HomeMy WebLinkAboutPunch, TomBOARD OF TOWN TRUSTEES
Town o£ $outhold
Main Road
$outhold, New York ]1971
NOTICE OF ACTION - NOT A PERMIT
Tom Punch
]. Your application, doted ...... ..M~....r...c..h.....2..2..c....1...9..8...2, ................................ has been reviewed by this
Board, at o meeting of the Trustees held on ................... ,A.,p,.r,.,i,.1....,7..~...,1...9,,8,.2, ..........................................
and resulting in the action, os indicated below:
( ............ )
(..x...x..x,....)
Application approved.
Application denied.
Application tabled.
2. Comments ond remarks: Application to construct a dock, ramp and
float in Goose Creek, Southold, tabled until such time as a
Wetland Application is filed With the $outhold Town Board.
Deadline for May meeting is April 22, 1982.
A PERMIT FEE
3. If your aDoHcotion is aDD~oved above. ,~-Dm'mft"-~:~ is now due,. and should be made payable
to t~"~ ~rder of the Board of Southold To~vn Trustees. This fee is computed below accord~ngto
the Sche~uleof R~tesgs set fo~h in the Instruction ~hee~Earm I/IZ This f~ ~ust be
paid within 9u oays or re-appI~ng an~ ac=i~lonaI Iee w~li De necessary.
If the Permit Fee is paid in person to the 5ecreta~ of the Board, The Permi~ will be obt'aincble
at the same time. If the fee is paid by mail, the permit will be mailed in reply.
Computation of Permit Fee:
Total Fee for this application ............................................................ $ ........................................
NAME OF CREEK
BOARD OF TOWN TRUSTEES
Town Of Southold
Main Road
Southold, New York 11971
Rev,
APPLICATION FOR FIXED and/or FLOATING DOCKS
2. Controctor',nomeandaddre,,: ..... ..................................................
.... ....................................
3. Briefly explain the purpose of this application: ....,~.~.~,..Z~.......~...].~.....~....O...:...?,.¢,.,~..(.~. .......
.........
.... ....... .......................................................
4. After issuance of a Permit, work must be completed within one year.
LARGE
5. Secure the correct Area Map from the Clerk of this Board, and by using a/X WITHIN
A CIRCLE indicate as closely as possible the location of this dock. On the reverse side of this
map, provide a SCALE DRAWING which will show Ordinary High Water Mark, the shape
and size of the dock and any supplemental pilings which are needed to hold a floating dock
or tie-ua n boat. Give all dimensions necessary to determine the area of the dock surface
WHICH EXTENDS OFFSHOP~E from theO. H.W.M. zf adjacent proper owners have docks;
specify location and length to scale.
6. Will any portion of this construction extend offshore into Town Waters beyond on imaginary
line or boundary formed by other similar structures along the area's shoreline? ~ or NO.
If it does extend beyond this so-called dock line indicate by how far, approximately, .......... ft.
7. Provide the following documents: (a) A Licensed Engineer's Survey of the property involved.
(b) A copy of the Contractor's Plans and Specifications.
(c) Short Environmental Assessment Form.
8. ~A/ilI this construction require the Filling of any land offshore of the Ordinary High Water
Mark or the Dredging of any material from Town Lands under water? ~J~or NO. If it does,
Form A/4 (Application for Dredging/Filling) must be completed and attached as part of this
application.
Accepted by:
9. In requesting approval of this application, I submit that: the information presented herein
is true and correct to the best of my knowledge and belief; I am the person accountable for
the performance of the work in accordance with the plans and specifications attached; I have
read or am familiar with the provisions of any Southold Town Ordinance pertinent to the work
involved; end further, I intend to adhere to and abide by the Terms and Conditions of the
Permit, when and if issued to me.
10. TO expedite finding specific location for inspection, indicate
by using a temporary marker. /'~~.~.'//~ ' ·
Dated: .2_
SHORT
TOWN OF SOUTHOLD
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
add£tional 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
l. Will project result in a large physical change
to the project site or physically alte~ more
than 10 acres of land? ........................ Yes
2. Will there be o major change to any unique or
unusual land form found on the site? . . Yes ~1~o
3. Will project alter or have o large
existing body of water? ...................... Y~s
4. Will project have a potentially large impact
Yes ~/~o
on groundwater quality? ......
