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Home My WebLink AboutTR-5804Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. .~~ DATE: ..S~ot..24th., .2003 ELIZABETH A. SENTELL ISSUED TO ............................................................................................................ Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893: and Chapter ~ of the I~ws of the State of New York 1952; and the Southold Town Ordinance en- titled .'REGULATING AND THE PI.AGING OF OBSTRUGTIONS IN AND ON TOWN WATERS AND PUBLIG LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;!~. end in accordance with the Resolution of The Board adopted at a meeting held on ..~.~-- 24, 2003 ........ and in consideration of the sum of $...?.'.~.9 .... paid by of ...Smxthold ........................................... N. Y. and subject to the Terms and C:onditions lided on the reverse side hereof, of Southold Town Trustees authorizes end perm's the following: Wetland permit to construct an addition to the existing dwelling which will consist of three bedrooms and expansion of waterside porch wtth the condiuon that the stone wall rematn and two new drywells to contain roof run-off as per plans dated 9/25/03.per Garrett A. Slrang Architect all in accordance with the detal~ed specifications as presented in · the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate. S.e. al to. be affixed, end these p.resents to be subscribed by · 'malorify ot the satd Board as of th~s date. -- T~tees TERIdS and GONDmONS The Pe_,mltte~ ELIZABETH A. SENTELL Lakeview Drive, lre~ding at ~20 ~ of ~ ~fi~ for &e ~ of &e 1. ~ ~ ~ ~T~ ~ ~e ~ ~ ~;~ f~ ~of ~ for ~ ~ ma~ ~ ~ to ~ ~ at 4. ~t ~e wo~ ~l~ ~ ~ mbj~ to ~6. ~re~H~~the ~ ~ ~ ~le ~ to f~e ~ d~ ~ to ~e or ~t~ ~ ~ ot p~j~ 8. ~at ~e ~d B~rd w~ ~ ~ ~ the o~ Board Of Southold Town Trustees SOUTHOLD, NEW YORK PERMITNO. ~J~TI DATE: July ZS' 2001 ISSUED TO ELTZABETH SENTELL Pur,:uant fo the pro~ .61_~ o.f the Lawfl.~f the Stale of New York,~3,' and Che.l~r~r. _40~of the ,L~. ws ot the .S.f. afe ,off New York J~52: and the S4~uth~cl To~n Ordinance en- t,tled. RE~=ULATIN~C= AND THE PL~I~S OF ~BSTRUCTIONS IN AND ON T~WN WATERS .~l~ ~PUBLIC ~LANDS and the RENIOYAL OF ~AND, GR&VEk (~D'OTHER Nt)kTERIALS .F. RONI LANDS UNDEI~-TO~QN V~,N{Ei~.end in a,e'cordance w,th the RT~,on of ~e ~.~ ara moe~ he~d on ................. : ........... Terms and ~ncli,fien~lided on the reverse slde hereof, of Southold T~thor'rzes ,~n_d permits the followincl: Wetland ?ennit to construct an ~ddition t~ the cxistin~ dwelling which will consist of three bedroom m~d e×pansion of v,,~terside porch with the conditionM ~pproval that ~.he final footprint and or drav, qn~s be filed once the other ~pprova]s are §tat'ired. ^1so that the condition that the ¢×istin~ septic be filled in and abandoned. Dt~/s','ell~ to contain roof run-ofl~ H~ybales during al~ ~tq a~;~ora."nce WITh The aeTa~ma specltlcation$ as presented in the originating application. ' IN WITNESS WHEREOF, The said Board of Trustees here- by ca,,se, it, Corporat*. S? to. ~? afr.,~.e_d, ,n? Shes.*.l,?,*n? to be subscribed by a malor~fy of the setd ~oara as o~ .m~s aate. TER~S and CONDmONS The Pem~tee Elizabeth Sentell · ~ ~v ~ ~1~ 220 Lakeview ~)rive: R~t u~,-i~,, N. Y, as ~' of ~ c~fi~ for ~e ~ of ~e p~it ~ ~ ~ p~ m ~e fol- 1~: 1. ~ ~ ~d ~ ~ T~ ~d ~e T~ ~ ~old ~.~ f,~ ~ ~ ~ a----~ or a-~ f~ ~ of ~ ~ ~7 ~ ~7 ~ ~ ~t of ~ o~- ~ ~,m ~'~d~ of ~T~T~~ 2. ~t ~P~kh'~s~°f 24 ~h~m~ for ~ ~on ~y ~ ~ to ~ ~ at a 1~ d~ o~fim ~ o~ ~ i~ ~ ~d ~n~ ~ ~e pro--om ~ ~ o~ ~o~ ~y ~ ~'~ f~ S. ~at ~ere ~ ~ no ~le interf~ ~ ~ ~ a ~t of ~e ~ 6. ~at ~re ~aH ~ ~ ~er~ ~ the ~t ~ ~ ~ m ~ ~ ~ ~ 7. ~ ~ ~e o~ of ~e T~n of ~ld ~ ~ ~ ~/~ ~ in ~e ~ ~ ~~ or ff~o~~°fT~' ~ d~ ~ to ~ve or alter ~ ~ or proj~ ~ ~ ~ ~ to ~e T~a 8. ~ ~e~d~rd~ ~~the ~ ot ~e ~'~~ o~ Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peg~' A. Dickerson BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone ~63 l) 765-1892 Fax (631) 765-1366 YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction ¼ constructed ~Project complete, compliance inspection. 