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TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE
SOUTHOLD, NEW YORK
WETLANDS PERMIT
This Wetlands Permit No. ......1.63........ has been granted by the Southold Town Board according to
information furnished in Application No. ......197.........filed by Applicant ...Q1.V§1gr...1? 5;kQX$.9X1.....
............................... on .......April„1,3....... 19..$4.... A 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 .....!:22 ir 'and backfill of existin. bulkhead
..........................................11 e .............................
damaged by storm.
....... ............................................................................................................................................
.................................................................................................................................................................
south of Watersed a Wa Southold
Location of property on which work to be done ........................................ .........Y..�..............................
.................................................................................................................................................................
.................................................................................................................................................................
Peconic Ba '`
Creek, Bay or Harbor fronting property ............................Y..............................:`.........i................::........
� ,t
...................................................................................................................... �:..! . :F..... .:�.... �. ...
1
Size of work: Length ,100,feet, long bulkhead, replace„missing pla`�C�. ,,,,,•,,,,,,r ,,,,,, •,,,,,
....
i / \
Width ....bulkhead.. ..... ...........-...18...... .........nches......... ......... ......................... . "`..........
':� ..r...:.. 1.� .f..�
Height Above High Water 6,•feet...................................................................................
Depth Below Low Water ...2..feet
...................................................................................
Yards to be Excavated .........none
.....................................................................................
Yards to be Filled app
roximately.125,.cubic,;,yands............................................
Manner in which material is to be removed or deposited ......,trucked in'from outside source
........................................................
.................................................................................................................................................................
Intended use of property ...Resid.ential. .. ..-..Private. . ...................
. ... ... .. .. .. .................................................................. :
.................................................................................................................................................................
Conditionsif any .....................................................................................................................................
.................................................................................................................................................................
Expiration Date1985:.1F .WORK HAS NOT COMMENCED BY SAID DATE.
..........................................................................................
Number of Inspections Required ...2-..TOWN CLERK TO BE NOTIFIED WHEN PROJECT IS
.........................................................................................
COMPLETED.
InspectionFees ....$5:09........................................................................................................................
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 Town Clerk upon receipt by the
Town Clerk of 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 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.
�- Signed
,{ Town Clerk, Town of Southold/ _
S E A L
.' 0
May 22, 1984
Date.........................................................................
f*' Town Hall, 53095 Main
�.; Road
P.O. Box 728
r
Southold, New York 11971
JUDITH T.TERRY TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR 0Y VITAL ST Al ISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
June 20, 1.984
Mr. Daniel Smith
640 Mechanic Street
Southold, New York 11971
Dear Dan:
We are still holding the Wetland Permit for Chester Dickerson
which the Town Board granted on May 22nd. You may stop and pick
it up upon payment of a $5.00 inspection fee.
Very truly yours,
Judith T. Terry
Southold Town Clerk
9,1, Q
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
�Ml
JUDITH T TERRY ' TELEPHONE
TOWN CLERK `` t
(516)765-1801
REGISTRAR OF VITAL S1 ATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
May 26, :1984
To: Southold Town Building Department
From: Judith T. Terry, Town Clerk
Transmitted herewith are Wetland Permits No. 162 - John P. Kowalski, 'and
No. 163 Chester Dickerson. The Town Board requires two inspections of
each project. You may make the first inspections whenever you determine
feasible, and 1 will notify you when the projects are completed so you may
make the second inspections.
Town Hall, 53095 Main Road
Al P.O. Box 728
`g Southold, New York 11971
JUDITH T.TERRY TELEPHONE
TOWN CLERIC (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
May 26,• •1984
Mr. Daniel' Smith
640 Mechanic 'Street
Southold, New York 1,1971
Dear Dan:
The Southold Town Board approved your Wetland Application
on behalf of Chester Dickerson at their 'May 22nd meeting.
Upon receipt of $5.00 inspection fee, your permit will ' be
forwarded to you.
