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Home My WebLink AboutTR-5233 „of SOU4,- John M.Bredemeyer III, President .0 Town Hall Annex ®�, K; ®l® 54375 Route 25 Michael J.Domino,Vice-President , ; P.O.Box 1179 Glenn Goldsmith ; ' s k Southold,New York 11971 ` � ' `#_ app�� Telephone(631) 765-1892 A.Nicholas Krupski • .n ?. ® `”' . Fax(631) 765-6641 Charles J. Sanders ��G,®UN�'� " BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 23, 2016 SV Greenport LLC Erik Warner 58855 Route 48 Greenport, NY 11944 RE: SV GREENPORT LLC 58855 ROUTE 48, GREENPORT SCTM# 1000-44-2-22&23 • Dear Mr Warner: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, March 23, 2016: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit#5233 and Coastal Erosion Permit#5233C from Levin Family Limited Partnership to SV Greenport LLC, as issued on October 30, 2000, and Amended on January 19, 2011. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please contact our office at (631) 765-1892. Sincerely, John M. Bredemeyer III, President Board of Trustees JMB/dd John M. Bredemeyer Ill, President ii`soFFUIKc Town Hall Annex Michael J. Domino, Vice-President '�o� G�� 54375 Route 25 Glenn Goldsmith P.O. Box 1179 A. Nicholas Krupski i or , • ,` Southold, NY 11971 Charles J. Sanders y�� -0, Telephone e(631) 765-1892 : Fax ( ) 7 6 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD I _ Date/Time: .1 ( 6()/ I c Completed in field by: C\0.Vl1 ef v �. cC( 1c�VJ' SV GREENPORT LLC requests a Transfer of Wetland Permit #5233 and Coastal Erosion Permit #5233C from Levin Family Limited Partnership to SV Greenport LLC, as issued on October 30, 2000, and Amended on January 19, 2011. Located: 58855 Route 48, Greenport. SCTM# 1000-44-2-22 & 23 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=/ Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 !-/ Ch. 111 ✓ SEQRA Type: I II Unlisted Action Type of Application: Pre-Submission Administrative Amendment ✓Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: .1 W1 Vl0 `7J'Q \^QVv`� vJ / b Present were: V J redemeyer 1/M. Domino VG. Goldsmith VN. Krupski C. Sanders Other • Page 1 of 2 John M. Bredemeyer Ill, President Town Hall Annex Michael J. Domino, Vice-President ,�� x Gym, 54375 Route 25 Glenn Goldsmith o = P.O. Box 1179 A. Nicholas Krupski \o Southold, NY 11971 Charles J. Sanders ei Telephone (631) 765-1892 ` al 0 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD b Date/Time: 3 �-� I Completed in Work Session by: kralW19--\ SV GREENPORT LLC requests a Transfer of Wetland Permit#5233 and Coastal Erosion Permit #5233C from Levin Family Limited Partnership to SV Greenport LLC, as issued on October 30, 2000, and Amended on January 19, 2011. Located: 58855 Route 48, Greenport. SCTM# 1000-44-2-22 & 23 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources. D. 5.25% Expansion/CaJulation Work Session Notes // Application Complete SEQRA Classification Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments discussed/Public Hearing: Date: '3h-.1/j6' Completed By: �� Uc Present: J. Bredemeyer M. Domino G. Goldsmith ✓ N. Krupski /C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 SV GREENPORT LLC SOU \ D VIEW INN Pd ORT HOTEL February 19, 2016 -- • • el 1{ FEB 222016 ° Board of Trustees z Town of Southold j s Town Hall, 53095 Main Rd. So::tl;,d Town P.O. Box 1179 Southold, NY 11971 RE: 58855 Route 48 Greenport, NY 11944 SCTM#44-2-22&23 To the Town of Southold Board of Trustees: SV Greenport LLC,as the new owner of the Sound View Inn and Restaurant located at 58855 Route 48 in Greenport, requests the transfer of Wetland Permit#5233 and Coastal Erosion Permit#5233C from the Levin Family Limited Partnership as issued on January 19, 2011. If any questions or further needs arise regarding this transfer request, please feel free to contact Rebecca Levy at(310)850-8802. Since el Erik Warner Board of Trustees Application AFFIDAVIT 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 BOARD OF 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,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE ! i .' DURING THE TERM OF THE PERMIT. .0111111.111 Signature of Property Owner SWORN TO BEFORE ME THIS 22- DAY OF 4-€:, ,2667 Cary P 1' 3U1kl7 3:L000n -PCict/USL4 Board of Trustees Application AFFIDAVIT G 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 BOARD OF 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, INCLUDING THE CONSERVATION ADVISO''Y COUNCIL,TO ENTE.' ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. _.•.ture of Property Owner SWORN TO BEFORE ME THIS V,r4 DAY OF A ,20 VG T votary blic 1-0Z Zw\k,1%(1 al -k 0\-LMI.C,S14 6„4 ! It‘lctkgv 5 • • Jill M. Doherty, President y Town Hall,53095 Main Rd. Bob Ghosio Jr.,Vice-President ,y , P P.O. Box 1179 James F. King '�i Southold, NY 11971 Dave Bergen t44'Q .ai',r' Telephone(631)765-1892 John Bredemeyer = 1 �',,�'t Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD January 19, 2011 Ms. Ellen Levin-Wiederlight P.O. Box 6 New Suffolk, NY 11956 RE: 58855 ROUTE 48, GREENPORT SCTM#44-2-22 & 23 Dear Ms. Levin-Wiederlight: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, January 19, 2011: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit #5233 and Coastal Erosion Permit#5233C from EL JOANRAC CORP. to Levin Family limited Partnership, as issued on October 25, 2000, and BE IT FURTHER RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Wetland Permit#5233 & Coastal Erosion Permit#5233C for a 10 year maintenance permit to conduct normal beach maintenance as needed, and as depicted in the application prepared by Ellen Levin-Wiederlight, dated January 4, 2011. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please contact our office at (631) 765-1892. Si cerely, - I.> 11,r1 i - ill M. Doherty • President, Board of Trustees JMD:eac • • pBUFFO( Jill M. Doherty,President ,r&' CO P.O .Box 1179 James F.King,Vice-President = Gd Southold,NY 11971 Dave Bergen ti Telephone(631)765-1892 Bob Ghosio,Jr. i're�; Fax(631)765-6641 John Bredetneyer , Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: '— Uri( Ellen Levin Wiederlight on behalf of LEVIN FAMILY LIMITED PARTNERSHIP requests a Transfer of Wetland Permit#5233 and Coastal Erosion Permit#5233C as issued on October 25, 2000; and an Amendment to Wetland Permit#5233 and Coastal Erosion Permit #5233C to clean up all debris that was washed up onto the beach during the recent storm. Located: 58855 Rt. 48, Greenport. SCTM#44-2-22&23 Ty of area to be impacted: i/Saltwater Wetland Freshwater Wetland Sound Bay Distance of proposed work to edge of wetland PartTown Code proposed work falls under: e/Chapt.275 Chapt. 111 other Type of Application: Wetland Coastal Erosion _Amendment Administrative Emergency Pre-Submission Violation Info needed: Modifications: Conditions: Present Were: King C/J.Doherty !/J. Bredemeyer D. Bergen B.Ghosio, D. Dzenkowski other Form filled out in the field by Mailed/Faxed to: Date: Iliy :9G// ;: es" S�� J oL -> /1?-4/1�es�i ,ie. n se 1/eL u� _,I /C f '/g, %i'eeApuci,-/V/ eat h L /e4.✓ UP ,o/Dc. J f/ os1 O/ /124j vet/ 0 �e Cit 1 i1/;�y 0/l4~ up/ %Any • t L,/tz 1. ems// Uf 6:1^..-h14 6e h ��.��/ s ttn / _ 14e ( eJrii f164 C/teal C&use< i chme.7.c. 74 44. �/ 4„ie GPe„nt;t7 /1v lr S�7rM� ` �� Ate �/t/ t ®rULesS ( a,ne-vr4 eve- Curre,til 'My-AL 144 rod Ai, //An; 4ic eil'erlif 4 - 1q//1 - t& 13i tl herf-y, a.��Oco beach cke - t due 7o 5IorN • atone YtrvtQQlv�nnen? In/Gns keen r) e r M /s 5-0'3 3 3 33 C Qr^alnic�, ec,r. c QS �t.edeof . £ C, ;� J:I(�l�ert __�. Once f.� -a a n a // r144 • 1) • - 4 2011 ii • Page 1 of 1 Car trell, Elizabeth From: David Bergen [bergend@sunysuffolk.edu] Sent: Tuesday, January 04, 2011 1:37 PM To: Bob Ghosio; Cantrell, Elizabeth; Jill Doherty- Forward;jbme4u@gmail.com Subject: RE: Emergency Permit or Amendment? I agree. From: Bob Ghosio [mailto:bob@burts.com] Sent: Tuesday, January 04, 2011 1:32 PM To: 'Cantrell, Elizabeth'; jilld927@optonline.net; David Bergen;jbme4u@gmail.com Subject: RE: Emergency Permit or Amendment? AS far as I am concerned, let her clean up the debris. If she needs anything else, ie- repair damage, then she needs a permit. From: Cantrell, Elizabeth [mailto:elizabethc@town.southold.ny.us] Sent: Tuesday, January 04, 2011 11:38 AM To: jilld927@optonline.net; bob@burts.com; bergend@sunysuffolk.edu; jbme4u@gmail.com Subject: Emergency Permit or Amendment? Ms. Ellen Levin-Wiederlight came in with regards to how to proceed with cleaning up the debris including large logs that was washed ashore during the storm around the Soundview Restaurant&Motel. She was having a contractor pick up large logs from atop the bulkhead that he could easily reach via a back-hoe grabbing the logs and tucking them away. Bay Constable #M-5 (?) I don't know off hand who is M-5 stopped by and told them to stop immediately and get a permit. They were removing large logs as the logsalready broke one or more of the pilings supporting the building. There is already a Wetland Permit& Coastal Erosion Permit from 10/30/00 to "remove the washed-up debris from winter storms and to smooth the beach in front of the staircases that lead down to the beach from the deck. This maintenance will be performed once a year in the Spring." The permit is under her father's name who is deceased