HomeMy WebLinkAboutMcCarthy, Sal "".ry�' ;�,'�"s°'^�THa^.rT".�YX"�KBC`•A'�y"�"-R.s°'�"o`«e......rs psi,- � ,,
TOWN OF SOUTHOLD
TOWN CLERK'S OFFICE
SOUTHOLD, NEW YORK
WETLANDS PERMIT
This Wetlands Permit No. ....63........... has been granted by the Southold Town Board according to
Enconsultants, Inc. for
information furnished in Application No. .3.9............. filed by Applicant .... ...........
........................................ on .,November 19..82... A map of the proposed work will be kept
..........4......
on file in the Town Clerk's Office under the application number given.
Permit granted to do the following work Construct a 48 ft . by 4 f t , fixed elevated
................................................................................
( 3 ft . above grade ) catwalk, 16 ft . by 4 ft. hinged ramp and 6 ft .
.................................................................................................................................................................
by 4 ft . hinged ramp and 6 ft . by 40 ft . floating dock secured by
.................................................................................................................................................................
2 piles.
Location of property on which work to be done ,40 Fox Hollow Road, Mattituck.I...New York.
............................................d.......................
.................................................................................................................................................................
.................................................................................................................................................................
Mattituck Creek r -J -
Creek, Bay or Harbor fronting property .............................................................. :.:.{. .....F......�..:I...s...,
.............................................................................................................................. . .......................
Size of work: Length .....SQIQ..a bg.Y.e...do.'sQr.iI?1.i. .a........................................... .�.. .............
Width ......................
Height Above High Water ......APP:gAimate,1y,,3„f t,,,,,,,,,,,,,,,,, ,,,,.,,,,,,,,,,,,,,,,,
Depth Below Low Water ---
.................................................................................................
Yards to be Excavated .......None
.....................................................................................
Yardsto be Filled ...........None....................................................................................
Manner in which material is to be removed or deposited ........... ...............................................................
.................................................................................................................................................................
Intended use of property .....Private. ...-...Residential..... .. .... ......................................................................................
.................................................................................................................................................................
Conditions if any.............---
.........................................................................................................................
.................................................................................................................................................................
Expiration Date .........
Number of Inspections Required ........---
..............................................................................................
Inspection Fees ---
.....................................................................................................................................
Liability Policies in the Amount of .........--.-
.........................................................................................
The validity of this permit is or may be subject to the approval of other governmental or municipal
authorities. The Town accepts no responsibility in applying for or obtaining such approval. In the'
event that such approval is necessary, the holder of this permit shall not commence operations here-
under until such approval has been obtained in writing. The failure to,obtain such other approval when
required shall subject this permit to immediate revocation by the Town Clerk-upon receipt by the
Town Clerk of written notice from such other governmental or municipal authorities of its refusal or
disapproval.
s
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.
i Signed .4 :.c... ............. .......
( own Clerk, Town of Southol
/ SEAL
l i
Date. February 9, 1982
.................... ..... ............................................
PUBLIC HEARING
SOUTHOLD TOWN BOARD
JANUARY 19, 1982
IN THE MATTER OF THE APPLICATION (#79) OF ENCONSULTANTS, IN C . FOR.
SAL McCARTHY FOR A WETLAND PERMIT AT MATTITUCK, NEW YORK.
Present : Supervisor William R. Pell, III
Councilman John J. Nickles
Councilman Lawrence Murdock, Jr.
Councilman Francis J. Murphy
Councilman Joseph L. Townsend
Justice Raymond W. Edwards, Jr.
Town Clerk Judith T. Terry
Town Attorney Robert W. Tasker
SUPERVISOR PELL: Councilman Nickles will read the public notice on
the application of Sal McCarthy.
COUNCILMAN NICKLES: "Notice is hereby given that a public hearing
will be held by the Town Board of the Town of Southold at the Southold
Town Hall, Main Road, Southold, New York, on January 19, 1982, as
follows : 3: 35 P.M. o'clock in the matter of the application of
Enconsultants, Inc. for Sal McCarthy for a permit under the provisions
of the Wetland Ordinance of the Town of Southold, for permission to
construct a fixed elevated catwalk, hinged ramp and floating dock
secured by two piles at his property at 40 Fox Hollow Road, on Mattituck
Creek, Mattituck, New York. Dated: December 22, 1981, By Order of the
Southold Town Board, Judith T. Terry, Town Clerk. "
I have a notice of proof of publication from the Suffolk Times,
proof that it was placed on the Southold Town Clerk' s Bulletin Board.
