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SOUTHOLD, NEW YORK
Trustees
PERMIT NO .......... .1..5...!9 .............. DATE: ~.~.~.....~.,. 1.982
ISSUED TO ell Simon
Pursuant to the provisions of Chapter 615 of the Laws of
the State of New York, 1893; and Chapter 404 of the Laws of the
State of New York 1952; and the Southold Town OrdinanCe en-
titled "REGULATING AND THE PLACING OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and the
REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM
LANDS UNDER TOWN WATERS;" and in accordance with the
Resolution of The Board adopted at a meeting held on Dec. ...... 2..,..
19.~_~ .... and in consideration of the sum of $:~.g.~.~.gP.. ....... paid by
.................. ~.~..-. ¢~ ~.~ .~!~..n..~. ,.......!~..-..._ .~..o..~.... ~..i..! ._ .~ ~..m...O..~. ......................
of ..................... .S....o.;.'~b.c~.]~t .................................. N. Y. and subject to
Terms. and Conditions Jisted on the reverse side hereof,
' o.f Southold Town Trustees authorizes and Permits the following: to
construct approximately 190' of timber bulkhead gener-
ally above line of ~ except on Southerly side where
it will tie into the Corner of existing bulkhead. A 10
foot return is proposed on northerly s~de. Approxi. mate]
200 cu yd of clean sand fill to be trucked in for(cont
all in accordance with the de~aiJed specifications as presented inba~°~
the originating application.
IN 'WITNESS WHEREOF, The said Board of Trustees I~ere-
by causes its Corporate Seal to be affixed, and these presents
be subscribed by a majority, of the said Board as' of this date.
· .......~ ~-~ ...................................................... ~~
Telephone
516-765-1938
11971
To~ e*nr~ 8outhold
Mrs. Judith T. Terry, Town Clerk
Town Ha 11
SouthoId, New York
Dear Mrs. Terry:
December 7, 1981
The following action was taken by the Board of Southold Town
Trustees at a regular meeting held ~ecember 2, 1981:
RESOLVED to recommend to the Southold Town Board approval of
the wetland application, ~80, of Neil Simon, to construct 190'
of timber bulkhead generally above line of M~W except on south-
erly side where it will tie into the corner of existing bulkhead,
with a 10' return on northerly side and truck in approximately
200 cu yds of clean sand fill for backfill, in man made basin
off Southold Bay, at Harbor Lights Drive, Southold.
Yours truly,
Anna T. Hataier, President
Southold Town Trustees
BOARD OF TOWN TRUSTEES
Town of Southold
Main ROad
Southold, New York 11971
P/I
/
To: En-Consultants~ Inc., for Neil Simon
1. Your application, doted ...... .~.O.~..~.~.~r...~.7.,....19.81 ......................... has been reviewed by this
Board, at a meeting of the Trustees held on December 2, 1981
a.nd resulting in the action, as indicated below:
C...x...x..x...)
( ............ )
( ............ )
Application approved.
Application denied.
Application tabled:
2. Comments and remarks:
3. If your application is approved above, A Permit Fee is now due, and should be made payable
to the order of the Board of Southold Town Trustees. This fee is computed below according to
the Schedule of Rates as set forth in the Instruction Sheet (Form !/I).
If the Permit Fee is paid in person to the Secretary of the Board, The Permit will be ob;:ainable
at the same time. If the 'fee is paid by mail, the permit will be mailed in reply.
Computation of Permit Fee:
190 feet of Bulkhead ~ $i.00 per
10 feet of Bulkhead ~ $1.00 per
Application
foot --$190.00
foot --- 10.00
$2OO.O0
fee -- 5.00
$205.00
TOtal Fee for this application ... m 205. O0
Chm. Board of Southold Town Trustees.
by .
BOARD OF TO~/N TRUSTEES
Town Of Southold
.Southold, New York 11971
Main Road
A/3 - l~ev. 6/7~.
