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HomeMy WebLinkAboutTR-4937Alber~ J. Krupski, Presiden: James King, ~V~¢e-President Henry Smith A_rtie Foster Ken Potiwoda Town Hail 53095 Main Road P.O. Box 1179 Southold, New~,r~k)l1971,. ~ Telephone (516) 765-15~ Fax (516) 765-I$23 BOARD OF TO~N TRUSTEES TOWN OF SOUTHOLD Office Use ~oastal Erosion' Permit' ADpiicatio~I u~~~lI!ii Wetland Permit App!icati~n Grandfather Permit Application Waiver/Amendment/Changes ~Received Application: ~/-[~- ~'~" ~Completed Application ~Incomplete ~-/~- SEQRA Classification: Type I~Type ii Unlisted Coordination:(date sent) CAC Referral Sent: ~Date of !nspection:~-~O Receipt of CAC Report: lLead Agency Determination: Technical Review: Public Hearing Heid:~'-~- Resolution: Name of Applicant ~, Address ~0 60J(~ i~(DI'~ Phone Number: Suffolk County Tax Map Number: i000 - Property Location: ~O ~ (~[~J (provide LILCO Pole ~, distance to'crdss streets, and location) (If applicable) .Address: P ~ ~ ~ oard ~f Trustees Applicati ~ GENERAL DATA ~r.ea Zoning: ~-0 Previous use of property: Intended use of property: Prior permits/approvals for site improvements: Agency Date X prior permits/approvals for site improvements. No Has any permit/approval ever been revoked or suspended by a governmental agency? ~ No Yes If yes, provide explanation: Project Description (use attachments if necessary): ~/~x (ed)' F(.ORT-~r~£,- /~P__~ ~ ~AJS~~ ~ard of Trustees Applicatic WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ~~0~J Area of wetlands on lot: .square feet Percent coverage of lot: ~ % Closest distance between nearest existing structure and upland edge of wetlands: ~ feet Closes~ distance between nearest proposed structure and upland edge of wetlands: _~/~ feet Does the project involve excavation or filling? ~ No Yes If yes, how much material will be excavated? cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: fee5 Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: Stauemenu of the effect, if any, on the wetlands and tidal wauers of the town that may result by reason of such proposed operations (use attachments if appropriate): PROJECT LD. NUMBER S17.21 Appendix C S~ate Environmental Quafit¥ Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Oni:¢ PART I--PROJECT INFORMATION ~o be comole.ted by Aoplfcant or Proiec: sm0nsor SEC Doc&. 5. ~s ~R,OPOSr-D ACT;ON: ~'~ New ~ ~oansion j2. GESCRISE PROJECT SRIEFLY: 7, ,aMOUNT ,.OF LANO A,=~O ~..~ '/;ILL PROPOSED ACTION COMPLY WIYl"d =_ZISTiNG ZONING CR OTHER E41STING i_~NO USE RESTRICTiCNS'Z , ! Res:dential ,' 'dnaus-lri*~ L_.Ccmmerc~at DOES ACTION INVOLVE A PERMIT A~RROVAL. OR PUNDING, NOW CFi ULTIMATE;._'," FROM ANY OTHER ~ Yes ~ i No if yes, list agencyis} and ¢ermiqaooravats GOES ANY Ar~CT CF THE ACTION HAVE A CURRENTLY VAL~G PERMIT OR APPROVAL? 12. ,aS A RESULT CF ,~ROPOSED ACTION W;LL ~<ISTiNG PE~,,MITZAPPROVAL ,"3~UIRE ~OOIFiCAT[ON? L.J , es 4,~No THAT TH~'!NRO,~MATICN ~RCVIDED ABOVE fS TRUE TO TH=.~ SEST CF MY '(N~W~zCG.'~" -? -= If the action is in the Coastai' == ~,r__. and '!GU are a state agency, a.~mpie.:e .'.he Coastal Ass=ssmen~ Form before?ro,.~_~m~_ ~ ~=,=w ~ with this assessment_~, OV,-~ i mART ii--ENVIRONMENTAl 'SESSMENT To De com~ierec 3!/ Agency C. COULD .ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WiTH T;,HE FOLLOWING: .Answers m~v :e nan~wn~,an, if teg~mel oo~en~ial fa~ erosion, crmn~ge ar fioocling ~roblems? ~o~n brie~iy: Long ',arm. snort term. oumui~dve, or of:l~e&affects not identified Ct~er imoac~s (inci~ding changes ~n use of \ PART ii]~OETEBMtNATION OF SiGNIFiCANCE (To se com.o~,eteo ov Agencyt INSTRUCTIONS.' For eac~ adverse effect :dentined above, deter~e wnemer it is substantial, iarge, important or otheP~ise s~qnifics. E~c~ eifect snouid be ~ssessed in connection wi~ its (a) settin~i.e, urban or ruts0; (b) probability of occ~¢g; (c) durstiofl; irrevers~bility; (e} geographic sco~e; and (f) magnitude. If necessa~,,~dd a~t~chmen~s or reference supposing ma~eri~Js. ~qsure exmanations contain sufficient dezail [o snowy that ail relevant ad~e[~immacts have been identified and adequately addressed ~ 3hecX ~his sox if you have ~demdffec one or more potentJai~ large or s~nifican~ adverse ;m~acts which MAY _ occur. -hen