I have a letter from the Chairman of the Conservation Advisory
Council to the Town Clerk. "Dear Mrs . Terry: The following action
has been taken by the Southold Town Conservation Advisory Council at
a regular meeting held December 8, 1981. RESOLVED to recommend to
the Southold Town Board approval of Wetland Application #79 submitted
by Enconsultants, Inc. a/c Sal McCarthy to construct a catwalk, hinged
ramp and floating dock secured by two piles. Property located at 40
Fox Hollow Road, Mattituck. "
We have a letter from Anna Hataier, President of the Town Trustees.
"Resolved to recommend to the Southold Town Board approval of the
wetland application, #79, of Sal McCarthy, to construct a 48 ' x 4'
fixed elevated (_3' above. grade) catwalk, 16' x 4 ' hinged ranp and
6' x 40' floating dock secured by two piles wi.th. the provision .the
dock does not extend beyond the docks of adjacent property owners,
both east and west, at Mattituck Creek. "
SUPERVISOR PELL: You've heard the reading of the public notice of
Sal McCarthy. Does anybody wish to speak in favor of this project?
i
PAGE 2 - Wetland Appliv,-a,tion - Enconsultants, Inc'_ -'or Sal McCarthy
(No response. ) . Does anybody wish to speak in opposition to it?
(No response. ) Does anybody wish to be heard at all on this applica-
tion of Sal McCarthy? (No response. ) If not, I will declare the
hearing closed.
Judith T. Terr,y�
Southold Town Clerk
'
NOTICE OF HEARINGS COUNTY OF SUFFOLK ss;
STATE OF NEW YORK
NOTICE IS HEREBY
GIVEN that public hearings
will be held by the Town Board
of the Town of Southold at the Patricia Wood, being duly sworn, says that she is the
Southold Town Hall, Main
Road, Southold, New York, on Editor, of THE LONG ISLAND TRAVELER-WATCHMAN,
January 19, 1982 as follows:
3:30 P.M. o'clock in the a public newspaper printed of Southold, in Suffolk County;
matter of the application of and that the notice of which the annexed is a printed copy,
-Enconsultants, Inc. for
Strong's Marine Center for a has been published in said Long Island Traveler-Watch-
permit under the provisions of man once each week for .................... ..................weeks
the Wetland Ordinance of the
Town of Southold, for permis- successively, commencing on the .......,..........................
...
sion to construct a 190 ft.
section of bulkhead in line with
doy .......... )9.%:4
and connected to partially � J
completed existing bulkhead —
and backfili with approximate-
ly 40 cubic yards fo clean fill to
be trucked in from upland
source. This bulkhead will be
in inner portion of marina.
Construct a total of 70 ft. of
timber bulkhead to connect to Sworn to before me this ........... ........... day of
existing bulkhead on outer
portion of marina to control 9��
scouring of backfill from exist-
. .. .. ...
ing bulkhead.Property located
off Camp Mineola Road, on
f James Creek, Mattituck, New
York.
3:35 P.M. o'clock in the
............................. ..... . .. ..... ..... . ....................
matter of_the -application- of_ Notary ubliC
Enconsultants, Inc. for Sal
McCarthy for a permit under
the provisions of the Wetland CLEMENT J.T HOh4PSON
Ordinance of the Town of NOTARY PUBLIC,State of New York
Southold, for permission to 0�3.52-93211725
construct a fixed elevated RWding in Suffolk COW*
catwalk, hinged ramp and
Commission Expires Parch 30,19i�
floating dock secured by two
piles at his property at 40 Fox
Hollow Road, on Mattituck
Creek, Mattituck, New York.
All persons interested in
said matter shall appear at the
time and place above specified
and will be given an opportuni-
ty to be heard.
