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HomeMy WebLinkAboutTR-5938 James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall Annex 54375M~n Road P.O. Box 1179 Southold, New York 11971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD February 20, 2013 Anthony & Sonmi Wong 34 Avolet Court Mount Sinai, NY 11766 RE: 2520 CLEARVlEWAVENUE, SOUTHOLD SCTM# 70-10-29.1 Dear Mr. & Mrs. Wong: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, February 20, 2013: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit #5938 from James & Eileen Buglion to Anthony & Sonmi Wong, as issued on June 24, 2004, and Amended on October 20, 2004. If you have any questions, please contact our office at (631) 765-1892. Sincerely, James F. King President, Board of Trustees JFK/amn P.O Box 1179 Southold. NY 11971 Telephone (631 765-1892 Fax (631 ) 765 -6641 Southold Town Board of Trustees Field Inspection/Worksession Report Date/Time: ANTHONY & SUNMI WONG requests a Transfer of Wetland Permit #5938 from James & Eileen Buglion to Anthony & Sunmi Wong, as issued on June 24, 2004, and Amended on October 20, 2004. Located: 2520 Clearview Avenue, Southold. SCTM# 70-10-29.1 T~aOf area to be impacted: ; Itwater Wetland FreShwater Wetland Sound Bay Distance of proposed work to edge of wetland Part of Town Code proposed work falls under: ~-dShapt.275 Chapt. 111 other Type of Application: Wetland __Coastal Erosion __Amendment __Administrative__Emergency Pre-Submission Violation Info needed: Modifications: Conditions: Present Were: ~J. King '"-B. Ghosio ~'"~D. Bergen, ~-'"J~Bredemeyer t.~chael Domino D. Dzenkowski Form filled out in the field by Mailed/Faxed to: Date: other Albert J. Krupski, President James King, Vice-President Art~e Foster Ken Poliwoda Peggy A. Dicker~on Town Hall 53095 Route 25 P,O. Box t[79 Southotd, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 October 20, 2004 BOARD OF TOWN TRUf3TEE$ TOWN OF SOUTHOLD Mr. James Buglion 7 Penny Lane St. James, NY 11780 RE: 2520 CLEARVIEW AVE., $OUTHOLD SCTM#70-10-29.t Dear Mr. Buglion: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, October 20, 2004: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit #5938 to increase the front porches from 4' to 7'6", reducing the front yard setback from 40' to 36'6", and as depicted on the survey prepared by Joseph A. Ingegno last revised August 24, 2004. This is not a determination from any other agency. If you have any questions, please cell our office at (631) 765-1892. Sincerely, Albert J. Krupski, Jr. President, Board of Trustees AJK:lms Board Of $outhold Town Trustees SOUTHOLD, NEW YORK 5938 PERMIT NO .................... DATE: 6/24/04 James and Eileen Buglion ISSUED TO .......................................... ~ .............................................................................. Aut'l ri utian - Pursuant to the provisions of Chapter 615 of the Laws of the State of New YorE, 1893; and Chapter 404 of ~e Laws of the State of New Yore 1952; and the Soufheld To~n Ordlnence eh- IN AND ON TOWN WATERS AND PUBUC LANDS amll~ REMOVAL OF SAND. GRAVEL. OR OTHER MATERIALS.F~C)M LANDS UNDER TOWN WATERS;.'L and in a¢corde~,e wl~ the Resolution of The Board adopted at a meeting held on ........J...u_.n.,.e..:..2...4... · ZP.P.~.., and in consideration of the sum of $..-~,G0 ......pdd by .. James and Eile~en BRgliola ........................................... :._ ._ of ............... ~o..q~:~.?!.~ .............. i ................. N.Y. and. ~ubied fo the Terms end Conditions listed on the reverse ride hereof, of Southeld Town' Trustees authorizes and permfls the following:. Wetland Permit to construct a single-family dwelling with a deck, pervious drivhway,fencing, sanitary system, a 4' wide path to the water, drywells and gutters to contain. roof runoff and all as depictg~ o.~ the plant'reputed all in accordance with the deleted q?eoHica.om as presemea m -the adgineting eplgi~fion. Joseph A. Ingengno last revised Ma 5,' 2003. IN WITNESS WHERE', The ~ld Board ~ Trustees kate- by causes ~ Corporate. ~el to be affixed, and these pm _~ fo 0 GOOSE CREEK SURVEY OF PROPERTY TOWN OF SOUTHOLO SUFFOLK COUNTY, NEW YORK S.C. TAX Ne. 1000-70-10-29.1 1~=50. James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD APPLICATION FOR A TRANSFER OF A WE' JAN 2 5 20]3 ~i DATE OWNER MAILING ADDRESS AGENT ADDRESS PHONE PROPERTY LOCATION ~o.t~o/c~ TAX MAP NO. '~0-//.) -_9 9. ] Permit# ~-c/-~ from request a Transfer of Signed By: 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) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: FROM: DATE: RE: Building Dept. Board of Trustees April 28, 2005 JAMES BUGLION 2§20 CLEARVlEW AVE., SOUTHOLD SCTM#70-10-29.1 With regard to the above-referenced property, an inspection was made and it was determined that the single-family dwelling and decks were constructed in compliance with Wetland Permit #5938, as issued on June 24, 2004, and amended on October 20, 2004. If you have any questions, please do not hesitate to contact us. Ma~ 04 04 []3:~5p 3im Buglion B31 584 3372 May 4, 2004 Boarcl of Trustees Town of Southoio 53095 Routa 25 Southold, NY 11971-0959 Dear Board of Trustees. UAy - 4 ZOO4 Southoid Town Board of Trustees After speaking with Loren today I've mistaken the data of the letter dated May 12, 2003 to be the effective date of our extension for above permit_ Of oaurse she explainecl that the extension was approved on April 30, 2003 and that my extension expired, Being inexperienced at this process, I'm asking if there is any other way to renew my extension in lieu of applying for the June me~flng. We've been applying fo~ b'lese permits for throe years and finally got the last one. The building depar~nent approved us on April 6,2004 (30219) and in ~e flurry of activity to line up the builder and oantmctors, we er1~d on Ihe dates w~th The Trustees pef111it. Arly help or suggestkms you have would be greatly apprec~2,.. Sincerely,.. James Bullion 0.37 I~: 0?80 '~ ~ ! 0.~ UNIT I~: 0780 0.37 UNIT II): 0780 s 0.~ UNIT II): 0780 $ 4 A2 o5/28/~ Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Bsx 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 October 20, 2004 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. James Buglion 7 Penny Lane St. James, NY 11780 RE: 2520 CLEARVIEWAVE., SOUTHOLD SCTM#70-10-29.1 Dear Mr. Buglion: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, October 20, 2004: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit #5938 to increase the front porches from 4' to 7'6", reducing the front yard setback from 40' to 36'6", and as depicted on the survey prepared by Joseph A. Ingegno last revised August 24, 2004. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, Albert J. Krupski, Jr. President, Board of Trustees AJK:lms Telephone (631) 765-1892 Town Hall 53095 Route 25 P.O. Box I 179 Southold, New York 11971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Monday, October 18, 2004, the following recommendation was made: Moved by Don Wilder, seconded by Doris McGreevy, it was RESOLVED to recommend to the Southold Town Board of Trustees DISAPPROVAL of the Amendment application of JAMES BUGLION to Amend Permit #5938 to increase the front porches from 4' to 7'6", reducing the front yard setback from 40' to 36'6". Located: 2520 Clearview Ave., Southold. SCTM#70-10-29.1 The CAC recommends Disapproval of the application because the work has already been done. The CAC recommends a violation. 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' ~031) 705-1892 Fax (631) 765-1366 BOARD OF TOWN T~USTEES TOWN OF SOUTHOLD 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. INSPECTION SCHEDULE ~ Pre-construction. hay bale line 0~'l/'~16J~,/~-'--~'~'~~ 1st day of construction constructed t,"~Project complete, compliance inspection. Board Of $outlmld Town Trustees SOUTHOLD, NEW YORK 5938 PERMIT NO ...................... DATE.' ...~.!.~.4.!.0,~ ........... James and Eileen Buglion ISSUED TO ............................................ ~ ....................................................................................... Pursuant to the provisions of Chapter 615 of the L~ws of the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and the Southold Tov~n Ordinance IN AND ON TOWN WATERS AND PUBLIC LANDS and fhe REMOVAL OF SAND, CoRAVEL' OR OTHER MATERIALS~F!~M LANDS UNDER TOWN'WATERS;!~. and in ac¢oedeoce w~h the Resolution of The Board adopted afa meetlncj held o~ ......~..u.p:~.:..~.~... · 2.g.g.~..., and in consideration of the sum of $...250...g0 ...... paid by .......... ~.a.g/~...a.~d .Eileen ~]~gl~on -: : ..... of .................. .$.?~.~.9].~[ .............................................. N. Y. and. mbject to the Terms and Conditions listed on the reverse ride hereof, of Southold Town' Trudees authorizes and permlfs the following:. Wetland Permit to construct a single-family dwelling with a deck, pervious driveway,fencing, sanitary system, a 4' wide path to the water, drywells and gutters to contain. roof runoff and all as depicted o¢ the ~lan~rel~ared b' all in a~ordance wWn the deta~d speeh'i~t,ons as 'l~e~e~tee m .the odglnetlncj apl~icefioe. Joseph A. Ingengno last revised Ma? 5,' 2003. IN WIINESS WHEREOF, The ~ld Board Of Trustees here- i~' causes its Corporafe Seal fo be affixed, and these .j~.resents fo subscribed by ~s',~io,'~ of ~ r~id Boerd .as of th*s darn. Ken Poli~,oq~ TERMS and CONDITIONS James and Eileen Bullion ee~s~ac 7 Penny Lane, NisseQuoaue, N.,Y, .-.- ~ m t~ permit ~, my-be mHect to tevo~ ~ ~ to ~ 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 June 24, 2004 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD James and Eileen Buglion 7 Penny Lane Nissequogue, N.Y. 11780 RE: 2520 CLEARVIEW AVE., SOUTHOLD SCTM # 70-10-29.1 Dear Mr. and Mrs. Buglion: The Board of Town Trustees took the following action during its regular meeting held on Thursday, June 24, 2004 regarding the above matter: WHEREAS, JAMES AND EILEEN BUGLION 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 May 25, 2004, 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 June 24, 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, 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 JAMES AND EILEEN BUGLION to construct a single-family dwelling with a deck, pervious driveway, fencing, sanitary system, a 4' wide path to the water, drywells and gutters to contain roof runoff and all as depicted on the plan prepared by Joseph A. Ingengno last revised May 5, 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 of the date of this notification. Inspections are required at a fee of $50.00 per inspection. (See attached schedule.) Fees:$100.O0 Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/hct Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1'179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: Please be advised that your application dated reviewed by this Board at the regular meeting of ~/,~ ~7 o ?' following action was taken: has been and the ( v//) 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: ""/-Cc)O --~¢~x! TOTAL FEES DUE: $ J O0 SIGNED: PRESIDENT, BOARD OF TRUSTEES Telephone (63 l) 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, June 15, 2004, the following recommendation was made: Moved by Don Wilder, seconded by Doris McGreevy, it was RESOLVED to recommend to the $outhold Town Board of Trustees APPROVAL WITH A CONDITION of the Wetland Permit application of JAMES & EILEEN BUGLION to construct a single-family dwelling with a deck, pervious driveway, fencing, sanitary system, and a 4' wide path to the water. Located: 2520 Clearview Ave., Southold. SCTM#70-10-29.1 The CAC recommends Approval of the application with the Condition there is no fence or walkway in the non-disturbance buffer. Vote of Council: Ayes: All Motion Carried ~DEC PERMIT NUMBER 1-4738-02847/00001 _ .' NEW~K STATE DEPARTMENT OF ENVtRONMENT~NSERVATION PERMIT Under the Environmental Conservation La~v FACILiTY/PROGRAM NUMBER(S) EFFECTIVE DATE 20 June 2001 EXPIRATION DATE(S) 20 June 2006 TYPE OF PERMIT · New [] Renewal [] Modification [] Pen'nit to Construct E] Permit to O~,rate D Article 15, Title 5: Protection of Waters [] Article 15, T~Je 15: Water Supply E] Article 15, T~tle 15: Wate~ Transport D Article 15, Title 15: Long Island Wells [] Article 15, Title 27: Wild, Scenic and Recmatldnal Rivers D 6NYCRR 608: Water Quality Cerliflca- tior~ PERMIT ISSUED TO James & F-.ileen B~glion [] Article 17, Titles 7, 8: SPDES [3 Article 19: Air Pollution Control [3 Article 23, T'~le 27: Mined Land Reclamation [3 Article 24: Freshwater Wetlands · Article 25: 'tidal Weliands ~] Article 27, TiUe 9; 6NYCRR 373: Hazardous Waste Management [3 Article 34: Coastal Erosion Management [] Article 36: Floodplain Management D Articles 1, 3, 17. 