The URL can be used to link to this page

Home My WebLink AboutTR-5996 James F. King Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen $ohn Holzapfel 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 February 15, 2006 Olsen and Olsen P.O. Box 706 Cutchogue, NY 11935 RE: ROBERT S. MARSTON & JOHN D. GARDINER 7065 NEW SUFFOLK RD., NEW SUFFOLK SCTM# 117-5-30 Dear Mr. Olsen: The following action was taken at the Southold Town Board of Trustees regular meeting held on Wednesday, February 15, 2006: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Permit # 5996 from Thomas and Beverly Christianson to Robert S. Marston and John D. Gardiner as issued o September 22, 2004 and amended on February 16, 2005. If you have any questions, please contact our office at (631) 765-1892. Sincerely, President, Board of Trustees JFK: hkc ~ J. Krupaki, Presi. de~ --..~ James ~, Vice-President Ken Poliwoda Pe~ A. Dickerson Town Hall 53095 Rou~e 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 Pro-construction, hay bale line 1st day of construction p'Arojconstructed ect complete, compliance inspection. eceiYed From Address Date 042373 CHECK ~ Dollara $ Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O, Box 1179 Southo'id, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OFTOWNTRUSTEES TOWN OFSOUTHOLD February 16, 2005 Mr. Thomas Christianson P.O. Box 65 New Suffolk, NY 11956 RE: 7065 NEW SUFFOLK AVE., NEW SUFFOLK SCTM#117-5-30 Dear Mr. Christianson: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., February 16, 2005: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit #5996 to relocate the proposed septic tank to the north side of the leaching pools, and as depicted on the site plan prepared by Nancy L. Steelman last dated January 31, 2005. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, President, Board of Trustees AJK:lms Board Of Southold ToM Trustees SOUTHOLD, NEW YORK THOMAS CHRISTIANSON ISSUED TO ........................................... · ......................................................................................... Pursuant to th provisions of Chapter 615 of the bws of the Sta~ of New York, 1893~ and ~apfer ~ of ~e ~ of the State of New Yo~ 1952~ and the Sodhold To~n Ordinance en- titled :"R~U~TIN~ AND THE P~ClN~OE OBS~RU~S. IN AND ON TOWN WATERS AND PUBLIC ~DS and REMOVAL OF SAND, ~RAVEL-O~ O~ER MATERIALS~M ~NDS UNDER TOWN WA~RS:~. and in accmdan~ wdh 'the Resol~ion of ~e Board adopted at a meeting held on ~00~.. L, and in conslderarm~ ....... paid by hay bale [tne ~o~ Lo c~c~on a~he ~u:'[tne Lo ~ema~ [~ piece a~Le: consL:ucLto~ ~ o:~e: ~esL~[tsh~n.d~sLu:bance of a planting plan to impr~~ne, a~ al~ as deputed im ~e~lan ~ai~finq ap~fi~, surveyed by Joseph Ingengno and site pi~ dra Nan%~ Steeqm~n 1--ast revised October 4, 2004. Thomas ChristiansQn ~ I¢ New Suf,folk , , , · .... m. Y~ '~ pan. or' the coasi&l~on ~o~ the ~ of d~e ~-~;~ ~ ~ ~ ~ ~ ~ f~. L ~ ~ ~ ~T~ ~ ~e T~ ~ ~old ~ ~ ~ .z ~, ~ ~'~d~o~.? .... .~~~ for ~~y~~e~at a ~,~d~. Albert J. Krupski, President James King, Vice-President Artie Foster Ken PoIiwoda 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 September 22, 2004 Mr. Thomas Christianson P.O. Box 65 New Suffolk, NY 11956 RE: 7065 NEW SUFFOLK ROAD, NEW SUFFOLK SCTM# 117-05-30 Dear Mr. Christianson: The Board of Town Trustees took the following action during its regular meeting held on Wednesday September 22, 2004, regarding the above matter: WHEREAS, THOMAS CHRISTIANSON 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 August 23, 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 September 22, 2004, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 97 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of THOMAS CHRISTIANSON to demolish the existing dwelling and .