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HomeMy WebLinkAboutTuthill, Carol K E� TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, NEW YORK WETLANDS PERMIT This Wetlands Permit No. .......4.9........ has been granted by the Southold Town Board according to information furnished in Application No. .J. ............ filed by Applicant ...Carol K. Tuthill .............................. ..................................... on .......April 27 19.81.... 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 catwalk, ramp, f loat and ............................................................................... platform. .................................................................................................................................................................. ................................................................................................................................................................. Location of property on which work to be done ....at foot of Inlet Lane Extension, ................................................................... Greenport :...New York.................................................................................................................. ................................................................................................................................................................. Creek, Bay or Harbor fronting property „Gull Pond ............................................ ...................... .......... i ..... J P I I I II t ........................................................................................................................ ' .',: .. ................... ... ;• _ A , Size of work: Length p.latform 12 ft . , catwalk 20 ft. ramp: 10 ft . , ,float 30 ft. .. ....... t................. Width platform 10 f :.,.: catwalk :., ;.: I-float 6 ft. ............................. ......... ...... .. Height Above High Water catwalk 5 ft = platform 7 ft .. ..... .... .... Depth Below Low Water ..•.maximum 6 ft . Yards to be Excavatednone ..................................................................................................... Yards to be Fillednone ' ......................................................................................................... Manner in which material is to be removed or deposited ....-.--.- ........................................................... ................................................................................................................................................................ Intended use of property ..residential — private ................................................................................. ................................................................................................................................................................. Conditions if any ........ ................................................................................................................................................................. Expiration Date ---- ..................................................................................................................................... Number of Inspections Required ..---.- ................................................................................................. InspectionFees .......................................................................:............................................................. Liability Policies in the Amount of ......................................................................................................... The validity of this permit is or may be subject to the approval of other governmental or municipal authorities. The Town accepts no responsibility in applying for or obtaining such approval. In the event that such approval is necessary, the holder of this permit'shall not commence operations here- under until such approval has been obtained in writing. The failure to obtain such other approval when required shall subject this permit to immediate revocation by the Town Clerk upon receipt by the Town Clerk of written notice from such other governmental or municipal authorities of its refusal or disapproval. The applicant does by the acceptance of this permit, assume all responsibility for operations under- taken pursuant to this permit, and shall take all precautions for the prevention of injuries to persons