HomeMy WebLinkAboutTR-5565
-
TERMS and CONDfT1ONS
.
",
.'
.'
The I'ermitœe
Nanr-y c;hin /C;:"'1::L; J8feF
resIdiag It 1 Rn K'O"y Cirel'j;., ~~l Mi. N. Y., as
pare of !be coasideratioa for !be Icc...~ of die ~t does lit» ... _M aod prescribe to the foJ-
1owIøg:
1. 11w!be said Board 01 Trustees aod the Towa 01 SouthoId .... reIcued ñom ...,. aod
all damqes, 01: daIms lor ~ of auks adIiøg direcd.T 01: åIdirecdy as . ftIIIk of ...,. ~.
adoa pedcxmed pilmaat to this pamIt, aod the aid P ,,¡~"" will. u his 01: .. own ~.
cIefeoc ...,. aod alllUch IUiCs,w.¡-ced .., thhd patdes, ..... !be said P ;",- a.. - foIl JiItJIUq
with reSpect thereto, to the complete' 1···100 of the Board 01 'i'mscies 01 the Town 01 50 ~ I!Jd
2. 11w this Peaak is' Y8Üd ÍOI: . period of 24 IIIOS. wIdch is œllSUmd to be the
_......e<f time· required 10 ~ the wodt iø~ butihoald ~- w..t...A, recra-
for an exœøsioa may be mode to the Board It . 1aœr cIaœ.
~. 11w this Peanit sbould be ~ iødefiaitåy, or as Joag as the said F~ wisbCs
10 . mol_In the ottuaure or project iøvolved, to provide e9Ïdeaœ to IIßJ'OIIe c:oac:aued thu aoth-
.orizatioa WIS origiøaLIy obtaiøecI.
4. That the workiøwl-t will be subject to the intpectIon aod appt'Oftl 01 !be Board 01:
Its ageots, aod ~I......· with . the proYisioas 01 !be nrig/-,;"g aprG ""tIœ. may be ause fOl:
rnocadon of this Pamit .., resoJudoa of the said Board.
5. 11w tbeœ will be DO W1m1500Ib1e iøterfemø with aavigatioo as . result 01 the work
beœia uo"dN.I...I. .
6. That tbeœ sba11 be DO iøterfereoce with the right 01 the public 10 pus ..... repass a10ag
the beach between high aod m _ter marks.
7. That if future operaâoos 01 the Town 01 Sontb9Id rec¡aùe the ftIDCJftI aod/OI: akendoas
iø the location of the -'" beœia _"-I.-ed. or if, in !be opInIn.. 01 the Board 01 TrusteeS, the.
1VOIk aha11 ause WlmllOOIb1e ohstractlon to lree ...~. !be aid Po ...,,~ will be nc¡aIred.
apoo. .. ßOdœ, to remove or alter this work or project beœia stated ~ hJ."'" to the Town
oI~~d .
8. Thlt the said Board will be notified .., the Pe-I.- ot the CIOIJII"edGa 01 the -" aoth-
orized.
9. That the I'em>kœe will obtain aU other pennies aod (0 '~Pli dIat may be required sap-
pJemeota1lO this permit wIdch may be subject to mob upoa la1late 10 obca1o tame.
.,.....,...~~----.---.---...........,.!.
Albert J. Krupski, President. I
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
-.
May 30, 2002
Ms. Amy Martin
c/o Fairweather Brown Design
413 Main Street
Greenport, NY 11944
RE: SCTM#37-05-17
Nancy Chin/Schlaefer
180 Knoll Circle, East Marion, NY
Dear Ms. Martin:
The following action as taken by the Board of Town Trustees during a Regular Meeting, held on
May 22, 2002, regarding the above matter.
WHEREAS, Fairweather Brown Design on behalf of Nancy Chin/Schlaefer applied to the
Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town
of Southold, application dated April 29, 2002
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 22, 2002 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 97-18 of the Southold
Town Code.
WHEREAS, the Board has determined that the project as proposed will not affect the health,
.
2
.
safety and general welfare of the people of the town,
NOW THEREFORE BE IT.
RESOLVED, that the Board of Trustees approved the application of Nancy Chin/Schlaefer
for a Wetland Permit for renovation and addition to home - no changes to footprint waterside
prior to construction a line of haybales - drywells and gutters to retain roof run-off.
BE IT FURTHER RESOLVED that this determinatión 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.
Fee must be paid, if applicable and permit issued within six months of the date of this
notification.
Ifinspections are required, at a fee of$5.00 per inspection (See attached schedule).
FEES: None
Very truly yours,
~~~J~'þ
Albert J. Krupski, Jr.