~construct a new 862 sq. ft. dwelling and sanitary system, with the conditions of placement of a staked hay bale line prior to construction at the 4'contour line to remain in place after construction in order to establish a non disturbance buffer, and submission of a planting plan to improve the shoreline, and all as depicted on the plan surveyed by Joseph A. Ingegno and site plan drawn by Nancy Steelman last revised October 4, 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.) This is not a determination from any other agency. Fees:S100.00 Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJ K/hct Albert J. Krupski, President "James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 p.o. Box 1179 Sofithold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 TO: 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: (V/') Application Approved (see below) ( )Application Denied (see below) ( ) Application Tabled (see below) ~'/2.~/o ~ has been ¢,/[z_-~/o ¥ and the 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 sCiledule 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: $ / 00 SIGNED: PRESIDENT, BOARD OF TRUSTEES 9/16/04 Field Inspection 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, September 14, 2004, the following recommendation was made: Moved by Jack McGreevy, seconded by Don Wilder, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL WITH A CONDITION of the Wetland Permit application of THOMAS CHRISTIANSON to demolish the existing dwelling and construct a new 862 sq.ft, dwelling and sanitary system. Located: 7065 New Suffolk Rd., New Suffolk. SCTM#117-5-30 The CAC recommends Approval of the application with the Condition the house is moved to the northwest and the septic tanks are relocated to the south, as necessary, and the two large oak trees should not be taken down. The CAC further recommends the Stormwater Committee investigate the Town drain in front of the subject property. Vote of Council: Ayes: All Motion Carried Albert J. Krupsld, President John Holzapfel, Vice President Jim King Martin H. Garrell Peter Wenczel BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 1197l Telephone (516) 765-1892 Fax (516) 765-1823 Office Use ~rosion Permit Applicat ~ermit Application ter Permit Apl lendment/Ch ~s .cation: cation: I Unlisted date s_~nt) ent: ~//~/~-- tion:~, Ii/l~ Report: ' termination: ew: Held:~ l^'f 16 Phone Number: (¢~/) 7~-- -~7 Map Number-: 1000 - /]7- /7~- .~ ke 9, distance to cress streets, and location) Address: Phone: FAX9: ~oard of Trustees Applicat~n GENERAL DATA Land Area (in square feet): Area Zoning: Previous use of property: Intended use of property: 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? ~ No__ Yes If yes, provide explanation: Project Description (use attachments if necessary): Lard of Trustees Applicatl WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ~//~;P~_~. Area of wetlands on lot: /~, ~O~' square feet Percent coverage of lot: ._~.7/~^ % Closest distance between nearest existing structure and upland edge of wetlands: ~,~' feet Closest distance between nearest proposed structure and upland edge of wetlands: /~ C [0" feet Does the project involve excavation or filling? No j~. Yes If yes, how much material will be excavated? How much material will be filled? ~_~gP -- cufoic yards cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: Statement of t~e 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): IPROJECT ID NUMBER I 617.20 SEQR APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW ' SNORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 1. APPLICANT/SPONSOR 2. PROJECT NAME 3. PROJECT LOCATId~I~ 4. PRECISE LOCATION: (Slreel eddre&s and I~lld ,i,;i~o,,,~]~,,ii, prominent landmark~sLIIc., or p~ovide map) ' 5. IS PROPOSED ACTION: E] New ~Expansion ,~Modifi cation/alt eraflon 6. DESCRIBE PROJECT BRIEFLY: ' . AMOU~ OF ~ND A~u: / ' 8. WILL PROPOSED AC~ON COMPLY ~ EXISTING ZON NG ~ OTHER EXlSTI~ ~ND USE A~ I HICTIONS? DOES ACTION INVOLVE A ,"F.