HomeMy WebLinkAboutTR-5446
Albert J. Krupski, President
James King, Vice-President
Artie Foster
Ken Poliwoda
Peggy A. Dickerson
BOARD OF TOWN TRUSTEES
TOWN OF SOUTH OLD
July 24,2003
George Wieser
c/o Peconic Design & Construction
PO Box 1251
Cutchogue, NY 11955
RE: SCTM#66-1-1.1
Southside of Main' Road
South old, NY
Dear Mr. Wieser:
..
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-1366
The following action was taken by the Southold Town Board of Trustees at their Regular
Meeting held on Wednesday, July 23, 2003.
RESOLVED, that the Southold Town Board of Trustees Approve an Amendment to Permit
#5446 for a four foot path to water. .
If you have any questions, please call our office at 765-1892.
Sincerely,
£/k- 1 ~ 4 _ 6.(L.J..· /7_
/' 7 r·
Albert J. Krupski, Jr.
President, Board of Trustees
cc: DEC
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Telephone
(631) 765-1892
Town Hall. 53095 Main Road
P.O. Box 1179
Southold, New York 11971
. SOUTHOLD TOWN
CONSERVATION ADVISORY COUNCIL
At the meeting of the Southold Town Conseritation Advisory Council held Tuesday, July
15, 2003, the following recommendation was made:
Moved by Donald Wilder, seconded by Bob Ghosio, it was
RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH
A STIPULATION of the Amendment application of PECONIC DESIGN &
CONSTRUCTION to Amend Permit #5446 to include a 4' wide path to the water.
Located: 57908 Main Rd., Southold. SCTM#66-2-2.2
The CAC recommends Approval of the application with the Stipulation that the area is
restored before a path no larger that 4' wide is installed.
Vote of Council: Ayes: All
Motion Carried
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Albert J. Krupski, President
James King, Vice-President
Artie Foster
Ken Poliwoda
Peggy A. Dickerson
.
.
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
May 23.2002
Peconic Design & Construction Inc.
PO Box 1251
Cutchogue, NY 11935
RE: SCTM#66-2-2.2
Dear Sir:
The following action was taken by the Southold Town Board of Trustees at their Regular
Meeting held on Wednesday, May 22,2002.
RESOLVED, that the Southold Town Board of Trustees Disapprove an Amendment to Permit
#5446 to remove dead and diseased trees from within 50' of the tidal wetlands and replant with
bushes.
If you have any questions, please call our office at 765-1892.
Sincerely,
tlt/.,,- ·1 9.
Albert J. Krupski, J r.
President, Board of Trustees
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Telephone
(631) 765-1892
Town Hall. 53095 Main Road
P.O. Box 1179
Southold. New York 11971
SOUTHOLD TOWN
CONSERVATION ADVISORY COUNCIL
At the meeting of the South old Town Conservation Advisory Council held Thursday,
April 18, 2002, the following recommendation was made:
Moved by Scott Hilary, seconded by Jason Petrucci, it was
RESOLVED to recommend to the Southold Town Board of Trustees DISAPPROVAL of
the Amendment Request of PECONIC DESIGN & CONSTRUCTION, INC. to Amend
Permit #5446 to remove dead and diseased trees from within 50' of the tidal wetlands
and replant with bushes.
Located: 57908 Main Rd., Southold. SCTM#66-2-2.2
The CAC recommends Disapproval of the application because the proposed project
should have a 50' non-disturbance buffer.
Vote of Council: Ayes: All
Motion Carried
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ISLAND TREE lAO., Certified Tree Surgeons
Ned Harroun
(516) 765-1963
Main Road
Southold, NY 11971
April 11, 2002
Dear Mr. Wieser:
Getting back to our conversation on Friday, April 5th concerning the
trees located on your new construction site @ Main Road Southold:
The main tree population worthy of pruning and thinning are the 7- 8
spaced English Walnuts, 3-4 larger Mulberrys, 2-3 Black Locusts and 1-2
Wild Cherrys. As I mentioned, the bramble, undesirable underbrush, and
diseased, dying trees should be cleared. The compaction of the roots and
their natural grafting can weaken the desirable trees.
Also, thinning and clearing will aerate and allow space for limbs to
elonQate and form a crown. Right now, as I explained. the trees are
running for light, a condition known as phototropism, causing long spindly
trunks which become susceptible to wind, snow and normal situations.
