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HomeMy WebLinkAboutStrachan, Kenneth Jr - - -- } -- - --- - TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, NEW YORK WETLANDS PERMIT This Wetlands Permit No. .... 1........... has been granted by the Southold Town Board according to information furnished in Application No. .....91........... filed by Applicant ..Kennet. ... h Strachan. . . . ..: Jr . .... .. . .... .... ...... ........................................ on March 24 198.2..... 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 .construct a catwalk across marshland to ............................................................................... provide access to beach. ................................................................................................................................................................. ................................................................................................................................................................. Location of property on which work to be done ,east of King Street , Orient ................................................................................................................................................................. ................................................................................................................................................................. Orient Harbor Creek, Bay or Harbor fronting property ......................................................... ....... :....:.... ..........................................................................................................................:...................................... Sizeof work: Length ...240...f t..........................................................................'. .�.)..'.I. ��\.......... l' Width2.-1/2..ft................................................................................. ...................... HeightAbove High Water .2..ft................................................................................. DepthBelow Low Water ......-.--.................................................................................... Yardsto be Excavated .....none...................................................................................... Yardsto be Filled .........none...................................................................................... Manner in which material is to be removed or deposited ......-.--- .............................................................. ................................................................................................................................................................. Intended use of property ......privat.e... ... — residential. . . ... ...... .... . .... ....................................................................... ................................................................................................................................................................. Conditions if any ..... ................................................................................................................................................................. Expiration Date ....-.--.- ....................................................................................................................... Number of Inspections Required ....-.--.-............................................................................................... InspectionFees ..................................................................................................................................... Liability Policies in the Amount of ......................................................................................................... - -i The validity of this permit is or may be subject to the approval of other governmental or municipal authorities. The Town accepts no responsibility in applying for or obtaining such approval. In the event that such approval is necessary, the holder of this permit shall not commence operations here- under until such approval has been obtained in writing. The failure to obtain such other approval when required shall subject this permit to immediate revocation by the Town Clerk upon receipt by the Town Clerk of written notice from such other governmental or municipal authorities of its refusal or disapproval. The applicant does by the acceptance of this permit, assume all responsibility for operations under- taken pursuant to this permit, and shall take all precautions for the prevention of injuries to persons and property resulting from such operations. By such acceptance, the applicant also agrees to indemni- fy and save harmless the Town, and its officers, agents and employees from any and all claims arising from operations under this permit and any and all acts or omissions of applicant, his agent and employees. The applicant and the owner and occupants of the premises upon Which