Dated: December 22, 1981
By Order of the
Southold Town Board
Judith T.Terry,
Town Clerk
1T-1/7/82(4)
i
i
STATE OF NEW YORK:
SS:
COUNTY OF SUFFOLK:
i
I
JUDITH T. TERRY, Town Clerk of the Town of Southold,
New York, being duly sworn, says that she is over the age of
twenty-one years; that on the 23rd day of December 19 81
she affixed a notice of which the annexed printed notice is a
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 : -
Town Clerk Bulletin Board, Town Clerk Office, Main Road,
Southold, New York 11971 1
Notice of Hearings - Southold Town Hall, Main Road, j
Southold, New York - Wetland Applications:
i; 3: 30 P.M. , January 19, 1982 - Enconsultants, Inc . j
for Strong' s Marine Center !
i 3: 35 P.M. , January 19, 1982 - Enconsultants, -Tnc. i
�i
for Sal -McCarthy
i
j�
' Judith T. Terry !
j Southold Town Clerk
i;
f
!j Sworn to be before me this
I
23rd day of December 1981
I1
I! Notary Public
i ELIZABETH ANN NE`lILLE
NOTARY PUBLIC, State of New York
No. 52-31258050, Suffolk County
TPrm Expires March 30, 191Rz I
�I
ii
t
I�
l
II ,
I.
a
LEGAL NOTICE
NOTICE OF HEARINGS i
l
i�
+` NOTICE IS HEREBY GIVEN that public hearings will be held by
;Ithe Town Board of the Town of Southold a,t the Southold Town Hall,
i
Main Road, Southold, New York, on January, 19, 1982 as follows;
# 3: 30 P.M. o' clock in the matter of the application of j
i
i
�fEnconsultants, Inc. for Strong' s Marine Center for a permit under
i
the provisions of the Wetland Ordinance of the Town of Southold, j
Tor permission to construct a')190 ft . section of bulkhead in line !
I; i
With and connected to partially completed existing; bulkhead and j
!backfill with approximately 40 cubic yards of clean fill to be I
f �
trucked in from upland source. This bulkhead will be in inner
portion of marina. Construct a total of 70 ft . of timber bulkhead
o connect to existing bulkhead on outer portion of marina to
Ifontrol scouring of backfill from existing bulkhead_. Property
,
;located off Camp Mineola Road, on James Creek, "Ilattituck, New York. 4
�I 1
3: 35 P.M. o'clock in the matter of the application of
Enconsultants, Inc, for Sal McCarthy for a permit under the
provisions of the Wetland Ordinance of the Town of Southold, for
I I
permission to construct a fixed elevated catwalk,, hinged ramp and
'floating dock secured by two piles at his property at 40 Fox Hollow ?
toad, on- Mattituck Creek, Mattituck, New York.
I� i
All persons interested in said matter shall appear at the
time and place above specified and will be given an opportunity to
i'
be heard. '
i
DATED: December 22, 1981 .
BY ORDER OF THE SOUTHOLD TOWN BOARD T i
JUDITH T. TERRY, TOWN CLERK I
,
I !
!PLEASE PUBLISH ONCE, JANUARY 7, 1982, AND FORWARD TWO AFFIDAVITS
,,OF PUBLICATION TO JUDITH T. TERRY, TOWN CLERK-, TOWN HALL, MAIN ROAD,
;SOUTHOLD, NEW YORK 11971.
11 1
fIlCopies to the following on December 23, 1981 :
i
li The Suffolk Times
E The Long Island Traveler-Watchman
Town Board Members
j Town Clerk' s Bulletin Board
s _ __ ` Enconsultants, Inc. , a/c Strong' s Marine Center & Sal McCarthy.
J �
SOUTHOLD TOWN RECED
CONSERVATION ADVISORY COUNCIL
Southold, N. Y. / y X987
Tot"M Clerk Sou%ld'
December 8, 1981
Mrs. Judith Terry, Town Clerk
Town Hall
Southold, NY 11971
Dear Mrs. Terry:
The following action has been taken by the Southold Town
Conservation Advisory Council at a regular meeting held December 8,
1981.