~,~,i,'T APPROVAL, OR FUNDING, NOW O?~ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal, State 12. AS A RESULT. (~)F PROPOSED ACTION WILL EXISTING ,"",q~:T/APPROVAL REQUIRE MODIFICATION? [] Yes '~,,No , I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE J, If the ~r.;;~,n ii in the Coastal Area, and you are a state agency, complete the CoastiI AsIeasmeltt Form before pmcoeding with this =_-_~__~_-ment I OvER PART II--ENVIRONMENTAL ASSESSMENT (To be completed by Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR PART 617 4~ [] Yes [] NO If yes, coordinate the review process and use the FULL EAF. B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACT ONS N 6 NYCRR PART 617.6? [] Yes [] NO If no~ a negative declaration may be superseded by another involved agency. C. COULD ACTION RESULT IN ANy ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if tsgible) C1. Existing air quality, surlace or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or disposal; potential for erosion drainage or flooding problems? Explain briefly: C2. Aesthetic, agricuhurai, archaeological, historic, or other natural or cultural resources; or commun~y or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish of wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community's existing ptsns or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly: C5. Growth, subsequent development, cr related activities likely to be induced by the proposed action? Explain briefly: C6. Long term, short term, cumulative, or other effects not identified in Cl-C57 Explain briefly: C7. Other impacts (including changes in u~e of either quantity or type of energy)? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE E NVIRC;{~ F.;','TAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CEA? PART II--DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it ts eubetanflai, large, important or otherwise significant. Each effect should be assessed in connection with its (e) setting (Le., u~oan m' rural); (b) p~obablllty of occurring; (c) duration; (d) irreveraibilify; (e) geographic scopo; r-'t Check this box if you have ;de,,~;;ied one or more potentially large and 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 Print or Type Name of ,'~k,*-,=i:,ie Officer in Load Agency Title of Responsible Officer Signature of R&&~i~ible Officer in Lead A-~i,~y Signature of Preparer (If different from responsible officer) Date NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES~ TOWN OF SOUTHOLD In the matter of Christianson Residence SCTMg1000- 117-05-30 YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: Renovate and add to an existing single family residence. 2. That the property which is the subject Environmental Review is located adjacent to your property and is described as follows: 7065 New Suffolk Rd., New Suffolk, NY 3. That the property 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 dose not reference any other adjacent that might have to review same proposal. OWNERS NAME: Tom & Bev Christianson MAILING ADDRESS: P.O. Box 65 New Suffolk, NY PHONE 9: 734-5407 Enc.: Copy of sketch or plan showing proposal for your convenience. Telephone (631) 765-1892 Town H',fll. 53095 Male Road P.O. Box 11'/9 F, outhold, New York 11971 $OUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Monday, June16, 2003, the following recommendation was made: Moved by Bob Ghosio, seconded by MelvYn Morris, to TABLE the Wetland Permit application of THOMAS & BEVERLY CHRISTIANSON for renovations and additions to an existing single-family residence. Additions to include new screened porch with deck above, new sanitary system with retaining walls, and parking area. Located: 7065 New Suffolk Rd., New Suffolk. SCTM#117-5-30 The CAC Tabled the application until new plans are submitted. Vote of Council: Ayes:' All MOtion Carried S A M U E L S & S T E E L M A N June 12, 2003 Board of Trustees Town of Southold P.O. Box1179 Southold, NY 11971 Via Fax: (631) 765 -1366 Re: Christianson Residence Public Hearing Dear Board Members, The Chdstianson Residence is scheduled for the June 18, 2003 Public Meeting. We would like to postpone the hearing until the July 23, 2003 meeting so that we can study an alternative option. If we can answer any questions, please do not hesitate to call. Sincerely, /.