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Home My WebLink AboutTR-5801 . . 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 August 18, 2004 Mr. Matt Ivans Suffolk Environmental Consulting, Inc. P.O. Box 2003 Bridgehampton, NY 11932-2003 RE: MONICA KREISCHER FELDMAN 825 HARBOR LIGHTS DR., SOUTHOLD SCTM#71·2-16 Dear Mr. Ivans: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, August 18, 2004: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit #5801 to construct a total of four (4) additions to the existing dwelling, containing a total of 925 sq. ft.; construct a detached garage within the northeastern section of subject property, containing 320 sq. ft.; abandon the existing septic system within the northern section of the subject property, and construct a more conforming sanitary system within the central section of the subject property, resulting in a setback from wetlands of 140'; and remove the existing asphalt (impervious) driveway and install a gravel (pervious) driveway, and all as depicted on the plan prepared by Suffolk Environmental Consulting, Inc. last dated May 3, 2004. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, P¿,-.., 9- ~~ 7'~' 9-. Albert J. Krupski, Jr. President, Board of Trustees . . Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 South~ld, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: '//l101U('i) AI Ai/1 D(' h ~ ~ (If. IY1n ,..., - Please be advised that your application dated reviewed by this Board at the regular meeting of following action was taken: 'l~;U/% /If) has been and the L---1Application Approved (see below) L-) Application Denied (see below) L-) 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: oS /0,00 app{¡('(J' fJ.X:n þ-- Út1J.o nCll ~ TOTAL FEES DUE: $ ID.o) SIGNED: ~$ 9· ~.t).. PRESIDENT, BOARD OF TRUSTEES . . Telephone (631)765-1892 ". Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 CONSERV A nON ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Tuesday, August 10, 2004, the following recommendation was made: Moved by William Cook, seconded by Doris McGreevy, it was RESOLVED to recommend to the Southold Town Board ofTrustees DISAPPROVAL of the Amendment application of MONICA KREISCHER FELDMAN to Amend Permit #5801 to construct a total of four (4) additions to the existing dwelling, containing a total of 925 sq. ft.; construct a detached garage within the northeastern section of subject property, containing 320 sq. ft.; abandon the existing septic system within the northern section of the subject property, and construct a more conforming sanitary system within the central section of the subject property, resulting in a setback from wetlands of 140'; and remove the existing asphalt (impervious) dÌ'iveway and install a gravel (pervious) driveway. Located: 825 Harbor Lights Dr., Southold. SCTM#71-2-16 The CAC recommends Disapproval of the application because of insufficient information. The applicant should provide the actual measurements of each addition, and no addition should extend any further seaward than the neighboring houses. In addition, a 25' non-turf buffer should be installed and all efforts should be made to save the large trees. Vote of Council: Ayes: All Motion Carried , Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson . . Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 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. J{ r ·e:, s ~ <---- INSPECTION SCHEDULE ~ Pre-construction, hay bale line 1s1 day of construction Yz constructed V Project complete, compliance inspection. - Board Of SoutholdTown Trustees SOUTH OLD, NEW YORK PERMIT NO. . . .$101 DATE: ..s.!"pL..2~th,. 2003, ISSUED TO ......~~.":i.~.~.I<~.:i.~.':.I1~:...~.~~l~!11~:").. .................................. ............ 1\utqørtlutinu Pursuant to the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the Laws of the Stete of New York 1952; and the SoùthoId ToWn Orã_nce en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBUC LANDS end the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM lANDS UNDER TOWNWATERS{'; end in accordance with the Resolution of The BOard edopted et a meeting held on .~.:p.!