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Home My WebLink AboutTR-5297 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 (63l) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 21. 2002 MI. Robert Mosquera 2595 Village Lane Orient. NY 11957 RE: 360 Hobart Rd., Southold SCTM#62-3-6 Dear Mr. Mosquera: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held an Wednesday, February 20,2002: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit #5297 '0 ~onstru;:;t a 20'X 20' extension to the dwelling and a 20'X 21' garage, with the condition "f a 25' '1oi1-dis~urbâl1ce buffer, drywells to contain the roof run-otT, and haj' i:J?,je~ pl:lced riO'.','-û. ~t the 25' ":cn-d~sturbance buffer line before any activity begins, all as depicte.l 0," Slü"èY dë.ted i>ccmber 11, 2000 and last revised November 9, :W01. Tills is n0! .1 determination from any other agency. if you have :1llY q'.lestions, please call our office at (631) 765-1892. Sincerely, a~ (7. /¿'-_~v&. G. I' ' ,- Albert J. Krupski, JI. President, Board of Trustees AJK:lms , . . Trustee Inspection File Report Name ,rrt t>Stu. e r~ Address '3lo Uow",^--+ (LA· SO~~~ SCTM# Co d- - ~ ~ Co 1st Insp 2nd Insp 3'dlnsp Finallnsp Notes q 1))·- V\.Qf\~ \'($'CO-~ vi,\\ ¡fì~~C t -====e= \ \ ~\'\ ~~ ~\ SURVEY OF PROPEl SITUATED AT SOUTHOLD TOWN OF SOUTHOll SUrFOLK COUNTY, NEW S.C. TAX No. 1 O~O-~2-0 SCAl £ 1 ~30 O£CEt.4BE" It. 2000 TO ,flOW ,Erne , M^Y 7. ~~~~M~~S~~ 1.00' R~"SE"n $ITE ARF.o\. == 9.127.77 '1'1. ft. 0.210 Gr", ~ . .~ UEe 2 b ~I / / / " " , ~ \~ ,\ \. i. , -, ~" ; t,~" 1 ~ f . ~' , ,.", 'J ~ Ill!! 4At.t;c ,- " orlOCTt'''!Jf30.IfIOO) (!lIT HOLE DUll ... -.r> . '....,... L'-, ,. '" , , !a. f .1 ~ , \ \ \ \ \ , \ , \ ., , , \ AI-I. BOARD 01 TOWN OF SOUl;" ",,' / " " .. \ , \ \ .; ¡; /11 " /~ , -.... :!.. ~', ¡ " .. ., . . --- .. ... ?) \ \ \ \ D3 Ì)Q(}.{- ~ 0 SouUwId TawIl k Board of Trustees ~ .L We 1\(Lùf. ~~~\e. c o\..'-.c ~ () cr. ð~ . ç>Q( r¡-.,-,+ -::j:\:. 58-qì t?ü De (+..... ili fìfìC-, M O~ Q\j, €.rcA 3 î c> 1-+0 ffi. rl- CeL So~~\<i f\J'1. \ \C\ì \ (w'~$ î 1o$-Q30a--. 0ìlìee.re \<-{ I (jl~ f-{ H~ = . . Robert Mosquera 2595 Village Ln. Orient, NY 11957 (631) 323-0082 February 19, 2002 Board of Trustees Town of Southold Main Road Southold, NY 11971 Re: 370 Hobart Rd Southold, NY 11971 FW ¿ ù ',' Dear Board of Trustees, This is an amendment to exclude the garage from our plans at this time so that we may obtain legal counsel. We are not sure what type of planting will be placed on our property so we are not prepared to submit a plan. We may plant trees; we may go with grassland. We feel if this is an issue with the Town of Southold Trustees then it should have been addressed 5 or so years ago when the pond was installed. The former owner of the property Mr. Lewis L. Edson who was legally allowed to place a road through wetlands should have been held liable for any planting necessary that pertains to this pond. Our intent at this time is to place bales of hay along the southern portion of our property and regardless if our garage is granted or not we will place plants of our own choosing. We hope that this does not become a public issue and wish to finalize our dealings with the Board of Trustees in a mutual and respectful manner. Sincerely, /// -/ .' Rotfer'fM~Squérf'" U..,¡, - . . Robert and Donna M Mosquera 2595 Village Lane Orient, NY 11957 (631) 323-0082 T I February 10, 2002 FEß I I'll Town of Southold Albert J Krupski Main Road Southold, NY 11971 Re: 370 Hobart Rd l Dear Mr. Krupski, The building department suggested I contact you in regards to my property located at 370 Hobart Rd., Southold. As you may be aware, this bas been an ongoing process to obtain permits, which will enable me to proceed in restore my house back to its fonner condition. I've supplied your department with tloor plans and with 4 surveys of the property showing the intent to add a garage and a small 20x20 extension on to house. I hope to be present at the walk-through by your department on Wednesday, Feb. 13th. I will call on the 12th to confinn the time that the board members will be seeing my property. The property bas been staked and the notice of amendment bas been placed in ftont of the house. The olÙY difference in the actual layout of this project is that I do not wish to remove the tree (which is beyond the 25' limit) where the garage would be situated. Therefore I took it upon myself to stake 15' away ftom back of property instead of 10', which is indicated on the survey approved by the DEC. However jfthis small adjustment that I have taken upon myself to proceed with is not appropriate because it is a slight change origina1ly approved by the DEC, then I will remove the tree and place the garage 10' as so indicated. I don't wish to create further delay on the premises. As I'm sure you're aware, the Dec stated that the pond is not within their jurisdiction. It does not fall under their wetlands act. The house is over 150' away ftom the tidal wetlands. I would like to state again for the record that I did not fill in at the southern part of my property along the pond and that it remains at its original elevation. As I stated to the DEC all I did fill in was the north section of the property and raise the house. I have made this known to the board of trustees on other occasions. The vegetation at the east ends is still at its 4' height and bas not been disturbed. . . I would like this matter to move