HomeMy WebLinkAboutTR-1470
Albert J. Krupski, President
James King, Vice-President
Artie Foster
Ken Poliwoda
Peggy A. Dickerson
.
.
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES
72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN
APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO
SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE
PERMIT.
INSPECTION SCHEDULE
Pre-construction, hay bale line
151 day of construction
_ yconstructed
1 Project complete, compliance inspection.
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.
.
Albert J. Krupski, President
James King, Vice-President
Artie Foster
Ken Poliwoda
Peggy A. Dickerson
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-6641
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
May 18, 2005
Mr. Edgard EI Chaar
3765 Stillwater Ave.
Cutchogue, NY 11935
RE: 3765 STILLWATER AVE., CUTCHOGUE
SCTM#137 -1-1
Dear Mr. EI Chaar:
The following action was taken at the Southold Town Board of Trustees regular meeting
held on Wednesday, May 18, 2005:
RESOLVED, that the South old Town Board of Trustees APPROVE the request for a
Transfer of Permit #1470 from Bruce R. Johnson to Edgar EI Chaar, as issued on
January 7, 1981.
If you have any questions, please contact our office at (631) 765-1892.
Sincerely,
~.$9.~'0.
Albert J. Krupski, Jr.
President, Board of Trustees
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Albert J. Krupski, President
James King, Vice-Pre5ident
Henry Smith
Artie Foster
Ken Poliwoda
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Town Hall
53095 Main Road
P.O. Box 1179
Southald, New York 11971
Telephone (516) 765-1Sq2
Fax (516) 765-1823
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BOARD OF TOWN TRUSTEES
TOWN iJF SOTJTHOLD
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LETTER OF' REQUEST FOR A 'tV AlV"ER
DATE_dUN> 1.<1.,2-000__
OWNER .Bc.!&&_~ Ar1 ~Ld Cl ~ /'lie" PHONE -=z.3.1:.::. 6' ,q 1-
ADDRESS-3i b~Sf:1 h....~it..r Av<.--.Cvh, hCl9v-(....
AGENT $..u..J:tl\?~_1_.._. PHONE.-:J '2-1. - ~ O;:-J,1r"1.3-.4:::..'-'4-+
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PROFERTY LOCATION __ '3/~~_Sbll~"k.r fA'^<., (' .v~~
TAX MAP NO. -L1l=-'..:::l..-
f/Wc ~ ~~ Q ~Jlp.l-~_. reque~t a Waiver to _p.... "I'" ~~;. 0"
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PROOF OF MAILING OF NOTICE
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residing at 31 ~6
, beinJ1 duly swo~!:l, d,e.'
'7 day of 7 ,~, deponent mail",';;'
~ ~rue ~opy of the Notice set forth in the Board of Trustees
Application, directed to each of the above named persons at the
a(.:L::esRes set opposite there respective names; that the
Qddr~sscs set ~pposite the names of said persons are the address
of said persons as shown on the current assessment roll of the
T~wn of ~outhold; that f-ai tices were mailed at the United
States Post Office at) , that said Notices
::r~.mailed to each of sa~d per os b~~e~~:e~stered)
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Sworn to before me this IbK.
da~f SUl:~'i,LS;4~
Notary Public f
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NOTICE TC .\DJACENT PROPERTY OWNER
BOARD OF TRUSTEES, TOWN OF SOUTHOLD
In the matter of applicant:
SCTM#lOOO- L~'t- alf - 001.
YOU ARE HEREBY GIVEN NOTICE:
1. That it is the intention of the undersigned to request a
Pbr:~~tlfr: ;::oB~rfoto:;s;;e~~: o~ <Uvdtfl19 tl rJt fLoor-
() ^ ~ WQ~ S I ~ cl~ ~ hoJ1Q,) Q..,t'\ tl tt.lLd. ..
0-.. \:)<<>..\c...o^1 -\-€> p ~ (<<A to ~~ ~a.klo.J<- ~\J~ ~C11-c..