Very truly yours,
Judith T. Terry
Southold Town Clerk
f D ®
a
Town Hall, 53095 Main Road
P.O. Box 728
� ® Southold, New York 11971
JUDITH T.TERRY TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
NEGATIVE DECLARATION
NOTICE OF NO SIGNIFICANT EFFECT ON THE ENVIRONMENT
Dated: May 22, 1984
Pursuant to Article 8 of the Environmental Conservation Law
State Environmental Quality Review and 6NYCRR Part 617, Section
617. 10- and Chapter 44 of the Code of the Town of Southold, notice
is hereby given that the Southold Town Board, as lead agency for
the action described below, has determined that the project , which
is unlisted will not have a significant effect on the environment .
DESCRIPTION OF ACTION
Application of Chester Dickerson for a wetland permit . Permission
is requested to repair and backfill existing bulkhead damaged by storm
on property located at west side of Watersedge Way, on Peconic Bay,
Southold, New York.
The project has been determined not to have a significant effect
on the environment for the following reasons:
An environmental assessment has been submitted which indicated
that no significant adverse effect to the environment are likely to
occur should the project be implemented as planned.
Because there has been a response from the Board of Southold
Town Trustees and Southold Town Conservation Advisory Council indicating
that this project would not have a significant effect to the environment .
Because there has been no response in the allotted time from the
New York State Department of Environmental Conservation and the Southold
Town Building Department , it is assumed that there are no objections nor
comments from those agencies.
Further information can be obtained by contacting Mrs. Judith T.
Terry, Southold Town Clerk, Southold Town Hall, Main Road, Southold,
New York 11971.
Copies to: David DeRidder, DEC, Stony Brook
Commissioner Williams, DEC, Albany
Southold Town Building Department
Southold Town Trustees
Southold Town Conservation Advisory Council
Town Clerk' s Bulletin Board
Chester Dickerson
,
PUBLIC HEARING
SOUTHOLD TOWN BOARD
MAY 22, -1984
3:40 P.M.
IN THE MATTER OF WETLAND APPLICATION NO. .197 OF CHESTER DICKERSON.
Present: Supervisor Francis 'J. Murphy
Councilman Joseph L. Townsend, Jr.
Justice Raymond W. Edwards
Councilman Paul Stoutenbuegh
Town Clerk Judith T. Terry
Town Attorney Robert W. Tasker
Absent: Councilman James A. Schondebare
SUPERVISOR MURPHY: This 'is 'the hearing on the wetland application of Chester
Dickerson. The notice will 'be read by Judge Edwards.
JUSTICE EDWARDS: "Notice is hereby given that public 'hearings will' be held by
the Town Board of the Town of Southold, at the Southold Town Hall, Main' Road,
Southold, New York,. on Tuesday, May 22, 1984, on the following applications for
Permits under the provisions of the Wetland Ordinance of the Town of Southold:
3:40 P.M. - In the matter of the application ,of_Chester Dickerson for permission
to repair and backfill'existing bulkhead damaged by storm, on property located
at the west side of Watersedge Way, on Peconic 'Bay, Southold, New York. Dated:
May 8, 1984. Judith T. Terry, Southold Town Clerk."
1 have proof of publication from The Long Island Traveler-Watchman and from
The Suffolk Times and proof of posting on the Town Clerk's Bulletin by Judith
Terry, Town Clerk.
have a letter from the Conservation Advisory Council:' "Resolved to
recommend to the Southold Town Board approval of the wetland application #197'
submitted by Chester Dickerson to repair and backfill existing bulkhead. Southold."
From the Board of Trustees-by letter dated April '27, -1984: "Resolved- to
recommend to the Town Board approval of the Wetland Application #197 submitted
by Chester Dickerson to repair existing bulkhead and backfill, Peconic 'Bay,
Southold."
SUPERVISOR MURPHY: Thank you, Judge Edwards. Is there, anyone here would
like to speak in favor of this !application? (No response.) Anyone like to speak
in'opposition to? (No response.) Anyone like to make any, comments? (No
response.) If not, I'll, close this hearing.
