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Home My WebLink AboutTR-5174Board Of Southold Town Trustees SOUTHOLD. NEW YORK PERMIT NO. ~//,dj[ DATE: ..Y!~y. 2.4,..~000 ISSUED TO ........... .~.~ &...I~'~N~Y.. W~.SSEMANN ................... Pursuant fo the provisions of Chapter 615 of the L~ws of the State of New York, 1893; end C. hepter 40~ of the I.~ws of the State of New York 1952; end the Southold Town Ordlnence en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS end the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;!~. and in accordance with the Resolution of The Board adopted at e meeting held on ....tY]?7. ~.? . 19. ~.l)0,0and in ¢onslderation of the sum of $....15o.00 .. peld by . ~rohn &. [~ncy W~s~eman;a ...................................... of ........ Sput129~d ...... N. Y. end subject fo the Terms end Conditions listed" 'on the reverse side hereof, of Southold Town Trustees euthorlzes and permits the following: ~Vetla~d Permit for a 3'x16' dock. ell in accordance with the detailed specifications es presented in the origlneting appllcetion. IN WITNESS WHEREOF, The seld Board of Trustees here- by causes its Corporate Seal to be eff. lxed, end these ~.resents to be subscribed by e mejorlty of the se,d Board as of th~s date. /Henry ~n~ith-~sent) Trustees Albert J. Krupski, President James King, Vice-President HenW 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 February 22, 2001 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. & Mrs. John Wissemann P.O. Box 524 Southold, NY 11971 Re: 650 Private Rd. #16 SCTM#90-4-1 l. 1 Dear Mr.&Mrs. Wissemann: The folloxving action xvas taken at the Southold Town Board of Trustees meeting held on Wednesday, February 21, 2001: RESOLVED, that the Southold Town Board of Trustees Approve the request for an Amendment to Permit #5174 to shorten the existing 16' dock to 6' and to add a ramp and float to end where the dock currently ends, as per plan dated February 19, 2001. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, President, Board o£Tmstees AJK:lms DEC %'. Telephone (631) 765-1892 Town Ha. Il. 53095 Main Road P.O. Box 11"/9 Southold, New York 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Thursday, February 15, 2001, the following recommendation was made: JOHN & NANCY WISSEMANN 90-4-11.1 to Amend Permit #5174 to shorten existin¢ 16' dock to 6' and to add a ramp and float'to end where the dock currently ends. 650 Private Rd. #16, Southold The CAC did not make an inspection, therefore no recommendation was made. Albert J. Krup,ki, P?+..,;idc;:t James King, Vice. President Hem5' Smith Artie Foster Ken Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 Sout hold, New York 1197 !-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 2, 2000 Mr. & Mrs. John Wissemann 650 Private Road # 16 Southold, NY 11971 RE: 650 Private Road #16 Southold, NY SCTM# 90-4-11.1 Dear Mr. & Mrs. Wissemann: The following action was taken by the Board of Town Trustees during a Regular Meeting, held on May 24,2000, regarding the above matter. WHEREAS, JOHN & NANCY WISSEMANN, applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated May 2, 2000 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 May 24, 2000, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members familiar with the premises and, have personally viewed and are in question and the surrounding area, 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 $outhold 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 for 3'x16' dock, and denies Trustees approves the application request to construct 6'x14' float. 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/cjc cc: DEC ACE Dept. of State TERMS end CONDITIONS The Permitxe~ residing at John I~ Nainay WiaqT~rannn 650 Private Road it 16, Southold, N.Y.,as pan of the consideration for the issuance of the Permit does understand and prescribe to the fol- lowing: I. That the said Bo~t of Trustees and the Town of Southold ase released from any and all damages, or r~,~,m for a~,~g~ of mits arising dii~-tly o~ lndirecdy as · result of any oper- ation perforated pursuant to this l~tmtt, aad the said Pennit~e will, at his o~ her own expense, defend any and all tach suits'initiated by thiixl pstti~ and the said Permltte~ assumes full llslglity with respect thereto, m the complete exclusion of the Board of Trustees of the Town o/,%uthold 2. That this Permit is valid for a period of 24 mo~ which is congdemt to be the estimated time required to complete the wo~ involved, but should circumstances warrant, request for an extension may be made to the Bo~d at a later date. 3. That this Permit should be retained indefinitely, or as long as the said pormlttee w/sbe~ to maintain the structure or prelect involved, to provide evidence to anyone concerned that anth- otizatioo was originally obtained. 