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HomeMy WebLinkAboutTR-6264 / James F. King,President �krjF SO(/T�o Town Hall Jill M. Doherty,Vice-President 53095 Route 25 Peggy A. Dickerson P.O.Box 1179 Southold,New York 11971-0959 Dave Bergen G Bob Ghosio, Jr. �O Telephone(631) 765-1892 CO I Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD November 15, 2006 Mr. Eugene Krupski 29 Frank Ave. Farmingdale, NY 11735 RE: 2230 SOUNDVIEW AVE., MATTITUCK SCTM#100-2-3 Dear Mr. Krupski: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed, November 15, 2006: RESOLVED, that the Southold Town Board of Trustees APPROVE the Amendment to Permit #6264 to install a pervious driveway no closer than 50' from the edge of the wetland boundary, and as depicted on the survey received on September 25, 2006. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not a determination from any other agency. If you have any questions, please call our office at (631) 765-1892. Sincerely, James F. King Pre3side it. Board of Tr�l�ste�� JFK:Ims Albert J. Krupski, Presidi_ Town Hall James King,Vice-President �OSUFF���C 53095 Route 25 Artie Foster D�j P.O.Box 1179 Ken Poliwoda o yJ.� Southold, New York 11971-0959 Peggy A. Dickerson y Z Telephone(631) 765-1892 O 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 Pre-construction, hay bale line 1st day of construction '/2 constructed __z Project complete, compliance inspection. � . ..,�._`. � , •fir Fa+�' i •�Py� • •• • • �✓ •ram~ A;•• Arm All 1, �� � y"1 ?•' y?fir,., e,. .y ;:s.' i y $a • n vY ). Q4 .•I"U �� �. ,,'�,,..,,;; TERMS and. CONDMQNS P ate Eugene Krupski t slditrgat _ Mattituck ..- N. Y,of of the coosi&radon fot. the issuaaee of the, Petmit'does uadetstaad atxl ptescribe to the fo1= i. That the said $card of Trustees and the Town of Southold u+c re[takil from any add aQ damages,.'or tfalars for-damages, of suits adatig:dlroctiy ladirodiy ast rlt of any epee- - sidon: performed-.pursuiapit' tf:;tsi...peul,.'.u .. hc tald flet�ttx•: ., at taus or her own and the said#'amittee assuwcs full defend.zany and all tech saits`initiatcd.:by-third 4iattie; y . t�vit(t respect thetxto, -the aastp(ctc'emclusion of dvo.-Bo rd of Ttusoas:of the Town of Southold. 2. That dis Vet't'ait is valid for x Qtdod of ;24 '. trios. is rib Iilertd to be *6 eWImted time•required to ooinplete the work'involved, but•should tit*WVtancts warrant, regae�t:. for an erwnsion ,tray be made to the $oard at a .laW sly: 3. That this Permit should be retalned indefinitely, or as long as the said Permitted wlslirs to•nu ntain the structure ot. project involved, to provide evidence to anyone concerned that with �&*!On was originally obtained. 4. That the work involved will.be subject to the inspection and approval of the Board or its agents, and noncompliance with the provisions of the originating application, may cause for revocation of this Permit by resolution of the said Board.. 5. That there will be-no unreasonable interference with navigadwa. as a result of the wodc herein authorized. G. That there shall-be no interference with the right of :the public to pass and repass along the beach between,#nigh-and low water marks. 7. That if future operations of the Town of Southold require the.removal valor alteratiogs in the location of the wads fzerda.tuu&odz4 or lf, in the oplaioa-ef,-the.Boaa of Trasoees, the. wotk..shall cause unreasonable obsttucaon to free navigation, thF said PeftmIdee will be roguitea, "-due aodcc, to temo.ve.or alter this work or project herds-stated wtdx m leases to the Town' of: $wthold. $, That the said Board.will be notified by the Permlttee of the.conVedw of the wotk-au& otibed. • .