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HomeMy WebLinkAboutTR-438 ��� SOUTy Michael J.Domino,President Town Hall Annex�®� Ol0 John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J. Sanders y Southold, New York 11971 Glenn Goldsmith ® �Q Telephone(631) 765-1892 A.Nicholas Krupski IiY'rou Ti Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD APPLICATION FOR A TRANSFER OF A WETLAND PERMIT DATE X13 o 7 OWNER L.e_S�� a� F -7 a PHONES4 - 3' 0/` -7� .4; MAILING ADDRESS s�j -e-- le�JIe `7&-C_ e /tea IC /1/`r /✓ 7/ AGENT PHONE ADDRESS PROPERTY LOCATION 3 70' TAX MAP NO. 7 9 I/We request a Transfer of Permit# from Signed By: Board of Trustees Applica��on AFFIDAVIT - L dA'a s BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE A PLICANT 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 BOARD OF 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, INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. .Signature of Property Ow Signature of Property caner SWORN TO BEFORE ME THIS 50i� DAY OF "q , 20j Notary Public DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK No. OID1475593 Qualified In Suffolk County [y My Commisslon Expires April 30, 20/9 oF soar Michael J.Domino, President �0� 4F Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Charles J.Sanders CASouthold,New York 11971 Glenn Goldsmith ® �Q Telephone(631) 765-1892 A.Nicholas Krupski �l�'COUffri Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD July 19, 2017 Lester & Ethna Lay 111 Soifer Avenue N. Bellmore, IVY 11710 RE: 370 WILLIAMSBERG ROAD, SOUTHOLD SCTM# 1000-78-5-9 Dear Mr. and Mrs. Lay: • S . S" The following action was taken at the Southold Town Board of Trustees,rSegi� a'la,rS rnelletjng held on Wednesday, July 19, 2017: RESOLVED, that the Southold Town Board of Trustees APPROVE the request for a Transfer of Wetland Permit#438 from Walter Smith to Lester& Ethna Lay, as issued on June 11, 1987. 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 contact our office at (631) 765-1892. Sincerely, Michael J. Domino, President Board of Trustees MJD/dd Michael J. Domino,Presides b�QS '�ell Town Hall Annex John M. Bredemeyer III,Vice-President '�j, 54375 Route 25 Charles J. Sanders P.O.Box 1179 Glenn Goldsmith 0 Southold,NY 11971 A.Nicholas Krupski $�O a0! Y Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in field by: LESTER & ETHNA LAY request a Transfer of Wetland Permit#438 from Walter Smith to Lester & Ethna Lay, as issued on June 11, 1987. Located: 370 Williamsberg Road, Southold. SCTM# 1000- 78-5-9 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=� Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders Other Page 1 of 2 Michael J.Domino,Presides, ®�QSXjfFQjC�G Town Hall Annex John M. Bredemeyer III,Vice-President 54375 Route 25 Charles J. Sanders y a P.O.Box 1179 Glenn Goldsmith o Southold,NY 11971 A.Nicholas Krupski p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: Completed in Work Session by: LESTER & ETHNA LAY request a Transfer of Wetland Permit#438 from Walter Smith to Lester & Ethna Lay, as issued on June 11, 1987. Located: 370 Williamsberg Road, Southold. SCTM# 1000- 78-5-9 Ch. 275-12 - STANDARDS FOR ISSUANCE OF PERMIT MET=X or Comment=* A. Adversely affect the wetlands of the Town: B. Cause damage from erosion, turbidity or"siltation: C. Cause saltwater intrusion in the fresh water recourses of the Town: D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife & vegetation or the natural habitat thereof: E. Increase the danger of flood and storm-tide damage: F. Adversely affect navigation tidal waters or the tidal flow of the tidal waters of the Town: G. Change the course of any channel or the natural movement or flow of any waters: H. Weaken or undermine the lateral support of other lands in the vicinity: I. Otherwise adversely affect the health, safety and general welfare of the people of the Town: J. Adversely affect the aesthetic value of the wetland