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HomeMy WebLinkAboutTR-1826 & 157ALL MOORINGS AND~TAKES MUST DISPL~A-Y VIS~f~"'~4OORING'~ "NUMBERS ALL DOCKS AND BULKHEADS MUST DISPLAY VISIBLE PERMIT NUMBERS Board Of $outhold Town Trustees SOUTHOLD, NEW YORK Mooring # John Braider Pursuant fo the provisions of Chapter 615 of the Laws of the State of New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; and the Southold Town Ordinance en- titled "REF=ULATINC= AND THE PLACIN$ OF OBSTRUCTIONS IN ',AND ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, C=RAVEL OR OTHER MATERIALS FROM LANDS UNDER TOWN WATERS;" and in accordance with the Resolution of The Board adopted at a meeting herd on ..~.~..c....h....._.2....9., 19_...8...~.., and in consideration of fha sum of $...]:...4...0...:...5.9. ...... paid by .... .~.~..t..k~m.....S...~.~.~....L~.~.~..e....z..,.......z..z~.~.,...,..g.9.r.....&o...h.~....~ ~.~.~...cLe....z:.. ...... of .....c~r..~.e~,u.~.o.r..t; ..................................................... N, Y. and subiect to the Terms and Conditions listed on the reverse side hereof, of Southold Town Trustees authorizes and permits the following: Application approved to construct a 50'x6'float dock, 30'x6' walk and a 14' x 6' ramp with 2 spiles in Gull Pond, with the provision that the total distance out into the water does not exceed all in accordance with the detailed specifications as presented in the originating application. ' unless need can be established for ~'reater' IN WITNESS WHEREOF, The said Board of~1'rustees kere- l~ey sCual~:;i~feSdCb~P: r~fa~oSri~l of~ t~% ~af'fi~eBd~a~d arsh ~re Please tear off and return to the Trustees Board Of $outhold Town Tru SOUTHOkD, NEW YORK MOO-R Ii~G NO. PERMIT NO DATE: ISSUED TO I, , certify that the work as authorized in this permit has been ccmsleted and %s now ready for your insoec- tion. Also, the number required on this pro~ect is clearly visible. I further understand'this permit is nou valid until this tear sheet is reuurned to the Trustees. TERMS and CONDITIONS The Permirtee John Braider ~esiding at Greenport N.Y. as part of the consideration £or the issuance of the Permit does under~,--d and p~ibe to the fol- · ~0Wing: 1. -That the Southold Trustees Permit must be prominently displayed on the premises effected thereby during the period of .... That the said Board of Trustees and the Town of Southold axe released from any and work ,~ all~ damages, or d-;m~ for damages, of suits arising directly or indirectly as a result of any oper- Unde'~ · . ~.~tlon performed pursuant to this permit, and the said Permittee will, at his or her own expeme, the i~" 'i"defend any and ail such suits initiated by third parties, and the said Permittee assumes full liability pernl~t r ~& respect thereto, to the complete exclusion of the Board of Trustees of the Town of Southold 3% That' thi~ Permit is valid for a period of 3 ? . mos. which is considered, to be the sufficient time required to complete the work involved, but should cizo,m~ances warrant, request 'for an extension may he made to the Board at a later dam " -" 4 g That this Permit should be retained indefinitely, or as long as the said Permirtee wishes tO maintain the strucw, re or project involved, to provide evidence m anyone concerned that auth- utizati~n was originally obtained... · '; 5 ~- That .the work involved will be subject to the inspection and appr°val of the Board or -, its agents, and non-compl;ance with the provisions of the originating application, may be o-se for · revocation of this Pemait by resolution of the said Board. 6. That there will be nd ,,nreasonable interference with navigation as a result of the work herein authorized. · ......... c~. 7. That the~e'shalkbe no interference with the fight of the public to pass and repass along the beach between high and low water marks. 