HomeMy WebLinkAboutDobert, Ron i
TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE
SOUTHOLD, NEW YORK
WETLANDS PERMIT
This Wetlands Permit No. ......140........ has been granted by the Southold Town Board according to
information furnished in Application No. ..-N!........... filed by Applicant ....Ron.ARbert „•„•
onSeptember 22 1983...... 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!nstall a nature walk and a means to launch
..................................................................................
canoe in existing drainage gutter.
.................................................................................................................................................................
.................................................................................................................................................................
Location of property on which work to be done .vacant �ropertx at 1 Ole Jule Lane,
.... .......... l ..J . e..L ...................
Mattituck, New York.
.................................................................................................................................................................
.............................................................. .................................................................................................
a drains a utter off James Creek
s
Creek, Bay or Harbor fronting property .............. .... ..................................................... .....................
..................................................!................................................................................`': .:�.........i.y.;;„�,\` '.
250 feet. (! I
Size of work: Length • • ••••• •......••
Width ..3 feet.
..............................................................................................................
Height Above High Water .,..feet................................................................................
....................................................
Depth Below Low Water
.................................................................................................
Yardsto be Excavated ..none..........................................................................................
Yards to be Filled ......none
..........................................................................................
Manner in which material is to be removed or deposited .........................................................................
.................................................................................................................................................................
Intended use of property ....Private..—...Residential... ......... .......................................................................................
.................................................................................................................................................................
Conditionsif any .....................................................................................................................................
.................................................................................................................................................................
Expiration Date November 15, 1984 IF WORK HAS NOT COMMENCED BY SAID DATE.
...................................................................................................................
Number of Inspections Required ..�......TOWN CLERK TO NOTIFIED WHEN PROJECT...I.S
..........................BE.......................................................... .
COMPLETED.
$5.00
InspectionFees .................... ...........................................................................................................
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.
Jam" •� ,
,ii ss Signed
t/ 2. Town Clerk, Town of Southold/
SEAL
........November
Date. ................... ..15 1. ..........983
............................
NOV 94g5
f
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
November 18, 1983
Mr. Ron Dobert _
31 Southern Boulevard
East Patchogue, New York 11772
Dear Mr. Dobert:
The Southold Town Board approved your Wetland Application
at their November 15th meeting.
Upon receipt of $5® 00 inspection fee, your Permit will be
forwarded to you by return mail.
Very truly yours,
Judith T. Terry
Southold Town Clerk
Pte- 9
Town Hall, 53095 Main Road
P.O. BOX 728
Southold, New York 11971
JUDITH T.TERRY 2 S TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR 01:VITAL STA-I ISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
November 18, 1983
To: 1 iSouthold Town Building Department
From: Judith T. Terry, Town Clerk ,
Transmitted herewith are the following Wetland Permits which require
two inspections of each project. You may make the first inspection whenever
you determine feasible, and I will notify you wne the projects are completed
so you may make the second inspections:
Permit No. 137 - The Land Use Company, on behalf of Ernest Wilsberg
Permit No. 138 - The Land Use Company, on behalf of Maureen Sullivan
Permit No. 139 - The Land Use Company, on behalf of Wilhelm Franken
Permit No. 140 - Ron Dobet
Permit No. 141 - Michael J. Hall, on behalf of Frank & Margaret Rosenberg
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PUBLIC HEARING
SOUTHOLD TOWN BOARD
3:37 P.M.
November 15, 1983
IN THE MATTER OF WETLAND APPLICATION NO. 167 BY RON DOBERT.
Present: Supervisor William R. Pell, 111
Councilman John J. Nickles
Councilman Francis J. Murphy
Councilman Joseph L. Townsend, Jr.
Justice Raymond W. Edwards
Town Clerk Judith T. Terry
Town Attorney- Robert W. Tasker
Absent: Councilman Lawrence Murdock, Jr. _
SUPERVISOR PELL: This is a public hearing on the wetland application of Ron
Dobert. 'iThe: public_ notice swill I 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, November 15, 1983, on the following
Wetland Applications: 3:37 P.M. - in the matter of the application of Ron Dobert
for a permit under the provisions of the Wetland Ordinance of the Town of Southold
to construct catwalk at James Creek,' on Ole Jule Lane, Mattituck, New York. All
persons interested in' said matters should appear at the time and place above
specified and will be given an opportunity to be�.heard. Dated: November 1,
1983, Judith T. Terry, Southold Town Clerk."
