HomeMy WebLinkAboutWILLIAMS, MRS. HADLEY BHENRY 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
October 31, 1986
Mrs. Hadley B. Williams
10725 New Suffolk Ave.
Cutchogue, New York 11935
Re: Request for Waiver
repair of dike
Dear Mrs. Williams:
Pursuant to your request for a Waiver of the Wetland Ordinance
for the reconstruction of an existing dike on your property in
New Suffolk please be advised as follows:
RESOLVED that the Southold Town Trustees APPROVE the request
made by Mrs. Hadley B. Williams to reconstruct an existing dike
on property located at 10725 New Suffolk Avenue, Cutchogue to be
constructed to a length of 270± lin. ft. and to be reconstructed
landward of the pipe running parallel to your property.
Please remit the $10.00 fee for the waiver at this time.
Very truly yours,
Henry P:' Smith, President
Board of Town Trustees
HPS:ip
cc: Bldg. Dept.
file
RESOLUTION - October 30, 1986
Mrs. Hadley B. Williams
Possible Waiver/Lead agency in the matter of Mrs. Hadley B. Williams
to repair existing dike at 10725 New Suffolk.Ave., Cutchogue.
BOARD OF TOWN TRUSTEES
TOWN OF SOUTttO.LD
! 83095 1~i. Ilo~,a eno,,e 765-1892
~ Southold, N. Y. 11971
I Date
~o~,,. ~~
BOARD OF TOWN TRUSTEES
Cash
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
TELEPHONE
(516) 765-1892
APPLICATION IS HEREBY MADE TO THE TOWN TRUSTEES OF THE TOWN OF
SOUTHOLD, SUFFOLK COUNTY, NEW YORK FOR THE ISSUANCE OF A PER~IT
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.
APPLICATION NO. DATE OF APPLICATION
TAX MAP NO. //~--
AGENT PHONE NO.
PERMIT REQUESTED TO
HOME ADD~ESS OF PERMIT APPLICANT IF DIFFERENT FROM AFORESAID LO~ATION
-., ,
~ ...........
WIDTH ~; ~b
HE'IGHT ABOVE HIGH WATER
DEPTH BELOW LOW WATER
YARDS TO BE EXCAVATED
YARDS TO BE FILLED
WIDTH OF CANAL, CREEK OR BAY FRONTING PROPERTY
DEPTH AT LOW. TIDE
AVERAGE RISE IN TiDE
DISTANCE TO THE NEAREST CHANNEL FT.
DISTANCE PROJECT EXTENDS BEYOND SIMILAR PROJECTS IN THE AREA
AREA ZONING
INTENDED US~'' "OF PROPERTY ~O ~r ~"~=
DESCRIBE ANY KNOWN PRIOR OPERATIONS CONDUCTED ON THE PREMISE
STRUCTURES O~ TO D~EDGE O~ DEPOSIT FILL ON SAID P~EMISES AND WHETHEH
ANY PERMITS O~ LICENSES WERE EVE~ SUSPENDED OR ~EVOKE~ BY A GOVERNMENTAL
DESCRIBE FULLY THE REHABILITATION AND PROPOSED CONDITION OF THE
PREMISES AFTER THE WORK IS COMPLETED INCLUDE AN ADDI~TIONAL SURVEY OF
THE PROJECT SITE I F NECESSARY
WRITTEN CONSENT/~OF ~THE OWNER OF 'THE PROPERTY, I F NOT THE SAME AS THE
APPLICANT. i~_~_~_.~~_~)~'_~__
ARE THERE ANY COVENANTS OR RESTRICTIONS IN YOUR DEED THAT WOULD
PROHIBIT THIS PROJECT?
BOARD OF TOWN TRUSTEES~-'
TOWN OF. SOUTHOLD
SHORT ENVIRONMENTAL ASSESSMENT FORM
Project Information (To be completed by Applicant or Project sponsor)
I Ap,~!icant/sponsor ~
2. Project Name
3. Project location: C) '
Municipality~..~'~T'-(~O~-~ (~;~ ~~'~ Coun~ ~'~F~ ~'~
4. Is proposed action:
D New D Expansion ~,cation/akeration ~e~.~'~ ~ ~;~5~'~U~ ~[/~¢
6. Precise location [road inter~ections, promznent landmarks, etc. or provide map)
7. Amount of land affected:
Initially /~f//~- ' acres URimate[v
acres
8 Will proposee action comply with existing zoning or other existing [and use restrictions?
~ Yes [] ~No If No, describe briefly
9 What is present land use n vicinity of project?
~..Residentiat [] Industrial [] Commercial
Describe:
[] Agriculture [] Parkland/open space [] Other
10. Does act~ermit/ap;roval,~o~"'~8, now or ultimately, from
~~~y(S} and permit/approvals any other governmental agency (Federal, state or local]?
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 permit/approval reqmre modification?
[--] Yes [-"~ No
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE 1S TRUE TO THE BEST OF MY KNOWLEDGE
AppJicantjsponsor~ na e:
Date:
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.
[] Yes [] No
B. Will action receive coordinated review as provided for Unlisted Actions in 5 NYCRR, Part 617.77 If No, a negative declaration may be superceded by another
involved action.
E]Yes El No
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 eros on.
drainage or flooding problems,~ E~ ~lain briefly:
C2. Historic, archeological, visual or aesthetic, or other natural or cultural resources; agricultural districts; or community or neighborhood character? Explain 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, 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 n C1-C67 Explain briefly.
C7. A change m 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 otherwise
significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural]; (bi 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 shaw'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:
~enc¥ Name
Preparer'$ S~gnature,,T~tle
Agency Preparer's Name
Date
COUNTY OF SUFFOLK )
STATE OF NEW YORK )SS:
BEING DULY SWORN DEPOSES
AND SAYS THAT HE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMITS.,
AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST
OF HIS KNOWLEDGE AND BELIEF, THAT THE WORK WILL BE DONE IN THE
MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY
THE TOWN BOARD OF THE TOWN OF SOUTHOLD. THE APPLICANT AGREES TO
HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND
FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY
VIRTUE OF SAID PERMIT, IF GRANTED.
Zn completing this application I hereby authorize the Trustees.
agent'or representative to enter onto my property to inspect the
premises in conjunction with revi~of~this
SIGNATURE OS/APPLICANT
SWORN TO BEFORE ME THIS
EXAMINED
N o T UNDA J. C00~_ _.R . /
Term Expiree
APPROVED ~'WETLANDS" PERMIT (CHAPTER 97)
APPROVED "BOAT, DOCKS, WHARVES TM PERM I T (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
Wt/~ L_L
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