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Home My WebLink AboutTR-4954Albert J. Krupski, President James King, Vice-President Artie Footer 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 March 21, 2002 Susan E. Long Permits PO Box 46 East Marion, NY 11939-0046 RE: SCTM#87-3-57 Patrick Lohn 2480 Minnehaha Blvd. Southold, NY Dear Ms. Long: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, March 20, 2002. RESOLVED, that the Southold Town Board of Trustees .4pprove an Amendment to Permit ~4954 to install 3'x12' ramp and 6'x20' float secured with pilings. If you have any questions, please call our office at 765-1892. ~cerely, Albert J. Krupski, Jr. President, Board of Trustees AJK:cjc cc: DEC Telephone (631) 765-1892 Town Hall, 53095 ~ Road P.O. Box 1179 Southold. Ne~v York I197t SOUTttOLD TOWN CONSERVATION .~DVISORY COLrI~C!!, At the meeting of the Southold Town Conservation Advisory Council held Monday, March 18, 2002, the following recommendation was made: Moved by Drew Dillingham, seconded by Scott Hilary, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Amendment Request of PATRICK LOHN to Amend Permit #4954 to install a 3'X 12' ramp and 6'X 20' float secured with pilings. Located: 2480 Minnehaha Blvd., Southold. SCTM#87-3-57 Vote of Council: Ayes: All Motion Carried Albert J. Krupski, President James King, Vice-President Henry Smith Artie Fester Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-18°,2 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD February 26, 1999 Costello Marine Contracting Sue Long P.O. Box 46 East Marion NY 11939 RE: PATRICK LOHN SCTM #87-3-57 Dear Mr. Costello, The following action was taken at the Southold Town Board of Trustees meeting on February 24, 1999: RESOLVED, that the Southold Town Board of Trustees grant the request for an Amendment to Permit #4954 to resheath (within 18" using plastic vinyl sheathing) the east and south bulkhead walls located within the smaller basin. However, this does not constitute approval from any other agencies. If you have any questions, please call our office at 765-1892. Sincerely, · .-upski, President, Board of Trustees AJK/djh Telephone (516) 765-1801 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 Advisor5' Conservation Council held Tuesday, February 16, 1999 the following recommendation was made; Moved by Scott Hilary, seconded by Richard Smith, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Amendment Request of PATRICK LOIIN 87-3-57 to resheath (within 18" using plastic vinyl sheathing) the east and south bulkhead walls located within the smaller basin. Amendment to Permit #4954 2335 Minnehaha Blvd., Southold CAC recommends a non-turf buffer behind the bulkhead. Vote of Council: Ayes: All Motion Carried SUSAN E. LONG PERMITS P.O. BOX 46 EAST MARION, NY 11939-0046 January25,1999 Albert J. Kmpski, Jr., President Board of Trustees P.O. Box 1179 Southold, NY 11971 Re: Patrick Lohn SCTM #1000-87-3-57 Permit #4954 Dear Mr. Kmpski: Thank you for your assistance in processing and concluding the above referenced permit. Our client would like us to begin the work as soon as possible. In addition to the permitted worlq he has asked that we resheath (within 18" using plastic vinyl sheathing) the east and south bulkhead walls located within the smaller basin. Enclosed please find three sets of modified plans showing the proposed areas to be resheathed. Would you please modify our permit to include this work as soon as possible, ffyou have any questions, please call me at (516) 477-3455. Thank you again for your review and assistance. Susan E. Long For George D. Costello, Sr., Sec'y/Treas. COSTELLO MARINE CONTRACTING CORP. Board Of Southold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. {"'/~'.