along as quickly as possible especially since new guidelines will be set to take place soon. I can still get in under the deadline as long as no further delays are forthwith coming from your department. I have had numerous calls and requests for information regarding the procedures that have taken place during the past 16 months. I have chosen not to speak about it. As you will see I have staked out my property, and you will notice that the pond is at its south end. The pond, which was placed there a little more than 5 years ago by the town of Southold, is I'm sure beneficial for the entire downtown community of Southold. However I don't feel that I should be held back from my original request or for the added extension and garage already approved by the DEe because of it. As you can imagine this has been very costly for me I am paying the taxes on my property and also additional rents where I am living now until I can move into my own home. I would like this process to be expedited and would not appreciate any other agencies to get involved since my level of tolerance has surpassed and I have kept my feelings confidential. We plan on making the place look as nice as it can be. We don't intend to fill in by the garage area although it is on a slight tilt. The plan is just to put a wall at the bottom of the footings. I hope this meets with your and the building department's approval. I have not placed the bales of hay as I was hoping to use them for my foundation and naturally around the garage foundation to stop run-off. Although they would have been beneficial at the back of my property where the pond has been flowing into the living room of this house since its installment. Thank you for your time and consideration. I am in hopes of getting time off from my job at Plum Island to meet with the board at my property on Feb 13th. Respectfully . -;<1 / ..r Ii', /(~ /~~~- Robert Mosquera . ) . Telephone (631) 765-1892 Town Hall. 53095 Main Road P ,0. Box 1179 Southold. New York 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Wednesday, January 16, 2002, the following recommendation was made: Moved by Bob Ghosio, seconded by Scott Hilary, it was RESOLVED to recommend to the Southold Town Board of Trustees DISAPPROVAL of the Amendment Reqeust of ROBERT MOSQUERA to Amend Permit #5297 for a 20'X 20' extension to the house and a 20'X 21' garage. Located: 370 Hobart Rd., Southold. SCTM#62-3-6 The CAC recommend Disapproval because the project was not staked. Vote of Council: Ayes: All Motion Carried ",-"'; ~.. 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 April 26, 2001 Mr. & Mr~. Robert Mosquera 2595 Village Lane Orient, NY 11957 I . ! RE: 370 Hobart Road, Southold SCTM#62-3-6 Dear Mr. Mosquera: , On a recent field inspection the '>outhoià Town Board of Trustees inspected your property and the property to the north. It appears that the till that you placed will block the natural flow of water ITom the north to the south. The re-grading of a very small amount of the northwest corner of your property would allow for lhe natur:ll flow to continue. We would appreciate your ~ooperation in lhis matter. Very truly yours, é2lt. ' /; , tJ. r'J ': _ t.---t >. /Ô...__;:).-z..-f~ ~ Albert J. Krupski, Jr., President .- Board of Trustees AJK:lms Board Of Southold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. .5a'l7 DATE: .M..!,xc4 2}, .2.001 ISSUED TO .~?~~~!&.J:).<:>r:'I~:":..¡,<?SqUERAu 1\utqnrilutintt Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the Laws of the State of New Yo", 1952; and the Southold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN· WATERS;!.:. and in accordance with the Resolution of The Soard adopted at a meeting held on .~.,,:r:.C??~.~. 200l.u' and in consideration of the sum of $,200..00. . paid by Robert&...potlnil.M.9§Qµ.e:r.ª. . ...uuu.u.... u....uu.'u.u... of ..<?rie.,,:t.uu... ........ ............ N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the foUowing: Wetland Permit to replace exiiting dwelling and septic s!,stem. With the stipulation that there be a 25 foot non- dlsturbance buffer (no driveway in buffer area) roof run~ off be contained iJ;l drywells. . aU in accordance with the deta.lêd specifications as presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- . by causes its Corporate Seal to be affixed, and these presents to be subscribed by II . majority of the said Board as of this dat.e. ARTHUR FOSTF.R (Ahopn+) Trustees .1 I -, .. .. TERMS and CONDITIONS 11>e Permittee ROBERT R. nONNA HOSQTTERA residing It ;>t:;9nt\ Village haRe, OliGut rr~'" N. Y., as put of the coosideratioo for the is$..løœ of the ~t does uødastaod and prescribe to the fol- lowing: 1. That the said Boa.td 01 Trustees and the Town 01 Southold oœ rdeased from osr¡ and aU damages, Of: c1aims fex damages, of suks arisiag dúecdy « indirecdy as a resuk of osr¡ opec- adoo pedormed pUrsuaDt. to this petmIt. and the aid p.. J,(o.. wiJI, It his Of: bet own a:r ¡"O(, defeod osr¡ and aU such suits· iaIdated by tbJrd porties, and the said ~I« -- full JiobIIJty with respect thereto, to the CO'"'{''- esdusion of the Boa.td 01 Tmsttes 01 the Town 01 ~ 2. That this Permit Is ~ fOr . period of 24 mos. wfdch Is ~ to be the estimated time· nquired 10 complete the ...,.)c invohed, but sbou1d circaIiisW>ca wornar, ~ for on exœosion may be made to the Boa.td It . 