& S~eefl~;n Architects $outhold Tow~ Board of Trustees ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEWYORK 11935 (631) 734-6405 FAX (631) 734 6407 SAMU. EE S T E E L ~ FAX COVER SHEET 1 3 2O03 Seuthokl Town 8oa~ of Trustee~ DESCRIPTION: COMMENTS: Total # of pages including this cover/shee .'~//~ ~. If you do not receive all of the pages, please call as soon as possible. PHONE 631-734.6405 FAX 631-734-6407 25235 MAIN ROAD, CUTCHOGUE, NEW YORK 11935 ARCHITECTS 25235 MAIN ROALb CUTCHOGUE, N£W YORK 11935 1631 ) 734-6405 FAX [6~11) 734-6,~07 ~0/[0 39~/d NVHq331SS93RH~S £M~gt~gZg[~ 9t~ :BI gOOg/gI/gM S A M U E L S & S T E E L M A N June 12, 2003 Board of Trustees Town of Southold P.O. Box 1179 Southold, NY 11971 Via Fax: (631)765-1366 Re: Chrisfianson Residence Public Hearing Dear Board Members, The Christianson Residence is scheduled for the June 18, 2003 Public Meeting. We would like to postpone the hearing until the July 23, 2003 meeting so that we can study an alternative option. If we can answer any questions, please do not hesitate to call. Sincerely, ~' Nancy ~t~elman Agent fef the Applicant ARCHITECTS 25235 MAIN ROAD CUTCHOGUE, NEWYORK 11935 (6311 234-640S FAX (631) 734-6407 ~o/~o 39~a N~N~3BISs~3nN~s /0~9P£/9~S 9~:6~ £00E/~/90 Tom and Bev Christianson 7050 New Suffolk Road New Suffolk, N.Y. 11956-0065 March 12, 2001 Southold Town Board of Trustees Main Road Southold, N.Y. 11971 Dear Board of Trustees, At the end of last year we acquired the property at 7060 New Suffolk Road in New Suffolk. We would like to rebuild the house on the property. We have hired a surveyor to make a contour map of the property, etc. We would appreciate a site visit by you to advise us as to what our next step should be and to get an idea of any limitations you would foresee on the use of the property. Yours truly, Thomas Christianson 1.1 LINE ,/ CUTCHOGUE HARBOR OLSEN ~X~ OLSEN~ L.L.E ATTORNEYS AT LAW GARY FLANNER OLSEN ATTORNEY AT LAW DAVID WORTHINGTON OLSEN ATTORNEY AT LAW 32495 MAIN ROAD · P.O. BOX 706 · CUTCHOGUE, NEWYORK 11935-0706 PHONE 631-734-7666 FAX 631-734-7712 olsenlaw@optonline.net February 7, 2006 Re: 7065 New Suffolk Rd. New Suffolk SCTM 117-05-30 (Permit 5996) Christianson to Marston and Gardiner Our File 8639 To Whom It May Concern: Please be advised that I represent Robert S. Marston and John D. Gardiner who are purchasing the subject premises from Thomas and Beverly Christianson. I hereby request the existing Trustee Permit to be assigned to the purchasers as contract vendees. Enclosed please find my attorney's check in the sum of $'. matter will be placed your February 15th 'oval. on calendar fo/ ~ understand that this cG"Al~q I~'L,~NNER OLSEN GFO:lmk Enclosures Southold Town Trustees Attn: Lauren 53095 Route 25 Southold, NY 11971 (Hand Delivered) cc: Paul Caminiti P.O. Box 846 Southold, NY 11971 FEIB - 6 2006 Thomas E. Christianson PO Box 65 New Suffolk, NY 11956 February 1,2005 Board of Town Trustees Town of Southold P.O.Box 1179 Southold, New York, 11971~0959 Re: 7065 New Suffolk Road, New Suffolk SCTM# 117-05-30 Dear Board Members, Since receiving your approval on my site plan I received the enclosed letter from the Department of Environmental Conservation. In the letter they required that the septic tank be relocated