They haven't put on the annual trunk bulk to architecturally stand under
any extreme condition. I recommend cutting to grade all the underbrush
and undesirable growth. This in turn will spark regrowth allowing one to
select any smaller trees and bushes like BayBerry, Russian Olive and
possibly Beach Plums and native flowering type shrubs. The larger trees I
mentioned earlier would be tagged and slated for proper pruning and
fertilization.
I think after this process of selectively thinning and pruning a much
more healthy and pleasing vista will be created turning a mass of
entangled underbrush and conflicting trees into a sunset silhouette of
beauty.
Thank you for considering Island Tree Company for y
arborculutural needs.
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MSlncer~e'Y. (Ç,.·t! OF SOUTHÕU;,
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Ned W. Harroun
Owner
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Board Of Southold Town Trustees
SOUTH OLD, NEW YORK
PERMIT NO.
~1/4'
DATE: ..,Nov.,21.Z.o01
ISSUED TO.... PECONIC DESIGN 8., ÇONSTR.uÇ'J'IONING..
Aut~nr¡lntin"
Pursuant to the provisions of Chapter 615 of the Laws of
the State of New York, 1893; and Chapter 404 of the LaW$ of the
State of New York 1952; and the Southold Town Ordinance en-
titled "REGULATING AND THE PLACING OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and the
REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;!'. and in accordance with the
Resolution of The Board adopted at a meeting held on 'Nov';"21';'"
,200L" and in consideration of the sum of $ ..2eO,;M' ,paid by
Peconic" Design ·'8.'·Gonst1"UëtÏön 'Ihe';" .........,............
of ' "e.µtdwgue" " N. Y. and subject to the
Terms and Conditions listed on the reverse side hereof,
of Southold Town T rustees authorize~ and permits the foUowing:
W~Uands Permit for FonstrucH9n of a single family home '
with gutters and drywells on the entire structurem, drivewa
should be pervious - house and driveway completely out of
buffer area. '
aU in accordance with the detailed 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 a' majority of the said Board as of this datil.
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TERMS and CONDmONS
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Ft::l..:UIlil..: D~:::iÎgIl ë1Ild GonöLrucLloll, Inc.
residing at 57908 Main Road, Southold: N. Y, as
pan of the coosiderarioo for the issuaoce of the Pennit does uødeøtaod and prescribe to the fol-
lowing:
The Permittee
1. That the said Board of Trustees and the Town 01 SoutboId aœ released flOlD any and
all damages, or daims fIX damages, of suits arWøg directly « indirccdy as a rauk of my oper-
atioo pedoaued poinumt to dùs peøait, and the aid P-ni_ wiI1, at his « bet own ~9C.
defend ...y and all such suitslnitlfteof by third parâes, and the said P....åtM ,- full JiabI1Ity
with respect thereto, to cite complete exdusioa of the Board 01 T.-èeS 01 the Town of SoucI>QLI
2. That tbis PemUt is ftlid for . period of 24 moo. wbIrh is œasidered to be the
estimated time' required III complete the 11'0<1< in~hed, but shcaId circumstaIJces warrant, request
for an exœasioo may be made to the Board at a later daœ.
3. That tbis Permit should be retained indefinire.ly, or as loog as the said Permittee wishes
to maintain the structure or project involved, to provide evidenœ to anyone œocerned that amb-
orizarion was originally obtained.
4. That the work involved will be subject to the inspenion and approval of the Board IX
its agents, and oon-complianœ with, the provisions of the oMW....fioog application, may be øuse for
revocarion of this Permit by resolurioo of the said Board.
5. That there will be no uoreasonøble interference with ....vigatioo as a result of the work
herein authorized.
6. That there shall be no interference with the right of the puh1ic to pass and repass aloag
the beach between high and low water marks.
7. That if future operations of the Town of Soutbold require the ftIIIOfti and/or aIœratioos
in the location of the work herein aulborÞ-M, or if, in cite opinioo of the Board of Tnurees, the,
work shaU cause unreasooable obsttucÞOl1 to free ....vigation, the said Penn!ttee will be œ¡uired,
upoo due norice, to remove or alter tbis work or project herein stated wilbout ""~ to the Town
of Southold.
8. That the said Board will be notified by the Penninee 01 cite compledoø of the work amb·
orized.
