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HomeMy WebLinkAboutBergen, Evert S js TOWN OF'`SOUTHOLD TOWN CLERK',S OFFICE , { SOUTHOLD, N.Y. WETLANDS PERMIT �I This Wetland Permit #7 has been granted by the Southold Town Board according to information furnished in Application #14 filed by applicant Mr. Evert S. Bergen on February 26 , 1974. ,iA map of the proposed work will be 'kept on file in the Town [Clerk' s Office under the application number given. ; Permit granted to do the following work: construct a raised �1wood walkway over wetland to permit access from home to water and dock. Location of property on which work to be done : 1630 Beebe Drive , , Cutchogue, New York. Creek, Bay or Harbor fronting property: East Creek ; ( Size of work: Length - 150 feet i Width - 4 feet I Height Above Meadow - 3 feet Yards to be Excavated — None Intended use of pr'operty - Residential i �IThe validity ofthis permit is or may be subject to the approval Iof other governmental. or municipal authorities. The Town accepts , ! no responsibility in applying for or obtaining such' approval. In .<<C° the ;event' that such approval is necessary, ,the -holder of this ! permit ' shall not commence operations hereunder until such approval ) r' has been obtained in writing. The failure to 'obtain such other . `9 ,. .t4 + ., 1.r'G�s,,t ACS .>'i ,w v r. !,'. t,d ,`a..m. ., Y .- ', :z a"^ Yak Q d•U' 4' _—._'r-" _ Page 2 - 'Wetland Permit #T' . :-',;Evert �S, Bergen , { approval, when required shall subject this permit to immediate revocation by the Town Clerk upon receipt by the Town Clerk of i written notice from such other governmental or- municipal authorities of its refusal ,or disapproval. The applicant does by the acceptance of this permit; assume all responsibility for operations undertaken pursuant to this permit, j �f 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 indemnify and save 1 f{ harmless the Town, and its officers, agents and employees from i any and all acts or omissions ' of applicant, his agent and employees. The applicant and the owner and occupants of the premises upon i which the operations authorized by this permit are being conducted', jdo,, 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 k being conducted in conformity with this permit. 4 Signed / c -- Town Clerk, Tow of Southold `Y, jr; S E A L U y, ; Date May 23 , 1974 + i s'1" f,^4, ,e .''r'�'" '��•Y•��� ,..-.,.tiiSs' ... 4 r.4.r. _ _ , 14;i. �7' m� i r t,.. b I a• 'r�:. ° -i> W'�'I' 4•:- 'h - •a11 11 • Public Hearing held April 23, 1974- Present 974Present were Supervisor -Albert Martocchia, Justice �Martin Suter, Justice Louis Demarest, Councilman James Homan, Councilman James Rich ,and Justice Francis Doyen. Councilman Rich read the notice of hearing. NOTICE IS HEREBY GIVEN that hearings will be held by the Town ' Board of the Town of Southold at the Supervisor ' s Office, 16 'South Street, Greenport, New York, on the 23rd day of -April', 1974, in the matter of the following application. 3: 30 p.m. , upon application of Evert S. Bergen for a permit under the provisions of the Wetlands Ordinance of the Town of Southold for the purpose of constructing a wood walkway to the waters edge (Eugene -Creek) across meadow, at 1630 Beebe Drive, Cutchogue, New York. All persons interested in said matters shall appear at the time and place above specified and will be given an .opportunity to be heard. Dated: April 9, 1974. BY ORDER OF THE SOUTHOLD TOWN BOARD ALBERT W. RICHMOND TOWN CLERK Proof of publication was presented from the Long Island Traveler Mattituck Watchman and the Suffolk Weekly Times . The following letter under date of March 5, 1974 was received from the Board of Town Trustees, Town of Southold, ,New York. Dear Supervisor Martocchia: The Board of Southold Town Trustees recommends the approval of Wetland Application No. 14 by Evert S. Bergen, for permission to build •an open dock across the meadow at his property on Beebe Drive, Cutchogue. - This type of open construction has been urged by the Town Trustees in the past, prior to the passage of the Wetland Ordinance. It allows for the rise and fall of tide and will in no way interfere with the ecology of the area. /s/Alvah B. . Goldsmith, Chairman Board of Southold Town ,Trustees Public Hearing - Bergen -2- April 23, 1974 The following comments were received from the Southold Town Conservation Advisory Council under signature of Frank