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Home My WebLink AboutScripps, Robert KLicensed / Insured P.O, Box 678 516-477-1708 Greenport, NY 11944 ADDRESS J. ROBINS CARPENTRY 20 Years Experience CITY STATE FROM :JROBINSCARPENTRWY FAX NO. : 6~1-4771708 2005 08:~9AM Pi Seothold Tow~ , Poard ef Trustees J. ROEINS CARPENTRy P.O. Box 678 (~reenport, NY 11944 373,12' N )CATION OF THE ~ E~IEi'~C. HF,/At~ JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET RIVERHEAD, N.Y. 11901 N.Y.S. LIC. NO. 50202 369-8288 Fax 369-8287 REF.-\~Hp server\d~PROS\02_212.pro (631) 765-1892 Town H.,fll. 53095 Main Road P.O. Box 1179 Southold, Ne~u Y~k 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Wednesday, April '16, 2003, the following recommendation was made: ROBERT K. SCRIPPS requests a Wetland Permit to demolish the existing garage an'd rebuild a garage on a new foundation with the same footprint. Addition of a balcony on posts max. 5' projecting on east side and addition of a staircase on the south side projecting 3'-6". Located: 2475 Pine Tree Rd., Cutchogue. SCTM#104-3-6 The CAC did not make an inspection, therefore no recommendation was made. Albert J. Krupski, President James }ling, Vice-President Henry Smith Attic Foster I~:en Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone 1631) 765-1892 Fax 1631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office UseOnly _~W~astal Erosion Permit Application Wetland Permit Application Major Waiver/Amend men .t/,Ch?nges ? Received Application: a~eceived Fee:$ ~0" -4[:ompleted Application Incomplete SEQRA Classification: Type 1 Type II Unlisted __Coordination:(date sent) "~'AC Referral Sent: Jg~//j]~--~' _ ___~ate of Inspection:_q/'/ ~Receipt of CAC Report: ___Lead Agency Determination: Technical Review: ~ublic Hearing Held: Resolution: APR ' Sout~ Board .. Name of Applicant Address ~ 8~4- Phone Number:( )~0¢- P?/ ~ &_4""q,¢ _ Suffolk County Tax Map Number: 1000 - Property Location: 2-4[ 7' ~' -~/~/9 ~- (provide LILCO Pole #, distance to cross streets, and location) AGENT: (If applicable) Address,: Phone: Board of Trustees Application GENERAL DATA La~,d Area (in square feet): 3 3/_ / 0°'~ -~. ~ Area Zoning: r' ~.$'? ~/F-447Z/'~ / Previous use o£property: ./ec~d~.q_704 / Intended use of property:___/"~S ~-de4,t/? ~/ Prior permits/approvals for site improvements: Agency Date ___ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspendgd by a governmental agency? v/ No Yes If yes, provide explanation' Project Description (use attachments if necessary):_ Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations:__ ~ ffdd Area of wetlands on lot:_~,~/20 ,:' '- square feet Percent coverage of lot: 27 - 26> % Closest distance between nearest existing structure and upland edge of wetlands: /o o r feet Closest distance between nearest proposed structure and upland edge of wetlands: 75' ' '~ feet 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: 4'P-.4'e o/;7l/o ,,? e~/d? Statement of the effect, if any, on the wetlands and tidal waters of the to~ that may result by reason of such proposed operations (use attachments if appropriate): Board of Trustees Application COASTAL EROSION APPLICATION DATA Are wetlands present within 1 O0 feet of the proposed activity? No / Yes Does the project involve excavation or filling? No / Yes If Yes, how much material will be excavated?/~'..tC~cuqic yards) How much material will be filled? (cubic yards) Manner in which material will be removed or deposited: Drscribe the nature and e~ent of the environmental impacts reasonably anticipated resulting ~om implementation of the project as pro.seal (Use a~achments ifnecessa~) A U'ffHOR T ZATION _.'~',~_(?~ ......... to appl+- £or pe~mdc(s} from the Board o~ Tcwn _~_ees on ~ beha~.. NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEESt TOWN OF SOUTHOLD In the matter of applicant: SCT~#1000-10~- 3- ~ YOU ARE HEREBY GIVEN NOTICE: i. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: ~--~,7~1~ 7~ ~ro~ o~D 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: ~;/ 30 You may contact the Trustees Office at 765-]892 or i~ 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. 617.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSF. SSMENT FORM For UNLISTED ACTIONS Only PART i--PROJECT INFORMATION (To 0e comole,"ed by AopJican~ or Prolec~ sponsor} SEC 12. If the action is in the Cooslal .Area, and you are a state agency, complete the ~ Coastal Assessmen': Form before proceeding ',','ith th~s a~s, essment OVER ! Board of Trustees Application County of Suffolk State of New York .. v,,q ~,,~/~ ~ e.- BEING DW¥ swo~ DEPOSES AND AFFIRMS THAT HE/SHE IS THE :~fl?PLICANT 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 SOLTTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. signature SWORS TO.EFO THXS ,20 Notary Pt~blic TRANSACTIONAL DISCLOSURE The Town of Sou~hold'e Code of Ethics prohibits conflicts u~ interest on the part DE town o[£ioere and employees, The purpose cE thie £orm ia to provide information v~ can alert Lhe town cE poeeible resellers cE l~-tereet and ai£oe it to take whatever action is neceeuary to avoid same. o~hec en~[by, ~uch p. a company. X~ mo, indicate NATURE O~ APPLICATION~ (Check all thee appiy~') Tax grievance , Change oe ~one Apparel DE plat , in~eresb' means abuainess, inuluding a parEnership, in which ~he town oEEieer or employee has even a partial ownership DE (or employmene by} a corporation in which ~he ~ovn officer or employee own. more ~han 5~ o[ ~he c) u) DESCRIPTION OF RELATIONSIIIP date and sign vhere indicated. Name of pereon employed by the Town o~ $outhold Title or poeition of that person Describe the rela~ionehip between youreelf (~he epplicant) end the town officer ar employee. Either check the appropriate line A) ~hrough D) and/or describe in the space provided. The town officer or employee o~ hie or her Spouse, sibling, parent, or child is (check ell that apply)~ __A) the oenee of greater than ~% of the sharee o[ the corporate etcck of the applicant (ehen the applicant lea corporetion)l the legal or bkneficial o~ner off any interest in a noncorpora~e'entity (~hen the applicant ie net a corporation)~ an officer, dirsctor~ pa~t~er~ or employea, o£ the applicaet~ or the a~tua! applicant. ..... ~ ~. . ....... ~ -, . ~4~.tLtSG OJ~ ~0~r~cE OFU.S. Postal Service CERTIFIED MAIL RECEIPT ' ~ OF t4~ ~~~ or~~ ¢~fiou,~''' ~ da~ ~nt~es ~P~ .... ecttVe ~ ~~.~.oSite there ~% _. of s~d P~" :'~d at de umfiy -~s b~ ~ ~.~o~ at me a~- _c ~td perso~ ~,~. that said ~u,,~- P~'- :-~ the ~es u, ~,,~ of SoUmm~,. ~id ~otices ~*'- .