9. That the Permittee wiU obtain aU other permits and COf'<eI'tI that may be requúed sup-
plemental to Wis permit which may be subject to revoke upon failure to obaJn same.
.
.
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
November 27,2001
Peconic Design & Construction Inc.
PO Box 1251
Cutchogue, NY 11935
RE: SCTM#66-2-2.2
Southside of Main Road
Southold, NY
Gentlemen:
The following action was taken by the Board of Town Trustees during a Regular Meeting, held
on November 20,2001, regarding the above matter.
WHEREAS, PECONIC DESIGN & CONSTRUCTION INC. applied to the Southold Town
Trustees for a permit under the provisions of the Wetland Ordinance of the Town of South old,
application dated October 29, 2001
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
November 20,2001 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,
.
2
.
NOW THEREFORE BE IT.
RESOLVED, that the Board of Trustees approved the application of PECONIC DESIGN &
CONSRUCTION INC. for a Wetland Permit for construction of a single family home with
gutters and drywells on the entire structure - driveway shall be pervious, house and driveway
completely out of buffer area..
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 project will expire two years fÌom the date it is signed. Fees must be paid, if
applicable and permit issued within six months of the date of the notification.
Fee 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 when project is started and on
completion of said project.
FEES: NONE
Very truly yours,
~9·/~~
Albert J. Krupski, Jr.
President, Board of Trustees
AJK/cjc
cc: Building Department
DEC
Telephone
(631) 765-1892
..
Town Hall. 53095 Main Road
P.O. Box 1179
Southold. New York 11971
SOUTHOLD TOWN
CONSERVATION ADVISORY COUNCIL
At the meeting of the Southold Town ConserVation Advisory Council held Tuesday,
November 13, 2001, the following recommendation was made:
Moved by Scott Hilary, seconded by Drew Dillingham, it was
RESOLVED to recommend to the Southold Town Board of Trustees DISAPPROVAL of
the Wetland Permit Application of PECONIC DESIGN & CONSTRUC'rION INC'-for the
construction of a single-family dwelling.
57908 Main Rd., Southold. SCTM#66-2-2.2
The CAC recommends Disapproval of the application because of the following reasons:
1. The 100' reference from the high-water mark is not correct.
2. The upper marsh delineation is not identified.
3. The wetlands should be flagged.
4. A violation should be issued for the clearing that has taken place.
5. The application should not be addressed until the violation is satisfied.
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
APPLICATION FOR AN AMENDMENT TO A PERMIT
DATE 6J)~
OWNER ~~¡C~,u .,..tJx,ç~
ADDRESS /(0 .Ax /~/
AGENT 66JtfC': ¿;,eJM-
ADDRESS y~
PROPERTY LOCATION ¡J~ ~è4-t::. ~k5
TAX MAP NO. /ððO - ~6 -,,2 -¿;J.;J.,
PHONE ~/- 73Y- /2.5'/
CdcA~fv~. þ,p //ç)":(
PHONE 73'</- /Z ~/
- t1J~F h?~.W M
/we ~/v-bI",;J&sf request an Amendment to Permit # j....qt/(¡,
f P. ~ f f' .J.~ '{-'j lu,l-1;,u -
Signed By:
-
.
.
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Albert J. Krupski, President
James King, Vice-President
Artie Foster
Ken poliwoda
Peggy A. Dickerson
Telephone (631) 765-1892
Fax (631) 765·1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
....
---------------------------------------------------------------
BOARD OF TRUSTEES: TOWN OF SOUTH OLD
In the Matter of the Application
'c~~~
STATE OF NEW YORK)
/ J AFFIDAVIT OF POSTING
I,~/MeÁ...- , residing at A?&, ébo~~.6 .¿J.re
(à;1dt1lt/~ ~ ~i.,
being duly sworn, depose and say:
.JJ. ../ '
That on the/Z"day o~q , 2001 I personaJ.lY posted the propertx known as ¿'" J¡
I k-,iV HA/',(J ~tI¡~ é~'¿~csc...~,,.{{
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 pIa for eight days prior to the date oftl}e pu~lic
hearing. Date of hearing noted thereon to be held 3 /5{ IV ~ .
1~\t'rrv '
DjÞ}3
S~orn to before me this
I P-. day orJlIl..j 200.3
~0¡~
GERARD M. LANG
Notary Public. State of New YcII1t
No. 47616lf.' Suffolk Cou~ ~
Term Explr~ IJ G--. ?". ~ 0 í1.:.>
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PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
Name:
j).'¡"/l/eß Cu~COW
Address:
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7 ,. /179.;1.
