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Home My WebLink AboutTR-5301Albert 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 October 22, 2003 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Jason McCabe 3325 Wickham Ave. Mattituck, NY 11952 RE: 3325 WICKHAM AVE., MATTITUCK SCTM#114-4-1.1 Dear Mr. McCabe: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, October 22, 2003: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Permit #5301 from Anthony Shannon to Jason McCabe. Permit was granted on March 21, 2001 to install a 4' high chain-link fence on the north and south sides of property and to re- vegetate the 50' wide non-disturbance buffer, and as depicted on the plan prepared by Land Use Ecological Services, Inc. dated May 2, 2002. If you have any questions, please contact our office at (631) 765-1892. Sincerely, Albert J. Krupski, Jr. President, Board of Trustees AJK:lms ELIZABETH A. NEVILLE TOWN CLI3RK REGISTRAR OF V/TAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDONi OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 $outhold, New York 11971 Fax (51~;) 765-1823 Telephone (516) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD APPLICATION FOR PUBLIC ACCESS TO RECORDS INSTRUCTIONS: Please complete Section I of this form and give to Town Clerk's Office (agency Freedom of Information Officer). One copy will be returned to you in response to your request, or as an interim response, (Department or Officer, if known, that has the information you are requesting.) RECORD YOU WISH TO INSPECT: date, file title, tax map number, and any other pertinent information.) Si§nature of Applicant . Mailing Address (if different from above): ~:~. ~ Tel~hone Numar: ~ ~~ Date. {Describe the record sought. If possible, supply [ ] APPROVED Elizabeth A. Neville Freedom of InfOrmation Officer RECEIVED DENIED* Date $outholcl * If delayed or denied see reverse .side fro' explanatiofl. Shannon 3325 Wickham Ave. Mattituck, NY 11952 May 22, 2001 Dear Board of Trustees: Recently we received a call from your office regarding our property. One concern of yours was the hay bales that were missing from the property. After our last meeting, at which time we were pre-approved for our permit, we removed the hay bales under the assumption that we were going to start work on the area. We then received a phone call from your office advising us we needed to get approval from the DEC, which we were unaware off We are currently working with a DEC consultant on this matter and are waiting to hear from them. We were tmaware that it was going to be such a lengthy process. As soon as we hear from the DEC you can be assured we will be in contact with you. In the meantime, the hay bales will be replaced. As far as revisions to the plans you requested, they were dropped offto you and then returned to us in order for us to present them to the DEC. Those original plans are no longer going to be used. We are now planning on making right our violations by moving the fence back to create a 25-foot buffer zone, which was agreed upon, and also plant the ground cover where we were told. We have included a copy of our survey with our revised plans. As you can see we decided to "keep it simple". We are looking forward to making things right and having this matter resolved as soon as possible. Thank you for your time and consideration. Sincerely, Anthony & Kimberly Shannon Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. .~'~'"~J~,O [ DATE: March 21, 200]. ISSUED TO ............... AI~ ~ H O,bl.~... SL-t.~N.N 0 N ....................................................... Pursuant to the provisions of Chapter 615 of the Laws of the State of. New York, 1893; and Chapter 404 of the Laws of the · State of New York 1952; and theSeutheld 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 the Resolution of The B6ard adopted at a meeting held on Ma~¢h..2.1.,.- -200.t..-., and in consideration of the sum of $...20~.(~0 ...... pald by Anthony Shannon of ......... ~.a.~.t.~.~..u..9.~ ................................ i ................... N. Y. end *ubie~t to the Terms and Conditions listed on the reverse side hereof, of Southold Town· Trustees authorizes and permits the fo~owing: Wetland Permit to install a 4' high:chain-link fence on the north and south sides of the property only and not parallel to the water, and to re-vegetate the 50' wide non-disturbance buffer, in accordance with the approved planting specifications, all ~ all in accordance with the detai~ speciiTcations as presenteaF ,n . the originating applicafiofl. depicted on the plan dated May 2,_2002... IN WITNESS WHEREOF, The smd Board of Trestee~ here. by causes ifs Corperate Seal fo be afl?d, and these.jyesents to be subscribed by ~'majorlty of the sa,d Board as of tbs daf~. Ar~hu.r Foster(Absent) _, Tr~Slees TERMS end C. ONDmONS Anthony Shannon ~ s~ 33~5 Wickham A,~nue, M~ttituok N. Y~ ss l~Zt' of the conside~a~on for the ls~suat~e of d~e Pennl¢ does understand ~1 l~e to the roi- 2. Tlmt tbls lamnit b' vaUd ~ n .perlod of ;~4 That this Permit sboald be retained indefinitely, ~ as lmag u the ~ Pe..u~Itt~e ~ 'n~.--~- the mact~e or project involved, to pmvkle evidence to tn/one eoncemed *~-, smh- .odzatlon was odglmlly ol~alned. 4. I'nat dae wotlc in*olved will be *abject to dae ~ and appmwl of the ~ et ks agents, and ~ae~!i~,~-_ wt~h. the pto~Ldom ot ~e edglnaflng appllcadon, m~y ~e _,~ fm tevocatlon of thts P~t by tesoba~oa o~ the sam ~ .pon c~e nmice, to remove or ~lter d~ work ot project hetdn m~l wl~ ~ to the Town S. That che said Board wUl be nottfied by the Pe~alttee ot the e°mI~d~io~ the wot-k amh- That the Petmlttee ~dl eb*.a., aU od~et W;~m"~ ,nd coments dar nay be requital sup- plememal to this permit whl& nw/be subject to zem~ upon failure to obtain sam~ i i Albert J. Krupskl, President Jsmes 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 Fsx (631) 765-1366 March 21, 2001 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Anthony Shannon 3325 Wickham Ave. Mattituck, NY 11952 3325 Wickham Ave., Mattituck SCTM#114-4-1.1 Dear Mr. Shannon: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, March 21, 2001 regarding the above matter: WHEREAS, ANTHONY SHANNON applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated January 2, 2001, 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 March 21, 2001, 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 surround'rog 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 ANTHONY SHANNON to install a 4' chain-link fence on the north and south sides of the property only and not parallel to the water, and to re-vegetate the 50' wide non-disturbance buffer in accordance with the approved planting specifications, all as depicted on the plan dated May 2, 2002. BE 1T 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 tiffs notification. Inspections are required at a fee of $5.00 per inspection. (See attached schedule.) Fees: None Very truly yours, Albert J. Krup~fk~, Jr. President, Board of Trustees AYK/lms DEC May 20, 2002 Page 1 of~ Anthony Shannon From: Kimberly Shannon [kimberly_shannon@hotmail.com] Sent: Monday, May 20, 2002 9:35 PM To: tony shannon Subject: DEC, Board of Trustees May 20, 2002 Town of Southold Board of Trustees Town Hall 53095 Main Road Southold, NY 11971 Attn: Mr, A1 Krupski- Chairman Re: Wetland Violation Anthony Shannon-Wickham Ave. Mattituck, NY Dear Mr. Krupski: Enclosed please find the planting specifications approved by the DEC. After meeting with the DEC they have expressed no problem in regard to where the fence currently lies. We would ask for you to reconsider your position on moving the fence. As time has passed since meeting with you last the fence has already been taken over by tall thick growth and is barely visible at all. There is no longer any runoff, the area has completely grown back. We will also be adding a variety of grasses and plants (found in the specifications). This brings me to my next question. The DEC has requested a fifty- foot buffer zone. In meeting with the Board of Trustees, a twenty-foot buffer zone was agreed upon. Please advise me as to what decision takes jurisdiction in this matter. This matter has taken quite some time, and it is my hope that we can come to an amicable decision where all parties are satisfied. Please call me at home (298-4408) or at my office (289-8800 ext. 304 between 8-5) if you have any questions. Anthony Shannon encl. 5/21/2002 PROPOSED SHRUB LOCATION (SEE PLANTING SPECIFICATIONS) 0~¢~2' O.C. DV~LING EL 12 EL 14 NOTE: INFORMATION / DATA REFERENCED FROM SURVEY DATED: 10-21-98 LAST REVISED: 7-9-01 FILE # 98-327 (PECONIC SURVEYORS, P.C. - 1230 TRAVELER ST. SOUTHOLD) PLAN VIEI~: PRoPosEo: 50' SUFFER PLANTING PLAN PURPOSE: VIOLATION SETTLEMENT SCALE: I" = &0' AT: 5z~5 WlCKHAH AVE.' MATTITUCK TOWN OF SOUTHOLD, SUFFOLK COUNTY STATE OF NEW YORK LAND USE ECOLOGICAL APPLICANT: JANE SHANNON SERVICES INC. ~T~ T~X ~P ¢ IO00-llZ+. 