HomeMy WebLinkAboutHart, Catherine & RichardA, lbert 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
August 7, 2003
Mr. & Mrs. Richard Hart
1900 Westphalia Rd.
Mattituck, NY 11952
RE:
1900 Westphalia Rd., Mattituck
SCTM#114-7-12.1
Dear Mr. & Mrs. Hart: ·
The Southold Town Board of Trustees reviewed the survey prepared by Joseph A.
Ingegno dated May 5, 1999 and determined the proposed deck to be out of the Wetland
jurisdiction under Chapter 97 of the Town Wetland Code and Chapter 37 of the Town
Code.
Therefore, in accordance with the current Tidal Wetlands Code (Chapter 97) and the
Coastal Erosion Hazard Area (Chapter 37) no permit is required. Please be advised,
however, that no construction, sedimentation, or disturbance of any kqnd may take place
seaward of the tidal wetlands jurisdictional boundary or seaward of the coastal erosion
hazard area as indicated above, without a permit. It is your responsibility to ensure that
ail necessary precautions are taken to prevent any sedimentation or other alteration or
disturbance to the ground surface or vegetation within Tidal Wetlands jurisdiction and
Coastal Erosion Hazard Area, which may result from your project. Such precautions
may include maintaining adequate work area between the tidal wetland jurisdictional
boundary and the coastal erosion hazard area and your project or erecting a temporary
fence, barrier, or hay bale berm.
However, any activity within 100' of a Wetland line or seaward of the Coastal Erosion
Hazard Area would require permits from this office.
This determination is not a determination from any other agency.
if you have any further questions, please do not hesitate to call.
2
Sincerely,
Albert j. Krups i~,'jr~
President, Board of Trustees
AJK:lms
Seuthold Town
Board of T~stees
We are asking for considerati6n for a letter of non-jurisdiction from Southold Town
Trustees for a deck we plan to build (see attached survey). Our house is on Mattituck
Creek, the east side of the house facing the creek is 149 feet 9 inches from the apparent
high water mark.
The planned deck follows the east and south side of the home the dimensions on
indicated in red on the survey. Please note that we also plan to convert a portion of the
attic into living space but there will be no excavation or change in the footprint of the
existing house.
If you have any questions please contact us at 631 298-0009.
Catherine/ and Richard Hart
1900 Westphalia Rd.
Mattituck, NY 11952
o?qg'- <500 9
Board Of Southold Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO. ~/~ DATE: ...igar. Z2, 2000
ISSUED TO ......... ~,lJERII~E. & RICHARD HART ..........
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 en-
titled "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 fha
Resolution of The Board adopted afa meeting held on ..~,~.g ? ~.,... 1999
19_99., and in consideration of the sum of $.l;.359,00 .. paid by
C.ath~r~p-.~. & Rich.ard Hart
of ....... ga~ct.i:L~.ck ~ N.Y. and subject to the
Terms and Conditions listed On the reverse side hereof,
of Soufhold Town Trustees authorizes and permits the following:
Wetland Permit to construct a ~'X75' cat., a 3'X20' ramp, to a
3'X5' platform & a 6'X20' fit. with 2 piles to hold float in place
2 tie off poles.
all in accordance with the defai|ed specifications as presented in
the originating application.
IN WITNESS WHEREOF, The said Board of Trustees here-
by causes its Corporate Seal to be affixed, and these presen~ to
be subscribed by a majority of the said Board as of this date.
Albert J. Krupski, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Pollwoda
Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 11971
Telephone (516) 765-18~2
Fox (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
March 22, 2000
Catherine & Richard Hart
67 Derby Place
Smithtown NY 11787
Re: SCTM #114-7-12.1
Dear Mr. & Mrs. Hart,
The following action was taken by the Board of Town Trustees
during a Regular Meeting, held on August 25, 1999, regarding the
above matter:
WHEREAS, CATHERINE & RICHARD HART, applied to the Southold Town
Trustees for a permit under the provisions of the Wetland
Ordinance of the Town of Southold, application dated June 280,
1999 and,
WHEREAS, said application was
Conservation Advisory Council
recommendations, 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 25, 1999, 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
CATHERINE & RICHARD HART to construct a 4' X 75' catwalk, a 3' X
20' ramp to a 3' X 5' platform and a 6' X 20' float with 2 piles
to hold float in place and 2 tie off storm poles. Located: 1900
Westphalia Road, Mattituck.
