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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, I aim ,, INCIDENT REPORT -.. ' ~ [] Supp .J ~' ,'~ ~&.~, ~-~ Q -~ ~, i",~ .,- 9/ ~'~/'/ ~e~.,,q,~~ ~ ~&a~ *z ~. ~ ~/~ (),'>>_*,' ~ ~! 6, Veh. y, 66 Make 6, M~de, 68.~,yie.. 69 VIN I C)CJS 3205 12 '97) *FALSE STATEMENTS ARE PUNISHABLE AS A CRIME. PURSUANT TO THE NEW YORK STATE PENAL LAW. ~w -I 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