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Home My WebLink AboutTR-5916 . . . "_...!-_"_u·_· . ._~._~.---,_. _"._ > . , - TERM$ IIincI CONDITIONS 11ie I'enniUee Howard Safir ~;"ß at 3121 Oaklawn Av,e.. Southold N. Y.. as pm of the ~OQ lor the ...··~cof the Permit docs uødeøtaod and pœscrlbe to the fol· lowing: , 1. That the Aid Boatd of T~ and the Town of SouIhoId ate rdeucd &o.n any and all daJDa&es, or claims t« c!amaßes, of ,... ....wac ditecdJ « 1Ddirecd1 as . ~ of any of' úIoo pedoaaed paøuIIIt to this pctmit,¡ &Ad the fÚcI ~ '. J..... ·.ro.·.rllls or bet own arc-. delead -r and all JUCb 1IIiIs·lnItI.ted.., ~..atda, and the Aid 110. "4 ~ __ faUliIhWty with reSpect cbaeto. ~ the ""'1IJ?'''''f' ' of the !loud 01 TnsIees.oI the TOWD 01 ~ I 2. That ibis I'eaDk Is' ft!ld foe . pedod of 24· -. wIdd1ls CGioIIdcd to be the _...·fed åme' required to œft1ptete the ,1VOIk fa'fOtwd, batiboaJd ~___ 'IIUftbt, request loe "" exœasioo _y be -..Ie to the ØoucI at . .., Qce. 3. That dús Permit sbouId be reuIøed ladefialcely, or as 100& as the Aid Peøaiuee wishes to ....¡""'In the lttIICture or ptoject favolved, to proride nideaœ 10 anyooe coaceraed that oath- .odzadoo was odpaa1Iy .......Ined. 4. That the 1VOIk imolved will be lUbject to the ~ and appcon1 01 ibe BoercI or ill agents, and -.œmpLWxe with the ptarúioas of the "';81-", appIIatioa. may be ~ for ftYOCalion of dús Permit by resoIulioa 01 the said Boud. 5. That Iheœ will be no unreosoo,ble fated_ with nnigadon as . ICSIIlt of the work Laån aùtbomed. 6. That Iheœ IbaI1 be no latedereoce with the ri¡Þt 01 ibe pubIk to pus and ft{IUS aIœg the belch a.--b/sh and low _ DMIb. . 7. That If fucure øpe""tlons of the T_ of ~ nqake cbe. -'. aIlI1/or aI~.·.Ir"f In the to-o...... of ibe 1VOIk beteIn ..,¡J Ih '-I ~ or V. fa the .,.w- of ibe BoercI of n..-. cbe . wødt sbaU ~ ~e obscracaon to free øøipdoo. the Aid f1' II... will be recpdrecI, IIIpO<1 cIÞe nodœ, 10 remove oc alter this 1VOIk « project beRIa .... "kb...4 Uf-' to the T_ . of SoIachoId. . . 8. That the Aid Boatd will be nodEü-l by the 1WIn1_ or ibe I'" .f"1on. of the work oath- orized. 9. That the 'JWmI_ will .. all other permks and ....-..·ChIt may be rec¡ahed IIIp- f"-' to dús peanIt ~ maybe I1IIIJect to moaIœ apoa úIIaœ to .. ame. . . ., . . Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P,O, Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTH OLD May 26, 2004 Mr. Howard Safir 215 East 68th St., 30E New York, NY 10021 RE: 3121 OAKLAWN AVE., SOUTHOLD SCTM#70-6-10 Dear Mr. Safir: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, May 26, 2004 regarding the above matter: WHEREAS, HOWARD SAFIR applied to the Southold Town Trustees for a permit under the provisions of Chapter 97 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated April 9, 2004, and, WHEREAS, said application was referred to the South 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 May 26, 2004, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 97 of the Southold Town Code, 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 HOWARD SAFIR to install a waterline over the driveway utility easement for county water. 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 of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees: None Very truly yours, b~·1 9- ~. ·79<L.~· 9-> .. Albert J. Krupski, Jr. President, Board of Trustees AJKllms . . Telephone (631) 765-1892 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Tuesday, May 11, 2004, the following recommendation was made: Moved by Don Wilder, seconded by Doris McGreevy, it was RESOLVED to recommend to the Southold Town Board ofTrustees APPROVAL WITH A CONDITION of the Wetland Permit application of HOWARD SAFIR to install a waterline over the driveway utility easement for county water. Located: 3121 Oaklawn Ave., Southold. SCTM#70-6-10 The CAC recommends Approval of the application with the Condition the area is restored to the previous condition. Vote of Council: Ayes: All Motion Carried . . New York State Department of Environmental Conservation Division of Fish. Wildlife & Marine Resources. Region One Marine Habitat Protection Building 40 - SUNY, Stony