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HomeMy WebLinkAboutVan Bourgondien, Philip TOWN OF SOUTHOLD TOWN CLERK'S OFFICE SOUTHOLD, NEW YORK WETLANDS PERMIT This Wetlands Permit No. ,110 ,, has been granted by the Southold Town Board according to information furnished in Application No. °,132 .... filed by Applicant Philip Van.Bour ondien" ......... on March 22 1g83..... 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 platform, ramp and two floats ......................................................................... ................................................................................................................................................................. ................................................................................................................................................................,. Location of property on which work to be done ......1285 Calves Neck;,Road..,,Southold..... ................................................................................................................................................................. ......................... ............................................................................................................ . ....................... ToCreek Creek Ba 'or Harbor frontingproperty ....Town....wn...............................................:.i.`... ........................................................................................................................... .I...............4.. .... , Ram — 20 ft . • Float in docks 20 f ..'(each• at;form-4ft . Size of work: Length ..........P......................s.................... ................................................�..�P: ..... Width ..Tamp 30 in,,;,, Floating„docks, -„4 ft;, each; :Platform-6 ft . ..... ..... ..... Height Above High Water .Platform...—... ... . 1 ft......................................................... Depth Below Low Water ...floating.......................................................................... .Yards to be Excavated ............none............................................................................... Yards-to be Filled ................none............................................................................... Manner in which material is to be removed or deposited ...........-- .......................................................... ................................................................................................................................................................. Intended use of property .Private —.....R.esidential. . . : ....... .. .. .... . ..................................................,... ................... ...................................:............................................................................................................................. Conditions if any .THE..LENGTH„OF THE„DOCKS MUST CONFORM TO ADJACENT DOCKS .......... .................. ............................................. .................................................................................................................................................................. Expiration Date ......May,, 24,,,,,1984 IF WORK HAS NOT COMMENCED ................................................ , ......................................... Number of Inspections Required ......2,;,-„TOWN CLERK TO BE NOTIFIED WHEN PROJECT IS .......................................................................... .......... COMPLETED. InspectionFees ..$. ...RQ...................................................................................................-................... 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, 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. Town Clerk, Town of Soutd S, E A L Date...........MaY.... ................................. d -aY i "vi.'A gy+i's 1y 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 May 27, 1983 To: Southold Town Building Department ,-__— From: Judith T. Terry, Town Clerk Re: Wetland Permits Transmitted herewith are Wetland Permits as follows: 109 - John J. Farrell 110 - Philip Van Bourgondien 111 - Enconsultants Inc. on behalf of Benjamin Kowalchuk 112 - The Land Use Company on behalf of Robert Wendell 113 - The Land Use Company on behalf of Winds Way Building Corp. 114 - James Bitses The Town Board requires two inspections of each project. You may make your first inspection whenever you determine feasible, and I will notify you when the projects are completed so you may make the final inspections. n r. Town Hall 53095 Mai, n Road P.O. Box 728 Southold, New York 11971 ��, "_,� - ••.