President, Board of Trustees
AJKIcjc
cc DEC
Building Department
.
.
Telephone
(631) 765-1892
Town Hall. 53095 Main Road
P.O. Box 1179
Southold. New York 11971
. SOUTHOLD TOWN
CONSERVATION ADVISORY COUNCIL
At the meeting of the South old Town ConserVation Advisory Council held Monday, May
20, 2002, the following recommendation was made:
Moved by Drew Dillingham, seconded by Jason Petrucci it was
RESOLVED to recommend to the Southold Town Board of Trustees DISAPPROVAL of
the Wetland Permit Application of,Ð!A~CY CHIN/SCHLAEFER fOfJJ:w,4UJWI J1ì R'_
addition to dwelling. No changes fð1fw¡, WijHL 1J"'~~ side.
Located: 180 Knoll Circle, East Marion. SCTM#37-5-17
The CAC recommends Disapproval of the application because the proposed addition,
location of drywells, French drain, and septic system, were not staked.
Vote of Council: Ayes: All
Motion Carried
.
.
FAIRWEA THRR-BROWN
DESIGN ASSOCIATES, INe.
"
P.O. BOI 521
413 Maw Street
Greenport, N.Y. 11944
631-477-9752 (fax) 631-477-0973
May 1, 2002
Southold Town Trustees
Re: Nancy Chin
SCTM# 1000-037-05-17
The accompanying application is for addition and renovation of an existing single family
residence. The proposed addition/renovation is to maintain the existing footprint on the
water side of the home. There will be a slight addition of fill to bring the 9' contour
outside the house envelope. This will change grade <I 'xl 'for 30'. Fill will be clean
topsoil and will be. The concrete wall is to be removed on the south side of the home
and the proposed addition is to replace the existing concrete patio as shown on the site
plan. The residence, with the proposed changes should not cause any new impact to the
wetlands, in fact there will less, as roof run-off will be directed to dry wells. Hay bales
will be placed as directed, during construction and any other recommended practices you
may suggest will be implemented. The only other disturbance we foresee might be a
necessary septic system upgraded, to meet SClIDS standards, and again proper care will
be taken during this process to assure nothing affects the local wetlands.
The bulkhead was constructed during the 1930's and has been maintained to date.
Application for repairs are currently being made by Costello Marine.
Thank you for your consideration of this application. If you have any questions or need
other information, please do not hesitate to contact me or Ian Fairweather, the Designer
of this project.
Respectfully submitt7:
/~~
ITG1 g D ¡;; n.' ",M F ~.,
I'" I:! "J _L. t· ,- .
" t" ,_ ~____ - LL .-
!l'
, MAY - 2 2002
!
---~--
,-, ~-Gr: "PI r~-V:-;
. . ,"')-J~..... :' 1",
-=. ...-.:...----------..--
mB em
mB em
em
mB em
mB c:m
k -,.:;'
Tt
~.
.
, <
VI I" I'
0
C
-I
:I
n1 §
,- §
n1
<
»
~ -I
"
0
,~
z §
>~
.þ. §
mE
.
.
r
..
Alb~rt 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
Office Use Only
Gfoastal Erosion Permit Application
7Wetland Permit Application _ Major
_Waiver/Amendment! a ev
_Received Applicatio : {)
_Received Fee:$
_Completed Application
_Incomplete
_ SEQRA Classification:
Type I_Type II_Unlisted_
_Coordination:(date sefì tIt
CAC Referral Sent: f,. /
-Date of Inspection: ..\ f 0 v
Receipt ofCAC Report:'
_Lead Agency Detennination:
Technical Review: , ::;I
Public Hearing Held:~--f1 0
Resolution:
Minor
r: - -------- -
" ì ., r. .----~--.
'I"! I"J ,) E.: :¡ ~~ .-~ ~ ' ì
, ,.":1 .; .- . . r, , I'
I, ..) ~_ ___.___.~_: __1_ _" . ,
I '\' -.1
UU MAY - 2 2002
TO\'/" I 0' -. .7".
. ;"",1 . \.' .
~ ~ \ ~'.-
---.'-
Name of Applicant
Address 11
&rt ¡.Jtt 5h~ toY"!
SutTolk County Tax Map Number: 1000 - ~ - ()S -/ 7
Property Location: Ißo Kno " Cue.de.. ~::>t fYlUiD n
(provide LILCO Pole #, distance to cross streets, and location) .~ ¡
AGENT: ~a£ntJ / Ffr, ewtA~ ' t:;wown }x6t6~ .~
(Ifapplicable) . I ~!;) 1
Address:Æ~ fDMYI ~ tt'·b1~ \}}j
Phone: 41? - Q1SL -r'
.
