The URL can be used to link to this page

Home My WebLink AboutTR-5017 Board Of Southold Town Trustees SOUTH OLD. NEW YORK PERMIT NO. SO / 7 DA TE:J.µly 1. 199.9 ISSUED TO m. ...ß9!3ER:r...~DJA1''¡E: SCHROEDER. Autqnrilntinn Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893: and Chapter 404 of the Laws of the State of New York 1952: and the Southold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS 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 Board adopted at a meeting held on M.ª-y..26,....l.999 19.. 99, and in consideration of the sum of $)~Q,.QQ. paid by Robert & Diane Schroeder ................. of ..... u?().'l1Jh()lci N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Southord Town Trustees authorizes and permits the following: Wetland Permit to const. a single. fam. dwell. with septic syst. & well with condit. that there be a 30' setback from rear pond, a 50' build. envelop on front of house, no grading or filling tie do .. near & around. ponds, oI}ly the area of the septic system. & hous can all in accordance with the detailed specifications as presented in the originating application. . limited grading be done, & the driveway to come off of Rene's Drive. IN WITNESS WHEREOF, The said Board of Trustees I¥!re- by causes its Corporate Seal to be affixed, and these presents to be subscribed by Is . majority of the said Board as of this date. ~ÞJ7 ...~....~. Tnu~es . J . ,fr~ .1i.~.~ ,. ~'Ii§ ~ ;::, ;...c:.¡ co . CI.I "", 'ð ~. \~. ~(;:,~} "",~'Q./ . i'#,Y '-Q;>....~,::-,{L--iL . 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) 765-1S,2 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July I, 1999 Shepard M. Scheinberg, Esq. 1 Union Ave Aquebogue NY 11931 Re: ROBERT & DIANE SCHROEDER SCTM #54-6-4.3 Dear Mr. Scheinberg, The following action was taken by the Board of Town Trustees during a Regular Meeting, held on May 26, 1999, regarding the above matter: WHEREAS, Trustees Ordinance 1999 and, ROBERT & DIANE SCHROEDER, applied to the Southold Town for a permit under the provisions of the Wetland of the Town of Southold, application dated April 27, 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 May 26, 1999, 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 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, REGISTRAR OF VlTAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER <ý4~FOL;~ ^jY~-':.~ ~. Ni§ ~~ ã :"'f~' CI.I "" 'ð. ~, ~'Q ,...(;:,~ ..;} './ + ~'\> ,1 . - ELIZABETH A. NEVILLE TOWN CLERK Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax(516i 765-1823 Telephone (516) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION FOR PUBLIC ACCESS TO RECORDS 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 ~I. , ! TO: \. VU S. \;z.- 5 (Department or Officer, if known, that has the information you are requesting.) RECORD YOU WISH TO INSPECT: (Describe the record sought. If possible, supply date, fil.: titlel' ta~mber, land any other pertinent information.) '. vV'7 \µ, '5 v:c ~ ~ 1 +- /060 - ç-C(- ¿ - c¡, ~ Printed Name: Signature of Appl Address: Mailing Address (if different from above): Telephone Number: d?f~s-:Ç 3 ") Date: / IJ-j~~ () I ==================================================================================== [ ] APPROVED [ ] APPROVED WITH DELAY* [ ] DENIED* IlECEIVED ~aJdlfl7:/euil¿ Eliz eth A. Neville Freedom of Information Officer DEC 1 4 ?OlIO -,,'hOld llilWn Clerk * If delayed or denied see reverse side for explanation. . . NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approves the application of ROBERT & DIANE SCHROEDER to construct a single family dwelling with septic system and well with the condition that there be a 30' setback from the rear pond, a 50' building envelop on the front of house, no grading or filling be done near and around the ponds, only the area of the septic system and house can limited grading be done, and the driveway to come off of Rene's Drive. 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 proiect 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, tlarvJl-Ç2 ~ 9., Albert J. Krupski, Jr. President, Board of Trustees AJK/djh cc. DEC Dept. of State Bldg. Dept. Health Dept. . . Telephone (516) 765-1892 Town Hall. 53095 Main Road P.O. Box J\79 Southold, New York 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Monday, May 24, 1999 the following recommendation was made: Moved by Scott Hilary, seconded by Richard Smith, it was RESOl VED to recommend to the Southold Town Board of Trustees DISAPPROVAL of the Wetland Permit Application o'ROBERT & DIANE SCHROEDER 54-6-4.3 to construct a two-story house and garage. Soundview Ave., (Rene's Drive) Southold The CAC recommends disapproval because of the following: I. Concerns that this proposed site is an intricate part of a larger wetland system within the Rene's Drive properties. 