HomeMy WebLinkAboutTR-5488
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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
Southoid, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
January 21,2004
Mr. & Mrs. Jason Luhrs
1175 Hiawathas Path
Southold, NY 11971
RE: 1132 CHESTNUT RD., SOUTHOLD
SCTM#59-3-16.5
Dear Mr. & Mrs. Luhrs:
The following action was taken by the Southold Town Board of Trustees at their Regular
Meeting held on Wednesday, January 21,2004:
RESOLVED that the Southold Town Board of Trustees grants a One-Year Extension to Wetland
Permit #5488, to install a stone driveway to the garage.
This is not an approval from any other agency.
If you have any questions, please do not hesitate to contact this office.
Sincerely,
~,$ n ¡/ . 1.. t}.
Al ert J. Krups~~r.~
President, Board of Trustees
AJK:lms
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TERMS and CONDmONS
Jason & Lisa Luhrs
The Permittee
residiag at 9725 Virginia Centerway PI. #104. Glen Allen V A )NI:NJ!; as
put of the coosiderauoo for the /s$uaðce of die PCrmit docs IIØCIeøtaDd aDd prescribe to the foJ-
1owÜIg:
1. That the said Board of Trustees aDd the Town of SoutboJd ate released from my aDd
all damages, oc claims fOt damages, of suIø arising diRcdy Ot iocIitccdy as a cesult of my o~·
aàoo pedocmed pinumt to this pemüt, aDd die said y.. ¡ ~e.. will, at his or hu own f:I¡Hnor.
defend my aDd all such suitS"inltl.œd by third parties, aDd the said r-. 1...,.- L- full JiahIJiq
with reSpect theteto, to the compLot(o exclusion of the Board of Trascea of the ToWIi of ~
2. That this Pe1mit is wJid for . period of 24 IDOS. wbkb is IXIOSld.led to be the
estimated dme' required liD complete the work 1n"f01?ed, but· iboaId citcmDstaoces warraat, ~
for IJ1 exœmion may be made to the Board at a btu date.
3. That this Permit should be RtaIned indef'mitel.y, or as loog as the said Permittee wishCs
to ....¡_In the suuccure oc project Involved, to provide eYidence to aDJOM cooceraed that auth-
.orizatioo was original1y obtaiaecl
4. That die work In-.oIYcd will be subject to the Insperlinn aDd approval of the Board ( C
its ageots, aDd ßOI>oCOIIIPIia.oœ with. the provisioos of the orIginofl"{! applicatioo, may be cause for
teYOC&uoo of this Permit by ftSOluuoo of the said Board.
5. That there will be no unreasoooble Interfereoce with na~ as a result of the wad<
beIeJn uithorized. .
6. That there shall be DO Interfereoce with the right of the public to pass aDd Ieposs a1oag'
the bead. between high aDd low _let marks.
7. That if ·future operatioos of the Town of Soucb9ld reqoùe the removal aDd/Ot olœndoas
In the Iocadoo of the work herein ...~ 0 r if, In the opiaioa of the Board of TrusteeS, the .
work shall cause un<eaSOQable obstrucbOO to free naYigatioo. die said Permittee will be rec¡aItcd.
upoo due øotiœ, to remove or oller this wotk or project herein stated without ~ to die Town
of Southold.
8. That the said Board will be notified by the Permiuee or the compledoo of the work auth-
orized.
9. That the Permittee will obtain all other petmits aDd CQlMeftc;. d>at may be requited sap-
plementol to this petmit wbkb may be subject to revoke upoo failure to obtain --
" " ........_... ".11._".'.' .... ...... .-....
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 21,2002
Mr. & Mrs. Jason Luhrs
9725 Virginia Centerway Place #104
Glen Allen, VA 23059
RE: 1132 Chestnut Rd., Southold
SCTM#59-3-16.5
Dear Mr. & Mrs. Luhrs:
The Board of Town Trustees took the following action during its regular meeting held on
Wednesday, February 20,2002 regarding the above matter:
WHEREAS, JASON & LISA LUHRS applied to the Southold Town Trustees for a permit
under the provisions of the Wetland Ordinance of the Town of South old, application dated
January 15, 2002, 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 20, 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 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
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.
