HomeMy WebLinkAboutTR-4459
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Albert J. Krupski, President
John Holzapfel, Vice President
William G. Albertson
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
May 26, 1995,
MYLES SCHNEIDER
Knolls Circle
East Marion, NY 11939
Re: SCTM #37-5-11
Dear Mr. Schneider,
The following action was taken by the Board of Town Trustees
during its regular meeting held on May 25, 1995 regarding the
above matter:
WHEREAS, MYLES SCHNEIDER, applied to the Southold Town
Trustees for a permit under the provisions of the Wetland
Ordinance of the Town of Southold, application dated April 25,
1995, 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 25, 1995, 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 standard set forth in
Chapter 37-18 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,
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RESOLVED, that the Board of Trustees approves the application of
MYLES SCHNEIDER, to construct a 16' X 16' deck with a 3' wide
walkway from deck to side door, add a 4' X 4' platform with a 3'
X 10' ramp leading to the existing 5' X 26' float, and to
Grandfather the 5' X 26' float and bulkhead. Located: Knoll
Circle, East Marion.
Permit to construct project will expire 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
upon completion of said project.
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FEES: PlAttel ~H. l' 1r 4:'
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T6TA:b BT:Œ.
Trustees are to be notified
16' J( $3
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US.66-
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DUE
Very truly yours,
(2L/.,.¡ t). /~' 9,
Albert J. Krupski, Jr.
President, Board of Trustees
AJK/djh
cc. CAC
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Meeting of
MAY 18, 1995
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No. 1252
Moved b onnell, seconded by Bruce Loucka, i was
RESOLVED to rec end to the Southold Town Board 0
WITH STIPULATIONS the Wetland Application of FRANK SARO 114-1-26
to construct 102 =/ I.f. ðfstone revetment against eroded bank . I
with 75 +/- c.y. of clean sand to be trucked in from upland source. Construct
a 4' x 35' fixed walk and stairway for pedestrian access over revetment.
(Project with Clarke, Schlecht, and Wilcox)
The CAC recommends approval with the stipulation that the sand buried rocks
be planted with beachgrass and plant any backfill with non-turf buffer.
5665 North Road, Southold
Vote of Council: Ayes: All
Motion carried.
No. 1253
Moved by Bruce Loucka, seconded by Robert Keith, it was
RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL
of the Wetland Application of LOUIS MOORE BACON 134-3-5 to Dredge
approximately 2700 c.y. 10-15% brick, 20% gravel and 65% sand to 5' below
MLW. Material to be trucked away to approved upland site. Ferry berthing
area to be maintained at 7" below AMLW.
Robins Island
Vote of Council: Ayes: All
Motion carried.
No. 1254
Moved by Robert Keith, seconded by Patricia Isaksen, it was
RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL
of the Wetland Application of DORIS COSGROVE 86-5-9./J to install 4' x 40'
catwalk, 6' x 20' float, 3' x 18' aluminum ramp, and two (2) 2-pile dolphins.
Indian Neck Lane, Peconic
Vote of Council: Ayes: All
Motion carried.
:¿
Trustees APPROVAL
SCHNEIDER 37-5-11
¡,..---
1. Construct deck 16 x 16 and 3' wide catwalk on south end of house.
2. Remove existing dolphins (approx. 25' from bulkheadlng) and
construct a platform (4x4 and a ramp 3'x10' wide) to a floating dock 5' x 26'.
Floating dock to have 2 pilings.
3. Create an enclosure on the east side of the garage 30" wide for
garbage cans and storage.
No. 1255
Moved by John Hagerty, seconded by Betty Wells, it was
RESOLVED to recommend to the Southold Town Board of
WITH PROVISIONS of the Wetland Application of MYLES
to
Page 3
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Meeting of
MAY 18, 1995
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4. Install Bilco down into basement. 36" x 5' across.
5. Crandfather permit for approx. 100' bulkhead, built approx. 40 years
ago.
The CAC recommends approval of the deck and walkway (not catwalk) subject
to zoning regulations. Also the CAC's approval for the enclosure on the east
side of the garage is subject to zoning regulations. All other aspects of the
application are approved as submitted.
Knoll Circle, East Marion
Vote of Council: Ayes: All
Motion carried.