-udith T. Terr
Y
Southold Town Clerk
LEGAL NOTICE COUNTY OF SUFFOLK ss:
OF HEARINGS STATE OF NEW YORK
i
NOTICE,IS HEREBY GIV-
EN that public hearings will be
held by the Town Board of the
Town of Sodthold, at the Patricia Wood, being duly sworn, says that she 'is the
Southold Town- Hall, , Main Editor, of THE LONG ISLAND TRAVELER-WATCHAAAN,
Road, Southold, New York, on'
Tuesday,May 22, 1984, on the a public newspaper printed at Southold, in,Suffolk County;
,following applications for Per-
mits under the-provisions of and that the notice of which the annexed is a printed copy,
i ,
`;the Wetland Ordinance of the has been published in said Long Island Traveler-Watch-
Town-of Southold: '
3:30 P.M.- In,the matter'of man once each week for ` weeks
! 'the application of Matt-A-Mar
Marina for permission to con- successively, commencing on the .............. D
..................
stiuct ramp, walkway, and
floating ,dock on' property do o ........ ............ ... .......................s 19........
located on Mattituck Creek,off _
westside Wickham Avenue; ..... ...............................................................
Mattituck, New-York:
3:32 P.M:- In the'matter of
the application of Costello
Marine Contracting Corp.,_on
behalf of Alvah; Jr.,-Bruce,
hand Allen Goldsmith, for per- D,,,,,,,,,, day of
hand
to;constructbdlkhead Sworn to before me this .................�..
•onprSpertylocated at°the.w•'est �y
aside'+of Hobart°Road, on,To*-n ............•.•. •••••••••••••••••. 19......
Creek, Southold, New York.
3:35 P.M.- In the matter of
the application. of Edward
Quintieri and Richard Pulcini
for' permission to construct
bulkhead at property located Nota Public
at the northeasterly end of
North Riley Avenue, on James l L[-X[;€W A TV.OMPSOM
Creek, Mattituck, New York. 09TAR PWM SM d ql
3:37 P.M.- In the matter of 0%RQ217S
the application of John P. Rmpg&&A-A, CNAV
1
Kowalski for permission to
enlir�l� s
construct catwalk on property
located at 930 Ole Jule Lane,
on tributary of James Creek, '
Mattituck, New Yoik.
.3:40,P.M.-'In the matter of '
the application of Chester
Dickerson for- permission to
repair and backfill, existing
bulkhead damaged by storm,
on property located at the west
side`of Watersedge Way, ons
Peconic Bay, Southold, New
York.
,persons ,,interested in
said matters shall "appear at
the' time and plaee above
specified and will,be,given an
,opportunity to`be-heard.
` DATED:'May`;8;. 1984:'
JUDITH T.TERRY
SOUTHOLD TOWN CLERK
1T-5/10/84(8)
Legal Notices bulkhead on property located said matters shall appear at
at the west side of Hobart the time and place above
LEGAL NOTICE Road, on Town Creek, specified and will be given an
NOTICE OF HEARINGS Southold,New York. opportunity to be heard. iS�
NOTICE IS HEREBY 3:35 P.M.--In the matter of DATED:May 8,1984.
GIVEN that public hearings the application of Edward JUDITH T.TERRY i
will be held by the Town Board Quintieri and Richard Pulcini SOUTHOLD
of the Town of Southold,at the- for permission to construct - TOWN CLERK
Southold Town Hall, Main bulkhead at property located lTM10-4557 of Greenport, in
Road,Southold,New York,on at the northeasterly end of
Tuesday, May 22, 1984, on the North Riley Avenue,on James said County, being duly sworn,says that he/she is
following applications for Creek,Mattituck,New York. principal Clerk of THE SUFFOLK TIMES,a Weekly
Permits under the provisions 3:37 P.M.--In the matter of
of the Wetland Ordinance of the application of John P. Newspaper, published at Greenport, in the Town
the Town of Southold: Kowalski for permission to of Southold, Count of Suffolk and State of New
3:30 P.M.--In the matter of construct catwalk on property y
the application of Matt-A-Mar — located at 930 Ole Jule Lane, York, and that the Notice of which the annexed is
Marina for permission to on tributary of James Creek,
construct ramp,walkway,and Mattituck,New York. a printed copy, has been regularly published in
floating dock on property _ 3:40 P.M.--In the matter of said Newspaper once each week for one
located on Mattituck Creek, the application of Chester 10th
off west side Wickham Dickerson for permission to weeks successively, commencing on the
Avenue,Mattituck,New York. repair and backfill existing day of May 1984
3:32 P.M.--In the matter of bulkhead damaged by storm,
the application of Costello on property located at the
Marine Contracting Corp., on west side of Watersedge Way,
behalf of Alvah;Jr., Bruce, on Peconic Bay, Southold,
and Allen Goldsmith, for New York.
