HomeMy WebLinkAboutTR-6081
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Albert J. Krupski, president.
James King, Vice-President
Artie Foster
Ken poliwoda
Peggy A. Dickerson
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Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (6311 765-1892
Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
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
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Pre-construction, hay bale line
1 st day of construction
% constructed
,/" Project complete, compliance inspection.
Albert J. Krupski, President.
Jam€!s King, Vice~President
Artie Foster
Ken Poliwoda
Peggy A. Dickerson
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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
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
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Pre-construction. hay bale line 71~l65 ()v-y~
~- r\,,^t<.J 61 fid.l, hDOS (oJ ~/o s . ok. I+.~
1S!l:lElj,nf{ym"tn'dinq 50"""'- h.'J\.~IeJ ..,...d;'''~
Y, constructed
~ Project complete, compliance inspection. S\ l ~It)b 01 <tv -10...-;:'-
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Board Of Southold Town Trustees
SOUTHOLD, NEW YORK
Æ,D~\
PERMIT NO.
DATE: f.eJ, , J 6, .2()05
ISSUED TO .m' ¡'~CJ:l1\~~u0..!{IF.f..P'¡
......--.......... .................
1\ut~nrilntintt
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 Bòard adopted at a meeting held on J'~b"uJ6uuu
20()?... and in consideration of the sum of $25.0.00 .' ... paid by
Micl1aelC;riffin ..... . ...u
of ....~<ls~¡,":'ê~Oll. N. Y. and subject to the
Terms and Conditions listed on the reverse side hereof,
w of Southol,d Town Trustees authorizes and permits the foUowing: '
n:~1~~~li~~m1td~~v~~moliSh the ex~sting dwelling and construct a .
conditions ~f removi~~' t~;~ ~~~~~ ~~~kd:~~ s~pticl~ystem with the,
roof runoff and dra' f h . rywe s to collpct .
high berm at tbe 10}~ag~ u~om t e driveway. .creati9n of a on~'foo
all in accordance willi flie Je'taàödP~fi~af\ðf.~ Npr¡¡ferltèW'!Jngs
and .the or!ginating afflication.the placement of h b 1 d .
constructl0n aná a as depict d h lay a ~s urlng
B e on t e p an o;!ra"w¡¡, b.. Jeffrev
~tler re- IN WITNESS WHEREOF. The said Board ot IruSteeS here"
~ì~:"y causes its Corporate Seal to be affixed. and these presents to
05. be subscribed by a majority of the said Board as of this date.
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TERMS and CONOmONS
The permittee
Michael Griffin
nsi"';~ at East Marion N.. Y.. as
part of the coosideration for the isSu.oce of the Permit does UI1derscud and prescribe to the fol-
lowing:
1. That the said Board of Trostees and the Town 01 Southold are released from my and
aU damages, or daims for damages, of suits atisiog directly << lnditecdy as a ~ of my opet-
ation performed pinuaDt to this permit, and the said 1'0-. J(.o. will, ac his or her .-. ~
defend UIf and aU such suitsinltlated by thkd parties, and the said ~ -- faIl1bblliq
with teSpect thereto, to the complete exclusion of the Board of Trustea of the Town 01 SoutJw>!d
2. That this Petmit is .....ud for . period of 24 mos. whlc:h is ClOOSideted to be the
~m.wl time. required to complete the work ittvol?ed, but sboaId cittmilstaoces wunat, teqae$t
for an extenSion may be made to the Board at a Iacer date.
3. That this Permit should be retained ittdef"Ulitely, or as loag as the said Permittee wUhCs
to mo........ the sttueture or project ittvolved, to provide evidence to anyoae concerned that auth-
orhation was originally obtained.
4. That the wode involved will be subject to the iospectioo and approval of the Board or
Its agents, and nolHlDlDJ'liance with. the provisions 01 the otlgl....."8 app1icadon, mzy be cause for
revocadon of this Permit by resoludon of the said Board.