2. The proposed driveway structure is in the wetlands. Vote of Council: Ayes: All Motion Carried 12:24 P.Ø1 . . 54 ,- H' ..rt"........G, Sc:a::NJa>s, DE: P-rvn;: Be DE P:a.::.o:ct<LS Â.;,;;¡.v.-ø..;z...&.T L.a.w 1 UJamf SQu.a.JItB POI!lr O£......ca ~ '71e AQ...._DE, NEW" Yoas 1J.eøs. EMI.. P'. DE ~ETRIS RICMARD 1:. DE PETRI. SMEPARD M. SC:MEINBERG M\lIIMY B. SCHNI:P. '51., 722-&100 "/loX '&1.) 7.2·Soe~ MAI~INO ADDIIESS "OST OFP'''CE .OX ... III'VEIIHEAD, NY I litO' (516) 712-5100 FAX (516) 722-5093 ISIDOIIE SCHEINBERa 1800-1... DATE: If, I If. lit¡ FROM: ~~ (.)J ,µ LMÞ/ -~ j-J .~ NUMBa. OF PAGES TRANSMITTED (including cover sheet) 2- . TO: ~fIZ~ LOCA nON: FAX# í(,s- /'1;;'3 : [, - ~'f! RE: /.J 0 'I([, I^-i2.. t:f\J¡~.{ t-,*, '-...,' , ~- ~tlh-þ- . fat. ()IIA/~ ~ W 11:~ ~ J,t ilIA . MJ '1M: t::CIM IMd ~ 14 ~ % ~ ,"0 ~/11(', ~ Mj 119M . ~~ ')\ ~j \.. )/ j'; / " / j}/ '\ / .. t· .."'.10.1 ~ ~~ ~ = g>- t ¡.,J ....I:I::~ i ê;''-Qiw~ : c:::"'II:~5z,?,,*~ ø..c:¡,OO>=gIl6 ~¡~~~~~~~ i:;~cn:z:uz:bi~1 ;> JIo:!S ~ 1:'- g¡:: ~o"" ~ :> ~ ° rn .... (J g: ~,,; ¡ I i . ~ ;;; :r = . t . , i. r! ,HI I- '~'-I I' b~ ~;¡¡~ " i. :1. H..zi I I Ii Ita I"I~I'IIIIS I .lIml! II i!I¡! iIUn!!~·~~ U~I z 1':ØOd T . . t :i!i I':\~ ;3 0 I . f J~ 1 ! i!ii R ,; ~ ! I:; ~ I . ...:ci s !! I ¡; ~ II , a -s..-a I . . i~ !; i ~ ' = S J ~ I ~ -I' . ª - . ~ · nolI: ì" ~ ~ iill i = ;.2 1·1 ;!~¡i·1 iií !!. ."¡;¡ ,p. -s: :;. IIII G . i -'"I ,.~~ ~Ico ,;y ,;= 112 Ii: Iii !¡I 1i!~!JI' !I GII ~I: IißI~1 !.: i ..... -¿, ,t>,~:~ "'f.~,~p9 b~" .., , c~ (1 "'01', 1_", ...... "Oi; .;:> ~c c<t- ~& ~ v1'::1':t 666t-6t-~dI::I . . NcwYurk State Vq';)l'{mL'H! of EHY.iJ.'ollmeIÜ~{1 ÇOlL~e1'"'\'atiou };uüdjlLg .k) - su!',n:, StUll.'!' )sJ'"uuk. Nì." J l·'~O':!JS(; Telr:l'l.louc: (516) +1-I-U275 Fac.:.imi.lc: (5Hí) 4-1-.'- Ol~7 :. ~ .;,f '!i.~;'. ..!,1~·····ru"· .ß!~~I~' ~jttÜ. ~t !J¡ , ':,1 Sf1 t·A~t~r' "~llIl6t·..;.,'·a# ~ Michacl D. Zagnw COLlw1i.ssiouer 2~ OCLOb'~r l!.i% Pt.:!.<:r Jnd AgaLb.¡ ,\l>b.tlC 384 C1Clllèlll Avenue Elrnont, NY' 11003 I . J Ç'-^)'lçq"-~'\l) IŒ: DECiI: _L - q 1_) 0 ~:_ _~_~-.1L:~~.~ D~ i\JJ-. a.~d !'--[$. !\.t'b:~[t·: Tn Tèsponse to your request for a ffeshwatd wetlands det~rminaûoJ\ for Lbe property identified bdow, ùle New York StaW Depóu"lll1cm of Environmental Conservation has determined Ùlat the pared is more Ù1a.n 100 feet from It;;gL~lat.eJ fresliwala weùands. 111ere, fon:: no pennit is required under the Freshwater Wetlands Act (Artkle 24 of the New York State Environmental Conservation Law). Location: Soul]l of Sound View Avenue, Southo1ù Town: SOllthülJ Ta;< Map Numb.::!': lOOO-5~-6-4 This detcrminaLion may be consioeicJ pamanent ÓU10 should, therefore, be retained along with other d0Curn~nts rdalw l\.1 this j)lopelly. If future acrions by this Department result in any change in jurisdiction, you or allY sl1b~!l1enl 01l-11<::r will be so notified in writing. Please be ¡¡dviscJ that this kttcr O{)(;S not relieve you of thc responsibility of obtaining any necessary permit5 or ¡1ppro"alS [¡Olll oLl,.;! agenci.;s. , < Very rruly YOllIS, ~â!~~ Pennll AdmllusLIator cc: ~urt:.au of Environmental Prote.ction . /Katlllyn J. Eiserna.n, Ch:uks Voorhis alld Associatcs, Inc. , 54 North Country Road, Suite 2, Milkr Place, NY 11764 :JV- _ Board of Trustees 22 May 26, 1999 told by people in the field that it is quite difficult to accomplish this. MR. BAUMANN: We have a waste line from the back of the house through a full basement, crawl space and a 12' solid concrete slab to get up into the septic system. TRUSTEE SMITH: The septic system is the Health Dept.'s jurisdiction. TRUSTEE KING: The original plan was to do away with the original cesspools and use them for drywells and put the septic system up here. But it is gonna be very difficult to do it. They're asking to use the old cesspools. MR. BAUMANN: There's three of them. If need be I'll dig dry wells underneath each leader and gutter on the house. TRUSTEE SMITH: Do they have to go before the Health Dept.? TRUSTEE KRUPSKI: No, I don't think so. MRS. BAUMANN: I talked to them and tried to get some clarification on it. They said if the existing system is working on