RESOLVED to recommend to the Southold Town Board approval of
Wetland Application #79 submitted by Enconz-ul tants-,_ c.—,=a_/_ Sal
McCarthy to construct a catwalk, hinged ramp and floating dock
secured by two piles. Property located at 40 Fox Hollow Road,
Mattituck.
It is the recommendation of the CAC that the Wetland Application
#80 of Enconsultants, Inc. for Neil Simon be disapproved until the
CAC has been informed as to what will happen to the wetlands located
in front of the bulkhead once this application has been approved.
What guarantee is there that the wetlands will not be destroyed once
the bulkhead is in.
It is the recommendation and suggestion of the CAC that the
Wetland Application of Strong's Marine Center, #78, extend the bulkhead
of the plans submitted another 10 feet, to help stabilize the erosion
problem. Attached please find a copy of the Council' s recommendations.
Yours truly,
FRANK CICHANOWICZ III
CHAIRMAN
CONSERVATION ADVISORY COUNCIL
By Jane Moffatt, Secretary
O ®OF O��i' K
-OF OUT`
JUDITH T.TERRY TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF VITAL STATISTICS
Southold, L. I., N. Y. 11971
NEGATIVE DECLARATION
NOTICE OF NO SIGNIFICANT EFFECT ON THE ENVIRONMENT
Dated: December 8, 1981
Pursuant to Article 8 of the Environmental Conservation Law
State Environmental Quality Review and 6 NYCRR 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 Enconsultants, Inc. for Sal McCarthy for a permit
in accordance with the Wetland Ordinance of the Town of Southold, for
permission to construct a fixed elevated catwalk, hinged ramp and
floating dock secured by two piles at his property at 40 Fox Hollow
Road, on Mattituck Creek, 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 effects to the
environment are likely to occur should the project be
implemented as planned.
Because there has been no response in the allotted time
from the New York State Department of Environmental
Conservation, it is assumed that there is no objection
nor comments by that agency.
Further information can be obtained by contacting Mrs. Judith
T. Terry, Town Clerk, Town of Southold, Town Hall, Main Road,
Southold, New York 11971.
Copies to : David DeRidder, DEC, Stony Brook
Commissioner Flacke, DEC, Albany
Southold Town Building Department
Town Clerk Bulletin Board
Enconsultants, Inc. , a/c Sal McCarthy
ROAR STEES
¢� OOt1T
FO '� COU
Telephone �
516-765-1938
Southo . 11971
p E c 71981
Totiyn r1gRi Sotftiold
December 7 , 1981
Mrs. Judith T. Terry, Town Clerk
Town Hall
Southold, New York
Dear Mrs. Terry:
The following action was taken by the Board of Southold Town
Trustees at a regular meeting held December 2, 1981:
RESOLVED to recommend to the Southold Town Board approval of
the wetland application, #79, of Sal McCarthy, to construct a
48 ' x 4 ' fixed elevated (3 ' above grade) catwalk, 16 ' x 4 '
hinged ramp and 6 ' x 40 ' floating dock secured by two piles
with the provision the dock does not extend beyond the docks of
adjacent property owners, both east and west, at Mattituck Creek.
Yours truly,
Anna T. Hataier, President
Southold Town Trustees
OFFICE OF_ pro
,, "
OWN' , RK
Is"o-F,
SJUDITH T.TERRY F,4L'KC`OU -TELEPHONE
a�
TOWN 'CLERK ° 1�
r (516) 765-1801
REGISTRAR OF VITAL STATISTICS
Southold, L. I., N. Y. 11971
November 11, 1981
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 Enconsultants, Inc. . for Sal
McCarthy for a permit in accordance with the Wetland Ordinance
of the Town of Southold for permission to construct a fixed
elevated catwalk, hinged ramp and floating dock secured by two
piles at his property at 40 Fox Hollow Road, on Mattituck Creek,
Mattituck, New York.
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 November
30, 1981 . We shall interpret your lack of response to mean there
is no objection by your agency.