and property resulting from such operations. By such acceptance, the applicant also agrees to indemni- fy and save harmless the Town, and its officers, agents and employees from any and all claims arising from operations under this permit and any and all acts or omissions of applicant, his agent and employees. The applicant and the owner and occupants of the premises upon which the operations authorized by this permit are being conducted, do, by the acceptance of this permit, give consent to the Town, and its officers and employees to enter upon the premises where such operations are being conducted to make such inspections as the Town may deem necessary to insure that such operations are being con- ducted in conformity with this permit. This operation will not substantially: A. Adversely affect the wetlands of the town. B. Cause damage from erosion, turbidity or siltation. C. Cause saltwater intrusion into the fresh water resources of the town. D. Adversely affect fish, shel'Ifish 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 ... . :-%:�:� -e ..... ....... own Clerk, Town of Southo S(E A,L Date..........JLxls...J.0. ..95.1198.1................................ r PUBLIC HEARING WETLAND APPLICATION OF CAROL K. TUTHILL A public hearing was held by the Town Board of the Town of Southold- at the Southold Town Hall, main Road , Southold , New York, at 3 : 10 ®:'_clock P.M. , Tuesday, June 9, 1981 in the matter of the application of Carol K. Tuthill for a permit under the provisions of the Wetland Ordinance of the Town of Southold, for permission to construct catwalk, ramp, float and platform at Gull Pond at the foot of Inlet Lane Extension, Greenport , New York. PRESENT WERE : Supervisor William R . Pell, III Councilman Henry W. Drum Councilman John J . Nickles Councilman Lawrence Murdock, Jr. Councilman Francis J. Murphy Town Clerk Judith T . Terry Town Attorney Robert W. Tasker ABSENT : Justice Francis T. Doyen SUPERVISOR PELL : This is the application of Carol K . Tuthill for a catwalk, ramp, and a floating dock at Gull Pond, Greenport . Councilman Drum will read the notice of hearing. COUNCILMAN DRUM: NOTICE IS HEREBY GIVEN that a public hearing will be held by the Town Board of the Town of Southold at the Southold Town Hall, Main Road, Southold, New York, on June 9 , 1981 as follows : 3: 10 P. M. in the matter of the application of Carol K . Tuthill for a permit under the provisions of the Wetland Ordinance of the Town of Southold , for permission to construct a platform, catwalk, ramp and float off the east side of Inlet Lane Extension , on Gull Pond, Greenport, New York. I have an affidavit of publication from the L. I . Traveler Watchman, an affidavit of publication from the Suffolk Weekly Times , the notice has been posted on the Town Clerk 's bulletin board. I have notice of the Town Board of negative declaration by the Town Board. I have a letter from the Chairman of the Conservation Advisory Council whereby it was "RESOLVED to recommend to the Southold Town Board approval of the wetland application to construct a ramp, float and platform of application #65 applied for by Carol K. Tuthill . ' Signed by Frank Cichanowicz , III , Chairman." I also have a letter from the Board of Town Trustees , signed by Anna T . Hataier, President . "The following action was taken by the Board of Southold Town Trustees at a regular meeting held May 69 1981 : RESOLVED to recommend to the Southold Town WETLAND APPLICATION -2- JUNE 9, 1981 CAROL K. TUTHILL Board approval of the wetland application of Carol K. Tuthill #65 for a permit to construct catwalk, ramp, float and platform at private property of the applicant at Gull Pond. I have another letter from the Trustees , dated June 59 1981 . "The following action was taken by the Board of Southold Town Trustees at a regular meeting held June 3, 1981 . RESOLVED that the may 6, 1981 , resolution recommend- ing to the Southold Town Board approval of the wetland application #65 of Carol K. Tuthill be amended by adding thereto the following: a stipulation stating the catwalk be three (3) feet wide. SUPERVISOR PELL : Thank you. I 'd like ,just to point that this piece of land is in the name of Carol K. Tuthill and Marion Pell who is my wife and Carol Tuthill is the wife of the Town Engineer. SUPERVISOR PELL : Does anybody wish to speak in favor of the application? (There was no response. ) SUPERVISOR PELL: Does anybody wish to speak in opposition to the application? (There was no response. ) SUPERVISOR PELL: Does anybody wish to be heard at all on it? (There was no response. ) SUPERVISOR PELL: Hearing none , I will declare the hearing closed. Hearing closed at 3: 15 P.M. Respectfully submitted, Betty evi le Deputy Town Clerk BOAR STEES OUT FO COU Telephone Q ®� 516-765-1938 Southo . 