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Home My WebLink AboutTR-5749Albert 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 YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line 1st day of construction % constructed Project complete, compliance inspection. J{ Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERi,,41T NO. "~.29~ ISSUED TO .......... 3..g.~.~. DI.~. .................................................... Pursuant fo the provisions of Chapter 615 of ~ne Laws of the State of New YorE, 1893: and Chapter 404 of the ,t~. ws of the State of New Yore 1952; and {he Sou~hold ToWn Ordinance ee- fif~d ."REGU~TING AND ~E P~CING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC ~DS a~ RE~OVAL OF SAND, G~VEL OR OTHER ~ATERIA~ ~OU ~NDS UNDER TOWN WA~RS;~. and in acc~dance ~fh the - ,., April 30, Resol~ion of The B~erd ~dop~ed ef ~ meefin9 ne~a on ............................ .20~...., and-in consideration of the sum of $ ..~.Q.,..0Q ... ~ld by of ......... ~.e.~....~!o~ N.Y. ,,d subiec{ {o the Terms end ~ndifions lided on {he reve~ side of S~dd Town TrusSes a~horizes and ~rml~ f~ fo~win~: eE in eeeorda~e with the defal~d sp~icat~ns as pre.hied in ~e originating application. IN WITNESS WHEREOF, The ~{d Boerd of Trustees ~re- by causes Hs Corporate Seal to be afl)xed, and these presents fo be subscribed by a majorHy of the satd Board as of this date. Trustees TERk4S ,and CONDITIONS John Dill restdi-g se 484 Jackson St., New Suffolk N. Y, as p~c' o~ ebe co~le~cioa fo~ t~e ismsn~ of the Permit does und~:_~ and ptesct~e to the roi- lowly: 2. Thatt~is~is'valldf~aperiodof : 24 mos. wblcb~scoasldegedtobedm estimated ,~-'requlred to c0mplece the wodt ~nvolved, but should dtxunmances wam~ request for an ~on may be made to the Bc~d at a late~ ~. That this Permit should be vetalned indefinitely, or as long as the said Pex~i~ee widses to r~=;,~tln the structure or project involved, to provide evidence to anyone concerned that sud~- revocation of this Permit by resolution of the said Board. 5. That there will be no um'eason~le interference with navig-_t~,~_ as · remit of the woek herein adthorized. 6. That the~e shall be no intederence with the right of the pubfic to ~ and tep~ along cbc beach betweea h;~ and low water 7. That if futm-e opemions of the Town of Southold veclu~ the removal and/oe aleefatioes in the location of the work herein mtthotlzed, or if, in the oplnioo of d~ Bo~rd o~ T~r'~'~ the. wink shall cau~ unmuomble obstruct~x to free navigation, the said Per~-ee will be tequ/mi, ~ due notice, to remove or alter d~s work o~ project herda stated without =zpeuses to the Toga S. That the said Board will be notified by the Permittee ot ~he completionl of the ,,o~k au&. o~zed. 9. That the Pexmittee will oct~s_ ;n ail other perm;t* atKI coosent; ~hat may bo vequlged ~ plemeatal to this permit which may be subject to revoke upon f,!;-,e to oixala ssme. Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hail 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 April 30, 2003 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. John Costello Costello Marine Contracting Corp. P.O. Box 2124 Greenport, NY 11944 JOHN DILL 484 JACKSON ST., NEW SUFFOLK SCTM#117-10-3.4. Dear Mr. Costello: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, April 30, 2003 regarding the above matter: WHEREAS, Costello Marine Contracting Corp. on behalf of JOHN DILL applied to the Southold Town Trustees for a permit under the provisions of Chapter 97 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated January 2, 2003, and, 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 April 30, 2003, 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 standards set forth in Chapter 97 of the Southold Town Code, 2 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 Tins.tees approve the application of JOItN DILL to remove and dispose 101' of existing timber jetties. Construct 98' total of 2 low-profile jetties with C-Loc vinyl sheathing in-place of existing, and as depicted on the survey prepared by John Me~ger dated March 21, 2003 and revisions by John Costello. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification~ Inspections are required at a fee of $5.00 per inspection. (See attached schedule.) Fees: $5.00 Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/lms 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 reviewed by this Board, at the regular meeting of ~/~)/0~ and the action taken: following was ( ~ Application Approved (see below) (__) Application Denied (see below) (__) Application Tabled (see below) 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 fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: TOTAL FEES DUE: SIGNED: BY: PRESIDENT, BOARD OF TRUSTEES OF TRUSTEES 4/98 : COSTELLO MARINE CONT. PHONE NO, : 516 477 0~5 Map, i8 2~3 05:21PM Pi COSTELLO MARINE CONTRACTING CORPORATION DOCK BUILDING * Jl=¥i lES o BULKHEADING · STEEL & WOOD PILING * FLOAT~ 423 FIFTH ~,TREET * P.O. BOX 212.4 - ~REENPORT, NEW YORK 11S44 *, (631) 477-1199/477-13e3/47?-0682 · FAX (631),4-77-0005 Mazch 15, 2003 Southold Town Trustees Southold, NY 11971 To whom it may concern: This is to inform you that we wish to cancel the hearings scheduled tonight for John Dill and Douglas Ely. Mr. Dill still has not received his new updated survey and Mr. Ely needs more information and pricing on the installation of the rocks. John A. Costello President JAC:~x LOCATION MAP 0 4-00' VI¢l kilT¥ MAP 0 ~ · ~ 4-000 PROPO~D: JET~IES, CO~T~UGTIN~ 14~~ TOTAL OP ~ NEW O~:TTir--5 W/C-LOC VInYl ~H~ATHINO I~-PLACE OF EXISTIN~, . 'JACK~ON .~T. 4'1 L PI~PO~ ~_. p I~E¢ON 5TI~UCTI ON C05TEI-.LO t'VlAI~.INE CONTIRACTINO C. OI~P. I~.O. ~OX '2124' OI~EEI'J Poffi-r; NY II!B'~,~. dE'T-r'f X- ~EC, TION dETTY 'TOP VIEW PP-.E Fa le. El~ I~¥, ¢O.STP-.LLO MAR, I N E COI~ITE.~CTI I~1~ COIl,P. APPLICANT, dOHN DILL o.,j~$~, I',.I. L^MI='Li~I-t~-~ L^. ME~UON, WI OC,'T: 1~-, ~'002 Field Inspection 1/20/03 Field Inspection 1/20/03 James G. Dill, Jr. 410 Jackson Street Post Office Box 92 New Suffolk, New York 11956 December 16, 2002 Board of Trustees, Town of Southold Main Road Southold, New York 11971 Reference: Application of John Dill to Reconstruct Existing Jetties SCTM # 1000-117-10~3,4 Dear Sirs, As an adjacent property owner, I am writing with regard to the above application which I am informed is currently under review and open to public comment. The materials submitted by the applicant and forwarded to me by registered mail indicate that access to the site will be by water, using a crane/barge. While I am sure this will be the case with regard to the required heavy equipment and material, similar projects along the New Suffolk waterfront undertaken by Costelto Marine Contracting have also required daily site access by numerous vehicles utilized by the workmen employed on the job. In that regard, I wish to point out that landward access to Mr. John Bill's lot is severely limited. His lot can only be accessed from Jackson Street via a twenty foot easement across a lot (# 117.-10-3.3) of which I am the principa~ owner. Although passable by foot, this easement is not presently cleared of trees or brush and is neither graded or paved in any way. It clearly cannot presently be used for vehicular access. I have great fears my adjacent driveway (which could conceivably afford vehicular access) will become hopelessly clogged with vehicles greatly inconveniencing me and my family and inevitably damaging both my driveway and the adjacent landscape. If the daily Costello work crew will be arriving and departing via land, I respectfully request that you make a condition of your permit that all work vehicles be required to park on Jackson Street and workman's access to the beach work site