so she filled out a permit transfer request. Ms. Levin-Wiederlight needs to remove the large logs that are still there a.s.a.p. in order to prevent any further damage to the building. Does the Board want her to apply for an emergency permit to remove all debris or/and amend the wetland/coastal erosion permit to modify the permit to be on an as-needed-basis maintenance clean up in lieu of Springtime only. Please advise. Elizabeth Cantrell Clerk Typist Town of Southold Board of Trustees ph: (631) 765-1892 fax:(631) 765-6641 1/5/2011 • • Page 1 of 1 Cantrell, Elizabeth From: Jill Doherty Uilid927@optonline.net] Sent: Tuesday, January 04, 2011 12:33 PM To: Cantrell, Elizabeth Subject: RE: Emergency Permit or Amendment? I have no problem with her cleaning up the debris now. in the mean time she can come in and amend her permit to as needed. There might be another storm this weekend. I don't see any reason to hold up the clean up. On Tue, Jan 4, 2011 at 11:37 AM, Cantrell, Elizabeth wrote: Ms. Ellen Levin-Wiederlight came in with regards to how to proceed with cleaning up the debris including large logs that was washed ashore during the storm around the Soundview Restaurant&Motel. She was having a contractor pick up large logs from atop the bulkhead that he could easily reach via a back-hoe grabbing the logs and trucking them away. Bay Constable #M-5 (?) I don't know off hand who is M-5 stopped by and told them to stop immediately and get a permit. They were removing large logs as the logs already broke one or more of the pilings supporting the building. There is already a Wetland Permit& Coastal Erosion Permit from 10/30/00 to "remove the washed-up debris from winter storms and to smooth the beach in front of the staircases that lead down to the beach from the deck. This maintenance will be performed once a year in the Spring." The permit is under her father's name who is deceased so she filled out a permit transfer request. Ms. Levin-Wiederlight needs to remove the large logs that are still there a.s.a.p. in order to prevent any further damage to the building. Does the Board want her to apply for an emergency permit to remove all debris or/and amend the wetland/coastal erosion permit to modify the permit to be on an as-needed-basis maintenance clean up in lieu of Springtime only. Please advise. Elizabeth Cantrell Clerk Typist Town of Southold Board of Trustees ph: (631) 765-1892 fax:(631) 765-6641 1/5/2011 • —} ,,,,,,,,,.,--- Albert J. Krupski, President S r0� c omi = Town Hall James King,Vice-President "$4" �y • 53095 Route 25 Henry Smith P.O.Box,1179 gg Artie Foster ti 2 Southold,New York 11971-0959 C Ken Poliwoda `0 'F/ Telephone(631)765-1892 y'JJO� '�•cs ,rt Fax(631)765-1366 i�rr BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD . COASTAL EROSION MANAGEMENT PERMIT Date: October 30, 2000 SCTM#44-2-22 Name of Applicant/Agent: Jennifer B. Gould, Esq. Name of Permittee: EL JOANRAC CORP . Address of Permittee : c/o Jack Levin, P.O. Box 68, Greenport, NY Property Located: 58855 County Rd. 48, Greenport DESCRIPTION OF ACTIVITY: Removed washed-up debris from winter storms and to smooth the beach in front of the staircases that lead down to the beach from the deck. This maintenance will be performed once a year in the Spring. SPECIAL CONDITIONS : (apply if marked) Bluff restoration through a re-vegetation plan is a necessary special condition of this permit. A relocation agreement is attached hereto and is a necessary special condition of this permit. A maintenance agreement as attached with application and is a necessary special condition of this permit. Albert J. Krupski, Jr. President, Board of Trustees AJK/lms cc : DEC • , ri ' ;, z, ,.. ' ' -,....r.er .e.PC.:a_..e.. ,,,.. ..r at . -"- '4 A -3"--.'''"-- "4" ac-7, --d.-^ --. 4 1.4" ' "" ' - „, Board Of Southold Town Trustees 4 , V vl' I SOUTHOLD, NEW YORK rtt 1,11C 51 J PERMIT NO. �aa> DATE: October 30, 200A \ \33/114,111-z: EL JOANRAC CORP. 1, � - ISSUED TO �' ,.< s : -, 4 Autlinlrizatinn . .. . • e , , f .. Pursuant to the provisions of Chapter 615 of the Laws of �,: the State of New York, 1893; and Chapter 404 of the Laws of the < , \ ', 4 State of New York 1952; and the Southold Town Ordinance en- a ta , titled "REGULATING. AND THE PLACING OF OBSTRUCTIONS ' IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS:" and in accordance with the p, le Resolution of The Board adopted at a meeting held on Oct. 25,_..__. a r 2000 f r , and in consideration of the sum of $ 200.00 paid by '< s F ` Jennifer B. Gould, Es for El Joanrac Corp. .'4 4t l .r 4• P• ' of Greenport N. Y. and subject to the 4 r _ 4 Terms and Conditions listed on the reverse side hereof, - •r'S = } of Southold Town Trustees authorizes and permits the following: v 3 \, , .; Wetland Permit to remove washed-up debris from winter storms } \ { and to smooth the beach in front of the staircases that !Gail ..' down to the beach from the deck. This maintenance will be performed once a year in the Spring. c all in accordance with the detailed specifications as presented in ' " the originating application. •;. *--46dice IN WITNESS WHEREOF, The said Board of Trustees here- .,` by causes its'Corporate'Seal to be affixed, and these presents 'to_ -k. � ,, •-, 3., Via— , be subscribed;by a majority of the said Board as of this date.. „ / ,1� Ol 0Iffeik - ' :J nx 4, �� .°e'Z � „- aj S,4 . : , w�} _4,. �� 1' Henry Smith Absent -3 ti` 0 . . ,, Trustees 'r57-:), '/2y- �y %L1'S1 ✓///w r/J.1 7 Ci k,3 `/2411... :4-y �]��iI1, ;�5:.' * Y 1 y • • TERMS end CONDITIONS The Permittee El Joanrac Corp. ✓ residing at 58855 County Rd. 48, Greenport N. yy as part of the consideration for the issuance of the Permit does understand and ptam'be to the fol- lowing: 1. That the said Board of Trustees and the Town of Southold are released from any and all damage; or claims for damages, of suits arising directly or indirectly as a result of any oper- ation performed pursuant to this permit, and the said Permittee will, at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability • with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold 2. That this Permit is valid for period of N f A moswhirr is considered to be the estimated time required to complete the work involved, but should circumstances warrant, request for an extension may be made to the Board at a later date. • 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone concerned that anth- orization was originally obtained. r! 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application, may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beady between high and low water marks • 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or 14 in the opinion of the Board of Trustees, the. work shall cause unreasonable obstruction to free navigation, the said Penulttee will be required, upon due notice, to remove or alter this work or project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work *nth- mixed. v 9. That the Permittee will obtain all other permits and consents that may be required sap. plemental to this permit which may be subject to revoke upon failure to obtain same. ! • 4 UFFO( Albert J.Krupski,President I ,/AS �{'C TowHall James King,Vice-President �/h4' 04 • 53095 Route 25 Henry Smith d\ P.O.Box 1179 Artie Foster - Southold,New York 11971-0959 Ken Poliwoda Gy X14' Telephone(631)765-1892 Ot' 411 ��,i Fax(631)765-1366 ,,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 30, 2000 Jennifer B. Gould, Esq. 210 Main Street P.O. Box 177 Greenport, NY 11944 Re: EL JOANRAC CORP. SCTM#44-2-22 Dear Ms . Gould: The following action was taken by the Board of Town Trustees during its regular meeting held on October 25, 2000 regarding . the above matter: WHEREAS, Jennifer B. Gould, Esq. on behalf of ED JOANRAC CORP. applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated September 18, 2000, and WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on October 25, 2000 at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 97 and Chapter 37 of the Southold Town Code, • t) • WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of EL JOANRAC CORP. to remove washed-up debris from winter storms and to smooth the beach in front of the staircases that lead down to the beach from the deck. This maintenance will be performed once a year in the Spring. BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency which may also have an application pending for the same or similar project. Fees : None Very truly yours, OtG..t.�/' 9. ,�' �t i Albert J. Krupski, Jr. President, Board of Trustees AJK/lms • cc: DEC • • nlvo a,eywea nac ,S a / . Ot/'9 LbeTat cJ aF *Y.1//OY/E/d ..4.4/ AT G,LEENOdeT/ -12 W 6c.91E•/"-.moo • temp sa#t ase.b.Vonf;/9L9 ,.t%4/a4,-q#-ar-zz. Jausv4 zam 0 Lain / ,.9.1./.0 )Ii ,5oavo 1. )art3� .P6A __ �, _ 45/9/°41nuc A —�( ) �.d ate` � `y. C ✓/6y U.,) �A>« i BL v 1 tt - INI� 111111 ,5 11111 III��.` 1)4 bNsco Hti°s 0 F.cselr /WOTe-c / *ill � = ,.....„- ...„..,..„... .„...„- - --„ , „%„:„........".„-........„- ...„..,..„... .„...„- - --„ , „%„:„........".„-.............-...„-„,.. .„ i �. i // i, � ii / . . /iii /./ w,: A iiikei • //aet / c-;e Id ea.4.0 int • In ii oo 1 v , 4 • P � —N— x 1 s'r' 5 U / ��Y ne 4000 H D • I5 C moa. 5 / t' w mNn "ss Ilk „�y� ix� .o,� � tl G G :// - • no a , �a v NOTICE COUNTY OF SUFFOLK © i . "^” $g1iHOLD SECTION NO • _ ,—_ Red Property lax Service Agency ., a 044 -- cwnr wv.. w..na,xi �uoi . _. .... iiu.