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HomeMy WebLinkAboutTR-5391Board Of Southold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. ,: 39l .... DATE: ..~.Fgu.~t...~g.~.. 2003 ISSUED TO BARTON & PAT JOHNSON Pursuant to the p~ovisions of Ghapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 19B2; and the Southold Town Ordinance en- titled ."REGULATING AND THE PLACING OF OBSTRUGTIONS 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 Resolution of The B6ard adopted at a meetJncj held on ..'~.~.g...'.....~.~.. 2001 and in cons{deration of the sum of $ 200.00 paid by Barton & Pat Johnson of ................. ~L.M~F.~ .................................... N. Y. and subiect to the Term~ and Conditions fi~ed on the revere side Wetland Permit for the existing 5~X 26~ dock, 3.5'X 10' ramp and 10'X 20' float, and for the existing 105~ of concrete bulkhead. a~ in accordance wit~ the detel[ed s~cificatlons as pre.uteri ia IN WITNESS WHEREOF, The said ~rd of Trustees ~ere- I~ causes its Corporate. Seal fo be affixed, and these presents to subscribed by a malorlfy of the satd Board as of th~s daf~. TERMS and CONDITIONS The Permi~ Barton & Pat Johnson t~d~g g 860 Bayview Rd., East Marion N.Y. ss part. of the condderatloa for the issuance of the pennlt do~ -~ ~ passer'be ~o the fol- lowing: 1. That d~e sald Board of Trustees nod the Town o~ ,~hold ate released ftc~ an~ and for an .','"'~on may be made to the Boaxd at a ~. 'That this Pem~t should be retained indeFmi~dy, or as lo~g ns the ~ p,.emt.ee whhe~ to maintain tl~ m'uctm'e or project involved, to provide evkleuce m anyone wncemed chat sud~- .odzadoa was otlglnally obtained. 4. That the wo~ involved will be subject to d~e i-_.-~ and approval of dsc ~ ot ks agents, and nott-c~li.~ce with. the ptovidons of the ot~ applicadmx, may be ,~-_~ f~ tevo~don of this Pennlt by r~oht/on of the s~/d B<~tt~L 7. That if future opetadom of the Town of 5outhold tequlte the zemoval lnthe lecadon of the ~ bexetn ~ or if, in the opinion o~ the l~ud'o~ Trustee% dsc. WO~ ~t~.11 ~.~e unte~.sona~e o~tt'uctlon to free navigallon, ~ said Petm~tee wlH be ~ due no~ to remove or alter d~s work ot project heceln staled wid~ut ezpens~ to the Total · o~ 5ombol& S. That the said B<~td will be notified by the Petmittee ot the ~i0~ the work ~ odzecL That the Petmittee will obuin aH other pe~i~s and consents dmt may be te~ sup- plemet~l to this pen~t w~.~ may be subject to revoke upon f~u,-e to olxaln ..~..~ Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 30, 2001 Mr. & Mrs. Barton Johnson 860 Bayvicxv Road East Marion, NY 11939 RE: 860 Bayview Road, East Marion SCTM#37-5-7 Dear Mr. & Mrs. Johnson: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, August 29, 2001 regarding the above matter: WHEREAS, BARTON & PAT JOHNSON applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Toxvn of Southold, application dated July 26, 2001, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a Public ttearing xvas held by the Toxvn Trustees ~vith respect to said application on August 29, 2001, 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 xvith the standards set forth in Chapter 97 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general xvelfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of BARTON & PAT JOHNSON for the existing 5'X 26' dock, 3.5'X 10' ramp and 10'X 20' float, and for the existing 105' of concrete bulkhead. 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. Permit to construct and complete project will expire txvo years from the date it is signed. Fees 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 upon completion of said project. Fees: None Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/lms Telephone (631) 765-1892 Town HaH. 53095 Ma~in Road P.O. Box 1179 Southold, Ne~v Yo~k 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Monday, August 20. 2001, the following recommendation was made: BARTON & PAT JOHNSON for the existing dock 5'X 25', 3..5'X 10' ramp and 10'X 20'. float, and for the existing 105' of concrete bulkhead. 860 Bayview Dr., East Marion. SCTM#37-5-7 The CAC did not make an inspection, therefore no recommendation was made. Albert d. Krupski. President James K lg, \ ce-Pres dent HenO' Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone ,516~ 765-1872 Fax !516~ 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only ~eastal Erosion Permit Application tland Permit Application ~-Grandfather Permit Application Waiver/Amendment/Chances .