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HomeMy WebLinkAboutStrong, David S 31 Wt. 'TOWN OF SOUTHOLD TOWN CLERK'S OFF-ICE SOUTHOLD, N.Y. WETLANDS PERMIT This Wetlands Permit430, has been granted by the Southold Town Board according to information furnished in Application # 44 filed by Applicant- David S. Strong (Strong' s Mattituck Marina) on December 13 19 79 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 remove soil that has washed from existing road into marina basin, causing the 'floating docks to bottom out at low tide. Location of property on which work to be done Strong' s Marina off Camp Mineola Road, Matti-tuck Creek, Bay or Harbor fronting -property—Offshoot of James- Creek Size of work: Length Width- 10 to 15 ft. out from bank. Height Above High Water all underwater. Depth Below Low Water 4 ft. Yards to be Excavated approximately 300 'yards. Yards to be Filled none Manner in which material is to be removed or deposited backhoe or crane. Intended use of property, business marina. 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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 hereunder until such approval has been obtained in writing. The f ailure •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 disapprova The applicant does by the acceptance of this permit, assume all responsibility for operations undertaken 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 indemnify and -save harm- less the Town, and its officers, agents and employees from any and all claims arising. irom. oper4tions 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 opera- tions are being conducted to- make such inspections as the Town may deem necessary to insure that such operations are being conducted „ 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 intothe fresh water resources of the town_ D. Adversely affect fish, shellfish or other beneficial marine organisms, aquatic wildlife and vegetation 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_ S E A L , Signed i �' •a ,•� own Clerk, Town of outhold ? Date March 12, MO r i PUBLIC HEARING ON APPLICATION OF DAVID S . STRONG A public hearing was held by the Southold Town Board at the Southold Town Hall, Main Road, Southold, New York 11971 , at 4 :50 o °clock P.M. on the 26th day of February, 1980 in the matter of the application of David S. Strong for a permit under the provi- sions of the Wetland Ordinance of the Town of Southold. Present were : Supervisor William R. Pell III Justice Francis T. Doyen Councilman Henry W. Drum Councilman John J. Nickles Councilman Lawrence Murdock, Jr. Councilman George R. Sullivan Town Clerk Judith T. Terry Town Attorney Robert W. Tasker Highway Superintendent Raymond C. Dean SUPERVISOR PELL opened the hearing at 4 :50 P.M. COUNCILMAN DRUM read the legal notice of hearing, as follows : . . .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 at 4 :30 o'clock P.M. on the 26th day of February, 1980 in the matter of the application of David S . Strong for a permit under the provisions of the Wetland Ordinance of the Town of Southold for permission to remove soil that has washed from existing road into marina basin at James Creek, off Camp Mineola Road, Mattituck, 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: February 5 , 1980 . BY ORDER OF THE SOUTHOLD TOWN BOARD JUDITH T. TERRY TOWN CLERK . . . . COUNCILMAN DRUM: We have Affidavits of Publication from the Long Island Traveler-Watchman. We have an Affidavit of Publica- tion from the Suffolk Weekly Times. We have a Notice that it was posted on the Town Clerk Bulletin Board. SUPERVISOR PELL: Thank you, Mr . Drum. Again, I follow the same format. I will ask if anyone wishes to be heard in favor of this Application? Now is the time to speak. Public Hearing held 4/ 26/80 Application of David S . Strong Page 2 DAVID STRONG: Am I supposed to say anything? SUPERVISOR PELL: If you wish to. MR. STRONG: What can I say. It' s all in the application. SUPERVISOR PELL: Mr. Strong is here with us. Does anybody wish to speak in opposition to the application? (There was no response. ) To that, does anyone wish to be heard on the applica- tion? Any questions on it? (There was no response. ) If not, I will declare the hearing closed of Mr. Strong. The hearing was declared closed at 4 : 57 P.M. Respectfully submitted, Linda Kowalski 11VED TU-M, FILED DY TOVN CLI—Y"!� T!