be by foot along the deeded easement. Thank you for your consideration in this matter. Respectfully y~ou~ Telephone (631) 765-1892 SOUT~OLD TOWN CONSEEVATION ADVISOHY COIFt~CIL H.,dl. 53095 Ma~ Road P.O. Box 11~9 Southold. New Y~tk 11971 At the meeting of the Southold Town ConseCration Advisory Council held Wednesday, January 15, 2003, the following recommendation was made: JOHN DILL to remove and dispose 273' o~ existing timber jetties. C(~nstruct 142' total of 3 new jetties with C-Loc vinyl sheathing in-place of existing. Located: 484 Jackson St., New Suffolk. SCTM#117-10-3.4 The CAC did not make an inspection, therefore no recommendation was made. John Dill Jackson Ave, New Suffolk, NY 11956 7-1802 L N ~.NY AL TERA TION OR ADDITION TO THIS SURVEY IS A VIOLATION SEC770N 7~09 OF THE NEFI YORK STATE EDUCATION LAW. E'~GffPT AS PER SECTION 7"Z09 - ~ E. ALL CERTIFICATION$ HE~EON ARE VALID FOR THIS MAP AND COPIES THET~OF ONLY IF' MAP OR CoJ~rlE$ SE. AR THE 4t~RE~D SEAL OF THE ,~.I~VEYOR ~ ~ TURE APPEARS HEt~ON. ,4D~TIONALL Y TO COMPLY FSTH SAI~ LAW TERM " ALTERED BY ° IVII.~T ~E ~ BY ANY ~ ALL SURVEYO~,S U~'II !XaV6 A COPY OF ANOTHER SURVEYOR~ MAP. T~M$ ~UCH ' ,~$PECTED ' AND · ~ROU6HT - TO ' DATE ° ARE NOT IN COJ,~..44NCE FILTH THE LAW. JONA THAN CAIDWEll Dill N/O/F JAMES G. DILL, J.R. '4// SURVEY SHOWING JETTIES A T NEW SUFFOLK TOWN" OF SOUTHOLD SUFFOLK'COUNTY, N Y. 1000 - 117 - 10 - 3.4 · I" = 30' MAR. 21, 2003 (651) 765 ?65- 1797 P. o. 8ox ~ IL~ZO TRA VELER~$TREET $OUTHOLD, N. Y. 11971 03- 123 YOUR L~WY~R ~'tE SIGHING THiS INS~U~ENT. THiS INSTR~ SHOU~ mm USED BY ~GS ~ /', , ,, ,, ' ' pa~y of the first par~, and JONATHAN CALDWELL DILL residing at 4500 South Four Mile Run, Arlington, Virginia l~rt~ of the second part, WITNE!IIiETH, that the pazl'y of the first part, in co~sideration of lawful mvney of the United'Sates, by the party of the second .pfLrt, does hereby gra~t and release unto thc l~rty.ei the second l~n, ~e hei~ o~ successors and assigns of the party of' the second part forever, ALL that c'er~in plot:, piece or parcel of hnd. with the buildings and improvem~ thereon e~-d, situate, ~?~.., ,. lyingandbei~ix:tt~ at New Suffolk, Town. of Southold, Suffolk County, New.:~) · .. bounded and described as follows: ...:. ... BEGINNING at the northwest c~'~ the premises, to be described on' t .s:. boundary line be=ween land of the party of th~ first part on the ea~:~ .',.'.. and land now or formerly of Cornelius Hearn on the west, which ' 'L"f beginning is distant 320.00 feet from the southerly side of Jacksor~? Street as measured on a course running South ~6: ~6' 50i' west fr~m' ",'.','.t .~ Jackson Street and along the boundary line between land of the part~'i'¢ , the first part on the east and land conveyed to ~ornelius Hearn by .~ .'i" from George W."McKnight dated December 4, !9~, and recorded i~ the office of 'the County Clerk of Suffolk County/December 12~ 1922 in 1057 of deeds at page 495; rL'~niDg thenceSO~ '~L:~ ? feet tq land 6onveyed. to James G Dill by deed f~om the party of" th6~ ~Part~a~.:August,~ , t1974, and recorded ~..n. ~he off~ce of the, ~~ ~ at ~aoe 495::' r~nnino th~ ~h 'g'~:; ' ~ZNG a portion of' lands formerly o~ed .6y one, George W.' Mc~ight. as'''. acquired bv him by deed from Henry Nepal- and Lillian Ne~an.,-.~ted August 18,-1915,:..and recorded in th'e office of the cZerk of. Suffulk Co~ty August 21,. 1.915 in Liber 912 of d~eds..:page 53; said ,Geor.g~:..WJ'~t McKnight having dSed. March 20, 1951 [leavzng 'a Will ·which was...duly:,~a~:" mi~ted ~o ~r~a~..b~ th~ s~'ro~ate's, Court of..'Es~ex CQ0~t~ .New'j~ ~111. was. recor~q In the office of the ~S~r'r0g~rS'.:Coum~ of, Suff~.~k./~:%~ county, New YOrK 'pursuant to an-order of the'Surrogate New York made. the 4th day of' April 1952; and unde= ~e said will the resid~ry estate of said George, W~ '"McKnight -~ real property h~eby c~nveyed was ~evised' ~ -~. McKnight Dill, =ne party of.the first'part,, an~ hi's Son,;~o~;Cj~>.i "h. ! M~nl~h~,ln.e~ual sh~es; the said George' C.'