HomeMy WebLinkAboutTR-5511Board Of Southold Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO. E~' I J DATE: ....... March 20, 2002
ISSUED TO . .~°$~b. Mar~.~e...G.0.ntractirrg Corporation on. behal
of MARION WILLIAMS
Pursuant to the provisions of Ghapter 615 of the Laws of
the State of New York, 1893; and Chapter 404 of the L~ws of the
State of New York {952; and the Southold Town Ordinance eh-
rifled ."REGULATING AND THE PLAGING OF OBSTRUGTIONS
IN AND ON TOWN WATERS AND PUBL{G LANDS and the
REMOVAL OF SAND, C~RAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;'..'. and in accordance with the
Resolution of The Board adopted a{ a meet{ncj held on .Mar.ch. 20.,
2002..., and in consideration of the sum of $. ~OO...0O . paid by
.Marion..~liliiams ................................. . .....
of .... G~?~nE?yt,. ....... N.Y. and subject fo the
Terms and Conditions lis~ed on the reverse side hereof,
of Southold Town Trustees authorizes and permHs the follow{ncj:
Wetland Permit for construction of a 100 ft. new bulkhead ~vith
C-Loc sheathing immediately in front of existing bulkhead with
a foot non-turf bJlf~¢r....~.
te~rJl {n accordance w~tn the aetmma spe¢i{[cations as presented {n
the originating application.
IN WITNESS WHEREOF, The sald Board of Trustees here-
by causes ifs Corporate Seal to be affixed, and these p.resents fo
be subscribed by a 'majority of the sa~d Board as of th~s dat~.
Artie .Foster (Ab~en.t,)
TERMS end C. ONDmONS
~idlng at 1605 Shore Drive. Greenpnrt, N.Y. as
paxz. of the consideration for the ismance of the Pe~mlt does Understand and ptec~'t~e to the fol-
lowing:
1. 'l'nat ~ said Board of Trustees and the Town of 5outhold are released from any and
all damag~ or claims fo~ a.m-ge% of suits arising ditecdy o~ lnditecdy as · result of any oper-
ation pedotmad pu~uaut m ~s l>'~,~t, sad the sdd Pmnitcee will, at 1~ o~ bet own ezpea~
with respect thereto, to the axnplete '~-'~dnslon of the Board of T._~_~e~__ of the Town of S~il~old
2. That this Petmlt is valld for a period of 24 mo~. wi~ch b comk~ to !~ ~be
estimated t/me required m complete the wo~ invotv~l, but should cirmmsumc~ wa~r~m, reque~
for an ex~on m~ be m~de to the Bo~d at ~ late~ d~t~
3. That this Permit should be retained indefinitely, or as long as the said Petmittee wishes
to maintain the structure or project involved, to provide evidence to anyone concerned that auth-
or/zadon was originally obtained.
4. That the wodc involved will be subject to the inspection and approval of the ~
its agents, and noncompliance with the provisions of the otlginating appllcadon, may be cause
revocation of this Permit by resolution of the said Board.
5. ~na¢ there will be no uateasonshle interference with navigation as · re~dt of the wo~
herein au'thotlzed.
6. That there shall be no interference with the right of the public to pass and tep~ aloag
the beach bet'ween high and low water marks.
7, That if future operations of the Town of Southold teclulre the removal and/or altezn~ts
in the location of the wodc herein authorized, or if, in the opinion of the Boaid of Tmsiee~ the
wot'k ~h~ll cause unreasonable obsma:Uon to free navigation, the said p~rmittee will be requited,
upon due nodce, to remove or alter this work or project hefdn stated wid~t exlxmses to the Towu
of Southold.
8. That the said Board will be notified by the Pezmittee ot ~he completion of the w~tk smth-
orlzed.
9. That the Permittee will obtain aH other permits and consents that may be required
plemenud to this permit which may be subject to revoke upon failure to obtain same.
Albert J. Krupski, President
James K/ng, Vice-President
Artie Foster
Ken Poliwoda
Peggy A. Dickerson
BOARD OF TOWN TRUSTEES
TOWN OFSOUTHOLD
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-1366
March 22, 2002
Mr. John Costello
Costello Marine Contracting Corporation
PO Box 2124
Greenport, NY 11944
RE: SCTM#47-2-31
Marion Williams
1605 Shore Drive
Greenport, NY
Dear Mr. Costello
The following action as taken by the Board of Town Trustees during a Regular Meeting, held on
March 20, 2002, regarding the above matter.
