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HomeMy WebLinkAboutTR-2165 . . . ....¿: "f;- .:-þ... ;}~ ',2}, . ~, ," ". ;~ K{ ~~ ¡" . ., ---------------------------------------------------------------------------------------------------- Please tear off and return to the Trustee Office. ~ .. ,..~. ,... TERMS and CONDITIONS The Permittee Violet Gerwauskv residing at Fordham Canal ~roOønpnr"" N. VI as " pan of the cousideration for the issuance of the Permic does understand and prescribe Co the fol- lowing: 1. That the Southold Trustees Permit must be prominently displayed on the premises effected thereby during the period of .::"'(,.., , ,,' Thac the said Board of Trustees and the Town of Southold are released from any and work ':" .';,,) all damages, or claims for damages, of suits arising directly or indirectly as a resulc of any oper. unde¡ > btion performed pursuanc co this permit, and the said Permittee will, aC his or her own expeose, the .',. defend any and all such suits initiated by third parties, and the said Permittee assumes fu1lliability permi with respect thereto, to the complece exclusion of the Board of Trustees of the Town of Southold - 34 That ~ Permit is valid for a period ~f , ? mas. which is considered to be the sufficient time required to complece the work involved, but should årcumstances warrant, request .. '," ~or 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 Permittee wishes , ':'.., ",: to maintain the structure or project involved, to provide evidence to anyone concemed that auth· I"~'" ::':,;';:' "orization was originaIly obtained. i, ' ,;,': ,: ",,' ' 5 ~ Tha~' the work invol~ed will bè' subject to the inspection and approval of the Board or , 'i.' ilS agents, and non-compliance with the provisions of the originating application, may be cause for '..f,;. revocation of this Permic by resolution of the said Board. ," ...;~; .- ..,.'.... ..- 6. That there will be no unreasonable interference '; r herein authorized. with navigation as a result of the work -.:.... '-"< :J-,!: , .'~ ... , " .' ......._-. .. /::;:~;~t:: . ;'?~~ft.·~ . .'..... :,':'~~';;" ";':':-:,::' ~:.'.' 'f" ..;:. ," '. : ~ .,.'~·::,.:7:~· . ....., p.', ";', ..----- -.-- ~ .' - right of the public to pass and repass along "," ' , .. ..., .'. '" ,." , , 7,. Thac there shall be no interference with tbe :~. '" the beach between high and low water marks. " 8. That if future operations of the Town of Southold require the removal and/or alterations , in the location of the work herein authorized, or if, in the opinion of the Board of Trustees, the , work shall cause unreasonable obsttUCDon to free navigation, the said Permittee will be required, . upon due notice, to remove or alter this work or project herein stated without expenses to the Town , of Southold.' . , " ~ . 9. orized. That the said Board will be notified by tbe Permittee at the completion of the work auth· (See tear off sheet.) 10. That the Permittee will obtain all other permits and consents thac may be required sup- plemental to this permit which may be subject to revoke upon fa.ilure to obtain same. .. . ~'."~ . :.. .¡.-.-.. " " " , , ' ...,.., , . , " , .. "" un "nIL,,}~,,}£j,UUVJ~VJ.'V_""'V"'Y).l -..': .:' ,'1.;..;. , ' -~<:,t;:': ··-.-f!';..