A. Kujawski, Jr. dated March 17, 1974. "Construction should be minimal - following precedent of construction by neighbors such as Reunis . " Proof of posting by the Southold Town Clerk was also presented. Mr. Martocchia: You have heard the legal notice, proof of posting by the Town Clerk, proof of publication by two newspapers, the letter from the Southold Town Board of Trustees and comments of the Southold Town Conservation Advisory Council. Is there anyone who would like to speak in favor of granting this application? Lorraine Terry: I support the application on behalf of the North Fork Environmental Council. Mr. Martocchia: Is there anyone who would like to speak in opposition to this application? Is there anyone who would like to make any comments? There being none, I hereby declare the hearing closed and the Board will make a decision in the near future. Respectfully submitted, Muriel Brush, Secretary Public Hearing held April 23, 1974 Present were Supervisor Albert Martocchia, Justice Martin Suter, Justice Louis Demarest, Councilman James Homan, Councilman James Rich and Justice Francis Doyen. Councilman Rich read the notice of hearing. NOTICE IS HEREBY GIVEN that hearings will be held by the Town Board of the Town of Southold at the Supervisor ' s Office, 16 South Street, Greenport, New York, on the 23rd day of April, 1974, in the matter of the following application. 3: 30 p.m. , upon application of Evert S. Bergen for a permit under the provisions of the Wetlands Ordinance of the Town of Southold for the purpose of constructing a wood walkway to the waters edge (Eugene Creek) across meadow, at 1630 Beebe Drive, Cutchogue, New York. All persons interested in said matters shall appear at the time and place above specified and will be given an opportunity to be heard. Dated: April 9, 1974. BY ORDER OF THE SOUTHOLD TOWN BOARD ALBERT W. RICHMOND TOWN CLERK Proof of publication was presented from the Long Island Traveler Mattituck Watchman and the Suffolk Weekly Times . The following letter under date of March 5, 1974 was received from the Board of Town Trustees, Town of Southold, New York. Dear Supervisor Martocchia: The Board of Southold Town Trustees recommends the approval of Wetland Application No. 14 by Evert S. Bergen, for permission to build an open .dock across the meadow at his property on Beebe Drive, Cutchogue. This type of open construction has been urged by the Town Trustees in the past, prior to the passage of the Wetland Ordinance. It allows for the rise and fall of tide and will in no way interfere with the ecology of the area. /s/ Alvah B. Goldsmith, Chairman Board of Southold Town Trustees Kt . Public Hearing - Bergen -2- April 23, 1974 The following comments were received from the Southold Town Conservation Advisory Council under signature of Frank A. Kujawski, Jr. dated March 17, 1974. "Construction should be minimal - following precedent of construction by neighbors such as Reunis." Proof of posting by the Southold Town Clerk was also presented. Mr. Martocchia: You have heard the legal notice, proof of posting by the Town Clerk, proof of publication by two newspapers, the letter from the Southold Town Board of Trustees and comments of the Southold Town Conservation Advisory Council. Is there anyone who would like to speak in favor of granting this application? Lorraine Terry: I support the application on behalf of the North Fork Environmental Council. Mr. Martocchia: Is there anyone who would like to speak in opposition to this application? Is there anyone who would like to make any comments? There being none, I hereby declare the hearing closed and the Board will make a decision in the near future. Respectfully submitted, Muriel Brush, Secretary NOTICE OF HEARING NOTICE IS HEREBY GIVEN that hearings Tow will be held:by the COUNTY OF SUFFOLK, Town Board Iof the' n. of � Southold at the Supervisor's i STATE OF NEW YORK, ss:� Office, 16 South Street, Green-! port, New York, on the 23rd day: Stuart C. Dormanbeing duly Sworn. of April,1974,in the matter of the . . . • • . . • . • • following applications: ` says that is Printer and Publisher sof the SUFFOLK 3:30 P.M., upon application of), Evert S. Bergen for a permit i WEEKLY TIMES, a newspaper published at Greenport, in said 'under the provisions of the! Wetlands O=rdinance of,the Town county; and that the notice, of which the annexed is a printed of Southold for the purpose of, constructing a wood-walkway to' copy, has been published in the said Suffolk Weekly Times the waters edge.