~"V DATE: . August 31,. 1998 ISSUED TO PATRICK LOHN Pursuant fo the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of fha Laws of the State of New York 1952; and the Soufhold Town Ordinance eh- rifled "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 .Aug. 26., .1998 19 98 , and in consideration of the sum of $ 150,00 paid by Patrick Lohn .................. of . Sopt. ho~d N.Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees eufhorlzes and permits the followlncj: Wetland Permit to remove an exist, timber bulkhead and install approx. 142' of shoreguard series 500 vinyl, relocate 2- 4'X8' lower platforms, mainten, dredge to -4' at ALW and approx. 25 c.y. oi spoil ~rucke4,to,appro,~%ec~ uplgtls grea, and a 5'pgn-iurf nor~all in accoraance wlfn fne aefa~[ea specmcahons as presented in the orlcj~nafincj application Iert. ' ' buffer placed landward of bulkhead. IN WITNESS WHEREOF, The smd Board of Trustees I~re- by causes ifs Corporate Seal fo be affixed, end these present~ to be subscribed by a majority of the said Board as of this date. ... ... Tn~stees August 31, 1998 Costello Marine Contr. Sue Long P.O. Box 2124 Greenport NY 11944 Re: PATRICK LOHN SCTM #87-3-57 Dear Ms. Long, The following action was taken by the Board of Town Trustees during its Regular Meeting held on August 26, 1998, regarding the above matter: WHEREAS, PATRICK LOHN, applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated July 9, 1998 and, WHEREAS, said application was Conservation Advisory Council recon~mendations, and referred to the Southold Town for their findings and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on August 26, 1998, 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 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 approves the application of PATRICK LOHN to remove an existing timber bulkhead and install approx. 142' of shoreguard series 500 vinyl, relocate 2- 4' X 8' lower platforms, maintenance dredge to -4' at ALW and approx. 25 c.y. of spoil to be trucked to approved upland area, and a 5' non-turf/non-fertilized buffer placed landward of bulkhead. 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/djh cc. DEC Dept. of State Bldg. Dept. ACE Telephone (516) 765-1801 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11.q71 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL The following recommendation was made at the meeting of the Southold Town Conservation Advisory Council held August 2Lt, 1998: No. 1581 Moved by Sharon Shine, seconded by Scott Hilary, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Wetland Permit Application of PATRICK LOHN 87-3-57 to remove existing timber bulkhead and install approximately 1~2' of Shoreguard Series 500 vinyl; relocate (2) t~, x 8' lower platforms; maintenance dredge to -~ at ALW, approximately 25 c.y. of spoil to be trucked to approved upland area. Minnehaha Blvd., Southold Vote of Council: Ayes: All Mot{on Carried REPLY TO ATTENTION OF: Eastern Permits Section DEPARTMENT OF THE ARMY NEW