1ater cIaœ. 3. That this Permit should be rdained indef"mite1y, or as long IS the said P~ wishes to m.;nu;n the sttuCtU<e or project involved, to provide ~ to anyone concerned that auth- .orizatioo was originally obtained. 4. That the wode invol~ will be aabject to the insp«tIoo and opprovU of the Boetd or Its agents, and non-compUance with. the provisions 01 the oñgi~';"g application, may be couse for mocotioo of this Permit by resolution of the said BoaM. S. That there will be no unreasoo.¡..Ie interference with navigation as a result of the wodc herein aUthorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water maries. 7. That if future operations 01 the Town of Southold require the remonI and/or aIœndoas in the location of the ""de herein ..cI>c>IÞ~ or if, in the opIaIoa of the Boa.td 01 TrusteeS, the. wodo: shall cause unreasonable obsttuctloo to free navigation, the sold Pem>ittee will be requIftd. apoo due notice, to remove or alter this _de or project herein stated without upenses to the Town 01 Soutbold. 8. That the said Board will be, notiíted by the Permittee ot the completion 01 the wodc auth- orized. 9. That the Permittee will obÞin aU other permits and COÐSeI'ti cbot may be required sup- plemental to chis permit wbich may be subject to revoke upon failure to obtain same. ". ~: 0" " ·w ." .". ~..:.". " ." "."..".'.." "."" -"" .".." ·, .. 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 March 22, 200l f . . Robert & Donna Mosquera 25900 Village Lane anent, NY 11957 RE: 370 Hobart Road Southold, NY SCTM#62-03-06 , Dear Mr. & Mrs. Mosquera: The followil1g action was taken by the Board of Town Trustees during a Regular ~1eeting, held on March 21,2001, regarding the above matter WHEREAS, ROBERT & DONNA MOSQUERA applied ¡o the Southold Town Trustees for a peimit under the ¡Jrov:sions ü[the: Wetlwd Ordinance of ¡he Town of South old, application dated March 1, 2001 ar.d WHEREAS, said application wr.s re[e,Ted to th:) SoùtJ:old 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 March 21, 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 standard set forth in Chapter 97-18 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, '. .. .. safety and general welfare of the people of the town, NOW THEREFORE BE IT. RESOLVED, that the Board of Trustees approved the application of ROBERT & DONNA MOSQUERA for a Wetland Permit to replace existing dwelling and update septic system. With the stipulation that there be a 25' non-turf buffer (no driveway in buffer area) roof run-off be contained in drywells. 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. i Permit to construct project will expire two years fÌ'om the date it is signed. Fees must be paid, if. I applicable, and pem1it issued within six months of the date of this notification. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Two mspections are required and the Trustees are to be notified when project is started and on completion of said project. , FEES: NONE Very truly yours, ~~~tps:~~ ~ Pre~iGent, Board of Trustecs AJKJcjc cc: DEC Building Department .. .. New York State Department of Environmental Conservation Division of Environmental Permits, Region One Building 40 - SUNY, Stony B,aok, New Yo,k 11790-2356 Phone: (631) 444-0365 FAX: (631) 444-0360 m(\\al CO~oI' .g ,~.~ ~ ~ ~ ~ ~o JoBiRS John P. Cahill Commissioner February 21, 2001 Robert and Donna Mosquera 2595 Village Lane Orient, NY 11957 RE: NYSDEC #1-4738-02823/00001 Mosquera Property 370 Hobart Avenue Southold, NY SCTM # 1000-62-3-6 Dear Applicants: I have received your jurisdictional inquiry regarding the above property. The pond located on the southern property line of your property is not a regulated New York State (NYS) freshwater wetland. Your property is greater than 100 feet from regulated NYS freshwater wetlands, and thus, beyond the jurisdiction of Article 24 Freshwater Wetlands. However, verified NYS regulated tidal wetlands are located on SCTM #1000-64-1-32, approximately 153 feet south of your southern property line. Therefore, the your property is within the jurisdiction of Article 25 (Tidal Wetlands). Any development activities which may occur on your property are subject to Article 25 jurisdiction and will require an application for permit. Basically the wetlands on your property and to the south of your property are in a low lying area which drain in a southerly direction into Town Creek. I have enclosed an application package for your use for activities you may be contemplating, and a chart which categorizes various activities which may (GCP,PIP,P) or may not (NPN) require an Article 25 permit. Your property falls under the column labeled AA, which I have circled on the chart. If you submit an application in the future, please submit it to my attention. Thank you. Sincerely, f/I~¡;iZ.£' Matthew R. Penski CC: File . . Telephone (631) 765-1892 Town Hall. 53095 Main Road P ,0, Box 1179 Southold, New Yorle 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town ConserVation Advisory Council held Monday, March 19, 2001, the following recommendation was made: Moved by Scott Hilary, seconded by Bob Ghosio, it was RESOLVED to recommend to the Southold Town Board ofTrustees DiSApPROVAL of the Wetland Permit Application of ROBERT & DONNA MOSQUERA 62-3-6 to renovate the existing house and update the septic system. 370 Hobart Rd., Southold The CAC recommends Disapproval because of the following reasons: 1. The area must be replanted and a planting plan must be provided. 