~~' ¡, '~'{;;;~'. " "~~";',X:~~1s¿; ~: . , '.J" ~.. ., .,:~'!" ..~; .. .',. ":--":;; '\'. ·"f: " , , ..., ...n FROM BETTER MILES (516)731-2105 02.14.1997 14=06 HO. 4 p. 1 F ebl1lary 14, 1997 Leo & Geraldinc Olsen 211 Saek\oille Road Garden Cily, New York 11530 Boanl of Truslces ' i Town of Soulhold 53095 Main Road P.O. Box 1179 SouthoJd, New York 11971 Dear Sirs: With your pennission IIIIlhc new owncrs of 3590 Main Road we will be cleani.ng and l'ell1o'ving l.rush 1ì'olll thc propcrly also wc will be rcplacing dock planks and repairing the hand rail .1:"ng the dock for safety purposes. If you have any questions I can be reached days at 5111-731-1733 or 516·248-1945 evenings, ~- Leo 01sell fhx alt Jill '11-5, P,;¡.!J mail original . ,~:~~ ðv ~ S\\rf OLI' ['a.~ ~.~'" ;:::: ~~ ::::. -<. = . U" ¡;Ifi ~ - ~ ~%n ù..~';:- '<lJ. -+ ,?-'o . Talephone (516) 765-1801 Town Hall. 53095 Mam Road p,O, Box 1179 South old , New York l1971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL The following recommendation was adopted at the April 28, 1997 meeting of the Southold Town Conservation Advisory Council: ~ IIIr' OLSEN 35-4-28.12 to reposition a ~' x 35' as per drawing dated 3-3-97. 3590 North Road, Greenport The Council did not receive the application until the meeting. It was unable , to make an inspection and therefore has no recommendation. " . . . . Town Hall 53095 Main Road P,O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 Albert J, Krupski, President John Holzapfel, Vice President Jim King Martin H, Garrell Peter Wenczel BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD APRIL 30, 1997 Leo Olsen 211 Sackville Rd. Garden City, NY 11530 RE: Olsen Property SCTM# 35-4-28.12 Dear Mr. Olsen: The following action was taken by the Southold Town Trustees on Wednesday April 30,1997, at their regular meeting. RESOLVED that the Southold Town Trustees grants an amendment to reposition a 4' X 35' dock as per drawing dated 3-3-97. This approval does not constitute approvals from any other agency. If you have any questions, please feel free to contact our office at 765-1892. SINCERELY, ut/.I.,I tJ. /~ 9, ALBERT J. KRUPS{~ JR. PRESIDENT, BOARD OF TRUSTEES AJK/djh . . fõ) rn @ rn 0 W.J,~ un APR 2 3 199: .! -- _.- TOWN OF ~~~~_~~_ Leo Olsen 211 Sackvill.e Road Garden City, New York 11530 April 21, 1997 Board Of Trustees Town of South old 53095 Main Road Box 1179 Southold, New York 11971 Re: Property 3590 North Road Greenport Dear Sirs: "iýô{ I would like to amend our existing pennit for float and pilings, The pilings will be replaced with new and the float will be turned and replaced as per enclosed plan, We have received the D.E.C, approval for this project pennit # 1-4738-01557/00001. Our check is enclosed in the amount of forty dollars to cover the cost of same, k~ Leo Olsen enc./3 c./... ',ute if /J.'6'jC1Ì >' ø :z: " I- III £ -.5ð + ~ '" r .. '" D. Õ 0( ..... :Ii .. ~ Z ¡¡¡ 0 '" I- M , 0( ë U Q " 0 u oJ " I/) i _...- -oN' . . .. ~ on ~ N W 1 I- ~ a: - c!: ~ .J ~ 41 0 <!! 'U ct .¡; -' ç '2 "" 0 k...- z \II a: « <J >< W x: -<i >- I- '-.J a: 0 z ~ , , ,<;;>51 If) >Ii ~ t III "" ..¡ - -' '" <",¡. " u, .. p.. ~ .. 0 '" ~' -x _ IJ""_ ... !;¡ G" $~= ..s ~ "'- '3 C> D :;; ú, .,. ,> .,. ..:: ';l --' ~ z ..., .s; CI \" <t: :z '" :2.z.CI ¡:: ':1 ~ m ., .