proceed direcdy to ~he FULL EAr and/or prepar~%a positive-declaration. _ Check ~his box ff 7ou ~ave determined, based on the infer~atJon and analysis above and any documen[auon. [hat :he ¢rooosec action WILL NOT result in~y significant adverse enwronmen=al AND ~rowoe on a[z~onmen~s as necessary, ~he reasons su~oorzi~g ibis determmsdon: TRAN~A~TIOHAL DIS~LO~HRR FORH The Town of SoU[hold's Code of Ebhic~ prohibits con£1icts of interest on the part o£ town officers and employees. The purpose of this form ts to provide information which can alert the town of possibl~ conflicts of tnteres~ and allow YOUR NAHR~ it to take whatever action is necesoarL to avoid same. b,A, L ~ ' ~ , , ~..'~/:~:~i:~i~'~? (Lash name, first n~me, m[dd.l~ t~{~1~, ~i~' kll~ okh~r por~on'm or ~omp~nF'~ nmmo.) NATUR~ OF APPLICATION: {Check all ~hak apply.) Tax grievance variance change of zone ApprOval of plm~ Exemption from plat o~ Official mmp by blood, marriage, or bu~tnoe~ Interest. ownermhtp or (or employmenk bt) a eorporahion In #hlcil ~h~ ~own officor or omployee own~ mor~ Ehan 5% of ~h~ ~hare~. If ~ou nn~Vnr~ 'YES,~ complete ~h~ balane~ 0~ ~hi~ £orm and dah~ and ~tgn wh~r~ indloah~d. Name of person employed by kho ToWn of SoUkhold Tikle or pomtkton of kha5 permon . .O~%'NER ~S, CON_~_~NT Date: RE: Application for Wetlands Permit Location: To whom it may concern, Please be advised that I am the owner of record of the above referenced property and hereby consent to (Name of Applicant/ agent) ~ ~~ ~ ~P_:__ making any and applications 'to your Division and others concerning said property, Yours very truly, (Signature of Board of Trustees Application County of Suffolk State of New York DEPOSES A~D AFFIRMS THAT HE/SHE IS TF_E APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEM~.NTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HF~R KNOWLEDGE AND BELIEF, A~ND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN ~THIS APPLICATION AND AS M_AY BE -~JPPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARM_LESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIM_S A~RISING ~JNDER OR BY VIRTUE OF SAID PERMIT(S), iF GRANTED. IN COMPLETING THIS APPLICATION, I HERw. R¥ AUTHORIZE THE TRUSTF~W.S, THEIR AGENT ( S ) OR REPRESENTATIVES ( S ), TO ENTER ONTO MY~ROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH ~ig~t-ure -- SWORN TO BEFORE ME THIS DaY ~ C ,19 Notary ~ublic ~ NOTICE TO ADJACENT PROPERTY OWNER BOARD OF TRUSTEES~ TOWN OF SOUTHOLD In the matter of applicant: YOU ARE HEREBY GIVEN NOTICE: ? 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to:--,-~---~J6m~'~f-Or~7~vc~ g~/~'~"--d5t 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as. follows: B. That the projecu which is s~ject to Enviro~ental Review under Chapters 32, 3~, or 9~ of the Town Code is open to p~lic cogent. You ma~ contact the Truatees Office at ~65-1892 or in writing. The above referenced proposal is under review of the Board of Trustees of the Town of Southo!d and does not reference any other agency that might have to review same proposal. Enc.: Copy of sketch or plan showing proposal for your convenience. PROOF OF MAILING OF NOTICE ATTACH CERTIFIED 5tAIL RECEIPTS Address: jO0 0 ~C . J t q 'q loo D5- 2q STATE OE NEW ¥01~< COU-N~Z O~ SU~FOT,~ 'that on the ~- da~'o'f ,f-~/~l~ ,zgQg , aeponenu maz±ea a true copy ~f t~e Notice set forth in the Board of Trustees ' ~--- to each of the above named persons at the P ~b D63 E37 there respective names; that the · the names of said persons are the address ~wn on the current assessment roll of the ' said Notices were mailed at the United ~'?q~/~9~5 , that said Notices : said persons by (certified) (~ US Postal Service Receipt for Certified Mail No InsuranCe ¢overag~ Provided. Do not use for International Mall / / $.C.T.M.# I)AL CGNSIRUCTION CORPORAIION P.O. Box 1304 C~.nler Motiche.~, IVY f ~934 / / / / / DAL CONSTRUCTION CORPORAl/ON P.O. Box 1304 Center,Morlche$, NY 1f934 BOard Of $outhold Town Trustees SOUTHOLD, NEW YORK DATE: PERMIT NO. ISSUED TO ........ .~).~! ~'9¥. utl rizati ]. Pursuant to the provisions 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 Southold 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 .Z~tne..?~.~ ..... 