00-0/~. 00-001. 100 SHEET SHEET I OF I PLANTING SPECIFICATIONS KEY: = PROPOSED TIDAL WI~TLAND BUFFER RESTORATION AREA (APPROX. 12,493 SQ.FT.±) -50'WIDE- SHRUBS: = PROPOSED (24) NORTHERN BAYBERRY (MYRICA PENSYLVANICA) 2 GALCONTAINERS - NURSERY GROWN STOCK PLANTED ON 12' CF-NTERS [SEE PLAN VIEW] SEED: = PROPOSED 12,493 SQ,FT. ± TO BE SEIEDED W(]'H SW~TCH GRASS (PANICUM VIRGATUM) AT 10 LBS. PER ACRE RATE AND LOFTS WILDFLOW~R MDOqJRE AT 5 LBS. PER ACRE RATE. 11:59 FA~ 831 ?2?2605 L~D I[s~ a(:OL'J{~lt~,t, ~Juul La ndUse Date: April 20, 2001 To: Mr. Anthony Sherman From: C.W. Bowman IRe: NYSDEC Art. 25 (Tidal Wetlar~l~) ViolMion $~tt~rlent Wlckhem Ave. - Maffituck. NY MEMQ I met wilt1 C. H~mllton, NYSDEC Natural Resources Division Chief reialive to obtaining a sMtlarrm~ of your violation. Mr. HamlRon assesse~ the minimum $2,000 penalty for non-compliance with the pemdt I~ued for your home lhat required a 50' buffer located landward of the high w~ter line. In addition to the fine, you mum re-establish the buffer in acc=rdance with e plar~tng elan I will prepare immediately. NYSDEC will lex me the Order on Co~se~t that sattl~ the violation within several days. I Will atta~ the vege~Itlon plan and submit both documeefla to you for execution. The ~o~rt order and plan ~tlodd be sent back for sememant of your true,tee violation. Please call if you have any questions. fax; 289-88f0 Page1 of 1 2.576 Sound Avenue ,. Baiting Hollow, ~'q~F~X,v York · I i 933 631 727 2,400 - FAX 63 LanclUse February 1, 2002 Town of Southold Board of Trustees Town Hall, 53095 Main Rd. PO Box 728 Southold, NY 11971 Attn: Mr. Al Krupski- Chairman Re: Wetlands Violation Anthony Shannon-Wickham Ave. Mattituck, NY Dear Mr. Krupski: Mr. Shannon has informed me that he has received an additional summons regarding the above referenced property. Please be advised that we are endeavoring to resolve the same issue with NYSDEC, so that the necessary restoration can be approved by both agencies. In this regard, we requested NYSDEC to issue a Violation Notice which commenced the settlement procedure. This notice was issued on October 5, 2001 (copy attached) with a settlement conference scheduled for December 20, 2001. At this conference the legality of the dwelling was questioned as were the setbacks mandated under NYSDEC permit to Frank Murphy. Cun'ently, we have established that the dwelling meets the 75' requirement and have requested a settlement conference. To date, I have not received the date and time of the conference. I hope you understand that DEC has been backiagged with violation settlements. Mr. Shannon and I are attempting to expedite the settlement quickly. Kindly contact me if you have further questions. Very Charles W. Bowman CWB/av aRC. 2576 Sound Avenue · Baiting Hollow, New York · 11933 631 727 2400 · FAX 631-727-2605 00T-24 2001 ~ED 08,:39 AN TO F~STENER CO FP~X NO, 63,,~8988!0 ., I',h~'~,,: York S~.i~e Department of Environmental Conservation D~,,~r:~,m~ of ~:i~}~l~, Wikilife & Marine Resources, Region One ~l~'J~j40 ;';LJNY, S~onyBroek, New York 11790,,2356 Pi~om~. ({~31) 44~.029[; FAX: (631) 444-0297 Viola{ion: On or bet;ore 10/3/01 '3225 Wickham Ave. Matl. ituck, NY ?, 91 Edn M, Crott'y Tax Map ID # 1000-114-4-1.1 I-tcc<~ids of this l')cp:u'trnent indicate tha! ynu are iu violation of the Jh~vironmental ' ' ' (F,(,:I [2'1 [.2] Arlicle 15, Protection of Navigable Waters Section 15-0505.1 6NYCRR Part 608 AL'title 15, Wild, Scenic and Recreational Rivers Act Szctloa 15-2709.2 6NYCRR Part 666 A'rlicle 13, Protection of Marine Walers Su. tlon 13-0345.2 Arliclc 17, Prohibition Against Pollution of Marine Waters 5;ection 17-.0503.2 Article 24, 'Freshwater Wetlands Act Section 24.0701.1 6NYCRR Part 662 Article gS, Tidal Wetlands Act Section 25-0401, I 6NYCRR Part 661 . I..., !