and adjacent areas: Ch. 111-9 - ISSUANCE OF PERMIT MET=X or Comment=* A. Is reasonable and necessary, considering reasonable alternatives to,the proposed activity and the extent to which the proposed activity requires a shoreline location: B. Is not likely to cause a measurable increase in erosion at the proposed site and at other locations: C. Prevents, if possible, or minimizes adverse effects on natural protective features and their functions and protective values, existing erosion protection structures and natural resources: D. :525% Expansion/Calculation Work Session Notes Application Complete SEQRA Classification ,Confirmed Coordinated Review Y/N Pos/Neg Declaration CAC: LWRP: Additional information on comments/to be discussed/Public Hearing: Date: Completed By: Present: J. Bredemeyer M. Domino G. Goldsmith N. Krupski C. Sanders E. Cantrell D. Di Salvo Other Page 2 of 2 TOWN OF SOUTHOLD BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOL ,NEW YORK WETLAN S PERMIT This Wetlands Permit No. JM............ has been granted by the Town Trustees according to information furnished in Application No. 551 .........filed by Applicant..En-Consultants, Inc. ............... . for Walter Smith... .. on June llr......... g$;1,,,._ A map of the proposed work will be kept ......................Smi on file in the Trustee Office under the appli ation number given. Permit granted to do the following work...To r air an existing inclined_boat ramp of irre ,ular_dimensions. Repair will co„sist of,removal and„xeplaoe walls, decking,*tie-rods, support pili ps: etc: .... ...................... ................................................ ..... . Location of property on which work to be done 370 Williamsburg Driver Southold. ............................................................................................................................................................... Creek,Bay or Harbor fronting property ..,,,Dui canal ................................................................................ Irre alar dimensions, as_per amended .lan Size of work: Length...........$.............. ...... .............. ........................P............................................ Width ............................................................................................................................. HeightAbove High Water ......... .............................................................................. Depth Below Low Water .................................................. .............................................. Yards to be Excavated............. Yardsto be Filled ........................................................................................................ Manner in which material is to be removed or depo ited ......................................................................... Intended use of property....Residential ...............................................................................I ............................................................................... Conditions if any ------------------------ .......................................................................................................................,........................................ Expiration Date ,,,September 24, 1989 if wok has not commenced by-ggicl„date;,,,,,,,,,,,, .... ..... ..... Number of Inspections Required 2;Trustees arto be notified upon, completion of the work Inspection Fees ,,,$10:00 Pai.d. ....... .............................................................................................................. Liability Policies in the Amount of ......................................................................................................... The validity of this permit is or may be subject to the approval of other governmental or municipal authorities. The Town accepts no responsibility in applying for or obtaining such