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Home My WebLink AboutTR-5751 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 YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 1 (](1.."",<-S INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction Yz constructed vi' Project complete, compliance inspection. ....: . . TERMS and CONDmONS 11>0 Pettnittœ Angela & Gus Klavas ........,nw 1155 Arshamomaque Ave.. Southold N Y L~........1t . ~as put" of the coosideratioo for the isSo........ of the Permit does uøderstaød and prescribe to the fol- 1owIog : 1. That the said Board of T...- and the Town of Soutbotd are teleased ftcm In.y and all damages, or claims fot damages, of suiø arisiøg cIitecdy « iødirecdy as .. IeSUh of In.y oper- atioo perfocmed pUnumt to this pem>it, and the said F>. . ¡- will, It his or her own ~ defend In.y and all ouch suits'iaidaœd by tbitd patties, and the said ~ ......... fuIlliobllit7 with respect thereto, to the complete" eWusion of the Board of TrusUes of the Town of SoacbQId 2. That this Petmit is wIid for .. period of 24 mas. wbkh is ~ to be the estimated time" required 10 complete the """" in'VOlftCl, but ihoaId ~ wunøt, request for an exœosion may be made. to the Board at a later daœ. 3. That this permit should be retained indefinitely, or as loog as the said permittee -.risbCs to maintain the $UUCtUfC or project involved, to provide evidence to anyooe coocemed cmt aøtb- orizatioo was originally obtained. 4. That the work in'VOlved will be """jeer to the inspectioa and approval of the Board « its agents, and noo-compliance with the ptovisions of the origi-t1"f! applicadoo, may be canse for revocation of this Permit by resolutioo of the said Board. 5. That there will be no unreason-hIe interfereøce with navigation as a result of the wed< herein aÜtborized. " 6. That there shall be no interference with the right of the pd>Ik 10 pass and repass aloøg" the bead> between high and low water marks. 7. That if future operations of the Town of Soutbold requhe the temO\'Ú and/or alœradoas in the location of the work herein ..,"'-.'''01, or if, in the opinIoo of the Board of T~ the" work sba1I cause unreasonable obstrucnoo to free navigation, the said Permittee will be requiœd, upoo due notice, to remove or alter this work or project herein stated witbouc ""l*1.<O:$ to the Town of Soutbold. 8. That the said Board will be notified by the Permittee 01 the comp1edon of the work amb- orize<\. 9. That the Permittee wiU obtain all other permits and conseois that -y be required sup- plemental to this permit which may be """ject to revolœ upoo failure to obtain same. . . 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 April 30, 2003 Mr. Robert E. Herrmann En-Consultants, Inc. 1329 North Sea Rd. Southampton, NY 11968 RE: ANGELA & GUS KLA V AS 1155 ARSHAMOMAQUE AVE., SOUTHOLD SCTM#66-3-6 Dear Mr. Herrmann: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, April 30, 2003 regarding the above matter: WHEREAS, En-Consultants, Inc. on behalf of ANGELA & GUS KLA V AS applied to the Southold Town Trustees for a pennit under the provisions of Chapter 97 of the Southold Town Code, the WeIland Ordinance of the Town of South old, applicalion dated April 3, 2003, 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 April 30, 2003, 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 documenlation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 97 of the Southold Town Code, 2 . . WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of ANGELA & GUS KLA V AS to install new l"X 20' tie rods and 8" diameter X 8' anchor pilings (deadmen) to straighten existing +/-84' timber bulkhead (to remain). Backfill with approx. 