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HomeMy WebLinkAboutTR-5371 . . 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 SOUTH OLD May 26, 2004 Mrs. Suzette Reiss-Lehner P.O. Box 104 Orient, NY 11957 RE: JOHN B. LEHNER 505 LAKE DR., SOUTHOLD SCTM#59-5-20 Dear Mrs. Reiss-Lehner: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, May 26, 2004: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit #5371 to include the existing deck on the front of the house, and as depicted on the survey prepared by John T. Metzger last dated July 18, 2002. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, b~·$9~·t}· Albert J. Krupski, Jr. President, Board of Trustees AJK:lms .\.' a ~ ~ t ~ C:> "'- 0\ "- en· ì ~ It) \0 \0 0\ " 'f' ,~ ~ o > ~ ~~ '~ ~'~ ~qO~ n.; ~ ~ ~ ~_ CO~ I~C\J ~ ;;t:: a ~ ~:II¡g -. Eo-; rt) E--. I...... C\J r:.:,.:::::> ~(»..cû a ~ r:.:,.:::i ~~>-- VJ a a 8us >.t e.... Ù 0 UJ "'"J ~~~~...... § ~'<3 rt) ~ :::i rt) , - " 2 '. f;1 . -r- _' v {J ,- :J~ "11 1-... Lu'I'.. ~~ .:~......, 'c,,¡ o .... . '~-:.~~ I/) a -' >- w 0 w co l- X I/) l- e ::> ::> > w co: 0 I- 0 > II) '- I£- 0 0 I£- oS '\. 0 "I Q:: a '- 'e> 0.. co: Z I.r¡ ~ ,~ ~ 0.. « ~ 4: 0 0 w ~ co l- I- 'ß « ~ L' , I I ,7- 1 , f::ì ~ g , " f5' ,,' C\ ,;.. .....:..,."......- ,~ :;; tj <' 2 Ô ~ ~ Lu Or:: VI § ~ l.J L;j ~ ~Q ~~ 't ~~ ~ . r.'! .. bl" \ -!- # ~\'I ~ 'v f>1~ ~ ~ ~ ~c, ~ ~~ ~ ~ ...cl .. ".'- '- ilJ' ~ 1:..:0;..... ..... , ~:......... ~~ ~" " , , ~= ., i!Jg 1.'/'" '0 EJ~ 1,' tf>Þ '\: )... 11:, ~ ~ 11:1 ~ ~ ~ ~ 'II: ì5 Iii:::: t-:::: ~~ iJ¡~ I<JC ~iJ¡ ",II: )..~ ~ "-ItJ:: ~).. 11:1 ~~ _J I.t..~ ~~ q;¡¡j ~c::¡ ~~ ~Q;. ~~ <þ() '\,+-~ ~ \t ,'\~ ~~ ~ ,~ tJ!; i~ ~l1,; r lÎ +- l...J )- ..... Q:: q l...J ~ <I: , --J If) C If) 0 V) l...J ið q <I: I- Lu l...J Q:: l- V) '. I~~ ' t~g~ ' ~~~~, ,~ :<~~a ~~"'¡;¡~ ~~~~i . ~;i'I·§ e~~i~; ,~~~~;~ ~~§~III, lil!tg~¡; ~~fI(>~~,... ... It I!!~ ' ~~d~" 'i!!!rê~'" ~I!tbä~ Ib&!I ~ "" = = C'oJ ~ c~ -'" .gë ~.... ~"5 -~ ~~ o~ "'0 '" = (5) Ib&!I a:: y ~ Ib&!I ~ I- ~ Lu :t: ~l.J 02:. :t:Q. " " !II- C- 4l~ - <J . . 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 Tuesday, May 11, 2004, the following recommendation was made: Moved by Doris McGreevy, seconded by William Cook, it was RESOVLED to recommend to the South old Town Board ofTrustees APPROVAL of the Amendment application of JOHN LEHNER to Amend Permit #5371 to include the existing deck located on the front of the house, Located: 505 Lake Dr., Southold, SCTM#59-5-20 Vote of Council: Ayes: All Motion Carried 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 July 24, 2003 Mr. & Mrs, John Lehner 505 Lake Drive Southold, NY 11971 Re: SCTM#59-5-20 Dear Mr. & Mrs, Lehner: ' The following action was taken at the Southold Town Board of Trustees Regular Meeting on July 23,2003, RESOLVED that the Southold Town Board of Trustees grant a one year extension to Permit #5371 dated July 25,2001 for the construction of replacement deck servicing the