NOW THEREFORE BE IT,
RESOLVED, that the Board of Trustees approve the application of JASON & LISA LUHRS to
install a stone driveway to the garage.
BE IT FURTHER RESOLVED that this determination should not be considered a determination
made for any other Department or Agency, which may also have an application pending for the
same or similar project.
Permit to construct and complete project will expire two years from the date it is signed. Fees
must be paid, if applicable, and permit issued within six months ofthe date of this notification.
Two inspections are required and the Trustees are to be notified upon completion of said project.
Fees: None
Very truly yours,
a!.t. to· I ~ /¿.. ..¡;t 2---&'" Çt.
Albert J. KrupsG, J r.
President, Board of Trustees
AJK/lms
.
.
Telephone
(631) 765-1892
Town Hall. 53095 Main Road
P.O. Box 1179
Southold. New Yark 11971
SOUTHOLD TOWN
CONSERVATION ADVISORY COUNCIL
At the meeting of the Southold Town Conservation Advisory Council held Tuesday,
February 12, 2002, the following recommendation was made:
Moved by Drew Dillingham, seconded by Bill McDermott, it was
RESOLVED to recommend to the Southold Town Board of Trustees DISAPPROVAL of
the Wetland Permit Application of JASON & LISA LUHRS to install a stone driveway to
the garage.
Located: 1132 Chestnut Rd., Southold. SCTM#59-3-16.5
The CAC recommends Disapproval of the application because the project was not
staked.
Vote of Council: Ayes: All
Motion Carried
""'I:~.
81/82:2802 15:83
884-278-5tt
I" APEN I,n L sm,
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P,0/~E
81
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f~l\/
To:
Lauren
Fax:
I
_~31-765-1366
:112/20oi
JAN-2
From:
Jason Luhrs
Dale:
Re:
Letter for Heal h Dept.
Page.: "'I wI cover
cc:
o UrgenI
o ForR
o PIeos& CommenI ,OP....... Reply
1
o P...... Reqda
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.;
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.
e the cop es of the survey and the le~er from the Health Dept as we
Health Dept. would like a ~etter from the Town Trustees
In the body of the letter please use [he Health Dept.
reference number. I
working with Judge Brutr and this matter is time
I
sensitive because the roperty contract is çonting~nt on several permits. Your
Sincer~ly,
r UìfDlì(\\/1,-
r)J~
ID4 1J.OSO¡
Q..t> t ' vo- d-"
~ LLtk/
(9lO
\\Io.().
C!9-¡WJ\U--~
help In this matter wo Jd be great]y appreciated. . Thank you.
,
~hrs
. . . .
. . . . . . . . . . . . . . . . .
.:11,- ~1'::-... '=:00=
1'J: 0:::
884-.=70-1J.
f:APEN ¡,,ilL SO~"
e"F.S
P;:,,/.1E
Ç"j-
WWM-042 (REV. 5/2000)
SUFFOLK Co
Orne
'..,......
DEPARllIŒ1'IT OF TH SERVICES
OF W ASTEW A TER MANA EME1'IT
UFFOLK COUNTI' CENTE
RHEAD, NEW YORK II 01
631-852-2100
F
TO
The plans for YOIlf proposed sewage disposal and wa
1. A R V
[ ] NYS Dept. of En v, Cons.
[)(I TOWTl WedandslDrwnage/loning
N
] Sewer District Approval
] S.C.D.H.S. Vector ConlToJ
) SEQRA Deternunation
) Other
2.
3 prints of plan required with
design professional's original
,uunp and ,ignature
Applkacion Fee:S
Name, address, phone no.
SLatern"''' signed by applicant
IndICate area of 101 (sq. ft.)
Comer elevations
S.C. TIIA Map NwnI>ef requirM
SurroundlDB property - vacant or
IDlprovacl (within 150' of all
property lines)
Retainilg wall must be designed
by P.E or R.A.
See enclosed Fonn WWM-043,
Nouce of Non..conformance
[)<1
Indicate on plan the specific
locaúon(s) [w,, ¡ measuremen ) of
all water supply wells & septi
systems (within 150' of all
property lines) or sLate if dwe ings
aR: connected to public;: water
Show proposed hOUseldrivewt
location on plan
Show propo,ed ..w.ge dispo al
sy,tem! wat... supply welllwa
service line on plan :
TeS! well required on your lot"
per a!!aChed bulletin
Submit letter from waler dist1=t
indicating distance to nearest fubhc
water main and availabJlny .