- - 9. That:the Towittee will Otala.all other permits and ooaseats'dW anay be regahed Vq)' pl�ermental too.this permit.'which' tray-be subject to.revoke Upon.failure to obtxtin came. _` Albert J.Krupski,President ��OF so yo Town Hall James King,Vice-President ,`O l0 53095 Route 25 Artie Foster P.O. Box 1179 Ken Poliwoda Southold,New York 11971-0959 Peggy A. Dickerson pQ Telephone(631)765-1892 COUNTY,� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 21, 2005 Eugene Krupski 29 Frank Ave. Farmingdale, NY 11735 Re: Oregon Road and Southview Ave., Mattituck SCTM# 100-2-3 Dear Mr. Krupski: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, December 21, 2005 regarding the above matter: WHEREAS, Vicki Toth as agent for EUGENE KRUPSKI 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 October 31, 2005, 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 December 21, 2005 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 proposal 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 EUGENE KRUPSKI to install a pervious driveway, and all as depicted on the plan prepared by John. Metzger last dated July 23, 2005. 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.) Fees: $50.00 Very truly yours, James F. King Vice-President, Board of Trustees JFK:hkc 1 Albert J.Krupski,President ` ���r Town Hall James King,Vice-President O� ��� 53095 Route 25 Artie Foster JL .IL P.O.Box 1179 Ken Poliwoda CA T '! Southold,New York 11971-0959 Peggy A.DickersonO • �O Telephone(631)765-1892 liyCDU N Fax(631)765-6641 BOARD OF TOWN TRUSTEES [� TOWN OF SOUTHOLD TO: �ene {�rwpsK Please be advised that your application dated 3 I, �QOS has been reviewed by this Board at the regular meeting of Pew• a r� a-05 and the following action was taken: �v )Application Approved (see below) (_)Application Denied (see below) �)Application Tabled (see below) 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 schedule 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: J( o 171y cz'harj TOTAL FEES DUE: $ 5D I f SIGNED: "*�-$� Ll�' .. PRESIDENT,BOARD OF TRUSTEES �• Albert J.Krupski,President ] Town Hall James King,Vice-President -C .,IQC 53095 Route 25 Artie Foster �Ov ��j P.O.Box 1179 Ken Poliwoda C .� Southold,New York 11971-0959 Peggy A.Dickerson v, 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 Pre-construction,hay bale line 1st day of construction '/z constructed / Project complete,compliance inspection. i o��SUFFO��-coG y� Telephone p Town Hall (631)765-1892 _ H = 53095 Route 25 O .F 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 Wed., December 14, 2005, the following recommendation was made: Moved by Doris McGreevy, seconded by Jack McGreevy, it was RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the Wetland Permit application of EUGENE KRUPSKI to install a pervious driveway. Located: S/s Soundview Ave., Mattituck. SCTM#100-2-3 Vote of Council: Ayes: All Motion Carried zooin17 G94— a M1] OF SLRFIX)t y f Pl - f� GyOa .p.a 4 mEvelowEa wwry ] 2134 xS11cl 9 N 55.4nml � s9 P\�0t<.P. qL- g ,,�•t su a F c�" x.01m1 6 ¢�° � '° c•S w*.r 69.aelcl ].JA 53 ti 9S 1 'V EE SEc.H0. ♦�' ] 101-61-OOs ti •',1°' 7t aaJ sA 36>41c1 x m " [tlwn 6 SIIFfOL6 \5 4 4 ,oA \ya \G.a le.ma �e� ,qv i f08 P0..N0. 2 " . 2 " 21 SEE SEC.N0. M1I 26.64 16]-01-4J2J I" t2 5 ' ��- xlUltll 1 y•1°y' y f� •' 'N \5 m 2I"9410 v 2 U.J1 \y\4 t 3 iSnit b\tea m . I9tJ Fm4 ss� vw x 16Y64-961s ax sm uE scc w. 3 � YA]CH L0A SEE SEG]L.10] E " ---" —'"— w" s NOTICE COUNTY OF SUFFOLK mrna SOUTHOLD SECTION NO E — "" =11 _-.