Brook, New York 11790-2356 Phone: (631) 444-0295 FAX: (631) 444-0297 Website: www.dec.state.ny.us ~ .... ~ Erin M. Crotty Commissioner WARNING LETTER March 25, 2004 Howard Safir 215 E. 68th Street New York, NY 10021 Re: 312 Oaklawn Ave, Southold (Suffolk) Suffolk Tax Map ID: 1000 - 70 - 9 - 10 Dear Sir/Madam; During a recent inspection, Department staff noted a potential violation at 312 Oaklawn Ave, Southold (Suffolk County). Specifically, excavation of a trench approximately 3' wide by 150' in length in the adjacent area to a regulated tidal wetland without benefit of permit. These are regulated activities within the Department's Tidal Wetland jurisdiction and therefore, require a permit from the Department. Conducting regulated activities without the required NYSDEC permits is a violation of Article 25 of the State's Environmental Conservation Law. Such violations may be subject to a maximum penalty of $10,000 per day per violation. At this time, the Department is issuing this warning letter in lieu of further enforcement action against you. TIle [' r' .1 isJ.A...: . LÞ...-. r It [... oIflf_.........1 at Ihb ." ..'JIIIa J I ........hl.. ¡- 1IIiao.:....Ii\.n,-vf~..J; Tòu are,et,';'''J, hc¡",_._., It.d! ar'Tfutbn.. ~ I 1 J ....,..IT :a-alOÒO&h ."" r' 11\- ..m.. Thank you for your cooperation in this matter. Sincerely, , I '.. ~I.'~ Charles T. Hamilton Regional Manager Natural Resources Region 1 W04 CA 01 cc: file 03/~5/2004 11:08 FAX 83144404IiÞ NYSDEC - BMBP . ~001 New York State Department of Environmental Con..rvatlon Diviaion of Fish, Wildlife 81 Marine Re.ource., Region One Marine Hlbltllt ProtecUvn Building 40· SUNY, Stony Brook, New York 11790.2358 Phone: (6311 444·0295 FAX: (831) 444-0297 ~ W Erin M. Crotty Commlslloner Fax Transmission Cover Sheet To: H~~ From: (],/.A.4o-r:J ~ Menage: L ~ ~.,,¿ ir ~..~..I ~ -Iv ~ ~~~ ~ ~b..~ JJ;L. k 4&. ~-h J¿A (l1-~ Vd.i..¡. ~~ ~. ## Pagu + Cover: ¡.-. Date: :5) :zr:JI'f ~ M'~.":"" ~~~ - 031:5/2004 11:08 FAl 8314440~ NYSDEC - BMHP . 141002 New York State Department of Environmental Conservation Division of FIIh. Wildlife .. Mlrlne AesaurcII. Region Onl Marine Hablœ1: Protection BuIlding 40 - SUNY, Stony Brook. New York 11790-2366 Phone: (631) 444-0295 FAX: (831) 444-0297 Webllte: www dec.state.nv.us e ~ Erin M. Crotty Commisaiorwr WARNING LETTER MilCh 25, 2004 ~ S8fir 215 E. 88th Street N.w York, NY 10021 ~: 312 OIkllwn Ave, 8oulhokl (SUffolk) SuII'olk TIX Map ID: 1000·70·9 -10 Dear SirlMldIm; During I rwcent in.pecUon, Department st.tr noted .1 patIInUII YIolatlon at 312 Oeklewn Ave, Southold (Suffolk County). Speciflcelly, eXCIVlltion of I trench approxlmltely 3"wtde by 150' in length In the edjace.nt 8tH to I regu1118C1 tklel MtlanCl wIIhout beMIIt of p.-rnlt. These In regulated activities within the Department's Tidal WetllInd Jurl8dlctlon and thet..t'ore, ..-quire a permit from the Department. ConCluctlng reguleted 8CUvttles without the reqIIired NYSDEC pennits Is a YkMtion' of Article 25 of the state's Environmentlll Conservetlon l.8w. Such YIolatlons may be .ubect to II mlXlmum penalty of '10,000 per day per vlolalion. At this time. the Departm8nt Is I..uing thl. WIImlng ¡ltter In lieu of futther enforcement action IIgllnst you. The Department Is 8IIthortzing the completion of !he project at this tImII. We now COIIIIder this violation resolved. You Ire remlndeCl, however, thIIt any future reguleted activity WIll require the Ipproprfate pennlts. think you for yOur coopel'llUon in this metter. Sincerely, ~ \ (32...Q. -r .....ell.. ... Cherles T. Hamilton Regional Manager NsturaI RllOUl'OIII Region 1 wo.t CA 01 c:ç; file . . -"".. 