it they have no problem. We're keeping only one bathroom in the house. TRUSTEE KRUPSKI: Yes, but we like to get people to upgrade. We'll have to give us a new plan showing that and have to include drywells to accommodate all this. We can approve this tonight but you can't get your permit until you give us the new plans and no new septic system and drywells. TRUSTEE SMITH: Move to close the hearing. TRUSTEE KING: Second. ALL AYES TRUSTEE KRUPSKI: I'll make a motion to approve the application for the renovation of the house, three decks, move dirt and regrade property and a staked row of hayba1es during construction at 10' up from the edge of marsh, and to do anything with the phragmites we will need to see a plan from Cornell Cooperative and submit a plan. TRUSTEE KING: Second. ALL AYES . ~19. DIANE SCHROEDER requests a Wetland Permit to construct a single family dwelling with septic system and well. Located: 150 Rene Drive, Southold. SCTM #54-6-4.3 TRUSTEE KRUPSKI: Is there anyone here who would like to speak on behalf of the application? MR. SCHROEDER: As far as the entrance to the driveway is concerned, I spoke to the neighbors and right now the way it is the Town has at the toe of the road, shoveled a pathway to let the water to off their property. Basically the water that is standing there at the same time is (could not hear him). So the drainage is awfully slow. I would move the driveway. I don't intend to really do much clearing. I would move that driveway farther to the west where there would be no filling. At the same time I spoke to Ray Jacobs and Jamie Richter and they said down the road they would maybe take care of this drainage which runs from property to property under the road and across to the north. I intend to do as little clearing on the site as possible to get to elevations to where the house is. I would like to have the option to come off of Soundview Ave. · Board of Trustees 23 May 26, 1999 TRUSTEE KRUPSKI: We looked a the site last week, We walked it and want to impose the same restrictions on this lot that we imposed on the neighbor lot to the north which is a 30' house setback from that upper pond area which means on your plans your would have to angle your house and move it more to the west. The big problem we had with the problem was, and basically no regrading, the same as the other lot. They had a lot of water problems in the area that exists and we tried to make it so it doesn't get any worse. The only other problem is we have a sub division map from 1978 and it shows that little pond in the middle and there is.......what you propose here is that driveway runs right through that pond. MR. SCHROEDER: What I was thinking is what I would do was move that around and go to the west so I wouldn't disturb that area. TRUSTEE KRUPSKI: What objection would you have to using Rene Drive? MR.. SCROEDER: It would be more attractive to come off the - road. I own 25% interest in Rene and at the same time I would really prefer if I could come off Soundview Ave. I wouldn't change the slope or the grade of the property. I would certainly stay away from any wetland or water that is there. Again I probably won't clear. I would like to leave it as isolated as possible. TRUSTEE KRUPSKI: Why don't you give us......we'll have to go look at it again. Stake out where you want the driveway then so we can walk it. MR. SCHROEDER: I could give you some stakes where you see it. Right now it overgrown. TRUSTEE KRUPSKI: Yes, but it's not that big of property. Assuming where you are gonna put it where you want to put it, is adjacent to the neighbors there on Hickory Road. MR. SCHROEDER: Sure. TRUSTEE KRUPSKI: We're just trying to minimize the disturbance on the site, then I assume you would turn the garage around be face that side. MR. SCHROEDER: (Could not hear him). .....as it is now as a result of the road on Rene Drive which has no shoulder, and the Town Engineer let Jon Kerbs put a pipe in at Petersen's property underneath the road to a basin that doesn't work to my property. And if these guys dug down 30 or 40' and hit sand this water would go back to the water system, it wouldn't be a problem for either one of us. I think you have a lot of people with water pressure problems because of the road. Basically it's a result of standing water on the lot. The pond up on the top, I agree. I'll stay 30' away. But it's basically standing water. TRUSTEE KRUPSKI: You've got the house staked out, so stake out in the field