2. There is a concern with the proposed septic setback from the wetland. 3. All of the chemicals that were dumped must be cleaned-up. 4. A violation is recommended. Vote of Council: Ayes: All Motion Carried . ~ . .fln II '~lIkell MAR ~. tlÌ' l _~5(1 !/ohun N'h/£! \''''I/hlll.! ,\.) lI'r ¡ fu' 1- ~()5--5(¡/() '"Ill 1111/1 (/tflll t"ul!! ,................................."........................... March 14, 2001 Dear Sirs, I am writing in response to the notification concerning the constuction plans of my neighbors, Robert and Donna Mosquera. I understand that an inspection will take place on March 14th My concern is regarding the flood situation on Hobart Road Flooding on Hobart is an ever increasing problem. My property is very much affected The Mosquera's have significantly raised their property by several feet. My fear is that I will not only be flooded by the water that jumps th curb on Hobart but will also be flooded with the run off from this property that is now so much higher. 1 would like the opportunity to discuss this matter with you. Thank you, Sincerely, '.. -;).{1-{3n ~~ ¿/Joan Benken -. .- . ..-....... - .~,__...:...o.~___...-_~..... __l.~""-,,- "'.......,..,....,-.,......". - '--_.'-~-'. -f.. .. NOTICE . Police Dept. - Bay Constable Thwn of Southold Peconic, New York 11958 NOTICE-OF VIOLATION Date: ~ II I 0 I Th: J f'\ Be lZ..-r (h0S QuE' ~.4- (Owner or authorized agent of owner) Address: '- OR. \ f.,vl PI ddress of owner or authorized agent of owner) IIC)S Please take notice there exists a violation of the Code of the Town of Southold, Chapter 97 Article II, Section 97-20 a premises hereinafter described in that A Sl.Pt-,c:- "'~-l e'h'l lj..J~ 7(,q~1 ~/--/,I<i':;+- tv tl <., I <V <; -I '" II" ,-I A f1..d ro' /T v.J .'+h , ..J 1 Do ' of .4 You are therefore directed and ordered to comply with the following: /60 / /hi/d /l11::lLf do (l/: --- -' . r j e7" //r JI1'L./S7("<.('S 10;" Al.L /uFc>t"'s<;;;4J11'L C/ /vo,; ,( w/-I/,. 'v .:5f-..>f/ /'l(L 7k. 6J4A'<:j ffpZ/h , -I~. on or before the :; day of m At,e /.... 20 0' . The premises to which this Notice of Violation refers are situated at: "310 I-l", ZA It -t V d :::, DII J-.0 I.J Thwn of Southold, Suffolk County, NY (Suffolk County Thx Map Designation: Dist. 1000 Section: (" "2-- Block: ~ Lot: &, . ) Failure to comply with the applicable provisions of the law may constitute an offense punishable by fine or imprisonment or both: NOTICE: You have the right to apply for a hearing before the Board of liustees of the Thwn of Southold, provided that you file a written request with the Oerk of the liustees within 10 days after service of the Notice of Violation. Such request shall have annexed thereto a copy of the Notice of Violation upon which a Hearing is requested and shall set forth the reasons why such notice of viola- tion should be modified or rescinded. . . A 1605 Town of Southold Suffolk County, NY The People of the Slate of New York vs. FIASTNAA1E MIOOLElfI<lTI"'L tI~i"lC smEET ADDRESS 0 APT NO ~s-9.s- ¡/"htr~ ~ "A>E '" OP-/C"" IVy II" Ir"? UCENSE OR REGI$TRATIOf-I NUMBER STATE TYPE OF UCENSE PLATENQ DATE EXPIRES STATE ONY DN.J ONY ONJ 0 "">E1Y>'E D'ASS o COUM 0 0 DOOGE 0 CADILlAC 0 A{)NTIAC 0 "'" 0 ~ cJS u:, G ....t; [j VEHICLE MAIŒ 0 BUICK 0 CHEV [j "'AD 0 00.05 0 TOYOTA 0 "'U<5 8ûD, . ~,ñ "'" [j ffiU-:~ ~ rRAILEFI VINNUMBER TME PERSON DESCRIBED ABOVE IS CHARGED AS FOlLOWS ReI S....-,..(./.l~'(" PM OTY TOWN VlLLAOE.OO~ SUFFOU<COJNTY~ .. "''Ii 0 .s 0 r.J'TI-. 0 I cJ IN VIOlATION OF SECTION SUBD .9F THIj: 0 VEHlCLE....1'W TRAFFIC LAW OF T1"I£ STATE OF NEW I'ORK DOTHER ¡SPECIFY) 10 ""'..., c.-o~ 0 0.5 0 COM 0 BUS 0 HAZ q -33 DfF VEH MAT o SPEEDING OTHEA OFFENSE MPH IN A MPH ZONe MISDEMEANOR 0 FACTUAL PART (NOT FOR TVBJ THE ABOVE W,t.1ED DEFENDANT 010 ON THE STATED DATE TlME",..O PtACE to'" ~~~tft~z;¡,;r:;,-k::~ '~ ~..... ..,... PLAc...~ I ~s+-... ThIoFo<olgong._on(pel'lOllalk~.)andJO<"(~&~._to"","""ing__swomdltpœllO"(s)oI - PARKING SCHEDULED FINE 5 CQNT.I,CT COURT 0 THE PERSON DESCRIBED ABOVE IS SUMMONED TO APPEAR AT SOUTHOLD TOWN JUST1CE COURT,IS3OH ROUTE 25. SOUTHOLD. NY 1"71 oo.reOF.oI'ÆAItAHCE('IOTFOATVIII I ^' q~0 .Q. ON '3 I z.-? I () l FAlSE STATÐ.4ENTS I-EREIN A.RE PlHSI"\A&.E AS A ClASS A MISDEMEANOR PURSUANT TO SECT1OI'o210 oIS Of THE P.L"<-VS ~t.'J,.l. ~;u.J~/ts DA>E /. ð 0" s/ BADGE . ~l COURT COPY ~ -- -------- . . Robert and Donna M Mosquera 2595 Village Lane Orient, New York 11957 (631) 323-0082 February 25, 2001 Board of Town Trustees Town Hall 53095 Route 25 Southold, New York 11971 Re: 370 Hobart Road Dear Town Trustees, We are requesting from your committee, a letter of approval to the Board of Health for the renovations on our pre-existing house located at 370 Hobart Rd. Prior to our purchasing this house, it was used as a summer residence by the Heppa family for approximately 40 years up until about 6 years ago. When we purchased the house last July, it already had all utilities turned on. We recently went in and did some renovations by tearing out existing walls to bring the structure up to code. The house originally had a bathroom on the south side of the house, which is no longer there. The bathroom was evident by sewer lines and hot and cold water running into what was left of the extension. The sewer system was intact however it included only one ring. [ felt it necessary to install additional 4 rings because of the elevation to sea level. However [ recently have come to understand that there