~..~~~!, . 2.~.~_~.., and in consideration of the sum of $......2QQ~OO... paid by .. ...Eileen...Wing.ate...on...behalf . of..Mon.ca···Kreishe....·{feldman)· of ........~()~.~~.?l.~.~............................... N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Southokl ToWn Trustees authorizes and permits the folowmg: Wetland Permit to construct a 135.0 square foot +/- bedroom addition 644.0 square foot +/- kitchen addition and new sanitary system with the addition of dryweUs for roof run off with roof gutters and down spouts and a stake row of hay bales outside of the construction line. al in accordance with the detai\ed specifications as presented in the originating apptlClltion. . IN WITNESS WHEREOf, The seid Board of Trustees here- by causes its Cor)Oret~ ~al to be aff}xed, end these ~ts to bë subscribed by a maJority of the seid Board es of this dat.e. ~~ ~~ ~P-t.~ , A,..tiw F9~t9r (i'_tlS8Rt) . Tf'fISiee. - . , .. .~. .. ........... .. .. .. -.. .. '. .. ..' 'I. ..~. ..' '. .. .. .. .. .. .. .. .. . '. .. .. .. .. .. . .. ..'.. .. .. .. .. .. .. .. .. .. .. .. Q .. ~ TERMS and CONDITIONS The I'ermitœe Mnnil"::I Krp:i~l1f>;r' (FfIolnm::tn) \o~ residiag at Harbor Lights Drive. Southold. " - N. Y., as part. of the coasldetalioo for the ¡sa..ft«! of die PCrmlt does \ooØdd&t>oDd and prescribe to the foI- lðwiøg: 1. That the said Boud of. Trustees and the Town of. SouthoId ate Ideøed &om IIJf and aU damages, ex c:Wms fOIl: damages, of suits adsiøc dùecdy ex Jadåed11 as . ~ ofllJf 01*" .doo pedOGlllCllf piraøat to this peaaIt, and the said p.., ~,'\", 1ri11, at his Of her own f~. defeßd IIJf aDd aU ...œ saiu·løitlaœd by Ibhd pudes, and the said P Ilþ-4' -- faIlliahIIky with aeipe<t thereto. to the ~ ~ of the Baud of. Tra*ei of. the To'II'Ii of. S"'~ 2. That thlsÞeaalt is" wIid fOI: . period of . 24 -. wIúch is œap.',(oecf to be the ~....ted ~.tequi.red to ~ the wad< iawhed. butihoald eùàaiistaaces --. request for an exœasioa ma1 be made to the Boud at . later daœ. 3. That this Permit should be rd:aiaed iaclefinitel" or' as loag as the said Permittee wishes to ....Infioin the _ or' project iavolved, to þtOVide nicIcaœ to anyoae œoœraëd tb.t aøIh- orizatiOQ was originalI, ~nod. 4. That the wod:imol~ will be subject to the ~ and appron1 of. the Baud or Us &pIS, and DOG-COaI('Uaoce with. the pto9ÙiOas of. the ori&I_fl~ ...pI~ -, be ClOSe foe rwocatÏOC1 of this Peøait by raolutioo of the said Board. 5. That dJen, will be no unrealOtl.ble iaterfaeøœ with naviguioo as . result of. the wod<~. bereia uicborized. . 6. That dJen, sbaIl be DO laterfereoce with the rip of the pub1k to pus and repas 8Ioag the beach benveea bIgh and low _ter marks. . 7. That iffucure opendoas of the Towø of Soutbø1d rec¡aire the -.l1I1tI1/« üœradoas ia tbe Joc:adoo of the wodt bereIa ...IM- 1: (iI, or if; ia the -.pIoioft of. the Baud of. TIustees, the. work sbaI1 ra_ urueasoaabI.e obstrualoG to free na~. the said p..-I- will be reqaIrecI, apoo -1ICIdœ. to rauove or alter this wodt or project bereia stated wiIboat ~~'" to tbe Town . of Souehold :. 8. TIw the said Board will be DOâfied by the Permittee 01 ihe . { '-leûoo: Of the wodc aøIh- orized. 9. That the Permittee will obuia aU other pemúIs and ___ti dIat -, be requited sap; pIemeatal to this permit wbIdt ma1 be subject to revoIœ apoo failure to obuia -. ;. ....................,.........,....." /' , , . 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 September 29, 2003 Mr. Bruce Anderson Suffolk Environmental Consulting, Inc. PO Box 2003 Bridgehampton, NY 11932 RE: SCTM#71-02-16 Monica Kreischer (Feldman) 825 Harbor Lights Road Southo1d, NY Dear Mr.Anderson: The Board of Town Trustees took the following action during a Regular Meeting, held on September 24th, 2003 regarding the above matter. WHEREAS, Suffolk Environmental Consulting, Inc. . on behalf of Monica Kreischer (Feldman) applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated July 31,2003 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 September 24, 2003 at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standard set forth in Chapter 97-18 of the Southold , 2 . Town Code. WHEREAS, the