5. That there will be no unreasooable Interfereoce with oa..igadoo as a ~ of the wodt
herein aUthorized. . .
6. That there shall be no interference with the right of the public to pass and repass aloag.
the beach betweeo high and low water marks. .
7. That if future opendons of the Town of South9ld requite the temOVaI and/or alteratioas
in the location of the 19Od< bereiI1 ...tJ-l---\ or ii, itt the oploioo of the Board 01 TtuSteeS, the.
work sba11 cause unreasonable obstructton to free oa\'igatloo, the said Permlttee will be nquIred,
apoa due oodce, to remove or alter this wad< or project herein stated without expenses to the Town
of South9Id.
8. That the said Board will be notified by the Permittee 01 1be ~ of !be 190dc auth-
orized.
9. That the Permittee will obtain all other permits and conseats that mzy be required mp;
plemental to this permit which may be subject to revoke upon failure to obtain -.
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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
February 16, 2005
Jeffrey Butler, P.E.
P.O. Box 634
Shoreham, NY 11786
RE: MICHAEL GRIFFIN
435 PINE PLACE, EAST MARION
SCTM# 37-4-14,15
Dear Mr. Butler:
The Board of Town Trustees took the following action during its regular meeting held on
Wednesday February 16, 2005 regarding the above matter:
WHEREAS Jeffrey Butler, P.E. as agent for MICHAEL GRIFFIN applied to the Southold
Town Trustees for a permit under the provisions of Chapter 97 of the Southold Town
Code, the Wetland Ordinance of the Town of Southold, application dated December 21,
2004, 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 16, 2005 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 standards set forth in Chapter 97 of the
Southold Town Code,
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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,
RESOLVED, that the Board of Trustees approve the application of MICHAEL GRIFFIN
to demolish the existing dwelling and construct a new dwelling, driveway, two-story
deck, and septic system with the conditions of removing the turf under the deck,
drywells to collect roof runoff and drainage from the driveway, creation of a one foot
high berm at the 10' contour to be planted with native plantings and no turf, and the
placement of hay bales during construction and all as depicted in the plan drawn by
Jeffrey Butler revised 2/15/05 and approved 2/16/05.
Permit to construct and complete project will expire two years from the date the permit
is signed. Fees must be paid, if applicable, and permit issued within six months of the
date of this notification.
Inspections are required at a fee of $50.00 per inspection. (See attached schedule.)
This is not a determination from any other agency.
Fees: $100.00
Very truly yours,
~'¥ 9 ~.. flJ'(j,
., .
Albert J. Krupski, Jr.
President. Board of Trustees
AJKlhct
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Albert J. Krupski, President
James King, Vice· President
Artie Foster
Ken Poliwoda
Peggy A. Dickerson
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Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-~""!1
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
TO: 1e f{n''1 Sui \U
n".:
jV1lchtlle. \ &;.(f I ¡J
Please be advised that your application dated ~c..;;¡ , ;;(oo'1
reviewed by this Board at the regular meeting of í e. b . I ~ , ) ODS
following action was taken:
d) Application Approved (see below)
L-) Application Denied (see below)
L-) Application Tabled (see below)
has been
and the
If your application is approved as noted above, a permit fee is now due. Make check or
money order payable to the Southold Town Trustees. The fee is computed below
according to the schedule of rates as set forth in the instruction sheet.
The following fee must be paid within 90 days or re-application fees will be necessary. . ~
COMPUTATION OF PERMIT FEES: 1- () I I', (' f/ 5"0 ,,~'--'?\
fTV1L¡ I:>t-f e r> .pc "'0" ~ II ~ ~
-r ~ r (ì Ct\ <\'¢'
hn..1 In£pe(.-f',o^ -:JÒ \".':\
TOTAL FEES DUE: $ I DO / 00
SIGNED:
~-$ I? ~.t)..
PRESIDENT, BOARD OF TRUSTEES
11/15/04 Field Inspectio.