STATE OF NEW YORK
COUNTY OF SUFFOLK
~4Æ J.)/ß"","~ ,residing at /O.5l> L111.....~ C/v6 .ð-t...
tlv,l¿J,Þf" ~ p y , being duly sworn, deposes and says that on the
~ JAA day of W-"C.- , 20~, deponent mailed a true copy of the Notice
set forth in the Board of Trustees Application, directed to each of the above named
persons at the addresses set opposite there respective names; that the addresses set
opposite the names of said persons are the address of said persons as shown on the current
assessment roll of the Town of South old; that said Notices were mailed at the United States Post
Office at ~~ ~Jt;t./<- , that said Notice ere mailed to each of said persons by
(certified) (registered) mail.
Sworn to before me this ~ ~
Dayof .Jtln-t: ,20~
:~~~
, ~
Notary R bhc ~
GERARD M. LANG
NotIry Public. State of New Vorfc
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.
.
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
-----------------------------------
In the Matter of the Application
of
.ee~(¿_~~1-_.!hOO.:IN:.L__
COUNTY OF SUFFOLK)
STATE OF NEW YORK)
AFFIDAVIT OF POSTING
I,~)i£te Æ,'I'c~e..(.. ,residing at /~56 f7á~ L'h.6 /k
é1.~.h ¿o 1u C . ,¿, y
being duly sworn, flepóse and say:
That on the ..2-t ++- day of'#I#c.:~, 200~ I personally posted the
property known as ¿tvI' 11 ~Ñ ,,{',-./G
by placing the Board of Trustees official poster where it can
easily be seen, and that I have checked to be sure the poster
has remained in place for eight days prior to the date of the
public hearing. Date~f hearing noted thereon to be held ~I~~
-0" or BnCUf ,',00 T'fra,
Dated: -o/.;z b~':¿
Swo~ to before me this
26 day of ml't~e-tI 200
~dc~-~~
Notary Pub 1C
GERARD M. LANG
Notary Public, State of New York
No. 4~616~ S~OI~nb' .r-
Term Expires U 19.000
· .
Board of Trustees Application
County of Suffolk
State of New York
G'2Ó~E" !v¡''::-~/=-~ BEING DULY SWORN
DEPOSES 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 IDS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK
WILL BE DONE IN THE MANNER SET FORTH IN TIDS 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
REPRESENT ATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE
PREMISES IN CONJUNCTION wrm RE ~PLICATION
Signature
SWORN TO BEFORE ME TIDS
s.d{ DAY OF /Jn4~
,20 0 z.
~ '4
N~
GERARD M. LANG
Notary Public. State of New York
No. 4751673. Su~I~UntY .s-
Term Expires q v.. /, ;;z. 0"
.
.
NOTICE TO ADJACENT PROPERTY OWNER
, '.
BOARD OF TRUSTEES, TOWN OF SOUTHOLD
In the matter of applicant:
/kIlhU'G- k'r/V~ C'&-J J.-<.é-. SCTMiHOOO- 64>-';-,). ~
YOU ARE HEREBY GIVEN NOTICE:
1. That it is the intention of the undersigned to request a
Permit from the Board of Trustees to:
¡It?f11 ,,¿' e.. /k4-(j ~ j)/~"'$ C~ T/Z.-ee5 Þw-"'" T4 S-ó' ¡Li'<L... L ,
2-u><-e 01 jJlUf'~ XhV'" '" /2el"/-"IA.-~ w//I, 4",;,1;0 )l--tfp-l:
Ct/>?¡"/'1 tvdh :;-; j.¡o-L /kt'ñ&.
2. That the property which is the subject of Environmental
.RelTiew is located adjacent to your property --and is described as
follows:
,/ /leI? c:.
.¡;.. ..-uI''A>¡
'>
,J,><4f/r: .¡;" .. "/1
ð)'U 1hÌ"j)ocl Æd>-v1.-c:.
fh,~
ê.o.<-<--. ,(! - kJ
(J,teei:..
3. That the project which is subject to Environmental Review
Jnder Chapte=s 32, 37, or 97 of ~he Town Code ~s open to pub:i~
COllUl'.ent on:-tA! ¿'¡H, ZaI¿>You may contact the Trustees Office at
7ô5-1a5Z or n ~riting.