-- _= 5� , ]Ne P 94E W ip Red Property Tax Service Agency Y m9asut6w a.Hr Pmmw a<ra dA ]wa a t:E- N a —_— —_ —_ __ __ C-1 n]—.iPMB 1. ' Cmnty CentH lE w rt trtmad,N Y 11901Ap r P. 2l H �12.1 Aldlor Ix.0 �__— in —_ _ r.l.mn<r u —aa ]HxON• !aPrtiFH]zAld --'-- -- -- PEu P¢oPEH]r Tu s<Hr¢E ems]. Pan1000 MAP l MAILING ADDRESS: PLANNING BOARD MEMBERS SDUTjyO Southold,oNY 11971 JERILYN B.WOODHOUSE O l� Chair OFFICE LOCATION: WILLIAM J.CREMERS cia Town Hall Annex KENNETH L.EDWARDS �pQ 54375 State Route 25 MARTIN H.SIDOR Oly (cor.Main Rd. &Youngs Ave.) GEORGE D.SOLOMON CQUNTV�� Southold,NY Telephone: 631 765-1938 Fax: 631 765-3136 PLANNING BOARD OFFICE TOWN OF SOUTHOLD To: Town of Southold Board of Trustees From: Mark Terry, Senior Environmental Planner LWRP Coordinator Date: December 19, 2005 Re: Request for Permit—Krupski Family LLC SCTM#1000- 100-2-3 The proposed action involves Wetland Permit to install a pervious driveway. Located: S/s Soundview Ave., Mattituck. SCTM#100-2-3 The proposed action has been reviewed to Chapter 95, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP)Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is generally CONSISTENT with the Policy Standards and therefore is CONSISTENT with the LWRP,with the following conditions: Placement of haybales between the freshwater pond and the proposed driveway during construction to prevent runoff into the pond. Pursuant to Chapter 95, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Please contact me at(631) 765-1938 if you have any questions regarding the above. Albert J.Krupski,President �of so yo Town Hall James King,Vice-President ,`O l0 53095 Route 25 Artie Foster P.O. Box 1179 Ken Poliwoda N Southold,New York 11971-0959 Peggy A. Dickerson Telephone(631)765-1892 Zlij'COU �� Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Office Use Only _Coastal Erosion Permit Application _;;Wetland Permit Application Administrative Permit _Amendment/Transfer/Extension --Received Application: /C t/Received Fee:$ — __,,Gompleted Application --- _Incomplete r' _SEQRA Classification: Type I Type H Unlisted f _Coordination: date sent)_ /LWRP Consistency Assessment Form // a/A -C:VC Referral Sent: - .1late of Inspection: / _Receipt of CAC Report: _Lead Agency Determination: Technical Review: —Public Hearing Held: /c Nd-/ 0 Resolution: Name of Applicant C� U0 en "6 k�_l Address < V 1 Phone Number:( Suffolk County Tax Map Number: 1000 - (6D" o� Property Location: OrA s Rd cl' go S Aiu mu RK. 13w'l 011'q (provide LILCO Pole#, distance to cross streets, and location) 1 ` 1 AGENT: �l l G��r //V\i 1T1�1/\1 (If applicable) Address: �'�a�J �a C,�bLLo�� Iq 7/ 1 Phone: / 7,3oard of Trustees Applica in 1 GENERAL DATA Land Area(in square feet): Area Zoning: - Previous use of property: aq c - J� Intended use of property: Q1 YC C d i-i urO A 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): :V) o v o? 4- V d 4 btinf 55. qU;- `-3oard of Trustees Applica ,n WETLAND/TRUSTEE LANDS APPLICATION DATA. Purpose of the proposed operations: ` V�L�I[ duW6, Area of wetlands on lot: t4 00D square feet Percent coverage of lot: a a Closest distance between nearest existing structure and upland edge of wetlands: feet Closest distance between nearest proposed structure and upland edge of wetlands: feet Does the project involve excavation or filling? No Yes If yes,how much material will be excavated? cubic yards How much material will be filled? cubic yards 0 Depth of which material will be removed or deposited: D feet Proposed slope throughout the area of operations: I A) 74' 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): c6vt WOJJ V- ) W(v pca_�d 16D I �Lof& so `-�4p_rt iA)at b_e_ nb \ruoP4 TM�L )qgfrach' � e h 3oard of Trustees Applica n COASTAL EROSION APPLICATION DATA Purposes of proposed activity: AD C"Gn a Are wetlands present within 100 feet of the proposed activity? No +/ Yes J a-ST Does the project involve excavation or filling? No Yes If Yes,how much material