YORK DISTRICT, CORPS OF ENGINEERS JACOB K. JAVlTS FEDERAL BUILDING NEW YORK, N.Y. 10278-0090 April 19, 2002 SUBJECT: Application No. 2002-00322-L2 by Patrick Lohn The New York District, U.S. Army Corps of Engineers, has received a request for Department of the Army authorization for the following activity: APPLICANT: ACTIVITY: Patrick Lohn 2335 Minnehaha Blvd. Southold, NY 11971 Install-a 3" by 12' ramp and a 6' by 20' float, secured b~ two (2) 8" diameter pilings, within an existing ~ulkheaded boat basin. The purpose of this project is provide safe access to the water for applicant's vessel(s). WATERWAY: Corey Creek, Little Peconic Bay LOCATION: Town of Southold, Suffolk County, New York As this is minor in nature, authorization may be by Letter of Permission. This is in accordance with current Federal Regulations governing work in navigable waters of the United States. To accomplish the coordination required, prior to the issuance of a Letter of Permission, your review of the enclosed drawings is requested. Pursuant to Section 307 (c) of the Coastal Zone Management Act of 1972 as amended (16 U.S.C. 1465 (c) (3) (A)), the applicant has certified that the activity complies with and will be conducted in a manner that is consistent with the approved state coastal zone management program. To allow for the timely processing of the subject application, your comments are requested within 20 days of the date of this letter. Sincerely, Marc Helman Acting Chief, Eastern Permits Section Enclosure Proposed: Install 3' x 12' ramp and 6' x 20' float secured with pilings inside existing boat basin Prepared by: Susan E. Long Permits P.O. Box 46 East Marion, NY 11939-0046 (631) 477-3455 February 15, 2002 Sheet 1 of 3 Proposed: I~stall 3; x 12' ramp and 6' x 20' float secured with pilings inside existing boat basin Prepared by: Susa~ E. Long Per.its P.O. Box 46 East Marion, NY i i939-0046 (63 l) 477-3455 February 15, 2002 Sheet 2 of 3 Proposed: Amendment to Southold Town Trustee Permit ~4954 to install 3' x 12' ramp, 6' x 20' float secured with pilings. Prepared by: Susan E. LonE Permits P.O. Box 46 East Marion, NY 119~9-0046 (631) 477-3455 February l5, 2002 Sheet l of 3 Proposed: Amendment to Southold Town Trustee Permit #4954 to install 3' x 12' ramp, 6' x 20' float secured with pilings. Prepared by: Susan £. Long Permits P.O. Box 46 East Marion, NY J 19~9-0046 (631) 477-3455 February 15, 2002 Sheet 2 of 3 APPLICANT Patrick LoAn 2335 Minnehaha Blvd. Southold, NY 11971 SCTM ~1000-87-3-57 PRBPARED BY: Costello Marine Contracting P.O. Box 2124, Greenport, NY (516) 477-1199 11944 .%~EATHI N~, INNEHAHA l't--__ 2.6 BLVD. 8~AT ~,A3~ FI. R EI"tAI N · Remove existing, timber bulkhead and install approx. 142' shoreguard series 500 vinyl bulkhead system. Relocate (2) 4'x8' platforms. Excavate and remove from site 250 c.y. to increase size of basin. Maintenance dredge existing basin to -4' at alw removing approx. 40 c.y. Backfill using approx. 30 c.y., remainer to be trucked away to approved upland site. 5HE~T [ 6~,,Z. LOCATION a~/,,{ CO.,..~ .",3,a. ~'dlAi- '%~' '~Aktu ,4r ,~UCtcit£,~b ~0" DAI'U F %: A~L'vV , + -;r.$,/ ~O~LLO PRF_PAP-.ED. BY: /x,4AP-..I NE (::::ONTRAC, TINra C:ORP PO. I~OX ~124 ~RF:r-NPOF. T, NY DI(~ - 477- I ~44 VlHYb ~HEE-I-IND I&~ TOWN OF SO!./'~ P--.