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HomeMy WebLinkAboutTR-5975 TERMS and CONDmONS 'I1!e Permitœe Leonard Rosenbaum ~ u 965 Osprey Nest Rd.. Greenport .. . N, y~ as part of the coosideration for the /ss,"""" of che Permit does Þødeøtand and prescñbe 10 the fol- Iowioø: 1. That the said Ðoard of Trustees md the Town of Sowbold _ released from my and aU daøIa :eI, or claims for damages. of AÚØ adsiog cIitecd.y or tadiRc:dy as a result of any oper- ation performed p"...",nt «¡'Ibis peaoIt, and the said ~ will, u IIis or her own apeast. delead aay md aU -" suits ·/nltl.œ<t by Ibhd.,utid, md the said 1\.t..dttee __ full lIabWty with reSpect chetero, 10 -~I-te ~"'1 of the IIoard of TrastteI of the Town of ~ 2. That this PamIt Is aUd f« . pedod of 24 .._ whkh Is ~ to be che ~....ud time· required to mmplete the 1I'Otk inwl..ed, but· ihoa1d ~ wamat, ~ for an exœosioo _y be made 10 the Ðoard u a later d-. 3. That this l'erlnit should be tefa1øed indefinitely. or as 1008 as the said P-nlttee wishes CO m.lntaln the ItnICIUre or project Involved, to provide evidenœ CO anyone ~ chat aath· ~tioo .... ~ obtained. 4. That che work inwlved will be subject to tbe Ia$pectioa md approval of the Board or its ~ts, and _-compllaaœ with the provisiocu 01 the N/ginatlog appUcatioa, may be canse fOt œvocation of this Petmit by resolutioo of the laid 8œI:d. S. That there will be no umasooable Interference with oa1'ipdoa as a cesult of tbe ~ beœin aûtborized. . . . . 6. That there oball be no interference wIch the right of doe public 10 pass &ad repass alœg che beach benvcœ high &ad low water marks. . 7. That If futuu operatioos of the Town of SoIIth9ld m¡aIre die. œmon1 aad¡or alteradoas In the location ofche ~ herein ...ð>a Iw~ or If, in the CIfÙÚOCI olcbe Board 01 TraIœcI, che. wodc shall canse _$OI1 I¡.It obs_ to free ...,./gIdon, the said p.rmI.... wII1 be nqaINd, apnn clue DOtb. 10 ICIDOYC or alter this wad< or project berein stated without ør =asc_ 10 the Town· . 01 Souchold. . . . 8. That the said Board wII1 be notified by the FcrmItœe at the ~...w.Of the work aath- ori2ed. 9. That the ·re....._ will dJtaIn aU ocher permits and ---"·Chat may be requitecI . pIcmeø"" to this (JaDÚt ~ maybe ....feet to revoIre apnn fallure CO oIøia -. .. . . Albert J. Krupski, President James King. Vice-President Artie Foster Ken Poli \...