Board has detennined 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 approved a WetIand Pennit for MONICA KREISCHER (FELDMAN) to construct a 135.0 square foot +/- bedroom addition 644.0 square foot +/- kitchen addition and new sanitary system with the addition of drywells for roofrun off with roof gutters and down spouts and a stake row of hay bales outside of the construction line. BE IT FURTHER RESOLVED that this detennination 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. Fee must be paid, if applicable and pennit issued within six months of the date ofthis notification. Ifinspections are required, at a fee of$5.00 per inspection (See attached schedule). FEES: $10.00 Very truly yours, £t 1ftt.,,,,.6 Klup~J[, a.J.. . I'L Presiden( Board ofT~tees ;¡n . AJK/cjc cc: DEC Building Department . . jiÚf) Telepbone (631) 765-1892 Town Hall. 53095 Main Road P.O. Box 1179 Southold. New York 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Tuesday, August 12, 2003, the following recommendation was made: Moved by Bob Ghosio, seconded by Nicholas Dickerson, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH A CONDITION of the Wetland Permit application of MONICA KREISCHER FELDMAN to construct an addition to the existing single-family dwelling. Located: 825 Harbor Lights Dr., Southold. SCTM#71-2-16 The CAC recommends Approval of the application with the condition of a 25' non-turf buffer. Vote of Council: Ayes:' All Motion Carried ~ , Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda ',. :':i . Town Hall 53095 Main Road P.O. Box 1179 , SQuthold, New York 11971 o BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD OEe - 1 2003 TO: Suffolk Environmental ConslIlting, Tnr So~ 'IIId ØOInI of '!IuS_ , ' nn hph=df nf k""VTtISCWER PROPERTY Please be advised that your application, dated T,'¡~, '1 ZOfJ has been reviewed by this Board, at the regular meeting 0 " . '''! '88' and the following action was taken: ~£.13... ......... ~ ,.... oJ ( X) 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: Two Inspections @$5.00 TOTAL FEES DUE: $ 10.00 '- tllt,·1 ~ /4. f'·A.' 9, PRESIDENT, BOARD OF TRUSTEES (!{tdt-'rrc-(ß/l W-<lftLø-~ CLERK, BOARD OF TRUSTEES SIGNED: BY: . 4/98 B ICCICIWlIE TI r\ DEC - 1 2003 ~ Soulhold Town Board 0' Trustees Au~ 20 03 03:43p STR"'H REAL ESTATE 631137-S198 p.l Suffolk Environmental Consulting, Inc. --.---- - - Newman Village. Main Streel, P,O, (631) 537·5160 Bruce Anderson, M,S,. President Box 2003. Bridgèhdmpton, Ne\'. Ynr, 11'('2-2003 Fa" (("Ii 5:17-,'Il)" Via Telecopier August 20, 2003 Albert Krupski, Jr, President Southold Town Trustees P 0. Box 1179 Southuld, NY 11971 Re: Kreischer (Feldman) Situate: Harbor Lights Drive, Southold SCTM# 1000-71-2-16 Dear Me. Kruspski, I hereby request that the public hearing on the matter referenced above be postponed to the next regular meeting of your Board, [also, request a full Board inspection of the property prior to the next regular meeting Please contact this office and let me know when the Board can inspect the property, , Anderson 1 . lð OJ. " --l fI"· , ---.J - CC, A Feldman / _________ ___ _,__ ______n____n_____n_u -1-- ~ I' -i<m ~ ¡; 4~ I <?'Z~=7 I ; ~----~- + -t- lJJLfIJ Ia"!I ¡ ~ '-'~'~1 I -t-- .--- ---- ---- - , , ., ¡ ~) , ~ ,. ß -f- â , I ,~ I . , i I .(i -t1~ ' ~_, s.. ag fl ¿;:¡: t;i¡' ~J! ! ~~II iI- Ujl 1 ,II ÌI II: \1' tii' ", :111 II iii omrmrrmml]IT!TI1m1 ffiITTITImmTITITlrTIrnTHlmml nn rrTIlTlllIIT}TlJTilTIUmmrm ""». IT1T ..' SITE PLAN LOT AREA: LOT COVERAGE: 28, 381 square feet EXISTING: House: Patio: Driveway: 1, 549 square feel 319 square feet '3 500 scuafS feet i: 5,428 square feeli (19.1 % t) concer~ing the [CREISCHER Property Situate: 825 Harbor Lights Drive; SouthoId, NY SCTM /#: 1000-071-02-016 SCALE,1.O"-40. 0 [~. Ii: IE n'~ IE~ L JUl ",004 j0 Sculnoló lo~" Bo:,rd of 1H1stee~ Tolal: PROPOSED: House: Patio: Drivewey: Additions: Garaas: 1, 549 square feet 379 square 'eet NIA (10 be pervious) 925 square ,...1 t 320 sauare feet f Total: 3, 173 squar.,..t t (11.2 % t) ~ °0 ~ (\ , . Et.-Z,5 l."1Y: ' .. 5.41 "'11.1)ItA/?o 11if: ~"Ds }''''Irs '~s. ,s Ð" 0,0 O·~.ë~f,INê~ l1D.Jf{ '. Ocr.