HomeMy WebLinkAboutTR-5170
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TERMS and CONDmONS
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The Permittee
l:h::arlpc;: T 11~rcd.o....·
residing at
part of the
lowing:
1. Thai the said Board of Trustees and the Town of Southold are released from any and
all damages, or claims for damages, of suits arisiag ditect1y or indirecdy as a ftSUIt of any oper-
ation perfom>ed pursuant to this permit, and the said Pamittee will, at his or her own expeose.
defend aoy aod all such suits'lnitlated by third pl1'tÏes, and the said permittee USI""'" fnll1iability
with respect thereto, to the complete ettIusion of the Board of Trustees of the Town of Soutbold
1670 Leeton Drive, Southold N. Y., as
consideration for the issuance of the Permit does understaod and presaibe to the fo1-
2. That this Permit is valId for a period of 24 mas. wbith is considered to be the
estimated time required to complete the wock invol..ed, but shoo1d circumstaoces warraot, request
for ao extension may be made to the Board at a later date.
3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes
to maintain the struaure or project involved, to provide evidence to anyone concerned that ""Ib-
orization was origina1ly obtained.
4. That the work involved will be subject to the inspection and approva1 of the Board or
its agents, and non-complJance with the provisions of the originating application, may be cause for
revocation of this Permit by resolution of the said Board.
5. That the.. will be no unreasonable interference with navigation as a ftSUIt of the wotIt
herein authorized.
6. That there shall be no interference with the right of the publlc to pass and repass aloog
the beach between high and low water marks.
7. That if future operations of the Town of Southold require the zemova!and/or alterations
in the location of the work herein ""thorized, or if, in Ibe opinion of the Board of Trustee!, the
work shall cause unreasonahle obstrucnon to free navigation, the said Permittee will be required,
upon due notice, to remove or alter this wock or project herein stated without eq>enses to the Town
of Southold.
8. That the said Board will be notified by the Permittee ot the completion of the work auth-
orized.
9. That the Permittee will obtain .11 other permits aod consents dtat may be required sup-
plemental to this permit which may be subject to revoke upon failure to obtain aame.
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Albert J, Krupski, President
James King, Vice-P!"~sident
Henry Smith
Artie Foster
Ken Poliwoda
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Town Hall
53095 Main Road
P,O, Box 1179
Sou>hold, New York IHYil
Telephone (516) 765-18,'12
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOVVN OF SOUTH OLD
I
I
Office Use Only
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Coastal Erosion Permit ADpL_cation
~Wetland P€~mit Applicatiôn
----Grandfather Permit Application
---waiver/Amendment/Changes
........Received Application: 'I/~lIð?J
ecei ved Fee: $ ~'"b - .
VCompleted Application """"1M..
Incomplete
SEQRA, ClasïÙfication:
Type I Type:;:r Unlisted
Coordination:ldat~sen~) ----
~AC Referral Sent: ~/I~
~ate of Inspection: 1/1 D
Receipt of CAC Report:
Ledd Agency Deter~inaticn:
---S:'echnical Revi'2\v: --
Ëi'abliC Hearing ;;,,1:1.: 057~//)/)
Resolution:
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frJ I< ~ f TJ~ir-í,·;
I;O~~~-'-¡'
~~! APR 2 I 200)
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N;;>'!\e of Applicant CU,4/{LeS LvY5r~t<
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AdGt"'é:,SS If lIusn,,¡ 1..4 _ #f/¡ÝT/It/C2TtJlÝ, AI t / /1'13
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Phone Number: ((p3/ ) 2.(P(; - /1')..f?
Suffolk County Tax Map Number: 1000 - 4138'(/9 ,yp - ~ -7
Property Location: 1(,70 L ~E'TPtÝ ~/vG SVuTJlo l..j) N. Ý
1/<; 71
Phone:
FAXjI:
(provide LILCO Pole jI, distance to cross streets,
AGENT:
(If applicable)
Address:
1
B~d of Trustees APPlicatio~
GENERAL DATA
Land Area (in square feet): Z2 , 9cJO
Area Zoning: R esu/en +/4 I.
