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Home My WebLink AboutTR-5692 I Glenn Goldsmith,President ®F SOUTH Town Hall Annex A.Nicholas Krupski,Vice President ®� ®�® 54375 Route 25 P.O. Box 1179 Eric Sepenoski J8 Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples ® a® Fax(631) 765-6641 c4UNTV,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 14, 2023 Brian & Laura Flanagan 55 Saint Andrews Drive Huntington, NY 11743 RE: 980 OAK AVENUE, SOUTHOLD SCTM# 1000-77-1-6 Dear Mr. and Mrs. Flanagan: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, September 13, 2023: RESOLVED that the Southold Town Board of Trustees approve the request for a Transfer of Wetland Permit#5692.from TeamC99A Properties, LLC to Brian & Laura Flanagan, as issued on January 22, 2003. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, o a 64nn Goldsmith President, Board of Trustees GG:dd L i Glenn Goldsmith,President yO\;4gQFFU( 419, Town Hall Annex A.Nicholas Krupski,Vice President 54375 Route 25 0 Eric Sepenoski co ,? P.O. Box 1179 Liz Gillooly �y • �� Southold,NY 11971 Elizabeth Peeples Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time:StUL3 Completed in field by: at i"c+lk Pe_ Ie-,% BRIAN & LAURA FLANAGAN requests a Transfer of Wetland Permit#5692 from TeamC99A Properties, LLC to Brian & Laura Flanagan, as issued on January 22, 2003. Located: 980 Oak Avenue, Southold. SCTM#: 1000-77-1-6 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Typ'9 of Application: Wetland Coastal Erosion Amendment Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info needed/Modifications/Conditions/Etc.: by1kJnt#,A &' uokl C.VrMV%A-jj {�ntre_ (t a Uro" Koh-hd bu0ear k8i%Ayvd oQ bVIILnca . PIfa'& "i ift . okA%j iso t tram6y oP azarmi{ 4-re92- Present Were: G. Goldsmith N. Krupski E. Sepenoski L. Gillooly ✓ E. Peeples Ri Brian and Laura Flanagan 55 Saint Andrews Drive I! L AUG 1 1 2023 a Huntington, NY 11743 Southol:i TMPIM Board of Trustees Board of Tru l'b'i, Town of Southold _ T 53095 Route 25 Southold, NY 11971 August, 8 2023 Re:980 Oak Ave,Southold Please accept this letter as a request to transfer permit numbers 5692 (bulkhead)and 9376(dock) at 980 Oak Ave,Southold to our names, Brian and Laura Flanagan. We have included the deed to the house,signed affidavit and a check for$200. Thank you, (�_ rian and Laura Flanagan + r —ard of T.rustees Applicata-^^ AFFIDAVIT + �,- ,`U,L ,�� Lc, v✓� �� ;,,�� BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/911E IS THE APPLICANT FOR THE ABOVE' DESCRIBED PERMITS) 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 BOARD OF 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, INCLUDING THE CONSERVATION ADVISORY COUNCIL, TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. Signature of Property Owner Si Lure o rop y Owner SWORN TO BEFORE ME THIS 7 DAY OF 20 2-3 Notary Public DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK No. 01D1475593 Qualified in Suffolk County My Commission Expires April 30, 20Z4 THE JUDICIAL TITLE INSURANCE AGENCY LLC Title Number: 149579FA-S SCHEDULE A Amended 05/23/2023 ALL that certain plot, piece or parcel of land, situate, lying and being in the Town of Southold, County of Suffolk and State of New York, known and designated as and by the southwesterly half of Lot No. 297, Lot Nos. 298, 299 and 300, on a certain map entitled, "Map of Goose Bay Estates", in the Town of Southold, Suffolk County, New