19, 27, 37; 6NYCRR 380: Radiation Contrcl [] Article 27, Title 7; 6NYCRR 360: Solid Waste Management TELEPHONE NUMBER (631) 584-7414 ADDRESS OF PERMi ~ ~ ~E 7 Penny Lane. St. James, NY 11780 CONTACT PERSON FOR PERM! ~ i I~O WORK Tanya Lachesmeyer, Land Use Ecological Se~lcas, Inc. 2576 Sound Avenue, Baitir~l Hollow, NY 11933 TELEPHONE NUMBER (631) 727-2400 NAME AND ADDRESS OF PROJECT/FACILITY Bu~llion Property, southeast comer Ga~len's Landin~l & Clearview Avenue, Soutl~ld LOCATION OF PROJECT/FACILITY SCTM: 1000-070-1 0-29.1 COUNTY I TOWN Suffolk Southold DESCRIPTION OF AUTHORIZED ACTIVITY WATERCOURSE NYTM COORDINATES Goose Creek E: 718.4 N: 4547.5 Construct a single family dwelling with a deck, driveway, fencing, and a sanitary system. Establish a pathway approximately four (4) feet wide through the buffer area to provide access to the wetlands. All work is to be done in accordance with the attached plans stamped NYSDEC approved. By acceptance of this permit, the permittee agrees that the permit is contingent upon stdct compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions included as pa~ of this permit. PERMIT ADMINISTRATOR: (KSW) George W. Hammarth, Deputy Permit Adminstrator AUTHORIZED SIGNATURE IADDRESS Region I Headquaders Bldg. #40, SUNY, Stony Brook, NY 1179G-2356 IDATE / Page I of 4 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 30219 Z Date APRIL 6, 2004 Permission is hereby granted to: EILEEN BUGLION 7 PENN~ LA NISSEQUOGUE, NY 11780 for : CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH GARAGE UNDER, CO~q~RED PORCH, PORTICO & REAR DFCKAS APPLIED FOR; FLOOD PMT. INCLUDED ; at prem/ses located at County Tax Map No. 473889 Section 070 pursuant to application dated FEBRUARY Building Inspector to expire on OCTOBER 2520 CLEARVIEW AVE SOUTHOLD Block 0010 Lot No. 029.001 5, 2004 and approved by the 6, 2005. Fee $ 1,412.20 COPY Rev. MARI~AGE OFFICER ~RDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Tow~ Hall, 530~ MA;, P.O, B~ 1179 Southold, New York 11971 Fax (631) Telephone (631) sout heldtown.nor thfork, net OFFICE OF THE TOWN CLF, RK TOWN OF SOUTHOLD APPLICATION FOR PUBLIC ACCESS TO RECORDS INSTRUCTIONS: Please complete Section I of this form and give to Town Clerk's Office (agency Freedom of Information Officer). One copy will be returned to you in response' to your request, or as an interim response. SECTION I. TO: (Department or Officer, if known, that has the information you are requesting.)1 RECORD YOU WISH TO INSPECT: (Describe the record sought. If possible, Supply date, file title, tax map number, and any other pertinent information.} Mniling Address (if different from above): Date: [ ] APPROVED [ "] ,APPROVED WITH DELAY* [ ] DENIED* Freedom of InformaUon Officer e If delayed or denied see reverse side for explanation. REL~I:IVI:U FEB 2 4 3:)04 5outhcl~aJeea Clark Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone(631) 765-1892 Fsx(631) 765-1366 May 12, 2003 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD Mr. Dan Hall Land Use Ecological Services, Inc. 2576 Sound Ave. Baiting Hollow, NY 11933 JAMES & EILEEN BUGLION 2520 CLEARVIEW AVE., SOUTHOLD SCTM#70-10-29.1 Dear Mr. Hall: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, April 30, 2003: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit #5309 to relocate the proposed well 150' from the sanitary system, relocate the expansion pools for the sanitary system, and relocate the driveway 4'+/- to the west m the area of the sanitary system. Construct a 30' concrete retaining wall along the east property line 30'+/- south of the north property line, and relocate the steps for the deck to the west side of the deck and reduced to 4'X 6', and a 4'X 12' addition to the previously approved deck north of the proposed steps, and as depicted on the survey prepared by Joseph L. Ingegno, dated February 21, 2001 and last revised May 5, 2003. BE IT FURTHER RESOLVED, that the Southold Town Board of Trustees grants a One-Year Extension to Permit #5309. This is not a determination fi'om any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, Albert J. Krups~i, Jr. President, Board of Trustees 11,'20,'01 TUE 12:59 YAX 631 ?272605 LAND USE ECOLOGICAL 001/002 Use DATE: TO: ATTN: November 20, 2001 Southold Town Trustees Al Krupski FAX TRANSMISSION SHEET !!mr' 2 From: C.W. Bowman RE: Permit No. 5309 Buglion - Gagen's Landing Rd. & Clearview Ave. Southold, NY SCTM No. 1000-070-10-29.1 FAX#: (631)-765-1366 #OF PAGES: 2 REMARK: Attached please find a copy of the project survey which has been revised to reflect a new well location. The Health Dept. is requiring that we complete a test well at that location. As this area has already been approved for a proposed 4'wide path, I am just checking to make sure that completion of the test well will not be in violation of the permit. Please advise. 2576 Sound Jib'enue · Baiting lie#ow, N.Y. 11933 P~ne: (631].727-2460 · Fax: (630-727-2605 SI/RV'tY OF PROPERTy TOt, Wi ~£ $OUTHOL~ SUFFOLK COUNTY, Jose~ A. Ingegno Land Swveyor Telephone (631) 765-1892 Town H'~. ~5 Main Road P.O. Box 11'79 So.old, New Ywlc 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: JAMES & EILEEN BUGLION to Amend Permit #5309 to relocate the proposed well 150' from the sanitary system, relocate the expansion pools for the sanitary system, and relocate the driveway 4'+/- to the west in the area of the sanitary system. Construct a 30' concrete retaining wall along the east property line 30'+/- south of the north property line, and relocate the steps for the deck to the west side of the deck and reduced to 4'X 6', and a 4'X 12' addition to the previously approved deck north of the proposed steps. Located: 2520 Clearview Ave., Southold. SCTM#70-10-29.1 The CAC did not make an inspection, therefore no recommendation was made. Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. ~C'~OCJ DATE: April 30, ZOO1 ISSUED TO JAMES & EILEEN BUGLION Authorizatian · Pursuant to the provisions of Chapter 615 of the Law~ of the State of New York, 1893; a~d Chapter 404 of the Laws'of the State of New York 1952: and the Southold Town Ordinance on- 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 ....~p_.r.!,!...~..5..L ZOO1 and ;n consideration of the sum of $ ZO0.O0 paid by ...... ............................................................. . ...................... of .......... ~.~:...?.~nl.e.~ .............................. ' ................... N. Y. and. subject to the Terms and Conditions listed on the reverse side hereof, of 5outhold Town' TrusSes authorizes and ~ermits fl~ faJowlng: IN WITNESS WHEREOF, The said Board of Trustees ~re- ~ causes ifs Corporate Seal to be eft?ed, and thesepresents to subscrroed by a'majorlty of the sa:d Board as of this dat~. ,Heary .Smith - .Ah.~ent TERMS end CONDITIONS James & Eileen Buglion re,Min§ ~ 7 Penny Lane, St. James N. l~m: o~ the considet~oa fm d~e ismance of d,e P.'