·oda Pegg}' A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Sùuthold, New York 11971-0959 Telephone (63Ji 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 18, 2004 Mr. Frank Notaro Architecnologies 13405 Main Rd. Mattituck, NY 11952 RE: LEONARD ROSENBAUM 965 OSPREY NEST RD., GREENPORT SCTM#35-6-24.1 Dear Mr. Notaro: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, August 18, 2004 regarding the above matter: WHEREAS, Architecnologies on behalf of LEONARD ROSENBAUM applied to the Southold Town Trustees for a permit under the provisions of Chapter 97 of the South old Town Code, the Wetland Ordinance of the Town of Southold, application dated July 16, 2004, 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 August 18, 2004, 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, . 2 . . 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 ofTrustees approve the application of LEONARD ROSENBAUM to demolish a portion of the existing two-story dwelling and construct a new two-story addition over the garage and utility area of the existing first floor, with the condition drywells and gutters are installed to contain the roof run-off, and all as depicted on the plan prepared by Architecnologies last dated August 23, 2004. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: $50.00 Very truly yours, di~·1- 9- 4y&~l·~. Albert J. Krupski, Jr. President, Board of Trustees AJK/lms . Ó~~JI~~~ .- ~W' ~Ì', ã ~~ C/O :æS 'ð. ~l.¡~ ~ ~/> ....(;:,~ {, ~o/ . :\lbert J. Krupski. President James King, Vice-President Artie Foster Ken Poliwoda Pegg.y A. Dickerson Town Hall . 53095 Route 2"5 P.O. Box 11'79 Southold, New York 119'71-0959 Telephone ,6311 '765-1892 Fax ,631.' '765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: Ci-" nnrvd I¡ (){)R i? 6au. IY) Please be advised that your application dated 71 !1p/rxl reviewed by this Board at the regular meeting of & Its/fY-¡ following action was taken: . has been and the C.__..:::::.1Application Approved (see below) L-) Application Denied (see below) L-) Application Tabled (see below) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in the instruction sheet. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: --i" :J:J, CYj - () l r)tÌJ (!I,p p-e C'iÜ)¡ì TOTAL FEES DUE: $ 5/),{)) SIGNED: dLIw-l 9, ~.t).. PRESIDENT, BOARD QF TRUSTEES Field Inspection 8/1 0/04 . , $:·::.:::!:;:::~!;t1¡: : . . .,'~ '-".,:::.:.:,¡;! ........ :1 8t- .ø£;-~. -"... ~t r" "'-""''''''h'''. ~' '-". -.-- - -.- -, :~_> __7~r~J"<, .",_,.¡¡¡f,~,i;.i¡kc .,..... I _~~Jf~-~-~ . ¡ . .,¡a,,1 k'OJe [f (' _ b v,v",...., Field Inspection 811 0/04 . . K D) e" h,",,_~ ~"'~~':~-'f:'-_ - -:-. ,"-...;;; ..äiø;;,¡¡~' / ·::,:i¡il:¡·,r. Field Inspection 8/10/04 . . -- -~ -:- .., ,. ,:.;.:.... 'T" t .',..~.:' , ~ ' "'~;~~~~t';/'/'/.~-'-~~" ·'.,;,·,.1h""",/~,.. , , ;-;~ ~,;.;:. ..... ,~ .',; ,'c ;' -' '~'\.~(-5._ ~, . ii;tlff,:Ù!~: ,~~~~ ì\ 0 L,J .'(' I(-,L.-\- -i-<> \<O~('" ÌD¡"'A ^"' Field Inspection 8/1 0104 . . £~ .:(".... ~ - . . "<., f"'''"'; ,1'" - ì~~:~ .~ .' .. .-. .. .....'.:. ,-:'.:" -. ,,- --- -¡ ..:~' "" -1;'~ ,ÌIiii ··M "~ . .-;,1 '.. . ._'': ":~\ , ..1.·l.!r." ',·...