..'.~zgh~.~v~n~.,.~5'~.~. ..~/~BJECT tO b~ilOig and zoning ordinances regulations affecting th premises imposed by any municipality o~ governmental authority. TOGETHER with all riparian rights and other right, title and interest of the party of the first part in and to the shore of Great Peconic Bay adjacent to and adjoining t~e premises hereby,conveyed on th~ T~GETHER also with all right, title and interest.~of t~e par~y~Of f~rst part in and to certain Letters Patent and the lands under · Grea% Peconi¢ Bay~conveyed thereby adjacent to the premises he'reby~ veyed~on %he?south, which Letters Patent lssued to the aforementior~d George W~ McK~ight~ deceased, by the State of NeW-York, dated Jul~.~' 1933 and recorded in the Book of Patents of the.Department of Sta.%e of the State of~New York as No. 67 at page 289. TOGETHER also witk an easement and right of ~ay ~or a private drive-wa7 for the purpose Of! ingress and egress to and from the premises here~y oonveyed from a~d to Jackson Street over a strip of land twenty (20} ~ in w~dth along the westerly side of lands of tke party of the first pa which strip is~ bounded and described as foll0ws~ on the north by the southerly side of Jackson Street; on the west~b~ the boundary between land of the party of the first part on the east and land now formerly of Corhelius Hearn on the west, which boundary line extend~~ 320 feet southerly from Jackson Street~ to the northwest corner of'tHe premises conveyed by this deed measured on a course running South 16' 50" wes~ from Jackson Street along saidboun~ary line; on'the so~ by the ~northerly"b~undary llne of the premises hereby conveyed; o~ east by a line paraIlel to the we'sterly line of this strip and twen~ (20) feet dista~t.~easterty therefrom measured on a'line pe~pe~dic~ thereto. The party of the second part is a!~'~rant~d the' privil'eg~?~ to lay, erect',~ maintain and repair telephone, electric or utiIfty ~l~-~e over, under, or above Said strip ~ land, if. same are nece'ssary~ vided, howeve~ said right of way shall not ;.be ObstrUcted fOr ord~h~rY ingress and ~gress for driveway purposes, and anydamage or inj'ury the driveway arising from such use shall be :repaired or restored'by'~ party of the second part. The party of the first Part shall con~in~e' to have all ~ight and privilege to fully use Said strip of land thereof for all purposes subject only to'the rights granted'by me~t. This grant and ease_m~.nt shall be a contin~in? covenant r~nn~ng~' wi~ the land b~nding the ~irs, successo'rs ~andaSslgns of the parti~.s provided however the same and all rights and.privileges thereunder'~maF be terminated and extinguished at anY time 'by the owners at the ~ime' of the lands conveyed by this deed and the owr~rs of the adjoinfng-~an on the north as is now owned by the party off'he second part. The premises conveyed by this deed are subject to and there is reser~'e to the party~0f the first part an easement and right of way over of land ten.(10) feet in width measured on a~;line perpendicu~'ar to a~d distant ten (10) feet easterly from the westerly' boundary of the premises hereby conveyed, and extending from. the land of the party of the first part on the north to Great Peconic Bay on the SOuth; said i easement an~ right of way is For the benefit and'use of the party of Ithe first part and any future owner or owners of the lands of the part of the first part adjoining the premises hereby conveyed on the north, ! and to be used for access to and from said lands of t~ party of the i II first part and Great Peconic Bay, such use being limited, heweve=;' to I ordinary purposes r~lated to private and residential use-cf the I Said easement and right of way shall not be-'~bstructed, .and. continuing covenant running with the land binding the parties, t~r~ heirs, successors and assigns, provided however, that the same may be terminated and extinguished at any time by the owners at the time~ of the land conveyed by thus deed and the owners of the ajoining on the north as no~$ owned by the party of the first part.. Albert J. Krupskl, President James I~ng, Vice-President Henry Smith Attic 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 Office Use Only .