.
. '
Board of Trustees Application
Land Area (in square feet):
Area Zoning:~-
GENERAL DATA
J4))4JL!j~
Intended use of property:
s.m~t ~ Ýl?1-Âe".¡t, ~
~~·~¿7lJU(l1 -
Previous use of property:
Prior permits/approvals for site improvements:
Agency
Date
,
.
ÛLf.UA!'r APP. -Cæ7t!J.LD ~~
_ No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspend¢ by a governmental agency?
./. No_ Yes
r
¡.r
If yes, provide explanation:
I
I'
....
-<.~ " ~J.,)!1 ~ I
--.--:. ~'::J
Project Description (use attachments if necessary):
..£""oI\QDI f:tJJ19VATlDtJ ........ ^ þDlílDAJ Tð N-oMe"
, ~
Jio C.~)be:S TD J=oD-r ptè; A-Yr W....g-e SIf)e'
.
.
Board of Trustees Application
WETLANDffRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations:
Area of wetlands on lot:
o
o
square feet ~I k.k..1 e.J..
Percent coverage oflot:
%
Closest distance between nearest existing structure and upland
edge of wetlands: 5/,' feet
Closest distance between nearest proposed structure and upland
,
edge of wetlands:!)L. feet
Does the project involve excavation or filling?
No j
Yes
If yes, how much material will be excavated? 0 cubic yards W~S þe"
How much material will be filled?
.~
cubic yards
Depth of which material will be removed or deposited:
I
feet
Proposed slope throughout the area of operations:
Øý45ToJ6-
Manner in which material will be removed or deposited:~..
-DU~ p - ~ f>'1~"T\ ~,-
\: , ~~ _ 'l. 7f\1L
\'- -.
~ ': _ . ~.-:-M(~ .~'. ;. _ . .
I ~_,' ~ I . {". '. , .
1 ~ '. " - -' \).l-~:-~ .~_.~ -
Statement of the effect, if any, on the wetlands and tidal *ìrtersorthe town that may result by
reason of such proposed operations (use attachments if appropriate):
.{\O .~ Ll,,01'" DF St" L To CII!WJ(;.€t
~OOþ ~ (Ðl'\T~ íò q I OIJTS,()Ç
-+ÒIIN bItT iqrJ,.
.
.
Board of Trustees Application
COASTAL EROSION APPLICATION DATA
Purposes of proposed activity: -R..~Ar"€ .... -A1)b TI> £1jSTAJ6-
~J~œ: - ((JIJ,(t1ßi W/)j?1< w~~,Dê
Are wetlands present within 100 feet of the proposed activity?
No
j
Yes
Does the project involve excavation or filling?
No / Yes
If Yes, how much material will be excavated? 0 (cubic yards)
How much material will be filled?
.~
(cubic yards)
Manner in which material will be removed or deposited:~
.:Œoa¿ ~~D ~ HAND
Describe the nature and extent of the environmental impacts reasonably anticipated resulting
ITom implementation of the project as proposed. (Use attachments if necessary)
frðpø~D .1.ÙÐIf:./L WILL NO'f"
IÙBTtA1JD I?þPCI'5:xJ(U:". íHe- WD.e.fol. WIL.L
-A\O'f ~)l.C-e81> Wta-l1œSI C>€
~ ~P:S WILL Ê>f;
JJgz.e~ -
~n~ ~4J>í~1Y1 WILL IJgf) "tïJ -.,ti'(i".--:~.:i;_\.'
I ~ nm ~-~-'
j)(J&R.Aþ/a) t)5 ~U{),ùe1J J3lf ~'Dt1S' ~/¿
GIlf'feRS / PfQJt,1J pr¿AtN.5 _t~ I ee useD f?oe-
I
..b1J - D FP ÞrtnYl eß3 j) dlJæ
INC-e.e:A-~
R:It5r ~ kiT.
"Sþ~f,'
~
M~Y
2 '2.002
ro
~
.
.
Board of Trustees Application
County of Suffolk
State of New York
~ d\~~ BEING DULY SWORN
DEPOSES FIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE
DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE
TRUE TO THE 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 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
,20_
Notary Public
·/
,
OF MAILING OF NOTICE
CERTIFIED MAIL RECEIPTS ~
Addre", ~~
.'
.
,
.'
PROOF
ATTACH
Name: ~
[~1!'
!!>",
I'·
'1"1Y!
