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HomeMy WebLinkAboutTR-5929Albert 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 INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line st 1 day of construction % constructed v'/'Project complete, compliance inspection. Board Of Southold Town Trustees SOUTHOLD, NEW YORK ISSUED TO SALVATORE GUERRERA A. ut'horizatiou Pursuant 1o the provisions of Chapter 615 of the I.~ws of the State of New York, 1893, and Chapter 40~ of the ,~,ws of the State of New Yor~ 19!~2: and the Southeld To~(n Ordinance titled ."REGULATING AND THE PLACING OF OBSTRUO.TLQNS IN AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL' OR OTHER MATERIALS~i~!~C:)M LANDS UNDER TOWN WATERS:..'..'. and in accordance with the Resolution of The Board adopted at a meeting held on ........ 2.~.°.~.., and in consideration of the sum of $........~5.~.~.(~0.... paid by Sa/vatore Guerrera o~ ........... ~'.?.~.~!~ ........................... ' ................... N. Y..nd s~N.ot ~o ~he Terms and Conditions listed on the reverse ride hereof of Southold Town Trudees authorizes end permlts the following: Wetland Permit to oonstmot e single-f~mily dwelling with on-site sev~ge disposal syetem encl public v~ter, with the condition of ~ 50' non<listurb~nce buffer, drywells and gu~ers ere inet~lled to contain the roof mn-off, hay bales are plea, ed down prior to constr~otion, and ell deplored on the survey prepared by Joseph A. Ingegno lest dated May 2'i, 2004. afl in accordance with the detai~:l speoificutlons as presented in · the originating app/'mafion. IN WITNESS WHEREC~, ~e said Board Of Trustees here- by c:auso$ ifs Corporate. S.e...al to be affixed, and fhese.~.resenh Io~ subso~'bad by 'a'malority of fha sald Board as of th~s darn. TERIdS and CONDITIONS Penntttee Salvatore Guerrera s~iln~nt 98 Silas Carter Rd., Manorville N. Y, a~ the coasi&ratlo~ tot d~e is~,~e__ o~ the i~,~* does ~,~ and ptesct~e to the roi- 2. ThatddsPott~tis'Tslld~otapedodof i 2.~ mos.,whld2. Js~Clmid~'i~o~Oae ~ [or ~a ea~aoa m~y he ~ to Ihe ~ at · !-~; d~ 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 May 26, 2004 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. James E. Fitzgerald, Jr. Proper-T Permit Services P.O. Box 617 Cutchogue, NY 11935 RE: SALVATORE GUERRERA 1450 OLE JULE LANE, MATTITUCK SCTM#122-4-44.6 Dear Mr. Fitzgerald: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, May 26, 2004 regarding the above matter: WHEREAS, James E. Fitzgerald, Jr. on behalf of SALVATORE GUERRERA 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 April 1,2004, 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 May 26, 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 SALVATORE GUERRERA to construct a single-family dwelling with on-site sewage disposal system and public water, with the condition of a 50' non-disturbance buffer, drywells and gutters are installed to contain the roof run-off, hay bales are placed down prior to construction, and all as depicted on the survey prepared by Joseph A. Ingegno last dated May 21, 2004. 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: $100.00 Very truly yours, Albert J. Krupski, Jr President, Board of Trustees AJK/Ims Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 ~.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 following action was taken: has been and the ( ~/)"Application Approved (see below)'-~L~%~ (__)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: $ IOO, -]' SIGNED: PRESIDENT, BOARD OF TRUSTEES Telephone (631) 765-1892 Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 CONSERVATION ADVISORY cOUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Tuesday, April 13, 2004, the following recommendation was made: Moved by Don Wilder, seconded by William Cook, it was RESOLVED to recommend to the Southold Town Board of Trustees DISAPPROVAL of the Wetland Permit application of SALVATORE GUERRERA to construct a single- family dwelling with on-site sewage disposal system and public water, and construct a walkway and fixed dock 220' overall, and one mooring pile 20' from the end of the fixed dock. Located: 1450 Ole Jule Lane, Mattituck. SCTM#122-4-44.6 The CAC recommends Disapproval of the application because the