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:
Catwalk: 4' X 52' = 208'
Ramp: 3' X 20' = 60'
Platform: 3' X 5' = 15'
Float: 6' X 20' = 120'
TOTAL:
X $3 = $624
X $3 = $180
X $3 = $ 45
X $3 - $360
$1,209
Very truly yours,
Albert J. Krupski, Jr.
President, Board of Trustees
AJK/djh
cc. DEC
Dept. of State
ACE
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
Please be advised that your application, dated ~--~'' ? ~;
has been re~v~wed by this Board, at the regular meeting of
~ - - and the following action was takeR[
(~) Application Approved (see below) ?.[!~,~ ~
( ) Application Denied (see below) ~i~!ii JU~ I I :
If your application is approved as noted above, a permit fee is
now due. Make check or money order payable to the Southold Town
Trustees. The fee is computed below according to the schedule
of rates as set forth in the instruction sheet.
The following
fees will be necessary.
fee must be paid within 90 days or re-application
COMPUTATION OF PERMIT FEES:
TOTAL FEES DUE:
SIGNED:
PRESIDENT, BOARD OF TRUSTEES
BY:
CL~RK, B~A~D el~ ~RUSTEES'
4/98
February 6,2000
Dear Town Trustees,
Ca, Oxex'Oae, V. Ra,,'C
900 Wea~qoho2ax,
Ma.~hle, w York, 11952
Attached please find drawings as per your request. These are the same drawings sent to the DEC and Army
Corp of Engineers.
Sorry for the delay, Unfortunately ! had an accident and was unable to work on the catwalk and dock
application. After your review 1 will look for the assessment of the fee I need ~ pay for the dock.
Yours truly,
/
c~t~y ~
November 29,1999
Dear Town Trustees,
Attached please find copies of what was sent to the DEC. Please note the requested
downsizing of the floating dock to 6 x 20 feet and decreased length of catwalk.
As per your recommendation our catwalk and floating will not extend further out then our
next door neighbors (Stewart and Schleger) catwalk and dock.
We have identified Mr. King as a contact person for the DEC as he has come out to our
property on several occasions and knows the problem of the shallow water and ledge we
must deal with in assuring us deep enough water for our boat at low tide.
Any further questions please feel free to contact us at 724-0037.
Yours truly,
C~thy ,a,ffd Richard Hart
CROSSViEW DIAGRAM
Ty~e of Tidal W~ttand
Dock
Prepared
PROJEGT PLAN
Pmjact L.ocolion
Place Map
Here
C~nsu!tant Name
Dock
Consiru _. lion
4
TRUSTEE KRUPSKI: As far as the final grade, well first of all the way the house was
staked, we couldn't quite figure out the way it was on the site. It seems to be more of a
catty comer.
FRANCIS MURPHY: Because of the 75' wetland setback, the curve of the pond, is
where you have to have the back of the house, or what we would consider the front of the
house. If we made it parallel to the street, the building envelope would be that much
smaller. And, what we're looking for is to be able to build a 2000 sq.ft, house without
damaging the wetlands and to be able to fit it onto the property.
TRUSTEE KRUPSKI: We didn't have a problem with it, we were just kind of unclear
about the way it was staked. It seemed to be staked parallel to the road, not at a catty
corner like this.
FRANCIS MURPHY: No, it should be, according to the survey, catty corner.
TRUSTEE KRUPSKI: Right, and also, you're going to be excavating then into the hill
to put the house straight in?
FRANCIS MURPHY: Probably half of the east side and the entire back oftb. e house will
be at ground level. Similar to the house we built on Mat-tituck Inlet.
TRUSTEE KRUPSKI: But, our concern is the fill. What are you going to do with the
fill? I mean there's going to be all that material coming out.
FRANCIS MURPHY: I don't you're going to have that much and by the time we grade
to come in offthe road, I don't think there's going to be any surplus fill at all. As I say,
we plan to have regular sized windows in the basement, just for light for the shop down
there, or whatever. Basically, what we are asking for, is can we build closer than 75' to a
small pond that kids have gone down to ice-skate for years. We still would do that, we
have no imention of disturbing any of that ground. We would certainly stop any run-off
from the construction going down towards the pond and iust from my experience, with
shrubbery and that. We would make it quite attractive without having a lawn or anything
back there. I'm too old to mow lawns.
TRUSTEE KRUPSKI: ! think that would be the only condition we would put on this is
the 40' buffer between the pond, which would give you about' 20' to work in the back of
the house.