approval. In the event that such approval is necessary, the holder of this permit shall not commence operations here- under until such approval has been obtained in writing.The failure to obtain such other approval when required shall subject this permit to immediate revocation by the Trustees upon receipt by the Trustees of written notice from such other governmental or municipal authorities of its refusal or disapproval. The applicant does by the acceptance of this permit, assume all responsibility for operations under- taken pursuant to this permit,and shall take ail precautions for the prevention of injuries to persons and property resulting from such operations.By such acceptance,the applicant also agrees to indemni- fy and save harmless the Town, and its officers, agents and employees from any and all claims arising from operations under this permit and any and all acts or omissions of applicant, his agent and employees. The applicant and the owner and occupants of the premises upon which the operations authorized by this permit are being conducted, do, by the acceptance of this permit,give consent to the Town,and its Officers and einplcyets to enter upon Ehe premises wiiere zuuh oparadons are _onducted to make such inspections as the Town may deem necessary to insure that such operations are being con- ducted in conformity with this permit. This operation will not substantially: A. Adversely affect the wetlands of the town. B. Cause damage from erosion,turbidity or siltation. C. Cause saltwater intrusion into the fresh water resources of the town. D. Adversely affect fish,shellfish or other beneficial marine organisms,aquatic wildlife and vege- tation or the natural habitat thereof. E. Increase the danger of flood and storm-tide damage. F. Adversely affect navigation on tidal waters or the tidal flow of the tidal waters of the town. G. Change the course of any channel or the natural movement or flow of any waters. H. Weaken or undermine the lateral support of other lands in the vicinity. 1. OtHerwise adversely affect the health, safety and general welfare of the people of the town. Signed -.0........ President Board of/Southold Town Trustees Date.. .. ./1�✓.................................... " "GOUNTYOFSUFFOLK ©.-:K aw.v.s:. - - o.:a«a1d}'.'.••• Nm;+49.iu>.._'_tm"= _ ti,=.-ti>'o�.,, :wuuaswcEute - - _ rE N - - ��=' '' -- — - '-•w,miwt R+troa6vewc:.' Ic Q-arv- KAP& R ew+a . >a . .., o �„ _'.x..=`,.t_,"``'gin .,"...°°•.,.'� _ 0... - — to 11 , moi\ a a •-•/—=C^i '`� =mow�'7����- `�,: `—q. �� .�s.' --.__ _ SLEEPY HOLLOW a 1z - �`sdm+e�^,,• ��'V j j / 5 1013 1 e 3 a iiS�A a i w too for oa tos Cq m(`) 53Wc) 6 B�j� 0.O g 10S a w w t OtA(c) 11019 d \ (J / .� '�nd3 z tolls 6 . app m O m 104Y azw m +mac) \ / 1 d im T 4 s an OWN OF Y e n�s i wr 34 2 a .' 1020 >p 0" SOUTHOLD an 1 103 35 0 133 fir +8 $ 19 DR 13.1 1e' Iso7m- ,�1a 3l gtn4(c) a o :a 1 w.e 2 0^ 4 ms GLE 21 SEE SEG NO Orl 19 T2 13 20 18 O w' T / n COU�OF A i SUFFOLK 41 1J 152 tBq a I I J � R to slsr �1B � � 18.2 � o'°•� 'd W $ /'(' L 1 1 F 3Ar9 �• a e '» m 11t^ 3 SEE SEG NO Orb r'\ /• "Yc ) ':iB9n 8 14 rA(c) BJ x 1rA c 1r 3a ++ O . i .< ' �9• Ezra fe _ - 165` ne t p wSf2 3 w G( jy J ? a' is RL/F(y 6 a R BnmEw m O4 ® No - ,n re s'1v2 f7PL O 6yn t 3g n„ (Bej a ss a b r ea a 2w_ w I 1 fel dA() 4 m 16.6 ` 6 9 a m 1 a $ n 'w 5 15 s Z_ .�^ . a W 5 r .t ' z.?.6 Vc 3290 3r s bm 39 yt2 _ y1 �5 wasc Oo st we �e "10f. ptHJpGH " g Ct0"��� q' � •i9 '' t-ZG(cJ a 191Yc) � 3g 6�m n��1 �g g I g 1l! �s _ S w'an_�13me `3r 8-m 96eT "' 1 M) 6 1 ,rb tP as' N Y O aS a Al(1 'IV mss'' e, 3212 1 42 s a zbw a 3B i 99 w rt.z - � � a32o ^ 45„g • w 14 T P�� nn 9�: 6 � �81a4 W g�8 .a �(e/ i � /w�31� �1 1�r 1 )13 O 12A1' '&'�', $3�1 nm ", �, � rn� 3 <. ,r i �/9 «3 19b � " 's3 i ,a€_€ a6�1F1•Y 3o t 30.2_331_- w a $m � Bz ,, m 14Lc1 2� a EOs 121 RD SEE SEC NO 087 UNE .D O IS w c� s y'f a w1� Asar23° @rr B4E b sEG NNDO (� E d. 9.,� —Zz— v� (21) O ev„�=� __ __ w __"__ o.,aF NOTICE oau, COUNTY OF SUFFOLK © E °ro o °^'� SOUn/D�D SECTION NO E�-•° ------ - Z --w-- �".