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Home My WebLink AboutTR-4745Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. ISSUED TO ...~0ger...~Jk~ ....... DATE: .J~ne 4, 1997 Pursuant to the provis$ons of Chapter 615 of the Laws of the State of New York, 1893; and C~apter ~ of the Laws of the State of New York 1952; and the Southold Town Ordinance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, ~=RAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance wffh the Resolution of The Board adopted at a meeting held on .May 28 ...... 19 9.?, and in consideration of the sum of $ 150.00 paid by .... RQg.er. Siejk~ ............................................. of ............................................... N. Y. and sub. ject to the Terms and Conditions listed on the reverse mdc hereof, of Southold Town Trustees authorizes and permits the following: to construct a single family dwelling, deck garage, septic as per plans dated April 2, 1997 with a $0~ non-disturbance buffer. all in accordance with the detailed specifications as presented in the originating application. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal to be affixed, end these presents to be subscribed by · majority of the said Board as of this dat~. Albert J. Krupsid, President $ohn Holzapfel, Vice President Jim King Martin H. Gan-ell Peter Wenczel Town Hail 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 SOUT~OL~ R..ger $ie3ka 26 Phillips Lane Aquebogue, ~f 11931 Re: SCTM 9115-17-17.8 Dear Mr. Siejka: The following action was taken by the Board of Tow~ TTus~ees during its regular meeting held on Wednesday, May 28, 1997 regarding the above matter: WHEREAS, ROGER SIEJKA applied to the So~thold To~n Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated April 28. 1997, and. WHEREAS, said application was referred to the SouthotdTown Conservation Advisory Council for their findings recommendations, and Wa~EAS, a Public Hearing was heldbythe Town Trustees with respect to said application on May 28, 1997, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board m~abers have personally viewed and are familiar with the premises in question ancl the surrounding area. and. WHEREAS, the Board has considered all the testimonl~ and documentation sul~nitted concerning thi~ application, and, WHEREAS, the structure complies with the standar~ set forth in Chapter 37-18 of the Southold Town Code. W~h%hgEAS, 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 'i'~F~REFORE BE IT, RESOLVED. that the Board of Trustees grant a Wetland Permit to construct a single family dwelling, deck garage, septic ~2~-tem as per plans dated April 2, 1997 with a 50' non-disturbance buffer, and, BE IT FURTHER RESOLVED that this determination shoul~ not be considered a determination made for any other Department or Agency which may also have a~ application pending for the same or similar project. Permit to construct project will expire two years from the date it is signed. Fees must be p~u~, if applicable, ~-~ permit issued within six months of th~ date of this notification. Two inspections are requSred ancl the Trustees are to be notified upon completion of sai~ project. FEES: None. Albert J. Krupski, Jr. President, Board of Trustees aJK/jmd Telephone (516) 765-1801 Town Hall. 53095 Main Road P.O. Box 1179 $ou~hold. New York 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL The following recommendation was adopted at a meeting of the Southold Town Conservation Advisory Council held Monday, May 19, 1997: No. 10,54 ROGER K. SIEJKA 115-17-17.8 to construct a single family dwelling, deck, garage, septic system as per plans dated April 2, 1997. Located Willis Creek Drive, (Harbor Farms), Mattituck Moved by Robert Keith, seconded by Mary Griffin, it was RESOLVED to recommend to the Southold Town Board of Trustees A~ROVAL of the application provided the applicant maintain a 75' non-disturbance buffer. Vote of Council: Ayes: All Motion Carried Albert J. Kmpski, Pmsidem John Holzapfel, Vice President Jim King Martin H. Gan-ell Peter Wenczel Town Hail 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Applicatic b~W~tland Permit Application Grandfather Permit Application Waiver/Amendment/Changes w'~Received Application: t~Received Fee:$ /~ ~-eompleted 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: rOWN OF SOUTHOLD_i Address ~[P ph,t/,'ps Phone Number: (~) 7~- ~--~/~ Suffolk County Tax Map Nu/Toer: 1000 I(,_~"~ I"] - I~ ~ Property Location: ~!'