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HomeMy WebLinkAboutTILDEN & SMALLTELEPHONE (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 June 27, 1986 Mr. James H. Small 3100 Deep Hole Drive Mattituck, New York 11952 Dear Mr. Small: The following action was taken by the Board of Trustees at their regular meeting held on June 26, 1986 regarding your wetland application no. 383. ~ WHEREAS, James H. Small has heretofore applied to the Southold Town'r~ Trustees, pursuant to Chapter 44 of the Code of the Town of Southold' for permission to construct a 72' x 6' boat railway on property located at 3100 Deep Hole Drive, Mattituck, New York, NOW, THEREFORE BE IT RESOLVED AS FOLLOWS: Pursuant to.the provisions of A~.ticle 8 ~ the Environmental Conservation Law; Part 617 of Title 6 of the New York State Code, the Southold Town Trustees, as lead agency does hereby determine that the action proposed is a Type 1 Action and is likely to have a significant effect on the environment. e That the Clerk to the Trustees shall file and circulate such determination as required by the aforementioned law, rules and code. Bo That the Clerk to the Trustees shall immediately notify the applicant to prepare a Draft Environmental Impact Statement all in accordance with said law, rules and code. Very truly yours, Board of Town Trustees HPS:ip cc: Trustees file HENRY P. SMITH, President JOHN M. BREDEMEYER, Vice-Pres. PHILLIP J. GOUBEAUD 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 TELEPHONE (516) 765-1892 May 30, 1986 Mr. James H. Small 3100 Deep Hole Drive Mattituck, New York 11952 Dear Mr. Small: The Trustees tabled your application for the railway proposed ~n your premises. Please be advised that the Trustees would like to meet you on the site on June 19, 1986 at 1:30 P.M. to discuss this application. We would appreciate a call prior to this date to confirm this appointment. Thank you for your cooperation in regard to this matter. We await your call. Very truly yours, Henry P. ~mith, President Board of Town Trustees HPS:ip cc: Trustees file TELEPHONE (516) 765-1801 Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL To: Southold Town Trustees From: Linde J. Cooper, Secretary CAC The CAC made the following recommendations at their regular meeting, held May 13, 1986: No. 352 - Richard Cantwell - Recind previous reccomendation of approval. Recommend DISAPPROVAL until application is resubmitted with clarification. No. 367 , Frank Licari - Recommend 'A~P'PR©VAL. -- No. 376 - Ethel and Arthur Teen - Recommend 'DISAPPROVAL. No erosion problem, therefore no need shown. There is no bulkheading in the immediate area adjacent to property. Do not want to set a precedent. No. 37,7 - Albert Roke - Recommend APPROVAL. No. 378 - Louise~oyle-- Recommend DISAPPROVAL. No reason for new bulkheading. Damage to marshland would occur if'placed where proposed. No. 379 - Helmut Spitzenherger -No recommendation for approval or disapproval.~ Approval would be moot, project is. completed.. Recommend 'FINE IM'P'OSED'OR MOVE BULKHEAD BACK. The CAC f~els punitive action must take place. This action sets a preCedent for "fast land". No. 380 - Joseph. Duggan - Recommend APPROVAL. No. 381 - LILCO - Recommend Trustees declare SIGNIFICANT ~NVIRONMENTAL IMPACT. Siting pages 3,4 and 5 - states bid contractor will make decision regarding met, hod used. Does not give Sou,fihold Town_any control. ~y D eMa~commend '~PP'ROVA~L.There is no ~ No. 383 - James H. Small - Recommend DISAPPROVAL. damaging the]  the railro~-~ c-~ ~ without marsh. No. 384 - Joseph Sucher - Recommend APPROVAL. HENRY P. SMITH, President JOHN M. BREDEMEYER, Vice-Pres. PHILLIP J. GOUBEAUD ALBERT KRUPSKI, JR. ELLEN M. LARSEN TELEPHONE (516) 765-1892 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 May 2, 1986 Mr. James H. Small 3100 Deep Hole Drive Mattituck, New York 11952 Dear Mr. Small: The following action was taken by the Board of Trustees at a regular meeting held on April 24, 1986 regarding your wetland application. Moved by Trustee Smith seconded by Trustee Bredemeyer it was RESOLVED that the Southold Town Trustees declare itself lead agency in regard to the State Environmental Quality Review Act in the matter of the application of james H. Small