No. 1256
Moved by Bruce Loucka, seconded by John Hagerty, it was
RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL
of the Wetland Application of NICK ARONIADIS 15-9-1.6 to construct 185 I.f.
(plus (2) 15' returns) of stone revetment using 3-5 ton stone on 100-1000 core,
10-50 lb. blanket. Approx. 375 c.y. of clean sand will be trucked in for
backfill. A 12' wide area of revetment will be made suitable for a boat
launching ramp for owner's private use.
1090 latham lane, Orient
Vote of Council: Ayes: All
Motion carried.
No. 1257
Moved by Robert Keith, seconded by Patricia Isaksen, it was
RESOLVED to recommend to the Southold Town Board of Trustees the following
for the Wetland Application of ARTHUR AXBERG, Jr. 123-5-34 for
A. Proposed 37' x 27' x 10' renovation and two story additions to existing
one story residence. Existing house to be raised 24".
B. Proposed timber bulkhead to replace existing timber bulkhead.
The CAC recommends APPROVAL OF THE RENOVATION TO HOUSE as
submitted.
The CAC recommends APPROVAL WITH PROVISIONS OF THE BULKHEAD.
The CAC approves provided the bulkhead is replaced within 18" of existing
bulkhead and if applicant wishes, it can be higher to match the neighbor to the
west.
Camp Mineola Road, Mattituck
Vote of Council: Ayes: All
Motion carried.
Page 4
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HENRY P. SMITH,
JOHN M, BREDEMEYER; III, President
John Bednoski, 'Jr.
ALBERT KRUPSKI. JR., Vice-President
TELEPHONE
(516) 765-1892
BOARD OF TOWN TRUSTEES
TOWN OF SOUfHOLD
To,~Il, 53095 Main Road
P.O. Box 728
Southold, New York 11971
March 21, 1988
Mr. Robert S. Egan
Box 777
Knoll Circle
East Marion, New York 11939
Re: 1000-37-5-12
Dear Mr. Egan:
Pursuant to your request for a Waiver of the Wetland Ordinance for the
replacement of a bulkh9d on the property referenced' above, please be advised
that the Trustees conducted an on-site inspection of the property on March '17, 1988
and have determined that this work will be a repair and can be replaced in place.
Should you have any questions or concerns, please do not hesitate to contact
this office at the telephone number listed above.
Very truly yours.
,.''21 ' Q_,,'.._...........I~ß/
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John,~. Bredemeyer, III
Presìdl!nt
Board of Town Trustees
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NEW \lIÓ¡(K STATE DEPARTMENT OF ENVIRONMENTAL CONSERV)M'ÓN
95-2o-&t9/86)-25c
DE'iPERMIT *-.IMBER
10-87-0036
FACILITY/PROGRAM NUMBER(s]
N/A
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Article ~5, Title 3; 6NYCRR ,327.
328, 329: Aquatic Pesllcldes
Article ~ 5, TIlle 5:
Protection of Water N
Article 15, Title 15:
Water Supply
Article ~ 5, Tlllet5:
Warer Transport
Article 15, Tlile 15:
Lonu Island Wells
Article 15, '\1~ 27:
Wild, Scenic and Recreationai
Rivers
.
PERMIT
Under the Environmental Conservation Law
r--::l 6NYCRR 608:
L..!.J Water Quality, Certification!'!
II Article 17, Titles 7,8:
L-J SPDES
II Article 19:
L-J Air Pollution Control'
D Article 23, Title 27:
Mined Land Reclamation
D Article 24:
Fres'hwater Wetlands
N-New, R-Reneival, M-MiJdification,
C-Construct ('only). O-Operate ('only)
PERMIT ISSUED TO
Robert, G. Egan
ADDRESS OF PERMITTEE
ZII·Villere St., Des tvahan , LA 70047
AGENT FOR PERMmEE/CONTACT PERSON
Garrett A. Strong, RA, Main Rd.~ P.O. Box
:"4AME ·AND ADDRESS OF PROJECT{FACllITY (If different from Permittee)
Spring Pond
LOCATION OF PROJECTffAC[l1TY
East Marion
EFFECTIVE DATE
Z/Z/87
EXP[RATION DATE(s)
1/31/89
r--=l Article 25:
L....!J TIdal Wetlands N
11 Article 21, Ti,tle 7; 6NYCRR 360:
L-J Solid Waste Management'
D Article 27, Title 9: 6NYCRR 373:
Hazardous Waste Management
D Article 34:
Coastal Erosion Management
D Article 36:
Floodplain Management
D ArtiCles 1, 3. 17, 19, 27,37;
6NYCRR 380: Radiation Control
TELEPHONE NUMBER
141Z, Southold, NY 11971
.