�.� my JUDITH T.TERRY ; TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR 01 VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD May 27, 1983 Mr. Philip J. Van Bourgondien 1285 Calves Neck Road -- Southold, New York 11971 Dear Mr. Van Bourgondien: The Southold Town Board approved your Wetland Permit at their May 24th meeting. Upon receipt of $5.00 inspection fee, your permit will be forwarded to you. Very truly yours, Judith T. Terry Southold Town Clerk PUBLIC HEARING SOUTHOLD TOWN BOARD MAY 24, 1983 3: 32 P. M. IN THE - MATTER OF APPLICATION NO. 132 BY PHILIP VAN BOURGONDIEN FOR A WETLAND PERMIT. 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: This is the application of Philip J. Van Bourgondien for a Wetland Permit . It will be read by Councilman Murdock. COUNCILMAN MURDOCK: "Notice is hereby given that public hearings will be held by the Town Board of the Town of Southold, at the Southold Town Hall, Main Road, Southold, New York, on May 24, 1983, as follows: 3: 32 P.M. - in the matter of the application of Philip J. Van Bourgondien for a permit under the provisions of the Wetland Ordinance of the Town of Southold to construct platform, ramp, and floating docks at Town Creek, 1285 Calves Neck Road, Southold, New York. All persons interested in said matters shall appear at the time and place above specified and will be given an opportunity to be heard. Dated: May 10, 1983, By Order of the Southold Town Board, Judith T. Terry, Town Clerk. " I have an affidavit of publication by Joan W. Gustayson on behalf of The Suffolk Times, and an affidavit signed by Patricia Wood on behalf of the Long Island Travler-Watchman saying it was published there. I have an affidavit signed by Judith T. Terry, Town Clerk that it was posted on the Town Clerk's Bulletin Board. Letter from the Town Board of Trustees to Mrs. Judith T. Terry, Southold Town Clerk, "Dear Mrs Terry: Transmitted herewith is the action taken by the Board of Town Trustees at a regular meeting held on April 5, ' 1983: Resolved to recommend to the Southold Town Board approval of the Wetland Application #132 of Philip Van Bourgondien to construct a platform, ramp and two floats, in Town Creek, with the provision that the length of the dock conforms to adjacent docks. " Signed by Paul Stoutenburgh, President. Letter to Mrs. Judith T. Terry, Town Clerk, from the Southold Town Conservation Advisory Council, "Dear Mrs Terry: The following action was taken by the Southold Town Conservation at a regular meeting held on Tuesday, April 16, 1983: Resolved to recommend to a r Page 2 - Public He ng - Philip J. Van BourgG..cien Wetland Application the Southold Town Board approval of the Wetland Application #132 submitted by Philip J. Van Bourgondien to construct a platform, ramp and floats. Yours truly, Frank Cichanowicz, Chairman. " SUPERVISOR PELL: Thank you, Larry. You've heard the reading of this public hearing on Philip J. Van Bourgondien. Does anybody wish to speak in favor of? (No response. ) In opposition to? (No response. ) Does anybody wish to be heard at all? (No response. ) I declare the hearing closed. Judith T. Terre Southold Town Clerk LEGAL NOTICE 'NOTICE OF HEARINGS STATE OF NEW YORK ) NOTICE IS HEREBY )SS; GIVEN that public hearings will be held by the Town Board COUNTY OF SUFFOLK ) of the Town of Southold,at the Southold Town in Road,Southold,New Yo kaon .......... ...............of Greenport, in said County, May 24,1983,as follows: says he/she is a representative of THE SUFFOLK TIMES, a weekly 3:30 P iM.ation of John- Jf ' n the matter the app ' newspaper,published at Greenport,in the Town of Southold,County Farrell for a permit under the provisions of the Wetland of Suffolk,State of New York,and annexed is a printed copy that has Ordinance of the Town of been regularly published in said newspaper once 'in each week Southold to construct dock and float at 1000 Beachwood Lane, for.......