and we'll take a look at it. MR. SCHROEDER: I think I gave you 4 stakes, right, and they were 30' away? TRUSTEE KRUPSKI: Well the house was staked out. I didn't have a big problem with the house if you had it roughly where it was and turn it a little bit. We do impose the same setback that we did on the neighbors lot, but have your driveway come out on · Board of Trustees 24 May 26, 1999 Rene Drive. Because then you minimize the impact on the impact on the lot itself. As opposed to putting the driveway all through it you split it all up and..... MR. SCHROEDER: I figured I would end up with both at one point where I would have the driveway would end up at the garage and where I would have the option to come in off Rene Drive. TRUSTEE KRUPSKI: You would have to stake it out and see it drawn on the surveyor. TRUSTEE SMITH: You don't have to get a surveyor, you can draw it yourself. And stake it out: MR. SCHROEDER: Do I have to go through another hearing again? TRUSTEE KRUPSKI: Yes, we'll just re-open this one. MRS. SCHROEDER: And we have to wait another month? TRUSTEE KRUPSKI: Yes. Cause it's different than what's submitted. We were really prepared tonight I think to have you give us the new plans to show us the house a little bit different and access without the long driveway and access onto Rene Drive. Which gives you the house and driveway. So we could approve this and bring us a new plan showing the house 30' from the top pond there. MR. SCHROEDER: At the same time I walked through that pond area this fall and it was absolutely dry. There's no shoulder on the road and all the water runs down and it drains underneath the road from one side to the other and goes back and forth. TRUSTEE KRUPSKI: Show us that and the driveway where you have going to Rene Drive and we want the grading plan and give us a cross section of grading. MR. SCHROEDER: It wouldn't change anyway because once you get up on top of elevation 36 the lot fairly stays that way and then actually rises to the back. So it really wouldn't make much sense to change that grade. At the same time really very little clearing would be done. TRUSTEE KRUPSKI: Well just get us plan showing the house set back from that top pond 30'. And a cross section of grading ,I guess from north to south. MR. SCHROEDER: The elevation you sufficient? It's pretty accurate TRUSTEE KRUPSKI: What would your house be to the foundation? MR. SCHROEDER: 30'. Depending on the trees and I'm gonna have to push the dirt out for the septic system. TRUSTEE KRUPSKI: And re-grade. MR. SCHROEDER: And re-grade for the foundation. The foundation would probably be a foot and a þa1f above elevation 36. You grade to the foundation so that water will run away from it. So basically the grade would almost be the same. TRUSTEE KRUPSKI: The road side of the house is 30 now or 31. MR. SCHROEDER: I would end up with stepping that down with field stone and so forth so the elevation in front wouldn't change at all. The elevation in the back would remain the way it is. So the elevations you have there are accurate and would be consistent with the job being done. TRUSTEE KRUPSKI: This survey shows solid lines. that's what is misleading me. The dotted ones are the existing ones. There's have there wouldn't as it is now? area of disturbance be around the ". Board of Trustees 25 May 26, 1999 two sets of lines. Well just show us the new plans and then you can get your permit. TRUSTEE SMITH: Motion to close the hearing. TRUSTEE KING: Second. ALL AYES TRUSTEE KRUPSKI: I'll make a motion to approve the application with a new plan showing the house 30' from the top pond area and no grade change overall and 50' building envelop in front of the house. TRUSTEE KING: Second. ALL AYES 20. GERALD RUPP requests a Wetland & Coastal Erosion Permit to construct an 86' timber bulkhead with an 8' return on west property, with 30+ c.y. of clean sand to be used as backfill and plant with American Beach grass. Located: 18415 Soundview Ave., Southold. SCTM #51-1-19 TRUSTEE KRUPSKI: Any comment? MR. RUPP: There's a severe erosion problem there. (could ñot hear him, shuffling of papers)...a walkway and deck. TRUSTEE KRUPSKI: We looked at it last week and we liked the way your plan follows the contour of the toe of the bluff. TRUSTEE POLIWODA: On the western side there's a curb and what's on the diagram is..... TRUSTEE KRUPSKI: So we'd approve this based on plans submitted. TRUSTEE SMITH: I'll make a motion to close the hearing. TRUSTEE