Indicale any surface waters within
300' of plot; show wedands limit as
flagged by NYSDEC and/or TOWTl
Show..... for 50% expansion of
sewage disposal system
Show test boring &: location on
plans
Test boring inade.qul!<:. See
Remark¡ below.
G.-ading plan showin¡ inven
elevations of ...wage disposal
.ystem. foundation and final grade
(by jcensed design professional)
Public &CWer sLub JocaLian from
sewer distr1CI shown on plans
3.
OTIŒRl1lF.MARK~:
S ~¡.tl'/~ 74 i'"
ú./a. ~ µr"".4'
~ '5 ¿ {/7 eY""" W a c4
/~~,- u4-5 T t;"{¿
DATE PREPARED 1.2-;/ J¡{; I BY
~ *O~ 5c~A-
,/1 âtf~- P':: ~,
5 Æ¿o~.A-"", i 5J~",I'S" o-~
/??~'kr It:Jéa~'''''' ~ ¿Va ~r ~/C.
/~R.T
No.
/
.
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Jason Luhrs
9725 Virginia Centerway PI. #104
Glen Allen, VA 23059
(804) 553-1480
Southold Town Board of Trustees
Southold Town Hall
53095 Route 25
Southold, NY 11971
(631) 765-1892
JAN I S
Dear Board of Trustees,
I would like to take this opportunity to address some issues that may be beneficial to this
application. I have highlighted two areas of concern on the wetland/trustee lands
application data form. I have in essence guessed the area (sq. ft.) of wetlands on the
property. I have walked the property several times since the completion of the survey.
According to the survey by Joseph Ingegno, the property indicates wetlands. However,
the concrete marker on the southeastern most part of the property to the southwestern
most comer has no wetlands. I did locate a very small area of wetlands, but feel that the
wetlands are well over 100' to the proposed driveway and on the property ofVenetis.
The purpose of this application is to address the 100' conservation easement. As the
survey indicates, the proposed driveway infringes on the 100' easement by approximately
10' for a very limited area. The driveway will be aggregate/stone and will have no
environmental impact on the wetlands. I am requesting a possible waiver if the Board
finds that the current proposal is adequate and does not require the issuance of a wetland
permit.
During your field observation, the best possible entry on to the property would be from
the SCW A water house (access 1Ì"om Kenney Road). There is a path that runs parallel to
the property that will give you access. The other possible entry would be to walk behind
the small white house at Chestnut and Hickory Road. The house is on the south side of
Chestnut Road.
Your approval of either a wetland permit or waiver would be greatly appreciated on the
first public hearing on February 20, 2002 in which I will be in attendance. I currently
reside out of state and the property transfer is contingent on all required fields for the
issuance of a health permit. Mr. Rudolph Bruer is my attorney if any legal questions
should arise.
Sincereµ
A~
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. ~ dø¡ill1? ¡kE/Ày Me, <L>U"S< III CtJ'5hv. ·f"'}. -L i"æ
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[õ) E. C rYE"
Ul1 JØ - 6 2004
S'itcere ':£
-Jt1$Cl1 ¿wid
SouIIIDId Ton ..
Board 01 TIIISllls
~.
(
.
.
Albert J. Krupski, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
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
Office Use Only
Coastal Erosion Permit Application
........Wetland Permit Application ~ Major Minor
Waiver/ AmendmenVChanges
_~eceived Application: I/I.r/O~
.-LReceived Fee:$ ~OO '
þompleted Application J II~
_Incomplete .
_ SEQRA Classification:
Type I_Type II_Unlisted_ JAI: I J
Coordination:( date sent)
r CAC Referral Sent: JJJ~Îð~
/Date of Inspection: -..iJ IJ JDµ
_Receipt ofCAC Report:
_Lead Agency Determination:
Technical Review:
.........Public Hearing Held: ~J.aJI/OJ...-
Resolution:
).1\3 l0d- ~ J
--
ol,
(új.\ '
_':a;00 w nß
ÎC9S--~3,q
Name of APplicant~50f1 i ,~'<a. /I/. Ll/it·S
Address Q7;{S' V:r;¡¡,ÚCl C(Jfl-eíNav i1. # IO~
Cl('f1 A/lev¡ . JII! ,130sJ Phone Numbe:( liCJ-I) $"'S"'3 -/L('tD
/
Suffolk County Tax Map Number: 1000 - ç;r:¡ -O.~ - //0,,)
Property Location: //32 d(J,uf,<J S;1/lJ,o~ ¡f). if.