the operations authorized by this permit are being conducted, do, by the acceptance of this permit, give consent to the Town, and its officers and employees to enter upon the premises where such operations are being conducted to make such inspections as the Town may deem necessary to insure that such operations are being con- ducted in conformity with this permit. This operation will not substantially: A. Adversely affect the wetlands of the town. B. Cause damage from erosion, turbidity or siltation. C. Cause saltwater intrusion into the fresh water resources of the town. D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife.and vege- tation or the natural habitat thereof. E. Increase the danger of flood and storm-tide damage. F. Adversely affect navigation on tidal waters or the tidal flow of-the tidal waters of the town. G. Change the course of any channel or the natural movement or flow of any waters. H. Weaken or undermine the lateral support of other lands in the vicinity. I. Otherwise adversely affect the health, safety and general welfare of the people of the town. Signed A� Town Clerk, Town of Sou Id S E L) , �' Date May 18, 1982 PUBLIC HEARING SOUTHOLD TOWN BOARD MAY 18, 1982 3: 50 P.M. IN THE MATTER OF THE APPLICATION OF KENNETH STRACHAN, JR. FOR A WETLAND PERMIT, APPLICATION NO. 91. Present: Supervisor William R. Pell, III Councilman John J. Nickles Councilman Lawrence Murdock, Jr. Councilman Francis J. Murphy Councilman Joseph L. Townsend, Jr. Justice Raymond W. Edwards Town Clerk Judith T. Terry Town Attorney Robert W. Tasker SUPERVISOR PELL: We have one more public hearing, the application of Kenneth Strachan for a Wetland Permit. COUNCILMAN NICKLES: "Notice is hereby given that a public hearing will be held by the Town Board of the Town of Southold at 3: 50 P.M. , Tuesday, May 18, 1982 at the Southold Town Hall, Main Road, Southold, New York in the matter of the application of Kenneth Strachan for a permit in accordance with the Wetland Ordinance of the Town of Southold, for permission to construct a 240 ft . catwalk across the marshland to provide access to the beach at Orient- Harbor, east of King Street , Orient, New York. All persons interested in said matter shall appear at the time and place above specified and will be given an opportunity to be heard. Dated: May 4, 1982, Judith T. Terry, Southold Town Clerk. " We have an affidavit from Pat Wood that it was published in The Long Island Traveler-Watchman. I have an affidavit from Troy Gustayson that it was published in The Suffolk Times. I have an affidavit from the Town Clerk that it was posted on her official bulletin board. Notice of Negative Declaration from the Town of Southold. I have a letter from the Southold Town Conservation Advisory Council, Frank Cichanowicz, III, Chairman. "Dear Mrs. Terry: The following action was taken by the Southold Town Conservation Advisory Council at a regular meeting held April 27th, 1982. Resdl.ved to recommend to the Southold Town Board approval of application #91 by Kenneth Strachan, Jr. providing the height above high water be changed from two feet to three feet. " I have a letter to the Town Clerk from the Board of Southold Town Trustees, Paul Stoutenburgh, President . Dear Mrs. Terry: The following action was taken by the Board of Southold Town Trustees at a regular meeting held April 7, 1982: Resolved to recommend to the Southold Town Board approval of the Wetland Application, #91, Page 2 - Kenneth S _-­_chan, Jr. - Wetland Appl i___tion of Kenneth Strachan, Jr . , to construct a catwalk across marshland at Orient Harbor, Orient . " SUPERVISOR PELL: You' ve heard the reading of the public notice. At this time I will ask anybody who would like to speak in favor of the wetland application will now be heard. (No response. ) Is there anybody here representing Mr. Strachan? KENNETH STRACHAN, JR . : I 'm Kenneth Strachan. SUPERVISOR PELL: Do you wish to say anything, sir? MR. STRACHAN: No, I have nothing to add. SUPERVISOR PELL: Anybody wish to speak in opposition to this application? (No, response. ) Anybody wish to be heard at all on the application? MR. STRACHAN: One point. Is it a recommendation that the height be three feet then? COUNCILMAN NICKLES: The Conservation Advisory Council, I believe, recommended that . TOWN CLERK TERRY: "Providing the height above high water be changed from two feet to three feet . " MR. STRACHAN: Is there any reason for that? COUNCILMAN NICKLES: They just made the recommendation, they didn' t offer an explanation. MR. STRACHAN: It seems to me three feet high would be more objection- able from an aesthetic point of view. I would like to maintain two feet . SUPERVISOR PELL: Thank you. The record will so state. Anybody else wish to be heard on this? (No response. ) If not, I will . declare the hearing closed. e J�.udith T, Terry Southold Town Clerk t ' COUNTY OF SUFFOLK ss: STATE OF NEW YORK Patricia Wood, being duly sworn, says that she is the NOTICE OF HEEARIAkING LEGAL NOTICE Editor, of THE LONG ISLAND TRAVELER-WATCHMAN, ( NOTICE IS a public newspaper printed at Southold, in. Suffolk County; _"N that a public heaB g� 1 ' and that the notice of which the annexed is o printed copy, be held by the Town-Board of has been published in said Long Isla T oveler-Watch- the Town of Southold at 3:50 P.M., Tuesday, May 18, 1982, man once each week for ................ ...<.� .. . .weeks at the Southold Town Hall,- i f� Main Road successively, commencing on the ........... ... .�............... • Southold, New_ Y tiof Kennet the t the j .. ................. .. 19. — 'applicationKenneth Strach- - +' oy 'an for a permit in accordance with the Wetland Ordinance of ' ........ the Town . ................................................ ..... .... ...... of Southold, for permission to construct a 240 ft. catwalk across the marsh- ' hand to provide access to the !beach at Orient Harbor,east of "King Street, OriNewent,' York. Sworn to before me this ...............1 .+�'., day of All persons- interested in nn e �` 1 19.. said matter shall appear at th time and place above specified and will be given an oppor- tunitY,to be heard;;;, Dated:'May 4,1982: JUDITH,T.TERRY4.. SOUTHOLD TOWN CLERK �ow ...... ..... ........................... Public 1T-5/6/82(404) CLEMENT J.I'}{OMPSON NOTARY PUBLIC,State of New%fork NO.52-9321725 Residing In Suffolk County Commission FzpIm Mar;h 30,1 ` LEGAL NOTICE NOTICE OF HEARING NOTICE IS - HEREBY GIVEN that a public hearing will be held by the Town Board COUNTY OF SUFFOLK, I of the Town of Southold at 3:50 STATE OF NEW YORK, � ss: P.M.,Tuesday,May 18,1982 at J the Southold Town Hall, Main I Road, Southold, New York in I . T�py,gp1 ta4sori being duly Sworn. the matter of the application ' ' of Kenneth Strachan fora I permit in accordance with the says that .he'. . . , is Printer and Publisherof the SUFFOLK Wetland Ordinance of the WEEKLY TIMES, a newspaper' -Town of Southold,- for pap published at Greenport. in Said permission to construct a 240 tt. catwalk across the i county; and that the notice. of which theannexed is a printed marshland to provide access to the beach at Orient Harbor, dopy, has been published in the said Suffolk Weekly Times east of King Street, Orient, New York. I once in each week. for 0,ne. . . . . . . . . . . . . . . . . . . weeks All persons interested in said matter shall appear at successively commencing on the . .6111.. . . . . . . . . .. . . . . . . . . . tPhe time and lace above I - 9 . — - ---- - day of . . . . . May. . sprtu . .d and will be given an opportunity to be heard. - . . . . . . . . . . . . . . DATED:May 4,1982 JUDITH T.TERRY i Sworn to before me this, SOUTHOLD TOWN CLERK 1TMY6-3956 day of . . . .May 19. . �2 j ------ -- . . . . . . . . . . . . . . . . . !!D�.� . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HELEN K DE VOE NOTARY PUBLIC,State of New York No 4707878,Suffolk Count Term Expires March 30, 19b .,,-., i......r ,-;;ri:-� -"'�; .u+., l:y,.-, r_,. . - :.u�->a,.i:s.;}xf..•i .M.o--Y;:agr,[.s�-rastc�tY•.t;r ..-,.,-..._rw..--. ,...- .,a.... . i 11 )y I I• j ii ' I I j STATE OF NEW YORK: t +� SS, n COUNTY OF SUFFOLK: I JUDITH T. TERRY, Town Clerk of the Town of Southold, ii New York, being duly sworn, says that she is over the age of twenty-one years; that on the 5th day of May 1982 she affixed a notice of which the annexed printed notice is a I C 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, Ei Southold, New York 11971 ; I ; Legal Notice: Public Hearing on application of Kenneth Strachan, Jr. for a Wetland Permit. 3: 50 P,M, , Tuesday, May 18, 1982. 1! I iI ! Judith T. Terry Southold Town Clerk i� I! i i s Sworn to be before me this 5th day of May 1982 i Notary Public ELIZOEM ANN NEVILLE ? MARY PUBLIC, Stats of Npw Va r {i NO. 52.8125&% Suffolk ; Term ExMres Ma►eh 30, 19 i .t I� {i I� !i 1 LEGAL NOTICE NOTICE OF HEARING NOTICE IS HEREBY GIVEN that a public hearing will be held by the Town Board of the Town of Southold at 3: 50 P .M. , Tuesday, May' 18, 1982 at the Southold Town Hall, • T,?ain Road, Southold, Ne York in the matter of the abplication of Kenneth Strachan - for a permit in accordance withr,the Wetland: Ordinance of the Town of Southold, for permission _to. construct' a 240 ft. catwalk acorss the marshland to provide access to' the beach 'at Orient Harbor, east of `Kind; Street , Orient, New York,. All persons interested in 'said matter shall appear at the time and place above specified and will be given an. opportunity to be heard. DATED: May 4,° 1982 JUDITH T. TERRY SOUTHOLD TOT"?N CLERK PLEASE PUBLISH ONCE, MAY '6,, 1982, AND FORWARD ONE AFFIDAVIT Or PUBLICATION TO JUDITH T. TERRY, TOWN CLERK, TOWN HALL, VAI1\T ROAD, SOUTHOLD, NEW ,YORK- 11971. Copies to the following: The Long Island Traveler-Watchman The Suffolk Times Town Board Members Town Clerk' s Bulletin Board Kenneth Strachan, Jr . F Our Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 JUDITH T.TERRY TELEPHONE TowN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD NEGATIVE DECLARATION NOTICE OF NO SIGNIFICANT EFFECT ON THE ENVIRONMENT Dated : May 5, 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 Kenneth Strachan, Jr . for a wetland permit to construct a 240 ft . catwalk across the marshland to provide access to the beach at Orient Harbor, east of King Street, Orient, 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, Southold Town Clerk, 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' s Bulletin Board Kenneth Strachan, Jr. SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL RECEIVED Southold, N. Y. APR 3 0 1982 Town Clerk Southold April 28 , 1982 Mrs. Judith Terry, Town Clerk Town Hall Southold, NY 11971 Dear Mrs. Terry: The following action was taken by the Southold Town Conservation Advisory Council at a regular meeting held April 27th, 1982. RESOLVED to recommend to the Southold Town Board approval of application #91 by Kenneth Strachan, Jr. providing the height above high water be changed from two feet to three feet. Yours truly, FRANK CICHANOWICZ III By Jane Moffatt, Secretary o BOAR STEES. �'Co[T' Telephone ® `•°'` ,�, 516-765-1938 DECEIVE® a Southo . 11971 APR 91982 Town Clerk Southold April 9, 1982 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 April 7, 1982 : RESOLVED to recommend to the Southold Town Board approval of the Wetland Application, #91, of Kenneth Strachan, Jr. , to construct a catwalk across marshland at Orient Harbor, Orient, Yours truly, Paul Stoutenburgh, President Southold Town Trustees 44 ��ay.. 4, ,31 '•::��,• a,�: MC�4>L JUDITH T TERRY a` TELEPHONE TOWN CLERK ` (516)765-1801 REGISTRAR or VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 March 24, 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 Kenneth Strachan, Jr. for a wetland permit to construct a 240 ft. catwalk across the marshland to provide access to the beach at Orient Harbor, east of King Street, Orient, 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 April 27, 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 ' _ - - r: qp OFFICE OF.'ToWNn.CEERK TOWN OF SOUTH_ OLD :':� y=,�:,° s JUDITH T.TERRY SUFFOLK-COUN,maTY TELEPHONE TOWN CLERK (516) 765-1801 REGISTRAR OF VITAL STATISTICS Z—7:; Southold, L. I., N. Y. 11971 March 24, 1982 To Whom It May Concern: Attached hereto is Short Environmental Assessment Form filed with application of Kenneth Strachan, Jr . for a Wetland Permit on certain property located on Orient Harbor, east of King Street, Orient, New York. Permission is requested to construct a 240 ft. catwalk across the marshland to provide access to the beach. Judith T. Terry Southold Town Clerk Posted on Town Clerk' s Bulletin Board on 3/24/82. •°�fNS"-N4bYM9�s)'�!^,itfi�m;e,§,_�,+,�,, t` "3, w �i�c *c¢ ,.-,{•'• `lS:'s, +`^•, •+4 "'+` K,,ab•.^.r;,br• 'm' jk^a;.r.'iiy='t; r�.^osa w .r•K:. '},,;•w"..t rsiwy„',,r'��k` a�,..+�ak i,.,�,NY 'mt i'E:,a,`'`.,,;,f•FSF. N,".�N"fFti•'ft f'Jh'Yk%` ,4..,...:1.wi.u :- . i.,q•?s:^ :�"rcy�"; 'r5_;,W,.-. '�.`7^:.SS'?.- j�,r',...,Y-e .x.....+v.,-.v'Kcnr,s,..a.=X4+F-•.. ,.tr-:x,.3...+,.5.- .fin••r.. .� �.e ar.. ,,p i'+.,jc" •h,Wk�t, •1wPs•.a;y"f:rr:-. ._ .. - _ ,. 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 I/No 2 . Will there be a major change to any unique or unusual land form found on the site? . . . . . . . . . .—Yes J/No 3 . Will project alter or have a large effect on existing body of water? . . . . . . YesNo 4. Will project have a potentially large impact I/ on groundwater quality? . . . . . . . . . . . . . . . . . . . Yes !r No 5 . Will project significantly effect drainage - flow on adjacent sites? . . . . . . . . . . . . . . . . . . . . . . . . Yes V' No 6 . Will project affect any threatened or / endangered plant or animal species? . . . . . . . . . . . Yes-L/—No No 7. Will project result in a major adverse effect / on air quality? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes l/ No 8 . Will project have a major effect on visual character of the community or scenic views or vistas known to be important to the community? Yes No 9 . Will project adversely impact any site or . structure of historic, prehistoric or paleontological importance or any site / designated- as a critical environmental area J bya local agency? . . . . . . . . . . . . .: . . . : . . . . . . . . . V Yes No 10 . Will project have a major effect on existing V/ or future recreational opportunities? . . . . . . . . . Yes V 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 o 13 . Will project have any impact on public health or .safety? . . . . � . . . Yes No 14. Will project affect the existing community by directly causing a growth in permanent population of more than 5 percent over a one F year period or have a major negative effect on the character of the community or / _ neighborhood? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . Yes /No 15 . Is there public controversy concerning the project? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes �� No 'i PREPARER ' S SIGNATURE REPRESENTING_ DATE 1, 3 �= Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 JUDITH T TERRY i � `'� TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OI'VITAL S I n I ISI ICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD March 24, 1982 Southold Town Board Southold Town Hall Southold, New York 11971 Gentlemen: Transmitted herewith is application no. 91 for a wetland permit submitted by Kenneth Strachan, Jr. Copies of this application have been forwarded to the Board of Southold Town Trustees and Southold Town Conservation Advisory Council on this date for their report of findings and recommendations. Very truly yours, Judith T. Terry Southold Town Clerk ' 1 r Town Hall 53095 Main Road P.O. Box 728 Southold, New York 11971 JUDITH T.TERRY TELEPHONE TowN CLERK _ p (516)765-1801 REGISTRAR 01 VITAL S-I \I ISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD March 24, 1982 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. 91 for a wetland permit submitted by Kenneth Strachan, Jr. Please prepare a written report of findings and recommendations with respect to this application. Very truly yours, Judith T. Terry Southold Town Clerk - E i Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 JUDITH T TERRY '� ,my�-rte TELEPHONE Town CLERK (516)765-1801 REGISTRAR OFVITAL ST•\I ISIICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD March 24, 1982 Mr. Paul Stoutenburgh, President Board of Southold Town Trustees Southold Town Hall Southold, New York 11971 Dear Mr. Stoutenburgh: Transmitted herewith is application no. 11 for a wetland permit submitted by Kenneth Strachan, Jr. Please prepare a written report of findings and recommendations with respect to this application. Very truly yours , Judith T. Terry Southold Town C erk f 4� Town Of Southold Town Clerk's Office Southold, N. Y. APPLICATION FOR WETLANDS `PERMIT Application No. .......... .............. Date of Application ...... 2- Identity of Applicant ............K ;NNS.. .1a........5'.�I. .ct- .............................................. Address cn��! of Applicant ............ .® :................. .. kv.................. . ..At _1.V1..-.i .. .................................. INSTRUCTIONS FOR PERMIT A. This application is to be completely filled in by typewriter or ink a d submitted to the Town Clerk in quadruplicate, accompanied by written permission from the ownir of the property if not the same as the applicant. B. Pilot Plan must be drawn to scale on the reverse side of this application showing the location of property, the names and locations of owners of adjoining properties, pnd a detailed description of proposed project. (Note: Copies of the Pilot Plan may be made by a cdpy machine and attached to the Permit Application:) C. No operation shall be initiated by the applicant until all permits th�t are required are issued. D. A detailed statement of the rehabilitation and proposed condition -f 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 onstruction of a private single dock or jetty, then this application must be accompanied by a su ey and topographical map certified by a registered land survey or Professional Engineer. The ho izontal control of survey shall be based upon an approval local coordinate system. The vertical cont I for elevation and sound- ings shall be based upon United States Coast and Geodetic Survey and/o United States Geological Survey datum. F. A statement must accompany the application describing any known rior operations conducted on the premises in question and whether any prior licenses or permitsave been issued to erect structures or to dredge or deposit fill on said premises and whether an , 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 f e includes one inspection, there is a $5.00 fee for each additional inspection. H. The Town Board upon request Vapplicant for a permit, may waive in whole or in part, the provisions of Article 11, Section9subdivisions (46) and a where it finds that nature of the proposed operations are such, that 'the requirements of such provision are not necessary for a proper consideration of a permit application. I. Upon approval of this application the Town Clerk will issue a per it 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 ...... ...........�2....... `::✓.4.4.. ........./.`�.�.l.�.C?.S.S. ' . 0P ., . . ...... .T.o.......6FA . ............. . ...... . ../I 1 — k ....... Location of property for which permit wanted..............SZ.r............A..I..T.. Home address of permit applicant if different from aforesaid location ..........Y. 9.tME................... ................................................................................................................................................................. Creek, Bay or Harbor fronting property .............. /.f!`l.r..........f7. A6A .. .R"'..................... .................................................................................................................................................................. Size of proposed work: ,2 Length ....................... ..............................1.