FOSTER: Second. ALL AYES TRUSTEE KRUPSKI: I'll make a motion to approve the application subject to receiving submitted plans following the toe of the bluff. TRUSTEE POLIWODA: Second. ALL AYES 21. KENNETH B. ZAHLER requests a Wetland Permit to construct a single family dwelling with garage, deck and pool. Located: 11595 Suffolk Ave., Southo1d. SCTM #116-1-9 TRUSTEE KRUPSKI: Is there anyone here who would like to speak in favor of the application? I don't understand this. He says he's excavating 400 c.y. and he's filling 200. That doesn't seem to make sense, where he's gonna raise the grade up, big time. Look how he's raising the grade, which I don't have an objection to because of the setback. I think the problem is the description. TRUSTEE FOSTER: It might be a type-o. TRUSTEE KRUPSKI: I think we need a better description. TRUSTEE FOSTER: Make sure we get a clear definition of the scope of the work here. That doesn't sound right to me either. Unless it's impervious material he wants to remove. TRUSTEE SMITH: Maybe he's taking out 400 for the foundation and he's got to bring in another 200 besides. TRUSTEE KRUPSKI: So he's adding 600? TRUSTEE FOSTER: He's gonna excavate 400 and bring in 200 to make it a total of 600 yards. TRUSTEE KRUPSKI: Would that raise it up enough? TRUSTEE FOSTER: That depends. He really doesn't have any radical contour changes there. / ....¡ 4J II' ~ I I /-........ i ,k).. III i ~~~ I \ 2 ¡ ~ I , I ~ ..J 1 / = · ~ 0 / i ~ ;¿ ~ · ~ ,-- ,os- I \J I >1<'1 . -....- I I / I ;3 n N ;3 /I tj "" "" !\ . ----- / I ~/~ - ._----~~--- . . -,------ -. . r:,J ß ~_ /;)(1<'/1[' "" ' 0'0'21 - ':)"OI,BO.L.;'N / 0 ./ ~ , I ),Ú ~: .' -'"" , ~ ~ V , , , .' ~ \. " ~ \. .... o ..J -..... ..J Q ~ \. <;¡ o .... :t u .' U .- ): <{ () ~ 1: .-- / ~ .--8 / N ./ / / / " /' /. ,/ !U ~ ~ · to- 't tI'I ./ ... / '" ./ , /". /7 // ///' 1/" --~...~ ." .-----r----- \ :\ \ --- .-- ,-_\_------ ~-' ... --------..-- ~.-~.., / .-/ - --- /' /' / ./ '2 -- / 1 ! -,'~ .,.\ .... .- . .... - - - , -.----- ~ \ ',/ , " ---- ,y------- .~ \ ,e Q .' -I\.. , , , , ./ :t 1J q o r¡r It} ~ -' ' i .... ~ i i --.-I i , "" 't 'J --, " ~. .-- -- - t't' ~ ..... t- ./- ......' .....-------- -' ----... - / , \ /\ - \ \ \ \Q 'C1' I- I / r .' ... ' / .' § ~ g- \0 ~ <t -- .J .J :! 6' -9 _ .,,,0<1 551 . ...-:.,..... ,~.Ot,2~..,2 'N - ~ , Q N '1 N 10 Z &&'~~~~ .....___./<í' ¡,.z'r4 .....___ ';3.01.' ¡¡-,i orJ(10~ .... G)l - s. I. ...':.::::J....~\ - 1 I . 'oe ¡ I...- -' ! - ._- 10' ;'91- " . ~''''.... /. '-. .., , ( .-;.,,: ; . i ,: .' (,<' fj' .... ___ ~ J' \ . . .... ~'1 , . , '1/ " \ <" ....... j:"'" .. . .' '. '- / ..' , ,. ,.. ~ , . , ./' .~ (:)1" , . ' v:·'; '" .. ....~ ,""'i· .. "-.:},: .' .- . ,"." . ,r~ 1 ' .". , ,_ 0(" ~ '. ~. :- - .~ g ~ o! ~ ~ ~ ¡: 5 R. i. ·8 ~ 0 ~ ~ §ã i æ ~ ; ~ ~. ~ ~ I ~ ! ~~ ~~ 2 II ~ ~i ~ I ;~, ; ¡ ¡I¡~ g¡i t) Î!i;¡ ~-~. ~~! ¡.i ~¡ii;~~ ~ ~ I h~I~I¡! ~!! ~ð!i. I I . ~U~I:~I m~1 ìl~E~ å ~ ~ i~'!~p. ~~ ~i~l! I II ;;;~;~ii ~ III !!i!¡ e®rn ~i!;I;!:< ~~ , ,,~'I: f'\'I.~ç, ~~. v'f- "'~~"'v ~>Q '1:0 w if> ::> OZ I:s 0<1. ...I> ° W 0> I m::3ö o..~""':I:W'<l' "'<1.--' o .....I-Z"'·"'O<1. ¡:¡:: "I:....J => I ~-g:o o..~Oo>=o lIô if( "":I:V11-°:"-8- r_ ~ E- Z ° >- oè:; ...... "I::t L..::> - L.J Q:oa::: O::::,;::JOO .~..«O> E-.. 0 0 u::::>mC'l __..... UZCl1~O'JC'I ,,-tI¡[fJZ "'O>~ "" ~:.::x ~~oi :> 0...1« Ñ ¡:¡:: 1-0>- ~w ;::::> u.... r3 L... U UJ lfJ =>. '" V> (/) ~ >- E- ¡:¡:: "" :.::'" IX. 0'<1' D>-J, z 6\ ~I ~. 8~ . .("'~ v~ -1 .,.. .?i 0 ~~'" ~ ,. ci . ~~~i' ~~ ~ ~ !~æ î~~~i.i ~-.~ ~~, -.1 !I~~i .~~ ~~ \!~. IIi.hi ~II!. Ši; ~h§ ê~,i~~' ~~: ª.~ ~iî~ W~ ~§ ~I 8i'i;~ ~!~~ b;~lli II ~~~ ~~; e;~~i~· O~~ e~~ ~dg §~.¡!~g~ m w 0 ~ w ~ ~ . c:... c 0 00 ~ ~ z '" ~ Q)~ '" ~ ill! ~ i is c ..; Ot) 0; > ~ " ~ 0 i -'> i ~ 0 2 ~~i" >- ~ " d ð- w ¡il~ ... ,;. õ§ ~~ ~ z " Z § §~ ~ 0 " 'j '" '\ ~ I <C(/) O' '" 0 I~ "'u 0 ," I¡!j:~ .0 z I c~ · .... >- a ~~ m NO> ~ ~";" · · .c:'tJ "'''' z~ ." · · m--: ... ~ ¡;~u z . i~ . ~~. ~ ¡,¡ · ~i .,.- c ð 0. ~ ~ ~ · ~ " ... 0 ~~:~g .. >- .. U).-J ... Z '" « . 0 « "- .. ""') " ; 0 U ... U Z .. "'. "'''' V>~ :!' ~ >- ~ '" d " ::> " '" ~ a :t Vi 1:'. w'" --,'" ....0 _W ....0'" "'... z",o «u... . UVlO ",Œ D::: Eo-. La.I ·x ,,"'u .......if> ...."'w ...... tnLa.l Z ","'... _0_ "''''0 ~ ~ , SO \0\ t<;) ~ \> ~ ...:? v~ ~". .¡,~ \> / / // ~" -to ;roO' ... .... . .,.,~o;> '04--~ ~ '>:., '1 ~;> - -0" , " ~r >r ~? .þ ,<;)<;)\? v~ \~ "\>v .¡,~\o 'I.!>~ ~0\\'I. ·i~~o/ <;)\~ ~ '~ Q , ,~ ~"'i" ¡f;"# jT ... ~ ~ c 4r7 <ç.O"?