The above rsfe~3nced proposal is under review of thd Board of
Tr~stees of the Town of Southold and does not reference any
ot~er agenC'/ that might have to review same proposal.
OWNERS NAMF.:.fl..êM/,e- bi'Cf,(.l ""' c1.Jt.,1
MAIL¡¡'jG ADDEESS: /!:t/.·.:3o,c /257
tJvk.{.Il~<./( L# I/f~("
PHONE t: (p5/- '1P/- 1¿,.:>7
Ene.: Copy of sketch or plan showing proposal for your
convenience.
.
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PROOF OF MAILING OF NOTICE
ATIACH CERTIFIED MAIL RECEIPTS
Name:
Address:
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3(j7ZY
STATE OF NEW YORK
COUNTY OF SUFFOLK
6'ct,~1! Ju/ese~ , residing at /t1Óð ~üVÁ--ht.ï C/C/h £1.t! '\
Ol/~V <:':.... , being duly sworn, deposes and says that on the
5;1i, day of mALe -", , 20QZ" deponent mailed a true copy of the Notice
set forth in the Board of Trustees Application, directed to each of the above named
persons at the addresses set opposite there respective names; that the addresses set
opposite the names of said persons are the address of said persons as shown on the current
assessment roll of the Town of Southold; that said Notices were mailed at the United States Post
Office at C7vÆ..i. oft.l<... , that said Not" werZ:iled to each of said persons by
(certified) (registered) mail.
~
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Sworn to be ore me this .5
Day of /11A-£C H ,20o¿::
d~A .
o PUb'C~
GERARD M. LANG
Notary Public. State of New York
No. 475157Z15U2?lk~nty/) r'
Term expires u. )"..,0 t1 ~
'\
'Albert J. Krupski, preSider ~
James King, Vice-Preside ~
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 Applicat~
_Wetland Permit Application _ Major
Waiver/ Amendment/ç:han~es
_Received Application: 1012-1/0 1
_Received Fee:$ .2(n ,- '=; ,
_Completed Application / IJ /'1 /) 1
_Incomplete / '
SEQRA Classification:
Type I_Type Il_Unlisted_
Coordination:( date sent) ! ,
CAC Referral Sent: /ú 1~1 /0 I
_Date ofInspection: I ¡ 'l / i.¡ I J I
_Receipt ofCAC Report'
_Lead Agency Determination:
Technical Review: ,;
_Public Hearing Held: 1/ /"K; ID I
,
_Resolution:
Minor
Name of Applicant
Address ,;::?;:; .
(Jddð7f/(,
atJÞJè ikY./J '" a..v,('Ú-£l~h( ) ~
~x ~'\/
.
//'/3f Phone Numberé.r 73</- /dS-;
¿,~ d - c;;J.;;¿
~t)cj--h 6/c!C: ~.¡ mk'x.J ßrKi
,~ 11í",/d -1J'112n /Sðo J e.46J ,,/ ~.Iú //~ð>t' La~
(provide LlLCO Pole #, distance to cross streets, and location) L/.P,/l- A/c..# 7"Ó3
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Suffolk County Tax Map Number: 1000-
Property Location:
AGENT:
(If applicable)
Address:
---
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Phone:
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Board of Trustees Application
GENERAL DATA
Lan? Area (in square feet):
R9; S1? J
£ - jl)
.
Ý/1c,4þf J...A-v d
,,5>vq/e ~'7 ¡/tfh) e.
,
Area Zoning:
Previous use of property:
Intended use of property:
Prior permits/approvals for site improvements:
Agency
Date
A:I/o/
a/ÆtiJtJ Xlern/
_ 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):
C~5T~uc~~;;¡U
~e
ð7 ,6' .s:A-;9/~
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Board of Trustees Application
WETLANDrrRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations:
ð;us fau vI, ~.J
t? -I' SJt:-?/c- ~, '7 ~~
Area of wetlands on lot:
~(,)ÐO~ square feet
9,6'
%
Percent coverage oflot:
Closest distance be~t existing structure and upland
edge of wetlands: feet
Closest distance between test proposed structure and upland
edge of wetlands: /I feet
Does the project involve eX7ation or filling?
No V Yes
If yes, how much material will be excavated? (pro cubic yards
How much material will be filled?