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NOTICE Police Dept. - Bay Constable Town of Southold Peconic, New York 11958 &-~ NOTICE-OF VIOLATION Date: March 3, 2004 To: Howard Safir (Owner or authorized agent of owner) Address: 215 East 68th St., APT 30E, New York, N.Y. 10021 (Address of owner or authorized agent of owner) 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 you are conducting activity within 100 feet of a wetland without first obtaining a Southold Town Trustee Permit. You are therefore directed and ordered to comply with the following: Cease all further work in drive way. Apply for a Trustee Permit for work already done. ~ ,. on or before the 2 day of April ,20~ The premises to which this Notice of Violation refers are situated at: 3121 Oaklawn Ave., Southold, N.Y. 11971 Town of Southold, Suffolk County, NY (Suffolk County Tax Map Designation: Dist. 1000 Section: 70 Block: 6 Lot: 10 ) 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 Trustees of the Town of Southold, provided that you file a written request with the Clerk of the Trustees 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. DOCKET NO.(S) TOWN OF Southold DEFENDANTS IN CUSTODY VIOlATION INFORMATION FROM DATE & HOUR TO DATE & HOUR RK , 1. LK } SS } Defendant(§i 2. uthold , Howard Safir 3. B;C. Kent B. McCarthy VILLAGE OF . . STA1E OF NEW YO COUNIY OF SUFFO VIlLAGE OF TOWN OF So Name (Complainant) of No. Southold Town Police Department, POB 911, Peconic, N.Y. 11958 being duly sworn. says that on or about March 1, 2004 Hamlet ~of Southold Howard Safir at about at 3121 Oaklawn Ave. Town of S01ltholrl County of Suffolk, State of New York. the defendant(Ji) 215 East 68th DOB 2/24/42 St., Apt 30 E, New York, N.Y. 10021 , wrongfully, intentionally, knowingly, weIltIß(Jì'I- w,h.~lIIit committed the ofIense(~ of: Conduct activity within 100 feet of a wetland. No Trustee Permit pursuant to 97-20. A violation of Section 97-33 A of the Southold Town Code. in that: Count #1 the defendant, at 3121.0aklawn Ave., Hamlet of Southold. Town of Southold, County of Suffolk,·~tate of New York, on or about March 1, 2004, having no right to do so, did conduct activity within 100 feet of a wet- land without first obtaining a permit from the Southold Town Trustees. Therefore violating Section 97=33A of the Southold Town Code. This complaint is based on (personal knowledge) <'b(~.c._..-'*'-.-lift~1då1U Direct involvement of deponent. ~~ dated '} [the attached laboratory report of the ]*. dated SWORN TO BEFORE ME TIllS 15 ~^-~ OFOFFICW.~ W_11:nII'IG ami. '-'¡;""';. .."- Sergeant- Southold>Town Police DAY OF March ü ...2Jlll9 mu¡' -~" ,.". -1 ...·f~. .:¡" .~.....' ';:: :~~:,~~~\)1d";; +" " '..."i'" 6HIQ..III1co " ,\i~::;;i~Jti:;l;¿~:t~f~ïi~~¥!Z~I;;;~~~§t\;~~~~F¥~;»~{~%f.~i~~i,;é;k:~;%~;:%;;,;:;;;;:"·';·~~~'··~.:,:;~;::,.,'~:"" '~ I 'f' I .., /'/:0' . 15. TIme 1:;,0 'S' " A, .:r...~£.C.,.'T!oiV 20.Citv.State,ZIP(OC 0 T 0 V) 5ð"'~L... fJY 1/9") I . . 23. No_ of Victims ( v .~ . 24. NO. of Suspects 001 ~'j' I! ',', G, H ~Ncr tJI'''~tq H, ,,',-'.,:- "rJl '.~ 31. Ethnic o Hispanic 0 Unle.. o Non-Hltpanic ',I:::'~I\(t 36. AllaslNlc:knamelMaiden Name (last" Fint. Middle) H Residence Status 0 Temp. Res. - Foreign Nat. a f\eo\.dent Brounst OStudent nOther Commuter MIlitary 0 Homeliss DUnk 37. Apparent Condition o impaIred Drugs 0 Mental Dls 0 Unll. a Impaired Aleo 0 Inj I In 0 App Norm , ., TABlfù 38. Address (Street No., Street Name. Bldg. No., Apt. No . Cltv, State, lip) o Home o Work L, 44. Race o White 0 Black 0 Other o Indian 0 ASIan 0 Unk. 47. Occupation M, I.~ OJ ~ 'r,:,,_, 52_Gla~ o Yes 0 ContactS o NO 53. Build o Smatl 0 large o Medium 57. Misc. N 51. Eves 75. NYSPIN Message No 76. Complðlnant Signature 1810NO M-'2....., 79 Supef'<tlsor"s Signature (rn(lude Rank) so. 10 No o Unfounded o Warrant AdvlSKI DExtrad Dechn 0 Unknown 82_ 5tattJsDate 83_ Notified/TOT 0', Page'5 ß I '¥ 1'1 DUS·3205 {2/971 "FALSE STATEMENTS ARE PUNISHABLE AS A CRIME, PURSUANT TO THE NEW YORK STATE PENAL LAW NOTICE Police Dept. - Bay Constable Town of Southold Peconic, New York 11958 NOTICE OF VIOLATION Date: :.',arch 3, 2004 To: Howard Safir (Owner or authorized agent of owner) Address: 215 East 68th St., APT 30E, ~ëW York, ~.Y. 10021 (Address of owner or authorized agent of owner) Please take notice there exists a violation of the Code of the Town of Southold, Chapter 97 Article II, Section 97-20 a premises hereinafter described in that you are conducting activil)' -;..,rlthín 100 feet of a weLlüw.l wLtllOlJt first obtainLl.g .1 C),Jurhùtd Towr;. TrustE'e Permit. You are therefore directed and ordered to comply with the following: ~ease all_ furthrr wurk i.n dri\Te way. Apply for a rru3t~e Permit £,)"L" ·,.