- ¿; /o<t '-1 / & .0, \ J / ~ ''', - / "'''" .... ~ / /~~ '1t17'~-i,." 1.)4!"'~ <. Q .~) / ,(N..v "-1 ~ ¡¡¡ .. ! ~ ~ ~i , c N -> g N ~.u ~ 0 <õ 2 . . .. ~ ¡ ;>t .§ . 0 E ~ ~ ~ ~ 0 <[ ~ I 0 ;;; ~ 1: ~ ~ N ~ e~ I IP~ I ~ N ~ $> i ~ <õ ~d . ~ ~ ~t ~ . w " ~ ~ :¡ f!! :;J I ~~ ~W . w I ~ ~ ~ ~ ~-- i é ~!!~ §'~u ~ ìO' I ~ ~j I ~ i 0 ~ ~ o ~ G) > <~ i i ~ ~ ~ sª ~ .J ~ ~ I ~ "") ~!!!. ~~ ~ I ~!J ~ 0 ~ ~ ã 0 ~ ~ d ~~ ã~ ~ g I! u ~ h I I , .~ Ii . "'~i' . . -I ~ i " ~ ~ i . " '. _1 . ~ '. " ~ ~ ~ '- :.:: w ".... a:: t<) <f) E- O..t::> 0:: a~1 'i!:¡: W ....J <D ..J p.. 0 ~ 0 8"- Oe-.O::I:W~ g:¡gö ::: o::--.:,....:¡~Zlt)- ","--' p.. o=> 10-°"- Ó" ~..... 0>=0 ì'I ö:i8 . ~e-........(fJ~0' _ov> 0'; :-.:E- zO- w5 "'g O:::;~u...=>~...~g~ .; e-.Ooo .~4:« ~~ >- r;¡ '" Z U ~ "'u "'::> O>~ .,¡- W VJ ..,0>0> .....: :> ~:.::x ...~- " '" o....J<....' :::: ~ 0 >- ,,0>;::1 I-<" La- ..- LU a:: rfJ La- U I~ "'" ~. ü-, (fJ V1 ~ ~ i ;;;- '" ~ ci ð >- J '" :! "" ~ ~ '" 0 >- '" u 0 I ~ ~ ... z ~ ... o ~ " 0 ~ >- c z :.: '" "- 2 E- O I» u ~ w ~ u >- ~ z co .. '" '" ::>1Ii is <f)~ i!' '" ~~ ~ ...0 ¡;; ~~a:: ~ z"'w ~ ",:z:0 ". !::!~~ '" '" ... .:z: 2"'<..> .....<f) ..."'w ","'Z 2;:!J:! ..."'0 u ~ '" " z » . ~ ~ ! ! ¡i I ; r ~ §¡ I! I ~ I ~C .~ ~ § I · ~~ I g ! : I ¡ šl i I il: ~ ;I! Iljl Iii J i ~~ g II ~I 1.1 ¡!! ël.i II I I III¡I¡! BII :;2~~ I i Ii :1:11 ,5 ~!!IU I II !lblllll III gEi:-~: 111~dii "~ li~i~ 8®t\Hlc ~elll~ ij ~ ...;. _ ! !~i h: on.. "':. ~bã !51 i!;:ii~ ~J S I ;= A ~'III ;¡'j ;1; ,.;. tlli ~; II i ªc~ ¡¡í~fi êU ~!W i",. '"b ~ -2 i 5 b II" ~h~ ~ =; .!i (Iii ill m! ~~I: I¡~~I;I ~i: ()~ \()\\~C; ~ \0 ,¡. .j-,,\c, ,,~(;t' "'õ <!'Ç> ",,'Þ <~o~ v. -1-% -1 'Þ~ -- -0' 4 ., ~ " ;1 ~ ~ / . / , I , "<" '. ,." . ,/ ",ç~,.,_:~'. -.,/ '--- ,,- ,-' .;- // !j -"..-~ ~_./' .ò" - --- .... "'L _~ _ ó ,.;rOo . 'jl :!,,' ~ø ..,.,. ".,. - ej ~ .~~ ~'ii \~f'J~,..'I: "'\() ~Æ> ",,... ... ~~ .j<$Y ()..)' ~ z " .,0 " ~ II ~ :Or , . .. 'Ì. .¡.cf> ~ ~c, J.' "of,<¡ «.~ ~\c, ~ ,,'t' \()I .~t'p ~ ~r ~():~\ ~ rr' ~1~~'P ~" , , 0, . ","",- 4r~ .¡" C ~ ,'J '0, '-11 .f?'¡ _I .,,~ " ..... ~ -$ ~o ~ +0 ~(J JJf" ;¡þ, " . . 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 b1131d- C I\vi<:' P \.0\\\ ìl1Srrt, IIIUS""\- r-e --aç¡ply - 1 Q ~ N\ì+ e 'qN èt\ . Office Use anI R @ D, .ru~!L Oj~ 11.. -,r,'n':il,'ì Coastal Erosion Permit Applicati ' 1111 YWetland Permit Application L APR 2 7/999 "1.,1 Grandfather Permit Application ---Waiver/Amendment/Chan}es . d 1· . U 4 r. TO'f¡,,¡;;-O- ,";:" "0 -.j ReceJ.ve App J.catJ.on: 7-- - , !"" ,. 0\""'-'-'--' ". Received Fee:$ .~ . Completed Appliçation n IncompleteAn..JI ~/~ p,¡. .'\-~O-f'f SEQRA Classification: Type I_Type IIkunlisted_ Coordination: (date sent) CAC Referral Sent: 1{-;L2-" l Date of Inspection: ~-(' - 'I r Receipt of CAC Report: Lead Agency Determination: Technical Review: Public Hearing Held: S-,,;{, - ", Resolution: . ~o APR 2 7 1999 Name of Applicant Rof;£R..T R. ~' D/AiIE SCltRðEIFP... Address I'n_ tloRTtf 51. W 11-2·S/ðO 6-¡¿~p(){Lr II'/. Phone Number: (S'fi,) "I1ì-{g-rtJ Suffolk County Tax Map Number: 1000 - 5'1-ÓftJ -if,,? Property Locati~l:° ~O¡f/D"leW Mg SðÚntt.t> (eEkJiž5 I>£'¡I/'E) (/'- (provide LILCO Pole #, distance to cross streets, and location) AGENT: Sttefftl-D 11-1. <:::£.fŒ"'¡~ F6ò. ' (If applicable) , Address: I ¡)AIio/J A1E /+O.¡)~f!:o{;¡£ NV I/q?¡ 1 / -. \ c.Vff~1N. l.fC.¡S- - ?-s- Phone: 7Z-2--5/Oû FAX# : TZ-Z-- 50'l~ 1~: .' " 1- ',>, B~d of Trustees APPlicationlÞ ~. Land Area (in square feet): GENERAL DATA /fq (,13.?D Area Zoning: R.fSl c;aJï/AL- Previous use of property: V~ Intended use of property: 01JG' PftNlII..-{ i>Ulf/),O/l:r- Prior permits/approvals for site improvements: Agency Date vi No prior permits/approvals for site improvements. Has any permit/approval ever been governmental agency? revoked vi' No or suspended by a Yes If yes, provide explanation: Project Description (use attachments if necessary): W~ (V~~D To Ifltfê tðAErfW("-œf) A- z... 5.T{)f!-ý HoU'Æ 4 ($/t~ ON S,/t/[) L.4#C>. 2 ~ of Trustees APPlication. ~. Purpose of the proposed operations: WETLAND/TRUSTEE LANDS APPLICATION DATA í""O DW ~1..L.- I N. NIJí IIIETLA-ND, f-.OA/)~!>Uf'¡A(£ Area of wetlands on lot: ~VNOFF square feet Percent coverage of lot: % Closest distance between nearest existing~tructure andupl~nd edge of wetlands: 7,Ç feetOt.-œsS,l"e-/6t1I!t>R- 7V '"(fft f?AST) Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or~lli~ No x Yes If yes, how much material will be excavated? cubic yards How much material will be filled? 