8. That i~ fi~mre~operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized,, or if, in the opinion of the Board of Trustees, the work shall cause unreasonable obstrnetaon to free navigation, the said Permittee will be requiz~ upon due notice, to remove or alter this work or project herein stated without expenses to the Town of Southold. ' 9. That the said Board will be nodfled by the Permittee ot~ the completion of the work ax:th- or/zed. (See tear off sheet.) -10. That the Per,tree wiil obtain~'a~''Other P~ts an~ co-~en~ ~t m,y ~ ~ed pl-mentai co th~s pe~t wh~h may be subj~ co ~oke upon if.~lu~ to ob,-~- ~me. BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 1 t971 March 30, 1984 TELEPHONE (5~1765~1892 Mrs. Judith T. Terry Southold Town Clerk Southold Town Hall Main Road Southold, New York 11971 Dear Judy: Transmitted herewith is the action taken by the Board of Town Trustees at a regular meeting.held on March 29, 1984: RESOLVED to recommend to the Southold Town Board Approval of the Wetland Application ~190 submitted by Latham Sand & Gravel, Inc. on behalf of John L. Braider to construct a stationary dock, ramp and two floating docks in Gull Pond, with the provision that the total length of the dock is kept to 50' offshore. Very truly yours, Board of Town Trustees He~n~ryP~Smith President HPS:ip NOTICE '~Pot~ce De~.~,Balv~.ee~nstable 'Town of Southold Peconic, New York 11958 NO~ICE OF VIOLATION To: foh~-~ ]qraider Date: S©UTHOLD (Owner or authorized agent of owner) ~ ';3/~ ...... '~ ]~r~' ~r'- T'T A~dress: ~L, ~ ............ ~., i~ ~ (Address of owner or authorized~ agent of owner) Please take notice there exists a violation of the Code of the Town of Southold~ Chapter 97 Articie--~ ......... Section-~}k~- at premises~hereinafter described in You are therefore directed and ordered to co,mpty with the foiiowi~g:__~_'~_£,_~_',._~__'L,L~L~:L_LL~__~£,~£~_- r~tr'.~,s :-or ' ' ~:l'~n~.t on or before day ~f ..... z ............ ~ t9 Suffolk Section: The premises to which this Notice of Violation refers are situated at: ............. '~ ..... .Town of Southold~ County~ Ni¥. (Suff. County Tax Map Designation: Dlst_. ..... ~----Block: Lot: ....... k Failure to comply with the applicable provisions of the law may constitute an offense punishable by fine or imprisor~ment or both. NOTICE: You have the right to apply for a hearing before the Board of Trustees of the Town of Southold, provided that ~ou 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 n~ce of vio. la/~on should be modified or rescinded,~ / . . · Bay Constab!e,~/~own of Southo!d~ NY ALL DOCKS ,~D .BULK- -- HEADS MUST'E~I;~LAY --- VISIBLE PERMI~ NUMBERSi ALL MOORINGS AND STAKES MUST DISPLAY VISIBLE MOORING NUMBERS. BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Main Road Southold. New York 11971 NOTICE OF ACTION - NOT A PERMI;T PI1 ................ Telephone (516-765-1892] Your application, dated .... .2. /. ~. .4 ./.8. 4. ..................... has been reviewed by this Board, at a meeting of the Trustees held on...~..a.~.c~..2.9.,...~.9.8.4..' .......... and resulting in the action, as indicated below: (X..Z.X~)j Application approved. ( ..... ) Application denied. ( ..... ) Application tabled. 2. Comments and remarks: Application approved with the provision that the total distance out into the water does not exceed 50', unless need can be established for greater length. 0 If your application is approved above, a Permit Fee is now due, and should be made payable to the order of the Board of Southold .Town Trustees. This fee is computed below according to the Schedule of Rates as set forth in the Instruction Sheet (Form I/1). This fee must be paid within 90 days or reapplication and additional fee will be necessary. if the Permit Fee is paid in person to the Clerk ~-f the Board, the Permit will be obtainable at the same time. If the fee is paid by mail, the Permit will be mailed in reply. 4. Computation of Permit Fee: 1- 50' x 6' fioat dock - T-Section = 300 sq. ft. @ .25 sq. ft.= $75.00 1- 30' x 6' float-walk section = 180 sq. ft. @ .25 sq. ft.= $45.00 Al- 14' x 6' ramp = 84 sq. ft. @ .25 sq. ft.= $21.00 2 spiles @ $5.00 each $10.00 ~~/~c~/__~-~~ Total AmoUnt Due $151.00 Total Fee for this application ............................. $ .................. S ig n ed '.~.~~...~'~)..