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Home My WebLink AboutTR-1916ESOUTHOLD TRUSTEES Issued To~~.~~~~ Dal:e~. Address~ THIS NOTICE MUST BE DISPLAYED DURING CONSTRUCTION TOWN TRUSTEES OFFICE,TOWN OF SOUTHOLD SOUTHOLD, N.Y. 11971 TEL.: 765-1892 ALL MOORINGS AND STAKBS MUST DISPLAY VISIBLE MOORING NUMBERS ALL DOCKS AND BULKHEADS MUST DISPLAY VISIBLE pERMIT NUMBERS Board Of $outhold Town Trustees PERMT NO :1916 ,, L ' DATE-~Ib~ ,,....Z6,.,....l! ISSUED TO John ~artung the State of New Yor~; 1893: and ~apter 4~ of the Laws of the State of New York 1~52~ and the Southo)d Town Ordinance an- tit)ed "R~U~TIN~ AND THE P~ClN~ OF OBSTRUCTIONS IN AND ON TOWN WATERS AND PUBLIC LANDS and th~ RE~OVAL OF SAND; ~RAVEL OR OTHER ~ATERIA~ FROM ~NDS UNDER TOWN WATERS?' and in accordance with the Reso)ution of The Board adopted efa meeting held on 19.,~.~, and in consideration of the sum of $.~_~ .............. .pald by John fiartung of Ne~_?.~.~.9~.~_ ....................................... N. Y. and subject to the Terms and ~ndifions listed on the revere side ~e~of; of Soufho~d Town Trustees authorizes and per.ts the fq~owlng: Apulication approved ~der thA Grandfather Clause to secure, a permit for a Bulkhead a~prox. 84 ft. ~ong with two 30' returns in New S~ffolk, New York. all in accordance with the detailed specif)cati~s as pre.hied in ' the origlnaf~ng appliceflon.. . IN WITNESS WHEREOF, ~e sald Board of Trustees ~r~ by causes its Corporaf~ Sea) to be efflxed, and .these p?sents be ~bscribed by a malority of the as of DEPARTMENT OF ENVIRONMENTAL E~C PERMIT NUMBER q 7 3 r-O/ To/ooo FACILITY/PROGRAM NUMBER(S) Under the EnvJr~ze~entat EFFECTIVE DATE ~ EXPIRATION DATE(S) TYPE OF PERN]T a New O Renewal D Hodification D Permit to Construct D Permit to Operate ] a o 0 0 D ArticLe 15, TitLe 5: Protection of ~aters ArticLe 15, TitLe 15: ~ater SuppLy Article 15, TitLe 15: ~ater Transport ArticLe 15, TitLe 15: Long IsLand ~eLts ArticLe 15, TitLe 27: wiLd, Scenic and Recreational Rivers 6NYCRR 608: ~ater Quality Certification ArticLe 17, TitLes ?, 8: SPDES Article 19: Air PoLLution Control ArticLe 23, TitLe 27: Mined Land Reclamation ArticLe 2~: Freshwater ~etlands Article 25: Tidal WetLands ArticLe 27, TitLe ?; 6NYCRR ~60: SoLid ~aste Management ArticLe 27, Title 9; 6NYCRR 373: Hazardous ~aste Management ArticLe 34: Coastal Erosion Management ArticLe ~6: FLoedp[ain ~anagement ArticLes 1, $, 17, 19, 27, 37; 6NYCRR 380: Radiation Control Other: PERMIT ISSUED TO ADDRESS OF PERMITTEE /oloo CONTACT PERSON FOR PERMITTED ~ORN ~' / I II'ELEPHONE NUMBER I LOCATION OF PROJ~:CT/FACILITY "J / NYTM C~RDINATES R~ve a~ replace in the sa~ Location~ ~ 0 Linear feet of existi~ f~tiona[ ~t~ead a~ p[ace/~O cu. y~. of backf{L[. NOTE: A~Jtio~[ activities descried on ~ge three (3) of this ~mit are also a~rov~ ~er this ~rmJt ~ the adjoining ~x is checked a~ the pro~s~ ~ork is sho~n on the approv~ plan. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance ~ith the Environmental Conservation La~ (ECL), aLI appLicabLe reguLetions~ the General Conditions specified (see page 2) and any Special conditions included as part of this permit. DEPUTY PERMIT ADMINISTRATOR: AUTHORIZED SIGNATURE ADDRESS I Page I of 6 c ~ 6', · 'q;UC / 4£P,q/& £Z) /.,v z',sm ~-~. Lo c A %/o,¢ 'I James F. King, President Bob Ghosio, Jr., Vice-President Dave Bergen John Bredemeyer Michael J. Domino Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 ECEIVE HURRICANE SANDY EMERGENCY APPLIC~TIO~ Valid th~ June 1, 2013 ~ ~oar~of Tr~st~ Property Owner Name: Permanent Mailing Address: ~.~, Phone Number(s): 7.~ ~ -- ~ Property Address: /2-. CPo ol.-[7 Suffolk County Tax Map Number: 1000- Agent (if applicable) Address: Phone Number(s): Board of Trustee Permit Number(s): Will any part of this project require a Building Permit? ,/~//~-~ How much fill will be required? ~z~c~ Project Description: /~- /~,~r-~ 0/--)2 /~//~,-,~,~',~_. 7:~ /'v/~--z~ Board of Trustees Appllcatlon County of Suffolk State of New York ~ ~ ~-~t~A~)'~~-~ BEING DULY SWORN DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(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 8OUTHOLD 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 Signature of Property Owner DAY OF .-, Notary Public