COUNT\'
Suffolk
TOW~
Southold
UTM COORDINATES
DESCRIPTION OF AUTHORIZED ACTIVITY
Construct Z5' timber ,bulkhead. Truck in 50 cubic ards backfill. All work shall be
in accordance with NYSDEC a roved lans
GENERAL CONDITIONS
By aa::ep.,¡nce of this permit, the permittee qrees that the permit is contingent upon st.let compli·
anee with the ECL. all appHc.able relulations and the conditions specified herein or attached hereto.
1. The permittee shaH file in the offIce of the approprIate regional permit administrator, or otlMrofflce designated In the special condiuons. a notice of intentlOl1 to commence
work at [east 48 houl"$ in advance of the time of commencement and shall also notify him/her promptly in writin¡ of the completion of the work.
2. The permitted work shall be subject to inspection by an authorized representative of the Department of Environmental Conservation which milY order the work suspended if
the public interest 50 requires pursuant to ECl §71-o301 and SAPA §401(3).
The permittee has accepted expreulv. by the &XeCutlon of the application. the fulllepl responsibility for all dama jes, direct or indirect,. of whatever nature, and by whomever
suffered, arlsln¡ out of the prolect described herein and has agreed to Indemntfy and saw harmless the State from suits, actions, damages and costs of every name and descrip-
tion resulting from the said project.
4. The DepCllrtment reserves the right to modify, suspend or revoke this permit at any time after due notice. and, If reQuested, hold a heañnø when:
8) the scopê of the project is exceeded or ð violation of any condition of the permit or provisions of the ECL and pertinent regtllatioRS are found; or
b) the permit was obtained by misrepresentation or failure to disclme relevent facts; or
c) newly discovered information or si,nificant physical chances are discovered since the permit was Issued.
The permittee is responsible for keeping the permit active by submitting a renewal application. Illdudina: allY forms, fees or supplemental informatioll which may be reQuired
by the Department, no later than 30 days (180 days for SPDES or Solid or Hazarduous Waste Mana¡ement permits) prior to the expiration date.
6 This permit shall not be construed as eonvey!n¡¡; to the applicant any ri¡¡;ht to trespass upon the lands or Interfere with the riparian rights of others in order to perform the
permitted work or as authorizing the Impairment of any rights. title or interest in real or personal property held or ve.sted In a person not a party to the permit.
7. Tht! permittee is ""sponsible for obtaining any other permits, approval!i. lands, easements imd rights.-of-wav which may be required for this project.
S. Issuance of this permit by the Department dOM not, unless e"Pressly provided for, modify, supersede or rescind an order on conent or determination bv the Commissioner
issued heretofore by the Department or any of tbe terms, conditions. or requirements contained in such order 01 determination.
9. Any modification of this permit ,ran by the D rtl'!! t mu t be in writIng and attached hereto.
PERMIT ISSUANCE DATE
2/Z/87
AUTHORIZED SIGNATURE
cc: Law Enforcement
C.T. Hamilton
TOR
Kellar
ADDRESS
ldg. 40, SUNY, Rm. 219, aton Brook NY 1 794
Page 1 of {,
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95·20-6-a C1f8ó)-25c \..-.) '--..-r
ADDITIONAL GENERAL CONDITIONS FOR ARTlCU;S 15 [Title 5), 24. 25, 34, 36 and 6 NVCRR Part 608 (
10. T.at if futt..re operations by the State of New York require an al-
teration in the position of the structur~ or work herein authorized,or
if, in the opinion of the Department of Environmental Conservation
it shall cause unreasonable obstruction to the free navigation of said
waters or flood flows or endanger the health, safety or welfare of
the people of the State, or cause loss or destruction of the natural
resources of the State, the owner may be ordered by the Department to
remove or alter the structural work, obstructions. or hazards caused
thereby without expense to the State, and if, upon the expiration or
revocation of this permit, the structure, fill, excavation, or other
modification of the watercourse hereby authorized shall not be com-
pleted, the owners, shall, without expense to the State, and to such
extent and in such time and manner as the Department of Environmental
Conservation may require, remove alf or any portion of the uncompleted
structure or fill and restore to its former condition the navigable
and flood capacity of the watercourse. No claim shall be made against
the State of New York on account of any such removal or alteration.
