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Home My WebLink AboutTR-5237 . . 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 August 30, 2001 Ms. Catherine Mesiano Catherine Mesiano, Inc. 12 Mill Pond Lane East Moriches, NY J 1940 Re: KARL RIESTERER 1945 Calves Neck Rd., Southold SCTM#70-4-47 Dear Ms. Mesiano: The following action was taken by the ':>outhold Town Board of Trustees at their Regular Mceting held on Wednesday, August 30, 2001: RESOLVED, that the Southold Town Board of Trustees Approve the request tor "n Amendmem to Permit #5237 to enclose the first floor below approved second-storj addition. This is not a determination from any other agency. If you hr-ve a.'lY 'iue"ÜCr¡s, please call our affice at (631) 765-1892. Sincerely, ~ (7. /~~J...' G. , , '" Albert J. Krupski, Jr. President, Board of Trustees AJK: lms Building Dept. . . 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 Monday, August 20, 2001, the following recommendation was made: KARL RIESTERER to Amend Permit #5237 to enclose the first floor below approved second-story addition. 1945 Calves Neck Rd., Southold. SCTM#70-4-47 The CAC did not make an inspection, therefore no recommendation was made. ..¡. Board Of Southold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. 5J.3 Î . DATE: ...<?"tober 30, ISSUED TO ...........~~.~.I..R.~.¡;;S.!¡;:~ER .............................-. Î\utqnrizatinu 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 York 1952: and the Southold Town Ordinançe 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 aççordançe with the ,.....' .... 0 t 25 ~ _ ~ Resolution of The Board adopted at a meeting held on ..m..":........._...... '~!.!.~_..¿~.' ,'." .', f Southold 2º.ºº. and in çonsideration of the sum of $..J?~~º.º ... ... paid by Karl Riesterer ........m.m.......u.... ..m....................... \ \J.. Te~~..m~~d""·¿;~·diti~~~·· listed ont~ ~v~~e sUs~1e: ~:r::f. ..~~ . of Southold Town Trustees authorizes and permits the foUowing: .i ~ t Wetland Permit to construct a second-floor addition to extend ; ". ._ 5' beyond the existing footprint (no first-floor expansion), i \" . r with the condition that a line of hay bales be -placed down at.! ~'"'' the top of th<: bank dur,ing coustructioo. " .. \ ~~ ':... '"".. ,tlìaU.\IIL'ç.ç~rtjd~!'~,e l¡ithtj!he. êf~t~¡Ie? I speçltlçations as presented in .- . : .:oJ' e onglna ng app Ic:a on. .. . ... . . i,' (I?-: (I" ~¡~,.' . ,,' ,,,I~,,~lJt:I§S~,W_HI;:REOF. The ,~i~ BcIard~f' T~st:~~r~~' .'r ~... t.. ~. ' .. by c:a¡¡sell'ltS. 'Co..rpo.rate' Seal to·be aHixëd. and these presents .toe .' '. \,1.... :. ", be su.lišéribèd·bY iI'majority of the said Board as of this date,,',...,)., .~ '~,' ··~-...t .. 'J,Y.J~ ~-~,.' I "1'.' .~. ~~.'... ',··r . . fK¡æ· . \. t.. --~ .,:. .~.. ... ~. ~~. .'