--�.-- _ [_, RealPropertyTaxServlceAgency r ®� 078 N ^+�"+ 2t �NQ-2 '� —__— w�� --.-- o..�eu-- -- �sli%( eo eecrcr Rmcmeaa.nrflsm �5 uliw M a>e a -•.•` —_ 0wnrz°c[81r� 'trt - u4ry wr A ustBict xo 000 P �, t PROPERTY MAP TOWN OF SOUTHOLD BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK WETLANDS PERMIT This Wetlands Permit No. AM............ has been granted by the Town Trustees according to information furnished in Application No. 55I. .. y pp En.Consultants. Inc. ........ filed b A licant ....................................nc... for Walter-Smith..,..,., on .June, llt........... 19 87...... A map of the proposed work will be kept on file in the Trustee Office under the application number given. Permit granted to do the following work ....To._rei.air an existinF..inclined boat ram.?..of........ ,.._irregular„dimensions, Repair,will„consist„of,remov„al,and„r;elace � „q „szcla...... ....walls:..decking:..tie-rods:..support.pihns:..etc:.................................................................. Location of property on which work to be done ... Zp Williamsburg, r Dive._ Southold. ................................................................................................................................................................. Creek, Bay or Harbor fronting property .....Dui canal.... . .. . . ... .. Size of work: Length ,,,Irregular, dimensions„ as„per, amended„plan;,,,,,,,, ,_ .... .... .......................... Width ............................................................................................................................. HeightAbove High Water ........................................................................................,.... DepthBelow Low Water ................................................................................................. Yardsto be Excavated ........................................................:............................................ Yardsto be Filled ......................................................................................................... Manner in which material is to be removed or deposited ......................................................................... ................................................................................................................................................................. Intendeduse of property .... Residential........... . .................................................................................. ................................................................................................................................................................. Conditions if any ...::..::::..:... ...-::.-..:..::..:.................... ............................................... .................................................................................................................................................................. Expiration Date ,,,September 24, ,1989, if work has not„commenced,by,,,ead„date. ....... ................. Number of Inspections Required .Z,Trustees are to. be notified u.pon. completion..of the work ..... .... ........a........... . ................. InspectionFees ...�10:00.Paid:........................................................................................................... Liability Policies in the Amount of ...... The validity of this permit is or may be subject to the approval of other governmental or municipal authorities. The Town accepts no responsibility in applying for or obtaining such approval. In the event that such approval is necessary, the holder of this permit shall not commence operations here- under until such approval has been obtained in writing. The failure to obtain such other approval when required shall subject this permit to immediate