(Eugene Creek)i one across meadow, at 1630 Beebe j once in each week, for . . . . . . . . . . . . . . . . . . . . . . . . . . . weeks Drive, Cutchogue, New York. 11 4:00 P.M., upon application of i successively commencing on the . . . . . . . . . . . . . . . . . . . . . Keith Harris for a permit under I ° the provisions of the Wetlands day of . . . A!!! �- � Ordinance of the Town ofSouthold for the purpose of filling • • • • • • • • . . • • • . . . . . . . . . . . . . . . . in a portion of the rear yard area' . . 11th Sworn to before me this at 265 Freeman.Road,Mattituck,i New York.` day of . . APril 4 All persons',interested-in said ! matters shall appear at the time ! and place above specified and flSEPH LAWRENCE TOWNSEN4. . . will be given an opportunity to be,I Nb7AnY (SIJ�LIC OF NEW YORK .. . . . . . . . . heard:-, Residing in Suffolk County 'DATED:'Ap'riI 9;.1974. " ,' ' g BYORDEROFTHE Clks. No. 52.9366350 •�/ SOUTHOLD TOWN BOARD 'I My Commission Expires March 30, 19 1(� ALBERT W.RICHMOND j TOWN CLERK • '3 �Y� F� t� �.= =� a' i -- t ,`xa f}w� y _ F �t a ,` T NOTICE OF HEARING i NOTICE IS HEREBY GIVEN! COUNTY OF SUFFOLK, that hearings will be-hel'd;by'the STATE OF NEW YORK, � SS Town Board of- the Town-of' Southold at the- Supervisor'sI Office, 16 South Street, Green- . . . . . Stuart. •C.. Dorman being duly Sworn. port,New York, on the 23rd day' ' ' • . . • of April,1974,-in the matter of the' says that . . . . . . . is Printer and Publisher of the SUFFOLK tfollowing applications: 3:30 P.M:, upon application of i WEEKLY TIMES, a newspaper published at Greenport, in said Evert S. Bergen for a permit' under the provisions of •the� county; and that the notice, of which the annexed is a printed Wetlands Ordinance of the Town; of Southold for the purpose of copy. has been published in the said Suffolk Weekly Times constructing a wood walkway to one 1, the waters edge (Eugene Creek) I once in each week, for . . . . . . . . . . . . . . . . . . . . . weeks across meadow, at 1630 Beebe; 11 th Drive, Cutchogue, New York. I successively commencing on the . . . . . . . . . . . . . . . . . . . . . . . . . . 4:00 P.M., upon,application of Keith Harris for a permit under day of . . . 197�I . the provisions of the Wetlands` Ordinanceof the Town of • • • • • • • • • • • -• • • • - • • • • • • • • • • • • • • • • • • • • • • • • . . Southold-for the purpose of filling' Sworn to before me this 11th. . . . ; in a portion of the rear yard area'1 • •• • • ' at 265 Freeman Road,=Mattituck,! day of . . A•O• i . . . . . . New York. All persons interested•in said!, . . . . . . . • . • • • • • . • . • • . matters shall appear at the time . . and place above specified and'I • • . •JXEPH-LAW • ' ' ' ' • ' ' . • . ' • ' will be given-an opportunity to be I NOTARY PUBLIC OF NEW YORK heard. Res,;ing In Suffolk County DATED: April 9, 1974. Clks. No 52-9366350 BY ORDER OF THE My Comm'ssIon Expires March 30, 19 SOUTHOLD TOWN BOARD ALBERT W.RICHMOND TOWN CLERK COUNTY OF SUFFOLK STATE OF NEW YORK } ss: NOTICE OF HEARING C. Whitney Booth, Jr., being duly sworn, says NOTICE IS HEREBY GIVEN that that he is the Editor, of THE LONG ISLAND {hearings will be held by the Town i Board of the Town of Southold at TRAVELER - MATTITUCK WATCHMAN, a public news- the Supervisor's office, 16 South a tinted at Southold in Suffolk County Street, Greenport, New York, on per p p ; and that the 23rd day of April, 1974,in the _ the notice of which the.annexed is a printed copy, has been i matter of the following applica tions: published in said Long Island Traveler-Mattituck Watch- 3:30 PM, upon application of �.��: � � Evert S. Bergen for a permit man once each week for ........ weel�s/ under the provisions of the Wet- / lands Ordinance of the Town of successively, commencing on the ................ ,,,,,,,,,•, 1 Southold for,the purpose of con- ,• t�ff structing a wood walkway to'the day of .......6?:, • ../.. ` watdrs edge (Eugene Creek) j ••' across meadow, at 1630 Beebe `4 " Drive, Cutchogue, New York. 4:00 PM, upon-application of' .............. .................. ................. ........................... I Keith Harris for a permit under Z the 'provisions`of the Wetlands Ordinance of the Town of South- old for the purpose of filling in a, i V portion of the rear yard area at 265 Freeman. Road, Mattituck, Sworn to before me this ....... ...s....... day of New-York. Vii .