York, said map being made by Lewis N. Waters, L.S. of Oyster Bay, L.I., New York, dated September 12, 1934 and filed in the Office of the Clerk of the County of Suffolk on the 13th day of November, 1934, as and by the Map No. 1176, said lots and part of lot when taken together being bounded and described as follows: BEGINNING at a point on the northwesterly side of Oak Avenue, distant 399.68 feet southwesterly as measured along the northwesterly side of Oak Avenue from the corner formed by the intersection of the northwesterly side of Oak Avenue and the southwesterly side of Cedar Avenue; RUNNING THENCE along the northwesterly side of Oak Avenue, south 45 degrees 24 minutes 40 seconds west, 70.00 feet to a concrete monument and the division line between Lot No. 300 and Lot No. 301 on the above mentioned map and being land now or formerly of Dominick Basile and Donna C. Basile; THENCE along the last mentioned division line, north 44 degrees 35 minutes 20 seconds' west, 140.00 feet to an unnamed street, as shown on the above mentioned filed map; THENCE along the unnamed street, north 45 degrees 24 minutes 40 seconds east, 70.00 feet to land now or formerly of Alexander R. LeDonne and Pauline LeDonne; THENCE through Lot No. 297 and along the last mentioned land, south 44 degrees 35 minutes 20 seconds east, 140.00 feet to the northwesterly side of Oak Avenue, the point or place of BEGINNING. The policy to be issued under this report will insure the title to such buildings and FOR improvements erected on the premises which by law constitute real property. CONVEYANCING ONLY TOGETHER with all the right, title and interest of the party In the first part, or, in and to the land lying In the street in front of and adjoining said premises. STATE OF NEW YORK, COUNTY OF SUFFOLK On this - day of June, 2023, before me, the undersigned, personally appeared CHRISTOPHER JOSEPH, PRESIDENT personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies) and that by his/her/their signature(s)on the instrument,the individual(s),or the person on behalf of which the individual(s) acted, executed the instrument. (NOTARY UBLIC) ELIZABETH A.MARTINEZ Notary Public,State of New York No.01 MA4716913 Qualified in Suffolk County Commission Expires June 30,2026 DISTRICT: 1000 Bargain and Sale Deed WITH COVENANT AGAINST GRANTOR'S ACT SECTION: 077.00 TITLE NO: ( qq :5� ej Fl "^—cf--------------- ------ BLOCK: 01.00 T�u-MC C9A T F-&p ,GLG LOT: 006.00 CHRISTOPHER JOSEPH,PRESIDENT COUNTY OR TOWN:soUTHOLo/SUFFOLK To BRIAN W.FLANAGAN AND LAURA K.FLANAGAN -------------------------------------------------------------------------- RECORD & RETURN: BARGAIN and SAdEDEED,wlCovenant against Grantor's Act-Individual or Corporation CONSULTYOURORE SIGNING,mis INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY THIS INDENTURE, made the 5`I' day of June, Two Thousand and Twenty Three, BETWEEN TEAMC99A PROPERTIES,LLC,residing at 24 Jaynes Way,Wading River, New York 11792 party of the first part, and BRIAN W. FLANAGAN AND LAURA K. FLANAGAN, husband and wife, residing at 55 Saint Andrews Drive, Huntington, New York 11743 party of the second part, WITNESSETH,that the party of the first part,in consideration of Ten Dollars($10.00)and other valuable consideration paid by the party of the second part,does hereby grant and release unto the party of the second part,the heirs or successors and assigns of the party of the second part