×CAVAT'r-'' ~ ~FILL UPON ~OM PL~TION HELIX |N~ICATE~ EXISTIN~ I~U L. K H I~AP 'RF-COIqST RUCTION P-XIs-r. I~OTTdM ~' PATK I C K LOHN ~OUTHOLI~/ NY ~i~TI , VI61HI'I'"(' ~ : I '.Mx Albert J. Krupsld, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095MainRoad P.O. Box 1179 Southold, NewYork 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD LETTER OF REQUEST FOR AN AMENDMENT ORIGINAL DATE 0W~P~ VAT · ADDRESS AGENT C6~LL6 3L~,) 5ouT'd' oL PHONE PROPERTY LOCATION ,,~q. Sd ~iNN~_hc/~A }st_Pb; Signed By: . request an Amendment to Permit Mar 20 02 12: ~gp S u~ E. Lon~ 5 ~?? 3~55 p.2 Albert J. Krupstd, President Jsmos King. V½ee-President Henry Smith Az%ie Foster Ken Poliwoda Town Hall .53095Route 25 P.O. B0x 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631} 765 1366 BOARD OF ToggrNTRUST~ES TOWN OFSOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application ................. COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, C.~?~{I,OT~-~ ]_Y.~.~)_~.PU ,~, residing at being duly sworn,idepose and say: That on theJ~day of~Ec~ , 20~, I personally posted the property known as/.~ ~B~ ~A~DF by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of, the ~ublic hearing. Date of hearin noted thereon to be held~~ Dated: ~ ~ignature) Sworn to before me this ~day of ~fiF-C~ 200~ No~a r'y Puli ic -~USAN E. LONG Notar!/Public. State of New York No. 01 tO495E..q 43 C Qu~mlified )? Su~tolk t~ou)lty AUTI-IORIZATiON FOPdvl perm/ts for work to be done on my property described above. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: U.S. Post. H CERTIFIED MAIL RECEIPT U.S. Postal Serwce CERTIFIED MAIL RECEIPT ('Domestic Nla~l Only; No Insur.~nce Coverage Provided) 0,3~ [10T ID: 0939 2.10 STATE OF NEW YORK COUNTY OF SUFFOLK .~/%9~ ~/~- , residing at ;~ ~0~ , being duly sworn, deposes and says that on the ~ day of ~OKK~ ~JL deponent mailed a true copy of the No~fce ~et forth in ~he 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 , that said Notices were mailed to each of said persons by (certified (registered) mail. ~~ Sworn to before me this day of 4/~? C¢~h ,~0~-~ v - Notary Public SUSAN E LONG Notary Pub}lc..?..t~ ,d New York' No. 01 ' "~'~ Ou~l,f;ed Commission Exp~re~, SUSAN E. LONG ~:l~lry Public, State of New No. O1 L04958343 OuaJified m Suffolk Countv Corell~issJon Expires November W ,I rTy , ~ l~ti,tl'ill,.l(fl'/)M.) I..1'(. II),'"j'O Proposed: Amendment to Southold Town Trustee Pvsmit/b~954 to install 3' x 12' ramp, 6' x 20' float secured with pilia8~ Prepared by: Susan E. Long Permits P.O. Box 46 East Marion, 1~ 119:~9-0046 (631) 477-3455 February 15, 2002 Sheet 1 of 3 Proposed: Amendment to Somhold Town Trustee Permit #4954 to install 3' x 12' ramp, 6' x 20' float secured with pilings. Prepared by: Sus~m E. Long Permits P.O. l~ox 46 East Marion, NY i 1939-0046 (631) 477-3455 February 15, 2002 Sheet 2 of 3 Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD LETTER OF REQUEST FOR AN AMENDMENT ADDRESS~).0. BO.X ~46, EAsT 1,4/~RIo~4 Nq I [q3ff-Ooq:i, PROPERTY LOCATION ~3'3.~' 1,4; IqNfftq~ 14/'r BLD h_ ~t~oT H 6LD TAXMAPNO. Itbt'b~- ~r~._ 3-5-7 request an Amendment to Permit ATTAC ~kE.b COu ~1~ L L ,..---.-d ' tOWN OF $OtJTH%_Dj Alber~ J. Krupski, President James King, Vice-President Henry Smith Attic Foster Ken Poliwoda BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of COUNTY OF SUFFOLK) STATE OF NEW YORK) Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1~ Fax (516) 765-1823 ORIGINAL AFFIDAVIT OF POSTING I,~O~.