¡ork alre<ldy dnne. on or before the 2 dayof April 20 \)l, . '- The premises to which this Notice of Violation refers are situated at: 31Zl n"kldwl' Ave., SouthülJ, ;'.Y. ll971 Town of Southold, Suffolk County, NY (Suffolk County Tax Map Designation: Dist. 1000 Section: 70 Block: ~ Lot: l0 ) 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 Trustees of the Town of Southold, provided that you file a written request with the Clerk of the Trustees 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. Ba .'...-.:i: 1:>, Constable, To ì '- ,/1 _.......,:~._ n of Southo , NY . . SafirRosetti Security. Investigations' Intelligence OMNICOM GROUP INC. HOWARD SAFIK Chairman and Chief Executive Officer Via Exoress Mail May 4, 2004 ~~ u~y æ_: :04æ ~ Lauren Standish Board of Trustees Town of South old Southold, New York 11971 Southold Town Board of Trustees Dear Lauren: This is a copy of the survey that I obtained from the surveyor. Sincer¢y, Jb& 437 Madison Avenue, 20th Floor' New York, New York 10022 . Tel: (212) 817-6700 . Fax: (212) 817-6728 . E-mail: hsaflr@safirrosetti.com . . SàfirRosetti Security. Investigations' Intelligence OMNICOM GROUP INC. HOWARD S.u"IR C/1aÏl'm8n and Chief l;)Cecutive Officer Via Fax (631) 765-1366 and Express Mail Board of Trustees Attention: Lauren Standish Town of South old Southold, New York 11971 ~ [ ~R ~ n ~ ,[ ~ SOuthDld 10l'ln Board of Trust~es Re: Trustee Permit Application 2131 OakJawn Avenue, South old, New York Dear Board of Trustees: In reference to my application for a Trustee Pennit to connect a water line from my house at 2 I 31 Oaklawn Avenue to Suffolk County water, let me provide you with the following tàcts. Last winter my wife and I were asked by a local committee of citizens whether we wished to hook up to Suffolk County water when it became available in the spring. We indicated that we would be interested and through trus committee, contacted the Suffolk County Water Authority, who advised us that we would have to hire a licensed and bonded contractor to run a line from our house to Oaldawn Avenue. My wife then contracted with Krieger Well & Pump Corp, of Matti tuck, New York. Krieger Well told us that they could shoot a "bullet" under the shared driveway to which we have a right of way and where our gas line currently runs trom Oaklawn A venue to our house. We assumed that since Krieger Well was in this business that they knew and would obtain whatever pennits were required. About March I of trus year, I received a call trom a neighbor. Mr. RlIssell, complaining that our contractor was digging up the driveway without proper notice to him. I contacted Krieger Well and was told that Mr. Russen had complained to the State DEC and the Town. This was the first I became aware that no permits had been obtained. I asked Krieger Well to make sure they were compliant with whatever pennit requirements there were and I, personally, called both Lauren in the Trustees' Office and Chuck Hamilton at the State DEC. The State DEC looked into the matter and responded with a letter advising me that we had not properly pennitted this project. However after looking at it, thev have approved completion of the project and no further action is required on my part with the State DEC. I have provided a copy of the State DEC letter to Lauren. 437 Madison Avenue, 20th Floor' New YorI<, New Yorl< 10022 . Tel: (212) 817-6700 . Fax: (212) 817-6728 . E-mail: hsaflr@saflrroselti.com . . Board of Trustees April 27,2004 Page Two When I contacted Lauren in the Trustees' Office she advised me of the permit requirement and provided me with an application which I have submitted. She also advised me that because the work had begun without permit, it would be necessary to pay a double fee ($500). I submitted the application and paid the fee. Recently, Lauren requested that I provide a copy of our survey showing my right of way on the shared driveway. I provided a copy which I have been advised was very hard to read and am in the process of attempting to get a more legible copy to provide to the Board. It is my understanding that the pipe has been installed and that the excavation has been filled in. The work that remains is connecting it to my house and to the Suffolk County water line on Oaklawn A venue when that is finished. Let me state that at no time was it my, or my wife's intention to be non-compliant with any Town or State regulations. We love our house in Southold and are only interested in meeting whatever obligations are required by the Town. I hope this is helpful in clarifying this matter. Sincerely, I~ Howard Safir . . 