1998 .... and in consideration of the sum of $.t50.,00 paid by DAL..Goz~s~ztction on behalf..o£ D~n[e.].~ ........................... of '.. N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: to remove an existing 6' X 40' floating dock and replace w~th a new.6' X 60' floating dock with a 8" X 20' pile. 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 to be subscribed by a majority of the sa~d Board as of this dat,e. ................................ Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Read P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1592 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD June 25, 1998 DAL Construction CorP. P.O. Box 1304 Center Moriches, Ny 11934 Re: Daniel Fox SCTM %35-4-28.28 Dear Mr. Fox:.. The following action was taken by the Board of Town Trustees during its regular meeting held on June 24, 1998 regarding the above matter: WHEREAS, DAL Construction on behalf of DANIEL FOX applied to the Southold Town Trustees for a permit under the provisions of the Wetland Ordinance of the Town of Southold, application dated April 13, 1998, and, ' WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on June 24, 1998, at which time all interested persons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standard set forth in Chapter 37-18 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees grant a Wetland Permit to to remove an existing 6' X 40' floating dock and replace with a new 6' X 60' floating dock with a 8" X 20' pile, and BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency which may also have an application pending for the same or similar project. Permit to construct project will expire two years from the date it is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Two inspections are required and the Trustees are to be notified upon completion of said project. FEES: No fees as underwater land is private. Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/jmd P.O. BOX 1304 CENTER MORICHES, NY 11934 (516) 8'74-3303 FAX (516) 874-7274 June 10, 1998 Board of Town Trustees Town of Southold Town Hall P.O. Box 1179 Southold, NY 11971 Attention: Jill Re: Daniel Fox Project Dear Jill, To confirm our conversations with regard to the above mentioned project, please remember to mail all correspondence to our firm. You will remember that the project is on the Town of SOuthold decision calendar for June 24, 1998. I would like to have all the necessary paperwork, fines, if required, etc. in place prior to that date. The proposed violation was first considered on May 28, 1998 at the Trustees meeting. Our office has not received anY correspondence since that time. May we please receive acknowledgement of the situation at hand so that we may finalize the project for Mr. Fox as soon as possible. I appreciate your attention to this matter and look forward to hearing from you shortly. Si )basso Telephone (516) 765-1801 Town Hall. 53095 Main Road P.O. Box 1179 Southold, New York 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL The following recommendation was made at the meeting of the Southold Town Conservation Advisory Council held May 21, 1998: No. 1558 Moved by Sharon Shine, seconded by Kenneth Meskill, it was RESOLVED to make NO COMMENT concerning the construction of the Wetland Permit application of DANIEL FOX 35-~-28.28 to construct a 6' x60' floating dock and install (1) 8" x 20' mooring pile; existing dock to be removed. 470 Wiggins Lane, Greenport The CAC has no comment on the construction, the work has already been completed, but. since a Wetland Permit is required prior to construction, the CAC recommends a violation be issued. Vote of Council: Ayes: All Motion Carried DE~ PERMIT NUMBER I-4'F38- o1917/oOaOl FACILiTY/PROC, RAM NUMBER(S) TYPE OF PERMIT ~ Neu NE~ YORK STATE DE?ARTHENT OF ENVIRONMENTAl CONSERVATION PE tT Under the Environmental Conservation Law "EFFECTIVE DATE April 23, 1998 EXPIRATION DATE(S) April 23, 2001 Renewal g Modification ~ Fermit to Construct ~ Permit to Operate ~of Water~ Article 157 Title 15: t~ater SUpply Article 15, T~tLe 1~: Water Transport Article 15, Title 15: Lon~ Island We[la Other: Article I5, Title 27: Wild, Scenic and Recreational Rivers 6~YCRR 608: Water quality Certification Article 17. Titles 7, 8: SPDE$ Article ~9: Air Po[tution Control Article 23, ~itle 27: Mined Land Reclamation Article 24: Freshwater Wetlands Article 25: Tidal Wetlands Article 27, Title 7; 6NYCRR 360: Solid Waste Management Article 27, Title 9; 6NYCRR 373: Hazardous ~aate Management Article 34: Coastal Erosion Management Article 36: Floodplain Management Articles 1~ 3, 17, 19, 27, 37; 6NYCRR 380: Radiation Control TELEPHONE NUMBER (212) 654-41!C ~I)DREBS OF PERMITTEE :. 