I I
s'v ot ( 1;1 . · & of (
(provide LILCO Pole #, distan to cross streets, and loc ion)
~y
>ýif\\ð-o...
AGENT Ai /4
(If applicable) 7
i\ddress: ~~
Phone:
»A
.
.
Board of Trustees Application
GENERAL DATA
Land Area (in square feet):
/.~/, q~9,;2;j
I
Area Zoning: UN¡(
Intended use of property:
Ý4caltf
(!OI1sh-vd <;;/I1Jk ~jý d4Jdj
Previous use of property:
Prior permits/approvals for site improvements:
Agency
Date
IJ.
1 No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or susp~~ by a governmental agency?
No Yes
If yes, provide explanation:
e.5
Project Description (use attachments if necessary):
.
.
Board of Trustees Application
Purpose of the proposed operations:
iÞ3.vefIJG. ( !o 30. fð..j l' n
WETLANDITRUSTEE LANDS APPLICATION DATA
~ovìdf~ a tJjJre.J4-k~k~
Area of wetlands on lot: g, /2..\
v;s ()( ¡('i' ')
Percent coverage oflot: S-- /0
square feet (see 4.IIaJ.J /e110
% (q¡1Ptox-;)- Jv<55
Closest distance betw~Mest existing structure and upland
edge of wetlands: feet
Closest distance between nearest proposed structure and upland
edge of wetlands: '(5'-10 feet
Does the project involve excavation or filling?
./ No
Yes
If yes, how much material will be excavated?--Ø-CUbiC yards
How much material will be filled? ¡f/~ cubic yards
Depth of which material will be removed or deposited: / feet ðr 1~{5
Proposed slope throughout the area of operations: ø
;'
Manner in which material will be removed or deposited: Aulld:zer am!
dJÞIfJ ItvG~
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):
¡/¡tn.- tv;!/ bt- -10 e!f:d- Or! lie. ¡,vdlant/.~ :I,
Me. Îf7'JJo<ieJ n!{)Ãá 1:ðf1. &"'L" a!kvjty) Idler)
617.21
Appendix C
State Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
PART I-PROJECT INFORMATION (To be completed by Applicant or Project sponsor)
..
I
.
"'.16-4 (2I87)-':"i!xt 12
I PROJECT 1.0. NUMaEM
SEQ
,.
I 2. ?AOJEC7 NAME
3.
4.
County
nd fO d intersections. prominent lanamarKs. etc_. or provlce map!
lax ~ No. IOQ{)-s:rt-03 -/6.S-
Gw<¡1 þtot;dd)
5. IS P~~SED ACTION:
I;?"New 0 Expansion
o Modificationialteralion
õ. D.EsCRleE P~OJEC1" aRIEFLY: tJ;,y £.jay r aqg~fe <;lwre- driv{,(,-f)..ý' 8amr¡e-. vtfÞlt
't::L I^±~ ~t qriVt-0^, t w; Tr ì'7lH-,(. OTl #,e.. /Od' c(Y/senlo..Y-/o--t
. '. -e'\:1) f o..PPïO>{ ,c-v;t it If! /0 ~ "
7. AMOUNT OF U-ND FECTED:
InitIally AI acres Ultimatelv /.I. acres /t) 1)( 2.0 I
3. V~~L/RO?I)SEù ACTION COMPLY WITH EXIST!NG ZONING OR OTHER E.XISTING 'J-.,'D USE .~E.5T~ C7!ONS?
¥rYes 0 No If No. descnbe briefly
9. WHAT IS ?AE.3ENT LA!":!J T;::ë IN VICINITY OF ?AOJECT?
~eS dentJa n.!naustrra C C.:Jmmerclãl
lJesc~lbe:
o AgricUlture
~ ParK/ForesUOoen soace
l....-"Otl1er
10. DOES .J.CTION !NVOLVE A PSRMIT APPROVAL OR FUNQlr~G, ,~OW OR ULTIMATELY ~ROM ANY OTHER GOVERNME~TAL AGENCY (F::iJERAL,
STATE Gn LOCAL ~/
DYes M"No If yes, list agency(s) and permll/approvals
'::-
11.