~~t\ ...... .,>. .-' """ 'tJ', ""6.43 = t-n·. .~ I li\ R I \ \ I ry I I' I \ ¡~ . I I , .' .:." ,,' t' u ,,':'" ru ~ Q; f:¡, "0 12 e c-' ~ ¡,;Q...;J.>t'" o ~ C?p ~!! ..... (j'''' ð- ~ 0 Q.'" .~/IÍ,) ~'-J"ff o ... '1;' c- 0 '" ",'" i9 n~ ~ ,....;, >u .rtJ *' ,... - ...... £.s o ~"" -::---... ~ "'E:" . ~ONE" __ (fl. Ij) -t ~ ~ " ~ # <Q ,'" -Q ..... Q.'" o "VS ~ .",'" '" 1>" <8 Detached Garage (16' x 20') ~ ---- ....... '....... SANITARY SECTION (D "'e/z' '" g 11ft.., A "ó" 'If.> ....... J BEDROOMS H!l\JSE rr-U,D /.; Ot~';) D..I~" mSHED GRAD( p ¡;:. -< ~4/i r"I":--. l¡- v Q: /yo ñ::- Q ;;.... '* iF' '<J ~ au..'ftL SPAct ..11.1 "tA""tItI 0.-.11.1 CL-...ft ""' TEST HOLE DII T II JAN. 17. lOOJ 0.0 MIXED'SAND ð: LOAM 4.0' BROWN SIllY SANO 7.t WATrn IN DROWlI SILTY SAND 9.0' WATm IN PALE DROWN FINE TO MEDIUM SAIIO 17,0' u·....1 I GRDU"ID W" TEA SEPl1C TANK 1000 GAl. CESSPOOl N Y S·D E C APPROVED AS PER TERMS AND CONulnONS OF'.' :::~~~ì~2~1/0CC03 '. . .rl,. Prepared by: Suffolk Environmental Consulting, Inc. P.O. Box 2003; Bridgehampton, NY 11932 (631) 537 -5160 Date: September 9, 2003 May 3. 2004 EXISTING SANITARY to be REMOVED AS PER SUFFOLK COUNTY DEPT. of HEALTH SERVICES REQUIREMENTS. and backfilled with 66.0 cubic yardl + of clean fil' ,obtained fro~ an upland 10Un:D. ....................- h.. t:nv I ^ fl.IJì COIID\lI::VIfI.lr:!: , . i l , I i . . MODIFICA TION DESCRIPTION for the KREISCHER Application Situate: 825 Harbor Lights Drive; Southold, NY SCTM #: 1000-071-02-016 Applicant proposes to modify the existing and ";n-force" Town of Southold Board of Trustees Wetlands Permit (No. 5801) to reflect design revisions driven by the New York State Department of Environmental Conservation regulatory requirements. The original permit authorized for the construction of: (1) Construct a total offour (4) additions to the existing containing a total of 925 square feet ±,resulting in a minimum structural setback from wetlands of80.0' ±, an increase in setback from the initial wetlands permit; :I ~HI¡;¡H~ JUL 2 8 2004 Southold Town Board of Trustees ...a 135.0 square foot ± bedroom addition 644.0 square foot kitchen addition and new sanitary system... Applicant requests to modify subject permit as follows: (2) Construct a detached garage within the northeastern section of subject property, containing 320 square feet ±, resulting in a structural setback from wetlands of 190.0' ±; (3) Abandonment of the existing septic system within the northern section of subject property, and construction of a more conforming sanitary system within the central section of subject property, resulting in a setback from wetlands of 140.0' ±,' and (4) Removal of the existing asphalt (impervious) driveway and installation of a gravel (pervious) driveKay. Please note that the modified proposal results in greater wetlands setbacks than previously approved within the initial wetlands permit. . . Albert J. Krupski, President James King, Vice-President Artie Foster Ken Po1iwoda Peg!:.'}' A. Dickl!l"SOn Town Hall 53095 Route 25 r.o, Box 1179 SOllthold, New York 11971,0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTUOLD ' BOARD OF TRUSTEES: TOWN OF SOUTHOLD ----------------------------------------~---------------------- In thc Mattcr of (he Application of AFFIDA VIT or POSTING I, ~v(£. J. J¡i>~..J , lesiding at~,J I/¡LlAGf. ; J,,J ¡;:~ ~/D'3':J(AAI'7DJ ,!\k/¡J ~.t.¡L, ____ I _ j _ Veing duly sworn, dcpose and say: i That onthc ''''''day orir£tjr ,20(1, I pcrsonally posled the properly known as ___ _______ _____0_-____"-------- ___ ____________. _________ __ ___________~__ hy placing Ihc Board orTllIslœs of/icial poster whcre it can easily bc secn, and lhall have checked I() h~ SLu~ lh~ post~1 has r~nl¡ulwd in phlcc It) ~ight days pliol to th~ dale orlh~ public h~aring. I )al~ or h~al iug nol~d Ihcr~on to h~ hdd UJal'. ~I-'Ç - On. ~a.tXU;{ . D"'" þ. If, Ovi A. Sworn to before me this t1"Hay of k. 200 i ¿ ~ - Matthew D. Ivans Notary Public of New YolII No, 01lV6053859 Qualified In Suffolk County 1 Commission Expires January 22, 200 - . Albert 1. Krupski, President John Holzapfel, Vice President Jim King Martin H. Garrell Peter Wenczel