forever, District: 1000 Section: 077.00 SEE"SCHEDULE All ATTACHED HERETO Block: 01.00 Lot: 006.00 BEING and intended to be the same premises conveyed to party of the first part by Deed dated September 1, 2017 and recorded on October 5, 2017 in Liber 12932 Page 616. SAID PREMISES KNOWN AS 980 Oak Avenue, Southold,New York 11971 TOGETHER with all right,title and interest,if any,of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof; TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises;TO HAVE AND TO BOLD the premises herein granted unto the party of the second part,the heirs or successors and assigns of the party of the second part forever. AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been encumbered in any way whatever,except as aforesaid. AND the party of the first part,in compliance with Section 13 of the Lien Law,covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The word"party"shall be construed as if it read"parties"whenever the sense of this indenture so requires. IN WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year first above written. IN PRESENCE OF: CHRIST HER JOSEPH,PRESIDENT Michael J.Domino,President �OF S0(/TTown Hall Annex John M.Bredemeyer III,Vice-President ,`O� �� P.O. Route 25 P.O.Box 1179 Glenn Goldsmith Southold,New York 11971 A. Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams � �� Fax(631) 765-6641 cou BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 14, 2019 Robert Herrmann En-Consultants 1319 North Sea Road Southampton, NY 11968 RE: TEAMC99A PROPERTIES, LLC 980 OAK AVENUE, SOUTHOLD SCTM# 1000-77-1-6 Dear Mr. Herrmann: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, August 14, 2019: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit#5692 from Charles S. Trownsell, as issued on January 22, 2003. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please contact our office at (631) 765-1892. Sincerely, /J Michael J. Domino, President Board of Trustees MJD/dd Michael J. Domino, Presid; Sc Town Hall Annex John M. Bredemeyer III, Vice-Pi; sident �� 54375 Route 25 Glenn Goldsmith ro a , P.O.Box 1179 A.Nicholas Krupski Southold,NY 11971 Greg Williams Telephone(631)765-1892 Fax(631)765-6641 Maxx BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: (c.,`V�-'l Completed in field by: �� En-Consultants on behalf of TEAMC99A PROPERTIES, LLC requests a Transfer of Wetland Permit #5692 from Charles S. Trownsell, as issued on January 22, 2003. Located: 980 Oak Avenue, Southold. SCTM#: 1000-77-1-6 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=� Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures:,50 feet 6. Landscaping or gardening: 50 feet 7: Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of'Hearing Card Posted: Y / N Ch. 275 ✓Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: / A4 J7— 0" 'l SGa e jLA a I have read & acknowledged the foregoing Trustees comments: Agent/Owner: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski . Williams Other r- " . . " . " " . ~~___.~~...--!.~.__2' '_ ~ . . . " , ~ TERMS and CONDmONS 110 ~.. .f. '.~ .:-. ,f t:ai ::.:.. 1'be Petmittee Charles s. Tr"nwnc::ø11 resicIiag at qRn n.k A ""Rlie Seatlold N. y~ IS , . ... . part of the consideratioo for the ce.'.n~ of the PermIt does ~...nd and p.