HomeMy WebLinkAboutTR-123-8-26.1
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TRUSTEES
John M. Bredemeyer, III, President
Henry P. Smith, Vice President
Albert J. Krupski, Jr.
John L. Bednoski, Jr.
John B. Tuthill
Telephone (516) 765-1892
7.
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Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (516) 765-1823
Telephone (516) 765-1800
SCOTT L. HARRIS
Supervisor
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
GRANDFATHER APPLICATION
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Name of Applicant: r; <f jf) Assoe/Ale.c:;
Mailing address: ().. '170 /(o/;se T 7 S'l. ,
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Address of Property: (}..:;]o) IJR f( lie
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Tax Map Number: 1000-
Approx.yr.of construct: /9,( g-
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Prior owner if known:
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Diagram of existing structures, including all dimensions, must be
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Indicate on attached map: Location, ie; reference point, telephone
pole number, adjacent property owners, etc.
Signature of applicant:
for
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Date: j~/r13
filing this
Please note,
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MA~ OF LAND
SURVEYED FOR
OSMOS WICKERSHEIM
AT
MATT\TUCK
TOWN OF SOUTHOLO, N.Y
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....f\\ VORl<.n DEPART,'o1E...r Of E"'VII(O~,\.1E....r"'l CO....SlRV"-Tl.
DEC PER.\.Ur "L.,\.lut,R
NT"oL.
FACILITY PROCRl\M "'U,,"8ERhl
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PERMIT
Under the Environmental Con5ervation Ltw (EeL)
~FFECI
EXPIRA710." DATE
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TYPE OF PERMIT (CkKk All Applicabl. BOIle'SJ
~N~ o Renew.1 OModlfication
o PHmlt to Construct
OPHmll to O~ue
Mlcle 15, Tille 5:
Protection of Water
Article 15, Title 15:
Water Supply
D Article 15. Title 15:
Water Transport
D Article 15, Title 15:
Long Island Wells
D Article 15, Title 27:
Wild, Scenic and Recreational
Rivers
D 6NYCRR 608:
Water Quality Certification
GJ
D
PfRM IS~UfD TO ^ ""1-:'
...:. .j ns:s.cc-lQ V S:
ADDRESS OF PE RMITTE
,;x.J70 <: sdt ~-ht
CONTACT PERSON FOR PERMITTED WORI(
~AME AND ADDRESS OF PROIECT.'F"f1lITY
S;S C(:I (t 1(S
2 UJ t?fT{L1: fh
D Article 17, Titles 7. 8:
SPDES
D Article 19:
Air Pollution Control
D Article 23, Title 27:
Mined Land Reclamation
D Article 24:
Freshwater Wetlands
r:-l Article 25:
~ Tidal Wetlands
D Article 27, Title 7; 6NYCRR 360:
Solid Waste Management
07{)
D Article 27, Title 9: 6NYCRR 373:
Hazardous Waste Management
D Article 34:
Coastal Erosion Management.
D Article 36:
Floodplain Management
D Articles " 3, 17, 19, 27, 37:
6NYCRR 380: Radiation Control
DDther:
TELEPHONE ~l.'MBER
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NYTM COORDINATES
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replace open pile catwalks, docks, or boardwalks and install
or
u\-ft-
By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance
with the ECL, all applicable regulations, the General Conditions specified (See Reverse Side) and any Special
Conditions included as part of this permit.
P'(RMIT ADMINISTRATOR
ADDRESS
Regulatory Affairs,
New
DATE
- Bldg. 40 SUNY
2356 .
Page 1 of 5
95-2Q.' (8187)-9d
New York State
D.epartment of Environmental Conservation
.
o NOTICE
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The Department of Environmental Conservation (DEC) has issued'
permit(s) pursuant to. the Environmental Conservation Law
for work being conducted at this site. For further information
regarding the nature and extent of work approved and any
Departmental conditions on it, contact the Regional Permit
Administrator listed below. Please refer to the permit number
shown when contacting the DEC.
Regional Permit Administrator
Permit Number
RN T - 3 -z...
Expiration Date
1/3/c; 'I
NOTE: This notice is NOT a permit
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..............p..C?~.1;.h!?~~.!...~.~.~.:.I......................., N. Y.,.. .............Y.i'l-.J;h...J..9"......., 19....68
Board of Trustees, Town of Soutbold, County of Suffolk, N. Y., Claimant
Jan.
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Address... ....?~. ..:.~.~.~~~.~~...~~.~.:.:...~~:::.~:.~~~.~~.:...~~:-:'...~~.:.~~;(..................
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1968
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Permit to construct walkway and
make addition to dock
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