HomeMy WebLinkAboutTR-4266 GFBoard Of $outhold Town Trustees
SOUTHOLD, NEW YORK
PERMIT NO Z/~..~. ..........
DATE: D..e..~¢mb~r....2.2., 19'
Pursuant to the provisions of Chapter 615 of the Laws of
the State of New York, 1893; and C.hapfer 404 of the Laws of the
State of New York 1952; and the Soufhold 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 ...D..~C...~....~.~ ......
19...~..., and in consideration of the sum of $......]:O.g.~..O0 ..... paid by
................... .S~.nd~/ie.~...~.~..n..rgr~ .......................................................... : ....................
of .......................................................................................... N. Y. and subject to the
Terms and Conditions listed on the reverse sMe hereof,
of Southold Town Trustees authorizes and permits the following:
Grandfather permit for bulkhead (96') as per map dated
as amended December 6, 1993.
all in accordance with the detailed specifications as presented in
the originating application.
IN WITNESS WHEREOF, The' said Board of Trustees here-
by causes its Corporate Seal to be affixed, and these presents ~o
be subscribed by a maiority, oi~Board~
TRUSTEES
John M. Bredemeyer, III, President
Albert J. Krupski, Jr., Vice President
Henry P. Smith
John B. Tuthill
William G. Albertson
Telephone (516) 765-1892
Fax (516) 765-i823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
SUPERVISOR
SCOTT L. HARRIS
Town Hall
53095 Main Road
P.O. Box 1179
Southold, New York 11971
Office Use Only: DATE REC.:
~C~astal Erosion Permit Application
~oastal Erosion Variance Application
~etland Permit Application
~aiver from ChaPter 97(AppliCation/permit)
~rustee Lands Permit Application
~%~randfather Permit Application
'~mpleted Apps.
'__Inspection date: ~ OF
~AC comments-Date: Sent Rec.
~ariance Required: (Y/N)
eighbors notified-Date:
~' SEQRA Type
-Coord.: Date sent
~SEQRA Determin./date:
Public Hearing/date:
Findings: Approved (Y/N)
Special(see file) Conditions:
Permit(s) issued-date:
~----.
A~?lication Fee:
Application Number; SCTM~1000- ~ ~'~ Date
Applicant: ~.~/>~//~ ~F/:/~/
Interest: (owner, consultant,lessee,etc.) ~/~~
Owner of P r0perty: ~~/~./ ~~/c/
oubject Pr ope r ty Location: W~~ ~~A ~~
(Provide LILCO Pole ~, Distance to cross Streets if not on
location map)
THIS IS NOT A PEPa~IT
Page 1
Yds. to be excavated:
Yds. to be filled:
Manner in which material wilt be removed or deposited:
Width of canal, creek or bay fronting property:
Depth at low tide: ,/~ Aver. rise in tide:
Distance to nearest channel:
extends beyond similar projects in area:
Area zoning: ~(3~. Land area in acres:
Is project for private or business use: ~L/~/~
Intended use of property:
Describe known prior operations conducted on premises:
Distance project
Has any prior license or permit been issued to erect structures,
dredge, or deposit fill on said premises:
/
/
/
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).
THIS IS NOT A PERMIT
· Page 2
PROJECT I.D. NUMBER
617.Zl S EQ [~
Appendix C
State Environmental Quality Review .'"
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
PART, I~PROJECT INFORMATION (To be completed by A~Dlicant or Project sponsor)
1.~~, L/~ App_,E4~NT tSPO~SOR / ,~~./~.~/~_~ ~~~// 12. PROJECT NAME
3. PROJECT LocATiON:
Municipality County
5. IS PROPOSED ACTION:
~ New ~ Expansio. ~ Modification/alteration
7. AMOUNT OF LAND AFFECTED:
Initially acres Ultimately acres
8. V'~..~L/~ROPGS~-D ACTtO['4 COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS?
Y/es [] No If No~ describe briefly
/
WHAT IS PRESE~'4T LAND USE iN VICINITY OF PROJECT?
I~ Residential [] !nduatrial ~ommermal
Describe:
/
J--J Agriculture
[] Park/ForestlO~en space [] Other
10. DOES ACT[ON INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAl. AGENCY (FEDERAL,
STATE OR LOCAL~.~
[] Yes pJqo if ,yes, list agenC, y(s). and permitlapprova,s
11.
OOES ANY ASPECT OF THE ACTIOI'4 HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
[] Ho I! ,/es, list agency name and permit/approval
1~o ~.S A RESULT OF PROPOSED ACTION WILL EXi3TING PERMIT/APPROVAL REQUIRE MODIFICATION?
[] Yes ~ No
) CEF'~TIFy~.~HE INFORMATION PROVIOEO ADOV~E iS TRUE TO THE BEST OF MY KNOWL..EDGE
Applicanllsponsor name. . , Dale:
Glgna lure:
It the action is in the Coastal Area, and you are a state agency, completo the
,Coastal Assessment Form before proceeding with this assessment
OVER
TRUSTEES
John M. Bredemeyer, III, President
Albert J. Kmpski, Jr.. Vice President
Henry P. Smith
Joha B. Tuthill
William G. Albertson
Telephone (516) 765-1892
Fax (516) 765-1823
SUPERVISOR
SCOTT L. HARRIS
Town Hall -
53095 Main Road
P.O. Box 1179
Southol& New York 11971
BOARD OF TOWN TRUSTEES
ToWN OF SOUTHOLD
30 year Maintenance Agreement :.
Erosion Protection Structures ~.,~-
Chapter 37 Southold Town Code ....
SOuthold Trustees as Administrator
type or print na~e(s) ,
of rec,ord of pro~rty~/L .at: /ff~r~ /~oo~ ~//
the
owners
(type or prznt street address) SCTN ~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 ~o/~r~
of g~ 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
N~t~rized.~igna ure'of/ow~ of record
resources features
animals and plants.
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.
TRUSTEES
John M. Bredemeyer. III. President
Albert J. Krupski, Jr.. Vice President
Henry P. Smith
John B. Tuthill
William G. Albertson
Telephone (516) 765-1892
Fax (516) 765-1823
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
SUPERVISOR
SCOTT L. HARRIS
Town Hall
53095 Main Road
P.O. Box 1179
Southold. New York 11971
COAS'£AL EROSION HAZARD AREA
AND
TOWN WETLAND
EMERGENCY AUTHORIZATION ( S )
Application No. SCTM $1000-44-4-22
Name: Rachel L. Murphy/Soundview Restaurant
Date: December 22, 1993
RESOLVED that pursuant to the Town Code in relation to Coastal
Erosion Hazard Areas, Chapter 37, Section 20, 21 and Town Code
Chapter 97, Wetlands, the Southotd Town Trustees, as
Administrator, have determined that the activities proposed by
your emergency activity request are necessary to protect
property and important coastal natural resources.
DESCRIPTION OF ACTION: for 96' bulkhead as surveyed December 6,
1993.
Reasons supporting this determination:
1. An on site inspection has been conducted by the board of
Trustees or their authorized representative.
2. The Trustees have considered the emergency request and find
that if the work is not completed as authorized a measurable
loss of property and important coastal natural resources is
likely to occur.
This authorization is not a permit. You must complete the
Coastal Erosion and wetland permit process where applicable for
all authorizations given under this section.
This authorization should not be considered a determination made
for any other department or agency.