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HomeMy WebLinkAboutTR-5110 . . TERMS and CONDITIONS The Permittee P.O. Box 278. Mattituck Charles & Ellen Hagerman miding at patt of the lowing: N. y ~ as consideration for the issuance of the Permit does understand and prescribe to the fol- 1. That the said Board of Trustees and the Town of Southold are released from aJJY and aU damages, or claims for damages, of suits arising directly or inclirecdy as a result of aJJY opa-- adon performed pursuant to this permit, and the said Permitcee wiI1, at his or her own .....pease. defend any and all such aJÍts· initiated by third parties, and the said Permittee ..,......., full liability with mpect thereto, to dte complete exclusion of the Board of Trustees of the Town of Soathold 2. That this Permit Is valid for a period of 24 mos. which Is considered to be the estimated time required to complete the work involwd, but should circumstances warrant, request for an extension may be made to dte Board at a later date. 3. 11,at this Permit sbould be retained indefinitely, or as long as the said Permittee wishes to maintain the stntcture or project involved, to provide evidence to anyone concerned that andt- omation was originaUy obtained. 4. That the work involved will be subject to the. inspection and apptoval of dte Board or its agents, and non-compliance with the provisions of the originating application, may be cause for revocation of this Permit by molution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein aùthomed. 6. That there sball be no interference widt the right of dte public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alteratInns in the location of the work herein mthorized, or If, in the opinioo of the Board of TrusteeS, the work shall cause unreasonable obstruction to free navigation, the said Permittee will be requUed, upon due notice, to remove or alter this work or project herein stared widtout espenses to the Town of Southold. 8. That the said Bnard will be notified by the Permittee or 1he œmpledon of dte work mdt· orized. 9. That the Permittee will obtain all other permits and consents dIat may be required sup- plemental to this permit which may be subject to revoke upon failure to obtain woe. . . Albert J. Krupski, President James King, Vice·President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-18$2 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 25, 2000 Mr. & Mrs. Charles Hagerman P.O. Box 278 Mattituck, NY 11952 Re: SCTM#116-7-3 Dear Mr. & Mrs. Hagerman: The following action was taken by the Board of Town Trustees during its regular meeting held on February 24, 2000 regarding the above matter: WHEREAS, CHARLES & ELLEN HAGERMAN applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated February 3, 2000, and, 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 February 24, 2000 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 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 approve the application of CHARLES & ELLEN HAGERMAN to clear the property within 75' of the tidal wetlands with the condition that the property be re-vegetated and that the footpath is not to be disturbed. Haybales are to be placed down on the landward edge of the foot path 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 and complete project will expire two 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, &a.../~ /~.~. Albert J. Krupski, Jr. ~ President, Board of Trustees AJK/lms cc: Building Dept. Health Dept. . Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda . Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-18.'12 Fax (516) 765·1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application ~Wetland Permit Application =Gr';indfather perm~t APplicatio'íí íJ.' í'\ .··ì _walver/Amendment/Cha¡,geS œ Œ @ Œ u<3J~lì ~ece~ved APplicatior;.:.AJ~ DO E <,I" Recelved Fee: $ IS'O ì;; ì .......Completed Application ól..J.tJf10 FEB 3 - 2IXXJ ......J Incomplete ." ....,3 SEQRA Classification: . TOWN Õ(S"UTHnLD· Type I Type II Unllsted v... Coordination: (date sent) ---- CAC Referral Se~t: ~~~~ -'Date of Inspectlon: Receipt of CAC Report: L__Lead Agency Determination: I Technical Review: ,....... Public Hearing Held: ~/; ,"'/~ Resolution: I ~ Name of Applicant QCVV',~J <I- ~ JI~,~ Address f O. ßOx . c2 'f t / /1Ztt$~.-ki)}~ / /fS.).- Phone Number: (to.3/) 73'/- f.l-.3.;L Suffolk County Tax Map Number: 1000~- //&-7-3 Property Location: ;(ð-ot 30 ì?1* ~~~~:..,¿) lJ?~ ¡provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: FAX#: 1 ~d of Trustees APPlicatio'" GENERAL DATA Land Area (in square feet): ..}.¡ e-....¿ /.; 5' / !?ß«JL /.55 Area Zoning: R - '10 Previous use of property: VÍlCItIJ f Á-/t¡J6 .-fJ £,¡¿¿( .33/ / v Intended use of property: ~:NG/~ ¡::~IY\'/ý I/oM"'- .3 CfT/!. (]1tt?It&é .¡ I<ho^ ReI/I! j)e",L Æ.Jhfh.ó-1leA / Prior permits/approvals for site improvements: Agency ~ \ 13'-1 ¡/diAl,; lJe-p-t #$7,),.8'1.) IJ. £ <:...- , AJ 0 ¡J ,.]ú¡:'þ¡, f¡,d/ (ui! ßO/fIUJ of 7Íètt-S, fee' " Date /2-,¿7-'l'j N()"",;' JU£fsf,'ch·o-v )/0/.)£ :it< ¡(Is flc f/ð,J No prior permits/approvals for site improvements. Has any permit/approval ever been governmental agency? revoked / No or suspended by a Yes If yes, provide explanation: Project Description (use attachments if necessary): f!tJ!J.sftZu.~t SÎNG/"" nrn,/'f ffome. f2. /~ ({¡(IN C, 0 S '¿f/ldtJ úJ / ff¡ II-! 16 f -f _ 2 B~d of Trustees APPlicatio~ I , WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations:JeSI¡)G¡¡JhA-L (I/eff/( iU / IIJ IN IJ 5' Ç-¡ . Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance betw~~ nearest existing structure and upland edge of wetlands: ~ feet Closest distance between nearest proposed structure and upland edge of wetlands: It? r 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: c? feet Proposed slope throughout the area of operations: /of-f Manner in which material will be removed or deposited: ;Y/ II- fe-t..i¡¡'1- It) {) I¡' e,D a R O{ÁIJ (j (}AJ /of- 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): 00/ L /YJO v' é:.-f\ '+' j~I/¿le<i Oct.--\- 3 '.4-~6·4 (2187)- ip.x{ 12 I PROJECT 1.0. NUMBE" . . 617.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISiED ACTIONS Only PART I-PROJECT INFORMATION (To be completBd by Aoplicant or Project sponsor) SEa 1. I 2" ?AOJEC7 NAME E'l<mA,.) "¿O f 30 Municroalilv aunty S t( ffo I 4. PRECISE LOCATION (Street address anCl rClad inlersections, prominent lanClmarks, etc.. or ¡:)rovlCle map m IT+!- i</:-tU:.J:.__ J. ¿of-.3o Ih¡.¡1 <¡:, (!,Red<.. L1R(v'~ , 5, IS ?AOjtOSED AC7~N: rv:~ew U Exoansion o .'.1oaificationlatl'!raUon 6, DESCRIBE ?ROJEC7 3AIEFLY: r: ON£. rRfÆ¿r¡,o('o.) C..J e.Q f.- 3.s- f+ o f s ,'/J Gte Flfm' {i Ho tYlF r 7 I 3. AMOUNT OF UNO AFF;CTEù: initiaily acres UltimateJv ac~es W~.=ROPQSED ACTION COMPLY 'NITH ,:X¡SìJNG ZONING QA CTHE,~ 2XISTING L..A.NO USE ?2SïMJC7ICNS? ~ Yes fÏ No If No, describe briefly i 3. 'IJH is ?RE3ENT :J¡.,Nù US::; iN '/lC:NITY OF ?ROJECT? ¡ ~ ! '........: ResIdential L-!.!ncusHiai ~ Cûmmerc:aJ Je~cr!oe; L ":'gricu!:ure '-": P;¡rK/ForestlOoen ,cace '_Oiher ·'0. DOES AC7rQN INVOLVE A ,:OSRMIT APPROVAL. OR FUNDING. ~OW OR ULT1MATELf !