to the north side of the leaching pools, and the leaching pools be relocated as shown on the revised site plan. The revised site plan also gives the required distance to the tree indicated, and the covenant will be added to the deed after the permit is granted by the DEC (this as per instructions I received by phone from the DEC representative). I hope that these changes are with-in the scope of the already granted permit. Sincerely, Thomas E. Christianson Board of Trustees New York State Department of Environmental Conservation Division of Environmental Permits, Region One Building 40 - SUNY, Stony Brook, New York 11790.2356 Phone: ¢631} 444-0365 FAX: (631} 444-0360 Erin M. Crotty Commissioner Mr. Thomas E. Christianson PO Box 65 New Suffolk, NY 11956 December 23, 2004 Re: UPA# 1-4738_03190/00001 Owner - Thomas Chr/stianson Facility - 7065 New Suffolk Road SCTM#1000-117-5-30 New Suffolk Dear:Mr. Christianson: :,~ Department technical staff have completed their rev/ew of the referenced proposal and have the following comments: I) The septic tank must be relocated to the north side of the leaching pools and the leaching pools must be relocated to the south side of the parcel to,maximize the setback to tidal wetlands; *'~ 2) The existing tree at the end of the driveway must be ' shortened to prevent removal of this tree; shown and the dr/veway must be ::: 3) A covenant must be placed on the deed protecting the buffer area as shown on the plan. ~. Upon receipt of all of the above information (five ~ ' m.°,diflcations and a copy of the filed covenant), processing copies of revised surveys depicting noted ~i ~ a !-,i will resume. .: As we discussed previously, the file will rema/n incomplete until archaeolog/cal surveys have been submitted and OPR/-Ip has made a final determination. cc: C. Arfsten/BMI-IP File Scov?., . Environmental Afialyst 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 SOUTHOLD Office Use Only Coastal Erosion pcmut Application ~Vetland Permit Application ,,,~'Major __ W aiv er/Ame ndmenl/Ch~n~{ s ~:ece~ed Appiica' 'aim;.~_~M' ~.-,Received Fee:~k)q ~Completed App~~ __Incomplete __SEQRA Classification: Type I Type Il Unlisted Coordination:(date ~"'CAC Referral Sent:~ ~ate of Inspection:~.~ __Receipt of CAC Report: Lead Agency Determination: Technical Revie w: _~,~k~,~_r 7Public Hearing Held: ~ Resolution: Minor Board ot Trustees Name of Applicant_ ~'-~qn~,a~ ~' Phone Number:(6 -~) Suffolk County Tax Map Number: 1000 - i ( '/ - 0 ~ - ~ 0 Srovidc L~CO Pole ~, dist~ce to cross streets, ~d location) AGENT: ~ (If applicable) Address: ~3~ Phone: 7.~q' ~ q 05 Boardof Trustees Application Land Area (in square feet): Area Zoning: Previous use of property: Intended use of property: GENERAL DATA 263, 3 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? )~ No Yes If yes, provide explanation: Project Description (use attachments if necessary): ~" ~Joa (el ]i~ J~ I ~oard of Trustees Applicatio~ WETLAND/TRUSTEE LANDS APPLICATION DATA of the propo d operations: Area of wetlands on lot: [~; g 0rq, 55' square feet Percent coverage of lot: ~o~, ~ % Closest distance between nearest existing structure and upland edge of wetlands: ~"O feet Closest distance between nearest proposed structure and upland edge of wetlands: ,0. ...7(e feet Does the project involve excav.__~afion or filling? No M Yes If yes, how much material will be excavated? ~ [ cubic yards How much material will be filled? ~-- ~'0 cubic yards Depth of which material will be ~ or d. eposited: ~.