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 SOUTHOLD September 29, 2003 Garrett A. Strang Architect PO Box 412 Southold, NY 11971 RE: SCTM#31-9-16 Elizabeth A. Sentell 220 Lakeview Drive East Marion, ixW Dear Mr. Strang: The Board of Town Trustees took the folloxving action during a Regular Meeting, held on September 24th, 2003 regarding the above matter. WHEREAS, Garrett A. Strang, Architect on behalf of ELIZABETH A. SENTELL applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Toxvn of Southold, application dated August 13th, 2003 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 September 24, 2003 at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar xvith the prenfises 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 Town Code. 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 a Wetland Permit for Elizabeth A. Sentell to construct an addition to the existing dwelling which will consist of three bedrooms and expansion of waterside pomh with the condition that the stone wall remain as well and two new drywells to contain roof run-off as per plans dated 9/25/03. BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency, xvhich may also have an application pending for the same or similar project. Fee must be paid, if applicable and permit issued xvithin six months of the date of this notification. If inspections are required, at a fee of $5.00 per inspection (See attached schedule). FEES: None Very truly yours, President, Board of Trustees tOr/cjc cc: DEC Building Department Garrett A. Strang Architect 1230 Traveler St., Box 1412 Southold, New York 11971 Telephone (631) 765-5455 Fax (631) 765-5490 September 25, 2003 Mr. Al Kmpski, President Southold Town Board of Trustees Main Road Southold, NY 11971 Re: Sentell Residence, East Marion, NY SCTM #1000-31-9-16 Dear Mr. Krupski and Members of the Board: Enclosed please find three signed and sealed copies of the amended site plan, as per the outcome of last evenings proceeding, showing the waterside stone wall to remain as well as the installation of two new driwells to contain rainwater runoff from the roof. Please call my office when the'permit is prepared and ready for pick up. Thank you for your consideration of this matter. Very truly yours, Garrett A. Strang, R.A. Architect Enos. Telephone (631) 765-1892 Town H',dl, 53095 Main Road P.O. Box 1179 Southold, New York 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Consemation Advisory Council held Tuesday, September 23, 2003, the following recommendation was made: Moved by Nicholas Dickerson, seconded b'y Madeline Brisotti, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH A CONDITION of the Wetland Permit application of ELIZABETH SENTELL to construct an addition to the existing dwelling, which will consist of three bedrooms and expansion of waterside porch. Located: 220 Lakeside Dr., East Marion. SCTM#31-9-16 The CAC recommends Approval with the Condition that the rock wall remains in place. Vote of Council: Ayes~ All Motion Carried Garrett A. Strang Architect 1230 Traveler St., Box 1412 Southold, New York 11971 Telephone (631) 765-5455 Fax (631) 765-5490 August 12, 2003 Mr. Al Krupski, President Southold Town Board of Trustees Main Road Southold, NY 11971 Re: Sentell Residence, East Marion, NY SCTM #1000-31-9-16 Dear Mr. Krupski and Members of the Board: On August 1, 2003, we respectfully requested that the Board give co~ which expired on July 25, 2003. AUG 1 3 Southold Town Board of Trust~ Earlier today, we were advised that we must submit two (2) new copies of your application, together with a check in the amount of $50.00, as the fee to extend this permit. The Trustees permit was the first of many we obtained for this project and all other agency permits are in place and current. We appreciate your consideration of the above. Very truly yours, Gan-eR A. Strang, R.A. Architect Encs. Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 July 26, 2001 Garret, A. Strang Architect PO Box 412 Southold, NY 11971 Rc~ ELIZABETH A. SENTELL 220 Lakevie~v Drive East Marion, NY SCTM#31-9-16 Dear Mr. Strang: The folloxving action ~vas taken by the Board of Town Trustees during a Regular Meeting, held on July 25, 2001, regarding the above matter. WHEREAS, GarretA. StrangArchitect on behalf of ELIZABETHA. SENTEL applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated May 8, 2001 WHEREAS, said application xvas referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and WHEREAS, a Public Heating was held by the Toxvn Trustees with respect to said application on July 25, 2001 at xvhich time all interested persons xvere given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar xvith 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 Town Code. 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, 2 NOW THEREFORE BE IT. RESOLVED, that the Board of Trustee approved the application of ELIZBETHSENTEL£ for a Wetland Permit to construct an addition to the existing dxvelling which will consist of three bedroom and expansion ofxvaterside porch with the conditional approval that the final footprint and or drawings be filed once the other approvals are granted. Also that the condition that the existing septic be filled in and abandoned. Drywells to contain roof run-off. Haybales during construction.. 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 project will expire two years from the date it is signed. Fees must be pai~l, if applicable, and permit issued within six months of the date of this notification. 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 when project is started and on completion of said project. FEES: NONE Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees A~K/cjc cc: DEC Building Department I 8 June 16, 2001 Town of Sonthold Board of Trustees Town Hall Southold, NY 11971 Re: Public Hearing, June 21, 2001 Permit for building expansion at 220 Lakeview Terrace, E. Marion, NY Applicant: Elizabeth Sentell To Members of the Board of Trustees: As property owners on Lakeview Terrace, E. Marion, NY, we are responding to a notice received from the office of Garrett A. Strang, Architect, Sonthold, NY, on behalf of his client, Elizabeth Sentell. The notice informed us that Ms. Sentell, property owner at 220 Lakeview Terrace, E. Marion, NY, has applied for permits which will allow for expansion of the structure on her property. As property owners who share lot lines with Ms. Sentell's property, we wish to express our serious concerns regarding this proposed expansion. Our concern centers largely on the fact that Ms. Sentell's property is only 28 feet wide - with very close proximity to the homes on either side. The expansion request as it stands will double the size of the existing structure - overwhelm the small lot - and we believe have a negative impact on both this neighborhood and on the environment. It is our sincere hope that the permit for this project will be denied. Thankyou for your consideration of this matter. Sincerely, June & Norman Woodcock, 160 Lakeview Terrace, E. Marion Genevieve Salminen, 320 Lakex;iff~ Terrace, E Marion ,., , JUN I 5 200 PO Box 357 145 Lakeview Terrace East Marion, NY 11939-0357 June 14, 200t Mr. Albert J Krupski, President Board of Southold Town Trustees Southold Town Hall Main Road PO Box 1179 Southold, NY, ] 1971 - 1179 Re: Public Hearing - June 21, 2001 Premises - 220 Lakeview Terrace, East Marion Applicant - Elizabeth A_ Sentel[ Dear Mr. Krupski: When Mr. and Mas. Walter Robinson asked his neighbors if they would support the subdivision &his property, it s',as vAth the understanding that there would be no garage or other buildings erected on the premises~ we agreed The cottage has neither basement nor central heating. The impact upon the environment is slight. The latest former ovmers, the Fergusons, installed a fireplace approximately 2 years ago; were denied a small extension on the roadside by the Town, but the small extension was supported by the neighbors. There is no comparison of the impact of a seasonal, small cottage into a 3 bedroom house with additions on the lakeside and roadside on a small plot of land on Marion Lake which is in