HomeMy WebLinkAboutTR-4961 (2)
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 SOlJTHOLD
June 13, 20~
Mr. & Mrs. Norman Shapp
255-18 Iowa Rd.
Little Neck, NY 11362
RE: 485 Orchard La.Ie, Southold
SCTM#89-2- 7
Dear Mr. & Mrs. Shapp:
The Southold Town Board nfTrustees made an inspection of your property on June 12, 2002.
Please be advised that you have several violations on your property and you must apply for a
Wetland Permit in order to correct them.
The non-djsturblill.c~ \;utIer ar,~l1 on the seaward side of the dwelling has been cleared. A re-
vegetation plan for tc:.:r arca must be subm~tted with the application, along with an amended
survey sho'ving the new :ocation of the hous.:. Alse, a iOW of staked haybales must be placcd
down from property iinc w property line, as showr:. on the enclosed survey.
!fyou ~we any (;.ue~ticns, pl~l'.s:J dl)n"t hesitate to ca!1.
Tnank you.
Very truly yours,
~ (I. /&...._~. (2.,
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Albert J. Krupski, Jr.
President, Board of Trustees
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Albert J. Krupski, President
James King, Vice-President
Artie Foster
Ken Poliwoda
Peggy A. Dickerson
I
. 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
TO:
Mike Verity
Building Department
FROM:
Board of Trustees
DATE:
June 10, 2002
RE:
NORMAN SHAPP
485 Orchard Lane, Southold
SCTM#89-2-7
We would like to request that before a Certificate of Occupancy is issued to the above-
referenced property owner, that you contact our office. We would like to make a final
inspection to determine whether or not the violations have been satisfied.
Thank you for your cooperation.
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..,
.
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
TmVN OF SOUTHOLD
August 30,2001
Mr. Richard Bonati
Mr. Arnold Rasso
5 Pepperidge Lane
East Moriches, NY 11940
RE: 485 Orchard Lane, Southold
SCTM#89-2-7
Dear Gentlemen:
The following action was taken by the Southold Town Board of Trustees 011 Wednesday, August
29,2001:
RESOLVED that the Southold Town Board of Trustees grants a One-Year Extension to Permit
#4961 to construct a single- family d'.velling, septic system, driveway and cleck, "ll in accordance
with the terms and conditions of the origiJ'al permit. This is the last extension that will be
granted.
This is not an approval frotn ::my other igcilCY.
If you have any questions, please do not hesitate to contact this office.
Sincerely,
t2:tL.1 (J. /L,>~'~.
~ I ,
Albert J. Krupski, Jr.
President, Board of Trustees
AJK:lms
.
.
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
Teiephone (631) 765-1892
Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOU'I'HOLD
August 25, 2000
Mr. Richard Bonati
Mr. Arnold Rasso
P.O. Box 83
Yaphank, NY 11980
Re: 485 Orchard Lane, Southold
SCTM#89-2-7
Dear Gentlemen:
The following action was taken at the Southold Town Board of
Trustees Meeting held on Wednesday, August 23, 2000:
RESOLVED, that the Southold Town Board of .rrustees grant the
request for an Amendment to Permit #4961 for a new footprint of
the house in accordance with the 5urv'~y dated June .30, 1998 and
last revised June 8, 2000, and for a ;me-"year oX1:.enti"~n to the
permit.
i.rhis is not an apprGval fram an-y et.her ag'];,,:~:y.
If you have any questions, please call ou= offic~ at 765-1892.
Sincerely,
~~. /~~.~.
Albert J. Krupski, Jr.
President, Board of Trustees
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OCJS-3205 12/971 .FALSE STA TEMENTS ARE PUNISHABLE AS A CRIME. PURSUANTTO THE NEW YORK STATE PENAL LAW
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Town 01 Southold
Suftolk County, NY
The People of the S\Ole of New York ...
lAST NAME (DEFENOANl) . FIRST NAME
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Telephone
(516) 765-1GQi.
Town Hall. 53095 Main Road
P.O. BOl< 1179
Southold. New York 11971
SOUTHOLD TOWN
CONSERVATION ADVISORY COUNCIL
At the meeting of the Southold Town Conservation Advisory Council held Tuesday, August 15,
2000, the following recommendation was made:
RICHARD J. BONATI & ARNOLD E. RASSO 89-2-7 to Amend Permit #4961 for a new
footprint of the house. .
485 Orchard Lane, Southold
The CAC did not make an inspection, therefore no recommendation was made.
.
.
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
June 22, 2000
Mr. Richard Donati
P.O. Box 83
Yaphank, NY 11980
RE: 485 Orchard Lane, Southold
SCTM#89-2-7
Dear Mr. Bonati:
The Permit #4961 for the above-captioned property will expire on
September 23, 2000. Wetland permits are valid for two years at
which time all work must be completed.
If you need an extension, you may apply for a one-year extension
to the permit at least one month prior to the expiration date.
You are allcw~d a total of two (2) one-year extensions. A
$10.00 fee .t.s chdrged ~or each extension and the request. must be
made in writing to the Board of Trustees and will be scheduled
on their r!p.::t monthly meeting for review.