proposed dock was not staked and the house stakes did not match the plans. The CAC questions the 45' setback of the house to the wetlands. Vote of Council: Ayes: All Motion Carried Proper-T Per~it Phone: 631-734-5800 Services P.O. Box 617, Cutchogue NY 11935 Fax: 631-734-7463 MEMORANDUM DATE: 7/24/02 TO: FROM: SUBJECT: Charlotte - Trustees' Office Jim Fitzgerald Guerrera; SCTM #1000-122-4-44.6 Please postpone the hearing scheduled for tonite's meeting. Thanks! Field Inspection 3/13/02 Field Inspection 3/13/02 Field Inspection 3/13/02 Field Inspection 3/13/02 Proper-T Permit Services Phone: 631-734-5800 P.O. Box 617, Cutchogue NY 11935 Fax: 631-734-7463 MEMORANDUM TO: FROM: SUBJECT: DATE: March 18, 2002 Trustees James E. Fitzgerald, Jr. Sal Guerrera, SCTM #1000-122-4-44.6 Attached are three copies of a Project Plan (3/5/02) which should be substituted for the project plan portion of the combined Project Plan/Survey of Property which was submitted with the original application. The location and design of the walkway/dock has been changed. 765-1892 I/alL 53095 Ma. in Road P.O. Box 11/9 SouthoM. New. York 11971 SOIY~OLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Tuesday, September 11, 2001, the following recommendation was made: Moved by .Scott Hilary, seconded by Bill McDermott, it was RESOLVED to recommend to the Southold Town Board of Trustees DISAPPROVAL of the Wetland Permit Application of SALVATORE GUERRERA to construct a dwelling with on-site sewage disposal system and public water. Construct fixed walkway 4'X 178% hinged ramp 4'X 16% and floating dock 6'X 20', Floating dock to be secured by two piles, 1450 Ole Jule Lane, Mattituck. SCTM#122-4-44.6 The CAC recommends Disapproval because the proposed project requires at least a 50' non-disturbance buffer. Vote of Council: Ayes: All Motion Carried OREGON ITUCI 11952 AIRPORT ITHE AREA OF THE PROPOSED PROJECT IS CIRCLED _.J NEW $U CORPS OF ENGINEERS DATA PURPOSE: Construct fixed open walkway, hinged ramp, and floating dock for private recreational purposes. DATUM: MLW IN: James Creek AT: Mattituck COUNTY: Suffolk STATE: New York VICINITY MAP Application regarding the propen'y of Sal Guerrera, SCTM # 1000-122-4-44.6 Represented by PROPER-T PERMIT SERVICES P.O. Box 617, Cutchogue, NY 11935 James E. Fitzgerald, Jr. 516-734-5800 Au~,ust 30, 1997 I THE SITE OF THE PROPOSED PROJECT IS SHADED CORPS OF ENGINEERS DATA PURPOSE: Construct fixed open walkway, hinged ramp, and floating dock for private recreational purposes. DATUM: MLW IN: James Creek AT: Mattituck COUNTY: Suffolk STATE: New York TAX MAP Application regarding the property of Sal Guerrera, SCTM # 1000-122-4-44.6 Represented by PROPER-T PERMIT SERVICES P.O. Box 617, Cutchogue, NY 11935 James E. Fitzgerald~ Jr. 516-734-5800 August 30, 1997 Emails: (631) 765-1809 (ext. 5011 at start of recording) OFFICE OF ZONING BOARD OF APPEALS Mailing Address: 53095 Main Road, P.O. Box 1179 Office Location: Town Annex, NFB Building, 54375 Main Road at Youngs Ave. Southold, NY 11971-0959 Linda. Kowalski~.Town.Southold.nv.us http://southoldtown.northfork.net J avne. M artin(~.Town. Southold.nv.us fax (631) 765-9064 REPLY FORM PO q~ I~1-1 ZB Ref# ~--~ ~ ~~+ ~,~. Date of Building Inspector's Notice of Disapproval: Our department has received a determination issued by the Building Inspector dated ~O~L ~/ =~.~O~- indicating that the property which is the subject of the above variance requests (concerning setbacks for a proposed dwelling) is not a lot recognized under Section 100-24. The application is not able to be processed for this reason. We will process a refund of the fee paid when you submitted the application upon receipt of a letter confirming this request to our office. In the event of any change in the above status noted in the Building Department's determination, the next step in the review process may then be taken. Thank you. TO: James Fitzgerald for Frank Saracino P O Box 617 Cutchogue, NY 11935 FORM NO. 3 NOTICE OF DISAPPROVAL DATE: March 7, 2005 Amended 3/25/05 Please take notice that your application dated March 2, 2005 For a permit for construction of a single family dwelling, at Location of property: 1450 Ole Jule Lane, Mattituck, NY County Tax Map No. 1000 - Section 122 Block_4_4 