4. That the work involved will be mbject to the inspection and approval of the Bolu'd or ir, agents, and non-compliance with the provisiom of the otiglnadng application, may be cause for revocation of this Permit by ~esolufion of the said Board. 5. That there w/Il be no unseasonable interference w/th navigation as a result of the wozk herein au'thorized. 6. That there shall be no interfe£enee with the right of the public to pass and repass along the beach between high and low water ma~ks. 7. That it furore ope. radons of the Town of Sou~hoId require the removzl and/or alterations in the location of the work herein anthorizzd, or ii~ in th~ opinion of the Boa_rd of Tro.qee~ thz work shall cause unreasonable obstmcuon to free navigation, the said Petmittee will be requt~ upon due notice, to remove or alter this wo~k or project herein stated without expenses to the Town of Southold. 8. That the said Board will be notified by the Permlttee et the completion of the work auth- orized. 9. That the Permittee will obtain all other permits and con.sene* d~at may be required plemental to ~is permit which may be subject to revoke upon failure to obtain ~ Telephone (516) 765-1~Z Town Hall. 53095 Main Road P.O. Box 1179 Southold, New York 11971 SOUTttOLD TOWN CONSERVATION ~kDVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Monday, May 22, 2000, the following recommendation was made: Moved by Abby Cochran, seconded by Jaclyn VanBourgondien, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Wetland Permit Application of JOHN & NANCY WISSEMANN 90-4-11.1 for an existing 3'X 16' dock and to construct a 6'X 14' float. 650 Private Rd., #16, Southold Vote of Council: Ayes: All Motion Carried Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southotd, New York 11971 Telephone (516) 765-18q2 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD LETTER OF REQUEST FOR AN AMENDMENT DATE '-/'~A,/' /f ~'~/ JAN l 9 ;. AGENT PHONE ADDRESS TAX MAP NO. ~,~,~? 0'~...~ ~ce t/t/~ ~,,,~o F ~c'C ~'~t]'~ Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall .53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING 1% . ~ , residing at being duly sworn, depose and say: That on the ? day of ~ , 200/, I personally posted the property known as 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~ public__~earing.. Date of hearing noted thereon to be held ?£ . Dated: 7~,~, ~ Sw~rn to before me this day of?~/~. 200 ~ Not~ Public ELIZABETH A STATHIS NOTARY PUBLIC, State of New No. 01ST6008173. Suffolk County Ten'n Expires June 8, 20..~ '~ ,~ ign~ture ) ! 9' Albert ,J. Krupski, President .J~mes King. Vice-Pre~t:n'c Hem? Smith Artie Fosfer Ken P,diwoda Town Hall 53095 Main Read P.O. Box 1179 Stmthold, New York 11971 Telephone (516) 765-1872 Fax (516) 765-1823 BOARD OF 'tOWN TOWN OF SOU Office Use Only ___Coastal Erosion Permit Application ~_Wet]_and Permit Application --Grandfather Permit Application Waiver/~nendment/C_~ang~es Received App].ic~t~on:~_l_~v Received Wee $~--1--~~~ Completed Applicatio~ ___Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date~ CAC Referral Sent: .__Date of Inspection: .... Receipt of CAC Report. Lead Agency Determination: Technics] Review: Public Ilearing Held:~~ Resolutic, n: ........................................ ~.ho:,~ ~m~,~: (c ;I) .7~- >~ (proviz~e Lt..~CO Pole ~. distance to c?~ss ,~_. ~et... and location) ~Y ~ ~ AGENT: (If apgiicable J Adc~ress: Phone: Boa.~of Trustees J~pp ! i cat zon Land Area (in square Area ZonJ ng: ~5, ~ENERAL DATA feet): Previous use of property: ~5. Intended use of p~operty: ~. Prier permits/approvals for site improvements: Age]~cy Date No prior permits/approvals fo~ site ~mpro~rements. Has any perm]_t/apDroval ever been revoked o~- suspendad by a governmental agency? If yes, provide explanation: Project Description (use attachments if necessary): n ~ J," 5k ~'~-~I ' I ~ 3~"- - ~ ~ , / I Boar~f Trustees App]icat_]ou O WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations:___~C~C/c~/d~L ._ Area of wetlands on lot:_~x__~~ square feet Percent coverage of lot: ~ ~,_% £~ Closest distance between nearest existing structure and upland edge of wetlands: 76' feet Closest distance between nearest proposed structu.