~ w - ~ .J () e1~ j<tn.. ~ :i.::t 1>1 '" " ., 0 \ J z .., 3 ... Õ <> 'I' S "" r- ' ~ ~, 8U\1>I ('" '" r ..J '" " ., <t ;.¡ " v 0 W .1 '2 C\ -.J 3: /, ..JJ <>I 0 (<lI'IOd '1" ';» VI'Ý~a7lo:l ìV 1i'9'7 .--, '-:.:.,") c ~'~I~'I ~ 0) =>1 = C") :8 , ~ '" I LL. §£ .0 « z: ~ ~¡ @ ~ ~ ~ ~ r', I I I I . " II " I z ~ « ...J 0 ',.. '" -t Q. M " ~"'~ r (") I.) w . .. ..... lL >- .. I- <C +\ U -E -<t' r~ Ü1 0 I/)' ~ \U '2: '>l 1" ~ ¡:;. -.I -s ...J VI ~ () - Q. ..... ~ l" ---- NE~ STATE OEPARTMENT OF ENVIRONMENTAL CONSER OEC PERMIT NUMBER "4738'01557/00001 FACILITY/PROGRAM NUM8ER(S) PEtn Under the Environmental Conservation law N EFFECTIVE DATE Apr; l 10, 1997 EXPIRATION DATE(S) Apr; l 10, 2000 TYPE Of PERMIT . New 0 Renewal 0 Modification 0 Permit to Construct 0 Permit to Operate . Article 15, Title 5: Protection . .6NYCRR 608: Water Qual i ty of Waters Certification 0 Article 15, Title 15: Water 0 Article 17, Titles 7, 8: SPDES Supply 0 Article 19: Air Pollution 0 Article 15. Title 15: Water Control Transport 0 Article 23, Title 27: Mined Land 0 ArticLe 15, Title 15: Long Reclamation Island Wells 0 Article 24: Freshwater WetLands 0 Article 15, Title 27: Wild, Scenic and Recreational Rivers . Article 25: Tidal Wetlands o Other: PERMIT ISSUED TO Leo Olsen ADDRESS OF PERMITTEE 211 Sackville Road Garden City, New York 11530 CONTACT PERSON FOR PERMITTED WORK NAME ANO ADDRESS OF PROJECT/FACILITY Olsen ro rty 3590 North Road LOCATION OF PROJECT/FACILITY Green rt, NY 11944 COUNTY TOlIN ~ATERCOURSE Suffolk Southold Gull Pond DESCRIPTION OF AUTHORIZED ACTIVITY 0 Article 27, Title 7; 6NYCRR 360: Solid Waste Management 0 Article 27, TitLe 9; 6NYCRR 373: Hazardous Waste Management 0 Artkle 34: Coastal Erosion Management 0 Article 36: Floodplain Management 0 Articles " 3, 17, 19, 27, 37; 6NYCRR 380: Radiation Control TELEPHONE NUMBER (516) 731-1733 TELEPHONE NUMBER NYTM COORDINATES Relocate existing ramp and open pile dock, and install two dolphins as shown on the plans prepared by Leo Olsen last revised on March 14, 1997J 4.~..!. fJ'fJù,E( "'-fffVVL¿ "'., '1/10117- By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all øpplicable reguLations, the General Conditions specified (see page 2) and any Special Conditions included 8S part of this permh. PERMIT ADMINISTRATOR: ADDRESS Roger Evans AUTHORIZED SIGNATURE Building 40, SUNY, Room 219, Stony Brook, NY 11790-2356 DATE April 14, 1997 Page 1 of 4 . . Leo Olsen 211 Sackville Road Garden City, New York 11530 516-731-1733 days April 1, 1997 rí~ Œ @ Œ ~ W'~r~l UOGR ~ 3 oo~J~1 ¡TOWN OF ~OUTHOLD, Board of Trustees Town of Southo1d 53095 Main Road Box 1179 Southold, New York 11971 Re: Property 3590 North Road Greenport, New York Dear Sirs: The following projects are planned for 3590 North Road Greenport, New York: 1) Replace existing float and pilings with new material, relocate float to accommodate a 47 foot boat. D,E.C. pennit is in progress, 2) Install a six foot high stockade fence in the rear yard, (see sUIVeyattached) 3) Install a 20 foot non turf area along bulkhead leaving existing trees, We will remove top soil to the sand and install recycled concrete as a base and cover same with a colored stone. This would prevent any runoff fÌ'om the land, The balance