~ A- C-~STELL~, residing at being duly sworn, depose and say: That on the [(~$kday of ~EB , 1999, I personally posted the property known as by placing the Board of Trustees official-poster where-it c~n easily be seen, and that I have checked to be sure the poster has remained in place for seven days prior to the date of~th'e p~,lic~ Raring. (date of hearing noted thereon to be held Sworn to before me this ~day of /~/$//~g~ 199~ Notary SUSAN E. LONG Notary Public, State of New York No. 01LO495E,343 Qualified in Suffo k County ~,~ Commission Expires November 6, 19..'~ Albert J. Krupsld. President John Holzapfel. Vice President Jim King Martin H. Garrell Peter Wenczel IGINAL Town HaLl 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOA RD OF TOWN TRUSTEES TOWN OF SOUTHOLD office Use Only Coastal Erosion Permit Application ~--Wetland Permit Application Grandfather Permit Application Waiver/Amendment/Cb~anoes ~__Received Application: ~__Received Fee:$/~--O - ~ Completed Application 7 Incomplete SEQRA Classification: Type I__.Type II Unlisted Coordination:(date se~nt)~ -~CAC Referral Sent: ~Date of Inspection: Receipt of CAC Report:' !- ' Lead Agency Determination: Technical Review: ~ Public Hearing Held: Resolution: Name of Applicant ~A. TRI~L L~M Phone Number: Suffolk County Tax Map Number: lO00 - Property Location: MI~4M£~ABA RhLID. (provide LILCO PoLe #, distance to cross streets, and location) AGENT: (If applicable) Address: P.o. ~OX 2}~G Phone: ~1619'77- /19~ OBoard of Trustees Applica~on GENERAL DATA Land Area (in square feet): Area Zoning: ~IDENTtAL (VAaANr~ Previous use of property: Intended use of property: NO E_HAMGF Prior permits/approvals for site improvements: Agency 5C)U T _I'-{DL D TOt. ON No prior permits/approvals fbr site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? / No__ Yes If yes, provide explanation: Project Description {use attachments if necessary): R~MhUE Ex_IST/NCo TII~ER_ :~UI.KHEAI5 ANF) __7-AL_iT/~LL TO A P P I~g F-.D dP LA-d D A-F_E-A, g Board of Trustees Application i~ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ~AI~I'A; EY, I,3T/N~ ~6AT ~.~l hi. Area of wetlands on lot: ~/A square feet Percent coverage of lot: ~/A % Closest distance between nearest existing structure and upland edge of wetlands: ~/A feet ~CON~T~L~ ~H~A~ Closest distance between nearest proposed structure and upland edge of wetlands: ~ fget Does the project involve excavation or filling? No ~ Yes If yes, how much material will be excavated? ~ cubic yards How much material will be filled? -- ~ - cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: ~/~ 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 os such proposed operations (use attachments if appropriate): N~) NE~AT~ uF_ ~FF~-CT $~^LE,' I" =,'-/ ' PROJECF I.D. NUMBER 61Z.21 Appendix C State IEnvlronmenlel Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS only ART I--PROJEC'r INFORMATION (To be compleled by Appllcenl or Project sponsor} h APPLICANT-ISPONSOR I 2. PROJECT NAME Costello .Marine Contracting Corp. 3. PROJECT LOCATION: Munlclpallly .