.',~,: does uadetmnd sad pe,~:ribe to the 6g- I. Tht the said Board o~ Tt~_~__,~__ and the Town of Southold ate rdeased ~'z~ any and all damages, oc ,4-a,,, for damag~ of suits arising directly oc indirecdy as a t~ult of my o1~- for an 4nctemton may be made to ~ ~ at a !,~ dna.. That ,~, Permit should be retained iadefi~L~_ y, or as long as the said Pennittee ~ mab,,:aln the stzuctu~ oc project involved, to pt'ovlde evidence to anyone concerned that aud~- 4. That the work .involved will be subject to the inspection and ~ of the BoLM m ia agmts, and noa-axnplbuge with. the ptovislons of ~e ociginagng al, pfication, may be ,~e loc tevocatloa of this ~e~it by zesolutlon of the said Boe_,xL 5. That ~ete will be no un_reason~le interference with mvig*_~_ as a result of d~e betvtn authorized. upcm clue notice, to mnove or alter rigs work o~ project het~n rated with0u~ ezt~ns~ to ~ T~ . 8. Th~ d~e said Board will be notified by the Permittee ot dae cxxnpletton0f the w0ck auth- orized. 9. 'lhat the Pe.rmittee will ~ aU oeber lw'rmlU and coose~s 4hat fnty be requb, ed I;uP plemefltnl to this pc,mit which may be subject to tt~'oke upon ftibme m obtain same. Albert J. Krupski, President James King, Vice-President Henry Smith Attic Fester Ken Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 Southold, NewYork 11971-0959 Telephone(631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD April 30, 2001 Ms. Tanya Lachenmeyer Land Use Ecological Services, Inc. 2576 Sound Ave. Baiting Hollow, NY 11933 RE: JAMES & EILEEN BUGLION 2520 Clearview Ave., Southold SCTM#70-10-29.1 Dear Ms. Lachenmeyer: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, April 25, 2001 regarding the above matter: WHEREAS, Land Use Ecological Services on behalf of JAMES & EILEEN BUGLION applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated March 16, 2001 and WHEREAS, said application was referred to thc 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 appl!cation on April 25, 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 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 JAMES & EILEEN BUGLION to construct a single-family dwelling (1,200 sr.), approx. 99' landward of the tidal wetland boundary, a 540 sq.fl, deck approx. 81' landward of the tidal wetland boundary, a 6'X 10' set of steps on the south side of the dwelling approx. 75' landward of the tidal wetland boundary, a 4'X 40' porch on the west side of the dwelling approx. 101' landward of the tidal wetland boundary, a 8'X 10' set of steps on the west side of the dwelling approx. 120' landward of the tidal wetland boundary, install a well approx. 50' landward of the tidal wetland boundary, install a pervious driveway a min. of 140' landward of the wetland boundary, clear by hand a 4' wide'path to the water and install a chain link fence approx. 35"landward of the tidal wetland boundary, all as indicated on survey dated February 21, 2001 and last revised March 20, 2001. 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, Albert J. Krupski, Jr. President, Board of Trustees AJK/lms cc: DEC Bldg. Dept. Health Dept. SOUTHOLD TRUSTEES I II. I, Issued To~ate~ Address ~ , THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE,TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 TEL.: 765-1892 Telephone (631) 765-1892 Town HaU.. 53095 ~ Road P.O. BOX 11'/9 Southold, New Yo~k 119"/1 SOLITHOLD TO~N CONSERV~.TI01~ ADVISORY C001~CIL At the meeting of the Southold Town Conservation Advisory Council held Monday, April 16, 2001, the following recommendation was made: JAMES & EILEEN BUGLION 70-10-29.1 to construct a. single-family dwelling (1,200 sr.) approx. 99' landward of the tidal wetland boundary, a 540 sq.ft, deck approx. 81~ landward of the tidal wetland boundary, a 6 X 10 set of steps on the south side of the dwelling approx. 75' landward of the tidal wetland boundary, a 4'X 40' porch on the west side of the dwelling approx. 101' landward of the tidal wetland boundary, a 8'X 10' set of steps on the west side of the dwelling approx. 120' landward of the tidal wetland boundary, install a sanitary system approx. 150' landward of the tidal wetland boundary, install a well approx. 50' landward of the tidal wetland boundary, install (2) 6' dia. drywells to contain roof run-off a min. of 62' landward of the wetland boundary, install a pervious driveway a min. of 140' landward of the wetland boundary, clear by hand a 4' wide path to the water and install a chain link fence approx. 35' landward of the tidal wetland boundary. 2520 Gagen's Landing Rd., Southold The CAC recommends a minimum of a 50' non-disturbance buffer and that the proposed fence is consistent with Trustees Policy. LandUse March 26, 2001 Town of Southold Board of Trustees PO Box 1179 Southold, NY 11971 Attn: Mr. Al Krupski, President James & Eileen Bugiion Gagen's Landing Southold, NY Dear Mr. Krupski: Enclosed please find (2) original & (2) copies of a revised project survey/site plan together with (4) copies of a revised project description. Should you have any questions or require additional information, please don't hesitate to contact this office. Sincerely, TL Eric. 2576 Sound Avenue · Baiting Hollow, New York · 11933 631-727-2400 · FAX 631-727-2605 LandUse March 13, 2001 Town of Southold Board of Trustees 53095 Main Road PO Box 1179 Southold, NY 11971 Re: Buglion - Gagen's Landing Rd. Southold, NY SCTM 1000-070-10-29.1 Dear Ladies/Gentlemen: Enclosed please find the following: 1.) 2.) 3.) 6.) 5.) (1) Odginal and (3) copies of a completed application. Signed and notarized affidavit. Authorization Letter (2) odginal & (4) copies of the project survey/site plan Application fee in the amount of $200.00. Should you have any questions or require additional information, please don't hesitate to contact this office. TL Enc Sincerely, Land Use Ecological Services, Inc. 2576 Sound Avenue · Bailing Hollow, New York · I 1933 631-727-2400 · FAX 631-727-2605 Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 · P~O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631 ~ 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD APPLICATION FOR AN DATE owNE~ ADDP~SS q AGENT ADDRESS bird ~ Trusts PROPERTY LOCATION ~0 C~'brprP {16~ ~/~. FWe request an Amendment to Permit # _2~;'0o~ 15 . To Signed By: Albert J. Krupski, President James King, Vice-President Attic Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Applicat~ .~Wetland Permit Application '~ Majqr __ Minor ~:~ceived Application: -~eceived Fee:$ _~-~ompleted Application ___Incomplete __SEQRA Classification: Type ! Type II Unlisted Coordination:(date sent) --~CAC Referral Sent:_~.