Lot 44.6 Is returned herewith and disapproved on the following grounds: The proposed construction ofa sinele family dwellin~ on a non-conforming, 49,038sq. fi parcel, is not permitted pursuant to Article XXIV Section 100-244 which states: "This section is intended to provide minimum standards for ~ranting ora buildine permit for the principal buildines of lots which are recognized by the town under 100-24, are non-conformine and have not memed pursuant to 100-25." This lot is not recoffnized pursuant to Section 100-24. In addition, the required front yard setback for this lot is 50'(feet). The proposed front yard setback is 24'(feet). The required side yard setbacks for this lot are 20'(feet) minimum & 40'(feet) combined. The proposed side yard setbacks are approximately 18'(feet) & 38'(feet'} combined. Total lot coverage is less than 20 percent. Authorized Signature Amended for clarification. Proper-T Permit Services Phone: 631-734-5800 P.O. Box 617, Cutchogue NY 11935 Fax: 631-734-7463 MEMORANDUM DATE: 6/21/04 TO: Lauren - Trustees FROM: Jim Fitzgerald SUBJECT: Sal Guerrera; SCTM #1000-122-4-44.6 Here's the revised map (Ingegno, last dated 5/21/04): 50' buffer added, line of staked haybales added, drywells for roof runoff added. The $100 fee will be along shortly. JUN 21 ~outhold Town BonnS of Trustees ~ 0 AFFIDAVIT OF MAILING TO THE SOUTHOLD BOARD OF TOWN TRUSTEES 1N THE MATTER OF THE APPLICATION OF: Salvatore Guerrera STATE OF NEW YORK COUNTY OF SUFFOLK James E. Fitzgerald, Jr., residing at 385 Haywaters Drive, Cutchogue, NY 11935, being duly sworn, deposes and says that on the 13th day of April, 2004, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the named persons at the addresses set opposite their respective names; that the addresses set opposite the names of said persons are the addresses of said persons as shown in the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at Cutchogue, NY 11935, that said Notices were mailed to each of said persons by Certified Mail/Return Receipt Re- Sworn to before me this ZI ~'~ day of ~IL ,2004 Notary Publi~' ~x~ ~ AFFIDAVIT OF POSTING TO THE SOUTHOLD BOARD OF TOWN TRUSTEES IN THE MATTER OF THE APPLICATION OF: Salvatore Guerrera STATE OF NEW YORK COUNTY OF SUFFOLK I, James E. Fitzgerald, Jr., residing at 385 Haywaters Drive, Cutchogue, NY 11935, being duly sworn, depose and say that on the 9th day of April, 2004, I personally posted the property known as 1450 Ole Jule Lane, Mattituck, by placing the Board of Trustees' official ~oster where it can easily be seen, and that I have checked to be sure the poster has remained in' dace for eight days prior to the date of the public hearing, which date is no~hereon~ ~sday, April 21, 2004 at or about 7:00 PM. Q~~/ .~4/~/~ Jan~es E. Fitzgerald, Sworn to before me this ~ ~¥ day of t~P e2x L ,2004. Notary Public' ~- TM TO: ~Ar 1 Date: pri 12, Adjacent Property Owners (Names and addresses are listed on the attached sheet.) 2004 BOARD OF TRUSTEES, TOWN OF SOUTHOLD NOTICE TO ADJACENT PROPERTY OWNER In the matter of: Salvatore Guerrera, contract vendee, SCTM #1000-122-4-44.6 YOU ARE HEREBY GIVEN NOTICE THAT: 1. An application is being submitted to the Board of Trustees for a permit to: Construct single-family dwelling with on-site sewage disposal system and public water. Construct walkway and fixed dock, 220' overall, and one mooring pile 20' from the end of the fixed dock. The project described above is proposed on property adjacent to yours. The street ad- dress of that property is as follows: 1450 Ole Jule NY 11952 I Lane, Mattituck, The project, which is subject to Environmental Review under Chapters 32, 37, or 97 of the Town Code, is open to public comment. A public heating will be held at Town Hall, 53095 Main Road, Southold, New York 11971 at or about 7:00 PM on Wednesday, April 21, 2004. You may contact the Trustees Office at 631-765-1892 or in writing if you wish to comment The project described above will be reviewed by the Board of Trustees of the Town of Southold. The project may require independent review and approval by other agencies of the Town, State, or Federal governments. CONTRACT VENDEE'S NAME: MAILING ADDRESS: PHONE NO.: Salvatore Guerrera 98 Silas Carter Road Manorville, NY 