-rlbe to the fol- lowiøg: 1. Tbar the said Board of Trusrees and rhe TOW'll of ScMboId ale releued &un IJ11 and aU damages, Ot' claims fOt' damages, of suha arioiøg ditecd:y « iaditecdy .. . ~ of IJ11 of- arioo peñC>llDed pinuaat to this petmit. and the IIid 1'<. J....... will, at bù « her own eq...I(. defeod IJ11 and all surb l1li11' ¡..;.I.-I by rhùd patdcs, .... the said Po I....... -- fuIllWIIIity with rapecc therero, to the -..pIeref'Wdncinn of the Baud of n- of the TOWII of S .«hQId 24 2. That this Pem>it is valid for . period of mas. wbich & __''''''...-1 to lie rbe estimared rime' required to œmpIere rbe work in~hed, but sboaJd åtmIiIsraIIta -. nqae.r for on exœasion may lie made to rho Board at a Jaœr daœ. 3. That this Permit should lie reraiøed indefinitdy, or as loag as the said ~ 'IriIbes to m.j_¡n the srrw:ture or project involved, to provide evidmœ to anyoae rooœmed rhat aurh· orizarloo was originally obraiøcd. 4. That rhe wode ~lved will be subject to the i~ and approval of rbe Board or its agents, and DOIHOIIIpIianœ with the ptovisioas of the MIÍ_tlng applicaûoa, -.y be cause for œwcarloo of rhis Permit by resolurloo of the said Board. 5. Tbar tbere will be no IIIIn'"SONble interference with naviprioa as a .-It of the work herein au"rhorized. 6. That there dW1 be no inrerferenc:e wilh the right of rho puhlic 10 pass and repas a10ag tbe beach between high and low water marks. 7. Tbar if future operations of the Town of Southold reqahe the ftGIOftl. andj« aIœqdoas in rho Ioc:arion of the work herein ...cborhed, or if, in the opiaIoo of the Baud of Tmscees, the . 19O1k sha11 cause unreasonable obsttucaon to free naYipdoa, the said p......¡.- will be recpånd, upon due nodœ, to remove or alter this -" or project herein stared wiIhouc ~ to the T_ of Sourhold. 8. That rhe said Board will be notified by the Permiuee ot rho h i~h Of the -" aarh- orized. 9. That rhe Permittee will ohrain all other permits and conoen.. that -.y lie JeIUIted ...,. piementai to this permit wbich may be aubject to moke upon falJare to obra1n -. . , , , .. "~,~~"""""-",,,--.-,-.,, 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 January 27,2003 Crowley Marine c/o Susan E. Long PO Box 46 East Marion, NY 11939-0046 RE: SCTM#77-1-6 Charles S. Trownsell 980 Oak Avenue Southold, NY Dear Ms. Long: The Board of Town Trustees took the following action during a Regular Meeting, held on January 22, 2003 regarding the above matter. WHEREAS, Crowley Marine c/o Susan E. Long on behalf of Charles S. Trownsell applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated December 30'\ 2002. 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 January 22,2003 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, . 2 . 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 approved the application of Crowley Marine Construction on behalf of CHARLES S. TROWNSELL request a Wetland Permit to remove existing concrete retaining wall and replace with 90 +/- C-Loc Vinyl retaining wall - install two 10' returns - backfill with approx. 20 c.y. clean fill- insta1l4'x72' access ramp from house to water with the condition of a 15 foot non turf buffer 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. Fee must be paid, if applicable and permit issued within six months of the date of this notification. If inspections are required, at a fee of$5.00 per inspection (See attached schedule). FEES: None Very truly yours, all-t.,1 t). 