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Home My WebLink AboutRYAN, TACK- Albert J. Krupski, President John Holzapfel, Vice President William G. Albertson Martin H. Garrell Peter Wenczel BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall 53095 Main Road P.O. Box 1179 Southold, New York l t971 Telephone (516) 765-1892 Fax (516) 765-1823 Office Use Only Coastal Erosion Permit Application Wetland Permit Application Grandfather Permit Application Trustee Lands Permit Application ~ VWaiver Re~-~--ived Application: ~--C,!erica! Review: t ,'Completed appl~cation__ SEQRA Clas~{ 2ype I__.Type II__Unlisted__ Coordination:(date sent) CAC Referral Sent: Date of Inspection: Receipt of CAC Report:(date) Lead Agency Determination: Technical Review:(date) Public Hearing:(date) Decision: Approved (~/N) (date) AppliCation Fee:$ Name of Applicant Phone Number Suffolk County Tax Map N*~r~er: !000 Property Location: /J~J~Z.. ¢5"~'~ ~,:q~&tS (provide LILCO Pole ~ distance to cross streets, and location) Agent: (If applicable) Address: Phone: pard of Trustees Appiicati 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 Has any permit/approval ever been revoked or suspended by a governmental agency?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): ~ ard of Trustees App!icati~ %~/ County of Suffolk DEPOSES AND AFFIRMS E/,SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF~ AND TP!AT 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 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(S), IF GRANTED., IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPE~R_mY_ TO INSPECT THE PRF~ISES IN CONJUNCTION WITH REVIEW OF THIS APPLt CATION. SWORN TO BEFORE ME THIS N~ary Public ard of Trustees Applicati~ AUTHORIZATION (where the applicant is no~ the owner) (print owner of pr6perty) mailing address) ~to hereby authorize l~f~ ( Agent to apply for permit[s) from the Southold Board of Town Trustees on my behalf. / ( Owne~r s signature) ~ ard of Trustees Applicati~' ~/ COASTAL EROSION APPLICATION DATA Are wetlands present within 75 feet of the proposed activity? ~/~ No Yes Does the project involve excavation or filling? ~ No Yes If Yes, how much material will be excavated? How much material will be filled? Manner in which material will be removed or deposited: (cubic yards) (cubic yards) Describe the nature and extent of the environmental impacts reasonably anticipated resulting from implementation of the project as proposed. (Use attachments if necessary) ' '~ard of Trustees App!icati/ WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: ~ " ~ Area of wetlands on lot: ~ square feet Percent coverage of lot: C? % 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 os such proposed opera~ions (use attachments if appropriate): QUIT-CLAIM DEED No. 136 (10 Pt.) ACl~ovoland Logol Blank Sorv~c~, Inc. Hart[oral, Connecticut Know All Men by These Presents THAT I, PATRICIA K. RYAN, of Athe Town of Middletown, County of Middlesex and State of Conneotiout, for divers good causes and considerations thereunto moving, especifally for received to my full satisfaction of j. P~NDOLPH RYAN ,/ ha ve remised, released, and forever quit-claimed, and do by 'these present% for and heirs, justly emd absolutely remise, release, and forever myself QUIT-CLAIM unto the sa{d j. Randolph Ryan I the said grantor ~¢irs and assigns ~rever, all such Hght and title as ha ve or ought to have in or to all that certain plot, piece or parcel of land, with the buildings thereon erected, si~uate, lying and being at Fishers Island, Town of Southold, County of suffolk and State of New York, being bounded and described as follows: BEGINNING at a stone monument on the northeasterly line of · . Hedge Street, said monument being 2300.25 feet north of a point which is 426.19 feet west of another monument marking the United State.s Coast and Geodetic Survey Triangulation Station "PROS" and Thence running along said line north 30 degrees 58 minutes 10 seconds west 32.22 feet to an iron pipe; Thence north 58 degrees 06 minutes east 175.31 feet to a drill hole at a wall corner at the shore of West Harbor abutting north- westerly on remaining land of Martha M. Ferguson; 'Thence along the face of a retaining wall on said shore line south 24 degrees 24 minutes east 50.67 feet; Thence south 64 degrees 16 minutes west 4.60 feet to a concrete post on a wall; Thence south 64 degrees 16 minutes west 165.48 feet to the point : of beginning, abutting southeasterly on land now or formerly of Russell~ Being'th~ same premises conveyed to J. Randolph Ryan and Patridia K. Ryan by deed of John DeKoven Alsop dated June 12, 1972. 0834 ~.. R_'~_C EIV ED~)~ REAL ESTATE JA~ 24 1977 I ~.,~, 4SFER , ,..,7, SUFFOLK