© ®....... week(s) successively, commencing the....1. h day Southold,New York. i3:32 P.M.--in the matter of of.....May......................... 19.........$2........... the application.of Philip J.- permit .- ' ermit U/1�/ VanBoureondien for a U UV underthe provisions of the ...... .. . .............................................................. Wetland Ordinance ot ttie Town of Southold to construct platform, ramp, and floating Sworn to before me this.........1.2.t..la...................... docks at-Town Creek, 1285' Calves Neck Road, Southold, day of..........May.............................. 19....,83............................. -New York. 3:35 P.M.--in the-matter.of r the application_ - of HELEN K.DE UOE Enconsultants, State of New York Inc. on behalf tof Benjamin Kowalchuk,for a NOTARY PUBLIC, permit under the provisions_Of No.4707878,Suffolk County the Wetland Ordinance of the Term Expires March 30, 19$� S' Town of Southold to construct 4 a dock, catwalk, and ramp at t the east side of Wells Road,on j Richmond Creek, Peconic, New York. 1 .3:37 P.M.--in the matter of (. the application•of The Land 1 Use Company, on behalf of• Robert Wendell, for a permit ' under the provisions of the Wetland Ordinance of- the Town of Southold to install a timber bulkhead with two returns-and-backfill at 1020 Glenn Road,-on West Creek Extension of Goose Creek, Southold,New York. , 3:40 P.M.-in the matter of I the application of The Land Use Company, on behalf of G Winds Way Building Corp.;for t a permit under the provisions of the Wetland Ordinance of t' the Town of Southold to construct a timber bulkhead and dredge seaward of proposed bulkhead on.the s westerly side of Snug Harbor Road, on Dawn Lagoon, Greenport,New York. s 3:42 P.M.—in the matter of t -the application of James s Bitses for a permit under the ° provisions of the Wetland I �r CLERK ITMy1274239 LEGAL NOTICE COUNTY OF SUFFOLK ss: i NOTICE OF HEARINGS STATE OF NEW YORK NOTICE IS HEREBY GIV- EN that public hearings will be held by the Town Board of the Town of Southold, at the Patricia Wood, being duly sworn, says that she is the Southold Town Hall, Main Road, Southold,New York;on Editor, of THE LONG ISLAND TRAVELER-WATCHMAN, May 240983, as follows: � a public newspaper printed at Southold, in Suffolk County; 03:30 P.M. - in fhe matter of' thea', application of John` J. and that the notice of which the annexed is a printed copy, Farrell for a permit under the provisions of the Wetland has, been published in said Long Island Traveler-Watch- Ordinance of the 'Town of man once each week for ........................................weeks Southold fo'construct dock and l float at'1000 Beachwood Lane,' � Southold, New York. successively, commencing on the .................................... .................. 3:32 P.M. - in the matter of8'3 the application of Philip J. da o \...... ......... ' ........................, 19........ VanBourgondien for a permit •� �� under the provisions of the Wetland Ordinance of the I Town of Southold to construct platform, ramp, and floating docks at Town Creek, 1285 Calves Neck Road; Southold; ra( New York: <, Sworn to before me this a............ day of 3:35 P.M. : in the matter of the,application of Enconsul- c�3 ! tants, Inc.'on behalf of Ben- ••• •• • ° 19.- .... jamin Kowalchuk;for a permit' under the provisions of the Wetland Ordinance- of the Town of Southold to construct a dock, catwalk; and ramp.at •••••••••• . � •,•,`,'................... the east side of,Wells Road,on, N�0�i)rvyqu��iiic Richmond 'Creek, Peconic, New'York. CLEMENT J,vioMpSON 3:37 P.M. -m'the matter of NOTARY PUBLIC,State of New York the application of;The Land No.52.9321725 Use Company,' on-Behalf of Residing in Suffolk County Robert Wendell, for a permit . Commission Expires March 30,19 under the provisions of the Wetland Ordinance of the Town of Southold to'install a' timber bulkhead with two re- turns and backfill at 1020 Glenn' Road, on West Creek Extension of 'Goose Creek, Southold;New York. ' 3:40 P.M. - in the matter of the application of The Land x Use Company, on behalf of Winds Way Building Corp., for a permit under'the pro- visions,of the Wetland Ordin- ance of the Town of Southold to construct a timber bulkhead and dredge seaward of nro- posed bulkhead on the wester- ly side of