- I i 1 1-1 12 %3XID/1) DATFU/// v Town Clerk, Tow=aol LEGAL NOTICE NOTICE OF HEARING NOTICE IS HEREBY ; GIVEN THAT a' public hearing will be held by the COUNTY OF SUFFOLK, 1 Town Board of the Town of , STATE OF NEW YORK, 3s: Southold at the Southold Town Hall, Main Road, Southold, New York, at 4:30 '-P.M. JOAN GUS TAVS ON: being duly Sworn, o'clock on the 26th day, of ' February, 1980, in the matter of the application of David S. says that . S . . , is Printer and Publisher of the SUFFOLK Strong for a permit under the WEEKLY TIMES, a newspaper published at Greenport, in said provisions of the Wetland Ordinance of the Town Southold for permission to County; and that the notice, of which the annexed is a printed remove soil that has washed copy, .has been published in the said Suffolk Week Times from existing road into pY p � - marina basin at James Creek, off Camp Mineola Road, once in each week, for . . .QNE . . . . . . . . . . . . . . . . . . . . weeks Mattituck, New York. All persons interested in successively commencing on the . •fourteenth• • • • • • • • • • • said matter shall appear at the time and place above day of . FEBRUARY. . . . . . . . . . 19.80. specified and will be given an �jy � opportunity to be heard. - � • • �-*"'" w :� • • • • • • • • • • • • • • • • • • • • • � _ BY ORDER OF DATED: February 5, 1980 Sworn to before me this . . . ig. . . . . 1 THE LD TOWN BOARD da of A6Aeo-If. . 19. . JUDITH T.TERRY TOWN CLERK i • 1TF14-3384 . . . . . : : . . . : . . . . . .` . . • .�. HTATICY F. DOUGI M5 SIO raRY Pu3-L--,C:,State of Neu'Y Resir:i;us to Suf:olh County C'e3. To. 52-600BGS5 Expires March 30,10.10 LEGAL NOTICE NOTICE OF HEARING COUNTY OF SUFFOLK 1 STATE OF NEIN YORK ss NOTICE ' IS HEREBY -GIVEN THAT' a public hearing will be held by the Town Board of the Town of Southold at the Southold Town Patricia Wood, being duly sworn, says that she is the Hall, Main Road, Southold, Editor, of THE LONG ISLAND TRAVELER-WATCHMAN, New York,at 4:30 P.M.o'clock, on the'26th day of February, I o public newspaper printed at Southold, in Suffolk County, 1980 in the matter of the and that the notice of which the annexed is o printed copy, application of David S.-Strong for a permit under the provi- I has been published in said Long Island Traveler-Wotch- sions of the Wetland Ordin- �' man once each week for ' ance'of the Town of Southold """"""" """' . weeks for permission to remove soil that has washed'from existing successively, commencing on the .....�. . road into 'marina basin at s, -James Creek, off Camp Mine- !� ................ ................. 19......... pla Road, Mattituck, New York. _ J All'persons interested in / ..... .............. ..................................-a.................... said matter shall appear at the time and place above specified and will -be given an oppor- tunity to,be heard. ° I j DATED: February 5, 1980 BY ORDER OF THE Sworn to before me this ......� .......... .. day or SOUTHOLD TOWN BOARD i JUDITH T.TERRY ......., 19......... Town Clerk ' 4T,2/14/80(106) 1 ............_. Notary Public... .. CLEMENT J.THOMPSON NOTARY PUBLIC,State of New York No.52-9321725 Residing in Suffolk County Commission Exmres hiarch 30, 19A> if II li - I it E I f� I I f I; STATE OF NEW YORK: SS . ICOUNTY OF SUFFOLK: i! it JUDITH T. TERRY, Town Clerk of the Town of Is - Southold, New York, being duly sworn, says that she is over. the u I! age of twenty-one years ; that on the 6th_ day of February H it 19 80 she affixed a notice of which the annexed printed 1notice is a true copy, in a proper and substantial manner, in a i I! ; most public place in the Town of Southold, Suffolk County, New - II I' York, to wit:- it Town Clerk Bulletin Board, Town Clerk Office '' Main Road, Southold, N.Y. 11971 , l l - NOTICK OF HEARING ON WETLAND APPLI.CATI,ON N0, 44f DAVID S . STIjONG. I I I 4: 30 P.M. , FEBRUARY 26, 1980, SOUTHQLD TOWN HALL, MAIN ROADr SOUTHOLD, NEW YORK. + i; Judith T. Terry, T n -Clerk i! lSworn to before me this 1 11 6th_ day of February , ' 19 80 N�LTLAI�Ei�f A���I� NOTARY PUBLIC, State of New YQ(R No. 52-8125850, Suffolk Cou Term Expires Match 30. 1 � f i i s s l` I. I I' 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, the Southold Town Hall, Mairi, Road, Southold, New York, at 4: 30 P,.M. o' clock on the 26th day of February, 1980 in the matter of the application of David S. Strong for a permit under the provisions of the Wetland Ordinance of' the Town of Southold for permission to ' remove 'soil that has washed from existing road into marina basin at James Creek, off Camp Mineola Road, ' Mattituck, 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: February 5, 1980 BY ORDER OF THE SOUTHOLD TOWN BOARD JUDITH T. TERRY TOWN CLERK PLEASE PUBLISH ONCE, FEBRUARY 14, 1980, AND FORWARD ONE AFFIDA..VIT OF PUBLICATION TO JUDITH T. TERRY, TOWN CLERK, TOWN OF SOUTHOLD, MAIN •ROAD, SOUTHOLD, NEW YORK 11971, Copies to the following on February 6, 1980 : The Long Island Traveler-Watchman The Suffolk Times David S. Strong Town 'Clerk Bulletin Board a OFA So'UT M Oh ° JUDITH T.TERRY FO 'C> •: TELEPHONE TOWN CLERK I (516) 765-1801 REGISTRAR OF VITAL STATISTICS Southold, L. I., N. Y. 11971 NEGATIVE DECLARATION NOTICE OF NO SIGNIFICANT EFFECT ON THE ENVIRONMENT Dated: February 5, 1980 Pursuant to Article 8 of the Environmental Conservation Law State Environmental Quality Review and 6NYCRR Part 617, Section 617. 