Town Hall 53095 Main Road P. O. Box 1179 Southold, New York 11971 Telephone (631) 765-1892 Fax (631)765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTIIOLD Office Use only Coastal Erosion Permit Application X Wetland Permit Application Grandfather Permit Application WaiVer/Amendment/~nges . __Received Application:1l31 Received Fee: $ ó1CO' Completed Application-.1j õll~ Incomplete SEQRA Classification: Type I Type II Unlisted Coordination: (date s~nt~~~ AC Referral Sent: 11 ~I ..... ~ate of Inspection~L~ Receipt of CAC Report: Lead Agency Determination: Technical Review: ublic Hearing Held: ~L~ Resolution: E AUG 2 1 2003 ~~9' SouIIIIId Town Board III Truslefl Name of Applicant Monica Kreischer Address 252 7~ Avenue; Apartment 6 V; New York, NY 10001 Phone Number( 212 ) 391 - 7266 Suffolk County Tax Map Number: 1000-071-02-016 Property Location: 825 Harbor Liqhts Drive; Southold, NY provide LILCO Pole #, distance to cross streets, and location) AGENT: Suffolk Environmental Consultinq, Inc. Address: P.O. Box 2003 Bridqehampton, NY 11932 Phone Number: (631) 537-5160 Fax: (631) 537-5198 - . Board of Trustees Application GENERAL DATA Land Area(in square feet) : 28, 381 square f_t Area Zoning: A-C Previous use of property: Improved lot Intended use of property: Expansion of existinq d_llinq 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: Proiect Description (use attachments if necessary) : Applicant proposes to construct a 135.0 square foot ± bedroom addition, a 644.0 square foot ± kitchen addition and new sanitary system. 2 ... . Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Construction of two (2) additions to the existinq dwellinq and construction of new sanitary system. Area of wetlands on lot: 0.0 square feet Percent coverage of lot: 0.0 % Closest distance between nearest existing structure and upland edge of wetlands: 76.0 ± feet Closest distance between nearest proposed structure and upland edge of wetlands: 67.6 ± feet Does the project involve excavation or filling: x No Yes If yes, how much material will be excavated? RIA cubic yards How much material will be filled? RIA cubic yards Depth of which material will be removed/deposited: RIA ± feet Proposed slope throughout the area of operations: RIA ± Manner in which mat~rial will be removed or deposited: RIA 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) : Ro impact to the wetlands are anticipated due to the project design and location, as well as the dwellinq itself existinq for years without any neqative environmental impacts to the surroundinq area. 3 - . Board of Trustees Application COASTAL EROSION APPLICATION DATA N/A Purpose of Proposed Activity: Are wetlands present within 75 feet of the proposed activity? 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 from the implementation of the project as proposed. (Use attachments if necessary) 4 ... . NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: Monica Kreischer SCTM# 1000-071-02-016 YOU ARE HEREBY GIVEN NOTICE: 1. That is the intention of the undersigned to request a Permit from the Board of Trustees to: Applicant proposes to construct a 135.0 square foot ± bedroom addition, a 644.0 square foot ± kitchen addition and new sanitary system. 2. That the property which is the subject of Environmental Review is located. adjacent to your property and is described as follows: 825 Harbor Liqhts Drive; Town of Southo1.d, NY 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. You may contact the Trustees Office at 765-1892 or in writing. The above referenceG 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: MAILING ADDRESS: Monica Kreischer 252"f!' Avenue: An.rimen. 6 V: NY. NY 10001 PHONE # : (212 ) 391 - 7266 Ene.: Copy of sketch or plan showing proposal for your convenience. 5 .. - 14-16-4 (9/95)-Text 12 617.20 I PROJECT /D. NUMBER I Appendix C L...