·f!l:r .. \' 0 vJ I~O¡¿ + +> R~ç-<t." b",~_ . 8/10/04 Field InspectlOn , . . í~ù (' ,."' b to .......,.....,..... ') 1:, Field Inspection 81 I 0/04 > '.. " "c-' ~'" I!i!:, .~ .";.,, _",J. ~'~~i '. .'.'.....:. ,: ..~:.r~~~j;. -', '~:1y·~· .~~ " L:.~,:) . - . . ~ ., -. :.::.i. ., . ,..' ~~:: ';.¡- , ".1 \''-'1¡:{; .:.,.:,:~ -..;...... ,. .¡;L._ ·,1 "'W" ......../, ',' , - ! , 1 .. J. ..~ .'1.. ~.. ~~~¡ .,... . , '" ....,._-.:.... . "",'-' .>.~~,. ;",fjiJ" ,,~t"4 . . Telephone (631) 765·IS9~ . TO\\11 Hall 53095 Route 25 P.O. Box 1179 Southold, New Yark II Q71-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTH OLD At the meeting of the Southold Town Conservation Advisory Council held Tuesday, August 10, 2004, the following recommendation was made: Moved by William Cook, seconded by Jack McGreevy, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH A CONDITION of the Wetland Permit application of LEONARD ROSENBAUM to demolish a portion of the existing two-story dwelling and construct a new two-story addition over the garage and utility area of the existing first floor. Located: 965 Osprey Nest Rd., Greenport. SCTM#35-6-24.1 The CAC recommends Approval of the application with the Condition a 6' non-turf buffer is installed landward of the bulkhead. The CAC further recommends an investigation of the drains leading linto Gull Pond from the subject property. Vote of Council: Ayes: All Motion Carried f - .. . ., iii. 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I ill 1 ii!ii !i!'!'¡ I!fl~f ¡i II rll" ~UI¡~J (I II Iii II ~~~~I I:~f" !i!!! , ,.1"'" ~ ~~~'~ ~ ~ i)< ~:I~; , e ~~n n'o ,,,,, ~i ~ ::::;; ~ ~c ¡!.Õ~ , "~ ~~ ~,~.~ .~ I j]- ~Ö :-~. '-. ', 1:~_,,~ .-,; ~ ![ ~ ¡1; II ~ -----, . . " II L.: ,:'1, . , " 'I oz··",.."" !iP! 4- rd: ifí :~ .¡ i ,ll _ I! II 'Qil! E f· ¡ , ~ I . 8, ¡ , II I J íí' j " , . . Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson 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 Office Use Only _Coastal Erosion Permit Application ..L"Wetland Pennit Application _ -.tajor _ Minor _Waiver/Amen e tl h ~~I ~('#Ið( t .~eceived Applicafon: ~ 0Y. _ Wel ~eived Fee:$ ~mpleted Application __Incomplete _SEQRA Classification: Type I_Type lI_Unlisted_ _ Coordination:( date se'!!J~t _~AC Referral Sent: .~ _~JP<rIé of Inspection: J:if- _ _Receipt ofCAC Report: __Lead Agency Determination:_ Technical Review: ~lic Hearing Held: 'if ¡'it 0'1 Resolution: !',,1'10. '8LHc.u~((utd5 - (t. f I" Iv (Ie- / [5)~~~~W~ lJìl JUL 1 6 2004 Southold Town Board of Trustees Name of Applicant L¡::;Of,J ItlLÌJ ~. 'R05£"µÇ-, 4-( ì f.-j. Address 96S O':""?r<F-Y 0t=<:""T !<.nt+-ï> (';¡:(PF:Upú!2."I 1-)8- \, q 4 L( ]hone Number:(5~ L¡ 1-'1 - qS ,;¿?--, Suffolk County Tax Map Number: 1000 - .3t~ - b - '2 J.