~ _~,~t~te of Inspection: (r~ ! fid ~' __Receipt of CAC Report: Lead Agency Determmation:____ Technical Review: ~Ptlblic Hearing Held: ~.~/_ / Resolution: Name of Applicant '~4ff$ ~ ~"I(~EL/ -~ff~4~l) Address Q ?[¢OMy Phone Number:(~)'~/ Suffolk County Tax Map Number: 1000- ~ Property ~cation: ~ou~ ~ ~AST C~,uc_~ ~rovide L~CO P01e ( dist~ce to cross streets, AGENT: ~ ) (If applicable) Address: Phone: Board of Trustees Application Land Area (in square feet): Area Zoning: Previous use of property: Intended use of property: GENERAL DATA Prior permits/approvals for site improvements: ,.I, __ 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: r, Project Description (use attachments Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Area ofwetlands on lot: ~, ~"~o0 +_ squarefeet Percent coverage of lot: L~) ~_ % Closest distance between nearest existing structure and upland edge of wetlands: ~/fi feet Closest distance between nearest proposed structure and upland edge of wetlands:. '7 ~feet Does the project involve excavation or filling? No )(, Yes If yes, how much material will be excavated? [00'- cubic yards How much material will be filled? 0 cubic yards Depth &which material will be removed or deposited: q ~ feet Proposed slope throughout the area of operations: [ o,o Manner in which material will be removed or deposited: Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): 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 I1971-0959 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 COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, ~f~' ~x)~i' °), residing at e--,) ~,-~t) k) x being duly swom, depose anl:l say: That on the ~0 day of 0("~ , 200vf~, I personally p_~sted the property known as ,, ,,~ by placing the Board of Trustees official poster where it can easily be seen, find that I havb checked to be sure the poster has remained in place for eight days prior to the date~ of the public hearing. Date of heating noted thereon to be held ~.. (~. 03.0, ~ ,., . Dated: ~/,~/,/ N~'ON M. PRAVETZ No~/Pul~ StYe d Ne~ york No. E2-4~8792 · -, Ouar~d In Sufl~ C96ntt PROOF OF MAIl,lNG OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: % [tTATE OF NEW YORK COUNTY OF SUFFOLK , r~siding at Q · being duly sworn, deposes and says that on the ,20 , deponent mailed a Ixue copy of the Notice hSlSSf6~uoqO,c td-_V. d~yof set fo~h. in the Board of Trustees Application, ~t~ to e~h of~e ~ove n~ pe~ at ~e ~ses set opposite ~e~ ~five ~es; ~at ~e ~esses set o~site ~e n~ ofs~d ~o~ ~e ~e ~s of said ~m ~ shorn on ~e c~nt ~s~sment roll of~e To~ of Sou~old; ~t ~d Notices were m~l~ at ~e U~t~ States Post Office at , ~at s~d Notic~ w~e m~l~ to e~h ofs~d pe~ns by (ce~ified) (re~ster~) m~l. Sworn to before me this d~Q Day of.../'~ ~_ ,200? JEANNE QUOI~rRUP NOTARY PIJBUC, Sat~ of New Yod~ Nc 01QU5078527 C, ernmm~ ~ ~ 27, PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) SEQR 1. APPLICANT / SPONSOR 2. PROJECT NAME &PROJECT LOCATION: ,,j Municipalily "~(~JJ~ ,~' ~O0'~[oL./) County 4. PRECISE LOCATIONS-Street Addess and Road Intersections, Prominent landmarks etc -or provide map ,s PROPOSED ACT,ON: VJ---] Expa.sion [] ir ,pn/a, ra.on / 6. DESCRIBE PROJECT BRIEFLY: COi~S-J~UET' S'/~[ ~q~l/.,,)f 7 AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? ~].Yes [] No If no, describe briefly: 9 WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) l~ResJdential []Industrial []Commercial r~Agriculture [] Park l Forostl Open Space [~Other (descdbe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, S(ate or Local) [~Yes r-"'~No If yes, list agency name and pemlit / approval: 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Yes r'-~No If yes, list agency name and permit / approval: L-J 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? II 'CERTIFY THAT THE INFORMATION PROVIDED ABOVE iS TRUE TO THE BEST OF MY KNOWLEDGE If the 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 A~lenc~') IlDOES ACTION EXCEED ANY TYPE I THRESHOLO IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL FAF. I--IHo WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If NO, a negative declaration may be superseded by another involved agency. C. [~Yes [~No COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattam, solid waste production or disposal, potential for erosion, drainage or floodifig problems? Explain bde~ly: C2. Aesthetic, agricultural, archae&ogical,'his~or~, ~ other natural or cui~ural reso~'rces; or communit~ or neighborhood charactsO Explain' bri~efly: ca. Vegetation or fauna~i~h, sholl~h or ~tidli~e ~p~ies, significant hobltam, or t~malen~0r endangered ~le~? ~_.~plain briefly: C4. A community'* exlstin~ pla ns or ~oal~ as o~icialiy ariopted, or ~ chan~o in u~e or i~tsn$iht ~t u~ o~ I~nd or othe~' natural resources? Explain DS. Growth. subsequent deveiop '~'~nt, or r~ atod activi es likely to bo ifiduc~d by e p*oposed action Expla' bbefly: CO. Lon~ term short term cumulative or other effects eot identified in C;I-C57 ~r-xpl~in I~HeflY: C7~ Other impact~/includin~l chanties in use of eit~ar ~uanti~/'~r ~s of ~ho~? E~lain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL / If ~'es explain: PART III - DETERMINATION OF SIGNIFICANCE (To b~ completed by Agency) INSTRUCTIONS: F~reachadversee~ectidenti~edab~ve~determinewhetheritissubstantia~~~arge~imp~rtantor~therwisesigni~cant- Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (c[) [rreversibility; geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that al~ relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes, the d etermination of significance must evaluate the potential impact of the proposed action on the environmen~l characteristics of the CEA. Check this box if you have identified one or more potentially large or signifmant adverse impacts which MAY occur. Then proceed directly to the FULl FAF and/or prepare a positive declaration. Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed actio~ WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessap/, the reasons supporting thi Name of Lead Agency Date Title of Responsible Officer print or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsifile officer) Albert J. Krupski, President James King, Vice-President Artie Fester Ken Poliwoda PegKy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1t79 Southeld, 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 COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT I, ~--~( ~F/'~, residing at OF POST~[~ bei~n g/~y~sw~o f, ~p~se~and say: ~,~/ '~ ~)7 That on the day of ,200 , I persOnally posted the property known as by placing the Board of Trustees official poster where it can easdy be seen, and that I have checked to be sure the poster has remained in to the date of the public hearing. Date of hearing noted thereon to be held Dated: Sworn to joefore me this ~? day of~200 ¢ JOYCE M. WILKINS Notary Public, State of New York No. 4952246, Suffolk County Term Expires June t 2, Don~,~' ---- "IAILiNG OF NOTICE !111~, postal Service .... ---.. 