10 and Chapter 44 of the Code of the Town of Southold, notice is hereby given that the Southold Town Board, as lead agency for the action described below, has determined that the project will not have a significant effect on the environment. DESCRIPTON OF ACTION Application of David S . Strong for a wetland permit. Permis- sion is requested to remove soil that has washed from existing road into marina basin at James Creek, off Camp Mineola Road, Mattituck, New York. The project has been determined not to have a significant effect on the environment for the following reason: 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. Further information can be obtained by contacting Mrs . Judith T. Terry, Town Clerk, Town of Southold, Main Road, Town Hall, Southold, New York 11971. ° Copies to: David S . Strong Commissioner Robert F. Flacke, DEC, Albany Roy L. Haj e, DEC, Stony Brook Building department, Town of Southcld Town Clerk Bulletin Board SOUTHOLD TOWN RECEIVED CONSERVATION ADVISORY COUNCIL J A N z 1080 Southold, N. Y. 10AT Clerk S'outD-1d! t January 24, 1980 Southold Town Board Town Hall Southold, New York 11971 Gentlemen: The following action was taken by the Southold Town Conservation Advisory Council at a regular meeting held January ,t 22, 1980. RESOLVED to recommend to the Southold Town Board approval of Wetland Application #44 of David S. Strong to maintenance dredge at Strong' s Marina. The Council suggests that a border of beach grass be planted in an approximate ten foot band along the fill area to stop some of the wash from going back into the basin. Some of the existing beach grass could be transplanted. Yours truly, FRANK CICHANOWICZ III, CHAIRMAN CONSERVATION ADVISORY COUNCIL By M iel Tolman, Secretary BOAR ®�. STEES 04'sso MOVED tO CPU Telephone c J A N Z 4 1980 516-765-1938 Southo . 11971 Towrr Clerk Southefd' January 22, 1980 Southold Town Board Town Hall Southold, New York 11971 Gentlemen: The following action was taken by the Board of Southold Town Trustees at a regular meeting held January 2, 1980. RESOLVED to recommend to the Southold Town Board approval of the Wetland Application #44 of David S. Strong for maintenance dredging of private marina. Yours truly, ANNA T. HATAIER, PRESIDENT BOARD OF TOWN TRUSTEES By Muriel Tolman, Clerk RECEIVE® IdEW YORI: STATE DEPARTIE 1T OF ENVIROMMENTAL CONSERVATION DEC 3 i 1979 Regul.atvey Affairs Unit Riag. 40, SUNY - Room 219 Town Clerk Southold Stony Brook, New York 11794 (516) 751-7900 Do cember 27s 19"179 'VviirS. 0=p YKI-neola *y Mlattituckv No Y. Ree ��Ietlr^..rtds Appl:?.ratio n NO* 44 Tata) of, aouthpl a Dear On the basis of the information presented in the above-referenced it appears that a permit will be ` required from the New York State Department of Environmental Conservation { Law, Article 25, for the work proposed therein. ip (Tei dredge dge 30.0 cu. -yds. of mataxal'al halt has washed, from I have enclosed an application form (directiorson back), a ques- tionnaire and an Environmental Assessment Form for preparation of a pe- tition for permit. Sincerely yours, •)L/ DANIEL 3. LARKIN Local Tidal Wetlands . Permit Administrator 0 o 0.o Tw,,Y .t of Southold 7 OFF `.O�?SOF LE K . r -----------<: _y OEN'OIC SOOL JUDITH T.TERRY �S:UFF LKS-'COL I TELEPHONE To%vN CLERI: "r` ';1 ! (516) 765-1801 REGISTRAR OF VITAL STATISTICS Southold, L. I., N. Y. 11971 - December 19, 1979 Mr. Roy Haj e Environmental Analysis Unit Building 40, SUNY - Room 219 , Stony Brook, New York 11794 Dear Mr. Haje: Enclosed find application of David S . Strong for a wetland permit and short Environmental Assess- ment Form. This project is unlisted; other agencies may be involved but the optional coordinated procedures for designating lead agency and determining significance will not be followed. The Southold Town Board wishes lead agency status. (SEQRA) . May we have your views on this matter. Written comments on this project will be received at this office until January 7, 1980 . We shall interpret lack of response to mean there is no objection by your agency. Very truly yours, Judith T. Terry Town Clerk Enclosures cc: Building Department n :. O]EFICE 6ii63 *ehERK IF OWN OF`'SOUTH© D JUDITH T.TERRY SUFFOLK--CO TELEPHONE TOWN CLERK W;y; 1 (516) 765-1801 REGISTRAR OF VITAL STATISTICS 1 r Southold, L. I., N. Y. 11971 - December 17, 