•- -- w Wv' : ".. oxoaexrr MW • • James F.King,President t'00 800,37 Town Hall Annex Jill M. Doherty,Vice-President p �� t 54375 Main Road P.O.Box 1179 Peggy A.Dickerson Southold,New York 11971-0959 Dave Bergen ; G Bob Ghosio,Jr. �0,1s Telephone(631) 765-1892 •� GCUnrtV hM lli Fax(631) 765-6641 BOARD OF TOWN TRUSTEES [I i C TOWN OF SOUTHOLD 4 2011 !IL 213 Cu .. APPLICATION FOR A TRANSFER OF A WETLAND PERMIT DATE fa„/ aQ 11 /] �r7it't� ,i� OWNER 1(01; �ri l{, IIMTe,V P PHONSlE e Si qn--if/(� (/ >, O.n. t3� G 8 ADDRESS ce Sr ,//t 4'�j 1 fft-part � /V / 1114/V AGENT ��fi1 Ltap, iddieet ht- PHONE 4di`y7)—l!/Q 1767(0$-4l'2$tY ADDRESS 42, D. S Alec,/ ic/ t//K / M `19Sco PROPERTY LOCATION Sig S S- /2 t L/ �reerf /At ii ff 1 TAX MAP NO. yy 2 -22 yy- —;2-2‘23 I/We fe.v ha,; ,,eder4 4r /requ/est a Transfer of Permit# S 23.3 +.5 c;133C to i�EN; /41/1 Levi iLry Ptr�i✓ r5hip. / a1 1Alec–) Jiv-t/ Signed By: • • James F. King, President /so S004,-; - Town Hall Jill M. Doherty,Vice-President el it to 53095 Route 25 • P.O. Box 1179 Peggy A.Dickerson Southold,New York 11971-0959 Dave Bergen •• G C �i John Holza fel *n � 1 Telephone(631)765-1592 p wee �� Fax(631)17,65-6641 COUNT 1,�,.�' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD APPLICATION FOR AN AMENDMENT TO A WETLAND PERMIT DATE Jt9A/ 4� o)O1/ OWNEPJC01Ar f/nt i7, JUfl W ecg (&/#CP4E /o '/-'977-/fro A� ADDRESS si -cc I �/ 70 Po. �� (00 7 ree.ie 11 JA l/9/yv AGENT �//l v Jtu7., h ie)/Pr4tit,/ PHONE S/6- 710 -'/ fl ADDRESS R.O. ify 6 , /�f�✓f0 7rllc / A y /195/c PROPERTY LOCATION lX SS //a% l7OQc/ ttipo4 �Uj TAX MAP NO. %y- p?- a2 I/We //./71.-.12 / A eu r/fj 4 J request an Amendment to Permit# C22J d' / 3 233e t ` 71) perform 40 iy! / /��t� Gl ive-e e / • Signed By: At / • • Board of Trustees Application 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 4.4h DAY OFTn L&0.,k j ,20 / / J 0.-"TY) V\ AUSNC LCONNIE D.BUNCH Notary Public Notary Public,State M New vo,j No.01806185060 Co Qj ellad Itt Suffolk County • APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The Purpose of this form is to provide information which can alert the townsf4ossible conflicts of interest and allow it to take whatever action is necessary to avoid same. ,/� / YOUR NAME: (ff' Jj.,4 Pr/i,Q 4L ��f�✓ f�CU!-.� .- (Last name,first name,Middle'ufrtial,diiless you are applying in the name of someone else or other entity,such as a company.If so,indicate theother person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee E/ Change of Zone Coastal Erosion • Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other-,name theactivity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest.`Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of r�,/ 2001 Signature ', y JJ // � Form TS 1 Print Name £9 leo,i4,iahA9'Jt c-----\___/.0......--.......---------- ----''--!---...."-- ../•;,,+..,..;,,.." l';‘,-----"-'------ -----'"- 'c ' T„.',..„- 1 s .t :s' . t -'T^r`T'-T'c ; yaY'! Board Of Southold Town Trustees 1t ` ' /1 , ' 1/4; Ncv2- kli , q SOUTHOLD, NEW YORK( t. t ` .a` \ +4 PERMIT NO. saw DATE: (Dctober 30, 2000 � i - ft 4114 1 EL JOANRAC CORP. � f; . ISSUED TO ..... .. = I Authorization• F 4, ', 1 Pursuant to the provisions of Chapter 615 of the Laws of ► 'r ' ,` the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and the Southold Town Ordinance en- f titled "REGULATING AND THE PLACING OF OBSTRUCTIONS I IN AND ON TOWN WATERS AND PUBLIC LANDS and the h s". `' \ \ e - 1 REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM .,`,1, -t ,` `^*• .� LANDS UNDER TOWN WATERS;"" and in accdrdance with the �' Resolution of The Board adopted at a meeting held on Ort. 25._.. � . � . -: > 000 and in consideration of the sum of $ 200.00 paid by = } <- --`k Jennifer B. Gould, Esq. for El Joanrasc...Corp. s t '-, ‘ of Greenport d subject tc the r P N. Y. a e \ Terms and Conditions listed on the reverse side hereof, .; 4t:' ,.-;- - v of Southold Town Trustees authorizes and permits) the following: h ' ,. 1 of Permit to remove washed-up debris from winter orr.s ; 1 and to smooth '.he 'beach in front of the stair¢a'es that ie •i 1 c it . down to the beach from the deck. This maintenance will h ; performed once a year in the Spring. all in accordance with the detailed specifications as presented in ' ' ' the originating application. •-t. IN WITNESS WHEREOF, The said Board of Trustees here- ' y, by causes its Corporate Seal to be affixed, and I these presents to be subscribed by a majority of the said Board Os of this date. SS S •r ',OHO �Ov ' � �,,./�/- .moi. Ar '1 1 O / v ti i•�leAtiiHenry Smith - Absent ( ---W./ '1L 0 is _ Trustees S _ ,i ties" - .... µ �..ti,. ,fid Mx. lep�M!„ 9my,�. • -_•, P"'.1 k`Ka CIA4 e.,.q.44 - `,.' • • 1. TERMS and CONDITIONS The Pefmittee El Joanrac Corp. residing at 58855 County Rd. 48, Greenport N. Y., as pan of the consideration for the issuance of the Permit does understand and prescn'be to the fol- a lowing: I. That the said Board of Trustees and the Town of Southoli are released from any and all damages, or daims for damages, of suits arising directly or Indirelcdy as a result of any oper- ation performed pursuant to this permit, and the said Permittee will, at his or her own expense, 3, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto, to the complete exclusion of the Board of Testees of the Town of Southold '< 4 2. That this Permit is valid for a period of N A mos. v�hida is considered to be the f. L estimated time required to complete the work involved, but should circumstances warrant, request L for an extension may be made to the Board at a later date. ✓ 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes = L.gr to maintain the strut ure or project involved, to provide evidence t4 anyone concerned that auth- I orization was originally obtained. I, Viti: _i 4. That the work involved will be subject to the inspection and approval of the Board ort. s. its agents, and non-compliance with the provisions of the originating)application, may be cause for _ ✓ revocation of this Permit by resolution of the said Board. r Y5. That there will be no unreasonable interference with navigaiiou as a result of the work Y-' herein authorized. if s. )' iia z 6. That there shall be no interference with the right of the politic so pass and repass along `• the beach between high and low water marks. r v. 7. That if future operations of the Town of Southold rer. quire tete removal and/or alterations in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the ✓ work shall cause unreasonable obstruction to free navigation, the said Perminee will be required, upon due notice, to remove or alter this work or project herein stated Without expenses to the Town a. ✓ of Southold. 8. That the said Board will be notified by the Permittee of the completion of the work auth- orized. 9. That the Permittee will obtain all other permits and consents that may be required sup- plemental to this permit which may be subject to revoke upon failure to obtain same. Albert J. Krupski, President • e "'- - • Town Hall 'James King,Vice-President ',i'OSVFf0/4— 53095 Route 25 0. Artie Foster �� `e P.O. Box 1179 Ken Poliwoda �� 'Jt„ Southold, New York 11971-0959 Peggy A. Dickerson tS 'le � �y n F� lephmie 16311 7651892 O ?,r Fax 'OO 4 _#b ,t BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD August 15, 2002 • Mr. Terry Latham P.O. Box 776 Orient, NY 11957 RE: Soundview Inn Route 48, Greenport Dear Mr. Latham: The Southold Town Board of Trustees reviewed the site plan dated June 26, 2002 and determined the sewage disposal system replacement to be out of the 'Netland jurisdiction under Chapter 97 of the Town Wetland Code. However, any activity within 100' of a Wetland line or snawari of the Coastal Erosion Hazard Area would require further review from this Aire. This determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call. Sincerely, t n, / -a (A. Albert J. Krupski, Jr. President, Board of Trustees AJK:Ims . / If , • / / s Wig 7 . , 7 ..- --- ,, r ,/ . s s ...-'' 0 --- 1 t' 0 ..' A -; If.'"' do - • -' 15,0' ..") • 7Z 7)() • 4/ / 7!)).C21 - _7 7 Ws tt•c ye- 7 s / / - ), '27) / CO )- / // •• ,:::/, -" . ee ' • / Z7 • • , ' .,.) ; \• it • •74) 7 " 40.7 l) e 7 \ ‘, / *tie e /---- -- /)-)":---1--- "X. t CI) )7'") -I .)'‘ \%) i / 4 -"• •-• ); ') ft 001k e • wa• ,-,1 . •""):- / -is 4 gin. 7 / \ Cc) zstor • , . • 1,, • \ ..., ........C.:. i 1 I \ ' I 1 , ,,,,7 ...-----...---"' \ ,.../''' • • „ 7 • . 7 \ , .0 0‘ i _ ....,"- 7 \ - --- S \ . 7 0\ 7--- \ 2 r c•-s` • c3 ..--- , , . r , ...- \ •• rt ... . -,?..„..----- --- -. • ex- . ?I; ..