14~ ~ AlbertJ. Krupski, Jr. President, Board of Trustees AJK/cjc cc DEC Field Inspection 1/20/03 . '1ro~u . Field Inspection 1/20103 . líDW~L\ . ~ . Telephone (631) 765-1892 TQ<f/I\ Hall. 53095 Main Road P.O. BO:lt 1179 Southold. New York 11971 , SOUTROLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Wednesday, January 15, 2003, the following recommendation was made: CHARLES S. TROWN-SELL to remove existing concrete retaining wall and replace with 70' C-Loc vinyl retaining wall. Install two 10' returns. Backfill with approx. 20 cy. of clean fill. Install 4'X 72' handicap access ramp from house to water. Located: 980 Oak Ave., Southold. SCTM#77-1-6 The CAC did not make an inspection, therefore no recommendation was made. ___~ ~.""",,,,"-,...--~ ~.,'r""""-~"f.'_--P~_'...,-.--~--ry.....-- .......;':'-t . , .~.... ··'o..-',..:_.r... 10" ,". :.,.0-t":', 'h"" . ~--- , " $mcCT ADDR£SS' 980 DAK A VENU£ , U1T /IIJH1I£RS REFER TO '/IMP CF GOOSE ", "MY £STATES' FILED IN TI£ SUFFOLK tQÞiTY CLeRK'S DFTICE: aN NOV. 13, 1934 ¥' A$ "" ND. 11.,6. ,. ,~ ~ ~' SURVEY OF PROPERTY AT SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NE" YORK l000-77-01-{)6 SCALE: 1- =20· SEPT. 8, 2002 ·v. . .~.'. '- ,;~ ,';.' ',> ~- ~ - '.. : .' '. ..... ' GOOS. CUBX ,~- ~ , .. r;~ '1- " ¡" " UNNAII8D Sf7t88r ~- ~ ~ ~ ~ ~ ~ ~"'''' ~~~~ ~ ~ KLM'. _4. IMLL .I JAN- 2 ~3 I , L: .. N 'WE . ' " .". G .... ~ ~ ~ ~ I G .... ~ I ¡ I I I A III __~_L I I~ '" G .... .... .... G ~ ¡ I~ '-I PI I I ~ G .... ~ '-I '. ~' . . ~ '. " ~ "I ¡ ! i I ~ , ' S5' ! ! I , ! .' - , ! C , , I , , I ! J ! , ¡~ , 1 ! . I , ... , , , - , , ::r:¡ , 6()' , ! , m.m S 4:r2/f'W '" 7Ø.tJ(J' ~ f"fJOO() ZONE' A£ (.1 8 ) OAK AJTNUE f'"tfM :J6tO:JC0I66 G 5/4198 IMLL " C (631) P. D. 1230 TRA veL SDUTHCJlD, N. Y. :> Ot-t1S . .. , Jo¡.~.'''---_ . ··"'~~II~~~fFÒL;~~C~ ,','~ ~.: ,',::' ~" '~o ~" ~: en ~ " :' ~ fJ1 :e:::>.. ~ '~_ .t,. ~.... "<Of + i-~_,c "--::-':;'::-:~::a:::::._.:~L'L1..L . T'J":111Ltll .':".ll,,:rt.J E...rupskl, Pr\.':iick·[-¡l .J.tilk~ E.-ltl'::- \'¡-:(o-Pr,.::õ'ld..'n¡ j-I<.:nr:: Smith .-\nl'-" F,.'..,[('r E'_'1l p"lt-.',"0dn. :, ~jl}~ì:) h, ',U t \' :'::'~, I' 0 i\,.", J 1 ~" SLJuthc,!t:!. :\l"... YI~rk 11:-.'-l·'I'·f':"~1 T'_'!L'ph(!!-¡(· ,tj.~ 1 --;-'-'::"-\""','''': F.¡x ,t',:) I, -:-è.:'-l ',t ,,: ORIGINAL BOARD OF TOWN TRUSTEES TOWN OF SOl'THOLD --- ----~._---- .--~-------- .------- -------------- --------------- -- Office Use Only _JCL)astal Erosion PerJ11lt Application . ,£_ Wetland Permit Appllcauon_,__ Major .__ \\'al\ er'Amendme:l(ytlan¥"es Reeel\\,d ....ppllcatlon -}Jr.l C> ~-L Recel\ed Fee $ J-ty 1:..;/ _' Cumpleted ,:\pp¡;~at~~l:J+--""J-() 7/_ _Incomplete _ ___ .___. . _. SEQR'\ Classitìcation, Type (,__Type 11__Unlisted.__. "CO'Jrdination (date se~ll;,'-Jf, ,'_ -,-, , C.\C Rdertal Sent -1 rV-Iuû 3.n Dak of Inspection _ .'"'MJl-o.,!J_ Receipt of C\C Report. ___ __ n l,è.1d\~enc\ [)dcrmrn"ti,1Il 1'"chnlc,,1 RCI iell I I'uhlic Hcann~ Held ,/ Y'(j D.' Re::'l)ILlti~H1 Minor --_.~------ __ __________ ___ __ .. ___.____ __.____ ._____u_. _ ______ ___ "amc uf-\pplicant nc..~KL£~- _.s...... ~SßJ..1.... .--- --------- \ddres,C~.'il(L.aP.K 1I.\J.E.. ScùTtf()L I) '-.1 '1-.11'1lL__-____. .., ~ ~, _ ... _.____u _('hone Number (PJJ.-....7bS'".:.2J.,ó5",. _0- _ _ .___ Slltl~)I~ C ')lInt" I ax \lap t\lImber 1001) - -2'J.....)··. ~__u__u.___.__ ._ -- -- -- Properly Location n=tZQ__,CU~·Lh...V..E________.__._.._n_.__.__._. -__.u.~~VIlfDL.t_. ____. u.__.._._ _'nn_ Iplw,iJc LlI.CO P,Jk 11, distancc to CldSS strcct,. c1t1d ll,cC!UUI1I \ (j E NT.c..K.OlOLE.