11949 631-878-8706 A copy of a sketch or plan showing the proposed project is enclosed for your convenience. April 12, 2004 'SALVATORE GUERRERA: ADJACENT PROPERTY OWNERS 1000-122-3-1.4 Alan A. Cardinale PO Box 77 Mattituck, NY 11952 1000-122-4-1 Ronald S. Dobert 1350 Ole Jule Lane Matfimck, NY 11952 1000-122-4-3 Martin & Marjorie Dunn 1570 Ole Jule Lane Mattimck, NY 11952 1000-122 -4-44.8 Suffolk County Department of Parks 330 Center Drive Riverhead, NY 11901-3311 1000-122-5-1 Joseph E Doubrava & w£ 1455 Ole Jule Lane Mattimck, NY 11952 PRESENT OWNER: NOT MAILED 1000-122-4-44.6 Frank & Joan Saracino 36 Hedge Lane Westbury, NY 11590 6 CORPS OF ENGINEERS DATA PURPOSE: Construct fixed open walkway and fixed dock with mooring pole for private recreational purposes. DATUM: MLW IN: James Creek AT: Mattituck COUNTY: Suffolk STATE: New York PROJECT PLAN Application regarding the property of Sal Guerrera, SCTM # 1000-122-4-44.6 Rcpres~ted by PROPER-T PERMIT SERVlCES P.O. Box 617, Cutchogue, NY 11935 James E. Fitzgerald, Jr. 516-734-5800 Revised April I. 2002 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 BOAHD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Applicati~t~ Wetland Permit Application ~/ Major Waiver/Amendme, Rt/#~hanges' Received Application: ~ ~2~0/C t Received Fee:$ Completed Application Incomplete SEQRA Classification: Type I Type II Unlisted Coordination:(date sent)~ C^CRe,e alSent: Date oflnspeetion: ff:~7 Receipt of CAC Report: Lead Agency Determination:__ Technical Review: Public Heating Held: c~/ Resolution: Minor Name of Applicant Address Salvatore Guerrera 98 Silas Carter Road, Manorville PhoneNumb~:( ) 878-8706 11949 SufFolk County Tax Map Number: 1000 - 122-4-44.6 PmpertyLocation: 1450 01e Jule Lane, Mattituck (provide LILCO Pole #, distance to cross streets, and location) AGENT: James E. ~itz~erald. Jr. / Pro~er-T Permit Services (If applicable) Address: PO Box 617, Cutchogue NY 11935 Phone: 73&-5aO0 Board of Trustees Application Land Area (in square feet): Area Zoning: Previous use of property: Intended use of property: GENERAL DATA 50,530 sf R-80 ?rivage residence Prior permits/approvals for site improvements: Agency Date X No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? X No Yes If yes, provide explanation: PROJECT DESCRIPTION: Construct dwelling with on-site sewage disposal system and public water. Construct fixed walkway 4' x 178', hinged ramp 4' x 16', and floating dock 6' x 20'. Floating dock to be secured by two piles. Board of Trustees WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Residence with dock for ~rivate recreation. Area of wetlands on lot: a~rox 38,97~luare feet Percent coverage of lot: 77 % Closes~ distance between nearest existing structure and upland edge of wetlands: N/A feet Closest distance between nearest proposed structure and upland edge of wetlands: -0- feet Does the project involve excavation or filling? No X Yes, for house If'yes, how much material will be excavated? · How much material will be filled? -0- cubic yards Depth of which material will be removed or deposited: 6 + Proposed slope throughout the area of operations: aovrox o Manner in which material will be removed or deposited: cubic yards estimated feet bulldozer Statementoftheeffect, ifany, onthew~landsandtidalwatersofthetownthatmayresultby reasonofsuchproposed operations(usea~achmentsifappropMate): It is expected that the project will have no significant effect on the wetlands and tidal waters of the Town. 1,1-16-4 (?./afl--Text 12 PROJECT LD. NUMBER 817.21 Appendix C Stete Environmental Quality Review ' SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPUCANT/BPONBOR I 2. PROJECT NAME James E. Fitzgerald, Jr. I Guerrera house and dock 3. pROJECT LOCATION: Mumc~;i,~ Matt£tuok . Cou,~ Suffolk 145© Ole Jul~ Lane Mattituck NY 1135~2 See attached maps. I$ PROPOSED ACTION: [] New r~ Exp~neion [] Mo~iflcatlonleltemtlon PROJECT DESCRIPTION: Construct dwelling with on-site sewage disposal system and public water. Construct fixed walkway 4' x 178', hinged ramp 4' x 16', and floating dock 6' x 20'. Floating dock to be secured by two piles. SEQR 7. AMOUNT OF LAND AFFECTED: Inltlllly 1 * 0 ~om. Ultimately ~m/~. ceres 8. WiLL PROPOSED ACT]ON COMPLY WITH EXISTING ZONING on OTHER EXISTING LAND USE RESTRICTIONS? [] yes ~] No If No, d~orJbe Dflefly g. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECY? ~1 Rotidefltlsl [] Industrial [] CommemJal [] Ag,culture [] Pltk/Forllt/Open .p~o Medium-size private watefro~t dwellings. 10. DOES ACTION INVOLVE A PERMIT APPROVAl., OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? (~ Ye~ [] NO If ye~, list agency(8) and permit/approvals Required: NYSDEC, NYSDOS, USACoE, Southold Trustees 11. DOES ANY A~PECT OF THE ACTION HAVE A CURRENTLY VAUD PERMIT OR APPROVAL? [] Ye. [~] NO If yea, Ilar agency flame &fid permit/approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? [] Yes [] NO I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEBT OF MY KNOWLEDGE James E.~t~gerald, Jr. __ Pro per-~Pex~it~ S ervi oe~u 8/30/01 // If 41~e 8=flon Js In the Coastal Ares, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 PART II--ENVIRONMENTAL ASSESSMENT (To be completed by Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCnR, PAnT 617.127 If yes, coordinate the review process and use the FULL EAF. [] Yes [] NO .~ B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, FART 617.67 ~f Ne. a negative declaration may Oe superseqed by another involved agency. C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, it legible) C2. Aesthetic, agricultural archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish'or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, or a change m use or intensity of use of land or other natura~ resources? Explain briefly. C5. Growth, subseduent development, or related activities likely to be induced by the proDosed action? Explain briefly. C.,6. Long term, short term, cumulative, or other effects not Identified in Ct-C6? Explain briefly. C7. Other impacts (including changes in use of either quantity or type of energy)? Explain briefly. D. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? [] Yes [] NO If Yes, explain briefly PART Ill--DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect ident~fied above, determine whether it ts substantial, large, importantorother, vise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude, if necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. [] Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. [] Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: Name of Lead Agency ~)ate 98 Silas Carter Road Manorville, New York 11949 President Board of Town Trustees Town of Southold Town Hall, 53095 Main Road Southold, New York 11971 Dear Sir: Please be advised that I hereby designate and authorize James E. Fitzgerald, Jr. of Proper-T Per- mit Services to act in my behalf as my agent in the submission and processing of a permit application for the construction of a house and associated structures and facilities on property of which I am the contract vendee located on Ole Jule Lane and designated by Suffolk County Tax Map No. 1000-122-4-44.6, and to furnish, upon request, supplemental information in support of the application. Sincerely, STATEMENT TO THE SOUTHOLD BOARD OF TOWN TRUSTEES County of Suffolk ) State of New York ) I, Sal Guerrera, being duly sworn, depose and affirm that I am the contract vendee of the property located at 1450 Ole Jule Lane, Mattituck, New York 11952, and identified by Suffolk County Tax Map No. 1000-122-4-44.6, and that all work will be done in the manner set forth in the present application and as may be approved by the Southold Board of Town Trustees. I agree to hold the Town o£ 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. I hereby authorize the Town Trustees or their agent(s) or representative(s) to enter upon my property to inspect the premises in conjunction with the review of the present application. Sal Guerrera Swom to before me this ........~....... day of...~..~...~... .................. 200...(... ~ Public LORRAINE ~I'~GLIANO GU~IRED IN SUFFOLK COUN1Y flEG. NO. 0~PE4941841 -- - ~ MY COMMISSION EXPIRES tF..