is 100' limitation to any bodies of water. In order to comply with the Board of Health, it will be necessary to obtain a letter from your deparbnent. According to DEC their boundaries are over 300' from the south section of my property and from what [ understand have no jurisdiction over the pond. We did not install a septic in back of the house because Miss Joan Beoken' s (our neighbor to the north) septic is very close there, We were told that a future garage must be in back of house and we felt it easier to add to existing unit. So we left the septic system where it lies today [ understand after the bathroom was removed, the Town decided to install a catch basin for street water. This in effect brought my property in violation of the [00' setback. Considering that the house was there and the utilities were never turned off and [ know that the Town has no intent on eliminating the pond, which my family and I rather enjoy to begin with as a benefit to the property. [wish that this matter could come to a compromise where no further action need be taken. I understand that this is the only setback that I would encounter due to the fact that it is an existing structure and that the Board of Health does makes allowances for such. In closing, our house and our presence there would be an asset to the "pond" . We would take care of the pond by cleaning any debris around and in it such as tree branches, metals, etc. We intend on landscaping the property to enhance its appearance to the neighborhood. We get along well with our neighbors and they are very happy that the "eye sore" is fmally being looked after. We thank you for your support and understanding in this matter Respectfully Robert and Donna M Mosquera PS We are trying to comply with regulations and do not wisb to be penalized for a possible oversight for an existing septic system. I did expand it but that's all. The house always maintained the one in place. A /' .,............ -' \ A '\ \ (-/\ . /'¡ '\ ,~:... , \ e\ " " '" . \ \ /\ . \ ~ '-, ~ '" .~ / ~ ;/ \ , \ <'t~ "~ "\~" \\ \ \ ~\ 0" ~ f:' ...[\0 ~<C... ~ -.S::> ~ ~ -l ,.." ~~ ~~ - -J r,>-. __:~_ 'S,J!,. ~_ ."? VI " '" c-, ¡!!.- r--¡ "o~ JT~.] "'0 ~~ ~ -.c- ~ ~ " : ~t -",,- .... rt~l ú .¡- D , '::> .-.,, 'jj -'- , \~ ' \f' ~ '" -' \,.' ~J r-, I': $ ¡ <-'\)O~ \ ~~ '" ~ ~ ( .). \¡ ..! " '" " '" -----------------..., ---~~ . ~7\.. 'T -;;="--'0 ,,. ,. , '-I :>('8 ~ 'J-c- --L +- J o VI Ð " ¿ I 111~/T~l.f 1_~T--:;:~~i,'Ç J""l I 1,'___.. --/'¡ 1'.1.,. , -2._, , L_.~ -,-)...._--..... jol ¿ b' "- <: ~ U! c:.~T ~ ' , f- ..., ----) ... . '.:" \-_. t. .- -l. .~ I '- . \--, ~j Ù,-,\C- ~fT'\ o J I~ :.. I l' - ("'" '" , - ~ -, ;.~ < , ~ ~ .. ,\ -., « ,:: ,1" i <{ '" -" ,¿ Ú LL I , , <u I .Ò , I V\ 0 , .-1 ¡;-{ I r- ( " 0 è I - , I I '1 lIB I ~~ \ )j-t , " . , , ,t, - ) . C!: '" -I VI "I .,", -\- ~ 1- .-- . - - ,---_.. õ""t . ~V v-£ _u~_ ---- T;.ol-t ".-.,-- c- "" 0 3 b \¡/~ V 1/ .> .. ,--- ß .k. ------ ~ -iJ,h -- - - ...-.-." __.0 ,--- L.- )...;1\ I::"/~ , I. '. <Z-' ~ '" J ~ ~ l ~ 1.ill~ ---,. >I' y;- -. ..J '.' "\"'y 1. tf"1 ,'_ j,""~:I -.':" ---l ~ ·-6.6~ --- -- l < ~ --·---r-·B,t> -- ~ ~ "i ~,9~ ---- ;;-:::.:.:¢: o 0 > z"" " -=--""--'^-¡ l' ." ~ , , .' I , .. ø 3' '8 .L ~ V(l1 ~.Jj'jl/"n , .c ro .ø ---~ c o ¡¡¡ ~"E ~~ ro c "'0 6,6 -- , - o ~ ën ~ 9,6~ """'''')<;''1D ~'(' : ,.,x ,7. -', t 6.6\ . c 1.9,- , ) , , J .0 '" 'I~ - ,'" .~ I , " . '-1 I I -- ---- -..- .._-. '~'<lJ .J 'þ .. - .0\ I \ ~ ¡., I - I <0 in - o ~ ën ~ m êD ~ !" ~ ~ ~ \,~ ,\~ '\~ R°Þ.'D M.þ.l~sl. 16) '{\ ~ SURVEY OF PROPERTY SITUATED AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-62-03-06 SCAL£ '"=30' DECEMBER ". 2000 w<v 7. 2001 R£.V1SED TO SHOW SEPTIC SYSTEM DETAIL NOVEIIBER 9, 200' RElllSED SITE PLAN AREA. 9,127.72 sq. ft. 0.2'0.... OEC 2 b \ \ led '\ \ LI)< \ I. \ I l \ I, I, \ I ~.u , ' , \ \, . \ \ \ \ \ \ " \ ' '~ ~ ~ ,. \. .. A~. . BOARD Or TOWN OF SOUl;, , TEST HOLE DATA (TEST HOt.£ OUQ lIYu..nnIIoWn ~ON 0C'T0IEJIf JO, 2000) , 1IIIU_1U.. ...... :..; ~''':' ~~' . __......cura ..,. ..____CLWQ, . _._~_IC .. " \\ ....;. 1.. 2-V IOi! n.r.l'IIIl1' NOTES' 1. ElEVATIONS ARE REFERENCED TO N.G.V.D. '929 DATUII EXISTING ElEVATIONS ARE SHOWN THUS:"" EXISTING CONTOUR UNES ARE SHOWN THUS: - - - -,- - - - 2. FLOOD ZONE INFORIIATlON TAKEN FROII: F'I.OOO INSURANC£ RATE .....P No. 3a103CO' sa G ZONE >£., BASE FLOOD ELEVATIONS DETERMINED ZONE x; AREAS DET'ERWtNEO TO BE OUTSIDE ~-YEAR FLOODPLAIN. 3. EXISTING SANITARY SYSTEM AS PER OWNER. 4. OIIOUNO WATER ElEVATION 3.2'. S. S.C.D.H.S. REFERENCE No. R'O-DI-0Q9 SEPTIC SYSTEM DETAIL (NOT 11) SCALf) FINISH£!) ..... El,[V. 10.5' flNISH QIW)€ [LEV. I. T TOP EL. ..,' -1'.. TOP .. --4' WIN. I' "',<1.- I," """""""'- min. PITCH 1/4-/1' min. PITCH 1/,-/" ..,. EL- 8.0' . ." -3' CWiN .- COIJ.AR f---I'----j _ POOl Of . POOl $\'ST!M BOT. D.. 8.2' -- EL£V. 3.2' N.Y.S. S£PTIC TANK (1) 1. ~ ""~~~-.1~!.'1 ~ TO " KDJQ)W HOUS[ IS 1,000 <W.LONS. a. CONCM1I aw.&. HiIfC A ......... 0-. ~ ~ """""'" Of' 3.000 ,.. Nf . DNI'I. 3. M.L. ~ 1tWJ. . A ........ OfF "-, A TOP 1MCIOCII OF r lie A IØTTOW ~ OF .-, .ILl.. 1IItiIJ.S, IOm* AND 10P !tW.L. CIONWN ..J~ TO ....,. /1M ...-um ~ 01 _ pII. ... "-L JOINfI ~ . IÞA.m SO 1*T tHE r_ II 'IIWI'IJmQHT. 5. ~,,~~~ L~~:bmLML."': ~=:=.. ~"IIWI. 1'tUIWŒ Of' *'/4' I. " 10' rnIn. D!ST.tfrCI: IINIIN KPnC TNrfK IWJ HOUSE: !iItWJ. . 1MfrfTNN[D. Jos A. Ingegno La'1d Surveyor _..._"'- 1O......,."'ACll.AftClMCI" IICWON ,. (f 1tC NEW ...