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 Office Use Only _Coastal Erosion Permit Application ...¿.vetland Permit Application - Major Minor _ Waiver/Amendme tJ ges _~ceived Application: rc: n ~ ~ ~ ~eceived Fee:S . tt) ~~ t ¡¡; U --Completed Application =~~~~~~aSSification: APR - 9 2CD4 Type I_Type II_Unlisted_ _ Coordination:( date seTit. ~; ~e[:sr;~~~~~: 5;i£,¥ y B~::1~1:;:es _Receipt of CAC Report: _Lead Agency Determination:_ _Technical Review: ~ublic Hearing Held: ~J:Jb1 OV _Resolution: cf ~'-'<;) ~¿;~ 1\l\ Address 2- J 5- J-J ti w 11-/<-1) ~ b x-1i- 5r ,ç 4P/1( . Name of Applicant 30E I"i y- /J .y /ðO z I / / Phone Number:(zIA Sf /7 - (;; 70 I Suffolk County Tax Map Nwnber: 1000 - 70 - d> - ¡ 0 Property Location: 3/2. I C>lJ.k Ið-w/ú fl-d~ SO",TL.." lo,¡J1Jj. <; AGENT: (If applicable) J(~\¡)t..1\.- IfJl--II -I-tfvrtl / /f 7/ t~ "4 ~~~I04 (provide LILCD Pole #, distance to cross streets, and location) Address: M ftí j í \I t. t:.. - (VI, f/,.:]:K l- G Îc. t..,J Phone: 6" c,(:.. Æ Tf~ Gt:f'tT Ir/r '" Or ;¡:'¡-So-I"A.,N C c.... . ,J1 &31 'l.Qk'-4N/ 1-<- . . Board of Trustees Application GENERAL DATA Land Area (in square feet): soo(') ¡¿c. s {dc'\! rr",- L Rr '\ r J c....J T( <t L fLc S ( d (' .-.j /'r'Ai't l Area Zoning: Previous use of property: Intended use of property: Prior permits/approvals for site improvements: Agency Date NýIJ.EC 3/Z--J/cJ Y r /!-IICLC~J _ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a goyernmental agency? No v Yes -- If yes, provide explanation: S ~ c. It- T?-GC k ( ) (' ù r.J S T 0- ~ ILL e {(t>n ß IJ-ý I Project Description (use attachments if necessary): í:,..s S r<J.--. L L w ~teA- I-(NL U Î((¡1'- V I µ þ/CrZ o rJfI.~ /J rf u: {M4- Ý ( AI/[ CO LJ /\f ry I r¿ o...Sc. ~ . . Board of Trustees Application WETLANDffRUSTEE LANDS APPLICA nON DATA Purpose of the proposed operations: ¿ II II! /1/ CLC- r ÎO c,o U N 'f--v ! {pi I\- re IZ.. Area ofwetIands on lot: o o square feet Percent coverage oflot: % Closest distance between nearest existing structure and upland edge ofwetIands: J 0 feet Closest distance betw? ¡¡est proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? No ~es rfyes, how much material will be excavated?JS'0 cubic yards How much material will be filled? } ~ () . cubic yards Depth of which material will be removed or deposited: t.{ 1/ ~ feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited:~ t:...k.. h 0 <.. Statement of the effect, ifany, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): ¡J Ò rJL . . Board of Trustees Application COASTAL EROSION APPLICATION DATA vt II- iV- c.. 0 '" Nt t. I TO ~ 11.5 c... Go \J #II ry Purposes of proposed activity: Are wetlands present within 100 feet of the proposed activity? No / Yes 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 trom implementation of the project as proposed. (Use attachments if necessary) ~S~V . . I PROJECT ID NUMBER PART 1 . PROJECT INFORMATION 617,20 APPENDIX C STATE ENVIRONMENTAL QUALllY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 2. PROJECT NAME SEQR 1. APPLICANT I SPONSOR flow AM 3,PROJECT LOCATION: .-.-, M"I' 'soJlr-.ð UnlClpaity 4. PRECISE LOCATION: Street Addess and Road Intersections. Prominent P}vZ County '312..' Ofrt.. /~ "",..I ¡¡'¡t. landmarks ate - or provide map P. í JðC/c.cyC ruK" f"í OatiL 5, IS PROPOSED ACTION: 0 New 0 Expansion Modification I alteration 6. DESCRIBE PROJECT BRIEFLY: 1l1),J IN A- TCA- ¡; I pL. T ~ tI J(S t.. P (Z. {f/<.. w;t. y r ð Cð'" ¡V'f Y VI' 1r-'tUt I VJ t... J.. ¡If- vc. e. ¿)--.s~ LA r () tI C!.IL f) I{ I tit<. '-V /9. / . L/~(l.. ('IJ N IVarð~ ~ rJ 0 IV C-ßúC'1 t. J J ()..cc<..sJ , 4.. U 7///r¡- &A-J 7, AMOUNT OF LAND AFFECTED: l-l.