. :t~. '\ U ',.. ..:f . . ~..,alaaaaaaaa/aaafa'a~ TERMS and CONDITIONS The Permittee Karl Riesterer, residing at 210 Bedell Terrace, West Hempstead N. Y., u part of the coosideration for the issuanœ of tbe Permit does undemand and prescribe to the fol. lowing: 1. That the said Board of Trustees and the Town of Soutbold are released from my and all damages, or claims fOt: damages, of sails arisiDg directly ot: iDditecdy u .. result of my oper- ation perfoaoed pwsumt to this pamit, and the IÚcI P-nI_ will, lit his or bet own e..pease. defend any and all such IOits'hdtiaœd by tbhd parties, and tbe said P~ &__ fuI11/ab11ky with respect thereto, 1.'0 tbe complete exclusion of the Boud of Trustees of the Town of Soatbold 2. Thar this Permit is ftlid for .. period of 24 mas. wbkh Is consideted to be the estimated time required to complete the work invol-t, but should CÚCIUiISI&Dces wuraør, rec¡oest for an extenSion may be made to the Board at a later cIaœ. 3. That this Permit should be telained indeflDilel.y, or u long u the said Pemduee wishes to maintain the strucrure or project involved, to provide evidence to anyone <onceroed that auIh. orization was origina11y obtained. 4. That tbe work Imolftd will be subject to tbe, inspectioo and approval of the Board or its agents, and non-compliance with the prcMsiODS of the orlginatiog application, may be cause fot revocation of this Permit by œsolutioo of the said Board.. 5. That tbere will be no unreasonable interference witb navigatioa u a result of the work herein aåtborized. 6. That the"; sba11 be DO interference with the right of the public to pass and repass aIoaa the beach between high and low water marks. .. ~'. ..,.'....' 7. That if future operadoas of the Town of Soutbold require theftmtmJ. and¡ar alteratInaa' in the location of the ~ betein aatJ-··i ed, or If, in the opiøioa of tbe Board of Tmsteet, the, work sba11 ause I1tIteUOD&ble obstructloo to ftee naYigadoa, the said PamIttee will be nquhecI, apoa due notice, to remove or alter this work or project herein stated without expenses to the Town of Southold. " .. . ..._". 8. That the said ~oar, d will be notified by the Permittee ot tbe œmpledoa of the work aach- orized. .. 9. That the Permittee will obtain all other permits and cooseals that may be requited sup- plemental to this permit wbicb may be subject to revoke upon fal1ute to obtain 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 October 30, 2000 Ms. Catherine Mesiano 12 Mill Pond Lane East Moriches, NY 11940 Re: KARL RIESTERER 1945 CALVES NECK RD, SOUTHOLD SCTM#70-4-47 Dear Ms. Mesiano: The following action was taken by the Board of Town Trustees during its regular meeting held on October 25, 2000 regarding the above matter: WHEREAS, Catherine Mesiano on behalf of KARL RIESTERER applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated July 28, 2000, 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 October 25, 2000 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 thè pcemises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 97 of the Southold Town Code, . . WHEREAS, the Board has determined that will not affect the health, safety and people of the town, the project as proposed general welfare of the NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of KARL RIESTERER to construct a second floor addition to extend 5' beyond the existing footprint (no first-floor expansion), with the condition that a line of hay bales be placed down at the top of the bank during construction. BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency which may also have an application pending for the same or similar project. Permit to construct and complete project will expire two years from the date it is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. Fees: None Very truly yours, tktL./~. /~J.