If you have a~y ques~ions, please give our office a ca~l.
Very truly yours,
a~ J1lJ(~l:J
Lauren Standish, Clerk
Board of Trustees
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
June 22, 2000
Mr. Richard Bonati
P.O. Box 83
Yaphank, NY 11980
RE: 485 Orchard Lane, Southold
SCTM#89-2-7
Dear Mr. Bonati:
The following action was taken at the Southold Town Board of
Trustees Regular Meeting on June 21, 2000.
RESOLVED, that the South0ld Town Board of Trustees approve the
request for a Transfer of Permit #4961 from Martin & Denise
Krall to Richard~. Sonati & Arnold Rasso with the c~ndition
that the terms of the permit are followed.
If you have any questions, please contact our office at 765-1892.
Sincerely,
(ktt..1 0 /~~.~.
Albert J. Krupski, Jr.
President, Board of Trustees
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DUS.320S (2/97) *FALSE STATEMENTS ARE PUNISHABLE AS A CRIME. PURSUANT TO THE NEW YORK STATE PENAL LAW.
.
.
P.O. Box 385
Islip,NewYork 11751
August 8, 1998
Trustees Department
Town of Southold
Southold, New York 11971
Re.: Transfer of Dock Permit Title
Tax Map#: 1000-89-02-07
#485 Orchard Lane, Southold, New York 11971
Dear Sir:
By way of this letter, we are hereby requesting a transfer of the "Permit Title" on the currently
existing dock on the above referenced property. We request that the title be transferred from
Frank Licari to us, as "Contract Vendees". Attached is a signed statement from Mr. Frank Licari
authorizing such transfer of title.
Thank you for your assistance with this request and if you have any questions or need further
information, please contact us at (516) 581-0186 or (516) 277-4558. Again, thank you.
Respectfully yours,
~~<<~
Martin & Denise Krall
..-
~
.
.
.
~
Albert J. Krupski, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
Town Han
53095 Main Road
P.O. Box 1179
Southold, New York 11971
Telephone (516) 765-18'12
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
September 24, 1998
Martin & Denise Krall
P.O. Box 385
Islip, NY 11751
Re: SCTM #89-2-7
Dear Mr. & Mrs. Krall,
The following action was taken by the Board of Town Trustees
during its Regular Meeting held on September 23, 1998, regarding
the above matter:
WHEREAS, MARTIN & DENISE KRALL, applied to the Southold Town
Trustees for a permit under the provisions of the Wetland
Ordinance of the Town of Southold, application dated September
1, 1998 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 September 23, 1998, 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 standard set forth in
Chapter 97-18 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 approves the application of
MARTIN & DENISE KRALL to construct a single family dwelling with
septic system, driveway and deck with condition that haybales be
moved 15' towards Dryad's Basin and drywells be placed to
contain roof runoff, and,
BE IT FURTHER RESOLVED that this determination should not be
considered a determination made for any other Department or
Agency which may also have an application pending for the same
or similar project.
Permit to construct and complete proiect will expire two years
from the date it is signed. Fees must be paid, if applicable,
and permit issued within six months of the date of this
notification.
Two inspections are required and the Trustees are to be notified
upon completion of said project.
FEES: None
Very truly yours,
~.t-t..1 r;. ~ 9,
Albert J. Krupski, Jr.
President, Board of Trustees
AJK/djh
cc . DEe
Dept. of State
Health Dept.
Bldg. Dept.
.
.
385 Orchard Lane
Southold, New York 11971
August 8, 1998
Trustees Department
Town of Southold
Southold, New York 11971
Re: Transfer of Dock Permit Title
Tax Map#: 1000-89-02-07, #485 Orchard Lane, Southold, New York 11971
Dear Sir:
By way of this letter, I, Frank Licari, authorize that the Permit Title on the currently existing dock
located on the above referenced property be transferred from my name to Martin & Denise Krall,
as "Contract Vendees".
If you have any questions, please feel free to call me at (516) 765-5185. Thank you for your
timely cooperation in this matter.
Sincerely,
;/~/~
Frank Licari
.
.
Telephone
(516) 765-1801
Town Hall. 53095 Main Road
P.O. Box 1179
Southold. New York 11971
SOUTHOLD TOWN
CONSERVATION ADVISORY COUNCIL
At the Southold Town Conseravation Advisory Council meeting held Monday,
September 21, 1998 the following recomemndation was made:
No. 1592
Moved by Sharon Shine, seconded by Scott Hilary, it was
RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL
of the Wetland Permit Application of MARTIN and DENISE KRALL 98-2-7 to
construct a single family dwelling with septic system, driveway and deck.
485 Orchard Lane, Southold
Vote of Council: Ayes: All
Motion Carried
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5 Pepperidge Lane
East Moriches, N.Y.
11940
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To whom it may concern,
I am writing to request a final one year renewal for permit # 4961. (485 Orchard
Lane)
e
;;::;tJ {~
Arnold E. Rasso
e
..
..
Albert J. Krupski, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 11971
Telephone (516) 765-18'12
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
. TOWN OF SOUTHOLD
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.
