The URL can be used to link to this page

Home My WebLink AboutTR-5892 Albert 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 OF SOUTHOLD 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 I~SPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. 1- vn ; -€-'-'-'s K, INSPECTION SCHEDULE ~ Pre-construction, hay bale line q l6 t () S" 1-- ~~ _ 1 sl day of construction Yo constructed / Project complete, compliance inspection. sf 0/01 ()~ .:z Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickersan 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 t..~ Pre-construction, hay bale I,ne ~[~tb(~ .~ s~ day of construction constructed / Project complete, compliance inspection. Board Of $outhold 'Town Trustees SOUTHOLD, NEW YORK PERMIT NO .~...~C~,~... DATE: ~..p.y.!l ..2]:..~....~04 ISSUED TO THOMAS LUNIEWSKI Pursuant to the provisions of Chapter 6lB of the L~ws of the State of New York, 1893; and Chapter ~ of the ,L~.ws of the State of New York 1952; end the Southold ToWn Ordmence 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 Board adopted at a meeting held on .~..0..~.? and in consideration of the sum of $....~.~:,.~.0 peld by Thomas Luniewski of ......... B.~Y....~I~.9~.~ N.Y. and subject to the Terms and C~ondltlons listed on the reversesidle hereof, of Southold Town Trustees authorizes and permits the following: Wetland Permit to construct a single-family dwelling with a 50' non-disturbance buffer, and as depicted on the survey prepared by Howard W. Young last dated December 12, 200~. all in accordance with the detailed specifications as presented in the originating apprmafion. IN WITNESS WHEREOF, The said Board of Trustees here- by causes its Corporate Seal te be affixed, and these ~.resenh fo be ~ubsodbed by a 'majorffy of the said Board as of this darn. TERMS end CONDmONS T~e perm!~ee Thomas Luniewski ~ ~t 19 Edwin St., Bavshore .~ . N. Y~ '~s L Thxt the ~id Boant o~ Trustees sna the Town c~ Southold ~re released fic~ any sad all dtta~,es, oc .4.~,~ fm damages, of mits ssisl~ ditmty m ~y ~ s ~ ~ ~ o~- ~ m~ ~ ~ ~ ~ ~ of ~T~ ~T~ ~ for ~ ~on ~y ~ ~e ~ ~ ~ at a !.~ d*~; That this Permit should be te~lnecl indei%lwly, or ss long as the said Pemgizee ~ msimsin ~e structure or project involved, to provide evidence m any,om~ coememed ~ mah- odzatio~ wa~ otlglnally o~ttlmd. 4. That the wo& involved will be subject to the im~ectioa md ~ptoval o~ the its agents, sad ~owcompli.n~, wi~b the ptovi~om o~ the otlglnagng application, ~ be revocation of this P~t by t~ohtio~ d the raid ~ 5. That there will be no unreasonable interference with navigation as · vesdt o~ the wodt vo~k ,,],.11 ~ mu'essomble obslzuctm~ Io f~ee ~avlgsg, o~ zhe said Pesmlttee will be ~ ul~ due notice, to ~ or sker d~s wodc o~ project hei~n s~-t~l vtthout expemes to the Tram orizect 9. That the Petmlttee will obtain alt other p~mi~ sad consents.~at may be ~ ~ plemeatal m this permit which may !~ subject to revoke upon fd~,e to olxsla sam~ Albert 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 April 21,2004 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Patricia C. Moore, Esq. 51020 Main Rd. Southold, NY 11971 RE: THOMAS LUNIEWSKI 470 JOHN'S RD., MATTITUCK SCTM#122-3-25.2 Dear Ms. Moore: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, April 21,2004 regarding the above matter: WHEREAS, Patricia C. Moore, Esq. on behalf of THOMAS LUNIEWSKI 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 December 23, 2002, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on April 21,2004, 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, 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 approve the application of THOMAS LUNIEWSKI to construct a single-family dwelling with a 50' non-disturbance buffer, and as depicted on the survey prepared by Howard W. Young last dated December 12, 2003. 