S., If '
o
Previous use of property:
se6...S~J Re:ç,()r:'J.u.fj. ,
Sbt 5(JI'I.AL. l!êfIDrÞJC.~ ,
Intended use of property:
Prior permits/approvals for site improvements:
Agency
Date
~ No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a
governmental agency?
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No
Yes
If yes, provide explanation:
7ù {~5¡;;¡;"cr- /3'Yf3}~ddt~ -tõ ~~',h/n'>L{..
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Project Description (use attachments if necessary):
, z8"" '( 13' )
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Kf:Dfloo""'/ ,
6An~(,q, NY j¡¡¡.
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ilLrd of Trustees APPlicati~
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations: -rO ,4/)1> /I
/}¡./ GXl$T)N(1 :50UNl> F£r;1II1 fl-rw.e
/3/x. 1.3/ 4J)/)/77ð,v fo
Area of wetlands on lot:
/ " 000
,
'1&
square feet
Percent coverage of lot:
%
Closest distance between nearest existing structure and upland
edge of wetlands: Lf2 feet
Closest distance between ~earest proposed structure and upland
edge of wetlands: if 7 feet
Does the project involve excavation or filling?
v
No
Yes
If yes, how much material will be excavated? IV 4 cubic yards
How much material will be filled?
N'4
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: AI 4-
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):
II/ON£
3
~rd of Trustees APPlicati~
COASTAL EROSION APPLICATION DATA
Purposes of proposed activity:
lJt;IUE
/3')('3>' ,ADo'rto,,", t:>N eXISTINt, Sé~4i.
Are wetlands present within 75 feet of the proposed activity?
No
~
Yes
Does the project involve excavation or filling?
No
Yes
If Yes, how much material will be excavated?
(cubic yards)
(cubic yards)
How much material will be filled?
Manner in which material will be removed or deposited:
Describe the nature and extent of the environmental impacts
reasonably anticipated resulting from implementation of the
project as proposed. (Use attachments if necessary)
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PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
Name:
Address:
Mr,/Mrs. Richard Yates 88 Huron Rd. Bellerose,NY 11001
(1795 Leeton Dr. Southold,NY)
Mr./Mrs. Peter Manganiello 41 Ashford Dr. Bohemia,NY 11716
(1600 Leeton Dr, Southold,NY)
Mr./Mrs, Costas Theodorow 3481 Woodward Ave, Wantagh,NY 11793
(1695 Leeton Dr, Southold,NY)
Mr./Mrs. Lee Diack 34 Waterside Close Eastchester.NY 10709
(lS40 Leeton Dr. Southold, NY)
STATE OF NEW YORK
COUNTY OF SUFFOLK
Charlea Luvster residing at 11 Austin Lane Huntinaton. NY 11743 being
duly sworn, deposes and says
that on the 26th day of ~ ~, deponent mailed
a true copy of the Notice set forth in the Board of Trustees
Application, directed to each of the above named.persons at the
addresses set opposite there respective.names; that the addresses set
opposite the names of said persons are the address of said persons as
shown on the current assessment roll of the Town of Southold¡ that said
Notices were mailed at the United States Post Office at
Huntinaton Sta. .NY. that aid Notices were mailed to each of said
:zr~erÛed) r is?~l'
C hll. rl ¿'" Ii LUjster
Sworn to before me
day of ~
this J.(P~
2000
~~t':2.: P':};li':-/....47Hf-_ 1
i ~ Notary PIII~ :1.... Yolk .
!6 No 4791978 11
Qua!lfIed in SufIoIk ~
f; ,amm,,,,,,,, Exp'...' 7 -.3 0 0 I ~
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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) 765-18ft2
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
BOARD OF TRUSTEES: TOWN OF SOUTHOLD
-----------------------------------
In the Matter of the Application
Lì~ 0&J
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STATE OF NEW YORK)
AFFIDAVIT OF POSTING
I ,[/,0. rid ¿./1-S Tc V' , residing at 1/ {¿,/.{ "rf rr éa J.1 e_
flu n7 / n.!ih-n. 'h '-1
being dulý sworri, de~ose and say:
-z,.,oco
That on the /3 day of /Vl'lÝ, ~, I personally posted the
property known as {b 7/J L~don J)V', StJOti1tJúl¡ 'Ì'l-J1.
by placing the Board of Trustees bfficial 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
~b~~~~ng. (date of hearing noted thereon to be heldf14j:J..'/,1CTÐ
7: #t) (f. HI .
