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HomeMy WebLinkAboutPagnozzi, Cheryl FROM THE 3/2/82 minutes of the Town Trustees: The attorney representing Cheryl Pagnozzi informed the Board that the applicant will honor the request to remove the pilings by May 1, 1982. He stated that Miss Pagnozzi would like to build an additional dock on her property, thus keeping the old dock, railway and hoist. The Board informed the attorney that they would not approve four structures on this property. It was the concensus of the Board that Miss Pagnozzi remove the railway before proceeding with the application to construct an additional dock. They also request that Miss Pagnozzi submit a letter to the Board stating her reasons for the additional dock. FROM THE 2/11/82 minutes of the Town Trustees: Resolved to approve the application of Cheryl Pagnozzi with the provision the original dock is to be removed and placed on the other side of the railway. ea __._'I'4np� a ...• .:�s.r'Z:aup ZaSkare+. a �y' f<'{t}1•f1 614 f.�.r ' d.'�`i 'Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 ' JUDITH T TERRY r TELEPHONE Touv CLERK tliv (516)765-1801 tl'c;ISTRAR OI V17'A1.Sl':1"1 ISI'ICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD ' April 7, 1982 Miss Cheryl Pagnozzi 43-44 161 Street t Flushing, New York 11358 Dear Miss Pagnozzi: The Town Board is in receipt of your letter of April 2, 1982 requesting that the hearing on your I application for a wetland permit be held until you reapply to the Town Trustees. The hearing on your application was held, as is required by law, once it has been advertised. However, at the time of the hearing the Board cancelled your application, since you must make a new application if your proposal is changed. I am enclosing the required forms for filing when you have finalized your proposal. The filing fee is $25 . 00. Very truly yours, Judith T. Terry Southold Town Clerk Enclosures PUBLIC HEARING APRIL 6, 1982 PUBLIC HEARING IN THE MATTER OF THE APPLICATION OF CHERYL PAGNOZZI FOR A PERMIT UNDER THE PROVISIONS OF THE WETLAND ORDINANCE. 3: 00 P.M. Present: Supervisor William R. Pell, III Councilman John J. Nickles Councilman Lawrence Murdock, Jr. Councilman Francis J. Murphy Councilman Joseph L. Townsend, Jr. Town Clerk Judith T. Terry Town Attorney Robert W. Tasker Absent: Justice Raymond W. Edwards SUPERVISOR PELL: I will open the public hearing on the wetland application of Cheryl Pagnozzi. The Town Clerk will read the legal notice. r TOWN CLERK TERRY: "Notice is hereby given that 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 April 6, 1982 as follows: 3: 00 P. M. o' clock in the matter of the application df-Cheryl Pagnozzi for a permit under the provisions of the Wetland Ordinance of the Town of Southold to construct a float, ramp, catwalk and four mooring piles at Jockey Creek, ._ off.-gf,--then,south side' of;Jockey TCreek Drive, Soiithold,.iiNew York. " Affidavit of publication from the Long Island Traveler-TNatchman and The Suffolk Times and it was posted on the Town Clerk' s Bulletin Board. SUPERVISOR PELL: I have a letter from Cheryl Pagnozzi dated April 2, 1982 addressed to the Southold Town Board: "Gentlemen: Un- fortunately nothing has been resolved with the Trustees at this time. They have said different things at different times which are not acceptable. Please hold your meeting regarding our permit until we reapply to the Trustees. Thank you for mailing us the advice of your meeting. " At this time is there anyone present who wishes -,to address the Board with regard to this application by Cheryl Pagnozzi? (No response. ) Anyone wish to be heard at all? (No response. ) At this time I will declare the application of Cheryl Pagnozzi , application no. 85, cancelled, asfrequested by Miss Pagnozzi, and also declare the hearing closed. i h T. Terry, Southol Town Clerk 7 . APR - 61982 �TOWN OF SOUTHOLD � � � , � 3 S- e- I I41 COUNTY OF SUFFOLK ss: STATE OF NEW YORK NOTICE OF HEARINGS NOTICE IS HEREBY'GIV- ENthatpublichearingswillbe- Patricia Wood, being duly sworn, says that she is the held by the Town Board of the iI Town -of .Southold at the Editor, of THE LONG ISLAND TRAVELER-WATCHMAN, Southold Town Hall, Main ' Road, Southold,New York, on a public newspaper printed at Southold, in Suffolk County; April b, 1982 as follows: and that the notice of which the annexed is a printed copy, 3:00 P.M. o'clock in' the matter of the application of has been published in said Long Island Traveler-Watch- Cheryl Pagnozzi for a permit man once each week for .....................weeks under the provisions of the Wetland Ordinance of the, successively, commencing on the s•••••.