HomeMy WebLinkAboutTR-6086AAlbert J. Krupski, President
James King, Vice-President
Artie Foster
Ken Poliwoda
Peggy A. Dickerson
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OFSOUTHOLD
Permit No.: 6086A
Date of Receipt of Application: March 7, 2005
Applicant: Leonard & Amy Wessell
SCTM#: 116-4-25
Project Location: 375 Beachwood Dr., Cutchogue
Date of Resolution/Issuance: March 23, 2005
Date of Expiration: March 23, 2007
Reviewed by: Board of Trustees
Project Description: To upgrade the existing sanitary system.
Findings: The project meets all the requirements for issuance of an
Administrative Permit set forth in Chapter 97 of the Southold Town Code. The
issuance of the Administrative Permit allows for the operations as indicated on
the plan prepared by Scott Albrecht received on March 7, 2005.
Special Conditions: None
If the proposed activities do not meet the requirements for issuance of an
Administrative Permit set forth in Chapter 97 of the Southold Town Code, a
Wetland Permit will be required.
This is not a determination from any other agency.
Albert J. Krupski, Jr., President
Board of Trustees
NOTICE
Police Dept. - Bay Constable
Town of Southold
Peconic, New York 11958
NOTICE' OF VIOLATION
Date: FEBUARY ~ 2005
To: LEONARD ,~ND AMY WESSELL
Address:
(Owner or authorized agent of owner)
2?05 TOPAZ DR BOULDER CO. 80304
(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 ^ NEW s~,P'r.,c
WAg rMWi'M,LED b/IT~OUT FIRST OBTAINING A PERMIT FROM THE SOUTHOLD TOWN TRUSTEES
You are therefore directed and ordered to comply with the following:
,\ W,~TVRR [,'t3R Tr4F. W~R~' THAT WAS DONE
APPLY FOR A PER?lIT AND OR
on or before the Ill day of April ,20 05
The premises to which this Notice of Violation refers are situated at:
Town of Southold, Suffolk County, NY (Suffolk County Tax Map Designation: Dist. 1000
Section: 116 Block: /. Lot: 25 )
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.
/ /
jBay Constable~To~, of Southold,
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,, INCIDENT REPORT -.. ' ~ [] Supp .J ~' ,'~ ~&.~,
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~ ~! 6, Veh. y, 66 Make 6, M~de, 68.~,yie.. 69 VIN
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C)CJS 3205 12 '97) *FALSE STATEMENTS ARE PUNISHABLE AS A CRIME. PURSUANT TO THE NEW YORK STATE PENAL LAW.
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MAR - 7 2OO
$outhold Town
Board of Trustee!
i;
.61
LJ
Office Us~ Only
___Coastal Erosion Permit Application~_
__Wetland Permit Application t,/~Adminishaiive Permit
Amendment/Transf~r/Ext~sion
_~.R~..eiv ed Applicalion: ~J~
~-~O~mpleted Applic~on .~[~ [OS
__Incomplete
__SEQRA Classification:
Type I~ I1 Unlisted
..__Coordination:( date sent)
Receipt ofCAC Repom
Lead Agency Determination: .'
Technical Review:
__Resolution:
Name of Applicant
Address 2. ~.0~
Phone Number:( )
Suffolk County Tax Map Number: iO00-
Property Location: ~r]~'
(provide LILCO Pole #, distance to cross streets, and location)
(If applicable)
Qard of Trustees Applic&tioJ
GENERAL DATA
Prior permits/approvals for site improvements:
Agency Date
__ No prior permits/approvals for site improvements.
Has any permit/approval ever bccn revoked or suspe~rlcd by a governmental agency?
V No Yes
If yes, provide explanation:
Project Description (use attachments if necessary):
of Trustees A~plic&tio~
WETLAND£1RUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations:
Area of wetlands on lot:
square feet
Percent coverage of lot: _~ %
Closest distance between nearest existing structure and upland
edge of wetlands: ~'O I 4- ,r - feet
Closest distance betw_ee~n nearest proposed structure and upland
edgeofwetlands: ~o 4-~.g~ feet
Does the project involve excavation or filling?
No 'V/ Yes
If yes. how much material will be excavated? ~4~t ~-cubic yards
How much material will be filled? _ (9~../~ cubic yards
Depth of which material will be removed or deposited: [0 I
Proposed slope throughout the area of operations: ¢ · 0
feet
Manner 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 appropriate):
County of Suffolk
State of New York
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 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.
// Sigdature
SWORN TO BEFORE ME THIS ~ DAYOF ~c.~c_~. ,200_~
Notfir~ Public
MAR-O~-~5 14:~9 ~5 L&C
~l~omzd o£ 'l~-a~tem~ a~pli~m~i~
381 2278 P.01/01
AUTilORIZATION
the al;pli~l.t i$ .o~ ~c owner)
(prim owner of~-'~" ' (mUinl ~ddnm)
TOTAL P.01
APPLICANT/AGENT/REPRESENTATIVE
TRANSACTIONAL DISCLOSURE FORM
The Town of Southold's Code of Ethic$ orohibits conflicts of imerest on the ~ of town officers and emolovees. The ouroose of
this form is to omvid~ information which can alert the town of oossible conflicts of interest and allow it to take whatever action is
necessary to avoid same.
(Last n~mc, first name, middle initial, unless you are applying in the name of
someone else or other entity, such as a company. If so, indicate the o~er
pea~on's or company's n~ne.)
NAME OF APPLICATION: (Check all tl~ apply.)
Tax ~rievmce Buildin~
Variance Trustee
Change of Zone Coastal Erosion
Approval of plat Mooring
Exemption from plat or official map pleenin~
Other
(If'Other", mine the activity.)
Do yon personally (or through yom' company, spouse, sibling, im~nL or child) have a relationship with any officer or employee
of the Town of Southold? "Relationship" includes by blood, marriage, or business interest "Business interest" means a business,
including a permership, in which the town officer or employee has even a partial ownership of(or employment by) a ee~poration
inyETCh the t°wn °fficer °r employee o70 more thenbfoofthe sha~s.
If you answered "YES", complete the halenee of this foma and date and sign where indicated.
Name of pe~on employed by the Town of Southold
Title or position of that person
Describe the relationship between you~elf (thc applicent/agen~/r~p-esentative) and tbe town officer or employee. Either cbeck
the appropriate line A) through D) and/or describe in the space provided.
The town officer or employee or his or her spouse, siblinE, parent, or child is (check all that apply):
A) the owner of greater than $% of the shares of the coqoorate stock of the applicant
(when the spplic~t is a corporation);
B) the legal or beneficial owner of any interest in anon. corporato cmity (when the
applicant is not a corporation);
___C) aa officer, d/rector, partner, or employee of thc applicant; or
___D) the aaual applicant
DESCRIFHON OF RELATIONSHIP
Form TS I