-SS T N Initially acres Ultimatety acres 8'~,?POSED ACTION COMPLY WITH EXISTING ZONING OR OTHER ~es D No If no, describe briefly: ,/'" a. CrL RESTRICTIONS? 9, W IS PRESENT LAND USE IN VICINllY OF PROJECT? (Choose as many as apply,) Residential 0 Industrial 0 Commercial DAgncu,ture 0 Park I Forest I Open Space o Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, ~y (Federal. State or Local) ~es 0 No If yes, list agency name and pennit I approval: NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL tJ (>()£ V A TTo-c.L,,) 11~~NY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ~es ONo ïJ"jŠt ag·Õ E a;¿errn~ I a¡¡,v1-r- ~ C- /-¿ J 12, AS A ~F PROPOSED ACTION WILL EXISTING PERMIT I APPROVAL REQUIRE MODIFICATION? as ~ No I CERTIFY THAT THE INF RMATIO J OVE IS TRUE TO THE BEST OF MY KNOWLEDGE ,I. Date: r /7P'( Applicant I Sponsor Name Signature Ifthe action Is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment . . PART II· IMPACT ASSESSMENT (To be completed by Lead Agency) A, DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NVCRR, PART 617.41 If yes. coordinate the review process and use the FUll EAF. Dves DNa B, WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617,6? If No. a negative declaration may be superseded by another involved agency. OVes DNa C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, W legible) C 1. Existing air quality. surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion. drainage or ßoodlng problems? Explain briefly: I I C2, Aesthetic. agricultural, archaeological, historic. or other natural or cultural resources; or community or neighborhood character? Exp~in briefly: I I C3, Vegetation or fauna. fish, shellfish or wildlife species. significant habitats, or threatened or endangered species? Expialn briefly: I I C4. A community's existing plans or goals as officially adopted. or a change In use or intensity of use of land or other natural resources? Explain brieny: I I C5, Growth. subsequent development, or related activities likely to be induced by the proposed action? Exptain briefly: l I C6, Long term, short term, cumulative, or other effects not identified in C1-CS7 Exptaìn briefly: I I C7, Other impacts (including chanQes in use of either Quantity or type of energy? Explain briefly: I I D, WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? (If ves, exptain briefty: I o Ves 0 No I E. IS THERE, OR IS THERE LIKEL V TO BE, CONTROVERSV RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If yes explain: o Ves 0 No I PART III· DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect Identified above, detennlne whether it Is substantial, large, Importan' or otherwise significant. Each effect should be assessed in connection with its (a) setting (I.e. urban or rural): (b) probabilily of occurring; (c) duration: (d) irreversibilily: (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check this box ¡fyou have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed direcUy to the FUL EAF and/or prepare a positive declaration. Check this box if you have deteonined, based on the infoonation and anatysls above and any supporting documentation. that the proposed actio WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary. the reasons supporting thi determination. Name of Lead Agency Da" Print or Type Name of Responsible Officer In Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) . . Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTH OLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD ---------------------~----------------------------------------- In the Matter of the Application of ___I~~!C"~l--~<:Il~i:c____________________________ COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, \-\O"""'....«...l.. s:~L.,residingat ~\S"' £<to¡-\- &~"'"'C:;~~~~ µe..v.. i..~ I ~ i \OO~ \ being duly sworn, depose and say: That on the, 2l'Ib of ~'::1 ,20ff£.I personally posted the property known as ~\~\ Oc.\c.~II.",",'" ~""~, ':::....~~,,\~. f.J,,^,,",'(Q~ 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 of hearing noted thereon to be held II 'ðð- NV\j I ~. a.~ - on or QOU't ~ÖI) PN\. I Dated: (Y!