will be excavated? xi ,e' (cubic yards) How much material will be filled? U (cubic yards) Manner in which material will be removed or deposited: Describe the nature and extent of the environmental impacts reasonably anticipated.resulting from implementation of the project as proposed. (Use attachments if necessary) i r and PROJECT ID NUMBER 617.20 SEQR APPENDIX C STATE ENVIRONMENTAL QUALITY REVIEW SHORT ENVIRONMENTAL ASSESSMENT FORM for UNLISTED ACTIONS Only PART 1 -PROJECT INFORMATION (To be completed by Applicant or Project Sponsor) 1.APPLICANT/SPONSOR 2.PROJECT NAME 3.PROJE&1l LOCATION: Y Municipality n�ou+h County Su'pro l 1 _ 4.PRECISE LOCATION: Street Addess and Road Intersections, Prominent landmarks etc -or provide map no r4h sl c,f e oC O rgon fed Omd -iqe Sou+h s Mt or &�)u0►d V t'eu3 13S6/ Cof 0'r &ajwle (,L)OL 5. IS PROPOSED ACTION: 10 New ❑Expansion ❑Modification/alteration 6.DESCRIBE PROJECT BRIEFLY: I d �c�,bd r v c�� ��-k� o� d+s� 1�,-� l Q r c s l, gs-Yq U� ( Yl zu-P 5_1i n �LU��Q.t o q ad DLO bwl I &no �d to+g- C� C v -ss5. g,� ys anflzo 0-re nAapt,si Cow-h�OL 7.AMOUNT OF LAND AFFECTED: Initially , 5 acres Ultimately cp. acres 8.WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER RESTRICTIONS? MYes ❑ No If no,describe briefly: W HAT IS PRESENT LAND USE IN VICINITY OF PROJECT? (Choose as many as apply.) Residential ❑Industrial ❑Commercial WAgriculture ❑Park/Forest/Open Space ❑Other (describe) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHE GOVERNMENTAL AGENCY (Federal, State or Local) � r ©Yes ❑No If yes, list agency name and permit / approval:��o)d Plannl t!u ( Q� b&v Sib)i S.-A;[L N)" 6WIL 61 S� dip4- - &Ic6l Pgrgib( 11.DOES ANY ASPECT OF THE ACTION HAVE A Ct 114RENT RMIT OR APPROVAL? ❑Yes IS41No If yes, list agency name and permit / approval: 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/ APPROVAL REQUIRE MODIFICATION? ❑Yes 91 No I CERTIFY THAT THE INFORMATION PROVIDED ABO\\E IS ,T'R`UE TO THE BEST OF MY KNOWLEDGE Applicant / Sponsor Name V I,cr—A �(�'��� T V� w � Dater (Lf (Of— Si nature If the 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? If yes,coordinate the review process and use the FULL EAF. Yes 0 No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR,PART 617.6? If No,a negative declaration may be superseded by another involved agency. El Yes ❑ No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING:(Answers may be handwritten,if legible) C1. Existing air quality,surface or groundwater quality or quantity,noise levels,existing traffic pattern,solid waste production or disposal, potential for erosion,drainage or flooding problems? Explain briefly: C2. Aesthetic,agricultural,archaeological,historic,or other natural or cultural resources;or community or neighborhood character?Explain briefly: C3. Vegetation or fauna,fish,shellfish or wildlife species,significant habitats,or threatened or endangered species?Explain briefly: C4. 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. Longterm,short term,cumulative,or other effects not identified in C1 C5? Explain briefly. C7. Other impacts(including changes in use of either quantity or type of energy? Explain briefly. D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA(CEA)? If es,ex lain briefl : ❑ Yes ❑No E. IS THERE,OR IS THERE LIKELY TO BE,CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? If es ex lain: Yes No _._ .................. _. 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 significant. Each effect should be assessed in connection with its(a)setting(i.e.urban or rural);(b)probability of occurring;(c)duration;(d)irreversibility;(e) geographic scope;and (f)magnitude. If necessary,add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show 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 impactof the proposed action on the environmental characteristics of the CEA. 