..,
Albert J. Krupski, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 11971
Telephone (516) 765-18.92
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Coastal Erosion Permit Application
)C Wetland Permit Application
Grandfather Permit Application
---Waiver/Amendment/Changes
Received Application: 9-/- 'i r---
Received Fee:$
Completed Application
Incomplete
SEQRA Classification:
Type I Type II Unlisted
Coordination:(date sent) ----
CAC Referral Sent: p- ~-ril::-
Date of Inspection: Cf- ~-
Receipt of CAC Report:
Lead Agency Determination:
Technical Review:
Public Hearing Held: '-01.3 -fC.
Resolution:
SEP '-11I8
TOWN OF SOUTHOLD
Office Use Only D
~D
SEP , 0 1900
~
Name of Applicant ~ItL~ ~A0A1 T-_~/$e...
Address RI}. !.1f . ?i'S- / 2$ L~~ 1JIa./ /~,.eJ( //7.57
Phone Number: (.57~) fJ'l-~/tf"6 Pr- (:f7~)./ 7?-f/5:rg
Suffolk County Tax Map Number: 1000 - ItJ- i!JP( - CJ 7
Property Location: fl'f tkdd~L .L/J#t) S()t/7fO,&( ./YP/J'/;/
(provide LILCO Pole i, distance to cross
AGENT: ~aLL #II~/;# ,... h/5'e.
(If applicable)) -
Address: /!t)'/~ 3tf~ J$Lt/_
streets, and location)
#~ lIbJ //7.3/
/
Phone :W~ )W: t>/,r~ ~i)~77--1d3;J
FAXi :~) _g/- S-~;z.1
1
. Board of Trustees APPlation
GENERAL DATA
Land Area (in square feet): 015 t W "VI- .//;
"J}E K / t9 P
Previous use of property: ~t!.-aA"/ La#~
Intended use of property: ~,,s,I-lU(c/1,:w' ",,P ~/'vtl/e.
;
Area Zoning:
S;1fL~- /iiw/fy ~d/~
Prior permits/approvals for site improvements:
Agency
Date
No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a
governmental agency?
.2S- No
Yes
If yes, provide explanation:
Project Description (use attachments if necessary):
~/Y'.sI-Lt{~I;t?/V' ~r &;va/E; S>Ajk h/Y/f.y .J/weIL/~
jJ/eqse. See- /2ec(!,IV/ StI.evey a>/TII peer:' /Je/iIVr''' ~~A.lt/N' ~
~ /'
2
. Board of Trustees APPli~on
WETLAND/TRUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations: &#s/.€4'e.l1t:w' ~/ ~~4r-e
--
Si/V"Je- h~/y'
~ "
2)weL~;V4 .
v
/~ -r feet
Area of wetlands on lot: - square
, {dulea0
Percent coverage of lot: /S' %
Closest distance between nearest existing structure and upland
edge of wetlands: feet
Closest 'distance between nearest proposed structure and upland
edge of wetlands: tr I feet
.
involve excavation or filling?
~ Yes
Does the project
No
If yes, how much material will be excavated?
cubic yards
How much material will be filled? / ~ :!: cubic yards
Depth of which material will be re~oved or deposited:~LO~~~o_~:~.
feet ~~
Proposed slope throughout the area of operations: Less ~ 11/ 1i!J Y
Manner in which material will be removed or deposited:
J3 ///1 L t3 ;ze IL-
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):
IY~ &Freer;
~ d'e~b~ ~/~L
s.
?E~
3
.
.
.'
1....16-4(2187)- Text 12
I PROJECT 1.0. NUMBER
SEe
617.21
Appendix C
State Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
PART I-PROJECT INFORMATION (To be completed by Applicant or Project sponsor)
2. PROJEC NAME
4.
'1IF &,eddlid i4#e
St?tlYi,,'~ lIew Y~K /1171
jJleA/2es~ ..&~sec:.~A:.J ~
c:?ed.u .8ezcA
.,P 77 /pc.II-e
5. IS PROPOSED ACTION:
New 0 expanSion
6. DESCRIBe PROJECT BRIEFLY:
o Modification/alteration
~t?#81k~~,v ,,;= &/1't:lIt!!.
~
9~/e -/;;tf''ly.1:>ule'L/~
7.
If No. describe briefly
a.
9. WHAT IS PRESENT LAND USe. IN VICINITY OF PROJECT?
~AeSidenUal O.!ndustrial 0 Cammercial
O"S~~j~ /ill'Jdy j,/,/1/es
o Agriculture
U Park/ForesvOoen space
OOlner
10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL.
STAT!.fR LOCALl?
~ Yes 0 No If yes, list agency(s) and permiUapprovalS
bee. fAldL~""'ds /e.JeP//r-
"':r-
11. ooes ANY ASPECT OF THE ACTIO'''' HAve A CURRENTLY VAllO peRMIT OR APPROVAL?
o Yes. ~o If yl9S, list 4ge"cy name and permiUapproval
12. AS A AESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE .\100IFICATION?
DYes 0
I CERTIFY THAT THE INFORMATION PROVIOED ABOVE IS TRUE 70 THE 3EST OF MY KNOWLEDGE
Applicant/sponsor
Odle:
3'-/f-?efY
Slgnalure:
If the action is in the Coos tal Area. and you are a state agency, complete the
Coastal Assessment Form betore proceeding with this a.~~essment
OVER
PART II-ENVIRONMENTAL ASSESS4- (To be completed by Agency) .