rear entrance of existing house, However, this determination is not a determination trom any other agency, - If you have any questions please contact our office at 765-1892 Sincerely, ~,£ps~(}' President, Board of Trustees . AJK: cjc Cc: DEC Building Department ,. John and Beatrice Lehner 505 Lake Drive Southold, Ny 11971 June 27, 2003 Board of Town Trustees Town of South old Town Hall 63095 Route 25 PO Box 11 79 Southold, NY 11 971 re: Permit #5371 for 505 Lake Drive, Southold, NY 11971 SCTM# 1000-59-5-20 Attention: Board of Town Trustees: . We are requesting a one year extention to permit # 5371. Enclosed is a check for $10.00 made out to Board of Town Trustees. Thank you. Sincer,ely, ~é)' , (/J.k' ,D, ','6 , .7i,./v...... ~" John and Beatrice Lehner ';L~' (ì.2~jZt ¡r) J<!/' /~( ( -LL ....____- '. ¡'!' l 1.("- .'~ l'l.. . ~ Soulhold Town Board ot lrustees D ~ ·....... '.'-~ ~.~~'. .........g..........._--'...... ...."................ . . DEPARTMENT OF THE ARMY NEW YORK DISTRICT, CORPS OF ENGINEERS JACOB K. JAVITS FEDERAL BUILDING NEW YORK, N.Y. 10278-0090 57~S;;2o REPLY TO ATTENT10NOF tastern Permits Section August 28, 2001 SUBJECT: Joint Application with New York State Environmental Conservation Department of fr ¡ " ' j,J , John B, and~Beatrice Lehner 505 Lake Drive Southold, NY llQ71 SEP - 42001 Dear Mr, & Ms, Lehner: , ;,--.., ¡ lL: , We have recently received a copy of the Joint Application for permit you filed with the New York State Department of Environmental Conservation (NYSDEC). Please be advised we have reviewed the copy of the Joint \ Application sent to this office by NYSDEC. Based solely upon the \ information provided, it appears that a Department of the Army permit is not required for your proposal, ------ The Department of the Army regulates construction activities in navigable waterways and discharges of dredged or fill material into waters of the United S~ates, including inland and coastal wetlands, If your proposal would involve such work, and has nót been portrayeG as such in your Joint Application, you should contact :his office immediately so that a project-specific determination can be made as to whether a Separtment of the Army pe~mit will be required, Any inquiries can be directed to this office at (212) 264- 3912, 3913, 6730, or 6731. SÜlcerely, ~(Ji~~ _Marc Helman Acting Chief, Eastern Permits Section Alhert 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 July 27,2001 Mr. & Mrs, John B, Lehner 505 Lake Dr. SoutholØ, NY 11971 RE: 505 Lake Dr., Southold SCTM#59-5-20 Dear Mr. & Mrs, Lehner: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, June 25, 2001 regarding the above matter: WHEREAS, JOHN B. & BEATRICE B. LEHNER applied to the Southold Town Trustees for a pennit under the provisions of the Wetland Ordinance of the Town of South old, application dated July 5,2001, 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 July 25,2001, 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 detennined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, 2 . . RESOLVED, that the Board of Trustees approve the application of JOHN B. & BEATRICE B. LEHNER for the construction of a replacement deck servicing the rear entrance to the existing house, Replacement of former deck located ground surface level on the bluff. 