for a Wetland Permit on certain property located on 3100 Deep Hole Drive, Mattituck. This office will advise you of further actions taken by the Board regarding this matter. If you have any questions or concerns, please do not hesitate calling this office at the number listed above. Very truly yours, Henry P. Smith, President Board of Town Trustees Ilene Pfifferling, Clerk HPS~.ip cc: Trustees file RESOLUTION - April 24, 1986 RESOLVED that the Southold Town Trustees declare itself lead agency in regard to the State Environmental Quality Review Act in the matter of the application of James H. Small for a Wetland Permit on certain property located on 3100 Deep Hole Drive, Mattituck. BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 April 24, 1986 Mr. Charles T. Hamilton Alternate Regional Permit Administrator N.Y.S. D.E.C. Building 40, SUNY - Room 219 Stony Brook, New York 11794 Dear Mr. Hamilton: Transmitted herewith is wetland application no. 383 submitted by James H. small. TELEPHONE {516) 765-1892 We would like to coordinate with you in our role as lead agency regarding this application. May we have your comments on same by May 14, 1986. Thank you for your input. Attachments cc: Very truly yours, Henry P. Smith, President Board of Town Truste~es Ilene Pfifferling Secretary to Board Commissioner Williams Southold Town Building Dept. file BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 April 11, 1986 TELEPHONE (516) 765-!892 Mr. Martin Garre!l, Chairman Southold Town Conservation Advisory Council Southold Town Hall Southotd, New York 11971 Dear Mr. Garre!l: Transmitted herewith is application no. 383 a wetland permit submitted by James H. Small. for Please prepare a written report of findings and recommendations with respect to this application. Very truly yours, Henry .P. Smith, President Board of Town Trustees Ilene Pfifferlinq Secretary to Board Attachment BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 Date: April 11, 1986 TO WHOM IT ~Y CONCERN: TELEPHONE (516) 765-1892 Attached hereto is a Short Environmental Assessment form submitted by James H. Small in connection with his application for a wetland permit to build a boat railway for his private use. Property is located at the East end of Deep Hole Creek, Henry P.~Smith, President Board _of Town Trustees Posted: April 11, 1986 New York State Departmen~o-rEn~ir-onmentaI Conservat,on Regulatory Affairs Unit Bldg. 40, SUNY, Rm. 219 Stony Brook, NY 11794 (516) 751-7900 Henry G. Williams Commissioner January 23, 1987 Mr. Smith Town of Southold Town Trustees TownHall 43095 Main Rd. P.O. Box 728 Southold, NY 11971 Re:"10-86-0382 James Small 3100 Deep Hole Dr., Mattituck Dear Mr. Smith: Our office recently conducted a field vist to Mr. Smatl's property and it is our finding that the project would destroy existing tidal wetlands. Therefore, it is the recommendation of the NYSDEC that the proposal be denied. We will not issue a decision until a DEIS is accepted by the Town of Southold. Very truly yours, DWC:jf cc: James Small Dennis W. Cole Senior Environmental Analyst BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, $3095 Main Road P.O. Box 728 Southold, New York 11971 TELEPHONE (516) 765-1892 June 27, 1986 SIGNIFICANT DECLARATION NOTICE OF SIGNIFICANT EFEECT ON THE ENVIRONMENT Pursuant to the provisions of Article 8 of ~he Environmental Conservation Law, Part 617, of Title 6 of the New York State Codes, Rules and Regulations, and Chapter 44 of the Southold Town Code, the Southold Town Trustees, as lead agency, does hereby determine that the action described below is a Type 1 Action and is likely to have a significant effect on the environment. APPLICANT: James H. Small DESCRIPTION OF ACTION: Appellant proposes to construct a 72' x 6' boat railway on property located at 3100 Deep Hole Drive, Mattituck, New York. Further information can be ob're{ned by contacting Mr. Henry P. Smith, President, Board of Town Trustees, Souchold Town Hall, Main Road, Southold, New York 11971 or by calling (516) 765-1892. Copies to: Charles T. Hamilton, D.E.C., Stony Brook Commissioner Henry G. Williams, D.E.C., Albany Southold Town Building Dept. Southold Town Conservation Advisory Council Aram Terchunian, Coastal Management Program