FRANCIS MURPHY: No, I don't want a lawn.
TRUSTEE KRUPSKI: Any other questions? Satisfied with that grading plan?
TRUSTEE FOSTER: Yeah, it's pretty much what I figured it would be
TRUSTEE KRUPSKI: Is there any other comment in favor or against the application?
TRUSTEE SMITH: I'I1 make a motion to close the hearing.
TRUSTEE FOSTER: Seconded. ALL AYES
TRUSTEE SMITH: I'll make a motion to approve it.
TRUSTEE POLIWODA: Seconded.
TRUSTEE KRLrPSKI: With a condition ora 40' buffer between the pond and put
haybales at the 40' mark during construction.
TRUSTEE KRUPSKI: All in favor? ALL AYES
CATItERI31E & RICHARD ltART'request a Wetland Permit to construct a 4'X 88'
catwalk, a 32"X 20' ramp with a 5'X 5' "T" and a 6'X 40' float. Located: 1900
Westphalia Rd., off Sound Ave., Mattituck. SCTM#114-7-12.1
CATHERINE HART: Hi, we came back from last month. Mr. King had gone out and
did the soundings, and I think they came up to be like maybe 6' deep.
TRUSTEE KING: I was trying to drop the ball on this. I took a measurement from the
edge of the marsh out to the stake and it was 35' but I don't have a measurement from
where the catwalk is going to start after that stake. We can probably figure it out.
There's 5' of water at that stake at low tide. I was surprised how much water there is that
close to shore there.
CATHERINE HART: So were we.
TRUSTEE KING: It drops offpretty quick too.
CATHERINE HART: We were told it had to be 88' from the beginning of the catwalk to
where the ramp would start.
TRUSTEE KING: Yeah, this is going to be a lot shorter. I was supposed to meet with
Steve Pawlik and take a measurement so we know the length of this catwalk but we just
didn't get together.
CATHERINE HART: Someone left a float out there. There's a little float. It's on the
beach now but someone staked it in the water. It's like a 5'X 4' float.
TRUSTEE KING: It wasn't me. I just came up there the one day I saw you and took
some soundings. What did you say you had, a main-ship?
CATHERINE HART: Right.
TRUSTEE KING: So it draws about 3 ½' ...you've got more than enough water.
You've go enough water there for a 40' boat.
CATHERINE HART: If anyone is missing a float, it's there.
TRUSTEE KING: Unless Steve was there, I don't know.
RICHARD HART: There was someone in there sounding again on Saturday morning, or
Friday?
TRUSTEE KING: Oh, that was the day I took the measurement. There was another
boat. There was a young man. My boat draws too much water. I can't go fight to the
beach. So, he took me up and I took my tape a~!d measured from the stake to the edge of
the grass and it was 35'.
RICHARD HART; It has to be from the top of the bank.
TRUSTEE KING: Yeah, but I just took a measure from the top of the vA'ass because that
really doesn't change much.
TRUSTEE ICRUPSKI: So could we approve it based on a new drawing?
TRUSTEE KING: Sure.
TRUSTEE KRUPSKI: Is that okay? Come out there and get a measurement from that
depth, 5' of water and...
TRUSTEE KING: We talked about the size of the floats and all, and we wanted them to
downsize them.
TRUSTEE KRUPSKI: Alright, we can go with a 6'X 20' float. You have a 21' boat?
RICHARD HART: No we have a 35' and a 21'.
TRUSTEE KRUPSKI: Two boats. So you want to go straight out and put it ...
CATHERINE HART: If we went straight out, I'm to understand, straight out from the
catwalk, instead of turning the dock with a "T" coming that way.
TRUSTEE KRUPSKI: You could put a boat on either side.
CATHERINE HART: We'll we would be doing exactly what you don't want us to do.
Right? Because you told us at the last meeting that...well one neighbor, the neighbor to
the north side has a dock that goes this way and the neighbor to the south has a dock that
goes this way, and you determined that our would be out as far as any of these docks.
TRUSTEE KRUPSKI: From what Jim said, you don't have to go out that far to get to 5'
of water. So you would get out to 5' of water and you'd have a boat on either side.
TRUSTEE KING: In other words, you want to tie both boats there.
CATHERINE HART: Right.
TRUSTEE KRUPSKI: Would that be a problem? You'll need another pole for a 35'
boat. You could put another pole in to tie off, bow or stern, whichever.