' Very truly yours,
V
Judith T. Terry
Town Clerk
Enclosures
cc : Commissioner Flacke
Southold Town Building Department
1)e-V U `
OFFIC_E'OF " OWNY CLERK
=•i .fir�. t;�
TOWN:OF SOUTHOL11D
JUDITH T.TERRY SUFFOLK- T, TELEPHONE
T OWN CLERKa
REGISTRAR 0I7 VITAL STATISTICS (516) 765-1801
Southold, L. I., N. Y. 11971
November 4, 1981
To Whom It May Concern:
Attached hereto is Environmental Assessment Form completed by
Enconsultants a/c Sal McCarthy in connection with his application
no. 79 for a wetland permit . Permission is requested to construct
a fixed elevated catwalk, hinged ramp and floating dock secured by
two piles at his property at 40 Fox Hollow Road, on ' Mattituck Creek,
Mattituck, New York.
Judith T. Terry
Southold Town Clerk
Posted on Town Clerk' s Bulletin Board on 11/4/81.
.. n�5++ae ,'.:" .•YZ�"i`•"`�`-�'::h.. ?+4+(i .-. s .-j J-„ i:fu ".•cy vv ,. i • i• 'l;i"•.•",•:.- h:+•;:7 -- -vr:: -k r H•P
- -, _ •;.•....`,:",- r-?r�:.,,,:a�.y..xneaaa.�Sy.3:=w+c.vnk{y:;'fr^, '!�'+n:w�ss!mrpe,✓�;w;rr,
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• ., - 41. ;.5 ,54 - - -:1 ,.'_
R �APPENDIX B - NAME-OF PROJECT
SHORT ENVIRONMENTAL ASSESSMENT FORM
I�tSTRUCTIONSs
n� Ro• o ,
(a) In order to answer the questions in. this short EAP is is assumed that the
ppreparer will use currently available information concerning the project and the
likely- impacts of the action. It is not expected that additional studisep 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 trat 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 No
2. Will there be a major change to any unique or
unusual land form found on the site? . . . . . .� Yea No
3. Will project alter or have a large effect on
an existing body of water? , • . , . . . . . _+ Yea _. No
4• Will project have a potentially large impact on
groundwater quality? s 9 g 0 0 0 0 0 a yens No
5• Will project significantly effect drainage flow
on adjacent sites? . . -. . . . . . . . . . Yes No
6. Will project affect any threatened or endangered
plant or animal species? • • • • • . • • • s • Yea ✓ No
7. Will project result in a major adverse effect on
air quality? . . . . • . . . . . • • yea No
$. Will project have a major effect on visual char-
acter 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 struct.
ure of historic, pre-historic, or paleontological
importance or any site deuignated as a critical
environmental area by a local agency? . , . Yes No
10. Will project have a major effect on existing or
future -recreaticnal opportunities? • Yea L-*",No
ll. 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 disturb-
ance as a result of the project's operation? Yes �� No
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 Dopula-
tion of more than 5 percent over a ore-year
period or have a major negative effect on the
charact—ar of the- community or neighborhood? , Yes No
15. Is there publ c�nVvsy concerning the project Yes No
PREPARERtS SIGNATURE; TITLE;
REPRESENTINGt / DAMIlL�l
9/1/78
OFFICE°OF,'TO WNµ,CLERK
TOWN O&SOUT OLD
JUDITH T.TERRY VI-FF"T K-COTlT� TELEPHONE
Towle CLERK '�' (516) 765-1801
REGISTRAR OF VITAL STATISTICS
Southold, L. I., N. Y. 11971
November 4, 1981
Southold Town Board
Southold Town Hall
Southold, New York 11971
Gentlemen :
Transmitted herewith is application no . 79 for a
wetland permit submitted by Enconsultants, Inc. a/c Sal
McCarthy. _
Copies of this application have been forwarded to
the Board of Town Trustees and Conservation Advisory
Council on this date for their report of findings and
recommendations . -
Very truly yours,
Judith T. Terry
Town Clerk
JTT/bn
Enclosures
OF*kp;ICE OF fT'OW L�ER�K
-OW.NOSOHOED /
_�4
JUDITH T.TERRY S, FFOL Kp�UiJ�NTT' -TELEPHONE
Town CLERK (516) 765-1801
REGISTRAR OF VITAL STATISTICS
Southold, L. I., N. Y. 11971
November 4, 1981
Mr . Frank Cichanowicz III , Chairman
Conservation Advisory Council
Southold Town Hall
Southold, New York 11971
Dear Mr. Cichanowicz :
Transmitted herewith is application no. 79 for a
wetland permit submitted by Enconsultants, Inc, a/c Sal
McCarthy.
