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Home My WebLink AboutDUELL, LINTON TRUSTEES 4, � SUPERVISOR , John M. Bredemeyer, III, President _� � SCOTT L.HARRIS Albert J. Krupski, Jr., Vice President Henry P. Smith Town Hall John B. Tuthill y @� 53095 Main Road . William-G. Albertson ®j �, P.O. Box 11W Southold, New York,11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD October 23, 1992 Linton I . Duell 930 `Tillage ' Lane P.O. Box 783 Orient NY 11957 Re: SCTM #1000-24-2-12 Dear Mr. Duell: The following._ action was taken by the Board of Trustees at their regular meeting of October 22, 1992: m Resolved that the Southold Town Board of Trustees grant a waiver, to renovate existing building with a-raised concrete foundation, a 5' expansion in rear of house, and a 2nd story construction above existing area. If you have any questions please contact our office. Very truly yours, John M. Bredemeyer, III President, Board of Trustees JMB:djh cc. Building Dept. 3 1992 /'tfLr✓rV ��r1T�t� , TOWN OF SOUTHER b -41 ��`E'e►�r; N If i TRUSTEES I� John M.Bredemeyer,III,President E SUPERVISOR Henry P. Smith,Vice President ran <, '.' 'r'y -. SCOTT L.HARRIS Albert J.Krupski,Jr. .A John L.Bednoski Jr. •� •• - >Q Town Hall � Si �� 53095 Main Road John B.Tuthill P.O.Box 1179 Telephone(516)765-1892 BOARD OF TOWN TRUSTEES Southold,New York 11971 Fax(516)765-1823 TOWN OF SOUTHOLD 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 i ! 3 1992 Completed Apps. Date: Variance Required', Neighbors notified Date: OWN �� ®�� SEQRA Type __ Coord. Review-opt. ,mand. Date Reg, e Insp. comp. /date: Q a SEQRA Determin./date: Public Hearing/date: Findings: 131992 Permit Vote: (Y/N) : Special Conditions: ( also see file) A2plici on Pee Application Number; SCTM 41000- Project Name (If any) Date Prepared: jc3�t��92- Applicant: X 1E,47'0dv _ ,eyaa ,i Address: e7hO Vi'///tic 4 Atie, P10 610 ��'/ N% •t/4 Phone - Interest: (owner, consultant,lessee,etc. ) ,� � Owner of Property: Address Z) 7:� Pho e /6 ) gX3 a 0 Subject Property Location: ,J (Provide LILCO Pole #, Distance to cross Streets if not on location map) THIS IS NOT A PERMIT 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 'zoning: Land area in acres.- Is project for I:frivdte or business ,use: Intended use of property: Describe. known -prior operations conducted on premises: [�t91rt L"-e,.rL ! " ASP D m R e r Coe45-y'!,ef-tcr-4 1 'R3[ Has any prior license or permit been issued to erect structures, dredge, or deposit fill on said premises: too Has any license or permit ever been revoked or suspended by a Governmental Agency: Project Description The project description must also include plans for reclamation of land disturbed during construction of the principle and accessory structures and underground structures. (i.e. , pipeline and septic system; make additional attachments if necessary) . LD�lI��iEfrx [gF L�q fm B-,-- erntu(D MtD '� CCU tr4-� �i v'uC. f P4 muye N GILL IG Jec a"rn i-9 a 1 Lc Ltr i a4?_" J _Apra"4C. 5 Pz e.+. Authorization (Where the applicant is not the owner) I residing at (Print-owner of subject property) (Mailing address-phone) do hereby authorize to apply for :Co:a;sa' alrosion ermit( s) from the Southold Town Trustees S i g n a t4eT_ THIS IS NOT A PERMIT County of Suffolk ) State of New York ) iL�/�/ l?N �• (7Laa:F-/1 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 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 REPRESENTATIVE(s) , TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS APPLICATION. SIGNA SWORN TO BEFORE ME THIS _ _DAY OF ,19 (V oL-- NOTARY PUBLIC CLAIRE L.GLEW Notary Public,State of New York No.4879505 Qualified in Suffolk County Commission Expires December 8,18 Suggested space for location Map THIS IS NOT A PERMIT 14•416.4 12/87)—Text 12 Phb ECT I.D.NUMBER 617.21 SEQ fi 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) 1. APPLICANT/SPONSOR 2. PROJECT NAME 3. PROJECT LOCATION: r Municlpallty t e,fo Salwol County 4. PRECISE LOCATION (Street address and road intersections,prominent landmarks,etc.,or provide map) Ul 5. IS PROPOSED ACTION: ❑New ❑Expansion LJ Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: f j �? c�css� fz'r_��►. off' �,r/sfiw ,yaos zv K//teI�G1+c/s C x1J/1N5/[ate eC''en t 4,, 4e 7. AMOUNT OF LAND AFFECTED: Initially 1-45'6 acres Ultimately 1i*r49,a acres 8. WILLL OPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? I A!Yes ❑No If No,describe briefly i i 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? r L�Residential ❑Industrial ❑Commercial ❑Agriculture ❑Park/Forest/Open space ❑Other Describe: /I /-/"Vo O ,.'"40.47/ �/ !"