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 ITom the date it is signed, Fees must be paid, if applicable, and permit issued within six months of the date of this notification, Two inspections are required and the Trustees are to be notified upon completion of said project. Fees: None Very truly yours, {k/. (.-/ ~ /~. (2. . I ". Albert J, Krups{¡, Jr. President, Board of Trustees AJKIlms cc: DEC Bldg, Dept. . . 'iI'- '. '''''iI' ':7". " '.' ~ I.,·:r. - r. (II . II' .'- fa 'a' r. ..,. '.' r. r.,·:r.· '. . 'iI r.· 'iI '. ",. - '. . 'iI \ 'iI .' 'iI 'a' '. . f. ',. 'I' '. . I. . r. ~ 'II I. II . 'II II 'I .. '. .. . 'iI . II '. '. II::. TERMS and CONDITIONS The Permittee residing at 505 Lake Dr., South old N. Y., .. part of the consideration for Ibe issuance of the Permit docs underslaDd and prescribe to the fol- lowing: John B. & Beatrice B. Lehner 1. That Ibe said Board of Trustees and the TOWD 01 Southold are tdeased from my and aU damages, or claims for damages, of suits arising cIitect1y or indiret:dy u a œsuIt of my opec- atioo petformed pursuant to this permit, and the aid Permitœe will, at his or her own expease. defend any and aU such suits· Iaidated by tbird parties, and the said Permittee ........., fun IiabIIi9' with respect thereto, to the complete esdusion of the Board of Trustees of the Town of SoothoId 2. That this Permit Is valid for a period of 24 mas. which Is cousideted to be the estimated time required to complete the work involoed, but should drovft$to"<'tS w&rranr, request for an exœnsion may be made to Ibe Board at a later dale. 3, That this Permit should be reui.ned indef'aniteIy, or u long u the said Permittee wishes to maintain the structure or project involved, to provide evidence to anyone mncerned that auth- orization was originally obtained. 4. That the work involved will be IUbjea to theinspectioo and approval of the Board at its agents, and non<OtDplianœ with the provisions of the originating application, may be CII1Se for revocation of this Permit by resolution of the said Board. 5. That Ibere will be no unreasonable interference with navigatioa u a IeSUlt of the work herein aùthorized. 6. That there shall be no interference with the right of the public to pass and repus aloag the beach between high and low water marks. 7. That II future operations of the Town of Southold require the ftII1Oft1 and/or alœratloas In the location of the work herein aucborized, or II, in the oplnloa of the Board of Trusteet, the, work shaU cause unreasonable obsttuct1On to free navigation, the aid Pamlttee will be required, apoa due notice, to remove or alter this work or project herein stated without apeascs to the Town of Soulbold 8. That the said Board will be notified by the Permittee ot ihe completion of the work auth- oriud. 