of the property will be grass and trees and some bushes will be planted in the future, 4) The excavated top soil will be deposited along the north property line to create stability to the slope, A stone retaining wall will contain this fill, This area is beyond the 75' jurisdiction of the trustees, 5) Level and repair existing cat walk along dock. 6) Install decorative hand rail along dock. Please advise if any pennits are needed for the aforementioned projects, We tmderstand we will have to amend our existing pennit for item nwnber 1 to relocate float and piling¡¡. We would like to be included in your next field inspection please advise as to date and time, ~urs JJL Leo Olsen ~ ", ';./: ,,(:, ::' I ' :.,Iff~:':' .. . '," ':~'i,o..I~,;.~ 'I._.:J"..~'_'~,..~. .~ . ./'..,. .., ""', A,"'~".', '.~ ;'-., '. '';t -1'~.O'; .,' , '",'.,: ;" 0, , , " ,', " _"_"._.",..~, , 'f, ¡, ,.', :" ;',,\~; . '"., "'.','.-, --..., '" I ~:' ',. . 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'': 'i . ..fr-..-..., 'So .' ;',,,::,,JI'~~i'"~~I. .,\,'¡ð ,: 1);~~'~I'iV!,"j<1f' Y" .",~. ella" Wi"'" '" '~.. ~ :;;;,;;;, '1'V" "" ,'"] '~J~",; i1i, ,n ""!\," ~'~ '!if It: '- u ,""'''''' "', 'fi" ", ""'... ,,'.. ,~, it .". "')Ool!'..) '''",P~.~¡;," """~' ",.... ';, .' '" ~"..- M.._ ,.., . "";", " ~o';,',,";;6>i" ,,' ... ....~;.",.i'8;,L " ')~ ¿,e,,, . "'.. ".q. ._.. '"", . <' '1-- w""'7'-'~~''''''. . ... ,i", "",.".;,.. 'f'''''' v.' 'J,;HI'"" .,~ _', '. ~_" ~ ,..,' , , , , ,+D",'.. , "~è, ~~;:\ ~;: ¡, ~;;i'<1 j ,',. ", ".!..,'.....~""", >""<t,, "'" '''''''''..E_''~·'_''''}'''·I' 'dß"" " ",', . ", ~" 1.1""...: :¡;,~ f' ,: ',.1.-...",:," ;f />J~ " " ã '. ',.1 .... -. .~;~(-... . .., ---,j -->: g -", '. "\ " 0' 1).'- .~ " ;1.. .' ~, " ~} P) . f", \ ")'(,);;;, ' t '_, -..-,. !': , ¡ ,1 I... , ,iijllJ,I " lj.¡~, ~I'+' I I , .. ," 'Q"'r' '_,_ . , " ~ - .... L n ,- '-,..--.. '-I.,~ ,.: l" ' ~._..-.,.- --... '~<..~ ". -"t,,: -"7.:--.... ¡, ,I .! ~ ,'" (-.~~ ~ ',-.., . (/\ C11 7' ~ . , 'I ,~ 0, , ~ ' '" .. ", , " ;'.,J) \ "t', ._ . \. .,.. :... f;', I.?-,' ,.. .. " ,,'..," . . ~,..,... sr'>i1':J:..:I, . ~' '",' ...'-~_. . ----. . , " ,,,,-:..,.--..,,¡ ~~-~ '-~---1. . . ~- ., ._--..... r I , , L._-.__-.__ ~_:.:I-. . -_" ;". 'I " ,..,. :.", () , i', I, H \: f ~J , I :s: I ,I '... ", " I I I I I I I "'I. i : , I I I ! I I I I ! , , , " '. '" J,J ),' \ï : I i I , : , , , , , , , I \, , ~~ 8 . . Albert J, Krupski. President John Holzapfel, Vice President Jim King Martin H, Gam:lI Peter Wenczel Town Hall 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 SOUrnOLD January 3-0, 1997 Leo & Geraldine Olsen 211 Sackville Road Garden City, N Y 11530 RE: SCTM 135-4-28.12 Dear Mr. & Mrs. Olsen: The fOllowing action was taken by the Southold Town Board of Trustees on January 29, 1997: RESOLVED that the Southold Town Board of Trustees grants a transfer of Permit 1328 for bulkhead, ramp and float from V. Germansky to Leo & Geraldine Olsen. If you have any questions, please do not hesitate to contact this office. Sincerely, (1tJr't~ {]ùps~' 9, President, Board of Trustees AJK:jrnd ~ . . TOWN OF SOUTH OLD BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD, NEW YORK WETLANDS PERMIT This Wetlands Permit No, ...1¡¡¡¡,.,~...f., has been granted by the Town Trustees according to information furnished in Application No. ¡;;...