LUUL
I
"
STATE OF NEW YORK
COUNTY OF SUFFOLK
~~~ , residing at ð/ç- ~.4I--
~ , being duly sworn, deposes and says
that on th L ~ day of 111tLt!d. ;'}.tDz.-, deponent
mailed a true copy of the Notiáe set forth-yn-the Board 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 aid Noti~ were mailed at
the United States Post Office at ~ , that
said Notices were mailed to each 0 persons by (certified)
(registered) mail.
me this d- /
,1'9- LOO~
lÆJ~
Public
..
JOYCE M. WILKINS
Notary Public, State of New York
No. 4952246, Suffolk County
T~rm F:<pir"1:C; J"rJP ~2. d..003
·.
..
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
-----------------------------------
~~:::~:~ê~
C~~~~SUFFOLK)
STATE OF NEW YORK)
I,~J~
AFFIDAVIT OF POSTING ~
, residing at J¡, .~ -
being duly sworn, depose and say:
That on the /D ~ay of ~, 20o:z... I. personally posted the
property known as LD~ {I~.Á~ ~
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 eight days prior to the date of the J
publiç h~ring. Date of hearing noted thereon to be held ~~~~
ûþl./"
Dated: S/ZI}z..---
Sworn to before me this IL
()(f- d~y of ~ 200~
Veronica F. Cidone
Notary Public. State of New York
No: 52-4661406
QuaJIfted In Suffolk County, ,/
Commlesion expires Dec.31 , ~O':>
.
.
........J....~
)"f-02-200C! e91 1:¡'
_ GÆI!IflJRT
t.pl'J,ttlAM'f
TRANs~ctIOMAL ÞII~toSURI FORM
t of
. .
TOUI! II,,"B.
L..t nam., f ~.t n.'"
you .~e .pplytft9 in ~hè
oth.~ .n~ity, euch ,. a co~pany. If 80. ~nð!e.t.
~h. other p8raoht. or comp.ny'g n....)
','.' .
. ·'I.~.~~,:,::·~;:,·.øJ"~~
~TOIIB 0' ßP~èArIO". (chaak all that applY,)
TU gri..ane.
..ri.nc.
Chang- of son,!,
AP'p~~al of plat
ExO'ptio~ from Pi~ offLalal ~ap
other .
(If 'other," noma tha aotLvitr·)
ÐO ~oa p.~.ona11r (o~ ~h~ough r... eo_p.ny, -pOd... Mlb1ln"
þareft~. V~ ahi1.J hDwe . rel.blÞn.Þ1p vt~I' an7 øffia.r or
e.p10Y.. of ~ho ~ovn Qf SO.'~v~ð1 ·R.la~lon.~ip· iac1aðes
br blood. ..~rl.g.. or bDBln... lD~.re.'. ·...iø-g. .
iAt.er.et" _ana a "u.l..... in01",l1ng a pal<"...,...lp. 1"
vhi,," "h. toan officer or ..ploy.... ha. ....11 a ".I<ual .
OYllerahip oJ:" (or ...plof"'!"nt by) a c:or¡>.oration iD vhl,,1I
~h. town arricvT O~ ~lðJ.. gun. .O~. tb~n 5% o~ ~b.
."'.1:'8. . V
YBS NQ _
,.
·1:1....
~f fom aoav.rn" .tts.". "oap1ate "he baLaDce Df tbi. ro~. anð
".te .nd a19D "ltar. lnðLaatøol.
Name of peraon nmpioyeð by tbe ~ovn Of Bouthold
Titl' or paei~ia~ of th,t pereon
Doacrib. the ral.blaneÞlp bet"e.n youra.lf (th. a,piio."k)
and the ~avn affLcer Qr ..ploy..· lither eheCR ~h.
.p~ro~~iat. lln. ~) throvgh D) .~ð/g~ 4..o~ibe in ~h. .p.~.
pro..i"ed.
The ta"o ofticar or e~ploy.. Dr hi. or her apaU.a; .1bl1ng,
paront. or ohilð i. (o~aak all that apply),
_II) tli. o..ner at g....t.. th.n 5" of tll.· aliar.. of ~h.
"orporat. atook of the applicant (,,"an the applicant'
i. . c:ot'poratl.gn) r .
_____B) the l.gal or bunefLcial ovner of aoF intern.t in a
nonca£po~~t.'.n~l~Y (when ~h. app!l~.nt t. n~ a
ao~po~.t.1.on)' .
_____c) an øffig.r, ðir.cbor. þ.r~,.r. or' emp1ðy...ol ~h.
appliaarit., or
~O) tÞ. ~~tQ.1 .pp~ieDnk.
r'~
¡','¡
,.f'j.
, '.
~Û! \"'I~'
I . .-
~. -,:~""(\\ITl-''''''f'' ..,
TO\ '.'_. .~L :-)~..11-'.2~_.(~--" .