••••••••••••••• Town of Southold to construct a float;ramp,catwalk and four _ mooring piles at Jockey Creek, daY --�^�-- 191%. off of the south side of Jockey Creek Drive, Southold, New York. 3:05 P:M. o'clock in:,the matter of the application of Enconsultants, Inc. on behalf of Friedrich Krug for a permit under the provisions-of the Sworn to before me this �.................. day of ,Wetland Ordinance of the Town of Southold to replace timber bulkhead and backfill ..................... ....... with clean sand fill to be- trucked in from upland source at Budd's Pond, off Budd's Pond Road, Southold, New i York. ................... .G�... .��... .. :...e............ All persons interested in Mary Public PEGGY J. WHITE said matter shall appear at the NOTARY PUBLIC, State of New York time and place above specified No. 4728113 and will be given an oppor- Qualified in Suffolk County �� tunity to be heard. Commission Expires March 30, 19'3'(j Dated: March 23, 1982. - BY ORDER OF THE I SOUTHOLD TOWN BOARD JUDITH T.TERRY, t TOWN CLERK 1T-3/25/82(92) PUBLIC NOTICE NOTICE OF HEARINGS , 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 April 6,1982 as follows: + 3:00 P.M: o'clock in the COUNTY OF SUFFOLK, J matter of the application of STATE OF NEW YORK, ss: Cheryl Pagnozzi for a permit J under the provisions-of the Wetland Ordinance of "the Troy• Gustayson Town of Southold to construct a ' ' • ' • • ' ' • • ' • • • • • • • • • • • • being duly Sworn, float, ramp, catwalk and four says that .11e. . . . , is Printer and Publisher sof the SUFFOLK mooring piles at Jockey Creek, i off of the south side of Jockey WEEKLYTIMES, a newspaper published at Greenport, in said Creek Drive, Southold, New i pap p P York.', I county;and that the notice, of which the annexed is Ki printed 3:05 P.M. o'clock;in the y� matter of the application of Enconsultants,Inc.'on behalf copy has been published in the said Suffolk Weekly Times of Friedrich Krug for a permit under the provisions of the once in each week, far . . QS. . .. . . . . . . . . . . . . . . . . weeks Wetland Ordinance -of the 2�th Town of Southold to replace successively commencing on the . . . . . . . . . . . . . . . . . . . . . . . timber bulkhead and backfill March 1 82 with•clean sand fill to be day of . . . . . . . . . . .. . . . . . . . trucked in from upland source at Budd's Pond,_ off Budd's- . . . . . . 7this . . . . . . . . . . . . . . . . . . . Pond Road, Southold, New 25th York. Sworn to before me . . . . . . ; All persons interested in said I i matter shall appear at the time clay of . XaZab. . . . . . . . . . . 19. $Z. J and place above specified and �!4C. W . . . . . . . . . . be given an opportunity to . . . . . . . . . . . . . . k . . . . . . . . beheard. DATED:March 23,1982 • • • • • • • •. . . . . . . . . . . . . ... . . . . . . . . • • • • • • BY ORDER OF THE SOUTHOLD TOWN BOARD � JUDITHT.TERRY, HELEN K DE VOE - TOWN-CLERK NOTARY PUBLIC, State of New York lTM25-3910 , No 4707878, Suffolk Count Term Expires March 30, y_ 19� I I, 1 it i, STATE OF NEW YORK: {� SS: COUNTY OF SUFFOLK: ij {! JUDITH T. TERRY, Town Clerk of the Town of Southold, I, New York, being duly sworn, says that she is over the age of } !1 twenty-one years; that on the 24th March 82 y- y day of 19 { !, 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 { l place in the Town of Southold, Suffolk County, New York, to wit : - S Town Clerk Bulletin Board, Town Clerk Office, Main Road, Southold, New York 11971 7 s Notice of Hearings : April 6, 1982 upon wetland applications of i. j! 3: 00 P.M. - Cheryl Pagnozzi !! 3: 05 P.M. - Enconsultants Inc. a/c Friedrich Krug i L� Judith T. Terry ' i Southold Town Clerk !� I i, i +� Sworn to be before me this _24-th day of March 19.82 s { NotaryPublic- ELIZABETH ANN NEVILLS - i NOTARY PUBLIC, State of New York No. 52-8125850, Suffolk County j; Term Expires Maroh 30. 19,9_ i I i' i 1 'i l r i l`t PUBLIC NOTICE NOTICE OF, HEARINGS NOTICF' 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 April 6,, 1982" as follows: 3: 00 P.M, o'clock in the matter of the application of Cheryl Pagnozzi for, a',,permit'F under, the 'pro'visions ;o'f the Wetland Ordinanc o the Town of Southold ',to construct, a float, ramp, 'catwalk and four mooring plies at'. Jockey Creek, ooff of the south side of . Jockey Creek Drive, 's'outhold,' 'New York. " a 3 : 05 P.M. o' clock in the, matter of the application 'of ' Enconsultants, Inc . on behalf of Friedrich Krug for a permit -,under ;the provisions ,of the Wetland Ordinance of, -the Town of Southold to replace timber bulkhead and backfill with clean sand fill to be trucked in from upland source at ,Budd' s Pond-' off Budd' s Pond Road, Southold, New York: All persons interested in said•'mat'ter shall `appear at the , time and place above- specified and `will `be,'given an opportunity to be heard. DATED: Rar`6h 2'3; 1982 BY ORDER ',OF