distress now. The effluent from a year-round 3 bedroom house would flow into a cesspool which would be placed in a water table which is only l 5 to 18' deep. This is a proposed large house, at least doubling the size of the cottage, on a relatively small plot of land, long and very narrow. There appears to be only 3 or 4' between the sides oftbe cottage and the lot lines on either side now. I vehemently oppose the approval ofth~s permit under the provisions of the Wetland Ordinance of the Town of Southold Other lakeside dwellers, including the Bayleys, the Gaipas, and the Woodcocks have been denied expansion plans for their houses beyond the perimeters of the then existing house by the Town. Two of those houses are on plots much larger than that at 220 Lakeview Terrace. Thank you for your anticipated taking into consideration my thoughts in your deliberation of the matter. Francis A. Heroy Telephone (631) 765-1892 Town Hall. 53095 Main Road P.O. Box 1179 Southold. New Yo~k 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Tuesday, June 12, 2001, the following recommendation was made: Moved by Bob Ghosio, seconded bY Scott Hilary, it was RESOLVED to recommend to the Southold Town Board of T~:ustees APPROVAL WITH STIPULATIONS of the Wetland Permit Application of ELIZABETH A. SENTELL 31-9- 16 to construct an addition to the existing dwelling, which will consist of three bedrooms and expansion of waterside porch. 220 Lakeview Dr., East Marion The CAC recommends Approval with the Stipulations that hay bales are placed down during construction, a non-turf buffer is maintained, and that the eroding bank is restored. Vote of Council: Ayes: All Motion Carried 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 Office Use Only __~wOaStal Erosion Permit Application etland Permit Application Major Waiver/Amend m..,e~JC~ha..~ge s Received Applicatj~m: Received Fee:$ ~/) --' Completed Application Incomplete SEQRA Classification: Type ! Type II Unlisted__ Coordination:(date sen~ CAC Referral Sent: Date of Inspection: t~ Receipt ofCAC Repo)t: Lead Agency Determination: Technical Review: Public Hearing Held: Resolution: Minor S0utm)ld To~m B0ar~ 0t huslees Name of ~pplicant Address {~:1/ Phone Number:( ) Suffolk County Tax Map Number: 1000 - ~/~'0~)-/.~ Property Location: (provide LILCO Pole #, distance to cross streets, and location) (If applicable) Address: Board of Trustees Application Land Area (in square feet): Area Zoning: Previous use of property: Intended use of property: GENERAL DATA Prior permits/approvals for site improvements: Agency Date 21- 1 Z- __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspend, ed 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 Area of wetlands on lot: ~'~' square feet Percent coverage of lot: /o % Closest distance between nearest existing structure and upland edge of wetlands: ~'g> feet Closest distance between nearest proposed structure and upland edge of wetlands: ,4-~ feet Does the project involve excavation or filling? No ,/// Yes If yes, how much material will be excavated? ~a cubic yards How much material wilt be filled? ,d/.~ cubic yards Depth of which material wilt 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): Board of Trustees Application C'[,~: nty of Suffolk State of New York DFPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOYT DF SCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HERE [N ARE TRt 'E TO THE BEST OF HIS/HER KNOWLEDGE AND BEklEF, AND THAT .ALL. WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BF ',PPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HAR~LLESS AND FREE FROM ANY AND ALL DAMAGES .AND CLAIMS ARISfNG UNDER OR BY VIRTUE OF SAD PERMIT(S), IF GRANTED IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES. THEIR AGENT(S) OR RI- I'tLESENTATIVES(S), TO ENTER ONTO MY PROPEWI Y TO INSPECT THE PRFMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION S\\()RN TO BEFORE ME THIS ,/.