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Home My WebLink AboutTR-6051 AIL,t,rt .f. .kt, Pre.5IJè!lt J3rn<:>S K.Ltlg, \'ice-Pr<3sident Artie Foster Ken Poliwoda Peggy A. Di...-:kerson T'..".'.-n Hall 5,3i.!9S r-...:Gut~· 25 P.O. Box 11 ,9 Southold, New Yark 11971-1)9 Telephone \(31) 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 Pre-construction, hay bale line '11'11/0<; [. c'" ~.'" r-- ~tc...L n ~ -fc, b..z.. ~"t"1., (r· 1st day of construction ß),-- Y. constructed ~7 Project complete, compliance inspection. fi,e rc¡¡J 7/ ;)/02. .. Board Of Southold Town Trustees SOUTHOLD, NEW YORK PERMIT No.0Q?\ DATE: )~~·20, .2.004 ISSUED TO .._...0.~~~~!.uJI~!,:,.u..u. ......._.._ .....uh._._·....·.. ........................... !\ut~nrilatint1 Pursuant to the . provIsions of Chapter 615 of 110" IAws--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- ·11t1ðd:~'ReeULATING -ÁNDtHE· PLACING..DF .oBSTRUCI1ONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS..FiOM LANDS UNDER TOWN WATERS;!'. and in acc:ordance with the Resolution of T"e Board adopted at a meeting held on u...pg.S::..:~~9.. 200.1........ and in consideration of the sum of $2.~?:..o..o... .... paid by MaUne. Ine.. .. .........._......._.......1......... ............-.............-...... ........................ .......-....-...................-.......-...-..... T~~~···;~~~~~~¡t¡J~;i¡~t~;¡~~t~; ~v::e su~1:c:tl:r::;, of Southold 1: own T r,wees authorizes and permits the foRowing: . We.fta.nd P0Jnu to .c.ovu,tJw.á a. 6Z' x 52" 6~ng.f.e.-6a.mily dwe.U -Ln~ a.nd P0V-L0!L6 ciJL,Lve.wa.y.wuh the. J.>upu..f.a.ûon that theJte. .u, 30 nOI1 futuJtba.ne.e. bu.iáeJt to the. 6Jte..6h wa.te.1t we.fta.nd a.nd aLl'. M de.p-Láe.d 011 the. pta.n J.>uJtve.ye.d by JOJ.>e.ph Illge.gno a.nd da.té.d an In .c:c:ordanc:e with the detailed specifications as presented In . the originating appttc:ðtion. F e.bhu.lL'l.ý 1, 200 1 . IN WITNESS WHEREOf. The said Board of Truriees here- by causes Its Corporate Seal to be affixed, and these presents to be subscribed by is' maorIty of the said Board as of this date. . . Peggy D~ckerson. Trrui.., .' ~ .. ., . . ", . '." ~ .. rq.1.'~ ,~,J r.oNftmotJç "'4:- ne Permittee M£1Üne., Inc... midibg at Soláhold .. . N. y~ lIS pan' of the coosidmtioo lor !he is'suaaœ of che PUmit doc:s IIØdmtaod and pœsaibe CO !he fol- Iowia¡: ___ 1. That !he saidJloud of Trustees and !he Town 01 Southold are tdeued {rom any aI1d aU damages, DC da1ms foe duuap, of au1ts arØiø& clitccdy GC Iodiœcdy as a ~ of any opet- .-loa performed f'I''SIIIatoCe.ëls.peøalt,1IId -the ""I,¡ twmI_ ,mä.g.~_ .qJ~~ ~. delend any and aU JUCb lUIu"nltI,~ by dUtd-f'atdcs,.aad!he said I'ermfttee _ f1IU u.bI1Ity whh reSpect thereto, to-lIJf'_rLotea:dusloo of the IIøard of Trusctes of the Town of ~ 2. That tIús I'eøbIt is' valid lot a period of ' 24:mos..ta/d,. Is ~ CO be the estimated time· requited exiooiaplete !he WOlle lawl..cd, ....t 'ihoald ~ waaaar, request for an exœøoioa -r be made to che Ðoad It a _ ~ . .' 3. That thU Pennit should be retuøcd /.adeflolcdy, or as loag as the said Pu..1Iuec 1IIshes . to . m.in..ln !he suuaur. or plX/Ject Imolved, to ptIn'ide mdenœ co any'l"" CXIIlO::ØIed chat 1IIch.- ~lioa was ocIgioaIIy obtained. / .I . i 4. That the wack Imolml will be IUbJect to the ~ aad appronl of the Boud or Ia agents, and noo.""'"'I'II...... wi!h !he prcnisioas of !he o<Iß/....tI..g appUa.1ioa, may be aase for mocalÍon of thU Peanlt by ~"'lioo of the said Boud. S. That tbeœ will be no wueuonabI.e lalCtf_ with aaTf&adoa as a ndt of the wodc haeIa authorized. . . . 6. TIw tbeœ sbaU be DO lnIaference with the dþ 01 the pnhIk to pus IOd ft{IUS ~. cbe bead!. bet1icœ fII8h IIId low water awks. 7. TIw If future opendoas of !he Town of SondaøId requite the œmcmI aD/J/« IIlJe"OtIoas in che 1Qno&n ol1hc wack bcreIo _d....~~ or If, III cbe opInIoa of-ibelloatð 01 TrascIeer, die. wøå: IhaII ca_ _-oN. obsttncuoa to free anIpIoa, cbe said p...mI..... will be ~ IIJIOO- ao&:t. to fCIIIO\'e or _ chis wodc DC plO/oct bereIa ItaIecIwkbol,t( vpeø<es to the Tuwa· . of SoudIoId. . . . 8. That !h. AId Boatd will be aodfied by the ,·rnoIt~ or die ~~Of the wack IIJth. oåd. 9. 'lbat the ....... .!Ieee will GbtIIa aU other peaaIcI &ad -.. ChIt may be ncpdred .. 1"-"" co chis peaaIt ~ _y'be ..mJect to maIœ IIpOQ úUaœ CO oIICIIa __ .... . - , - .' . . 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 December 20, 2004 Matine, Inc. P.O. Box 1925 Southold, NY 11971 RE: 435 ALBACORE DRIVE, SOUTH OLD SCTM# 57-1-20 Dear Mr. Hurtado: The Board of Town Trustees took the following action during its regular meeting held on Monday December 20, 2004, regarding the above matter: WHEREAS, MATINE, INC. applied to the Southold Town Trustcès for a permit under the provisions of Chapter 97 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated November 19, 2004, anc'. 