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 actin WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting thi determination. Name of Lead Agency Date Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer(If different from responsible officer) Board of Trustees Application County of Suffolk State of New York 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. Signature SWORN TO BEFORE ME THIS S� DAY OF a 1 j%-bE-91 - ,20 pJ Notary#ublic LINDA J COOPER NOTARY PUBLIC,State of New York NO.01 C04822563,Suffolk Courity, Term Expires December$1,20p Kru_p tA:�k PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS /Z: rGC Lr c�rd�d AA 0 A)l 6c CA.�yl � 2 Name: Address: M"Pro n Cam.c 10- l Ar Dye- l Al 17/ cam- 45. Sg �� �� A-y /U y /Ulf a-3 a C_ �=� Pqu4 m LP )�b N Pdaa.� /may 3� a- 3M U A IYl9- 0A °L �4q(�S c��(v� e�� �5�� STATE OF NEW YORK COUNTY OF SUFFOLK l� l residing at�-�� TCcbbS (A ' being duly sworn, deposes and says that on the day of L,_200 , eponent mailed a true copy of the Notice set ior�thinthe 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 , that said Notices were mailed to each of said persons by (certified) (registered)mail. Sworn to before me this Day ofb) c,Z�v��,j jL , 20 O W o$4A ry Public BONNIEJ.DOROSKI . Notary Public,State Of New York No.O1D06095328,Suffolk County Term Expires July 7,20 L� _ �SUFFc Albert J. Krupski, President ��. QG Town Hall James King,Vice-President h� y� 53095 Route 25 Artie Foster � P.O.Box 1179 Ken Poliwoda Southold, New York 11971-0959 Peggy A. Dickerson 1'if'O aQ� Telephone (631) 765-1892 1 �► Fax(631) 765-&Wv8 � BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of Zc= COUNTY OF SUFFOLK) STATE OF NEW YORK) AFFIDAVIT OF POSTING I, 1 l , residing at SAu 11q '21 being duly sworn, depose a d say: That on the`3 day of�Q�� OOLJ I personally po ted the property known as fin, 30 Akf by Olacing the Board of Trustees official poster where it can easily be seen, aiYd 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' o. . /JoC'' p2/ O�� On 60 0 btvt 9 (A ffrL Dated: /Z1113 1kr- \r_�t _lam (signature) Sworn to before me this r1, day of b,7,. 200f] n A- I.A-A _�L (/� No Publi BONNIEJ.DOROSKI Notary Public,State Of New York No.01D06095328,Suffolk County Term Expires July 7,20 APPLICANUAGENUREPRESENTATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees.The puMose 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 to avoid same. YOUR NAME: Y`1A �`v1=.L (Last n me,first ifame,.piid initial,unless you are applying m the name of someone else or other entity,such as a company.If so,indicate,the.other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning X Other (If"Other',name the activity.) Do you personally(or through your company,spouse,sibling,parent,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 the shares. YES NO If you answered"YES",complete the 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 the appropriate line A)through D)and/or describe in the 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 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 interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this - day of 200_ Signature Print Name ✓ z d Form TS 1 3 Town of Southold - LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its si fgnt icant beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing both supporting and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website (southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# (DD - C� - 5 PROJECT NAME 1C rISX.t The Application has been submitted to (check appropriate response): Town Board ElPlanning Board FL;5NJq Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital X construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g. grant,loan, subsidy) (c) Permit, approval, license,certification: Nature and extent of action: rn Iv4� 1Q1- I g AAd's-ko hona iniL bud&P,,o .1"c>? s 65, jl�-v 5 ® � Cad 0-� sr' �► �� Cyr � -�' Location of action: n Is I (� � p C� (,IAJ S�tQfaic�e I 1 l� Site acreage: s 7 0 Present land use: re s t "'al -4' UL� +D-fr (Z.