5. Will project significontly'~f~'~oiA~'
flow on adjacent sites? ....................... Yes
6. Will project affect any threatened or
endangered plant or animal species? .... Yes
7. Will project result in a major odverse' f e
on air quality? .............................. Yes ~/~o
8. Will project have o major effect on visual
character of the community or scenic views or
vistas known to be important to the community? Yes~No
9. Will project adversely impact any site or
structure of historic, prehistoric or
paleontological importance or any site
designated os a critical environmental area
by a local agency? ............ -.~...-...~...~.-,..-.- Yes
~No
10. Wii1 project have a bajor effect on existing
or future recreational opportunities? ......... Yes
11. Will project result in major traffic problems
or cause a major effect to existing ~
transportation systems? ....................... Yes o
12. Will project regularly cause objectionable
odors, noise, glare, vibration, or electrical
disturbance as a result of the project's
operation? .................................... Yes//No
i3. Will project have any impact on public heoith ~N
or.safety? .................................... Yes o
14. Will project affect the existing community by
directly causing o growth in permanent
population of more than $ percent over o one
year period o_~_~ have o major negative effect
on the character of the community or
neighborhood? ................................. Yes
Z/No
15. Is there public controversy concerning the ~NO
project? ...................................... Yes
PREPARER'S SIGNATURE.
REPRESENTING_ / p,.-;~ /__,¢/~ F DATE
Town o£ Southold
15Iain Road
Southold, New York ]1971
NOTICE OF ACTION - NOT A PERMIT
To: Tom Punch
1. Your application, dated ............ ...M~....r.~k..2...2..~...]~.~.~. .......................... has been reviewed by this
Board, at a meeting of the Trustees held on .......... ..M~_~....4.,....~,.~..8..2. .........................................................
and resulting in the action, as indicated below:
(....x..x...x...)
( ............ )
)
Application approved.
Application denied.
Application tabled.
Comments and remarks: Approved with the provision that boats and float
are 15' from property line and that neither will infringe on the
channel.
A PERDZIT FEE
3. If vcur coDllcation is angroved above, ,~-fN~rnit-Fe~ is ngw due, and should be mode payable
to tR~ order of the Board of Southold Town Trustees. This fee is computed below accordingta
the $ched. ul¢of Ratesas set forth in the In,truction Cheet, 4F. qrm I/I~.. ~his f¢~ must -be
paid wzCnzn 90 days or re-appl~-ing an~ aa~i~zona]' ~ee wzxi De necessary
If the Permit Fee is paid in person to the Secretary of the Board, The Permit will be ob'coinoble
at the same time. If the fee is paid by mail, the permit will be mailed in reply.
Computation of Permit Fee:
13' x 3' dock = 39 sq. ft. ~ $.25 per sq ft = $ 9.75
16' x 3' ramp = 48 sq. ft. ~ .25 per sq ft - 12.00
20' x 5' float = 100 sq ft ~ .25 per sq ft = 25.00
2 pilings ~ $5.00 per piling = 10.00
$56.75
Total Fee for this application ............................................................ $ 56.75
..~: ...... ~....~v...~ .~. ~.. ~..~..5~ .~-
, ("-~7~-~t-c-c¢..-~-~~4//~ ''~'-¢'x'-~~°res . Board of,Southold Town Trustees'. _
............... ...... ; ........................... ?.
r/NE ~¥ECK RO~ U
APP~C r~T:
BEACHWOOD LANE
NOTES:
LOT NUME~ NEFE/~ TO MAP OF '"$OUTNWOOD.
~NTY ON NO~ ~4~ 195~ &S FIL~ NQ ~141
~£$T NO/E
· "YOUNG & ,~,~I, /' '-
YCtUI G
SURVEY ~OR: .....
ALFfiED SCHWARTZ
SOUTHOL
TOWN o, ~UTHOLD
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