APPLICATION FOR A BULKHEAD, DIKE, O1~ JETTY
1. Does this project involve the use of WETLANDS os defined in the Southold Town Wet~ands
Ordinance? ~J~or NO. If it does, you must file through the Town Clerk's Office.
Is the proposed work entirely within the boundaries of your own property as substantiated
by your Deed or Survey? YES ~ If it is, a Permit is NOT required from this Board,
but the Town Building Inspector should be contacted for full details.
En-Consultants, Inc. for NeiI Simon
3. Applicant's name and address: ......................................................................................................
4. Contractor's name and address: ...O. amea..H....l~.amb, o.,...I, uc ..........................................................
Bishops Lane, Southampton, N. Y. 11968
5. Explain briefly the purpose of this application: ~.g~.s~.t~.r..u~.t~'i.9.g-~.~..f.~'~..9..~.~.~'.q~.f.'t.~9~imber
Approximately 200 - cu. yds. of clean sand fill will be trucked in for backfill.
6. After issua.nce of Permit, I expect to: (mark with an X)
(a) Commence work AT ONCE ............; ASAP .... ~ ...... ; UNKNOWN TIME .............
(b) Complete work in, I DAY ............ ; I MO ............. ; 1 YR ............. ; F,j~X:l~ ...2..weeks
Secure the correct Area Map from the Secretary of this Board, and by using an X WITHIN
A CIRCLE as a mark, indicate as closely as possible the Ioca¢ion of this project. On the
reverse side, provide a SCALE DRAWING which will show Ordinary Hig'h Water ,Mark as well
as the size and shape of the structure or work to be done. Also include all dimensions for
portions which extend offs'hare from the O. H. W. M.
Provide the following documents:
(a) A Licensed Engineer's Survey of the property involved.
(b) A copy of the Contractor's Plan. and Specifications.
Does this project extend into Town Waters beyond ,a,n imaginary line or boundary farmed
by existing works of a similar nature along this area's shoreline.;~j~J~m~ NO. If it does, state
the approximate distan.ce beyond, . ........... ft.
10.
WilJ this construction require the Filling of any land offshore of the Ordinary High Water
Mark or the Dredging of a,ny material from Town Lands under water?~r NO. If it does,
Form A/4 (Application for Dredging/F 11 rig) must be completed and attached as part of this
application.
In requesting approval of this application, I submit tha¢: the information presented herein
is true and correct to the best of my knowledge and belief; I am the person accountable for
the performance of the work in accordance with /'he plans and specificati.ons attached; I haYe
read or am familiar with the provisions of any Southold Town Ordinance pertinent to the work
involved; and further, I intend to adhere to and abide by the Terms and Conditio,ns of the
Permit, when a, nd if issued to me.
Accepted by:
Dated: if
Town Of Southold
Southold, N. Y.
APPLICATION FOR
Application No .................................
WETLANDS PERMIT
Date of Application ..~.o?,.,e.,m..b.,e,~',.,,L,~...,1,,9,,8.~ ...........
Address of ApPlicant. 6.4. ~Ip.[t!i Main St,g .S, outhampton N Y 11968
. · ............................ ...... ; ......... ,, ....... .~ ..... ". ..... ." ......... ; ..................... ; ..............
iN,STRUCTION$ FOR PERMIT
B. P lot. Plan must be dr
of property, the
of proposed project. (Note:Copies
A. This application is to be completely filled in by typewriter or ink and submitted to the Town
Clerk in 'quadrupliCate; aCc6mpanied by ~ritter' permission from the owner of the property if not
the same as the appiicant.
the reverse side of this application showing the location
owners of adjoining properties, and a detailed description
Pilot Plan may be made by a copy machine and attached
)1 ication.')
operaHon shall be initiated by the applicant until all permits that are required are issued, ·
D: A detailed, stdtement of the rehabilitation and proposed condition of the premises after the
work ir, completed must be given, including a survey if required.