WHEREAS, Costello Marine Contracting Corporation on behalf of Marion Williams applied
to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the
Toxvn of Southold, application dated February 22, 2002
WHEREAS, said application was referred to the Southold Town Conservation Advisory Council
for their findings and recommendations, and
WttEREAS, a Public Hearing was held by the Town Trustees with respect to said application on
March 20, 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
Tox~m Code.
2
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 approved the application of Marion tVilliaras for a
Wetland Permit for construction of 100 ft. new bulkhead with C-Loc Sheathing immediately in
front of existing bulkhead with a ten foot non turf buffer.
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.
Fee must be paid, if applicable and permit issued within six months of the date of this
notification.
Two inspections are required and the Trustees are to be notified when project is started and on
completion of said project.
FEES: NONE
Very truly yours,
Albert J. Krupski, Jr.
President, Board of Trustees
AJK/cjc
cc DEC
Army Corp. of Engineer's
Dept. of State
VIClMITY MAP
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APPLI CAI.IT:
~HEET I OF 5
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PREPAREI) ~'Y:
CO,.STELLO k4AR. INE ¢OI',JTI[AC'I'IIqG COR. E
6~1 - 4-1'"t' I
APPLICANT:
MAI[10N WI I. L,I AIV1 ~
P.O. ~OX ,4-E)
WE-~T HEMP~,TEAO; NY 11557
( ! C~O~ ,%H01~E Ol~-., G~EEN PO RT )
PEb. ~, ~00~
,~HEET ?_. OF ~
J~ r~....____ ExI~,T. bu LKH EAI~
~ II I I~ r~=- IO-~ACE I I OEADMAN
I Jill ~"-~' / /
I I, II H~N~ / /
- A~w
I[ J ~ VINYL 5HEATH i ~
~P~o~ IO"~ x IG' PiLE
-I~ULI~HEAD CP-OO5 ~ECTIONI
SHEET '5 OF '~
Telephone
(631) 765-1892
Town Hall, 53095 ~ Road
P.0. Box 1179
Southold, New. Yo~k 11971
SOUTHOLD TOWN
CONSERVATION ADVISORY COUNCIL
At the meeting of the Southold Town Conservation Advisory Council held Monday,
March 18, 2002, the following recommendation was made:
Moved by Drew Dillingham, seconded by Scott Hilary, it was
RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the
Wetland Permit Application of MARION WILLIAMS to construct 100' new bulkhead with
C-Loc Vinyl Sheathing immediately in front of the existing bulkhead.
Located: 1605 Shore Dr., Greenport. SCTM~47-2-31
The CAC has a concern about the negative cumulative effects of building within 18" into
public domain.
Vote of Council: Ayes: All
Motion Carried
_V, IGI M ITY MAP
LO C^'l' I 0 N
COV'E
I~ I CA.R. 00 ~ EI, J~I FO
5-5'5 PAR.~:,ON~ 15LV'D.
WHITESTONEI NY 11~57
(18'r5 ~,HO~E ~RIV~=)
(~) MORJ[I~ I~'.AMII. y PAR.TWEli~,HIP
I"~,B I.~UR. EL HOLLOW I~.1~.
PRoPOse' ~:
CON~TRIJCTIN~ IOO~ NEW ~ULKHF=AI~ ~W/C-I-OC, VIWYL.
~HEATHIN~') IIVIMEDI^TEL¥ IN FRONI' OF EXI~"TIN~5
COSTI[L[.O MARIIIIE ¢ONTKAC]~|NG CORR
P.O. bOX ~.1~-4. ~REENPOK"r, Wy 11~44.
GS, I - 4-77- I
APPLI ¢,INT;
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C;O,.~TI~L. LO /vt~I~INE ¢OI~TI~,ACTINIG C0gP.
P.O. I~OX.
APPLICANT:
MAR. 10N WI LI. IAM,~
R O. ~OX ,4-~
WE5T HEMP~TEAI~ NY II 55?-
( ~CeO~ ,5, HORE I:;'R,., GR.E El~ PO R'T )
· SHEET ~ OF ~
~ULKHF-..AD
'1'0 I~P..IVtA I N
AIVI HW
AMLW E:L.