~. ~.. ~,~.. ~~: President, Board of Sout45old Town Trustees JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD NEGATIVE DECLARATION Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 TELEPHONE (516) 765-1801 NOTICE OF NO SIGNIFICANT EFFECT ON THE ENVIRONMENT Dated: April 24, 1984 Pursuant t~ Article 8 of the Environmental Conservation Law State Environmental Quality Review and 6NYCRR Part 617, Section 617.10 and Chapter 44 of the Code of the Town of Southold, notice is hereby given that the Southold Town Board, as lead agency for the action described below, has determined that the project, which is unlisted will not have a significant effect on the environment. DESCRIPTION OF ACTION Application of John L. Braider by Latham Sand & Gravel, Inc. for a wetland permit. Permission is requested for installation of dock and floating dock on property located at Gull Pond Lane, Gull Pond, Greenport, N.Y. The project has been determined not to have a significant effect on the environment for the following reasons: An environmental assessment has been submitted which inflicated that no significant adverse effect to the environment are likely to occur should the project be implemented as planned. Because there has been a response.from the Board of Southold Town Trustees and Southold Town Conservation Advisory Council indicating that this project would not have a significant effect to the environment. Because there has been no response in the allotted time from the New York State Department of Environmental Conservation and the Southold Town Building Department, it is assumed that there are no objections nor comments from those agencies. Further information can be obtained by contacting Mrs. Judith T~ Terry, Southold Town Clerk, Southold Town Hall, Main Road, Southold, New York 11971. Copies to: David DeRidder, DEC, Stony Brook Commissioner Williams, DEC, Albany Southold Town BuildSng ~D~partment Southold Town Trustees Southold Town Conservation Advisory Council Town Clerk's Bulletin Board Latham Sand & Gravel, Inc. for John L. Braider ALL DOCKS AND BULK- HEADS MUST DISPLAY ..... VISIBLE PERMIT NUMBERS. ALL MOORINGS AND STAKES MUST DISPLAY VISIBLE MOORING NUMBERS. BOARD OF TOWN TRUSTEES TOWN. OF SOUTHOLD Main Road Southold, New York 11971 Telephone (516~765-1892) NOTICE OF ACTION - NOT A PERMIT To.. L.a. th.a~.. Sand & Gravel Inc.: for John Braider 1. Your application, dated .... .2./.1..4./.8.4. ..................... has been reviewed by this Board, at a meeting of the Trustees held on...M..a.r.c.h...2.9.,...1.9.8.4. ........... and resulting in the action, as indicated below: 2. AppliCation approved. Application denied. Application tabled. Comments and remarks: Application approved with the provision that the total distance out into the water does not exceed 50', unless need can be established for greater length. If your application is approved above, a Permit Fee is now due, and should be made payable to the order of the Board of Southold Town Trustees. This fee is computed below according to the Schedule of Rates as set forth in the Instruction Sheet (Form !/1). This fee must be paid within 90 days or reapplication and additional fee will be necessary. ', If the Permit Fee is paid in person to the Clerk of the Board, the Permit will be obtainable at the same time. If the fee is paid by mail, the Permit will be mailed in reply. 4. Computation of Permit Fee: 1- 50' x 6' float dock - T-Section = 300 sq. ft. @ .25 sq. ft.= $75.00 1- 30' x 6' float-walk section = 180 sq. ft. @ .25 sq. ft.= $45.00 1- 14' x 6' ramp = 84 sq. ft. @ .25 sq. ft.= $21.00 2 spiles @ $5.00 each Total Amount Due $10.00 $151.00 Total Fee for this application ............................ '.$ .................. President, Board of Sout~hold Town Trustees Clerk, Board of Southol~/To'w~ Trustees~' ALL DOCKS AND BULK- HEADS MUST DISPLAY VISIBLE PERMIT NUMBERS. ALL MOORINGS AND STAKES MUST DISPLAY VISIBLE MOORING NUMBERS. BOARD OF TOWN TI%USTEES TOWN. OF SOUTHOLD Main Road Southold, New York 11971 Telephone (516-765-1892) PI1 NOTICE OF ACTION - NOT A PERMIT To. La.t. ha.m.S, and a Gray.el for John Braider 1. Your application, dated ..... .2./.1.4../.8.4. .................... has been reviewed by this Board, at a meeting of the Trustees held on...?.e..b.r.u.a.r.