-c ITA.TI -..... I ¡:OAr-HING POOLS (5\ ,. ........ l(,IOINQ SY'StDI P'OIt " , TO 3 IIÐROOIII MDI.BR. 300 III It ~ MEA. 5 pocu; r DIIP, .. ilia. a.~POCU_1O.CONI'I1tUCTIDOf'~~CXIINCM'Yt(CIIIEQlI.fri.) LIIiICItM IfII.JC'RID, IDUD ..... ÞIIIJ/f1IC .... 3. AU. OI:WR ..-u. _ or ,...,. ~ ~ COlt DoW.,). 4. " 10' IÑI. .... ..... \.ÐØM ~ Me _ LM IIW.L . ~. 5. N4 II' IÑI. ..-MCI IIIWID ALL LJ'#rØM IIOCIUI ... IIP'nC THIC ItW.L. . MMlTAINED _ (UI)727-_ Fax (13')727-1727 -.-. P.o. lox 1'''' 1IverMod, "- York 11101-0116 - "'ø:J -...- ~ :=".-...:,.,., ,. . . .:r'-_. ---......- ~ :¡: ':.l'" TOM ", ~ M'OOl .. 1'HE PIITIMCI or .." 01 WAVI -¡aa -"' or :r':I. IF ANY, MOT IHOWN /1M NØI' 1IID. 7JfIt s..w,. - w.~ _ - .. ~ - ConItrucØon J.G)I'OUI 0fR:0 UD,œ AT ,--- .-.0. .... YM: 11101 20-ö43Cl , .,.. ... Telephone (516) 765-18'12 Fax (516) 765-1823 Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda BOARD OF TOWN TRUSTEES . TOWN OF SOUTHOLD LEITER OF REQUEST FOR AN AMENDMENT :'1 r) 1'1'- DATE 12..~2..l-O I OWNERKODe.r-\- t--'\()SQ.u...e.rn....PHONE 3d-3-C>o~~ ADDRESS 859.5 VìllCL.~€ Ln Oñ€/\+ µ'f LL qS¡ AGENT PHONE ADDRESS PROPERTY LOCATION 370 l-+obc:v+ Û. :::Ou...+--\--..Ò\cl. ~'{ TAX MAP NO. IOOO-lod.-- 03 -06 IIWe ~'oer+- MtD&u.e~ request an Amendment to Permit #::1 ¿)q 7 ~ nna... MH()sO,~ .' } FCI /I, '"LD' X '2-c/ I:::) teN 110'/\' A/'- eJ ¡:¡ ~ I. ¡Z!l./t d., c. , / 2-0 j ?-l . tltl/ ¡j, Signed By: ..,g;¡ ;PAM//;. (¡J~H ~~ x~ y\\<¡,\o .... Albert J. Krupski, President [\ James King, Vice-President Henry Smith Artie Foster Ken Poliwoda .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 BOARD OF TRUSTEES: TOWN OF SOUTHOLD ,,' \, ,\ J I, '.',.J ~ " r ~ î . "'" 'J ----------------------------------- , In the Matter of the Application o A. , /Y¡f J~-----O-~-~~----- COUNTY OF SUFFOLK) STATE OF NEW YORK) J~N , 0 2OO'l. ¡.: L,··· - AFFIDAVIT OF POSTING I, lècDC: 'Z1M,·çt;.¡i' ,Q.1 ,residing at , I ~ ~. ^ I ..:~ A.. T ¡1j ,/_ being duly sworn, ðepose and say: 9- S i ç C/I LL--/' ,'- f' LAY I.? \ That on the day of / ,200, I personally posted the property known as c> I I 0 I CYL 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 ~j ~u~liC h~aring. Date of heafing noted thereon to be held oL~1 'df!J2. :;J.. t;!X {TI..- ~ '} () I c..t::uU. (p ,M .' Dated: ø~~ (signature) Sworn to be~:,,~~~hiS /,)tt; day of ~() 200:'\ ~iC~~ CRYSTAL ROCK Nobly PIiIc, Stall 01 NwYodt ~.48111278 _",I"e:..~20~ó\ ~ , . Alber....J. Krupski, preSidaf · 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 TRU--- -... TOWN OF SOUTHOL 31d' F ..L, Office Use Only , '\l\.'{ J.¡ 'oJ.. -\ ~ ( ~ ye r-pn- \ '\, n \C\.\ì '\ íì\.OJì.\\\Ì.C,\ t" ~, '\' ¿. f-o\. "\ \:A. \ e S .~ koastal Erosion Permit APPlica:7 LWetland Permit Application Major . Waiver/Amendm~n an s _Received Application: , ( _ReceivedFee:$ ~&1 ./ _Completed Application _Incomplete _ SEQRA Classification: Type I_Type II_Unlisted_ _COOrdinatiOn:(date_e t _ CAC Referral Sent: 0 _Date of Inspection: 0 / _Receipt ofCAC Report: _Lead Agency Determination: _Technical Review: _Public Hearing Held: Resolution: 3~ Name of Applicant Qot)?' r+ (,>__X\r\ l::br$\0-.. H H(f)QlA.-E'..ìQ Address 8 5q:5 V: \ l Cl::J.f' \..J\. 0 í ¡ .Q£\+-, N'1 I I QS 7 PhoneNumber:( ) lo"~\- 3d.-<)-Oo'8;'d- Suffolk County Tax Map Number: 1000 - Cod - 0 -;;- 0 \c, Property Location: 370 t-+{) $cJ.-..( i- ed 50 v...---\--\'\o \ c\ \'-J .~ \ \ Q I (provide LILCO Pole #, distance to cros~ streets, and location) AGENT: ~,9fapplicable) t. ,,\ ~ ~ ,..L'---' ,r, ~ ._\'" A~~"ss·. ~ " ~~~ ~ .w, pùl-e=¥ 85 Phone: .- Board of Trustees .- Application GENERAL DATA Land Area (in square feet): q 3'7.s- Sð..ç+ (q 13.7./,).. Q.-!) p.v, S~) Area Zoning: í € S ì cÅ..e£\ +ì~ Previous use of property: , .e ,,\'\ ci Q. Î'\ -\; J Intended use of property: (12 SI ò...Q..(\ \-1 c.J) Prior permits/approvals for site improvements: n~ 4-kd L;-JJl (~ ~ e~ 3() '-'!A"'tu<? . Date 0 Agency _ No prior permits/approvals for site improvements, Has any permit/approval ever been revoked or suspended by a governmental agency? /" No_ Yes If yes, provide explanation: Project Description (use attachments if necessary): íC£ì() v od-¿ e.x-" s~':S house. S L~ c,,+ç> m . CLr\ cl u-pdcJ--e 5 ~ c ~D..--<--(' .. Board of Trustees .. Application WETLANDrrRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations:~~ _'e.no \[0..+'1005 -ro e>C.\'S~ (\9 houSe. Area of wetlands on lot: n ~A- sqnare feet % (4/Co 50 If) Percent coverage oflot: Closest distance between nearest existing structure and upland edge ofvv:etla.Q.ds: \03 feet ,,¡.... " Closest distance between nearest proposed structure and upland edge of wetlands: n I A feet Does the project involve excavation or filling? /No Yes If yes, how much material will be excavated? cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: 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): f\ 0 ",,-fP-e.~+ .. Board of Trustees .- Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: Are wetlands present within 100 feet of the proposed activity? No Yes [ì\ f\ Does the project involve excavation or filling? No Yes If Yes, how much material will be excavated? (cubic yards) How much material will be filled? (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated resulting ITom implementation ofthe project as proposed. (Use attachments if necessary) PAR: ¡I-=N\/I¡:;O~JME. .êS3ME.'JT ! ..... :;Oê.S .J..C:-:":;;'\I ::':~C2=:: :.....~y . ..:~ . 7i-",::::E3;-:CLJ ! 