~:,u-r [-I ~3 L..h Counly Suffolk ~1. PRECISE LOCATION {SIreet address and toad Inlersecllons. I~fomlnsnl landlnarks, sic., or provide maD) See Attached area map. ' SEQR 5. IS PROPOSED ACTION: 0. OESCRIBE PROJECT RRIEFLY: 8. WILL PROPOSED ACTION COMPLV WITH EXISTING ZONING OR OTHER EXISTING LAtlD USE RESTnlCnONS? [] Yes [] No I! No. describe brlelfy g. WttAI' IS PRESENT LAND USE IN VICINITY OF PROJECT? [] ne~ldenllal [] Industrial [] Commercial Describe: WATERFRONT [] AgrlcuUure tO. DOES ACTION INVOLVE A PERMIT APPROVAL. OR FURDING, I*lOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY {FEDERAL, STATE OR LOCAL)? [~] Yes [] No I! yes, Ils! agency{sD and DermlIlapproval$ I1. NYS DEC, ACOEj TOUJN OF 50UT~OLD DOES ANY ASPECT OF THE ACTION NAVE A CURRENTLY VALID PERMIT OR APPROVAL7 [] Yes ~1o Il yes. IIsi agency name and permlllapptoval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL nEGU,nE MODmlCATION? [] v.a [] ho I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY' KNOWLEDGE / ~ ~, ApDlicanllsoonsor name: COSTELLO MARINE CONTRACTING "O~ta: ~ I '/ If the acllon 19 tn Ihs Coaslal Area, and you are a slate agency, complete tbs Coastal Assessmenl Form before proceeding wllb-tbls assessmenl OVER 1 NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES~ TOWN OF SOUTHOLD In the matter of ar.. SC lO00- YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: ~N%6U~ 2. That the property which is the subject Environmental Review is located adjacent to your property and is described as follows: ~A~ ~INN ~ ~ ~A ~LUD, SOOT~6L~, ~ ~ 3. That the property 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 referenced proposal is under review of the Board of Trustees of the Town of Southold and dose not reference any other adjacent that might have to review same proposal. OWNERS NAME: MAILING ADDRESS: ~ PHONE ~: ~/~'/777- H~,~.IN E CO NT Ek-CTIN6 tqq. q C OR,~. Enc.: Copy of sketch or plan showing proposal for your convenience. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK LUEq C. LA~ ~ , residing at ~lM ~T~ ~ ~RE%~Np~V : ~q , being duly sQSrn, deposes and says that on ~he '~h~% ~ay of .-C%;L~ ,19 ~ , deponent mailed a true copy of the Notice se~-fo~th 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 ~E~P~q- , that said Notices were mailed to each of said persons by (certified) (registered) mail. c~ ~ ~/~_~k/~-~ Sworn to before me this day of .~" ti k~ ,19~ Notary Pu~ic Board of Trustees Appli~ion County of Suffolk State of New York ~E~-~- b, C~k~ · ~. BEING DULY SWORN DEPOSES-AND AFFIRMS THAT HE/~ IS;THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/~ 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 SOU~fHOLD TOWN BOARD OF TRUSTEES. THE APPLICA/Tr AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES H~/RMLESS AND FREE FROM ~ 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 DAY OF ~-VN~ ,19~ Notary Public COSTELLO MARINE CONTRACTING CORPORATION DOCK BUILDING · JETTIES · BULKHEADING · STEEL & WOOD PILING · FLOATS 423 FIFTH STREET, P.O. BOX 2124 · GREENPORT, NEW YORK 11944 · (516)477-1199/477-1393/477-0682 FAX- (516)477-0005 AUTHORIZATION FORM owner Business/Property/Name located at }'~ I~Pp~H~ ~ i~,/b~ ,/ ~U~ , do hereby give Costello Marine Contracting Corp, the authority to act as agent in my behalf in applying for all of the necessary permits in order for work to be done on/my--~roperty described above. - -- ~,.