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HomeMy WebLinkAboutSchpoont, SandraAlbert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Pegs, A. Dickerson To~vn Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax ~631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD November9,2004 Mr. David Corwin 639 Main St. Greenport, NY 11944 RE: SANDRA SCHPOONT 630 RUCH RD. SOUTHOLD SCTM#52-2-26 Dear Mr. Corwin: As per your request, the above-referenced application has been withdrawn. Enclosed is a refund check in the amount of $250.00. Thank you. Very truly yours, Albert J. Krupski, Jr., President Board of Trustees AJK:lms Enc. ,5~1 4T7 0184 David S. Corwin 639 Mare Street (3reenport NY 119,14-1431 ?©rwirl~/,DO[Ol hR~ rr4~t November 3, 2004 Board of 'gown Trustees Town of Southold P. O. Box 1179 Southold, NY 11971-0959 Subject: Schpoont Floating Dock, ttashamomuck Pond, Southold Dear Trustees: Please withdraw the Wetlands Application for the above referenced project· Very truly yours, David S. Corwin NOV - 3 2004 Southald Town Board of Trustees cc: Sandra Schpoont Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971*0959 Telephone (631) 765-1892 Fax '631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTItOLD Office Use Only __Coastal Erosion Permit Applic~lgn _~"Wetland Permit Application Major Waiver/Amendmenv~haaees ~Rece~ved Application: ~'eceived Fee:$~.~~ .~..~_ple ted Application ~'~11~ I~ ~__lncomplete __SEQIL& Classification: Type I __Type II Unlisted __ Coordination:(date senl, L~.~, ~"C~AC Referral Sent: [(.J]i~-~ ~ ~ate of tnspection:i~]Y~"I~k,x-l~~ Receipt of CAC Report: ~E'ead Agency Determination: Teclmical Review: _~.,.~ublic Hearing Held: ~ Resolution: Name of Applicant_ Address ~] '7~ ~ &¢/-/PooN r z../,,VC.O L~q PL¢ Phone Number:( Suffolk County Tax Map Number: 1000 - Property Location: ~ ~,0 I~L/~ i lCl '7 / I~A Od Y, L y /V_~ /V Y s-z- jg (provide LILCO Pole #, distance to cross streets, and location) (If applicable) Add,'css:. 6 ~7~A;A/ Phone: Board of Trustees Application GENERAL DATA Land Area (in square feet): Area Zoning: /~ f_-,_q) ~ie l¥ 7-' ~ AL, Previous use of property:_ /~ ~ ,5~ID_FAt' T://P L Intended use of property: I~ff-.g ~ DENT/AL, 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? · l/ No Yes If yes, provide explanation: Project Description (use attachments if necessary): 2. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: 6 (~ C) square feet Percent coverage of lot: ~ Closest distance between nearest existing structure and upland edge of wetlands: ~9 ' feet Closest distance between nearest proposed structure and upland edge of wetlands: ,-_. feet Does the project involve excavation or filling? I,/ No Yes If yes, how much material will be excavated? ""' cubic yards How much material will be filled'~ ~ cubic yards Depth of ~vhich 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 may result by reason of such proposed operations (use attachments if appropriate): 617.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I - PROJECT INFORMATION (To be completed by AJ~plicant or Project Sponsor) 1, APPLICANT/SPONSOR ~2. PROJECT NAME Sandra Schpoont [ Schpoont Dock 3. PROJECT LOCATION: Municipality TownofSoutbold County Suffolk 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide map) 630 Ruch Road, Southold, NY, Hashamomuck Pond 5. PROPOSED ACTION IS: [] New [] Expansion [] Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: Reconstruct existing beach access stairs; consturct new 4' x 36' dock, 2.5' x 12' ramp, and 6' x 20' float to replace former float and ramp 7. AMOUNT OF LAND AFFECTED: Initially -- acres Ultimately -- acres 8 WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [] Yes [] No If No, descnbe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? [] Resident.al [] IndtJstria, [] Comrnercial Descdbe: []Agriculture [] ParkJForesUOpen Space [] Other 10. DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL. STATE OR LOCAL)? ~ Yes L~ No If Yes, list agency(s) name and permit/approvars: Town of Southold Tmstess Wetlands, NYSDEC Wetlands, US Army Corps Section 10 1 I. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ~]Yes [] No If Yes, list agency(s) name and permitJapprovals: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? J--'] Ye~ []No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE ApplicanlJsponsor name: David Co_r,v~ -- A~ent Date: Oct. 20, 2004 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 Reset of Trustees Application County of~k State of New York ~-.~,_.~..--~ L_ ~ ¢-/"~c'/o.-- ~-- BEING DULY SWORN D--~-Es ,UND AFFIRMS T~IAT 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 AL[. 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 GIELad'4TED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE ~ 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 ~~''~-'-- DAYOF t~ c f~'lo-t/' ,20_0 '~ C.: Notary Public/e~w,.4. ~al2ctt:~ APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of ~;9uthold'~; Code of Ethics orohibits conflicts of interest on the oart of town officers and emnlovees. The ntumose of this form i$ to provide information which can alert the town of ~ssible conflicts of interest and allow it to take whatever action is necessary to avoid same. YOUR NAME: -.S C /"] J~OO AI F .~ ..,ff .4. AI,O/~ A (Lust name, first name, tniddle initial, unless you are applying in the name of someone else or other entity, such us 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 (l £ "Other". nan~c the activit'),. I Do you personally (or through >'our 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% o~fi~e shams. YES NO If you ansx~ered "YES", complete the balance of this form and date and sign where indicated. Name o f person employed by the Town of Southold Title or position of that person Describe the relationship between ),ourself (the applicanffagenffmpresentative) and the town officer or employee. Either check the appropriate Iine A) through D) and/or describe in the space provided. The ~%~rn 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, parmer, or employee of the applicant; or ___D) the actual applicant. DESCRIP'FION OF RELATIONSHIP Form TS I Submitted this ~-day of 200 Signature .t~ ~-"- 5- David S. Corwin 639 Main Street Greenport NY 11944-1431 cor~ln,~.~'optoP the r, et October 21, 2004 Board of To~m Trustees To~ of Southold P. O. Box 1179 Southold, NY 11971-0959 Subject: Schpoont Floating Dock, Hashamomuck Pond Dear Trustees: Enclosed please find a permit application for renovation of a floating dock and beach access stair for Ms. Sandra Schpoont, 630 Ruch Lane, Southold, NY. The application includes: · One original plus 2 copies of the application form ,, Short Environmental Assessment Form · Survey - 3 copies · Project Drawing - 3 copies · $250 Application Fee If you require any additional information or have any questions please contact me directly. Very truly yours, David S. Corm Enc. 5