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Home My WebLink AboutDUELL, LINTON TRUSTEES - John M. Breclemeyer, II1. President Albert J. KrupskL Jr.. Vice President Henry P. Smith John B. Tuthill William-G. Alber~son Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SUPERVISOR SCOTT L HARRIS Town Hall 53095 Main Road EO. Box 117~ Southold. New Yor~ 1t~71: October 23, 1992 Linton I. Due~l 930 Village Lane P.O. Box 783 Orient N2~ 11957 Re: SCTM 91000-24-2-i2 Dear Mr. Duell: The following action was taken by the Board of Trustees at their regular meeting of October 22, 1992: Resolved that the Southoid Town Board of Trustees grant a waiver, to renovate existing building with a-raised concrete foundation, a 5~ expans!on in rear of house, and a 2nd story construotion above existing area° If you have any questions please contact our office° Very truly yours~ John M. Bredemeyer, III President~ Board of Trustees JPIB:djh cc. Building Dept. TRUSTEES John M. Bredemeyer, IH, President Henry P. Smith, Vice President Albert J. Krupski, Jr. John L. Bednoski, Jr. John B. Tuthill Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD SUPERVISOR SCOTT L. HARRIS Town Hall 53095 Main Road P:O. Box 1179 Southold, New York 11971 COASTAL EROSION MANAGEMENT PERMIT APPLICATION TOWN WETLANDS PERMIT APPLICATION TRUSTEE LANDS PERMIT APPLICATION Office Use Only: Coastal Erosion Permit Application ---Wetland Permit Application ---Trustee Lands Permit Application --Grandfather --C0mpIeted Apps. Date: Variance Required', --Neighbors notified Date: SEQRA Type Coord. Review-opE.,mand. Insp. comp./date: . SEQRA Determin./date: Public Hearing/date: Findings: Permit Vote: (Y/N): Special Conditions: (also see file) Date Rec. by Application Application Number; SCT~4 alO00-_~-~--~ project Name (If any) Date Prepared: Applicant: L/l~'-~ge~- _~ ~ v,,~t_~ Address: ~ V///~~ ~ ~,~K ~P/~ ~'~' Phone Interest: (owner, consultant,lessee,etc.) Owner of Property: ~/~ ~ ~ Address ~ ~///~ ~.~, ~g~ ~,~. bject Property Location: ~ ~ K~ ~ (Provide LILCO Pole ~, Distance to cross Streets i~ hOC on location map) THIS IS NOT A PER~IT Yds. to be excavated: Yds. to be filled: Manner in which material will be removed or deposited: Width of canal, creek or bay fronting property: Depth at low tide: Aver. rise in tide: Distance to nearest channel: Distance project extends-~beyond~ similar projects in area: Area z~ning: ~-~ Land area in acres: ,~ mt~ Is project for ~rivate or business,use: P~Z~F~ Intended use of property: ~~ Describe known prior operations conducted on premises: Has any prior license or permit been issued to erecu structures, dredge, or deposit fill on said premises: NO Has any license or permit ever been revoked or suspended by a Governmental Agency: /~ Prajecn Description The project description must also include plans for reclamation of land disturbed during construction of the principle and accessory suruc~ures and underground surucuures (i.e., pipeline and septic system; make additional attachmenns if necessary). Authorization (Where the applicant is not the owner) I residing at (Print-owner of subject properuy) (Mailing address-phone) do hereby authorize to apply for Coastal Ero'sion Rermit(s) from the Southold ignaff~./' THIS IS NOT A PERMIT Town Trustees County of Suffolk ) State of New York ) ~//v~-~/v~X-.~g~// BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT[S) AND THAT ALL STATEM~qTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT 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 DA~4AGES~ND 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 REPRESENTATIVE(s), TO ENTER~ ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITHREVIEW OF THIS APPLICATION. swo To BEFORE ME THISOF , 9q2. NOTARY PUBLIC Notew Pubic, Sram of New York No. 4879505 Commission Expires Oecembe~ 8,197,~. Suggested space for location Map THIS IS NOT A PERMIT 617.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only DART I--PROJECT INFORMATION (-Fo be con" 91eted by AeDlicant or Project spoesorl 1. APPUCANT/SPONSOR a. PROJECT LOCATION: 4. PRECISE LOCATION (Street address a~d road Jnter~ect~ons, prominent lanamarks, em~ or prowQe map~ SEQF~ 5. IS PROPOSED ACTION: []New [] Exoansion ~Modiflcationlalterahon - · 6. DESC lEE PROJECT ERIEFLY: 7. AMOUNT OF ~NO AFFECTED: 9. WHAT IS PRESENT LAJ'¢D USE IN VICINITY OF PROJECT? ~Res,dent,a[ [] ]naustr, al [] CommercJa. l [] Agr, cul[Ure [] Pa~klForest/Open space [] Or.er t0. tOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING. NOW on ULTZMATELY FROM ANY OTHER GOVERNMENTALAGENCY (FEDERAl.~"-~_ STATE LOCAL)? ~Yes[ ~] No If ye~, llst agency(s} and permit]approvals 1 t* DOES ANy ASP OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL9 [] Yes ~ yes list agency name and permit/approval ' 2. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? E]Yes ~Ho I CERTIFY THAT THE INFORMATION PROVIDED AeOVE IS TRU~ TO THE BEST OF MY KNOWLEDGE If the acticr] is in the CoaDtal Area. and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 TRUSTEES John M. Bmdemeyer, III. President Albert J. Krupski. Jr.. Vice President Henry P. Smith John B. Tuthill William G. Albenson Telephone .(516) 765-1892 Fax (516) 765-1823 SUPERVISOR SCOTT L. HARRIS Town Hall 53095 Main Road EO. Box 1179 Southold. New York 11971 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD 30 year Maintenance Agreement Erosion Protection Structures Chapter 37 Southold Town Code Southold Trustees'as Administrator · (we) type or print name(s) the owners of record of property at: ~9~ (type of. prir~c street address) SCTM 91000- in applying for a Coastal Erosion permit for an Erosion Protection Structure do hereby agree to a 30 year maintenance program for a structure commonly known as a of as shown on the attached feet of length licensed survey of the as-built structure. tt is my/our understanding that we are to maintain this structure with ma5erials designed to endure 30 years and or equivalent to the original approved structure and that for any maintenance which involves more than 5% in length of this structure we are to give prior written notice to the administrator, waiting for their approval in all but true emergency situation's which would seriously endanger life, property and important coastal natural resource features such as bluffs or wetlands. We further understand that failure to maintain the structure could result in a requirement to post a bond and or have the repairs ordered as a lien against the property upon a finding by the Trustees that said lack of maintenance would risk life, property or important natural resources features including protected, rare or threatened animals and plants. Notarized Signature of owner of record SWORN TO BEFORE ME THIS DAY OF ,19 NOTARY PUBLIC Please submit three copies of a licensed land survey made within one year of the original construction. This maintenance agreement shall only be valid upon the final approval of the administrator. Subsequen~ owners may apply to the Southold Town Trustees to re-authorize this maintenance agreement.