0_' 'f~s ì')(,~o I -- I 3. ''vIU... .,:"C-;-:CN ,=IE,:::::",,:; :::m~CIN.:.7~J .::¡EV¡EW ":'S ?P.C'IIOEO =.:;:1 '.JrIL.S'i"=J .:.C;":CNS .,'.1 .5 ·\'(C?R. :J.1,ñï -5: -;-.57 I 0-;'0 OJ. -:o~:¡e'eo "y _~ç.' 'N -5 ,'FC?;::. ::1':''::7 j:7_':~ ,f 1'15. ::JcrOlnat9 :ne r~v,~w :rOC2S3 3.na '..ISi:t ~/"!e ='JL_ ::'A'= :nay Oe su:)ersecec :y !nCIr:er ,nvolveO a.;enc"f. ;~o :t ·~a. 3. leG;;'¡:'/Q :o;!c;.!r" L..--: ':'~S c_ ::ULO .':"'C7.iCN .:::I:ESUL7 'N .!.NY .JoGVEi=Së ::==;:'·:75 AS3'::C:;"T~~ ',Vlï:-! -:~::. .=·JL~CW!.'\!G. .....nswers ""3y:e lanowrmen, .t eçl~le :1. ::';usong 3.1r ~uallt" :surrac.:! Jr ,~rol;na'Na!e~ >:ua/lly Jt ::t:anClty. ,1015e .e'/eIS. ,!xIs:Jnq :~a:tic :at:erns. 50110 .vas:e :((;c~c::'::n Jf :Jfs:: ;:¡atenllal fCf ~rOSian. :ramac;e or :!aeclng JfOOlems'! -:"~Olaln Jnerly: no C2. ,J.,<!sttle!fc. açnc:Jlturat. 3.re~a.eoloqlc3.l. ,'lls'one. Jr ::Imer .,atural Jr .:ultur;;tl -esoureas: :;Ir ::JrnmunlC'( "Jr '-U!rç:'lccrnooa ':~<irae:er? S1:ol3ln J' (ì () (JiI\ prÒVeme n-\- -I-ù ') ,". '/eçerat1on .Jr :auna, "15n. ~r:ellfisn .:;Ir 'NliaJlfe ,>oec:es. ~Ignliicanr ~aOltats, :Jr :nre3.tened or '!n.:ançerea ~.:ee:es? Sclam :Jrially: í\Q C"::. A c:::mmuntt.,'s eXls.:ng "tans or ·~oals as Otflc:ãlly aaOOted, or a cnanqe in usa or intensity or use at land or olOer natural resourcas? =:tptaln :: no ':.5. GfOwtn. 5uoseouent -:eveloomenf. ::Ir retateo ae:lvll!e5 likelY !O ::Ie ,nducea ::IY ~ne :roooseo aC:lon1 :"'CPlam :~ìftel!v. no :3. '_cng :erm, snor: :o!r:õl, .::,¡mUlãl,ve. Jr amer o!rfec:s not Ice:luiieo in C~·':S1 =.~,;)¡aln Jrrei!y. no .~. . :¡~e~ .moac:z .inc:..¡clnç ::~ançes on 'Jsa,Jf ~nner aua.nuty ..,r :y~e Of ~ne~gy? ::"~:uô.ln :r;en·f. nD _~es :R:S -¡-.E::ìE __:K::!.::' -C 5E. :=~T::¡OVE.::;S'( ~E!..A'ë::J -:-0 ~QTE:-ri!;'i... ":':::V~~Së :',~IVIRON,·.I1E~7;'L ..·.IPo),C:-S? ;it.. ,'O :f ':'es. ~xctaln ~(Je!t'f '..1. 5 :-~E::'E. 'ARí 111-OEíE:'!MINAíION OF 5¡GNIFIC"'NC~ ,To ~e camoleted ay Agency) JNS7RUCiIONS: For ~3C~ adverse ~rfect identltiea acove, aetermine wnetner It is sucstantiaJ. large. :mcon:am or otnerNlse siçnific :ac:1 ~ifec~ siloula !:Ie a.ssessee! in c.:Jnnection 'Nltn Its (a) setting ti.~. urban or rural); ¡b) ;:uobacllity of occ~-.wg; (c duration' irre'terStCllity; íe o)eogracnlc 3C.:Jce: ana (f) maqnttuce. If "ecessary. add attachments or reference supporting malena!s, ::1sure ~XClanatlcns c:::n[aln sur:¡c:ent Jerall to snow thar all ~e!e'lant aaverse impacts nave been identified ana adec:uatelY accressec. = C:'eck ,his Oox ;f '(ou ;'ave Identifiea one or ;nore :;oremla!/' larçe or slgnlTlcant aC'JerSe imDac~s 'NnIC:1 ,'riA'! oCC:Jr. Then :Jrcceea airec:ly to :he ,=ULL :;:)..F 3.na/or ¡::re~are 3. positive" aeclaraticn, ;;t C:;ec~< :his ~ox if ~/OU ì1ave rje~ermined. :Jased on the infcrmation and analysis above and any suooortj¡:ç coc'Jr.:en[ar!cn. :i1at :he JrOQoseo ;¡c:ion WILL ,"JOT result in....).r.y significant adverse ~nvlrcnmenraJ imcac:: AND :JrC\I!ce -;n ;¡n:aC:H~ents 3S necessarv, (he ~easons sup coning this determination: '<""''" l/ _c~'¡ ..."t:nC"( ;'''''1 ~I .1,:" '<.,ITI" JI -:~·'.Jo"\.o,,, '~H.c..r n .<:~O ",,,,,,,,:, :,"" 01 o{".oon~,o,,, vr¡,çer ;1I:n.HU~ )/ (,,~con~,cle ':'r:'(.:'r rt .o'JO ~"C'n,v ),o:n..:u,e H ......:).,1,,,. 'It .;,1:",'",,,( :rom ',,~Oon\/O'" :)[1,("", J~IC ~ 1 '-!6·4 ,2167l- ':"ext 12 I PROJECT I.D. NUMBEi'< .. .. . 617.21 Appendix C State Environmental QuaJity Review SHORT ENVIRONMENTAL ASSESSMENT FORM Fo, UNLISTED ACTIONS Only PART I-PROJECT INFORMATION (To be completed by Applicant 0' Project sponso,) SEa 2. PROJEC7 NAME 3. PROJECT LOCATION: MuniclpaHly County 4. PREC:SE L.OCATlON (Street aadress anc:1 road rntersectlons, promrnent lanamarks. etc., .Jr ,::Irovlce map) 5. IS PROPOSED ACTION: o New 0 Expan·slon ~Moaificationlaneration 6. DESCRIBE PROJECT BRIEFLY: refìOvo..+10 Î'I 7. AMOUNT OF LAND AFFECTED: r')) Pt Inillal1y acres Ultimatelv acres 3_ VJIL!.. ?RO?OSEû ACTION C:JMPL Y WITH e::XISTING Z.ONING OR OTHER EXISTING L..A.\lD USe:: :=¡ES7~IC-;-IONS? ~ Yes [j No It No, describe briefly 9. '''}.IAT IS ?RESENT LAt~Q tJ~ë IN VICINITY OF ?ROJECT? ~ Residential [J.!naustrral C C.JmmerClal Qescrlbe: o AgricUlture ~ Par!</ForesVOoen soace '-.; Other 10. DOES ACTION INVOLVe A ?SRMIT APPROVAL. OR FUNDING. NOW OR ULTIMATELY .cROM ANY OTHER GOVERNMENTAL AGENCY (F::DERAL. STATE OM LOCAL)? o Yes ~ No If yes. fist agenc'((s) and permillaoprov31s .:.- 11. DOeS ANY ASPECT OF THE ACTIO'" HAVE A CURRENTLY VALID PERMIT OR APPROVAL? DYes M No II yes, list agency name and permIt/approval 12. AS ~ AESUL'i OF PROPOSED ACTION WILL EXISTING PERMITIAPPClOVAL FiEQUIRE .\IIODIF¡CAjrON? DYes ;g:¡ No I CEi\TIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE ":"0 THE 3EST OF MY KNQWL::DGE ~ name, ø-:Û(¿r+ ()....['\r1[bnrY'''-. H 1---1050\ ¡,eíc..... Dàle; r9-/d-lJO I Srgnalure: If the action is in the Co~stal A'ea. and 'fou a'e a state agency, complete the Coastal Assessment Fo,m beto,e p,aceeding with this a~~essment OV!õR . . ArrLtCANT. . TRANSACTIONAL DISCLOSURE FORM The Town of Sou~hold's Code of E~hics prohibibs contlic~s of in~eres~ on ~he art of town officers and em 10 ees. The ur ose of this form is to rovide information wh ch can alert the town of oss ble conflicts of nterest and allow it to take whatever action is necessary to avo d same. YOUR NAHRt o eT Hð"';+:J~~rQ . Last name, first name, n t aI, unless you are applying in the name of someone elee or other entity, such as a company. If so, indicate the other person's or company's name.) NATURE OF APPLICATION, (Check all that apply.) . "'[ '.,',. . t_~ '.,?,-,:,.:.