- ------.J State Environmental Qual~y Review ------- SHORT ENVIRONMENTAL ASSESSMENT FORM For UNUSTED ACTIONS Only SEQR PART 1· PROJECT INFORMATION (To be completed by Aoolicant or Proiect soonsor) l. APPLICANT/SPONSOR 12. PROJECT NAME Suffolk Environmental Consulting, Inc. KREISCHER 3. PROJECT LOCATION: Municipality Southold County Suffolk 4. PRECISE LOCATION (Street address and road int"",ections, prominent landmarks, etc. 01 provide map) 825 Harbor Lights Drive; Southold, NY 5. IS PROPOSED ACTION: D New 181 Expansion D Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: Applicant proposes to construct a 135.0 square foot ± bedroom addition, a 644.0 square foot ± kitchen addition and new sanitary system. 7. AMOUNT OF LAND EFFECTED: Innially < 0.1 acres Unimatelv < 0.1 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS7 181 Yes D No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? I8IResidenlial Dlndustrial DCommercial DAgricunure DParkIForesUOpen space DOther Describe: Private single fàmily residential dwellings with related appurtenances. 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR UL TIMATEL Y FROM ANY OTHER GOVERNMENT AGENCY (FEDERAL, STATE OR LOCAL)? 181 Yes DNo If yes, list agency(s) and permiUapprovals Town of South old Board of Trustees & Building Permit; Suffolk County Dept. of Health Services approval. 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Dyes 181 No If yes, list agency(s) and permiUapprovais 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? Dyes 181 No I CERTIFY THAT THE INFORMATION PROVIDED IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Matt D. Ivans - Suffolk Environmental Consulting, Inc. Date: 01/29/03 Signature: If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Fonn before proceeding with this assessment OVER 1 .. .. PART 11- ENVIRONMENTAL ASSESSMENT !To be cOlT1Dleted by ADency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.127 If yes, coordinate the review process and use the FUll EAF, DYes DNo 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. DYes DNo C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOllOWING: (Answers may be handwritten, W legible) C1. Existing air quality, surface or groundwater quality, noise levem, existing trafftc patterns, solid waste production or disposal. potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archeological. historical or other natural or cultural resources; or community or neighborhoOd character? Explain briefly: C3. Vegetation or fauna, fISh, shellfish or wikUife species, significant habitat. or threatened or endangered species? Explain briefly: C4. A community's existing plans or goats as officially adopted, or change in use or intensity of use of land or natural resources? Explain briefly: C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: C6. Long term, short term, cumulative, or other effects not identified in C1-C5? Explain briefly: C7. Other impacts (including changes in use of either quantity or type of energy)? Explain briefly: D. Will THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAl CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CEA? DYes DNo D. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? DYes DNo If yes, explain briefly PART III· DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important, or otherwise significant. Each effect should be assessed in connection wßh Its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration: (d) irreversibility; (e) geographic scope; and (1) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufftcient 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 and significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. o Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. o Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: - Name of Lead Agency Print or Type Name of Responsible Officer Tßle of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (if different From responsible officer) 2 , 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 Office Use Only ----Soastat Erosion Permit Application ¿Wetland Permit Application ...". Major _ Waiver/Amendment/Changes .....-Received Application: '11311~ ......-Received Fee:$~OO'" _ ..e"'ompleted Application '7/31/0.3 _Incomplete _SEQRA Classification: Type I_Type II_Unlisted_ _ coordination:(date~sent) .....eAC Referral Sent:' '731 ~ ...