~..2.7.~..1.9.8.4. ....... and resulting in the action, as indicated below: (..~D 2. Application approved. Application denied. Application tabled. Comments and remarks: Your application has been tabled. The Trustees are waiting for a copy of your Wetland Application. If your application is approved above, a Permit Fee is now due, and should be made payable to the order of the Board of Southold Town Trustees. This fee is computed below according to the Schedule of Rates as set forth in the Instruction Sheet (Form 1/1). This fee must be paid within 90 days or reapplication and additional fee will be necessary. If the Permit Fee is paid in person to the Clerk of the Board, the Permit will be obtainable at the same time. If the fee is paid by mail, the Permit wilt be mailed in reply. 4. Computation of Permit Fee: Total Fee for this application ............................. $ .................. Sign ed...~.~..~,~Z~...-~ Z~...~-~ President, Board of South~fld Town Truste.es Clerk, Board of Sout~iold Town Trust~es BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 February 23, 1984 TELEPHONE (516] 765-1892 Latham Sand & Gravel, Inc. Main Road Orient, New York 11957 Re: Dock Application John Braider - Gull Pond Dear Mr. Latham: Please be advised that the Trustees will need a letter of permission from Mr. Marcus, authorizing Mr. Braider to construct the dock at Gull Pond, Greenport. We have been advised by the Building Dept. that Mr. Braider is not the owner of the property. A copy of that correspondence is attached. We await a copy of your Wetland Application also. Thank you for your attention, in regard to this matter. Very truly yours, Board of Town Trustees President HPS:ip Attachment cc: Trustees/ TOWN OF SOUTtIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. t 1971 DATE: TO: FROM: SUBJECT: TEL. 765-1802 February 21, 1984 Judith T. Terry, Town Clerk Victor Lessard, Executive AdministratorV~% Application of John Braider On further investigation of this project, I find that the property in question is part of a ~_~_q~osed sub-division of Leon Marcus. As of this date, no action by the Planning Board or any other Board has transpired, as per copy of Planning Board letter dated 1/26/83, as so it is to be considered as an illegal lot. I strongly suggest that no action by the Town Board be taken until this matter is cleared by the Planning Board. (Application lists John Braider as owner. There is no local record. The property must have been purchased after 6/1/83.) cc: Board of Trustees VL:ec HENRY E. RAYNOR, Jr.. Chairman JAMES WALL BENNETT ORLOWSKI, Jr. GEORGE RITCHIE LATHAM..Ir. WILLIAM F. MULLEN, Jr. Southold, N.Y. 1 1971 January 26, 1983 TELEPHONE 765-1938 Mr. Robert Gillispie, III North Fork Agency North Road Southold, New Yo~k 11971 Re: Leon C. Marcus Dear Mr. Gill±spie: As per our meeting of November 30, 1982 relative to the above captioned property, a thorough review was made of the files ~nd records within our office and that of the Zoning Board of Appeals. It appears that informal discussions were held con- cerning this property and apparently withdrawn before official submission to the Planning Board. very truly yours, HENRY E. RAYNOR, JR., CHAIRMAN SOUTHOLD TOWN PI~ANNING BOARD NA:.IE CF Ci~EK ~ ~LL' P~a/~ A~:,,:~ DOCKS AND BULKHEADS MUST DISPLAY VISIBLE PERMIT NUMBERS BOARD OF TOWN T~U~T~ Somho~d, h'ew York 1~971 ~ll~lg~ ~{ ' APPLICATION F IX /or F ~TIN DO K ............................. .2 .............................. ! /v,, /"'~ ' ............ ~' ....................... " ................ LL----°-ZZ ............. . ......Tel. 3. Briefly ex,[=in the purpose of thi~ cppiicstlcn: ' 4. After is_~a~'- ~= .... of a Permit, work mus~ be comDL_._d_ =er 'wzthin' one year. LARGE 5. Secure, ~he~. correct Area ,%~co [rcm the C!e~-_.. o~ this Scsrd, cad by using a/X WITHIN ~ C~RC_= ind[cc:e cs c[cselv ~s possible the [aacHen cf this dcck. On the reverse side o[ this mop, provide ~ 5CAL5 DRAWING which will show Ordinary High *¢/ar~ M~rk, the one size of.the d~ck ~na any supplemental pilings which are neeaed to h~la a ' ' Or tie-up a Door. Give oH d~mension~ n .... ~sor,, *o d~t*- ' ~ ~.