11971 June 5, 1981 Mrs. Judith T. Terry 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 June 3, 1981. RESOLVED that the May 6, 1981, resolution recommending to the Southold Town Board approval of the wetland application #65 of Carol K. Tuthill be amended by adding thereto the following: a stipulation stating the catwalk be three (3) feet wide. Yours truly, Anna T. Hataier, President Southold Town Trustees 'LE(1AL NOTICE NOTICE OF HEARINGS g � NOTICE -AS, HEREBY COUNTY OF SUFFOLK GIVEN, that public hearings STATE OF NEW YORK ss: �t will be held by the Town Board, of,the Town of Southold at the - Southold' Town' Hall;, Main Road, Southold,New York, on June 9, 1981 as follows: Patricia Wood, being duly sworn, says that she is the 3: P:M.-in the matter of a the application of James H. Editor, of THE LONG ISLAND TRAVELER-WATCHMAN, Rambo, Inc. -for -Mattituck'- a public newspaper printed at Southold, in Suffolk County; Inlet Marina for a permit , under the provisions of the and that the notice of which the annexed is a printed copy, Wetland Ordinance of 'the r has been published in said Long Island Traveler-Watch- Town' of Southold, ,for per- mission to maintenance man once each week for ................ .......................weeks dredge approximately 2900 cubic yards of material from successively, commencing on the .................................... various locations within,exist-, ing marina and dispose of spoil day in ,sand 'pit on southerly y _ portion of applicant's proper- ............ .......... ty. 3:05 P.M. in the matter of the application of Nicholas, Fontana for a permit under the 11 provisions of the Wetland Ordinance of the Town of Southold, for permission to Sworn to before me this ................................ day of construct a dock at,Mattituck Creek on the north side of Cox 191.A. . Neck Road, Mattituck; New York. 3:10 P.M. in the matter of the application of Carol K. ` Tuthill for a permit under the provisions of the Wetland ..... ... 'Ordinance of the Town of ........ . !��-:........... Not&Public Southold,' for permission to construct a, •platform,' cat= ) CLEMENT J.`i HC)pgpS0N walk,ramp and float off of the I NOTARYPUI�UC,%b 01 y�oekB east- side of Inlet Lane Ex- ft 52-W21725 F. tension, on Gull Pond;Green-. RWdbg M Sauk ft* port,'New York. - Comm Egft��a4 I� 3:15 P.M.' in the matter of the application of R.M. Kam- merer, Commissioner of the Suffolk County Department of { Public Works, for a permit under the provisions of the ; sWetland ',Ordinance, of 'the Town' of'S'outhold;11'forperms' missi6ffI to�reco`nstruct,bridge .'carrying-New'Suffolk Avenue'' over Mud Creek, Town of Southold, New York. 3:20 P.M. in the matter of the"application of R.M'. Kam merer, Commissioner of the ` Suffolk County Department of 11 Public Works, for a permit under the provisions of the, Wetland _Ordinance' of the Town of Southold, for,per mission to reconstruct=bridge carrying New Suffolk Avenue over Downs ,Creek, Town of Southold, New York. A11' persons interested in said matter shall appear at the 'time and place,above specified and will be given an 'oppor- tunity to be heard. — DATED: May 26, 1981 JUDITH T.TERRY Southold Town Clerk iT r,/)R/R1 (3) i - - sous loc s within existing on Gull Ponct,ureenl New rying New Suffolk Avenue Legal Notices . marina anu dispose of spoil in York. over Downs.Creek, Town of sand pit on southerly portion 3:15 P.M. in the matter of Southold, New York. (continued from previous page) of applicant's property. the application of R. M. Kam- All persons interested in 'LEGAL NOTICE- - 3:05 P.M. in the matter of merer, Commissioner of the said matter shall appear at ! NOTICE OF HEARINGS the application of Nicholas Suffolk County Department of the. time and place above i NOTICE IS" HEREBY Fontana for a permit under Public Works, for a permit specified and will be given an GIVEN that public hearings the provisions of the Wetland under the provisions of the opportunity to be heard. will be held by the Town Board Ordinance of the Town of Wetland Ordinance of the DATED: May 26, 1981 1 of the Town of Southold at the-. Southold, for permission to Town of Southold, for permis- JUDITH