11. That the State of New York shall in no case he liable for any damage
or injury to the structure or work herein 8.lIfhorized which may be caused
by or result from future operations undertaken by the State for the
conservation or improvement of navigation, or tor other purposes, and
no claim or right to compensation shall accrue from alTY such damage.
12. Granting of this permit does not relieve the applicant of the responsi-
bility of obtaining any other permission, consent or approval from
the u.s. Army Corps of Engineef5, U.S. Coast Guard, New York State
Office of General Services or local eovernment which may be required.
13. All necessary precautions shall be taken to preclude contamination
of any wetland or waterway by suspended solids. sediments, fuels.
solvents. lubricants, epoxy coatines, paints concrete leachate or any
)
other environmentally deleterious materials associated with the
project
14 Any material dredged in the prosecution of the work herein pennitted
shall be removed evenly, without leaving larie refuse piles, ridges across
the bed of a waterway or floodplain or deep holes that may have a
tendency to cause damage to navigable channels or to the banks of
a waterway.
There shall be no unreasonable interference with navigation by the work
herein authorized.
]f upon the expiratìon or revocation of this permit, the project hereby
authorized has not been completed, the applicantshall, without expense
to the State, and to such extent and in such time and manner as the
Department of Environmental Conservation may require, remove all or
any portion of the uncompleted structure or fill and restore the site
to its former condition. No claim shall be made against the State of
New York on account of any such removal or alteration.
If granted under Article 36, this permit does·not signify in any way
that the project will be free from flooding.
If granted under 6 NYCRR Part 608, the NYS Department of Environ-
mental Conservation hereby certifies that the subject project will not
coob-avene effluent limitations or other limitations or standards under
Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977
(Pl95-217) provided that all of the conditiqns listed herein are met
19 All activities authorized by this permit must be in strict confonnance
with the approved plans submitted by the applicant or his agent as part
of the permit application.
15,
16,
17,
18,
Such approved plans were prepared by
C.3.r.....,tt. ~
on 12/3/86
inn)
StI'ç'ng
SPECIAL CONDITIONS
1. Bulkhead run shall be placed a minimum of 32' landward of bulkhead return to the
east and a minimum of 11' landward of return to west.
2. There shall be no disturbance to tidal wetland vegetation.
Supplementary Special Conditions (A) through (J) at~ached.
Additional Supplementary Special Conditions (M) (N) attached.
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DEC PERMIT NUMBER
10-87-0036
PROGR^^'VFACILITY NUMBER
N/A
---.-
I Page -2--- of -4--
,
Town Hall
53095 Route 25
P,O, Box 1179
Southold, New York 11971-0959
Albert J. Krupski, President
James King, Vice-President
Artie Foster
Ken Poliwoda
Peggy A. Dickerson
Telephone (631) 765-1892
Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
August 14,2003
Ms. Joan Egan
330 Knoll Circle
East Marion, NY 11939-0777
Re: 330 Knoll Circle & 380 Knoll Circle, East Marion
Dear Ms. Egan:
In response to your letter dated August 12, 2003, the Board of Trustees would be
available to meet with you on our next inspection date scheduled for Wednesday,
September 17, 2003, if you would like to discuss your situation at that time.
In the meantime, our office will notify the Bay Constable to make an inspection
as well.
If you have any questions, please don't hesitate to call the office.
Very truly yours,
~?~'(}.
Albert J. Krupski, Jr., President
Board of Trustees
AJK:lms
cc: Bay Constables
..