'I~ED ~L ~CEI~S Form 3800. June 2~2 (Rever~e) .... :SOBIAOJd jle~ p~lj~pa3 > ....... . ~:~-'~-- ........................... ~1S S~O~o~q'o~ td :}/- , being duly sworn, deposes and says that on the day of ,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 (certified) (registered) mail. Swom to before me this Day of /TI.~ ~ ,20/~ ~,._2.~-/Notary/Pl~lic ., th~at said Not__ach of said persons by dF. ANNE QUORTRUP NOTARY PUBLIC, ~ of New Y~I~ N,,. 0~¢~U5018527 Board of Trustees Application County of Suffolk State of New York ~.~ ~ ~ k,) ~ ~- I O/lJ BEING D~Y SWO~ DEPOSES ~ ~F~S ~AT ~/S~ IS ~ ~PLIC~ FOR T~ ~O~ DESC~ED PE~T(S) ~ T~T ~L STA~S CO~D ~ ~ TR~ TO T~ BEST OF ~S~R ~O~EDGE ~ BEL~F, ~ T~T ~L WO~ ~LL BE DO~ ~ ~ ~R SET FORTH ~ T~S ~PLICATION ~ AS MAY BE ~PRO~D BY T~ SO--OLD TO~ BO~ OF TRUSSES. ~ ~PLIC~T AG~ES TO HOLD T~ TO~ OF SOU~OLD ~ ~ TO~ TRUSSES ~ESS ~ F~E ~OM ~ ~ ~L DAMAGES ~ CL~S ~S~G ~ER OR BY ~T~ OF S~ PE~T(S), · G~D. ~ CO~LET~G T~S ~PLICATION, I ~BY A~HO~E ~ ~US~ES, T~ffi AGENT(S) OR N taryPubl/~'~' - ¢ 60NNI£J. DOROSK] Public, Stat~ Of 01D06095328, Tern Lq~im .~y 7. ~0 _~.,.L' APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM Th~ Town of Southold's Code of Ethics prohibits conflicts of interest on the oart of town officers and emnlovees. The tmmose of Ihil; form is to provide information which can alert ~e town of oossible conflicts of interest and allow it to take whatever action is nect~ssarv to avoid sam~, . ~. (Last name, first name, middle initial, unless you are applying in the name of someone else or other entity, such as a company. I f so, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zooc Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (1£ "Other", name the activity.) Do you personally (or through your company, spouse, sibling, parent, or child) have a rel~onship with may officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest. "Business interest" means a business, including a partnership, in which the town officer or employee has even a pan. iai ownership of (or employment by) a corporation in which the town officer or employee owns more than 5% of the shares. YES NO [t// If you answered "YES", complete thc 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 Describe the relationship between yourself (the applicant/agent/representative) and the town officer or employee. Either check thc appropriate linc A) 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): __:A) the owner of greater than 5% of the shares of the corporate stock of the applic,~nt (when thc applicant is a corporation); __B) the legal or beneficial owner of any interest in a non-corporate entity (when the applicant is not a corporation); __C) an officer, director, parmcr, or employee of the applicant; or __D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I 2oo Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Ball 53095 Ma~n Road P.O. Box 1179 Southold, New York 11971 Telephone (515) 765-1992 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DAT~ 3/25/03 ~James LETTER OF REQUEST FOR AN AMENT $outhoid Town" -- ~oard of Trustees & Eileen Buglion PHO!N~ (631) .584-7414 7..Pienny La.. St James, NY 11780 MAR 2 / Dan Hall/Land Use AGENT Ecological Services I_nGPHONE (631) 727-2400 ADDI{~S$ 2576 Sound Ave. Baiting Hollow, NY 11933 PROPERTY LOCATION 2520 Clearview Ave. 1000-70-10-29.1 TAX MAP NO. $outhold. ~vVe The owner & Agent reque~anAmcndme~t0P~l~lit#5309 Please see attached Amendment / Extension Request. Signed B Buglion- 2520 Clearview Ave., Southold Amendment / Extension Request As per the request of the Suffolk County Department of Health Services Board of Review Headng the applicant proposes to amend the Southold Town Trust~es Permit #5309 as follows: - The proposed well is new located 150' from the sanitary system as opposed to 100'. - The proposed expansion pools for the sanitary system have been relocated slightly to the northwest requiring the proposed ddveway to take a jog 4'+/- to the west in the area of the sanitary system. - A 30' concrete retaining wall is proposed along the east property line 30'+/- south of the north property line, - The steps for the deck have been relocated to the west side of the proposed deck and reduced to 4'x6', and a 4'x12' addition to the previously approved deck is proposed north of the proposed steps. As the above referenced permit is due to expire on April 30, 2003, the applicant would also like to request to extend permit # 5309 for (1) year. 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 JAMES & EILEEN BUqLJ. QAL COUNTY OF SUFFOLK) STATE OF NEW YORK) i,Charles W. Bowman AFFIDAVIT OF POSTING , residing at 2g~76 Sound Av~_~a~t~llow,NY being duly sworn, depose and say: That on the 16thday of April, 2003, I personally posted the property known as Buglion Property- 2520 Cl~v~, ~,~ ~^..~ by placing the Board o~--Trustees official poster whe~'ft 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 h~aring. ,Date. of hearing noted thereon to be Dated: April 30, 2003 (signature) Sworn to before me this , ~N~ H~A ALVAREZ ~ ?UBLIC, STATE OF NEW YDRK ~ No. 0 IAL6DSOS/8 ~ · ,',[IFI~'D IN SUFFOLK OOU~ .~ ' '~ISS]ON E~IR~S SE~ 23, 20~ PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name; Address: Charles Schoenboechler Marc & Anna Clejan William & Jeanne Johnson Maryann Messina 2325 Clearview Ave, Sourhol& NY ! 