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 December 20, 2004, 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, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, 2 . . RESOLVED, that the Board of Trustees approve the application of MATINE, INC. to construct a 62' X 52' single-family dwelling and pervious driveway with the stipulation that there is a 30' non disturbance buffer to the fresh water wetland and all as depicted on the plan surveyed by Joseph Ingegno and last dated February 1, 2001. 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: $0.00 Very truly yours, ~9~(j· Albert J. Krupski, Jr. President, Board of Trustees AJKlhct . . RESOLUTION RESOLVED that the Board of Trustees of the Town of Southold hereby finds that the application of MATINE, INC. more fully described in the public hearing item #2 of the Trustee agenda dated Mon. December 20, 2004, is classified as a Type II Action pursuant to SEQRA Rules and Regulations, and is not subject to review under SEQRA. 11115/04 Field Inspection. . '. "~ .f ~ .' , /~ " " (,.; , ¡ I'. ~" ; ! ~( , <.i ,i¡1 " .. o' --- -~- . ...-.-... . .. o .:. ;1"i'~f:': .o'¡;S)~,~·. 0_- ~. ~ . íllii ( ~¿;IÌ -:'!:'~:~.... " -.' -' . . .:: :-··:--·.=.à --;- . - ~-':o'':; ":_ :~~/.,~ ... . ·_~j.t., -~~'~,,# --~ - ~..' -.. . '-- .~-;. .~.- .. - -' :... '_.~ .;. '.~. - p .~-\. *.* ':. . -~. .. " ~.. ...-.,. --:;'-i.:.~~:";';~~_ ,~' .-., . ~ ~.*. . 0" .- "" -.~ , ,- .;¡,. ~..... - .~, .,.... - o:~~~ .Q>: c. . .,.....;.. 0 _ _ ~ .. ~.... -. - . /"" -" - '0- . - Or :. ~,þ""¿_ -: 'f-' :~.. ~?~:¡.: ° . _ ...........-.""..-.~.... ..... ~. ' - .';::'_'::-';F.(fj- ':"ol.:'~ -1ir~:":~:-_- ,,;... - ... .....,. AI< ... .., , ...... -' -~_~'."""J!~1i~_ _'.~. -~~. .. . -- .. - -... ..~~ ~--=.. . ..- -- -. -. . ".þ-~,,-.":-' - ".r-- . ~~. ~ .. .~ .~.:_..-~ ~, . -. .- ,¡: '. .- . .~ ....... ..., -- -.. 'p'ì..J-- r-, <- . . Telephone (631) 765-1892 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Tues., December 7,2004, the following recommendation was made: Moved by Don Wilder, seconded by Nicholas Dickerson, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Wetland Permit application of MATINE, INC. requests a Wetland Permit to construct a 62'X 52' single-family dwelling and pervious driveway. Located: 435 Albacore Dr., Southold. SCTM#57-1-20 Vote of Council: Ayes: All Motion Carried SIlt ~<..( f-AoJ-< A '''< '1".....t- """ r;-¡r ,_ Agency f'~ Jreclnct I New York State II]' 011.1 4 r» Qng S (ð~e No 16 InCIdent No (' 'y"'--- INCIDENT REPORT NY,.., _. - D Supp 7 - (, 'ìY 7 '-..."'1.... .¡/í;71' _ /,;7,-,/-..... '- -~ 7. Report Da.,. I B Date 1 031 ~:o~~' Occurred 10 Da'{ 11 Date ". Time "'",... I:" D', 14 a'll£' 1 ".r.m, --- Ù 7 I/""- Ql\IFrom: ~-s :7 7 II To: ____ :J.I 1/\ I) /./' ~ -+ " I~) '-.¿ :' , - I~-, ~ v Ò ... l~entTvpe 17 BU~lne~> Name 18 We-dpon(~) A. Z /....' </# , ,-- /. w .:...L.- )¿!t'.. f' 7......L 0 0 19. Incident Addre~~ (StreN NO. Street foBme. Bld,~ No :'P¡ No I 1;0 Ot....Stat~.l'P{D(;O r o VI /11 LOC~tIOn Code B. æ <¡ S <:" A /IS<:c..?0... c/..... C/c.c~ )7_f ,- J...t:;" 1l.OfF.NO. lAW SECTION SU' Cl CAT "". Arr NAME OF OfFENSE m 2] No ofVi(t,m$ C , 2 }:4 No. of SuspeC{$ ~</ 3 15.P@ßOn Type: CO.. Complainant OT "Other PI " Penon Intl!rvlewed PR ill: Person Reporting WI = WitneH NI_ Not tnte-rvIewed VI "vktim I 26 VIctim alw compla.nant 0 YON E ~ TVPEJNO NAME (LAST, fiRST, MtDDlE, TITLE) Oateof STREET NO.. STREET NAME. BlDG. NO.. APT. NO., CITY, STATE, 21P Tefephone No, Z Birth 0 6'-</",- 6\--=.... 5(-;..1-- F. ~ /0 /C,"k- 1< c/' .. \ P'fc. _'-. S--''- ./ t..~ le/ w ... 0 G w .... e 0 H 0 ~ ~ e I. ~ 27. Date of Birth 128 Age I ~ ~9. SeK 130. Rac;e I )1. Ethnic; ]2 Haodic;ap I B Res,dence Statu\ 0 Temp Res.· Foreign Nat. ¡¡ I I o M 0 F 0 White 0 810Kk 0 Other 0 Hi\Pilnic 0 Unk DYes B Resident B Tourist 0 Student Pe Other J. ;¡; U 0 Indian 0 Asian 0 Unk. 0 Non·Hi\PilnlC o No Commuter Military 0 Home eu 0 Unk 34.TypelNo 35. Name (Last, First, MIddle) ]6. AliastNlCknamelMaiden Name (last, First. Middle) I ]7. Apparent Condition K. Z o Impaired Drugs 0 Mental Dis 0 Unk 0 o Impaired Alco 0 Inj I III 0 App Norm ~ .. 39_PhOne NO ~ )8. Address (Stre@t No , Street Name. Bldg No.. Apt. No . City". State, Zip) o Home 40 Social Security No ... L ...0 o Work. V~ 142 Age ~.... 4'. Date of Birth I r·sex 44. Race 45.Ethnic I :6.,.;" 147.0"'''M" ..'" I OM 0 F o WhiteD Black 0 Other o Hispanic 0 Unl. o light 0 Dark 0 Unl<.. M "'W ~g¡ Do o Indian 0 ASIan 0 Unk. o Non·Hispanic o Medium 0 Other "'e 150 1 SS Addre\~ ð 48. Helghtl 49 We'ght haIr S1 Ey"es 52 Gla\ses 53 Build 154 EmployerlSchOQI N Z o 'fesO Contacts o Small 0 large ¡¡; o No o Medium ~ i 56. Scar$! MarksfTattOO$(Descnbe) 57 Mise 0 ~~~ "-'Y "-'Y ~Ua~~!