/'+.f'J-J' TC,/Z9() ( (SI ature) Sworn to before me this a,5*'day of 1h¡-200 e¡- M ~~^-~ Notary Public ESTA FISCHER NOTARY PUBLIC, State of New York No. 31-4957113 Qualified in New York County _ Commission Expires Oct, 10, 20~,) . . Q) .. ~J -- ~j en 0 ...c\J TE - 0 N >...0 ~ '- .....0 0-. ~ ..cO=:: e: e: ex> \J .: - ~ ..- ~ tS2 .§ I -0 I.(') Z ~~ Q) :) '<) Q)Ll') ¥ -::\J '" 8·~·§ - ..co- c¡ ..- =0 M a:::: . - C") .. > g '<) ~Ll') V) ~ ~ .. C' .2...c - * « 0) .. c. " ... 1l e:= ~ C .- 0 C:I: H "E Z .i ">- " --' '- 0 LU Q) e: å .. ,.¡ - .S: 0 E J: ...c~ a ~ >... . ~ I ~~ :::> W b :) Q)""U 0 ..c Q) . :z::: 5.....c ~ C2 :r: ~-:: § V') - ~ u.. u- Q) . . « u ð ...2 E 0 0-' Q. 0 o 0 W~_ ~~ci 0 - ~ ~ :r: --" ,-.Q z o C/') Q. ~UJen 0 - a:I § e 5-'7' ~ UJ .- u-::> Q. 0 z.....-:: U -'1 a.. .~ § en ~ UJ C/') m W --' ...c.- ~ >~ .S: --:) LU ~ 'CO f u... .- I: ~ 0 * Ô.....E ::> 0 ¿f .; ~ ~ V') u Q) u.. W ~LLU 0 c.. w -gl!! ":-= w coOe: ~ 0 u.. -3 ~ ~...2 ~ V') ~eU - :::> I- UJ O=::...::tt." V) o ~ « .- Q) Q) a:::: ~ e:- .! :I:«~ - t-~ 0 o..c ~ 0 o-}! ~, - 0 Q) u.. C/') CO ~ W U oð ~ Q)-::..c 0 Z w~ >Oen UJe Q) o > C U-JZ -'3 W 3 ...c 0 0 z ¡::: 0 .. ~ CO ~ :) Q)\J a:::: ::> 0 ~ en ð 0:I::32 0 >.,0 en Z.....o V) ¡::: ,±:...c ~ :::::>-:: U._ CO 05 .- en ...c:) "HI) ~..c . . PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAll, RECEIPTS Name: Address: ( ~ t~"'~e S~-t' .....-\-\...'-~-e~ h,+) ". STATE OF NEW YORK COUNTY OF SUFFOLK +\ 0 ...,Jo.~ <; 0....Q tL ,residing at J\S'~+- G,~"'S~, ~'\ 1'.\.'\ \OO-;}\ , being duly sworn, deposes and says that ~>n the ' "\- ~ day of I-'\a.. i ' 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 6«.tA,,~ (-e...~\ SJ,.~"" , that said Notices were maili:d to e h of said persons by (certified) (R.ÿ~l~.~d) mail. ""'- Sworn to before me this 5' Day of \-\~ ' 20~ ~_.,~- £+ ~~ Notary Public ESTA FISCHER NOTARY PUBLIC, State of New York No. 31-4957113 Qu.alified in New York County _ CommIssion Expires Oct 10 20 Os. , ~ . . Lot 70-6-7 John Russell 15 Farragut Place Amityville, NY 11701 Lot 70-6-8 Hugh Murphy (ano) 8128 S.E. Peppercorn Court Hobe Sound, FL 33455 Lot 70-6-9 Anton Jabrosic (ano) 376 Henry Street Fairview, NJ 07022 Lot 70-6-11 Maria Vampore-Giocoli 2169 47th Street Astoria. NY 11105 Lot 70-6-12 Lawrence and Marion Marks 305 Private Road #3 P.O. Box 364 Southold, NY 11971 . . NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES. TOWN OF SOUTHOLD In the matter of applicant: \-\ o.......o..~~ S~~'I~ SCTM# 1 0 -10 -l 0 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: \'I\.'io~""~ \,/o..Jø..~"'of,.. \''I'e,. 011""-- J..~\"~""",,,/ ,r\.,\¡\,\ ~"''''(\J\.-E'~~ +Or- c:....a........~ ""'C>...~ 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: -\-\.<. f'\~~ ~ <...Jo..1 -\:. ';;).\~\ Oc..\c:. \....""''' ~veV\'-" 3. That the project which is subject to Environmental Review under Chapters 32, 37, and/or 97 of the Town Code is open to public comment on: ~ ""aOO4l . You may contact the Trustees 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. OWNERS NAME: ~Ov..l::>o.('~ ço...+:'/L MAILING ADDRESS: ~1S' E.....~ (O~"" <>"-\-(t.--' k:}D." \~, ~~ looQ\ PHONE#: .;)\~- <ï?(Ì-<Cîo\ Enc: Copy of sketch or plan showing proposal for your convenience. . . Board of Trustees Application "-J""" 'i '" ....L County of Suffi..ll State of New York . J--fo w ¡tR..D S It" r¡(L BEING DULY SWORN DEPOSES AND AFFIRMS THAT HElSHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HISIHER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENT ATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. J4}1- SWORN TO BEFORE ME THIS 7 T1.. DAY OF /I- fr'1 (, ,20J2.!j ~~ Notary Public ESTA FISCHER NOTARY PUBLIC ~·"te of New York No. 31-4~':' .'': 13 Qualified in New 'YOrk County _ Commission Expires Oct 10,20 0_\ ÁCIiBDm CERTIFIC E OF LIABILITY INSU DATE (MM/DDlYY) 03/30/04 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, NCE PRODUCER 1802 Cook. Hall & Hyde Inc. 461 Panligo Road East Hampton, NY 11937 INSURED INSURERS AFFORDING COVERAGE Kreiger Well Pump Corp Main Rd; P.D.Box 101 Mattituck.. NY 11952 I INSURER A. Blue Ridge Insurance Company ~NSURER B !)eCurity Ins~rance Company of H"¡:¡fo___ INSURER c:_ IINSU_RE_~_~: , INSURER e" COVERAGES THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECr TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. iNSFf ---- ----- ------- I-POLICY EFFECTI-~~-·~POLlct /~~~[rç~ 1- - LTR TYPE OF INSURANCE POLICY NUMBER , DATE MMlDDlYY DATE M DlVY LIMITS A ' GENERAL LIABILITY CC007065 06/01/03 06/01/04 i .