�"?2�DOl�rP S /�3J✓?3/Jtc� �d dL' . 10. DOES ACTION INVOLVE A PERMIT APPROVAL,OR FUNDING,NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY(FEDERAL, STAR rLOCAL)? Yes ❑No If yes, list agency(s)and permit/approvals N 11. DOES ANY ASP OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes No If Yes,list agency name and permit/approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? ❑Yes ❑No CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Date: \ Signature: 1 If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER ..., .�.� r,JJ�....1.1CI4 I I,I 0 LU GWT1p1Ut4U Dy A(lency) A. DOES ACTION EXCEED ANY TYF 1 RESHOLD IN 6 NYCRR, PART G17.12? If yes,c nate the review pr El Yes El No oross and use lra FULL E�-13. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.67 If No,a negative declaration may be superseded by another involved agency. ❑Yes ❑No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,it legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existingtraffic patterns, solid waste potential for erosion,drainage or flooding p production or disposal, 9 g problems? Explain briefly: • .. y C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly: i C3..Vegetation or fauna, fish,shellfish or wildlife species,significant habitats,or threatened or endangered species? Explain briefly. Cd. A community's existing plans 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,or related activities likely to be Induced by,the proposed action? Explain briefly. C6. Long term, short term,cumulative,or other effects not identified in CI-CS? Explain briefly. C7. Other impacts(including changes in use of either quantity or type of energy)? Explain briefly. D. IS THERE.OR IS THERE LIKELY TO BE.CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONA.IENTAL ISIPACTS? Cl Yes ❑No If Yes,explain briefly , t PART III—DETERMINATION OF SIGNIFICANC-E (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 Occurring; irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference Supporting a(ls duration; at explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequatelyaddrresserd that ❑ Check this box if you have identified one or more potentially large or significant adverse im occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. pacts which MAY ❑ Check this box if you have determined, based on the information and analysis above and. documantation, that the proposed action WILL NOT result in an any supporting AND provide on attachments as necessary, Y significant adverse environmental impacts Yr the reasons supporting this determination: - N.Imc nr lead ngcncy Print of ,vpe Name of Keiponsfulr Ufhcer in Ledd Agency title of Kespons,ule Utl-cer S4;ndture of Kesponuule Ulfuer in Ledd A4ency • _., Signature ul I'repdrer of dillerent Irom respunsfole unfcer 1 • _ � Datr TRUSTEES ��, ,, SUPERVISOR John M. Bredemeyer, III, President SCOTT L. HARRIS x - Albert J. Krupski, Jr., Vice President Henry P. Smith �� ', { t � Town Hall John B. Tuthilly `�`' ' `"`= 53095 Main Road William G. Albertson .1 � � P.O. Box 1179 Telephone.(516) 765-1892 L Southold, New York 11971 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD 30 year Maintenance Agreement Erosion Protection Structures Chapter 37 Southold Town Code Southold Trustees as Administrator I (we)— type or print name(s) the owners of record of property at: Vileof-;56U ket -/L- (type o . pri street address) SCTM #1000- 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. It is my/our understanding that we are to maintain this structure With materials 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. Subsequent owners may apply to the Southold Town Trustees to re-authorize this maintenance agreement. a„�,. i � :;.. -�_