I have proof of publication from Joan Gustayson, of The Suffolk Times and
proof of publication from Patricia Wood of The Long Island Traveler-Watchman:.
I have proof here that Judith Terry on the 2nd of November posted the notice
on the Town Clerk's Bulletin Board.
I have a Negative Declaration, notice of no significant effect on the environ-
ment from the Town Clerk's Office, ,dated November 2.
1 have a letter from the Conservation Advisory,Council by Jane Moffatt for
Frank Cichanowicz, Chairman: ''Resolved to recommend to the Southold Town
Board approval of the wetland applicastion #167 submitted by Ron Dobert to
install a nature walk and a means to launch a canoe. Mattituck."
Letter from the Board of Trustees, signed by Paul Stoutenburgh, October
13th: "Resolved to recommend to the Southold Town Board approval of the
Wetland Application #167 for Ron Dobert to construct a 250 ft. by 3 ft. catwalk
in James Creek, Mattituck."
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Page 2 - Public Hearini_
Wetland Application of Ron Dobert
SUPERVISOR PELL: You've heard the reading of this public notice. Does
anybody wish to speak in favor of it? (No response.) In opposition to?
(No response.) Does anybody wish to be heard at all on it? (No response.)
If not, the hearing is closed.
Judith T. Terry
Southold Town Clerk
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COUNTY OF SUFFOLK
ss:
STATE OF NEW YORK
NOTICE OF HEARINGS
NOTICE IS HEREBY CIV- Patricia Wood, being duly sworn, says that she is the
EN that public hearings will be Editor, of THE LONG ISLAND TRAVELER-WATCHMAN,
held by the Town Board o- the
Town of Southold, .at.. the a public newspaper printed at Southold, in, Suffolk County;
`
Southold Town Hall, Main and that the notice of which the annexed is a printed copy,
Road, Southold, New York, on
Tuesday, November 15, 1983, has been published in said Long Island Traveler-Watch-
on' the' following ,Wetland man once each week for .....................weeks
Applications: _
3:32 P.M. - in-the matter of successively, commencing on the
. ....................................
the application of The Land
1 Use Company, -on, behalf of-- day of �
.................................
Maureen Sullivan,for a permit 19.......
I under the provisions of the
Wetland - Ordinance _of_ the
Town of Southold to construct
ramp,float, and two (2) spiles
on Cedar Beach Inlet, at the
end of Inlet Way,' Cedar
Beach, Southold, New York. I
i application of ThLand
- i matter Swom to before me this ................................
day of
the
t Use Company, on behalf of 19••g3
Wilhelm Franken,for a permit I
under the provisions of the
Wetland Ordinance , of the
Town of Southold,-to construct I
bulkhead, dredge,.and fill at
GullPond,' on Snug Harbor ................................ . .... .......... .. .... ...................
! Road, Greenport, New York. Nota Public
3:37 P.M. - in the matter of
the application of Ron Dobert 1
for a permit under the-lirovi- { CLEIIFIEjW J.TI OmpSON
i sions of the Wetland'Ordin- WTARY PUBLIC,State of New York
ance of the Town of Southold i U0.52-9321725
to construct catwalk at James CoResiding in Suffolk County
i mmission Expires h9arrh 301 p,�9'
' Creek, on, Ole Jule Lane,
Mattituck, New York.
' 3:40 P.M. -in the matter of
the application of-Michael J.
Hall; Attorney, on behalf of
Frank and Margaret Rosen- i
berg, for a permit under the
provisions of the Wetland
Ordinance of the Town of
Southold, to construct bulk-
heading at Sterling Creek, on {
the south side of Champlin
Place, Greenport, New York.
All persons interested -in
said matters should appear at
the time and place above
specified and will be given an
opportunity,to be heard.
DATED: November 1, 1983.
JUDITH T.TERRY,
SOUTHOLD TOWN CLERK
1T-11/3/83(71)
LEGAL NOTICE -
NOTICE OF HEARINGS
NOTICE IS HEREBY
GIVEN that public hearings STATE OF NEW YORK )
will be held by the Town Board
of the Town of Southold,at the ) SS:
Southold Town'Hall,.Main COUNTY OF SUFFOLK )
Road,Southold,New York,on-
Tuesday,
nTuesday, November 15, 1983,
on the following Wetland Ap JOAN GUSTAVSON
plications: of Greenport, in
3:32 P.M.—in the matter-of said County,being duly sworn,says that he/she is
the application of The Land
Use Company, on behalf of , Principal Clerk of THE SUFFOLK TIMES,a Weekly
Maureen Sullivan, for a Newspaper, published at Greenport, in the Town
permit under the provisions of
the Wetland Ordinance of the of Southold, County of Suffolk and State of New
Town of Southold to,constkuct
ramp,float,and two(2)spiles York, and that the Notice of which the annexed is
i (2) es
on Cedar Beach Inlet,•at the a printed copy, has been regularly published in
end of Inlet Way, Cedar said News
Beach,Southold,New York. paper once each week foroTte--f-r)
3:35 P.M.--in the matter of weeks successively, commencing on thea rd
the application of The Land
Use Company, on behalf of dayof November - 19B3—
Wilhelm ,
9$3.Wilhelm , Franken, for a
permit under the provisions of
the Wetland Ordinance of the
Town of Southold,to construct (�
bulkhead, dredge, and fill at
Gull Pond,, on Snug`-Hai•,bor Principal Clerk
—4 Road,Greenport,New York.
3:37 P.M..--in the matter of
the application of Ron Dobert Sworn to before me this 3rd
for a-, permit -under the JOAN N.MAGEE November 8 3
provisions of the'Wetland day of 9
Ordinance of 'the Town of NOTARY PUBLIC STATE 5 NEW YORK
Southold to construct catwalk_ N0. SUFFOLK
l�ALIFIED IN SUFFOLK COUNTY
at James Creek, on Ole Jule COM ISSION EXPIRES MARCH 30,19
Lane,Mattituck,New York.
3:40 P.M.—in the matter of-,
the application of Michael J.
Hall,,Attorney, on behalf of
Frank and Margaret
Rosenberg,for a permit under
the provisions of the Wetland
Ordinance of the Town of
Southold, to - construct
bulkheading at Sterling Creek,
on the south side of Champlin
Place,Greenport,New York.
All persons interested in
said matters should appear at
the time and-place above
specified and will be given an
opportunity to be heard.
DATED:November 1,1983.
JUDITH T.TERRY
SOUTHOLD
TOWN CLERK
1TN3-4384
STATE OF NEW YORK: i
I
SS:
COUNTY OF SUFFOLK:
JUDITH T. TERRY, Town Clerk of the Town of Southold,
i New York, being duly sworn, says that she is over the age of
twenty-one years; that on the 2nd day of November 19 83 ,
she affixed a notice of which the annexed printed notice is a
t, I
true copy, in a proper and substantial manner, in a most public
!' place in the Town of Southold, Suffolk County, New York, to wit : - I
Town Clerk Bulletin Board, Town Clerk Office, Main Road,
Southold, New York 11971
I I
iI Notice of Public Hearings on Wetland Applications - Tuesday,
November 15, 1983, Sout hold Town Hal I , Mai n Road, Sout hold,
New York. - —_
3: 32 P.M. - The Land Use Company, on behal f of Maureen Sul I i van
3: 35 P.M. - The Land Use Company, on behal f of Wi I hel m Franker)
!' 3: 37 P.M. - Ron Dobert
3: 40 P.M. - Michael J . Hal 1 , on behalf of Frank 8 Margaret j
iE Rosenberg
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Judith T. Terry 151,
Southold Town Clerk
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Sworn to be before me this
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2nd day of November 1983
Notary Public 1
ELIZABETH ANN NEVILLE I
NOTARY PUBLIC, State of New York
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No. 52.8125850, Suffolk Cou
Term Expires March 30, 19
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LEGAL NOTICEit
j
{i NOTICE OF HEARINGS
NOTICE IS HEREBY GIVEN that public hearings will be held by the Town;
it Board of the Town of Southold, at the Southold Town Hall, Main Road,
I�
� Southold, New York, on Tuesday, November 15, 1983, on the following I
Wetland Applications:
I.
{
3:32 P.M. - in the matter of the application of The Land Use Company, !
i on behalf of Maureen Sullivan, for a permit under the provisions of the
j Wetland Ordinance of the Town of Southold to construct ramp, float, and two
i' (2) spites on Cedar Beach Inlet, at the end of Inlet Way, Cedar Beach,
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Southold, New York.
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3:35 P.M. - in the matter of the application of The Land Use Company, ;
on behalf of Wilhelm Franken, for a permit under the provisions of the
I
i; Wetland Ordinance of the Town of Southold, to construct bulkhead, dredge,
and fill at Gull Pond, on Snug Harbor Road, Greenport, New York.
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�i 3:37 P.M. - in the matter of the application of Ron Dobert for a permit
�I under the provisions of the Wetland Ordinance of the Town of Southold to
construct catwalk at James Creek, on Ole Jule Lane, Mattituck, New York. !{
jj 3:40 P.M. - in the matter of the application of Michael J. Hall, Attorney,
of on behalf of Frank and Margaret Rosenberg, for a permit under the provisions
� s
�( of the Wetland Ordinance of the Town of Southold, to construct bulkheading
I+ at Sterling Creek, on the south side of Champlin Place, Greenport, New York.'
I� All persons interested in said matters should appear at the time and
I
i'
place above specified and will be given an opportunity to be heard.
" DATED: November 1, 1983.
i
! JUDITH T. TERRY
' SOUTHOLD TOWN CLERK
it
PLEASE PUBLISH ONCE, NOVEMBER 3, 1983, AND FORWARD FOUR (4) j
AFFIDAVITS OF PUBLICATION TO JUDITH T. TERRY, TOWN CLERK, TOWN
HALL, MAIN ROAD, SOUTHOLD, NEW YORK 11971. j
I! i
i, Copies to the following:
The Suffolk Times
I; The Long Island Traveler-Watchman
•! Town Board Members
Town Clerk's Bulletin Board
The Land Use Company, on behalf of Maureen Sullivan S Wilhelm Franken
{ Ron Dobert J
a( Michael J. Hall, on behalf of Frank 8 Margert Rosenberg !
Town Hall, 53095 Main Road
P.O. Box 728
�® Southold, New York 11971
JUDITH T.TERRY TELEPHONE
Towle CLERK (516)7651801
REGISTRAR OF VITAL STA"I ISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
NEGATIVE DECLARATION
NOTICE OF NO SIGNIFICANT EFFECT ON THE ENVIRONMENT
Dated: November 2, 1983
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 Ron Dobert for a wetland permit . Permission is
requested for construction of catwalk at James Creek on Ole Jule Lane,
Mattituck, 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
Ron Dobert
K
SOUTHOLD TOWN
CONSERVATION ADVISORY COUNCIL
Southold, N. Y.
October 26, 1983
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, October
25, 1983.
RESOLVED to recommend to the Southold Town Board approval
of the wetZand application #165 submitted by the Land Use Company
on behalf of Maureen Sullivan to install a elevated ramp leading
to a float secured by two piles. Southold.
Application #166 submitted by the Land Use Company on behalf
of Wilhelm Franken to remove 17 ' of bulkhead and install a "L"
shaped bulkhead as well as 155 ' of new bulkhead to connect with
existing structure at basin entrance. This application is being
given, conditionaZ approval until •the Conservation Advisory Council can
see that the wetlands will be restored to Southold Town 's satis-
faction. Southold.
RESOLVED to recommend to the Southold Town Board all. oyaZ
of the wetZand application #167 submitted by Ron Dobert to install
a nature walk and a means to launch a canoe. Mattituck.
RESOLVED to recommend to the Southold Town Board approval of
the wetZand application #168 submitted by Michael J. Hall, Attorney
on behalf of Frank and Margaret Rosenberg to instaZZ buZkheading on
northern terminue of Sterling Creek. Greenport.
RESOLVED to recommend to the Southold Town Board approval of
the wetZand application #169 submitted by Frederick Falconer to
maintenance dredge. Cutchogue.
Respectfully submitted,
FRANK CICHANOWICZ, CHAIRMAN
By Jane Moffatt, Secretary
o
o ® �
TELEPHONE
(516) 765-1892
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
RECEIVED P.O. Box 728
Southold, New York 11971
OCT 131933 October 13 , 1983
Town Clerk Southold
Mrs. 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 October 11 ,
1983 :
RESOLVED to recommend to the Southold Town Board
APPROVAL of the Wetland Application #167 for Ron Dobert
to construct a 250 ' x 3 ' catwalk in James Creek, Mattituck.
Very truly yours,
Board of Town Trustees
Paul Stoutenburgh
President
PS:ip
OUrY4;M L , 1'h�"4 mlx�
" f}[, Town Hall 53095 Main Road
may . P.O. BOX 728
Southold, New York 11971
JUDITH T.TERRY TELEPHONE
tON N CLERK (516)7654801
REGISTRAR OF VITAL STA I ISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
October 5, 1983
Mr. David DeRidder
Environmental Analysis Unit
N.Y.S . Dept . of Environmental Conservation
Building 40, SUNY - Room 219
Stony Brook, New York 11794
Dear Mr: DeRidder :
Enclosed is application of Ron Dobert for a wetland permit and
Short Environmental Assessement Form -pertaining to the same.
This project is unlisted and our initial determination
of non-significance has been made and we wish to coordinate
this action to conform our initial determination in our role
as lead agency.
May we have your views on this matter . Written comments
on this project will be received at this office until -October
24,= 1983 We sYiall interpret your lack of response to mean there
is no objection by your agency.
Very truly yours,
Judith T. Terry
Town Clerk
Enclosures
6c : Comm'issioner tNill-lams
Southold Town Building Department
F Our
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
JUDITH T.TERRY P=bs
°` TELEPHONE
Town CLERK (516)765-1801
REGISTRAR OI'VITAL SI'AI ISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
September 28, 1983
To Whom It May Concern:
Attached hereto is Environmental Assessment Form completed by
Ron Dobert in connection with his wetland application no. 167 for
a wetland permit. Permission is requested for construction of
catwalk on James Creek on Ole Jule Lane, Mattituck, New York.
4orJudith"T. Tt ry
Southold Town Clerk
Posted on Town Clerk's Bulletin Board on 9/28/83
TOWN OF SOUTHOLD
SHORT ENVIRONMENTAL ASSESSMENT FORM
INSTRUCTIONS :
(-a—F 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 th&t this
project is not significant .
(d ) Environmental Assessment
I . Wi 1 project resu t in a large physical change
to the project site or physically alter more
than 10 acres of land? Yes No
2 . Will there be a major change to any unique or /
Y
unusual land form found on the site? . . . . . . : . . . Yes No
3 . Will project alter or have a large effect on
existing body of water? . . . . . . . . . . . . . . . . . . . . . . . Yes �No
4. Will project have a potentially large impact
on groundwater quality? . . . . . . . . . . . . . . . . . . . . . . . Yes_kZ No
5 . Will project significantly effect drainage
flow on adjacent sites? . . . . . . . . . . . . . . . . . . . . . . . . Yes_ZNo
6 . Will project affect any threatened or
endangered plant or animal species? . . . . . . . . . . . Yes p"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 k1"^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 V"
by a local agency? . . . . . . . . . . . .. . . . .
: . . .. . . . . . Yes Y No
10 . Will project have aMajor effect on existing
or future recreational opportunities? . . . . . . . . .
Yes /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
operation? . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . Yes /No
13 . Will project have any impact on public health •
or safety? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes f/No
14. Will project affect the existing community by
directly causing a growth in permanent
population of more t-han 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 d No
PREPARER ' S SIGNATURE
REPRESENTING_ - DATE
Town Hall, 53095 Main Road
1 P.O. Box 728
Southold,
New York 11971
JUDITH T TERRY � � TELEPHONE
ToiaN CLERK (516)765-1801
REGISTRAR Ol• VITAL S FA I IS"11C'S OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
September 28, 1983
Southold Town Board
Southold Town Hall
Southold, New York 11971 '
Gentlemen:
Transmitted vierewith is application no. 167 for a
wetland permit submitted by Ron Dobert .