=ROM ANY OTHER GOVERNMENTAL AGENCY (F=::ERAL. SïAT~E I~~ LOC;..L:? " . ~'~s L...J No If yes, !is: agency(sj and oermillaoorovaJs -5é.1)ffS- tùtrfeÆ.St¡pPlý 4- Se-u.JfH~e. d..,,·.s.eo.:s.ItL 1V:1.s.D.£.~. ¿iG.¡-fe..e.- Ð~ AJOtJ e".0 LtR IS d/cA1oAJ 11. DOES ANY ASPECT OF THE ACT1or~ HAVE A CURRENTLY VALJO PERMIT OR APPROVAL? fSt Ves· 0 No !, '{f!s. list acency name and permlt1approval ðofivR.P 0')- TR.íA.S. t-EES, D.ß:!-- > .Soll-Ho Jd 13",/' diNG¡ -- 12. AS A RESuLT OF PROPOSED ACìlON WILL :::;</STING ?ERMJTIAPPROVAL ,~EQU RE ,'.100IFlCAïiON? gy~S fÏ No I CEiiTIF"( THAT THE INFORMAT!ON PROVIDED ABOVE IS TRUE 7'0 THE 3EST OF \-IY KNCWLEDGë Applicant/S¡:Jonsor name: þ~ Ji. ð'ÂflXfi'IL/ ,t; / / ê-¡J 1/ IJ f, e-,2ß, If ¡,J Dale: ,,2.-..1-0-0 SIgnature: If the action is in the Co<:!stal Area, and 'fou are a state agency, complete the Coastal Assessment Form before proceeding with this a.~~essment OV:ôR PA.í=\T lI-;""=N'JIRO~JMENïA' .SSME;'Jï.; 0 je ç;:r.;=ietea J'I ,~çer;C" . "". ''::CES ;"C7:C:-.l =;(C2~: ':'NY ",..1:, -:ï·.,¡::.S,.si-:CLJ :N -) .T~C;:::.;:;. ~ .:..F:ï 5, ì. .:? ,I 'Ies, .:~crC:lnat9 :ne r~vt~w ::rce~S:3 ana 'J5ð :r.e ,=:..'L:.. :::~,= :';"<')5 ¡- ,\10 3. 'NILL..:..C7;CN .~e-:2:iVS:::CP.OINA';";:':J ~E1/IEW,.:.,5 .::~,C'./!OE:J ~':R '.JNLS;-~;:} .:..C7¡CNS iN 5 ,\ '(C::!R, :I!~'::;7 -3,7.57 ,,,ay ~e sucersedec ::.y !nct:~er ;nvOlvea açenc'!. ,I ,'40, 3. :1eç3.t:·¡e -:ec:ar:¡ LY~s ~:-40 '-'. C::ULD .':"C7iCN ~=SUL7 ,1'04 ANY ;"OYE¡::;SE ::'~:==-:75 ASSCC:;.,7=:J ,VlïH -:-:=- .=·JL:....:'N!i'lG; :;.ns.....ers :~av:e ~'lanC'HrH:e!"'l. ,/ ;eçlbl~1 C1. S'(is,ing air clJality, :sunaee Jr ~rowna'NaCer ::ualitYJr ::want!ty, ,101se ~e'/~!S, ~x:S:lng ;:-aific :anems. sOlie: .vas:e JrCCl.:c::::::n ~( JJs~:: ;lo!enUal for ~ros;on. ;:ratnage or :looC:inq ::roc!ems? '::"'to!aln ~rieity: C2. Aes!hetlc, açric:.Jltural. 3.rc:":aeoloq!CaJ. :1is¡cnc. :Jr::Hr~er ,1at!Jral ::Ir c:Jltur3.1 ...~sourc::,s: or .':::Jmmunlt'{ or ;,eu:;:1Ccrnocc: .::-:arac:er? ~claln v' "" ~". I/eç!!tatlon or :auna. :isn. snelltlsn or 'Nliclila ~pecjes. ~1I:;nlfìe.ant ..,aollats,:;r :nre3cene<;lor ~ncançere'J zcec:es? Stclaln ,rierly: Cot. A ccmmunl('(s ¿xis,:ng ;llans or ·;oais as oit!c:aHy :¡cooted. ~r a cnange in usa or intensity at usa at ~anCl crotner natural ,esourcs57 :.'tolaln :: C.5, Growrn, sucsecuent =e'lelocrr:en!. or retated ac::vl[leS ~¡ke y (0 be rnduce'J 'Y ~ne ::rOOCSaO 3.c:ion? =.x¡Jra¡n .::neilv. cs. I~::ng :erm, 3ncr: :erm,.::.¡muiauve, orJlner ;!f1ec:s "ct ,centiiied i-n C-:·(;.5? =.,<:olam :'Irle!!y. ...... --::t:-¡er :moac:,z dnc:;Jc:nç :::-:anç:es In 'Jse of ~!ther Juamity .;Ir :ype or :nergy¡? S'<:Olaln .::rietly. J. S ;-~E:::E. ::R:S 7""E";::;,.E '_;X::::!...'f 70 :iE, :::~IÏ:=ìCVEFS"( =:E..A7S:1 ;-0 ?QT::::N7¡;"L ":'CV:::!SE ~!'IV!RCN,',¡\E~jï;'L :MP,,),C7~? _ '~es ·_,'10 r '~es, ~xc!ain ::::rrerlv 7.1.~~,7 iJl-ùE7ERMINAT1CN '::J""F S¡GNI¡:IC~NC::; í7a Je CQlì':cjeted 'JY Agency) !NS7;::¡UC71CNS; Faf ~3C:\ aQ'Ierse :!!fec': ~dentitieo :lCC'/e, j!termine wnetner it is sucstantial, large, :mccn:ant cratJ"lerNise sígnitic ::::'C:1 3ftec: si'louid be assessed in c::Jnnec:ion with its {a) setting ',Le, urtan or rural); (0) ;JfoCac¡lity at QCC~-Wg; (c duration irre'/ersloility: (el geogracnic .3c~ce: ana {f} magnltuce. If :1ecessary, add attachments or reterence supporting materials. ;:1sure ~)Cc analjcns contain 5utfic:ent ce.Iail to snow that ail ie!e'lant adverse imcacts have been identified and adec:uateiy accressec. C:-ïecx ,his::cx if 'fOU have idemifiea ane ar more ;Joten(iaJly larçe or significant a.C:'ersa ¡moac~s whic:1 ,t.1A· OC:::.Jf. Then :Jrccesc airec~!y :0 :t1e ,=ULL =Ar 3.nc/or preoare a positive' declaration, C;;ec:< ~t1is jOX :t 'fOU have ,je!ermjned, ~ased on the informatian and analysis above and any SUODOftj¡¡( doc:.:menratlCí1. :11a! :11e :JrOQosao aC=Îcn WILL ~~OT resuit in...i!