revocation by the Trustees upon receipt by the Trustees- of written notice from such-other governmental or municipal authorities of its refusal or disapproval. The applicant does by the acceptance of this permit, assume all responsibility for operations under- taken pursuant to this permit, and shall take all precautions for the prevention of injuries to persons and property resulting from such operations. By such acceptance, the applicant also agrees to indemni- fy and save harmless the Town, and its officers, agents and employees from any and all claims arising from operations under this permit and any and all acts or omissions of applicant, his agent and employees. The applicant and the owner and occupants of the premises upon which the operations authorized by this permit are being conducted, do, by the acceptance of this permit, give consent to the Town, and its c7fficeis dnd eiliplcyeus to enLer upon The premises vvflere -.uuh operadons die b,3N1g ':3oiducted to make such inspections as the Town may deem necessary to insure that such operations are being con- ducted in conformity with this permit. This operation will not substantially: A. Adversely affect the wetlands of the town. B. Cause damage from erosion, turbidity or siltation. C. Cause saltwater intrusion into the fresh water resources of the town. D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife and vege- tation or the natural habitat thereof. E. Increase the danger of flood and storm-tide damage. F. Adversely affect navigation on tidal waters or the tidal flow of the tidal waters of the town. G. Change the course of any channel or the natural movement or flow of any waters. H. Weaken or undermine the lateral support of other lands in the vicinity. L Otherwise adversely affect the health, safety and general welfare of the people of the town. Signed .. . .......... President Board o Southold Town Trustees Date.. .� .. f./.1�. .1.................................. f oil Uf ^ �z g5' HENRY P. SMITH, President P {b TELEPHONE JOHN M. BREDEMEYER, Vice-Pres. 40 W PHILLIP J. GOUBEAUD _ (516) 765-1892 ALBERT KRUPSKI, JR. ELLEN M. LARSEN BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 September 25, 1987 Mr. Roy L. Haje, President En-Consultants, Inc. 1329 North Sea Road Southampton, New York 11968 Re: Walter Smith - Application No. 551 Dear Mr. Haje: The following action was taken by the Board of Town Trustees during their regular meeting held on September 24, 1987 regarding the above matter. WHEREAS, En-Consultants, Inc. on behalf of Walter Smith applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated June 11, 1987, 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 September 24, 1987 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 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 En-Consultants, Inc. on behalf of Walter Smith BE AND HEREBY IS GRANTED PERMISSION UNDER THE . PROVISIONS OF THE WETLAND ORDINANCE OF THE TOWN OF SOUTHOLD TO: Repair an existing inclined boat ramp of irregular dimensions as shown on the work plan as amended onAugust 27, 1987. Property is located at 370 Williamsburg Drive, Southold. Board of Town Trustees - Page 2. Walter Smith This permit will expire on September 24, 1989 if work has not commenced by said date. There are two inspections required and the Trustees are to be notified upon the completion of the work. Prior to the issuance of said permit by the Clerk, the applicant shall file with the Clerk a certificate that he has public liability insurance policies insuring against any liability which may arise in the performance of the operations pursuant to such permit in such amount as shall be fixed by the Trustees, which said policies shall name the Town as a name insured. Please take further notice that this declaration should not be considered a determination made for any other department or agency which may also have an application pending for the same