¡;:,............ filed by Applicant ....Y.io.le.t..G.erman:;;k:r-.. ..................,..,.................. on .....~ß..¡:t......l5J....... 19,86..... A map of the proposed work will be kept on file in the Trustee Office under the application number given. Permit granted to do the following work ..9,~!:.~E!?...~...P.~,J2.1!;j.,t...!!-,nR,f?,F,...t.h!?...~.:r.RP..Ç!.t9.tlJ..'i!,¡;........ c;.~.~~,~,!:...~?..~~.'J,~~,!-.!:!:...~R-...~.9.:...,I?.!-:J.~h~~~...~.~.t.h..,~..,~.º.~...F,~.t.J.!X.n.r....R...f..~.J;';!..Q.~.,.............. ~~p....~R-.?..:':-...~.:.~2.9.:....~.~~.<;':!;...~~.th...1....~.P.g~~"...!:-.n...ÜLRf.9.RX.Ç!i'J.,nç;!LW.:j.,th.....:t.b~.u:. application Location of property on which work to be done ...~~;j..Q..H.Ç!.·..,...gx,~!'!,Qp.g.:r.j:;........'............................, ................................................................................................................................................................. ................................................................................................................................................................. Creek, Bay or Harbor fronting property ..,.....f.!?.F.~.Þ.R!!\..Ç!:-.nRJ............~.............................................. ................................................................................................................................................................. Size of work: Length ..., ..... .?!!-1!s))..~i'J.§., Jì.9..',.<.. .¡;!~. t!+x.n.. .iQ.~ .,. ..X'.<lI\IP. ..l.Q.·.., ....t1.Q.o.t, ..3.0, ~......... Wi d th .. .......,F, i'J.1J1.P...,¡!,.'...,.. hJ.9.ª.t....~.~...... .." ...,............... ....... ...........,...........,................ Height Above High Water ........................................................................................-... Depth Below Låw Water .,.............".....,..........................,........,......................,...,.........., Yards to be Excavated .............,............,..........,.....,......................,..,..,...........,................ Yards to be Filled ......................................................................................................... Manner in which material is to be removed or deposited ,...................................................;.................... ................................................................................................................................................................. Intended use of property ..............,......,.......................................................................,...............,........... ................................................................................................................................................................. Co nd i ti 0 ns if an y "............,........",..".,.,..,....,.".,....,....'.'. ,...,..................,......... .............. ..............,.... ...,... ................................................................................................................................................................. Ex p irati 0 n Date """....,.....,.,....,................,..,.".,.,............",...."