HomeMy WebLinkAboutTR-5556Albert J. Krupski, President
James King, Vice-President
Artie Foster
Ken Poliwoda
Peggy A. Dickerson
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-1366
May 28, 2002
Mr. & Mrs. James Brush
8581 New Suffolk Avenue
Cutchogue, NY 11935
RE: SCTM#116-OI-I.2
Dear Mr. & Mrs. Brush:
The following action as taken by the Board of Town Trustees during a Regular Meeting, held on
May 22, 2002, regarding the above matter.
WHEREAS, James & Nancy Brush applied to the Southold Town Trustees for a permit under
the provisions of the Wetland Ordinance of the Town of Southold, application dated Ap.ri.'l 2,
2002
WHEREAS, said application was referred to the Southold Town Conservation Advisory Council
for their findings and recommendations, and
WHEREAS, a Public Heating was held by the Town Trustees with respect to said application on
May 22, 2002 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 approved the application of James & Nancy Brush for
a Wetland Permit for an In-ground Swimming Pool.
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.
Fee 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 when project is started and on
completion of said project.
FEES: NONE
Very truly yours,
Albert J. Krupski, Jr.
President, Board of Trustees
AJK/cjc
cc DEC
Building Department
Board Of $outhold Town Trustees
SOUTHOLD. NEW YORK
PERMIT NO. ,~',~ ~, DATE: ... B.~.y. .22.,....2002
ISSUED TO .................. ~.~E~....~'.....~ .A.,~.C,.Y..,.,~ ~ ~ ~ ~ ..............................................
Pursuant to the provisions of Chapter 615 of the Laws of
the State of New YorE, 1893: and Chapter 404 of rite Laws of the
· State of New York 1952; and the Southold Tovm 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 ,..,~_~Y....,~,: ....
~0~.~....L, and in consideration of the sum of $....,~00.,.00 ...... paid by
. ~T~m e $,..&....~n¢~...~ ~s~_ ......................................................................... : ........... ,, .........
of .................... .C...u,.~o.~.~.~ ................................ N. Y. and subject fo the
Terms and Conditions listed on the reverse side hereof,
of Southoid Town Trustees authorizes and permits the fol~wincj:
Wetland Permit for an inground swimming pool.
alt in accordance with the detai~ed specJfications as presented in
the orJglnatlng application.
IN WITNESS WHEREOF, The said Board of Trustees here-
by causes ifs Corporate Seal to be aff'~ced, and these presents to
I~ subscribed by a'majorlty of the sdd Board as of this date.
Trm~ees
TER~S and C. ONDmONS
The Pemaim~ James & Nancy Brush
~ ~ 8~gl New .~-{~lk Avenuc, Cutcho~ue, N. Y,
lmX· of the co,~lexatio~ to~ the ts~uanc~ o~ the l~ml¢ ~s um~stam/stol ~ to the
I. That the said Board ~ Tm.~__~__ and ~he To~n ~ Southold a~e released item any and
with t~ct thete~ to ~ cognp~_?_'exchslon of dsc B omi of Tt,,~~-- ~dse Tosmof ~
That this Peanit should be zztained imie/'mitety, or as long as the ~zi ~ w;sh~
· ~;~ain the suucuaz ot project involved, to provide evidence m m~yo~e ~ d,~- *,afl~
odzation was otiglnally obtained.
That ~e wo~ im~olved ~ I~ ~ject to the is~etlon and
~,~nu, ~d no~-o~mpt;,~e with. the provisions
That there will be no um-easoixable interference with navigation as · result of the wi~k
het~n .;a,odzed.
upon due amice, to remove or alte~ des wo& ot p~ojec~ herein mind without expease~ to ~he Town
s. x~at the said hoard ~ be tsxifled by the p~m;rtee ot d~e co~l~id the ~ aud~
otlzed.
pleme~tal m this permit wl~ch may be sub~'t to ~evo~ upon
n
Telephoue
(631) 765-1892
Tomm HaLl. 5.~95 ~ Road
P.O. Box. 11"/9
Southold, N~w Yu~k 11971
SOUTHOLD TOWN
CONSERVATION ADVISORY COUNCIL
At the meeting of the Southold Town Conservation Advisory Council held Monday, May
20, 2002, the following recommendation was made:
Moved by Bret Hedges, seconded by Bi{{ McDermott, it was
RESOLVED to recommend to the Southold Town Board of Trustees Ai~PROYAL Of the
Wetland Permit Application of JAMES F. & NANCY J. BRUSH to insteTt afl i~-grou~d
swimming pool .