9. That the Permittee will obtaIn aU other permits and consents thIt may be required &tip- plemental to Ibis permit which _y be subject to revoke upon failure to obtain wne. . . \' \ , Telephone (631) 765-1892 Town Hall. 53095 Main Road P.Q, Box 1179 Southold. New York 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town ConserVation Advisory Council held Tuesday, July 17, 2001, the following recommendation was made: JOHN B. ~ BEATRICE B. LEHNER !?9-5-20 to construct a replacement deck servicing rear entrance to existing home, Replacement of former deck located ground surface level on the bluff, 505 Lake Dr" Southold The CAC did not make an inspection, therefore no recommendation was made, ~ <:l ð; ~ t:- ~ M . I J I t:-. IC:\ v> '..,§ '.9 I:l-- \ ~ - '4' ~ ~, ~. <r ~ c ~ " -.l It... ~ " ::r-.. ~ ~ - " 1 ,,' j ". .; I ,......., I.l ~ ~, \- Æ C!::: ! ~ - ) J _ ~ ... CO) .... '¥>:::. 0( .....' -;;= d< ~ - ..... ¡,; .. ,1~ , J I ,.c' - L' , IÙJ':1; ;~ ~I ~ I ¡ ~~a 4ì~!] '_~ê-11 I'" \<! _ I I ..c ~ - t: _ - j 0 8 0 I 0 0 0 ~ tu: ; .~_ _~ ___H____. a:: a:: .....l "'I' 'I ':) I 01 ~ '''''-.J r '. .- -fur I 1- i --T~-t! ~ , '''1- r--¡ r J ' ¡:~ i >;~ / ~ , ... .; " L.I .,.a¡ f u v I ~~,;-: ~ \ ~ ~ v~ g ~ ,~ ". "-' -0 E 3: ¡;: I ~ \ - §:¡:..; Q ! I ~ 0 0 x.:: I 1 LLmUJLLI . = ~ rt-it ~ 1 ; "'\ "-'i-I\,:; ~\ t-A I I ~ ~ 1 ;~: (Þ~ t~~ntut- -z. ':X ~ \À ',,', :" C- I I -1 ;!J h.. ~ ~ , ....... ~ }¡j ~ :t \¡¡ ,--\ , ' ~\ nl. '. 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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 SOUTH OLD APPLICATION FOR AN AMENDMENT TO A PERMIT DATE OWNER \lìr ,~ f1\f" j"\-',, ~,Lehner- PHONE ~31- i-V; - <f222- ADDRESS Sac:; Lq)c¿ Ù(¡t/,.. ç"",-\hQ to( (SV'(Y"o.Me..í) it.¡ f~fleT(aCf:.1 OCQ{"Jf'L , 3¥~r¿ AGENT ~\¡I~ ~-L"~l'\er PHONE tdl, '3¿~" J'-(;;tç- ADDRESS Po ~(>x \0'-'\ O{ i <",-1-, t'v y 1111..) =r- PROPERTY LOCATION 5 os- Lcd'--o l)ó-¡vc:.. S oV\.--u, 0 I ~ TAX MAP NO, 1000 -Ç"q -5 -20 VWe ~ h" &.Re~Ò,::.. ~ ¡'VIer request an Amendment to Permit # 53 q.. ( . ,-+:, "l\cl"'ck_ -t-<""'+ d€c\c:: ~ '(e~Gt\íS. ~ ~~\~\~'i . ~©.~ Signed By: , /ftaz{c:çQ ~ ~-1'llfl ~EA:~: :"E ~ Soulbo'" Town Board of Trusteos .... . ..J IÞ- , , 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 __~Jt\_t'1l_JE).__l.~t:}~r:____________________________ COUNTY OF SUFFOLK) ST ATE OF NEW YORK) AFFIDAVIT OF POSTING I, C; f:.t4M â !eJ.It~. residing at 2. 52 ~,O Ÿ09<-r V\ (?), Qrlt' ~i ,)):::/. / /ßS7 being duly swom, dèposl and saý: That on the day of ,200 ,I personally poste~ the property known as I t /71h, J.1/k..., 505""._4 K:e tJµ, Q", o,./~[c7( /yy by placing the Board o~ees official poster where I~ can t'lSlly 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 £!Y1d 'I ~,~00l: on cr OO£U1- '\iðD r:m, Dated: H IÂ.' 2.