- qb, \ .4: • it s\ / \ c . - . - ,ft \ , /4/:,..t . • . \ I • • • • e 4e 1 tit.., Yll •+ nli • Con/P r JORIIInti Pt • et? p / Beizadoe f g s T E KEY MAP SCALE: 1" =2000' WING LIST :T 1 - KEY MAP AND SITE PLAN :T 2 - PLOT PLAN AND SEPTIC SYSTEM PLAN if 3 - DETAILS AND GENERAL NOTES :T 4 - MECHANICAL PLAN AND SECTIONS sT 5 - SANITARY FORCE MAIN PROFILE LEGEND DESIGNATED TIDAL ' WETLAND AREAS DESIGNATED FRESIHWATER ' WETLAND AREAS PROPOSED RIGHT OF WAY EXISTING RIGHT OF WAY PROPERTY LINES "-1 LOT NUMBER TREE BRUSH LINE WETLANDS FLAGS AS PLACED BY P LAND USE ECOLOGICAL SERVICES INC. SEPTEMBER 28,2o0i REV.1-AS PER SCDHS COMMENTS Sound View Inn SEWAGE DISPOSAL SYSTEM REPLACEMENT North Road(Route 48) Greenport,New York Sup,Er GE PROPER-FA rUED PPG',IDED E, F:_.FE ENGINEERS DESIGNEPS.EUP:ErrF_ J.R. HOLZN,IACHER F.E., LLC - r ‘rIL SUPPLEMENTED:"ITH INR) FROM SLIFFOLP COUNTY REAL PPGPEPTr 'I" The Third Generation of Excellence +' 'l In Water Supply, Water Resources, Civil and Environmental Engineering 300 Wheeler Road, Suite 303, Hauppauge,NY 11788 PHONE:(631)234-2220 FAX:(631)234-2221 E-MAIL:cleanuph2oQhotmail.com staernnF: KEY MAP AND SITE PLAN DESIGNED BY. ASH SCI AS SHOWN REVIEWED BY. 1RH DATE: 26 JUN 02 SHEET I um ' vavnaxr ' PUN vim By: PFS/SRW PROJECT NO: SVInn 00-01 I CIF o SOS � Town Hall ' UFFO( Albert J. Krupski, President C James King, Vice-President ,��.t.� Gy ; 53095 Route 25 Henry Smith P.O.Box 1179 Southold, New York 11971-0959 Artie Foster ` CO T ,% Ken Poliwoda ; 4 `F 0 Telephone (631) 765-1892 Oy*ol -10:a. 00 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 30, 2000 Jennifer B. Gould, Esq. 210 Main Street P.O. Box 177 Greenport, NY 11944 Re : EL JOANRAC CORP. SCTM#44-2-22 Dear Ms . Gould: The following action was taken by the Board Of Town Trustees during its regular meeting held on October 2 , 2000 regarding _ the above matter: WHEREAS, Jennifer B. Gould, Esq. on behalf of EL JOANRAC CORP. applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Tqwn of Southold, application dated September 18, 2000, and WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on October 25, 2C00 at which time all interested persons were given an opporturity to be heard, and, WHEREAS, the Board members have personally vilewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 97 and Chapter 37 of the Southold Town Code, i • WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of EL JOANRAC CORP. to remove washed-up debris from winter storms and to smooth the beach in front of the staircases that lead down to the beach from the deck. This maintenance will be performed once a year in the Spring. BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency which may also have an application pending for the same or similar project. Fees : None Very truly yours, 01- 4i. . /2-a/1t ?. Albert J. Krupski , Jr. President, Board of Trustees AJK/lms • cc : DEC • •Albert J. Krupski, President O$UFFO(� C'r� Town Hall James King,Vice-President " .$' oG 53095 Route 25 Henry Smith a y`v ti P.O. Box 1179 Artie Foster H Z Southold, New York 11971-0959 Ken Poliwoda jj ` ' % Telephone (631) 765-1892 ��1J01 a 4 Fax(631) 765-1366 BOARD OF 'TOWN TRUSTEES TOWN OF SOUTHOLD COASTAL EROSION MANAGEMENT PERMIT Date : October 30 , 2000 SCTM444-2-22 Name of Applicant/Agent : Jennifer B. Gould, Esq. Name of Permittee: EL JOANRAC CORP. Address of Permittee: cio Jack Levin, P .O. Box 68 , Greenport, NY Proper'.y Located: 58855 County Rd. 48 , Greenport DESCRIPTION OF ACTIVITY: Removed washed-up debris from winter storms .and co smooth the beach in front of the staircases that lead ,dc..-n to the beach from the deck. This maintenance will be performeu once a year in the Spring. SPECIAL CONDT_T=ONS : ; apply if marked) Bluff restoration through a re-vegetation plan is a necessary fr.pectai conc.Lion of this permit . A relocation agreement is attached hereto and is a necessary special condition of this permit. A maintenance agreement as attached with application and is a necessary special condition of this permit . Albert J. Krupski, Jr. President, Board of Trustees AJK/lms cc : DEC • _ Town Hall. 53095 Main Road Telephone P.O. Box 1179 (516) 765-1692 ,�OI r�Ot '�1� Southold. New York 11971 f' SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Monday, October 23, 2000, the following recommendation was made: • Moved by Ken Meskill, seconded by Scott Hilary, it was RESOLVED to recommend to the Southold Town Board of Trdstees DISAPPROVAL of the Wetland Permit & Coastal Erosion Permit Application of EL JIOANRAC CORP. 44-2-22 to removed washed-up debris from winter storms and to smooth the beach in front of the.staircases that lead down to the beach from the deck. This is necessary td ensure the safety of the customers. This maintenance is performed once a year in the Spring. 58855 County Rd., 48, Greenport The CAC recommends Disapproval because a detailed project plan is needed including contours before the project and after project. Any beach re-grading shoipld occur above mean high-water, manually. Vote of Council: Ayes: All Motion Carried 111 41, JENNIFER B. GOULD Attorney at Law 210 Main Street • P.O. Box 177 • Greenport, New York 11944 Telephone 631-477-8607 • Fax 631-477-2601 September 14, 2000 Mr. Albert J. Krupski, President Town of Southold Board of Trustees P.O. Box 1179 Southold, NY 11971 RE: In the Matter of El Joanrac Corp. - Application for Trustee and Coastal Erosion Work Permits Premises: 58855 County Road 48, Southold, NY SCTM# 1000-44-2-22 Dear Mr. Krupski: Enclosed please fmd the original and two copies of my client's application for Trustee and Coastal Erosion permits at the above location. In addition, I have enclosed the original and 6 copies of my client's survey of the proposed work area dated June 18, 2000, and prepared by Anthony Lewandowski, and my attorney's check'in the amount of$200.00 for the application fees. Should you or the other Trustees have any questions regarding this application, please do not hesitate to contact me. In addition, my client and I will attend the public hearing scheduled for October 25, 2000. Thank you for your attention in this matter. Very truly yur , Oif ennnifer s. Gould enclosure - 18 2000 ....= ims ,-, Vi. a ..,..,, 1 wii ,,-V>NNNNN - c ---- \c ._ , ...,„:„. e NN e/ N la '.21C N 94 c ..,.A40 'A \ .q.§: /17 i •\ + ,%,_.‘t.a.: \\ §5. /s. , I,' \\\ e , \ (/' " ,' \\ 1 1 , \ I ...„„. 6., 7 '•:•. ....• °'-• N.- \ \ \ / V N \ \\ \, . \ i . , 'N c''r-• • i .., z' , \\ "5 A 0 6 A4 0 5 ;I \ oft er\ (.,3 . --Na i , \ j , .. ‘S , `1A I ii5 \i. , „ k \ ' \ ,.....c....<;<7.: ,„ .„...- _. \ 7- \ ,1 (7.:!.111Q1 c", \ ;r1101 I I '1 ,lit . t . i Mil ‘ -I& \ . • ,, H 1 1 ' ‘ti . f lig I LI/c"J•. i ; !i i i 111 le i I H t :, \ i i V. ,,c 1a5 S' '' 97,' % c '' 't.7 '` • 4 11191 ., I 1 i • I 1 1 t B I B I I I ! 11 , i. LI [t 1 _1I1 11111 _ . - . _ Town of Southold I A 0 864 Suffolk County, NY The People of the State of New York vs. LIST NAME(DEFENDANT) FIRST NAME MIDDLE JNITIAL EL7oa� R+-c. CoRP STREET ADDRESS /� APT NO 214.4.5 SO,.,...Lb V/EW P'.IF_ , Cm' STATE DP SovTit°Lb NY //971 LICENSE OR REGISTRATION NUMBER II 1 1 I I I 1 l STATE TYPE OF LICENSE DATE EXPIRES SEX DATE OF BIRTH OPERATOR MONTH i DAY I YEAR I OWNS VEHICLE ❑YES ❑NC THE OPERATOR OR REGISTERED OWNER OF VEHICLE DESCRIBED BELOW PLATE NO DATE EXPIRES STATE PLATE TAPE ON? ONJ ❑Nd ❑NJ. 0 ❑PASS ❑CDim M ❑ .'EnICLE MAKE 0 DODGE ❑ BUICK 0 CHEAT ❑ CADiLLAC 0 FONT AC D FORD 0 OWE ❑ PLYM O TOYOTA 0 VOLM.S 0 DOC I ❑ 2DR C .DR 0 BUS 0 MCA _ S0, TYPE 0 TRUCK C TRAILER J VAN 0 __ 3 iIi 11 NNNLIMBER THE PERSON DESCRIBED ABOVE IS CHARGED AS FOLLOWS PLACE OF OCCURRENCE PCT S2a8S- er y 2r ' 3 gook:bd.,svJ Plonk nt iSq DATE OFFEN E AY/ TIME PM OTv TORN VILLAGE PHAML<EY SUFF0.K.::LrrvTY N. 1 5" 12..j0° t� 7:Ai ° Ces.-P-74 Pots LIN A'J LATION OF SECTION SUED OF THE 0 VEHICLE AND TRAFFIC LAW OF THE STATE OF NEIN YORK WT HEP(SPECIFY, � ❑OS 0 COM ❑BUS DHL TC'. 4 /f—3 l p DEE AWN MAT SPEEDING OTHER OFFENSE MPH IN A MPH ZONE MISDEMEANOR 0 FACTUAL PART NOT FOR NBi THE ABOVE NAMED OEFBNDAM DID ON THE STATED DATE TIME,AND PLACE FAL vt-f. to ,CM,PLJ aifl3 I&kertcx__ nC_ JtoIA fl o r.►, Tn.Forego^q.au.,on ipenora YRS.redg.IeseyesisenteweerBoweri The Sewn.Miry ire incr.'.Ao CASESIonrai Of dated PARKING SCHEDULED PINE S CONTACT COURT 0 THE PERSON DESCRIBED ABOVE IS SUMMONED TO APPEAR AT SOUTHOLD TOWN JUSTICE COURT,53095 ROUTE 25.SOUTHOLD,NY'557 DATE OF APPEARANCE NOT FOE TEE PC 111Qf ON Ll v4J 51" 4/1 .2.000 AT ?:30 . 1 FALSE STATEMENTS HEREIN APE PUNISHABLE AS A CV55AMISDEMEANOR PURSUANT TOSECTIGH 91045 Cr THE F I.N VS COMPLAINANT DATE a 7J;y/CO p.'� A rf_.. . B. P1' BADGE { 442 1 4 P1,.....1.— COURT y'7.—COURT COPY A Town of SoutholdTown of Southold A 0852 Suffolk County, NY - A_ 0853 Suffolk County, NY The People of the State of New York vs. The People of the State of New York vs. _AST NAME(DEFENDANT, FIRST NAME MIDDLE INITIAL LAST NAME LDEFENDANT) FIRS AME MIDDLE INITIAL EL ToRF.I Rnc eorcP Z.nTri rn.. Cr9r^Ab CZAv'EsL BEET ADDRESS AFT.NC. STREET ADDRESS APT NC. 1CA95 Sou rvn ✓JEw (4vE_ 3"92r ri,r,,,i Rb . -.,, STATE ZIP CITY 1 STATE DP ;otir—:N+oLo N`? /i 921 GL>r,r..9"-- Ary 11957 LICENSE CA REGISTRATION NUMBER UCENEE CF REGISTRATION NUMBER I T I X 1 1 I I I STLTE I TYPE DT.tiENSE I GATE EXPIRES IS EA DATE OP BIRTH OPERATOR STATE TYPE OF LICENSE DATE EXPIRES /SEX/ DAITE OF BIRTH OPERATOR MONTHMONT-11 DAY I{ YEAR 1 OWNS VEHICLEMONTHWNM(;L I ❑YES LINO I I M ( DAY YEAR DOWESEVEGINC DRER LTD.DF REGISTERED OWNER Or WENICLE DESCRIBED BELOW THE OPERATOR CR REGISTERED DIRTIER Or VEHICLE DESCRIBED BELDV. DATE EXPIRES PLATE NO DATE EXPIRES PLATE TYPE STATE FAATE TYPE 01._ :NV :NJ ❑PASS r-,COMM ❑ 0 N Y ❑N.J ❑NY. a N.J _ '.PASS 0 COMM 0 0 DODGE VEHICLE MAKE 0 DODGE 5-= ,., _._• 0 CACILLAC 0 PONTIAC 0 BUICI 0 CHEV 0 CADILLAC 0 AONTAC 0 CACS J FLIM 0 FORD '] OLDS C. PLYAI _ _'St:. 