or similar project. PLEASE RETURN TO THE BUILDING DEPT. FOR A DETERMINATION ON THE NEED OF ANY OTHER TOWN PERMITS THAT MAY BE REQUIRED FOR THIS PROJECT. A $10.00 Wetland Inspection Fee is now due and payable. Upon remittance your permit will be forwarded by mail. Very truly yours, "eq 'Z"Z& Henry P. Smith, President Board of Town Trustees HPS:ip cc: Commissioner Thomas C. Jorling, D.E.C. , Albany Robert A. Greene, D.E.C. , Stony Brook Stephen Mars, Army Corps of Engineers Thomas Hart, Coastal Management John Holzapfel, Chairman, Southold Town C.A.C. Victor Lessard, Admin. , Building Dept. Planning Board Board of Appeals file x� F X54 Town Hall, S309S Main Road P.O. Box 1179 TF,LF.PHONF, Southold, New York 11971 (516)765-1801 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL _ July 27, 1987 To: Southold Town .Trustees From: Southold Town CAC The Southold Town CAC made the following recommendations at its ;regular meeting, held July 16, 1987: No. 537 Wunneweta Pond Association - Recommend approval No. 538 - Howard R. Brower, Jr. - Recommend approval No. 539 - William Pymm - Table until location of pool is determined. No. 540 - Joseph Perricone - Recommend approval. No. 541 William F. Beal - Recommend approval with stipulations. No further clearing on westerly edge toward marsh to avoid runoff into wetlands. No. 543 - Christopher Conners - Disapprove - appears, to be freshwater wetlands The Council feels project should be declared -significant and a full EIS and public hearing process gone through. No. 544 -Marion V. Cella Recommend approval No.. 545 - Jeanne E. Martin - Recommend approval No. 546 - Emanuel Piperakis & others - Recommend approval No. 547 - Richard Fiedler - Approve with the.-stipulation that the wetlands should not be- disturbed. No. 548 Pat 'Cicorelli - Recommend approval No. 549 - Benjamin L. Sokobin - Recommend approval No. 550 - Ernest Cuettinger - Recommend approval No. 551 - Walter` Smith =`Recommend approval No. 552 - James Long - Recommend approval HENRY P. SMITH, President JOHN M.BREDEMEYER, Vice-Pres. ° TELEPHONE r (516) 765-1892 J PHILLIP J. GOUBEAUD *a � ALBERT KRUPSKI, JR. ELLEN M. LARSEN BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095,Main Road P.O. Box 728 Southold, New_York 11971 July 28, 1987 Mr. Roy L. Haje, President En-Consultants, Inc. 1329 North Sea Road Southampton, New York 11968 Re: Walter Smith - Application No. 551 Dear Mr. Haje: Please be advised that the Town Trustees would like you to submit a new plan for the construction of the boat ramp including the sizes of same.. Whereas, the Trustees visited the site on July 22, 1987 they did not find the plan to coincide with the structure that is there now. Upon receipt of this information, the Board will continue the review process of your application at the next regular meeting of the Board to be held on August 27, 1987. Very truly yours, Henry P: Zmith' President Board of Town Trustees HPS:ip cc: Trustees file `�t ,.tea Ti'Ll—SPild �-' TELEPHONE BOARD OF TOWN TRUSTEES (516)765-1892 TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 APPLICATION IS HEREBY MADE TO THE TOWN TRUSTEES OF THE TOWN OF SOUTHOLD, SUFFOLK COUNTY, NEW YORK FOR THE ISSUANCE OF A PERMIT PURSUANT TO THE LAWS, ORDINANCES AND REGULATIONS GOVERNING THE COASTAL AND INTERIOR WETLANDS, FLOOD PLAINS AND DRAINAGE AREAS OF THE TOWN OF SOUTHOLD, AND THE ISSUANCE OF PERMITS PURSUANT TO CHAPTER 3Z OF THE CODES OF THE TOWN OF SOUTHOLD. VIII �� APPLICATION NO.