A. DOES ACTION EXceEO ANY TYPE I THRESHOLD IN 6 NYCRR. PART 617.12? If yes, cooroinate the re'liew :::rocess anCl use the FULL f)AF.
DYe. DNa
e. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIOED FOR UNLISTED ACTIONS IN 6 NYCRR. PART 517.6? If No, a negative declatatl{
may be superseded by another involved agency.
DYe. DNa
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten. jf legible)
C1. Existing air quality. surface or" groundwater Quality or Quantity. noise levels. existing traffic patterns. solid waste produc:ion or dlsoos;
potential lor erosion, drainage or flooding prOblems? Explain briefly:
C2. Aesthetic, agricultural. archaeological, historic. or other natural or cultural resources; or community or neJgnbOrhOOd character? E.xplain orle
eJ. Vegetation or fauna. fish, snelUlsh or wildlife species. significant habitats, or threatened or endangered species? E.xPlain briefly:
C4. A community's existing plans or goals as atflcJally adoPted. or a change in use or Intensity of use at land or other natural resources? Explain brio
CS. Growth. subsequent development. or related activities likely to be induced by the proposed action? Explain brietly.
ca. Long term, short term. cumulative, or other effects not identified in C1.C5? Explain brletly.
C7. Other impacts (InCluding changes in use of either Quantity or type of energy)? Explain briefly.
Ii
O. 15 THERE. OR IS THERE LIKELY TO BE. CONTROVERSY RELATEO TO POTENTIAL AOVERSE ENVIRONMENTAL IMPACTS?
DYes 0 No If Yes. explain briefly
PART 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 signific;
Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occ~g: (c) duration;
irreversibility; (e) geographic scope; and (t) magnitude. If necessary, add attachments or reference supporting matenals. Ensure tI
explanations contain sufficient detail to ShOw that all relevant adverse impacts have been identified and adequately addressed.
D
D
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 incil,ny significant adverse environmental impacts
AND proYide on attachments as necessary, the reasons supporting this determination:
:\l.lIIh~ Of Lo.:dd A!:~ncy
t'Tln( Ot Iy~ N...me Of Ke~pon\IOle UlilCer In LO:dd Ago:ncy
ride or Ko.:soons.ole Olllcer
)rlln.llure Of I(e\ponslble Oflicer In lead ^gency
S'KndlUte Of Pr("p.uer IIf drlf("re,'rt from responSIOle OfllCerj
OdiC
2
...
.
.
,
New York State Department of Environmental ConMrvatlon
Notice of Complete Application
~
~
~
Dale
08117/98
Applicant FRANK LIC~I
38S ORCHARD LN
SOUTHOLD NY 11971
Facility FRANK F. LICORI PROPERTY
48S ORCHARD LANE
SOUTHOLD NY 11971
Application ID 1-4738"()202S/OOOO1
Permil(sJAI>PI*l l' ARTICLE 2S: TIDAL WETLANDS
Projsc1istocated IN SOUTHOLP IN SUFFOLK COUNTY.
This is to advise you that yout application lor the above permit(s) is complete. Additional inlormation may
be requested lrom you at a future date if needed to process the application.
It has been d8termlned that your application Is a minor project and we have determined that it will not have
a significant impect on the environment.
A decision will be mailed to you within 4S days.
For ful1her information please contact:
CHARLES T HAMILTON
NYSDEC
SUNY" STONY BROOK BUILDING 40
STONY BROOK NY 11790-2356
" (516) 444"()365
Send To:
FRANK LICARI
385 ORCHARD LN
SOUTHOLD NY 11971
cc: File
,
.
, . .
.
(foId'2)
c
NEW YORK STATE OEPARmENT OF ENVIRONMENTAL CONSERVATlON
DIVISION OF ENVIRONMENTAL PERMITS
NYSDEC REGION 1 HEADQUARTERS
SUNY. STONY BROOK BUILDlNG'O
STONV BROOK, NEW YORK " 790-2358
..'.
. , . ~
i'
MARTIN & DENISE KRALL
P.O. BOX 385
ISLIP NY 11751
\. \.-n.:~.. .,11,"111.,,1,1,1111.11.1.1,1
1.1.\.".1111..,..11,1.,1.,\.1.1..1..1.1..1.1,1
'.
~~~CEIPT OF APPLICATION
The Division of Environmental Perm~s has received the application referenced below. The material sub-
mitted is being reviewed by staff, and you will be advised in writing regarding the department's findings.
In all future communications. please refer to the Application 10 number.