Lau' t.iff,,,,
WOLINSKY, PARNELL & MONTGOMERY, LLP
,-.lltto~r¡cys and Cour¡se!,)>¡s at J..'au>
329 HAWKINS ¡!I..vENUE
U.KE RONKO,.....OMA. NY 1 1779-3642
TELEPHONE 16311 588-2900
F",CSIMILE {631¡ 586-2902
,¡.-+ALAN MICHAEL.. WOLINSKY
*BRUCE F. PARNELL
+MICHAEL J. MONTGOMERY
ELIO D ZANONI. Ese. OF COUNSEL
LEGAL ASSISTANTS
EILEEN KALMUS
ELAINE RosS
. NEW YO"" STATE MAGISTRATE
+ ADMITTED NEW YCRti 6:. FLORID'"
Mr. & Mrs, Robert Keller
92 Bayne Avenue
Brightwaters, NY 11718
AUG 2 1 2003
Southold Town
Board 01 Trustees
Dear Mr. & Mrs. Keller:
Please be advised that the undersigned has been contacted by Joan Egan regarding d
problem that she is having with your dock.
According to Mrs. Egan, she cannot repair her dock until your dock is completely
detached from her dock.
Kindly advise either Mrs. Egan directly or this offtce whether you are agreeable to
disconnecting your dock from Mrs, Egan's,
Thank you in advance for your prompt reply,
Very truly yours,
Wolinsky, Parnell & Montgomery
~)¿~~
By: Michael J, Montgomery
MJM:ek
Robert and Barbara Keller
380 Knoll Circle
East Marion, NY 11939
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BAYVIEW DRIVE
NOTES:
1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM
EXISTING ELEVATIONS ARE SHOWN THUS:.;.,:
EXISTING CONTOUR LINES ARE SHOWN THUS: -
, 5
L - FIRST FLOOR
. ~ - - GARAGE FLOOR
. 'So
'!-'!-<:>
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SURVEY OF
LOTS 25 & 26
MAP OF
GARDINER'S BAY ESTATES
SECTION TWO
FILE No. 275 FILED SEPTEMBER 23, 1927
SITUATED AT
EAST MARION
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-37-05-11
SCALE 1 "=20'
DECEMBER 31. 1998
FEBRUARY 10, 1999 ADDED WETLANDS AS FLAGGED at LATH PROP. DECK CORNEl
MARCH 1. 1999 ADDED CO~MENTS PER SUFFOLK ENVIRONWENTAl CONSULTING, IN
, ~
~ ., ~
. .,'" .. .
v,' <~; ~ AREA = 11,574.20 sq. ft.
:y (TO TIE LINE) 0.266 oc.
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UNA.THORIZED ALTERATION OR "DOmON
TO THIS SURVEY IS A VIOLATION Of"
SECl10N 7208 aF THE NEW YORK STATE
EDuCATION LAW.
COPtES OF THIS SURVEY MAP NOT 9EARtNG
THE LAND SUAYE"r'OR'S INKED SEAL OR
EMØO$S[[) SEAl.. StW..L NOT BE CONSlŒRED
TO BE A VAlID TRUE COPY,
CERT!FICf\11ONS INDICATED HEREON St-W..L RUN
ONLY TO 11<1' PERSON FOR WHOt.4 11<1' SUR\IEY
IS PMPAAEO. ANO ON HIS IIEIWF TO THf
TTTlI:' """.....uv ___..._..... ._._. ..._
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L.:.AR 2 2 1999 ,
TOWN oFSÓiìiH·jLC
CERTIFIED TO:
FIRST AMERICAN TITLE INSURANCE COMPANY
OF NEW YORK
ROBERT KELLER
BARBARA KELLER
PREPARED IN ACCORDN4CE WITH THE WINtMUM
STANONmS FOR TITlE SURVEYS AS ESTAlUSHED
B'Y THE LI.A.L-S. AND APPROÆD AND ADOPTED
FOR SUCH USE BY THE ~EW YORK STATE LAND
TITlE ASSOCtATlON.
N.Y.S, Lie, No, 49668
Jos h A. Ingegno
Land Surveyor
r.tle SufW lS - SubdMsions - Site PIons - ComIttucCion t.ø,out
PHONE (516)727-2090
Fax (516)722-5093
-
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Albert J. Krupski. President
John Holzapfel. Vice President
William G. Albertson
Martin H, Garrell
Peter Wenczel
Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 11971
Telephone (516) 765-1892
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Office Use Only
--
_Coastal Erosion Permit APplicati'1n -!@f1DfII7!?';','7J,
~ßtland Permit Application ;, ..,--=-- I!I-!S'I
~randfather Permit Application Ut' ,
_Tr~stee Lands Permit Applicatio ii, APR 2 ~ ~J '
Wal ver L ~_, ..
