~~ T....;( tvl4Þ.::tL '" 73~~1 33 - øt - II (Provide LILCO Pole #, Distance to cross Streets if not on location map) THIS IS NOT A PEill1IT . . Yds. to be excavated: Yds. to Man er in which materia will be removed I ¡,~' CL J.c.1t11'f~'''^- ~,v¡/¡ROI1M( Width 0 canal, cree or bay fronting p perty: NoltIL- Depth at low tide: Aver. rise in tide: Distance to nearest channel: Distance project extends beyond similar projects in area: Area zoning: Land area in acres: ~~7 Is project for private or business use: ~RIV~~vS8 Intended use of property: Si1J6/..1= A,¡,,,/7 i)¡,¡)'fI!¡Ìt..q Describe known prior operations conducted on premises: IV ""v£--, filled: çleposi ted: '.4\ t1<<.CR.I)I/;¡¡{:~ Has any prior license or permit been issued to erect structures, dredge, or deposit fill on said premises: AlO Has any license or permit ever been revoked or suspended by a Governmental Agency: ^'O' Project Description The project description must also include plans for reclamation of land disturbed during construction of the principle and accessory structures and underground structures (i.e., pipeline and septic system; make additional attachments if necessary). EO vo.~ VV\ .',f..C"V\ ".,......".~ Authorization (Where the applicant is not the owner) I residing at (~rint-owner of subject property) (Mailing address-phone) do hereby authorize to apply for Coastal Erosion permit(s) from the Southold Town Trustees Signature THIS IS NOT A PERMIT , . . County of Suffolk State of New York BEING DULY SWORN DEPOSES AND 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 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 TOIYN 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 REPRESENTATIVE(s), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SIGNATURE SWORN TO BEFORE ME THIS ~DAY OF ~.~ ,191) v" MARY TORIEllO NOTARY PUBLIC OF NEW JERSEY MY COMMISSION EXPIRES OCTOBER 26 1993 suggested space for location Map THIS IS NOT A PERMIT - ,. . . \ \, , ._!-. .'. 1..·~&-4 f2fST\-T,....t 12 P~QJECT I.D. NUMBE::ñ 617._ Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only SEaf PART I-PROJECT INFORMATION [To be completed by Applicant or Project sponsor) 1. ~PP,L}ÇANT fSP9J~,:~pR _ '7: _ 2. PROJECT NAME 1-IP..'f#v,),"L f\ 0 iJ¡',. T (CI R IF t..L . 3. PROJECT LOCATION: County '7.'FFO¡"ll. Municloallty ~. PRECISE lOCATION (Street address and road inlersecllons. prominent landmJ.rks. elc., or provide map) /-9-;<. /111+f ¥ 7 1ðf--r - n - 1-' 1/ '3¿,'':'- (/j)I.,fw-t-<7) f.-¡q.1VE-- (;I!E(''''r-~¡-çct.~. S ~,y¡, tft--4( ~l'. IV. 'f 5. IS PROPOSED ACTION: 'New 0 Expansion 6. DESCRIBE PROJECT BRIEFLY; 4/JpIICr,y-....;........r:fì ~../dl (JUZ />1-. Y- o Modilicatlon/alter:!tlon 1. AMOUNT OF ¡- In¡tlally acres Ultlmatelv b. 7 7 .Jcres 8. VJlLl FRO?IJSEù ACTIOr~ COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? DYes ·¡gtNO II No. "escflbe b,'efly r'9tt'- ~:?(-1).f.'IIe/ ~ 9. ~'S PRESENT LANO C"" 'N VICINITY OF PROJECT? ~Src:lenlla 0 !ndu:>lnal 0 Commercial escnDe: o AgncuJlure o Park/Forest/Open space o Other 10. DOES ACTION INVOLVE A PERMIT APPROVAL OR FUNDltlG. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL STATE OrllOCAl)?' . ~Yes 0 No If yes, I¡st agency(s) and permit/approvals I / :... 7'1lþ Þ ßC- '''''1'';'''0/ .+7- >/-011 i1t~ ~~: ~1'~ft...Yc,,-,... (.¡¿,{ ~~~ "...... ( ~ r /.,,'v' ",", ."'h< .,r.'tJOrv,.f,,,,,- 11. DOES ANY ASPECT OF THE ACTlOf~ HAVE A CURRENTLY VALID PERMIT 0 APPROVAL? o Yes ~IO If Y":s, list agency name and permit/approval 12. AS A RESULT,OF PROPOSED ACTION WilL EXISTING PERMITfAPPRQVAL REaumE MODIFICATION? o Yes ~o ~"t)nafure: -J,-IÞ'7'> Apphcanrlsponsor Dolle: If the action is in o;!stal Area. and', u are a state agency. completo tho Coastal Assess,"en! Form before proceeding with this assessment OVER 1 -.