75 cy. of clean sand fill to be trucked in from an approved upland source, and with the condilion that the bulkhead is in line with the bulkheads to the north and south, a 10' non-turf buffer is installed behind the bulkhead, and as depicted on the site plan prepared by En-Consultants, Inc. last revised April 30, 2003. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months ofthe date of this nolification. Inspections are required at a fee of$5.00 per inspection. (See attached schedule.) Fees: $5.00 Very truly yours, tlt~ f). /~,/).~ Ç-, Albert J. Krupski, Jr. President, Board of Trustees AJK/lms ...~ Albert J. Krupaki, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda . . Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: arc¡na <f ~ h lo..,ut1 f Please be advised that your application, dated 1/ ,"?/6.3 has been reviewed by this Board, at the regular mèetïng of 4jM/Ó?J and the following action was taken: (~ Application Approved (see below) (-) Application Denied (see below) (-) Application Tabled (see below) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in the instruction sheet. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: <!f5DO L M~Ctl..&l ~ c --...... or 'r.'IP'CI~ nTl1i". ~ c..')'_ 00 i ª ~J U)c"' :;)-I~N 0::0,,0) I-:tc..... ....0- ~ðs:>' O:;>cn"Oz t-~¡g:!i For u.. 1%:0 O z".c :;=.- s '" c o~ 0 a::I-IOCI) m <I: 0) 5 0 g IXI 10 AMT ÞAID BALANCE DUE CASH RECEIPT 041397 Dollars $ " 4/98 . . {·un Telephone (631) 765-l892 Town Hall. 53095 Main Road P.O. Box 1179 Southald. New York 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Wednesday, April 16, 2003, the following recommendation was made: Moved by Bob Ghosio, seconded by Tom Schlichter, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH A CONDITION of the Wetland Permit application of ANGELA & GUS KLAVAS to install new 1 "X 20' tie rods and 8" diameter X 8' anchor pilings (dead men) to straighten existing +/-84' timber bulkhead (to remain). Backfill with approx. 75 cy. of clean sand fill to be trucked in from an approved upland source. Located: 1155 Arshamomaque Ave., Southold. SCTM#66-3-6 The CAC recommends Approval of the application with the Condition of a 10'-20' non- turf buffer behind the bulkhead. Vote of Council: Ayes: All Motion Carried . . ~GELA AND GUS KLA VAS. 1155 ARSHAMOMAOUE AVE.. SOUTHOLD ..'Qo I . ""1'-' -" ,.-- ; .. I I I I ..; ~~; "'..-..-. --...-....-..-, Figure 1. Looking north along top o/bulkhead/rom southerly adjacent bulkhead. ,j .).. '.~.-." '1'" _.~ 1/!'__'-=~ ..- p, r j i - " , .,. /' ";, ~ , - /.... ~::. ~ :(~?-- -. 0/' -- _,:, -.- -- "c_ --:l~.:':·~~; -~~....;¡;- Figure 2. Looking south along top o/bulkhead/rom northerly adjacent bulkhead. / . . ANGELA AND GUS KLA VAS. 1155 ARSHAMOMAOUE AVE.. SOUTHOLD 1i .. ß~::,~' ,- '. . ...... ...;¡'p r" . ...<:,.... l.,~. ~ :~::*.. ,4 r.~'~ ...?-... '\I~~ þ: ~~-~ .-' , -' ~-.:--. , :..:; . 0' .~ .. -- 111,..···· oc· ... "" !!Io.. ". '- ..' --,~ -. - ~ .. :_~_."iII= > -.I!!II - ... Figure 3. Looking south at face of nonherly end of bulkhead. ~,.- ----~ .. ,_. Figure 4. Looking east over bulkhead and Pettys Pondfrom house. ....