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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 WHITE~,'I"ONE~, NY 111~57 (I,5'1'5 ~,HO~.E. D'RIVE~) LOCA, T ~ o Ni (~ k401~l~, /~Ah411.¥ I='.~.TNIE~.OHII~ '14~ I~u~EL. H01,.I..O~V COU'E MAI= ¢ONSTI~UCTIN~ IOO' NEW I~ULI'~HEA~ (' WJC-LOC.. VINYl.. ~,HEATHIN~") IMMEI~'IA'I'F..LY IN I~R. OH'I" OF IF. XI~'I"ING bY wA'rER.~ Ue, ING P.O. ~,'~1 APPLI CAI.IT: ~HEET I OF 5 0 .~ITE 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; ~HEET t OP 5 0 ..~ ITE / / 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.