2.ûŒ
I
!
I
; ~-
....
-
...: . "'''~H~,:~ . .
:, .:-....¡.~.:
DIIISclUP"I'10N or It..LM'10NSII1P
.'.
.... ..
.... ¡
. L~. ....,
..~.'..
'. -'~~¡~-~:
. ..
-.
- -
su·b..l t ..<1
BLg"abuu
:,1..
print "a... ' " .
. ·'::e~
¡Z~-O 100/100 d ~5~-!
1!L8£WIZ
û£:£: ZOOZ-ZQ-¡O
.
. .
AUTHORTZA nON
(where applicant is not the owner)
I,
J~al~
residing at 11 (O.RNlAJells1<R.uL Rd
(mailing address)
do hereby authorize Amy K Martin or other of
Fairweather-Brown Design Associates, Inc.
.
ß Rí \.J A:5rtLf'JG lú ^'
Vi~ 11050
to act as my agent to apply for all penn its necessary for the proposed work to be
perfonned at
I ~O i<no /1 Ltk:C (0
P f!;:5í fY)CUc ; 0 Vì
/urCd
(Owner's signature)
MAY - L ~vc,'
. "_. _~,ßq _~_~
'" ~ ",~ 1 0 ¡: ,~,'"\; ¡ . .
~ ; >..; ~¡ '.. ~ t.." L_ - _
.
.
.'
1-'_16·4 (2187)- Ti!x! 12
I PROJECT '-D. NUMBER
617.21
Appendix C
State Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
PART I-PROJECT INFORMATION (To be completed by ADDllcant or Project sponsor)
1. APPLICANT ¡SPONSOR 2. PROJEC7 ME
-Am ¡IV - C!J4,..,¡
3. PROJECT LOCATION:
Municipality ~L-b OÑ County
4. PAEC:SE LOCATION (Street address and road intersections, prominent landmarks. etc.. ;Jr ,rovlCle map)
f<Do ft CI R. e-l-e....-
.~~'~Uè/..s ~
SEQ
,~
E ~t I¥tf.-S
5. IS PROPOSED ACT~~
o New LY"'"Expansion
ô. DESCRIBE PROJECT BRIEFLY:
A.bþrn OtJ t ~VJoVA~
'Sì "-!~ l£
~OClifiCatlOn/aterat¡on
~m'L.'1
l>¥ f!š'I.-l S. TI N 6-
-
~1~C't'
7. AMOUNT OF UND AFFECTED:
Imtially acres UltimatelY .D' acr&S
3_ VJ~!...JRO?I')SEü ACTION COMPL~ WITH EXISTING ZONING OA OTHER EXISTING LAND US2 ReSïRIC710NS?
LYyes C!' No If No. describe briefly
.-:p£øþ4'ni'T"'i To ""ÐIJL'¿I~
9. WHA ?AESENT l.At~D !J~ï:: IN VICINITY OF ?AOJECT?
'-- Resldenlial O,rnaustrrar L CùmmerClal
Oesc~lbe;
o Agnculture
~ ParKlForesUOcen space
L...J Other
S,m.Lt:
PIh'YI t..'1
R.~I ():QJ1"'I A1..
Pre¡1;A-
10. DOES ACTION INVOLVE A PERMIT APPROVAL OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL.
STAT~9M LOCAL)?
[!?"Yes 0 No If yes. !ist agency(s) and permiuaoprovals
NON JlllelS ~- ''''ø'~'&IIt,.\(..~
~A ðul/...t>/N'- 1>~T".
St:..Þt+S
"::
". ~ES ANY A~'yCT OF THE ACTlor~ HAVe A CURRENTLY VALID PERMIT OR APPROVAL'?
.Yes· ~'lO" y"s. list agency name and permIt/approval
12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL AEQUIRE .I.AOQIFIC.\-i'ION?
DYes DNo
Applicant/sponsor name:
I CE¡:ITIFY THAT T
-m~!9d CFN~INLEDGE
Do<e' 5") If) 1..
srgnalUre:
If the action is in the Co"stal Area, and "Iou are a state agency, complete the
Coastal Assessmen! Form beiore proceeding with this a.'?~essment
OVER
PART [1_=N1J!RO:"JME:-JT~' .êS3MENT :-:-.') ~~ r::J~=leta8 =y -\çe::c .
I '
:::OE5 ~C7;C~ =-:,,:c;:.=.:: "':'NY , ,.~'=. : 7¡"'¡:;E.3~0LJ :N oj .'~':'C¡::R. ;;I :.F.ï '5:7.'::,
,t les, :ocrQlnðCEI :ne re'iIl~W :roces:! anc 'Jsa :ne =:":-L:.. ~-A¡=.
