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HomeMy WebLinkAboutTR-5794Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. 5 ? ~'J ..... DATE: .A..u:...~US~ ;~.t.....~003 RITA HOLOBIGIAN ISSUED TO ........................................................................................................................... Ant'harizatian Pursuant to the provisions of Chapter 615 of the Laws of the State of New YorE, 1893: end Chapter ~ of the Laws of the State of New YorE 19521 and the Southold Town Ordinance titled ."REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER tdATERIALS FROM LANDS UNDER TOWN WATERS;'....'. end in accordance with the Resolution of The B6ard adopted et a meeting held on ..A..~.?.~...~.9, z.(~.0..~.., and in consideration of the sum of $......~.(~.:..g.~ ....... paid by ................. ..................................................................... : ............ . ......... of ............. ~?~h..~ .............................................. N. Y. end subject to the Terms end Conditions listed on the reverse side hereof, of Southold Town Trustees eutho~ises end permits the fo[owing:. Wetland Permit to fill in low spots in back garden with 40 cy. of clean fill and 20 cy. of screened top fill, to seed for lawn, with the condition of a 50' non-disturbance buffer and a hay b. ale line placed down at 50' before the project begins. ell in accordance with the date[od specifications es presented in the originating application, IN WITNESS WHEREOF, The said Board of Trustees here- i~ causes ifs Corporate Seal to be affixed, end these ~.esents to subscr~ed by a'maiodty of the said Board as' of this darn. TER~S and CONDfllONS Rita Holobigia~ ~ ~ 420 Glenn Rd., Southold lq. Y. ~s part'of t~e conskleration for t~ issuance of .the P,-m~¢ does un4emand and ptescxibe to the lot- with respect thereto, to the eumldete esa:huion of dso i~m'd of Ttmttes ~ the Town ~ .~mflsMd 2. That d~is P~k Is' valid for a i~iod of . 24 m~. ~'~ Is mmtd~d m ~ ~ o..~s, tloa was o~iginally et,rained. upoa due notice, to mnove ot alte~ ~ wo~ o~ project het~ rated ~ est~sm to ~ Tram 8. T~ the said Board will be hOeR'led by the Pznnitwe ot the cemp~e~mi~ tim vm~k ~ or, ed. Albert J. Krupski, President James King, Vice-President Attic Foster Ken Paliwoda Peggy A. Dickerson Town Hall 53095Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone(631) 765-1892 Fax(631) 765-1366 August 20, 2003 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mrs. Rita Holobigian 420 Glenn Road Southold, NY 11971 RE: 420 GLENN ROAD, SOUTHOLD SCTM#78-2-22 Dear Mrs. Holobigian: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, August 20, 2003 regarding the above matter: WHEREAS, RITA HOLOBIGIAN 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 July 21, 2003, 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 August 20, 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 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 RITA HOLOBIGIAN to fill in low spots in back garden with 40 cy. of clean fill and 20 cy. of screened top fill, to seed for lawn, with the condition ora 50' non-disturbance buffer and a hay bale line placed down at 50' before the project begins. 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 $5.00 per inspection. (See attached schedule.) Fees: None Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJKJlms Telephone (631) 765-1892 Tow~ H.,~II, 53095 Main Road P.O. Box 1179 So.hold, New Yo~k I197[ SOUT~OLD TO~N CONSERVA. TIO~I ADVISORY COLINCIL At the meeting of the Southold Town Conservation Advisory Council held Tuesday, August 12, 2003, the following recommendation was made: Moved by Bob Ghosio, seconded by William Cook, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH A CONDITION of the Wetland Permit application of RITA HOLOBIGIAN to fill in Iow spots in back garden with 40 cy. of