VINYL ~HEATH
~=X I ~T. PILE
TO ~E. RIIMOVE[~
LE
., bULKHEAD CROS5 ~ECTION
SHEET 5 OF 3
Albert, J. Krupsld, President
James King, Vice-President
Henry Smith
Axt,ie Foster
Ken Poliwoda
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1992
Fax (631) 765-1366
BOARD OF TOVfN TRUSTEES
TOWN OF SOUTHOLD
Office Use Only
Coastal Erosion Permit Applicatio:9/
Wetland Permit Application ~ Major
Waiver/Amendmenff~2han~es
__Received Application:
Received Fee:$ t0 ir*
Completed Applicati(~n
__incomplete
SEQRA Classification:
Type I Type II Unlisted
Coordination:(date sen~t~
CAC Referral Sent: ~].~
Date of Inspection:
· Receipt of CAC Report:
Lead Agency Determination: __
Technical Review:
/_
Public Hearing Held:
Resolution:
, Minor
Name of Applicant ~ & (,'OFq
lifoS7-- Phone Number:( )
Suffolk County Tax Map Number: 1000- t~/ -~_ ~
Prope yCooation: lOC %
roy
(provide LILCO Pole #, distance to cross streets, and logation)
AGENT:
(If applicable)
Address:
Phone:
Board of Trustees Application
GENERAL DATA
Land Area (in square feet):
eaZoning:
Previous use of property:
Intended use of property:
Prior permits/approvals for site improvements:
Agency Date
__ No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a governmental agency?
~ No__ Yes
If yes, provide explanation:
Project Description (use attachments if necessary):,
Board of Trustees Application
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations: ~ ~t.,; r3 ~err~C~ f~
,3 -
.~ea of wetlands on lot: ~ square feet
Percent coverage of lot: ("') %
Closest distance between nearest existing structure and upland
edge of wetlands: c'.~ __feet
Closest distance between nearest proposed structure and upland
edge of wetlands:__ '~.~ feet
Does the project involve excavation or filling?
No ~ Yes
If yes, how much material will be excavated? _7~) cubic yards
How much material will be filled? 2 '~ (~) cubic yards
Depth of which material will be removed or deposited:
Proposed slope throughout the area of operations:
Manner in which material will be removed or deposited:
feet
Statement of the effect, if any, on the wetlands and tidal waters of the town that ma5' result by
reason of such proposed operations (use attachments if app.ropriate):
PROOF OF MAILING OF NOTICE
A~PACH CERTIFIED MAIL RECEIPTS
Name:
7001 0360 0001
0522 0812
STATE OF NEW YORK
COUNTY OF SUFFOLK
Address:
7001 0360 0001 0522 0829
~'~nnl'~f.f" ~.~r~/ , residing at
~n.~f+/~ )1~ , being duly sworn, deposes and says
that on the ~O day of ~2~,~0~, deponent
mailed a true copy of the Notic~ set forth in 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_said Notice~ wer6~ mailed at
the United States Post Office at ~r~,~(l~a~.%, that
said Notices were mailed to each of said persons by (certified)
(registered) mail.
(Ii Rebecca A. Wolfram !,'"
Sworn to ]:)~fgre me this ~) ~; - Notary Public, State of NewYork ..::
;' NO: 01'./v":' ',q91..06 ~
day o& ~¢~ ' ~~ ~ Qualified i,, S,,;,(;;,~ ,~oun~ ~
Notary ~ublic ~ -.:.S . ' ...... ' . _~j~_~j' .7~
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 (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, ,J(Jj6(~ _~_~10 ~b~ , residing at ~P~_ ~Y~.~fVt¢.~f... ~; J~,~-,
7.ock ' e Ce WcI , 7O
being duly sworn, depose and .say:
That on the ~ day of ~4~/l, 2_0,0~ I personally posted the
property known as 11005 c~! ~ . ~FYb0C%r~-. k~
by placing the Board of Trustees o'f~ic-ia'l po~ster 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
p~ublic hearing. Date of hearing noted thereon to be held
Dated:
Sworn to before me this
~/ d~y of ~C~_uc~ 200~-
NOTICE TO ADJACENT PROPERTY OWNER
BOARD OF TRUSTEES~ TOWN OF SOUTHOLD
In the matter of applicant:
YOU ARE HEREBY GIVEN NOTICE:
1. That it is the intention of the undersigned to request a
Permit from the Board of Trustees to:
2. That the property which is the subject of Environmental
Review~s located adjacent to your property and is described as
follows:
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 BQard of
Trustees of the Town of Southold and does not reference any
other agency that might have to review same proposal.
N E:
MAIL'!NO A,DDRESS: ~.19. ~ ~f3
PHONE ~:
Enc.: Copy of sketch or plan showing proposal for your
convenience.