0—an I-
permission to construct All persons interested in
- I Principal Clerk
�I Sworn to before me this 10th
JUDITH A CHIEN• day of May 19 8 4
iARY PUBLIC,State of New York
"o 4796131,Suffolk County
ieim Expires March 30 19� (�.,A
i'
4
I
STATE OF NEW YORK:
SS.
COUNTY OF SUFFOLK:
f
{ JUDITH T. TERRY, Town Clerk of the Town of Southold,
i
`I New York, being duly sworn, says that she is over the age of f
twenty-one years; that on the : 9th day of May 1984
i
;! she affixed a notice of which the annexed printed notice is a
of
Itrue copy, in a proper and substantial manner, in a most public j
i! place in the Town of Southold, Suffolk County, New York, to wit : -
Town Clerk Bulletin Board, Town Clerk Office, P.4ain Road, ;
Southold, New York 11971 i
t
ii Legal Notice - Notice, of Hearings - Wetland Applications
f Tuesday, May 22, .1984, Southold Town Hall
+; 3:-'30 P.M. - Matt-A-Mar Marina ;
3:32 P.M. - Costello- Marine Contracting Corp., on behalf of Alvah, Jr. ,
Bruce, and Allen Goldsmith
it 3:35 P.M. - Edward Quintieri and Richard, Pulcini `
3: 37 P.M. - John P. Kowalski
3:40 P.M. - Chester Dickerson
Judith T. Terry
Southold Town Clerk
I(
j
• 1I
IE
Sworn to be before me this
i.
9th day of May I1984
i�
u
I! Notary Public
ELIZABETH ANN NEVILLE
NOTARY PUBLIC,State of New York
No.52-8125850,Suffolk Coyqt�,
I( Term Expires March 30,19
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LEGAL NOTICE
ii NOTICE OF HEARINGS
ij
i
�! NOTICE IS HEREBY GIVEN that public hearings will be held by the
1� Town Board of the Town of Southold, at the Southold Town Hall, Main Road,
jSouthold, New York, on Tuesday, May 22, 1984, on the following applications
�{ for Permits under the provisions of the Wetland Ordinance of the Town of
Southold:
3: 30 P.M. - In the matter of the application of Matt-A-Mar Marina for
I
4 permission to construct ramp, walkway, and floating dock on property located
I on Mattituck Creek, off west side Wickham Avenue, Mattituck, New York.
1 i
�j
3:32 P.M. In the matter of the application of Costello Marine Contract-
ing Corp. , on behalf of Alvah, Jr., Bruce, and Allen Goldsmith, for
' permission to construct bulkhead on property located at the west side of
i1 Hobart Road, on Town Creek, Southold, New York.
3: 35 P.M. - In the matter of the application of Edward Quintieri' and
fRichard Pulcini for permission to construct bulkhead at property located at
�i the northeasterly end of North Riley Avenue, on James Creek, Mattituck,
New' York.
!� 3: 37 P.M. - In the matter of the application of John P. Kowalski for i
permission to construct catwalk on property located at 930 Ole Jule Lane,
I on tributary of James Creek, Mattituck, New York.
3:40 P.M. - In the matter of the application of Chester Dickerson for
i�
permission to repair and backfill'existing bulkhead damaged by storm, on
property located at the west side of Watersedge Way, on Peconic Bay,
1 Southold, New York. ,
All persons interested in said matters shall appear at the time and
�j
place above specified and will be given an opportunity to be heard.