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 $50.00 per inspection. (See attached schedule.) Fees:S100.00 Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/Ims PATRICIA C. MOORE, ATTORNEY AT LAW 51020 Main Road, Southold, NY 11971 (631) 765-4330 BATE Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095Route 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 Please be advised that your application dated reviewed by this Board at the regular meeting of z/'/~ql/04 following action was taken: has been and the ( V) 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: PRESIDENT, BOARD OF TRUSTEES T~lephoue (631) 765-1892 Tow~ Hall. 5309.5 Main Road P.O. Box 1179 Southold. New Y~k 11f{71 SOUTHOLD TOWN CONSERVATIObi' ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Wednesday, January 15, 2003, the following recommendation was made: THOMAS LUNIEWSKI to construct a single-family dwelling and fill as required for construction of the sanitary system and the residence. Located: 470 John's Rd., Mattituck. SCTM#122-3-25.2 The CAC did not make an inspection, therefore no recommendation was made. i ~C NEW YORK ' TE DEPARTMENT OF ENVIRONMENTAL CONP~RVATION DEC PERMIT NUMBER / ~ ~ ~1/~/ ./" EFFECTIVE DATE 1-4,738-03,044/00001 ~_ ,LJ. yv r,-'~'~......./' April 10, 2003 F~ClLI~/PROG~M NUMBER(S) PERM ~ EXPIRATION DATE(S) Under the Environmental April 30, 2008 Conse~ation Law ~ ' "TYPE OF PERMIT B New D Renewal D Modification ~ Permit to Constr~ Permit to Operate / Adicle 15, Title 5: Protection of Waters ~ Adicle 17~ Titles 7, 8: SPDES ~ ~ Ad,cie 27. Title 9; 6NYCRR 373: ~ Hazardous Waste Management Adicle 15. Title 15: Water Supply ~ Ad,cie 19: Air Pollution Contro~ ~ ~ ~ Adicle 34: Coastal Erosion A~icle 15. Title 15: Water Transpo~ ~ A~icre 23, Title 27: M~ned Land~ Management Reclamation Adide 15. Title 15: Long Island Wells - ~ Adicle 36: Floodplain Management ~ A~icle 24: Fresh~e~Wetlands AHicle 15, Title 27: W~ld. Scenic and ~ A~icles ~. 3, 17, 19, 27.37; 6NYCRR Recreational Rivers BAdicle ~5: T~dal Wetlands 380: Radiation Control [] 6NYCRR 608: Water Quality Cedifica- tion ~,.homas Luniewski//'"~- ADgRESS OF PERMIT'~-'E ' [~ Article 27, Title 7; 6NYCRR 360: Solid Waste Management TELEPHONE NUMBER (631) 988-2709 19 Edwin street, Bayshore, NY 11706 CONTACT PERSON FOR PERMITTED WORK Young & Young, 400 Ostrander Avenue, Riverhead, NY NAME AND ADDRESS OF PROJECT/FACILITY 11901 TELEPHONE NUMBER ( Luniewski property, Private road off Main Road, Mattituck COUNTY TOWN WATERCOURSE Suffolk Southold DESCRIPTION OF AUTHORIZED ACTIVITY: NYTM COORDINATES Construct a single family dwelling, septic system and place 200 cu. yds. of clean fill. All work must be done in accordance with the attached survey prepared by Howard Young on 7~8~02 last revised 3~4~03 and stamped NYSDEC approved on 4/10/03. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions included as par[ of this permit. PERMIT ADMINISTRATOR: ADDRESS Roger Evans (MEP) Region 1 Headquarters, Bldg. ~-40, SUNY, Stony Brook, NY 11790-2356 AUTHORIZED SlGN~:R~E.t¢~"'"P AprilDATE10, 2003 Page 1 of 4 NEW YOTM STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAL CONDITIONS 1. During construction, concrete or leachate shall not escape or be discharged, nor shall washings from transit mix trucks, mixers, or other devices enter tidal wetlands and or protected buffer areas. 2. Any debris or excess material from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal. No debris is pgrmitted in tidal wetlands and or protected buffer areas. 3. There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activity. 4. All areas of soil disturbance resulting from this project shall be stabilized immediately following project completion or prior to permit expiration, whichever comes first. The approved methodologies are as follows: a. Stabilization of the entire disturbed area with appropriate vegetation (grasses, etc.). 5. The storage of construction equipment and materials shall be confined to within the project work site and or upland areas greater than 75 linear feet from the tidal wetland boundary. 6. All fill shall consist of"clean" sand, gravel, or soil (not asphalt, flyash, broken concrete or demolition debris). 7. To protect the values of the tidal wetlands, a permanent vegetated buffer zone shall be established. There shall be no disturbance to the natural vegetation or topography within an area extending 50 linear feet landward of the tidal wetland boundary. 8. A row of staked hay bales or approvable erosion control devices shall be placed at the landward edge of the buffer area or 50 linear feet from the tidal wetland boundary, or as per NYSDEC approved plan, at commencement of regulated activities and remain in place until project is completed and all disturbed areas stabilized with vegetation. 