Located: 8581 New Suffolk Ave., Cutchogue. SCTM#116-1-1.2
Vote of Council: Ayes: All
Motion Carried
Albert J. Krupski, President
James Kink, Vice-President
Henry Smith
Attic Fester
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
Office Use Only
Coastal Erosion Permit Applicafiojv
Wetland Permit Application 1/ Major
Waiver/Amendmen. t/,~hapges
Received Application:
---Received Fee:$~q~'/-~
'Completed Application
Incomplete
__SEQRA Classification:
Type I Type II Unlisted
Coordination:(date senti/
CAC Referral Sent: t/]
Date of Inspection:~/,~'/0
Receipt of CAC Report:
__~ad Agency Determination:
Technical Review: /
Public Hearing Held:
Resolution:
Minor
Name of Applicant
Address ~q~J ~1
Phone Number:( )
Suffolk County Tax Map Number: 1000 -
(provide LILCO Pole #, distance to cross streets, and location)
AGENT:
(If applicable)
Address:_
Phone:
Board of Trustees Application
GENERAL DATA
Land Area (in square feet):
Area Zoning:
Previous use of property:
~tended use ofprope~y:
Prior permit~approvals for site improvements:
Agency Date
~ No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a governmental agency?
X 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: ~co~,~ m/'~f]
Area of wetlands on lot: &~l I ~ ~' square feet
Percent coverage of lot: oXY' %
Closest distance between nearest existing structure and upland
edge of wetlands: ~ ~ feet
Closest distance between nearest proposed structure and upland
edge of wetlands: q 5 feet
Does the project involve excavation or filling?
No ~x. Yes
If yes, how much material will be excavated? ]~tQ cubic yards
How much material will be filled? ] ~?0 cubic yards
Depth of which material will be removed or deposited: g
Proposed slope throughout the area ofoperations: ,-~ t:~_'F
feet
Manner in which material will be removed or deposited: '+~ ~ E 1¥~ 19,-~
Statement of the effem, if any, on the wetlands and tidal waters of the to~ that may result by
reason of such proposed operations (use a~achments if appropriate):
Board of Trustees Application
County of Suffolk
State of New York
BEING DULY SWORN
DEPOSES AND 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 HISfI-IER 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 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 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
SWORN TO BEFORE ME TH/S
DAY OF ,20 _
Notary Public
All t J. Krupski, President
J es King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
BOARD OFTOWNTRUSTEES
TOWN OFSOUTHOLD
Town Hall
.53095 Route 25
P.O. Box 1179
Southold, New York 11971-09~
Telephone (631) 765-1892
BOARD OF TRUSTEES: TOWN OF SOUTHOLD
In the Matter of the Application
....
AFFIDAVIT OF POSTING
I t~/ ,~8~'~' / , residing at S~/ ~/~-~-J~//l~ ~
being ~uly sworn, depose and say:
That on the ~day of~Y , 20~, I personally posted the
property known as ~f.~ fd~
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 ~_ .)~...
~u~,l~ic_hearin~Da~e of he~ri~g noted thereon to be held
Dated:
Swor~ to before me this
.) /q""-day of mF 200~
Notary Public
I of Trust. s
AUT~ORI ZAT/ON
(where the applicant is not the owner)
(print owner of property)
residing at
(mailing address)
do hereby authorize
(Agent)
to apply for per.it(s) from the
Southold Board of Town Trustees on my behalf.
(Owner's signature)
8
~- Yes L~ so
PART III--DETERMINATION OF SIGNIFICANCE (to be completed by Agency)
~aoh eife¢~ ~noulcl De ~sses~ecf in connection Wilh its (Si setting (i,.~. urDen er rursl); (b) probaDility of occ~"'J.ngi (¢) duration
Checx this box /f you have identified one or more ~otenliall¥ large or significant adverse imo~czs which
occur. Then 3roceed dJrecdy to ;~e FULL EAF ~ndlor preoare a posi[/ve declare[ich.
Checx :his box ~f you ~ve determined, b~sed on the information &nd 8nalysis &hove ~nd
document,[ion. :~st ;he proposed ~cdon WILL ~OT result in~¢y significant ~dverse environmenf~l
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
Name:
Address:
STATE OF NEW YORK
COUNTY OF SUFFOLK
U.S. Postal Service
CERTIFIED MAIL RECEIPT
(Domestic M~l Only: No tnsurot~co Coverage Provided
m
Postage
(),34
$
2.10
UNIT
,residingatOO--(o°/ /~ ~'~/~/~ ~'£.
, being duly sworn, deposes and says that on the
· ' ',ponent mailed a tree copy of the Notice ·
. directed to each of the above named
Jective names; that the addresses set
persons as shown on the current
~ were mailed at the United States Post
;~ t Notices were mailed to each of said persons by
Certified Fee
~ .5t~' Postmatiq
Return Receipt Fee . Here
LYNDA M. BOHN
NOTARY PUBLIC; State of New
No. 01B0602093~
Qualified in Suffolk Count,z
Term Expires March 8, 20 J~
NOTICE TO ADJACENT PROPERTY OWNER
BOARD OF TRUSTEES, TOWN OF SOUTHOLD
In the matter of applicant:
scT #1ooo-//b -/-/,
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
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: /~O~,Oo~&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 N/h'VlE:
~ILING ADDRESS:
PHONE ~: ~B~ ~3~
Enc.: Copy of
convenience.
sketch or plan showing proposal for your
617.21
Appendix C
State Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
PART I--PROJECT iNFORMATiON (To be completed by Applicant or Project sponsor)
1. APPLiCANT/SPONSOR i 2. PROJECT NAME
3. PROJECT LOCATION:
SEQ
5, IS PROPOSED ACTION-'
[] New [] Exl~ansion [] Modificatlonlalteratlon
6. OESCRIBE PROJECT BRIEFLY:
7, AMOUNT OF LANO AFFECTED:
8. WILL PROBOSED ACTION COMPLY WITH ~X~ST1NG ZONING OR OTHER ~ISTING ~ND USE RESTRICTIONS?
~ Yes ~o If NO, describe 0r~ef[y
9, WHAT IS PRESENT ~NO USE IN VIC~NITY OF PROJECT?