-ny significant adverse envifcnmental imcac=: ÀNO:rcvtce '::n a.!!aC:1ments 3S .,ec~ssary, che :"easons supconing thIS determination: .....",,'I! .11 ..o.:'.HJ ....,<:n(·' "'"nl.J1 "t.J~ '-'.,I"!!' :'II 'L".:10n\,o¡~ '...;n C~f .1"1 '.",,,0 .~';t:nc'/ : .O~ ';)1 ..(,,~oon~IO ~ W!!'C~f :1\;n"'¡!Ufe',1 '~~con"OII!' ''::r:L(~r ,(\ .~.H:: .....;ènCy )',<"4:ute H ,,......~.!.t~r ~Ir ..: r:l!'r~nt ram 'I!',aon\lo,<! .Jrr'Ctfl J,,(C o . . NOTICE TO AbJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: Ch/M/cs ~£//el'0 #1id,CR.rnn<.J SCTMiFlOOQ- //&-7-3 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: /!Ju.,'/d s¡IJ(jle fAirlJf ;!OU.-SE cf-e.Je(¿~ 3S'~-+. 2. That the property which is the subject of Environmental Review-is located adjacent to your property and is described as follows: ,(o f 30 ¡/¡¡lls r!ReeK-. 6r¿'J~ D fYlft-f-Hfl.l¿t 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~.';2i.~n>O You may contact the Trustees Office at 765-1892 or In-~ting. 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. OWNERS NAME: £//e.-N !/iI--1££t'Y)fffJ MAILING ADDRESS: "/'.0. Ao)( ,;l·7g'· rn4HI fll.-c.K IJ y /(9.:;a.- PHONE it: !c31-' ?'.3<1 -1.23;µ Enc.: Copy of sketch or plan showing proposal for your convenience. .s Be. of Trustees APplication. AUTHORIZATION (where the applicant is not the owner) .~ I, (print owner of property) residing at (mailing address) do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (OWner's signature) Jþ 8 BO~ of Trustees APPlication4IÞ County of Suffolk State of New York E IleAl )f¡flJ e'R. tYJ 11 U 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 APPLI CANT 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. BEING DULY SWORN SWORN TO BEFORE ME THIS d~ /.JLvv..ßi ~c~ . Signature ð - DAY OF ~.~ ~ dCOO ~' - ~~~.c~c_-~.~ Notary Public BARBARA ANN RUDDER Notary Public, State of New Yortc No 4855805 Quelified in Suffolk County Commitlion Expirtl AprJl14,~o 7 . . Telephone (516) 765-1892 Town Hall. 53095 Main Road P.O. Box 1179 Southold. New York 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Tuesday, February 15, 2000, the following recommendation was made: Moved by Ken Meskill, seconded by Richard Smith, it was RESOL VED to recommend to the Southold Town Board of Trustees DISAPPROVAL of the Wetland Permit Application of CHARLES & ELLEN HAGERMAcl\! 116-7-3 to clear property within 75' of the tidal wetlands. 465 Hall's Creek Dr., Mattituck The CAC recommends Disapproval and requires that the natural vegetation be restored to the pre-existing conditions. Vote of Council: Ayes: All Motion Carried . OJ>]/,,/L''_''_'~~ .1."" "lIfFDL v "~c ~vss."" ~t'~,>".. f§ ~\;', => """ ~. Q " en :c: ,-':' . 'ð. ~¡ \~ ~'t-. v·"o.¡ + -+.~ . EUZABETH A. NEVILLE TOWN CLERK Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (516)765-1823 Telephone (5161 765-1800 REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER mt~: :~<'ìJ T \ .- --- I APPLICATION FOR PUBLIC ACCESS TO RE f.'. OF SOUHi:Y [':1 -. : OFFICE OF THE TOWN CLERK TOWN OF S01JTHOLD INSTRUCTIONS: Please complete Section I of this form and give to Town Clerk's Office (agency Freedom of Information Officer). One copy will be returned to you in response to your request, or as an interim response. ------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------- SECTION L_______- ~Ilv- i._y, /' TO: ,. .',J Itt·L,> (Department or Officer, if known, that has the information you are requesting.) RECORD YOU WISH TO INSPECT: (Describe the record sought. I f possible, supply tax map number, and any other pertinent information.) C') ((ì I { ({ ((I/{ (lK -; - - (J)//{¡ di flC, 11 /((( ..