Please prepare a written report of -findings and
recommendations with respect to this application and
submit said report to me within 20 days of receipt of
this letter.
Very truly yours,
Judith T. Terry
Town Clerk
JTT
Enclosures
di I3 a
®FFIC+OF'v OWN-, RK
TOWN OFA SOUT'HOLD
JUDITH T.TERRY SUFFOL -"-COUNT,Y TELEPHONE
TowN CLERK `" � ��, ° (516) 765-1801
REGISTRAR OF VITAL STATISTICS
Southold, L. I., N. Y. 11971
November 4, 1981
Mrs. Anna Hataier, President
Board of Southold Town Trustees
Southold Town Hall
Southold, New York 11971-
Dear
1971Dear Tubs. Hataier :
Transmitted herewith is application no. 79 for a
wetland permit submitted by Enconsultants, Inc. , a/c
Sal McCarthy.
Please prepare a written report of findings and
recommendations with respect to this application and
submit said report to me within 20 days of receipt of
this letter.
Very truly yours,
Judith T. Terry
Town Clerk
JTT
Enclosures
Town Of .Southold
Town Clerk's Office
Southold, N. Y.
APPLICATION FOR WETLANDS PERMIT
Application No. �,�................... Date of Application November L� 1981
Identity of Applicant ......E14;CQ}t8ultants,,,,Inc; for
Sal.McCarthy,...... ................................:
Address of Applicant ......64..North Main St: : .Southampton: N: .Y.: .11968..............................
.... ................. .. . .. . .. ....
INSTRUCTIONS FOR PERMIT
A. This application is to be completely filled in by typewriter or ink and submitted to the Town
Clerk in quadruplicate, accompanied by writter permission from the owner of the property if not
the some as the applicant.
B. Pilot Plan must be drawn to scale on the reverse side of this application showing the location
of property, the names and locations of owners of adjoining properties, and a detailed description
of proposed project. (Note: Copies of the Pilot Plan may be made by a copy machine and attached
to the Permit Application:)
C. No operation shall be initiated by the applicant until all permits that are required are issued.
D. A detailed statement of the rehabilitation and proposed condition of the premises after the
work is completed must be given, including a survey if required.
E. If permit is being sought for a more sizeable excavation than the construction of a private
single dock or jetty, then this application must be accompanied by a survey and topographical map
certified by a registered land survey or Professional Engineer. The horizontal control of survey
shall be based upon an approval local coordinate system. The vertical control for elevation and sound-
ings shall be based upon United States Coast and Geodetic Survey and/or United States Geological
Survey datum.
F. A statement must accompany the application describing any known prior operations conducted
on the premises in question and whether any prior licenses or permits have been issued to erect
structures or to dredge or deposit fill on said premises and whether any such permits or licenses
were ever revolted or suspended by a governmental agency.
G. A filing fee of $25.00 shall accompany the application. This filing fee includes one inspection.
there is a $5.00 fee for each additional inspection.
H. The Town Board upon request,2f the applicant for a permit, may waive in whole or in part,
the provisions of Article II, Sectio , subdivisions A and (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.
a
Examined .................................................. 19.......
Approved ................................................................
Disapproved ...........................................................
Conditions, if any ................................................,................................................................................
..................................................................................................................................................................
.................................................................................................................................................................
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 ...Construct-a--,48' x 4.':.fixed elevated �3'. :above:.�rade).:catwalk; ..
16' x 4' hinged rami and 6' x 40' floating dock secured by 2.piles: .
... ..... ........ ..........
Location of property for which permit wanted...U..Eo.Z..I19.U.4.V..Ad...,..?`K?X1=.d41.?9.k'.A8:X:.............
..................................................................................................................................................................
Home address of permit applicant if different from aforesaid location ...same
...................................
.................................................................................................................................................................