— Present zoning classification: 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: men 4e- (b) Mailing address: 7 (c) Telephone number: Area Code (d) Application number, if any: Will the action be directly undertaken,require funding, or approval by a state or federal agency? Yes ❑ No 0 If yes,which state or federal agency? C. Evaluate the project to the following policies by analyzing how the project will further support or not support the policies. Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space, makes efficient use of infrastructure, makes beneficial use of a coastal location, and minimizes adverse effects of development. See LWRP Section III—Policies; Page 2 for evaluation criteria. 14 Yes ❑ No ❑ Not Applicable Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III=Policies Pages 3 through 6 for evaluation criteria Yes ❑ No ❑ Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria XT Yes ❑ No ❑ Not Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LWRP Section III—Policies Pages 8 through 16 for evaluation criteria ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWRP Section HI —Policies Pages 16 through 21 for evaluation criteria ® Yes ❑ No ❑Not Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ XXI Yes No Not nYplicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes El No x Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. FVT ❑ Ye�] No Not Applicable Attach additional sheets if necessary WORKING COAST POLIO - Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III—Policies; Pages 47 through 56 for evaluation criteria. ❑Yes ❑ No V\I Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living marine resources in Long Island Sound, the Peconic Estuary and Town waters. See LWRP Section III—Policies; Pages 57 through 62 for evaluation criteria. ❑ Yes ❑ No ® Not Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the Town of Southold. See LWRP Section III — Policies; Pages 62 through 65 for evaluation criteria. IZSJ Yes ❑ No❑ Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No X Not Applicable PREPARED BY� T. , TITLE a DAT `1 ��� Board of Trustees. Applica n AUTHORIZATION (where the applicant is not the owner) I, Gut 0e, (' S I residing at'Q r6-'Q,R I1�fQ, (prin owner of property) (mailing address) do hereby authorize , I 1�1,, (Agent) l 1� (C �(_l'�V 1 to apply for permit(s) from the Southold Board of Town Trustees on my behalf. A (00ner' s sign ture) � e 8 , ._. w.. .. ...,.;•. wwrNn;<nrl!M^^+•.°'Y^-«""'°.,:+v""":�"r , ... -- .....W«.r. aY ..,ll�,��� - .. 1 �0�N �iGP1tON Rd� G SE' S�O�L N GEC r1 J 6 P v��' UNKNOW g0 0�' l� NO 22• 75 00 90 S? 0 �� S 6• s L / SSPE L & w C 00 wEF PROp05E0 o " f ` 1• co O r I / , RERE 150 S POQL so �o en P \ him r._ w N OF SCUY HOLD i .w� MotjN-r 6oON N /0/F o NSA' SSP°°L L,OCA7j0 R d B UNKNpWP� l j2.0�, 80 I ! o_ 32 ! 