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MCNALLY, TIMOTHY
Albert J. Krupski, President John Holzapfel, Vice President Jim King Martin H. Garretl Peter Wenczel Town Hall 53095 Ma~n Road P.O. Box I179 Southold, New York 11971 Telephone (516) 765-i892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD ~Office Use Oniy~ ~"'~ ~ COastal Erosion Pe~mit~Apptication Wetland Permit Application ~randfather Permit Application 'Waiver/Amendment/Changes Received Application: Received Fee:$ Completed Application Incomplete SEQRA Classification: %~.rpe i__T!rpe II Unlisted Coordination:(date sent) CAC Referral Sent: )ate of Inspection: Receipt of CAC Report: Lead Agency Determination:__ Technical Review: Public Hearing Held: Resolution: Name of Applicant ~'~~ ~/~¢A/D Address qqx3 ~O~m ~ }lfl~ Phone N-~er: Suffolk County T~ Map N~er: 1000 - Property Location: q~q~q~ (provide LILCO Pole ~, distance to cross streets, and location) AGENT: (If applicable) Address: Phone: FAX~: -- Boa of TruStees Application GENERAL DATA Land Area (in square feet): Area Zoning: Previous use of property: Intended use of property: Prior permits/approvals for site improvements: Agency Date° No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency?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): Boar 3f Trustees Application WETLAND/TRUSTEE LANDS APPLICATION DATA '~urpose of the proposed operations: CO ~c~L ~$~ ~L~. '~ Area of wetlands on lot: square feet Percent coverage of lot: % Closest distance between nearest existing structure and upland edge of wetlands: feet Closest 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? How much material will be filled? Depth of which material will be removed or deposited: feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: ~ -- cubic yards cubic yards Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): NOTICE TO ADJAC~NT PROPERTY OWNER BOARD OF TRUSTEES, TOWN OF SOUl, OLD in the matter of applicant: SCTM~t000- YOU ARE HEREBY GIVEN NOTICE: 1. That it is the intention of the undersigned to request a Permit from the Board of Trustees to: 2. That the property which is the subject of Environmental Review is located adjacent to your property and is described as follows: 3. That the project which is snubject to Environmental Review under Chapters 32, 37, or 97 of the Town Code is open to public comment. You may contact the Trustees Office au 765-1892 or in writing. The above referenced proposal is under review of the Board of Trustees of the Town of Southold and does not reference any other agency that might have to review same proposal. MAILING ADDRESS: PHONE ~: ~%~- W%q-q~M~ Enc.: Copy of sketch or plan showing proposal for your convenience. Name: PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Address: STATE OF NEW YORK COUNTY OF SUFFOLK · being duly sworn, deposes and says that on the day of ,19 , deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons a5 the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessmen~ Town of Southoid; that said Notices were mai~eda/~f~,~e~~ were mailed to each of said perso~fie/~(registered) worn toj~efore Ne this ~ -- Notary Publi Boar Df Trustees Application County of Suffolk State of New York DEPOSES AND AFFIRMS THAT HE/~HE iS THE APPLiCAN'±' FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT .ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO TF~E BEST OF HIS/HER KNOWLEDGE AND BELiFJ~, .AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THiS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO gOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HAP~LESS AND FREE FROM AbVf AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. iN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR ASENT(S APPLICATION Signatur SWORN TO BEFORE ME THIS Notary Public PROJECT LD. NL'Z, eEF. 817.2! I State Environmentai Quaiit¥ Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Oniy PART '--PROJECT INFORMATION ~'o De comole~,ec by ADDliC~n~ Or Proiec; sponsor} i. APPLICANT SPONSOR 2 PROJECT NAME 3. PROJECT _OCATIQN: 5. iS PROPOSED ACTION: [] Modification/alteration DESCRIBE PROJECT BRIEFLY: AMOUNT OF [~,ND AFFECTED: WIL. PROPOSED ACTION COMPLY WIT~ ~<:ST!NG ZONING OR ©THEe ~ISTING ..AND USE RESTRICTIONS? Yes f No. describe brier ¥ PRESENT .