- All persons interested ip said ..... ...... 19.. ..!X matters,shall appear at,the-gime`, , and place above specified and will I be given an opportunity to;`be ,F" heard. ° DATED: April 9, 1974. , _ { .•��:�.�:��.... BY ORDER OF THE Notary Public N SOUTHOLD TOW .BOARD , ALBERT W.RICHMOND r TOWN CLERK ( 1T,4/11/74 ADELE PAYNE Notary Public, State of New YotR Residing in Suffolk County w� . No 52-3041000 Commission Expires March 30, 197 COUNTY OF SUFFOLK STATE OF NEW YORK ss: NOTICE OF HEARING NOTICE IS HEREBY GIVEN that C. Whitney Booth, Jr., being duly sworn, says i hearings will be held by the Town ' .Board of the.Town of Southold at that he is the Editor, of THE LONG ISLAND the Supervisor's Office, 16 South I TRAVELER - MATTITUCK WATCHMAN, a public news- -et, Greenport, New York, on the 23rd day of April, 1974,in the paper printed at Southold, in Suffolk County; and that matter of the following app the notice of which the annexed is a printed copy, has been tions: 3:30 PM, upon application of published in said Long Island Trove ler-Mattituck Watch- Evert S. Bergen for a permit i under toe provisions of the Wet-' man once each week for ., ! , ....... ....... weeks lands Ordinance.of the Town of , Southold for the, ur ose of con- strutting a wood walkway to the successively, commencing on the ................. . ................. �- waters edge .(Eugene Creek) across meadow,'at 1630 Beebe day of ,,,,,,� ,,,,,,,,,, 19. IDrive,'Cutchogue, New York. 4:00 PM, upon application of I Keith Harris for a permit under, I , Wetlands .... ....... the provisions of the """"""""""""""'•'•"• Ordinance of the Town,'of South- old for the purpose of filling in a portion,of the rear yard, area at 1 265 Freeman Road, Mattituck, ` New York. ' said Sworn to before me this All persons interested io ••••••••y•• •••.••• day of ' ' matters shall appear,at the,time y and place above specified and will - ' ......., 19/2 ! be given an opportunity to be I heard. DATED: April 9, 1974. , BY ORDER OF THE " SOUTHOLD TOWN BOARD ,.,,,,,,, �,,,• i ALBERT W.'RICHMOND Noty Pub11c TOWN CLERK 1T;4/11/74 1 ADELE PAYNE Notary Public, State of N,,l YoPR Resid;n; ,f Surfolk County No 0 Commission CxP resMa ch 30, 193, ♦ i�n ♦ li I I - II EI . IE , E ' STATE OF NEW YORK: ` SS . I I COUNTY OF SUFFOLK: �l ALBERT W. RICHMOND, of Southold, �Town of iiSouthold, New York, being duly sworn, says that he is over the age of twenty-one years ; that on the 15th day of April i 19 74 , he affixed a notice of which the annexed printed notice is a true copy, in a proper and substantial manner, in a most �I public place in the Town of Southold, Suffolk County, New I York, to wit :- Legal Notice - Hearing On Evert S. ; Bergen ' Wetland Application & Keith Harris Wetland Zpplication - 3 :30 P.M. & 4 :00 P.M. , Tuesday, it April 23 , 1974. Town Clerk Bulletin Board, Town Clerk Office Main Road, Southold, L. I, ,N.Y. �t - �� Sworn to before me this �i Albert W. Rich ond, Town Clerk 1i 15th day of April t, 1974 Notary Public d� ! JUDITH T. BOKEN Notary Public, State of New York No,52-0344963 Suffolk Count C_@m fission Expires March 30, 19 I , I LEGAL NOTICE NOTICE OF HEARING NOTICE IS HEREBY GIVEN that hearings will be held by the Town Board of the Town of Southold at the Supervisor' s Office, 16 South Street, Greenport, New York, on the 23rd day of April, 1974, in the matter of the following applications : 3 :30 P.M. , upon application of Evert S. Bergen for a permit under the provisions of the Wetlands Ordinance of the Town of Southold for the purpose of constructing a wood walkway to the waters edge (Eugene Creek) across meadow, at 1630 Beebe Drive, Cutchogue, New York. 4 :00 P.M. , upon application of Keith Harris for a permit under the provisions of the Wetlands Ordinance of the Town of Southold for the purpose of filling in a portion of the rear yard area at 265 Freeman Road, Mattituck, New York. All persons interested in said matters shall appear at the time and place above specified and will be given an opportunity to be heard. DATED: April 9, 1974. BY ORDER OF THE SOUTHOLD TOWN BOARD ALBERT W. RICHMOND TOWN CLERK PLEASE PUBLISH ONCE, APRIL 11, 1974, AND FORWARD FOIR (4) AFFIDAVITS OF PUBLICATION TO ALBERT W. RICHMOND, TOWN CLERK, TOWN OF SOUTHOLD, MAIN ROAD, SOUTHOLD, NEW YORK. Copies to: The Suffolk Times Long Island Traveler-Mattituck Watchman LEGAL NOTICE Ii �s NOTICE OF' ,HEARING, f ; NOTICE IS HEREBY GIVEN that hearings will be held by the Town I !j Board of the Town of Southold at the Supervisor' s Office, 16 jSouth Street„ Greenport, New York, on the 23rd day of April, 1974, ? in the matter of the following applications : 4 . 