Board of Trustees Application
Count? of Suffolk
State of New York
- ~1~ ri rl,'{~F' '~/"-. ~ BEING DULY SWORN
DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOXqE
DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ,~RE
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 ~ AS MAY
BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT
AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEI~S
HAP~.iLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING
UNDER OR BY VIRTUE OF SAID PERMIT(S), IF ORANTED. IN COMPLETING THIS
APPLIC ATION, I HER.EBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S)iOR
REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE
PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION
SWORN TO BEFORE ME THIS
DAY OF .~ ,20d~
Rebecc.~ A. Wolfram .
~ Notary Pit ~': ;t. , State of New York ;.
h!., "' '~050::9106 ,~'
,'., Ou;J!¢~o-* ':;,~,'folk County
r,rar~m,ssi:)r, E',:pir_s March
IPROJEGT ID NUMBER I ' A.~PENDiX C
SHORT ENVIRONMENTAL ASSESSMENT FORM
f~r UNUSTED A~IONS Only
PART ~PROUECT iNFORMATION ~o be completed by ~plicant or Proje~ ~n~or)
7. AMOUNT OF LAND AFFECTED:
6. WILL PROPOEED ACTION COMPLY WITH EXIETING ZONING OB OTHER EXJETING LAND USE RESTRICTIONS?
9. W~4~AT IE PRESENT LAND USE IN VlOlN/rY OF/~IOJECT?
~ Omer
12. AS A RESUL~CJF PROPOEED ACTION WPf EXISTING, PERM/T/APPROVAL REQUIRE MODIFICATION?
O YeS ~:~No ' ' · '
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE lB TRUE TO THE BEET OF MY KNOWLEDGE
.o.l,..,,E.o..o,.... Corp.
If the action Is In the Coastal Area, and you are a s~te agen~, '
complete the Coastal Assesame~ Form before proceedJ.g with this assessment
OVER
PART II--ENVIRONMENTAL ASSESSMENT ~To be completed by Agency)
A. DOES ACTION EXCEEd3 ANY TYPE I THRESHOLD IN 6 NYCRR PART 617.47
C70tl~er ~rnpac~ (,nclu(ting cl~ange$ in u~e Of either ~lu~nt~ty or t,/pe of energy)? ~p~n briefly:
' 0- Will THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARAC~RISTICS THAT CAUSED ~HE ESTABUSHMENT OF A:CEA?
PART II--DETERMINATION OF SIGNIFICANCE {To be completed by Agency)
[] Check th~s box ii you have identified one or more potentially large and significant adverse impacts wl~ch may occur. Then
proceed d~rect[y tO the FULL EAF and/or prepare a positive declaration.
~ Check th=s box if you have determined, based on the information an~ analysis above and any suppolrting clocumentat~on.
that the proposed action WILt. NOT result in any significant adverse environmental impacts AND previQe on attachments
as necessary, the reasons supporting this determination:
Board of Trustees Application
(7oun:'~ of SuI'folk
Sm£e of New York
DEPOSES AND AFFIRMS THAT ti:E/SHE IS THE APPLICANT FOR THE AB~O\'E
DESCRiBED PERMIT(S) :U'qD Tt£,~T ALL STATEMENTS CONTAINED HEREIN ARE:
TRUE TO THE BEST OF }~IS/HER KNOWLEDGE AND BELIEF, AND THAT..-\LL
WILL BE DONE [N THE bUUNNER SET FORTH IN TI-tIS .APPLICATION .AND AS N1A\
BE .&PPRO\'ED BY THE SOUTHOLD TOWN BOAKD OF TRUSTEES THE APPLICA},
.AGREES -FO HOLD THE TOWN OF SOUTHOLD .AND THE TOV, q'q TRUSTEES
HARMLESS ANrD FREE FROM ,~'qY AND .ALL DAMAGES AND CLAIMS .ARISING
UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETI'NG T}IIS
· \PPLICATION, l HEREBY AUTHORIZE THE TRL;STEES, THEIR AGENTI SI!OR
REPRESENTATiVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT
PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION
SWORN TO BEFORE ME THIS
Notary Public //
COSTELLO MARINE CONTRACTING CORPORATION
DOCK BUILDING · JETTIES · BULKHEADING ° STEEL & WOOD PILING · FLOATS
423 FIFTH STREET · P.O. BOX 2124 · GREENPORT, NEW YORK 11944 · (631} 477-1199 / 477-1393 / 477-0662 · FAX 1631) 4.. -0u0¢
AUTHORIZATION FORM
.~ness/Property ,Name,,
/~.,~o,x-~. /u,y ,// ~d~
do hereby give Costello Marine Contracting Corp. the authority to act as agent in~ my
behalf in applying for all of the necessary permits for work to be completed at my above
retbrenced property.