2. That the property which is the subject of Environmental
-Review is located adjacent to your pr.operty-ar.d is described as
follows: ___ i\ ::./, 0 I~I/c' 1.. =::1 1<1"" '(,,-Llc=J..:1 :S\:\F5 dIG.
"::>7l..o<;' _ ~\ \LLLUI\1EolL r-'\U~ ""'t~o':\L "N
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3. That the project which is subject to EJvironmental Review
~~der ChaPter~, 3~036' or 97 af ~he Town Coae is open to 9ub1:c
c'-,mm<'!l,t or.:_!l You may concact ti,e 'I'=scees Offic~ at
765-1892 or L wr cing.
-,
'Cr.e above referenced pr:Jposal is 'onder review of the Bo.~.-::,d of
Trustees vi the Town of Southold and does not referen~e any
other agency that might have to review same proposal.
;)HNERS NAME: B<,Zlk.ce- ~ ~ j O'n fY'='-:.arJ
l-tf'Cl't1,~DIRESS : ~t, ~ \ @:l L~Qnx- {\u.e...._
PHONE it: ~ L~ \- 4-- ~
Ene.: Copy of sketch or plan showing proposal for your
con'Jenience.
BoaJllbf Trustees Application 4It
County of Suffolk
State of New York
BEING DULY SWORN
THAT HE SHE IS THE APPLICANT FOR THE ABOVE
DESCRIBED PE (S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE
TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL
WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION
AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES.
THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN
TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS
ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN
COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES,
THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY
TO INSPECT THE PREMISES IN CONJUNCTION WITH REVIEW OF THIS
APPLICATION.
SWORN TO BEFORE ME THIS
ft~/
/ f) DAY o~ ,dHV
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Notary Publ c
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Jun-29-00 02:42P RiChtJd Daley
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722-3859
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A1bc.-t.1. Kl'\lpski. Pre.ident
J(imeS King, Vicewpre!.lidcnt
Henry Smith
Artie Fost
Ken Pol' oda
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TI)Wn Hall
53095 M..in Ro"d
P.O. BOl< 1179
Southeld, New YOl"k 11971
Telephone (518) 765.18112
Fax (516) 785.1823
BOARD OF TOWN TRUSTEES
TOWN 'JF SOIJ'l'HOLD
LETTEl~ Oi<' REQUEST FOR A "VAI'V1i:R
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DATE dUN- '1.'1-r-f..OOO __.
OWNER Bc~_:LA!!.!\.d"l-tl\..fc" PHONE 714..=.. 6/'14-
ADDRESS 3lG~ ~f.'1 ~k..r A.-<, C...A-d''''9v-{...
AGENT ~~.l11\?~~...__. PHONE...J 'l.. '2. - ." "11./ 1'.\4- '--"4-+
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Signed By:
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Albert J. Krupski, President
James King, Vice-President
Henry Smith
Artie Foste:r
Ken Poliwoda
.
.
...........
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Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
July 30, 2001
Mr. Bmce Johnson
3765 Stillwater Avenue
Cutchogue, NY 11935
RE: Corinne Boos - Bruce R Johnson
SCTM#137-l-1
Permit #1470
Dear Mr. Johnson:
The following action '..:as taken at the Southold Town Board of Trustees Regular Meeting on
July 25, 2001
RESOL YED, that the Southold Town Bo<rrd of Trustees approve the request for a Transfer of
Permit #1470 from Corinne Boos - to - Bruce R. Johnson..
If you have any questions, please contact our office at 765-1892.
Sincerely,
Cl!~L.1 t7. /~~ 9A-
Albert J. Krupi~( Jr. I .
President, Board of Trustees
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TERMS and CONDITIONS
The Permittee
Corinne Boos
residing at 3765 Stillwater Avenue, Cutchogue,
part of the coasicleration for the issuance of die Permit doea Ioud.t.c..ad IDd I
lowing:
N.Y., u
lb., to the fol-
1. Tbat the said Boatd of Trustees and the Town Of Soutbold are releued from """..
all damages, or claims for damages, of suia arising ditectly or iDdirecdy u' a ~t of """ 0per-
ation perfocmed pursuant to this permit, .. the aid Poo,.. 1_ will, at his os: her own up .
defend any and all such suits iniaa.t by third parties, .. die said 1'" 10 tee W" dull 1lIblli&y
with respect thereto, to the complete exclo.MI- of theJloerd Of Trustea of tbe T_ Of SoucJooJd
, 2. Tbat this Permit is va1id for .a ~ of 12 -. which is tV,"" ad to be die
estimated time required 10 complete the wotk in~l....!, bat sh!IIIId .u... r', - wuraac, r&t-
for an extension may be made to the Board at a later date.