----- ----------DATE OF APPLICATION— June -ll,-1987 ------- IDENTITY OF APPLICANT WalterSmithPHONE NO ---------- ------------------------ -- ADDRESS OF APPLICANT 370 Williamsburg Drive, 516-765-5634 ------------------------ ---------------------Southold, New York 11971 ----------------------------------------------- TAX MAP NO. 1000-078-5-9 ------------------------ ---------------- Roy L. Haje, President AGENT -4 96$-PHONE NO . — 516-283-6360 PERMIT REQUESTED TOanex-!st4Pq-4+ie} t - ii` t' 3ar � as shown on work plan. Repairs will consist of removal and replacement of side walls, deckinc��ti�_r�ds subt�i LOCATION OF PROPERTY FOR WHICH PERMIT WANTED-'I. r,rit,P-,---9tho1d ----------------------------------------------------------------------- HOME ADDRESS OF PERMIT APPLICANT IF DIFFERENT FROM AFORESAID LOCATION ----------------------Same-------- ------------- CREEK, BAY OR HARBOR FRONTING PROPERTY---Dui Canal--_—__----- SIZE OF PROPOSED WORK --- See above------------------------- LENGTH ----------------------------------------------------------------- WIDTH n n ----------------------------------------------------------------- HEIGHT ABOVE HIGH WATER ------------------------------------------------ DEPTH BELOW LOW WATER N/A ------------------------- YARDS TO BE EXCAVATED 0 YARDS TO BE FILLED 0 WIDTH OF CANAL, CREEK OR BAY FRONTING PROPERTY --�Q--------- -------- DEPTH AT LOW: TIDE_--------_ems ------------------------------------------ AVERAGE RISE IN TIDE -6n 2' ------ DISTANCE TO THE NEAREST CHANNEL__---_—_FT. DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN THE AREA _0FT IS THIS FOR PRIVATE OR BUSINESS USE? Private ------------------------ -------- AREA ZONING Residential A ------------------------------------------------------------ MANNER IN WHICH MATERIAL WILL BE REMOVED OR DEPOSITED ------ -------- N/A --------------------------------- -------- I NTENDED USE OF PROPERTY Residential - n0 chane----------------- DESCRIBE ANY KNOWN PRIOR OPERATIONS CONDUCTED ON THE PREMISE -----------------------------------------------------Known- -------------------- AND WHETHER ANY PRIOR LICENSE OR PERMITS HAVE BEEN ISSUED TO ERRECT STRUCTURES OR TO DREDGE OR DEPOSIT FILL ON SAID PREMISES AND WHETHER ANY PERMITS OR LICENSES WERE EVER SUSPENDED OR REVOKED BY A GOVERNMENTA`s AGENCY --Barap wa s�nstrt 2�4f vear�s�o b a prior owner__ Existence of_perm�a tss_--__--- if any, is unknown. DESCRIBE FULLY THE REHABILITATION AND PROPOSED CONDITION OF THE PREMISES AFTER THE WORK IS COMPLETED INCLUDE AN ADDITIONAL SURVEY OF THE PROJECT SITE IF NECESSARY — Area will be revegetated. ----------------------------------------------------------------------- WRITTEN CONSENT OF THE OWNER OF THE PROPERTY, IF NOT THE SAME AS THE APPLICANT. ------------------------------------------------------------- See Attached ARE THERE ANY COVENANTS OR RESTRICTIONS IN YOUR DEED THAT WOULD PROHIBIT THIS PROJECT? None BOARD OF TOWN TRUSTEES TOWN .OF. SOUTHOLD SHORT ENVIRONMENTAL ASSESSMENT FORM Project Information (To becompleted by Applicant or Project sponsor) 1. Applicant/sponsor 2. Project Name Walter Smith b�z En-Consultants Inc. 3. Project location: Municipality -170 Williamaburg Drive Southold County 4. Is proposed action: ❑ New ❑ Expansion �' Modification/alteration S. Describe project briefly: Repair an existing inclined boat ramp of irregular dimensions as shown on work plan. Repairs will consist of removal and replacement of side walls, decking, tie-rods, support pilings, etc. 6. Precise location(road intersections, prominent landmarks,etc.or provide map) 370 Williamsburg Drive, Southold 7. Amount of land affected: Initially /7 acres Ultimately —1/2 acres 8. Will proposed action comply with existing zoning or other existing land use restrictions? Yes El—No If No,describe briefly 9- What is present land use in vicinity of project? ZResidential ❑ Industrial ❑ Commercial ❑ Agriculture ❑ Parkland/open space ❑ Other Describe: 10. Does action involve a permit/approval,or funding,now or ultimately,from an other governmental agency Federal state or local)? Y Y g g Y( � Yes ❑ No If yes,list agency(s)and permit/approvals DEC, DOS, COE 11. Does any aspect of the action have a currently valid permit or approval? ❑ Yes ® No If yes,list agency name and permit/approval type 12. As result of proposed action will existing permitiapproval require modification? ❑ Yes KI No