...,..,.,.......,.,......."...................,.."......... Number of Inspections Required ......,.....,........,......."...........................,.................................................. Inspect ion Fees ....,.....,.,....,..,.,.."..,.,...,.".."""....,.,..,.,',.,.,"',.,.,.,.. ....',......,... ,...,....".,.".,...,..,.,.,....,.,.." Liability Policies in the Amount of ................................................,..........,............................................. The validity of this permit is or may be subject to the approval of other governmental or municipal authorities, The Town accepts no responsibility in applying for or obtaining such approval. In the event that such approval is necessary, the holder of this permit shall not commence operations here-under until such approval has been obtained in writing, The failure to obtain such other approval when required shall subject this permit to immediate revocation by the Trustees upon receipt by the T rus tees' of written notice from such other governmental or municipal authorities of its refusal or disapproval. The appli"ant does by the acceptance of this permit, assume all responsibility for operations under, taken pursuant to this permit, and shall take all precautions for the prevention of injuries to persons and property resulting from such operations. By such acceptance, the applicant also agrees to indemni· fy and save harmless the Town, and its officers, agents and employees from any and all claims arising from operations under this permit and any and all acts or omissions of applicant, his agent and employees. The applicant and the owner and occupants of the premises upon which the operations authorized by this permit are being conducted, do, by the acceptance of this permit, give consent to the Town, and its officers and employees to enter upon the premises where such operations are being conducted to make such inspections as the Town may deem necessary to insure that such operations are being con- ducted in conformity with this permit. This operation will not substantially: A, Adversely affect the wetlands of the town. B. Cause damage from erosion, turbidity or siltation, C. Cause saltwater intrusion into the fresh water resources of the town, D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife and vege' tation or the natural habitat thereof. E. Increase the danger of flood and storm,tide damage. F, Adversely affect navigation on tidal waters or the tidal flow of the tidal waters of the town. G. Change the course of any channel or the natural movement or flow of any waters. H, Weaken or undermine the lateral support of other lands in the vicinity. I. Otherwise adversely affect the health, safety and general welfare of the people of the town, ../k //~ ' Si gned ¡.Y!;;(/;;:-:r...¿;........""2?:..,...@;;.."............... /', President Board of Southold Town Trustees >" Date....... .,'1..-:....?. {. :.. f.f. ou ou. ou.. ................." ....... . ~ . ....."!s.',- - ."- Name of Creek: 1-~~ (1~ ,'--_,I,\1,~ - i \ \.Jv/, ') \ I ,\ C...--Y' '. ,\_Y ~ 7 r- - 7i (þQ/(AÁµ.-J..A.ÁP /'~' /C-1----'~j 1-/ tØæ¡jup~ ttPß? ~. <i, , . ~ í'J.