3 :30 P.M. , upon application of Evert S. Bergen for a permit I �E under the provisions of the Wetlands Ordinance of the Town of 1! Southold for the purpose of constructing a' wood walkway to the �! waters edge (Eugene Creek) across meadow, at 1630 Beebe Drive, , ii F !, Cutchogue , New York. „ s 4 :00 P.M. , upon application of Keith Harris for a permit under the provisions of the Wetlands Ordinance of the Town of jZ y; Southold for the purpose of filling in' a portion of the rear {:,, yard area at 265 ,Freeman Road, Mattituck, New York.' I! A11 persons interested in said matters shall appear at the �+ time and place above specified and will be given a� opportunity 1 to be ,heard. {� DATED: April 9, '1974. BY ORDER• OF THE I SOUTHOLD TOWN BOARD 1 ALBERT W RICHMOND TOWN CLERK ' , PLEASE PUBLISH ONCE, APRIL ll, . 1974, AND FORWARD, FOIR (4) 1 AFFIDAVITS OF PUBLICATION TO ALBERT W. RICHMOND TOWN CLERK, TOWN OF SOUTHOLD, MAIN ROAD, SOUTHOLD, NEW YORK. f1 Copies to: The Suffolk Times f! • -Mattituck Watchman Long Island Traveler ; OFF ; 713 ERK T f�5U1 5t7�C TP D ALBERT W. RICHMOND 3 r, roG TE LEPH0N'c TOWN CLERK •,, 61?, ' " 765-3783 REGISTRAR OF VITAL STATISTICS SOUTHOLD, L. 1 , N. Y. 11971 February 26, 1974 Supervisor Albert M. • Martocchia 16 South Street - Greenport, New York 11944 Dear Supervisor Martocchia : t Transmitted herewith is application No. 14 fora wetland permit submitted by Evert S. Bergen. Copies of this application have been forwarded to the Board of Southold ' Town Trustees and the Southold Town Conservation Advisory Council for their report of findings and recommendations . Very truly yours, ' Albert W. Richmond ' Town Clerk Irv'x`sF:;='N,': n»9r,arc'":., „G';moi.',. 4w r.;:.rt:•rfy"':$`f",""1'` .,. `,r" n.,. TrSr?' ,7 y7 - t _..I, ,.,J %?;?;vki;�` 7,a- r for ,�. OFFI I, 'f � ' : RK IT 0 ALBERT W. RICHMOND " �`� TELEPHONE TOWN CLERK '"�j�N` �s� , 765-3783 r REGISTRAR OF VITAL STATISTICS SOUTHOLD, L. 1 , N. Y. 11971 February, 26, ' 1974 Mr. Alvah B. Goldsmith, Chairman Board of Southold ' Town Trustees Southold, New York ,11971 Dear Mr. Goldsmith : Transmitted herewith is application no. 14 for a wetland permit submitted by Evert S. ' Bergen. Please prepare a written report of findings and recommendations with respect to this application and submit said report to the Southold Town Board „ within 20 days of receipt of this letter . Very truly' yours, - Albert W. Richmond Town Clerk „ . r , .. 'iv;.,.l _ . . � r !' . . -'•'. .,r.,lF 1•�;�•{ .. ... ws.°� R {!.-. `_1,;'�^,' ., , „ - .,'ua',.'4°I f,{ ,V a. ('{',''. ;�'; . �:i :fir:� -. "' ,4. 01 ', I I _iAl I, `• I „ ' .M{ 'r. .~-�f L'! M n , { ' , , i ; , , 'f r + , , Z. O F FI -I;IQ • _ Is�E R K TO TELEPHONE '.' ALBERT W. RICHMOND E N C� „� „ c c ��� „ �• , TOWN CLERK765-3783 '{qy•3 REGISTRAR OF VITAL STATISTICS I» I SOUTHOLD, L. 1 , N. Y. 1197,1 February , 26, 1974 Mr ' Frank Kujawsk•i, Jr. , Chairman Southold Town Conservation Advisory Council Mattituck, New York' 11952 , Dear Mr. Kujawski. Transmitted herewith is application no. 14 for a wetland permit submitted by Evert -S. Bergen. i' Please prepare ,a written report of findings- and recommendations with respect to this application and submit said report to the Southold Town Board' • , within ,20 days of receipt of this letter. Very 'truly yours , ' ' Albert W. Richmond +` ` Town Clerk v ,!• „ ('I,':" 'd, 1,- i �',r 1 , ,, ''i 'I. ^ 'I "til,� I., , ,,, , TV,� '.rr+ ,I• I___K_ „I_ ' 'r•a3.x.raw•_ - '1'; wt'^•,`r- - ',1 ',T ) 5u '{r,ry w^ifS d: iai,..r,. .w i,,.� 6 , h,3&}i .�,., ..r.+;S�'.'J.�k:.k`*,Ya•i,v ,i�.° »�.iiiiir.l,..¢',,3 ucc'f I�'r,�, ,l",'..li'1�I.Cr.,,".,",1- .,,. ,, .,, _ sl, ., •g k"„r,;t••s .. T�,I.,:.,t.�',,I','.Le,•, :L ,I,i, ,,. ,, BOARD OF TOWN TRUSTEES TOW1l1 OF SOUTHOLD SUFFOLK COUNT Y Telephone 516 765-3783 Southold, L: I.,�,N. Y'. 