0 .CL_ 0 0 TOYOTA E "DUKE -CE _ ECR _ 'DR = BUS C MCI 0 Sw SCOT C :DP C ADE [ Bus C MCY _ Sw - 15 0 TR 5, 0 TRAILER 0 .AIL ❑ TYPE C TRUCK ❑ TRiILEP [ LAN .3 r.-r.ESF VIN NUMBER THE PERSON DESCRIBED ABOVE IS CHARGED AS FOLLOWS THE PERSON DESCRIBED ABOVE IS CHARGED AS FOLLOWS • _E D/'__AFENCE ( l PCT PLACE OF OCCURRENCE 1 PC -71E5- r SS Ztr"11 ✓cAv NrY�t ICs:Sq( S7:RS' PT YG8 SoJA:b \/.FN✓4,..;...-4. I o.r' _---':.DFFENSE TIME PN. /, • .,�� - .v.ML£' SUP FOLKCOukr,NW DATE Of OFFENSE AN TIME PMLE SJFPO,A=O NY I .-inti,./' I ...TIME ❑ I Car.-AJPocr- 67:100 Er.wr C i Cr:_ ElIO Po Cr- .,- ,)CLATIDN OF SECTION STIED. OF THE C.VEHICLEANS TRAFFIC LAW OF THE STATE OF NEW YORK JVOLSTGN OF SECTION SUED OF THE=VEHICLE AC TRAFFIC LAW OF THE STATE Or NEW YORrt Y: F TT IS0ED.11 ❑O 5 COM D BUS G H4' LUTHER(SPECIFY) '+� _ ❑OS D CDM O EUS C HA.'. ` 0 7-33 A DEF VEH MAT it/ 9 FE 1 -3 C DEF VEH MAT ▪ E PEEDING OTHER DFENEE C SPEEDING 1 OTHER OFFENSE MPH IN A MPH ZONE MISDEMEANOR ❑ MPH IN A MPH ZONE MISDEMEANOR ❑ I FACTUAL PART(NOT FOR'NB; j . FACTUAL PART NOT POP NB) r J THE ABOVE NAMED DEFENDANT DID ON THE STATED DATE TIME AND PLACE 1(A.+S�L. SL F. Li'l THE ABCVT NAMED DEFENDAnt DID ON THE STATED DATE TIME AND PLACE bc. 16S—. rA L-(.. 1740,✓ ray hiii6Y IME-- 4-:1-4,F.-.• v.:r T-FgOt' 1 6EL..i Il ERru H;can 7-;;t, .. b,.iC vsi ntoyr F.ria'r' C13 FA•A,'N6 R $o.h'!+Y_D .12);-..m.1FI;:r ntt'fl IA:11.:p R £r J'n.oc t.. To L✓ni rrJ- -r r— Pet—en;; nu&YE e. Pc.rExw;Y The FRrcp0.rg P DIME or.meson..'w.o09._•- - _ - AN soar.001%rl..vc50 sworn MPOSIIO ULC, I TM FPeeonq F MPe001 Newt.00970020• I me soots caoR int Annan.FT.m 0eENmnIPIN aced I P.L.s FARCmG SCHEDULED PINE S CONTACT COURT 1 PARKING SCHEDULED PINES CONTACT COURT[ THE PERSON DESCRIBED ABOVE IS SUMMONED TO APPEAR AT THE PERSON DESCRIBED ABOVE IS SUMMONED TO APPEAR AT SOUTHOLD TOWN JUSTICE COURT,53095 ROUTE 25.SOUTHOLD.NY 11971 SOUTHOLD TOWN JUSTICE COURT.55095 ROUTE 25.SOUTHOLD.NY 11971 a.Te er.oPURAx;ENC:Fy rro CQJ )%-2.? I I DATEDF AAFc.INFEIA:.roA T.s1 PDL' :1.7, or: Co/9 100 AT O; Q •,M91a I aN I G/9 /010 AT 9:3Q as. :L_55 ETSTEMEN:.-EAEIN ARE PUTNSMB.F.IS A CLASS A MISDEMEANOR PURSUANT TG SECTION 215 45 0.THE P.LN IS FALSE STATEMENTS HEREIN ARE PLNIS.JL.E AS A CLASS A MISGEMEWNOF PURSLLHT TC SECTIGN}IS 450=THEP LN VS :OMFLUNANT DATE � COMPLNNANT 'HI) Sdi/OO DATE ` !0 0 rrJ." • � yyy n. = BADGE• 13 F .- t Is- L w BADGE.� ) rr:- z- r}".a..-. COURT COPY COURT COPY Division/Precinct . p ' 3.0M 4. rig 5.Case No. 6.Incident No. 5o**l 'n iLb ` ou_,"t I 2. 803 INCIDENTREPO NY 0$' 3 ST ❑ sumo 00--S1805� e ; Report-Fay 6 Date 9 Report Time %Ogyrled.' IC Dar 11 Date 12 Time tie*, 13 Day 14 Date 15 Time ('i OivWOm:: ; Gas O r..! 'S I 2.9-.1.00 ?c 95 :_� Plc lc-e Intl 1 6d 7-YS =-►�=` •4 i 1 1-- 16.Inaoent Type n � /// 17[B`uvCess Name � (( (s� is Weapon's' Z IOLaJU COBE- JIat LRN'6 la J�OO 7J1i V&r_mr I E,o A- O ✓ 19.diaper[Address(Street No.Street Name.Bldg NO.Apt NO) .-0 City.State,Zip(0C 0 T 0 vl 21 Location Code B g Ski 8 5 Sr q adtoocs uY. 1194'9 £ S9a. _ 23-0FF.NO. LAW SECTION SUB CL' CAT ) DEG l ArT NAME OF OFFENSE - i- - •• ' -'R5' 23 No of victims C. I "Le.. 47 .',/G (,t V - C _ FVn i Rv rtra._ Cle-P.-i t / - 2 24.NO. Suspects 3 D10 25.Person Type-CO s Complainant OT=Other Pi=Person Interviewed PRsPerson/teportmg WI e Witness NI s Not Interviewed VI sVictimr- 126 Victim also complainant ❑Y❑N E. ZTYPE/NO NAME(LAST,FIRST,MIDDLE.TITLE) Date Of STREET NO..STREET NAME,BLOC.NO..APT. CITY, STATE,.LP ' F TVINtk�nl NQr;°e_. - Birth - 9 N d (4Av _co-I foAJYrraS _. . .. c %29'AY ,47?-!9!O G. a PP-I LEv"rJ 3-ac.=K T ; /16/i1 '37; S �i'ar a{8 Icrs_F..AtWA:T AJ Y. 746-t-da'<[3 ` o 1 H. - a 1 2 27 Date of Berth 28.Age 29.Sex 30 Race 31.Ethnic 32 Handicap 33 Residence Status 0 Temp Res.•Foreign Nat. 1 kr kr 0 M ❑ F 0 White 0 Black 0 Other 0 Hispanic❑ on. ❑ yes ❑ RPYOent ❑Tourist❑Student ryt other ' 5 I i ❑ U 0 Indian ❑Asian❑ Unk ❑ Non-Hispanic ❑No ❑Commuter❑Military ❑Homeless Dunk 3,TYpe'NO 35.Name(Last.First.Middle) 36 A has/Nick name/M arden Name Last.First.Middle) 37.Apparent Condition K s 0 0 impaired Alcon 0 Ii ill 4❑iApt)Norm - N PC 38 Address(Street No Street Name.Slag NC.Apt NO.City.State.Zip) 39 Phone No. 4C.SOO al Security NO 0. ❑ Home L. 0 0 Work W V▪ N 41 Date of Birth 1 1 42 Age 43 Se. 44.Race 45.Ethnic 46 Skin 47.Occupation W O M ❑ F ❑ White ❑ Macs ❑ Otner 0 HIsani 0Unk. 0 Light0 Dark ❑Ont. MN 0¢ I 0 U ❑ indian ❑Asian ❑ Unk. ❑Ndn.Hrsnamc 0 Medium 0 Other - - N Q 48 Height 49 Weight SO hair 51 Eyes 52 Glasses 53 Build 54 EmpioserrSchool 55 Adores N Z I 0 yes 0 Contacts ❑Small 0 Large N ` ❑ NO ❑Medium N 56 Scars Marks/Tattoos(Describe) 57 him El SB.Victim or Property Property Quantity, Make or f��II Suspect No Status I Type I Measure Drug Type Model Serial No. Description value ' ) 1 3l' . - n k- m 59.vehicle 60.License Pine NO Full 0 61 State 62 Erb yr 63 Plate TyPe 64 value 0. Status r . • o PartiDl 0 5 rA W Cl' d 65 Pen Yr. 66 Mace 67 M VModel 69 Style 69 VIN r 6 1- r W 7 70 Color(s) 71 iowetl By 72 Vehicle Notes ) . To. e R Ivc.wp Pi-nr0 kiir-7 0✓ q>=Pc sY C F A .3v l-ttbz[p_ 9 I tad C,Tit(SL FJ C el 11/41 .7-74riE- TS=.i-�y Fr 57 iR 5-- sr -v8Cc6..,etk/ PCC`Tt D r rr ,,furens r,.4 Je a k! TC,E_I ru E.2 730.✓6: 3,klrrPE i F,2 2.S'd FE-Cr C F 10 F 'w�CTLF4-A.... vii1714-c3 -T 'Tit 4vs Y£.E_ -r4.-r ✓ctsu 6� IV4T)G� OF 111 V10Ls,-,4 i PAFb Sk,t.....*-La Al '485,2 TO Sols nsA Vi EW jn-r-� L J cc er cc LEL 30aH.i RR PJ 12 e_ Coe . Z 13 )4 mdvrnes(Check all that apply) 75 NY SPIN Message No 76 Complainant Signature B- J ❑ DMV ❑ Want anent 0 Scofflaw F' 0 crim.History 0 Stolen Property 0 Other on COPP( ce sheet et i_i 77 Reporting Officer Signature(include Rank)) � 78 ID No 79 Supervisor's Signature(include Rank) 80 ID No VI _ 6 lS. rVIIcC Pin- 1. B4 / ?e ` Y _ Page .. 81 Status ❑Open 0 Closed(if Closed, eck box below) 0 unfoanoed 82 Status Date 83 Notified/TOT of O 0 via.Refused to COOP 0 Arrest Pros Declined 0 Warrant Advised ❑CBI ❑mr -No Custody 0 Arrest-iuv 0 Of fender Dead ❑E.Pad Perrin 1 Be known 5-1 a'43 Illa-'Sges DOS-3205 12/97 `FALSE STATEMENTS ARE PUNISHABLE AS A CRIME.PURSUANT TO THE NEW YORK STATE PENAL LAW. 4 . NOTICE Police Dept. - Bay Constable Town of Southold Peconic, New York 11958 NOTICE OF VIOLATION Date: To: ' (Owner or authorized agent of owner) Address: • ' (Address of owner or authorized agent of owner) Please take notice there exists a violation of the Code of the Town of Southold, Chapter 97 Article II, Section 97-20 a premises hereinafter described in that • • You are therefore directed and ordered to comply with the following: on or before the day of , 20 . The premises to which this Notice of Violation refers are situated at: Town of Southold, Suffolk County, NY (Suffolk County Tax Map Designation: Dist. 1000 Section: Block: Lot: Failure to comply with the applicable provisions of the law may constitute an offense punishable by fine or imprisonment or both. NOTICE: You have the right to apply for a hearing before the Board of Trustees of the Town of Southold, provided that you file a written request with the Clerk of the Trustees within 10 days after service of the Notice of Violation. Such request shall have annexed thereto a copy of the Notice of Violation upon which a Hearing is requested and shall set forth the reasons why such notice of viola- tion should be modified or rescinded. ;' .1 `` :x, r Bay Codstable, Town of Southold, NY 1 1.Agency 2.Division7Precinc[ O 3.OM a.B ong S.Case NO. 6.Inatlen[No. SIO tin QLb. fl.ar,E 8 3 CIDEN7REP NY OM S� • ❑ Swap oo-y8os� Reµn'Cay 8 Date 9 Report rime !OCCririM 10 Gay II Date Ij,Trme 13 Day 14 Date 75.Time r r4nJ ! •S n1oo f:5/S iOn/8-40M30- stir 5- ern ] ao Dcs/St : -C �a, - r 16.1 ro6dent Type / 17 Bvveess Name • IB Weapon(S) Z ;:i. / A. o .04_11.1 CODE.. VII OL.IAFr3 A Joc2,Ja '1, r^o - 0 19 Incident Address(Street No,Street Name.Bldg Tao..OPT No) 20 City,State.210(0C 0 T Q V) 21 Location Cope e. - S?i 8 S SI— sie Gr „/wet uv. l/94/y Sa.Stjd= _ 22.OFF.NO. LAW SECTION SUB CL CAT DEG ATT NAME Of OFFENSE - - - CTS 23 No of victims `c 97 .zA U . V - C t jc ;RAJ s-rice- fix^•-7 Y— / - 2 24 No of Suspects 3 Dib 25.Person Type:CO=Complainant OT=Other Pie Person Interviewed PR=Person Reporting WI=Witness NI=Not Interviewed VI=Victim 26 Victim also complainant ❑Y ON E N TYPE/NO NAME((AST,FIRST,MIDDLE.TITLE) Date Of STREET NO .STREET NAME.BLDG.NO.,APT.NO.,CITY, STATE LP Telephone NO. - Z Birth 0 N W 0-0-1 PtAf0tJYrcv5 --' - P. t . ir9'/`! Y77- /9/0 G. a P4-i LE.v,rJ 'sTC-K S • {!to/1i '72;9S- R'r -./g i;r:w5. FccT ri.J Y= 'Mr-_ d5-41.3 - o r H, O N - IA _ dr 1 2? Date ofBYth 2E Lae 29 Se. 30 Race 31 Ethnic 32 Handicap 33 Residence Status ❑Temp Res -Foreign Nat. it- 0 M Q F ❑ White 0 Black 0 Other I 0 Hispanic 0 unk. I 0 ves ❑ Ass uen[ ❑Tounsi 0Student �I Other I. > I 1 [1 U ❑ Indian 0 Asian 0 Unk 0 Non-HriwmC I 0 No ] Commuter[I Military Q Homp ess Q Vnk - 34 TyceMo 35.Name(Last.Firs: Hinote) 36 Alras'Nickname,Maroen Name(Last.First.Mladle) 3'.Apparent Condition K. Z Q impaired Drugs 0 Mental Drs ❑unk. 0 9 lmpa✓ed Alco 9 irl ill 0 App Norm . vis= (u 3E Address(Street No.Street Name Ti,c No. Opt No CiteState Zip) 39 Phone No 0 HOmp 40 So ial Security NOa. L. o 0 Work - w~ t Date']r Birth =]E I +'i Sp. S. 4°.Ethnic 46 Skin no Occupation m O.so 1 0 E F 0 White 0 Bloc, C Other 0 Hispano 0 uM Link 0 Lrgn[ 0Dark 0 unk I` jp 4I 1 9 u 0 Indian 0 As,an 0 unk. 0 Non-Hispanic 9 Medium 0 Other 1 'inc 4E Ieron: 9 Weish: 1 50 Hair I e1 Eyes 52 Glasses 53 Ruda 54 EmorocerrS:nool Address V I ❑ yes 0 Ce marts 9 Small 0 Large 'c Z `n ( 9 no 9 Medium an 56 Scars Marks/Tattoos(LeS:rrOer 57 His: l�"-� 1 58 Victim or Property Property Quantity: Make or F _SVSLy=et NO Status Luce Measure Drop Type Model Serial No. Description Value 2 I I 3 - _ i T 4 CC 55 'vehicle 60.License plate No Full 0 I6[ a Status 0 State 62 Eke Yr 63 Plate type 6a ,aloe o partial 5 C a m 65 '.en Yr 66 Mare 5: I mope, 6E St5ie 69 VIN r V 'U I6 W > 70 Coior(sl 71 towed Sy _ 72 Vehicle holes 17 I To - B . F?,t�ive--.a. 14n.to r.eYv. auS (5_Pcn��' CF A b aL=LUor.C.c- =.S.aT2(cL P.