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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.