~ ~//~ , ~.XX'~,. ~t? Signature Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-18~ Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application ......... COUNTY OF SUFFOLK) STATE OF NEW YORK-) ORIGINAL AFFIDAVIT OF POSTING I, ~0~ ~. ~J_~,~, residing at ~ _L~Eff-~a~ ~)THOC being duly sworn, depose That on the I~rftday o~A~U~, 199~, ~ ~e~so~a11y ~ostea the property known as ~33~ ~INN E~A ~ .W(.I/~ by placing the Board of Truste~ official p6st~r qhere it~an easily be seen, and that I have checked to be sure the poster has remained in place for seven days prior to the date of the public hearing. (date of hearing noted thereon to be Dated: Swo~ to before me this o~& day of ~U~D~T 199~ Notary .... SUSAN E. LONG Notar~ Public. State of New YO~Ic No. 01 LO4958343 Qualified m Suffolk Coun~ ~ C, emmisakm E~res t~vember 6, PART tt-,-ENVIRONMENTAL ASSESSMENT~be colnpleted by Auencyt O. I.S THERE. OR t,~ '¢HERE L(KI~L'( TO SE. CONTROVERSY RELATEO 1'O POTEi~II'IAL ADVERSE ENVIRONMEflTAL tMPAOTS7 [] YeS ~ ilo If Ye~, expladn b:lslly PART Ill--DETERMINATION OF SIGNIFICANCE [To be completed by Agency) INSTRUCTIONS: For each adverse eftect Identified above, determine whelhe~ It ia aubela,llal, la,ge, Important or otherwise eignlfle;nt. Each affect should be assessed In connection with Its ia) setting ii.e. urban or rural); Ih) p¢obablili¥ ol Dc. cutting; (ct dcragon; I[ravereibltfly; (el geographic ~ccpe; a~d (f) magnitude. Pt neceeearf, add altachmsnls or reference eupporflng malsrJals. Ensure thai expfanatlor~e cdnlaln sufllclen! detail ID show Ihal ali [elevant adverse Impact~ have been Identified and adaqualeJy addressed. (----J Check this box I1 you have Ictsntlfled one or more potentially large or slgnltlcanI adverse Impacts whlcl~ MAY occur. Then proceed directly ID Ihs FULL EAF end/or prepare a positive declarallon. [] .Check Ibis box I! you have determined, based on the Inlo~mallon and analysl~ above end any supporllng documentation, Ihat the proposed action WILL NOT result in any slgnllicanl adverse envlronmenlal Impacts AND provide on attachments as rlecessa~y, the reason& supporting Ibis determination: Siff~(U¢~ i~l P(~pare~ (l~'~l~ren~ I'iom I~Sponsl~ie ~{llced i L ... - ~b~) ....t:.. '5+- (:) ~7. t V) z. ~ on go ^CI) Ol~ Srr1 bt-t -~ 50 . ~~ ~> m== en.... .~ ~r-r1 I ^n ~O ~2 ;~ ~~ .~ l(O~ ~~ o ~n .0. z:= G)~ .0 0== ~~ !>~ 60 ~2 COSTELLO MARINE CONTRACTING CORl:'UKAl1UN DOCK BUtLDING . JETTIES. BULKHEADING · STEEL & WOOD PILING · FOUNDATIO~S ;B{ti, t1fN \;t~1 ",~;j~~~ktii~),;t 'PATR \CK .l.O H N scuTH:OLb. I NY 7!9~ . o. -:5b~ F a () ~ L~HN o ~ G '4 TMc-o'-cJ) o - ~ST4lJa5 - . PQSrlN '\ 2 -I. -~" J .~ .~ OPECHEE'A..tfUE ... e'lI .. w .", . OQ.............. -$~TO .~, . ~ .. i6 \1/ ,. -< ~fl cw ~ -~i. 4.,;,..411 I ."if. .... 1~" S'." O.t c/.., ~ .' ~2;CIf' O.?r r "i.,;.\ ~"" . f r-- . ~'-. . ...."" .... . , I . .".' , ~/#; --.' liiJ1S. -, ty ,... '- I /.//O/F" F"RAIVI( J. GuMPtR AREA . 6.9J1 tq. ft. TO TIE LlNES " SURvtYOF PROPERTY A T LAUGHING WA TER . ,TO WN .QFSOU THOLl) SfJF"FOO1<. COlJN Tr ""iJ. Y. "....U~~7 .< ,", Scoie:1 U:It 20" AUGUST 20.1_ . of 15 ~ (J )... 'kJ & "'-H..AI A T BULKHEAD ..-; ::::J o CI') LI.. .,Q .i fa ANY At TFRAllON OR AD()ITION TO THIS SURvEY IS A VlQJ,.J, TtON OF'$ECTIQItf 7209 or TH€ NfW YORK srA TE EDueA TIOH LAW. .. [XCE~lA5 PeR S{CTlON 7209-SU80lvrSKW 2, ALL OCRMCATlOOS HffltON _ VAL.~ rO/fT1:'I$. It(AP AND COPI!S THCRfOF GlNtYJF SAlt) I!IAP OR. COJllJES'IEAJf 1Jt#C'IIiIPMSSEt> SEAL OF THE SUR\oCrOR ~$~AnJflE' AIIPlMfS HtffCON, N. Y. S. LIe. NO.. 4~JIS YORS, p, C. (516) 765 - 5020 p, O. .SOX 909 .12JO"MAVfL(ff 'STReEr soutH6t..o. ~. Y. 11971 L.... .,o!:. ,'t