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Home My WebLink AboutTR-6157 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town H~lAnnex 54375MainRoad P.O. Box 1179 Southold, New York 11971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0402C Date February 9, 2009 THIS CERTIFIES that the new entry to the existing dwelling, dormer additions and roof reconstruction At 1240 Love Lane, Mattituck Suffolk County Tax Map # 140-1-23.1 Conforms to the application for a Trustees Permit heretofore f'ded in this office Dated 3/8/05 pursuant to which Trustees Wetland Permit #6157 Dated 7/20/05 was issued and Amended on 10/19/05 ,and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for a new entry to the existing dwelling, dormer additions and roof reconstruction. The certificate is issued to LI SOUND OYSTER CO, LLC owner of the aforesaid property. Authorized Signature JUN - 5 2007 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dick~rson Dave Bergen Bob Ghosio, Jr. Town Hall, 53095 Main Rd. P.O. Box I 179 Southold, NY t1971 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: L/Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1 st day of construction ~ constructed V/Project complete, compliance inspection. INSPECTED BY: V¥'~.~, CERTIFICATE OF COMPLIANCE: James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 18,2008 Mr. Kevin Anderson P.O. Box 392 Ma~ituck, NY 11952 RE: LI SOUND OYSTER, LLC 1240 LOVE LANE, MATTITUCK SCTM#140-1-23.1 Dear Mr. Anderson: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., June 18, 2008: RESOLVED, that the Southold Town Board of Trustees grants the last One-Year Extension to Permit #6157, as issued on July 20, 2005 and amended on October 19, 2005. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, JFK:lms James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 June 20,2007 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD Mr. Kevin Anderson P.O. Box 392 Mattituck, NY 11952 RE: LI SOUND OYSTER, LLC 1240 LOVE LANE, MATTITUCK SCTM#140-1-23.1 Dear Mr. Anderson: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, June 20, 2007: RESOLVED that the Southold Town Board of Trustees grants a One-Year Extension to Permit #6157, as issued on July 20, 2005 and amended on October 19, 2005. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, President, Board of Trustees JFK:lms Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hail 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 Pre-construction, hay bale line 1st day of construction ¼ constructed Project complete, compliance inspection. 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) 765~6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 19, 2005 Mr. Thomas Anderson P.O. Box 1060 Riverhead, NY 11901 RE: '1240 LOVE LANE, MATTITUCK SCTM#140-1-23.1 Dear Mr. Anderson: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., October 19, 2005: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit #6157 to add dormers to the existing dwelling during the presently permitted roof reconstruction, and as depicted on the plan prepared by Anthony Portillo dated July 26, 2005 and survey prepared by John C. Ehlers last dated June 24, 2005. If you have any questions, please call our office at (631) 765-1892. Sincerely, Albert J. Krupski, Jr. President, Board of Trustees AJK:lms Board Of $outhold 'Town Trustees SOUTHOLD, NEW YORK PERMIT NO.... 6~.~ ............. DATE: ..~ly ISSUED TO Lz soured OYSTER, LL¢ ¢/0 ~0~ ~.~.~.~.~ ............ ut'harizatia Pursuent Jo f~ pro~islons of Chapter 61~ of ~e ~ of the Stab of New Yo~ 1893~ ~nd ~pfer ~ of ~e ~ of the - State of New York 19~2~ end ~e Southold Toen Ordinen~ t~led ?~R~U~TING AND ~E P~CING OF OBSTRUC~HS IN AND ON TOWN WATERS AND PUBLIC ~DS REMOVAL OF SAND, G~VEL' OR O~ER ~NDS UNDER TOWN WA~RS=~, and in ac~dan~ with 'the Resoldlon of ~e B~rd adopted at a meeting held ~ ..~.~..~.~ .2~....., and in consideration of the sum of $.....~.~.,..~.~...... paid by ~[ SOUND O~S~[R, ~C ............... of ................ ~.~.~.~-~-~ .............. ~-~"'" ...................... N. Y. and subject fo the Term~ and ~nditlons haled on the revere ride .