I
DATED: May 8, 1984.
i
JUDITH T. TERRY
{
i� SOUTHOLD TOWN CLERK
I
'i
Page 2 - PuN. ,� Hearings - Wetland Applicatic.._
PLEASE PUBLISH ONCE, MAY 10, 1984, AND FORWARD FIVE (5) AFFIDAVITS
OF PUBLICATION TO JUDITH T. TERRY, TOWN CLERK, TOWN HALL, MAIN
ROAD, SOUTHOLD, NEW YORK 11971.
Copies to the following:
,I
Matt-A-Mar Marina
h Costello Marine Contracting Corp. , a/c Goldsmith j
i Edward Quintieri & Richard Pulcini
John P. Kowalski
Daniel Smith, a/c Chester Dickerson
The Long Island Traveler-Watchman
The Suffolk Times
Town Clerk's Bulletin Board
Town Board Members
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SOUTHOLD TOWN
CONSERVATION ADVISORY COUNCIL
Southold, N. Y.
2 May 1984
Mrs. Judith Terry
Town Clerk
Main Road
Southold, NY 11971
Dear Mrs. Terry:
The following action was taken by the Conservation Advisory
Council at a regular meeting held Tuesday, May 1, 1984 .
The Conservation Advisory Council has tabled application #192
submitted by Stanley R. Gould on behalf of Francis S . Perrone to
construct a catwalk, ramp and floating dock until more information
is available. At this time, there is no access to the property
and the Council feels that in order to have access, wetlands will
have to be destroyed.
RESOLVED to recommend to the Southold Town Board approval of
the wetland application #193 submitted by Matt-A-Mar Marina to
install a floating dock, ramp and walkway. Mattituck.
RESOLVED to recommend to the Southold Town Board approval of
the wetland application #194 submitted by Costello Marine Contracting
Corporation on behalf of Alvah, Jr. , Bruce, and Allen Goldsmith to
construct bulkhead. Southold.
RESOLVED to recommend to the Southold Town Board approval of the
wetland application #195 submitted by the Land Use Company on behalf
of Edward Quintieri & Richard Pulcini to instlall bulkhead. Mattituck.
RESOLVED to recommend to the Southold Town Board approval of
the wetland application #196 submitted by John P. Kowalski to construct
catwalk, provided the catwalk is at least 2 ' above the spartina grass.
Mattituck.
RESOLVED to recommend to the Southold Town Bjoard approval of the
wetland application #197 submitted by Chester Dickerson to repair and
backfill existing bulkhead. Southold.
RESOLVED to recommend to the Southold Town Board approval of the
wetland application #198 submitted by Enconsultants, Inc. on behalf
of Walter Trappe to construct a timber dock, fixed catwalk. Corey
Creek, Southold. ,
RESOLVED to recommend to the Southold Town Board approval of the
wetland application #199 submitted by Garrett A. Strang on behalf of
Michael DiCarlo to construct a retaining wall. Southold.
RESOLVED to recommend to the Southold Town Board approval of the
wetland application #200 submitted by George Sweeny to maintenance
dredge and install bulkhead. Cutchogue.
RESOLVED to recommend to the Southold Town Board approval of the
wetland application #201 submitted by Costello. Marine. Contracting
Corporation on behalf of James B. Ford to construct bulkhead in front
of existing bulkhead. Southold.
Respectfully submitted,
FRANK CICHANOWICZ, CHAIRMAN
By Jane Moffatt, Secretary
z
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TELEPHONE
(516) 765-1892
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
RECEIVED Southold, New York 11971
A P 7 1984
April 27, 1984
Tcw-i Cl`rlt Scuriold
Honorable Judith T. Terry
Southold Town Clerk
Southold Town Hall
Main Road
Southold, New York 11971
Dear Judy:
Transmitted herewith is the action taken by the Board
of Town Trustees at a regular meeting held on April 26, 1984 :
RESOLVED to recommend to the Town Board APPROVAL of the
Wetland Application #197 submitted by Chester Dickerson to
repair existing bulkhead and backfill, Peconic Bay, Southold.