=rv~u E%TEI'!DS m~cu ~ ~ ~ . ........ m,n._ f~e area r.* th~ ~.t- Z ' 0 ..... O._ ,r~m the O. H. W. M 1= -~=- ¢, . ~. - d docks, ~ ~ujac-nt prope~y owners have - specify locat&on and len=-~ 6. W I1 ~nv pornon ar this const-uction exton~ afZ..u__ , _ ,, It it does extend be,,on~ rhi, ,~ ..1{o~ a ; - g oruo'~ shareline~ . ' ..... ' ...... u~. hne ,nd~cote by how far, enor~ximat~{.. . = ~r -- ;~Y, .......... 7. Provide the {o[[owing documenrz: A Licensed ~ngineer'= Survey of the prosody involved. (b) .A copy of the Contr¢ctor's Plons cnd 5Pecifiz;tions.  ~,hg~t ~nvir~nmental Assessmen+ ~- .1 );~ec/anCs Application · ~ 8. ~]/111, rn,s 5cnsrruct/on' require the Filling of any on.l ~%' .. ~cr~ or the Dre-Jqinn of an" --~.-_;_,'e ~' ... a.~_no, u of the Ord,na~i~h application, c rn~ .... ] ....,uu a~ parr or 9. In requestmO ocprova of this cpplicctinn, I submit thor: the mitt.': mort ~-rc~gntod herein is true. end Correct to*',n.., best 0¢ my '<no',,.Jedgg and belief; Icm the ge':cn":cCaur, rn=ie' for reca ar cm farad,ct '~ith the 2ro','~sicns cf any Sc,a::~oid To~,n' Crd.ncnce :errmcnr tc tn= work involved;Permit, whencnd andfurrher'if issuedl mt:nato rog.t° c~hcre to ant ~t~ide by the T~rrn: c~d Ccn=,ncns of th= lO To e .... a~ ' --~ ...... finding specific location for inspect:on, indicat= TOWN OF, ~OUTtlOLD SHORT ENVIRON}HENT, AL ASSr--SSLIENT FO[:!.! IHSTRUCTiONS: (a) in ardor to answer the questions in this short EAF it is [hat the preparer ~i}l use currently available information COrcernLng th project and the likely impacts of the action. It i~ no~ expected that add£t~ana} studies research or other inva:tigation ~ s ~z be undertaken. (b) If a~¥ question has bean answered Yes the Project may be sig~ifico~ a~d o completed Environmental Assessman~ Form is necessary. (c) If all questions have been answered ~o it is likely that this ]. Wiit prajec~ resul~ in e large physical change ~o the project site or physically alte~ More %hen 10 ~cres of land? ........................ Yes..~ No ~. ~ill ~Sere ~e a major change to any unique or - unusuot lo~d form found on the site9 ' Ye- XNo 3. ~ill pro3ec~ alter or have a large effect on ......................... .e sk _No 4. Will prajec¢ have a potentially large impact -- ~n groundwater quality? ...... ' Yes 5. Will projec~ s/gnzfzcantly effect drainage ' flo~ on adjacen~ sita-o . ' ~ .......... Yes No ~. Will project affect any threatened or end~nGered p!~nf or animal spcciesg'-'------..- Ye 7. Will projec~ result in a major adverse effect ---- ................................. YesyNo 8. Willprojec~ have a major affect on visual - char=c~er of tho communiLy or scanic views or ¥isf~s kno~ to be important to the community? Yes ~No ~. ~£tl project ~dverzely impact uny site or ' $fru~i~re of ~istoric, prehistoric or P~±eo~tolog~c~l importance or any site de~gn~led os a critic~l environmental area by ~ luau! ~Dency? ............ ~:'"-'~-~'--'-v'---v.___Yes~._No 10. Will project have a ~ajor effect on existing or fulcra recreotionG1 opportunities? ......... Ycs.~__~No 11. Will ~rojecf ~esulf in major [raffia problems or co-se ~ major effect ia existing ~ronuportGtion systems0 · ......... ' ....... ' ........ 12. Will prajec~ requlorly cause objectionable .... -- .... od~ra~oi~e, g~re, vibration, or e!ec~ricol 'di~lurbonce ~s a result of the project's 13. ~ill project have any impact or] public heai*h - or safcfy? ................ ---Ling communit~ by"---- - directly causing o growth j.~ pertaonent ' population of more than 5 percent over c one year period or }]ava o m~jor negative On tko character of the com:aunity or neighborhood? ..... ' ........ . ..:..:..'