AppIicaIion 10:
Oa/. Received:
Applicant:
Facility:
Oesctipliofl:
OEC Contact
1-4738-02025I00001
AUGUST 14,1998
FRANK LICARI
FRANK F. LlCORI PROPERTY
CONST5TRUCT A SFD
MARILYN E PETERSON
,"
I
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
Name:
Address:
U.S. Postal Service
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Postage $
Certified Fee
Return Receipt Fee
(Endorsement Required)
Restricted Delivery Fee
(Endorsement Required)
Total postage & Fees $
No (Pleaskrnt flearly) )t;comp~ted by mailer) um_m__um________
f:~J'/!tt;:;;i'4ii"mmm
I
STATE OF NEW YORK
COUNTY OF SUF'!?OL;-:
.A r ,0) I J 1:;-. :j(,U;S.V _ ,residing at ~ ft'.~P~'7 J'i-e.- 4L
/::-. /lAI,-t..t...V -;:zrr- /iT/fI, being duly sworn, JposeS" and savs
that 'cn~~ne -:-~':f=--day of IrA'i1t ,...a:- 0(: , deponent mailed
:i tn:.e copy of the Notice set fo th in the Board of Trustees
Applicatio;1, d.:..rected '.:0 each of t~e above named persons at the
addressp.s set CP2csite thera respective names; that the
ad.\il'\~~s;.,;:ps 3~t op.';;oslt.-9 t:!.'le name~ of said persons are thf.! add=s3s
cf said persons as s~cwn on the current assessment roll of the
l'own 0: SO'lthci,j,: i:hai: said Notices were mailed at the United
States Post Office at , that said Notices
were mailed to each of said persons by (certified) (registered)
mail. ~ IJ f t', .,1,
{}k~ ' ./~
Sworn t~efore me this ,;)1
day of J' L'I ;i9 ;u>o 0
~~{~~cj/~
EllZABElW ASTAtHlS
NOTARY PUBlIC. Slate of NewVClIIl
No.01ST6008173. Suffolk 90UlllJ
1l1l1I ElcpinIaJunll8. ",. q ~
6
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
Name:
Address:
... SENI)ER: I also wiah to receive 1he
I .~ -, ondIor 2 for - - following 88rv1cea (lor an
.~_3,",ond~.
I I . Pttnt your,..,... and IlddreI8 00.... ~ of... farm eo..... CM NUn.... extra fee):
COld""",. 0 j'
. Att8ch thIt farm to Ihe front cI the maIIpIece. or on the bIlck If.... doeI naI 1. Addressee'. Address
.~Refum_~on lho ..._-lho __....-. 2.0 Restricted Delivery
l .~~ _""_"whom lho__ -.. ondlho_ Consult postmaster lor fee. I
I' ';;;:..;""" ~,'t!,4(/ :!-,,:- 740 I~I i
/? tJ. M c2 biD Reglatered
CJ,echaA!.L ,Ltt#e ~ =- i
&;tdipL~ JY. Y Ilf7/ 7.08111of !
I
!
5. Received By: (Print Name)
8.
and
..QlIIQ
~ !
STATE OF NEW YORK
COUNTY OF SUFFOLK
.;;r.H~f' tJa-l.!- , residing at PO. ~ Yo dU, :lifM.tLS(lLL 7?0~
::.L' }{. . )/. //76/ , being duly sworn~~po'ses and says J
that 0 t e /Y'''''day of /flttqu.>;r- ,19 , 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 NoticesVwere mailed at the United
States Post Office at .:z5L/ g, ~. //75:/, that said Notices
were mailed to each of said'perso by (certified) (registered)
mail. ~p
this ~
,19 9lr
'&,~
Public
I
,
I
I
]
I
5J1.~1II)f)
... . =~_Yor~
ClI.-.ctIullc* eooo1c ^ ") ~./
eM.';.: ,:_,ElcfJftsAuQUSt20.~""-
(,
-'-..--,..,-,-.~.--=.-
----
i
,....
Name:
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
Addres.s:
"'I SENDER: ..................
.~....1_2""__ ~ng-(Illr."
.CompIoIo.... 3.'" ond~. _~ ~)'.
, I.Prinl:;;I'\WI'IIMdaddr.-on..,.,...or..tormlO.....CM.......-n1hll .v.u. - 1
) .:::...1:';......... _..... _. Clan'" bock. opoco _ "'" 1.0 _'s Add_
.e:'...""__~an"'_boIow"'_"-. 2.0 _DeIIwry
I . ::.=- -.. --.. whom.......... --...... - Consun posImuler lor fee. I
I 3. .-..- Add_ to: 48. Article N
I ~.,f,kd- YiI.u /) ... #-Yi!- 4b. ServIce T~ j
/1 J3~;eL /Jven~~ 0 RegIstered
,ftJcKv/1/e C'tW~ #y g::"Mallfor_ f
1/.5'?LJ 7. Date of ry t
J
1
.I PSFonn3811.~1"
,- T eo. ..... Dorr II.~
Receipt
STA-rg'UF"'lfEW YORK
COUNTY OF SUFFOLK
~:se~LL , residing at P.O. ~3,f~ ~6 ,4'1kseCL 7?ce
I.f . \/ //7~/ , being duly sworn;,'Ppo es and says .~
t at 0 e /f/fP day of ~psr- ,19 , deponent mailed
a true copy 0 the Notice se forth in the Board of Trustees
Application, directed to each of the above named persons at the
addresses set opposite there ~espective names; that the
addresses set opposite the n~s 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 JS L/~ ~V. 1175/, that said Notices
were mailed to each of said tso by (certified) (registered)
mail. : .P //.t:?