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PERMIT NUMBER
'38-02754/00004
LlTY/PROGRAM NUMBER(S)
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PERMIT
E TIVE DATE
November 3, 2004
EXPIRATION DATE(S}
NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION
Under the Environmental
Conservation Law
November 3, 2009
TYPE OF PERMIT . New 0 Renewal 0 Modificetion 0 Permit to Construct 0 Permit to Operate
ticle 15. Title 5: Protection of Waters
o Article 17. Titles 7, 8: SPDES
o Article 27, Title 9; 6NYCRR 373:
Hazardous Wasta Management
ticle 15, Title 15: Water Supply
o Article 19: Air Pollution Control
'ticle 15, Title 15: Water Transport
o Article 23. Title 27: Mined Land
Reclamation
o Article 34: Coastal Erosion
Management
rticle 15, Title 27: Wild, Scenic and
lecreational Rivers
. Article 25: Tidal Wetlands
o Article 36: Floodplain Management
o Articles 1, 3,17,19,27,37;
6NYCRR 380: Radiation Control
rticle 15, Title 15: Long Island Wells
o Article 24: Freshwater Wetlands
NYCRR 608: Water Quality Certification
o Article 27, Title 7; 6NYCRR 360:
Solid Waste Management
ffiMIT ISSUED TO
1ichael & Grace Griffin
DDRESS OF PERMITTEE
,36 Kinslev Court, Oceanside, NY 11572
:ONTACT PERSON FOR PERMITTED WORK
_and Use Ecoloaical Services, PO Box 1060, Riverhead, NY 11901
'AME AND ADDRESS OF PROJECT/FACILITY
3riffin Property, 435 Pine Place, East Marion, SCTM #1000-37-04-14 & 15
TEŒ:'HONE NUMBER
(5161536-8021
TELEPHONE NUMBER
(631) 727-2400
COUNTY I TOWN \ WATERBODY I NYTM COORDINATES
Suffolk South old Serina Pond
DESCRIPTION OF AUTHORIZED ACTIVITY: DEMOLISH AN EXISTING DWELLING, CONSTRUCT A NEW
DWELLING, SWIMMING POOL, DRIVEWAY, TWO STORY DECK AND A SEPTIC SYSTEM. ALL WORK SHALL BE
DONE IN ACCORDANCE WITH THE ATTACHED PLANS STAMPED NYSDEC APPROVED ON 11/3/2004.
~D~' tJU]~~
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5Gut\lGld 1oWI\ !
Board 011,",t...
By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all
,lIcable regulations, the General Conditions specified (see page 3 & 4) and any Special Conditions (see page 2) included as part
t'lis permit.
>ark Carrara
. ¡tJíHORIZED SIGNATURE
ADDRESS
Region 1 Headquarters
Bid . #40, SUNY, Ston Brook, NY 11790-2356
DATE
November 3, 2004 Pa e 1 of 4
'EPUTY PERMIT ADMINISTRATOR:
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DANIEL C. MOONEY, P. C. 'Y/1 ~ m\
ATTORNEY ~ IE ~ IE ~, fì
11700 MAIN ROAD 0 1\ U
MA~I~C:~XN~0~1952 JAM 1 8 2005 \\.:::.1
(tbl) 2 ~.IIOO
SOllthald 10wnFAX (631) 2>b-499B
tlo"d of Irudlftetbon . e.net
January 12,2005
Town Southold Trustees
Southold Town Hall
53095 Main Road
Southold, NY 11971
Re: Application of MICHAEL GRIFFIN
January 19,2005
SCTM 1000-37-04-15.1
Dear Madam/Sirs:
My wife and I are the owners of the parcel adjoining the above-referenced parcel
wherein an application is being made for Trustee approval of plans and modifications to the
Griffin residence.
My wife and I respectfully urge the Board to grant approval to the application of
the Griffins for the improvements which they are seeking.