.:: ..... or°Jack9 .................. ~ ....................... _. Yes.. -/ / / / ?I O/ / / JUDITH T. TERRY TOWN CLERK REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD March 12, 1984 Town Hall, 53095 Main Road P.O. Box 728 Southold, New York 11971 TELEPHONE (516) 765-1801 Mr. Henry P. Smith, President Board of Southold Town Trustees Southold Town Hall Southold, New York 11971 Dear Mr. Smith: Transmitted herewith is application no. 190 for a Wetland Permit submitted by Latham Sand & Gravel, Inc. for John L. Braider. Please prepare a written report of findings and recommendations with respect to this application. Very truly yours, Judith T. Terry Southoid Town Clerk Attachment Town Of $outhold Town Clerk's O~Iice Southold, N. Y. 1 Tow~ C~erJ~ Soat~ APPLICATION FOR WETLANDS PERMIT JOHN L. BRAIDER .by Identity of Applicant ..... ~..~...~ . Address of Applicant ~ ~ ~ ~' ~ ~ INSTRUCTIONS FOR PERMIT A. This application is to be completely filled in by typewriter or ink and submitted to the Town Clerk in quadruplicate, accompanied by writtee permission from the owner of the property if not the same as the applicant. B. Pilot Plan must be drawn to scale on the reverse side of this application showing the location ' of property, the names and locations of owners of adjoining propert es, and a detailed description of proposed project. (Note: Copies of the Pilot Plan may be made by a copy machine and attached to the Permit 'Application.') C. No operation shall be initiated by the applicant until all permits that are required are i.~sued. D. A detailed statement of the rehabilitation and proposed condition of the premises after the' - work is completed must be given, including a survey if required. E. If permit is being sought for a more sizeable excavation than the construction of o private single dock or jetty, then this application must be accompanied by a survey and topographical map. certified by e registered land survey or Professional Engineer. The horizontal control of survey shall be based upon an approval local coordinate system. The vertical control for elevation and sound- ings shall be based upon United States Coast and Geodetic Survey and/or United States Geological Survey datum. F. A statement mus~ accompany the application describing any .known prior operations conducted on the premises in question and whether any prior licenses or permits have been issued to erect structures or to dredge or deposit fill on said I~remises and whether any such permits or licenses were ever revok..~d or suspended by a governmental agency. G. A fiiing fee of $50.00 shall accompany the application. This filing fee includes one inspection.. there is a $5.00 fee for each additional inspection. H. The Town Board upon request of the applicant for a permit, may waive in whole or in part, the provisions of Article II, Section 97-21.subdivisions(D) and(G) where it finds that nature of the proposed operations are such that 'the requirements of such provisions are not necessary for a proper consideration of a permit application. I. Upon approval of this application the Town Clerk will issue a permit to the applicant. Such permit shall be available for inspection at any time, upon request. Disapproved ........................................................... APPLICATION tS HEREBY MADE to the Town Board of the Town of Southold, Suffolk County, New York, for the issuance of a permit pursuant to the Laws, Ordinances and Regulations govern- ing the Coastal and Interior Wetlands, Flood Plains and Drainage Areas of the Town of Southold: Permit recuested to ~ ~ ~ ~ ~~ Location of property for which permit w e ..................................................................................... Home address of permit applicant if different- fram aforesaid location .............................................. Creek, Bay or Harbor fronting property .... ~..~..~..~..~.~. .............................. Size of proposed work: Length ................... ]~......~ ............................................................................................................. Width ...~ ................ .~..... ~ Height Above High Water .... ~..~.~;.i~..~..~..~..'.~.:~L.~.