1979 To Whom It May Concern; Attached hereto is Environmental Assessment Form completed by David S. Strong in connection with. his application no.. 44 for a wetland permit. Mr. Strong is requesting permission to maintenance dredge Strong' s Marina Basin to remove soil that has washed from existing road into the basin. Xjicueig�ith T @ Terr JTT/bn Town Clerk Posted on Town Clerk Bulletin Board on 12/17/79 g �1 F riLl� OFAtC ;'01F'1'T=Olvj C hK TOWN OF SOUTHOL,D JUDITH T.TERRY SUFFOLK COUNTY TELEPHONE TOWN CLERK (516) 765-1801 REGISTRAR OF VITAL STATISTICS Southold, L. I., N. Y. 11971 December 17, 1979 Supervisor James Homan Southold Town Board Members Southold Town Hall Southold, New York 11971 Gentlemen: Transmitted herewith is application no. 44 for a wetland permit submitted by David S. Strong. Copies of this application and environmental assess- ment form have been forwarded to the Board of Town Trustees and Conservation Advisory Council on this date for their report of findings and recommendations. Environmental Assessment Form has also been posted on the Town Clerks Bulletin Board. Very truly yours, Judith T. Terry Town Clerk JTT/bn cc:file r . OFFICE OF`�'OIYNaC_LERK TObVN OF``SOUTHOLD >R JUDITH T.TERRY 'SUFFOLK COUNTY TELEPHONE TOWN CLERK ` `'°'_ ; ',t ; . (516) 765-1801 , - REGISTRAR OF VITAL STATISTICS Southold, L. I., N. Y. 11971 December 17, 1979 Mr. Frank- Kujawski, Jr. , Chairman Conservation Advisory Council Marratooka Road Mattituck, New- York 11952 Dear Mr. Kujaws-ki,: Transmitted herewith is application no. 44 for a wetland permit submitted by David S. Strong. Please prepare a written report of findings and reconvRendationa 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/bn cc;file OFFICE,OF rTOWN .-ERK TOWU,N'QF�'SOUTHdB JUDITH T.TERRY `SUFFOLK.COUNT ' TELEPHONE TowN CLERK (516) 765-1801 REGISTRAR OF VITAL STATISTICS y�� ' Southold, L. I., N. Y. 11971 December 17, 1979 Mr. Philip Horton, President Southold Town Trustees Town Hall, Main Road Southold, New York 11971 Dear Mr. Horton: Transmitted herewith is application no. 44 for a wetland permit submitted by David S. Strong. 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/bn cc:file t 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 1 than 10 acres of land? . . . . . . . . . . . . . . . . . . . . . . . Yes VINO 2 . Will there be a major change to any unique or unusual land form found on the site? . . . . . . . . . . Yesc/"No 3 . Will project alter or have a large effect on existing body of water? . . . . . . . • YesZNo 4. Will project have a potentiallylarge impact on groundwater quality? . . . . . . . . . . . . . . . . . . . . . . . Yes PNo 5. Will project significantly effect drainage flow on adjacent sites? . . Yes ✓ No j 6 . Will project affect any threatened or ,endangered plant or animal species? . . . . . . . . . . . YesjNo i 7. Will project result in a major adverse effect on air quality? . . . . . . . . . . . . . . . . Yes ANO 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? YesNo 9 . Will project adversely impact any site or structure of historic, prehistoric or paleontological importance or any site designated as a critical environmental area bya local agency? . . . . . .. . . . . . .... . . : . . . i : . . . . . Yes r No 10 . Will project have a major effect on existing / or future recreational opportunities? . . . . . . . . . Yes r� No 11 . Will project result in 'major traffic problems or cause a major effect to existing transportation systems? . . . . . . . . . . . . . . . . . . Yesr-�No 12. Will project regularly cause objectionable odors, noise-, glare, vibration, or electrical disturbance as a result of the project ' s operation? . • . . . Yes ---' No 13 . Will .projecthaveanyimpact on public health or .safety? . . . . . . . . . � . . Yes�No 14. Will project affect the existing community by directly causing a growth in permanent population of more than 5 percent over a one year period or have a major negative effect on the character of the community or neighborhood? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes �o 15. Is there public controversy concerning the project? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes✓ No PREPARER ' S SIGNATURE REPRESENTING_ 0 06f, S DATE �.�A � J celuv i1,1r1y'1"Zo,1,4 Al, Town Of Southold Town Clerk's Office Southold, N. Y. APPLICATION FOR WETLANDS PERMIT Application No. .....�y................... Date of Application ...... ..J.zl../P.F............ , Identity of Applicant ............�. dP1 ........ ..... I.........1..ss��'/�C �s 4--f— ��f�f7 f✓�/�. Address of Applicant ..... � , 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 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„ f applicant for a permit, may waive in whole or in part, the provisions of Article 11, Section , subdivisions A and 0where it finds that nature of the proposed operations are such. that 'the requirements of such provisions are not necessary for a proper consideration of a permit application. 1. Upon approval of this application the Town Clerk will issue a permit to the applicant. Such permit shall be available for inspection at any time, upon request. Examined .................................................. 19....... Approved ................................................................ Disapproved ........................................................... 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 ........ZEN R.kr......�� .1.....��� X2111f. . A:slP./..}....C"Wm�....�`��....!�`;��i low �1' /J M Location of property for which permit wanted....,........ a014...�5.. .. � �.... Oi �.G. ... ....................................................................................................... Home address of permit applicant if different from aforesaid location .........94!�%�........................ ...................................................................................�.............................,................................................. Creek, Bay or Harbor fronting property ...,A���..,1�....Xe...O 5F�1.....11$..��.!.�.�...��..�F. � ..... .....cE,Fl.. .,....... ....° :!`. .... �. ... � � .... :....�:�/.s� .................... Size of proposed work: Length ............................A'PQ.&X....... ...........,................................................................................ Width ......... ....... �:�`?... ��CIX...................................................................... Height Above High Water ...... Oi1...../�....L.....tf ..... [.. Depth Below Low Water Yardsto be Excavated .........t��i�l�►f 4......3 a v .XA.e I.......................................................................... Yardsto be Filled ..................................................,................................................................................ Width of canal creek or bay fronting property......... ...4PRAfM........................................................ p Depth at Low Tide ...........3. :'�.......�'..�:CFS. ...?: r! `. .....d.: :...... ....l......S........1!./......... ol AverageRise in Tide ...........�:....... .................................................................................................... Is this for private or business use? &zt: � �c5 ..................... .. ................................................................... AreaZoning ............................... ............................................................................................ Manner in which material will be removed or deposited ........ .......ca....C�r6`K .... . .................................................................................................................................................................. ..... Intended use of property ..... °y4 A-9: (......15..,,,i u - LC3 1 !fL ... ......... C(s. .......w!I.�... FL.....( �...... i !`.Il. ..................,....................................................................... Written consent of owner of property, if not the some as the applicant ........................................ .................................................................................................................................................................. ........................................................................................................................................................ COUNTY OF SUFFOLK ) STATE OF NEW YORK ) SS: .... .....:...... ................. ... ..... ... ...................... being duly sworn deposes and says that he is the applicant for the above described permit, and that all statements contained herein are true to the best of his knowledge and belief; that the work will be done in the manner set forth in this application and as may be approved by the Town Board of the Town of 'Southold. The applicant agrees to hold the Town of Southold and the Town Board harmless and free from any and all damages and claims arising under or by/virtue of said permit, if granted. Signature of Applicant Sworn to before me this dayy/ .................... .................., 19. .. .. .L.......4 ....... ............ ..• ........ ......• .• .�-r... Notary Public BARBARA M. HAURUS Notary Public in the State of New York No.52.6806770 RSsiding in Suffolk County Com'msPGsion Expires March 30, $9 $�o U ot: Ix: v~ I,- %,' ~,/~AP OF LAND SI I~.VEYE D F*O I-~ D'AVI O ST V,,~ N III