~ ~t!!._~ :m~;Cl jn' pt_~rlnjltc:0_10 t__Le._uau_s_cd: The cutting and clearing of vcgelatinn (55' x 180') md,:: adj:~c~ nt arc:'~ of a rcgulatcd tidal wetland without the necessary NYSDEC permit to do 10/24/01 WED 08:05 [TX/RX NO 7316] [~]001 00?-24 20M ~^E'P Cia',:40 RM ?, 02 (,r '~1 , v~. t ~ ~ r,f tiffs/these Alficle(s) of tile ECL is a violation and/oF a misdonleanor pmfi.h:dllc lB: a i'inc- uf no more limn $10,0t30 per violation. Penalties may he assessed fiw each i%a~x, bo rmthcr advised that violalkms of the ECL which arc not resolved may bo the sub, W.. or ;:m ,.Mmidsm ativc hearing pursuant to Title 6 of thc Official Compilation of (.t des, Rules & l'L:,!,ukdio~,~; of Ih<~ St, [. of New York (6NYCRR, Part 622). Y ......... ~ , ~l ......... IK , 1 .~ , y~s m t~ase._your operatio ~ at t 1¢ refefel~c, ed].o.c, alio!!j~l.~!~le..dia]dy, I.'leasc; conlact lbo Following office within thirly (30) days of receipt of this letter, so that we in~iy aHc~npl Io resolve II,is matlar, Failure to contact Ibis office within Ihis dine period will r~:¢su[i iu this realtor being referred to the l)epartment's Regional Attorney lhr furlhcr enlbrcement To s,:hcthfle att appoirttment Ibr i, compliance conference in this matter, please contact thc ell'icc et Marine llahital Prolcction at (631.) 444.0295. Compliance conferences will be held witfi ih~; ,~t:l, ia' Maungcr oi'Marine IIabitat Protection. Very truly yours, Charles T. Hamilton Regional Supervisor of Natural Resoumes Stony Brook Mail NOV'//01 t'A Page 2. 10/24/01 WED 08:05 [TX/RX NO 7316] ~002 ~ ooo ~ O0 NOTICE Police Dept. - Bay Constable Town of Southold Peconic, New York 11958 NOTICE' OF VIOLATION Anthony Shannon Date: Jam*ary 21, 2002 (Owner or authorized agent of owner) Address: 3325 Wickham Ave., Mattftuck, N.Y. 11952 (Address of owner or authorized agent of owner) Please take notice there exists a violation of the Code of the Town of Southold, Chapter 97 Article II, Section 97-20 a premises hereinafter described in that you have erected a fence and c/eared property w~t~n I00 feet of a wetland without f5rsl~ obtaSning a Trustee Permit. You are therefore directed and ordered to comply with the following: Cease all further activity within 100 feet of wetlands. As of the above date you have not app].ied for a Tru~'~tee Permit for fence. on or before the 15 day of February, 20 02 The premises to which this Notice of Violation refers are situated at: 33£5 WSckham Ave., Mat:tituck, N.Y. 11!)52 Town of Southold, Suffolk County, NY (Suffolk County Tax Map Designation: Dist. 1000 Section: 1 ]/4 Block: 4 Lot: I. 1 ) Failure to comply with the applicable provisions of the law may constitute an offense punishable by fine or imprisonment or both: NOTICE: You have the right to apply for a hearing before the Board of Trustees of the Town of Southold, provided that you file a written request with the Clerk of the Trustees within 10 days after service of the Notice of Violation. Such request shall have annexed thereto a copy of the Notice of Violation upon which a Hearing is requested and shall set forth the reasons why such notice of viola- tion should be modified or rescinded. Ba~l Constable, Tox/,n of Southolc~, NY 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 December 22, 2000 Mr. Anthony Shannon 3325 Wickham Ave. Mattituck, NY 11952 RE: 3325 Wickham Ave., Mattituck SCTM#114-4-I.1 Dear Mr. Shannon: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on December 20, 2000: RESOLVED, that the Southold Town Board of Trustees DENY the request for a Waiver to erect a 4' black chain-link fence and for the clearing that has taken place. You must apply for a Wetland Permit, at which time a Public Hearing will be held. This is not a determination fi.om any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, Albert J. Kmps~i, Jr~ President, Board of Trustees AJK:lms 2 ] O£G ATT D ,-8 Indian [] Asian [] Unk [] NOn-Hispanic [] NO /3. M *FALSE STATEMENTS ARE PUNISHABLE AS A CRIME, PURSUANT TO THE NEW YORK STATE PENAL LAW A 1653 The People ef the State o! New York vs. Town of Southold Suffolk County, NY _~1 ,,/,,/oo COURT COPY NOTICE Police Dept. - Bay Constable Town of Southold Peconic, New York 11958 NOTICE' OF VIOLATION Date: November 11, 20,00 i~ltilOlly Sharlno~l (Owner or authorized agent of owner) Address: 3325 ~ ' ~ ' ' . -~¥~Kllai[t Ave., ilat~.ituck, ILY. 11952 (Address of owner or authorized agent of