. , ,
3. TI,at this Permit should be retained indefinitely, or as long u the said P-.ittee wishes
10 maintain tbe sttuaure or project involved, to provide evidence to anyoae concemed that aulh-
orization was originally obtained. ' ' , , , , ' ,
, '
4. That the work involved will be subject to the inapectioo .. approval Of the Jloerd or
its agenrs, and non-compliance with the provisions of the oriainatina appIlmtion, -r be cause fos:
revocation of tbis, Permit by resolution of the said Board.
;.~
5. That tbere will be no unreaSonable interference with navigation as a ~ of the 'ROd<
berein audlorized.
6. That tbere shall be no interference with tbe right of the public: to polSI .. tepolSI a10ng
the beacb between bigh and low water marks.
7. Tbat if future operations of the Town of Soutbold recpdre die remooa1 and/or a1terations
in the location of the work herein autJoo-bNl, or if, in the opinion of die Jloerd of Trustees, tbe
work sball cause unreasonable obstructlon to free navigation, the said Permittee will be requlnd,
upon due notice, to remove or alter this work or project berein stated without ...penses to the Town
of Southold. '
!
8. That fhe said Board will be notified by the Permittee Ot the (. ."1 1 uhl1 of tbe 'ROd< aadl.
orized. 1
9. That lme Permittee will obtain all other permits and consenu dIat -r be required sap-
plemental to this permit which may be subject to revoke upon failwe to obcain __
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NOTICE
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Police Dept. - Bay Constable
Thwn of Southold
Peconic, New York 11958
NOTICE-OF VIOLATION
Date: May 29, 2001
Th:
Bruce Johnson
(Owner or authorized agent of owner)
Address:
3765 Stillwater Av., CutchoRue, N.Y. 11935
(Address of owner or authorized agent of owner)
,-
Please take notice there exists a violation of the Code of the Thwn of Southold, Chapter 97
Article II, Section 97-'21J a premises hereinafter described in that you have added a personal
.
,
watercraft float to a existinR dock without first obtainin2 a Dermit from rhe
Southold Town Trustees.
You are therefore directed and ordered to comply with the following:
Apply for a Trustee
Permit for the existing dock & float. If permit for float is denied the float
is to be removed.
on or before the
22
day of June
.2001 .
The premises to which this Notice of Violation refers are situated at:
3765 Stillwater Av., Cutchogue, N.Y. 11935
Thwn of Southold, Suffolk County, NY (Suffolk County Thx Map Designation: Dist. 1000
Section: 137 Block: 1 Lot: 1 )
Failure to comply with the applicable provisions of the law may constitute an offense punishable by fine
or imprisonment or both: NOTI('F~ You have the right to apply for a hearing before the Board of'Itustees
of the Thwn of Southold, provided that you file a written request with the Qerk of the llustees within 10
days after service of the Notice of Violation. Such request shall have annexed thereto a copy of the Notice
of Violation upon which a Hearing is requested and shall set forth the reasons why such notice of viola-
tion should be modified or rescinded.
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Ba Constable. Th of Southo d, NY
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SUPPLEMENTARY uthold Town Police Department Incld eport No.'s
, ' ! Route 25
INCIDENT REPORT Peconic, New York 11958
631.765.2600
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1 Name: last I
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2 First I
3 Rank:
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4 Dat.: '" I~ 01
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" FOR OFFICE USE ONLY
~ E A - Under Inv: F a Ref. to Chiefs Office: K - Report to be Resubmitted
p INCIDENT Reason:
0 STATUS B - Cleared by Inv: G - Ref. to Chief of Operations
" CODE C.C_byAmosl H ~ Ref. to TrarrIc DiY.