~nature D A Y O F g/-./'~"RST" No'tary Public Barbara A. Strang NOTARY PUBLIC, New York No. 4730095 rJualified - Suffolk County ,-' .... ~ Expires July 31. z,~, -317.21 Appendix C Slate Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To ~e compie.'ed by Applicant or P'olect sponsor) 5. iS r-ROPOSED ACTION: PROJECT -SRIEFLY: ]1. the action is in the Coos:al Area, and you are a state agency, comple[e the j Coastal Assessment Form gefore proceeding with trhs a.s=.s, essmen: OVER i Albert J. Krupski, President James King, Vice-President Attic 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 SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of .......... ..... ;- .......... STATE OF NEW YORK) ECEIV : SEP 1 ~'~ 2003 AFFIDAVIT OF POSTING I, d'4~/~/f]~ /~g'~e:~,residingat /~'To /~--~b/&/_~,~-07 being duly sworn, depose ~d say: That on th~ay of~20~ I personally posted ~e prope~ ~o~ ~ by placing the Bo~d of Trustees official poster where it c~ e~ily be seen, ~d ~at I have checked to be s~e ~e poster h~ remained ~ place[or ei~t dO~gfior to ~e ~te of the public Dated: ~//I ~, /~' (¢~ature) Swom to before me this / t7/~ day o fi:f~'~200.~ Notary/Public Barbara A. Strang NOTARY PUBLIC, New York No. 4730095 Qualified - Suffolk County CQmm. Expires July 31 2ooJ, Garret A. S ang Architect Augustl, 2003 1230 Traveler St., Box 1412 Southold, New York 11971 Telephone (631) 765-5455 Fax (631) 765-5490 Mr. Al Krupski, President Southold Town Board of Trustees Main Road Southold, NY 11971 Re: Sentell Residence, East Marion, NY SCTM #1000-31-9-16 Dear Mr. Krupski and Members of the Board: We respectfully request a one year extension of a permit issued by the Trustees on July 25, 2001, in order that my client can commence with construction, which has been delayed due to conflicts with the contractors' schedule. Enclosed is a check in the amount of $10.00 for the renewal fee. Thank you for your courtesy and cooperation in this matter. Very truly yours, Gan-eR A. Strang, R.A. Architect Enc. AU[5 - 4 2003 SoutholdTown Board of Trustees Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 SouLhold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application ~"~etland Permit Application Major Waiver/Amendment/Changes '"'l~eceived Application: ~,,"Received Fee:$ ~'~ ' ,,-'Completed Application Incomplete SEQRA Classification: Type I Type I[ Unlisted Coordination:(date senti. '"'CAc Referral Date of Inspection:~,/(~__ Receipt of CAC Report: Lead Agency Determination: Technical Review: Public Hearing Held: Resolution: ~" Minor Name of Applicant Address Phone Number:( ) Suffolk County Tax Map Number: 1000 - Property Location: A,?~ ?t~ d (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: 'V'd~' f)~× H/I~ cAo,~FHo,-o f~' I1~"// Phone: Board of Trustees Application GENERAL DATA ,~-¥/~ Land Area (in square feet): Area Zoning: Previous use of property:. Intended use of prope~y:. Prior permits/approvals for site improvements: Agency Date v//No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspende/cUoy 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: J£a, wc.,_: ~:~ h. ,~,~ ~-/,~(. ~,c~ Area of wetlands on lot: ff-¢~> square feet Percent coverage of lot: /'-' % Closest distance between nearest existing structure and upland edge of wetlands: 6, tv feet Closest distance between nearest proposed structure and upland edge of wetlands: 5~S- feet Does the project involve excavation or filling? No '~ Yes If yes, how much material will be excavated? _~o cubic yards How much material will be filled? ..o/~. 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 deposited: 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): Board of Trustees Application County of Suffolk State of New York :-. _ _,- ,x, c,~/c:., .' c c:.