owner) Please take notice there exists a violation of the Code of the Town of Southold, Article II, Section 97-20 a premises hereinafter described in that ,/~u nave erected a fencv and cleared property withi4 lOf) ;:'2et of a ~,,t~tlaad without first obtaini~g a Trustee Penait. Chapter 97 You are therefore directed and ordered to comply with the following: Cease al 1 iurther activity uithi,: lOO fee~ of ~etla~.l~. Apply for a ~rustee P~r~:~it on or before the ~:' day of Vecer:~ber ,20 0U The premises to which this Notice of Violation refers are situated at: 3325 fiicKham Ave., "~ '*" ~utt~uc~, N.Y. )i95Z Town of Southold, Suffolk County, NY (Suffolk County Tax Map Designation: Dist. 1000 Section: ~' ' ~4 Block: 4 Lot: i. i ) Failure to comply with the applicable provisions of the law may constitute an offense punishable by fine or imprisonment or both: NOTICE: You have the right to apply for a hearing before the Board of Trustees of the Town of Southold, provided that you file a written request with the Clerk of the Trustees within 10 days after service of the Notice of Violation. Such request shall have annexed thereto a copy of the Notice of Violation upon which a Hearing is requested and shall set forth the reasons why such notice of viola- tion should be modified or rescinded. Bay ~onstable, Town/of Southold,~qY Talephone (631) 765-1892 To¥,~ H~I. 53095 P.O. Box SOUT]~0LD TOWN CONSERVATION ADVISORY' COUNCIL At the meeting of the Southold Town Conservaiion Advisory Council held Thursday, December 14, 2000~ the following recommendation was made: Moved by Scott Hilary, seconded by Bill McDermott, it was · RESOLVED to recommend DISAPPROVAL of the Waiver Request of ANTHONY SHANNON 114-4-1.1 to erect a 4' black chain link fence and for the clearing of the property. 3325 Wickham Ave., Matfituck The CAC recommends the following: A wetland violation is issued· Remove the chain link fence and replace it with a split-rail fence. Establish a 10' non-turf buffer and maintain a 50' buffer from the edge of the wetlands. Vote of Council: Ayes: All Motion Carried oCT ~s ~00~ b_~ · Albert J. Krupsld, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda BOAP~D OF TOWN~ Off: ~ /oastal Erosion Permit ~ Wetland Permit Applicat Grandfather Permit Appl ----Waiver/Amendment/Chs/ng9 Received Application: Received Fee:$ /./6~ Completed Application Incomplete ~ ' SEQRA Classification: Type I__Type II Unlisted Coordination:(date sgDt) / -- CAC Referral Sent: /~_~/~ ---Date of Inspection: ~//~/~ / __Receipt of CAC Report{ Lead Agency Determination: Town Hail 63095 Main Road P,O. Box 1179 Southold, New York 11971 Telephone (516) 765-18,~2 Fax (516) 765-1823 Technical Review: . ~ ~--~ublic Hearing Held: //~/~/ of pplica: t./ ? Address ~----~--~_./~F~u~ ~-- /~/~~,/~ Phone Number: ~/) ~/~/~ Suffolk County Tax Map Number: 1000 //~/- O~-- /. / Property Location: ~'~-~ (provide LILCO Pole #, distance to cross streets, AGENT: (If applicable) Address: Phone: FAX#: and location) 1 ~ard of Trustees Applicati~ - GENERAL DATA Land Area (in square feet): ~% ~ -Area Zoning: Previous use of property: Intended use of property: /~-"~~~ ~"~-----"~ Prior permits/approvals for site improvements: Agency Date C~ No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? C~ No__ Yes If yes, provide explanation: Project Description (use attachments if necessary): ~rd of Trustees Applicati~ W~.'£~AND/TRUSTT~E LANDS APPLICATION DATA Purpose of the proposed operations: ~---O ~-~ -----Area of wetlands on lot: Percent coverage of lot: square feet Closest distance bet3~e_en nearest existing structure and upland edge of wetlands: ~ feet Closest distance between nearest proposed structure and upland edge of wetlands:~ feet Does the project involve excavation or filling? No ~' Yes If yes, how much materialwill be excav~,,d? ~ cubic yards How much material will be filled? i O//~-- cubic yards Depth of which material will be removed Proposed slope throughout the area of operations: Manner in which material will be removed o~ 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): ~rd of Trustees Applicati~ ~ COASTAL EROSION APPLICATION DATA Purposes of proposed activity: Are wetlands present within 75 feet of the proposed activity? No Yes 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) 