T D - file I . Ref. to Det. DIY L . Other
E . Incident Unfounded J - Ref. to Youth DIv.
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T Forward Copy to:
A Status Cod. Reviewing Officer Date: _I_I-
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NOTICE
.
Police Dept. - Bay Constable
Town of Southold
Peconic, New York 11958
NOTICE OF VIOLATION
Date'
v___ ^^ - 001
To:
Bruce Johnson
(0,
lotto" u(Y\i\
\)\o\O.k!on i5
SCl -\1 ~ -\\ ((\ .
Address:
3765 Stillwater Av.
(Address
Please take notice there exists a vie
:outhold, Chapter 97
Article II, Section 97-20 a premises here.
,d a personal
watercraft float to a existin
mit from the
Southold Town Trustees.
You are therefore directed and ordered t(
..--..----.-
_____--------e;'-
'-rs.ppry :tor a Trustee
Permit for the existing dock & float. If permit for float is denied the float
is to be removed.
on or before the
22
day of June
,20~.
The premises to which this Notice of Violation refers are situated at:
3765 Stillwater av., Cutchogue. N.Y. 11935
Thwn of Southold, Suffolk County, NY (Suffolk County Thx Map Designation: Dist. 1000
Section:
137
Block:
1
Lot:
1
)
Failure to comply with the applicable provisions of the law may constitute an offense punishable by fine
or imprisonment or both. NOTICE: You have the right to apply for a hearing before the Board of 11ustees
of the Town of Southold, provided that you file a written request with the Clerk of the Trustees within 10
days after service of the Notice of Violation. Such request shall have annexed thereto a copy of the Notice
of Violation upon which a Hearing is requested and shall set forth the reasons why such notice of viola-
tion should be modified or rescinded.
,NY
Ba
Local Criminal c!urt
.C. NUMBER
01-4934
ARREST NUMBER(S)
VilLAGE OF
DOCKETNO.(S) ,
TOWN OF Southold
DEFENDANTS IN CUSTODY
VIOLATION INFORMATION
FROM DAlE & HOUR
TO DAlE & HOUR
STATE OF NEW YORK
COUNTY OF SUFFOLK
VILLAGE OF
TOWN OF Southold
1.
Name (Complainant)
of No. Southold
} SS } Defendant(~ 2.
Bruce Johnson
3.
B.C. Kent B. McCarth
Town Police Department. POB 911. Peconic~ N.Y. 11958
being duly sworn, says that on
or about May 29.
2001
Hamlet
AAIlaige of
at about
at 3765 Stillwater Ave.
County of Suffolk, State of New York. the defendant(lll
Cutchogue
Town of
Southold
Bruce Johnson
DOB 9/11/48
3765 Stillwater Ave.. Cutchogue. N.Y. 11935
wrongfully, intentionally, knowingly, Hlekmbt~ committed the offense(~ of:
Conduct operations on existing dock without Trustee Permit. A violation of
Section 32-10 of the Southold Town Code.
Count #1
in that:
the defendant. at 3765 Stillwater Ave., Hamlet of Cutchogue, Town of
Southold, County of Suffolk, State of New York, on or about May 29, 2001,
having no right to do so, did make changes to an existing dock without first
obtaining a permit from the Southold Town Trustees. Therefore violating
Section 32-10 of the Southold Town Code.
This complaint is based on (personal knowledge)>licili:llfcxlaalitmcllllddllljjIl6otllll,_lI.oilll::AlxKIId:IcliCMddlill'!lCD:~
Direct involvement of deponent
dated
dated
] [the attached laboratory report ofthe
]*.
SWORN TO BEFORE ME THIS 29
Gh.-=F See T<JL {
DAY OF May l<9< 2001
Sergeant- Southold Town Police
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COMPIAlNANT'-F"" I
TITLE
VIUAGE OF
TOWN Of Southold
SSC8-3000b 'STRIKE OllT" WORDS NOT APPUCABLE
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DUS.3205 {2/971 'FALSE STATEMENTS ARE PUNISHABLE AS A CRIME. PURSUANTTO THE NEW YORK STATE PENAL LAW.