DOES ANY A~7CT OF THE ACTlor.. HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
DYes· G.d' No II yes. list agency name and permit/approval
12. AS A RESULT C?sPROPOSED ACTION WILL S(ISTING PERMIT/APPROVAL MEOUIRE \10QIFICAï¡ON?
DYes ~No .,.
I CERTIP( THAT THE INFORMATION PROVIDED ABOVE IS THUE 7'0 TH= 3EST OF MY KNCWL'::DGë
ApPlica.nt/sponsor
D.lIe:
/-//-02
SlgnalUre:
If the action is in the Co"stal Area. and "fou are a state agency, complete the
Coastal Assessment Form before proceeding with this a~~essmen:
OV~R
.
.
P.~~,ï 11_:::N1J!¡;C~IME~Jï ;... . SSë:S3ì~1E~¡ï ,-;-.] ::e .::'::;r.'.:ie~e'J :y .l~8~C·
.... :)OE.5 "C7:':.__ =:~C:=.::.: :'NY ., -'';: ';"r"':::E's¡",CLJ:N '5 '~':'':?;:;. .:1:''::.7 :5~ì.-::""
:1 yes. ':::Icrülnat9 :ne r!!V'I!W ::oc::es.s ;¡,nc JS~ 'r.e ';;JL_ ~'AI
: 'f~s
.·~O
3. "NIL!... .:..CT;C..... .::I.i::-:2.¡VS :::CP.CINA,cJ .::¡eV1E:W.:.S .~¡::.C'JICE:J '=':M !jrlLS7EJ .:,::::-;C~ S:N:] .\ "('::::::A. ::I~;;7 '5:7.57
:-nay 'Je suoerseCec :y 3.nctl":er ;nvolveCl d~enc·'.
,I <¡c. 3. ,eç3t:'¡a ::-:C:;
. y~s . :'- o
C. Ç':ULO .":"C7iCN ~E5iJL7:N , "NY ..I.DVe::'SE :::=~~:7S AS3CC:.;ï2:J N17!-! '-:= ;=·JL:":""JI~G. :,.1nswers ·7'Ja,v ':.e 'õ.ncwrlt:e~..f 'eO:;I~lel
::1. =-:ustlng lJ( ,:;uallt"f. 3urfac~ Jf ·;¡rOl..:nawa[e~ .::ualllv ::It ':.l.:antItv, ,'Olse :e·iI~ls. ~)C.:s:tnq :~a:tic :::at:er!":s. ~clic .vas:e :¡rcca:c:;:;n Jr JI~
';)Otenllal 'er :!ros¡on, ::::ramaçe Jf :Iooc.mq ::Ireclems? ~'to!aln :lnerly:
C2. Aesthe!tc, açnc;.¡I!Ural. :Hc~aeo eq[c.3.!. ,lls~onc. Jr Jther .lat:.Jrat Jr c:.Jllural ~esourc2S: ::Ir .:.::;mmunlty ~r .le,ç..ccrncOd .::1arac::!r" ~'(::1[alll
....". \/eç~lallon or :auna. :Isn. ~r:eIWsn or '1I(IlcHHe S;:Iec:es, s'lgnriicanr ,lacltals. .Jr :hre3[.;!nec or ~nC:anç;ereo :;;::ec:es? '=.;:craln Jrlarly:
c~, A c.:mmumt'('s eXls::ng ;:Jlans or ·¡oats as ottlC:¡'I!':' aaeoted. -Jr a cnange in use or Imensl[\{ or use at land or ~t:1er natural resourcss7 .:xp!aJ
'::.5. ùrowlh. s.uoseouem :evelco~ent. :Jr related aC::V[!les likety !O :Ie ,nduceo ::IY !ne :::rocosea a.C:lon? =--C:::Ha[n Jr:eilv.
'::5. '-cng :erm, snor~ :erm. .::.,¡mUI.;.l¡ve. :)r '::liner '!Ifec:s ,lot ,ce!'\!Jrieo ,n C-;·'::.s? ::.'tOlaln 'J{1erly.