1./1feceived Application: OW¡\TõFS I
lerical Review: OUTHOLD
ompleted Application
Incomplete
SEQRA Classification:
e I Type II v-Unlisted
Coordination: (date sent)
¡".".-cAC Referral Sent: ¿.¡ .,;)"íI.'CY,::-
L.--Ðate of Inspection: ,S"'-/ì '7~
Receipt of CAC Report: (date)
Lead Agency Determination:
Technical Review: (date)
Public Hearing: (date)
Decision: Approved (Y¡N) (date)
Application Fee:$
A
\ Suffolk County Tax
~' ..
~' ~~~ ;fvproperty Location:
J~ (provide LILCO Pole
,., I..ÇS I
Name of Applicant Sc... 1\ e ( QQ.. r
CC \ cÞ..
1]
.~,.
-
.
Addres!t) ~ t) ð l \
~
Phone
S· c0+ m cJlJÒ7J
Number: (5th) l( ì) iÇ6 ")"')
Os 7 5 I l
1000 -
Map Number:
S''¡ll\~
.c> oÝ1 d
I I () Vl.-
V(t.W JJ ( _
reets, and location)
#, distance to cross
Agent:
(If applicable)
Address:
Phone:
1(
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~rd of Trustees APplicatio4IÞ
GENERAL DATA
Land Area (in square feet):
Area Zoning: ~~S·
Previous use of property: :k~
Intended use of property:
Prior permits/approvals for site improvements:
AJXrCY) ~
")(ÍV ,
Dal[JL.-1 f 70
tt=
1 í5l(ý.Ç-&\t¡u ,
~ 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 DescriPtio" (Uf6 attachmen1s ~f necessary):
CD ~+ ~þ !C-Ol+Mjß?~'~ 5(¡(),tLJ~d oj ~,
CÞ (L0Y1t?v..L ..er..'()"I17. Ì)r;I/þ¡r'tJ5,(Q¡.(W- V'/~.. t¡,.,\~1r~-.) Cl.'>'Jd
r (/V? (1yÝc.-j Q flC{ f:þm (4 x ~ ~ ú îwr:f 3' ,I t~td ?L 'f/(J~-/- ,Ie
d~ 'J.J. 16' -h,j-J, rr04-J" 14' U wr/I 2- p)( (}t~ "
t / ~ I
Q) ,'/lfU'1 Q:¿y) -0y¡r bA/lA' O'vï '!"t...( ¡;"ø< t¡; / i ~~
"(J I( 4/1/1 ,þ 1,rAAimiL {(14¡IIJ¡.) "- C;1z~
{j)Á-;"",..Jz.iJ,sI\C(, cl/O?of ~iNMtpt""f· ;6'1'1-)(((~1I";'''''_
cD &\CZI\.L~CLk y¿l<I"'\\ ~\ ~ ~""i bL?l~Ib...41\- C'~pro-\.',
tfo yt5
2
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--
ØIlrd of Trustees APPlicatiott
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 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.
Signature
SWORN TO BEFORE ME THIS
DAY OF
,19_
Notary Public
3
._,,__--. .~._..,-I..,-_~__.-~~·....- .. ...,__,
-.." ., - ,..............,..~ -'~,- ....~
~rd of Trustees APPlicatio~
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations: P d nln~'1' ,)d,
~ j5~;f Á/VI f-..vtXA rÁ _
Area of wetlands on lot:
Vi-I'td¿
,
square feet
Percent coverage of lot:
%
Closest
edge of
distance betweenLiearest existing structure and upland
wetlands: L'l <}.!1 feet
,
distance ~~een nearest proposed structure and upland
wetlands:~ feet
project involve excavation or filling?
Closest
edge of
Does the
~
No
Yes
i4ð ~ r/zrl íS ' ~ ~
If yes, how much material will be excavated?' Y C'o"'ct5cubic yards
-~. '?4'" c!.. ðV'\
Ò - cublc yards ?rDpe-r 'or"
J L oM
Depth of which material will be removed or deposited: 3. /l-J ~I 'J. ~ X l(
feet
How much material will be filled?