11971 March 5, 1974 Supervisor Albert M. Martocchia Southold Town Board 16 South Street Greenport, New York 11944 Dear Supervisor Martocchia : • The Board of Southold Town Trustees recommends the approval of Wetland Application No. 14 by Evert S. Bergen, for permission to build an open dock across Y the , meadow at his property on Beebe Drive, Cutchogue. This type of open construction has been urged by the Town Trustees in the past, prior to the passage of the Wetland Ordinance. It allows for the rise and fall of. tide ,and will - in no way interfere with the ecology of the area., Very truly yours, Alvah B. Goldsmith, Chairman Board of Southold Town, Trustees I } lo 1 A A-1 o VA � r � � G Af I v c= v d 170o i I I aQ W/LL l3"5- Town Of Southold Town Clerk's Office Southold, N. Y. APPLICATION FOR WETLANDS PERMIT Application No. ...l.. ....................... Date of Application ........................�� ?........ Identity of Applicant EVERT S. BERGEN ................................................ .y. ........................................................................ Address of Applicant 16.3.0 BEEBE DRIVE P. O. BOX 278 ................................................................................................ CUTCHGGUE, L.I. , N. Y. 11935 INSTRUCTIONS FOR PERMIT A. This application is to be completely filled in by typewriter or ink and submitted to the Town Clerk in quadruplicate, accompanied by writter permission from the owner of the property if not the some as the applicant. B. Pilot Plan must be drawn to scale on the reverse side of this application showing the location of property, the names and locations of owners of adjoining properties, and a detailed description of proposed project. (Note: Copies of the Pilot Plan,may be made by a copy machine and attached to the Permit Application:) C. No operation shall be initiated by the applicant until all permits that are required are issued. D. A detailed statement of the rehabilitation and proposed condition of the premises after the work is completed must be given, including a survey if required. E. If permit is being sought for a more sizeable excavation than the construction of a private single dock or jetty, then this application must be accompanied by a survey and topographical map certified by a registered land survey or Professional Engineer. The horizontal control of survey shall be based upon an approval local coordinate system. The vertical control for elevation and sound- ings shall be based upon United States Coast and Geodetic Survey and/or United States Geological Survey datum. F. A statement must accompany the application describing any known prior operations conducted on the premises in question and whether any prior licenses or permits have been issued to erect structures or to dredge or deposit fill on said premises and whether any such permits or licenses were ever revoked or suspended by a governmental agency. G. A filing fee of $25.00 shall accompany the application. This filing fee includes one inspection, there is a $5.00 fee for each additional inspection. H. The Town Board upon request of the applicant for a permit, may waive in whole or in part, the provisions of Article II, Section 210, subdivisions (d) and (g) where it finds that nature of the proposed operations are such that -the requirements of such provisions are not necessary for a proper consideration of a permit application. I. Upon approval of this application the Town Clerk will issue a permit to the applicant. Such permit shall be available for inspection at any time, upon request. Examined ....... .................... 19 ... Approved ......!:.............................. Disapproved ........................................................... Conditions, if any .. ..../.....�. -� .. ` • ...... ............ ..... . ..... `:�........ ................................ ............. :...... P..................................... ..................................... ...................................................... Examining Body .fi::... ...........,... .. .. 0 ............................................. Signatureof Chairman �� :. .,.... ....... ....:......................................................... APPLICATION IS HEREBY MADE to the Town Board of the Town of Southold, Suffolk County, New York, for the issuance of a permit pursuant to the Laws, Ordinances and Regulations govern- ing the Coastal and Interior Wetlands, Flood Plains and Drainage Areas of the Town of Southold: Permit requested to ....CONSTRUCT A RAISED WOOD IVALKWAY OVER WETLAND TO PERMIT ..............................................................................................I.................. ACCESS FROM HOME TO WATER AND DOCK. ................................................................................................................................................................. Location of property for which permit wanted......1 E.3O,.BEEBE. DRIVE CUTCHOGUE N.Y. ..........