~1 n~~...ki..~ Dftcription Value 0 ,,- Tice . M_ ......... 0 .. 8 ... .. 59. Vehicle GO. license Plate rJo FullO 6tState 62 Exp. Yr 16] Plate Type 164 Value ~ [J .. Status PartlalD 0 .. W ... -' 65. Veh_ Yr. 66_Make 67 r.'ùd",l 168 Stvle 169. VIN ~ !o! " ~ > I" I" LJ 70_Color(s) ro.....ed B~ VehIcle Note~ fo. 73. ,~ ,,/~ ,.., ..i... /_.-' C /0 Æ': ._. . ,I" ŒJ /(",,...?~ ,- J";/¡" -. ""'-<e d 0-1 [J ..-L¿< /< ~";' ,/ ' <?/ /.(~ ......-1 ~J" <- If'/(: r;. ~ ",' ~¿< .. , /....."'v' ....... , ~~ ~.n /-0> CO d,. ç. /....... <- ~ ,../ ,- .,-<=- /¿{'fI:.- r,. < d. B ~ -r-.(~ - < ~<>"<' ,n _? '> /.,,/~~ > " / 77 J ~ ..c ¿'~ /~~-. r ~ c/o [J > V r ~ ;: .. .. /:"c:,~_ I' rL,-,v. .../ /" ~< , <: ~ ~.~ r::. Ä:;:o...-té,. ...., r-___ ,"'£'" EI .. ,,?uC'" r' e z 0/; cor / "...,/ '.-~/ ?..-< .Le /?./;1" ..... :,?/C /?- /..--/, ~.- ("~Q"<'<:'..... ~~~ , - -, .7 EI ü..·,/ç ".~.t. 5 ~ 74 Inquiri~ (Check all that apply) 75 NYSPIN Message No 76 Complamant Signature ...~"' i > o DMV D WantlWarrant o Scoffla.... ;: o Crlm_ History o Stolen Property o Other e "R' .. w;'/'?'<:)~1 /i'c 118 ID~o ". Supervlsor's Signature (Include Ran~) 180lDNO .... S. ~ /0/- J I Z "itge i " Status 0"" ~CIO\ed(IIClO\ea check 000 belOw) D Unfounded ;;"'vo;:' b ;> 183 NOtlfledrrOT 1>' 0 D Vlct Refused to Coop D.o,rre~! o Pros Declined o Warrant Ad~lseo e DCBI D Juv ·No Custody DArrest -JU" D Qffenoer De3d DE.u,td Deelln QUnknown Pages V' OCJ5-3205 [2 '97) *FAl5E STATEMENTS ARE PUNISHABLE AS A CRIME, PURSUANT TO THE NEW YORK STATE PENAL LAW Albert J. Krupski, PresIdent James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson r . 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 May 30, 2002 Ms. Catherine Mesiano 12 Mill Pond Lane East Moriches, NY 11940-1222 RE: SCTM#57-1-20 MATlNE, INC. 435 Albacore Drive Southold, NY Dear Ms. Mesiano: The following action as taken by the Board of Town Trustees during a Regular Meeting, held on May 22, 2002, regarding the above matter. WHEREAS, Catherine Mesiano, Inc. on behalf of MATINE INC. applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated March 1, 2002. 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 22, 2002 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. . 2 . WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT. RESOLVED, that the Board of Trustees approved the application of MATINE.INC. for a Wetland Permit for a single family dwelling on site septic system pervious driveway public water with the stipulation that there be a new non-disturbance area line be shown on a survey. 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. Fee must be paid, if applicable and permit issued within six months of the date of this notification. Ifinspections are required, at a fee of$5.00 per inspection (See attached schedule). FEES: $10.00 Very truly yours, a!/. to' I rJ. /~~~;:v Albert J. Krupski, J r. President, Board of Trustees AJKIcjc cc DEC Building Department . . Town Hall 63095 Main Road P.O. Box 1179 Southold, New York 11971 Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken poliwoda Telephone (516) 766-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: Catherine Mesiano Inc. on behalf of MATINE, INC. Please be advised that your application, dated March 1, 2002 has been reviewed by this Board, at the regular meeting of M.y 27. 7.007. and the following action was taken: (-1l-) Application Approved (see below) (____) Application Denied (see below) (____) Application Tabled (see below) 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: Two Inspections @$5.00 ~~IJ Ji I t; æot.-- TOTAL FEES DUE: $ 10.00 tlac4 'l ~ .~..t. 9., SIGNED: Y" PRESIDENT, BOARD OF TRUSTEES (l~(ìU-(_' C'~ BY: ctLERK, BOARD ;;. T~~STEºS 4/98 . f'\Ot-\~ ^sL INSPECTION SCHEDULE -Ø-construction, hay bale line J 1 st day of construction J Y. constructed 0pro¡ect complete, compliance inspection. . Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson . . Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD , 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 --X Pre-construction, hay bale line 1 st day of construction y. constructed ~ Project complete, compliance inspection. MATINE, INC. 435Albacore Drive, Southold, NY · , Telephone (631) 765-1892 Town Hall. 53095 Main Roa<. 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, March 18. 2002, the following recommendation was made: Moved by Scott Hilary, seconded by DrewDillingham, it was RESOLVED to recommend to the Southold Town Board ofTrustees DISAPPROVAL of the Wetland Permit Application of MATlNE, INC. for the construction of a 62'X 52' single-family dwelling, on-site sewage disposal system, pervious driveway and public water supply. Located: 435 Albacore Dr., Southold. SCTM#57-1-20 The CAC recommends Disapproval of the application as submitted and recommends a 100' non-disturbance buffer. Vote of Council: Ayes: All Motion Carried -~ . ~ -I CATHERINE MESIANO, INC. 12 MILL POND LANE EAST MORICHES, NY 11940 631-878-8951 February 27, 2002 South old Board of Town Trustees Box 1971 Southold, NY 11971 ~ttJ ¿ 8 .' ATT: Charlotte RE: MaTine Inc. '. 435 Albacore Drive, Southold SCTM # 1000-57-1-20 Dear Charlotte: Enclosed is an application package for the above referenced applicant. Please note that the application fee, disclosure, release and authorization will be hand- delivered to your office by Mr. Hurtado. Should you have any questions, please do not hesitate to call. Thank you. Very truly yours, . Enclosures 'f . + I -<>- z --/ . II I I "I ì ;1 !~ I I / I I "I ;1 .. I . , I :~,! ~ /"'--- I- , . . I ~ . ¡ + · io · '. · , tj¡ l ~ ~ i c. ( Q \ ;0 r ~ Q ~ " ~ w 'J w '" ~ . ,; . o,¿ <:;:0 "' 0'" I: ~ >- I s; . ~ 0.- I..J :...... ::.=.J ....J:> 0, "' u 5¿ CJ:::?i --, 0:> I ° '!o "! c "" " -IWf"'-..-·o a.. 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"'-:""r-:-:~" .{ f, ." ,J) t ,:'<' ~ , , .;.Î-- .) £;:1 .- ~ s~,f . w < ....... (, " ,..'-' ~'{" \....'f "","'Ç' r .--:) .,f, ~ .: -'.j' ':. ~:r R "¡ETLANr;.~ E':')ll~¡(,,(."'L . FRES..........TE·,F LAND~ . ¡}Ij~ \..1' i)WtoIAt::" ""-......NDW...R(jE~ Bf L_Yt ~ 21)0'.- / "5 n.AG~ ,5N ..III,P,-H , S(R"I,(E \ ':D '"' rt... '0 , \ \'. ~ ~~ " A' :{ ,;, '" /;t . "-::y-~ \ ~ ~ ~ " '\.~. // J ,.-. , '/"7 '/"6.- \ ó '',/,::/ . o \ i" / í::ý \ ~.¡,'\./ . \. or;" ,/ -<0J- \,. // ~ \¡/ " - i i ~ II î ~ I" H 'ì .' ¡it : , ~~~ ! , wi¡ ~ i~h~ § ~ 'iiil ~ ; fl,t. I é~~¡r, :~uW - ". -.,." i . .'..... .p ~ -' I~ c¡, " _ 1/'-1 / 'iÝ,/ I . '-v ~I "I.". , ..:........7/. . -,) "1"-1-___ ~ / , ~ / / 'I . .' .:& ,~:<~;; ~ ~.~ , \, A _ \ ~. ..' .1fJ ': ~ _ .\ . ,f, ..{~ "'. ~. ~ .,~, ",.\~",," · ",,", .... '>, i!;:;'Iò;. ;;. ,/ '."~O, '-., ~." f', ".....~I', .' '.\. .....' '.,,1 " },- ..... ~ ", &' '- <, " " v " " ",v . m I ~ r § m ! 2 ", î 0 , I c ð ~ ~ j I '" ~q : I h, I i ~ !U ¡ " ~ ""> 0. I II I I I I I I II I I II II II I I I I I I I I f I o ., ,~ I~~ ~f f' ~ .~ <; ~I ;; ;~ ~ i' i ! ,d ~ j ~ ~i ~ , § ;!! it , h' ih · "~18 I '. .i 3 i df .., ~I ..~ ~,,~ í ~~ ; ~: !~!î : ;;r;,!:¡I: rl ~·i' ~i .;~!.~~ !:Hi.i~i :i ~in d~ PI. ·;i~id.: i:~i,a~. - ~ ....~ .. 1:-\>' ~~ ,§ (.JT " :;:,."1" 3 ~ 6 " " '" ~ o l i:? ¡;¡_~ í~ f'&~;I ~ "~J ~I t) '. -g ~~ ~' ¡ i I 1 ~ j¡ 0.J o ., 3 M j!:tl§ ~ i'i ~~! ðfì~~ I!~~ :i; ~~i§ :~: :' !~ ~~~ i~i~ ill .Id ~!! ¡J~~~ ~U~ ,~ ø§ Ii ~ ~-, >; < ~ . l:I~i mi !~b ~i<êl;g ~!S C> ~ ~ª ~ c~- ~ If; i i~, . .- . z . . Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Albert J, Krupski, President James King, Vice-President ~.\.rtie Foster Ken Poliwoda Peggy A. Dickerson Telephone i.63lì ,65-1892 Fax \631) 765-~blo'l\ BOARD OF TOWN TRUSTEE TOWN OF SOUTHOLD NOV 1 9 2004 Office Use Only _Coastal Erosion Permit Application ..----wetland Peront Application _ Administrative Peront ~.:.-Amendment/Transfer/Extension -"-Received Application: ) / / / c¡ / <>y _~eived Fee:$ d \\)- _--eompleted Application ) II (crl o.¡ _Incomplete _ SEQRJ\. Classification: Type I_Type II_Unlisted_ Coordination:(date sent) .--eí\.C Referral Sent: II U 11 t:JY ~e oflnspection: 1;H132rlf _Receipt of CAC Report: _Lead Agency Determination:_ Technical Review: ~blic Hearing Held: I.J-/.Jù/OY Resolution: SDulhoId T_ loard of Trusteel Name of Applicant 1\1\ A TI A1 Ii. / JJ C , / Address P. 0, 80'1- /9) t) 50u 1µOL-. D . ¡J, y. / b j / 7 G S - (, 1- 20 Phone Number:( ) r; 3 / S S 3 - Suffolk County Tax Map Number: 1000 - 5 7 - I - L () Property Location: '1.35 ALiJÁCOl1(! O;t./(/[S SOU 71101..-/) /1971 . tf 3 /9 ~ð\ .J)- r:5 iì" / (provide LILCO Pole #, distance to cross streets. and location) . ( AGENT: (If applicable) Address: Phone: ------ . . Board of Trustees Application GENERAL DATA Land Area (in square feet): /~ 3/1, f3 Area Zoning: ~ - 'f0 Previous use of property: V Å CAP f Intended use of property C ô v .\ í {l u ( T / ó µI 0 f Sn)(....L ( r AI11 fL 7' ...J) IVC 1-1-/01 (,..- Prior permits/approvals for site improvements: Agency I Sou 1/-tOW) ßL D~, þ¡:,¡:J í _DE: C , D~e ?//'rf)'f C/);).) 0 i- f I 5/~7--/6"" , . !JI-{)G . fC.CJl-M I í í/DA.L. wc¿.TL,ÀpDS !'t¡<I1IT I,¡./(:ít Aµj)5 (c:¡(I(( 7 (~oIJ1tf{)L-O TlLu51(::t:;S ~ pt-f/ll.t:O _ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? LNo_ Yes If yes, provide explanation: ~ I I Project Description (use attachments if necessary): Co 1/ S ílLuc 7í oµ or '2 Y S 2- (IILrtrfC-) S¡J/G-Lf! FA;#rLY (jIA./ELLIU?¡ /U'i.U/ovJ l)(L/UJ.WA~ Aµf) PU/X/c IJÆ-/ó""- Su//,.t.. Y (ot/ S/Tr! S~¡./AGe /)(SlúS,AL 5y.s7€:"1'\ /µç1"ALLf-O Aµ¡) ¡!.D/ IM1L7 C é.rf"AÆ.{.-f) ) ---- . . Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Percent coverage of lot: ? 1..0 ù square feet ~ % Area of wetlands on lot: Closest distance between nearest existing structure and upland edge of wetlands: ,I.//.A feet , Closest distance between nearest proposed structure and upland edge of wetlands: ,: () feet Does the project involve excavation or filling? No / Yes If yes, how much material will be excavated? 3c.o i cubic yards How much material will be filled? JJ/¡A cubic yards Depth of which material will be removed or deposited: v,Þ feet proposed slope throughout the area of operations: 4 5 t ¿If (! 5 ca/T L Y (¿: 1"'/ S í 5 Manner in which material will be removed or deposited: I?)( l A vA- -r¡ () ,V A 55vCfA1c-f) WI Tf-I rO-JPDAí(uV 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 aypropriate): PO 5 ¡Go PI Flc A / T /JIlI'A (1 /5 AAlT/CIPA-ír¿{) AS A t<('SULT òí- 111& l'¡%5¿1) ,ACT/t>.v: (I) E.~/sTi}tr st:;j'1fc 5ý5íGÞ1 /5 /ilDt1.G" í/f-Av /oc)' rfl.O(#1 TI-f(' <u~p.A¡/D. (L)€R05fOI/ CD/./ít20L /Y¡eASVj{ (;.5 WI L L ðG íAKr::v !JUt1.fl.J& Co/o/ TtlvCTto;v ß t TII(Ç U5€ of 5íÁJ(I3D ¡./A"YßAL~5 (3) D¡.¡.y ,.I{¿'(S \'v'IH. ß15 ,1J./<f.A.J l ¡;;D ío ,nAirA/!/ A¡.J7' _'i7o¡2/JtIUA.7(Y¿ f{()).I()¡::¡- . Gr::Ne/l.A1r=O ßY THIf 11'1(!!lOVGMI:.:1V1S (q) A Pr-:II..V;Ou5 Dl!lUCSIA/Af WILL he; jpS1ÁLL-(;O (§)A 301 þolJ-ÞISTU/l.8AIJCr; Bu¡::rElI.. AIJI) ~() I I/DI/_/u((F ~urFU1. IS !J/l..oP05CD Iv TfI''''' ADJAC(;Þ-¡ At<tsA ----- . . ¡' ,. APPLICANT I SPONSOR fYlA1'¡ut; /J/C 617 .20 APPENOIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2. PROJECT NAME SEQR PROJECT \0 NUMBER PART 1 - PROJECT INFORMATION 3.PROJECT LOCATION. '1-3 ç AL8A(0i.1! D",i/C Municipality <J t...- 4. PRECISE LOCATION' Street Addess and Road il-35 ALBA<O/l-V DIl/vf' sov1iloL /) / /vi Y 5.'S PROPOSED ACTION' 0 New 0 Expansion 0 Modification I alteration County Intersections. Prominent landmarks ate . or provide maD (Su¡l.I/C7' A..TTACRED) e'l-P/ r¿ ("f) 501d T/löL-f) 6. DESCRIBE PROJECT BRIEFLY: (f>vST/luC(/o'/ Dr ,f/t/G((? ¡CA¡<1/L7 DI#é"L/Þ'C. ( 5<:I'(rc /µ51Mu1J A"I) ,AJ'(ÆOVt;-()) (LA /VI) /,4,tILY C (J A lid)) 7. AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 8.~ PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER ~ Yes 0 No If no, describe briefly: RESTRICTIONS? g AT IS PRESENT LAND USE IN VICINITY Residential 0 Industrial 0 Commercial OF PROJECT? (Choose as many as apply.) DAgricu,ture 0 Park I Forest I Open Space DOther (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, ~CY (Federal. State or Local) L!JYes 0 No If yes, list agency name and permit I approval: NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL 5001,.o~D bt-D&, IffAL-T" DEfT. Df;C. 11 ~ES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ¡:' I L:jYes ONO If yes. list agency name and permit I approval: SOun'¡OLD ÔLDG-. f Ib(O'f~ ,/),ì µ..;Al..{µ' f)tf'(. (.5rd'T/( /J/SIN--aQ-i APf¡\ol! V Sov1fioL!) 1l1us1u'-'s f'ff/!I.tD O<:,e "/.;1:2/0'+ 12 AS A RE ULT OF PROPOSED ACTION WILL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION? [Jy es No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant I Sponsor Name Date: /1111/ ò if SIgnature If the action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment . . . 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 BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of CÖ'!;i;!öF-f-!;;/::~"-"'-~-----b!:_I_ÆA 1í Pif, STATE OF NEW YORK) /,t/c _ AFFIDAVIT OF POSTING to, $Q;1<. /7 2.S t\LBACu'<u /)A ® I, "JU/f¡/ L ¡...( U¡L1/.WJÙ ,residing at ..1, 3) SócJÎ(..(u,-O A/ ì: //97/ being duly sworn, dé¡Íose and say: ../1 That on theJb day of NoLI , 200"', I personally posted the property known as 1-/--55" ALßÆCOYlif ()^ c:;otJíJfO""'O ,i/.Y. //171 by placing the Board of Trustees official poster where it can easily1Je 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 /) r:::c. ¿ cJ, 7... ()CJ~ , . Dated: /2/í 7/0 Lf- ~J:1~) . re) .?-I- "- Sworn to before me this / - day of Ptr 200 l¡ ~~c~~ TOHP L. ffu/-Î4ØcJ John M. Judge NOTARY PUBLlCÕ Slale of New York No.01JU605940 Qualified In Suffolk County Commission Expires May 29. 20 ~ . . . PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: GAr-f;..tftflQI.--D !Lt,:-(Ç5¿ (/ovu -57-1-1/) G-LGI/I/ /-IG'OT¡1fA.v ( /oolr',n-I- 21) V I pC C ¡'/"i:ü -+ IL.¡¿ It. AlA DoLo"" / íe:- ( /U"O -5 G - () 7 - ('f) .AIJ/ýA frlAI1.tA GW/v(;. of ""Jot/v CAfOír.JSío (/000-57-/ -(f-fI'1) 'J.¡- c- /-!oLÐ/ÞC--5 ¿ P (1000 -S7 - / - 'f J) STATE OF NEW YORK COUNTY OF SUFFOLK J'DI-ll/ L-., HU(Lí,ADu , residing at 10 l3ùr /9,;25 Sou7HoL/) AI, Y. .I .I 7 7 I , being duly sworn, deposes and says that on the .,;L (... day of /Va 1/. , 20Ql, 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 South old; that said Notices were mailed at the United States Post Office at Sou 7/-fùL V , that said Notices were mailed to each of said persons by (-., (oc'"''''''') '""'1 ~JJ~ -1-1. Sworn to before me this / ì - Day of Dt<. ,20~ ~~t~~ John M. Judge NOTARY PUBLIC, State of New York No.01JU6059400 Qualified In Suffolk County Commission Expires May 29, 20.2.;l Address: 7«-- v./lhrc~flA 1..'