~ Depth Below .Low Water Yards to be Excavated Yards to be Filled .......................... ~ Width of canal, creek or bay fronting properb/ ....... ~ ~ Depth at Low Tide ....................... .~..~.~;'~..?~.~ .......................... ~ ..................................... Average Rise in Tide Q Is this for private or business use?-. ......... ~~ Area Zoning .............................................. ~ .............................................................. Manner in which maff~ial will be removed or deposited ................................................................... Intended. use of property ...~.~~~:.~,.~.~~ .............................. Written consent of 'owner of property, if not the same as the applicant ........................................ COUNTY OF SUFFOLK STATE OF NEW YORK ) SS: ................... ~"~"~ ....................................................... being duly sworn deposes and soys that he is the applicant for the above described germit, and that all statements contained herein ore true to the best of his knowledge and belief; that the work will be done in the manner set forth in this application and os may be approved by the Town Board of the Town of Southold. The applicant agrees to hold the Town of Southotd and the Town Board harmless and free from any and ail damages and claims arising under or by virtue of said permit, if granted. Signature of Ap~)licont ............ Sworn to before me this .....~...~......~T.. ............. day of ...?..~.~ ......... , TOWN. OF ~SOUT,HOLD SHORT ENV[RONMFNTAL'ASSESSMENT FORU INSTRUCTIONS: (o) In order to answer the questions in this short EAF it is assumed that the preparer will use currently available information concerning ~he project and the likely impacts of the action. It is not expected that additional 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 neqessary. (c) If all questions have been answered No it is likely that this project is no± siqnificant. (dj En-~ron~enta} Assessment .... :' 1. Will project result in a large physical change '. to the project site or physically alter more than l0 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? ....................... YDs ~ No 4. Will project hove o potentially large impact o~ grouKd~at~r qvolity? ....................... Yes ~:~o 5. Will project significantly effect drainage' . flow on adjacent sites?..- ...... ~ ............... Yes ~ No 6. Will pro3ect affect any threatened or ' endangered plant or animal species? ........... Yes'~ No 7[ Will project result in c major adverse effect - on air quality? ............................... Yes.~ Nb 8. Will project hove o major effect on visual ~ chor6cte~ of the community or scenic views or ~ vistas kno~vn to be important to the community? Yes? No ?. 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 hove o bajor effect on existing ~ or future recreational opportunities? ......... Yes..'~No ll. Will project result in major traffic problems ~ or cause o major effect to existing transportation systems?.'; ..................... Yes~JrNo 12. Will project regularly cause objectionable od~rs~ noise, 91are~ vibration~ or electrical disturbance as a ~esult of the project's operation? ................................. ;.:.. Yes ~No 1'3. Will project have any impact on public heal{h- or.safety? ................... ' ........ Yes~ No 14. Will project affec~ %he existing community by directly causing o growth'in per~a6ent '- population of more t-ban .5 percent over o on~ year period or hav~ o major negative effect on the characCer of the community or neighborhood? ..... [ ....... ~.~ .... t ........... ~ Ye~s ~.No 15. Is there public controversy concerning project? ............... . ........................ Yes ~N John L. Braider ~53~ Main s~reet Northport, NY 11768 To Whom It May Concern: I the undersigned hereby authorize Latham Sand & Gravel to act on my behalf to make application and secure the necessary oermits for marine contracting at lot # 2 Gull Pond Lane, minor subdivision dated Nov. 4, 1982 amended J~. 17, 1983 which appears on the map of Fordham Acres Section i filed in Suffolk County 01erks Office # 3519.