¡'!h Albert J. Krupski, Jr. President, Board of Trustees AJK/lms cc: DEC Building' Dept. . . Telephone (516) 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, August 15, 2000, the following recommendation was made: Moved by Jaclyn VanBourgondien, seconded by Scott Hilary, it was RESOL VED to recommend to the Southold Town Board of Trustees APPROVAL of the Wetland Permit Application of KARL RIESTERER 70-4-47 to construct a second floor addition to extend 5' beyond existing footprint, and recommends DISAPPROVAL to install an 18'X 30' in-ground pool with additional retaining wall landward of existing seawalL 1945 Calves Neck Rd" Southold The CAC recommends Disapproval of the pool for the following reasons: 1, The existing landscape does not conform to proposed pool structure, 2 There would be excessive inrringing upon the wetland boundary, 3, The proposed alteration of the bank would have a negative impact on the wetlands, 4, The existing wetland buffer is working and there is no need shown for disturbance, Vote ofCouncii: Ayes: All Motion Carried c,.._'J ..... fOf~ o· -"" Õ?C'I f'I oj I C'I- 10 1/1 w.'t''''~ ~ ~ ~ ~~ ~ CS~ ~~;:t:~ ee~Eo-.. ~ :x:: :;;¡ ~ ~.. ~ ~ ~ ~J ~""""" e I- e e r.. 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'~~ ~ ~ I ,~ . . .~ ~ I 5f I~ i : ~ c I I ¡ ,1 < .. ,r,A g '.,. ~ ~ .) ..,- Ò :' ~ ',t z z Co ~ \AI ~ ~ Z ~~ .~ r- Z "II- .< I> -" '1,1..."'" + ~ "'jj ,.p .:.~.).ol. ~ ~ ,. ~. ~C~ ~'t: ~~ c;j S,'I ~ '" " Ct) C ~ I C C "- cy, "-I Ill' . .., c~ l-~J ~ L- .~ r , , ~., __J r- "'..," :.~ fJ .> '!; .' ~-:: ' '.... '" 7 - II ~" "" :~~~z,_~ _ u. '""- I~ '. <{ ~'J ,- !- 1,1·' - ,-r;-:- ~l....- <:I _~ '--.I r) ',. ,_, q :r __ _ t-- ~e- V'~ .> "'l.J..J(J"\ Q:lo.J<:ã:: :::::,>--()GO \·ì ~ C¡:.. r-J ~ "_' ...', ~ ( 'J, i . :~ i lJ..¡ ~Q:~~ff::ë: ':' c: ~ Q ~ 8 ,..... I «l.u<è ¿:~C--,~~lU 'Jl...J~V'1I--:r.:. _200..- ::.. "- J: ct. VI al.o.J 1--«0::: a~ðQ:l,J~ « ¡::;oQ.1a. Q~(,)L....VlCL ,--:-, ·-·L..Ja~-<r ':J'",l/) -Q lo. ¿ () --.J 0 0:: ,':) r.~ ct. .q:- ',J - ,::: ~ l...J'> ¡:::: <I '7> Q lJ..¡9:- <[ Q "--- ,. ex '..J ¿ ~:;' '-,' <I ú. '~ -Ji.......... Z <[ L' ,¡ L..J Q C,:?- l.. ,\..lL.o.J~' '/ 2l.. '_\0: ~ C q '-.' '~J ~,~ ~ ~ .~ I.t.i ~~ ~~ \:i' 1) ~~ .... , ~oq , .,. O...J , ¡......J ì!. -I ;:i!@ - , QË- "- ~g ~ ~o... ~ '" :a! ~ I .J '"::§ 0- . . .... s· ~ .' ~ øi .... ~ . ~ .... G E n ~ " . g ~ ---._- . ûð ~:;~ 01 ~D, ~O'~9 tAl ~lb 1~""tle 3Qutl)>J1J -..ö"l'L r\(t:UIJ.Ul';'k'" . AI__ J. KN-polu:. Pwè_t Jam...XiD¡. Vl_PI'Ni&!em &1117 8miib AttIe F"* Xc Pa1iIO'ðå. Town HaIJ &S09ð MaIn fto&d P,O. B'* U19 Sout.hotCl, Ne... Y""k ll&n TI1lephone (616) 16ð-l&U lax (518) 711ð-1S28 BOARD O~ TOWN TKVSTEES , TOWN OJ'SOUTHOLD LETTD or REQt!F.ST FOR AN AMENDl\ØNT f~Ti;;"';'r'~--~ ' I f ,- '"-, -? ~- rJ ¡', " , _, I, !~, ::: AUG - 2 2001 ¡ . '·óWNþ·J!.a~tß I e.sf~~oL PHONE fø '6./.