~.... ....:......::. i¡,,_....... ;r,,_- .:-, ~, ... + . ~ ~ <J:) " " <J:) ~ . 0 ¡ , -<>-Z , ------ ej ~ ~ oj.!)- ¡;¡r ;J!l, ~W ¡¡.!of CJ;¡S e ...." ~! d·! ~H¡I'I i h" ~ WI! ~ II!!! ;;jjjjl ¡"'If I ,[ ~ ~ -j , iiiil , .VII I1II1 Ii I' i Ii III I" , ,lllii I ~ ~ . ~ Iii iif j;inJ ¡III! i ¡ liJ iell! I Iii ! . ~ I I I I I J/ + ,¡;¡..à¡ - . . ! 'I ' I II ¡j /111 '"I:'''' " II, n!! II I ì i ....I..."'...zc yn"" ...Mii:-.-.--:'¡:-· l i I :~ I ] .' 1 I :¡j § .1 ~~~ I . I , I "'.I j ~ , ì !! II II I I I I FETns P']I:¡[, ¡::""...- +ê4-' E,UU<HE":'C, Te, P.EI..1':'II'J F:, EE - STF':'I,::;HTElJEC E, í TIEPC/J It·JSTL.LL':' TIC,t'j -"', '~~. ' I" ." el;;~[' "~ . 1. . ~. <;'I , . . 2CI~.-----:- I" 'I ~ . 1:.1 . , c+-\ """..,' - L'I.!IT ,:,F ':'PE'" TC, EE ['ISTUPBEC, I' FI~IP It¡;:T··LL;';.TIC'I,j elF TIERCÆ'S 1 ;,: [E"['UEII ,0.11[' E<K,'ILLED ! I , \ =l~O \ \ I \ I 1 I I ~ I : II ~ \ III I~ I /, ~ IC~ I I 1::-' ,_, I .f( "ri/ 1 " ::-'" I. i ,:, := ':2 ",-=" ..-'R - - ~ _ ~': /----r--" ,,-, G 0 !; i~" \, ~"C: I I c~ I, \'l.~-·r II ~t,'f'~ . 1_::--... /,,.:, /___ ," _h ~""-' . .:. I ~!..." ,---------- \ ../: .¡o-..~.ì~~o" V) CI ',ii ~>-ILI-.I \ ,.'! . ILl 0 APR - 3 2D ~ Q 0 ~. ~= I' . ~ I ~:';. I >- 't: ¡:; Southold Town , ~ 0 " Ro~r~ of Trustee~ : .~ r ~lJ I ¡i-Ii 1lo,o':'" I c v .;::;.- 'CIJ C:L '..... I ' ~ I ¡'" I , \ ~c' I ,:'H'/I' é..L'.V~ ELV~'C' . 1 . , . I' <1 "/1/0::: ii /\ .' I c. ti.' , $OUT." -' ---L. ---:-.- I STA. ,j <! . - ,'" I ~ -,=,-----. ~ . . /O'NOIF1i.«F fll"J 1', ßuffå. I I" " :::9~ 'I I \ , , 'I", " " = 3rJ" 'I, " 'I, 'I, , I I , I \ " , , § I, ':;J: , 7 \ :<i , u I ::. I 'I " \ \ \ , " rr,'J5·]r." ,,,:1'-':' ~~ - ~"Z ,. F'J-CO~ISULTANTS INC. I \ í :J2\J f'i08TH SEA RD. 11 Q5811, 1\', I \ sc' mW'''TON, NY _ 631-2e3~6360 \ i \ n \~ I , ~. ~ F S H .'. I .I:~II ,\ r C, U E ~ . E. '~'-- 'f\ Z ;:j- _0 \- - <Ii -'- ~ ~.., \- ~ '.J',z Z::r; ;:::. ;:j ùL L.....::. \- ;:::. ..., c..l ;L 0\ '" U ,~ ~ ~ ùL ~ i{e:; "'~'" ---.:. '~C"I 1'2 :;;::¿ ~ ' == ~ .- , E g: :z ,~ ;:j < ::::J ~ ~ tK ~L ,,__~fLY,Lh z ~ 02 co ~ ~ ;:z " ::! "'0 .~ "" '" ~ ~ ~ ."Cè " ;;¡ :;':: '" ;..¿ '" <t '" j co. :z '" ~ ts fro x "'" fro "" ..., ,'-. ~ oK - " c)G c ",8 t'S><"" tL_.....:. iC-=-;:: s: I,ate" ¡:--Purpose: Maintain Irtte'1"lti.i of e'. ~lKhead 2 lIaWm: A-W ? Mater... to Include CCA-tlmber and ",Ivanlzd *01 '\. fr;pr01.. 1? Cu clean.,.,d fill to be trucked In fr"" an upland "",r", to backfill area lardw...-d of bJiKhead after tlerod 1n.tallal:,t>1 ~ Prc1ect location: II?? I\rshamc;rnac;¡l.It' Ave, 5Mhdd. 5UM 1,0. IOOO-66-0?-06 " , , " " I I I \ PROP05ft? llfROt?5 & t?fADMfN fOR fXI51lNú BU~KHfAD fOR ANæ~A ANI? ÚU5 ~AVA5 ON PfíW5 POND, 50UíHOt..D, 5UffaK COUNíY, NY 51-Un Of I 4/ 1/ O~ 4 03 w z~ /\" (J) 3: ~ pettys pond ~ ~ ~~ _______- S05046'08"E 83.71' (tl" \In" olong I:>JlheodJ þ .... r-: ~ '(~ "1 \ ~e «--: I-~ ú) W~ 1f)Z11.. -a bß ~ 9D~ --l X ~ :Jç~ _ \C ~ LLW- ,alD~ 3¡()~ >-LL~ ~~Co U-Ia~ .. ~ ~~ > -1 a=>-.¡) ~o....~ ~;i()ß8~ =>«~ i=~~ ~~~ ú) !: .11.. ." Q & It 8 ..... \J',--- ~~a ~r' ~6 10' " ;'1 ¡ ~ e 8 ,c ~ t;rr,~er tN1kr-,e-1\:;! . , ~, , '¿., 'J~ . ,-,-" ,;'" "" - c(\)(\) at'" ....a:::> ",<-a Nu..~ , " -- . ". I, i á , j , ,. r ',IQ '. -N66~'J!2Ó"W A1r's1h.13\.1DThOJOO,13Jque .' . " ~-. '& ~ (1)<1) E'" QQ LL LL-15 . .. , I I ,. " iN I I , r '~; -S) \" ~ ~ ~ r- 'ti) ","'ijiH1,¡ e~. _ .:' i;~ r >0' ":" ~, '..' .' rTl Zo _ .'~ 1-1-4 .' .;Y:¡ :> s! ", ~ -1 e ¡ . ",:" q" ~ ~.' NN~â \-" ~..... Cl)Z ï! Q ~! ~ ¡¡¡ % ~ ]1 CI) 1l ~ ;- rT' í _ tL ~ -~ =C~~r- ~ :8 ~ ¡;;¡ . ~ >- I U ",z$ ~ ~i~ o ~~ J ~ \0 f:2 ~ .. (r ....l Ib!hIJ ~ ~ ~ ' = >0' CT> o· ~ Ib!hIJ I ~. ë' Y a: :E- ö c... ~ Ib!hIJ < roe e~ 100.00" 0 é;~ A vefAue D z => a LL D Co z z => LU a L LL => Z LU a 0.. L ¡¡: Iii LU f- a . 0 z \ I I I \f\ LU 01 0 « 0 ~ ('() " c) , - 01 a LL \f\ (; ~ ... N " « LU 01 « Albert J. Krupski. President . - James King. Vice-President Henry Smilh Artie Foster Ken Poliwoda . Town Hall 53095 Route 25 P.O. Box 1179 Soulhold, New York 11971-0959 Telephone (631) 765-1892 Fex (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application Aetland Permit Application ~ Major Waiver/ Amendment/Changes r-Received Application: "II ~¡t)3 --:::Received Fee:$ ólQ:)- "'-Completed Application If/3/43 _Incomplete SEQRA Classification: Type I_Type II_Unlisted Coordination:(dale sent) ~AC Referral Sent: t.//3/o3 ,...Ðate of Inspection: 11/11 , 0:3 Receipt of CAC Report: Lead Agency Determination: Technical Review: "'-public Hearing Held: "130m Resolution: Minor . ~ E A~R ~: : E ~ Southold Town Board of Trustee. Name of Applicant ANGELA & GUS KLA VAS Address 166-07 14TH ROAD, BEECHHURST, NY 11357 Phone Number: 718-746-9370 Suffolk County Tax Map Number: 1000 - 66-3-6 ~r5 ~ t~I\\\») 4\ / Property Location: 1155 ARSHAMOMAQUE AVENUE, SOUTHOLD (provide LILCO Pole #, distance to cross streets, and location) AGENT: EN-CONSULTANTS, lNe. (If applicable) Address: 1329 NORTH SEA ROAD, SOUTHAMPTON, NY 11968 Phone: 631-283-6360 .Board of Trustees APPlic~n GENERAL DATA Land Area (in square feet): 24,607 Area Zoning: R-40 Previous use of property: RESIDENTIAL. Intended use of property: NO CHANGE. Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: Project Description (use attachments if necessary): INSTALL NEW I" X 20' TIE RODS AND 8" DIAMETER X 8' ANCHOR PILINGS (DEADMEN) TO STRAIGHTEN EXISTING +/-84' TIMBER BULKHEAD (TO REMAIN). BACKFILL WITH APPROXlMA TEL Y 75 CUBIC YARDS Of CLEAN SAND fiLL TO BE TRUCKED IN fROM AN APPROVED UPLAND SOURCE. ~oard of Trustees APPlica~n WETLANDITRUSTEE LANDS APPLICA nON DATA Purpose of the proposed operations: MAlNT AIN INTEGRITY OF EXISTING BULKHEAD. Area of wetlands on lot: 0 square feet Percent coverage of lot: NIA % Closest distance between nearest existing structure and upland edge of wetlands: 0 feet (EXISTING BULKHEAD) Closest distance between nearest proposed structure and upland edge of wetlands: NO CHANGE feet Does the project involve excavation or filling? No X Yes If yes, how much material will be excavated? NIA cubic yards How much material will be filled? 75 cubic yards Depth of which material will be removed or deposited: +1-2.5 feet Proposed slope throughout the area of operations: <1-10% Manner in which material will be removed or deposited: APPROXIMA TEL Y 75 CUBIC YARDS CLEAN SAND WILL BE TRUCKED IN FROM AN UPLAND SOURCE, DUMPED, AND GRADED AS BACKFILL LANDWARD OF EXISTING BULKHEAD. 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): THE PROJECT ENTAILS THE ROUTINE MAINTENANCE OF AN EXISTING, FUNCTIONAL BULKHEAD. ALL WORK WILL OCCUR LANDWARD OF THE EXISTING BULKHEAD AND WILL HAVE NO ADVERSE IMPACT ON THE ADJACENT TIDAL WATERS OF THE TOWN. 14-16-4 (2IB7)-Texl t2 PROJECT 1.0. NUMBER . 