~._oastal Erosion Permit Application t Wetland Permit Application Major Waiver/Amend me,n~_Ch~m~s · Received Application: Received Fee:$ Completed Application Incomplete SEQRA Classification: Type I Type II Unlisted__ Coordination:(date sent~ CAC Referral Sent: { Date of Inspection: Receipt of CAC Report: Lead Agency Determination:__ Technical Review: Public Hearing Held: Resolution: Minor Name of Applicant Address q(~3~ Suffolk County T~ Map Number: 1000- I] ~ ' 10- 3.+ mropegyLocation: ~g+ Oac~n 8~.~, N~ %~1~ (If applicable) (provide LILCO Pole #, distm~ce to cross streets, and lo.cation) Address: '~.D. ~/~X ~[ ~'~ ~f~v~-~)b(-[' ! Phone: Board of Trustees Application GENERAL DATA Land Area (in square feet): Area Zoning: Previous use of property:/~'.~lt~l 6L1 Intended use of property: ~q)(BfAC Prior permits/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? 2q No__ Yes If yes, provide explanation: Project Description (use attachments if necessary): Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICA'lION DATA Purpose of the proposed operations:'"'~O Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance between 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? rX No Yes much material will be excavated?~cubic If yes, how yards How much material will be filled? I~//~ cubic yards Depth of which material will be removed or deposited: I~I tX' feet Proposed slope throughout the area of operations: Mannbr in which material will be removed or deposited: 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 app. ropriate): Board of Trustees Application County of Suffolk State of New York DEPOSES AND AFFIRMS TttAT HE/SIqE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MA~NNER SET FORTH IN TI-IlS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOED 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. 1N 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. SWORN TO BEFORE ME THIS C3~__~ DAY OF Notary Public REBECCA A. VILARDI NOTARY PUBLIC, STATE OF NEW YORK QU/IJ.II:IED IN SUFFOLK COUNTY NO: 01W06039106 ~.,~,0. ,-~P,R~-S MARCH NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUTHOLD In the matter of applicant: YOU ARE HEREBY GIVEN NOTICE: 1. That it is the .intention of the undersigned to request a Permit fromm 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 N E.' MAIL'INS ADDRESS: clc%51.x, !'4. Lc~.r',',~\.~,.~'~t.,"- Lo,. PHONE #: Enc.: Copy of sketch or plan showing proposal for your convenience. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS 2766 7000 1670 0003 7006 2674 Sworn .~o before me thi~ day of~_~ , ~_~t~t~ Notary Public STATE OF NEW YORK COUNTY OF SUFFOLK ~ CO~/~I~ ~[~l , residing at ~0 ~k~ ~ , being duly sworn, deposes and says that on the [~ day of ~DF_~F ~o~__~, 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 ~9z~4- ~.-~?~-~ , that said Notices were mailed to each of said persons by (certified) (registered) mail. REBL~,CCA A. VILARDI NOTARY PUBLIC, STATE OF NEW YORK QUN. IF1ED IN SUFFOLK COUNTY NO: 01W06039106 COMMISSION EXPIRES MARCH 27, Albert J. Krupski, President James K~ng, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application ~NTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, J~ C~.I[~) ~], residing at ~/~ being duly sworn, depose and say: That on the I~ day of J,~,~,.. , 20~, I personally posted the property known as by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place :for eight days prior to the date o~he publi~ ~earing. Date of hearing noted thereon to be held ~ . Dated: Sworn to bef~ore me this ~ ~./ {/,~, day of~200~ .