- flo"" f) (êuc..;::YILL(!" Cr::fVTAf/ Þ:r. /1:;7¿J /7,;1.5 AA/c,</oR.. )...Æµ(Ç 5rNfHOL-Dj ¡1/, 'f /1 c¡ 1/ 5b~61 .A1A¡1/ /2.P, P,O ()u7" 11"7'3 5WlffO L-I) / Y. y. 11971 102 (; Souþj)I//t'V Ie-tv-A(C !JUtl..7/-1-!'o"--;; P/ /f76{- r.o 60-,< /'1Z5 5Wf/(vLD¡ ~;: /197/ ~ ufliV L. Hu/Lr A:I(JLJ · . Board of Trustees Application County of Suffolk State of New York - -- .J 0 II j;.' L, I -I (/ ¡L I A,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 illSIHER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN TillS 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. ~jL-J,~ , __ . Signature SWORN TO BEFORE ME THIS /7' DAY OF /--'0 C/ ,20 -º--Z" ~ ¡ ~1!; j f~, ota '-.. ublic --5&Wñ QIIIIiIIecI in SuffalkCounlY Commission Expires Jan, 20, 20 .Q 1 - . . APPLlCANT/AGENTIREPRESENT ATIVE TRANSACTIONAL DISCLOSURE FORM YOUR NAME: The Toy, of uth Jd's ode fEthics hi· conflict ofintere t on the art oft wn officer and em Jo ees. The se of thi Conn is to rovi e information which can It the town of ssible co fliers of interest and allow it to take what vcr action is necessarv to avoid same. ,-;0 ¡...¡ /1./ L, /-I u lLí--:Af) (.1 '('Cast namê, first name, -!piddle initial, unless 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.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Variance Change of Zone Approval of plat Exemption from plat or official map Other (If''Other"", name the activity.) Building Trustee Coastal Erosion Mooring Planning ¡/ Do you personally (or through your company, spouse. sibling, parent., or child) have a relationship with any officer or employee of the Town of South old? "Relationship" includes by blood, marriage, or business interest "Business interest" means a business, including a partnership. in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares, ~._- NO ./ YES If you answered "YES", co lete the balance of this form and date and sign where indicated. Name of person employed by the Title or position of that person Describe the relationship between yourse (the applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or de ribe in the space provided. The town officer or employee or his or her spouse, 'bling, paren~ or child is (check aJlthat apply): _A) the owner of greater than 5% of the shares of e corporate stock: of the appliqmt (when the applicant is a corporation); _B) the legal or beneficial own~rofany interest in a no applicant is not a corporation); _C) an officer, director, partner, oremplo)'ee of the applican. r _D) the actual applicant. DESCRIPTION OF RELATIONSHIP Fonn TS I S~bmitted this ~day of ~L/ 200 :../ Signature . A"'d~;·. /. Print Name -.. 'l: .-- ~ 'ì J () I-/JV ¿ . I-I U 1(. D (. --- ·. .. .-:--::::.~; ¡.'.:;-?~ ./:·~UFFOl.t "'., '!:)\;.~ t'~"\c, . ~ ~.' ~ -~ c.'~ :""- ,', VJ .:a!: ., ''¡' _. ':~C::>~. !:)'t-~-': ,,"..~q¡ . ~~c,- -·"·:_·z.::-::-.-.';=.1 Telephone 15J6¡ ¡55-I",,^, Fax \516' 76fi-l"2.3 Albprt tL Krupski. Pre5ident ·James King, Vlce-Presidfmt H~nry Smith Artie Foster Ken Poliworla Town Hnl 53095 ì\'Ja!f1 Rr,!lrJ P.O. B0"< 1 t ~ SoutholJ, Np·,\ Yr,rk. 1197 ¡ BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 41/ì f-]:" 1"\0';) tQ..IA.PS Office Use Only / .. /Coastal Erosion Permit Application VWetland Permit APPlication ---GrandfathQr Permit Application ---waiVer/Amendment~ch npes ßeceived Application: loÝ Received Fee: $ M~~-2:J.V¡ Completed Application ~ Incomplete SEQRA Classification: Type I Type II Unlisted Coordination: (dãteS~~~ì ---- CAC Referral Sent: J),' e-;r---- Date of Inspection: '/~/b V Receipt of CAC Report: ' Lead Agency Determination;----- Technical Review: I i Public Hearing Held: ~/J-vlb;).. Resolution: I i l'/'fM.:fi).t¡ w-..t1. ~ (.......... ~J ¡- cL .< ,ll Name of ~~nt (Yì All tV E I J\)c.., Address (. 1:z.¿,;J~. f'/ý 1/17/ - / . PhonE; Number: () (/J 3/ -$3 -'13/9 Suffolk County Tax Map Numl:er: 1000 - 5 7 - / - 2 c) Property Location: y3j {!¿~ J5;-1V7/ c4-~- ----.- (provide LILCO Pole #, distance to cross streets, and location) J .