~I2J:Tt;'-/ ¿;, j ~~., ð~ ~ (si ature)- Sworn to before me this .2.10 day ofHD.. 2001 ~Äj(~ Notary-t1úblic SUSAN K TOOKER NOTARY PUBLIC, State of New York No,on0507e120 Qualified in Suffolk County Commission Expires May l ~ 2.t;o 7 U4'VU,U4 ~Ub l~:JU ~~ UJltU~laUO ~Utnola lOWn ^~coun~Lng I.fl.:UV~ r",. ~" . ~d of T1:1IBtees Apptica.tiol1 . . ..- AUTBORIZATI:ON (where the applicant is not the owner) I. *!t¡{ lJ, L -[~H N EfZ.. (prJ.l1t owner of property) residing atà 4- f'IN£ TR~C{.¿ (maltil1g address) cl- ?-o/.."\ fj,J... EHNF~ do hereby authorize s"';¿¡ft, K.u~ - Leh.nu- (Agent) to app1y for permit(s) from the 0, ex ,-()..;-/1 Lc" VI (' ,- southald Board of Town Trustees on my behalf. ~Ør' ~ ~it~~# S¡j/~~/\ OWner S 81 ature)' 8 BO~ of Trustees APPlication4IÞ roo. ,.. County of Suffolk State of New York þhn ß, U: hne.r a~ Bea.~'Ic..e. ~ Leh"~i BEING ,DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. f).¿ If ~~ß' ~ Signature SWORN TO BEFORE ME THIS IL\ DAY OFj~~;(~ ,l'7.£:0f ('rh0\ ~) ú2r0\Q '< Notar? Public ~ tr<,. Down DR.... . " . My~D0251071 '\to, ~'/ ExpIre. Oc:tobor 11, 2007 7 . . Telephone (631) 765·1892 Fax (631) 765-1366 .Ú"upski, President , King, Vice·President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Route 25 P,O, Box 1179 Southold, New York 11971-0959 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Application _ / 1,'\ ....-wetland Permit Application _ Major( 'L Minor ..$(;. I Waiver/Amendment/Changes "- ..,¿Received Application: _J} 'rl () .Æeceived Fee:$ -sv- ......cé>mpleted Application 1 [ S-/o _Incomplete _SEQRA Classification: Type I_Type II_Unlisted_ Coordination:(date sent) ./CAC Referral Sent: Î 'S:/DJ ~ate ofInspection: 1 I ~I()I _Receipt ofCAC Report: _Lead Agency Determination: Technical Review: Public Hearing Held:J1J.~/() _Resolution: r:~ '-~ -;-- -~. tt , [, ' ,. , : I ", ~ ,_ . ." _. I, ' -~ .1 I, JIJ - 5 2001 ! , Name of Applicant ",\ði+J\I 13,1-EJt¡JG~ ~ Ðli.ATfU~E 13, /""'E"HNER" Address SD!5 J-AkE Dp-Iv£ f::Jouí!fOt....0I1V-i.vo--.!1ø~{.z, //'7'7/ //~ , 'V . 6/Cf~ (ðffk"-'>1.1?j" R~)N.~, PhoneNumber:(I) (,3/- 7'-5-122.2.. 5"-c.c.hlJY'. Suffolk County Tax Map Number: 1000 - 05:300 : Dnp /'h1J. 739 p~ 34-8 (3134-) ~ Property Location: ~~oá >0 'ODD ) L07S )/0,2.24- "",,k fz- Loi Ne,22::i 50 vt,ß S,J,., of' f...AKe bp.,ve 'sout..q~I_..}/,¥, 5ðo' aI'/,'"'1" w:ês t A Þ(.f2'Yl?("y'~ ~. nJ - - - - -++-- - - 5c-1U1Jf()LD} ,,,.y- (provide LILCO Pole #, distance to cross streets, and location) AGENT: (;-;;;:'1 ~ \ (If applicable) -' ~ Wí""T¡¿..... HðME hDDRES~: lP Address: 44- ?/NE TR~~t( S'-'.v-<.»o S'P"'~iS ~o..~, OCMA ¡::-.J?r~IJrt :'?44-7-L ./I.' ) "./ 1 - \ PHON£': f}..<"" r,,;-,No. !- 7>.51.- 6~7 - 3754- Phone:2-&:5 [- 7"<65- 92:1.<. (S"'_·";;,w.I-L.,) . . Board of Trustees Application GENERAL DATA Land Area (in square feet): (). 