CATHERINE HART: Can we just come up there and you could show us what you're
talking about. Because I don't understand.
TRUSTEE KRUPSKI: Yes. The dock would come out like this, to the shoreline, the
ramp, and the float would come off' it like that and it would be in enough water so you
could one boat on one side and the other on that side.
RICHARD HART: You don't want to do this because of the Town ramp that's there.
TRUSTEE KING: Even with this configuration, you're going to be inside of his dock.
TRUSTEE KRUPSKI: He's out further here·
TRUSTEE KING: That stake, if you line that stake up with the neighbor to the north and
the one to the south, it's just about right at the end of his fixed dock, and I mean he's got
a ramp and a float outside that.
TRUSTEE KRUPSKI: And a boat. So you'll be inside of that. You'll be accommodate
both boats in 5' of water.
RICHARD HART: In other words, put the float this way, straight out. This fellow here
has a floating dock, sticking out about 60' so then at low tide, the end of his dock is up on
the land. That water does drop offvery fast.
TRUSTEE KRUPSKI: You could put another stake here and tie your boat off
CATHERINE HART: Another set of poles?
TRUSTEE KRUPSKI: Just one pole. Would that be alright, Hemy?
TRUSTEE SMITH: I would put poles fore and af~.
TRUSTEE KING: They've got a pretty good reach across here· If you get a good
northeas~ wind, you're going to want a pole on the outboard side. That would work.
RICHARD HART: Another way it could be entertained, I guess, if we could put the float
this way and back the two boats in stem to stem and put the poles out here.
TRUSTEE KRUPSKI: I think this would be easier·
RICHARD HART: And with this we wouldn't have to build as long as ...
TRUSTEE KING: You could have a much shorter catwalk then this proposed one. This
is 35' and you're back in here someplace in 5' of water. And that way there, you mn the
floats this way, you're not going to even come out...
RICHARD HART: Well that far back out here you're going to be, at some point, in 2' of
water.
TRUSTEE KING: No, I'm talking about where I put that stake. I don't know whal the
scale is but this is 88'. I'm looking at this by eye, and the stake is about there. And then
you're going to have a ramp and float and it's going to be like this.
RICHARD HART: That drop-off.doesn't follow the shoreline either though. It drops off.
more like here.
7
TRUSTEE KING: I went back and forth. I was fight in there, inside of that stake with
no problem at all. Okay, I'll stop back and we'll need a new drawing. Do you know who
is doing the work?
CATHERINE HART: Steve Pawlik.
TRUSTEE ICING: I'll see if/can get a hold of him and see if we can work it out.
TRUSTEE KRUPSKI: Call him tonight and have him call Jim.
CATHERINE HART: Okay, alright.
RICHARD HART: The only reason why I was going in this direction was because of th
way that the neighbors are. I don't care for this straight out business myself] When you
get a bad wind from the northeast I'm afraid...
TRUSTEE KING: With a northeast, 1 think you're further ahead with the configuration
we're going to give you, if the wind is going to be coming this way.
TRUSTEE KRUPSKI: Is there any comment on this application? Do I have a motion to
close the hearing?
TRUSTEE KING: So moved.
TRUSTEE FOSTER: Seconded. ALL AYES
TRUSTEE KRUPSKI: I'll approve the application based on a new drawing and Tpastee
King's approval of that drawing, Do I have a second on that?
TRUSTEE KING: Seconded. ALL AYES
Patricia C. Moore, Esq. on behalf of RICtlARD SANSEVERE requests a Wetlan~l
Permit for an as built fixed dock 7' in width. Located: 7433 Soundview Ave., Sodthold.
SCTM#59-6-5.1
TRUSTEE KRUPSKI: Would anyone like to speak on behalf of the application?
PATRICIA MOORE: Good evening. We had a pre-submission inspection for the ~lock
as you recall from the last meeting, and the problem with the existing dock was tha~it
was invested with rats and as a result ... [
TRUSTEE KRUPSKI: We were all out there.
PATRICIA MOORE: Right, and I guess he explained the situation so the dock wa~
there.,.
TRUSTEE KRUPSKI: I was just out there last week. I spoke with Mr. Sansevere.
TRUSTEE KRUPSKI: Would anyone else like to speak, in favor of or against?
PATRICIA MOORE: Mr. Bernstein is the neighbor. I promised him I would say t at he
was in favor of the application. He called me specifically.