Snug Harbor Road,, on Dawn Lagoon,' Greenport, New York. '3:42 P.M. - in'the matter of the application of James Bitses for a permit under the pro visions of the Wetland Ordin- ance'of the Town of Southold to.construct,a bulkhead,.dock,d:�, an&dredge'at the'south side of,L"2\, 1 Main+Bayview,Road,ton--Corey K%+f' �— — Creek, Southold, New York. 3:45 P.M. --in the matter of application of Charles Zahra and Alfred Grassklaus for, a permit undel the provisions*of the Wetland Ordinance of the Town of Southold to construct a retaining wall at Eugene Creek,off east side of Eugene Road, Cutchogue, New York., 3:47,P.M. - in the matter of the application of Edward R. Yanke for a permit under the provisions of the Wetland Or- dinance of the Town of South- old to construct a catwalk and floating dock,at Corey Creek, 75 Wampum Way, Southold, New York. 3:50 P.M.,- in the matter of the application of Roger Stout- enburgh for a permit under the provisions of the Wetland Or- dinance of the Town of South-' old _to construct a dock at Mudd Creek, off west side of Bay Avenue, Cutchogue, New- York. All persons' interested in said matters shall appear .at the time and place, above specified and will be given,an opportunity to be heard. , DATED: May 10, 1983 BY ORDER OF THE SOUTHOLD TOWN BOARD JUDITH T.-TERRY, TOWN'CLERK 1T-5/12/83(81) i I _ STATE OF NEW YORK: f SS. COUNTY OF SUFFOLK: JUDITH T. TERRY, Town Clerk of the Town of Southold, New York, being duly sworn, says that she is over the age of twenty-one years; that on the 11th day of May 1983 she affixed a notice of which the annexed printed notice is a true copy, in a proper and substantial manner, in a most public place in the Town of Southold, Suffolk County, New York, to wit : - Town Clerk Bulletin Board, Toren Clerk Office, Main Road, Southold, New York 11971 Notice of Hearings upon Wetland Applications: May 24, 1983, Southold Town Hall. 3: 30 P.M.-John J. Farrell 3: 32 P.M.-Philip J. VanBourgondien 3: 35 P.M.-Enconsultants,, Inc. on behalf of Benjamin Kowalchuk 3: 37 P.M.-The Land Use Company on behalf of Robert Wendell 3:40 P.M.-The Land Use Company on behalf of Winds Way Building Corp. 3:42 P.M.-James Bitses 3:45 P.M.-Charles Zahra and Alfred Grassklaus 3:47 P.M.-Edward R. Yanke ! 3: 50 P.M.-Roger Stoutenburgh I Judith T. Terry Southold Town Clerk Sworn to be before me this 11th day of May 1983 Notary Pub1 Kc ` ELIZABETH ANN NEVILLE NOTARY PUBLIC, State of New York No, 52.8125850, Suffolk Coin+ Term Expires March 30, 19.1f. E i i LEGAL NOTICE NOTICE OF HEARINGS NOTICE IS HEREBY GIVEN that public hearings will be held by 4 the Town Board of the Town of Southold, at the Southold Town Hall , , Main Road, Southold, New York, on May 24, 1983, as follows: 3: 30 P.M. - in the matter of the application of John J. I Farrell for a permit under the provisions of the Wetland Ordinance ' of the Town of Southold to construct dock and float at 1000 Beach- wood lane, Southold, New York. 3: 32 P.M. - in the matter of the application of Philip J. ,VanBourgondien for a permit under the provisions of the Wetland I � Ordinance of the Town of Southold to construct platform, ramp, and ; s floating docks at Town Creek, 1285 Calves Neck Road, Southold, New , York. 3: 35 P.M. - in the matter of the application of Enconsultants, Inc. on behalf of Benjamin Kowalchuk, for a permit under the I provisions of the Wetland Ordinance of the Town of Southold to I construct a dock, catwalk, and ramp at the east side of Wells Road,' on Richmond Creek, Peconic, New York. I 3: 37 P.M. - in the matter of the application of The Land Use Company, on behalf of Robert Wendell , for a permit under the i provisions of the Wetland Ordinance of the Town of Southold to I install a timber bulkhead with two returns and backfill at 1020 Glenn Road, on West Creek Extension of Goose Creek, Southold, New ` s York. i 3: 40 P.M. - in the matter of the application of The Land Use Company, on behalf of Winds Way Building Corp. , for a permit under I the provisions of the Wetland Ordinance of the Town of Southold to construct a timber bulkhead and dredge seaward of proposed bulkhead M on the westerly side of Snug Harbor Road, on Dawn Lagoon, Greenport;, New York. 1 f j I i i Page 2 - Pub] Hearings - May 24, 1983 3:42 P.M. - in the matter of the application of James Bitses for a permit under the provisions of the Wetland Ordinance of the Town of Southold to construct a bulkhead, dock, and dredge at the south side of Main Bayview Road, on Corey Creek, Southold, New York'. 