9. Roof runoffshall be directed to drywells a minimum of 50 feet landward of the tidal wetland boundary for immediate on-site recharge. 10. Driveways and parking areas shall be constructed of pervious material. 11. The permittee shall incorporate the following language as a notice covenant to the deed: "Regulated tidal wetlands associated with James Creek are located at Suffolk County Tax Map Number: District 1000, Section 122, Block 03, Lot 252, otherwise known as the properties of Thomas Luniewski and his heirs, assigns, or successors. This property is subject to the provisions of New York State Environmental Conservation Law (ECL) Article 25 or its successor, and the conduct of regulated activities may occur only pursuant to ECL Article 25 if prior approval is given by the New York State Department of Environmental Conservation (NYSDEC) or its successor. Regulated activities include, but are nat limited to the erection of any structure(s); excavation; dredging grading and filling; clearing of vegetation; and application of chemicals." This deed covenant shall be recorded with the Clerk of Suffolk County within 90 days of the issuance of this permit. A copy of the covenanted deed or other acceptable proof of record, along with the number assigned to this permit, shall be sent within one calendar year of the issuance of this permit to: NYSDEC, Regional Manager, Bureau of Marine Habitat Protection, SUNY Building 40, Stony Brook, New York 11790-2356. DEC PERMIT NUMBER 1-4738-03044/00001 PAGE 2 of 4 NEW Y STATE DEPARTMENT OF ENVIRONMENTAL CONSERV 'N ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (TITLE 5), 24, 25, 34 AND 6NYCRR PART 608 ( TIDAL WETLANDS) If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the ~lealth, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alterthe structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed, the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. Granting of this permit does not relieve the applicant of the responsibility of obtaining any other permission, consent or approval from the U.S. Army Corps of Engineers, U.S. Coast Guard, New York State Qffice of General Services or local government which may be required. All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project. Any material dredged in the conduct of the work herein permitted shall be removed evenly, without leaving large refuse piles, ridges across the bed of a waterway or floodplain or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a waterway. 6. There shall be no unreasonable interference with navigation by the work herein authorized. If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. If granted under 6NYCRR Part 608, the NYS Department of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitations or other limitations or standards under Sections 301,302, 303, 306 and 307 of the Clean Water Act of 1977 (PL 95-217) provided that all of the conditions listed herein are met. 9. At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work and, if required, a survey. 10. All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or his agent as part of the permit application. Such approved plans were prepared by Howard Younq 7/8/02 last revised 3/4/03. DEC PERMIT NUMBER 1-4738-03044/00001 PAGE 3 OF 4 NEWYO~', STATE DEPARTMENT OF BNV'RONMENTAL CONSERVATION NOTIFI~,~TION OF OTHER PERMITTEE OBLIGA'. NS item A:, Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee expressly agrees to indem.nify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, empl~Syees, and agents ("DEC") for all claims,'s~t~, actions, and damages, to the extent attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in connection with, or operation and maintenance of, the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent or intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of-way that may be required to carP/out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a patty to the permit. GENERAL CONDITIONS General Condition 1: Facility Inspection by the Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71-0301 and SAPA 401 (3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site er facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. General Condition 2: Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. General Condition 3: Applications for Permit Renewals or Modifications The permittee must submit a separate written application to the Department for renewal, modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. The permittee must submit a renewal application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES), Hazardous Waste Management Facilities (HVVMF), major Air Pollution Control (APC) and Solid Waste Management Facilities (SWIVIF); and b) 30 days before expiration of all other permit types. Submission of applications for permit renewal or modification are to be submitted to: NYSDEC Regional Permit Administrator, Region 1, SUNY Bldg ~40, Stony Brook NY 11790-2356 General Condition 4: Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to modi~, suspend or revoke this permit in accordance with 6 NYCRR Part 621. The grounds for modification, suspension or revocation include: DEC PERMIT NUMBER a) materially false or inaccurate statements in the permit application or supporting papers; b) failure by the permittee to comply with any terms or conditions of the permit; c) exceeding the scope of the project as described in the permit application; d) newly discovered material information or a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; e) noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. PAGE 4 OF 4 1-4738-03044/00001 RETURN THIS FORM TO!," NOTICE OF COMMENCEMENT OF CONSI'I-',UCTION COMPLIANCE Mariae Habitat Protection NYSDEC Building 40 - SUNY OR FAX TO: (631) 444-0297 Stony Brook, NY 11790-2356 PROJECT LOCATION/ADDRESS: CONTRACTOR NAME: ADDRESS: TELEPHONE' Dear Sir: Pursuant to Supplementary Special Colrdition D of the referenced permit, you are hereby notified that the authorized activity shall commence on . We certify that we have read the referenced permit and approved plans and fully understand the authorized project and all permit conditions. We have inspected the project site and carl comptete tile project as described in the permit and as depicted on the approved plans. We can do so in full compliance with alt plan notes and permit conditions. Tile permit sign, penuit and approved plans will be available at tile site for inspection in accordance with general Condition No. i. (Both signatures required) PERMITEE DATE CONTRACTOR DATE THIS NOTICE MUST BE SENT TO THE ABOVE ADDRESS A T LEAST TWO DAYS PRIOR TO COMMENCEMENT OF THE PROJECT AND /OR ANY ASSOCIATED REGULATED ACTIVITIES. FAILURE TO RETURN THIS NOTICE, POST THE PERMIT SIGN, OR HA VE THE PERMIT AND APPROVED PLANS AVAILABLE A T THE WORK SITE FOR THE DURA TION OF THE PROJECT MA Y SUBJECT THE PERMITTEE AND/OR CONTRACTOR TO APPLICABLE SANCTIONS AND PENAL TIES FOR NON- COMPLIANCE WITH PERMIT CONDITIONS. Cu! alOllg this lille ,"'< ~,< .*< k -"< ~ . a~[k.. ................................................................ i,,i6:fii i "6'i ' 6i:,i' 'fi b' ¥i6i:,i ............................... ....... nQMPl IANCE Albert J..Krupski, President .J, ame.~ King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 Southold, NewYork 11971-0959 Telephone(631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office UseOnly Coastal Erosion Permit Applicati/on Wetland Permit Application t/' Major · Waiver/AmendmentLChan~es Received Applicatign'. ]'v/~ /~o "/ Received Fee:$ 6~ --Completed Application [ Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent) Date of Inspection: ] Receipt of CAC Report: Lead Agency Determination: __Technical Review: ___Public Hearing Held: ] Resolution: Minor Suffolk County Tax Map [q~ber: 1000- /2.2. - 111~ Prope~yLocation: ~OhQ ~ ~0~ - '~,qt.~t (provide LILCO Pole~, distance to ~oss streets, and location) AGENT: ~'~ C ~0~ (It' applicable) Address: ~--I Board of Trustees Application Land Area (in square feet): Area Zoning: /~ Previous use of property: Intended use of property: GENERAL DATA Prior permits/approvals for site improvements: Date ~ No prior permits/approvals for site improvementsl Has any permit/approval ever been revoked or suspended by a governmental agency? 