clean fill and 20 cy. of screened top fill, to seed for lawn. Located: 420 Glenn Rd., Southold. SCTM#78-2-22 The CAC recommends Approval of the application with the condition of a 25' non-turf buffer. Vote of Council: Ayes: All Motion Carried Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only ~PetaStal Erosion Permit Application land Permit Application Major Waiver/Amendmen~t/~hanges -~eceived Applicafi2n_: 7/&l ~'geceived Fee:$ O1~), C~ , e-- - .faompleted Application Incomplete SEQRA Classification: Type I Type II Unlisted Coordinafion:(date sent) ,,-CAC Referral Sent:' "/ ....-Date of Inspection: Receipt of C AC Report: Lead Agency Determination:__ Technical Review: · .4rublic Heating Held: ~]00/~ Resolution: ECEIVE JUL ~ 2O03 $outhold Town Board of Trustees Name of Applicant Address ~LE I~ Phone Number:(~) Suffolk County T~ Map Number: Prope~ Location: (provide LILCO Pole #, distance to cross streets, and location) 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: Agency __ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended~y~ a governmental agency? t,/~'~o Yes If yes, provide explanation:" Project Description (use attachments if necessary): Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Area of wetlands on lot: 700 square feet Percent coverage of lot: [ % Closest distance between nearest existing structure and upland edge of wetlands: I-~ 6~ feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? No c//Yes If yes, how much material will be excavated? How much material will be filled? (90 - Depth of which material will be removed o~posit~ed: /_p_2/.o" Proposed slope throughout the area of operations: Manner in which material ~11 be removed r d~~ ~_ cubic yards cubic yards 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): IPROJECTLD. NUMBER 617.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be comole~ed by AoDlicant or Project sponsor) SEQ 1. APPLICANT IEPONSOR R ITR H~Lo~! ~ f~ t 2. PROJECT NAME 3. PROJECT LOCATION: 5. IS PROPOSED ACTION: [] New [] Ex~3ansion ~Mo~ificattonlalteration 5. DESCRIBE PROJECT BRIEFLY: WILL P POSED ACTION COMPL~ W'TH [~ISTING EONING OR OTHER ~ISTING ~NO USE RESTRICTIONS? 10. OGEE ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING, NOW OR ULTIMATELY PROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? [] Yes ~[~'No If yes, list agency(s) and 0ermib'aoorovals DOES ANY ASP~SP.~CT OF THE ACTION HAVE A CURRENTLY VALIO PERMIT OR APPROVAL? [] Yes [~NO I! yes. list agency name and Dermfllaporoval 12. AS A RESULT OF PROPOSED ACT ON w LL ~<[STING PERMIT/APPROVAL REQUIRE MOOIFICATION'~ [] Yes [] NO [ CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE JO THE SEST OF MY KNOWLEDGE If the action is in the Coestal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this a.s~essment OVER ! PA~T II--ENVIRC~'~MENTA' i~ME,NT,T.~ ~e '~.~m.,e- 'e- ~ '~y Agenc PART ilI~0ETEP. MINATION OE.,,SiGNIFtCANCE LTo ~e completed by Agency) Checx :l~is box if ',/au have iden[ifieo one or more =otentially larc~e or sfgnJficant Acverse fmoac:s which ;JAY occur. Then 9rooeed airec:lv (o ;he FULL E.&F snolor preoare a positive'aeclaradcn. Checx :his --,ox ;¢ you have de'.ermined, ~ased on the im:armation and analysis Above aRQ any SucoortJr~c. documen[a[tcn, :n~t :he 2roooseo sc:ion WILL ,'lOT result in_~Oc, y sigmficant Adverse enwronmen[AI imcAc.'c AND prov:ce ,;n a[tacnments as necessary, the reasons succordng t~is ,.le~ermma[ion: 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, NexvYerk 11971-0959 Telephone(631) 765-1892 Fax(631) 765-1366 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING being duly sworn, depose ~d say: That on the t~ay of~, 200 , I personally posted the property ~o~ ~ by placing the Bo~d of Trustees official poster where it c~ e~ily be seen, ~d that I have checked to be sure the poster h~ remained in place for ei~t days prior to the