CERTIFY THAT THE>MRMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicantlsponsor name: Walter V-1:11 b Bn. Consultnats, Inc. Date: June 10, 1987 Signature: c� Ro L. Ha'e Pred t I PART 11 Environmental Assessment(To be completed by Agency) . A. Does action exceed any Type 1 threshold in 6 NYCRR,Part 617.12? If yes,coordinate the review process and use the FULL/LONG FORM EAE. ❑ Yes ❑ No E. Will action receive coordinated review as provided for Unlisted Actions in 6 NYCRR,Part 617.7? If No,a negative declaration may be superceded by ar involved action. ❑ Yes ❑ No C. Could action result in ANY adverse effects on,to,or arising from the following:(Answers may be handwritten, if legible) C1. Existing air quality,surface or groundwater quality or quantity,noise levels,existing traffic patterns,solid waste production or disposal,potential for en drainage or flooding problems?Explain briefly: III C2. Historic,archeological. ' 8 .visual or aesthetic,or other natural or cultural resources;agricultural districts;or community or neighborhood character?Explain C3. Vegetation or fauna,movement of fish or wildlife species significant S nt habitats,or threatened or endangered species?Explain bnefly: 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. Cs. Growth,subsequent development,or related activities likely to be induced by the proposed action? Explain briefly. C6. Secondary,cumulative,or other effects not identified in C1-C6?Explain briefly. C7. A change in use of either quantity or type of energy? Explain briefly. 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 otherv. significant. Each effect should be assessed in connection with its(a)setting(i.e. urban or rural); (b) probability of occurri (c)duration;(d)irreversibility;(e)geographic scope; and(f)magnitude. If necessary, add attachments or reference support materials. Ensure that explanations contain sufficient detail to shove that all relevant adverse impacts have been identif and adequately addressed. ❑ Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. TI proceed directly to the FULLILONG FORM EAF and/or prepare a positive declaration. ❑ Check this box if you have determined, based on the information and analysis above and any Supporting documentati that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide here, and attachments as necessary, the reasons supportng this determination: Agency Name Agency Preparers Name Prepares :.2nature Title Date II COUNTY OFFF SU OLK ) STATE OF NEW YORK ) SS: BEING DULY SWORN DEPOSES AND SAYS THAT HE IS THE APPLICANT FOR THE ABOVE DESCRIBED FERMITS, AND THAT ALL STATEMENTS p}CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS KNOWLEDGE AND BEJiEF, THAT THE WORK WILL BE DONE IN THE MANNER SET FORTH IN THISIAPPLICATION AND AS MAY BE APPROVED BY THE TOWN BOARD OF THE T(�WN OF SOUTHOLD. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOL,D AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT, IF GRANTED. SIGNATURE OF AP ICANT SWORN TO BEFORE ME THIS SJ DAY OF 19 bfilKLtTNOTARY.PUBLIC S ATE OF NEIN YORK Q4L egnt4=19 Z QUALIFIED IN SUFE ltd LINTY TERM EXPIRES 4 NOTARY PUBLIC EXAMINED APPROVED "WETLANDS" PERMIT (CHAPTER 97) APPROVED "BOAT, DOCKS , WHARVES" PERMIT ' (CHAPTER 32) DISAPPROVED "WETLANDS PERMIT" (CHAPTER 97) DISAPPROVED "BOATS,DOCKS, WHARVES" PERMIT (CHAPTER 32) CONDITIONS, IF ANY EXAMINING BODY SIGNATURE OF CHAIRMAN COMPUTATION OF FEES Approved 2/27/85 � I _ l f d 997 TO WHCM IT MAY CONCERN: I authorize En-Consultants Inc. to apply for perndts on nW behalf. 5'7/ � I . ISO Sol Somali, 11110 M INS ME MEN INS 01111 " = 010�UmTHOLIIW HUSTELIJ SU No, 1-l3� Issued. To- 111411ce SIMLA Date-ioe4e U#07 Address- THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE.TOWN OF SGUTHOLD SOUTHOLD, N.Y. 11971 TEL: 765-1801 Nl�W,TNA.fif `+fig +''L G�►f ��+1 ,.. ISI 3 I -L O f�o��trN o J r a 3"x/D" LA Gi VAR y �' f y'�r; T 4. 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