2...1... ~.... Area Zoning: R-e-s 2cf k>vi '-""- Previous use of property: /V~.::L * 1/lV' .oL's }Z ¡t,.,Jpf ..G:¡,,- R..es l of~~ ¡;,lZ l ;:;-~. - S..."1N'>""-- h'--.) Intended use of property: Prior permits/approvals for site improvements: Agency Date So l.,-ji. "tð.. I AJ.y. (_ (¥\,,"'-',,{ f-H-<.v ~.Q,,-,^-~<!..- ~ No prior permits/approvals for site improvements,(' 'G ~ à¡ fv~~~~ Has any permit/approval ever been revoked or suspend~ a governmental agency? 1/"« No) Yes If yes, provide explanation: Project Description (use attachments ¡fnecessary): ~14-~~1.. ðj- ~'<'<1.~ ,;l£~~ A-vw~ ~-'1-- Ø¡J;;:¡:~ :t ~'~~ ,~ . Ret~~<-A'--"AH';j- <1 ru-'l-- / 'j , l/e~\~' .4-w~ ~ \,1i ~ "i..¿ufb (S'o.l1ð."1) 4..A,v'f-':.>~'it;::-.,p "'1~""~ ~/QJ..""",,;f)'¿~ \ ~t ' œ/:lt.., '6 if 'fd,..,.. R 0j..¡ 7.:', 'f-PJ.- lÆ..l!J..m ~ l.v) G ~ f'C5he{ ;} c. L- " . . Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICA nON DATA Purpose of the proposed operations: ~~"tJ<....,J~ M ~ ~' Pð5'b (3f,~,01~) Area of wetlands on lot: 0, :< Z square feet Percent coverage oflot: /(; % Closest distance between nearest existing structure and upland edge of wetlands: B 0 feet ~ Closest distance between nearest proposed structure and upland edge of wetlands: !7D feet Does the project involve excavation or filling? / 0>t~ VNo Yes If yes, how much material will be excavated? ~/ø- cubic yards ( :fc.. f D Sl ~~ . How much material will be filled? I /fb cubic yards I Depth of which material will be removed or deposited: ~ t±:fe)t) I' .' ~ Proposed slope throughout the area of operations: ~...z.- Manner in which material will be removed or deposited: ~ - ~~ CV11l, ß& 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): (or \. J, ./}'n-v'YlA/r;J~ . . Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: Are wetlands present within 100 feet of the proposed activity? /":--- ", No~ Does the project involve excavation or filling? ® Yes If Yes, how much material will be excavated? r.t~--- , t.,'· ' I . ~ _ . " I ,I' [.! 1 L.. 1 (cubic yards) How much material will be filled? 1. (cubic yards) Manner in which material will be removed or deposited: fIl.//,tA -;ji~ iF ~"'k. 3f' dpfi4ft "JlÆ.rro.t- ¡;'ot1ì .¡;....- ¡V'°r"'~( -,¿/)~,¿), rk.,.Þi.5'N:J\) Describe the nature and extent of the environmental impacts reasonably anticipated resulting ITom implementation of the project as proposed, (Use attachments if necessary) " , I, /777 LÎìDV' :"f " ct'J-:J- '"-.-.---""1 , ad of Trustees APPlicatio. AUTHORIZATION (where the applicant is not the owner) ..- I, (print owner of property) residing at (mailing address) do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature) 8 U·~6·4 (2/87'1- Text 12 PROJECT I.D, NUMBER . . 617,21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I-PROJECT INFORMATION (To be comDlered by ADplicant or Prolecr sponsor) SEa 1. APPLICANT ¡SPONSOR L¡;;HtJ£R... I 2. PROJEC7 NAME dDHJ\Í a,~ Bc^/RI<è1:. E, 50" Lhk~ j) RIVE SOC¡¡"¡"LP, .At)': //'17/ 3, PROJECT LOCAT'ON: Z::;O'J J...A""E DRiVe: Myn'c'oallIV -:<;;, U.,.