~.e and upland edge of wetlands:.~_~7~.~ %___feet ~-/~/~ Does the project involve excavation or fillingS' No ~es If yes, how much material will be excava~ed? How much material will be filled? Depth of which material will be removed or deposJ%ed: feet Proposed slope throughout the area of operations: ~ cubic yards cubfc yards Manner in which material will be removed or deposited: Statement. of the effect, if any, on the wetlands and tidal waters of the tow.o that may ]~esult bV reason of such proposed operations (use ~ttachments ~f appropl'iate): Boar~f Trustees Application COASTAL EROSION APPLI¢?)~'£iON DATA Purposes of proposed activity:__~d'~.~_.~._~!~y Are wetlands present within 75 ieet r3f th~ proposed, activity? No / Yes Does the project involve excavation or fJ[!ing? .... No__. Yes If Yes, how much material will be excavated? (cubic yards) How much material will be filled?__ _jcubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental .impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) HOTICE TO ADJACEN'i [~ROFERTY OWNER BOARD OF TRUSTEES_~ TOWN OF SOUTHOLD In the matter of applicant: SCTM#1000- YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned Permit from the Board of Trustees to: to request a 2. That the property which is the subject of Environmental Review~s 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: :~% {~v. '.,f_- You may contact tile Trustees Office at 765-1892 or ~n writing. The above referenced proposal is usder review cf th~ Board of Trustees o~ the Town of Southold and does not ~efe]~ence any other agency that might hay9 to review same propcsal. PHONE #: Enc.: Copy of convenience. sketch or plan showing proposal lot your Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095MainRoad P.O. Box 1179 Southold, New York 11971 Telephone(516) 765-1~2 Fax,516) 765-1823 BOARD OF TOWN TRUSTEES TO%VNOFSOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application STATE OF NEW YORK) AFFIDAVIT OF POSTING I, ~ J ~'~2//4~'~ , residing at l .J~; being'duly sw6rn, depoge and say: That on the /~ day of ~'. , ~J~ , I personally posted the property known as by placing the Board of Trustees ~fficial poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for seven days prior to the date ofF, he · aring. (date of hearing noted thereon to be held~~9-~ Dated: Sworn to before me this /'d.., .ti,'-day of Notary Public HELENE D. BORNE Notary Public. State of New York Ne. 49,51364 Qualified in Suffolk County Commission Ex~ires May 2~,o~ ~- ( signature ) PROOF OF MAII,ING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: U.S. Postal Service CERTIFIED MAIL RECEIPT (Oomeshc Mail Only; No Insurance Coverage Provided) ~,mr~,-'~jI, .................... Regi D~.e Stamp ~oTt4~c_b PS Form 3806, Feb~Jary 1995 Receipt for Registered Mail (Customer Copy) (See Information on Reverse) STATE OF NEW YOrK ~~ ~W4~' , being duly sworn, deposes and says thaf oh the -- day of ~/~ ,~ ~--, deponent mailed a true copy of the Nottoe set f~th In the Board of Trustees Application, directed to each of the above n~ed persons at the addresses set opposite there respective n~es; that the addresses set opposite the n~es of said persons are the address of said persons as shown on the current assessment roll of the Town of Southp[d; ~ha~~tices were mailed at the United States Post office at~ ~~ , that said Notices were mail~t~ ~ ~~rsons by (certified) (registered) mail. ?IIIA~_~5 In~t , n /n / Sworn to b~f.'~"m~ this dF~ ~ % day of .,~.C4 ___~-~'_~.~__~-_ C~ ...... \ ~otar~ ~ubl~c CLAIRE L GLEW Notary Public, State of New York No. 01GL4879505 Qualified in Suffolk Commission Expires Dec, 8, 6 ILl Name (please Print Clearly) (TO be comp ~ted by mailer) County of Suffolk State of New York DEPOSES AN~ 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 FOR'I~H 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 GR3kNTED. 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. .~.~'~ / · DAY OF SWORN TO BEFORE ME THIS Notary Public CLAIRE L. GLEW Notary Public. State of New York No. 01GL4879505 Qualified in Suffolk CouJ]t~ _,~-~ Commission Expires Dec. 8, <..? ~'~_; Boar~[ istees Application (where A~fHORIZATION the applicant is not [he owner) (print owner of property) residing at (mailing address) do hereby authorize {Agent) to apply for permit(s) from the Southold Board of Town Trustees on my behalf. (Owner's signature) Aopeqdi.