-~Neceived Application: .--Received Fee:$~/~~- -- -'Completed Appli~a-tion~J~ -' Incomplete SEQRA Classification: Type I__Type II Unlisted Coordination:(date sent) .-CAC Referral Sent: ~-Erate of Inspection: Receipt of CAC Report: ' Lead Agency Determination: Technical Review: ~-'~ublic Hearing Held: Resolution: ~Name of Applicant Phone Suffolk County Tax Map N~ber: Property Location: ~o (provide LILCO Pole AGENT: L~} ~ (If applicable~ Address: ~l~-- distance to cross streets, and location) Phone: F~{9: B~d of Trustees Applicatio~ I GENERAL DATA Land Area (in square feet): A, oT ~u~;l~ Area Zoning: R ~0 Previous use of property: ~ ,b~TI, Intended use of property: ~ I ~C Prior permits/approvals for site improvements: Agency Date J No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ./ V No Yes If yes, provide explanation: ~roject Description (use attachments if necessary): NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEESt TOWN OF SOUTHOLD In the matter of applicant: YOU ARE HEREBY GIVEN NOTICE: i. 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-is 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: ~f/oi 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. Enc.: Copy of sketch or plan showing proposal for your convenience. A=penci× ,S State Environmental Cualit,! Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION ,To ge :ornoletec 3v Ina~ic3n[ or =-3rec; ;ccnsorl SEC ---3 Old ,'~ S Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall .53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone(631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of ...... COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I ~-~ ~ ~,-"~ .~ .'t,? , residing at . ~ :~ f'( ~:' ~, being duly sworn, depose and say: That on the-.z~' day of ~,~,.~,, 200], I personally posted the property known as ~ ~.~,,~l~,.~J by placing the Board of ~ru§tees official poste~ 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 ~earing noted thereon to be held ~. ~. Dated: Sworn to before me this .2o day of /~&~ r 200~ No~y Public ~ ELIZABETH A STATHI$ NOTARY PUBLIC. State of New Yo~ No. 01 ST6008173. Suffolk County Term Expires June 8, ~ B~ oi Trustees Application County of Suffolk State of New York DEPOSES I THA HE 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 MA/qNER 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. LYNDA M. 8OHN NOTARY PUBLIC, State of No. 01 BO6020932 CJualified in Suffolk Counll/..-, Term Expires March 8, 20(~"~ v The Town gf Bouthold's Code o£ Ethics prohibits conflicts of interest qn the part of town officers and employees. The purpose o(. this form is to provide information which can alert the town of possible conflicts of interest and allow it to'tak~ whatever action is necessary to avoid same. YOUR NAMEr NATURE OF APP~ICATIoNt (Last name, ~irst name, mid~.le 'initia~, unless you are applying in the name of someone else or other entity, such as a company. If au, indicate the other person's or company's name.) (Check all that apply.') Tax grievance .. Varianos Change zone App~i~val of pl~t ~xemption from plat 6~ o~ficial map Other (If "other," name the activity.) Do you psreomaliF (or ~hrough ~our compnuyt parent, or child) have a relationship with any o£ficer or ~mployes o[ the Town of Southold? "Relationship' includes by blood, marriage, or business interest. '~usinees interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporaMon in which the town officer or employee owns more than 5% of the spouse, sibling, YES NO If you answered "YES,#. complete the balance of date and sign where indicated. ~his form and Name of person employed by the Town of Southold Title or position of that person . Describe the relationship between youreel~ (the applicant) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. B) __.C ) __,D ) The town officer or employee oY his or her ~pouae, 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 applic~nt (when the applicant is a corporation); the legal or b~neficial owner of any interest in a noncorporate'entity (when the applicant is not a corporation); an officer, director, partner, or employes oE the applicantl or the actual applicant. DESCRIPTION OF RELATIONSHIP submitted sig'nature 'Print name