:!:-:'!~ moaC:3 IOc:..;c:nç¡ -:::ançes 'n 'Jse :)t ~:!her ~l:anllly .?f :yçe or ~nerç"(¡"' ;:''t:)I¿[n :;r:er!·/.
J. S ::-tE:::E. ::R'S ~¡..,=::tE _::<'=::..:~ C :iE. ::;NTMcvE.=S'( ::¡E:....A,::J -0 ~OT~:- LI;.i... ":':::\i~::I.Së ~.\IV!ñCNME~ -;;'L ..',:P~C73?
'_';'es
_,'iO
.f ~'!S, ~xclam 'Jne!lv
?AR7 1II-OETë~MINAïICN OF SiGNIï=lC..\NC:: ¡"To ~e completed jy .~genc'f)
INSïRUC-:-10NS; For i:!3C:1 adverse ~rfec: IdentIfied at:ove. determine wnetner it is substantial. :arç¡e. :mcon:ãnt or otnerNise sig¡
::..;.c:-¡ ~ifec: si'louJa tie assessed in c::Innecnon with ItS (3) setting tL~. urban or :ural); ¡c) ¡Jrobacility of occ;J.:;']!'Ig; (cI dura
irre'/erslcllity: ,el ~eQqr3.cnJc .3coce: ana If) maqnltuce_ If neCeSS3f'!, add attac!lmentS .or reference supporting materials. ::1S
~XClana[]ons c:::ntaln suf:ic:ent aeIal1 !O .snow that all ~e!e'/ant adverse impacts have been identified ana adecuatelY accres~
C:'eCK :nis :Jox :f 'fOU ;'ave iCentitiea one or ,TIore :Jotemiall'l !arçe :Jr SlgnlTlcam aC'¡ersa im02C:S 'NhiC:1 "
oc::::.¡r. T;'en Jrcce'8.a ùirec:ly :0 :he ,=UL!- ~~F ~na/or ¡:;repare .:3. positive- aec!araricn.
_ C:'ec~ :his :ox :r you iìalle Je!ermJned, ~aS2d on the Inrcrmation and analysis abolle and any SUDDor
C:oc:Jrr:enraucn. :nê.~ ;he :)rOCoseC ;c~ion WILL ~JOT result inJí1Y significant adverse envlrcnrnental ¡me
).ND ,:nOVlce çn ~¡~aC:1ments 35 nec~ssarv, the ~e.asons supconing ~hls determination:
"'",,,~ 11 _"..<J ~<:t:nC"{
hont J< ,'-'''' "..rno> ;¡, .:,·~oon...o,,,, ·...;II'C"'. n _"..0 ,~"n":"
,(I", o. -<..·,oonhor", '..Jr"c~r
.
.
Board of Trustees Application
County of Suffolk
State of New York
:JafiDrl LuAr:5 BEING DULY SWORN
DEPOSES AND AFFIRMS mAT HE/SHE IS THE APPLICANT FOR THE ABOVE
DESCRIBED PERMIT(S) AND mAT 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.
SWORN TO BEFORE ME THIS
\\
DAYOF~:J
,20 -º.l..
~ \ì~~~
Notary Public
~()¡j-;< 7D- /'-137
.
.
NOTICE TO ADJACENT PROPERTY OWNER
BOARD OF TRUSTEES, TOWN OF SOUTHOLD
In the matter of applicant:
:];,011 /Jill LJ:<>C¡ 11. LvAI:5 SCTM#lOOO ,)9-03 -/6.5'
YOU ARE HEREBY GIVEN NOTICE:
1. That it is the intention of the undersigned to request a
Permit from the Board of Trustees to: -r. r ,), I.
I -'"'';It-I~î(. tlrl. IN) COif S'l.rVttt.o,",
e~sÛ!t,q- by o.lII"Ð)(ì!fV<.k-/ý /0' to; f4 GIll Gijj ~c..1e./'5"f'Z>I\e.. J.6Vtw0'Ý'
2 . Tha t
Review.-is
follows:
the property which is the subject of Environmental
located adjayent to~ou~property and is described as
/13"< CÁl.çt11UT Æoc..J, 0ovthofd., N.Y.