9-00 -r cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: fi 71!.tl4<. Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): T/1tJ'~ I1-R.£ /Vb Wr?T~. ItfPIfæW-;¿ý 7HF 7DutN ENTi~ ~t/7tf(Jt:.'l$ D~It/tJ/'(jÇ 't' f{)/¡{)/.Ifbl!i:.. ~ It I!.f5Ut...-T CU¡,4í1t1fr k iI/If~ ft1JLJ)t¡f1- ~" Imp~ Þ)E' Tð r;t-It-IN~ l' f!...'ll/OFF. 3 1£-16-4 (2187)- Tp.xt 12 I PROJECT 1.0. NUMBE" . . / 617.21 AppBndix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I-PROJECT INFORMATION (To be completBd by ADplicant or Project sponsor) SEa 1. APPLICANT /SPONSOR Æ \ I 2. PROJEC7 NAME ~-UÐ:e~ ~tf3I<T If P/~ 3. PROJECT LOCATION: 5/1 FFtX..K- Munictoallty SOIT!ltO/.[) County 4. PREC:SE LOCATION {Street acdress and road mtersectlons. oromment lanamarks. ece . .:Ir ;lrovtCe maOl $()v7HDí/) AI. Ý V /tUI1Jí l-(rlJf> UC!h-'5P /t1 (J¡)~ðF r;uVÑp,r¡eu)~ ¢- Ra.%E:s ÞR. SerrA:IF 1m - 9f - Ob- t/;.? - - 5. IS P~SED ACTION: New 0 Expansion o Moaiflcatlon/alleratlon 6. DESCRIBE PROJECT BRIEFLY: A-f'1'u~ W'>tß 77J êðll:>rbJCT lr- S¡ 1I&f.,Ç F/InIlt'f PMgLLu/t;- oN SvMrr (þ)f¡i!~:'ý. 7. AMOUNT OF LAND AF~ECTED: InItially acres Ultimately acres 3. W~O?lJseo ACTION COMPLY 'NITH EXISTING Z.ONING OA OTHER EXISTING LAND USi: ,::¡ESï?:IC7'rONS? Yes 0 No If No. descnbe brrefly . '3. 'IJ~S PRESENT LAr-'!J USë IN VICINITY OF ?ROJECT? . ResIdential O.~naustnal C C.:ImmerclaJ o Agriculture CJ ParK/Forest/Ooen soace - LOlher Desctlbe: . 10. DOES ACTION INVOLVE A Pc.:.RMIT APPROVAL QA FUND!NG. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY ;F2ûERAL. STAT~ LOCAW? Þ8ff ¢- puW ÞvUI"õ-f6Þtrrr Yes 0 No !f yes. list agency(s) ana permit/aoprovals /1Cfrt..;1r .:. 11. DOES ANY A~T OF THE ACTIOr., HAVE A CURRENTLY VALIa PERMIT OR APPROVAL? o Yes No" y~s. list ace/'lcy name and permIt/approval 12. AS A RESULT OF PROPQSEiJ ACTION WILL =ÄISTING PERMIT/APPROVAL i=lEOUIAE .'v10DIFICA7'ION? Dyes DNa ... I CERTIFY THAT THE INFORMATION PROVIDED AeOVE IS TRUE 7"0 THE 3EST OF MY KNCWL=íJGE DII/1f5 ~~ '6.u,. 'If Applicant/sponsor .,.mìEf;v~ O,He: Signature: , If the action is in the Co"stal Area. and you are a state ac;ency, complete the Coastal Assessment Form before proceeding with this a:j.~essment OVER 1 SMENT (To be completed by Agency) . .A. DOES AC710N EX II yes, coorQlnate the review oroees," and use tne FULL. S'AF. DYe. 8. WILL ACTION RECEiVe COORDINATED REVIEW AS j)ROVIDED FOR UNUSTED ACTIONS IN a NVCAR. P."AT 517.67 If No. 3. negative dec:ara[lc may De supersede by another ¡nvolvec2 agency. o Yes No C. COULD ACTION RESULT IN ANY AOVERSE EFFeCTS ASSOCIATED WITH THE FOLLOWING: (Answers may oe nandwntten. If leglcle! C1. EXiSting air quality. surface or" groundwater ~uality or Quantity, nOise levels. eXisting :ralflc patterns. sOlia .....aste procuc:lon or Jlsoosa potential lor erosion, drainage or flooding proOlems? explain briefly: /VI C2. Aesthetic, agricultural, archaeological. hlstonc, or other natural or cultural resources; or community or nelgnborhOOCJ Character? SJeplaln Drier tJð ~. Vegetation or fauna. flsn. shellfish or wildlife species, slgntficant habitats. or threatenea or enaangered species? ExPlain Melty: tJð C-i. A community's existIng plans or goals as offlc!ally adopted. or a cnange in use or intensity of use 01 land or other natural resources? ExplaIn tlrler No, CS. GrowU1. subseQuent development. or related activIties likely 10 tie induced by the proposea actIon? ExplaIn one/ly. NO C5. Long term, short term. cumulative, or other effects not identified in C1·C5? =.xplam Drlefly. {\Jò ,-" Qttler ImpactS (Including changes Ln use of either quantity or type of energy)? E.xplaln Drietly. tV ð N l;- oJ. IS THERE. OR I~ERE LIKELY TO BE. CONTROVERSY RELATED TO POTENT!).L ).DVERSE =NVIRONMENTAL ;1 Yes ~NO It Yes. explain brlelly ~MPACTS? PART III_DETERMINATION OF SIGNIFICANCE (To be comoleted by Agency) INSTRUCTIONS: For eacn adverse effect identified above. de term me whetner it Is substantial, large. important or otherwise significar Eacn effect snould be assessed in connection with its (a) setting (I.e. urean or rural); (b) probability of occ~g; tC) duration; í irreversibility; (e) geograpnic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure ~h. explanations contain sufficient detail to shOw that all relevant adverse impacts have been identitieCl anCl adequately addressed. C Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed airectly to the FULL EAF and/or prepare a positive' declaration. . , Check this .box if you have determined, based on the information. and. analysis above and any supporting documentation, that the proposed action WILL NOT result in...i1-ny slgnlftcant adverse environmental impacts AN D provide on attachments as necessary. the reasons supporting this determination: -TOW,.