///,-/Iox
Signature
~4-~.4 (~2~-q SEQR
IPROJEGT ID NUMSER ' AI~ENDIX C
SHORT ENVIRONMENTAL ASSESSMENT FORM
~r UNUSTED A~IONS Onl~
PART ~PROJE~ INFORMATION ~o ~ oomplet~ by ~li~nt or PmJe~ S~or)
5. IS PROPOSED ACTION:
6. DESCRIBE PROJECT BRIEFLY:.
?. AMOUNT OF LAND AFFECTED:
8. WILL PROPOSEO ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS?
~ O~her
10. DOES ACTION INVOLV~ A PEH~/T ,APPROVAL. Off FUNDING, NOW OR ULTIMATELY FROM ~ OTHFJ~ OOVERNMENTAL AGENCY (Federal. State or
Local)?
~Ye$ r'l NO If y~s, list agency(i) Incl pen~*d~
· Ac_o , C, O; d
1 I. DOEE ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMiT OR APPROVAL?
D Yes {:~, No · .' ' '
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE 19 TRUE TO THE BEST OF MY KNOWLEDGE
If the action is In the Coastal Area, and you are a state agency, '
complete the Coastal Assessment Form before proceeding with this assessment
OVER
PART II-~ENVIRONMENTAL ASSESSMENT ("Fo be completed by Agency)
A. DOES ACTION F-XCEED ANY TYPE I THRESHO/.D IN 6 NYCRR PAnT 617.47
C7 ~ner ~mpac~ (~nc~ud~ng chan~e~ m use ~f e~ther quan~ ~r ~ype ~t ~nergy)? E~P~a~n ~ne§¥:
D w~-J-THEP~JECTHAVEAN~MPA~NTHEENV~R~NMENTALC~ARACTER~T~c$¥HATcAU$EDT~EE$TABL~$HMENT~FAC~A?
PART II--DETERMINATION OF SIGNIFICANCE ('TO be completed by Agency) ,
Check this box if you have identified one or more potentially large and sJgnificanl adve/se impacts which riley occur. Tr~er~
proceecf directly tO the FL/LL EAF and/or prepare a positive declaratior~.
Check this box il you have determined, based on the information anti analysis above and any supporting ~ocumentat~on.
as necessary,, the reasons supporting this determinatior~:
Name of [.ead A~ency
Date
Name:
7001 0360 B001
STATE OF NEW YORK
COUNTY OF SUFFOLK
PROOF OF MAILING OF NOTIC~
ATTACH CERTIFIED MAIL RECEIPTS
Address:
052'2 0812 70 I 0360
0001 0522 0829
~n~l'~ ~ , residing at
~n~, ~ Hg~ , being duly sworn~ deposes and says
that bn the ~0 day of ~b~r~ ,~_~, deponent
mailed a true-copy of the Notic~ set forth ~n the Board ~f
Trustees Application, directed to each of t~e 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 thelcurrent assessment
roll of the Town of Southold; that said Notices were mai~ed at
the United States Post Office at ~9c~11~, that
said Notices were mailed to each of said persons by'(certified)
(registered) mail.
f~ Rebecca A, Wolf ~arn
Sworn to Dzcf~re me this d:)~) ~' N0taryPublic, State of New York
day of ~ , ~~ " No:01'A~?~,~9106
~' Commissior, E,.:p~r~5 Ma:rob 27,~
Notary Public ~ ...............
NOTICE TO ADJACENT PROPERTY OWNER
BOARD OF TRUSTEES~ TOWN OF SOUTHOLD
In the matter of applicant:
S T ooo-
YOU ARE HEREBY GIVEN NOTICE:
1. That it is the intention of the undersigned to request a
Permit from the Board of Trustees to:
2. That
Review~s
follows:
the property which is the subject of Environmental
located adjacent to your property and is described as
3. That the project which is subject to Environmenta, 1 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 re~iew of the Board of
Trustees of the Town of Southold and doeslnot reference any
other agency that might have to review same proposal.
OWNERS N~E: ~/~r,¥n lg, 11,~,'~
MAI~NG ApDRESS: ~'0. "~ ~3 '
PHONE #:
gnc.: Copy of sketch or plan showing proposal for youlr
convenience.