T.TERRY Southold Town Hall,. Main construct a dock at Mattituck sion to reconstruct bridge car- SOUTHOLD TOWN CLERK Road,Southold,New York, on. Creek on the north side of Cox rying New Suffolk Avenue 1TM28-3698 4 June 9, 1981,as follows: Neck Road, Mattituck, New over Mud Creek, Town of 3:00 P.M. in the matter of York.' Southold, New York. the application of James H. 3:10 P.M. in the matter of 3:20 P.M. in the matter of ;�-ming duly Sworn. Rambo, Inc. for Mattituck the application of Carol K. the application of R. M. Kam- Inlet Marina for a permit Tuthill for a permit under the merer, Commissioner of the isher sof the SUFFOLK under the provisions of the provisions of the Wetland Or- Suffolk County Department-of ! Wetland -Ordinance of the dinance of the-Town of South- Public Works, for a permit :d at Greenport, in said Town of Southold, for permis- old, for permission to con- under the provisions of the sion to maintenance dredge struct a platform, catwalk, Wetland Ordinance_ of the ze annexed is aprinted approximately 2,900 cubic ramp and float off of the east Town of Southold, for permis- I { yards of material from var- side of Inlet Lane Extension, sion to reconstruct bridge car- 'Suffolk WeeklyTimes i w:G�'✓:a 111 ....01.'1l l J V l:l 0 J}:13 l:ggwc,lzwwl rin�•o`a'iAQDiMO!)) ,€codJ� g�nlrt�rrtsl z3rinrl aol ;�-OLt .as?,14 :1-iA ,�_,ira!. . . . . . . . . . . . . . . weeks 3th �. . . V . . . . . . . . . . . . . . . . . . . . . Sworn to before me this 28th . . . . . day of . . .May. . . . . . . . . . . 1981 .. . . . . . . . . . . . . . . . . . ... /✓¢.(ll . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . .. . . . . . . . . HELEN K.DE VOE NOTARY PUBLIC,State of New York No.4707878,Suffolk Gount Term-Expires March 30, 19 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL Southold, N. Y. -C lax 29 May 1981 Mrs. Judit1t T.- Terry, Town Clerk Town Hall Southold, New York 11971 Dear Mrs., Terry: The following action has been taken by the Southold Town Conservation Advisory Council at a regular meeting held May 26, 1981. RESOLVED to recommend to the Southold Town Board approval of the wetland application to construct a ramp, float and )platform of application #65 applied for by Carol K. ,Tuthill. Yours truly, FRANK CICHANOWICZ III, CHAIRMAN CONSERVATION ADVISORY COUNCIL B36 e Moffatt,, Secretary ® ,a . . KIP JUDITH T.TERRY ` ' < TELEPHONE Town CLERK (516) 765-1801 REGISTRAR OF VITAL STATISTICS Southold, L. I., N. Y. 11971 NEGATIVE DECLARATION NOTICE OF NO SIGNIFICANT EFFECT ON THE ENVIRONMENT Dated: May 26 , 1981 Pursuant to Article 8 of the Environmental Conservation Law State Environmental Quality Review and 6 NYCRR Part 617, Section 617. 10 and Chapter 44 of the Code of the Town of Southold, notice is hereby given that the Southold Town Board, as lead agency for the action described below, has determined that the project , which is unlisted, will not have a significant effect on the environment . DESCRIPTION OF ACTION Application of Carol K. Tuthill for a wetland permit. Permission is requested to construct a Platform, catwalk, ramp, & float off east side of Inlet Lane Extension on Gull Pond, Greenport , New York. The project has been determined not to have a significant , effect on the environment for the following reasons : An environmental assessment has been submitted which indicated that no significant adverse effects to the environment are likely to occur should the project be implemented as planned. Because there has been no response in the allotted time from the New York State Department of Environmental Conservation, it is assumed that there is no objection nor comments by that agency. Further information can be obtained by contacting Mrs. Judith T. Terry, Town Clerk, Town of Southold, Town Hall, Main Road, Southold, New York 11971. Copies to : Carol K. Tuthill Commissioner Robert F. Flacke, DEC, Albany David DeRidder, DEC, Stony Brook Building Department , Town of Southold Town Clerk Bulletin Board ROAR STEES 1� OUT FO 'COU Telephone 516-765-1938 5outho . 11971 May 14, 1981 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 May 6, 1981. RESOLVED to recommend to the Southold Town Board approval of the wetland application of Carol K. Tuthill #65 for a permit to construct catwalk, ramp, float and platform at private property of the applicant at Gull Pond. Yours truly, ANNA T. HATAIER, PRESIDENT BOARD OF TOWN TRUSTEES By Muriel Tolman, Clerk `i I� l• ! I� 1� !