-)C-, er.r i`1-14./ e_ )3=re= H Fr� S?1P?/r.0 R-r �6 I c d.2nr PcC-s. D a T1-_,C,ert.;ko�4 5, o u... TZ ELN 6 (1 au E_ ‘..e./1,-. , TH/N 2.� 'FECC c I '0J :a/�TLF-na'Dy ,/,-,--,+<,...„-- Y/lv3TEF R- t.n 1= `'c-;r6-1> t -'c.E- Cr)F ,1 a Vi 4 LPair/4PO »Nits Sv,........--,p rJ Is ds.2 i0 So uN b V EW jn-E-L CC t a CEL 30M.J RRL Co P, P• ) 12 Z 13 p. 74tnouines(Check all that appiy) 75 NYSPIN Message No 76 Complainant S•gnature 3 > 0 DMV 0 WanLWarrant 0 Scofflan 1- ❑Crim History ❑Stolen Property ❑ Other • eCder 41 77.Reporting Officer Signature lmciude Rand 175 ID NO 79 Supervisor's Signature(include Rank) 801D No 84 M .C. ta- jTP 1� r'L- Z. I z g f 81 Status ❑Oper, 0 Closed Oe Closed eck bo.Pelow) ❑unfounded 82 Status Date 83 Novhed-OT of / o O Vict Refused to Coop (Arrest Pros Declined 0 Warrant Nausea S I Py.Q. r3,ON 07us -No Custody 0a•crest-,uv FI Oftenaer Deao 9 F evad Per9 Unknown r1 '- Pages - :-LIS-3 205 r:;9 'FALSE STATEMENTS ARE PUNISHABLE AS A CRIME.PURSUANT TO THE NEW YORK STATE PENAL LAW. . , ' • �.QP a/iv/a Wa ar. A ee✓Q 0•<1 ,57 "0447-4:u/ofja/J/10Y/E/r/ ale/ .9T / atEEMoci ri .C/, 5� 609z6•/^=3d e7erfroziw5£O SC7T £ar.9/yey et794/om- 41-oz-zz. 1 JU.C/e/B/ ZO' O 0 � ) L o vG //z'c /'7 � ,5ovc7o 1 / L 3 woAx i/Re.9 .1 44ilE C l� �/6y UJ v �,''2- �' I el. Al n a n z% E`� E�,4` f StD ,Nos / vGry -..Lew1 `-d. S.-X/000 Oete do / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / / ;' ,' / / / / / / / / / / / / / / ; / / / / / /// //// * ,� ' t 0 ;t� � f /1•101-dr-G / p, / / / / ///i //// /i / .////// //// /i //✓ / / /i ; _ / / � / ✓ / / i /y ✓ // ✓ ii / / iv / / i / ,A,A /t / , lir` s /./a2T77/ C£ -S/8 /20/.t0 dy,Ho,� /q,�� - ti ,501.17W049.t///197/ VIEG 4421(0 CO • Tye SD ItT. 48, R0. 130X 68 lilt! F.N OW!' • N \'URIC • 11944-01)08 PHONE S 16-477-1910 FAX S I6-477-U-1{6 December 13, 2000 Mr. Albert Krupski Southold Town Trustees P.O. Box 1179 Southold, New York 11971 DEC I 4 Dear Mr. Krupski: As per our conversation today, I am confirming the necessity to make repairs to the Sound View Inn, located on Route 48 in Greenport, due to the storm on Tuesday December 12, 2000. We received damage to 4 staircases leading to the beach from the deck and floating debris also broke 5 deck support posts at various locations along the building. This building as you may know was built in the 50's, if there would be any problems making repair to an existing structure please advise us. If you need any other information,please feel free to contact us at the above phone number. Cordially, Ellen L. Wiederlight I'H !'.' \ Lt al \co • N l N' IH ( I. • Foul. • I I.NN IS Cul KIS • SAI `, ' ti I Ii • SUFF�C • ,^� Albert J. Krupski, President l ��O %c3Town Hall 53095 Main Road James King,Vice-President P.O.o= c '+ Box 1179 Henry Smith rn x 44a Southold, New York 11971 Artie Foster �f Ken Poliwoda x y� � Telephone (516) 7654892 Ol •a0 y 'c_ KO- Fax (516) 765-1823 * BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only ✓Coastal Erosion Permit Application , e4letland Permit Application Grandfather Permit Application Waiver/Amendment/Chnoes "received Application: 4 103 Received Fee: $ Aa -"Completed Application gt1Y Incomplete SEQRA Classification: Type I Type II Unlisted Coordination: (date sent ✓C.ri:C Referral Sent: • $1, Sate of Inspection: 4Jflfr Receipt of CAC Report: Lead Agency Determination: Technical Review: L"Public Hearing Held:Miari,t Resolution: Name of Applicant El Joanrac Corp . c/o Jack Levin , P .O . Box 68 , Greenport , NY 11944 Address Phone Number: (631 ) 477-1910 Suffolk County Tax Map Number: 1000 - 044 .00-02 . 00-022 .000 Property Location: 58855 County Road 48 Greenport , New York 11944 (provide LILCO Pole # , distance to cross streets, and location) AGENT: Jennifer B . Gould , Esq . (If applicable) Address: 210 Main Street , P .O . Box 177 Greenport , NY 11944 Phone: 631-471-8607 FAX# : 631-477-2601 1 Bo. of Trustees Application • GENERAL DATA Land Area ( in square feet) : 7200 square feet (approximate) Area Zoning: RR - resort/residential Previous use of property: none Intended use of property: beachfront for customers in front of motel Prior permits/approvals for site improvements: Agency Date Southold Town Building 1993 - construction repairs to porch and Dept . decks 1983 - add storage building No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary) : To remove washed up debris from winter storms and to smooth the beach in front of the staircases that lead down to the beach from the deck . This is necessary to ensure the safety of our customers . 1; n mo,,nlenonc2 i'S f er{OrNncol on a War- 'In -ant Speraj 2 • Soli, of Trustees Application • WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations : to ensure the safety of our customers and to enable their entrance and exit on and off the beach . 7 , 200 (estimate) Area of wetlands on lot: square feet Percent coverage of lot: 50 °s Closest distance between nearest existing structure and upland edge of wetlands: n/a feet Closest distance between nearest proposed structure and upland edge of wetlands : n/a feet Does the project involve excavation or filling? X (we are rearranging , smoothing the existing Yes sand/stones) unci rennounny dibr,•s -(r,vnb9ar , If yes, how much material will be excavated? 0 cubic yards How much material will be filled? 0 cubic yards Depth of which material will be removed or deposited: n/a feet Proposed slope throughout the area of operations: restore natural grade Manner in which material will be removed or deposited: with a bulldozer ( q gena/I DO.,-e ) Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate) : This would have no effect on any wetlands or tidal waters 3 Boll, of Trustees Application • COASTAL EROSION APPLICATION DATA Purposes of proposed activity: to ensure the safety of our guests who use the beach . Are wetlands present within 75 feet of the proposed activity? No x 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? 0 (cubic yards) Manner in which material will be removed or deposited: existing material (sand ) will be rearranged by small bulldozers add w,nier ytora{c br,'s removed Bram Leark , 'e. -Tet brcinches, 9arb&c,o Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) There will be no environmental impact resulting from this project . 4 • • NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: El Joanrac Corp . 44-2-22 SCTM#1000- YOU ARE HEREBY GIVEN NOTICE : 1 . That it is the intention of the undersigned to request a Permit from the Board of Trustees to: Remove debris/garbage and smooth out the beach surface in front of the Soundview Inn . 2 . That the property which is the subject of Environmental Review-is located adjacent to your property and is described as follows : Soundview Inn , P.O . Box 68 , 58855 Route 48 , Greenport , NY 11944 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: 10/25/00 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 : El Joanrac Corp . MAILING ADDRESS • 21695 Sound- View Avenue Southold , NY 11971 PHONE # : 631-477-0666 Enc . : Copy of sketch or plan showing proposal for your convenience. Boll of Trustees Application • County of Suffolk State of New York Jack Levin , for El Joanrac Corp . 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. \ OS gnature w SWORN TO BEFORE ME THIS 10 1. DAY OF September xy 2000 (J Nota Public JENNIFER B.GOULD Notary Public,State of New York No.02605024640—Suffolk Comity_ Commission Expires March 14,20 7 Boll of Trustees Application • AUTHORIZATION (where the applicant is not the owner) Jack Levin Pebble Beach Apts . , PO Box I , residing at (print owner of property) (mailing address) NY 11944 68 , 58775 Rte . 48 , Greenport , / Jennifer B. do hereby authorize (Agent) Gould to apply for permit( s) from the Southold Board of Town Trustees on my behalf. anSkic per' s si ature) 8 Albert J. Krupski, President • j' ;OM/ Town_-- • Town Hall I + James King, Vice-President 53095 Route 25 ra; �' P.O. Box 1179 Henry Smith El � �') t. '> Artie Foster ,r'r •i- Southold, New York 11971-0959 Ken Poliwoda i �► Telephone (6311765-1892 -*0 (-sr " Fax (6311 765-1366 , BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I , enn,,Q, 6 . Cku<d residing at /62o —Fro"-non 's Qcldcc ?G 54 a lai,a AJ, — being duly sworn, depose and say: That on the l o"' day of Oc4oLr; 200 b, I personally posted the property known asSc85G count, ted cl€, GrPP,i )r{. 