TRUSTEE POLIWODA: I told him that it's built beyond what we normally wouk i give
above a wetland. It's built 7' wide above the marsh. I said I w,.ouldn't be so strict t
recommend that they have it ripped out because it maybe (can t understand) in the i [st
probably 2 years. However, to get a proper permit possibly narrowing down the wa [kway
to the end of the platform to 3' more or less taking a circular saw and cutting 4' ofi' off
and put the poles on the side it.
PATRICIA MOORE: I was under the impression that the Board would accept, sim e the
dock has been built at this point, that at the time he would come back in the future t,
rebuild, that at that point, that it would have to be reduced down to that size, rather than
taking out ..,
TRUSTEE POLIWODA: I don't know how you would work that though. Do you give a
Permit like that and then...
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 Conservation Advisory Council held Monday, July 19,
1999, the following recommendation was made:
Moved by Melvyn Morris, seconded by Richard Smith, it was
RESOLVED to recommend to the Southold Town Board of Trustees DISAPPROVAL of the
Wetland Permit Application of CATItERINE & RICItARD HART 114-7-12.1 to construct a
4'X 88' catwalk, a 32" X 20' ramp with a 5'X 5' "T' and a 6'X 40' float.
1900 Westphalia Rd., Mattituck
The CAC recommends Disapproval of the application as submitted but would Approve a 6'X 20'
float and with the condition that the structure be in line with the neighbors. New plans should be
submitted.
Vote of Council: Ayes: All
Motion Carried
*-' i
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,~2
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Waiver/Amendment/Chanqes
~ Recei'ved Application: ~-~-~f
~Received Fee:$/~--~ -
~ Completed Application ~ -~- ~ ~
Incomplete
SEQRA Classification:
Type I .Type II Unlisted ~
Coordination:(date sent)
CACReferral Sent:
Date of Inspection:~~
Receipt of CAC Report:
Lead Agency Determination:__
Technical Review:
Office Use Onl
Coastal Erosion Permit Applicati¢~;~;
~Wetland Permit Application
--Grandfather Permit Application
~Public Hearing Held:--~-~/~F~
Resolution: ~,,
Name of Applicant
Address
,Y~x~. Phone Number:
Suffolk County Tax Map Number: 1000
Proper y Location:
(provide LILCO Pole #, distance to cross streets,
a~d'location)
AGENT:
(If applicable)
Address:
Phone:
FAX#:
· , ~ PR JECT I.D. NUMBER
617.21
Appendix C
State Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
PART I--PROJECT INFORMATION (To be comDleted by ADDlicant or Project s0onsor)
SEC
1. APPLICANT/SPONSOR
3, PROJECT LOCATION:
Municl0al[ty
IS PRO BED ACTION:
5. ~Ne: [] Expansion ~ Mooifica. tlonlalterat[on
6. DESCRIBE PROJECT RRIEFLY:
7. AMOUNT OF LAND AFFECTED:
Initially acres Ultimately
[] No If NO, describe briefty
[] Agricuit ure
~ ParX/Foresb'Ooen s~ace (-~ Other
tO. DOES ACTION INVOLVE A P~-RMIT APPROVAL OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL,
STATE O LOCAL}?
~Yes r~ No If yes, list agency(si and permftlaDp¢ovnls
11. DOES ANY ASPkSPF.~' OF THE ACTION HAVE A CURRENTLY VAUD PERMIT OR APPROVAL?
[] Yes' ~No If yes. list agency name and permitlaDproval
12.
AS A RESULT OF OPOSED
OF,~ ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION?
Yes
If the action is in the Coastal Area, and you are a state agency, complete the
Coastal Assessment Form before proceeding with this a~essment
OVER
1
II--=NCtRO MEN L cSSMENT(To
~ be comoleted ~y Agency)
Yes ~ NO
WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS iN 6 NYCRR, PART 5~7.E? if No. A negalive dec~aratlc
may Pe subersedecl by another involved agency.
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be nanewri/ten, if legible)
O1. Existing air quality, surface or groundwater buality or buantity, flOise levels, existing ~ralfic patterns, solid waste proquctiorl or dlsDos8
C7. Omar imoacts (incl~Jding changes ~n use bi either quantity or type of energy)? Explain brietiy.