From our knowledge of the Griffins and the care they have taken in preparing an
environmentally sensitive plan, I believe that it would be in the best interest of the community
for the plans to be approved.
Thank you for your anticipated courtesy.
very. I ~. 'yours,
,:C~
DCM:nm
Daniel C. Mooney
I
i
11/15/04 Field Inspection
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11/15/04 Field Inspection
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11/15/04 Field Inspection
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Telephone
(631ì 765-189"
Town Hall
53095 Route 25
P.O. Box [ 179
Southold. New York 11971-0959
CONSERVATION ADVISORY COUNCIL
TOWN OF SOUTHOLD
TO:
Southold Town Board of Trustees
FROM:
Southold Town Conservation Advisory Council
DATE:
January 11, 2005
RE:
Recommendations
A meeting of the Southold Town Conservation Advisory Council was held Tues.,
January 11, 2005. The following recommendations were made:
DISCUSSION AND RECOMMENDATION OF WETLAND PERMIT & COASTAL
EROSION PERMIT APPLICATIONS
Moved by Don Wilder, seconded by Tom Schlichter, it was
RESOLVED to recommend to the Southold Town Board of Trustees DISAPPROVAL of
the Wetland Permit application of MICHAEL GRIFFIN to demolish the existing dwelling
and construct a new dwelling, swimming pool, driveway, two-story deck, and a septic
system.
Located: 435 Pine Place, East Marion. SCTM#37-4-14&15
The CAC recommends Disapproval of the application because of the following reasons:
The project was not staked.
The proposed house is twice the size as the existing footprint and will
have a negative impact on the wetlands.
The pool discharge drainage is not shown.
A landscaping plan should be required limiting the removal of significant
trees.
Vote of Council: Ayes: All
Motion Carried
DEC PERMIT NUMBER
1-4738-02754/00004
FACILITY/PROGRAM NUMBER(S)
l.toW YORK STATE DEPARTMENT OF ENVIRONMFNTAL CO SERVATION
_ . FECTlVE DATE
go November 3, 2004
PERMIT EXPIRATION DATE(S)
Under the Environmental
Conservation Law
November 3, 2009
TYPE OF PERMIT . New 0 Renewal 0 Modification 0 Permit to Construct 0 Permit to Operate
o Article 15, Title 5: Protection of Waters
Article 17, Titles 7, 8: SPDES " Article 27. Title 9; 6NYCRR 373:
0 0
Hazardous Waste Management
0 Article 19: Air Pollution Control
, 0 Article 34: Coastal Erosion
0 Article 23, Titie 27: Mined Land , Management
Reclamation
0 Article 36: FlOOdplain Managem9Qt
0 Article 24: Freshwater Wetlands
0 Articles 1, 3, 17. 19, 27, 37;
. Article 25: Tidal Wetlands 6NYCRR 380: Radiation Control
0 Article 27, Title 7; 6NYCRR 360:
Solid Waste Management
o Article 15. Title 15: Water Suppiy
o Article 15, Title 15: W ater Transport
o Article 15, Title 15: Long Island Wells.
o Article 15, Title 27: Wild, Scenic and
RecreationaJ Rivers
P::-6NYCRR 608: Water Quality Certification
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PERMIT ISSUED TO TELEPHONE NUMBER
Michael & Grace Griffin 1.51 ~536-8021
ADDRESS OF PERMITTEE
. 436 Kinsley Court, Oceanside, NY 11572
CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER
Land Use Ecological Services, PO BOX-1060, Riverhead; NY 11901 (631) 727-2400
NAME AND ADDRESS OF PROJECT/FACILITY
Griffin Property, 435 Pine Place, East Marion, SCTM #1000-37-04-14 & 15
COUNTY I TOWN I WATERBODY NYTM COORDINATES
Suffolk Southold Spring Pond
DESCRIPTION OF AUTHORIZED ACTIVITY: DEMOLISH AN EXISTING DWELLING, CONSTRUCT A NEW
DWELLING, SWIMMING POOL, DRIVEWAY, TWO STORY DECK AND A SEPTIC SYSTEM. ALL WORK SHALL BE
- DONE IN ACCORDANCE WITH THE ATTACHED PLANS STAMPED NYSDEC APPROVED ON 11/3/2004.