- '.. Tax grievance Variance Change of zone ^pp~~al of plat Exe~ption from pla~ or other ,~ (If "Other," name the activity.) official map Îç noýQ+1 0 n Do you perøona11y (or through your cOMpany, spouse. sibling, parent. or chi1d) have a relationship with any officer or employee of the Town of Southold1 -Relationship- includes by blood, marriage, or business interest. -Dusiness 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 ,/ If you answered -YES,· complete the balance of ~bis 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 ør employee. Either check the appropriate line 11.) 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), 11.) the owner of greater than 5% of the shares of the corporate stock of the applicånt (when ~he applicant is a corporation), B) the legal or beneficial owner of any in~erest in a noncorporate'entity (when the applicant is not a corporation), C) an officer, director, partner, or employee of the applicant, or D) the actual applicant. DESCRIPTION OF nEL^TIONSIltP . ., . .~ .. .' ....... ..,...'.."':..a...... ," ............ ¡¡ . ~~ . . ;:. - ~ " :..; .:;.~~lf~'~~1:~~~~.: .;~~.:.;:~.~>:.~. . ..;.)ytìi}~!.~~·~;l:,/..' sUbtni Hed thh~c1iiY' or;';;'; 1 gg":" . , . ,Sigin: turetJei tli:~t,·~~;J~.,.".~:-::.;i¡;,: '." pr n\,i name". ... '. -. ~". ~ ~......~....~--"~...::-. ", ~~:-'~Yr~:_ .:';.\~"'j:':\,~;-;'(,¡¡:.. ~:_' ~i~'j¡." , \ " . .t, !,~ ....,. '" .~... .;1,..; ',;-0. ~...f'J:" ¿...,.-...ry > ~._ . ,; '" '. '.' .. .~." , , :-'. '¡,,'t\ti'1 ,,·~:.L..:; ,-~~""~.,. .".~ \~~·'"v . ':~~:;l' .. .. § 58-1 NOTICE OF PUBLIC HEARING § 58-1 Chapter 58 NOTICE OF PUBLIC HEARING § 58-1. Providing notice of public hearings. [HISTORY: Adopted by the Town Board of the Town of Southold 12-27-1995 as L.L, No. 25-1995. Amendments noted where applicable.] § 58-1. Providing notice of public hearings. Whenever the Code calls for a public hearing, this section shall apply. Upon determining that an application is complete, the board or commission reviewing the same shall fix a time and place for a public hearing thereon. The board or commission reviewing an application shall provide for the giving of notice: A. By causing a notice giving the time, date, place and nature of the hearing to be published in the official newspaper within the period prescribed by law. . B. By requiring the applicant to erect the sign provided by the town, which shall be prominently displayed on the premises facing each public or private street which the property involved in the application abuts, giving notice of the application, the nature of the approval sought thereby and the time and place of the public hearing thereon. The sign shall be set back not more. than ten (10) feet from the property line. The sign shall be displayed for a period of not less than seven (7) days immediately preceding the date of the public hearing. The applicant or hislher agent shall file an affidavit that slhe has complied with this provision. C. By requiring the applicant to send notice to the owners of record of every property which abuts and every property which is across from any public or private street § 58-1 SOUTH OLD CODE § 58-1 from the property included in the ~pplication. Su.ch notice shall be made by certified mali, return receipt requested, posted at least seven (7) days prio~ to ~he date of the initial public hearing on the apphcatlOn and addressed to the owners at the addresses listed for them on the local assessment roll. The applicant or agent shall file an affidavit that s/he has complied with this provision. ...a IT" r- cO .-'I or cO r- UNIT 10: 0944 Postage $ Certified Fee 2.10 1.50 Postmark Here .-'I ru CJ CJ Return Receipt Fee (Endorsement Required) Restricted Delivery Fee (Endorsement Required) Clerk: KTRQ3Y CJ CJ ...a CJ CJ CJ CJ r- 3.94 12/26/01 Total Postage & Fees $ _~:100[\_~~_~ro ~~ ~~bY mailer) S;;:i.!t"pp~0fmm()in -c(----iaie, l;?-r--[TQ1)~+----~-- ad \lctll CJ ...a IT" tT1 t:J or ru Ul Certified Fee (End~~~~~ ~eRceiPt. Fee n eqUlred) Restricted 0 (EndorsementeRlivery Fee eqUlred) ? 1.50 Postmark Here ru ru t:J t:J t:J t:J ...D t:J t:J t:J t:J r- lerk: KTRQ3Y Total Postage & Fees IT" cO r- cO UNIT I 0944 .-'I or cO r- postage $ 0.34 Certified Fee 2.10 1.50 postmark Here .-'I ru CJ CJ CJ CJ ...a CJ AeturnReceipt Fee (Endorsement Required) Restricted Delivery Fee (Endorsement Required) 3.94 12/26/01 Clerk: KTRQ3Y Total postage & Fees $ t1[;;i1('s,yj(I~~P~~~'DE>JSch - - ~&:5Plto~ esA - - -- 51'" Zlp,4 \cl. t-J 'f \ \ a. 7 I CJ CJ CJ r- , DEe 2 6 2nDI 21 -~- 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 ----------------------------------- MAR-g In the Matter of the Application (J- ~ '_ ~_Zf_])~__ ~SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, 121//1'1 iJ1lJst7tRr4 ,residing at . I (9Yt e r(t N-/ ' being duly sworn, depose and say: That on the 9 day of)1d, 200 j, I personally posted the property known as 370 HOb/'V1.-f- ;2".,/ 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~e ~ ~~~~c~~ng. Date of hearing noted thereon to be held ~~ It, -h.J. 7,., ,;? c..;9 S- V:-1/Q4,. I L 0 /Ll- ...- ...- ru ...- Cl ;;r U1 ,4 ~~~ postage $ \?,e \ \ <:..-h UNI1 W~O'f,j7 S Cl Cl Cl r-- 0.34 Certified Fee Return Receipt,Fee ru (Endorsement ReqUired) ru Cl Restricted DeliVery_Fee CJ (Endorsement ReqUired) Cl Cl ...JJ Cl Field Inspection 1/16/02 ,e~ 'hL~G-