Creek, Bay or Harbor fronting propertyMattituc.. Creek .. .
..................................................................................................................................................................
Size of proposed work: 48' x 4 ' fixed elevated (3' above grade) catwalk, 16' x 4'
hinged ramp and 6' x 40' floating dock.
Length ....................................................................................................................................................
Width .....................................................................................................................................................
HeightAbove High Water .3.....i............................................................................................................
DepthBelow Low Water ....XIAXIA...............................................................................................................
Yardsto be Excavated ...ATORE.......................... ....................................................................................
Yardsto be Filled ............UQM..............................,................................................................................
Width of canal, creek or bay fronting property....MCL-Et.................................................................
Depthat Low Tide .....2..f t.:.................................,................................................................................
AverageRise in TideA..ft...................................................................................................................
0
Is this for private or business use? .Priv,ate.........................................................................................
AreaZoning ...Residential...................................................................................................................
Manner in which material will be removed or deposited .NJA........................................................... .
..................................................................................................................................................................
Intended use of property ...No, change of. existing„residential use.
....... .......... ...........................................................
................................................................................ .......................................................................
Written consent of owner of property, if not the same as the applicant .MLATTAOVA..............
.........4....................................................................... ........4.......................................................................
.........4................................................................................4.......................................................................
COUNTY OF SUFFOLK )
STATE OF NEW YORK SS:
.........4........................................................................................................... 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 4rf
of said ermit, if granted.
......... ................... .........................................
Signa -Applicant
Sworn to before me this ..... "`�
...........................
day of
...... o r`;t`;'�................ .. 19�.......
Notary Public
ALINE T. MAUS
Notary Public, State of NX
No. 4699496, Suff. Co.
Term Expires Mar.30 1 oi5
September 2491981
To Whom It May Concern
I hereby authorize Enconsultants Inc, , to secure all permits
necessary for the construction of a floating dock on the property,
owned by me located at 40 Fox Hollow Road, Mattituck, New York.
Sal McCarthy
APPENDIX B NAME OF PROJECT
SHORT ENVIRONMENTAL ASSESSMENT FORM
NSTRUC IONS:
(a) In order to answer the questions in this short SAF is is assumed that the
Mreparer will use currently available information concerning the project and the
ely impacts of the action. It is not expected that additional studies, research
or ether 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
"ot significant,
(d) Enviiro_nm_ntal Assessment
le Will project result in a large physical change
to the project site or physically alter more
than 10 acres of land? , , , , , . . , • e • . Yea No
2• Will there be a major change to any unique or
unusual land form found on the site? , e , • • .,� Yeas No
3, Will project alter or have a large effect on
an existing body of water? , , • • • . Yee No
4• Will project have a potentially large impact on
groundwater quality? . , , . . • . , • e . , Yes No
5. Will project significantly effect drainage flow
on adjacent sites? • • • . , • • . o • • • Yes NO
69 Will project affect any threatened or endangered
plant or animal species? • e , e • e , . 0 , . w! Yea ✓ No
7, Will project result in a major adverse effect on
air quality? . . , , , . , . . . , . Yws ✓No
$. Will project have a major effect on visual char-
acter of the community or scenic views or vistas
known to be 1mvor'.ant to the community? , • , Yes No
9, Will project adversely impact any site or struct-
ure of historic,, pre-historic, or paleontological
importance or any site deb ignated as a critical
environmental area by a local agency? . , , Yes `� No
10, Will project have a major effect on existing or
future recreational opportunities? . e . Yeo L"/No
119 Will project result in major traffic problems or
cause a major effect to existing transportation
Sy9temS`? , , o , , , e • • . • . Yes L_— No
12, Will project regularly cause objectionable odors,
noise, glare, vibration, or electrical disturb;•
ante as a result of the projectos operation? Yes . No
...-�
13• Will project have any impact on public health or
safety? , • • e . . s . e , . v �w Yea No
14. Will project affect the existing community by
directly causing a growth in permanent popula-
tion 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 publ cont v sy concerning the project? Yes V/ No
PREPARER'S SIGNATURE; TITLE; �
REPRESENTING; ALP A DATES ���C? .-.�....__
4/1/78 1
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