HomeMy WebLinkAboutTR-1949ALL MOORINGS AND ~AKES MUST DISPLAY-
ALL DOCKS AND BULKHEADS .MUST DISPLAY
ViSIBL~ [OORING NUMBERS
VISIBLE PERMIT NUMBERS
Board Of SouthOid .TOWn Trustees
MOoring # N/ASOUTHOLD"NEW--
YORK
· PERMIT NO, ...... .1...9..4.9....-. ......... :.: DATE: ..M.~Z ...!..0..,.....1.9 8 5
· ISSUED TO ..... :...~.¥.....z~!..]:....]:...e....z.:- .................... :.....: ........... : ....................................................
'"' '""Pursuant fo the provisions of Chapter 615 of the Laws of
'the State of New York, 1893; and Chapter 404 of the Laws of ~'he
State of New York 1952; and the Soufhold Town Ordinance en-
"rifled "RE®ULATINC~ AND THE PLAClN® OF OBSTRUCTIONS
IN AND ON TOWN WATERS AND PUBLIC LANDS and the '
REMOVAL OF SAND,-~=RAVEL OR OTHER MATERIALS FRI~M
LANDS UNDER TOWN WATERS;" and' in accordance wlfh ~he '
Resolution of The Board ad°pled af.a meeting held on ...~ay.....1., .....
19...i:_8...5, and ;n consideration of the sum of $ ........ .5........0....0. ....... paid by.
............ ........ : ........... ............ ~..a..x '~.iz.z. ez:. ............................................................................ . ..
· o{ ...$.o.u.th-°-l.dl ........ i .................... · ............................ N. Y. and subject to the
Terms and Conditions .lisfed on the reverse side hereof,
' o~t Southold: Town Trustees authorizes and permits the following:
ApprOval to place one piling on the westerly
'side .of the dock to better secure- his boat.,
.... Tb:~' 'Cree'~,':: Southold,' 'New YOrk.
· :'; *: · .-~
ali in accordance with the detailed specifications as presented in
' the originating aPplicafion.
IN WITNESS WHEREOF, The said Board of Trustees h,ere-
· by causes its Corporate Seal to be afflxed,..and these presents
.. be subscrlbed bY a maiorff, y~a. rd_~,~~. '
· ..4... ' ...... ...... i
Trustees
TERMS ~nd CONDITIONS
The Permirtee Max Miller
zesidlngat Calves Neck Road~ Sou~h~]d N.Y~ as
part of the consideration for the issuance of the Permit does understand and prescribe to the fol-
lowing: 1. That the Southold Trustees Permit must be prominently
displayed on the premises effected thereby during the period of
v':...:., That the said Board of Trustees and the Town of Southold are released from any and work
"::'.v.i all damages, or daims for damages, of suits arising directly or indirectly as a result of any oper-
-. ~aation performed pursuant to this permit, and the said Permittee w~4 at his or her own expense,
"~'defend any and all such saks initiated by third parries, and the said Permittee assumes full liability
with respect thereto, to the complete exclusion of the Board of Trustees of the Town of Sour. hold -
3, That thtq Permit is valid for a period of I P _ mm. which is considered to be the ./..
sufficient time required to complete the work involved, but should eqro~rnstances warrant, request .-;~-'.
for an extension may be made to the Board at a later date. ~'": ,'"- .
4.~ That this Permit should be retained indefinitely, or as long as the said Permirtee wishes
to maintain the structure or project involved, to provide evidence to anyone concerned that auth- "
orization was originally obtained.
5'- That .the work invol~ed will be subject to the inspection and approval of the Board or .-
its agents, and non-compliance with the provisions of the originating application, may be cause for . .- '
..... . .. 7...2:' '.
will Lv~g~
ALL DOCKS AND BULK-
HEADS MUST DISPLAY ....
VISIBLE PERMIT NUMBERS.
ALL MOORINGS AND
STAKES MUST DISPLAY
VISIBLE MOORING NUMBERS.
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Main Road
Southold, New York 11971
Telephone
{516-765-1892)
NOTICE OF ACTION - NOT A PERMIT
To... Max. Miller .