. -
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By acceptance of this permit, the permittee agrees that the permit is conti gent upon Sffitll:~~~~~ce with the tCL, all
applicable regulations, the General Conditions specified (see page 3 & 4) and any þpeclal Colidlt'" I '. , :.....ded as part
. .
of this permit.
~ i
DEPUTY PERMIT ADMINISTRATOR:
,
Mark Carrara
AUTHORIZED SIGNATURE
ADDRESS
Region 1 Headquarters
Bid, #40, SUNY, Ston Brook, NY 11790-2356
DATE
November 3, 2004 Pa e 1 of 4
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omce Use Only
_Coastal Erosion Permit Application
_~tland Permit Application _ Administrative Permit
..- _ AmendmentITransfer/Extension
/Received Application:~'
~eceived Fee:$ :J ~ ~ re ff'l re n l!.n re ~
-1:c~~~I~~ Application I d I J II ~.~ 0 l!; D~E. _~ l!;2 lU ,lVJ.., l!; ~ 0
_SEQRA Classification: O' '0 .
Type I_Type II_Unlisted_
_COOrdinatiOn:(date~ent. .
~AC Referral Sent: (
-3liJe oflnspection: II) Southold Town
_Receipt of CAC Repo : Board of Trustees
_Lead Agency Determination:_
Technical Review:~
A'Ublic Hearing Held:~
_Resolution:
Name of Applicant W irhlY- \ C'l,i.(fi "
Address!::J.~( 0 l6(\~Ie..'f C'+, ~c.e>On.""l\ (1<:.. ,L)'-? \\'67ri
Phone Number:( d <::'>\Lt> ') S?-,( () - BDl.\
\i-ttl'S ([S-I)
Suffolk County Tax Map Number: 1000 - .3/ - 04 -
~3&-...
Property Locatio~'\\C'. \"\ac.c.., 37:JD' EAs-t DI= (t"OO~
Larr_ in c;(1\d\lf'~ fu\..j F7'rlo-\es. FCl~ ~()\\O\"1
(provide LILCO Pole '#, distance to cross streets, and location)
AGENT: "32S=~,e.l .\ \: 7,.--A-\e, ~ E.
(If applicable) ,
Address:\)D ~"'))\ Lo?-,4 ~\-1 CX-e>'<<wn, "-"")~ \, ,6lo
Phone: llo"~\) 2..D13 88':::>D
~
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Board of Trustees Application
GENERAL DATA
Land Area (in square feet): I 8, s=As . py sç:-
Area Zoning: ~ - L.\ 0
Previous use of property: ~\r\o.\,,-\-in\ 1'1 q:-\\i'(ìO
~
Intended use of property~'c\e-\\-\io. \ ~ ~ \ \ i f\C\
ð
Prior pennits/approvals for site improvements:
Agency
~EC
Date
10(')"\11" w\r- \' ;'-,. LDOY
- No prior pennits/approvals for site improvements.
Has any pennitlapproval ever been revoked or suspended by a governmental agency?
LNo_ Yes
If yes, provide explanation:
Project Description (use attachments if necessary):- ~\i5\ì P.)( \~t¡o~~
c\1.'V"\\i~n, ('["'J¡ì7-,-h-~t(! \'PI.~ ,.II œ\hnQ, 5L.::>\m\õì\\ì_
~) '~
\Ï'c\ , rln Vf'IÙ,y, -\.10 ~\n-ç\\ Òt--r'£ ""d 0 E-:í>y\¡(
S \:"-,-Wrn.
.
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.
.