- 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 1N CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS ~ ~ DAY OF ,20 ~/ Nbtary Public '~' 617.2.1 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART f--PROJECT INFORMATION (To be comple.'ed by A~oHcant or Project sDonsorl SEQ 1. APPDCANT /SPONSOR 3. PROJECT LOCATION: Yes ~ NO If NO. describe ~rmfly ~ Res,den {iai ~,!naustrlal I~. Commercial 10. DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING. NOV/ OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY [FEDERAL, STATE CR LOCALLY [] Yes I~ NO [f yes, list agency(s) and permitlaoDrovals ~ 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes' [] No If ,les, ;isl age.c,/ name and ~erm~t/aDoroval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MOOIFICATION? EYes ~]No the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this as~s, essment OVER I , Yes LJ NO PART iII-.;"~TERMINATION OF SiGNIFICANCc- ~To ~e compte£ed by Agency} occur. Then groceed ,2Jrec',l'/ .'.o :ne FULL ~&F ~na)or prepare a oosidve dectaradcn. LETTER OF AUTHORIZATION RE: Pr~!ses, Lakeview Drive, East Marion, NY SCTM #1000-31-9-16 I, ELIZABETH A. SENTELL, of 6411B Minola, Houston, TX Hereby authorize GARRETT A. STRANG, ARCHITECT to act on my (our) behalf(s) when making application(s) to New York State, Suffolk County, Southold Town and any other governmental agency in connection with the above reference~ pr~m~ses. Date: g/%/~_~_~(~ ~2 ~ , 2001 ELIZABETH A. SENTELL Sworn to before me this Day 200 . '.Notary Public State of New York JANET E. STAPLES NotaPJ Public, State of New Y~I~ No. 4831949, Suif oJ~ Co~a'~ t 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 BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of ........ COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING · residing at ~c~ being duly sworn· depose and say: That on the /~ day of,7,/-,c , 200~, I personally posted the property known as 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 hgaring.,Dake of hearing noted thereon to be held ~(~ Sworn to before me this day of J~3^;e 200 Notary Public · Barbara A, ~trang NOTARY PUBLIC. New York No. 4730095 Qualified - Suffolk Oounh, Comm. Expires July 31, The ToWn of Southold's Code of Rthics prohibits eontlicts n~e~res~ on the part of town officers and employees. The purpose of this form is to provide information which cal~ alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. 'iL,et name, [trst name, m---[~die ini%~el, Unless you ace applying in the name of someone else or other entity, such as a company. If ad, indicate the other person'~ or company's name.) Tax grievance Variance Change of zone' App{pval of plat Exemption from pi. at or' offic[al map other -- (If "other," name the parent, or child) have a relationship with a.y officer or employee of tbs Town o~ Southold? 'Relationship- includes lntereet" meane a buninee., includin~ a partn~rehip~ in which the town officer or employee hae oven a partial ovnerebip of (or employment by) a corporation in which ~he town officer or employee ownn more than 5% of the YES --.X -- NO _ If you answered "YES," complete the balance o~ ~hi~ ~orm end date and ni~n -here indicated. Name of person employed by the Town Title or position of that person Deeorl. be the relatlonahip between yourself (~hs applicant) and the town officer or employee. Either cheek the appropriate line A) through D) and/or describe in the apace provided. The town parent, _._C ) ~ ..D) officer or employee or hfs or her spouse, sibling, or child is (check all that apply)~ the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant ia a corporation)~ the legal or bbneficial owner off any interest in a aoncocporate'eetity (when the applicant ia not a corpocation)l an ~ffteer, director, partner, ~r employee of the applicantl or t{l~ actual applicant, DESCRIPTION OF [~ELATIONSIIIP ~" '" '' APPROVED BY BOARD OF TRUSTEES TOW._.~.N O__F SOUTHOLD ?ATE ~uL NOTE: THIS SITE PLAN WAS PREPARED WITH INFORMATION TAKEN FROM A SURVEY MADE BY JOHN C. EHLER$, LICENSED LAND SURVEYOR, RIVERHEAD, NEqN YORK, DATED: MARCH 22, 1000 SITE SITE AREA TAX MAP # ZONING FLOOD ZONE USE Existing Proposed BUILDING AREA Existing Proposed Addition TOTAL LOT COVERAGE Existing Proposed OWNER GARRETT A. STRANG architect 1230 Travel.er Street Southold I~.Y. 11971 631 - 765 - 5455 DATA .12 ACRES - 5,418 SQ. FT. 1000-31-09-16 R40/RESIDENTIAL "X" (OUTSIDE 500 YEAR FLOOD) SINGLE FAMILY DWELLING SINGLE FAMILY DWELLING 557 sq. R, ~_8 sq. ft. 1,0B5 sq. fl. 10% 20% ELIZABETH A. SENTELL 6411 MINOLA HO:JSTON, TX 77007