\Í.u.M81-1.N E... ,d.!t2.SU.2t\N. ".,~.. b..ó1\Lb._ f't:I?M LT5 III' .'!'i'licable¡ J . ___ ____. - __~ ____un _ EA5L.HElg.tOf':L. /'l~_U'l3'¡-::Q() Ý _. Ph,)nc 103 L L{..1 '1.., JYS5 \Jdrc" .'r·S:LiLo'!.__l.f.f&>., t . . Board of Trustees Application GENERAL DATA Land Area (in square feet): q R' 06 Area Zoning: tit'S 1t>~"'T/A\.. SINCLt= F:"AMIf_~ '{.I4Tfí?F:"i.?rvJÍ Previous use of property: ~ ES I tI E: N C. E... Intended use of property: SA ¡II] Ë.. Prior permits/approvals for site improvements: Agency Date \JNI<NDwN _ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? L-No_ Yes If yes, provide explanation: ",fA I Project Description (use attachments if necessary): ~eMôUF' ¡t')t ~T />Ie:. C.C>Nc..~E.Të. 'RE.'TPI'l'{tN' WAl.L· 'I-~¡;:PUtc.e I()ITH 7t/-t-C-LOC VIIoJ't+L RF1'"ÂN'N~ WAll. :l:'K.'>íAI.I 'TWO [()' 'f¡¡;rUR t-,).ç .!~('F,LL I.U IT AfP~C1· ~OC. 'f C.l.£.AN f I L..l.. . ::t:.MSTAL.L If 'x 7:¿' ItAN)Lt~P A-(,_c.~S.S" RA Mp f=~() M HDrJSL 77) IA)Aíë:R · . Board of Trustees Application WETLANDITRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: .'5 TtI 'P e IroS I () J\J . H 1+1 ,..IT,(' /"I) q.. :5TÁRfLIZE". U'Pl_Ä"-I D +,¡:t()PEUtï~ Area of wetlands on lot: square feet I tJtI (') Percent coverage oflot: s % Closest distance between nearest existing structure and upland edge of wetlands: ( feet Closest distance between nearest proposed structure and upland edge of wetlands: I feet Does the project involve excavation or filling? No / Yes ~ If yes. how much material will be excavated? Þjb cubic yards }\£"J. øJJ, A.O ~ How much material will be filled? 'it) - cubic yards Depth of which material will be removed or deposited: ts. feet Proposed slope throughout the area of ooeratinn.· ../ · Manner in which material will be remo ~'~- ,Q/Y)AJiQG Statement of the effect, if any, on the we reason of such proposed operations (use ::~~~ . ;sult by c . . AUTHORŒATIONFORM Date: IS 'l~ró)- I, t:; 1fro /V,yS~/( ownerof qßt) ¡JI/-K Au~ (name) (street address) located at Sõurhp/p ¡(,Ý do hereby give 'j4<fh' ,Lv/V ~ì:,.1f4j ('f"ý~ty !ÚU¡ift (town & state) ( (contractor) and Susan E. Long the authority to act as agent on my behalf in applying for all necessary perInits for work to be done on my property described above. ct-vý t Albert J. Krupski, president. t 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 SOUTH OLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD ----------------------------------- In the Matter of the Application /I ¡J, - - ðf......- ... A ¡J ~----~~~~--- COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I ,:)..lUN\,) l 4 residing at \~ Jt- Yn.li^J~~ being duly sw~~~s~;:: That on the /3-1\.day of ;jAN. , 200.3, I personally P9!?ted µ'e property known as "*D () cJe O~.uP ~<&'{ ~ by placing the Boar of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of~e public hearing. Date of hearing noted thereon to be held ~ ~ì()~.t(J·m ' Dated: 1- Z2.-~ )oz¡j sworq to before me this d.J.y¡d..9.ay of JCCA. 2003- Q~~t/~ CLAIRE L. GLEW Notary Public. State of New Yorio: No 01 GL4·070-;)f.: . comm~~j~i;-,~~~!/~e:~~}·~::~ÇQ~ '-'-'6.... /21871- Text 12 I PROJECT I.e. NUM8EM . . 617.21 Appendix C State Envlronmenta' Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I-PROJECT INFORMATION (To be completed by Applicant or Project sponsor) ,. APPLICANT ¡SPONSOR I 2. PROJEC';' NAME SIJ~AN Í=... J..DNC'. Pr::.RM~ìC:; c..HARLrS S:7¡:OW"I)'£lL 3. PROJECT LOCATION: Munrc:/oalllv CounlV 4. PFlEC:SE LOCATION {Slr..llcaress ana road Intersec¡lons. prominenllanamarkS. etc., or ørovlae maDI SEC .ARSA f'-1A'P SlìöWN ot'{ PRo::rE.c.r PLANS 5. [S PROPOSED ACTION: o N.w 0 Exøanslon 0 Modiflcatlon/alt.ratlon 6. eESCR[~:L~. _ ~;'Tvo-o IO(~{ . . JVVYwf ~~ ~~ ~ w&Q. ~ C._.