¡. I c~~ ~~~ð~~ Property Location: CJ{,5 C')~f>f2;F;ï k.1Þ.'Sï 'ROf1-D GREe.pF\::"Je::t· (provide LILCO Pole #, distance to cross streets, and location) AGENT: ~ I< H-1-:J1!- ~orA-'I1-O (If applicable) Address:_ 1'1/405 (\.{I4-IIì rZn~l) J W15 ~ - p.O. 601< 4.5 Phone: b,?-Y 1- JC".I 8'. II ~ M It rí IT IJ(~ IL LJ .\.1. - ~ard of Trustees ApPlicatitt GENERAL DATA Land Area (in square feet): J- Cj I 0615. Area Zoning: Ç\ - l10 'f,1::'S \b\';CI0Ti A-L. Previous use of property: ~it.:)l;,-l.Æ ¡::A-I-I \'-'_1 Intended use of property: ~ \ 1.:)(', L:E ~ f\-M \ I >i ~r.;f'.,\ì>F~,)C£ ' 'R~\~"PF: 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? v No Yes -- If yes, provide explanation: Project Description (use attachments if necessary): PA-I1.-TIAI 1Æ:MOI_ITlnl\ì <f)ç. F\-I "--.T \ ~') C..,. :J.- ~T\..j DWj:;\ LI,,-,I"> _ e..G\ù'DTRn<,\\n\..j OF ,Q '0\'\, ;::"TDR'1 (,.ft-'a...A-b-¡;, :¡;. ¡)l1 IATI I"" l"-L-rÆJI2... Ii-"'.....'r' 0 1.., t\lìFR F.YI,"','! Û(-,. A-r E~ Oç. .-\-IF- E:XlfoTl n¡<;;;.. . . Board of Trustees Application WETLANDffRUSTEE LANDS APPLICA TION DA TA Purpose of the proposed operations: ?f\-\2.TI't-I, T">""MVIATïÚl..ì () ç.. 1=?iV\ 8n UG- é).- ~T'i Di.òt':IA.I A:)ß. COIJE', 117 j )(è-rlr?t, n ç. ó1.!ð\""), 'aTD R'-{ I1-DDïl\ 0 L) Où£R <,",<""snide,. (;'fl-if!..M-&P ~ ()T\ L-\ T'1 A-e-Ð"r 0 I"ìt-l¡; 1""', So. T11..X;. isr1=L.CDf2 . bUvl'o~~. Area of wetlands on lot: square feet Percent coverage offot: - % Closest distance between nearest existing structure and upland edge of wetlands: 51.. C; feet Closest distance between nearest proposed structure and upland edge of wetlands: ---5Lí_feet Does the project involve excavation or filling? x No Yes If yes, how much matenal will be excavated? t.,JiL_cubic yards How much material will be filled? ~ cubic yards Depth of which matenal wi II be removed or deposited: 100 ¡j e-. feet Proposed slope throughout the area of operations: IJ 11\. 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 ifappropnate): l,)(ìt..')¡:; - n·t\~ :?e.c. ""FfJ\ IJ' ì J I.~O, ..\.-\' 1\-L1F (t-t,.'1-j II..lPA<'T _ 010 rHI'Õ ~I rE 11)F-TU\-l')hS >t' TlDiÆ u,A-ïFe.<>.. IJ-/J EeoSIOtV f'ÁJA)re.íri> tpF+ÞP4E:R.. UJ1t-'_ æ,F I'A;STfILLPb lI-S -:1?EQiJlr<.e-'D. . . Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: A-DDií\QO ~"JF- ' :"lId8no(.,. G\\-I2î\-G£ IH·~\':. t~ >11 ;''1 I\-y>ç'"^,. Are wetlands present within 100 feet of the proposed activity? No ../ Yes Does the project involve excavation or filling? -./ No Yes If Yes, how much material will be excavated? ~I f\ . (cubic yards) How much material will be filled? 11 \ f}- . (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting ITom implementation of the project as proposed. (Use attachments if necessary) LO .)B - T\-IIS "P e...o :<;F ('T "HI-L fJO¡- 'i-tJ4.."J;" I+p'-I I '.1 P I\-C:r ()~) ,\-1"," ,S,r;:; I,(JF;", A-I.