O. IS THERE, OR IS THERE LIKELY TO SE CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS?
~ Yes [] No If Yes, explain 0rietly
PART III--DETERMINATION OF SIGNIFICANCE (To be comoleted by Agency)
INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherWise significs
Each effect should be assessed in connection with its (a) setting (La. urban or rural); (b) probability of occ~g; (c) duration;
irreversibility: la) geographic scope; and (0 magnitude. If necessacy, add attachments or reference subportlng materials. Ensure tf
explanations contain sufficient detail to show that all relevant adverse impacts have 13een identifieo and adequately aqdresseci.
Check Ibis box if you have identified one or more potentially large or significant adverse impacts which MAY
occur. Then proceed directly to the FULL EAF and/or prepare a positive-declaration.
Check this bOX if yOU have determined, based on the information and analysis above and any supporting
documentation, that the proposed action WILL NOT result in..~!.ny signific,a~t adverse environmental impacts
AND provide on attachments as necessary, the reasons supporting this determ~ation:
NOTICE TO ADUACENT PROPERTY OWNER
BOARD OF TRUSTEESt TOWN OF SOUTHOLD
In the matter of applicant:
SCTM#1000- 1~4 - ~- ~'~
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: /%0
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. 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: =~.~,~F_~(' ~c~ ~/'~~
MAILING A~DRESS. ~ 714¢¢ /
PHONE ~: ~/~ 7~OOg~
Enc.: Copy of
convenience.
sketch or plan showing proposal for your
TRANSACTIONAL DISCLOSURE FORH
The Town of Sou~hold's Code of.~thics~prohibibs..con[!lc~s og
inteces~ on ~he pact of town officers sP~d employees. The '
purpose of.this form is bo provide ~nforma~on whic~ can
alert ~he town of possible.confl~cts.o[.interes~ and a~low
l~ to bake whatever action is necessary bo avoid"same.
(~aeL name,/~FsL name~/midd.le inL~al~
you are appl~in~ In thdname og someone else o~
o~her en~i~y, such as a company. I~ so~ ~d*ca~e
~he o~her pe~8on*g o~ ~ompany°e name.)
NATURE OF APPLI~ATIONt (Check al~ ~ha~ apply.)
Tax grievance
Variance
change of ;one .
Ap. PJ~9~'~I oE plab , , ,
Exen3ptton from pla~ or official map ...
Obher ~/ /~ ·
Do you pereofla~y (or through you~ ~penyp spO~ee; sibling,
paren~ or ehl~d) have a rela~lonehip wl~h any officer or
employee o~ ~he Town of Sou~hold? 'Relationship' ln~ludee
by b~ood, mar£1age~ or business ln~eree~. "Business
Interest" means a bueineee~ including a par~nership~ in
vhich ~he ~ovn o~lcer or employee has even a pa£~la!
ovnership o~ (or employmen~ by) a corPora~ion in vhich
the ~ovn officer or employee oven more ~han 5~ o£ the
eha~ee.
NO ~,
you anevered 'YgS,#.~omple~e ~he balance o~
da~e and sign uhere ln~lca~ed.
form and
Name of person employed by the Town oF 8oubhold
Title or position of thab person
Describe ~he relationship betveen yourself (~hs applicant)
and the ~own officer or employee. RiCher check
appropria~e line A) ~hrough D) and/or describe in ~he space
provided.
The ~own offleer or employee or his or her spouse; sibling,
parent, or child is (check all bhab apply)t
__.A) the owner of grea~er ~han 5% og the shares o~ the
corporate shock of the applic~nb (when the applicant
is a corporabion)l
__8) the legal or bbneficial owner cE any interest in a
noncorporabe'en~iby (when the applicant is nob a
corporabion);
__C) an of~icet~ ditecbor~ pS~tner; or employee
appllca,t~ or
__D) ~he actual app~ican~.
DESCRIPTION OP RELATIONSII~P : ~
submi~ed ~
Sighs tub's.
'Print uame
SURVEY OF PROPERTY
S£TUA TED A T
MATTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-114-07-12.1
SCALE 1"=30'
MAY 5, 1999
AREA = 73,958.83 sq. ff.
( TO TIE LINE ) 1.697
Z
CERTIFIED TO.
FIRST AMERICAN TITLE INSURANCE COMPANY OF NEW
GE CAPITAL MORTGAGE SERVICES, INCORPORATED
RICHARD J. HART
CATHERINE V. HART
YORK
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dosepli A. Ingegno
Land Surveyor
N,Y,S. Uc, No 49661]
Fax (516)722-5093