- ///--} -:3 . / Printed Name: \.... Signature of Applicant: ..~ Address: Mailing Address (if different from ,above): / Telephone Number: 9{·¡':jL/-5!iD{ Date: }/;r.;1rc ======================================================1===l~======================== [ ] APPROVED [ ] APPROVED WITH DELAY* ~~ktlt2 ~ ~eth A. Neville Freedom of Information Officer [ DENIED* "I'CEIVED FEB 1 5 2000 ...."'/'IOld IiWft Clertc * If delayed or denied see reverse side for explanation. .", ~ . NOTICE . Police Dept. - Bay Constable Town of Southold Peconic, New York 11958 NOTICE OF VIOLATION Date: ------ ------- - .----, 19-':":"'-- . -,: ' . To: ----~~~-~~--_________~____________________________________________ (Owner or authorized agent of owner) . ',. , Address·-.:..:...:....;..---:...--.:..~-_~__~_______________~___________________________ . (Address of owner or authorized agent of owner) Please take notice there exists a violation of the Code of the Town of Southold, Chapter 97 Article------------ Section-------------- at premises hereinafter described in that----------.:..----_.:..____________ ~-~---------------~---------------------------------------------------- -- -...!- -- ;;.....:.0.,;.,..- __ ____ __ _:.... ....>..:........:. ~_L _ _ _ _ __ _ __ _ _ ___ _ _ _ __ __ ____ _ __ __ ___ __ _ _ _ __ ____ You are therefore directed and ordered to copply with the follo\1ing:------------____~____________________________________________ ----------------------------------------------------------------------- ----------------------------------------------------------------------- . - ----------------------------------------------------------------------~ "/ , ----------------------------------------------------------------------. on or before -----------day of ---------------_, 19------- The premises to which this Notice of Violation refers are situated at: ---------------------------------___________________~rown of Southold, Suffolk County, N·.):. (Suff. County '¡'ax Hap DesiCjnation: Dist. Section:-------~---Block:-----~--Lot:-------~ Failure to comply with the applicable provisions of the law may constitute an offense punishable by fine or impriso~ent or both. NOTICE:. You have the right to apply for a hearing before the Board of Trustees of the Town of Southold, provided that you file a written request with the Clerk of the Trustees within 10 days after service· of the Notice of Violation. Such request shall have annexed thereto a copy of the Notice of Violation upon which a Hearing is requested and shall set forth the reasons why such notice of violation should be modif ied or rescinded,. Bay Constable, Town of Southold, NY . . Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Sôuthold, New York 11971 Telephone (516) 765-18112 Fax (516) 765-1823 ... BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DETERMINATION OF NON-JURISDICTION DATE: Decem her 7" 1 qqq AGENT: Youn... & Younf! APPLICANT: Charles & Rile" H"gerrnan ADDRESS: 400 Ostrander Ave ADDRESS: Harbor View at Mattituck Riverhead NY 11901 PHONE: 727-2303 PHONE: RE: SCTM# 116-7-P/O 3 The Southold Town Board of Trustees reviewed the survey dated and received in our office on Dec. 6. 