~L~ ~~ 7. AMOUNT OF LAND AFFECTED: rnlllally - D - acres Ulllmately - 0 - acr.s a. WILL P~O?t)SEO ACTION COMPLY WITH éXlSTtNG ZONIÑ"G OR OTHEA EXISTING LANO USE AESTRIC710NS? E. Yas 0 No It No. desCribe onelty 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ~ Raslatnllal O.!nOustria' 0 Commercial Que"o.; WAi E.. R r 12-0 NT o Aorlc:u/tur. o Park/ForlSUOoen soac. '-.JOiner 10. DOES ACTION INVOLVe A PERMIT APPROVAL, ..... I ...n....lI~a, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (F~ùERAl. STATE C~ LOCALJ? ~ Yes 0 No If yes, lilt IgencY(11 and permlUaøørovI/s N~S 'DE.. c.. / A-~H~ c.¿y¡::vS I SOCJT!fDc.-þ T¡¡u.h-\ --rRVSíf::i6 .,.. 11. oaES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VAUO PERMIT OR APPROVAL? DYes 9Ø' No J, yes, list aoeney name and øermlllløøroval 12. AS A RESULT OF PROPOSED ACTION W[LL EXISTING PERMITIAPPROVAL REOUIRE ,,,oeIFICATlON? Dyes ~NO I CEilTIFY THAT fHE INFORMATION PROVIOEO ABOVE IS TRUE iO THE aEST OF MY KNOWL:::DGE 'oo,;oonll,oon,o/ n;).~ ~l~~~ e~. ~~~~f: :~r;::~U;;I()N e,,, S'on.,u/.; ~,J}.y lVYV ¿ '-!-~ Y^Rf <V\Þ\ -' J;J~"3ò·D.J...¡ If the action' is in the CO:J5tal Area, and you are a state agency, complele the Coastal Assessment Form before proceeding with this a:¡Jessment OVER 1 PART II-:NVIRONMENTAL AS SMENT (To be comoleled by Agency) ~. DOES AC71QN e;(CEED ANY TYPE Oy" ONO B. WILL ACTION RECE1ve COORDINATED REVIEW AS ?ROVIOEO ¡:OA UNLISTED ACTIONS IN ã NYCRA, PART 05i 7.57 ¡f NO. a ne(al\V8 oec:arall( may O. SIJ¡:)erseaea Oy anOther InvOlved agltncy. Oy" ONO C. COULD ACTION RESULT IN ANY ADVERSe EFFECTS ASSOCIATED WITH THE FOLLOWING: (Ans'Ners may ce nanawnlten. LI legl"le! C1, EJl.Lsung air quality. surtace or groundwater quality or Quantity, noise levels, exisUno !ralllc palterns, sOlid waste prOCluc:Jon or 011005. potenlll! lor erosion, drainage or lIoOdlng problems? explain briefly; RESHOLD IN 6 NYCR.R. PAI1.T 1517.121 II yes. co ale In. review :,Hocess ana us. the ¡::ULL ~,: C2. Ae:stheUc. agrIcultural, arCf'1aeoloqical. historic, or olher natural or cultural resources; or community or nelgnbornood cnaracler? 5.xOla,n or'8 CJ. Vegetation or fauna. IIsn, snellflsn or wildllle sPl'cles, slgnlflcanl nabitats. or threatened or enaanoerea speclos? ExOlaln OrlJlly: CÄ. A community's existing plans or goall as oflçlally adooted. or a cnange In use or intlnslty of un 01 land or other natural resources? ExpLain or" C5. Growln. subseQuent deyelopment. or related acUyltles likely to t)e inducea by the propond acUon? exotaln tlft.fly. cs. Long lerm. snort term. CUml.llatlvl. or otner ,tfects nOI ¡aenWI,a In C1.cS? ExPlain briefly. :7. Otner ¡moacts (Including changes in uš~ 01 'liner quantity or Iype 01 energyl? Explain briefly. " oJ. IS fHERe. OR IS THERE LIKELY TO BE, CONTROvERSY AEUTEO TO POTENTIAL ADvEFlSe ENVIFlONMENT':"L !MPA.CTS? :::J Yes 0 No It Yes. explain briefly PART III-DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS; For each adverse effect Identiflea above. determine whether it Is substantial, large. Imponant or otherwise slgnillc: Each effect Should be assessed In connection with its (a) sitting (1.1. urban or