-Date ofInspection: J/~ _Receipt ofCAC Report: _Lead Agency Determination: Technical Review: ~blic Hearing Held:_~ Ja/)/03 Resolution: . Minor - fB)[E~[E~WJ~ lIll JUL 3 1 2003 '- Soulllold TOWft Board of Trus,", Name of Applicant ¡jfOI""~4- Þt.(>U(~;L ;;;'}"{I(r'( Address ~2- ç- #"-6oA. L(b1f1s .ð'(IIIE ("'-If"Ld ""1 /(S"7rPhoneNumber:() 'íi 7 ~s:~ /73(;, Suffolk County Tax Map Number: 1000 - ~ - Z - II..P . ~'. ~[JJY-09ïÍ\~ a,¡,IŸ :;þ?t",!t;V ð- P ('f-\ , Ç\ /t!J./ l' ~ ~,.,â7't ¡cpO I Property Location: _&MC~V' IP"'" '1\ ~,~' (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: . Board of Trustees - Application L GENERAL DATA Area Zoning: '2-~I~ðl Sc¡>· FT. /2H/ÜN/r~L Land Area (in square feet): Previous use of property: . ¡C. f( l,j f -<I 7",-t- L Intended use of property: . A.E~/1f.vTI';( Prior permits/approvals for site improvements: Agency /-10"''( Date .,./'/N'· . s/ I c. . . _ 0 pnor permit approva s lor site Improvements. Has any permit/approval ever been revoked or sus~ a governmental agency? _No_ Yes If yes, provide explanation:- Project Description (use attachments if necessary): AJd,l,ðN /.) Ç)C'~r-N ( S-,-:;..vc'v.-(~ ~ nF?I:J./t{f'C1t./RAL WI) SIiFt:JU'hJS. . . . 3 Board of Trustees Application WETLAND/TRUSTEE LANDS APPLlCA nON DATA Purpose of the proposed operations: /fdð rIle ,"-' / (., f 1'--' C; ('fo\.( çc"-,,<.:(,-,,,- 'to o square feet Area of wetlands on lot: Percent coverage oflot:--11.~I2__% Closest distance between nearest existing structure and upland edge of wetlands: 7~ feet Closest distance between nearest proposed structure and upland edge of wetlands: '1 -{ feet Does the project involve excavation or filling? , No / Yes If yes, how much material will bè excavated? 53 cubic yards How much material will be filled? o cubic yards Depth of which material will be removed or deposited: "3 '. d' feet Proposed slope throughout the area of operations:~ Mann~iïn, which material :ilI be removed or deposited: Ë 10 ~ ~XéAJ.t.::ŒÞ sötL ~ [;>~~ Æl:V1. ~l TE-B"t'" "ŒUc Jo{... 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 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 ____mr!01Co.__hr-ª~j)~L&~1l\Cl.Q. COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, (}î ð()1CA YeE1~ , residing at * ~fuz-- L,c¡j.is ~ , b~~~:~m,~jse anJ~~7 / T~! on t e 0 day of ~ iJ-';>r , 200.3, I personally osted the roperty '62--5 L---4 b Ì2!i, @JO\ N II --¡ I by placing the Board of stees official poster where it can e ily 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 ~ 6r>, a.oo~ - - en rCt.Ö(Ut'1:oo . Dated: rl <..( 2..cN :> ~ ii.J-;~ (signature) Sworn to before me this (¡.t, day of ""4 200 ~ ~C'... L-- ~'(O Notary Public ABRAHAM HAROON' Notary Public. Stllte of New York No. 41-4.934341 Qualified in Nassau County COmm!s~l()n EJ(p!m~ JUl'e 6, 2006 ---- . 1 . Lf APPLICANT/AGENTIREPRESENT ATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics orohibits conflicts of interest on the cart of town officers and emolovees. The Duroose of this form is to nrovide infonnation which can alert the town of DOssible conflicts of interest and allow it to take whatever action is necesS3IV to avoid same. ~ I YOUR NAME: ~;,:¡__ a-..J, I ~ c...r:r' A-. (Last name, first name, Í11iddle initial, unless you are applying in the name of someone else or other entity, such as a company. If so, indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Variance Change of Zone Approval of plat Exemption tram plat or officiaJ map Other (If''Othe''', name the activity.) k /2-/!:/ S ~~ Do you personally (or through your company, spouse, sibling, parent, or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by bJood, marriage, or business interest. "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of (or employment by) a corporatioD in which the town officer or employee owns more than 5% oftbe shares. YES ,K: NO [(you answered "yIf', complete the balance arthis fonn and date and sign where indicated. Name of person employed by the Town of Southold J.J I L.t,.{"...... /1. 