~of, of ~uthdd Town T~ees authorizes and permlh ~e fo~o~ng: NeUland ?e=m~L Lo =eco~sL=uc~ ~e ex~s~n~ decks a~=ched ex~s~ =oo~, a~d ail as depicted on ~he su=ve7 ~=epa=ed John .C. [hZe=s [as~ dated 3u~e 24., 2005. aE in a~rdan~ with t~ deta~d s~i~t~ns as .~e ~g{~fln9 ap~ti~. IN WITN~S WHER~, ~e said ~rd ~ Trustees ~re- by ~u~s~ ~ate ~al to be a~xed, a~ ~e~ ~esen~ ~ ,ub~d by ~'majm~ of the said ~rd .as of this date. TERIdS and GONDITIONS LI Sound Oyter, .LLC ¢/o Tom Anderson ~t 1240 Love La,ne, Ma~tituck ,. ~ ~ .... tim ~aM ~ ~ Tautees ami the Town e~ 8outhold aze ~ ~ ~ ~ ~t~'~d~J~of ~ ~,4 ~~~ 4. That d~e work involved will be subject to the ~ and aH,torsi of d~e ltoud zt its agen~ and non-complhnce ~ith the prove, ohs of ~e odg~n,~-C application, may be _~-..e fm tm, oat~on of tMs Permit by [esoludon (~ the sam Bo~:L .~. Tlutt there MU be no umctsouable intetfet'e~ce ~ ns.vig,_~_.~ as a ~t,~_~ o~ dsc ~ 7. That if future opetatiom ~ the Town of .~uth0M re.We ~ ~ ancot al~ 8. That the sald Board will be no~F~ed by the Po~m!~tee ot dae om~gim~..~f the wink nuth' Idement. l m this pmuit sddd~ may'be suHect to revoke ul,~ ~.n.,~ to o~aln same. 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) 765-6641 July 20, 2005 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. Dan Hall Land Use Ecological Services, Inc. P.O. Box 1060 Riverhead, NY 11901 RE: LI SOUND OYSTER, LLC CIO TOM ANDERSON 1240 LOVE LANE, MATTITUCK SCTM#140-1-23.1 Dear Mr. Hall: The Board of Town Trustees took the following action during its regular meeting held on Wed,, July 20, 2005 regarding the above matter: WHEREAS, Land Use Ecological Services, Inc. on behalf of LI SOUND OYSTER, LLC CIO TOM ANDERSON 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 March 8, 2005 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 July 20, 2005, 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, 2 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 LI SOUND OYSTER, LLC CIO TOM ANDERSON to reconstruct the existing decks attached to the dwelling, construct a new entry and reconstruct the existing roof, and all as depicted on the survey prepared by John C. Ehlers last dated June 24, 2005. 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 ~nspection. (See attached schedule.) Fees: $50.00 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 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 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) ( ) 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 Apr, 19. 2005 2:39PM LandUse No. 0569 P. 2/2 MEMO DATE: April 19, 2005 TO: Town of Southold Board of Tmstccs ATTN: Heather Tctrault FROM: Dan Hall Re: L.I. Sound Oyster, LLC Proposed Ilousc and Deck Impmvemems SCTM# 1000-140-1-23.1 L.~ Board of Trustee~ Please utilize this correspondence as a requcst to postponc/ table the public hearing scheduled for April 20, 2005 until nex~ months meeting, May 25, 2005. The owner is changing Ibc scope of the propos(~d activities and nevised plans are being prepared to reflect same. If them are p. ny:questions or if additional infort~tion is required please do not hesitate to contact this office. Tl~nk You. DH Enc. FAX Only 209 West Main Street, 2nd Floor · P,O. Box 1060 . Riverhead, New York · 11901 631-727-2400. FAX 631-727-2605 Apr. 19. 2005 2:39PM No. 0569 P. 1/2 FAX TRANSMISSION SHEET DATE: April 19,2005 TO: Town of Southold Trustee~ ATTN: Heather Tetrault FROM: Dan Hall RE: LI. Sound Oyster, LLC Proposed House &Deek Additions FAX fi'; (631) 765-6641 Cf OF PAGES: (2) REMARKS: (including FAX transmission shse~) Il'there arc any qm..'stions please don't hesitate to contact our office. P,O, Box 1060, 209 W. Main St., Rlverhead, NY 1190~. Phone: (631)-727-2400 .