Proposed slope throughout the area of operations:
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 os such proposed
operations (use attachments if appropriate):
6
.L
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14-16·4 (2187)- Text 12
I PROJECT I.D, NUMBER
.
tþ
617.21
Appendix C
State Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
PART I-PROJECT INFORMATION (To be completed by Applicant or Project sponsor)
1. APPLICANT ¡SPONSOR 2. PROJECT NAME
SEa
3. PROJECT LOCATION:
Munlc1øallty County ":)u- f rL') l
4. PRECISE LOCATION (Slreet address and road intersections. prominent landmarks, etc., or provide map)
---
,:,X~
5. IS PROPOSED ACTION:
o New 0 Expansion odlficatlon/alteration
6. DESCRIBE PROJECT BRIEH Y:
\,,"Xl"- cLeLI<-- -""1IL.JI"d<z: l~C,...W"\~ t,OfV\'Õ::,,"¿c. o-f ~~
to d.<ZL"". ,'+\",0 rÇf)L'--/ ~\-'Lµ:'Oirv'\ ,,:>1"10' f\c__p tu Ex.s/--''''0 S-~Y.4.1
~\åt.+-. 110 t.' ßo\lt-.Wzct.<i. f:JCìS~;"
7. AMOUNT OF LAND AFFECTED:
Initially acras Ultimately acres
a. WilL PRO?OSED AC ION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS?
~.ès 0 No If No, describe briefly
9. \,'JHAT IS PRESENT LAt~D lJSt::: IN VICINITY OF PROJECT?
~Sidential 0 !nduslrlal 0 Commercial
~~~be:
o Agriculture
o Park/Foresl/Open space
OOI"Or
10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUND!NG, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL.
STATE OR LOCAL)? \
nves 0 No If yes, list agency(s) and permUlapprovals
l';IJ"1" ifl::pl- ~L .
':'-
11. DOES ANY ASPECT OF THE ACTIQr4 HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
DYes F II y~s, list agency name and permIt/approval
12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION?
o Yes No
I CeRTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
SIgnature:
Dd(e:
Y,/:¥/9'S-
If the action is in the Coa5tal Area, and you are a state agency, complete the
Coastal Assessment Form before proceeding with this a~essment
OVER
1
-
PART II-ENVIRONMENTAL
ESSMENT (To be completed by Agency
A. DOES ACTION EXCEED ANY T THRESHOLD IN 6 NYCRR, PART 617.12? If yes, rdlnalø the review process and uS8the FULL £lAF.
OVes ONo
B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.61 If No. a negative declaration
may be superseded by another involved agency.
OVes ONo
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten. If legible)
C1. Existing air quality. surface 0(" groundwater quality or quantity. noise levels, eXisting traffic patterns, solid waste production or disposal.
potential for erosion, drainage or flooding problems? Explain briefly:
C2. Aesthetic, agricultural. archaeological, historIc, or other natural or cultural resources; or community or neighborhood character? Explain brlefl:
C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain brlefty:
C4. A community's existing plans or goals as officially adopted, or a change in use or Intensity of use of land or other natural resources? Explain brlefl
C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly.
CG. long term, short term, cumulative. or other effecls not identified in C1·C5? Explain briefly.
C7. Other impaCls (including changes in use of either quantity or type of energy)? Explain briefly.
D. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAlIMPACrS?
DYes 0 No If Yes. explain briefly
PART III-DETERMINATION OF SIGNIFICANCE (To be completed by Agency)
INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise signlflcam
Each effect should be assessed in connection with its (a) setting (Le. urban or rural); (b) probability 01 occ&:Qrlng; (c) duration; (c
Irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure tha
explanations contain sufficient detail to show that al/ relevant adverse impacts have been identified and adequately addressed.
o Check this box if you have identified one or more potentially large or significant adverse impacts which MAY
occur. Then proceed direclly to the FULL EAF and/or prepare a posilive' declaration. .
o Check this box if you have determined, based on the information and, analysis above and any supporting
documentation, that the proposed action WILL NOT result in..;¡,ny significant adverse environmental impacts
AND provide on attachments as necessary, the reasons supporting this determination:
N.llllt.' nr It.'.!d ^~t.'n(y
",mlor Iype N...me 01 Kt')pons.bJt! Uil.cel.n ll'dd Agcllty
r.tlt! of H:L'~pons,ult! OII'C!!1
Sr~n..ture 01 J(esponuble Oltrcer .n lead ^¥ency
).¥nalure 01 Pre.pdrer If d'llerent Irom responsible OTllce"
O...re
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