~.orox I'~ feet Proposed slope throughout the area of operations: ,Jl:~,o~r Manner in which material will be removed or deposited:~~a~ Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): Board of Trustees Application COASTAL EROSION APPLICATION DATA Purposes of proposed activity: '-/'go r-¢ol,~o- On o~ re~ t~ ~e wetlands pre~nt Mthin 1~ f~t of the pro~ a~ivity? No ~ Yes D~s the proj~t involve ex~vation or filling? No ~ Yes If Yes, how much material will be ex~vated? ~1 (cubic yards) How much material will be fill~? ~0 (cubic yards) Manner in which material will be removed or de~sit~: ~ ~ Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) I PROJECT ID NUMBER PART 1 - PROJECT INFORMATION 617.20 APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only ( To be completed by Applicant cr Project Sponsor) 2. PROJECT NAME SEQR 1. APPLICANT / SPONSOR 3.PROJECT LOCATION: ~ County Municipality ~.~.4~ ~ I~"~ ~'~.(~-----O I~. 4. PRECISE L~ATION: S~l ~ess a~ R~d tn~m~s. ~{ ~nd~s e~ - ~ ~o~e mad ~.,s PROPOSED AC~,ON: [] .aw 6. DESCRIBE PROJECT BRIEFLY: 7 AMOUNT OF [~AND AFFECTED: Initially ~ ac~es Ultimately ,O~o~- a~es 8 WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? FJYes [] NO If no, describe briefly: ~1~ ~'~ IJ~CI~i~(~ ~r-'t'~/~. -'~P.- 9. WHAT IS PRESENT LAND USE IN VICINI'PF OF PROJECT? (Choose as many as apply.) ~i~Residential [~lndustda, [~Commercial [--"]agriculture [~ Park / Forest / Open Space r-'~Other (desc~be) 10. DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (Federal State o~ Local) ,~t~'J'~S I~ To~.% ~ ~Jq'J~' {~Yes [] No If yes, list agency name and permit / approval: Sfl.~. ~Oo *~e~p~ ~(" ~/~'t 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMit OR APPROVAL? [~Yes _~o ~f yes, list agency name and permit / approval: 12. AS A RESULT OF PROPOSED ACT,ON WILL EX,STING PERMit, APPROVAL REQU,RE MOD,F,CAT~O.? I CERTIFY THAT THE iNFORMATiON PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE ~(~ Name Date: If tho action is a Costal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment PART II - IMPACT ASSESSMENT (To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617,4? ~f yes, coc~dinate the review process and use the FULL EAF B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 if NO, a negafive declaration may be superseded by another involved agency F--] Yes r--INo C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1 Existing air quality, surtace or groundwater quality or quantity, noise levels, existing ffaffic pattem, sofid waste production or disposal. potential for erosion, drainage or flooding protsems? Exptain briefly: C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or c~nmun~ty o~ ne~ghborttood character? Explmn bnafly: C3. [egetetion or faa ha, fish, shellfish or wi,d~ife sPeCies. ~ignificant habitats, or threatened or eodangemd speci~? Exp, a.n ,briefly: I C5. Growth. subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: Long term. short term, cumulaUve, or other effects not identified in C1-C57 Explain briefly: C7. Other impacts (including changes in use of either (]uanfit)' or t~pe of energy? Explain briefly: D. W1LL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA ICEAI? Ill }'es. explain briefly': E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If }'es explain: F'-'] Yes [-'"] .0I PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, impodant or otherwise significant. Each effect should be assessed in connection with its (a) se[ling (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibilify; (e) geographic scope; and (f~ magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to sh~w 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 this box if you have identified one or more peten6ally large or significant adverse impacts which MAY occur. Then proceed directly to the FULL F~F 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 acfio~ WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting this determination. Name of Lead Agency Date Title o~ Responsible Officer Pdnt or Type Name of Responsible Of Cmef in Lead Agency Signature of Responsible Officer in Lead Agency Signature of Preparer (If different Eom responsible officer) Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Pegg~y 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 BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING being duly sworn, depose and say: That on the /~day of ~o¢ ,200q, I personally posted the property known as by placing the Board of Trustees official po~ter 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 U.J~/~. ~.