3:45 P.M. - in the matter of the application of Charles Zahra and Alfred Grassklaus for a permit under the provisions of the Wetland Ordinance of the Town of Southold to construct a retaining wall at Eugene Creek, off east side of Eugene Road, Cutchogue, New York. 3:47 P.M. - in the matter of the application of Edward R. Yanke for a permit under the provisions of the Wetland Ordinance of the Town of Southold to construct a catwalk and floating dock at Corey Creek, 75 Wampum Way, Southold, New York. 3: 50 P.M. - in the matter of the application of Roger Stoutenburgh for a permit under the provisions of the Wetland Ordinance of the Town of Southold to construct a dock at Mudd Creek, off west side of Bay Avenue, Cutchogue, New York. All persons interested in said matters shall appear at the i time and place above specified and will be given an opportunity to j be heard. DATED: May 10, 1983. BY ORDER OF THE SOUTHOLD TOWN BOARD JUDITH T. TERRY, TOWN CLERK ' f i f PLEASE PUBLISH ONCE, MAY 12, 1983, AND FORWARD NINE (9) AFFIDAVITS OF PUBLICATION TO JUDITH T. TERRY, TOWN CLERK, TOWN HALL, MAIN ROAD,, SOUTHOLD, NEW YORK 11971. Copies to the following: t The Suffolk Times i The Long Island Traveler-Watchman John J. Farrell Philip J. VanBourgondien Enconsultants, Inc. a/c Benjamin Kowalchuk The Land Use Company a/c Robert Wendell E The Land Use Company a/c Winds Way Building Corp. i James Bitses i Charles Zahra and Alfred Grassklaus Edward R. Yanke I Roger Stoutenburgh i Town Board Members Town Clerk' s Bulletin Board 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 ll, 1983 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 , which is unlisted will not have a significant effect on the environment . DESCRIPTION OF ACTION Application of Philip J. Van Bourgondien for a wetland permit . Permission is requested to construct platform, ramps, and floating docks at Town Creek, 1285 Calves Neck Road, Southold, New York. The project has been determined not to have a significant effect on the environment for the following reasons: An environmental assessment has been submitted which indicated that no significant adverse effect to the environment are likely to occur should the project be implemented as planned. Because there has been a response from the Board of Southold Town Trustees and Southold Town Conservation Advisory Council indicating that this project would not have a significant effect to the environment . Because there has been no response in the allotted time from the New York State Department of Environmental Conservation and the Southold Town Building Department , it is assumed that there are no objections nor comments from those agencies. 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 Southold Town Trustees Southold Town Conservation Advisory Council Town Clerk' s Bulletin Board Philip J. VanBourgondien TELEPHONE (516)765-1801 BOARD OF TOWN TRUSTEES TOWN OF SOUTH[OLD Town Hall, 53095 Main Road RECEIVED P.O. Box 728 Southold, New York 11971 APR 6 03 April 6, 1983 Town clerk Southold Mrs. Judith T. Terry Southold Town Clerk 53095 Main Road Southold, New York 11971 Dear Mrs. Terry: Transmitted herewith is the action taken by the Board of Town Trustees at a regular meeting held on April 5, 1983: RESOLVED to recommend to the Southold Town Board approval of the Wetland Application #132 of _Philip Van Bourgondien to construct .a platform, ramp and two floats, in Town- Creek, with the provision that the length of the dock conforms to adjacent docks. Very truly yours, Board of Town Trustees Paul Stoutenburgh President PS/ip SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL Southold, N. Y. 0AY 4 May 4 , 1983 Mrs. Judith Terry Town Clerk Main Road Southold, NY 11971 Dear Mrs. Terry: The following action was taken by the Southold Town Conservation Council at a regular meeting held on Tuesday April 26 , 1983. RESOLVED to recommend to the Southold Town Board approval of the wetland application #132 submitted by Philip J. Van Bourgondien to construct a platform, ramp and floats. Yours truly, FRANK CICHANOWICZ , CHAIRMAN By Jane