- / )///~t~ ~4'%~'L~ Veronica F. Oidone o Notary Public, State of New York Qualified in Suffolk County Commission Expires Dec.31, ~ O~ Posting John Dill I 1303 COSTELLO IVI'ARINE CONTRACTING CORPORATION DOCK BUlL ell ~IC] * jrrYiE~ · BULKHEAC)IN(~ · $TEB;I, & WOOD PILII~I * FLOKI'~ 423 FIF?~ ~['PIEET , PO elOX21 Z4 · ~RleEHPORT, NEW YOR~ 11~M, located ~t.~ z--s.a'v'x ,~ IW. LCc'T" ~ .tU a'~,~ do h~r~by give Cos~elio lV'mrim Co~tr~ing Coq~, ~hr eutbmtvj ~o ~t ~ e~: ~ my b~h,lfm applying ~br all of the rmeo~ury I~nnits for work to l~ COmpleted ~t my ~/lx~ve rcfcrers~d t~x~i'~, JOINT APPLICATIOI FOR PERMIT 2. Name of A Ilcant (Use full name) NYS Dept of Environmental Con..rvaUon [] Cams aaa Impoundmnt Structures 3. Taxpayer ID (If applicant is not an individual) (Cons[ruct, Reconstruct or Repair) ] Fresnwatar Wetlands [] ~ctal Wetlands [] Coastal Erosion ConL'~ [] Wdd Scemc and Recreational Rivers [] 401 Water Quality Ce~catlon [] Pota01e Wate¢ Supply [] Long Island Wells [] Aq uaIJc Vegetabon Contrct [] Aquatic insect ControJ ]* F~$h ConL'ol NY$ Office of General Services (Stale Owned Lands Under Water) [] Lease. License, Easecnent or ot~er Real Property Interest [] Ubli[7 Easemenl (pipelines, co~duits, Cables, etc) [] WiJd, Scenic and Recreational Rivers [] Doc, xs (Construct or Place) [] Moonngs(Establish) , [] Secbon 404 (Waters oft~e United Stales) [] NalJonwide Permit ($) taen~ty Number(s) Unite~t States Army Corps of Engineers State I Zip Code ~ A~pllcant I1 i/an; (cffi~k al ~any a ~) Count: [JS ARMY CORPS OF ENGINEERS 10. Pro led Use: 11.W111 Project Occupy Ilz. Proposed st~ /13, £sUmated Completion Begun on PmJ~ {l~yes..~ 0 ~[ IS. Ust P.viou. P.~, I Appll~flo. Nu~b*. and Dates: (If Any) ~-1r~4 0 ~/'~'O.--q SEQR IPROJECT ~D NUMBER . SHORT ENVIRONMENTAL ASSESSMENT FO~ "for UNU~D A~IONS Only PART ~PROJE~ INFORMATION ~o ~'~mpleted by ~pJIMnt or Proj~ S~or) $. IS PROPOSED ACTION: I. W_ tl,J. PROPOEE~ AG'TION COMPLY WITH EXISTING ZONING OR OTHER I~O I. AND USE RESTRICTIONS? ~WH~.T iS PRESENT I. AND USE IN VICINITY OF PROJEC/'? ' · /,~1, Residential t=l lnctu~r~l r~ ConlmercJaJ D' Agrk~llur~ I'1 pitk/F*O~I~p4~ Spa~e. ,-i Ot~er DOES ~Y ~ ~ ~E ~ ~ A CUR~Y V~ ~RMff ~ ~PROV~? 12. AS A RESU[r~ O~F PROPOSED ACTION WIII EXISTING PERMFr/APPROVAJ. REQUIRE MODIFICATION? I C,~ RTJFY THAT THE INFORM.ATION PROVIDED ABOVE. I$ TRI.J~ TO THE BEST OF M.Y KNOWLEDGE D.,. If the action is In the Coastal Area, and you are a state agency, ' I complete the Coas~l Assessment Form before proceeding with this assessment~ I OVER PART IF-ENVIRONMENTAL ASSESSMENT ('To ~ completed by Agency} A. DOES ACTION ~XOEED A~Y TYPE I THRF..~HOLD IN E H¥C~ PART 617.47 D Ye. D No ,v~.coo~l~teute~aewp~.4~e~ut~e~eFULLE~U~. ....... B. Wl~ AGTiON R~GE/VE ~RDI~D R~ ~ PR~ P~ UN~D ~S IN ~ NYGM~ P~ · - ' Ezplain C5 Orow~, lubl~auent developm'ent, cr mtate~l ~'UviUel likely lo ~ ~u~ by ~ ~po~eel ~-'tio~? Ezplai(1 bdefly: C7. Other impaC~ (inch~iirlg ~hange6 in U&e Of ~r (IuantJty ar ~ 0~ W~fgy)? ~ I~ielly:, O. WILL THE PROJECT HAVE AN IMPACT ON THE ENV1RONMEHTAL CHARACTERISTICS THAT ~M~EO THE ESTABUSHUENT OF A CEA? 0 Yes C) NO E. IS THERE, OR IS THERE LJKELY TO BE, COm~OVERSY RELATEO TO ~OTEmqN. AO~aSe ENV1RONM Et~rI'AL IMPACTS? D Yei 0 No I1 yel, explain bdefly PART II--DETERMINATION OF SIGNIFICANCE (To I:~ completed by Agency) [~ Check this box if you have identified one or more potentially large and $1gnlfJcanl adverse impacts which may occur, Then proceec~ directly lo the FULL FAF and/or prepai'e a po.,Itive ~:~claration. [] Check this box it'you h~ave determined, based on the InformaUon and analysis above and any Supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide on ar~acnmems as necessary, the reasons Supporting thie determination: