Loading...
HomeMy WebLinkAboutDickerson, Chester �`ii5'.yq' 1'"'wv,r�va...,..s,ya7,y.A�»p...G�a.....•..•.a...s �. � • LL:dYY; 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 !i C f I, r I 'f i� �' d 1 I j yl i i 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 ' I I� i! d }i s� I .i t i I'i. .F f I i i I t � e 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 o ® � Ln 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�� __ t U. f � I 1 f LI ' 1 �AICA \\ll r4 I wixl9 14)r&41/Jf PF / -- � - -i----I- ` fill a-- - _ LI 1 •.j:. .r, � .r f �.i`_ 1 FrI Y T� N�-�� r y rh o o „� Flip F w S'A�wKly01PO5(D0 AND/{-des � 'n / n N e' ®� -• b , o Ie� ler J ' 4 Of� flowr n O ti/' alja )s Ij o I FOR PARCEL N0. ! " JS. ,3/ ~° r'"82o ra� SEE SEC. NO ° 3O s o '1)•/0o ti //e/ryy /aJ 32r�J/nhi O /Jp, o ( ,a3• S) rJ,/ so )J 8 wo0 1g /a /?J T b O Jp, / S.r�' N ` ( It 000 /JO• /)/ r a3. '2J 'JO /b `341 13)y 4® o ,a i •� �� ' o J34 ,3a !/ ,aJ ,aJ ao ,Jp o ./O 4J,/e ,J 4?0 0 ° �1 % 'a3. /a3' o reJ( o ,//ries c '��); 3 �! V °op/ / o J ` `,aJ o(s')Q 2(1,�4 ®'�Isw Q40han ,J D / /?'• , J i0 1'33 ,W 93 2.4 y e� o too ("1 r /Js o ` • ti g/"JI (4q f3m 90 42 01 13J. s. ��/ 'iJ. 4q I3 so, o ` _ "b" 14 13,9 A)+,/A. Qo' e (SON lei, 49 ORO ORO 1z 1 0 48 e ° a, 'O.S. 3 a 9'I s! - I f5m 4 _ 13P 00- ��o W, leg *4�3/). 4/ ."i n(3" (5q too ,00 l l i' `� o (0)/ ° /a;, •" 9 Ip +r9 w en (37, 'Oo 6g 6� 14� las 4sm $0- rssD 0 3I A +Js • ea�' ry a 64 63 IQ0 `°° ( � ®° +uo• 62 ' 0 •�°3' (35) 'Iti :y 2 c f +off• \ 3 (54) "1 N 6 .I 6'IV I� Ip° Ipp ei. 9® ,00 �-L ti ry ti ! r 60 100 (so (331 100' Se 00 100 P1.W.AR. 4$ff 100'' w ti - 0 51 6 3! �O� • N ° 5 OkELINE 144', e' ep (3) n � b as q Lp� n VF1L 1Qp• 10 1 ` 0 100' 100• So's i MOO 41CcI