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Pages
Albert J. Krupski, President
James King, Vice-President
Henry Smith
Artie Foster
Ken Poliwoda
.
.
Town Hall
53095 Route 25
P.O. Box 1179
Southold, New York 11971-0959
Telephone (631) 765-1892
Fax (631) 765-1366
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
July 20 2000
Mr. Richard Daley, R.A.
1900 Broadwaters Rd.
Cutchogue, NY 11935
RE: Bruce & Ann Johnson
3765 Stillwater Ave., Cutchogue
SCTMU37-1-1
Dear Mr. Daley:
The following action was taken by the Southold Town Board of
Trustees at their Regular Meeting held on Wednesday, July 19,
2000:
RESOLVED, that the Southold Town Board of Trustees grant the
request for a Waiver to BRUCE & ANN JOHNSON to construct a
second-story addition with a balcony to the existing residence,
as indicated on site plan dated 5/1/00.
This approval does not constitute approvals from any other
agency.
If you have any questions, please call our office at 765-1892.
Sincerely,
{lal.'/ ~ ~~.
Albert J. Krupski, Jr.
President, Board of Trustees
AJK : Ims
cc: Building Dept.
.
.
Telephone
(516) 765-1892.
Town Hall. 53095 Main Road
P.O. Box 1179
Southold. New York 11971
SOUTHOLD TOWN
CONSERVATION ADVISORY COUNCIL
At the meeting of the Southold Town Conservation Advisory Council held Tuesday, July 11,
2000, the following recommendation was made:
Moved by Melvyn Morris, seconded by Scott Hilary, it was
RESOLVED to recommend to the Southold Town Board of Trustees APPROVAL of the
Wetland Permit Application of BRUCE & ANN JOHNSON 137-1-1 to construct a 2nd floor
addition with a balcony, to the existing residence.
3765 Stillwater Ave., Cutchogue
Vote of Council: Ayes: All
Motion Carried
~.
.... --
RECEIVED
.'
,
MAR
(,1981.
,.
-LL
TO'lm Cler~ Soutliold
DEPARTMENT OF THE ARMY
NEW YORK DISTRICT. CORPS 01" ENGINEERS
.e p'mERAL PLAZA
N&W YOIlIC. N. Y. ~x
10278
/ NANOP-E
APPLICATION NO.
81-051
2/ February 1981
PUBLIC NOTICE NO. l0600-81-051~Ll
TO WHOM IT MAY CONCERN:
This District has received an application for a Department of ,the Army
permit pursuant to
IX! Section 10 of the River and Harbor Act of'1899 (30 Stat. 1151; 33
U.S.C. 403;
I~ Section 404 of the Federal Water Pollution Control Act Amendments
of 1972 (PL 92-500, 86 Stat. 816, 33 U.S.C. 1344);
'.
I~ Section 103 of the Marine Protection, Research and Sanctuaries Act
of 1972, as amended (PL 92-532, 86 Stat. 1052, 33 U.S.C. 11,13).
APPLICANT:
, Carl F. Boos
3765 Stillwater Avenue
Cutchogue, NY
WORK:
Install floating piers
WATERWAY:
East Creek, Little Peconic Bay
LOCATION:
Cutchogue, Suffolk County, New YOrk
A detailed description and plans of the proposed ~ork are inclosed to
assist in your review of the proposal.
The decision whether to issue a permit will be based on an evaluation
of'the probable impact of,the proposed activity on the public interest.
That decision will reflect the national concern for both protection and
ut i lization of important' resources. Tbe benefit which reasonably may be
expected to accrue from the proposed work must De balanced against its
reasonably foreseeable aetriments. All 'factors which 'may be relevant to
the proposed work will be considered; among those are conservation, eco-
nomicst aesthetics, general environmental concerns. historic values,
fish and wildlife values, flood damage prevention, land use, navigation,
recreation, water supply, water quality, energy needs, safety, food pro-
duction and, in general, the needs and welfare of the people.
NANY FL-129
Aug 78
-
.