Very truly yours,
U�
Henry P. Smith, President
Board of Town Trustees
HPS:ip
1
Town Hall, 53095 Main Road
P.O. Box 728
% Southold, New York 11971
4
JUDITH T.TERRY "� *I` TELEPHONE
TOWN CLERK "'` °�' f1
(516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
April 13, 1984
Southold Town Board
Southold Town Hall
Southold, New York 11971
Gentlemen:
Transmitted rlerewith is application no. 197 for a
wetland permit submitted by Chester Dickerson.
Copies of this application have been forwarded to
the Board of Southold Town Trustees and Southold Town
Conservation Advisory Council on this date for their
report of findings and recommendations.
Very truly yours,
Judith T. Terry
Southold Town Clerk
Attachment
f
Town Hall, 53095
Main Road
P.O. Box 728
Southold, New York 11971
r M A
JUDITH T TERRY `� - s
TELEPHONE
TOwN CLERK .�r,�
(516)765-1801
REGISTRAR OI'VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
April 13, 1984
Mr. Henry P. Smith, President
Board of Southold Town Trustees
Southold Town Hall
Southold, New York 11971
Dear Mr. Smith:
Transmitted herewith is application no. 197 for a Wetland
Permit submitted by Chester Dickerson.
Please prepare a written report of findings and recommendations
with respect to this application.
Very truly yours,
Judith T. Terry _
Southold Town Clerk
Attachment
Town Hall, 53095 Main Road
J P.O. Box 728
Southold, New York 11971
lf"
JUDITH T TERRY
TELEPHONE
TOWN CLERK: ''�1`Pr`
(516)765-1801
REGISTRAR OT'VITAL STA 1 ISTICS
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
April 13, 1984
Mr . Frank Cichanowicz, III, Chairman
Southold Town Conservation Advisory Council
Southold Town Hall
Southold, New York 11971
Dear Mr. Cichanowicz:
Transmitted herewith is application no.197 for a
wetland permit submitted by Chester Dickerson.
Please prepare a written report of findings and
recommendations with respect to this application.
Very truly yours,
Judith T. Terry
Southold Town Clerk
Attachment
coo
Town Hall 095
, 53 Main Road
'" ns ,� tea• ��' P.O. Box 728
Southold, New York 11971
JUDITH T TERRY s TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OI'VITAL STAT ISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
April 24, 1984
To Whom It May Concern:
Attached hereto is Environmental Assessment Form completed by Chester .
Dickerson in connection with his wetland application no. . 197 for a wetland
permit. Permission ' is requested to repair and backfill existing bulkhead
damaged by storm on property located at west side of Watersedge Way, on
Peconic Bay, Southold, New York.
Judith T. Terry
Southold Town Cler
Posted on Town Clerk' s Bulletin Board on 4/ 13/8-4-
TOWN OF SOUTHOLD
SHORT ENVIRONMENTAL ASSESSMENT FORM
INSTRUCTIONS :
a In order to answer the questions in this short EAF it is assumed
that the preparer will use currently available information concerning the
project and the likely impacts of the action . It is not expected that
additional studies, research or other investigations will be undertaken.
(b) If any question has been answered Yes the project may be
significant and a completed Environmental Assessment Form is necessary .
(c) If all questions have been answered No it is likely that this
project is not significant .
(d) Environmental Assessment
1 . Will project result in a large physical change
to the project site or physically alter more
than 10 acres of land? . . . . . . . —Yes_)(
2 . Will there be a major change to any unique or
unusual land form found on the site? . . . . . . . . . . Yes_ No
3 . Will project alter or have a large effect on
existing body of water? . . . . . . . . . . . . . . . . . . . . . . .
Yes IV
4. Will project have a potentiallylarge impact ,
on groundwater quality? . . . . . . . Yes ` sNo
5. Will project significantly effect drainage
flow on adjacent sites? . . . . . . . . . . . . . . . . . . . . . . . YesNo
6 . Will project affect any threatened or
endangered plant or animal species? . . . . . . . . . . . Yes�No
7. Will project result in a major adverse effect
on air quality? . . . . . . . . . . . . . . . . Yes )(. No
8 . Will project have a major effect on visual
character of the community or scenic views or
vistas known to be important to the community? Yes No
9 . Will project adversely impact any site or
structure of historic, prehistoric or
paleontological importance or any site
designated as a ,critical environmental area
b a local agency? -
y - . . Yes No
10 . Will project have a •Major �effect .on•existing
or future recreational opportunities? . . . . . . . . . Yes_X_No
11 . Will project result in major traffic problems
or cause a major effect to existing
transportation systems? . . . . . . . . . . . . . . . . . . . . . . . Yes ) No
12 . Will project regularly cause objectionable
odors, noise, glare, vibration, or electrical
disturbance as a result of the project ' s Qox
operation? • . . . . . . YesNo
13 . Will project have any .impact .on .public health .