~Res~dendal ~*~ndustriat ~ Commercial
Describe:
LiAgricuiture :--JPar~/ForesUOoen space ~Ot~er
10. GOES ACTION INVOLVE A PERMIT APPROVAL OR FUNDING, NOW OR ULTIMATELY PROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL,
STATE OR LOC. AL)?
~Yes I']No If yes, fist agency(s) and permitlapproval$
11.
DOES ANY ASPECT OF THE ACTIOf,I HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
[] Yes [~No if yes, list agency name and permit/approval
12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION?
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO TNB 3EST OF MY KNOWLEDGE
Ab¢icantl$13on$or name;
Signature:
If the action is in the Coastal Area, and you are a state agency, complete the
Coastal Assessment Form before proceeding with this as~s, essment
OVER
!
Print-or Type:
IOffi. ce use only1
File #:
Permit #:
TOWN OF SOUTHOLD
HIGHWAY DEPARTMENT
PECONIC LANE
PECONIC, NEW YORK 11958
PERMIT & BOND APPLICATION
FOR ACCESS THROUGH TOWN OWNED PROPERTY
1)
2)
3)
4)
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)
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
BJ
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
Bond Amount
Required:
Highways:
(Signature)
Print or Type:
ACCESS CONSENT FORM
FOR ACCESS
THROUGH PRIVATE PROPERTY
Office use Only
File #:
Permit #:
1)
(Name of Applicant)
(Address)
2)
(Name & Address of Contractor Involved)
3)
(Project Location)
: 1000- -
(S.C.T.M. #)
4)
(Name of Road or Private Property Involved)
(Hamlet)
5)
(Name & Address of Homeowners Association / Property Owner)
6)
(Brief Job Description)
7) Starting Date:
Completion Date:
8)
9)
Estimated Cost of Proposed Work:
Insurance Coverage:
A. The coverage required to be extended to the Property Owner:
Bodily ~njury & 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) 765-1623
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
APPliCANT
TRANSACTIONAL DISCLOSURE
The Town o~ S~ukhold's Code of Ethics prohibits conflicts 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 of interest and allow
it to take whatever action is necessary to avoid same.
YOUR NANRt
(Last name, ~irst name, middle ~n{t~al, unless
you are applying in the name of someone else or
uther entity, such ps a company. I~ so, indicate
the other person's or company's name.)
NATURE OF APP~ICATIONt (Check all that apply.)
Tax grievance
Variance Y~
Change of zone .
A~p~al of plat ·
Exe~ption from plat or official map
other
(If "Other," name the activity,) ........
Do yOU pereonell~ (or through your ~o~pauyt spouse, eibl{n~,
parent, or child) have a relationship with any o£gicer or
employee or the Town of Southold? 'Relationship' includes
by blood, marriage, or business interest. 'Business
interest" means n business, including a partn~rehip~ in
which ~he town officer or employee has even a partial
ownership of (or employment by) a corporation in which
the town officer or employee owns more than 5% of the
shares.
YES NO ~)~
Ir you answered ~YES,#. complete the balanc~'o~ ~h{~ ~orm and
date and sign where indicated.
Name of person employed by the ToWn of 9outhold
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,
A)
~)
C)
D)
officer or employee Or hie or her Spouse, sibling,
or child is (check all that apply)~
the owner of greater than 5% of the shares of the
corporate stock of the applicfint (when the applicant'
is a corporation)~
the legal or b&neficial owner o~ any interest in a
nonoorporate'entity (when the applicant ia not a
corporation)t
an o~ficer~ director, pact,er, or employee, o£ the
applicantt or
the a~tual applicant.
DESCRIPTION OF EELATIONSIIIP
submitted
Sig'nat~re
'Print name~
§ 58-1 NOTICE OF PUBLIC HEARING § 58-1
Chapter §8
NOTICE OF PUBLIC HEARIING
§ 58-1. Providing notice of pnhlic hearings.
[HISTORY.' Adopted by the Town Board of the Town of
Southold 12-27-1995 as L.L. No. 25-1995. &mencknents
noted where applicable.]
§ 58-1. Providing notice of public hearings,
Whenever the Code calls for a public hearing, this section
shall apply. Upon determining thai an application is complete,
· the board or commission reviewing the same shall fix a time
and place for a public hearing thereon. The hoard or commission
reviewing an application shall provide ?or 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 the applicant to erect the sign 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 piece of the public hearing
thereon. The sign shall be set back nat 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 p~'eceding 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-I
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 s. pplioatio~ and
addressed to the owners at the addresses listed for them
on the local assessment roll. The applicant or agent shall
file an affidavit that a/he has complied with this
provision.