2~ 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: ~ ~ ~ Area of wetlands on lot: ~ ~ square feet Percent coverage of lot: /O % Closest distance between nearest existing structure and upland edge of wetlands:_~~I~ feet Closest distance between nearest proposed structure and upland edge of wetlands: 73. / ? feet Does the project involve excavation or filling? if yes, how much material will be excavated7 ~Oo--P'cubic yards// How much material will be filled? ~ 0 0 cubic yards (~.~ Depth of which material will be removed or deposited: Proposed slope throughout the area of operations: 122> Manner in which material will be removed or deposited: feet 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): Board of Trustees ~pli~tion 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 SoLrrHOLD 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 / ~ DAY OF ~. ,20 0.2------ Notary Public PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, NewYork 11971 Tel: (631) 765-4330 Fax:: (631) 765-4643 April 27, 2004 Board of Trustees Town of Southold P.O. Box 1179 Southold, NY 11971 RE: Thomas Luniewski Premises: John's Road~ Mattituck, SCTM: 1000-122-3-25.2 NY Dear Sirs: Enclosed please find the final signed Return Receipt Card for the above referenced matter for your file. The hearing on this matter was on April 21, 2004. Very truly yours, Patricia C. Moore By: Melissa McGowan, Secretary /mm Enclosure Board of Trustees Town of Southold P,O. Box 1179 Southold, NY 11971 PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, NewYork 11971 Tel: (631) 765-4330 Fax:: (631) 765~.643 April 14, 2004 RE: Premises: SCTM: Thomas Luniewski John's Road, Mattituck, NY 1000-122.00-03.00-025.002 Dear Sir or Madam: Enclosed please find the Affidavit of Mailing, Affidavit of Posting, eight (8) Certified Mail Receipts and seven (7) signed Return Receipt Cards for the above referenced matter. We will forward the balance of the signed Return Receipt Cards to you upon our receipt of same. Very truly yours, Patricia C. Moore By: Melissa McGowan, Secretary /mm Enclosures Name: Christina E. Steiner Peter R. Petrowski James E. Klein James E. Klein Maynard Palmer Alan A. Cardinale PWK Enterprises Inc. Petro~ski Living Trust PROOF OF M~ILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Address: P.o. Box 310 Mattituck NY 11952 235 East Legion Avenue Mattituck NY 11952 485 East Legion Avenue Mattituck NY 11952 485 East Legion Avenue Mattituck NY 11952 P.0. Box 651 Mattituck NY 11952 P.O. Box%77~ / Mattituck NY 11952 c/o William H. Kope Jr. 3000 Marcus Avenue Lake Success, NY 11042 235 East Legion Avenue Mattituck, NY 11952 Inc. STATE OF NEW YORK COUNTY OF SUFFOLK Town of Southold; that States Post office at were mailed to each of mail. Melissa McGowan , residing at 555 Marlene Lane, Mattituck, New York , being duly sworn, deposes and says that on the 8th day of April, 2004 ~xxxxx~xdeponent 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 said Notices were mailed at the United Southold , that said Notices said persons by (certified) ~me~~ ~eli~sa ~c~an Sworn to before me this 8th day of April, 2004 ,xlx~xxxxxx MARGARET C. RUTKOWSKI Notary Public, State of New Yqrk No. 4982528 Qualified in S~ffolk County _ ,.~ Commission Expirea June 3~'-,'~ OW / 6 .. .r . . PATRICIA C. MOORE Attorney at Law 51020 Main Road Southo1d, New York 11971 Tel: (631) 765-4330 Fax: (63 I) 765-4643 Margaret Rutkowski Melissa McGowan Secretaries April 8, 2004 BY CERTIFIED MAIL RETURN RECEIPT REQUESTED Neighbors Re: Thomas Luniewski John's Road, Mattituck, New York SCTM# 1000-122-3-25.2 Dear Neighbor: I represent Thomas Luniewski with regard to his property located at John's Road, Mattituck, NY. He is seeking a wetland permit to construct a single family dwelling. Enclosed is the Notice of Hearing and a portion of the survey. The hearing on this matter has been scheduled for Wednesday, April 21, 2004 on or about 7:00 p.m. at Southold Town Hall. If you have any questions, or you wish to support this application, please do not hesitate to contact me. PCM~ Enclosures Very truly yours, /lhL'CLtl. C J))C{)/c.f patricia C. Moore Albert J. Krupski, President James King, Vice-President Artie Fester Ken Poliwoda Peggy A. Dickersen Town Hall 53095Route 25 P.O. Box 1179 Southold, NewYork 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 of COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING 1, Patricia C. Moore ,residingat 370 Terry Lane, Southold, New York being duly sworn, depose and say: That on the 1%4qday of Ap r i 1 ,2004, I persdnally posted the property known as John's Road, Mattituck, New York 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 the public hearing. Date of hearing noted thereon to be held Dated:April /3, 2004 k~l~ture) Patricia C. Moore Sworn to before mc this day of April2004 Notary Public MELISSA Mc~OWAN Not~'y Public, State o! No. 499591 Quulir:ed in Suffolk County ^ s 0 PATRICIA C. MOORE Attorney at Law 51020 Main Road Southoid, New York 11971 Tel: (631) 765.,4330 Fax:: (631) 765-4643 Board of Trustees Town of Southold P.O. Box 1179 Southold, NY 11971 RE: Premises: SCTM: Thomas Luniewski John's Road, Mattituck, 1000-122-3-25.2 January 21, 2003 Dear Sir or Madam: NY Enclosed please find the two additional Return Receipt for the above referenced matter. Ver~y yours, Q_~ ~a~'~icia C. Moore PCM/mm Enclosures Cards Albert J. Krupski, President James King, 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 of ......... COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, Patricia C. Moore , residing at 370 Terry Lane, Southold, NY being duly sworn, depose and say: That on the 14thday of January, 2003, I personally posted the property known as 3ohn's Road, Mattituck, New York 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 ~he ublic hear_i~g. Date of hearing noted thereon to be held'~~ Dated: January 16, 2003 Sworn to before me this 16th day of January 2003 ~__~gnature) Patricia C. Moore Notary Public MELISSA McGOWAN Notan/Public, State of New No. 49959t3 Qualified in Suffolk Cour~ ,, ~ion Expire~ May 4, PATRIClA C. MOORE Attorney at Law 51020 Main Road Southold, NewYork 11971 Tel: (631) 765.4330 Fax:: (631) 765-4643 January 16, 2003 Board of Trustees Town of Southold P.O. Box 1179 Southold, NY 11971 RE: Premises: SCTM: Thomas Luniewski John's Road, Mattituck, NY 1000-122-3-25.2 Dear Sir or Madam: Enclosed please find the Affidavit of Mailing, Posting, eight (8) Certified Mail Receipts and five receipt cards for the above referenced matter. Affidavit of (5) return PCM/mm Enclosures Very truly yours, Patricia C. Moore PROOF OF MKILING OF NOT ATTACH CERTIFIED MAIL Name: Address: see attached STATE OF NEW YORK COUNTY OF SUFFOLK Melissa McGowan , residing at 555 Marlene Lane, Mattituck, New York , being duly sworn, deposes and says that on the 14th day of 3anuar¥ ,~2003.., 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 Southold , that said Notices were mailed to each of said persons by (certified) ~3~4~z~z~ mail. Melissa McGowan Sworn to before me this 16th day of January ,~9 2003 Notary Public SCTM # 1000-122-3-14 SCTM # 1000-122-3-23 SCTM # 1000-122-3-26 SCTM # 1000-122-3-27 SCTM # 1000-122-3-28 SCTM # 1000-122-3-16 SCTM # 1000-122-3-1.4 SCTM # 1000-122-3-15.1 Petrowski Living Trust 235 East Legion Avenue Mattituck, NY 11952 Christina E. Steiner 2 Johns Road P.O. Box 310 Mattituck, NY 11952 Peter Petrowski 235 East Legion Avenue Mattituck, NY 11952 James E. Klein 485 East Legion Avenue Mattimck, NY 11952 James E. Klein 485 East Legion Avenue Mattituck, NY 11952 Maynard Palmer P.O. Box 651 Mattituck, NY 11952 Alan A. Cardinale P.O. Box 77 Mattituck, NY 11952 PWK Enterprises Inc. c/o William H. Kope Jr. Inc. 3000 Marcus Avenue Lake Success, NY 11042 PATRICIA C. MOORE Attorney at Law 5 1020 Main Road Southold, New York 11971 Tel: (631) 765-4330 Fax: (631) 765-4643 January 14, 2003 BY CERTIFIED MAIL RETURN RECEIPT REQUESTED Neighbors Re: Thomas Luniewski John's Road, Mattituck, NY SCTM# 1000-122-03-25.2 Dear Neighbor: I represent Thomas Luniewski property located at John's Road, are requesting a permit to dwelling. Enclosed is the survey of the premises construction. with regard to his Mattituck, NY. He is construct a single family Notice of Hearing and a showing the proposed If you have this application, any questions, or you wish to support please do not hesitate to contact me. · very t~nLy yours, ~--- Patricia C. Moore PCM/mr Encls. The hearing on this matter has been scheduled for Wednesday, January 22, 2003 at 7:00 pm at $outhold Town Hall. ~ Q..(~ c · ..~ I'em .~o:- ,,, -~ ~z~n ~ n :Oo~ ~ =1 ~D J J m J )m