-/-j OLD p),y, /I q7¡ Cvunt'l SL' FFOLk, 4. PREC:SE LOCATION (Street address and road intersecllons. prominent landmarks. etc., or ,::Irovlce map) - , - 5, IS PROPOSED ACTION: ONew o Expansion NMoOificatlon/al1eratiOn 6, DESCRIBE PROJECi BRIEFLY: tz;- ¡n ~ of -e.J"< a:f R~-"~Tb 'If'we(C'j -a.) --YYI 0 de ~ f: :; 17) ¥~ G~-"-ck.. c.::t W--e..~"t 5¡tI..,~ Fvc"",+- oJ rio {...5 E . 7. AMOUNT OF LAND AF¡:-ECTED: /'711 ( ? 1;" -"h.-l (,1.-"»-1. Inillaily acres Ultimately acres a, VJILL ?'RO?IJSëD ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND US2 ,:;:eSTRICïIONS? Qš.Yes ONO It No. û'escrlbe tmetly 9, VJHA T IS PRESENT UNù USe: IN '''CiNITY OF ~ROJECT? - - ~eS dentJa Describe: U.!nOUSltlal [J Cvmmerclai o AgrIculture ~ Park/ForesuOcen space L.J Other 10. DOES " ,,CTlON INVOLVE A PIE.AMIT APPROVAL OR FUNDING. NOW OR ULTIMAj"ELY FROM ANY OTHER GOVERNMENTAL AGENCY (F::iJERAL. STATE CR LOCAL~ o Yes (JLJ~o If yes. fist agency(s) and permit/approvals ". DOES ANY ASPECT OF THE ACr!Or.¡ HAVE A CURRENTLY vALID PERMIT OR APPROVAL? DYes· (S.'NO It yes. list agency name and permillaoørovaf .'::" , , 12. AS A RESULT OF PROPOSED ,""CTI0N WILL .:;(ISTlNG PERMIT/APPROVAL MEQUIRE .\.10DIF!CATION? DYes ISJ No Signa lure: I CERTIFY THAT THE INFORMATION PROVIDED ABOVE !S TRUE 70 THE 3ESï OF MY KNCWL:OGë:. . _~~;~;.) . ~ -eE7 l ~ L ,RU~' EIi^IEI'\ ¡ DOl"' J,.,¡, I), 2-v~¡ - rØ...~ cfhu~ ) ApDJlC;1nl/sponsor name:Jð fffl/ f), L~HN'£R. ~ fJEhTRle.Ë 'B. 7;¡;.~ <....I, If the action is in the CO"5tal Area. and you are a state açency, complete the Coastal Assessment Form beiore proceeding with this a,:¡.~essment OVER ?A?,¡ ¡1-:NI/1F,O~~M.E~ri;" .ï.:S3ME~ ï ,-:"J . .... ~CE.S AC7;C;\¡ =;'':C2~: .:...·H '. ~Ë. 7ï"';¡;:.E3t":GLJ IN -5 'J·~':PR. ;)':'r-.ï 5~ì.·~~ ...... ........,.......,'er.::>n ...../ . .....ø....C' . "'w '.....1.,...1 ,"'....... ......,,_., I~'f~~ 1-."0 it 'Ie~. .::ocrQH1at8 :1'18 re\fI~'N :rocas.s :!..nQ 'J:sa :r:e .='.JL:.. ::~,.. :. ·NIL:.. .~C"';"rc.\ .,E·::::'¡=: :::CPOINA,';"é:::J .::¡E'/lEW ..:.5 ?P.C·JICEJ =':i=1 UNL.S7"E:J "':::-:-:CN$ ,N 5 .\I'(':::;R. ::JJ,,::,;" -5Î ;"..57 m~ oe sucerseCec :;y :!.nou~er ,nvOLVeo açency. ./ .'JO, 1 .¡eç~t:·¡e -:ec:a.r::¡ ~y~:s ~."o,Io C. -:':ULD ':"C7rCN .::J.E.sUL7:N ,.\NY ADvE¡::;SE ::::='=,:75 "\SSCC:..;ï~J ','JIil- -:-:"":= =,JL:.....:\NL"o,IG. :,.\ns.....er:s :':"Iay::e ,anowru:en. ,¡ .eçl=lð¡ :1. :'1:I.:I[ln9 31r cuaJlf'(. J;\Jrtac3 ;,r ,~rol.:nowate~ cuaLity o:Jr :1.:3.nllly, ,¡OISe .e'lels. =x:S:lnq :,ãlfic :a!'erns. SOIIC .vaSie ;:IrCCL:c:;:n ;r :!ls~: ;:IOCenUaL tor i!rOSlon. :::r¡unaqe or :!oocmq JrOOlems? =-'tc!a.ln ::lfIeily: C2.. Aestr'letlc. agr1C:JLCural. 3rc~aeologlcaL. !'1iSI0rIC. Jr otMer .,at:.ual or cuHural :esourc~s: or .::~mmunlty or ."'iell;:1ccrnooo .:;:arac:er? :xclaln ~, C:. '/eçerallon or :auna. ~Isn. 3r.l!llffsM or 'Nliolifi! 5cec:e,. slgnliicanr :"IaClcal:!. or :nre3cenea or '!nc:ançerea .!=:I!c:es? :XCla¡n :Jr1ðlf'(: C"':. A c::mmunlt'(s existing ;)lans or ~oals as orflc:ally aaOOtea. or a cnange in use or intensity or use of !ana or otner natural resource9? :.xplaln :r CS. GrowlM. 5uoseCuent :evelOomenl. or retatea aC::Vltles likelY (0 oe ,nducaa oy :ne ::rooosea ac:ion? :X:lLaln ç f1ei!v. C5. '_ong :arm, .3nort :er:T1. ;;JmUiiUrve. or 'Jmer 9Tfec:s noc ,cenrrf;ea In C:....:S? :,):olaln :Hter!'(, ':!;:e~ moac:s .inc:..¡c¡nç ::-:an<;es ,n 'Jse ot <3rtMer quanucy r:;r :vçe OT ~nerçÏJ? ::"1:::II';'ln :rI811·¡. J. 5 ~~E::;e. ~R:S "';-ï·,E:::¡¡:: _:!<:!.::' -:-0 5E.. :::NT¡::I;QVE?'S"f ~ELAï¡:::::J ';"0 ?QTE~Jï!";i.. .....:I/=~S¡:: :?- VIACNME~Jï~L ..·.IP~C7$? '_':'e's '_ ~J~ :f ·~es. :!!XClaln 'Jf1erly "ART III-DETERMINATION OF SIGNIFICANC~ <To ~e comoleteo :oy Agency) [NSïRUC":"JONS: í=or ~3Cil aaverse ~tfec~ identified acove. jetermine whetl1er it is substantia.l. large. [mcon:.ãnt or otl'lerwise signitic :ac:, ~jfec: Si10ula ~e 3ssessed in c::mnection 'Nltl1 Its (a) Sêtting (Le.. urban or rural); {b) ;Jrobacility ot occ:J;:1!1g; (C) duration· irreversIbility: :et geograonic ~ccce: anCl (f) magnltuCle.. [f necessary, add attac;,ments or reference SUDDoning materials.. =:1sure ~XClanations ccntaln suffic:ent ae.t31 to snow {nar all ~e!e'lant adverse impacts nave been identitieCl and adec:uate¡y acC::ressec. C:'eCK ~his Oox if :/OU ¡1ave identified ene or ,'TIore ;Jotemia/I'{ !arçe or significant 2C'lerse imoac:s '.\'hic:"t ,'.fA·:' oc::;..:r. ¡hen ;Jrcce9c airec:!'{ to :he rULL 2:Ar= 3.na/or ¡::reoare a positive' oeclaraticn.. - C;'ec:< :t'1is ~ox ·f '{au 'ave de!erminea, ~asea on the information and analysis above and any sucDon;:¡ç r::OC:.Jmentancn. :nai: :r:e :J(Qcosea ac:ion 1.vILL ~~OT result in~(1Y sIgnificant adverse ~nvlrcnment21 imcac:.: AND Jrovlce In 3.HaC:1ments as necessary, the ,"e.asons 3upCOrtlng tt1IS aetermlnation: ......,"<! l' ....:.JoJ ......o:nc·' -'''''1 JI ~I.1O: ....,¡nf!' )1 ~~·,,:¡on\,a.o: _tzlc!!r n ~'-'.JO "'~o:nc·, 1[1.: 01 ~.....oon~'OI': OrllC!!t )1"n.JIU!~·)I .{o:~con\.OIl~ _r'lc~r ,n .':.10 ........ncv )1>:n,,:l, r~ H ,......~.H...r 'If "':1I:e~~nt ·rom 'o:sCcn~lol~ ~rr,C~r\ J...IC 2 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 BOARD OF TRUSTEES: TOWN OF SOUTHOLD r,-- - .._- -. W) V' ' ; ": þ'~ , : JIJL 9 ----------------------------------- I(1::~.Matt~~~~/::~ Application . #1-~~_~~L~~_(lE'M"'.,"-) COUNTY OF SUFFOLK) STATE OF NEW YORK) l AFFIDAVIT OF POSTING I, J() ~If ß, J..~-." , &P.k"åß Ýk~ being duly sworn, depose residing at and say: That on the day of , 200 , I personally posted the property known as 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 O~he public he5lrinc;¡. Date of hearing ~oted thereon to be held ?:'rl ~ ( f1::!1 /h. ~ v¡ () ~ flV1 Dated: 'I-I fa ~ù I sf,0rn to b~ffre me this (& day 07~'1 200 ( I æ. /l "'" ' Notary puß(?,,~ ?J::u~~ ff~ÞH~)JMtA'0ì PATRICIA CORWIN r::'-r¡ POll ': ".:- t~t<! ·)1 N~IVYork t 1 í' ~C-j'i~~~ ,. _ :;\e~: 1 ~:i..I:~~ '" C(un~1 z.v 0 I COrM\ISSIOO Þplfes $apt. 13,_