Dated:
,/)#./1 ;
UVr~
(signature)
SWOfPL.to befoÁÆ n~~ this
;2 l.rrO:aY of (V ~ J.9'9 ~07Iì:)
I Y~d /~
Grot{J ~iC
CLAIRE L GLSN
NoIaty Public. _ 01 N_ Yortt
No,OIGIA879605
Qualified in Suffolk CxJ'!!ØV'J7 \
Commission Expires Dec. 8,
County of Suffolk
State of New York
4Itard of Trustees APPlicati1lt
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c!'ttv/<J f-ui4 5 Te V' 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 'lIRTUE OF SAID PERlIUT(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 CONJUNCTIQ WI REVIEW OF IS
APPLICATION.
SWORN TO BEFORE ME THIS ¿rsr
Signature
DAY OF
~:\
,Q
ROBERT I. S . JR.
Notary Public, Sta of New York
Qualified in Suffolk County
No. 01 SC4725089
Term Expirea May 31, ? <Or>.
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ilLrd of Trustees APPlicati'"
AUTHORIZATION
(where the applicant is not the owner)
I,
residing at
(mailing address)
(print owner of property)
do hereby authorize
(Agent)
to apply for permit(s) from the
Southold Board of Town Trustees on my behalf.
(OWner's signature)
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I PROJECT I,D, ,'UMBE,'
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617,21
Appendix C
State Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
PART I-PROJECT INFORMATION (To be completed by "'opl/cant or ,Oro;ect Soonsorl
SEe:
1. APPLICANT I~A
CH4fl.LêJ LVYJrél(
I 2. ?ROJE':7,"AME
J. PROJECT LOCATION:
"un,eloall'y SOtJTHt>/-C> Coun,y ,<: U ç: C:Ot... ~
'. PREC:SE LOCATION [S'ree, aoare.. ana maa ,n,e..ee:;on., promonen, ,"nomarkS, "0.. or oro,"o. ..naol
/(¿.7o LE€ìr:JN DI<.. ïv~^, Lfi'Fr (wesr) +r "~N"¡y'.s
I.-ør, ~U.rë I) ON 'f"'¡ý€ W~Te~ S'DE. ø¡:: 1..&Jl;"¡ C>I'{.
Eitl .67 ..F /::All>. (CEl)4/t .s1l14~~ r.vlTH BL.v. ~1f"I>ÞtnCj-)
/!£~If f~I(J¡¡~
5!!:t lice> S E
5. :5 ?C!OPOSED J..C-:-rON:
o New I~ :xoansion
ò. DESCRIBE ?AOJEC7 3AJEFL Y:
13' )( /3' !l¡)/)/7'I t:W o'F 4- 8t::þf2«,.-.,..,¡, BArH Iùo_,
o Moaificarionlalterarion
"'MOUNT GF !..AND :'F;::':C7::J:
:nlllafly
acres
Ultimatetv
¡''IILC ,OAO?0SE~ ,CTlCN C:::MP'_, 'NIT>1 ¿OSTING :ONING ~A OT>1E,' "OSTING '-','0 OSE ,oESTMfCr;CNS?
--- Yes 0 No If ,'10. .:!escnbe ~rlei!y
ac:es
3. '::I-A7';S ,:lRESE!'iì ~/"~C 'J::::;:N '/ICiNrT':' ,)F :JQC..!EC7"
,Z =ii!sJdenuaJ C,lnCllstnal :...- C"mmerClã.J
::esc:loe:
1- AqncuI:ur.e
- ,:J'3rK"/F.,res[/Ooen ~t::açe
_Other
'0, JCES ACTION INVOL"E AO:RMIT APOAOVALJA FUNDING, ,'OW CA ULCIMA,ELf ,"HOM ANY OTHEA G:::VE,ONME,"AL AGENCY 'F:CERAL,
STATE ûM LOC';l)?