~~~H OCCURREt:'I<?_~_ ,'1,OOº,000 -- _u_ X COMMERCIAL GENERAL LIABILITY ' FIRE DAMAG~JA_n'y _one !,re, '50,º00 - , CLAIMS MADE X OCCUR : MED ~~ (~.y O/1e person) '5,009___ - I , PERSONAL & ADV INJURY m_~,ºOO,OOO _ , I --- , , GENERAL AGGREGATE , '2,000,000 _ ~ - , ------ --- -- GEN"L AGGREGATE LIMIT APPLIES PER PRODUCTS -COMP,OP AGG , '2,000,000 : POLICY 1 1 j~ 1---- LOG , I A AUTOMOBILE LIABILITY BA008986 i 06/01/03 ¡ 06/01/04 COMBINED SINGLE LIMIT -- '1,000.000 ANY AUTO , (Ea accident) , ALL OWNED AUTOS BODILY INJURY I· SCHEDULED AUTOS I (PerpelSon) m__ I HIRED AUTOS : BODILY INJURY , NON-OWNED AUTOS I \Peraccident) I' I -- -- : I PROPERTY DAMAGE $ (PeraccldAnl) , GARAGE LIABILITY , AUTO ONLY - EAACCIDENT · -- ---- ----- - j ANY AUTO , I OTHER THAN EA ACC · __u : AUTO ONLY: AGG · A EXCESS LIABILITY CU002073 I 06/01/03 ' 06/01/04 EACH OCCURRENCE _~,OOO,Oºº ~ - ! CLAIMS MADE I X OCCUR I A~G~§~ TE _ $3,009,990 ~- I ~$ ---- DEDUCTIBLE - $ I X I RETENTION .10000 , · B WORKERS COMPENSATION AND TCN200897 06/01/03 06/01/04 .X_ ~T~~~r~JNi_ ,OTH- ---- ER "---- EMPLOYERS' LIABILITY u E"l. EACH ACCIDENT .1ºº.000 ------ ------- ~ -- , E.L. DISEASE - E~_ !:.MPLO~~!t 00,000 _ I I E.L. DISEASE· POLICY LIMIT' $500,000 OTHER I, I , , DESCRIPTION OF OPERATIONSIlOCATIONS/VEHICLESlEXCLUSIONS ADDED BY ENDQRSEMENTISPECIAL PROVISIONS Re: Waterline connection for public water CERTIFICATE HOLDER I AD DmDNAL INSURED ;INSURER LETTER: CANCELLATION Howard Safir 215 East 68th SIreet, Apt. 30E New York, NY 10021 SHOULD ANYOFTHEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPlRAT10N DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 15 DAYS WRITTEN NOTICETOTHE CERTIFICATE HDLDERNAMED TOTHE LEFT, BUTFAlL.URE TO DOSOSHAlL 1M POSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR ACORD 25-S (7/97) 1 of 2 #S85621/M71807 SP2 '" ACORD CORPORATION 1988 ,." . IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 2S·S (7/97) 2 of 2 #SB5621/M71B07 . . APPLICANT/AGENTIREPRESENT ATIVE TRANSACTIONAL DISCLOSURE FORM The Town ofSouthold's Code of Ethics orohibits conflicts of interost on the DIIlt of Iown officers and em"IOYCe" The DIIrDOSe of this fonn is to movide information whieh can alert the town of oossibJe conflicts of interest and allow it to take whatever action is necessarvto avoid same. Ll., W IM..O & FiR.. ' YOUR NAME: [J.}. (Last name. first name, J¡liddle initial, unless you are applying in the name of someone else or other entity, sucb as a company. If so, indicate the other person's or company's name.) . NAME OF APPLICATION: (Check alllhat apply.) Tax grievance Variance Change of Zone Approval of plat Exemption from plat or official map Other (If"Other'', name the activity.) Building Trustee Coastal Erosion Mooring Planning ..",..-- Do you personally (or through your company, spouse. sibling, paren~ or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood. marriage, or business interost. "Business interest" means a business, including a partnership, in which the Iown officer or employee has even a partial owneI8hip 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 this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Descrihe the relationship between yourrelf(the applicant/agent/representative) and the town officer or employee. Either check the appropriate line A) through D) and/or descrihe in the space provided. The Iown officer or employee or his or her spouse, sibling, paren~ or child is (check alllhat apply): _A) the owner of greater than 5% of the shares of the corporate stock of the appli"'"t (when the applicant is a corporation); _B) the legal orbeneficial owner of any interest in a non-corporate entily (when the applicant is not a COIporation); _ C) an officer, director, partner. or employee of the applicant; or _D) the actual applicant. DESCRIPTION OF RELATIONSHIP ¡iðd'- Form TS I ~~~n:: fuis g- dE! 1f; 2oo-Y. Print Name ~ n H F ~ Ie