tlfiH~~
Sworn to
day of
e this~~
,19
:;Jf
/~H'
Notary Pubh.c
8.41... L. -...wmo
~ ~ s..tI Now York
.Ilo.~
QuoIfisd.. SUftaI< Co1.wltyL~
c.:. .~:...n &cPfts Auqust 20~ .~
6
------------
PROOF OF MAILING OF NOTICE
ATTACH CERTIFIED MAIL RECEIPTS
Name:
ll~n?"lCIocc.
.. SENDER:
I .c;omptIIIe.,.11nd1or2for......-w..
. ComPI* 11em13, .... and 4b.
, 1.=~:m-..-.d8ddr.-on..,.."...otlhilform80IIIt..CIn..un.....
. Attach l: form to" Inn: 0I"~, or on" t.dt If apece doeI not
.=""--_....._~.._~.
I . The Return AeceIpl:'" ehow to whom the......... deIIwNd.-.d.. dial
_.
i 3. Miele Add_ to:
I
r,e4.#"R"... ,8ak.ea... e;"e"'j,I~,(;
So OXio,cd.. 1<e?a.tL
Sou'll..jJt1d; t,K/ec.//CU.:r
o6f1f'tJ
bJ..L
8. . AddrMI (Only If requeeted
and _. paid)
I
ll'-..~
Receipt
STATE OF NEW YORK
COUNTY OF SUFFOLK
JJe/V/s;e !;f;a.tL , residing at p/)o ~ 3d.J ;;(/, Il'/lo-sea... 7?d
XS Ld? . V. JI7S / , being duly sworn,:. ~pos'es and says .J
that on the / JIll'- day of ~ILS;- ,19.zL.., deponent mailed
a true copy of the Notice set orth 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 ~L,)? JI/~ 117.'5(1, that said Notices
were mailed to each of sa p6rJons y (certified) (registered)
mail. ~~
this 2?f ~
,19 '/r-
Sworn to
day of
Notary Public
~ L b<oNARDO
MoIIIY ~ StIllit 01 NeW Vo<k
, No, 4970962 . ty _ A~
QUolifiod in.SUIlaI< coun c.?bVV
0.........'" .. /wQJISl20. 't9...9
b
.
.
NOTICE TO ADJACENT PROPERTY OWNER
BOARD OF TRUSTEES. TOWN OF SOUTHOLD
In the matter of applicant:
#tt'~ N.<<fi", r;..):4t.V/$e
SCTMUOOO- 51'- (:7p2- ~ 7
YOU ARE HEREBY GIVEN NOTICE:
1. That it is the intention of the undersigned to request a
Permit from the Board of Trustees to:
IktL a &/Yl/lhJ $;.t.f.le - r.eA'/.ty .:2Jweib"Nf
2. That the property which is the subject of Environmental
Review is located adjacent to your property and is described as
follows: :;f"1IJ'S't)ee.,MLd be" .!kt{t;t;~ F-" )6~,,<( /If',p
3. That the project which is subject to Environmental Review
under Chapters 32. 37. or 97 of the Town Code is open to public
comment. You may contact the Trustees Office at 765-1892 or in
writing.
The above referenced proposal is under review of the Board of
Trustees of the Town of Southold and does not reference any
other agency that might have to review same proposal.
OWNERS NAME: L'Cel~/
MAILING ADDRESS:
PHONE
e. fltJ. O/,U I
k Ilf7/
Ene.: Copy of sketch or plan showing proposal for your
convenience.
S"
.
.
NOTICE TO ADJACENT PROPERTY OWNER
BOARD OF TRUSTEES. TOWN OF SOUTHOLD
In the matter of applicant:
~tl'~ Af.O~',C.I r:);Iw/se
SCTMlIlOOO- ,5'1'- CJp2- t!) 7
YOU ARE HEREBY GIVEN NOTICE:
1. That it is the intention of the undersigned to request a
Permit from the Board of Trustees to:
&"L tl &lillfl/e~ $""'.fle-~/o/ .:lJwetbNf
2. That the property which is the Subject of Environmental
Review is located adjacent to your property and is described as
follows: .,~.r Clee.MLd we/ :k<<~~ ,~ )'6~k /IP~
3. That the project which is subject to Environmental Review
under Chapters 32, 37, or 97 of the Town Code is open to public
comment. You may contact the Trustees Office at 765-1892 or in
writing.
The above referenced proposal is under review of the Board of
Trustees of the Town of Southold and does not reference any
other agency that might have to review same proposal.
OWNERS NAME: L'ed~/
MAILING ADDRESS:
PHONE .
e.~O.o/U.1
k /lf7/
Ene.: Copy of sketch or plan showing proposal for your
convenience.
S"
.
.