( '~'~ AGENT: (If applicable ~2 MILL POND LANE Address: - 2t- Phone: FA.': # : ----- -- ~ MaTine Inc. 435 Albacore Driw, Sootho/d SCTM# 1()()()'57-1-20 . . Name of Applicant: MaTine,Inc. Address: Box 1926, Southo1d, NY 11971 Phone Number: 756-6220 Suffolk County Tax Map Number: 1000-57-1-20 Property Location: 435 Albacore Drive, Southo1d AGENT: CATHERINE MESIANO, INC. 12 MILL POND LANE EAST MORICHES, NY 11940 (631) 878-8951 PHONE/FAX: 1 --- ~ . . MaTine Inc. 435 Albacore Drive, Southold SCTM # 1000-57-1-20 . . . . Board of Trustees App1ication GENERAL DATA Land Area (in square feet): 18,811.83 Area Zoning: R-40 Previous use of property: VACANT Intended use of property: CONSTRUCTION OF SINGLE FAMILY DWELLING Prior permitslapprovals for site improvements: Agency Date X No prior permitslapprovals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? No Yes If yes, provide explanation: Project Description: CONSTRUCTION OF 62' X 52' (IRREG) SINGLE FAMILY DWELLING, ON-SITE SEWAGE DISPOSAL SYSTEM, PERVIOUS DRIVEWAY AND PUBLIC WATER SUPPLY. 2 - ¡ MaTine Inc. 435 Albacore Drive, Southold SCTM # 1000-57-1-20 . . . . Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: 1200 square feet Percent coverage of lot: 6 % Closest distance between nearest existing structure and upland edge of wetlands: NIA feet Closest distance between nearest proposed structure and upland edge of wetlands: 60 feet Does the project involve excavation or filling? No X Yes If yes, how much material will be excavated? APPROX 300 cubic yards How much material will be filled? NIA cubic yards Depth of which material will be removed or deposited: NIA feet Proposed slope throughout the area of operations: AS PRESENTLY EXISTS Manner in which material will be removed or deposited: EXCAVATION ASSOCIATED WITH FOUNDATION AND SEPTIC SYSTEM 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) : NO SIGNIFICANT IMPACT IS ANTICIPATED AS A RESULT OF THE PROPOSED ACTION. · THE SEPTIC SYSTEM IS MORE THAN 100' FROM THE WETLAND. · EROSION CONTROL MEASURES WILL BE TAKEN DURING CONSTRUCTION BY THE USE OF STAKED HAYBALES · DRY WELLS WILL BE INSTALLED TO CONTAIN ANY STORMWATER RUNOFF GENERATED BY THE IMPROVEMENTS · A PERVIOUS DRIVEWAY WILL BE INSTALLED · A 30' NON-DISTURBANCE BUFFER AND 20' NON-TURF BUFFER IS PROPOSED IN THE ADJACENT AREA 3 -- SCTM' 1000-57-1-11 & SCTM' 1000-56-7- 14 Gay Reese 67 Eagle Chase Woodbury, NY 11797 SCTM # 1000-57-1-21 Gerald & Judith Salmon 149 Montrose Dr. Pt. Jefferson Sta., NY 11766 . . - . SCTM' 1000-57-1-11 & SCTM' 1000-56-7- 14 Harold Reese 855 Sunrise Hwy, Lynbrook, 11563 SCTM # 1000-57-1-19 MaTine Inc. Box 1925 Southold, NY 11971 . SCTM # 1000-57-1-43 George Charles Kanuck 57 S. Bay Ave. Massapequa, NY 11758 , . BOARD OF TRUSTEES: TOWN OF SOUTHOLD In The Matter of the Application of MaTine, Inc. COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, Catherine Mesiano, residing at 12 Mill Pond Lane, East Moriches, NY being duly sworn, depose and say: That on the 10th dav of March, 2002, 1 personally posted the property known as 435 ALBACORE DRIVE, SOUTHOLD SCTM # 1000-57-1-20 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 March 20 ,2002. Dated: < Sworn to before me this ;l. ý- day of ~ ,2002. ~~~bl~M- JOYCE M. WILKINS NotAry Public. State of New York No. 4952246. Suffolk County Term Expires June 12, ;p..oò3 . '" . . NAME: PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS ADDRESS: Gay Reese Harold Reese George Charles Kanuck Gerald & Judith Salmon MaTine Inc. 67 Eagle Chase, Woodbury, NY 11797 855 Sunrise Hwy, Lynbrook, 11563 57 S. Bay Ave. Massapequa, NY 11758 149 Montrose Dr. Pt. Jefferson Sta., NY 11766 Box 1925 Southold, NY 11971 STATE OF NEW YORK COUNTY OF SUFFOLK CATHERINE MESIANO, residing at 12 Mill Pond Lane, East Moriches, NY being duly sworn, deposes and says that on the 1ih day of March, 2002, 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 their 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 Unites States Post Office at East Moriches, that said Notices were mailed to eo"" of ,a;d pe""'", by œ..... ma;1. f' ~ .: ~. 11/4';. Sworn to before me this ¿;. 'I day of ~~ ,2002. ~ Ì>--. Lv~ ( Notary Public .J(ìV':E M. WILKINS Notary Puùì!c, Statt: of New York No. 4962246, Suffolk Cou.[lty Term &pirtlllJune 12. ¿,¡...9<?3 . . NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: NAME: MATINE, INC. YOU ARE HEREBY GIVEN NOTICE: SCTM # 1000-57-1-20 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: CONSTRUCT A 62' X 52' (lRREG.) SINGLE FAMILY DWELLING, ON-SITE SEWAGE DISPOSAL SYSTEM, PERVIOUS DRIVEWAY AND PUBLIC WATER SUPPLY. 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 435 ALBACORE DRIVE, SOUTHOLD 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 March 20, 2002. You may contact the Trustees Office at 765-1892 or in writing. 