THE- SOUTHOLD TOWN BOARD' JUDITH T. ' TFRRY, " TOWN CLERK. PLEASE PUBLISH 'ONCE, MARCH 25, ; 1982, AND FORWARD TIVO AFFIDAVITS OF PUBLICATION_ TO JUDITH T-. TERRY;. TOWN CLERK, TOWN ,HA,LL, MAIN ROAD, SOUTHOLD, NEIN YORK 11971. ` Copies to the following: The Long Island Traveler-Watchman The Suffolk Times Town Board Members Cheryl Pagnozzil , Enconsultants, Inc, a/c Friedrich Krug Town Clerk' s Bulletin Board SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL Southold, N. Y. 25 February 1982 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 February 23, 1982. RESOLVED to recommend to the Southold Town Board approval of the wetland application of Friedrich Krug 487 to replace timber bulkhead in same location and configuration and backfill with clean sand fill to be trucked in from up- land source. Application #86, Joseph Calalier to create a mooring for commercial vessels be tabled until the Conservation Advisory Council receives more information. Upon visiting the site the Council found there were no reference points, no way of knowing where the MHW mark is. The Council recommends everything be staked out. Where will the dredging begin? Where is the planting of marsh grass going to be? How will the fill be retained? Application #85, Cheryl Pagnozzi was reviewed by the Council and has been approved. Application #82, Matt-A-Marr Marina has been approved by the Council, and they recommend a permit not be required. - Yours truly, FRANK CICHANOWICZ III, CHAIRMAN By Jane Moffatt, Secretary 11 14, JUDITH T.TERRY TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 NEGATIVE DECLARATION NOTICE OF NO SIGNIFICANT EFFECT ON THE ENVIRONMENT Dated: February 9 , 1982 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 Cheryl Fagnozzi for a wetland permit . Permission is requested for approval of 207x5 ' float , 151x3' ramp, 20' x5 ' catwalk and 4 mooring piles at Jockey Creek off south side of Jockey Creek Drive , 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 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 th,e 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 ` ,_'Cheryl Pagnozzi WOMOR BOAR STEES. id Wo_"Clerk 5oa tho �- q�j C . Telephone ' &, . „ 516-765-1938 South o . 11971 February 3, 1982 Mrs. Judith T. Terry, Town Clerk Town Hall Southold, New York 11971 Dear Mrs. Terry: The following action was taken by the Board of Southold Town Trustees at a regular meeting held February 2, 1982: RESOLVED to recommend to the Southold Town Board approval of the wetland application, #85, of Cheryl Pagnozzi to construct a 15 ' x 3 ' ramp, 20 ' x 5 ' catwalk and 20 ' x 5 ' float and in- stall 4 piles to form a mooring and lift for a small private outboard boat with the provision the original dock- is removed and placed on the other side of the railway. Yours truly, Paul Stoutenburgh, President Southold Town Trustees R9CE`VERD SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL FEB 3 egg Southold, N. Y. �oY+ Clerk Southold .;anuary 26, 1982 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 January 26, 1981. RESOLVED to recommend to the Southold Town Planning Board that the application of James W. Dawson for a minor subdivision at Bayview be tentatively approved after an individual evaluation has been made. RESOLVED to recommend to the Southold Town Board approval of the wetland application of En-Consultants, Inc. for Neil Simon to construct bulkhead to existing bulkhead and to truck approximately 200 cu. yds. of clean sand in for backfill. Council received a letter from Mr. Simon in response to the Council' s recommendation of the December 8, 1981 meeting. It was an adequate answer to our questions. RESOLVED to recommend to the Southold Town Board approval of the wetland application submitted by Enconsultants, Inc. on behalf of William LaMorte to maintenance dredge and place resultant 975 cu. yds. of fill behind proposed upland retaining wall to be constructed on southerly part of parcel. RESOLVED to recommend to the Southold Town Board approval of the wetland application submitted by Enconsultants, Inc. for Matt-a-mar Marina to con- struct 35 ft. by 5 ft. section of floating dock plus mooring pile extending from the south -st corner of the property. RESOLVED to recommend to the Southold Town Board approval of the wetland application submitted' by Enconsultants, Inc. on behalf of Walter Silbernagel bconstruct a timber dock and elevated catwalk. RESOLVED to recommend to the Southold Town Board approval of the wetland application submitted by Enconsultants, Inc. on behalf of Strong's Marine Center to maintenance dredge two contiguous rectangular areas. Application of Cheryl Pagnozzi is being tabled until the February meeting at which time the council will make a report. Yours truly, FRANK CICHANOWICZ III, CHAIRMAN CONSERVATION ADVISORY COUNCIL y Jane Moffatt, Secretary FO JUDITH T.TERRY , ; TELEPHONE TOWN CLERK - '� (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 January 20, 1982 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 Cheryl Pagnozzi for a wetland permit and Short Environmental Assessment 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 February 8, 1982 We shall interpret your lack of response to mean there is no objection by your agency. Very truly yours, Judith T. Terry Town Clerk Enclosures cc : Commissioner Flacke Southold Town Building Department OFFICE OF TOIV CSI RK SOLJTHUI'D` JUDITH T.TERRY SLTFFOLKCOUNTY TELEPHONE TOWN CLERK (516) 765-1801 REGISTRAR OF VITAL STATISTICS Southold, L. I., N. Y. 11971 January 5, 1982 Southold Town Board Southold Town Hall Southold, New York 11971 Gentlemen : Transmitted herewith is application no . 85 for a wetland permit submitted by Cheryl Pagnozzi. 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 'Tu { `e, s �. JUDITH T TERRY �,;,,,� G,�., �{y- TELEPHONE TOWN CLERK '�`���4 �. (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 January 5, 1982 Mr. Frank Cichanowicz III , Chairman Conservation Advisory Council Southold Town Hall Southold, New York 11971 Dear Mr. Cichanowicz: Transmitted herewith is application no. 85 for a wetland permit submitted by Cheryl Pagnozzi. 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 0IFF,RLC PERK TO ,QFS 0tD JUDITH T.TERRY SIFO{h '_C_ QJNT TELEPHONE TowN CLERK (516) 765-1801 REGISTRAR OF VITAL STATISTICS Southold, L. I., N. Y. 11971 January 5, 1982 Mrs. Anna Hataier, President Board of Southold Town Trustees Southold Town Hall Southold, New York 11971 Dear Mrs. Hataier : Transmitted herewith is application no. 85 for a wetland permit submitted by Cheryl Pagnozzi. 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 O 1 F ' N K o "OUT JUDITH T.TERRY � K--" IN TELEPHONE TOWN CLERK 1 ` 1 (516) 765-1801 REGISTRAR OF VITAL STATISTICS Southold, L. I., N. Y. 11971 January 5, 1982 To Whom Tt May Concern ; Attached hereto is Environmental Assessment Form completed by John H. Geideman for Cheryl Pagnozzi in connection with her wetland application no. 85 for a wetland permit. Permission is requested for approval of 201x5' float , 151x3; ramp, 201x5 ' catwalk and 4 mooring piles located at Jockey Creek off south side Jockey Creek Drive, Southold, New York. udith T. Terry JTT/bn Town Clerk Posted on Town Clerk' s Bulletin Board on 1/5/82 `- 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-40o 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 No 4. Will project have a potentially large impact , on groundwater quality? . . . . . . . . . . . . . . . . . . . . . . . Yes_)(_No 5 . Will project significantly effect drainage flow on adjacent sites? . . . . . . . . . . . . . . . . . . . . . . Yes )e'No 6 . Will project affect any threatened or endangered pl-ant or animal species? . . . . . . . . . . . Yes_.K_No 7. Will project result in a major adverse effect on air quality? . . . • . . . . . . Yes_X No 8 . Will project have amajoreffectonvisual 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 by a local agency? . . . . . . . . . . . ... . . . ... : . . . : . . . . . .. Yes_L_No 10 . Will project have a major effect on existing or future recreational opportunities? . . . . . . . . . Yes_y No 11 . Will project result in major traffic problems or cause a major effect to existing transportation systems? . . . . . . . . . . . . . . . . . . . . . . . Yes__)LNo 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 'publichealth 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 neighborh,ood? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes_\�_No 15 . Is there public controversy concerning the project? . . . . . . . . . . . . . . . . . . . . . —Yes_)oo PREPARER ' S SIGNATURE REPRESENTING_ DATE_ � /L Town Of Southold Town Clerk's Office Southold, N. Y. APPLICATION FOR WETLANDS PERMIT Application No. ...... �.............. Date of Application ............. // ..�.......... Identityof Applicant ...................dy....... ............................................ Address of Applicant ........` >.' ...... �J...............:. .�":::�'.�..... .....��� 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. 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,,Vie applicant for a permit, may waive in whole or in part, the provisions of Article ll, Section subdivisions A and ( rwhere it finds that nature of the proposed operations are such that 'the requirements of such provisions are not necessary for a proper consideration of a permit application. I. Upon approval of this application the Town Clerk will issue a permit to the applicant. Such permit shall be available for inspection at any time, upon request. Examined .................................................. 