NOTICE TO ADJACENT PROPERTY OWNER
BOARD OF TRUSTEES. TOWN OF SOUTHOLD
In the matter of applicant:
j(R1J'~ AI<<.~A.I ,,:W/se
SCTMUOOO- ,ffj1- ?Jp2- ~ 7 .
YOU ARE HEREBY GIVEN NOTICE:
1. That it is the intention of the undersigned to request a
Permit from the Board of Trustees to:
JktL Il &,ila/~ S;#f/e -hA/o/ .JJw~L4Nf
2. That the property which is the Subject of Environmental
Review is located adjacent to your property and is described as
follows: , flj'6 CJet!MLd /4#e/ ..5kt{J':b~ F(!Id/ )f;~~ lIP ~
3. That the project which is subject to Environmental Review
under Chapters 32, 37, or 97 of the Town Code is open to public
comment. You may contact the Trustees Office at 765-1892 or in
writing.
The above referenced proposal is under review of the Board of
Trustees of the Town of Southold and does not reference any
other agency that might have to review same proposal.
OWNERS NAME: L,ct:u/
MAILING ADDRESS:
PHONE .
e. ~O. o/-u, I
k /!f7/
Ene.: Copy of sketch or plan showing proposal for your
convenience.
oS"
4It Board of Trustees APp~tion
County of Suffolk
State of New York
/tfAl-ntJ KR.AL--t- f1.A,v>) ]}",~R kRlJ-LL BEING DULY SWORN
DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE
DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE
TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL
WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION
AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES.
THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN
TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS
ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN
COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,
THEIR AGENT ( S) OR REPRESENTATIVES ( S), TO ENTER ONTO MY PROPERTY
TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS
APPLICATION.
SWORN TO BEFORE ME THIS
~z~~/~~~p //
gnatu~ ~ .>~
_ --;(J!A- ~ J. Cf5f
~{L DAY OF (j/A,-:r- ,19....t.iL
ai, ~_-L
Notary Public
CHllIS11NA L b<oNAROO
NoIIIIW~. SIalit of New Yo;
. 4ImJlIQ .:2dorJ
.fuIIaIt CountY
~.... AuquIt 30. ts...
7
. Board of Trustees APp+tion
....
AUTHORIZATION
(where the applicant is not the owner)
I,
a/M'J( ;;; '/~a..u'
(print owner of property)
residing
at et'.~ c2.6/. #3rS-
(mai i g address)
'f / /lfJ?/
1J/l/'-.lNI/ L4?#C:; S4?k't&L;(.ifY do hereby authorize M/J;f.TiiV
(Agent)
"I--
JJeIY1se ~a-LL
to apply for permit(s) from the
,
Southold Board of Town Trustees on my behalf.
iC~ s!.:aL~
8
-~
,
APPLt(!AN't .
TRANSACTIONAL DISCLOSURE FORM
The Town of Sou~hold's Code of Kbhics btohlblhs conflicbs of
inberesb on bhe par~ of town officers and employees. The .
purpose of this form is to provide information which can
alert the town of possible conflicts of interest and allow
it to take whatever action is necessary ~o avoid same.
YOUR NAHE.
ILl.
ast name, first name, m d~e
you are applying in the name of someone else or
other entity, such as a company. It so, indicate
the other person's or company1s name.)
. '
,', ..'.'."., i
, ,.',k'fjj!,'....'!;ili. '7-','" ,,!:'<'
" ,~: '):~;'!'j~:;f::..:lflV,; ,'. ".:1 . .,..
,
...
"
" '.
"~.,.,,:-,..,;,;,tio:;'
'.,::~:;~~R.' . ~ :\,i~~f;~;.~~f:~r,Wt
....' ,..,
NATUR! ot APPLI~ATIONt (Check all thab apply.)
Tax grievance
Variance 1<' ~/r
Change of zone
Ap'p~~al ot plat .
Exe~pbion from plat or OfficIal map
other
(If "other," name the acti.lby.)
,,,......
Do you personslly (or ~hrough your ~o.p.ny, spouse, siblinu,
paren~, or child) have a relationship with any offi~er or
employee of the Town of Southold7 -Relationshipw includee
by blood, marriage, or business interest. wOusiness
interestw means a business, including a partnership, in
which the town officer or employee has even a partial
ownership of (or employ.ent by) a corporation in which
the town officer or employee owns more than 5% of the
shares.
YES
NU~
"
...~!,':~/". '
If you answered .~ES,M, co.plete the balance ot tbt. lor. and
date and sign where indicated.
Name of person employed by bhe Town of Soubhold
Title or position of that psrson
Describe the relationship between yourself (the applidant)
and the town officer or employee. Either check the
appropriate line A) through D) and/or describe in the space
provided.
The town officer or employee or his or her spousei sibllng,
parent, or child is (check all that apply),
A) the owner of greater than 5% of the shares of the
corporate stock of the applicant (when the applicant'
is a corporation), .
B) the legal or beneficial owner of any lnterest in a
noncorporats'entity (when the applicant i. not a
corporation),
c) an officer, director, partner, or employee,ot the
applicant, or
D) the actual applicant.