�................................................................................ Width ................. ......... ..Iki......................................................................................................... o HeightAbove High Water .........e&........................................................................................................ DepthBelow Low Water ......................................................................................................................... Yardsto be Excavated ..................Al.©.Na......................................................................................... Yardsto be Filled ......................N oN .........,.........................................................:...................... Width of canal, creek or bay fronting property.......... :....................................................... Depth at Low Tide ...................{9. .1J.......:�1.`.?.!.9.AS:H.........G.Z�.4E:F.......................:............... r� AverageRise in Tide .............(.0............................................................................................................ r•� Isthis for private or business use? .............. ................................................................... AreaZoning .................................�.F'.T.L 4rj..C1.5.............................................................................. Manner in which material will be removed or deposited .................................................................. . .................................................................................................................................................................. Intendeduse of property .................... .........T..4.........?. 9.. ................................... ..........................................................................................I................... ................................................... Written consent of owner of property, if not the some as the applicant ... ....... ....v� o ` �...n..... 7 ...... ........ . ..........G .r. .. ..:�...ff......... T . .T w9cyL...o^.!...!61.r..Pi�v.:vxxT,V , �ctEcce .......................................................� COUNTY OF SUFFOLK ) STATE OF NEW YORK SS: ....................�L z~'. ....` Ti�i9 !T.�f`f���..! ii� .'................. 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 of said permit, if granted. .. ...... .... .................... . .......... ............ .............. Signature of Applicant Sworn to before me this .... .5................... 17 -- dayof ...................4 . I�............, 19. ....... P ota ublic N ry JUDITH T. TERRY Notary Public, State of New York No. 52-0344903 Sufiolk Coun Commission Expires March 30, 1 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 No 2 . Will there be a major change to any unique or unusual land form found on the site? . . . . . . . . . . YesI/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 I/ on groundwater quality? ... . . . . . . . . . . . . . . . . . . . . . Yes I/ 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? . . . . . . . . . . . Yes ! No 7. Will project result in a major adverse effect on air quality? . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes V No 8 . Will project have a major effect on visual character of the community or scenic views or vistas known to be important to the community? Yes No 9 . Will project adversely impact any site or structure of historic, prehistoric or paleontological importance or any site designated` os a critical environmental area by a local agency? . . . . . . . . . Yes No 10 . Will project have amajor effect on existing l/ or future recreational opportunities? . . . . . . . . . Yes l 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 v o 13 „ Will project have any impact on public health or -safety? . . . . . . . . . . . . . . . . . . . . . . . . ® � - . . e . . Yes No 14. Will project affect the existing community by directly causing a growth in permanent population of more than 5 percent over a one year period or have a major negative effect on the character of the community or neighborhood? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No 15. Is there public controversy concerning the project? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No PREPARER ' S SIGNATURE ;Z! ,—/,/— REPRESENTINGDATE i ' '' � �;rt;^ti-:' ;,: :i ,:� •j. �_ - _ l yr` t- - , .`.�St.l„ G�ti. • a 1,T,t� t , 0 .k j F< MM��1 :t 7 t i`e� �T /�T � -._S� J ♦'. T i02- 19. }1r 1 � /1' �• i 'b [�•�.RT:.. � fes•• ..Yj• _ ZG .r:.ems,` =�'ta.-;��., - - /� L . .57�'Yd G tl�,+r � C Y`' _ .34-� — _ .,. ,•. �. w-�',�,..r" �r� '9�,;�[",,.• .,. _. �\tel � / •X. :�' ::� - - � `tag r,� - � �- '•� -rte,.,;� _ - .(�+ _ ri tom'-' } -••G'}: - ,, _ `-�'t' � V R ' � �-'I f+ � ` h - i' S 1v• -� ti ' I ' \ / Z SD ;r. ;,iso: -�S�" :�,,�: • � /� "'�—�..-._„__ ,t.