Town Clerk's Bulletin Board Trustees Alex Lechich, Corp of Engineers PART Il Environmental Assessment_ {To be -~ ;~e~; by Agency) . A. Does action exceed any Type I threshold ~n b ,'~¥Lr~R. Part 617.127 If~yes, coordinate the review process and use the FULLILONG FORM EAF. [~] Yes r'~ No .:__ B. Will action receive c~ordinated rewew as provided for Unlisted Action~,vin 6 NYCRR, Part 617.77 If No, a negabve decJarat~ ~n may be superceded by anotne involved action. [] Yes [] No C. Could action result m ANY adverse effects on, to. or arising from the ~Dllowing: [Answers may be handwritten, if legible) C1. Existing air cluality, surface or groundwater quality or quant*ty, noise levels, existing traffic patterns, solid waste production or disposal, potential for erosion drainage or flooding prob ems? Explain briefly: C2. Historic, archeological, visual or aesthetic, or other naturaJ-o.r cultural resources; agricultural districts; or community or neighborhood character? Explain brief Vegetation or fauna, movement of fish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A commumty's existing plans or goals as officially adopted; ur a chang~ in use or intensity of use of land or omer natural resources? Explain brief ~,. CS Growth, subseouent development, or related activities likely to be induced bv the proposec~ action? Explain briefly. C6. Secondary, cumulative, or other effects not identified in C1-C67 Exp'JaL?. briefly. C7. A change in use of either quantity or type of energy.~ Exp!_ain brieflv. PART III Determination of Significance (To be completed'by Agency) INSTRUCTIONS: For each adverse effect identifiec~: a~o~:/e, c}etermine whether it is substantial, large, 'mportant or otherwise significant. Each effect should be assessed in conEec~don with its [a) setting {i.e. urban or rural); (b) probability of occurring; (c) duration; (d) Jrreversibility; (e) geographic scope, '~ng~(f)~magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain suffic?ent detail to show 'that all relevant ~dverse impacts have been identified a~d adequately a~ddressed. [] Check this box fyou have identified one or more~potenfially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL/LONG FOR,~t E~AF and/or prepare a positive declaration. [] Check this box if you have determined, based on t~-;e information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide here, and on attachments as necessary, the reasons supportng this.deteFmination: Agency Prepareds Name BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 TELEPHONE (516) 765-1892 June 27, 1986 SIGNIFICANT DECLARATION NOTICE OF SIGNIFICANT EFFECT ON THE ENVIRONMENT Pursuant to the provisions of Article 8 of the Environmental Conservation Law, Part 617, of Title 6 of the New York State Codes, Rules and Regulations, and Chapter 44 of the Southold Town Code, the Southold Town Trustees, as lead agency, does hereby determine that the action described · below is a Type 1 Action and is likely to have a significant effect on. the environment. APPLICANT: James H. Small DESCRIPTION OF ACTION: Appellant proposes to construct a 72' x 6' boat railway on property located at 3100 Deep Hole Drive, Mattituck, New York. Further information can be obtained by contacting Mr. Henry P. Smith, President, Board of Town Trustees, Southold Town Hall, Main Road, Southold, New York 11971 or by calling (516) 765-1892. Copies to: Charles T. Hamilton, D.E.C., Stony Brook Commissioner Henry G. Williams, D.E.C., Albany Southold Town Building Dept. Southold Town Conservation Advisory Council Aram Terchunian, Coastal Management Program Town Clerk's Bulletin Board Trustees Alex Lechich, Army Corps of Engineers BOARHD~ ~[~ '~OWN TRUSTEES TO%gN QF SOUTHOLD SHORT ENVIRQNP, flENTAL ASSESS~IENT Project lnformstlon (To be completed by P~pplicant or Project sponsor) 1. Applicant/sponsor I 2. Project l~ame 3. Project location: 4. Is proposed action: ~New ~ ~xpa~sio. ~ ~odificatfon/a]teration' - 6. ~tecise location (road intersections, prominent landmarks, etc. or provide map) ~ "' 7. Amount of land affected,~, ~, .