~
. ':'~S
I ,'~O
=. '.'V[L~ ..:.C7:CN .::¡E,:::';V=: , :::CP.O!N..... c;) .=lE'IIEW:.S ,::IRC'JlOE~ -,:" UNL37S;) .:.c-:-:CNS ,N:5 ."YC:=:R. ::1.01,;;', '3;;-.57
may oe sucersec:eo:: :.y 3.nct~er nyo[yeC açenc'f.
~Yes L....:~o
C_ C':ULD .';C7iC~J .=!ESUL7 :N ).NV ADVERSE :::=:=::;-:75 AS.sCC:;, 7=~ ',vlïH -~E .=·JL~":""'l!."G. :).nS·Ners :nay ::e .'ancwrn:e~. .f :e~ICle)
':;1. ~~Isllnrl 3M cuallty, ;¡urrac!!: Jr ·~rouncwa!er ::ualily :lr ::!.:an!!ty, .101se ;e'fI~Js. :!x:s:lng :rarHc ::anerns. .::orid Nasie ::HOCH.:c:;::n ::Ir Jls.::
;:Iotentla[ for erOSion. ::r,unage or ~Iooclnq JrOOlems? ~~olaln Jnelly:
:1 .'~o, a .1e<;':;'(:·/e ::ec:u:;
C2. Aesthetic, 3qric~Uural. arC:1aeologic.J.l. :-Jlstonc, ::Ir :)[ner .1at:,¡ra[ Jr cultural :esourc~s: or :~mmunlty or .ieu;nccrnood c:-:arac:er'? ::"'(o[aln _.
......... '/e<;e!atlon or :auna. flsn. 5r:1![lfisn or 'NllalUe species. ~lgOl¡icanT :1acltaIS. Jr :t¡re3tene<J or ~nC:anç;erea scec:es? Stctam Jrlðlly:
CJ. A c::mmunlCy's eXisting ;J!ans or goals as o1f(c:aUy adooted, Or a cnange in use Of intensity OT use at lana or otner natural resources.7 ::cplaln :r
':;:5. GrowlO. sucseauenc -:eve[ooment Jf related aC:I'iltles likelY !O :,e Inducea ~y !f'1e ::rcoosea aC:lon7 :xOlalO ~tlety.
':5. '_ong :erm. :>nort :er:n. ;:;muial,'{e, :;¡r 'Jlner ~Ifec:s ,10( ,centifieCl m C-:,':S? =.1:J13In :wer'f.
:tr:e! :moac:s dnc;~c¡nc; :;-:ançes m 'Jse of ~~!ner quantity r:lr :yçe or :!nerg"f}? -:x:Jlaln ~tlerl"(.
j. s 7¡';E::1E.:R.5 7¡"E~ê _:!<2!..':' 70 :iE, ::::Nî::!OVE?SY ::¡E:..Aïë~ 7'0 ?QTENïf;"L ":"':V:::?:Së :::?-VIRONMelï":'L .MP~C7S?
_':'es
:...... ~lo
:! ':'es. ~xclaln :JtIerly
"ARí III-OEíE;:¡MINAíION OF SiGNIFICANCE ,To ~e camoleted oy Agency)
INSïRUCitONS: For ~3C:"l aQ'terse ~tfec~ identified acove, aetermine wnetner it is substa.ntial. large, imcortam or otherwise siçnific.
=:ac!'1 ~jfec~ silould :Je assessed in connection 'Nilt! Its (al setting (Le. urban or rura!); (b) ~roba.cllity of occ::µ¡1ng; (cI duration:
irre'¡erslbllity; iet oJeogra.cnic 3coce: and {f} maQnttuae. It necessary, adO aUac~ments or reference supporting materials. :':1sure
o:!xClanaucns ccmaJn sutfic:ent aetall to snow that all relevant adverse impacts have been identified ana adequatelY acC::ressec.
-
C~eck ~his :JOX if 'fOU have idemifiea cne or ,'T10re :::otenrially larçe or significant aC'Ierse ¡moac:s 'NnIC:1 .~.'~':,
oc::~r. ihen :Jrccega airec:ly to :ne FULL ::AF 3.na/or preoare a pOSitive- declaraticn.