~'f-, ~ "'t1~ 1.ù1+rP:"'~ Ij-\) .p- r..c.a") OD (l(H 'ìT \7 0 I 1:>4'I4U+'{, 11)\U ~.¡:;; '7:U6~b I1.s i<Plf\JUI J2.A1"\ Boa~ of Trustees Application . AUTHORIZATION (where the applicant is not the owner) ... I, L-rol)~ A-. ~bA-\)\-{ ¡:-esiding at '1 bS Ob?í2.."B-\.j ~Fo;o." (print owner of property) (mailing address) iC..ú0-b. G~F: l 'TPO~T 1 ¡.) .'1. do hereby authorize -:w.A-\...:)\L- ( }lgent ) ~~o T A-IL-<'::> to apply for permit(s) from the Southold Board of Town Trustees on my behalf. ¡ß..~¡¡l- ~ 8 ---r . I . PART 1 - PROJECT INFORMATION ,. APPUCANT J SPONSOR 617.20 APPENDIX C STATE ENVIRONMENTAL QUALm' REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only (To be completed by Applicant or Project Sponsor) seaR I PROJECT ID NUMBER 2. PROJECT NAME Çkh-µ~ I....>L;1"r:t-~ LFCkèH-iR-"b A-. kA/,E I0bI';GI--. 3.PROJECT lOCATION: Municipal~y C, !7.E"E: ,-,-,"CQ,· County SCI"-I"-G U,-, 4. PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc -or ørovide map r.r "b "'.~<'..-;- / ¡:: Ü"-.=>?iZE'-i ~F.. S\ Qr.(,,,, C(c.......; C::;?R.E:.'I ~é."'::.-' ><--<--" "~c.- co c. I '--' r-v C:RtE""K.>I='CP-'" I 10 .'1. \\<::¡'/.¡t--¡ t;-\-tST C I" 6u\..-G PCK,þ 5. IS PROPOSED ACTION: 0 New D Expansion Modification J alteration 6. DESCRIBE PROJECT BRIEFLY: 1 VH-\'è.T\H-L Ç>t.N~ l\ nc.-ú TL.- EVISTI(:.'(;' .;,' ~IY :PICt L--l~\ LGc, tt-T'Þ\T'\ C"U C L' E Q.¡ ;:. c:'-CL')iv..cCT1c.-ù co;.. .s".CD~'Þ \"'\..-OCR. CI(Is'T\ \0C.,. GA-Kit-C-F 1H0t-:, 0n LI'Y IT-~A {. ç:::. Tl-\ to; bk'ÎQ.,\1Gf:, 7. AMOUNT OF LAND AFFECTED: InitiaUy "acres Uftimalely " ' - acres 8. Will PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? BYes D No If no. desaibe briefly: ~T 1s PRESENT LAND USE IN VICINITY OF PROJECT? (Chooseasmanyas_iy.) M Residential 0 Industrial DCommerda' ~r1culture 0 Park I Forest I Open Space Dolher (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, Sta18 or local) B'ves 0 No If yes. Hst agency name and pennit I approval: f,.) '-I ",. DIC.è. iUu.:;U 'Í":>C:'IL-DII0;"'""PE 'lUIT. 11. DOES ANY ASPECT OF mE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? DYes r:s:rro If yes, list agency name and permit I approval: 12. AS A R []yes ~:~;:~~OPOSED ACTION WILL EXISTING PERMIT J APPROVAL REQUIRE MODIFICATION? .. .'... §t! ~ 't~ ApPlica1 Signatur .- ~ "(!' 'dJ· . .. . ~ ""~.a (;~: i~t_>. - . ~.i:. ,(' ,.-;",~.:..:., ,f" -Vthe action is a Costal Area, and you are a state agency, ....r¡.,..., ,1. fo..þA\~tfle Coastal Assessment Form before proceeding with this assessment "f " PROVIDED ABOVE IS TRUE TO mE BEST OF MY KNOWlEDGE Date: ,b .R X U 1/ ·....'1~ ----- :='<3.21 ;r_=:'''¡'/r.~C~JME~'¡.