-~,e~,~ Ultimately (;~ ~,cres 8. W~osed action con' I~ly with existing zoning or other exlstmg land. use restrlctions~ I_~ Yes [] No If No, describe briefly W~Rs present land use~ vicinity of prolect? esidential Industrial [] Commercial Descri se: [] Agriculture [] Parkland/open space [] Other 10 Does i~on ~nvolve a permit/a pproval, or funding, now or ultimat;ly; from any orner 8overnm'entai agency (Federal state or local)? ~ Yes [] No If yes, list aaency(s)and pe~mit/approvals I' Cb"/~,f'/~'/ ]/fZ~'/~'/~[~';~z"~ ~-/~ 11 Does any aspect[~he action have a currently valid permit o'i?ap~rgval? [] Yes No If yes, list agency name and permit/a;)ptoval type 12. As resu t of propos.¢~ action will existing permit/approval require modification? [--]Yes ZNo I CiRTIFY THAT THE INFOR~MATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE PART II Environmental Assessment [To be comp,c~e.c by Agency) A Does action exceeo any Type I thresho!d',n 6 NYCER. Part 617.127 If. yes, coordinate the review process and use the FULL/LONG FORM EAF. B, Will action recewe ceordinated review as provided for Unlisted Action$,in 6 NYCRR, Part 617.77 involved action, [] Yes ~] No If No, a negatzve declaration may be superce~ec~ by anothe- C. Could action result ~n ANY adverse effects on. to. or arising from the ~allowing: (Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwater quality or quantity, no~se levels, existing traffic patterns, solid waste production or disposal, potential for erosion drainage or flooding problems? Explain briefly: C2 Historic, archeolog~ca[, visual or aesthetic, or other natural- ~r cultural resources: agricultural districts; or community or neighborhood character? Exoiain brief C3. Vegetation or fauna, movement of fish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted; ¢3r a chang~ 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-C67 Ex~-la;~ 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 ~dentff~e~: aoove, aeterminewhether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its la) setting (i.e. urb3n or rural); lb) probability of occurring; lc) duration; (d) irreversibiJity; (e) geographic Scope~ ~nd.(f). magnitude If necessary, add attachments or reference supporting materials. Ensure that explanations contain suffic['-t-nt detail to show'that all relevant ~dverse impacts have been identified and adequately ~,ddressed. [] Check this box if you have identified one or more~poten~ially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL/LONG FORM E'AF and/or prepare a positive declaration. [] Check this box if you have determined, based on tF~e information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide here, and on attachments as necessary, the reasons supportng this,determination: Agency Name Agency Preparer's'Name ?rr'Darer's $ ~nature ]'~t]e '" Date BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 TELEPHONE (516) 765-1592 APPLICATION lS HEREBY MADE TO TH£ 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 32 OF THE CODES OF THE TOWN OF SOUTHOLD. IDENTITY OF APPLICANT ........ ~ IL PHONE TAX MAP AGENT PHONE N©. HOME ADDRESS OF PERMIT APPLICANT IF DIFFERENT FROM AFORESAID LOCATION___ CREEK, BAY OR HARBOR FRONTING PROPERTY SI ZE OF PROPOSED WORK--~ L E N G T WIDTH HEIGHT ABOVE HIGH DEPTH BELOW LOW WATER_ _ YARDS TO BE EXCAVATED_ ?~_~_~ WIDTH OF CANAL, CREEK OR BAY FRONTIN~ PROPERTY____~_.~._~ DISTANCE TO THE NEAREST DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN THE ,~ THis FOR PR,rATE OR BUS,NESS USE?_/_~_y_~_~_/_~ FT. MANNER IN WHICH MATERIAL WILL BE REMOVED OR DEPOSITED~£7_~f~___/~_~7 DESCRIBE ANY KNOWN PRIOR OPERATIONS CONDUCTED ON THE DESCRIBE FULLY THE REHABILITATION AND PROPOSED CONDITION OF THE PREMISES AFTER THE WORK IS COMPLETED INCLUDE AN ADDITIONAL~ SURVEY OF WRITTEN CONSENT OF THE OWNER OF THE PROPERTY, IF NOT THE SAME AS THE A~PLICANT. ARE THERE ANY COVENANTS OR RESTRICTIONS IN YOUR DEED THAT WOULD~ PROHIBIT THIS PROJECT? /~/~ BOARD OF TOWN TRUSTEES, TOWN OF SOUTHOLD SHORT ENVIRONMENTAL ASSESSI ENT FORM Proioct Information (To be completed by Applicant or Project sponsor) J1. Applican~sponsor ~, . ~-~ .~J ~' S H' 5am~.,L~' t 2. Project Name · W 3. Project location: 4, Is proposed action: [~New [] Expansion ~ Modification/alteration 6. Precise location (road intersections, prominent landmarks, etc. or provide map) ~ " 7. Amount of land affectedD / nit a y ?l~J X .