rural); (b) probability of occ@"1nO: (C) duration: IrreverSibility; (e) geographic .scope; and {f} magnitUdl. II neclssary, ada altachments or reference supponlng malenalS. Ensure :' exPlanations cQntain sufficient delall to snow that all relevant .adverse Impacts have been Identlflea and adeQuately aOCresseo. o Check this box if you have identified one or more potentially large or significant adverse impacts whicn MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive- declaration. . CJ Check. this box if you have determinea, based on the Information and analysis above and any suoportlng documentation, that the proposeo action WILL NOT result in"""ny significant adverse enVironmental ,moac:s AND orovloe On attachments as necessary. the reasons supporting this determination: ............. ru lo:,,~ ...."II:'"(y ,."nl <Jr IV,",," '..;.une 011("\0011\'011: Wlllet..n lO:.Jd ^"o:nev 1,(1" 01' 1(~·)Qonuoh~ VII'Crr ~,,,n.J(I,I't 01 IoIt\Qon"blr Ollocer In l.:40 ...."tnev '),,,n41I,1'r 01 Þ'rroLl."r, III dlllr,.:n! 1101T! rr\Oon\IO.~ ùrlltt'l ..,.. O.ue 2 . . NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: CIfA~l:,oe; ~'. ï1\owt4SE:L.L. SCTM#1000-77- 1- 6(,. YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: ¡;(EPL.Ac..E ë:.~I:snrl' C.oNc..Rl!.rE. ~E-rIt'N'NÇ wAu.. USIN '" VIN\I.. PL.A-STIC.. BAcK.FIu' AS IV E.£t)It'J) I ~/'ISr/H.L I.{')< 7:J-' \-IANbICo\P A(!(!.'-SS J!,ÁMI' IINb ¡,.cC!~ 5T£I'S TO WATI!R.. , 2. That Rev i ew.-.i s follows: the property which is the subject of Environmental located adjacent to your property and is described as 986 OAK. þVE'\UE 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: - .:l:J.- 0.3 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. Enc.: Copy of sketch or plan showing proposal for your convenience. .s . 1'1' ~ v.~'f~~~1~~ fiL.l.. e.ttt't' c:.' \Þ c."~ to c."~ ",1'fY> ~o ~.-I. ..tov¡.l\'bd....ìl>~,¡(4 FI./>ÞD ~~1\".. 4. ¿SRI!:r '6oc.~ IV llðð..5 E:. Co ~E. &: K ~ è<: è<: è<: è<: :r\\ ,p.Ol'ual> 10' "..fUltl'( P~~f'AI!.£.b ß.j: s:\JSAK i!.. l.ðt4¡¡; peRI4 ITS ,..0 .0)( '+'- E.~'" /oo1...I\ION , NY I ,,:n 143/ 't77-.3'tSS :!,,' "''J. PRePAUb FoR; tH^~LES S. TROWNSEL.L ~ßb OAK AVE-Nul! Sl)uTtfO LD . H.:!I 1/971 c.o\J~r~ or: SUF"F6LJ::. 1>RbPo,S Eb: . t:I!MOVE. l!'lJSíINt::; c.ONCR£T'- Itt!TANNG. wllL-L /eNI> RUO~ACE. , W/TIt 70-t'· c.-/..oc.. VI.N'IL KI!1'I\IJIIINGo IN"...L, BACIC.F/u.. WITH ^PPRc.y-'.:I.O C·~, c.W!AI'I "ILL. .x.N.SrAU- &.I'x 7.t'CM . NñNIHC.A? AC,C.Es.s RAMP ....~) Aè.tltSS" ..srl!Ps ro IN^TI!R... :t:N,STAI.-L -rWb 101 R£ T'ult..N.S . Wf.1'L.II/<//1 VI!.C.I!T^T~H F1i!b"f 'P1!t.bN~ .sUR\lI!'Ot.~ .5uR.I/I.'( D"Tli.Þ q.~I.~O.t. , t ) l/" 7J. ItAI'IÞI~J\ wlll!.lIt1. ~\A ^~a5S R P , . 7S.- L..AN.D QF owJJ,.sltl..J.. .seT).! IJ: 1000- 7 -¡-Ofs, ~ 1 STy. FR. HS~, . il __~~L "I ~ ~ I I , , , I I I I , I I I :~ i I ~ I ~ .. CIH:. V<lLL VALL ~'£ V....L tI ' ,SCALE.~ I = lD UTn./TY $ 1'Cl.£ 70.00' OCTOBeR. q ~oo"'-- · BOljþd of Trustees Application 4IÞ County of Suffolk State of New York .5v.s1t rJ E _ kt> I\J £. BEING DULY 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 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 A[Y 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. SWORN TO BEFORE ME THIS ;L,;).q d DAY OF ~MM1/ <í.- ß / Signature ~ J1 Ç{ ref< .,ð 2rJ7J?J a~7'&(faJ Notary Public ClAIRE l.. GLEW Notlry Public, State of New York No. 01 GL4879606 QualKlod in Suffolk Co~ ') Commission Expires Dec. 8. 7