1. Your application, dated...A.l~.r.i.l..2.~.,..1.9..8.5 ............... has been reviewed by
this Board, at a meeting of the Trustees held on...M.a,~..l~..1..~.8.5. ...............
and resulting in the action, as indicated below:
(.x.X.X..X) Application approved. ,-: ___
( ..... ) Application denied.
' ( .....) Application tabled.
2. Comments and remarks:
Your application has been approved by resolution of the
soard.
if your application is approved above, a Permit Fee is now due, and
should be made payable to the order of the Board of Southold Town
Trustees. This fee is computed below according to the Schedule of
Rates as set forth in the Instruction Sheet (Form 1/1). This fee must
be paid within 90 days or reapplication and 'additional fee will be
necessary.
if the Permit Fee is paid in person to the Clerk of the Board, the Permit
will be obtainable at the same time. If the fee is paid by mail, the Permit
will be mailed in reply.
4. Computation of Permit Fee:
A $5.00 fee for the spile is now due.
your permit will be forwarded by mail.
for charges.)
Upon remittance
(see reverse side
Total
Fee for this application ............................ $ ..................
President, Board of 5~6ut~old Town Trust,,
B 2 '
Clerk, Board of ~u~'l-~01d Town T~ustees
BOARD OF ,TOWN TRUSTEES
TOWN OF SOUTHOLD
53095 Main Road Phone 765-1892
Southold, N. Y. 11971
Date.
- 040S.
BOARD OF TOWN TRUSTEES
~ ~ BOARD 0~' ~":: ...... ~y OU~Oe ~
ToWN OF SOUTHO~-
53095 Main Road Phone 765-1892 19~
~.tno~a, N. Y. n971 Oate~ '
Fo r
ALL DOCKS AND BULK-
HEADS MUST DISPLAY ....
VISIBLE PERMIT NUMBERS.
ALL MOORINGS AND
STAKES MUST DISPLAY
VISIBLE MOORING NUMBERS.
BOARD OF TOWN TRUSTEES
TOWN OF SOUT~OLD
Main Road
Southold, New York 11971
Telephone
(516-765-~ 892)
NOTICE OF ACTION - NOT A PERMIT "
To ,M.a. x Mzller '
1. Your application, dated...A.~.r.i.l..2..5:..1.985..................has been reviewed by
this Board,' at a meeting of the Trustees held on...M.a.Y...l~..1..9.8.5. ...............
and resulting in the action, as indicated below:
(.X.X.X..X] Application approved. - .....
( ..... ) Application denied.
· ( .....) Application tabled·
2. Comments and remarks;
Your appZ±¢ation has been approved by re$olut±on of the
Board.
If your application is approved above, a Permit Fee is now due, and
should be made payable to the order of the Board of Southold Town
Trustees. This fee is computed below according to the Schedule of
Rates as set forth in the Instruction Sheet (Form 1/1). This fee must
be paid within .90 days or reapplication and 'additional fee will be
necessary.
If the Permit Fee is paid in person to the Clerk of the Board, the Permit
will be obtainable at the same time. If the fee is paid by mail, the Permit
will be mailed in reply.
4. Computation of Permit Fee:
A $5.00 fee for the spile is now due.
your permit will be forwarded by mail.
~or charges.)
Upon remittance
(see reverse side
Total
Fee for this application ............ ,~ ................ $ ..................
President, Board of ~6ut~ To n Tru
Clerk. Board of ~ouSWold Town 'lr/ruste
Issued To~ Date~o,,
THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION
TOWN TRUSTEES OFFICE,TOWN OF SOUTHOLD
SOUTHOLD, N.Y. 11971
TEL.: 765-1801
RESOLUTION - MAY 1, 1985
Application of Max Miller to secure a permit for a spile
in Town Creek, Southold.
WHEREAS, Max Miller applied to the Southold Town Trustees
for a permit under the provisions of Chapter 32 of Boats,
Docks and Wharves, of the Town of Southold and
WHEREAS the Trustees personally visited the property in
question and further reviewed the application, now, therefore, be it
RESOLVED that Max Miller be granted permission under Chapter 32
of the Code of the Town of Southold to place one piling on
the westerly side of his dock located at 425 Calves Neck Road,
Southold, all in accordance with the application submitted.