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,
� G -2;/
Judith T. Terry
Southold Town Clerk
Attachment
Town Hall, 53095 Main
Road
P.O. Box 728
Southold, New York 11971
JUDITH T TERRY TELEPHONE
Town CLERK (516)765-1801
REGISTRAR OI•VITAL STA I ISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
September 28, 1983
Mr . Paul Stoutenburgh, President
Board of Southold Town Trustees
Southold Town Hall
Southold, New York 11971
Dear Mr. Stoutenburgh:
Transmitted herewith is application no. 167 for a
wetland permit submitted by Ron Dobert .
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
P.O. Box 728
Southold, New York 11971
JUDITH T TERRY TELEPHONE
TowN CLERK (516)765-1801
REGISTRAR 01'VITAL STA I'ISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
September 28, 1983
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. 167 for a
wetland permit submitted by Ron Dobert .
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 Of Southold
P,Eci�'V-!-D Town Clerk's Office
Southold, N. Y.
Town Clerk Sculhold
APPLICATION FOR WETLANDS PERMIT
Application No. ..16.7...................... Date of Application ..........� z 3................
Identity of Applicant ...................................
..........................................................................................
Address of Applicant ,3�....�`.�cs?�_,zew...eVG v/�..... ��C! ' `�,.....'.v.Y.. �>7 z
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 written 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.
i
G. A filing fee of $25.00 shall accompany the application. This filing fee includes one inspection.
there is u $5 00 fee for each additional inspection.
i
i
H. The_Town Board upon requ2st9 ,'� applicant for a parmit, may waive in whole or in part, i
the provisions of Artir_le11, Section subdivisions A and (�gr 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 ...........................................................
Cr%n,jition�t, if any ..........,.......,...x,�....... , .. s.................. ., ......
..................................................................................................................................................................
..................................................................................................................................................................
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 govern-
ing the Coastal and Interior Wetlands, Flood Plains and Drainage Areas of the Town of Southold:
Permit requested to .................................... ._�iU�. S..T®...
r�/9!?-bC... .�—'r..�`',T.�............................ .r...'..�7�i�°.................................................
Location of property for which permit wanted....Y!y`�!Ur ®��T� �7 / dGF�al�
.....................................................P....,.,...
l..S�fro f�cT. ... 0'C/.! /`J� 7�c�Y N. J�
... .................................................................................................................................:...........................
Home address of permit applicant if different from aforesaid location ...., 1......`..
.. v�iric,P.c�... ...................
....... ..............v........................................................................................................
Creek, Bay or Harbor fronting property .....��..... d ........ ...!`.. ..!.....! =�„,,,,,C..... �"'�'
..................................................................................................................................................................
Size of proposed work:
Length ...4.:? .....................................................................................................................................
Width ... 3............................................................................................................................................
HeightAbove High Water ....................................................................................................................
DepthBelow Low Water .........................................................................................................................
Yardsto be Excavated ...........................................................................................................................
Yardsto be Filled ...................................................................................................................................
Width of canal, creek or bay fronting property.......
! !:...,..,.^�,�2„�,,,,,, ,,,,,,,,, ,
Depth at Low Tide ............ ..............
...................................................................................................
Average Rise in Tide ...........................................................
./................. ...... .....
.. . :........................................................................
Is this for private or business use? . �`�'� �
.........................................................................................................
�5
AreaZoning ........... ..... ....:.....................................................................................................................
Manner in which material will be removed or deposited
.................................................................. .
. .................................................................................................................................................
Intended use of property ..
. ...................................................................................................................................
Written consent of owner of property, if not the some as the applicant ........................................
...........................................................................................................................................
. .................................................................................................................
COUNTY OF SUFFOLK )
STATE OFNE ORK ) SS:
..... .................. .................................................................................. 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 ai ermit, if granted.
......
..............................................................
Signature of Applicant
> �
Sworn to before me this ................................
day of ....... .� �. ................,
. ... ...............
Notary Public
N. PETER RATHVON JR.
NOTARY PUBLIC,Stale of New York
No. 52-3210931, Suffolk County
Term Expires Match 30,19e7jy-
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