.
)
NANOP-E
PUBLIC NOTICE NO. 10600-81-051-Ll
A preliminary review of the application indicates that an Environmental
Imp&ct Statement will not be prepared. A review of the latest publish-
~d version of the National Register of Historic Places and of the pre-
sence or absence of registered properties or properties listed in the
IRtest published version of the Register as being eligible for inclu-
sionJ therein, has been made. Presently unknown archeologicalJ scien-
tific, prehistorical or historical data may be lost or destroyed by
work to be accomplished under the required permit.
The following government authorizations have been obtained or will be
obtained prior to the issuance of a Department of the Army permit:
Permit from the New York State Department of Environmental Conservation
Any criticisms or protests regarding the proposed work should be
PREPARED IN WRITING AND MAILED TO REACH THIS OFFICE prior to
30 ~rch 1981; otherwise it will be presumed tht~ there are no ob-
jcctlons. .
It is requested that you communicate the foregoing information con-
cerning the proposed work to any persons known by you to be inter-
ested and who did not receive a copy of this notice...
If you ha vi! any
Mr. Robert Russo
questions concerning this application.
of this office. Telephone No.
you lna'y contact
212-264- 3912
W. M. SMIlH, Jr.
2 Incl.s:
I. Description of Work
2. Plans
Colonel, Corps of Engineers
District Engineer
,
2
NANY FL-129-1
Aug 78
i
.
NANOP-E
APPLICATION NO. 81-051
PUBLIC NOTICE NO. 10600-81-051-Ll
DESCRIPTION OF WORK
.
The applicant proposes to replace an existing 6' x 9' float with
(2) two 8' x 10' floats. The floats would be secured by.timber
piles, as per attached drawing..
The purpose of this installation is .to provide a mooring facility
for a private recreational craft.
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.
.
To: ......./<:::.~-:!-:.~;;~...~J..~.............................................................. ..............
/ I /.L- 'iJ Y 6 h b . db h'
1. Your opplication, doted ........................................................................ os een reVrewe y t IS
Boord, at 0 meeting of the Trustees held en .....(.J<.u.::: .....1.::/...1...1...(,/.........................................
(I
and resulting in the action, as indicated b<How:
c..K!...) Application approv"d.
(............) Application denied.
(............) Applicotion tobled.
2. Comments ond remarks:
approved with the condition'fuhat the total length of the docks
and floating dock shall not exceed the length of docks of
adjacent property owners.
,
3. If your application is approved above, A Permit Fee is now.due, and should be mode payable
to the order of the Boord of Southold Town Trustees. This fee is computed below occording to
the Schedule of Rates os set forth in the Instruction Sheet (Form 1/]).
If the Permit Fee is paid in person to the Secretory of the Boord, The Permit will be obtoinable
at the some time. If the fee is paid by moil, the permit will be moiled in reply.
Camputotion of Permit Fee:
2 - 8'x 10' floats
4 pilings @$l =
= 160 s.f. @.10 = ~6.00
4.00
$20.00
.
Total Fee for this application ............................................................ $ ....?q.~g9.........................
.'
Signed MmA..X.,...mXM;e;{l......f~.$.;J;P.~+-J'.~.....
~ Boord of Southold Town Trustees.
by 0}.l.~
Sedetory.
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AI2 - Rev. 8/72
.
.
.
BOARD OF TOWN TRUSTEES
Town Of Southold
Main Road
Southold, New York 11971
APPLICATION FOR FIXED and/or FLOATING DOCKS
.rtftn' S/?- j><-/ '7- OO/tJ
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1. Applicant's name and address: ........(~.!!:.~b/':{.'i....A.f?q,?.......................................................
...l'!.~..r.. ....?!.?'::'::."::."!:.?:~.~....!.:~~:t....7..~.~.7.'::.':.~.~~-:...~~?:.~...................-::..J.'!:..'!..::::...7::..~..?..'C
W<' ~ .t:'end-S' -
2. Contractor's name and address: .............~I}aiF...............................................................................
,................................................................................,................................................................................