~T. 6, _ ~ o AFFIDAVIT OF MAILING TO THE SOUTHOLD BOARD OF TOWN TRUSTEES IN THE MATTER OF THE APPLICATION OF: Debra Victoroff STATE OF NEW YORK COUNTY OF SUFFOLK James E. Fitzgerald, Jr., residing at 385 Haywaters Drive, Cutchogue, NY 11935, being duly sworn, deposes and says that on the 13th day of April, 2004, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the named persons at the addresses set opposite their respective names; that the addresses seC opposite the names of said persons are the addresses of said persons as shown in the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at Cutchogue, NY 11935, that said Notices were mailed to each of said persons by Certified Mail/Return Receipt Re- quested. ........ / ~ - Sworn to before me this ~ day of ~ey~;/ ,200 ~Z . Notary b~lic ~ (-~ ~e~ AFFIDAVIT OF POST1NG TO THE SOUTHOLD BOARD OF TOWN TRUSTEES 1N THE MATTER OF THE APPLICATION OF: Debra Victoroff STATE OF NEW YORK COUNTY OF SUFFOLK I, James E. Fitzgerald, Jr., residing at 385 Haywaters Drive, Cutchogue, NY 11935, being duly sworn, depose and say that on the 9th day of April, 2004, 1 personally posted the property known as 445 and 505 Dogwood Lane, Southold, 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, which dateis~oted thereo,~e/~qpdn~e_s~aY, April J~e~ E. Fitzgerald, Jr. o/j t Sworn to before me this c~ / day of~ ' ,2004. mot~ ~ TO: Date: l~pril 12, Adjacent Property Owners (Names and addresses are listed on the attached sheet.) 20O4 BOARD OF TRUSTEES, TOWN OF SOUTHOLD NOTICE TO ADJACENT PROPERTY OWNER In the matter of: Debra Victoroff. SCTM #1000-54-5-29.1 & 55 YOU ARE HEREBY GIVEN NOTICE THAT: 1. An application is being submitted to the Board of Trustees for a permit to: PROJECT DESCRIPTION: Construct single-family dwelling with on-site sewage disposal system. The project described above is proposed on property adjacent to yours. The street ad- dress of that property is as follows: 445 and 505 Dogwood Lane, Southold, NY 11971 I The project, which is subject to Environmental Review under Chapters 32, 37, or 97 of the Town Code, is open to public comment. A public hearing will be held at Town Hall, 53095 Main Road, Southold, New York 11971 at or about 7:00 PM on Wednesday, April 21, 2004. If you wish to commem you may call the office (631-765-1892), or applications may be reviewed and comments may be submitted in writing not later than 24 hours prior to the hearing. The project described above will be reviewed by the Board of Trustees of the Town of Southold. The project may require independent review and approval by other agencies of the Town, State, or Federal governments. PROPERTY OWNER'S NAME: MAILING ADDRESS: PHONE NO.: Debra Victoroff 610 W, I l0th Street, Apt 10D New York, NY 10025 212-222-1529 A copy ora sketch or plan showing the proposed project is enclosed for your convenience. April 12, 2004 'DEBRA VICTOROFF: ADJACENT PREPERTY OWNERS NOTICE NOT SENT (PROPERTY OWNER) 1000-54-5-55 & 29.1 Debra Victoroff 610 W. 1102 Street, Apt 1 OD New York, NY 10025 NOTICE SENT 1000-54-5-18 Paul & Deborah Belica 129 Kilburn Road Garden City, NY 11530 1000-54-5-20 John Kirincic & wf PO Box 1844 Southold, NY 11971 1000-54-5-28. I Elaine & Dimitrios Kelempelidis, Trustees 690 Washington Street, Apt 1-A New York, NY 10014 1000-54-5-56. 1 Thomas Rozakis & wf 67-43 Cooper Avenue Glendale, NY 11385 1000-54-8-1 Daniel Regan & wf 1860 N. Bayview Road Southold, NY 11971 1000-54-8-2 Alice Seifert 360 Dogwood Lane Southold, NY 11971 Proper- T Permit Services POST OFFICE BOX 617, CUTCHOGUE, NEW YOI~K 11935-0617 (631) 734-5800 August 30, 2001 President Board of Town Trustees Town of Southold Town Hall, 53095 Main Road Southold, New York 11971 Re: Application for Permit on Behalf of Satvatore Guerrera: S CTM # 1000-122-4-44.6 Dear Sir: Attached are documents which have been prepared in support of the application for a permit to construct a house and dock on the property of which I am the contract vendee in the Town of Southold. Proper-T Permit Services represents Mr. Guerrera in this matter, and a letter of authorization is part of this submission. If there are any questions, or if additional information is needed, please call me. ~S' erely, ~! ~6es E. Fitzger~ Enclosures: Application Fee ($200) Letter of Authorization Notarized Statement of Applicant Project Plan/Survey of Property (3 copies) Application Form (3 copies) Short EAF (3 copies) Vicinity Map (3 copies) Tax Map (3 copies) Section View (3 copies) a subsidiary of THE PECONIC EASTERN CORPORATION