[~ ~'~ ~ (/g~.-/~ (provide LILCO Pole ~, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: FAX#: Board of Trustees Application GENE/~AL DATA Land Area (in square feet): ~/~O Area Zoning: ~ Previous use of property: Intended use of property: 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? Yes If yes, provide explanation: Project Description (use attachments if necessary): Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Area of wetlands on lot: O .square feet Percent coverage of lot: Closest distance between ~arest existing structure and upland edge of wetlands: ~0~J'~ feet Closest distance betw.~n nearest proposed structure and upland edge of wetlands:%D-D feet Does the project involve excavation or filling? j' No Yes If yes, how much material will be excavated? How much material will be filled? Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: cubic yards cubic yards 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): · ~ART J--PROJECT INFORMATION (To $17.27 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only SEC DOES ACTION INVOLVE .~ ~ERMIT APPROVAL. OF[ FUNO[NG, NOW OR ULTIMATELY .--RO~I ANY QTHE~ G~VE~NMENTAL AGENCY STATE O~ LO~L)? · ~ Yes ~o [f yes. :ist agency(si and oermi/laoorovalS 11. DOES ANY AS~E[S~E~)~ OF THE ACTION HAVE A CURRENTLY VAUD PE,qMIT OR APPROVAL? A RESULT OF ~ POSED ACTION 'NIL'- -~;<ISTING ,=¢_RMITIAPPROVAL RE.2UIRE MOOIFtCATION? If the action is in the Coastal Area. and you are a state ac_ency, comple[e the Coastal Assessment Form before proceeding wit~ this a.s._.s, essment OVER l (/oueDv ~q pe~elnLUO~ eq O.L) 3:DN~Di-~INDIS ~O NOI£VNIP~.J.~O~Ill £~d OousO¥ /~o pa~alCLU¢O aq O~ IN3W_~D~D~E~..LNBI,'~NO~IANN--II Board of Trustees Application County of Suffolk State of New York DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR Tn ABOVE DESCRIBED PERMIT(S) AND THAT ALL STAT~/~ENTS CONTAINED HE~EIN ARE TRUE TO THE BEST OF HIS/HEi~ KNOWLEDGE AND BELIE~, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUST~S. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTBOLD AND T~ TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND AT.T. DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AbT~ORIZE THE TRUSTEES, THEIR AGEnT(S) OR REPRESENTATIVES(S), TO EN%~ER ONT~ MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SWORN TO BEFORE ME THIS Albax J. Kmpski, President John Holzapfel, Vice President Jim King Martin H. Gan-ell Pete~ Weuczel Town Hall 53095 Main Road P.O. Box 1179 South)Id, N~w Yof/11971 Telepho-,' (516) 76~-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRU$'£~ES: TOWN OF SOUTHOLD In the Matter of the Application STATE OF NEW YORK) AFFIDAVIT OF POSTING being duly sworn, ~epose and say: That on the }~ day of ~ , 19~6, I personally Posted the: property know~ as ~-Z~ ~/~9~ by placing the Board of Trustees offici'al poster where it can easily be seen, and that I have che~ke~ to be sure the poster has remained in place for seven da~s prior to the date of~'-/the~'~ public hearing. (date of hearing noted thereon to be held Dated: Sworn to before me this NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES~ TOWN OF SOUTHOLD In the matter of applicant: sc 1000- 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-. 3. That the project which is s~ject to Enviro~ental Review under Chapters 32, 37, or 97 of the To~ Code is open to p~lic co~ent. 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. LING ADDRESS Eno.: Copy of sketch or plan showing proposal for your convenience. PROOF OF MAILING OF NOTICE ATTACB CERTIFIED MAIL P~ECEIPTS Name: Address: STATE OF NEW YORK COUNTY OF SUFFOLK r ~, residing at ~ PhI~L;~ ~ , being duly swornj deposes and says that on the ~ day of -~-~L- ,19~7 , 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. 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