-: 7b~-~,"IJ~ ,ADJ;)~SS 19'16 (I.Jv~ Ak.1t If¿ 5ø~[d _ AGENt (1.t:1J~I~ë fY/es It; _, lit.. PHONE "3/- -;; ,'¡- ';9,5J ADDJ.E!SS ¡.¿ ¡Y¡, ¡ { J6Y1 d J..... e, mOL"'Ii-r.7~ AJ v 11'1-1-0 PROPERTY LOCATION / tj<.l5 O:uIlt!s Aledc. ~. 'sD(')77f()¡..t;¡ TA.'lCM,\P NO, J () 0 cJ - '7 O· <1-'17 DATE 7 / 3/ I 0 ¡ , . IIWi (;lJ,M....'¡..{8II. ~" If!', Q~f- rcq_ an AmoadmOdttclPelm1t# 5;.3 7. -b, ~(7t"j,;.~... .j7,,.,+ .{'/oo, h.-low Ii nlJrIJVe..d ~ntI S-(:y.tJtI",--r¡,..,:. . . SÌ8l1eISBy: ~G .I-:t... ~- ~, ~~6 ~ <ty7J~ ~~ . ....... ~' , / 't· , 'I \ .. , \ ,,-' \ \~ .\--\Y' . (('J~ (. i ~~~~, r?( d': \\~!~ ~':'l,:I"~ \ C '» Jl,v. : \\I¡', ~ ._"~,, - ' . ((t l' ' \'M.~- .- """" -~ .' --I ( ',: ;,f:,. . , I, . .1,1 '¡' ", '....' ". ~ ~ ' .',¡ Board Of Southold Town Trustees SOUTHOLD. NEW YORK PERMIT NO. 5,J37 ISSUED TO ........~..~,R.~.~~¡;;,~:r~~¡;;,R, ' DATE: , qctober,39! ....-.....-........ ...... ".' ~utqørt!;atiøu Pursu.nt to the provisions of Ch,pter 615 of th, Laws of the St.t, of New York, 1893: ,nå Ch'pter 404 of the uws of the State of New York 1952¡ Ind the Southold Town Ordin,nce en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS ,nd the REMOVAL OF SAND. GRAVEL OR OTHER MATERIALS FtOM LANDS UNDER TOWN WATERS;'~, end In ,ccorcl.llce with the Resolution of The Bo,rd adopt.d at . meeting held on "~ct,, 2~,~, 2PPP. ,nd in consideration of the lum of $,,15~!O,O "paid by Karl Riesterer .. ........-. .-. . ............. " of ...."",. ".~o'::t~~¡~ ' , N. Y. end subject to the Terms end CondItions IIst.d on the revers. sId. hereof, of Soutnold Town Truste.. euthorltes .lId permits the foRowlng: Wetland Permit to construct a second-floor additio!l to extend 5' beyond the existing footprint (no first-Hoar expansion). with the condition that a line of hay bales be placed down at, the top of thE: bank dur,ing coust.:ructi~, . aU in accordance with the Clefalled specn,catlons IS presented In ,th. orlglnattri9 IppUClfton. ' IN WITNESS WHEREOF, The s.ld Board of Trustees here. by c:euses Its CorFlor.t. S..I to be .fflxed, end these pra..nn to be subscribed by , meorlty of the s.ld BOIrd .s of thIs date. . -~ "'" " :é-» , ('/iI Jþ'. ¡,~'~, , , 't' {~:ff; Hon", Sm'" c ">oM ,.\~" ;it . -:' r;:-=- _~_, " ,T~'''' ~ -~ ", . -'-", ~ .",' t ' ... - \ 'r \ ';. - ~; .....~~_',c.,..~~__. .~~'~~_¡:.~ ~,__" '.. ,'> -' 'J' 12 ~. ...~,,,., - '~t, ,! :l'~ .',1 ..' '.. ... -.-'..",.;/.".... ~ ~;- ~._ ...-. f~~ r........ ... __." " ~,-...,...·:"t--- r ',,,,,, ",,- ... A'.' ........ r ........;: "". í" Þ'- r¡ ~'&:t' _. .~;:.. -.' .-~. . 'A~...;_;". ; .,.f""\,"J' V''''..., ~. "";,,~-:,. -, " ~ _' ~...' . -. . - "-' -,...- ./ - ~ , ,',', ',.-/ ~"- "---- " .-_ _._......::.í _ ."-~_-7 . . NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTH OLD In the matter of applicant: KARL RIESTERER SCTM # 1000-70-4-47 YOU ARE HEREBY GIVEN NOTICE: 1, That it is the intention of the undersigned to request a Permit from the Board of Trustees to: CONSTRUCT A 5' X 16' FIRST FLOOR ADDITION, 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 1945 CALVES NECK ROAD, SOUTHOLD 3, That the project which is subject to Environmental Review under Chapters 32, 37,or 97 of the TOIYn Code is open to public comment on August 22, 2001, You may contact the Tr../stees Office at 765·1892 or in writing, 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. OWNER'S NAME: MAILING ADDRESS: Karl Riesterer 1945 Calves Neck Road Southold, NY 11971 OWNER'S AGENT: Catherine Mesiano, Inc, 12 Mill Pond Lane East Moriches, NY 11940 631-878-8951 E:1c,: Copy of sketch or plan showing proposal for your convenience. KARL RIESTERER 1945 Calves Neck Road Southold, NY SCTM # 1000-70-4-48 SCTM # 1000-70-4-46,1 SCTM # 1000-70-4-41 . . SCTM # 1000-70-4-47 Russell E, & Joan A. Mann 1775 Calves Neck Road Southold, NY 11971 Luke K, & Rita Licalzi 19 Prospect Avenue Garden City, NY 11530 Michael J, & Barbara Henchy 119 Tullamore Road Garden City, NY 11530 . . Albert J, Krupski, 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) 765-18'12 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF smlTHOLD Office. 0Cf ¡.~;"15" " - r \~~,L:"lj'jC}>,;;;~:( , no.;~';:":..:,,:.:" . ,..~t,. :::, '~:~,'.;"';~.,:;.,,, ~ ~,\. coastal Erosion Permit A~ ~etland Permit Applicatic Grandfather Permit Applic" ~ Waiver/Amendment/Cha ges ~~eived Applic ','. ~eceived Fee:$ I ~Completed Applic Incomplete SEQRA Classification: Type I Type II Unlisted Coordination: (date sel}t) - """"-CAC Referral set;t: 7/;.8Jtjr).. ate of Inspect~on: ~;! Receipt of CAC Report: . Lead Agency Determination: echnical Review: Public Hearing Held: i'/:J~/OO Resolution: ' , . ,¡, ",.:..; :.'1' ' J , , . .:~ ~. .. .. ". . .' .. .. " , .. .., " . :. t " ,,,, Name of Applicant R \tE'STé'f2.Gf\- Address.;LID ß er:.é',-L.. 'IE IZ.[LA,( ~ ý\J, H-éMP5TP..... 1:> ,1\) Ý . Phone Number: (5'10) '-I ¡s'..s - D 7<J..O 1000 - 70 - 4 -(.. 7 :552- Suffolk County Tax Map Number: Property Location:~ Gj4 5 C f'n....vG.s ~ ~c.K.. R ()~\) (provide LILCO Pole #, AGENT: rA-Tt'lë:Q.\1ù e rv\,'c :::'lA- NO (If applicable) Address: \ '2.... \V\ I L,- Po ¡...j \) L-Ro , £". H () R IC.," C'" tv 1{11'1<1-0 So uTi+OUl:> distance to cross streets, and location) Phone: FAX#: o ?Jl .. í? 7 ~ - K q 51 " 1 B4Ird of Trustees APPlicatio~ GENERAL DATA Land Area (in square feet): 9, 095 Area Zoning: ~ ' 4-c. Previous use of property: slf\.'jle ~"""\y Y"1:"&,de.."..... Intended use of property: ~~cI rloor add,'+ID'^, Ih.5f-rL¡lcJlù'" of / \ Y\ ~ ' 0 '-' ^ c\ ~ 00 I <.. 1 5' b~ HI-ùM Prior permits/approvals for site improvements: Agency 50"...... OL.i:> -"f'vs+-'" r.5 Date I{> l2æj 'IS ..;:ff 't4 ~ ð ([eJ,,: ,I~ bulldl.c...JÎ'~)- 5^...--I¿~ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? )C No Yes If yes, provide explanation: Project Description (use attachments if necessary): .cD à.... ci .ç I 00 ( <i..& &.....:.t:....:.. +0 Li t"';; _,.f) 5 I b.t.j ~ 0 -{:...~ i~~: (r'\D 1St µDrO'"L. ~rpc..".",;o) @ m",r-ILL! ,",--1-( 'OIL cf ± ,'S' )< -:y-j' \~roUI\,c! pool u\ ; rl lÀr.lt'L ¡-~'. 0 o..f ,,( \l:h.,L.t-' o~ p lev..... n.""T1r. r..~ -.(ì) ý.e:\-c..~.. ~_... 3 ( .J ') CA...LQ \ O-~ ~ ..ur..... ..D S e...k LUc-.....e..e. , (ILl 0 2 ~d of Trustees APPlicatio,.. WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area of wetlands on lot: Percent coverage of lot: Closest distance between edge of wetlands: Ið" Closest distance between edge of wetlands: 101 "30' Does the project involve (\ II ^<e. + \ \ square feet % nearest exi~ing structure and upland feet ,,-COfl"\-e..