. I I' h f h' I" "Z"O /lcF~ L:!J<-wr-I-d' G Xq'
3. Broef y exp arn t e purpose 0 t IS app ,catron: ........................................................................
j' <
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,................................................................................'................................................................................
4. After issuance of a Permit, I expect tOo:
(mark by an )0
(a) Commence work - AT ONCE ............; ASAP ..?C....; UNKNOWN .............
(b) Complete work in - 1 DAy............; 1 MO. ............; 1 YR. ...X.....; FUTURE .............
5. Secure the carrect Area Map fram the Secretary of this Board, l]nd by using an X WITHIN
A CIRCLE indicate as closely as possible the location af this dock. On the reverse side of this
map, pravide a SCALE DRAWING which will shaw Ordinary High Water Mark, fhe shape
and size af the dock and an,y supplemental pilings which are needed to hold a flaati'ng dock
or tie-up a boat. Give all dimensians necessary to determine the area of the dock surface
which extends offshore from the O. H. W. M.
6. Will any portian of this constructian extend offshore into Town Waters beyond an imaginary
line or baundary farmed by ather similar structures alang the area's shoreline? YES or NO. N1J
If it does extend beyond this so-called dock line indicate by how fQor, approximately, .._..ft.
7. Provide the fallowing documents:
(a) A Licensed Engineer's Survey of the property involved.
(b) A copy af the Contractor's Plans and Specifications.
8. Will this construction require the Filling of any land Qoffshore of the Ordinary High Water
Mark ar the Dredging of any material from Town Londs under water? YES or NO. If it does,
Form A/4 (Application far Dredging/Filling) must be completed and attached as part of this fttJ
appl icatian.
9. In requesting approval af this application, I submit that: the infarmation presented herein
is true and carrect tOo the best of my knowledge and belief; I am the person accountable far
the performance of the wark in accordance with the plans and specifications attached; I have
read ar am familiar with the provisions of any Sauthold Town Ordinance pertinent to the wark
invalved; and further, I intend tOo adhere to and abide by the Terms and Conditians af the
Permit, when and if issued to me.
L S. .........................~(h......................
Accepted by:
Dated: ///<,/frJ
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RECEIPT
BOARD OF SOUTHOLD TOWN TRUSTEES
TOWN of SOUTHOLD NC! 888
SUFFOLK COUNTY, NEW YORK
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Title ",,',""'" """ SECRETARY
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P/1 Rev/6.'n
BOARD OF TOWN TRUSTEES
Town of Southold
Main Road
SouthoM, New York 11971
TO:........0:.(~:~::~.~;:-r.7~...~~..............................................................................
]. Your application, doted ..................;/./~.~!.~~.~............................ has been reviewed by this
d. /'"
Boord, at 0 meeting of the Trustees held on ....... :.<...~:...l::I....!...f..:!../..........................................
ond resulting in the' action, os indicated bow:
(...XX..) Application approved.
(............) Application denied.
(............) Application tabled.
2. Comments and remarks:
approved with the condition'that the total length of the docks
and floating dock shall not exceed the length of docks of
adjacent property owners.
3. If your opplicotion is approved above, A Permit Fee is now due, and should be mode payable
to the order of the Boord of Southold Town Trustees. This fee is computed below according to
the Schedule of Rates os set forth in the Instruction Sheet (Form I/O.
If the Permit Fee .is poid in person to the Secretory of the Boord, The Permit will be obtainoble
at the some time. If the fee is paid by moil, the permit will be moiled in reply.
Computation of Permit Fee:
2 - 8'x 10' floats
4 pilings @$l =
= 160 s.f. @.10 = ~6.00
4.00
$20.00
Total Fee for this application ............................................................ $ ....?9.:,99.........................
Signed MiliA ..1'.....RAl'A1;m.....p.m::.$.;J;~N.~ .....
~ Boord of South old Town Trustees.
by 0J..L.~etl.-J.::.-:r.:~~.......
Se~ary.
.
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Pll Rev/6/72'
BOARD OF TOWN TRUSTEES
Town of Southold
Main Road
Southold, New York 11971
To: ........A~...~..............................................................................