470 Wiggins Lane, Greenport, NY 11944 jj CONTACT PERSON FOR PERMITTED WORK ~AL Constr~tton carp,. P,O. Box 1304, center HorichesF NY FoX pro~rty, 470 Wiggins Lane LOCATIO~ OF PROJECT/FACILiTY C~TyGr~n~°rt' NY, 11944, '~ J T~ ~u?o~k J Southold DESCRIPTION OF AUTHORIZED ACTIVITY 11934 TELEPHONE NUMBER (516) 874-3303 WATERCOURSE NYTM COORDINATES Fordham Canal Re~ve existing float and install a 6~ x 60~ float and one piling. stamped NYSDEC approved. All work shall be done in accordance with the plans By acceptance of this permit, the permfttee agrees that the permit is contingen: upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2) and any Special Conditions included es part of this permit. PERMIT ADMINISTIU~TOR: George ~an~narth ,(DMG) ADDRESS Building 40, SUNY, Room 121, Stony Brook~ NY 11790-2356 DATE May 5, 1998 j Page 1 of 4 GENERAL CONDITIONS INspections ~ '1. The permitted site or facility, including relevant records, is subject to in- spection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such represen- tative may order the work suspended pursuant to ECL 71-0201 and SAPA 401(3). A copy of this permit, including all referenced maps. drawings and special conditions."must be available for inspection by the Department at all times at the project site. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. Permit Changes and Renewals 2~ The Department reserves the right to modify, suspend or revoke this permit when: a) the scope of the permitted activity is exceeded or a violation of any condition of the permit or provisions of the ECL and pertinent regula- tions is found: b) the permit was obtained by misrepresentation or failure to disclose relevant facts; c) new material information is discovered: or d) environmental conditions, relevant technology, or applicable law or regulation have materially changed since the permit was issued, The permittee must submit a separate Written application to the Department for renewal, modification or transfer of this permit. Such application must include any forms, fees or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. The permittee must submit a renewal application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES), Hazardous Waste Management Facilities (HWMF). major Air Pollution Control (APC) and Solid Waste Management Facilities (SWMF): and b) 20 days before expiration of all other permit types. Unless expressly provided for by the Department, issuance of this permit does no~ modify, supersede or rescind any order or determination perviously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. Other 6. Legal Obligations of Permittee The'permittee has accepted expressly, by the execution of the application, the fo? legal responsibility for all damages, direct or indirect, of whatever nature Jnd by whomever suffered, arising out of the project described in this permit and has agreed to indemnify and save harmless the State from suits, actions, damages and costs of every name and description resulting from this project. This permit does not convey to the permittee any right to trespass upon the lands ordnterfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. The permittee is responsible for obtaining any other permits, approvals, lands. easements and rights-of-way that may be required for this project. Page 2of 4 ADOITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (Title S), 23, That if future ooe,'ations bv the State of New York reouire ac al- teration ~n the position of the structure or work herein authorized, or )f, ~ the o~inion of the Department of ~nvironmental Conservation it shall ca,se unreasonable a~struction to the free navigation of sz~d waters o~ flood flows or e~da~er [he health, safe~v or welfare af the peoDte o~ the State, or cause foss or destruction of