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 15 HEREBY 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 ~NTERIOR 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..
IDENTITY OF APPLICANT
ADDRESS OF APPLICANT
PHONE NO.
TAX MAP NO.
AGENT
.__PHONE NO.
LOCATION OF PROPERTY FOR WHICH PERMIT WANTED
HOME ADD~ES~ OF PE~M1T APPLICANT IF DIFFERENT F~OM AFORESAID LOCATION
CREEK, BAY OR HARBOR FRONTING PROPERTY
SIZE OF PROPOSED WORK
LENGTH
WIDTH
HEIGHT 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 P~OJECT EXTENDS BEYOND SIMILAR PROJECTS IN THE AREA
FOR PRIVATE OR BUSINESS USE?_ ~~¥-~,______
IS
THIS
AREA ZONING
FT.
MANNER IN WHICH MATERIAL WILL BE REMOVED OR DEPOSITED
~NTENDED USE OF PROPERTy____~.~/~_.,/~.,_~____~ ~'~'~
DESCRIBE ANY KNOWN PRIOR OPERATIONS CONDUCTED ON THE PREMISE
AND WHETHER ANY PRIOR LICENSE OR PERMITS HAVE BEEN ISSUED TO ERRECT
STRUCTURES OR TO DREDGE OR DEPOSIT FILL ON SAID PREMISES AND WHETHER
ANY PERMITS OR LICENSES WERE EVER SUSPENDED OR REVOKED BY A GOVERNMENTAL
AGENCY ........ / ~.4 _(~..~.
DESCRIBE FULLY THE REHABILITATION AND PROPOSED CONDITION OF THE
PREMISES AFTER THE WORK IS COMPLETED INCLUDE AN ADDITIONAL SURVEY OF
THE PROJECT SITE IF NECESSARY
WRITTEN CONSENT OF THE OWNER OF 'THE PROPERTY, IF NOT THE SAME AS THE
APPLICANT.
BOARD OF TOWN TRUSTEES~-- -
TOWN OF. SOUTHOLD
SHORT ENVIRONMENTAL ASsF. FORM
Project Information (TO be completed by Applicant or Project sponsor:)
Appiicantjsponsor
Municipality TO (2 ?~? ~
4. Is proposed action:
[] New [] Expansion
5. Describe project briefly:
[] Modification/alteration
Counw .~ L;~ F~'~i,- &~
6. Precise location (road intersections, prominent landm arks, etc. or provide map)
7. Amount of land affected:
Initially acres Ultimately 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 projecff
[], Residential [] Industrial [] Commercial [] Agriculture
Describe:
[] Parkland/open space [] Other
10. Does action involve a permit/approval, or funding, now or ultimately, from any other §overnmental agency (Federal, state or [ocal).~
[] Yes []: No If yes, list agency(s) and permit/approvals
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 require modification~
[] Yes ~] No
Applicant/sponsor
Signature:
name:
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
,,' ~.i -, Date:
PART II
Environmental Assessment {To be completed by Agency)
A. Does action exceed any Type I threshold in 6 NYCRR, Part 617.127
~'-] Yes r~ No
if ~es, coordinate the review process and use the FULL,'LONG FORM EAF.
Will action receive coordinated review as provided for Unlisted Actions in 6 NYCRR, Part 617.77
involved action.
If No, a negative declaration may be superceded by another
C. Could action resu [ in ANY adverse 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 adooted, or a change in use or intensity of use of [and or other natural resources? Explain briefly.
C,5. 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 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); (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 ~dverse 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~Tide
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 TH'IS 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.