� STATE OF NEW YORK: SS: 1i COUNTY OF SUFFOLK: f JUDITH T. TERRY, Town Clerk of the Town of Southold, I ?! New York, being duly sworn, says that she is over the age of Ii 14th May 81 twenty-one years; that on the day of 19 , II S she affixed a notice of which the annexed printed notice is a i i true copy, in a proper and substantial manner, in a most public fi place in the Town of Southold, Suffolk County, New York, to wit : - f I1 1 Town Clerk Bulletin Board, Town Clerk Office, Main Road, �! Southold, New York 11971 jNOTICE OF HEARINGS FOR PERMITS UNDER THE PROVISIONS OF THE WETLAND ORDINANCE OF THE TOWN OF SOUTHOLD: June 9, 1981-- 3: 00 P.M. - James-H: Rambo, Inc. a/c Mattituck Inlet Marina 3: 05 P.M. - Nicholas Fontana I 3: 10 P.M. - Carol K. Tuthill 3: 15 P.M. - R.M. Kammerer, Comm. of Suff. Co. Dept . Public Wks. IE 3: 20 P.M. - R.M. Kammerer, Comm. of Suff. Co. Dept . Public Wks., l � IJudith T. Terry Southold Town Clerk 1I I Ij Sworn to be before me this i 14th day of May 19 81, ( . I it Notary -Public ELIZABETH ANN NEVILUR 1! NOTARY PUBLIC, State of New York No. 52.8125850, Suffolk Coun y T,-rm Expires March 30, 19 i I i) 7 'i i{ LEGAL NOTICE ! f� NOTICE OF HEARINGS I �)� NOTICE IS HEREBY GIVEN that public hearings will be held by ;the Town Board of the Town of Southold at the Southold Town Hall , 1 Y.ain Road, Southold, New York, on June 9, 1981 as follows: 'i 3: 00 P .M. in the matter of the application of James IF. Rambo, fInc. for Mattituck Inlet Marina for a permit under the provisions �bf the Wetland Ordinance of the Town of Southold, for permission toy maintenance dredge approximately 2900 cubic yards of material from various locations within existing marina and dispose of spoil in ,sand pit on southerly portion of applicant ' s property. 3: 05 P.M. in the matter of the application of Nicholas Fontan a i ,for a permit under the provisions of the Wetland Ordinance of the l;Town of Southold, for permission to construct a dock at Mattituck Creek on the north side of Cox Neck Road, Mattituck, New York. 1� 3: 10 P.M. in the matter of the application of Carol .K. Tuthilli for a permit under the provisions of the DZetland Ordinance of the I Town of Southold, for permission to construct a platform, catwalk, � I( ;ramp and float off of the east side of Inlet Lane Extension , on I� ;Gull Pond, Greenport , New York. I -1 3: 15 P.M. in the matter of the application of R. M. Kammerer, Commissioner of the Suffolk County Department of Public 11,1orks, for i ;a permit under the provisions of the Wetland Ordinance of the Town Of Southold, for permission to reconstruct bridge carrying New Suffolk Avenue over Mud Creek, Town of Southold, New York. 1 3: 20 P.M. in the matter of the application of R. M. Kammerer, i Commissioner of the Suffolk County Department of Public works, for � a permit under the provisions of the Wetland Ordinance of the Town of Southold, .for permission to reconstruct bridge carrying New Suffolk Avenue over Downs Creek, Town of Southold, New York. s I � All persons interested in said matter shall appear at the timet ;and place above specified and will be given an opportunity to be l' � eard. �f I I I 9i ;Page 2 �; - public hearings - Town Board, Town of Southold i t { j1DATED: May 26, 1981 III JUDITH T. TERRY ! SOUTHOLP. TOWN CLERK i4 ++E if t I! 'I I 'PLEASE PUBLISH ONCE, MAY 28 , 1981, AND FORWARD FIVE AFFIDAVITS OF � PUBLICATION TO JUDITH T. TERRY, SOUTHOLP TOWN CLERK, TOWN FALL, ;MAIN ROAD, SOUTHOLD, NEW YORK 11971. t ;Copies to the following: i, k The Suffolk Times �i The Long Island Traveler-Watchman , Inc. i James H. Rambo, Inc. a/c Mattituck Inlet marina Nicholas Fontana Carol K. Tuthill �( R. M. Kammerer, Commissioner, Suff . Co. Dept . of Public T9orks f; Town Board Members ;? Town Clerk Bulletin Board �I f E E� I ik i t I i R I I I: j !i I l' OF ICP-"OF - S OUT O]~,y�DyI JUDITH T.TERRYUFFOL'K C100,UNTX TELEPHONE TOWN CLERKQ -a 's � %�'� (516) 765-1801 REGISTRAR OF VITAL STATISTICS Southold, L. I., N. Y. 11971 May 5, 1981 Mr. David DeRidder Environmental Analysis Unit N.Y.S . Dept . of Environmental Conservation Building 40, SUNY - Room 219 Stony Brook, New York 11794 Dear Mr . DeRidder : Enclosed is application of Carol K. Tuthill 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 May 25, 1981 • 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 O ;OO.WN:a C LERK T TC„WN OF OUTHO D JUDITH T.TERRY SUFFO�K=CQUN� TELEPHONE TOWN CLERK REGISTRAR OF VITAL STATISTICS (516) 765-1801 Southold, L. I., N. Y. 11971 April 27, 1981 Southold Town Board Southold Town Hall Southold, New York 11971 Gentlemen: Transmitted herewith is application no`. 