· SSëS5ME~n ,-;-:) I .:.. :)CE3 ...1.C:-,C,\ ::..\.C:::~O .:.~ . ., .-== , :-¡"¡2ê.~r.OLJ 'N oj j&J C::r.:=¡-:'~28' ~' ';ç;e!"' ·' "S2::::, ~~2í j:;.::;':- :t· . ::ocrCrt1a!a :ne r~"'I~W ::roceS:I ana 'Jsa ~r.e '=:..!L:.. ':",-,"=" _ 'f~5 '_.'10 ::! ·Nll!.... ..:.C;-:C.'\I ::¡E·::=::',::: :':::CRGIN':", <=J ~E'I[EW .:.5 ?:::J;C'JrCE0 =·:::R UI'IL:S'i"::::J .:.C":"¡CNS:N ,\ 'rr.;2R. :!o\ñ I ')" ..; , :nay Oe s:u::e~seCec .::y !nat~er :nvQlvea a,çency. :t "'0. :I ,eq.:iC:'e :;ec:.l' ~"!!S :--.. :-.10 C. ':::;::ULD .':'C:-:CN ~E5i.JL:- "N ,!"NY .¡,QVE¡:;Sc :;::==:::·:;ï5 ~S5CC:"; í::::J ',vl,:-! -:...,,= :""·JL:....~WING: :,lnswers :;:ay -:e 'ã.ncwm:er1. .f .eçr::let CL ::'(IStlr1q 11r '.::u<HI t'f. 5Urrac.:! ~( 'JrounClware~ ;:oualily 'Jr :::canu!y. :1Olse :e'lels. =x!s:¡nç -;-...tfic ::a[:¿r~s. sOlic .vé!.s:e ::Ircc:~c::.:::'I .Jr Jls.: ;:IO!erHlal ~cr =rOSJOn. ::r¿unaçe or :Ioocing :JroQlems? ='~ola," ::Iflerly: C2.. A¿SI/1e!ic. JÇflc:..Wural. ;rc:1aeologlcal. ;-'¡IS.OflC. ::Ir ~ther .,a(:Jral :lr C:.lllur31 ~esourc~s: ::Ir .,:";::JI"munlty '::Ir :-:eu;;'ICcrnooCl '::::¡UClc:er? ~ola.m '-J. '/eçe!3!10n oJr .'auna. :/$0.. sr:ellfisn or 'Nllame 5iJec:es. .llgmikanr ."aolt3ts.. :;Ir :hr!!'3tened ~r ~ncanc;erea .;cec:es7 ~Claln Jrtarly: C~, ), c.:::mmumty·s ¿xls~:nº .:>Ians or qoals as oHlc:;;'I''! .'ICloered. or a cnange in use or intensllY or use of taOCl,Jr arner natural resourcss? 8Dlaln C5. Growlh. 5U:JseQUenl ::evelOement. :lr relateCl ac::vltles likelY 10 :,e Induceo Jy !ne =rccoS¿{J 3'::lon? :Xpl,a.ln J"eilv. ':5_ I..cng :errn. ..nor~ :.!r,õl.. ;:.JF1'1U1Cilive. or 'Jmer ~Ttec:s nOI lr.:ennfiet1 in C:-(;S? =-'(¡)Iam :;IClerly. '::f~2~ :mQac:;; inc;.Jc:nç :~at1(;es In :.Jse 01 :;!:U'er Quar1llly ..,r :YCe or -:!ne~çï ? ~.:'(:II...m ~(!er!:{. ::I. 5 :-~E::;E. ::::R .5 :-¡..,E::;ë _:S~~...:' :-C :iE. :;:JNT.:;CVE'=SY ~E~ ';"ë:::l :-0 ~'JTë:'ITf;"i- .=.;::v=.?Së ;:NVI¡::;CNME!'IT;'L !,~P~C7.s: _':'e:s ·_.'Jo t ·:'es. '::!xClaln Jnerlv .:J.:\F1T !1I-DETêRMINATlCN OF SiGNIFICANC::: (To je C.:Iffiole[ed jy Agency) INSTñUC":'10NS; ror ~3C.' aaverse ettecr identified atcve. determine woerner it is subStan{,:aj. large. ;mCOrT.an[ or othef"',vise sigOlé =2C~ Úfecr s"ouJd be assessed in caonecrion 'Nit" Its (a) setting (i.~. urban or rural); ¡t·) probaoility at oC:::::L,."1ITg; (c duratio irre'¡ers1bdity; tel ge-oqracOIc .:;:coc:;e: ana It) magnltuCle. If necessary, aOd aUachrnents or mference supponing illaterials. '::lsun ~XC:::lana( c:ns cenIaln sutfic:ent aelali !o snow thar all :'"e!eVanr adverse impacts nave beer1 idemified ana adet;lJatè!Y accreSse( C.'1ec!