- ~; Telephone (631) 765-1892 Town H~l 53095Route 25 P.O. Box 1179 Southold, New Yorkl1971-0959 CONSERVATION ADVISORY COUNCIL TOWN OF SOUTHOLD At the meeting of the Southold Town Conservation Advisory Council held Mon., April 11, 2005, the following recommendation was made: Moved by Don Wilder, seconded by Doris McGreevy, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH CONDITIONS of the Wetland Permit application of LI SOUND OYSTER, LLC cio TOM ANDERSON to construct alterations and additions to the existing single-family residence; construct a second-story addition to the existing 960 sq. residence; remove the existing 8'X 17' deck area on the southwest side of the residence; reconstruct the existing deck on the northwest side of the residence with an additional 14'× 17' of deck area; construct a 6'X 12' covered entrance on the southwest side of the residence; and to maintain the existing pervious gravel driveway, as required. The residence will utilize the existing well and sanitary system. Located: 1240 Love Lane, Mattituck. SCTM#140-1-23.1 The CAC recommends Approval of the application with the Condition there is no further encroachment of the deck toward the water, and drywells and gutters are installed to contain the roof run-off. Vote of Council: Ayes: All Motion Carried Sept 14, 2005 Field Inspecte Sept 14, 2005 Field · Sept 14, 2005 Field Inspect~ Sept 14, 2005 Field SURVEYED 05-14-2004 TOPO ADDED 12-28-2004 F~OPOSED ACTIONS O~-OI-2OO5 REVISED O~-11-2OOS, 06-01-2005, 06-24-2005 ~UFFOLK COUNTY TAX IOOO-140-I-2B.I NOTES: · MONUMENT FOUND AREA SEAk',IARD OF PINNED HAh'BALE LINE TO ESE i3UFFER AREA (AREA OF NON DI.STURBANGEJ TIDAL INETLANDS LINE IS SYNONYHOUS HITH THE A.H.I,N.I'4. AS OBSERVED BY LAND USE ECOLOCICAL SERVICES, INC.. ON ~-2~-O4 ELEVATIONS REFERENC.E N~VD'2~. SEPTIC AND' HELL LOCATIONS AS PER OINNER AREA = ~O6 SF OR 0.98 ACRES P~OPERT~ LIES IN FEHA FLOOD ZONE AE II ®~APHIC SCALE I": 40' DF'OSEO ~o ~ N TABLE OF At~.,EA5 EXISTIN~ COVEI:~A~ES House~ ~r~ 1,444 5F 4.~ TOTAL ~1~ JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.-\~-Ip server\d~PROS\O4-199.pro Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson BOARD OF TOWN TRUSTEES TOWN OF $OUTHOLD APPLICATION FOR AN AMENDMENT TO A Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 DATE !oJ C / O ~ OW R L-7. ADDRESS 1 7_~<:> AGENT ~ ~D~SS ~,, PROPERTY LOCATION TAXMAPNO. \k~O-/-- I/Wc'~-.t)tOx ~r'~ request an Amendment to Permit Albert J. t~-upski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town ttall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only Coastal Erosion Permit Application .~iand Permit Application __ Waiver/Amendment/Chanflez ..~R_ ecei~ed Application: /Received Fee:$ r~.~h)~ ._~mpleted Application _~lacomplete .SEQRA Classification: Type I ~rype II Unlisted. Coordination:(date sent) ~AC Referral Sent: _ Oate ortns tion: Receipt of CAC Report: Lead Agency Determination: __ Technical Review: Public Hearing Held: -Re~olution: ,~Major Minor Bo~i~¢ oJ Trust~ee, e NameofAppli~ LI Sound Oyster, LLC c/o Tom Anderson Address 781 Mill Rd. Riverhead NY 11901 Phone Number:( ) (631) 369-2934 Suffolk County Tax Map Number: 1000 - 1 40-1-23.1 PropertyLocation: 1240 Love Lane, Mattituck, NY 11952 (145' northwest of Middle Rd.) (provide LILCO Pole #, distance to cross streets, and location) Dan Hall / Land Use Ecological Services, Inc. AGENT: (If applicable) Address: P.O. Box 1060 Riverhead, NY 11901 .......... Phone: ~31) 727-2400 Board of Trustees Application GENERAL DATA 33,806 s.f. +/- Land Area (in square feet): Area Zoning:. Marine 2 Previous use of property:_ Intended use of property: Residential/Commercial Shellfishing, Residential /Commercial Shellfishing, Aquaculture Aquaculture Prior permits/approvals for site improvements: Agency NYSDE~#1-4738-00869/00001 NYSDEC # 1-4738-00869/00005 Town of Southold Trustees Date 12-3-93 12-29-99 1-27-94 ~ No prior permits/approvals for site improveme._nts. Has any permit/approval ever been revoked or suspended by a governmental agency? x No Yes If yes, pi'ovide explan~ion: Project Description (use attachments if necessary):_ Please See Attached Project Description. L.I. Sound Oyster, LLC- Southold Project Description: (House Alterations / Additions) Applicant proposes alterations and additions to an existing single family residence. A second story addition is proposed to the existing 960 s.f. residence. A 17'x8' deck area on the southwest side of the residence is proposed to be removed. The existing deck on the northwest side oftbe residence is proposed to be reconstructed with an additional 17'x14' of deck area proposed. A 12'x6' covered entrance is proposed on the southwest side of the residence. The existing pervious gravel drive is proposed to be maintained as required. The residence is proposed to utilize the existing