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HomeMy WebLinkAboutARNOLD, HARLEY B. t: Albert J. Krupski, President co��p Town Hall John Holzapfel, Vice President 53095 Main Road Jim King y a , P.O. Box 1179 Martin H. Garrell o "ellcr Southold, New York 11971 Peter Wenczel y'lfpl s� Telephone (516) 765-1892 . Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD III Office Use Only Coastal Erosion Permit Application SEP 2 5 1998 Wetland Permit Application -r Grandfather Permit Application TOWN OF %„C)U`' _ _Waiver/Amendment/Changes Received Application: Received Fee: $ Completed Application Incomplete SEQRA Classification: Type I Type II Unlisted Coordina.tion: (date sent) CAC Referral Sent: Date of Inspection: Receipt of CAC Report: Lead. Agency Determination: Technical Review: Public Hearing Held: Resolution: Name of Applicant /-1.4P_L Z)- 13„ ; AtVQLD Address PO kux 4A '2�1,50 I')cEp 14OLE I)I2, AV ,*-r`I iTUC:K , My I)q Phone Number: (51(a ) 2Q0- 411+2� Suffolk County Tax Map Number: 1000 - Property Location: 'ZDU P Rp_AY' AWE L/L C.O C00% (provide LILCO Pole # , distance to cross streets, and location) AGENT: ( If applicable) Address : Phone: FAX# • a �� - a� �q FLOQ E,J4 fc?Nc- : jsy_ P,17 _S—?V9 - 1 - PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name:_- __ __ _ _ __ Address: TO111EN OF SO THOLD �T ; �L;5AA#t dG(cecr�v d 2 Lt�11at? M Zh jTA;Ear, COUNTY OF S� P�vJ cc9z residing at being duly sworn, depo es and says that on the of 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 Notices w re mailed at the United States Post Office at ,,u ) that said Notices were mailed to each of sasa' persons by (certified) ( registered) mail. i �a4 U Sworn to before me this J day of O u-10-?,C-2 ,19MAR_� - --- --c=p-L-'-... _ MY COMMISSION a OO 613M :�j EXPIRES:November so,1999 Q . Bonded Thru NoterN Public UndervniteB Notary Public 6 1.4-16-4 f2/87)—Text 12 • PROJECT I.D. NUMBER I 6i 7.21 SEC Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I—PROJECT INFORMATION (i o be completed by Applicant or Project sponsor) 1. APPLICANT/SPONSOR I 2. PROJECT NAME 0L I 9. PROJECT LOCATION: Municipality e `f-- A VR EL County O JC0 LK 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks. etc., or provide mao) 200 bRAY A VE , behiveekr g to St. (.zxt opP14 Pd) "e( All•�i'a kz I. P0h4Atve4- comer, o f' 5. IS PROPOSED ACTION: New ❑Expansion 0 ModificationialteratIon 6. DESCRIBE PROJECT BRIEFLY: p �v/��j a 5r�j/e ��t� •yc-�c�c���l�w 1 7. AMOUNT OF LAND AFFECTED: Initially 10�5 acres Ultimately l r �2 acres 8- YJILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR CTHER EXISTING I`;ND USE RESTRICTIONS? yYes El NoIf No. describe briefly I 9. 'NHAT 1S PRESENT LAND USE IN VICINITY OF PROJECT? Residential r,!ndustrial Commercial ,,cca�rr� `� • J�'� J6i.Agricuiture Parx/ForestlOoen scace —;Other Descnbe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STATE OR LOCAL)? Yes U No If yes, list agency(s) and oermit/approvals �vz+f-OLJ> 'roivAJ b5o lr Q1S 11. DOES ANY ASPECT OF THE ACTIO14 HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Yes' 9-14 0 If yes, list agency name and permit/approval 12. AS A RESULT OF PROPOSED ACTION WILL =:ISTING PERMIT/APPROVAL REQUIRE .MOO;FICATION? Yes KNo I CERTIFY THAT THE INFORMATION PROVIDED AEOVE IS TRUE TO THE BEST OF MY KNCWLEDG'c .applicant/socnsor name: Z R G Date: Signature: If the action is in the Coastal Area, and you are a state acency, complete the iCoastal Assessment Form before proceeding with this assessment OV=R ,' 3oard of Trustees Applicai n WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: f�fGG /:-A./q1 f-/y r- DZ.� Area of wetlands on lot: �� �j� square feet / b Percent coverage of lot: a o Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands : 6, ? feet Does the project involve excavation or filling? No y Yes If yes, how much material will be excavated?_11 9_cubic yards How much material will be filled?_ g cubic yards Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: 5 2 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) : 3 Board of Trustees Applica . )n GENERAL DATA Land Area (in square feet) : q-V- 716 , 1 Q1 Area Zoning: R 40 Previous use of property: -11,4C-t/17' Intended use of property: SIW6LE 2aAVL)!� D&AeL611,16 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) : 0 G Board of Trustees Applica )n County of Suffolk State of New York L eY e. .AQA/0 LP BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS) 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. Signature SWORN TO BEFORE ME THIS DAY OF ,19 Notary Public MELANIE V.BROWN Notary Pubic,Stele of Nurse York No.4908712 Wifiied In Suffer County "ommiss:on Expires Od.19,19_ 7 s o Town Hall, 53095 Main Road P.O. Box 1179 Telephone O�y O� Southold, New York 11971 (516) 765-1801 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Monday, October 19, 1998, the following recommendation was.made:; WR-122 HARLEY B. ARNOLD 126-1-5 to .construct a foundation for a single family dwelling. 200 Bray Avenue, Laurel The. CAC did not make an inspection, therefore, it has no comment. RICHARD ISRAEL MG v 443 MAIN STREET P O BOX 2100 ENPORT, NEW YORK 11944 Phone516-477-1300 Eax 51.67477-0909„ October 15, 1998 Town Of Southold Board Of Trustees Main Road Southold,N.Y. 11971 RE: Proposal To Build House By Harley B. Arnold SCTM# 1000-126-01-05 Dear Trustees, I represent the Pollak Family as their agent and I have been requested to respond to your notice of application of Harley B. Arnold. The Pollak Family owns the adjacent 220 acre farm to the west. The subject property is a natural ravine which collects large quantities of rain water. The property is a natural wetlands and we have concerns on the proposed building site. The building is situated on a natural incline of water flow to the ravine. I fear that if the house is built, my client may be subject to future lawsuits due to the natural drainage. Eighth Street is currently a paper street. I question whether the owner is going to open this street. If so, then will it be built according to Town Specifications,will it be bonded and dedicated with the proper drainage? The Pollak Family would prefer that the house be relocated to the Bray Avenue side which would eliminate our concerns. Please keep us advised as to the progress of your decision and I would like to be notified of scheduled meeting or hearing dates so that we may comment and be part of your decision making on said subject matter. If you are to allow this proposal, the Pollak Family would like to be indemnified by the owner for the natural peril this house is subject to. 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