1. Your application, dated .................::.!../"::..~!.~..~............................ has been reviewed by this
Board,at a meeting of the Trustees held an .....~..;..7:"::...l:I....!..f..:r../..........................................
and resulting in the action, as indicated baw:
(...X"x..) Applicatian approved.
(............) Application denied.
(............) Application tabled.
2. Comments and remarks:
approved with the condition that the total length of the docks
and floating dock shall not exceed the length of docks of
adjacent property owners.
3. If your application is approved above, A Permit Fee is now due, and should be made payable
to the order of the Board of Sauthold Town Trustees. This fee is computed below according to
the Schedule of Rates as set farth in the Instruction Sheet (Farm liD.
If the Permit Fee is paid in person to the Secretary of the Boord, The Permit will be obtainable
at the same time. If the fee is paid by mail, the permit will be mailed in reply.
Computation of Permit Fee:
2 - 8'x 10' floats = 160 s.f. @.10
4 pilings @$l =
= ~6.00
4.00
$20.00
Total Fee for this application ............................................................ $ ....?Q.~g9.........................
Signed AflliA.. .:r... .J:\A:rM:e!R..... r.~.$.;J;;Q.mf.~.....
~ Baard af Southold Town Trustees.
by t!5J..L~~.......
Se~ory.
.
.
TELEPHONE
(516) 765-1892
BOARD OF TOWN TRUSTEES
TOWN OF SOUTHOLD
Town Hall, 53095 Main Road
P.O. Box 728
Southold, New York 11971
CREEK STRUCTURES INVENTORY
Current Owner's Name:
Index No.~
Address:
Creek:
Purchase Date:
Telephone No.:
Date of Field Work:
Previous Owners:
Permit Applicant:
Permit No.:
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Permit Specifications:;, I
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Condition:
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JOHNSON RESIDENCE
3765 Stillwater Avenue
owe me( SITE PLAN
RICHARD ALEXANDER DALEY, ARCHITECT
CUTCHOGUE. NEW YORK 631-734-6644 C1
DR. 8Y, R DALEY DATE. 5/1 JOO U
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JOHNSON RESIDENCE
3765 Stillwater Avenue
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RICHARD ALEXANDER DALEY, ARCHITECT
CUTCHOGUE, NEW YORK 631-734-6644 (]
DR. BY, R DALEY DATE' 5/1 JOO U
SCALE: 1~ 30'-0" SHf OF. 12
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SURVEY OF
LOT 79
MAP OF PROPERTY OF M S. HAND
FLED SEPT. 18,1930 FLE NO. 730
AT CUTCHOGUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N Y
7000 - 737 - 07 - 07
Scale: 1" = 40'
Aug. 171994
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CER TlFIED TO-
BRUCE R. JOHNSON
ANN J. JOHNSON
CHICAGO TITLE INSURANCE COMPANY
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ANY AL TERA TlON OR ADDITION TO THIS SURVEY IS A VIOLA TlON
OF SECTION 7209 OF THE NEW YORK STA TE EDUCA TION LAW,
EXCEPT AS PER SECTION 7209-SU8DIVISION 2. ALL CERTF7CA T10NS
HEREON ARE VALD FOR THS IIAP AM) COPES THEREOF ONL Y IF
SAID MAP OR COPES BEAR THE IMPRESSED SEAL OF THE SURVEYOR
WHOSE SIGNA TURE APPEARS HEREON.
ADDITIONALL Y TO COMPL Y WITH SAID LAW THE TERI./ "AL TERED BY"
MUST BE USED BY ANY AND ALL SURVEYORS UTH..IZING A copy
OF ANOTHER SURVEYOR'S MAP. TERMS SUCH AS 'WSPECTED" AND
"BROUGHT-TO-DATE" ARE NOT IN COMPLIANCE WITH THE LAW.
,/}
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N. Y.S. LlC. NO. 49618
AREA = 16,981 sq,ft. to tie lines
/ 'PECONlC I VEYORS, P.c.
(516) 765 - 5020
P. O. BOX 909
MAIN ROAD
SOUTHOLD, N. Y. 1/971
94-259