1971 49 East 9& Street #7C New York, NY 10128 2350 Clearview Ave. Southold, NY 11971 10 Twombly Ave. Staten Island, NY 10306 STATE OF NEW YORK COUNTY OF SUFFOLK ,kd... ~(. ...., being duly sworn, o.eposes aha yu . sot forth, in the Board of Trustees Appuoatton, o persons at the addresses set opposite there respective names; that the addresses set opposite the name~ of said persons are the address of said persons as shown on the current assessment roll of the, Town of Southotd; that said Notices were mail~t at the United States Post Officeat {~-r~-, ~J~)-.,thatsaidNotic~swercmailedtoeachofsaidpors°nsby (certified) (registered) mail. -- CYNTHIA ALVAREZ NOTARY P(JBLIO, STATE OF NEW YORK I Igo. 0 fAL6080878 Q[JALIFIED IN SUFFOLK P~OUN}'Y , I LanclUse March 28, 2003 Town of Southold Board of Town Trustees P.O. Box 1179 Southold, N.Y. 11971 Attn: Charlotte Buglion - Southold 2520 Clearview Ave., Southold SCTM# 1000-70-10-29.1 Permit #5309 Amendment / Extension Request Dear Charlotte: Enclosed please find the additional $10.00 fee in association with the above referenced project. If there are any questions or if additional information is needed please do not hesitate to contact this office. Sincerely, Land Use Ecological Services, Inc. DH En¢. z~76Svund ' ~ ~. ' ,-~x~r,u~ Baiting ½olJo,.~, New ~,o k · 11933 631 727-2400 · FAX 6j 1-7Z7 z~05 LandUse March 25, 2003 Town of Southold Board of Town Trustees P.O. Box I 179 Southold, N.Y. 11971 Attn: Al Krupski, President Re: Buglinn - Sonthold 2520 Clearview Ave., Southold SCTM# 1000-70-10-29.1 Permit #5309 Amendment / Extension Request Dear Mr. Krupski: Southold Town Enclosed please find an amendment request for the above referenced permit which includes the following: - (1) original, (2) copies of a Letter Of Request For An Amendment. - $40.00 fee. - (3) revised surveys. - (3) copies or' Permit # 5309 Please note that the applicant also requests to extend the above referenced permit for one year. Please do not hesitate to contact this office if there are any questions or if additional information is needed. Sincerely, 257~ Sour, d A,,enue · Baiting Hallo,,~,, Ne,,,, 'Fork · 11033 631 72,7 2400· FAX 03 i -,~7z.-~,.~ ~ ~°^C,~ Alb,ert J. Krupski, President James King, Vice-President Henry Smith Artie Fester Ken Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application ~'Wetland Permit Application ~" Major Waiver/Amendment/Changes ,~'~Received Application:~ _~eceived Fee:$ ,~0 ~'Completed Application__~l~__ Incomplete SEQRA Classification: Type I Type II Unlisted__ Coordination:(date sent) ~.'EAC Referral Sent:~[O_J__ ~Date of Inspection: I.~!]g !{31 Receipt of CAC Report: Lead Agency Determination:__ Technical Review: ~rPublic Hearing Held: Resolut ion: MARl 6 Minor Name of Applicant Address James & Eileen Buglion 7 Penny Lane, St. James, NY 11780 Phone Number:( ) 631-584-7414 Suffolk County Tax Map Number: 1000 - 070-10-29. t Property Location: Gage~'s L:~n.c]J.~g Road ~-c~0 ~3I'OI'0~LO OO(}' ) Southeast corner of Gagen's Landing Rd. & Cl~view Ave. (provide LILCO Pole #, distance to cross streets, and location) Tanya Lach~r~eyer/Land Use Ecological Services, Inc. AGE NT: (If applicable) Address: 2576 Sound Avenue, Baiting Hollow, NY 11933 Phone: 63t-727-2400 Board of Trustees A~plication Land Area (in square feet): Area Zoning: GENERAL DATA 29,142.49 Residential Previous use of property: Intended use of property:. Vacant land Single family residence Prior permits/approvals for site improvements: Agency Date x 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): Please see attached project description BUGLION - SOUTHOLD, NY PROJECT DESCRIPTION: Applicant proposes to construct a single family dwelling (1,200 s.f. footprint) approximately 99' landward of the tidal wetland boundary, a 540 s.f. deck approximately 81' landward of the tidal wetland boundary, a 6x10 set of steps on the south side of the dwelling approximately 75' landward of the tidal wetland boundary, a 4'x40' porch on the west side of the dwelling approximately 101' landward of the tidal wetland boundary, a 8'x10 set of steps on the west side of the dwelling approximately 120' landward of the tidal wetland boundary, install a sanitary system approximately 150' landward of the tidal wetland boundary, install a well approximately 50' landward of the tidal wetland boundary, install (2) 6' dia. drywells to contain roof runoff a minimum of 62'+ landward of the tidal ~etland boundary, install a pervious ddveway a minimum of 140'+ landward of the tidal wetland boundary, clear by hand a 4' wide path to the water and install a chain link fence approximately 35' landward of the tidal wetland boundary. MAR 2 8 Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Single family residence Area of wetlands on lot: Percent coverage of lot: 11,530+ _square feet 40+ % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: 75 feet Does the project involve excavation or filling? No x Yes If yes, how much material will be excavated? 800+- cubic yards 0 How much material will be filled? cubic yards 9*- Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: 1 on 3 min. Manner in which material will be removed or deposited: Excavator 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): Project will not have a significant effect on tidal wetland resources. ' 'PROJECT LD. NUMBER 317,21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be completed by Applicant or Proiect sponsor) SEQ 1. APPLICANT/SRONSOR Tanya Lachenmeyer/Land ~ 2. PROJEC; NAME Proposed single family Use Ecoloqical Services. Inc. for James & E[le~n Bualion dwelling 3. PROJECT LOCATION: Municioality Sout4t]old Counly Su.f folk Gagens Landing Road, Southold Southeast corner of Gagen's Landing Rd. & Cl~rview Ave. Please see attached project description W~LL FROBOSED ACTION COMPLY WITH ~-XISTING ZONING OR OTHER EXISTING '-~NO USE ~ESTRICTIONS? Yes r~ No If No. describe briefly I~ Res,dentlal ~--~.!nclus{rrat ~ Commercr&t L~Par~ForesUOoen s0ace L.-OIher 10. DOES ACTION INVOLVE A PERMIT APPROVAl_ OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL. STATE OR LOCAL)? [] No If yes. ~is! agency(s) and 0ermitlag0rovals [}OES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes' ~ NO II yes. J/s! agency name and permd/apPrOval ~2..AS A RESULT OF PROPOSED ACTION WILL ~(ISTING PERMIT/APPROVAL REQUIRE .%~OOIFICATION? [] Yes 3~ NO ..:. I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE App~icantlsoonsor name; Tanya Lachenmeyer/Land Use Ecological Services, In~ae: for James & Eileen Bug/ion 3/13/01 If the action is in the Coastal Area, and you are a state agency, complete the Coastsl Assessmen*- Form before proceeding with ~his as._.~essment OVER ! BUGLION - SOUTHOLD, NY PROJECT DESCRIPTION: Applicant proposes to construct a single family dwelling (2,272 s.f. footprint) approximately 75' landward of the tidal wetland boundary, install a sanitary system approximately 1§0' landward of the tidal wetland boundary, install a wall approximately 50' landward of the tidal wetland boundary, install (2) 6' dia. drywells to contain roof runoff a minimum of 62':t: landward of the tidal wetland boundary and install a pervious driveway a minimum of 78'+ landward of the tidal wetland boundary. PART iI1--0ETERMINATICN OF SiGNIFiCANCE ITc :e comoleted by Agency) INSTRUCTIONS; For each aeverse erfec~ ieenttfied ab'ova, determine wnett~er ~t ia substantial, large, [mcor~ant or otlle~',vise signJfic. Each artec; should be assessed in connection w~tl~ its (a) setting ti..