J......; ':'es
1= No
It yes. 'is! agenc'l!S) and oermlffacorov31S
11. DOES ANY ASP:CT OF THE AC7'tOr-l HAVE A CUARENTL'! 'IAllD ?!:::IMIT ':JR ,~pc~OVAL?
C ':'es 0 No It '"J5, list agency name and permlffaooroval
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i2, ..1,5 A AeSUL:- aF ~ACPQSEù ACTION WIL!.. '=XISnNG ,:JEMMrT{APP~OVAL ,~E'JUrRE ....100IF¡CA¡ICN?
C',,, ONo
I
I CE;;TfF" THAT THE INFOAMATfCN PoO'lIOE~ ,eCVE IS THUE ~O C,: 3E3, OF '.y ,<NCWL=~Gë
Signature:
O.¡te:
4/17/ dO
I ,
~ Tf'R...,
If the action is in the CO~"ta ,,',r2a, and ¡au are a state agenc¡, complete the
COastal Assessmen~ Form oeiore ;Jroceeainç With this a'?~essmem
OV"i'1
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Print or Type:
TOWN OF SOUTHOLD
HIGHWAY DEPARTMENT
PECONIC LANE
PECONIC, NEW YORK 11958
Office use only
File #:
Permit #:
PERMIT & BOND APPLICATION
FOR ACCESS THROUGH TOWN OWNED PROPERTY
1 )
(Name of Applicant)
(Address)
2)
3)
(Name & Address of Contractor Involved)
1000-
(Project Location) (S.C.T.M. #)
(Name of Road or Town Property Involved) (Ham 1 et )
4)
5)
(Brief Job Description)
6)
Starting Date:
Completion Date:
7) Estimated Cost of Proposed Work:
8) Insurance Coverage:
A. The coverage required to be extended to the Town:
Bodily injury & Property Damage;
$300,000/$500,000 Bod i 1 y In jury & $50,000 Prope rt y Damage
B. Insurance Company:
C. Insurance Agent
Name & Telephone #
D.
E.
Po 1 icy # :
State whether policy or certification
is on file with the Highway Department:
(If no, Provide a copy with Application)
(yes/no)
(Signature of Applicant)
(Dat e)
------------------------------------------------------------------
To be completed by the Superintendent of Highways:
Bond Amount
Required:
(Signature)
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Print or Type:
ACCESS CONSENT FORM
FOR ACCESS
THROUGH PRIVATE PROPERTY
Office Use Only
File #:
Permit #:
1 )
(Name of Applicant)
2)
(Address)
(Name & Address of Contractor Involved)
3)
(Project Location)
1000-
(S.C.T.M. #)
4)
(Name of Road or Private Property Involved)
(Hamlet)
5)
(Name & Address of Homeowners Association / Property Owner)
6)
(Brief Job Description)
7)
Starting Date:
Completion Date:
8) Estimated Cost of Proposed Work:
9) Insurance Coverage:
A. The coverage required to be extended to the Property Owner:
Bodily injury & Property Damage;
$300,000/$500,000 Bodily Injury & $50,000 Property Damage.
B. Insurance Company:
C. Insurance Agent
Name & Telephone #
D. Policy # :
E. State whether pOlicy or certification
is on file with the Trustees Office:
(If no, Provide a copy with APPlication)
(yes/no)
------------------------------------------------------------------
(Signature of Applicant)
(Date )
To be completed by the Property OWner:
I/We the undersigned, fUlly understand the nature of the Proposed
Work referenced above and have no objection to allowing the
Applicant to cross MY/Our Property to do the work.