E. if permit is. being sought for a more 'sizeable excavation than the construction of a private
single dock or jetty, then this application must be accompanied by a survey and topographical map
certified by o registered land survey or Professional Engineer. The horizonta control of survey
shall be based UPon an aPProVal ioca,i COordinate system. The vertical control for elevation and sound-
ings shall be based upon United States Coast and Geodetic Survey and/or United States Geological
Survey datum.
F. A statement must accompany the application describing any known .prior operations conducted
on the premises in question and whethef any Prior licenses °r permits have been issued to erect
structures or to dredge or deposit fill on said premises and whether a. ny: such permits or licenses
were ever revoked or suspended bY a' governmental agency. '
G. A filing fee of $25.00 shall accompany
there is a $5.00 fee for each additional in!
s filing fee includes one inspection:
H. The ToWn Board upon c F t, maywaive in whole or in part,
the provisions of .Article I1~ Section~ I -where : finds that nature of the
proposed opeFations ai*e sL~ch that_ 'the requirements of such provisions dre not necessary for a
Examined ......................... 19 .......
Approved ..... .. .... ;.. ..................
Disapproved ....................................................
Conditions, if any, ......... ~ .................................................
Examining Body
Signature of Chairman .....................
APPLICATION IS HEREBY MADE to the Town Board of the Town of Southold, Suffolk County,
New York, for the issuance of a permit pursuant to the Laws, Ordinances and Re~iulotions govern-
ing the Coastal and Interior Wetlands, Fload Plains and Drainage Areas of the Town of Soathold:
l_oration of property for which .... : ........ ~ terminus of [{arbor Li ht Dr . , .....................
~, ..... ,, wu~,,uu ........................... · ....... . . ~. .~ Bay View
Home address of permit applicant if differen't from 'aforesaid location ..5..,.~..u..e..~.[.~..e..~.o,e' .... ' ............
01d Bethpage, NY 11084
Creek, Bay or Harbor fronting .... ~.,.. man-made basin off Sout
~,~..y ............................ hold Bay. .....................
Size of proposed work:
Length lg0 ft.
Width
NA
Height Above High Water 1 1/2 ft.
Depth Below Low Water NA
. Width of
Depth at
/~verage
Yards to be Excavated 0
Yards to be Filled Approximately 200 cu. y. ds, to be tru.q]t.~d ~R.f~ bac. k. li~ll..
1 4-
canal, creek or bay fronting pro e 50 ,~,,._% PT..
Low Tide .... .2... ~.: .........
2 ft. 6 in.
Rise in Tide ....................... .....
Is this for private or business
Area Zoning Residential
Is this for private or business use?
Area Zoning.. Residential
Monner in which material will be removed or deposited trucked in and graded W~
:". ..................... :.]?i .............. ::i ............ '
Intended use of property one famil resid~,~=
Written consent of owner of property, if not the same as the applicant ..see attache
COUNTY OF SUFFOLK )
STATE OF NEW YORK ) SS:
.................. ...~.,:.-,. ~' ),ri) l
...... "':~' .................... ;':;: .... being duly sworn
r.]nd s¢~¥s l'hat he '
herein e~ t~,,~ ,~ 6s the oPOlicont for the obove described permbt, ond ~hot ~ statements
· ,, .~r_ .. ...... the best of his ~nowl~ge ~nd belief; that the ~ork will be done in
].,:e ap~,c~nt agrees to hold ~se ~ay be?ppr~ve~ by the Town BOard
uny aha all damages and claims ~9~n or ~outhold and fhe Yawn B~=rd
ansmg un,er ar'by vinu~of sa~4 2qZ ..... a~nd f
S,gnatate 'o~ Applicaat~~' ............. ~".: .........
to before me this .. ~J ~'~ . Roy L. H~je
......... .(I
· ';':-~ ..,C~q.~ ..... :~..-:..',. .
~otary Public ...........