SIGNATURE OF APPLICANT
SWORN TO BEFORE ME THIS
DAY OF
, 19
NOTARY PUBLIC
APPROVED "WETLANDS" PERMIT (CHAPTER 97)
APPROVED "BOAT, DOCKS, WHARVES" PERMIT (CHAPTER 3Z)
DISAPPROVED "WETLANDS PERMIT" (CHAPTER 97)
DISAPPROVED "BOATS,DOCKS, WHARVES" PERMIT (CHAPTER 32)
CONDITIONS, IF ANY
S1GNATUR£ OF CHAIRMAN
COMPUTATION OF FEES
Approved 2/27/85
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold. New York 11971
TELEPHONE
(516) 765-1801
PLEASE FILL OUT THE FOLLOWING FORM AND RETURN WITH YOUR SIGNED
STATEMENT:
Was the structure put in in accordance to the plan submitted~
/ -
Yes ~ No
If no, please explain on the reverse side.
2. Was structure placed on the applicant's property according
to the plan submitted? ( The distance must be at least
15 feet from his neighbor's line ) ~-
/ -
Yes ~ NO
If no, please explain on the reverse side.
3. Is there easy access over or around the structure, so that
pedestrians can move along the public's right of way below_
high water mark?
Yes ~/~ NO
If no, p±ease explain on the reverse side.
4. Is the structure high enough so as not to inhibit the growth
of the natural grasses along or below the structure?
Yes ~/R NO
If no, pIease explain on the reverse side.
5. Additional comments:
Date
Siqnature - [ - ,
BOARD OF TOWN' TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold. New York 11971
TELEPHONE
(516) 765-1801
PLEASE FILL OUT THE FOLLOWING FORM AND RETURN WITH YOUR SIGNED
STATEMENT:
Was the structure put in in accordance to the plan submitted?
/
Yes J No
If no, please explain on the reverse side.
2. Was structure placed on the applicant's property according
to the plan submitted? ( The distance must be at least
15 feet from his neighbor's line. ) ~
/
Yes ~ NO
If no, please explain on the reverse side.
3. Is there easy access over or around the structure, so that
pedestrians can move along the public's right of way below
high water mark?
Yes~le ~ NO
If no, p ase explain on the reverse side.
4. Is the structure high enough so as not to inhibit the growth
of the natural grasses along or below the structure?
Yes ~/~ NO
If no, p~ase explain on the reverse side.
5. Additional comments:
Date
S ign~ ture
~ -' ~ (Tear off and return)
th~s pe~rmit has been completed and is now ready for your inspection
Also the permit number required on this project
ALL MOORINGS AND STAKES MUST DISPLAY-VISIBLE MOORING NUMBERS
ALL DOCKS AND BULKHEADS MUST~DI~PLAY VISIBLE PERMIT NUMBERS
Board Of 'Southold Town Trustees
· ~/ASOUTHOLD,' NEW YORK
. MoOring 9 ·
"PERMIT NO' ...'...194..9....j..' . DATE: ...a...a.z.:.l..0..,......1.985
'. 'IssUED TO 'Max Millez~ _. ' ......... i ....................................................
"' '"' Pursuant fo the provislons of Chapter 615 of the Laws of
'the State of New York, 1893; and Chapter 404 of the Laws of the
State of New York 1952: and the Soufhold Town Ordinance eh-
'' rifled "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 fhe
Reso'luf?n of The Board ad°pled afa meeting held on ...~ay.....1., .....
-7-- 19....i:..8...5., and in' consideration of the sum of $ ........ .5..,....0..Q ........ paid by
· . .. . . ........... ,,M.~-.x........M.i...~.!...e...r.. ......................................................
of ..,~.~.u.th.o.l.d ............................. ; ............................ N. Y. and subjecf fo fhe
Terms and Conditions .l~sfed on the reverse side hereof,
of Soufhold Town Trustees aufhorkes and permits fhe following:
Approval to place one piling on the westerly
'side.Of the dock to better secure.his boat.,
· .~'.' Tb'~i~' -'cree'l~;':: Southold, 'New York. .:..: i.~ ..,
all in accordance wffh fhe derailed specifications as presenfed in
· fhe originaflng appllcaflon.
· IN WITNESS WHEREOF, The said Board of Trustees here-
by causes its Corporaie Seal to be affixed/and ihese presenfs ~o '
be subscribed by a maiority of +he s ' oard as o_f fhis//daf.e. /'
Trustees