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) NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: SCTM~1000- YOU ARE HEREBY GIVEN NOTICE: 1o 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: PHONE #: 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 , residing at , being duly sworn, deposes and says that on the __ day of ,19 , deponent mailed a true copy of the Notice set forth 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 , that said Notices were mailed to each of said persons by (certified) (registered) mail. Sworn to before me this day of ,19 Notary Public County of Suffolk State of New York ~rd of Trustees Applicati~ BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE A~PLICANT FOR '£~ ABOVE DESCRIBED PERMIT(S) AND THAT A~r. STA'£h~IENTS CONTAIneD ~EIN ~ TRUE TO THE BEST OF HIS/HER KNOWLEDGE AlqD BELIEF, AND THATALL WORK WILL BE DONE IN THE MANNER SET FOR'£'n IN THIS APPLICATION AND AS MAY BE itPPRO¥~u BY THE SOUTHOLD TOWN BOARDOFTRUST~S. THE APPLICANT AGREES TO HOLD THE TOWNOF SOUTHOLD AND T~ TOWN TRUSTEES HARMr.~SS AND F~EE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HF~RRy AUTHORIZE 'i'~ TRUSTEES, TREIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS DAY OF ,19 Notary Public of Trustees ApplicatioO AU-,~ORIZATION (where the applicant is not the owner) (print owner of property) residing at (mailing addresa) do hereby authorize (Agent) to apply for permit(s) from the Southol~ Beard of Town Trustees on my behalf. (Owner's signature) PROJECT i.D. NUMBER $17,2.1 Appendix C State E~vironmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART.~!:~-_.LAI~JECT iNFORMATION (To be completed by A~plicant or Pro~ec~ 1. APPLICAN /SPONSOR 2, PROJECT NAME 3. PROJECT LOCATION: ~~A~ ~, IS PROPOSED ACT~ON~ New ~Dans~on ~Modificat fonialt eradon 5. OESCR~BE PROJECT ~RIEFLY: SEQ 7. AMOUNT OF LAND AFFECTED: rndietly acres Ultimately acres J. WILL PROPOSED ACTION COMPLY WITH ~XIST~NG ZONING OR OTHER ~]ST[NG ~NO USE ~ESTRICTIONS? ~ Yes ~ No ~f NO, describe ~rrefly 0OES ACTION ~NV¢ STATE OR LOCALI? FROM ANY OTHER GOVERNM~-NTAL AGENCY (FEDERAL, []Yes ~'No 72. AS A RESULT OF ~ICATION? - .,eOVE IS TRUE TO THE BEST OR MY KNOWLEDGE If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form ~efore proceeding with this a~s, essment OVER ! P~,RT iII--0ETE~MINATICN CF S;GNIFICANCE ['TO :e comoleted ~y Agency) E~_c~ e/fact snouJd be issesse~ in c~n~ecIian ,,v~t~l ~ts (a) setting C.c. urban or rural); (~) orc~oaoilit¥ of occ~.~.,lg; f~cl duration ChecX ~his 30× [f you have identifiee one or mare ¢otentially large or significant a~verse ~moac:s which ~dA' occur. Then orccaed direc:l'/ to :~e FULL ~AF ~ndlor ~reoare a posidv~declaradcn. Checx t~is ~ox ~f you ~ave de~ermined, based on ~he infcrmadan and analysis ~bove ~nd any Suooort]nc Print,or Type: Off~c~ use only File #: ermit #: TOWN OF SOUTHOLD HIGHWAY DEPARTMENT PECONIC LANE PECONIC, NEW YORK 11958 PERMIT & BOND APPLICATION FOR ACCESS THROUGH TOWN OWNED PROPERTY 1) 2) 3) 5) (Name of Applicant) (Address] (Name & Address of Contractor Involved) (Project Location) (Name of Road or Town Property Involved) : 1000- - - (S.C.T.M. #) (Hamlet) (Brief Job Description) 6) 7) Starting Date: Completion Date: 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 & $50,000 Property Damage Insurance Company: Insurance Agent Name & Telephone # : Policy # : State whether policy or certification is on file with the Highway Department: (If no, Provide a copy with Application) (yes/no) (Signature of Applicant) (Date) To be completed by the Superintendent of Highways: Bond Amount Required: (Signature) Print or Type: 1) ACCESS CONSENT FORM FOR ACCESS THROUGH PRIVATE PROPERTY 2) (Name of Applicant) 3) (Name & Address of 4) 5) 6) (Project Location) (Address) Office use Only' File #: Permit #: Contractor Involved) (Name of Road or 1000- - - (S.C.T.M. #) Private Property Involved) (Hamlet) (Name & Address of Homeowners Association / Property Owner) (Brief Job Description) 7) Starting Date: Completion Date: 8) g) 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 # Policy # : State whether policy or certification is on file with the Trustees Office: (If no, Provide a copy with Application) (yes/no) (Signature of Applicant) (Date) To be completed by the Property Owner: I/We the undersigned, fully understand the nature of the Proposed Work referenced above and have no objection to allowing the Applicant to cross My/Our Property to do the work. (Signature of the Property Owner ordulyauthorizedrepresentative) 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 OTHER POSSIBLE AGENCIES YOU MIGHT HAVE TO APPLY TO N.Y.S. Dept. of Environmental Conservation (DEC) SUNY, Bldg. 40 STONY Brook, NY 11790-2356 444-0295 Suffolk County Dept. of Health Services County Center Riverhead, NY 11901 852-2100 U.S. Army Corp. of Engineers New York District 26 Federal Plaza New York, NY 10278 212-264-3912 N.Y.S. Dept. of State Coastal Management 162 Washington Ave. Albany, NY 12231 518-474-6000 SOUT~{OLD TOWN BOARD OF TRUSTEES FEE SCBEDULE FOR 1994 PURSUANT TO CHAPTER 97 WETLANDS CHAPTER 32 BOATS, DECKS & ~IARFS CHAPTER 37 COASTAL EROSION HAZA~ AREA A. $150.00 Application Fee, (Marine Structures with minimal impaet, i.e. Catwalk, Ramps', Floating Docks). B. WAIVER, AMENDMENT, INSPEt~i'IONS (AL[, WATERS): $40.00 per request/visit. NO charge to meet or have a conference with the Board during routine month].y inspections or for amendment during application process. C. GRANDFATHER FEE {TOWN WATERS): Subject to a caee by case review, $100.00 application fee and ail appropriate construction fees. D. Coast Erosion Hazard Area (CEHA): 1. Minor projects: $50.00 for all projects where there will be less than 100 cubic yards of excavation, gradinq, mining, filling or dredging; construction or modification of open catwalks, docks, stairs, floats, piers and wharves not exceeding six {6) feet in width; eonatruotion or modification of erosion protection structures not exceeding 100 linear feet in length; minor building construction of less than or equal to 25% as denoted in Chapter 37. 2. Major Projects: $100.00 for all projects in excess of minor projects and for any building construction or modification greater than 25% as denoted in Chapter 37. 3. Variance under Chapter 37: Applications which require variance will cost $250.00, whether a minor or major project. E. CONSTRUCTION FEE (TOWN WATERS): $3.00 per square foot of surface area over Trustee land. F. NEW CONSTRUCTION BULKHEAD BELOW A.E.W.M. (TOWN WATERS): $10.00 per lineal foot. G. MOORING APPLICATION: $25.00 }{. ANNUAL MOORING FEE year otherwise will be 1. Less than or equal to 20 ft. $2.00 per foot 2. Greater than 20 ft. up to and inclusive of 25 ft. ~A.00 per foot 3. Oweat{ ~- than 25 ft. up to and inclusive of 30 ft. $5.00 per foot 4. 31 thru 45 ft. as follows: 31 feet $6.00 per loeb 32 feet $7.00 per'foot 33 feet $8.00 per foot 34 feet $9.00 per foot 35 feet $10.00 per foot 5. Duck/Goose Blind on/over (TOWN WATERS): Due JanuarF 31, of cancelled February lat. each Town controlled waters $25.00 ~' Pilings and stakes with access from private property in To%,n Waters separate from Dock/Ramp will be $75.00 - one time fee. Request for extensions or a transfer of a permit $10.00. If inspection needed $40.00. The Trustees reserve the right to charge the afore~ntioned mooring fees for boa~s moored over State waters whenever a 'comprehensive mooring program for State waters is initiated. SF~A reviews at $15/above the consultants base rate eot to exceed statutory limitations. (Estimate will be given prior to envl ,,. e.tal review). The Town of southold's Code of Ethic8 prohibits con£1icts of interest on the part of town officers and employees. The purpose of this form is to provide information which can alert the town of possible conflicts o£ ~nteree5 and allow it to take whatever action is necessary to avoid same. ¥o~ ~re applying in the na~e o~ someone else or other entity, such as a company. If so, indicate the other person's or company's name.) NRTURB OF RPPbIURTION~ {check ail tha~'apply.) Tax grievance Varia.ce Change of zo -- Approval of ~ , ExS~ption from pi'at or official map other (If "other," name the activity.) parent, or child) have e relationship with any officer or employee of the Town of Southold? "~elationehip' includes by blood, marriage~ or bueinene interest. interest~ means e businene, Including a partnerehip, in which the ~own officer or employee haw even a partial ownership of (or employmen5 by) a corporation in which the town officer or employee owns more than 5% of the shareB. / NO ..