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Home My WebLink AboutBADY, JERRYCREEK YOUR ORIGINAL PERMIT NUMBER BOARD OF TOWN TRUSTEES Town of Southold Main Road Southold, New York 11971 APPLICATION FOR SPECIAL ICE DAMAGE PERMIT INSTRUCTIONS: Fill out form below and return to above address. You should have this application approved and returned to you within a week° 1. Applicant's Name & Addres~:.~.~.~.~.~...~..~.~.l~I..~.j~...~.~./. ...... 2. Contractor's Names & Address: ....................................... ................................................. Tel. No ............... 3. The purpose of this application: Redriving or replacing openwork dock or openwork pier piling, and mooring piles, removal of damaged piling, repair, resetting or replacement of floating docks, ramps, or decking, all necessitated by ice and storm damage resulting during 1981-82 winter. SPECIAL CONDITIONS 1. No dredging or filling is permitted. 2. Repairs to existing structures shall be limited to replacement of timbers without change in design or dimension. 3. No repair or replacement of bulkheads is permitted under this permit. 4. No freshwater or tidal wetlands are to be disturbed under any circumstances. ~5. A yellow permit sign provided by this office shall be displayed on the project at all times while under replacement. 6. Original permit numbers (3'~ high) must be permantly displayed on project. 'I, this Also, (Tear off and return) · certify that the work as authorized in permit has been completed and is now ready for your inspection. the permit number required on this project is clearly visible. PERMIT NUMBER ~.~;~ .... : .~ ~.Signed - Owner . Signed - Contractor REVISED NOTICE Town o£ Southold ' Main Road $outhold, New York ]1971 NOTICE OF ACTION - NOT A PER~4IT Latham Sand & Gravel for Jerry & Phyllis Bady ]. Your application, dated . March 11~ 1982 ...................................................................... has been reviewed by this Board, at a meei'ing of the Trustees he~d on ..Aj~ril 7, 1982 and resulting in the action, as indicated below: (....x...x;K.....) ( ............ ) ( ............ ) Application approved. ApPlication denied. Application tabled. 2. Comments and remarks: Application approved to extend an existing dock in Town Creek providing it does not extend any further out than the Sayre dock and Beck's dock. A PERP~IT FEE 3. Ii,our oooticoi'ion is ODDroved above. ,~, u,m~--tv-ee is now due, and should be mode payable to th~ order of the Board of Southold Town Trustees. This fee is comnut · ~h~i~ch~ ~ R~es ~t ~p~ti~h~e~o~ ] ~ ~e~ o~n~o al zee wzzz De necessary. If the Permit Fee is said in person to the Secretary of the Board, The Permit will be obtaincb e at the same time. If the 'fee is paid by mail, the permit will be mailed in reply. Computation of Permit Fee: 24 ft. x 4 ft. = 96 sq. 1 pile feet ~ $.25 per sq ft -$24.00 5.00 $29.00 Total Fee for this application BOARD OF TOWN TRUSTEES Town of Southold Main Road Southold, New York 11971 P/1 Rev~ NOTICE OF ACTION - NOT A PER/VlIT To: Latham Sand & Gravel for Jerry & Phyllis Bad%; 1. Your application, doted March 11, 1982 · has been reviewed b-y this Board, at a meeting of the Trustees held on Ap. ril 7~ 198~ and resulting in the action, as indicated below: (..U~W...) ( ............ ) ( ............ ) Application approved, with provision Application denied. Application tabled. 2. Comments and remarks: Application approved to extend an existing in Town Creek providing it does not extend any further out than the Sayre dock and Beck's dock. , A PERMIT FEE 3. It ~our aDDlicatlon is approved above. ,~z~a,fqi¢ ,-~e~ is now dug, and should be made payable to t~ Order of the Board of Southold Town Trustees. This fee is comnuted the. Schedul of R res s se f . ' ¢ . ~ . below accordin to paz~.~zC~zn ~d ~yst ~t~-~D~Q~t'~h%e~J~%r~- ~s..~9~ ~ust %e ....... s .,- -.'- ~7 .......... e ~ec,emry or the ~oard The Perm,t w be ob?ainable - ar me same nme. ~r me tee ,s prod by mail, the permit will be mailed in reply Computation of Permit Fee: 24 ft. x 4 ft. = 96 sq. feet ~ $.25 per sq. ft. - $24.00 Total Fee for this application ................ $ 2g.. 0 0 Pres. Board of SThold Town rr~'tees. C~erk ...... ~r ................................... .,. BOARD OF TOWN TRUSTEES Town Of Southold l%Iain Road Southold, h*ew York 11971 APPLICATION FOR FIXED and/or FLOATING DOCKS .................. '~.,.:¢ ............ t......~..~.~......,..¥... ..~, ................ 3~e.l. . .......... /...~:(oC, ............ ~ / 5~'~..9 2. Contractor's name and address: ................................................................. ........ ........... 