~ SHORT ENV~ROHMENTAL ASSESSMENT FORM r:or UNLISTED AC';IONS Only PART i--PROJECT INFOR~I.A'FION SEQ b If the act:on is in the Coostal Zrea, and ,'ou :we a state a~erc'¢, complete the Coastal Assessment Form before proceeding with th,s -]%s, essment OVER 9ART III--OE'TER:,41NATTCN .OF SiGNIF!CANCS~ :To me .:g, mo:e[eL :y Agenc7$ Print or Type: File #:__ Permit #: ~ PERMIT & BOND APPLICATION FOR ACCESS THROUGH TOWN OWNED PROPERTY TOWN OF SOUTHOLD HIGHWAY DEPAHTMEHT PECONIC LANE PECONIC, NEW YORK 11958 1) 2) (Name of Applicant) (Address) (Name & Address of Contractor Ir~volved) : /000-- - (Project Location) ($.C.T,M. #) : (Name of Road or Town Property Involved) (Hamlet) (Brief Job Description) Starting Date: Completion Date: 3) ~) 5) 6) 7) Estimated Cost of Proposed Work: Insurance Coverage: A. The coverage required to be extended to the Town: Bodily injury & Property Damage; $300,000/$500,000 Bodily Injury & $50,0~0 Property Damage I nsurar[ce Company: Insurance Agent Name & Telephone # D. Policy # : E. State whether policy or certification is ¢,n file with the Highway Departmert.; (If nc, Provide a copy with Application) (yes/no) (Signature of Applicant) (Date) To be completed by the Superintendent of Highways: Bond Amount Required: (St;nature) Print or Type: 1) ACCESS CONSENT FORM FOR ACCESS THROUGH PRZVATE PROPER3¥ Office use Only File #: Permit #: 2) (Name of Applicant) (Address) (Name & Address of Contractor .[~.~volved) 3 ) : ..~.P 0_q.- - - (Project Location) (S.C.T.M. #) 4) : (Name of Road or Private Property [nvolvedl (Hamlet) (Name & Address of Homeowners Association / Property Owner) (Brief Job Description) 5) 6) 7) a) Starting I)at e: Coinpletion Date: Estimated Cost of Proposed Work: Insurance Coverage: A. The coverage required to be extended to the Property Owner: Bodily injury & Property Damage; $300,000/$500,000 Bodily Injury & $50,000 Property Damage. B. Insurance Company: C. Insurance Agent Name & Telephone # : D. Policy # : State whether policy or certification is on file with the Trustees Office: (If no, Provide s copy with Application) (yes/no) (Signature of Applicant) (Date) To be completed b? the Property Owner: I/We the undersigned, fully understand the ~;ature of the Proposed Work referenced above and have nc objection to allowing the Applicant to cross My/Our Property to do the (Signature of the Property Owner ordulyauthorizedrepresentative) TRANSACTIONAL })IHCLOSURE FORM The Town of Southold's code of Ethics prohibits con£1icts of interes~ on ~he part of town off c~rs and employees. The purpose of this form is to provide information which can alert the town of possible conflicts of interes~ and allow it to take YOUR NAHEt whatever action is necessary to avoid same. //.4#c7 , ' " (Last name,' mT a.le you are applying in the name of someone else or other entity, such as a company. I~ se, indicate the other person's or company's name.) NATURE OF APPLICAT'[ON~ (check ali that apply.) Tax grievance Variance Change of zone n from plat or official map Other (If "other," name the activity.) ~mployee of the Town of Snuthold? 'Relation~hip# inclndes by blood, marriage, or business ~tere~t. Interest' means n busies.e, inuludin~ a partnership, in whidl th~ town officer or employ~e ha. even a partial ~)vnereh{p of (or employment by) a Corporation in which Um town offtce~ or employee owns mor~ than 5~ o~ the NO If you answered 'YES," ~omplete the baianee of ~hi# form and date and nigh where indicated. Name of person employed by the Town o~ Southoid Title or pomitio, of that person Describe the relationship between yourself (the applicant) and the town officer or employee. E}ther check the appropriate line A) through D) and/or decor{be in the space provided. The town officer or employee o~ his or her spoua~ sibling, parent, or child ia (check all that apply), __A) the owner o~ greater than 5% of the shares of the corporate stock of the applicant (whe~ the epplicast ia a corporation); __B) the legal or bbneficial owner of any interest in a noncorporate'entity (when the applicant is not a __C) an officer, director, partner, or employee of the applicant; or __P) the actual applicant. DESCRIPTION OF RELATIONS}lIP