(Signature of the Property Owner
or dul Y aut hori zed represent at i ve)
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~. S -'-!S:=.E.:A.S -¡-;::::=2. '_,:<:::::...':'" -C :5E. :::;~ 7::;C'JE::S'( :::.'::...,.\7=':: '''' :J'-:;T-=,~ ÎT,:.:.. ,:,,~'/:?,S(; =..'I'I\¡:::CNME~ 7":'L ,'.~Fl.C73{
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:NS7~UC7¡CNS: ,=')r ~3C:1 aC'/erse -=~~ec: :cenll::e':1 !ccve, :etermtne ·.vnetner It is sucstantial. :arçe. :mCCï..:;,nt ~r ot~erNlse SlgiUr:C
::.lC~ ~ffeo:::: Si10uJC: :e 3ssessac .n :~nnec:lcn .vnn ItS laJ Sèttlng I,i.~. iJr!:an .:1r ~ural); '.1:1 ;::racacllit·! :;r JCC~-wg; :.c: üuraticrl
irre'/erS¡Ollity: e! ,~2Qqr3.cn¡c 3C.:;ce: anc ':0 :T1açM1tuce. If .,ecessar." aoO auac:1mentS .jf ~eterenc2 iilJoocrting materials. ::1sure
~xclanat!cns .:::ntaJn sut7ic:ent JeIa11 ~o snow :nat all ~e!e'lant 3.C'lerse Imoac:S :'lave teen icentlfi.;!C ano acecuatelY aCc:ressec.
::--'ecx. :i1is :cx :i feu "ave Icenutiea :ne Jr ""i:ore :otenuaJl'1 larçe :¡r Slçnlficant ;,c'/arsa :r,"".Qê.C:S "\lmc~ ,·.1;...·
oC:::.Jr. :-;,e[1 'Jrcczea ,::irec:!'.I :0 ~ne =:";LI =)..F 3.nc/or ;:reoare .3. :Jos¡( ve' cec~aratlcil.
C:-ïec:< :nls :cx r ',fOU :lave :!e!ermlnea. ':aseCl 'In :he inicrmation 3.nd analysis a.bo'le ar:d any succor:!;",:
c:oc:.;r.:enrac!cr:. :üai: ::-:e 'Jrocos.ea 3.C::Cí1 ""'¡IL!.. ~JOT í2Sult :n....;.1.r.y significant aC'Iersa -?n'llr.:r,rr.ental ~m::ac:
AND ::rcvlce :;n :3,i::ac:-:ments 3.5 necessar'l, [he ~easons 3Uc.;co('ung ~nls .::e!ermHia:ion:
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L"CJS-32IJ5 (2 ·971 --FALSE STAfEMENfS ARE PUNISHABLE AS A CRIME. PURSUANf TO THE NEW YORK STATE PENAL LAW
Albert J. Krupski, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
.
.
Town Hall
53095 Route 25
P.Q, Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
May 30, 2000
Mr. Charles Luyster
1670 Leeton Drive
Southold, NY 11971
RE: 1670 Leeton Drive
Southold, NY
SCTMJt 58-2-7
Dear Mr. Luyster:
The following action was taken by the Board of Town Trustees
during a Regular Meeting, held on May 24, 2000, regarding the
above matter:
WHEREAS, CHARLES LUYSTER, applied to the Southold Town Trustees
for a permit under the provisions of the Wetland Ordinance of
the Town of Southold, application dated April 21, 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 May 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 97-18 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 approves the application of
CHARLES LUYSTER to construct a l3'x13' addition to existing
home, addition will be 1 bedroom and 1 bathroom.
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 pro;ect 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,
elL/. to-Ill- /~ ~
Albert J. Kr~ki, Jr. '
President, Board of Trustees
AJK/cjc
cc. Building Dept.
.
.
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 Monday, May 22,
2000, the following recommendation was made:
Moved by Jaclyn VanBourgondien, seconded by Abby Cochran, it was
RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the
Wetland Permit Application of CHARLES LUYSTER 58-2-7 to construct a \3'X \3' addition to
existing home, Addition with be one bedroom and one bathroom.
1670 Leeton Dr., Southold
Vote of Council: Ayes: All
Motion Carried
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