~
cubic yards
Depth of which material will be removed or deposited: ..5 feet
Proposed slope throughout the area of operations: YPP' Sui (/ 0 --;?/~~
Manner in which material will be removed or deposited:
øtd/ ~ -
auP c.Æi~
¥c~
'¡;Æ~~~'
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):
7cf%l::V:' ~ ,0d ~ a<-
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NOTICE TO ADJACENT PROPERTY OWNER
BOARD OF TRUSTEES, TOWN OF SOUTHOLD
In the matter of applicant:
ff&/ú/¿ ks/fl'U ~ (JðXl/:-/ kSCTMiHOOO- U'- J - 2 I z..
YOU ARE HEREBY GIVEN NOTICE:
1. That it is the intention of the undersigned to
Permit from the Board of Trustees to:
òf'
request a
(!c5,(;S-l-¡¿Ó¿T /~
~:
6Xf/e .,c~ ;/e¡
2. That the property which is the subject of Environmental
Review---is located adjacent to your property and is described as
follows: , I L -.£ /
r:œA-;-VT 1!i.,H /c:I / Z'-j ð T ¿; T ' Æ" If>' ~Æ C'"-5
,kÞtJ¿¿)~5 /~~ ð~ ~e /2/C/,(J Rõo/e m//Uð/'G
5(./bd"I.//~/d-"r\J .
3. That the project which is subject to Environmental Review
under Chapters 32 37, or 97 of the Town Code is open to public
comment on: You may contact the Trustees Office at
765-1892 or i
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.
OWNERS NAME: ~~,tI(1::. 4$(~ s<- a.(¡~ f .-L.-<-c...
MAILëG lfRESS: j:tJ. ~y :;"í/ ht.&T70 /?oI.
V of-I/e ~ /1?3r
PHONE #: (;.5, - '3 - /¿.,
Ene.: Copy of sketch or plan showing proposal for your
convenience.
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Albert J. Krupski, preside! '. ·
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
~
Town Hall
, 53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
BOARD OF TRUSTEES: TOWN OF SOUTHOLD
-----------------------------------
In the Matter of the Application
~_At~_~é~~
~~~NTY OF ;;;;~~)~
, STATE OF NEW YORK)
I,G~ri. ~'),'t;:.ÇEtl..
(]JJ,ð'fl-'e. -V.y //f/.35
being duly swórn, depose and say:
That on the j''¡¡' day 0 j)O¡'. , 2001, I personally posted the
property known as ~"" Rid c... ,'/1..1 ,,-,5 - v, , . .
by placing the Board of Trust es official poster where it can
easily be seen, and that I have checked to be sure the poster
has remained in place for eight days prior to the date o~~he í¿
public hearing. Date of hearing noted thereon to be held ~.~~
h fr-r..6-l~ '70~ (¡-'nt. '
Dated: Il~t/, 0) ;Zoo I
AFFIDAVIT OF POSTING
, residing at
4;30 (7t:JVÞV~
C&,¿ m.
)mJ(
,
sworp to bef9fe me this
~y of ß/_~"""6£>OOl
NO'~ ~ç
GERARD M. LANG
NIItIry Publlo. St8te at New Yark
r.::n~e::.~6?JlJ~~OS
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1·t·16·4. (2187)- rexl 12
I' PROJECT 1.0. NUMSER
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617.21
Appendix C
Slate Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
PART I-PROJECT INFORMATION (To be completed by Applicant or Project sponsor)
2. E
K/,
SEa
L".b",...<: f
2ëo/e- é'~~
(;oS;; Y(".,4 /,é
3.
Municipality C,Junty
4. PRECISE lOCATION (Street 3adre.~$ ana road Inters tiC lions. prominenl landmarks. etc., iJf ;:HOVloe mapl
/#Æé
C>.éE
r:-4Y
h?A¡ð
,4~4
~J~ r'éï
Jn~
S. [S PROPOSED ACTION:
o New 0 Expansion
6. DESCRIBE PROJECT BRIEFLY;
oaiticalion/alteration
7. AMOUNT OF UNO AFFECTED:
Initially acres Ultimately acres
3. It~ PROPt)SEù ACTION CQMPL':' 'NITH eXISTiNG ZONING OR OTHER eXISTING u...'IO USï: ReS'MIC710NS?
~Yes 0 No If No. desenCe busily
g, ~JH r IS PRESENT L.J.Nù U:::ë !N VICiNITY OF ~ROJECT?