well and sanitary system. Board of Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of thc proposed operations: Additions / alterations to existS-rig single family residence. Area of wetlands on lot: 0 square feet (6,750+/- Percent coverage of lot: Closest distance between nearest existing structure and upland edge ofwetlaeds: 70' feet (existing deck) s.f. Adjacent wetlands) Closest distance between nearest proposed structure and upland edge of wetlands: 70' feet (existing deck to be reconstructed) N/A cubic yards cubic yards Does the project involve excavation or filling? X No Yes If yes, how much material will be excavated? How much material will be filled? N/A feet Depth of which material will be removed or deposited:. N/A Proposed slope throughout the area of operations:. 0-1 0 % N/A 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): The proposed project will not have any affect on the existing wetlands and tidal Waters. PROJECT ID NUMBER PART 1 - PROJECT INFORMATION I1. APPLICANT I SPONSOR i D Hall/Land Use for LI Sound Oyster, LLC 61720 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant or Project Sponsor) 12~ PROJECT LI Sound Oyster, LLC - Mattituck Suffolk County SEQR 3.PROJECT LOCATION: Southold Town Municipality 4, PRECISE LOCATION: Street Addess and Road Intersections, Prominen( landmarks elc -o~ provide map 1240 Love Lane, Ma~tuck, NY ~ SCTM#1000-140-1-23.1 5, IS PROPOSED ACTION: [] New [] Expansk)n [] Modification I alt~ation 6. DESCRIBE PROJECT BRIEFLY: Please See Attached Project Description. 7. AMOUNT OF LAND AFFECTED: Initially .78 acres Ultimately .78 m3ras 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? []Y- ri .o 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT'? (Chonae as n&any as al~.) [-~--]Restdential [~lndustria, []~1 ~]Agriculture [--'~ Park / Forest / Open Space [~Othe~(descdbe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State ~x Local) []Yes [---JNo If yes, list agency name and permit I approval: Town of Southoid II.DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ~'~Yes [-~No if yes, list agency name and permit / approval: 12. AS A ~;.~ULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? E~Yes I~1 No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS RUE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name Dan Hall / Land Use Ecological Services, Inc. Date:August 17, 2004 If the action Is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment 'ART II - IMPACT ASSESSMENT (To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE ~ THRESHOLD IN 6 NYCRR, PART 6174? It yes, coordinate the review process and use the FULL EAF. [~] Yes ~]No B. WILL ACTION RECEIVE COOROINATEO REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative declaration may be superseded by anofher involved agency. E~Yes r--~ No COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwctten, if legible) C1. Existing air quality, surface or grofl~lwater quality or quantity, no~se levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage~ ?~;.~ p.u~i,=.~s? Explain bdefly: C2. Aesthetic, agricultural, archaeological, historic, or othe~ natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetalkm or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endange~ C4. A community's ex~sfing plans or goals as officially ad~, or a chaage m use or i~ ol land or o~her natu~ C6. Long tet"m, short te~rn, cumulative, or other effects no( identified in C1-C57 Explain txiefly: C7. ~ of either uant' or ofe in bhefl: ................... D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CH~J~ACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? (ff yes~ eXrn~in Ixfetl¥: ~' IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVE~ ~ART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occuntng; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or mforence supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question d of part ii was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. Check ihls box if ~u have Idantlfisd ose or more pcteaifafiY large or signifisaat advorse Impacts which MAY °cour* Then proceed directly to the FULl. FAF and/or I~epem a pceltlve declamtloe · Check this box if ~ have dctmmined, based an the