19....... Approved ................................................................ Disapproved ........................................................... Conditions, if any ....................................................................................... ...................................... .................................................................................................................................................................. .................................................................................•................................................................................ 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 .....a' ........ ..... .. -. .........•........ .�.. ... .............:... .. .... �.. ... .....' ... ....... .................................7.................. ` Location of property for which permit wanted... ........ ..... ... ...................... ..... ....., e........ �U............................................................................ Home address of permit applicant if different from aforesaid location .............................................. •................................................................................................................................................................. Creek, Bay or Harbor fronting property ...... .. ............. ..... ................................................. .................................................................................................................................................................. Size of proposed work: -__ /+ > X Length ........ ...... .................... ................... .,. ....��...................................................... Width ...................................................................... ............................................................................... HeightAbove High Water ....... :. .r................................................................................................... DepthBelow Low Water ......................................................................................................................... Yardsto be Excavated ........... �:?..... ............................................................................................ Yardsto be Filled ...................... ...�............................................................................................. Widthof canal, creek or bay fronting property..........1.-��. ..... ....................................................... Depthat Low Tide ............. ........................,................................................................................ r_ AverageRise in Tide ............��.................................................................................................................. w Is this for"private or business use? ..........J ....... ..................................................................... U • AreaZoning ...... `.:...... ... ......................................................................................... Manner in which material will be removed or deposited .................................................................. . .................................................................................................................................................................. Intended use of property .............I..r ..... ............... .�. , ......................... ...................................................................................................................... Written consent of owner of property, if not the same as the applicant ........................................ ............................................................................................................:..................................................... .........4........................................................................................................................................................ COUNTY OF SUFFOLK ) STATE OF NEW YORK ) SS: L) o Z�!.i1�.......+/............ �. . .rr1.a, ...................................... 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 ory v' ue of sai perms , if -granted. ....... . .................... .............. ................................ Signo ure of Applicant Sworn to before me this .......q.t.b............... day of .... Q ►l ! r. ...................... 19.. 'r 2&-... .... . . .. .... .... Notary Public ELIZABETH ANN NEVILLE NOTARY PUBLIC, State of New York No. 52-8125850, Suffolk Cou0„ Term Expires March 30, 19. 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