7r'U ~tr'. J;r... Title or position of that person ..::::r u ~ 'C""I ,. ~ ' Describe the relationship between yourself (the applicant/agent/representative) and the town officer or employee. Either check the appropriate line 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 applicant (when the applicant is a cOlpOration); B) the legal or beneficial owner of any interest in a non-COlpOrate entity (when the - applicant is not a colpOration); _ C) an officer, director, partner, or employee of the applicant; or _D) the actual applicant. DESCRIPTION OF RELATIONSHIP -&.c.~_ -J,v t '4 '-' ~::i(~:~/"~ 2003 Print '&,...LoI" A. ~1dU~ BO~ of Trustees Application 4IÞ County of Suffolk State of New York r·.. ç:: ðµ ~!-f DEPOSES AND AFFIRMS THAT E SHE IS THE APPLIC FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER 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 REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. ~ Signature I!l¡V 0 {: I ~j,£(,.¡-vV 'BEING·DULY SWORN SWORN TO BEFORE ME THIS ~ DAY OF a-'j PmICIA CORWIN NoblY Public, Slate 01 New York No.OlCOSOI785Z Qualified in Suffo~ County ,.-- Commission ExpillS S,pt 13, /-r!t'J -"] "'/ )./. , /¿-:¡;¡ '//)ß4'/~ ./ No ry Public 7 . ( 19 ~J<) ~ '- . . Board of Trustees Application ".c,.,\\fIV County of Sw4felk State of New York f'fì6t\\cA- ~~ 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 IllS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN TIllS 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 REPRESENTATlVES{S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONmNCTION wrrn--C THIS APPUCATION . ~cJ Signature SWORN TO BEFORE ME TIllS "I tt. DAY OF ,20~ A;~d-- l\.~ Notary Public BRAHAM HAROON! Nota~ public, State of NeW York No,41-4.934341 Qualified in Nassa~ cou~OO6 Commission Ey.",res une . erd of Trustees APplicati. AUTHORIZATION (where the applicant is not the owner) .". I, residing at <t2.5" (mailing ~0*1:>. , 1J2deç IlJ ~ JlCll ) ~~) do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. r1Æw~ /dvl (OWner's signature) 8 . APPLtCANT TRANSACTIONAL DISCLOSURB FORM . The ToWn of s~ukhold's Code of gbhicð rohibibs contlicbs or nterset on the part Of town off cere and employees. The purpose of this form is to provide information which can alert the town of possible conflicts of interest and allow it to take whatever action. is neces~ to aVOi.d: ,s,am~. '. c:r; tOUR NMfBI MI'''-f~I'SCf(L<''' /' "J4fµt¡~~..vOlCJ f¿<J.r-tJ L øl name, fret name, m dd~e n hal, Un eRB you are applying in the name of someone else or Qther entity, such ~B a company. If 80, indicate the other person's or company's name.) NATURB ot APPLICATION. (Check all that apPLY.) ,,>~~.,::.',"-:f.~'.:S, Tax grievance Variance Change of Eone Ap'p~~al of plat ~ gxe~ption from plat or official map other tIf "other," name the aotivity.) , ..~ I/o....... J\~àfrl""'" Do you p.r.ona1~r (or ~hrough røur ~b.p.nr, øpöuø., ølbling, parent, or chlld) hDye a relationship vith any officer or employee or the Town of Southold1 -Relatlonøhlp· includes by blood, .arrlage, or buøinesB interest. -Dusiness interest" mellns II budness, inoluding II par\;nership, in vhich ~he \;ovn ofrioer or employee has even s psr\;ial ovnershlp of (or employmen" by) II oorp,oration in vhich the tovn officer or eMployee ovns more than 5% of ~he shares.. YBS NO /' If you anuvered "YBS,", coøp1ete bhe balanoe of ihiø torm end date BDd sign vhere indicated. . .~.' .. Name of person employed by the Town of Southold Title or position of that person Describe "he relationship betveen yourself (ths applicant) and the town officer Ðr employee. Either check the appropriate line ~) through D) and/or describe in the space provi..ðed. The "own offioer or employee or his or her SpOUSll, sibling. parent. or child is (check all that apply). _____A) ~he owner of gree~er than 5% of the shares of the corporate stook of the applicant (whun ths applicant' is a corporation), _____9) the legal or beneficial owner of any inberest in a noncorporate'entity (when the applicant 18 nob a . corporat.ion) , _____C) an offioer, director. partner, or employee, Of the appHcllnt, or _____D) the ~ctual applicant. .... -:~>- . -. . DESCRIPTION OF RELATIONSIIIP '. .. ... . "~ ~ v ~ -' . _ ._. ... '~k"":'" 1,·r., ,; ;;S:..'· .,..........M. . sublni tted t signature . '. . 3 ø·· '. .¡, .;. .'¡¡~~., . _ ''1.' !¡A'ê,,·;·~¿, .,:x!.~ d . 0~199_· ;~;~~~(