the natural resources of the State. the o~er may be ordered by the Department to remove or alter the structural wor~. obstructions, or hazards caused ~herebv without expense to the Sta~e. aha if. upon the expiration or revocation of this permit, the structure, fill excavation, or other mod~cafio~ Of the watercourse hereb~ authorized sha~l not be com- pOeted. ~he owners, shaH. withou~ ~xpense to the State. and to such extent and in such time and ma,net as the'Depar[ment of E~vironmental Cooperation may ~uire, remove ali or any portion of the uncompleted ~t~ucture or fill and restore to i~s former condition the navigable an~ ~lood caD~ci~ o~ the watercourse. No cJalm shah be made a~ainst ~he S~te of New York o~ account of any such re~ ~val or a(ter~don Fhat ~he State o~ New Yo;k shaU ~ ~o case ~e liable for any d~mage w Jmurv to the structure or work herein authorized which may be caused ~v o¢ result from future operauons undertaken bv the Sta~e for the :onservat~on or improvement of nawgatJon, or for other purposes and no claim or right to compensation shall accrue from any such damage :ranting of this permit does not relieve the applicant of the resDonsi- ~litv pi obtain{ q8 anV ot~er DeFmlSSiOR CORS~R[ OF approval from ~b.~ U,S. Arm~ Corps of Engineers. U.S. Coast Guard. New York State )ffice of General Services or local government which mav be rec Jired ,Mi necessary precautions shall be taken to preclude contammation '~ any wetland or waterway by ~usDended solids, sediments fuels. ;oivents, lubricants, epoxy coatings, pants, concrete. ]eachate or any 25, 34 and 6 NYCRR Part 608 ( TIDAL WETLANDS __ ) other environmentally deleterious materials associated with the project. 13 Any material dreoged in the prosecution of the work hereto permitted shall be removed evenly, without leaving large refuse piles, ridges across the bed of a waterway or floodplain or deep holes that may have a tendency to cause damage to navigable channels or to the banks of 14 There shall be no unreasonable interference with navigation by the work herein authorized 15 If upon the expiration or revocauo~ of this permit, the pro{eot hereby authorized has not been completed, the applicant shall, without expense to the State and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any 9ortion of the uncompleted structure or fill and restore the site to ~ts former condition. No claim shall be made against the State of 16 If granted under 6 NYCRR Part 608, the NYS Oepartmeqt of Environ nrenta~ Conservation hereby certifies that the subiect pro,eot will not contravene effluent limitations or other limitations or ~tandards Lindner Sections 301. 302. 303. 306 and 307 o~ the Clean Water Act of 1977 (PL 95-217) provided that all of the conditions listed hereto are met 17 Ail activities authorized by this permit must be in stpct conformance with the approved plans submitted by the applicant or his agent as part of the permit apDHcatio~ Such approved mans were prepared by PAL CoD~s/:rucEion Corp. o~ 3/98 and last revised on 4/20/98 1. Floats and tidal wetland. SP~CIALCONDITIONS ramps may not rest on or be stored in any vegetated 2. Pilings/floats may not (a) extend laterally beyond property lines, (b) be. placed so that docked boats extend over adjacent property line, {c) interfere with navigation, (d) interfere with other landowners riparian rzghts. 3. ~uny debris or excess material from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal. No debris is permitted in tidal wetlands and or protected buffer areas. 4. The use of wood treated with pentachlorphenol in the construction of structures that will be zn contact with tidal waters is strictly prohibited. 5. Dock reconstruction or replacement or seasonal installation shall not involve expansion or substantial modification of existing structures or facilities. 