Board of Trustees Application
WETLANDrrRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operation~\cÞr--\--'n' \)..::f'\ \\VìQ
èS
Area of wetlands on lot; \ ~o () square feet
Percent coverage of lot; ß. L %
Closest distance between nearest existing structure and upland
edge of wetlands: ~ \ feet
Closest distance between nearest proposed structure and upland
edge of wetlands: 65 \ feet
Does the project involve excavation or filling?
No
./
Yes
rfyes, how much material will be excavated? ~O cubic yards
How much material will be filled?
a
cubic yards
Depth of which material wiI! be removed or deposited:E\N~ì8feet
Proposed slope throughout the area of operations:~
Mmm,,", whi'h ~"ri"1 .;Ii bo -.., """",.,,,,,, ~ 8.~ \ \
'ù- ('f>-(~'(\c1Pri O~ ~J.eÒ 0\'\ f-:J\1e. ;Q\\
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):
~~~ ~\(\P-'\\Ce' Dr\<..., \-r, \ \'ì\\YìC'-+ {)n
~x'("rx)\)r\\(\~ r1,"">t: ---\-r, .ç>)<..i~h~ (J~~\i~~~'elì4..
.
.
Board of Trustees Application
COASTAL EROSION APPLICATION DATA
Purposes of proposed activity:~\de~ \ U '{"\'IOCl. ,
èS
Are wetlands present within 100 feet of the proposed activity?
No ,/ Yes
Does the project involve excavation or filling?
No"¡ Yes
[fYes, how much material will be excavated? ;:"DO (cubic yards)
How mucb material will be filled?
o
(cubic yards)
Manner in which material will be removed or deposited:~\f"" \ ù\ \ \
'a:- Q-~(\Òf"c1 0'2> ÇP:\ ~\e 9V:t....'
Describe the nature and extent of the environmental impacts reasonably anticipated resulting
from implementation of the project as proposed. (Use attachments if necessary)
\h:"x-t'" ()V1" \\0 eD'\I\'On\Y'tE'\t\-n\ 1\'\\\)ìC:ß
Q\'I\\ C' "\ 0cW:d '«"~ ,\-\'\'\\0., ~m \ (Y\Q~W'f'"~O"
cÇ ~ Ç)\D()Œrc1 (X-oì,e-C':\ Òa- ~ \0c\E\"\1-io..\
~\,\\:"".'0.'NìP'C'\~ o\\enc\u f'Xi-:"">1\'\\O i\\ ~\~
. 1
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.
Board of Trustees Application
County of Suffolk
State of New York
~6A 1J-fJ4 t3A ' L -r:- '1 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 ENTE ROPERTY TO INSPECT THE
PREMISES IN CONJUNCTION ITH REVIEW 0 THIS APPLICATION.
Cìtt':(NJ\Ø~.i LÐ 1 \.--
. ,// Signature (j
~
SWORN TO BEFORE ME THIS ;J I DAY OF ì) e ~
,20Qi
~¿~
i/
Nu[a.y r',',,' ..:,: JT "cvv (OIK
No.4>222Ù2
~. Su(IoIk CGunIy
- .. _NllllJ2I.-
JOM£.~
NIIIIy~""'1Iñ
QuIlled in WIaIk
r JJ<io. &phs ftIIruaoy ~ 2006
.
.
Albert J. Krupski, President
James King, Vice· President
A.rtie Foster
Ken Poliwoda
Peggy A. Dickerson
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone 1631) 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
~.' .
------~l-1~-~-~-~l>~~------------------
COUNTY OF SUFFOLK)
STATE OF NEW YORK)
AFFIDAVIT OF POSTING
I, 1M (C Wi. r t 121LL, residing at t{-6 (Ó t; I AJ1Jl.~ CðU ¡¿,--
D~£~7(~ Ák",,) ld6<r¿(C!. ( I ¿}'l ';¡ -II (ò
being dnly sworn, depose and say:U'
That on the'1nt-day of'TA.W~, 2000 personally posted the property known as
4~1 f,JJ{ rüv.(.. t'-I!¡C¡:¡- J1A~d'>J
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
hearing. Date of hearing noted thereon to be held WfUI. .1a.1'I. /9, ~~
(si
---
Dated:
Sworn to before me this
J I day 0[JQ""";'2005
~~
Notary Public
CATHERINE PAPSIDERO
Nolary publiCI State of New Vork
No. 0 PA47BB640
Qua!il,ed In ~assau ge,ffl II?'"