~ . ~. ~ - ~ Dated: (signature) Sworn to before me this ~ day of.~-,200~ Notary P~lic ~ H. BURNs ,rd of Trustees Applicat County of Suffolk State of New York ~W~fi 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), I1r 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 Signature ~C)'~1~' DAY OFFS& ~ ,20~--.~ Notary Public BARBARA ANN RUDDER Noto~y Public, State of Now York i~0.4855805 Quail ed n Suffolk County Commission Expire* Apr of Trustees Applicatio~ / AUTHORIZATION (where the applicant is not the owner) (print owner of property) residing at p~ ~b~ (mailing address) do hereby authorize (Agent) to apply for permit(s) from the Southold Board of Town TruStees on my behalf. ( Owner ' s signature ) 8 PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Address: ingat fid. -. ~_ day o~ ~ lication dir~ted to each of me aoove set fo~h m ~e Bo PP , pemons at ~e ~esses set op~site there re~tive nines; ~at the ad~esses set op~site ~e nines of md pemo~ ~e the ad.ess ofs~d p~sons ~ shorn on ~e c~ent sessment roll of ~e To~ of Sou~old; ~at said Notices were m~l~ at the U~t~ Sates Post ~ , . ~ ~,~ .[~t s~d Notices were mail~ to each of said pemom by Office at ~i~{d ~g~tr (ce~ified) (reg, ster~) m~l. ~ Sworn to b. el)3re me this Day of Z/_.~ - , 20~--~- Notary P-fl'b li c APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM ~ Town of Southold's Code: of Ethics o~ohibits conflicts of interest on the oa~ of town off~:cts and emolovce$. The ou~-no~c of this form is to ~¢ovid¢ information which can alert the town of ~ossible conflicts of h,i~,~Sl and allow it to take whatever action is r.~rv to avoid same. (Lasl name. first name. ~niddl¢'initial. unless 7o6 arc applying m the nanaC o, someone eis~ or other entity, such as a company, lfso, indica~ thc other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievanco Building Variance Trustee X Change of Zone Coastal Erosion Approval of plat Mooting Exemption from plat or official map Planning Other (]f"Other-, name the activity.) Do you personally (or through yocu' company, slxmse, sibling, paront; or child) have a relationship with any officer or employee of the Town of Southold? "Relationship" includes by blood, marriage, or business interest "Business interest" means a business, including a partnership, in which the town officer or employee has even a partial ownership of(or employment by) a corporation in which the town officer or employee owns more than 5% of thc shares. YES NO X If you answered "YES", complete thc balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative) and the town officer or employee. Either check thc appropriate linc A) through D) and/or describe in thc space provided. The town officer or employee or his or her spouse, sibling, parent, or child is (check all that apply): __.A) the owner of groater than 5% of the shares of the corporate stock of the applicant (when thc applicant is a corporation); ___B) the legal or beneficial owner of any interest in a non-corporate entity (when thc applicant is not a corporation); C) an officer, director, partner, or employee of thc applicant; or __.D) the actual applicant. DESCRIPTION OF RELATIONSHIP Form TS I BOAT MARINA (UNDERWATER LAND) SCHOOL HOUSE pLATFORM 0 83'47' \ k ¢ O.L. o ? 5 . ~pp..C~F::,O~E~ 8 WILL ORCHARD STREET SITE PLAN SCALE 1"=20'9" N/O/X JOSEPH FUDJINSKI VACANT 202.68' FENCE RNL FENCE ,1-.