4)9� IIrl4-t-I- 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 public \hearing. Date of hearing noted thereon to be held 0C},a$ioZC�a O_nOrri tlet rt I'•W ‘tarn Dated: /b 'duo ~ a A/ gnature) Sworn to before me this V day of 0 cka. r 2006 1 _,>. Notary Public Rebecca A.Wolfram Notary Public, State of New York No:01W06039106 Qualified in Suffolk County Comminsi_„ 1:-,.•,.:,, ertamh27r boa— - 14-r6.412l971—iert 12 • • PROJECT 4D. NUMBER 617.21 SEC 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) PP CANT .SPONSOR 2. PROJECT' `AME 1 El Joanrac Corp . 3. PROJECT LOCATION: Municloality Southold Town , Greenport county Suffolk 4. PRECISE LOCATION (Street address and road intersections. prominent landmarks. etc., or provide mad) 58855 County Route 48 Greenport , NY 11944 1/4 mile west of Chapel Lane 5. 15 PROPOSED ACTION: �� C New ❑ i�yM Expansion L'd' oddicatiomalteratien QA ritA4 ( von inc{PAq ACR 6. DESCRIBE PROJECT BRIEFLY: to clean beach debris and smooth beach surfact to ensure the safety of our guests whenentering and existing the beach from the staircases . 7. AMOUNT (OFLAND AFFECTED: IfN+aNy /2OJ $&P _teres Ultimately acres 3. Wqp p ❑ WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? Yes No If No. describe briefly 9. WHAT IS PRESENT LAND USE dl VICINITY OF PROJECT" _Residential I_•!ncus:nal U Commercial L_'Agncwture V-1 Park/Forest/Open soave —.Otner Describe: motel — resort/residential RR zone 10. DOES ACTION INVOLVE A PERMIT APPROVAL OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATE OR LOCAL)? "LI Yes U No If yes. list agency(s) and permlt/approvals • local Southold Town Trustees + ('ops-IcILI erroseen Perm, {. Il. CDOES ANY ASPECTSPW� OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Yes Alin° If yes, list agency name and permit/approval 12. AS A RESULT OFI�; PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? ❑Yes 5g No I CERTIFY THATTHE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE name: £I %Ma'^roc Corp. Date: q• - (4-20os) Slgnaiore: 7C LA. ^'� I Ices/ciao* \v\ • If the action is in the Coastal Area, and you are a state acency, complete the Coastal Assessment Form before proceeding with this assessment OVER PART n—ENVIRONMENT,. HENT .. :e ocmD, .__ OY —;enc s ACT.CN -N fIIRFCLD r! i ','.: -,i o , D : ,es. =c r.. a:3 :ne -ev,tw s—ns. Inc Jse :re _ '•5 No II C. NIL_ :CC:DN ;ECC:'._ n�INATED RE:'1EN AS ?RCVICED =_R UriLSTED =07.CrlS .N i •r'C?R, °ART e:. .. t •ro, a negacye _._._. 'nay se susersecec :yr mother .nvolveo agency. _ 'es _ Na D. ..CULDD AC.:C1r °._SUED N ANY -1CVE?5E _.r-n.o ASSCC:A7ED ;'G:: --= FDLL.:'::ING. Answers -ay -e lanowniten. I egiole, :1. Evsting air Cuahrl suraca ar ]rcuncwaler :uaurr :r :u anti/. wise e'ye's. ea.s::ny' .-5:1ic oat:ern.s. :clic vasa orocwo: on Jr T5: satentia: for eres.on. :ralnage ar 'lcocmg :roclems' E:olain ]Wetly: 02. Aestne!,c. ;gr:canurai. a:cnaeological. .,stork. or s:ner savor at Jr Luitursi 'esouro as: or :.Immunity sr oeignocrncca or:arse:ern Etolain 73. Vegetation or :auna. 'Isn. ;netlfisn cr x,lc1i12 scec:es, significant iacnaL'. Cr threaten ea a endangered SCeC:es'. _:Clain ;rally: 04. A community's existing plans or;oafs as anlc:adv accoted,or a cnange in use or Intensity or use of lane or other natural resources? Exolmn 'irowtn. Suoseouent aeyelooment. or related ac::vines likely to se induced oy the zrocoseo action? E,glam prlerly. 03. Long term, snort tum. :umwauve, or limey enfants not Icer Wiee m C:-05? Eao.a in li :C. aner rnoac:s inc:Jc:ny :-anges m use or inner 'x'anuty ar Wipe or energy)? °tsiain sr:env. • • E. 5 -..=RE DR :5 THERE _.'SE_' 'D 3E. DCNTRCVERS( Sc,-,.TED -d adT°.'!TIA(.A.O,VERSE E:IVIRCNrAENTAL ::PACS 32 — 'as No I 'es. exclain cnedv ?ART III—OEi c MINATICN CF SIGNIFICANCE ITo ce completed by Agency) INSTRUCTIONS: For eacn adverse effect identified stove.determine wnetner it is substantial,large. imcortant or otnernise sign. Eacn effect snoulo be assessed in connection 'Mtn its (a) setting (i.e. urban or rural); (b) prooaoility of occcZDjlg; lc} durati. irreversibility; a) geogracnlc scope: anc (f) magnituce. It necessary, add attachments or reference supporting materials. Ensur explanations contain surfic:ent detail to snow mat all relevant adverse impacts nave been identified and adequately acdresse I. Check this box If you have .dentifieo one or more potentially large or significant acverse impacts whicn M _ occur. Then crcceeo cirec:ly to me FULL E.AF ane/or prepare a positive declaration. — Check :his cox :f you nave determined, based on the information and analysis above and any sucoort: documentation. that ;he proposed action 'f/ILL ;1OT result in nnv significant adverse environmental imoac AND arovice Dn attachments as necessary, the reasons supeorting this determination: 4,4v,ac7 ms ar w ..me Si <e.aonsm,e ..loo yr n -..a •cenc. :,(te m <etoonooie cancer ”crLizute n <eseon.Lo,e :Icer n .ua ucency 4,enaru.e )r /•-v.er:it _nrc•-m :inns r esoonne.e „Wien .%.m • • APPLICANT TRANSACTIONAL nISCLOSURE FORM • The Town of Southold ' s Code of Ethics prohibits conflicts of interest on the part of town officers and employees . The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same . f. .,,yh,,..rn S YOUR NAMEWr S LPvi , Jock. -{or e c 'Sok Nrac ('or• i ,, (pre`, CUtict (Last name , first name , middle -initial , unless / you are applying in the name of someone else or other entity , such as a company . If so, indicate the other person ' s or company ' s name . ) NATURE OP APPLICATION: (Check all that apply . ) Tax grievance Variance Change of zone Appipval of plat Exemption from plat or official map other (If "Other, " name the activity . ) -hus+re Work fWrmm4 Do you personally (or through your company, spoune, nibling , parent, or child ) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO 7( • If you answered "TES, ". complete the balance of thin form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself ( the applicant ) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse , sibling, parent , or child is (check all that apply ) ; A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation) ; B ) the legal or beneficial owner of any interest in a noncorporate entity (when the applicant is not a corporation) ; C) an officer, director, partner , or employee of the applicant; or D) the actual applicant . DESCRIPTION OF PELATIONSIIIP it • 4 submitted this ,dal `a ) signature 'Print name ACr (, wvl:d.::;. :: {=. .,a 447• :o;:. ;; ,. irgG rt• +X r .•4 w r SWT" r . • SF • NetAlbert J. Krupski, President Co Co Town Hall James King, Vice-President ��/� 'yam N 53095 Route 25 Foster N - P.O. Box 1179 Artie Ken Foster Southold, New York 11971-0959 Peggy A. Dickerson O .fi {'r � Telephone 16311765-1892 �Cl {.* `1aty�1 Fax 1.631 765-1366 ,r NII �I BOARD OF TOWN TRUSTEES December 29, 2004 TOWN OF SOUTHOLD Mrs. Ellen Wiederlight Soundview Inn 58775 Route 48 P.O. Box 68 Greenport, NY 11944 RE: Soundview Inn 58775 Route 48, Greenport SCTM#44-4-22 Dear Mrs. Wiederlight: The Southold Town Board of Trustees reviewed your letter of December 29, 2004 and it was: RESOLVED, to grant an Emergency Permit to clean-up fire debris on the south side of the building adjacent to Route 48, where the damage has occurred, and secure building as necessary. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, G ea-117 91 . Albert J. Krupski, Jr., President Board of Trustees AJK:lms • sik toe • J r I II 1 Ib Il.' t- r-� e 61/4 L;' '� tor T sr I A Ur 8 3r' Town_oro n ( ILF.NI'l)RI • NE V. ll/RF. • 11(44.1-V loti d of Tresfees II-tO,\F: h'l--I Imbh 11\ nil--C- 2So To: Southold Town Board of Trustees From: Ellen Levin Wiederlight- Soundview Inn Re: Permission to Clean Date: December 29, 2004 Due to the December 27, 2004, fire at the Soundview Inn, located on Rt 48 in Greenport; we request pennision to clean up fire debris on the south side of the building adjacent to Rt. 48, where the damage occured. After area is clean we intend to secure the building. K- • l✓ i • • 4oSpFFO(,t Albert J. Krupski, President ��. Co Town Hall James King. Vice-President PS. oy 53095 Route 25 Artie Foster G P.O. Box 1179 Ken Poliwoda y, M Southold, New York 11971-0959 O .F Peggy A. Dickerson �y�0 �4� Telephone i631) 765-1892 a 1 `� , Fax (6311765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 5967A Date of Receipt of Application: August 17, 2004 Applicant: Soundview Inn SCTM#: 44-4-22 Project Location: 58775 Route 48, Greenport Date of Resolution/Issuance: August 18, 2004 Date of Expiration: August 18, 2006 Reviewed by: Board of Trustees Project Description: To add a cesspool to the existing system, located on the landward side of the two-story building, in the parking lot. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 97 of the Southold Town Code. The issuance of the Administrative Permit allows for the operations as indicated on the attached plan received on August 17, 2004. Special Conditions: None If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 97 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. data7 . 9 . Albert J. Krupski, Jr., President Board of Trustees irt / (7— J \ ,.1 'I � ' - 1 f En • , N �e ..1 • Ii C .,„ „:D . . . , , ii6j,d &:, --D CO CC •rJe ruo , . IS'''. 1-; /C fi . • • r S0IIVCi 010,,,-e sv / C-4,1144-7,.ey- l� - 5 / D - - . :o yff] 1:. , m. N co, C 34 `y Vti 11,; • \� fjfr 4 0355:1 ' ' . /. / `t •t .