~. urDan or rural); (b) ~robacilit¥ of occ=~l.~Ig; (c) duralJort: ~rrevers¢aHi[¥; ~el geograonic ~cooe; ann (0 magnttu(~e. If necessa.,y, add &ttecrtments or reference suIaDor~ing ma[erials. Ensure eXOlanalions ccntam suffic:enl aelall !o snow Ihat all relevant ~dverse imlmacts nave been i(~entifie~3 and aclequately sccrsssec. F-' Chec.~ ;~is box if you have identified one or more cotendally large or significant acverse Jmoac:s ,Nhicn MAY occur. Then orcceed direc:ly Io :rte FULL -~AF and/or ~reosre ~. positive'declsraticn. :"~ Chec× :rtie =ox :f you nave de,.ermined, basso on the information and analysis above and any suooort~nc. documen~a~cn. :rta[ ;Me 2roooseo ac:ion WILL NOT result in.~ny significant adverse enwronmen[al imcac:~ AND 2rovloe on ~;tacnrnents as necessary, (he reasons su6cordng t~l$ determination: Board of Trustees Application County of Suffolk State of New York James P. Buglion BEINGDULY SWORN DEPOSES AND 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 HIS/HER KNOWLEDGE AND BELEEF, 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), I~ GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREmSES CON CTION WITH REmW OF ~f SWORN TO BEFORE ME THIS / DAY OF //~AvO_d(, .200/ Notary P~lic ~" CONSTANCE PONTICELLO NOTARY PUBLIC, State of New York No. 01PO5078068 Qualifiecl n Suffolk County,~.., Commission Expires May '19, ..~.~/ ~d of Trustees Applicatio~ AD'r~ORI ZATTON (where the applicant is not the owner) James P. Buglion (print owner of property) 7 Penny Lane residing at (mailing add~ess) st. James, NY 11780 do hereby authorize (Agent) Land Use Ecological Service~6 Inc appIy for permit(s) from the Southold Board of Town Trustees on my behalf. 8 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK Charles w. Bowman , residing at 76 Fern Road East Baitinq Hollow. NY 11933 , being duly sworn, deposes and says that on the 17th day of April ,%Q9 2001, 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 Calverton , that said Notices were mailed to each of said persons by (certified) 25th Sworn to before me this day of . April ,~K 2001 Tanya Lachenmeyer NOTARY PUBLIC, State of New York No. 01 LA5032219, Su. tfo[k County C~-:r.;:;:;,~ Expires, ,~L~,~:.t :_2, ~ .,~'"~'"' Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Po~iwoda 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 COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING 76 Fern RoadEast, , residing at Baiting Hollow, NY 11933 being duly sworn, depose and say: That on the 17th day ofApril , 2001, I personally posted the property known as~agen'sLandingRoad, Southold, NY 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 public hgaring~ate~of hearing noted thereon to be held~~l~ Dated: April 25, 2001 ~slgn~ture ) ~ ~ Sworn to before me this 25th day of April 200 1 Tanya Lachenmeyer NOTARY PUBL C, State of NP,.v York Nc. 01 LA5032219, Su[fo'k Commission Expires, Aug'ust '~.','~. ,-,.~)~ NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES~ TOWN OF SOUTHOLD In the matter of applicant: James& EileenBuglion SCTM#1000- 070-10-29.1 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: Please seeattachedprojectdescription 2. That Review--is follows: the property which is the subject of Environmental located adjacent to your property and is described as Gagen's T~nding Road, Southold (Southeast cornerofGagen'sLandingR~. & ClearviewAve.) 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: 4/25/01 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. James& EilieenBuglion OWNERS NAME: MAILING ADDRESS: 7 Penny La~e St. James, NY 11780 PHONE #: Enc.: Copy of sketch or plan showing proposal for your convenience. BUGLION - SOUTHOLD, NY PROJECT DESCRIPTION: Applicant proposes to constnJct a single family dwelling (1,200 s.f. footprint) approximately 99' landward of the tidal wetland boundary, a 540 s.f. deck approximately 81' landward of the tidal wetland boundary, a 6x10 set of steps on the south side of the dwelling approximately 75' landward of the tidal wetland boundary, a 4'x40' porch on the west side of the dwelling approximately 101' landward of the tidal wetland boundary, a 8'x10 set of steps on the west side of the dwelling approximately 120' landward of the tidal wetland boundary, install a sanitary system approximately 150' landward of the tidal wetland boundary, install a well approximately 50' landward of the tidal wetland boundary, install (2) 6' dia. drywells to contain roof runoff a minimum of 62'± landward of the tidal wetland boundary, install a pervious driveway a minimum of 140'± landward of the tidal wetland boundary, clear by hand a 4' wide path to the water and install a chain link fence approximately 35' landward of the tidal wetland boundary. '$0' E .' ' COASTAL BARRIER ~ IDENTIFIED 11-16-90 GOOSE CREEK TEST HOLE DATA PROPOSED CONC. REIAINING WALL DETAI~ PROPOSED SEPTIC SYSTEM DETAIL SEPTIC TANK SURVEY OF PROPERTY $1TUA TED A T PINE NECK TOWN Of- SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C., TAX No. 1000-70-10-29.1 SCALE 1"=50' FEBRUARY 21, 2001 MAY 15, 2OO1 R~L'~I ES D SEP"flC TANK LOCA~ON & ADDED PROP OlOl.li. no$ t0 N~OI $::1115m1.[ ~0 Ag,~o::IAOUddV Josoph A. Ingegno R£TAININ W~J.J~_~[PTIC SYSTEM Land Surveyor JOSEPH FISCHETTL P.E. ^ w~m mu~ c~r. __ SOUTHO~, NEW YORK 11971 ~ ~ ~ ~ P~ (~1)727-2~ Fox (~1)727-1727 UE SUFFOLK COUNI~ DEPAR~ OF H~.~LTH SERVICES PERMYF FOR APPROVAL OF CONSTRUCTION FOR ~ s~LE F~Y ~ O~V SURVEY OF PROPERTY SITUATED AT PINE NECK TOWN OF $OUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-70-10-29.1 APPR D~ , ~x 15, 2OOl R O NOVEM~R tS. 2~1 R~S~ ~D Wm L~T~N AREA 2004 (TO ~ ~1 ~ Southold Board o! lrustees ~,~~ PROPOSED SEPTIC SYSTEM DETAIL SEPTIC SYSTEM DESIGN BY: JOSEPH FISCHETTI, P.E. HOBART LANE SOUTHOLD, NEW YORK 11971 GOOSE CREEK Jose[ h A. Ingegno Land Surveyor PHONE (83t)727-20~0 Fox (651)727-1727 Sout~ol I TOw1 ~ 3 COASTAL BARRIER ID~.NTIFIED 11 -16-90 GOOSE CREEK PROPOSED SEPTIC SYSTEM DETAIL ~%~ ~. '" SEPTIC SYSTEM DESIGN BY: JOSEPH FISCHETTL P.E. HO~ART LAN;' SOUTHOLD, NEW YORK 11971 SURVEY OF PROPERTY SITUATED AT PINE NECK TOWN OF SOUTHOLD SUFFOLK COUNTY, NE~/ YORK S,C. TAX No. 1000-70-10-29.1 SCALE 1 "=50' FEBI~UARY 21, 2001 AREA = 29,142.49 KI. fl. (TO ~ UN[) 0.669 Surveyor