>{'<--V: / ß eech _L C c d, Æ'L, '- Q CAJ/?t? .l')c~-, IL ./ ;. '- ~: " TELEPHONE (516) 765-1892 BOARD OF TOWN TRLSTEES TOWN OF SOUTHOLD Town Halt, 53095 Main Road P,O, Box 728 Southold, New York 11971 GRANDFATHER APPLICATION 4. Year of Construction: I, jr)¿ t:;7 Ç'~AA/?)n/ B ~¿~ / ''c-±q~;;:;;ð ~ -{(J-ry '57 t " ;;7..3"1 ~ ( L( (pc.;- /P?~ l. 2. Name of Applicant: Address of Applicant: 3. Telephone Number: 5. Sketch of the work including sizes: /A.u2~:'1. µ '." ~ c{ 7 1- tJ f?11 . .. ~., . '2 '( Iv 6. Mark off using an fÒ map attached, where your property is located Signature: V/~$ (( ,,~.{~Æ-:!:J- Please note that there is a $5.00 filing fee h' h ' C/ fee, for this application. ' w 1C 1S a one time Mooring Applications- $5.00 Application Fee and a $5.00 annual renewal fee each year. VC ÚU) . . +1 NORD (1000-35) +-<8.+ R. 0 AD R.OUTE 2S 5'1 5"3 5'-+ 5-5.3 S--5".1 ~ CRON (j) CRON (j) 5=-40.' COSTEllO 5-5.2 CRON ++ ðtSK ...·25 +-5' COFFIN +'. Mc.BURNEY 4-Z+ SILVERI z (J) 5"-5.+ SCHROEDER. 8-1.3 5-19 FITCH 5-9 5-8 5-7 5-6 ALBERr- 5AMMA/? SON fiNO SHERRIN RIIROEOE WIGGINS LAN é ~ Þ 8-1.4 Bull Pond }';acht Oub ~ 4-28 :3 -4-2-0 DEEGAN 4-19 ~ RAiMES 4-10 WALL! N 5-11 $-22- STABILE SUEJRO " 5-IZ '" 5fA8fLE uJ ~ .. 5' " > STASII-E - It 5"-20 0 COLLINS r S-25 I" JEZO !j-2.6 GUARLELlO S-l7 8-1.7 r 4--11 WlfDERSUM a-l.1 ,MARTOFIUS f-12 VAN HYNING RAMO 8-.3.+ 0, 5CHOEN51CIN 4--13 4-(5" 5-36 KOCH 6-t 6-9 CURTIS COYNE. GUHL ". 4-14- PASSUDETTI 5-37 M.AR1Nf.. PLACE. 6-1/ 6-ll 6-13 ð-3.£ VI '" KESSLER 4-(7 AEXl=L 6-10 BRAIDER § o fà¡ MAN- ROsso· SELU6A FITCH DARO V(CH QUiNTON I!) :> ,,36 Z If) 6-17 6-16 6-/5" ZERVOS DUGAN ZEIGLEK RODDEN 6-lf 8-3.3 F, SCHOENSTEIN S--39 ospp.E.Ý 6-¡8 GE/OEMAN N ~5\ p.O· 6- 36 6·37 6-3Q MAN, GtCE. WINICX NfRS e,-2.3.3 MARCUS ':'-23 Þ;J s (j) I - GEYER 2. - ROSENTHAL 3 - ¡:/NOCCHfARO 4 - 15R.AEL 5 - GE.IOE.MAN 6 - GRMJDINETT 7 - VANDERNOTH e. - SHAPIRO 9 - STOTZKY 10 - WINICKI ,/ - GUCE.R.. 12 - MANNERS 13.2. AEXE.L 13.4 O. SCI-IOE.NSTEIN /'.6 F.SCHOENSTEJN 1.3.5 STABILE GíiÐ.1r<lÌlli1m<21r"~ IBá!lV I . . ~'. ,,: ~,..;:f..U 100 50 0 1..0..1......1 100 200 300 400 500 . SCALE. IN FEET . . -... BOARD OF TOWN TRLSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P,O, Box 728 Southold, New York 11971 TELEPHONE (516) 765,1892 ".~ , .' CREEK STRUCTURES INVENTORY Current Owner's Name: Vi oLe t Address: I (,' ~ '^' .. : I. '. . I O¿'¡rrlQ/I ';ix'\ f / (,U()(/ IJt , ~I¡j; Index No.~ /'r ' f , (, :' ( f ," t (' " "Î J - Creek: (_,{,CVI r J(¡,>,:) Purchase Date: Telephone No.: Date of Field Wo~k: , .1.. Previous Owners: Permit Applicant: Permit No.: Permit Specifications: Specifications Found: f"'.,.' ""=-- ' , L ¡ - ,,' . '"', J.- , r~, '1 Condition: Comments: · ~f @) TELEPHONE (516) 765'1892 HENRY p, SMITH, President JOHN M, BREDEMEYER, Vice,Pres, PHILLIP J, GOUBEAUD ALBERT KRUPSKI, JR, ELLEN M, LARSEN NAME OF CREEK: BOARD OF TOWN TRLISTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P,O, Box 728 ~-/t L:;thO¿::~~:J 11971 GRANDFATHER APPLICATION dock 1. N=e of Applio"o'. V µj,-r ~iY-'+ Address of Applicant:.J f3-€.f¿-<..~,lv ~,~,. 4 /1.["-17 Telephone Number: õ7, - :J.'J f(- -1.!i j) t/ Year of Construction: 117 f Sketch of the work including sizes: 2. 3. 4. 5. ~ "'" 1.-þ- 6. Mark off on the map attached, where your property is located using an X. - ¿'J /[) Signature: 7~1;t-1C. /.,.1L~,(.œcJ¿..L4!f