-- o+, \-Iou.se::) nearest proposed structure and upland r J _ t:- " feet " pro p os ~ G<.d.d..Jïl>"" h <To',.......o'\ . í'roposeØ (:>001 excavation or filling? No x Yes If yes, how much material will be excavated?:t\:>~ cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: -r In I (Ø.(U"~~ feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: tþ"UA-V 1IlEL~,;p (M/.e ~ A..n~--f f~ A1~'--':"J ,.UdL .& ..Æun..,/>~ '1-t1YY\ ~. 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): \'ìö S'L9J\~..ç\ ;r....L.-T c.çç~c.-\- (;\,\ -\-h<.. uvd \~ o.-...f) t:..J_O \ ") ~ A W Iì___""""l:. n.() di::.- r.Ð 0 ~ i IV (" 0 P Q ~ ~ o-p..Q.... . ~ ;..... a.-.-.. ý~~ ~::;~.~~n~~ ~/lMÁ Þ ~ ~j~~If.~¿~1 ~~~)~~~M~ ..._.~ ~ ~ .J~ p~ --""'..R.. ð<.- ~-_.~_ ~ -<#e.·:C./3~· ~'1 . ' hh~ /;Lo-VJ 'flr ¿£..,..;f -h 14-16·01. 12f87'i- Text 12 I'PROJECT 1.0, NUMBER . . 617,21 Appendix C State Environmental Quality Review SEC SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I-PROJECT INFORMATION (To be completed by Applicant or Project sponsor) " 12 PROJE':7 NAME C.....~\Je-5 3. PROJECT lOCATION: 'Su- MunIcIpality C,Junty 4. PAEC:SE lOCATION (Street address and road Intersections, prominent landmarKs. e[c., ,Jr ;:JfOV10e maol 2.01..4-' :>/r;: 0"~ fJ V-( , EI..5 rr. 0...,. n..L-c.l- ~ 5. IS PROPOSED ACTION: V o New [. :Expansion !lì..Modificatlon/alteratlon 6âE~C~IB~:C~~R~ck.~ l.w~ p~ OJ ec:-s 5 J 6~y <> n-d t ~ ~ -b ~ t>-Zp r' >vt:;, ~...¡!: 2,,<) ¡c 3> ò '15 f' 0 0 I ev....J.... d(L' ;. ~~ """"è 7. AMOUNT OF LAND A:feCTED: IniUally . 4 ~ acres Ultimatelv . LJ .3 acres a. Wll!... ?RO?rJSED ACTION COMPLY WITH EXI$í[NG ZONING OA OTHER EXISTING LAND USE :iESõ¡::¡ICõIONS? C Yes ~ No If No. describe brrefly V(),,,n.~ u.. ~ ""E- ~)or ^" t" ,. Q tf'- p tro-f ...l.o Lo, ""l:;" .; I <.. 75 ~ 9. 'lJHAT 1$ ?~ESENT L.AND LJ::ë IN VICINITY OF PROJECí? ~;:¡eS¡den1ial [J,~noust(la C C,Jmmerciðl £e~c:lbe: U Agriculture ~ ParK/ForesUOcen space '-.,j Otner 10. DOES ACTION INVOLVE A PERMIT APPROVAL OR FUNDING. NOW OR ULTIMATELY FROM ANY QíHER GOVEFlNME~TAl AGENCY (F2DERAl. STArE ûñ LOCAL)? IZI Yes 0 No N'I5-DE='-: N-:I" 5" ,,~....o A.-i hv--w ' f.> r ~ 11. DOES ANY ASPECT OF THE ACTlor., HAVE A CURRENTLY VALlO PERMIT OR APPROVAL? DYes ÇïNo If yes. list ageOCV name and permIt/approval If yes. list agency(s) and permiUapprova/s .'" 12. AS A RESULT OF PFlOPOSEiJ ACTION WILL S</STING PERMIT/APPROVAL.. MEQUIRE .~ODFIC)"IION? DYes 'DNo )..oplicant/sponsor D.He 1'/U/(J7.; I?~ Signa lure: ¡~ If the action is in the Co"stal Area, and "fou are a state agency, complete the Coastal Assessment Form before proceeding with this a,~~essment OVER . . Town Hall 53095 Route 25 P,O, Box 1179 Southold, New York 11971-0959 Tetephone (631) 765-1892 Fax (631) 765-1366 Albert J, Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD ----------------------------------- In the Ma~ter of the Applisation of _~rj_~i~~~~_______________ COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, (J4íH-I'fIl,AJFé He "IA-A..