••• ` • 0J I6 00 07-27-00 _ H'01 5+ 01-15-02 03 `9. q V - 0 9j 5 v l N - 0 0 tl 'if 6O 631.AF� 5 A0 }o-° - M1)Ny YB / �`J „an” ; +Q COUNTY OF SUFFOLK / - 0 / 1 s 1 Sl S 10.44 \S A9 i C / O FOR PCA.N0. / j _ SFE SEC.NO. / r )s; Y pV\J � �� 015-01-9.I Q G / O 0 IS / , // O LU cwmY 3.1 % 4 OF y(FOEA _.) 75.4L ill* :`i' COUNTY CC SUFFOLK \ ` F 1\ - . .s_ � \ \ ., cy '... - / a@." a F 7 L.D.48 3 s 4.1 ,m` . 7 / O- \W\ \ \ g % `2 .670‘. \•\ \) 1\ \ \ � Y 1 )\\\\\\\\\\\\VV/i/i j \ \ / .. �� SEC SEC.N0.053 ice, 3, / i nn 1�..Tmim N 316,700 r / _ SCC TION NO Li».,_.,•6,.. Fbe,I.e,n„As .� N ---- kn.IR..K.LS —-S,n— Leen°minus ---F—- WES• PRAWN °ITEMISE, n,. PROPERTIES NOTICE COUNTY OF SUFFOLK ® E .W 6.ro a R."°F SOUTHOLD PE IFF OYMG IEiR!L1Z �- E ........Y.,. S.MNm ay.9gl< 121) .a ly 2 IF,oat,V. -r-- .4.•R.,M1,un —-R—- SQ0 °;0 SE EA __LID _ MMIIRINCC•ALIUR CIK SME CK )�I Red Property Tax Service Agency Y SRM G Tfrtso-....fw N.eu.nn c O Eq.Weer Ne —_E-- INewW4ttu. —161 -- ARE_ NU/ ;ofpT - USIPPIt000OFALITCCFrpX6rXF rte-. County ws KGFOF - 044 E e m rem u. —_— wN mM.1 N. --.-- ew Lunt In--e-- ppja- le SailWI COUNTY IIx NSP 6 PROIbTPn CIFI}G. II eaQNT 11901 M / °' _ _ `er N F¢M1.q N Rte' - 1b oO°s10A V„ ,—_ kr'pp,6NTI.,u.—FF—- PIIt", KUTEFnTd_ - nrnal 10I11FR PEYMSS%N Cl If ':®y0 m Ne A osz Kos, Isr ;r ro 1Q�Q PROPERTY MM N Pou n. 1 23 !Nu v.+ 1z.1 Md/ or Iz.0 I°^ R^m"t'Uv —-s REAL PROPERTY r4.SERNCE AGENCY. tmu1N kw 12.1 Flcl �•0" E^'R'^Ei J. ONVIN.EM OKIL +s1.ea.lull _ — _ _ - Ike __ .. .c_ ^ r tt' ___ il Albert J. Krupski, President rrreev CO-, Town Hall James King, Vice-President rrr x� Gy 53095 Route 25 Artie Foster o P.O. Box 1179 Ken Poliwoda s co x Southold, New York 11971-0959 t 0 .F Peggy A. Dickerson : .y O`. Telephone (631) 765-1892 -_�Oj �,a Fax(631) 765-1366 - st„,,ot BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only oastal Erosion Permit Application y _Wetland Permit Application Major Minor atreArn,S .1”. T WaiveriAmend .enk h.nges 'ceived Applic•t .n: ... I. "received Fee:$_'at Qtpleted Application ${j 'Incomplete R=.-N SEQR4 Classification:Type I_ Type I[ Unlisted Coordination:(date sent) J CAC Referral Sent: Date of Inspection: _Receipt of CAC Report: Southold Town Lead Agency Determination: Board of Trustees Technical Review: ---- Public Hearing Held: % Ib104 Resolution: / Name of Applicant ,ems/ lie,.-/ ,��v.✓ / Address 7 V 77C i?t 7 4 P D. Q� 6t /[e,/ di Phone Number:( 3 — 427—/9/ Suffolk County Tax Map Number: 1000 - Property Location: 51721 ,1t 1/ /J&`/ (1A I, %l rt - t f- /1 ) Fi l /� r: i O J { lY 1:-- (provide (provide LILCO Pole ft, distance to cross streets, and location) AGENT: (If applicable) - Address: . Phone: • Board of Trustees Application GENERAL DATA Land Area (in square feet): pp Area Zoning: R g Previous use of property: 420 Oh Art ei i,, &S t_ (fr7.0/e , / Intended use of property: Nc' ��iA��lj /.v , {C�dd 1 ti ( natc i) Prior permits/approvals for site improvements: Agency Date g//4.411 SPi4 f� pfr. n16 Ain, /r"n 1 d/ciC'essiaol fJ .1/de / No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspendesl_hy a governmental agency? No Yes If yes, provide explanation: Project Description (use attachments it'necessary): ` '4 &p�� t rite-Nk_ / �/ 9 /N 1 if rf/` T , .CP,/ Lei//:11. 'a /r i,i//, 1/ '.., �1 l r 1 a • • Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose oft the proposed operations: 7€ �L 4 I11P ( naffs Aiirty py , Area of wetlands on lot: square feet Percent coverage of lot: Closest distance between nearest existing structure and upland edge of wetlands: ./V feet feet Closest distance between n arest proposed structure and upland edge of wetlands: feet Does the project involve excava • n or filling? No Yes If yes, how much material will be excavated? 71) cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: ' feet Proposed slope throughout the area of operations: Manner in which material will be removed or 11 Gdeposited:/ rif -`C `-/ df,, de Lt/-e Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): �� rli • • Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: -19A Ae e t] ir erre c �r OA duct:, iv' i /1 1 Are wetly 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? 70 (cubic yards) How much material will be filled? (cubic yards) Manner in which material will be removed or deposited: /. CVmr is-kW £cAe Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) /IA) ft"//Jfi, Oma./ div city°zit.? • S 61720 SEQR PROJECT ID NUMBER APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 -PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 1 APPLICANT I SPONSOR / /50a4 2.PROJECT NAME 711€a' ht✓L � id,al ft- I,�t vl e-i. 1,44/ 3 PROJECT LOCATION: C-, _ Municipality :/J(lh�.1EE ffi0a / 43iee'p, County SVJ7IIc 4 PRECISE LOCATION: Street Addess and Road Intersections. Prominent landmarks etc -or provide mao Re IA/ (lir.plc Ltct 5 7 75-" /2)✓,e zie , e,t c,�-p,rr / �.7 liOnt o- Alh rIso,/ .v r.,5. IS PROPOSED ACTION n New D Expansion ri Modification/alteration 6.DESCRIBE PROJECT BRIEFLY: I I .fv a plc/ 4 ('rsspoo/ -4 dn./ (Xi J/;y 5-yak-I 7 AMOUNT OF LAND AFFECTED: //j''�/� Initially acres Ultimately acres (rift/,rte.-.,� L o'C tu- 8 WILILy PROPOSEDIACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? / Yes ` No If no,describe briefly: 9.WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) nResidential n Industrial n Commercial nAgriculture n Park/Forest/Open Space cher (describe) Z 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, to or Local) riYes o If yes, list agency name and permit I approval 11DOES''. ANY ASP CT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Idy..es Dy: If yes, list agency name and permit / approval. LVC 1vc C VkJ,J ffffn, I" . ent/ly Syd if-- 12. AS A REESULL OF PROPOSED ACTION WILL EXISTING PERMIT: APPROVAL REQUIRE MODIFICATION' Dyes 1. go I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name Date:� Signatur ,H � _ l�/7j If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment • • PART II - IMPACT ASSESSMENT (To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR,PART 617.4? If yes,coordinate the review process and use the FULL EAF n Yes n No B WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration may be superseded by another involved agency. n Yes EJ No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,if legible) Cl Existing air quality.surface or groundwater quality or quantity,noise levels,existing traffic pattern,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 briefly: C3 Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly: 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 briefly 05 Growth,subsequent development,or related activities likely to be induced by the proposed action?Explain briefly C6. Long term,short term,cumulative,or other effects not identified in Cl-05? Explain briefly: C? Other impacts(including changes in use of either quantity or type of energy? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREASCEA)? (If yes,explain briefly: nYes n No E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: n Yes n No 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 significant. Each effect should be assessed in connection with its (a)setting(Le. urban or rural):(b)probability of occurring: (c)duration: (d)irreversibility:(e) geographic scope; and (f)magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes,the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur Then proceed directly to the FULL EAF andior prepare a positive declaration. Cneck 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 any significant adverse environmental impacts AND provide. on attachments as necessary, the reasons supporting this determination Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature Of Preparer II different from responsible officer) • • Board of Trustees Application County of Suffolk State of New York hfr 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 /�ad m Si .Z0C�t otarypblic NANCY T. l� Notify Pubk,Stab d Net Yak No.OWRlt88247S Qa';elSteak Caurry Caunraa'nDna Jam aa.:41t ) "lard of Trustees Applicatill • AUTHORIZATION (where the applicant is not the /owner) ��]] I , .Titnk �ld�n residing at d/6 f s �pv a ✓ 12'c (print owner of property) (mailing address)/ / / / SA o f f/ y do hereby authorize 794.7114) 4,44 `l- / (Agent) to apply for permit( s) from the Southold. Board of Town Trustees on my behalf. ' (Ow er' s signature) 8 • , APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The ournose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: (Last name,first name,griddle initial,unless you are applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee _ Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If-Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,marriage,or business interest"Business interest"means a business, including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES".complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through 9)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of the corporate stock of the applicant (when the applicant is a corporation): B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer.director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP • Submitted this day of 200_ Signature _ Print Name Form TS I