. , " ' . .. ,.....'~...
,::i~;',~..' " '" .?'Ki~l!
I'"~
"" ,". . .,::::'Y.:: .,\L;)~):-'..--' .,.: ';;~>i~i~1ik,;
... ,. ''''''';''1 '-'... ~. .'~ "_."'....' .'. ;.,l~. ~...,".....",~,,,,...Ilw.:.:..~....~ '~"i~"""";""""'" .", ~~~
DESCR1PTION OF ItELATIONSIIIP
submitted
signablltlt
'Print
.1--, J"'!~"~',:4V'l 1t~:ij"" ':/:;':',:~
~:\:;,.~~.,' y', '~r,
,~, .,,' - I..
. :,~Llt.:~..~ ~,-~,:'/ill..'
,
'If'tW",.,,,...
DRYAD'S
fn)rnrnrnowrn~
Ul] NOV I 9 I9J IE)
(EL.10.3
~I ,.~ hn. r.,.1 11-1
I~ ~ ",.20'
::5T IE ~f I~._S- ',-.p(c~"rer r 2'
" . ;:G'm,'"
~ "',.
~e""ell
[11i!Jhe,c expecfedi-)
GRADING PLAN
iilJ
...,'j
SCOHS -eef'.# Rlo~ 9%-01IV
.s:' ...
1 6'<9_ .>-....
-"< 0/-,.,
"0.
TOWN OF SOUTHOlD
<9--<1
\S}-1--
"
~'~-
(f)
I am fatlflliar wi/h the STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFArE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMlL Y RESIDENCE
and II!iII abide by the conditions se/ forth Ih~r~in and on the
perml/ fo coflGtrucl.
0'\
\,:
NOTE'
LOT NUMBERS REFER TO 'MAP OF
CEDAR BEACH PARK" FILED IN THE
SUFFOLK COUNTYCLER/CS OFFIC~
AS MAP NO. 90 ON DEC. 20, f927
;:'(.001) ~()IJe tlNffJ rt20M ht;M
Ed>Ic>3CO/~7 G Mo.'I 4; 1~9s
-<t.<s
. //
~q,. ~
"''''') ~.......
oS"
-l> ",.
.
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c~..... Cl
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c:-~ .,.~
....~-.;;
~~
.........
.."....
~
SURVEY OF PROPERTY
AT BA YVIEW
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NY
1000 - 89 - 02 - 07
SCALE: 1" = 30'
JUNE 30, 1998
JI.J!y e~ I'n e
Au" 12, J99~ (reYIs.t!'~ aec."-J
A~. 19,I'n8 (leaf;' l7~a .O(.#rck f/
Nov, J') I~~( ,17d.Y)bc..Jc~)
I 7-' reV I 10'....,
:\~ ()~ NEIY y-
, 0",
" . Me,. '!,-"-
G '/
. Y.S. LlC. NO. 49618
P.C.
NOTE' '
SUBSURFACE SEWAGE DISPOSAL
SYSTa/ DESIGN
BY' JOSEPH, ' FISCHETTI, P.E.
HOBART ROAD
SOUTHOLo, N. Y. 1/97/
(!SI6J m - 11954
(:).
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<:"/.,a
ORCHARD \ :<:$'.9.
c>: "'ell;,!,,! ( PRIVA rE LANE
-/.. v>.. . ~'b . ROAD )
r'-' It<:.: if/cr:ie (riD f
ANY ALTERATION OR ADDITION TO THS stfiVE'Y IS A \IIIClILATIGW r 0,.0",., )
OF SECTIGW notI,OF TIE NEff YQIiII' STATE CDUCATIGW LAIL_u_
EXt:EPT AS PER SECTIGW 7tlO9-SUBDMSION e. ALL CERrFICA TUIS
HE:REON ARE VAW FOIf THS IIAP AND COPES THEl/EOF ~Q'l
SAID IIAP OR COI'tES /!JEAR TIE I#ffESSED SEAL OF TIE
WHOSE .lIlIWlI TURE APl'EARS HEREON.
AlJDITIONALL Y TO COWl Y WITH SAID LAW THE TERM 'AL TERED BY"
I1iUST ec USED BY ANY AND ALL stfiVE'YMS UTI../ZING A COPY
OF ANOTHER stfiVE'YOR"S IIAP. raws SUCH AS 'Nfj CCTED" AND
"BROUfiIHT-TQ-OA TE" ARE NOT IN COIIft./ANCE WITH TIE LAW.
X:.ladh Ibr~. d-ee./c r
iI,,~ ../ ;,...)' /Ja./u
The local/ons 01 wells t1fId cesspools
shown hereon are from fiefd observah'ons
and or (rom dala obfained from olhers.
( ..7
/5 -;.. 1<>1 <;.vlla r'CVfe
[!) , prop elellc;l..I-;D~
----W- =-prop. c..""lovr
\
\
'"
AREA = 23,644 sq, ft. to tie line
CONTOUR LINES AND ELEVA T'JOHS ARE REFERENCED TO H.G. V.D.
98 - 222