CSI)<J~ "'~ cÁcs&,i Boc.J
£as.+ (JT Ke/I~ey ~04.l
3. That the project which is subject to Environmental Review
under Chapte~ 32, 37, or 97 of the Town Code is open to public
comment on: t!1l.';¿O, ;¿OO:! You may contact the Trustees Office at
765-1892 or in writing.
3,030 Cìt.
13i, q~ .-<if l' tt.
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.
~EGi~~iir/rf;#(¿Jf1i};''fR. It 101
PHONE IF: fj;¡ - ~53- _ _ 0
C~^k<.+ it\. v-/eed - vrJcråJr-.W
Enc.: Copy of sketch or plan showing proposal for your
convenience.
.
.
Town Hall
. 53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Albert J. Krupski, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
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
_.J_~-~~!~ -~:.~~~-- - -- - --
COUNTY OF SUFFOLK)
STATE OF NEW YORK)
AFFIDAVIT OF POSTING
I, ifs¡o P\ L¡/lirl , residing at 117.1 //!frÞVF'Y7/{/'HI/::J:¡'7;(
Yc?~~¿e"".N'-7 //971
being duly sworn. Idepose and say:
That on the It day of~~ ,200L, I personally posted the
property known as 1/3:l (J /(¡¿òfrw -1 M, ':;a.if/?'i:)fd
by placing the Board of Trustees officiál 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 o~.\þ~
Di\\~¡~.~cfS~e",,~ hearing noted thereon to be held IJ)fiØL ,~b.Q).D,~OO-1-
Dated:
Sworn to befo~e ~e this
/f day of /-?-....--6 200]",
ª,~:~ _ - r/Xm fY)C)tC!ul
~-ti~e)
John Kramer
NOTARY PUBlIC, State of New York
No. 01KR465a3z! - Suffolk County
Term Expims Feb. 28...2:1l!'f'
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lI.rPLt~lI.N'l'
TRlI.NS1I.CTION1I.L DISCLOSURE FORM
The Town of Sou~hold's Code of Ethics ørohibits conflicts of
interest on the øart of town officers and employees. The
purpose of this form is to provide information which can
alert the town of ossible conflicts of interest and allow
it to take whatever action is necessary to avo d same.
',"'.
! :.: ·.¡;~r~~,~::[~~~:l~~:~:· ~
YOUR N1I.HEI
m dd·le
name of someone else or
~s a company. If so, indicate
or company's name,)
. .
; :"!"',~-V(.::.:. ¡.~'.. :-¡;!f·\" !:~'.
N1I.TURE or lI.rPLI~^TIONt (Check all that apply.)
Tax grievance
Variance
Change of zone
lI.p'p~~al of plat . .
Exe~ption from pla~or official map
Ohher . ~
(If "other," name the activity.) . ~
It·
..
Do you perBona11y (or through your ~öMþBny, Bpöune, nib1ing,
parent, or chi1d) have a re1ntionohip with any officer or
emp10yee of the Tovn of Southo1d? "Re1ationship" inc1udes
by blood, marriage, or business interest. "business
interest" means a business, including a partnership, in
vhich ~he tovn officer or employee hns even a partial
ovnership of (or employment by) a corporaUon in vhich
the tovn of ricer or employee ovno more than 5% of the
ohares.
YES
NO
/
'. :,~ . ..
If you answered "YES," complete the balance of ~htø form and
date and sign where indicated.
Name of person employed by the Town of Soutltold
Title or position of that person
Describe the relationship between yourself (the applicant)
and hhe town officer ør employee. Either check the
appropriate line ~) through D) and lor. describe in the space
provided.
The town officer or employee or his or her spouse, sibling,
parent, or child is (check all that applY)1
11.) the owner of greater than 5% of the shares of the
corporate stock of the applicant (when the applicant'
is a corporation),
B) the legal or beneficial owner of any interest in a
noncorporate'enhihy (when the applicant is not a
corporahion) ,
C) an officer, director, partner, or employee ot the
applicant, or
D) the actual applicanh.
. ."
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DESCRIPTION O\;' IŒLlI.TIONSII1P
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'print n e :'~¿¡·S"(),>1:~£/~~~~;'.~::.:,;~1¡~it.~¡.
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