or .safety? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes,No
14. Will project affect the existing community by
directly causing a growth in permanent
population of more than 5 percent over a one
year period or have a major negative effect
on •the character of the community or
neighborhood? . . . Yes )�-No
15 . Is there public controversy concerning the
project? . . . . . . . . . . . . . . . . Yes-.No
PREPARER ' S SIGNATURE42—k-
-'
REPRESENTING /-6�,�,4 Cr DATE /v ,�G
�Yf ,
Town Of Southold
Town Clerk's Office
Southold, N. Y.
!A P Ii 131984,
APPLICATION FOR WETLANDS PERMIT
Application No. .......`...,.. .. %I
2Y�•• Date of Application f..l„�,,,,,,,
Identity of Applicant . . ......:..t. .;.
72 94-0
Address of Applicant .. . .. ........... 1:`� �L.... ... ..................... .�1/......................
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 same 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 hove 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$50.00 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 97-21subdivisions(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.
1. 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 ...........................................................
Cn �+ition4, �f aR�! ...... ........... ..•... . . »..,_,.... .... .,................. . ..... .. ................ ...........
..................................................................................................................................................................
..................................................................................................................................................................
ExaminingBody .....................................................................................................................................
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 govem-
ing the Coastal and Interior Wetlands, Flood Plains and D/rrainage Areas of the Town of Southold:
Permit requested to . rX.4... f��:.. ..t�.��. 1:....j�.. .. .�.�ll .............
..:�T®-� ..................................................
Location of property for which permit wonted.-5.C./T/4-4( S,P'tS 4S 0A/
................................ ...................
�"-/-#v.1,b.A..A..................................
Home address of permit applicant if different from aforesaid location ..............................................
..................................................................................................................................................................
Creek, Bay or Harbor fronting property 11-Y......................................................
..................................................................................................................................................................
Size of proposed work:
Length ........./.r.E1C). e1.:;. :�.Ny ...
...,....., ..:...................... . .0..•......:..N..�
A-MD BAcw rftiL
Width ... ........V.....E... . P�: '................................................................................
HeightAbove High Water .....................................................................................................................
DepthBelow Low Water ..a.................................................................................................................
Yardsto be Excavated ...........................................................................................................................
Yards to be Filled .�....... �y...Y? -Kps:........................................
Widthof canal, creek or bay fronting property.................................................................................
Depthat Low Tide ..........�......................................................................................................................
AverageRise in Tide .... 1f.................................................................................................................
Is this for private or business use? ... �,41. .......................................................................
Area Zoning r41� 1. L-
Menner in which material will be removed or deposited
... ........................................... . ..... .
«...�czk..0: ../,I-OGt A...f P:...............................
.......................................
Intended use of property ...... .I,'..�1.4gi.v ..............................................................................
.... .............................................................................................................................................................
Written consent of owner of property, if not the same as the applicant ........................................
..................................................................................................................................................................
..................................................................................................................................................................
COUNTY OF SUFFOLK )
STATE OF NEW YORK ) SS:
_ 7�. ...,C11u-.. :?. f?N..................................... 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
for'rh 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 Bo d harmless and free from
any and all damages and claims arising under or by virt of said p r it ' gra d.
I... ... .. ...... ..... ... ........................................
Signature of Applicant
Sworn to before me this ......1.........................
day-'of `..... .p�'►.\......................... .. 19..b..
.. ... ... i44tizc................
otary Public
PEGGY S. WHITE
V40TA,RY PUBLIC,
State of
New YoTk
3
Qualified in Suffolk county
commission EXnlres March 30, 19��
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