_ C~ecx this ::OX if you have de!ermined. ~ased on the information and analysis above and any suooortjiiC
coc:Jrnemaclcn. :t1ar :r.e :Jrocosea ac:ion ""JILL ~~OT result in~ny significant acverse anvlrcnmentê.J jmcac~:
AND JrO....lce ·::m 5.;:tac:1fnenCS as necessary, the ~easons 5upcorting this dete:-mination:
......,"t." 'll .t.".,¡u .....;t:nc·(
-"In! JI vet: "..Inf!' )1 ~L',oon\.CIC' ....II"..:'r n ~..."c ~-:o:n';'J
:'11>: 01 <o:~oon~'OIt." VII,c.:r
;,\;nJIUfCO ')1 ~>:'con"o'e ":1:,.;.;>( n ~c'..Ia .~>:c'nC\l
),,<n'¡:~rt." H ...·..~Jr~r ~[f ':'I:,:·,..nl :ram r~~oon"c'~ .)/I'(Ul
~
,)...!~
2
.
.
NOTICE TO ADJACENT PROPERTY OWNER
BOARD OF TRUSTEES, TOWN OF SOUTHOLD
In the matter of applicant: N'-A#JC.ia~/~I4.¥
SCTM#1000- ?J1-D5 -17
YOU ARE HEREBY GIVEN NOTICE:
1. That it is the intention of the undersigned to request a
Permit from the Board of Trustees to: . .
Mf'~ AÞt>ITlDtJ A-IV D ~e1JDV P(PONS To ~'/-l5rING-
~NbL.t': ~'YII,L.'1 ~œ¡Jlk""
2. That the property which is the subject of Environmental
Review.-Ís located adjacent to your property and is described as
follows: /80 ~D( GUk... Ði6;- ¡}\g.N'OY)
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 on: You may contact the Trustees Office at
765-1892 or in writing.
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'_,.[.jr c/".n~
MAILIN~R~~J':~.YItvlli~~~ 10 ~
PHONE it: _'>1 I.-R'K ~- ¿'~L.
Ene.: Copy of sketch or plan showing proposal for your
convenience.
.s
DESIGN ASSOCIATES, INC.
P.O. Box 521
413 Main Street
Greenport, N.Y. 11944
631-477-9752 (fax) 631-477-0973
---i~
'"
""'.....
+
'~
"~"..../'
Date_5/13/02
Adjoining lots to:
Nancy Chin (Sehlaefer)
Name
TM# 1000-37-5-16
SC _
& ~ .f~
~ ] %~
a. ~ ~~.
() E ~
~~
~o
l'
'"
$'0
~.
~s
,~l
.-
Dc
.
2~
E~
~n
a:~
~
~
'::-..
~
ik
i~
i0
~
1000-37-5-16
Inna Honlbreqne
PO Box 114
East Marion NY 11939
EDDD 0/.9'[ ODD/.
1000-37-5-18
Erie Sehlaefer
186 Commonwealth Ave
Boston Mass 02116
1000-37-5-19
Gardiners Bay Co. Ine
120 Roekaway Ave
Roekville Centre, NY
1000-37-4-17
Gardiners Bay Estate C1nb Ine
PO Box 4
East Marion NY 11939
~f \
.1; t
If'li'
i'\
Uu
i
;
~,! , 2G~
TO' .
~'~"."- .'.._-~.-
\_'
. ~. ,
.
T I_
,
-""'~-,-- ......
· Complete items 1, 2, and 3. Also complete
i item 4 if Restricted Delivery is desired.
Print your name and address on the reverse
so that we can return the card to you.
· Attach this card to the back of the maiJpiece,
or on the front if space permits.
1. Article AddreSSed to:
~yLL~
/tJ~//;L
~);) //J~
3. Service Type
o Certified Mail
o Registered
o InSUred Mail
o Express Mail
o Retum Receipt for Merchandise
DC.a.D.
2. Article Number
(Transfer from service label)
PS Form 3811, August 2001
4. Restricted Delivery? (Extra Fee) 0 Yes
Domestic Return Receipt
I
I
---
.
I
I
I
I
I
I
~
~, ~~ ~ ~ ~ ~l.O,." S
~ ' .ç . ::::::-:--..::: ------:-----------.-.
0"'· .."" _ ~ ~~ '-- _ ___, _ _
.. ..... ..".~ "0",
I ~t
, 1/ i!;!¡i
!~¡ ~~~ ~Ij~~!i
~~~ ~i~~ ;~,I~~~
¡:~ iii~ i!;~~~~
;/~;~ ~~~~ hfJil§
~~~~ ~~~; ~:~~~~i
i~~~ idg ug~~~g
~ ~~
E-< ~ o~
-- a> >- I ;;:¡!