in~ arKI esal~sis above and any supporting documenlation that the proposed actto~ ~LL NOT result In any si~t adveme anvtronmeatal impacts ~ provide, o~ attachments as necessary, the masons supporting thi; detorminatls~. Name of Lead Agency Dale Pdnt or Type Name of Resp~bl~ Officer in Lead Agency Title of Responsible Officer Signature of Resp(xnsilde Officer in Lead Agency Signature of preparer (If different Eom responsible officer) L.I. Sound Oyster, LLC - Southold Project Description: (House Alterations / Additions) Applicant proposes alterations and additions to an existing single family residence. A second story addition is proposed to the existing 960 s.f. residence. A 17'x8' deck area on the southwest side of the residence is proposed to be removed. The existing deck on the northwest side of the residence is proposed to be reconslmcted with an additional 17'x14' of deck area proposed. A 12'x6' covered entrance is proposed on the southwest side of the residence. The existing pervious gravel drive is proposed to be maintained as required. The residence is proposed to utilize the existing well and sanitary system. Board of Trustees Application County of Suffolk State of New York Dan Hail / Land Use Ecological Serv~GDULYSWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCPdBED PERMrr(s) AND THAT ALL STATEMENTS CONTAINED H~REIN ARE TRUE TO THE BEST OF HIS/Htt. R KNOWI.F. DC_~ 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 AGI~I~$ TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROMANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTU~ OF SAID PERMIT(S), IF C-RANTED. IN COMPLETING TI-HS 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. '~ Signature SWORN TO BEFORE ME THIS DAY IMYCYNTHIA ALVAREZ NOTARY PUBLIC, STATE OF NEW¥ORK I No. O1 AL6080878 QUALIFIED IN SUFFOLK COUNIY COMMISSION EXPIRES BEP[ 23, 20_~' Name: PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Address: Helen Z. Reeve Mattituck Park District Peter & Deborah Oflowski Herbert Swanson Irrevocable Trust c/o Gary Swanson, Trustee P.O. Box 47 Mattituck, NY 11952 P.O. Box 1413 Mattituck, NY 11952 P.O. Box 885 Mattituck, NY 11952 20512 Pointe Regatta Dr. Cornelius, N.C 28031-2249 STATE OF NEW YORK COUNTY OF SUFFOLK ~ ' ' i)q~l - , .being duly sworn, deposes and Says that on the 'D~ day of ~D(¢I ,~3'~a~, deponent mailed a true copy of the Ndtlce 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 Notlces w~re mailed at the United States Post Office at~;¥~r~e-~t ~' , that said Notices were mailed to each of said persons by (certified) CYNTHIA ALVAI~EZ NOTAI~Y PUBLIC, S TAT£ OF No. 0]AL$080878 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-~1 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 . __ , residing at 2<D~ C;O(3~- ~4Cc(~, ~' being duly sworn, depose and say: That on the i 4ay of j}ko£~ [, 200K,, I personally posted the property k, ng~n as t by placing the Board of Trustees ot'ficial 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 ~ ~l~ -t~Lff-~ ~- ~l [/)t:~, (~lrl~ ~O~ i~t.~o' Dated: Sworn to before metes /d~ o f~/[200~ Boa! )f Trustees Application AUTHORIZATION (where the applicant is not the owner) (L.I. Sound Tom Anderson Oyster, LLC) residing at 781 Mill Rd. (print owner of property) (mailing address) Riverhead, N.Y. 11901 do hereby authorize Lmnd (Agent) Use Ecological Services, Inc. tO apply for per~it(s) from the Southold Board of TownTrustees on my behalf. ((~wner s s~nature) LandUse March 4, 2005 Town of Southold Board of Town Trustees P.O. Box 1179 Southold, N.Y. 11971 Re: L.I. Sound Oyster, LLC c/o Tom Anderson Proposed House Alterations / Additions) To Whom It May Concern: Z~,U3 Board of Trustees Enclosed please find an application package for the above referenced project which includes the following: - (6) copies of the completed application form. - (6) copies of a Short Environmental Assessment Form. - (6) sets of plans (Surveys). - Application fee ($250.00). If there are any questions, or if you require additional information please don't hesitate to contact this office. Sincerely, ~ ,! Dan Hall Land Use Ecological Services, Inc. DH Eng, 209 West Main Street, 2nd Floor · P.O. Box 1060 · Riverhead, New York · 11901 631-727-2400 · FAX 631-727-2605