~,NC USE iN VIC;NITY OF :REJECT? ~] P~r~/ForesUO2en s~,~ce --- Other i0. DOEE ACTION INVOLVE A PERMIT APPROVAL OR FUNDING. NOW OR ULTIMATELY FROM ANY ~H~-~ ~,.~V:.,NN ~N,A. AG~ ~, 'FEDERAL, STATE OR 11. DOES ANY ASPECT OF THE ACT]ON HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ATION PROVIDED AeOVE !S TRUE TO THE BEST OF '~iY KNOWL=-DGE l ' t if the act;on is Jn me Coos~a( Area. and you are a sts~e agency, comcie~e Coasts{ Assess,men: F-otto before proceeding with this as~6essmem OV=~ ?ART II--~NViRONM~Nq' ~_~-~,~= ~-~ ~ i A. DOES ACTON ='< .~==,~ *NY TY,~ ~ ~=~",~ ~ ~, ~ ~,~ ~ , ~,7 .... ~, yes, Coordinate ~he rewew :race~s ama use ?e B, W~LLACT1ON RE~[VECOORDiNATED REV~AS PROV~DSD FOR UNLISTED ACTIONSiN 8 NYC=R ~A~r 5'75o ~ Yes C_ COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSQC;AT?D WITH THE FOLL©WfNG: (AnD'feets may =e '~andwritten. if lec~ble) potential for erosion, drahq~ge or flooding pro~lems? ~.xplain ~riefly: O7. Other imoac:s (inci~ding changes in use of either qusntity or type of energy)? Yes L~ NO if Yes, exo am briefly PART ~Ii--D~-'TERMINATION OF SIGNIFICANCE ('To be completed by Agency) ~NSTRUCT~ONS: For each edverse effect iden'dfied above,'determine whetr, er it - ' ' ; - · - . . Each ., ~, s subst,=nt~ai, ,argo, ,mpor~,:nt or o~herv, qse s~gmf c~r er,e~, snouid be assessed in connection with its (a) setting (i.e, urban or rural); (b) probability of oco::--%j. Dg; (.c) duration; irreversit)iti{¥; (el geograpi'~ic scope; And (f) msgnitude, tf necessary., odd ~tachments or reference supporting ma~eriais. Ensure th,: explanations contain sufficie,,~t dezail .to sAow thet ~11 relevan~ Adverse impacts have bee~ ~dentified And adequa~eiy Addressed. Chec,k this box if you have identified one or more potentially large Dr significant adverse impacts which ,*,'lay ?~C,~:ur. Then proceed directly ~o t,he FULL EAF andJor prepar~ a positive-declaration. eck this box if you have determined, based on the information and analysis above and any supporting documentation, iha~ the proposed action WILL NOT result in4~?ny significant 'adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: Board Of Southold Town Trustees SOUTHOLD, NEW YORK PERMIT NO... ~'/'.7 ~ 7:,. DATE: .... 9./Z6./92 ISSUED TO .......... T.~.MO.7~Y....~.. 9~;~I$E MC NALLY ..................... Pursuant to the provisions of Chapter 615 of the Laws of · of New York, 1893: and Chapter 404 of the Laws of the the State ...... J .L_ cA.thold Town Ordinance en- Sta~re of New York I¥~z; aha Tne tlfled "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 ...9./.~/ 19.....?.~, and in consideration of ('he sum of $150.00. paid by TIMOTHY MC NALLY ............................................................... N. Y. and subject to the of ....... C~tchog.u~ ................................................. Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permi~rs ~rhe following: Wetland Permit for an 18' X 20' existing deck. Also to Transfe Permit $1881 from Cindy Mol°ney to Timothy Mc Iqally for a 3' X 44' dock. all in accordance with the detai|ed specifications as presented in +he originating application. IN WITNESS WHEREOF, The said Board of Trustees h,ere- by causes its Corporate Seal fo be affixed, and these presents be subscribed by a majority of the said Board as of this daf,e. Albert 1. Krupski. President lotto Holzapfel, Vice President Jim King Martin H. Garrell Peter Wenczel Town Hail 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD September 26, 1997 Timothy & Denise Mc Nally 905 & 945 Fleetwood Road CutChogue NY 11935 Re: SCTM 9137-4-23 Dear Mr. Mc Nally, The following action was taken bY the Board of Town Trustees during its Regular Meeting held on September 24, 1997, regarding the above matter: W~E~_AS, TIMOTHY & DENISE MC NALLY, applied to the Southold Town Trustees for a pezff~tunder the provisions of the Wetland ordinance of the Town of Southotd~ application dated s~ptember 2, 1997, and~ WHEREAS, said application was referred to the SouthotdTown Conservation Advisory Council for their findings and reConurtendations, and · llc Hearing was held by the Town Trustees with EAS a Pub ' at which tLme ~ -=- .... ~ =~lication on September 24, 1997, . __ respecu uu o~ ~ -, ....... ~ tunitv tc~e near~, -~-~-~sted ~m_rsons were gxv=~ ~ ~r ~ . ahd, WHEREAS, the Board members have personally viewed and are f~iliar with the premises in question and the surrounding