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 Wat~ Mark, the shape and size of the dock and any supplemental pilings which are needed to hold a floating dock. or tie-ua n boot. Give all dimensions necessary to determine the area of the dock surface *~t'rcH EXTENDS OFFSHO~rLE from thee. H. W. M.'rf adjacent properey 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 sfructures along the area's shoreline? YES ok NO. If it does extend beyond this so-called deck line indicate by how for, 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. t¢ 1 Short n i on en al ssessment orm. Wetlands Application . 8. J this construction require t~ie Filling of any land offshore of the Ordinary High Water Mark or the Dredging of any material from Town Lands under water? YES or NO. if it does, Form A/4 (Application for Dredging/Filling) must be completed and attached as part of this application. 10. ~..,..~:~ .... by using ' '.:'?A~,~:- A/2 Re~; 2/82 In requesting approval of this application, J sub,it that: the information presented herein is true and correct to the best of my know, ledge and belief; I am the person accountable for the performance of the work in accdrdence with the plans and specifications attached; I have read or om familiar with the provisions of any Southold Town Ordinance pertinent to the work involved; and further, I intend to adhere to and abide by the Terms and Conditions of the Permit, when and if issued to me. TO expedite finding specific location for inspection, indicate a temporary marker. BOARD OF TOWN TRUSTEES Town Of Southold Main Road Southold, New York 11971 A J2 - Rev. 6/72 APPLICATION FOR FIXED and/or FLOATING DOCKS ~. Applicant's nome and address: 2. Contractor's name and address: ~o~ 7~ OR/~#T, ~ //~ ... ,'"-~ ............................................................................................... 3. Briefly explain the purpose of this application: ....~.~f~/.~......~....~.~.(~:.f.~. ............... .... ...... ....... ............... ........ ~.9~..tS.....~..~k.k....~e.E....,4.~.[.~r¢¢. ........ ~¢.¢.~.¢. ....... ZZ~ ....... ~.~.&'~.~ ~.~..~. .... Doc i~ ~ ~ After issuance of a Permit, I expect to: (mark by an X~ (a) Commence work -- AT ONCE ............ ; ASAP ...~.. ...... ; UNKNOWN ............. (b) Complete work in -- 1 DAY ............ ; 1 MO.....~.......; 1 YR ............. ; FUTURE ............. Secure the correct Area Map from the Secretary of this Board, and by using an 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-up a boat. Give all dimensions necessary to determine the area of the dock surface which extends offshore from the O. H. W. M. 6. Will any portion of this construction extend offshore into 'Town Waters beyond an imagin~x4L hne or boundary formed by other s~mdar structures along the area s shorehne. YES If it does extend beyond this so-called dock line indicate by how far, approximately, .......... ~L. Provide the following documents: (a) A Licensed Engineer's Survey of the property involved. (b) A copy of the Contractor's Plans and Specifications. 8. Will this construction require the Filling of any land offshore of the Ordinorw._~igh Water Mark or the Dredging of any material from Town Lands under water? YES o Nd~.~ If it does, Form Al4 (Applic6tion for Dredging/Filling) must be completed and attached as part of this application. 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; and further, I intend to adhere to and abide by the Terms and Conditions of the Permit, when and if issued to me. Accepted by: Dated: 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 studles~ reseorch 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. (dj E~vironmental Assessment 1. Will project result in a large physical change to the project site or physically alte4r more than lO acres of land? ...................... Yes ~ No 2. Will there be a major change to any unique or unusual land form found on the site? ........ Yes ~ No 3. Will project alter or have a large effect on ' existing body of water? ................... .. Y~s ~ No 4. Will project have a potentially large impact .... on groundwoter 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 X No 7. Will project result in a major adverse effect ' on air quality? .............................. Yes ~ N° 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 as a critical environmental area by a local agency? .............. ~....~.~..,.~,,,.... Yes ~ No la. Will project have a major effect on existing or future recreational opportunities? ......... Yes ff No ll. 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~ glore~ vibration~ or electrical disturbance as a result of the project's operation? .................................... Yes ~ No 13. Will project hove any impact on public health or.safety? .................................... Yes X No J ity by " 14. Will pro ect affect the existing commun 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? ................................. 15. Is there public controversy concerning the project? ...................................... PREPARER'S SIGNATURE REPRESENTING ~.~' Yes.~ No Yes.~ No ~of~°~ ,~(~ SOUTHOL~