617.21 SEQR Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I-PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1 APPLlCANT/sPONsOR'ANGELA & GUS KLA VAS BY EN-CONSUL T ANTS, INe. 3 PROJECT LOCATION: Municipality SOUTHOLD County SUFFOLK 4 PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc, or provide map) I 2. PROJECT NAME 1155 ARSHAMOMAQUE A VENUE, SOUlHOLD, SCTM #1000-66-3-66, MAP PROVIDED 5. IS PROPOSED ACT~ ~ New U Expansion [gI Modification/alteration 6 DESCRIBE PROJECT BRIEFLY: INSTALL NEW I" X 20' TIE RODS AND 8" DIAMETER X 8' ANCHOR PILINGS (DEADMEN) TO STRAIGHTEN EXISTING +/-84' TIMBER BULKHEAD (TO REMAIN). BACKFILL WITH APPROXIMA TEL Y 75 CUBIC YARDS OF CLEAN SAND FILL TO BE TRUCKED IN FROM AN APPROVED UPLAND SOURCE. LETTER OF NON-JURISDICTION REQUESTED PURSUANT TO 6NYCRR PART 661.4(b)( 1 )(ii), AS ALL WORK WILL OCCUR LANDWARD OF AN EXISTING, FUNCTIONAL BULKHEAD, WHICH TOGETHER WITH THE ADJOINING STRUCTURES EXCEEDS 100 FEET IN LENGTH AND PRE-DATES AUGUST 20, 1977, AS SHOWN ON THE ATTACHED AERIAL PHOTOGRAPH, DATED APRIL 6, 1976. 7. AMOUNT OF lAND AFFECTED Initially 0.56 acre. Ultimately 0.56 acre. 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ~es D No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ~ Residential D Industrial D Commercial Describe· D Agriculture D Park Forest/Open space DOthar LO. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? ~ Yes D No If yes, list agency(s) and permiUapprovals TOWN OF SOUTHOLD 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? DYes ~ No If yes, list agency name and permiUapproval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? DYe. ~NO I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWlEDGE Applicant/sponsor name ROBER"" E. HERRMANN, COASTAL MANAGEMENT SPECIALIST jf,V\ DATE APRIL 3, 2003 Signature· If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER . . 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 L1rq~ ~ - 6.J.s. -~ - - - -- - - - -- COUNTY OF SUFFOLK) STATE OF NEW YORK) I, Q,k,rf- ~V\f'M.~~ ISZq~ ~ W, being duly sworn, depose and say: ~ That on theZZ day of À(>v,\.. , 200.3, I persCJ\l1ally property known as M~- by placing the Board of Trustees offi ial poster where it can easily be seen, and that I have checked to be sure the poster 'I has remained in place for eight days prior to the date of the . public h,earing. DatK of hearing noted thereon to be held ~r¡ I ?:q ~ I On. rr (lÐQ.J.t 1~IOO rm. AFFIDAVIT OF POSTING &~o.. , riiU; idiAg at G--- ~v\\-..v>~, ~f\L. ~\.M..Fl"1 IJ'1 he Dated: Sworn to before me this 3ò'f-Æ.c¡ay of ~ 200~ ~~d~_~ No Public þ- K:'.í:1. ,~~,~D! ~~N~ NOaryPil<"SIa~oIIiøYwt J.i:"1UI5rJ L ..';"*CIIIr "J"_ . . BQard of Trustees Applicat~on AUTHORIZATION (where the applicant is not the owner) .... I, c.~£ ~/....v,~s (print owner of residing at /6t. - 07 11-/1>-. {2<.J"'-of (mailing address) property} ~£.¡v;S~ I }..J{ il3S7 do hereby authorize EV1 - ~ S<-/-h....." \z:.. l'^-t. (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. ~¿{.~ (Owñer's s~gnature) . . NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant:ANGELA&GUSKLAVAS SCTM#1000- 66-3-6 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: INSTALL NEW I" X 20' TIE RODS AND 8" DIAMETER X 8' ANCHOR PILINGS (DEADMEN) TO STRAIGHTEN EXISTING +/-84' TIMBER BULKHEAD TO REMAIN. BACKFILL WITH APPROXlMA TEL Y 75 CUBIC YARDS OF CLEAN SAND FILL TO BE TRUCKED IN FROM AN APPROVED UPLAND SOURCE. 