area, fnd, WHEREAS, the Board has considered all the testimony and .documentation submitted concerning this application, and, hap REAS, the structure c .o~p. ~%e~ wit~ stanaard set forth in ter 97-18 of the Soutllol~ Town u~ , WHEREAS, the Board has determi~e~ th~ the project as proposed Oiill not affect the health, sare~y ~ general welfare of the p~°ple of the town, NOW THEREFORE BE RESOLVED, that the Board of Trustees approves the application of TIX~OTHY & DENISE MC NALLY for an existing 18' X 20' deck, and to Transfer Permit ~1881 from cindy Molone¥1 to Timothy Denise Mc Nally. for a 3' X 44' dock. BE IT FURTHER RESOLVED that this determination shoul~notbe considered a determination made for any other DePak~cment Or Agency whiCh may also have an application pending for the same or similar project. Permit to construct and comple%e project wil~ e~ire two from the date it is signed. Fees must be paid, if appliCeble, 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: None Very truly yours', Albert J- Krupski, Jr. President, Board of Trustees AJK/djh CC- DEC ACE Dept. of State Bldg. Dept. ALL MOORINGS AND STAKES MUST DISPLAY VISIBLE MOORING NUMBERS ALL DOCKS AND BULKHEADS MUST DISPLAY VISIBLE pERMIT NUMBERS Board Of $outhold Town Trustees Mooring ~ NS/OAUTHOLD, NEW YORK PERMIT NO ............ !,~..8. ~..1.. ........ DATE: S..e..R~-.'.....Z.,..0..,~......19 8 4 ISSUED TO ................. q~Z...~q~Z ........................................... by be subscribed by a majority of the 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 ...A.~.~[.,_.....3....0..~. 19.....8....4.L, and in consideration of fha sum of $ _....5........0....0.. .......... paid by ........... .'. ............................ ............................................................................... o{ ........ ..q~.~.9..~..o..g.~..e.. ................................................. N. Y. and subject to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: Application approved to secure a permit for a bulkhea~ an_d do~_k under 'the Grandfather ClauSe in East Creek, Cutchogue. all in accordance with the detailed specifications as presented in · fha orig~nating application. IN WITNESS WHEREOF, The said Board of Trustees h~re- causes ifs Corporate Seal to be affixed, and these presents to as of this in ' 1. ' That the Soutnoxu x~.u= ........... ~ ' of lo~ g. . ........... ~.. ~,,~in~ .he period dis layed on the premlses e~c~a ~n~,.~ ,=~e~ {~o~ ~" ~d wor~ ~fion ~rfo~d p~t to ~s ~ ~d ~e ~d Pe~~ at~ ~herown ~ Lhe "~'defend any ~d fll mf ~m ~&tM by third pa~, ~d &e ~d Pe~U~ ~m ~ li~ peri4 wi~ r~pect ~ereto, to ~e ~mplete ~cl~iou of ~e ~d of T~em of ~e To~ of ~old 3~ That th;~ Pe~t h v~d for a ~ of 3 7 . m~. w~ h ~d~ to ~ ~e ~c~nL ~e r~ed to complete &e work ~volv~ but should ~c~ w~mg for ~ e~ension may be ~de to ~e Bo~d at a later date. m m~ta~ ~e ~e or p~je~ mvolv~, to provxae e~amce to orh~6on w~ ori~ly obt~ed. 5~ ~at .&e work ~vol~ed w~l be ~bj~ re &e ~sp~on ~d approv~ of &e ~d i~ agents, ~d noa-~mp~ance ~th &e pro~iom of &e ori~na~g appIi~o~ ~y ~ ~e for . ~v~afion of &is Pe~t ~ r~olu~oa of &e sald B~d. " 6. ~at &ere w~ be no ,mr~sonahle interf~ence wi& na~ffon m a t~t of &e w~ herein au&o~ed. 7. That the~e ~all ~ no ~te~erence ~& the ~ghr of &e pubic to p~s ~d rep~ ~e ~a~ be~,eea high ~d low weter ~ks. 8. That ff furore operatiom of &e Town of ~&old r~u~e &e r~oval ~d/or in &e lo~6on of &e work her~ au&o~ or ~, ~ &e o~ of &e Bo~d of T~e~, ~ork sh~ ~me u~e~o~ble obs~on to free na~ga~on, &e s~d Pe~ ~ ~ u~n due notice, to remove or Mter &is work or proj~t herein stated ~out ~s to ~e of Sou&el& 9. ~at &e s~d Bo&rd w~l ~ no~fi~ by the Per.nee ox ~e c~ple~on of &e work orbed. (See tear off sheet.) 10. ~at the Permktee w[H obt~ a~ o~e: p~ and come.~ ~t ~y ~ r~M TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HALL SOLITHOLD, H. Y. BUILDIHG pE~IT CTHiS PERMIT MUST BE KEPT ON THE pP. EMISES UNTIL FULL cOMPLETION OF THE WORK AUTHORIZED) Peam~ssion is hereby granted to: ...... Section / ~ ..... Block .......... :./. ......... Lot No ........................ County Tax Map mo. ~uuv .................... gursuan~ to appJic~tion dated ................................... z .................... , 19 ......... and approved by the Building Inspector. Fee $. / ~ ......... ..................... Bu[Jding inspector Rev. 6/30/80 I / ~/~ /