{ ,his :JQX ;¡ ·,OU Have idenrifiea ane or ,'110re aotentially larç;e or significant ac'¡erse imoac:s whiC:1 ,',1": oC:::.Jr. Then :Jrcc.eec airec:-Iy ~o ~he FULL ::'AF ;:¡,nalor preaare a posirive- dec lararicn. C;'ec:< ~hi5 :;ox: :r you have de!ermmed. ~ased on the information and analysis above and any sUCCO~ií c::oc:.Jï.':enraflCr., :i12r ~r.e :Jrocosea ac~ion ',"IILL .~JOT result in~ny sIgnificant adverse anvircnmenral imcac AND ,J(QV1ce ·::n 3..¡ac:-tmen{s 35 nec2ssary. rtle ...easons 5UDcorring t/lis determination: ",,,"'" )( _"..u "'o.;\:,nc·, ...."...., J' ...v., "'...n... JI ",,',;:;on\.o,(' ·...;/ 'c~r n :.",,0 ~o.;t:"'C"' :.11., ~l -<,,>OOn\.OI., ,j,uco!:r ,'I.;n.lll.:r~ " "'..'CQ...."c,,~ '::r:.~...r.n .cJ.C ....o.;cnCy ¡'\Cn..:::.H"" )! "''':J.Jt~r ~It ~";",',,n! :r:')rn :,,'ccn\'o.~ ,}lr.c<!"rl .)..U! o - ~ . . Albert J. Krupski, President James King. Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson 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 L e_Q-ù-f\:J.;> ~~----- COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDA vrr OF POSTING I,1\~IVI~bZiLlt ·:ï)I2ú'¿þE",JSlOllresidingat ,·:?>L,OS" !\.lA-It-) f.2.ot+b, I'UHnTIIC'V \ !ù:>'I. being duly sworn, depose and say: That on the SntIayof ~U&¡)ST, 20()1.j; I personally posted the property known as 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 eig/\t days prior to the date of the public hearing. Date of hearing noted thereon to be held.tl£[) \ "n&"s,. 'f ,¡ I A..~~ Oft QC" About- '1: 00 . Dated: ?J ¡¿ /t; V ~¡2~7[~ (si ture) ~ j ;( .. _, I, ",'. - ~ , \1;.... t (>L~· > ..)-.... 72v~r' , ~Lc:/l~ Ñotary Public PATRICIA RICHERT NcQry Public. SJaIe of New York No.3.....741154 ~ QulIifiId in Nassau I SufIo/Æ . Commission ExpiI'8$ /11 . I . . l I , Board of Trustees Application County of Suffolk State of New York -:t=t?.Iì-\..JL- µc.JTA-~ BEING DULY SWORN DEPOSES AND AFFIRMS THAT HEISHE IS TIIE APPLICANT FOR TIIE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO TIIE BEST OF HISIHER 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 TIIE 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 TIIE TRUSTEES, TIIEIR AGENT(S) OR REPRESENT ATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS ~ 0 J Signature , I .j¿J!0- ,2°B I(¡- DAY OF ./ (/ ~~<L~ Notary Public --~sœ&~ -, No.7. .... ...........ift NIl_I ~ ~.£xpires ARCH - ITECNOLOGIES ARCHITECI11RE PLANNING CONSTRUCITON SBRVICES 1340SM.mR.oad.MatIituck. Newyœ:t 11952 631.298.1129 fax: 631.298.1128 Transmittal: To: Sù,-,-+Yïo\d "TDo.JJl"""'" ~0 ùç T,vSt-~s From: ·?7~~C)~ Date: .¿--( ?..\04 Pages: RE: 'vp J.r '" -~V71 Jr í9'1j R<:"'{-. {' .At....,C_\D"7~ cI o.A-E-' '5 'f::,~~ --r \ ('). ,,\-,'2:, '2--¥ì,,,' ,; ^""\ *"'" Cl. \,y"'npcfR ,..1 L:)r, . " ,.¡;. \ \ 'S . Ç(y *"'u.:> ·¿o",*"YxL.. 'í\, í2.£c.,; ,\ l x,(Q . '""\. t--\- *' IOc'O - ~S-0- M. l. . ":L'- A,t)-lJ \~ÀA}Ç! 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