6. No dredging, excavet!ng or other alteration of shoreline or underwater areas zs autk~rized by this permit, nor shall issuance of this permit be construed to suggest that the Department will issue a permit for such activities in the future. Supplementary Special ~-4738-01917/0000] Conditions (A) through (F) attached. j j Page 3 of 4 Sb_PLEMENTARY ~PECIAL. CO_NDITi~NS Th~ following oonditions apply to all Tidal Wetlands; Freshwater Wetlands; Coastal Erosion Management; and Wild, Scenict and Recreational Rivers ~ermits: A copy of this permit, including all conditions and approved plans, shall be available at the project site whenever authorized work is in progress. The permit sign enclosed with the permit shall be protected from the weather and posted in a conspicuous location at the work site until all authorized work has been completed. The permittee shall require that any contractor~ project engineer, or other person responsible for the overall supervision of this project reads, understands, and complies with this peI~it and al~'its general, special, and supplementary special conditions. Any failure to comply precisely with all of the terms and conditions of this permit, unless authorized in writing, shall be treated as a violation of the Environmental Conservation Law. If any of the permit conditions are unclear, the permittee shall contact the Division of Regulatory Affair's at the address on page one or telephone (516) 444-0365. If project design modifications become necessary after permit issuance, the permittee shall submit the appropriate plan changes for approval by the Regional Permit Administrator prior to undertaking any such modifications. The permittee is advised that substantial modification may require submission of a new application for permit. At least 48 hours prior to commencement of the project, the perlnittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit° Within 30 days of completion of the permitted work, the bottom portion of that form shall also be signed and returned, along with photographs of the completed work and, if required~ a survey. For projects involving activities to be undertaken in phases over a period of more than one year, the permittee shall notify the Regional Permit Administrator in writing at least 48 hours prior to recommencing work in subsequent years. The granting of this pe-~mit does not relieve the permittee of the responsibility of obtaining a grant, easement, or other necessary approval from the Division of Land Utilization, Office of General Services, Tower Building, Empire State Plaza, Albany, NY 12242 (516) 474-2195, which may be required for any encroachment upon State-owned lands underwater~ DEC Permit No. 1-4738-01917/00001 Page 4 of ~ 934 zl, I qlo ~99,~s h~. ~L DAI_ CONS tliUC ILO. Hux S,c,T,Mtt DAL CONS II~UCTION COI?PORA 1 ION ILO. Box 1304 Cm~terA1otlchos, NY f 1934 (6 Ifil ~14-330:I j t~f 2. DAL CONSTRUCTION CORPORA?ION P.O, Box 1304 Center Morlches, NY '11934 Board Of $outhold' Town Trustees Pursuant to the provisions of Chapter 61 5 of the Laws of the State of New YorJc, 1893; and Chapter 404 of the Laws of the State of New York 1952: and the Southolci Town OrcJ[nance en- titled "REC=ULATINC= AND THE PLACINC= OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and fha REMOVAL OF SAND, C=RAVEL OR OiHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in aCCOrC~ance with the ResoluHon of The Board aclopfed afa meeting he(d on 19.8...6......, and in conskJerafion of the sum of $ 5.00 pa~cJ by Salvatore J. & Irene T. Ariosto of ....... ?..r...e..e..?...o...r.~ ........................................................ N. Y, and subject---fo the Terms and Cond;tJons-listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: Approval to secure a permit for a bulkhead and dock, with a ramp. in Fordham Canal all in. accordance with the application submitted. .. aJJ |n accordance with the deta~Jed specifJcatJons as presented Jn the originating appJlcatJon. by IN WITNESS WHEREOF, The sa~d Board of Trustees here- causes its Corporate Seal to be affixed, and these presents to subscribed by a majority of {-he sa~d Board as of this date. ' Please tear off and return to the Trustee Office. HENRY P. SMITH, President JOHN M. BREDEMEYER, Vice-Pres. PHILLIP ]. GOUBEAUD ALBERT KRUPSKI, JR. ELLEN M. LARSEN NAME OF CREEK: BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 TELEPHONE (516) 765-1892 GRANDFATHER APPLICATION bulkhead, dock Se Addres~ of Applicant: Telephone Number: .. Year of Construction: Sketch of the work including sizes: 6. Mark off on the map attached, where your property is located using an X. Signature:.