~.. Ir you ansvered "YES,". complete the balance of ~;ht~ form end date and sign where indicated. Name of person employed by the Town of Southoid Title or position of that person Describe the relationship between yourself (the applicant) and the town officer or employee. Either check the appropriate line A) through D) and/or describe in the space provided. The town parent, s) __,C ) officer or employee or his or her Spouse~ elbling, or child ts (check all that apply), the owner of greater than 5% of the shares of the corporate stock of the applicant (when the applicant' is a corporation)~ the legal or bkneficial owner of any intsreat in a noncorporate'entity (when time applicant is not a corporatiun)~ an officer~ director, partner, or employee of the appltcant~ or the actual applicant. DESCRIPTION OF ~ELATIONSII~P § 58-1 NOTICE OF PUBLIC HEARING § 58-1 Chapter 58 NOTICE OF PUBLIC HEARING § 58-1. Providing notice of public hearings. [HISTORY: Adopted by the Tow~ Board of the Town of Southold 12-27-1995 as L.L. No. 25-1995. Amendments noted where applicable.] § 58-1. Providing notice of public hearings. Whenever the Cede calls for a public hearing, this section shall apply. Upon determining that an application is complete, the board or commission reviewing the same shall fix a time o. nd place for a public hearing thereon. The board or commission reviewing an application shall provide for the giving of notice: A. By causing a notice giving the time, date, place and nature of the hearing to be published in the official newspaper within the period prescribed by law. B. By requiring tile applicant to erect the siKn provided by the town, which shall be prominently displayed on the premises facing each public or private street which the property involved in the application abuts, giving notice of the application, the nature of the approval sought thereby and the time and place of the public hearing thereon. The sign shall be set back not more than ten (10) feet from the property line. The sign shall be displayed for a period of not less than seven (7) days immediately preceding the date of the public hearing. The applicant or his/her agent shall file an affidavit that s/he has complied with this provision. C. By requiring the applicant to send notice to the owners of record of every property which abuts and every property which is across from any public or private street § 58-1 SOUTHOLD CODE § 58-1 from the property included in the application. Such notice shall be made by certified mail, return receipt requested, posted at least seven (7) days prior to the date of the initial public hearing on the application end addressed to the owners et tile addresses listed for them on the local assessment roll. The applicant or agent shall file an affidavit that s/he has complied with this provision. }) 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) 765-18q2 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTttOLD LIV.FTER OF REQUEST FOR A WA !Vl~R DATE ADDRESS AGENT ADDRESS PROPERTY LOCATION T/~X MAP NO. PHONE I/We ~tOT~O~'~ '~¥.~lql~equestaWaiverto ~..~.C~_ O~ Signed By:~~~~'~ PROOF OF MKILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: HI)V T 000 STATE OF NEW YORK COUNS"fOF SUFFOLK ~-~?,~ t __.~ ~,: .... g au?.., swora, deposes and says t:lat on tae __ day cf ,~, deponent mailed a true cop~; of the Notice sat ~.~u~ i~i the Board of Trustees Application, directed, to each of t:~ ~bove n~ed persons at the ! ReO. Fee$ /.~,3,~ $ . /-~1~..-~,~ :s mailed au ~he United ~ ~li~ / / ~r~ , that sa&d Notices ~ C~e R-- /~,,~,~n.-~_ ~ (certified) (registered) PS FO~ 38~, Receipt for R~Jstered Mail (cu~omerCapy) Board Trustees Application County of Suffolk State of New York DEPOSES AND AFFIRMS THAT HE/SHEIS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMF/~TS 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 APPLICAtOr AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL D?uV~GES AND CLAIMS AR~S~ UNDER OR BY VIRTUE OF SAiD PERI~T{S)~ ~F GRANTED~ IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPF~TY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS ~~ DAY OF Public KIMBERLY A. CESTARO Notary Public, 8rata of New No. 01CE5053074 Qualified Jn Suffolk Courtly Commission Expires Dec.