date of~e public ~ereon to be hek~ being. Date of hemng noted . Dated: Sworn to before me this --cF& Notary Publ[c/ PET£fl j. C'RAj~ ~tary Pub/lc, Store of ~e . OUalifl~} ~72~02 W YOrk ~misslon~.,mass~ Coun~ ~rea Sem. fT, ~ PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name; Mrs. Ann Kosel Mr. Jack ~avana~h Mr. V. Ricciardi Address: 320 Glenn Road, Southold, NY 11971 500 Glenn Road, Southold, NY 11971 60 Shepard Drive, Southold, NY 11971 STATE OF NEW YORK COUNTY OF SUFFOLK RITA %t0LOBIGIAN ,r~sidingat 420 Glenn Road. Southo]d_~ NV tlQ71 ., being duly sworn, d~poses ~nd says that on ~he day of ,20__~ d~ponent mailed a true copy of the Notice set fo~h. in ~he Board of Trustees Application, dkect~d to e~h 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 iSY Southold; that said Notices were mailed at the United States Post Office at (certified) (registered) mail. ., that said Notices were mailed to each of said persons by LYNDA M. BOHN NOTARY PUBLIC, State of New york No. 01 BO6020932 Qualified in Suflolk County NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEESt TOWN OF SOUTHOLD In the matter of applicant: YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: ~.~.~ 2. That the property which is the subject of Environmental Review-is located adjacent to your property and is described as follows: 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: You may contact the Trustees Office at 765-1892 or in writing. The above referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. OWNERS NAME: MAILING ADDRESS: Enc.: Copy of convenience. sketch or plan showing proposal for your Board of Trustees Application County of Suffolk State of New York ~ {~'~ ]~ 0 L-(~( ("~l/~ fi/ BEING DULY SWORN DEPOSES ~ ~F~S ~T ~S~ IS ~ ~PLIC~ FOR ~ ~O~ DESC~ED PE~T(S) ~ T~T ~L STAr.mS CONWED ~ ~ ~ TO ~ BEST OF ~S~R ~O~EDGE ~ BEL~F, ~ ~T ~L WO~ ~L BE DO~ ~ ~ ~R SET FOR~ ~ T~S ~PLICATION ~ AS MAY BE ~PRO~D BY T~ SO--OLD TO~ BO~ OF ~US~ES. ~ ~PLIC~ AG~ES TO HOLD T~ TO~ OF SO--OLD ~ ~ TO~ ~US~ES ~ESS ~ F~E ~OM ~ ~ ~L D~AGES ~ CL~S ~S~G ~ER OR BY ~ OF S~ PE~T(S), ~ G~ED. ~ CO~LET~G ~S ~PLICATION, I ~BY A~O~E T~ ~US~ES, ~ AG~T(S) OR ~P~SE~ATI~S(S), TO E~R O~O ~ PROPERTY TO ~SPECT T~ P~SES ~ CON~CTION ~ ~W OF ~S ~PLICATION ' Signature - I SWORN TO BEFO~ ~ Tins ~( DAY OF ~, ,2~ Nott~ Public TR~NS~UTIONAL DISULOSURE FORH interest on the park of town officers and employses. The purpose el this [orm is to provide Information which can alert the town of possible conflicts of in,steer and allow l~ ~o take whatever action le neceesary to avoid same. you are applying in th~ name o~ eomeone ~ise or other entity, such ~s a company. Zf co; indicate the other pereo~e or company*e name.) N&~UR~ O~ &PP~I~A~IOM~ (Check all ths~ apply":) ' "' "~':'~'~ '~!:':'~! Tax grievance Varianoe Change of zone ARp~9~a! of plat , Exemption from plat o/~ official map other (I~ "OBher," name ~he activity,) ,,~. ~l. LL employee of bhe Town of ~oubholdT "Relabion~hip' inberegt" means a buuines{, includin~ a pattnezohip, in vhich ~he torn o~teer ot employee has even a ovnerehip oE (oc employment by) a corpo~aelon ia vhich she torn o~rtcer or employee ovns mo~e ehan 5S of da~a and s~gn vhere tndt~a~ed. ~ame of pe~son employed by ~hu Torn o~ Sou~hold Title or position o: ~ha~ person Omac~lbe ~he relationship be~veeu yourself (the and the ~own ofiioec et empiuyee. ~l~het cheek ~he appropriate line }) ehuough D) and/o~ describe in the prov~ed. The ~own o~fiueu ot empXoyee or his ut her {pouaa~ sibling, parent, o~ child ia (cl~eck all ~ha~ apply), A) ~he owne~ oE gtea~et ~han 5% of the shares oE the co~pora~e e~ock of ehe applicint (when ~he appliuan~' ts a corpora~ion)~ 9) the legal or bbnefluiai ovner oE any ln~etesE nonuo:po~a~e'en~t~y (~hen e{me appiiuan~ ia nu~ a eo~pota~ion)~ appltcanEl or D) ~h~ ~ual DESCRIPTION OF RBLATIONSIIIP ' . ' . . . ' .. ,, . .. :.