} ()-f SdfÁ.7H()t.../j /J¡tb.· a--Þ TÆ."J?7:~ ,'\I."I1~ 01 L~.JlJ .....;~ncv fJ/L~/ð~~7 r .¡It! 01 K~SDons.ot! UJ(lcer /JLtJr=Jt2-r ;r. f'!.¡tJ u ¡tJ.rll. ~It. ~r,n( Of 111J~ ·'\¡.,lrne 01 r<¡>~Don\.ol~ L)li,cer .n L~,¡CI -'¡;'ncv :),\.;n,¡tur¡> :), JoCesoons'ole vlT.ccr In L~da ...."'~ncv S,,,,nd{We or Pfep,1f~r (It JJfleft!nt Horn fesoons'o~ Olllct'n ~ -I ,,- , P O..lt(' 2 . . Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda ~~ ,'c ~ o¡,\IfFOl,t ~ ~~ )~.~ "'.~. 'i§ ~~ :}:::» ::;..\ ':4 ,IJ _ ;..c,~, .,- . :, -.:en :eN '~ 'ð ~ .') ~ ~ . ~~V "~Q.[ + ~~~/;r ~--tO}- 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 SOUTH OLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD ----------------------------------- In the Matter of the Application of I. ~Q.fiéA,.I_r::±nþl!!M.~n-'f$.-(;.J://è.òe-ÒG¡¿ ~S CONTIeI9C!T IIEJJb~ej COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING £ be€£.T ¡¿. ~.;¡{L, I, , ~('I)?r IV. Ý. I,ql.f'l being duly sworn, depose residing at (~2- NJCi}t.&T and say: That on the Il-rn- day of .~.¡ , 1997, 1; personallJ{ poste the property known as S ~ J>:O¡/K{)¡¡Ieu) J()/lnro AI 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 seven days prior to the date of the public hearing. (date of hearing noted thereon to be held MAt r:J.', (fff, oAJ DIL AJ.tJ.r 7: tr f'~' Dated: (e:¿t/dLM>~:L Sworn to before me this 1m day of mtt'f 199'f ~~f~~ otary Public ~~,. ..., ...OIPAli014289 tIIIftIIIJI II Suffolk eau:-- "'., . _..OG*..~ . ~d of Trustees APPlicatio~ ~ County of Suffolk State of New York 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 IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS DAY OF ,19_ Notary Public 7 .d of Trustees APPlicatio. 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) 8 . . 1../'" , APPttt!AN'l' TRANSACTIONAL bISCLOSURE FORK The Town of Southold's Code of g~hic8 Þrohiblts cbntllc~s of in~eres~ on ~he 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 NAME t ':1 I t, '~" ;./~ìli-it",.. ": ,'·~'.~t.~~~.t'f;'"U.t~:'· , ",. . ~~, ',.. . (Last name, first name, mIddle 1~!t:fâi.;"'ùn1ess you are applying in the name of someone else or other entity, such as a company. If so, indica~e the other person's or company's name.) NATURE ot APPLICATIoN, (Check all ~ha~ apply.) ;. ,:¡~~:~J ::;.::··t:. .:~Ì,,=;·l.:r.~ Tax grievance Variance change of zone ^p'p~~al of pla~ . Exe.p~ion from pla~ or official map o~her (If "O~her," name ~he activi~y.) Do you persona11y (or through your èö.pany, spoune, sib1lng, parent, or chi1d) have a relationship vith any officer or employee of the Town of Southold1 "Relationship" includes by blood, marriage, or business interes~. "business in~eres~" means a business, including a par~nersJtip, in vhich ~he tovn officer or employee has even a partial ovnership of (or employment by) a corporation in vhich the tovn officer or employee ovns more than 5% of the shares. YES NO ..', ~. .. If you ansvered -tES,-, complete the balance ol ~h18 lorm and date and sign vhere indicated. Name of person employed by ~he Town of Sou~hold Ti~le or posi~ion of ~hat person Describe the relationship be~ween yourself (the applican~) and the town officer or employee. Ei~her check ~he appropriate line ^) through D) and/or describe in the space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all ~ha~ apply). A) ~he owner of grea~er ~han 5% of ~he shares of ~he corpora~e stock of the applicån~ (when ~he app1ican~ is a corporation), B) ~he legal or beneficial owner of any interes~ in a noncorporate'entity (when ~he app1ican~ is no~ a corporation), C) an officer, direc~or, partner, or emplbyee ot ~he app1ican~, or D) the actual applicant. DESCRIPTION OF RELATIONSIltP , : ~ "I,.. ", /'~':"" . .. . ," ." . '.. .~.. ,,.~...., - -~ II »- ..' ~ M ..... .....-.. ~u.:".;:...h.'_ '.í~·' ....~~~.;;.}~:.'. Submlbtød . ,-,. ".' '¡'i,:~;~,~,:~:~~j, "·\.l"'~<';W ," . '·',~4~\~.:::·/-:~-I·~'t¥~!flf",(. ~'~;\'~~~'}':! ,;.~ ~'}~r4r!fT((~ htth~dllY øt. _-.'199_ " -" ,'::;:," :"~;':..' , (;.: SiØhl!ltU1"O , ..... ..'" ,_._"~"_ ". 'print ItRmø "'-,' ., 1,.<i··i';'f:~{~,'/",'j~;li;ì;~· . ::.>~. .~:~. ~,..~""~;-' ~ ~: ~_·~:'.t ~:'-::., .~. '~t\. . , ,.""\.¡",.,:/".;..",~:\ri",, ~,,:..", ,., '.'