Moffatt, Secretary - W Town Hall, 53095 Main Road P.O. Box 728 Southold New York 11971 JUDITH T TERRY ' "- r TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STAT ISrICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD April 6, 1983 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 Philip J. Van Bourgondien 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 April - 25, 1983 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 Enclosures cc : Commissioner Flacke Southold Town Building Department = g Town Hall, 53095 Main Road ` P.O. Box 728 " •`t Southold, New York 11971 JUDITH T.TERRY " :�,._, _` TELEPHONE TowN CLERK (516)765-1801 REGISTRAR 01 VITAL S I A 1 ISTICS OFFICE OF THE TOWN CLERK - TOWN OF SOUTHOLD March 22, 1983 Southold Town Board Southold Town Hall Southold, New York 11971 Gentlemen: Transmitted ylerewith is application no. 132 for a wetland permit submitted by Phi-lip J, 'Van Bouxgondien. 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, ,17 Judith T. Terry Southold Town Clerk Attachment - rVf3 f Town Hall, 53095 Main Road t' P.O. Box 728 Southold, New York 11971 JUDITH T TERRY TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL S1 A-I ISTICS OFFICE OF THE TOWN CLERK - TOWN OF SOUTHOLD March 22, 1983 Mr . Paul Stoutenburgh, President Board of Southold Town Trustees Southold Town Hall Southold, New York 11971 Dear Mr. Stoutenburgh: Transmitted herewith is application no. 132 for a wetland permit submitted by Philip J. Van Bourgondien. Please prepare a written report of findings and recommendations with respect to this application . Very truly yours, Judith T. Terry Southold Town Clerk Attachment ppato 3 fr .} - ' Town Hall, 530 - 95 Main Road P.O. Box 728 Southold, New York 11971 JUDITH T.TERRYa> r." '" TELEPHONE ToNvN CLERIC (516)765-1801 REGISTRAR OF VITAL S 1 A I ISTIC'S OFFICE OF THE TOWN CLERK - TOWN OF SOUTHOLD March 22, 1983 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. 132 for a wetland permit submitted by Philip J. Van Bourgondien. Please prepare a written report of findings and recommendations with respect to this application. Very truly yours, Judith T. Terry Southold Town Clerk Attachment s ' Toivn Of Southold Town Clerk's Office MEMO Southold, N. Y. MAR.2 2 1983 Town cle* 604011 APPLICATION FOR WETLANDS PERMIT Application No. .....AJ ............ Date of Application .� .. ��;;i.......................... Identity of Applicant .... .... ... ........ ........ . ....... .... . ...................................... Address of Applicant � .....e� L ll�_S ,i/ C ... ....... �� .r�7.6U.6 .................... ... INSTRUCTIONS FOR PERMIT A. This application is to be completely filled in by typewriter or ink and submitted to the Town Clerk in quadruplicate, accompanied by written- permission from the owner of the property if not the 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, and a detailed description of proposed project. (Note: Copies of the Pilot Plan maybe made by a copy machine and attached io 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. j 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. i �f ti� applicant for a permit, may waive in whole or in part, H. The Town Board upon request the provisions of Article 11, Section9 subdivisions (b and (Grwhereit 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 ........................................................... Cr�)rngitionG, if on ...... ....... .. ...... . .. .... ..,......... .. .... .......... . ................................................................................................................................................... ................................................................................................................................................... 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 .� .6. 1� �. ..��. :fi ®�Al 4`'1 0`L: !g T; . .............. 11. .... E. ,tc...F.