1999 and determined that your proposal to construct a sing'le fami1y nwp.ll;n~ with .;::.pptir c::yc::.tpm ~nrl r1"';",Tøur~~T I to be out ofthe Trustee Wetländ Jurisdiction under Chapter 97. However, any activity within 75' of the Wetland line requires a permit from this office. This determination is not a determination from any óther agency.. If you have any further questions, please do not hesitate to call. Sincerely, éàta.lt(. /~.~. Albert J. Krupski, Jr. President, Board of Trustees AJKI YOUNG & YOUNG Planning, [nginwlng & land ~utveglng 4-00 Ofttandet Avenue Rlvethl!lld, New Yotk 11901 . . 6œ 9 -'ÿ<1 .. j ~ J, To'o,ho.. (5161 727-nOg ~o.dml/. (516) 727-014-4- ,ii J , ~l HOWARD W. YOUNG, Lond gUrY.YOt THDUM: C. WOL~RT, l'toIeutono' ~ng¡..." JOHN gCHNURR, Lond g"".yOl December 3,1999 Board of Trustees Town of Southold 53095 Main Road P.O. Box 1179 Southold, New York 11971 RE: CHARLES R. HAGERMAN & ELLEN M. HAGERMAN PIO Lot 30, "Harbor View at Mattituck" At Mattituck, TIO Southold, New York (99-0576) 'S c- 7,1'1 #- 116 - 7 - ¡<1 /0 ~ Dear Members of the Board: Kindly issue a letter of non-jurisdiction for the proposed construction of a single family dwelling and related structures at the above referenced location. Enclosed are three (3) prints of the Building Permit Survey dated August 31, 1999, for your use. Please note that all proposed construction is situated more than 75' from the landward limit of the tidal wetlands. If you have any questions regarding this matter, please do not hesitate to contact us. Very truly yours, jt/t1!/lt-M C, IA/~ Thomas C. Wolpert, P.E. TCW/ln Ene!. cc: Charles R. Hagerman Bob Hine .. APPLt(!AN'l' . TRlWSACTIONAL DISCLOSURB FORK The Town of Southold's Code of ~thics prohibits cbntlicte of interest on the part of town officers and employees. The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. tOUR NAHBt :",:;;~{: ~,):: :.::.:;i1_::k~'~., \ e Last name, first name, m ddle you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person's or company's name.) NATURB ot APPLI(!ATIONt (Check all that apply.) ":·:.:>~V~;, ,~. " f~' Tax grievance . variance ,/ change of zone________ ^p.p~~al of plat . Exe~ption from plat or official map other (If "other," name the activity.) Do you pereonally (or through your cö_pany, spöuøe, sibling, parent, or child) have a relationship with any officer or employee of the Tovn of Southold1 "Relationship" includes by blood, marriage, or business interest. "Ousiness interest" means a businens, including a partnership, in vhich the town officer or employee has even a partial ovnership of (or employment by) a corp.oration in which the town officer orJPIOyee ovno more than 5% of the shares. YBS NO . i·' If you answered ·YBS,· complete the balance nf ~hìä form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself (ths applicant) and the town officer ør employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, A) 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 is a corporation), B) the legal or b~"eflcial owner of any interest in a noncorporate'entity (when the applicant is not a corporation) , c) an officer, director, partner, or emplbyee of the applicant, or D) the actual applicant. " " DESCRIPTION OF RELATIONSHIP _,. > ,', ""; ·.k.~ '. " . ,~ .', " ... .'of . 1,,' ~.,..",'~!'.... ~_ ¡i ," ,. ", ~. ,,~;: ~~. ' , , ~ '''I' " - -1'. ,,~, ',_),:",-,~;.,,;,;_.:! :.,":"':": ¡ HhftjHë~,i{ ~ :::~~·i:,~~~':1r-·,::,~': '¿t:~d~~f", submitted thlll .c2.: dltt' øl:',ð¡)... ~.. ., . Signature ~.Ji-i::ifjf!::!~::;-:.: Prl nt nam~..fl/~i). fM'~ff-L~r!.>;~:.~:j\~i:U:., .,<,~.;t·':i':'lk~~~~~J:kj'~~\.·· , ,): T:Çk~";." 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