~ Ultimately ~:~ acres 8. W~osed action comply with existing zoning or other existing land use restrictions? ~ Yes [] No If No, describe briefly 9. W~s present land use in vicinity of project? [~Residential [] Industrial [] Commercial Describe: [] Agriculture [] Parkland/open space [] Other 10. Does i~n involve a~permit/approval, or funding, now or ultimately, from any other governmental agency [Federal, state or local)? ~ Yes 11. Doe5 any aspect~he Action have a currendy valid permi~ or approvaff ~ Yes ~No If yes, lis~ agen~y name ~nd permit/approval type 12. As result of propi.~gd action will existing permit/approval require modification? [] Yes ~ No I 7RTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor ~ame; '~' ~ "~h ;/~t~ Date: 3//'g PART II Environmental Assessment (To be completed by Agency) A. Does action exceed any Type I threshold in 6 NYCRR, Part 617.127 If yes, coordinate the rewew process and use the FULL/LONG FORM EAF. I-lyes r--]No B. Will action receive coordinated review as provided for Unlisted Actions in 6 NYCRR, Part 617.77 involved action. E~ Yes [--J No If No, a negative declaration may be superceded by another C. Could action result in ANY adv~erse 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 erosion, drainage or flooding problems? Explain briefly: C2. Historic, archeological, visual or aesthetic, or other natural or cultural resources; agricultural districts; or community or neighborhood character? Explain briefly C3. Vegetation or fauna, movement of fish or wildlife species, significant habitats, or threatened or endangered species./ Explain briefly: 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. C5. 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-C67 Explain briefly. C7. A change in use of either quantity or type of energy? Explain briefly. PART I11 Determination of Significance (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; {d) irreversibility; (e) geographic scope; and (f) magnitude, If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show'that all relevant adverse impacts have been identified and adequately addressed. [] Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL/LONG 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 documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide here, and on attachments as necessary, the reasons supportng this determination: Agency Name Preparer's Signature,Title Agency Preparer's Name BOARD OF TOWN TRUSTEES TOWN OF $OUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 TELEPHONE (516) 765-1892 June 27, 1986 SIGNIFICANT DECLARATION NOTICE OF SIGNIFICANT EFFECT ON THE ENVIRONMENT Pursuant to the provisions of Article 8 of the Environmental Conservation Law, Part 617, of Title 6 of the New York StaTe Codes, Rules and Regulations, and Chapter 44 of the Southold Town Code, the Southold Town Trustees, as lead agency, does hereby determine that ~:he action described below is a Type 1 Action and is likely to have a significant effect on the environment. APPLICANT: James H. Small DESCRIPTION OF ACTION: Appellant proposes to construct a 72' x 6' boat railway on property located at 3100 Deep Hole Drive, Mattituck, New York. Further information can be obtained by contacting Mr. Henry P. Smith, President, Board of Town Trustees, Southold Town Hall, Main Road, Southold, New York 11971 or by calling (516) 765-1892. Copies to: Charles T. Hamilton, D.E.C., Stony Brook Commissioner Henry G. Williams, D.E.C., Albany . Southold Town Building Dept. Southold Town Conservation Advisory Council Aram Terchunian, Coastal Management Program Town Clerk's Bulletin Board Trustees Alex Lechich, Army Corps of Engineers BOARD OF TOWN TRt'STEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 TELEPHONE (516) 765-1892 APPLICATION IS HERESY 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 32 OF THE CODES OF THE TOWN OF SOUTHOLD. TA× MAP .o.i~£ .... ii~£__it____~Y AGENT PHONE NO. P E RM, T R E Q U E S T E D T 0 ~/_/d_6_~e / z_eZ~by_£a~_/~:~ ~_~_¢__~_~_ ............ LOCATION OF PROPERTY FOR WHICH PERMIT WANTED_~/_~y ....... _- ........ HOME ADDRESS OF PERMIT APPLICANT IF DIFFERENT FROM AFORESAID LOCATION CREEK, BAY OR HARBOR FRONTING PROPERTY SIZE OF PROPOSED WORK__~f.~___Z~__ w, "E,G.T ABOVE .,G. ~ I : I ~ I / / / / / / ./