........ ~ 0 Lf) <:,:>
E-< -'>0 I
CtJ UJ ~ ZO>I s:
CtJ ~ ~e-..o::r:~~Oo~
alII .........f- I NOO
¡.. _v ~ ~ ... Po:::> _ 0 " ~ ~
o 0() r_ >-< e-.. ~ ,..., __ 0 >- 0 = """
......-<t; a.. -.¡........ (f) f- 0 ~ "0
>---I-ICm~~~:E Z~L...Jmi:S
,,-/'!"I ~ a a l.1...:::::> ~ L...Jo
~CtJ""" E::~:š 00 öjz<!
> ~UJU~h~ ÜZ~~8
0::: ~~ ~ ....... V.J. Z 0
~ r.J) ~'V:¡ II") V) ~ ~ ~ ~ N
UJ~ ~ ~ ~O....JI- .q-
o z 0 f-f2. :
' ¡...-; z l.1...~ œ:
¡.......¡ c:4..... :::::>(/) §
~ e (f) ~
-<t; J
o
~
œ:
::>
V1
-
-
tT
..
II") .
_u
v: 0
~.....
NN
...;"!
~o
II~
00(::1:
....."
0::;5
<<D
o
t=-
L...J
o
-.t"
- m
N~
Lf) .
:.t~
o
(f)
Ol\iI¿¡dS
.
ŒNOd
--Z
-
z
3
~
~ ~
.... I CI I
~-cii ~
I'" t.' C
""~ :t: ,_
::Icii'" ¡;~~
-~f u ~ ¡;.;
~;~ ~~ h
C)~ .... VI ~
i~~ 9 ~~gi?
;~~ d ~ ~ ~ ~ ~
~~~d;~~~ ~~ § ~
e5~ð~~~~~~ ~ tr ~
~~g¡¡;~~h~ ~~ I¡J ~
",ui!' ==:! i!!.:
~'''' r , r r r I "'", ..
æz . ~"'!:i"
~t-~-J-'::'J:J':t.::t:~ N~ x
Õ~x~:_ç...," oO!ll
¡::LlJI.oJ 00 Õ N
.. go N
I· ~ :~
¡.¡ .
e-; _
c
~
.
0)
"
~.
"
-
/
~,
@
~
'V
(.13) Jv JNoz
X JNoz
"
9
¿-
g.
,
I
I
..
0,
~/
'<0, '"'-. ì~ /
'-'I
--¡¡
1/-__
ZJ _
@
~
'-J
-'
,. -
'"
!/~.
\#:::,
:,Z
@
f-. ~.J
~ CI .,..
- - 6
-- - - -
·0/
':,", '¡
"
. -
">.. '''''''0 "
@
Q'\
\)
þ/--- --
r..
-, ,>
\ .
Y i .,
sl.-- s "
- ,,10
!J \~ ¡ ~
I ~ ~
¡. I \ .
/ \ -$>
... '- , \
g\ / "
/.¡,¡ ~
~"
~
·
~
~
S
COliC. cuR8 '\ '.1~ ~ro
0' L-~9.46""~~
,,-o.Q -''Ò''''. .
~r;j ."
" .. --"
. . 'v'0~'~
.' / ,,~.~f; ~c
Sf ri '~~§J >", C"
~. be')... è
iÌ / fI::J' c\, .
:)'''''. ,~ ~ ~ !;j"\ .V
r./" OV
\~, ~~ -< (~
' ~ 'Ç>"
~
'"
"'
ó
z
Ú
::;
vi
>:
z
o
6»0
G)~
~G)
->
...
"::;'
<(/)
2-1
0.J
o
-
·
~
~
·
~
~
~
:..:
0::
o
>-
~
.....
z
"-
c
>-
z
00(
a..
~
o
U
.....
U
Z
00(
0::
::J
1/1
~
..... 1/1
...J I
t:: t') Ù
.....t-NC
Z ~ ~ -:~
00(0::r,L..I::t:
U"""~"U
'. -1/100(00(
E--. ~~ '''ci
::E 0 IX
t:::1 oo(zzo>-
I-O.....~Uz
..... 1/1¡::...J_
I:.., Q:UI-!::oo(
..... ï:: 00( ¡::UZ
.
::J","v
O' c:i
,<? W
>-!o=
:I~
I!!lI!i
j5~
5~~
I~~
x!lJï
"',-
!tlii!>-
...~~
'"
<Ø
g
I
I ~ ~_~
-oJ r!. ~~;
.ª ¡::: ';¡i d!x {!.
"(;
.È !::. !¡! .
~ g ¡~:
~
.~
'"
x
I ~
"
~
"
¡:;¡
"
.ª 0
.~ 0 "'1'"
'8 g - ¡¡<::
~ N "I( ~
'" ,!. ê..~
I ê- g "'11
~ ::¡ !:J .
~ ~ c, 9