�R..1'?r��7��t�1. ....o .. .JWt Asr�R ..... R. r .................................. Location of property for which permit wanted....L � !' L�! ... �... .. ..................... .................N...... o ..... Ef............................................................................................... Home address of permit applicant if different from aforesaid location .............................................. ........................................................................................................................................................... Creek, Bay or Harbor fronting property ..........d..k' !V..... .................................................................................................................... Size of proposed work: Length �l '1... :.. a.! 'iNli'. �•a' „rL �` Il�!!Crt .��.. �.;'-0 rLOi .�•�/.`�. . �OGf'� Width A-AFQ.A/”�..AA Height Above High Water .�� � Q.. .l�....�. ...�.�� 19 .. .� ............................... Depth Below Low Water .......FLaa'z,, ' . ............. ............ ..................... ............................................. Yardsto be Excavated ..................................................................:.................................. ...................... Yardsto be Filled ................................................................................................................................... Width of canal, creek or bay fronting property.. .. . Depthat Low Tide ...... .................................................................................................................... Average Rise in Tide ... .��.f .�r............................................... ............................................................... �a � � A Isthis for private or business use/ - �' _______.___._.____._____._____. Area Zoning ...........RF.!�'/A Ir-r��N'7-/^4.L-.__.__________.._._,___.___,___~~______ Manner in which nnoteho| will be removed or deposited --.-.---.-_,,,^^.,,^.--.,_-~~,,,,~,^,_ , '--'' -----'--------------'---'------'----''---------'-----'----' Intendeduse ofproperty ......................................................................................................................... -' -^-'--'------'------'----------^--------------'--'-----~--^ Written consent of owner of property, /f not the some as the applicant ........................................ --''~------~----------^---------~---'------'---------^^'--'----- -'-'~-'----------'------'------~----'~'-------------'-----~---^-~'-- bUNTYOF3UFFOLK ) ' 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 manner set for'ch in this opplicarion 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/121-1 id permit, if granted. Signot "3� day of " �'q-cc// ., -~--~--'T/~'-~-'~-'..''°--'--..y........................... � �otary Public . - ANmuNY 'eTOMMAAwoNotary � r" x� ovt°�,a ��' York No 52-4653619 ovo|aied in Suffolk mnn ap/nm wmoa 34 19~.�^� / � ' _ � ' ` .v C...fi• "spa Y i!,-- Town Hall, 53095 Main Road r p` '•4.. _ P.O. Box 728 Southold, New York 11971 JUDITH T TERRY TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR 01'VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD March 22, 1983 To Whom It May Concern : Attached hereto is Environmental Assessment Form completed by Philip J. Van Bourgondien in connection with his wetland application no. 132 for a wetland permit . Permission is requested to construct platform, ramp, and floating docks at Town Creek, 1285 Cal- es Neck Road, Southold, New York. Judith T. Terry- Southold Town Clerk Posted on Town Clerk' s Bulletin Board on 3/22/83 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 resu t 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? . . . . . . . . . . Yes_.2LNo 3 . Will project alter or have a large effect on 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_2No 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? YesXNo 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? . . . . . . . . . . . . . : . : . . . .� : . . YesNo 10 . Will project have a major effect on existing 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�No 13 . Will project have any impact on public health . or safety? . . . . Yes�No 14. Will projectaffecttheexisting 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? . . . . . .. . . . . . . . . . YesNo 15 . Is there public controversyconcerning the project? . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . .. - Yes_No PP.EPARER ' S SIGNATURE M-L' REPRESEPdTING_ - - DATE � a �3 � wf4 FE'I-< X -S K11Dr K✓ SP�LC 4' b ly SP►LE N '0 ,piLr OcArEK S p� 1, fLA7 _ ® w,f 7-FR MA�4{ FRO of l'� s Pfd, L , p T�z �J� o pI=RT S' d F Pg/'L"P 011/4 13 0 U/Z 0A'