2. That the property which is the subject of Environmental Review-is located adjacent to your property and is described as follows: 1155 ARSHAMOMAQUE AVENUE, SOUTHOLD 3. That the project which is subject to Environmental Review under Chapters 32, 37, or 97 of the Town Code is open to public coromen t on: APRIL 30, 2003 765-1892 or in writing. You may contact the Trustees Office at 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: ANGELA & GUS KLA VAS MAILING ADDRESS: 166-07 14TH ROAD BEECHHURST, NY 11357 PHONE #: 718-746-9370 Enc~: Copy of sketch or plan showing proposal for your convenience. 5 . . PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: BARBARA BRUNJES Address: 97 ARSHAMOMAQUE A VENUE SOUTHOLD, NY 11971 WILLIAM FRANK 125 ARSHAMOMAQUE A VENUE SOUTHOLD, NY 11971 STATE OF NEW YORK COUNTY OF SUFFOLK ROBERT HERRMANN doing business atEN-CONSULTANTS,!NC. 1329 NORTH SEA ROAD SOUTHAMPTON, NY 11968 , being duly sworn, deposes and says that on the 3RD day of APRIL ,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 Southold; that said Notices were mailed at the United States Post Office at SOUTHAMPlDN , that ~~: ;:;~. .."ed '0 e.co 0' ..'d P~b' (ce<""ed( Sworn to before day of APRIL ~ me this 3RD ,2003 ~f ~--=¿'- Notary 'Publiè IIUIIØ ... Nt, In 'IIi .' .. - rill . --1001 . .... . ..-...... .... . . III'PLICIINT TR^NS~CTION^L DISCLOSURE POnH 1~e Town of 50uthold's Code of Ethics prohibits conflicts of interest on the art of town Officers and em 10 ees. The ..I:U!£ Dae ot this f'o.:m is to rovide information wh ch can alert tl1e town DC aSB ble conflicts of nterest and allow it:. to t.ake whatever action Is necessary l;.o avo d same. YOUR NIIHR. tU5 ~ I 0. V".. { (Last nbme, first nBme, middle initial, unless you a~e applying in the name of someone else or ottler entity, suel1 as a company. If 80, indica~e the other person's or company's name.) NIITURR 01' IIPPLICIITION. (Checl, all that apply.) Tax grievance Varlanc9 Change of zone IIpp10val of plat _____ Exemption trom plat or official map Other V Ì) t (If "Other," name the activity.) VV'~.¡;""...""t¡ ,..~''''''. Do you personally (or bhrough your company, .pOURe, øibllng, parent, or chIld) hove a relationstlip vitll any officer or employee of the Town of Suut.hold? -nelationship- inclu(]es by bloo(], marriage, or business interest. -Dusiness interest- meanR a buoineso, including a partnersllip, in which the town officer or employee has even a partial ownership of (or employment by) a corporation In which the t.ovn officer or employee owns more t:.han 5% of the shares. YRS NO ./ If you answered ·YES," complete the balance of this form and date and sign where Indlcated~ Name of person employed by the Town of SoUtl101d Title or position of that person Describe the relationship between yourself (the applicant) and the town officer or employee. Either check the appropriate line A) tl1cough D) and/or describe in the space provided. Tile town offlcar or employee or 111s or her spouse, or child is (cl\eck all tllat applY)1 the owner of greater tttan 5% of the shares of the corporate stacIe of tile npplicðnt (whell the applicant is a corporation); the legal or beneficial owner of any interest in a noncorporate entity (when tl,e applicant is no~ a corporation) 1 an officer, director, partner, or employee of the applicant, or D) tile actual applicant. .ibling. parent, _h) _8) _C) DESCRIPTION OF RCLhTIONSllIP ~ Ô'D3 Submitted thi~day Of~199_ Signature _~ ~~ Print name' f-vs JL/~.n.~