Residential O.!nouslnal LJ ~.,)mmerClal
escrlbe:
o Agriculture
il Park/Forest/De en space
wOtner
10_ DOES ACTION INVOLVE A PERMIT ;'PPROVAL OR FUNOrrm. NOW OR ULTlMAíEL'f .C'AOM ANY OTHER GOVERNMENTAl, AGENCY (FEDERAL,
STATE On LOCAL~
o Yes ~NO If yes, list agency(s) and permIt/approvals
':.
11. æes ANY ASPECT OF THE ACTlor" HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
~ Yes' 0 No II yes, list ;Jeency name and permlllapproval
L!f.//AirÀ.Y /Ji.lm¡¡ .s;·A-fIC ~~'·/7 ~
-&9,i/lIL<' X'Þ/oj .5(,cd-/'t.'/ct.,
12. AS A RESULT OF PROPOSED ACTION WILL S;dSTl~-d"MIT/APPROVAL AEQUtAE ....100lFrCAïIQN?
o Yes No
r CERTIFY THA T THE INFORMA nON PROVIOED ABOVE IS TRUE 70 THE 3ESï OF ,....IV KNOWL:DGE
Applicant/sponsor
ý L>ðxJS
0..1Ie:
/ð~9)/
, ,
SlgnalUre:
...."
f the action is in the CO¿¡5tal Arsa, and you are a state agency, complete the
Coastal Assessment Form beiore proceeding with this a:¡.~essment
OV"R
1
-
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T\PI?',J:~A"T
TRANSi.CTIONI'.L tHSCLOSURB Funtl
.
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The Town of Sou~ho1d'ø Cúdp. of Ehhicn prohlbi~8 cont1ichø ot
inherest on the part o~,.tQNnufficere and employees. The
purpose of this form is to provide informatiQn which can
alert the town of possibla conflicts of interest and a110N
it to take whatever action i!'J necessarLtc> avoid same,
YOUR N/\HR.
/- ----"'), :",.,,,,, ;",;,:;j~:~l~¡,~:,\
ç ð I , ~ '!'i~' ":''"' ¡·.T~·
Last name, f rSt name, n tal, un ess
you are applying in the name of someone else or
Qther entity, such 'S a company, If so, indicate
the other person's or company's name.)
'"'
~ ;'·I':~~S:~.i" "./: ~~~ . ~1¡if.' ,;-.!~.
NATURB O~ .l\PPLWATIONI (Check a11 that apply.)
Tax grievance
Variance
Change of zone
Ap'p~~al of plat .
Exe~ption from plat or official map
other ~ A
(If "other," name the actl vi ty.) /diA C~
.
it-
~r'l
Do you personally tor !>hrough your cblllpany, spøUBe, bib1lhg,
parent, or child) have a relationship with any officer or
employee of the '1'ovn or southold1 "RelationshipM includen
by blood, marriage, or business interest. "DuslneSB
interest" Means a busineos. including a partnership. in
which ~he town officer or employee has even a partial
ownership of (or employment by) a corp.oration in whlch
the town of ricer or e~pl~yee owns more than 5% of the
shares.
YBS
NO --4
.::~.. I.
If you answered A~BS,M, co~plete the balance ør ~hiø'form and
date and sign where indicated.
Name of person employed by the To~n of Southold
Title or position of tha~ person
Describe the relationship between yourself (the applicant)
and the town officer ør employee. Either check the
appropriate line ~) through D) and/or describe in the space
provided.
The town officer or employee or hls or her spousa, sibling.
parent. or child is (check all that apply).
~) the owner of greater than 5% of the shares of the
corporale stock of the 8pp1icånt (when the applicant'
is a corporation),
B) the legal or beneficial owner of any intere8t in a
noncorporate'entity (when the applicant is not a
corporation),
C) an officer, dlrector, partner. ør employee of bhe
applican!; I or
D) the ~ptual applicant,
. .
DESCRIPTION OF REL:-'TIONSIltP
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Signature
'Print name.., :;".þ~;\.t.~..f;..·
""<~';'~'-'d .\.;.....,.}~_. ~;_. ,- ¡\t":j·~"·~:. '. ~,~.,
;: ,¡'\'F,'~'l!'.:(~¡\~otJi ~. 'fAi , fI/1;~'W Œ' ,:- .:'.
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