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. OWNER'S NAME: MAILING ADDRESS: MaTine,lnc. Box 1925 Southold, NY 11971 OWNER'S AGENT: Catherine Mesiano, Inc. 12 Mill Pond Lane East Moriches, NY 11940 631-878-8951 Ene.: Copy of sketch or plan showing proposal for your convenience. . l . . .. MaTine Inc. 435 Albacore Drive, Southold SCTM# 10<J0-57-1-20 Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: 1200 square feet Percent coverage of lot: 6 % edge of wetlands: Closest distance between nearest existing structure and upland NIA feet Closest distance between nearest proposed structure and upland edge of wetlands: 60 feet Does the project involve excavation or filling? No X Yes If yes, how much material will be excavated? APPROX 300 cubic yards How much material will be filled? NIA cubic yards Depth of which material will be removed or deposited: NIA feet Manner in which material will be removed or deposited: Proposed slope throughout the area of operations: AS PRESENTLY EXISTS EXCAVATION ASSOCIATED WITH FOUNDATION AND SEPTIC SYSTEM 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) : NO SIGNIFICANT IMPACT IS ANTICIPATED AS A RESULT OF THE PROPOSED ACTION. · THE SEPTIC SYSTEM IS MORE THAN 100' FROM THE WETLAND. · EROSION CONTROL MEASURES WILL BE TAKEN DURING CONSTRUCTION BY THE USE OF STAKED HAYBALES · DRY WELLS WILL BE INSTALLED TO CONTAIN ANY STORMWATER RUNOFF GENERATED BY THE IMPROVEMENTS · A PERVIOUS DRIVEWAY WILL BE INSTALLED · A 30' NON-DISTURBANCE BUFFER AND 20' NON-TURF BUFFER IS PROPOSED IN THE ADJACENT AREA 3 t MaTine Inc. 435 Albaca"e Drive, Soothold SCTM # 1000-57-1-20 .. .. Name of Applicant: MaTine,rnc. Address: Box 1926, Southold, NY 11971 Phone Number: 756-6220 Suffolk County Tax Map Number: 1000-57-1-20 Property Location: 435 Albacore Drive, Southold AGENT: PHONE/FAX: CATHERINE MESIANO,INC. 12 MILL POND LANE EAST MORICHES, NY 11940 (631) 878-8951 1 t . . .. MaTine Inc. 435 Albacore Drive, Southold SCTM # 1000-57-1-20 Board of Trustees App1ication GENERAL DATA Land Area (in square feet): 18,811.83 Area Zoning: R-40 Previous use of property: VACANT Intended use of property: CONSTRUCTION OF SINGLE FAMILY DWELLING Prior permits/approvals for site improvements: Agency Date X No prior permits/approvals for site improvements. Has any permitlapproval ever been revoked or suspended by a governmental agency? No Yes If yes, provide explanation: Project Description: CONSTRUCTION OF 62' X 52' (IRREG) SINGLE FAMILY DWELLING, ON-SITE SEWAGE DISPOSAL SYSTEM, PERVIOUS DRIVEWAY AND PUBLIC WATER SUPPLY. 2 . MaTine Inc. 435 Albacore Drive, Southold SCTM # 1000-57-1-20 .. .. County of Suffolk %.~~ ~'ff~ Christine Hurtado. President I -1J!¿~ /û;!<"¿d ¡WORN DEPOSES AND AFFIRMS THAT S: ABOVE DESCRIBED PERMIT AND THAT t of..,; ~ IN ARE TRUE TO THE BEST OF HER KNOll' -ð ~ _ . WORK WILL BE DONE IN THE MANNER SE' . -__/ -+-/ -ð_/1/' _ h 4.S MAY BE APPROVED BY THE SOUTHC ~ ~ jr~ . THE APPLICANT AGREES TO HOLD n ,£~ TOWN TRUSTEES HARMLESS AND FREE I zr-- ' CLAIMS ARRISING UNDER OR BY VIRTIJ~ ..." ~. .._ fED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVE(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. State of New York Christiine Hurtado, President MaTine, Inc. SWORN TO BEFORE ME THIS DAY OF ,200_ Notary Public . MaTine Inc. 435 Albacore Drive, Soothold SCTM# 1000-57-1-20 .. .. STATE OF NEW YORK) SS: COUNTY OF SUFFOLK) CHRISTIINE HURTADO being duly sworn, deposes and says: I reside at P.O. BOX 1926, SOUTHOLD, NY In the County of Suffolk and the State of New York, And I am the officer of the Corporation which is the owner in fee of the premises described in the foregoing application and that I have authorized CATHERINE MESIANO, INC. to make the foregoing application as described herein. Christiine Hurtado, President MaTine, Inc. SWORN TO BEFORE ME THIS DAY OF ,200 Notary Public MaTine Inc. 435 Albacore Drive, SouIhoId SCTM # 1 DOO-57-1-20 .. .. APPLICANT TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics Drohibits conflicts of interest on the Dart: of town officers and emDlovees. The DUrDOse of this form is to Drovide information which can alert the town of DOssible conflicts of interest and allow it to take whatever action is necessarv to avoid same. YOUR NAME: CHRISTINE HURTADO NATURE OF APPLICATION: (Check all that apply.) Tax grievance Variance Change of zone Approval of plat Exemption from plat or official map Other (If "Other," name the activity) Wetland Permit Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO x If you answered "YES," complete the balance of this 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 (the applicant) and the town officer or 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 or child is (check all that apply): _A) the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant is a corporation); the legal or beneficial owner of any interest in a noncorporate entity (when the applicant is not a corporation); an officer, director, partner, or employee of the applicant; or the actual applicant. _B) _C) _D) DESCRIPTION OF RELATIONSHIP Submitted this day of 2002 Signature Print name CHRISTINE HURTADO