65 for a wetland permit submitted by Carol K. Tuthill. 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, V V-� Judith T. Terry— Town Clerk JTT/bn Enclosures gurell O 'F E OR- VN CLERK T XOF SOY1T'HO D JUDITH T.TERRY S5FOL Kl IJU�N TELEPHONE TOWN CLERK b � (516) 765 1801 REGISTRAR OF VITAL STATISTICS Southold, L. I., N. Y. 11971 April 27, 1951 ' Mr. Frank Cichanowicz III , Chairman Conservation Advisory Council Southold Town Hall Southold, New York 11971 Dear Mr. Cichanowicz : Transmitted herewith is application no. 65 for a wetland permit submitted by Carol K. Tuthill. 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. Te: r` Y Town Clerk JTT Enclosures r. OF#1 ow-6C°I;ERK 6WN..0F�S MWED JUDITH T.TERRY SUFF6TK<CQU1V'1' TELEPHONE TOWN CLERKg.g � (516) 765-1801 REGISTRAR OF VITAL STATISTICS Southold, L. I., N. Y. 11971 April 27; 1981 Mrs. Anna Hataier, President Board of Southold Town Trustees Southold Town Hall Southold, New York 11971 Dear Mrs. Hataier : Transmitted herewith is application no. 65 for a wetland permit submitted by Carol K. Tuthill. 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 OFFICE''OF j T,OwN.-,Q URK TOW OF;,SOUTHOLD JUDITH T.TERRY SUFFOLK COUN TELEPHONE TOWN CLERK '> REGISTRAR OF VITAL STATISTICS `Y (516) 765-1801 Southold, L. I., N. Y. 11971 April, 27, 1981 To Whom It May Concern : Attached hereto is Environmental. Assessment Form completed by Carol K. Tuthill in connection with her wetland appli,cati,on no. 65 for a wetland permit . Permission is requested to construct a platforms catwalk, ramp, and float off east side of Inlet Lane Extension on Gull Pond, Greenport, New York. Judith T, Te: Town Clerk JTT/bn ,. -.. '- -•-` - -, ,r'.k2 ,, . - -. - ,. .,.,' .. ,.'v` - _;s:r. -za •-kis' .�?;,cr.:=G s:,^;�.. i-+nns,r;r,nr.,.- s.. - '_ _ _- ' '_ -".-.r� i.-.zY.._ %•.n=+r;.W-:r:� %:..s.` "4!w•.7'rw.,n•:;n.u,ri+' L� .F r � r Town Of Southold Town Clerk's Office Southold, N. Y. APPLICATION FOR WETLANDS PERMIT Application No. ............. Date of Application ................7.. ......... ..... .. `........ Identityof Applicant .............. .......... cGc.i .!.1.. ...................................................... Address of Applicant �.Z:-�� � , �+ `�: r�r .... 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.. t�f applicant fqr a permit, may waive in whole or in part, the provisions of Article If, Section subdivisions ) and }'where it finds that nature of the proposed operations are such that -the requirements of such provisions 'are not necessary for a proper consideration of a permit application. I. Upon approval of this application the Town Clerk will issue a permit to the applicant. Such permit shall be available for inspection at any time, upon request. 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 ..�oi?S/,i^C/C/......... ��.f G �i!..... .r..r.`....)rea!?'74V .../L?./.....��..rJ. .... ..j/OCd.�....:�...dr'.. .../.......�...1G J..��.1 >...... 4f.. ................................................................ 7� +r I �ds� Location of property for which permit wanted....,..'. ..../..-v®......&/- , /.,!/............................ ........................................................ Home address of permit applicant if different from aforesaid location ..11.C��L4'l.:s.. rr.. ........ Tomo............................................................................................... Creek, Bay or Harbor fronting property .......C!��. P.i'�f�............................................................. .................................................................................................................................................................. Size of propos,(edd^work: � Q Length .. ��/..l.P.f ../d x/Z..: ....(o r� GP/Cd�l; .. �,X Q�......eaa 7 j. r Width ........................................................................I.............................................................................. Height Above High Water .....1.�. Cbz ftzlQ� .,1......(Ilp C7% ...................................... DepthBelow Low Water ........ly)aX......�t.: ...................................................................................... Yardsto be Excavated .............Mae................................................................................................. Yardsto be Filled .....................lvo.aC................ ............................................................................... 14 Widthof canal, creek or bay fronting property........:s .................................................................. Depth at Low Tide e-l: AverageRise in Tide .................z:.0..................................................................................................... Is this for private or business use? ........,/-Z 'a ............................................................................. AreaZoning ............................................................................................................................................. Manner in which material will be removed or deposited .................................................................. . .................................................................................................................................................................. Intended use ofro ert .................. .7,// L.. ...1'xv.q ....- le.................................... P P y .... ....,........................................................................................................................................................ I Written consent of owner of property, if not the same as the applicant ........... .. .......4 .................................................................................................................................................................. ........................................................................................................................................................ COUNTY OF SUFFOLK ) STATE OF NEW YORK SS: .......................T+7,W'J:ence..X,.-Muthid.1................................................ being duly sworn deposes and says that he is the app scant 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. ............ . .-� �rz ................................. Signature Applicant Sworn to before me this .......2.1th............... day of ................App-: ,l......................... 19.....8.1 Z.*.v'. Notary Public ELIZABETH ANN NEVILLE NOTARY PUBLIC, state of New Yod No 52-8125850, Suffolk CoI Term Expires March 30. IL Q- i OWN 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 projct 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 • si<gni �icant and a completed Environmental - Assessment Form is necessary . (c)1 If all questions have been answered No it is likely that this project- is not significant .-' ' - d ignificant .- - (d) Environmental Assessment I . , Will project result in a large physical change to the project site or physically altex more - than 10 acres of land? . . . . . . . . ­ . . . * - - - and? . Yes -" No 2 . Will there be a major change to any unique or _7 unusual land form found on the site? . . . . . . . . . . Yes No 3. Will project alter or have a -large effect on - • 1._< existing body of water? . . . . . YesNo 4. Will project have a potentially large impact -� on groundwater quality? . . . . . . . . . . . . . . . . . . . . . . . Yes ''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 onair quality? . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes `�No 8 . Will -project have a major effect on visual character of the community or scenic views or vistas known to be important to the community? Yes `/No 9 . Will project adversely impact any site or structure of historic, prehistoric or paleontological importance or any site designated` a' s a critical environmental area bya local `agency? . . . . . . . . . . . .. : . . . : . . . . .: . . . V Yes ` No 10 . Will project have a 'Major effect on existing or future recreational opportunities? . . . . . . . . . Yes ' ,/ No 11 . Will project result in major traffic probl-ems or cause a major effect to existing transportation systems? . . . . . . . . . . . . . . . . . . . . . . . Yes , No 12 . Will project regularly cause objectionable odors, noise, glare, vibration, or electrical disturbance as a result of the project ' s operation? . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . Yes No 13 . Will project have any impact on public health _.or safety? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes ✓ 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 1 . r PREPARER ' S SIGNAT REPRESENTING �Ji�� DATE 7 t�� Ito 1� ' may ,' '� .- '� � w{l`'� ��,•!'��;,�, ���;, " • : �' ' o � r •.�✓l t ,1,' \_� til��.©"I i_. 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