>ð, residing at I.;L /?1/ (. (. P<I tV /:) L... A. 13', mOIL/<. ¡-hiS A) y /I C, </0 being duly sworn, depose and say: ','hat_ or. th~ 1"( day of AUJ<nt, 2000, I i;!,erso~ally posted the ;,;roperty known as I Ql.f5 C,<(.V"c~ fJU.l(. ~. CI.;~c.hOj"~ by placing the Board of Trust.ees official poster where it. can easily be seen, and that I have checked to be süre the pos~er has remained in place fer seven days prior to the date of the ~ublic .!}~~.ring. Da:lë~ o,t hearing noteá thereon to be held OuO.J3 ~ on cro.o<.:U..'t "I',l).) VI'r\. - Dat~d: ~..~..;~ ignature) ~ Sworn to before me this /-</ day Ofa.......;, 200 .. ..Á an.....J .1 ðl . ':>?? (7.. ''2' l, Ñotary Public SANDRA M, COOPER NOTARY PUBLIC, Stat. of Now YOrk No, 4801478 Qualifi.d in Suffolk County Commission Expires !anuaf~ 31. 2000 . . APPt.ttANT TRANSACTIONAL DISCLOSURE FORM The Town ot Soubhold's Code of Ethics prohibibs cont1icts of inberesb on the ar~ of town officers and em 10 ees. The ur ose of this form s to rovide information wh h an alert the town of poss ble confl cts of nterest and allow it to take whatever action is necessary to avoid same. tOUR NAHRt () . .,"\::, ";;iJl~':~!"'\ A fL.\... . \(,[<::'5> ~ "-~:'\'":""""'" Last name, first name, m dd~e n t aI, unless you are applying in the name of someone else or other entity, such as a company. I~ so, indicate the other person's or company's name.) - . . .~~\:~ : . ~~ ~..'!:", r.. NATURE OF APPLICATION, (Check all that apply.) Tax grievance variance change of zone ^p'p~~al of plat Exemption from plat or ofCicial map other n (I f "other," name the acti vi ty.) \j\j ~ì LÇ>../V 1>:5 Y ¿,,< I'll\. .-r- Do you pereonally (or through your cOMpany, spouse. øibltng, parent, or child) have a relationehip vi"h any officer or employee of the Tovn of Sou"hold? -Rela"ionship- includes by blood, marriage, or business interes". -Dusiness in"eres"- means a busineos, including a partnership, in vhich the tovn officer or employee has even a partial ovnership of (or employmen" by) a corporation in vhich the "ovn officer or employee ovns more "han 5% of "he shares. YES NoL If you ansvered -YBS,·, complete the bàlance of this form and da"e and sign vhere indicated. Name of person employed by the Town oC 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 s"ock of the appllcànt (when the applicant is a corporation), B) the legal or béneficial owner of any interest in a noncorporate'entity (when the applicant is not a corporation), C) an officer, director, partner, ör employee of the applicant I or D) the actual applicant. .. ....\. DESCRIPTION OF tlELhTIONSIIIP .. ,,' , , ~~. .. . . ., . ~ -. . . ... ". ,.U _.....:"1... .. " r ,"' '.... ...·2 submitted ._ ,.' . .. ¡,¡:··r"'..¡,, _,../.i.../\.:.. ~: ~j I :'~!~'r~~~'{?" ---:: ,-:; .. /",..' '''¡'.,.~..:;'..,.! . _. j" t..... "'(" ¡~" . f"""~"'II"" 'J. I .. l.g.4}-_'" ' signature 'Pr! n I: name CAT: I-t'è ti:t.(¡~;¡;~¿~~ ~""~"~~""A"";-'~" "":'''f,~..,,-, ",,'\ - ~, . t\··{·~~i':::·.y~".~; ¡' ..,. '.J~, ,~. ':- ....... ~ ì~···'(· '. :', :", ",.". ;.:", T" ì..:~ '."., \'~ ; :,...,.~. ," .", \ -, ,:. e-v "'~~:"~:¡