CommissIOn Expires ~ I
~.,-ZI-Z004 \Z:45pm
Frcm-G.EN C)Y~OOLI PE,IONNEL
516 751 Z16: ~
8oU'~ of Tru.~. AftoJ.i_UOQ
AUTHORIZATION
(whlre tbc appl\C&Q1 is DOIIhD owner)
I, Û 12~(. ~ b'21f..J
(Prilll owø:r of propcny)
résiclinaat_& klJ)5UI/' er.-
. (lD&Îlin¡¡ addrc$~
Det4fí,j)4, ø~¡J ~'Ç,,!~doberebYl\llhorize_
(Agm)
'J"~p..Ö T ß¡)ìlAL IDapplyforpormil(s)fromthe
~
T-711 P.002/00/ F-'24
James F. King, President
Jill M. Doherty, Vice-President
Peggy A. Dickerson
Dave Bergen
John Holzapfel
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
CERTIFICATE OF COMPLIANCE
# 0108C
Date May 18, 2006
THIS CERTIFIES that the single-family dwelling, deck, driveway & sanitary system
At 435 Pine Place, East Marion
Suffolk County Tax Map #
37-4-14&15
Conforms to the application for a Trustees Permit heretofore filed in this office
Dated 12/21/0j,ursuant to which Trustees Permit # 6081
Dated 2/16/05
Was issued, and conforms to all of the requirements and conditions of the applicable
provisions of law. The project for which this certificate is being issued
is for a single-family dwelling, deck, driveway & sanitary system
The certificate is issued to
MICHAEL GRIFFIN
owner of the
aforesaid property.
r071r
Authorized Signature
~
OF MAILING OF NOTICE
ERTIFIED MAIL RECEIPTS
Address:
1.~
, OO.llfiV"r.'
<;) /--!)' &l
,1/'/ l:'>
};i p~"
'\:' '1:--___
~ r5UlKO
'I/l
"jf:\{<.? '
.....,..~..
postage $
~ I Certified Fee
o &turn Reel.pt F..
o (End rsement Required)
CJ RestrIcted Oellv9ry Fee
..n (Endorsement Required)
.-'I
I"'=i Total postage & Fees $
0.3'1
4.42
;T
~ aiel.~.~cre.e.o...~o.J?~.t............
",pQB"';N~" m wro\:d\.BYf.........--...--...--...
ciij.'s;;,iS;Zip+.' ......... . . '( 0
STATE OF NEW YORK
COUNTY OF SUFFOLK
\~~~\\e-q ,residingat \~\(V\\(\X'\~ ~<<\~~
\> 'Y'" -, 'Q",\( \\0 D \ , being duly sworn, deposes and says that on the
N~ day of~ (' , 20 cl, 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 oi Southold; that sai . were mailed at the United States Post
Office atK ,".....\ri'"nc-i , that s' otices we mailed to each of said persons by
(certified) (registered) mail.
'''2- 7. ,,"-
Sworn to before me this .
Day of ece01ber 20~
h~,l
LAURA J. DUBOIS
Notal J Public, Stale 01 New York
No, 4953089
(J"'}';ad in Suffolk County
O"lrl'tt~l~.:plt; t:~~ ~l:tlf S: 2-00 f
/'
Sept 14, 2005 Field 1nSpectiO.
\011
.
F
~.j b~ Ie>
L,-e.r---.
Sept 14, ~005 Field Inspectio.
.
Sept 14, 2005 Field Inspectio.
.