%.......................�................. .................................................................................................................................................................. Home address of permit applicant if different from aforesaid location .............................................. .................................................................................................................................................................. Creek, Bay or Harbor fronting property ...........EAST E ............CRE....... K................................................................... .................................................................................................................................................................. Size of proposed work: Length ..................5....0...FEET............................................................................................................................ Width4 FEET ..................................................................................................................................................... 2 FEET HeightAbove High Water ..................................................................................................................... Depth Below Low Water ..........�..FEET ...................................................................................................... Yards to be Excavated ............1.70.E ............................................................................................................... Yards to be Filled THERE WILL BE NO FILL USED IN THIS PROJECT ................................................................................................................................... Width of canal, creek or bay fronting property......... ......FEET ................................................................. Depth at Low Tide .........7.1z...FEET AverageRise in Tide .....3.. FEET.......................................................................................................... Is this for private or business use? .....FnIVATE ........................................................................................:.... AreaZoning ........................................RESIDE..TIAL........................................................................... Manner in which material will be removed or deposited ..... NO... ....MATERIAL V1ILL. ..BE ................ . ................. ..... .. ..... REMOVED OR DEPOSITED. .................................................................................•................................................................................ Intended use of property .....................RESIDENTIAL................................. ......................................... .........4........................................................................................................................................................ Written consent of owner of property, if not the some as the applicant .......SAME ............................ .................................................................................................................................................................. .........4................................................................................4....................................................................... COUNTY OF SUFFOLK ) SS: STATE OF NEW YORK ) EVERT S.. BERGEN .. .. .... .................................................................................. being duly sworn deposes and says that he is the applicant for the above described permit, 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 this 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 Board harmless and free from any and all damages and claims arising under or by virtue of said permit, if granted. ,!nature',,� :f ... :.:..[:of Applicant�, . ... . ............ �l Sworn to before me this ...Y........................ Sig day of .. L 5 /�U�� ...... . Notary Public VICTOR F. WILLIAMS Notary Public, state of New York No. 30-9687608 QuaCommission Nassauified in ission ExpiresMarch 30,1974