75 U \Q p •gyp i ':i opf- 60 fir ., , �RS��o SUBDIVISION OF II Il \ r l j sq w°°o CEP40 r\rx I AMIc YlLC , A T MA T TZT UCH 51, - ILO E°� e 3 TOWN OF SO U'THOL TtWIT N Ago�� SUFFOLK COUNTY, N. i 1000--100 02 0 �r f�%aB ► �` �� ©'�� 8�\ � �5 --�- SCALE: P 100' `'�` a z r\ FEBRUAR Y 24, 2005 JUNE 15, 20 5 / O \ I, �� / / •// / Goo- e� 8 I ! I 1 VtEyy 6 \� \\ \ A vim. \ \\ 75 \ \ Q Al SO to '�NF 1Fsr 0 \ e•W ��< � e / M�8 \ 65 KEY MAP S/TF SCALE, I'- 600' X m� 5� \ \ Z to o. x ' \ \ OREGON ROAD ZONING DISTRICT A -C FIRE DISTRICT; 30 55"\ \ N 4'� \ 55� SCHOOL DISTRICT, 9 \ \ AREAS OF.SLOPES OF 15% OR GREATER � s � gSil 1�''nQN . / SUFFOLK COUNTY SOILS CLASSIFICATIONS "\ \ ��, -SOIL. CL-O �� \ li HaB,HaA, MIB,P/B, PmC3,RdB,RdC & SdA \ X UTILITIES "\ \ \ Z o o � PRIVATE WELL \ \ \ _ a ,. INDIVIDUAL SEPTIC SYSTEM X \ \ N CABLE \ TEST HOLE \ \\ m •7/06/05 " { BYMacDONALD GEOSC/ENCE \ N BROWN LOAM OL \ \\ \ J BROWN SANDY SILT ML \ \ \\ z- - nE►-� o � \. 110 \ ` \ BROWN CLAYEY SAM SC .- ., �� \ PAP H•` \ , PALE BROWN FINE TO II COARSE SAND SW K \ 1 4 T x\ • \ a x � Z \\\ \ i \ \ THIS IS TO CERTIFY THAT THE SUBDIVISION PLAT HAS BEEN APPRO�V�ED• \ BY THE PLANNING BOARD OF THE TOWN OF SOUTHOLD BY RESOLUTION < \ i I � OF APPROVAL DATED r x\ \ CHAIRMAN PLANNING BOARD x \ \ \ \ Y CERTIFY THAT TFIIS SUBDIVISION PLAT WAS MADE FROM � ! 1 HERB x\ \ \ I ACTUAL SURVEYS COMPLETED 07/26/02. THAT ALL MONUMENTS G SHOWN THUS:x ACTUALLY EXIST AND THEIR POSITIONS ARE. x \ CORRECTLY SHOWN AND ALL DIMENSIONAL AND GEODETIC DETAILS \ \ ARE CORRECT. x \ \ JOHN T, METZGER, N.Y.S. L.S. LIC, NO. 49618 \ \ j \X ' SUFFOLK COUNTY DEPARTMENT OF HEAL TH SERVICES ,� \ HAUPPAUGE, N.Y. DATE \ \ Nd \ N { THIS /S TO CERTIFY THAT THE PROPOSED REALTY SUBDIVISION OR \ DEVELOPMENT FOR IN THE WITH A TOTAL OF—LOTS WAS APPROVED x \ \ ON THE ABOVE DATE. WATER SUPPLIES AND SEWAGE DISPOSAL FACILITIES MUST CONFORM TD CONSTRUCTION STANDARDS IN EFFECT \ `�1 r \ \ AT THE•TIME OF CONSTRUCTION AND ARF SUBJECT TO SEPARATE \ PERMITS PURSUANT TO THOSE STANDARDS .THIS APPROVAL \ r VALID ONLY IF THE REALTY SUBDIVISION �- SHALL BE ALI 9°��\ DEVELOPMENT MAP IS DULY FILED THE COUNTY CLERK \ WITHIN ONE YEAR OF THIS DATE. . 5°l \ \ CONSENT IS HEREBY GIVEN FOR THE FILING OF- THIS MAP ON WHICH THIS ENDORSEMENT' APPEARS, IN THE OFFICE OF THE \ \ COUNTY CLERK IN ACCORDANCE WITH PROVISIONS OF THE \ \. PUBLIC HEALTH LAW AND THE SUFFOLK COUNTY SANITARY \ \ CODE. P.E. DIRECTOR, DIVISION OF ENVIROMENT OUAUTY \ I HEREBY CERTIFY THA T THE WA TER SUPPL Y(S) AND/OR SEWAGE DISPOSAL SYSTEM(S) FOR THIS PROJECT WERE DESIGNED BY.ME OR UNDER MY DIRECTION BASED ON UPON A CAREFUL AND THOROUGH STUDY OF THE SOIL SITE AND GROUND WATER CONDITIONS, ALL L 0 TS AS PROPOSED CONFORM �O THE \ \ OWNERS APPLICANTS SUFFOLK COUNTY DEPARTMENT OF HEALTH SERV/CE,S� CONSTRUCTION., \ \ STANDARDS IN EFFECT AS OF THIS DA TE. i THE KRUPSKI FAMILY LIMITED LIABILITY COMPANY #1 \ \ \ I5° 1055 OREGON ROAD I MATTITUCK, NEW YORK 11952 JOSEPH FISCHETTE, P.E. 3 \ PROPERTY LINE AREAS LOT 1= 63;551.1 t '�►,f t',dr i l4589Acre LOT 2 = 55.9985 ACRES !a• }M�IF.D GRADE •\ 1�, a BAU.ON T TOTAL A CRES= 57,4574 ACRES , STORASE rAW — �� HOUSE s SEN ,000 TIC TAME : \ ON z GROWWATER •5Q �r v SLbuf.RMLEPUMP \ 6r;- �/ y NN \• r.��t J ��ONS PER �• (' / l� L - POOL m "- t0' �h ? TYPICAL WELL ,ov+ '�� ROAD (NOT TO SCALE) TYPICAL PLOT PLAN w .> a\g9, 690 ` �\ �° A . � .. o AAO' Los.a • g °U" e 0 6 I,g6a? • Sao �g� T 0 J PG P�PGE pv��01. ,�51 \� Q�OF S �.� R�GN ���YORK co 02 ~; O I � c ono,5o�a� `1G��Sl , � ���, N. �19fi18 N TO IIIIS SURV( Y IS A 1�f01_A II()N 01\ PG 0� ANY AcTIRAPON oR ADOIRO GAS o,� �� CONIC ITV s, .�`� OF SECTION 7209OF THE NEW YORK STATE EDUCATION LAW. (631) 7fi5-5020 F,4 �� —1797 ^ & QP� 1 �� EXCEPT AS PER SECTION 7209—SUBDIVISION 2. ALL CER77FICAT70NS 1. P.O. BOX 909 HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF n =MONUMENT CONTOUR LINES ARE REFERENCED TO THE IQ�JE 12JO TRAVELER STREET SAID MAP OR COPIES BEAR THE IMPRESSED SEAL OF THE SURVEYOR e =PIPE FIVE EASTERN TOWNS TOPOGR,'APHIC MAPS �5--10� WHOSE SIGNATURE APPEARS HEREON. SDUTHOLD, N.Y. 11971 l