HomeMy WebLinkAboutTR-4676 GFBoard Of $outhold Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO. /"/.~ 7 ~ DATE: ..:]_].1 Z5/96 ..........
ISSUED TO ............ ~.O.B.];.:~.~....~,...J..~ ;~];Z~....$ O :~]~.~.$.0.F] ....................................
Pursuant to +he provisions of Chapter 615 of the Laws of
the State of New York, 1893; and C.hapter 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
19.9.6 ..... and in consideration of the sum of $.l~0....C!.0 ...... paid by
· J,...M. ,.O ...... cons. n!:tl~g....;[or...g...O..B ER.T.... &...J.U.L!A....~...O.. g~.$...o,..~ ...........
of ...... ~.i.~.:b.qr.~....!~.l~T~..d.. ......................................... N. Y. a,d subie¢'r +o +he
Terms a,d Oo,di+io,s listed o, the reverse side hereo~c,
of Soufhoid Town Trustees authorizes and permits ,he following:
Gra~dfatl~er Permit for an existing 71' X il' fixed dock and a
16' X 5 1/2' float.
all in accordance with the detailed specifications as presented in
fhe originating application.
IN WITNESS WHEREOF:, The said Board of Trustees h~re-
by causes ifs Corporate Seal to be affixed, and these presents fo
be subscribed by a maiority of the said Board as of this daf, e.
......
Town Hall, 53095 Main Road
P.O. Box 1179
Telephone Southold, New York 11971
(516) 765-1801
SOUTHOLD TOWN
CONSERVATION ADVISORY COUNCIL
At the Southold Town Conservation Advisory Council meeting held Wednesday,
November 13, 1996 the following recommendation was made:
GF-3t~
ROBERT and JULIA SORENSON 10-3-20 for a 71~ x 11' fixed dock and 16~ x
5.5~ float.
Fishers Island
The CAC did not make an inspection and therefore have no recommendation,
!.%%'v60-- ~ Town Halt
Alben J. Kmpsk2. President
John Holzapfel. Vice President ~ lilffi~ ~~a~ ~a_~.~ L5 53095 Main Road
Jim King ,,.. ~~ ~:':i~., ~ ~:~ P.O. Box 1179
M~rtin H. Garrell
Southold. New York
11971
Peter Wenczel "~,/ ~_ -~> ~ Telephone (516) 765-1892.
'~'~~ Fax (516) 765-
1
823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Office Use Only
Coastal Erosion Permit Application
__~etland Permit Application
~7~r andf ather
Permit
Application
Waiver
/ ~en~ent / C~ng~_s
ved Application: /0 7~
: mp leted Application
Q~ Classification:
I T~e II Unlisted
ordination: ( d~se~t~
Technical Review:
Name of Applicant Robert C. & Julia Sorenson
Fishers Island, NY 06390 Phone ~er:(516 } 788-7882
Suffolk County Tax ~ap N~er: 1000 -010-003-020
Proper~ Bocation: PenSnsula Road, Fishers Islsnd
(provide LILCO Pole ~, distance to cross streets, and location)
AGENT: J.M.0. Consultin~
(If applicable)
Address: P.0. Box 447, Quogue, N.Y. 11959-0447
Phone: 653-0607 FAX~: 653-3348
Board of Trustees Application
GENERAL DATA
Land Area (in square feet): +13,000 s.f.
Area Zoning: R-40
Previous use of property: Existing single family residence
Intended use of property: same
Prior permits/approvals for site improvements:
Agency Date
xx No prior permits/approvals for site improvements.
Has any permit/approval ever been revoked or suspended by a
governmental agency?
xx No Yes
If yes, provide explanation:
Project Description (use attachments if necessary): ~
Applicant seeks a Grandfather Approval for existing 71'x 11'
fixed dock and 16'x 5.5' float.
BOard of ~rus~ees Application.
WETLAND/~RUSTEE LANDS APPLICATION DATA
Purpose of the proposed operations:
Grandf'ather Approval for e×istin§ dockinG facility
Area of wetlands on lot: 0 square feet
Percent coverage of lot: n/a %
Closest distance between nearest existing structure and upland
edge of wetlands: 0 feet
Closest distance between nearest proposed structure and upland
edge of wetlands: 0 feet
Does the project involve excavation or filling?
xx No Yes
If yes, how much material'will be excavated? cubic yards
How much material will be filled? cubic yards
Depth of which material will be removed or deposited:
feet
Proposed slope throughout the area of operations:
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 i~ appropriate):
As proposed, project should have no negative imp~at~ ,~nnn rh~ _
waters or wetlands of the Town of Sou%hol, d,
14-16-4 (11/95)--Text 12 ,
PROJECT I.D. NUMBER 617.20 SEQR
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
Robert C. & Julia R. Sorenson DoCking facility
3. PROJECT LOCATION:
Municipality Fishers Island cou.ty Suffolk
4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide map)
Peninsula Road, No ~f
S.C.T.M.No. 1000-010-003-020
Location map & survey enclosed
5. IS PROPOSED ACTION:
New [] Expansion [] Modification/alteraUon
6. DESCRIBE PROJECT BRIEFLY:
AppliCant seeks approval for a 72'x 11' fixed dock and 5.5'x 16' float
which were originally constructed prior to 1960.
7. AMOUNT OF LAND AFFECTED:
Initially 0 acres Ultimately 0 acres
8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS?
~Yes [] No If No, describe briefly
9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT?
~Residential [] .Industrial [] Commercial [] Agriculture [] Park/Fo[est/Open space [] Other
Describe:
10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL,
STATE OR LOCAL)?
[~¢'Yes [] No If yes, list agency(s) and permit/approvals
N.Y.S.D.E.C., Southold Town Trustees, N.Y.S.D.O.S. & U.S.D.O.A.
11. DOES ANY ASPECT 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
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Applicant/sponsor name: r'~ // ~ ~ Date:
Signature:
/"
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
j.m.o, consulting
p.o. box 447
quogue, n.y. 11959
(516) 653.0607
To whom it may concern:
Please be advised that I have authorized Glenn E. Just, President
of J.M.O. Consulting to act as the agent on my behalf to apply for
and to secure the necessary permits through your agency.
Dated~.~