-~ BUlLDIN¢ ~flALL ,,~ et~,.A~E /INt~ t~LIEVATION ¢.O FT. I / ~- CR'A~t= LIN~ tELEVATION +-/''5' FT' liE. +*.ql' IE. +/[ TANK. , ~ CROUND i, flATER I."/ FT. .~5' u IE. +5.'/ ' I0'-0" MIN. I* ~ 8'-0" MIN SEPTIC PROFILE - CHRISTIANSON RESIDENCE (N.T.S.) SCTM # PROPERTY: ADRESS OWNER: SITE: TOTAL AREA EXISTING: 390.19 S.F. OR 1.93 % PROPOSED: 556.52 S.F. OR 2.75 % 1000-117-05-30 7065 NEW SUFFOLK RAOD .EW SUFFOL.,.~. 1195B THOMAS AND BEV CHRISTIA~ON%0~[ P.O. BOX 65 ~1 NEW SUFFOLK,,, NY. 1~956 20'263,30 SQ. FT. = 0.~5 AC~ I SITE AREA LANDWARD OF WETLANDS: 9,658.75 SQ. FT. = 0.2217 ACRES EXISTING: 390.19 S.F. OR 4.04 % PROPOSED: 556.52 S.F. OR 5.76 % ZONING: R-40 FLOOD: "AE"(ELS) ZONE SURVEYOR: JOSEPH A. INGEGNO P.O. BOX 1931 RIVERHEAD, NY. 11901 1. ELLrVATIONS ARE REFERENCED TO N.O.V.D. 1929 DATUM, EXISTING ELEVATIONS ARE SHOWN THUS: 10 0 4. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERYATIONS A,ND/OR DATA OBTAINED FROM OTHERS LOCATION MAP TEST HOLE DATA (TEST HOLE DUG BY ~ ON MARCH 21, 2000 t FINAL DRAWINI CHECKED BY: DATE: MARCH 19, 2904 SCALE: J SITE PLAN SHEET NO.: 1 ~/o/~ BOAT MARINA (UNDERWATER LAND] SCHOOL HOUSE 862 F.F. EI~O,~' ? 5 8P~oPos~ ~ 202.68' 5~IOTIC, 5'¢5TEI'/ JOSEPH FUDJINSKI VACANT ORCHARD STREET SITE PLAN SCALE: 1" = 20'-§" BUILD N~ HALL ¢~,ADE LINE ELEVATION ¢.0 FT. -- ~t~,,A~E LINE ELEVATION ±"/.(~5' FT. I' MIN. 2' MAX. IE. +6.ql' IO'-O" MIN. I/4"/FT. SEPTIC TAN~-. Ir=. +~.~,5' I~:. +5.Dq' IE. +5.-7' 8'-0" MIN ~OOL ~OUND P~T~ ~LFT. SEPTIC PROFILE - CHRISTIANSON RESIDENCE (N.T.S.) SITE DATA SCTM # 1000-117-05-30 PROPERTY: ADRESS OWNER: 7065 NEW SUFFOLK RAOD NEW SUFFOLK, NY. 11956 THOMAS AND BEV CHRISTIANSON P.O. BOX 65 NEW SUFFOLK, NY, 11956 SITE: 20,263,30 SQ. FT. = 0.465 ACRES TOTAL AREA LOT ~ EXISTING: 390.19 S.F. OR 1.93 % PROPOSED: 556.52 S.F. OR 2.75 % SITE AREA LANDWARD OF WETLANDS: 9,658.75 SQ. FT. = 0.2217 ACRES EXISTING: 390.19 S.F. OR 4.04 % PROPOSED: 556.52 S,F, OR 5.76 % ZONING: R-40 FLOOD: "AE"(EL8) ZONE SURVEYOR: JOSEPH A. INGEGNO P.O, BOX 1931 RIVERHEAD, NY. 11901 1. ELEVATIONS ARE REFERENCED TO N.G.V,D, 1g2g DATUM, EXISTING ELEVATIONS ARE SHOWN THUS: lq O 4. THE LOCATION OF WE!J~ AND CESSPOOL~ SHOWN HEREON ARE FROM FIELD OB.~IERVATIONS AND/OR DATA OBTAINED FROM OTHERS LOCATION MAP TEST HOLE DATA CTEST HOLE DUG BY~ ON MARCH 21, 2001,) 13' FINAL DRAWING 10/4/04-] te, IJ,3Tt~=. BY: RJB CHECKEO BY: DATE: MARCH 19, 2004 SCALE: SHEET T/TLE: SITE PLAN SHEET NO.: 1 2 SITE DATA SCTM # 1000-117-05-30 N/O/? LAWRENCE M. TUTHI££ BOAT MARINA (UNDERWATER LAND) PROPERTY: ADRESS OWNER: 7065 NEW SUFFOLK RAOD NEW SUFFOLK, NY. 11956 THOMAS AND BEV CHRISTIANSON P.O. BOX 65 NEW SUFFOLK, NY. 11956 SITE: 20,263.30 SQ. FT. = 0.465 ACRES TOTAL AREA LOT COVERAGE: EXISTING: 390.19 S.F. OR 1.93 % PROPOSED: 556.52 S.F. OR 2.75 % SCHOOL HOUSE CREEK SITE AREA LANDWARD OF WETLANDS: ' ! ~ '~.~-~-~'~J J/ ~J~ ~J-i 9,658.75 SQ. FT. =0.2217ACRES j- t.~ J' J EXISTING: 390.19S.F. OR 4,04% . ~ ~ ~ ~ _~ - 5 PROPOSED: 556.52 S.F. OR 5,76 % -...~- ~ --~ ~ ~ ~ , ,~ zo.,.~. ~, , ~ -~_ ~¢ / ~ TFORM FLOOD: AE (EL.8) ' :, b', ~ ~ ~ / / ~¢ ZONE :"~ TO~O~ ~/ ~ / '/~ , El' 7 o. ~ ~ , ~ , / ; SURVEYOR: JOSEPH A. INGEGNO ~ / / ~ /~ P.O. BOX 1931 _-- .-. ¢ / ~ RIVERHEAD, NY. 11901 SYSTEM NO~. ADDITION 83"47'2~" 1. ELEVATIONS ARE REFERENCED TO N.G,V.D, 1929 DATUM. EXISTING ELEVATIONS ARE SHOWN THUS: ID D 4. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS ' LOCATION MAP 202.68' EXISTING WELL ~-FOR IRRIGATION ~ONLY ~/o/~ JOSEPH FUDJINSKI VACANT ORCHARD STREET TOP 4' DEEP max SITE PLAN SCALE: 1" = 20'-0" PROPOSED SEPTIC SYSTEM DETAIL (NOT TO SCALE) CCA TIMBER DEABMEN ~FOR NETAINING WAIt GRADE ~FFLE 21' GROUND WATER ....... ~[ ~- PROVIDF 1 FULL CCA T~MBER BFIOW FXISTING GRADE TEST HOLE DATA (TEST HOLE DUG ~Y McDONALD GEOSCIENCE ON MARCH 21, 2001) 7////, FOUND PIPE SEPTIC PROFILE (N.T.S.) MAY 1 6 2003 s-~mo~o~-~- I DATE; SCALE: SHEET TITLE: SITE PLAN HEET NO.: 1